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Permits 70,71,74,76 Levy Rd (vault folder) r ADDRESSLLA } T - BUILDING PERMIT*____ "1__!___________ BLDG. ! BLDG. _ BLDG. �r_�` BLDG. / _— BLDG. ------- FOOTING ------ ------- ------- ------ ------- SLAB FRAMING T� _ FINAL I�.IU 1 _; XT- C/o ------ ------- ------- ------ ------- IHS. ------ ------- ------- ------ ------- STEEL FIRE ------ ------- ------- ------ ------- ELECTRICAL PERMiT# y � 1 BLDG. ___ ____ BLDG. _ ' _ BLDG. f _ BLDG. BLDG. ROUGH _' f 7, FINAL _----- PRELIM. SENT TO JEA -------- --------- --------- ------- ------- FINAL SENT TO JEA -------- --------- -------- ------- ------- CALL TO JEA-------- --------- -------- ------- ------- MECHANICAL PERMIT#,�___ s w. BLDG. -__/ BLDG. __ BLDG. _-'__-____ BLDG. �_�!___ BLDG. ROUGH PLUMBING PERMIT# -L,)--------------- BLDG. BLDG. _ __ BLDG. BLDG. BLDG. UNDER SLAB ------- --------- --------- ------ ROUGH - ------- --------- --------- ------ SEWER ------- ------- --------- --------- ------ PUBLIC WORKS_----- ------- --------- ---------- ------- r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptgcoab.us Application Number . . . . . 07-00001095 Date 8/31/07 Property Address . . . . . . 70 LEVY RD Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INSTALL CONCRETE COLVERT --------------------------------------------------------------- ------------- Owner Contractor ------------------------ ------------------------ LEWIS, GLEN OWNER 70 LEVY ROAD ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . UTILITIES PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/31/07 ---------------------------------------------------------------------------- Special Notes and Comments Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible . There is a 10" diameter gravity sewer main running in front of the property. Avoid damage to main and building water/sewer services . See drawing. ---------------------------------------------------------------------------- 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. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERItT MI�}Ft7RMAtOIU' I~.00A�C+C 1 UI`2MAT#C11�t Fermi Number: 22696 Address: 70 LEVY ROAD Permit Type: DRIVEWAY ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OVA1(=# 3N I; Date Issued: 9/19/2001 Name: A CUT ABOVE TREE SERVICE—'-- Total Fees: 25.00 Address: 70 LEVY ROAD Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 9/19/2001 ., ..._P Qne: 000 000-0000 Work Desc: DRAIN PIPE FOR DRI LEFT,SIDE Q NG BY STREET CC)NTRAC7O y ,.` LICATIOIT FEES PROPERTY OWNER R IT_ 4 25.00 S " ki E 1, t5 ASTtS f 5 +� s k m Y a 4 lull F NOTICEINSPECT! ST BE Qi1ESTED' 1T Lf=AST 24 HtJUR3 PtR TO`INSPECTION BUILDING MATERIAL," UBBISH AI�iQ'(3EBRtS FROM THtS,WORK MUST'NO7 B 4-ACED IN� UBLIC SPACE,AND MUST BE CLEARED UP ND IwtAULEIY WAY BY EITHER;CONTRACTOR OR ER "FAILURE TO COMPLYWTH T AN RESULT IN THE j PROPERTY OWNER PAYI , '9WIC R 001 .I Pib ISSUED ACCORDING TO APPROVED P "� R 'f�T C MIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIO , 14 ATLANTIC BEA H BUILDING DEPT. ��!rq _.. --- Da�� i/�/9�' ii Receipt: - 89198993�1� CITY OF ATLANTIC Bt EACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS DATE " ( -7—p PERMIT NO. ISSUED BY THE CITY JOB ADDRESS -70 VALUATION $ PERMITTEE 14 Cl/i A6,ove, 7;eet, P/`J, C r✓ t. G L e,./ C { LAI, PERMITTEE ADDRESS -10 L e vz ,Q TELEPH ENO. REQUESTING PERMISSION FROM THE CITY OF ATLANTIC BEACH TO CONSTRUCT �� ,.) o1, LOCATIONS: (REFERENCE TO CROSS-STREET) L r 5,d e, a-AA y I A&ck i4Y S/Qee 7- I APPLICANT DECLARES THAT PRIOR TO FILING THIS APPLICATION HE HAS ASCERTAINED THE LOCATION OF ALL EXISTING UTILITIES, BOTH AERIAL AND UNDERGROUND AND THE ACCURATE LOCATIONS ARE SHOWN ON THE SKETCHES. A LETTER OF NOTIFICATION WAS MAILED TO THE FOLLOWING UTILITIES/MUNICIPALITIES: JACKSONVILLE ELECTRIC AUTHORITY YES ( ) NO ( ) DATE: BELL SOUTH TELEPHONE COMPANY YES ( ) NO ( ) DATE: FERRELL GAS YES ( ) NO ( ) DATE: MEDIA ONE CABLE TV YES ( ) NO ( ) DATE: 2. WHENEVER NECESSARY FOR THE CONSTRUCTION, REPAIR, IMPROVEMENT, MAINTENANCE, SAFE AND EFFICIENT OPERATION, ALTERATION OR RELOCATION OF ALL, OR ANY PORTION OF SAID STREET OR EASEMENT AS DETERMINED BY THE DIRECTOR OF PUBLIC WORKS, ANY OR ALL OF SAID POLES, WIRES, PIPES, CABLES OR OTHER FACILITIES AND APPURTENANCES AUTHORIZED HEREUNDER, SHALL BE IMMEDIATELY REMOVED FROM SAID STREET OR EASEMENT OR RESET OR RELOCATED HEREON AS REQUIRED BY THE DIRECTOR OF PUBLIC WORKS, AND AT THE EXPENSE OF THE PERMITTEE UNLESS REIMBURSEMENT IS AUTHORIZED. 3. ALL WORK SHALL MEET CITY OF ATLANTIC BEACH OR FLORIDA DEPARTMENT OF TRANSPIRATION STANDARDS AND BE PERFORMED UNDER THE SUPERVISION OF (CONTRACTOR'S PROJECT SUPERINTENDENT) LOCATED AT TELEPHONE NO. 4. ALL MATERIALS AND EQUIPMENT SHALL BE SUBJECT TO INSPECTION BY THE DIRECTOR OF PUBLIC WORKS OR HIS DESIGNEE. S. ALL CITY PROPERTY SHALL BE RESTORED TO ITS ORIGINAL CONDITION AS FAR AS PRACTICAL, IN KEEPING WITH CITY SPECIFICATIONS AND THE MANNER SATISFACTORY TO THE CITY. 6. A SKETCH OR PLANS COVERING DETAILS OF TH15 INSTALLATION SHALL BE MADE A PART OF THIS PERMIT. 7. THIS PERMITTEE SHALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN DAYS FROM THE DAY OF SAID PERMIT APPROVAL AND SHALL BE COMPLETED WITHIN DAYS. IF THE BEGINNING DATE IS MORE THAN 60 DAYS FROM DATE OF PERMIT APPROVAL, THEN PERMITTEE MUST REVIEW THE PERMIT WITH THE DIRECTOR OF PUBLIC WORKS TO MAKE SURE NO CHANGES HAVE OCCURRED IN THE AREA THAT WOULD AFFECT THE PERMITTED CONSTRUCTION. S. IT IS UNDERSTOOD AND AGREED THAT THE RIGHTS AND PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TO THE EXTENT OF THE CITY'S RIGHT, TITLE AND INTEREST IN THE LAND TO BE ENTERED UPON AND USED BY THE HOLDER, AND THE HOLDER WILL, AT ALL TIMES, ASSUME ALL RISK OF AND INDEMNIFY, DEFEND, AND SAVE HARMLESS THE CITY OF ATLANTIC BEACH FROM AND AGAINST ANY AND ALL LOSS, DAMAGE, AND COST OF �� EXPENSES ARISING IN ANY MANNER OF THE EXERCISE OR ATTEMPTED EXERCISES BY THE HOLDER OF THE AFORESAID RIGHTS AND PRIVILEGES. •' GEORGIA A HORN MY COMMISSION#DD 030526 9. THE DIRECTOR OF PUBLIC WORKS SHALL BE NOTIFIED TWENTY-FOUR ( S PefflRE lr*VMNG VY RK AND AGAIN IMMEDIATELY UPON COMPLETION. ,% �};�` Bonded Thru Notary Pubk Underwriters SUBMITTED BY: ��-��- /'( LACE CORPORATE SEAL IF APPLICABLE) �y6 SWORN TO AND SUBSCR ED BEFORE ME THISQ�- DAY 001 l n � NOTARY POSYC `- oSc'� G6 3�533aa CITY OF ATLANTIC BEACH PUBLIC UTILITIES DEPARTMENT J 1200 Sandpiper Lane / lX Atlantic Beach,Florida 32233 roll 1"f (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: it,-"" t, h kin —W 1150�,�-" , Applicant: , Project: u-K— , Ca -U In Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: CE- Ir e� 0/- 7-SH /^ -ecv ems^ /tea �S er a Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call (904)247-5834. Review y Donna Kaluzmak, P lic Utilities Director Date Signature Contractor Notified Date i�� y 4�3� --/773 ■ ■ ■ CITY OF ATLANTIC BEACH 'r ■ 800 SEMINOLE ROAD ■ ATLANTIC BEACH,FLORIDA 32233-5445 ■ Telephone: (904)247-5800 ■ Fax: (904)247-5845 ■ hftp://ci.atlantic-beach.fl.us FAX To: r Fax#: Lc 3 - I -1 `7 3 From: 2 Date: lot w, Pages: _ Re: 4e- Jr M�� ❑ Urgent ❑ For Review ❑ Please Reply Notes: PSC 2000 Series 2410 Log for Personal Printer/Fax/Copier/Scanner City of Atlantic Beach Bui 904-247-5845 Jan-00-00 OO:OOAM Last Transaction Date Time Tag Identification Duration Pages Result Jan 00 OO:OOAM Fax Sent 96341773 0:45 2 OK ;y� o d �� , '� � � � � �, t � . . , � :: ____ � . �` � � `k� t �¢ 1 ��• ,�. ! � a x x ! . } � / ! \ } / ` / \ } ! � . / { { . / \ ! y i } } . } . / : } z 08/01/05 16:36 JAX ENGEERING 4 904 247 5845 N0.343 P002/003 1`• CITY OF ATLANTIC BEACH r r)` CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS f� 800 Seminole Road 904-247.5800 r la Atlantic Beach,Florida 32233.5445 Fax 904-24T-5845 Date 8/112005 PERMIT 0 Job Address 70 LEVY RD ISSUED BY THE CITY Permitee; SELLSOUTH TELECOMMUNICATIONS Telephone# 904-6341661 Permittee Address: 11AA1 301 W BAY ST JACKSONVILLE. FL. 32202 ATTN: ANGELA HERRON Requesting Permission to Construct: TELEPHONE CABLE Location: (Reference to Cross-Street) Between Orchid St and Mayo—ort Rd 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes(X) No ( ) Date: 8/2/05 Bell South Telephone Company Yes( ) No ( ) Date:8/2105 Ferrell Gas Yes(X) No ( ) Date: 8/2/05 Comcast Yes(X) No ( ) Date: 8/2/05 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all,or any portion of said street or easement as determined by the Director of Public Works, any or 211 of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works. and at the expense of the Permittee unless reimbursement is authorized, 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of CLINT STRICKLAIyD (Contractor's Project Superintendent) located at Telephone#: 904-393-4958. 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit 7. This permittee shall commence actual construction in good faith with 60 days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. B. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9, The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Dale: Before me this day or in the County of Duval, State Of Florida.has personally appeared I Notary Public at Large,State of Florida,County of Duval. My commission expires: Personally Known: or GOP e O1)V Produced Identification: �I:J n11D m CD LEVY RCO BURIED SYMBOL LEGEND _ m $� ttWm d 1 EAdtV OSeeWW CD 273' --o -o-'mkm cAul Ln I. CAFION S 40.0510[ W LQ 1 EAC1051B0: � OIGIOIOIF ►------�_:-- - RIV�UYAIT D IT! m ----------------------------------------- "--- JOe4'-1IELALII SVC .'L) -------- WA OOZE Z e- ® WO CW PAYOEIY! LEVY RD1-'-' y WA SPttNG/(T � W W Z�b10(Z� WA TRE1101 101eO♦p1M p EOP ----------- — — — — — — — CL----------------------- — — — — — — — — ----------- A e o e •� Q7 • itj� TO MYPOHT NO Ln CaAD1L� [!1POLE 78 TG ORCHID 3T BLE IN 0 O CABLE C N -------------- - ----- ----- ------- 80iIF671T COHIOIJI7----- OL 2a'. 4 80 CABI t�T �7ampcayth PROPOW omtnurticailarss 9 iEMIGNE FAOLOES OY l0I#li OF MAN OF ATLANTIC KA LEVY RD JACKSONVILLE BEACH `pp gggg Jim Lflay C 9BB9J04AI CE OROERl ax 404-348-2512 rrakuuw-: A 53E68131N W -,,f. W 0 m m W m m W 08/01/05 16:36 JAX ENGEERING 4 904 247 5845 N0.343 P001/003 BELLSOUTH 301 West Bay Street— 11AA1 BST, Jacksonville,FL 32202 FAX Date: NnmW of pages including cover sheet: _ To: From SW-vs Phone: �..• •_•_. -... .phone; � �.`...___ — CC: REMARKS: ❑ Urgent ❑ For your review ❑ Reply ASAP ❑ please comment In C ce,3- 4VU2- ► . c�c� cam-� { �t � �� . � a CITY OF ATLANTIC BEACH s PUBLIC WORKS DEPARTMENT 1200 Sandpiper Lane Atlantic Beach,Florida 32233 y x'`73 �• (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # � �- Property Address: 0 Applicant: bfn ','�)Dw4u'jTr n� Project: ( f� ) Cff b l- Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. u Your permit application has been reviewed by the Public Works Department and the following items need attention: Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call (904)247-5834. Reviewe y arper, P.E.,Public Works Director Date U Signature Contractor Notified Date 08/01/05 16:36 7AX ENGEERING 4 904 247 5845 N0.343 P002/003 CITY OF ATLANTIC BEACH '• r CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS r 800 Seminole Road 904.247.5800 t Atlantic Beach,Florida 32233.5445 Fax 904-247-58x5 Date 811Q005 PERMITak ISSU Job Address 70 LEVY RD ED BY THE CITY Permitse: BELLSOUTH TELECOMMUNICATIONS Telephone# 904-634166_1_ Permittee Address: 11AA1 301 W. BAY ST, JA KS NVILLE FL. 32202 ATT_N:ANGELA HERRON Requesting Permission to Construct: TELEPHONE CARL Location: (Reference to Cross-Street) Between Orchid St. and Ma rt Rd 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilibes/Municipalhies: Jacksonville Electric Authority Yes(X) No ( ) Date: 8/2105 Bell South Telephone Company Yes( ) No ( ) Date:812105 Ferrell Gas Yes(X) No ( ) Date: 8/2/05 Comcast Yes(X) No ( ) Date: 812!05 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all,or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized, 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of CLINT STRICKLAND (Contractor's Project Superintendent) located at Telephone V 904-393-4958. 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit 7. This permittee shall commence actual construction in good faith with 60 days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: Before me this day or in the County of Duval, State Of Florida,has personally appeared Notary Public at targe,State of Florida,County of Duval. My commission expires: Personally Known: or Produced Identification: m m LEVY RD BURIED SYMBOL LEGEND �' m Ate? 1 EMM Asr�IFn f y 314'-4 l0tATiON ig 273' -��o —o—�aisna uieLe C11 }�� .�a,ti —W W JWR-lrsa r Cf�+ � S MUM W uamw YANigE . � CA410 CIBLEUMM m •��+• —— —— am SVC"M 6 ------------------------- m ----------------------------------------------------- ---M---- ------- --- iR -------- wl sm Z s— wn cur PAYDi1/1 LEVY RD WA SFr EOP 2wetiJ9 WA TWO umua" � —•--- --------- -----•----CL—•----------------------------------- was — — — — — — A EDP J e ! TO MAYPaRT qo Ln s W CABLRR ED C-2— —2 Ln �° ---to 3Rcw[o si POLE 7e PROOWE 90Rx� O COrOtAT CABLE [N a OL adcouth 80 CABINET t4tsavommunkwtlwm PMPM 3 TaMIGNE FAOLIFES D4 SW OF WAY OF ATLANTIC KA LEVY RD JACKSOMYILLE BEACH :eah-er: EE`pp 55EE Jim LiffeyCY3889J�AI CE ORDER' 904-349-2512 �trarl+otl�, � 53EGS13IN W �4 +� W LJ 08/01/05 16:36 JAX ENGEERING 4 904 247 5845 N0.343 P001/003 BELLSOLTTH 301 West Bay Street— 11AA1 BST, Jacksonville,FL 32202 FAX Date: I Number of pages including cover sheet: Mw To: Front: ---- 1- X C H CC REMARKS: ❑ Urgent C] For your review ❑ Reply ASAP ❑ Please comment �`A1 . c� � a j.1Ur CITY OF ATLANTIC BEACH J CONSTRUCTION PERMIT WITHIN CITYRIGHT�,WQY AN 'EAS. 4 ENTS 800 Seminole Road 904-247-5800 01119, AUG Atlantic Beach,Florida 32233-5445 I Fax 904-247-5845 Date 5 (, 5 200 PERMIT# ISSUED BY THE CITY / Job Address , ; Permitee: BELLSOUTH TELECOMMUNICATIONS Telephone# 904-6341661 Permittee Address: 11AA1 301 W. BAY ST., JACKSONVILLE FL. 32202 ATTN: ANGELA HERRON Requesting Permission to Construct: TELEPHONE CABLE Location: (Reference to Cross-Street) Between Orchid St. and Mayport Rd 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes(X) No ( ) Date: 91265 _ Bell South Telephone Company Yes( ) No ( ) Date: Ferrell Gas Yes(X) No ( ) Date: 21c)- Comcast Comcast Yes (X) No ( ) Date: 2 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of CLINT STRICKLAND (Contractor's Project Superintendent) located at Telephone#: 904-393-4958. 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit 7. This permittee shall commence actual construction in good faith with 60 days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Before me this day in the County of Duval State Of Florida,has personallyappearewwa_^ t\ Notary Public at Large,State of 1719rida,County o�f Duval. My commission expires: P-\O, 22, r3�(J�1 yy.r Personally Known: orJILL CRUZ Produced Identification: — -,,2ok4Rr°`B`c s Notary'ftk-Stale of Flaft ,.F, /h ;�• dy Comn*&n Expkes Mar 22,2W9 Commission#DD 410139 Bonded By Nad" Ann. Q BELLSOUTH 11AA1,301 W. Bay St.,Jacksonville,FL 32202 Fax (904) 634-1773 Date: 8/2/05 RE: 70 Levy Rd. (53E6813IN) To Utilities in Proposed Work Area: This is to advise that BellSouth Telecommunications will be performing work as indicated on the attached job order. Please advise if you have any objections to the work as proposed. For additional information you may contact Angela Herron at 904-634-1661. JEA-Permits Distribution Eng., 4"'Floor 21 W. Church Street Jacksonville, Fl. 32202 Ferrell Gas 922 9TH St. South Jax Beach, FL. 32250 Comcast Cable 5934 Richard St. Jacksonville, Fl. 32216-5967 Attachment(s) ' f - rs CITY OF ATLANTIC TIC B ACH PERMIT BUILDING / ZONING DEEP NT APPLICATION # 000 Seminole Road Atlantic Beach,Florida 32233 _ I •,-`�JFil�r (904)247-5000 (904)247-5845 Fax APPLICATION TRACKING F0R ~___ 1__ 7 REQUI DEPT: Y Id PLANNING Property Address: 7 z m BUILDING H PUBLIC WORKS Applicant: ' PUBLIC UTILITIES r( f I Y FIRE DEPT. Project- I ,� l Y PUBLIC SAFETY Lu -APPROVAL U REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: W� Y N D.E.P HUFSTETLER <0 Y N S.J.R.W.M. CARPER LJJ _rfY N ARMY CORPS of ENG CAPPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: ITE BUILDING DA AP REVIEW D BY: - L: DATE: ® 1 ST REV PLANNING ® ® 2ND REV *FIREPT. PUBLIC SAFETY ® ® 3RD REV y. CITY OF ATLANTIC BEACH (rr =,, CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS ATZ800 Seminole Road 904-247-5800 Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 Date 1/23/2008 PERMIT# Job Address 77 LEVY RD ISSUED BY THE CITY Permitee: BELLSOUTH TELECOMMUNICATIONS Telephone# 904-350-2273 Permittee Address: 11AA1, 301 W. BAY ST., JACKSONVILLE, FL. 32202 ATTN• KENNY ANDERSON Requesting Permission to Construct: TELEPHONE CABLE SPLICE PITS Location: (Reference to Cross-Street) SEE DRAWINGS 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes (X) No ( ) Date: �c�3 Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes (X) No ( ) Date: 172316,9 Comcast Yes (X) No ( ) Date: r 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of BRIAN MEGOWAN (Contractor's Project Superintendent) located at Telephone#: 904-704-3309. 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit 7. This permittee shall commence actual construction in good faith with 7 days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: � Jk��d, Date: Before me thisy of ,,04 `08 in the County of Duval, State Of Florida, has personally appearedf{yr-%rey) ry Public State of Florida PAYw Nota Notary Public at Large,State oflorida,County of D val. R Susan A Allen My commission expires: j�21�1�{_ r Zan I My Commission DD380304 Personally Known: or oras Expires 12/19/2008 Produced Identification: 53&, / Q _�- QL ��1 v 1 k 3 E 3 s a x k f s n F, 4 1 a } j f l` y } 3 t g �n Z G {\/\/ y Jj Cl LAW Ll Yl I I FO YTH ffT I VA TER JA s I M r,. L- L 5 IVw � b t f h f 4 B f aha !� T t 5" ,1 d is m. li I i I t: , milli 7 j7 MNL MEMO . a ANN Wo RIMM ENO Mon Kim mom f s. I � na.rir•Ir�A��A��w� ® ®® u � a` SAM look 'k PIMM MINE i. 4 � � 'ter• � �� r lowNUNN F FM min t Fill i 4 Noun 1 fY ' yyt LANl'C F�ORIOa OF ----------- ADDITIONS or CORRECTIONS D• NOT REMOVE JOB ADDRESS DATE ' �-- !� - THISrJOB HAS N T BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted . --- $15.00 REINSPECT FEE It is unlawful for any Carpenter, Con rector, Builder or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 BLDGp.m. Monday through Friday. //CITY__O//F 1411,A& c Office of Building Official REQUEST FOR INSPECTION New e j Date Permit No. NAS V` S 5 Time A.M. Received 10 vll�- /�Job/A'd�drress � �p �p n Locality Name Owner's, J C u4 Aby , �Y Contr�r BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing L Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & Re Roofing ❑ Slab O Temp Pole d Top Out ❑ Heating Insulation C Lintel 0 Final Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION [[�� '^ A.M. Mon. Tues. (�Wed. (T"v`• Thurs. Friday P.M. v�r�k 9tb(2A.1 f Ua--r- Inspection Made P.M. Inspector t Final Inspection C Certificate of Occupancy u Date 2�1- 231 �i i -0 -55 CITY OF 4&aa4'c Be=4-I" Office of Building Official REQUEST FOR INSPECTION Date Permit No-3— Time A. Received ------------- 170 . ...... Jo Address Locality Owner's Name -�� L Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing D Rough Wiring D Rough 1i Air Cond.& ❑ Re Rooting C Slab 11 Temp Pole D Top Out L] Heating Insulation GLintel E Final E3 Sewer L-1 Fire Place Pre Fab READY FOR INSPECTIO A.M. Mon. Tues. Wed. Thurs. Friday--,.PM, Inspection Made Inspector--- Final Inspection 0 4 Certificate of Occupancy E (Cell) Data �'"� t t ' til ji CITY OF ATLANTIC BEACH '.• ��' BUILDING AND PLANNING 800 SEMINOLE ROAD r J ATLANTIC BEACH,FLORIDA 32233-5445 t1 TELEPHONE:(904)247-5800 FAX: (904)247-5845 http://ci.adantic-beach.fl.us June 11, 2004 Billy E. Lewis co� p P.O. Box 330116 Atlantic Beach, Florida 32233 Re: Occupational License for 72 Levy Road Dear Mr. Lewis: Your application for a City of Atlantic Beach Occupational License for property located at 72 Levy Road is returned herewith. The subject property is located within the Commercial General (CG) Zoning District. Land Clearing operations and similar activities are defined as Heavy Construction, and such uses are not permitted within the CG Zoning District. (I have enclosed a copy of the CG regulations.) You may contact me at 247-5826 with any questions. Sincerely, 0 Sonya Doerr, AICP Community Development Director cc: Maureen King, City Clerk Enclosures CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000005 Date 1/13/09 Property Address . . . . . . 70 LEVY RD Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 6ft fence chain link ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LEWIS, GLEN OWNER 70 LEVY ROAD ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/12/09 ---------------------------------------------------------------------------- Special Notes and Comments APPROVED 4TH FOOT FENCE 20 FEET FROM 14TH ST W *2004 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA FIRE PREVENTION CODE 2005 NATIONAL ELECTRICAL CODE *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING-DEPT@COAB.US ---------------------------------------------------------------------------- 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. Ab "y`fi1 CITY OF ATLANTIC BEACH 4 „t 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- Y OFFICE:(904)247-5826•FAX NO.:(904)247-5645 BUILDING-DEPTCCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1t:IQF�ADDE5S75� i ... rINLAGIsaAn� 1.e* �I,.�>n+ri' 0 V � b I ?1TrLECaAC DESCRI�r�IQ}1,r` 41.: i' iirat K��a' t .,� n T' vSx4 't.(Jami h5vCSRlarQ.13d $raKs Br.�ISE bF13 Ti11zE �+! %: ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOTt--9L-9elf StAMttl&EIIN ❑ADDITION ❑CONVERTING USE COMMERCIAL V%WiPrj1QFCO ❑ALTERATION 13 ACCESSORY BLDG. 8 IRrsSPI30NI9 ®d Gr �� d __J /�� CQ�e ❑REPAIR ❑POOL/SPA ❑YES ❑WA 6 �J/� ! ❑MOVE OTHER ❑NO k1 �PROPER'1r OWNER ''.r.;-k�?i ..5�+�7'. wP'ii'.•sr'aFr'�i.`r�a-CONjR7'.L�.OR�_. .,,..,s�F` .Y '�i e`. .zst „+ucARC-'{1.Tf -.ENGINER'•'.`''<i, `•,�°'"k,1#t=�.= 9.NAME 15.COMPANY NAME 23.COMPANY NAME 16.NAME: 24.LICENSEE NAME 6:14214( t it%W,,S 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: / 18.ADDRESS: 26.ADDRESS: S4 n-t,, 11.OFFFIIC'PH,O3 ' 12.E Y J��:� S 19.OFFICE PHONE: 20•FAX NO.: 27.OFFICE PHONE 28.FAX NO.: 13.CELL PHONE. y P 21.CELL PHONE: 29.CELL PHONE 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: " EEiS1MP ET�Ti-E OLDER s�i.m�xb xcrr aR T ferN; o . � C $ONDINC COMpJ1N N " ;$ AGE LEN tv. hf-.... TFd4N,o�YNER�,s ^5 n...., k...ig>u':_<... �_ 1 r �:14." s .P. t.z DE 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. PENN,.,� � •� § ,k� e�,`�fF+.rman .��...'_ y S I r x r fi r � CONRIlCTO h d�' sr.,,�'� � (IfAgent,�•PowerofgNomeyorAgen�,LettefFYequned), 1. � .c�` x � (Quet�jer,On �Sr,a�-zi •�., a:x: z, / 7 Signed: Date: 7� Signed: Date: Before me this ay of 2009 in the county of Before me this day of 2009 in the county of Duva State of Florida has personally appeared Duval,State of Florida,has personally appeared t5 .�,. ...,,:�,. . ....:.. herin by himself t herself and affirms that all statements and declarations are herin by himself/herself and affirms that all ata nts and diol`' true and accurate, true and accurate. f Notary Public at Large,State of Y County of Notary Public at Large,State of un of Niroduced IL r pal YV ❑Personally KnownPersonally Known Identifi on ❑Produced Identification-Notary Signatu 1M WNW ;,NYPIRL Y L.GRA DE COMPLIANCE ,�- Notary Public-State o CITY OF ATr ,�7�� My Commission Expires Fe lorida ATLANTIC BEACH 14,2010 SEE PERMITS FOR ADDITIONAL Commission*DD 518533 BL rvlgypo�?dl' REQUIREMENTS AND CONDITIONS. o awry Assn, REVIEWED By. DATE:1- .L._ MAP TO 5HOW 50MARY SURVEY OF? THE EAST 49.83 FEET OF LOT 1, BLOCK 54 TOGETHER WITH THE EAST 49.83 FEET OF LOT 1, BLOCK 55, SECTION "H", ATLANTIC BEACH, AS RECORDED IN PLA T BOOK 18, PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.. CERTIFY T0: GLEN LEWIS OCEANSIDE BANK WATSON & OSBORNE , LEVY ROAD (ss' RIGHT OF WAY) SET 1/2' S 86'05100' E IRON PIPE MI9 6628' wpp / c FOUND 2' I / IRON PIPE- ' <.. MP (NO ID) S PAD T/c- „ 4 U. �CU / STORYND.tV \pp• ;` IRON PIFIE2r OFFICE l S / /4 ,x'70 '6645" lO S`j �N 0.6'N,�.2'W l Jb 2 ? ry s / 30.8' + S 1 S69 CONC ^ J �.�� . F7Sp PAD apo' �� Sc / OJ � DO ib • 0 0' I 13.9' 60.2' pDAr 5' O SET 1/2' 4.J' // i ©p 'GST IRON PIPE �� J4.1' RAN P/PE2r �O 6628 `� O2 ? (NO ID) ' �! I Tj5/ s 969¢�a?,!y (SQ a 6/ FOUND RLB 3672; N Sp pplow �� r s9¢�' . ly�� l O po s F !v �S.pp, S�Op FOUND r� p6° ��cql J~ IRONII SMVPYOR5 NOTES - i. Ho nrxF oPr((Q�NN a� z�. TRncr of Arrms Aurvams rine aR eacrm.w 70 A TN0-dWVtY ww Pa59 nor�cr aP °� THB 5L6lEG7Nr'RO 7 YH4Ve BEEN PROVIDED. IT 0 P055/ALP T15W ARE DMV5 4. 7FE RM.AMIE LIIEAR D/STANGE A c4pAGY FOR 7W15 L1a REGARD,Udwc4gDR7D! e�.SEi ENrs DR 071$2/n'STR4Id.'N/S I1HlGhl S RVrr Z)rJ DS I.IO,000 G(.YJ D AV°PEGT TIE 6ACrmAR/FS A ALX JLW S �ARe/N U&STANDARD fTrr AAV)*RE MADlr 2 MOME OF LINTATA0WOFLlA0/LrrYt THIS SLRYPYY 6 CMTIF/ED TO THOSE INDMDUAL$ MTH A THMPOL/TE AhO M TRoNZ D/STMi:F FEASMN6 DtVAGE SHOM ON TW FACE TFEOP ANY 07MM=BE)WJr OR RPLW r,E BY ANY 000 ANDAbR 57ffi. TAPZ PARTY I5$7R/GTLY PROMBITM7 AND RE57RJG7ER TO 7I�iE G6ZT/FlED AWD tER�Y DlSGf./J/d5 ANY A�ns-v��a m,r,........._— City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 D g.- Phone(904)247-5826 • Fax(904)247-5845 �f J73P, E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM / Department review required YeV No Property Address: �Q L�V y ?0'9b uildin anning &Zonin rime Um—inistrajor Applicant: Ql�Jnl�,G ork is Utilities Project: lin Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: VII u vi 7 VV 0 L ? BUILDING PLANNING&ZONING TREE ADMIN. Reviewed by: Date: /' G '0 9 PUBLIC WORKS Second Review: ❑Approved as revised. [-]Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: City of Atlantic Beach APPLICATION NUMBER f 1f1 Building Department - (To be assigned by the Building Department.) 800 Seminole Road j r j Atlantic Beach, Florida 32233-5445 ,vx 09- - d DO,, E-mail:(b0ud ng-dept@coab.us9o4}247-5845F�/�/ 7 / 4 "4DRIT ' � . . �0 Date routed: G 0 9 City web-site: http:/Awm.coab.us APPLICATION REVIEW AND TRACKING FORM -Department review required Yes No �Q /�V t7li^� utldin Property Address: L- y anning &Zonin ree ministr or Applicant: r)U 46 ork c Utilities Project: %r1 Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [Approved. ❑Denied. (Circle one.) Comments: 7A BUILDING PLANNING &ZONING TREE ADMIN. Reviewed by: — _4<_ Date: l 1 Y PUBLIC WORKS Second Review: QApproved as revised. []Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: y1= CITY OF ATLANTIC BEACH �9� I `7 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)24T-5845 BUILDING-DEPTCCOAB.US ;ire~ BUILDING PERMIT APPLICATION DUVAL COUNTY ,i'-J.JOB ADDRESS: ;2.VALUATION OF WORK 3.SQ.FTa,UNDER;ROOF,s _ d v � b d LEGAt DESCRIPTION" 5.CLASS'OF WORKv 6.USE,OF STRUCTURE', `- ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT ❑ADDITION ❑CONVERTING USE J6 COMMERCIAL 7€DESCRIP770N OFtWQRK: _ ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER.' ®� � �� i�I` �� ❑REPAIR ❑POOL/SPA ❑YES ❑WA 13 MOVE Iff OTHER ❑NO PROPERTY,OWNER CONTRAC ARCHITECT I ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME 16.NAME: 24.LICENSEE NAME: Girt.✓ Ge w,•3 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: -7,0 ,� 18.ADDRESS: 26.ADDRESS: J/I A t 11.OFFICE PHONE: 12.FAX NO.:� 19.OFFICE PHONE: 20.FAX NO.: 27.OFFCEIPHONE: 28.FAX NO.: 221-723 t 2H1. 6SS 13.CELL PHONE: 21.CELL PHO E E: 29.CELL PHONE, S qi- ,L'sS SQA,-,P. 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: f✓T i}/3„�r, %Fr.l; few✓-fie l�C �e „ FEE SIMPLE TITLE MOLDER. BONDING COMPi4NY' MORTGAGE LENDER if"t► ,�,: •, -•POTHER THANAVYNC-IZ) • 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. OWNER.or,AGENT , ' CONTRAGTOR Agent,Power.of Attorney orAgency(atter Required) +: % . �.�'' (Qualifier Only) _ ' Signed: Date: �` 7 Signed: Date: Before me this IA.y of 2009 in the county of Before me this day of ,2009 in the county of DuvState of Florida has personally appeared Duval,State of Florida,has personally appeared r herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. F true and accurate. Notary Public at Large,State of I County of� Notary Public at Large,State of ,County of ❑Personally Known ❑Personally Known 46 roduced Identifi IN ❑Produced Identification- No Notary Signature: pO�pPY PDQ. IRL Y L. GRA t *�? Notary public-State o bride r , ' My Commission Ex ,r p'es Fe 14,2010 '•.FOP r •• Commission#DD 07114 BL ✓18tiQoi4�llsy Assn. tr tf City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road ;r Atlantic Beach, Florida 32233-5445 09.- 00Q. Phone(904)247-5826 • Fax(904)247-5845 fJ3�� E-mail: building-dept@coab.us City web-site: http://wv .coab.us Date routed: �t 0 wv `j APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Property Address: 76 L�V y Toz ulldin anning &Zonin rWe mmistr or Applicant: ork is Utilities Project: .Lin Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: VApproved, ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING TREE ADMIN. Reviewed by: Date: PUBLIC WO S Second Review: []Approved as revised. ❑Denied. PUBLI 1 S Comments: PUBLI FETY FIRE SERVICES Reviewed by: Date: Third Review: []Approved as revised. [Denied. Comments: Reviewed by: Date: sow ��s `r�. CITY OF ATLANTIC BEACH I _ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- 11 I I I r s} OFFICE(904)247-5826•FAX NO.:(904)247-5845 ` BUILDING-DEPT@COAB.US R n- BUILDING PERMIT APPLICATION DUVAL COUNTY a �V �b ';PgAI DESCRIPTION.,. ,y .. , , . . .,t, „- Sc CLASS Q�W0$IC i csWt ., ., z_ ., ,i,�. 0,USE OF STRUCTURE ., ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOTt—f3Leett --Sb!-0MR91614 ❑ADDITION ❑CONVERTING USE 19 COMMERCIAL r,rt ... t'�',•ter.�t d :^, xCr K ;�� ❑ALTERATION ❑ACCESSORY BLDG. 8 FIRE SPRItJIdE}�.� ... 19F1 e ❑REPAIR E3POOL f SPA ❑YES 13 NIA /- C Q-- 'e/ ❑MOVE iffOTHER ❑NO ,7r. CONTRMC OJi =:>ti °» °,°' x;,r,,( 1 ..-';'.SARChI1TECT l ENGINEER ,7 77 .`..5.. , :PROPERTY OWNER _ 9.NAME 15.COMPANY NAME: 23.COMPANY NAME G+t r✓ L��✓s' 16.NAME: 24.LICENSEE NAME G149 -4( 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: -7,0 18.ADDRESS: 26.ADDRESS: S4 1. 11.OFFICE PHONE: 12.FAX NO ( 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE 28,FAX NO.: ZZI-7231 ?-Hl-,3dsJ 5411-e 13.CELL P14ONE:- �S 21.CELL PHONES: Q 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: C 30.EMAIL ADDRESS: M ry 14TG:xAG_M.EFEES1PLE OR _ FNDEji I s; a 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. CONTRAGTOR , KW° (If Agent,Powei_of Attorney or Ager7cy Letter Required) -. r �� .. �,.�- .*•tc..,, r F i, (Qual'fier Only) .. °:, Signed: Date: Signed: Data: Before me this day of 2009 in the county of Before me this day of 2009 in the county of Duva}} State of Floridahas personally appeared Duval,State of Florida,has personally appeared L. -w Lw f5 herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. �i true and accurate. Notary Public at Large,State of II County of Notary Public at Large,State of ,County of ❑Personally Known ,� ❑Personally Known roduced Identifi n- ❑Produced Identification- No Notary Signature: O�pRY lRL Y L. GRA Notary Public- State o lorida My Commission Expires Fe 14,2010 Commission#DD 518533 BL !FWIS�Rbh9(PWp48ry Assn. }1;11 }� City of Atlantic Beach APPLICATION NUMBER � ? Building Department (To be assigned by the Building Department.) 800 Seminole Road 3 � Atlantic Beach, Florida 32233-5445 d 9:' 0 Opal Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: �i D City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Property Address: �d ��V y Toz u ldin nhi anning &Zonin ree mmistr or Applicant: (i(�)�J�,C, ork Project: linis Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: []Approved. enied. (Circle one.) Comments: -71 PLANNING&ZONING MtN. Reviewed by:7 I�— Date: t* PUBLIC WORKS Second Review: []Approved as revised. ❑Denied. PUBLIC UTILITIES Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: [Approved as revised. ❑Denied. Comments: Reviewed by: Date: HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Jan 09 2009 12:53pm DW Time Type- Identification Duration Pales Result Jan 9 12:52pm Sent 92410655 0:58 3 OK Result: OK - black and white fax CITY OF ATLANTIC BEACH 09 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I I I I I t OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTOCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY o �V 6 . 'y,,•-',4,LEGAL`DESCRIPTIQN ,. ... 9.. �„fir,�"� .. ..?�.t�� t„ t ,+..,., v..� 5t CLA$$'QE`.WORI(�:G�rv,��,^.as,r�u, i�G:', ?;.;�"` Br,USEQFSTRUCTU}2E.�„��'<. ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOTt-=BWBK SUM OnfiStdIN ❑ADDITION ❑CONVERTING USE JZ COMMERCIAL 1�i . -,,,WOR . . SPALTRTON ACCESSORY BLDG. Ii. FERINKI 1®� � �� G �� F�'�-C 13 REPAIR ❑POOL/SPA ❑YES 103 NWA s 13 MOVE ZOTHER ❑NO t..rti:.0•�NI.TRAC,OR'%E`"' ;•:;icy ""tf.:V_.'.:;::ARPHITECT7ENGlNF.ER. .'"" 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME A cv; I J3.,.& 1�^� L "�•• 16.NAME: 24.LICENSEE NAME C' �i✓ L¢ w,•S 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: -7,0 t � 18.ADDRESS: 26.ADDRESS: .54 A t. 11.OFFICE PHONE: 12,FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE 26.FAX NO.: ? -72 1 2All-� 6SS S P1{ 13.CELL PHO'IN yS 21.CELL PHOtNE Q 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: cr 30.EMAIL ADDRESS: C✓Tx,04 seevze zmc SA/1Z w t FEE SIMPLE TITLE}OLDER 3 t� �� o " ¢, LSA BONDING COMP�11iaa 'aF:;; PMORGAGELENDER N .) PF",TYiER,7tjAY!1.OV�MFR) ,. ?`..,.., s 1 'r 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. RM � 1 � °`" CON7RACTOF '� 7 (7fAgsrtXPoweFFof,Aitome)zrA99ncy[ette[Requiied) :„ _, 1�.„ (Quai�erOnty).v,ti Signed: -- Date: �" 7� Signed: Data: Before me this ay of 2009 in the county of Before me this day of 2009 in the county of Duva State of Florida has personally appeared Duval,State of Florida,has personally appeared -gin IS herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate, true and accurate. Notary Public at Large,State of County of Notary Public at Large,State of County of ❑personally Known ❑Personally Known roduced Identifi on-021 ❑Produced Identification- No Notary Signature: MEM IRL Y L. GRAary Public-State omission Expires Fe loridaommission# 14.2010 D aD�51p8533B ��Rt3A�P rvOQ86 ry Assn. Pfk�- QEPARTMtNT OF SUIL MND CITY_OF ATLANTIC 8>rACH ` P GlIT INFO M2�fiIt N - _ --'- �.. ------- "LOCATION INFORMTION m rr+ a r'N 777, r Adclress : 7LEVY ROAD ipet SIGN ATL,ANTtC BXAC1L, FLORIDA 32233 N/A .� � �_ L C1A� DESCRIPT"IQti ` L, Pro : R lrlt Sc �on:. c TP N/A ` e Us I3't'TI�IT� ' � T�� s ��P� RNGa Q � Q Cade. Subvcl�: s imat4d val ue: $CI ,40 IIP OV* Oat t90 $t3 t3C un $15.00 I TION PLICATION PERS -� 4` VNTCH 3L,SON PRS? . PL�.I'1' 151.Q ... PAC Ply 5S AP S P PON CAS-HN R. �. £�C .D4 R . 'OR1aTI - RALtGN OAS -- 5% $0 .00 CAPITAL—IMPROVE _..5� ct?0LL s'A ? SlP1$R `SAI' Q 04 } R1 ► ISI O SHARD � ,' ' TypeI `. 1 SS t MNRCTIOX C4N.SC-w OTL3ERnv `NO"6E& vY �A I� JAN 19 1994 City Atlantic Bch., NLiT1 E ALL CCyNCRETIE Ft3RMS AND FOOTIMOS MUST BE INSPECTEP HEtons.PQU,st lmo PERMIT VQID SIX'MONTHS AFTER DATE OF ISSUE UILDI MATERIAL,RUBBISH ANt� DEBRIZ3.FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE LE D#}P ANDHAULED AWAY BY EITHEA CONTRACTOR OR OWNER I t» RE TO COMPLY ITR THE M eCHANICS�' LIEN LAW C�A►[�1 RESULT IN M E1NEM �1YING T1rAtt�E �t�►R E��„1I`�i�a INIP#C�1��iAEfiITS." y 1 P t CCORDING TO APPROVItt PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TQ`, 1#I fO ATI(W FOR IfIQlo-kTf }f CfAPPLICABLE PROVISIONS OF LAW. �ttLARtTiG REACH BUtLDING;tll;P#kTMEWT.; llli>! IZ15.,ti! 1+4 itl'�l94 Oi 4 � By' CITY OF ATLANTIC BEACH APPLICATION FOR SIGN PERMIT NAME: ADDRESS: CEIl Y )C- 7D PHONE: TYPE OF SIGN: TFAP SIZE: PROPOSED LOCATION: f-/-7�' L/i z�'Oc-' L.'V WILL THE SIGN REQUIRE AN ELECTRICAL PERMIT? � ELECTRICAL CONTRACTOR: ,1'//1V Signs over fifty (50) feet in area, and/or any sign which is more than seventeen (17) feet above the ground, or any sign weighing more than one thousand (1,000) pounds, must be submitted with drawings from a registered engineer. Signs with a solid area greater than thirty (30) square feet must be erected to withstand a wind pressure of at least thirty-five (35) pounds per square foot. Drawings must also show that weight of sign will be supported by the roof or ground support on which it will be erected. This application must be submitted along with the following: 1. A plot plan of the land, showing the position of the sign in relation to buildings or structures. 2. A blueprint or ink drawing showing the plans and specif- ications, and the construction and/or attachment to the building or in the ground. 3. Other information as may be required under Sec. 17-2(b) , Code of Ordinances, City of//Atlantic Beach. APPLICANT SIGNATURE; 2?l� (, '� �ate: OWNER SIGNATURE: Date: � 0'j ! '' EXHIBIT A Lot 1, Block 54, Section "H", Atlantic Beach as recorded in Plat Book 18, Page 34 of the current Public Records of Duval County, Florida. For a more specific description of the "Easement Area" Commence (P.O.B. ) at the NorthEast corner of Lot 1 along the Southerly R-O-W line of Levy Road; thence Westerly 10 feet; thence Southerly 20 feet; thence Easterly 10 feet; thence Northerly 22.80 feet back to the Point of Beginning. A more specific description will be pioviAo! by a Certified GOJNj , YEO� 50 NSW k? CAP ,r�Gto ' S � 6' .�'�y 09� •\,[ wad CAP r em N� Af .�} N� ,36d3 MEps,l a E•l5 ge0itd, 2'O 9.1 O 0�.��c��` F N 0. 1/2" LP 5 $;T) R(� No. 3295 G�� O 40 �� m N ri W M N LOT 4 ti n LOT 3 L 0 T 2 L O T 1 LOT 6 N 19.9' ; 10.0' 120.1' o N N 0. - (50.00�1 (5 0.00 1 (50.00 1 C 0 NC. FOUNDATION w 3 0 120.1 t9.9 0 V) 010.0 g e o co N L 0 T 4 0 LOT 3 �� L OT 2 1> LOT 1 '� Y - N C4 LOT T o V `" 0 N I N O 2 J ,EARINGS AS PEA PLAT. — a n. .. e m m♦AT m Jw CITY OF ATLANTIC BEACH, FLORIDA ,2 Approwdbv APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 9� , 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�i 1 8 -ctriORcD�QANCES. 1044 South Second St Jacksonvl Bch FI-32250 ELECTRICAL FIRM: R 1 :11&N§IGNATURE NAME �`�A'N "" ADDRESS: RFD BOX BLDG.SIZE C�a C BETWEEN: RES.1 1 APT.1 ! COMM• PUBLIC 1 1 INDUS.1 1 NEW( 1 OLD REW.1 1 AOWTION ( 1 TRAILER I I TEMP.1 1 SIGNS ( i $G.FT. SERVICE: NEW( I INCREASE ( 1 REPAIR FEE CONDUCTOR SIZE AMPS COPPER ALUM, T RB K R AMPS PH IN VOLT_ EXIST.SERV.SIZE Aw AMPS PH TWPOVOLT RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS 31.100 AMTS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. I OVER APPLIANCES I I I BELL TRANSF. AIR H.P.RATING H.P. RATING_ CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL Hr KW-HEAT 0.1 OVER MOTORS H.P. i VOLTAGE PNS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS p TRANSFORMERS: UNDER 600 V. -OVER 600, V. � DATE: l _--- '------- PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: j 1 / 0176 ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, � r BUILDING INSPECTION DIVISION cc:FILE CITY OF !3eac4-&;&u*k Office of Building Official-, REQUEST FOR INSPECTION Date_ _! Permit No. Time A Received _ % Jo ress Locality r Owner's Name ----Contractor Contractor BUILDING CONCRETE (/ ECTRIC, PLUMBING ELMECHANICAL Framing Footing _ Rough Air Cond. & Re Rooting Slab i Temp Pole = Top Out Heating Insulation Lintel F Final Sewer Fire Place Pre Fab READY FOR INSPECTION A.M Mon. Tues Wed. Thurs. Friday P`M �{ A.M. Inspection Made nspector ___ _ —� ____ Final Inspectio>< Certificate of Occupancy �vt �� Date CITY OF AW4o c Te4d - 94ud4 800 SEMINOLE ROAD ----------------- -- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 October 9 , 1995 Ms . Mary Y . Weatherby 74 Levy Road Atlantic Beach , FL 32233 Dear Ms . Weatherby : Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida : 74 Levy Road a/k/a W . 10 . 17 ft . Lot 2 , E . 10 ft . Lot 3 , Block 54 Section H - RE170797-0000 Investigation of this property discloses that I have found and determined that you are in violation of City of Atlantic Beach Ordinance Chapter 12 , Section 12-1-3 , i-. e. , high grass and weeds continuously present across the front of building . You are hereby notified that unless the condition above described is remedied within five ( 5 ) days from the date of vour receipt hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162 . 09 , the Code Enforcement Board may impose fines of up to 5250 . 00 per day for a first violation and $500 . 00 per day for a repeat violation. Sincerely , Karl W . Grunewald Code Enforcement Officer KWG/pah cc : City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED t CITY OF /fa.etie Ve d - 57&Uc 4 800 SEMINOLE ROAD ---- -- ATLANTIC BEACH,FLORIDA 31233.5415 TELEPHONE(904)247-5800 FAX(904)247•SMS October 9 , 1995 Ms . Mary Y . Weatherby 74 Levy Road Atlantic Beach, FL 32233 Dear Ms . Weatherby : Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida : 74 Levy Road a/k/a W . 10 . 17 ft . Lot 2 , E. 10 ft . Lot 3 , Block 54 Section H - RE170797-0000 Investigation of this property discloses that I have found and determined that you are in violation of City of Atlantic Beach Ordinance Chapter 12 , Section 12-1-3 , i . e . , high grass and weeds continuously present across the front of building. You are hereby notified that unless the condition above described is remedied within five ( 5) days from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162 .09 , the Code Enforcement Board may impose fines of up to $250 . 00 per day for a first violation and $500 . 00 per day for a repeat violation . Sincerely , Karl W . (,runewald Code Enforcement Officer KWG/pah cc : City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED Z 074 001 672 Receipt for Certified Mail No. Insurance Coverage Provided �„fnsrA�F> or, not use for International Mait (See Reversal ode L -�22 vim �� 5l�.0 JF.Goeren Q Return Receipt Snowing to Whom, Date,and Addressee's Address TOTAL Postage , $ O ao rs -rt a 3 GW co OMI ;o��E,u�so�� O a w sa,Fp;/s e TRAPPv Pue mo n 'uiVUA,S nl i�u�hnuy;id�rt�a�i iun;.ab S owl i m r>s CITY OF 4dko c Ted- ` Office of Buildin I REQ T FOR I S E i I Date j Permit No. 977 Time rxM. Received I P. . District No. 76 eu Job Address Locality Owner's Name Contractor BUILDING CON E ELECTRICAL PLUMBING MEG ANICAL Framing ❑ ting Rough Wiring 0 Rough ❑ and.& 13 Re Roofing ❑ S b Temp Pole ❑ To Out eating Lintel Final ❑ F re Place EADY R iN ECTION re Fab .M. Mon. Tues. Thurs. ridgy M. Inspection Made P.M. Inspector Final Ins tion Certificate of Occupancy Date -10 ° as �n m ,.1 a � 'O c ¢ $+ m Wo d � a �' CITY OF rrtu �L�-1�a. c Office of Building Official REQUEST FOR INSPECTION Date Permit No, Received P.M. District No. Iry Jab Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Q Footing ] Rough Wiring V Rough Ll Air,Cond.& Fj Re Roofing C1Slab ❑ Temp Pole Top Out ❑ Heating Lintel 1] Final Sewer E Fire Place Q READY FOR INSPECTION Pre Fab A.M. Mon. Tues. Wed �f� ,3'hurs._,.�.--, Friday P.M. Inspection MadePM.MM f Inspector Final inspection Cl Certificate of Occupancy Date CITY OF r044a" Office of Building Official REQUEST FOR INSPECTION Date-L___�� Permit No. Time A.M. Received Y District No. 1 t,.- f r Job AddreA Locality Owner's I` Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air,Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole 'p-, Top Out ❑ Heating j Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INS Pre Fab t 4 21) Mon. Tues. Wed, Thurs. Friday P.M. Inspection Made M• Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF AAS &4d- Office of Building Official _ REQUEST FOR INSPECTION Date /y Permit No. — TimeAM Received �'`' District No. ;eD AU Job Aiddress ki Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing � Rough Wiring Rough 0 Air.Cond.& Re Roofing 0 Slab 0 Temp Pale Top Out Heating Lintel ❑ Final 0 Sewer Fire Place D READY FOR INSPECTION Pre Fab Mon. Tues. VYed. Thurs. Friday A.M. Inspection Made If P.M. Inspector Final Inspection Certificate of Occupancy Date N COW Awl H3�,Ssa w r � ON � 3 o � N p Y p W d Off,, m'Ya p4�� i d�► H H r2wo w� � q m �m 0 r O 2 0 O Z ., rU Wco, OCD Q 30 s dW ao WN, + AW 3WodN �A► Ate' o1Aa3S 1N CITY OF ATLANTIC BEACH Y BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION PERMIT# SUBDIVISION 70-72 -74-76 LEVY ROAD 9877 OWNER NAME ATLANTIC BEACH, FLORIDA 32233 LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE v CLASS OF WORK CONTRACTOR PROPOSED USE BUILDING NEW W RETAIL S7 i2E 0 WORK DESCRIPTION 19, Z INSPECTION REQUIRED INSPECTOR O 1 INAL BUILDING Zms DATE INSPECTED J r�lBY APPROVEDREJECTED ❑ COMMENTS -- K ADDRESS ( _- --- _ �.�--�= =� ----------_ "=------- CONTRACTOR_ Q.......... _ '_ _____________________ OWNER__ `Lf: _-_ 2r 2 -t-- y ,-?----�`--------------------- BUILDINGf/ _22 4ECHANICAi _y_l F PLUMBING---9q ELECTRICAL "�` q TEMP POLE____ MISC ELECTRICIAN_------ Z�L-----------�__---- ----------- DATE FAILED DATE PASSED TEMP POLE JEA FOOTING ROUGH PLUMBING ` Z� ' 0� '( vgc-K>} SLAB ks -IZ90 ------------ ----------- �t -a- �� Cr70) FRAMING MECHANICAL/FIREPLACE TOP OUT PLUMBING ----------- ----------- `Tsm rl - 113 - <07S ROUGH ELECTRIC ___________ __-- _ FINAL ELECTRIC (I -- ----------- ----------- FINAL BUILDING ELEVATION SUBMITTED ----------- ----------- CERTIFICATE OF`'OCCUPANCY _ 1u DATE ORDERED DATE ISSUED ADDRESS �21L - - Q ------------------ CONTRACTOR-----I ------_ La-YL------ ------------------ OWNER...... ---- =-"` QLLL` ----------------------------- BUILDING_-q:W / MECHANICAL-------- PLUMBING------- ELECTRICAL TEMP POLE MISC ELECTRICIAN --------------------------- DATE FAILED DATE PASSED TEMP POLE JEA FOOTING ROUGH PLUMBING ----------- ----------- SLAB FRAMING MECHANICAL/FIREPLACE TOP OUT PLUMBING «^^74/o ROUGH ELECTRIC 7d- `7q FINAL ELECTRIC SY ----_______ __---____-- FINAL BUILDING ELEVATION SUBMITTED CERTIFICATE OF "OCCUPANCY DATE ORDERED DATE ISSUED CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION 7 2 4- 6 LEVY ROAD PERMIT# 9877 ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION OWNER NAME PHONE - LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE BUILDING o " d/ CLASS OF WORK NEW ¢ CONTRACTOR PROPOSED USE RETAIL STORE W W V. z # Z W a, i WORK DESCRIPTION z d z INSPECTION REQUIRED 4 COVER-UP INSPECTOR AM O F- d a: /'! o DATEINSPECTED !/v gy APPROVED REJECTED ❑ z T /f l! COM MEN S / EJ o7,L, CITY OF ATLANTIC BEACH t BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION PERMIT# 70 72 -74-76 LEVY ROAD SUBDIVISION 9877 ATLANTIC BEACH, FLORIDA 32233 ' OWNER NAME PHONE ccw En LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE z CLASS OF WORK uj aCONTRACTOR PROPOSED USE NEwLDING z RETAIL STORE z WORK DESCRIPTION m 2` INSPECTION REQUIRED INSPECTOR 12 FINAL T PM DATEINSPECTED BY APPROVED REJECTED ❑ 1 COMMENTS .. 0003330 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH r*f�r'rt1"`t' TldF''�°'�1'�.!'►A"1°I'4�1i� t,Y_�4`f�'TT�Xt �ti'P"C,Ps'P1S'i"�"Y:1!'R LEVT ROAP rermlt Type-. T?;I.E T"I 'AkL A'TLANTIr rrArlf, t'"L131tXPA k7_1aS C:e:T' W�Drh; T#EM _ _ . ... T..T:OAL DLY 3' tLZPT2C]T! nk4ftr. Type I PtTl"D rttA nr, Lcr# T91,cicT:. ectIon i F'rckF+Ck r3 use ; VTxLSTT D[_ Moron Township-. RHt3: k� Y?w1_lYt1�F>: 1 C�d�s � ^�4t�t+cT1;a1�1Cxft j Cat'Ifoe tec3 `ax%Ae1 "tin. nn Amount i�ld Pate Wca,h Peso. 3TI 1"1'�1.A'i��1I'VOLT 1 -1/'4 RW --SK3t)LNELA. REPEATMIR 'ITA T3T11TtL*T4 T ttT'�CtRt7ATTC3tt _ _ .._ _ v..,._ _ Arrt..XCATtam Name 150LlTlf=fttf -9�40. On h Acxdresffi:'' '7110 Lrvlr ttLlAn WA►TVf? .IMPACT t''ev qDn. *0 ATLAKTXIC I CAC'", rLf RXPA -:3ZZ,33 :.tf"WER XnPACT tree `$V. 0io PTkt stY C'" fel t^ "?`-4 F? WA7MIf. !°f!G"TEFP - - ---~~_ !! rl"ACTOR ;XTir0?tnA"T.rf0H - - RADON ICA"- 'AU. 00 Stame t C"At'ROLL ELT+..'CTRItr V0., XMID. WATER TAP `9'O. 00 Asddress,. ft!PZ:Zn "AYDEft ROAST 1515 ER TAT" C.V JACIMT:fltVILLM, t''L ''32.2`16 HYDRAULKC 4-1HANZ V0. on License; Type- V RZ-SH'4PCVT rev 150. Ion tqrr. Tt 2t'tPAC,T rev $0. 10" NOTES: NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.'' VALIDATION DATE. 01/21/91 TIME; 89.-54 Pm ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AN ECT TOR TION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. D,0" tap ATLANTIC BEACH BUILDING DEPARTMENT By: t 7 CONTRACTOR COPY M CITY OF ATLANTIC BEACH, FLORIDA Aaa►cwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE-- IMPORTANT ATE: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 ATLANTIC BEACH ORDINANCES. 41,4 CSC`��/l��- �, p' f,.d � ;:� .;,��...•-.--';r �-` �f �'`�".�� ,! C� f.Z ��r�_. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNA URE JOURNEYMAN NAME fr� :wsca't � ADDRESS: -t-`�= � RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES.( ) APT.( 1 comm.( ) PUBLIC( 1 INDUS. ( 1 NE 1 OLD ( 1 REW.( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS ( I SQ. FT. SERVICE: NEWVI, INCREASE ( ) REPAIR I 1 FEE/ CONDUCTOR SIZE 'x AMPS /t' COPPER 1 ALUM. ( 1 SWITCH OR BREAKER AMPS s'PH W 1/OLT �1 RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-90 AMPS. 81.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES iBELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT O'1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS ,� s ia- r TRANCFf1RMFR4qe UNDER 600 V. OVER 600 V_ CITY OF = 4&4At c Aee -t9klt Office of Building Official REQUEST FOR INSPECTION Date r Permit No. s] f Time 1 .AA MM Received 'p,�-,2 District No. i{r' tom.yG Job Address Lodtity Name Gontra rBUILDING CONCRETE CONCRETE ECTRICAL PLUMBING MECHANICAL Framing Cl Footing 0 8caglrWtrfng 0 Rough 0 Air.Cond.& Ci Re Roofing ❑ Slab 0 Temp Pole 0 Top Out ❑ Heating Lintel Q Fire Place 0 Pre Fab READY FOR INSPECTION A.M. Mon. Tu Wed. Thur�s..�^ Friday P.M. ispection Made ! P.M. ,spector .� Final inspection L1 Certificate of Occupancy Date / / f UT'ILIT'Y SERVICE AGREEMENT (Water and Sewer) QTHIS AGREEMENT entered into this a g day of gu/)LC , 198 O between the City of Atlantic Beach a Municipal corporation, hereinafter called "City", and corporation, its successors and assigns, hereinafter called "Developer". WITNESSETH WHEREAS, Developer owns land in Duval , County, Florida, more particularly described as kck /, .P, refer to acreage, plat engineering drawings, or legal description as Exhibit A and WIIEREAS, Developer plans to develop said land by constructing ' ( buildings,' G residences and/or other improvements thereon consisting of and WHEREAS, City is the owner of water and sewage treatment plants and water distribution and sewage collection systems in the vicinity of the property described above; and WHEREAS, Developer desires that City provide water and sewage collection service to said property and City desires to furnish same; and to them and to their occupants water and sewer service subject to all terms and conditions of this Agreement; and WHEREAS, in order to provide water and sewer services to Developer it has been or will be necessary for City -to enlarge and expand its offsite water and sewer plants and facilities and it is the desire and intent of Developer to contribute financially to the costs of building such additional offsite water and sewer plants and facilities and to reserve capacity in City's water and sewage treatment plants so that City can provide service to .the Development without imposing a burden on its existing customers; NOW, THEREFORE, in consideration of the premises and other good and ; valuable considerations and in consideration of the mutual covenants and conditions hereinafter -contained, subject to any necessary approval by other governmental agencies having jurisdiction, it is . agreed by the parties hereto as follows: 1. Developer agrees that City shall have the exclusive right to furnish water and sewer service to the real property described above and hereby grants to City .this exclusive right..to provide water and sewer service for all uses within all structures now or hereafter constructed on the real property described above. 2. City agrees that after Developer has connected to the systems of City, City will provide at its own cost and expense, water and sewer service to Developer's property in a manner conforming to the reasonable requirements of, public or governmental agencies or parties having jurisdiction over City's water and sewer operations; provided, however, that such service shall be in accordance with other provisions of this Agreement, including City's rules and regulations and rate schedules. 3. In the event that Developer or assigns fails to complete construction of all improvements required to be built by Developer and Agreement under this provision, City reserves the right to negotiate with Developer a new agreement for any additional sums to be paid by Developer to City as plant capacity and service availability charges, fees or other charges based upon increases in the cost of living and/or such other factors as relate to the cost of supplying water and sewer service. 4. All taxes or charges imposed upon the property described above by any governmental entity or agency shall be paid by Developer except such part thereof that has been deeded. to the City in accordance with tho terms of tills agreement. 5. The rates charged by City for water and sewer service shall be in accordance with its rate schedule which shall be subject to change , from time to time. City shall have the right to determine reasonable meter size and location. G. Developer will grant to the City, at Developer's expense, adequate easements for water and sewer lines, for access to lift stations and water stations and related appurtenances. Said easements shall be transferable. Developer will also furnish title evidence satisfactory to the City that said easements are superior to mortgages or other interest in the land, and Developer shall cause any such mortgages to be released or subordinated to said easements. Easements will also be furnished to provide for onsite water distribution lines, including meters and sewage collection lines. Sites for lift stations and water stations and related appurtenances shall be conveyed by warranty deed in fee simple by Developer . to City. Developer will furnish City a warranty deed, title evidence satisfactory to City and any releases from lien holders for any sewage pumping station and water to said state road right-of-way. Developer shall further grant to the City, its successors and assigns, the exclusive, perpetual right, privilege and easement to construct, reconstruct, operate, maintain, repair, replace, improve, alter, remove, relocate and inspect water transmissions and distribution mains, sewer collection mains, sewer lift � stations, pipe lines, lateral lines, valves, connections and appurtenant equipment over, across and under the Developer's property, including the right to ingress and.egress to eacli of the building sites oat Developer's property which are served by City. All such easements sliall have a .width which is acceptable to the City. 7. City does not guarantee an uninterrupted supply of water, or water at any particular pressure, and reserves the right to shut off the water in its main at any time for the purpose of making repairs or extensions of for providing temporary or emergency water supply. City will not be responsible for any damage caused by low pressure or interruption of service. Neither Developer nor any of its successors or purchasers shall discharge into the sanitary sewer system water from "non-domestic" drains including without limitation swimming pools, air conditioning condensation lines, cooling lines or other discharge from any type of equipment. City shall not be obligated to furnish any water or sewer service to any building which is built on Developer's property to which the City does not have access. The Developer hereby agrees and warrants that the City will not be held responsible for flooding problems which may result from the failure of sewer line back flow preventor valves oil Developer's property. The Developer hereby agrees to hold harmless and indemnify City for all costs and damages resulting from flooding due to back flow preventor valve failure. 8. The construction and design of all . facilities to be Developer or its contractor. Developer will pay the cost of all such construction. The Developer's engineer shall incorporate into the Developer's engineering design, plans and specifications the applicable standards and specifications of the City. 9. A. if the Developer modifies his development plans for Developer's property which would require greater water usage, greater fire flows, additional water facilities, greater sewage flows, or additional sewage faciiitics than tho wator and sowor demands previously approved by the City, then the Developer must obtain approval by the City for the construction of such additional water or sewer facilities which shall meet all City and governmental design requirements. The Developer shall pay all additional contributions and fees as may be authorized by the City's service availability policy which is in effect on the date said new agreement is executed. B. In addition to paragraph 9A above, any other change order between Developer and its utility contractor issued after City approval of original plans must be approved by the City before the change order , ' is put into effect. C. City shall have the right to review the systems design drawing and specifications to ensure that they meet the requirements of the City. The systems design drawing and specifications are to be in accordance with the City of Atlantic Beach requirements unless otherwise .specified by City or its engineer. D. The City also reserves the right to approve the utility contractors to which construction bids are sent by Developer as well as the contractor to which the award is made. C. A representative of City or its engineers will be the .inspector of the project along with the Developer's engineer, but City absolute and exclusive owner of the facilities of said water and sewer systems whether located ori, under, above or outside of the property described and regardless of who may have installed or constructed same to the extent described below: A. All water mains, pipes, valves and fittings and appurtenances up to and including all meters shall be dedicated to and will be owned, operated and maintained by City,. All water pipes on the customer's side of the meter shall be owned, operated and maintained by the customer or its assigns. , B. All sewer mains, manholes, pumping stations, force mains and appurtenances, including service pipes in public right of ways and dedicated easements, shall be owned, operated and maintained by the City. Except as provided in paragraph 9C, all sewer lines on the customer's side of the property line shall be owned, operated and maintained by the customer or its assigns. C. With reference to any blanket easements for multi-family projects such as apartments, mobile home developments, condominiums and PUD's or for co►mnercial developments, all water mains to and including the water meter, all sewer mains, force mains and manholes in such blanket easements over private property allowing utility operations shall be dedicated to and shall be owned, operated and maintained by the City except that the full length of sewer services from the sewer main or manhole shall be owned and maintained by the customer. All such City lines shall terminate with a manhole. U. By these presents, Developer hereby transfers to the City, the title to the water distribution and sewer collection systems to be installed pursuant to this Agreement, such conveyance to take effect without further action upon the completion and acceptance by City ; 11. Developer shall pay the City upon, execution of this Agreement the sum of , 10¢ per water connection per equivalent residential connection (ERC) as an advanced deposit to cover engineering, plan review, inspection, test, legal and administrative expenses of City in connection with this Agreement. Developer shall also pay to City upon execution of this Agreement the sum of X10¢ per sewer connection per ERC as an advanced deposit to cover engineering, plan review, inspection, tests, legal and administrative expenses of City in connection with this Agreement. The charges for engineering and legal expenses and for engineer's inspection and plan review. fee for non-residential units shall be based upon estimated cost to City: Actual cost will be determined and a refund or additional charge will be made for the difference between the advanced deposit as calculated above and actual costs. City agrees to .provide water and sewer, service . to the Developer's property in consideration for plant capacity charges, fees and other charges to be paid by Developer as follows: A. A water plant capacity charge at the rate of $20,00 per fixture unit. Such charges shall be due and payable as provided in paragraph 12. , B. A sewer plant capacity charge at, the rate of onethousand thixty, five dollars ($ 1,035.00 ) � per single family unit. Such charges shall be due and payable as provided in paragraph 12. C. A sewer plant capacity charge for any commercial customers on the land as described above at. the rate of 1 S 1 D. A meter installation fee to, cover meter cost and meter stallation (but not including curb stop or meter box) according to the City's service availability policy at the time of installation which currently is $85.00 per 3/4" x 5/8" meter C. If available, construction .water will be charged to building based on metered usage in accordance with current rates. F. Hydraulic share of main extensions - payment or refund. 1. Developer recognizes that water or sewer utility service to the Developer's property.. is prqvided by the use of a mein 1. a extension and other improvements constructed by a prior developer and that Developer is obligated to refund a said prior developer"Developer's share of the cost of said main extension or other improvements. Accordingly, Developer shall pay its pro rata share of the cost of said' main extension or other improvements to City. Said pro, rata share shall be based on Developer's percentage of the hydraulic capacity of said extension or other improvements. For the purpose of this Agreement, the cost of Developer's said hydraulic share shall be $ payable upon execution' of this Xgreement. Z. With respect to utility facilities installed by Developer to which future developers connect directly, and in consideration for monies expender! by Developer toward said facilities, City shall refund to Developer, or Developer's successors or assigns, solely from monies collected from said future developers, said future developer's pro rata share of the cost of said facilities. Said refunds shall be calculated on the basis of the hydraulic capacity and demand of said future developer whenever .feasible. The refund obligation of City hereunder and the benefits to Developer related thereto shall expire i at a cost of 12. All charges to Developer shall be paid by Developer to the City in accordance with the following formula and procedures: A. The advance deposit for engineering, administrative and legal fees and the inspection and plan review fee upon the execution of this Agreement, a total of ; and B. Water plant capacity charge upon the execution of this Agreement, a total of and C. Sewer plant capacity charge upon the execution of this Agreement, a total of ' G� g $ 0 O 0 ; and D. Meter installation fee according to the City's service availability policy at time of installation which currently is _ upon application for hook-up of individual lots, apartments, multi-family lots or units; and E. Construction water based on meter readings in accordance with City's rate schedule; and F. Hydraulic share payment, in accordance with paragraph 11F-1 of this Agreement upon execution of this Agreement, in a total amount of'$ and G. Service availability charges and other additional aids in construction in accordance with paragraph 11G of this Agreement in a total amount of $ . . . . . . ' , , - . . . . . . . . . . . . . . . . . . . . . . . 13. City agrees to connect individual buildings and structures on the developed property upon application by the builders, plumbers or individual owners subject to the operating rules and regulations of the City and payment of all fees and charges in effect on date of application and compliance by Developer with all provisions of this Agreement. 14. The charges, .costs and fees for any separate emergency fire protection water systems. for subject project will be subject to negotiations between City and Developer. if buildings of more than two stories are a part of. the project, Developer shall furnish at its expense water pumps and other appurtenances as necessary for pumping water above. 15. All plant capacity and service availability charges, fees and other charges as outlined above are based on normal domestic sewage defined herein as containing not more than three hundred (300) parts per million biochemical oxygen demand or three hundred (300) parts per million suspended solids. Whenever water which contains more than these amounts is to be admitted to the sewers, both the City and the pollution control agencies must specifically agree to the connection. An additional charge will be calculated in direct proportion to strength at seventy-five cents ($0.75) for each part per million of either biochemical oxygen demand or suspended solids over three hundred (300) parts per million. All such connections shall provide for a suitable point for the waste to be sampled by the City or the regulatory agencies. An additional charge equal to the pro rata share of any additional sewage treatment plant costs. above ninety percent (90%) treatment, and of the cost of any additional required outfall pipes to may be required by City. subordinated to the terms of the Agreement and easements required herein prior to any acceptance of the facilities by the City'. 17. Upon application by owners, builders or their authorized representatives, the City agrees to connect the requested dwellings or structures on the said property at no additional connection fee (i.e. , in addition to those provided for above in this Agreement) , but subject to the continuing operating rules and regulations of the City including, without limitation, the periodic payment of the water usage and sewer usage charges in effect on the date of such application or thereafter reflected in the City's rate schedule. 18. This Agreement shall be binding upon and shall inure to the benefit of the Developer, City and their successors and assigns. However, in the event the Developer has not paid and delivered to the City the plant capacity and service availability charges, fees and other charges provided to be paid to the City by Developer under the terms of JUS Agreement, and all easement and conveyances required by this Agreement, then this Agreement shall not inure to the benefit of the successors or assigns of the Developer. 19. It shall be the responsibility of Developer to locate for builders any water and sewer taps or lines necessary in conjunction with residential or commercial construction. 20. Unless the damage to any onsite improvements are the result of the negligence or willful act of the City, its officers, or employees or authorized agents, the owner or Developer .of such property upon which the damage occurs shall be responsible for the payment to the City of such damage to City's property itnc.luding all necessary and reasonable repairs which must bemade by the City or independent contractors r'; ,... .._ ..cr-- -- prior hereto, for the payment of such necessary and reasonable costs and expenses for effecting such repairs and restoration to such onsite facilities located upon the owner's or Developer's property. Notice of such lien or claim on lien describing the real property and the amount owed may be filed within ninety (90) days of the date from the last date upon which any such repairs or restoration were made by the City or its authorized representatives. Thereafter, the City shall be entitled to bring an action for the foreclosed under the laws of Florida. 21. Prior to final acceptance of the utility and other public facilities improvements by the City the following requirements must be met at Developer's expense: A. if the property is platted, one copy of the recorded plat shall be furnished to the City. ' U. "As built" drawings of utility improvement shall be furnished one week prior to final inspection. "As built" drawings shall be certified by a registered engineer with the cost being borne by the Developer. Two mylar and three printed copies of said drawing shall be furnished to City. C. All lot corners shall be properly marked so that utility company or its engineer can, upon receipt of "as built" drawings, verify the marked water and/or sewer services as to location and depth. In addition, for purposes of locating and protecting installed service lines and valves Developer or his contractor shall mark each service line and all valves with an eight (8) foot pressure treated wooden post in the manner as shown on the design drawings and specifications. Developer's contractor is required to install curb stop, meter box and valve box on each water service and valve as shown on design drawings. D. All water and sewer anrvir-� -•-+ - . r irrevocable letter of credit, the terms of which will indemnify and save harmless the City from any loss, damages, costs, claims, suits, debts or demands by reason of defects in the workmanship or materials used in the facilities discovered within a period of one year from and after the date of acceptance by the City of the facilities, . F. A Bill of Sale for facilities from the Developer to City. G. Conveyance of easements as required under this Agreement. 11. A deed for ,any and all land on which lift stations or Nater stations or other improvements if required by City. 1. The title evidence, mortgage , releases and mortgage subordinations as required in this Agreement. . J. For onsite and offsite construction provide City an accounting of the actual costs (schedule of values) and releases of liens from utility contractors in such detail as the City requires. K. City shall have the rig!it to refuse to accept title to Developer's construction until Developer's construction has passed certain tests, including, without limitation, closed circuit television inspection of the gravity sewer ' lines, witnessed by a City representative, to determine whether the Developer's construction is constructed in accordance with the approved engineering plans and specifications. Said tests may be performed at - least three (3) times: the first test upon completion of the system; the second test upon completion of ',; all building, roads, paving, drainage, and all construction within the right-of-way easement area of adjacent areas. A third test shall be required if the City deems it necessary within a one (1) year period after acceptance, L. Letters of acceptance from' the appropriate regulatory agency for the water and/or sewer system, are reauired 22. All notices that may or must be given under this Agreement shall be in writing and shall be valid if mailed by United States registered or certified mail, postage and charges prepaid from addressed as follows: To Developer• To City of Atlantic Beach City Manager 716 Ocean Boulevard Post Office Box•25 Atlantic Beach, Florida 32233 IN WITNESS WHEREOF, the parties hereto have executed this Utility Agreement the day and year first written above. Signed, sealed and delivered in the presence of: • Develo r Witness 01-1 City o antic Bea c Witness . Y , z CITY OF ATLANTIC BEACH,_FLORIDA Approvwd by APPLICATION FOR ELECTRICAL. PERMIT 14 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 190 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCEWITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN IGNATU JOURNEYMAN NAME��v'n h DDRESS: /20/ 22c,rc - RFD—BOX BLDG.SIZE BETWEEN: RES.( 1 APT.( I COMM.('"f PUBLIC( 1 INDUS. ( ) NEW( i OLD( ) REW.( ) ADDITION ( ) TRAILER ( I T IGNS ( ) SO. FT. SERVICE: NEW�NCREASE I ) REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER IgrO AMPS PH W VOLT 4<—RACEWAY EXIST.SERV.SIZE O AMPS` PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES f D CONCEALED OPEN TOTAL 0.30 AMPS. 31.100'AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V, FIXED 0.100 AAPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT MOTORS H.P. I VOLTAGE PHS NO. 1Ill. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 6Q0 V. OVER 600 V. CITY OF ATLANTIC BEACH, FLORIDA App.owd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:__o__ 19 (F IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRITACHEDBED IN THE NS AND SPECIFICATIONS, WE HEREBY AGREE TO PERFORM SAID WORK'IN ACCORDANCE WITH WHICH ARE A PART HEREOF,AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. z eu� r RE - JOURNEYMAN� LECTRIC L FIRM: MASTER ELE ICIAN NAM ADDRESS: RFD BOX BLDG.SIZE BETWEEN: RES.1 1 APT.( i COMM. PUBLIC l ) INDUS.I i NEW( ) OLD 1 I REW.1 !' ADDITION ( I TRAILER ( 1 TEMP.I 1 SIGNS ( I SO. FT. FEE SERVICE: NEW INCREASE( 1 REPAIR l I CONDUCTOR SIZE AMPS COPPER I ALUM. ff SWITCH OR BREAKER AMPS / PH 3 W 3 VOLT6�� RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE I NO SIZE NO. SIZE LIGHTING OUTLETS 6r CONCEALED OPEN TOTAL RECEPTACLES D CONCEALED OPEN TOTAL 0.30 AMPS, 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS, OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT ` ° OVER ; MISCELLANEOUS nvFA r%nn V.. CITY OF r� 716 OCEAN BOULEVARD P.0.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 DATE: ARE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA :32202 THE FOLLOWING FINAL INSYECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY : Iqsq--vrr-)-- � .__1_ � � - -------- ----------------------- 9j LJQ ► --7 , - Lh ,�_ ,1�--------------------------- �D► e-- --- ------------------------------- -------------------------- -------------------------------------------------- SINCERELY, BUILDIHG INSPECTION DIVISION cc: FILE CKEPARTMENT OF BUILDING Q 079 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. Ott PERMIT TO BUILD 1 THIS PERMIT MUST BE POSTED ON JOB IS O fl TL Date June 28, 1 19 88 87'k! 1 A 71061€ 0 1-T ACG Valuation$ Fee$ 3888 7 u J IA 7/n6/9q This permit not valid until above fee has been paid to City Treasurer,and is 1 subject to revocation for violation of applicable provisions of law. This is to certify that Steen-Plumblug--CFC037196 has permission to WoxlAgtal--Plb1 Classification_1leW CCMgrafi&l Zone G G Owned by Fred Carlson Lot 1 -2-3 Block 54, 55 SJD See-H House No. 70 72 74 76 Levy R03A According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE --� 4-----► O Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner., Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING_,PERMIT JOB LOCATION /' - PLUMBING CONTRACTOR LICENSE NUMBERS C�F60b32/9!,, OWNER &sA47e aw BUILDING CONTRACTOR TYPE OF BUILDING SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASIUNG MACIUNE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT . 38. 00 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. 000031 DEPART MENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION, INFORMATION -------- 'Permit, Nu b r.' Addreas 258 CAIt ELIA STREET t + '3 t Typ a M C iAN CAT;. ATLANTIC BEACH, FLORIDA 3.2233 Class, cry Wo1 NEWL'EE AL DESCRIF'TIE�i� ' `d x M/A L:ott�'_ Blocks C rt k, Flat.:, '600u s Page: O Pxcspc c d; "Use►; S114GLls:. FATII1.Y Subdivision dJvsio�is .9I�I~TII N H taw 111r�r Ll Ora z: O I;'3WIM-14 IdF"ORMATION t m ted' Value z 1 0. 0 + TOA . "910A 1a INC pr► AddrmRSTREET " t .C 34 A u A'TLAAtTTC BEACH, FLORIDA T)A 22 ")*PLICATION FBR:s ,AIR P1 a A T $38.00 F WATER IR FEE f'. $0. 00 RADON OA��"-R«S�. B. � � RADON �SAS &t . OC3 4 e �� " T WAT R TA,P �. M O,A Nilz 9WZR TAI' 00600 HYDRAULIC A0. ce,�AcgREIT addldee:t7�.��3�3 OTHER 'NOTES. 7264 VA 10/11 15, 7261 " 1 Q' 10/11 � 1 1 N NOT ICE-- ALL CONCR TI FOR% IS AND FOOTINGS MUST BE INSPECTED BEFORE PE#IJRING ` PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE i" BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK"MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE 4 CLEARED UP AND HAULED AWAY B`'EITHER CONTRACTOR OR OWNER, " f 66FAILURE' ''`�'p 'COM ITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PRt31*RTY W''NER PAYING TWICE FOR C3'UILDINGi IMPROVEMENTS. ISSUEQq Fj l0,;,PLANS"WHICH ARE PART OF THIS,PERMITAND SUBJECT TO REVOCATION FOR WCaLlI i�E3N j I CtU�ONS OF LAW. ATLA IIT # h By- r tc r' 000031 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH i'k°: P1 tllz- s4t rf,,;`I'IQ:atl j It 1.1(1,'ksti0," ' t. Q#1 `r}i Oft 2 ". n I?P:. 8 14ttI "'e.w.., .f.l� i ti;.'f' €a, ?a,at All, Ill 1_€. r+ 17 K A,Vf -I f .'T IJ IN t 1..1,t F.,' Lrt."p Pk its+'•.; 11< �<, ...� �+i:2, {et'� ts ! fitJI `'t, "q r � u NOTES: ♦r '.t€. NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BE H,BOILDING DEPARTMENT By: !, BUILDING AND ZONING INSPECTION DIVISION ! CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT— Applicant to complete all items in sections I, 11, Ill, and IV. L �J CftmC✓cc. Z" LOCATION Strep+ Address: OF Intersecting Streets: Between And BUILDING Sub-division 11. IDENTIFICATION - To be completed by all applicants, 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 attach9d plans and specifications which are a pert hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) Master Nana of Property Owner Signature of Owner Signature of or Aq}horisad Agent Architect or Engineer III. GENERl1 IN ON A, Tyne of heating fwi: B. IS OTHER CONSTRUCTION BEING DONE ON � SOLI c THIS BUILOING OR SITE? [� ran-0 LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION C3 09" PERMIT ((J t C) Other, -- Sway IV. #QCHANIC.AL I*Ul►~ TO RE INSTN AXI NATURE OF WORK (Provide templet list of components on bock of this form) Residential or ❑ Commercial Most Q Space Q Ren erred X Central O PAW Now Building Air Comirtioning: D Room ) Central It O Existing Building )I:f Duct 4**'s Materia lhickne4116, X ❑ Replacement of existing system Maximum capacity b e f eNew installation(No system previously Installed) Refrigeration ❑ Extension or add-on to existing system C) Cooling lower: Capacity 4-P El Other —Specify Q Fin sprieklors: Number of hN Q Elevator ❑ Manhft ❑ Escalator (number) THIS SPACE Oft Of=us OML1l Q . 6amline pumps._ (number) Q,` Tanks (number) Remarks ; 13 VS containeK (number) p Uafirsd ,r uvre Q, Permit Approved by a a. 0 Other'-- Specify Permit, ]KIST ALL EQUIPMENT ADC C'ONDI'TIONING AND REFRIGERATION EQUIPMENT Cq"NUMber Valle Dererlptba NO"Number Yanutaehuw tTonaty APPLICATION FOR WATER METER DATE:---. -----/-------------- CONTRACTOR: /�r e d- (Q r/5lon ---------p-p-------------------------------------------- BILLING ADDRESS: L4_LQ_m cQ/-Y -------------------------- sl Bed ch SERVICE ADDRESS:---�DL- �eVC�Q�---------- LOT: / _BLOCK55'-UNIT: _______SUBDIVISION: C ------ --------------- ACCOUNT NUMBER: �CSO c`k (.o --------------------- METER SIZE:_ I HEREBY REQUEST THAT A WATER METER BE SET AT THE ABOVE SERVICE ADDRESS. I UNDERSTAND THAT I WILL BE BILLED FOR TEMPORARY CONSTRUCTION WATER UPON SETTING OF THE METER. I FURTHER UNDERSTAND THAT I AM RESPONSIBLE FOR ANY AND ALL DAMAGES TO THE METER, BOXES, VALVES, LINES, AND ANY PARTS THEREOF, UNTIL PERMANENT WATER SERV CE HAS BEEN ESTABLISHED BY THE CUSTOMER. ---------------------------------- CONTRACTOR (717 �.J W►` �J"�w ------------------------------------ CITY OF ATLANTIC BEACH CITY OF ATLANTIC BEACH No. 1677 FLORIDA 19 NAME 1'rf%d rvirlson 3200900 TL 3 2Rn.0nCKTl ADDRESS 1890 Mealy Street 0556 1 A 7/111/9C .uncw, Atlantic Beach 8556 IA 7101187 CITY I nom 400.00 Water Impact Fee 40 343 3700 2,880.00 Sewer Impact Fee 41 343 5200 _ 3,280.00 Impact Fees are for 70 72 74 76 Levy Road i i When Signed, Dated and Numbered, This Becomes an Official Receipt Received Payment MAKE CHECKS PAYABLE TO CITY OF ATLANTIC BEACH, FLORIDA - TREASURER CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32298 •,"'' 85.00 TL 65,000KTO 8555 IA 7/01 /88 OFFICE COPY 8555 IA 7/01 /88 7/01 /96 I WATER WATER SEWER GARBAGE OTHER T + DATE METERS DUE CITY OF `ATLANTIC BEACH a No. 1991, FLORIDA 7/12 14, 88 NAME FREDCCARLSON/CARLSON & CO 37n928 TL 370.28CKTO ADDRESS 4192 1 A 7/12/8V .00CACC CITY 9192 IA 7/12/90 innnl 3/4" WATER TAP --- $370.28 @ 70 Lever Road i When Signed, Dated and Numbered, This Becomes an Official Receipt Receive . MAKE CHECKS PAYABLE TO d Payment CITY. OF ATLANTIC BEACH ,FLORIDA i s 7 g TREASURER ^'= 70 LEVY POAD 3/.4" W-91"ER TAP FRED CARLSON USE THIS FORM FOR ESTIMATES ONLY DESCRIPTION OTY. MATERIALS1 LABOR I TOTAL 6 X 1 TAPPII r SADDLE 1 $13, 25 1" COPD STOP 1 1" GALV. PIPE 20' $14. 40 * -. 111 1 PIM ADAPTED. $0,B0 - 1" 90 ELBO 1 1 20 1" FVC 10' 6 70 1" X 3/4" MALE ADAPTER 1 $0.80 3/4" CURB STOP 1 1 .00 CONCRETE METER BOX w/L D 1 1 .00 SUB TOTAL $83• 10% O.H. X8.35 TOTAL $91.86 3.hmf: NAND DIG 27.45 $137.25 30% O.H. $41.17 TOTAL $178 42 MATERIALS IAnon TOTAL TOTAL 91.86 $178142 $270 28 MISC. JOB EXPENSES AMOUNT OTHER JOB EXPENSES $100. 00 2 TRUCKS ($10.00/HR) IpR E FDs. TOTAL COST 370. 28 $10c.0 TOTAL SELLING PRICE LESS TOTAL COST GROSS PROFIT LESS OVEnNEAO COST •. OF SELLING PnICE TOTAL NET PROFIT $370.28 / ST. ,i0FIN S RIVER WATER MAIAA 3r:MENT DISTRICT Pa I atka, E I or'- i da 3Z078-14Z_'9, RM i T 1a0. _�+ t� ;l�i;t d;{fid DA"i E i SSUED AFF I L `7y V FE 1 T AU H0R I I I#N6 A S T i*_'1RW1WA7'Efi S't'STE:M C:CIMS)ISTING CSF" DETENTICi)4 F`+;IND WITH F'ILTRA"i 1014 TO I SL.A)vIJ OFFICE Cr+:.►i+9r L.E: :, 'A' 0.�;7•0' ACRE i='iyUJ ECT d 30 AT I i..il'`r`: h Section I'S, Tt'.'WI-Is t i p iN. South, Range East ` Duval Courity 1 l� GAF i_S�:►1'yi -=< CO-- C:O_i"i T RA.C�T0RI-6)'0 MEAL'i II� f ATLANTIC BCH, F'L r-rtaitceee a9r'ees t�, hold and save the St , Johns Fiver', Water Management ql.r- i ct and 1 -cs sui_cess+,r-s Marini e ss fi-c+m arty arid ail laarna3est L i aims, i iabi l ities Whic:t', «jay arise fir-e.)m Permit issuance, Sald' apPI iCat ior, f c I u+a i rtg &I l p i artla astd spe r. if i cat i arts ."attax'hed. thereto,. t s,. by reference � ie a par i ; pE,r to i t +i cies rt+;+i c+.+rivey t; Per-rti i t t e e any property r i !jhts ric-r arty M (� ,3h tS +:+r Flt` t V 1 i t3 � cftliter. than ti'7t:+te specified hei`e i r'►y nor re i i eve ttt0 riiittt,e frr.•rit C,.,ILIIpIyinj ,� r 'r:h arty iaw, regulatiton car re��uirernert't 'eco, i n3 thtt3 r i .�rtxs +af +titFr r,„oj i trs ' or” a, er'tc /a! 1 _Ltrur.ture5 astir + r s i rista) led toy pt errrt i ttee itereur,der st'ra i i r'ema i n the property of ti,e ( mi t•tee . 1 , s Per-mi t may toy: rr vc.t::� d , rtiti,ii i f i errt c+r' tr ansferred at any .�t ime pursuant ti,c: apprc+l:It- i ate pt- i s i cavi , of C.-hapter' ;;;'�: F I cw 1 da .Sta.tutes: P11'i IS CCitZ:i.TD)i,Eft UP►.►h): I� Sae co�)rai tir_r,crraGtaLhed "Exhibit A" t dated Arul_ 27r1' as Z� � { APPROVED i CITY G ATLANTr" i3EAC 1 i BUILDING OFMCE J�It h` !UN 2 , I, - fi� � CITY OF ATLANTIC BEACH, FLORIDA Appro%vd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-7/b/ ATE: 19U 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 AREA PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY.OF ATLANTIC BEACH ORDINANCES. ./A rCai- ELECTRICAIL FIRM: MASTER EL CT IC N a NAME ADDRESS: &!� RFD BOX SIGN BLDG.SIZE BETWEEN: RES.( '► APT.( 1 COMM.-I-'I PL 3LIC( 1 INDUS.( ► NEW( 1 OLD l I REW.( ► ADDITION 1 ► TRAILER( ► TEMP.( ► SIGNS ( ► SO. FT. SERVICE: NEW INCREASE ( I REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER I I ALUM. SWITCH OR BREAKER AMPS PHW -30VOLT - RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS; NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30AMPS. 9t,1QQ AMPS. SWITCHES INCANDESCENT' co FLUORESCENT&M.V. FIXED 0.100 AMPS. OYER APPLIANCES BELL TRANSF. AIR' H.P.RATING H.P.RATING CONDITIONING CAMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 19- OVER i7G., ,H.P. EXtDE PHSIw10:R 1 lP. _VOLTAGE PHS MISCE LLANf OUS TReiWCFARMFRS! UNDER 600 V. OVER 600 V. CITY OF ATLANTIC BEACH, FLORIDA APP►owd by APPLICATION FOR ELECTRICAL PERMIT TOTHE CHIEF ELECTRICAL INSPECTOR: DATE: 6 19 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 1N'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. arb�-kr ELECTRIC& FIRM: MASTER ELECTRICIAN NAME DRESS: / RFD BOX BLDG.SIZE BETWEEN: RES.( ) APT.( ► COMM. PUBLIC 1 ) INDUS.l ► NEW 1 1 OLD( ► REW.( ) ADDITION( ) TRAILER ( ) TEMP.( ) SIGNS ( ) SO.FT. SERVICE: NEW(, INCREASE ( 1 REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER I ALUM. SWITCH OR BREAKER AMPS PH3 W OLT RACEWAY EXIST.SERV.SIZE AMPS PH W. VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS V CONCEALED OPEN TOTAL RECEPTACLES zD CONCEALED OPEN TOTAL 0.30 AMPS. 81.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. D FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT �.. -,. .. ova S E PHSNO. VOLTAGE, _. MISCELLANEOUS TRANSFORMERS: UNDER 6W V. OVER 600 V. CITY OF Office of Building Official J REQUEST FOR INSPECTION Data t Permit No. Time A.M. Received RPA, District No. to zevq Road Job Address Locality Owner's (Ar !S Name Contractor —(At CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing L- Footing Rough Wiring ❑ Rough Lj Air,Cond.& C Re Roofing 1 Slab Temp Pole 0 Top Out D Heating Lintel 2 Final C7 Sewer n Fire Place 0 READY FOR INSPECTION Pre Fab Mart, Tues. Wed, s"J� hors. P.141'� Inspection Made Inspector Final inspection❑ Certificate of Occupancy Date CITY of Office of Building Official �r-/� /!,� REQUEST FOR INSPECTION }��7 Date t r e8 Permit No.rim +� RRecceived 4r istrict No. 70 U 744 7a 1-traA Job Address LocaI4 Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING / MECHANICAL Framing 0 Footing 0 Rough ging 0 Rough tp' Air.Cond.& 0 Re Roofing 0 Slab ❑ Temp Pole 0 Top Out 0 Heating Lintel D Final 0 Sewer C Fire Place 0 READY FOR INSP Pre Fab A.M. Mon. Tues. Wed. Thurs. Friday PM. Inspection Made Inspector Final Inspection B Certificate of Occupancy Date BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC REACH ATLANTIC BEACH, FLORIDA 92288 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, Ili, and IV. i. Street Address: p" 7 Z'-� LOCATION OF Intersecting Streets: Between And BUILDING Sub-division If. IDENTIFICATION - To be completed by all applicants 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 attaciLqd plans and specifications which are apart hereof and in accordance with the City of Jacksonville ordinances and standards of good..practice listed therein. Name of Mechanical Contractors Contractor (Print)' ��. Master AA KAe-- 3a142 Nasse of Property Owner Signature of Owns Signature of or AuNmwiaued Agent ArchNic4 or Engineer lit. `GHrERAL ON A. Type of heating fwt: B. IS OTHER CONSTRUCTION BEING DONE ON ) Sac! c THIS BUILDING OR SITE? �r ❑ Gat—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other Specify Y IV. #NGi MICAL EQtlf►MENT TO N INSTALLED NATURE OF WORK (Pr"We eempie%(est of components on back of this form) ❑ Residential orX Commercial 'Heat ❑ Space ❑ Recessed X Centnel O Floor Now Building Air Conddioninq: ❑ Room lid Central 1! ❑ Existing Building Duct System: Materiat� _ Thickness. ' ❑ Replacement of existing system Maximum capacity cfm. El Now Installation(No system previously installed) z 0 Refrfq wHon ❑ Extension or add-on to existing system 13' Cooling tourer: Capacity q.prn. ❑ Other Specify ❑ Fire sprinkien• Number of hN ❑ Elwater ❑ Manfif4 ❑ Escelator.__�._(number) THIS SPAM pOR ON= I=ONLY O, Gesolfni pumper (number) IRaeel»dl Q. Tp (number) Remarks ❑ LPG CenteinaK (number) fl Unfired pt"Wis wear �. C3 1111ollers Permit Approved by Dat_- 1 1 O*w — Specify "Permit LIST ALL EQUIPMENT AM CDNMONING AND REFRIGERATION EQUIPMENT 7rI00e1tu�4ber DEPARTMENT OF BUILDING 9878 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. yy 8 Q V VV ( PERMIT TO BUILD i THIS PERMIT MUST BE POSTED ON JOB i Date .Ittne 2$, 198B Valuation$ Fee$ SS2.00 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. i This is to certify that CICEANST'ATE I has permission to Zj Beat and ai:r � 1 5Pef1E? Y Classification New CommercijLl Zone A Wp Owned by FrecLrar,]con ,00CAC Ibt 2, 3, Block S4, 55 5 Sac 14 G/?v House No. 70 72 B$ 76 Lev Read According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE / -► 4---1-11, O Building material, rubbish and debris -Zi from this work must not be placed in public space, and must be cleared = up and hauled away by either con- frac or owner./� f ftcll 'r LBlding Official. FOR OFFICE PERMIT DATE CONTRACTO ss USE ONLY NUMBER I PLUMBING ELECTRICAL SEWER WATER i (trruf14ratr of Orrupaury CITY OF oftfta &W4• O ErVartmrn# of Vniiding Jnoprriinn This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. lJsechwiftcation New Residential Bldg.Permit No. 9977 — Group TypeConstruciion Frame Fire District. Atlantic Beach Owner of Building _ Address 1890 Mealy Street _ Building Address,IF 72 74 Levy RoaAliy_"Section H Rene' Angers — By: —"-------- Building official Date:-- POET IN A CONSPICUOUS PLACE BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF -ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested : a ly g g d C G 6 YL Building Contractor: LL ' Building Permit Number: 9 S 7 7 Address: (A ', 17a, rJ�,� 1/ mQ Legal Description: Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Lowest Floor Elevation: LZ ---------- ---------- ---------- required as built n/a Sales Tax Certificate: ----- -------------- da a submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief --------------- --------------- --------- Public Works --------------- --------- Planning Director,tt_______________ _______________ _________ Building Inspector _ � _1 VY Of �� IN „daTd ( � thein S`a e !� the Soµ C With th g of pe µ.,tic Section 1� as �o�n$li is of re w nt to the ieAµ�ti SO.ce thtis str inµthe fotiio�i" to issued µrsua at the ttmC �fstru�t�on,Of u$e s CettiS`�a rtifyin�th ing co hi as hutild 't oda u ting µiidilA Hees re8 to n,r ,te �'g"�� 1 `� 8 diva �c,. e�' 10'"> of Uan°us J Gip°? o«oLa4�1S+a8 cc s 01400 BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested; 11-4-88 Building Contractor: Fred Carlson Building Permit Number: 9877 Address: 76 Levy Road Legal Description : Lots 1, 2, & 3 Block 54 & 55 Section H Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Commercial ------------------- ---- Lowest Floor Elevation: XXXX required as built n/a Sales Tax Certificate: date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief �-_(� "' $ _ �' 7-95 Public Works Planning Director Building Inspector C��x�t��r�tt�e orf {�rru��nr� CITY 4F arpm-ImMt of 'Nnitding Ittop rttm This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. use ClufiSatim C Tl ''l .3 Bldg.Permit Ho. ^� Group Type Constrimioo ^' `Fire District Owner of Building Address T_, Building Address tocality �,r,r 1 By: --- Buitding Official Date: POET IN A Oa SPICYOY! PLAC[ r y BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: 11-4-88 Building Contractor: Fred Carlson Building Permit Number: 9877 Address : 70 Levy Road Legal Description : Lots 1, 2, $ 3 BSiH55 Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Commercial ----------------------- Lowest Floor Elevation: XXXXX ---------required- as built- ---n/a---- Sales Tax Certificate: XXXX ----------------------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT /D/ATE NOI;ipPIED: DATE APPROVED: BY: Fire Chief _�1_Q - LIQ_--- ---- -------— / - Public Works �� o - Planning Director j�/ - F d4 - Building Inspector PLANS REVIEW CHECK LIST Address 70 7a 77 7& k V _&___Owner Fred _r Ison Legal Description_ 1�ai 549"55 Contractori ' ( ear 160 ------- _ft ------------17 --------- License Number--C.t?C v a 830 License on F•i YES NO � r Section 24=101 * Zoning Regulations Zoning District roposed Use ___C �______ _ w�� Required Lot Size_ D AL1 c� v _ Actual Lot Sizeaf 7 X13— Setbacks Required Provided Section 2417 front Y -7 CORNER LOT INTERIOR LOT rear � n Flood Zone ---------------- side-1 -- '�--- _ 2- 0 __- Required Elevation side-2 l7 Max. Height Allowed 3 5Proposed Height__ f Section 24_82 * Minimum Lot Coverage Required Heated Area __LV-[A-- Proposed Area Section 24_161 * Offstreet Parking %3,yu,p n 3 a Number tpaces Required_______ Spaces Provided Section 24_82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES NO Utilities Water and sewer service is to be provided by: /__ Buccaneer Utilities _ �/ _ City of Atlantic Beach Utilities _____ Private Source SEPTIC TANK WELL y _ Plans Reviewed b S�Ve ( a' Building Permit #__________ ISSUED DENIED Address _ 10, -1 2� y -1 4 1 (0 L�L� G�d Heated Square Footage '1 1 (Do @ $ �q .°� per sq ft = $ SO O � 3� , Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = 9- Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ 13c0 A3o . 50 Tota Valuation lst $ 1 00, OOCD 3&, 80O l a s $ Al 5 Remainder Valuation 1 ,.Zper thousand or --------------------------------portion thereof g Q . q5 ---� Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED + 2 Filing Fee $_ 141 . Mechanical ; Fireplaces @ 15.00 $ BUILDING 1 PERMIT FEE $ Pluming Electric/New ' ------------------------------------------------- Electric/Temp Septic Tank BUILDING PERMIT $ �� Well WATER METER CHARGE $ � C')`J • o C qb. SEWER IMPACT FEE $ g gZD • 00 S`�aitrming Pool a� WATER IMPACT FEE $ �0 V Sign --'" Water Connection MISCELLANEOUS $ Sewer Correction $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES s City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNEC'T'ED TO THE CI'T'Y WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED� AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. ; BATHROOM GROUP CONSISTING OF _ SERVICE SINK TRAP STAND __r�lWATER CLOSET, LAVATORY & BATH -' (8) 1 TUB OR SHOWER STALL (6) ! J / __`_WATER CLOSET VALVE _WATER CLOSET, TANI{ OPERATED (4) �Cv -----' VALVE OPERATED (8) BATHTUB/SHOWER (2) URINALIWALL LIP (4) SHOWER GROUP PER HEAD (3) _FLOOR DRAIN (1 ) __ _SHOWER STALL DOMESTIC (2) `LAUNDRY TRAY (2) __LAVA'T'ORY ( 1 ) ___ COMBINI TION SINK AND TRAY (3) 4 ' WASHING MACHINE (3) _____POT, SCULLERY SINK (4) _____DISHWASHER (2) ____WASH SINK EACH SET OF ; FAUCET (2) _KITCHEN SINK (2) - r _ DENTAL LAVATORY ( 1) KITCHEN SINK WITH WASTE +~ GRINDER (3) 'DENTAL UNIT OR CUSPIDOR (1) _____BIDGET (3) ___URINAL S'T'ALL, WASHOUT (4) FLUSHING RIM SINK (8) _____COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) _____URINAL, PEDESTAL, SYPHON JET I BLOWOUT (8) _DRINKINIG FOUNTAIN ( 1/2) _____LAVATORY, BARBER/BEAUTY f SHOP (2) ____ LAVATORY, SURGEONS (2) SURGEONS SINK (3) ICE MAKER (1/2) WE'T' BARD (2) i TOTAL FIXTURE UNITS_' __ @ $20. 00 EACH J i JOB INFORMATION DEPARTMENT OF BUILDING 987+ CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. PERMIT TO BUILD04} THIS PERMIT MUST BE POSTED ON JOB 12 T 4P4*f 2PKT Date .hmc, 28 19 RR 0,5'7 1 h 7/0-1/9 st10 "AC Valuation$ 136,800 Fee$ 424.12 C3 5 r.7 7/C?j/9 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that FrAd C:'arjgnn CRC012830 1890 Mealy Strett has permission to build @e epele1- Silding } Classification NOW COMerCial Zone CIS t Owned byteCio',, Lot 1,2 3Block S4, 55 S/D eC H House No. 70, _72,___74, 76, Levy Road i According to approved plans which are part of this permit NOTIC — L NCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4 0 4 0 o Building material, rubbish and debris 1 from this work must not be placed G in public space, and must be cleared upand hauled away by either Con- 71- or owner, / uil ng Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING FAMMM BY EXCEPTIGN ONLY ELECTRICAL allowed SEWER WATER , o ,.... 7,R 1", 2 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT __---- _� .1 � `t ` _ pys�ohone��w ZTZ-:-4--- AddresaOwner � ___Address __ _ziArchitect rl�� j,�/ Sc'__ -zip------phone,,--2/7,I)/flT- �j _ Cont cto _ `_ ____A ) s = - _ __zi hone Contractor's lLicense numbe �,?.�� d--expir ion_ - -- /o-) Lot ) n?_/ _rBlock or Sectiot�bdivision- - ---Zoning_(. y Street_ _--_between y �y` __and__�L1�[_ --side----------- Type Construction_ ' No. Units_______No. Fireplaces____ Purpose of Building _ Est. Valuation S__ _- ---------- - ---- - Utility Method - Water...�,_L/ Sewer_Ce_ _____ p✓� Dimensions - Building �4C_Lot� C Size Footings_ Sz. PiersSz. Sills-------------Greatest Span Sills_______________ Sz. Ceiling Joists---------Distance on Centers---------Greatest Span_______ Sz. Floor Joists _________Distance on Centers---------Greatest Span_______ Sz. Rafters _________Distance on Centers---------Greatest Span_______ Method of Heating_Lc __ Solid or Filled Ground Roof ----------- ---------- Flood Zone If located within a FLOOD HAZARD ZONE complete page 3 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 Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed ovAxP P R O V E D dedicated City rights-of-way and to clear, clean, grade, CR 'r ATLANTIC BEACN Lo►rvo OFFICEdrain said right-of-way to City specifications. JUN 2 Signature Owner__ _ __ , _____Date__ 1�7_ Signature Contractor_ _ ^_^ Date page 2 JUN 27 1988 Building and Zoning FLOODPLAIN DEVELOPMENT INFORMATION Type of Development:-------------------------------------------- Flood Zone: ----------------------- Required Lowest Floor Elevation:_______________ If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed development. Date-----_--------Applicant's Signature_____ ---------------------------------------------------- Department Use Required Lowest Floor Elevation _________________ As Built Lowest Floor Elevation _________________ Survey Filed with Building Department ----------------------------------- Building Department Representative page 3 &FORM FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION SECTION 5• BUILDING DESIGN BY COMPONENT PERFORMANCE APPROACH 500-86 ADMINISTERED BY THE DEPARTMENT OF COMMUNITY AFFAIRS STATISTICS: RESIDENTIAL AND NON-RESIDENTIAL BUILDINGS SEE S.501.1 PROJECT NAME: 5 ZONE: 15 ADDRESS: BUILDING CLASSIFICATION(S): CITY ZIP CODE: r°QC BUILDING PERMIT NO.: . - BUILDER: ti 1 l 5 oh PERMITTING OFFICE: f "f f a t't+f C B eauC A OWNER: JURISDICTION NO.: __ (i_l 100 BUILDING INFORMATION COMPONENT U-VALUE NET AREA (Total) (Square Feet) Concrete Block Structure(CBS) U= WoodOther frame �I eta 1 g I d Q . U d.OQ 716 Other 1�+l U=_ Id Under Attic Cavity U= Single Assembly U= •05 Other U= Total Conditioned Floor Area a Concrete Over Unconditioned Space U= LL Wood Over Unconditioned Space U= Slab on Grade ©� Clear Single Glaze U= Clear Double Glaze U= 5 Tint Single Glaze U= n Tint Double Glaze U= Skylights U= Other U= Wood U= Metal U= Insulated U= Other U= e W Total Lighting Wattage .................................... Total Conditioned Floor s i g Area(sq.ft.) ........................................... Watts/sq.ft. Lighting Budget Maximum Watts/sq.ft. SYSTEMS INFORMATION AIR CONDITIONER EFFICIENCY (EER -7, -5 )or(SEER )or(COP ) HEATING SYSTEM TYPE STRIPR HEAT PUMP❑ GAS❑ OIL❑ SOLAR❑ HEATING SYSTEM EFFICIENCY COP or EFFICIENCY= % (Steady-state) HOT WATER SYSTEM TYPE ELECTRIC tVjeHEAT RECOVERY❑ GAS p OIL❑ SOLAR❑ Uo wall Allowable 0- 37 Uo wall Actual 0• If complying under the provisions of S. 502.1, enter the combined Uo Uo roof/ceiling Allowable 0,/D Uo roof/ceiling Actual 0 Cs values for the entire envelope in this section. .f1 0 Uo floor Allowable —�_— Uo floor Actual 0-.33 Uo envelope Allowable • 9 Uo envelope Actual • l s OTTV wall Allowable d• a- OTTV wall Actual 41 OTTV roof/ceiling Allowable~ f 5 OTTV roof/ceiling Actual g� In accordance with Section 553.907 FS., I hereby certify that the plans and Review of the plans and specifications covered by this calculation indicate com- specifications covered by thiscalculation are in compliance with the Florida Energy pliance with the Florida Energy Code. Before construction is completed, this Code, building will be inspected for compliance in accordance with Section 553.908 F.S. OWNER/AGE 4 BUILDING OFFICIAL: DATE: �+ DATE: PERMIT NO. CHECKED by ' SECTION 5 WORKSHEET FOR ENERGY CALCULATIONS BUILDING DESIGN BY COMPONENT PERFORMANCE APPROACH FORM SM86 Stats of Florida Energy Code 1. GROSS WALL AREAS / f' A) WALL TYPE: %r- Yl e, = .2 tt n sq.ft. B) WALL TYPE: O MwLo h 4 D sq.ft. C) WALL TYPE: 'A� rM 9 ff _ sq.ft. D) WALL TYPE: Y p s t rlc1 = 160 sq.ft. TOTAL GROSS WALL AREA= F 00 sq.ft. 2. GLASS AREAS(Includes areas of windows,sliding glass doors,glass entrance doors) GLASS TYPE AND AREA BY ORIENTATION SINGLE DOUBLE OR CLEAR TINT SHADING CLEAR TINT SHADING (sq.ft.) (sq.ft.) COEFFICIENT (sq.ft.) (sq.ft.) COEFFICIENT N NE E SE S SW W NW 6 TOTAL .ft. TOTAL GLASS 3. DOORS(EXCLUDING GLASS DOORS) Door area in exterior building envelope .................................... ...............................= sq.ft. Interior door area separating A/C from non A/C spaces ...................................................... = sq.ft. TOTAL OPAQUE DOOR AREA= sq.ft. 4. NET OPAQUE WALL AREAS WALL TYPE GROSS WALL GLASS AREA DOOR AREA NET OPAQUE (sq.ft.) — (sq.ft.) — (sq.ft.) = WALL AREA (sq.ft.) A. t a D $ -- 5 B. +h -2-40 z 4-0 C. p - — p D. Wes f- lbo 5. ROOF/CEILING AREA ROOF/CEILING TYPE AREA TOTAL GROSS ROOF/CEILING AREA= SKYLIGHT(SHADING COEFFICENT= ) sq.ft. TOTAL NET ROOF/CEILING AREA &00 sq.ft. 6. AIR FILMS(LIST AIR FILMS IF USED TO DETERMINE Uo VALUES) L " COMPONENT R-Value Outside Air Film inside Air Film Wall Ceiling Floor LEVY RD .o BURIED SYMBOL LEGEND Proposed Existing Description 319'- � JOB 273' e B BURIED CABLE )7 LOCATION 0 �~ BJ BJ BUR JOINT-TRENCH �V O ENCLOSURE -cE] ENCLOSURE MANHOLE I PIPE/CONDUIT CA-MKR CACAO CABLE MARKER __e__ — —B— — BURIED SVC WIRE --------- ----- ------------ JOINT-TRENCH SVC -------- N/A BORE B— N/A CUT PAVEMENT LEVY RD m I I N/A SPLICING PIT O EDP �J 200'o(M N/A TRENCH LENQDEPTH LU —-—-—-—-—-—-—-—--------------CL---- ------------------------- -—-—X-D¢ -- ------- orcr- EDP B B g g B B BTO TO MAYPORT RD BURIED CB CABLE POLE 70 PROPOSE m °0 TO ORCHID ST , PVC_1201 PROPOSED B CROSS t 0 CONDUIT0CABLE IN BOX -------------- - ----- ---- ------------ ---- m BURIED AT------CONDUIT C�OOL 24'. C LL 45 4 BellSouth ® 80 CABINET Telecommuntcatlons PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF ATLANTIC BEA LEVY RD Exchange: JACKSONVILLE BEACH Designer: Jim Lilley HELD SERVICE ORDER: Phone: CY3BB9J4A 904-348-2512 Authorization: 53EG813IN Z 4 —7Lf v 'ZJ Dwg. I of 1 / 83 CABLE 1-EXIST i / / 84 CABLE i / -4466 / / / t 19x%7 45C / 83 ®CABLE I 1770 MBYPORT RD / 888T-25 / 25 PR m IN 77LR.1351-1375 (53E68086N.13> i / 25 84 r— p _I CV /8 / / / / / / EDGAR ST / / L / / / / ---------- --------- ------------- / / / / / i ®BellSouth p / Telecommunications i PROPOSED TELEPHONE FACILITIES / ON RIGHT OF WAY OF / i IF ANY SIDEWALK NEEDS TO BE Exchange: JAX BEACH REMOVED, CALL RICK CARPER Designer: H1ggTns,Scott 247-5834 FOR APPROVAL Phone: 904-519-2539 Authorization: 73E68106N Dwg. I of 7 1/22/2008 3: 10:33 PM THIS TERMINAL AND IPID IS F 1650 MAYPORT RD IN \ / FACS DATABASE. TERMINAL 1-EXIST ' NUMBER 21ON WORKSHEET / / / 88 *360199 BSC6-2 r— / 45C (1988) / F 100 W 1ST ST / 77LR,1351-1375 s8 CABLE <53E68086N.13> 90 L / -------------------------. 89 CABLE / / / 90 CABLE / JACKSON RD 89 i / / Q m / / � v / 1-EXIST 03 s9 CABLE LEVY R D 90 92i 89 i 90 CABLE ----7 ---_ --J 91 ------------- 92 CABLE Cl) �/ BellSouth O ® Telecommunications TO C.O. PROPOSED TELEPHONE FACILITIES 91 CABLE ; ON RIGHT OF WAY OF 0 Exchange: JAX BEACH Designer: Hlgglns,Scott Phone: 904-519-2539 Authorization: 73E68106N Dwg. 2 of 7 1/22/2008 3: 10:34 PM W 1� T H ST 9s CABLE i / i 99 CABLE 1-EXIST o � v �o � 0 99/moi 98 e� / / CABLE / s'2s "se ®BellSouth F14s16 Telecommunicatlons 909 94J `S3F6 eg6N92a��T Ro PROPOSED ON TELEPHONE FACILITIES WAY OF Exchange: JAX BEACH Designer: Higglns,Scott Phone: 904-519-2539 Authorization: 73E68106N Dwg. 3 of 7 1/22/2008 3: 10:34 PM 10 CABLE 13 CABLE EDGAR ST / STANLEY RD / / / CABLE 14 14 / *4466 45C / (19xx) / I 1770 MAYPORT RD / BSBT-25 25 15 / 25 PR / IN 77LR.1351-1375 / <53E68086N.13> 11 CABLE i 13 / / mj *360199 BSCG-2 / 45C (1988) 16 / F 100 W IST ST 15 CABLE 77LR,1351-1375 / <53E68086N.13> / ------------------ 16 CABLE / / ! JACKSON RD i ! o / Q / �Q co/ / / ! / F-- / i s / °365572 NGA-25W1/50 F 1600 MAYPORT RD) i AR DELLA RD 77LR,1226-1250 <53E68086N.13> ———/ ® BellSouth / / Telecommunications 10 i PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF / / / TO C.O. / # Exchange: / JAX BEACH 3 / p -------------- ---------------- ------ Designer: - m / - ----------- Higglns,Scott m / Phone: LEVY R D 904-519-2539 11 DONNER RD Authorization: / 73E68106N See Dwg #9 Dwg. A of 7 1/22/2008 3: 10:34 PM See Dwg #13 - See Dw #13 1 c� v5 See Dwg #13 / 48 CABLE 19 1 I ��122 32°g6� 10 I 1 �5GP.2 ��til�G 49 CABLE o i 4363017 0p1 49 `ti 5 h a N -10 22C (1990) 2G ,3'I -7I n o F 1285 STOCKS S 2�0��1 �I I o 77LR,61-70 ®CABLE i <53E68086Ne3> I I I I I I I 48 I--�--I � �� I 51 CABLE i #368064 1 51 GJ� 50 22C (1997) I F 1225 STOCKS T I �N o�� 3��1� I O T RM-25PR 77LR,51-75 <53E68086No3> �G I I I I 0 I I C7 U7 I I I M I I = I I I I I I I 1 TERMAX- 5 I #331518 1 I 45C 1 #494634 I I (1987) 1 22C (2006) i I 0 1142 HIBISCUS ST ST I 77LR,336-345 F 1145 STOCKS I I <53E68086Na7> 1 77LR,51-75 <1°0> i I I I I I #19359 22C (1985) NCP-10 F 11 0 VIOLET ST I I 77LR,351-360 1 PLAZA ST W I < 3E68086N.7> ®BellSouth 1 I (D Telecommunloctlons I I m o PROPOSED TELEPHONE FACILITIES 1 ----L----------------------------------------- -X ON RIGHT OF WAY OF ------ -------------------------- I - I I I I I I I Exchange: JAX BEACH I I / Designer: Higgins,Scott 1 I Phone: 904-519-2539 1 I I Authorization: 73E68106N Dwg. 55 of 7 1/22/2008 3: 10:34 PM 30 CABLE 1� See Dwg #10 / \ i i I i 46 CABLE / W 3 S O ®CABLE Ii 30 m co I � i I I I , I � I � I / I / ' NAME094 I , I , I , I , L-- ------------ p�A�A IF mI , I , I I / I � I / I 46 # i � i F ],?S, Sc 39182 >> R� 89 I i CS3�8D�86N 35 NG 1� �I I cn PLAZA ST W ------------------------ ----- to / / ®BellSouth 47 A ; Telecommunications I. oh , _ PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF L_ J L�3 Exchange: JAX BEACH Designer: Hlgglns,Scott Phone: \ 904-519-2539 / \� Authorization: � 73E68106N p Dwg. 6 of 7 1/22/2008 3: 10:35 PM -