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Permits 402 Skate Rd (vault Folder) BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATIO-N FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. Street Addro ss: "2 LOCATION OF Intersecting Streets: Betwee And BUILDING Sub-divisiom 11. IDENTIFICATION — To be completed by all applicants , In consideration of permit given for doing the work as described in the above statement we kereby agree to perform said work in accordance with the attac4d plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. z/ Name of Mechanical Contractors Contractor I Print) Master Name of Property Owner Signature of Owner Sign furis of rch! or Authorized Agent A fact or Engineer Ill. GENERAL INFORMATION A, Type��Iseafing fuel: B. IS OTHER CONSTRUCTION BEING DONE ON mr,18'edric THIS BUILDING OR SITE? 0 Gas—EI LP [3 Natural C] Centr4l Utility IF YES, GIVE NUMBER OF CONSTRUCTION C3 Oil PERMIT 13 O+her — Specify IV. MICHANWAL IQUIPMENT TO BE INSTALLW NATU OF WORK �(Provid complete list of components on back of this 7Residential or El Commercial 'a �H:94 I C3 Space [3 Recessed �=Central 0 Floor El New Building ��'Conditioning: [3 Room Oxc-antrel (R�EI'Stlng Building 0 Duct, System: Material Thickness.— (;��Replacement of existing system Maximum capacity Zz2 d c.f.m. New Installation(No system previously Installed) C3 Refrigeration Extension or add-on to existing system 0 Cooling tower: Capacity g.pm. 0 Other — Specify (3 Fire sprinklers: Number of hisads E3 Elevator 0 Menlift [3 Esc4l4fo (number) THIS SPACE FOR OFFICE USE ONLY C3 Gasoline pumps —(number) C3 Tanks .(nurn6er) Remarks C3 LPG tonfainers—l[number) C3 Unfirod pressure vessaii 0 Boilers Permit Approvaid Do b Othw — Specify Permit File, WIST ALL EQUIPMENT AM CONDITIONING AND REFRIGERATION EQUIPMENT C qmdty Ajrjr._M Number Unite Description Model Number Manufacturer (TO11111111) ACGIMW h1a.0 gm4pou 420-"d". .2 za — __-_d ouism Jok n0A CD 4) c: ID; ui 0 W c FLORIDA It f IT) 3 a ir 11 uj Approv*d by C(D PERMIT 0 _�z 0 5 -F) cc L Q) 04 c 0 a) a a to uj u d) E 0 19 ir x TO THE CHIEF ELEC ui IMPORTANT NOTICI E IN CONSIDEF .2-0 NS DESCRIBED IN THE FOLLOWING, WE .i 1 0 2-- 'ATTACHED PLANS AND SPECIFICATIONS, HEREBY AGREE TI m WHICH ARE A PAF 0 ICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH > TJ 33 01 0�0 0 9LFcTRICAL EI_Rl 12 go 7 c E R_ NAME 20 m - �s? 0 RFD_BOX_ "K c Cc to) m Ew Ew E"2 9 4) a 9.i� cme s E&: �r . :) S X BLDG.SIZE V E _T W T' m NEW OLD ( REW. E RES. AF CL _c 6 -p 0 i6 LL .0 C-5 ADDITION ( I �8PIS DSJO�AGJ 9 SO. FT. 44 uo pejelduloz) Nkini—mlinoAsl FEE SERVICE: NEW INCREASE ( CONDUCTOR SIZE AMPS COPPER f -ALUM. ( I_. SWITCH OR BREAKER AMPS PLH W —VOLT RACEWAY EXIST.SERV.SIZE AMPS PH 57 W Y 4dOLT 5f a2OWA FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED IOPEN TOTAL RECEPTACLES CONCEALED IOPEN TOTAL AMPS, 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS� BELL TRANSF. APPLIANCES AIR H.P. RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0 OVER MOTORS H.P. VOLTAGE PHS No. I H.P. VOLTAGE PHS MISCELLANEOUS CITY OF 4d4a&0 Rwzal -I&U-A Office of Building Official REQUEST FOR INSPECTION .3 7X Date— Permit No... Time A. Received M. Z/r C�2 — -----I Job Address cality Owner's Name Contractor BUILDING CONCRETE 6—LECTRII�ff-AL PLUMBING CAL Framing Footing Rough�,tring Rough Cond. Re Rooting Stab Temp Pole Top Out Hoat�:Ig insulation Linte! Final Sewer Fire Place Pre Fal READY FOR INSPFCTION Mon. Tues. Wed. Thurs. Frida, ( rd� AJ 3-- Pli" Inspection Made P 1,14. Inspec',or-- Final Inspection .pan�,, 'Certificate of 0 panc% Date -8 6 0190AMMENT OF a U,1Lt"%Q LANTIC.BEACH CITY OF AT L "ATT,OX, I FORMATION' Of, N Address 402,1� 'ROAD TZ 3 22,31, Permit Number 7 ATLANT14,_ BEACH, rLORIDJ�l 322,31 v4rmjt�- T,ypeRE 'ROOF LZOAL �tarn I PT,1 ON, NEW Blotk, Lot, Con _Su 0 bA So c tAi on :'Pr6ppsed,Use:SINGLE FAWLY, Subdi vi's lon ROYAL IPLAks 0,00 as t. va I ue,� 2 400 00i Imprt)v 00 'Total 1� 2'S 0,0 AM,6unt �11 Va v r goc',';, �g TION FEES" p 11F% g B 324, qi� "01WAT 4,1. XV. —"p"w 7�, T ,;71,11�,,?,P,�7e,�,, Z E:REOUESTED AT LEAST 24 HOURS PRIOR To INSPECTION NOTICE-INSPECTION$ MUST, 191 RUBBISH AND bEgRIS;�FROM THIS WORK MU I ST IN PUBLIC SPACE,AND MUST S NOTBE PLACED E ILDfNG MATERIAL BU f ,TRA TOR OR OWNER ,PLEAKO UP AND HAULED AWAY BY EITHERCON COMPLYWIT� THE, MECHANIC6,0 LIEN W CAN IN _ FA MAE TO H _6ING IMP ov,SIVIgNT444411 OPE OIL TRE00- ATY OWN EA PAYING TWIM FOR 0, 11�_ ,_ .7 , 1 t$6U I tDACCORDING To APPROVED PLANS WHICH ARE PART,.OF,:,TKIS PERMITAND OF ApPLICAj3LEPROVIS'jONS OF,LAW. r7 i AITLA TIC BEACHOUILDINq%PEPARTMENT CITY OF JACKSONVILLE, FLORIDA ;Y7- _�_90 0 Building and Zoning Inspection Division BUILDING PERMIT APPLICATION (APPLICATION MUST BE TYPED OR PRINTED IN INK) ONLY ORIGINAL APPLICATION WILL BE ACCEPTED R.E. NO.: DATE ISSUED: PERMIT NO.: HOUSE NUMBER STREET NAME OFFICIAL TYPE DIRECTION APT/UNIT ZONING USE INSP AREA C.T. ZONING APPROVAL ONLY ZONING NOTES: NOTICE OF COMMENCEMENT YES, NO DATE — FINAL APPROVAL —FEE $ W HOUSE NUMBER ST E LO !ET NAM �4 INTERSECTING STREET., BETWEEN . W 0-ri-4 AND < LEGAL LAND DESCRIPTION LOT NO. — BLOCK—SUBDIVISION ASSOCIATED PERMIT NO. co UJ (State portion of lot if less than full lot Attach legal description per deed in duplicate if metes and bounds) Z 0 >; PROPERTY OWNER LICENSED CONTRACTO�l FLA. ARCHITECT OR ENGINEER X COMIANY NAME COMPANA, j6 I�t/1111 COMPANY NAME A bNAME LICENSEEJJ�,/- LICENSEE NAME Ir %.- X A 11 1 TITLE LICENSE NO. LICENSEE SIGNATURE rZ (f 0c, 'W'2��' ADDRESS 2, Poh I CITY ID No s5 / 7 ADDRESS M 2 ADDRESS 6-3q2 WAMSH ddZ7 W TELEPHONE NO. TELEPHONE NO. LICENSE NO, Z FEE SIMPLE TITLEHOLDER TELEPHONE NO. 0 < (if Other Than Owner) UJ 0 BONDING COMPANY MORTGAGE LENDER U) (0 NAME NAME NAME :F 1`_ ADDRESS ADDRESS ADDRESS Z 0 W l.- PA'pp'11ca'ion is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced 'i, 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. _J R , < I understand that a separate permit must be secured for ELECTRICAL WO K PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, W HEATERS, TANKS, AND AIR CONDITIONERS, etc. l- W _J 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 a. * regulating construction and zoning. I will not occupy or use the referenced building or part thereof until all inspections are finaled and prior to * obtaining a certificate of handicapped accessibility issued by the building official, as required by law. 0 0 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. U) Z IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFO, E RECORDING YOUR NOTICE OF < COMMENCEMENT CL Signature CL Signature c"I C < -7-4q — Owner or Agent Contractor Date < -7 Date C/ Z NOTARY as to owner or Agent NOTARY as to Contractor 0 CL My Commission Expires: My Commission Expires: 1. TYPE OF IMPROVEMENT J. Mobile home move-on(new) NOTE: K. Mobile home move-on(replacement) For demolition/renovation projects involving a commercial, A. Now Building L. Other institutional or industrial structure or apartment building of B. Addition or Accessory Building M. Addresi--on—ly more than four dwelling units,the following provisions are ;'-,Alterations and Repairs N. Moving outside city applicable: 0. Con erting Use [0.,RootinglRe-roofing and Repairs R, Trallver Parks&Camps 1. Renovation: is asbestos present? —Yes—No k'e Demolition S. Site Clearing If asbestos is subsequently discovered,the applicant shall F Moving Building(See Reverse Side) T Tree Removal Immediately provide notice to the DER and AOD and G. Foundation only amend this application. 11�nq 11 r)Amnfitinw All nnnfi—tc—at n,AAa Nnti—f�r)rn CITY OF SoOSE -MINOLE 110AI) ATT,ANTIC BEACI 1, TLILE.111[ONE ;90,1) AX 904 i 247-5805 SUNCOM �.72-5800 November 19, 1997 Mr. Willie Waters 402 Skate Road Atlantic Beach, FL 32233 Dear Sir: . Our records indicate that you.are the owner of the follovAng property in the City of Atlantic Beach, Florida: Re: 402.Skate.Road During.an.electrical inspection at the above property t.noticed a drain line from your washing machine emptying into the rear yard. This line is releasing pollutants into the.rear yard and is a direct-violation of Section 30-1.111-1 of the Standard Plumbing Code, requiring all drains to be connected to the building drainage system. By this notice you are required to have the drain line from your washing machine connected to the main drain line of your house within thirty(30) days or this case will be turned over to the Code Enforcement Board. Under Florida Statutes 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 violabon. Please contact me at 247-5826 if you have any questions concerning this matter. Sincerely, L Don C. Ford Building Official DCF/pah Enclosure cc: City Manager VIA CERTIFIED MAIN RETURN RECEIPT REQUESTED Z 4eS -122 597 US Postal Service Receipt for Certified Mail No Insurance Coverag Provided. Do not Lite for Intexnati4nal Mail(See reverse) t STreK& iber 4 0. '4�' Post Office/Stalb,&ZIP C a ( LA )=& -3-2 Postage Certified Fee Special Delivery Fee Restricted Delivery Fee Lo Return Receipt Showing to Whom&Date Delivered Return Receipt Showing to Whom, < Date,&Addressees Address C� -77 0 TOTAL Postage&Fees is 2 Postmark or Date E 8 LL U) (L PSR-3844 15416 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------ ------- LOCATION INFORMATION -------- rermit Number : 15416 Audress : 402 61�.ATE ROAD Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class ot Work:ALTERATION --------- LEGAL DESCRIPTION ---------- Constr . Type:WOOD FRAME Block: Lot : Twp: 0 Proposed use : 6iNGLE FAMILZ 0 u b d. xng: U Dwellings : 0 6ubd1vision:ROYAL PLAMS t.st . vaiue : U . Qu improv. k-- Qsr- : 0 . 00 j.-oLal iees . 5 . 00 Amount Paid: 2-5 . 06 i)ar-e Paid: iu/.15/i997 Work De.s�:W,IRE FuR AC --------- -------- i�ame ; WILLIE WATERS PERMIT -4, 0 U 'ftudl : 4104 SKATk; ROAD ATLANTIC j�EACH, rljuhli�.ft �443,� ------ CONTRACTOR INFORMATION ------ iiame: RICHARD GRAVES Addr: P .O. BOX 17083 jAC;K60NVILLL, iL 3224-5 1.1ic : ER0005820 iype: NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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.99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.0014 DAte: 10/15197 51 Receipt% ABRA92 CHECKS 1443 ATLANT��CH BUILDING DEPARTMENT By: JOB COP PSR-3844 15416 DEPARTMENT OF BUILDING CITY OF ATLANT1,C_B�EACH ----- -PERMIT INFORMATION- ------ ------- �,�qC4TION INFORMATION ------I-- Permit Number: 7,15416 Address.; -14,02 SKATE ROAD Permit Typ,e:ELECTRICAL IC,,B EACH" FLORIDLA, 32233 class ot Work:,-ALTERATION Lkt;AL DESCRIPT�qw I 0 L Constr. Type:WOOD, FRAME B 1 o ck,:, 0 Pioposed .Use: SINOLE.'1AMILY Section ' Su Rng.* Dwellings : 0 , Subdivision' :ROYAL P �A Est . Value: 0 .00 Improv. Cost : 0 . 00 Total Fees : �'2 5 .0 0 Amount Paid; 25 .00 .. Date Paid 1011151411997 Work ,I al Alt APPLICATION FEES ---------- OWNER -------- -- Name: WILLIE, WATW"q P kRM I T 25 .00 Addr: 4 0 2,,�� KATE',ROAD ATLAN't"IfIC BEACH, FLORIDA 32 Z, Phon �4'� :46 , -8971 Clii�,�0,AOt'OR '�,i,-ti,,�:'ORMATIOli ------ Name, RI& D �,;RAV E ELECTR JACKSONVIIIE FL 32245 Lic: �110,0,058 Exp; Ty xz, K�, "V NOTES: NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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.I WITH THE MECHANICS" LIEN LAWCAN .RESULT IN, THE PROPERTY OWNER: PAYING TWICE FOR SUMOING,IMPROVEMENTS." ISSUED ACCOROING To APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SuBJECT To AEVOCA'tf N FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 10V151V 81 Rec*ivt 1443 ATLANTIP��EACH BUILDIN ENT By: CONTRACTOR COPY PSR-384t 15374 DEPARTMENT' OF SUILDIiNG CITY OF,ATLANTIC SEACJ4 TERMIT if(PO"ATION ------ ------- - LOCATION ------ rm Pe it W#abor: 15374 Addre'as: 402 9 ROAD ' ' KATE TYPe-.MECHANICAL BZAC,4 A 32233 C I as's of Vork- FORID -ALTERATION -------- LEGAL DESCRIPTrbN ---------- Cormtr Type:V#001) PRMZ Use- Block:' Lot. Twp., 81NOVE PAMILY Secti on: 0 Subd Rnq: Subdivision!ROYAL PLA148 DwelA i n 4 t 0 ,00 % o pro 0.00 'frot'a 477 .00 ;;-v .60 Da AND H, TjO T, 'ON 0& Its, 'A AT r'LOiiDA' 32233 Phone.-� 24 71— CONTI" INFORMATION ------ Ri ' �_A 4- a kic- Nbit" 3 NS Mij NOTICE—INSPEcino StSE REOUESTED AT LEAST,�24 HOUR PRIOR To'INS S Pict" BUJLDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK,MUS'fNots�,,PLACE0491PUBLIC SP CLEARED UP AND HAULED AW Y BY,EfT ACE,ANDMUST 8.9, HER�CONTRACTOR'OROWNE0 ("FAILUIRE.T01,Cro VPLY WITH THE' MECHANICSS, LIEWLAW,CAKAIESUJ�T M R N NG TWICE FOR:801 LDJ d I Pooviii THE PROPE:RTY 0 E NTS. ",ASSUED ACCORDING.TO APPROVED PLANS WHICH ARE PART OF TH'tSPeFj 0 REV , T V46 NrOFAP 1. SL MIT AND-SUBJECT T' , 6dA 1 0A t PROVISIONS 01�LAW. hs*62 wav aiot tww;)-- MIMS, ITTI V,, ATLANTICJ�EACH BUILDING DEPARTMENT , BY: �r I y 16 CITY OF /*4uae Te4d *7&UW4 SW SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-SMS March 31 , 1994 Mr . Willie L . Waters 402 Skate Road Atlantic Beach, FL 32233 Dear Mr . Waters : Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 402 Skate Road . a/k/a Lot 13, Block 19, Royal Palms Unit 2A RE#171556-0000-9 Investigation of this property discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinance Chapter 12 , Section 12-1-(7) i . e. , abandoned vehicle in north side yard. 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. Grunewald Code Enforcement Officer KWG/pah cc : City Manager Don C. Ford CERTIFIED MAIL RETURN RECEIPT REQUESTED CITY OF ATLANTIC BEACH, FLORIDA Ap to d by PLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-&'t- z A 9_':� �7 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. d�'4 '4 ioeI9 9LFr-TRICAL FIRM: MASTER ELk;�6' ICIW-Si6I4'ATjjAj JOURNEYMAN NAME.. -ADDRESS:--� RFD-Box BLDG.SIZE BETWEEN: RES.9� APT. ( I comm. PUBLIC INDUS. NEW( OLD ( REW. ADDITION ( ) TRAILER ( TEMP. I ) SIGNS I ) SO. FT. SERVICE: NEW ( INCREASE ( REPAIR FEE CONDUCTOR SIZE AMPS COPPER ALUMJ SWITCH OR BREAKER AMPS PH W VOLT RACEWAY celow .Ev(j&-- EXIST.SERV.SIZE AMPS PH :��W 4OLT -5-e FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALEDI OPEN TOTAL 0.30 AMPS. 31-100 SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0,100 AMPS. I OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0 OVER MOTORS H.P. VOLTAGE PHS No. I H.P. VOLTAGE PHS MISCELLANEOUS PSR- �,OEP*Wnft T OF BUILDING CITY OF ATLANTIC BEACH - ----- PERMIT INFORMATION LOCATION: INPORNATI 1 1 .[ , Permit Number 15416 Address: SKATE, ROAD , , Pexmi t Type:ELECTRiCAL ATLANTIC BEACH i�, FLORIDA 32233 I A " - ,, Class of Work:ALTERATION LE0 t D Sc ' ' Constr. Type--WOOD PRAME , Ill :Lot 0 'Proposed Vse:SINGLE FAMILY, Section, 0" $Uibd: 0 Dwellings: 0 S4bdi V1 a fon.�ROYAL PLAMS - .�Sst- Value: 0.00 mprov. C os t 0.00 'Total Fees Amount, VA 11 N"'f 2 0 �KAW CA- t N PCES ',-I 1 7-- ION1 i"IT 25.60 40 FLORIDA 3 0,nPl C R , ORMAT I Oli ------ V'r tIRT Name Z -0e,3, DO J4�*SQN FIL 3,2245 #i xv: Liv T NOTICO,-,-�114SPECTIONS-14U$T,BE REQUESTED AT, LEIAS't 24 P�110)�,Tq INSPECTION BUILDING MATERIAL RU6sisH ANID, ,. �RoMr THIS W,0 K MUST T'SE'PLACED IN:PUBL I IC$P R OWNENO , ACE,A-ND'MUST:j)f CLEARED UP AND,HZLED AWAY Sy�tjfJ4;j5 'CONTRACTOR OR :R 4FAI LURE T0,1COMPLY-WIT ,H RESULT JN%--�r THE MrECHANICS! LIEN",LAW" CAN", TH-E-PROPERTY OWNtA POING-TWICE FoRr UILOJN, a Im 046V ACCbR ISSUED' 01W TO APPROVED,PLANS WHICH ARE PART OF TH16PERMIT AND SU LICABLE PROV Bj OF APp ISIONS,OF LAW.: trill CKC" 7'7-'7 3 A LA T1 'S U. LOI G EPARTMENT A H E 3 'Th EP A 4 t 7 777�v�,,�77 CfTY OF ATLANTIC BEACH ROORNG PERMIT APPLICATION JOB LOCATION: OWNER OF PROPERTY: CONTRACTOR: CONTRACTCR*S ADDRESS, 3 2- W+545 # :J��56A/ V((-LC i�(-Ohbd ZIP. 3 -2- STATE LICENSE NUMBER.- eC 00 �24 ?2- r TELEPHONE. 3�5-4-/O /S` DESCRIBE WORK TO BE PERFORMED: 12 C5 0 VALUATION OF PROPOSED CONSTRUCTnN q00 MATERIALS TO BE USED: SIGNATURE OF OWNER: SIGNATURE OF CONTRACTCR. A) SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF NOTARY PUBLIC Lability Insurance Supplied IiVcr',-,ers Compensamn Insuranc-- Suppliec Contractor License Information Supplied Occupational License Infcrmaton Supplied Z 719 384 361 Receipt f or Certif ied Mail No Insurance Coverage Provided Do not use for International Mail (See Reverse) Ve t to/- // J and No- d z P C Postage Certified Fee Special Delivery Fee Restricted Delivery Fee ce) Return Receipt Showing to Whom&Date Delivered Return Receipt Showing to Whom. (TJ Is.,and Addressee's Address TOTAL Postage &Fees 0 W Postmark or Date co E 0 LL (0 (L CITY OF AnANTIC BEACH APPLICATION TO MAKE ADDITIONS OR ALTERATIONS OwnerW k, 64, f-v-S AddressLAO;� :SeqA, -Rd. Phone Q qt,-O-��U Architect Address Phone Contractor Address Phone Contractors License/Certification Nuthers Expiration Date Property Address (4 0�, !Sl( --k CK, Lot Blcok or Unit # q Subdivis Valuation of Construction D b,0 c) Type of Construction 'S*�ro v-(-k5;"e It,,CA Describe Work to be Performed Materials to be Used tk)0 Present Use of Buil Proposed Use of Building '��Dv a 2�C- Flood Zone Dimensions of New Area: rill HEATED GARAGE OR STORAGE Ci' ri CAP,P0Fa OR PORCH DECK PATIO 'YES NO NU4BER. Will there be an increase in number .of units? Y Will there be a decrease in number of units? x Any additional plumbing fixtures? x Any new fireplaces? Y SUWIT 7X COK:`LEIE SETS OF PLANS INCLUDING SITE PLAN Signature WIER Date 43�kg��4 9,�� Signature CONTRACIOR Date Ckt 0\,k 1,21 un� DEPARTMENT OF BUILDING 7689 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.. PERMIT TO BUILD 3958 1 A B/n7/84 THIS PERMIT MUST BE POSTED ON JOB 7609 00CAC9 395C 14 5/07/86 Date May 8 1986 1 0TV I Valuation$ 500.00 $ 10.00 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. This is to certify that Willie L. Waters has permission to build Storage shed Classification residential —Zone Owl,dby Willie L. Waters Lot Block— S/D House No 402 Skate Road 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 14 11111 4 1-0. 0 Building material, rubbish and debris _zq from this work must not be placed L in public space, and must be cleared up and hauled away by either con. tractor or owner. I Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER FOR OFFICE USE ONLY Date-------77/r/71----19 ------ Permit #....133.1....Fee$-.3.40& CITY OF ATLANTIC BEACH " Valuation $.../6006 ......... .../----------*-----------------*..."....*...** FLORIDAHouse #.......4.6..V................................... ...................................................................... APPLICATION FOR BUILDING PERMIT .......................................................................... ............................................................................ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Owner-A, Date........................................................................ 19............ - --------- 6-4---o-a--V_ ------------------------- ........Telephone No'PhIS001 Architect.... ------------- --------*---------I--------Address.__......................_------------------------------Telephone No------------------ Contractor Builder-.e. ........... ------- ------Address,9_fA!P.._W!.J 91! 57Z.......Jelephone No.IFVf......... 4_-------------_--Sub Divislo Lot No.....]------------------------------ ------Block No.. --------------------"10-41w-fte-------........ one.....--------- -6 ------------------------Street- ------------ -----.-.Side Between . ....... 4444-1c A' ---------and-&--- ------ -------_--...Sts. Valuation -------------For what purpose will building be used. ---------------------- .......Type of construction-,,-..... .. .......... Dimensions of Building.-S ...Dimensions of L't--- XPOD --------_-------------Size of Footings.... --__------ --------- I - f Size of Piers.----------_--------_----------..Size of Sills------- -------Greatest Sill Span in ft.-.-------------_-------Type Roo ...........—.747:m........ I Alez How will Building be Heated?---- ----------------- -------------------------Will Building be on Solid or Filled Ground?.::�� Sizeof Ceiling Joists----------4-)(6 ----------------- --------- Distance on Centers-------i�...............................I Greatest Span......... --------........................ Size of Floor Joists_---------------_----------------- Distance on Centers__,.... ................................ Greatest Span._--------------------------............ Size,of Rafters- ...... ------ Distance on Centers ... ..... ---------- ---------.-, Greatest Span----41�------------------_---- This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 44 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. 4. When framing Is completed. H E-4 5. When rough plumbing is completed,and ready to cover up. $ 6. When septic tank drain f ield or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called forafter corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City otAttantic Bep Signature of Builder .......... ..... ..... ... .... ... ...... ............... Address. Agwt----w,----/-- Signature of Owner...... . ............... . ....... ---------- Address. ---------------------------------------------------------------------------------------------- LO'T T Lr-T L-4 p'o MA I& jo or—r l :vs IL ........... ow be eepoinsixid 0"t abons,4M. WAMO*404 040111611 18POW W 0041010t"*W. C] Ptoposed Cosisfmcfios INESCRI"ION OF MATERIALS ........... ............... UIW$r cre,IN W."b, Prop*rty addren ....... ...... ........... 4kakAQDLY1112................ $tat* Ila- City ON Mortgagor or Sponsor _._W= ............. Contractor or Budder 4ollitz Bldg. rnd. .2 Q_Weelt First,PT. INSTRUCTIONS L For, additional information so how faim is txx b4 submitted, number "W"Noix, 00*40 be considered iielesis spetiacaliv 4cami6*41. of copies. etc.. see the instructions applicable to the FHA Application for Mortgage insurance air VA Request far Detsirmiriaties of Reasonable Value. 4. I@Klu& me Whistafts. "or iiquar Arafti. ar sixoradictory items. (Can. -7 as the case may be. "itratiost of 0 p0quest Is# 6"optence; of substitute materials or squipmesh 2. Describe all materials and equipment Is be used. whether or not shown is not Warelirl preclo") exis the Airo-ings, by mothing an X is each appropriate check-box and enterial S. liscludis sigratwres soquited 4*1111sa arW of This fairax, 40 information called for in each 600". If &pace is i"dequate. enter "See 6. The construction "it be completed in compliance wif% sk toloW misc." and describe under itern 27 orr an an affackscl shiest, 4oawints end specifications, "amended during processing. This specifications 1. Work not specifically described ot shown will not be cons.dittcd valess include this Description of "erials a" the applicAble minitnum cooetuoto"a isqwred, when the minimum ciceptable will be assumed. Wail exceeding 144witernents. 1. UCAVATION: Bearing soil, type ------------ ...S&ndy...- -Loam.-_ ------------ ------------------- ------ ...... ------------------_--------_--- ---- ...... ... .................... ....... . L FOUNDATIOkS. Footings: Concrete mix ...�a5W_P_81__...... Reinforcing----------2rj ti-I-Stael.-Rods.,. .......... Foundation wail; Material ......IDGMUNillie"8'"evIe_Ll 4/9, Rcinforcing___...... . . ....................... ............. Interior foundation waN: Material --- ............. Forty foundation wall .............. . Columna: Material anti s;ze -----_---------- ...... .... ... Piers: Material and reinforcing Girders: Material and bizes ---- -- ......... ........ Sills: Material --- - ------ Raberrient entrance areuway Window areaways . Waterproofing .Rubtier baae_mazoaary _p&:jnt Footing draius ..... .. ......... Termite protection ..AS .. ...... Baaemcialviis space: Ground cover .... . ......... Insulation ......... Foundation vents ...... Special fuunda(vins . . . .. ...... .. ..... ..... .. ....... ... ........................ ..... .................. ......... ......................... ......... .......... ............... C"Ifiliklys: ............ ........ ...... .......................... Prefabricated (make and sise) ... UAL.Aix—lat......................... . Flue lining: Material Heater flue size ....... rtreplace due size.............................. . Vents (rwitarial and size): Gas or oil beater ........ .... .. ...... ........ ............... ... ... Water heater ........... ......------ ................. ... ............................... .............. ......... ........................... ......... f. FIREPLACES: Type: (I Solid fuel; 0 giss-hurning; Q eirculatore("s4k#OW A" .............................. Ash dump and elesin-aut.................... Fireplace; Facing .......................__; lining ........................ b"rth .........................; mantel ................................ ...........----------—------------------- .............................. ........................ INT91104 WALLS: Wood frame: Grade arA species _._...... ---_---------__. ............. C) Corner braclag. Building papex or felt........................ Sheathing_................ thiekness w Ath ......... 0 solid; [I spacacl �------_- 9. c.; 0 diagoriat; --------------- ............................. ; trade ........ . type size expo"re........... fastening..................... Shingles................ ; grad* . ........ type .......... sise ...............I exposure........... fastening................... A Stucco .___....................�; thickness ............", Lath __.......................................................; weight ........... jlj� Masonry veneer .................. .................. Sills. .................... ......._ Untele........ ................. V Usaonry� Facing backup ..... ..... thickat" Bonding..................----_1.......--------- Door sills Window sills .............. ...... Lintels ......DJQ UX-C 1_C.0 4.9.................... Interior surfaces: rNampproolling. .. ...cositsof ........... ....................; furring ......JXZ...tr&ated...... Exterior painting- Material ....IW.bbex Base maaaaary..pain-t--_--------------_................ number of coats Gable wall construction: C] Same sis main wells; C) other ..........W.Qod--.c"atruaZ1=_,--- ------------------........................ ------------------------- -----------I.............................................. 14 7, 7 _�;77 w�,,v—� 7L :77777` �,7 FAVfTM FRAMING: Sted3: Wo4 trade and siweles... ............. Aha&s4 spacing 14!_"*0tb1*r ................... .......... .............. ........................... aWN3 FRAMING: Joists: Wood.grade and specks......... ... .... Other ............. ............................ ..................... ....................... Rafters:Wo4 grade and species 12--l".......—------ Rod uVases 0"as"u):ara&mad 001 d 4, ........................ ---------- ............. —---—--------- Sheathing: Orsds owl species ....... ........ ......0 --�:.......... Roofing .................... gradle......... or fsotasiar Itain or pairit ............. ..................................................... Underlay.... .,-.e...... ............................... -up roofing ----- ............................._;nurauer 0 Pike A. sud"nc Flashing: material .......................... cap or**itu 0 gravel A mww Built . ....................................... 6111MRS AND DOWNSPOIlm Coufters: Material--------------— goo or welskt slas supe Downspouts: material.......... gap or uw.'Skt............ size......... shape ....... 0 splash blocks: Material;and Downspouts connected to: E3 Storm Uw*r; 0 sanitary sewer; Cl,dry well. . .................................................................... --------........*"**...... LATH AND PIAST91h pbuftf I C10" in...... Lath 0 walls,C]ceilings: Material........ ...........;weight or thickness...--...--. Dry-w&IXM walls, D ceiling$: Material ....9"Alqq.......; thickness.—Jto finialt joint tfegtWA*M ............................................................................................................. ...................................... 04CO&ATINGS (Point,w6flowper,oft.) PAO 0 WA"VIKMW V461801"AND AJWIJCAlla* Am A"KW"" ----------- .................... .. .... .. ........2% "f AA 11...RU1111a---------------—---— .......... b0se ................................ ------------ ........................ ....... ....................... affIRION MONS AM TMI Doors: Type ........ZIUA&-——-_—-------------------I Door t rim: Type ..Suck....... material Bass: Tnw_4400k_..;Material Dom trim _�.2..Iaalkts ther trift o"O". *ad bioxtoall-_- ..................... wth"W51 Windows: T Yps AVU1n'gr-_; waks Alr..GoAtralL.-.4 material__AlAa.�---------------- ................. 0 54sh weight4; 0 bal&rA*s, type ................ jo*4 flashing ...................... Grads. Trim: Type............................. notarial ............................ .......... ftat...................................;number c0106 Weatherstripping: Type ...Do ..... material ..Viwi...................... Staras soak number number-----------; seress sloth material ..AlUX,*......... screens: Is Full; 0 halt;type ............ Basement windows. Typ* material -----------------------—', 13 screens.InAlObir 13 St0m,"sk number Specialwindows ............ ———-----------------------------------..................... ............... ............................... ....... . ............................................... it OffRANCIS AND IMItIOR NVAU4 Main entrance door: Material -----LU", width thickness 1,3,14"Fram:Malarial thickness_Ail thickness ftwo: material......... Other entrance doors: material wid Read Bashing ----------------- ..........................Weatherstripping: "Mies ..... _-.1/jOry simber screen cloth material._Aj4W,._ Storm doors:Thickness number screen doors: Thickne"I Combination storm and screen doors: Thickness_". number screen cloth Material ............................................ fibuttaM: [] Hinged.13 fixed. Railings Louvers----_-----—-----—-----------—--------- aw". raint......011 '.h4jkft.......... number 2 Exterior millwork: Grade and species —----------------------- ——-—------- ------.................. .................................................. See, "&INM Alto INTIJIUM DUAILt V*.&_1._ —.11 ..1te. WAIArija '--,ft&tnr ,Ir' �Sjq $plg" PLOCIM AJO W,0411114M "Z,=,=mm, -"Masao 21 Bath...... Ojers"- ...goa—,-, las. Oaqv ses", Resew M A,"*'* LOCA-10 0006"Oift Cw*81140,46" Be*---.- 21,1 ................ ................................................................................. .... ............ ....... ......... 01 Nuums t"&"W useft ft"ft 11ma Ili-N&I Na. Oas 000 .................. 21 All]; ......... ..g!05........ .—4.0" lavatory............ . ..... .. Water clo@*L..—... Jkthtub�............ .... ...... 01 Shower over tab*. ..... Bull sammmere"-- laundry trays-... I .......... ..................... ............................... ............ Curtain rod 000 Door 0 CurWa ral Water supply: CIC Public; C3 sommmKy system; C1 I"vidsol (private) system. Bewwe disposal 20 Public; C3 wmmwdtr system; E3 individual (privets) system. *Show and 4#sMbs i"vidual#Vstem 4%sompUts dotoil in separets*Awhw a"epmossoase aworiAw to fop*v*@"& House drain Ousido):XlCad iron; (3 tilo; C3 other Hot"sewax (oat")I C&O 1m;El Me#-C3 adwr Water piping: 0 Galvanized steel; (3 copper tubing; [3 other 9M WdMN numbor Domestic water banter: Typo AUtO.,-.XjeCtj a......; make and wo" recovery -AL4..........cph. 100* rise. $torsgo tank: Material......G�&I.,. SsIb", Gas service: 0 Utility empsay; 0 14 pet.go;Q other—11ACAJ-1a.................. 43" pipin: 13 Om kjag,,4t 13 bouse hmft*�,", footing drains connected to: [] Stem em#r; E3 sanitary sewer; 0 dry well. Sump penp ... ------------------------------------------.......................------------- V& Hot water. V%vat-, Owpip,a w*Am,: E3 Two-P4 t4016., More Ir WN�radiatiox. Make and modal Radiant PAAW: 0 Floor; D well; 0 celline. Panel coil: Material....................... .......................... 0 Circulator. 0 Mum pump. MOM a"model....................._—p—............ ......... .......... Boiler: Make and model ............................... output stub.; "t rating ................ ...................................... ......................... Waris air: 0 Gravity. 0 For4w& TM of systan................ .............. ........ ....... Duct material: Supply return..................... Insulation, 040knew 0 0"".#Ar ist&N6 Furnace: make aw am del ......................................................... Input RtulL;o"put ......... ................................................................................. .............. (3 Space heater; C3 door fumace;=wall bmter. input..................... Ikub.;output Btuh.;wasbar Bulb --------------------------.......................................................................... Controls: Make and types .............................................................. ............. -------------------------- ............................ .................................................................. oil IF": E3 Coal; 11 oil; 0 x"; 0 4 pat gas; 0 watrie; C3 other............................--;staxego e0pat" ...................................—---------------------—--.................................... ......................................--------...... Firing equipment furnished separately: 0 Gas burner,convorsion typs. Stok#rsE3Hovparfa*d;,DbinfftL Oil burner: 0 Pressure atondsing; C) vaperising ......................... ......—.--.......................... Makeand model ..................... ............................................... C00404...... ............................................................................................................. ................... XlecUic hosting system: Type ................ Input ........... watt#; VON; output.......... ... '7777 711111111111 ',7 mi ................. .............. ..........._6......... ....... ....... ........... ....XAW...... . ...... ........... .. ............. Air_QASO I UoAor.-plus '14. ..................�BgQA_Algbt at r"r At-houst........ .... ........ .. .......... ..�............ .......... . .................................... . .............................. MOWAfts IMA*.fte0coW.siml 6"1 ................................................. ...... .......... ........ -IL111 -2, ��,27 —---_----_------_------ ... ............... ........................................ SMOAL 6QVM"XtS (UNIO 0061W Of 066 OW**"I Venetian Minds,.............. Kitchen roxv Refrigerator ......... 7.7 Garbage disposal unit ..... .......... ............... 1�7 ........... ........... ..... ............... TUIAM ................ ....... ................... 77 -,�7 71`5��,;"�',;) ..................... ............... ....... ........ .............. ............... ... ......I ...... .............. ........ ........... ............ ....................... ........ ......I...........,..................... ....................................... ......... ...................................... ................................. ...... . .......................................... WAM AN* 1PRIVIMAYSt Driveway: Width 8-Iti* Sase'motterial a ........... thickness Burfad" thithrm Front walk:Width Material ......—........ thickness__",SS*rviC*W Steps: SlAterw ................. ....................;ire" _........ ................. -—----—————------- ------—-----------------....................... (Opreffy all f'Xierier msit* imprevo"Imts %a 40000OW *bewhere. f 16 ww" froov.**two# Orlotorw-, r4!iai#,iwy atuffs. funce, mif.*Rys, and access"v stractut".) ....... . . . ................. .......................... ....... ..................... ........................................ ........ ............. IN- ................................. ............................................................................................. ........ ................. IM&NOMO, nAlITIN* AM MISIO **AD#" yopoil thick: 0 rmt erd; 0 yards;(3 rear ymd 16 feet behind mob bbildIO& , . ---a---A so_.— — m,*,&A jw ---e. - .