Permits 650 Sherry Dr (vault folder) X11
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of
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CITY OF
Office of Building Official Q
REQUEST FOR INSPECTION
/ `�S D D Q
Gate -7 Permit No.
Time A.
Received =
Job AddrewS(ab [
Locality
11
Owner's 0
Name Contractor
31SILDING ELECTRICAL PLUMBING MECHANICAL -
Framing _ Rough Wiring ❑ Rough ❑ Air Cond. & ❑
Re Roofing = Temp Pole ❑ Top Out O Heating
fnsulatior, Lintel C Final ❑ Sewer ❑ Fire Place ❑
Pre Fab
READY FOR INSPECTION
Mon. Tues Wed. Friday,
A.M.
Inspection Made
clef _< --final Inspection F- } - --
_
Certificate of Occupancy C'
Date
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P�Sfi 3844 m m
104-01
aEarr�nNT OF,gumma
CITY OF ATLANTIC BEAGH
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10401AdIz� i . ► ;«9` Y F2IV1�
Psmf I + .BUILBNt A''C 'TIC BAS, 1�"'LQRIT�A 333
R'Vork4t
ADDTT
C 'type: CA
F� � f 81 A,, I;octi n
" r Pa ed,, Ta + ,. GARAGE/OA PCNA' . {3
lgwrl ixx :.r Code: ► S�tbditan SL' AIR SS� ai 3
Ittj*ate Value: $16,20.;oo60
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Teta Fees: $30 00
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$T S1. E OF GARAOIC ORA�3&
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$34 4p
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$0 «U0
1 et 4 C 0 fTALl IMPROVE i $0 i00 0
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NOTES: '
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- -ALL CONCRE`tE RMS AND FOOTI146811�UST Be INSPEC' ED BEFORE''P"OURING
NICE
E PERMIT VOID SIX MONTHS AFTF-A DATE OF ISSUE,
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BU#LC)M#G MATERI"k RDE
UBBISH AND BRIS”FROM TH#S WORK MUST NOT it PLAGEd!N F'UBL1C SPACE,ANC?MUST BE
CLEAREb Uig ANCD HAULED AWAII'8Y'E#THEA 0ONTRACTOR OA QWNER
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F T �..1 r ���NG-l�PR EMEN
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ISSUED ACCORDItdG TO APPROVED"PLANS WH#CH ARE PART OF, THIS PERMIT AND SIIBJECT.TC3 EE/ �rrAi`#Q�I R "
VIOLATION QF APPLICABLE`P�IOVISlt)NS'OF'LAW.
+ ATLANTIC BEACH BUILDING QEPA MENT tItt
Banes 7/47/95 01 .
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
✓, p DEMOLITIONS
owner(s) :
Address :. Phone: 'e�(2 3ZLI S
Lot _ Block or Unit Subdivision:�(AVL ! `f- 60ti,
Contractor:—,
State License #
Address : Phone No:
Describe work to be done: S—r,&:>r,-
cyF-
Present use of building: ��lt�4CoFz__
Valuation of Proposed Construction:
Proposed use:
Is this an addition?���_ If yes , what are the dimensions of
the added space: ft . X ft . Will the added area
be heated and cooled? kQ New electrical (or increase)? AQ
New plumbing fixtures? ALIO New fireplace? New Heat/AC? gQ
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS ONTRACTOR.
Signature OWNER: � ' Date: z/-zo/9t5—
Signature CONTRACT R: Date:
Ep N
License Supplied: R��GgoPc� , c
PpE P �toN� ��
Liability Insurance: NTNG
Worker's Compensation Insurance: v` ' � 1995
building and Zoning
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address jerC.,2leY /2
Datq4
Heated Square Footage @ $_ per sq ft = $
(-rage/ h e d 9_@ $ /f-00 per sq ft = $
Carport/Porch —per sq ft = $
Deck @ $ per sq ft. = $
Patio i _@ $ per sq ft = $ —
TOTAL VALUATION : S
Total Valuation 1st $
Remaining Value $ 5 per thousand
or portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $
) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $
WATER IMPACT FEE $_,
SEWER IMPACT FEE $
WATER METER/TAP $ _
CAPITAL IMPROVEMENT S _
SEWER TAF $_
) RADON (HRS) . 0050 S
SECTION H PAVING ( ) $
EYDRAULIC SHARES $
CROSS CONNECTION S _
) SURCHARGE . 0050 S
OTHER $ 45
GRAND TOTAL DUE $ !�o
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing __.__`__
Electric/New E1ect.r-.c/Tem r- : SwimmingPool
Septic Tank we._ i -S1gn Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTE ; : ---� - - ----- -
R "
APPLICATION FOR WATER CUT-IN
TO THE CITY OF ATLANTIC BEACH:
App.tica.t.i,on .ia heneby made {soh � '� wa-te& eu-t,..in
at ,the Ao.ttow.ing addnese bon Lg� _unitz .
i ,r 5•
Cut-in change a6��;
Sxn a e.t Na
Lot �,,� Bl oe h Subdivision (,tr .c•�..�, � z� :`
S r
Matting Addieae' 246Mvi
ar
0,2
Account Na ,
Meten No. Date Ins ta.tt ed:
Illy ;;4e
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CITY OF ATLANTIC BEACH
APPLICATION FOR SEWER CONNECTIONS
PERMIT NO.� � DATE
LOCATION STREET
LOT NO. BLOCK NO.
OWNER ((7 ���'=�L`l6�_
TYPE OF BUILDING
MASTE PLUM �-BER
INSPECTED _ BY
ACCOUNT NO.
OWNER BUILDER PERMIT AFFIDAVIT
Stutr• of Florida )
City of Atlantic Beach )
BEFORE ME, the undersigned authority, personally appvarvd
---- --------- -----• who upon f iz at boinV duly
6worn, deposes and sa//yst``''..��
--------------, and the legal
owner of the" Zollovino propertyt
Subdivision
Block ---------------- Lots--
AMA
I am applying for a building permit pursuant :o tho Owner
Builder exemption set forth in Florida Statute, Section 469. 107.
Florida law requires that I ,,have been providod with thr folloviny
DISCLOSURE STATEMEUTt
DISCLOSURE STATEMENT
'State lav requires construction to be done by licensed
contractors. You have applied tar a permit under an
exemption to that law. The exemption allows you, as
the owner of your property, to ,act &a your own
contractor even though you do not have a license. You
must supervise the construction yourself. You may
build or improve a one - or two family residence or a
farm outbuilding. You way also build or imprc•ve a
commercial building at a cost of 023,000. 00 or less.
The building gust be for your use and occupancy. It
may not be built for sale or lease. If you well or
leak& more than one building you have built yourself
within one year atter the construction is complete, the
Inv will presume that you built it for sale or
which is a violation of this exemption. Your
construction aunt be done according to building codes
and zoning r&gulations. It is your responsibility to
make sure that people employed by you have licenses
required by state law and by county or municipal
licensing ordinances.
I hereby acknowledge that I have read the above DISCLOSURE
STATEMENT and that i comply with all the requirements for the
issuance of an Owner-Builder permit.
Further, affiant cayeth not.
-�-- ----
P-up
up -
Owner
Sworn- to and subscribed
fo a me ` di �
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
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.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
or
NAME -4 0 d sit fd&,t'S ADDRESS:Z&Ad"17/o Z. f 4r-j _RFID BOX
BLDG.SI2E t* JpSQ S�la.r� 2)x;vt
BETWEEN:
RES.(,4APT.( 1 COMM.( ) PUBLIC( 1 INDUS.{ ) NEW("T' OLD 1 1 REW.( 1
ADDITION ( ) TRAILER ( i TEMP.( ) SIGNS ( 1 $Q. FT.
SERVICE: NEW( ) INCREASE ( 1 REPAIR ( ) FEE
CONDUCTOR SIZE AMPS /x f3 COPPER I ALUM. ( ¢ +Q
SWITCH OR 1,rO AMPS XlowIOPH W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH wl VOLT RACEWAY
FEEDERS NO. SIZE I NO. SIZE NO. SIZE
LIGHTING OUTLETS ! CONCEALED OPEN TOTAL
RECEPTACLES 3� CONCEALED OPEN TOTAL ' �~d
0.80 AMPS. 81.100 AMPS.
SWITCHES ¢ac)
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES 4- 1 BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
v o
5- 0
O'1 OVER
MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
ToeluccnaMCRc• IINt�FR Ann V_ AVER R(111 V
APPLICATION FOR WATER CUT-IN
TO THE CTTV OF ATLANTIC BEACH:
Apptication is heneby made Jon 4//X- wa-ten cut-in
at .the jottow.ing addhezA bon __unitd .
Cut-in change o6 � -Sao
Stneet No . .S'a
Lot Stock Subdivision- -
0 1
ubdivisi,on 01 den ed by:a f
0 w K e it
Ma4Ping AddieaaAV
Date
Account No.
Meters No .
Date I nb tweed: „
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CITY OF ATLANTIC BEACH
APPLICATION FOR SEWER CONNECTIONS
Pr l
PERMIT NO. �Z DATE - I
E
> " LOCATION J7 STREET
LOT NO. BLOCK NO.' CI'Z 2.�1�
k 4
t A d
OWNER
*p TYPE OF BUILDING Xl
MASTER PLUMBER
xi INSPECTED _ BY
. .. BILLED
ACCOUNT NO.
4 P
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A r
x 9
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ADDENDUM
This plan approved subject to the following provisions being
included in the building:
In hollow masonry unit construction, each unit cell shall
be reinforced with at least one No. 5 bar at all corners;
poured and tamped with concrete; such reinforcing shall
be properly tied into the footing and spandrel beam. All
wood truss rafters---roof construction shall be securely
fastened to the exter or walls with approved hurricane
anchors or clips. Footings shall be continuous monolithic
concrete under exterior walls, reinforced with two 5/8"
deformed reinforcing rods for one-story building and three
5/8" deformed reinforcing rods for two-story buildings.
Reinforcing rods shall be placed in the lower one-third of
the footings, properly placed and fastened on metal
saddles with wire. Footings shall be 201 wide and 8"
thick minimum.
The undersigned hereby certifies that he has read the above and
understands that this addendum takes precedence over any
contrary details to...the plans and specifications and agrees to
comply with the intent of this addendum.
APPROVED
CITY of ATLANTIC BE:'_-''
SURDING fFi E BY a
Dat Y Y Contract r/Owner
FOR OFFICE USE ONLY
Date------ - q
------- ------
Permit #..c;"- ,.Fee$---
............
CITY OF ATLANTIC BEACH
Valuation $ 1.1 ------ ---------------------
FLORIDA House #....-AP&�..... ... . .......... .........
... ......... .....................
APPLICATION FOR BUILDING PERMIT
--------------*------------------------*----------*----------------
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
Date...................... . . *7
..........................................1 19f2----- ....
Owner-/T.. ---ac.i---14................ -•--------------------------------Address------.....................................................Telephone No............---....-----...--
Architect-----C--.--- ------...................................-------------Address....__.........-------------------------------------------Telephone No.----------------•----------
Contractor Builder_., .W.' &-'-------- --------------------------Address........1-1------------------------------------------------Telephone No-------.....................
Lot No.....e .;---------------------------Block ........ .......Sub Division.-SA//Ailil--------------------------------------------------._-.Zone-----------------
------------- -------------- ----- ............................................Sts.
------ -e- swesblvg.5�7�!------Side Between.......................-----------------------------and----------
3 's-J'6 '� -
Valuation $2� '_Xo_ne----------For what purpose will building be .------._-Type of constructlon__/�'-��"'V.'-:-------------------
Dimensions of Building__7X.-_'FJk_X----6_(:�........Dimensions of Lot_____S�.'
_/ / Size of Footings-----_-_--------------
- ----------------------------------_ r �0--------
Size of Piers---____----_------------------Size of Sills--.-.------.--------------------Greatest Sill Span in ft---------------------------Type Roof.t'01_. .0./.a__.....7.
.
How will Building be Heated?-_-. ..............Will Building be on Solid or Filled Ground? ..................
Size of Ceiling Joists------S,--_,){...a--------------------- Distance on Centers----- ..........................., Greatest Span.-_.---.--.----.-------.--------.--.----.--- ps
Size of Floor Joists---2—_/XJA2......................... Distance on Centers_...2-. 41..h- ---------------- Greatest Span------/-/...... .............. op
------ Greatest Span. ...........................
Size of Rafters--__. ------------------------------------ Distance on Centers ........
This rectangle is to represent the lot.
L0 R I DW: !S�T AT E. 'R Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. Z Z
3. When steel is in place and ready to pour beam. :I
4. When framing is completed. H E-4
5. When rough plumbing is completed,and ready to cover up. 2 S
6. When septic tank drain field 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 for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City of�antic, each.
7a
.................... -----------------------------------------------------
Signature of Builder.. Address---..
Signatureof Owner.----_------ .................................................................... Address............---------------------------------------------------------------------------------------
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DEPARTMENT OF BUILDING (� 8 n
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.- •/ �!'T
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 12I/3.1 19_7 5
Valuation$ 26,000.00 Fee$ 67.00
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 Rawson Construction Co.
has permission to build single fami1y dwelling
Classification residence ne
Owned by A & O Builders
Lot 82 Block S/D Saltair
House No 650 Sherry Drive j
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIR MONTHS
AFTER DATE OF ISSUE
�- ► ► 0 Building material, rubbish and debris
from this work const not be placed in
public space, and must be cleared up
and hauled away by either contractor
or owner.
XNIMM119 R. Q. Vogel
Buildim official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
t SEWER
F 4
WATER
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CITY
CITY OF ATLANTIC BEACH
- APPLICATION FOR PLUMBING PERMIT
PERMIT NO. jDate :_C � 6
LOCATION --� - �iY — �, y,,,_,. Street
LOT NO.fy �� BLOCK NO. _S/D_
OWNER
MASTER FLIPMBER
_. Bldg .
BUILDER OR CONT TOR �L ..._ Permit."No.o.
TYPE OF BUILDING
.. t SINKS y LAVATORY `BATH TUBS�URINALS_ G1LOS TS
FLOOR DRAINS SHOWERS__�_WATER HEATERS_ RS
DISPOSALS OTHER
TOTAL FIXTURES Z 'g tai . 00�,
NO WORK MUST BE DONE UNTII A PERMIT HAS BEEN FROCURED
PLANS AND SPECIFICATIONS must show a plan rwnd description of the
size-.and lopation of all the soil and vent pipes, and tho numbor and
lo-cation of all fixtures, (in aco�ordanae with 0�' " :.n".noe no. 188 of
the City of Atlantic Beaoh, Florida ) must be sh.�T n cn ba(-,,k of appli-
cation and be approved by the Plumbing Inspeot . .
DRAW PLAN AND SPECIFICATION OF ABOVE PLUMBING OF BACK.
Approved by__,
Inspector
Date
(FOR OFFICE USE ONLY)
ROUGH-IN INSPECTED RET�ARYS_
FINAL INSPECTION: CERTIFICATE ISSUED :
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