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Permit 395 Skate Rd (vault Folder) V�l±.sL`1 r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j rt ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029769 Date 2/23/05 Property Address . . . . . . 395 SKATE RD Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor --------------- --------- ------------------------ MICHAUD BROOKS & LIMBAUGH ELECTRIC CO 395 SKATE ROAD 42 WEST 8TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-9051 ----------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------- --- --- - ------- -- ------ - --- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC @aACM, FLORIDA lain APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to complete all items in sections I, II, III, and IV. LOCATION Slreef Address: OF Inferwtfiay streets: bfween And BUILDING Swb-divides 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 ettechrd pians and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Nese of Mechanical Conlradon —� Coale"fer (hoot) b Matter 1 Nowa of 010m i„ Owner Sisnatwe of Owner ` r Si""fure of or AsOwiwd Agenf 4.t� =.fecf or Enoineor fit. G& AL WOORMATM A, Tyre of heefinq owl: 1B. _ IS OTHER CONSTRUCTION u{NQ GONE ON Iflaetrfc THIS WILDING OR SITE? O Sea—O Lr Q Nefvral co"UItINy 1/YES, 41VE NUMetR OF CONSTRUCTION Q Oi PERMIT O 000 — S006110 IV. MICH NICAL fpuMrflNr TO M NWAUAD NATURE O/WORK I►Nw,Wo awo6fe list e/eergesesb ea fled of Als feral A Residentlaf or ❑ Commarclal Neat O Spee Q R.awe/ F1 Cesfsel O rear ❑ New Bonding ® Air Cendr/ionine: Q Real 12 Cesfwl Existing 9"ng O feet sriftso: Mme, �9 Riplaosment of existing system ldoe{ssws egecNy sfst. ❑ New installatlon(No system prerfously MstaNed).. O ❑ Extension or add-on to exlstblg system ❑ other--Specie O Colin, III~ Callodl r e*^ Q Fiaa apnom re: Nowdler of boosli . �. Q Hewfer Q masFiA O tEaulelsr lsstaier} TNI:stows NOR am= IMS ONLY (3 Geed w — InWAW) tM••M�f O T'� lsatrlr.r} Resterb Q LPG Iseslr.r} Q Uai+red rww.resssr O bbft hnsi► Mr»-e W e.+._r___ O Ofha .— see* LI/T ALL SQUIPMENT AIR OONDMON M AND REFRICEIIATION EQUWAW IIIIIntNe yr w as�elBtV. IEsW 11111WA er sEaeelh ll— ('l�� 0 � w �3 n m o 2 9 w N o, m IN o '0 o o m a R1 O �I i• rc-'s a -07 m OG T o na- o m w and 2 C� 'O ��i — — 0, a tt. 0EPARTMENT OF®EEJIELEpl"a CITY Of ATLANTIC BEACH TOM I NIFORO,TT R: 1 T `-' rf? . ROAD � A E F" ;TI ' `}`; IL1LDN 3 ATLANTIC; BEACH `'I� P ,TtS 'Work D�D 'LWAL DESC�t I P` 19,01Y we s mpr 6 °p 0s t Tot `0 .TPD TION, APPLICATION FEES D. HARD ETAHF W PERMIT 0700 Aa RCA"D A H' rCE . 90 RADON 4A, ." Name * ' a R WA' ER"-TAP t� w . ... SEWER TSR C 4 HYDRAULIC SHARE ,00 a Q Type REQ NSPECT ; RE` ? 'HER ' 'NQ'X'E5: xY NOiICEE ALL CONCROTt FORMS,AND FOOTINGS MUST SIS EkNSOE.C7,EED EBElMORE POPRING PtPMIT VOID SIX MONTHS AFTER"DATES ISS1E BUILDING MATERIAL,RUSIOISH I►AND`,EBRIS FROM THIS WORK MUST'NOISE PLACED"IN PUSLIC SPACE,AND MUST BE Ci:EAE ED uP AND"MAULS% AWAY SY EITHER CONTIR C`TOR OR OWNER IT HE MCNA CAN RESuI.T IN � a"IR E Td C��I M 1�IE1' T Th t 1��rw. N DIN } c MF-NTS- 'Y " d II 1EE£D'ACC0RDING lO APPROVED PLANS WHICH"ARE PART OF THIS,PERMIT AND SUBJECT TO REVOCATION" F©R VIf I ATiONOF APPLICABLE PRbVISIONS OF LAW." ��}� > . .. A"fLANT`IC sEAC+i`iuILDING DEPARTMENT APR' 19 ^ City of Atlantic B611 y CITY OF ATLANTIC BEACH BUILDING PERMIT CALCULATION SHEET Address 3 5 C 11,147"C lIC 0 Date— -3 �j Heated Square Footage @ $--tper sq ft = $ @ Garage/Shed = p er sq ft = $ Car k/Pordh per sq ft = $ Z/ YW oOO K" Deck @ per sq ft = Patio @ per sq ft = $ TOTAL VALUATION: $ Total Valuation ist -,i--( - , ` $ Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $- ( ) Fireplaces @ $15 . 00 $ E7 BUILDING PERMIT FEE $ BUILDING PERMIT $ WATER CONNECTION $ SEWER CONNECTION WATER METER/TAP $ CAPITAL IMPROVEMENT $ RADON (HRS) .0095 RADON (CAB) .0005 $ 0 SECTION H PAVING $ (:, HYDRAULIC SHARES $ C) OTHER $ GRAND TOTAL DUE $ -�o ADDITIOHI\L PERHITS OR FEES: Mechanical Plimbing ectric/Temp__; SwimmingPool Septic Sicfn-----Finish Floor Elevation C,7�7,,CTJLATIONS anc.i,/or 6710T�,S, I la APR 2 21993 CITY OF ATLANTIC BEACH Building and Zoning PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s):C ��i 1��. %V�� C�1r'✓ /C"7i912.rc7�-� �..._ `��/=c� � Address : -Phone : ' '9s-- Lot # A Block or Unit #. Subdivision: Contractor: L /F Address : ✓r' i -/lr3rz,��fPhn- No:_ v?�{7�' v�v� 1 Describe work to be done Q i Present use of building:_ �N___ Valuation of Proposed Construction: _ y� ��,E�'1 Proposed use: Is this an addition? If yes , what are the dimensions of the added space: - -ft . X N.l2ft . Will the added area " be heated and cooled? Z) rO New electrical (or increase)? NO New plumbing fixtures? New fireplace?1)�ONew Heat/'AC?__ND _ SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONT'R'ACTOR. Signature OWNER C"lr�� �9�/�.� ��_.___. . Date: 22-A, Signature CONTRACTOR : Date ; p P PpR 0#' 011 "1 &TO Ptip`NN G i 1 T t� s � i k t i t k F Fav *IT GO 11 kg N„ Y 5 ^Y' � Rte•°� (� �Iel� 1�1R i,. a A LL .. A P R 2 21993 Building and Zoning c a i Ix P is ! b1 .� �. {>e%.nciratwY<Y+we+tisW�wlM.+.wn�..u�.•....�..wn+......a:..... .. k wN INC ' °r�sw"wNUC-.6AA�.NA o.w...:,.u,. ..........,,.........,;.�.w, S � a � a � a PP � y /►UyA ROVED_ r-;o Z' o APIA 2 14 ) ' . n te,DR 221993 Building and Zoning 5 s t M 1 «+rlwlr«+roww..nw+rrr.av+.....,,.r...,.w+w.+w.w....-w.w.w...aw...m....i.M•...�.,, .,,„......, 1 M✓�rM�,Y� ca�M` sib Z P �. G)'3. �:z —� e N ��o , VVI6G LLN A P R, 2 21993 Building and Zoning OWUER BUILDER PERMIT AFFIDAVIT testa of Florida ) City of Atlantic seact• ) ,Z948T FORE ME, the undersigned authority, personally &ppaarvd -, who upon tirat bwlr•n duly &worn, deposes and says$ ._--_.-------_...._�__..,..._----------- and the legal -.awner of the Sollawin� propertyt Subdivision J /�// s Block _r ?,^v. L.. .. _.... Lots AHA I am applying for A building permit pursuant .o %low Owner Builder exemption *et forth in Florida Statute, Section 489. 107. Florida lav requires that Ihave been provided with tt•v following DISCLOSURE STATEHEUT: DISCLOSURE STATEMENT -State law requires construction to be done by licensed contractors. You have applied for a permit under on exemption to that low. The exemption allows you, as the owner of your property, to ,act air 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 Gr a farm outbuilding. You may also build or Improve a commercial building at a cost of 123,000.00 or less. The building must be for your use and occupancy* it way not be built for sale or lease. It you sell or leabe more than one building you have built yourself within one year after the construction is complete, the Inv will presume that you built it for sale or lease, . which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that I hove read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. Property Own*r Sworn- to .and su4 ribed ore e,� this -:9�5 y ' FLA. so$? LAWS ►i 713.13 Of AW WWc -W-W wrej# IM1t►Alit IN DU►LIOATLI i $Iu fuhpm it nuts cmtrrr>n: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. .... � ..' ................................��'- Y.............................�.................. Description of property............. . ......................................................».............»...«...,......................................................................................................»....................................... ..............................................................................»..............»............................................................................................................................. _...............................................».......................................................................................................................................................................................... Generaldescription of improvements............................................................................................................»»............................................... ................................................:............................................................................................................................................................................... Owner.................lN................EE-............... f....:......: _............................................:.......................................................................... Address....... �.1�...J�............"�.1�9,T..........� . ................ rl.z 7-1 e;, .....oz 4C f�...... .........�a�. Owner's interest in site of the is provemont...................... P� ........................................................................................... Fee Simple Tide holder ' other than owner) Name..........................(/ t .......................................................................................................................................................................... Address.................................................................................................................................................................»..............»........................................... Contractor................................ ..........................................w.................................................................................................... ................ Address.........................................................................................................................................................................»........».................................. Surety (if any).._............»._.. �..:�.......****""-....................................................................................... ...»..............»»...............I.............— .........._....................................................................................................»............................Anaunt of bend $............... ,.............. Name of person within the State of Ronda designated by owner upon whom noose or othw do=mugs may be served: Nam...................................».....»!...�..... ........................................................................... ............................................................».............. Address................_......................................................................................I..............................»..................................................................................... In addition to himself, owner designates the following person'to receive a copy of the Lienot's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option). Name....... .................... .... �....I.............. ...........................................................................................................»............................................... Address........ • ...............................................:.................................I..................._.._. .. ...,... ._ ....... .._................ . .......................................... THIS e►ACL'OR RRCORo[R's Uet ONLX I ' q A / CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r' } ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 ' IN. �t Jlfi�r Application Number . . . . . 08-00000695 Date 5/20/08 Property Address . . . . . . 395 SKATE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4365 ---------------------------------------------------------------------------- Application desc reroof fl 9631 . 7 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ STANFORD, MARJORIE A. ROMANO ROOFING SERVICES 395 SKATE ROAD P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5649 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 52 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4365 Expiration Date . . 11/16/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 52 . 00 52 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 52 . 00 52 . 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 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08_ ( � sOFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY J' �, �qFr Y ,� I us"?� ea . >. ..m,. 7,,7 1 ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT_BLOCK,SUB DIVISION 1 6 � ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL .x t ., • � `+ 1��,^� , ri,' TERATION ❑ACCESSORY BLDG. �RIN ❑REPAIR ❑POOL/SPA ❑YES ❑N/A n ❑MOVE ❑OTHER ❑NO zti k r .„, 9.NAME: 'YS{COMPAN AME 5f 23.COMPANY NAME: 16,NA E: 24.LICENSEE NAME: YCl n 10.ADDRESS: 17,STATE OF FLORIDA LICENSE NO 25.STATE OF FLORIDA LICENSE NO.: 2vCl.S. C�' llll 18„QDDRF-,6$11��:� 5y_33-7 26.ADDRESS:�_rrllwll ��,)'P 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE P ONE: 20.FAXyIp.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CE4L PF{O�E:�, r^ ��Y 11'V, 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: I 30.EMAIL ADDRESS: .iii 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: r 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,N,,,OTICEZF COMMENCEMENT. Signed`v , CLQ. Signed: Date: D,,5"-C& f Before me this 17day of 206?n the county of Before me this day of 20CIPin the county of Tate of Florida,has pe o ally appea d Duval,Stat of or' a,has personally a a ed .rXV'� 4•^^� herrn by himself/herself and affirms that all statements and declarations are herin b4Aimself/herself and affirms that all statements and decla'?ftOKs are true and accurate. true and accurate. / Notary Public at Large,State of County of \02—A Notary Public at Large,State of_ �G► County of Ya—� _ P-ersonally KnownPersonally Known ❑Produced Identification ,„-.�, ,- elT ❑Produced Identification- Notary Signature: Notary Signatur6R .+ � av ',a♦sv.,tiJ'1✓'ai'Li 3"i s.,.'irtir atk,T.+`t�"d...... COAB FORM BLDG01:REVISED:1/10/2008 4 �fJ CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: ! Property Address: rol ` Owner: C,KaL L Telephone # �� Contractor l>� C-Lc �L.IQ"Y\��e i_�� . Telephone #: Contractor Address: �'� � .,� Q_a. ' �� lir ,_ C T, Fax #: ZL4q I 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 City of Atlantic Beach ordinance and standards of good practice listed therein. Building: B,4Wding Type: Q Trailer Service: If other construction is Q New Residence Q Temp. 0 New beLng done on this building Old Q Commercial Q Signs 0 Increase Pe nit�ber:budding Z) Re-wire Q Addition Sq. Ft. Repair Conductor Size. AMPS. COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders. NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches jIncandescent Fluorescent & M.V. Fixed o.too AMPS OVER BELL Appliances I I TRANSFER. Air HT RATING H.P. RATING CEILING KW-HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. JPHS Q�,FDERWQV v Transformers NO. KVA NO. KVA No.Neo❑ Transf. Ea._Sign Miscellaneous G/) �1 800 eminole R d - Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 - Fax: (904) 247-5845 - http://www.ci.atiantic-beach.fl.us j PSC 2000 Series 2410 Log for Personal Printer/Fax/Copier/Scanner City of Atlantic Beach Bui 904-247-5845 Feb 23 2005 1:36PM Last Transaction Date TimeIdentification Duration FA= Result Feb 23 1:35PM Fax Sent 96657372 0:58 2 OK 11997 a8A-3ena DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ...,..�-- PERMIT 'INFORMATION- ------ -- LOCATION INFORMATION -- Potmit Number: 11037 Address: 395 SKATE ROAD Permit Type:MECHANICAL ATLANTICBEACH r FLORIDA 32233 class of 'Work:ALTEPATION. - LEGAL DESCRIPTION ---------- ,Constr. -Constr. +Type:'FLOOD FRAME B1 perk:' lot : Twp 4 Proposed Use,. Section: D Subd:0 Rng: 0 Dwellings . 1 Subdivision* 19t . Value., 0.00 Improv. Cost : Total Fe 37 .00 Amount, ,37 010 :SYS!gZX IN RE IjjRNCE APPLICATION FEES �m I3 =iT ,Addb x �, Phi > FOiTI Notme 'HU AM TV (yy�,A'IRM � � :auara+:wgnroc,a!s W},,WXfWvrea'aztlm.4vC�sr4� r�°Yra.*mWa'ro. 0.5Wanawrte �a'ua^nxy,h g�+ y��y{yy r� �9'd'46Po�ilR'd.°wmxm +7ACItL3C3Ns IL�ACH r FL Lic Exp- 491 t ! „ NOTES: NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST IM 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 CLEANED UP AND HAULED AWAY BY EITHER.CONTRACTOR OR OWNER. ""FAIL.URE TO'' COMPLY V'ITH THE MECHANIC'S LIEN 'LAW CAN RESULT IN 7M, #PROPI5R TY,OWN R P YIN TWICE FORTHE BUILDING IMPROVEMENTS QED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT S TITO "':'VIOLATION OF APPLICABLE PROVISIONS OF LAW. AXL.ANTIC BEACH�BU#LD#N DEPART NT } By: City of Atlantic Beach REPRINT CUSTOMER RECEIPT + Doer: DOM Types OC Drawr: 1 Date: 2/23/85 81 Receipt no: 35342 Descriatiom Quantity Amount 29]64 BP BUILDING PERMITS 1.0 $78.N Tender detail CK Total tendered 19833 179.0 $78.88 Total payment $78.80 Trans dates 2/23/05 Tine: 13:24:88