Loading...
Permit 363 Skate Rd (vault folder) CITY OF rd i'�'eacli - �Gvtic�lct �-�� 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 April 13 , 1995 Mr . Edward Long 363 Skate Road Atlantic Beach, FL 32233 Dear Mr . Long : On April 11 , 1995 we mailed a letter to you certified mail regarding the property listed below. The letter you were supposed to receive is enclosed. 363 Skate Road a/k/a Lot 5 , Block 24 , Royal Palms 2A RE#171673-0000 It appears you were sent a letter addressed to another resident . Please accept our apology for this inconvenience. Sincerely, fvl/ Karl'^[ W. Grunewald G4G.fff Code Enforcement Officer KWG/pah t i SENDER; I also wish to receive the • Complete items 1 and/or 2 for additional services. • Complete items 3,and 4a&b, following services (for an extra • Print your name and address on the reverse of this form so fee): that we can return this card to you. 1. (Addressee's Address + Attach this form to the front of the mailpiece,or on the back if space does not permit. • Write "Return Receipt Requested" on the maiipiece next to 2. ❑ Restricted Delivery the article number. Consult postmaster for fee. 3. Article Addressed to: 4a._Article Number 4b. Service Type 5-ke. 11 Registered ❑ Insured tZ j X33 Mtertified ❑COD ❑ Express Mail ❑ Return Receipt for Merchandise 7. Dated Del' erg,,,,,,. 5. Signature (Addressee) 8, A ess 's Address(Only if requested a fee i paid) V nature (Agent) 11dForim-38tV I, October_1 0 u.s.oFo }sUa-Ora sst DOMESTIC RETURN.1W CITY OF /*Q g6le Se d - 57&Vd4 800 SEMINOLE ROAD ------- -- --- -- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 April 13 , 1995 Mr. Edward Long 363 Skate Road Atlantic Beach, FL 32233 Dear Mr . Long : On April 11 , 1995 we mailed a letter to you certified mail regarding the property listed below. The letter you were supposed to receive is enclosed. 363 Skate Road a/k/a Lot 5 , Block 24 , Royal Palms 2A RE#171673-0000 It appears you were sent a letter addressed to another resident . Please accept our apology for this inconvenience . Sincerely, Karl W. Grunewald Code Enforcement Officer KWG/pah CITY OF 1'�a�rtic �'eac� - ��vrida 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 -�- TELEPHONE(904)247-5800 FAX(904)247-5805 April 11 , 1995 Mr . Edward Long 363 Skate Road Atlantic Beach, FL 32233 Dear Mr . Long: Our records indicate that you are the owner of the following property in the Citi of Atlantic Beach, Florida: 363 Skate Road a/k/a Lot 5 , Block 24 , Royal Palms 2A RE#171673-0000 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 12-1-3 - Vegetation, i . e . , high grass and weeds on property; Chapter 21 , Section 21-24(a) - Abandoned vehicles on property . You are hereby notified that unless the condition above described is remedied within forty-eight ( 48) hours 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 : Suzanne Patterson, Occupant City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED PSR-3844 11916 i DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - PERMIT INFORMATION ------ -- -'-'"' - LOCATION INFORMATION -------- Permit Number: 11916 Address : 363 SKATE ROAD Permit Type:RE-ROOF ATLANTIC BEACH , FLORIDA 32233 Glass of Work:ALTERATION ------ LEGAL DESGRTPTION ---------- Constr. Type:W00D FRAME Black: Lot : Twp: 0 Proposed Use: Section: 0 Subd:O Rng: 0 P Dwellings : 1 Subdivi.sion:ROYAL PALMS Est . Value: 0 .00 c Improv. Cost: 700 .00 Total Fe 25 .00 Amount-, 25 .00 1 1411-1 C496 kJorkWv ° _------- TION ---t--' APPLICATION FEES ---------- Name- ` ' 1,4164 I T 25 .00 Addr OAD $ A : FLORIDA 3 • PhomaIPU 0 0 E ______ - �R R FORMATI1 ------ Name: FRCERT INER n. Ex NOTES: PAID MAY 1319% City of Atlantic Bch. 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 MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANCDaW13J&QiF/jPftEVOk$Tj S 4 VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS 582 sum1 ATLANTIC CH BUIL G D RT ENT By: CONTRACTO.R,COPY x . 11916 t EEPARTMENT OF BUILMNO CITY OF ATLANTIC BEACH ` ._ . PERMIT I DiFOMAT I ON - _.. _ _- LQCAT I ON I NFORMA'T I ON .... � Permit i t Number: 91`E'i Address: 363 SKATE ROAD $ 1iit I' pe :RE- ROOF AT'LANT'IC_BEACH , FLORIDA 32233 Clads of Work*ALT'ERATION. �_� ..._.. . LIIGIAL DESCfiIPTION -_p: l Con '` :, �0 FRSESevqtionl* 0 , SUbd*.O Rn, Proposed Us $Iock Lot.; Twp: Dwe�l iri a:: sUbd vision ROYAL PALMS a Est . Value* 0 .00 Improv. ' Cost : 700.130 'I'dtat F 2 .O ? ., . '. Art oun Ll ---------.•� TICIN , - .,�.�.� APPLICATION FEES Name IT 45.00 Addy`: 1AD , � FLORIDA Pho. R RN ."P I Name*,. PR A Exp: T t 1 G „ a R M ICE -14td. t A�eF+ B ANt,)FOOnNGS MUST 8E jN,$PEC'M BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE. BU#I.UING MATERIAL,Rus"H��ISI„I3RIS FROM THIS WORK MUST NOT BE PLACED IN�,I,LJBLIC SPACE,AND MUST,BE q. D UP AND HAULEDAWA, BY IT tER CONTRACT©A OR OWNER "FA L�J0 E T0,-lIqMlP ' WITH THE,MECHANICS LIEN LAW CAN RESULT IN ,, 'A'"V�INGTi�ll'ICE F+�ATHE UILDING IMPROVEMENTS r � ISSUED ApCORblNG TO APPS[)PI ANS WHICH ARE PART OFT PERMIT'AN SJ T1lI�RE w VIOLATION OF APPLICASLE P 2UVISIC INS OF LAW. t ATLANTIC HBUIL 3 b R T IdT `Bys Iwo .. .a'l .taa + ^ .;,5 a.•`t/wt ,i�';• . . -zss ,+.. CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION Owner(s) : Address: 'q azj Phone: ! - lam, Lot # Block or Unit # Subdivision: Contractor: Address: City, State and Zip Phone State License # Describe work to be performed: .f� Valuation of Proposed Construction:_ Materials to be used: �i J.'" Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information PAI M AY 13 1996 City of AtlarrtiC B6 PSR-3S" 11398 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT .,-------. LOCATION INFORMATION --------- Permit it Number: 11398 Addrexs: 363 UATE ROAD Permit Number: MECHANICAL BEACH, FLORIDA 32233 Class of Work: ALTERATION _� ._ � .,� LL13AL 'DESCRIPTION ____ Constr . Type:, WOOD 'FRAMIZ Lot : _ IsIovk Section: Propos ed Lice: SING 49 FAMILY' Townohi p RNO*. � Duel Linc ;_ 1 Cod 0 Subdivisiori; ROYAL PALMS Estimated Value: 0 .00 Improv. Costa :Qfl Tot 41 a $47 .00 Amo $47..00 &Iso , TIM. HEAT AN13 AIR I FISs3 HUI DII*iC3 ` ' }IO �O i - APPLICATION FEES x v K PERMIT, Ad rens_ E ROAD WAI IMPACT FEE 0 00 CRS FLOP, vi"t� « P t? Q AP RADON OAS�R.R.S. $0.00 NF4R A ON -- -_ -_ RADON CAB 5% $0.00 Name SNS HE INo & COND. CO. CAPITAL IMPROVE. $0 .00 JAC ILLE, FLORIDA 3224 CROSS ;CONNECTION $0 .00 L o C 2 Type: 3 SEC H IMPACT FEE .QQ CONST''SUR,CHA,RGE SD 44; NOTES. NOTICE-ALL CONCRETE FRMS AND FOOTINGS MUST BE INSPECT90 BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE G BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY 13Y EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN `G THE PR 3PEI TY C)WNER PAYING TWICE FC) LTH L3 ' ILDINCOMPROVEMENTS" ISSUED ACCORDING TO APPROVER PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR k VIOLATION OF APPLICABLE PROVISIONS OF LAW. $47.00 14 el GIEOM ATLANTIC BEACH BUILDING DEPARTMENT 0013221000 - .s�� BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC atACM, Its.01110A afteea APPLICATION FOR MECHANICAL PERMIT CAL41N NUMBER IMPORTANT -- Applicant to complete all item in sections I, II, III, and IV. ,LOCATION Street Address: 3 hOt7'e /lQ L /) OF Inteneating StrNk: Ietween 47 ///a/I !CL ,(j1d AMI WILDING Saab•divisien 11. IDENTIFICATION - To be completed by all applicants. In consideration of permit gi-en fw doing the work as described In the above statement we hereby.agree to perform said wwk in accordance with the atfactyd plant and specifications which are a part hereof and in acewdaneo with the City of Jaaksoavillo ordinencos and standards of good practice listed therein. Nance of lbahanisal C"tfaslart coofrea#er I�riat) Ma" C- CQ --� 7.2, Nene of hgerty Owner / L on 5- 6400s re of Owner — w i fgnafasre Ar"iad Agent SO=erra/Mgioaat Ile. GWERAL INFORMATION A' Typ e'f heating W. e• le OTM CONSTRYCTION WilNert am Cl doCt*is ?"11111WIILD04 04 SITE T p crw—(3 It O Nefwrol p C wW Ufft IF Vito. GIVE WiMe"0►co"STtttic"ON O Oa PC"? — O other — SwOr IV. 649 ANICAL IPUO r'R TO K 04TALLID NATM OP WOU IVaw40 cayk.la Rw of es"We"ad..bees of tAfe Benj ET'ftowentlal or ❑ CotylemvW O Nast O >pose O RowaW O Caittwl O Nae O New oumdfrlO O Air Coo"Viceeingt O Roan O Co" Q-u@Wq ono syel o: Me FSC--Y TIsmew � � 0/n4immmm of ed.«n,f"sum j C7 Meafrawn cap Joy /2-00 zvv New MelaNalli t pato gelim p iou*NlataNelq p Rafr:g.retfe. O Mdor4 en er eeeat t0 o"Wq getoln D otlar—eo.ah O Caofieg fewer Gpeffy ! • O Fin spinkiae: Nrns`w of We& O fievesw O M.asft O `--A--_."._�I1 "M,AAAI FOR 00111110 wf QWy Q iawL.a w ---(« «►1 1Aewr.�1 O Tads;... (nstmbwl Retnalh O Uafwd romwo•elect ' O ealMre P'"nM Appi as rr O Orbe.— ipcfiy ujrr ALL ZQVIFMSNT Alli C01IMMON1NG AM R MWALIRAT10N LQtllM6NT lArwBet Vdtr SIM me">Kr1u1Nr 11bWAftdiiiiiiw � CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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 IN'ACCORDANCE WITH-THE ELECTRICAL REGULATI NS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. .R & R Electric of .horth Florida, till ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURN YMAN NAME Long ADDRESS: 363 Skate Rd. RFD BOX BLDG.SIZE BETWEEN: RES.L4/ APT.( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW( ) OLD(-,r' REW.( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SCI.FT. SERVICE: NEW( ) INCREASE REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ALUM. , CD SWITCH OR BREAKER AMPS PH W / LT RACEWAY EXIST.SERV.SIZE A% AMPS PH W � T RACEWAY FEEDERS NO. SIZE N0. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 51.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF: AIR H.P. RATING H.P. RATING CONDITIONING COMP. OTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS SPrvi'cP Tn .reaae: Heat & A/C P 384 429 113 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERA;�F PROVIDED NOT FOR I4TERNATIONA MAIL (See Rever e) � s t Q !7 N oStreet nd No. _ (� a P. t tJo and IZW e C���� {c rl ? Postage S Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered / ( 0 N a°py Return Receipt showing to whom. +- Date. and Address of Delivery d TOTAL Postage and Fees S Z� 0 Postmark or Date M E 0 CAIa 2 kf r CITY OF 800 SEMINOLE ROAD -- ------- --------- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-SM j.- FAX(904)247-5805 April 11 , 1995 Mr . Edward Long 363 Skate Road Atlantic Beach, FL 32233 Dear Mr . Long: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 363 Skate Road a/k/a Lot 5 , Block 24 , Royal Palms 2A RE#171673-0000 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 12-1-3 - Vegetation, i .e. , high grass and weeds on property; Chapter 21, Section 21-24(a) - Abandoned vehicles on property. You are hereby notified that unless the condition above described is remedied within forty-eight (48) hours 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, i_z Karl W. Grunewald Code Enforcement Officer KWG/pah cc : i-Suzanne Patterson, Occupant City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED 1 PSR•3544 . 11014 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PEkMit INF` tRUA TION ------ -__-,._«.. LOCAT I ON I NFQRMAT I aN Permit Number: 11414 Address : 363'; SKATE ROAD Permit. Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Claus of Werk: ALTERATION" ---------- LEGIAL DESCRIPTION '- "onstr Type: WOOD FRAME Lot Block: Section: Proposed Use: STNOLE FAMILY Township: RN€3: 4 DireiIings: I Code: 0 Subdivision: ROYAL PALMS "Estimated Value. S0.00 Improv. Cott: 84.00 Total Fees * S25a0�► Amount id $25.00 U I/ S/9a Work y LACEMENT Name: 4 ' ,; �.. PERMIT $25.00 Acid O LI3 � NATER IMPACT FEE $0 .00 E, CIt, FLORIDA � 2 33 S IMPACT FEE $0«O0 TAX .B. I NVORMAT ON -------- RADON CAB %' $0.00 Name. .W A- LU,MB TAI Co. CAPITAL IMPROVE. $0 .00 'Add r e's s : 01 ER 5115581 � Njp°�m$�(yy� S " ESR TAP�gY NET TI � C�4 n :... -�2`i kt 0-1 �e.td'+Y59�1V,WW OS N MY i ION $0,.00 . License*, Type. 4SEC R INPACTFE ' 1 .00 Yyw ! R4 GE • M SyRyyy } p01 5 'a ,%'d' 1'Yu"k.SeMeaaflSrokV%A unx§^w4w.xmeR{yye4. mx*Ya 4:... 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 T0? COMPIY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE'PROPERTY OWNER,PAYINGTWICE FOOTI�IE SUI`L DIN IMPROVE ENTS" ISSUE©ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR YIOOF APPI.ICABLI I�ROV]IS ONS OF LAW. AAAM­ 01 ATLANTIC J3EACH BUILDING`DEPARTMtNT 1 0 10 > k f t CITY OF ATLANTIC BEACH //APPLICATIIOppN.. FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY :_ PLUMBING CONTRACTOR F w FAIR PLUMBING C-o CONTRACTOR ' S ADDRESS : p Q. BOX 51558, Jacksonville Beach, Fl. 32240-1558 STATE LICENSE NUMBER: RF 0037503 TELEPHONE : 904-241-7191 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER �� _ � TOTAL FIXTURES : x $3 . 50 + $15 .00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 1 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: /7 JL e em1�rg- 19q? IMPORTANT NOTICE: �TG - y 2 �_ I 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:/ ASTER ELECTRICIA"WhIATUIRE �JJOURNEYMAN NAME���` /�!�-tet a/ ADDRESS:_ 3 S �7�c �oa d' RFD BOX BLDG.SIZE BETWEEN: �rr9y.9/�� p�iIZA RES.( ) APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW( ! OLD ( 1 REW.( ) ADDITION ( ) TRAILER ( ) TEMP. ( 1 SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER f ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE /00 AMPS PH .3 W 2,3 0 VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES 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 ICEILHEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS CITY 4F r Office of Building Official REQUEST FOR INSPECTION Date jj � t - Permit No. » !' Time A.M. Received P.M. District No. - ��& Job Address Locality Owner's + Name Contractor + J 1 -f2 e'CJ BUILDING CONCRETE LECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Siab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel 0 Fire Place 0 Pre Fab READY FOR INSPECTION M. Mon. Tues. Wed. Thurs. Friday C' A.M. inspection Made _ P.M. 1451 Inspector ` ' �-� Finallnspectton # Certificate of Occupancy Date P P "b DATE PRE:-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 2'3J WENT DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE: FOLLOWING FINAL IN'SPEC:TION(S) HAVE: BEEN MADE AND ARE SATISFACTORY : aZL --- --- - - - - ------------------------- ___ I ---------- -- ---- -----------_----------------------- ------ ------ --- --- -----------------_--------------- ---------------_---__--------------------------------- ::SINCERELY, BUILDING INSPECTION DIVISION cc:FILE 4j CITY OF Office of Building Official REQUEST FOR INSPECTION Date r Permit No, Time A.M. Received PM.. 3 6-&4b_ Job Address Locality y� t� Owner's Name _ Contractor BUILDING CONCRETE ELECTRICAL �,,�^ PLUMBING MECHANICAL Framing ❑ Footing 0 Rough Wiring ,�r� Rough ❑ Air Cond.& ❑ Re Roofing Cl Slab ❑ Temp Pole ❑ Top Out ❑ bleating Insulation ❑ Lintel ❑ Final I SFi U- t"1�u��7�Sewer M Fire Place 171 f4?V M NDIC Pre Fab kk Mon. Tues. Wed. Thurs. Friday PM. A.M. Inspection Made t PM. Inspector- inai Inspection O Certificate of Occupancy❑ Date LATE:'Q_J ~ 7 PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S> HAVE BEEN MADE AND ARE SATISFACTORY: a6i C'� ----------------------- --7--- ----------------------- ------------------------------------------------- ------------------- ----------------------------- ------ ' ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, BUILDING INSPECTION DIVISION cc:FILE CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 Permit Number: 22344 Address: 363 SKATE ROAD Permit Type: REMODELING ATLANTIC BEACH, FL 32233 Class of Work: REPAIR Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s):5 Block: 24 Section: Square Feet: Subdivision: ROYAL PALMS Est. Value: Parcel Number: Improv. Cost: 3,145.00 Name: JASON SWINDALL Date Issued: 7/17/2001 Total Fees: 30.00 Address: 363 SKATE ROAD Amount Paid: 30.00 ATLANTIC BEACH, FL 32233 Date Paid: 7/17/2001 Phone: (904)242-7922 Work Desc: SOFFIT & FASCIA ' M 3 FRANK WISNISKI T 0 - • . . ,s PIP I VP 4y= p, g' u NOTIC - INSPECT UST SE REOt, D ATAgA57 24 HOURS,P R TO IN ECTION BUILDING MATERIAL RUBBIBRIS FROM THIS WORK MUST NOT 6 CEO IN BLIC SPACE,AND MUST BE CLEARED AND HA AWAY BY EITHER CONTRACTOR OR ER "FAILURE TO COMPS WITH STRUCTION LIE AN RE T IN THE T PROPERTY OWNER P C 'F . V ' - . ISSUED ACCORDING TO APPRO IC °A R t IT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PRO N A�'LA TIC B ACH BUIL ING DEPT/.� ' R E C.E7 E D CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS,City of At,ial�tic Beach MOVING, DEMOLITIONS l:�iC;lf and Zoning Owner(s) 7 -- r-, Job Address- 3C�3 c"51�Cca-�-^c- Phone C' n L4 Lot# Block or Unit# 22� Subdivision a •u Contractor �nc,�t,[ State License# Address 3tl= QI,; l�•�, _ DLA Phone qo1-A zsa. 1 �(1 City��p `l'�' ..j State =1 ZipE)�:j Describe work to be done �•�� 1.. t Present use of building Valuation of Proposed Construction__ 1 �JC'� 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? New electrical (or increase) r3� New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE (COMMERCIAL)TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. t--� Signature of OWNER aa Date: 1 „�-- L p RSignature of CONTRACTOR 1---- , Date< _QU � G o1F 1cc STATE OF FLORIDA COUNTY OF ntj tjf4,L Sworn to (or affirmed) and subscribed before me this day of %f' 200 AS TO OWNER: Notary's Signature ❑ Personally known ❑ Produced Identification Type of identification produced Sworn to(or affirmed) and subscribed before me this- day of 2001 AS TO CONTRACTOR: Notary's Signature ❑ Personally known MAUREEN KING ,E Produced Identification NOfWY Pub(jcn-VotePIM3 of r 31,iq Type of identification produced F'jjL Expires Mor 31,2002 � Commission#CC720781 Lead Number: 1935151 Group: 02B Rescission Date: Appointment: Monday,July 02, 2001 at 7:00prn Friday,July 06, 2001 Office: 2-Jacksonville(S,W, D) (old 02) Name: MrJASON SWINDLE Product: Sidin Address: 363 SKATE RD Offer: Save$500 ATLANTIC BCH, FL. 32233 Plus Info: Home Ph: (904) 242-7922 Rep Code: Bus. Ph: (} - Ext. Arrival: Departure: .� Spouse: Check One: Subdiv: ROYAL PALMS ❑Sale []Sit-No-Sale ❑C Rest S Re Amount: $ Sales Mgr: PRICING TO CUSTOMER TIM ED MERCHANDISE Financing (DING KITCHEN WINDOWS (Check One Initial: $ #SO LN.FT. # � HIPS Lowest: $ COUNTER TOP TYPE ❑ Conseco Combo: ❑ Yes ❑ No WRAPS REFACE OPTIONS ❑ Alternate Job#: FO NEW COLOR ❑ Cash OTHER ❑ Credit Card Rep Comments: TLAV CITY. OF D1N0 OFFICE` wtMw, Directions Q 95 TO BULTER BLVD GO E TO AIA LFT// Don ,, D nner11 1 th St r ALTANTIC BLVD LFT RT ROYAL PALMS //FIRST t LFT//DEAD END TO SKATE RD so r el a Laka . ;rt o in r Q + rat. -a I 'gn t r Message To The Rep � A; SIDING ENTIRE HM SET MR NO MR PER MR PRIME LDS 10 'e 2000 Mapauest.com, Inc.; Q2000 CDT, Inc- (Street) (City) (State) (zip) According to the following specifications: NOT SPECIFICATIONS INCED INCLUDED PREPARATION: 1. ❑ Obtain all necessary permits and insurances. 2. ❑ Inspect surfaces in work area-renail loose wood,replace rotten surface wood where necessary in work area excluding roof,decking or rafters,and structural members. 3. ❑ Remove Existing siding: Type: 4. ❑ Fir out walls on brick,block,metal or stucco areas:Location: 5. ❑ or Caulk and seal around all windows&doors in work area as necessary. 6. ❑ Install approved non-corrosive starter strip. INSULATION: 7. ❑ Install insulation on flatwall areas to be sided with"3/4"/"1/4"extruded poly-styrene insulation. CUSTOM TRIM: 8. ❑ Cu Is( m Vyna-Klad aluminum fascia system: Color: T 9. ❑ .ff Remove and reattach/dispose of existing guttering. 10. "o' ❑ Cover soffit areas of home with vinyl soffit system,except those areas noted below. Color:S:ro�T'attern: 11. Custom Vyna-Klad aluminum frieze boards: Location Color: Size: 12. ❑ Jump/Butt window trim: Location: Color: 13. ❑ Custom wrap windows/sills/mulls/headers with Vyna-Klad aluminum: Color: 14. ❑ Remove and reinstall existing storm windows/awnings/shutters. 15. ❑ Custom wrap door facings with Vyna-Klad aluminum: Location: Color: 16. ❑ Custom wrap garage door single/double with Vyna-Klad aluminum: Color: 17. ❑ �` Remove and reinstall storm doors. 18. ❑ Deluxe corner posts: Color: 19. ❑ Z ALCLIP locking system: Location: SIDING: 20. ❑ Install S-100/Premium Solid vinyl siding. TYPE:HorizontalNertical STYLE: COLOR: QORCH 21. ❑ Porch ceilings: I^^tion: Color: SYSTEMS: SYSTEMS: 22. ❑ Porch posts: Color: 23. Porch beams: Color: CLEAN UP: 24. ❑ Clean up and removal of all job related debris: 25. ❑ Each job is over-shipped to avoid delays.Remove excess materials and re-stock. WARRANTIES: 26. ❑ Mail customer warranty after satisfactory completion. SPECIAL ITEMS: p 1&e�> Work not to be done: NO DRIP EDGE COVERED-NO PAINT APPLIED NOTE: THE WARRANTY PROVISIONS AS STATED ON THE REVERSE HAVE BEEN EXPLAINED AND VWE UNDERST FULLY. ADDITIONAL PROVISIONS AND WARRANTIES ARE STATED ON REVERSE SIDE AND ARE PART OF THIS CONTRACT. Please read the following bold type and initial corresponding line. Verbal understandings and agreements with representative shall not be binding. All understandings and grprits, must be set forth in writing in this Contract. Purchaser Initials: ty 6- The TOTAL PRICE for all Labor&Materials(including any applicable discounts)is $ Down Payment $ _ � Balance Payable $ Amount: ( r_ Terms: Credit (Subject to the approval of the Credit Department) Cash ❑ (Final Payment payable to installer upon completion)Funded by: Bank City St. Acct# If this is a credit transaction, the agreement for credit is contained in a separate document which is incorporated herein by referenc and made a part hereof. I/We the undersigned are hereby authorizing Sears Siding & Windows to verify and review my/our credit record with i e endent credit reporting agency and release them from all liability incurred from inadvertent omissio or errors. � ` awl IN WITNESS WHEREOF Purchaser(s)have hereunto signed their name(s)this___ -_- day of �,I1-Z ___- ,15______and knowledge receipt of a true copy of this Contract and unless otherwise specified,it is understood that the owner is ready for this work to begin. THIS MESSAGE APPLIES TO DOOR-TO-DOOR SALES ONLY. You the Purchaser(s) may cancel this transaction any time prior to midnight of the third day after the date of this transaction. See accompanying notice of cancellation form f explanation of this right. Signature affixed ben acts as recei t thaturcJhaser(s)received separate cancellation forms. SUBMI Re .sentat" e Date PurchaasserL5 �/ Date 70 SSN l ( l l M ACCEPTED BY:Au Signature for Sears Siding&Windows Date Purchaser Date SSN sch City of___-Atlantic W Oper= BORDERS Types M Drawn 1 Date: 2/23/46 0 Rectipt no: 35283 � 4wicription Quantity Amount 32316 BP BUILDINS PERK.S 462.56 Tender dotail M CREDIT IXC $62.9 Total tendered $62.51 Total payment $62.5o Trate: 2/23/16 Time: 16:13:29 CITY OF ATLANTIC BEACH }� 804 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032318 Date 2/23/06 Property Address . . . . . . 363 SKATE RD Tenant nbr, name . . . . . . INSTALL SCREEN PRCH Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 Owner Contractor -- ---------------------- ------------------------ SWINDALL, JASON OWNER 363 SKATE ROAD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 5000 F'ee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 .50 . 00 . 00 Grand Total 82 . 50 82 . 50 . 00 . 00 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BU f. T'F SIAL rs �'l''"' CITY OF ATLANTIC BEACH Cc: BUILDING / ZONING DEPARTMENT 1 800 Seminole Road Doerr Atlantic Beach,Florida 32233 / (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 0(6--59-151b Property Address: ) Applicant: �, � , G � I �CL Project: � r Yl 1' GY� T,his permit application has been: � Approved FoqRe ' e and the following items need attention: t 1 �t5 tt ��-�CJ �,��,y l,nom u,,. ej 'F- vzZ l T l Oki ;Rk i b Cay (ACL Please re-submit your application when these items have beer Reviewed By: Date: {3 Date Contractor Notified: CITY OF ATLANTIC BEACH ' BUILDING PERMIT APPLICATION �' wN (Alterations&Additions) Date: Job Address: K1.�- e. Owner of Property: ()" UJ Address: E:�YaJQ CA Telephone: d Legal Description: Block Number: oL y Lot Number: Zoning District: Contractor: iU I pi State License Number:. W n Contractor Address: N I A- Telephone: 0 I R' Fax: 1A Describe proposed use and work to be done: Cutler Y r i( � Present use of land or building(s): r Sct I -;;)- Valuation of proposed construction: ` e5cc�o,C)(D Dimensions of the added space: feet x Y1 feet Will this project involve: ❑ Heating&Air- ❑ Plumbing ❑ Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? MO If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? ❑NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this ,y project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building t` Permit. ANO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. I/ STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required,written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application(please print). Name: a5 `✓ iI ' Mailing Address: UU Telephone: kq) 2_11-2- -19 Z Fax: E-Mail: }�(,L�71'I I I541ou -r1 , n,_. I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. v l L Signature of Owner: �' Date: 1 `� AS TO OWNER: Sworn to and subscribed before me this day of h?&yq e t,/ 204(,1. State of Florida,County of Duval ,*0 .lanot S.Garovmy Notary's Signature WA, My Commission DOQt>[iT!aExpires Juni 1t.IW ,Personally known �P •camEJanet S.Galloway ❑ Produced identification ;Vf,`}-� tiny Commiaiw DD213672 Type of identification produced p" Expim June 18,20P Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 3 Revised 8/04 NOTICE OF COW/IENCEN=1 State of y-le,r;low Tax Folio No. County of ]7yy t4 1. To Whom It Viay Concern: The undersigned hereby infomtis you that improvements will be made to certain seal property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICEO ONEWENCEMENT. Legal Description of property being improved: ,3(03 5j k a>-e U. 1451,n'-'L $ray C.k FL% 32L3 3 Address of property being improved: General description of improvements: �_� � �( S�4 D W py �j G��•G� �,r� t �iOwner.-Ykti Address: 3(0 3 IQ, / wb c,stat ri, 3 2 23 3 / Owner's interest in site of the improvement �e Simple Titleholder(if other than owner): Name: Contractor. Z 4LS a, 6 ✓ Address: Telephone No.: Fax No: ,:ty'(if any) Address: Amount of Bond S. Telephone No: Fax 1No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State ofFlorida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself owner designates the following person to receive a copy of the Lieuar's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement the e, cation date is one I JENNIFER L.BENDErn ( Yp ( )year from the date of tftsimaay t! tatl�Fivrida 'pecified): My Comm.Expires Jul 1,2007 ommission 17 Bonded By National Notary Assn. .SPACE FOR RECORDER'S USE ONLY OWNER """" Doc#2006049621,OR BK 13065 Page 1511, Signed: Date: L O Number Pages:1 Before A U32iis i a day of in the County ofDuvai,State 1 Filed&Recorded 02/1012006 at 12:41 PM, Of Florida,has personally appeared J N Li. Wt 940AL4- J)M FULLER CLERK CIRCUIT COURT DUVAL COUNTY Notary Public at Large,State of Florida,County Duvai.1-1 RECORDING$10.00 My counnission expires: rell Personally Known. or <<- v....a.,.-...i r.;d..,;f;...,,;,.... CFAna 2 i r a.az Int :-x 1 Y ✓i CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT R Date: Job Address: !:) -; <5�c,� f CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNERBUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK(EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. 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. Janet S.GaW way My Commission D0213572 PERTY OWNERBUIL R a� Expires June 18,2007 7 SWORN.�TrO AND USB�ED BEFORE ME THIS DAY OF e r2U Q P—V 20ou. :F MyCommisswnnit ExPhw JUN l*.XlV )tOTARY PUEILIC COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE.. CITY OF ATLANTIC BEACH cc: J BUILDING /ZONING DEPARTMENT }{ 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 904 247-5800 ( ) (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: AO�5 Applicant: V Q K `oto Vd,a- Project: 1 i Ger �"� I r�elc�� cd�nd-e►��►� This permit a °cation has been: "- Approved Reviewed and the following items need attention: Please re-submit y r applicati hen these items have been completed. • Reviewed B • i _ YDate: Date Contractor Notified: CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Alterations& Additions) Date: Job Address: _= ' Owner of Property: ✓ {' ,', '�` '' Address: ° ? j Telephone Legal Description: Block Number: o'Z Lot Number: Zoning District: Contractor: k i F, State License Number: Contractor Address: Telephone: Fax: ' Describe proposed use and work to be done: G Present use of land or building(s): ( Valuation of proposed construction: r Dimensions of the added space: g feet x r3 L; feet Will this project involve: ❑ Heating&Air- ❑ Plumbing ❑ Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? ❑NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building ` Permit. ftNOS. . Applicant certifies that no trees will be removed for this project. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each mouth. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 22 Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction 'topographical survey or grading plan is required. (If not required,written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories-and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application(please print). i ) ' Name: lel g' Mailing Address: '" f ? A' S , Telephone: (�'1)4) �. E P Fax: E-Mail: .A v I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: L Date: AS TO OWNER: gg--- Sworn to and subscribed before me this day of /� ,�C1a0e State of Florida,County of Duval ,a+ Notary's Signature: janat S.Go*rny my ""8°ion 0=392 Personally known Janet S.Galloway ❑ Produced identification � My commission D0213572 Type of identification produced V#)of a.� Expires June 18,2007 Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us Page 3 Revised 8/04 CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT e Date: f - Job Address: �i � CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR- YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK(EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. --Acl, Janet S.GalbwaYr1.: V�V , vd aicy Commission pD213572 PERTY OWNER/BUIL R pF . Expints June 18,2007 SWORN TO AND SUBLC IByED BEFORE ME THIS DAY OF OP—V 20 4�Z. &w Pa. Janet S. 'P Mycomfty" RDOQim VM/ EvimJum1Y,ur ! )tOrARY P IC COMMISSION EXPIRES: NOTE: PHRASES ITNT)FRLINFID AROVF. o �b f CNS os$ jjv�A 0-rip 14 op �� � ..� ��- ©N � r0t` OL Y- 00 (ZIP IFf ��� + e 14PL av ej 1. f Jun- 14-00 03: 53P ACM SURVEYING INC 1 904 389 6175 P. 01 MAP SHOWING BOUNDARY SURVEY OF, I f , t< I,,: (,,,r ci il,t\pr rl p,)Y,� "AIM"; .,\,I I WO A. AS; P1r(, ):!M L` iN -1: 1\1 WWX -II-'C1,(T 16;', Of IHI C.);1;,i N '1111W -iccoms (it n,vm C001qv. -1,01ZIOA. CrRIII­;ED Mi J,'1111'4 X *,ATOAi, AM) %JAWv A\'d­ YNINDAii ffl!il AVI IZICAN illi 1 VK1,iAW'",! (,*m1I'WjY CwO am aning Departift, This SP~VWNbIF ('01TIP11ancig WNh aJ,, li7.1 Zoning, subdivision and other Wc lard d*VORVWMK 11109alfili but does not c( Aiftpe �/ OPPMV111111 for OW 11111111101111ince of permits. osir—iiance n'OMN C)r'PITIWO FWkl$11111101111 WA _4 Code and all Other applicable floCat, 9"OW f%ft i permitting 11441111ilrements 4. Met be V milled t f the of Ar'antic tura 0 = Beach WIN ioe Bwmm P prior to of a L�j i 4 Appf0wed 1q. CCK 24 7.L..4 prior L010w, a N !13,Gr_1' (.01 A 1) N 82*43'58" E 92-90' (MEASURED) KM l0f V 11 ON LL)T 11. W -71 in Q LAI Q LIP, cn I Avg Li I <( 0, PI 0(:K :2,! Ho 'XIIK Alp V 001,101 11041 N 71 Lj KA Z V) K S 82*42'26" W I ouwy NAtt. IN rer,no IF 93.00- (MEASURED) X M-45'.6'91" VIP, i 93.00, k,Pi.pl) It I Oi is ;fi Of.,K 24 AM1111LU 0: Nr I fl�A A- ;?1 A,14.N ARZ c,,; ...­. f)- ALOK0 1111 Y eftjNnAI;, w ;;irm,(,I 11ARIZL, ny r*,pj, I I IV(I 111,j Ci.!r: !%s st-i0ft, opj I �!A DF:;('I,'P ION- `AIR)IIN W::-1 1,IA- dosr:X; Ax1'._!;1 %,, ?IPIV). 17001/, PAwr _Pnni o 3 )1,)!; NONVI 'i'.1 I t: �l V!L'mAr I 11UHT`, 11 OVA' A!: 1:�_, �0! 1) 1I..A7 &/Oil I I'l /:OLAVITMI N It. 11 r I-R :11 NIIII !JL17N ',rmcmy%L, T!.... I IN 1. 511PV1 NUI V&.11 A 1, H° r MHOY;i:.J bEM, 111 If !;ul"t-0R. " No SPRAY-TECH.INC. P.O.am 522290 ' 1 )Ni ;+b j k 14459 LONGWOOD,FL 32752-2290 3 ' Page 376 NOTICE OF COMMENCEMENT State: " County: ..1 d. k Inks keI 2441166062 Book: 10059 Page: 376 THE Ulm hereby gives notice that inwvemr"nt will Filed B Recorded 1 be trade to Certain � 0FILLER001 1is30:04 AM pt+operty, and in aCCordarnCe with JIM FULLER Chapter 713, Florida Statutes. the following information isCIMCIRUIT COURT DUML provided in this Notice of Commencement. TRUST FUND t 1.00 RECORDING $ 5.00 1. Description of property: (legal description "of " property,and street addressif available) SM Lir+►} .. 1K ~. 2. General description of i 3. Owner in(o<tn a. N=0 h Ito ` � a a C. N 6hdder Of other than owner): owl 4. CCntraCtor ( � g COATING dr S +t"c►.v -u l" Ali f� 0WOOD �2,FL 1T 1 YA S. Smety a Narre 6. Lender. (name Jr 7. Persons , 'thin the Statetiof Florida designated by Owner upon whomrtes or other I ruments may be served as�vided by Sect 713.13(1 xa)7,Florida Statutes: ( and address) y ,rye d r o to a of the Lienoes Notice as 8. In addition to him Uwner agnate; ilo n� py provided in Section 713:910, S ut . re ABO TOR 9. Expiration date of Notice of Conulencemem(the expiration date is I year from the due of recording unless a diffe Tit da is specified) (Si of Owner 6 Driers License )(5 j-3 LI' q31` 7G-Zcil Owner's Name: 7&Gw