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Permit 182 Magnolia St (vault) .: sy'•£ n -fib ,K, }�_� '� .Cn.'' . :2 1 = 1. DEPARTEkT,OF BUILme CITY©F ATL ANTIC B ACH P +IIT I P`D I D ;.�.�..�... . _ . .� A!`I U i' I IPOPA xTION Perm N'fiber: 7N014041A STIMIT 32,233 Int cif, W�±rIr:AL ' AT # . �. L AL DESCRIPTION ant , Type.WOOD, 5l o k s Lot, . �TSP P s d L .`: DL P`Axi LY Se 44 on. "0 � ubd Del I ire'40. 0subdiv , ii 1 s Eat" VoiT.u6= 0.00 .` Impeov.. Cos 'rota 1 e As0ount PPL US T .0 3AP D IN �g ' 4 p / l mu P T o S!X MC3NTHS AFT Ft DATA OF ISSUE P�' ! 9 ` i D 8 1 FF }ti THIS uVf?f RC MUST IYUT F'L FD.IN.!'E f IC 'A ,AAIC}MOT- IN, �� ui d �DITHER+ C 'T`RACTOR a r BTWICE FOR- I" TO ICH ARE PART U THIS PEflMlT A kTL3 BeACHSUIL00f1 DEAN M x Building Permit # y1 7 Electric Permit# Plumbing Permit# "11174o INSPECTION RECORD JOB ADDRESS 182 Magnolia Street CONTRACTOR Lewis Taylor OWNER Lewis Taylor TYPE DAr E RkNARIKS Ih*rECTOR FOUI DAT ION 1/1117-1- : e11,G/�, t/ SLAB .1L',-,4i lop PLUMBING (R) SEWER TEMPORARY POLE LINTEL/BEAM COLUMN ELECTRICAL (R) /aC' O , PLUMBING (F) FRAMING ELECTRICAL (F) 1D ._ (,y•?.L OTHER op"'' FINAL t CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : OWNER OF PROPERTY: -",at PLUMBING CONTRACTOR - Z_` 1LC/'7 3 !�j,tE'(, Gt CONTRACTOR' S ADDRESS: STATE LICENSE NUMBER: C.. d C3 TELEPHONE: 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 - $25 .00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 i i DEPARTMENT OF BUILDING 4161 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. 1 PERMIT TO BUILD j THIS PERMIT MUST BE POSTED ON JOB Date 9/27 1919— Valuation 9 79Valuation$_4145-44,60-- Fee $ 12S•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 Lw. This is to certify that Lewis Taylor y has permission to build s/f tlmi l i 1g Itesidfisitial Classification residential Zone Owned by Levis Taylor 641 Salt Air Loi Block s/D Abuse No 182 Nadia Street According to approved plans which are part of this permit i NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE x ► 0Building material, rubbish and debris Zfrom this work must not be placed in public space, and const bf eaa�e n and hauled away by eith tybil to or owner. _._. ! I ♦ � �'' JoWlkl Bill M. '•if,wis =' ` 1_ FOR.OFFICE PERMIT DAA CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER I WATER Date.---------- Permit I......Fee;../..1Z.1.0L. CITY OF ATLANTIC BEACH Valuation y�s� �..................... FLORIDA N 41 4/ ................................ ��....... APPLICATION FOR BUILDING PERMIT �AeA,e.e. g ,lu•� ~__ .._. ._ . 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 compiled 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 Atlaniic 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 CAR be verified. _ Date........................... iNo7SJ ....../T............... 1st ... Owner .. r� / � / Addres�,�'.t�vr /,7�. . = _.1 .�.� phone ?. ..... Architect..�z .4 ... s4 Y '�7.-•..................•----------.......Address.= 11&.rzx...:�Se'^:C-- ---Tphone No............................. Contractor Buildsr^/e&.'e.ar.. , _.............................Address.....-.._..._.......... .Tel a No............................. ............. / Lot No...... 5 l.............. Block No....... Sub Di slops,�l,�.. 1 .__......,1}"l.,L.. .��i ....Zone................. ............street .............�9ida Between.. ---- - - .... ........ .._......../.............and.........._..Ll..!`f.5�..�v1�.1�. ......L�i#s- Valuation r� 1 . ..For what purpose will building be used...,/��°S./.. �'�(!1Yf�/.....'Type of construction.—/d-4l l:'�.............. Dimensions of Building-Y&K.:c3-u``�7..........Dimensions of Lot... ' __:X..i!A O.......................Size of Footings.,-.Y.7— Q.............._...... Size of Piers...................................:Size of Sills............--........_........Greatest Sill Span in ft...........................Type Root�S�'�``1$1Z.�J. .1 yr'�S' How will Building be Heated l..�rd'.<,........................---............Will Building be on Solid or Filled Grom►d l-. a.11_d..._............... Size of Ceiling Joists.......................................... Distance on Centers--.......................... .........._ Greatest 8 " Sire of Floor Joists...............................................Distance on Centers.......... ................................. Greatest Span............................................ " Size of Rafters..............-------------------------------------- Distance on Centers.......................................... Greatest Span............................................ " This rectangle is to represent the lot. Locate the buildings or bnildiags in the APPROVED right position. Give distance in feet from CITY OF ATLANTIC BEACH all lot lines and existing buildings. BUILDING OFFICI~ RZAg LOT LINE Two copies of plans and specifiarrtions shall be submitted with application. 4?P 2 697Inspections required.1. When steel L in piece and ready to pour footing.L When steel is in place and ready to pour columns H. When steel is in place and ready to pour beam. 4. When framing is completed. ?> 5. When rough plumbing is completed,and ready to cover rep. 6. When septic tank drain field or sewer is laid but before it is covered. A q 7. Electrical inspection by City of Jacksoarille. 8. Final inspection. Note: In case of any refection,re-inspection MUST be called for after y� corrections are made. NT 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 as ordaaee-with the building regulations of the City of ticf�}ds:'� Signature of Buil CLQ_ ���� ....._.._................... Address. . ._.?........�IIYX.e..........��Z 21.7...... Signatureof Ownef............-fi t ' ............................................ Address................................................................... ........................... I ya417 6 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. j PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 92819-19- Valuation; pLUMBING Fee$ 10.00 Thispermit 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 3IM 14ANGRUM PLITl+ ING CO. has permission to build InRt 11 1 sink-2 119yaatories.1 bath tub.2 dfa s L 1 shower,1 water heater,l dishwasher, 1 washing machine. 109 eAXXT /4"., Classification residetaia3 Owned bLewis Taylor y Lot 1 Block S/D Salt Air House No 1R2 Na=Ql i a Street 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 x �l�. ► O Building material, rubbish and debris from this work mast not be e d in public space, and mast be clearedplaced up and hatiled away by either contraetor or owner. Bill M. Davis Building official. FOR OFFICE PERMIT ' DATE CONTRACTOR USE ONLY NUMBER PLUMBING i ELECTRICAL SEWER WATER sly f 9/27/79 T' foli 182 Magnolia Street ?A&TFR PLUMBER CITYICOUNTY OCCUPATIONAL LICENSE STATE CERTIFICATE BUILDER DER 'OR C0UNR)'RaC`"T0 Lewis WE OF BUILDING Of Residential 1. OW; . xAVATAR 2 4V 2 + � c �.�' 4:`dx1�' �,�-.�.a $Y �'.,��.�d d`'�,i n ;,t�^x, lib ix. k w '�4,!+'a ' h^Z WTV" � ��' �.. :�. ..k ate' f'�4`,1°� 'iMP� �'�� � ��; ., CITY OF A'TqJ,,N'MC BEACH 116 (W-Emi PIC"ITUIV&RD AVAKTIC BEACR. FUDRMA ADLENDUM TV) BUILD-i1w, -PLAN `Vht- artachod plan fOC Lheabavv*' baAwInq '�.44 'Ipprovto sufgort to Motiv'j the foltowlreq appllvab)-" ccoatruction requig-c 6. Vhali be covitinuous wonnlithic with MO 5/8" deformed reintoraing j",ods tvir one-atnt,,y J)uj3djaq3 arj,,a� t -0 _hAcise 5/9" defotwsol rplafa-ccinq rods for twu-story buildgs, Relotorciml rf�q shall be placed in tba tower 4:?jrjo-tb1rd of th*) foot.ii1qu, pt�>Poily P180-14d aad on �&U_10.0 vj-t.�t wiro. Foot lnqs aha ll txsix inthoR w1dot On each &ide them "ho wall *k"vp, Ah6lt be At 168.8t eight J',�,ncbon LbAck mod shaj�j jr*?at oo firm sol, at lowut tvejve t*Alow undlaturb4-+d S01J. ('Ach 10"IV, b,* r"'.Into-T'nzo4d With at, !RAst onp No. 4 6&r at a-tl cornejv, potor,-d anc. tam-re'-d' with -onerote; sorb f"IfIfOrcirws! ShaLl bf,- property tjt*-1 intO thA t >tjnq and �cs?4tldral boar'. All wow ff tg:use rarltaros troor ;�hat'l be oAvur'! Iy rastened t'r' thf. d Construct toll of noa�'�.by OnO--f4milY -ClWh at dupilcatou or inton-�;O-Is, ikkml'AAr, shalt be -tvodedoch UL,1114kfity coastd4prs thp cfxtorraj 'knd ."'L>P0aVAnc1'#a rcarte outwt, '441t dpai"" t�o"6 jot), 14imilez or 4!iiplAcate homes shbil nottonotriAct*l othor, and shad.). b,- at je&ut 5,)0 t:r-6o� ap,'�.rc :at ariy Ono ajokiar dwellickg is visible ftow ary Ot to ml-lar dwPlItr4q. ea Tho t1n*T coonv.txiction botwe"o the bsiq*.w pJtmbjtgq drajg� aad the 04rwor S*rwtr,,o (4t the P&OSS Arty UAW txe iy�qjp*cted Cho c1ty bofor'o beirkq by ')44 �-'q-wd Ohlp-1 4-'Zo.'W'l- &,-4d th'to Adlends'-w takao precodeoce AW0.9' any V*44trAz'e th,, plAn* and &p#c1t,1cAtj,aA0 MAO egcetts tr) rxmqAy wilth th% inkent of ajd(j 7(� CITY Of' A`.I LANVI C BEAD 7-7 APPLICATION FOR PLUMBING PERMIT .DATE Seqktember 10th 1979 jaOCATION Lot 641 - Salt Air Subdivision PLUMING pIRt4 JIM MANGRUM PLUMBING CO . , INC . STER PLUMBER V- James Mangrum C.YTY/COUI Y OCCUPATIONAL LICENSE ISO MP-65 .. STATE CERTIFICATE NO. STJX7(DER OR CONTRACTOR , Lewis Taylor, Inc . OF BUILDlyo Single Dwelling 1 -SHOWERS 2_,L&'IiATORY o-1.WATER HEATERS l.—BATH TUBS 1 DISHWASHERS URTNALS DISPOSALS 2 CLOSETS _1 di sHI"NO tmcmm --FLOOR DRA IDIS lNST*LL l XGN OF PjjrUMBjNG AND rlXTUREty t)�;T bi" IN AccoR A.NCE WITH THE Moiillr RFCWr EDXT�,'ON OF THE SOUTHERN STANDkRV PLUMBING CODE. JIM MANGRUM PLUMBING CO., INC. 5543 VISTA VERDE AVENUE . JACKSONVILLE, FLORIDA 32210 PHONE: 772-0428 CITY OF AT'L.e IMC BLEACH WATER CONNECTION CHARGE ��p. 06 LGCATI0W .__j Magnalia. OWNER PLUM21NC FIRM WiSTER. PL"ER 5U I LDER DR CONTRACTOR—.—____LgWis_ja*jcam,. TYfE OF BUILDING,.._� BATHROOM THRO CRWP CONSISTING OF SHOWER STALL, �"IMLES IC ( U?�ltS) . ..z TER CLO ;LAVATORY A BATHTUB .._ # ,THTUD (WITS! OR WITHOUT" OVER u..-,__,. HF,AS SHOWER) (2units) _._._.SURGEONS RINK (3 cpiis) —POET (S units) . FLUSHING RIM SINK OUPIW �.� CCA18 iiAT'ION SINK AND TRP 0 units) SERVICE SINwp TPJAP S ANI (3 EoftS) C ���51{//ft�,�y��Nl,0N STN AND TP.AY WIFOOD DIS. PO's, S�,ALLErR'-n SINK $ -lWrt RIN-AL, PUDESTALt, SYPHON Jr-El" ..,_..� DENTAL UNIT OR 0JSPIDOR (1 unit'; ,.....� BLOWCUT (8 units) �. DE AD,. i.AYPa'ORY fl unit) _,. .-IJIU RAS... WALL L3? f 4 vn i tS) —.-DRINKIZ FOUNTAIN (h Unit) �;a�lN,��$., S!'ALL, WA:a?101 (4 b�e's`irO (2 hilt:) URINAL TROUGH FACE c-n'. SECTION unI ue FLO,)R DRAINS (I vrift)F'°TCHfN `SINK (a units) .,nl.�...�iAS�iINC �CHti�E RES. 0 Units) w WASH SINK EACH SET OF FAUCET 1 'XYTC�HEN SINK WIFOOD WASTE GRINNER ...,�. 72 a:ftS WATER CLOSETS, `TANK OP (4 units LAVATORY (I unit) LAVATORY, BARBER, REAU'f�' PARLOR Units� . .� LAUNDRY TRAY 12 units) ,.�...�_ ...AVATORY, SU€:CEONDS (2 units) ri �1� 4 � � � � � �rte. :.{ � 'fil^• y r i ° . . 4 I- a .. �i�qV� G��,vN. '�'►t�.. X Haus f } {7 . t. �w f �fi ' J C��' � t a J.• k a na,�'E��i .+'�'a.3tr`i!s tl. ,•":. s.,ua3._+.:Il^a. ,.�:3t.1,.w.:. , CITY OF ATLANTIC BEACH �t4 800 SEMINOLE ROAD } ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 'J�J13 r r Application Number . . . . . 04-00029216 Date 11/03/04 Property Address . . . . . . 182 MAGNOLIA ST Tenant nbr, name . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3990 Owner Contractor DEWITT, DONALD SUNLIGHT SOLUTIONS, INC 182 MAGNOLIA STREET 4 SEATROUT ST ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 543-1300 ---------------------------------------------------------------------------- Permit . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3990 Fee summary Charged Paid Credited Due -- --------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 n PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CrrY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUIIAING ES. a BUILDING OFFICIAL i Ailfl� J� f CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION . y�Jlil1'' Date: Job Address: 9 Z � Owner of Property: D24',at- C Address:_ �� fvllt NO L IA S'�, �^ Telephone: Contractor: (( G-a ��c 1 l r 4-� 'S State License Number: (YC- t 3 Z S-6 7 Z- Contractor's Address: � Telephone: 47f—T11? �� � Fax: r-l3 ' Scope of Work: Deck Slope: �L`'L Greater than 2:12 Less than 2:12 Valuation of work , i?9'y Product Name(Example: Timberline): °y` Manufacturer (Example: GAF): kv ASTM Designation(s): 13 t Required Inspections: S eathing and Final Signature of Owner: Date: i Signature of Contractor: Date: ��>' /0 AS TO OWNER: Sworn to and subscribed before me this day of L- ��C�r- 20 G State of Florida,County of Duval Notary's Signature: -C�'n-�t.� Q �, { J C'-�•� Personally known ❑ Produced identification `�.�`�`rtrt�'�,, Nina A Powell Type of identification prCommission#DD 183142 ^^^^ AS TO CONTRACTOR: .;'>t Bonded Tru `'� ` Atlantic Bonding Co.,Inc. Sworn to and subscribed before me this day of Vz--, Gr , 20�. State of Florida,County of Duval ELLEN IAVAKE Notary's Signature: MY COMMISSION N DD 342487 EXPIRES:August t,2008 ❑ Personally known 'T Bw&d rm Notary PuW UWKWr taro Produced identification Type of identification produced ICL D[. ��lob-/65l—GreM ySS-O 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.us Page 1 Revised 2/21/03 r CITY OF ATLANTIC BEACH PERTMIT CALCULATION SHEET Date L i Address V1Permit fee based on dollar evaluation as indicated on permit application. Heated Square Footage @ $ per sq ft= $ Garage/ Shed @ $ per sq ft= $ Carport/ Porch @ $ per sq ft= $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ $ q D. $35.00 1St $1000.00 $ $35.00 Total Valuation Remaining Value Per thousand or portion thereof: CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 40 O ZONING: + '/Z Filing Fee $ '1� FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER 1VIETER/TAP $ CAPITAL EVOROVEMENT $ SEWER TAP $ C ( )RADON HRS .0050 $ SECTION H PAVING $ CROSS CONNECTION $ ST ( ) SURCHARGE 5 OTHER $ GRAND 'TOTAL DUE $ 3SL Cc: _S, Lys fv� CITY OF ATLANTIC BEACH D. Ford r BUILDING / ZONING DEPARTMENT Hi gins S. Doerr y 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 6 4 . 29 2 )6 Property Address: )Q'2 MAG 8() �-1 A S T R EE T suN�)G Applicant: Project: R�RDU� S��UT10N5 This permit application has been: 1-Jd" Approved El Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: ( Date: (I lo!q CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 1 ^r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Jig Application Number 05-00031515 Date 10/27/05 Property Address . . . . . . 182 MAGNOLIA ST Tenant nbr, name INTERIOR RENOVATION Application description RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 45000 Owner Contractor ------------------------ ------------------------ GRILLO, BARBARA CANTRELL CONSTRUCTION, INC 2030 3RD ST SOUTH ATLANTIC BEACH FL 32233 SUITE 116 JAX BEACH FL 32250 ----------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 305 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 45000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 305 . 00 305 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 305 . 00 305 . 00 . 00 . 00 PERNHT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDINC4 CODES. BUILDING OFFICIAL. CITY OF ATLANTIC BEACH Cc: BUILDING / ZONING DEPARTMENT D.Ford iggins 800 Seminole Road -- Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application Property Address: Applicant: 0,a H (��n r U-�± o K I Project: C K DV Cil l This permit application has been: C Q"b +v L1 Approved F--1 Reviewed and the following items need attention: cc.1 (-�� Please re-submit your application when these items have been completed. Reviewed By: 4 Date: to fy�- /d S Date Contractor Notified: ' r�y1T1 fJr�• CITY OF ATLANTIC BEACH St1 BUILDING PERMIT APPLICATION (Alterations&Additions) e Date: Job Address: Z (1 A G 1J o C-_-P Owner of Property: p*w"P- ,RZtN?,;,CZR 9-Z(-L-0 Address: i j(Z /►1 A G tJc 1_t A4... Telephone: 07V Legal Description: Block Number:: Lot Number: Zoning District: Contractor: T"(,.� State License Number: L (IC ©4 Z5(Y Contractor Address: 2 0 So S . y e 5 f. "/l 6 , .J AC(cSaNu c jl1 ec k F/ 2 2 -57 Telephone: 5 ys - M2,Y Fax: 24/7 — rj 7 7S- Describe proposed use and work to be done: 7 ,OcW°✓A-77r-o N �c re t AjC AA)p 7FX7-L.P-4:-1%-)G .• Present use of land or building(s): Valuation of proposed construction: What are the dimensions of the addedksace: IV f/3- feet x feet Will the added area be heated and cooled? i9- _ New electrical or increase in service? Add plumbing fixtures? /J A- Add fireplace? N� Add heating/air conditioning? N �} Is approval of Homeowner's Association or other private entity required? AJ 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? -PINO. 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. .`,;E�NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT 1S 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. 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. 1 � I hereby certify th11ha0e rm 'on prov'd i this application is correct. Signature of own ! Date: �� + `-'' 1 hereby certify tread examined this application 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 Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: ti �P( Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: � o,rb G G-f- Sworn to and subscribed before me this day of 20 OS State of Florida,County of Duval 'JEANNEM.SHAW Notary'sSignature. f r` ?,iy COMMISSION#DD 435986 EXPIRES:May 31,2W9 personally known pf fl° Bonded Thru Notary Public UNWwrhsrs L�J/ Produced identification Type of identification produced F'(_,_._D'K 1 V C_ AS TO CONTRACTOR: �_k 0�,rij:_ Ca Sworn to and subscribed before me this day of 2009 State of Florida,County of Duval Notary's Signature: --r— 'Y JEANNE M.SHAW MY COMMISSION#DD 435986 -�' EXPIRES:May 31,2009 ❑ Personally known "app„ Bonded ThruNotary Public Undor Merl [�roduced identification Type of identification produced 17 r ` b c- 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 r� Z_►V►Nr'.a4r�? I r J � L APPRU VE[) Y Of ATLANTIC BEACH BUILDING OFFICE OCT 21' 2005 :_ ay: AhO_.�..�._. ,, 9/27/79 n. . : 182 -Magnolia_ Street 641 Salt Air Lewis Taylor s/f Dwelling - Residential , ,.I 3/4" Tap 1 85 00 182 Magnolia Street 641 Salt Air 7)&,-vwt / - . ' . 9 �° t e6 n-� /� �c /6 - o CITY OF l &444- k Office of Building Official REQUEST FOR INSPECTION �r �aO � � Permit No. Time f ! . 1 A.M Recessed P.M. i ��fid lr1 rj I' �.'f" �`•' .'" ��___ f � Job A re§� Lo it , . Owner's Name L Contractor BUILDING CONCRETE ELECTRICAL PLUMBING i) MECHANICAL Framing Footing Rough Wiring Roiig`fi `�� Air Cond.& Re Rooting _ Slab - Temp Pole - Top Out Heating Insulation Lintef _ Final Sewer Fire Place Pre Fab READY FOR INSPECTION Mon Tues. Wed. Thurs. Friday----./--P.M ' ��I A.M. Inspection Made Fina!inspect! Cart4ficate of Occupa, :; i j CITY OF 6ic aurok= ' a Office of Building Official REQUEST FOR INSPECTION Date / 4 Permit No. Time A.M. Received P.JvI. District No. r , 7 Ci Job A ess Locality Owner's Name Contractor BUILDING PLASTERING ELECTRICAL PLUMBI G H TING Foundation.......❑ Wire..................❑ Rough Wiring.❑ Rough...............❑ Rough............❑ Chimney...........❑ Lath..................❑ Finish Wiring..El Final................. 1:1 i'nal...............❑ Framing............❑ Scratch..............❑ Fixtures..........❑ Sewers...............Lsl Water Heater..❑ Final.................❑ Brown...............❑ motors.............❑ Gas...................❑ Finish................❑ Cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION A.M. Mon. Tues. ed. Thurs. Fri. P.M. Inspection Me Inspector 8-1.2 CITY OF »NA"4 hm&- Office of Building Official REQUEST FOR INSPECTION ss,, Permit No. ��aL Time A.M. Received P.M. District No. Job ress �Locality ner Nmarae,s /3 Contractor BUILDING PLASTERINGCT*1 PLUMBING HEATING Foundation.......❑ Wire..................❑ Rough Wiring.0ough...............❑ Rough............❑ Chimney...........❑ Lath..................❑ Finish Wiring..Ld4inal................. ❑ Final...............❑ Framing ❑ ❑ Water Heater..❑ ........-... Scratch..............❑ Fixtures.......... Sewers............... Final.................❑ Brown...............❑ Motors.............❑ Gas...................❑ Finish................❑ Cesspool...........❑ Wallboard ........❑ �� READY FOR INSPECTION , Tues. Wed. Thurs. Fri. Inspection Made j, 1:0: ingmaor 8-12 CITY OF 73.3' Office of Building Official /41-1 ; t REQUEST FOR INSPECTION 77 Permit No. 7� Time Received A P.M. District No. Job cess Locality 7 a Owner's Nine l Contractor BUILOING PLASTERING ELECTRICAL UMB G �,�HEATING Foundation.......❑ Wire..................❑ Pough Wiring.❑ Rough..............,bd Rough............❑ Chimney...........❑ Lath..................❑ Finish Wiring..❑ Final................. ❑ Final...............❑ Framing............0 Scratch..............❑ Fixtures..........❑ Sewers...............❑ Water Heater.. ❑ Final................. ❑ Brown...............❑ Motors............❑ Gas................... ❑ Finish.....---...❑ Cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION Mon. Tues. Wed. urs. Fri. P. Inspection Made// _ � _� � A.M. Inspector &t.2 CITY OF Office of Building Official REQUEST FOR INSPECTION cif�! Date jf�� Permit No.e-v`j+ % U Time ,!�F,',30 —PV. District No. -- - -- Job A* resss) locality Own-rs 1 � /%✓ _Cnntrartor BUILDING PLASTERING �f,�T,RICA PLUMBING HEATING Foundation.......❑ Wire..................❑ Rough Wiring.❑ Rough...............❑ Rough............❑ Chimney...........❑ Lath..................❑ Finish Wiring.. Final................. ❑ Final............... Framing............❑ Scratch..............❑ Fixtures..........E] Sewers...............❑ Water Heater..❑ Final.................❑ Brown...............❑ M t ........... Gas...................❑ Finish................❑ �� Cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION NI Mon. T _dmd:`` Thum. MM Fri. P. Inspection T Inspector— E142 nspectorE14 2 CITY OF Office of Building Official REQUEST FOR INSPECTION Date // 7 -757 Permit No. y 7 Time fit? Received Pv. !District No. /z /�/�G.0"9." - Job Address Locality OWner`s �� a� Contractor /`�g�f � Name BUILDINGPLASTERING ELECTRICAL LUMBING HEATING Foundation.......❑ Wire..................11 Rough Wiring.❑ Rough............... Rough............❑ Chimney...........11 Lath..................❑ Finish Wiring..❑ Final.................❑ Final...............❑ Framing............❑ Scratch..............❑ Fixtures..........❑ Sewers...............❑ Water Heater..❑ Final.................❑ Brown...............❑ motors.............❑ Gas...................❑ Finish................❑ Cesspool...........❑ Wallboard ........❑ READY FSPECTtON Mon. Tues, Wed. Thurs. MM Fri, P. Inspection Made r.M. Inspector &t.2 CITY OF Aohfa &a& :;;&" Office of Building Official x REQUEST FOR INSPECTION Permit No. Time A.M. Received j M. District No. l ,21ZW Job Mess Locality Owner's i 1� . / ��1��� '�' ( CCC Name !.�°' Contractor BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation.......❑ Wire..................❑ Rough Wiring. ough...............❑ Rough............❑ Chimney...........❑ Lath..................❑ Finish Wiring-0 Final.................❑ Final...............❑ Framing............❑ Scratch..............El Fixtures..........❑ Sewers...............❑ Water Heater.. ❑ Final................. ❑ Brown...............❑ Motors.............❑ Gas...................❑ Finish................❑ Cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION Mon. Tues. Thurs. Fri. P.M. Inspection Made 42 6- Inspector a241= — 111.2 CITY OF 0044564 hak=%" Office of Building Official REQUEST FOR INSPECTION Date b9eermit No. Time A.M. Received PDistrict No. ►� tel-��� � Q���f'� Job Address Locality Owner' Name � � Contractor BUILDING PLA' ERING ELECTRICAL PLUMBING HEATING Foundation.......❑ Wire..................❑ hough Wiring.❑ Rough...............❑ Rough............❑ Chimney...........❑ Lath............. El Finish Wiring..❑ Final.................❑ Final...............❑ Framing ❑ ❑ Water Heater..❑ ............❑ Scratch..............❑ Fixtures.......... Sewers............... Final................. ❑ Brown...............❑ Motors.............❑ Gas................... ❑ Finish................❑ Cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Fri. P.M. Inspection Made Inspector - W1.2 • MINNOW City of Mantic Belch :fee CUSTDER REMIPT sH w �1Rt °''"Tee 1iM N ktipno � Description Quantity Amount V BUILDINS PEAM1 S 175.0 Tender detail Total tendered me175.0 Total payment 175.0 Trans date: 11/03/04 Time: 14:56:47 City��o_�_f_� Atlantic Beach nee Cl�3 M RECEIPT *#* r: D�MITH T Date: 18/27/15 11 ReiC ptm:6567 Description ouantity mount ZM6 31515 BP BUILDING PEFXITS 1.0 MI&M Tender detail ot � d � ; Total tendered mu Total payaent 9316.91 Trans dates 19127//6 Tines 14:35:43