Permit 266 Magnolia St (vault) SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001338 Date 9/25/09
Property Address . . . . . . 266 MAGNOLIA ST
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7394
----------------------------------------------------------------------------
Application desc
replace 8 windows and 1 door
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HOFFMAN, DANN PELLA WINDOW AND DOOR
266 MAGNOLIA STREET Q/A:A DANIEL WOLFF, III
ATLANTIC BEACH FL 32233 8174 BAYMEADOWS WAY W.
JACKSONVILLE FL 32256
(904) 731-8330
----------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00
Issue Date . . . . Valuation . . . . 7394
Expiration Date . . 3/24/10
----------------------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Grand Total 105 . 00 105 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING-DEPT@COAB.US
CITY OF ATLANTIC BEACH
09-::
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
X
4
BUILDING PERMIT APPLICATION DUVAL COUNTY
..........
......................
.......... ]A:i ...........
....................
NEW 13UILDING E3 DEMOLITION %rSl� NTIAL
LOT—BLOCK_SUBDIVISION 0 ADDITION 11 CONVERTING USE COMMERCIAL
0 ALTERATION 0 ACCESSORY BLDG.
0 REPAIR 13 POOL/SPA 0 YES eFW/A
D-F- loftr-�I 0 clis 11 MOVE OTHER 0 NO
...........
-9--NAME: 4.1.CqM PANY NAME: 23.COMPANY,NAME:
VX)EFRI-4,
$6,NAME. 24.LICENSEE!NA`OL�
6-Q-TF L-&�,s�--���rte-S
10.ADDRESlk 17.STATE OF FLORIDA LICENSE NO.: 25.STATEOF FLORIDA LICE ENO..
2
18
,jD26.ADDRESS:
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 120.FAX NO.: 27 OFFICE PHONE: 128.FAX NO.:
--�3) -Sza� 1 -23 7 -0-7(P 9
13.CE�L PHONE: 21.CELL PHONE: 29.CELL PHONE:
31�"%-Q)
30q — 1'7
14.EMAIL ADDRESS: 22.E,,IL ADDRESS'. 30.EMAIL ADDREZ,
L7��1��
6 1
............. ......... ....
IRA" '191 , M
IN W.
JIM MR. R X.d.. X
.............
............... ...... y 0......
....... ............. 001`400...
31.NAME: 33.NAME: L 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESSI
Application is hereby made to obtain a pegit 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:
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
...--L.E.NRERRR AN ATTORNEY B,EFORE RECORDING YOUR.NOTICE OF CIOMM E-N(.,1001 ENT.
..................................
............ NT
VR:of ASSUT: ..........
0.0. .... .......
......................................................
ow . ..... ......
�vd A§0040tw.R
.................
Signed: Date QA 401 Signede.N—�� Date: .9
Before me this day of 2009 i the county of' Before e this of 2009 in the county of
S
Duval, le of FI rida,has personally a p red uval,S te of rida,has ersonally a pea d
OLJ,9—
SeIf r. If '7"Kerself and affirms that all statements and declarations are
henn by mself herself and:affirms that all statements and declarations are herin by 4mse7l
true and accurate. true and accurate.
Notary Public at Large,State of 4r6 wlll�unty OZI)&e)-4 Fn.blic at Large,State of County of
)(W
Personally Known r. Ily Known
XproducedIdentificati.n- H1M-'q- -5Q1 bAIQ- 0 0 Produced Identification-
Notary Signature:
Notary Signature.
REVIEWED FOR CODE COMPLIANCE
CITY OF ATLANTIC BEACH
R' SEE PERMITS FOR ADDITIONAL
BLOG01 P$"tt i t0n"g"'"
REQUIREMENTS AND CONDITIONS.
C?/-1
FILE COPY UVffiVMEff.-a4— DATE:
%�j
NOTICE OF COMMENCEMENT
Perm (PREPARE IN DUPLICATE)
it No. Tax Folio Nq.
State of T=T:z�% L-NA Countyof
To whom It may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: e3l�
Add ss f rty being Improved: Ac)t I -Z
=C� kc-&,C-a
General?descVption of nt CYA-0—
W I ri N421L S�A T*j
Owner 11 r-3 I
—k -H
Address OLO tylai.,NX V)
Owner's interest in site of the 6;rovem nt
Fee Simple Titleholder(if other than owner)4.a
Name
Address
Contractor S-�
Address
Phone No. Fax No. -7
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name I-jj--:b
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name 01
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY ^n OWqER
ign.d: TE
--Illn _Q Q�A�
the
Before me this--aPit day of I JE&Wu=LjQLNf in the
Co of Duval,Statb of Florid%hrs pe
Wily appeared
10.1%A—Wol- herein by
rself and affirms ih-a-t-a-11 statements and declarations herein
are tr end accurate Janice S. Havel
Commission
Doc#-utiq--I- tDt5, R BK 1,4994
z Page,,562, CLA-3 n" -A DD6021177
NUmber Pages,
Expires January 13,2011
Recorded 09,�03,2009 at 10:00 AM. TFOY Fain-Inurance Ift SOD-V15-709
CCURT DUVAL Notary Public at Large,State of all
JIM FULLER CLERK CiRCUIT unty fj' ot
CCUNTY My commission expires:
RECORDING$I 0,C)o Personally Known or
P d d Identification
D71 v t.A 5, ��c---*1111 v-1 Lo-Z to-0
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACHA FLORIDA
Project Name: Pernfit #
Project Address
As reqw*red by Florida Statute 553.842 and Florida Administrative Code Rule 911-72,please provide the information and product approval number(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
product appro��be obtained at:ww,,,,-Ao-6&ba[
Category/Subcategory Manufacturer f Product Description Limitation of Use State 4 Local#
A.EXTERIOR DOORS
1. Swinging 0
----------------
2. Sliding
..................
3. Sectional
4. Roll up
--- ------------------------------ -------
5. Automatic
6. Other
B.WINDOWS
1. Single hung
2.Hofizontal slider
..........
3. Casement
.. ..................
4. Double hung
............. ............ ..........
5. Fixed
........... ...........
6. Awning
..............
8. Projected-
9. Mullion
10.Wind breaker
11.Dual action
2. Other
State#
Category/Subcategory Manufacturer Product Description ndtation of Use Local#
H.NEW EXTERIOR
ENVELOPEPRODUCTS,
--------------------- —-- --- ---- ------- ----------
In addition to completing the above list of manufacturers, product descniption and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the ones
listed in this document must be approved by the Building Official.
(Contractor Name (Print Name) (Signature)
Company Name:
Mailing Address: LJ
City:_ State: Zip Code:
0-7 77
Telephone Number: Fax Number:
Cell Phone Number: E-mail Address: Q
�J
Florida Building Code Online Page I of 5
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search
Product Approval
USER:Public User
Product App-rQv-al_Mg_n-u>PM.d=.or AD lication Search>Apjpl[Katiig�ni t>Application Detail
FL# FL11914
Application Type New
Code Version 2007
Application Status Approved
Comments
Archived
Product Manufacturer Pella Corporation
Address/Phone/Email 102 Main St.
Pella,IA 50219
(641)621-6096
pellaproductapproval@pelia.com
Authorized Signature Joseph Hayden
jahayden@pella.com
Technical Representative Joseph Hayden
Address/Phone/Email 102 Main Street
Pella,IA 50219
(641)621-6096
jahayden@pella.com
Quality Assurance Representative Ali Zarghami
Address/Phone/Emall 102 Main St
Pella,IA 50219
(641)621-1000
zarghamia@pella.com
Category Exterior Doors
Subcategory Swinging Exterior Door Assemblies
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
11 Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name who Gordon Thomas
developed the Evaluation Report
Florida License PE-46718
Quality Assurance Entity Intertek Testing Services NA Inc
Quality Assurance Contract Expiration Date 12/31/2009
Validated By James L. Buckner, P.E. at CBUCK, Inc.
I Validation Checklist- Hardcopy Received
Certificate of Independence FL11914 RO COI Pella PE COI 1-09-signed.pd
Referenced Standard and Year(of Standard) Standard Year
ASTM E330 2002
Equivalence of Product Standards
Certified By
http://www.floridabuilding.org/pr/pr�_app_dtl.aspx?param=wGEVXQwtDqsxYleb4opODR... 9/3/2009
onwa nunuing uoue uminu
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Unks Search
Product Approval
USER:Public User
Product Approval Menu>Product or Applicat!Qn Search>Application List>Application Detail
FL# FL11206-R2
............ Application Type Revision
Code Version 2007
Application Status Approved
Comments
............
Archived
Product Manufacturer Pella Corporation
Address/Phone/Email 102 Main St.
Pella,IA 50219
(641)621-6096
pellaproductapproval@pelia.com
Authorized Signature Hughes Alan
hughesaj@pelia.com
Technical Representative Alan Hughes
Address/Phone/Email 2000 Proline Place
Gettysburg, PA 17325
(717) 338-1165
hughesaj@pelia.com
Quality Assurance Representative All Zarghami
Address/Phone/Emall 102 Main St
Pella, IA 50219
(641)621-1000
zarghamia@pella.com
Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or Listing
Certification Agency Window and Door Manufacturers Association
Validated By James L. Buckner, P.E. at CBUCK,Inc.
11 Validation Checklist- Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA 101/I.S.2-97 1997
AAMA/WDMA/CSA 101/I.S.2/A440-05 2005
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
http://www.floridabuilding.org/pr/pr_appjtl.aspx?param=wGEVXQwtDqs6WGOndIUHY... 9/3/2009
City of Atlantic Beach APPLICATION NUMBER
Building Department
(ro be assigned by the Building Department.)
inole Road
antic Beach,Florida 32233-5445
(W4)247-,%26 - Fax(904)247-M45
Phone
E-mail: building-dept@wab.us Date routect 9 2-q
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:'Dlkls��D
-Sematment review required Yes/ No
Buil ing 21 ing
�'J 44h
Applicant: no Zon
Tree Administralor
Project: R—L V,�'�fN Public Works
Pubfic Utilities
Public Safety
Fire Services
f t
1"UIred Review or Receipt
Date
Of Permit Verifted By
#
drict
baCOD
ATION STATUS
Reviewing Department First Review: RApproved. F�Denied.
(Circle.one.) Comments:
QUILDIN6
B_DG
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN.
Second Review: F—lApproved as revi neenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. F�Denied.
Comments:
Reviewed by: Date.
Revised 05/14109
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000981 Date 8/17/09
Property Address . . . . . . 266 MAGNOLIA ST
Application type description SWIMMING POOL/SPA
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 25500
----------------------------------------------------------------------------
Application desc
new pool
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HOFFMAN, DANN CONOVER POOL COMPANY
266 MAGNOLIA STREET 1444 GRIFLET ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 743-5956
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc ELECTRICAL FOR POOL
Sub Contractor GATEWAY ELECTRIC COMPANY
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date 2/13/10
----------------------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
REQUIRED INSPECTIONS :
*POOL STEEL
*ELECTRICAL GROUNDING AND BONDING
*FINAL (PUMPS MUST BE RUNNING FOR FINAL)
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Pool -- Wellpoint (if used) must discharge into vegetated
area 10 , minimum from street or drainage feature (swale,
structure or lagoon) .
----------------------------------------------------------------------------
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
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 09-
r3 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPTCCOAB.US
ELECTRICAL PERMIT APPLICATION DUVAL COUNTY
1'"JOB ADDRESS:
2.IS THIS ASIJ-BPERMIT:'� 3.DATE,P,
1:1 NO "f:2—
ZYES PERMITM.
PROPERTY OWNER..�,,'Lj
4.NAME: VqD 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: S.PHONE:
ELECTRICAL CONTRACTPR.,-,�
TMOMPANY: B.ADDRESS.:
ti Arop f 120113igg
-
9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.:
_ 0001ve,) 72
12.EMAIL ADDRESS: 13.OFFICE PHONE: 14,
1
15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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.
CONTRACTORS SIGNATURE:
16.CLASS OF WORK:,
17JERVICE: 18.METER NUMBEW;��`
13 MULTI FAMILY- OF UNITS: Z RESIDENTIAL
9—SINGLE FAMILY 0 TEMP SERVICE 0 COMMERCIAL
13 ADDITION 13 TRAILOR `119.BUILDING: 19.CURRENT
0 ALTERATION 11 SIGN ABIOLD 13 NEW 0'08 NATIONAL ELECTRICAL CODE
0 REPAIR P400L I SPA 11 REWIRE 13 OTHER:
WORK�
LIST ALL ELECTRICAL
20.TYPE OF SERVICE: 13 OVERHEAD 0 UNDERGROUND 0 UNDERGROUND UP POLE
21.NEW SERVICE: CONDUCTORS PER PHASE: 0 POWER IS ON 13 POWER IS OFF
22.SIZE OF CONDUCTOR: AMPACITY: EICOPPER 0 ALUMINUM
23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE:
24.EXISTING SERVICE SIZE: AMPS: PH: W:— VOLT: RACEWAY SIZE:
25.FEEDERS: #OF- AMPS: #OF- AMPS:- #OF AMPS:
26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.:
27.FIXED APPLIANCES: 0-30 AMPS: 31-IOOAMPS: OVER 100 AMPS:
28.FIRE ALARM: 13 YES 0 NO
29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULT(-FAMILY AND ROOM ADDITIONS
29.SMOKE DETECTORS: NUMBER:
30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
31.SWITCHES: 0-30 AMPS: 31-IOOAMPS: OVER 100 AMPS:
32.AIR CONDITIONING;
#OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW.
#OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW.
33�MOTORS:
NUMBER: VOLTAGE: HP: KVA:
NUMBER: VOLTAGE: HP: KVA:
34.TRANSFORMERS:
UNDER 60OV: NUMBER: KVA:
OVER 60OV: NUMBER: KVA:
35.MISCELANEOUS REPAIRS,
DESCRIBE IN DETAIL:
BLDG02 Permit Application Elea:REVISED:07/20/2009
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000981 Date 7/17/09
Property Address . . . . . . 266 MAGNOLIA ST
Application type description SWIMMING POOL/SPA
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 25500
----------------------------------------------------------------------------
Application desc
new pool
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HOFFMAN, DANN CONOVER POOL COMPANY
266 MAGNOLIA STREET 1444 GRIFLET ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 743-5956
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 160 . 00 Plan Check Fee 80 . 00
Issue Date . . . . Valuation . . . . 25500
Expiration Date . . 1/13/10
----------------------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
REQUIRED INSPECTIONS :
*POOL STEEL
*ELECTRICAL GROUNDING AND BONDING
*FINAL (PUMPS MUST BE RUNNING FOR FINAL)
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Pool -- Wellpoint (if used) must discharge into vegetated
area 101 minimum from street or drainage feature (swale,
structure or lagoon) .
----------------------------------------------------------------------------
Other Fees . . . . . . . . . DEV REVIEW-SINGLE & 2-FAM 50 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 160 . 00 160 . 00 . 00 . 00
Plan Check Total 80 . 00 80 . 00 . 00 . 00
Other Fee Total 50 . 00 50 . 00 . 00 . 00
Grand Total 290 . 00 290 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITYOF ATLANTIC BEACH
P7 800 SEMINOLE R6AD,ATLANTIC BEACH,FL 32233 09-
OFFICE:(904)247-5826,0 FAX NOOSO4)247-5845
BUILDING-DEPTOCOAS.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
1,JOB ADDRESS: 2.VALUATION OF WORK 13.SQ.Fr. NDERROOF
4.LEGAL DESCRIPTION:, �oO' 5.CLASS OF WORK 6.USE OF STRUCTURE:
[3 NEW 13UILDING 0 DEMOLITION E3 RESIDENTIAL
LOT yj%LOCK_SUB DIVISION 0 ADDITION 0 CONVERTING USE 13 COMMERCIAL
'-'T PEScRip-noNOF,-,,YVORK�-,.*-",,,,4'-', -SPRINKLM
0 ALTERATION 0 ACCESSORY BLDG. 8.FIRE
D REPAIR &POOLISPA 11 YES 0 N/A
0 MOVE 0 OTHER NO
�,;-7-77776WRACTOIR:-� -,ARC
�,,,'�PROPERW,0 NER: R
ARM IRE INEE
9.NAME: 15.C PANY NAME: 23.COMPANY NAME:
76. ME: 24.LICENSEE NAME:
I Xaj !; /7
10.ADDRESS: 11.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
e'-PC- /V T-4�-5-0 -2
18.ADDRESS: 26.ADDRESS:
1,3e*14 0 -111V4
-3 -A
11.OFFICE PHOZ. 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE:
6,
I -Z,V- 77
13.CELL PHONE: 21.CELL
,PHONE: 29.CELL PHONE:
2- *3 -?,?o Cr e,0 -&/ 3 --z;,
14.EMAIL ADDRESS: 22.�MAIL ADDRESS: 30.EMAIL ADDRESS:
,04
""4f,�NWAF vo-
EE$jMPLEj1,T.L,E�11iDILPEft. ojq
bt�E� 0
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,Bollers,Heaters,Tanks, Air Conditioners,etc.
OWNEWS 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 finated and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
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 NOTICE OF-COMMENCEMENT.
�OWNERbr'AGENT O-NTF
-��c kAtTOR
of,AttoL
(IfA&ntj�ower mey or Agency Letter Required)
(Q r Only
Signed: Sign Date: 7- f-,v,
Before :this day of 2009 in the county of Before me this day of 2009 in county
Duval,State of Florida,has persondy appeared Du al, tate of Flon*da,has pers Ily appedred
AQ:5 ;? 76
e-0A A7-
herin by himself/herself and allfirms,that all statements and declarations are hefin by himself I herself and affirms that all statements and declarations alle
true and accurate. true and accurate.
Notary Public at Large,State of §AQW-,County of, Notary Public at Large,State of County or -rSAW
El Personaiiy Known Personally Known
QTroduced identification 13 Produced Identificat
Notary Signature: Notary Signature: es
STEPHEN T. COMPLIANCE
Nowy pubic-Sft of Floft
BLDG01 Pwm!t A EVk"Ad 20.20110 CBEACH
comind"le"0 W 570296 MANAL
Bmdod By Nat" Ann. "�UUREMEMAN6CONDMONS.
REVIEWED]3y,'--. DATE%,........
City of Atlantic Beach
APPLICATION NUMBER
SS Building Department (To be assigned by the Building Department.)
;t 800 Seminole Road
Q Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us .1 - =#=
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2 6 6
ff1 ot42 a J�r JDepartnigent review required Ye N o
_7t (' Bu*lao
Applicant: At 6 2_4 <-PIa2L*n1&Zoni;'n�
Tree_:,A�istrator
Project: N2Q P8 L fri—jh1ir Wnrks_'-�
—P—uFlic- Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review r Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [O'Approved. FlDenied.
(Circle one.) Comments:
PLANNING &ZONING
Reviewed by: Date: 0 0
TREE ADMIN.
Second Review: [—]Approved as revised. F�De�/ied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F�Approved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised 05114109
-------------------------- ------------------------------------- ------
------------- -\-- ------------------- ----------- ---
6ft
3ft 4ft
5'2
�ft-2"Branch line 6fps
[stardy—ard 8"round main drains 3ft apao'
FIS'return line 761
1.5"clea
114'-1.5"suction line
60 0 U
step—�
house
Conover Pool Co Inc
4370 Old Middleburg Rd
Jacksonville, FI 32210
904-860-6133
Rosalind Hoffman
266 Magnolia St
Atlantic Beach, Fla 32233
A
1 00,2 1 1
MI SHOWING SURVEY 'IF
pl,,4T 1,K)nK IQ pA(yt,-,
L(ff 4 94 PLAT OF SECTION NO- 1, SALTAIR AS R�ORDED IN
PUBLIC RECORDS OF DUVAL COUNTY, FLOR I DA-
LOT 418, LOT 493
(100.51'FIELD) FNO.1/2*l.p
M.IMeLp rMO CAP
No CAP 10
Qi0o. w
z0v
Dim
F_
ZND STORY WOMOM Or
5*wow
3 FENCE,.
3
8w
U.
2 STORY
LOT
c;0
WOOD FR&Imr
-0 c; 0
RESIDENdt70W-266 Com in
ORIVE <
LOT 494
d OX
20.
VOOD 0
DECK z
7-7to
0 SET' tp-
.00
6*wool) NiL <
AP 'V000 (100.08'FitLD) \�PRIVACY FENCE
LOT 483 LOT 495' co
0
Coto
IS-AS KR
N019A.L AS .M PLAT
"s nft,*AL
PRON PLA MET
T"IS-.10,A, SOL"ARY'SllXWV.
WORTH PROTRACTE6 AT., D
I HEREBY CERTIFY THAT THE PROP$M, SHOWN HERBCK LIES IN FLOOD ZONE "Co AS,
SHOWN ON THE FLOOD HAZARD lj�NRY MAP ATLANTIC BEACH�fl, FLORIM.
I HEREBY CERTIFY: TO DAVID C. & RJOSALIND S. HOFFMAN., BISBEE _BALDWIN AM =MMONWEALTIi LAND
Slt� THE .LANDS AS: IN, . AWIM,
TITLE INSURANCE THAT, I HAVE iTKE CAPTION AND THAT THIS
_AT� S� THAT �THE SURVEY REPRESENTED
. MAP IS A: T—RUE AND �CORRWT-.,REPRESENTATION OF TH
HEREON MEETS I TfiE MINR�M ��TEC.MMICAL, ST -OF
21-HH-6 AND THE ff.,MDA LANDVITLE: ASSOCIATION.
THIS SURVEY NOT VAUD.UNLESS
FLC494
D;ZT Tf,
-it
kTH
SEALED WMi AN EMBOSSED SEAL DONN W. BOATWRIGHT, L.S.
0
OF SURVEYOR MNED HEREON
FLORIDA REG. LAND SURVEYOR No. 3295
L � :WATWRIGHT LAND SURVEYORS, INQ DA f
A saaalk7 1�" 4Am DWUASAU MnAn muTIF n
City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Department.)
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
- Fax(904)247-5845
Phone(904)247-5826 Date routed:
E-mail: building-dept@coab.us
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Ab2,%4-h,6.a, )Depadment review required Yes No
Applicant: (il&o V1.4 J1 -15-lanning &Zoni_n_q:��
_rree—Admir—t-rator
Project: -Fu—blic Works
-P-uFric—0filities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: 0,A1 5proved. 7Denied.
(Circle one.) Comments:
BUILDING
Pl_,�NWIN_G &ZO.NING Date:
Reviewed by: J04m
t7R-5E ADMIN. Second Review: F]Approved as revised. FlDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. []Denied.
Comments:
Reviewed by: Date'.
Revised 05/14/09
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09-
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
t_ BUILDING PERMIT APPLICATION DUVAL COUNTY
Q;FT.UNDER ROOF-,
2.VALUATION OFWORK
JOB ADDR
ESS:,i 13.S
T-a a
5.CLASS OF...VOR .�.USEQRSTRUCTURE
J`
LEGAL DESCRIP ION:
13 NEW BUILDING 11 DEMOLITION 11 RESIDENTIAL
LOT W%LOCK SUB DIVISION 3XI-loll- 0 ADDITION 0 CONVERTING USE 0 COMMERCIAL
13 ALT E 1
11 REPAIR 06�001_/SPA 13 YES 0 N/A
A" Ij MOVE Q OTHER 13 NO
ERATION 11 ACCESSORY BLDG. :8. IR SPIR NKLER'
WA
7R777 77764
NER�94� �d 2� RCHITEPTlj;NPINEER-.Lg',,.��,L.,L�-�,.;,�.���""-,.;,�".���
9.NAME: PANY NAME: 23.COMPANY NAME:
J0 C a /.,' - 01a a L" to ;Z:--
? 1 ME: 24.LICENSEE NAME:
10.ADDRESS: 1-7.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
07 0 6_' PC- /4/-T-e-5-C:,
18.ADDRESS" - 26.ADDRESS:
/9- -1Y 3.
1 1�OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
I e4e,2_(,"33 1 1
13.CELL PHONE. 21.CELL HONE' 29.CELL PHONE:
2-3v - 3 -;1 eo Y_41 0 -.3 __5
14.EMAIL ADDRESS: 22. AIL ADDRESS: 30.EMAIL ADDRESS:
7,LEILHOLDIER-4�-�-!Aif�",I.��:??��l,&
024-1A P!@M
,k�IMPLEj
04
0 NG COMP
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,ate.
OWNER%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:
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 NOTICE OF-COMMENCEMENT.
CC
F.
.2,y',"�Y`�:MN R
n y
(if Agent,' ey or gency ofter ReqUiiad 0 ef0il
Signed: &1_4 Signe,5::j�� Date: 7- Y-Of
Uale: I
Before me this day of 2009 In the county of _B re me this 1�' day of -1 2009 in the county Of
Duval,State of Florida,has personally appeared Du:?tate of Florida,has perily appeared
0:jt Ii.rd e-o A
herin by himself I herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. e[D U true and accurate. 1�;SJA 14
Notary Public at Large,State of )ff0jr4V,County of Notary Public at Large,State of County of
11 Personally Known 19 Personally Known
Wroduced Identification A:�2 W,F4 11 Produced Identificati 9W
Notary Signature: Notary Signature-. C�
IT.PUTN JON01,BARNES
E�HEN� P! !2MdMh a'
Commission#DD 857482
No ry Public-state of Florida
Expires February 3,2013
BLDG01 Permit Ap ExVires Jul 20,2010
-ti
-.dd Thru Troy Fain Insurance 8DO-385-7019
Commiulon#DD 576296
Son ed By National Notary Assn.
DATE: 7/15/09 PLAN REVIEW CORRECTIONS REPORT PAGE
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
------------------------------------------------------------------------------
APPLICATION NBR . . : 09-00000981
ADDRESS . . . . . . : 266 MAGNOLIA ST
APPLICATION DATE 7/08/09
APPLICATION TYPE SWIMMING POOL/SPA
------------------------------------------------------------------------------
OWNER . . . . . . . HOFFMAN, DANN
266 MAGNOLIA STREET
ATLANTIC BEACH FL 32233
CONTRACTOR . . . . . CONOVER POOL COMPANY
1444 GRIFLET ROAD
JACKSONVILLE FL 32211
------------------------------------------------------------------------------
AGENCY NAME: PUBLIC WORKS
DATE ACTION ACTION BY
------------------------------------------------------------------------------
7/14/09 DISSAPPROVED - 1ST REVIEW LISA SHOWMAN
Provide total site impervious surface calculations
(existing and proposed) .
Provide erosion and sediment control plans with
installation details and maintenance schedule .
Provide construction site management plan, including
Right-of-Way Permit if using right-of-way for construction
parking.
Pool -- Wellpoint (if used) must discharge into vegetated
area 10 , minimum from street or drainage feature (swale,
structure or lagoon) .
Roll off container company must be on City approved list
and cannot be placed on City right-of-way.
-7
City of Atlantic Beach APPLICATION NUMBER
Building Department dUL 1 0 2009 (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904):5B4a7_
_K� Date routed: 7
E-mail: building-dept@coab.us 11
City web-site: http://www.coab.us -7
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z66 2,ta-h,&X., Sr '_DaWment review required Yes No
( Quwloial;_,,-�
Applicant: (�1&6vf'4 26611� <15-lanning &Zonin-2---)
Tree 6dministrator
Project: P& L .-�ublic Works�::>
:� u�Fic Utilities
Public Safety
Fire Services
1 0''1
Ann , 11 WIN M1
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ElApproved. JDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: 24� Date:J? /Y)or
TREE ADMIN. Second Review: 41Approved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: /Dat�e:
FIRE SERVICES Third Review: FApproved as revised. E]De d.
Comments:
Reviewed by: LDate:
Revised 05/14/09
CITY OF ATLANTIC BEACH
P7 800 SEMINOLE ROAD,ATL�NTIC BEACH,FL 32233 09-
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5a45
BUiLDING-DEPT@COAB_US
ju.,
_Vf,_ BUILDING PERMIT APPLICATION DUVAL COUNTY
-�A..JOB ADDRESS!
2.VALUATION OF WO 3.M FT�UNDER ROOF
k.USEC1FSTRUCTURE*�,:,
5.,GLASS
",.4.LEGAL"DESCRIpTION,
_OFWORKz--.�_,��
11 NEW BUILDING 11 DEMOLITION 11 RESIDENTIAL
LOT.W%LOCK SUB DIVISION All- 11 ADDITION 0 CONVERTING USE 11 COMMERCIAL
0 ALTERATION 0 ACCESSORY BLDG. 6..,flRE'SPRINKLER
i�A
13 REPAIR IWPOOL I SPA 0 YES 13 NIA
0 MOVE Q OTHER [3 NO
0 _q_
NEFER`-�
PRQPERT_YDWNER��,,',,,' N "C NTRA TQ& k-T ;� !,'
W CHITEIqT�l IENGI
9.NAME: PANY NAME: 23.COMPANY NAME:
rov a 4"s X 9,, / �, ;z:--
1?49 ME' 24.LICENSEE NAME:
e,g , 6! CIAI'0-�_ /7
10.ADDRESS: IfT STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
r—PC- /v T- ,,5-0 .7
18.ADDRESS' 26.ADDRESS:
.e .0,/7, L-n 12,
e 114 / 3, ��,) a/
/,;X 3
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
13,CELL PHONE 21.CELL HONE: 29.CELL PHONE:
2
_3,e/"- 3
14.EMAIL ADDRESS: MAIL ADDRESS: 30.EMAIL ADDRESS:
�2 e -- ?
0V LE M-0
&
AMR.,
MSIMP ,M� EiNOLDIERI-A%�,%,, Y
VRO
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. —
OWNERS 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:
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 NOTICE OUOMMENCEMENT.
AGENT-
-il, If AgeM;Ppwer of AttTmey or gency 6 er equire
T
Signed: Date:ybqlaq Signw'-� 'e, Date: 7— f
Before m:th'ls V day cif 2009 in the county of Before me this day orf<:�-i X_ 2009 in the county of
Duval,State of Florida,has persoriffify appeared Du;?tate of Florida,has per Ily appea/red
Ao5n ve— e- o A
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. true and accurate. 1�,4-rJA M
Notary Public at Large,State of I-form County of,e-T) Notary Public at Large,State of County of
11 Personally Known lu Personally Known
Wroduced Identificafion-10:41000V4 11 Produced Idenfificafiq6A .4
Notary Signature: Notary Signature: ��AA,
JON!H.BARNES
STEPHEN T. PUTNAM
Notary Public-State of Florida Commission#DD 857482
BLDG01 Perrnft Ap *.W- Expires February 3,2013
fCwtpJBstm Expires Jul 20,2010
P
CommMlon 0 DD 576296 B.Wd Th.T,F.i�In..r.800-385-7019
Bonded By National Not3fY Assn.
Showman, Lisa
To: Icon721169@aol.com
Subject: 266 Magnolia St. Permit Application
Leon—
Public Works has reviewed your permit application for the new pool at 266 Magnolia Street and have the following
requirements before approving. Please submit these requirements through the Building Department for routing
purposes. Thank you. —Lisa Showman 247-5834.
REQUIREMENT:
Provide total site impervious surface calculations(existing and proposed).
REQUIREMENT:
Provide erosion and sediment control plans with installation details and maintenance schedule.
REQUIlREMENT:
Provide construction site management plan, including Right-of-Way Permit if using right-of-way for construction parking.
GENERAL COMMENT:
Wellpoint(if used)must discharge into vegetated area 10' minimum from street or drainage feature(swale,structure or
lagoon).
GENERAL COMMENT:
Roll off container company must be on City approved list and cannot be placed on City right-of-way.
1
07/15/2009 10:49 9044914775 AMELIATITLEAGENCY PAGE 01/02
Conover Pool Co Inc
Job: 266 Magnolia St
Atlantic Beach,Fla
Site Management Plan
Access to rear of property on south side of house.
Dump-tiuck to remove dirt and debris will be parked on driveway.
Construction vehicles will be parked on driveway during construction hours.
Erosion and sediment control plans:
Well points will be used to control underground water.
Silt fence will be placed l4ft from street on north side of house inflowcr bed.
Roll-off container will not be used, Clean up of debris will be done by dump truck and
trash tTailer
07 1.5/2009 10:49 9044914775 AMELIATITLEAGENCY PAGE 02/02
m
,4 pT.Nr
't., :SpCTION Nc), 1, SPJTA.tR AS o T
OF CVVZ�L
V)
.,LOT 493 i
LOT 481
No DAP
ZOO
:aly: md
PRO 8"Ry WOOD=K 6,woov
4a. IN"
WAD—
b9lox si .0 AL
LOT 4v 2 STORY 1 5,
71 - .00
W06D FRAME
!9 c to
LOT 494
h zrm
ft D
6�wool) 't
Lar. 495'
Loy
A419Lf�i-A
A.wi:01'..
ICu":A$
SAONN Hema WAS. 119 mom
_D 14AZM iM�P POR A4
a W.
CEST-1 I Atlt't tAtPTj0N:;AND VAT n
I HEIM: Fy To DWID c Ros=m s. Hop–rym
IT-L so�. . D
HAV.F, . I
A
is T,pm��mo- OF Tka, WPM m CHAPI
stAwbobs -o� TM �W�RXM 00*�
F 00!i4�17,ODE
U4ND vi'mr.
q
DONN W.BOAT-WRIGHT L.S.
DA-Aed- LAND SURVEYOR NO- If
(WWRIGHT LAND�SUFIVSYORS, INC. 4�,�,4� a
DRAW, 1 POOMAN ROAOSUr m. 0 St CE Et Ll-0,F-J
' OF
-A
SON"'LL' - CH IPLORIDA 241-USO .....khol�.
NOTICE OF COMM[ENCEMENT
""ARE IN DUPUCATE)
Permit No. Tax Folio No.
State of County of
To whom It may concern:
The undersigned hereby Informs you that Improvements WW be made to certain rest property,and In
accordance with Section 713 of the Florida Statutes,the folkalng Information Is stated In this NOTICE OF
CONNAENCEMENT.
Legal description ofproperty being improved:
Address of property being Improved: I>?-
A 11/IV-, -/--C- T-Ye-411114-11
General description of improvements: I el
Owner Cf
- I -A,-"
Ad&ess..,,A- /A Z-"- -3-3
Owner's interest in site of to Improvement Lej CA e,
Fee Simple'rdleholder(if other than owner)
Name
Address
Contractor- lee,
Address 4/1"- 0 ttp
Phone No. Oil a'
Fax No.
Surety(it any)
Address ___Nnount of bond$
Phone No. Fax No.
Name and address of any person ma"a loan fbr the construction of the improverneft.
Name,
Address
Phone No. Fax No.
Name of person within the Side of Fbrida,other&an himself.designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No
In addition to himself.owner designates the following person to receive a copy Of tha 1-1011101's Notice as provicled In
Section 713.06(2)(b),Florida Stabites.(III in at Owner's option).
Name
Address
Phone No. Fax No.
Doc#2009,170921,OR 8K 14944 Page 443, -nt(the expiration date is one(1)year from the date of recording unless a
Number Pages:1
Recorded 07117/2009 at 04:03 PM, DNLY
JIM FULLER CLERK CIRCUIT COURT DUVAL sw'ect AWL 9
COUNTY g utur- /0
rBe*"rhe M 3 S-W day of �Ilaopdl :jIng
SW
RECORDING$10.00 stele of appeared
Iterein by
hInWW herself NO 4111IMM thet 94 staternents and dedaradons herein
am true wW WWrate
pd* d FR�IWWWW
CoMnMW Expka JW A
0 DD
R&wy-Mlik at Law.Stem of,&.AffaC0-, CountY of Mid%ft I
sow NOWY My cornrnission expires:-WJ2
versons"KIKWM
Prodwed I
q1ty of Atlantic Beach
MM
A PLI
Building Department ikl 6, 0 (Ad'
q�_e 0090 by
.0epartment
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us
vc z
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
JDepartment review reqgj!�d Yeiv No
Property Address: Ab -�- I v
V
Applicant: (/I At 6 V 4 :?_6 6 <'11511anni &Zonin-n,
tor
ree istrator
Project: L ublic Workst
-170-55c—Utirities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPI-PATION STATUS
Reviewing Department First Review: BApproved. FlDenied.
(Circle one.) Comments:
(� D.�IN G
PLANNING&ZONING Reviewed by: 1D 17,%� Date:
TREE ADMIN. S= V
Re vii goo Ppproved as4w*44. F�DeWied.
PUBLIC WORKS Comments:
�BLIC UTILITIES
PUBLIC SAFETY Reviewed b Date:._711daf
1 4
FIRE SERVICES Third Review: DAPProved as revised. FlDenied.
Comments:
Reviewed by: Date:
Revised 06114/09
PREPARED 7/08/03, 16:30:22 INSPECTION TICKET PAGE 11
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 7/09/03
--------I---------------------------------------------------------------------------------------
ADDRESS . : 266 MAGNOLIA ST SUBDIV:
TENANT, XBR: INSTALL 30YR ARCH SHINGLE
CONTRACTOR ROMANO ROOFING SERVICES PHONE (904) 246-5649
OWNER ROFFMAN, DANN PHONE
PARCEL 170533-0000- -
APPL NUMBER: 03-00026303 ROOF
------------------------------------------------------------------------------------------------
PERNIT: ROOF 00 ROOF PIRNIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
17 01 6/27/03 LJH BD SH THING TIME: 08:00
6/30/03 AP RAM 0 ROOFING 571-6142
16 01 /09/03 LJH BD INAL TIME: 08:00
E 571-6141
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 6/27/03, 8:03:53 INSPECTION TICKET PAGE 5
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 6/27/03
------------------------------------------------------------------------------------------------
ADDRESS , : 266 MAGNOLIA ST SUBDIV:
TENANT, NBR: INSTALL 30YR ARCH SHINGLE
CONTRACTOR ROMANO ROOFING SERVICES PHONE (904) 246-5649
OWNER . . HOFFMAN, DANN PHONE
PARCEL . . 170533-0000- -
APPL NUMBER: 03-00026303 ROOF
------------------------------------------------------------------------------------------------
PIRXIT: ROOF 00 ROOF PERNIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RES � TS/COMMENTS
---------------------------------- -------------------------------------------------------------
17 01 6
,�27/03 LJH, B WATHING TIME: 08:00
NANO ROOFING 571-6142
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
19
Application Number . . . . . 03-00026303 Date 6/18/03
Property Address . . . . . . 266 MAGNOLIA ST
Tenant nbr, name . . . . . . INSTALL 30YR ARCH SHINGLE
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3600
Owner Contractor
------------------------ ------------------------
HOFFMAN, DANN ROMANO ROOFING SERVICES
266 MAGNOLIA STREET P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(9 04) 2 4 6-5 64 9
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3600
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
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 CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACE PERMIT . CALCULATION SHEET
Address G, iM cio LL
Date
Heated square Footage a _--per sq
Garage/Shed _ @ per .sq ft
CarportjPorch 33er sq
Deck per sq ft $
Patio er sq ft
TOTAL VALUATION:
-Total Valuation Ist
Remaining Value per thousand
or ..portion thereof
TOTAL BUILDING FEE LS 0
+ 1/2 Filing Fee
Fireplaces
-B*UILDING PERM-IT FEE
WATER IMPACTFEE
SEWER IMPACT FEE
WATER' METER/TAP
CAPITAL .IMPROVEMENT.
TAP � $
-RADON (HRS) .005Q
SECTION H PAVING
HYDRAULIC SHARES
CROSS CONNECTION. $
SURCHARGE .0050
OTHER
GRAND TOTAL DUE - - - - --
ADDITIONAL PERMITS OR FEES : .,Me,chanica I ..Plumbincl
Electric/New_,Electric/Temp_;SwimmirigPool
Septic Tank Well sign Finish Floor Elevati.on
Survey other
CALCULATIONS and/or NOTES :
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE: (904)247-5800
FAX:(904)247-5805
SUNCOM:852-5800
http://ci.atlantic-beach.fl.us
PLAN REVIEW COMMENTS
Permit Application # 03- 2_�a3c)_�
Applicant: t3c ry--)cx_k1 c) on
Address: y(,e m 6,n,k, ,�_( J
Project: ,rt 1,n_it C 361-)14'r Cu r k,
J 0
e-l�our application is approved
o Your permit application has been reviewed and the following items need
attention:
Please re-submit your application when these items have been completed.
Reviewed b
Signed q�- (-,it 6(0 �" —Date
Contractor Notified Date
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Job Address: 14�, Date:
Owner of Property: KV 55 Ole, /J10
;7 46�-1--14-1
Address: Z-1-14 analj,5-� Telephone:
Contractor: 9,0 k., 5(Y^14�'CS State License Number: e,,* eli
3
Contractor's Address: -3 o 2�4 IC-C .7 Z7,3,
Telephone: -Z,///—MJW Fax:
Scope of Work: -0,/—
Deck Slope: Greater than 2:12 Less than 2:12
Valuation of work: 167 0
Product Name(Exa e- Timber]ine): Ac 0 3-D L� �-f
Manufacturer (Example: GAF): fdlV,4�-49- la:z-� 3
ASTM Designation(s):
Required InspectiXons' e7ag and Final
Signature of Own Oln ICK -U -t)-, Date:
Signature of Contractor: Date: AR.-
AS TO OWNER:
Sworn to and subscribed before me this day of .20
State of Florida,County of Duval J1
Notary's Signature:
Personally known
Produced identification
It
2(X"
Type of identification produced
-1-��7,)-ONOTAqY FL Notary S—ce na, M.
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20 5�>-3
State of Florida,County of Duval
Notary's Signature;,,/�&4��
E3 Personally known
M Produced identification
Type of identification produced MY(-,'0MM1SS10N#CC,,.1,1.,,
-'=0
I�F—ttpv EXPIRES:December 8,2004
L __YS
" *' =N'
800 Seminole Road Atlantic Beach,Florida 32233-5445 1-8DO-3-NOTARY FL"&ySerWce&Bc -
Page 1 Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Revised 2/21/03
Cit f Atlantic Beach
*** &AT'G;R RECEIPT ***
A*r: CKDOREK Type: OC Drawer: I
4)ate: 6/18/83 01 Receipt no: 669M
Description uty Alotint
2N3 26M
BP BUILDING PERMITS 1 $75.00
203 26363
BP BUILDING PERMITS 1 $75.80
203 26306
BP BUILDING PERMITS 1 $75.89
Tender detail
CK DECKS 35% 1&5.00
Total tendered 1225.0@
Total payment SM.00
Trans date: 6/18/93 Tine: 8:35:99
C) CITY OF
4&aot& B"-
Office of Building Official
REQUEST FOR INSPECTION
Date- Permit No.
Time kk
Received PM- C-1-1
t;3
Job Address Locality
Owner'S --------------- Contractorl L-n&
Name _-:�
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing -j Footing C Rough Wiring L Rough E Air Cond.&
Re Roofing 0 Slab _7 Temp Pofe E, Top Out E Heating
Insulation E, Lintel D Final El Sewer D Fire Place D
Pre Fab
READY-E—OR INSPECTION
Mon, Tues. Cwld.IA.(�, Thurs. Friday
AW.
inspection Made
Final Inspection Fj
Inspector -----------
Certificate of Occupancy-7,
Date
k-1/11-V- M
CITYOF A4 ,erL- wPc1%
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No,a6a(-O--,—
Time A.M.
Received RK
in,
Zobdres� j I Locality
Owner's
Name Contractor
BUILDING CONCWTE ELECTRICAL PLIJMBING MECHANICAL
f Framina 1-1 Footing 0 Rough Wiring D Rough L7 Air Cond.& F-1
D Slab 1� Ternp Pole El Top Out E Heating
Insulation El Lintel Ell Final 0 Sewer D Fire Place 13
Pre Fab
READY FOR INSPECTION
�1�
Mon. Tues Wed, Thurs. Friday
Inspection Made 7—et'
Fi
Final Inspection El
Inspect
Certificate of Occupancy E]
Date
CITY OF
4&6x4-c BwcA-49"'
Office of Building Official
REQUEST FOR INSPECTION
Date- I Permit No,
Time A,M,
Received ( 3&
7
Locali ty
Owne�-� —Contractor
Name
BUILDING CONCRETE ELECTRICAL I NG MECHANICAL
Framing Footing E Rough Wiring E-, Rough E Air Cond.& 0
Re Hooting SI,b Temp Pole 0 Top Out E_, Heating
Insulati C] Lintel C Final Sewer C Fire Place El
Pre Fab
READY FOR INSPECTION
r-4�'V�
�p iLm-7B-1 )
I A M,
Mon. Tues. Wed. Thurs. Friday ry P..
&147,-X A.M,
Inspection Made P.M,
e Final Inspection EJ
Inspector
Certificate of occupancy F]
Date
C) CITY OF
4&64dw Be4CA-IMU-44
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.01
Time A.M.
Received PM.,
n L
Job Address t Locality
Owner'
Name Contractor
LUMBING MECHANICAL
BUILDING CONCRETE ELECTRICAL tP
Framing 11 Footing F] Rough Wiring E Rough El Air Cond. & r:1
Re Hoofing E Slab Temp Pole E Top Out '-- Heating
Insulation E Lintel 77 Final E7 Sewer El Fire Place E,
Pre Fab
READY_EOR INSPECTION
Mon. Tues. CWd'j Thurs. Friday
A.M.
Inspection Made P.M.
Final Inspection Ei
Inspector-
Certificate of Occupancy El
Date
("ITY OF ATIA
_NTIC BEACH
DEPARTMENT OF BUILDING
8DO SEMINOLE ROAD-ATLANTIC SEACH,FL 32233-TEL: 241-WZ6-FAX: 247-5877
1j0*MrVKr&A.1jI N-
_T_ 166- MAGNOLIA STREET
111or it Ntamhiar- Addra-S-8- - -
Permit Type: SIDING A I LAN I IU bt:A I-LORKIDUA^322333
'Class of Work: ALTERATION Township* 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section:0
Square Feet; Subdivision: ATLANTIC BEACH
Est.Value: Parcel Number:
n.00
I - prov. "'ost: 35,00v OWNER]INFORMATION
Daite Issued: 1210612000 Name: ROSALYN HOFFMAN
Total Fees: 277�50 Address: 266 MAGNOLIA STREET
Amount Paid: 277.50 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 12/0712000 Phone: (000)000-0000
Wonk Doe-sc- REPLACE SIDING- REPLAC9 WATE XN__D TERMIT DAMAGED WOOD
PROPERTY OWNER PERMIT
277.50
FRANING/COVER-UP FINAL,BUILDING
NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS11
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$277.50 14
Date: 12/19/N It Receipt.. W28038
CHECKS
AT TIC BEACH E(UILDING 305
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS
e WING DEMLXTIONS
Owner(s)
Job Address: Phone:
Lot 40- Block or Unit # Subdivision:
Contractor: State License
Add-ress: ?hone No:
city State Zip Code
Describe work to be done: C&4 7*,/ j-I'd C—ZAZ
Present use of building:
Valuation of Proposed Construction; C-) (ao,-
Propos ed use:
Is this an addition? "0 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) ?
New plumbing fixtures?--� New fireplace? New Heat/AC?
SUBMIT IMUM (COMORCIAL) TWO (PMSZ=ffXAL) COUPLE= SETS OF PLANS, INMUDING
SZ2X PLAN, SURVEX, MGMGY Mnff -FCPJdS, NOT7CM OF AND
OWWWCONTRACTOR AMDAVIT, XF OWMM IS CONMACTOR.
Signature OWNER: Date': z- In 6
Signature CONTRACTOR:
AS TO OWNER: ' 4
�0() ��101�
Sworn to and subscribed before me this day
NOTARY PUBLIC
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 2000.
NOTARY PUBLIC
5934
d 5934
12/1 01:06:46 PH
HENRY V COD Page:
eki.
Filed .06-.46 PA
liA 121
5 MIN. RETURN 5Nf '0CIARKI 4 ";�Wtl %%%
PHONE#&2 NOTICE 03F C70M NCEMENT
I Off
D
U qol��-
TO WHOM IT MAY CONCERN:
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.
U Description of Property /m/d Azot� (4
2
(2 406-G"CU UIAWAW dAdd ;EtW
General Description of Improvements
Owne
Address: V?(c
Owner's interest in site of improvements: �-U,,1041(d
Fee Simple Title Holder(if other than owner)
Name
Address
Contractor c)L&k W(d &0
Address &jove-&'
Surety (if any
Address Amount of Bond $
Name of person within the State of Florida designated by owner upon whom notices or other
documents may be served:
Name
Address
In addition to himself, owner designates the following person to receive a copy of the Leinor's
Notice as provided in Section 713.13(i)(F), Florida Statutes. (Fill in at Owner's option).
Name
Address:
Fb e,-?N(S-�-- 7 7-S-,) —('X6
- w cc 435934
J sub of
Sworn to ano e me this -�day
I
-Tiff
eW�_ (:�,g 'a *Fied. & Recorded
12/13/2000 01:06:46 PH
HENRY N COOK
1--7 ;L Le CLERK CIRCUIT COURT Notary Public DEWS j.BREAUX
DUVAL COUNTY Notary pubk,State of Florida
TRUST FUND Wfy Comm. expires July �. 200
CWT FEE Koo.CC952163
CERTIFY
RECORDIN60
CITY OF
&4d 574110U�&
800 SEMINOLE ROAD
ATLAN171C BEACH,FLORMA 32233-6445
TELEPHONE(904)247-5800
FAX(904)247-5806
SUNCOM 852-5800
CHAprrzR 4ag. FLORICI^ STATUTES, PART I *CONSTRUCTION CONTRACTING" REQUIRES OWNIERMUILDER To
ACKNOWLXDGZ TMC LAW:
DISCLOSURE STATEMENT FOR Smcnom 469. 10317), FLORID^ STATUTES.
STATE LAW REOUIRES coNsTmucromro BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT
umom AN EXEMPTION Tic THAT LAW. THE Eximmmnom ALLOWS You, As THE OWNER OF YOUR PvtopeRTY, 'To ACT AS YOUR
OWN CCWRACTOR EVEN THOUGH YOU 00 NOT HAVE A LICENSE. YOU MUST SUPF-RV03E THE CONSTRUCTIOtj YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE - ORTWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMIERCIAL BUILDING AT A COST OF $25,000.00 oft LESS. THE BUILDING MUST SIC FOR YOUR USE AND
OCCUPANCY. W m^y NOT Be BUILT FOR SALE OR I EA Z. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF
WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMImLETZ, THE LAW WILL pqzsLME THAT You BUILT rr FOR -g-ir OR
LEASE, WHICH IS IN VIOLATION Of'THIS EXEMPTION. YOU 14AY NOT HIRE AN UNLICIENSF-0 PERSON AS YOUR CONTRACTOR.
YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE muILDINO COWS AND ZONING Rv:oUL^'nOms. IT is YOUR
RESPONSIBILITY TO MAKE SURETHAT PEOPLE EMPLOYED By YOU H"a LICENSES REQUIRCO MY STATE 66W_ A142JM
COUNTY OR MUNICIPAL LICENSING ORDINANCES,
ORDINANCES ALSO ALLOW AN OWNER To towpRovE-rmEi)R OWN Pnomriwry wmEm m #5 PrOR PERSONAL OR FAMILY
use, AND LjKEwjw REQuipm ALL WORK (zxcLrFrr mmmmmmcer UNDER $2.000) BE UNDER A BUILDING PLrjRj,4rr Amo FpAss
ALL moRmAL imspvc-rioNs. THx opmNANce STAT" OWNERS MAY PHYSIC-1 I Y 00 WORK rHEMSCLVW; 2&—MAZ-tM
UNLICEMSCO WaeAM PROVIDED SUCH WORKERS 9& UNDER -DIRECT SUPERVISION Oir T7'4ff OWNCA, WHO MUST 81 ON
THE JOB Ar ALL TIMIES WHILE WORK 15 IN PROGRESs By umLjcffmsLrD TRADES PEOPLE." THIS Does NOT ALLOW usirr oF
UNLJCCNSKD CONrRACTCIRS.
SINCE owmEgs m^y sm Lj^&Lz rag iNjumirS TO WORKERS THEY HIRE, Tmv- BUILDING Diep@^FtTmzw SUGGESTS
WoRxER's ComrrNsAmom imsupAmcm BE PURCHASED umoept THE HomrowNrcAs iNSuRANCr- F-Oucy CLEARLY PROTECTS
THE OWNER. OWNERS HIRING V�IORKZRS BECOME EMPLOYERS AND SHOULD ALSO OSSERVIE IRS WITHHOLDING TAX AND/OR
FORM 1009 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON TmEim IMPROVEMENT TRADES,
UNUCFNSIED OWNERS BEING SUBJECT
To $5,000 PENALTY UNDER FLoRim^STATUTE: No. 455-225(1). AN 'OCCUPATIONAL Licitimsit' IS 14 AD -&TK.
THE owNept SHOULD PHYSICALLY SEE THE COUNTY "CeRnricA= OF CompLrrmmcy" OR THE FLORIDA 'CONTRACTORS
CIERTIFICATIM" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONIC THE BUILDING OiLpAnTmiew (247-
6828) IF IN DOUBT.
I HeRavy ArmowLicDoe Tm^T I H^VK READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL
THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNIER-BUILDIER PERMIT.
Omj
OWNER/1311JILDER I
ma2m LQ A, � 0�± n
ADORE-516 �' 0 TEL
I � - -. Z
SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF �Z
NOTARY PUBLIC 2-40
NOTE: PHRASES UNDCRUNIED ABOVE MY COMMISSION EXPIRES:
ARE EMPHASIZED BY THE: BUILDING
DEPARTMeNT. FIDES C.CHRISTOPHER
6 pow
ijf-b,-j, Notary Public,State of Florida
MY cOmm.exPireS June 18.2004
NO.CC9W7
CITY OF
4&44kf w- Bea4:A-0;"
Office of Building Official
REQUEST FOR INSPECTION
Date_ 0 Permit No.
Time XK
Received P M..
Job Address Locality
Owner's
Name - [--U Contractor
BUILDING CONCRETE ELECTRICAL JM�BING MECHANICAL
r Cor, .a
Framing El Footing F Rough Wiring E-j E Air Cond. F,
Re Roofing Ej Slab FIr Temp Pole 13 Top Out Fj Heating
Insulation 13 Lintel 0 Final El Sewer 0 Fire Place 0
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. DFridy
11-1 kM.
Inspection Made v�k �f PM.
Inspector—.* i V Final Inspection
vNA Certificate of Odup-abey 0
Date
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel- 247-5826- Fax: 247-5877
PLUMBING PERMIT
PERMIT IN LOC ON,
L FORM
Permit Number: 22166 Address: 266 MAGNOLIA STREET
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section:0
Square Feet: Subdivision: ATLANTIC BEACH
Est. Value: Parcel Number:
Improv. Cost: � 1�1:; - �, ":7
or�
Date Issued: 6/15/2001 Name: ROSALYN HOFFMAN
Total Fees: 25.00 Address: 266 MAGNOLIA STREET
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 6/15/2001 Phone: (000)000-0000
Work Desc: WATER LINE TO HOUSE------------
4! f ES
�CX 11M.
EAGERTON PLUM ING CO. ,,PERMIT 25.00
a"
4�Z z
Af.
A
FINAL
NOTICE - INSPECI T BE REQUESTED AT LEAST 24 HOURS AIOR70,L�SPEPTION
BUILDING MATERIAL,"-RUBBISH ARP DEBRIS FROM THIS WORK MU OTBE PLACEDIN PUBLIC
1WC
SPACE, AND MUST BE CLEARED YIP�AND HAULED AWAY BY EIT CONTRAqfOR OR OWNER
"FAILURE TO COMPLY Wim -U SM
gONSTRUP111 LIE , * 4,KSULT IN THE
PROPERTY OWNER PAYING-TWIct-rioit Bt$LQJ IMP Ek
ISSUED ACCORDING TO APPROVED PLANS WMeH4aEJZ4R*-0F HIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
�k
$25.0014
ATL�NTIC BOCH BUILDING DEPT. Date: 6/15/01 81 Receipt: W65775
DFUR
p
Cll*Y UP ATLANTIC BE'AL.11 pue `-, -
APPLlCATION 1"Ok PLUMBINU
JOB LOCATION: Z17
OWNER OF PRUPE
J�4
PLUMBING CONTRACTO17/
AND ADDRESS:
TELEPHONE NUMBER:
STATE LICENSE NO: C 1!�C-0 3 2� 2- q fw,�
----------------
TYPE OF BUILDING: -s
SINKS
LAVATORY
BATH TUBS
URINALS
------------CLOSETS ..WAS111146 MAUHINE'
------------FLOOR DRAINS -SHOWEk PAJJL;
TOTAL FIXTURE x $:j. '50 $1 Liu
-------------------------------------- --------------------- ----
INSTALLATION OF PLUMBING AND PIXTURES MUST BE 114 ACCOHDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STA11DAND PLUMB1140
CALL A DAY AHEAD TO SCHEDULE 1NSPE(.TICINS
CITy OF ATLANTIC BEACH
DEPARTMENT OF BUILDING 247-5877
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Far. 247-5877
PLUMBING PERMIT
LO I()N IMF RMATION
FORMATION 0 Ll T
Address: 266 MA(iNUL1A5IKEhEE
40 S T
lie-rmit Number: 24217 6 LO A 3 233
ATLANTIC BEACH, FLORIDA 32233
ok�
Permit Type: PLUMBING Township: 0 Range: 0 Book:
Class of Work: ALTERATION Section.0
Lo,t(s)*. Block:
Proposed Use, Subdivision: ATLANTIC BEACH
Square Feet: Parcel Number:
Est.Value'. OWNER INFORMATION
improv. Cost: Name: R05ALYN Hur-r-MAN
Date Issued: 6/0&2002 Address: 266 MAGNOLIA STREET
Total.Fees: 29.00 ATLANTIC BEACH, FLORIDA 32233
Amount Paid: 29.00 ....... 0)000-0000
Date Paid: 6/06/2002
Work Desc: IN15_1 ALL PLUMBI R
CONTWCIOR S .CAT ION FEE 29.00
EAG -'_RTON PLUMBINU L;U.
NOTICE- I
�W
IN PUBLIC
BUILDING MATERIA OR OWNER
SPACE, AND MUST
"FAILURE TO COMPLY LT IN THE
PROPERTY OWNER PAY1
ERMIT AND SUUjFCT To REVOCATION
ISSUED ACCORDING To APPROVED PLAN
FOR VIOLATION OF APPLICABLE PROVISIO so
Oper: CHERYLE T OC Drawer: I
Date: 6/06/02 01 R=ipt no: 63079
14 PERMITS-BUILDING I M.00
AQT_1C B"C BUILB'RG DEPT.
266 NAG
CK CHECKS 8907 $29.00
Tmwsfwf�: ((/*m Tive: 15:46:45
GJJ'Y OF ATLANTIC ilEAC-11
Al'I'LICATIOH FOU PLUMLSINU PLIMIT
3 U 13 LOC AT 10 H
OWNER OF
1JU1LDIHU
PLUMMIG CUUTRACTUH
AND AUDIMBSt
r F-
)A&C
TELEPIIO14E HUHIJILH
-c)o:�'c,(o .3 2,4,2-
s,rATL LICENSE NO:
TYPE OF BUILDING:
LAVATORY
TUIJS
URINALS
------------
CLUSLTS W A E,I I 114 i P1 A U I I L I
------------
FLUOU DRAINS S11C1WU( PAW-1
------------ -
TOTAL FIXTURE COUNT: $:J. 50
-------------------------------------- -------- ----------- -- --
INSTALLATION OF PLUnIJING AND FixTujiLs nus*i, LtE 114 ACCOHDAUL,11% WX )I
THE 1105T ULCENT EDITION UP THE. SOUTIUM STANDAND V1,0HBJ141; 1A1111'.1
CALL A DAY AHEAD TO SCIIEDULE INSPECTICIUS t1j(1,j )
DEPARTMENT OF BUILDING
PERMIT NO. 5 33 9
CITY OF ATLANTIC BEACH,FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date AUGUST 4 19 82
Valuation$ 4,00 0.00 _Fee$ 24.00
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that JACQUE GROSS WHALEY
266 MAGNOLIA STREET, ATLANTIC BEACH, FLORIDA
has permission to build- RENOVATE AS PER PT.ANq SJMXTTTRT)--
Classification COMECIAL -—Zone CG
owned by -TACQIIV. r-Rog-, W11ATxy
Lot 10 —Block S/D ATLANTIC BEACI
House No. 323 ATLANTIC BLYD.
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
0 Building material, rubbish and debris
z from this work must not N Aff edTi
in public space, and must
ug aaledAway 17,
a 0 YA171
or 0 t
0 J- *DUCAC
Building Offici�.IJIJU
FOR OFFICE PERMIT DATE — CONTRACTOR
USE ONLY NUMBER
PLUMBING 5309 8-4-82 SCOTT NFISION PLUMBING
ELECTRICAL 3550 8-4-82 McCLUn ELECMC CONP"Y
SEWER
WATER
FOR OFFICE USE ONLY
Date-..... .......K.....,. .....
Permit #-49;.......Fee
CITY OF ATLANTIC BEACH 1K,
Valuation $ /I
---------------*------
FLORIDA House #.....Aza'vh��_
......*...........
/Zo... "Og
...............................V
APPLICATION FOR BUILDING PERMIT 0C.)
.......................................
----------------- ...... ..................
Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified. 11-11"
Date.....................................................
..............
�01
Owner--- '�Nu.e......66p.�_'.s le
- -------------Address-,------ I------**,q,-,------*_/9---------Telephone
Architect_.......__............._�V/w-----------------------------------------------------Addres&,-...............-------- _----------------_-...Telephone No-_---------- -----------
Contractor Builder....... /0 29 Address..........................................................Telephone No-------------------_-
------------------------- -----------------------
....................
Zone................
L'o No..�<.......).�............................Block No--------- .. ....Sub Division........
-----------......Street-------- .......Side Between....................................................and.....................................................Sts.
00 " 7
.......7L.100_......For what purpose will building be u
Valuation $. sed4��eY_49FC..Type of construction----wemoo'
Dimensions of Bui1ding`____'/3.X__J0.............Dimensions of .......-----_-_.....:Size of Footings................................
Size of Piers_........... .............Size of Sills...-------=.............Greatest Sill Span in ft.......................Type Roof.................................
How will Building be Heated?- ee -ex7eq4A .Will Building be on Solid or Filled Ground?............................ ....
Size of Ceiling Joists......... ...... .. Distance on Centers.. ............ ------_............ Greatest Span...........................................
Size of Floor Joists-----------N11-1)--.......------------- Distance on Centers. ... ... .....—------------ Greatest Span........ .....................
Size of Rafters----- -- - ------ Distance on Centers ..... ..... ........................... Greatest Span......................................
This rectangle is to represent the lot.
Locate the building or buildings in the
"AT"I"ic)J'Tvl��"` right position. Give distance in feet from
, �,�ACN all lot-lines and existing buildings.
QFF16� REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footin
2. When steel is in place and ready to pour colum n or lintel. Z Z
1P n
3. When steel is in place and ready to pour beam.
4. Wh&framing is completed.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical ins
pection by City of JacksoLville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City of Atlantic Beach.
Signature of Builder.... ........................ Address---------_------------ .........
Signature of Owner.:� Address..e�k.��-----YX01-ke-&�.
GEORGE BULL
1600 SELVA MARINA DRIVE
ATLANTIC BEACH,FLORIDA 32233
REG.REAL ESTATE BROKER ELEPHONE
904-249-3893
STATE OF FLORIDA
August 3, 1982
City Clerk.,
City of Atlantic Beach
City Hall,,
Atlantic Beach, Florida 32233
P�J:e be advised that Mr. George Bull is fully
n rsant with the plans of Mrs. Jacque Whaley
3 323 Atlantic Boulevard Atlantic Beach
23 Atlantic Bou' .to
re el the interior.
Corradine, etary to
1
Ir
'Fla
L.,j
C-1
outO
Ito,,
r<f"
13EFoRE
CA
ED
0
1>00R.
lk
DEPARTMENT OF BUILDING
j1TY OF ATLANTIC BEACH,FLORIDA PERMIT NO.- 5309
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date AUGUST 4 19 82
Valuation$ PLU14BING PF-RMTTFee$ 6.00
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that NELSON PLUMBING
10871 JAVA DRIVE, JACKSONVILLE, FLORIDA 32216
has permission to build INSTALL NEW PLUNBING AS PER PLANS SUBHITTED
Classification—CONMRCIAL Zone CG
Owned by GEORGE BUT-LI TENENT: JACQUE WHALEY
Lot—10 & 11 Block s/D ATLANTIC BEACH
House No. 323 ATLANTIC BEVD.
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
4 10 4 10 0 Building material,rubbish audifiri
z
cc
-1 from this work must not bg ced
in public space, and must L4 19
up and au%*,iWay b*�Aeitial C"L44UJ
dw
C OV4430 *CUCAC
7"1
Building Offic.A.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
APPLICATION FOR PEK'MIT
DATE
NEW TYPE OF BUILDING
REPIPE RESIDENTIAL
LOCATION ADDITION COMMERCI-AL
1RM ADDRESS
PLUMBING F
MASTER PLUMBER
e print
CITY/COUNTY OCCUPATIONAL LICENSE NO.
STATE CERTIFICATE NO.
BUILDER OR CONTRACTOR
----------------------------------------------------------------------------------------- -----
SINKS 'Z—LAVATORY BATH TUBS URINALS FLOOR DRAINS
CLOSETS SHOWERS WATER BEATERS DISHWASHER�' DISPOSALS
WASHING MACHINE OTHER TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST
BE IN ACCORDANCE WITH THE MOST RECENT EDITION
OF THE SOUTHERN STANDARD PLUMBING CODE. SIGNATURE OF MASTER PLUMBER
FIXTURE UNIT BRF_A_KDOWN
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT
INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT
TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. SEC. 27-3 (c)
BATHROOM GROUP CONSISTING OF BATHTUB (W/OR WID OVER - SHOWER STALL,
WATER CLOSET, LAVATORY & BATH HEAD SHOWER) (2 UNITS) DOMESTIC (2 UNI�
TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY
COMBINATION SINK & TRAY (2 UNITS)
(3 UNITS) DENTAL LAVATORY
(I UNIT) KITCHEN SINK
CONBINATION SINK & TRAY W1 DENTAL UNIT OR CUSPI- (2 UNITS)
FOOD DIS. (4 UNITS) DOR (1 UNIT) KITCHEN SINK W/
DRINKING FOUNTAIN (31 UNIT) DISHWASHER (2 UNITS) WASTE GRINDER
FLOOR DRAINS (I UNIT) 2- LAVATORY (l UNIT) 7 LAVATORY, BARBE;
LAVATORY, SURGEONS (2 UNITS) SHOWERS GROUP PER HEAD BEAUTY PARLOR
SURGEONS SINK (3 UNITS) (3 UNITS) (2 UNITS)
FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP POT, SCULLERY
SINK (4 UNITS)
URINAL, PEDESTAL, SYPHON JET STAND (3 UNITS)
BLOWOUT (8 UNITS) URINAL, WALL LIP URINAL STALL,
URINAL TROUGH EACH 2' (4 UNITS) WASHOUT (4 UNITF
SECTION (2 UNITS) WASHING MACHINE RES. WASH SINK EA SE,
(3 UNITS) OF FAUCETS
WATER CLOSETS, TAN'K- WATER CLOSETS, VALVE (2 UNITS)
OPERATED (4 UNITS) OPERATED (8 UNITS)
TOTAL FIXTURE UNITS
CITY OF ATLANTIC BEACH, FLORIDA
Approv"bV APPLICATION FOR BLICTRICAL PIRMiT
DATE: August 4 82
TO THE CHIEF ELECTRICAL INSPECTOR:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF,AND IN-ACCORDANCE WITH-THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
McClUre ElWric Co RA-
CURE JOIJHNEY�
ELECTRICAL FIRM: AMER ELEC*R
NAME Jackie Whalpy ___ADORESS: 323 Atlantic Blvd --RFD------WX-
SLOG.SIZE BETWEEN:
RES.( APT. COMM.(.x)K PUBLIC I I INDUSA NEW I OLD tKI REW.f
EMPL
ADDITION TRAILER I T SIGNS ( V -SO. FT.
SERVICE: NEW4 INCREASE I REPAIR FEE
CONDUCTO AMPS COPPER I ALUM.I
_IZE
RACEWAY
XCH OR,OBJAKED _H W
MM.SERV.jL41 100 PH 3 W : 234VOLT 14" RIACEWAY
fEEDIERS No. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
OPEN TOTAL _7n
'RECEPTACLES 7 , CONCEALED
I St.100 AM09,
6 30 AlAP4,
.10
�swrrcHrts
FLUORESCENT'&M'V.
FIX ,D 100 AMPS. OVER
1.00
BELL TRANSF;
�IAPFLIANCFES 2
AIR H.P.RATING
-q"gjTjQNjNG -COMP.'MOTOR: OTHER MOTORS Amps' C EIL HEAT: KW-HEAT
OVER
H.P. VOLTAGE PHS NO. I VOLTAGE PHS
TRANSFORMERS. _,_.[,UNDER:60OV., 2VAIR 6mv.
t
MA. MOTOR SIZE SWITCH FLASHER
FORWARDED
L PEES $ 5 00
j
DEPARTWENT OF BUILDING MIT NO. 4616
CITY OF ATLANTIC BEACH, FLORIDA PER -
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
D +:e 9/91;
valuation s 49.000 Fee S 131-50
'J 0�T 0
This permit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of law.
This istocertify th t GRENVILLE & 'MEUSE
has permission to build STNGT.F FAI%ITLY DWY1 ANC
Classification REmDENTIAL zo"A
Owned by GRENVILLE & HEISSE
Lot #494 Blocl�Eq # SID SALT AIR
House No 266 MAGNOLIA 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
4-10. 0 Building material, rubbish and debris
from this work most not be placed in
public space, and must be cleared up
and hatiled away by either contractor
or owner.
Building official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
AWW
Date...
CITY OF ATLANTIC BEACH Permit A C4.6 I�0 �K)
valwtion$........q'?
.v..0.,O.Q..................
FLORIDA noun
APPLICATION FOR BUILDING PERMIT -&fell _IX/4- .2.2
.......J�j..............
A/V
APPlication is hereby made for the approval of the datallsti statement of the plans and specifications herewith suInnitted 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, shan be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Builftx Permit is autommUcally responsible to ascertain that all sub-
contractors engaged by him m duly licensed in the City of Atlanfic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final Inspections it is suggested that a list of subcontractors be submitted to this office so licenses can
be verified.
Dats...... ....... ..........
Owner... Address..... . ...............Telephone
Architect......::=.................................................................................Address,......=........... ---------------..,Tdileplom xok...=..................
st
Contractor Builder... ........................Address..........................................;................Telephone No..........!.................
Lot No......... ..........................Block No.....r -
DivisiolL...).7A..Lt..lue' .............Zone................
............Sub .........I..................
02
&.:�..................street.........................Side Between.....................................................an&...................................................as.
Valuation ...........For what purpose will building be used....... �- .....Type of conotruction.......
Dimensions of Of Lot....... e:12......................SiX0 Of F*Otfnp..Z�Lk��..............
Sise of Piers.........r..........................siss of Sine................................Greatest sin span in ft..........................my" Roof...'ALP....................
Now will Building be Heated?.... .........................Will Building be an Solid or Filled Ground .........
Siss of Calling Joists......:1,A4.........................I Distance on centers...... ...................... Gresteat Rpan........./.1'. ................
...................., Greatest Spa&....Z....................................
Size Of Floor Joists........ ...................Distance on Centers........... 1..k... 0
also of Wters......... .................. Distance on Centers........ ..................... of
, Greatest Span.-----------------------------
This red& to r"Wesent the lot.
14cate the ImV4 or biffidings In the
A Pp R C>V e ht position. Give distance In feet from
C11Y OF hMAJIV,�TIC 2 lot-lines and oxistinx buiMings.
RUILDIN, G 0,,Fr '-AC�t
Two copies of plane and specifications dukli )CIE REAR LOT LM
be submitted with application. 24'
- - 1981 S-4
insPections r"*ra&
1. When steel Is in place and ready to pour footing. r
L When sted is in place and ready to pour,colunm Z<- gir
8- When Steel is In Place and ready to pour beam. jD
4. When framing Is completed.
5- When r*UA plumbing In Completed,and ready to cover up.
6. When septic tank drain field or sewer in laid but before it is covered. 04 04
7. Electrical Inspection by City of Jacimmvills.
& P13W inspection.
Note: In can of any rejection,re-Inspection MUST be called for after
corrections m made.
FRONT OF L40T
In consideration of permit given for doing the work as described in the above statement, we hereby is, to perform add
work In accordance with the attached plans and specifications, which are a part hersof, and fn aceordance,with the building
regulations of the City of Atr�ic BeseL
Signature of Builder............
Addrese.....
Signature of Owner......................................../.......................................
Address......... ..........................................................
CITY OF ATLANTIC BEACH
WATER CONNECT10N CHARGE
DATE
omo/,—AS
LOCAT71ON
OWN ER
PLUI`13ING FIRM
MASTER PLUMBER
BUILDER OR CONTRACTOR
nPE OF BUILDING A
BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC ( 2 UNITS)
WATER CLOSET,LAVATORY AND BATH (45)
TUB OR SHOWER STALL.(6UNITS) SHOWERS GROUP PER HEAD ( 3 UNITS)
BATHTUB ( WITH OR WITHOUT OVER SURGEONS SINK ( 3 UNITS)
HEAD SHOVER) (2 UNITS) FLUSHING RIM SINK ( 8 UNITS
BIDET (3 UNITS) SERVICE SINK TRAP STAND ( 3 UNITS
COMBINATION SINK AND TRAY ( 3 UNITS)
POT,SCULLERY SINK ( 4 UNITS
OOMBINATION SINK AND TRAY W/FOOD DIS.
4 Units) URINAL, PEDESTAL,SYPBON JET
BLOWOUT. ( 8 UNITS
DENTAL UNIT OR CUSPIDOR ( 1 UNIT)
URINAL, WALLL LIP 4 UNITS)
DENTAL LAVATORY ( 1 UNIT) URINAL STALL, WASHOUT ( 4 UNITS)
DRINKING FOUNTAIN (',, UNIT)
URINAL TROUGH EACH 2'SECTION
DISHWASHER ( 2 UNITS) ;?— ( 2 UNITS)
FLOOR DRAINS I UNIT) WASHING MACHINE RES. ( 3 UNITS) 3
KITCHEN SINK 2 UNITS,"" WASH SINK EACH SET OF FAUCETS
2 UNITS
KITCHEN SINK W/WASTE GRINDER
3 UNITS) WATER CLOSETS, TANK- OPERATED
( 4 UNITS )
LAVATORY (-,,-I UNIT WATER CLOSETS, VALVE OPERATED
LAVATORY,BARBER,BEAUTY PARLOR 8 UNITS
2 UNITS
LAUNDRY TRAY ( 2 UNITS
LAVATORY, SURGEONS ( 2 UNITS)
--- - ---------
C 17'Y 0 F
ATLANTIC BEACH No. 07451
FLORIDA
March 31 19 81
NAME Grenville & Meuse Const. Co.
ADDRESS 214 Orange Street.
CITY Neptune Beach, Fla 32233
Account #41-343-5200 - Additional Sewer Connection Charge $600.00
No. 07334 - 246 Magnolia Street.
No. 07335 - 266 Magnolia Street.
No. 07336 - 274 Magnolia Street.
When Signed, Dated and Numbered, This Becomes an Official Receipt
MAKE CHECKS PAYABLE TO' Received Payment
CITY OF' ATLA?4TIC BEACH, FLORIDA TREASURER
CITY OF AnAWIC BEACH
APPLICATION POR SEWER CONNE)CTIONS
A00DUNT ND.220103
DATE— 2/23/81
IDCATION 266 MAGNOLIA STREET. ATLANTIC BEACH FLA.
LOT NO- 4 9 4 BLOCK NO- SEC#1 SUBDIVISION SALT AIR
OWNER CRENVTT-T, .& MEUSE
TYPE OF BUILDING S/F RESIDENTIAL
MAS= PlUN2E.R
DATE
I:NSPBCTED BY
CITY OF ATLANTIC BEACH
APPLICATION FOR WATER CUT-IN
APPLICATION IS HEREBY MADE FOR GgENVILT,F. & MF
WATER CUT-IN AT
THE FOLLOWING ADDRESS FOR S/F RESIDENTIAL UNITS (S)
CUT- IN CHARGE OF $85-00 & $4.00 CONST. WATER
STREET NO. 266 MAGNOLIA S=l ATLANTIC BEACH. FLA
LOT-494 BLOCI�.SEC.T#1 ....SUBDIVISION Salt Air
ACCOUNT NO.220103
MASTER PLUMBER
DATE
METER NO.3,0 __DATE INSTALLED...
'0
DEPARTMENT OF BUILDING 4627
CITY OF ATLANTIC BEACH, FLORIDA PERMI
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
81 81 T'
D �March5,19 19 Ti';
J!
Valuation$ Fl—hing Fee $. 11-00
*G 0 CC,
This permit not valid until above fee has been paid to City Treasurer. and is L�'L: f��
subject to revocation for violation of applicable provisions of law.
This isto certifY that—Fair Plumbing
has permission to# ' 4--k233 I SINK,71 A141"Ry,2 AIH TITRq,2 r1j)RETIS,
1 WATER HEATER," l DISHWASHF-R, I DISPOSALS,l WASHING MACHINE.11 TOTAL
Classification S/F:rResidmtial -
Owned by r- & ly, "matruntion Co-
Lot Block _S/D
House No 266 HAGNOLIA 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
44-01. 0 Building material, rubbish and debris
Z from this work must not be placed in
public space, and must be cleared up
and hatiled away by either contractor
or owner.
M_ DAVTS
Building Official.
FOR OFFICE PERMIT CONTRACTOR
USE ONLY NUMBER DATE
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
DATE
LOCATION
PLUMBING FIRM
MASTER PLUMBER
CITY/COUNTY OCCUPATIONAL LICENSE NO.
STATE CERTIFICATE NO.
BUILDER OR CONTRACTOR
TYPE OF BUILDING
SINKS 0-- - SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
-C)", URINALS DISPOSALS
C�2 CLOSETS WASHING MACHINE
-0' FLOOR DRAINS
OTHER
TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE
MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
BUILDING AND ZONING INSPECTION DIVISION
0 d
CITY OF ATLANTIC BEACH, FLORIDA z
00
0
a.
Cn
ELECTRICAL PERMIT 4
z
Date ...— 11-.1 - 1 —Feeli 11. ".5 —Permit No. 10-.71 3:
0
LU
Location
Between
and
This is to certify that CL
-C
LU
U.
-'QAas?er aecri�'cian EO
has permission to install Electrical Construction as
described herein in ce 0.
accordance with the provisions of the Electrical Code and regulations Lu S
of the City of Jacksonville, and subject to the information shown on the Lz"
application, drawings and specifications which are made a part of this X
permit.
for
UJ
9L
Type of work:
SERVICE:
>
fL,
Feeders: LU
Outlets: 0
Receptacles: LU
Switches: co
LA
Incandescent:
Fluorescent:
Appliances:
Air Conditioning:
Motors:
Transformers:
ROUGH INSPECTION 4/24/81— 40";;0' 0,
Signs- "ET Al., INSPECTION 813181— Q,A_ ED�ARDS
Miscellaneous:
IF NO WORK IS DONE UNDER
THIS PERMIT DURING ANY SIX ISSUED BY:
MONTHS PERIOD, PERMIT Electrical Mns�pe'ctibn'Super�isoi
BECOMES VOID.
Cl-I"Y OF
7 1 G 0 C E AN P 0 U L LVA i r,j V,E R 2 5
-2233
/,T1_f,!,'T1C 7,EACH. FLC�MDA.
AUGUST 3, 1981
PRE-SERVICE SECTION
3RD FLOOR
JACKSONVILLE ELECTRIC AUTHORITY BLDG.
233 WEST DUVAL STREET.
JACKSONVILLE,FLORIDA 32233
DEAR SIR:
THE FOLLOWING LISTED FINAL INSPECTIONS HAVE BEEN MADE AND ARE SATISF-
ACTORY:
PERMIT NO.# 3087 - 266 MAGNOLIA STREET. ATLANTIC BEACH FLORIDA 32233
FERRIS ELECTRIC COMP.
Sincerely,
GAE/REV G,A.EDWARDS
DIRECTOR OF PUBLIC WORKS
H _ ELL _11_".'E��
7 7
V!s (D L P K I
CITY OF
4&**d4-C /';Y
Office of Building Official
REQUEST FOR INSPECTION
Date AUGUST 11981 Permit No. #3087
Time A.M.
Received 10:30 AM P.M. District No. III DUVAL
266 MAGNOLIA STREET, SALT AIR
Job Address Locality
Owner's G & M CONSTRUCTION GERRIS ELECTRIC COMP,
Name Contractor
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation ....0 Wire ...........0 Rough Wiring ..C] Rough —...... h ........0
Chimney ......El Lath ..........0 Finish Wiring ..[] Final .........W-Mnu.gl .........ii�
Framing .......�ratnch .......�0 Fixtures .......0 Seweo Heater ..0
Brow 0
Water
Final .......... 0 Motors ........0 G
Footing .......0 Finish .......0 Temp-Pol s .1
S ab ..........0 Wallboard .....0 Final I=pe�ii,;�'eoToplo'uot ........[0:]
Lintel Beam ...0 Water .........C1
READY FOR INSPECTION A.M.
ED Tues. Wed. Thurs. A.M. Fri. P.M.
Inspection Made 7' S= P.M.
Inspector -7
CITY OF
AM& hak-;W&
Office of Building Official
REQUEST FOR INSPECTION.
Permit No. #4616
AA4.
P.M. District No.
STREET.
falls Locality
G &M. CONST COMP-
WT. C011P. Contractor �$
STERING ELECTRICAL PLUMBING HEATING
................0 Rough Wiring.0 Rough..............0 Rough............I
...............0 Finish Wiring..0 Final.................0 Final...............L
..............0 F ixtures..........0 Sewers...............0 water Heater..r
.............0 Motors............0 Gas...................0
..........11 Cesspool...........0
........0
ADY FOR INSPECTION A.M.
Wed. Thurs. Fri.-P.M.
4
OP
c
44�
llo�
'Pe"-t 0
,Distlk-t ow
r4cto,. Call
tv, 'C4t 'o
Pitt"
�pt�01,
a k
co
-,b ?/,VC COX E T.
ti
Cn
CIVI I
polo vo*0
Mu
t%.0 i
too-"'
woo-10
CITY OF
oftfta &4A-;W&
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No..
Time A.M.
Received P.M. District No.
,,pdlr
A
Jdb Address Locality
Owner's 04,,e
zlf;Loa" —VOL
Name. Contractor
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation.......0 Wire..................0 Rough Wiring.0 Rough...............0 Rough............0
Chimney........... Lath..................11 Finish Wiring..C3 F inal................. El Final.,.............13
Framing............ Scratch.............El Fixtures..........El Sewers...............11 Water Heater..El
Final................. Brown...............0 Motors.............El Gas................... C1
Finish................0 Cesspool...........C1
"Ole.
Wallboard ........El
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. Fri.—P.M.
Inspection
Inspector
CITY OF
oftfa& hink-A"
Office of Building Official
REQUEST FOR INSPECTION
Date__. .212 5181 Permit No.
Time A.M.
Receiwed P�M. District No.
266 Magnolia Street
Job Address Locality
Dwrler's
GRENVILLE & MEUSE_contractor GRENVILLE & MEUSE
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation.......0 Wire..................0 Rough Wiring.0 Rough...............0 Rough........ 0
Chimney...0 "th..................0 Finish Wiring-0 Final.................0 Final........... 0
Framing—---[:] Scratch..............0 Fixtures..........0 sewers.............-0 Water Master-0
Final.............*0 Brown...............0 Motors....... 0 Gas...................0
FOOTI Finish.........I.....�0 Cesspool...........0
NG Wallboard -......0
Mon. READY FOR INSPECTION 10:00 A.M.
Tues. Wed. Thurs. Fri.— P.M.
Inspection Made
Inspector—
INSPECTION T�ECORD
BUILDING PFRMIT # 616 ElECIRICAL PERMIT # 36 VY
PLu�Bim PmcW Yejol
JOB ADDRESS 266 MAGNOLIA STREET.
CONTRACTOR—G & M CONSTRUCTION
O"AWER.— G & M CONSTRUCTION
TYPE DATE RF-14ARKS T-NSPECMR
FOUNDATION
,31
j'!FOOTING %e"l 4Y�414,
f
SLAB
PLUMBING (R)
SEEWER
TE�?ORARY POLE-
L=r,L/BE P1 i
COLUlv
ELE=CAL(R) /x V/C,/
PLUMBING (F)
FRPJAING
=CTPJCAL (F)
C(LrrHEFL
FINAL
C
fp"ll
10,
R&
tt,
2 3�3
grznit
0 RIPTION
tI
s4ct
t
IMprov Mal
tal: Fees :,t,
25.
R SA ,
3 3
OV
............
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Office of Building Official
REQUEST FOR INSPECTION
L)
Date__ Permit
Time A,M,
Received P'M
[it I y—_
Job:�Zesl
Own&s i
Name Contractor --------
BUILDING CONCRETE ELECTRICAL PLUMBING--t
MECHAN ICAL
Framing — Footing Rough Wiring 2Ro u Air Cond,&
Re Rooting 7 Slab Temp Pole L Top Out Heating
Insulation Lintel Final Sewer Fire Place F
RE INSPEC� Pre F I ab
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Mon. Tues. Friday
Inspectipf�Made __PM,
Insp otor Final Inspectio
Certificate of X aqcy
Date
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: 26:� 11-1,,q
OWNER OF PROPERTY: Le�
PLUMBING CONTRACTOR: xi
CONTRACTOR'S ADDRESS:
STATE LICENSE NUMBER: C F,,-- 0 TELEPHONE:
HOW MOY OF THE FOLLOWING FIXTURES INSTALLED
-SINKS SHOWERS
-LAVATORIES WATER HEATERS
-BATH TUBS DISHWASHERS
-URINALS DISPOSALS
-CLOSETS WASHING MACHINES
-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 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834.
11232
DEPAWMENT OF BUIL
CITY OF ATLANTIC 8",Pi
Aj
----------
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BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC KACH
ATLANTIC COACH.FLOOD^SOUG
APPLICATION F*R MECHANICAL PERMIT CALL4N NUMBER
IMMRTANT�Applicant to complete all Items In sections 1. 11. 111, and IV.
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LOCAMN
OF losersoclial sariaels: 961wees h:LjQA4r P----,,I () CL —A*d
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IL NXNTIFICATION— To be completed byall applicants.
I& coNsWorati" of Permit 96" to doing the work as doscri"d in the above statement we hotsby agree to perform said work In accordance
wi* the attoc4d 0046 and specifk0fleas which are a part here*# slid in accordance Wilk the City of Jacksonville ordinances and standards
of good owaggice, seled thersin.
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CITY OF
C al - 9e'" rl,a
800 SFNIINOLE ROAD
'H,FLORIDA 32233-5-W_5
Al LANTIC BEAC
TELEPHONE(904)247-5800
FAX("4)247-5805
April 30, 1993
P11r . Daniel G . Hoffman
266 Magnolia Street
Rtlantic, Beach, FL 32233
Dear NI r Hof f m-an
Our records indicate that your company is the owner of the
-tic Beach, Florida :
following property in the City of Atlan
Lot 491a.�,a__tai.r
R 7:#17 0 5
Tnvestigation 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. Section
12-1- ( 6') in that the rear fence and gazebo are creating a hazard
and lumber and debris are continuously present on the property .
You are hereby notified that unless the condition above
described is remedied within thirty (30) days from the date of your
receipt hereof , this case will be turned over to the Code
Enforcement Board .
Under Florida Statute 1.62 .09 , the Code Enforcement Board may
impose -Eines, of ijp to $250 . 00 per day for a first violation and
$500 . 00 per Jay for a repeat violation .
Sincerely ,
16rl W . Grunewald
Code Enforcement Officer
KWC
I '/Pah
CC" City
VTA TIAND I)ELTVEIRY
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
April 6, 1993
Mr . Daniel G. Hoffman
266 Magnolia Street
Atlantic Beach, FL 32233
Dear Mr . Hoffman:
our records indicate that you are the owner of the following
property in the City of Atlantic Beach, Florida :
Lot 494 , Saltair Sectio 1
a/k/a 266 Magnolia Street
RE#170533-0000-8
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 in that
the rear fence and gazebo are creating a hazard and lumber and
debris are present .
You are hereby notified that unless the condition above
described is remedied within thirty (30) days from the date of your
receipt hereof , this case will be turned over to the Code
Enforcement Board.
Under Florida Statute 162 . 09 , the Code Enforcement Board may
impose fines of up to $250 .00 per day for a first violation and
$500 .00 per day for a repeat violation.
Sincerely ,
Karl W. Grunewald
Code Enforcement Officer
KWG/pah
cc: City Manager
Enclosure
CERTIFIED 14AIL
RETURN RECEIPT REQUESTED
Chapter 12
NUISANCES*
Sec. 12-1. Enumeration.
(a) It shall be unlawful for any person, natural or corporate, to do, perform, have, allow,
suffer or permit any act, occulTenc(I 01* Condition Within 0_10 CitV Which COnStitUt(", a danger-
ous, unsafe, dilapidated or unsanitary condition, which nlay be inJurious to the health and
well-being of the community.
(b) It is hereby declared to be a nuisance, the enumerations ofwhich are nierely indica-
tions ofthe nature and type of acts, occurrences and conditions, and shull not be deemed to be
exclusive:
(1) For any person to cause or allow any animal carcus or any filth or substance to be
collected, deposited, or to remain in any place to the detriment. of public health;
(2) For any person to throw, deposit or discharge into or suffer to be collected, deposited
or remain in any street, alley or other public place, or in any house, building,
premises, sewer, or gutter, any filth, garbage, noxious substance, or any waste paper,
rags, or any rubbish of any kind;
(3) For any person to allow, suffer or permit any lot or premises, common or place of any
kind whatsoever to become neglected so as to become a detriment to public health by
weeds growing thereon, or by depositing of rubbish of any kind which may be
injurious to the health and well-being of the community;
(4) To allow, suffer or permit any stagnant water to accumulate or stand upon the
surface of the ground or upon or within any receptacle or structure deposited or
erected, either above or below the ground, without exercising necessary precautions
to prevent the propogation of mosquitoes therein;
(5) For any person to keep, herd, and feed any animals, such as bogs, horses, Chickens,
rabbits and guinea pigs in any manner which may be injurious to the health and
well-being of any person due to noxious odors, noise, etc.
(6) Any attraction which may prove detrimental to any human being, whether in a
building, on the premises of a building, or upon an unoccupied lot. This includes any
abandoned wells, shafts,basements, excavations, abandoned refrigerators and motor
vehicles, or any structurally unsound fences or structures, or any lumber, debris or
vegetation, which may prove a hazard for inquisitive minors.
(7) For any person, either as the owner or occupant of a building, structure, or property
to utilize the premises of the property for the open storage of any abandoned niotol,
*Cross references—Nuisance, control board, § 2-161 et seq.; nuisance aninials, '§ 4-6;
noise, Ch. 11; abandoned, wrecked,junked, inoperable, etc., vehicles, § 21-2.1,
State law references--Ab ate ment of nuisances by injunction, F.S. § 60.05; nuisances
injurious to health, F.S. Ch. 386; public nuisances, F.S. Ch� 823.
Supp. No. 10
735
CITY OF
Vead - 96n,,�&
800'�LNIINOLE ROAD
NITAN'TIC BEACH, FTA)RIDA 32233-5445
TFUEPHONE(904)247-5800
FAX(904) 247-5805
April 6, 1993
Mr . Daniel G . Hoffman
2.66 Magnolia Street
Atlantic Beach , FL 32233
Dear Mr . Hoffman:
Our t �--,corrls indicate that you are the owner of the following
Irtoperty in the:� City of Atlantic Beach, Florida :
Lot, 49,4 , Saltair Sectio .1
a/k/a '1166 Magnolia Street
RF#170533-0000 -8
Investigatlion of this property discloses that I have found
anJ deterini'ned that a public nuisance exists thereon so as to
constitute a violation of City of Atlantic Beacii Ordinance in that
the rear f�-nce and gazebo are creating a hazard and lumber arid
are present .
You are hereby notified that unless the condition above
�3escribed is remedied within thirty (30) days from the date of your
receipt here(-,f , this case will be turned over to the Code
Tnforcemont Board .
1,jnder 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 ,
,;_-�119e14
Karl W . 'Grunewald
Code Enforcement Officer
KW P a
C,
C.ity mallag r
11 c o s u I-F--�
CERTIFIED' 111 A I L
RETURN RECEIPT REQUESTED
P 409 804 .-E50
Receipt for
Certified Mail
No Insurance Coverage Provided
UPSTED STATES Do not use for International Mail
(See Reverse).
S el and No.
-1 /1/— >;/�"'
P.O. ta nd Z10 Cbde
Postage
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing
to Whom&Date Delivered
Return Receipt Showing to Whom,
Date,and Addressee's Address
TOTAL Postage
Fees
Postmark or Date
Go
M
E
0
u-
C CITY OF
900 SEMINOLE POAD
ATIANTIC TIFM'11, i-1,01UWi 3'.2 11 54;,"
IT 11,:NIONL(1434)24"
FAX ON)247-580,S
Aprii 2 , 1993
Mr . Daniel G . Hoffman
266 Magnolia Street
ALlantic Beacti, FL 3223-3
Dear Mr . Hoffman:
Our records indicate that you are the owner of the tol ! ow�!,kjq
Pl:cPerty in the City of Atlantic Beach, Florida :
Lot 494 , Saltair Section I
a/k/a 266 Magnolia Strec-,,t
RE#170533-0000-8
Investigation of this property discloses t1hat T hav�-
and determined that a public nuisance e,,A�,,ts thereoIA tlu
constitute a violation of City of Atlantic Beach ot-di"'lance
12-1-6 in that the rear fence and ga2ebo are creRtin(-, a
lumber and debris are present .
You are hereby notified that unless tlie, conii. tioij above
described is remedied within thirty (30) days frcmi -L-h(- daLt.e of your
receipt hereof , this case will be turned over i o t 1),e o k-jo
Enforcement Board.
Under Florida Statute 162 . 09 , the Code Enf orcemeyit Board ijiav
impose fines of up to $250 . 00 per day for a tirst viojatit)j�j an('1
$500 . 00 per day for a repeat violation.
Sincerely ,
a r I (,runewa,t d
('o d e Enforcemerit 1,Df flcel'
K'V4 G P a h
cc : City Manager
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
-n
2
3
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Dear
our records indicate that you are the owner o'l the following
property in the City ot Atlantic Beach, Florida :
-�10-ZA 115-7-
.A -47;v.
AX / --7
Investigation of this property discloses that I have found
and determined that la public nuisance exists thereon so as to
constitute a violation of City of Atlantic Beach Ordinance Section
i n t ha t
1——————————————---——————
.4
You are hereby notified that unless the condition above
described is remedied withi.ii -owt tile date of
_) days ti,,
your receipt hereof this case will be turned over to the Code
Enforcement Board.
Under Florida Statute 162 . 09, the Code Enforceinent 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 ot-ficer
KWG/pah
cc : City IManager
CERTIFIED 14AIL
RETURN RECEIPT REQUE�TED
CITY OF ALTANTIC BEACH
COMPLAINT MANAGEMENT SYSTEM
TAKEN (date/time) :
COMPLAINANT:
Last Name First Name MI
ADDRESS:
CITY/STATE/ZIP:
TELEPHONE:
COMPLAINT:
LOCATION:
PROPERTY 0 ERS PHONE: - (-)
PROPERTY OWNERS NAME: :
DEPARTMENT FORW ARDED TO: 4� 5P-
COMPLAINT TAKEN BY: DATE/TIME:
OFFICE USE ONLY
INVESTIGATED: (date/time)
ASSIGNED DEPT. /-DIVISION: PRIORITY:
INVESTIGATOR:
'AE'e-2
z
CONDITIONS FOUND:
ACTION TAKEN:
COMPLIANCE:
NOTES:
A.M
Xg
TIME
t
FOR
Im �e-�v -,
.e.--PHONED
0 F 4L
v RETURNED
PHONE YOUR CALL
AREA CODE NUMBER EXTENSION
PLEASE cALJ
MESSAGE
'? WILL CALL
A AGAW-
CAME TO
SEE YOU
WANTS T(
$E�YO
0
CITY OF ALTANTIC BEACH
COMPLAINT MANAGEMENT SYSTEM
TAKEN (date/time) :
COMPLAINANT: A U/*
Last Name First Name Mi
ADDRESS:
CITY/STATE/ZIP:
TELEPHONE: -T _zz�
COMPLAINT:
S-,7
LOCATION:
PROPERTY OWNERS PHONE:
PROPERTY OWNERS NAME: '
DEPARTMENT FORWARDED TO:
COMPLAINT TAKEN BY: DATE/TIME:
OFFICE USE ONLY
INVESTIGATED: (date/time)
ASSIGNED DEPT. /DIVISION: PRIORITY:
INVESTIGATOR:
CONDITIONS FOUND:
7,
ACTION TAKEN: (51
COMPLIANCE:
NOTES:
CITY OF
Ve4d - 9&r4&
800 SEMINOLE ROAD
ATLANTIC BEA' CH, FLORIDA 32233-5445
TELEPHONE(904)247-5800
M ON)247-5805
CERTIFICATE OF SERVICE
hereby ceitify that
----------------
I delivered a notice to Daniel G. Hoffman
at ----266 Magnolia-Stree.t Atantic Beach, FLorida
32233, this ___ �//:;---day 1992
O'clock _?-M.
This notif ication vas in ref erence
CITY OF ATLANTIC BEACH - vs.-Daniel Hoffman --Lot 494,_
-----------------------------------------------------------------
SIGNATURE OF SERVER:__/7T--- -- --
-_ Qpta
SIGNATURE OF RECEIVER:_- ------------------- -
D A T E D: a�- fy
-------------------------