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Permit 273 Magnolia St (vault) �--Ttrtffitratt of Mccupancu (situ of Atlantic imc4 Nloxibo Department of 'Nuilding Jnspation i This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the variqus ordinances regulating building construction or use For the following.-. i Use Classification Single Family Residence Bldg.Permit No. 15420 Group-f raffie Type Construction Sf Fire district Atlantic Beach ss Owner of Building Carolyn Jones Address 273 Magnolia Street t Build y�Address 3{�3 Ma�TLtb�ia St. Locality Atlantic Beach, FL 32233 (`�' By: DON Q. FORD Building Official Date: 09 r POST IN A CONSPICUOUS PLACE i t e CITY 4F ATLANTIC BEACH =�' r 800 SEMINOLE ROAD } ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247 .� -5826 ri31 ' Application Number . . . . . 09-00000036 Date 1/12/09 Property Address . . . . . . 273 MAGNOLIA ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc rewire kitchen -------------------------------------------------------------------------- - Owner Contractor - ------------------------ ----------------------- JONES, CAROLYN DUTCHER ELECTRIC INC Q/A:DUTCHER, AUSTIN ATLANTIC BEACH FL 32233 1122 NORTH 3RD AVE. JAX BEACH FL 32250 (904) 241-5800 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/11/09 --------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH _ + ,; J 09 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I I I I I n OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTGCOAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY f'dOB,ADDRESS.: 2.IS THIS'A SUB PERMIT: s` '. ;: 3:DATE ❑NO '7 7 r l ❑YES PERMIT#: PROPERTY OWNER:'; 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: s� ELECTRICA4 CONTRACTOR:;'- 7. ME OFC PANY: 8.ADDRESS.: STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: _c) , / 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. 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 anytime after wo c is commen d. CONTRACTORS SIGNATURE: Lot✓' i w8t CU#S$.OF WORK. ' 18�METER`NUMBER:.1. ❑MULTI FAMILY-#OF UNITS: UMESIDENTIAL INGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 14.BU G 19.; RRENT CODE:� ,7777777 ❑ALTERATION ❑SIGN D ❑NEW., '05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: 20.TYPE OF SERVICE: 260VERHEAD ❑UNDERGROUND ❑UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: ❑POWER IS ON ❑POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑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: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 7777 AIR cDNwTacaNlNe #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: / ..,.zu— r' a9 �G BLDG02 Permit Application Elec:REVISED:12/182008 AGC Alexander Grace Consulting, Inc. December 24, 2008 Carolyn Jones Rose Contractors 527 Florida Blvd Neptune Beach, FL 32266 Re: Framing Modification, Rental Property 273 Magnolia Street, Atlantic Beach, FL Job Number 08-10-0135 Dear Carolyn, During construction of the above referenced structure, it was determined that the wall between the kitchen and the hallway that was originally thought to be non-load bearing was actually load-bearing. The span of the floor joists for the second floor is 14'. The existing floor system is constructed of 2x10 No.2 SYP M 16" o.c. However, the three joists sitting on the wall in question are spliced at that wall. To remedy, use an 8' 2x10 scabbed to the side of the existing joists. The 8' 2x10 will bear on the wall between the garage and the existing hallway. The other end of the 8' 2x10 will fasten to the existing floor joists with (3) rows of 10d nails at 6" o.c. Please call if you have any other questions. Sincerely, �2 4d Geo rtner, P.E. r. E ILE COPY 452 Osceola Avenue • Jacksonville Beach,FL 32250 • 904-2418010 CITY OF ATLANTIC BEACH x S1 800 SE UNOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034334 Date 11/29/06 Property Address . . . . . . 273 MAGNOLIA ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------------------- --------- Application desc RE-GROUND ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JONES, CAROLYN BROOKS & LIMBAUGH ELECTRIC CO Q/A BROOKS, CHRISTY ATLANTIC BEACH FL 32233 42 WEST 8TH ST. ATLANTIC BEACH FL 32233 (904) 241-9051 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/28/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 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. CITY OF ATLANTIC BEACH Y yr ELECTRICAL PERMIT APPLICATION Date: 8 Property Address: 2'I 3 NI��nn��� �ra-? Owner: &vOtm JUS Telephone#: Contractor: L066 el /,L Gd "t Telephone#: Contractor Address: t JT. Fax#: 2y f O V3 Contractor Signature: In consideration of permit given fo doing Ihe wok as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and sp cifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ NewJ Residence ❑ Temp. Ll New being done on this building Or site,list the building Old ❑ Commercial ❑ Signs ❑ Increase Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Serviceit �'!� RACE� r/ Size AMPS O PH W VOLT Gam` WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 Armes OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. IVOLTAGE PH I NO. OVER 1 H.P. PHS LTNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845• httu://www.ci.atiantic-beach.fl.us Revised 1/04 HP,Officejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 Nov 29 2006 4:47PM Last Transaction Date Time Type Identification Duration Pages Result Nov 29 4:46PM Fax Sent 96654470 0:42 2 Jammed CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034192 Date 11/01/06 Property Address . . . . . . 273 MAGNOLIA ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc re-pipe - 8 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JONES, CAROLYN CHRISTY FIRST COAST PLUMBING P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 91 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/30/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 91 . 00 91 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 91 . 00 91 . 00 . 00 . 00 PERMOrf IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA Bun,DING CODES. 4 CITY OF ATLANTIC BEACH J %w. PLUMBING PERMIT APPLICATION Property Address: �V 73 /` Owner: �a ✓`�n c l r�_� Telephone#: y to —l�6 y( Contractor: -17( mss fii34 aS P14( -ktTelephone#:01 a y/l� Contractor Address: �COJ/ d2Fax#: Contractor Signature: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, Cl New list the building permit number. /" Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans �. Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine I Lavatory Water _ Sewer Water Heaters Sprinkler System Other#,,5e,�6,`bb s Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road.Atlantic Beach,Florida 32233-6445 Phone:(904)247-5800• Fax: (904)247-5845. http:1twww.ci.adantic4wach.fl.us Revised 1/04 ,SOV 01 06 09: 07a Julie Christy 904-249-4660 P. 1 CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: 73MqT" Owner: n'�n -J f Telephone#: Contractor: da'd P/M.�af. Telephone#: ; f7 Contractor Address: /(P5- ftAo, --r4 zed Fax#: 240-Y(,(-0 Contractor Signature- In consideration of permit given for doing the work as described in the above sternen,we hereby agree to perform said work in accordance with the attached plans and specWcatlons which we a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed dwain. Installation of phumbing and motes must be in accordance with the most recent edition of the Southern Standard Plumbing Code, Plumbing Type. If other construction is being done on this building or site, O New list the building permit number_ Number of Fixtures: t Bath Tubs Showers 1 Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other A45eZ,`bb S Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road.Atlantit Beach,Florida 32233-64" Phone:(904)2474=0• Fax: (904)24744• http:/Iwww.t l.ndandc-beach tl ua Revised 1104 g CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j r ATLANTIC BEACH, FL 32233 y " INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001744 Date 12/29/08 Property Address . . . . . . 273 MAGNOLIA ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 fixture ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JONES, CAROLYN CHRISTY FIRST COAST PLUMBING P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/27/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Dec 23 08 04:44P Brian D. Christy 9042494660 P•1 D$ CITY OF A'T'LANTIC BEACH PLUMBING PERhGT APPLICATION Date: - Property Address: �,l }" L dam") Owner. 0 0df Ql� ���n e t Tdepboue#: Contractor. ��V� if lC�Td ephoue#.- Contractor Address: ( .I Fsuc*: { in eonsidcradon of perarit Siren for doh*the deswibad ie the above sumumm we hmby agmee to perform said wodc in aoentdanot w th the attached plass and sped5cadons which m a part heroofsed in aecoa hme with the City of Mantic Beach of mvn and smduds of good ptsotim ftod'2wein. h amnation of phradring and Examm must be in aceordme with the stoat momu edition of the Soudwm Standard Phrntbing Code. Plumbing Type: If other conssruo8on is being done an this building or site, C3 Re-Pipe IisttSte `U�nu _ r Number of Fal:bnrea: Batts Tubs Showers closets- Shower Pans Dishwashers sa. rr T e Disposals urinals- Moor Drains washing Machine water Seaver water HMMM Other Feces Pte"ut Issuing Fee: 535.00 Total Futures: X 57.00 + $35.00= 400 Serninciar Road•Attamia Basch.Ftodde 92233.9449 Phone:(9a)247-SWO• kart: (904)2474MS• ht%df#wWALatlattdc4*ach-1Lus Revised 2/94 CITY OF ATLANTIC BEACH r: 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 � . jilt Application Number . . . . . 08-00001382 Date 10/20/08 Property Address . . . . . . 273 MAGNOLIA ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 30000 ---------------------------------------------------------------------------- Application desc ADDITION DINING AREA AND PATIO ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JONES, CAROLYN ROSE CONTRACTORS 527 FLORIDA BLVD ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 246-6043 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 180 . 00 Plan Check Fee 90 . 00 Issue Date . . . . Valuation . . . . 30000 Expiration Date . . 4/18/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *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 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 09 ST CONSTRUCTION SURCHARGE 1 . 63 AB CONSTRUCTION SURCHARGE . 18 STATE RADON SURCHARGE 1 . 72 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ----,,------- -----RR----- ---------- ----------- PERMIT IS PA Xaa 9R& X0AW&DANCE VI APSLUCITY OF A�AR4 BEACH ORDINANCES'nAND THE FLORIDR 0 BUILDING CODES. r,r, ✓ra, °+ rl CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 ` INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . . . 08-00001382 Date 10/20/08 Plan Check Total 90 . 00 90 . 00 . 00 . 00 Other Fee Total 3 . 62 3 . 62 . 00 . 00 Grand Total 273 . 62 273 . 62 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1'`vra CITY OF ATLANTIC BEACH 0 8- ( I I I I a 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247.5826 0 FAX NO.:(904)2475845 1 BUILDING-DEPTO-COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY f , Q24 (oo)k c . ��1G G jQ K {.LEtiAL' . E: LOT O�L ❑ EW BUILDING ❑DEMOLITION RESIDENTIAL OCK_SUB DIVISION (�' Q l iZ, ADDITION ❑CONVERTING USE ❑COMMERCIAL -.; ,WGIRFC: :; ALTERATION ❑ACCESSORY BLDG. B,fft Ifs OO (4jr4 QQ.Ct" P4CIXTRM ❑REPAIR ❑POOL/SPA ❑YES K N/A ❑MOVE ❑OTHER ❑NO 9.NAME: p \ 515.COMPANY ME: 23.COMPANY NAME: a2 r.o� �rwr3�? n�rL��© ll A\evar\JqrG ro,ce. Inc p1� 16. ME: 2 LICENSE NAM ' IX K"_Pr 0&c �ck � � 3a u u a rc1� nt' . Jo+� S Grp r"t r 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LIC NSE NO.: apt F►a at. �l�� a 17 yr 18.ADDRESS:� 26.ADDRESS ur.�.{.���t-�l t�. .5.�2 FI•.caE�.+, �la'1j\rc�, ,g5� �'i�G-oda /Svenv�, 350 1.PFFICE PHONE: 112.FAX NO.: 19.OFFICE PHONE: .FAX 27 OFFICE PHONE: 28.FAX NO.: (11 !l4 "4,3. (p-c� 43 a4I- s C t o 1PHONE 21.CELL PHONE: 29.CELL PHQNE U� —P1.3 t W (33CO ^ J 4 14.EMAI ADD ESS: 22.EMAIL AD ESS: 30.EMAIL ADDRESS: cJ ho�r`tic�� o r� Ind0 ci �ea�rnc�, .Ca t>L Gca AI<u ar,de� race?ne.Cfl - t +Jttrs 1lAlI;tM�'tTf;iliq� 31.NAME: 33.NAME: 35. ME: t 32.ADDRESS: 34.ADDRESS: 36.ADDRESS; "O Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no workjor 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, orf 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. COW Signed: Date:?-,go as' Signed: _Date: Before me this - day of J r k 2007 in the county of Before me this,_day of iY)j'1_Vff in the county of Duval,State of Florida,has person Iy appearedDu I,State of Florida,has per nally appeared :2LX) herin by himself! erself and affirms that all statements and declarations are herin by himself!Qrself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of El County of (k ( Notary Public at Large,State of ,County of Do,v& gPersonally Known {� G(Personaq Known ,^ CrProduced Identilicadon- Y�L^-L)f,L'� WProduced Iderdli ' - t"L QL- Notary Sig tura: r l V Notary Signet"_ - t, t t£4+i� D III IL COMPLIANCE .r... COAG FORM BL O7` N,1 1 BEACH ,ti�+� MICHELL +WALiF� P/'""• ^'° • ITIONAL a.: ..= Commission DD 668740 iOND[TIOIdS. 1 Expires June 25,2011 .�„ �• 8 8onded7hrutroyFdnhHURrwetl0(h3A5•rot9 REVIEWED BY: DATE:4Z. t� NOTICE OF COMMENCEMENT State of Tax Folio No. I r(7()X44"O0 OQ County of A L 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: Ly� �t�u �,�k ©N e `��1 I\f0 . 3 �6a 4a k C \0 3Ga c-2 \U C� \�c CQ%Q'p-e r\-V "�Q L1 or t1S q4— OL;L)a I }00,,,N k 4 \ Rf_ o r l o' c. Address of property being improved: c�r( � Cz q Y�ra�t 4" -� �� n T t C, C� l �. General description of improvements: r.� r� X —� �C��� G� �i k G rk Cj CQ ik e r"1 �CtG2 er: f O 1 r\ r . O S Address: 5 Q? E l O R t o.&ZLrd riy me cam{�- er's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor:',R OS 2, Address: :) C- ►-O R- n qV0(\A„-j c,A Telephone No.:a 4(y-(,a04'3 Fax No: r. - Surety(if any) Address: Amount of Bond$ Telephone No: Fax No:_ Name and address of any person making a loan for the construction of the i Doc##2008250039,OR BK 14654 Page 265, Number Pages:1 Name: Recorded 09/30/2008 at 04:21 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL Address: COUNTY RECORDING$10.00 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: Address: Telephone 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 Statues. (Fill in at Owner's option) Name: l Address: Telephone 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 OWNER Signed: o� e d M, 2 Date: „�.,,,.. .�,.. Before me thisc_� day o ► the County of Duval,State "nair r+••, MICHELLE L.WALDREP Of Florida,has personally appear (LA-o4tun •C ssimDD 888740 Notary Public at Large,State of Florida,County of Duval. 2011 ' +1 My commission expires: ' �� oc rti°P'' n Th Tro F IgSuranca 800385.7019 Personally Known: ✓ or �, F1 rT ct : Produced Identification: FL 0 k.- .r Imp ous Surface Calculations % Formula L(oA- SOx SCC) -'z �-)c)c'C-) Find square footage of the following: House footprint Driveway 4&4 All sidew ys A/C pads Detached garage/sheds Pool Decking Patios,terraces and/or decks LQ C) Add the total square footage of the areas listed above then, divide the sum by the total lot area of the property. 10/20/2008 10:03 6410248 AIR ENG PAGE 01 FL.OFWA ENII SAY EFFICIENCY CODS POA BUILDING CONSTRUCTION FORM MW-01 Reeldarttial Llmitad App WAIOns Preaare"Method C +CENTRAL.4 !t 8 Sm011 AddiNtW ROWASO M A sottant WO M OrMpMnariAkladCdt btdNsR >Bs4r 4 saa0i+tN 100010WON brtldrmsdNbgNtrMMaw,yN txNtedoaapaw�rdm t rodhemKrd MI PROJECT NAME: DU1LM: VM AND ADORM: p �'`� (�j{ D17r E: • ZONE: 4E a L�Js OWNLq.. o , NMI JURSac,toruaa:h 1 aN+s.L�aurioialoaaMllli /1legaatrtalaraoa�on►feM.r�Iwwat�eGt.dC•tMrtc��re�rrwearoa�Matlreddan.�tml�e«ielatbAM+o �10ehl/i�IO.�MIi�MKhIMAf�Mlla�aylwd►MuRlr�0�W11AlIIrpAtlft4MSIdNM�0A�1�Mb1M1a10�aY1i�i�dlAm�lltOAt�N1NINd�0u�M81M.CO�o1Mli t mradlb�reapae sera ta+�errwarMrwaWdtlips+hala ft NVAtla+ P"10 to +�Oeaewna�a:MaMMNeMMaee PAwn4�M16i1rhilYf�rAGtIIId/GIM/MMIf01A�MMMMOM}�I"Mlhd�lra0nledormpll�d MN �il01AWMA91lILC118SOIiYIlrYeOdN+pMA�OiMMti�lbilNTt wo�waoe�rrahn eUNttsratrrtnNhNtGrsAf � +a'w yw,em Plea"P"ne OK 1. Rennovat'wn,Addition,Naw Sysam or Maaufactarod frame 1. L SMgte family daiaahed or MuitiMmtly aftecbad s• a. 0 Multtfamity—NO,of unft cD"Md by thio aubmhabn J. 4. Conditioned floor area(sq.ft.) 4- �.�i.1..... S. Predominant""overhang(ft.) e. Glass area and type: Bingis mans Dnubye Pen* a. Clear glass 3a A.L sq.ft. '—sq.R. b. Tint,flim or solar screen tib. s4 n• ai•ft. .---- ?. rereentape of ON=to floor ares 7. 8. Floor type and Inaukillon: L 5lObWI-gf7 G(R-VWU9) fle. Re [in.fL b. Wood,raised(R-value) Ob. R■ eq.fL c. Wood,oammon(R-valua) so. me —a— _sq•ft d. Concrete,raised(R-value) ed. Ra _ -- sq.ft. e. Qonarete,oommon(R-value) so. Re 9. Well type and irmuiation: n. Exterior: 1. Mowry(Insuistlon R-value) 94-1 RQ sq. ft. 2. Wood frame ansuiatfon Rwalue) ga-2 Re 1) sq. tt. b. Adjacent: 1. Masonry(InsuloVon H-value) 9b-1 R. _ P —sq. IL 2. Wood hams(Insulai10n R-valUe) W2 Ru 9q. h. c. Marriage Wade of Multiple Unib'(YOWN9) gc 10. Coiling type and in mIation: a. Under attic(Insulation"alue) 10a. R■ _ ._ ,,,,sq.ft b. Simla assembly(insulation R•Vokw) job. Me sq.R. 11. Gaoling system- ,Types:central,mom unit,package terminal A.C.,gas,existing,none) 11. `type: 12. Heatbtg system"=(Typos heel pu",siam ft,natural pas,L.P,gas, 12. Type: �V�An li= _-- gis h.p.,,"M or PTAO,a+d*O none) ItEPP/COMAtq : . �-_ 13. Air Distribution System": a. Sockflow damper or single package systems`(YesXW 13a. b. Du&a on marriage wails adequately sealed'(Yea f5h 13b. 14. Not water system: �-✓ 14. Type: • (Types,ala,rotural pa,alcor,exi W9.Wane) PONNne b n Olude ksw twNr"WWI#Ka 1nl4e00 OWN00rWOR. el FNMr 1r1IM d OOVMrO DJI rM oR11itI0n!i CO witll STotlOn Fr 6 Pthefty co Uiy. r p b . I W a`Tdn MM ar+o a�rtw�. owrepAf>WYr CATd �� OATIa 20)8-10-2012:17 6410248 Page 1 MAP SNOWING SOUVDARY SURVEY OF LOT 505, PLAT OF SECTION NO. 3 SALTAIR, AS SHOWN ON TWE PLAT TNER,E PC, RECORDED IN RECORDS L p BOOK 10 PAGE 16 OFTNECURRENT COC,Iw T Y, FLORIDA. CERTIFIED TO: CAROLYN R JONES, NEW SOUTIJ FEDERAL SAVINGS BANK MAGN0L_IA _ STREET ( A 501 Public Road R/W A a O .e. d Found 112'50.0 (Piet1 Iran B 523/ 49e 74 (Nese!} -- Found 1/2' Found 3/� l4• 13' /49.92' to l.P. 1..Pip* iron ,,, $6 a,. spy 150.00' (P1at) s. a .d a 5 'A � I n o ccwcxtert= �, "• � 1 DR/VEWA � l I O e �_ wd�to p A e f rrwl a 1� 6d 7.2 `I J&6' Z7 O a4• p AOCONE f TWO Iv y O rMe tee STORY PRAME Q RESIDENCE GNCLiA STREET 279 MAfomes earner o al'MerM It 33Z ^� 9A, 7.1' S 1 p3 '00. Oi nandd l/2' Z Wo p 4 fmse een,r eas. lrpn PI (NIC p/ a.!'dnM 5oeo0d Id NnIA 19'CE Pl O.tO' P o.!'Eeel (Fla t) ld'Ea1 9 Eddl North O 10 20 40 L9 T 5 1 8 L 0 T 5 1 7 GRAPHIC SCAL E/N"1777- 20, UNLE_LATSS IT BEARS THE SIGNATURE AND THE 1IRIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER, THIS DRAYING,SKETCH, R P S FOR I ORMA AND NOTES /. 1?e 1995P t.Ang/es shorn/lereon are field neasrred There are no Bear/ngs on record pia t. LEGEND DATE Se 2. TMs is a MW TO SAOV AgNZWRY SURVEY. El aAo7E!' 1E ALIMENT SCALE 1'-20' ,R Elevatlans shorn thus (150)refer to US. Coastal and Geodetic S•.r•vey A2tum Nntlonal X—X Rrw7£SFEAQ'4. JAB ND, 95-34200 Geodetr Verticel Ba tunLI of ISPI (N6Vof ISLo9A O Jr�o/t's'J? YAM,-. T str By Cv-ophrt plait/ng only, the property.shorn hereon Ups r/tm 231st X-rOufs/a& 500 J VIM CAP,R#A LER/.AinC FA 587 as sham on the Federal Emergency Nanagenent Agency (F.ENAJ,, IVa tlonal Flood Insurance AEWrES•JAM Pi'C.pdya Fi1P HARDW22 PpEJP S7 Pr•ograi% Flood/nswance Rate Nap (F.I.R.M) Carmunity-Panel M.r,,t, ^ 120075 0001 B CAS AVIM Nap Re v/s/rd da to /Aprf 17, 1999. ,(' MAQTLS MOW CUT comp. 5 Unless othervise noted any porftn of the parcel that may be d.ene:l as Wetlands by State or Governmental Agencies has not been a0eterntned and any rabl<lty reslttllq RICHARD A. MILER ASSOCIATES therefra,is not the responsibNty of the rnders�Pned 6. There no be Restrlcftns or EasexTlts of Recard ev1denced:,v title PXwminatlon that PROFESSlLWAL LAND SVRVEYORS have not been shown hereon 6701 BEACH BL VB SUITE #aV Fax (904) 7P1-5759 ABBREVIATIONS mAr NAY B£US£B IN TN1S SLRVEY JACCSOVVILL& FLORIBA 32216 Tele. (904) 721-1226 ABBREVIATION IIFINITION P.C.P. Permanent Control Podlt L.B LKensed Bushels rYT 7S R7 C rn-77NT 7187 siRvey jr A 7WLr.fli WMwr4Mv JT",c,)ZW PR.N. Pernonent Reference Aianarlent R.L.S. Reglsfered Land-V—veyor FJl2D"VE'Y,!M�'fIVIYF A7'SVYRV/S/pV AW JN A�aPlHArl N771 77F PUC Pamt of Curvet tarp IEA Jaeksmvllle E/ertrt Autharlty Apldndp 7£GlIPL%L F7AA1MIPnS AS Q1rLSAEa Nal SET rppip dr 7X nap/III P.178 point of Begmning £(XIIP £q - : AW.V,7'AR7£S.tJOW[ AK9 SUPK YDis ANO MIffL PD IN o/(a)27p 6l©7 6Q P.0 Pont of Curves tarp A/C A/r CanoSthner rfe r+eWy ow7rp 2JJN-Aal rzopm2k Aarlws nvr aua�puenawT nl P..T, Polnt of Tangency C.A.T,V Cable Te/evlslon nC .vy'7P.W7,12OUM ST.IM= P.R.C. Pont of Reverse Cu^vatu^e LM Overhead Loges P.I. Pornt of Intersectlon (FXJ P-W.4" - --- PRODUCT APPROVAL INFORMATION SHEET FOR.THE CITY OF ATLANTIC BEACH,FL. Project Name: yk t 0 Permit# Project Address: 7 t n {� Ltd Cl f t C(c As required by Florida Statute 553.842 and Florida Administrative Code 9B-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 roducts. Information re ardin statewide REoduct a rovai may be obtained at: www.floridabuildin .or . Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A.EXTERIOR DOORS 1. Swinging co L I •�� 2. Sliding 3. Sectional 4.Roll up 5.Automatic 6. other B.WINDOWS 1. Single hung 01' I(\k5kn f D F LIN-IL-11 2.Horizontal slider 3. Casement 4.Double hung 5. Fined 6. Awning 7. Pass-through 8. Projected 9. Mullion 10.Wind breaker I L Dual action 12.Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C. PANEL WALL 1. Siding Aarake, d io EL S81.6 2. Soffits 3. EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7. Glass block 8. Membrane 9. Greenhouse 10. Synthetic stucco 11. Other D. ROOFING PRODUCTS 1. Asphalt shingles Cow �- 2. Underlayments p�L/j5 �}- 3. Roofing fasteners q Oa j, F a� 4.Nonstructural metal roof 5. Built-up roofing 6.Modified bitumen 7. Single ply roofing 8. Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13.Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof 17. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# E. SHUTTERS 1. Accordion 2. Bahama 3. Storm panels 4. Colonial 5. Roll-up 6. Equipment 7. Other F. STRUCTURAL COMPONENTS i 1. Wood connector/anchor m e 2. Truss plates 3. Engineered lumber 4. Railing 5. Coolers-freezers 6. Concrete admixtures 7. Material 8. Insulation forms 9. Plastics 10. Deck-roof 11. Wall 12. Sheds 13. Other G. SKYLIGHTS 1. Skylight �5- acct vesc�Ptio� T.i�itat�°Q o Y ° �a�Ufact,�xet dUc�used���s othet e off' ,mbet Jot t s px CII 00 Cate o'��S'jbcai —' avToav ufactuxe cap be tobo T�R14 Og CSS descx'Pt�on bye c°P�'of a xe Mese Pzole sed toSINon ,�obct to have aleg that atbef o NVIVPe . �o dl o"" j u dens n'T. Zhis fo xe��ilxed�� of manutactxe pQ�ibili�l bone 1st ABevt s e Vc s' to�c. lan'�e�l s$xami �o��cts an 2 the`� ori2ed ilable to th name of p Eby apla the new P tanto compo As o s o fob site ava SVPOval s a?"VP t�Slca In aad� it�s the above'o� stxate pCod � mPliau b�1i�hllghte�to rolec with the list did got demae iew fox co oye and wiU along belo submled fot listed ab e pxo�ucts 1eis�Ustbe ctGategox1es pected "� new pCoav de each loclu e� 1 ° essioaa� � A�o��actot VIP G � bane• ��o �� �' , GomPanY state, c �a�lin dtess p abeT q' k �� � it Address•�%�" ooe�°n'bec• q � Gellphonel� MAP SNOWING BOLIVDARY SLRVBY OF LOT 505, PLAT OF SECTION NO. 3 SALTAIR, AS SHOWN ON THE PLAT Tl-EREOF, RECORDED IN PLAT BOOK 10 PAGE 16 OF TWE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFLED TO: CAROLYN R, JONES, NEW SOUTH FEDERAL SAVINGS BANK M A GNOLIA _ S T R E E T ( A 50' Public Road R/W ) A A., a e. .0 G Feundllp/!' 8ery JA L B 5 (Plat,) 423/ afeee9 Found Found 3/4 14' Ir 149.92' to I.P.en Plpe Iron Pipe Iron (No taP) �'o •.. �a� 150.00' (Plot) a 99 p CU NCRL-TE a I O � DRIVEWAY 0 ' ad•wro b n A( O f: w R 93• 18.6' 5t 4 AM PAD ❑ O O � yFw..Ener ONE TWO o y S TORY FRAME O RESIDENCE w 279 MAGNOLIA smaET F.eu nmer a.E•NrM r* x v 1 v 1 O 33.2' O 9A li IIIIII I 71 DECK EN �y ' e A• ar 9A os. 0q Jnr X aun ��q�q Fencr warner mean. e aund l/! Z %Na Cdp/ a.J'JeeM Fenn.c.nrer I(*n P O.J'Ee,l 50.00! LD Nrr1e (NO tOP/ A77 0.20'Wuf (Plat) 16'Eerl o/$'fOf/ North L T 5 1 8 L 0 T 5 1 7 0 10 20 40 GRAPHIC SCAL E IN FEET 20' UNLESS IT BEARS FTHE SIGNATURE AND THE ORIGINAL RAISED SEAOR T OF A FLORIDA LICENSED SURVEYOR AND MAPPER, THIS DRAYING,SKETCH, PLAT OR MAP ISINFORMATIONAL NDJS NOVALID. NOTES 1. Angles shoo" hereon are Field measwed There are no Bearhgs on record plat LEGEND DATE Sept 24 1995 P. rhls is a AMP ra SAW BaWvARY SINVEr. rEs 3 LTeva tions shown thus (15.0)refer to US. Coastal and Geodetr-S•:wy Lb tLn Na trop amoms m�oPe IF laKweNr SCALE I'-�'0' na/ ,fix IlrwfFN7 Geodet,c Vertical Da tun of 192$ oVGVA of 1929,! JOB No, 95-34200 4 By CV-ophr plotting only, the prgoerty.Thom hereon ties r/thh I-wwsl A-(Outside 500 .) O MWFET J/r 9ilYE•P1fi'Si r V17H GIP,R.MRLLN'L A.1SLC I FB, 587 _ as shorn on the federal£mergency Nanagenent Agency ('.E.NAJ, Na banal Flood Insurance BEAU7F2 JNKN r1a1 fL&VDpp9P 57 Program Flood Insu^axe Ra to Nap (FJ.R.hU Cor»unity-Pail Atrh^ , -120075 0001 D (AS AOJEb Nap Alevisied da to ,Apra 17, 1999 ,Y AEAUTET ixws cur Comp. File HARDV22 5 Unless otherwise noted any portion of the parcel that may be dmemeV as Vetlands by State or Governmental Agencies has not been detev-mhed and any ,,ablilty resulthg therefrom is not the resomstN/Ity of the undersigned RICHARD A. MILLER & ASSOCIATES 6. There may be, Restrict%ons or Easements of Record evMenced:y title examination that PROFESSIONAL LAND a'l1RVEYORS have not been shown hereon 6701 BEACH BL VD SUITE X200 Fax (904) 721-5758 ABBP£VIATJLOVS r"Ar NAY B:CLCD JN THIS SUPVEY JAC,fSOVVILL-� FLOPJDA 32216 Tele. (1904) 721-jee6 ABBREVIATION LCTINJTJON ABDVCV1AT1aV VCFjN1r1DA' P.C.P. Permanent Control Poht L.B Licensed Bushess rvT/s w zrR77FY rAmr MT SUPVEY lS A MC NLrPAMNTAMN ar AN AC7umt P.R.N Permanent Reference Atwument R..L.S Registered Land Sry veyor F1,ZD SWV£Y,MUF UVMX'MY SYJ°EFVISIUV MOM ALD7PBMCf vr;N 7w P101c f'omt of Curva tura .IE.A JacksmNl/e £Iectrit Autharify AWMW rEDML'A[STANW,PRC AS ZtffU•£D AND,ffr FDPTN BY 77£72/1P7u POB. Pant of Beghnhg L""p £qupnen' "RB D'PA'7ESSIDW ,Ah7 SlRI nwx AND AWFYRS M~MP 6,07-6$ P.C, Pornt of Curvojure A/C AR Conobtbxr FFarnrNy aswrEx 2)Ilt6.aa fZOP/A�AaVMSTIW UPsuwr m P.T Pain of Tangency C.A. Coble Te%v/cion sYzrmv�7eaZ FunP1m STAIUM PRC. Pain t of Reverse Ci, va tmr,a LY C Overhead Lhes P.J. Point of Intersectlon (F.N.) FWD,Measured R/V Rig i7t of Vay R= Raalus equals QR. Vol. Off,crat Records Valure L= Arc Lenequals JONAT B BOWA/11 ST F FLLaPlDA EGISTERED AB Deed Book CA Chord Bearbg R III-,tare a KMIS Pg Page = Deno or Cent.+il An_gle equals LA D SL/RVF.YOR CERTIFICATE No. 4600 &R.C. Building RestrtctAvn Line I.P. Iron Ppe Esm t Easrv"I t Cox. Concrete City of Atlantic Beach APPLICATION NUMBER - "S Building Department (To be assigned b the Building Department.) ,,. ;s33 9 y 9 800 Seminole Road r� Atlantic Beach, Florida 32233-5445 D Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us City web-site: http://www.coab.us Date routed: �d a �� APPLICATION REVIEW AND TRACKING FORM -1- J7- ent review re uired Yes No Property Address: 3 ///QGl�io//;It, Bu Applicant: /��n 7910,701,6 LL C o ,,,�... -.-,, ,.Pu�bli iliti , Project: //din opm Yi;�E� arch Public Safety Ab�i--i on Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: proved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: /(-)-d o_U� PUBLIC UTILITIES Second Review: [—]Approved as revised. ❑Denied. PUBLIC SAFETY Comments: FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: rSrLyrl�� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 O Phone(904)247-5826 - Fax(904)247-5845 L�i31�? E-mail: building-dept@coab.usd /09. City web-site: http://www.coab.us Date routed: a APPLICATION REVIEW AND TRACKING FORM 'y� - .y� ent review required Yes No Property Address: c / 3 ) ao-zm lea- �_ Bu Applicant: ��'17-946 49 LLf✓ 0 ProjorCh Public Safety b�i�7 OYl Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers r� Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: 9( BUILDING PLANNING &ZONING PUBL WOR S Reviewed by: Date: 0 0 &V PUBLI U S Second Review: ❑Approved as revised. ❑Denied. PUBLIC FETY Comments: FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Public Utilities —Distribution & Collection Date: ID`-7 l Q2� Initial . Project Name/Address: D���Jf /�Da�l S� Application/Permit#: Check Box Ick" c hun,�rackivg Commends To i dd Comment Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247- ❑ 5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑ A sewer cleanout must be installed at the property line. Cleanout must be covered with ❑ an RTI concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested ❑ by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate ❑ backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247-5 83 9 for backflow ❑ requirements. At a minimum, will require double check backflow preventer. Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2"must ❑ be installed in a vault as noted in SEA specifications. F TlanReviewComments-PU.doc CITY OF ATLANTIC BEACH ��� P7 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 :" OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAG.US = '1 BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOS ADDRESS: 2.vALUATION OF WORK: 3 SO.FT.UNDER ROOF tl K3(0 4.LEGAL DESCR 5.CLASS OF WORK USE OF STRUCTURE: LOTL,�O�LOCK SUBDIVISION i ❑ EW BUILDING 13 DEMOLITION RESIDENTIAL (Z 1 O 1 f�' ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: 13ALTERATION 11ACCESSORY BLDG. &FIRE SPR"(LEFt In(G 0 $, ,/ `e� DP- t IQ ❑REPAIR ❑POOL/SPA ❑YES N/A `a V`1 ❑MOVE ❑OTHER ❑NO 9.NAME: J 15.COMPANY,LAME: 23.COMPANY NAME: \30f 4f-C- cl LIQ, A\e-)4atr\de(- 16. ME: 2 ,LICENSE NAM K14P Nc Ck3�t (.�tp arot tr Tv Jam's C,(Ii I'a 10.ADDRESS: t 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LINSE NO.: tC)rt�C("b �cC� r ri r kWJnl 18.ADDRESS: 26.ADDRESS: SG.a)a /sverwv , 3�o�Lg4� �� J#'vTf� ' •CiC� �'� G. aC �-�- 3��J1� 1.QFFICE PHONE: 12.FAX NO.: 19.C11 OFFICE PHONE: � 2Q FAX NO.: 27 OFFICE PHONE: 28.FAX NO.:C'Xl U 4 3 Qlk I 01 o 13.CELL PHON 21.CELL PHONE:f� 29.CELL PHONE: /.S 14EI,'MMAAIhADO�ESS: 22.EMAIL AD�jRESS�: 30.L/E.MMADDRESS: DRESS: t' I C?� 1��ftLCrt�.�.a'ftiL. Ge(7'r� r �It.x anc���rjr-ac�,.,7nC.Co ( AKA TITLE lEIp NOLDM BONOM COMPANY: MORTGAGE LENDEP- 31.NAME: 33.NAME: 35. ME: 4 t R l 32.ADDRESS: 34.ADDRESS: 36.AODDRES ` I i1.�1 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wo 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or GENT CONTRACTOR M A@Q Parraq1 AftnwWApm LOW Requirsd) TAltmay) V 1 Signed: t (Jl - Date: 7 ,5 -a Signed: Date: / Before me this_�N i day of "i' ,2OW in the county of Before me this --:'t 1 day of ♦;`fit'A-4ew in the county of Duval,State of Florida,has person ly appeared - �r'� -� Duval,State of Florida,has perVInallyIappeared v, �r i.Y U r s ('S (`,�-x 0 L a.,1j -) ') Lh' r r 's herin by himself% erself and affirms that all statements and declarations are herin by himself/ rself and affirms that all statements and declarations are true and accurate. true and accurate. (`- f Notary Public at Large,State of f � County of l�}l��/(.� t Notary Public at Large,State of County of ! 66 Personally Knownr U'Personally Known GrProduced Identification- 1v L- ErProduced Identificar n- FL OIL- Notary Sigrt f �- �/ Notary Signatd�e�i VU,LLf ?Pb MICHELLE L.WALDREP Commission DD 688740 Ex ires June 25,2011 Y e''• MICHELLE L.WALDREP COAB FORM BLD 01:' 4b:1/��}.{ m Troy Fain Insurance 800-365-7019• = Commission DD 688740 � Expires June 25,2011 y 90nded Thor Troy Falh Ihlummo 800.385.7019 x i . Impervious Surface Calculations % Formula. Find square footage of the fonowiug: Hoose footprint Driveway 4(p4- All si dewaiiss/watkways a�- AlC pads Detached.garagetsheds Pool Decking Patios, terraces and/or decks U O T* Add the total stere footage of the areas listed above then, divide the sum by the total lot area of the property. C ' I Sol r fir" MAP SNOWING BOUNDARY SURVEY OF LOT 505, PLAT OF SECTION NO. 3 SALTAIR, AS SHOWN ON TN lE PLAT TNEREOF, RECORDED IN PLAT BOOK 10 PAGE 16 OF THE CONT PUBLIC RECORDS OF DUVAL COUV TY, FLORIDA. CERTIFIED TO: CAROL YN i2 JONES, NEW S OUTP FEDERAL SAVINGS BANK MA GNOLIA _ STREET ( A 501 Public Rood R/W ) A A Foud ' 50.0 (P18tf L.A. 5232• 49.74 (Ateaaa) _ Found 112' Found 379 11' South- '3 /!9.92 t0 /.P. hen Pipe ban Plpe `66 (Na Capt om a SDS 150.00'(Plat) d A g 5 c 0 A. D a . p CONCRETE 1 I O DRIVEWAY ; I - cm, C .• `rlWi O- dA leo' 71' n 4 18.6' `I r. 6.8' -14AM � O PA Q O � PA D O ONE. f TWO 00 ►y S TORY FRAME Q RESIG'ENCE w 279 MAGNOLIA SIREET F.- at'Mw/A C n X v 1 v 1 O 33.2' O 914, 7.1' ` as aon A o x hon P e F....erns 1�/a88. 4 Fen..caner I en PI1pp7+2• Z (No C P) 0..3E..M • l!'r.riA �Ne,Cdp) D.2D'Weo1 a.7'E.'/ (Plat) 50.00' Le Eai 00019 Eool 4 North O 10 20 40 L T 5 1 8 L 0 T 5 1 7 GRAPH/C SCA I-E/N FEET /u- 20' UNLESS IT BEARS THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER, THIS DRAVING,SKETCH, PLAT ORMP IS FOR INFORMATIONAL PURPOSES ONLV T VALID._ NOTES /� 1 Angles shown hereon are rletd measured There are no Bearings on retard p/a t. LEGEND BATE Sep t. 2k� 1995 _ This is a A"P To SAVV BoLwlWr SURVEY. p DETO/ES oaoa 1£naWwwr SCALE J'20' 3 L7evatAmT sham thus (b�0)refer to U.S. Coastal and 6eodefc S•:rvey ,ktuy National 6eodetr Vertical Ba tun of 151?$ OV6Va of 15La9.1 X—-v- M-AMESfLArr JOB No. 95-34200 4. By Gr°phlc plotting only, the prgoerty.shown hereon lees w/thh Ijnes, X'(Oijtslde 500 J 0 zf"wffx 1��' '•P�Fi sir vial CAP R'#A7L P e A'svc F.B SB7 as shown arr the Feolero/Emergency,4anagement Agency (F.£.N.A.), /✓a t/onaI Flood lnsurance w 1AEAWES 1A'01,PI°E<yLVB pa,CJP 57 Program Flood lnsurance Ra to hap (F.I.R.M) Corw/un/ty-Pane( M.r..h, -180075 0001 B MV AHEM Nap RevLsled da to ,April 17, 1989. ,I- DEAOr£S OPM7 CUT COMP. File HARB4122 S Unless otherwise no fed any Porthn or the parcel that may be afeemeV as Vetlands tbereefrtm is or of theereaspon malty or thas e�ercV d r'eO1 and any :,abll/ty resultNg RICHARD A. MILLER & ASSOCIATES 6. There may be Restrlctlans or Easements of Record evA-lenced:y fitle examina ftn that PROFESSIONAL LAND SURVEYORS have not been shorn hereon. 6701 BEACH BL V0 SUITE #200 Fax (904) 721-5758 ABBR£VIATIOVS rAmr NAY BE US£B 1N T1/!s SLRVEY JAC,rSL)1/VILLE FLORIDA 32216 Tele. (894) 721-120G ABBREV/AT10N P FINITJON ABAPtV1ArJ0V BETWTIOV P.C.P. Permanent Control Pol/t L.12 Licensed BusA7es5 1;,65'1S 711 LYXTIEY nilr rlb5 SYAPKY is A ANCI.�PMY'SOVTArIaV O'AN AC7fIV. P.R.N. Permanent Reference fk»e rrenf JE.A. Registered Land Surveyor F22O SXWVEC n1/1r'M")V W SXP£AV7VM AND M AGTWA"rr WTH nt P.O.C. Paint or Curva turn .IE.A Jaclksmw/!e Electric- Auihar/ty IpN~7LT WCK SrANAW=AS am1I.",Nm Sfr Firm or Ilf ri mm PW.B.. Pant of BegMnmg EGYIIP Egv{onen' ~ff a,'PffrESSAPWL CAA",SaRWIINT AND AW rZTX M O WMW 6/677-e° P.C. Poht of Cur Va turn A/C A/r ConnStloner (far»eNy GIIPrFF 211f ADJ fZaVLM ADN/MS rivE zzw,IYRSIAWT 7D P.7. Point of Tangency C.A.T.V. Cable Tele vlslon SECTJIIV 472aA fZLWIA4;;Mm P.R.C. Point of Reverse Curvature Lvk Overhead LA',es P.J. ts Pomt of Intersection (F.N.) notemeasure•d R/V Rlyght of Way R= Raotus QR. Vo% Offlclo/Records Vo/ux L= Arc LentPh egea(s 2k- DB Red Book CA= Chord Bearnn 6 B!_•ta,,ce egl n/s ✓ONALA D SURVF.%�Q CERTJFICATE�NIQB'6�EGJSTERED P9 P 9 A= Delta or Cel :•il Angle equals OR.L. B(xg RestrA-t1un Lme 1P. iron P¢7e , Fsnt EDscrlent Cox. Concrete Public Works Pian Review Comments Date: i01-1/Q<6 bi Initials: Project Naive/.Address: Mf66JOI146T .Application Permit#: Q g -! 2- Iron con,rae'IaggCommer�ts to: dd ��om�nent Provide impervious surface calculations. ❑ Provide erosion and sediment control plans with installation details and maintenance schedule. (j Provide drainage plans showing site topography (flow arrows, etc.) Ok Provide construction site management plan, including Right-of-Way Permit if using l right-of-way for construction parking. d l Provide a pre-construction topographic survey prepared by a Florida Licensed 13Professional Land Surveyor, showing1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ per Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting 13proper construction will be required. A Right-of-Way Permit must be obtained for use ❑ A Revocable Encroachment Permit must be obtained. ❑ Pool—Wellpoint(if used) must discharge into vegetated area 10' minimum from ❑ street or drainage feature (swale, structure or lagoon). All driveway aprons must be concrete, 5 inches thick,4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW (Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. Roll off container company must be on City approved list and cannot be placed on City right-of-way. 13 City of Atlantic Beach APPLICATION NUMBER Building Department (To be ` assi ned b the Building Department.) ) 800 Seminole Road Atlantic Beach, Florida 32233-5445 O Phone(904)247-5826 • Fax(904)247-5845 1), E-mail: building-dept@coab.us uU City web-site: http://www.coab.us Date routed: APPLICATION REVIEW AND TRACKING FORM 3 .moo �� ent review required Yes No Property Address: GJ - Bu' . o ' Applicant: (�0�779L1 TD�GS LLr✓ Project:` ini� oom V �f.,�,:. orh Public Safety Fire Services Other Agency Review or Permit Required Review or ReceiptDate of Permit Verified B � Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District ,3 Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: O APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: l0 PUBLIC WORKS 4� — PUBLIC UTILITIES Second Review: QApproved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: 'r- ' % fs V CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O _ QR I I I I I I l OFFICE:(904)247-5826•FAX NO.:(904)247-5645 1 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADORE 2.VALUAIMN OF VORKt 3 SO.FT.UNDER ROOF 4.LEGAL DESCRIPr10N a.CLAN OF WDW USE OF srr:ucMM ❑ EW BUILDING ❑DEMOLITION RESIDENTIAL LOT�LOCK_SUB DIVISION (Z` �'Q t XADDITION ❑CONVERTING USE ❑COMMERCIAL T.DESCRIPTION OF WORK: t' ❑ALTERATION ❑ACCESSORY BLDG. 6 FIRE SPRMpO E . tWG"ROOK (��Qf!�+<� OFC 1 ;:0 El REPAIR ❑POOL/SPA 1:1 YES N/A ❑MOVE ❑OTHER ❑NO19 MW 9.NAME: p,04 ,,,,, � J 15.COMPANY ME: 23.COMPANY NAME: Ale-xar\cter Grc&e- f\:!k i,\ � 16. ME: ` 2 ,LICENSE NAM rt E7CLi 1�4 � 3� L�t� O>(- �I�r' mon�L 5 ' r I�z r 10.ADDRESS: ��®r, 17.+ C-STATE OFF7L RILICENSE NO.: 2�STATE OF FLORIDA LIC(_N�S�NO.: y y 18.ADDRESS: 26.ADDRESS: �.�}�rJ� 4�'�. I1'�- J��2 t=1•..0�.� dfi. `'1'�1�-c�. 4� ��c;��ct /�venv� TAo( L ack 1.pFFICE PHONE: 112.FAX NO.: � 19.OFFICE OPHONE: ��� 2Q.FAX NJ.� �� 27.OFFICE P ON`:O 28.FAX NO.: Qki -13.CELL G ON r_ OC cl9 21.CEL PHONE:t� �L7 CSC ll 29.CELL PHONE: 14.EMAII ADD ESS: 22.EMAIL AD R�E^SSS: \ 30.EMAIL ADDRESS: 1 6) W r-w C�y� t 6)��*{;\Cat ,to rk (6 DTtEltIVNN OVM61q BONDING COA/PANY: MORTli11t3E LENDER: 31.NAME: 33.NAME: 35.yAME: ,� to ► �� 32.ADDRESS: 34.ADDRESS: 36.ADDRESS; I t-Cr k Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wo 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,Fumaces,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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or GEM CONTRACTOR - Of Power 9f r ( ' a+y) , Signed: 111 Date:! C/ C Signed: Date: Before me this eday of -4-Yl :k 2=in the county of Before me this -2111 day of 1 _.i Y 11 12699 in the county of Duval,State of Florida,has pert1appeared Cr' Duval,State of Florida,has perWnallappeared 1W4 H V1 y CL herin by himself/ erself and affirms that all statements and declarations are herin by himself/h4rself and affirms that all statements and declarations are true and accurate. true and accurate. ff Notary Public at Large,State of F( ,County of Jt i�/(:4 Notary Public at Large,State of ,County ofRf 1 Personally Known' L- U Personally Known r^ GrProduced Identification- _ Q Produced Identi�ficay}on- F Notary Sigflature L- V ( . NotarySignateiY �ly� MICHELLE L.WALDREP Commission DD 688740 �:�`s Ex iron June 25,2011 .. '•• MICHELLE L.WALDREP COAG FORM BL 01. 4:14 m Troy pain Insumice 800-385-7019 °��• *. A Commission DD 688740 Expires June 25,2011 p,'; ,•' Bonded Thru troy palh lNUM1106 800.385.7019 iy>>yf� Y City of Atlantic Beach APPLICATION NUMBER J�r � Building Department (To be assigned by the Building Department.) J � 800 Seminole Road D Atlantic Beach, Florida 32233-5445 Y Phone(904)247-5826 • Fax(904)247-5845 Q IVA19 " E-mail: building-dept@coab.us Date routed: U(J City web-site: http://www.coab.us it APPLICATION REVIEW AND TRACKING FORM DepluaProperty Address: c / /�/aG)T!0�/� c�T_ ent review required Yes No P rty Bu' Applicant: �115� �07;9,90'nl'g ,..,.,., Publi iliti Project: /h%nOQm �V��frD OrCh Public Safety A -,>ii or) Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: ❑Approved. ❑Denied. , (Circle one.) Comments_: BUIL AN�NGZONING PUBLIC WORKS eviewed by: Is ��• � Date PUBLIC UTILITIES Second Review ed as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date D Third Review: ❑Approved as revised. [-]Denied. Comments: Reviewed by: Date: MAP SNOWING BOUVDARY SLRVE_ Y OF LOT 505, PLAT OF SECTION NO. 3 SALTAIR, AS SHOWN ON THE PLAT TWEREOF, RECORDED IN PLAT BOOK 10 ' PAGE 16 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, CERTIFIED TO: CAROL YN R JONES, NEW S OUTI' FEDERAL SAVINGS BANK MAGNOLIA _ STREET ( A 50' Public Rood R/W .e A Faund�1/2' 50.0 'e (PIet1 C B 523! 49.74 ' L.B. _ _ s Found!/2' TA• 1. yen Pip. Found 9/� 19.92 /O 1.P. ken Pip. $. oA' 150.00(Plat) (No Cap) 01,, d a 9► sT. 4 A 09 e A A I D L:�lCRL-� Q5 ; o c 1 DRIVEW Y rnCn O � a6'WTD i 6 �. A A ' 71, n 93' 18.6' 30 Q 54' Q o PAD g ►-.� r.no:,g..e.r STONE EY SAME Q OCity of Alla RESIDENCE Planning and zoning o"etimem 779 MAGNCLiA SIRC-ET mm..rner w O.e'M.rM This approval verifies oenlpNenoe w"eq so" x zoning, ser division and othto" isad (Z3) developme gulations, but loss not approval for the lasuonoa of permits. Coi'npiler'" W*h Florida ftWft Code and all other applicable O sax local, State and Federal permhtMg reQutre g,,. zr must be ve at nature of the City of Adana O� Beach Butlo�. t prior 6 Ibo tewanee of a Bullding Pa \� Approve+Or. __.. one: 5" a,�. 9 J,. X 0 gun 'l sun l/2' Z f40 p 1� flnsl.IrnM ALBS. �4 F....OTM /,Pre�f / aJ'e.efA fa'N.rM .C�4 (Na Cap a.l'Enf (PJBt) SD�ooe ta'£..f 9 Eosf 0.20 Wei North o t0 20 40 L 9 T 5 1 8 L 0 T 5 1 7 6RAPHIC SCAL E/N FEET / 20' UNLLESSRI1 BBEARSFDREISIGNATURENANDPTFORMATIONP OSRIGINAQLS Y RAISED SEAT OF ADFLORIDA LICENSED SURVEYOR AND MAPPER, THIS DRAVING,SKETCH, PLAT OMAP IS NOTES Se t. 2 11995 1. Anglrs shorn hereon are fit/d neosu^ed There are no Bparngs on recc.^d p(a t. LEGEND DATE 2.. TINS Ls 6 HAP TU SHOW BDOVDARY SiIRVEY. p A-AU7ES Q710PLV AO"UVT SCALE Elevaflans sham thus(15.0)refry to US. Coastal and 6eodetic S•:rvfy Atom, Nabona/ x—x MTp�q�- ,1Q� NO. 95-34200 Grade tt Vertical lla tun of IRs$ rNa Ka of I9V�9A 0 MW71r r 1/p N PAIr SLIT % By Grop&t-plotting nn/y, the property.shorn hereon Iles r/thin tines. :Y'fOuts/at° 500 J ylnl Gy;R.MaLLA t ASSLC F� Sg7 as shorn an the FeOCral Emergency Nonagement Agency (F.EX..A.) iVaf/anal Flood Insurance D'AD7ESJAM PI°E!ZMB page 57 Program.Flood lnsL4rance Rate ftp (F.I.RYV Cowfunity-Panel Mr:be _ l?005 0001 D ray Ao76m Com f-,/L- HARDW�'2 Nap Re vlsred da to r Apr# 17, 1989. ,Y ARWrES Dem'S Cur P 5 Unless otherM/se noted any partlon of the parcel that nay be dlemr f as Vetlands by State ar Governmental Agencies has not been deternhed and any :,ability resu/thg RICHARD A MILLER Q ASSOCIATES therefron Ls not the resam-v Ify aF the aWersfgned 4 There may be Restrictions or Easements of Recard evAYenced:,y title examination that PROFESSIONAL LAND XURVEYORS have not been sham hereon 6701 BEACH 9L VA SUITE #'200 Fax (904J 7PI-5758 Amwrvm riavS rmr NAY BE USED IN THIS SURVEY _1ACKSLNVILL1; FLZXV,7A 32216 Tele. ('X4) 721-J205 ABBREVIATION LLFINIT70N AA I P.C.P. Permanent Control Pont L.B Licensed Busness naS IS M CERTIFY"AT TMT SURVEY IS A 7R1F AY7APESENFAn0V D<•AN ACnAV- P.R.H. Permanent Reference hbnuneat R.1.S Registered Land Surveyor raze SUPvcr.Mkw um;r NY SU1rRVIS7UV AAW M N-•CUPINnrr WN 77c POC. Pam of Curva Lure dE.A. Jacksa+v///e E/ectr1c Author/ty N7AyNUy TEC7IWCA[STAAmwdlt AS GV7L'ACB hY0 SET farrH Rr 77C ILOPIM P.O.B. Paint of Beginning £6#IIP Egcgonen- Tnsrn tr f�trLTs7Dwc AM19 swWraPS AAW AHMVIS M~rz7 67677-64 Ar_ Po.»t of Cur ve tune A/C Ali Card boner rrn.,,.r/y aVA'"'Pjw&il fzaPinA ABVTwS nvr avu±Puesuwr ra P.r. Point of Tangency C.A.T.V. Cable Television rcztmv+7aa»/2DP/01 srA7u7zx P.R.0 Point of Reverse Curvature Lyk Overhead Lnes PJ. Paint of Intersection rrml) rM./d me.sired R/V R/9�ght of Vay R= Rnatus equals aR. vol. OFtciol Records Volare L= Arc Leath equvls ,/GNAT A BOVA/1/ ST F FL0IPIDA EGISTERED PB OL-ed Book CA= Chard Bearm�q t Al-tante. equals LAD SURVEYL72 CERTIFICATE No. 4600 P9 Pa9& A= Alta or Cent.-i l Angle equa/s BR.L. A'Yd g Restrh 03n Line LP. Iron Pie Csnt Easrrfent Cant. Concrefe �'"' . CITY OF ATLANTIC BEACH OQv- I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 3223307 �_ e '"';A 1" p I OFFICE:(9D4)2475826•FAX NO.:(9D4)247-5845 l% BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2,VALUATION OF WORK: 13.SO.FT.UNDER ROOF Q?3 (A 0,J 01 k'C, �,k)i cL 3(" 4,LEGAL DESCRIPTIM 8.CLASS OF WORK I&USE OF STRUCTURE: (� ❑ EW BUILDING ❑DEMOLITION RESIDENTIAL LOT6\5LOCK_SUB DIVISION (�' 7 0 1 ADDITION 13 CONVERTING USE 11 COMMERCIAL 7`.DESCRIPTION OF WOW. El ❑ACCESSORY BLDG. 9.FIRE SPRINKLE : I(1(G ®O $, b�Q��� pPC t �0 [3 REPAIR ❑POOL/SPA ❑YES N/A D V 1❑MOVE ❑OTHER ❑NO 9.NAME: rj1P-a 15.COMPANY.SAME: l 23.COMPANY NAME: r Sart �_a� \�f-pL. 11�R;L�E7 Ll( , antler 16. ME: 2 ,LICENSE NAM Vf 10.ADDRESS: C 17.STATE OF FLORIDA LICENSE NO.: 2�STATE OF FLORIDA LI���O.: y 18.ADDRESS: 26.ADDRESS: FC.oA a4 .A50 L Avenv� c. L 350 1.QFFICE PHONE: 12._FAX NO.: 19.OFFICE PHONE: 20.FAX 4 3 27.OFFICE PH ;:O 28.FAX NO.: 1�5J5 ON O'CV�L�43r 21.CELL PHONE t� C7C C2>9(.CELL PgNE: 14.EMAI ADD ESS: R 30.EMAIL ADDRESS: �0 �J22.EMAIL ADESS:�o�v�c�t . ��y� 'QP cU ��n�cx,'.Cal� Gear Alzua.d4rGrarE..�ne.Co (P 07FE1 TtIWLIK I4K q BONDM�1f3 COMPANY: MORTGAGE LENDER: 31.NAME: 33.NAME: 35. ME: AKk 4 9-k CA 32.ADDRESS: 34.ADDRESS: 36.ADDRES 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,Fumaces,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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 0* GENT CONTRACTOR f Po%W LWW Rec(}u�lred) ( Owy) Signed: UC - Date:7y'cam Signed: _Date: Before me this day oft1lippeared " 20"in the county of Before me this 1 i day of 1�1 X909 in the county of Duval,State of Florida,has perso4r'd - Duuytal,State of Florida,has pe nall appeared herin by himself% erself and affirms that all statements and declarations are herin by himself/h4rself and affirms that all statements and declarations are true and accurate. �'^`` true and accurate. Notary Public at Large,State of r 1 County of V t.� Notary Public at Large,State of ,County of CJL RfPersonally Known I(Personally Known Lr li`Produced Identification- L..'i� I' I�Produced Identificaf n- 1"L OL- Notary Sigrle7ur Notary Signa MC,� E _ _ MICHELLE L.WALDREP Commission DD 686740 Ex :res June 25,2011MICHELLE L.WALDREP COAB FORM BLDti:1/��( ru Troy FAA,Insurance 800385-7019• Commission DD 688740 z; Expires June 25,2011 Bended Thor 00.88!r Troy Fdlh Insur9naa 87ot9 j PA,(t no�� �or� ► chi E io�1 C. aC � Impervious Calculations % Forma Find square footage of the following: House footprint 1 .� Driveway All sidewaR&WaRmays A/C pads °\ Detached garage/sheds Pool Decking Patios, terraces and/or decks ti LQ� .Add the total square footage of the areas Masted above then, divide the sum by the total lot:area of the prop e) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 F, Application Number . . . . . 09-00000462 Date 4/06/09 Property Address . . . . . . 273 MAGNOLIA ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3800 ---------------------------------------------------------------------------- Application desc re roof FL183 . 8 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JONES, CAROLYN HARRISON CONSTRUCTION & REMODELING, INC. ATLANTIC BEACH FL 32233 917 1ST AVE. NEW SMYRNA BEACH FL 32169 (386) 689-0689 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 50 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation 3800 Expiration Date . . 10/03/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. z y CITY OF ATLANTIC BEACH OQ- I I I ¢ ;d 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 �`// OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTCCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF C W J tic 4 LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION IU46SIDENTIAL LOT_BLOCK,SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7:DESCRIPTION OF WORK: I-ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL I SPA ❑YES 1A Ir 4.14 ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRAC OR: ? ARCHITECT/ENGINEER: 9.NAME: 15. MPANY NAME: 23.COMPANY NAME: Q 4s aYo� • 16.NAME: 11��( 24.LICENSEE NAME:�-1�nt r r l sod 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: � sPIA,G.jo1�� r e--/ �� 18.ADDRESS:: 26.ADDRESS: �-�C 1�ZAPA. 15 A,-� l sTsT I�tt�sa r 11.OFFICE PHONE: ----j12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: f� 38G G8 1 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER:: BONDING COMPANY: MORTGAGE LENDER: OF OTHER iFWN OWNER) 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. 1 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OVV4ER or AGENT CONT CTOR (If 9e t,Power omey opAq@ncy Letter Required) (Q di Only) Signe Date:. Signed: Date: Before me this of 2009 in the county of Before me this day of 2009 in the county of Duval,State of Florio,has Pers all a red Du to of Florida,has rsona y app herin by himself I herself and affirms that all statements and declarations are herin by hi elf/herself and affirms that 11 statements and declarations true and accurate. true and accurate. Notary Public at Large,State of _,County Of xry.ally Public at Large,State of County of VOr-nally Known , Known ❑Produced Identification- ❑Produced Identification- Notary Signatu Notary Signature:looell Notary Public•Stat!of Fkj MY ANN�"""""� ANN MARGADONNA Commission 100 6552MY COMMISSION 9 DDS36835 ,I, �t�```,• Nalonal �y✓� EXPIRES:April 11,2010 `OFK Fl.Notary DIBCOIIfIf ASSOC.go. BLDG01 Permit App I-ROJ-3-NOTARY a? NOTICE OF COMMENCEMENT State of ^'�� Tax Folio No. County of 1 C.t V A 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: /b —/6 /(� —a S _d4 C S L-r4K S CG S U 7— 5705 Address of property being improved: L j General description of improvements: /- " geS I V, c L4,,J 14 c,- zj Owner: �Cc�o I ^eJ G T DSS t, m e 5 Address: "Z 7 3 *Aa-4) t b2 S-; . ATiC�s,��."�13D�154 Owner's interest in site of the improvement: AV#k4L OC 3 AAtGr Fee Simple Titleholder(if other than owner): Name: Contractor: LI)e l(1 i �►. l i^�ld� Address: '�� )F-i4 St /5r e�' JrL.6Z 13.k,. t- SI—Ar'A, Cj, S `Z 1(,yg Telephone No.:L3 oe-) G 8f1—U rvB9 Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the imp a Name: 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: Address: Telephone 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 Statues. (Fill in at Owner's option) Name: Address: Telephone 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 OWNE Signed:' Date: �- PtMENTEl. Before me is da f in the Countyof Duv ,Sta e pEYTfN1 L.Sts FiotlM Of Florida,has personally app 5417) = NotMli PubMa ExttM ��201; Notary Public at Large,State of orid oun of Duval. IMS 0 pp bd521S My commission expires: Gtr.( �N���y�, Personally Known: or 11W430 Iwo* Produced Identification: PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FL. Project Name:-7n-no d�t V\r^rAo� Permit# Project Address:. As required by Florida Statute 553.842 and Florida Administrative Code 9B-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 roducts. Information regarding statewide Eoduct a roval m2X be obtained at:www.foridabuildin .or , Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A.EXTERIOR DOORS 1. Swinging 2. Sliding 3. Sectional 4.Roll up 5.Automatic 6. Other B.WINDOWS 1. Single hung 2.Horizontal slider 3. Casement 4.Double hung 5.Fixed 6.Awning 7.Pass-through 8.Projected 9.Mullion 10.Wind breaker 11.Dual action Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C.PANEL WALL 1. Siding 2. Soffits 3. EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7. Glass block 8.Membrane 9. Greenhouse 10. Synthetic stucco 11. Other D.ROOFING PRODUCTS 1.Asphalt shingles 2.Underlayments 3.Roofing fastenersr &r a 4.Nonstructural metal roof 5.Built-up roofing 6.Modified bitumen 7. Single ply roofing 8.Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof 17. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# E. SHUTTERS 1. Accordion 2.Bahama 3. Storm panels 4. Colonial 5.Roll-up 6.Equipment 7. Other F. STRUCTURAL COMPONENTS 1.Wood connector/anchor 2.Truss plates 3.Engineered lumber 4.Railing 5.Coolers-freezers 6. Concrete admixtures 7.Material 8. Insulation forms 9.Plastics 10.Deck-roof 11.Wall 12. Sheds 13.Other G. SKYLIGHTS I. Skylight 2.Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# H.NEW EXTERIOR ENVELOPE PRODUCTS i. 2. In addition to completing the above list of manufacturers,product description and State approval number for the products used on this project,it is the Contractor's or Authorized Agent's responsibility to have a legible copy of each manufacturer's printed instructions, along with the list above,on the job site available to the inspector. The products listed below did not demonstrate product approval at time of plan review. T understand that before these products can be inspected,they must be submitted for review for code compliance and approved by a Plans Examiner. This form will be revised to include each new product in the categories listed above and will be highlighted to indicate the new products and required information. Authorized Project Agent: (Contractor or Design Professional) (Print Name) (Signature) Company Name: Mailing Address: i i , City: State: Zip Code: Fax Number:( ) E-mail Address: 0 i I B Tx) ° 7 0 N N ' .50.0 MAGNOLIA STREET PLOT — LA - - - - _ SCALE_- � - ��i = ZO LEGAL DESCRIPTION: LOT 505, SALTAIR, SECTION 3, PLAT 800K 1PAGE 16 APPR0VED140t:5 CITY OF ATLANTIC BEACH BUILDING OFFICE f APR 41978 Bx. '.'A 4� sof '. ., :i: a:<,.�, a .a-• r'1�:$'F'>4. ._ -. a'm*: ,°& .�� �.....""4,:•*T�'Q"." +:+.NP---r .r'� iF s�,"�,y',�.a ro. .�,,,�, r ..a t. :. � a• r k 7� 9i=tri d •r _ �[ F Ll s • - �I Ot11L VINT:- d8��. �>t [��; 8 A".w 6N1N4[j! 111 �i Q l a t a h - i •6G(K iO----- III III I�� ! � r "*-`�-. - �._ � III i I I I.�I �I ii(II iLiY•I'.It° �� J lISL T _ ,_S�T /I{D"t► I► /D� II I I ''�K06.+Nt i _� I I {�3'•te'av� I IU,rtrak/! I I t 1i'awN !I ;i �� �i � _ IIII I I.I � -- ��ci o fwA �ra ❑ ,r _`' � "�NNALT (rFI�N4LiS _—._._.__.�-- T--,_..� - 'Y ._ -- 6�fl CYT►I —_C__----__—_--� 6�NriT -RIM P ASL t LI I I 10 r7/CA't[NEAV f/ubc w/[ I', �I _ ( � +� Nra//IIT fr1► a.tvN I h�y„/.[✓rK u+t I I . � I S'B•fl•N [C. { IDi/4 Jr/ iaTFive pwy,%A /IWt tNrc: { ` ielii•s i6l j 7 666ENEJIT I �'�dII 2fIYM9,'i.N./L I -- -- � —"'-- i --- I - –. .._ i. _ /./r t-•e`J ! t -?rFeef;�+cKr visa --, !-i OL — —__— r -•-rtis[ws� I O A� IL Emc rtuT PON 31 I 1 II f h/rNwr.rllaLs•►-- ! bAetFrsNT e/*Na'.A, 'H!r I-T fTA.AFC-H.T[A:T DEPARTMENT OF BUILDING 3663 r CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB E Date 4/7 19 78 Valuation$ PLUNIBIM Fee$--A3.00 ! This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify that ealfiti gAt Rnt• poaf ar Plumbing Inc. has permission to build to install 1 sink 3 lavatories 2 bath tubs, 3 closets, 1 water heater, l dishwasher, 1 diSpoi&- Classification residential Zone Owned by John Lott Lot 505 Bloch S'/T) Saltair Sec 3 House No 273 magnolia According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS X11 AFTER DATE OF ISSUE �- � ► O Building material, rubbish and debris Z from this work must not be placed in � public space, and moat be cleared up and hauled away by either contractor or owner. 139713 TL �'s� e�Ird ti lK��gta` Building Ofaefa� FOR OFFICE PERMIT I USE ONLY NUMBER DATE CONTRACTOR 06C I PLUMBING ELECTRICAL SEWER WATER 7"-o i2o o /C7 ws'lsz CirmAlliwi UCEME W. SAAC TWE OF MLO VIC-1-- --i -.Z-jmv.4 ms Ts siwmm caw i AM Fli XrIMM Nbld' WE 4 CUM*", W§To YK MST 1, g ZOMF WATER CONNECTION7 MSF-GE LOCIA ion CI y ...ex..ae.m°..�vs��."Td.+.�r..,u...ww."-��+�r....crv.x.�wanm=mm....emaaw.vr�.:�...nror,...r�.w.w.ws+r.w+.a«+v.wma.xsw«a:r•m...w+�+�.w..nr+.+�s.+.�srvr+••.s.nvw+av...�..•,w..,..:.w,..__.w PLUMB NG ?<I R 1 7-G leo / •^' �'` ar's?�.�. :f J . �.u-_._a.� R PLUS BER Btu'I'LUE R OR COMPACTOR TYPE OF BUILDING WATER CLOSET, LA'MVORY 4� BATHTUB SHOWERS, (GROUP) PER HllAD ' (3n ts) BNT"HTUE (WITH OP 'WlThOUT OVER FEAlj SHOWETE (2 units) _ SURGEONS SINK .G .Ba•.A.e y units) a m.�....,.....,F:F.sUSHING TITS SINK Q°:Eid,ts COMMINATION,_s SINE & b PA i!m�.# i a'(F�.�.�i{l^s�R.LE S 31NI..Y"�.^'.e.RA STAND 8,.°,D dam. l -PENTAL UNIT OR cuspl!'�OR DENTAL MIUVATORY �l UlA tS� Ha���"�eT�� 0 Waits) 111G, FC;LTNr(%jj� (1/2 unit) URINAL,, WKL LIP (4 units", FLOOR DRAINS (I a.nit. r w _. URINAL TROUGH aEACY, 2--VT� ION (2 Units) A—KITCHEN SINX (2 artits) IF -J—WASHING MACHINE �PXS.` GRINDER (3 umits� WASH SINK, FMCH SET` OF FAU�E ;`Po _w.�.,�.,.,,.(2 wnits) WATER CLOSET, V*'M OPMkTRO _—LAVATORY, BARBER, 'M--MY PARLOR (4 units) 12 units) A R SURGEONS WATER CLOSET, IV.' �E-OPFRA1211') LAUNDRY TRA: (2 units) '7 FOR OFFICE USE ONLY Date------- ...Y19 CITY OF ATLANTIC BEACH Permit *........................Fee$J;P ZtValuation $.'_ y.............................. FLORIDA House #Z Z! 4". c,4 --------------- APPLICATION FOR BUILDING PERMIT141 qs. ...................................... -,-/�-)-------------- 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 sub *tted to this office so that licenses can be verified. Date....--.. 7 Ownerkv ............................................ ---------- ---------—----------............... - -------_--------------....Address...........................................................Telephone No............................. Architect..............__..............................................................................Addresa............................................................Telephone No----------------------------- Contractor Builder-_-61/,615- --cowz--------41J...............Address-h8_41---f�,).'V......701.&----------Telephone No.2.3-2--.o( 2 ) Lot No-------- QY-------------------------Block No------_-----------_.........Sub Division.....S 7/hl./z h----------------------------------------Zone................. .4AC.A-4j.�!if-.4----------Street... ---------.-,Side Between------------------------------------------•---------and......................................................Sts. Valuation $ T11,_00-9.......For what purpose will building be used....[ Xf-t-------------_---Type of construction......ei, Dimensions of Building___'31__." _3X----.-__-Dimensions of Lot--------- Size of Footings....... -------() ----------- -------- ...... Size of Piers_______________ T------Size of Sills....-------_!_..........Greatest Sill Span in ft---------------------------Type Roof........4 How will Building be Heated?---------- ............ -k-A.-L---------_--Will Building be on Solid or Filled Ground?--------------5.0-try.0....... Size of Ceiling Joists----T1?Q.Zr1;Lr...........I Distance on Centers.._......._................................ Greatest Span............................................ Size of Floor Joists-------•------•--------------................Distance on Centers....--•-- ................................ Greatest Span............................................ Size of Rafters---------_--------------------------------- Distance on Centers-...... .................................. Greatest Span.------.................................... AP,PROVED This rectangle is to represent the lot. CITY OF ATLANTIC BEACH Locate the building or buildings in the BUILDING OFFICE right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall APR 41978 submitted with application. In required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. 4 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up.or sewer is laid but before it is covered 6. When septic tank drain field PQ M. 7. Electrical inspection by City of Jacksonville. _ 8. Final inspection. vs Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit for doi the work as Jescribed in the above statement, we hereby agree to perform said work in accordance with the c ed s s e ' 2c ions, which are a part hereof, and in accordance with the building regulations of the Cit tic Be S .... .. ....... ignature of Bul er ....................... ....... ess...(�.V- 1 17-9'.C/--------- ------ Signatureof 0 r................................................................................. Address.................................................................................................... CITY OF 004#sUC &ods - %" 716 OCEAN BOULEVARD—DRAWER 25 A=f ATLANTIC BEACH. FLORIDA 32233 March 8, 1978 TO WHOM IT MAY CONCERN: Proper functioning of the drainage system in the newly developed area in Saltair Subdivision (Section 3) is contingent on maintaining the swales located on each side of the streets in an as-built configura- tion. Accordingly, the following instructions apply to contractors (or owners acting as contractors) who construct dwellings in the subdivision: a. During the site preparation phase and construction of the building, and prior to installation of driveways, the entry area to each lot between the pavement and the lot line shall be protected by use of wood planking, pierced steel planking, or other means. Repair of any damage (including seeding) to the swale area shall be the responsibility of the contractor. If swale is not restored to its as-built condition, the provision of City utilities will be denied. b. The top elevation of driveways shall coincide with the contour of the swales. This requirement does not apply if culverts are constructed (see next paragraph). c. If required, culverts (cast iron, PVC or corrugated metal) may be installed in such a manner so that the invert eleva- tion will permit free flow of ground water in the intended direction. Pipe shall extend a minimum of two feet beyond each side of driveways with projections covered with graded back-fill. Diameter of pipe shall be determined by the City. Building Official inasmuch as prevailing conditions vary at individual lot sites. d. All driveway construction must be inspected and approved by the Building Official prior to paving. , (114!/ R. C. Vogel, City Manager Signature of Contractor RCV:jh Dated vl,i_LIAM S HOVvtLL JAMES E. MHOON „LAN C JENSEN 1_ W. MINT N, JR. CATHERINE G. VAN NESS Mayer Commissioner Commissioner Commissioner Commissioner Commissioner R C JOGEL OLIVER C. BALL MRS. ADELAIDE R TUCKER CARL STUCKI RICHARD HILLIARD City Manager City Attorney City Clerk-Treasurer-(,,)motroller Chief of Police Director of Public Works and Fire Department SCI`ICY OF A7JWI C BEACH 716 OCEAN 8OMEWARD ATLANTIC SEAM, FLORIDA maws 12 Iwo LOANS S i�l ANi SulIding t.sarawtlon• 273 Magnolia St. 2. The attached p I an for the ire but I di ng 19 approved subject to meett ng the feel l owi ng applicable construction rata l renoerrts. ase fggd= shag I be conti mum eel i thic concrete ander dktarl or wet I s, rel nforced tri th two 5/811 deformed rel nfo rci ng rode for one-st" hal I di ngs and three 5®8" deformed ret nfoml nq rods for two�vitry but i di ngs. Rel nforc l ng rads Owl 1 be p laced I n the I ower mv*-%l rd of the _ footings, proporly p 1 arced and ftstened on metal swWlas with Ore. Fi sage she 01 be s i x I nches wi der an aech sI de thein tee us I I bra, sha k I be at I east aI ght I nches thi ck and We I I rest an f i rev sot 1 at I east -hot vv I rues bet ow ands s soi t. b. Iiirbgl 19g MgMM1eni t i ea. each unit adl I shag I be rel afor+ced wl th at least aces No. 5 beer at *I I corners, poured end tamped with •. arch reinforcing slam I be properly tied into Cher faating Vandml bow., c. fi I I ,mass raft= Q rMd gogdZildigg2 sha i m be swa re I y fastaned to the ex ter I or wa 1 Is with approved hum carnet enchors, or c 1 I ps. d. Cionstruction of nearby one-fa ml 1 y doral I Ings,, ori i c h we drip i I tartest or i ntense l y sides tar, shell I be avoided. Such soiml larity cons►iderd the octernel cdrfl9 ration and appea, anes► (I.*., roof, outw wal I materials, ai ncim si are and design, acrd ~ 1 i ice cherwcteri sti des) of structures. in ec+c+o d with the foregoing, si ml tar or dup 11 cwted homes sha I I not be constructed ai fila i n c I cote proxi tai ty of aacft other, and shat l be at least 500 feet opeort If any one similar dwel l i sag Is visible from any other stellar dwel 1 i rag. e. Saw sarvi ce connections aewst be probed with c i ean-out nods In the prosence of a City Inspector. f. The final connection between the house plwwbi ng drain and the sever service connection Cut the property 1 i ne) waist be Inspected by the City before being cowered. City "tanager `flue undersi greed hereby carts f i as that he hes reed the above and undw ste mb that tht s ardden&n takes pnecWaite a over wW contrary deftl 10 to the plans WA speci fi coati canes and agrees to cooly with the intent of fhi s.,�ndpe. Y r. Loa Colt,moor' threat , Data , CITY OF' I` ll C BEACH TM FCU(*VW ESS F(R 1 UST-IUM -8 ± 6,s,OQ const. water 511WRET W), $ 0 Vi 9 !Salt_t_Sec 3 WSTM, PUMAER -Ye A .wr,gnstruction Co. . t..., ..._r..4 89 .5 Jose Blvd ONO AOMfz,_ lS v o 0 0 72�ti G " DEPARTMENT OF BUILDING 3657 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Dat 4,//78 19 - Valuation$ 33#140 Fee$ 96.50 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify that We1SS Construction Co• has permission to build at residential Classification A/f/ durelling zone Owned by ankin T,ntt Lot 505 Block S/DSaltalir Sec 3 House No- 273 magas l is St. 9�j 'b'd T According to approved plans which are part of this permit 9 i3C'KT" f as NOTICE At`CQNCA1TE AND FOOT dS MUST E SPECTED aFQRE PQIVItIIWn/ PERMIT VOID SIR KONTHL'�U fi AFTER DATE OF ISSUE x �— ► ► O Building material, rubbish and debris Zfrom this work must not be placed in I public space, and must be cleared up �1 and hauled away by either contractor or owner. 11i l l M_ i3alvis Building official. FOR OFFICE PERMIT D USE ONLY NUMBER ATE CONTRACTOR PLUMBING i ELECTRICAL SEWER WATER r CITY OF //tito 3t /•T&"* Office of Building Official {� REQUEST FOR INSPECTION Date 1 Permit No. Time / � Received I 0:3 -RM. Job Address ��r^ Locality NNameOwner's ["4�t� t! .5� Contractor BUILDING CONCRETE ELECTRICAL QUAILLD MECHANICAL Framing Footing Rough Wiring Rough F] Air Cond.& ❑ Re Roofing O Slab t-i Temp Pole Top Out G Heating Insulation C Lintel C' Final L:� Sewer a Fire Place p►�� READY FOR INSPECTION A",CL Pre Fab Mon. (._.iSa-`:'" Wed. Thurs. Friday ______BPM, Inspection Made _P.M. Inspector _ inalInspection)( Certificate of Occupancy C Date Cf x/111J /CITY OF fY,lui�n4c l ear.A-09"' Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received / PM. Job Addres Lo ity r Owner's Name Contractor BUILDING RETE ELECTRICAL PLUMBING ECHANICAL Framing a Footing 0 Rough Wiring ❑ Rough L Air Gond,& C? CD Re Roofing ❑ Slab D Temp Pole E Top Out C Heating Insulation L] Lintel r�, Final D Sewer E Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. (:ETues.) Wed, Thurs. Friday PM. Y A.M. lnspection Made __�V. f vfl Inspector t]SA tion ry GeRificate of Oocu ncy c Date --- DEPARTMENT,Cts'BUILCII 0 � 'CITY.OF ATLAP{TII 13EACW PERXIT..'INFORNATION, LOCATION,OR CII llerr4it.' Nu i1. 67 � OLI STREET rtni }Y,0e i i #VyIN il4 &yAHg P# RIi ; 32233 ork of Wit?OTlM3 �� tick. yt;RLrL7ffiG 1x. #, .61 " - ---# J� 6iistr. TP :WLol T�� fl PrPr' ed SNtLEf'I;°' lSeCSectcri bSUM ilg (} Subdi vizi on Est'. Valua e 0,A 00 "fit l pets: � � 00", . ; Date Pa 9S Des, TIOIN IRES - ---------- 25-.00 ---- ._____25.00 T aH: ZA 32..233 � 4Cl t x ��" 4M c a COO TIOPI tla CHRIS, ' ° ` PLU CI JACKS OH'i ItEACH, Pt 0 0� 1 w T,P *m�vacrueaisn NOTES: mo*ncE,� INSP lCTI©N6-MU9t OE, #AT LEAST 24 h©l R P< tOR T4 tWSPECTIQM SU ILDING MATERIAL; RUBBISH ANIS OE6RIS FROM THIS WORK MUST NOT BE PLAOEa iN pusbC SPACE,AND MUST BE 1: ARD UP ANIS'HAIJC) L?AWMI' IITFIER CONTRACTOR OR'OWNER " °Il�►ILUR� T 04�1��� WITH `THE MECHII�CS' LIEN LAZA/. CAN EXULT IN TI RROREIHYING TWICE FOR,BUILQI G'!0#000 fiE NTS,. S IEt3 ACCORDING TO AP IOYEO PLANS WHICH ARE PART.OF THIS PERMIT;AN[7 SUSJE& TO R a1/0-ATION Ft?R I TtO OF APP #CABI:E.POOVISIONS ©F LAW. ATLANTZVlEACH BUI 1NG'C3EPA MENT' Itf� aa�r By,, CITY OF ATLANTIC BEACH ��11 APPLICATION FOR//PLUMBING PERMIT JOB LOCATION: 0 7 3 /Y9 4 ho(r � OWNER OF PROPERTY:-lLt.hO►�C S PLUMBING CONTRACTOR: 421 Ni/SIS /�cw�ar!�, CONTRACTOR'S ADDRESS: Sof .�d�S�� �.4.�� oc STATE LICENSE NUMBER: 2 f%co.S%g4?1 TELEPHONE: ?O7^o�417-S���9 HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS h'/ SHOWER PANS OTHER k4U TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE _ $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: &6�=n 04 ----------------------------------------------------------------------------- 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. X971 " pEP/1RTMENT Of BU1#.Q#NE3 CITY,OF ATt.AtJTICEACFI 1NP`t #ATt ---- P Add e'aa, 211 "l4A� C?LIASTREET � ��t'" R> -R(3QF AITL AN't B EACH, FLORIDA 32233 " sii c►f Wbl:k,: NEW , LZOAL,. t7ESRIPTIaN . �_..::_ ._,'WOOD�JFRASOdi iii "nA Lot , M � te V*1a fit# .04 F x hV k td - did t;t 1 dee a 14n {„ " r so r t?a 19-SQUARE SE I N LES : 'A i L AirIoN Efts s Acle A STREET, WATER , ' L E $0.,00 CR., L` tIRL�A 37,223 ' s 60 .00 4As ap.•M Yin�r ew r' 4 JY A i' a+yP wr 4w wr df!. W 54 $0 .00 Raine: I N E HES f L WATER ��' $0.00 A� e�a 44 CRY 'ERRAC . . 0 211 RAJTCSHARE ?-.4 f Type* U.. CAfiA _ .ICWE. t h Q :SEC.HII��?ACR' �'��, '00 o OTHER w d fru t 4 R MdT# w- CQ tCit TE F0JR &" ►W!?f4t)T#NG$MU$T 8E 11!i PE TEp".$ i1tiE"PE URtMC� PERMIT-'VO,tt?StX MONTHS AFTER pafi CI="I$$'UE E1 ►t:CiING MATERIAL.,RU"8t315N ANQ'QI~BR S"FR M THIS WORK MUST N-OT K PLAOED<IN-PUSL G SPACE,AND,MUST BE " CLEAREQ UP Ah1Q?MAULE0 AWAY 134`*oH It CLlNTRACTQR OR©WNER. " f .UR " "t C 1 11' 1TH THE MECH N1,C ' USN'LAW CAN':RESULT IN .PR '?P� TY 1 1 "R I ArY[NO 'ftliflC F.t?�R BI IL:b ISP OVE ENTS0, i � � ACCC>RQll'a TO APPROVE p PLAiVS WH,tCH ARE BART ©F'THIS..P6 MIT ANP-'SUBJI= © REV k IN_t?F""AP1k:fCABLE'PRC}Y1S 'Ns OF LAW. ? } 'I IC EEACM BYILQING DEPARTMENT R t IIT 9 Q d }� 1 S 5 S, I a CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) : Address: ( � ���; ( � � Phone: Lot # Block or Unit # Subdivision Contractor: �? _ r Address: �t�ef-U J"to C, Phone:_ - State License No. -C-C UC 3 Describe work to be done: L QLE Materials to be used: Signature OWNER: Date: Signature CONTRACTOR: � crr) OF 4&64-c B"-49" Office of Building Official �S} REQUEST FOR INSPECTION «. Date S � Permit No. Time A.M. Racei ��P.M., Distri t No. Job Addr ity Owner's Name —_Cont star BUILDING CONCRETE ELECTR CAL PLUMBING MECHANICAL Framing ❑ Footing 0 Rough Wi ng 0 Rough 0 Re Roofing O Stab O Temp Pol 0 Top Out 0 Heating Lintel ❑ Fire Place 0 Pre Fab RELPAY FO INSPECTION A M Mon. 7u i Wed. Thurs.-----, Friday P.M. Inspection Made Inspector Final inspection Q f Certificate of Occupancy Data Pa °., Qgppii T09NT OF SUilAtt�® CITY OF ATLANTIC BEACH A' ..1,NF'CR A ONPERMIT' INIPORNATIOlf permitNu 1, Addareas rxlit T` PIRCRA'X,CAHTIC ACNS,, FLORIDA 1�3 C Aiss of, 0' ar s Pon Cod-04. ` t tab It lxted'' yalw s St3 .t1 a Tray. ;�CojVt t a C00 Totta *25,00 A 0th ; en ork # »' R # ►LER 14A7 ION, APPLTCATIONI FEES, PrOM d � $Q. # A, `I�REET R 'AC Asti 1* .d� iff JJJR" 40.00 A Iri C.3C' C3.t 1Q ! Ack I �r. ' . $ R3 OR � C HARE #4.Qt3 k L: .t �tr�!s CCt� ' Ys RR '�T SEL #t�:°-� , x , t- t 4 NOTES: l Al k E k NO �IfIE--Ai:L C 3 1G. �>>I�f��iMS AND FOOT#T�GS MIST I�fE INSP�CTEf�B,EF©RE POIJ�i�NQi PERMIT VOID SIX MONTHS AFTER DATE QF ISSUE, `BUILDING MAT RIAL,.RUBS#SH AND#wtEBF##S FROM THIS WORK MUST 4'OTS# PLACE, D tNJ PU UC 3f?ACf"ANi�MUST BE `BLEARED UP,AIU HAl9#: C?AWAY$Y EITHEt Ct7NTRAC fQR OR:OWNER,:,. , . r ;ta om 11� itH THE MECHANICS AIV � �I�LT 1� "'t'M� PRC3 i TY t� 'I� �R--PAYING lVICE fiCIR.. # �Xlll If /E EP�TS 6BLtE[ ACCs? DING To APPF2C UES-;PLANS WHICH ARE PART t)F THIS PEi MtF AND Su faEa/t7CA QR VIOLATK7SVE46 ONS OF LAW. m , ATLANTIC BEACH.BUILDING DEPARTMENT r � e BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT --Applicant to complete all items in sections I, II, ill, and IV. ILOCATI4N Street Address: a r? J A n I' OF Intersecting Streets: Between TWh l\ And WILDING Sub-division II. IDENTIFICATION - To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a,part hereof and in accordance with the City of Jacksonville ordinances and standards of'good.practice listed therein. Nance of Mechanical s Contractors Contractor (Print) Master I4C033fo , No" of Property Owner Siyaafirre of Omer Signature of er AwNwrired Agent Architect or Engineer M. I MNAL INFORMATIQN A, Type of Meting fuel: B. h5 °'D IS OTHER CONSTRUCTION BEING DONE ON ElectricTHIS BUILDING OR SITE 7 L) 0 Flue-0 LP 0 -Natural 0 Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 0 on PERMIT p Olfw— Specify W. WICHMICAL IWIPMIENT TO fB INSTALLED NATURE OF WORK (►rovide complete lost of cowgx~ts an back of this form) Residential or ❑ Commercial Heat 0 Spec, 0 Recessed , Central 13 Floor ❑ New Building 0 Air Con4lMorsing: 0 Room 0 Control ��1, Existing,Building C] Duct, Syaem. Motorial Thick y2+. Replacement of existing system (I Maximum capacity CARL ❑ New Installation(No system previously installed) 0 Refrigeration ❑ "Extension or add-on to existing system Cooling lower: capacity ❑ Other — Specify Rft sprinVors: Number of hoe ID Elwater Q Monlift ❑ Es"lptor (number) THIS SPACE FOR OFFICE USE ONLY (� $*soliee pu (number) (Rsrefw") Q: Tenkt ---_.�_(number) Remarks D LM contaiaers__ (number) 0 UAW pressure vow 13 Eeilers Permit Approved 0 Othw - Specify Permit ST ALL EQUIPMENT AM COMDI QMNG AND REFRIGERATION EQUIPMENT NMber Uatfa Deeerlpt ion NO"N'tuebeir Iialetutaattu+er CSIAW(TO") r WATING FURNACES, BOILERS, FIREPLACES Ntmftr Vnibcoadty D"atti a X00d hiUMbes MmiULr TANKS Now Many Nbmf d Capedty Type Lt4ald Nam a[ Serw Appmving and Coatatssed maw NO. 00184 rr DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH _. I t"If IT I'mrOIp�I�A'Ii�"�lllsl - �. ��;� WCATZON 1HF't7RNATTON + c^m t I' r�t�aik� x i Address*: 46 ,itA� f#01-1A STREET P .ae # ,T s OUILIC�►T'NO3, A 'I.A T C NEA+Cl , "I, 1BT1? ► .�4 lass,t r ,ka r PA Y ------�-. �. AL,. DESCRI1�'I'zt'm - Constr. . "ii" a Blockv Sect ion s T6rxst p IIVG CoIOt .'0, 9u6div*a:i0r# i3ALTAlR llgwtlftote�d 'V;alua`a 95W 00 00 7.' A F ► # +' Aiiii :t Fi 1 4 ax 47.:50 t Tell rpt °4.�. i + F. «XC. "' 11 -TItI� Tvht .y �` idAft flPACT FEE # C## F'i:©III I+►A ; I ITE ylP� 5,.ACT FEE O.O^y0 I METE 0 77 _ y�r Ao-,Ato 11 oopzN 3 WAT 1 E'AP , €). 00 dd ,C 'Y" '�`II~I�iERAIGE TAP �O.00 " ..w,�.' '�"» t�!fl,f�,ii++i F74�M;A44.,#��in,.,#15x+.,:.'��i�i3.Lir.., _ '�`►�a, L r x �► Types 0 PEE, so.00 " I�,l"�OINBETi'I:t�4'� #Cl.0t:1 ; C9 `IiEI *ba, 00 . Nr3TESc r NOTICE :' ALL CQNCRETE F, RMS ,AND FOOTINGS MUST BE INSP£CTi`D BEFORE POURI � f 1 „ I I PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 8t)ING MATERIAL,RUBSiSH AND D BRI8 FROM THIS WORK MUST NOT BE,PLACED N PUBLIC,$ AND MUST BE WI CLEARED OOANDIHAULEp AWAY BY EITHER CONTRACTOR OR OWNER. "FAILUR I COMPLY iTH THE MECHANICS' LIEN .LAW',CAM REEULT'IN ` THE Pto"RTY W rfi�SAYING TWICE. FOR BUILDING IMPROVEMENTS." a IS kF b'ACCOROI G TO'APPROV,ED'PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REUOCATION.FOR 'Vlt,`?LATIGN 4F AP LICABLE.PA,0� ISIONS OF LAW. ATiC BEACH �}.ILDIIVG'C3EPARTMENT e "t k. � Y CITY OF ATLANTIC BI'ACIi APPLICATION FOR BUILDING PERMIT Owne Address ' 7 zip Phone Architect Address zipPhone Contracto ddress e ! x zip,-s Phone Contractor's License Ntunber L i.ration Date Copy on File Lot # Block or Section # Subdivision Zoning Street Between and side Valuation $ `' D Type of Construction Purpose of Building Number of Units ' Fireplaces Utility Service: Water Sewer If the City if providing water or sewer service, do we need to make taps? Dimensions: Building Lot Size Footings Sz. Piers Sz., Sills Greatest Span Sills Sz. Ceiling Joists Distance an Centers Greatest Span Sz. Floor Joists Distance an Centers Greatest Span Sz. Rafters Distance on Centers Greatest Span Method of Heating Solid-Filled Ground Roof Flood Zone If located within a FLOOD HAZARD complete page 2 SUBMIT: Two complete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required: 1. When steel is in place and ready to pour footings. 2. When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical, pltunbing, electrical, .fireplace, is completed and ready to cover up. 5. Final inspection. SETBACKS NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB.. In case of rejection, reinspection MUST be called for after Rear Lot Line corrections are made. In consideration of peradt given for doing the work as described in the above statement, we w hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance rt with the building regulations of Atlantic Beach. �! ro Signature Owner Signature Contract ron ine ° PLA. fisc LAWSMAMCO IOKM 40e fs 113.13 IT Olki XI[t"6,jrr Of ACOMIUCUrriurnt c��r (rll[rAng IN OUrLICAT[I I xi fU)(pltt It lltRLI Conant: CIL! 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 m is stated in this NOTICE OF COMMENCEMENT. s Lot 306 Saltair Section III P .B. 10 - PG. 16 Descriplion of property....................................................... N h 4i j 0 1XI ....................................................................................................................................................................................................................:......I.................... Single Family Residential- New Construction Generaldescription of improvements.................................................................................................................................................................. Two-.Storer 4 Bedroom/2 . 5 Bath, Frame Construction ........ .............................................................................................................................................................1................... ......... ...................................................................................................................................................................................................................................... Owner. Carolyn Rose Jones ............................................................................................................................................................................................................................... 273 Atlantic Beach FL 32233 Magnolia St. , � Address ................................................................................................................................................................. ......... ............................... ..... _............. Owner's interest in site of the improvement................................................................................................................................................... fee Simple Title kidder (if other than owner) w jName Cd I�r Address.............................................................................................................................................................................................................................. LU Z Carolyn Rose Jones 0 Contractor........................................................................................................ ......................................................................................I........................... to CJX 273 Magnolia St. , Atlantic Beach, FL 32233 Address.....................................................................................................................................................................................»......_..........................,.... Sureif an ........................... .......................................................................................................................................... Address....................................................................................................................................................... rnourrt of bond $.................-............ Name of person within the State of Florida designated by owner upon whom notices or other doawrwnts may be served. Name .......... Carolyn ....Ro...�....Jone.s................................................................................................................................................ Address...........2.7.3 Magnolia St. , ATlantic Beach, FL 32233 ................................................................................................................................................................................................... In addition to himself, owner designates the following person to receive a copy of the l.ienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option), Name............................................................................................................................................................................,............ . ................................... Address_.............................................................................................................._.-.................. ....... .... ............................................................. IMS erACt haft 11KC00DtR'e UOK ONLY I + / ...{._ ��_.......J. ............................. owner i Sworn to and subscribed before me Ibis...... •...`1.'............• Dk. 8728 F'g: 2x+48 Doc# '97212033 deva�. :r:�:.tr,. `..�4'r ��.;�.�.....................19`..x...,..; Filed & Recorded -- 09/22/97 10-.08:39 A.11. tlEtdRY W. COOK �0 ..l.:lS�..4�c..: ..i.t... . .4. :.,.���..:.....L..`................................ CURK CIRCUIT COURT _..w E7atr�cta Icnz�c a . RI1C6 .100 y Fl_ Nota Public,State of Florida REC. �'`��� My Comm.Expires Mar 20,2001 M No. CC631753 13011ded Thru:official Notary Service ��_ .1�(t3Ci0)723-0121 CITY OF 1*14o is Peas! - 7&t da �,RECEIVEDNTIC �� .IS"S PROPERTY DESCRIPTION TELEPHONE(!"247-SM # 3 0 6 SFa ' y P97 FAX row)zrr-sass Lot Block # section lIS Subdivision:- _ Salta ir jtV of Atlan+,C Beach Street Name Building and Zoning or Address : Magnolia St. DESCRIPTION OF WORK If in a FLOOD HAZARD Flood Zone: V area complete page 3 . Brief Description 2-Story Residence -3 /245 - Frame Construe ion Class of Work: (New/ New Remodel/Addition: ZONING INFORMATION Type of Csnstruction: Frame Zoning Proposed District :ltUse: rr. �eilC[1�� Estimated Value $ 98,000 Exceptions or Variances Materials : Siding/Wood Frame Granted: Solid or Filled ✓ Ground: Roof : Fjiyerglass Shingles OWNER INFORMATION Method of Heating: Air-Air Heat Pump Property Owner : Carolyn Rose Jones Phone: 246-6043 Mailing Address273 Magnolia St. , Atlantic Beach, FL 32233 Zip: CONTRACTOR INFORMATION Contractor :—Carolyn Rose Jones Phone: 246-&6043 Mailing Address : 273 Magnolia St. Atlantic eac , FL Zip: 32233 Expiration License Number : CB-C057778 Date: 8-31 -98 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNCW THE SAME TO BE TRUE AND CORRECT . ALL PROVISIONS OF THE LASTS AND ORDINANCE; GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH , WHETHER SPECIFIED HEP.EI:+ OR NOT . THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES , REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING CF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. ' r Owner Signature06v�Ltl� Date Patdlcla kn netts MY09Mroah gnature Date `�• d: D2 P.01 Oct-02-97 11 : 22A PRICE QUOTE APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME AjVj,'AJ MAILING ADDRESS .;� 73 &a4Z�"R PHONE NUMBERr' 6 V-j DATE r SERVICE REQUESTED 6 SERVICE LOCATION DATE SET TO PUBLIC WORKS DATE RETURNED TO BUILDING DEPARTMENT PUBLIC WORKS DEPARTMENT PRICE QUOTE RESPONSE WATER:— ,sof U L sZ i S M r e. G. ,A �q SEWER: c-J u `c 'e t1 OTHER: PRICE QUOTE PREPARED BY: � Signature - Title DATE NOTIFIED OWNER