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Permits 1126 Main St (vault) PERMIT WORKSHEET Certificate of Occupancyl ib 'cq I Job Address: 112-�p Al r-t-tn <--S+ Type Work: IV fe Lo ---S FiZ- Property Owner: Phone # Contractor: Phone # i�& V I rl 1-4 744 0 7q,7 Permit#: 24 - (t)7 a Date Issued: Building Inspections: Footing Slab 3 zq—_0 Tie Beam Lintel Nailing / Sheathing 4. U,C,L-1 Framing / Cover Up -146.oz-4 Insulation 4-.2,-7 -oL� Final Building 1i -Le-cl/ Tree Permit# YES NO Electrical Permit# Date I Copy to --2-7(A 7 JEA Temp, Pole Permit# Date/ Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric 'q-d- Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final 1-u�oq Released to JEA Vbi Mechanical Permit# 44 - cl--�7 U -1 -7 Inspections: Rough q,,z,,3,c)q Final 1 -1,(_V 041 Plumbing Permit# C)4- Z,-7(.-7-7- Inspections: Rough Underslab 5 Topout I q -&'3,C"'I Water/Sewer Cq Final Drainage Inspection: Pool Permit* Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing Sheathing Final Fire Inspection: Failed I pectio ns: Date Paid: Date Paid: Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET %-I Date Requested: ri Contractor Name: Permit #: Property Address: Legal Description: L-0-Ht 0 C11- -�2_0 D Improvements to the above-described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: ,�fSiin�gle-Family Resi�dent Commercial - Other: Lowest Floor Elevation: /0,y ON Required As Built Thefollowing must be completed before issuing Certiflcate of.0ccupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works r7 - -7 - Planning Dept. 7-4)7— 04 Building Dept. Final Survey with FFE Qe s No All Re-Inspect Fees Paid Ces No CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E 0 F 0 C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 7/06/04 Parcel Number . . . . . - Property Address . . . 1126' MAIN ST ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . BENNETT, KEVIN Contractor . . . . . . KEVIN W. BENNETT 904 744-0747 Application number 04-00027672 000 000 Description of Work SINGLE FAMILY RESIDENCE Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . L tk-r— c Building Offic&al VOID UNLESS SIGNED BY BUILDING OFFICIAL CITY OF ATLANTIC BEACH j", BUILDING AND PLANNING 'm Jj I 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 Telephone: (904)247-5826 Fax: (904)247-5845 V~.COAB.US FAX TO: -I�V)K) 0'fy-KA I 'CAA Fax#: r7l --b I n" From: Date: Pages: Re: C-0 0--)CO'C) r--1 Urgent For Review Please Reply Notes: e7/02/2004 10:35 9042466495 OMALLEY PAGE ei Y*71 11 645 Mayport Rd, Sulte I Munk Beach, FL 32233 904-241-3141 John Joseph aMalley 1-000-M-0234 preeldew Fax 904-246-6495 Ucensed Real Estate Rroker omoileylox@oal.com Date: 14104 To: j4j, — -"*-7 Fax No. 9 q7- j-t�y- From: Re: Number Of Pages: Z --a - - (Including Cover Page) "The information contained in this facsimile(and/or the documents accompanying it)may contain confidcritial infomation.The information is intended only for the use of the individuals to whom it is addressed.If you are not the intended recipient,or the employees or agent responsible for delivering it to the recipient,you are hereby notified that any dissemination,distribution,copying or taking of2ay action in the reliance on the contents of this infon-nation is strictly prohibited.If you receive this facsimile in error, please notify us inunediately." 07/02/2004 10:35 9042466495 OMALLEY PAGE 02 MAP SHOWING BOUN-DARY SURVEY OF LOT .5. LESS AND EXCEPT THE NORTHERLY 10 FEET THEREOF, TOMHER WITH THE NORTHERLY 10 FEET OF LOT 6, BLOCK 200, ACCORDING TO THE PLAT OF SEE-01COMON *V2 ATLAIWMC IMACH AS RECORDED IN PLAT BOOK 18 , PAGE(S) 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIVIIED TO: JOMf R. MURPHY, MAINE A. MURPHY, FIDELITY NATIONAL TITLE 114$MWCE COMPANY, 'b WATBOX & OSBORNE TITLE SFPVT.CES. INC. 04 AND AMERICAN MORT"CE INPRESS CORPORATIDN. 04 LOT 4. 13I..00K 200 M.00' (R) NORT04ERLY 10' OF 0.9, 0.5, 0.4v LOT 3, SLO '1: C 200 a-3' 4454ft 12.0' LE54W C3 m 23.0, ZN .4. T-511ORY MAW ftfs"wcr W/f.3'tA WT ma 1126 0.2 a 1215 OJ fAVISN floot? Z NOR78ERLY 10* or X t) LOT a. BLOCK 200 0.7' ASMSUR. 4.8.5488 In la2.00' (AO I aw ov, (R) SOUTHERLY 40' OF LOT 6, BLOCK 200 A (5G' RIGHr-OF-WAY) CSYA'nCN SNOM ME BASM ON NOW '29. Ivor RHYSICAUY OtcFtV I.ANGLES ME SHOW MR NMRMVEY" NDTW- 2,SyRUCTURE No. !129 SH004 HERM UM lf"N FLOOD ZONE X up 0* MIEFMINM FROM EEMA FLOOD MAPS PANEL W06 ASSOCIATED SURVEYORS INC. 3,THIS IS A!IURFACE SURWY ONLY. THE EXTENT OF UNDERGROUND FOOTINGI LAN13 & EN04HEERING SURVM PM AND UnUl%%IF ANY 3846 BLAMING 13OULFVARO A, &0 ANO/� ENIAgimmSITIVE AREAS IF ANY, NOT %SURWY JACKSONVILLL FLORIDA 32210 s.Twis svRwy BASED ON LEOAL WSCRIPTIONS FURMSHM. 74t FUOUC W-771-8468 FtE=ns WERE NOT SCARCHED BY THf3 SURVEYOR Folk tASEMENTS, -,11LE. 00 OMMT5,011TESIRICTION&CLMAM TAKfN=OR ORDNANCE& EM CERTF"It OF MM40WATION NO-LB OOMW8 TJ.4ERE at Hilt MATTERS OF RECORD THAT AFMT THIS PARCEL oss IF G.Um=01KROSE S?ATM AUL IRON PIP0 FOUND IIAVE NO'OM'nnCATTON-; S 'V: I - - CERTICY IS s RVEY WAS DONE UNDER my - 4EREBY 14 M'-rHE MIWMUM TECHNICAL 0 o(REcT SUPE"ION 450 .. SEr IRON F4P[ OR ROAR P.C. PONT Of Cuwr cam s7mmos FOR LAND wo PURS T -10 TER *=C�SUR6SY* Oft L.11.5444 Pj. MW OF V:FW -CURVE ,Rc. POINT a Rg& 61C117- FLOV'0A A04 N E 72. F.S. * FOUND IRON PIN OR PIPE OP) P.C.C. pw OF COWWND CLOW 0 ro=CONCREM MONIJUM(C-U-) cow"M)M%Tk 4" CUT 0$1 DRILL HoLt NCRETE r=:%,a"IT (M). MLOGURED ONC.- WVA A MONER �t,T.) - EOK TIE WMR MMR -0— UMn'PW AR OMCJAL M ,%R —Ow ANCHOR ---0RIDA CE a V -Ofnm VdL"t P.M. ftOL EMPMENT B-ARUN W ygyWra c In -*MR KM kgk%M CA R— -%C jr 4 YMONC r K EENC A Ofi 30-2004 INK EENC f E r &At �ATE OWN% JOB NO, I Z' Ammiammly C a .RAMR jURYVOR AND WAPPFR Nr*.AE AND Ir-E mp, -&DT-VALIG .,40UT TIjjr S - 'm )wi ONI sswamm as-odloossu : wot" T., wumm vooz zo rSgt ILL V% MAP SHOWING BOUNDARY & TREE SURVEY OF LOT 5, LESS AND EXCEPT THE NORTHERLY 10 FEET THEREOF, TOGETHER WITH THE NORTHERLY 10 FEET OF LOT 6, BLOCK 200, ACCORDING TO THE PLAT OF SECTEON ""H"" ATLANTEC BEACH AS RECORDED IN PLAT BOOK 18 , PAGE(S) 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: KEVIN BENNETT. 0 LOT 4 LOT 4, BLOCK 200 BLOCK 201 6" 102.00' (R) OAK 12" 102.00' (A4) — _,SfINE_ LOT 4 12" LOT 5 112 IREBA R 0 CHINESE 10' EXCEPTION NORTHERLY 10' LOT 5 ASSOC.SUR.0 TALLO BLOCK 200 112 IREBA R L.B.5488 A SSOC SUR. oil- L.B.5488 SWEET GUM 0 a -j V A C A N T m 3" STREE L 0 T PALM LOT 5, BLOCK 200 C) c, Cz� 3 CHINESE to TALLO 5" 12" LOT 5 TREE OAK LOT 6 lo'.0 12" NORTHERLY 10' LOT 6 \9j OAK a. PINE 112 1%8A R BLOCK 200 OAK ASSOC.SUR. L.B.5488 (? 112 REBAR %Q,- A SSOC.SUR. 102.00' (Y) L.B.5488 C'4 Ne 102.o o I (R) in SOUTHERLY 60' OF LOT 6, BLOCK 200 0 0 wEs r M.A ZA 112 IREBA R A SSOC.SUR. (50' 1?ICHT—OF—WAK) L.B.5488 NOT PHYSICAL� Y OPEN 25'1 OPEN DIACH 0 GE-IIIIERAL IWO-TIES, 1. ANGLES ARE SHOWN FOR THIS SURVEY. 2.THE PROPERTY THUS SHOWN HEREON LIES WITIAIN FLOOD ZONE X AS BEST C. DETERMINED FROM F.E.M.A. FLOOD MAPS PANEL NO--22(—)l DATEDO4-17-19ag. ASSOCIATED SURVEYORIS IN 3.THIS IS A SURFACE SURVEY ONLY. THE EXTENT OF UNDERGROUND FOOTINGS, LAND & ENGINEERING SURVEYS PIPES AND UTILITIES, IF ANY, NOT DETERMINED. 4.JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT 3846 BLANDING BOULEVARD LOCATED BY THIS SURVEY. JACKSONVILLE, FLORIDA 32210 5.THIS SURVEY BASED ON LEGAL DESCRIPTIONS FURNISHED. THE PUBLIC RECORDS WERE NOT SEARCHED BY THIS SURVEYOR FOR EASEMENTS, 904-771-6468 0 TITLE. COVENANTS, RESTRICTIONS, CLOSURES. TAKINGS OR ORDINANCES, ETC. ss THERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT THIS PARCEL. 6.UNLESS OTHERWISE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION. I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY LEGENDOAMNEVIATIONG DIRECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL 0 SET IRON PIPE OR REBAR P.C. =POINT OF CURVE COV'D = COVERED STANDARDS FOR LAN D SpqVEYING PURSU NT TO ('HAPTER "ASSOC.SURVEY- OR L.B.5488 P.T. =POINT OF TANGENCY E.B.=ELECTRIC BOX 611317- FLORIDA ADMI RA Nl�l 72. F.S. 9 FOUND IRON PIN OR PIPE (IP) 7 ��ID E. 'APTER -f P.R.C. = POINT OF REVERSE CURVE III FOUND CONCRETE MONUMENT (C.M.) P.C.C. = POINT OF COMPOUND CURVE C/L = CENTER LINE R/W- RIG14T OF WAY - C�j (R) =RECORD (M) = MEASURED CONC. = CONCRETE B.T.= BUILDING TIE BY: 2(l 7 . X CROSS CUT OR DRILL HOLE CHARLET B. HATCHER FLORIDA CERTIFItATE NO. 31771 R. =RADIUS L. = ARC LENGTH A\C -AIR CONDITIONER (E.T.) - EAVE TIE CHARLES L. STARLING V FLORIDA CERTIFICATE NO. 4579 O.R.B'=OFFICIAL RECORD BOOK CO =WATER METER %0,= UnUTY POLE RAYMOND J. SCHAEFER FLORIDA CERTIF!CATE NO. 6132 O-R.V. =OFFICIAL RECORD VOLUME P.EQ. POOL EQUPMENT --*- GUY ANCHOR P.R.M.=PERMANENT REFTRENCE MONUMEW -O.U.- OVER HEAD UTILITIES CH = CHORD JOB NO. 33720E DATE 12-27-2002 B.R.L. =13UILDING RESTRICTION LINE X—X CHAIN LINK FENCE BTN. =BETWEEN E.T. =ELECTRIC TRANSFORMER & PAD W WIRE FENCE 0-0 WOOD FENCE SCALE: 1" = 20' -- DRAFTER 9.1ma J.E.A. =JACKSONVILLE ELECTRIC AUTHORITY I C & R = COVENANTS & RESTRICTIONS NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027672 Date 3/11/04 Property Address . . . . . . 1126 MAIN ST Tenant nbr, name . . . . . . NEW SFR, RAD 1484 , 1934SCH Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 120000 Owner Contractor --------- ---- --- -------- ----- ---------------- --- BENNETT, KEVIN KEVIN W. BENNETT 4429 JIGGERMAST AVE 4429 JIGGERMAST AVENUE JACKSONVILLE FL 32277 JACKSONVILLE FL 32277 (904) 744-0747 (904) 744-0747 ---------------------------------------------------- ------------------------ Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 555 . 00 Plan Check Fee 277 . 50 Issue Date . . . . Valuation . . . . 120000 ---------------------------------------------------------- -------- ---------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 37 CAPITAL IMPROVEMENT 325 . 00 ST CONSTRUCTION SURCHARGE 8 . 70 AB CONSTRUCTION SURCHARGE . 96 SECTION H IMPACT FEE 750 . 00 STATE RADON SURCHARGE 7 . 04 SEWER IMPACT FEES 1250 . 00 WATER IMPACT FEE 410 . 00 WATER CONNECT/METER ONLY 85 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 555 . 00 555 . 00 . 00 . 00 Plan Check Total 277 . 50 277 . 50 . 00 . 00 Other Fee Total 2872 . 07 2872 . 07 . 00 . 00 Grand Total 3704 . 57 3704 . 57 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING U%4PROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICLA1 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date: 6 0 Address ej Heated Square Footage per sq ft $ <:� Shed 41,J'C) @ $_ INV, persqft= $ 7 ? @ $ �-per sq ft $ Carpoftqs��!) Deck per sq ft $ Patio @ $ per sq ft $ tj TOTAL VALUATION: $ 0 Total Valuation ist $ Remaining Value $ per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: a-t + V2 Filing Fee $ FLOOD ZONE: oK (1) Fireplaces @$35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ J-Z) WATER METER/TAP $ CAPITAL IMPROVEMENT$ 3 SEWER TAP $ C q q* RADON HRS .0050 $ SECTION H PAVING (SO) $ CROSS CONNECTION $ ST(/13(/) SURCHARGE $ OTHER S GRAND TOTAL DUE: $ 1/13/03 CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FANULY RESIDENCE AND DUPLEX CONSTRUCTION) Date: Job Address] WV4,Z4,J �S-r- e-67-- 57 13CAC 2,(-,& E_L�-/L1&&& (,jA es Owner of Property: eX-Zi_,Z0J Address: '+Q"J 4r-& —I A-Uli- -z�A,� C-_�_ _-�ZZT-?Telephone: 90Y Legal Description: BlockNumber: '&f) Lot Number: 5 Zoning District-, CS Contractor: State License Number: C_(�C_-C_)"S S`5 C-) Contractor's Address- WZ_9 37,-�;z C Telephone: V--71Vq-Q)SQ 5C&c-c3_j 3 -y 5 3,5 Fax: 9(1 V, Y-/-63?Y-7 Describe proposed use and work to be done: A_)e-z_(,L_) 14nLA41a_ Present use of land or building(s): LC-7— Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. 'win t i project involve changes in elevation,site grade or any use of fill material or the removal of any trees? ' NO. , Applicant certifies that no change in site grade or fill material will be used on this project. D YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. dNO* Applicant certifies that no trees will be removed for this project. El YES. Removal of Trees will be required for this project.- TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure; In order to expedite issuance of permits, please follow all steps and iprbvide all information as apiwopriate Incomplete applications may result in delay in issuance of,permit. STEP 1. Vm* zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have 'Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works'is located at:1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Conwactor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is 4ocated at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 http://www.ci.atlantic-beach.fl.us Pagel Revised 1/14/03 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owner: Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing Us type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. D .57 Signature of Contractor: ate: Address and contact information of person to receive all correspondence regarding this application (please print). Name: 1��E0470 �V lr3,EIUA)a_�� Mailing Address: wz'�' Telephone: 90q-71rz,_/— F a x: '7!� E-rMail: f L." c;H/- 333-((s3s AS TO OWNER: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval SH , I*0 0 10 0 1- olsslo'v 4A 141ary's Signature: st 8, Personally known #DD 03154i duced identification .Of-"-r Q 0 v�g L� to 'e :Z� Type of identification produced AS TO CON TRACTOR: Sworn to and su*bscribed before me this day of 20 k�- State of Florida,County of Duval p,\S SHStq, sto**..4, 18, ��,7'%No*' Y's S ignature: 0 A M* rsonally known 4DD 03 1548 roduced identification ype of identification produced G), L' IC unde 80 h�*ioad -.Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 Fax! (904)247-5845 -http://www.ci.atlantic-beach.ft.us Revised 1/14/03 BP250UO2 CITY OF ATLANTIC BEACH 2/23/04 Application Tracking Individual Step Review 09: 52 : 53 Application number . . . . : 04 00027672 Application type . . . . . : SINGLE FAMILY RESIDENCE Revision number . . . . . . : Agency/path/step/seq . . . : PUBLIC WORKS A 01 00 Date submitted, resulted . : 21304 Approval code . . . . . . . : Reviewed by . . . . . . . . : Revised est cpl date . . . : 21104 Copies of plans . . . . . . : Seq Comments Prt Date 1 . 00 Provide erosion and sediment control plan and details . 21704 Silt fencing must be around the entire property. 2 . 00 3. 00 4 . 00 5. 00 Bottom F3=Exit F12=Cancel WATER IMPACT FEE WORKSHEET ADDRESS: tj DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD EFIXTURES UNITS Automatic clothes washers,commercial 3 Automatic clothes washers,residential 2 2- Bathroom group consisting of water closet lavatory, -2 Bidet and bathtub or shower 6 Bathtub(YAth or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory I Dishwashing machine,dornestic 2 Drinking fountao'cemaker 1/2 Floor drains 2 Hose bib I Kitchen sink,.dornestic 2 Kitchen sink,domestic with food waste grinder and/or dishwasher 2 Laundry tray(I or 2 compartments) 2 Lavatory 1 Shower compartrnent domestic 2 Sink 2 Urinal 4 Urinal, I gallon per flush or less 2 Wash sink(circular or multiple)each set of faucets 2 Water closet flushometer tank,public or private 4 Water closet private installation 4 Water closet public installation 6 TOTAL NUMBER OF UNITS-- 20- IMULTIPUED X 20 III. Energy Code Information: I Is the current energy code form completed properly and signed; RESIDENTIAL CHECKLIST FOR ONE&TWO FAMILY DWELLINGS correct climate zone and correct jurisdiction? (FBC 13-600) Yes'k'/No N/A 2. Does conditioned square feet area on plans match square feet NOTE: DRAWINGS REQUIRED TO BE DRAWN TO SCALE WITH SUFFICIENT CLARITY shown on energy forms? Yes VN. N/A AND DETAIL-(FBC 104.2.1) 3. Is the"It"value between common walls shown? Yes No N/A I'-- (FBC 13-602.1.ABC.1.1) 4. 1:the:'W'vahie for added insulation on exterior walls shown? Yes NIA PLANS EXAMINER: J-- IJ rO'<-O DATE: � -20- OV 5. 1 the'W'va ue for ceilings shown? (FBC 13-604.LABC.1) Y �No 0 N'A (FBC 13-605) e: �� N/A 6. Is the"W'value for raised floors shown? Ye -0 OWNER: 14 2 CIVIJ JOB ADDRESS: 112(o 7. Are Energy Credits Claimed? Yes N/A A. Attic Radiant Barrier Credit (FBC 13-607.1.A.4) Yes-1 No N/A CONTRACTOR: (( PHONE NUMBER:7Yrt/-O 7V 7 B. White Roof Credit (FBC 13-607.I.A.5) Yes V" N/A C. Programmable Thermostat (FBC 13-600.2.A.3.5) Yes 400 N/A (CIRCLE) I. Survey: IV Foundation Plan: I. Is a specific purpose survey submitted? Yes k/ No N/A 1. Are all footings shown,including interior bearing walls, 2. Is correct Flood Zone shown? Yes V"No NIA Yes Column pads and concentrated loads? No N/A 3. Are existing grade elevations shown for structures located 2. Are all locations of vertical reinforcement and anchor bolts shown? Yes No N/A in an"A"or"V"zone? Yes No N/A 3. Are all elevation changes in slab shown? Yes Yes�/o N/A 4. On lots in multiple flood zones,are flood zone lines indicated? Yes No N/A 4. Is minimum concrete PSI shown? No N/A 5. Is property in a flood way? Yes No N/A 6. Is flood way line shown? Yes No N/A 5. Is slab reinforcement shown? Yes-�'No N/A A. Wire mesh size and gauge? Yes No N/A 1--" B. Fibermesh reinforcement? Yes --No N/A 6. Is vapor barrier,minimum 6 mil.shown? (FBC 1909.2) Yes ,e No N/A 11. Structure Code Compliance: 7. Is minimum slab on grade thickness shown?(FBC 1909.1) Yes L/No N/A 1. Are plans sealed by architect or engineer? Yes -/No N/A Is type of soil treatment for termites shown?(FBC 1816) Yes ,,No N/A A. Are structural calculations submitted? Yes VNo N/A 9. Do plans show concrete footings have a specified compressive 2. Is correct wind speed shown? (FBC Figure 1606) Yes No NIA Strength ofnot less than 2500 PSI at 28 days? (FBC 1804.5.1) Yes W,'No N/A Is exposure category shown? (FBC 1606.1.8) 3. Yes No N/A 10. Ifpile foundation shown,is Sealed Soils Report submitted? 4. Is Importance Factor shown per FBC Table 16067 Yes No N/A (FBC 1805.1) Yes No N/A 5. Are pressures for wind loading on components and cladding Shown per FBC 1606.2.5? Yes -/No N/A 6. Are pressures for wind loading on components and cladding V. Typical Wall Section: Shown per FBC 1606.2.57 Yes %/No N/A 1. Is finished grade shown? Yesu-'�No N/A 7. Does structure meet requirements of FBC Table 500 for number of 2. Is-in F-um floor elevation shown? Yes%/No N/A stories and allowable area? Yes/No N/A A. Minimum 8"above adjacent grade? Yes_,-No N/A 8. Does structure meet Fire Resistance Ratings ofFBC Table 600 B. Flood protection elevation? Yes ,SNp N/A for structural clemerits? Yes V. No N/A C. Base flood elevation? Yes -�No N/A 9. Are plans designed per SSTD 10-99? Yes No N/A%,,"" 3. Is minimum footing depth beneath finished grade shown? Yes No N/A A. Are all appropriate charts and tables shown? Yes No N/A 6- (FBC 1804.1.3) B. Are all appropriate requirements circled or highlighted? Yes No N/A V' 4. Are all footing sizes shown? Yes N/A Are plans designed per"Guide to Concrete Masonry Residential 5. Arc all horizontal reinforcements shown? Yes o N/A 10. Construction in High Wind Areas'"? Yes No N/A 6. Is vertical reinforcement shown? Yes ye"No N/A A. Are all appropriate charts and tables shown? Yes No NIA 7. Masonry construction. B. Are all appropriate requirements circled or highlighted? Yes No N/A A. Is exterior wall finish shown? Yes No N/A600' II. Are plans designed per"WPPC Guide to Wood Construction in B. Is interior ftirring shown? Yes No N/A High Wind Areas? Yes No N/A C. Is exterior wall insulation shown? Yes No N/A A. Are all appropriate charts and tables shown? Yes 0 D. Is exterior wall finish shown? Yes No N/A B. Are all appropriate requirements circled or highlighted? Yes 0 N/A 8. Wood Frame Construction 12. Are plans designed per"AF&PA Wood Frame Construction A. Is stud size,spacing,grade and lumber species shown? Yes%,/No N/A Manual for One-and Two-Family Dwellings,High Wind Edition"? Yes No N/A B. Is exterior sheathing(type and thickness)shown? Yes%, >6 N/A A. Are all appropriate charts and tables shown? Yes No N/A C. Are nailing requirements(size and spacing)shown? Yes L�/No N/A B. Are all appropriate requirements circled or highlighted? Yes No N/A (FBC Table 2306.1) D. 1,exterior wall finish shown? Yes �/No NIA 1 5 Does bedroom open directly into garage? Yes No --N/A E. Is interior wall finish showin? Yes /No N/A 16. Does the number of bedrooms shown on plans match the number F. Is minimum clearance between wood siding and finished of bedrooms shown on the application? Yes V/'No N/A grade shown? (FBC 2304.2.5) Yes%/No N/A G. Are shear wall segments shown? Yes V'No N/A 17. Is Designer's name and address shown on plans? Yes W"No N/A A. Type of hold-downs shown? Yes,/No N/A 18. Do egress doors and landings comply with FBC 10 12.1.3 9. Are ceiling heights shown? (FBC 1202.2) Yes,�No NIA and FBC 1012.1.5? Yes V/No N/A 10. Are all hurricane anchorage and hold-downs specified and labeled? Yes o'No N/A 19. Are habitable rooms shown with the minimum light and ventilation 11. Is ceiling type shown,drywall thickness? Yes i��No N/A requirements of FBC 1203.1? Yes w**No N/A 12. RoofFraming 20. Are garage doors,windows and other openings shown as meeting A. Are engineered trusses shown? Yes V"No N/A wind load requirements for components and cladding per FBC 1606? Yes Ao N/A B. Are conventional frame rafters used? Yes No N/A 21. Does floor plan show fireplace? Yes v4o N/A I. Rafter size shown? Yes No N/A -'o' 22. Are stair details shown? Yes No N/A 2. Species of lumber shown? Yes No N/A A. Is minimum stair width shown? (FBC Table 1004) Yes No N/A 3. Grade of lumber shown? Yes No N/A B. Are tread and riser sizes shown? (FBC 1007.3) Yes No N/A C. Type of roof sheeting shown? Yes .-*No N/A C. Do spiral stairways comply with FBC 1007.8.2? Yes No N/A 1. Thickness of roof sheeting shown? Yes v'No N/A D. Are required landing shown? (FBC 1007.4)? Yes No N/A 2. Grade of roof sheeting shown? Yes ,�No N/A E. Is required headroom clearance shown? (FBC 1007.4) Yes No N/A b,-- 3. Nailing pattern of roof sheeting shown? Yes��No N/A 23. If floor plan shows mixed construction,are mixed (FBC Table 2306.1) Construction details shown? (May require engineering.) Yes No N/A%,o- D. Weight of Dry-In felt shown? Yes woo'No NIA 24. Ifrequired,are tenant separations shown? Yes No N/A E. Type of roof cover shown? Yes %./No N/A A. Duplex (FBCTable704.l) 1. Attachment asphalt/fiberglass shingles shown? B. Townhouse (FBC 704.4) (FBC 1507.3.7) - Yes ko,No N/A 25. Are all columns and beams shown for porches and lanais? Yes V-No N/A 2. Attachment of tile roof shown? Yes No N/A,,� A. Are column type,size and anchorage shown? Yes N/A (FBC 1507.3.7) B. Are beam type,size,span and anchorage shown? Yes NIA 3. Other roof covering and attachments shown? Yes No N/A 26. Are all lintel and beam details shown? Yes NIA F. Length of roof overhang shown? Yes_-1 No N/A 27. Are engineering details provided for butt glass? Yes No N/A 1--' G. Type of soffit and fascia showin? Yes �o N/A H. Attic ventilation shown? Yes No N/A 1. Location,type and thickness of flashing shown? VIL Truss/Rafter Plan. (FBC 1503.2.1 and FBC 1507.3.9) Yes L..,eNo N/A 1. Are engineered truss plans provided showing loads,uplifts and J. Type and Paug of eave metal shown? Yes _-�No N/A required connections? Y I/" Y:: NIA 2. Are all headers,beams,girders and interior bearing walls shown? N/A 3. Framed roof. Vi. Floor Plan. A. Is rafter plan shown,including size,spacing species, I. Does square footage on plan match square footage show on grade of lumber,span and connections? Yes No N/A application? Y::V��11 o N/A B. Is ceiling joist plan shown,including size,spacing, 2. Are all room dimensions shown? Y No N/A species,grade of lumber,span and connections? Yes No N/A 3. Are all door and window sizes shown? Yes v/No N/A C. Are collar ties shown,including size,spacing,species, 4. Are all emergency egress openings shown? Yes VNo N/A grade of lumber and connections? Yes No N/A 5. Is required tempered glass shown at all hazardous locations? D. Is ridge beam shown,including size,species and grade (FBC 2405.2) Yes No N/A W" of lumber? Yes No N/A 6. Are all vertical reinforcements shown? Yes �-`N. N/A 4. Is roof sheeting indicated,showing type,thickness and na,iling 7. Are all shear wall segments shown? Yes V-*,'No N/A pattern? Yes ,*/No N/A 8. Are all hold-downs and hurricane anchorages shown? Yes;IN. NIA 9. Is required attic access shown? Yes L,-,No N/A 10. Are all plumbing fixtures shown? Yes weNo N/A VM. FloorFraming. 11. Are all electrical fixtures shown? Yes ��o N/A 1. Is engineered floor truss plan provided,showing loads, 12. Are all mechanical fixtures shown? Yes%,' No NIA uplifts and connections? Yes L,-�o N/A A. Is air handler and condensor location shown? Yes-*�'No N/A 2. Is joist plan provided,showing size,spacing,span,species, B. Are exhaust fans shown? Yes Lol"No N/A grade of lumber and connections? Yes t,/No N/A 13. Are all smoke detectors shown? (FBC 905.2) Yes No NIA 3. Is floor sheeting indicated,showing type,thickness and 14. Does one(1)bathroom on the first habitable floor level nailing pattern? Yes�4o N/A Have a 29"net clear door opening and handicap accessible route? (FBCII-ll) Yes V No N/A Ford CITY OF ATLANTIC BEACH r_=D BUILDING / ZONING DEPARTMENT ,,-S. D o 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax P LAN REVIEW COMMENTS Permit Application # (*-- 2— Property Address: 2--�-p M19 I J�J Applicant: Project: This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: Ford ACH j d CITY OF ATLANTIC BE For BUILDING ZONING DEPARTMENT oe 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax rM PLAN REVIEW COMMENTS Permit Application # Property Address: . 11 -2-Ar MY�Ut-J Applicant: h tJ 1�4"-)�J- Project: �J J, ��-tz— This permi pplication has been: =Approved Reviewed and the following items need attention: Please re-submit yoAr application when these items have been completed. Reviewed By:y��4 Date: 0 DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 N. TELEPHONE: (904)247-5834 FAX:(904)247-5843 SUNCOM:852-5834 http://ci.atlantic-beach.fl.us t! PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # ,1-)"74 --j '2— F_V1 1*2 Applicant: Address: NJ Proj ect: u Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. Your permit application has been reviewed by the Public Works Department and the following items need attention: /,v pefie& 4406-d–e� �-1 Lell 0-'4 fi!� rr) o S Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Revip�ed,b Donna Kaluzniak, Public Utilities Director i��— Date 0- Si'g'7nature Caw" Contractor Notified Date /e1L)e-ee/J-'1171GV DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 FAX:(904)247-5843 SUNCOM: 852-5834 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # Applicant: �4. G '&�j�j Address: min- i'l'i Proj ect: 5 F51 1Q_ Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. o Your permit application has been reviewed by the Public Utilities Department and the following items need attention: -pea *Z-� e, Plensi, Albmit these requirements to the Public Uti'liti7s Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Revi a Kalu i ,Public Utilities Director n7 D a t e Signature lea Contractor Notified Date i�a)ceo( CITY OF ATLANTIC BEACH F LOOD PLAIN DEVELOPMENT INFORMATION Location: — 6L7=- --f; Type of Development: Ajl�,� Flood Zone: �< Required Lowest Floor Elevation: cj- If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Applicant's Signature: Date: Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 04-00027672 Date 4/23/04 Property Address . . . . . . 1126 MAIN ST Tenant nbr, name . . . . . . NEW SFR, RAD 1484 , 1934SCH Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 120000 Owner Contractor ------ --------- --------- -- ---- --- --- - - - ----- ---- BENNETT, KEVIN KEVIN W. 13ENNETT 4429 JIGGERMAST AVE 4429 JIGGERMAST AVENUE JACKSONVILLE FL 32277 JACKSONVILLE FL 32277 (904) 744-0747 (904) 744-0747 -------- -------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . SCHUMAN ELECTRIC INC. Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------- - --------- ---------- ---- ------ ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 95 . 00 95 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERN41T AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. KNA. C - I-Mk AbilbbInr-OFFMIAL 0 V.i (0 CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION ?)�,N�� 0!j — OCO X7(e -7 Date: Property A ress: (0 (A P,( t'j '�—I - Owner: - _ F_(_) Telephone 7VV-07q� Contractor: �s C4,c 4,V_.� C Telephone#: -7 37-VOW) Contractor Address: &-"/11-5--X te?ax#: :3'75 - S-3 GS' 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. �Bujlding: Buiping Type: 13 Trailer Senrice: If othor construction is ew c_--_-2'1tesidence Q Temp. <::�W being done on this budding u U 0 Or site,list the building Old El Commercial Ll Signs E) Increase Permit number: Ll Re-wire (3 Addition Sq.Ft. (3 Repair C,4- CV7L,72 , Conductor Siz AWS: /3-0 C P R 6tL_�� Switch or I-, RACE Breaker AMPS X 5 0 PH W V 0 L T �16 WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Q-10 AMPS I I 100 AMPIR Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TKkNSFER. Air H.P.RATING H.P. RATING CEILING KW-HEAT Conditioning COMT.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS LNDER600V 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- http://www.ci.atiantic-beach.fl.us SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ........... ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 tilt Application Number . . . . . 04-00027672 Date 4/19/04 Property Address . . . . . . 1126 MAIN ST Tenant nbr, name . . . . . . NEW SFR, RAD 1484 , 1934SCH Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 120000 Owner Contractor ------------------------ ------------------------ BENNETT, KEVIN KEVIN W. BENNETT 4429 JIGGERMAST AVE 4429 JIGGERMAST AVENUE JACKSONVILLE FL 32277 JACKSONVILLE FL 32277 (904) 744-0747 (904) 744-0747 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc NEW HVAC AND FIREPLACE Sub Contractor AIR FLOW DESIGNS, INC. Permit Fee . . . . 109 . 00 PlaR Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 109 . 00 109 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 109 . 00 109 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING 1WROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUI DING OFFICIAL CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Property Address: Z6 N/W i V1 S Trif e+ Owner: Quat,'W 12eniodelinoOhd -(Y&1l1n1'y1C4 Telephone #: 9LM- VjLtr7 I �# i Contractor: Pn r- �---I()vv (- Telephone#: 3qft 731 NOLt Contractor Address: D(015 ST. A)aV5-hoe- 0,1 — Fax#: 93!-Z��,3CqoLt) . a 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 ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: 0 Electric Cl Gas- —LP Natural —Central Utility • Oil • Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK V Heat —Space _Recessed Vtentral —Floor M," Residential V Air Conditioning: —Room _LXentral • Duct System: Material Thickness 0 Commercial • Refrigeration Maximum capacity chn Q,,' New Building • Cooling Tower:Capacity RPM Cl Existing Building • Fire Sprinklers:Number of Heads • Elevator: —- Manlift Escalator�_(Number) u Replacement of Existing System Ll Gasoline Pumps _(Number) • Tanks umber) M,-'New Installation • LPG Containers _(Number) (No system previously installed) 13 Unfired Pressure Vessel Cl Extension or Add-on to Existing System Q Boilers Gas Piping 13 Other-Specify_ Other-Specify ice j216t(e LIST ALL EQUIPMENT AM CONDITIONING,REFRIGERATION EQUIPNEENT&CONDENSORIS Approving Number Units Description Model# Manufacturer Ton's Agency 2luccu?)v cwrt-e� 2 .5 )ID.0 1 HEATING-FURNACES,BOELERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufwturer BTU's Agency I � AN FA(4 0if 0-30 C61 11ne v C,e,vv TANKS Nommal.Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manuflwturer No. Agency 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- http://www.ei.atiantic-beach.fLus 0 R E P R 0 P E RT Y S C I E N C E S 3415 Ko"Road,Jac orlda 32257 (904)226-2-9 904)2U-9996 FIELD REPORT P JE T- I 1,'� 1�5r� ---�JOB NO.:- 2- CLIENT- 2 io Lr REPORT NO.: Zq 5;e�0 j 12�r CONTRACTOR:, DATE: QORE REPRESENTATIVE: --__WEATHER: 1A L�f aearthwork monitoring concrete placement reinforcing steel asphalt A1[:`C,-T' -7-HC 1XIONhei) VAt've—LE 1(-','-".14 '1" Eksucrs -A?-�'t�> FkCEIVED BY: QORE Property Scienc s e By The above data have not been reviewed nor checked by our Engineers. This information is sq1mitted for preiirnJy use only. TFR 151 0 RE- P R 0 P E RT Y S C I E N C E S 3415 Kori Road,Jacksonville,Florida 32257 (904)262-9991 fax(904)262-9996 NUCLEAR GAUGE REPORT PROJECT: 112A, A 11 - 71 C H N I C I A N: k "I I Pi WEATHER: ah g--a,-e'jf it, CLIENT: Q�-A �aY V�[-'lk-V j:2 REPORT NO.: 2 Standard* Guage Readings Depth of Density Data Field Compaction Proctor Information -MmItIeWl-, Trans- -- Test Den Moisture Density Moisture mission wet Moisture Dry % Percent Req. Max. Opt. Lab Proctor Co sity (Pcf) No. unt Count Ratio Ratio Density Density Moisture Compaction Percent Density Moisture No. No. AM.4- Location: 47'-ju; 'Y 1 , Location: 3 4L Elev. Location: —4 1 1 Location: Elev. 5 Location: Ellev. 6 Location: Elev. Location: Elev. 8 Location: I Elev. Circle applicable test. Location Obtained From: 7-he above data have not been reviewed nor chocked by our Engineers.This infarmatim is submitted for preliminary use Standard counts:Dens 1 Y IV1oisture_-,&6jj2,e' Gauge No. TFR 153 Received by: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027672 Date 3/24/04 Property Address . . . . . . 1126 MAIN ST Tenant nbr, name . . . . . . NEW SFR, RAD 1484, 1934SCH Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 120000 Owner Contractor - ---------------- ------- ---- -------------------- BENNETT, KEVIN KEVIN W. BENNETT 4429 JIGGERMAST AVE 4429 JIGGERMAST AVENUE JACKSONVILLE FL 32277 JACKSONVILLE FL 32277 (904) 744-0747 (904) 744-0747 --------------------------------- ------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc 13 FIXTURES Sub Contractor GLASS PLUMBING Permit Fee . . . . 126 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ---------------- - ---------- -------- -- ---------- ---------- Permit Fee Total 126 . 00 126 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 126 . 00 126 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PZ RMT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICLAL 904 145 5ULC Mar 22 04 11- 53a G1 ass plumbing 'no CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: Owner: V)Ny) Telephone r7944 Contractor: Qa,�G Telephone Contractor Address: In consideration of perfait given for doing the work as described in the above statement,we hereby agree to perfbrm said work in a=ordance 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. Installati.on of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing —Code. Plumbing Type: If other construction i.s being done'on this building or site, OXNew list the building p mit number: a Re-Pipe Number of Fixtures: !21 Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing.Machine Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: S35.00 Total Fixtures: X$7.00 + $35.00 800 Seminole Road-Atlantic Beach, Florida 32233-5446 Phone:(904)247-MO Fax: (904)247-5845 http:liwww.ci.atiantic-boach.ft.us