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Permits 1500 Main St (vault) PERMIT WORKSHEET Certificate of Occupancy log Job Address: Type Work: l5e0 6-f �. , + I Property Owner: Phone # Contractor: Phone # Ken ��eQ � Permit#: Date Issued: Building Inspections: Footing 2 -9-o Slab Tie Beam o� Lintel Nailing / Sheathing Framing / Cover Up Insulation Final Building 1010. Tree Permit# 1N��' CT111�1� Electrical Permit# A�� 'R�.�.QR1 �G /Copy to J JEA Temp, Pole Permit# ;/Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# �- Inspections: Rough Final (- Plumbing Permit# Inspections: Rough / Underslab Topout Water/Sewer Final Drainage Inspection: �— Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing / Sheathing Final Fire Inspection: Failed Inspections: Date Paid: _ Date Paid: UNIVERSAL ENGINEERING SCIENCES GEOTECHNICAL EXPLORATION BEACHES MEMORIAL GARDEN MAUSOLEUM 1500-1 Main Street Atlantic Beach, Florida April 2,2004 PROJECT NO.91956-001-01 REPORT NO.22629 Prepared For: Ken Dear, Inc. 4519 Bimini Drive Bradenton, Florida 34210 Prepared By: UNIVERSAL ENGINEERING SCIENCES 5561 Florida Mining Boulevard South Jacksonville, Florida 32256-3648 (904) 296-0757 CONSULTANTS: Geotechnical Engineering ■ Environmental Engineering ■ Construction Materials Testing Threshold Inspection ■ Private Provider Inspection OFFICES: Daytona Beach - DeBary ■ Fort Myers ■ Gainesville ■ Hollywood - Jacksonville ■ Ocala Orlando - Palm Coast - Rockledge ■ Sarasota - St.Augustine - Tampa ■ West Palm Beach UNIVERSAL Offices In: •Daytona Beach •DeBary ENGINEERING SCIENCES •Fort Myers •Gainesville Consultants In:Geotechnical Engineering•Environmental Engineering• •Hollywood Construction Materials Testing•Threshold Inspection•Private Provider Inspection •Jacksonville •Ocala '"" •Orlando •Palm Coast •RocMedge April 2, 2004 •Sarasota •St.Augustine •Tampa •West Palm Beach Ken Dear, Inc. 4519 Bimini Drive Bradenton, Florida 34210 Reference: GEOTECHNICAL EXPLORATION Beaches Memorial Garden Mausoleum 1500-1 Main Street Atlantic Beach, Florida UES Project No. 91956-001-01 and Report No. 22629 Dear Mr. Dear: Universal Engineering Sciences, Inc. has completed the subsurface investigation for the proposed Beaches Memorial Garden Mausoleum located at 1500-1 Main Street in Atlantic Beach, Duval County, Florida. These services were provided in general accordance with our Proposal No. 2003J-092 dated March 2, 2004. Authorization for our services was provided by Mr. Ken Dear on March 9, 2004. This report contains the results of our exploration, an engineering interpretation of the results with respect to the project characteristics described to us, and recommendations for groundwater control,foundation design and site preparation. A summary of our findings is as follows: 0 Beneath a thin layer of grass and topsoil, the boring generally encountered very loose to loose sand (SP) and sand with silt(SP-SM)to 8 feet followed by loose sand (SP) with some wood to 9 feet. Very loose sand (SP) with clayey sand layers was then penetrated to 14.5 feet followed by very loose silty sand (SM) to 16 feet. Medium dense sand (SP) was encountered to 19 feet followed by medium dense sand with silt(SP-SM)with some roots and organics to the boring termination depth of 20 feet. • We measured the stabilized groundwater level at a depth of 3.7 feet below the existing grade. Based on our review of the field data and the regional hydrogeology, we estimate the normal seasonal high groundwater level will be encountered at a depth of 1.5 feet at the subject property. • We have recommended the proposed structure be supported on conventional, shallow spread foundations or monolithic slab foundations with an allowable soil bearing pressure of 2,500 pounds per square foot, assuming the site preparation recommendations presented in Section 4.4 of this report are followed. 5561 Florida Mining Boulevard South • Jacksonville, Florida 32257 • (904) 296-0757 • FAX (904) 296-0748 UES Project No.91956-001-01 UES Report No.22629 April 2,2004 • We recommend only normal, good practice site preparation techniques to prepare the existing subgrade to support the proposed structure. These techniques consist of clearing/stripping the surface vegetation and topsoil,compaction of the very loose to loose sands to depths of 2 feet below the exposed surface and the placement and compaction of the structural fill required for site development. We trust this report meets your needs and addresses the geotechnical issues associated with the proposed construction. We appreciate the opportunity to have worked with you on this project and look forward to a continued association. Please do not hesitate to contact us if you should have any questions, or if we may further assist you as your plans proceed. Respectfully submitted, UNIVERSAL ENGINEERING SCIENCES, INC. KWilliam J. Swanson, E.I. J frey . Pruett; P.E. y�"-a y Project Engineer Branch Manager Florida P.E. Number 50775 WJS/SRW/jmd TABLE OF CONTENTS 1.0 INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2.0 SCOPE OF SERVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2.1 Project Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2.2 Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2.3 Field Exploration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2.4 Laboratory Investigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3.0 FINDINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3.1 Soil Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3.2 Surface Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3.3 Subsurface Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4.0 RECOMMENDATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 4.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 4.2 Groundwater Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 4.3 Building Foundations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 4.3.1 Bearing Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 4.3.2 Foundation Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 4.3.3 Bearing Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 4.3.4 Bearing Material . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 4.3.5 Settlement Estimates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 4.3.6 Floor Slab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 4.4 Site Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 4.5 Construction Related Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 5.0 LIMITATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 LIST OF APPENDICES APPENDIX A BORING LOCATION PLAN BORING LOGS KEY TO BORING LOGS FIELD EXPLORATION PROCEDURES LABORATORY TESTING PROCEDURES APPENDIX B IMPORTANT INFORMATION ABOUT YOUR GEOTECHNICAL ENGINEERING REPORT CONSTRAINTS AND RESTRICTIONS UES Project No.91956-001-01 UES Report No.22629 April 2,2004 1.0 INTRODUCTION 1.1 GENERAL In this report, we present the results of the subsurface exploration for the site of the proposed Beaches Memorial Garden Mausoleum located at 1500-1 Main Street in Atlantic Beach, Duval County, Florida. We have divided this report into the following sections: • SCOPE OF SERVICES - Defines what we did • FINDINGS - Describes what we encountered • RECOMMENDATIONS - Describes what we encourage you to do • LIMITATIONS - Describes the restrictions inherent in this report • APPENDICES - Presents support materials referenced in this report 2.0 SCOPE OF SERVICES 2.1 PROJECT DESCRIPTION Project information was provided to us in discussions with Mr. Ken Dear on February 27, 2004. We understand the project will consist of a concrete mausoleum supported on an approximate 36 x 16 foot monolithic slab. Detailed structural loading information has not been furnished, however,we assume that maximum load bearing wall loads will not exceed 3 klf. In addition, we have assumed elevating fill heights will not exceed two feet. Our recommendations are based upon the above considerations. If any of this information is incorrect, or if you anticipate any changes,please inform Universal Engineering Sciences so that we may review our recommendations. 2.2 PURPOSE The purposes of this investigation were: • to investigate the general subsurface conditions at the site; • to interpret and review the subsurface conditions with respect to the proposed construction; and • to provide geotechnical engineering recommendations for groundwater control, foundation design, and site preparation. This report presents an evaluation of site conditions on the basis of traditional geotechnical procedures for site characterization. The recovered samples were not examined, either visually or analytically, for chemical composition or environmental hazards. Universal Engineering Sciences would be pleased to perform these services if you desire. Page 1 of 9 UES Project No.91956-001-01 UES Report No.22629 April 2,2004 Our investigation was confined to the zone of soil likely to be stressed by the proposed construction. Our work did not address the potential for surface expression of deep geological conditions. This evaluation requires a more extensive range of field services than performed in this study. We will be pleased to conduct an investigation to evaluate the probable effect of the regional geology upon the proposed construction if you desire. 2.3 FIELD EXPLORATION To explore the subsurface conditions within the proposed structure area, we located and performed one (1) Standard Penetration Test (SPT) boring, drilled to a depth of 20 feet, in general accordance with the methodology outlined in ASTM D 1586. A summary of this field procedure is included in Appendix A. Soil samples recovered during performance of the boring were visually classified in the field and representative portions of the samples were transported to our laboratory for further evaluation. 2.4 LABORATORY INVESTIGATION Representative soil samples obtained during our field exploration were returned to our office and reviewed by a geotechnical engineer. The samples were visually classified in general accordance with ASTM D 2488 (Unified Soil Classification System). One (1) natural moisture content test and one (1) percent fines test were conducted in the laboratory on representative soil samples obtained from the borings. These tests were performed to aid in classifying the soils and to help quantify and correlate engineering properties. The results of these tests are presented on the Boring Logs in Appendix A. A brief description of the laboratory procedures used is also provided in Appendix A. 3.0 FINDINGS 3.1 SOIL SURVEY VM Based on the October 1998 Soil Survey for Duval County, Florida, as prepared by the US Department of Agriculture Soil Conservation Service,the predominant predevelopment soil types at the site are identified as Leon fine sand and Urban land-Leon-Boulogne complex, 0 to 2 percent slopes. A summary of characteristics of this soil series was obtained from the Soil Survey and is included in Table 1. Page 2of9 UES Project No.91956-001-01 UES Report No.22629 April 2,2004 TABLE 1 Summary�of Soil Survey Information: Natural Sow-rermeability Seasonal High Soil Type Constittaents Drainage (Inches/Hr) Water Table(ft) Leon Fine 0-18" Fine Sand Poorly Drained 0-18" 6.0-20 0.5-1.5 Sand 18-37" Fine sand, loamy fine 18-37" 0.6-6.0 (32) sand 37-45" 2.0-20 37-80" Fine Sand 45-80" 0.06-2.0 Urban Land- Poorly Drained 0.5-1.5 Leon- Variable -------- Boulogne Complex 71 3.2 SURFACE CONDITIONS The site of the proposed mausoleum is located at 1500-1 Main Street in Atlantic Beach, Duval County, Florida. At the time of our visit, an existing mausoleum was observed on site. The site is relatively flat and approximately 18 inches of fill was placed at the location of the proposed mauseleum. Beneath a layer of grass, the surface soils consisted of very loose dark reddish brown sand (SP). Surface water was not observed on the site at the time of our visit. 3.3 SUBSURFACE CONDITIONS The boring location and detailed subsurface conditions are included in Appendix A on the Boring Location Plan and Boring Log. The classifications and descriptions shown on the log are generally based upon visual characterizations of the recovered soil samples. When reviewing these records, it should be understood that the soil conditions will vary between the boring locations. The following table summarizes the soil conditions encountered. TABLE 1 GENERAL SOIL PROFILE Typical Depth Soil Description USC' From To 0 8 Very loose to loose sand, sand with silt SP, SP-SM 8 9 Loose sand with some wood SP 9 14.5 Very loose sand with clayey sand layers SP 14.5 16 Very loose silty sand SM Page 3 of 9 UES Project No.91956-001-01 UES Report No.22629 April 2,2004 V TABLE 1 GENERAL SOIL PROFILE Typical 1' Depth Soil Description USC' m From To 19 20 Medium dense sand with silt with some roots and organics SP-SM ' Unified Soil Classification The stabilized groundwater level was encountered at a depth of 3.7 feet below the existing ground surface. 4.0 RECOMMENDATIONS 4.1 GENERAL In this section of the report, we present our detailed recommendations for groundwater control, building foundation, site preparation, and construction related services. The following recommendations are made based upon a review of the attached soil test data, our understanding of the proposed construction, and experience with similar projects and subsurface conditions. If the structural loadings or the building location changes significantly from those discussed previously, we request the opportunity to review and possibly amend our recommendations with respect to those changes. The discovery of any subsurface conditions during construction which deviate from those encountered in the borings should be reported to us immediately for observation, evaluation and recommendations. 4.2 GROUNDWATER CONTROL The groundwater table will fluctuate seasonally depending upon local rainfall. The rainy season in Northeast Florida is normally between June and September. Based upon our review of U.S.G.S. data, Duval County Soils Survey, and regional hydrogeology, it is our opinion the seasonal high water level will occur at a depth of 1.5 feet below the existing grade. Note, it is possible the estimated seasonal high groundwater levels will temporarily exceed these estimated levels during any given year in the future. Should impediments to surface water drainage exist on the site, or should rainfall intensity and duration, or total rainfall quantities exceed the normally anticipated rainfall quantities, groundwater levels may exceed our seasonal high estimates. We recommend positive drainage be established and maintained on the site during construction. We further recommend permanent measures be constructed to maintain positive drainage from the site throughout the life of the project. Page 4 of 9 UES Project No.91956-001-01 UES Report No.22629 April 2,2004 measures be constructed to maintain positive drainage from the site throughout the life of the project. We recommend all foundation grade designs be based on the seasonal high groundwater conditions. 4.3 BUILDING FOUNDATIONS Based on the results of our exploration, we consider the subsurface conditions at the site favorable for support of the proposed structure when constructed on a properly designed conventional shallow foundation system or monolithic slab foundations. Provided the site preparation and earthwork construction recommendations outlined in Section 4.4 of this report are performed, the following parameters may be used for foundation design. 4.3.1 Bearing Pressure The maximum allowable net soil bearing pressure for use in shallow foundation design should not exceed 2,500 psf. Net bearing pressure is defined as the soil bearing pressure at the foundation bearing level in excess of the natural overburden pressure at that level. The foundations should be designed based on the maximum load which could be imposed by all loading conditions. 4.3.2 Foundation Size The minimum widths recommended for any isolated column footings and continuous wall footings are 24 inches and 16 inches, respectively. For monolithic slabs, the minimum widths recommended for thickened slabs beneath columns and load bearing walls are 18 inches and 12 inches, respectively. Even though the maximum allowable soil bearing pressure may not be achieved, these width recommendations should control the size of the foundations. 4.3.3 Bearing Depth The exterior foundations should bear at a depth of at least 12 inches below the exterior final grades and the interior foundations should bear at a depth of at least 12 inches below the finish floor elevation to provide confinement to the bearing level soils. It is recommended that stormwater be diverted away from the building exterior to reduce the possibility of erosion beneath the exterior footings. 4.3.4 Bearing Material The foundations may bear in either the compacted suitable natural soils or compacted structural fill. The bearing level soils, after compaction, should exhibit densities equivalent to 95 percent of the Modified Proctor maximum dry density (ASTM D 1557) to a depth of at least two feet below the foundation bearing levels. Page 5 of 9 UES Project No.91956-001-01 UES Report No.22629 April 2,2004 4.3.5 Settlement Estimates Post-construction settlements of the structure will be influenced by several interrelated factors, such as (1) subsurface stratification and strength/compressibility characteristics; (2) footing size, bearing level, applied loads, and resulting bearing pressures beneath the foundations; and (3) site preparation and earthwork construction techniques used by the contractor. Our settlement estimates for the structure are based on the use of site preparation/earthwork construction techniques as recommended in Section 4.4 of this report. Any deviation from these recommendations could result in an increase in the estimated post-construction settlements of the structure. Due to the sandy nature of the near-surface soils, we expect the majority of settlement to occur in an elastic manner and fairly rapidly during construction. Using the recommended maximum bearing pressure, the supplied maximum structural loads and the field data which we have correlated to geotechnical strength and compressibility characteristics of Am the subsurface soils, we estimate that total settlements of the structure could be on the order of one inch or less. Differential settlements result from differences in applied bearing pressures and variations in the compressibility characteristics of the subsurface soils. Because of the general uniformity of the subsurface conditions and the recommended site preparation and earthwork construction techniques outlined in Section 4.4, we anticipate that differential settlements of the structure should be within tolerable magnitudes ('/z inch or less). 4.3.6 Floor Slab The floor slab can be constructed as a slab-on-grade member provided the bearing level soil is compacted as outlined in Section 4.4. It is recommended the floor slab bearing soils be covered with an impervious membrane to reduce moisture entry and floor dampness. A 6-mil thick plastic membrane is commonly used for this purpose. Care should be exercised not to tear large sections of the membrane during placement of reinforcing steel and concrete. 4.4 SITE PREPARATION In general we recommend normal, good-practice site preparation procedures. These procedures include: stripping the site of existing pavement and vegetation,overexcavation of underlying unsuitable soils, backfilling to grade with engineered fill and compacting the subgrade. A more detailed synopsis of this work is as follows: 1. Prior to construction, the location of any existing underground utility lines within the construction area should be established. Provisions should be made to relocate interfering utilities to appropriate locations. It should be noted that if underground pipes are not properly removed or plugged, they may serve as conduits for subsurface erosion which may subsequently lead to excessive settlement of overlying structures. Page 6 of 9 UES Project No.91956-001-01 UES Report No.22629 April 2,2004 2. The proposed construction limits should be stripped of all grass, roots, topsoil and other deleterious materials within and 5 feet beyond the perimeter of the proposed structure area. It should be anticipated that surficial topsoils will typically be encountered in thicknesses of 6 inches or less. 3. The groundwater level was encountered at a depth of 3.7 feet below the existing ground surface at the time of our exploration. We estimate the normal seasonal high groundwater level will occur at a depth of 1.5 feet during the wet season. The groundwater level should be maintained at least one foot below the bottom of any excavations during construction and two feet below the surface of any vibratory compaction operations. If required,temporary groundwater control can probably be achieved by pumping from sumps located in perimeter ditches. Each sump should be located outside the bearing area to avoid loosening of the fine sandy bearing soils. 4. After stripping, the exposed surface in the construction area should be compacted with a vibratory drum roller having a minimum static, at-drum weight on the order of Am 2 to 3 tons and a drum diameter on the order of 2 to 3 feet making a minimum of eight overlapping passes in 2 perpendicular directions.Typically,the material should exhibit moisture contents within ± 2 percent of the Modified Proctor optimum moisture content (ASTM D1557) during the compaction operations. Due to the relatively dry surface soils, the addition of water to the site may be necessary to bring the moisture content to the recommended range.Compaction should continue until densities of at least 95 percent of the Modified Proctor maximum dry density (ASTM D 1557) have been uniformly achieved within the upper 12 inches of the compacted natural soil surface. Should the soils experience pumping and soil strength loss during the compaction operations, compaction work should be immediately terminated and (1) the disturbed soils removed and backfilled with dry structural fill soils which are then compacted, or (2) the excess pore pressures within the disturbed soils allowed to dissipate before recompacting. Care should be exercised to avoid damaging any nearby structures while the compaction operation is underway. Prior to commencing compaction, occupants of adjacent structures should be notified and the existing conditions of the structures be documented with photographs and survey (if deemed necessary). Compaction should cease if deemed detrimental to adjacent structures and Universal Engineering Sciences should be contacted immediately. It is recommended the vibratory roller remain a minimum of 50 feet from any existing structures. Within this zone, use of a bulldozer or a vibratory roller operating in the static mode is recommended. 5. The subgrade should be tested for compaction at a frequency of not less than one test per 2,500 square feet of building area (minimum of three locations). Page 7 of 9 UES Project No.91956-001-01 UES Report No.22629 April 2,2004 6. Fill material should be placed as required. The fill should consist of "clean," fine sand with less than 5 percent soil fines. You may use fill materials with soil fines between 5 and 10 percent, but strict moisture control may be required. Place fill in uniform 10- to 12-inch loose lifts and compact each lift to a minimum density of 95 percent of the Modified Proctor maximum dry density. 7. After satisfactory placement and compaction of the required structural fill, the foundation areas may be excavated to the planned bearing levels. The foundation bearing level soils, after compaction, should exhibit densities equivalent to 95 percent of the Modified Proctor maximum dry density (ASTM D 1557) to a depth of two feet below the bearing level. For confined areas, such as footing excavations, any additional compaction operations can probably best be performed by the use of a lightweight vibratory sled or roller having a total weight on the order of 500 to 2000 pounds. 8. Perform compliance tests within the fill at a frequency of not less than one test per 2,500 square feet per lift in the building areas, or at a minimum of three test locations, whichever is greater. 9. Test all footing cuts for compaction to a depth of 1 foot below the bottom of the „ proposed footings. We recommend you test one out of every four column footings (minimum of two) and perform one test for every 100 lineal feet of wall footings. 4.5 CONSTRUCTION RELATED SERVICES We recommend the owner retain Universal Engineering Sciences to perform construction materials tests and observations on this project. Field tests and observations include verification of foundation subgrade by performing quality assurance tests on the placement of compacted structural fill. We can also provide concrete testing, structural steel testing, and general construction observation services. The geotechnical engineering design does not end with the advertisement of the construction documents. The design is an on-going process throughout construction. Because of our familiarity with the site conditions and the intent of the engineering design, we are most qualified to address problems that might arise during construction in a timely and cost-effective manner. Page 8 of 9 UES Project No.91956-001-01 UES Report No.22629 April 2,2004 5.0 LIMITATIONS During the early stages of most construction projects, geotechnical issues not addressed in this report may arise. Because of the natural limitations inherent in working with the subsurface, it is not possible fora geotechnical engineerto predict and address all possible problems. An Association of Engineering Firms Practicing in the Geosciences (ASFE) publication, "Important Information About Your Geotechnical Engineering Report"appears in Appendix B, and will help explain the nature of geotechnical issues. Furtherwe present documents in Appendix B: Constraints and Restrictions,to bring to your attention the potential concerns and the basic limitations of a typical geotechnical report. Page 9 of 9 APPENDIX A BORING LOCATION PLAN BORING LOGS KEY TO BORING LOGS FIELD EXPLORATION PROCEDURES LABORATORY TESTING PROCEDURES GRASS DITCH ASPHALT DRIVE B-1 EXISTING MAUSOLEUM TEST BORING LOCATION GEOTECHNICAL EXPLORATION BEACHES MEMORIAL GARDEN MAUSOLEUM 91 ATLANTIC BEACH, FLORIDA QN[) BORING LOCATION PLAN UNIVERSAL DRAWN BV LML DATE 4/1/04 CHECKED BY WS DATE VY 4/1/04 ENGINEERING SCIENCES SCALE NTS ORDER NO REPORT NO PAGE NO. 91956-001-01 22629 A-1 UNIVERSAL ENGINEERING SCIENCES PROJECT NO.: 91956-001-01 ED BORING LOG REPORT NC.: 22629 PAGE: A-2 PROJECT: GEOTECHNICAL EXPLORATION BORING DESIGNATION: B-1 SHEET: 1 Of BEACHES MEMORIAL GARDEN MAUSELEUM SECTION: TOWNSHIP: RANGE: ATLANTIC BEACH,FLORIDA CLIENT: KEN DEAR,INC. G.S.ELEVATION(ft): DATE STARTED: 3/12/04 LOCATION: SEE BORING LOCATION PLAN WATER TABLE(ft): 3.7 DATE FINISHED: 3/12/04 REMARKS: DATE OF READING: 3/12/04 DRILLED BY: LIES EST.W.S.W.T.(ft): TYPE OF SAMPLING: ASTM D 1586 S S A BLOWS N Y ATTERBERG K ORG. DEPTH M PER 6" (BLOWS/ W.T. M DESCRIPTION -2000 MC LIMITS (FT./ CONT. (FT') P INCREMENT FT.) BO (�0) (Io) DAY) N E L LL PI 0r Very loose dark reddish-brown SAND(SP) 1-1-1 2 Loose grayish-brown SAND(SP) n 2-3-3 6 Very loose light brown SAND(SP) 3-2-2 4 5 - - - - - - ---- --- —— - 1-1=12" 1 3.7 24.3 1-1-2 3 Very loose light brown SAND with Sift(SP-SM) Loose light brown SAND with some Wood(SP) 2-4-5 9 Very loose light greenish-gray SAND with Clayey AIN Sand layers(SP) ---- -... 1-1-1 2 Very loose dark brown Silty SAND(SM) d 15 1.1=12°- --,-- -- ------ -- ----- --- - ---- ---- a U N z Medium dense brown SAND(SP) LU z 'a a rn N ANO N Q Medium dense dark brown SAND with Silt with some Roots and Organics(SP-SM) 0 20 6-7-12 19 ' - _ m Field Exploration Procedures Standard Penetration Test Borin4s The penetration borings were made in general accordance with the latest revision of ASTM D 1586, "Penetration Test and Split-Barrel Sampling of Soils". The borings were advanced by rotary drilling techniques using a circulating bentonite fluid for borehole flushing and stability. At 2 '/2 to 5 foot intervals, the drilling tools were removed from the borehole and a split-barrel sampler inserted to the borehole bottom and driven 18 inches into the soil using a 140 pound hammer falling on the average 30 inches per hammer blow. The number of blows for the final 12 inches of penetration is termed the "penetration resistance, blow count, or N-value". This value is an index to several in-place geotechnical properties of the material tested, such as relative density and Young's Modulus. After driving the sampler 18 inches (or less if in hard rock-like material), the sampler was retrieved from the borehole and representative samples of the material within the split-barrel were placed in glass jars and sealed. After completing the drilling operations, the samples for each boring were transported to our laboratorywhere they were examined by our engineer in order to verify the driller's field classification. Am .40 APPENDIX B As IMPORTANT INFORMATION ABOUT YOUR GEOTECHNICAL ENGINEERING REPORT CONSTRAINTS AND CONDITIONS Impoptant Infopmation About ical ■ IN GeotechnEngineeping Repopt 'M i Subsurface problems principal of r r delays, r overruns, r disputes. The following r r provided r help you manageyour " Geotechnical Services Are Performed top ' the function of the proposed structure, as when Specific Purposes, Persons, and Projects it's changed from a parking garage to an office building, or from a light industrial plant to a Geotechnical engineers structure their services to meet the refrigerated warehouse, specific needs of their clients. A geotechnical engineering elevation, configuration, location, orientation, or study conducted for a civil engineer may not fulfill the needs of weight of the proposed structure, a construction contractor or even another civil engineer. ' composition of the design team, or Because each geotechnical engineering study is unique, each ' project ownership geotechnical engineering report is unique, prepared solely for the client. No one except you should rely on your geotechnical As a general rule, always inform your geotechnical engineer of engineering report without first conferring with the geotechni- project changes—even minor ones—and request an assess- cal engineer who prepared it.And no one-not even you--should ment of their impact. Geotechnical engineers cannot accept apply the report for any purpose or project except the one orig- responsibility or liability for problems that occur because their inaily contemplated. reports do not consider developments of which they were not informed. Read the full report Serious problems have occurred because those relying on a Subsurface Conditions Can Change geotechnical engineering report did not read it all. Do not rely A geotechnical engineering report is based on conditions that on an executive summary. Do not read selected elements only. existed at the time the study was performed. Do not rely on a geotechnical engineering report whose adequacy may have A Geotechnical Engineering Report Is Based on been affected by: the passage of time; by man-made events, A Unique Set of Project-Specific Factors such as construction on or adjacent to the site; or by natural events, such as floods, earthquakes, or groundwater fluctua- Geotechnical engineers consider a number of unique, project- tions.Always contact the geotechnical engineer before applying specific factors when establishing the scope of a study.Typical the report to determine if it is still reliable. A minor amount of factors include: the client's goals, objectives, and risk man- additional testing or analysis could prevent major problems. agement preferences; the general nature of the structure involved, its size, and configuration; the location of the struc- Most Geotechnical Findings Are ture on the site; and other planned or existing site Professional Opinions im improvements, such as access roads, parking lots, and under- ground utilities. Unless the geotechnical engineer who Site exploration identifies subsurface conditions only at those conducted the study specifically indicates otherwise, do not points where subsurface tests are conducted or samples are rely on a geotechnical engineering report that was: taken.Geotechnical engineers review field and laboratory data " • not prepared for you, and then apply their professional judgment to render an opin- • not prepared for your project, ion about subsurface conditions throughout the site. Actual • not prepared for the specific site explored, or subsurface conditions may differ-sometimes significantly- * completed before important project changes were made. from those indicated in your report. Retaining the geotechnical engineer who developed your report to provide construction Typical changes that can erode the reliability of an existing observation is the most effective method of managing the geotechnical engineering report include those that affect: risks associated with unanticipated conditions. CONSTRAINTS AND RESTRICTIONS WARRANTY Universal Engineering Sciences has prepared this report for our client for his exclusive use, in accordance with generally accepted soil and foundation engineering practices, and makes no other warranty either expressed or implied as to the professional advice provided in the report. UNANTICIPATED SOIL CONDITIONS The analysis and recommendations submitted in this report are based upon the data obtained from soil borings performed at the locations indicated on the Boring Location Plan. This report does not reflect any variations which may occur between these borings. The nature and extent of variations between borings may not become known until excavation begins. If variations appear, we may have to re-evaluate our recommendations after performing on-site observations and noting the characteristics of any variations. CHANGED CONDITIONS We recommend that the specifications for the project require that the contractor immediately notify Universal Engineering Sciences, as well as the owner, when subsurface conditions are encountered that are different from those present in this report. No claim by the contractor for any conditions differing from those anticipated in the plans, specifications, and those found in this report, should be allowed unless the contractor notifies the owner and Universal Engineering Sciences of such changed conditions. Further, we recommend that all foundation work and site improvements be observed by a representative of Universal Engineering Sciences to monitor field conditions and changes, to verify design assumptions and to evaluate and recommend any appropriate modifications to this report. MISINTERPRETATION OF SOIL ENGINEERING REPORT Universal Engineering Sciences is responsible for the conclusions and opinions contained within this report based upon the data relating only to the specific project and location discussed herein. If the conclusions or recommendations based upon the data presented are made by others,those conclusions or recommendations are notthe responsibility of Universal Engineering Sciences. CHANGED STRUCTURE OR LOCATION This report was prepared in order to aid in the evaluation of this project and to assist the architect or engineer in the design of this project. If any changes in the design or location of the structure as outlined in this report are planned, or if any structures are included or added that are not discussed in the report, the conclusions and recommendations contained in this report shall not be considered valid unless the changes are reviewed and the conclusions modified or approved by Universal Engineering Sciences. USE OF REPORT BY BIDDERS Bidders who are examining the report prior to submission of a bid are cautioned that this report was prepared as an aid to the designers of the project and it may affect actual construction operations. Bidders are urged to make their own soil borings, test pits, test caissons or other investigations to determine those conditions that may affect construction operations. Universal Engineering Sciences cannot be responsible for any interpretations made from this report or the attached boring logs with regard to their adequacy in reflecting subsurface conditions which will affect construction operations. STRATA CHANGES Strata changes are indicated by a definite line on the boring logs which accompany this report. However, the actual change in the ground may be more gradual. Where changes occur between soil samples, the location of the change must necessarily be estimated using all available information and may not be shown at the exact depth. OBSERVATIONS DURING DRILLING Attempts are made to detect and/or identify occurrences during drilling and sampling, such as: water level, boulders, zones of lost circulation, relative ease or resistance to drilling progress, unusual sample recovery, variation of driving resistance, obstructions, etc.; however, lack of mention does not preclude their presence. WATER LEVELS Water level readings have been made in the drill holes during drilling and they indicate normally occurring conditions. Water levels may not have been stabilized at the last reading. This data has been reviewed and interpretations made in this report. However, it must be noted that fluctuations in the level of the groundwater may occur due to variations in rainfall, temperature, tides, and other factors not evident at the time measurements were made and reported. Since the probability of such variations is anticipated, design drawings and specifications should accommodate such possibilities and construction planning should be based upon such assumptions of variations. LOCATION OF BURIED OBJECTS All users of this report are cautioned that there was no requirement for Universal Engineering Sciences to attempt to locate any man-made buried objects during the course of this exploration and that no attempt was made by Universal Engineering Sciences to locate any such buried objects. Universal Engineering Sciences cannot be responsible for any buried man-made objects which are subsequently encountered during construction that are not discussed within the text of this report. TIME This report reflects the soil conditions at the time of investigation. If the report is not used in a reasonable amount of time, significant changes to the site may occur and additional reviews may be required. J ;assN 4 s, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001023 Date 7/15/09 Property Address . . . . . . 1500 MAIN ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 4 fixtures ---------------------- ------------------------------- ----------------------- Owner Contractor ------------------------ ------------------------ CERTIFIED ENVIRONMENTAL SERVICES DBA METRO ROOTER 8892 NORMANDY BLVD JACKSONVILLE FL 32221 (904) 695-1911 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 63 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 0 Expiration Date 1/11/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63 . 00 63 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 63 . 00 63 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. .Jan `o u-r ud: lja ,nrormac:uri z.yscan-S C_-rr -Qo-r.:r CITY OF ATLANTIC BEACH PLUMBING PERiMIT APPLICATION urt� Date: Property Address: A a iJl SL Owner: ,�� e0j2ee�`CcrlGa/ Z Z6aeLte Telephone#: Contractor: &4&rO �/~ ��y,',iOrl�r�•?�f4/, Telephone#: Contractor Address: 'Fax#: In consideration of permit given for doing the worst 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 Sxrures 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, M— New list the building permit number: M Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers �_ Sinks Disposals Urinals 2- Floor Drains Washing Machine Lavatory Water Sewer Welter Heaters 1 Other Fees Permit Issuing Fee: S35.00 Total Fixtures: X 57.00 + $35.00= 800 Seminole Road•Atlantic Beach, Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845• httPJtwww.ei.atiantic-beach.R.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD } ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001053 Date 7/21/09 Property Address . . . . . . 1500 MAIN ST Application type description COMMERCIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 ---------------------------------------------------------------------------- Application desc divider wall ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- JNJ CONTRACTING INC ISLAND SUNROOMS 416 TAURUS LN ORANGE PARK FL 32073 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-B Occupancy Type . . . . . . BUSINESS Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 45 . 00 Plan Check Fee 22 . 50 Issue Date . . . . Valuation . . . . 2400 Expiration Date . . 1/17/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I- Y (J 'a P\51 4p e J-0 f CITY OF ATLANTIC BEACH ®9- 900 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 7 OFFICE:(904)247-5826•FAX NO.:(904247-5845 BUILDING-DEPTQCOAB.US 1� BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 13.SO.FT.UNDER ROOF tt. o 4.LEGAL DESCRIPTION: 5.CLAS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT,-_BLOCK_SUB DIVISION ,> <-' - !.�'�� e t G•!_�, ❑ADDITION ❑CONVERTING USE 154 COMMERCIAL 7.DESCRIPTION OF WORK: A ALTERATION El ACCESSORY BLDG. 8.FIRE SPRINKLER: yr-�"/ �/j''� ❑REPAIR ❑POOL/SPA ❑YES 11 NIA r .7/V U /iJ if 'ffe r (.✓t:.._- tC + ❑MOVE ❑OTHER ❑NO PROPERTY OWNERS CONTRACTOR: ARCHITECT/ENGINEER`. { 9 NAME 15 COMPANY PANY NAME: 23.COMPANY NAME: 'F b eve 16.NAME:/ . 24.LICENSEE NAME: // / 10..ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA.LICENSE NO.. f` `- t '7 at r, , T i. - T 1s ADDRESS ,� r r.. 1 i ,/ f t-" 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.. 19.0 FFICE PHONE 20'FAx,NO.: _ 27.OFFICE PHONE: 28.FAX NO,: 13.CFU-PHONE: 21.CELL PHONE: -- 29.CELL PHONE: yy "n .-. F 6 f 1 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: � 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY:< MORTGAGE LENDER: (IF OTHER THAN OWNER). 1,NAME33.NAME: 35.NAME: j Y 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. 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. O or ENT CONTRACTOR ,(fAgertt,Po r o tt gericy Letter Required) (Qualfier O ly) f f r Signed: ' Date: ' 6° Signed: Date:-71 Before mQ th, day of 2009 in the co my of Before me v day of 009 in the county of Duval,State of Florida,has personally appeared Duval,S to of FI rida,has pets Wally a geared r herin by himself/herself and affirms that all statements and declarations are herin by imself I herself and affirms that all statements and declarations a e true and accurate. true and accurate. ) Notary Public at Large,State of ,County of _ Notary Public at Large,State of C_-_,County Of \jc ❑Personally Known _ ❑Persopalty Known / IAF odea d Identification-_ -�- y_ L t 4 - _ ISierodnced IdentiS Not y ;,n--tr,re:, _-___--- .rySiynature: Nota Public -&, of Florida MyCo missionEeb 14,2010 So ``` Commission#DD 518533 Bonded By National Notary Assn. CITY OF Office of Building Offic I REQUEST FOR INSPE N Date Permit No. Time A.M. Received j/ P.M. b Address cality Owner's j�? ��//}, � Name ,U— (� 1 0� r1EiTAF ?X�" BUILDING CONCRETE ELECTRICAL P MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer Fire Place ❑ READY FOR INSPECTION .M. Mon. Tues. Wed. FridayPre Fab A.M. Inspection Made Q P.M. Inspector �` ✓ Final Inspection ❑ Certificate of Occupancy ❑ Date P�LANrj�, y a G - q : _ F�ORIOV" OF ADDITIONS or CORRECTIONS D• NOT REMOVE JOB ADDRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been PLUMBING made, call 247-5826, Building Depart- ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 BLDGp.m. Monday through Friday. a +, CITY OF ATLANTIC .BEACH .APPLICATION FOR PLUIIPIWG PERMIT S,00 JOB LOCATION: 4 �i CT OWNER OF PROPERTY: TELEPHONE NO. _ � 10 PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS: 1 S S `Pe c, STATE LICENSE NUMBER: C t C XD,-� TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER TI-1 ^Z REP I PE v\u OTHER TOTAL FIXTURES: x $3.50 + $15. 00 MINIMUM PERMIT FEE - $25. 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233- Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT Permit Number: 19575 Address: 1500-1 MAIN STREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ADDITION Township: 0 Range: 0 Book: Proposed Use: COMMERCIAL Lot(s): Block: Section:0 Square Feet: Subdivision: SECTION H Est. Value: Parcel Number: Improv. Cost: O N R=(N1 MATf0* Date Issued: 2/09/2000 Name: BEACHES MEMORIAL GARDENS Total Fees: 25.00 Address: 1500 MAIN STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/09/2000 Phone: 904)241-2411 Work Desc: INSTALL SEWER/ABANDON SEPTIC IMPACT FEES PAID STYLES SMITH PLUMBING PERMIT 25.00 FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROP91RTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. q Cy�G`s.�l ik Alt TIC BEACO BUILDI DEPT. ��E' . CITY OF r�tlactic �eac( - �Pr�Cala 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5545 TELEPHONE(904)247-5800 FAX(904)247-5805 Date: November 2, 1999 Beaches Memorial Park Att: Penny Keal 1500-1 Main Street Atlantic Beach, FL 32233 Dear Property Owner: The costs to connect your building to the City sewer and/or water system are as follows : Sewer Tap - Labor and Materials to tap into sewer main $ Water Tap - Labor and Materials to tap into water main Water Meter - Cost of Meter $ Cross Connection Inspection - Inspection by Public Works to ensure backflow prevention $ Sewer Impact Fees - Funds future- expansion of the sewer plant $ 1,250.00 Water Impact Fee - Funds future expansion of the water plant $ Capital Improvement - Funds for improvements , expansion or replacement to water system $ TOTAL COSTS $ 1,250.00 If you have any questions concerning these charges please call the building department at 247-5826 . Sincerely , Don C. Ford, PCB.0 Building Official DCF/pah CITY OF Se4zli - �7&ud4 300 SEMINOLE ROAD --- ---- - - - ---- ATLANTIC BEACH,FLORIDA,3 2*;-54-;5 TELEPHONE-904) 3.47-5800 FAX 1 904 1 247-580.5 SL;NCOM 852-5800 ga� 1JEe:' November 2, 1999 ?L ' Penny Keal 246-2166 l Pat Harris Connection to City Sewer Impact Fees cJC/2Ce/SE:T' j rijk. kfTukh Hook 10929 Page 1399 NOTICE OF COMMENCEMENT State of Tax Folio No. County of 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: Address of property being improved: T C- a C/-{ �L dti/eft 3�23 3 QGeneral description of improvements: A ` wrier: Gy/S S G!-f -✓f'�i T Address: wner's interest in site of the improvement: Ifiee Simple Titleholder(if other than owner): Name: Address: Contractor: %kw\% 1, Address: %I*t"1 Q31 an!o .1.as.) Phone No: bS Fax No: Surety(if any): Address: Amount of Bond S Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OW R Signed: Before me this ay of ,�..CFt7;in the County Gel 20 of Duval, State offFlorida,has per o ally a ared 00 : 14W4043L- Ne: 1,399 Nota ublic at Llitrge, State of Florida,Cunty of Duval. Filed 6 Recorded My commission expires: Fj12-11 6V 02/20/2003 01:44:34 PM Personally Known: or JIM FULLER Produced Identification: CLERK CIRCUIT COURT DUUAL COUNTY -- RECORDING # 5,00 JENNIFER SCHLUETER TRUST FUND # 1.00 *; MY COMMISSION#UU 121301 � "� o EXPIRES:May 27,2006 Bonded Thru Notary Public Underwriters ��,// CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025560 Date 2/20/03 Property Address . . . . . . 1500 MAIN ST Application description . . . IRRIGATION/SPRINKLER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ HULIHAN TERRITORY P.O. BOX 331268 ATLANTIC BEACH FL 32233 (904) 285-8505 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 50 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: I as'as Yrl mow,_; OWNER OF PROPERTY: [Y14sry " Q&ab TEL. PLUMBING CONTRACTOR: jo CONTRACTOR'S ADDRESS:_! / '? STATE LICENSE NUMBER: 4" f76 !a TEL. a c?S"—85©S HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS 1 SHOWER PANS SEWER . WATER RE-PIPE (LIST FIXTURES BEING REPIPED) THER TOTAL FIXTURES: X$7.00 +$35.00= NI NIMUM PERMIT FEE: $35.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: v INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS -(904) 247-5826. CITY OF ATLANTIC BEACH t f PERMIT CALCULATION SHEET Date: G - y - 03 Address /-- 00 / /y ST-- ��t, .�i1 cL ,JL.PG, Heated Square Footage @ $ per sq ft= $ Garage/ Shed - E @$ per sq ft = $ V Carport/Porch @ $ per sq ft = $ DeckC Cl. @ $ per sq ft = $ Patio 0 @ $ per sq ft = $ TOTAL VALUATION: $ Total Valuation 1St $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: —ar-- TOTAL BUILDING FEE $ ZONING: —E- - + 1/2 Filing Fee $ FLOOD ZOE: _ ( ) Fireplaces @ $35.00 $ p IMPERVIOUS SURFACE:-2_ -_5'-OA BUILDING PERMIT FEE $ WATER IMPACT FEE $ _ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 * ��yL� Y CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX: (904)247-5805 SUNCOM:852-5800 I� hq://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # O 3 - 2-1-c Z 1 D Applicant: C pj I C_,1,o15 -27n0 Address: 1,1;0C ��- Project: ��S' X �ll� x Ik! c�1 PC/ c5 �rctc P_ on /J Ih( _ /ctla _ ZY/Your application is approved ❑ Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed C �— Date Contractor Notified Date City of Atlantic Beach APPLICATION NUMBER �s Ay Building Department (To be assigned by the Building Department.) r 800 Seminole Road rt Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 Olt >r E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us 0 , APPLICATION REVIEW AND TRACKING FORM Property Address: / a D //��'7� cT ent review required Yes No Buildin Applicant: _ 7`iQ/g'C.�%L� anning &Zoning Tree Administrator Project: J CA Public Works Public Utilities Public Safety Fire Services Review fees$ Dept Signature . 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: roved. ❑Denied. (Circle one.) Comments: BUILDIN� s � ' PLANNING &ZONING C '7 Zt—c' 4 Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 J s� CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FAMILY RESIDENCE AND DUPLEX CONSTRUCTION) f/ Date: Job Address: sj '�/ 'AJ � �'' • ��- �� Owner of Property: C'�/L1 e-71 2 `� Pt_CJV c sj-10 Address: /S�r��''1 ��'�'� S 1�� 1 Telephone: Legal Description: Block Number: Lot Number: Zoning District: Contractor: J 0 A n! /r (R Gh a 1S T)"J r. State License Number: C �f cii 1,7- Contractor's Address:_' '7 3 S A 0 N d,>N d e r r y P—d .1 a k 1 F 1, 3 -IL/ 13 Telephone: 9 0 ``f- 7e 3 0 3 3 -3 Fax: 90 ti 3 7 Describe proposed use and work to be done: SI k' 9 0 x Ick ' a.�G �� • r� d , Idi v,, innNPI;t4 : _V,rC 13 cx.cc Abe Present use of la n or building(s): 6-ri Valuation of proposed construction: _-- Is approval of Homeowner's Association or other private entity required?_/t/®If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? XN 0. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. 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. (1f not required, written verification must be provided with this application.) The Department of Public Works is located at:1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.us Page 1 Revised 1/14103 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from tot a rvious Surface. 6. Other information as may approp 'ate for individual ap lications. I hereby certify that all in rmation pro 'ded with this applic ion is correct. Signature of owner: Date: A)2 I hereby certify that I have read examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of w rk will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: 4J. Date: S1 ) Flo -3 Address and contact information of person to receive all correspondence regarding this application (please print). Name: J 0 n ^J l c (,40 15 y� }-� l Mailing Address: 1 7 13J�NCY o /V3 lO ! d y QC of wgc� ��it /^ -3 -2 0 (, ,�- Telephone: 01,0 -1 --7 3 —0333 Fax: ci o-(- 7 7 Y 1//rV 2 E-Mail: AS TO OWNER: 4-k Sworn to and subscribed before me this day of %/ I I �— ,20 �3 State of Florida,County of Duval Notary's Signature: atary pu411c-Stgt®of Florjdp r►'= �`ilyCommWnExpires Personally known ,,�, �,,,• Sep 102006 '� or F\` 1 Commission#DD 148985 Produced identificatio Bonded By Notiond NotoryAssn. Type of identification r AS TO CONTRACTOR: Sworn to and subscribed before me this ''t day of I ' ,20 . State of Florida,County of Duval n �� Notary's Signature: Jennifer Darby ?' Commission#DD036831 �Personallyknown od a Mom June 25.2005 ;,'Mi► �$MBanded Co., ❑ Produced identification BW&SType of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 - Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us Page 2 Revised 1/14/03 CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION All applications must be submitted with seven (7) conies and received by 5 PM on the Friday ten (10) days prior to the scheduled meeting in order to be placed on the agenda. *INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. t 0 �f�ae -U'a- APPLICANT NAME AD SS TELEPHONE 2. ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? YES N `=SLM 5. PROPERTY ZONING: RESIDENTIAL COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL: SPECIES DIAMETER MITIGATION OFFICE USE ONLY INT.. EXT. *Diameter at Breast Height(D.B.H.)is measured at 4.5 feet above grade. To accurately determine diameter,measure the trunk circumference and di-6de by 3.14. Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. s� CITY OF ATLANTIC BEACH ft FLOOD PLAIN DEVELOPMENT INFORMATION Location: _ > I J" ,�'ld -n j L P�F?e-i, C Type of Development: S'h r- !.. Flood Zone: Required Lowest Floor Elevation: 7 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. l Applicant's Signature: Date: Z L� Department Use: r !P Required lowest floor elevatio :/ _ As built lowest floor elevatio . Survey filed with Building Department: Building Department Representative Revised 1/17/03 ** See attacher] diagram for determination of interior and exterior zones. 7. SITE PLANITREE SURVEY indicating: a) Location of topography features such as hills and low areas. b) Existing and proposed structures. c) Location of all trees with Diameter at Breast Height of six inches of more. d) Tree species and sizes. e) Trees to be removed should be clearly marked with an ".X'". J). Trees to be preserved on-site for mitigation must be marked with brackets g) Location, size and species of any proposed new replacement trees marked with a circle h) Location of utilities and easements as applicable. I) Location of trees to be preserved on-site with barricading noted. 8. ON-SITE_REQUIREMENTS: ; a) All trees identified for.remoi�ai MUST be marked on-site by RED flagging, paint or tape. b) All trees to be preserved.on-site for mitigation MUST be marked with BLUE flagging,paint or tape. c) The front property corners must be marked by stakes or paint indicating the Lot 9. INCOMPLETE APPLICATIONS OR,.IN'ACCURATELY MARKED SITES WILL NOT BE PROCESSED. I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II, TREE PROTECTION, AND ALL.OTHER APPLICABLE CODES AND ORDINANCES OF THE CODE OF ORDINANCES OF ATLANTIC BEACH. .Applicant's Signature Date T- Owner's Signature Date CITY USE ONLY: Tree Conservation Board Chairperson Date r� s I Z1111 CITY OF ATLANTIC BEACH nn BUILDING PERMIT APPLICATION n y 03 (FOR NEW SINGLE FAMILY RESIDENCE A10 DUPLEX CONSTRUCTION) Date: Job Address: � Owner of Property: �'�/`9 erfe2 PR U,F--C:F Address: /S 00f'� 1_17'*N 57--61_1-7_ Telephone: 2- Legal Legal Description: Block Number: Lot Number: Zoning District: Contractor: J 0 A /V !I' t" Gh o l S 47r,j f. State License Number: C 13 C o S�F�'1 �- Contractor's Address: 1 - 3 S . a A.,do N de-e r y 9 d J a k i F I. 3 2 Telephone: 0 `'(- 793— O 3 3-3 Fax: C) O q - 3 Describe proposed use and work to be done: t k D Present use of lanS or building(s): __— Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required?//0 If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? XNO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑'YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us Page 1 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. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Mons Surface. 6. Other information as may approp'ate for individual ap lications. I hereby certify that all i ation pro 'ded with this applic ion is correct. Signature of owner: Date: 2 Lo—2, I hereby certify that I have read d examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of w rk will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: 4A Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: J 0 /� Mailing Address: 9 -7 � � Ja-Ad , N} ig 1v d Q�-p.,n.« ��i li I" —3 -2 Telephone: 0/p y —7 3 ~-03 3 T Fax: o`(- -? 7 Y 11/y Z E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of / ( r ,20 State of Florida,County of Duval Notary's Signature: Y *t l Qt ory Public-$tote of Florida '" M tsslonEx ' 10, Personally known j, `A;.' yC mmission Dp1�489 20064�qF P�P• Produced identificatio Bonded ByNotionolNota Type of identification r Notary Assn. AS TO CONTRACTOR: Sworn to and Subscribed before me this day of r 1 1 20�Q�. State of Florida,County of Duval Notary's Signature:Ab� L414, o•"'"�,, Jennifer Darby OY CamnA"a0n#M036831 Personally known Upim June A Zoos Bonded Thm ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/14/03 CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION All applications must be submitted with seven (7) copies and received by 5 PM on the Friday ten (10) days prior to the scheduled meeting in order to be placed on the agenda. *INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. e ,,.V L3 1. APPLICANT NAME AD SS, TELEPHONE 2. ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? YES N NOT SURE 5. PROPERTY ZONING: RESIDENTIAL COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL: SPECIES DIAMETER MITIGATION OFFICE USE ONLY INT.. EXT. *Diameter at Breast Height(D.B.H.)is measured at 4.3 feet above grade. To accurately determine diameter,measure the trunk circumference and divide by 3.14. Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. C � r ,. __. CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: Type of Development: � �1 Flood Zone: Required Lowest Floor Elevation: 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. t Applicant's Signature: Date: Z U Department Use: (/ Required lowest floor elevation As built lowest floor elevatio . Survey filed with Building Department: Building Department Representative Revised 1/17/03 ** See attached dia-ram for determination of interior and exterior zones. 7. SITE PLAN=E SURVEY indicating; a) Location of topography features such as hills and low areas. b) Existing and proposed structures. c) Location of all trees with Diameter at Breast Height of six inches or-more.- d) Treespecies and sizes. e) Trees to be removed should be clearly marked with an ",X". 1), Trees to be preserved on-site for mitigation must be marked N vith brackets"[ )", g) Location, size and species of any proposed new replacement trees marked with a circle h) Location of utilities and easements as applicable. I) Location of trees to be preserved on-site with barricading noted. 8. ON-SITE REQUIREMENTS: . a) All trees identified for.rem oval ]AU ST be marked on-site by RED flagging, paint or tape. b) AU trees to be preserved.on-site for mitigation MUST be marked with3LUE flagging,paint or tape. C) The front property corners must be marked by stakes or paint indicating the Lot 9. ]INCOMPLETE APPLICATIONS OR,.ENTACCURATELY MARKED SITES W LL NOT BE PROCESSED. I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE E, TREE PROTECTION, AND ALL O=R APPLICABLE CODES AND ORDINANCES_OF 7HE.CODE OF ORDINANCES OF ATLANTIC BEACH 3 Applicant's Signature Date Owner°s Signature Date CITY USE ONLY: Tree Conservation Board Chairperson Date Book 1113; Page 2196 MIN. R TURN P�4N ©33 NOTICE OF COMMENCEMENT State of Fc( G- Tax Folio No. County of U V C,, I 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 b ing improved: ��-r �' r�, f- ) C' Address of property being improve : S O 0 '" f General description of improvements: $ 0 3 e Q SA,C- it 13.; : I .y •'i Owner: Pro s; i;,.vim S , C , Address: 0 I -; , nJ s'' /e.ry i: C 3 tie,-c F-10 r Owner's interest in site of the improvement: Fee S';i .v.a i e- Fee Simple Titleholder(if other than owner): Name: ISAddress: ontractor: N ; L o r -v C Address: I '7 .9 o,v C/.� ^��r r d , JA x G r ►cl n 2 7, 0 Phone No: `) O N - 7 6 3 - G.3 3 Fax No: 9 o Lt- urety(if any): Address: Amount of Bond S Phone No: ti Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). — Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): 1 THIS SPACE FOR RECORDER'S USE ONLY NER L112- D Signed: , Z Date: L Before me this day o A /L in tKe Cou ty DDacq 0�7 10 3 2 of Duval, State o Flori a, . peared Baok:�1135- Pagge: 2196 Notary Public at ge, ia+;v63 �Rrt Filed K Recorded My commission expires: =aY ^MC b ►are OfFlorido JIM4FULLER403 44:45:42 PM Personally Known: ;; ommiWon# or CLERK CIRCUIT COURT Produced Identification: y prronaiNot DUVAL COUNTY RECORDING $ 5.00 TRUST FUND $ 1.00 COPY FEE t 1.00 AV CITY CITY OF ATLANTIC BEACH t3 800 SEMINOLE ROAD a, ATLANTIC BEACH,FLORIDA 32233-5445 'TELEPHONE: (904)247-5800 FAX: (904)247-5805 SUNCOM:852-5800 http://ci.atlantic-beach.fl.us r ' PLAN REVIEW COMMENTS Permit Application # 03 zt-ri p Applicant: —7n Address: ukn - -)- Project: "x ' on c " /ala /Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewedby Signed Date Contractor Notified Date ✓�� , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD -� � ATLANTIC BEACH, FLORIDA 32233 =r INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026210 Date 6/06/03 Property Address . . . . . . 1500 MAIN ST UNIT 01 Tenant nbr, name . . . . . . 251X40IX121STEEL STORAGE Application description . . . SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 14445 Owner Contractor ------------------------ ------------------------ BCHS .MEMORIAL GARDENS JOHN NICHOLS INC 1500 MAIN ST #1 1735 LONDONDERRY RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210 (904) 783-0333 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee 52 . 50 Issue Date . . . . Valuation . . . . 14445 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total 52 . 50 52 . 50 . 00 . 00 Grand Total 157 . 50 157 . 50 . 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 WHICHAREPART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL PREPARED 7/22/03, 7:24 :23 INSPECTION TICKET PAGE 5 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 7/22/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 1500 MAIN ST UNIT O1 SUBDIV: TENANT, NBR: 25'X40'X12'STEEL STORAGE CONTRACTOR JOHN NICHOLS INC PHONE (904) 783-0333 OWNER BCHS.MEMORIAL GARDENS PHONE PARCEL - - - APPL NUMBER: 03-00026210 SHED PERMIT ------------------------------------------------------------------------------------------------ PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 10 01 6/27/03 LJH BD FOOTING TIME: 08:00 6/30/03 AP S PERIOR SHED JOHN NICHOLS 213-9019 / / AAF - OW INFO CONCERNING REMAINING INSPECTIONS 16 01 /22 03 LJ BD FINA TIME: 08:00 L N LS CONSTR. JOHN HARRIS 213-9019 -------------------------------------- COMMENTS AND NOTES ------------------------------- PREPARED 6/27/03, 8:03:53 INSPECTION TICKET PAGE 3 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 6/27/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 1500 MAIN ST UNIT 01 SUBDIV: TENANT, NBR: 25'X40'X12'STEEL STORAGE CONTRACTOR JOHN NICHOLS INC PHONE (904) 763-0333 OWNER BCBS.MEMORIAL GARDENS PHONE PARCEL - - - APPL NUMBER: 03-00026210 SHED PERMIT ------------------------------------------------------------------------------------------------ PERMIT: BLDG 00 BDILDIN PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------I 01 6/21 3 LJH B FOOTING TIME: 08:00 L _ P$AIQR SHED/JORN NI.CHOLS 213-9019 -- --- - ----- WANTS TO KNOW INFO CONCERNING REMAINING INSPECTIONS -------------------------------------- COMMENTS AND NOTES ----------------------- CITY OF ATLANTIC BEACH rJ JUN 10 20,04 BUILDING PERMIT APPLICATION z< , �N (Alterations & Additions) .: :. S... . ....... .....�.. Date: Job Address: Be) ie R/A/ FftR/K in A5010-/ In Alk dgH4rN7trc ��ac��FL X Owner of Property: CE/`� c!� D �C`SS/®/eft'[_S L 4 ,6 > z Z 33 X Address: j Sd '� /"J 1/�'/ ��ILc�� Lf�/""��- &r#c� 4I elephone: 96,� L2 �! Legal Description: Block Number: Lot Number: Zoning District: Contractor: Ke--�.! l E'ER , ,rN t . State License N//umber: C B C O Z'3V$3 Contractor Address: r ,�/ht/A.#/ 2 t V e, �.'Ac(�1�7n, F—L 34 12-10 Telephone: 9�f/ 7 9 Z — :5 SO O Fax: q1) -761 - '62 7 / Describe proposed use and work to be done: C0 i1,5+X u a1*,V% 04 a 4 P e W /yl"5o lGcrin Present use of land or building(s): oorW A+z A*c/ 2.,. Valuation of proposed construction: 90, Q 6 0, f oeviows What are the dimensions of the added space: 3 " feet x302 feet"N')(- ca j'g)tiv Will the added area be heated and cooled? �d New electrical or increase in service? _ Add plumbing fixtures? /V 0A19 Add fireplace? NO Add heating/air conditioning? ,/VO Is approval of Homeowner's Association or other private entity required? _ �If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of flit 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. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ANO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. 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 relocatcd. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlaffew 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.atiantic-beach.fl.us Page 2 Revised 1/04 a 1�' `r- jr, CITY OF ATLANTIC BEACH s1 ri -d 800 SEMINOLE ROAD y� ATLANTIC BEACH, FLORIDA 32233 / INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028457 Date 6/14/04 Property Address . . . . . . 1500 MAIN ST UNIT 01 Tenant nbr, name . . . . . . GARDEN MAUSOLEUM Application description . . . COMMERCIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 90000 Owner Contractor ------------------------ ------------------------ BCHS.MEMORIAL GARDENS KEN DEAR, INC. 1500 MAIN ST #1 4519 BIMINI DRIVE ATLANTIC BEACH FL 32233 BRADENTON FL 34210 (941) 792-3500 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 420 . 00 Plan Check Fee 210 . 00 Issue Date . . . . Valuation . . . . 90000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 420 . 00 420 . 00 . 00 . 00 Plan Check Total 210 . 00 210 . 00 . 00 . 00 Grand Total 630 . 00 630 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL tyL>1 � CITY OF ATLANTIC BEACH BUILDING / ZONING DEPARTMENT ins s J 800 Seminole Road S .Doerr �a Atlantic Beach,Florida 32233 w= (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 04 - ZR-4-S-7 Property Address: ( C - E Applicant: Project: L -� (Z_l7�t�L �. 1150L.E,Ut-A This ermit 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: 2 �srLy;. CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Alterations& Additions) uni!) Date: S/-. 7/0 Job Address: 2,}C1 Q.S eyo X1�1 �FL 1 c5 4' Owner of Property: C15 C cV L SS/d N�'�-5 L ,C S z z 31 X Address: /''lAIAI 5-fxe! elephone: 9d t! Legal Description: Block Number: Lot Number: Zoning District: Contractor: !�E'ii 1)E, 1g .I'u G • State License Number: C B Contractor Address: ,S / B/M/.w% _D Ri Ve, ,EQr4c6x4n, FL 3 q2/o O Telephone: 9 9 Z 3 SO O Fax: —.0 q1) p-761 _ O 9 7/ Describe proposed use and work to be done: COn7,5+g LI CI/vvs 04 J4Rde m IY koso 1'caol Present use of land or building(s): 4�0 W t z ett o s�,�►�¢qe — S 2.,, Valuation of proposed construction:—.090 9d Q 60, = What are the dimensions of the added space: 3 8 feet x �fi o*vroKs e 302 feet j'� Will the added area be heated and cooled? No New electrical or increase in service? Add plumbing fixtures? /J0A1E Add fireplace? NC Add heating/air conditioning? Is approval of Homeowner's Association or other private entity required? D_ If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? ENO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ;&NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may app opriate for individual applications. I hereby certify that all' formation rovided with thislapplication is correct. Signature of owner: Date: z �� I hereby certify that I havIradfand examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing thiswork will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: L Oy I S ��-- Mailing Address: j©t9— /"f /�✓ 5�'!�c c`T �'TG' f3Cri G �G 3�1Z3 3 Telephone: qe - Z Y9' Fax: 9®y Z %6 Z 1( E-Mail: AS TO OWNER: Sworn to and subscribed before me this Z day of ,20 y. State of Florida,County of Duval Notary's Signature: 1104 "uw" LOUIS SCHWARTZ Notary Public-State of Florida My CommissbnExpiresSep1Q2006 r�Personally known Commission#DD148985 ❑ Produced identification Bonded By National Notary Assn. Type of identification produced AS TO CONTRACTOR: Swom to and subscribed before me this l0 day of � s 12004- State 20O4State of Florida,County of Duval Notary's Signature: "••,, ",. MAUREEN IQNQ t MY COMMSSM#DO 09� ❑ Personally known ° EXPIRES:March 31.2UQ—Produced identification } Bo�aeaTWIften�una.wftn Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 3 Revised 1/04 =1S CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: ��U — tN J , J"�'T l!'h Tiel ,FL 3 ZZ33 Type of Development: hW-J•e nt SG N C C eR Flood Zone: ZAP- Required Lowest Floor Elevation: S 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 co ply with Pposed applicable provisions of Ordinance No. 25-7-11 and all other laws or ordin ces aff cting the development. Applicant's Signature: Date: B / Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 Book 11860 Page 2470 5 MIN. RETURN PHONE# �-I/�� ookpp:200 1 1 81$75$94 Page: 2470 Filed 8 Recorded NOTICE OF COMMENCEMENT 06/10/2004 01:39:07 PM JIM FULLER State of L© Tax Folio No. CLERK CIRCUIT COURTDUVAL COUNTY County of LTV Ll q:L., RECORDING 8 5.00 TRUST FUND f 1.00 To Whom It May Concern: REC ADDITIONAL $ 4.00 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 NOTICCE OF COMMENC,,��E^^M,,ENT. Legal description of property being improved: 15-b0 -/ 441kS-f, &1AAr*fI C. '&,44 0 -FL 32z 33 Address of property being improved: S/¢M C- General description of improvements: GG'ti►S q G D," a4 0. qAPdeA1 S GP. X Owner: C461-1 s, L e- C X Address: /.S-Vm-/ 3 3 Owner's interest in site of the improvement: /44 70 Fee Simple Titleholder(if other than owner): X/p/y C Name: Address: Contractor: KEN J)eF.+RNc . Pr Address: /fir!;Aef 7D X Let CN oN F 2 O Phone No: 1 *791Z - -95-00 Fax No: 7(,/— 0941 Surety(if any): X 0 N E Address: Amount of Bond$ -- Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents maybe served: Name: Address: Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06�2xb),Florida Statues. (Fill in at Owner's option). — Name: KEN 'bC 4ic SNC-- Address: 5" IN 1 Q . E 2 D Phone No: Vylln Z -75-06 Fax No: ft 4f/ 7 Cj Z - .95'60 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 WNER Signed: or Date: , �alo Before me this Z. ay of 1-4,4Y, zea y idthe Cibbunty of Duval, State e Florida,has eIrsonall appeared_ i Notary Public at Large, Sta a of Florida,County of Duval. LOUIS SCHWARTZ y commission expires: -S4:rpy 6&— t � :`r°: Notary Public-State of Florida ersonally Known: �' or c My Commission Expires Sep 10,2006 roduced Identification: Commission#DID 148985 Bonded By National Notary Assn. Cc- CITY OF ATLANTIC BEACH BUILDING / ZONING DEPARTMENT L. Hi ins oerr 800 Seminole Road J , x Atlantic Beach,Florida 32233 • (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS ' I Permit Application # Opt Property Address: Applicant: Project: This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your a lication when these items have been completed. Reviewed By: S . Date: l/& "//'U DEPARTMENT OF PUBLIC WORKS "r� tl1 J' 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 # -7 Applicant: Address: �`U(D T f�L fJ �► Project: �{Z-t7E� L L-p ) Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ci Your permit application has been reviewed by the Public Utilities Department and the following items need attention: Please submit these requirements to the Public Utilities 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. Rev' ed by Donna Kal zni , Pub ' ities Director _ Date " U lgnature Contractor Notified Date CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 11/15/04 Parcel Number . . . . . - - - Property Address . . . 1500 MAIN ST UNIT 01 ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . BCHS.MEMORIAL GARDENS Contractor . . . . . . KEN DEAR, INC. 941 792-3500 Application number 04-00028457 000 000 Description of Work COMMERCIAL ADD/RENOVATE/ALTER Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . c- E�ulilding Offi ial VOID UNLESS SIGNED BY BUILDING OFFICIAL Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: CVWBER 21 , 2001 Contractor Name: KEN De N R 1 N C Permit #: 04 - 2945- Property Address: 1500 MPs 1 N 5T Rf-E 1 U N I T, 1 Legal Description: L O T I St C T l ON 1 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: Single-Family Resident - mmercial - Other: Lowest Floor Elevation: 10, 6 /d.O Required As Built The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works p Z ) —0 Planning Dept. ��lS` _v 44 swo Building Dept. v Final Survey with FFE Yes No All Re-Inspect Fees Paid Yes No BOATWRIGHT RDEN LAND D SURVEYORS, S VEYORS INC. October 27, 2004 Beaches Memorial Gardens 1500-1 Main Street Atlantic Beach, FI. 32233 Re: Chapel Mausoleum north side extension To Whom it may concern; We have determined the Finished Floor elevation of the above referenced Mausoleum to be 10.0 based on National Geodetic Vertical datum. Please call if you have any questions. Since r ly, Donn W. Boatwright, P.S. M. President 1500 ROBERTS DRIVE - JACKSONVILLE BEACH, FL 32250 - (904) 241-8550 - FAX (904) 241-3346 CITY OF > t&c Fe4d - 9&u,�(4 800 SEMINOLE ROAD ------------_-- ----- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 July 17, 1997 Beaches Memorial Gardens 1500-01 Main Street Atlantic Beach, F132233 _ Dear Sir: Our records indicate that you are the proprietor of the following business in the City of Atlantic Beach, Florida: Business Name: Beaches Memorial Gardens Business Address: 1500-01 Main Street License Required: Cemetery After investigation of this location and business it has been determined that there is no current license issued by the City of Atlantic Beach, Fl. City Ordinance Chapter 20, section 20-52 and-54 require that a current license be maintained during the duration of your business. You are hereby notified that unless an occupational license is issued by the City of Atlantic Beach within five days from the date of your receipt of this notice you will be subpoenaed to appear before the code enforcement board. Under Florida Statues 162 section 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Applications for licensure are available from the Atlantic Beach, City Clerk. Any questions should be directed to that office at 904-247-5821. Sinc Karl . Grunewald Code Enforcement Officer cc: Public Safety Director Maureen King, City Clerk via Certified Mail Return Receipt Requested cec 6487 a CITY OF ATLANTIC BEACH No. 0040 FLORIDA November 10 1987 NAME Beaches Memorial Gardens ADDRESS 1500 Main Street CITY Atlantic Beach 32233 196.00 TI 196.0DrKT 6 l40 .011CAU 5-)9 I A 1 1/10/0 PAID iono {Vater Tap Fee #40-•343,3700 NOV 10 1981 $196.80 1500 Main Street When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER ` BCITY OF Office of Building Official REQUEST PIP INSPECTION Date_S� 11� Permit No. ----- Time A.M Received -i?M. -6 d - t /L1,jq r hJ Jot;Address Locality Owner's ,-, if s 1,7F raK f 14 C d r,-a,Uc�- Name BUILDING - f3#�--- - ELECTRICAL PLUMBING MiECNANIc41- Framing Footing Rough Wiring Rough Air Cond. & Re Roofing _ Slat Temp Pole Top Out Heating Insulation Lintel _ Final Sewer = Fire Place Pre Fab READY FOR INSPECTION A.M. Mon. Tues, Thurs. Friday _PN1. A.M. Inspection Made � ��_�___. B Final Inspection C: -- Certificate of Occupancy Date _�� tit Ci7Y J0FA a S'7"c<T0'tS Office of Building Official C REQUEST FOR INSPECTION Jr Permit No. `s' Date_�._.._. `.__.._.. Time Q A.M. Received `� V P.M. J Address t Locality Owner's d6&4� 4 � t� Namet� - / Contractor BUILDING CONCR TE L PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough D Air Cond,8 D Re Roofing 01 Stab ? Temp Pole Top Out 0 Heating Insulation Lintel f� Final 0 Sewer ❑ Fire Place 11 Pre Fab READY FOR INSPECTION A.M. Mon, Tues. Wed. Thurs. Friday__._._—_T.__P.M. 7j A.M. Inspection Made � _ _ — _ .�-P. Inspect v-^- ' Final Inspecti Certificate of NO,,up.n�, 4�w�. Date CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM, SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. r r7'� --ez IA;� ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN CLw 0 NAME �DDRESS:- BOO f 1 RFD BOX BLDG.SIZE BETWEEN: RES.( ) APT.( ! COMM. PUBLIC( ) INDUS.( I NEW( ! OLD ( ) REW.( ! ADDITION( ! TRAILER ( ! TEMP.( ) SIGNS ( ) SQ. FT. SERVICE: NEW( ! INCREASE( ! REPAIR FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE CD AMPS PH W 22� VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN I TOTAL 0•30 AMP6. 31.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF: AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0 OVER MOTORS H.P, VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA N0.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN TOTAL FEES CIT It of- Office FOffice of Building Official REQUEST FOR INSPECTION Date _` Permit No. Time A.M- Received —_-- RM. Jot Address Locality Owner's ----- - --- ---- Name ., BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Frarung Footing — g,Wiring ough Air Cond. & Re Roofing Slab Temp Pole Top Out Heating nsulatior; - lintel - Final Sewer Fire Place Pre Fab READY FOR INSPECTION A.M Mon. Tues. Wed. ��/4, Friday P.Mi Inspection Made 2 P.M._ inspector _ _ Final Inspection Certificate of Occupancy Date 1017 ®EPARTAAENT DF BUtI:DiNG. , tTY OF ATIANTiG BEACH. A ION Add 1500,14AItt 'S T,A IMT NIM tr ons " CO IOXIT Lot > `rcaPc�sed " ��f S ►w h ;.RN Vsti'"test YaI t: ,Amo 'r 00 7 Aj?V CA ion- k - RT L , p t4 5 '00, WIM 'AC " Vit?. € ' 411 Amw AB 5 �5i' i � » 4ww sp.'S'0.aN^'u ke•y,„vwo-.rUd" .k"wv'e.tlew„F'pw'vuraask4srgdMCd" �,ro' My4asaFwcM"k �' 01 Nq _. Ott HN; '1N ; } 'Type: ped top # { 1 NQTICB= ALL I CON :O"MS ANE!FOOTINGS MUST Oe tkoe C'CE®� �P�UI�ING t r PERMIT VO tD SIX MONTHS AFTER RATE 4F I i3 LD-INC MATERIAL,RUBBISH Abp 1��314 �f«tbM"7HiS WORK"MUST NOT EE PLACiESR fN PU8[IC BPACE,A #��tJBT BE �� tP� ti�#4 +4tM� ©'}WY� Y"#rCC}NTRA `C3RE7Rt?Vflt�fi�i . r w THE,Me AfiC{BOIFNG TQ APPROVE .PLANS WHICH ARE PART QF,TH18 PERMIT 4N[?"$198J CT TA RBNf)CA'tiC1N:I A '0 , 13E iaTLANTIC BEACHt�LC3fild, E ' I► IT t k i CITY O! ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS j _ t DEMOLITIONS owner(s): 7�..1� Address: (.S(,-k MP�.1,'t�1 �S Phone: �-2y J,. Lot #______ Block or Unit #_____._ subdivision: Contractor: State License # Address: Phone No: Describe work to be done: Present use of building: S L F .. Valuation of Proposed Construction: Propoged use: 0,0,rd X0100 Is this an addition? If If res, what are the dimensions of the added space: °'` ft. X ft. Will the added area be heated and cooled?� New electrical (or increase)? ` New plumbing fixtures?,,,LZ„ New fireplace?".L.Q--Nsw Heat/AC? 'J'l SUBMIT TNREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IB CO1XTRACTO . Signature OWNER: z Date: Signature CONTRACTOR: Date: RCvB��N License Supplied: °—uc`�z p P�`om N&ION\N J �i Liability Insurance: W.-, Worker's Compensation Insurance:+�'S„'_'" 1 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address SOQ " / I-M40 ST Date Heated Square Footage _@ $ per sq ft = $ _ Garage/Shed @ $ per sq ft = $ Carport/Porch Ov @ $ per sq ft = $ Deck r� � @ $ per sq f t = $ Patio @ $ per sq ft = S TOTAL VALUATION : S Al/,06-OD Total Valuation 1st $ / 66C Rem ening Value $ caper thousand o� portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee ( ) Fireplaces @ $15 . 00 $ _ BUILDING PERMIT FEE $_ �S 00 WATER IMPACT FEE SEWER IMPACT FEE $ WATER METER/TAP $ _ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( } $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES : Mechanical Plumbing _. Electric/New Electric/Temp ;SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: o 0 • 'd J J V �t ��o}C9 12 a v �©j� Cts d pay�NQtF�� C eco �Q P Q � S 40 00 as r• c 1� `1z S�Q� M�Sf L V t ties v 4 .. w 22.`3 za•6 • 10 1! ' 440 . 00 D ,v M G M v C5 C C� c W M N x cn /67 k a - ' j Co�t/c'.PE7'z� X1.4�� Elf{/L `,� '1� .•. '. 1 �f 1 0000tlC,4e'=—' W�4z/< Com k "� r t kE kA =Fm S VMS VIA oyl let UA PSR-38W. 10201 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------ -------- LOCATION INFORMATION -------- Permit Number: 10201 Address: 1500 MAIN STREET Permit Type : ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 `'lass of Work : NEW ------ LEGAL DESCRIPTION --- - Constr. Type: N/A Lot : Block: Section: Proposed Use : OTHER Township: RNG: 0 Dwellings : 0 Code: 0 Subdivision: Estimated Value: $0 .00 Improv . Cost : $0 .00 Total Fees : $25 . 00 Amount Paid. $25 .00 Dafg -791ZI: 372579b Worn Y - -- Ow MER INFORMATION --------- ---- APPLICATION FEES ---- Name BEACHES MEMORIAL GARDENS PERMIT $25 .00 Address:. 1'500 MAIN STREET WATER` IMPACT" FEE $0 .00 ATLANTIC BEACH, FLORIDA 32233 SEWER,: IMPACT FEE $0.00 Phone': ( }, WATER METER/TAP $0 .00 RADON GAS-H.R. S . $0 .00 ------- CONTRACTOR INFORMATION ------- RADON CAB 5% $0 .00 Name: EARLY ELECTRIC COMPANY INC, . CAPITAL IMPROVE. $0 .0 Address : 324 SIXTH AVE. NORTH SEWER TAP $0 .00 JAX. BCH . FL. 32250 CROSS CONNECTION $0 .00 Li ense: ER000969,3 Type : 0 SEC H IMPACT FEE $0-.00 CONST, SURCHARGE $0 .00 SCHARGE/ATL. BCH. $0 .00 NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEP TMENT r CONTRACTOR COPY 020,11 c SPAARTMENfi QF 8U N 0ITO7~ AN �. .» MOOT1Nim , )0, -iiii7ounT Lit'" .' it - TON der . 't, A # . ons cc U '`RR O I "tu ., so 0 tu grc wE Tot � 25,00 a rim *Olt 7t k a_ r �. �'" TON ,. LOR 00 P"d WATtal TO 11 TA 0.6 r : t0 00 _ WOO �`� , O ,CACI r S' -; EC 0 ,00 tvr , F St '1` ROS, NO'mS; NtYf t0 ;-�-AL1.CQN4RET i tflRMS ANO F04TINGS MUST BE INspeotim tkfoRE PQURING PERMI`CUOID 51X MONTHS AFTi=R QyE QF iSU I JILQiNG MATEf IAL, RUBBISH ANDY QEBAtS-FROM THIS WORK MUSTNOl`I P CEC3 IN PUBLIC SF'ACi ,AND MUST BE, CLSAREQ UI'AN ;HAtlLED AUiWAY . EIi HER CONTRACTOR OR OWNEi3.` ` A LURE t ►1 i.Y. TH-TME AECHA R T r 13 ACCORdING TC)`AP *RC?VEQ"PLANS WHICH a0.Ri ii4FiT< F iI ,i'iFiiUfi I`ANQ SUS ' i` CJ1=Ai LICABLE 01 1$1Qlk, NS OF LAW. 1� NTIQ.BAAC'H k�tJILDING QST a' � e 4 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: � � 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ZG Ll '!::�U IAIc ELECTRICAL FIRM: MASTE LECTRIICIAN SIGN AlRE JOURNEYMAN NAME di ��'P/ _ ADDRESS. ,! A> A Wl/k� sZr, RFD BOX BLDG.SIZE BETWEEN: f RES.( ) APT. ( ) COMM. (e PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD ( I1 REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP.I ) SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE .Z 6 AMPS Z PH W O VOLT 116 RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS, OVER APPLIANCES i I BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUSl ,fZ,4Y TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANS F. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ f) �- -fv} TOTAL FEES L---- f CITY OF Office of Building Official ` REQUEST FOR INSPECTION Date t �/ µ, Permit No. Time A.M. Received PM district No. J b Address Local,ty owner's Name # _ � t Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICA Framing L*-'�� Footing ❑ Rough Wiring C.- Rough C�--'" Air.Cond.& Re Rooting ❑ Slab ❑ Temp Pole 0 Top Out 0 Heating Lintel D Final ❑ Sewer ❑ Fire Place 0 READY FOR INSPECTION Pre Fab A.M. Mon. Tues. Wed. Thurs. Friday PM. A.M. Inspection Made Inspector Final Inspection 0 Certificate of Occupancy Date CITY OF 4&44& teat - Office of Building Official REQUEST FOR INSPECTION Date �VPermit No. Time A.M. Received P.M. District No. eb AddressLocality Owner's6. Contractor+ � " Name BUILDINGONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Rough Wiring El Rough Cl Air,Cond.& O Re Roofing ❑ Slab ❑ Temp Pole CI Top Out ❑ Heating Lintel cam" Final Ci Sewer ❑ Fire Place 0 READY FOR INSPECTION Pre Fab wry A.M. Mon. Tues. tJ'�` Thurs. Friday RM. Inspection Made f A.M. Inspector Final Inspection Q Certificate of Occupancy Date CITY OF 4&6^4-c Office of Building Official j REQUEST FOR INSPECTION �} Date ` Permit No. Time A.M. Received P.M District No. --- t Job Address Locality ~ Owns'a Name o for BUILDING CONCRETE ELECTRi PLUMBING MECHANICAL Framing 10 Footing a �� Rough 0 Air.Cond.& 0 Re Roofing D Stab D Temp Pole Jr Top Out ❑ Heating Lintel C Final Fire Piece E7 Pre Fab READY FOR INSPE A.M. Mon. Tues. Wed. .—r urs. j Friday P.ihdi/ A inspection Made r .M. Inspector ` Final inspection d Certiticate of Occupancy Date CITY OF r4&4#d.0 Beach-0;& Office of Building Official REQUEST FOR INSPECTION �j�. Date f�L 17 Permit No. Time AW. Received RK District No. lM 6. C Job Address m e— locality Own 1 Name ra�ctorr BUILDING CONCRETE CTRICAL PLUMBING MECHANICAL Framing 0 Footing 0 h 'r'n Rough ❑ Air.Cond.& 0 Re Roofing Cl Slab C emp e L Top Out 0 Heating Lintel 12 Final CI Fire Place 0 Pre Fab READY FOR INSPECTION A M Mon, ue. Wed. Thurs. Friday P.M. Inspection Made Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF 4 BSe CA-Ike Office of Building Official REQUEST FOR INSPECTION r Qaie. . � ____ Permit Na. Time A.M. Received P.M. istrict No. J Address ti Locality OwnjJer's j Name O Contractor BUILDING CONCRET ELECTRICAL PLUMBING MECHANICAL Framing C 1 Rough Wiring Bough C Air.Cond.& 0 Re Roofing Cs Stab u Temp Pole Top Out a Heating Lintel 1 - Final Cl Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tu r Wed. Thurs. Friday P.M. inspection Made Inspector l( Final Inspection 0 Certificate of Occupancy Date CITY OF j f f�&4AI4'C BWC4-rt& Office of Building Official REQUEST FOR INSPECTION Date `t Perm(t No. Time A.M. Received P.M. District No. f Job Address Locality Owner'— Name ntractor BUILDING C CRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Be Rooting ❑ Slab iDl' Temp Pole O Top Out p Heating Untei ❑ Final ❑ Fire Place ❑ Pre Fab READY FOR INSPECT N A.M. Mon. Tues. `Wed. T urs. Friday P.M. Inspection Made 4 — ( I b A.M. elrNj Inspector Final inspection❑ Certificate of Occupancy Date CITY OF L) Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P.M. District No Job ACICIreSS Locality Owner's UtAt,� Name Contractor BUILDING CONCRETE ELECTRICAL Pl. SING MECHANICAL Framing E Footing 0 Rough Wiring 1-i Rol -r-j Air,Cond.& Re Rooting 0 Slab 11 T8040.pefe—�" Top Out 11 Heating Lintel 0 Sewer 0 Fire Place 11 Pre Fab READY FOR INSPECT.ON A.M. Mon. Tues. Wad. Thu Friday—PM, Inspection Made ?7 Inspector—tIL Final Inspection cl/ - Certificate of Occupancy,?,-Z 0/-j I-Y' Date CITY OF c 4 e -< 6 Office of Building Official �. , t 4� P`A�` REQUEST FOR 1NSPECTIOt fl- ' v Date/ f Permit No. Time A.M. Received P.M. District No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing G Rough Wiring 0 Rough CI Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out O Heating Lintel O Final El Sewer C7 Fire Place ❑ READY FOR INSPECTION Pre Fab A.M. Mon. Tu Wed. Thurs. Friday PM. Inspection Made 2 Z Inspector i Final inspection Certificate of Occupancy Date aEQV�g(FOR permrtNO �` p;�rict N0' of f ✓L,,l �, {arr. °ntrad°r p1.V 1N Q Heafrp aCe � Vkeoervedpre f V ou9h O Fire doss t `Ea�00, F� p.M_ obv ' Pou�nWirin9 $ewer P•M ESE pole 0 nes s CONGA Temp FndaY JAW �ocm9 C) Finai SpE��oN V1NG D Siab fl rld Foft (huts.Bunlet � PN'• intron Cif Y - F-jt4 uPancY Sues. Ge�� Mon' Date Made %,Qed wn or tnsP� fi CITY 4F &T J&Aaft &4d- Office of Building Official f, REQUEST FOR INSPECTION Date " r Permit No. Time / F.M. District No. ob Address Locality Name Contractor BUILDING CONCRETE ELECTRICAL 9�"PLUMBING MECHANICAL Framing 0 Footing 0 Rough Wiring D Rough ❑ Air.Cond.& ❑ Re Rooting 11 Slab Q Temp Pole G Top Out D Heating Lintel ❑ Final i1, Sewer ❑ Fire Place 0 f'6.(— b READY FOR INSPECTION Pre Fab A.M. Mon. Tues. Wed. Thurs. Friday PM. Inspection Made Inspector 2 Final Inspection 0 Certificate of Occupancy Date CITY OF 4&44ft &4d-' GMA Office of Building Official EQUEST FOR INSPECTION r� Date__'� ` l __ Permit No. Time A.M. Received PM, District No. Job Address �t,Locality Owner's Name Contract, i BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole n Top Out ❑ Heating Lintel ❑ Final Sewer ❑ Fire Place ❑ F READY FOR INSPPre ab I"Gflt, C . M Mon. Tues. Wed. Thurs. i Friday P. ! — i Inspection Made J t' Inspector Final Inspection❑ e�of Occupan� Date CITY OF ATLANTIC BEACH, FLORIDA ,A1 IP ATIQH POR BUCTRICAL PIRMIT r 1 11 + TtI T11E,C MPEFTOR: DATE: �IwCATAAR IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF,.AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC VACH 080INANCES. p �{z� LC)C(j C' L f RFO..__BOX___.._ IIL00.> BETWEEN: PUBLIC I I INDUS.( 1 NEW( 1 OLD I ! REW.I I f ��ADOITNW J. 1 TRAILER I ) TEMP.IA SIGNS ( 1 SQ FT. FEET ifeAV1 NI�W 11 INCREASE 11 REPAIR I ! , GONOUCTOR SIZE AMPS COPPER ALUM. T ` 9 PH " d' �V `� I Ic t t EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES Y CONCEALED OPEN TOTAL 0.30 AMPS. i f•100 AMPS. SWITCMRs x' INCANDESCENT FLUORESCENT&M.V. FUcila,., o• oo wMP*. ovax � . . .. APPLIANC98 "' BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT .. . a,j OVER MOTORS H.P. VOLTAGE t PHS NO. 1 M.P. VOLTAGE PNS MISCELLANEOUS l� 60 TRANSFORMERS; UNDER 600 V. OVER 600 V. I NO. KVA NO. IKVA NO.NEON TRAhlalli. N0. VA. M.A. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED k fir t TOTAL FEES [ s RIM Cfroldtratr of (Orrupattry CITY OF 1&40 & &004- Dr,rttrtmrnt of 'Mnilhing Jn�prrtion This Certificate issued }pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification -'� Bldg.Permit No. A Group Type Construdlorl :i t"C=° Fire District_ 2 l.` Owner of Building "c .0 .E4, € s{+3 3.,t Address_— = '' _C '�'"� r Building Address- ��.l.A f. i .'i:f't -la ". ^�.clf ISS+f.< 1.'li 5_:t.- = _ Locality By: a . Building Official Date: c'f ' 1 POST IN A CONSPICUOUS PLACS BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: December 2, 1987 Building Contractor: James Brothers Construction Building Permit Number: 9054 Address: 1500 Main Street Legal Description: part of govt lot 1 Section 18 Township 2 South Range 29 East Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as ____Rura110ffice ' Lowest Floor Elevation: XXXXXX ---------- ---------- ---------- required as built n/a Sales Tax Certificate: -� -date submitted --- BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY �Fire Chief --12.!2j31------- ------- - ---- - ----- Public Works 12 2 87 -----; Planning Director 12L2187 ---41:-� Building Inspector ---.12/l/87 CITY OF t�t�a��tic S'e��i - �wzida 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 February 19, 1988 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #5990 - -1500 Main Street Permit #5321----2133 Seminole Road-95 Permit #5322----2133 Seminole Road_#6 Permit #5663- -329 Ocean Boulevard Permits issued to Bivins Electric Company, Permit #5710----2323 Barefoot Trace Permit issued to United Electric Company, n ely, Rene' A ers Community Developmen rector RA/tb cc: file CITY OF ATLANTIC BEACH, FLORIDA ,0670 A09""dIM APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 144"4 •IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS. WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 41 JOUANEXMAN G /j 1 ELECTRICAL FIRM. mAsTtR_vLEcTRICIAN SIGNATURE mv :.........ADDR bLt)*.SIZES BETWEEN: C c 1(!X like.1 1 APT.1 1 COMM.( suc 1 1 INDUS.( 1 NEW(4r OLD t I REW.( 1 ADDITION( 1 TRAILER 1 1 TEMP.t 1 SIGNS ( ) SO.FT. { SERVICE NEW( 1 INCREASE I ) REPAIR ( ) q1 FEE 6NDUCTOR S12E COPPER ALUM. (IVMITCH OR BREAKE AMPS PH 31t2l VOL* RACEWAY EXIST.SEIIV.SIZE AMPS PH W VOLT RACEWAY txEEt�ERS NO. SIZE N0. SIZE N0, SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. r 'INCANDESCENT kUORt Sctw 6 M.V. FIXED o.too AMPS. _I ovrR "'APPLIANCE* BELL TRANSF. r. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS 61L HEAT: KW-HEAT OVER MOTOR>Z'-• H.P. VOLTAGE PHS NO: 1 H.P. VOLTAGE PHS -MISCELLANEOUS-- UNDER ISCELLANEOUS_. UNDER 600 V. OVER 600 V. . NO. KVA NO. JKVA NO.NEON TRANSF. NO. VA. MA. MOTOR 812E SWITCH FLAMER EACH SIGN• •• F FORWARDED 'TOTAL FEES r P8A•38A4 { DEPARTMENT OF BUIL DUNG CITY OF ATLANTIC BEACH , j --- PERM,I TV NFO A.TION -----w ------- .LOCATION IMPOR14AT'TON P t Nun s~y 1545E Addy ; � i500-1 MAID' STREET vertu 'Type: SIGN AtLA�I�IC EEA"H, 'PLORlDA, 32233 Ct s s of Work»NEW `L CAL DXSCRI�PTION n tr. Type:ALUMINUMBlock: �� rt ��p � Pr opped U >COMMERCIAL S�ectiow t3 $ubd 4 t e1I n D Subdii►i i ew gCTION H ' � . Value., 0.00 Ii prov., Cost ; /�0.001 ` TIrlta &'eRs Y �}yyV{/�}-�J 0 Atttl3unt Pat 40 ,ICI Date � A ��19 7 I , rm 'x 33+ePLANS � �� « 'TION ~'ate• , �--- APPLICA.TIOEFV FRE''" IIYte, BACIARI�ENS IT A�;d'rr k�Ya LL rFt 01 A FLORIDA 3223 R FORMAT I CSN N i c ' Ty Epp Te 1 � � 1 f ti_ s3s " „"'nA `�%3A�ww, &'.,«"'J, NOTES: I Y` I "fi t i NOTICE-INSPECTIONS NfUST SE REQUESTED AT LEAST!'24 HOURS PRIOR TO INSPECTIO i I R f B JILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST'NOT'BE PLACED IN„F'UBI IC$PACg,ANO MUST BE 4 C XARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER 41, `SFA#LURE TO COWPLY. -WITH'THE MECHANICS' LWN' LA4CAN Rr. "IN *HE PROPERTY OWNER PAYING TWICE'FOR BUIL011 0 # PRCtV'ENT,$." r #� ACCORDING TQ APPROVED GLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCAT 014,FOR TIONO F APPLICABLE PROVISIONS OF LAW. WWI t ANTIG BEACH BUILD ING DEPAaRTMENT 3 .x E �� _— CITY OF ATLANTIC BEACH APPLICATION FOR SIGN PERMIT NAME: �j 0g C NN E S M E..M a,•t.% PA Z�Y, ADDRESS: 1'501;4- 1 �A A I N !n • PHONE: Zy -Z`U \ ► TYPE OF SIGN:TW-kWiitoATCo QY4O,�IZE: 01 )( $ f PROPOSED LOCATION: t't kVA c&. 71"T o PA zi\L WILL THE SIGN REQUIRE AN ELECTRICAL PERMIT? S ELECTRICAL CONTRACTOR: I Signs over fifty (50) feet in area, and/or any sign which is more than seventeen (17) feet above the ground, or any sign weighing more than one thousand (1,000) pounds, must be submitted with drawings from a registered engineer. Signs with a solid area greater than thirty (30) square feet must be erected to withstand a wind pressure of at least thirty-five (35) pounds per square foot. Drawings must also show that weight of sign will be supported by the roof or ground support on which it will be erected. This application must be submitted along with the following: 1. A plot plan of the land, showing the position of the sign in relation to buildings .or structures. 2. A blueprint or ink drawing showing the plans and specif- ications, and the construction and/or attachment to the building or in the ground. 3. Other information as may be required under Sec. 17-2(b) , Code of Ordinances, City of Atlantic Beach. APPLICANT SIGN UREw.br..Date: \o vs g OWNER SIGNATUR vs. ,; Date: O Z'31 q C,e o RECEIVE® Off 2 3 1997 City of Atlantic Beach Building and Zoning L m � at IJET0 ] Fwm2 .'(A NAM Q�K � f rn O cb AWHALT PAMENT C-) o 3 _�, �� K QZo NAMET 1-0 � o N 1 : W S J 17' PD O f Q U , � WY! i PAINT OF BEGINNING I HEREBY CERTIFY THAT THE SKETCH SHOWN HEREON WAS ---- MADE IN ACCORDANCE WITH THE MINIMUM TECHNICAL STAND- ARDS SET FORTH IN CHAPTER 61 G17--6 OF THE FLORIDA ADMINISTRATIVE CODE. 00 N N m DONN W. BOATWRIGHT, P.S.M. FLA. LIC. SURVEYOR AND MAPPER No. 3295 NT CD FLORIDA LICENSED SURVEYING AND MAPPING BUSINESS No. 3872 m N m o 1t - FLORIDA -B E A C H r LO R D A DATE:FEBRUARY 16, 1997 J-SFiEET__I _OFA_ (904)241-8550 11 K_rJ IlW>d 9t.IA-4 Pali: {a,E to s•c. ►N so " �! • - c eves ' MEMOR- -IA-L GENS . . : €, PERPETCTULY hLUNT,AINED F ► womm- ML i 1 s G g 3 s1 J ' ac o oaa ooY o oL " i Up Q Oo 3 O o. -4 U t• "vo GOoV O Dd_Q 9 O Yc90 G YoDr � �' Q v o 0 0 IL-L-NUF.9M-TIE —L:sT-U1 cp,\-E-L?r E'.-7-ERrtPR FLLt MDL4TFD PYLON' tir„�: L.'1rcC`PED.iLt !LLQ? liGil?L TT[;FLET-4CESIGs\ E4CES LSC .l7 TOI'!i�:i'�L�i 171'.dTEZ) �! SLNTYR9 L CNEL5,r[7L'i.\'7m • a 2 Wm i�wiwDii moi.l,��■�o� ls!iii 3s�l�o� • - i Wiw°i Oro wiwi ��T!lr�Emmm .lTwW,I IMM /-anal W, W, iii iiwiMAI wiwiwi J ■i Wiwi .lr./OW"W,.l-.l,.M. W-MW,.. _!/!i!i_ �!�!1!�lid!Aiwiwiiiii wiw!!�!��IAl. , !x!!�/!oi wiliwi wi wiwi �!/!/�./D.l� !ti/!xi �1!�!!.�l�!�'!1!�l��! iwa iiiiwi ■iw wiwiw �� ■ ,l:iL � T.lZ� I!C■ .T.lWCaM �.I.C-1,T� O - � lo. iii wi wii sh wiwiwi W.ww.[ ©.!.!. ' _ ��i!�w"iw�■ ■tw� �wm—w°iw°i - ��lrt� .!. ..� ISO law !/!�■ WIN■!/,!/ iii N=.sp o/ u- �. Sil•,D1.0�,3 w � CITY OF ATLANTIC BEACH, FLORIDA ss Approved by APPLICATION FOR ELECTRI AL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-X&, ' • I IMPORTANT NOTICE: "` U IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. r ELECTRICALFIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME 1.016 ,- Ok-1",X-1 r L ADDRESS: �« � ' �� + t'�,� RFD BOX BLDG.SIZE BETWEEN: RES.( ► APT.( ► COMM. (✓) PUBLIC 1 ) INDUS. ( 1 NEW ( 1 OLD ( 1 REW. l 1 ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 8f-f00 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. IKVA NO.NEON TRANSF. NO. VA. MAJ MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES ,_ /► //CITY O//F n Office of Building Official REQUEST FOR INSPECTION �O Date Permit No. Time A.M. ` Received / P V Jo Address caiit Own ' m BUILDICONCRE E ELECTRICAL PLUMBING MECHANICAL Framing — Footing Rough Wiring Rough — Air Cond. & Re Roofing Slab Temp Poie E: Top Out — Heating Insulation _ Lintel _, Final E Sewer _ Fire Place Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Th urs. Friday P.M. A.M. Inspection Made ® P,M. Inspe Final InspectiXCUP Certificate of ncy❑ Date 1 PSR-3�lA + 31 DEPARTMENT of I3UILDINd' CITY OF ATLANTIC BEAOH PERMIT INFORMATION LOCATION' INFORMATION rma Numb4r. 16t3t�2 Addres2 1500—MAIN, STREET I _permit Type.COI ERCIAL ATLANTICBEACH, FLOP IDA 321-3.3 as a s k.NEN' LWAL DESCRIPTION Cpnstr ,, Ty.pe b CONCRETE BLOCF �B1c ek `> Lot. Twp: I #.roposed ' Use Section: 0 Eubd*4 Rng; 3 j I�z el in subdivision" Est . Value' o oo tinprov . Cost. 1,100 .00 Total' Fees. 105 .00 Amount I' a15» Tate'; '�� , �/1qSS Work De QRxCTM TION -��. .� � - Ai t LI 4TION' FEES __ w 105. 00 IT N me a " � n ET 15101tl DA I<"'lcTi ��` i, a'k 2 rE, t A gym s; �' �aA"rf&'" t" ge' n9.r^T"+""� *' ' i. C 5 R ORMAT 10 t Nene 42A ND SCO I RUCTIC B�y JACKSON d WE BEACH" FL 32240 R,(340117!8 Exp:YR -MrR d :M 51 16, NOTES:r NOTES: K a I 9 NOTICE-INSPECTIt)W MUST-BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION i I BUILDING MATERIAL,RUBBISH AN DEBRIS FROM THIS WORK MIDST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER 'T ILURE;TO COMPLYWITH THE MECHARICSi' IEN LAW CANRESULT IN SHE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROYCMENTS." ,SUED ACCORDING TO APPROVEQ FLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCARNOr,!_ fOLATION OF APPLICABLE PROVISIONS OF LAW. , note, xmq It Remistl NO - GEM ATLANTIC BEACH BUILDING DE ARTMENT ABY 5; . r CITY OF ATLANTIC BEACH FEB 1998 PERMIT APPLICATION REMODEL, ADDITIONS, OR ALT tWoTfo nt[e Beach MOVING,DEMOLITIONS BUildlfig Alla 41`111119 Owner(s) 4�4'—IQ e?r4� Address: /.-J�'d a -zzgg ( a ,1 'z' Phone: ��` %- //rle" Lot # Block or Unit # Subdivision: Contractor: �C� l�L /71 L0%� A7. 2z's State License # � Address: Phone No: City State Zip Code Describe work to be done:� � li ld/r ,AC&"4' r Present use of building: Valuation of Proposed Construction: !�Z&e Proposed use: Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? .t,'., New plumbing fixtures? New fireplace? New Heat/AC?------------ SUBMIT THREE (COH&ERCIAL) TWO (RESIDENTIAL) COMPLETE; SETS OF PLA , ,' NG SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF AND OWNER/CONTRACTOR AE71DAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: G�, ' Signature CONTRACT �✓'� .!- �� - �-- Date: r - Sworn to and subscribed before me this 5 d of /'�-c� r l MICHAEL HILLEGASS Notary Public, State of Florida NOTARY PUBL E OF FLO AT LARGE My Comm. expires Nov. 28, 1998 Comm. No. CC 415859 CIT"' OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 1 . CCL0(--t /3xti2rUM Heated Square Footage 3 r _.e _ = - - _- ICTAL %r_ J<�T _ :Pd . - I, 6 ej Po n�a /✓ _rIta- a_ua ,,,.,pon Rema_/n1i,g Va_ue �.� Ener tlaousana- or -or--ion thereo TOTAL BUILDING FEE S + _, = Filing Fee ,e:� 1 Fireniaces @ S15 OC BUILDING PERMIT FEE S_l WATER IMPACT FEE S!_— SEWER IMPACT FEE S Wr_TER "DETER/TAP CAPITAL IMPROVEMENT SEWER TF-F RADCN SECTION H PAVING S FY:RAULIC SHARES 7 CRCSS CONNECTION S SUR CHA RIG E O=HEF GRAND TOTAL DUE ADDITIONnL PERMITS OR FEES : Mechanica- PiUrabInG Electric/New Electric/Temr. SwimmingPool Sept-Lc Tann fA1eI i cFiocr G_ e`/?..I n SUi:Vev Other CALCULATIONS and/ or NOTES : FIA. 1967 LAWS �M RAMCo FOAM "0 FS 7 1).1) 1►11[FA11[ Ir -4"qu. 8837 P9 1426 %a Ujunt it ittaU rourcrit: The undersigned hereby informs all concerned that improvements will be made to certain real property, arid in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Uescriplion of property..... .�v. . '. 4��........ . r�1�(f.. e. ......... .................................................................... .S7..T............... ...." ata.,.u...................................... t� z ...............•..............................................................•........................................................................................................................................ oG W 10: General description of improvements.•..ji•'..T. . ..9....Tl,..Q,!✓.........Q..F...... . Z W /z .... .. .. ...... ......................................................................................................................................................................................................................... 0 to _ ........................................................................I......I................... Owner . .....y .X14. '/7. 3'.........��.C/7''F U/ f�?.C....pef . ......6e#1.1.ek.... :,r?D.�t?C ' `G2✓✓ .....................•............. Address ......&U1.41..:S'. .-,7..............xTe, 047 ................................. ............. Owners interest in site of the improvement•.•••.•�� h' � T.�' �••/• •..................•••• ............................................ Fee Simple Title,�jholder (if other than owner) Name...... � °........................................................................................................................................................................................................... Address..... ........................................................................................................................................................................................................... Contractor....... x........... /i! ''.T.. z�'G/C'..1./. 1 ....... �.�/�1 ................................................. Address......P.0....V0J....., /... ....... '..�'.. �'QN...Vf.,<< °f Surely (if any)........I.)/.r/,', ....................................................................................................................................................................... ................... Address......,1.�`,�.................................................................................................................................Aff)0" of bard $............................... Name of person within Ile State of Florida designated by owner upon whom notices or other documents may 6e served: Name .....A111f..................................................................................................................................................................._...................................... Address....11111 ............................................................................................................................................................................................................. In addition to himself, owner designates the following person to receive a copy of the lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name ... �� .�..qll✓&�.�'1........Irl.;?.(lle�.-7.a..c...7'law.. ...................._............................. ...... Address .......ti? CTrf('rf'4'F✓.t�� ................ THIS •PACK FOR RKCORDKR'e USK ONLY ............. ................................................. Bk: 8837 Ownw Doc# 96020262 Filed & Recorded 01/28/98 Sworn to and subscribed before me Iftis..... ••••••••••••••••• 04:26:10 F1.M. —``- HENRY W. COOP. ..............Abo��— av (........ !.�� Uct 1Z� CLERK CIRCUIT COURT19•..1.. . DUVAL COUNTY, FL REC. ' 6.00 . ot ry Ie Eve Aptheker Notary public.State of Fronde t�Z-1 Feb 09.2001 ""y c°"""'��1Ne� cc 616842 1 Notary Service t ohtfltd 71111111S1{800)723.0121 CITY OF ATLANTIC BEACH PERMIT .APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING,D&MOLITIONS Owner(s) : Prxl Is ke'ync r_ic, PQr Address: ist)o Rmi w —Phone:- 949 - 1106 6 Lot # Block or Unit # Subdivision: Contractor: t�to]a&fr.. (0-0nsir State License # ?A (7 Q 0 3 Address: €'.©. Bor. 56619 Phone No: A41• City-'so V'L ' State F1 Zip Code 3Z2 Describe work to be done: �d��h d ;�.,i 4 (26I y,-1 Q i 4Crr�. Present use of building: Valuation of Procosed Constructicn: Proposed use: Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT TBREE (COM-9=ZAL) ) COMPLETE SETS OF PLANS, INCLUDING SITE Pte, SURVEY, NOTICE OF COM4ENCM-MMT, AND Signature OWNER: Date: Signature CONTRACTOR. i G Date: 1`13"9 F Sworn to and subscribed before me this day of � p 19 NOTA Y 2 B IC STATE OE RIDA AT LARGE My Comm. cxpiy S Ur. G, 2000 Comm.No.CC 567977 f` wm* i`i R!/its Kowa •. st : .,' � .: . E "MM M • ' • ■�/!ii NO will .i/!wmw_u- No /UrNEi~„i ti! hi ili/ri iii wiwiiiiiwiwi iiwmw/ ii tib AIii iW-M MOMi-�i/!!llii-s li !! 5i 1ow iii! �i ��1iiiiriti°i :i�i!!�i-!it �i/l�i;�!!i!,! .. ;•..� � W. IiWiT!!,_i iwi iiiii iii '�w r y ii Iii�wiwi .ii:!lmliw-�.iw!!-i lii� i • !�!l�t. Ufa i/wiw . • wil i!d :ilk wiiii■ �!-i!!1/ i!OW-% i !!� iiiil�! ,!!,i ii�i1r_jm! mwill • - i iiiiiii'i s��i - iil ,iii:iii 5;�,�!`\ •iVii''� -�r�r.��,♦, -��,• a44&as ii i/ - I is«iitirr� /ice` Gni-�ii -� WIN WIN AMP /M �.,r� liisii .p... ..�,,MOW-. lw mm 01-15-1998 12: 10 9129229193 ECI CEMETERY SERVICES INC P.03 4mr"W ow 1Yom 10 LNI r rcaw �P�' °"*''�°" r r� ,a .a awairwoo ow 8 Or fto i un err!► Ow L �. oma'u►s nuc *IV mw wPhu, sr SAN w%* i� *W WJW WAM arc *sr m w :r ' re OSu,rear« �1r uuea arc w►rrv� *w urs Om uK o+w< urs am •s «r wursWX* ASPHALT PAMENT Its ?C ■ \r w 1 1 §WFPr'Me te' ►AIMS '�'trK S 89"14` W or urs woo 14.0 W Ir1l[MAO 1nt� •� 711r[tIt� r• •�Y.., �__ .. � If 0� � i1"um * eMlf I I Wl _U C w 01-15-1996 12: 10 9129229193 ECI CEMETERY SERVICES INC P.02 m N 1 74.55' o0 645'34" E c'o °1 N 00 34 IrW Ma I � 75, fAl r ;up p O z ou C7 w ZE I � Ir 1 Tr 1 Ir ' « PSR•3* 23 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH f � P RMIT II"II O ATIt? I - - . w.; LOCATION INFORMATION perm t `gmbe,X 3 2 - Add ress i 1500 MAIN STREET fermit ;T Pe-POUNDATION ONL' ATLANTIC BEACH, FLORIDA ��' cl s c f Work.NEl� �� ..»-_-- LEGAL DESCRIPTION' ----------- Constr. TypeaCONCRETE BLOCK, Block. Lot : TwP opos d Use. sections. 0 Subd:4 Rnq Dwe11 ing's*. 0 Subdivision, � Est , value! 0 :01 Improv. Cost , 600 .00 Total Pecs 25.00 Amoun 25 .010 . Date9 S Rork. SIT FOR. NEW COLUMRARIAH .: i s If91V :: t" APPLICATION FEES wneT efl +� r RET ,.. . R,E,k ,Dt „lA FL s qg , Tm ~ C A R ORMA' IO . . �, CAL NID CON RUCT"IO� ; Irb0,6 JACKS0N BEACHF, FL2 2 40 3Ca `RrS ,�z Exp. T C sN§ t . ° k '""' I NOES; i I a � It NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE ( CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER ;!�- AILURE TO COMPLY WITH' THE MECHANICS' LIEN LAWcA:N RESULT IN HE PROPERTY OWNERPAYING TWICE FOR SUMMING MPROVEa1�lIENTS.. 1SUED ACCORDING TO APPROVED, PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR t VIOLATION OF APPLICABLE PROVISIONS OF LAW. ,M*14 CKS AT!.ANTIC BEACH BUILDING DEPARTMENT v7 , ,-'7746- CITY OF ATLANTIC BEACH FFO 1998 PERMIT APPLICATION REMODEL, ADDITIONS, OR ALT 4WOTf aht(c Boach MOVING,DMIOLITIONS guil�iif► rjrrtfjltl Owner(s) Address: /.fid 0 1��3TL7 iJ t'L.r'�c' Phone: Lot # Block or Unit # Subdivision: C on t r c o r: e�fa Zlsr ,1,y-'1 ems_/�//z�,�'l�l `2 State License # Address: 1�Q ,��/� Phone No: city 1/2 Zj `�jQ `/ State Zi^ Describe work to be done:�f'� Present use of building: Valuation of Proposed Construction: !t � e Proposed use: is this an addition?. 4,41 If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT TBREE (COMFRCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMNENCti..MENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: �i Signature CONTRACT ` - -- Date: = / Sworn to and subscribed before me this d of MICHAEL HILLEGASS Notary Public, State of Florida NOTARY PURL E OF FL0 AT LARGE My Comm. expires Nov. 28, 1998 Comm. No. CC 415859 Date: F[B 0 C 1 Atlantic Bea ire Marshal Atlantic Beach Fire Dept. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 .- .>14 P IN "OIC{. :z . " ',. LOCATION.INFORIIIIATI'ON i. Permit Number: 19172 Address: 1500-1 MAIN STREET Permit Type: UTILITIES ATLANTIC BEACH, FLORIDA 32233 Clads of Work: NEW Township: 0 Range: 0 Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: 0 Square Feet: Subdivision: SECTION H Est. Value: Parcel Number: Improv. Cost: OWNEKINFORMA1OI Date Issued: 11/16/1999 Name: BEACHES MEMORIAL GARDENS Total Fees: 1,250.00 Address: 1500 MAIN STREET Amount Paid: 1,250.00- ATLANTIC BEACH, FLORIDA 32233 Date Paid: 11/16/1999 Phone: (904)241-2411 Work Desc: SEWER IMPACT FEE PROPERTY OWNER SEWER IMPACT FEE 1,250.00 NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CASH Date: 11/16/99 91 ReceipPt:5 0812232 ATLANTIC BEACH B ILDING DEPT. 41000343520 Y Of - � CST �Q ;;dtn9sQ��C,��pN g ct gU Ott fovk 9igttiot too ' A A t,A- (� P M MEcHA&IC`ACa colla. Date Nyg;N� M4 ,Place d Rttactot pt Etrepia� S� givUC obPddtess ��,ECSRI P,%-C UP °"t �`eE / hW'ItC tj tanet NGaE�� C SemP pole O Ertda�- ' E'nai gP Name F°° SO�pgN s� ei o IkEPp`(Fovk Elo fkER0°fln9 N1ed °'? VMS\/ 0 cogs nll Tues• ( /r �ettiti°ate°f M°n Date tnsP�C�on M e tRSPaGiOt s ct�Y Of, Asa ��`- ptticia ;� Allaince FOR,N of Buiiaieg SPEC-ooN EQV�S� Per"`rtN°• R ptstrtct N0' t i P M. t� ,� „,� ,:�,, NICP►. �" g1NQ H�ttn9 4 pate ._ r p`VM G aerved t� ,? N rC,onEt'Cp� R°a9h G Fire ab bPddress ' Ei'Eevl�nng ToPO� pM �n9n dwner's pNpRE�E iemPpOie C�ipN t priday dame �V14piNG G Staboll G EP Y FI"iNspE Sn°rs. Framing G olleR ( Soo,lton Ca Re F�i�n9 Ftnat Ir+ UPancY s J C-1k:c�t9of Mon' Date Made f ion insP� InsPectOr CITY OF 4&4akc Afl'acli-0;&s Office of Building Official REQUEST FOR INSPECTION Date y FLf Permit No.— RV Time A.M. Received P.M. District No. Address /yJr�- ontractoi� LocalityName{s , .A41 X t 5 5 � BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air,Cond,& 0 Re Roofing ❑ Slab 5-" Temp Pole ❑ Top Out ❑ Heating Lintel 0 Final ❑ Fire Place ❑ --•i�_.S�'"( Pre Fab REAEWFOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. 4 'A-M� Inspection Made �" P. 1 inspector c Final inspection❑ Certificate of Occupancy t Date of . OtA ptt`e FSA�r►S t� vEsrt �fmtN° R�Q Q`stt+�N° Date :`�' Go�t�act0r pLU � F�teF b ��,CPL RoQ9C Ti Ot Pt pM;�ived T P � it �dd,ess pt `f aE�� Po mP Pote pIA F�tday` '.m s 9 Float pp�NSP�C noaN �. 3l^ P iaU\L R R "°telP`nat t° suPa�cY FOoin9 `N� r t,1f c0t\ttCat6°t Tues. } l Date n Mape i \Iwelo< `l , yololdsu\ uo�l�dsu� aPeW OVA atieO .: ars - Fauedn'0 su�,eul� r�M � � 101 u+.4 00At'i r ye>� W sanui N,y d�` 'ams O 0Ntio 1'We VA Nolio��s \d e), Noo s;auroo O a��1A ob 6uU+Mq ` `? ssa�PPd q d nOdoi v Flo vV`W )\6nob O� eoe\d (`ld io�pe+� T" mss eaH W p P� .pd �� oN�0196 �lS.�0o ao\'d !0,30oo No�y��;�o5,410IN AO �lr� ' c��'� ° y�}M,. ptti�iai ISO ptts��QR�Nmi`No �j RsQv 'CotrictNo �tttYP pNiGpp M EctN M a. G P`v n9 U s %pA p H� r °to PV as Date o9r pteF 1,.t P�eiv� q� EG�EiCpi.o 109 out �p.M aavess Ei- n�istnA C boa P E-(E Po R+Pp°ie ptiaa9 ( GO NCA to piipN Nan';49tt►G 0 s t a EP .{FpaiNS�E �s%P ton Vtn U ce P U "�T" p �andn9 Q V�ea' Finat MguPac�Y Fte „�'� �� Gertttt�teo Mon' aae insP��onM insPgGtot ( UTILITY SERVICE AGREEMENT (Water fir) THIS AGREEMENT entered into this gday of , II1-If C. ',7I- 198between the City of. Atlant'ic Beach , a Mun cipal corporation, hereinafter called"City", and corporation, its successors and assigns, hereinafter called "Developer". W ITNESSET1-1 : WHEREAS, Developer owns land in Duval County, Florida, more particularly described as refer to acreage, plat engineering drawings, or legal descr-pti.on as Exhibit A and WHEREAS, Developer plans to develop said land by constructing ' buildings,' ' ' -- residences and/or other improvements thereon consisting of v and WHEREAS, City is the owner of water and sewage treatment plants and water distribution and sewage collection systems in the vicinity of the property described above; and WHEREAS, Developer desires that City provide water and sewage collection service to said property and City desires to furnish same; and WHEREAS, City is willing to operate such water and sewage collection and treatment systems so that all buildings constructed on Developer's property by developer or by any person, firm, joint venture or corporation holding by, through or under Developer may have furnished to them and to their occupants water and sewer service subject to all terms and conditions of this Agreement; and WHEREAS, in order to provide water and sewer services to Developer it has been or will be necessary- for City -to enlarge and expand its offsite water and sewer plants and facilities and :it is the desire and intent of Developer to contribute financially to the costs of building such additional offsite water and sewer plants and facilities and to reserve capacity in City's water and sewage treatment plants so that City can provide service to the Development without imposing a burden on its existing customers; NOW, THEREFORE-, in consideration of the premises and other good and , valuable considerations and in consideration of the mutual covenants and conditions hereinafter contained, subject to any necessary approval by other governmental agencies having jurisdiction, it is .agreed by the parties hereto as follows: 1. Developer agrees that City shall have the exclusive right to furnish water and sewer service to the real property described above and hereby grants to City . this exclusive right-to provide water and sewer service for all uses within all structures now or hereafter constructed on the real property described above. 2. City agrees that after Developer has connected to the systems of City, City will provide at its own cost and expense, water and sewer service to Developer's property in a manner conforming to the reasonable requirements of public or governmental agencies or parties having jurisdiction over City's water and sewer operations; provided, however, that such service shall be in accordance with other provisions of this Agreement, including City's rules and regulations and rate schedules. 3. In the event that Developer or assigns fails to complete construction of all improvements required to be built by Developer and fails to pay all plant and service availability and other fees listed in this Agreement within six. . . . months from date of execution of this Agreement, for any reason whatsoever, but through no act or fault of City, this Agreement shall terminate and City shall be relieved of its obligation to perform under this Agreement. upon termination of this -2- Agreement under this provision, City reserves the right to negotiate with Developer a new agreement for any additional sums to be paid by Developer to City as plant capacity and service availability charges, fees or other charges based upon increases in the .cost of living and/or such other factors as relate to the cost of supplying water and sewer service. 4. All taxes or charges imposed upon the property described above by any governmental entity or agency shall be paid by Developer except such part thereof that has been deeded to the City in accordance with tho terms of tills agreement. S. The rates charged by City for water and sewer service shall be in accordance with its rate schedule which shall be subject to change . from time to time. City shall have the right to determine reasonable meter size and location. 6. Developer will grant to the City, at Developer's expense, adequate easements for water and sewer lines, for access to lift stations and water stations and related appurtenances. Said easements shall be transferable. Developer will also furnish title evidence satisfactory to the City that said easements are superior to mortgages or other interest in the land, and Developer shall cause any such mortgages to be released or subordinated to said easements. Casements will also be furnished to provide for onsite water distribution lines, including meters and sewage collection lines. Sites for lift stations and water stations and related appurtenances shall be conveyed by warranty deed in fee simple by Developer • to City. Developer will furnish City a warranty deed, title evidence satisfactory to City and any releases from lien holders for any sewage pumping station and water station sites as required by City. Developer hereby grants to City the right to utilize any onsite water and sewage lines and systems to provide services to properties other than Developer's property, provided this does not unreasonably interfere with ; service to Developer's project.' Where Developer's property is adjacent to any state road right-of-way, City will be granted a 25-foot easement, along and adjacent to said state road right-of-way. Developer shall further grant to the City, its successors and assigns, the exclusive, '.perpetual right, privilege and easement to construct, reconstruct, operate, maintain, repair, replace, improve, alter, remove, relocate and inspect water transmissions and distribution mains, sewer collection mains, sewer lift stations, pipe lines, lateral lines, valves, connections and appurtenant equipment over, across and under the Developer's property, including the right to ingress and,egress to each of the building sites on Developer's property which are served' by City. All such easements shall have a .width which is acceptable to the City. 7. City does not guarantee an uninterrupted supply of water, or water at any particular pressure, and reserves the right to shut o££ the water in its main at any time for the purpose of making repairs or extensions of for providing temporary or emergency water supply. City will not be responsible for any damage caused by low pressure or interruption of service. Neither Developer nor any of its successors or purchasers shall discharge into the sanitary sewer system water from "non-domestic" drains including without limitation swimming pools, air . conditioning condensation lines, cooling lines or other discharge from any type of equipment. City shall not be obligated to furnish any water or sewer service to any building which is built on Developer's property to which the City does not have access. The Developer hereby agrees and warrants that the City will not be held responsible for flooding problems which may result from the failure of sewer line back flow preventor valves on Developer's property. The Developer hereby agrees to hold Harmless and indemnify City for all costs and damages resulting from flooding due to .back flow preventor valve failure. 8. The construction and design of all facilities. to be transferred to and to be owned and operated by the City shall at all times be subject to prior approval by the City and its engineers. City will provide assistance to Developer's engineers as to design and construction requirements and must approve all plans, documents, and construction requirements in writing prior to any construction being commenced. Construction of all facilities will be performed by Developer or its contractor. Developer will pay the cost of all such construction. The Developer's engineer shall incorporate into the Developer's engineering design, plans and specifications the applicable standards and specifications of the City. 9. A. If the Developer modifies his development plans for Developer's property which would require greater water usage, greater fire flows, additional water facilities, greater sewage flows, or additional sewage facilities than the water and sewer demands previously approved by the City, then the Developer must obtain approval by the City for the construction of such additional water or sewer facilities which shall meet all City and governmental design requirements. The Developer shall pay all additional contributions and fees as may be authorized by the City's service availability policy which is in effect on the date said new agreement is executed. B. In addition to paragraph 9A above, any other change order between Developer and its utility contractor issued after City approval of original plans must be approved by the City before the change order is put into effect. C. City shall have the right to review the systems design drawing and specifications to ensure that they meet the requirements of the City. The systems design drawing and specifications are to be in accordance with the City of Atlantic Beach requirements unless otherwise .specified by City or its engineer. D. The City also reserves the right to approve the utility contractors to which construction bids are sent by Developer as well as the contractor to which the award is made. C. A representative of City or its engineers will be the .inspector of the project along with the Developer's engineer, but City reserves the right to final acceptance of the work and materials. , Neither the City or its engineers shall be deemed the agent of any other person in making such inspections. 10. After installation of the water distribution and sewage collection systems serving the property described above and acceptance thereof by the City, the City or its assigns shall then be the sole, absolute and exclusive owner of the facilities of said water and sewer systems whether located on, under, above or outside of the property described and regardless of who may have installed or constructed same to the extent described below: A. All water mains, pipes, valves and fittings and appurtenances up to and including all metdrs shall be dedicated to and will be owned, operated and maintained by City.. All water pipes on the customer's side of the meter shall be owned, operated and maintained by the customer or its assigns. , B. All sewer mains, manholes, pumping stations, force mains and appurtenances, including service pipes in public right of ways and dedicated easements, shall be owned, operated and maintained by the City. Except as provided in paragraph 9C, all sewer lines on the customer's side of the property line shall be owned, operated and maintained by the customer or its assigns. C. With reference to any blanket easements for multi-family projects such as apartments, mobile home developments, condominiums and PUU's or for commercial developments, all water mains to and including the water meter, all sewer mains, force mains and manholes in such blanket easements over private property allowing utility operations shall be dedicated to and shall be owned, operated and maintained by the City except that the full length of sewer services from the sewer main or manhole shall be owned and maintained by the customer. All such City lines shall terminate with a manhole. U. By these presents, Developer hereby transfers to the City, tl►e title to the water distribution and sewer collection systems to be installed pursuant to this Agreement, such .conveyance to take effect without further action upon the completion and acceptance by City of said installation. As further evidence of said transfer of title, upon completion of the installation and acceptance by the City, Developer will provide, City 'with , a Bill of Sale or Warranty Deed describing all properties transferred and dedicated to the City by the Agreement. 11. Developer shall pay the City upon. execution of this Agreement the sum of 10� per water connection per equivalent residential connection (ERC) as an advanced deposit to cover engineering, plan review, inspection, test, legal and administrative expenses of City in connection with this Agreement. Developer shall also pay to City upon execution of this Agreement the sum of 10¢ per sewer connection per ERC as an advanced deposit to cover engineering, plan review, inspection, tests, legal and administrative expenses of City in connection with this Agreement. The charges for engineering and legal expenses and for engineer's inspection and plan review. fee for non-residential units shall be based upon estimated cost to City: Actual cost will be determined and a refund or additional charge will be made for the difference between the advanced deposit as calculated above and actual costs. City agrees to . provide water and sewer service . to the Developer's property in consideration for plant capacity charges, fees and other charges to be paid by Developer as follows: A. A water plant capacity charge at the rate of $10.00 per fixture unit. Such charges shall be due and payable as provided in paragraph 12. B. A sewer plant capacity charge at. the rate of onethousand thirty five dollars ($ 1,035.00 ) per single family unit. Such charges shall be due and payable as provided in paragraph 12. C. A sewer plant capacity charge for any commercial customers on the land as described above at. the rate of W . ) , Such charges shall be due and payable as provided in paragraph 12. -7- F a D. A meter installation fee to. cover meter cost and meter installation (but not including curb stop or meter box) according to the City's service availability policy at the time of installation which currently is $85.00 per 3/4" x 5/8" meter E. If available, construction .water will be charged to building based on metered usage in accordance with current rates. F. Hydraulic share of main extensions - payment or refund. 1. Developer recognizes that water or sewer utility service to the Developer's property., is prpvided by the use of a mein extension and other improvements constructed by a prior developer and that Developer is obligated to refund a said prior developer"Developer's share of the cost of said main extension or other improvements. Accordingly, Developer shall pay its pro rata share of the cost of said' main extension or other improvements to City. Said pro, rata share shall be based on Developer's percentage of the hydraulic capacity of said extension or other improvements. For the purpose of this Agreement, the cost of Developer's said hydraulic share shall be $ payable upon execution' of this )Agreement. 2. With respect to utility facilities installed by Developer to which future developers connect directly, and .in consideration for monies expended by Developer toward said facilities, City shall refund to Developer, or Developer's successors or assigns, solely from monies collected from said future developers, said future developer's pro rata share of tine cost of said facilities. Said refunds shall be calculated on the basis of the Hydraulic capacity and demand of said future developer whenever feasible. The refund obligation of City hereunder and the benefits to Developer related thereto shall expire five (5) years from the date of execution of this Agreement. Said refund shall be made to Developer within sixty (60) days of the receipt of payment by City from .a future developer. Refer to addendum if applicable. G. Payment of service availability charges and other additional aids in construction for' ' , at a cost of $ 12. All charges to Developer shall be paid by Developer to the City in accordance with the following formula and. procedures: A. The advance deposit for engineering, administrative and legal fees and the inspection and plan review fee upon the execution of this Agreement, a total of ; and B. Water plant capacity charge upon the execution of this Agreement, a total of and C. Sewer plant capacity charge upon the execution of this Agreement, a total of . ' . ' and D. Meter installation fee according to the City's service availability policy at time of installation which currently is -2 yll' - ``�c'J upon application for hook-up of individual lots, apartments, multi-family lots or units; and E. Construction water based on meter readings in accordance with City's rate schedule; and F. Hydraulic share payment, in accordance with paragraph 11F-1 of this Agreement upon execution of this Agreement, in a total amount of-$ and G. Service availability charges and other additional aids in construction in accordance with paragraph 11G of this Agreement in a total amount of $ . . . • • . . ' . . payable II. Any plafit capacity charges, fees, or other charges due to City are intended to assist in defraying costs as to offsite facilities and in no way are to be considered a payment toward the cost of onsite water distribution and onsite sewage collection systems which costs are to be borne by Developer. 13. City agrees to connect individual buildings and structures on the developed property upon application by the builders, plumbers or individual owners subject to the operating rules and regulations of the City and payment of all fees and charges in effect on date of application and compliance by Developer with all provisions of this Agreement. 14. The charges, costs and fees for any separate emergency fire protection water systems. for subject project will be subject to negotiations between City and Developer. if buildings of more than two stories are a part of the project, Developer shall furnish at its expense water pumps and other appurtenances as necessary for pumping water above. 15. All plant capacity and service availability charges, fees and other charges as outlined above are based on normal domestic sewage defined herein as containing not more than three hundred (300) parts per million biochemical oxygen demand or three hundred (300) parts per million suspended solids. Whenever water which contains more than these amounts is to be admitted to the sewers, both the City and the pollution control agencies must specifically agree to the ' connection. An additional charge will be calculated in direct proportion to strength at seventy-five cents ($0.75) for each part per million of either biochemical oxygen demand or suspended solids over three hundred (300) parts per million. All such connections shall provide for a suitable point for the waste to be sampled by the City or the regulatory agencies. An additional charge equal to the pro rata share of any additional sewage treatment plant costs above ninety percent (90a) treatment, and of the cost of any additional required outfall pipes to may be required by City. Developer shall have the right at all reasonable times to inspect the invoices of the City in order to determine that said funds have been properly expended by City pursuant to this paragraph. 16. Developer warrants that it is the owner of or the holder of a binding contract to purchase the fee simple title of the real estate described herein and further agrees to have all mortgages or other liens subordinated to the terms of the Agreement and easements required herein prior to any acceptance of the facilities by the City. 17. Upon application by owners, builders or their authorized representatives, the City agrees to connect tl.►e :requested dwellings or structures on the said property at no additional connection fee (i.e. , in addition to those provided for above in this Agreement) , but subject to the continuing operating rules and regulations of the City including, without limitation, the periodic payment of the water usage and sewer usage charges in effect on the date of such application or thereafter reflected in the City's rate schedule. 18. This Agreement shall be binding upon and shall inure to the benefit of the developer, City and their successors and assigns. However, in the event the Developer has not paid and delivered to the City the plant capacity and service availability charges, fees and other charges provided to be paid to the City by Developer under the terms of this Agreement, and all easement and conveyances required by this Agreement, then this Agreement shall not inure to the 'benefit of the successors or assigns of the Developer. 19. It shall be the responsibility of Developer to locate for builders any water and sewer taps or lines necessary in conjunction with residential or commercial construction. 20. Unless the damage to any onsite improvements• are the result of the negligence or willful act of the City, its officers, or employees or authorized agents, the owner or Developer of such property upon which the damage occurs shall be responsible for the payment to the City of such damage to City's property including all necessary and reasonable repairs which must be. made by the City or independent contractors engaged by the City to effect such repairs. If the owner or developer of the real property shall fail or refuse to pay costs of such necessary and reasonable repairs to cure said damage within thirty (30) days from the submission to the owner 'of a statement' for such charges, the City shall , have a lien against such owner's or Developer's property subordinate to those liens created by or under agreements of record prior Hereto, for the payment of such necessary and reasonable costs and expenses for effecting such repairs and restoration. to such onsite facilities located upon the owner's or Developer's property. Notice of such lien or claim on lien describing - the real property and the amount owed may be filed within ninety (90) days of the date from the last date upon which any such repairs or restoration were made by the City or its authorized representatives. Thereafter, the City shall be entitled to bring an action for the foreclosed under the laws of Florida. 21. Prior to final acceptance of the utility and other public facilities improvements by the City the following requirements must be met at Developer's expense: A. If the property is platted, one copy of the recorded plat shall be furnished to the City. B. "As built" drawings of utility improvement shall be furnished one week prior to final inspection. "As built" drawings shall be certified by a registered engineer with the cost being borne by the Developer. Two mylar and three printed copies of said drawing shall be furnished to City. C. All lot corners shall be properly marked so that utility company or its engineer can, upon receipt of "as built" drawings, verify the marked water and/or sewer services as to location and depth. In addition, for purposes of locating and protecting installed service lines and valves Developer or his contractor shall mark each service line and all valves with an eight (8) foot pressure treated wooden post in the manner as shown on the design drawings and specifications. Developer's contractor is required to install curb stop, meter box and valve box on each water service and valve as shown on design drawings. D. All water and sewer services and valves shall be marked on the street curb by etching into the concrete or if no curbing is available, a two (2) inch square metal tag is to be nailed to the street's pavement and painted as ,specified on design drawings, G. Developer's contractor shall furnish a one (1) year maintenance bond in the amount of 100% of the cost of the facilities installed. The bond may be in the form of cash, surety build, or irrevocable letter of credit, the terms of wliicli will indemnify and save harmless the City from any loss, damages, costs, claims, suits, debts or demands by reason of defects in the workmanship or materials used in the facilities discovered within a period of one year from and after the date of acceptance by the City of the facilities. , C. A Bill of Sale for facilities from the Developer to City. , G. Conveyance of easements as required under this Agreement. 11. A deed for .any anti all land on which lift stations or water stations or other improvements if required by City. 1. The title evidence, mortgage . releases and mortgage subordinations as required in this Agreement. J. for onsite and offsite construction provide City an accounting of the actual costs (schedule of values) and releases of liens from utility contractors in such detail as the City requires. K. City shall have the right to refuse to accept title to Developer's construction until Developer's construction has passed certain tests, including, without limitation, closed circuit television inspection of the gravity sewer lines, witnessed by a City representative, to determine whether tiae Developer's construction is constructed in accordance with the approved engineering plans and specifications. Said tests may be performed at -least three (3) times: the first test upon completion of the system; the second test upon completion of all building, roads, paving, drainage, and all construction within the right-of-way easement area of adjacent areas. A third test shall be required if the City deems it necessary within a one (1) year period after acceptance. L. Letters of acceptance from the appropriate regulatory agency for the water, and/or sewer system, are required prior to final inspection. M. A copy of the certified water pressure test and force main test as applicable, N. The certification by the design engineer that the system was constructed as designed is required prior to final acceptance. U. Pump performance test on pumping stations if applicable. y , 22. All notices that may or must be given under this Agreement shall *be in writing and shall be valid if mailed by United States i registered or certified mail, postage and charges prepaid from addressed as follows: To Developer.: To City of Atlantic Beach City Manager 716 Ocean Boulevard Post Office Box-25 Atlantic Beach, Florida 32233 IN WITNESS WHEREOF, tho parties 11orety have executed this Utility Agreement the day and year first written above. Signe s,�aled and deli.uored� in ie esence D elop Witness City o Atlantic Beach Witness — 14- i bl Tprfifiratr of ( rru ttnr CITY OF lfQftuC &4A- i9ppartmrnt of Suilhing Atoprrtinn This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification {"'' F,C)7.,7ii�,'3"�2=t� Bldg.Permit No Group Type Construciionf�('ll f F,9 r-(Iirc District. k 1.`I n I_t:, z:l: i s`.,0. �f :n, (iTtf`!1? '> �' ?_l„{a s ;-,,.p F, •"11 Fr! Owner of Building _ Address Building Address_ `' i1 1 6Llt r-2 Locality Building Official Date:_ _ _ POST IN A CONSPICUOUS PLACE BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested : February 19, 1988 Building Contractor: First Coast Builders Building Permit Number: 8584 Address: 1500 Main Street Legal Description : part of govt lot 1 Sec. 18 Township 2 South Range 29east Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Mausoleum Lowest Floor Elevation: XXXXXX ----- ---- ---------- ---------- required as built n/a Sales Tax Certificate: ----------------------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: B . Fire Chief ___-X19188_____ Public Works Planning Director _ 2 L91 88 - Building Inspector 2/18/88 --------------- STATE OF FLORIDA - DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT WSF. Authority: Chapter 381, FS Chapter 10D-6, FAC Applicant Beaches Memorial Gardens Permit Number 54129 lb0Q main Street, ------------PART I -SYSTEM CONSTRUCTION SPECIFICATIONS AND CONSTRUCTION APPROVAL------------- Treatment Tank Minimum Draintrench OR Minimum Absorption Size Bed Size Septic tank or Grease aerobic unit 750 gallons interceptor gallons Square Feet 250 Square Feet Septic tank or aerobic unit gallons Dosing tank gallons Square Feet Square Feet Graywater tank gallons Square Feet Square Feet Laundry waste tank gallons Square Feet Square Feet Other Requirements: Benchmark is 60" above site grade, located on large oak tree S.E. of proposed system site, marked with orange paint. (a) Installation must be in accord with requirements of chapter 10D-6, FAC. (b) A system construction permit is valid for a period of one calendar year from date of issue. (c) Final installation inspection and approval is required before the system is covered. (d) Invert of stub-out for BUILDING to be 27" ahave site grade benchmark. Invert of stub-out for to be nr 33" belag the--------------benchmark. Invert of stub-out for to be benchmark. Invert of stub-out for to be benchmark. (e) Fill quality and quantity: Excavate to 40" in drainfield area to remove unsuitable soil Rainkfill to 15" above site grade with nakridgp 1-lipe sand_ Provide 12" - 950 aq ft drainfield. Bottom of drainfield will be 15" above site grade or 45" below the benchmark. Provide 9" cover. Top of system will be 36" above site grade or 24" below the benchmark. (f) Other: Maintain 75' from water well. Maintain 50' from drainage ditch. Maintain 10' from water lines. Maintain 5' from buildings and property lines. EXCAVATION AND FILL TO BE VERIFIED BY THIS OFFICE. Environmental Health System design and specifications "onki' Title Specialist c Construction authorized by: Embree A. a ker II, Supervisor Date $/21/87 naval County Public Health Unit Note: Completed copies of this form will be provided to the applicant, installer and the building department. AUDIT CONTROL NO. 86006 HRS-H Form 4016,Feb 85(Obsolete,previous editions which may not be used) I (StockMnmberr5744-001-4016-0) Page 1 of 2 Q•�. n r� BOATWRIGHT LAND SURVEYORS,INC. A PART OF SECTION 18, TOWNSHIP 2 SOUTH, RANGE 29 EAST, DUVAL COUNTY, FLORIDA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: FOR A POINT OF REFERENCE COMMENCE AT THE SOUTHWEST CORNER OF BEACHES MEMORIAL GARDENS UNIT ONE, AS RECORDED IN PLAT BOOK 36, PAGES 14 AND 14A, OF THE CURRENT PUBLIC RECORDS OF SAID COUNTY; THENCE NORTH 04026123" EAST, ALONG THE WEST LINE OF SAID BEACHES MEMORIAL GARDENS UNIT ONE, A DISTANCE OF 117.31 FEET; THENCE CONTINUE ALONG SAID WEST LINE, NORTH 11044'20" EAST, A DISTANCE OF 42.78 FEET; THENCE CONTINUE ALONG SAID WEST LINE AND A NORTHERLY PROJECTION THEREOF, NORTH 00°10'50" EAST, A DISTANCE OF 124.43 FEET; THENCE NORTH 89' 49' 10" WEST, ALONG A WESTERLY PROJECTION OF THE SOUTH LINE OF THE LANDS DESCRIBED IN DEED BOOK 1072 , PAGES 144 AND 145, OF SAID PUBLIC RECORDS, A DISTANCE OF 476.0 FEET; THENCE SOUTH 00010'50" WEST, A DISTANCE OF 25.0 FEET TO THE POINT OF BEGINNING; THENCE CONTINUE SOUTH 00010'50" WEST, A DISTANCE OF 98.0 FEET; THENCE NORTH 89°49'10" WEST, A DISTANCE OF 68.0 FEET; THENCE NORTH 00° 10' 50" EAST, A DISTANCE OF 98.0 FEET; THENCE SOUTH 89°49'10" EAST, A DISTANCE OF 68.0 FEET TO THE POINT OF BEGINNING. TELEPHONE 1401 PENMAN ROAD SUITE"D" 241-8550 JACKSONVILLE BEACH,FLORIDA 32250 BOATWRIGHT' LAND SURVEYORS,INC. A PART OF SECTION 18, TOWNSHIP 2 SOUTH, RANGE 29 EAST, DUVAL COUNTY, FLORIDA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: FOR A POINT OF REFERENCE COMMENCE AT THE SOUTHWEST CORNER OF BEACHES MEMORIAL GARDENS UNIT ONE, AS RECORDED IN PLAT BOOK 36, PAGES 14 AND 14A, OF THE CURRENT PUBLIC RECORDS OF SAID COUNTY; THENCE NORTH 0402623" EAST, ALONG THE WEST LINE OF SAID BEACHES MEMORIAL GARDENS UNIT ONE, A DISTANCE OF 117.31 FEET; THENCE CONTINUE ALONG SAID WEST LINE, NORTH 1144'20" EAST, A DISTANCE OF 42.78 FEET; THENCE C`ONTT�lIiF nLO*iC S.I WE ST LINE AND A 11OR THERLY PRO.ir;CTION THEREOF, NORTH 00'10'50" EAST, A DISTANCE OF 124.43 FEET; THENCE NORTH 89049' 10" WEST, ALONG A WESTERLY PROJECTION OF THE SOUTH LINE OF THE LANDS DESCRIBED IN DEED BOOK 1072, PAGES 144 AND 145, OF SAID PUBLIC RECORDS, A DISTANCE OF 476.0 FEET; THENCE SOUTH 00" 1050" WEST, A DISTANCE OF 25.0 FEET TO THE POINT OF BEGINNING; THENCE CONTINUE SOUTH 00°10'50" WEST, A DISTANCE OF 98.0 FEET, THENCE NORTH 89°49'10" WEST, A DISTANCE OF 68.0 FEET; THENCE NORTH 00° 10' 50" EAST, A DISTANCE OF 98.0 FEET; THENCE SOUTH 89°49'10" EAST, A DISTANCE OF 68.0 FEET TO THE POINT OF BEGINNING. TELEPHONE 1401 PENMAN ROAD SUITE"D" 241-SSSO JACKSONVILLE BEACH,FLORIDA 32250 FEE $10.00 APPLICATION FOR ML PERMIT CITY OF ATLANTIC BEACH .PROPERTY OWNER / Name: 15,:5? e S / /�� IL�1� / [.?G1/-lI c'�v,�-� Day Phone Address c L�0 U APPLICANT, IF O= THAN OWNER , Name: Day Phone Address,, Zip JOB Address or Location: Legal Description: Is well to be used for drinking purposes? 6) D Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: I agree to comply with regulations stated herein: Y�O-' / '-�7 - f/ - g- �7 SlignAtute Date i DEPARTMENT OF BUILDING �� ` CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. _ PERMIT TO BUILD 1 n.sp i 0.0i3CK THIS PERMIT MUST BE POSTED ON JOB 16 0 e. ( Al 121011F...: 93,19 0017AC; Date 0 mh _r 1 19__81 Valuation$ Fee$ 10.nn 1 � This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. i This is to certify that Beaches Memorlal Gardens has permission to b __ install shallow well Bot for drinkin I purposes Classification Meso 1 eum Zone Owned by Beaches Memorial Gardens P 9 Lot part of govt iot '-Block Sec. 18 S/Ds 29 cast House No. i 500 Main Street I According to approved plans which are part of this permit i NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4 1 4--1 0 Building material,rubbish and debris 31 from this work must not be plac' j in p01* c space, and must be cle d and auled away by eithe on- It owner. Building Official. j FOR OFFICE PERMIT DATE iUSE ONLY NUMBER CONTRACTOR i PLUMBING ELECTRICAL SEWER WATER 'low. ..ISR.. CITY OF ATLANTIC BEA!►CH No. 0040 FLORIDA November 10 1487 NAME Beaclies Memorial Gardens ADDRESS 1500 Main Street . 06.00 . CITY Atlantic Beach 32233 196.0Cu / 6 AU .000A' 5;9 IA 11/10/ P a 1 D 1011 Water Tap Fee #40-343,3700 NOV 10 1981 $196.80 1500 Main Street When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER USE THIS FORM FOR 'ESTIMATES ONLY TAP FEE FOR 3/4" METER Terry Estes - METER FEE HAS BEEN PAID 1500 Main St. (Beaches Memoria� Ph; 241-2411 DESCRIPTION QTY. MATERIALS LABOR TOTAL 1 X 6 SADDLE PVC 1 13 25 POLY BUSHING 1" 2 POLY TUBING 1" 15FT 10 80 INSERT 1" 2 7 60 CORP STOP 1" 1 17 40 CURB STOP 1" 1 17 40 SLIP THREAD REDUCER 1" I 23 Sub-Total 81 28 10% O.H. 8 13 Total Material $89 41 2 men hand dig(S12-94)/ig for RRS 8S1 7f; Total Labor $6 39 MATERIALS IAnon TOTAL TOTAL $89 41 $67139 $156 80 MISC. JOB EXPENSES AMOUNT OTHER JOS EXPENSES 40 00 Truck($10.00/HR)for 4 HRS TOTAL COST $196 80 $40 001 TOTAL SELLING PRICE LESS TOTAL COST 1 / GROSS PROFIT 1E63 OVERHEADCOSI •. Of SELLING PRICE TOTAL NET PROFIT ' i CITY OF ATLANTIC BEACH No. 5461 FLORIDA August 28, 19 87 NAME JAMES BROTHERS CONSTRUCTION J ADDRESS 535-J Atlantic Boulevard CITY Atlantic Beach Florida 32233 PAID SEP 011981 51,7 WATER IMPACT FEE #40-343-3700 `. 4 „ $155.00 1500 Main Street Beaches Memorial Gardens; Officio When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 TELEPHONE: 249,2385 F UTILITY BILL SEP 011981 DATE WA,ERs WATER SEWER GARBAGE OTHER TOTAL DUE THIS REC IPT SE VES AS A WORK ORDER. T KE REC IPT TO PUBLIC S� q WORKS D---PT. TO SCHEDU WORK. 1200 SA DPIPER ANE. RETAIN THIS STUB PAYABLE IN ADVANCE SERVICE DISCONTINUED NO REFUNDS IF NOT PAID WITHIN 30 DAYS OF DATE SHOWN Address• J S� d M Jk r/i Ileated Square footage ,� q Garage/Shed $ 'per sq ft = $ Carport/Porch @ $_ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per. sq ft — $ TOTAL VALUATION; $ Total Valt/on 1s t $` Remainder Valuation ,OcTer t1iousand or portion thereof " ------------------------------------------- -1 Total. Building Fee ADDITIONAL PEItMTS and/or IMS REQUIRL'D + Filing I ee Mechanical ✓ i O'Fireplaces @ 15.00 $ PlUIbing ✓. ; BUILDING iPERHIT 'FEE, $u => } �', • '� Electric/Neta ./ �------------------------------ __-----_------_ Electric/Taij) Septic Tank BUILDING PERMIT $ WATLR MU i7;R CI Well '• � � $ S'riming Pool SEWER IMPACT FEE Sign WAIIM IMPAGT FEE, $ / �%, c' Water Connection �� MISCELLANEOUS $ Sewer Connection $ Water Meter ✓ $ Elevation Certificate ' GRAND Ta.TAL DUE $ 16 ' -------------------------------------------------------------------------- CALCULATIONS and/or NO'T'ES CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Required Submittals: 1. Two complete sets of plans 2. Detailed site plan including setbacks and utilities 3. Recent survey 4. Florida Energy Efficiency Code Sheets 5. Contractor's license on file Inspection Schedule: 1. Footing 2. Rough Plumbing 3. Slab 4. Framing, rough electric, mechanical, top out plumbing, fireplace 5. Final inspection 6. Certificate of Occupancy inspection Requests for inspections will be accepted fromm 8:00 am until 4:00 pm. All inspections will be made the following working day between 8:00 am and 4:00 pm. In case of rejection, re-inspection must be called for after corrections are made. There will be a $10. 00 charge for all re-inspections, to be paid in cash before the re-inspection is made. Pour no concrete or cover up any work until the building card is signed by the inspector. You will be required to uncover any work that has not been inspected. BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE Building Department 716 Ocean Boulevard Atlantic Beach, Florida 32233 ii 249-2395 �. page 1 '�u ing and Zoninc CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Mailing: P.O. BOX 50938, Jax. Bch.,Fl. 32250 Owner BEACHES MNDRIAL GARDENS --Address-150O Main St_ ____zip 32233__phone 246-3121_ Architect-VEM _________Address 420 So. 3rd. St.,Jax.Bch.,Fl.zip_32250 _phone 21150 ----- -------------- James, Stephen P. Contractor_ ,�BM5.Cnn� Inc._Address 535-J. Atlantic_Blv_d.A_tl._Bch_.zip 32233__phone_249-2274 Contractor's License number CBC 039225-.-------expiration ----------------- ------------ Tipp 2 South, Range 29 East, Duval County Lot------- k or Section_ 18______Subdivision---------------Zoning........ Corner of Levy Road and Main Street_Mqjn_---------between--------------and side ___________ Type Construction Frame No. Units__1_______No. Fireplaces 0 -------------- ----------- Purpose of Building______Office_ Est. Valuation $ ---------------- -------------- Utility Method - Water_CitY_________ Sewer_�Pltic_____-- Dimensions - Building__45' X 50'_ Lot 148'-X 151' Size Footings_ 12'1 X 24" -----Lot- Sz. SillsNAGreatest Span SillsNA__________ Sz. Ceiling Joists_ NA _Distance on Centers--------- Greatest Span_______ Sz. Floor Joists _ NA------Distance on Centers---------Greatest Span_______ Sz. Rafters _jUjgSp ___Distance on Centers__2!1 Greatest Span_' Method of Heating_Electric Solid or Filled Ground Filled Roof_Siny,lely__ Flood Zone_ No----If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner Date__ Signature Contractor . page 2 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: -------------------------------------------- Flood Zone: -------------- Required Lowest Floor Elevation:_______________ If building is located within a flood hazard zone (Zone A), 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 effecting the proposed development. Date..............Applicant 's Signature_________ ----------------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation _________________ As Built Lowest Floor Elevation ____________ Survey Filed with Building Department ----------------------------------- Building Department Representative page 3 City of Atlantic Beach Fixture Unit Worksheet for Water .Impact Fee '. FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. - ()--BATHROOM GROUP CONSISTING OF _CSERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) -in--WATER CLOSET VALVE _ 3--WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) ( _BATHTUB/SHOWER ' (2) __URINAL WALL LIP (4) _,__SHOWER GROUP PER HEAD (3) _Q__FLOOR DRAIN (1) _ Q--SHOWER STALL DOMESTIC ('2) _Q__LAUNDRY TRAY (2) __3 _LAVATORY ( 1 ) __C _COMBINATION SINK AND TRAY (3) _ _WASHING MACHINE (3) -L--POT, SCULLERY SINK (4) _Q _DISHWASHER (2) --Q--WASH SINK EACH SET OF -0--KITCHEN SINK (2) FAUCETS (2) _0__DEHTAL LAVATORY (1) _KITCHEN SINK WITH WASTE D GRINDER (3) _ __DENTAL UNIT OR CUSPIDOR (1) _L _BIDGET (3) v__URINAL STALL, WASHOUT (4) _Q_FLUSHING RIM SINK (8) - ()-_COMBINATION SINK AND TRAY WITI _ _ O_URINAL, PEDESTAL, SYPHON JET FOOD DISPOS. (4) BLOWOUT (8) •__L__DRINKING FOUNTAIN (1/2) --C)--LAVATORY, BARBER/BEAUTY SHOP (2) _ 2--LAVATORY, SURGEONS (2) __Q_SURGEONS SINK (3) _L__ICE MAKER (1/2) i�, S o0 TOTAL FIXTURE UNITS___ @ $10. 00 EACH JOB INFORMATION__ Too /`I�1.1� �1-=------------------------- DEPARTMENT OF BUILDING _ CITY OF ATLANTIC BEACH,FLORIDA PER# NO. f PERMIT TO BUILD 9054, •�'��" THIS PERMIT MUST BE POSTED ON JOB 5u04 I n g/rT/ 100 Date August 28- 19 87 88,87S,00 306.75 Valuation$ Fee$ 7 a 50CI 5539 1A 8/28/8 This permit not valid until above fee has been paid to City Treasurer,and is 9054 *OOCAC I subject to revocation for violation of applicable provisions of law. 5539 1 A 9/28/13 This is to certify that JAMES BROTHERS CONSTR u, CBC039225 535-J Atlantic Boulevard has permission-to build of fi c"o ac pe,- „t flAc Classification Rural Zone OR i Owned by &L-gIt Reaches MMOria2 rar. MS Lot Par of Lot 1 Block Section 1%/D i House No. 1500 MAIN STRUT According to approved plans which are part of this permit I I NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. J PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE ----� ---i o Building material,rubbish and debris -zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- or ovyner.. uilding Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF //-�``� ..��_� lQt�iGiit44 B�(jCA-4914 u-4 Office of Building Official REQUEST FOR INSPECTION DatePermit No, Time A.M. Received P.M. District No. Job address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing 0 Footing .' Rough Wiring Cl Rough 0 Air.Cond.S Ci Be Roofing 0 Slab (Pf Temp Pate C- Top Out O Heating Lintel 0 Final O Fire Piave 0 Pre Fab READY FOR INSPECTION AAL Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made Inspector Final Inspection 0 Certificate of Occupancy Date ofON ot ottt�� pR�N5p� $ 9ermttNo �StrictNO �; r� `� bra\qty tGp�. Date h ntractar�, P�-VM CA d F\re P\aA f�vved JL. G�pitC' o ToPout 5 epab pM. s fob Pddres j h t;\AO 9n�N\rVn0 I Cf ON�a�tE D TemPPOW p Frida! me ��, �� ynFoa BUimo9 S4�nte\ IkeADY D n Frail\n9 'Ned- Ftna\\nsPectlo uPy Pe Tues t Cit cafe°I 000 Mon' Made �- \nSPV-t,on t \ns�to DEPARTMENT OF BUILDING 9149 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 44#00 T Date Sept. 30 19 87 44.00&T 44.00 - 6619 1A ICI/C t IO Valuation$ Fee$ 914 9 •0 CIC It This permit not valid until above fee has been paid to City Treasurer,and is 6615 IA 10/01/6' �� subject to revocation for violation of applicable provisions of law. This is to certify that William J. Dononvan CAC039761 has permission to I= install heat/air Classification New Commercial Zone Owned by Beaches Memorial Gardens Lot Block S/D House No. 1500 Main Street According to approved plans which are part of this permit t NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4 44 01 O Building material,rubbish and debris Z from this work must not be placed in public,,space, and must be cleared up an&hauled away by either con- tr ow,eer.. ilding Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER w 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, III, and IV. LOCATION Street Addres OF Intersecting Streets: Between �(� //, /QJ BUILDING And An � D Sub-division ll- aot % rid . 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. Name of Mechanical � Contractors 1' 1 Contractor (Print) <J ' 12Master Nape of r c G'S e1y?0'e1AL �Ar Property owns Signature of Owner Signature of _ or Authorized Agent Architec+ or Engineer III. GENERAL INFORMATION A, Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? 0 Gas—❑ LP ❑ Natural EJ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 0 OS PERMIT 0 Other — Specify 1V. MIIICHANICAL EQUIPMENT TO If INSTALLED NATURE OF WORK (Provide complete lint of components on back of this form) ❑ Residential or X Commercial Heat (3 Space (3 Recessed O Central O Floor ' ' New Building / r Conditioning: ❑ Room (3 Control ❑ Existing Building Duet System: Materia Thickness E) Replacement of existing system Maximum opacity e.f.m. ❑ New installation(No system previously installed) (3 Refrigeration ❑ Extension or add-on to existing system ❑ Other — Specify 0 Cooling tower: Capacity g.p m. 0 Fire sprinklers: Number of heads 0 Elevator ❑ Monlift ❑ Escalator. (number) THIS SPACE POR OFFICE USE ONLY 0 Gasoline pumps (number) (Reeeiwd) 0: To (number) Remarks 0 LPG containers (number) 0 Unfired pressure vessel 0 laden Permit Approved by Date Q OIMr — Specify Permit Fes• LIST ALL EQUIPMENT AM CONDITIONING AND REFRIGERATION EQUIPMENT CVadty Approving Number Vnit■ Description Model Number Manufacturer ( Tori) AA HEATING - FURNACES, BOILERS, FIREPLACES sly AM*Vtns Number Units bercripticn Model Number Mmutacturlir ) 1 pvea TANKS liow Many Nandad Capacity Type T ftdd Name of Serial Approving and Dlmeodaess Contained wanutillictmw No. y j DEPARTMENT OF BUILDING 9101 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. V PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 10,110 T Date "•seTrt 3S.O�lCKT, . 16 19 87 61�1 1 A 9/15/t, Valuation$ Fee$ 38.00 9101 anOCA 6151 IA 9/15/1 This permit not valid until above fee has been paid to City Treasurer,and is 1 Lino subject to revocation for violation of applicable provisions of law. This into certify that B $ G Plumbing CFCO22533 has permission tc >X install plul�bing Classification Maus014IUM Zone Owned by Beaches Memorial Gardens Lot_ Pt of Gov't 1 Block Sec. 18 S/D sp 2 House No. 1500 Main Street 29 E According to approved plans which are part of this permit = NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE —� � O Building material, rubbish and debris from this work must not be placed in public space, and must be cleared = up atA hauled away by eithe con- or owner.. Building Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER 4�gs M CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION PLUMBING CONTRACTOR LICENSE RS CFC0 -.Al5 OWNER BUILDING CONTRACTOR TYPE OF BUILDING L% SINKS SHOWERS 3_LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. 4 CITY OF 716 OCEAN BOULEVARD _ P.O.BOX 26 �f ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 November 25, 1987 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspection his been made and is satisfactory; Permit #5789----1500-1 Main Street Permit issued to Bivins Electric Company. Permit #S488_--,-567 Selva Lakes Circle Permit issued to Adkins Electric Company. Sincere . Rene' /Angers Community Development rector cc; file RA/tb CITY OF ATLANTIC BEACH, FLORIDA c c1 � 1 Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 'b' 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: ER ELECTRICIAN SIGNATURE -/ NAME AQAW 7WVWQla P6��DDRESS: /sw S�zftf RFD BOX BLDG.SIZE BETWEEN:- RES. ETWEENrRES.( ) APT.( 1 COMM.X) PUBLIC l 1 INDUS.( I NEW( 1 OLD( ! REW.( 1 ADDITION( ) TRAILER ( ) / TEMP.( 1 SIGNS ( ) SO. FT. SERVICE: NEW O INCREASE ( 1 REPAIR ( ► FEE CONDUCTOR SIZE AMPS COPPER I ALUM. 66 SWITCH OR BREAKER AMPS PH W OLT RACEWAY XL EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. t•100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED Lv S 'DOTAL FEES SY'OD 1 I DEPARTMENT OF BUILDING R,�j R CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. "'" `" PERMIT TO BUILD l THIS PERMIT MUST BE POSTED ON JOB X7 .75 T Date 4/10/87 19 P79,75CKT 5 00 3 , 1 A. 4/4 3/0 Valuation$ 70.050.00 Fees, 279.75 X564 O)OCAC 503L4 IA 4/13/ 1 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that First Coast BuilderS,Inc. 2215 S.3rd St.#1202J. . Valle Patterson CGCO25011 has permission to build Mausoleum as per plans Classification Zone OR Owned by Beaches Memorial Gardens LTD Lot 1500 Block S/D House No. in Street According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 4—— 00 O Building material, rubbish and debris I ii from this work must not be placed in public space, and must be cleared up and,hauled away by either con- trutpr ok owner.. Bu' g Official. I t FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER I PLUMBING i ELECTRICAL I SEWER WATER -` ..ebb ! klC } —-- /s a c� ----------- CL2 LEC!RICAL PLUMBING tRECHANICAL fall liaG. Jilt `")'' yh h Air Cond. &Jif+ng Raag+ Heating g n�;ny Slate „N Pcle sp-Top Fire Place Fina! Pre Insu'.atl,�-, t.�ntef Pre Fab READY FOR INSPECTION A.M. Frida 4Jed. Thug. Y-�------ ' X on A .M. � UUU _ ivi. � Inst ti1a��c — _ - F a � s�ec�lon r -tc of Dccupancy . L � _ tJdressL�LC S L5�11012IAr- G fAk0C-_0 5 g Heated,Sq care Footage @ $ Persq ft = $ SCI. G *USF-z �p @ $ Scx� er sq ft = $ Carport/Porch @ $_ ersgft = $ Deck @ $ ersgft = $ Patio @ $ er sq ft = $ TOT VALUATION: �Fl ```-' _�� .�" '$ /'c��(IO• )moi_ Tota Valuation 1st Remainder Valuation er thousand or portion thereof ---------------------------,---------------- Total BuildingFee ADDITIONAL PER11TS and/or FE,S REQUIRED i + 2 Filing Fee Mechanical ; Fireplaces @ 15.00 $ Pltnibin i BUILDING!PEPiaT , S %' g7a� Electric/Neta Electric/Tai7p Septic Tank BUILDING PERMIT Well WATER ME11R CHARGE $ Swimming Pool SEWER IMPACT FEE $ Sign WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter $ Elevation Certificate ' GRAND TOTAL DUE ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Required Submittals: 1. Two complete sets of plans 2. Detailed site plan including setbacks and utilities 3. Recent survey 4. Florida Energy Efficiency Code Sheets 5. Contractor's license on file Inspection Schedule: 1. Footing 2. Rough Plumbing 3. Slab 4. Framing, rough electric, mechanical, top out plumbing, fireplace 5. Final inspection 6. Certificate of Occupancy inspection Requests for inspections will be accepted fromm 8:00 am until 4:00 pm. All inspections will be made the following working day between 8:00 am and 4:00 pm. In case of rejection, re-inspection must be called for after corrections are made. There will be a $10. 00 charge for all re-inspections, to be paid in cash before the re-inspection is made. Pour no concrete or cover up any work until the building card is signed by the inspector. You will be required to uncover any work that has not been inspected. BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE Building Department 716 Ocean Boulevard Atlantic Beach, Florida 32233 249-2395 page 1 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner £ fI£S ME/Ylt '/AL �' _�ddress l5 S3� �1-__zip3!- 4$t) phone r 935,5 Architect------------------Address--------------------zip......phone....... (f4),q�j B4-DRS /WC- . -IRx 6e#1 iG, Contractor AGc.E��r �S'.SUn _Address �5 5 Q -_zip S0 phoneo'2y ::�2_ '7 Contractor's License number G&CCao?.0)1 ....expiration_d'_3¢_- ; --_ _ LotBlock or Section---------Subdivision---------------Zoning........ StreeteMd�PA�_Qf�,_between MA/� and __side EV -------------- ----------------- C R V P 7 7-5- Type Construction('* 5,7 L No. Unitsg010oy _No. Fireplaces Al©�E -- ---- ----------- Purpose of BuildingfgLq �_,Cu M___ Est. Valuation $ Utility Method - Water /DAF ______ Sewer,*C) tj E6' Dimensions - Building��-A,_,3a------Lot 14IVDFF ,_____Size Footingsg _x��i___ Sz. Piere,T0X30 X / Q Sz. Sills ___Greatest Span Sills ---------- --------------- Sz. Ceiling Joists ____Distance on Centers_________Greatest Span_______ Sz. Floor Joists j� Distance on Centers---------Greatest Span_______ Sz. Rafters !! Distance on Centers------ _Grjatest Span_______ ,5v4, D/ Pau�'EO Co dc. l Method of Heating/1t© ESOlid or Filled Ground_aQL,21ZP) G7��Roof&LI �_e / Flood Zone If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner _ Date O Q � Signature ContractorDat _ $ ------ -------------- e --------------- page 2 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: Flood Zone: ----------------------- Required Lowest Floor Elevation:___________ If building is located within a flood hazard zone (Zone A), 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 effecting the proposed development. Date..............Applicant's Signature.......................... ---------------------------------------------------- Department Use Required Lowest Floor Elevation ................. As Built Lowest Floor Elevation ----------------- Survey Filed with Building Department ___________ BuildingDepartmentRepresentative page 3 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Required Submittals: 1. Two complete sets of plans 2. Detailed site plan including setbacks and utilities 3. Recent survey 4. Florida Energy Efficiency Code Sheets 5. Contractor's license on file inspection Schedule: 1. Footing 2. Rough Plumbing 3. Slab 4. Framing, rough electric, mechanical, top out plumbing, fireplace 5. Final inspection 6. Certificate of Occupancy inspection Requests for inspections will be accepted fromm 8:00 am until 4:00 pm. All inspections will be made the following working day between 8:00 am and 4:00 pm. In case of rejection, reinspection must be called for after corrections are made. There will be a 910. 00 charge for all re-inspections, to be paid in cash before the re-inspection is made. Pour no concrete or cover up any work until the building card is ;:Z!-"-.ad by the inspector. You will be required to uncover any work that has not been inspected. BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE . Building Department 716 Ocean Boulevard Atlantic Beach, Florida 32233 249-2395 page 1 • s CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner Beaches Manorial Gardens,�Td.__Addreas Main & Levy....._______zip 32Z33__phone 246-3121_ ----------------- Architect _ ___________Address--------------------zip......phone_______ Southeastern 403-3rd. Ave. South ContractorMausoleums Address ______zip 29582__phone �3-249-2959 Contractor's License number Ltr. of Satisfactory-Com>orpiration__________ LotBlock or Section---------Subdivision---------------Zoning........ Street __--_between..............and-----------------side----------- 240 Crypts & Type Construction Concrete & Steel No. Units 80 Niches. No. Fireplaces None Purpose of Building_Bur?a- of Human Remains-----------Est. Valuation 9 Utility Method - Water None-------- -- Monolithic Dimensions - Building 68' X 43'- ------Lot98'X 68' _Size Footings 3' X 20'_____ Sz. Piers—None------- s-------______Sz. SillGreatest Span Sills______________ --- - Sz. Ceiling Joists None -_Distance on Centers---------Greatest Span_______ Sz. Floor Joists 92" Comicrete S1 istance on Center Greatest ______Greatest Span_______ Sz. Rafters 5"' Solid Concrete Distance on Centers_1Greatest Span 20 Ft. Roof-Disposable Rafters., set on mmmetal scaffolding. p on Method of Heating_ to __Solid or Filled Ground Roof 5 ply Build-up. Flood Zone_"C"-_-If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary acc=?Ra to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner—Chester A. AdammLs_11 _ ------ -----Date--VX/L7 --------- Signature Contractort 0 ____Date__3/2L/R7__-_______ K. Wa Hone cutt, es t page 2 ' s FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: ............................................ Flood Zone• Required Lowest Floor Elevation:_______________ If building is located within a flood hazard zone (Zone A), 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 in on file with the Building Deper t:ssent. 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 Ho. 25-7-11 and all other laws or ordinances effecting the proposed development. Date _Applicant s Signature ---------------------------------------------------- Department Use Required Lowest Floor Elevation ______ As Built Lowest Floor Elevation -------------- Survey Filed with Building Department ........... ----------------------------------- Building Department Representative page 3 FORM 80DA - 86 FLORIDA MODEL ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION SECTION 8 -- SIMPLIFIED ANNUAL ENERGY METHOD ADMINISTERED BY THE DEPARTMENT OF COMMUNITY AFFAIRS 8 cl STATISTICS NON - RESIDENTIAL BUILDINGS PROJECT NAMEPERMITTING OFFICE �,ERcHEs M cqhL i� EVJs ADDRESS 114'r/_- JURISDICTION NO. CITY, ZIP CODE 3Z2n PERMIT NO.: BUILDER 7-t*Z z �r T <_ ZONE OWNER CNS BUILDING CLASSIFICATION(S) �( BUILDING VALUE S SYSTEMS AIR CONDITIONING HEATING TYPE EER TYPE UNIT NUMBER SCEOEPR TONS UNIT NUMBER COP STUH U = UNITARY E - ELECTRICAL RESISTANCE C - CENTRIFUGAL HP — HEAT PUMP P - POSITIVE DISPLACEMENT G — GAS O — OIL ENVELOPE COMPLIANCE ee a U _ SECTION 8 BUDGET WALL NO. 1 A r/D�{ O¢� BUILDING MBTU/SF 4- 80. 2 ROOF /61Z, SECTION 4 RAISED FLR / INT WALL BUILDING MBTU/SF CALCULATION METHOD: GLASS �O�C In accordance with Section 553.907 FS.. I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code TOTAL COND. FLOOR AREA = / ZS.F. OWNERAGENT DATE: LIGHTING TOTAL KW = V500 Review of the plans and specifications covered by this calculation indi- cate ndrcate compliance with the Florida Energy Code. Before construction is completed,this building will be inspected for compliance in accordance Compliance with Section 8 was demonstrated by a Prescrip- with Section 553.908 F.S. tive Measures methodology or by Dual Calculation. BUILDING OFFICIAL ❑ 807.2 Supermarkets Cl 809.2 Basic Features DATE 807.3 Restaurants 809.3 Dual Calculation 807.4 Kitchens Budget g C � I- N At sp LCC AL p .. * + 4 �,• • ta cc rc N� 4UO IL Z t ` d d a R7 t4 ti s "" c7 7. 0 x Irt It v + a ; coUs Z � w � • �,, a � pG W ?� ; W , Wus m ti s N1 u► ; to s 4 N` 54 W -10 W `- 0 Us d y C © e9 pC •+ A W W J d O 3 N j p O• i 'C O 0 c° H V N N j W j O d Z C! Ica 6 d �7— K WINTER SUBTOTAL S3S. 3 choose Heat CIL] START-UR HEAT At SUH choose r rr ,= Cool Hea# Cool Cool M SUBTOTALS 1 ar H C5 3S, H C 2)�J {,� C 2t,44 N HEAT/COOL SYS. MTR NSM CS ? HSM CSM f CIII SM Up SEASONAL SUBTOTALS HC 2{� H C $ 1�((,3 add add ENERGY SUMMARY HEATING 0� 9 q 33 1 COOLING LIGHTING LRE WATTS . MBTU add age er RAW ENERGY �. 7 y >00 56- HW OR BUHW# A f MBTU WATER HEATING + 7'" HVAC DEVICE MRE BHP MBTU MOTOR COOLING TWA �"� x ?T RAW PUMPS Z + ENERGY AMUS - VAY 0 ANUS - CV OTHER TOTAL R TOTAL MBTU .Z Y TOTAL MBTU FLOOR AREA Af DESIGN ENERGY ALLOWABLE ENERGY BUDGET-Table 8-1