Permit 1630 Main (vault) r v CITY OF ATLANTIC BEACH
Pk ' ; 800 SEMINOLE ROAD
!:J 1 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
19
Application Number 09- 00001176 Date 9/03/09
Property Address 1630 MAIN ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 11000
Application desc
METAL ROOF FL250 4.12
Owner Contractor
SMITH, CARL L. HICKMAN METAL ROOFING
1630 MAIN STREET Q /C:HICKMAN,DONALD LAWERENCE
ATLANTIC BEACH FL 32233 PO BOX 5515
GAINESVILLE FL 32627
(904) 779 -5786
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 85.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 11000
Expiration Date . 3/02/10
Fee summary Charged Paid Credited Due
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 85.00 85.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Rug 18 2009 2:06PM HICKMANMETRL 3523774656 p.
f.
r'
a 1 ,, CITY OF ATt.ANTtC BEACH �
Q `�.�• ' SOO S®AINOLE ROAD. ATLANTIC BEACH. Fl 32233 ' _... _.
4 OFFICE (90)247.642,6 • FAX NO.'(904)24T-5M5
s ' � BUILDINO.OEProcoA9.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
• S s L3 '�, ��. 3 \ aa33 1e \ \.b0
• NEW BUILDING • oeiounON .. RESIDE
LOT SUBDIVISION ••••. A ,. ' _»\ , ; ., , 13 AoornoN O CONvER INO UBE •
- _ 1 - i ;i t't E ALTERATION O AOCE8eo1K SLDa _1 .
{' t r.00 'r' g,Iveor' ro • 0 REPAIR 0 POOL /SPA 0 YES A
._ •.,,• ■ L� ■.•
9. NA l n 23. COMPQ
"E 24. LICENSEE NAME
10. • • • • . i UC - NO .: 26. STATE OF FLORIDA LICE NO.:
I to 3 a r of 5•la..ef& � kA,� ∎ , el. tor.AooR 405 N�W ILYt''-ucr.. 26. ADORES.
I (.741:11 V lit F ) . 3 4 , 5 3
11. OFFICE • • lip 1 112. FAX NO.: 10. OFFICE PHONE FAX NO.: 2T. OFFICE PHONE 26. FAX NO.:
li x-379- Alor 13 3 -,7- yLS'C.
13 CELL • =1 21. CELL RHONE 20. CEII PHONE
14 EMAIL . ■ - EMMLADDRESS: 90. EMAILADORESS:
1 - \l\ ..41 \ \,, .\ "i4
31. NAME ' y 1 33. NAME: 33. NAME
3Z ADORE • () 34. ADDRESS: 36. AOORE$$:
App Ili hereby made to obtain a pencil to do the work and Installations as Irdicated. 1 certify that no work or installation has
can • • :. *tor to the issuance of a permit and that al work will be performed to meet the standards of all laws regulating constriction in this
• , •• r • - Ede permit .becomes null and void if work is not commenced within sir (6) months, or if construction or work is Suspended or
a , ' • - _ fit a period of six (8) months at any time alter work is commenced. 1 understand that separate petrol* rowan Ire sealed for
-, - Plu/abing, Wank Wells, Pod s, s, F wnsoss, Boilers, dealer Tanks, Air eta.
OHNE V1T- I certify that a1 the foregoing irdonnation is accurate and that al work wil be done in compliance with al applicable
. tam . f' constr action and zoning. 1 wN not occupy or use the referanoad building or any part temtwat aril n at Inspectio are flreled and
prior to • • , 'Ong a certificate of occupancy or aanple non issued by the building o8d.I, as required by law.
1 inWr WARNING TO OWNER:
YOUR: dJLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PA " 'TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
C ' EMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST
t
ECTiOtN IF YOU INTEND TO OBTAIN FINANCING,. CONSULT WITH YOUR
LEN t ' • ' AN ATTORNEY..BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
, ti . ,
at., - 0 0/d.: 0 #7• 9 1 D
w Ir•t _ -�i
stan.l f de: a -it-0i
Sdoro me f ',1 o f :.) 2009 in the county of Balm molds day of . 2009 in Vna county of
Musk ' ' ofllodds. has (twbonady woman* Owl, Slate or FloAOa. has paaonaly appawed
s •
w . j
Irwin by - homeland altmma that al artamenr and dsderafions are twain by himself 1 tonal and antra aaM as etatanwnis and dads lions ars
bus and - . bus bus and alxale.
Notary • • -• at tawp., afar unty of Co of Naa y Public al Lawp.. Sidr ar FL— . County of T L 1}t2
0 - • • erPersarwy K.O.n
Nobly re-... '�'�` Notary Sianalula
N. MtERTON
�pdpc. pAOT.PEELBR
.;a• ► •••:: Gdic»t1f ► at207C HyQOMMISSrox►DDSS8e69
sweet AfIlalon : • ! . , _ , . . caaatsarw r am EXPIRES: Nay ]I.2010
Pei
ratty Pi ( 1 c ba hN-0tat Raid* Nasty Sur/tams
' ,;« f;;. • Banded_ __.
.
1
Rue 18 2009 2:06PM HICKMANMETRL 3523774656 p.3
' - ',1 4S*1\
•
NO 1 4E OF COMMENCEMENT .
• l
Permmit' 4 tt
l:
Tax F • • ,- arced ID: 1 1 3. — at 1 1 State: FO County:1) u A
The u . ' igned herby gives nods* that Improvement will be madam certain real property. In accordance
with • . r 713, Florida statutes. the following Information I provided In the Notice of Commencement
o
1. De . ',' •. of property (legal description, lot. block. and street address If available): a-.25- '1 E pf Lai / A ecc)O/R
/ (. : (� M AJ Ss- e - , A 41 At�4• c�, ' 1 J /. 5:2:,? 33
. A
Lewd
owe. PT wT E
1RECD 0/R OK %9&235
2. a description of improvement M eAat-F o OUP'►
3a. • ' name/address: ear 1 . Ar� CA1lr0 I y /1 5!D', ', 4 - \-
1 l c ' . A - 1 - 1ou i e cec:N . F1. 3aa3.3
• . Interest in property:
Name and address of fee simple *le holder (N other than ownsl:
•
4. Co rictor — Qualifier Name and Address: lIct-t C4 4 L.kc m ow . Y-t'i sic mcia Mei rxl -espoq nl
40. tW.l�t). Le(L �r --f- / C-3a:tne5v: de, J rt . 3,,D(.05.3 5. Su - Name and Address: A/ //4
1 Amount of bond: $ -
6. — Narita and Address: A//4 /4
7. P - within the State of Florida designated by Owner upon whom notices or other documents may be waved as
prov by Section 713.13(1)(a) 7, Florida Statutes: / /
8. In • •• to himlhessolf, Owner designates the following person(s) to refiehe a copy of the Uenor's Notice as
provl . - In Section 713.13(1)(b), Flodds Statutes [Provide NsnttelNYdling Addis's]:
a NM
9. N ` xplmtion data (one fuN yew from the dab of mooning unless different date b specified):
- G TO OWNER: ANY PM MENTB MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
CO NCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13,
. FL • • STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A ■ , E OF COMIAENCENENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INS • E ( TION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WRH YOUR LENDER OR AN ATTORNEY
8 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEIAENT.
Vs . ion pursuant to Section 92.525, Florida Stakdas: Under penalties of perjury. t declare that I humus
res , . - foregoing and that the facts stated in it are true to the best of my knowledge and belief.
' P=a 7'-07 •
S . - 2 of Owner / A Natural Person - Dab .
(or • ell Authorized Of8GdDirector/Pa V ar/Marnger) •
f
ST TIE OFF A ,
Th ftegofnp instrument was acknowledged before me this 1 day ofAVI 3 34 by
!!` np of
`, ca. Officer, trusted;, attorney in fact) for \n , (name of pa ty on
be • of whom instrument was executed).
Alf- r. f • /•, JAMES N. SUN+aERTON
i Public '.•, .� ••-.• Nowyrum- simornoitd9
..... 1 Cumml .bnirDDet2Oro
- - „a:.
u Ron olica4- (Seal)
:.
P +lady Known -0R- Produced ldentlflcatlon _��- ,_(1_L1 L_
1 1 NOC.JuIy 2007 (2a)
R I!
il •
: it •
Aug 18 2009 2:06PM HICKMRNMETRL 3523774656 p.1
i i
Hickman Metal Roofing
Phone: 352- 377 -2101
a Fax: 352 - 377 -4656
l
i.
, Fax Coversheet
. „
!,
- „
, # 2: August 18, 2009
:• ;I City of Atlantic Beach
.
: it
: Hickman Construction Inc.
•! - i Building Permit Application (Carl & Carolyn Smith)
i ii NOC
•'. Oies inc. Cover: 3
,,
;,
.
:i
i
;i
i!
ti
i
it
it •
li
•
;i
ii
i
!i
it
i
'1 .
7
• _i
li
.1
i
i �
i i .
II
� � � �'c CITY OF
Office �� - I�'w�
of Building Official
PECT
R ( REQUEST FOR INSPECTION
Received ;�
A M. Permit No C7/Q
P.M.
<6
0
Job Address //
Owner's !� I( i
Name •#
r��'
BUILDING . Locality
Framing C ONCRETE Contractor , /
Re Roofing r Fo oting JAI' ��C f/l�7
Insulation ❑
ELECTRICAL PLUMBING - t - L.
Slab = -
Lintel Rough Wiring � MBI NG
n Temp Pole Top MECHANICAL
4
Mon. Final P Out Air Cond. &
READ we L' Heatin
Tues. Y F OR INSPECTI —� L Fire Place
Ins Wed. Pre Fab r
Inspection Made '
/ . Thurs
Inspector Friday q, M.
A.M. ______________,66P / � Final In r)
/ /.58 pection ❑ J
Certificate of Oc cupancy r
Date
i
DEPARTMENT OF BUILDING 7929
CITY Of ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD I f.O0 TL
THIS PERMIT MUST BE POSTED ON JOB 1 t • f1Dcm T!7
ffIb In 7/30/R6
Date July 30. 19 86 7929 • 0CAC0
10.00 0I 13 IA 7/30/06
Valuation $ Fee $ I C
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
earl L. Smith
has permission to build
water well for drinking purposes
M U S T SUBMIT BACTERIOLOGICAL TEST IEEPORT
Classification rpgi denti Zone
Owned by Carl It Smith
Lot Block S/D
House No. 1630 MAIN STREET
According to approved plans which are part of this permit
NOTICE —ALL CONCRETE FORMS
j = AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
/—'♦ ♦ 0 Building material, rubbish and debris
— from this work must not be placed
in public space, and must be cleared
up an,;ahauled away by either con -
tr r owned
Btf • fficial.
FOR OFFICE PERMIT DATE
USE ONLY NUMBER CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
I�. WATER
Atak
•
F $10.00
APPLICATION FOR WELL PERMIT
CITY OF ATLANTIC BEACH
`PROPERTY OWNER
Name: i, r
Address; � � 2P /.S: "� / Day Phone�yd�.� -3y 7
Zip 3.2.2
APPLICANT ' IF OTHER THAN
Name:
Day Phone
Address;
JOB Zip
Address or Location: • 31
Legal Description:
Is well to be used for —
f drinking purposes?
Any person, individual, corporation or other entity receiving a rmit as
provided in Section 22 -40 of the Atlantic Beach. Code, and who plans to use
water from the permitted well for
bacteriological al test report � purposes, must first obtain a
acter a certified cagy from the State of Florida Health Department,
copy thereof to the building department of the City of
Atlantic Beach. A certificate of occupancy will not be issued until said
report is on file with the building department.
Department Notes:
•
I agree to comply with regulations stated herein:
/
s
e
Date
I 4/ Li 6/ 7
CITY OF ATLANTIC BEACH
PERMIT APPLICATION ROOFING
Owner(s): v. Cory\ S;4
32.033
Address: I (3O V i 0i; t if-f - e+ Phone: 0- t' (p--) 9 - 7'3
Lot # Block or Unit # Subdivision
Contractor: A J 6 , ( 0)-, t`ir 0 c.1 )OL,
Address: :?,( 141 4rbay, 4.—UAr -- Phone: 29 ( - 2SY
State License No. C.-CC-a in
Describe work to be done: R-e f o o )'1.$-.
Materials to be used: rei c t, v; J 1 -e ss t ), t , ) s �, � Tie
Signature OWNER: ,' / Date: jp--1,--11/ 1
Signature CONTRACTOR:∎ r(�� ' .
RIMANCIA % PRINTING Ct. U1
t
JIotice of Commencement
(►11t►APat IN DUPLICATE) '
■
.
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE
' OF COMMENCEMENT. ' ., , t i
Description of property -'
-_-1-2..3 O lm `('ti Si-V-ee± fi 14hli(, 6f ' () ` 1 1.,1_ 3 3 o :.3 _-- _--- --j- -'
General description of improvements ___ .e�y ---------- - ---'� - -�
Owner i ► Y CO Y 1 S Yh ;*11
_w-
Address U,02.Q 0 1
Owner's interest in site of the improvement xis I �'� C ...
y\) J11
Fee Simple Title holder (if other than owner) '
Name
Address -
Contractor bla COh, Jt-t''R . .bL' - .,.
-- .-3(41C2-.• - gr d-er
Address , 1,
Surety (if any) -1 -1 " -.''
Address Amount of bond =_ ...��
Name and address of any person la king a loan for the construction of the improvements.
Name
Address =w +, s 4 :4e �,t i.
t t � I' �. M r ' ;.
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other
�a
may be served: "' ? t rt " d ,:r �
i4'!! 41....;'0.4 i.7 tly n,, ,1
l ' � , ;
Name ..... ____ .- ,....� - * a ,
Y � t
%..t a R / , ` 1`
Address __.. ;1g}r ,$ r'',, t'
i In addition to himself, owner designates the following person to rece a copy of t Lienot Hbtie! es
prodded in Section 713.08 [2] [b], Florida Statutes. (Fill in at Owner's option). .. „, K - r ' i
4' . •' s :,'
Name ( t) ). 11--- .. Address ? ill l d
THIS SPACE FOR RICORD[R'e USK ONLY * ! , n m••
_ ,}Y F
Owner I i, .. ) "i a') i„::
• l .. ! �` { (A7• , .? tip t.
i #�, t k r is ,
Sworn to and subscribed before me this
si ;j
- -ta - -- day of .....��Ia_. - • , f * V } 1 ,. •
d, otary Pawn. -, ... ,.. , . t .(,f
1 . ' 1 Pi rARY PUBLIC, STATE OF FLORIDA 4 1 � r '
1 q ', `'� , " ' ' ' �
My Cennm ssion Expires April 10, 1995 �1 - ' � a #.,V4,' , d
7
' EYE'!` a ” %i',' > - :7
•
CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877
PLUMBING PERMIT
Pen lit Ma'
u 22126 Address: 1630 M AIN STREET
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: ADDITION Township: 0 Range 0 Book:
Proposed Use: Lot(s): Block: Section: 0
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: =i f
Date Issued: 6/11/200 Name: CARL SMITH
Total Fees: 25.00 Address: 1630 MAIN STREET
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 6/11/2001 Phone: (904)246 -7973
Work De s c: SEWER & WASHING MACHINE
JAX PL & SEPTIC TANK PERMIT 25.00
C+
4 .. b x $ M"
'v �k fc�
r ar,
tt u I t
" � ,' , "
Y
x
NOTICE - INSPECTIONS I :. BE REQUESTED AT LEAST 24 HOURS 'PVOR TO INSPECTION
BUILDING MATERI M A1, RUBBISH AND DEBRIS FROM THIS WORK MUST t BE PLA D IN PUBLIC
SPACE, AND MUS T BEMCLEARED AND HAULED AWAY BY EITHE NTRACTO1 OR OWNER
q
L
"FAILURE TO COMPLY WITH C , W i RE LT IN THE
PROPERTY OWNER PAVING `('WIC FO .. h L[ N II IPI 01 E
A '4w h
ISSUED ACCORDING TO APPROVED PLAN � ARE P, T F"`1 H� ,g F . MIT AND SUBJECT T 17=,,,_ FOR VIOLATION OF APPLICABLE PROVISION
77 '''''''""--- ,t
x
AT NTIc :EACH BUILDING DEPT. Date.
iJ CASH
CITY OF ATLANTIC BEACH
APPLIC.ATION FOR PLUMBING PERMIT
JOB LOCATION :_ / 3 iq -Cts
OWNER OF PROPERTY : (a r / S t TELEPHONE NO.
PLUi.4BING CONTRACTOR Ot OW r1) S 7 q/1 k InC. •
/7
CONTRACTOR ' S ADDRESS : 7c c /3 ictiP / ■1 ( l // c
STATE LICENSE NUMBER : ( FC C) / 1/4/ TELEPHONE
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 SHOWER PANS
. WATER
RE-PIPE (LIST FIXTURES BEING REPIPED)
OTHER
„.. p ../
TOTAL FIXTURES: x $3.50 $15.00 ()O
MINIMUM PERMIT FEE - $25.00
SIGNATURE OF OWNER:
9 4, 7
SIGNATURE OF CONTRACTOR.1Der /
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) 247-582451
FOR FFI EC Ugh -- --
Date 9,/g .......19 7
CITY OF ATLANTIC BEACH Fern'it # Fee $,Z�"
FLORIDA Valuation $ / 0 00
House .....1.636 t 57
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications
building or other structure described. This application is made in compliance and conformity t
rmitywith the uilding of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner- Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub - contractors be ubmitted to this office so that licenses can
be verified.
Owner_. ice, 4 et t9 . � Date... v , 19 l�
Add � ress -._.. /. " -..Q _ - ,Q �, ` /p , /,
r ��" fix! 'u�l Telephone No7 "`7` 7 7
Architect Q� Address
-e- Telephone No. s
Contractor Builder
` ` Address
Telephone Noda-1 - --
Lot No. Block No. Sub Division
-C2 Zone
ob Street Side Between and
Valuation
a- L> -61? be use — For what purpose will building b `
�� . i/ Type of construction... _.
Dimensions of Building._ x .� �O Dimensions of Lot /CV X 7 S i �� '�
Size of Foo A ;-
Size of Piers Size of Sills Greatest Sill Span in ft
Type Roof
How will Building be Heated? els-liAlX taker Will Building be on Solid or Filled Ground ?"0
Size of Ceiling Joists , Distance on Centers
Greatest Span ..
Size of Floor Joists , Distance on Centers
• Greatest Span JP
Size of Rafters , Distance on Centers
• Greatest Span /.
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot -lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application. < ►O a
Inspections required. I'
1. When steel is in place and ready to pour footing. loo
2. When steel is in place and ready to pour columns and /or lintel. Z W
3. When steel is in place and ready to pour beam. j E 7->
39
4. When framing is completed.
5. When rough plumbing is completed, and ready to cover up. '
6. When septic tank drain field or sewer is laid but before it is covered. W 1 '
7
NI
. Electrical inspection by City of Jacksonville. � ' 7' A oz
8. Final inspection. °��
Note: In case of any rejection, re- inspection MUST be called for after V
corrections are made.
permit doing FRONT OF LOT
In consideration of
p given for doin the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City o ° • tlantic B9scliz.
Signature of Builder__. - w ./- /F/ , - / 1 ��
f . .r Address..._ 7y )/
Signature of Owner. -- ' •!_ / '. -_" h2 ,... /!_ _ - ' ' / Address /7`�(t ; 22
DD • 4
I 4-,
rc, .....
M v....
,,,
t. , ,
gb
cam 45 't
ir
2a._: x 14 __. x 5 IM °49 '! 0 " E. 547
7 `4.
V V
JobNo._ E ,�
4 ;9
i --------------_________
"DEPARTMENT OF BUILDING 3863
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 10/5/ 19D_
Valuation $ 1 • sac) Fee $ 5.00
This permit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of law.
This is to certify that George W. Stansell
has permission to build a 6' w+Ood fence behind building restrict'
line 64' in front of build. rest. line
Classification residential Zone
Owned by GE W. Stansell
Lot Block SAD
House No. 1630 main Strdet
According to approved plans which are part of this permit
NOTICE —ALL CONCRETE FORMS
' AND FOOTINGS MUST BE r.::IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONT iS
li _, AFTER DATE OF ISSUE
. • ► 0 Building material, rubbish and debris
i from this work must not be placed in
I public space, and must be cleared up
and hauled away by either contractor
t or owner.
Rill M_ Da W, f I
Building littifigtiCK TO
, r
FOR OFFICE PERMIT '
iera
USE ONLY NUMBER DATE CONTQR aEF
PLUMBING
ELECTRICAL
SEWER
WATER
r 4111%,
FOR OFFICE E ONLY
..,+ ``
Date .e,,,.. -19 /p��)
Eigg OF ATLANTIC BEACH Pmt #_Fee ism - .:. ` ..
Valuation $ 6 ✓"v
P i, 8 1978 FLORIDA '
House #. -,/�rL 12-
CITY. OF. KRANTIMEiklikTION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner- Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard -
ing intermediate or final inspections it is suggested that a list of sub - contractors be submitted to this office so that licenses can
be verified.
Date a2 i ,,--? "7 , 19.7r?
Owner-. C-:e 0 / V - - .e , L2 - 5 4. 56 ' // Address- / k 3 Ae--u i K 51- Telephone No2 1.L - y 5
Architect Address. Telephone No.
"ontractor Builder 5 e l f Address 5 a „* - a Telephone No.
Lot No. Block No. Sub Division Zone
Street Side Between and Stx-
Valuation $ f S D D For what purpose will building be �Y v !c c
-kt7�
h
P � g � � Type of construction I‘' (
Dimensions of Building Dimensions of Lot Size of Footings
Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof
How will Building be Heated? Will Building be on Solid or Filled Ground?
Size of Ceiling Joists , Distance on Centers , Greatest Span "
Size of Floor Joists , Distance on Centers , Greatest Span Of
Size of Rafters , Distance on Centers , Greatest Span "
g1 1
n I
c i, C� r- f d ° ' --`"-`4-- 1 w-` C�' 1"-{4 This rectangle is to represent the lot.
L ocate the building or buildings in the
right position. Give distance in feet from
A P P R O V E D all lot -lines and existing buildings.
CITY OF ATL , IC BEACH REAR LOT LINE
BUILDI OFFICE
Two copies of plans and specifications shall / rf
be submitted with application. ,� ��
, i Inspections required. , • '• '
,s%
/
1. When steel is in
place and ready to � pour c / / �/ � y
2. When steel is in place and ready to pour columns and /' / G L
3. When steel is in place and ready to pour beam. ■ ,, a
4. When framing is completed. /
5. n rough plumbing is completed, and ready to cover up. f`� v
6. h septic (n) drain or sewer is laid but before it is covered. L/ W , N A
7. E ectrical inspection by L f Jacksonville.
u2 rA
8. Final inspection. /DO'
•
' -
Note: In case of any rejection, re- inspection MUST be called for after z
corrections are made. , a 1 , -L; '''" .--
.11r ONT OF LOT
In consideration of permit given for doing the work as described in the above atateme.rt, we nereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City of antic Beach.
Signature of Builde '!.. = -• Address. ..le.. ,i'-j -t -
Signature of Owner •/ iz— - — Address
CITY OF ATLANTIC BEACH FLORIDA
.63 _,, g .,_,. , -
f
Bey APPLUCATION FOR` lL *CTRICAL PIRMIT 0 _ ._ ' fr4f,
p , _ . _
/T THE CHIEF ELECTRICAL INSPECTOR: DATE: O '"� "� 19
IORTANT 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, - '- < 4h .
A C... i .. _ 4•11... ELECTR F MASTER ELECTRICIAN SIGNATURE 1 - JOURj YMA11j
NAME � . ; .w r�- `+��.. r..... I £ADDRESS: \ ( 31. YEA IU S'"1 RFD ,BOX
BLDG. SIZE ( (T . t BETWEEN;
RES. I APT. ( 1 COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ) OLD ( 1 REW. ( )
ADDITION (1 TRAILER I ) TEMP. 1 ) SIGNS ( 1 SQ. FT.
SERVICE: NEW ( ) . INCREASE ( ) REPAIR ( ) FEE
CONDUCTOR SIZE AMPS COPPER (` ) ALUM. (. )
spa, TCH OR BREAKER AMPS PH W VOLT RACEWAY
SERV. SIZE P H W / .c L C W Y
.- • O ; 4 SIZE ' Nb ' '' I t, 4 } . ° 4,,'4 , .n• Sri
LIGHTING OUTLETS CONCEALED OPEN TOTAL 3 .
RECEPTACLES CONCEALED OPEN, TOTAL
ti. I+�i, ,, "�J!.tOO AMPS.
$1ii tTCHE$
INCANDESCENT
• FLUORESCENT 81M. V.
P"iXED 0.100 AMPS: OVER
APPLIANCES 1 I BELL TRANSF:
AIR H.P. RATING H.P. RATING
CONDITIONING ' '. MOTOR OTHER MOTORS AMPS CEIL.HEAT: KW-HEAT
0.1 OVER
MOTORS: H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS s.
If ISCEU.ANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
, No, , .,,,,, . 1KVA • N0 KV
NO NEON TRANSF. INO: VA I MA. ' 1 MOTOR SIZE S F , H S IG N .
M
' , FORWARDED
S
C)TAL FEES
6
I b
a
0
7 In re - 11
N
P
mom l o
INC R
'X' 9 ON p �/
C
f t t..3 0
N r
r� w 0 0 a 0
Val CD rt rt 10
r" N rt il 1 /111
44 , O 2 m
t'1 m O
t`hfa�` N o .
rt
B8/ O
r ti 9
O a - K
CO Crp
CD
\ _
sr
N
m m
m
< m
N I
a.
a
z
O
7
CD
n
m
-O
O
O
r °
m _; c_-;
r
.•
�EPgR t
DE ?*E11r OF atjazi
irLANTIC BEACH, FLORIDA
THIS PERMIT TO BUILD / PERMIr.N0 4285 UT BE ./
Da 2/2 08
V aluation $
This permit not valid • Fee
.5.5. 19_ 80
Pez until above fe 8.3 � .
permit
to by been paid to
revocation for violation of
This City Treasurer,
s is to certify tha Carl L applicable Provisions 01 law and is
has Permission to buil . • •
a
Classificatio • '
Residential •
Re
Owned by Carl
L. smith
Lo n
House No
A ccording' ' • .. Bloc
8' to
approved pla r S/D
� which are paw of this permit
AND CONCRETE
D FOOTIN
SPECTED ORE POUTB N
BEFO
RE
VOID RING'
AFTER SIX
Z Baildia! mate DATE OF and S
or mast material, rubbish
Public space, k and deb
y from this w
---------]
or d away t he � r� le ar� p
tract
OFF�IcE `'Fitt4
USE ONLY PER MIT $ill I �r t o , q+ CKr
N UMBER
I' MBI DATE ' r' " Ot8 '� '�
LU NG
CONTRACTOR �► - T
i+ t laliall
EL ECTRICAL
SEWER a 10 1
WATER aillIlliaIMIIIII
AMOK
e /31.7
X I
r ee- A XILO-inL
Permit it... t a
CITY OF ATLANTIC BEACH
FLORIDA k;e/t.Atto
HMIS #...2.4,.3.22.2a4.2‘,...1. ...
__
APPLICATION FOR BUILDING PERMIT
_Z-
,, A e p re p in uca spec tion ifl u ed h o ere r n b o y t made for the approval of the detailed statement of the plans and specifications herewith grubmitted for the
building or other structure described. Thu application is made in compliance and conformity with the Building Ordiruurce of
the City of AU/1We Beach, Florida, and all provisions of the Laws of the State of Fldrida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verffied.
I?
Data- 4,1/ 7
2 , 17/ ...cry
Owner g
/5 S h i
, Address 1 3 0 zY4 ...... 5. Telephone No2 .............
Architect ,, a /D e R
Addresatt /P ./ nr ..5 7 -Telephone No
Contractor Builder...C...,41. .1. S I ft/ Address)) 3 a e- 4 e 6 /-- Telephone Nos?'
Lot No Block No. Sub Division.
.Zone ....... ---....
Street Side Between
Valuation $ For what purpose will building be used47. . ..,
. . ........Type of corgstructiorb4.44;44=2
Dimensions of Building 3 X /' Dimen ./ sions of .. X. if° .Size of Footings
Size of Piers S12 of Sills Greatest Sill Span in ft. Type Roof
How will Building be Heated? 0 1k1 /.47Alt/ WM Building be on Solid or Filled Ground?
Size of Ceiling Joists , Distance on Centers , Greatest Span. w
Size of Floor Joists , Distance on Centers , Greatest Span. .,
Size of Rafters , Distance on Centers , Greatest Span. •
This rectangle is to represent the lot.
Locate the building or buildings in the
b ( - r - , right position. Give distance in feet from
I ...(11/4 "/ ./ ail lot-lines and ting buildings.
( ' 4., REAR LOT LINE
Two copied of plans and specifications shall i )
be submitted with application.
FL3 la 1980
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columnaritAXIANTIC BEACH
8. When steel is in place and ready to pour beam.
4. When framing is completed.
5. When rough plumbing is completed, and ready to cover up.
r4
fri
6. When septic tank drain field or sewer is laid but before it is covered.
§ N:
7. Electrical inspection by City of Jacksonville.
8. Final inrpection.
Note: In case of any rejection, re-inspection MUST be called for afterdadid/ L
I 1111
.
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached p . and specifications, which are a part hereof, and in accordance with the building
regulations of the City/f A
,..,....-
Signature of Builder.. Addivai../ e .Z n c 5.1 alc
,,,
Adams. / . i -3, .!.1.1.c .- .G1 , i / hk'e I
Signature of Owner 0 Or .111,r ,v-r7allrivir? ,--
•
•
CITY OF ATLANITC BEACH
716 OCEAN BOULEVARD
ATIANI'IC BEACH, FLORIDA
ADDENDUM TO BUILDING PLAN . •
1. Building Location: t?j) / 'hE r, / `c
2. The attached plan for the above building is approved subject to meeting the following
applicable construciton requirements:
a. Footings shall be continuous monolithic concrete under exterior walls, reinforced
with two 5/8" deformed reinforcing rods for one -story buildings and three 5/8"
deformed reinforcing rods for two -story buildings. Reinforcing rods shall be
placed in the lower one-third of the footings, properly placed and fastened on
metal cables with wire. Footings shall be six inches wider on each side than the
wall above, shall be at least eight inches thick and shall rest on fine soil at
least twelve inches below undisturbed soil.
b. In hollow masonry unit construction, each unit cell shall be reinforced with at
least on No. 4 bar at all corners, poured and tamped with concrete; such rein-
forcing shall be properly tied into the footing and spandral beam.
c. All wood truss rafters (roof construciton), shall be securely fastened to the
exterior walls with approved hurricane anchors or clips.
d. Construction of nearby one - family dwellings, which are duplicates or intensely
similar, shall be avoided. Such similarity considers the external configuration
and appearance (i.e., roof, outer wall materials, window size and design, and
other like characteristics) of structures. In accord with the foregoing, similar
or duplicate homes shall not be constructed within close proximity of each other,
and shall be at least 500 feet apart if any one similar dwelling is visible from
anli other similar dwelling.
e. The final connection between the house plumbing • % and the - sewer service
connection (at the property line) must be inspee A: by th#. City before being
cove..red.
/
er
The undersigned hereby certifies that he has read the above and understands that this
addendum takes precedence over any contrary details to the plans and specifications
and agrees to comply with the intent of this addendum.
i,2114di . 4L.
Contras .f /Cleaner
Date
-.�
- .- ........a _°�°,- _ ^c- _`�'•r�t_ _. _ .y •; r t-- ;- °- -� : � arm _. -:...: -- � •_�•s� :. _ � _ _ ..___ -- - ,_. - - - - - ,
MAP SHOWING SURVEY OF
That certain tract or parcel of :land being a part of Section 18, Township 2 South, Range 29
East, D_val County, Florida being more particularly described as commencing at the Northeast
corner of said Section 18; thence South 0 °'23' 10" East along the Easterly boundary of said
Section 18 which is the c8nter line of Main Street (formerly Levy Road, County Road No. 222) 1
535 feet; thence North 89 49 10" West, 33 feet to a point in:the Westerly right of way line
of Main Street a point of beginning; thence continue North 89 49' 10" West, 347 feet;
thence South 0 23' 10" East,. 100 feet; thence So::th 89 42' 10" East, 347 feet to the West-
erly right of way line of said Main Street; thence North 0 23' 10" West along said right of
way line, 100 feet to the point of beginning.
Date: September 25, 1973 For: George W. Stansell, Jr. Scale: 1" = 50'
R. L. CROASDELL & CO.
not inc.
429 East Adams Street Civil Engineering & Surveying Jacksonville, Florida
Peeer /,lied: Nov /1,/974
/feces /ified.' Jong 5, /79
for-77//z E. I7e/ahard/
LEVY ROAD EXT. -- - - - - - - -- b 8 j
N
f -; ;I& S i \'
/
rG tr , j`'
! N 1 N o . % 08 L'') 44 W
1 '+ ;` \
. s y / 0 r
r.
�?;�`� L., cL
r GS�`` 1/ o
I
tti
44
v
v
4 t
W
1
k
- N 8 °9 ° 49"/0'W 347' 3__
,a - h _ c , ) ,
-y. ol
ti i
kLF . re.' eso'• 7 )'
1 Mili O- 2 v
.i. j '
x .4 X S 89°4070 . 347' x — - -- x 4 Q
Q 7';
n
1 1
Job No. 43928- E -498% - 5.3609 h V
_ 1
. . --""""...............-.........„___________ _
Minionorrimmanam
.., • '''''' ' KAP 8EDWIl010irc OF
ThiiiVeCirtain treat 0*' parcel. of land being a part of Section. 18„ Tovnship 2 South,. Range 29
, ,,
*lei - .11,4ve /
l County Florida being More particularly described as commencing at the Northeast
Cotter or said Section 18 thence Sout4)0t723' 10" last along the Easterly boundary of said
sotLNa,3,8 vtiall is the *Bator line of Mein Street (formerly liev)rRoad, County Road o. 222)
516
fist vthnce North 89 49' 10* West, 33 feet to a point thathgt Westerly right of may line
of Wein 1 a point of beginning; thence continus North 89 49' 10" West, 347 feat)
thane, South 0 23' 10" sst, 100 feet; thence South 89 49# 10" Neat, 347 feet to the:Welt-
:
Orly ight of way line of sold Main Street; thence North 0 23' 10" West along said right or
'My line, 100 feet to the point of beginnings
hetet Septeaber 25, 1973 Fort George W. Stansell, Jr. genie: 1" = 50'
1 ,
: R. L. CROASULL & CO.
not inc.
1 429 last
Ada Street Civil Engineering & Surveying Jacksonville, Florida
,
, .
7:
.-
LEVY ROAD EXT. .. 1.., .
N
.ti
4 4 kid
,
• ICJ
4 4 k
■ '
cri '
4,1
NJ
..1
4 4
t
tk
ta.
X
/V.80°4970"Al. 347'
L-2.8'
• .., -----
IQ i
kt, '
473
o 1 i
tst`i 4 .5 1.
u •,,,
- ' .--- ---- * --- *- '' 5.89°4070 347'
2 t
Job No.
1
> S.
DEPARTMENT OF BUILDING
x CITY OF ATLANTIC BEACH, 4285
FLORIDA PERMIT NO.
FLORi
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date- 2/26 80
1a
Valuation g 17 736.00
Fee = 55 . $3
This permit not valid until above fee bas been paid to City
subject to rewgtiop for violation of Treasurer, *ad 3s`
applicable provisions of law.
This is to certify tha Carl L. Smith
ermis
hasp aion to build r .,aa: ..,
. oa and - overec P.at _
Classificatio Residential
Owned by Carl L. Smith ne
Lot
. Black o
House No 16 30 Main e,
s
According to approved plans which are part of this permit
NOTICE —ALL CONCRETE FORMS
' � AND FOOTINGS MUST BE IN_
SPECTED BEFORE POURING.
PERMIT VOID SIR MONTHS
AFTER DATE OF ISSUE
- - -'∎ 0 Building material, rubbish and debris
from this work must not be placed in
public space, and must be cleared up
and hauled away by either contractor
or owner.
55 83 TL
55*83CKTLJ 1if4.Davisp 2/27/80
t . 1 '.tf Buildi om i �+
FOR OFFICit c°s. ECG
PERMIT � ; � .
U$E ONLY , NUM6itfj DATE "" '
CONTRACTOR
PLUMBING i A LU J COMP WITH Ti a''
�Tw� gT�e a
ELECTR ICA EN LAW u �t lw1 .. T. .. 4 P i .f..e T
SEWER r PA ING T E F, UIWI , 4
WATER ` I ,, RO l� I. i s . t ;