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Permit 1650 Main (vault) CITY OF A TLANTIC BEACH B AND ROAD 33 ZONING 800 SEMINOLE R ATLANTIC BEA FLORIDA 322 INSP ECTION PHON LINE 904 - 247 - 5826 Application Number 02 - 0 0 024775 Da 9/ 10/ 02 Pro perty Address 1650 MAIN ST Application descript � °. NG ONL Property Zoning sI SING FAMILY App lication valu .n Owner 1 J '''' o ra or' '41z.' NICOL WI - ',.. � � U SON CO. c 634 BAY ,R m = °v ROAD ATLANT " B a , k3 2 2 3 3 ATLAN`T ACH FL 32233 ` ,� (904? 246 °b . . J 4 e r � G ms - k.. Perm L „ UM IT .: Add ona ' w F .: , Pe Fee�� : 5d F lan C he ck . 00 , S - ' valuation 0 ,:. ,--e 1'1'4, "-,t, 1:' Fe Alum- < aid Cre dited- . e � a .,,,..ze.b..... f:": , 1.,,' '',0,1P ' t .47 „.. - :,..,:477, 7 P.t , T°� s q 0 .0 0 ' +0 . Gr = -n ' � � l E � . .00 w r �� BUILDING MATE RUBBISH AND DEBRIS FROM THIS WORK MUST N OT BE PLACED IN PUBLI SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR O OWNER. "FAILUR TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE P ROPERTY O PAY TW FOR BUILDING IMP ROVEMEN T S" ISSUED ACCORDING TO APPROVED PL WHICH ARE PART OF THIS PERMIT AN SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS O F LAW. BUIL OG FF - re) ; r i. 4--- S U d -tens i s 00 l O C CJY tit AC- 1 < `fio unit_ O4 O k S S' ShL i s } 0w rr.t„r a-- 0N- () rc -�, t ck . -v s �� c�• au -v t� S ���,� ; s d eyl,1,� G c1�� CITY OF ATLANTIC BEACH / APPLICATION FOR PLUMBING PERMIT J41 LOCATION: /650 /3'7 OWNER OF PROPERTY: fiii44 y N/ C 0 L TEL. 2- 7 6 9v 0 1-- 24 1 - 2-449I PLUMBING CONTRACTOR: DO , 7 S o ted O �✓ I /�/� CONTRACTOR'S ADDRESS: 259 C/46#1" % /1 Ai L/di 7 /O.E STATE LICENSE NUMBER: C/—CO 5& c� 3 i TEL. ( 16 6 0 !v t__- 3z a./. HOW MANY OF THE FOLLOWING FIXTURES SINKS RE- R NEW SHOWERS L f LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS L I Q CLOSETS v WASHING MACHINE FLOOR DRAINS SHOWER PANS • WER I WATER • RE -PIPE (LIST FIXTURES BEING REPIPED) OTHER a— TOTAL FIXTURES: X $3.50 + $15.00= MINIMUM PERMIT FEE: $25.00 SIGNATURE OF OWNER: 1 _ j SIGNATURE OF CONTRACTOR: .I INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — (904) 247 -5826. CITY OF ,_Y‘ - OGG 2_. /Mantic Beach - llouda Office of Building Official REQUEST FOR INSPECTION Date / l I 1 r D Permit No. V 7 7 Time A.M. Received ti P.M. / TO / -(il'/.0 Job Address Locality Owner's 1 D /V2. n V Name N � C e'7 O L— Contractor cc..���� BUILDING CONCRETE ELECTRICAL (LUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ bough ❑ Air Cond. & ❑ Re Roofing LI Slab [1 Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place b ❑ S% ever Fa READY FOR INSPECTION L /" _ _ ____________----1 - — — - ---- -- CITY OF ATLANTIC BEACH I DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 -Tel: 24l -6826 - Fax: 247 PLUMBING PERMIT _--- � , �, �-- — r-aTi N INFORMATION __ _____. _ --. 'g Mt 1 F9 MATi-t "" -- ' 1650 MAIN STREET Permit Number: 23635 A TLANTIC BEACH, FLORIDA 32233 Permit Type: MECHANICAL Township 0 Range: 0 Book: I Class of Work: ALTERATION Lot(s): Block: Section: 0 Proposed Use: Subdivision: Square Feet: Parcel Number: -,; I Est Value: PC)R AT N . ___ _ _ lmprov. Cost: - Name; WILLIAM W. NICOL I Date Issued: 3/13/2002 Total Fees: 55.00 _Address: 1650 MAIN STREET � i 55.00 ATLANTIC BEACH FLORIDA 32233 Amount Paid: Phone: (904)249 -3002 — — Date Paid: 3/13/2002 _ - - - _ 1 .-- __ --__. —_ i IV S 1 LL H V AC Work uesc: t _ A l'L1 ►TIOi FEE$ � —_ CC3NTRAC` C R ) _ - --- P ERMIT 55.00 XHA HU HE ATING & AIR I. z . - L \?) w, g :: r *,,,,,. , e . '"''''''. yr " ` ??-ts a y , . i ' , :'-: 4 t 4 :1_ 7 1:n ":4P ':,-.., .,. ' 'ig 1.10:, : t . z , '"' - ',:c......P4f 2 z 7, :- - 1„..F.4 .%,..r•r-, ti° � � w. . ,', 9 ° .1 x ev; v; 3 . ,- M� ° ma x ,° .x t `' .a a 3 _ , :t r'i7 ;; 9 1 "„x Gam} ,:: �� * ..�.._".� —e__. I . � e _ � 31" .,. - 'S'.d!Y.' ",:i4. , `4 , y . A : 4 4.'S .4. . S ' tv<4 .yK '7. ,H I. •11, . '. T. . PF -s S .5. 1 � .. - > a 5' - r ' ' a '? 5 i ''"! 3-1 a'z"" 4 1 - y 'e 3 c „4 'a„ ""- i h.0 - __ 3 i . a . " i S _:\ ` � ''4 Y .. 'A - - x..:t u#�` r ...'aD+,,,,,. -mot'' . °P . ,. , +u- - •. NOTICE :14 . �., ,3 °si �,.., ,,-, r x.>; • �L �• s ue' trr ' � s z � .• ' . � � ' '' . 4 PUBLIC BUILDING MAT r y '`°' OWNER °� . O SPACE A ND MU ' E ; — ,. �. . - , .— s : '. :, t z 1' w 5 ". i t > ° _- K, s ro y �,,j — —�- - a ,a � � �r�366MM 7 �..�''=r , . yr� ' c 'cu' �� 3 f7E "FAILU .T ON ' � ,� FO B — PROPERTY OWNE z � ---1&".....:', � 4 ;, y -+r r, ,i • c ECT TO REVOCATION ISSUED ACCORDING TO A :: 7 7 . 4" `., _ FOR VIOLATION OF APPLIC , ' F 1 , ,,.. : _...:„.„,_,..: .: „... 7;: -,,,.. : , : ,_ . 75 % -, 4s-::s.-.:, , ,‘.::f - 47- , :,-...7. , , .4:4 :: arr:":v ,. ,.': - Opel': CHERYLE. • Ty$: CC Draaer i • 14 P ..- , Date: 3/13/82 81;. Receipt no: 41 349 . h , . # PERMITS-'BUILDING 1 $55.80 r —/-17:7-:(--7('-7-14/.t. c- 7:// '' Trans ERNI r 795499 7Z l Wi , _ �� ��F t°' , � -- -. ' � � CK CHECKS , ' - 6295 1:5.80 ATLANTIC BEACH BUiI_DIlV DEPT 1 - - -- -- Trans date: ij13 /tit •fine: - 1S 1e ._. -__ `qh • BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC SUCH, PLORI OA 311.]] APPLICATION FOR MECHANICAL PERMIT CALL•IN NUMBER . IMPORTANT — Applicant all items in sections I. II, III, and IV. I. LOCATION St ''' s A44""" /6 5 A^ / // ffr1/ li . OF Iwl•n.<tIwy SI...iu 110.4•... A ..4 IUILDING . S.6- 4.146. II. IDENTIFICATION — To be completed by all applicants. In eow.id.r. /iow of p..wwit qi..n fee doing eh• . as d.mrib.d fn Ph. .b... wi•1....nl ... h./•b .qr.. 10 potion. ,.Id ... In •ew.d•n<• Oh eh• •11.e11•4 pions •nsi wpecillestIone ,.hick •.• • port }wool •nd in 4ccord•nc• �:1h ih• City of J•ek•on.:ll• wi.••e•e end d•wd.rdw of go.d.p•efle• lid•d Iho..in. Nawo d M•<h•.I<,I C...1.4.4.4 C...1.4.4.4 (Moll )//' /�.�� { / , C �/ .nfnrl • L ���/7 /�/ 71.1...o. l i � ! M.4e0r <L C-/ Ic ! V / N•rw..( Property 0..., ;CC sl Gam,•• ,, Sinn•Irr. of ' w Arlhrlud Ayr / „�. / A. <ha•.> or Englw•.r M. C= '° L FORMATION • A Ty,, .11.1 fuels H, /�, IS OTHER CONSTRUCTION .LING OOMC ON "^ "`� THIS 1Y ICOING OR SITE/ v v ❑ 6.. O (I ❑ M•hnl n 1i.1 Uffllly ❑ ON I YES. GIVE NUMBER OF CONSTRUCTION . PERMIT ❑ OtI.. — Specify • IV. MBCNANIC.U. SQUIIMBNT TO 11 INSTALLED NATII3g OF WORK . • (Irevid. es...pi.t. 110 of cempeeenA bock .1 / this - f form/ Redd.nllal or 0 Commercial • e it <leet ❑ Specs CI *.c....4 Q Gnenl O Roe , N. .ww Building ' IIG Air Gnddt.wl.q: Q l�s f� G..N.( C(/CalaIng Building ❑ 0.... Systems Mnt..,.l . CiPire al iodating ry.l.m M••Lwem 4.154417 elm ❑ New Inatallatdan (No system previously Installed) • . • in l.irhy.w.Na. Q Eaten.lon at add-on to .Dialing system • • • . ❑ Coca.., lever: Gp.<lly 1.404 ❑ Other — Spicily • . ❑ R.. epd.M...1 Neteb.v el heed. ❑ EI...Ir q 1.4..n" • ❑ E+<+bl.< (.rwb..l THIS 9FAG7 FOE OFFIC:B us/ ONL7 DD • Q . G..oil.. pews; a (..web.( (1....1...1) ❑,' T..k• (new.i..) . 1.......e. • ❑ LPG onel.l� (a.mbr( /^ A i n Waned preemie weiem C Whore i4md1 Aprs....I by Oea- 1 ❑ OMs — Spe cify Pwmif E.. LINT ALL EQUIPMENT . • AIR CONDITIONING AND 111. RIGEAATZON EQUIPMENT . Number that. Deea.iptlm Yodel Number ICaatafaabarer (=1y A= • i . HEATING • FURNACES. BOILERS, AfRIPLa,t3S ypr� • Number Cana Deaoriptima Model Ntunber ](.aut.aturee C (1iTU)"f TAN= New ][a47 NCNINIO.l cap./A/b TIP+ Liquid Name of Serial APP''o`r�[ sad Dlmeodma Contained SCA ataattrr.a• No. A[�7 I ■ CONSTRUCTION PERMIT ONLY City.of ;lax County Health Dept. No 929-70 Owner "• • Stansell Addres 1 114 fit. Pleasant ROB CI Installed By At Main Street = atlantic Beach Septic Tank Capacity Minimum Recd 750 Gallons Drain Field Data _ . 00 Si ft bed with 90 tile ft HOLD TISK isc DdAINF'I ,D HIGH DIG OUT HARDPAN IN DRAINFIRLD NOTE: Installation must be in accord with requirements of Chapter 170C -4 FAC, Sanitary Code of Florida, and satisfactory final inspection must be made before work is covered. Permit void if not used within one year from date of issue. Dote of Application h 70 Issue B�6/70 Issued By W• Lewis oan. STATE OF FLORIDA DEPARTMENT OF HEALTH AND RENARILITATIVE SERVICES DIVISION of HEALTH SEPTIC TANK PERMIT Son -428 Rev. 10/1/62 Poot Otlloo Box 410 J•ckoonvnl., Florida 04401 I A FOR OFFICE USE ONLY • ' Date cf 0 19 70 Permit # ........ Y.../...Fee $.. -3 ✓" CITY OF ATLANTIC BEACH F LORIDA Valuation $ -- /- �, -. tl - A klA c House r ` APPLICATION 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. �I �>A �(S e L_ �_ � � Date /4 (.�.st / 1.1 !/ ,, 191..0... Owner - - -- A -- - + Address i 1"' (° 77 7y Telephone No ....... ' .... ..... Architect Address Telephone No Contractor Builder. A.L- . -S' AN.Seeli Address JQ! Add � Telephone No. G Lot No. S S. l�j _ Il ..s /4.. S1aak S j &�la Oiroision._.5.° - -1 Zone • � ( 0 / • 1.9!1_N Street Side Between d O and S Valuation $_1J o, — For what purpose will building be useddlL) C-h, d Type nh l f o R_ � ti AI % t e of constructio Dimensions of Buildin t g X- Q Di� p ensions of Lot 3.057 . S uo� p Size of F ootin g s 1 ,X a-Q" . .te A - n ~ f X « jj Size of Piers... Size of Sills ._ (P Greatest Sill Span in ft. 1 Type Roof q0 fb. RD 11 _ How will Building be Heated ? 1l,4 R- 1-- .Ej�.- -. j ' ! eWill Building be on Solid or Filled Ground? -1 -1. 4 0 .' r Size of Ceiling Joists.' �- A - b•_S , Distance on Centers 3 !P_ ll y a ��g1'�Greatest Span_____..__ _ � . . �'�'. » Size of Floor Joists X.9 , Distance on Centers._. it .` 4 , Greatest Span ! a La •• Size of Rafters q 1 (0 / � ' !� -� S , Distance on Centers .. . , Grea test Span P. 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. r a Inspections required. _. f 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. 7 a 4. When framing is completed. A H 5. When rough plumbing is completed, and ready to cover up. Oo 3 6. When septic tank drain field or sewer is laid but before it is covered. W en W 7. Electrical inspection by City of Jacksonville. m Z A 8. Final inspection. V m Note: In case of any rejection, re- inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of i antic Beach. � Signature of Builder .__ .'i ,. --t_ti. 1 ' • / mot' Address Signature of Owner.... e„ e -• •_ �f address L — — 4!..e5) �ti o , 3 89 #99/0[ -562 :: FE 7.0' '7 1366 -A 1 t c:IT Date _ RE �� ,7C � f , Tim Rec eived r o p �YZo / ` - 6 .3< 3 .3©.... .d AV U �y mac- c �` owner's J o b Address (2-6,-,)- 7- 6- t .9 l� E Name s / /17e, // Q ,...,,,,/,/,, �' BUILDING I• __ Framin ❑ CO NCRETE t Re E ❑ ._. _ ..., / Roofin ❑ Footing � 'EL TRICq Y Slab E'C Lintel ❑ oug rrmg` - a PL B C ❑ Te mp Pole n Roug M Mon. Top O ❑ HANICAL ❑ Cond. g, ❑ Tues. �:. Heating Inspection Made wed. OR INS PECTION Fire Pla wi 1 T Pre Air. Fab ❑ actor �_ . �Ppz r A M Frid Final ."< -`+ I I ln r,� sPectio�cr� Certificate of Date # ►; DEPARTM OF BUI LDING. CITY O F ATLANTIC B • I I ' NP`t3 aN .�.. ..- .-- ; �..: , _.. LQCA ' DN I m Oft - _ _ ' -, Per it N umber > 6 83 . A ddre ss ; 3650 M 1,IN�� 3'TREE ` errni, t To re «. SUX A T �w NT•IO w BEA r y yy��w ' ,O bpy� D 32 . -� Ct *ss it, Work. AL ^+w .. ..._M.. + MM nr e «w Mti�A DE I ��i 'i i0 ?�• ... ..s.. ..i.. .. ++..�» Opal str?, Ty- e: .44 lE 1 F . Lot c►c Y e is,x prop? s d Uee . SINGLE FAMI t,Y' Towns. : ' Rit c ► r. 11i gs; 1 code.. 0 Subd vision Estimated V *lue S'S82d 00 r ImPraV. Cost .std.OQ • Total Fees $6th'. 0fl Am * �:4 $60.00 D � .r Y " 2 8 /+3 r a v. i6 t. '''t.t. t'',-.66': . *-- ' ' W y k D . °_ l ', : � ,T� .... OF D AND E ' E D t ER � D EC I ON . E A T #E C► ' B IXJDINO {p� -- ,e , ( gyp ; 'j /1 .� . .��._ APPLIC F EE# .. - E _ :4141 1; ', 441'x'''' , 1 ,: :4/ - 7a `, A'ia lib Name C OL S � � P SI ` E 6 0 00 . �'' ,�. ,. Mr�rr. �Fi �1.' ,.. .� r. � a.,�• ATE-- �i`�4 . i FEE S� : 0Q �. .. - ,11,011 F R ID 3 2 3 1M PA5 E 0 G c fi � V .., ,� A'� � = "N.� � . �'w'�� 9 ,'' yyyy " ' i � � � =-f„ .. , z ; q" .INFO tJN RADON R' S 5% C 00 N a . O fi s ,' NER r 4, WA 'E N 'TAP , . 00 is d ;�,_ ,„ EW : "SAP. .,,. ; s ,o :1 L, e+ns Type. “' RE� ^ IN PEC'T :FEE $Q < t 8 � ,44 "z:: 8EC . H II4PA FE -at,' 0 . Q(1 �� OTHE NOTES. a ',..,, :,,,'',.,:.,,,'',:'..,.''',.:'. , ,,,,.. .. NOTICE — At :L CONCRE'I"E FOAMS AND F OOTINGS M U8t BE I N SPECTED Safi; PO URING a PERM V OID SIX MONTH AFTE DAT OF I8 3UE w B U1 D1N ; Nl A T E RIA .,. RUBSJSH 'AND,- EBRIS FR THIS WORK M U ST NO BE P LACED IN PUBLICS A 'AND MU BE C#. r E U ' AND' H A U L ED A WAY BY E ITH ER CONTRA OR OWNER r "R OPE R T V ►NI I , , PA YING TWI CE PQ BUI LD I NG'M � E ''' � ' ' • T 1 IIItI tIN1 ' IS D A CCORDING TO "APPROVE© PLANS WHICH 'ARE PART OF THIS P ANa SU �" a. R EV0GA` i ° t R } iI O*TION OF A PP LICABLE ICVISJOP+ OF LAW, 4 4 ,, .,:‘!_ . i ; ''''', ;1 4 44 : 4 , , . ,'4' , A'LAN"IO BE CH B>IJLOI t DEPARTMENT wM� t _ ? + 5 ' � . �. 3 ... . �. _ _ t -tis _ ,k a M ,•" .vs, ;-3 ..r�,� ,f... _ .. ,. S A PPROVE CITY OF ATLANTIC B EACH BUILDING OFFICE FEB 0 5 1992 BXi CITY OF ATLANTIC BEACH BUILDING PERMIT CALCULATION SHEET Address / 3 Q 0`7i4/ u S T- Date c2 S 3 Heated Square Footage @ $ per sq ft = $ Garage /Shed @ $ per sq ft = $ Carport /Porch 4- 7 ( 1k @ $ JJ 60 per sq ft = $ S J V Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL ,VALUATION: $ S (S ( A 0 0 67Y /5.C° $ !�°-0 Total Valuation 1st S 60o 4) Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ D . 47-4 + 1/2 Filing Fee ' ( ) Fireplaces @ $15.00 $ ee °d BUILDING PERMIT FEE $ 60, BUILDING PERMIT $ WATER CONNECTION $ SEWER CONNECTION $ WATER METER /TAP $ CAPITAL IMPROVEMENT $ ( ) RADON (HRS) .0095 $ ( ) RADON (CAB) .0005 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ OTHER $ l� GRAND TOTAL DUE $ ha c1 U ADDITIONAL PERMITS OR FEES:Mechanical ; Plumbing Electric /New Electric /Temp ;SwimmingPool Septic Tank ; Well ; Sign Finish Floor Elevation Survey ; Other CALCULATIONS and /or NOTES: . . • l Igkip lie rk 8104• 4 7 993 1 (11/10 CITY OF ATLANTIC BEACH 0 01/7c/ 7 4 .00/0 8 . PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s):__ bo LL,LifriAA. .Lk) • IkC..p (-- Address : ' t." "i Tta 2 . 52 PM_1_ V LStAttatiW-fee&AOhone : Lot # Block or-Unit # Subdivision: Contractor: OWVIar Address:__5a"......- Phone Describe work to be done:_ggf_i_a_Ct..?__g_ki_lfitiC CALL,HLe.) 0 Q-er c,es_k cli ELL4 - 2_6- o? b I li L Present use of building:____PeAtd__Ccjil_f _olv_oill' Valuation of Proposed Construction;_ O , Proposed use:_521...ktic, Is this an addition? If yes, hat are the dimensions oi \I the added space: .3.. ft. )( it ft. Will the added area be heated and cooled? Nit New electrical for increase)?Ab _ ft New plumbing fixtures7.00_ New fireplace?4_New Heat/AC34)p____ SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE 0 COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONT JACTOR. Signature OWNER: A _ _ ,,, " ,`. Date:_d_13,11 a_ b ”ignature CONTRACTOR Ii lo 1 , Date: 0 .2).- 7., Q0,,,%-' , •\c,?' i ' ' / " 0 VA 131....... OWNER BUILDER PERMIT AFFIDAVIT - tuta'r of Florida ) City of Atlantic Beach ) BEFORE ME,, the undersigned authority. personally spyearvd _ 2-1 L �hrv_\ �`? s!�FS�II L • who upon first being duly boor», deposes and mays: I• _ LLZ '1`�5� , and the legal owner of the following property: Subdivision Block ����� ���_ , .CLots ,9 AKA _1 �. D _.sL". ,d�::lLL .I�.CQ..ln C- >' \ ) - 3 33 • I am applying for a building permit pursuant :o the Owner Builder exemption set forth in Florida Statute, Section 489.107. Florida law requires that have been provided with the following DISCLOSURE STATEMENT: DISCLOSURE STATEMENT s tate law requires construction to be done by licensed contractors. You have applied for • permit under an exemption to that law. The exemption allows you, as the owner of your property, to ,act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve • one - or two family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of *25,000.00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. If you sell or I'M more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that i have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner - Builder permit. Further, affiant sayeth not. i ll s .4( j3 Property Owner Sworn•to and subscribed me th s �Y of NOTARY PUBLIC My Commission Expires: PATRICIA AMONETTE •Or STATE OF FLORIDA PUBLIC {WY Com Exp8 /27/96 COMM P JSR CC220017 - _ voi 4940 PC 896 • LEGAL DESCRIPTION OFFICIAL RECORDS That certein tract or parcel of land being a part of Section 18, Township 2 Soutn, Range 29 Cast, Duval County, Florida being more particularly described as commencing at the Northeast corner of said Section 18, thence South 0 degrees 23 minutes 10 seconds East along the Easterly boundary of said Section 18 which is the center line of Main Street (formerly Levy Road, County Road No. 222) 535 feet; thence North 89 degrees 49 minutes 10 seconds West, 133 the point of beginning; thence continue North 89fdegreesa49ominutes 10 seconds West, 111'feet; thence North 0 degrees 23 minutes 10 seconds West, 90 feet; thence South 89 degrees'49 minutes 10 seconds East, 111 feet; thence South 0 degrees'23•min'utes 10 seconds East, 90 feet to the point of beginning. TOGETHER WITH a non - exclusive easement for ingress and egress over, acrlss and upon; That certain tract or parcel of land being a part of Section 18, Township 2 South, Range 29 East, Duval County, Florida, being more particularly described as commencing at the Northeast corner of said • Section 18, thence South 0 degrees 23 minutes 10 seconds East along the Easterly boundary of said Section 18, which is the center line of Main Street (formerly Levy Road, County Road No. 222) 330 feet to a point; thence run North 89 degrees 49 minutes 10 seconds West for a distance of 33 feet to the Westerly right of way line of Main Street aforesaid and the point of beginning. From the point of beginning thus described run North 89 degrees 49 minutes 10 seconds West for a distance of 347 feet to a point; thence run South 0 degrees 23 minutes 10 seconds East for a distance of 25 feet to a point; thence run South 89 degrees 49 minutes 10 seconds East for a distance of 111 feet to a point; thence run South 0 degrees 23 minutes 10 seconds East 180 feet to a point; thence run South 89 degrees 49 minutes 10 seconds East for a distance of 25 feet to a point; thence run North 0 degrees 23 minutes 10 .seconds_ Wu_t_for a._.distacicc of }CO feet to a point; thence run South 89 degrees 49 minutes 10 seconds East for a distance of 211 feet to a point on the Westerly 'right of way line of Main Street, aforesaid; thence run Northerly along the Westerly right of way line of Main Street for a distance of 25 feet to the point of beginning. Being a 25 foot right of way for ingress and egress. • • • 79— 65285 79 AUG I P 2 : 31 SCHEDULE "A" MAP SHOWING SURVEY OF !'hat certain tract or parcel of land being a part of Section 18, Township 2 South, Range. 29 past, Duval Co,:nty, Florida being more particularly described as commencing at the Northeast :orner of said Section 18; thence South 0 23' 10" East along the Easterly boundary of said Section 18 which is the c,nter line of Main Street (formerly Levy Road, County Road No. 222) 535 feet; thence Borth 89 1+9' 10" West, 133 feet to a po for the point of beginning; thence :ontinue North 89 49' 10" West, 111 feet; North 0 23' 10" West, 90 feet; thence So.uth 39 49' 10" East, 111 feet; thence South 0 23' 10" East, 90 feet to the point of beginning. .)ate: September 25, 1973 For: George W. Stansell, Jr. Scale: 1" = 50' R. L. CROASDELL & CO. not inc. +29 East Adams Street Civil Engineering & Surveying Jacksonville, Florida -- rre.f riri ra . Jux r 2 4, / 979 1 1.- 6'''c,,94-1- Q P 4 C'''''\ 0 1 ' lli K 7!8 LEVY ROAD EXT °, o m o - _ , m N vvi N. 8°, 970 `N. 34 7' • _ 2- 3 C•1 - 1 25' R/W FOR /N6RE55 4/VD EGRE55 N a 5.6%'4 '3' /0 "E. 1/1 ' —� 4,0154.- 5. 89 °4'' /O"E. 2// ' 3 >.`, v h d,..,q7 4,�' n . M V � ' V vn 1" o I ` kt, - d 0, .zt-t, ., .,,s re-, ... . ,i, ,, ,, .) eVIr "ple/i1 of AMM ao IC lv : n - ,,.. 7 , , ., . . ti-, ‘,Y--4=1.1 : < 03 ro u ..„ 3! % �u ,. ,.„.. vi k t _ ch m ::( • , —,:CA/If !� � C..1.1 SrlfO , 5.8°9 ° 49'/0 "£. ?5' :: �11 /00' — — 3 3 • . '' N89 0 4 9'/0W _ /35 \i, APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE FEB 0 5 1992 BZ MLS NO 3AS 8149-A • hi. SECTION Atlantic Beach R5ALTORe PRICE $49,500.00 I t-- Re/S OVS1 .., ---- ' ' t see-f■S‘DYN ''f GUIVOlt 4 ... , ... .7 , NrCh e I s.... - , ..;:.••• 4 ....".....t4 : . -°";':::::- NIP -.."''''.. '44 s _...0'/.2 ,,,,,,-,' -6 y , ' , I. ' ,,,,,,,, - Itm.szt t , 7 '` ■' , t■ * -.. FIri•li 1 11, I 1 , , _____,,,,,„, ,,,,k.nt":, 1 -41 ; 7, , ,..?„,„ 4 4,41 0 ,,,,,„ „,,,,........ ......„„,,, ifin ■ , . „,N - 7.: .:' ,47.' ' - I- ' "- '' I' . ''''' -‚ -- '''',1 ..„... . , ,-, - t, -4- -"*. '`' ,' ' - . , 4. ' - .- „74 lt.t .'4*4'' ''r,,,,f;' - "- -'' Built 1970 c„ ditioo Excellent p $49 t 500 .00 Typeir iplex Const.CB/Frame Terms C on yen t i on.al_.e$104.00il, Rooms upper-2 bedrooms, 2 baths, liv•Pres. Mtga2we $t 01 with beamed ceilings, kitchen 1S_t-,$20_,_3..ao—o o_ Baths_tOtaat-fova Porches. I ar ge_ SC.Z e_enedi _ .. . twe un porches Garage 11011e Tiolder SWD #173815 -,, upper-BIRO dishwasher, ice maker re 41 308. PITI Walls paneled Floors tile/car_peting Legal lengthy Roof rolled Heatcentlr 2__uniIsLot Size approx, 1 acres Estimated Sq. Ft._ab_QI.Lt_2 ' ACK/ Abst. or T.I. __TL Landscaping average country Taxes Sewer septic Paving n 0 Reason for Selling excess _proper ty How Show s tc2py_ office 27 4 1 VII Remarks: Franklin fireplace in Listed By 27-0 Maureen 0`.11al_leykeys _ upper--2 lower apts. furnish --apts are in beautiful cond Owner Brian P. & I■laureen A. O'Malley shed for horses--secluded Mail Add. 1479 Mayport d. Atlantic Beach yet close to everything Thle Information believed to be aceurate le not guaranteed or warranted to be .o by tho 1.1..ting •rne* **city water but well for watering Phone 249-7272 MLS N 3AS 814 9 - A Yard LocatIon 165 0 Main St.„ Atlantic Beach, Fla. ,gg, 1 � � —s I s ill':\ ‘'. .' ', '4 P ' r'' ` OF `R Z I s�- U/ p� T. opFF���CH " N '! � � a 5 By s6' ,,i <:, \f ', ' *-71 / I\ 4 1 , , ' ', t i t rn �! \ � x ? I \i, • , 0 ,K . M G 0 Z. i l LZ ti \ 11 I ; o E (j) � tr x ` 1 ` 14 ,t , .....„ e 0,...z.„ 1 c ri" 253 f ;."-:.) 1*-0 g -i" I I 1--.... ,. inl f>-.-,,, r. ., Q.... -t) . si - r FLA A - ^ o �; r.',. '.: A t \ ! ; vt4 0 4 S t i ' ' , 5 / �-� N Z r i f t 0 <, _ i � 4 ......, 1.511. p Z--. o W APPROVED Cr ,, pp,, .� BUILDING OFFICE CITY OF ATLANTIC BEA 4 V' r1 2 r FEB �'E g 0 t� 1992 F _ �, or....... J 4 X -A o 15 v C it '� o C1 rn r n I F A. 3 1 4 ° 6 w N r te,,, U = 7 -ri o _ . ,, --u t; Z a -.0 - _, a kr kr 1. S (1 1 6 4 0 0 ' FLA. I S At I:.aW$ MANGO Poem 4Q FS 713.1) Nixtire of Coutturntrutent 41N IN Du /LICAY$ go Whom it mug taztrern: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. f Description of property C� (J al..i f> .:. ,.......A .. ci ...l..f$ J<� t Q . L 3. 2.:..2::.3 3 General description of improvements. g%pig-L9..... Q .1... C 1 2 .k L L 4 Lod Q»d.u1 n o.e.f rr- i.A..11 ti - Owner L.1141,4. Vticsa L Address C . . -F . .ay Srf U 1 „? .l .A. ,.....��...........». � �. Owners interest in site of the improvement (2- q(e S Fee Simple Title holder (if other than owner) Add ress...... .....» ... ... ..»» .., Contractor. .... »» . - Add ress _..».. .....»......» ».. »...»».»...... »....» Surety (if any).. » ..... .... ... .»...» » .....»»......» ::....... , Address.....».._»...... _».»» ................. Amount of bdsd 1 Name of person within the State of Florida designated by owner upon whom notices or other documents may be served Name ..... » ........... ............................... ..................m Address. 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). Nam ,„ »..»... Address THIS *PAC$ FOR RiCOROER'e USE ONLY J Utek f irW Owner Swum to and subscribed before me this dayof ' OF FLORIDA My Comm' Exp96 • COMM NBR CC2208 /27/017 ... DATE: - 3 PRE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION() HAVE DELN MADE AND ARE SATISFACTORY: L._ Le 7 s ELY, / si BUILDING INSPECTION DIVISION cc:FILE 656 6 CITY OF ATLANTIC BEACH, FLORIDA I Approved by l APPLICATION FOR ELECTRICAL , PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: :ffel ►qL 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. e ,r,1-4/ � C4,C.. ,lie / 411.44 ett r 4 4,7 -) ELECTRICAL FIRM: NfASTER EL ICIAN SIC)ATURE � � 'A ,,.�* JOURNEYMAN NAME-7: °�,� 7 / ' D 6 " / e ' ADDRESS: /6 ,72 9itiA#t RFD BOX BLDG. SIZE. BETWEEN: RES. fjC) APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ) OLD ( ) REW ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE ro AMPS 2 ,),.$ COPPER ( t ALUM. PI SWITCH OR BREAKER AMPS 1 PH i W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE 1N0. SIZE 1 NO. SIZE LIGHTING OUTLETS CONCEALED OPEN ! TOTAL RECEPTACLES OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED l 0.100 AMPS. 1 OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS I CEIL HEAT:I KW-HEAT I t a1 MOTORS H.P. 1 1 VOLTAGE PHS NO. I 1 H.P. 1 PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA _ NO. KVA NO. NEON TRANSF. NO. ' VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN — i tc4V1 FORWARDED get TOTAL FEES 7 file ft' r /1)