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Permit 160 Mayport Rd (vault) CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877 ELECTRICAL PERMIT Permit Number. 20362 Address: 160 MAYPORT ROAD Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: TAVERN Lot(s):25 Block: 1 Section: 7 Square Feet: Subdivision: SECTION H Est.Value: Parcel Number: Improv. Cost: NEEMEM Date Issued: 7/17/2000 Name: KNIERIEMEN, DANIEL J. Total Fees: 25.00 Address: 370 SIXTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 7/17/2000 Phone: (904)246-2555 Work Desc: INSTALL FIVE RECESSED LIGHTS IN FRONT SOFFIT BROOKS & LIMBAUGH PERMIT 25.00 FINAL ELECTRIC 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. 5C5.�D 14 Date: 7117/00 01 Receipt: 0073713 CHECKS 13Ha 08186;3E�3P�1fl2i� ATLANTIC BEACBUILDIRO-91�_ CITY OF ATLANTIC BEACH, FLORIDA AOp►owd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_ 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 SPECIFICAMON% WHICH ARE A PART HEREOF,AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRMMASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAMEA14�le T;lljjl c� ADDRESS: 164%y � RFQ._BOX BLDG.SIZE -BETWEEN: N1.� RES,( ) APT,( ) COMMA PUBLIC( 1 INDUS.( 1 NEW( 1 OLD '\► REW.( 1 ADDITION( ) TRAILER( 1 TEMP.( ) SIGNS ( ) SO.FT. SERVICE: NEW( ) INCREASE( 1 REPAIR( ) FEE CONDOR SIZE AMPS COPPER I ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE.?6� ICV CV AMPS PH W '2'4 VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS I CONCEALED OPEN TOTAL RECEPTACLES I CONCEALED OPEN TOTAL 0.30 AMP*. ]t.too AMP*. SWITCHKS INCANDESCENT FLUORESCENT A M.V. FLXWM 0.too AMP*. OVER AIPLIANCKS BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT O•i OVER MOTORS H.P. I VOLTAGE PHS I NO. 1 LP. VOLTAGE PHS MISCELLANEOUS i TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA AND. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED , s TOTAL FEES """ C.I T Y OF ATLANTIC BEACH Tp,EE REMOVAL APPLICATIO f All applications must be submitted with seven (7) codes and received by 5,•PM on l l u) days prior to the scheduled meeting in order to be placed on th"acnda. *INCOMPLETE APPLICATIONS OR INACCURATELX-i �' Aa ED S' TES + WILL NOT BE PROCESSED. :; Esq 1. Daniel J. Knieriemen 370 6th. St. Atlantic Beach APPLICANT NAME ADDRESS TELEPHONE I I ' 1arbor Tavern 160 Diayport Rd. Atlantic Beach ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE REASON FOR PROPOSED TREE REMOVAL:-- Is very c� ose to ^ull :ing causing roof damage and damage to lighting on building, also getting into power lines creating a possible hazard. A good part of this tree has been cut and bark is dying ozf. 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? n YES Z NO ❑ NOT SURE I 5. PROPERTY ZONING: ❑ RESIDENTLAL XNCOMMERCIA.L 6. LIST TREES PROPOSED FOR REMOVAL: j SPECIES DIAMETER DIAMETER MITIGATION INTERIOR EXTERIOR New tree to be planted Oak? -16 IA440s in sw corner of property CIES © 61f-'Z-S 00 F<'#,-(M E64AP la4 t� T l N-6 II I i i I i If * Diameter at Breast Height(D.B.H.) is measured at 4.5 feet above grade. To accurately determine I 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 Lforks. 1p ** See attached dia;ram for determination of interior and exterior zones. 7. SITE PLAN/TREE 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) Tree species and sizes. e) Trees to be removed should be clearly marked with an "X". f Trees to be preserved on-site for mitigation must be marked with brazkets g) Location, size and species of any proposed new replacement trees marked with a circle "0" y 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 removal MUST be marked on-site by RED flagging, paint or tape. r I b) All trees to be preserved on-site for mitigation MUST be marked with BLUE flagging, paint or tape. i c) The front property corners must be marked by stakes or paint indicating the Lot 9. * INCOMPLETE APPLICATIONS OR INACCURATELY 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;DE OF ORD CES OF ATLANTIC BEACH. S' Date Owners ature Date i i CITY USE ONLY: I � lwdf _A/ Tree Conservation Board Chairperson Date i MAP SNOWING BOUNDARY SURVEY OF LOTS 1 & 2 BLOCK 25 SECTION "H" ATLANTIC BEACH AS RECORDED IN PLAT BOOK 18, PAGE 34 ACCORDING TO THE MAP RECORDED IN THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. " CERTIFIED TO: DANIEL RACING, INC., STEWART TITLE GUARANTY COMPANY, RICHARD T. MOREHEAD, P.A. JACKSONVILLE, (904) 396-3011 (904) 396-2326 :F-AX I IEREBY CERTIFY THAT`PHIS e!, + BOUNDARY SURVEY ups TM NaNDAN`tEZVNaCAt.STA NDARM SET Fa TH in T�E FLORIDA 90ARD OF PROFTESSONAL SURVEYORS AND MAppM IN CFIAPTU 61G17.4,FLORIDA ADMDUMATNI CME.PURSUANT TO SECMN 472.627.FLORMA STATCTISS AND fLkTm CmT7y THAT p 1� THERE ARE NO VIS( OACH)�Mb'IS UPON THE SLB1FZ: PROPERTY EXCEPT AS SMWN ON TM SUVzY. e1�, ANTHOA Y 0'1 .EL DA FE Z r/ E PROFESSitONAL L.AN7D SURVEYOR i 5 68 4 �r (Tf4C �iCrr�O�� � +!" uNLFss IT sEARs THE S1GNA7i7l}.c AND ORlGfCN1lL.RASS'D sEAt OF A b IMMA LICENSED S 2Vlr."C1R WD"OM TIM MOM FOR Z&W-%ATIONAL PURFC4E.'^"ONLY AND SS NOT VALID. c� 07' 3 ro R'b FLOOD ZONE X Ir AS BEST ASSERTED FROM TIE FLOOD INSURANCE MAF,COMMUNUfY PANE-L, NUMBER 124o'70 coo S C zo>' ("�T DATED B'-/l-81 r e e to be removed CRCER1 .[0 Wx 9d' �� FiaC BOCK or FAGE(S) New tree to be planted f�>GE1) 0A►nv 9 r: rna rt7v�'�.r %III::C A AIM r r.^_:Wt) ;Tr CCV:'DC: s.. j viinutes of Tree Conservatian Board October 9, 2002 Page 2 B. Tree Ordinance: Emergency Tree Removal: Building_Official Ford advised that currently Public Works has the authority to remove a tree if it is deemed an emergency. He further advised that there is no definition of"emergency"in the Tree Ordinance and Public Works would like clarification. Discussion was held and the Board determined that a situation would be considered an emergency if a public utility could not be repaired without removal of the tree. Board Member Permenter suggested that Building Official Ford work with Public Works to determine if any other scenarios might apply. A motion was made by Board Member Permenter,seconded by Board Member Shaughnessy, and unanimously carried to adopt the above definition of an "emergency." C. Tree Removal Application Form: Deferred until next Tree Conservation Advisory Board meeting. 5. New Business New Businegg wag addressed prinr to Old Business. i 6. Reports and Announcements A. 580 Sherry Drive: Building Official Ford reminded the Board that the owner of 580 Sherry Drive had removed trees without a permit and the Board had set the mitigation requirements. He advised that the applicant has proposed planting 54"of palms, 16"of oaks, 20"of hardwood and paying$3,744 into the Tree Fund. Discussion was held and the Board determined that the applicant was proposing to plant the trees too close together and they were too small. A motion was made by Board Member Shaughnessy,seconded by Board Member Permenter, and unanimously carried that the applicant provide an updated survey showing the footprint of the new home,new trees are to be planted must be planted a minimum of 10 feet apart, oak trees to be planted must be at least 3" in diameter and all other trees to be planted must be a minimum of 4" in diameter. B. 160 Mayport Road: Building_Official Ford advised that the owner of 160 Mayport Road planted the required trees at the site but that he only planted"2"oaks when he was reg0ired to plant 9"of oak. Discussion was held and it was suggested that the owner plant two more 2" oaks to fulfill the mitigation requirements. A motion was made by Board Member Shaughnessy,seconded by Board Member Permenter, and unanimously carried that the Building Official suggest to the owner of 160 Mayport'Rdad that he plant two additional-Z" oak trees to fulfill the mitigation requirements. 7.- Adiournm, nt There being no other business or discussion,the meetasg was adjourned at 8:40'p.m. Barbar.Meas ____ CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:____ 19 ---1 T 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. ELECTRICAL FIRM: MASTER ELECTRICIAN SI A U — JOURNEYMAN NAME i ��i �S��� ADDRESScrr GY�U�C r AFD BOX BLDG.SIZE BETWEEN: RES.( I APT.( 1 COMM. PUBLIC ( 1 INDUS. ( 1 NEW( ! OLD K) REW. ( 1 ADDITION 1 1 TRAILER ( 1 TEMP.( 1 SIGNS ( 1 SU. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER f ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY v EXIST.SERV.SIZE C��/ AMPS ( PH � W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 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 ' 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 777=7 =7 7277 C /SEE UJry c� TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. JNO. VA. MA. MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED $ TOTAL FEES Psi-aeaX 12 pEpARTMENT OF BUILOIN,0 CITY OF ATLANTIC BEACH j PERMIT NFt RMATION .,� w ..__ LOCATION INFORMATION w Address: 160 KAYPORT ROAD pe, �mt Number* 1125 ATLANTIC PEACH, I?'LC31II)A2123 >rz a Type:ELECTRICAL LEC4 L DESCRIPTION ". Ch as o Work REPAIR ---- C'n t>w TpV :CONCRETE IRLOCKBlock*. Lot: .TSP' _ _ P�o c►sed U�I :TAVERN 5e ation R { Subd r Rric T sae2lin s ': {3 Subdf vi.sir ri;SECTION H Est . Val we: 0.a00 LPbi vCost 0 .00 Tota.i Fe, 25 .00 me �zn t 26 .00 i '"` "` 4 , Azit dkk 24 IN HA D-Lc ERPAIRAx 1 � � APPLICATION d aMd " G @� G O l I P ITtt AD 1 +�{ h ` L.� FLORIDN �I� s " r �� sae md� AW x1�^L!'t tG K COY AR ORMAT I O ,N BH.C � ;MEP3:E;�H 4Il ET "1 S ... MARI CHFLORIDA 3223 'a5? Exp. / 2 k N, °I-S"r S k NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST,2+4,HOURS PRIORTO,INISPEGT)ON I , ` ILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE ANp MUST'BE f EARED UP ANb:HAULEO AWAY BY EITHER"CONTRACTOR OR OWNER" FAILURE T© COMPLY WITH THE MECHANIC$' 1EN LAW CAN " iESUIT IN HE PROPERTY OWNER PAYING TWICE FOR SUILOING IMPROVEMENTS."' ISSUED ACCO140ING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REV0CAfi49K F©R VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING pEPARTM NT �yyg CITY OF Office of$uikiing Official / REQUEST FOR INSPECTIO 3 Date_ _ / �__Time A.M. Received P.M. Job Addre s � ' oca y "v t Owner's -- ----- -- _Contractor - f----- ------------- — BUiLDiNG CONCRETE ELECT C� PLUMBING MECHANICAL g Footing Rough Wiring Rough Air Cond.F. Re Roofing Slab Temp Pole Top Out Heating Insulation Lintel Final Sewer Fire Place Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made ----- — -1 Q - ----- PM. �. Inspect Final Inspectio 7a e o Occupancy ,4 7`l� rC v f7�1 � C-¢f-' ate - _ 1 /CITY_OF 4&___�.- 13�QCA-49" Office of Building Official (� REQUEST FOR INSPECTION Date _ Permit No. Time A.M. Received P Jo dress Locality Owner's Name __ Contractor � ( / BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Fram ng Footing Rough Wiring ERough ❑ Air Cond.& Cf Re Roofing Slab G Temp Pole r Top Out ❑ Heating Insulation ❑ Lintel ❑ Final O Sewer 17 Fire Place ❑ Pre Fab READY FOBANSPECTION M Mon. Tues. / Wed. Thurs, Friday A. / M. Inspection Made Z rf PkfY� Inspector Final insp ion Certificate of Occupancy G Date . ___ ___��., CITY OF 4&4Atti[c Bw4c4 fills Office of Building Official R QUEST FOR INSPECTION Date Permit No. Time A.M. Received PM. Job dr s &Z�� Owner's Name Contractor CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑, Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond,& Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab A.M. Mon. Tues. Wed. Thurs. )� Friday / 5 G7" A.M. Inspection Made PM, Inspector___._ Final Inspection O Certificate of Occupancy Date &��//�__�4M�� //CITY OF TY &' !3W4CA-49" Office of Building Official REQUEST FOR INSPECTION j Date Permit No. Time A.M. rt Received P.M. Jo Address Locality Owner' P` Nam Contract" ILD CONCRETEl.ECTRI AL PLUMBING MECHANICA Framing D Footing :2, oug Wir+ng D Rough D Air Cond.8 D Re Roofing D Slab DTemp Pole Top Out D Heating Insulation D Lintel D Final D Sewer D Fire Place D Pre Fab READY FOR INSPECTION t A.M. Mon. Tues. 2 Wed. Thurs. Friday PM. A.M. Inspection M de P.M- Inspe Final inspection Certificate of Occupancy D Date , 1 09pARTN1ENT QF OlUtlil► 5" CI IY OF ATLANTIC f!�tCl I } �w.w,w... -�.+r w.r+rF rt+st+7+. . PtX MIT-1 '"F'C)Ft�l# `IC i .» LOCIAT ION INFORMATION Nom '. 29 Addr 160 IIAYPRTtC)RD 1 ` �I m t T I► �`2C3) ATLANTIC NLAGN, F`LQRYI�A �2�3 2 601cl~ ALIITIC� �...,;: » �_.. L4AL DLSCRIPTIC3N. .. �,.� _., . . I .• Y11� PLAST C Lot.:-" , ��c►C�C.. Se�Ct i Qt1= to « CI bdi '* QIP 1EEtrr V�CtiO, A IiPrav': ,lay i • 4 1 ION APPLICATION IFEgS i $25. 00 ` 5 Rt All A IMPACT, F ate.00 Ick` F Log,1, � �y � ,CtTi AT I? * l O CCAS-N.I S. $0.00 t xvw RXDO0 44 UST 3 UST I L LOO 'UNIT, ,I ZZW9R TAP $0 00 CIS F 'D IVA: 320)73 DRAULI HARS -00 ptC S« �t cit'i ON 0 PPN.SCTM`' f 1 jAN i 1# ttantic t he MOTIC -�r ALL CONCRETE FORIUI$MD FOOTINGS MINSPE,CTED$'FORE POURlf4G PERMIT V00 SEX MONTHS AFTER RATE OF ISSUE ILUII+IC MATEf IAL,RUBBISH AMD+DEBRIS l=ROM THIS WORK MUST:NOT BE PLACED 1N PUBLIC SP7�CE,AND MUST BE HAULED AWAY BY EI HE ?CC)NTRACTC a OR Owkti i 0 C€' M.PLY`• f' ITT. ■ H MECHANICS' LIEN A �. L an tiED.ACCf.R INC T 3'APPROVED YED PLANS WHICH ARE,PART O -THIS PEE�MIT A14D;SUBJECT T(�;REFI� T N�I=CIR " T to OF l 'PLICAA .E PRtlViSl+fI+IS OF LAW. 5 A'. •ASIC CACI I UII NG,D I TK4 NT Af �to)L r : n w:. ... - • P 1, >., ,,.. � f. i « .. .i_v. F ...v... ,.va s...a.f�._.a.,.".lx..+n Lhsc3 +se...._,.as._».,cv,�:�'x..._,,...v...._....,., w �,� R CITY OF ATLANTIC BEACH J A N 0 31994 APPLICATION FOR SIGN PERMIT Building and Zoning NAME: ADDRESS: �� J�*�2 �,✓�o.. 7� �a� PHONE: Z 77 — 2 TYPE OF SIGN: SIZE: 3 - PROPOSED LOCATION: WILL THE SIGN REQUIRE AN ELECTRICAL PERMIT? 11?5 ELECTRICAL CONTRACTOR: Signs over fifty (50) feet in area, and/or any sign which is more than seventeen (17) feet above the ground, or any sign weighing more than one thousand (1,000) pounds, must be submitted with drawings from a registered engineer. Signs with a solid area greater than thirty (30) square feet must be erected to withstand a wind pressure of at least thirty-five (35) pounds per square foot. Drawings must also show that weight of sign will be supported by the roof or ground support on which it will be erected. This application must be submitted along with the following: 1. A plot plan of the land, showing the position of the sign in relation to buildings or structures. 2. A blueprint or ink drawing showing the plans and specif- ications, and the construction and/or attachment to the building or in the ground. 3. Other information as may be required under Sec. 17-2(b) , Code of Ordinances, City of Atlantic Beach. APPLICANT SIGNATURE: G v ._ ,�,. "r Date: OWNER SIGNATURE: , � � , ate: 141 j Or)40 - r 4 �11FIIr �MPgrFN-,�M;6017i wI M+.t PA 14AkMOP$ ;lirk p84-74�tl DATE ��� JOB NUMBER _ ia4 DATE TO BE COMPLETED BILL TO: WORK PERFORMED AT: COMPANY NAME �4c® NAME. CUSTOMER NAME �.GrG ir►�a� L DDRESS ADDRESS /(�O l� v,��,.,f XW !1 PHONE SURVEY NEEDED DESCRIPTION BE SPECIFIC IN DETAIL. PYLON l// HEIGHT TO TOP HEIGHT TO BOTTOM �!� SIZE OF SIGNS RIGHT OF WAY TO EDGE OF SIGN SIZE OF RETAINERS PANFACE FLAT FACE 3 >r rP'� /%,� , -.� JG�e� . s4.` FLAT COPY EMBOSSED COPY ../ ` '"' �N�fe.,P wok, PICTURE NEEDED OTHER WALL SIGN �• �`. r /«� ///�v. SIGN H/L CHANNEL LETTERS RACEWAY G �"� ✓u e FLAT TYPE OF WALL fa X. PICTURE NEEDED y� WALL SIZE OTHER SURVEY DONE BY! DATE: PERMIT INFORMATION INTERSECTING STREETS SIGN ADDRESS OWNER/AGENT �•',l PHONE 2 72 - 2-1'o y' BUILDING HEIGHT /Z ---- -- TENNANT FRONTAGE S » FACIA HEIGHT TYPE FACIAS,I,e.�f METER NUMBER ADDITIONAL INFORMATION: A m 1 2Q� Zy OIA TV 0 8 i i f� \0 i f l� IZ' OtA 3" •"� _ Ate' , c - x _ u. , > F - n 6��LF7lER5 T, . - L 3 I _ l7" to or $ I ! L a 3 , - l��l. �=J` �. . �, /�f�C: a � _ £� �:a- �` — ., �. — �: t. _ � �' E- .Z r c Or n V f f DEPARTMENT QF BU1LDINGi CITY OR ATLANTIC BEACH . _ FERMI* INFORMATIAO LOCATION INFORMATION C rmit Number:, 15122 Addr' sa: 26CI MAYPC3RT Rt3Ati Permit; Ty ' e:RSMO'OELING ATLANTIC BRACH, FLORIDA 32.233' ; Cass of Work:RLMOIIEL LEGAL 'DESCRIPTION ons tr. T »e:CON JRETZ BLOCK Block: Lot:: Twp,, rop6sed ,s=te:TAV RN S ctio' o: t Su ed: Rng: b { £Iwel lri a Q f Subdivio ;SECT IOI H Est. Value: f �6prov. Cost . 11196 ,00' R °Trot a l Fees a 30 .00 ' 0 a 00 Amaunt ► `' r x,, 30.00 Date 7 7 IJ N rk Dei44 IR, I ON - APPLICATIONFEESIRP C A, d AD � r BSI FLORIDA 3213 7g 3 'may qqqqq �'' ¢ t L" 4✓i3 ijm a # t sw $ d a&15kt ,A .; . , C, R " ORM T I O { H� PA B AL CO Cfi'tRs ' ALl dr 31x ...LCAk , ACKSO;BV Ef FLORIDA is � 28�� ' w� BxP:%lf JL G .p 4 t C S. 1 k afi # t j I g NOTICE-INSPEDTIONS MUSTAE,REQUESTED AT I EAST4,4 HOURS,.PRIOR TO INSPECTION , + - l G1 €IL ING MATEWIAL,RUBBISH AND DE'SRiS PROM THIS WORK MIST NOT BIS PLACED IN PUBLIC SPACE;AND MUST BE EARED UP AND HAULED AWAY SY EITHE-R CONTRACTOR OR OWNER ` IiL�JREll 4 COMPLY WITH THE MECHANICS' LIEN: LAWCAN REbT tN j -piE PROPERTY 3WN"ER PAYING TWICE FC R BUIL lt�1 ' MP'Aovem-9NTS." { SO,ACCORDING TO APPROVED,PLANS WHICH ARE PART OF THIS PERMIT AND tUBJECT TQ REv4CAT1 � � TION OF AIPIPLICASLE PROVISIONS OF LAW, .. }2ate: $f`19J974I Receip�I' 11211 ATLANTIC BEACH OUILDING DEPARTMENT f, B : <u I r r CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address /flX/100K l r�6-17 0 1T< Date d "" c7 - f Heated Sauare Footage 7_@ $ � per sq ft = $ T / 2 Garage/Shed @ $ per sq ft = $ Carport/Porch @ S per sq ft = S. Deck @ $ per sq ft = $ Patio @ $ per sq ft = S TOTAL VALUATION : S 56 $ 1' a Total Valuation 1st $ lb o / 20 uy $ J � � Remaining Value $S-.00 per thousand or portion thereof TOTAL BUILDING FEE $ 2aoo + 1,`2 Filing Fee $ f ©„O ( ) Fireplaces @ $15 . 00 $ 0 BUILDING PERMIT FEE $ 0. WATER IMPACT FEE $ SEWER IMPACT FEE $_ WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP S RADON (HRS) . 0050 S SECTION H PAVING HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE $ 36• Dc) ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : K RECEIVED CITY OF ATLANTIC BEACH '$ 1 1991 PERMIT APPLICATION REMODEL, ADDITIONS, OR WyTMX=0N3each MOVING,DEMOLITIONS Building and Zoning fi � Owner (s) : C�/11,9416 S zu X&& Address: 1st4ypsR?' Ro. An Any Phone: 4a41r�'� 2 YTS 2 S".r.C� Lot # Block or Unit # Subdivision: Contractor: &N7MG70i°1S State License # ZZ,C Address:�—' 3/f4, LEAN 40 Phone No: g9��993 City -�) bC State / `'' Zip Code ����6 Describe work to be done: /Pj{YOf�fG� Lv�rll4 �9Ct0�t.«oro�11� ��i9 IQ �PK6v.•1 Present use of building: feli/4"X-J Valuation of Proposed Construction: 3�o r— Proposed use,: ✓4�1a� Is this an addition? /Va 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? TWO (RESIDENTIAL) CObWLETE SETS OF PLANS, INCLUDING ENERG3_' CODE F000, NOTICE OF 7, AND IDAVIT, IF OWNER IS CONTRACTOR. M rry Lt ; ' E. ,✓ Date Y� 3E . CONTRACTOR• /iw�� _ Date: z e Sworn to and subscribed before me thisday off �u.�� 19_f 0 PUBLIC STATt OF YLORIDA AT LARGE J '•�•''•ti n MAUREEN KING 1 `•' Notary Public.State of Florida •,� s'� My Comm. Exp. Mar. 31, 1998 OFF .0°e Comm. No.CC 359683 CIO4PIR �o�N°rC �c� i fTf RECEIVED 1 AUG 1 1 1997 City of Atlantic Beach Building and Zoning a� � po FOR OFF USE ONLY Date.. .. -----------19 Permit *731 ...1'ee$--n............ CITY OF ATLANTIC BEACH Valuation $_....,l ................................. FLORIDA Hous-A4b.... 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. Date..... / — e, 4C L.- ----------------P 19----- ------Address......T :........... -----------------.......Telephone No-----------------_-_---_-- - --------—------ Owner Architect_-_-_------- -------------------------.............................. .Address--•---..................... ....Telephone No....----.....-------------- -,B&vr.............. 0I.W, ddress_/77&_1'0P1' -------------Telephone No.:....--------- ------- ----------------_------W------ Contractor Builder :------40VIO, 44 40 a#"*- F - --------------------------zone---- ------- V -........ ----------- .. .... ----------- A ---- Lot No. ------/-----------------------------------Block No...... Sub Division --------------------Street------- -- -----.:Side Between.------ .......­-----­---------------and------- --•------__--------_---------- Valuation ------ .............For what purpose will building be used-.#-'%;.O' ..'O-"-*'-.Type of construction----------- -------- '*$--'-,'/ 400W — 4 - ----.-..---------- ---- --------..Dimensions of --------------Size of Footings --- Dimensions of Building.- ngs----- Size of Piers--------------------------------------Size of Sills._.......-----_---------_--Greatest Sill Span in ft...........................Type Roof--'X"A.-7—-_ I— ,74rr' JP How will Building be Heated?....ew.1 - ._---------------------Will Buildingbe on Solid or Filled Ground?- #.............. -nee on Centers----------/Z. ...................... Greatest Span........o2.1---�46-------------- Size of Ceiling Joists-._I. -------� .Dista ---- Size of Floor Joists. -----------------_-----------------------Distance on Centers_........ ........ ............. Greatest Span....... ....... ------------- s -----------­----------...--------• Size of Rafters----------- ----------------- Distance on Center --------- ---------- 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 LOTgINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W 1 I E r4 2. When steel is in place and ready to pour columns and/or lintel. Z .0 Z Ole 3. When steel is in place and ready to pour beam. E-4 4. When framing is completed. 2 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. 7. Electrical inspection by City of Jacksonville. • U2 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. Aa.t FRONT OF LOT n consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said wor in accordance with the attached d ecifications, which are a part hereof, and in accordance yitl�the build111K City f 5�� regu ions of the City of Cj -- Signature of Build ........... -- ----- ----- --- Address......4-4wv------ - ----- 1 ----- Signatureof Owner......._------------------------------------------------------------------------- Address.._...---...---.................................................................................... I DEPARTMENT OF BUILDING 3943 s CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. RRR PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Da78_ Valuation$ Sign Fee$ 4.20 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 Santry Sings & gnctraving has permission to build to install a mon-flashing mobile sign on temporary (max 90 dffs) basis Classification commercial 7.ene Owned by D 7 Dixon Lot Bloclr S/D House No 150 Alayport Road 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 Iz from this work not be placed in public space, andd must be cleared up and hauled away by either contractor or owner. 4*Q J TL e r a � � i aA f i X17 k. — oftarlcacz FOR OFFICE PERMIT DATE CONTRACTOR I3I USE ONLY NUMBER PLUMBING I ELECTRICAL SEWER WATER ~ FOR OFFICE7 NLY CITY OF ATLANTIC uxuACo o DA 7' 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 etrnohzou described. This upnllcudvo is made in coogpim000 and conformity with the Building Qrdbauuo of the City of Atlantic Domcb, Florida, and all provisions of the Laws of the 0tuho of Florida, all ordinances of the City of Atlantic Beach and all rules and nognludvom of the Building Department of the City of .&tloodo Beach, obuD be complied with, whether herein specified ornot. The Contractor or Owner-Builder who has been iomnod a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlwoiie Beach,Florida. To prevent delay nreobarrmmomot regard- ing intermediate final inspections i is suggested that list of sub-contractors --" � �� {hworr-----------------------------_---..~A ___/6.___����.�_���/'- ~��y_ __..._ Architect-------------------------------...&ddroma...........................................................Telephone No....... ContractorBuilder---------------.._-......................Address............................. -.........................Telephone No....................... _ -.Blook No----------Sub Dhdo1no---------.------------------�Zone-----' 8treat--------S�aBetween------------_-----�od--__.-___-__._--..Sts. w*uuamm $�--_------..��rwhat purpose will building boused........---------....Typontconstruction...................................... Dimensions of Building----------------------------------------Dimensions uYLot......... --......................................Sizeof Footings...................................... Size of Pieos. ----- ---------Size of Sills-----.........................Greatest Sill Span 6zft...........................Type Roof.................................... How will Building be Heated?------- ...................................................-WiDBuilding be on Solid or Filled Ground?........................................ Size of Ceiling Joists------------------------------------- . Distance on Centers............................................ Greatest Span............................................ ft Size of Floor Joists------------ --_-------"Distance on Qeotoro--... ...........--............... Greatest Span........................................... " Size of Rafters------------------------------Distance on Centers........ ..... ........................... Greatest Span........................................... P1 11 C" OPF.P4 01 This rectangle is to represent the lot. OFFIC� osition. Give distance In feet from I Ii es and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. By Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. C43 8. Final inspection. 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 apart hereof, and inaccordance with the building regulations m[the City of Atlantic Beach. Signature Address.....................- ..................... --------�--------' 7 � ...................... _-_---_..'.----'---.-_.-----------------------. \6y 57 A J7 N I j 3001 x L 1 71 / I i f R i th C Z O N Co VY O_ C. A. S=ON, JR ,l�a6/L C •`�/Gr Consulting Engineer JEFF G 5024-SUNDERLAND RD. ��c,/`c�T 2 c�C' JACKSONVILLE, FLORIDA 32210 p , i ,, A, /x i y t � I I ; , ! i L 2 K 3� �, INEc.o AE 1-o4=EEN 7"a,Zi" - . i l x � ';J� ` lzn � „¢ �y� �/t E,�'PA�t/.9/off `\ B�x �C 8 l�-r+AL f!!1J f L'� ,iJ` r�,�,� � � ✓/'i`�/C�rj f�/ Co vC�Ej� i t\ ..7"��/�J� r9/� C. A. SUTTON, M --' Consulting Engineer 5024 $'JNDERU ND RD. JACK33NVUZ, FIARIOA 32210 - frx �9 8 fir:,' ter' S�'N•=�r" G�ti �/.ZGrC f• -T-/'E Dodgy �x �3x 8 uBC 4cs� TQ .SAS✓G a�.�15f��i467• rE `0 II 3c 4. / I �6x m ; �fcorra,;3 Z5I 1 I � T/E f arItiJ ( /2 x �ZK :� 7-D �'��1x 8 � AO-A -�I f C. A. SUTTON, JR ,./F FF /✓Ic CR�'��/� Consulting Engineer 5024 SUNDERLAND RD. JACKSONVILLE. FLORIDA 32210 7"a.c1 T7-'L `d: 2. 5X2o - So FT 2,, USE 4 ¢tea ` 1 2x �3. tj I 4T , 2 X 1,7,% ,l 7a 6 Zx � � C. A. SU'T'TON, JR. Consulting Engineer Me �iQc�U�E 5024 SUNDERLAND RD. -y���• �� JACKSONVILLE, FLORIDA 32210 27 oc� r•- i "�/enc' ,�'/r/G S ;� CE�Jj�'=� �i=��S J I��•��I�✓E:��`�, l2T ?&d,l TjE D�or�iJ '�' S lq3 2 � I � 2• (c 7 2. 7 - Tor,4 L 7�L. C. A. SUTTON, Consulting l:r.,rinaer 5024 SUNDERLAND RD. -s#4E r .C;C::;:i;yUUF. FLORIDA 32210 ..66'72 Z ,ab^ - e; -5L'alOaf j S�},��a al.2, 145PX,-147' � R 7S A v5E ?�C� C�l3LE D� CIT 00 EMINOLE CH ROAD r ATLANTIC BEACH,FLORIDA 32233-5445 �x TELEPHONE:(904)247-5800 `.' FAX:(904)247-5805 x i) SUNCOM:852-5800 http://ci.atiantic-beach.fl.us Harbor Tavern At antic BeacF132233 Attention: Dan Knieriemen Dear Sir, On April 10, 2002 the Tree Conservation Board approved the removal of anl8 inch oak tree to be replaced with 9 inches of oak. As of today's date the replacement tree(s) has not been planted. As of this notice you are required to have the replacement tree or trees planted on the property by October 7, 2002. On October 7, 2002 we will perform an inspection of the property to determine compliance with the required replacement of trees. If the required tree or trees are not installed at this time this case will be turned over to the Code Enforcement Board. Under Fla. Statute 162.09(2)(a)the Code Enforcement Board may impose fines of up to $250 per day not to exceed $5,000. Please contact me at 247-5826 if you have any questions concerning this matter. Sincerely, .�C- iwj� Don C. Ford CB Building Official Cc: City Manager Tree Conservation Board File CERTIFIED MAIL/RETURN RECEIPT t 00151.6 IDRPARTMENT OF SUILDING CITY OF ATLANTIC BEACH & S IT NFCISHA�'I" -------- LOCATION INFOR"AT ON w Address-. 160 ffA"YFC11�'I` READ rmi t TY I, BlJII..I3IIIfO ATLANTIC BEACH, FLORIDA 32233"',111 RicPAT C ?tar. "I a N/A L,r t s of Work IE $ r ► + r r c t d kt s RECREATIONAL. Plot�e'G 8ok I Pagel, �? � Dv, I3� 0a � Code 1' 0 --- ---_�� +1�4Irns INFORMATION Noted values &�t�O.00 Name* �"r�A I�r Ci�U3� " Cit A t " Adt`:�ar east HA t t"I' ROAO , AT>I'.Rl�TIC BEACH,Amoun F'L.C3RIi9A 3 33' J aFrth'" ":rtM 1�4• -• � kRl"II"I` ItATfi " IRi' � i A a ¢ z' f �„ ..ter F 'f RADON GASH. Mt.SSEWER TAP . RAbou GAS $0.00 WATER, TAP HYL'►aCiAU4Ii HAR *0.00 I � ► 1SPOC'` �` E ►r . � j NQS; } 7.5 F k Y r � 7:5 � L 7.500 r 9112 Ilk IC/0` 910 I 115/00 4 I; II NOTICE' ' ALL CONCRETE FORMS AND FOOTINGS MUST BE INS'PECTEt�BEFORE POURING r RERNfIT.VOID Sik MONTH'S AFTER DATE OF ISSUE ILDING MATERIAL,RUBBISH ANI'DEBRIS FROM THIS WO MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE EARED ISP ANC!HAULED AWAY BY 5iTHER CONTRACTOR OR OWNER. # FAiLURE 'TO CUIUIP .Y iN11`H` THE MECHANICS' LIEN LAW CAN RESULT IN THE PRO RTY`oWN" PAVING T�AfICE FOR BUILDING IMPROVEMENTS. UED A,CCORCi1NG TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND'SU BJECT TQ-REVOCATION FQR LA O!F APF'LIIrABti}I I�OVISIQNS OF LAW, s , f sT.,A't ANTIC BEACH$UILDIN DEPARTMET f � 1: MM CITY of ATLANTIC BE&CH APPLICATION FOR BUILDING PERMIT Owner `,� \NO Address t � zip3�-7 Pl�oue� Architect Address zip Phone Contractor Q k o Address�(��99 �4�,a.� Z1p Phone (� + iration DatN, ^j - Copy on File Contractor's License No Lot # Block or Section i Subdivision Zoning Street I Between ' and side Valuation $ 'Type of Crnlstruction Purpose of Building Nunber o Units ' Fire��laces Ul111ty Service: Water Sewer If the City if providing water or sewer service,' do we need to make taps? Dine-isions: Building Lot Size Footings Sz. Piers Sz.. Sills Greatest Span Sills Sz. Ceiling Joists �___ Distance on .Centers Greatest Span Sz. Floor Joists Distance on Centers Greatest Span Sz. Rafters Distance on Centers Greatest Span Method of Heating Solid-Filled Ground Roof Flood Zone If located within a FLOOD 102M complete page 2 SUBMIT: No complete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required: 1. When steel is in place and ready_ to pour footings 2. Mien steel is in place and ready to pour colurmsjlintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical, pluming, electrical, ..fireplace, is completed and ready to cover up. 5. Final inspection. SETLiAC1LS NO INSPECTION WILL BE MADE" IF BUILDING CARD IS NOT POS'1ED ON JOB.. ear In case of rejection, reinspection MUST be called for after •�, Lot Line corrections are made. In consideration of permit given for doing the U) work as described in the above statement, we ' H. N ,hereby agree to perform said work in accordance ro co' with the attached plans and specifications, whidi are a part hereof, and in accordance rt rt with the building regulations of Atlantic Beach. + rD rn Signature Owner Signature ContractorQL,_t�,, » rot 1-=e µ CITY. OF Fead - Jlwuda 716 OCEAN BOULEVARD P.0.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(9041249-2395 April 17, 1986 MEMORANDUM TO: The Honorable Mayor and City Commission FROM: Advisory- Planning Board SUBJECT: Board Actions of April 15, 1986 with recommendations Your Advisory Planning Board considered the following requests at its regularly scheduled meeting of April 15, 1986, 1. The Advisory Planning Board recommends approval of the request for Use By Exception by Fred W. Mills for lots 1,2 & 3, Block 4, Section I-I; Currently zoned Commercial General. (Grandfathered) . The Board recommends that all use by exceptions be granted except for item 4 which would not allow the on premise consumption of liquor, beer and wine. 2. The Advisory Planning Board recommends approval of the request for Use By Exception by Charles W. Crum for 160 Mayport Road, Lot 1 & 2, Block 25, Section H Currently zoned Cowamercial General (Grandfathered) , 3. The Advisory Planning Board recommends approval of the request for Use By Exception by Farrin and Edith Kahoe for 1075 Atlantic Blvd. , Atlantic Beach, Currently zoned Commercial General. (Grandfathered) , 4. The Advisory Planning Board recommends that an ordinance be drawn up creating a single special use district for Blocks 111, 117, 118, 119, 139, 140, 141, 142 and 143, Section H, Atlantic Beach for use as a junk yard. The Board also recommends that the property be enclosed with opaque fencing and that if any portion of the property is changed the whole exemption would be lost. 5. The Advisory Planning Board recommends that the plat for Ocean Walk Subdivision be approved as submitted. Sincerely, 4 h Greg c c>. lie, Chairman Advisory Planning Board Please Print or 'Type PAGE 1 of 1 ' USE BY EXCEPTION ' APPLICATION DATE FILED: NAME & ADDRESS OF OWNER OR TENANT IN POSSESSION OF PREMISES : Charles W. Crum PHONE 4820 Rayford Street WORK: 388-3756 Jacksonville, Florida 32205 HOME- STREET OMESTREET ADDRESS AND LEGAL DESCRIPTION OF THE PREMISES AS TO WHICH THE USE BY EXCEPTION IS REQUESTED: 160 Mayport Road. Lot 1, Block 25, Section H, Atlantic Beach, according to Plat Book 18, Page 34, of the current public records of Dual County, Florida. A DESCRIPTION OF THE USE BY EXCEP'T'ION DESIRED, WHICH S11ALL SPECIFICALLY AND PARTICULARLY DESCRIBE THE TYPE , CHARACTER AND EXTENT OF THE PROPOSED USE BY EXCEPTIONS Business is operating as a tavern. SPECIFIC REASONS WHY THE APPLICANT FEELS THE REQUEST SHOULD BE GRANTED: On�oing business (operated by present owner in excess of four years), known as Scuttlebutt Tavern. Grandfathered in under previous zoning classification and-are permiled as Use By Exceptions under the new CG zoning. PRESENT ZONING : Signature of Applicantor Applicant's (Signature o Owne o e Property Authorized Agent or Attorney. If Agent (Necessary to Process Application) or Attorney, Include Letter of Mer or Tenant to that Effect. ------------------------------------------------------------------------- ADVISORY PLANNING BOARD' S REPORT AND RECOMMENDATIONS : DATE REV T EWE.D: b Please Print or Type PAGE 1 of 1 ' USE BY EXCEPTION' APPLICATION DATE FILED : 014rek 7_ 19 NO NAME & ADDRESS OF OWNER OR TENANT IN POSSESSION OF PREMISES : Charles W. Crum PHONE 4820 Rayford Street WORK: 388-3756 Jacksonville, Florida 32205 HOME: STREET ADDRESS AND LEGAL DESCRIPTION OF THE PREMISES AS TO WHICH THE USE BY EXCEPTION IS REQUESTED: Vacate Lot adjoining 160 Mayport Road. Lot 2, Block 25, Section - "ll". Atlantic Beach, according to plat thereof recorded in Plat Book 18, page 34 of the current public records of Duval County, Florida. A DESCRIPTION OF THE USE BY EXCEPTION DESIRED, WHICH SMALL SPECIFICALLY AND PARTICULARLY DESCRIBE THE TYPE, CHARACTER AND EXTENT OF THE PROPOSED USE BY EXCEPTIONc Parking area for ongoing tavern business, known as Schuttlebut-t Tavern. SPECIFIC REASONS WHY THE APPLICANT FEELS THE REQUEST SHOULD BE GRANTED: Parking area adjoining Scuttlebutt Tavern. Grandfathered in under previous Zoning classification and are permited as Use By Exceptions under the new CG zoning . PRESENT ZONING : Signature of Applicant or Applicant's ignature olf Owner—of the Property Authorized Agent or Attorney. If. Agent (Necessary to Process Application) or Attorney, Include Letter of Owner or Tenant to that Effect. ------------------------------------------------------------------------- ADVISORY PLANNING BOARD'S REPORT AND RECOMMENDATIONS : DATE REVJE141sD: A0 fns yPCZt" ed-- PAGE FIVE V V MINUTES NAME OF MAY 12, 1986 COMMRS. M S Y N Action on exceptions - Fred Mills continued cabinet shops were considered similar uses to lumber and building Cook x x supplies, home furnishings and furniture. The Commission agreed. Edwards x The question was called and the motion carried unanimously. Gulliford x x Morris x * * * * * * * * * * * * * Howell x 7. 2. Public Hearing on an application for an exception by Charles Crum for the purpose of on-premise consumption of beer, liquor, and wine at the Scuttlebutt Tavern on Mayport Road. Mayor Howell advised the application by Charles Crum for a Use by Exception had been approved by the Advisory Planning Board. Mr. Crum had been operating for many years prior to the new zoning and was a permissible use by exception. The Mayor declared the floor open for a Public Hearing and invited comments from the audience. As no one spoke for or against, the Mayor declared the Public Hearing closed. Motion: Approve the request for a Use by Exception by Charles Cook x Crum for the purpose of on-premise consumption, if beer, Edwards x x liquor, and wine at the Scuttlebutt Tavern, on Mayport Rd. Gulliford x x Morris x No discussion before the vote. Motion carried unanimously. Howell x 7.3. Public Hearing on an application for an exception by Edith Kahoe for an automotive service garage on Atlantic Boulevard. Mayor Howell advised Mr. & Mrs. Kahoe had been operating a garage on Atlantic Boulevard for many years. They were applying for a Use by exception due to the zoning change. He declared the floor open for a Public Hearing and invited comments from the audience. As no one spoke for or against, the Mayor declared the Public Hearing closed. Motion: Approve the request for a Use by Exception by Edith Kahoe Cook x for an automotive service garage on Atlantic Boulevard. Edwards x x Gulliford x x No discussion before the vote. Motion carried unanimously. Morris x * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Howell x 8. Action on Ordinances A. Ordinance No. 75-86-5 First Reading. ORDINANCE NO. 75-86-5, AN ORDINANCE AMENDING THE ORDINANCE CODE OF THE CITY OF ATLANTIC BEACH, FLORIDA; AMENDING CHAPTER 21, ARTICLE II, DIVISION 2, SECTION 21-38 TO PROVIDE FINES FOR PERSONS PARKING IN HANDI- CAPPED PARKING AREAS; PROVIDING AN EFFECTIVE DATE. c _ U13Fl 700E Rev. 7-84 STATE OF FLORIDA DEPARTMENT OF BUSINESS REGULATION DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE Section I 1. TYPE OF APPLICATION: Check Appropriate Box(es) ( ) New ( ) Decrease in Series ( ) Change of Business Name ( ) New - Temporary ( ) Change in Series ( ),Change of Officers Q�) Transfer ( ) Change of Location ( ) Correction ( ) Transfer - Temporary ( ) Change of Location- ( ) Other ( ) Increase in Series Temporary 2. Current Business Name: tj(F &,, a Current Location Address: 1(_,L IZ? Air {�'.lz i j2 a( Current License Number: 1 („ ty1; G4. Current Series: 3 COP 3. TYPE OF APPLICANT: Check Appropriate Box and List Charter Number, if Applicable ( ) Individual ( ) Partnership (x) Corporation ( ) Limited Partnership Charter Number 4. Applicant's Full Name: (-,Z Q_ ::F-, Business Name: Cjr,��� to (,v_ /- Location Address: c.-L,pc to Street Numbbr City County Mailing Address: (n lJ 1�'�z-c, Gc�n 1 jZc�' rs�( jz'C-L, Street Number City State Zip 5. Type of License Desired: (Series )C_ �J�. ) If you are an applicant for a special or club alcoholic beverage license the following must also be completed: The special liquor license is issued pursuant to Florida Statutes or Special Acts, and as such we acknowledge the following minimum requirements must be met and maintained: 6. List below names not listed above for all those connected directly or indirectly in the business for which the license is sought: (This includes Partner(s) , Spouse, Director(s) , Stockholder(s) , Corporate Officer(s) , Limited or General Partner(s) , Corporation(s) , or any form of entity which is connected with this business. Attach extra sheets if necessary) . A. Corporation: NAME INTEREST 0. President: y'L-r' 4• 'I Stock % !OZ7 2. Vice President: -i�Lc t� Stock % -)--3. Secretary: °vGT Stock % _--,-4. Treasurer: Stock % 5. Stockholder: Stock % B. Limited Partnership: 1. Limited Partner: % 2. General Partner: % C. Direct Interest: % Direct Interest: % D. Indirect Interest: Indirect Interest: h A. SECTION II 1. SALES TAX: To be completed by the Department of Revenue. Certification by Florida Department of Revenue: Please review the records of your Department for the current status of the aforementioned account. The Division of Alcoholic Beverages and Tobacco of the Department of Business Regulation needs is infMrtiz�ed' in or r to/ rocess this application. �L(i (Owner 9X Auignature) This is to certify that this account is in good standing. By: Department of Revenue Stamp Title: �/ p PARTMENT OF REVENUE Date: 2. ZONING: To be completed by the Local Zoning Authorities. The above location (x) Does Comply ( ) Does Not Comply with zoning requirements for the sale of alcoholic beverages pursuant to this application. If this premises is located within the limits of an incorporated municipality, indicate the name, and if not indicate the county. Signed: rX f'�"lur.0-�/ Title: c If City: If County: (Name) (Name) 3. HEALTH: To be completed by the State/County Health Authority. The above es lishment ( Does Comply ( ) Does Not Comply with requir iso the rida Sanitary Code. Signed: Date: 4_7 l Sani rian/Coun Health Department 4. RIGHT OF OCCUPANCY: I YES NO A. Is the proposed premises other than a permanent structure, movable or able to be moved? . . . . . . . . . . . . . . . . . . . . . . . . . B. Is the proposed premises located in a shopping center, shopping mall, or office building? . . . . . . . . . . . . . . . . . . . . . . . . . C. Is the premises occupied by anyone other than as listed on this application? . . . . . . . . . . . . . . . . . . D. Is there any access through the premises to any area over which you do not have dominion and control? . . . . . . . . . . . . . . . . . . E. Does applicant have a legal right of occupancy to the premises? . . . F. Does applicant own the property? . . . . . . . . . . . . . . . . G. Does applicant rent, lease or sublease the property? H. If answer to G. is yes, is anyone else listed as lessee or subles- see who is not on the application? . . . . . . . . . . . . . . . . I. If applicant rents, leases or subleases give the following: Name of. landlord: Address of landlord: How long is agreement for and what is the landlord paid as rent?: 2 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 11 ij�jlj jjj�j 1111 111111111 Permit Number: 19983 Address: 160 MAYPORT ROAD Permit Type: COMMERCIAL ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: Proposed Use: TAVERN Lot(s):25 Block: 1 Section: Square Feet: Subdivision: SECTION H Est. Value: Parcel Number: Improv. Cost: 2,400.00 Date Issued: 5/02/2000 Name: KNIERIEMEN, DANIEL J. Total Fees: 37.50 Address: 370 SIXTH STREET Amount Paid: 37.50: ATLANTIC BEACH, FL 32233 Date Paid: 5/02/200.0 Phone: (904)246-2555 Work Desc: NEW STOREFRONT WINDOWS PROPERTY OWNER PERMIT 37.50 n. .v FRAMING FINAL BUILDING 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. $37.5014 E)C: Date: 5/02/99 91 Receipt: 9954126 ,.__ CHECKS 3429 A TC ANTIC BEACH BUILMNG DEPT. 99199993221909 IYT FL )NC. LINTEL-BEAM 7D AID. -51ZF -� - - - - - - - - - - - - - - -- ff „ A ►v Q CP 4 N - rV X20�v u)t:� ` . 7OF L/111E2 g. _ JNG HEIGHT Al _ _ _ '" )4o tt)G- :. LINTFL EA1f /,, � "� ��� 8=O ✓Ol�'F•T U/ODER ALL oPENIN GS ApIP OVEp OF ATLANY1CFBc-ECH CITY Pi i„_r),NG -fillif LIN III 4--f/--r —j Loco Oa-k a IAP 00,* n u �•y tfi r 17 a w:N t L, t All "T Vtl tN.70;�/l� • � ra tiV rlr . CrG' /� tt � � r each tip t� . i�`•� ��° ;'i'i�1�3 ;fit;.• . _ - _ - _�. . . . . .. ..•. i .i.�r... / POURED C` QVC. BL X: PFAR ELEY, TIO _ - TOP, OF PMA _ . _ . _ . - . _ . - . _ . - . _ . _ . CEl PXR£o CON oi j ( ; IVT 8-40"x/6"COAC. BL K, . - t i 1 GO .BRICif SIDS r , or iF1N. Fg ` GSRP�7 \ PAN11MTIOAI - G nips ttt!/iTt U N /qO/i/T r - wAsk VA Form V134-1662 FHA Form 2006 For accurate resister of carbon copies,form Form approved. Jan. 1966 may be separated alongabove fold. Staple Budget Bureau No.68-R055.9. completed sheets togetin original order. Proposed Construction DESCRIPTION OF MATERIALS No. .................................................. (To be inserted by FSA or VA) ❑ Under Construction Property address - [I !a : -----•---•-----------------------------•--- Of .AtA* : #. 10.......------•---- State � ... Mortgagor or Sponsor•- rolfa ................................................. tl'Ult-SMAk.......-------------------- -• (Name) (Address) Contractor or Builder... r._ r # ------i0------------------------------------- It (Name) (Address) INSTRUCTIONS I. For additional information on how this form is to be submitted, number minimum requirements cannot be considered unless specifically described. of copies, etc., see the instructions applicable to the FHA Application for Mortgage I 4. Include no alternates, "or equal" phrases, or contradictory items. (Con- ay b asthe case may bme.Insurance or VA Request for Determination of Reasonable Value, sideration of a request for acceptance of substitute materials or equipment as the 2. Describe all materials and equipment to be used, whether or not shown is not thereby precluded.) on the drawings, by marking an X in each appropriate check-box and entering 5. Include signatures required at the end of this form. the information called for in each space. If space is inadequate, enter "See b. The construction shall be completed in compliance with the related mise."and describe under item 27 or on an attached sheet. drawings and specifications, as amended during processing. The specifications 3. Work not specifically described or shown will not be considered unless include this Description of Materials and the applicable Minimum Construction required, when the minimum acceptable will be assumed. Work exceeding Requirements. 1. EXCAVATION: Bearingsoil,type _-------------------------------------------------- --------------------------- -- ---- ---------------------—----------------- ------- - -------------------- 2. FOUNDATIONS: Footings: Concrete mix___ I # _ Va+Odl -__________________, Reinforcing_ Il<_ ! � - - - - ------------------------ Foundation wall: Material-- ------------------------------------------------- Reinforcing-------------------------------------------------------------------------- Interior foundation wall: Material------------------------------------------ Party foundation wall_-----_----------------------------------------------------- Columns: Material and size--------------------------------------------------- Piers: Material and reinforcing----------_------------------------------------ Girders: Material and sizes--------------------------------------------------- Sills: Material---------------------------------------------------------------------- Basement entrance&16U---------------------------------------------- Window areaways ----------------------------------------------------------------- Waterproofing------- # - Footing drains - - - -- - Termite protection -ll�� � i --� $asementless space: Ground cover______________________________ Insulation------------------------------- Foundation vents____________________--_____-_. Specialfoundations------------------------------------------------------------------------------------------------------------------------------------- -------------------- -------------•--------------------------------------------------------------------------------------------------------------------------------------------------------------------- - ------------- ------- --------------------------------------------------------------------------------------- --------------------------------------------------- 3. CHIMNEYS: Material------------------------------------------------------ Prefabricated (make and size) - - ' i 21---------------------------------------------- Flue lining: Material_____________________________________ Heater flue size____ ---------------------------- Fireplace flue size------------------------------ Vents (material and size): Gas or oil heater--------------------------------------------------------------- Water heater------------------------------------ ----—----------------------------- ---------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------- 4. FIREPLACES: Type: ❑Solid fuel; ❑gas-burning; ❑circulator (make and size) _________________________________ Ash dump and clean-out__________________-_____ Fireplace: Facing ---------------------------- lining -----------------------------; hearth--------------------------------; mantel---------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- L EXTERIOR WALLS: Wood frame:Grade and species_____________________________________________ ❑ Corner bracing. Building,paper or felt-------------------------------- Sheathing------ ______________________-__-____.Sheathing------ --.; thickness-------------width------------; ❑ solid; ❑ spaced------------" o. c.; ❑ diagonal; ---------------- Siding--------------------------------grade-----------------; type-------------; size--------------- exposure-----------;fastening__.'----._--------- Shingles----------------------------- grade-----------------; type-------------; size---------------;exposure---------";fastening--------------------- Stucco-------------------------------- thickness--------------- Lath----------------------------------------------------------------;weight---------------lb. Masonry ven -------------------- _ Sills ------ --- --------- Lintels ------------------------------------ @sriffs e Masonry: Facies#--------------- ; backup -_____V I s�-- thickness ------------11. Bonding----------------------------------------------------- Door sills------...- - ------ Window sills----------------------------------------------- Lintels__ IEIGII Interior surfaces: Damppilpe DampWh oiga __-- --------- ; furring-to"--- ------------------------------------ Exterior painting: Material_________ _ _ _, �_- * __________ ;47 number of coats i------ -- Gable wall construction: ❑Same as main walls; other-----_______._________ _* ` * O - - �--- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 6. FLOOR FRAMING: Joists: Wood grade and species__ ----------------------------- bridging _.___ ------- ; anchors ___________ ,gr p !"---------------- , other ; -- Concrete slab: ❑ Basement floor; ❑ first floor; ground supported; []'self-supporting; mix _! ___ _________ __ ___ hickness _A---"• reinforcing------------------------------------------- insulation-----------------------------------------_; membrane------------------------------------------- Filltmd*slab: Material ----------------------------------------------------- thickness --------------- ------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ 7. SUBPLOCRIN44 (Describe underlloor;ng for special floors under item 21.) Material:Grade and species--------------------------------------------------•---------------------------------;size----------------;type-------------------------- Laid: ❑ First floor; ❑ second floor; ❑ attic------------------sq.ft.; ❑diagonal; ❑right angles. -------------------------------------------------- -------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------- 6. FINISH FLOORING: (Wood only. Describe other frnisb flooring under item 21.) 1.ocknoN Rooms (iaADg Sreares Tzlcxxzu Wmrs BLDG.PAM FsNDys Firstboor.- - --......................--- -------------------- --------- ------------ -------- -------- -------------------- Second ---- ---------------------------------------------- -- ---- ---- ---- -- - floor-- --------------------------- -------------------------- -------- -------- -------------- -------------------------------------- ----- ----- Atticfloor------- ------- -------------sq.ft. ------------------------------------------------------------------------ ----------------------------------------.------------ fAna0852 N205 1 °•—le—e*lee-6 DESCRIPTION OF MATERIALS DESCRIPTION OF MATERIALS 9. PARTITION FRAMING: Studs: Wood, grade and species ___ ,— -------------------- Size and spacing , ! ,,Qt____ Other ___--__-_-------.-------.--___. - 9I11��> !_• _ A _ ------------------------------------------------------------------------------------------------ 10. CEILING FRAMING: Joists: Wood, grade and species ----#2- ----------------- Other------------------------------------- Bridging------------------------------------- ----------------------•-----------------------------------------------------------------•------------------------------------------------------------------------------------------- 11. ROOF FRAMING: Rafters: Wood, grade and species ------. .. -------------------- Roof trusses (see detail): Grade and species-_--__-_--------__------------ ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 12. ROOFING: Sheathing: Grade and species_42--an---------------------------------;sizej. -;type__ _fy,_; _____; J' solid; ❑ spaced.........o.c. Roofing------------------------------------------------- grade---------------------; weight or thickness ---------; size ---------; fastening------------------ Stainor paint------------------------------------------------------------------ Underlay ---------------------------------------------------------------------------- Built-up roofing __ # _ , ..----------------------------------------- number of plies_,4--------; surfacing material --- ,______.___ Flashing: Material --- --------------------------------------- gage or weight_; _ ---------;11 gravel stops; ❑ snow guards ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ 13. GUTTERS AND DOWNSPOUTS: Gutters: Material----------------------------------------gage or weight------------;size---------------;shape --------------------------------------------------- Downspouts: Material.--------------------------------;gage or weight------------;size---------------;shape---------------------------; number ----------- Downspouts connected to: ❑ Storm sewer; ❑ sanitary sewer; ❑dry-well. ❑ Splash blocks: Material and size------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ 14. LATH AND PLASTER: Lath ❑ walls, [3 ceilings: Material----------------------weight or thickness--------------- Plaster: Coats-------;finish------------------------- Dry-wall 2 walla,,']ceilings: Material thickness 2F__;finish_t*CtW*----------;joint treatment_( R____--__ f.. Ii9t33G7C11 •,if t- 11�`- i-�#__ _._�ra A_JCt .'UJIR_811 4k.-1 1 41 sh---------------------------------------------------- 1S. DECORATING: (Paint, wallpaper,etc.) Rooms WALL FINISH MATERIAL AND APPLICATION CEILING FINISH MATERIAL AND APPLICATION Kitchen--- ---------• ---T ._ __*AIobs ba a---------------------------------• ---- ------------------------------------------------------------- Bath-----------------------=VIIJ2*3-- as as--in ---------------------------------• -----844*-------------------------------------------------------------- .2�.t - - ----+ --lWAS-Si i--] iiM�lil-- ---------------- ----�-------------------------------------------------------------- 16. INTERIOR DOORS AND TRIM: . Doors: Type --j2JA1&---------------------------------------------------; material ------------- '' - -- ---------------; thickness - . - - Door trim: Type A _; material-S-&---------------- Base: Type JIkik-------; material ---id---------; ?t'tsize ------- Finish: Doors ----- s--! -444 O�"-------------------------•-----; trim --- ?�!---------------------------- -- - Other trim (item, type and location) _ `_-OU ------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ 17. WINDOWS: Windows: Type Ai-shote-------; make-_ ----------------------- material __ ------------------; sash thickness --------------- Glass: Grade-A_ __________________ ❑ sash weights; ❑ balances,type -----------------------------------; head flashing ___-__-__-______-_-----_-__ Tri¢n: Type_ -SO!! material --------------------------------------- Paint------------------------------------------;number coats------- Weatherstripping: Type ------------------------------------------------------- material --------------------------------------- Storm sash,number--------- Screens: ❑ Full; ❑ half; type ---------------------------------------------- number ------------; screen cloth material ------------------------------------ BaNement windows: Type _________________________; material , ❑ ❑screens,number-_----___; Storm sash,number--------- Special windows N_-1 M-� LV--------------- ---------------------- - ---------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 18. ENTRANCES AND EXTERIOR DETAIL: ,,����rr Main entrance door: Material 81tOlk -_---___-_;width_. f""QR;thickness jk!!3/4f' Frame: Material. + ____;thicknes. Other entrance doors: Material 0!*- _________.;width '"_4 __; thickness k0l/V Frame: Material.-AM____;thickness Head flashing-------------- _ __ _ _ Weatherstripping: Typ _--------------------; saddles . ► _ "__ ! Screen doors• Thickness_________ , screen cloth material----------------- o doors: Thickness.........;number - - - - -- -------- . �. ,number-----------' Combination storm an Green doors: Thickness__-___..;number-------; screen cloth material ------------------------------------------------------ Shutters: ❑ Hinged; In fixed. Railing$- _- _-- —A------------------------------------ uv - 31 ---------------------------------------7) millwork: Grade and species --------------------- Paint ----------------, --------- ---------------------------------------------------- �---- ------------------------ ------------------------------------------' number coats ----------------------------------;-- ------ --- l ---------------------------- -- 1!. CABINETS AND INTERIOR DETAIL: �"� '�` � �`'� I��A����__ - -----_ ------------------------ us Kitchen cabinets,wall units• M rial� ----M1Y4►T. , lineal feet of shelvexP ; elf width - Base units: Material ----------------------counter toy ---- _-_--- edging 3"�1ti+a _.------------_----- -- ----- - - - , P --- -- - -- Back and end splash 0 -' ---------------- Finish of cabinets �� >I , -------------------- -----------._..._..._---------------------------------' number coats,----- Medicinecabinets: Make---------------------------------------------------------------; model ------------------------------------------------------------------------ Othercabinets and built-in furniture—-----------------------------------------------------------------.--------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 20. STAIRS: TaEADs RUINRs STR vas HANDRAIL BALUSTNas STAIR Material Thickness Material Thickness Material etas Material I Size Material size Basement--- ------------ --------- ------------ ------------ - ------------ ------------ --- ----- ------------ ----------- ---- -- - ---- ---- -- - - -- - -- -- - ---- -- - -------- - -------------------------------------------------------------------------------- ---------------------- Attic------------------------------------------I---------------- ---------------I--------------------------- Disappearing: Make and model number -------------------- ---------------------------------------------------------------------------------------------------------- VMOI .r 21.,SPECIAL FLOORS AND WAINSCOT: - LOCATION MATERIAL,COLOR,BORDER,SIZER,GAGE,ETC. THRESHOLD BABE UNDERFLOOR Kitchen---- --- -------------------------------------------- Bath------ ---------------------------------- -------------------------------------------------- ----------------- -------------------------------------------- LOCATION MATERIAL,COLOR,BORDER,CAP,SIZES,GAGE,ETC. HEIGHT HEIGHT AT TUB HRIOHT AT SHOWER ZBath------ - ----------------------------------------------------------------------------------------- ---------------- -------------------------------------------- -------—------- ----------------- ---------------------- ---------------•---------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------- - Bathroom accessories: ❑ Recessed; material____________________________ number------; ❑ attached; material----------------------; number------ ------------------------------------------------------------------------------------------------ ------_----------------------------------------------------------------- 22. --___------------------------------------------------------------------------------------------------------------_------------------------------------------------------------------- 22. PLUMBING: FIXTURE NUMBER LOCATION MAKE MFGB's FIXTURE IDENTIFICATION NO. SIZE COLOR Sink------------------------It_-- ----------------- f"-1�33A ---- --------- .------ '� SI 11{1 s �:��" �►��� Lavatory------------------ I-----�fl---------- >2i -3'160------ Watercloset------------------- ------------------------------------------------------•------------------------------------------------------------------------------------- Bathtub----------------- ---------------Bathtub----------------------------------------------- -----------------------------------�-------------------------------------------------------------------------------------- Showerover tub*----------------------------------------------------------------------•------------------------------------------------------------------------------ ------ Stallshower"----------------------------------------------------------------------------------------------------------------------------------------------------------------- Laundrytrays-------- ------------------------------------------------------------------------------------------------------------------------------------------------------ t--------------- 7�------------------------------------------------------------------- -------------- ------------------------------------------------------------ -------------- ----------------—----------------------------------W--------------------I-------*❑ Curtain rod **❑ Door ❑ Curtain rod Water supply: ® 1APiiblic; ❑ community system; ❑ individual,(private) system.* Sewage disposal: ❑ Public; ❑ community system; ❑ individual (private) system. *Show and describe i4vidual system in complete detail in separate drawings and specifications according to requirements. House drain (inside): f`Cast iron; ❑tile; ❑ other---------------- House sewer (outside): ❑ Cast iron; ❑ tile; ❑other_--_-__-_____-____ Water piping. ❑ Galvanized s 1 �wcoopper tubing; C3 other------------------------------------------------------- Sill cocks,number------------ Domestic water heater: Type ----------�B-tt-------------------------; make and model ------------------------------------------------------------------------- recovery----------------------gph. 100° rise. Storage tank: Material -------------------:-------------------------; capacity ----------------gallons. Gas service: ❑ Utility company; ❑ liq.pet.gas; ❑ other------_----------------------------------- Gas piping: ❑ Cookmg;,❑ house heating. Footing drains connected to: ❑ Storm sewer; ❑ sanitary sewer;❑ dry well. Sump pump ---------________________________________________________ _------------------ ------------------------------------------------------------------------------------------------------------------------------ - 23. HEATING: ❑ Hot water. ❑ Steam. ❑ Vapor. ❑ One-pipe system. ❑ Two-pipe system. ❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model___________________________________________________________________________ Radiant panel: ❑ Floor; ❑wall; ❑ceiling. Panel coil: Material---------------_----------------------_______________________________________________. ,❑ Circulator. ❑ Return pump. Make°and model-------------------------------------------------------------------; capacity --------------- gpm• Boiler: Make and model -------------------------------------------------------- Output ------------------ Btuh.; net rating------------------Btuh. ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Warm air: ❑ Gravity. Forced. Type of system-------------------------------------------------------------------------------------------------------------- Duct material: Supply---------------------;return------------------- Insulation ---------------- thickness --------- ❑ Outside air intake. Furnace:.Make and model ----------- ------------------------------------------- Input---------------------Btuh.; output---------------------Btuh. ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ❑ Space heater; ❑ floor furnace let�� t __ 2,_ tt_____________________ Btuh.; number units-__--____- Make,model ------------------------------------------------------------------------------------------------------------------------------------------------------------ Controls: Make and types------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------I--------------------------------------------------------------------------------------------- Fuel: ❑Coal; ❑ oil; ❑gas; ❑liq.pet.gas; ❑electric; ❑other-------------------------------------; storage capacity -____--______-____----__--____ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Firing equipment furnished separately: ❑ Gas burner, conversion type. Stoker: ❑ Hopper feed; ❑ bin feed. Oil burner: ❑ Pressure atomizing; ❑ vaporizing------------------------•.------------------------------------------------------------------------------ Makeand model -------------------------------------------------------------- ------ Control---------------------------------------------------------------- ---------------------------------------------------------------------------------•--------------------------------------------------------------------------------------------- Electric heating system: Type---------------------------------------------- Input------------watts; @-----------volts; output-----------------Btuh. ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Ventilating equipment: Attic fan,make and model ___________________ _ _ R. ___; capacity---------------------cfm. Kitchen exhaust fan,make and model -------------------------- --------------------------------------------------------------------- Other heating, ventilating, or cooling equipment ------------------------------------------------------------------------------------------------------------------ ------------------------------------------------ ---------------------------------------------------------------------------------------------------------------------------------- 24. ELECTRIC WIRING: Service:3h Overhead; ❑ underground. Panel: ❑ Fuse boxX❑circuit-breaker ____________________ Nu ber circuit f1A3tt pZt l � r T` ht r fT Wiring: [3 Conduit; ❑ armored cable;13 nonmetallic cable; ❑ knob and tube;] other ________ _________ Special outlets:f] Range;Y0 water heater; ❑ other------------------------------------------------------------------------------------------------------------- ❑ Doorbell. ❑ Chimes. Push-button locations ------------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------------------------------------------------------------=----------------------- 25. LIGHTING FIXTURES: Total number of fixtures------------------ Total allowance for fixtures, typical installation, $_.-_______-_-____- Nontypicalinstallation ---------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------- aD-1b-68ISi-d $ DESCRIPTION OF MATERIALS DESCRIPTION OF MATERIALS 26. INSULATION: LOCATION TnicxNzes MATERIAL,TYPE,AND METHOD OF INSTALLATION VAPoR BARnMR Roof------------------ ----------------------------------------------------------------------------------------------------------------------•----------------------------------- Ceiling----- -------'-4�----- -- !!Isrk �1-- altaa__c --� -----------------------------------------•------------------------------------ Wall------...---------------------------------------------------------------------------------------------------------------------------------------------------------------------- Floor------ - --- - -- --- --- ---- ------ ------------- ----- ------- - - --- --------------•-------------------------------- ---- ------------------------------------ ---------------------------------------- 27. MISCELLANEOUS: (Describe any main dwelling materials,equipment,or construction items not shown elsewhere):------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------- ---------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------=---------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------•-----------------------------------------•------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------•------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ HARDWARE: (Make, material, and$hhh)----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------.......... -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------..------. SPECIAL EQUIPMENT: (State material or make and model.) Venetianblinds ------------------------------------ Number --------------- Automatic washer----------------------------------------------------------------- Kitchenrange --------------------------------------------------------------------- Clothes drier------------------------------------------------------------------------ Refrigerator----------------------------------------------------------------------- Other---------------------------------------------------------------------------------- Dishwasher------------------------------------------------------------------------ ------------------------------------------------------------------------------------------- Garbagedisposal unit --------------------------------------------------------- ------------------------------------------------------------------------------------------- PORCHESs -------------------------------------------------------------------------------------------------- .-------------------------------------------------------------------------------- --------------------------------------------------------------------------- ---------------------------------------------------------------------------------- ----------------------------------------------------------- ------------•------------------------------------------------------------------------------------------- -------------- _---------------------- _.--------------------------------------------------------------------------------------------------------- 7-- .---------------------------------------•-__--••--•__-•-••--_---•_---------•--_--------__------_--_----__-_--_-----------••------••_•-•-•- ______________________________,,.-__----_.______--.--__.--..____.---...._--______-___-.-_---___--.__-____-_______-_---_-----------------.------.-. ..____..____________________________________________________________________________________•_---_-______---_--_--------_---------_-_-_______------------------------.-«.«. --------------«.-----------•------------------------------------------------•---------------•-------------------------------------------------------------------------------..-- ---------------•---•-•--__-_----___------_-_-__--__---•---•-_----••---____-_------___--__-_--_-__---_--___-___-_----____--•______-_--___----_------_-__--------------------------«.... -------------------------------------------------------------------------------------------------------------------------------------------------------•-------------------••-...--._.. ____________________________________.-___--_---_____----__-_-__-----___--__----____-----__--___________--_----_____----------__---___---------____-_____--------------------.-------.«. ---------------------------------------------------------------------•--__--_--__---------_-______-____-_-_•-------__--_---___•------__________-____--__------------------------------• WALKS AND DRIVEWAYS: Driveway:Width------------ $ase material----------------thickness......... Surfacing material-------------------------------; thickness-__--- Front walk: Width--------- Material-----------------------thickness____--". Service walk: Width------ Material---------;thickness........ Steps: Material ---------------------------------------- treads ------------"; risers ------------------ Cheek walls --------------------------------------------- 3 ---.RU.-i'tArUt---- ----------------------------------------------------------- OTHER ONSITE IMPROVEMENTS: (Specify all exterior onsite improvements not described elsewhere, including items such as unusual grading, drainage structures, retaining walls, fence, railings, and accessory structures.) ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- LANDSCAPING, PLANTING, AND FINISH GRADING: Topsoil-----------thick: ❑ Front yard; ❑ sine yards; ❑ rear yard to --------------------------- feet behind main building. Dawns (seeded,sodded,or sprigged): ❑ Front yard-------------------- ❑ side yards-------------------; ❑ rear yard------------------------------ Planting: El As specified and shown on drawings; ❑ as follows: -..-_...._-- Shade trees, deciduous, ----------------- caliper. ------------ Evergreen trees, ---------------' to--------------- B&B. ------------ Low flowering trees,deciduous, ---------' to---------- ------------ Evergreen shrubs, --------------- to---------------',13&B. ------------ High-growing shrubs,deciduous, -------- to---------' ------------ Vines, 2-Year -------------------------------------------------------- ------------ Medium-growing shrubs,deciduous, ---------' to---------' ------------------------------------------------------------------------------=--------- ------------ Low-growing shrubs,deciduous, ---------' to ---------- ------------------------------------------------------------------------- -------------- IDENTIFICATION.--This exhibit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortgagor if the latter is known at the time of application. Date-------------------------------------------------------------------------------------- Signature..............................................--............................ !e 4 VA Form V54-1852 • 60-10—OR04 *GPO:1958 O-441280(VA-130) PHA Form 2005.