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Permit 570 Mayport Rd (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001721 Date 7/28/09 Property Address . . . . . . 570 MAYPORT RD Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5500 ---------------------------------------------------------------------------- Application desc replacing fence 4ft ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SCHOENIGS MYPT. FISHER OWNER 580 MAYPORT ROAD ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/24/10 ---------------------------------------------------------------------------- Special Notes and Comments *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING-DEPT@COAB.US Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . Roll off container/dumpster (if used) must be provided by City approved vendor. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rDESCRIPTION: MAP OF BOUNDARY SURVEY LOTS I AND 2. BLOCK 34 OF "SECTION "H" ATLANTIC BEACH" ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 16, PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. F.1.P. 112' LOT 3 BLOCK 35 ........ NO I.D. k; ............. . .............. LOT 2 ........ F.I.P. 112* BUILDING BLOCK 35 ............... ............... F.Z.P. 112" NO 1.D. ............ ................. ............ ......... CONC. ........... ............:1 TELEF4M*.-*.,*.,'.-*: 6 OHE CONC. Sax LOT 3 4 / to..e- OHE LOT'- PONS.1.1.1.*.,:..:.-.-.-:.-.-:::,-. BLOCK 34 W/I STORil,,� I POLE-'-*-'-*,'-'.-'-'-'-*-'--'-'-'-'-'-'- BLOCK 34 .......... ...........*.'.*.*.,:. .................. NOW %%v................ 060 ....... ......:......... fj. NOW STEP ............. ............................... ............................ F.Z.P. 112' .............. ....... .. ...................... NO Z.0. ... .... .............. LOT 2 .............. BLOCK 34 vo N .. .......... ................ F.1.P. 112" NA TURAL ................ 14.......................... ........... '00 ............................ ............. FIRWE H ......... ....... Vv .............. ....... ... . ........ ...... ..%.: %... .............. ....... ............ .......... .............. ........ CIA .................. ........ ........... .................. ............ ........... .............. F.1.P. 112':.... ..... .......... .......................... NO 1.D. .......... .... ..... ......... ............. ..:... .. .........I...................... ............... FILE COPY qE Copy SURVEY NOTES. n BEARINGS ARE BASED ON THE PLATS EAST LINE OF CERTIFIED TO AND FOR THE LOT 2. BLOCK 34 BEING N20*12*E. EXCLUSIVE BENEFIT OF. f2 UNDERGROUND UTILITIES FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED BY THIS SURVEY. FIRST COAST TITLE SERVICES, INC. NESTCOR LAND TITLE COMPANY 03 ACCORDING TO THE FEDERAL EMERGENCY M4NAGEMENT AGENCY ATILLIO P. CEROUERIA FIRM MAP PANEL NO. 120075 0001 D, EFFECTIVE 04117189. STREET ADORESS:660 MAYPORT ROAD 9 THE PROPERTY DESCRIBED HEREON APPEARS TO LIE IN ZONE "X'- ATLANTIC BEACH. FLORIDA #4 THIS SURVEY PERFMED WITHOUT BENEFIT OF AN ABSTRACT, TITLE SEARCH, TITLE OPINION OR TITLE INSURANCE. (n 05 DIMENSIONS ME SHOWN IN FEET AND DECIMALS THEREOF SCALE., 1 30' AND ARE PLAT AND MEASURED UNLESS SHOWN OTHERWISE- 05 ALL EASEMENTS ARE PER PLAT UNLESS SHOWN OTHERWISE. 7 THERE 14AY BE ADDITIONAL RESTRICTIONS THAT APPLY WHICH ARE NOT SHOWN IN ON THIS SURVEY WHICH CAN BE FOUND DV PUBLIC RECORDS OF SAID COUNTY. Clasiey, Michael From: Cameron, David Sent: Friday, January 09, 2009 7:33 AM To: Classey, Michael Subject: Sight Triangle measurements needed tonight Chief, Based on evaluation from this area,there is no significant decline in visibility to inhibit safe visibility of oncoming traffic when emerging from West 6 th St. A 4 foot fence would not create a safety issue from a line of sight point of view. The original application is in your box. Sgt. D. Cameron Atlantic Beach PID 850 Seminole Rd Atlantic Beach, FL 32233 (904)247-5859 ext. 33 Email:dcameron0coab.us From: Stanley,Terry Sent: Friday, January 09, 2009 6:09 AM To: Cameron, David Subject: RE: Sight Triangle measurements needed tonight Sgt. Cameron, I went to the intersection of W. 6 th and Mayport on 1/9/09 at 1:30am., and checked the line of sight from W 6 th Street north onto Mayport Road. Currently there is a chain link fence located on the property at 570 Mayport Road. I measured the height of that fence and it was approximately 69". According to the information that you provided to me, a 4 foot tall wooden fence would replace the chain link fence. Since the wooden fence would be shorter in height, that should assist the motorist traveling south on Mayport Road in seeing vehicles exiting from W. 6 th street, as well as the motorist which are on W. 6 th Street in seeing southbound traffic on Mayport Road. If a motorist were sitting inside of their vehicle on W. 6 th Street looking north onto Mayport Road, there is clear unobstructed view of 674 feet(outside lane), 984.3 feet(middle lane), and 1124.7 feet(inside lane). Meaning that the driver of a vehicle which was at a complete stop on W. 6 th Street would be able to look north onto Mayport Road and see a vehicle traveling south at those distances depending on which lane the southbound vehicle was in. Those distances are not for the motorist looking over the top of the fence. These distance measurements were taken at 1:30am using the street lighting already in place on Mayport Road. The distances may be more/further during daylight hours. Based on the measurements that I obtained, it does appear that the 4 foot fence proposed would cause any vision obstruction (s). Terry From: Cameron, David Sent:Thursday, January 08, 2009 1:01 PM To: Stanley, Terry Subject: Sight Triangle measurements needed tonight Impo�tance: High Terry Can you go to 570 Mayport and evaluate the intersection at West 6 Ih and Mayport. They have a chain linked fence and are going to replace it with a 4 foot wood fence. Can you check the distances when a car is at this intersection looking north for oncoming traffic heading southbound and see if there is plenty of visible distance when having a foot fence installed. I desperately need this by tomm morning. Thanks. Just a brief summary of distance and opinion as to safe visible distance or not safe (and why not if unsafe due distance). Sgt. D. Cameron Atlantic Beach PID 850 Seminole Rd Atlantic Beach, FL 32233 (904)247-5859 ext. 33 Email: dcamerona-coab.us 2 City of Atlantic Beach APPLICATION NUMBER... Building Department (To be assighedby thd Building D6pprtment.)�-, 800 Seminole Road Atlantic Beach, Florida 32233-5445 Fax(904)247-5845 Phone(904)247-5826 E-mail: building-dept@coab.us Date,routec Cityweb-site: http://www.coab.us 3� J7- APPLICATION REVIEW ANI;�-AkACKING FORM Dep t review required Yes No 0_gailLpen Property Address: ing. &Z an&ning &Zonin� Applicant: 6 ti-6 IRA—, s roject. `MNA-0 V Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: pproved. E]Denied. (Circle one.) Comments: /A BUILDING (f e C, H-Cl(c PLANNING &ZONING Reviewed by: & CLJAY�Date: -0 PUBLIC WORKS PUBLIC UTILITIES Second Review: F]Approved as revised. F�Denied. Comments: FIRE SERVICES Reviewed by: Date: Third Review: []Approved as revised. F�Denied. Comments: Reviewed by: Date: Ind m1tr .......... OF ATLANTIC BEACH 08- 800 MINOLE ROAD,ATLANTIC BEACH,FL 32233 8co MINOL FFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US ZILDING PERMIT APPLICATION DUVAL COUNTY a UPT-FUR 5-75771'"77 jEt" -a"'17-77, ONPR-WOR WN 006 x lQ$," T IPERJ3 M�4if Atlan L4 Beach, FL 32233 T�R-Form- FT Q 17AFF 0 F W 0'01 No.,6,41AMS 0�mu dA)SE--`0FAT;R CTUIRE0 11 NEW BUILDING E3 DEMOLITION 1:3 RESIDENTIAL LOT_BLOCK .3�SUB DIVISION 0 ADDIT10N 0 CONVERTING USE 9"COMMERCIAL 757-777.7wm, 13 REPAIR 101 OOL/SPA 13 YES 0 N/A 11 MOVE 01116THER 13 NO ff 9'. Y,1,1--;1ARQH.ITEM ENGINEER: PR 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 0 16.NAME: 24.LICENSEE NAME: 6 0.ADDRESS: 7.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: Lo 1 "0\ J 18.AVESS: 26.ADDRESS: '3cL,, 'I'NOFFICE RHONE: �112.FAX�NO: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.dELL P'HONE: 21.CELL PHONE: 29.CELL PHONE: 3 3 '-1- 22 V 3 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: W, FIEZIEN, P T -jj0LQEj11 WIN �LJE gf.; k699 13 IMM Mill.011 1111". Now. -------- INAMUR 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this judscliction. This permit becomes null and void if work is not commenced Within six (6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. IT T, Signed: /-�� ME ('11-Lc�f 'F - 01 9 Date: Signed: Date: Before.me this-/-I-dly of-;U e-- 2007 in the county of Before me this day of ,2007 in the county of Duval,State f FI *d has perl-nally appeared Duval,State of Florida,has personally appeared OX 1.,/ 1 6 herin by himself/herself an�affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,Sta County of A,4,C Notary Public at Large,State of_,County of Uk'rprson.11y Known 0 Personally Known [T�frodljced Identification- -'d 11 Produced Identification- Notary Signature: Notary Signature: -.1-m�&wMigsion Expires Feb 14,2010 Commission#DD 518533 Bonded By National Notary Assn. COAB FORM BLDG01:REVISED:11/6/2007 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlant c Beach, Florida 32233-5445 -5826 - Fax(904)247-5845 Phone(904)247 E-mail: building-dept@coab.us Daterouted: City web-site: hftp:/Amww.coab.us 3� ru Jr APPLICATION REVIEW AN�ACKING FORM DepAliment review required Yesv'No Property Address: t Applicant: /,//,o �eA anning &Zonin� Projicf:� qw4i4, E�s Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: MApproved. FIDenied. (Circle one.) Comments: (E5D I PLANNING &ZONING Reviewed by: /71 &,n__ Date: 10d,117VIO PUBLIC WORKS PUBLIC UTILITIES Second Review: []Approved as revised. F�Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: F]Approved as revised. FlDenied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH 800 SEMINOLE RCAD.ATLANTIC BEACH,FL 32233 08. OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY �FT I�g�W NOMIR Atlantic Beach, FL 32233 1 KAIN'll"Im"OKAWN LOW casToTWOMMUnwans 11 NEW BUILDING El DEMOLITION 0 RESIDENTIAL LOT BLOCK �SLIB DIVISION �e C 0 ADDITION 0 CONVERTING USE OrCOMMERCIAL ALTERATION 13 ACCESSORY BLDG. WFF7�NKN REPAIR OPOOL/SPA 11 YES N/A 17 M/DTHER 13 No RQ T ENG N OWNE 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 711/1,o A 16.NAME: 24.LICENSEE NAME: 25.STATE OF FLORIDA LICENSE NO.: 10.AD _5PE1§: 1 . TATE DA LICENSE NO.: 'S 18.ADDRE';S: 26.ADDRESS: 13cL,-, 11.OFFICE PHONE: 12.FAX NO.: jA,-OfFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 142 11 13.dELL P'Hd 21.CELL PHONE: 29.CELL PHONE: 31-/- 22V3 - 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: a I I ��g `�' -Bjff WPM�! 8W TGAGE: —1 lo. O.M. IR ]TL1 �J JJQLDE 31,NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNEWS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance With all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCINrq-4-G0nWSULI-WffhnUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N1OTICWfiiCQW IMEMN QPrIpy a el -OWNE] f�q...A t:N1 "M MIN 3 V'Vi R -New Signed: Date: Signed: a MM It%— I I now weww E Before me this dly of 2007 in the county of Before me this day of has p Duval,State of Fl 'd has pe?nally appeared Duval,State of Florida 0 IMPPJOB SITE FO herin by himself/h;rsell and affirms that all statements and declarations are herin by himself/hers ff an 91% F1 Zvi true and accurate. true and accurate. 0 Notary Public at Large,Ste County of4()k Notary Public at Large,State of County Of ov;rsonally Known 11 Personally Known [T�roduced Identification- A 0 Produced Identific Notary Signature: 111--.111-MM qjmw� JNotary Signature: 11 1W 10 dN I JL%ir,V 0 —0% 19E CE yComm Sion Expilres Feb 14,2010 CITY OF ATLANTIC BE,ACH F �Fl Commission#DD 518533 SEE PERMITS FOR ADDITIONAL mt Bonded!y National Notary Assn. dr I — REQUIREMENTS AND CONDITIONS. COAB FORM BLDG01:REVISED:11/612007 REVIEWED BY: DA rE: /�7r City of Atlantic Beach NUMBER Building Department Uobe assigh6( rtme pa": Pt 800 Seminole Road i, Z,1 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: bui(ding-dept@coab.us e:rou City web-site: http:/AwAv.coab.us bat &rm Jr APPLICATION REVIEW A�AkACKING FORM Property Address: Department review required Yes No ��anning &Zo_n_in_�> Applicant: //,o 1'je't, roject: JA- v Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATPN-S--TATUS Reviewing Department First Review: DDenied. (Circle one.) Comments-: BU LANNING & NI P LIC WORKS Reviewed by: CdOA.4 UB Date: .1-71117101, PUBLIC UTILITIES Second Review: [—]Approved as revised. FjDeniecl. PUBLIC SAFETY Comments: FIRE SERVICES Reviewed by: Date: Third Review: [_�Approved as revised. FDenied. Comments: Reviewed by: Date: Ar F A LANTIC BEACH 800SE CIT)e-0 T 08- = ' LE ROAD,ATLANTIC BEACH,FL 32233 FF (90041247-5826 0 FAX NO.:(904)247-5845 BUILDiNG-DEPT@COAB.US 131.1�/DING PERMIT APPLICATION DUVAL COUNTY Atlantic V.-ch, FL 32233 W' EGAU-DESCRIVIOMV 00 "1"SE�Q5i1qTRuc-Tu' El NEW BUILDING E3 DEMOLITION [3 RESIDENTIAL LOT—BLOCK Y�SUBDIVISION SeC I'L 13 r, 11 ADDITION 13 CONVERTING USE RrGoMMERCIAL 0-4-0"W"ANIOA$11"I.... 13 ALTERATION 1:3 ACCESSORY BLDG. IRT Q A 13 REPAIR OPOOLISPA 11 YES 13 NIA 0 MOVE EVOTHER 1[]No 40'WNZRNA,"IfARPW.... .........�,E–N-G..INEEWA, rfi�'!ffl` 9,NAME: 15.COMPANY NAME: 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: S: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.A DD)IIESS: 26.ADDRESS: 3WS-0 FAL7 NO.: 11.OFFICE PHON%E: 11?2..FAX 19.OFFICE PHONE: 20,FAX No.: 27.OFFICE PHONE: o' 13.dELL P'HONE 22 21.CELL PHONE: 29.CELL PHONE: 14,EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: V EF f,?Lq�T,,ITLE:tl0LQE Rr M NO --or ,i a 60 71 In W. , I W, . 31.NAME: 33.NAME: 35.NAME: x-A91U 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced Within six (6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNEWS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ........... E CT01 0 N T 0 u rec!MZ� -ON RE�4 1, ).5i 5'��- 't i�"�1,�,i Signed: Date:/ Signed: Date: Before me this- Zy-dly of 2007 in the county of Before me this day of 2007 in the county of Duval,State Of Flo Ida has perionally appeared Duval,State of Florida,has personally appeared J* - -3;'-d , A herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,Sta County of Notary Public at Large,State of_,County of ige.Sta rsonally Known 13 Personally Known ,. r, 9-'.duced Identification- '11 13 Produced Identification- Notary Signature: --- L,40"Vd,�GOHW— Notary Signature: -My 6�Jslon Expires Feb 14,2010 CommlssW#DD 5118533 '1,0 .....�10 Bonded By National Nota2 Assn. COAB FORM BLDG01:REVISED:11/6/2007 City of Atlantic Beach APPLICATIONNUW13,ER o 'd h B -I t Building Department I (T bepssigpe y.t e_uidingpepartmen .)� D E(IN 1, 8 2008 800 Seminole Road Atlantic Beach, Florida 322 33-5441 Phone(904)247-5826 Fax(9041]0'f-�qA5 E-mail: building-dept@coab.us bin Date,route City web-site: hftp://www.coab.us 3 rw Jr APPLICATION REVIEW A� �ACKING FORM Property Address: J/d I[4�6 21 DepA=ent review required Yes No . . ' f - AW'_dinU,--' Ka-nning &zo_n-in-�r) Applicant: 1�eA' Project: Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS f\ - Reviewing Department First Review: XApproved. [_�Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING #PU C WO Reviewed b Date: U C 0 BL U I IES AecondReview: FlApprovedas revised. [-]Denied. Comments: BLI AFETY FIRESERVICES -r> f;�pez- W44-,, Reviewed by: Date: Third Review: FlApproved as revised. 7Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH 08- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5645 BUILDING-DEPT@COAB.US 4 BUILDING PERMIT APPLICATION DUVAL COUNTY amQ57DURiE L"am"'im P54 '*MiR At,i..tiC Beach, FL 32233 MWW. .Rift �SUB DIVISIO/Sec ONEW BUILDING 1:1 DEMOLITION 13 RESIDENTIAL LOT BLOCK 13 ADDITION 11 CONVERTING USE eCOMMERCIAL fIR1 D ALTERATION 13 ACCESSORY BLDG. 7 0 REPAIR 13POOLISPA 13 YES 0 N/A 11 MOVE ID/OTHER 13 NO 4' 1 ROOM MWIAMIA0,I I". WE0`1 ISIGINEER"1106MR0191 QQNT T �'WARCHI -E 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 10.ADDRE 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 0 3 LO L 18.ADDRESS: 26.ADDRESS: 4n 6(,L\, P? 3 it.OF PHONE: 112.FAXN . 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: ;2%k -3679 1 1 13.dELL P"HONE- 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: W AN 'T 31.NAME: 33.NAME: 35.NAME:' 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has .commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Alr Conditioners,etc. OWNEWS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,141, 7 '010 T- W,W. Signed: Date:ze�z Signed: Date: Before me this dly of-:15,t C— 2007 in the county of Before me this day of 2007 in the county of Duval,State of Ff 'd has pernally appeared Duval,State of Florida,has personally appeared herin by himself/h;rself and affirms that all statements and declarations are herin by himself I herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,Ste f County of 4A Vilc Notary Public at Large,State of County of 014p,s unally Known . 11 Personally Known n(r.d ced Identification- ,I L 0 Produced Identification- Notary Signature: L�,�G*Hw— Notary Signature: 'fate Emy comAlon Expires F!eb14,2010 518 Commission#DD 518533 1000000001111111,IF,I sonded By National Notary Assn. COA13 FORM BLOG01:REVISED:1116/2007 APPLICATION City of Atlantic Beach NUMBER.- Building Department A) b ''d b th B (To,, E,i,assigne y ,e,.,.�!,.-Ing,ppp.,prtmeln.t.),, 800 Seminole Road Atlantic Beach, Florida 322"45 '1 ,90 Fax(004)247-5845 7�! Phone(904)247-5826 b 0, E-mail: building-dept@coa us Date route City web-site: hftp:/Avww.coab.us 3� rN Jr APPLICATION REVIEW AN ACKING FORM Property Address: Depq=ent review required Yes No AaLina-1 Applicant: 110 (6 LZE I'RA' Pranning &Zoni�n rojec : V Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: &Approved. ElDenied. (Circle one.) C ients: . 141� k t&rlloex _ (/"'r 0 BUILDING r1m I A.-— ,Xwt 4 0 W�TVZ: %1z. PLANNING &ZONING Reviewed by: Date: PUBLIC WORKS PUBLIC UTILITIES Second Review: []Approved as revised. []Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: F�Approved as revised. FIDenied. Comments: Reviewed by: Date: Dj CITY OYATLANTIC BEACH 800 SEMINOL"OAD,ATLANTIC BEACH,FL 32233 08 OFFICE:( )247-5826 0 FAX NO.:(904)247-5845 ILDING-DEPT@COAB.US BUILD106 PERMIT APPLICATION DUVAL COUNTY Aid M' Vel M. " AMOMMMENIN Ii 5 sQj,.,q OND Atlantic BeacVFL 32233 I Prrlmm, RAF 11 NEW BUILDING 13 DEMOLITION 11 RESIDENTIAL LOT_BLOCK 3�SUBDIVISION rA 0 ADDIT10N 3, 13 CONVERTING USE KCQMMERCIAL I"ascpltemwlfomo�K,W�k,W"4'4��C�W-o ��AMWNM60 0 ALTERATION 1:3 ACCESSORY BLDG. -KE SPAIN)"M 0 REPAIR 13POOL/SPA 1:1 YES 11 NIA I&a�a.�.e 10�� rE M/OTHER 13 NO 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 16 NAME 24.LICENSEE NAME: -7 0 ffin X p r r C17 qf TALtTIC BEACH ....... 800 SEMII� TIC BEACH,FL 32233 08-1 OFFICE:( 247-5826 0 FAX NO.:(904)247-5845 - /BUILDING-DEPT@COAB.US BUILDI-Plu PERMIT APPLICATION DUVAL COUNTY 3;� A '41 QP' P Atlantic BeacVFL 32233 i""775vg 06% 0095,05STRUCTU NEW BUILDING 13 DEMOLITION 13 RESIDENTIAL LOT—BLOCK 3YSUBDIVISION SeC 0 ADDITION 0 CONVERTING USE eCOMMERClAL 04bEtr*01 bft�QWW i-S ,j%1L 13 ALTERATION 13 ACCESSORY BLDG. T—FEW 0 REPAIR 13 POOL/SPA 13 YES 13 NIA 11 MOVE MbTHER 13 NO kw- w5l. RMTPROW 1., 4. 4 .1T ", " 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: fi(0 16.NAME: 24.LICENSEE NAME: rEBB: 17.sTA�E OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 13 6�;- S: 26.ADDRESS: 112.FAX NO.: 19.OFFICE PHONE: ----7FAX No.: 2T OFFICE PHONE: 28.FAX NO.: 2ZLZI 3 Z7771�7 �6 79 13.dELL P-HONE- 21.CELL PHONE: 29.CELL PHONE: 14�EhFAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE �M Now M. 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has ,commenced prior to the issuance of a permit and that all work wifl be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNEWS AFFIDAVIT-I certify that all the foregoing information is accurate and that ail work will be done in compliance With all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. C ONTffl, 4 Xq RIM` A Signed: Date:/11�- Signed: W i 1411—F 4 Date: Before me this dly of-�6j d— 2007 in the county of Before me this day of 2007 in the county of Duval,State of FI 'd has perionally appeared Duval,State of Florida,has personally appeared 3; .1/ 1 A herin by himself/h;rse6 an�affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Nota Public at Large,St 64- County of 4(�k Ve4- Notary Public at Large,State of_,County of rsonafly Known F-1 Personally Known roduced Identification- -41- Produced Identification- Notary Signature: YA4 7,&l U,4M*Wt1te Notary Signature: St&nf FlAdda 4 20io -�:Wy Co"slon Expires Feb 14,20`10 CommissW#DD 518533 !;q Ss 0 Bonded By National No ry Assn. COAB FORM BLDG01:REVISED:11/612007 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT DATE Zs, LOCATION S4,90500,b r-eA1TQ?_ SOO Z2/4�� PLUMBING FIRM U,4U111A) e&A,Aj1V4 1AIC, M&STER PLUMBEtR CITY/COUNTY OCCUPATIONAL LICENSE NO. STATE CERTIFICATE NO. CEC 01 U,00 BUILDER OR CONTRACTOR /vo tv 45 TYPE OF BUILDING SINKS '-SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER WAL7ZI 5 ol Te> 1)lAd_�111Ve5 -TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. //v 5 TA t t A 77 ON 0 C Lj #/7;�-/F_ Sc,�p�0,17 710 mAc #1tl)c_ 0 A) DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 4 7 9 9- PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date AUGUST 24. Valuation$PLUMEI14G PERMIT Fee$5-00 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that JACOBS St VAUGHN PLUMBING INC. 1212 Millcove Road. Jacksonville Florida has permission to#406 install water service to ice machine. Installa O� of watipr stipply tn irp mar-hinp- nn 11hof- Frnm ne.W wAtar ntptaT, Classification New Plumbing for Ice Machfone—__*BA$' Owned by ATLANTIC SEA FOOD. Mr. DONALD PACK Lot Block S/D 5- 580 MAYPORT ROAD. ATLANTIC BEACH FLORIDA 32233 T House No. 5*oUCCKT According to approved plans which are part of this permit 46ul 1A U/24/ 47�9 *UOCAC NOTICE—A4"ONC AND FOOTINGS MIKEP SPECTED BEFORE POURINGM PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE 0 Building material, rubbish and debris z i from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. Mr. Fred W. Mills Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER DEPARTMENT OF BUILDING 4253 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.- PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date i4a 19-i-U-1- Valuation$60,19 8.2 8 Fee S 156.90 This pemit 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 Donald Pack has permission to build a. coamy-cial bulieling according rn 111ang Anbraitted Classification commerefal Zone Owned by— Donald Pack 1 & 2 33 Sect. H Lot Block----------S/D House No- 570 Na"art R02A According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE x 0 Building material, rubbish and debris zfrom this work must not be placed in public space, and must be cleared up and haiiled away by either contractor or owner. TL Bill 14. DAVis i 1/1,4/0 Building Offf tj WWI C�TQ I'A FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER DIVISIO)'.*,# 7 PUBLIC HEALTH CONSTRUCTION PERMIT CITY OF JACKSONVILLE JAC�SO 15340 ;4VILLE, FLORIDA FEE: $10.00 TEMPORARY SEWAGE DISPOSAL FACILITY Name of Applicant 1-6 ,aek Installation At: 11,�,iyport 'Road &—Rcst 6-,fi �-,t. Installation By: Septic Tank Capacity--!L'—o() Dosing Tank Capacity 300 9-al.-with '1/3 )-P DrainField: Sj-ft- 211 1-aibm.ersible ,"um, t)AK _R, 1.)(,, T, 'Cl OVID 24 14N JE!� QV MACK JACK OR T-N AN AREA 0'r 40 X 99 FEE�,, T,D 11 SEERVVEIRSEI�n,,l 3ATION 0,�B SI1DE-FOIW�f,,TTAM DUV�t.%L� By �eror or AdminIstrator-Sanitary Engineerine— "'i'"000NWt0xS 1-8-80 OF PERMIT Date: Ta-iujm-v 1,'): VOID ONE YEAR AFTER ABOVE DATE IF NOT STARTED NOTE: This certificate does not guarantee the successful functioning of this unit and the occupant will be responsible for It&satisfactory sanitary operation at all times. Date.........L.....................19 permit Y $ CITY OF ATLANTIC BEACH 11ilp Valuation C. ..................... FLORIDA ]IOU" .. ......................................... APPLICATION FOR BUILDING PERMIT ::�................. ........................ ApWication 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, sMU be compiled with, whether herein specified or not. The Contractor or Owner-Builder who has been Issued a Buildinx Permit in automatically responsible to ascertain that all sub- contractors engaged by him an duly licensed in the City of Atlanfic Beach,Florida. To prevent delay or embarrasment regard- ing Intermediate or final inspections it in suggested that a Hat of sub-contractors be submitted to this office so t Heenm cm be verified. tr ?A CIC ............*-- -- ------- Owner....................................................................................................Address...........................................................Telephone No.2...................... Architect................... .................Address..... ...............................................—Telepbone No...... ....... Contractor Bulldez.715*.... .......-.....*-TR` 1 ',;�7 0AVSY W No.......R- ............................................................................Address............................................ ............-3 riotNO.................1-2.......................Block No.......... ..........Sub Division................................................................ Zone................. .P.................. Streerd��a b-1 i;�v.... .... ..................... ........4de Between..... ......g-D...............and......:7............*....... ........ .....Sts. too LC E-Z Valuation $.......... For what purpose will building be used o�>%�e 0-��=Wtructlon......i6..............P,.......... Dimensions of Building.:5��.-A--- ....Dimensions of Lot.... 1z............ ..............................Size of Size of Piers..��---P�m........Sipe of Sale .............%*210atest Sill Span in Roof............... How will Building be Heated?-----tw�lr P P sc, .........................................................Will Building be on Solid or Filled Ground?..... !S� Pow 5 P(M 1�> 81" of Coiling Joists................... 4-----------*' Distance on Centers............................................. Greatest Span-................. .... Size of Floor Joints....4k.................. Distance on Centers –4CZ:: ......... Greatest Span... ............ ......... S .......................... ... AW " Sin of Rafters.-Iet& f(-AN-5...................Distance on Centers......... .................................. Greatest SPMAE................................ This rectangis is to represent the lot. I,ocate the building or buildings In the gfhtt 10 p _g.ltlon. Give distan in feet from and wdxftx buildings. RFAAR LOT LINE Two copies of plane and specifications shall be submitted with application. Inspections required. I. When steel is in piece and ready to pour footing. 2. When steel is In place and ready to pour columns anid/or Untel. S. When steel is in place and ready to pour beam. 4. When framing In completed. 5. When rough plumbing Is completed,and ready to cover up. PLAX 6. When septic tank drain field or newer in laid but before It is covered. 7. Electrical inspection by City of Jacksonville. & Final inspection. Note: In case Of any reJection,ro-Inspection MUST be called for after corrections an made. FRONT OF LOT In consideration of permit given for doing the work as described in the above alltement, we hereby agree to perform said work in accordance'V the ra gpi and specifications, which an a put hereof, and in aftordance,with the building e B y 0 regulations of the Ci, Signature of Builder...... . ....... ........... Address..................................... .............................................. -75K- -D�-I n- &M. O-T� Signature of Owner........ ............................. ................................. Address.....�Z52............... ........................................................... CITY OF ATLAWr:EC BEACH 716 OCEAN BOULEVARD ATLANTIC BEACH, FLORIDA ADDENDLE TO BUILDING PLAN 1. Building location.; 42QsZ7- A -2/4 2. The attached plan for the above building is. approved subject to meeting the following applicable construciton requirements: a. Footings shall be continuous monolithic concrete under exterior walls, reinforced with two 5/8" deformed reinforcing rods for one-story buildings and three 5/8" deformed reinforcing rods for two-story buildings. Reinforcing rods shall be placed in the lower one-third of the footings, properly placed and fastened cn metal cables with wire. Footings shall be six inches wider on each side than the wall above, shall be at least eight inches thick and shall rest on firm soil at lea t twelve inches below undisturbed soil. b. In hollow masonry-unit constructicn each unit cell shall be reinforced with at least on No. 4 bar at corners, and tamped with concrete; such rein- forcing shall.be properly tied into the footing and spandral beam. c. All wood truss rafters (roof construciton) , shall be securely fastened to the exterior walls with approved hu-rricane anchors or clips. d. Construction of nearby one-family dwellings, which are duplicates or intensely similar, shall be avoided. Such similarity considers the external configuration and appearance (i.e., roof, outer wall materials, window size and design, and other like characteristics) of structures. In accord with the foregoing, similar or duplicate hcms shall not be constructed within close proximity of each other, and shall be at least 500 feet apart-if any one similar dwelling is visible frcm arry other similar dwelling. e. The final connection between the house plumbing q,�ain and th ewer service connection (at the property Line) mist be by e,, before being covered. 9 M-ie undersigned hereby certifies that he has read the above and understands that this addendum takes precedence over any contrary details to the plans and specifications and agrees to omply with the intent of this adde, Contractor/ rc; Dai3e CITY OF ATLANTIC BEACH APPLICATION FOR MTER CUT-IN APPLICATIM IS M;EBY NADE FOR /L WATER CUT-IN AT THE FOIlDWING ADDRESS FOR 'UNIT (S) CUT-IN cHA= OF y- C�,e-X Y' - STPEET NO. ;S- ew �442,rzc-F 2 LOT BLocK. 33 SUBDIVISION ACCOUNT No. 2oo 3,; NASTER PLUMM MAILING ADDMSS NETER NO. 173 L/3 MTE INSTA= C, b CITY OF ATLANTIC BEACH CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 ATLANTIC BEACH, FLORIDA 32233 TELEPHONE, 249-2395 UTILITY BILL OFFICE COPY DATE WATER WATER SEWER GARBAGE OTHER TOTAL DATE WATER WATER SEW15R GARBAGE OTHER TOTAL METERS DUE METERS DUE_ 7-16-81 $145.00 $145.00 7-16-81 $145.0( $145-00 FULL FULL METER I METER RETAIN THIS STUB SERVICE DISCONTINUED PAYABLE: IN ADVANCE: IF NOT PAID WITHIN NO REFUND$ 30 DAYS OF DATE SHOWN '111RE19919 100 :1212000E90:i. villb510000mli All"03,12N"133411 ON Wila"M""'w AZI111100"i 91 V0le0l4'HDVl9 3111ANOODVt bJlNE)')N0qNV8 14DY39 ill(ANOSVIVI 9111AU00ni'vi to juva lfvav�fvos 1UL's lseaqjrw)s 3w 08308 0 3HI 01 kVd aVOd lbOdkYA OIRS Z U31N30 GOO:MS 3l.LNV-l.LV T 6 9 T N1 03113P"730 S!? '-1 CITY OF ATLANTIC BEACH MTER.CCKlNECTION CHARGE DATE Lo IOC-ATION 0- 249 aem PAC-fl� PLU4BING FIRM NASTER PLLMER BunDER OR CONTRACTOR A/4 j- D 0�2 6 l< TYPE OF BUIIDING (I C BATHROOM GROUP CONSISTING OF SHOWER STALL, DUAESTIC (2 units) 'WATER CLOSET LAVATORY & BATHTUB OR SHOWER .(6 units) SHOWER GROUPS PER HEAD Q units) BAMIM (WITH OR WITHOUT OVER SURGEOND SINK (3 units) HEAD SHOWER) (2 units) FLUSHING RIM SINK (8 units) BIDET (3 units) SERVICE SINK TRAP STAND (3 units) ComBINATION SINK AND TRAY Q units) POT, SCAL= SINK (4 units) COMBINATION SINK AND TRAY W/11MD DIS- (4 units) URINAL, PEDESTAL, SYPH0N JET BLOWOUT (8 units) DERML UNIT OR CUSPIDOR (1 unit) __LUMML, VUEL LIP (4 units) DENTAL LAVATORY (1 unit) URINAL STALL, WASHOUT (4 units) �.-DRINKD�G FOUNTAIN-�(1/2 unit) URINAL TROUGH EACH 2-FT. SECTION DISHWASHER (2 units) (2 units) FLOOR DRAINS (1 unit) WASHING MACHINE RES. (3 units) KITCHEN SINK (2 units) WASH SINK EACH SET OF FAUCET (2 units) KITCHM SINK W/FOOD WASTE GRINDER Q units) WATER CLOSET, TANK OP (4 units) lAVATORY (1 unit) 0 KATER CLOSETS, VALVE OP (8 units) LAVATORY, BARBER, BEAUTY PARIOR LAUNDRY TRAY (2 units) (2 units) LAVATORY, SURGaMS (2 units) DEPARTMENT OF BUILDING 4269 _ CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB D yvhv�'nry 19 Valuation S PT-IMM7 Nr- Fee $ 12-00 This permit not valid until above fee has been paid to City Treasurer, and is %-al)ject to revocation for violation of applicable provisions of law. This isto certify that 'R & r. Plumbi-niZ has permission to build in-Stall 2 laVatOrtes. I urinal, 2 closets, 6 Floor 77 T T Araina, 1 wnrpr banter Classification Zone— Owned by--licluald Pack Lot Block— S/T) 44 1 House No- 570 mavvort. Rd According to approved plans which are part of this permit NOTICF—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS "n AFTER DATE OF ISSUE :0 0 Building material, rubbish and debris Z from this work must not be placed in public space, and must be cleared up and hadled away by either contractor or owner. Bill me D_ Building official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER W��TER CITY OF ATLAWll C BEACH APPLICATION FOR PLUMBING PERMIT Dj�Tr 2 - V)CAT ION-- 7 )c P'llumBING FIRM MASTBR PLUMBER C.Vj?Y/COTJNTY OCCUPATIONAL LICENSE NO� Ifty STATE CERTIFICATE NO. BUXLDER OR COM'RACVOX� TYPE OF BUILDING SHOWERS ,p�JAVATORY =j WATER HEATERS ,,--BATH TUBS DISHWASH=S 9, DISPOSALS _LYRINAL. CLOSETS WASHING MACHINE FLOOR DRAINS _/,2_,T0TAL FlATZnlL CQ=r INSIALLATION OF PLUMBING AND FIXTURE,�, i4u.,5T SE T21 ACCORDANCE WrM TtRE Kh�V RZ,CMr =I-TXON OF THE 60UTHERN STANMRD PUMUrNG CODE. CITY OF ATTANT IC REA M� WATER CONNECTION C-MR(,V, I AT T 014 rAqNsp--.— FLUMP!,MV, (4ATT *r%p' 3ITTLOER OR CONTRACTOR TYPE OF BUTTZING -40 z --BATHROOM GROUP CONSTSTINC, OF t1HOWER STALL, DOXESTI. WATER CLOSET, LAVATORY & DATHTTIB OR SHOWER STALL (6 unity-,) 5BOWERS GROTIP PER if)-An —RATHTUB (WrM OR WTTHOUT OVER 9 M. (311 -a:,J T4V.AD SHOWER) (� un it s) 1;�SH TNG F,Tm 9 1�4" SIDET (I units) SERVICE STNKTRAP MAN,� "OMHTNATTON STNK AND TRAY 0 unftn) "-0.431NATION STUY & TRAY w/poor) Dio- SCALLERY STNi, f�- ('! U n i t'tl TNAL� PRDE9TAL. nFWTAL TTNTT OR -�VSPTDOR lini.0 -?, al!')w(XJT (8 lin ')RY i t) UFTgP",�, WALL LIP (4, !WAL rAVAT4 y ILI v"TTc-ftF.N �fv-- wlks4re nakmwv f.3 un,' __a,.�AVATORY LAVATORY, BARBER, 3EAUTY P"L(* (2 units) LAVATORY. SURGEDNS