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Permit 1110 Mayport Rd (vault) 001740 1 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PER"IT{- N ON�I`A`I'1 l W _ ,DATION ' NFO RNATION F+ , t Nuali s' iI"7' Cr Add.�iw* x 111111 !IAltP£3R"!" ;IROAD xs t Tyra, llrt A'Y`LANTIC BEACH, FLORIDA 33233 C I s .E Mr x LEGAL, DESCRIPTION Ty Lott GNRV1 CS STATION '��rr�z��r1�� +a� iROG z R3 Clow d V � *5%20« Total 1! « E 1 An►4ou d *0 00 �._ ATtN °°' ,""''"` °««''� �*' A�9PPI.»1V[�Ti.IN.. F'EI" '....m....s.w ' A,xg` �� 1tT, RR3AD WAT,!W 1I'IPACT FEE Irw *0.00 yY} p Sys ( jw #iF „+aii� Arr+� FEE RADON GAG' I�� kR R M 00.00 � ORFORMA"!. �� . ,»� - RA €�A �� 00.00 . N ATN '1* ' qdO 11t "I" „... A 1k . .; ' ' BMA A * ► _.W; _. JA Ii.LE, :FLORIDA 32205 HYDRAULIC, SHARE .t -FEE 7 RE -14S C'!° :00 00 r 4 p NOT I 1t i !,5 T P 5. r� TE 6;64 IA I to NOTICE- � ALL CONCRETE.FORMS AND FOOTING$MUST BE.I NSPECTED:BEFORE POURING PERMIT VOID SIX MONTHS AFTER,DATE.OF ISSUE BUIl-DING MATERIA ,RUBBISH AND DPBRIS'FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CL RED UP AND AUILtD AWAY BY EITHER CONTRACTOR OR OWNER. ILURE ll, W� THE MECHANICW LIEN. LAW CAN RESULT N T E-PROP TY CaI13NE>R AYIIt1G TWICEFOR BULt31G IMPROVEMENTS.' IS CCClRI ! -O APPROVEDPLANS WHICH ARE,PART OF 7NIS PERMIT AND SUBJEC TO REVOCATION FOR vt `T�Drt©a=a� I "rasL�pFIdVISIdNS©F,LaW. z 'ATA TIC B t :B .LDING dEPARTMENT- x '1 * y� e 3 w .7,. ,7777' C"- r?Orc]'I C "Der s o, it ar s q J I Lion, e- or - ------------------ Total Fee t-e�Jlacas @ 15.00 '.1chrm.d cal BUTUDIEN�I PEIR�, FET,� .-_--____-_-_------------------------------------•- T2YIIII�� B,-ULLD_LNC I)EK41"T' ? ITEE g, Pcol VvL1 -TAGE _ET S i 1,LTAC f FEE !-,Tc,,ter Corinecticyn J_-1-S(11 E Ii Ul�17E 0 US S&-wer Connecticy--i tex Meter E,icv,�,,tion cert CY GBY,,�,1D EAL DT ----------------- ------------- -------------------------------------------------- C,',:L C ULVFI0 7 S anI/or I OTJF�S CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION PERMIT# SUBDIVISION ' OWNER NAME 1110 MAYPORT ROAD PHONE 1645 ATLANTIC BEACH, FLORIDA 32233 LEGAL DESC: LOT BLOCK SECTION PERMIT TYPESECTI© H JAMES B. JAFFA CLASS OF WORK CONTRACTOR �#"JA E 6689 ELECTRICAL WORK DESCR)MRSOH & BRYAN ELECTRICAL CONEW. SERVICE STATION INSPECTION REQUIRED INSPECTOR CS 250MCM 2 AMPS ALUrt! SB O AMPS 3PH 4W 240Y 2 1/2» DATE INSPECTED j t C�LP APPROVED REJECTED ❑ ` AM x COMMENTS CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION PERMIT# SUBDIVISION OWNER NAME PHONE 1110 mQY'PORT RogD�� PERMIT TYPE 1475 LEGAL DESC: ;MAWrIrrBL�H, FLil�liNY .'.�¢�{'.�." CLASS OF WORKS CTFCtN H USE CONTRACTOR CLrNrURY ,*1 C14R 1W .SW PROPOSED .`S5►�3�-861`' 45 FC�ILL?IIVG► jWORK DESCRIPTION H AEW �.P .r, s F+ENMErr J1aFFia � INSPECTION REQUIRED INSPECTOR .a^iERVXCE ria rI cw �C`GNSTRLAGT 4FtK `� APPF�GEt7� REJECTED F DATE INSPECTED gy 14 CERTIF CCCLlFWACy AM a COMMENTS I f CITY OF ATLANTIC BEACH > BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION PERMIT# SUBDIVISION OWNER NAME PHONE ' LEGAL DESC: L04-f-to N L'CiGtrRT A%7jq&CTION PERMIT TYPE 1475 , igrLowrrc Brp:w-H, FLO)vmiq mm'*3'.3' CLASS OF WORK SECTIION H CONTRACTOR PROPOSED USE CENTURY .'D1 07- R Wr'iSH (904)&`-6B-6161a* WORK DESCRIPTION 45 H FUILDX Vo NEW S FENNET T JAFFA INSPECTOR S PECTO R INSPECTION REQU� SERvICE STr?TILUV S "L DATE INSPECTED CUNS+WUC /ygnPP REJECTED ❑ 13 FINAL FUILDJNO Apt COMMENTS CITY OF ATLANTIC BEACH BUILDING DEPARTMENT ✓✓✓ INSPECTION REPORT JOB LOCATION PERMIT# SUBDIVISION OWNER NAME 1110 MAYPORT ROAD PHONE 1740 ATLANTIC BEACH, FLORIDA 32233 SECTION H LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE of JAMES JAFFA CLASR f688-1234 CONTRACTOR PROPOSED USE crw SIGN w NEW a WORK DESCRIPTIOMTLANTIC SIGNS SERVICE STATION z 'z INSPECTION REQUIRED INSPECTOR a CONSTRUCT NEW SIGN PER PLANS m Z DATE INSPECTED — gCppTIHG APPROVEDREJECTED ❑ r COMMENTS CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION 1110 MAYPORT ROAD PERMIT# 1475 ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION SECTION H w OWNER NAME CENTURY 21 CAR WASH PHONE (904)266-8612 cry LEGALDESC: LOT BLOCK 45 SECTION H PERMIT TYPE BUILDING NEW w CLASS OF WORK z# CONTRACTOR JAMES SENNETT JAFFA PROPOSED USE SERVICE STATION z WORK DESCRIPTION CONSTRUCT NEW CAR WASH PER PLANS 200279 t INSPECTION REQUIRED 3 SLAB INSPECTOR PM a DATE INSPECTED /f l By L f%�}� APPROVED �~ REJECTED COMMENTS CITY OF ATLANTIC BEACH I- cr, BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION/ PERMIT# 1110 MAYPORT ROAD SUBDIVISION 1645 OWNER NAME ATLANTIC BEACH, FLORIDA 32233 SECTION H PHONE JAMES B. JAFFA (904)396-6689 LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE CLASS OF WORK ELECTRICAL w CONTRACTOR PROPOSED USE NEW 2 MUNSON & BRYAN ELECTRICAL CO. SERVICE STATION WORK DESCRIPTION z CS 250MCM 200 AMPS ALUM SB 200 AMPS 3PH 4W 240V 2 1J.2" z INSPECTION REQUIRED INSPECTOR O 6 ROUGH ELECTRICAL AM Z OLL DATE INSPECTED �`� BY APPROVED E J REJECTED ❑ COMMENTS PLANS REVIEW CHECK LIST Address-//Z-,O-__� _ ____Owner_ ___ _ Legal Description ---------------------Contractors License -------------------------------------- Number ------------------------ License on File YES NO Section 24-101 * Zoning Regulations Zoning DistrictL�__------ Proposed Use_ Required Lot Size------------ Actual Lot Size '- Setbacks Required Provided Section 24_17 � •�, �� fir,., s./_ frontJ CORNER LOT INTERIOR LOT rear ��- Flood Zone ------ - ------- side-1 ___ _ __ < <r Required Elevation___�__ side-2 J Max. Height Allowed_ =-o--_ Proposed Height__ Section 24_82 * Minimum Lot Coverage Required Heated Area �t Q ___ ____ Proposed Area Section 24-161 * Offstreet Parking c Number Spaces RequiredSpaces Provided Section 24-82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES ONO Utilities Water and sewer service is to be provided by: Buccaneer Utilities City of Atlantic Beach Utilities ___- Private Source SEPTIC TANK WELL Plans Reviewed by:------------------------------Date ---------------- Building Permit #---------- ISSUED DENIED Illll.ik-i1IiWi atii . Lll`i ! i.Jueli ��/��✓ ! Sec. 20-3. Sign Permits - Required It' shall''be` unlawful for any person ' •to install alter or relocate anysign,' marquee,'' : canopy , awning or other il ;'advertising structure permitted under section 20-2 without first obtaininj a permit from the City Manager and making payment to the City Clerk of th( ; required fee. All illuminated signs shall ,' in addition, be subject to th( .provisions of the City Electrical Code and any , permit fees required there under___SOrdinance_No__60_66_lj4_Z-------- ------------------------ TYPE OF SIGN Name , Address & Phone No. Applicant —Flat Horizontal Projecting %07 '11tC,` —<, Vertical ProjectingUZ N, L L11�C i Roof Pole Name , Address & Phone No. Owner Marquee or Awning ' VALUATION I�ft Address of the Sign ------------------------------------------------ ------------------------ ATTACH THE FOLLOWING TO THIS APPLICATION: a. The location fo the building, structure or lot to which or upon which the signor other advertising structure is -to be attached or erected. b. A Plot plan showing the position of the sign or other advertising stru ture in relation to nearby buildings or structures . C. A blueprint or ink drawing of the plans and .specifications and method of construction and attachment to the building orJn, the ground. d, The name of the person/contractor erecting the structure. . ' e, Any electrical permit required and issued for`' such sign. f. Registered engineer's drawings must be submitted with applciations for roof signs over fifty square feet in area,' and. for any sign the top of whi is more than seventeen feet above the ground `'or weighing more than one thousand pounds , or solid sign of, area more than thirty square feet, showi that such sign will be erected to withstand,, a wind pressure of at least thirty-five pounds per square foot and that:�a, the 'weight of such sign will b amply supported by the roof of the ,building or the ground support on which it is to be erected. ;` �i6JN g, Such other information as the City Manager shall require to show full compliance with Chapter 20 and all other , laws ,,and. ordinances of the City. SIGNATURE OF APPLICANT DATE V :JY SIGNS DATE 1 I. } Building and Zoning `` (IT ,urfifiratt f Orrupaug 9'F-.'T4M1T LOCATICM 111FORMATIOU 1110 MAYFICORT HOAV .14 Type-. BUILL)TH6 ATLANTIC UEAGH, FLORIDA lczLEGAL VLSCRIPTICM 4;1a o Y. W UEW Type-. 1_3 T E E L tint, E"1 Lj r-1"; 4,5 l~t t i ort SERVICE STATION Townfihip. RN G D f. j;ubd_tvisjon ,. SECTION H I -?I C) ck-lde E_�;timate'd valut--i _-'43 4D, 20 OWNER INFORMATION Imes c)%. . Cokt a r. 00 Hame: CENTURY 211 CAR WA.5H Total 119`:a' `:0 J ic%; kis 3491 PALL MALL DRIVE *201 ?'wCjQ.(st Paid-. 11953. c,0 JACKSONVILLE, FLORIDA -j2'241 Vatt_ Paidl I Q/3 1 3�J f"rs on e 9 0 4)216 8--131 6 12 Work Dea-- . CONSTRUCT NEW CAR WA_1'1H PER PLAH' 002_1?ID CITY OF A&4.6 Teach - Pepartmut of �uilbing �Hsyrrtton This Certificate issued pursuant to the requirements of Section A103 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. Date: POST IN A CONSPICUOUS PLACE .. ............... 1F 1F fF IF Ih BEFORE ISSUING CERTIFICATE OF OCCUP ANCY,iE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED! DATE, APPROVED*- - . BY: Fire Chief __ _f---- 2P '5 7—A/' --- Public Works - --- - ------- & 2 Planning Director --------------- --- --- ------- Building Inspector - - ------ f UTILITY SURVICH AGRUUMUNT (Water and Sewer) '11115 AGREUM iW[' entered into this 14 day of SEPTEMBER , 1.98 9 , between the City of Atlantic Beach , a Municipal corporation, hereinafter called "City", and .TAMES JAFFA , a FLORIDA , corporation, its successors and assigns, Hereinafter called %evoloper". 4V I I, N L S S L► 1, 11 WHEREAS, Developer owns land in Duval , County, Florida, more particularly described as LOT 2, PT LOT 10 BLOCK— xcler to acreage, plat engineRing SECTION H drairiii�s, or .legal descript on as L•xillbi.t A and WHEREAS, Developer plans to develop said laid by constructing ONE buildings,' ' ONE residences and/or other improvements thereon consisting; of' 'ONE 'SELF SERVE CAR WASH WITH ACCESSORY PADS WHEREAS, City is the owner of water and sewage treatment plants and water distribution and sewage collection -systems in the vicinity of the property described above; and WHEREAS, Developer desires that City provide water and sewage collection service to said property and City desires to furnish same; and WHEREAS, City is willing to operate such water and sewugo collection and treatmmit systems so 'that all buildings constructed on Developer's property by developer or by any person,' firm, joint venture Or corporation holding by, through or under Developer may have furnished .... I to them and to their occupants water acid sewer service subject to all terms and conditions of this Agreement; and VIIIEREAS, in order to provide water and sewer services to Developer it has been or will be necessary- for City •to enlarge and expand its offsite water and sewer plants and facilities . and it is the desire and intent of Developer to contribute financially to the costs of building such additional offsite water and sewer plaits and facilities and to reserve capacity in City's water and sewage treatment plants .so that City can provide service to .the Development without imposing .F' burden on its existing customers; iJUIV, 'IIIGItGI UIt(;, in consideration of the premises and other good and. valuable considerations and in consideration of the mutual covenants and conditions hereinafter, contained, subject to any necessary approval by other governmental agencies having jurisdiction, it is .agreed by the parties hercto as .follows: 1. Developer agrees tl►at City shall have the exclusive right to furnish water and sewer service to the real property described above and hereby grants to City. this exclusive right..to provide water and sewer service for all uses within all structures now or hereafter constructed Oil tl►e real property described_above. 2. City agrees that after' Developer has connected to the systems of City, City will provide at its own cost and expense, water and sewer service to Developer's property in a manner conforming to the reasonable requirements of public or governmental agencies or parties having Jurisdiction over City's water and sewer operations; provided, however, that such service shall be in accordance with other provisions of this Agreement, including City's rules and regulations and rate schedules. 3. In the event that Developer or assigns fails to completo construction of all improvements required to be. built by Developer and fails to pay all plant and service availability and other fees listed in this Agreement withi►i ' 'six111011 tits . ro►n:date of execution of this Agreement, for any reason whatsoever, : but .fluough,:.no pact • or fault of City, this Agreement shall terminate and City shall 'be relieved of its obligation to perform under ' this Agreement, Upon termination of this Agreement u►uler this provision, City reserves the right to ►tegotiate with Developer a new agreement for any additional SUMS to be pald by Developer to City as plant capacity and service availability charges, fees or other charges based upon increases in the cost of living and/or such other factors as relate to the cost of supplying water and sewer service. 4 . All taxes or charges imposed upon the property described above by a►►y govermiental entity or agency shall be paid •by Developer except such part thereof that has been deeded to the City in accordance with ilio terms of this ugreen►c►►t. 5. The- rales charged by City for water and sewer service shall be 1►i uccur•dance w1Lh its rate schedule which shall, be subject to change . from time to time. City shall have the right to determine reasonable meter size and location. G. Developer will grant to the City, at Developer's expense, adequate easements for water and sewer lines, for access to lift stations and water stations and related appurtenances. Said easements shall be transferable. Developer will also furnish.' title evidence satisfactory to the City that said easements are superior to mortgages or other interest i►► the land, and Developer shall cause any such mortgages to be released or subordinated to said easements. Easements will also be furnished to provide for onsite water distribution lines, including meters and sewage collection lines. Sites for lift stations and water stations and related appurtenances shall be conveyed by warranty deed in fee simple by Developer • to City. Developer will furnish City a warranty deed, title evidence satisfactory to City and any releases from lien holders for any sewage pumping station and water station sites as required by City. Developer Hereby grants to City the right to utilize any onsite water and sewage lines and systems to provide services to properties other than Developer's property, provided this does not unreasonably interfere with ', service to•' Developer's project.' Where Developer's property is adjacent to any. state road right-of-way, City will be granted a 25-foot easement, along and adjacent Developer or .its contractor. Developer will pay the cost of all such collstluctlolt. '11te Developer's engineer shall incorporate Into tile. Developer's engineering design, flans altd specifications the nI,l,licnblo standards and specifications of tits City. J. A. if the Developer .modifies his development plaits for Develuper's pruperty which would require greater water usage, greater fire flows, additional water• facilities, greater sewage flows, or additional sewage facilities than the water and sewer demands previously approved by the City, thell the Developer trust obtain approval by the City fur tha constructiurt of such addltivnal water or $ewer facilities which shall meet all City and governmental design requirements. 'lite Developer shall pay ail additional contributions and fees as may be authorized by the City's' service availability policy Which is in effect on the date said new agreement is executed. B. lit addition to paragraph 911 above, any other change order bettreen Developer and ;its utility contractor issued after City appl"oval of original pians roust be approved by the City before the change ordez• Is put into effect. . C. City shall have the right to review the systems design drawing and specificatluns to ensure that they meet the requiremetlts of the City. The systems design drawing and specifications are to be in accul-dance whit the City of Atlantic Ueach requijrements unless othorwise speclf.icd l,y CA), or its engineer. D. The City also reserves the right to approve the utility contracturs to Which coltstructiort bids are sent by Developer as well as the contractor to which the award is made. D. A repl•esentative of City or its engineers will be the J11spectur of the project along with the Developer'g engineer, but City l-cservc!; the 1-1i;hL to filial acceptance of the work .and materials. , Ileither rite City or its engineers shall be deemed the agent•of any ether persun In making such inspections. . IU. After irtstallutlun of the water distribution and sewage collection systems serving the property described above and acceptance thereof by the City, the City or its assigt►s shall then be the sole, absolute and exclusive owner of the facilities of said water and sewer systems whether located oil, under, above or outside of ti►e property described acid regardless of wile may ]lave it►stalled or' coi►structed same ; to the extent described below: A. All water mains, pipes, valves and fittings and appurtenances up to and includlog all meters si►all be dedicated to and will be owned, operated at►d maintained by City. All water pipes ott the customer's side of the meter shall be owned, operated, and mal.r►Lained by the customer or its assigns. U. All sewer maiiis, manholes, pumping,.statlolls, force tnait►s • and 0l1purtenunces, including service pipes in public right of ways at►d dedicuLed cusemenLs, shall be owned, operated at►d mainlaiiied by Lite City. Except as provided in paragraph 9C, all sewer lines on the customer' s side of Lite property line shall be owned, operated and malnLa;tncd by Lite customer or its assigns. C. IVIAII rei'vrr.nc o, to nny blanket eusomottts for mulLl-l.tnnily projects such as aparLmenLs, mabile home developments, condominiums and i'UDts or for commercial developments, all water. mains to and ittcludin tl►e tauter mcLer, all sewer tttains, force mains and manholes in such blanket casements over private-- property allowing utility operatlurts shall be dedicated to and shall be owned, operated and maintained by the City except that Lite lull length of sewer services from the sewer main or manhule shall be owned and ntalittaitted by the customer. All such City lines shall termittaLe wlLh a manhole. U. By these presents, Developer hereby transfers to tate City, the title to Lite water distribution and sewer collection systems to be ittsLailed pursuant to this Agreement, such •conveyance to take effect wiLhuut further acLi.on upon the completion and acceptance by City of said installation. As further evidence of said transfer of title, � . upun cumpleLlun of Lite installation and acceptance by ` Lite City, Developer will provide. City' 'with ;a Bill of Sale. or Warranty heed describitti; all pruperLies transferred and dedicated ' to' tite City by tite Agreement. 11. Developer shall pay the City upon, execution of this Agreement. the sum of 10¢ per water connection per ' equivalent residential connection (ERC) as an advanced deposit to cover engineering, plan review, inspection, test, legal and administrative expenses of City in connection with this Agreement. Developer shall also pay to City upon execution o£ this Agreement the sum of N per sewer connection per BAC as, an advanced deposit to cover engineering, plan review, inspection, tests, legal And udminislxuLive expenses of City in connection with this Agreement. The charges for engineering and legal expenses and for engineer's inspection and plan review• fee for non-residential units shall be based upon estimated cost to City, Actual cost will be determined and a refund or additional charge will be made for the difference between the advanced deposit as calculated above and actual costs. .' City agrees to .provide water and sewer service , to the Developer's property inconsideration for plant capacity charges, fees and other charges to be paid by Developer as follows: ' A. A water plant capacity charge at the rate of $20,00 per fixture unit. Such charges shall be due and payable as provided in paragraph 12. U. A sewer plant capacity charge at, the rate of onethousand thi..t•ty five dollars 1,03S.00 ) per single family unit. Such charges shall be due and payable• as provided in paragraph 12, CI. A s wer plant capacity charge • for any coimnercial customers ond as escribed above at, the rate of Such charges shall be due and payable as provided in paragraph 12, ,. , 1 t -7- �I '+ U. A ineLer instullatiott lee to, cover meter cost and meter rnsLallatiuii (but not including curb stop or meter box) according to the City's service availability policy, at the time Of it►stallation +�l+ich currently is $85.00 per 3/4" x 5/8" meter ll. if available, construction -.water will' be charged to building based oil metered usage in accordance with current rates. llydraulic sl►are of main extensions - payment :or refund. 1. Developer recognizes that water or sewer utility service to Lite Developer's property. is p•rgvided by the use of a ["Pill • t extension and other improvements constructed .by a• prior developer and that Developer is obligated to refund a said prior developerDeveloper's sl+are of tl►e cost of said main extension or other improvements. Accu dingly, Developer shall pay its pro rata share of the cost of said' malt► extension or other improvements to City. Said pro, rata share shall be based oil Developer's percentage of the llydraulic capacity of said extension or other improvements. For the purpose of . li'�ts A recntent the cost of Developer's said hydraulic share shall be $ (P�l payable upon execution of this 'Agreement. 2. Witlt respeci to utility facilities installed by Developer to which future developers connect directly, nitd ,in consideration for monies expended by Developer toward said facilities, City shall refund to Developer, or Developer t.s 'successors or assigns, solely from mottles collected from said future developers, said future developer's pro rata share of tite cost of said facilities. Said refunds shall be calculated on ti►e basis of the hydraulic capacity and demand of said future developer whenever .feasible. The refund obligation of City hereunder and the benefits to Developer related thereto shall expire five (5) years from Lite date o1: execution of this Ag'reentent. Said refund shall be made to Developer wiLltilt'sixty (GU)- days -of the receipt' of paymenL by City from ,a• future developer. ' Refer' to 'addendum if applicable. G. Payment of service availability'.. charges nd other t additional ands in construction fox" ' ' at a cost of .$ 12, All charges to Developer s1►all bo paid by Developer to the ' City ill accordance with the following formula and procedures: A. Tho ndvnnco dopos;,it :for anginoot•1ng, ndm.l.n.l.;►l.rntivu nn�l legal ices and the inspection an lan revie+ ee upon the execution of this Ag.reeme++t, a total of ' and B. Water plant capacity charge upon the execution' of tills Agreement, a total of 480,00 f ' and C. Sewer plant capacity charge upon the executio» of tills Agreement, a total of 11 100,00 � mid U. Meter installation •fee according to the City's service availability policy at time of installation which currently is 245,00 Upon application for hook-up of individual lots, apartments, multi-family lots or units; and L. Construction water based , ou meter readings in accordalice with City's rate schedule; and 11, hydraulic share payment, ill accordance with paragraph IIF-1 of this Agreemel+ ' pon execution this Agreement, ill a total amount of and . G. Service availability charges and other additional aids in construction in l►ccox-dance ltl► paxul;ru rlij G of, this Agreemer+t ill a total amount of $ . ' J, :• payable . . . . ' 11, Ally plafit capacity charges, fees, or other charges due to City are intended to assist •in defraying costs as to offsite facilities and in 1+0 way are to be considered a payment .toward the cost of onsite water distribution and on,.ito sewngo col4octivlt systems .which costs are ,. to be borne by Developer. 13. City agrees : to connect. individual Buildings gild structures on the developed 'property,. upon .a.pplicatia►t by the builders, plumbers or, Int11V1dUal ow::e.rs subject to Lila operating rules and regulations of tl►e City Clad pnymertt ofn1,l fees ''nnd 'chnrges , ' in affoct ua till ta of applicatio►i and compliance :by Developer with, all • provisions of this Agreement. 14 . 1he charges; ,'.costs and fees. for any .separate emergency fire . protection water systems, fv.r subject:. : project will be' ;subject to negotiations betweeii City and .1)ev.eloper. lf. buildi►ngs of more titan two stories are a part of:, the project, ' Developer shall furnish at its expense water pumps and •o.tkdr alipurtenances as necessary for pumlring water above. 15. All plant capacity and service availability charges, fees and other Charges as outlined above fire based on' lnorinal domestic sewage defined herein as containing not more than 'three hundred (3UU) parts per ►nillion biochemical oxygen demand or three hundred (3UU) parts per Million suspended solids. IYlte►tever water which'contains more than these amounts is to be admitted to the s0ers',. both the City and tine pollution control agencies must.`: specxtically agree to the connection. An additional charge will be' calculated in direct proportion to strength at seventy-five cents ($0.75j for ; each' part per Pill lion of either blocl:an.ical vxYl,en demall.d or susl►e►►iletl solids over thrco hundred (3UU) parts per million, All such connections small provide for a suitable politt for the ifaste , to.' .be sampled by. tine• City' or the regulatory agencies, An additional charge equal' to tine pro rata share of any ' additional sewage treatment plalit•; costs above ninety percent (9011) treaLmunIN and of the cost.o£ a iy additional required, outfall pipes to mti. be required b Cit Y l Y Y. Developer shall have the. ,xlght at all reasonable times to inspect the invoices of the City in order to detezmine'.%that,:.said;.funds have been " properly expended by Ci ty, pursuant to •this paragraph,' 16. Developer war•rdilts that it is tine owvn r'of or ,the holder of a binding contract to purchase the fee simple ' title of the real estate described herein and further agrees to have ail mortgages or other. liens subordinated to the textus of the Agreemeltt. .attd, easements required herel►t . prior to ally accepta►tce of. the facilities by ,tile City. 17. Ul,o►t application by owners, „ builders or. their authorized representatives, the City. agrees to cotutect'.tfte requested dwellings or structures ort the said property It tto:' tydditional connection fee (l.e. , ' in additlun to t)tose provided for above, III . titr s /Agreement) , but subJect to Lite continuing operaLiug rules and r•egulatiotts of the City including, Without limitation, Lite p.etriodic payment of ;the linter usage and sewer .0 usage charges in effect on the date of such.,-.'application or thereafter reflected in the City's rate schedule. ' 111. 'lhls Agreement shall be bindf.ng•,•upon• and ..shall inure to tite benefit of Lite Uevel.oper, City .attd ,.their; ;;:successors aitd assigns. However, ill Lite event the Uevelopex has t►ot' j7ald att'd 'delivered to Lite City the plant capacity attd serVice: aval.l.bbi.lity .charges, fees and outer charges provided to be paid to• tltd City by Dev,vloper under the Lerms of , this /agreement, and all easement !and: cotivlry'ttices :.required by this Agreement, then this Agreement 'shall not. inure to the 'benefit of tate successors or assigns of Lilo Developers. 19. It shall be . the responsibility of; Developer to locate for builders any water and sewer tabs. of •lines rtec.e34ary in con)ut►ction with ' x.esidetttial or conmercial consLructioti. 2U, Unless the damage to ally onshe ,improvoinents, .are the result of the negilgence or tviilful act of ,tile' City' its" -icexs, or employees or autltorized UgetiLs, the oYner or Developer :;of; such ► pro�vxty upon whish ? the damage occurs shall .bo responsible fort tho•':payment"to tite .City of -.such damage to City's property :111cluding:.•a,lJ..-,pk6essary 'and reasonabie repairs which must be. invade by''. tiro City,' air: 'Aildependent .contractors ,. engaged by Lite City to effect such •repairs:• l.f.,tlie owner or developer , of tie real property shall fail oar refuse to pay.,ibsts of'.ruch necessary , and reasonable repairs to cure said damage` Ill till i► ':thirty. (3U) days from tite s�tbntlssion to the owner 'of a' statement' fok... ilcJti charges, the City ...shall , have a lien against such o1mer'.s o,r, -Developer*',s property subordittaLe to those liens' created by, or';uudox '-'agracmqtts of record "Y`1 prior Irerety, fur tire: paymetnt•of s.ucl► 'tiscessary and rsasvliable cysts nila expenses for effecting such repairs ,and ', restoration► to such onsite• fsrr.l lltics lucated upui Lite owieir's ox1 Uevelopox's property. notice Of such licit or claim oil lieu describing t•I►e 'zeai prverty acid tine amount owed Pray be filed within ninety (90) days of ,tlre ,date frvnr the last date upon wlricir any sucl► repairs or. restoratiq►► Weire.Prado by the city or its authorized repr-eseitatives. 'Thereafte11 r, j4s,•;City •slimil be entitled to bri►rg art actlonr for tire £ox;eclo.sed. under 00.'laws of [rloriJd.; 21. Prior to filial acceptance Oftlle';utiiity and other public facilities iirrlrrovemenrts by the City the• ful.ioiriiig requiremeits must be • Piet at Oeveluper's experrsal A. if tl►e property is platted, one;,copy of. tl►s recorded plat shall be furnlshed to the City." U. "As built" dxalrings, of ;utili.ty , innl�xavement shall be furitishud vie week prior to filial inspeativn. ; ';!'As built" dralriirgs shall be certified by a registered eiigiliee�r with t1►e. cv.st being bvxne by Lite Uevvloper. 'I'wu mylar and three 'Trinted,,covies,of said drawing shall be furnished to City. •. C. All lot collier's. shall be Properly..marked so that utility company or its englt►eer call, updii receipt of I ais.,.built!►, drawirngs, verify the marked water and/or sewer services •us to. location and deptl►. lit additiu>>, fur purposes of locating altd protecting installed service litres and valves Developer or his contxactux `sl►all .nark each service lii►e and all valves inti, an elgl►t (By foot :•press uze' treated wooden Dost ill tl►e maimer as shown oil tl►e de5ign.'.drawbiksand .''specificatiois. ' •Uevelvper•'s contractor i5 r'equixed• to ingall. cuzb,, stop, meter box and valve box on each water service and vai,ve as sl►vir.�i, nib design drawings. U. All water and sewer services';• a114'.yalves ;shall be n.Inked ort the street curb by • etchlirg ii►to the Eoncret6.•, or lf'•no curbing is available, a two (2) incl.► square metu,t Ug' .i.s'. to . be hailed to the stroot's pamnunt and painted as.specilied ,bq.desigit drawings, U, Developer's, contractor. . shalll.' • furl nipli a, ale (l) year maintenance bund Ill tl►e umount of. 1001 (7�, tl►e Cost o£,`•the facilities '+ installed. Ilie bund may be ill the .foxm...'pf, •ca's.l►, surety bond, or `—: irrevoeublo ieLLer o£ credit, ti to toxins of 1`1 bili inJenullfy ai+J save lta>mless Lite City Ix'om ally loss, da►nages, casts, claims, suits, debts or demands by reason of defects ilk the trurkn1at1sltip ,o1r materials used lit ttte ; facilities discovered within a period of one year from and alter the date of accel►tanco by the City of the facilities: .. I'. A Bill of Sale for facilities £ruin tite uevoloper to City. , G. Conveyance of easements as required under tills Agxeemertt, 11. A deed for .any a114 all Iand on wllicit lift :stations or tinter staLions or other improvements if required by City. 1. Ilse title , . evidence, mortgage,., releases and mortgage subordinatluns, as required lit this Agreemektt. J. I,,ur onsite and offsite coilstructioik pxovidc City nit ' accounting of the actual costs (schedule of .,values) ttnd releases of liens from utility cunLractors in suclk detail as the City requires. K. City shall have the riglkt to refuse to accept title to Developer's construction until Uevelo� erts calls truction has passed certain tests, includlit', without limitation, closed circuit television iiispec;Lio►t of Lite gravity sewer ' lines, witnessed by a City represenLaLive, to determine whether the Develaperts coilstructian is constructed in accordance with the approved engineering plans and specificaLlons. Said tests may be perfoxined at •least .three (3) times: Lite first test upon cumpletion .of the system; the ,second test upotl cumpletlun of- ' all building, roads, .,.paving, Aralrlage, and all coitsLlucLiun within the right-of-way e.asemeitt area of adjacent areas. A third Lest shall be required if the City deems It Ilecessary 1110111 a ono (1) year period after acceptance, L. Letters of acceptance from' tike appropriate regulatory agency for Lite water and/or sewer system, are required prior to final ii1SpCCtiUll. , i • 1.1. A copy of Lite certified Crater pressure test artcl force ' main test as applicable, 11. 'Ilia cerLificalion by the design engineer., that the system , was constructed as designed is required prior to filial acceptaitce. U. Pump performance test oil pumping statioiks if applicable. Cf ; so 4 , • vi 1t 22, All notices that may or;jaust� be. given, Wider this Agreen►ent ; shall Abe in writing and shall be valid•';if..: mailed by United States � registered or certified mail, postage and chairges�prepaid from addressed as follows.. • '1'o Developer,' E } To City of Atlantic peach City hlanagex ,; l• t ,�'.} , 716 Ocean Boulevard (lost Office Box•25 Atlantic peach, Florida 32233 IN WITNESS MICIt13-1011, the parties horctoAiave executed this Utility Agreement the day and year -first writtep above. Signed, sealed and delivered ' in tl►d presen f: " , DT tness • ',', },fir hY ��t;,"p� • it Uf iltlant c peat I WJ tness • ,lig• � �i}'� ��:.a ;' 14, • { ' 1 •t• I� 1• , .r•1• , '��'1, Vit, ••nn...i'i , ,' :., �Vii, i,� I I. t� .��•!r '• 11 p ♦" r ki fit ,. _ ,. - , �! r rilr� r,Y r,��'kr' '1}�,it:q� •1 r, ,. � +, i� 1,��. � ,{:'��.'• '. APPLICATION FOR WATER METER DATE:- _ _ __-- CONTRACTOR: BILLING ADDRESS:_ Jy� _ _ ----- - ---- SERVICE -_rSERVICE ADDRESS:-,/,/Zo-_ _ - -- -- - -------------- LOT:a/pf/� BLOCK:_`��__UHIT t SUBDIVISION s-_ 7� ACCOUNT HUMBER: � L METER SIZE: 1/Z- " -s- -------------- I HEREBY REQUEST THAT A WATER METER BE SET AT THE ABOVE SERVICE ADDRESS. I UNDERSTAND THAT I WILL BE BILLED FOR TEMPORARY CONSTRUCTION WATER UPON SETTING OF THE METER. I FURTHER UNDERSTAND THAT I AM RESPONSIBLE FOR ANY AND ALL DAMAGES TO THE METER, BOXES, VALVES, LINES, AND ANY PARTS THEREOF, UNTIL PERMANENT ,W ER SERVICE HAS BEEN ESTABLISHED BY THE CUSTOMER. CONT OR -- - -- ---------- . ---------------- T OF ATLANTIC ACH DD tc. . �uo-�►'' ':: i APPLICATIOH FOR WATER AND/OR SEWER�J1TAP T ,FY ttr �iJ r r APPLICANT HARE___ __ HAILIHOADDRESS_ — Lr— .._.w... .w.....�.,w....(...__....r—_—.._.._.._ PHOHE HUMBER _ DATE_ --------- �—rrrrrrrrr�. ----------- -- -,tl •�j 1�'f�111 J ;� t ��'"�! �1' .��{- � f ,1 ,; ... SERVICE REQUESTED—.. �.��.—rrrrrrrr— r —w—r —r—rrr—rrrr 'I• --rrr r �r a. f Y ��r rrrrrrr • SERVICE LOCATION S ;+fibST''t w..r--------------- r DATE SENT TO /� �� DATE RETURHED', " PUBLIC WORKS TO BUILD: DPT. • DATE OWNER yf NOTIFIED -------------------- } t:• , �x , f �rY,;:P�i t� •1 jd 7 '`r 1� rS t � li r'��E• � t�� r f'�1 rY A't 'dT i ! t. t �'r � S. i IP,1Y��r i'r, q' •' i °, ;' � � ,S � (� �, I � r f+ A { I.�J:�� hd t t 7 S .t � �• ; �t1�� ..i"'x s•. t►d l;LeI in'�t:u,a..•4L.�i� ti'sSti I'Ol'it—a: �:.:' �i.af i:.c a �L ry r <4 l9' P L i a N ' ALT ED F- ��AiL. 00010"".11 00, CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION 1110 MAYPORT ROAD PERMIT# 1475 # ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION SECTION H OWNER NAME CENTURY 21 CAR WASH PHONE (904)268-8612 f CD LEGALDESC: LOT BLOCK S*dION H PERMIT TYPE BUILDING ti` CLASS OF WORK NEW cc w CONTRACTOR JAMES BENNETT JAFFA PROPOSED USE SERVICE STATION U) z Z Z WORK DESCRIPTION CONSTRUCT NEW CAR WASH PER PLANS 200279 a INSPECTION REQUIRED 16 LINTEL INSPECTOR AM r DATE INSPECTED�f)-42SA BY APPROVED El REJECTED COMMENTS CITY OF ATLANTIC BEACH BUILDING DEPARTMENT AAAfj MAVPCWT ROAD INSPECTION REPORT 1631 JOB LOCATION ATLANTIC BEACH, FLORIDA 32233 PERMIT# SECTION H SUBDIVISION CENTURY 21 CAR WASH OWNER NAME PHONE PLUMBING LEGALDESC: LOT BLOCK SECTION PERMIT TYPE NEW v STYLES SMITH PLUMBING CLASS OF WORK SERVICE STATION ¢ CONTRACTOR PROPOSED USE w rn w4 INSTALL ALL NEW LINES AND FIXTURE FOR SELF SERV CAR WASH e WORK DESCRIPTION a 2 ROUGH PLUMBING AM z4 INSPECTION REQUIRED INSPECTOR O a LA DATE INSPECTED �Y APPROVEDEll� REJECTED ❑ ; w' COMMENTS CITY OF ATLANTIC BEACH, FLORIDA Approwd by APPLICATION FOR ELECTRICAL. PERMIT r Tf THE CHIEF ELECTRICAL INSPECTOR: DATE: 10 19 Sot If*ORTANT 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 LANTIC BEACH ORDINANCES. dunson & Bryan Electric Co. 3591 St. Augustine Rd. 396-6689 Jacksonville, Fl. 32207. E:CTRICAL FIRM: MASTER ELECTRIC AN A LO-4 ADDRES8t i t t� h• Dov e-9,7%1 _ : RFD X' *LDG.SIZE- CAA-uJ.kS t4IS6171-F SM06 BETWEEN: I 1 t'S'r 4- 1 Z t' Sr- IRES.1 ) APT.( ) COMM.( ) PUBLIC( 1 INDUS.( 1 NEW OLD( 1 REW.l ) ADDITION ( 1 TRAILER ( 1 TEMP.W SIGNS ( ! SO. FT. SERVICE: NEW INCREASE 1 1 REPAIR ( ) FEE DUCTOR SIZE Cp AMPS .SSO COPPER '� ALUM. Z TCH OR BREAKER 5 CJ AMPS I PH 3 W Z 4O VOLT I " RACEWAY } IST.SERV.SIZE AMPS PH W VOLT RACEWAY EEDERS NO. SIZE IND. SIZE NO. SIZE Ii.IGHTING OUTLETS CONCEALED OPEN TOTAL ECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER wPP��AnrcEs BELL TRANSF. ;AIR H.P.RATING N.P.RATING 'CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT i 0.1 OVER t, OTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS J MISCELLANEOUS t c�.Fl�✓}p r C,--t.0_.,Liss(•c TRANSFORMERS: UNDER 600 V. OVER 600 V. r NO. I KVA IND. 1KVA NO.NION�TRANSF. NO. [VA.. MA. MOTOR SIZE SWITCH FLASHE EACH SIGN - FORWARDED $ TOTAL FEES Z 0 f-- Munson & Bryan Electric Co. 3591 St. Augustine Rd,."396-6689 Jacksonville, Fl. 32Q07 3 CITY OF ATLANTIC BEACH, FLORIDA avDrowa byAPPLICATION FOR ELECTRICAL, PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:— IMPORTANT ATE: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. v•u Sorel �«�� 13,e ,6r 1 C ELECTRICAL FIRM: MASTER LE AN SIGNATURE OAME t�S'3. J�4FF,�- ADDRESS: 1 i lO AAy,po-,T I�Q. RFD BOX JlLDG.SIZE (?*v---)-4 S I+, L5 e L F—SS E.'K.a1 BETWEEN:ll V S r +- I Z 5 T: J�.FM A e•e IES.( 1 APT.( 1 COMM.(4-- PUBLIC( 1 INDUS. ( I NEW( -I' OLD ( 1 REW.( 1 ADDITION( 1 TRAILER t 1 TEMP.I f SIGNS ( F SO. FT. SERVICE: NEW(lf-**� INCREASE ( ► REPAIR ( ) FEE ,92NDOCTOR SIZE 50-utcuA AMPS Zc::'cb COPPER ( ALUM. TCH OR BREAKER Z C� AMPS PH `F W `Fn VOLT /�.� RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY 'FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS Z CONCEALED OPEN TOTAL RECEPTACLES ( {3 CONCEALED OPEN TOTAL 0.30 AMPS. 81.100 AMPS. SWITCHES z. 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 CE1L HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS G_ 01 qo3 MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER SW V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES 45 1 CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION 1110 MAYPORT ROAD PERMIT# 1475 ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION SECTION H OWNER NAME CENTURY 21 CAR WASH PHONE (904)268-8612 Lu LEGALDESC: LOT BLOCK SAMON H PERMIT TYPE BUILDING w CLASS OF WORK NEW CONTRACTOR JAMES BENNETT JAFFA PROPOSED USE SERVICE STATIrl z 4 I z WORK DESCRIPTION CONSTRUCT NEW CAR WASH PER PLANS 200279 INSPECTION REQUIRED 1 FOOTING INSPECTOR AM DATE INSPECTED.�C-/Z BY- APPROVED � REJECTED E ` ' COMMENTS �Y CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION 1110 MAYPORT ROAD PERMIT# 1565 ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION SECTION H U OWNER NAME JAMES JAFFA PHONE (904Y396-6689 CC LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE ELECTRICAL %'.* CLASS OF WORK TEMPORARY POLE CONTRACTOR PROPOSED USE SERVICE STATIr-f � � MUNSON & BRYAN ELECTRICAL CO. 1 z z a WORK DESCRIPTION CS #6 50 AMPS COPPER SS 50 AMPS 1PH 3'W 240V OVERHEAD INSPECTION REQUIRED 12 FINAL ELECTRIC INSPECTOR AN DATEINSPECTED BY APPROVED ❑ � REJECTED ❑ COMMENTS Munson & Bryan Electric Co. 3591 St. Augustine Rd. 396-6689 1110 M 4 YPov-T' -�r(, Jacksonville, Fl. 32207 (�LCcT�li G+kr. L- .4 Fu New c,.4✓` UJAS f+ t L.o.4pS lohDS LQ��w�iNi �2oow Ge.aev.a� L;�In�%ry +r-ecY--hccd- Lo,A j I zoo t.:) rJ �V Air Co."�.rcSboV L 4d V CJo 1 ' 3/1 k Ip r z o V L, A-r eA- 14%--.Arr ev p u.M P 1�9�10 2 - ZUV 1,,.�� r zcc� CS q l - 113 TIrc' cLe,.,a..i PJw,p u..aA- g� %3 ho 30-0-3u �UAojrs a 3328 t 1 9c� 8 ToT�� C LOA.�S Z(, 4Z3 T o T AL- Lo•4 C>5 19 t-732K Z44 ,M�x t�'ka5c�-ol�.nsz1-a^bs = l �J A-. S e_2.yov 3(� Munson & Bryan Electric Co. 3591 St. Augustine Rd. 396-6689 Jacksonville, Fl. 32207 Munson & Bryan Electric Co. 3591 St. Augustine Rd. 396-6689 1 1 1 0 M 4 ypov-'r -k J< Jacksonville, Fl. 32207 L L(fC,r4 CAI- L-c5.A%�S FVv New C„4�` Wv4S t� Lo-4Ds Lo-4D5 Egg•�w�CNr �2oow Ge.ae...�.i lr �Inl; recur }cad L.a.4b 1 Zooti, tU't - I '2� W wtv':A� i-F�4L �G L; �inks zgZS L qc V I C� 11 2 OO 120V wA-reirl- I4.c.k-rev 2 - t•>-A,-r ev 5 o F� CYZ t9 ry '� S l Z Oo v� tip tZoV IOow^1 8`Fo 1 - VZ k�A t2UJ 'Jw�•/� 1 Zooto �- V a c�,�t ov►.a c[f�.a e5 e I Y�1o�/i z o V t - ,L 1!3 kp I t - /3h,p - 5hp 3 ¢) z-4o ,,�,tp N et.�A-A rs e 3328 l 9 9t. 8 To i 3c� LoOlt D5 19 ate $ t = Z Cn 19 1 L-a t.?32 x Z'b -- ✓��x St ^bs = 1 S 8-4�5 e?2-4oV 3(� Munson & Bryan Electric Co. 3591 St. Augustine Rd. 396-6689 - Jaoksonville, F1. 32207 t oo1 7 DEPARTMENT OF BUILDING ' CITY OF ATLANTIC BEACH mrcrAwArxON E As rypo pr000sdrd 0 ,0 °560VI +� t ° p tia ao-. � a8'1G�' I it i # m.h � � rj ,, g i ,-rye rpy� 'do- Aw r, t >g y; �,' r�; �R''� s•, r�.�+, '" / k 9 0 Q e40 nr. .°'. s� ,,•>, .w w::w«r rww»w. ! 7"' �[ df idk's "�"ii.'fin* �.`.w....�� 3/G2,7 Inc I 00 JAWS .xra"Anlroa MDON me tw..pi,b'W`M awnwh 4N9"oN il�M'I f`tt' Mr' 4 MAI MR Tw 00 sewn n9p ►r is NOTICE-ALL CONCRETE Atr FOOTINGS MUSE, � rF p RE POURINaI«`hilt PERMIT VOID SIX MONTHS AFTE D UILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE ICLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. ��PA�LURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN ;STH E PROPERTY GINNER PAYING TWICE FOR BUILDING IINPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT T4 REVOCATION FOR �UIOLATION OF APPLICABLE PROVISI S OF LAW. CLAt�tTIC BUILDINGD, P TM T E'3yF:. WATER TAP . 1 1/2" J.A. JAFFA 1110 HAYPORT ROAD I: THIS FORM FOR ESTIMATES ONLY ATLANTIC BEACH, FLA.322 g 1100 MAYPORT ROAD DESCRY' ION CITY. MATERIALS LABOR TOTAL 10" X 1 1/2" 1'.S. 1 $ZTo0 1 1/2" CORP TOP 1 :$3165 1 1/2" CURB TOP 1 $31.65 1 1/2" :MALI: I)APTER PVT 2 $0.52 1 1/2" S TO COUPLING 1 $ 1_7 0 1 1 1/2" 90 ] 'VC 1 $0.67 1 1/2" SCH ) PVC PIPE 10' $3.00 1 1/2" METEI ENDS 2 $15.90 1 1/2" RUBB! WASHERS 2 $0.96F 1 1/2" MET) ' 1 $250.00 CONCRETE MF j,R-BOX ID 1 $14. 0 _ SUB TOTAL _ 375.05 10% O.H. $37.51 TOTAL 412.56 3 MEN ($27. 5/HR) FOR HRS. $82 35 30% O.H. $_2_4 71 TOTAL $107, 06 - YATERuIS —I AgOn TOTAL TOTAL $41J.56, ,$107106 $5,19.b2 MISC. JOV XPENSES AMOUNT OT11ER JOB EYPENSES 30.00 1 TRCUK $ ).00/HR FO 3 H S. TOTAL COST 5449.62 30 00 TOTAL SEttINO PRICE LESS TOTAL COST GROSS PROFIT LESS OVCH14CAO COST Or SECUNG PRICE 1. TOTAL • 0 Q0 NET PROFIT $549.162 CY `�' ig CI Y OF ATLANTIC BEACH PUBLIC WORKS DEPARTM- . 3/4" IRRIGATION METER,,(a_3l, J.A. JAFFA U,-;E THIS FORM FOR ESTIMATES ONLY 1110 MAYPORT ROAD' ATLANTIC BEACH, FLA. A 1100 MAYPORT ROAD- DESCRIPTION OTY. MATERIALS LADOR TOTAL 10" X 3/4" T.:'. 1 3/4" CORP ST( l' 1 3/4" CURB ST( P 1 3/4" MALE ADl• l'TER PVC 2 $Q.24 3/4" SLIP To THREAD 1 .1.b. .,. ._ COUPLING PVC 4" 90 L PVC I ` /4" SCH 40 I'VC PIPE 10' $1.40 4" )' 2 4" RUBBER ,lASHERS 2 o fj . /4" METER 1 $85.00 _ ONCRETE MMI (_BOX/LID 1 vD SUB TOTAL $147 .29 10% O.H. $14 .73 TOTAL $162 .02 3 MEN ( ($2 .45/HR) FOR 3 HRS. -. .$82..135 30% O.H. $24 71 • TOTAL $107.06 ' MAI(AlAIS --IAROn 10T At TOTAL $1621.02 , $107.Q6 $269 08 MISC, JO. EXPENSES AtAOVNT OTNER JO" EMPrNSES 30.00 1 TRUCK $ ).00/HR) FOR 3 H S. TOTAL COST 8299-0 $30.001 TOTAL SEtIINO PRICE tESS TOTAL COSI GROSS PROFIT tESS OVENIIEAO COST Of SEtUNG PRICE i • TOTAL NET PROFIT 299.08 PRO Eta n �71 19 CITY OF ATLANTI BEACH PUBLIC WORKS DEPART"PIT .j> 1f''Jj ��C. . QUO� '��: 1 APPLfiCATIOH FOR WATER ANDIOR. SEWER .TAP oi • 1 iip ,i r ,, ' Y APPLICANT HAKE__ ____ __ ________ MAILIHO ADDRESS__ - PHONE HUMBER DATE _ 4 " a til rq`rfI SERVICE REOUESTEr — " '.�y SERVICE LOCATION_ 11_D LL_ ' ) t �� V` � � ')�'`l'C_- ... --------------- ----- — r _ J--------------- f 1 DATE SENT TOr:>� c DATE RETURNED PUBLIC WORKS _�O TO BUILD. DPT. DATE OWNER NOTIFIED--------- ----------- ii �.' RECEIVED OCT 18 1989 r f+1�# • F-UBWC WORKrz 11A Sr �,fi,ti,�,�� f� �<a ► • : � t yyN+ Fj��4 M• 3 f '��fi yF'��•t"lti. r - qy' i '♦. S•. �i 1::ssSYb'rlr'MY+a t iS"a I' PQICF. QUO APPLICATION FOR WATER AND/OR. SEWERTAP , APPLICANT HAMS _ ` MAILING ADDRESS PHONE NUMBERDATE r --------------- -- -------------------- AO - ---- -------- � SERVICE REQUESTED .. SERVICE LOCATION--/"'O % ------- --------------------------------f ________________ + 4'` u i v DATE SENT TO /O /Z DATE RETURNED ! PUBLIC WORKS___ TO BUILD. DPT. Zia ------- , ., DATE OWNER . w , NOTIFIED--------------------- tC; CEIVED OCT 18 198 WB41c won"Y jp i x u 0, t � . _ d..c t.� krn., •h.•'Itk�t�ik�s 41f��>l�k k r m'• STATE OF FLORIDA '�� - Ca• �`�'�� DEPARTMENT OF ENVIRONMENTAL REGULATION o`�ENVIRavnfNr BOB GRAHAM NORTHEAST DISTRICT W��4 GOVERNOR tiF s � VICTORIA J.TSCHINKEL 3426 BILLS ROAD a S SECRETARY JACKSONVILLE,FLORIDA 32207 d ~ (904)396-6959 G.DOUG DUTTON DISTRICT MANAGER ST4TE OF FLOG October 20 , 1982 Mr. A. William Moss , City Manager 716 Ocean Boulevard Drawer 25 Atlantic Beach , Florida 32233 Dear Mr. Moss : Mayport Car Wash CS Duval County (Atlantic Beach STP ) Revisions to Chapter 17-4 , Florida Administrative Code (effective July 8, 1982 ) have granted General Permits to undertake certain activities which cause minimal adverse environmental impact when performed in accordance with specific requirements and practices ( see attached , Sections 17-4062 and 17-4 . 54 , FAC) . The new General Permit provisions were adopted pursuant to Section 403. 814 ( 1 ) , Florida Statutes . We are in receipt of completed DER Form 17-1 . 22 (43) , Notice of Intent to use General Permit for a Wastewater Collection System, and it appears this project qualifies for the use of a General Permit . The Department ' s file number for this project is No . CS16-61629 , dated October 25, 1982 Future correspondence should reference this number. If you have any questions concerning the use of a General Permit, please contact the Jacksonville Bio-Environmental Services Division at 633-3415. V y tr ly ur , Doug utton , District Manager DEP NT OF ENVIRONMENTAL REGULATION State of Florida o ay i ion Chief BIO- ENVIRONMENTAL SERVICES DIVISION City of Jacksonville Attachment cc: Mr. James M. Lucas, P.E. cc: Jacksonville BES AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL REGULATION BOB GRAHAM ST. JOHNS RIVER 2�°<�� GOVERNOR SUBDISTRICT FW VICTORIA J. TSCHINKEL JS, SECRETARY 3426 BILLS ROAD JACKSONVILLE, FLORIOA32207 1 G. DOUG DUTTON SUBDISTRICT MANAGER BATF OF�QpAP 17-4. 62 General Permit for Wastewater Collection Systems . ( 1 ) A general permit is hereby granted for the construction of a wastewater collection system that has been designed in accordance with the standards and criteria set forth in Fla . Admin . Code Rule 17-6 . 050. ( 2) This general permit is subject to the general conditions of Rule 17-4. 54 ( see reverse side ) and the following specific conditions : ( a) The permittee or his engineer of record shall file with the Department upon completion of the work a copy of the plans and specifications for the system " as built . " ( b ) This general permit does not relieve the permittee of the responsibility for obtaining a dredge and fill permit where it is required . SPECIFIC AUTHORITY 403 . 814( 1 ) F . S . LAW IMPLEMENTED 403 . 061 , 403. 087 , 403 . 088 , 403. 814 , F . S . HISTORY-New 7-8-82 . Protecting Florida and Your Quality of Life y NOTICE OF INTENT TO USE GENERAL ?ERMII�"'^^r"^& � j 1 WASTEWATER COLLECTION SYSTEM/DRINKING WATER DISTRIBUTION SYSTEM Effective July 1982 Instructions: This form is to be completed and submitted to the Depreltt, ��en . t 1� IDISTRIC'T with one set of engineering plans and specifications, AT LEAST 30 0 . YOR T INITIATING CONSTRUCTION. All blanks must be filled. r' I. General Description Qtr 14 1982 1. Person(s) or entity that will own the CS/DS Name and Title City of Atlantic Beach C JD)ER JACKSOI�IYiil�.� Address 716 Ocean Blvd. Atlantic Beach, Florida 37133 yy o I 4, OC I 3 iq8? Phone (9M 249-2395 ] 1 2. CS/DS Description This system will be known as: Ma 'C41r'.Wash i j 1' L. This system will serve family homes, X commercial facilities and multifamily units. Other: Estimated Flow/Demand 25C6gPdtC�7' t�WwL The wastewater treatment plant/drinking water last serving this system will be City of Atlantic Beach _ II. Statement by Applicant The undersigned owner or authorized representative* of Mayport Car Wash is fully aware that the statements made in this notice are true and complete to the best of his knowledge. The undersigned is fully aware that it is his responsibility to operate and maintain this facility in such a manner as to function as it was designed. Responsibility may be transferred to another entity upon written notice to the Department from the entity assuninjqtsponsibility. Signa re of the Owner or Authorized Representative *Attach a letter of authorization N a„e and Title Date Telephone `umber III. Statement by Utility The undersigned states that the Atlantic Beach treatment plant has sufficient capacity to provide wastewater/drinking water treatment to serve this c� Amn " mpleted, that the treatment plant will operate in compliance with ��Cp,t r 17' /G ter 17-22, and any other applicable regula ons, that the facility s " er a tor ium of any Ind. `A ignature an Title A. William mss, Clt7-Ma ager n (904) 249-2395 Date Telephone Number b1� 4� men ngineer o y that the engineering features of this system have been designed by me ante with Chapter 17-6/17-22 and any applicable local requirements. It is al,so,,itated that the undersigned has furnished the applicant with written r► tfuct16?Ts,:°*arthe operation and maintenance of the system. A statement certifying completion of tAA,,,system an appropriate clearances will be submitted to the Oepartmenl in ordee. to obt i approval t place the system in service. Bessent Hammack Ruckman, Inc. gnature �Affix•_Seat) 18370 Flor;da Registration Numoer (904) 721-2991 A� 1+�H``"" � lelepnor.e UumCer `" � 17t1-:;T22 t a3) CITY OF l tie fie d - 9&Wd4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 "' 7 SUNCOM 852-5800 Century 21 Carwash, Inc. 3491 Pall Mall Drive#201 Jacksonville, FL 32257-5463 Dear Sir: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: Re: 1110 Mayport Road a/k/a Lots 1 - 6, Block 44, S.1' Lot 1, Lot 2, 3 to 6 (except N.60') Block 45 RE#170788-0100 Investigation of this property discloses that I have found and determined that you are in violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-6, Attraction detrimental to public health, i.e., accumulation of, discarded tires southwest corner of property. You are hereby notified that unless the conditions above described are remedied within ten (10) days from the date of your receipt hereof this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely, Karl W.�GrurewaId Code Enforcement Officer KWG/pah cc: Public Safety Director VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED CENTURY 21 CAR WASH, INC 349111 all Mail Drive, Smite #2071 Jacksonville ]FL 32257 TEL. 268-8612 FAX.- 268-0857 Karl W. Grunewald Code Enforcement Officer City of Atlantic Beach 800 Seminole Road Atlantic Beach FL 32233-5445 RE: 1110 Mayport Road a/k/a Lots 1-5, Block 44, S.1' Lot 1, Lot 2 3 to 5 (except N.50') Block 45 RE# 170788-0100 Dear Mr. Grunewald, We have received your letter of June 9, 1997 regarding the accumulation of tires on the property referenced above. This piece of property was sold to Double Sam Car Wash, Inc. in 1995, and is no longer owned by Century 21 Car Wash, Inc. A copy of your letter has been Fax'd to the current owner. Thank you. Yours truly, Jame Jaff JBJ:Ijw cc: Double Sam Car Wash, Inc. +t1 DEPAR r ENT OF BUILDING CITY O,F ATLANTIC BEACH LOCATION T.t+TT"OR"ATION Pa N +i Addr> s :IO tIJ ''ClttT ROAD P ar i ` ' =Wojrkj PL#!ffaINO ATT.:AI4T`T�C BEACH FLORIDA � G T.NEWI»I3A1.' O CI PTION . ..«�. �««.�.:.�, ` � Subdl foo. I Ana C 't N s : CI�N'��llll Y I! CAR WASH Total "� .CED AdjIoot xO MA3tPCRT` ROAD Amtv-t,, z ern *24.00 'ATLANTIC REACH, Ft�ORIDA ;`32233 ou R I f » E"` t.%,,HMS AN Il3 ` Tt'I"UTI'T T�C3T Iw. ` Tr;'Y CAI WASH I ,,.. .., , 'ICATION FEES P,4# � �r . q,. WATER "HIPACT f:'g:IE ;,)ty�,M)/ "' P SEW Eft 1 yw'w ,, ter, a.ew {` ww glX� f ,.�' f ,"w i v^ .�' v i�0 . 't^�a'�Fi „�;� J4f fi rno AI) GA � N. "N 0. � �� ' � ��,AN N!IDf3V OAS '*9s. t3. +l"Y( 1 I { IN TAS; . . A�:OO.... gg TYiI•NUI.,TC: STAT *Ii4R`OO M 5, .' RJR TNspEC " Fz, *Gr 3YTrt +lNi NGold 3*1 NOS I' Y ? NOTICEl`-ALL 00NCfi TF IcdRmS;AND FOQTIt4GS MUST 8E INSPECTED BEFORE POURING PERAAI,T VOID SIX MONTHS AFTER DATE OF ISSUE GILDING MATEfiYL,RU88YSH AN'p DE$RIS I*RQM TH1S WORK MUST NOT BE PLACED!:N PUBLIC SPACE,AND MUST BE GEARED UP ANCt HAULED SWAY BY EITHER ONTRACTOR OR OWNER. FAILURE.TO COMPLY ITH THE MECHANIPS' LIEN LAW CAR:A SULT IN THE PR�:lP .RTY QWNER OAYING TWICE POR SUIL[!!WGIMPROVEMEAITS." • I U D ACCORDING TO APPROVgD PLA k6 WHICH:ARE PART.OF THYS PERI~ 1t AND�SUBJE.CT Tt flEU�?E�`ATION FOR �LATION OF fPLICA6LE PRO�/ISIONS LSF LAW. ATAN,TICaE" HLlILDINi D TMEI+#Tr, CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION ------///© ----- -- — — --- ----------------------- PLUMBING CONTRACTOR: / LICENSE NUMBERS ----------------------------------- OWNER: ----------------------------------OWNER: ----- , -- /--� c�l — BUILDING CONTRACTOR:-----J— � --------------------------------------------- TYPE OF BUILDING:____ __G SINKS __________SHOWERS LAVATORY __________WATER HEATERS BATH TUBS __________DISHWASHERS URINALS DISPOSALS CLOSETS __________WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMNBING CODE. [tPARTMNT Op BUILDING Ci' Y OF.ATLANTIC BEACH LOCATION INFQRRATION ". PERfITT I or qRohn ,A4dro tai T L ltT R 4 AGR ROAD r # mss A`'tM A t " +C .I�ZACR, FLORIDA 32213 �. .:� . O:f 44rk s I M L. E.x' 13� Mara H STEEL play. �Books '' o*% � +D� m old tea ens I�R�ICR "iB'CATI+B!I!� �ub�#��i i�►�x�' BRCTION R +fir �� t1 cr ra► �.. .»�� ..� G N R TN " >RI4A -- t.9 rangy t d I I u+a �, ► 4 . 20 Te�p� Fay.: Car t t' �t3 le s " CENTURY 21 CAR �CA�k� 't`rtt ddza�aa �� " " ry» MA . . ►(N , + ` +9 ' 0.006 , ,r,A fa I~11 11'I�+LIL"r yr w+ kv>A '32241" Mob tj 1119i 'AIR, a �1 M� 1. �i x' � I sitG Sx t P m . 00 1110113�0.0 '02 stT I" 6 1 pse ! NoTICE" ALL CQNc TE I QT MS AND FflOTiNG3 MUBT BB INSPEC`i<EO"BEFORE POURING' kn pE IT VOlfl SIX MONTHS AFT I aAl E CSF ISSUE ' G ILDING MATT F lAL,RUBBISI�i"AND>~t RRI e # ©M THIS W RK MUST`NOi".BE'PLACEQ IN PUBLIC SPACE,}k [U MUST BE: C EARED UP AN[ HAULED AV11A $ EITHER CNTRACTOR,{3R OWPIER. f FAILURE. 55 Q,♦+ M ' MECWAMICV X..� LA�/'� 111 Ii { IN WE PRt P RT`Y"` 1#1'( 1 ► #NO,x"''11 I-C P ; IJ'IL;abtWG'i (MPR�3'1Ce EDITS. UEa ACCdVtd1,NG TO aT aRtWET� i?L-A1�15 WF{�cFi'ARE RA,RT OF THIS PERMIT AND`SUBJ�c� SIJ AEVOCA ,C}Kt FC R; LAl`ION t?F AI FLICABLE PRQVIStO L1F LAW. " A�A C AC UILDIN DEP tMENT 11 U T I C E T d C 0 11 T 1t A C T U it 5 UUIIL1) ULE ut~ xtigr � C 't' xuus Ilecluento for inspections will be aooeptVd from 81UO All until 4t00 I'll. All innpc3otione will be made tiler following day between• O t UO All grid 4800 Pit. SCHEDULE OF itismurlull5t ' 1. Footing 2. Hough Plumbing J. Slrih 4. Hough Eleotrieal, tteal►aniaali Top •.Uut Plumbing, C'lir^irJ.lroer 1n;iUInL,1.U11 ,'^`fr 5. Final inspection G. CertiiicoLe of Occupancy ; Utlter lnopections may be required in certtain situations. Uuilding Gard MUST be posted or no inspeo Lion will be made. four no concrete or cover-up any work until building card is 5IUNF:U by Lite inspector. You will be required to uncover oily work tlraL has riot been inspeoLed. In cncira of failed inspection, -�1U. UU re-inspection fee must be paid prior Lo calling for re-inspeoLion: BUILDING UEPARTHENT CITY OF ATLANTIC • HEACH 249-2395 r , , f • � 1,2. 3 `� i K 44 Ss�..c...�.t�,., � �'�,c�lctfc tC•c .Ci Cct c l - r to Z c'c{ci. S tIL.,r, a 11 K 4 71GUCEAN UUULUVARU i.al N locr� a _�__ Se 44 i p ri r,U.HUx2r, _ LAN I IC DM1I,I LURIDA 92193 SEP P 8'_ 1 y 7'Lt,ta'Nutrt:ino�J zae.la�s suIld 1 Vinion t-----------------------------_.__... Building-DqggR M,, WORK 5trrrtt )I'nmeY26 or Addreon f�1V ---__ -I+ FLOOD HAZARD Flood ,ones_ ----__-Area complete page _�__ �. Brief - Clone of Worki 7U111110 IIIFURIIA'1-1011 , ' Type of / s Conatruction t 7.0niny - Propose 1_ Woo Dintrivtt C (. 1 User �� Estimated Value 0 --------- ----------------- -�-- -------------- I:xr_r{rtionn or Hateri.alat Vnrioncen Urantectr 01— Solid or Filled 1 Uround t `� � -----Hoof t OW11ER I)iFUMIATIUIt Nothod of livntinpr------------------ roper Ly Owner r_`-- ` UY1 !' U---- ^..za-] _�:�l ------•----'- *- �,c= c' v ,_I l ------------------ p zi t_? CUNTRAC 1*U)Z INFORIIAT1011 Contrnotorr_ e5__ _-- ---__-,.__-.,_ Phone t�?�A_J�I j Itnilinq Address: j 1L _LJ (,Ni_�vnv11 Q_�_t ^a Y_Z ------------- zip, �� 7 Expiration License liumberr--C a Datet -.. _-. -______-- _____ _________ In connideration of permit given for doing the work as der.,cribed 111 the nbove statement, we hereby agree to perforrn nnid work in nccordance with the attached plana and specifications which nre ,,,. ,� .•i/..1 �•1• a part hereof, and in accordance K1th all rules and regulations of the City of Atlantic Beach. 1.1 Owner Signat a --- -- - -- - -------- J( - --- -- ` ! D e� ,r.{f y%•�.(:;;� Contractor Signature_-- _ _- _ _ ---Date_ 1 ,. FLOODPLAIN DEVELOPMENT INFORMATION E.'l l'i1 ';I(y; },'.l'rW 'Type of Developments' ►11. 1;'til . New;'Bui,lditigl'�''� 1'r'':'''AlteraL Lottt�,.;Lo. Lxic, ting Building .... .lil"rt'.t. 1 '� •.I.i4..�,.1. ;1.1.//1.1 Flood Zone 1•tt!:,:r.,)I.! •`!�I,►i ,:.: li.... ' ' " 'I3 'I,:l,L:I;I�'Cri:r ':�� •�j�''''•1 :' ''�<:.. 11 1 t ►, , Required Floor Eleyatioti I • :` �.. ..�`:; Actual (as built)Lowest Floor E1.evat- Qlt. • .11 1 I' L.klril, '1 C1 GI j�rifj:CJlr:{��, % ,fit. %r ,t � .,, j If located. within a flood hazard zone.;(zone 'A) "a survey mus t. be ►rade after the A lab has been pouredf' certifying' that' the "'low es It floor elev�z�ioii"—Is equal to or ab.v.v'e 'thg base,• 'flood' elevation estalil-isiieil for.• Lhat1. zone/ J;lo r(,.Y. t.ti,lr::.l.!,ii(J t ilo Filial luspecLion will be made 'and No Ce.rtificates'of Occupancy I I , will be issued until the aur.vey , i,s 'ott''ftleiw� th1'tlie�Bui,ldik,g Department: ' �•tri!.I<1:Ci,' 1!'!.J:.I,.l''I�'.ILlI;r11• ' CUE1t tLL�•1•s �.► ,. . .I ,. .'. ,i••.:1�1� ' ,' ... t:J...1;�:1•..f.J,►!,JJ:'rr.3tJ:.IJ:'... Applicant acknowledgement : � undeJstand Lltat' t-he•-'issuance 'of Lhis ' pernitt is conLingent upon the 'above''information'being'%correct and LhaL tile'. plaits and supporting data have ''bee'ti oz' Shall be 'provided rests required . I agree to coillply with 'all applicable 'provisions of Urdinauce Ho , 7.5- 1-11 attd all other laws or ordinances effecting Lite proposed developemut . rl II.EI)'.r, ► r 1 �Jlrulrf I.,at3 I. ; Date ,Appli.cant I q Signature • 1tt '�1 h;�:lat�' !1111.111!.i , f'tJi:.l II,i: �.1 ,' • 1 ', r r 1 ,•I,1'1;1;;! il,�„1 11 t'�t'r r .' UeparLmenL U !t , , a.►t:,ri ;l'!i,%r1 '.r. ��a(,~ N ''' : 1 ;„ se � :.�.J:,I�:.I.�'tr•r.l•.� , � 1 .. '!•r:.1('•I,r+i�.{,I,r If.{.j 1'' ,1 '' 'r ', i ' ! 1 ' Ourvey filed With Lite Building Department oti ' Certified Lowest Floor Elevation' Required Lowest Floor Elevation Building DeparLmenL RepresentaLiye ' °!' •' ( ' Address — heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ � per sq ft = $ r Carport/Porde @ $ __per sq ft = $�5l 3y3. 2o Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION, 0?� 3 �� $ Totdi Valuation is $�s Rat-dnder Valuation $Z�er thousandor t portion thereof o $ / 7. d ---------------------------------o do -ther Total Building Fee ' ADDITIONAL PERMITS and/or FaS REQUIRED + k Filing Fee ` Fireplaces @ 15.00 $ Mechanical BUILDING►PEI M T r.an PILubing Electric/Ne<a ' Electric/Tera J� Septic Tank ; „h BUILDING PERMIT $ 3 Well WATER METER Cf IARGE $ 0 S�vLiurLir tool pcw SEWER IMPACT FEE $ g WATER IMPACT FEE $ Sign Water Connection' MISCELLANEOUS $ Sewer Connection $ Water Meter I7.1cvrrti.on Certi.ficaLc Sa GRAND TOTAL DUE $ // 9S i ----'------------------------------------------------------------------------------------------- CALCULATIONS and/or N01ES PLANS REVIEW CHECK LIST Address-/1l_LJ?— - --- - - ----Owner _ ` ) _ Legal Descriptio iZ -� T 7-Contractor --------- � 7 _4/56 �_�7 __License Number License on File NO Section 24_101 * Zoning Regulatione Zoning District Proposed Use _ � [� �' Required Lot Size // Actual Lot Size Setbacks Required Provided ction 24_17 front _�y) CORNER LOT INTERIOR LOT � � a S -6 rea Flood Zone____ side -2611 I Required Elevation__ _ � �� 2� 7 �i GEF/") Max. Height Allowed 45-15 Proposed Height_2Z �d Section 24_82 * Minimum Lot C verage Required Heated Area q Proposed Area Section 24_161 » Offstreet Parking Number Spaces Required aces rove ....... . ------ �DA aPidd----------- Section 24_82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES NO Utilities Water and sewer service is to be provided by: Buccaneer Utilities City of Atlantic Beach Utilities ____ Private Source SEPTIC TANK WELL Plans eviewed by:------------------------------Date---------------- Building Permit # _____ ISSUED DENIED City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. --___BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET VALVE ___-_WATER CLOSET, TANK OPERATED (4) �- VALVE OPERATED (8) _____BATHTUB/SHOWER (2) _____URINAL WALL LIP (4) __� _SHOWER GROUP PER HEAD (3) __�P _FLOOR DRAIN ( 1 ) _____SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) ____-LAVATORY ( l ) _____COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) _____POT, SCULLERY SINK (4) -____DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) _____DENTAL LAVATORY ( 1 ) KITCHEN SINK WITH WASTE GRINDER (3) _____DENTAL UNIT OR CUSPIDOR ( 1 ) _____BIDGET (3) _____URINAL STALL, WASHOUT (4) --___FLUSHING RIM SINK (8) _____COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) _--__URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) _____DRINKING FOUNTAIN ( 1/2) -____LAVATORY, BARBER/BEAUTY SHOP (2) _____LAVATORY, SURGEONS (2) __-__SURGEONS SINK (3) ICE MAKER ( 1/2) WET BAR (2) A v OTOTAL FIXTURE UNITS_ @ $20. 00 EACH S__ ------------- JOB INFORMATION________ ----------------- FLORIDA = DEPARTMENT OF TRANSPORTATION 1108NAIMMZ Post Office Box 6884 KATE M.HEfroenson UoVCMOR - Jacksonville, Florida 32236 s6CRE*AM June 19, 1989 Mr. Gary A. Abbey, Associate Moye & Morales, Inc. 9471 Baymeadows Road Suite 408 Jacksonville, Florida 32256 Re: Section 72230, State Road 101/AIA Mayport Road Car Wash Permit Number 2-JD-6375 Dear Mr. Abbey: This will acknowledge your request on behalf of your client, James Jaffa, to make a driveway connection on State Road 101/AIA at Mile Post 0.668 in Jacksonville. Mr. James Jaffa is hereby granted permission to construct one twenty four, (24) , foot wide driveway connection, as shown on the enclosed, approved plan and permit, our driveway specifications and Standard Index 300 and 515. A copy of the approved plan and permit shall be on the job site at all times. Construction on the Department of Transportation Right of Way shall meet all of the Department's standard construction specifications and safety criteria. This permit is issued with the understanding that construction shall be performed in accordance with Department of Transportation speci- fications by a Department approved contractor and that all costs of construction shall be borne by the applicant. It is also understood and agreed that the rights and privileges here- in set out are granted only to the extent of the State's right, title and interest in the land to be entered upon and used by the holder, and the holder will, at all times, assume all risk of and indemnify, defend and save harmless the State of Florida and Department from and against any and all loss, damage, cost or expense arising in any manner on account of the exercise or attempted exercises by said holder of the aforesaid rights and privileges. Mr. Gary A. Abbey ` June 19, 1989 Page 2 During construction, all safety regulations of the Department shall be observed and the holder must take measures, including placing and display of safety devices, which may be necessary in order to safely conduct the public through the project area, in accordance with the Federal Manual on Uniform Traffic Control Devices, (MUTCD) , the Department's Roadway and Traffic Design Standards and Standard Specifications for Road and Bridge Construction. The applicant is required to notify the Department of Trans- portation office within ten, (10) , days after completion of the project so that a final inspection may be conducted. Please request your contractor to contact my office at 838 Ellis Road, Jacksonville, Florida 32205, (904) 695-4000 twenty four, (24) , hours prior to commencing construction in order that I may arrange for the necessary inspection and advise him of maintenance of traffic requirements. Sincerely, *JDya.- 1, Jr. , Assistant Maintenance Engineer, Permits JTD:kt enclosure: cc: J. W. Killian, District Permit Engineer D. Lambert, Inspector B. Hill, Traffic Engineer. , City of Jacksonville file ST, JOHNS RIVER WATER MANAGEMENT DISTRICT Post Office Box 1429 Palatka, Florida 32078-1429 PERMIT NO. DATE ISSUED A PERMIT AUTHORIZING: Y LOCATION: ISSUED TO: ;owner) 4 Y 1 L / Permittee agrees to hold and save the St. Johns River Water Management District and its successors harmless from any and all damages, claims, of liabilities which may arise from permit issuance. Said application, including all plans and specifications attached thereto,is by reference made a part hereof. This permit does not convey to permittee any property rights nor any rights or privileges other than those specified herein, nor relieve the permittee from complying with any law, regulation or requirement affecting the rights of other bodies or agencies. All structures and works installed by permittee hereunder shall remain the property of the permittee. This Permit may be revoked, modified or transferred at any time pursuant to the appropriate provisions of Chapter 373, Florida Statutes: PERMIT IS CONDITIONED UPON: AUTHORIZED BY: St. Johns River Water Management District Department of Resource Management Governing Board By: By; (Cjrre�tcs (Assistant Secretary) ( RNAU IVCIA%.PRINTING OJ1v1A" lr n 7 ,•-�"`� THIS INSTRU':IENT WAS PREPARED By otiee of Commencement 1 (PREPARE IN DUPLICATE) A.1 Lit u:.FI si, tL liiLA 3223 To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE ` OF COMMENCEMENT. SEE ATTACHED EXHIBIT "A" . Description of property -------------------------------------------------------------------------- -------------------------------------------------------------- Construct Car Wash General description of improvements ------ - ------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------- Owner ------- ---- - - -- CENTURY 21 CAR WASH, INC . ----------- - ------ -------- ----------------------------------------------------------• Address ---- --- -- - P . O. BOX 24627- -- -- ---- , JACKSONVILLE, FL 32241-4627-JACKSONVILLE,-_ Owner's interest in site of the improvement __Fee__Simp_le.............................................. Fee Simple Title holder (if other than owner) ___----.--.____________________________________________________- Name -----------------------------------------------------_------------------------------------------------- Address ----------------------------------------------------------------------------------------------------- Contractor -------------------------------------------------_------------------------------------------------- Address ------------------------------------------------------------------------------------------ Surety (if any) --------------------------------—------------------------------------------------------------ Address -------------------------------------------------------------------Amount of bond $-------------- Name and address of any person making a loan for the construction of the improvements. THE OCEAN STATE BANK Name ---------------------------------------------------- ------------------------------------------------• 3THIRD STREET, NEPTUNE BEACH, FLORIDA 32233 Address ------01--------------------___------------=--------------------------------------------------------- Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name __ BARRY_W. CHANDLER1_-SENIOR_VICE_ PRESIDENT, THE OCEAN STATE BANK Address _____301_ THIRD_STREET1NEPTUNI� FLORIDA 32241-4627 In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as,' provided in Section 713.06 [2] [b], Florida Statutes. (Fill in at Owner's option). Name _BARRY_ W__CHANDLER,_SENIOR _VICE_PRESIDENT, THE-OCEAN STATZ' BANV , - --- - ! -- 301 rpr1T Irl T?1 Address -------------------------------------------------- ---- ---- ------- - -�- - �--�'�"or• '` ��„<�.; THIS SPACE FOR RECORDER'S USE ONLY CE_N7_UV_ Y Z C- W Jam s re 1 n Sworn to and subscribed efore me this -__�1 day --�--�- ----------------- r _. / L C,;.I..I ^ 8 Q 'tAw J'A.1 1a_a <rro�61 a,M M:M u ns • 1 adi+.'�slL le e•ab�MJ>f a '*,ppp;aG'' ,►YfLp'ar'N� W° X16 G v"l . �„ �Aa tap j" ,.,moo` N a iM 4 R�Gaa j1w N�1P t�1 T a TM" o port 4 4 eµ9 .. bbwvrya ",)o► OaIY * �•ri' ps '�Y }F4+ PN ia4 p:6 s �y ar eaY'"�a � P.'11°° �.saLa�r_Ja 'M�yl`+,x'� p H:-�, Y,v��A lx►V s<C.o^ '\ A bpt foo �gpeP �Stpy�E®Ny�,�P:Sravlt�yla m erp`'°+r►`\ rpwlt cu s,�tt y+4sY•of ,wv,,� wk�bpl��°y�bN�"wwi'+N"�1Nr't��er�� u N4'".w 1� La,.ep 1'°,p, Cp't ropSW SPG• • %'/ v\� lv�"' �D�'6�'pPe^ Qai° .lutT a p,y'M t� N`0 NW sa�aauw+�y ,yr dR va�t3 ; yul�c.F� vrtµ�Rap°dr�weu=Uf oN ,GMT p Prr r / a i b"YK.W,ay, M haat It /56001% A prwrD ' • .ate R r rtaa� P.- .S wrol f �ra�N R,Haff , .'�1p}fyp.M VAP b'iF dF4 0 vet ul+ "r'w�Rpp�f2pdb. 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Pd+n I A AU 4A M6WIH} sYLL NAV! 4+ -MTY lxmUlly PIKW, 1 H(b alk a. yy t" ut 32 SITE ATLANTIC BEACH 4 to. 1� 32233 NEPTUNE�� BEACH e e s laam� of � ri- 1 .,.R� T'��.1• j-M P Y' El VICINITY MAP n o - f GAR WA"a h N y Pev.NeYFt- R- - - —LAFoscAPr Arora LWPIO t AR[A 164'-0rr fChA ..rfi1�G �bN hroLG W W,. 1f P/r M A Y P o 4 r R O A 0 MANS AP-�p�Q(��VED . - CITY OF ATLANTIC BFACN ' .... �a ,warp rw1... .gl}B pl.00 awn.A-96 dome Jeff ,.rrea I N SITE [ ATLANTIC nu . _ .. BEACH .e, � .` Iu' I n�aucr'wi000. ara (.•La 32233 m _ � �II I .R�a a>r =W a svu eveteo I _ 'NEPTUNE BEACH / I Ke ,• 1. 111..wpYta �'w'� .I ,�r� .S 1 b O 4•C t e♦BIL'nC 6K :.3 �Gun n14[,��' nw M 3 4 2 `EYse°'•u mss.r` t--. a„e<eeo < � � � � ro n vwrw{ � �:'. YICINITYMAP W�n�t� •6MGdn.OR 4e<• Z _75 uj Fh,7 rz.w wsarrac sx anw..•••n.:ne. ... nu...n,,....,•.•n.,n.,.. J = Lu cc a _ W y � �:i�I / G Y,YMUM Goa 4G •<Br a<.6w w.rn„.n„,m. .°m n m w•^n nv n�..,,s R 11 c f r i STORM SEWER TYPE-V M.ET ••,,,r•nn.n,e.n..�,n..nr�..t. Q < `o a ( t Yore• �u.rsr,owr• auew,[ <rn, ra.a.ny..wHeo ' ,,..wnn,n„n,.+,n,nn„unrt r.rt,.,.e �' u.ene Are ea sew. I}� � ,rJ \ �C VH T<CEN FEOH 6uC.2Y .`I 60M� r �A°'°n” n,nVnm uu,.,v,,rtnvr w.a.,rsrtuus. Z a o, \ [sa.x,aras .Y•y W. ♦.2e44 . w wr.^,r nr,n•c°,,,-,.e e.,.:,,u.,,....,n,no.•° ' �x r rrr:�e voa«e.,.a.�W��,Y,-.¢,:<.«� �➢!I �` „ �� w,,.n,.,�„n,,.,n-,.,n.n, . p..,rMn L—_ � eat-�_ ,.n.M.ra.... ,.,:..,.,n. ..n,n.•n. ”, � p a d>TFbaW peT6_yL ...--_.•+Cr.' .'-.�. - t' "�'T-. -+ _ �'� -- T .. ..,n,,..,. ,..,«.,n. ...M...,n. :d;;.., p o —� @k MAYPORT ROAD10 4ro1. a to wv,.vaY UVu S�VNP GF 5 «B (�•+�� "�� _ �� , r: < ,x:2¢0 •.n44¢Q^u �,� LL .r7. ..- TYPE A CURB PAs}VEMENT SECTION Y •,uta t,m> — z7'..�. FOOT STANDARD DRIVEWAY CONNECTION DETAL iQ,l q la'.Rrr' le•_Qn 3 -ki-�' 4 Isr_Q" 5 141-D' 0 _ OLen� T IS'-Gv 6 ,yn I —� y4�MNwTF M MILL L.VIID WW � 3 4 1 NI 4e.LM Q I - yQ"■vP Je NT e•Dear.PPG N6• �. � I Q D �-��\ y � I I I I i 11•GMJ POQ 110N Hell.DIJ� 1 � f 7� \ I I 1 7 —Ia,P l4.1 u PPn, N ze• I i WE L ki - — -- ------ ---- ----- -- ----I =' 0 O-i 9d'A�Y MlsaNr.Y tia MM I JDIN7 i ❑ V a wQ i�r+ 4M4 LTVPQ r,�OxT) I � II—._4°NIt.LlYa. Lle hl fONriL - -j i a .,a, .;,-qv q' r ,4.-qn ,�.1-bn 1 u,,Qn /4'-D b�-4'r 01 IIr� i e" rT A3 I I ! 15'-!" —�i-�I-0" 'M ro F2�➢r -�41oLo'� -.21'Or�1 I- Iv'-4v ! - � i p �. 1F o Foundation Plan w-6" ir— IB d'� Ie'_Q• a Iz" - _ �- "!Y ,• f I 1 I Lvr.^"NI6M'T, —.L T<{TV O: Z /WK �iWIM. I 1 _ I n }— — 'y" �I asllnwsn « wLx .1 I I C] R�\ 13 1 \A 14''! :T_w I9-4" �'l� 14'1 1 4'-81" I4'-mn Qryo'I IS'-Q �I1' • O C .. - . S'-s' I — r 1 "• 1�,_O" R� � "le'-4' Z �. 2." �- SL N•aa1 i o } Floor Plan ve".r-D. Floor Plan — Equipment Room vi*4 SEa PLR.PL K. OIMtNg1 --"u ' `:-0.; ___._ 64 U>L Yec6•Y ar NdN 3Ns=b NCi4 --j _ _ �'-.° / i.._ .SMotl,�03. UC'N6 a4:� 1 • iV -T - � QQ sI TQe . �..-_._.. .._..1-- Z N o 1 I ....�_ I I 1 •�� 1� 1 �I I I I I I A _a.. .___ ._._..._—_.__. _�. L[nRud_ __• �—� i�.! j i I �i 1 I Q `m •_ :lee.6P>v fAT NliK _.__......___ h'- � \ J ' 0 Framing Plan UT°.r-w plan elevation �Ir Vacuum Pad Detail �r,• -a° �, pm•p y - - �"--. _—�.FO,...G'�.ar•! EW55. -iMCN4bN / a9 415 t Front Elev. ue•.r-a U. _I N 01 ._. .._ - -_-...-_.. POtlio<.f�lG�►t.,oiNluSON --��• :.K NPre0.•ltr�R r.I!e Rear Elev. . _ _ 4 1 euMR AI kNr.fG_r. �r oP ateM i pl.. 14'p1 f '' olQptxer+ew UR Pd i I ..:ad.;rear-no " .41l�wi -PO eIT@ ILW POR •..._.�AUJOM PLC MRv ->Ru ura,r A 3 `� a Right Side Elev. Left Side Elev. e•.r-a• ` CITY OF ATLANTIC BEACH ;s1 } 800 SENIINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deog. cqab.us Application Number . . . . . 07-00000958 Date 10/01/07 Property Address . . . . . . 1110 MAYPORT RD Application type description SIGN PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc REPLACE SIGN ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DOUBLE SAM CAR WASH JOHANNES SIGNS INC 3491 PALL MALL DR. #201 4549-5 ST AUGUSTINE RD JACKSONVILLE FL 32257 JACKSONVILLE FL 32207 (904) 731-8987 ---------------------------------------------------------------------------- Permit . . . . . . SIGN PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee. . .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/29/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 65 . 00 65 . 00 . 00 . 00 PERMIT IS APPROVED.ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rS='''J � CITY OF ATLANTIC BEACH PERMIT BUILDING / ZONING DEPARTMENT APPLICATION # 800 Seminole Road Atlantic Beach,Florida 32233 A' U i;1 (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQ41RED DEPT: �� s Y N PLANNING Property Address: ` D�C. Z Y BUILDING tom = Y PUBLIC WORKS Applicant: T7 ff/�N c (� /tf„s O0N PUBLIC UTILITIES ��//►► Y N FIRE DEPT. Project: lrC.� n Y PUBLIC SAFETY UJ w APPROVAL 00 REQI E AGENCY: RECEIVED BY: INITIAL: DATE: Z LU N D.E.P HUFSTETLER O� �O N S.J.R.W.M. CARPER Lu _ Y N ARMY CORPS of ENG CARPER H O Y HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP VIEWED BY: IN AL: TE: ® ® 1ST REV PLANNING ® ® 2ND REV UILDIN PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV Return this form to the Building Department once you have entered your comments into the AS400. r 74_ A ' , -x'�`'•�r' BUILDING PERMIT APPLICATION r J CITY OF ATLANTIC BEACH r' rl Alf 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 • Fax: (904)247-5845 ` U vb Address: � �� p�,� kU Permit Number: 01- NJ /7.. ,egal Description �ti Valuation of Work(Replacement Cost)$ S_e� �S • Class of Woft((Circle one). New Addition Alteration Repair Move • Use of existing7proposed structures Circle one). Commercial Residential If am existing structure,is a fire spr er system installed?(Circle one): Yes No N IA • Is approval of homeowner's association or other private entity required?(Circle one): Yes No Describe in detail the type of work to be performed: TVj4ct, �%',qo EMpertvOwner IgLo atxan } .{. Name: CA& W i� A.ddress: 1110 'A 4 HAP� 1 1.!> City t a State_,Zip&2 J_Pho�ne ao!A i 3� Z _A.it Contractor Information: Name of Come4an Lj0 h4 No e S S I Quali g Agent: ��Addzess: -5 S�, Ti uC o City tYll;.(.,�" StatZip 3 d, Office Phone - - c Job Site/Contact Number State Certification/Registration# Office Fax# Architect Name&Phone# Engineer's Name&Phone# ,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 o_fa permit and that all work will be rformed to meet the standards of all laws regulating construction in this furisdiction, I'lxts permit becomes null and void ifwork is not commenced withinsix(6) montorcouctgorworisse hs, i in uspcomenced f undersand thatseparate peFunaces,Boilers,heaters, Tanks and.Air Conditioners, eta WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF CONIN ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR.. PROPERTY. IF YOU INTEND EOUCET. LENDER OR AN ATTORNEYB FORE TO OBTAIN YOUR NOTIIU CONSULTCING O NEMNT. I hereby certify that I have read and examined this application and know the sante to be true and correct All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. fie granting of a permit does not presu c gree suth rity to violate or cancel the provisions of any other federal; state, or local taw regulating construction he r nee of cons tion. Signature of loperty r: `� x1guuature of Contractor; e S subscrib fore the Swo to subscri re Inc this llay of this 4X of Notary Notary Public: ,.., YL MAN* ... r• No11fy Pubic.sw o( SHIRLEY L.G t�ar v��,, RENW Notary Pubic-State Fw& �^ Feb 14,2010 ''.�o•;,d' Cbn 0 UD 518533 °' '=My Commission Expires Fab 14,2010 JUN 8 n y NatWal N�ery/u ``.;` Commission#DD 518533 Bonder! By National Notary Assn. P. page 1 CITY OF ATLANTIC BEACH PERMIT BUILDING /ZONING DI;PAR'I'1VI]EliiT APPLICATION# J 800 Seminole Road �r Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax 1 www.co&.us l(J 01' W APPLICATION TRACKING FORM REWIRED DEPT: -�^YY9 D s � Y N PLANNING Property Address: /f{'� �C• Z Y N BUILDING j� j = Y N PUBLIC WORKS Applicant: 1 t ", V aS ja Af-5 0 Y N PUBLIC UTILITIES �� ./►` C Y N FIRE DEPT. Project: v7 Y N PUBLIC SAFETY w z a REQUIR INITIAL: DATE: w Y w p� Y h Y N 4-4�,1 � //I �S` h sin wir`ti a CIRCLE ONE: SITE t G' INITIAL: DATE: ❑ D 7 Dpi' o /it• . 47 69 ❑ ❑ BUILDING 2ND REV PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. A Z PUBLIC SAFE ❑ ❑ 3RD REV ❑ SR9- ff 3 W44 AbbL - ��i�e� e� 41st- ,b-,e �'' cf F'R o,� P Ro1dex /n"e$ - Return this form to the Building Department once you have entered your 4A into the AS400. r" ..e2 A rf 08/02/2007 01:45 9047310833 #0175 P.002 /004 j High Output Ballast j J Al H High Output Lamps Steel Pole; e L� CW of AMM ft#A* rawft &W Zwka D4WWIW Th% eppm%* Names MrlapMna No 9"IbIft zoning, subdiv,14104 N1d otAN N" land development r*gtd*#DW OVA do"11011008400 approval for the b*UWW Of P*ffnft. CsmplInoswith Florida Building Cods and d=8r_=__ local, State MW F*dMl pp"IfIns"If I must be vem" ,Of the AMY of Aftnfo Beach Building PdW WIUWM a Building Pernik. Z'to=of -1 Approved By T&U00L_ 1� mm Date: 08/02/2007 01:45 9047310833 110175 P.003 /004 co h Ott n e 4549-5 St.Augustine Road•Jocksonv4le.'rt 32207 Phone: 731.8987 ` Fax: 731-0833 4,7 Fax:_rt0 -- -c8y. paym......'..including cover s ee: Z4 Pham Dow. p thwM x For Ravi wv O ploaso Con owd ❑Pkase Reply Cents: f 1ti�tttc�c� 'or`E'hQ, 5 _a� j 1 t D M and ark- ; r .` BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH goo Seminole Road,Atlantic Beaeb FL 32233 F3'o� Office:(904)247-5826 • Fax:(904)247-5045 o>s Address': `1 G �p o ' Permit r�imbt r: AW Descriptioaa Valuation of Work lacement Cost)$ ■ Class of Wow Circle one): New Addiction Alteration Repair Move ] • Use of e>Cistingproposed(s} Cirele Oise): Commercial Residential If an existing s4nu tMe,is a fire spew system installed?(Circle nae Yes ;o N/A ■ b approval of homeowner's associatiion or otbAr private entaiy (Cirele one): Yes No Describe in det g the type of work to be performed: r-Ajo C& t ` Prot_ern rr� orl<natilOn Name: W1 5K Address: 4 IL City e 4 State ZipU2,' _Phone_ SQ1 Z31ng.3e-- Contractor Informattfon: Name of Co hi9 NN e S 1 als Quahg Agent: Address: -5 S , AM61d-dwe AoPbCity PlUir State. Pf- Zip OUZO`7 Office Phone 0 -13J-' Job Site/Ce start Nu tuber State CertificationMeg Uidon# Office Fax# Architect Name&Phone# Engineer's Name&Phone# ,dpplicativn is hereby made to obtain a it to do the work and installations as indicated I certify that no work c installation has commencedm or to the C � e o a it and that all work will be perfiormed to meet the standards ofa laws regulating construction this jurisdiction. hisntft becomes null and void i work is nvt commenced within six(t months, or constrlectian or work is suspended yr abandoned for a period of s� ((6) months at t:me e`er worJE; commenced I understand that selanate is mrust be secured for,��ectrlcal W+rJf�.��iwiebtfttg�,�! rs, weAs,Peat p3trtta�ces,.Sofl7ers,1�'eorters, TaatAx aitd.��dam,efts WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MA.' RESULT IN YOUR PAYING TWICE FOR. INIPROVEffil'L'S TO YOUR PROPERTY. IF Y01 INTEND TO OBTAIN FINANCING CONSULT VaM YOUR LENDER OR AN ATTORNY BEFORE RECORDING YOUR NOTIU OF COMMWCEMENT. r hereby ce that I have read and examined this application and know the same to be true and correct. Allprovisions laws and ordinances governing this gf work wu7 be complied with whether specif led herein or not The�01 permit does not pre o gree ant icy to violate or cancel the provisions of arty other federal, state, or loc a regulating construction IM a of co ' n. t Signature of Propa�ty tracto>: , /y5tpq shove of Gon S MAMA me Swo to subsc� Mme t tbisN� Y of this of Notary Notary Public: �:a "•• •Y .GRANA .+a�...��. ,�� ..� .� e N*q Pubic SHIRLEY L.G Ad •,P , '^awl`"W�I{i•�d (� �441{Y PV•b�i .onirriisJripn Expies Feb 14 2010 Notary Pubic-Sta1e F'laida Qr, _ "•duly Commission Expires Feb 14.20`10 # 518533 J(JN Y National Atgn• "?',F+ `# Commission tt DD 518533 Bonded By National Notary Assn. page 2 6'—o" ____� ------- - SELF 0 AUTO, WASH t CLEAN YOUR CAR HERE & IT WILL BE DONE RIGHT. S' o" sl GRC o I 00 I 0 1 I r- D s A b Ca � O � x L 3'-6"X(7'--0„) 08/02/2007 01:45 9047310833 #0175 P.001 /004 DrawingSign ` Building • • cabinet sign side view High Output Ballast High output Lamps '•�a Aluminum Extrusion Pan face . made from.158 sayrasteet Screws retainer A The combustibility test data for 1/8" thick sheet is: self-ingnition temperature as measured by ASTM D-1929 is greater than 820 Deg. F, rate of burning as measured by ASTM-D 635 is less than 1.5 inches per minute, and the smoke density as measured by ASTM-2843 is no more than 5%.