Permit 1449 1451 Mayport RD (vault) PERMIT WORKSHEET Certificate of Occupancy
Job Address: Type Work:
Property Owner: Phone #
Contractor: CPhone #
�f'1 rye p C�e2S�r �tC��Ct%L
Permit#: Date Issued:
Building Inspections: Footing
Slab
Tie Beam
Lintel
Nailing / Sheathing
Framing / Cover Up
Insulation
Final Building
Tree Permit# YES NO
Electrical Permit# Date/Copy to
JEA
Temp, Pole Permit# Date/Copy to
JEA
Temp. Power Letter Received: YES NO
Inspections: Rough Electric Released to JEA
Temp. Power Released to JEA
Temp. Pole Released to JEA
Final Released to JEA
Mechanical Permit#
Inspections: Rough _Final (--
Plumbing Permit#
Inspections: Rough / Underslab Topout
Water/Sewer Final --�
Drainage Inspection: I —�
Pool Permit#
Inspections: Steel Final
Grounding Final
Roofing Permit#
Inspections: Nailing /Sheathing Final —�
Fire Inspection:
Failed Inspections: Date Paid:
Date Paid:
DEPARTMENT OF PUBLIC WORKS
l� 1200 SANDPIPER LANE
ATLANTIC BEACH,FLORIDA 32233-4318
TELEPHONE: (904)247-5834
J FAX:(904)247-5843
SUNCOM:852-5834
!:) http://ci.atiantic-beach.fl.us
PLAN REVIEW COMMENTS FROM THE
PUBLIC WORKS DEPARTMENT
Permit Application # VI-6
Applicant: t 0,,00S- r R
Address:
Project: �I1 s `tC� f {"� V�� i 'l Cit YI )
Cmnr '1 '-
/��. Your application is approved as noted by the Public Work epartment. Final
application approval must come from the Building Department.
❑ Your permit application has been reviewed by the Public Works Department and the
following items need attention:
/io�,2Va-6 rlived Ab7 net l�_sem rii
Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane,
Atlantic Beach, FL 32233 in order that we can approve your application. If you have any
questions please call (904) 247-5834.
Reviewed by Robert S. Kosoy, P.E., Director of Public Works
Date Zoo
Signature
Contractor Notified Date
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09PARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
i'l£RtIIT Ilatl itRlIATIC>t0 . . LOCATION xFOR"ATIO"
Addroams 1449 1452 "AYI'OR ROAb a
;Perolt ATLANTIC BEACH, fLOI IPA
C + ox Iw d'ik s Al.*i`B`RlCTIl�N - l.i iAl<. DESCRIPTION
+E�"ctraaktr. '1t�r gr s N 'A Lots »lock,, 8 tat.on s
x�rx aose+a d Uaat a DUPLEX" ";1"ownel' ip: R1404 O
0,**IlisnBit"a 2 Cadiw s Q tea s
E t3: ► t4rd tTarlta rm
01100.00
;> Ztnparrsv. Coot* Bt3.
Tart+ *30.40
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*30,00 r
WALL
RHA'!"IOfi APPLICATION
ION
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AY +G "t' FlIE3AE, WATIZW. ftPAC r FEE *10.010
# , `LORXDA 1§4 II llPAG " PEE ► .O0
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v 5'
ym ii
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f a
.. a' 9` kRt3RNAk'i CIN - RAwf GA0 $0.1
a". R Y kBH WATER 'TAP 440.00
A 4t ># ::,u . . W R.W''AP -
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NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST INS ECTRP BEFORE POUR#NG
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
13ILPING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED,AWAY BY EITHER CONTRACTOR OR OWNER.
F AILURE TO COMPLY WITH THE MECHANICS' LIENr LAW CAN RESULT IN
PROPOTY OWNE -AYING WICE FOR BUILDi'N.G IMPR ,&I#
t- t
I LIED CCORDING TO APPROVED PLANS,WHICH ARE PART OF THIS PERMIT'ANIS SUBJECT° AT16N F4IL
TI OF APPLICABLE PROVISIONS OF LAW. +
AGAN EACH"BIJILDINqA,FITM NT
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0002791
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
y, PERMIT INFORMATION LOCATION INFORMATION
Number . 2791 AddreSUI 1441,-3 1 4'51 t'SA9F'#"ClRT ROAD
" Permit Types BUILDING ATLANTIC BEAC11, FLORIDA 3'2-3.22
C'laetta � .f' Work: ALTERATION I.,COAL. DE'SCRIPTION
Constr. Type: id/A Lot :x L.i1.ock- 123eC�ticn z
Propoieked Use: DUPLEX Township; f+14Ci: C3
Dwellings; 2 Code; 0 Subdi vision 3
Estimated Valuei $1100. 00
Improv. costl 1$0.00
Total Fees: $30. 00
Amount I ala s $30. 00
Cate Paid s 7/31/90
Work Desc. : RE!'(ODEL F RO14T 1$AL,L.
j
i
0LNeR 11IF'ORMATION APPLICATION FEES w.., _.., a
Hamel FROD Lewis PERMIT $30. 00
Addr+ &02 1449 140.51 MAYPORT ROAD WATER IMPACT FEE C). 00
,ATLANTIC OEACH, FLORIDA 32233 ISEVER ;fC'13s'ACT FEE $0. C1Cl
Phone% C'904,i 46-3009 WATER METER $0. 00
RADON GAS- It. ft. S. 100. 00 {
00Fl+RA;C"1'(IR INFORMATION RADON GABS % $0.+t:0
}
Name PROPERTY OWNER wA`t ck TAP ;610. 00
Addre&s r 'SEWER TAP SCP. DC►
HYDRAULIC SHARE 00
License: Type 1 RE.. IHS4PECT PEE ve. OIL)
t
;SEC:. 14 IMPACT FEE $0. 00
OTHER 00
NOTES:
NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST INSPECTED BEFORE POURANG
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPRgyL FME j S@51011
WrUIT
ITW, 21&49 PM
T TAL $30.00
ISSUED jQ
CCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT ffiPCATION FO.M
VIOLATI N OF APPLICABLE PROVISIONS OF LAW. DOE
ATLANJJ BEACH BUILDING Dr2PARTM NT
By: � � "'
Address �� /�-/S/ /"//�y,402? gp D�F,�OV4c F4o�.AT tj4«
Heated Square Footage ---- l) @ $ per sq ft = $
Garage/Shed ,� @ $ per sq ft = $
Carport/Porch S � @ $ per sq ft = $
Deck S L @ $ per sq ft = $
Patio U @ $ per sq ft = $
TOTAL VALUATION: $ . 0 0
//00, 00 /S�, 0 0 $ 00
Total Valuation 1st $ /-0 D 0
/ Ute, 00 / 000 $ 57b0
Remainder Valuation S: per thousand or
-------------------------------- 0
-----------portion thereof Total Building Fee $ '
ADDITIONAL PERr'IITS and/or FEES REQUIIZID + 2 Filing Fee $ 10 , 0 O
�
Fireplaces @ 15.00 $
Mechanical
� BLTIL,DING'PEEtNiI.T FEE $ ,�®, 69d
Plumbing
Electric/New '
Electric/Temp
BUILDING PERMIT $
Septic Tank WATER METER CHARGE $
Well
Scaimirislg Pool � SEWER IMPACT FEE $
WATER IMPACT FEE $
Sign MISCELLANEOUS $
Water Connection
Sewer Connection $
Water Meter
Elevation Certificate
GRAND TOTAL DUE $
------------------- --------------------------------------------------------------------------
CALCULATIONS and/or NOTES
------------
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A P -P L I C A T I O N F O R B U I L b I N G P E R M I T
CITY OF
ACitic Teach - 574Wi a
REQUIRED SUBMITTALS
716 OCEAN BOULEVARD
Each application for building P.O.BOX 26
permit will be accompanied by ATLANTIC BEACH,FLORIDA 32233
two complete sets of plans, including TELEPHONE(904)249-2396
a detailed site plan indicating location
of utilities, parking, size of yards and
other pertinent data; one set of Florida Energy
Efficiency Code sheets; recent survey ton new construction)
SCHEDULE OF INSPECTION
Requests for inspections will be accepted from 8:00 AM until
4:30 PM. All inspections will be made the following working day.
1. Footing
2. Rough Plumbing/Sewer
CALL IN WITH PERMIT
3. Slab NUMBER FOR EACH
TRADE
4. Framing, Rough Electric,
Mechanical, Top Out Plumbing
S. Insulation,
6. Final Inspection/Issuance of Certificate of Occupancy
------------------------------------
BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE
Pour no concrete or cover any work until
building card is SIGNED by the inspector. You
will be required to uncover any work that has not
been inspected.
$10 fee is required for all re-inspections.
CITY 4F
PROPERTY DESCRIPTION
716 OCEAN BOULEVARD
Lot- #___-__-_Block #--------Section -------- P.O.BOX 25
ATLANTIC BEACH,FLORIDA 32233
Subdivision: TELEPHONE(904)249-2395
Street Name / I Q D' DESCRIPTION OF WORK
or Address: v n Oar_1 l�l f�
If in a FLOOD HAZARD
Flood Zone:-----X------area complete page 3. Brief Y
Description:_ �d
1
Class of Work:
(New/Remodel/Addition)
ZONING INFORMATION
Type of
Construction: CovCler7r-
-----------------------
Zoning C L_ Proposed �a
District.- 40
_-____- Estimated Value S ���
Exceptions or
Variances Granted: -
Solid or
- --------- Filled
Ground:_------------Root
:_----------
OWNER INFORMATION
Method of Heating:__________________
Property Owner: ��Z /F.", Phone•
Mailing
------------------
Address /t Qlf04Y L9
1
--------' --�r- -------------------------------- Zip'-2 z-Z-S-d------
CONTRACTOR INFORMATION
Contractor: q ,t� _ Phone:
Mailing
Address:
------------------------------------------------
------------------------------------------------ Zip'---------------
Expiration
License Number: _ Date:
---------------------------------------- --------------
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE
6 AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE
COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO
GIYE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES,
REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE
PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS
F CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING
DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED.
)* d Owner Signature F
----------------------- .271
--?-7-ate --�
Contractor Signature Date
FLOODPLAIN DEVELOPMENT INFORMATION
Type of Developments--------------------------------------------
Flood
------------------- ----- ------
Flood Zone:
Required Lowest Floor Elevations---------------
„
If building is located within a flood hazard zone, a survey must
be made AFTER THE SLAB HAS BEEN POURED, certifying that the
LOWEST FLOOR ELEVATION is equal to or above the base flood
elevation established for that zone.
No final inspection will be made and no certificate of occupancy
will be issued until the survey is on -file with the Building
Department.
COMMENTS:
Applicant Acknowledgement: I understand that the issuance of
this permit is contingent upon the above information being
correct and that the plans and supporting data have been or shall
be provided as required. I agree to comply with all applicable
provisions of Ordinance No. 23-7-11 and all other laws or
ordinances affecting the proposed development.
Date--------------Applicant's Signature--------------------------
----------------------------------------------------
Department
------------------------------------ -------------Department Use
Required Lowest Floor Elevation -
As Built Lowest Floor Elevation _____
Survey Filed with Building Department------------
-----------
building Department Representative
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