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Permit 1911 Oak Circle (vault) t` CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building,-deptacoab.us Application Number . . . . . 07-00000108 Date 3/02/07 Property Address . . . . . . 1.911 OAK CIR Application type description RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Storage shed/14x20 (280 sq. ft . ) ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MANNION, KATHY OWNER 1911 OAK CIRCLE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 80 . 00 Plan Check Fee 40 .00 Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 8/29/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 80 . 00 80 . 00 . 00 .00 Plan Check Total 40 . 00 40 . 00 . 00 . 00 Grand Total 120 . 00 120 .00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ^ V, PLAN REVIEW SHEET Ro �, y31 T Building Department Public Works&Public Utilities Departments `x' 800 Seminole Road 1200 Sandpiper Lane Wae Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application# 67 - Q QQ l0S Property Address 1911 6,44 e/,G Cl�-' Applicant: 0&)-q1 k4 /5 ATPIPi 72 --,772,#AI ✓0/✓ Project: This it application has been: u Approved as noted by the Department. Final application approval must come from the Building Department. ❑ Reviewed and the following items need attention: oil r ILL uul W1, OIL bl", Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the co ect department may delay your permit from being issued. Reviewed By: Date: Date Contractor Notified: RE 0 E IV ELI Sty OF ATDAN�IC y�J,, CITY of ATLANTIC era i su��.r�iNc `CITY OF ATLANTIC BEACH t ri r✓�;� R, -i , r 7,r,hr�ir f ` BE INN PERMIT APPLICATION (New/Residential & Commercial) 59 BY: BY _ ._ _ Date: 200 Job Address: 1 OA k C i re)e- Afl o,' ,c 8 e aCh�FL U 2,3 3 Owner's Name:KcAleen fflongion Address: 50f 1C 05 0b0gC_ Phone: Legal Description: Block Number: Lot Number: ` Zoning District: Contractor: S'd State License Number: Address: Phone: City: State: Zip: Fax: Describe proposed use and work to be done: �, �5 S�c i' fW i'� Present use of land or building(s): lir1U5C Valuation of proposed construction JQ DOCS Is approval of Homeowner's Association or other private entity required? f)Q If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material, addition of 5% or more to the original impervious area or the removal of any trees? ❑NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations. Include driveways,sidewalks,patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Provide drainage plans. 7. Provide erosion and sediment control plan. 8. Any other documents requested by Building Dept.,Planning Dept.,Public Works and Public Utilities. Address and contact information of person to receive all correspondence regarding this application(please print). Name: 7G ))Cm Ma G X101 o /, J- `— Q Mailing Address:N�1 ne k C'i r �e /"i T'��1T!C � titch 3 3 Telephone: Fax: E-Mail: (�Q�h�l(�f alif7i e��,�GY)C4 I hereby certify that I have read and examined this application and attached documentation and know the same to be true 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 give 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 property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: � y " Date: AS TO OWNER: Sworn to and subscribed before me this �J day of � � 20a�. State of Florida,County of Duval Notary's Signature: rLtc,� t - PPY Pv Floragene Hungerford _*R MYCOMMISSION# DD214447 EXPIRES :?v� ��• May 21,2001 ersonally known Fpf ` BONDED?HRUTROY FAIN INSURANaINC ❑ Produced identification Type of identification produced Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida, County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 3 Revised 8/04 t?j�11`Il'�ul CITY OF ATLANTIC BEACH N , OWNER/BUILDER AFFIDAVIT b,x007 Dater Job Address: MCA c- &ash a 3aa3 3 CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE.BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 4VV PROPERTY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF � 20©G FiarageneFfungerford * MY COMMISSION# DD214447 EXPIRES May 21,2007 NOTARY UBLIC pf BONDED THRUTROY FAIN INSURANCE INC MY COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. Special Information for Owner/Builders DISCLOSURE STATEMENT for Section 489.103(7),Florida Statutes: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THE LAW. The exemption allows you as the owner of your property,to act as your own contractor even through you do not have a license. You must supervise the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one(1)year after the construction is complete,the law will presume that you built it for sale or lease,which is a violation of this exemption. You may not hire an un-licensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that the people employed by you have licenses required by state law and by county or municipal licensing ordinances. In addition,the owner must supervise construction and becomes liable and responsible for the employees he/she hires. This responsibility includes,but may not be limited to: 1. Workers Compensation, for workers injured on the job. 2. Social Security Tax must be deducted from employee's wages and matched with owner's funds. 3. Federal Withholding. Since owners must be liable for injuries to workers they hire,the Building Division suggests Workers Compensation Insurance be purchased unless the homeowners insurance policy clearly protects the owner. Owners hiring workers become employers and should also observe IRS withholding tax Form 1099 requirements on the workers they employ on their improvement work. Un-licensed contractors cannot be employed under any circumstances. Owners are subject to a$5,000 penalty under Florida Statute#455.288(1)instigated via Building Division citations. An Occupational License is not adequate. The owner should physically see the county Certificate of Competency or the Florida Contractors Certificate to ascertain a person is a licensed contractor. Telephone the building Division(:247-5826�f in doubt. I hereby acknowledge that I have read and understand all the above on this Day of, h'b ry y�y moi`' M1 (yak Circir /- cnhc 8c-ch, FL 3ga3 3 Owner Builder Signature Address &Wcm M� mo.q�j,(,)O loq_��T()5" Print Name Telephone Number STATE OF FLORIDA: COUNTY OF DUVAL y d Before me personally appeared �/ �.?�% ,� well known to be the individual and owner builder described in and who executed this instrument and severally acknowledged the execution thereofto be his own free act and deed as such owner builder hereunto authorized. WITNESS my hand and official seal this`.>l day of, �Zb/atAtl.antic Beach. County and State aforesaid. NOTARY P LIC,STATE OF tO A Print Name: Z b9 f)&.eiY P Floragene Hungerford MY COMMISSION EXPIRES: `��' /' L) j MYCOMMISSION# DD214447 EXPIRES personally Known May 21,2007 ❑Identification: 4f� Q` BONDED THRUVOYFAIN INSURANC4INC ' CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: nj 00� ci rc c Aon )c Dcaci F" Type of Development: 5t'orQ i t 5W Flood Zone: _, x Required Lowest Floor Elevation: 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. 25-7-11 and all other laws or ordinances affecting the proposed development. Applicant's Signature: tea, Date: )0�107 Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 NOTICE OF COMMENCEMENT State of of I d q Tax Folio No._,.: _ County of lijigmI g55�ss�����-� f-7 20 A,0�iar-18�� 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 of the Florida Statutes,the following information is stated in this NOTICE OF COM1vIENCEMENT. Legal description of property being improve 3b". ' � " 12 Wo, �{}.ov' r (3 Address of property being improved: -}t -os General description of improvements: csC an ytzraqc5e k� Owner: a • I'0 fl Address: J11i CCi C Owner's interest in site of the improvement: I I I Fee Simple Titleholder(if other than owner): Name: Address: Contractor:elm 62 a S Q i L0Q E if- Address: Phone No: Fax No: Surety(if any): Address: Amount of Bond S Phone No: Fax No: Name and address of any person-making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself designated by owner upon whom notices or other documents maybe served: Name: ArookMY I Oak Phone No: Fax No: 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 Statues. (Fill in at-Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY M OWNER Signed: Date:4140 6, Before m this_�_day of in the County of Du al,State of Florida,has personally appeared Notary Public.at Large,State of Fl rida�County of Duval. Doc#2007048100,OR BK 13806 Page 2023, My commission expires: " /a. :�4 6 69 -7 Number Pages:1 Personally Known: or Filed&Recorded 02/09/2007 at 09:16 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Produced Identification: RECORDING$10.00 ; I—,i-, Floragene Hungerford A'.*- MYCCIVMISSi0N# DD214447 EXPIRES N4ay w 21,2007 �'' Oc IUED THRU TROY FAIN INSURANCE,INC Impervious surface calculations %formula In square footage- House footprint l � Driveway 91 Sidewalk a/c pads $ detached garages or shed ?OVA� �yY add the total square footage of this things and divide by total lot area Ilk{�• , � '` fir` t✓ i r n • f v 14 ' h j. y _I It r, h ;�1..p' ✓t -;fit, r. J' ���,' ? r V. - 1', rp'f a M. Im IN I 21' � I PROPOSE 21 .i i amnvc SHED FS, N Fj I - <11EXISTING I i orelnrunr i I 1911 V/1K, 1.1I`ULC - PORE L , J I (CUL DE SAC) 127.78' S89'35'07"W Lot 8 Selva Marina Unit 12-A SCALE: 1" = 30' PLAT BOOK 64 PAGE 36 00 OF THE CURRENT PUBLIC RECORDS DATE: 10/25/2006 DRAWN BY:MAT OF Duval COUNTY, FL Northeast 1lorida REVISED: Design,Inc ` LOT SQ. FT. JOB REVISED: 14,507 A06-034 -MAP 5ffO,MV G BOUNDARY SURVEY OF LOT s BLOCK -w- AS SHOWN ON MAP OF SECVA MAR/AM UNI7' .UO. /2-A AS RECORDED IN PLAT BOOK 34' PAGES 4,4 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED FOR: L d TAIZ-6- --11 M: 1n lJV 1/O&l V� `cl 4 ` o "50 o 1` io.3'K/o.3' SNED O� � o- D E•c K i N 443 44.61 a 7'N/o smRY _ 0 '. FRAME 401 o V� • ° 48.2' C o U cV � • ,'. CARPORT V O• < 8.2'x8.3' Q. sNED v O S 890 35. 0711 w /27. 78' X W \ v h0 vC v Q Q_ECE/L.T FSA P20,a uA, 06 SIO.L9 -3 4 NOT VALID UNLESS EMBOSSED WITH SEAL OF_ THE UNDERSIGNED. BEARINGS BASED ON LAI LINE AS SHOW/' THE PROPERTY SHOWN HEREON APPEARS TO LIE WI.7HIN .FLOOD HAZARD ZONE AS SCALED FROM FLOOD INSURANCE RATE MAP Z_a FOR THE CITY OF4M4,✓?'/C f3C/��FLORIDA, DATED ' /7- AND IS S�iOWN AS A ONLY AND DS NOT:CONSTITUTE A C£RTIFCATION OF SAME. TRI--STATE LAND SURVEYORS, INC. 8411 BAYMEADOWS WAY SUITE #2, JACKSONVILLE, FLORIDA 32256 (904) 731-7235 LEGEND 7N/S 5U VEY pOES NOTREFLECT�R,>l�EyERMgWE O,N7VERSYIIP. ■ CONC. AVON TT�1��. l?~BAS'UPON DE5f fll t VVI AS tFURN15�IED. AND :wTHi OuT • IRON COR ;�. (3E1rlEf1T.OF A- 777LE`B(hL7ER`,AB87RACT UVB 11111E AND ,�4 DEED RESEARCH. (SET 197H CAP#LS 4144) .- � -.. .w.r .::....;............. 4 -X-FENCE 0 IRON COR.(FOUND) 0 CROSS CUT UAL BUILDING RESTRICTION LINE ESM7 EAS&WENT LARRY G EDDY P.L.S. No. 4144 R/W R1GHT-OF-WAY COV. COVERED AREA SCALE: F CVN7ERLINE A/C AIR CON01770NING PAD ISTER 5 S VtYOR, ST OF FLORIDA (R) RADIAL DISTANCE DATE. 6_ZO_91 u CONCRETE MAP SHOINTNG BOUNDARY SURVEY OF LOT 8 BLOCK ^'- AS SHOWN ON MAI' OF S'EZVA ".4RIAIA UN/T ,UO. !Z-A AS RECORDED IN PLAT BOOK 3lv PAGES 4 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED FOR: Q 7_A/L.-E--,1 In.' /yJ4�n O 9 0 c til SHED pJl � %lc .8. V' 44.0' o O 7WO smeyCA - p '••. � FRAME a o N /Jo. �9/r - 4;82' DECK V 3 0. "f cRRPoRT C o V OQ5.7'LR) v 0 i S 890 35, 071, W /27. 78' 0 iu \ V h0 0 �y v V 7 O ,f&6QZ7-1,'/ 0 /z-5 06 tiJ 0.06 -3650 NOT VALID UNLESS EMBOSSED WITH SEAL OF THE UNDERSIGNED. BEARINGS BASED ON R/uJ UNE AS SHOW THE PROPERTY SHOWN HEREON'APPEARS TO LIE WITHIN FLOOD-HAZARD ZONE AS SCALED FROM FLOOD INSURANCE RATE MAP DbO/ FOR THE CITY OFQTLq.✓T/C FjC I�aORIDA, DATED, 05T AND _ TC TIME A CER7IFCA710N OF SAME. TRI-STATE LAND SURVEYORS, INC. 8411 BAYMEADOWS WAY.SUITE #2, JACKSONVILLE, FLORIDA 32256 (904) 731-7235 LEGEND THIS SURVEY DOES NOT RMECT,LW_DOWN9l57!!P. ,.. ■ coNa NON THIS. 511811 Yr BASED UPQN DESGR/p714YY A5 F1MMIMED AND{IMTNOUT • JRON Coit B IEf1T QF A-'7ftf 81 OER •ABSTRACT iJF TI'liiE AND'` D RES i4RCH. Y (SET WIN CAP/LS 4144) :. .. —X—FENCE O IRON COR(FOUND) (1 CROSS CUT B.RL BUILDING RESIRICTIDN UN£ ' ESN7 E456WENT LARRY G. EDDY P.L.S. No. 4144 R/W RIGh7—A'-WAY COV. COVERED AREA SCALE: /• =30' CENTERLINE A/C AIR CONDITIONING PAD 7ERjV.5fflFVEY0R, 5 OF FLORIDA (R) RADIAL DISTANCE DATE. 6-ZO-9I Q CONCRETE k t CITY OF ATLANTIC BEACH J PLAN REVIEW SHEET Ro Building Department Public Works&Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane p . a er Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233luzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application# b -/ - 10,06' IO R Property Address `!1l (J.U,� &4 Gil Applicant: 0 �,q 7-P It 9 7J `77)AAI l/a Al Project: CLi4/S This per ' application has been: Approved as noted by the / Department. Final application approval must co54 from the Building Department. Reviewed and the following items need attention: Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify he rest department may delay your permit from being issued. Reviewed By: Date: Q Date Contractor Notified: CITY OF ATLANTIC BEACH t °sf *BUILDING PERMIT APPLICATION G (New/Residential & Commercial) By Date: _T n a CUQ+I f dr, Job Address: 1) �Q K �'i�Cl� � �gf17'1(' I. each F N233 Owner's Name: KCA its rl Manion Address: 50 fd C 05 o b o'je Phone: Legal Description: Block Number: Lot Number: `r3 Zoning District: Contractor: State License Number: Address: Phone: City: State: Zip: Fax: Describe proposed use and work to be done: Present use of land or building(s): UO V S C Valuation of proposed construction 10 000 Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material, addition of 5% or more to the original impervious area or the removal of any trees? ❑NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ANO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atlantic-beacb.fl.us Page 2 Revised 8/04 r In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations. Include driveways,sidewalks,patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Provide drainage plans. 7. Provide erosion and sediment control plan. 8. Any other documents requested by Building Dept.,Planning Dept.,Public Works and Public Utilities. Address and contact information of person to receive all correspondence regarding this application(please print). 3 Name: a ��p 1'1{ f Ce- /G�� foo r `— Mailing Address:�� ��r Gly c co'b C �'L Telephone: -I-C�5i� Fax: E-Mail: �co Del I hereby certify that I have read and examined this application and attached documentation and know the same to be true 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 give 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 property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. f_ Signature of Owner: j�M11�+ 1 A~ Date: AS TO OWNER: A Sworn to and subscribed before me this day of State of Florida,County of Duval p Notary's Signature: 5 �?��i Floragene Hungerford _rbl A MY COMMISSION# OD214447 EXPIRES ersonally known May 21,2007 BONDEQiNRUtROYpAININSURANCE INC P��;,,, Produced identification Type of identification produced Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of )20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ei.atlantic-beach.fl.us Page 3 Revised 8/04 Impervious surface calculations%formula In square footage - House footprint 3� Driveway Sidewalk a/c pads 3 detached garages or shed peioig iyY add the total square footage of this things and divide by total lot area .� �, wk • � moi, ,e , � �� q•4 ��. � ��.;�. mss,. + Ti k. N. a r - •i�.-_ _ • .11 x�i•" V- •� i"n_t vt r _� � ��• , -, x r a .w ,M1 R . � s ` v: n -thy 1 w a .. Ir ta 1 -4 #f 1. , 9t- m+ p x� r �. .. ,,,-.,ids � 7-•�-- r i. .V W a .-• Im IN its. 21' PROP I 21' 31 V{IMVG SHED F- ---I I 3 M Fj \� � EXISr1.NG t t 1911 IN,� J1 U/1I CIRCLE `� � L _ -i t (CUL DE SAC) I 127.78' S89'35'OrW Lot 8 Selva Marina Unit 12-A SCALE: 1" = 30' PLAT BOOK 64 PAGE 36 OF THE CURRENT PUBLIC RECORDS DATE: 10/25/2006 DRAWN BY:MAT OF Duval COUNTY, FL REVISED: Northeast Hon-da LOT SQ. FT. JOB Design,Inc. 9 REVISED: 14,507 A06-034 r CITY OF ATLANTIC BEACH Jy r t} r PLAN REVIEW SHEET Ro Building Department Public Works&Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane a er Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 luzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS RE,c r-',T,N TED Permit Application# 67 - D o61DS FEB 2 2 2007 Property Address 1911 Y: Applicant: Cy--b 1g,9 f f ?� `-7f'J/��✓n/d A/ - Project: This permit application has been: Approved as noted by the Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: -e ` u�S r L✓ ,a Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued. zzff- ) Reviewed By: Date: Date Contractor Notified: f Yom, Q. S" jt-"Vi CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (New/Residential & Commercial) Bye .. Date: Job Address: Ogk Cirek / ��61� lc (��T�a�33 Owner's Name: �g )Ceram Ca n b lora Address: _50,/ 1C a5 0 6 a Phone: Legal Description: Block Number: Lot Number: rj Zoning District: Contractor: State License Number: Address: Phone: City: State: Zip: Fax: Describe proposed use and work to be done: C-, 1,61 Gia"qL Present use of land or building(s): LIUSC d Valuation of proposed construction ©Ln Is approval of Homeowner's Association or other private entity required?nO_If yes,please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, addition of 5% or more to the original impervious area or the removal of any trees? ❑NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://w-ww.ci.atlantic-beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations. Include driveways,sidewalks,patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Provide drainage plans. 7. Provide erosion and sediment control plan. 8. Any other documents requested by Building Dept.,Planning Dept.,Public Works and Public Utilities. Address and contact information of person to receive all correspondence regarding this application(please print). 1 yi Name: 1�°_1G�1()�l+ �j f Mailing Address:_ i (7r4 k L I f-c I e ��'��!17')C gr?aC�} U233 Telephone: A7_059� Fax: E-Mail: I hereby certify that I have read and examined this application and attached documentation and know the same to be true 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 give 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 property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: Date: AS TO OWNER- Sworn WNERSworn to and subscribed before me this day of l�'l�t�✓ ,20-d-L. State of Florida,County of Duval Notary's Signature: �t�-c . .tom ,v ,(• t .... +PpY?LE,i� Floragene Hungerford MYCOMMISSION# DD214447 EXPfRES ' a May 21,2001 ersonally known P"P""' ` BONDEpiHRUTROYFAININSURANCEINC El Produced identification , t ` Type of identification produced Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.as Page 3 Revised 8/04 CITY OF ATLANTIC BEACH "'y3s OWNER/BUILDER AFFIDAVIT _ �bruc!y 0007Date: --r Job Address: `��� ��4k CI�rl� AlophG (xach CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE.BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OIL F THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING-ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES' OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY.UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD. ALSO OBSERVE IRS WITHHOLDING TAXAND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO'ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 2004 q Fioragene Hungerfordy •SPP,Y?UBl. =+ az MYCOMMlSSION# DD214447 EXPIRES A2�111 May 21,2007 ' SONOEDTHPUTROY FAIN INSURANCE INC NOTARY UBLIC 61 MY COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. Special Information for Owner/Builders DISCLOSURE STATEMENT for Section 489.103(7),Florida Statutes: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THE LAW. The exemption allows you as the owner of your property,to act as your own contractor even through you do not have a license. You must supervise the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one(1)year after the construction is complete,the law will presume that you built it for sale or lease,which is a violation of this exemption. You may not hire an un-licensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that the people employed by you have licenses required by state law and by county or municipal licensing ordinances. In addition,the owner must supervise construction and becomes liable and responsible for the employees he/she hires. This responsibility includes,but may not be limited to: 1. Workers Compensation,for workers injured on the job. 2. Social Security Tax must be deducted from employee's wages and matched with owner's funds. 3. Federal Withholding. Since owners must be liable for injuries to workers they hire,the Building Division suggests Workers Compensation Insurance be purchased unless the homeowners insurance policy clearly protects the owner. Owners hiring workers become employers and should also observe IRS withholding tax Form 1099 requirements on the workers they employ on their improvement work. Un-licensed contractors cannot be employed under any circumstances. Owners are subject to a$5,000 penalty under Florida Statute#455.288(1)instigated via Building Division citations. An Occupational License is not adequate. The owner should physically see the county Certificate of Competency or the Florida Contractors Certificate to ascertain a person is a licensed contractor. Telephone the building Division(24.7-5826)f in doubt. f I hereby acknowledge that I have read and understand all the above on this Day of, 1 q11 (yak CJFCJP /4mhc 8c4Jh FL 3q3 3 Owner Builder Signature Address 901A) Print Name Telephone Number STATE OF FLORIDA: COUNTY OF DUVAL Before me personally appeared /�. r // / h?11_ u-i_fine well known to be the individual and owner builder described in and who executed this instrument and severally acknowledged the execution thereofto be his own free act and deed as such owner builder hereunto authorized. WITNESS my hand and official seal this Vday of, atlAtlantic Beach. County and State aforesaid. NOTARY P _LIC,STATE OF i0 A Print Name: �-� j? t9�a .�iY �/� 6- CAh R Floragene Hungerford MYY-CONWISSION EXPIRES: _.; MYCOMMfSSIONO D 4447 EXPIRES [] ersonally Known x• = May 21,2007 ❑Identification: 't•`.• RONDEDTHRUTROYFAIN INSURANCE INC s CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: j jj j ©Q k C}fCJC AJ.A7J CCICh F� Type of Development: �5oro j c Flood Zone: x Required Lowest Floor Elevation: 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. 25-7-11 and all other laws or ordinances affecting the proposed development. Applicant's Signature: � '�° Date: Q4 1106107 Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 NOTICE OF COMMENCEMENT State of_ E or l d 9 Tax Folio No.1. _ County of NNW g55e51mcA-H`f7 20A0 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 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Schict Mo ,3 1- I-0-r Address of property being improved:L1311 OlKcir.cicu� C General description of improvements: dcb c ht c Owner: wuid ll 1.� Address ► [ C► �, L 3a� 3 Owner's interest in site of the improvement: 11 Fee Simple Titleholder(if other than owner): Name: Address: Contractor: Address: Phone No: Fax No: Surety(if any): Address: Amount of Bond S Phone No: Fax No: Name and address of any person-making a loan for the construction of the improvements. Name: AM Address: Phone No: Fax No: Name of person within the State of Florida,other than himself designated by owner upon whom notices or other documents maybe served: Name: kN Seo rook --Address: A, cock Phone No: Fax No: 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 Statues. (Fill in at Owner's option). Name-' Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY Oy ER Signed: ('►� Date: Before melthis�_day of 1113fhe County of Du al,State of Florida,has personally appeared Notary Public(it Large,State of Fl rid 'County of-Duval. Doc#2007048100,OR BK 13806 Page 2023, My commission expires: c4 l d d e 7 Number Pages:1 Personale Known: or Filed&Recorded 02/09/2007 at 09:16 AM, y JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Produced Identification: RECORDING$10.00Y^i •- Fioragene Hungerford MYCOM,MISSiON# DD214447 EXPIRES = ,0. Mml 21,2001 OONUEO THRU TPOY FAIN INRURANCE INC: CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Own r G ,�' S �� � Address ZJ& LMG%{ �,�', Phone o2l4zy f"I 9'�l Archit�ect Address ---- Phone Contractor. Address Phone -- License Number Expiration Date ~----- Lot �� 8 Block # Subdivi�io � �,�;N,g ",2��Zoning Street QA Betwe4 4*and side Valuation $ Purpose of Building4,0,4/ ,400h Type Const. Dimensions : Building /p fx /p Lot Sz.Footings l(,)C/gk� c�cwtcEf�'•�/U" Sz. Pierst,Sz. Sills o- K o- Greatest Span Sills _f- Sz. Ceiling Joists Distance on Centers Greatest Span -- Sz.Floor Joists ,2 X g"� Distance on Centers /6 Greatest Span Sz. Rafters e2 }C6 " Distance on Centers ld Greatest Span o HeatingyPx1J- Solid-Filled Ground ,Cro RoofJ f' l - Flood Zone 4i,Fr If located within a FLOOD HAZARD ZONE fil out /117 reverse of this application. Inspections Required: 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical , rough plumbing and fire place is completed and ready to cover up. 5. Rough electrical. 6. Final inspection. In case of rejection, reinspection MUST be called SETBACKS for after corrections are made. In consideration of permit given for doing Rear Lot Line the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and w specifications , which are a part hereof, and a o. in accordance with the building regulations m n r r)V E D m of the City of Atlantic Beach. t '►C BEACH rt �FIcE 0 rt By - �L� - /, �J . Signature OWNER Signature BUILDER Front Lot Line FLOODPLAIN DEVELOPMENT INFORMATION Type of Development : New Building Alterations to Existing Building Flood Zone Required Floor Elevation Actual (as built)Lowest Floor Elevation If located within a flood hazard zone (zone A) 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 or 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. 25-7-11 and all other laws or ordinances effecting the proposed developemnt. Date Applicant' s Signature ----------------------------------------------------------------------- Department Use Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation Building Department Representative MECHANICAL PERMIT# ADDRESS/?& PLUMBING PERMIT # BUILDING PERMIT WORKSHEET ELECTRIC PERMIT # TEMPORARY ELECT . # Heated Square Footage @ $ per sq ft = $ Garage/Shed /Oo @ $10. J per sq ft = $ Carport @ $ per sq ft = $ Porches @ $ per sq ft = $ Deck @ $ ,h per sq ft = Patio @ $ per sq ft = $ r da TOTAL VALUATION $ �� �•d c3 Total Valuation Data 1st $ Ao v v o Remainder Valuation @ $ per thousand or portion thereof p TOTAL BUILDING FEE $ �CJ + 2 FILING FEE $ FIREPLACE @15 . 00 $ TOTAL BUILDING PERMIT ------------------------------------------------------------------------------------ PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ELECT. TEMPORARY $ ELECTRICAL PERMIT $ WATER METER SIZE $ ACCOUNT NUMBER SEWER IMPACT FEE $ WATER CONNECTION $ (@10 . 00 per fixture unit) 04 APPROVED BY: TOTAL BUILDING/PLAN FILING FEE $ TOTAL WATER METER CHARGE $ TOTAL SEWER IMPACT FEES $ .- - TOTAL WATER CONNECTION CHARGE $ CITYYO ARANTCE p MISCELLANEOUS CHARGES $ "U1LDING OFF�BEE�H GRAND TOTAL DUE : $ n MAP SHUNV1WJ SUHVLy Ut LOT0" BLOCK AS StiOWN ON MAP OF 5 LVA MARI — Oil AS RECORDED IN PLAT BOOK PAGE-J�f• ---.-----OF PUBLIC RECORDS OF DUVAL Co. FLA. FOR BROvJA �? P>> Rti 11,iG C�A1� CIRCLE- --�-- 004. LOT r' O N � ' .•.. ;/ .o n � OF F���jj�� cE Jam`_ 10• W v lb W000 PECK . t0i---1 W N V 4 N G o r S s�' = o T 9 � 22.3 b 2m ✓ �v �[ w000PeCK) UtylAf I VAEREPJY CERTIFY THAT TtiE__LOT_ SHOWN HEREON IS IN THE SPECIAL FLOOD i HAZARD AREA .SNE -A"__., AS SHOW6T-ON ILMD INSURANCE RATE MAP N�1- _ 1 ppRTHE CITY C�r.A�`i A1iT�G 5T-ACN FLORIDA, DATED MSR- I 1 . Fil,lAi SU RV FY W.(g. IF-- Ioq 13 jim harris+on assoc iates. Inc. LAND SURVEYORS— 7825 BAYMEADOWS WAY BOX 40—JACKSONVILLE,FLORIDA 32216---904.'7,11-0722 i -� LEGEND 1 HEREBY CERTfFY THAT THE ABOVE .._. __ WAS SURVEYED BY ME AND THAT THE _ �pw 1 I U.�___...__ _ IS LOCATED UPON SAME `� 1 f� 4. CONC moN AS SHOWN AND THAT THERE ARE NO ENCROACHMENTS UPON SAID Y% IRON COR(SET) ! Y% FENCE ,TAME&0.HAFtRISON.JR.PLS I C, IRON COR(FO.) i � CROSS CUT SCALE 1"='hU / •'•j�i 21 1 1 F 8, Ml�.Y 23. AW�!7 GMSTERED SLIPWE`IOR NO.2647,FLOWDA OAT£ •;._.. � , � - DEPARTMENT OF BUILDING R CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 1 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB DateSeptember 10, 19 84 Valuation$ 1,853.00 Fee$ 15.00 This permit not valid until above fee has been paid to City Treasurer,and is 15900 T subject to revocation for violation of applicable provisions of law. 7925 1A 9/10/% i g This is to certify that CLYDE STANFIELD 7925 1 ,4 91101 . 1911 OAK CIRCLE 100U has permission to build DECK AND STORAGE ROOM AS PER PLANS r SUBMITTED I Classification RESIDMIAL Zone PUD Owned by CLYDE ST NFIELD Lot 8 Block S/DUnit #12-A House No. 1911 OAK CIRCLE According to approved plans which are part of this permit = NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE :---► 0 Building material, rubbish and debris -zi from this work must not be placed in public space, and must be cleared u ed away by either con- trac cr,,o'wner. Mfr Building Official. FOR OFFICE PERMIT DATE t USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER d r?!�/�C�i✓,r9 r)"/r� �?�' �" .�,,J1,,•,,7V•SYS/:5 $`'L•��'!�jt.�y2 77.7 �y/t'•'✓.� ///�J�,�"•,r,�,pry -. .L. .�....._ ., .. - rrr...wrrJ�r.••r�.Nr✓.w•1.VM M M.i.✓•� 4-1 raa•�,r_l,,:�'� ��_.4_%vl/X_��.��try. rl•.e.��n�.:�!l.�� •— � �G f or !,�f �,•�� ,. ., 09 400"v 01 P Value Needed b Class Areo R `!d'uP Need(di _ x Mass Arca ' 19 4.5 ` w.+rr+aw.M•..�ra..:Z2AMyA Lvvmnr r.aiMvr r, � •. �+/• 7� i /� �� /�'-�C%i.� LS/�iai ,',� / wci�"i I�v�'• C.�i/iG` �� :�'/'I¢� .I ....�..:�4�. r..r...'.�......w...r r-.� .r.,.,w..........�w...........w.-w.w•..w.w.w..ra�a w.r..r.r.vrre4rMs.rl�r A++�• i:. �', ..r.. ir�'/7a,��o..r.ww.....wr......+...w.+rw•wr •..w.r..rn... ...•wwr�swii�a.w..1.rr 7 T �.-�-!-,t�s-•r�nw...R„*�,. ..�....•..•..... �.�w/rF� f•,r"y,.�.. •-•�r.:'�'+::.. .�" � '�"_'.. r ?..^�.'7JC"P"'i'.�'Z.T.'S:3:.5."' 1 ' FA ____......_.._.....� . _..._... -- �_�[' yW.w _. .._�w•.r�..._.r�'..w.._�..._ .. _r...._.. ..�� •.�...•�...�«. 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G�'� � y . /�; +!?!y.'WG/7d.� ,. GG? � C©�/t J's.%'/S/�:�i�:'/e.:�.:''' o '�"fr��-:��:�'��✓ '. ���=„ .�.v .-• �''s9Gf..: /. G'� Cao /'►/���� 6�/a.'cr�._ .i • //� a,,, /ry ' I '�'p�,a.17,�/iS��vL.. ♦�:�%�.� ' ��ti '".�'��c-a-'�c;;•,�rr, �j..c�y� •. .i ., ,' �r�.t''G��M,7T-.F: (.'Jim' �l�i'►•J.+G�!q'✓l,�rG'�' ' _ i;� r wr.. �Sr,•r`C��...%�/�I �7, I�r .� •' ���I .per r �. i!,7 7 /�C �//v.." J` 7/�v� 0194:004;pbre l-1 I Y i C o v iJ r� . � CITY ,1F A ,. 8UI,LD1P 0 C)" ,CE 121 1 1 1. °" CAR- %; 4 J�R BY SPECI E r / ) LAIgNING 4A .e 1 r ..r UL - j MA _...�-Il DRi ta d C-1-v A m BOO K o E 4D �, �'�,� J DEPARTMENT OF BUILDING 4383 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date n ny 21 19_�SZ Valuation$ 53,811.0.0 Fee$ 144.12 This permit not valid until above fee has been paid to City Treasurer, and L *abject to revocation for violation of applicable provisions of Lw. This is to certify that Br"Ir4 Jbilders has permission to builfamily dwelling resi deUti al according to plans submitted. Classificatioln Rm a i dE*n r I a I 7.one Owned by Clyde L. Stanfield Lot 8 Block __S/D Selva Marina 12 House No 1911 Oak Circe According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS rl AFTER DATE OF ISSUE 4—No- O Building material, rubbish and debris ZI from this work const not be placed in public space, and must be cleared up and hauled away by either contractor or owner. Bill M. Davis Build official 144#IZI TL r0 FOR OFFICE PERMIT DATE CON7!tgTOR j t USE ONLY NUMBER ad.`#:.t.� •�e.:ttrr0�3.s PLUMBING t rj ELECTRICAL SEWER WATER �' FOR OFFICE USE ONLY JINU Tom. CCAI LY WITH THE MECH C4��� ��I�I�T I THE PROPERTY ��n�. X00. Date-----.�-.:..a.�------------->ls�/`d ' ��1i� JWWr.' ` . c�0� Permit #..����--•---Fee$•-.l...Y.7:.l�.nD Valuation $ �.. 1 DQ................... &I �� �� FLORIDA House * '-=-......---•-•... ;. . _2s/ -• - ---- ------- ------------------------------ APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be:verified. Date.... ----�--- 19 .. OwnerCAJ --'... li.n�_F?. LU--..___.__....Address-1 Q I Z-..a"wtv---1�:..Tele2p�ione No.......... ................... AwNtect.--.............................................................................................Address......................_...._................... -- -•---Telephone No.------'---/-��------/---'----�--`----�----/-- ±_� _ ..... .e..? Address?40..t.. :..... ... . phone N ._ "t'/...4..`i�1 Cadtractor Builder.��� _� _ '� ' � ......... �Q ��f�lQ...Iy��1t5..1t_. .�t�-Tele �-. 1,ofNo.--------�................................... .UAL_#_.h2-A---Sub Division_�I_\JA....-3-!--11 :(OA...--•-----------...._....._..Zone---............._ K-•---•---C1• C,-Q.---•-•----.... rest - i Side Between... ••.....c.--�............. and......................................................Sts• 1 --- Vouation $'49,.Q00.^0C'____For what purpose will building b3e�usedk.a&y.114.&I--__-Type of construction..j1A✓.n.0............ go)+/,48......... ......Dimensio s of7Ldt:.153x_SP .K..�_Tf_. 7X_.�a7: Size of Footings Il 1penaions of Buildin gs......_6)(1k................ ire of Piers............----------------..-Size of Sills------------. -. -----.-.....Greatest Sill Span in ft...........................Type Roofs�}.f f G.A-r._......... Hary will Building be heated?_-_C4LCTR.t.C1.............................Will Building be on Solid or Filled Ground?... �!h............... She of Ceiling Joists_7TR.V 5J-.-_..._..__....... Distance on Centers._P?7 .V '..___ .r.e.__'............. Greatest Span--- . " Site of Floor Joists----s --X--�- ------------------------Distance on Centers_.(. P.. ...... �� ............... Greatest Span-- .•--•--•q......... �...l.' ........... fte'of Rafters..__ - - -- ------------------------_- Distance on Centers!W­ ..........---, Greatest Span... ... .- lST�............ This rectangle is to represent the let Locate the building or buildings in the D ���(�� right position. Give distance in feet iron V all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall MAY 1 51980 be submitted with application. Inspections required. 1. When steel is in place and ready to pour foatin CITY OF. w � 2. When steel is in place and ready to pour col lQeIPEACH M ! y0 3. When steel is in place and ready to pour beam. p P R O:V_L'.n ti ���pcz 4. When framing Is completed. Gii Y�J�.- I,"% 5. When rough plumbing is completed,and ready to cover up. '7 6. When septic tank drain field or sewer is laid but before ' e e I 7. Electrical inspection by City of Jacksonville. r ' 4 � ! � 8. Final inspection. Note: In case of any rejection,re-inspection MUST be c fo - corrections are made. FRONT OF LOT In consideration of rmit given for doing the work as scribed in the above statement, we hereby ague to perform said work in accordan wi ttach plan and apecifi at which are a part hereof, in accord ce with the building regulations of the f Atla ti B c TT ( / Signature of Build . . ••=_. .. --. Address 1.1_ !•� .�.. _ S ...---7 2p2p!k Signatureof Owner............................................................................. Address.................................................................................................... CITY OF ATLANTIC BEACH 716 OCEAN BOULEVARD ATLANTIC BEACH, FLORIDA ADDEMUM TO BUIMING PLAN M 1. Building location: (f11 T!0 IZ A Se l T 2. The attached plan for the above building is approved subject to meeting the following applicable construciton requirerents: a. Footings shall be continuous monolithic concrete under exterior walls, reinforced with two 5/8" deformed reinforcing rods for one-story buildings and three 5/8" deformed reinforcing rods for tAx)-story buildings. Reinforcing rods shall be Placed in. the lower arae-third of the footings, properly placed and fastened on metal cables with wire. Footings shall be six inches wider on each side than the wall above, shall be at least eight inches thick and shall rest on firm soil at least twelve inches below undisturbed soil. b. In hollow masonry unit construction, each unit cell shall be reinforced with at least on No. 4 bar at all oorners, poured and tamped with concrete; such rein- forcing shall be properly tied into the footing and spandral beam. c. All wood truss rafters (roof const uciton) , shall be securely fastened to the exterior walls withapproved hurricane anchors or clips. d. Construction of nearby one-family dwellings, which are duplicates or intensely similar, shall be avoided. Such similarity considers the external configuration and appearance (i.e., roof, outer wall materials, window size and design, and other like characteristics) of structures. In- accord with the foregoing, similar or duplicate hones shall not be constructed within close proximity of each other, and shall be at least 500 feet apart"i.f any one similar dwelling is visible from any other similar dwelling. e. The final connection between the house plumbing and the connection (at the property line) must be igeeZL211 the C covered. G The undersigned hereby certifies that he has read the above and understands that this addendun takes precedence over any contrary detai th plans and specifications and agrees to cc ply with the intent of this adden O er Date CITY OF ATLANTY C BEACH APPLICATION FOR PLUMBING PERMIT a?ATE 5-- 0 LOCATION �/ l./C,.�--F-� e.��^�.. � . t�(� (/(/`�.-��m'�"" PLUMBING FIRM ._�- -w_ -rho,-, MASTER PLUMBER CIT /COUNTY OCCUPATIONAL LICENSE NO STATE CERTIFICATE NO o__,.L� BUILDER OR. Cow.rRACTOR3r TYPE OF BUILDINt3 ��C. ... sSINKS �!SHOWERS 2 L&vAToRY' 1 WATER CATERS 1_BATH TUBS JDISHWASHERS ,,_,:YRIIdALS (DISPOSALS CLOSETSWASHING MACHINE FLOOR DRAINS OTHt� L TOTAL FACTURE COUNT INSTALLATION OF PLUMBING AND FIXTURE$ 14UST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBrNG CODE© DEPARTMENT OF BUILDING 4384 - CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Ply 22 19 80 Valuation$—pluabiuo Fee$ 11 O() This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify that $Pstnl,pi~ plinnbjng Cn has permission tojn@k Jwtall 1 sink.2 lavatories,) bath tub,2 closets, 1 shower,l water heater,) dishwasher,) disposal,l washing machin Classification_ Residential e Owned by Clyde Stanfield Lot 8 Block -S/D Selva llarina.l2A House No 1911 Oak Circle According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 ► 0 Building material, rubbish and debris from this work const not be placed in public space, and mast be cleared up and hauled away by either contractor or owner. Bill M. Davis i I • FT;a t C4 C: Bejaia FOR.OFFICE PERMIT DATE CON"1'1l1ItTOR I 'xa{ I'w' USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER `-- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING Wo SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX 247-5877 _ p RMIT,INfO ATI _ LOCAI'tON IN N R TIO Address: Permit Number: 21955 1991 OAK CIRCLE ATLANTIC BEACH, FLORIDA 32233 Permit Type FENCE Township: 0 Range: 0 Book: Class of Work: NEW Lot(s): Block: Section:0 Proposed Use: Subdivision: selva marina Square Feet: Parcel Number: Est. Value: tN>[ R INNt C IMAiTIC N Improv. Cost: Name: KATHY MANNION Date Issued: 5/15/2001 Address: 1911 OAK CIRCLE Total Fees: 10.00 ATLANTIC BEACH, FLORIDA 32233 Amount Paid: 10.00 hone; (000)000-0000 Date Paid: 5/15/2001 Work Desc: CYPRESS TO KADE fi' , r PfC =FEE CONRAG S► PERMIT 10.00 ALLIED FENCE COMPANY OF JAX � s r a NOTICE-hINSPEGTII ST BE REQUESTED AT LEAST 24 HOURS PRIER TO 1NS�ECTION DING MATERIAL, RUBBISH Ate}DEBRIS FROM THIS WORK MTOR ORT B E CED IN IJBLIC SPACE,AND BUIL MUST BE CLEARED UPAAND HAULEtAWAY BY EITHER CONTRAC � . "FAILURE TO COMPLY 111TH UCTfON RE 0LTINTHE TT W TY OWNER PAY{N� OR8 _ IMP PROPER ISSUED ACCORDING TO APPROVEDN ' Rad 'PART. F SIS MIT AND SUBJECT TO REV OCATIO FOR VIOLATION OF APPLICABLE PROVISI� �W r' ~ X10 1E Date: 5/16/01 01 Receipt: 336 ' �w��7 ATLA TIC B +CH BUILDING DEPT. CHECcRlt9Y,S erigffJCCilf'@CJ R RECEIVED Mai 1 4 2001 CITY OF ATLANTIC BEACH City of Atlantic Beach Building and ZOO*g5 APPLICATION FOR FENCE PERMIT Q rF U 8' 6 Owners a il h) 04 Phone Address aI J 0 a k Ci rJe_ -4:Hajjb c b C h N1,33 Lot g _Block and/or Unit# J�-A Subdivision Sr 1 V q Ma rr n g Contractor if Different From Owner AICA E ore Co Valuation of Fence$ 7 5. Corner or Interior Lot L,� a(` 1 Type of Construction��SS C Attach Survey Showing location and height of fence as well as location of street(s). Owners Signature Contractors Signature MAP SHOWING SURVEY OF �'; SHOWN ON MAP OF 76PLOT t7 BLOC � U 1`AS ST �!a_. 1 LVA MAR ► A. r ! A �'T' CO. FLA.ASRECORDED IN PLAT BOOK 1NO PAGE V OF PUBLIC RECORDS OF DUVAL CFLA. FOR �QOYJARD E'iI.DRS: . 11.1G.n. VAK C i RC LE- cx'0A. ` 66v LOT - �I ttA' 10' V tic; WODD DECK LOT-, W O N o y' � 22.3 e 2l0 W jUPSTAIR4 Wo017 DECK DCO VECK/ �1 vry-vmR�, ROOM 1 NERIM 'CERTIFY THAT THE LOT SHOWN HEREON tS IN THfi .SPEC1At� FLOOD ZONE "A ASS 07WN FLOOD iNSURf,NCE RATE MAP FOR'iF1E C1"CY OF A�c.Ati�f� >3 A.�'�:FLORIDA, DATED M6? F1I,1At SURVEY v�.0. E-- IInG Q1 AVCS. la, la�ri 3�m har[i�son & a��oc�aie� �nr� LAND SURVEYORS=-'7825 BAYMEADOWS WAY BOX 40-JACKSONVILLE,i`LORIDA 32216-904/797-0722 LEGEND 5 I HEREBY CERTIFY THAT THE ABOVE ©� WAS SURVEYED 6Y 4 ME AND THAT THE Qµ/Et Ll is LOCATED UPON SAME a�lpj CONC MON AS SHOWN AND THAT THERE ARE NO ENCROACHMENTS . UPON .SAiD IRON COR(SET) -X FENCE JAMES D.HARRISON;JR.PLS O MON COR(FD.) +�* 1 CROSS CUT SCALE, f.B: DATE N1AY 2�1. 1kito ' / Gis3TEREITSi�tiIJEYC7F#,Nt�,'1B47.fLORigA w _ ORDEFI'NO. n CITY OF ATLANTIC BEACH WATER CONNECTION CHARGE DATE—.-- ,,,, O D. LOCAT I ON . . OWNER PLUMBING FIRM ���^, � 1�21 MASTER PLUMBER eq BUILDER OR CONTRACTOR °G2-� TYPE OF BUILDING S - ­� BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC (2 units) WATER CLOSET LAVATORY & BATHTUB/10.oa SHOWERS GROUP PER HEAD (3 units) BATHTUB (WITH OR WITHOUT OVER HEAD SHOWER) (2units) w SURGEONS BINK (3 units) BIDET (3 units) FLUSHING RIM SINK (8units) COMBINATION SINK AND TRAY (3 units) SERVICE SINK TRAP STANN (3 units) COMBINATION SINN AND TRAY W/FOOD DIS. POT, SCALLEW1 SINK (4 units) (4 units) URINAL, PEDESTAL, SYPHON JET DENTAL UNIT OR CUSPIDOR (1 unit) BLOWOUT (8 units) DENTAL LAVATORY (1 unit) URINAL, WALL LIP (4 units) DRINKING FOUNTAIN (h unit) .ARINAL STALL, WASHOU-i- (4 units) DISHWASHER (2 units) ` URINAL TROUGH EACH 2-FT. SECTION 2 units FLOOR DRAINS (1 unit) /WASHING MACHINE RES. (3 units) FITCHEN SINK (2 units) 30. 60 WASH SINK EACH SET OF FAUCET KITCHEN SINK W/FOOD WASTE GRINDER 2 units (3 units) 30. 00 WATER CLOSETS, TANK OP (4 units) LAVATORY (1 unit) WATER CLOSETS, VALVE OP (8 units) LAVATORY, BARBER, BEAUTY PARLOR ____. (2 units) LAUNDRY TRAY (2 units) LAVATORY, SURGEONDS (2 units) CITY OF Office of Building Official REQUEST FOR INSPECTION Permit No. Time A.M. Received P.M. District No. Job Address Locality Owner's ,��,{//��, ) Name Contractory � 41—e1�./I,�iK LDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation.......❑ Wire..................❑ Rough Wiring.❑ Rough...............❑ Rough............❑ Chimney...........❑,/Lath..................❑ Finish Wiring..C3 Final................. ❑ Final...............❑ Framing............LLf Scratch..............El Fixtures..........❑ Sewers...............❑ Water Heater.. ❑ Final................. ❑ Brown...............❑ Motors.............❑ Gas................... (-1 Finish................❑ Cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION /AAM) Mon. Tues. Wed. hurl. Fri. P.M. Inspection Made ? Inspector B-1.2 CITY OF Irw4ft& &X4- Office of Building Official �y ell FOR INSPECTION Die a ' eV Permit No. S� Time A.M. Received P.M. District No. Job Address Locality Owner's Name ctor BUILLTING PLASTERING TRICAL PLUMBING HEATING Foundation.......❑ Wire..................❑ Rough Wiring. /Rough...............❑ Rough............❑ Chimney...........❑ Lath.............. .0 Finish Wiring., Final................. ❑ Final...............❑ Framing............11 Scratch..............❑ Fixtures..........❑ Sewers...............❑ Water Heater..C1Final.................❑ Brown...............❑ Motors.............❑ Gas................... ❑ Finish................❑ Cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION Mon. Tu Wed. Thum. Inspection Made Inspector 8-1.2 CITY OF 004014 1�►•��0►�i d / - Office of Building Official REQUEST FOR INSPECTION Date / Permit No. Time Received Pv. District No. Job Address � Locality Owner's Name -- Contractor BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation.......❑ Wire..................❑ Rough Wiring.❑ Roug ............... Rough............❑ Chimney...........❑ Lath..................❑ Finish Wiring..❑ Final.................❑ Final...............❑ Framing............❑ Scratch..............❑ Fixtures..........❑ Sewers...............❑ Water Heater..❑ Final................. ❑ Brown...............❑ Motors.............❑ Gas...................❑ Finish................❑ COW001...........❑ Wallboard ........❑ READY FOR INSPECTION d Mon. ues. Wed. Thurs. Fri. P.M. Inspection Made -� CITY OF Office of Building Official REQUEST FOR INSPECTION y Date G,' °5� � Permit No. 7 Time A.M. Received yy P.M. District No, Job Address Locality Owner's Name Contractor, BUILDING PLASTERING ELECTRICAL -CLIMBING HEATING Foundation.......0 Wire..................0 Pnugh Wiring.0 Rough...............—� F ough............❑ Chimney...........0 Lath..................❑ FJVh Wiring..❑ Final........,........ Final...............❑ Framing............0 Scratch..............❑ Fixtures..........❑ Sewers...............0 Water Heater., 0 Final.................0 Brown...............0 Motors............❑ Gas...................0 Finish................El Cesspool...........❑ Wallboard ........0 READY FOR INSPECTION Mon. Tues. Wed. Thurs. Fri.-P.M. Inspection Made Inspector CITY OF Office of Building Official REQUEST FOR INSPECTION Date a l� Permit No. Time A.M. Received P.M.- District No. _T" —mob Address Locality Owner's Name 1 --Cq tractor BUILDING PLASTERING ELECTRICAL PLUMBI HEATMG Foundation.......❑ Wire..................❑ Roleph Wiring.❑ Rough............... i FTbcugh............❑ Chimney...........❑ Lath..................❑ Finhd' Wiring..❑ Final................. ...............❑ Framing............❑ Scratch..............❑ Fixtures..........❑ Sewers...............❑ Water Heater.. ❑ Brown...............❑ motors.............❑ Gas................... ❑ f� I Finish................❑ Cesspool...........❑ / �C// �Wallboartl ........❑ READY FOR INSPECTION A.M. Mon. _..`-- Tues. Wim. �✓ Thurs. ltz Inspection Made r ' 11AInspector " �� CITY OF Office of Building Official REQUEST FOR INSPECTION ,�= Date Permit No Time A.M. Received P.M. District No. /9// - - �//��Job Address ss Locality OwnNamer s Contractor AZ� BUILDING PLASTERING CTRICAL PLUMBING HEATLNG Foundation.......❑ Wire..................❑ Rough Wiring. Rough...............❑ Rough............❑ Chimney...........❑ Lath..................❑ Finish Wiring..El Final................. ❑ Final............... Framing............❑ Scratch..............❑ Fixtures..........❑ Sewers...............13 Water Heater.. C1Final.................11 Brown...............❑ motors............❑ Gas................... 13 Finish................❑ Cesspool...........Cl Wallboard ........❑Lz�e"y�` � READY FOR INSPECTION ( A,M. Mon. ues. Wed. ` Thurs. Fri. P. Inspection Made Inspector 9479 ., 09RApTM9NT of BUlt CITY OF ATLANlit BEACH PERMIT INFORMATION � -------- LOCATION INFORMATION , r It mu* re a 9479 Address1911OAR CIRCLE EA : RE- tOOATLANTIC ECH . FLORIDA Permit P of park: REPLA MT PERMIT" � .. ..., �_,.�.�:� LEt Al DESCRIPTION ", t " a FIBERGLASS Lot , ` BIa Section oPc od .0 e= IAIOLI� FAMILY Township RNG. Q � Code: 0 +xbdi v �t ern. s�el ua marina ot Amo 2 5th D 2 9 rocfremove c e APPLICATION S TION " PERMIT . 5th Ia�;..� IPCLE T IMPACT, PEE 4L : . LORIq 40 ,a q, TA FEE �� ` R C 1"ACAS N.R, $0 .0 .r .,_ . ... s , , �? �tEaO�.'��►�i RADON CAB S $0.00, N I l IN. �PRCP R PITAL IMPR V Ct.0.0, �� 'S L.LT .� ,.e EEN'BR 'SAP � 4.�� JACK ILLS, PL 32,216 CROSS CONNECTION $0 ,00 C0 '. Type: 0 SEC R IMPACT FEE CONST;SURCHARGE o". +� r N a ES. PAID DEC 194"4 City Of Atf#Atic tch. NOT14 ALL CONCRETE FORMS AND POOTIN:GS MUST,BE INSPECTED BEFORE POURING + PERMIT V)Oiib SIX MONTHS AFTER DATE OF ISSUE IL DINMATERIAL,RUBBISH AND'DEBRtS'FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE L RED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER �R ►ILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN E PROP"ERTYOWNER PAYINGr ' lC 'FO BUILDING IMPROVEMENTS." SUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF'T'HIS PERMIT AND SUBJECT TO REVOCATION FOR ` OLATION OF APPLICABLE PROVISIONS OF LAW. A ANTIC BEACH BUILDING DEPARTMENT , w 'N CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNEC'T'IONS ACCIDUNT NO. DAM IOCATION /9// LOT NO. BLOCK NO. SUBDIVISION /-PG2.. OVER o TYPE OF BUILDING MASTER PLUMBER DATE INSPECTED BY CITY OF ATLANTIC BEACH APPLICATION FOR 4QATER CUTIN APPLICATION IS HFEBY MADE FOR `/�/ � VaTER CUT-IN AT THE FlOII✓JING ADDRESS FDR UNIT (S) CUTIN CHARGE STREET NO. LOT S BIS . . . . . SUBDIVISION ACCOUNT NO. MASTER PLUMBER Y AIL NG ADDRESS DATE-5 I-P r- I METER NO. 2 516 6 "�3 O S DATE INSTALLED CITZ or ALANTIC BRA= ROOIFING PERMIT APPLICATION Owner(s) : Li`v ,111 Address: W4- 42 z Z�hone: Lot # , Block or Unit # Subdivision: Contractor: Address: City, State and Zip Phone State License # Describe work to be performed: m� T Valuation of Proposed Construction: C� Materials to be used: Signature of owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information