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Permit 659 Ocean Blvd (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00031994 Date 1111106 Property Address . . . . . . . 659 OCEAN BLVD Tenant nbr, name . . . . . . GAS PIPING Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ----------------------- ------------------------ HEYMAN, TED SAWYER GAS COMPANY 659 OCEAN BLVD. 98 PENMAN ROAD ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-6471 ----------------------------t----------------------------------------------- -- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . I . . Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments BUILDING PERMIT # 05 31896 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUIEI,D OFFICL&L CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: 01406 Property Address: Owner-.77�� Telephone#-. Contractor: :,- �Lvt,a ",5 Telephone#: Contractor Address: Fax#: Contractor Signature: In consideration of permit given for doing the work as described iifthe above statement,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 City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: • Electric • Gas: _LP —Natural —Central Utility La Oil 0—S-7–z– C) Q Other–Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK • Heat Space Recessed Central —Floor Residential • Air Conditioning: Room Central El Duct System: Mat�rial Thickness 0 Commercial 0 Reffigeration Maximum capaci cfin C3 New Building U Cooling Tower:Capacity --------prn 0 Existing Building U Fire Sprinklers:Number of Heads U Elevator: —— Manlift—Escalator�_(Number) U Replacement of Existing System a Gasoline Pumps _(Number) o Tanks -,.—(Number) New Installation L3 LPG Containers (Number) (No system previously installed) • Unfired Pressure Vessel U Extension or Add-on to Existing System • Boilers -A Gas Piping Q Other-Specify u Other—Specify_ LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUEPMENT&CONDENSORIS Approving Number Units Description Model# Manufacturer Ton's Agency HEATING–FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road e Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 e Fax: (904)247-5845* httL)://www.ei.atlaiitic-beach.fl.as Revised 1/04 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAI) ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Bqilding-degt(a__) ,coab.us Application Number . . . . . 08-00000273 Date 2/29/08 Property Address . . . . . . 659 OCEAN BLVD Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc icu 1 ahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HEYMAN OCEAN STATE HEAT & AIR, INC. 659 OCEAN BLVD. 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/27/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- -Permit Fee Total 79. 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 .00 PERMIT 18 APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. L CITY OF ATLANTIC BEACH 07- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5645 BUILDING-DEPT@COAB.US ON DUVAL COUNTY MECHANICAL PERMIT APPLICATI I.-JOBADDRESS; El NO f-4dic Beach, FL 32233 0 YES PERMIT M WN PROPER, 4.N 5.A.DDRESS IF DIFFERENT FROM JOB ADDR_ESS: 6,PHONE: Ect oee&n_ 1�� -:L CHA OF COM PA Af L&d 6 -'6'STATE OF FLORIDA LICENSE NO 10.CELL PNONEq. 11.FAX NO.:,J vy 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. �/Y— yl�?-�-I Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS Sl<;;;� G 5 TA 5.CLA R5�17-711"' 0��W INSTALLATION 0 IN E* R -ETD6 FLORIDA BUILDING CODE- ffrREPLACEMENT OF EXISTING SYSTEM l3?TfX'IS NG 0 COMME IAL MECHANICAL D ALTERATION/ADDITION TO EXIST SYSTEM 0 REPAIR 0 OTHER MECHANi—CAL EQUIPMENT TO E-1 LLED'-, 19.HEAT: 0 SPACE 0 RECESSED 13CENTRAL 0 FLOOR BURNERS: 20.AIR CONDITIONING: EJ ROOM 0 CENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfrn 22.REFRIGERATION: MAX CAPACITY: Cfnn 23.COOLING TOWER: CAPACITY: 9PITI 7ER I B STA 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: El PUMP 0 WELL 0 PIPING 29.GAS PIPING: #OF OUTLETS: 0 GAS AHU: 0 GAS WATER HEATER: 30,OTHER-SPECIFY SOLAR HEATING, BOILERS,LIN PRESSURE VESSEL,HEAT EXC-QPAL!M1 OR COIL IN DUCTS ETC. EMS: 11-00 YN U($,M 7 NUMBER AERGON6M FRI`G N APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY__ 32.�HFEATIN'113141140 '777 WIPMENT tkc9s,AIR HA B FU S -FIREP Nb'LE�k E-r, NUMBER APPROVINU OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY 4 4l' APPROVI r� Z5 ING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY COAB FORM BLOG04:REVISED:9/1312007 02/27/2008 17:27 FAX 9042498949 OCEAN-STATE-A/C ATLANTIC-BEACH laool/ool L �goq I-P-9/9 CITY OF AnANTIC BEACH WMINOLE PLOAD,Ar.�MACH,FL MES 07- OF04CS.IMRWAM*FAX NO.IMIZ47-Ml owww"I"ecom.ua MECHANICAL PERMIT APPLICATION DUVAL COUNTY ONO ..�ZOYES PERMITS: 6&di.' BeaCh. FL 32233 4. ot, a.Alooptass 11 OW mllom A=*f& PHONE W,9 W4&—uQ 61 W I L-Il,L-M &I 'a a a h) kat J- aet 0'9 STATE Of PLfWJOA LICENSE NO.Cm w Y Fell U.EMAIL ADONSS; Orpc9 PHING, Appillmikin is hweby made to obloin a pomft to do the work wid wIstollodurs kWicaled. I wft Ilmd all work will be pertmied 10 amot Vw standarde of ad Wma regulathg oond=lw in this)udsolOon. This permit becorm rrjll end v*if work is iml cosimim cad whNn six(8) momths.or I constuction or vwk Is stowended or obwxbned for a poftd of six(6)monft at any km*her work is m wv :MOMM 13 fpW INSTALLATION a N1504 FLORIDA BUILDING COOE- ff'kEPLACEMENT OF IOGSTING SYSTEM *61s G D COMME MECHANICCAL 13 ALTERATION/ADDITION TO EAST SYSTEM 7 0 REPAIR 13 OTHER murwompy 19.HEAr 0 SPACE Q RECESSED 13 CENTRAL 0 FLOOR BURNERS: 20.AIR COMPIT11"Ilka: 0 ROOM 13 CENTRAL 21.DUCT S"TSM: MATERL04L THICKNESS: MAX CAPACITY: cfm mommommo=223m�_ ZZ REFIttl(NERAMON: MAX WACITY:_Cfm 23.COOUI(Q T9V MR:' CAPACITY:_gpm 2C FIRE SPRINKLER: NUMBER OF HEADS: 2L LIPT SYSTEM, ELEVATOR; MANLIFT: ESCALATOR: AUTOLIFT! 26.COMMERCIAL HOOD NUMBER: 27.RREPLACE: A—EFABRICA AD�,- MASONRY: 26.IRRIGATMN- a PUMP 0 WELL a PIPING —.,V n.a"PWING: 0 OF OUrLETS; 13 GAS AHU: 0 GAS WATER HEATER. 30.OTHEIR-SPECUrY: BOtM MfArPA%VOUNII.VMFW40 FM$UFtG VEEWL HEAT EXCHA"WA OR COOL IN OUCTS Irm. MUE FOR OTHIR ITM: rc5pNUMBER OP UNITS OgSMPTiON MOmLs MANUFACTURSR AGIIINCY !ljwrs Nubuftm PaIrRUVINO gf LN(Ts OFSMPTION s MANUFACTUINER STU AGENCY qpj q mfw VIM t"i N"u GALLOW NED MANUFACTURER SERIAL 0 AGENCY COAD POW BLOW:119vtoett smamm EACH CITY OF ATLANTIC B 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 -.1 t INSPECTION EMAIL REQUEST: <:L115jils) Building-deptLa Lcoab.us Application Number . . . . . 07-00001140 Date 8/13/07 Property Address . . . . . . 659 OCEAN BLVD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6290 ---------------------------------------------------------------------------- Application desc REROOF, FL PRODUCT APPROVAL 05-120 . 03 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HEYMAN THE DESIGN & BUILD GROUP, INC. 659 OCEAN BLVD. 348 PLAZA ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-2228 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6290 Expiration Date . - 2/09/08 ---------------------------------------------------------------------------- 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 wrM ALL cn-y OF ATLANiic REACH ORDINANCES AND THE FLORIDA BUILDING CODES. V BuILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach FL 32233 -5845 -5826 * Fax: (904) 247 Office: (904)247 Job Address: vd, Permit Number: Legal Description q, �5- RS , 9 q E Mild, I f fla�14 RIF �x, /6 44�6w e 9!��4 I-el 5- Valuation of Work(Replacement Cost) S 6 4 Zq0 • Class of Work(Circle one): New Addition Alteration Rep-a-i-r--) �Mv�� C • Use of existing/proposed structure(s) (Circle one): Commercia • If an existing structure, is a fire sprinkler system installed? (Circle one): Yes 0 N /A 9 • Is approval of homeowner's association or other private entity required. (Circle one Yes (No ' Describein etail 1—typq of wort.tobe performe2i: T"r, ax h e, 4 Proper Owner Information Name: 4d KAK- Address:- 6 -f oceakk olvd. �Zip 2- city Ag"C &a CA StateF -2!��33 Phone Contractor Information: Name of Company:Tkr L'�eack &0�'5 /�C�i Q, R t3Udd. Rualifying Agent: Te A14;-[ev AAaly a Cr ') 4yoyp.� I - Address: 3!:tk P14.2-ei- Rqh-h c 24acl,, State FL Zip .32233 Office Phone 96-4- -7 45 Job Site/Contact Number State Certification/Registration#('CC-/31'T�L/�.4Z/S'12-(P-I fficeFax # Architect Name& Phone # �/4- Engineer's Name & Phone # W//-�— ,4pplication is hereby made to obtain a permit to do the work and installations as indicated. I certi that no work ol fy_ installation has commencedprior to the issuance o fa permit and that all work will be 7erformedto meet the standards qfal laws regulating construction in thisjurisdiction. This permit becomes null and void ij work is not commenced within sii(6, months, or if construction or work is suspended or abandonedfor a period of six (6) months at any time qfter work h commenced I understand that separate permits must be securedfor Electrical Work, Plumbing, Signs, Wells, Pools Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOL INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNE-y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. that I have read and examined this application and know the same to be true and correct. Allprovisionso i hereby certi� laws and oriinances governing this type ofwork will be complied with whether specified herein or not. The grantini o i permit does not presume to give authority to.violate or cancel the provisions qf any other federal, state, or loca ra-o regulating construction or the performan e of construction. Signature of Property Owner: Signature of Contractor: swor,nAand subscri�ed before Sworn tp and subs"ibed before in this fj,.�3:11)ay of F1-,%jiY\Y4 !Z607 this JO&IDay of ML NINGHAM Notary Pub I Notary Pu A A CHRISTIAN JAMES BRABENEC x Feb 28,2010 AANNotary Public,State of Florida Commi 523638 ta Assn. 'o otary Assn. REVISED 03.05.07 Commissions DD493926 11"j, Bonded By Na I y comm.&VIres Nov.27,2DO9 NOT OF (�Uylivirlzi 7-�-�-r.r4 M;��nad t— �-y t:f�a- art-ordaniu,with Sr-rtion 7�3 Ift thi-Ficiridi Staliilrr� thr ...... COMMENCEMENT. M— nproved: -2-5- 1ji" itz, Address of property being improved: ca-� vd, Cveneraidescrobwofimproveatents:. Owner Address 65--� Oce4h lffltkv�ic )D64 32�23 Owner's interest in site of the improvement Z-aupAc-c— Fee Simple Titleholder(if other than owner) Name Address Contractor -IZ2LO &A -Lilati 4, Address 34E- P1,qzA .32X34 Phone No. FaxNo. .24/. OOY3 Surety(if any) Address Amount of bond 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 Floirida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address 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 Statutes.(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): N, THIS SPACE FOR RECORDEws u$E ONLY R . Signed: I---- DATE V45-6.ZOO Before me day of yj� rQW!W It an AM- A rem by F imselffhersOlf and affirms thatau statements and dedarations,herm R day".f !3 V-1y are true and accurate Doe#2DO725SM7,OR BK 14127 Page 17, Number Pages:1 Filed&Recorded 08AXV2W7 at 03.03 PM,-. JIM FULLER,CLERK CIRCUIT COURT DUVAL COUNTY Notary Pubiie—at ate J� Rglnz Of evy, My commission expires P Ii. OW RECORDING$10.00 Personally Known Prodticed Identification CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001688 Date 12/23/08 Property Address . . . . . . 659 OCEAN BLVD Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc replace exisitig deck ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HEYMAN OWNER 659 OCEAN BLVD. ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00 Issue Date . . . . valuation . . . . 8000 Expiration Date . . 6/21/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total 35 . 00 35 . 00 . 00 . 00 Grand Total 105 . 00 105 . 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 APPLICATION NUMBER : art ent.) h D P m Building Department (To,be asagne y t 0 Bdoing e 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 ........... E-mail: building-dept@coab.us OR bate rou ed.. Cityweb-site: hftp://www.coab.us 1 7 APPLICATION REVIEW AND TRACKING FORM Property Address: De"partment review required Yes No ildin Applicant: t4j WE L Wn—nin &Zo rojec Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: F]Approved. [—]Denied. (Circle one.) Comments: (i--BIJIL .7 4- LANNING &ZONIN at �6v� R PKS —l"Wed by: Date: 12 PUBLIC UTILITIES Second Review: pproved as revised. ODenied PUBLIC SAFETY Comments: 0)08 95k FIRE SERVICES Reviewed by: Date/-Z'/O"OF Third Review: DApproved as revised. FIDenied. Comments: Reviewed by: Date: I_ 7.7 , "?T:il�f APPLICATION NUMBER City of Atlantic Beach I Building Department I (To be assigned by the Building Department.) 800 Seminole Road DEC 0 9 2008 Atlantic Beach, Florida 32233-54-5 Phone(904)247-5826 - Fax(9C b2t7-5845 V E-mail: building-dept@coab.us ==- -Z.� LDate routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No uildin Applicant: nninq &Zo ;Proj ct: fl!q Public Safety j Fire services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: P(Approved. E]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING P APUB Reviewed by: Date: PUBLI U I Second Review: FlApproved as revised. ElDenied. UB L I F PET Y Comments: FIRE SERVICES Reviewed by: Date: Third Review: EjApproved as revised. F]Denied. Comments: Reviewed by: Date: A City of Atlantic Beach PIPLICA I.ON::NUMBER D (To be assicin&d b -.4nd_epa#6n0:t1 Building Department y tN-a-Bluild 800 Seminole Road Atlantic Beach, Florida 32233-5445 -5826 Fax(904)247-5845 ............ Phone(904)247 . ......... E-mail: building-dept@coab.us Date rou,edw- zz Cityweb-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: _6f-7 tt"Wl Department review required Yes,,-No ildin. nninq &Zo Applicant: Af F L -4� roject: ti t Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLWTION STATUS Reviewing Department First Review: proved. E]Denied. QY (C�pne.) Comments: 0 � DING PLANNING &ZONING Reviewed by: /Y7 9&DaeLA= Date: Id-1710 PUBLIC WORKS PUBLIC UTILITIES Second Review: [-]Approved as revised. []Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: FlApproved as revised. OlDenied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH 08. 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY "779M'12, FT �.,)IALLJA,TIQN�IOR�YV"09*i%��t Atll.tiC Beach, FL 32211 4 CLASS OFXORKP1;t0A0',,'!,X,Z" 0 NEW BUILDING 11 DEMOLITION 19 RESIDENTIAL LOT BLOCK SUBDIVISION 11 ADDITION 0 CONVERTING USE COMMERCIAL '�%'T.AjESCRIPTI wlz�" 0 ALTERATION 11 ACCESSORY BLDG. Bt.FIRE SPRINKLEFC J)KREPAIR 11POOLiSPA 0 YES XNIA Q MOVE 0 OTHER 10 NO oPA CTOR.�,' ITE P CH CT�j ENGINEEW xv; _R0FERT.Y,-0WNEW.;,,' 9.NAME: 15.COMPANY NAME, e_\ 23.COMPAA NAME: &�Ytvy,, S' eLvke_s,*vv\ 16.NAME: 24.LICENS :NI 9 0'r f:�l 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STAE OF FLORIDA LfCENSE NO.: �4& t-000 (0 '1 9t. 18.ADDRESS: 26.ADDVSS: VI r-L I a -Z -?_? A+(kv_*ic_ 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHIDNE: 28.FAX N7.: - I ;LLjq_kL(3a I )VA I At A 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 17;?, OX-7 -7 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: AOL , Co(I V.e_�&C e1c, ��X _51IMFUJITLE H FEE mc,;6��<"'WIM"4 NG"'66'm R E� M LENDER.��MR I "PI-1-1, 0�*'OVIVNER0., ?2V 'F "N"10 31.NAME: 33.NAME: Z4 35.NAME: W eA\I 32.ADDRESS: V 34.ADDRESS: fv 36.ADDRESS: 'k Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or in stallation h 1 4010" Istalla I t: tructi is susp s commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction ir jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended 6r abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured ib Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicalol i� COD laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled afli, C= prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE T[E4=== FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE-RECORDING YOUR NOTICE OF COMMENCEW Ni T 91 .'a RACT0R,'g,*,ff,' AGENT jo�,, X or W isttefke� W Signed: �k'I' 34N ZEnV Signed: Date: 41- _Vs 7 0')vCA*lII 2001inth Before me - 0V__P__ a county of Before me 200tinthe uG'=E Duval,State of Florida,he r nallyappeared Duval,State of Florida,has�ersonally appeared U C:� _77 herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declar Incy true and accurate. true and accurate. U Notary Public at Large,State of County of Notary Public at Large,State of County of 0 Personally Known 11 Personally Known 'uced Identificatio 12,Pir6d'uced Identific io ve cf. Notary Signature. Notary Signature: CA ALLYSON V.CREEL ALLYSON V.CREEL U Notary Public,State of Florida Comn**n#DD765111 Commlosiong DD765111 My comm.exores Mar.4, 2012 My comm.9)#res Mar.4. COAB FORM BLDG01:REVISED 1/6 ZAN Notary Pubk State of CITY OF ATLANTIC BEACH (OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; 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. TBE EXEMPTION ALLOWS YOU,AS TBE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGII YOU DO NOT FIAVE A LICENSE. YOU MUST SUPERVISE TBE CONSTRUCTION YOURSELF, YOU MAY BL11LD 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. TBE 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 WITHN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, TTIE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WIUCII IS IN VIOLATION OF TIES EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO TEE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU FIAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. 11. INJURY LIABILITY; 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. III. IRS WITHHOLDING; 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. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). 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. V.ACKNOWLEDGEMENT; 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. (9 5-3 0 caew, 3-o a-7-7 ADDRESS NUM13ER vy\&V� PRINT NAME SIGNATLN13 DATE Before me this day of V lb"Vot"' 2009 in the county of Duval Statq of loridio,Pas personally appeared 4,�,�Fruvl)&J--N —, - 1�"&I?:n Je true and accurate. Notary Public at Large,State of County of Personally Known AUYSM V.WIEEL Notary P01c,State of Floft ER15r—oduced Identiflication-V�g2 C)6Qze, 1* My Commise"DD765111 M oomm.o*m Mar.4,2012 Notary Signature 9EY COAB FORM BIDG07;REVISM: 8/1�4 12/15/2008 16:51 904-292-1325 ULTRATECH INTL. PAGE 01104 ZAx Cover Sheet Date: December 15, 2008 Pages: 4, includi-ng cover To: Lisa Showman, COAB, Public Works Dept. Fax: 247-5845 From: Tad Heyman RE: 659 Ocean Blvd. — Deck Repair(pending bldg. permit) Dear Lisa: Thank you for your help this morning. Attached is a copy of my survey and the"Public Works Plan Review Comments" page that was faxed to me on Friday December 12. 1 have coded the various items you requested on tbe survey as follows: A = areas to store building materials B = dumpster location on driveway (20 yard) C =one(1) pick up truck to be parked in this location; no other vehicles will be present Ju summary, no materials, equipment, vehicles or the dumpster will be parked or stored on city property. No rigbts-of-way will be affected in any manner. A.11 items will be on my property and will not inconvenience anyone. I will definitely be using a roll-off company that is on the City approved list . and it willnot be placed on City right-of-way. I understand the Public Works Director is on vacation this week and that it is possible that action may not take place on this matter until the week of December 22 as a result. The Building Dept. has assured me that the building permit will be issued pending my responses to the two (2) items noted on the "Public Works Plan 12/15/2008 16:51 904-292-1325 ULTRATECH INTL. PAGE 02/04 Review Comments" form. I plan to remove the existing deck over the weekend of December 19, but will not begin re-building in an.y manner until the permit is issued. Permit Timing: I have arranged to take time off from work starting Wednesday December 24 —Sunday January 4 to complete the repairs. If the Building Permit can be granted on or before Wednesday December 24 it would be much appreciated! Thank you for your help. Please feel free to contact me with any questions or addi0onal needs. Sincerely, Tad.Heyman Cell: 923-0277 12/15/2008 16:51 904-292-1325 ULTRATECH INTL. PAGE 03/04 MAP SHOWING BOUNDARY SURVEY OF ILOT 5 EXCEPT THE EAST 75 FEET. BLOCK 16. DANtFL AND HACKETT. AS RECORDED IN PLAT BOOK 9. PACE 35. OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA. CERYIM TO, L TAD HEYM AN COUNYRYMOE HOME LOANS, INC- STEWART TITU OF JACKSONVILLE� INC. WATSON & OSBORNE. P.A. BEACH AVENUE (44La' Rx"r oF wAy) wr LO'T 3 LOT 5 s i cmwc)cr c Pre 30.02o nwo I/r WAP Pot vcgmowmok — -- - A to ao PI ch on LOT 4 LOT 2 Pax. 0 Mawr in 0 UWA TWO STORY FRAME w POSTED # 659 ui LV F5. 04 LOT I CA z 2: 30 tl,.r LOT 5 A 2w— 4 vnp,00 N lovwoor w op vm1w""w BEACH AVENUE (sa.r Nwr of WAY) mmyo Im LEMNO. FiM =cam 12/15/2008 16:51 904-292-1325 ULTRATECH INTL. PAGE 04/04 izm/Aaes 89:38 9042475043 ATLCIBEACH CITY WORKS Melfad Public WorW plus Review CommenIs . . q t!?!--5 1 ................................................. ILA', W;41�f ..... ..... -14I-T, 4 wtth mA mabmnmc"- pMjde C3- sim.wpogapbl(now.mows,Co.) q, if mm Jr.: b"y a CCMODUM cod 14 E3 left OPMAW =.She retm&m T"U'red fton&D" qm4ot 24- Sfe&"Cbg—d Info' survey If onft p is 1 '4 a P.00t tm- wM bt A PAO-Of-Wf y P@rm't mug be oWioad fbr we r ,.Mbmwl pamin wag be ,kp.mcmbl ..................... from vejeteled spa I rp iow ilt(If i1a)Mug dischm Pool ILIdizillicirm(Al I 1;��1111,11,11,11,11, d 5 bnodwo 4000 V316. we not 13 iso be conmtb AR to*t R.Wfmi�.&TO&Or me& U odo of&I Pfvcmg-o f4D ft 1b anowed' IRLOW ommm—t" e X wd ts in 606 mostu Uwag col be 0 AnI i i . *e 062W of*c ost Rqmk m"be matbe aid 10 tM JA cs& pbLad ou md cma be Off cmtdau MUPEV Mut be=CUY WF111 CRY r&-d- ....... 13 13 13 Dec 16 08 08: 18a 12/1512008 16:51 904-292-1325 LURATECH INTL. PAGE 01104 P. Fax Cover Sheet Date: December 15, 2008 Pages: 4, including cover To: Lisa Showman, COAJ3, Public Works Dept. Fax: 247-5845 From: Tad Heyman RE: 659 Ocean Blvd. —Deck Repair(pending bidg, permit) Dear Lisa: Thank you for your help this morning. Attached is a copy of my survey and the"Public Works Plan Review Comments" page that was faxed to me on Friday December 12. 1 have coded the various items you requested on the survey as follows: A = areas to store building materials B =dumpster location on driveway (20 yard) C =one(1)pick up truck to be parked in this location; no other vehicles will be present In summary, no materials,equipment, vehicles or the dumpster will be parked or stored on city property. No rights-of-way will be affected in any manner. A.11 items will be on my propeTty and will not inconvenience anyone. I will definitely be using a roll-off company that is on the City approved list and it will not be placed on City right-of-way. I understand the Public Works Director is on vacation this week and that it is possible that action may not take place on this matter until the week of December 22 as a result. The Building Dept. has assured me that the building permit will be issued. pending nhy responses to the two (2)items noted on the "Public Works Plan Dec 16 08 08: 18a p. 2 12/15/2008 16:51 904-292-1325 ULTRATECH INTL. PAGE 02/04 Review Comments" form. I plan to remove the existing deck over the weekend of December 19, but will not begin re-building in.an.y manner until the permit is issued. Permit Timing; I have arranged to take fitne off from work rtarting Wednesday December 24—Sunday January 4 to complete the repairs. If the Building Permit can be granted on or before Wednesday December 24 it would be much appreciated! Thank you for your help. Please feel free to contact me with any questions or additional needs. Sincerely, :S :�- Tad Heyman Cell: 923-0277 Dec 16 08 08: 19a 12/15/2008 16:51 904-292-1325 ULTRATECH INTL. PAbL ujtu4 P. ,2 q Y-4 2- MAP SHOWING 13OUNDARY SURVEY OF LOT 5 EXCEPT THE EAST 75 rUT. BLOCK 16, DANIEL A140 HACKETT. AS RCCORDE0 IN PLAT BGoK 9, PACE 35. OF THE CURRENT PlJOLIC RECORDS OF DUVAL COUNTY. FLORIDA. CERnFlEl) TO 4 TAG HEYMAN COUNYRYWIDE HOME LOANS, INC. STEWART TITLE OF JACKSONVILLE. INC. WATSON & OSBORNE. P.A. BEACH AVENUE oul Ftwr or my) fur L01 3 LOT 5 50-02' 'now mm 1/r mo per m Gain! 3w 02 Ho aval a a r4 LOT 2 LOT 4 �60 0 4: TWO STORY FRAME LAI POSTED 659 Lw LOT I ad 00 Id LOT 5 M ri low 1169p iv"v/r Vick pm ON m lowoo* w BEACH AVENUE JU.0'NWT CW WAY) mm." Company Contact Name Mailing Address City, State&Zip Cod Phone# Advanced Disposal P.O. Box 24569 Jacksonville, FL 32241 338-9704 Shappell's, Inc. 8565 Stocks Road Jacksonville, FL 32220 786-5503 Realco Recycling Company, Inc. 8707 Somers Road Jacksonville, FL 32226 757-7311 �Lo T CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING'REQUIRES OWNER I BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATENfENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE -LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PER�&T UNDER AN EXENIPTION TO THAT LAW. THE EXENIPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUS SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR EvfPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR RVIPROVE A CONR�4ERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING NfUST 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 CONTLETE, THE LAW WILL PRESUIffi THAT YOU BUILT rr FOR SALE OR LEASE, WHICH IS IN VIOLATION OF TIES EXENIPTION. 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 SUM THAT PEOPLE ENTLOYED BY YOU HAVE LICENSES REQUIRED— BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. Ill. IRS WITHHOLDING; 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. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FL-ORIDA STATUTE NO. 455-228(l). AN-OCCUPATIONAL LICENSE IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS. CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. G 5-9 6) \4 2- 3-0-JL-7 ADDRESS PHONE NUMBER PRINT NAME SIGNATM DATE Before me this day of k- VR—T"�� 20136irith.c..rity.f Duval State of loridq,pas personally appear d :14-1 i0--Q-n Z,r—, &17---, herin by himself/herself and affirms that all statements and demarations are true and acrurate. Notary Public at Large,State of Gounty Al1YSWV.CREEL Personally Known I 40 NotM Public,State of FlorMa &rro—duced Identification NAD Comff"lorW DD7651 11 My comm.ex*u Mar.4,2012 Notary Signature: 21, COAB FORM BI.DG07;R.EV.ISE.D: 811 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08- OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY ..P'ADD S u BOP.11 MA .DER BE V11IMP rM Atl..tiC Beach, FL 32233 9,6 q 3 �o STRU 8� ,%",4�*MGWDE��CRI$n101q,'-��%W�4".,:��l_,�,Kv onkffle,K.W0MA8*`sA 46��, vx ifl8lrlw, &,Use F, CT_ 11 NEW BUILDING 13 DEMOLITION 19 RESIDENTIAL LOT5BLOCK/6 SUB DIVISION El ADDITION 0 CONVERTING USE COMMERCIAL 4' IRS$PRI m.�w-4000-,O'.k 1W El ALTERATION 171 ACCESSORY BLDG. XREPAIR 11 POOL/SPA 11 YES )(NIA El MOVE 0 OTHER El NO 9.NAME: 15.COMPANY NAME, 23.COMPAA NAME: S�e_k 4� CLVke_S*0V\ Aw,"�,- a6- 16.NAME: 24.LICENg NAM :r=m 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.ST,�TE OF FLORIDA OCENSE NO.: Ar,00-0 (, q96 18.ADDRESS: 26.ADDVSS:S - 1 -1 So-V.., ke- r-A_ A+tkv-*-,,c- "kc� P-L 3 z--,?--3� F 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PFtONE: 28 F!)�N7.: - I �Lj 4?-/0 Lf a )V/A A 13.CELL PHONE-. 21.CELL PHONE: 29.CELL PHONE: 13.2.3-0511�77 -7 316 % 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: AOL, Cotj 14 P-Mv litce-S C_0�%CAS+. Vw:k- W L gj,�,g I �,@ NA 0 2M % s, Wx ER, 31.NAME: 33.NAME: Al Z4 35.NAME:W 32.ADDRESS: V 34.ADDRESS: 36.ADDRESS,. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNEFVS AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER.-0R,,.AN ATT. .0RNEY BEFORE-RE.C.051PING YOUR NOTICE OF COMMENCEMENT. 5 �1&An M01 HAUR." N. I Ra: 9KV IAN, III. MARX Q Q;� i K ER,' "4RA, 4� Signed: \c DateX�A&' N�67 Signed: N, r Date: 16 f A ty Before me 1,rCVj,, 20CSinthecoun of Before me wt 200t in the county Duval,State of Florida,h personally appeared Duval,State of Florida,has personally appeared ZM 7-", _ _�5�K1 t�4 61 A �k t�4v_vl 2"1 herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declan4tions are true and accurate. true and accurate. 7,k ��) _)1J Notary Public at Large,State of County of Notary Public at Large,State of County of 0 Personally Known 11 Personally Known 131.kl5d'uced Identificatio (,-:-\ -A, - n ific C-\ TY Vfr C, V y pr6ducedlde t k Notary Signature. Notary Signaturem )04� &0�11 ALLYSON V.CREEL ALLYSON V.CREEL 4AM Notary Public,State of Florida a Commission#DD765111 Notary Public,State of Florida COAB FORM BLDG01:REVISED-1 1/6= Commissionill!DD7651 11 My comm.expires Mar.4, 2012 My comm.expires Mar.4,20121 MAP SHOWING BOUNDARY SURVEY OF LOT 5 EXCEPT THE EAST 75 FEET, BLOCK 16, DANIEL AND HACKETT, AS RECORDED IN PLAT BOOK 9, PAGE 35, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: I- TAD HEYMAN COUNTRYWIDE HOME LOANS, INC. STEWART TITLE OF JACKSONVILLE, INC. WATSON & OSBORNE, P.A. BEACH AVENUE (40.0' RIGHT OF WAY) 50.0' LOT 3 LOT 5 S I 0'00'00n E FOUND 1/2-IRON PIPE 50.02' NO IDENTIFICAMON POUND 1/2-IRON PIPE NO IDOORCATION 013ano�-o.y 13 a a a a CI 1300000 > 13000co 1300000 CY) 00 1113110131) LOT 4 LOT 2 POOL 00 > 18.6, �4 W TWO STORY FRAME 0 F 20 > Ld POSTED # 659 0 LLJ 0 8.0' 0 .0 i4 16 p LOT 1 0 0 1.4 00 z X V) BRICK z b 27.1 Cd LLJ Cj 27-1- > LLJ LOT 5 0 V) A 100.0' 0 50.0' 6 FOUND 172"IRON PIPE FOUND 1/2-IRON PIPE NO IDENTIFICATION N 10*00'00" W No iDEN nnCATION 50.00' BEACH AVENUE (50.0- RIGHT OF WAY) NOTES: ACCEPTED BY; LEGEND: X FENCE (S CONCRETE NOTES., I. BEARINGS ARE BASED ON TH97 ASSUMED BEARING OF N 10*00,00" W ALONG THE REVISIONS EAST RIGHT OF WAY LINE OCEAN BOULEVARD. DATE DESCRIPTION 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE X AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17. 1989, COMMUNITY NUMBER 120075, PANEL 0001 1) 3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED 4, THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. JOB # 2210 DATE OF FIELD SURVEY- 08-10-97 DISK # ZIP 3 CALE: 1" = 20' CERTIFICATE 923 Peninsular Place, Suite 1 1 HEREBY CERTIFY 7HAT'THIS SURVEY WAS MADE UNOER MY RESPONSIBLE CHARGE Jacksonville. Florida 32204 AND MEETS 7HEeN%UM 1CC.NICAL STANDARDS AS SET FOP BY THE FLORIDA BOARD OF PR __ IN , _A (Phone) 904-354-1141 .�L SU�VE'(ORS M40 MAPPERS 11-13. FLORIDA (Fox) 904-354-1255 ADMINISTRATI%('::��PY .4X Pam '�=TES. 1 11 ill 9111 i I It I I CHARLES K'. McfNTOSH LICENSED BUSINESS # 6702 REGISTERED SURVEYOR AND MAPPER # 5502 STATE OF FLORIDA LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS Public Works Plan Review Comments Date: 12-1 q 1nitials T11/ - Project Name/Address: OeeCL4 B/VJ Application Permit 4: 09 163� Mox hedk, qUilicationl �Ira kin "G 'A T, d -ommenis.,, Provide impervious surface calculations. 0 Provide erosion and sediment control plans with mistallationdetails and mamtenance schedule. Provide drainage plans showing site topography (flow,arrows,etc.) Provide construction site management plan, including Right-of-Way Permit-i?—us—ing right-of-way for construction parldng. Provide a pre-construction topographic survey prepared by a Florida Licensed— Professional Land Surveyor, showing V contours. ri Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runofE. Provide Delta volume calculations and on-site retention required 13 per Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting proper construction will be required. 13 •Right-of-Way Permit must be obtained for use 11 •Revocable Encroachment Permit must be obtained. Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum .r 70M— street or 4T-=L#ge feature (swale, structure or lagoon). All driveway aprons must be concrete, 5 inches thick,4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not E3 allowed in the ROW(Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the plans. Roil off container company must be on City approved list and cannot be pl�ced—on City right-of-way. City of Atlantic Beach APPLICATION:�NUMBER Building Department 2008 (T beas�sigqe.,_by the-Buildi rid Doportmbnt.��t 800 Seminole Road 2233-5445 Atlantic Beach, Florida 3� Fax(904)244- Phone(904)247-5826 E-mail: building-dept@coab.us . . .- Date routed:�!�j City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Property Address: ALuildino. Applicant: (A) WE L Fii iRin & onA roject: Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: DApproved. IDenied. (Circle one.) Comments: BUILDING r..4-)o� PLANNING &ZONING Reviewed by: —Date: ) PUBLIC WORKS PUBLIC UTILITIES Second Review: E�Approved as revised. [:]Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed bv:–///<,— Date: Third Review: ElApproved as revised. F-]Denied. Comments: Reviewed by: Date: ,'J"i CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00031946 Date 1/05/06 Property Address . . . . . . 659 OCEAN 13LVD Tenant nbr, name . . . . . . KITCHEN REWIRE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -- ------------- ----- --- - ------ - ----------------- HEYMAN DAN' S ELECTRICAL CONTRACTING 659 OCEAN BLVD. 6451 BEACH BLVD. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 838-9882 -------------------- -- ------------------------------------------------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee 70 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH ;T ELECTRICAL PERMIT APPLICATION Property Address: _� b Y\ Owner: Telephone DIC,v,"S f�_(ec+OL-AA 8,A 11 e ff POO untractor. T lephotic "; cicq-72-8-0 Cont-lactOr'C"Iddress: 19cil wes-� P& 19_1�1(e Fax �4: %�_72-q-3)qj Contractor Signature: i L='e w- 'J4, In consideration of permit given for d )rk as descri5ed in the Af4e slatenient. ),ve hereby agree to perforni said work in accordance with the attached plans and specifications which are a part�tWeof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: j Trailer Service: If other construction is La New '%> Residence U Temp. U New being done on this building --P� Old U Commercial L) Si2ns L) Increase Or site,list the building Permit number- Ll Re-wire D Addition Sq. Ft, J Repair Conductor Size: AMPS: C PPER ALU.?vIINUM M Switch or RACE Breaker A-MPS PH NV A-OLT WAY Existing Service RACE Size AMPS PH NX, VQLTQq!�) WAI'5�- Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Li2htine Outlets CONCEALED OPEN Receptacles CO_NCEALED OPEN Switches 0 U)AXIPq 11 100 ANIPC' Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANWER. Air H.P.RATING H.P. RATING CEILIN�G KNV-HEAT ConditioninL, COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA 'No.Neon—Transf Ea._Sign Miscellaneous 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904) 247-5845- httl):i)I NNNNi�.ci.atlantic-beach.fi.us Revised F04 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031896 Date 1/04/06 Property Address . . . . . . 659 OCEAN BLVD Tenant nbr, name . . . . . . REMODEL KITCHEN Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation 14000 Owner Contractor ---------- -------------- ------------------------ HEYMAN, J T NELIGAN CONSTRUCTION 659 OCEAN BLVD. PO BOX 49249 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-3777 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 150 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 14000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150 . 00 150- 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 150 . 00 150 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date: /12 - 0 Address 6 0 e-45,0f-A-) UO. - /,Y/ r-. ey C C— Heated Square Footage @ /per sq ft= $ Garage Shed @ $ per sq ft= $ Carport Porch $ per sq ft = $ Deck per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: 0 0 Total Valuation Ist $ Remaining Value $ per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: A-)- A- + 1/2 Filing Fee $ FLOOD ZONE: U- ) Fireplaces@ $35.00 $ IMPERVIOUS SURFACE: ,vJ- BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING( ) $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 CITY OF ATLANTIC BEACH Fo BUILDING / ZONING DEPARTMENT 800 Seminole Road ins Doerr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: Ad Applicant: Project: This permit application has been: ER/Approved , D Reviewed and the following items need attention: Please resubmit your application when these items have been completed. -0 1 .2- Z, 7 - e Reviewed By: ��. �-- , ( Date: Date Contractor Notified: S$ CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICAT16N (FOR INTERIOR REMODEL) D te:.- Job Address: �q Gaai/L b j L�-& . Owner of Property: J, T, [�kM mffAll— Address: (o6q 0_ua44_ 6W, � Telephone: Legal Description: Block Number: Lot Number: Zoning District: Contractor: C64d/v- �"4atdl,&A —State License Number: U Contractor's Address: Telephone: qt)q 'S11-1 Fax: Describe proposed use and work to be done: LeV14-0-LL yx*� 1 Present use of land or building(s): QC4A&,Mt Valuation of proposed construction: Now New electrical or increase in service? Add plumbing fixtures? Add fireplace? 00 Add heating/air conditioning? 14 0 Is approval of Homeowner's Association or other private entity required?_If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps an I d provide all information as appropriate Incomplete applications may result in delay in issuance of permit. Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor, and two(2) 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 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 hereby certify that all information provided with this application is correct. Signature of Property Owner: Date: (11 I hereby certify that I have read anLe amined this application 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 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 1 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Revised 1/15/03 Doc # 2005469659, OR BK 12972 Page 687, Number Pages: 1, Filed & Recorded 12/28/2005 at 01 :01 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT Stateof Ltu""'tko— Tax Folio No. County of 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 COMMENCEIMENT. Legal description of property being improved: ? U Address of property being improved: General description of improvements: Kt I Owner: x, X LA VVVI_AA— Address: 10 sc� U A 4 /1 A-,. F ,�tv RMI & Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): V N me: Address: o n tractor: Address: PW "ev qi 7_-E-V Phone No: �40 14 7-41 - 37-17 Tax No: z 1-7 ( V 4 1 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: A Address: ?4 Phone No: Fax No: Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: 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: - A Address: P.2 1.4- 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): TMS SPACE FOR RECORDER'S USE ONLY OWNER SignedN,=A*Z: —Date: 0 Beforerrilthis A-3,z,_/_1 dayof VPve.,-o,4eA4__'wtn'1he County ........*`� CAROUGROAT of Duval,State of Florida,has personally appeared I.` My commission expires: T MY COMMISSION#DO 235173 EXPIRES:Juty 28,2007 ftod ThruN0WyPtkkDWwm%rs Notary Public/at Large,State of Florid 0 of Duval. -61-tally Known! or Produced Identification: 7 SCLNW,*,CSZ 2M U 4 61-15 C-awD guil, VO--h Wr 1'4 ATLANTIC BEACH VILDING OjrFICZ 29 2g05 oyj fUU' flit 1 1 Ak '14e, Ir`7 If U 12 L ———— - ——————L--- 24 ? iches Woodcraft Patricia Broughton-L11,wA6, Floorplan ton Island Rd,East :Seahc,Florida 32233 Kitchen Room I Current Date:Noy X 2005 Scale: NTS -204.249,0785 Fax:904.246,6266 A CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026085 Date 5/15/03 Property Address . . . . . . 659 OCEAN BLVD Tenant nbr, name . . . . . . REPL HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ HEYMAN, TAD DONOVAN HEATING & AIR 659 OCEAN BLVD . 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due -- --------------- ---------- --------- - ---------- ---------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 BUILDING MATERIAL,RU13BISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL A" c" CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: `-D -- �s--c Owner of Property: '-T�kc� �N,\,o, Job Address: oA Contractor: Aov�'A In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. 111. GENERAL INFORMATION A� Type of heating fuel: B. t�k Electric IS OTHER CONSTRUCTION PEING DONE ON THIS 0 Gas: —LP —Natural _Central Utility BUILDING OR SITE? ji C-�) 0 oil U Other-Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE NATURE OF WORK Residential or Commercial INSTALLED New Building (Provide complete list of components on back of this form) U Existing Building ta Heat Space _Recessed +Centr Floor P, Replacement of existing system 13X Air Cond-itiuning: Room �-Ce—ntral Ll New Installation(No system previously installed) Ll Duct System: Material Thickness U Extension or add-on to existing system Maximum capacity_________cfffi L3 Other-Specify_ El Refrigeration • Cooling tower: Capacity • Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY • Elevator: _ Manlift_Escalator_(Number) (Received) • Gasoline pumps _(Number) • Tanks _(Number) Remarks • LPG containers _(Number) • Unfired pressure vessel Permit Approved by Date U Boilers 0 Other-Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units DesTription Model Number Manufacturer Capacity Approving Ll FLN)(g j—D'ZOAE- (Tons) Agency L HEATING-FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving (BTLI) Agency 1 TANKS How Many Nominal Capacity Type Liquid Nameof Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road Atlantic Reach,Florida 32233-5445 Phone:(904)247-5800*Fax:(904)247-5845* httv://www.cLatlantic-beach.fl.us 1/14/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032066 Date 1/20/06 Property Address . . . . . . 659 OCEAN 13LVD Tenant nbr, name . . . . . . INSTALL 2 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -- ---------------- ------ ------------------------ HEYMAN KIMBALL PLUMBING INC 659 OCEAN BLVD. 807 ST. JOHN' S BLUFF ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 49 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 49 . 00 49 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 49 . 00 49. 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CM OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL Feb 12 03 10: 02a Information Smstems 247-5845 P. 1 CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: JobAddrcss: Owner of Property: To1cphone: Plumbing Contractor: A5*J6- L LA iA Contractor's Address: 30 615 1,R I LAR Telephone(cfo�) qq-1 -q5sl Fax: qq-1- 9_�3 -7 State License Number. FL, C)�'_T99 -7 How niany of the following fixtures(re-piped or new): Sin" Showers Water Lavatory —Water Heaters Hose Bib Bathtubs, —Dishwashers Sewer Urinal% Disposals .(Xber .Closets _—Washing Machine Shower Pan% .Floor Drains —Re-Pipe(List fixtures being rc-pipcd) Total Fixtures: x S7.00 + S35-00 (Minimum fttmit Fee:S35.00) Signature of Contractor:—n111 Installation of plumbing and fixtures must be inaccordance with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904)247-5826 800 Seminole Roade Atlantic Beach, Florida 32233-5445 Phone:(904)247-SM- Fax: ("4)2474US- htip://www.eL*tlantic-boach.fLus Rrv;wd 1114M.3 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 an ing data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this '11,1 day of 520 State of Florida,County of Duval MOLLY NEWM tary's Signature: MY COMMISSION#DD 452461 L ry 19 EXPIRES:January 19,2OD9 u 60-11 Vr_44 Ttru Nftq P&*UPA&WMM Personall known y Produced identification Z,51 0 Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this 7 2t6- day of DeCeA44rl— 20 0,5 . State of Florida,County of Duval Notary's Signature: M14E M.CALVERLEY MY COMMISSION#DO 342192 EXPIRES:July 29,2008 ersonally ow atio ti I c k 9-wwr"N"" - Vproduced i ent' cation duced 61,y—,j�8.- Type of i ont' ication pro 11- *A111ar 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 - Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/15/03 FOR OFFICE USE ONLY Date...................................19 ...... CITY OF ATLANTIC BEACH Permit *........................Fee$.................------ Valuation $..---------------------------------------------------- FLORIDAHouse *........................................................... ...................................................................... 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......................4VV.$7'/....� /_./... 19... Owner....--- ------------------..Address... ...0��!FZ_Telephone No............................. Architect M It 'Wep QT.. I o N ................. .--- .... ....... ......................Addres&_11040_o0.0'-)e..mr, ..10------ . __Te eph ne o. Contractor Builder_.4-A-_=_-.6 LotNo............ -------------------_-e........Block No--------- .....&_- -_Sub Division-----I.........................................................................Zone................ 0.40 ld�1 )4 4 -e-4 3 le- ---------------- ';7 V_'A ..................... -- -----------A------Street...C-41-5- _----Side Between,,............ .......................and........................... Sts. Valuation $h 0z,_40X4J0Co.)._..For what purpose will building be used--------- -5;7_-D 4..............Type of construction...__................ . ....... ,2,11 '/,v 7/ - V1 4�// J 4 A41 Dimensions of Buildinge ........------...............Dimensions of Lot.. ..................._.........................Size of Footings............................. Size of Piers.......---------------- --------Size of Sills ---- ---- ---Greatest Sill Span in ft...-......................Type Roof............................-------- How will Building be H,-ated?-.---- A-A-f-1#14.........Will Building be on Solid or Filled Ground?..--------............................. Size of Ceiling Joists.......... ..................-....... Distance on Centers_....... ..............................., Greatest Span............................................ ft Size of Floor Joists............------- ........ Distance on Centers.. ... .- ------------- ....... Greatest Span_....................................... Size of Rafters................ ...... Distance on Centers. ........... ............. Greatest Span........................................... This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. rA 2. When steel is in place and ready to pour columns and/or Z Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksor ville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Be .......... ...........* 6A ee e- Signature of Builder........................ ----------------- .0 401114��--------- Address........ Signature of Owner_- DEPARTMEI!�'r OF BUILDING CITY OF ATLA4TIC BEACH,FLORIDA PERMIT No. 5661 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 8/18 19 R3 $ 40,000 182.25 Valuation —Fee$ This permit not valid until above fee bas been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. u� 25 TI, This is to certify that - PEEL BUILDERS INC. i A 437 HAWAIIAN TERAACE, JAX Q" '*UU�A has permission to build REMODEL AS PER PLANS Classificati SINGLE FAMILY —Zone RS2 Owned by HUGH CARITHERS Lot 4 Block 16 S/D A_R 659 OCEAN BLVD. House No. 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 M 0 Building material, rubbish and debris z from this work must not be placed in public space, and must be cleared u uled away by either con- 1 trac owner.. _2�? L I — k Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER -R Pe 7��J- AA i V�s �D; s s -��s S -S s C;i- R. Uo C J, T I CNI G,:7 CD) 1 X-PL�7il I---s Is T 121- ml' IC 11'1 "s T - DJ T J CN' G S, 'i-- S D P I L�.,-.3 1 t.:, AF - ROVED �Ar C,TY FFicz DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT No, 5533 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 34,50 TI, Date 34*5ULKT 41 1 1 9/27/3'1 Valuation$ PLLMING --- Fees 34-50 Xi *IJULACt 2'4 1 1 a 9127183 This permit not valid until above fee has been paid to City Treasurer,and subject to revocation for violation of applicable provisions of law. 1000 This is to certify thatGARY RODGERS PLUMBING CO. 1920 BASSETT ROAD JACKSONVILLE,—FLORIDDA 32208 has permission to RESIDENTIAL Classification —Zone owned by CONTRACTOR/ CARUTGERS Lot 4 Block---Lfi_S/D A R 659 OCEAN BLVD. House No. 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 'n AFTER DATE OF ISSUE 0 Building material,rubbish and debris z_q from this work must not be placed in ace, and must be cleared up a ed away by either con- tr to 0 wner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER A'; --------- V J 60 OtPARTMENT OF GUJL,�,pi-"42 CITY OF ATLANT C BEACH, PERMIT INPORMATI�_ i� LOCATION 1 6o '2 M�t Number: 9 Addre'� Ty', e:REMO OCEAN .IsOOLSVARD, DELINO EACH FLORIDA 3312,3 3 510' ,ofl Waik REMODEL LAOAL�_DES CR I PTI e,,:WOO-n rXAME ON y B I 6ck 'l 6 Lot 5 d Ote"SINCYLP, FAM1,L ' 'on 0 Subd Sec Twp o ", Cli b Su- divisiqii ATLANTIC Is' lit. 'V i 1.ue EA O�.00 rov coit .. 2 ,4,000 .00 Foes., unt Pa 75,00 19 9$ D41, OM DECK PER PLANS ' DUE TO AV TZE, Do UBLL TER CONST,PE 7�, ATION 7-77, 5.4 AT ION, PEE$: 0% JO, `40 AN T, 75.00 Z ARD. FLOR I DA 3 2�js �Al 61 2 /f-4-4 R� �4 P VAR"I", E 1,, ", , I I I I i I 1 1, 1 , 1 T 1, y X,S, NOTtCJE-INSPECTIONS MUST BEREOU Es ILEA kH 'To j W,`V,ft �T,24 PU"jkPRI A 0 t �A' INO IVAIERIALRUBBISH�" 111 ANIQ 6E8RJSfROM THIS RED UP AND HAULED AWA�43 _!,E6_IN:PUBLIC,$PAC; gj-ANC)M ,,MUST NOT'Sf PLLAC �ONTRACT , Y EITH Eli CONTRACT OWNER 777 -— ---------------- '0 WRE T JgN 'FOR MPLY:WtT14 KE ME 0 T T HA JCSj�L I A, WIN:cl, OW A; VING TWI �M p 0 RO,""T j CE -.4 D ACCOR T TH16 Pe DINq .0 APPA M PLAN OVL RmjT AN SU' S W141CH AREPART OF JpA#I. P'R IOOOFAPP� �,p OVISIONS6P�AW. T T :ATL ;�,qACH UILDIN PA RT*t.Nf ,py: W CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Rddress �0 �-CY 06(, U0. Date Heated Sauare Footage _@ $ p e r s q f"t Garaoe./She6 7ft j b (I $ per sa t = S CarportiPorc 1z .16 $ per sq t = $ Dec per sq f t = IS S_ P at o C —per sa TOTRL VI�IJU-T I 01-T 9, YO 0 C._— If- 0 Total Vali��_,tion Ist $ V'r (n - - / 95 (0 Remainina Value "iDer thousand or Dortion thereof TOTAL BUILDING FEE 0 + '1 / 2 Filing Fee Firerlaces @ $15 , 00 BUILDING PERMIT FEE WATER IMPACT FEE 4> SEWER IMPACT FEE WATER METER/TAP CAPIT,LL IMPROVEMENT SEWER TAP RADON ( HRS ) tJO50 S SECTION H PAVING HYDRAULIC SHARES CROSS CONNECTION $ r5 SURCHAR11_37E . 0050 7-0 IZ04 (I OTHER VOC^),s 7- 47 L/-0 GRAND TOTAL DUE �. 5 0 ADDITIONAL PERMITS OR FEES : Mechanical Plumbinq_ Electric/New Elecrr� c/Temr;_; SwimmingPool Septic Tank Sign_Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : RECEIVED CITY OF ATLANTIC BEACH PERMIT' APPLICATXON REMODEL, ADDITIONS, OR ALTERMUN's"" MOVING,DEMOLITIONS City of Atlantic Beach Building and Zoning Owner (s) :- --�c"c"oc�vla�vl' —7-01-�- Address: Phone: 2-�Ifq- (04/ ��a Lot # -S Block or Unit # Subdivision: Contractor: State License Address: Phone No: Cit State Zip Code Describe work to be done: e&&-LQ y':fj C-& I oot�(ort P 4- -A Re'jf--�j 4n C-d'10,x) e-A&'1e--tA7(0, �\j Present use of building: V"6 4:�'VVIILI Valuation of Proposed Construction: 0 Proposed use: 6-0V\\/\Aa4A—(% LrIq Is this an addition? V)C> If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? ho New electrical (or increase) ? New plumbing fixtures? kW New fireplace? k'c)New Heat/AC?—r�� N i I u3ZL) _7WO (RESjDE2qTXAL) CCHpLETS SETS OF PLANS, INCL UD12ITG SITz PLAN, SURVEY, AND TRAC cZ ohmm7c—o2q'TRAc—To�FA�E7:rDAv:rT, x.F awam -rS Com —T01 Signature CWNER: t"e: o Signature CONTRACTOR:- - j) Date:_ Sworn to and subscribec�'q ",'me t i"r8 day of 19�6 �te: D te. a 0 f NOTARY PUBLIC Sn 'LORIDA AT LARGE Vcke J Frarft my comm"MccW7601 Ex"DSWRW15-20W '4-'e a too CITY OF Fe4d 9&Ud4 800 SENIINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCONI 8,52-5800 CHAPTER 489, FLORIDA STATUTES, PART I "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 HIR UNLICENSED WORL(ERS PROVIDED SUCH WORKERS BE: UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIM 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 SUGGE:STS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS 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(l). AN "OCCUPATIONAL LICENSE" IS NOT ADEOUATE� THE: OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA."CONTRACTORS CERTIFICATE" TO AscFRTAiN 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. PRbJERTY OWNER/BU DER S ss TELEPHONE Al- SWORN TO AND SUBSCRIBED BEFORE ME THIS DLAOF� NO ARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EX4�: -00.0&*, J Franks ARE EMPHASIZED BY THE BUILDING My Commission CC607601 DEPARTMENT. Expces Oammber 15.2000 SENT SY.Xerox Telecopier 7020 - 1-28-98 - 9.13AM 3 MAP SHOWING BOUNDARY SURVEY OF LOT 5 EXCEPT THE EAST 75 PUT, BLOCK 146, DANIEL AND HACKETT, AS RMORM IN PLAT BOOK 9. PAGE 3!� Of Tvrt. VJWNT PUBIAC RECOMS OFOUVAL C"TY� PtOR40A. WIMED To-. J. TAD HEYMAN C"TRYWIM HOME LOANS, INC. STEWART TITLE OF JACKSONMLLE, INC. wAT3w &030ORNE. P.A. RECEIVED BEACH AVENUE (40.W 00ir OF WAY) �t MAR 10 1998 woo C.ity :of Atlantic Beach LOT 5 Building and Zoning S 10WOe E "MAZIr as 0011, LOT 4 LOT 2 4.v sr TWO STORY lit FRAME Pos-mo #fm LOT I z L N loww w 1.100 1"rft BEACH AVENUE MV MW OF*AY) LEGEND: x— cf0p" REVISIONS t KA10M Ar&RASM 0.4 KAMM OF !2= AWNG TH6 up 4WT w WAY we=WMIUM".- 11 fy T"a6rmfwng "I"1Z"ImLy a moobor"I'*lw=Ar 1;0 S=Rmc , ;Amwm&mom or WAY As M WNW tw a ur"n alawAm Alom No 0'5�Ilu=4"As 8=xopz%m TAS ow4p ftol v"wrmtv 94 DOW=Wx OF ft V0"W*4 VJN%tM M 4 2.210 1 DATE OF FW WNVEYt -00-10-97 OtSK # ZIP,3�.. JL- Ift $u vlw*w$ar Pt=86 low I OERViCAIE I Nomy mfol rmT-90 my 41004"*#Am joommoo6 nwWe 3nU AW ov us ("WN4 (rag) 004-354-1255 JJLL CHAOM 4L MONTOW Hof RWSYLVD aoftYUR AW NA"M f"02 PAM W nQ009A BLMM 0 SM - - I- - f ., LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS pa-cls e- Vito) E 81 FA,............ 0=0 -�Of 16 VL� 0 4c V'I� C) sc-AAe 1/,�f / gs APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE MAR 10 1998 RECEIVED I," #-C-� MAR 10 1998 City of Atlantic Beach Building and Zoning C �v V1 "maw 7,J 7�2 1<-4;ii CO- L3 .......... APPROVED WY OF ATLA14TC BMH BUILDING OFFICLF MAR 10 1998 14 rl) ('00 SENT BY.;Xerox Totecopie 7020 1-28-98 9:14AM 6550046-1 ;# 4 CERTIFIED TO: J. TAD HEYMAN COUNTRYWIDE HOME LOANS, INC. STEWART TITLE OF JACKSON\ALLE, INC. WATSON & OSBORNE, P.A. BEACH AVENUE (40.0' RfGHT OF WAY) MOZ, LOT 5 S 10*00'000 E 50,02' 1011M 1/2' IRON Pip ;FMArON NO MWWAY)ON ilia) Obe go a a 'a a a a CIO I'm Vill O,Y\k 61-10 1.0-1.41".0 4x* 6 Q-6 TWO STORY N o+ FRAME a tAJ POSTm # 659 8 LLJ ct: p 114 r to cin GMCK LLJ > LOT 5 L fNe-All- hie. A 100,0* v A FOvN0 MON PPE FOUND 1/2- IRON PW No 10"'tA710H N 10000,000 w NO fOENTIftATION 50.00' BEACH AVENUE (50.0' FUCHT OF WAY) HitraTech 3 vj C-L. -------- A+4-v\ kA v, G L A+i Ck C-4 0 Lj ke4& Q_V V C Vb Q_ 't-Q\v"'ce +AL" "i VI t,*4Z_ a <jL 4C) LO /VV. pro (_4r C7 _�S C. 9454-9 Philips Highway Jacksonville, Florida 32256 USA (904) 292-1611 0 1-800-353-1611 m Fax (904) 292-1325 E-Mail: ultratech@spilicontainment.com http://www.spilicontainment.com CO '7�e�ied ok'Reogeled'PapeA L4 C)Q,.,V C-rlK GQ� -7� T OF'OUIL0010 '00WITMEN "CITY OF ATLA T N JC,6'EA0Hi:" LOCAT.100,� INPOPAXTION P� rmi Nim6oi 11792- Address -659 �OCEAN BOULEVARD , "je..PLUME XING NTIC BEACH,I : PtolkiDA 32'2a3-1 e, t ATLA P f Woik-.IALTERATION LEGAL DESCRIPTION 'T :WOOD P 'V(t' section'- Y"pe Lot : 131 o�ck 01 SINGLE PAM rly posed I'le Plat,',066k Page. Subdivision, LANTIC, BEACH Est � Valj 0.00� 60NO, INFORMATION rov, Co. 0.00, N-ame"',GWYNN. Total -P 4tt 2$.Vo Addr4a's.: 6$9 OCEAN BOULVARD 2 00 ATLANTI C BEACH, rLORIDIA '��`2,3:1� 7 L'J�'-o !Date Phone, )70-3330 PER$ TCJ _L MON 'lly j;W IT 2; 5,00 "7 4u, In t Inspections Required pections, �Required spec ions ,Requi red AL' NOTICE ALLZONCRErE"'IFORWAND FOOTIN S MUST _p0UftjNQL BEFORP., PERMITVOID�SIX MONTHS AFTER DATE 6F ISSUE a ING MATERIAL,RUSBISH ANO�0 ESAIS' LE FROM THIS WORK MUST NOT 9,E PLACED-IN,PUBLIOSPACE AN MUSTBE E UP AND, OIAIN )iAU D AVAY E _& P 'HE rd;'�COM ' LY*tH' T MECHANICS LIEN LAW CAN,,RESULT IN 0 ��TWICEf RTHE OYII�PNQIM A M V MOPE P '0' VE ENT 4 S I ',,AT ACCORDINIG ITOAPPAOVE0 PLANSWHICH-AFIE PART OF TH PgRMJTAND SUi8jECT TO RE we 1 N 70N OF CABLE PROVIS 0 $OF LAW, SEACi H BUILDING DEPARTMENT A, I Z 'A C CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: �s 7 oc--qj 6 3 OWNER OF PROPERTY: & BUILDING CONTRACTOR: PLVMBING BY JOSIJ, PLUMBING CONTRACTOR '76()l Rog= Rnad AND ADDRESS: jacksonviUc, FL 32211 TELEPHONE NUMBER: 0 STATE LICENSE NO: C74 7 0,� TYPE OF BUILDING: dm-us e- TYPE OF WORK: OF j�,�A How MANY 010 THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY —WATER HEATERS —RATH TUBS DISHWASHERS —URINALS DISPOSALS —CLOSETS —WASHING MACHINE —FLOOR DRAINS SHOWER PANS OTHER—UA-7� TOTAL IXTURE N $3.so $ PLUMBING BY JOSH ----T -E- --------2602,ih)6mru--Rmd---------- INSTALLATION OF PLUMBING AND FIXTURES Xj#ftjlpIjAC �MPANCE WITH DA] THE MOST RECENT EDITION OF THE SOUTHER A DARb PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION BEFORE COVERING UP (904) 247-5834 1, z J 3 3 CITY OF Off Ice of Building Off IcIal REQUEST FOR INSPECTION Date Permit No. Time A.M. ved p.M. District No. Address Locality O_.: 3 Nam —Contractor BUILD19 CONCRETE ELECTRICAL L U M—Bi--IN G MEC ANICAL 0 Framing 0 Footing 0 RoughWiring 0 0 Air.Cond.& 0 Re Roofing 0 Slab 0 Temp Pole 0 Top Out 0 Heating Lintel 0 Fire Place 0 READY FOR INSPECTIOIW, UP�4"� Pro Fab A.M. Tue.. Mon. Wed. Thurs. Friday—P.M. Inspection Made— C:k P.�M Inspector— Inspection Certificate of Occupancy Date 1111ow all CITY OF office of Building Official REQUEST FOR INSPECTION Date Permit No� Time A.M. District No. Received P.m Cc 0 aQ1 Add ss Locality Owner's Name Contractor 6 4:::e- 11 BUILDING CONCRETE <:��E!�!��CTTRI.IR) LUMBING MECHANICAL W,r, Framing 0 Footing 0 ough Wiring 0 Rough 0 Air.Cond.& 0 Re Roofing 0 Stab El Temp Pole 0 Top Out 0 Heating Lintel 0 Fire Place 0 Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Thu�� Frid P.M, A. P M Inspection Mace P� -�Inwectlon 0 Inspector— Certificate of Occupancy Date 717777 OF, :_c ITY "TION k RD DUL Adar '7 p PL .0 Jig` t lk �Lot 1 . y Aw -A opio Subd ',V" .00 T�- st i bo A A A 'o,llu �,5 Iff SVI "VA T 4 � q OV KOO jit: -d"A4 'o 00 i4it $0.e 00 0 90; INC. N Y7 UM,"T P' LL PU 3220 WIDRAUL,� AR 7 ,,, " - I - �` t F 9' -titgP -CT "o 60 'T M 0 A 0"OTING Vol T ol"Six MON HS A, 01 �ND to YA� UST-Bf— AV-PINPU101. ��NvebtoAtS'f fqom,TH I SWOR K T tLDING 'We,A-Y CO QTOR'OR,Q", D'HAULMA 0' EARED U 11" C CW THEMECHAR "A R"ULT- FAMMI-, R,iTO Y ,NQ SAM E p olu ,REY S, owj PAAT I No TO APPROV,WO H10H ARE ' s AD ACCO)iD -Pf w LAT 'C� Lb ' 'DEPARTMENT LANM a RIO j -&g g; -,gi CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION:— PLUMBING CONTRACTOR: LICENSE NUMBER: Z/o OWNER: L&e BUILDING CONTRACTOR: TYPE OF BUILDING: SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT: + $15.00 = 1115, ------------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. NA "0054 Dft �j POTMEAT OF OUIL0044I CITY,OF ATLANTIC PEOMIT INFORMATIOt4l------- LOCATION INFORMAT1614 ------I,- 'Sit� Nuibexii 1 5054 Addreso x ,OCEAN BOU1,9VA100, er-mit T��pq: PLUNSI'ma '�t= BEACH FLbR ATLA IDA �:a2233 Vi)�,k ' ADDITION , ------I- 'L,9GAL DESCRIPTION',, nat'r. ' Typ'e: WOOP FRAM 1, Lot: Section I opogied Ui4i SINGLE, F01ILY �Tdvnealpt RNGi 6 D llini4a s I Cade I Subdivixiono .00 improv., Total 3 0/, J ,%2 k- 1,4ATI091 SERVICE APPLICATION FEES , N A Pli:, t iko, ERM �' A BOULEVARD WAT I" A T' FEE, am so.00 T CH*, I- 'Y AL t A,A, RAD 011t, GAS 'll. R.S. $0.00 *FORI(ATI it PAS - 5% $0. 00 es Iml VATER TAP $0.00 1 " $0. 00 HYV#AtjLICSHARE K XILLE f4 ,32207 L Ty0e 2 0 R �Iij0j& FEE: SEC. H E A Not, Tfs. 114OTICS,4-�ALL�C0NCR4T0f'Oftf4S,AND,FOOTINGS m T*g,4144PJPT�D�OgFORE POUAING P 46 E IT A RM 10 SIX MONTHS AFTER D TtOFJSSUE� au DING MAMAIA' bPAI$H AND DEBRIS FROM T141S WORK MUST f _'PL P�IN PUBLIC SPACE,AND MUST BE WA� ENO �BF ACE dL RED UP AN,61HA EJTHERC6NTRACT0R OR OWN R: ic, UIE N, ',_LAWCANAESULT� IN 0 COMPLY"WiT �,LURE`T, KlrHE MECHANI 0RUM" " PROPO"bW y N 14,9011"PA ING TWICE F011,8 ' I tl� 180 D,ACCORDING TO APPROVED PLANSWHICH ARE PART OF I MITIA�D REVOCATf4jt&R TH P'A ION&�AOPLiCABLE PROVISIONS,bF LAW .00 IC BEACH'BUILDING DEPARTMENT Y: Af 7 771, CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: PLUMBING CONTRACTOR: /6�,4 LICENSE NUMBER:. OWNER: 140 77V4e s5o�- BUILDING CONTRACTOR: TYPE OF BUILDING: Xe�S eW71,q4 SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS felkllce! OTHER TOTAL FIXTURE COUNT: S.51 + $15.00 ------------—----------- ---------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. DEPARTMENT OF 13UILIDI140 CITY OF ATLANTIC BEACH , �,,PERMIT INFORMATION- ------ -------- LOCATION INFORMATIO ------- - 6-5 vit Number: 5316 Addross: .9, OCEAN BOULEVARD ANTIC BEACH, FLORIDA 32233 ermit Typet UTILITIES ATLA 'as of Work: NEW -------- LEGAL DESCRIPTION ---------- Anstr. Types CONCRETE Lotl Blockt Section; � O oposed Uoet SINGLE FAMILY � Tovnahlipt Subdivisiong �111ings: Co0w 0 , -i*ated Value: $0.00 I*prbvo Cost: $0.00 Total, a 25 00 Amoun na 192 am glaT.YEWAV Pro P1 kH4; MW 'Z� APPLICATION FEES ATION 'R PERMIT � $25.00 LEVARD WA -,IMPACT FEE 'SOU $0.00 , I Ho ;_-w C"o COO $0.00 RA009 GAS' H R. S. 5% RADON GAS $0. 00 P A' VATZR_ TAP,,,._ BLI DE R" SEWER"IAP HYDRAULIC SHARE *Q. Type: 0 RE-I I I$SOECT ,FEE SEC.H IMPACT o k N ES' NOTtCt ALL CONCOtTE,06RMS AND FOOTINGS MUST S9jNSPEC#t,)S'EFORE POURING 'Peomit'VOID SIX MONTHS AFTER DATE,0f ISSUE ILbING MATEAIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE� EARED UP AND HAULED AWAYBY'EfTHEACONTRACTOR OR OWNER, PAILURE-1 1' 001,1140LY WITH THE MECHANICS' LIEN LAW CA W RESULT IN YO ONEWPAYING TWICE 'FOR 14 E, 000PE)IT EMEON S. -AND REVO N FOI PACCORONG TO D APPROVE , PLANS WHICH ARE PART OF THIS PERMIT To APPLICABLEPROVIS ON$OF LAW. RIM. ,tzl' 00 10 A C,BE 1+00fLDING DEPARTMENT NT Z4 /Z 'e _40'1"!"� CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS 44,�f Ovner(a) :-- q ---- ----------------------- C) BW & Phone:-- Address;--- Lot *...... Bloc� or Unit ------ Sub 'ivision:----------------- Contractor: WO-11- Describe work to be done:-------------- ------ t------------------- Present use of building:....1-(L-ouL----------------------------- -" 0 C)C) Valuation:..... ------------------------------------------ Proposed use:---------------------------------------------------- Is this an addition?---0 0--- If yen, what are the dimensions of the added space:---------ft. X ---------ft- Will the added ,area be heated and cooled?- PC' New electrical (or increase) ?-I' 0- New plumbing fixtures?_nC New f ireplace?-f)', New Heat/AC?_ (\ C-) SUBMIT THREE COMPLETE SETS,QF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR . AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER:------ - -- Date:_- Signature CONTRACTOR: ----------I-------------- Date:----------- MAY - 41992 Building and Zoning vd Uh %96", u ap ) ro eo- �rk 4:I�M Building and Zoning 77- A0 4981 74 DEPARTWENTOF 8 ILIDING cl TYJ0F ATLANTIC BEACH LOCATION INFORMATION, PERMIT,, INFORMATION ------ Addrenal 6!59 OCEAN BOULEVARD vit, Numb#r: 419al '8VAC)j, fLORlDA ATLA UTILITIES ermit Typo ---------- LEGAL DESCRIPTION ------ 'Cl vokk: New Sim t i on w!OOD PRARE Lots Type , 0 oposed Uo"e I SINGLE FAMILY, c6det 0 Subdivigsiont 00000 00,00 -ov., To-tal n *Z3a.37 Aaou ';no; 6*49N NiZU APPLICATION FEES ATION 0 7,11" PERMIT , 10.00 VER '40q A'� N CT I 99/ kpr FLORI OULEVARD All A* $0,ID01 h -H.R. S. RADON 6 RADON �GAS 5% s000 3RflATIf* 5 *4!,, 3. 3 W&T _jg$ TAP__ RKS SEWERTA resgs it jjyDRAULIC SHARE $0.00 RE-IASPECT FEE Types 0 0 H IMPACT F SEC W /:�r 7p r NOTIC ALL C0tkfItTi:JFbRMs AND FOOTINGS MUST ISE 111018PPEPTIED SEFORE POURING PEAMITLY ID SIX MONTHS AFTER DATE OF ISSUE V, DEB jLPING MATgRJAL,RUBBISH ANIX, AIS.FROM THIS WORK MUSTJ40T BE PLACED IN PUBLICSPACE,AND MUST BE NER, ER CONTRACTOR OR OW LEARED UPANO HAULED AWAY BY,E111TH C01Wp Ly'.WITH THE MECHAMMUE W CAN, RESUI.T IN , TAILU RE�To' ,,N LA OIERTY,0,11 NEA PAYING TWICE Fi PQRNM 1W ACCORDING TO,APPROVEDPLANS WHICH ARE PART OF THIS PERMlIT"AND SUOJE VO AT ATIONOF-A�OPLICABI,t PAOVISIONSOF LAW. owe too lm;x All 4=11 Ql� NTIC BEACHBUILDING DEPARTMENT LA 3/4" IRFUGATION METER DOROTHY JOHNSON 659 OCEAN BOnEVARD 241-4090 JOB COST RECORD �QTV,,v "MATE RIALSi.1'��YJABOR, TOTAL 6" X I T.S. C.I. 1 $15100 I" CORP STOP 1 $11130 I" MALE ADAPTER PVC 2 $1 .54 1" 45 L PVC 1 $0 .40 1" CURB STOP 1 $13,80 1" X 3/4" RED08X*BUSllING 1 $1 07 3/4" METER ENDS 2 $3.50 3/4" RUBBER WASHER 2 0.76 3/4" X 5/8" METER 1 85.00 CONCRETE METER BOX/Llb 1 $21 00 I" SCH 40 PIPE PVC 40' $7 20 3/4" UNION GALV. 2 $3 .001 3/4" STREET ELL GALV. 2 $1 .34 3/4" 90 ELL GALV. 2 $0.28 18" NIPPLE GAT.Y. 2 $5 -3-6 611 NTPPT.F, c.AT,v. 2 $1 56 3/4" DC BACKFLOW PREVENTOR 1 $77 .85 3 MEN ($27.45/HR) FOI 5 HRS.= $137.25 SUB TOTAL $249 .96 30% O.H=-$41.17 10% O.H. $24.99 $178.42 TOTAL 95 -MATERIALS--LABOR- TOTAL- TOTAL $274[95, $178142 $453 37 SC.' OB X E 144�4,P- AMOUNT `-�Ml �'�SES' OTHER JOB UrENSES $85 001 I TRUCK ($10,001HR) F)R f BRS. TOTAL COST $538 371 �50.00 TOTAL SELLING PRICE I BACKHOE ($35e00O0I/HR)/ FOR I HR. LESS TOTAL COST '35W GROSS PROFIT LESS OVERHEAD COST OF SELLING PRICE TOTAL NET PROW $538 37 Luloj APPROVED7 .1 FEB 2 - 19q? a7w� 4), ClTv M �f!AN11( qrACH PU�L,L PIZICOF. Quo APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME- o MAILING ADDRESS 0`5 —L- ------------------------ PHONE NUMBER_�L(I�L__Y�,_2�)---------- DATE--/ 2- ------- SERVICE REQUESTED �ez Xsz-------Z_ -z------------ ----------------------------------------------- SERVICE LOCATION— 6,52 ------------------------------------------------ 44F" DATE SENT TO DATE RETURNED PUBLIC WORKS --------- TO BUILD. DPT. - C�— DATE OWNER NOTIFIED RECEIVED JAN 08 199Z EUBLI.0 WORKS, CITY OF ATLANTIC BEACH, FLORIDA Approwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INVECTOR:' DA HOORTANT 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 E ECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. %ECTRICAL FIRJ M4fER ELEg_TRICIAN SIGNATURE JOURNEYMAN Ii y AME JQ"DDRESS: S'� 40r_Zoa-A)6&1Q1RF0_SOX_ OLD6.SIZE - BETWEEN: iES.(w/l/APT. I COMM.( I PUBLIC I INDUS. NEW( I OLD( I REW.I ADDITION ( I TRAILER I TEMP.I SIGNS ( SO. FT. FEE SERVICE: NEWI I INCREASE( REPAIR 20DUCTOR SIZE AMPS COPPER ALUM.f NMTCH OR BREAKER AMPS PH W VOLT RACEWAY V LT ACEWAY tM=T.SERV.SIZE Z6'�O AMPS P.- W NO. SIZE IND. SIZE NO. SIZE 'LIGHTING OUTLETS CONCEALED OPEN TOTAL ,tECEPTACLES CONCEALED OPEN TOTAL 1 0.30 AMPS, 31-100 AMPS. SWITCHES jNCANDESCENT �FLUORESCENT&M.V. FIXED O�100 AMPS. I OVER �,APPLJANCES BELL TRANSF. H.P. RATING H.P. RATING ,AIR ,CONDITIONING, COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT OVER "MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS M199LEXNro"m &AJa__ :t2p, IOE4E-15 -e- AP e--.. v TRANSFORMERS- UNDER 600 V. OVER60OV. NO. KVA 11 11 NO. IKVA N EACH SIGN 0. VA. MOTOR SIZE SWITCH FLASHER 0.NEON TRANSF. FORWARDED $ TOTAL FEES .......... Please Print or Typd Page I of 2 VARIANCE REqUEST Date Filed: TO REQUEST A VARIANCE FROM THE REGULATIONS INDICATED HERE- IN, BECAUSE THERE ARE PRACTICAL DIFFICULTIES OR UNNECESSARY HARDSHIPS IN CARRYING OUT THE STRICT LETTER OF THE CODE OR ORDINANCE. THE UNDERSIGNED HEREBY APPLIES FOR A VARIANCE AS FOLLOWS : 1. Variance is sought from the provisions of the : Building Code X ) Zoning Ordinance Plumbing Code ) Electrical Code 2. Location of the Building or Structure: On south Side of 659 number ocean Boulevard street 3. Legal description of property: Lot 5 (except easterly 751 there2fl—I NOTE: Attach survey or plot Daniel & HackettReplat of Block 16, diagram indicating setbacks and proposed construction, Atlantic Beach, Plat Book 9, pg. 35. along with the deed. NAME AND ADDRESS OF APPLICANT REQUESTING VARIANCE : Note : If the applicant is other than all the owners of the particular property, written consent signed .by all the owners of the particular real property shall be attached. -L. Peter Johnson (purchaser pursuant Hugh A. Carithers, Jr. 1747 Seminole Road to Purchase Agree- 1549 Beach Avenue merit) -Atlantic Beach, Fl 32233 Atlantic Beach, FL 32233 Phone: Rome 241-4090 Phone : Home 249-4112 Work 247-0047 Work 356-1533 DESCRIBE VARIANCE REQUESTED: Reduce side yard for 3 carport po�ts and roof to 11811 on south property line. Ccle-n4az che-d z1-4 e- 'SECTION OF CODE FROM WHICH VARIANCE IS SOUGHT: Sed. 24-151 it C6) r3 n o a r A o-//he n 71� ao THE REASON VARIAiICE IS BEING SOUGHT: in order to const ruc I t oRen c(arport to protect one automobile from elements. SUPPORTING DATA WHICH SHOULD BE CONSIDERED BY THE BOARD: carport design will be consistent with design of house and tastefully done . open design of carport will not create crowded feeling between houses. ARE THERE ANY CONSTRUCTION PLANS INCLUDED WITH THIS APPLICATION? Sep renderina attached . WHAT IS THE APPLICANTIS. INTEREST IN THIS VARIANCE? Purchaser (Johnson) ... is buying property from O.wner (Carithers) contingerit upon obtaining variance for carport. 001862 V` DEPAR TMENT.OF BUILDIING' CiTy OF ATLANTIC BEACH --------- ------- LOCATION INFOR"ATION p oi t Nvotioi-t, 1862 AddreoWt" 659 OCEAN BLVD. ermit Typpt ATLANTI BEACH, , FLORIDA 32233, Not Viprrk 'REPAIR', cx nstr, Ty,&,s . N/A ' 3 slooki , Sectloni OP0404 U": , t 5106149 PA"ILY Rual 0 Ov, I 11-nam 1 0 Codes 9 looted Va ue i v4prov. Tot 00 *204 00 wq r�c, PRO:,11 V*0 ig 1Z., 4, APPLICATION FEES ----- 'O. Oo Ad ' VAX JiI g asml s, INPACTP FRI CH 04) T AQ "'o v x o al" A, 13,10"l RADON GAS ff. ft.S. 00. 00 RADON GAS 5X UT UpVRIIIATTION $0,00 1�0�vwo 1- "Ocm IATE I I ;l ft WAlrs;)k TAP Ad evali lof ANTIC LY SEVER TAP' $0.00 � Nvp %SZAdH,, kPRXTDA #YDRA-VLIC SHARE: 3223:1 -T* RE:-TNSPtCT FEE 00 'pe t 3 'ENGINEERING Oil Of OCR 'NOT 1?0*00 tL :746 1,�li np 7606 I � NOTICE "iALLCONC ETe FORMS AND FOOTINGS MUST BE INSP C EDSEFORE POURING E. PERMIT VOID SIX,MONTHS AFTER DATE OF I,S� 8 E j3ulli�ING MATERIAL,RUBBISH AND PE I$FROM THIS WORK MUST NOT:BE PL'Ad ED IN PUBLIC SPACE,ANDMUST BE BR CLS(RED UP AND,HAULED AWA-Y f3y,ptHtA CONTRACTOR OR OWNER. COM' [LURE TO PLY WITH TH E M EC HA ANICS' LIEktAW CAN RESULT- IN PRO R�TY M -A ING TWICE FORBUILDINW OWN R9 P y IMPROVEMENTS. A �,Q�IA000RDING TO APPROVED:PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR EL-PROV-1410N$OF LAW., F"I RTMiNT;- BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 M CALL-IN NUMBER APPLICATION FOR MECHANICAL PERMIT IMPORTANT Applicant to complete all items in sections 1, 11, 111, and IV. Street Address: 1.00ATION OF Intersecting Streets: Between And BURPING I Sub-division 11. 1 DENTIFICATION — To be completed by all applicants . I 4n cc ideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance ns 6 and standards ,with the attach9d plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinance ,of good,.practice listed therein. Name of Mechanical Contractors Conttector I print) aaA Al <�InTP Master Ap 114e 'c" Name of PMtn Owner -!�j Altura of Signature of C)Cnor Si" at t1wrized(Agent Architect or Engineer III. i4wl RMATION A, of hearing fuel. B. IS OTHER CONSTRUCTION BEING 00 Electiric THIS BUILDING OR SITE 7_ - .7m Gas—0 LP 0 Natural 0 Control Utility IF YE S, GIVE NUMBER OF CONSTRUCTION on PERMIT (3 0ow — Speafy IV, 09*11AINWAL IPUIPMINT TO 66 INSTALLED URE OF WORK jilimvide complete Set of components an back f this form) Residential or n Commercial Host 0 Space E3 Recessed V Control 0 Row Now Building Ahr Conditioning: 0 Room X Control , Existing Building Dud System: Material Thicknoftv_____� Replacement of existing system El New Installation(No system previously Installed) Ma3liffillin capacity cf.m. El Extension or add-on to existing system Cl Refrigeration El Other — Specify Cooling tower. Capacity 9-pin. 113 Fire sprinklers: Number agF heads Elievoikw 0 Monfift [3 Escalator— Inumbeir) THIS SPACE 001R OFFICE USE ONLY Gasoline pumps _(numbor) TWA. (number) Remarks LPG containers —(number) velred poesurs,vow Permit Approved by-- D&% 004W Specify Permit ,pirr ALL EQUIPMENT ,AUt COMT111ON]ING-AND REFRIGERATION EQUIPMENT NUMberUaft Delleripuon Model NUMber Mmufaleturer (TOW ASMW k-yl�do .0a 2 Ce,- HEATimr, - FURNACES, BOILERS, F,IREPLACES APPMV1146 N=bor UWtn RI—ndpum 39W Xmber mmufactum A8UW Al 44-CA, "bQtq0 (1_) C""�a Ea RE Q-5 cz, TANKS mow many XMIOW capadty TY" LlIqUid Nam ot Serial Awrovint 4W DhadnalloW Contained 391111nuftetww No. 44' 5 77�� .01 FOR OFFICE USFq ONL t �DEPARTMENT OF BUILDING OF ATLANTIC BEACH, Date FLORIDA AL;�� 9 Permit # Fee SIL p plicatibn for Permit for Valuation scellaneous Alterations, HOUSE # and Repairs J �IDESCRIBE: 04 re 4 e-41 LZ 0 (State if to repair, alt er, add to or move building, ,erect assings - 3— signs, etc. ) uilding on: ... No. S' Blk No. Sub.Div, AdArjess Valuation $ '-�6wner 's Nam4 Ts-�ML-Iji Zi BUILDINGS AND OCCUPANCY .Building Use Residential or BUMIness - "What PlWnbing work to be done?, ont �Size of Present Bldg., -Size of Extension Lot Size 'No. of stories now f-ter altere!,�.Material of roof .14aterial of Present Building of Exten�-Ion NEC&§SARY PLANS TO SUBMITTED HEREWITH OIL BURNER GAS ' OR OLINE EQUIPMENT ,Name of Oil Burner or Gasoline Pump, Type or Model X ame and Address of Manufactuket n connection herewithl applicaiti;n -is— all: al�� "Made to inst 'al capacity tank made gagge MOM gr6und-' (NAme of Manufacturer) Wndii�r, 'or Ab,6v�ij) (Under or Above) of building. ?or t Insidig BE Outaidlqj, 7� Me -ot �PurcEaser FURXIS4� XG S DRAWI HOWING ENTIRE LAYOUT ON REVERSE SIDE OF , THIS SIGNS Size Classification (State whetEeTc grouiM, r5of, i—mll, �'Ro-jectlng,-Ba—nner) Material of construction Illuminated? Tvne of- 1117mination J (State ;ZeMer LFafips or Neon) sign be over public property?� SUBMIT DRAWING SHOWING CONSTRUCT' ION OF' SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (Par cahVa�; awnings provide dimensioned drawing on reverse side) NOTICE: �In consideration of permit given for doing,:the Ar"was described in the above statement, we hereby. agree 'to perform said work in 4-ccordance with the attached plan$ and specifications, which are a 4art hereof, and in Accordance with the building ,regulations of the: ty of Atlantic Beach. (Southern S�.Andard Building Code) . 19nature of Builder� qr O%mer�( Ph6ne No. CITY OF q 47 A, Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M Received e Pm�� Job A S. Locality Owner's Name Con-0 BUILDING CONCRETE PLUMBING MECHANICAL Framing -1 Footing [I Rough Wiring Rough 1-1 Air Cond. & Re Roofing Slab E Temp Pole Top Out Heating Insulation F� Lintel 1� Final Sewer Fire Place E) Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday--P.M. M ��Pe Inspection Made Final Inns-peectio-V Inspector r,-\ Certificate of Occupancy L' Date DATE. PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL. STREET JACKSONVILLE, FLORIDA 32202 YHE FOLLOWING FINAL IMSPECTION(G) HAVE BEEN MADE AND ARL SATISFACTORY : ---------------- - ----------------------------------------- ------------ ---------------------------------------- --------- ----------------------------------------- Enclosed are the blue copies of the permits. S17ELY, -A/�Z_ BUILDING, INSPECTION DIVISION /� OJ' CITY OF ATLANTIC BEACH, FLORIDA Approvod by I APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 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. 10 g�i ELECTRICAL FIRM/ MASTER ELECTR JOURNEYMAN NAME ADDRESS:- BLDG.SIZE BETWEEN: RESJ�+, APT. ( COMM.( PUBLIC INDUS. NEW( OLD ( REW. ADDITION ( ) TRAILER ( TEMP. ( SIGNS ( ) SO. FT. SERVICE: NEW( INCREASE ( REPAIR FEE CONDUCTOR SIZE AMPS -ZCOO COPPERf ALUM. ( Q- SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE ZOO AMPS '3� -Z CVOLT RACEWAY FEEDERS NO. SIZE INO. ' SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL SWITCHES AMPS. 31-100 AMPS. INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPUANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT OVER MOTORS H.P. i VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 41 TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. IKVA---1 NO.NEON TRANSF. VA. MA. I MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES 130PARTNINT OF BUILDING CITY OF AWLANTIC BEACH,FLORIDA PERMIT No. 5251 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date SEPTEMBIU111 19 82 Valuation$ 3,000.00 Fee$ 19,50 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that—SURFSIDE POOLS 321 BEACH BLVD. , JACKSONVILLE, FLORIDA has permission to build RENOVATE POOL AS PER PLANS SUBMITTED Classification RESIDENTIAL —Z,n RS-2 Owned by HUGH J. CARITHERS Lot 5, EX EAST 75' Block 16 S/D AB Hous� No.— 659 OCEM BLVD. 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 fildbri 34 from this work must not in vubliwe-wa lind m4A tra a or tj*ay by eith"(00DAC 41 1A /0 /a Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER FOR OFFICE USE ONLY Date......... -------/........19 .4? CITY OF ATLANTIC BEACH Permit ...Fee Valuation $..................................................... FLORIDAHouse #........................................................... /61i�m e ............�_'At............... 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 Atlanfle Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested thats. list of sub-contractors be submitted to this office so that licenses can be verified. Date..........Lugue't.luv.....................................1 19... Owner.......Hugh--J..- Varlthem�----_-------_------_------_----------_Address.........659--GCOM-n---B3L_fdW----------�Telephone No....24A).OIL4?.... Architect..............................................................................................Address.--------- 1,P_B .Qh.4...FIA.#.�elephone No............................. Contractor Builder...SUr..folde..po4>18-,&--,Ceng-t--6..............Address....3Z1----Beft-oh...Rkvd-i-----------------Telephone No..'.246-,,-.,,6.66---- Lot No......5,_&t4...F I& ?t5.t.....Block No.....................__.. ....Sub DIvis4%,11yh 4fj__.&&C .Ott._E;U.M:VVU.:10. ........Zone--_-_------- ...........Repliq f---Block----1-6tX%4A-ntiL-- SjJ.�J&Lt&g%n....Book...9-Page.. ...........and......................................................Sta. Valuation For what purpose will building be used-------- ...... -------------- Type of construction.....................-------------- Dimensions of Buildingloft, ./4F;YZ7__Dimensions of Lot---_-------..............._.......................Size of Footings......................__....... Size of Piers............. .............__....Size of Sills................. .............GTeatest Sill Span in ft...........................Type Roof...................................... How will Building be Heated?-----------............................................_-_Will Building be on Solid or Filled Ground?--------------------------------------_ Size of Ceiling Joists................--------_------__...... Distance on Centers---------- --------__--------------------. Greatest Span-------------------------------------------- ft Size of Floor Joists-_.........._-_------_ ........... Distance on Centers.- ------- ............ -------------, Greatest Span------------------------------------------- to A'� P R 11 V E D op Size of Rafters--_--_-------- ................. Distan(%' I ..............._..' Greatest Span............................................ ' Mwmuvc��Bmtf -,D1,JILDING OFFICE � � This rectangle is to represent the lot. Locate the building or buildings in the Re—modeling of Swimming Pool right position. Give distance in feet from all lot-lines and existing buildings. Two copies of plans and specifications shall REAR LOT LINE be submitted with application. Inspections required. l. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. �1 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksor.ville. S. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing tb_e work as described in the above statement, we hereby agree to perform said work In accordance wi e atta d specifications, which are a part hereof, and in accordance with the building regulations of the City �of _7 ............. ignature of Builder.. Z - " S ....... .............4. A dress.... ...........(/4 Signatureof Owner,.,,.............. ........... ;1dress................................................................................................ -9 U FOR OFFIC DIWARTMWT� OF BUILDING el I � _9 :Date CITY OF ATIA4ftIC�B1W4PK$ FLORIDA it VolUati n on P*rm licatil _,forl' Apt) f misc. Altoratiobs ep 0 and R a r, �ZSCRIBE: '�b _tO 121 , Lu-1-11?1 1 n floor ooverj4g h0stt,�UL9_& air Vi Yl stog erect awnintib (state if toe iad— to or ,moyell�uilding, or $3.g on: ' Lot B11k 90. sub.Div Address <"ka Vol uatiorl kilo!u or's N! OCC BUILDINGS UPA,1XCY, Ouildinci Use — RaitdoInt or Business 1, at Plmb rig, wworlt It* ' be donennO tall 0 owor,8. ize of p,, son I t,I Bi Z,8,* x on do of, e xxtensi k�*Ie 1 ot size material,e f, Roo, 777= d I of stciei iiW,`�:2, :aftAk altere , : I ilding Ense, 11 1 M4,t�o i Ext us teriail of Present au EWS U T BE UWT_TTW: 41 011 - SIGNS ation, *go Cel ' 'sific Wo 11, projecting (state Whether ground banner of Con Illu ype of illumination minated? (State _Wheth r�,lams r neon) 0 vill siqnbe over ptibiic prqpert�,?, SUBMIT, DPAKING S16vaW CONSTRUCTION OF ,SIGNAND METHOD OF RANGING L NFOr I A�v ADDITIOW MT diMen, X sioned ,drawing on reserve siae)�� (For ,canvas. awn IWORTA w NOTICE; for, in cons deration' of pertuit :4,0 - work as"."d4scribecl _iVen in 9 aqreo, toe,,per Q 10 n rk, ul ova the, ab atatjmor e 0 b�V' w h re th the attache a dance wi d ccor plans and specifications'# which' a:rlp, nq t hereof, and in accordance with the beuildi r4g4lationse of. th, Apbe at so *, a 1- i�__y Of tand,,&X ��d Atlantic Beach* outhe d a do Ignature, ;,ofl or Owne,r mamma;-"-NFIN.- es 3 J9 St. Jax Boh#LIA4, s CITY OF ATLANTIC BEACH, FLORIDA tw APPLICATION I* ELECT CAt PERMIT R RI THE CHIEF ELECTRICAL INSPEOTOW, DATE:, 19 NOTICE: IN CONSIDERATION OF �E f0UOWINGi' WE PERMIT GIVEWFOR DOING THE WORK AS DESCRIOED,IN T 0ERE#Y AGREE,TO,PERPORM.,SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS 44.0 SPECIFICATIONS, WHICH ARE APART,HEREOF AND I IN'ACCORDANCE WITH THE ELECTRICALREWLATIONS, OWES AND VITY OF BEAC14,00DINANCE'S. fJ4 ERIK* M&WER ELECTRICIAN jighMAJ 161 RFD----WX .4 LrLd ADDRESS: nr SIZE BETWEEN; :. PAW t0l, APT.I COMM. I PUBLIC INDUS. NEW OLD REW. ADDITION 116o��' TRAILER I JEMP.t SIGNS FT. SERVICE: NEW -CREASE( REPAIR FEE '�I'MIkICTOR SIZE AMPS COPPER 4- AW_M /0 100 -R PH W RACEWAY 111*TCH Oft ':A* PH 3 WAO *W,$F.RV.M - -1 YOPVT RACEWAY . #01000 NO." I SIZE/64' NO. SIZE NO. SIZE 14TING OUTU OPEN TOTAL CONCE&LE0 OPEN f TOTAL 1:, 01SW 131-100AMPS. AWITCHES 011 ? - COMP.MOTOR OTHER MOTORS Cs iL A4 ft4tAt RS 'HA VOLTAa , PHS NO. I MO TAGE, PHS E=N E MR "Now RMERS., UNDER smV. OVER ow V. NO KVA KVA q�- i4m- ND.NEON T"NSF VA. MA. ze, [tw H PLASHEF ',�A DED pleat 'p-o' do CITY OF Office of Building Official REQUEST FOR INSPEMON Date Ze; 0 7 Permit No. Time A.M. Received -PM. District No. Job Address Lo lity Owner's Name Contractor BUILDING CONCRETE LECTRICAL PLUMBING MECHANICAL ---Atr, g C Framing 13 Footing 0 ng [I Rough Ait Cond.& D Re Roofing 0 Slab D Temp Pole D Top Out El Heating Lintel El Final Sewer El Fire Place 0 READY FOR INSPECTION Pre Fab Mon. Tues A.M. Thurs. Friday_P.M. Inspection Made -z--�2 A Inspector Final Inspection 0 Certificate of Occupancy Date CITY OF 4&4a,&-c Be4CA-0;&U& Off Ice of Building Off IcIal REQUEST FOR INSPECTION 7A Date Permit No. Time A.M. Received District No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing 0 Footing 0 RoughWiring W�-' Rough 0 Air.Cond.& 0 Re Rooting 0 Slab El Temp Pole 0 Top Out 13 Heating Lintel 0 0 Fire Piece 0 Pre Fab REAAN A.M. Mon. Tu 4,6 t 1,/ Wed. Thurs. Friday-P.M. 141 1 Inspection Made rY Inspector Final Inspection El Certificate of Occupancy Date BUILDING AND ZONING INSPECTION DIVISION z CITY OF ATLANTIC BEACH, FLORIDA z U7 :3 ELECTRICAL -' PERMIT Date W14/87 Fee S Permit No. !VL W Location 6W 09M IM14111VOT4 to Between and This is to certify that ftum iamul"l Cox 41"w9t JOS" Cc (Electrical Contractor) (Master Efectricion) has permission to install Electrical Construction as described herein in ft Nccordonce with the provisions of the Electrical Code and regulations U� f i z f the City of Jacksonville, and subject to the information shown on the tu x ,pplication, -drawings and specifications which are made a part of this permit. for. Paq Type of work: SERVICE: *xlntag 200m%* 1pb Sw 240"It WO row X Feeders: X Outlets: 10 Receptacles: 5 UA cc Switches: 10 4A Incandescent: Fluorescent: Appliances: Air Conditioning: Motors: Transformers: Signs; Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY:. Electrical Insp*c-tion Suporvisw' MONTHSPERIOD, PERMIT BECOMES VOID. CITY OF ATLANTIC BEACH, FLORIDA Approv"Oy APPLICATION FOR ELECTRICAL PERMIT n TO THE CHIEF E ECTRICAL I NSPECTOR: DATE: w"" :,ICE: IN CONSID�i ERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCR'I BED IN THE FOLLOWING, WE HEREBY AGREE ITO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A kRT HEREOF, AND INACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. -r,)4 P-'r Z,1, 'c'f r,"I IIECTRICAL FIRM: MASTER EL:E: T�11 IOURNAYMAN 20 It#1 a RFD-------BOX NAME-L-1 S ADDRESS: BLDG.SIZE BETWEEN: RIES.4,r APt. COMM.( I PUBLIC INDUS. NEW OLD( REW.(4— ADDITION I TRAILER TEMP.I SIGNS ( SO. FT. FEE SERVICE: NEW INCREASE( REPAIR ( CONOMMOR.SlU AMPS COPPER ALUM.( I TCH OR BREAKER AMPS PH W VOLT RACEWAY 1�13T.SERV.SIZE a 4-2 AMPS PH -YW Z'Y- VOLT 5 E-" RACEWAY FEEDERS N 0. SIZE INO. SIZE NO. SIZE_ LIGHTING OUTLETS CONCEALED OPEN TOTAL gCEPTACLES -5- CONCEALED OPEN TOTAL 0.30 AMPS, 31-100 AMPS 9 WITCHES /o INCANDESCENT F�UORESCENT&M.V. 0.100 AMPS. ov FIXED ANCES BELL TRANSF. ±tpu AIR H.P. RATING H,,P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEATt KW-HEAT OVER M ORS I H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS 1WELLAN USI T I RANSFORMERS: UNDER-600 V. OVER-6OO'v-.l- NO. KVA I NO. lKVA NO.N—EdWTRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES