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Permits 68 Ocean Blvd (vault) CITY OF 4&4x& /3e=4- Office of Building Official REQUEST FOR INSPECTION Date Permit No. <JL Time A.M. Received Jo Addre s Locality Owner's ` /h Name v ' Contractor BUILDING C NCRETE ELECTRICAL MBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring oug ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ op ut ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. / Wed. Thurs. Friday O 2_ A.M. Insoection Made PM• Final Inspection ❑ ertificate of Occupancy ❑ Date (--- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233 -TeL 247-5826- Fax: 247-5877 PLUMBING PERMIT --_---„ _ PERMIT INFORMATION LOCATION INFORMATION.__ P reP rMt Number: 23395 Address: 68 OCEAN BOULEVARD Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 ` Class of Work: REMODEL Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): , Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION__ Date Issued: 1/30/2002 Name: THOMPSON, CATHERINE Total Fees: 29.00 Address: 68 OCEAN BOULEVARD I Amount Paid: 29.00 ATLANTIC BEACH, FL 32233 Date Paid: 1/30/2002 """ 0( 00)000-0000 -Work Desc:INSTALL PLUMBING _ (CATION FEES- --- CONTRACTORS AMELIA PLUMBINGNNS IT, 29.00--- AI XK ;�,RY ..��'6�� rq '.V�' ; } .tea" u', •• h � � ., . t z i ✓ N .;., _ . ISPECTIONNOTICE INS --- . - BUILDING MATERIAL, SISH AN` 4A�"f115-WORK NO :8 CED IN PUBLIC SPACE, AND MUST B1NAY B CIN OR OR OWNER "FAILURE TO COMPLY WIT L. ESULT IN THE PROPERTY OWNER PAYING NTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW_ ATLA3,NTIC BEACH BUILDING DEPT �a 1/31/62 91 Receipt-. i8Mis -- 1666 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION I LOCATION INFORMATION_____ _ Permit Number: 23358 Address: 68 OCEAN BOULEVARD---'--- Permit Type: REMODELING I ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 3,096.00 OWNER INFORMATION Date Issued: 1/23/2002 V ! Name: THOMPSON, CATHERINE Total Fees: 45.00 Address: 68 OCEAN BOULEVARD Amount Paid: 45.00 ATLANTIC BEACH, FL 32233 Date Paid: 1/23/2002 000)000-0000 Work Desc: REMODEL BATHR CONTRACTORS CATION FEES __� TAYLOR, TIMOTHY, M. 45.00 Y Y Y r i xha` ' NOTICE SPE: TIO t.. r f�' Il �l 1 EIrF T>K I HO R °P R TO IN ECTION BUILDING MATERIAL, BIH A is FROM THIS`WQRC MUST NOT LASED UBLIC SPACE,AND MUST BE CLEARED UP HAULED:,: Y; aEl C�TCTt3R "FAILURE TO COMPLY :Y IrC LT IN THE PROPERTY OWNER PAYIN ISSUED ACCORDING TO APPROVED PLA # }lF ERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS ftAi fe' ------ 145.68 4 ATLANTIC BEACH BUILDING DEPT. 9at�o: 1/24/62 61 Receipt: a46 RECEIVED City of Atlantic Beach Ouilding and Zoning City of Atlantic Beach• 800 Seminole Road• Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - FAX (904)247-5805- http://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR REMODEL,ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION DATE ! CJ APPLICANT '1fi6oZ" �r v ADDRESS �/� ©G� �L�D• PHONE: (/ ADDRESS WHERE WORK IS TO BE PERFORMED e2Of LEGAL DESCRIPTIODP. BLOCK NUMBER LOT NUMBER ZONING DISTRICT ) CONTRACTOR f L STATE LICENSE NUMBER 6��4 " ADDRESS O Q PHONE �� 04 CITY STATE ZIP . FAX DESCRIBE PROPO ED USE AND WORK TO BE DONE AfL PRESENT USE OF LAND OR BUILDING(S) ININAN AMC" VALUATION OF PROPOSED CONSTRUCTION Is this an addition? _ If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? 9 New electrical or increase in service? Y6 Al" MAI New plumbing fixtures? New fireplace? w heating/air conditioning? woo Is approval or 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 and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)247-5834 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone: (904)247-5826 01/02/02 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent, including setbacks,building height, number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER / DATE I L�'q_ 69-- SIGNATURE OF CONTRACTOR DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING/SAD SS Ili 17 PHONE % �/� p1�p FAX J 0 E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS d4 � DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE �C AS TO OWNER: ❑ Personally known ©-1�r_oduced identification �"J�y,,,, Type of identification produced y �3 2 —O MY COMMISSIpN A�°netts C947012 EXPIRES � J1f,fh a. SONDfDust 27,2004 TNRUgTROY PAIN NSURANC&W AS TO CONTRACTOR: ❑ Personally known [-Pio"duced identification Type of identification produced r4&L9 _S� J 3 Patricia Am°nette ';. MY COMMISSION CC947012 EXPIRES August 27,1004 o SONDED THRU TROY FAIN NSURANCE RIC 01/02/02 Book 10321 Fuge 2312 5 MIN. RETURN J RHONE 3f00 :�40011 X9196 . Page: 2312 Filed 8 Recorded NOTICE OF COMMENCEMENT 01/22/2002 01:31:47 PM JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY TO \A/HONE IT MAY CONCERN: TRUST FUND $ 1,00 COPY FEE f 1.00 RECORDING f 5.00 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance N,vith Section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMNiEiNCEMENT. Oescrtptian of Froperty ( !� Ale/ &jlxm�c V Al 17 6A 'SKA51hir", 0 OW C General Oesc pticn of Improvements A y( lei� Cl Owner Address: G - Owner's interest in site ofimprovements: Fee Simple 7tte Hal e 0f other than awn Name c Address S O g Contractor 5mom T'Q �7 -----�� Address V 3 Surety (if any) Address Amount of Bond $ Name of person within the State of FlGdda designiated by owner upon whom-natices or other documents may be served: Name (,s Address In addition to himself, owner designates the failowing person to receive a copy of the Leinces Notice as provided in Section 713.13(1)(F), Florida Statutes. (Fill it at Owner's option). t � Pa*kla Amomft Name ' �(COMMISSION# CC"7012 EXPIRES Address: ourt ' 004 AM MILIN"911 WeH �►Ntq►+v�nc►«NnaAwunaiva�noa wner ►OOL In lsn&v x• •" ) saaaca ilot►� #N0WWWW AM O G Swom to and subsc� e me th�'� `fig,o y -Z CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address (o tY 4 p /3 c, v Date /- 1- 3 - 0 1 Heated Square Footage 43 @ $ �" per sq ft = $ .30 Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ `3 � fl "l I $ PS Total Valuation 1st $ 4000 _ 1 09 G r $ Remaining Value per thousand or portion thereof TOTAL BUILDING FEE $ 31 + 1/2 Filing Fee $ C ( ) Fireplaces @ $15 . 00 $ 0 BUILDING PERMIT FEE $ SSS WATER IMPACT FEE $_ SEWER IMPACT FEE $_ _ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION S ( ) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ , ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : r� 3 � _. .l COVED iz I � 11 pyo 0A Nt�S(Oel °j`c „ AP P��-p`NofF�c !r j D City of Atlantic ding and Zon ng 0 AT A pqR�NatfF�� C1N�u14 4 ;Pt IN CITY OF ATLANTIC BEACH JAPPLICATIO��Nrr FOR PLUMING PERMIT JOB LOCAT I ON: b 8 ©Cm,_ Fel U t A+1- b�,k OWNER OF PROPERTY TELEPHONE NO. PLUMBING CONTRACTOR c6gy 0.l' CONTRACTOR' S ADDRESS: 3q It �me ry �r, EZ STATE LICENSE NUMBER: r fZ, OS'764 TELEPHONE: fI2I-$355' HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) S��Of t►t r vat at, OTHER TOTAL FIXTURES: - x $3. 50 + $15.00 MINIMUM PERMIT FEE - $25. 00 SIGNATURE OF OWNER: A SIGNATURE OF CONTRACTOR: 26Q ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826