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Permit 511 Ocean Blvd (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 {19' INSPECTION EMAIL REQUEST: Building-dVtk&gb.us Application Number . . . . . 07-00001570 Date 11/26/07 Property Address . . . . . . 511 OCEAN BLVD Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc REPLACE WINDOWS ----------------------,------------------------------------------------------ Owner Contractor ------------------------ ------------------------ GRISWOLD, S.J. OWNER 511 OCEAN BLVD. ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 45 . 00 Plan Check Fee 22 . 50 Issue Date Valuation . . . . 2985 Expiration Date 5/24/08 ---------------------------------------------------------------------------- Special Notes and Comments WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ----------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 . Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 .50 67 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r ivi iva LULUXu,.,�,.�., �, ...... SCIS Home Log in Hot Topics + Submit Surcharge Stats&Facts Publications FBC Staff B oira, Product Approval USER: Public User • Product Approval Menu> Product or Application-Search > Application List> Application Detail FL * FL1091-R1 Application Type Revision Code Version 2004 Application Status Approved Comments Archived r ILE Product Manufacturer Andersen Corporation Address/Phone/Email 100 Fourth Avenue North Bayport, MN 55003 (651) 264-5308 aba rstad @a ndersencorp.com Authorized Signature Alan Barstad abarstad@andersencorp.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Double Hung Compliance Method Certification Mark or tasting Certification Agency Window and Door Manufacturers Asso, Referenced Standard and Year (of Standard :.http://www.floridabuilding.org/pr/pr app dtl.wpx?paraln=wGEVXQwtDgvihTgGgwiDL.. 11/15/2007 S// ®GIry 92-VQ •. nderseur 4« My Portfolio Where to Buy Contact Us Search: FFor Pr WIfWDOW%.DOOR� MAIN IDEAS PRODUCTS LEARN SERVICE ABOUT AP Home > Window > flouhle-` ung Windor.s > 400 Series WoodwrightO Double-Hung Insert Replacement Windows 400 Series Woodwright®Double-Hung Insert Replacement Windows mere to Buy Re P Save Product Summary Request a Catalog • High-Performance TM Low-E40 glass stays cleaner and reduces water spottingt < • Custom sizing b • Nearly-invisible TruScene®insect screen optional Product Index • Keep xour existino frame and trim • Classic traditional style ' • Fine milling detail T • Rich natural wood interior • Attractive low-maintenance exteriors • fast tnstafiation and minimal disruption y • Convenient tilt-in cleaning :, • Pine interiors available with factory-applied white View more images finish List Price:$588 What's in the prize? Size: 2'11-5/8"W x 4'7-3/4"H View more sizes,prices and configure your window CONFIGURE&SAVE Options&Accessories Sizes&Shapes Performance Combinations Installation&Warranty For F Printer men Frame Finishes&Colors Standard Options Interiors Glass Options Grille Patterns :c , Insect Screens Frame Accessories , .. Pine Oak Maple White Exteriors White Sandtone Terratone® Forest Green Painting and Sealing Exteriors FILE C Hardware CITY OF ATLANTIC BEACH PERMIT s•i BUILDING /ZONING DEPARTMENT APPLICATIONTJ # 900 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 / V (904)247-5845 Fax www.coab.us APPUCATION TRACKING FORM REQUIRED DEPT: Y N P Property Address: -- -�l D t e Q---A vim � Y BUILDIN H- Y N PUBi ORKS Applicant: �w lr� 0 1-1 Y N PUBLIC UTILITIES Y N FIRE DEPT. Project: �� �/�13t� n Y N PUBLIC SAFETY w APPROVAL U o REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: Z UJ Y °[ D.E.P HUFSTETLER 0 � C3 S.J.R.W.M. CARPER i Y N ARMY CORPS of ENG CARPER H O Y Pao HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITI : gD TE: ® ® 1 ST REV ® 11h PLANNING ® ® 2ND REV BUILDING PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV Return this Form to the Building Department once you have entered your comments into the AS4 00. CITY OF ATLANTIC BEACH - l ,r 07 I t 600 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 t OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US Will BUILDING PERMIT APPLICATION DUVAL COUNTY T- WWWWR6 .� 511 0C5xgL✓ Atlantic Beach, FL 32233 ,' 6k' ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL „v�, o,w.•4t �� s:; .,.. B,.,F aet, J E, „%r r� . j ❑ALTERATION ❑ACCESSORY BLDG. EGALES 6✓(NOO.✓S wfrr4 //-'Jew- ' R� REPAIR ❑POOL/SPA ❑YES 13 N/A do MJ — ifEgr 4 1CX- WC >F AAAte MOVE ❑OTHER IWNO E ,m1.aA,-.r �. to P,w:°. ,G.: i s, : sr�.�,, `. ?t.t " �9 NAME: 15.COMPANY NAME: 23.COMPANY NAME: o wNtn To 1131 &--A k 4)14S c--rr GRA i w-L() 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO r l ceifN /3G V 18.ADDRESS: 26.ADDRESS: A 2 S CN Fe- 3 2 23� 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 2 V6 7-Irg 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: rfi p "n"`ss, rst ° '; y ✓ a` 4 t +ar +.�?� 66 2r 10 22is �'^.mxA ..kn. P'' �� „` z�' � .st ,:�<a�;e`x't,,t•, s., ,a� .,«. 31 NAME: 33.NAME: 35.NAME: 32.ADDRESS: 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. OWNER'S 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. �M"`rxs; °E shg,� gned: QDate: //�/;V 0 7 Signed: Date: Before me this day of D e71$SF--8007 in the county of Before me this day of ,2007 in the county of Du State of Florida, personally appeared Duval,State of Florida,has personally appeared �C� �ri��Cd herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,Stat C n of dad Notary Public at Large,State of County of ersonally Known 13Personally Known C3 Produced Identification- ❑Produced Identification- Notary S Notary Signature:fd Notary Public-State of Florida •'�Vly Commission Expires Feb 14,2010 �•' dr ` Commission#DD 518533 COAB F 49PIPA,avi7National Notary Assn, -itsl+'x��Mj, 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. 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. 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(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. 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. �C( Q CG74.✓ �� ✓� Z4�6 — 756 Y ADDRESS PHONE NUMBER J C3iC l rW®[- PRINT NAMES SIGNATURE DATE Before me this /" day of O`�" 2007 in the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of ,County of � _ ❑Personally Known �"f10 ❑Produced Identification- <µy° HAM Notary Pubk-State of Florida Notary Signature: y Commbsbn Expire!Feb 14,2010 „oF F 518533 Bonded By National Notary Ann. COAB FORM BLDG07;REVISED: 8/14/2007 r CITY O1= ATLANTIC BEACH, FLORIDA APProwd bX ,APPLICATION . Folt 1LOCUICAL PIRMtT j T!7FIE CHIEF ELECTRICAL INSPECTOR: DATE: lW,' ORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING TWE WORK AS DESCRIBED IN THE FOLtOWiNGy WE HERE AGREE'TO PERFORM SAID,WOR#I IN ACCORDANCE WITH L1CRICAL REGTHE ULA'fIpNSAC00ES ANO C1t'1f OND F WHICH ARE A P RT HEREOF. AND IN ACCORDANCE WITH THE ATLANTIC BEACI`ORDINANCES. R CAL I T n Box . ' "ADDRESS:...,. *LOG.SIZE ET�nrI:EN: RES'i t } COMM.I } PUBLIC I } INDUS.t } NEW I } OLO44e REW. i , AORITION C I TRAILER 1 ) TEMP. } SIGNS f 1 Sit.-fT, .. fEE SERVICE: N1W d } IIREABE i } REPAIR 4 R S! AMPS 1COPP R U �. PH 77 3C T �SEflV.,S ,S PH W L " ACEtMYAY DERS ?NO. SIZi t; no. SIZE. :'..NO. .tttITING OUT LETS CONCEALEDtPEN. > TbTAi. REEPTACLSS CONCEALED QPEl�t: TOTAL #-Jmrrct4zs, ( {J3 x I1lOANDESC FLU0RfSCEW .,&M.V. PIyCEE�. a;. Q• <i Atr6N8', q�lE"12 wI!p BELL TRS F: AIR H, ,..RATING H CONDITION" C+t IP.!"R -_ O'THERMOTORS AMPS 6LHEAT: KW-HEAT GX S '+tJ x.i-r• s5 rr 0.1 OVER MOTORS H.P. VOLTAGE PHS Nd, 1 WP. VOLTAGE QHS .. !SCFE S , Nor TRANSPOR ISS: x U11fOff t,ow oveR 600 V. NO.'>... tVA NO: KVA NO.NEON TR NSF. NO. VA. MA; MOTOR SIZE SWITCH FLASHE 'ACH SIGN d E "wry E FORWARDED oTAL Fr 511 Ocean Blvd. ' Atlantic Beach, Fla. November 8, 1978 Mr. Wi l I i am M. Davis City Planning Commision Atlantic Beach, Fla. Dear Mr. Davis, A blueprint for a proposed extension on the garage at 511 Ocean Blvd. , Atlantic Beach, Fla. has been submitted to you for your consideration. This proposed extension is a necessity as, at present, the garage cannot be used as it was originally intended . it is several feet too short to accomodate even a mid—size car. As we own the adjacent lot in addition to the property on which the garage is Located, it should not prove to be an incon— venience to any neighboring property. The intended extension would not extend beyond the property line and would line up with the existing fence surrounding the property. The new construction would upgrade our property as well as be— ing an attractive addition for the neighboring homes. As transplanted retirees from Michigan , we are happy now to be residents of Atlanti Beach and would surely not do anything to down grade our property or the beach area. We most sincerely appreciate your consideration on this matter and hope you will be able to find in our favor. Yours truly, FrankaC. Hutto FOR OFFICE USE ONLY FA&M To COMPLY WITH THE MECHANIC S Date....................................19 ...... LtV C a, USULTr U4 THE PROPERTY Permit *........................Fee$........................ raw" FANWNEACH Valuation $-------------------------------------............... FLORIDAHouse *........................................................... ........................................................................... APP, '&MN FOR BUILDING PERMIT ...................................................... ............................................................................ App. Aton 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................................&q.V..........46-----------pig...78 IVA Owner.......................__..................... -----t-Ll.U 77 7-40 -------Address.... 0C.10W.4---4%I.&elephone No.2s.4.n.9/.ZA ---- .......... ---------- Architect.................54r.1.14= ------------------------------------------------------Address..................•--- ...................................Telephone No........:77=:.-......... Contractor Builder—.—_--OW/V — .....................!��....ASAV. -Address...................... ............................Telephone No----------"'-:'�=:......... LotNo..........................1.........----------..Block No....../_�------__------Sub Division........................................................ ...............Zone................. ........i�_a...ICAIOV. -----.--Street---- Side Between.............. .......and.......RZAC.-I-i................Sts. Valuation $_/..7&Z7.420_!t.......For what purpose will building be used...(FA.". .-a67.....-Type of construction..___._-k� jo_QD----- J* I ' JJ Dimensions of Building-3-A-1 7 , §Arnerns41o"nsro1fT`Lot............. of Footings-••......................••---. Size of Piers---------I-----------_-------------Size of Sills----- ..........__........Greatest 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.................._......................... 0 Size of Floor Joists---.................--------_--............Distance on Centers.... ................................. Greatest Span-----..................................... or Size of Rafters-------------------------------------------------------Distance on Centers........ ................................-, Greatest Span........................................... it This rectangle is to represent the lot 7'"M,0100w FL F 0. 7-A)c e. Locate the building or buildings in the right position. Give distance In feet from )PA O)POS461) all lot-lines and existing buildings. SX 3 REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 30. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. 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 Jacksonville. S. Final Inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. d 01 6:A" BL Vh 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 Beach. Signatureof Builder............................................................................... Address.................................................................... ---....I.............. As Signature of Owner.. ......aw..)�....... ............ Address......nV/....Ona..C.,.09M..... ..V1?._............. CITY OF ATLANTIC BEACH, FLORIDA p. Y APPLICATION FOR ELECTRICAL PERMIT O THE CHIEF ELECTRICAL INSPECTOR: DATE:.IYD){e-m ul .c 17 19 IMPORTANT NOTICE; IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORM 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. L.ECTRICAL FI M: ER ELEg_TRICIAN SIGNATURE NAMEFrAmk ...AIA*n ADDRESS: 611 UJCM C x)llM0AfJd RFD BOX BLDG.SIZE BETWEEN: RES. APT. ( } COMM.( ! PUBLIC( I INDUS:'( ) NEW( ) OLD( } REW.( ) ADDITION l I TRAILER ( ! TEMP,`( ) SIGNS ( } SLI.FT. SERVICE: NEW( I INCREASE I } REPAIR FEE DUCTOR 8IZE AMPS COPPER ALUM. TCH OR ORg&KER AMPS PH VOLT RACEWAY EXIST.SERV.SIE PS PH W VOLT RACEWAY ' FEEDERS0. SIZE IND. SIZE„ NO. SIZE LIGHTING OUT41 ETS CONCEALED OPEN TOTAL PECEPTACLES CONCEALED ' OPEN TOTAL 0.30 AMPS, t aI.f00 AMPS. �WLTCHE3 NCANDESCEI�F f LUORESCENT it M.V. FIXED 0.100 AMPS: OvrLR APPLIANCES BELL TRANSF. AIR H.P.RATING M.P.RATING CONDITIONING I COMP.MOTOR OTHER MOTORS AMPS EIL HEAT: KW-HEAT 0.1 OVER TOMS ;H.P, VOLTAGEPHS NO. 1H.p. VOLTAGE PWS LLAN£0 mo sari A We cc rJ�'�1'vi6l.. TRANSFORME>I<S: UNDER 600 V. OVER 600 V. NO. KVA I NO. lKVA PI4.NEON TRANSF. NO. VA. MA. I MOTOR SIZE SWITCH FLASHER CH SIGN �-.- FORWARDED TOTAL FEES I t CITY OF 716 OCEAN BOULEVARD—DRAWER 25 ATLANTIC BEACH, FLORIDA 32233 \ f November 9, 1978 TO THE MEMBERS OF THE ATLANTIC BEACH BOARD OF ADJUSTMENT: There is attached a letter together with an Application for Building Permit submitted by Mr. Frank Hutto to extend his garage to the rear of his property line at 511 Ocean Boulevard, Said proposed extension is in violation of Section 28-8, subparagraphs (d) and (e), which is found on Page 210.1 of the Zoning Code. Please advise this office of the meeting date and time in order that we may advise Mr. Hutto. NOTE: With reference to the application of Mrs. Nancy Pascoe sent to you with my letter of November 7, please be advised that Mrs. Pascoe's request to increase the height of her fence is in violation of Section 28-5, subparagraph (e) (1), located on Page 205 of the Zoning Code, Respe ully submi e , Bi 1 � va 7 City Manager BMD:jh WILLIAM S. HOWELL JAMES E. MHOON ALAN C. JENSEN L. W. MINTON, JR. CATHERINE G. VAN NESS Mayor-Commissioner Commissioner Commissioner Commissioner Commissioner BILL M. DAVIS OLIVER C. BALL MRS. ADELAIDE R. TUCKER CARL STUCKI RICHARD HILLIARD City Manager City Attorney City Clerk-Treasurer-Comptroller Chief of Police Director of Public Works and Fire Department i CITY OF ATS ANTIC BEACH, FLORIDA F--A-;Wa%vd by APPLICATION FOR ELECTRICAL PERMIT 1 TO THE CHIEF ELECTRICAL INSPECTOR: DATE:________�2 1° 19 Z' 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. C--Lvig e—'k ELECTRICAL FIRM: JOURNLYSM NAME x oA (-.7-r-k 5 L-)Oy � ADDRESS: l C- ^� I�l P. RFD- -----"X-SLOG.SIZE BETWEEN: �/ RES.V AFT.( I COMM.( 1 PUBLIC 1 I INDUS.1 1 NEW 1 ? OLD 014 REW.l 1 ADDITION( ) TRAILER( ) TEMP.1 ) SIGNS ( 1 SO.FT. SERVICE: NEW 0 INCREASE( 1 REPAIR I ) FEE CONDUCTOR SIZE ( \ AMPS 0 0 • COPPER f ALUM.06) SNATCH ORBREA ER ZOv ±PH H 3 2k-) Z RACEWAYEXIST.SERV.SIZE Z®0 AMPS W Z3o VOLTRACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL � 0.30 AMM. 31.100 AMM. SWITCHES INCANDESCENT FLUORESCENT 8 M.V. FIXED 0.100 AMPS. ova" APPLIANCES I BELL TRANSF. AIR N.P.RATING H.PoRATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS EIL HEAT: KW-HEAT I . ' a1 MOTORS N.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS ' MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER O0 V. NO. KVA IND. JKVA NO.NEON TRANSF. EACH SIGN NO. [VA- IMA. MOTOR SIZE SWITCH; FLASHE : FORWARDED r--- $ TOTAL FEES Z S O t a BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH,FLORIDA Z ELECTRICAL PERMIT Date "" Fee S •00 Permit No. MI 0 Location s OM m Between and a" This is to certify that W C (Electrical Contractor) aster ectricion) E {M has permission to install Electrical Construction as described herein in of Co. W accordance with the provisions of the Electrical'Code and regulations u $ of the City of Jacksonville, and subject to the information shown on the application, drawings and specifications which are made a part'of this 3 permit. f. for o oc M su e Type of work: p SERVICE: 40 2W , eoffwQ N at t 2W , a 4 c U Feeders: Outlets: p Receptacles: m Switches:, sn Incandescent: _ ' Fluorescent: Appliances: Air Conditioning: Motors: Transformers: Signs: Miscellaneous: QU, IE P IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: MONTHS PERIOD, PERMIT Electrical Inspection Supervisor BECOMESVOID. CITY OF y4&tic Be"4-lk4i a Office of Building Official � - REQUEST FOR INSPECTION Date_ Permit No. Time A.M. Received P.M. o District No.. er Job Address Locality i NamesAl-�Zt t � J Contractor BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation ....Q Wire ..........p Rough Wiring ..❑ Rough ........❑ Rough ........❑ Chimney ......❑ Lath ..........p Finish Wiring ..[I Final ........,❑ Final ...0 Framing .......❑ Scratch .......❑ Fixtures .......❑ Sewers ........❑ Water Heater ..p Final ..........❑ Brown ....I M .ators ..... ❑ Gas ..........❑ Footing ........ Finish ........❑ Temp-Pole .....C3 Cesspool ......p Slab ..........E) Wallboard .....C] Final Inspection.❑ Top-out .......❑ Lintel Beam ...❑ Water READY FOR INSPECTION ) A M. Mon. Tues. Wed. O p� Thurs. Fri. P.M. A.M. Inspection Made P.M. Inspector CITY OF Office of Building Official REQUEST FOR INSPECTION DatePermit No. Time A.M. Received / P.M. District No. Job Add sss y/ Locality Owner's p Name Contractor 's BUILDING CONCRETE ELECTRIC L LUMBING MECHANICAL Framing tt' Footing C) Rough Wiring z Rough ,Li-� Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Con.-) Tues. Wed. Thurs. Friday P.M. Inspection Made �� A.M. P.M. Inspector Final Inspection❑ Certificate of Occupancy Date J I DEPARTMENT OF BUILDING 0 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO• PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date April 2. 19 85 t � T Valuation$ 2,448.00 Fee$ 19.50 19- This permit not valid until above fee has been paid to City Treasurer,and is '�`�tJ 1,, 4/03/a + subject to revocation for violation of applicable provisions of law. i •AJUL f This is to certify that HAMM BARS, MC• 1644 Pavk Terrace West has permission to build Addi.tifxl. tO Garage as Per plaw S1buitted; Spthark VaTianrp Granftc0 by Bid of Wijablent-1I125/85 Classification ReSitkltia Zone Owned by Scott and Janet Griswckd Lot Block S/D House No. 511 OCEAN BOUIEVAM) According to approved plans which are part of this permit I NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ♦ --r 0 Building material,rubbish and debris ZI from this work must not be placed in public space, and must be cleared up and hauled away by either con- 7" on- o " wrier. Building Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL I SEWER WATER Date DEPARTMENT OF BUILDING City of Atlantic Beach, Florida Applation for Permit for Permit No .B E Office ' Use Miscellaneous Alterations ; M P Only and Repairs ,f3toes `•ve, Contractor Address/4./Sc 062,4-- Tize Phone Owner_%,n 6215uro4.0 Address Sir ��,�r/J/k Phone The undersigned hereby applies for a permit to _reG ,�ae Building on__ ._r467rpart of Lot No . Block Subd. At side of v e-. between _ �`� and ( '' Streets . Valuation $ 14/00e, Present use for building LQ.-a - If residential, what type dwelling (single-family, duplex. . ) How many families accomodated now? When altered? If business , what type? Will food be prepared for sale on premises? What plumbing/mechanical work to be done? , Size of present building /7 X 20 Size of extension Size of lot Number of stories now cS ;,/C, When altered Material of existing building�a�`rc s�ia��sz-r/ Extension,, / Jc�.� ------------------------------------------------------------------------- NECESSARY PLANS IN DUPLICATE TO BE SUBMITTED HEREWITH In consideration of permit given for doing the work described in the above,.s.ta-t-e-men-t;4�-tae hereby agree to perform said work in accordance C ' the atmached plans and specifications , which are a part hereof, and ccor,�-dace with the building regulations of the City of Atlantic Beach. e Contractor Dat Signature Owner Date � ADDRESS MECHANICAL PERMITYJ #- - °-- - PLUMBING PERMIT BUILDIG PERMIT WORKSHEET ELECTRIC PERMIT TEMPORARY ELECT. �} Heated Square Footage @ $ /i per sq ft = $ Garage/Shed ��� @ $ S7 per sq ft = $�, Carport @ $ per sq ft = $ Porches @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ __per sq ft = $ TOTAL VALUATION $ f $ Total Valuation Data 1st $CZA60 Od Remainder Valuation @ $ per thousand or portion thereof TOTAL BUILDING FEE $ + 2 FILING FEE $ FIREPLACE @15 . 00 $ TOTAL BUILDING PERMIT $_-__1_ --------------------------------------------------------------------------------- 'LUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ :LECT. TEMPORARY $ ELECTRICAL PERMIT $ � TER METER SIZE $ ACCOUNT NUMBER ;EWER IMPACT FEE $ LATER CONNECTION $ (@10. 00 per fixture unit) APPROVED BY: TOTAL BUILDING/PLAN FILING FEE TOTAL WATER METER CHARGE $ TOTAL SEWER IMPACT FEES $ TOTAL WATER CONNECTION CHARGE $ MISCELLANEOUS CHARGES $ F GRAND TOTAL DUE: $ z CITY OF ATLANTIC BEACH /APPLICATION FOR BUILDING PERMIT Address ,« O ceA*, 4W 4. 4 Phone Architect C&W, e ©gvywr'' Address f/ (2Wn Phone Contractor �yg,Q0m,9"/ 4f4At,/ IW6 Address /0 yy' AAA rtrr W hone License Number CAC ao 9 V-6 Expiration Date (Azoe Lot # Block # Subdivision Zoning Street deo►., Between and G" sidecgorr Valuation $ ,'S&0-0 Purpose of Building4/N6KrW-non/Type Const. Dimensions : Building ?X // Lot Sz .Foo tings /2.x/8 Sz.Piers /yx 1 $ Sz. Sills vX /a/�TGreatest Span Sills ' Sz. Ceiling Joists y x ` Distance on Centers Greatest Span Sz.Floor Joists y x /0 Distance on Centers ,s o Greates t Span .3 J# Sz.Rafters �L yc /� Distance on Centers 2 'o c, Greates t Span .3 Heating tx/.fr. Solid-Filled Ground Roof G;m,e, �r 191,4 rr�[ Flood Zone If located within a FLOOD HAZARD ZONE fill out reverse of this application. Inspections Required: 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical , rough plumbing and fire place is completed and ready to cover up. 5. Rough electrical. 6 . Final inspection. In case of rejection, reinspection MUST be called SETBACKS for after corrections are made . In consideration of permit given for doing Rear Lot Line the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and M M specifications , which are a part hereof, and in accordance with the building regulations o m of the City of Atlantic Beach. o 0 rr rt r r �J ~� M cu Signature OWNER.___ Signature BUILDyc.1...a2 .�-•./ J Front Lot Line Chuck Hardman Builders � 5�/o ! n General Contractors Fully Insured SHEET NO. OF 1644 Park Terrace West ATLANTIC BEACH, FLORIDA 32233 CALCULATED BY DATE (904) 241-2165 Certified #CRC 009468 , CHECKED BY �' DATE SCALE 41 3 °3 IV, 33_ -a .... .... �r _ _ f a PRODUCT 2041E'As Inc..Groton,Mas 0147E MECHANICAL PERMIT# ADD�tESS _ -- PLUMBING PERMIT # BUILDING PERMIT WORKSHEET ELECTRIC PERMIT 06o TEMPORARY ELECT. Heated Square Footage @ $ ---Per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport @ $ per sq ft = $ Porches @ $ per sq ft = $ Deck @ $ per sq ft = $ ' Patio @ $ per sq ft = $ TOTAL VALUATION $ ' o . 6 Total Valuation Data 1st'4 (1.8-0 -- 3 . 69) $ 30, Remainder Valuation @ $ O per thousand or p6tion thereof TOTAL BUILDING FEE $ 1 + 2 FILING FEE $ FIREPLACE @15 . 00 $ n __ TOTAL BUILDING PERMIT $ ------------------------------------- --- ----------------------------------------- PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ELECT. TEMPORARY $ ELECTRICAL PERMIT $ 14ATER METER SIZE $ ACCOUNT NUMBER SEWER IMPACT FEE $ WATER CONNECTION $ (@10 . 00 per fixture unit) APPROVED BY: TOTAL BUILDING/PLAN FILING FEE $ l ( ' TOTAL WATER METER CHARGE $ _ ^ ? PROVED L'Jt-f.��1 i IC BEACH TOTAL SEWER IMPACT FEES $ u _�t;�c oFFzcE TOTAL WATER CONNECTION CHARGE $ MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $ i I DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.- 6739 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 1 22, 19 85 Date ��- 19.50 T Valuation$ 13 (M[Y) Fee$ 19 50 1 0)(ICKT This permit not valid until above fee hl been paid to City Treasurer,and is 67J9 *00CAC subject to revocation for violation of applicable provisions of law. LJ29 IA 4110P3 This is to certify that HAHIM $U U Er+'h+I' INC- 1644 Park Terrace West has permission to build Addidgm- a38-p4:T—plans-allibad.t1 Classification residential Zone Owned by Scutt r4H-g nl rl Lot Block S/D House No. 511 OCEAN BOULEVARD According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE / —� —� O Building material, rubbish and debris 4 from this work must not be placed in public space, and must be cleared up and kauled away by either con- tractr'Folc.owner. Building Official. FOR OFFICE PERMIT DATE ^" USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL I SEWER WATER FOR OFFICE USE ONLY Date------------------------------------19 ...... Permit *.•......................Fee$........................ CITY OF ATLANTIC BEACH 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 auggested that a list of sub-contractors be submitted to this office so that licenses can be verified. ............... Date...................................... FQ/g kvu � eA" .Z.r`.., 1-9. 93/.Z.. .GOwner............ ------------ / -- ..- ----Address , , 1 ✓0 - •--Telephone No.. � Architect-•.............................................•------•................•-------.-.---_-_-...Address............................................................Telephone No............................. ContractorBuilder.............................•--•--•--......................................Address............................................................Telephone No............................. Lot No. 'PHA .o, - Block No. ..49 Sub Division.......... Zone..... -••--- p d r Fi9C�f fiv�.....and...........................-.........................Sta. -Street..-J'r-...._._......Side Between...... ----•--------••--- Valuation $.._. -. G.'.......---.For what purpose will building be used......----_-_........................Type of construction--------- �--.-W&LL Dimensions of Building........................................Dimensions of Lot................-......_................................Size of Footings...................................... Size of Piers...................................Size of Sills.................. ..-----------Greatest 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............................................ „ Size of Floor Joists-----------------------------_-----......... Distance on Centers-- ....... -----••- Greatest Span.----------................................. ►, Size of Rafters-------------- -....---------- -- ---- --- Distance on Centers .... ---- --- ----...., Greatest Span.........---................................ „ This rectangle is to represent the lot. APPROVED Locate the building or buildings in the CITY OF AT!;J4TlC BEACH richt position. Give distance in feet from F11FLDING OF"t+iCE all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall c' 1083 be submitted with application. �'El,�C� 'e9V Inspections required. r 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns an / lintel. x M �. 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing L g p g ie completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 0.0 7. Electrical inspection by City of Jacksorville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. o C 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 Beach. Signatureof Builder..............................................................-................ Address.................. .---------......................... ...................................... Signature of Owner......? ..........0 ..... Address.....1i_/_1...... ...../.0 .................. M DEPARTMENT OF BUILDING j CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 6/24 83 Date 19 i Valuation$ 50.00Fee$ N/C 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 FRANK C. MUTTON 511 Ocean Blvd. , AB 16,; . G has permission to build BRICK WALL AS PER PLANS)) =I 11 6/07/d UO i Classification SP Zone Owned by FRANK C. HUTTO Lot Block SID House No. 511 OceAn hlvd According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- ` SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE .4--01 4— 0 O Building material, rubbish and debris z from this work must not be placed in pu $pace, and must be cleared { i a a ed away by either con- tra o owner.. f ' Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING i ELECTRICAL SEWER WATER I x DEPARTMENT OF BUILDING 3330 { CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 3/31/ 19 77 Valuation$ a 9W•W Fee$ G a W 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 Frank C- I~Itt't'tn has permission to build_ 3f1 addition t0 house Classification Ras i deft I a I Zone Owned by fl-a k C. Hutto Lot 1 Block 19 SSD AD House No 5.1..1—OGean According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE m---0. 44 ► 0 Building material, rubbish and debris Zfrom this cora const not be placed in public space, and must be cleared up and hauled away by either contractor or owner. R. C. Vogel Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER 1 FOR OFFICE USE ONLY a Date. l� .. �--19 ;F.7 G'D Permit #------------------------ b «� CITY OF ATLANTIC BEACH Fee$ .a...._.._-..••_ Valuation $ ........................................ FLORIDA A�3�197 House #S//.. 1 e ----------------- M APPROVED " ............ CITY OF ATLANT(C...HEACH--------------- APPLICATION FOR BUILDING PERMIT ���LD i4d OFFICE -----------------MAR"5 ... Application is hereby made for the approval of the detailed statement of the plans and the building or other structure described. This application is made in compliance and confo 7Mnce 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........................... '"-1'11----- Owner... .............. T•TQ---••---•---....Address._•SW...�1GE,A/V--C3L*---Telephone No...2 __'.......... ��Ea Architect SG- L. � Address -------- . Telephone No..------------ ContractorBuilder...... E ----------------------------------••--------Address-------------• ----- ----_---_....---•---------..Telephone No-------'."":=.------- LotNo.. ` -----------------•-------------.-._Block No------ 5-----------------Sub Division.----------------------------------------------•---------------------:-........Zone-----_--------- Street_ - Side Between - - '` and -----�--�--.-------••-----•----•------Sts- Valuation $----- .4-4__=).t.----.For what purpose will building be used---- /�1_E-------._Type of construction.......rF Dimensions of Building--------------------------------------Dimensions of - --- ._ --••-- -----.-----------Size of Footings._-- SizeSills-. -•------�-�--�-----•-------•- of Piers.__- of Sills.. ._____. _....Greatest Sill Span in ft.._� ..._ __ ___._.Type Roof___ ............... •`" How will Building be Heated?__.--- ! _r _._. S-A✓°r- .Will Building be on Solid or Filled Ground?...__w .�=.f.�. ............. Size of CeilingJoists... --------------.--, Distance on Centers---. ----- r f ------------------- Greatest Span----.-� r Size of Floor Joists--.....��_.---.--''�-�.--.------•----------,Distance on Centers------.-f-�=------....................--, Greatest Span----��°••:-............................ u Size of Rafters-------------- - -- --------------- ------_--, Distance on Centers. -.- --------------------------------., Greatest Span...... -----.- -r- n 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. _ 15-7 1. When steel is in place and ready to pour footing. f 2. When steel is in place and ready to pour columns and/or lintel. Z r7-a z 3. When steel is in place and ready to pour beam. a 4. When framing is completed. o 5. When rough plumbing is completed,and ready to cover up. �l 6. When septic tank drain field or sewer is laid but before it is covered. q W A 7. Electrical inspection by City of Jacksonville. vi 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 Beach. Signature of Builder................. .. Address......--.--.--------_-.-- Signature of Owner. --F/L ._:3. ... •:_:.._. Address-__-6 1. .�-ry.`- ......... ..'�._.......... 1� G \� t \ (� 7 . � KI TCN /V_ pp TkY .`c•\ . �`; . t i a, — `�RROP�%T(b E'F 77MN 457 O OA= 5/) /►'IE, "9 S NooSE' 1 X 6 D C X gra - _.. ,g _ C U T 70 r e�=W 4 itICM ©DORS / X1 14e Y' Vll/)�r , � r I PLN TE a r. T z'X�', �60.(c ReC4:FI VC f-1� d OR , AL I /X6 DECK X� PKAT ' A 6""— /6 T14PE'R6P CONC a 1) al� A/V,I','OR Q(3�7., 1 5 Cr TION -..,f i oo/ r. 'v1 � �� / pL _-" ,, -. .. DEPARTMENT OF BUILDING $2$8 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. I PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Feb• 4, 19 87 I Valuation$ Fee$ no fee i 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 S= MTSGD 511 Ocean BmIlevard has permission to Pte: Palm Tree in front yard due to h O A s°Dt- insect infestatim Classification RPairign ial Zone Owned by Scott rxiswow Lot Block S/D House No. 511 OCEAN BOULEVARD According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4 D —o O Building material,rubbish and debris Z from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor o� owners_._ ilding Official. t� FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY .NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF Fead - 94vi 'a 716 OCEAN BOULEVARD P.O.BOX 26 `-``- ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 APPLICATION FOR TREE REMOVAL PERMIT DATE Applicant NAME 15 w � ADDRESS -(( Owner NAME S c, T G (-S(-)-DL.os ADDRESS I ( CSC L N 2-Y6 - 756 y3 222--., 04V Location of tree if different from owner's address : Reason for Removal : 0Ar- _ (-rik 9-S /-,r'Al s >. a/ f i.v;'ro ��c. ��2 L�:✓�3 .. Cyc�iEK �.,,t: Rear Lot dine a� a� indicate � a ossition of I oAK a-1 r971.y C I tree on o lota ., v Q) ti b I_ 10 i 4M Front Lot Line Building Official W40 W4 11390, DEPARTMENT OF BUILDINQ CITY OF ATLANTIC BEACH T I NPORXAT I ON ------ LOCA'T T aN T Pt�'OR1II�kT I OPI erma,t Nub r: 11390 Address,: 511 OCR" BOULEVARD,_ Permit Per RE ATLANTIC BEACH, PLORI�?A 32233 b ass cif rk: NE'N4----- -LEGAL DESCRIPTION - Constr . T Pe: WOOD FRAME Lot Block: Section__ Proposed se: sIN0 LL FAMILY Township: RNG: 0 Orel l inc s :i 1 Code: 0 Subdivi;iOnW. ATLANTIC BEACH I IStimet ed, 'V aIue: _ $750 -00 Improv. Cost $0.00 Total! Feels • $22 . 50 Amts $22 .54 Da irk .. � ... 13 TION lTV � __ . ~ RIS " APPLICATION PEES ----�--- L PERMIT I T' $22 . 50 es N BOULEVARD 'WATER 'IMPACT FEE $4.00 P4 9H, PLORI C PEE ?. e 4A A RADON OAS�H.R. S. S0 .40 _, -,.- T T PIP'CIRI+�A ON - RADON C18 5 $4.04 f Marne:' CAPITAL IMPROVE. $0 .00 A L` BZAC:H, FL. 32233 CROSS CONNECTION $4 .00 ce Type: 0 SEC H IMPACT FEE 0 .00 CONST.SURCHARGE S 00 a _ . NOT S; 4 f 1 t y .y NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE r Bil DING MATERiAl L,;RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CL RED UP ANDA RULED AWAY BY EITHER CONTRACTOR OR OWNER �`I* ILURE T COMPLY WITH THE MECHANIC'S LIEN., LA1A1 CAN RESULT IN TfPROPE TY OWNER.PAYINGTWICE FORTHE 13�l ,� JMPRt�}VEMEN"1`t" w IS ,ED ACCORDII TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR ' '°ill.: TION OF AP IC3ASLE`PROVISIONS OF LAW. Dam 1/2 6/,% 01 ATLA IC BEACH 13 !LAIN DEPARTMENT 1747 00100043c"21004 t CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION : 5 ti C)r e c Q �Q � _ OWNER OF PROPERTY : C'(, r r G;-k CONTRACTOR M("-I a CONTRACTOR ' S ADDRESS: 4--) U v. 6L( _ STATE LICENSE NUMBER: 2L UTELEPHONE:�'�2 i 'C) f DESCRIBE WORK TO BE PERFORMED: Cc- VALUATION OF PROPOSED CONSTRUCTION J 0 c' a MATERIALS TO BE USED: rn l I SIGNATURE OF OWNER : SIGNATURE OF CONTRACTOR : Liabilitv Insurance Supplied Workers Compensation Insurance Supplied License Information Supplied S kt 6174 IDEPARTMgt OF BUi{.DiNQ' t. ` CITY O'�ATLANTIC BeA"CH 41 PLS T. I N E�°C iA°I Z C1 LOCATION ��N1�'C?3�A mit Nu" A dr,e:6s OCEAN, BOULEVARD ., _..a ,. xml' t lyATLANTIC> BEAM, PLCEIDA 3 -2.:3 VSs Of Wo J, ADDITION . ___ �� ,.�_� LEQAL DESCRYPTIrON �_ ,.. s ''ixy I" D ,> i2 E,, Lot: Block Section. + 0 ' O F LY T I Lo ri a.p 1 -diy z "Irnlircv S , Q AmouD { ` 'ERHANG pN EAST SIDE ^QF EiOI P PLANS, ' p �. d . . APPLICATION FEES �... IT S72 50 $ i3FtlAIT t�A�'�;tlt IMFRCT 'E .DD I Ck FLORIDA �� E I AC FEE �57 �k pg 4 rti M4^ .M'p' MrW r AMY AA 0 .00 { I i�> , 7 77r E � PmEl1 "F C WATER TAP Std . y�yq EL a 233 �` H'� ` LIC"'.SHARE 0 =/00, t C✓n'r M Type:* [lr. �Y h:L SV FEE", r t 8a!"`�` aE ", ' IEEE k ES♦ J . 77 yr v k r � � }l NI�TI - ALL CpNCMiE7E QRM$AND F60TIMQ MWT 6E iMSPECTifD BEl�URE i DRINf3 _' pEl~IM1T VOID SIX MONTHS"AFTO"t DATE pF ISSUE UILDINQ MAT: IAL, RUBBISH ANCJ DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE �" L>�ARED UP A HAULED AWAY B�EITM�R CONTRACTOR OWN � ` 1ytf ! I IlITH THE MECHAIWIC3'" LIEN k.Ai 'CA 4 , ESUL.T IN ■ / �; R. #lAYINGIWICE FOR suit M MPAQN MENT ." k a off I l I,b UIsD ACCP G TO Af�Pf�t�VEp I?t.�NS WHICH ARE PART pF THIB .P�RM1T AND SUB:IE�I 4 REVOt� z j IQLATIpN 0 ' E3L PRC3VISIp1 QF LAW. SFr. { =10T 1 a{ I:AtVl1C BEAD " �UILDIOA Q PAFI I` IENT 6 MAY 4 1993 V Building and Zoning -- - _ WNW w:w Ia-Al22o Q �[ i �i8 GYM OKAE sroRY MASOAXY I NO. 511AN i R1 , i I lz\ �e� i m I lr K — � iso•)_ _ :v; Q�2' , FGY/ 'ri"7QavJ ^n a I, / sO OOH Maw `le iaav OCEAN BOUZEVARD (O 'e/w D G � MAY - 41993 _ Building and Zoning T�/5� PRoF�c R Tim [.it 5 /�/f�-aa� Zoi�E' •C'; Y��/CN fir�/i5�'�7 i1.{�y 2G, /'9B3' To �a�o✓� /5 T.�c �.Q'ca of iv(ii�i.�P.a� FL 000/�� f3Farz/�� F'.��ERE�Ct k T FLA. 1947 LAW! MANGO FORM 409 ►! 717.13 �l 2NOU're of 4N1[►ARS IN DU►LICAT41 To full= it Utau "Uwe= The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property........) si.l..........,................. cG.............14 ...................................... .................................................................................»......._............................................................................................................................................. ................................................................................................................................................................................................................................................ .................................»..................................................................................................................................................».............................:........................... General description of improvements........... . '.............. .....o„v,,00,hr ftAy.......... k"car ;............On."c........14.P.!;,r... ........ .......:M........ .......,r�4!t'r'�lC».....e'�a��r'f,�..................... .................................................................................................................................................................................................................................... Owner...... '...ti5.Az.t......... '�.r?�5.w.°.�.d......................................................................................................................................................... Address....... .............0WA-1.......a!!4............4.;&J"��f�g.......l�srt45.�?....,...i ...... . .......3........................... Owner's interest in site of the improvement.................................................................................................................................................. fee Simple Title holder (if other than owner) Name.................................................................................................................................................................................................................................. Addre... ...................................................................................................................................................................................................................... Contractor.........W Z$.4C ...........If�[ c3Z OWMc•YyT......................................................................................................................... Address......'YW.........GrJ T:.......X?-"`. ........9�"Wn..........dolt.l,*a-ft.....5R .......'G .. ..., a? 3» ..... Surety (if any)................................................................................................................................................................................................................. Address.......................................................................................................................................................Amount of bond $....................I........... Name of person within the State of Florida designated by owner upon whom notices or other doasnents may be served Name ........ ..............................................................................................................................................................»..............,.................................. Addreu.......:..................................................................................................................................................................................................................... In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name .................................................................................................................................................................................. ....... ................................... Address . ......................................................................................................._.. ... THIS a►ACL FOR ItRCOMcZ#t-% Yeti ONLY / ...................................... Owner Sworn to and subscribed before me this... ........... .�.....dayof:. ..,.....19f-1'.��...................................................... ... . ..... ....2 19..�.�,3 vG4U :;OSTANFOR�D Notary Public, State of Florida My Comm. expires Nov. 24 1996 Comm. No. CC151216 ►l.A. Ifs? l.Aws MANGO FOAM 4" ►f 717913 W1%r Auflirr Of Q.T'jaml-MU11"rurv" V- tory �♦ „*� ��}��p � 1H1[►All{ IN UU►LICA741 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property. LI.P.3........ ..................�?A ..usx�1 ....,L.cL.............1 4..... `...................................... ............................................................................»...._........................................................................................................................................................... ................................................................................................................................................................................................................................................ .............................................................................................................................................................................................»..._........................................... General description of improvements...........dows.A.AtWF.. '.......,*...... ........... wr! ..........IM . .r........VJP. r...W........t 4.vsc r...... ........er0VCV7,e ..... 4!!4'! ..../.4er4?m..................... ............................................................................._................................................................................................................................................................. Owner............15.c-PA ........ ......................................................................................................................................................... Address........ 1. .............. ...... !ve .:......... ....... .s .y....,...7 ....:._.rl ...23.3............................. Owner's interest in site of the improvement................................................................................................................................................... fee Simple Title holder (if other than owner) Name.................................................................................................................................................................................................................................. Addr ess..................................................................................................................................................................»........................................................... Contractor.......... 1! Zegr.........�...Mtc3 p v.............................................................................................I............................ ............ ...................... r ? ..... Surety (if any)...............................................................................................................................................................................................................» Address.....................................................................................................................................................I4j rM of bond $................................ Name of person within the State of Florida designated by owner upon whom notices or other douanents may be served Name.......... ..............................................................................................................................................................»»................................................ Address... .................................................................................................................................................................................................................... In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name....... . ...................................................................................................................................................................... ....... ................................... Address................................................................................................................_.._................ .� ....... .._. .............. .............................................. THIS erACt POII Its:COROs:R'• Yet ONLY -j ` .... ....................................... Owner Sworn to and subscribed before me this.................................. .........2 .�-/.....dayof.. ..,......... ...........................19..�,�..,:3 d....%.• _.......c .:..' Z ... NcNG STANFORD Notary Public, State of Florida My Comm. expires Nov. 24, 1996 Comm. No. CC151216 4 67 u I. fi DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH P'ERM1,11, I NFORMAT I ON --------- L+OCAT1 C?N .1 N I?ORMAT ION Pt 1' � :�; Address : �� OCEAN BOULEVARD � 3LIILDING A'TLANTIc REACH,, FLORIDA ; 1' 9 0f Rot k, ADDITION .-�.-�,,.-,��. LEGAL',DESCRIPTION ---------- astr" Tyr e: NO D FI AME Lot I Section"oplosed, u 4: SINGLE FAMILY Township, RANO. 1. rig iM ted, i 1 "ode C ubdivisi r Total s x u { AM� �t � ) . /10/93 1 7 'k, "De� Y OVERHANG Oft ;AST SIDEOF HOUSK,TER PLANS ION' " h i*"S+M,M+ tir�va+„...'r.. .w.. +. APPLICATION FEES r kP 'RM I'I", $22 . 50 BOULEVARD WATER ' NAC FEE $t? C}C3 ` POP 4 "' �LPAC' FEE : a _ q{q 1 t ' Y451t AT N CAS,_H' R.S. t� 0 FORMATION y S Name $ V , PMRNT Ao WATER TAF 40 ,00 TIC $ S rEER. W -T ATS .m rfEACR rCy " 4FL f 32233 HYDRAULI�C . r SNAP.F �? , ?� L n C c TxpeRE-INSPECT FEE ,>O� : � SRC N I1�1RA `�C PEE t ,'in A46 om Not �S: I i i i NOTICE+ ALL CONCRETE FORMS AND F00TINGS MUST BE INSPECTED BEFORE POURING j PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE i i BUI'DING MATERIA ,RUBBISH AND DEBRIS FROM THIS WORD MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST$E CL , RED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER t ati Tx: LURE COMPLY WITH THE MECNA►NICS''LIEN, LAW CAN RE$ULT IN .. 3PE TY QWIti1ER PAYING TWICE FOR BU LL�i�[ i �lIAPi'ROyEME"NTS," EO ACCO" TO APPROVED F'i IS WHICH ARE PART OF THt$ PERMIT AND $USJE D REVOdII r# ION OF'AP 'R{)VI$ION OF LAW. t ATt.A�C#C BEECH BtDING D,EPA 1 �# ' CITY OF ATLANTIC TIC BEACH BUILDING PERHIT CALCULATION SHEET Address_„a_.__ / 6 Fj Date_ ,.S -9 3 Heatedquare Footage 0' @ $ per sq ft = $ �lii carage�f Shed 1 ' @ $ per sq ft = $ Carport/Porch ````�(G �1 @ $ per sq ft = $ U Deck � @ S per sq ft = $ Patio V @ S_ per sq ft = $ TOTAL VALUATION: $ 91fo 4 9 ; ,Iry � _ moi' $ l S�• c Total Valuation 1st Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ e + 1/2 Filing Fee $ .3 a ( ) Fireplaces @ $15 .00 $ BUILDING PERMIT FEE $ BUILDING PERMIT $� WATER CONNECTION $ SEWER CONNECTION $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ ( } RADON (HRS) .0095 $ ( } RADON (CAB) . 0005 $ SECTION H PAVING ( ). $ HYDRAULIC SHARES $ OTHER $ GRAND TOTAI, DUE $-� � CS �t ADDITIdNA!, PERMITS OR FEE:: Mechanical _ »P Plumbing_______ Elegy;tris/Nec'­.,.._._.____Electric/Tetx►p.......__..� _ _;SwimmingPool Septic 'Taa _.__..__.,_.....-__._p 1' N'l. l. ; Floor Elevation Sn r v e y,,. ___.._,__...,,._.__...; 0 the e r..__.,_...._.._._w­_ __..w.----.._..__.._..._. M CALrCOLAITIONS and/orNOTES: ' 4 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner I s) :--- cO—La -cti-CL------------------------------------ Address: _-_____Address: t 1 _oC�- �_ ��1------------------Phone: Lot # Block or Unit #------ Subdivisions____-_____ ----- Cantractor: C�_____-_ Describe work to be done s _. _ _ ,-+- L�------------T------ ----------------------------------------------------------------- Present use of building:-_ ________ Valuation: d -------------------------------------- Proposed --Propoased use _ C!4 d _ C�Q�1- �s'f'c _ r Is this an addition?--,V grv___ If yea, what are the dimensions of the added spaces---------ft. X ---------ft. Will the added area be hearted and cooled?_,X/ New electrical for incrvose) ?-/9--'o_ New plumbing fixtures?,,,_v0 New fireplace?,z,/d_New Heat/AC?- WOR SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. M Si r� gnarture OWNER$---------------------- --_--_____ Dates Signature CONTRACTOR: --� Date;___________ i PpPRpjIG ��P,� �N e� 61993 MAY - 4 1993 Building and Zoning S -rr G►� .s waid. s�dc Nc� D Gley MAY - 41993 Building and Zoning f Ix6� F, T. Ls N6- � >< < NG� /2 �C QST �� 'Rig�� I i t� t K Z�is z x io P.T. ,� ZX �SiM�sa,� HAS /z X 3 <�G \ \\ 15# CX tSTtNG E)(T'EIeiO1c ZX4 P.T. t��2 — SC��" .5// 0 Cha A-+ ( tA'jT t t` --B C e i + I j j O I 3C f i - _ - -- - ' 6J A P P R O V E D `� s C q CITY OFATLMrr- BU1'LD1Nr; 0—i- 07 117-+-c07199 f , TUN& f 61eDJ6 -i ooh +-e E-R, G Ip-s 2X J'OlST rc� {� i1 O�) C&4TC2 K- Ys X 3„ NQS 'eolT. m yXq p.T, POST X ( P,T. io wKAP y x �4 P,T. MAP SHOWING SURVEY OF LOT IJOGETHER WITH A PART OF LOT 21 BLOCK 199 ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, SAID PART OF LOT 2 BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: FOR A POINT OF BEGINNING COMMENCE AT THE SOUTH— EAST CORNER OF SAID LOT 2 ; THENCE N.04046135"W. , ALONG THE WESTERLY RIGHT OF WAY LINE OF BEACH AVENUE, AS NOW ESTABLISHED AS A 40 FOOT RIGHT OF WAY, A DISTANCE OF 50.02 FEET; THENCE S.83042100"W. 9 ALONG THE NORTH LINE OF SAID LOT 21 A DISTANCE OF. 44.85 FEET; 7HEbiCE S.0402611611W. A DISTANCE OF 43.77 FEET; THENCE S.83042 '00"W. A DISTANCE OF.)23.33 FEET; THENCE 5.06018'00"E. A DISTANCE OF 7 .00 FEET; THENCE N.83042 '00"E. ALONG THE SOUTH LINE OF SAID LOT 21 A DISTANCE OF 75.00 FEET TO THE POINT OF BEGINNING. _ -- _ FO,e: SCOTT GR_JS_ l4/0Z-..4D ACI-/ AVEIV UE BE' /V 194 qo �cw� s iRC7.J 04 'FQI/NO y' 14%w j�4 oz• 50.0,x' 1 (e•�. '" Q,• Opo W Poivr ofF-RA ME (SourNE'Asr Coe m e cor z)�( cp gQPA(�E { 7 40 _ 41 ICOAI So PLAAlrrr ouuo`X' • �0 I 6 7 " f, QEPARTMENT OF BVILDIIN it CITY OF ATLANTIC BEACH � 7 j7 LOCATION IMPORMATI OCRAN BOULEVARD rmx t Y R ROOF ' AT LANTIC. BE , FLOR1 1 ss t c� #SRW - ---------- c t . '"' + OOn BSE Lot;. R1� Sta a oposed. 'Uso-; SINGLE 1�MILY r��aa� h3 _ RNA� '� qubd imat4d Value; 0,"00 rnpr.ov. Cast Sd I + T ot $22.,50 1 moue TlON trw„fir a � Ra ,,, « . ;chTION EwJ . .... "2 res HOULEV RU q A,. FAC F"RR 0 'e 1ph n`” 'F�1AT R METER �fl .0C� I ON t AS-H.R. S. RADON, OAS 5% $0-00 - NaThe9, . r ROOF`S 3 �� ... .w ...., V&'SER TAP 7 dr: STREET 0WER, TAV " LLEL94 ' DRAtl­L2C SHAVE D ► T,NSP, CTI FEE OBER r � ' NOT t 4 At.L CONCRETt: Ft'�RtNS"pND FOOTINGMUSTS 81:tNSPECT-1008 EFORE`POU#tllNQr � x PERMIfi VOID SIX MONTHS AFTER DATE 0 ISSUE AN MUST BE PUBLIC SPACE D :. ' ILQING MAT #I:(AC,RUBBISH AND-.DEBRIS"FROM THIS WORK MUST NOTRE PLACE"[� IN�' C ERRE[ UP A M(�7'HAU LED AWAY BY SIS HE 1-CONTRACTOR OR 01+�NE.R i FAILUR TO CQMRLY WITH THE MECHANICS# LIEN LAW CAN, RESULT IN HE PRt ►I 'Rl`Y`aWNG 'T ER PAYINWICE POP BUILDING IMPROVEMENTS." SUEQ ACGt3Fit {NG TO'APPRC}VEQ PLANS WHICH ARE PART OF THIS" ?ERMIT AND SUBJECT TO REVOCATION: FOR {.ATIQW QF AAPLICARLE PROVISIONS OF LAW." A ' ANTIC 94C SU1LQIiJG DEPARTMENT CITY OF ATLANTIC DEACH PERMIT APPLICATION ROOFING C, Address: Phone,: Lot # Block or Unit # Subdivision Contractor: Address: Phone: -3P7 State License No. IC G 0 0 R r7 Describe work to be done:_ Materials to be used: CA Signature OWNER:__— Date: Signature CONTRACTOR: ------------ % e r CITY OF Office of Building Official j REQUEST FOR INSPECTION cc �L V Date `--2PermitNo. J Time Received District No. P.M. ^ �Job Address Locality _ Owner's Cert S L� Contractor Name _ BUILDING CONCRETE ELECTW AT=" PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough'Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Rooting ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPEC AW. Mon. Tues. Wel Th rs. Friday P.M. Z.__ -x WM Inspection Made Inspector ! Final lnspectio>( Certificate of Occupancy /? LQG�-�r `�5��olr c Date 4 d i)ATE: F kt-�Et2VIc:E= L)lVl!i)lUN JACK'SONVILLL E;LEUTRIC AUTHOLL'1r' �.� Wi:ST DUVAL SIRE E 1' JACKSONVILLL, FLORIDA 322L)—' THE; FOLLOWING FINAL INSPECTIONC-1 ) HAVE: :'i.t:it tlAl:l. ANO Ahr. JATISFACTOkY : t t 51 .4� L Y, /BUILDING INSPECTION UIVIL:ION i cc: FILE ' ur 5828 'DEPARTMENT OF BUILDING, CITY OF ATLANTIC 1011C14 Oki!!<it, INFORMATION LOCATION INFORMATION' Wit' Nua►br r Adarwa 1511 OCEAN BCIULEVAR)3 r*it 'Tys, MECHANItAL," ATL-ANTIC BEACH, FLORIDA 32233 Wo k: ALTERATIak ' . ...,� . .... . L»t3At. ''DESCRIPTION .-----_--- "a « "C` r s WOO FR.ABE Lot: soctions hand . ►� "+I 03EE F llt• "'srt ItA rl )"tbtCi s E l rsgift m'" Subdivisions "ATL.AHTZC BEACH i*A tad' V*,Iue: 00, 00 Ipresv. rtIO Tc�t oil. vt $37.00 t X SV XX 'CENTRAL HE AT AgD A"IR' k Wim" � Ofi MA• ' �....,,. . ...��» � ..�..� APPLI CA TII: FEES ��� PERM,I T *37,.VV A BOULEVARD wATkAl IMPACT FEIIs �, Eta.t'0 T I1 � FL©RI , PA FEE S,0,00 r �.- _ r ' airs.. " l , F,A GtN. -H. R.S. $0.00 ` . _ 0 NFORMAT PN ~w RADON GAS, - 3% *0. 00 Fate x O H TINt IR 1<TAT)wR- "lP. #0.00 TAP �0. JA H, FLORIDA 3220 HAI:tLIC 914ARE ' 00.00 : . s 3 E - NSPEC T FEE r� . 00 SEC..H IMPAC` FEE ti G mr.«,5'.1y,"%�`.»'& �,, avr„ a. •.. w°R'.n��' '`�m^ r'azw,�+acsw,w*w,«., ,,"„a ,”'o x a ,NOT t C ,> NOTICE ALL Ct?NCil:Tic'FORMS AND FOOTINGS MUST E3E 1"N$PEC'�E©BEFORE POURING PERMIT VOID:SIX MONTHS AFTER DATE OF ISSUE StI DING MATERIAL,RUBBISH AND DSBRIS FROM.THIS WORK MUST NOT BEL:i�LACEf31N PUBLIC SPACE,AND MUST BE CtRED UP AND iHAULEU AWAY BY.EITHER,CONTRACTOR OR OWNER., x IL.uR,E 'F cC I L WITH 'THE MECHANICS'% U` � t,AW CAN RESUI.r IN T E Pt P i7"1r wwE r P�A►Y SIG rwICE FOR 8���.��' to IM PR I I3S 4ED ACCOROIN TO,APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SU O REVOGA" fi R 'TIC)N O1 - PJCkBLE PROVISIONS OF LAW. , F' A .A TIG$EACHfi DAflTAdENT" � wx Y , 4 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82288 x APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT Applicant to complete all items in sections I, II, III, and IV. LO4AT)ON Street Address: OF =, Intersecting Streets: Between e+' And ev1oIN Sub-division II. OENTIFICATIQN - To be completed by all applicants n consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance ith the attached plans and specifications which are apart hereof and in accordance with the City of Jacksonville ordinances and standards f'good..practice listed therein. me , of Mechanical Contractors Ce ' efor (Print) Master Nam4 ofi"o"' he Owner Siy re of Owner Signature of or rissd Agent Architect of Engineer Irl. �tAI. INFORMATION A, T+tpa of host inq furl: B. 1S OTHER CONSTRUCTION BEING DONE ON J 96cwc THIS BUILDING OR SITE? J , "—[3 LP O Natural O Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION on PERMIT 06or sP"'l'l IV: fCAL 6pt1 M6NT TO SE INSTALLED NATURE OF WORK [ complete listl!iof components on back of this form) 1 Residential or ❑ Commercial Most ❑ Space ❑ Recaaod Central D Hoot ❑ New Building ` � Existing Building Air CoedsHoninq: ❑ Room X Control' ( ouct System: M+teriall ThicknessReplacement of existing system e.f.m. ElNew installation(No system previously instalied) Maximum capacity ❑ Extension or add-on to existing system Rpfri erat+on ❑ Other -- Specify Cooling tower: Capacity 9-Pi". spri umber of haad- Hra nkian• N . C1, Sovefor ❑ anlift ❑ Escalator (number) THIS SPACE POR OFFM USE ONLY . 6asolinis pum (number) JRaoaivosl} Ta (number) Remarks iA6 oontilears (nuenbar) ust"d pressure vestal Permit Approved by D'*` Ifaif�rs Permit F.. Spaeiiy ST ALL>EMUIpMENT EQUIPMENT Capod ty Apprawfaff Number Stsnutaotn"r (7`onsl) p 1, WATING - FURNACES, BOILERS, FIREPLACES Nannbor Units Dacrlpt;oo Xbool Number IGuutaetlttrr Mm 54M Wm OT 1b TAOIKS Many NOmW Capeaty Type Lgvdd mme of serw Ap�i sod Contained y[anutillottaw No. 3 I