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Permits 544 Ocean Blvd (vault) JOB ADDRESS J `A/ 44elew TYPE WW PROPERIT O RWER �Z �'/s'`� T'EZ. THO 7 / � NE � CGNT'RACT 0R ` c, THGNE PERAIITNUAMER / ,Y'7 `�� DATA /Zx-/ LVSPECT ON,S. FOOTING SLAB TIE BEAM LINT NAL NGISHEATDYING FRAAMVGICO VER UP LVSULAT ION FEVAL BUILD CLRTIMCAT E OF OCCUPANCY ET, -'7WC4L PERAI M / ,T �? �2 q INSPEL77®NS ROUGH /6--l_ � FINAL -d- S AMCFMArIC4L PERAIM IIVSPEC77®NS ROUGH FINAL PLUAIBLVG PER6 M 3 LVSPEC 7ONS ROUGII UNDER SAB TOPOUT WATER/SENTER FINAL NOTES: PREPARED 7/01/03, 8:33:59 INSPECTION TICKET PAGE 4 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 7/01/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 544 OCEAN BLVD SUBDIV: TENANT, NBR: NEW POOL CONTRACTOR FLORIDA BONDED POOLS PHONE �904) 641-5265 OWNER BISHOP, JOHN PHONE PARCEL : 110140-0000- - APDL NUMBER: 03-00025848 POOL ------------------------------------------------------------------------------------------ ----- PERMIT: BLDG 00 BUILDIMG PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------------------------------------------- ------------ 18 01 5/01/03 LJH STEEL FRAME INSPECTION TIME: 08:00 5/01/03 AP 237-1035 16 01 /01/03 LJH BD FINAL TIME: 08:00 _ POOL FINAL, DEBRA 237-1035 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 5/29/03, 7:45:15 INSPECTION TICKET PAGE 9 CITY OF ATLANTIC BEACH INSPECTOR; LARRY J HIGGINS DATE 5/29/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 544 OCEAN BLVD SUBDIV; TENANT, NBR: 150AMP,1PH,3W,240V-POOL, ' CONTRACTOR DAVID PRUETTES ELECTRICAL SVC. PHONE (904) 272-7225 OWNER BISHOP, JOHN PHONE PARCEL 170140-0000- APPL NUMBER: 03-00026127 ELECTRIC ONLY ------------------------------------------------------------------------------------ ---- PINIT: BLBC 00 BLECTRICAL PBRNIT >1 REQUESTED INSP DESCRIPTION q TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------- Q �------------ 22 01 5/29'103 LJ E ROUGH TIME: 17:00 _ ice__ __ OUNDING AM OR PM 272-7225 L� -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/09/03, 7:22:32 INSPECTION TICKET PAGE 6 CITY OF-ATLANTA BEACH INSPECTOR: LARRY J HIGGINS DATE 6/09/03 ---------------------------------------------------------------------------------- ------------- ADDRESS : 544 OCEAN BLVD SUBDIV: � - TENANT, NBR: NEW POOL CONTRACTOR FLORIDA BONDED POOLS PHONE : (904) 641-5265 �` OWNER . BISHOP, JOHN PHONE : `;' PARCEL . . : 110140-0000- - v� � "� ADPL NUMBER: 03-00025848 POOL ----------------------------------------------------------------------------------------- -- PNRNIT: BLDG 00 BUILDING PBRNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------------- -------------------- 18 01 5/01/03 LJH STEEL FRAME INSPECTION TIME: 08:00 5/01/03 AP 237-1.035 16 01 6/09/03 LJH BD F NAL TIME: 17:00 VI) YINSPECTION CELL 237-1035------ �-R�2��-- ------- COMMENTS AND NOTES -------------------------------------- Y LANrj�, F�OR10P OF ADDITIONS or CORRECTIONSE DONOTREMOVE JOB ADDRESS DATE ®C t_i 9(4%D 1'a C' ,0� THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted I"DOW-> -2 V-Q(-A,A ? vV 1'k V V__ tit' . $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have beery made, call 247-5826, Building Depart- ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m.to 5:00 BLDG p.m. Monday through Friday. CITY OF ATLANTIC BEACH a S1 800 SEMINOLE ROAD r ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026127 Date 5/27/03 Property Address . . . . . . 544 OCEAN BLVD Tenant nbr, name . . . . . . 150AMP, 1PH, 3W, 240V-POOL Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ BISHOP, JOHN DAVID PRUETTES ELECTRICAL SVC. 544 OCEAN BLVD. 331-8 PARKRIDGE AVENUE ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065 (904) 272-7225 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75. 00 75 .00 . 00 .00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75. 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. -FAILURE TO COMPLY WITH THE 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. RIJILDING OFFICIAL Phu i ldc n� P-e�n,�:c!- _- ' ,_ s({� CITY OF ATLANTIC BEACH, FLORIDA(gjDzf) �_93 71 APPLICATION FOR ELECTRICAL PERMIT J TO THE CHIEF ELECTRICAL INSPECTOR DATE:y Jas 2,ga3 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. ELECTRICAL FIRM: C NA �u i d Pr ' Clan` ! S>� G. OWNERS NAMES 6l1 8 ish op ADDRESS:5(ig l ud RFD Box BLDG.S BETWEEN: D RES. ( ( (APT. COMM.( ) PUBLIC( ) INDUS.( ) NEWOLDREW.( ) t� ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. SERVICE: NEW INCREASE REP CONDUCTOR SIZE AMPS: COPPER( ALUM.( FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV.SIZE 150 AMPS PH W VO4LOT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30AMPS 1 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. I OVER APPLIANCES I I BELL TRANSF. AIR H.P.RATING H.P.RATING I CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS I 1 , T aq U MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. IKVA NO. IKVA NO.NEON TRANSF. NO I VA I MA I MOTOR SIZE I SWITCH FLASHERS EACH SIGN Updated 5n0/2002 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025848 Date 4/15/03 Property Address . . . . . . 544 OCEAN BLVD Tenant nbr, name . . . . . . NEW POOL Application description . . . POOL Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 27900 Owner Contractor - -- - - - - -- - - - -- --- - ------ - - - - - - - - -- -- --------- -- - BISHOP, JOHN FLORIDA BONDED POOLS 544 OCEAN BLVD. 8608 BEACH BLVD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 641-5265 - -------- -- - -- -- ------------- ------- -- - ------- -- -- -------- -------- - --------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 170 . 00 Plan Check Fee 85 . 00 Issue Date . . . . Valuation . . . . 27900 Fee summary Charged Paid Credited Due - ------------- --- --------- -- -- - - -- --- - - - ------ -- ------ --- - Permit Fee Total 170 . 00 170 . 00 . 00 . 00 Plan Check Total 85 . 00 85 . 00 . 00 . 00 Grand Total 255 . 00 255 . 00 . 00 . 00 BUILDING NIATF.RIAL,RUBBISI i AND DEBRIS FROM TI IIS WORK MUST NO'F BE PLACED IN PUBLIC'SPACF,AND MUS F BE CLEARED UP AND HAULFD AWAY BY EITtIFR CONTRACTOR OR OWNF-R. --FAII.IJRF"FO COMPLY WITII TI IF CONSTRUCTION LIEN I.AW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING I',1PROVF1%9F.:NTS'- ISSUED ACCORDING 'FO APPROVED PIANS WHICH ARE PART OF THIS PFRMI"F AND SUBJECT TO RLVO A'1 ION I-OR VIOLATION 01:APPLICABLE PROVISIONS OP LAW BUILDING OFFICIAL • MAP SHOWING SURVEY OF ACH LOT 3, TOGETHER WITH THE PAOET6910F OTHELpURRENTOPUBLiC RECORDSSUBDIVISION OF DUVAL COUN?TIC Be FLORIDA. AS RECORDED IN PLAT BOOK 5, SCALE: 1" 20' 11001- NOTES.: --�,2O > SEE ATTAG4IED POOL PLAN F0 > SEEATTAGHEDPOOL ?LAN OCEAN BOULEVARD IFDF- DIMENSIONS TO ALL 60' RIGHT OF WAY (PAVED) COVERED STIZUC-TUy-ES. > $EE ATTACHED ?DOL ?LAN FOS ANTI-ENTRAPMENT AND S 06'29'51" E 75.43' (FIELD) 1 FOUND 1/2' IRON t3ARRaER (-DDE (-OM?LIANGE. C 06•1 '00" E 75. PIPE, NO CAP - - 25,0 0.00 I 0 N I � N V X \ 30.5' 31.1' 13.S' I � ow Coo I O w O , O v O \ o m TWO STORY BRICK & FRAME e— CO RESIDENCE No. 544 �— cr_ Li 0 1 ter' V) Z v � r I u 0 1 0 FENCE ON LINE I ~ J O ~ I 1.5 W 30,5' I a's' PAD LOT 2 LOT 5 I W/WOOD STEPS " w f Y CONCRETE O © ' 0.2' O O Y Li CHAIN LINK FENCE I 2 ,1' N x X co • i z 8 00 co VJ''^^ Z I B L 0 z w 1 8 Y Z I a.3 T z WOOD SHED 3 a 0.2' X5.00' 0 2 a 2 1. \� a.a'��1.e' S 100' 5.00' FOUND 1/2" \�� FOUND 1/2*-IRON PIPE, LS 4177 VY^o6-18'00" 75 oo' PPE NO CAPRON 6' WOOD FENCE N 06'09'23" W 75.20' (FIELD) ATLANTIC BEACH TERRACE PLAT BOOK 15, PAGE 34 NOTES: THIS IS A BOUNDARY SURVEY. NO BUILDING RESTRICTION LINE AS PER PLAT. BEARINGS BASED ON THE SOUTH LINE OF LOT 3, BLOCK 18, AS BEING S 83'42'00" W (ASSUMED DATUM), THE PROPERTY SHC N HEREON APPEARS TO LIE IN FLOOD THIS SURVEY WAS MADE IN COMPLIANCE ZONE "X" (AREA OUTSIDE 500—YEAR FLOOD PLAIN) AS WELL WITH THE MINIMUM TECHNICAL STANDARDS AS CAN BE DETERMINED FROM THE "FLOOD INSURANCE RATE SET FORTH IN CHAPTER 61G17-6 OF THE FLORIDA ADMINISTRATIVE CODE. MAP" COMMUNITY-PAr�EL NUMBER 120075 0001 D, REVISED APRIL 17, 1989 FOR THE CITY OF ATLANTIC BEACH, FLORIDA. 11L"I , DONN W. BOATWRIGHT, P.S.M. NOT VALID WITHDUT THE SIGNATURE AND FLA. LIC. SURVEYOR AND MAPPER No. 3295 1HE ORIGINAL RAISED SEAL OF A FLORIDA FLA. LIC. SURVEYING AND MAPPING BUSINESS No. 3672 LICENSED SURVEYOR AND MAPPER, CHECKED BY; _ 4 BOATWRIGHT LAND SURVEYORS, INC. DATE: SEPTEMBER 3, 2002 DRAWN BY: DAF 1711 5th STREET SOUTH SHEET 1 OF 1 FILE : _ 02-1016 T_ _ JACKSONVILLE BEACH, FLORIDA 241-8550 �r 1. T.1.3 6.y71Y YAGU." W-LIEF 3Yr.TL71 IO A AF'�'ROVED 5tli'IP'1MING POOL SQA h-?d-1'*.E GNMI�C..A1 SENT 6"BTLM THAT WILL OMIT n 11 'RAN9n119a'P1 6&ZTICN AT n;e CUTLf]r TO A u u MAJx IF7, OF a5 r..craca OF Held-Uk--Y, DUAL NAIN DRAM AP105P-1=RiG VENT C5VR5I I � ~IF ° I ¢ T1lE6✓OLO ENTWrrtT OCC"Q. AlL�6� s��eoo� GOI"If"LIANT WITH SECTION 4241.06, Fj_ORICA 5UILEUINCG r1T111'Y.6?-:51 uc D.a7At-LLD IN CurCn41AA=wrfN I;i7ITU T7: 4.aC F-(-WL cIL,MW- ® CODE FOR RESIDENTIAL APP;_ GATION5- i. PCoL Aha WA ell;TICN IN4.Er6 o+4AL.. E5E ✓QO'AOC-D LArW A cc,,EQ r'WAT C4r"+ L1E6 lUTt1 AN&VA.IVtC AIDrIIW ENTRAPMENT AVOIDANCE A. Tt{YC-LocIT-r ON n+E °t;cnor,eIDE OF 4Z VENT PIPE ANALY5(5-r1AXIMU"1 LENGTH C-%EILW.AT 101 6Ya7EH 6NALL NC77 E)KLI--ED AIX fit I", 6. 1�E YtNT-INF LErrr T.+?- : I NOT ExCEEO T11E TOTA LE*G rN cr na MAIN UNnN Lra' PIPE SIZES AVARAGE VELC-IT' VENT PIPE MAY-il"1UP'1 C. Yr*R nAr*Nr,".Ae ccr Cm r_ wl7u wI r,ew INCHES FLOW GF'I`1 FT. P=R SEG. 51ZE _ LENGTH FT_ aG?G-kN TO f'FWYEJ.T N' C76"PU-5W6 COLL.ECTIGN 3` 1.:Ark-L vcN' rooL 6."e-T rFV:GE- ooNOT _ -1I� 1112 4' Ah�jLE 2'1/2" i00 6.1-- 1 Irl" 53 I r —2 1/2" IJ !la l 137 -�-7 --i I/2° — -60 e clZ5^1 5 E 3" —�3�— - _��o - —j f 1/1" �CR T-p } 3" _~+- 145 0.29 I Irl" 19 3" 115 i -115A 1 Irl" �5 L<, --- —- -' 4" 1 1/2" 1 h UN i i T is analy616 la waded upon malntalning the length or p!pa Calow the opaeUnd level of tin pool, verticil and horizonui, to vacate within 3 aecOndG 046ad Oe the size of the puma and the avaaga r!aw rola.pvei to the dreul:c radiant ceusaay v Un and In tra on, Ilne ahoukl be - - IS 9 FN"P P P y• located as close to the tee at the dual (rAln drain, as pvaslbia wiul a maximlrm dlitanca or U" 1 I �`---- --- L MAIN DRAIN T1-116 douino+t I► tro intallor-ILWI property or I-:;E and cen.rot be reproduced In chole or pert I I without the expreaacd written approval or NCE. TMIa document Ia not valid w[tMoLa the aeai or JoM 1`9. Carroll Jr. P.E. rV1' A-W -41[= 'h DRAM COtLA'T"EaV Of I__.— --- TEAM HORN ' 5nFcT1_v�GUUrt F2F`Et..SE SY9TFM CSv7�5J `-- Ctjl. --Cl ENOINEeA9,INC Lawaa44. VHONC Nu: (Va&)772-4940 MIA 5766 MWIERLINE conn. VT. 1At10EgOALP FL. 3_3D9 rAl NO; (0111.)771-6R40 •"'� lM"1!�,a0r1NEo� PREPARED 4/30/03, 15:18:01 INSPECTION TICKET PAGE 7 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 5/01/03 ----------------------------- ------------------------------------------------------------------ ADDRESS . : 544 OCEAN BLVD SUBDIV: TENANT, NBR: NEW POOL CONTRACTOR FLORIDA BONDED POOLS PHONE ; (904) 641-5265 OWNER BISHOP, JOHN PHONE PARCEL 170140-0000- - APPL NUMBER: 03-00025848 POOL ------------------------------------------ ---------------------------------------------------- PIRNIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPT ON TYP/SQ COMPLETED RESULT RESULTS COMMENTS -------------------------------------- ------- ------------------------------------------------- 18 01 5/01/03 LJ4 STEEL RAKE INSPECTION 71*-1#14 3z-i 35 -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF ATLANTIC BEACH r 800 SENIINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034011 Date 10/20/06 Property Address . . . . . . 544 OCEAN BLVD Application type description RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9000 ---------------------------------------------------------------------------- Application desc ADD FRONT PORCH ---------------------------------------------------------------------------- Owner Contractor BISHOP, JOHN OWNER 544 OCEAN BLVD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 75. 00 Plan Check Fee 37 . 50 Issue Date . . . . Valuation . . . . 9000 Expiration Date . . 4/18/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total 37 .50 37. 50 . 00 . 00 Grand Total 112 . 50 112 . 50 .00 . 00 PERMIT.IS.APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ,$r CITY OF ATLANTIC BEACH PLAN REVIEW SHEET J , 7 wski Building Department Public Works&Public Utilities Departments L. Hi ins 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 Carer (904)247-5800 (904)247-5834 D. Kaluzniak (904)247-5845 Fax (904)247-5843 Fax Public Safety PLAN REVIEW COMMENTS Permit Application# Property Address: 7 Q e lvd Applicant: 1-4 3 i Sh o� Project: A)b This permit application has been: IV � log Approved as noted by the Department. Final application approval must come from the Building Department. tg Reviewed and the following items need attention: 2 . -- - pRO�Ep AC1� p114 G ofFICE 1006 Please re-submit your application When these items have been completed. Reviewed By: Date: 2 Date Contractor Notified: �� CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION J r � v (Alterations &Additions) si>>r 9 L" �l Date: L o 6 Job Address: E1( DC6%2V)-1 1 Vd, Owner of Property: __-Ty bv, 7_0 , S 6<;�P Address: .gi-tL( fit°ten I?, iQ,�,,P. -f I—Sc�i Telephone: C' 7 Legal Description: Block Number: Lot Number: i- Y Zoning District: Contractor: <e— State License Number: Contractor Address: Telephone: Fax: Describe proposed use and work to be done: !FIZ- -1 _1?6A_1�1 h Present use of land or building(s): ;.e S,ape—V)l i Valuation of proposed construction: t%moo Dimensions of the added space: feet x feet Will this project involve: ❑ Heating&Air- ❑ Plumbing ❑ Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? N O If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? [V(NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. OONO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 2 Revised 8/04 - STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach, FL 32233 Telephone: (904)247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre-construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Product Approvals for all exterior windows,doors shutters etc..(FBC 2004) Address and contact information of person to receive all correspondence regarding this application(please prmt). Name: _71-13�h S�QP Mailing Address: ra tt L{ !Fes'►car r' 3:2 2 Telephone: 'Z kt - C✓ 0 Fax: Z( -t` 1 g E-Mail: b` _5 c w l h �Q L44 N I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: Date: f'Z AS TO OWNER: Sworn to and subscribed before me this :M-17i day of �,Q ,2066. State of Florida,County of Duval Notary's Signature: �, �1w•v,� Notary PuNic State of Florida Personally known 5E Elizabeth Mary Peterson Produced identification My Commission DD515656 Expires 02/07/2010 Type of identification produced Signature of Contractor: Date: 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.cLatiantic-beach.fl.us Page 3 Revised 8/04 AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fag: (904)247-5845 -http://www.ci.atiantic-beach.il.us Page 4 Revised 8/04 Special Information for Owner/Builders DISCLOSURE STATEMENT for Section 489.103(7),Florida Statutes: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THE LAW. The exemption allows you as the owner of your property,to act as your own contractor even through you do not have a license. You must supervise the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one(1)year after the construction is complete,the law will presume that you built it for sale or lease,which is a violation of this exemption. You may not hire an un-licensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that the people employed by you have licenses required by state law and by county or municipal licensing ordinances. In addition,the owner must supervise construction and becomes liable and responsible for the employees he/she hires. This responsibility includes,but may not be limited to: 1. Workers Compensation, for workers injured on the job. 2. Social Security Tax must be deducted from employee's wages and matched with owner's funds. 3. Federal Withholding. Since owners must be liable for injuries to workers they hire,the Building Division suggests Workers Compensation Insurance be purchased unless the homeowners insurance policy clearly protects the owner. Owners hiring workers become employers and should also observe IRS withholding tax Form 1099 requirements on the workers they employ on their improvement work. Un-licensed contractors cannot be employed under any circumstances. Owners are subject to a$5,000 penalty under Florida Statute#455.288(1)instigated via Building Division citations. An Occupational License is not adequate. The owner should physically see the county Certificate of Competency or the Florida Contractors Certificate to ascertain a person is a licensed contractor. Telephone the building Division(247-5826yf in doubt. I hereby acknowledge that I have read and understand all the above on this 2- �� Day of, 5ePfO*4 Own m der Signature Address�^^ To P2 Lf Print Name Telephone Number STATE OF FLORIDA: COUNTY OF DUVAL Before me personally appeared Y7 -,0,0 to me well known to be the individual and owner builder described in and who execut d this instrument and seveblly acknowledged the execution thereof to be his own free act and deed as such owner builder hereunto authorized. WITNESS my hand and official seal this_gd y of, jgtlantic Beach. County and State aforesaid. NOTIA4YVUBLIC, STATE OF LO A Print N e: Lr ;5,52U 4,xy i(, �Notary Public State of Florida RCOMMISSION EXPIRES: :"' eth�aN pprp�con iersonally Known My Commission DD516656 entification '�n Expires 02/07/2010 CITY OF ATLANTIC BEACH - s PLAN REVIEW SHEET Building Department Public Works&Public Utilities Departments VLami , s 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5834 D. Kaluzniak (904)247-5845 Fax (904)247-5843 Fax Public Safety PLAN REVIEW COMMENTS Permit Application# D 6 ^ S/-/0-// Property Address: e f a IVIS Applicant: Project: Ab he-;1r PO4 c/C— This permit application has been: C3 Approved as noted by the Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: 2 ti t�1v � . A Please re-sub it our application en these items have been com 1 <5�1 i A EDate: 4 Reviewed By r No Date Contracto Special Information for Owner/Builders DISCLOSURE STATEMENT for Section 489.103(7),Florida Statutes: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THE LAW. The exemption allows you as the owner of your property,to act as your own contractor even through you do not have a license. You must supervise the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one(1)year after the construction is complete,the law will presume that you built it for sale or lease,which is a violation of this exemption. You may not hire an un-licensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that the people employed by you have licenses required by state law and by county or municipal licensing ordinances. In addition, the owner must supervise construction and becomes liable and responsible for the employees he/she hires. This responsibility includes,but may not be limited to: 1. Workers Compensation, for workers injured on the job. 2. Social Security Tax must be deducted from employee's wages and matched with owner's funds. 3. Federal Withholding. Since owners must be liable for injuries to workers they hire,the Building Division suggests Workers Compensation Insurance be purchased unless the homeowners insurance policy clearly protects the owner. Owners hiring workers become employers and should also observe M withholding tax Form 1099 requirements on the workers they employ on their improvement work. Un-licensed contractors cannot be employed under any circumstances. Owners are subject to a$5,000 penalty under Florida Statute#455.288(1)instigated via Building Division citations. An Occupational License is not adequate. The owner should physically see the county Certificate of Competency or the Florida Contractors Certificate to ascertain a person is a licensed contractor. Telephone the building Division (:247-5826�f in doubt. I hereby acknowledge that I have read and understand all the above on this �r Oce u l Ute, tl, Own Kw der Signature Address 12 S"M) Print Name Telephone Number STATE OF FLORIDA: COUNTY OF DUVAL / Before me personally appeared �/� to me well known to be the individual and owner builder described in and who execu d this instrument and sev&ally acknowledged the execution thereof to be his own free act and deed as such owner builder hereunto authorized. WITNESS my hand and official seal this y of,s!�P� OAtlantic Beach. County and State aforesaid. N UBLIC, STATE OFfFLORJJDA Print Name: LI 6 y•v Notary Public State of Florida CONMSSION EXPIRES: n RiTd, rsonally Known My Commission OD515656 entification: 'OFC" Expires 02/07/2010 NOTICE OF COMMENCEMENT State of d Or i o0C'r Tax Folio No. County of Lcv,:�J To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: i?tc �rJ t C;' cc- s Y (0e,- k f g 4- Y� 1-M 4 Address of property being improved: ,terEf K i9C' n lv Gn C —96-ACI-4 General description of improvements: nQl d4 Owner: `So 16 A -R-i 5 4 OP Address: if Cc.=gzan` 1�t�. �}t"r',7" Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: S e t Address: Telephone No.: Fax No: Surety(if any) D r 42- Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: N zvie Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: N 0 k e-- Address: Telephone 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: bj a`i e- Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER q Signe...., Date: Before s day of the County of Duval Stat Of Florida,has personall p ared Notary Public at Large, FI rid u M e ersonally Known: or enti ication: Notary Public State of Florida rza a ary Peterson My Commission DD515656 "", Expires 02/07/2010 NOTICE OF COMMENCEMENT State of 9r I do G Tax Folio No. County of cave-{ To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: Address of property being improved: General description of improvements: IF-C`D n`f Omer: 7✓�h --;?"i S 4 OP Address: N�( ©C�a►0 `�1 (� . �t�, Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: e Address: Telephone No.: Fax No: Surety(if any) /q D h Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: ND n Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: 1 y O 4 e- Address: Telephone 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: N off G Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER q Sign�dt----, Date: !AS/0� Before s day of the County of Duval Stat Of Florida,has personall ared Notary Public at Large, Flyrid!W, fiy%iftu M e erson_ally Known: or enti kation: vRr°v Notary Public State of Florida za a ary Peterson ;= r� My Commission DD515656 Expires 02/07/2010 � Ly CITY OF ATLANTIC BEACH 'P 0R,t BUILDING PERMIT APPLICATION _ (Alterations &Additions) Date: Job Address: ri iql(" Owner of Property: „1.0 In Address: 'gt( r Telephone: Lqf ;70D Legal Description: Block Number: Lot Number: tr- Zoning District: Contractor: �;e_(-�- State License Number: Contractor Address: Telephone: Fax: Describe proposed use and work to be done: 1-too() ra �t9S`c Present use of land or building(s): Valuation of proposed construction: tCts Dimensions of the added space: feet x_�j feet Will this project involve: ❑ Heating&Air- ❑ Plumbing ❑ Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? N p If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? Lw�NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. R NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.us • Page 2 Revised 8/04 STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach, FL 32233 Telephone: (904)247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre-construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Product Approvals for all exterior windows,doors shutters etc..(FBC 2004) Address and contact information of person to receive all correspondence regarding this application(please print). Name: _:Si:��n :5 Mailing Address: S Lf Lf '(X'vr 13 l L,,rA Pt-H gnl,C Telephone: _fit 9— 900-S Fax: t f--0S_':ig E-Mail: t 5�10 h SJu_i.o 4,,e+, I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: Date: AS TO OWNER: Sworn to and subscribed before me this j day of Ab_.YA ,2066. State of Florida,County of Duval Notary's Signature: �. a Y° Notary Public$Mate of Florida Personally known a Elizabeth Mary Peterson Produced identification My Commission DD515656 Type of identification produced �°'�` Expires 02107/2010 Signature of Contractor: Date: 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 3 Revised 8/04 AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fag: (904)247-5845 •http://www.ei.atlantic-beach.fl.us Page 4 Revised 8/04 From: John Bishop 544 Ocean Blvd Atlantic Beach Florida 32233 Home Phone: 249-5003 /Office: 384-0940/Fax: 3 84-05 98 10/11/06 Re: Building Permit for Front Porch OCT Please find attached all documents requested: 2 revised drawings showing wind load and nailing requirements 1 set of Code Compliance Approval Documents for Bitumen Roofing Site Plan showing Porch Addition We hope there is no further delay in providing this permit. If there are any questions please contact me. Sincerely �ohn Bi op R g�� A yiiy�J`1�1., J- CITY OF ATLANTIC BEACH «>� PLAN REVIEW SHEET Routed to: �r S.Makowski Building Department Public Works&Public Utilities Departments L. Higgins �4 J'; "' 800 Seminole Road 1200 Sandpiper Lane S. Doerr Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 Car er (904)247-5800 (904)247-5834 a nick (904)247-5845 Fax (904)247-5843 Fax Public Safety PLAN REVIEW COMMENTS Permit Application # Property Address Applicant: !f//)7) e - Tn a 10 Project: lif 6or T Of Thi permit application has been: Approved as noted by the Department. v) Final application approval must come from the Building Department. / Reviewed and the following items need attention: �ovide impervious surface area calculations . Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued. Reviewed By: Date: Date Contractor Notified: C C T � 6 2006 Lay John Bishop 10/19/06 544 Ocean Blvd Atlantic Beach Florida 32233 Attn: Rick Carper Ire: Building Permit for Front Porch Addition/544 Ocean Blvd City of Atlantic Beach Public Works Dept Dewar Rick: As per your request I provide the following impervious area calculations. Total lot area: (115' x 75')= 8,625 sf Existing slab on grade house: (34.9' x 31.1')+(14.4 x 29.6)= 1,511.63 sf North Driveway: (39' x 8')=312 sf Front walkway: (13' x 4') = 52 sf South Driveway: (47' x 8.5')=399.5 sf Total of Existing Impervious Area: 2275.13 sf Total Area of Increased Impervious area needed for front porch addition: New Porch Addition(29' x 6')= 174 sf minus slab of existing front porch(9' x 5')=45 sf (174 sf-45 sf) 129 sf of Added impervious area Calculations: %of total existing impervious area to lot.......................................26.4% %of total existing impervious area and added impervious area to lot......27.9% I hope this information is sufficient to approve this permit application. If there are any questions please contact me at 384-0940. erely ohn' i6 TO 3Jdd Q31IWIINn JNI1NIVd S690b8Eb06 6E:60 900Z/6T/0T CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION ' (Alterations&Additions) --osi!s a Date: T T— Job Address: Owner of Property: J 6y, t S Address: gttk " fy "�'), ��, Telephone: Legal Description: Block Number: I Lot Number: r- s2 Zoning District: Contractor: _ C.-1_� State License Number: Contractor Address: Telephone: Fax: Describe proposed use and work to be done: Add �y'a--t '� <•h Present use of land or building(s): .57,de^y Valuation of proposed construction: (7t)o Dimensions of the added space: feet x!��feet Will this project involve: ❑ Heating&Air- ❑ Plumbing ❑ Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? N O If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of till material, or the addition of 5% or more to the original impervious area or the removal of any trees? [(NO. applicant certifies that no change in site grade, impervious area or till material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. [ONO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits,please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction.. Lf you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available, STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at:: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or.relocated. 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-58W •Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us Page 2 Revised 8ro4 �-d 9t,89-L-VZ1706 sw91shS uoi}ewiplul 899:�4 90 26 100 STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach, FL 32233 Telephone: (904)247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre-construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces, Swimming pools may be excluded from total Impervious Surface. 6. Product Approvals for all exterior windows,doors shutters etc..(FBC 2004) Address and contact information of person to receive all correspondence regarding this application(please print). Name: `��h ,5 k Q�) Mailing Address: -94t r.f G. Telephone: _'1 h — S Fax: E-M- ail: Six a I hereby certify that I have read and examined this application and attached documentation and]mow 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. 'rhe granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: ~ ' Date: AS TO OWNER: Sworn to and subscribed before the this j�y day of \�t7 (1 �'tr _ 200 b. State of Florida,County of Duval Notary's Signature: aa�° Notary Puvi c Stato of Florida Personally lcmown Elizewh Mary Peterson Produced identification r7 My Commission D0515556 Type of identification produced '°"`` Expras OM712010 Signature of Contractor: Date: 804 Seminole Road •Atlantic Beach,Florida 32233-54455 Telephone: (904)247-5800 -Fax: (904)247-5845 •hitp://www.ci.atlantie-beach.fl.us Page 3 Revised 8104 Z'd swelsAg uoileuaaolul egg: 6 90 96 PO AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State ofFlosida,County of Duval Notary's Signature: ❑ Personally Imown Q Produced identification Type of identification produced 800 Seminole Road ,Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (404)247-5845 - http:/lwww.ei.atiantic-beach.fl.us Page 4 Revised 8l04 8'd swelsAs uoilsi.uaoluj ezg:L L 90 96 100 Special Information for Owner/Builders DISCLOSURE STATEMENT for Section 489.103(7),Florida Statutes_ STATE LAW REQUHtES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERNUT UNDER AN EXEWTION TO THE LAW_ The exemption allows you as the owner of your property,to act as your own contractor even through,you do not have a license. You must supervise the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one(1)year after the construction is complete,the law will presume that you built it for sale or lease,which is a violation of this exemption. You may not hire an un-licensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that the people employed by you have licenses required by state law and by county or municipal licensing ordinances. In addition,the owner must supervise construction and becomes liable and responsible for the employees he/she hires. This responsibility includes,but may not be limited to: I. Workers Compensation, for workers injured on the job. 2. Social.Security Tax must be deducted from employee's Rages and matched with owner's funds. 3. Federal Withholding. Since owners must be liable for inil1 jes to workers they hire,the Building Division suggests Workers Compensation Insurance be purchased unless the homeowners insurance policy clearly protects the owner. Owners hiring workers become employers and should also observe IRS withholding taxForm 1099 requirements on the workersthey employ on their improvement work. Un-licensed contractors cannot be MRIm ed under any circumstances_ Owners are subject to a$5,000 penalty under Florida Statute 4455.288(l)instigated via Building Division citations. An Occupational License isnot adecfuate. The owner should physically seethe county Certificate of Competency or the Florida Contractors Certificate to ascertain a person is a licensed contractor. Telephone the building Division(:247_5826 yf in doubt. I hereby acknowledge that I have read and understand all the above on this �Day of, Own to der Signature Address Print Name Telephone Number STATE OF FLORIDA: COUNTY OF DUVAL Before me personally appeared Z6 -tz-9-,0 to me well known to be the individual and owner builder described in and who executLIdtbis instrument and sevefrally acknowledged the execution thereof to be his own free act and deed as such owner builder hereunto authorized. WITNESS my hand and official seal this-91y of, tlantic Beach. County and State aforesaid. N UBL1C,STATE OFfFL A Print N e: v�Y pU Notary Public State of Florida Col�.MSSION EXPIRES: hJsd04 Peleison ersonallyKnown - MyCamrnesenD0515656 Identification: "af.. EKpires 0210712010 V'd swelshg uoi;etuaolu( eLg. 90 96 100 MAP SHOWING SURVEY OF LOT 3, TOGETHER WITH THE SOUTH 1/2 OF LOT 4, BLOCK 18, SUBDIVISION "A" ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. APPROVED SCALE: 1" CITY OF ATLANTIC BEACH 20' BUILDING OFFICE Z3 2)06OCEAN BOULEVARD v 60' RIGHT OF'WAY (PAVED) 4 S 06'29'51" E 75.43' (FIELD) FOUND 1/2 4i 77 IRON 06-1 �00" E 75.031' PPE• NO CAPFOUND 1/2-PIPE, LS _ 25.00' 50.00 o i t I N N �� I x 30.5' 3t.t' 13.8' 0 Go •• p co OW I \U O p p ;, TWO STORY om m o�_ = m , BRICK & FRAME in I oLri .— p I RESIDENCE No. 544 .— T O T I FENCE ON LINE uj 1.5' LOT 5 II �W 30.5' 4.5' CONCRETE PAD 13.8' LOT 2 w O W/ WOOD STEPS t o O 2' I v PAD CONCRETE DCRETE 0 MN 4'X CHAIN LINK FENCER t• (V rn 00 I- P�CRETE I Z .e' I M 111 00 QQ I I is Z I LOT 3 0 Z I 4 I B I L O C K _ 18 I t � n 8.3 WOOD Z I I SHED a .2 1.8' 5 - - - - - � - -25.00' 1.4' 25.00' 8.3' �t.6' 50.00. 0.2___w - - - - - FOUND 1/2' IRONG `�/ PIPE, LS 4177 N 6*1 8'00' YY 75.00' FOUND 1/2" IRON • PIPE, NO CAP 6' WOOD FENCE N 06'09'23" W 75.20' (FIELD) ATLANTIC BEACH TERRACE PLAT BOOK 15, PAGE 34 NOTES: THIS IS A BOUNDARY SURVEY. NO BUILDING RESTRICTION LINE AS PER PLAT. BEARINGS BASED ON THE SOUTH LINE OF LOT 3. BLOCK 18, AS BEING S 83'42'00" W (ASSUMED DATUM). THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD THIS SURVEY WAS MADE IN COMPLIANCE ZONE "X" (AREA OUTSIDE 500-YEAR FLOOD PLAIN) AS WELL WITH THE MINIMUM TECHNICAL STANDARDS AS CAN BE DETERMINED FROM THE "FLOOD INSURANCE RATE SET FORTH IN CHAPTER 61G17-6 OF THE MAP" COMMUNITY-PANEL NUMBER 120075 0001 D, REVISED FLORIDA ADMINISTRATIVE CODE. APRIL 17, 1989 FOR THE CITY OF ATLANTIC BEACH, FLORIDA. I DONN W. BOATWRIGHT, P.S.M. NOT VALID WITHOUT THE SIGNATURE AND FLA. LIC. SURVEYOR AND MAPPER No. 3295 THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER." FLA. LIC. SURVEYING AND MAPPING BUSINESS No. 3672 CHECKED BY: 4W�0_ BOATWRIGHT LAND SURVEYORS, INC. DRAWN BY: DAF 1711 5th STREET SOUTH DATE: SEPTEMBER 3, 2002 FILE : 02-1016 JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF 1 s ItA IADA MIAMI-DADE COUNTY,FLORIDA METRO-DADE FLAGLER BUILDING R CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLERSTREET,SUITE 1603 PRODUCT CONTROL DMSION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE(NOA) CertainTeed Corporation(PA) 1400 Union Meeting Road,P.O,Box 1100 COPY Blue Bell,PA 19422 ME SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in 1Miami Dade County and other-areas where allowed by the Authority Having Jurisdiction(AHI). This-NOA shall not be valid after the expiration date stated-below.The BCCO(In Miami Dade County)and/or the AW(in areas other than Miami Dade County)reserve,the right to have this product or material tested for quality assurance purposes.If this product of material fails to perform in the accepted manner,the manufacturer will incur the expanse of such testing and the AW may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BCCO reserves,the right to revoke this acceptance,if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. • This product is approved as described herein,and has been designed to comply with the Florida Building Code, including the High Velocity hurricane Zone. DESCRIPTION: CertaldTeed Conventional.Built-Up-Roof Systems Over Wood Decks LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city.state and following statement-. "Miami Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this HOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT:The NOA,number preceded by the words Miami Dade County,Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the'user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA#03-0319.10 and consists of pages 1 through 22. The submitted documentation was reviewed by Frank Zuloaga,RRC. Aft NOA No.:03-0829.05 jLTII APPED Expiration Date: 0611912008 fi CITY OF qT�NTIC 8 EUfLDING EACIi Approval Date: 05/06M OFFICE Psge 1 of 22 OCT 3 2006 ay: M I A M I DA MIAMI-DADS COUNTY,FLORIDA - METRO-DADS FLAGLER BUILDING BUl1,DING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE(NOA) CerWnTeed Corporation(PA) 1400 Union Meeting Road,F.Q.Box 1100 Blue Bell,FA 19422 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in I++I'iand Dade County and other-areas where allowed by the Authority Having Jurisdiction(AM).' ' Tbis-NOA shall not be valid after the expiration date stated.below.The BCCO(In Miami Dade County)and/or the AHI(in areas other than Miami Dade County)reserve,the right to Nave this product or material tested for quality assurance purposes.N this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the A J may immediately revoke, mollify,or suspend the use of such product or material within their jurisdiction. BCCO reserves the right to revoke this acceptance,if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code, including the Haigh Velocity Hurricane Zone. DESCRIPTION: Certa%Teed Conveudonal.Built Up-Roof Systems Over Wood Decks LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement. "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT:The NOA-number preceded by the words Miami Dade County,Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the'user by the inanufacwmr or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA#03-03I9.10 and consists of pages 1 through 22. The submitted documentation was reviewed by Frank Zuloaga,RRC. NOA Na:03-0827.05 XAN Expiration Date; 06119/2008 Approval Dane: 03/06104 Page I of 22 I i Brook 11018 page 466 nr :`it�1t3417�� Page: 4166 Filed & Recorded MSN RETURN 04/08/2003 03:24:34 PM JIN FALLER CLEW#�y-- -.-""'_ r MIAL CIRCUIT CUT PHONE NOTICE OF COMMENCEMENT RECORDn ING t 5.lNJ TRUST FUND t 1.00 TO \NHOM IT NIAY CONCERN: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with Section 713.13 of the Flanda Statutes, the following information is stated in this NOTICE OF CO��Iw4Er�lCE`�fENT. Gasc ;tion of Property jai 3 To., �h" (.J! ThLz south a or- 1-01 —1-3106K (1 // r++1 ri r'3 f1 (, 13 A c.i(- General Description of Improvements -Tk) A cPou,0 3 Poo Owner )o H&J fir 5 ho Address: 6yy o 6AA) Biva Ai-1Af)f C A C H .3 d't;L33 Owner's interest in site of improvements: r=a g� s ,412 61 T� Ir= HoIdER. Fee Simple Title Holder (if other than owner) Name Address CP ContractarZTtFFjee v 13 G )AyZKSog,) v F'lne2 0A f3ex,nr-0 Pool (L Address $Lo L;6 ACh Ai UA :n (,1C_s 0k.)04 11 c FL 351a !fo �J Surety (if any) Address Amount of Bond Name of person within the State of Florida designated by owner upon whom-noticas or other documents may be served: Name Address In addition to himself, owner designates the following person to receive a copy- of the Leinar's Notice as provided in Section 713.13(1)(F), Florida Statutes. (Fill in at Owner's option). Name Address: Own Swam to a this 3jeb day of a t Math 14.2006 �, ea oil Atl=tk Bonding Co.,Im ary Public ��r�►`l" CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 Zd� TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 http://ci.atlantic-beach.fl.us w =� PLAN REVIEW COMMENTS Permit Application Applicant: ! r d 01 ✓ /� Address:_ 5 i 0 C ea`i 13JYd Project: ern �urapplicatio' n is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed G�i _ Date r U --f U 3 Contractor Notifiedate 5 CITY OF ATLANTIC BEACH j 3 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025848 Date 4/15/03 Property Address . . . . . . 544 OCEAN BLVD Tenant nbr, name . . . . . . NEW POOL Application description . . . POOL Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 27900 Owner Contractor ------------------------ ------------------------ BISHOP, JOHN FLORIDA BONDED POOLS 544 OCEAN BLVD. 8608 BEACH BLVD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 641-5265 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 170 . 00 Plan Check Fee 85 . 00 Issue Date . . . . Valuation . . . . 27900 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 170 . 00 170 . 00 .00 . 00 Plan Check Total 85 . 00 85 .00 . 00 . 00 Grand Total 255. 00 255. 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE 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 RECEIVED CITY OF ATLANTIC BEACH BUILDING & ZONING CITY OF ATLANTIC BEACH APR 8 2003 APPLICATION FOR POOL PERMIT BY: Job Address—,� 4q 6 Cca. hj Lot # 5 woV k e Block # Subdivision ' Owner > a0 i0 Address_ `�^� O cVay. L %/�� Contrae ter F-Le r e` �S Address 6O'� t� r +� ��• i��v Sri License Number C. C 0 Sr'!�Ct �P Valuation $ a2, 900• oo Gallons ?a SITE PLAN front N N M M rear Signature Owner Date 3Z// p� Signature Contractor Date dp KIER POOLS ! • • John Bishop Residence (Inground Pool) 544 Ocean Blvd Atlantic Beach, Duval County, Florida Lot 3, Together with the South % of Lot 4, Block 18, Subdivision "A" Atlantic Beach, Plat Book 5, Page 69 Lot Coveraze Foundation of Dwelling including garage: 1,515.72 Square Feet Driveways,Walkway & Patio area: 830 Square Feet Wood Shed: 68.89 Square Feet Pool Brick Paver Deck Area: _ 712 Square Feet Total Square Footage: 3,126.61 Square Feet Lot Size : 8,625 Square Feet Percentage of Lot Coverage: 3.127 = 36% 8,625 PoolBarier : Fenced Back yard /and self closing self latching doors. 8608 Beach Blvd./Jacksonville, Florida 32216/Phone (904) 641-5265/Fax (904) 641-5264 MAP SHOWING SURvEYIVIOF ATLANTIC BEACH LOT 3, TOGETHER WITH THE SOUTH 1/2 OF LOT 4, BLOCK 18, SUB SION AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. POOL NOTES_ ��' > S£E ATTACHED 'Pool- '?LAN FOR WATER DE?TH. > $E£ ATTACHED POOL ?LAN OCEAN BOULEVARD FOR DIMENSIONS TO ALL 60' RIGHT OF'WAY (PAVED) GOV£Fz£D STFUC-TUFZES. > SEE ATTACHED POOL?LAN FDF- ANTI-£NTF-A?MENT AND S 06'29'51" E 75.43' (FIELD) FOUND 1/2' IRON >3ARRIER CODE GOM?LIANGE. 06.1 - 25.00' 25.0 '0011 E 75. 0 PIPE, NO CAP - - 0.00' _ - � - � I 1 (Vj N W N N a I x 30.5' l 31.1 13.8' I o 0c 0c I O w O I O O \o m TWO STORY Ln = o Ln F -) �; BRICK & FRAME , co X m w I RESIDENCE No. 544 ,H 0v cz 0 � Z .. Lor I w C> i 0 I FENCE ON LINE Lri W 30.5' I 4.s' 13.8' 3: LOT 2 LOT 5 I CONCRETE/ WOOD STEPS " I WO Y .Y CONCRETE O Q M N 4' CHAIN LINK FENCE% 2 ,1' N X co I p •Z co `Q� M 00 z (n B L O z ' W 4 Y in I n8.3 - Moo T a II 1 o ad SHED — 0.2' 1.B' 8.3' 1.8. 0.2' — — — — — 25.00' _ 1.4' 25.00' � .� 5 00' FOUND 1/2" IRON . i FOUND 1/2' IRON PIPE, LS 4177 N 6 18 00 W 75.00 PIPE, NO CAP s' WOOD FENCE N 06'09'23' W 75.20' FIELD ATLANTIC BEAC TEAM" PLAT BOOK 15, P now~. om Iftel land upwaftft ip wV011br"bouum M pMn1111111. 001111100nw NOTES: COO ad rA Ow mVWA %0K WM MN f�NrM pNaW�1/�+,�s THIS IS A BOUNDARY SURVEY. m_»� fit AMMtlO NO BUILDING RESTRICTION LINE AS PER PLAT, I"fit «a BEARINGS BASED ON THE SOUTH LINE OF LOT 3, BLOCK 18, AS BEING S 83'42'00" W (ASSUMED DATUM). THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD THIS ZONE "X" (AREA OUTSIDE 500-YEAR FLOOD PLAIN) AS WELL WITH THE MINIMUM TECHNICAL STANDARDS AS CAN BE DETERMINED FROM THE "FLOOD INSURANCE RATE SET FORTH IN CHAPTER 611317-6 OF THE MAP" COMMUNITY-PANEL NUMBER 120075 0001 D, REVISED FLORIDA ADMINISTRATIVE CODE. APRIL 17, 1989 FOR THE CITY OF ATLANTIC BEACH, FLORIDA. I . DONN W. 80ATWRIGHT, P.S.M. NOT VALID WITHOUT THE SIGNATURE FLA. LIC. SURVEYOR AND MAPPER No. 3295 THE ORIGINAL RAISED SEAL OF A FLORIDAID LICENSED SURVEYOR AND MAPPER.' FLA, LIC, SURVEYING AND MAPPING BUSINESS No. 3672 CHECKED BY: 4VfP- BOATWRIGHT LAND SURVEYORS, INC. DRAWN BY: DAF 1711 5th STREET SOUTH DATE: SEPTEMBER 3, 2002 FILE #: 02-1016 JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF 1 L CITY OFATLANI IC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # C3 -d.s q 6' Applicant: lt"rcC( a CAanr e o /S -- Address: r, r r u i j l J — Project: Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date Contractor Notified Date CITY OF ATLANTIC BEACH APPLICATION FOR POOL PERMIT' Job Address : Cqq Q Crc. hj 1�,i.v I� Lot ?j i SUy-fk �� g( 4Block # Subdivision " Owner 3 0 � j ` , s k v a Address_ `;-4 Nk 0 c-,-c,, K 3� I- Contractor F:-Lori ckc` �e� r•p� p �°�� rS Address_ 0 P, t3, A t-V- S-0 License Number G 1P Co 5 (Q c( (p 3 Valuation $ a9• g00. 00 GallonsDT:Zo9 SITE PLAN front � y M M rear Signature Owner Date Signature Contractor Date ��///e VVASIR 0 i C�,--0Q� P 0 O l S • • • John Bishop Residence (Inground Pool) 544 Ocean Blvd Atlantic Beach, Duval County, Florida Lot 3, Together with the South % of Lot 4, Block 18, Subdivision "A" Atlantic Beach, Plat Book 5, Page 69 Lot Coveraee Foundation of Dwelling including garage: 1,515.72 Square Feet Driveways,Walkway & Patio area: 830 Square Feet Wood Shed: 68.89 Square Feet Pool Brick Paver Deck Area: 712 Sauare Feet Total Square Footage: 3,126.61 Square Feet Lot Size : 8,625 Square Feet Percentage of Lot Coverage: 3.127 = 36% 8,625 Pool Barier : Fenced Back yard/and self closing self latching doors. 8608 Beach Blvd./Jacksonville, Florida 32216/Phone (904) 641-5265/Fax (904) 641-5264 MAP SHOWING SURVEY OF LOT 3, TOGETHER WITH THE SOUTH � EACH F OTHEL CURRENT PUBLIC RECORDS LOCK 18, OOF DUVAL COUNTN "A" ATLANTIC RY, FLORIDA. AS RECORDED IN PLAT BOOK 5, PACE 69 � SC�E- 2Cr p00L NOTES: - > SEE ATTAG"ED POOL 'PLAN FOR\gN'feFz- DEPT". > SEe ATTAG"ED POOL 'PLAN OCEAN BOULEVARD FOR DIMENSIONS TO ALL 60' RIGHT OF- WAY (PAVED) GDVI✓ReD STRI.IGTLIRflS. > SE6 ATTAG"ED POOL.?LAN FOR ANTI-ENTRAPMENT AND S 06'29'51" E 75.43' (FIELD) FOUND 1/2" IRON BARRIER GODS GOM?UW(-6. 06.1 VOID" E 75IT PIPE, NO CAP - - - - - 0.00' — - - - - T - - 25.00' 25.0 xI'D' � ;I p N I 1 30.5' 31.1' I � 0 OD - o a0 1 w 1 - Q cv I 0 I "I Y 0 \o TWO STORY _ o Ln ? m �, BRICK & FRAME , Mw o I RESIDENCE No, 544 o , I, z Lo ' w p w 0 I FENCE ON LINE r= J O H 1.5' W30.5' 1 4,5' 13.8' LOT 2 LOT 5 1 CONCRETE/ WOODS EPS w Q Y CONCRETE Q Q s 2' I Y ~ O� C7 W w M4'X CHAIN LINK FENCE X 1' N 00 Z co co Z el B L � 0 � = 1 8 4 Y � j I , 8.3 WOOD ? a I � I SHED t _ 01 25.00' _ t•<' 25.00' / 5 00' FOUND 1/2 `RO7 N 6.1 Q�oOt W 75.00 PPE, NO CAP 8' WOOD FENCE N 06'09'23" W 75.20' (FIELD) ATLANTIC BEACH TERRACE PLAT BOOK 15, PAGE 34 jb NOTES: THIS IS A BOUNDARY SURVEY. NO BUILDING RESTRICTION LINE AS PER PLAT, BEARINGS BASED ON THE SOUTH LINE OF LOT 3, BLOCK 18, AS BEING S 83.42'00" W (ASSUMED DATUM), THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD THIS SURVEY WAS MADE IN COMPLIANCE ZONE "X" (AREA OUTSIDE 500—YEAR FLOOD PLAIN) AS WELL WITH THE MINIMUM TECHNICAL STANDARDS AS CAN BE DETERMINED FROM THE "FLOOD INSURANCE RATE SET FORTH IN CHAPTER 611317-6 OF THE FLORIDA ADMINISTRATIVE CODE. MAP" COMMUNITY-PANEL NUMBER 120075 0001 D, REVISED APRIL 17, 1989 FOR THE CITY OF ATLANTIC BEACH, FLORIDA. - L ,y,0 DONN W. BOATWRIGHT, P.S.M. .NOT VALID WITHOUT THE SIGNATURE AND FLA. LIC. SURVEYOR AND MAPPER No. 3295 THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.' FIA. LIC. SURVEYING AND MAPPING BUSINESS No. 3672 CHECKED BY: 4yri BOATWRIGHT LAND SURVEYORS, INC. DATE: SEPTEMBER 3, 2002 DRAWN BY: DAF 1711 5th STREET SOUTH FILE #: 02-1016 JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF 1 DEPARTMENT OF BUILDING FOR OFFICE US,9 ONLY CITY OF ATLANTIC BEACH, FLORIDA Date 19 _--------- Permit # Fee $ �P Application for Permit valuation $ for Misc. Alterations House # and Repairs r� . Q DESCRIBE: 2U'1 -- G_ -- �! C D (state if to repair, .alter, add to or move building, erect awnings or signs . etc. ) Building on: Lot bo. 3 Si °L G� B1 No. 11- Sub.Div. Address ," Cee�h /yam _ Valuation $ 4 c� • r"L� Owner's Name r Yt G z7-- -Do ' Use - BUILDINGS & OCCUPANCY � � �� c� f� � 0.�� BuildingResidential or Business c s «1� n a t. What Plumbing work to be done^ /\ © K Size of Present Bld Size of Extension Lot size __'7s x ( t Material of Roof No. of stories now after altered Material of Present Building _ Material of Extension PLANS MUST BE SUBMITTED HEREWITH SIGNS Size Classification (state whether ground, roof, wall, projecting banner) Material of Construction Illuminated? Type of illumination (State whether lamps or neon) ., Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITTONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on rese ) IMPORTANT NOTICE: 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. Southern Standard Building Code) { Signature of Builder or Owner Address Phone i CITY OF 4&aa c /each- ,moi& / Offic of Bwldl OfficialLV REQU T INSPECTI9.40jr /S, $ 33 Date ..- �F-- Permit No. Time A.M. Received _ Job Address oca ity Owner's Name r �UILD�IN�Ga CONCRETE RIC PLU_M_B_IN MECHANICAL FriFG, 'ing ❑ Rough Wiring 1 i Rough ond. & C:l ❑ To Out Heating Re Roofing � ❑ Temp Pole p 9 Insulation ❑ Lintel ❑ Final 11 Sewer C7 Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues Wed. Thurs. Friday 2 3 P.M. -- Inspection Made Inspector Final Inspection ncy Date n nnCITY OF rite !�eac.4-07 Office of Building Officialj 1 j f REQUEST FOR INSPECT i,---�/ Date �` Permit No. �=-�— Time A.M. ReceivedL..�[� 1 pM. 1 ! —/ Job A ress Locality Owner' Name Contractor <-m� C ==� CONCRETE ELECTRICAL �LUBI�NG ::�� MECHANICAL Footing ❑ Roug ❑ Air Cond. & ❑ Re Roofing ❑ S ab ❑ Temp Pole ❑ Top OutHeating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Wed. Thur Inspection Made 9 M. Inspector 01— al s ection GLSS 7. Certificate of Occup a cy ❑ 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 J_ _ dr_ LOCATION lNFORMATlON _ Permit Number: 18833 Adess� OC : 544 EAN BOULEVARD - - Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. _ Cost: '-- -- OWNER INFORMATION Date Issued: 9/13/1999 Name: JOHN BISHOP Total Fees: 29.00 Address: 544 OCEAN BOULEVARD Amount Paid: 29.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 9/13/1999 Phone: (904)246-4731 Wok De c: INSTALL P _UMBING IN REMODEL CONTRACTOR(S) 111 i APPLICATION FEES _ ;CHRISTY FIRST COAST PLUMBING PERMIT 29.00 -� I Inspections RRe-c wired- T -FINAL - �_ - --- ---- NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION - BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE 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. j i, _ C < $29.0014 Date: 9/13/99 61 Receipt: 6686342 LDG D ATLANTIC BEACH BU INE CHECKS863221666 4970 CITY OF ATLANTIC BEACH 18 7 y APPLICATION FOR nM43I1IC PERMIT JOB LOCATION: S Lig- c u�yl -i us, OWNER OF PROPERTY: lz> n ► PLUMING CONTRACTOR: C9212L CONTRACTOR'S ADDRESSISM4 �-ec3a� STATE LICENSE NUNBER: _%_TELEPHO)IE: IM N7(" OF TNIE FOLLOWING FIXTURES INSTALLED SINES SHMM LAVATORIES WATER HEATERS WATH TUBS DISMIASHERS URINALS DISPOSALS I CLOSETS _WASHING MACHINBS FLOOR DRAINS _SHOWER PANS OTHER TOTAL FIXTURES: 7C 3.50 + $15.00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: INSTALLATION OF PLMMIVG AID FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUlMING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MOST All CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COV MMG UP - (904) 247-5834. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT PERM IT.INORMATION` , 4 LOCATION;lNFORMATION_` Permit Number: 18824 Address: 544 OCEAN BOULEVARD Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 H Square Feet: Subdivision: ATLANTIC BEACH C Est. Value: Parcel Number: Improv. Cost: _ OWNER INFORMATION Date Issued: 9/10/1999 Name: JOHN BISHOP Total Fees: 25.00 Address: 544 OCEAN BOULEVARD Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 9/10/1999 Phone: (904)246-4731 Work Desc: WIRE FOR REMODEL - -- ------ - ---- CONITRAC R S . .7 . , _.._ �APPLIi AT10N FEES BARKOSKIE ELECTRIC SERVICE PERMIT 25.00 LdsoeVctians—Re gwred~ . -- ROUGH ELECTRIC FINAL ELECTRIC I I i ,NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE 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. 1 i i I i LH Date: 9/18/99 81 Receipt: 8885824 ATLANTIC UILDI EPT. CHECKS 8528' 88188863221888 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT I . �/ 'TO THE CHIEF ELECTRICAL INSPECTOR: DATE:—� 19'44 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. -AA ELECTRICAL FIRM: MASTER TR CIAN IGNATURE NAME( , rte,_ (` ` 1- ADDRESS:-„ 7 � �"" . RFD BOX BLDG.SIZE BETWEEN: RES.( ) APT. ( ) COMM.( ) PUBLIC ( i INDUS. ( i NEW( ! OLD (x? REW. ( ) ADDITION ( 1 TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. �` SERVICE: NEW ( 1 INCREASE ( I REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 20CI AMPS PHZ W ?"eVOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. i H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA I NO. lKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATIONINFORMATION Permit Number: 18741 Address: 544 OCEAN BOULEVARD Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 5,000.00 OWNER INFORMATION --� Date Issued: 8/27/1999 Name: JOHN BISHOP Total Fees: 172.50 Address: 544 OCEAN BOULEVARD Amount Paid: 172.50 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 8/27/1999 Phone: (904)246-4731 Work Desc: REMODEL EXISTING ROOM INTO AN UPSTAIRS BATHROOM PER PLANS CONTRACTORS APPLICATION FEES PROPERTY OWNER PERMIT 52.50 WATER IMPACT FEE 120.00 -� Inspections-Requited.- COVER ns ections-Re airedCOVER UP FRAMING INSULATION FINAL BUILDING NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" *TION ISCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FO OF APPLICABLE PROVISIONS OF LAW. � ro C., to 2z m .o m .o m A M r.. ru ® Date; t52.56 14 t Ecxs 8/27/99 81 Receipt: 9892963 ATI C BEACH ILDING PT.� 98189883221#6@ 3611 AUG-27-1999 09:021; FROM: 241-5845 70:93840598 P:1'2 Rk CITY OF27 19 .sfet. " ge4d 574Ui '4 Citi/ of ' .. ''lX)RI 1A 32--'33-5445TEL' , 904)247.58L)O FAIT 1 9041 1-17-!;805 CHAPTER 4aQ, F60RIDA .STATUTES, PART I "CONSTRUCTION CONTRACTINO" RCOUIRES GWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT PoFt 56cTIoN 4$e. 103!7!, FLor11DA STATUTCB: S%rATe LAW REQUtRES CONSTRUOTION TO BE DON@ BY LIcewszC CONTft-,vmME. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW, THE CXr.MPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY. T4 ACT A5 YOUR OWN CONTRACTOR CVIQN THOtJ6H YOU DO NOT HAVE A LICENSE.. YOU MIST uPI,(�Rvisa rM.E CONSTRI_1OT10N YOURSELF. YOU MAY 5111LD OR IMPROVE A ONE- OR TWO I'AMILY IVESI09NC9 OR A FARM OUTBUILDING. YOU MAY AL5C BUILD OR IMPROVE A COMMERCIAL SUILOING AT A COST OF $25,00O.00 OR LESS. THE BUILDING MUST ME KOIi V40WO iJ�—C ANP, OCCUPANCY. IT MAY NOT BE BUILT FOR BALD OR LEASE• IF YOW 3GLL 0"k LCASC A COILDINO YOU HAVC QUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION 15 COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR .SALE OR I_ri^-It, WHICH 4 IN VI06A710N OF THIS EXEMPTION. Yell MAY NOT HIRE AN UNLIC6NSE0 PERSON As Yn rt CONYtYAC]Y17ri, YOUR wON5TRUCTION MUST BE DONE ACCORMPOO TO TP41C OUILpINO GODC9 AND tONINC REGULATION5. IT 15 YOUR RESPONSISILMY TO MAKE SURE ?HAT PEOPLE EMp6QYEo BY YOU HA WCEN"E^ REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICEH6114C7 OR.DINANCF-S. OA0tNANC4[!F ALSO ALLOW AN OWNER TO IMPROVE 7'H,EIR owN PROPERTY WI.,'LN 77'IS FOR PER„^,ONAL OR FAMILY USE,ANO LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UN090 $"OOO) 6E UNOEtT A EWLDINO PCRM1fT AND PA55 ALL NORMAL INSPECTIONS. TIME OROWANCE STATC5 OWNERS MAY Wi-IMCALLY DO WORK THEMSELVES; OP-MAY-di. �NLICPa'NSED WORKERS PROVIOCI; SUCH WORKEPS BE UNDER "DIRECT SUPERVISION OF THG OWNER, WHo MygT BE oN THC JOB AT ALL TTM[S WHILE WORM'1S IN PROGRESS Illy UhdWC9N5E0 T--RAPES PEOPLE." THfs DOES NQT ALLOW USE OF UNUCR'N490 CONTRACTOPS, litjr.r OwuFa+. AfAY RR 1'&I&'I! e08 rN.y I1 ArR�TC'I W:1RxFR�Tr FY wIAK THF RI Ii hlNf: llFf}rRTmFN7,i I t FST W:5AK9P'S COMP"SATION INSURANCE HE PURCHAbEG UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLT PROTECTS THE OWNER. OWNERS h11RIN0 m:pRKLRS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IR5 WITHHOLDING TAX A.ND(OR FORM 1 099 REOLIREMENTS ON THE WORKERS THEY EMPLOY ON tHEIII IMPROVEMENT TRADES. LJh ICEN~I'n CONTRACTORS, CANNOT EE 9MPLOYY90 UNQER ANY GIRGUMSTANCES, OWNERS BEING, SUBJECT TO !ps.oco PRNALT'Y LJN4ILR ✓=LQRIcIA SYAruite No. 455-228(1), AN "OEC-UPATIONAL LIQLjWt' 16 NOY ACEb UATK, THC OWNER 5HOULD PHY5ICAL.LY 5EC THE COUNTY "CERTIFICATE Or COMPETENCY'S OR TMC FLORIDA "CONTRACTORS C.ERTIFIOATE" TQ ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR, TELEPHONE THE BUIEDING DEPARTMENT C247- ba215> IF IN DOu*T. I HEREBY ACKNOWLECGR THAT I wAvc RKA.1y'rmC A*Ovt DISCLOSURE STATEMENT AMC THAT I COMPLY WITH ALL THE 0090UIR9MENY5 POPR TMC ISSUANC$ OF AN OWNER-BUILDCR PCRMT. PROPr OWNER/GUILDER ADDRESS TELEPHONE SWORN AND SUBSCRIBED BEFORE ME THIS21 ID F A IterL', l NOTARY PUBLIC NOTE: PHRASR„$ uNOCRLINCO A*0VE MY COMMISSION EXPIRES: ZCrC7 , ARE EMPhASIZED BY THE BUILDING DEPARYMICNr, ROBERT R.HARPER 4 P MY Comm Exp,8/08/2001 Pueilc a Bonded By Service InS No.CC663560 (11 IWSonalfy Known I i Other I.D. CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address C Jit L. L) 3f 7r-t- 14 � ti, r, Date Heated Square Footage @ $ per S-17 t :1 5 Garage/Shed per SCJ b Ca.,-,00rt/'Pr)rcn* —per sq =t = D e C per sq = Z' Parlo Die 'Z,7 TOTAL VALUATION : Tcta'l Valuation 1st Z> oo (--I , e)() () � x.00) s 20 . ob Remainina Value $f.1>;> T)er thousand or uortion thereot TOTAL BUILDING FEE + 1; .� 1� Filing Fee Fireplaces @ $15 , 00 S BUILDING PERMIT FEE S_ WATER IMPACT FEE d) 00 SEWER IMPACT FEE SC2111 WATER METER,,' TA-P CAPITAL IMPROVEMENT SEWER TRF S ) RADON (HRS ) 0050 S SECTION H PAVING HYDRAULIC SHARES CROSS CONNECTION SURCHARGE . 0050 OTHER GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES : Mechanical Plumb-Lag Electric/New Electric/Temp_; SwimmingPool Septic Tank— Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : 5 M►IN. itC:'lUk1'� rte,,. /..r ��w• /'� Ila•MCO RCNY rp• Ohl atirr of 6-aptalutururrmrnt 0119PMIIi IN PVPLIC4Tl1 to fttllam it utag tiumerm O The undersigned hereby informs all concerned that improvements will be made to certain real rl property, and in accordance with section 713.13 of the Florida Statutes, the following information C11 is stated in this NOTICE OF COMMENCEMENT° Description of property............... 44....,QCean,..B,lVd.,, A .1�Bt. ....beach..................................................... Plat Book 5 Page 69 Lot 3 Block 18 .......---......................................................... T ........................................... 0 General desuiption of Improvements. --,.•..•.•.,....,.Remodel existing room into bathroom Owner............ John Blshop Addtais 544 Ocean Blvd. Atlantic Beach, Florida 32233 » Owner's interest in sste of the Improvement....................P......e...............rsonal...........................Residence........................................................................... fee simple Tide holder (if other than owner) Name................ 1V/A .........................,....._...............,...,.........................,..... •..... Addre>a...........................................r..........�.........................,.,...............,,.:....\..,..... ..................................................._............... ontrador................ .,...",.". .... .�...5_.Y 1 .'S,�,. ..............................-..................,,,..,,,............................. Addrsu.... .... ` .....C� c� .: ....; .0 K.. ..1;.._�..,3,Z�3,.. .. N/A Surety (d sny)................................................................................................................................_.,........................,.................................................. Address.....................................................................................................................................................A11101 i ai bond ................................ Name of person within the State of Florida "noted by owner upon wham notloes or othu doornerrl,s nwy be served. Name John Bishop 544 Ocean Blvd. Atlantic Beach, Florida 32233 Addreu........................................_..........".............................,.,...........,..,.....,......,...,,.,......,,.,.,..................................,.......................................... ... In addition to himself, owner designates the following person to recoivo a copy of the LienoK s Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option). Name ....................N/A ...... .., .......... ................................................,., ,....,. ................................,.,»... ,......,_................................... Address..-.--.............................................. ........................................ ...................,.,......,.............................. ..., rola +!►.eac rot IlscoaRa�R•• u•a ala. - Owner BE:; 9397 1 ti Pg.. 1047 Sworn to acrd subscribed Wore ow Ihiu,.—Tr. ................ Filed a R p8/P7/ec�639 99oraed .............dayo/,,,... t✓b.✓`zl.................................11t..;.�.., HENRY°03.01 p.M. CLERK W" COOK ! DUVAL CIRCUIT COURT REC. FL wi ........._..�. yh �� .. _..._..................... " $ 6.00 Notary Public OOA MY Comm rx a Bonded By Service ins fJj CC66356O 199 cnaliy Krown f I Other I D i i-"y ✓ vi 0111 F,,,- .11 V. J and L7;,�7 itis Li c 4 It APD CITY OFPROVEATLANTIC BEACH BUILDING OFFiC5 AUG 2 71999 V4 INS> %A � Sjrt� is t 3 f } � j x i ` w i �' Y1 � � •-fes VyG + v i S r G F � U r � i 8t-A S 76 14. i -Doo c CITY OF Office of Building Official REQUEST FOR 1NP�.CT1Q e �1- rmitNo Date— �---- - ---Time 4/ C A.M. Received 7 ` M 7 Job Address Locality Name Contractor BUILDING CONCRETE ELECTRICA PLUMBING MECHANICAL Framing F] Footing E-1ug RoWiring I Rough i] Air Cond. & I Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final �>4 Sewer ❑ Fire Place _ /J _ /� -- y /33 READY FOR N PECI'ION�_ C�Ni Pre Fab r �(" A.M. Mon. Tues. Wed. Thurs. Friday_ P.M. A.M. Inspection Made P.M. s Inspector _-- - Final Inspection Certificate o ccupancy C�. Date --- It OEPARTMENT OF BVIL©INGI . CITY OF ATLANTIC BEACH PtRxxv , IRFORMATION ------ 1,4014, r 'tw iN B ;;',<�I;. j .; ,., Addres.*: � ;. '"' C PiN El;} t 1k 3 Permit Tyjpe:ELECTRICA14 ATI NTI I3`EACH, FLORIDA 32233 - �3 AL ]3ESC.'R I PTI ON .T +e:WO01 FRwE Twp: a Raq: 4 +611 4,0 1,. S ubd i v s i.rale,*ATLANT I'G 99AGH w mprov`; Coot t3.IJCI' A 'aiunt rff v rk AR �""„(��( ! 'P F�L'si'�{�{�'�+'4T metj Pikkir ,. g $ . ► ', V0, ' 8 JVS ATUAN C'as� a N -Si s k Ey �ry NOTICI —ALL CONORETF,FOAMS AND FOOTINGS MUST 86'IN$PEGTEt#sEFORE.POURING PERMIT VOID SIX MONTHS AFTER DAJ OF ISSUE. ` ILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND'UST BE EARED UP AP40 HAULED AWAY 6YEIT4E4'CONTRACTOR OR OWNER � FAILURE TO COMPLY WITH THE ER . MECHANICS1 LIEN LAW CAIS AIESU-4T IN, HE PRtPTY 01RIhIEI LAYING TWICE FI B`UIL. I ! IMPREV�MENT3.' 3 f EDA XORDING TO APPAO'\fED,PLANS WHICH ARE PART OF. TMIS,PERMI7 AND SUBJECT TO.OEVOCATION FOR ;TION C?F'APPLICABLE PROVISIONS OF LAW. 1+I i�tS M-93 CITY OF ATLANTIC BEACH, FLORIDA V Approval by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_,___.. c 1 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. BILL THOMPSON ELECTRIC CO.,INC. P. 0. BOX FL 150 322 ATLANTIC BEACH, FL 3223a.oigo ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE ' ^ JOURNEYMAN NAMES, ._ADDRESS: �`-1"`-t �1�—`�.J�L� �16FD BOX BLDG.SIZE BETWEEN: RES. APT. ( I comm. ( I PUBLIC ( 1 INDUS.( 1 NEW( ! OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP.( 1 SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( I REPAIR ( I FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE ZCq�' AMPS PH 3 W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 11,100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 1 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING N.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT Z - 4S 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I N.P. VOLTAGE PNS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES — i 40 f PSH �;. ©EPARTMENT OF BUILDING CITY OF ATLANTIC BEACH I , LOCATION I NFORMAT I Cts `~ - - PERMIT INFORMATION ami t Number. 139 1 Address .* 544 OCEAN BOULEVARD emAfrit 'TY'Oe:NECNANIAL ATLATIC BEAM. i€�ONIA 33 I,ECAL DESCRII?TIBN 'C ss of Wotk:ALTEPATI t # »_� �. .. Twp ►nstr , TTpe:WOOD FRAME Block: 'Lot:. ection. 0 ubd 0 � . �Bnq �.. I3w 1� r I Subdiviiv .ATLANTIC BEACH . . Est . Value: 03 .00 mprov. Co et !0 Total 55. 00 rAmout � x 5 .00 aAft, 1997 D AIR -RANDLERS AP } C ATION +ya � �..+' '.p...r;�wgY }.. .{,.,.. APik W L' �y.k r� '.L�tJ did� ti 5 .'4 LT�V.R7�. t r mite P", ' H CSI FLCIEIDA S. . ATI EAB; dr 1.479 AT BLUR. N E H , FLORIDA 2233 ,^ MH Exp N , ES. ' r NOTICE-ALL CONCRE'TF.FORMS AND FOOTINGS MUST EE I=NSPEC'T'ED BEFORE POURING., . PERMIT MOIL?SIX MONTHS AFTER[)ATE Of ISSUE UILDING MATERIAL,RUBBISH ANC?DEBRIS FROM THIS WORK MUST NBT 8E PLACEDIN PUBLIC SPACE,AND DUST BE LEARED IJP AND'HAULED AWAY BY eiTHE,R;CONTRACTOR OR OWNER `FAILURE 'TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESU .7 IN HE PROPERTY RTY 0WNER'PAYING TWICE FOR BUILDING IMPROVEMENTS. 'EDACCORG1Nt3 TO APPRROVED, PLANS WHICH ARE PART OF THIS,PERMIt ANOSUB.iECT T{� REVCb�tTIQhI FC?R`` TION'E3F I}PPLICABLE PROVISIONS OF LAW. #4 11913 ( LANTIC BEACH,BUILDIIJG D'EP'ARTMENTZIA, Will XX :. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. 1. LOCATION Street Address: 549 OCEANIft 9W. OF Intersecting Streets: Between tirh And BUILDING Sub-division 11. IDENTIFICATION — To be completed by all applicants . 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 Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) O C-E AN ST ITT F Master C n e o yq 3jv Name of Property Owner _....,..._.-. Signature of or Signature of or Authoria gent Architect or Engineer Ill. GENERA ON A. Type of eating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON 1 1 �Elect'c THIS BUILDING OR SITE NO ❑ Gas— ❑ No rel ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) El Residential or El Commercial 17 Heat ❑ Space ❑ Recessed [t7 Central O flow f ew Building Air Conditioning: 13 {C Room [ entre) Existing Building ❑ Duct System: Material Thickner Replacement of existing system Maximum capacity c.f.m. ❑ New Installation(No system previously Installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower: Capacity 9.p-m. El Other -- Specify ❑ Fn sprinklers: Number of heads ❑ Elevator ❑ MonliN ❑ Escalafor (number) THIS StACE POR OFFICE USE ONLY ❑ . Gasoline pumps (number) (Reeeiwd) (3 Tanks (number) Remarks ❑ LPG containers (number) ❑ Unfired pressure vessel ❑ Boilers Permit Approved by Dam Q Other — Specify Permit Fes, LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT cfi� ving Number Unit. Description Model Number Manufacturer tY Appr oyCY Z Goin N -RS TwNc, o TR A N E HEATING • FURNACES, BOILERS, FIREPLACES CapNumber Units Description Model Number Hanufactum (13m)ty wA901110y 2 -hGr,dl,=RsTwEo3pP T ka-ey:- 7_5 UL TANKS Haw Many Nowirsal Capacity Type Liquid! Name of Serial Approving sad DtmAnsioos Contained Manufacturer No. Agency `t //►► //CITY __O//F 4& /3 PGGL- Office of Building Offi al REQUEST FOR INSPE I Date ermit No. Time G� r A• Received r / Job Address Locality Name Owner's Contractor _ ( r U G`1 e?(P,6 BUILDING CONCRETE ELECTRICALPLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring -i R. E Air Cond. & ❑ Re Roofing C Slab ❑ Temp Pole Top Out ❑ Heating Insulation ❑ Lintel ❑ Final C Sewer ❑ Fire Place READY FOR INSIDECTIO TF S��V Pre Fab A.M. Mon. Tu s. `1 Wed. Thurs. Friday PM. s 9 A.M. Inspection Made PM. Inspector Final Inspection L, rtificate of ncy,. Date i OF SUILIDING CftY OF ATLANTIC SEAC4 x F� i" F`O �T O LOA I.OH 'I'��'T�£�� iutnb r 1 7�dclre�sx � 4C�AI� 8$3�3LEVAR�7 �rmit TYLa x 'AT SLC' H ACtH* L,OR 322 ;.w ". .4WAL I iSCR I T ON .�... .. Q c fi Section: 0 Ube«:0 4 � Iw l xA sa 1 Subdiviis .,ATWWTIC SACH H6#. , valo ► Qf Esc°ov. S��a 0 .00 .Tot a�l 00 Ai'Ctt unt L3aet 9-97 r R VI A.L'pTION #' Z5 � PERMIT 25.00 A d R1 R '7 4 ORM , d P.. ?. 1 PL 32240 I k k NaTALL, bNGR SIL FbRMS ANO FOOTlNas MusT 81~It �PECTgo�rsr>~c�10 I*�NP k F PERMIT VOID SIX MONTHS AFTER DAf Q>=,ISSUE ILpINd ATI tAL.RUEi6#SH AND.,DEE3RIS FROM THIS WORK MUST,NOT BE PLACID IN PUBLIC'SP,ACE.AND MUST BE EARED UP AN HAULED AWAY BY EITHER CQNTRACTOR OR OWNER TQ t, MIL 1 1MITH THE MECHANIC: ' L LIti SAW` E° ULT IN k „ H`E PFIF "Ii�I'lt P�+►Y11�IG '1'1NICE I�+C�#� �1, �L� i' IIS Il�l�1"�' ." ,, ACCOROING TO APPRVSD CLANS WHICH ARE PART OF-THIS PERMIT AND-SUE#J CT TO.MOCA PC, 1 A0PLICA BLE PROV404PNS OF LAW. y s U k k A ANTIC BEACHUILDI C eP00TUtNT I � _ CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: —Qr'ce4e2 OWNER OF PROPERTY: J011,1 -9r� 6p PLUMBING CONTRACTOR: CONTRACTOR'S ADDRESS:. STATE LICENSE NUMBER: �/�C'bS6 z6P7 TELEPHONE: Aotl-oZSI HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS �/"� SHOWER PANS OTHER k/a.46- TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE = <125.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. OF- 4&4446 c j: �Offlce of Building Official REQUEST FOR INSPECTION r P...rti �..AM.—� Permit No. P.M. � District c. ress ' Locat'ty J CONCRETE ELECT CAL PLUMBING MECHANICAL ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.&, ❑ ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab OR INSPECTION A.M. Tues. NOV j Thur �d,/ � M- ,/ oe A.M. `�1 G ` t - `- Final in5�lJ � e� Certificate of Occupancy �r✓—t�`.._� L�✓/t L—/ a "` Date 4 =0 1 DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY: i /sZ_ lq-I-L---------------ct/ v -- ----------- ------ � -------------------------------------------------- ------ ------------------------------------------------- ------ -------------------------------------------------- SINC RELY, BUILDING INSPECTION DIVISION cc:FILE t CITY OF ATLANTIC BEACH, FLORIDA ApOooby" APPLICATION FOR ELECTRICAL .PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:. 1 o" ( I9�o�• IMPORTANT NOTICE: ( r IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN TH FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AN SPECIF CATIONS, WHICH ARE A PART HEREOF, AND IWACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AN� CITY OF ATLANTIC BEACH ORDINANCES. lC jLECTRICAL FIRM: 11CIAN 812N QD, p ATURE NAME lot -ADDRESS: .544- dewa.n .& W ..__RP ' x..._..... i SLOG.$129 BETYVEENs__ RES.l 1 APT.t I COMIK 1 PUBLIC 1 1 INDUL 11 NEW 1 I OLD I I REW.I I ADDITION t 1 TRAILER t 1 TEMP.11 SIGNS sm FT. i I SERVICE: NEW I 1 INCRINCREASE1� REPAIR I 1 '. � PER � CONDUCTOR SIZE TCH OR BREAKER Ex .SERV.SIZE AMPs 3' L FEEDERS ' NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL I RECEPTACLES CONCEALED OPEN TOTAL Os10 AMM. 1 81.100AMM. i ? I � SVVlTcmcq INCANDESCENT FLUORESCENT&M.V. FIXKD 2.100 AM OVER API•LIANCKS BELL TRAN8F. AIR H.P.RATING H.P.-RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT i MOTORS H.P. VOLTAGE PHS NO. 10- VOLTAGE PHS MISC LLAN IOU TRANSFORMERS: UNDER 80WV. OVER 800 V. NO. KVA AND. lKVA ' NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHE EACH SIGN FORWARDED TOTAL FEES I � t $ 1 r- DEPARTMENT OF BUILDING ' CITY OF-ATLANTIC BEACH LOCA'Il"fou lmrOR"A'Tx'Ot4 P baax t 3y rddr 02 504 CIZAH BLVD. da UT 13t iliA 32233 Nix l� tLC TCFCLA I w+aaC^I�C AOt �'1N . . . . LIA ,.: III#SORTI►'II` flit _. �� +C d two r. Typ' *i CONCR..'''rig JW*op000d ,� i 3. #t'AHILY �'dw. �r i ri #rINC s . O t>xr?Ir1lrxpl x Cad .3 O Bsatsd3 vi+sr�x .I i t d its,3 a it t fio.00 00 , Tat ►xQ GLS OF 0Rl V SAY 777 y_� }#� y /�y y�y �n .N�s W NAT, OII�I ,API�'Ie.3rCATION 'IP k:96 ....r.w..... ,„ !t tit,yp . 'MATER ' Ml"ACT PICB ON *0.QGI oAw r44aM7A+L�s'��tfl ACT P.WFi � k.#` E' z ��++ i- 00 L '*O.001 MCI T� j._� H Iq!11`TI "3'AF 1364000 /I'5I P � s A+d�a Ii x ' £IQ : x ti .Ertl►. 1 - NyDkAuLrc H,yAv� ., yy��yy ryy/� /g PEE 'SRW. M1 b I n w e o 3f e o NOTE: N 2` i t NOTICE =°ALL CONCRETE FORMS AND FOOTINGS MUST IN BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BQIWII�t�a MATERIAL,RUBBISH MD'OEBRM FROM THIS WORK MUST NOT BE PLACED,IN PUBLIC SPACE,AND MUST BE CLE RED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. tLURE Tt� COM,PLY WITH THE MECHANICS' LIEN-LAW CAN RESULT IN TSE PROPERTY OWNER PAYING TWICE FOR SUILDING MPRO'VEMEIVTS.'`' IS8�ID, "CORDING, TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND bt18JECT TO REVOCATION FE7R A, ION OF APPLICABLE PROVISIOf�S.OF LAW. I, , � � A $ INC ARC MENT ��Er Address S Y Heated Square footage @ $ per.sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Va•!#v 7Dq rE� ?� @ $ 9 ��- per sq ft = $I, (�-�• °IO- 101AL VALUATION i $ ZZ Tortal Valuation is t $ �( jp. °A Rernaiiider Va uation �.6dper thousand or , portion thereof Total Building Fee ADDITIONAL, PERMITS and , , ,/or S REQUIRED � Da • � -f- Aj Filing F'ee Mechanical ! `,Fireplaces @ 15.00 $ Plu�i�ing BUILDING IPERMIT M , , S f °`� Electric/Neto �_-__------ -_ ----------------------•-------- Electric/Torp ` o� Septic Taiilc BUILDING PERMIT $ �S Well . WA11M METER CHARGE $ Stibill1h)8 11001 SEWE R IMPACT FEX $ Sign WATER IMPACT FEC $ Water Connection' MISCELLANEOUS $ Sewer Connection $ Water Meter $ l:levati.on Ccrtifle.ILc: GRAND TOM DUE " $ CALCULATIONS and/or NOTES: • t:',.".JYYumlLi Ci..s><+i�:411e John B. Bishop 544 Ocean Boulevard Atlantic Beach , FL 32233 Phone : Home - 249-5003 Work - 768-0594 January 30 , 1990 Building Inspector Atlantic Beach , FL 32233 Dear Sir : This letter is to request permission to install two concrete driveway aprons on the city right-of-way directly in front of my property. This area is cur- rently used to access the existing driveways and the installation of this concrete apron will not interfere with any utilities . If there are any questions please do not hesitate to contact me . Very truly yours , John B . Bishop JAN 3 0 .99 Building and Zoning 1 4� s Ci 7 d o APPROVED CITY OF ATLANTIC BEACH n BUILDING OFFICE FE0 1 9 �C � 0 ttJa 'x INS f John B. Bishop 544 Ocean Boulevard Atlantic Beach , FL 32233 Phone : Home - 249-5003 Work - 768-0594 January 30 , 1990 Building Inspector Atlantic Beach , FL 32233 Dear Sir : This letter is to request permission to install two concrete driveway aprons on the city right-of-way directly in front of my property. This area is cur- rently used to access the existing driveways and the installation of this concrete apron will not interfere with any utilities. If there are any questions please do not hesitate to contact me . Very truly yours , �L�y4�r -,-- ►a John B. Bishop Building and Zoning W S s d L 0 PROVED CIT CIT 0 ATLANTIC BEACH I DING OFFICE auS e E 0 11989 B t� JJA 'arm 1.t� w�c� Mesh Scg1e: _ DEPARTMENT OF BUILDING 8628 i CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.- PERMIT TO BUILD 1 THIS PERMIT MUST BE POSTED ON JOB 19«50 T Date 4127/87 19 19a5f?CKT Valuation$ 2,760.00 Fee$ 19•SO 6967 f A 5/01f80626 *11CCA 6967 1 A 5/01/8 This permit not valid until above fee has been paid to City Treasurer,and is f noo subject to revocation for violation of applicable provisions of law. This is to certify that Ernest Butt i has permission to build wand "r-If to existing roof I l Classification Residential Zone RS-2 Owned by Ifyl(If= Ernest Butt Lot 3 Block 18 S/Dn�re House No. S44 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 Z from this work must not be placed in publi_c_sRace, and must be cleared up;add ha ed away by either con- . f trd er. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER AW eMIBe. „ A'*dress �—C-R j r '� �� ti /,�i. Uy — Hdated Square Footage @ $ per sq ft. = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ (r76eck _ �,�' @ $ per sq ft = $ Pato @ $ per sq ft = $ TOTAL VALUATION; $ 7 d ota a uation 1st $ C'cl6 C� $ � o Remainder Valuation LY-?per thousand or portion thereof 4 --------------------------------------------I f:” Total Building Fee ADDITIONAL PERMITS and/or FEES REQUIRED i + 2 Filing Fee $ Fireplaces @ 15.00 $ Mechanical BUILDING(PERMIT FEE $ Plumbing / C'J• U Electric/Neva �.� ------------------------------------------------- Electric/Tam Septic Tank . BUILDING PERMIT $ 5 Well WATER R CHARGE $ &dmdng Pool SEWER IMPACT FEE $ Sign WATER. Il PACT FEE $ Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter $ Elevation Certificate ' GRAND TOTAL DUE. $ CALCULATIONS and/or NOTES CITY OF'ATLANTIC BEACH .APPLICATION TO MAKE .ADDITIONS OR ALTERATIONS Owner ; c t{ Address Stj D c ec-,g V J, Phone <>Ori Architect ow .-41ddress Phone Contractor Cooy Adress Phone Contractors License/Certification Nmbers Expiration Date Property Address Yj-j Lt GC {yc C Zoningr Lot # S Blcok or Unit Subdivision Valuation of Construction $ �r- DD Type of Construction �Ocvd , �1 Describe Work to be Performed C, �s��6'� G� c o� ex'j t i) Materials to be Used ��, e C+c C' '-, n S > c Present Use of Building C vl,,'_e Proposed Use of Building Y,- � r -(-Y' '( Flood Zone Dimensions of New Area: HEATED GARAGE OR STORAGE ' CARPORT OR PORCH LECK ('2-7 ,1- P�) PATIO YES NO NUMBER ,Will there be an increase in nunber ,of units? (/ Will there be a decrease in nunber of units? Any additional p1mbing fixtures? . Any,. new fireplaces? SUBMIT TWO COMPLETE SETS OF PLAN'S INCLUDING SITE PLAN Signature OWNERDate )� k Signature CONTRACTOR Date I l i Tr t - 15.L7' 2 ` bEOK Fig 1 j f � f _ t l 6TEP3 j APPP ?' V : :I OF Bull APR 2 7 49S7 2 12 P.T. u buMET jillIdea lin Column A" � 12" FT C�nC�rE APPROVED CITY Of AM N r"Wl l APR 27TV "yt L VE0 6K APR 2 7 '097 ►5 i t � U ago N �j QoQ 3 2 Story Qui loAitj dt- N E i CITY OFA, Office of Building Official 1� REQUEST FOR INSPECTION / Date `Y �� Permit No. " C Time A.M. Received P.M. District No. 6— odea . Job Address cality/ Owner's P�' Name Contract BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑_/ Top Out ❑ Heating Lintel 11 Final 1 �. Sewer C Fire Place ❑ READY FOR INSPECTION Pre Fab A.M. Mon. Tues. Wed. Thurs. --Friday/ hurs. ridayA.M. VI�&P.M. Inspection Made © PM. Inspector Final Inspection lv-' Certificate of Occupancy Date ' CITY OF ATLANTIC BEACH, FLORIDA ApP►o►•d by APPLICATION FOR ELECTRICAL PERMIT 1 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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. ECTRICAL FIRM: MASTER E EC RICI N SI RE JOURNIXMAN NAM "CA 1 El �I ADDRESS: '' "�' RF DNX BLDG.SIZE BETWEEN: IIAPT.( 1 COMM.i 1 PUBLIC( 1 INDUS. ( ) NEW( 1 OLD 1 ) REW. ADDITION( 1 TRAILER f '1 TEMP. ( 1 SIGNS ( 1 SO.FT. SERVICE: NEW( 1 INCREASE ( ) REPAIR FEE .CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER to AMPS PH W ' VOLT RACEWAY IST.SERV:SIE AMPS PH I Wl VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE 'IGHTING OUTLETS CONCEALED OPEN TOTAL JECFPTACLES CONCEALED OPEN TOTAL 0.30 Al111'S, I31-100 AMPS, 4WITCHES IINCANDES'CENT FLUORESCENT&M. V. pftlANcEs ISELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT G'1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS ISCELLANEOUS A, TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA.__f MOTOR SIZE SWITCH FLASH'E EACH SIGN FORWARDED TOTAL FEES �� CODES ENFORCEMENT BOARD 4" CITY OF ATLANTIC BEACH, FLORIDA CITY OF ATLANTIC BEACH, FLORIDA, ; VIOLATION NO. 0011 t Fetitioner, ; vs. • ) SUBPOENA CLAUDE CHAMBERS ) Respondent. ) - - - - - - - - - - - - - - - - - - - - 0 TO: NAME JOHN BISHOP STREET 544 OCEAN-BLVD CITY ATLANTIC BEACH STATE FLORIDA GREETINGS: - YOU ARE HEREBY COMMANDED to be and appear before the Codes Enforcement Board of the City of Atlantic Beach, Florida at 716 OCEAN BLVD Atlantic Beach, Florida on the 6TH day of MARCH , 19 90at 7:30 PM. in reference to violation of Section 24-17 of the City of Atlantic Beach Code, by THE ABOVE NAMED RESPONDENT Failure to appear subjects you to penalty of law. Dated this 27TH day of MARCH ,19 90 CODES ENFORCEMENT BOARD CITY OF ATLANTIC BEACH,FLORIDA Secreta i i r A �I 1 a, cs't' i J S 4 Al 1 ,� �� ,,,[.y � ysy....� �� •-may` p`,c.,`�G�`� av� + • SENDER: Complete items 1 and 2 when additional serv(ces are desired, and complete Items 3 and 4. Put your address in the"RETURN TO"Space gn the reverse side.Failure to do this will prevent this card from being retumed to you.The return receict fee wll(provlA you thjname the person delivered to and the dat ofd live .;or additional ees a o ow ng as ces�ere'aveifAll Consult postmaster For Tees and check x es for additional service(s)requested. 1. ❑ Show to whom delivered,d��and addressee's address. 2. ❑ Restricted Delivery 3. Article Addressed to: 4. Article Number Mr. Claude Chambers P 052 410 823 1151 Seminole Road `: Type of Service: Atlantic Beach, FL 32233 u Registered ❑ Insured EXCertiflsd ❑COD ❑ J Express Mail ❑Retum Receipt rohandise (� Always obtain signature of addresses or agent and DATE DELIVERED. 5, Sig re Add s ,Addressee's Address (ONLY if ; A 00 nr and fee paid) 6. Sigriatule — gent X 7. Date of Delive PS.Form 3811,Mar. 1988 + U.S.Q.P.O. 1988-212-885 DOMESTIC RETURN RECEIPT .. _ y.i "V t � 1 V. r CODE BNFORC®1®+TT BOARD CITY OF ATLANTIC BEACH. FLORIDA NOTICE OF HEARING Mr. Claude Chambers certified mail P 052 410 823 1151 Seminole Road Atlantic Beach._FL 32213 RE: Code Enforcement Board - Notice of Hearing Case No. 0011 Dear Mr. Chambers The Code Enforcement Board was created pursuant to Chapter 162, Florida Statutes and Ordinances 95-80-21 of the City of Atlantic Beach. The purpose of this Board is to facilitate the enforcement of certain codes of the City of Atlantic Beach by creating a board of seven citizens who may quickly and fairly-°'render decisions concerning violations of these codes. You are hereby formally notified that on the 6th day of March 19 90. at 7:30 p..q there will be a public hearing at Atlantic Beach City Hall, 716—Ocean Boulevard concerning a violation of Section 24-17 of City Code. (See attached notice of Violation). You are hereby ordered to appear before the Code Enforcement Board on that date to answer these charges and to present your side of the case. Failure to appear may result in the Board proceeding in your absence. Should you be found in violation of the City Code. the Code Enforcement Board has the power by law to levy fines of up to $250 a day against you and your property for every day that any violation continues beyond the date set in an order of the Board for compliance. Should you desire, you have the right to obtain an attorney at your own expense to represent you before the Board. You will also have the opportunity to present witnesses as well as question the witnesses against you prior to the Board making a determination. Please be prepared to present evidence at this meeting concerning the amount of time necessary to correct the alleged violation, should you be found to be in violation of the City Code. If you wish to have any witnesses subpoenaed or have any other questions, please contact a Moore. Secretary of the Code Enforcement Board within five (5) days at 249-23 Since y, Geo u Chairman, Code Enforcement Board PLEASE NOTE: Should any interested party seek to appeal any decision made by the board with respect to any matter considered at such meeting or hearing, he will need a record of the proceedings, and for such purpose he may need to insure that a verbatim record of the proceedings is made, which record includes the testimony and evidence upon which the appeal is to be based. r II I; CODES ENFORCEMENT BOARD CITY OF ATLANTIC BEACH RECEIPT OF NOTIFICATION I it W%\ ' ' ' served notification to: Mr. Claude Chambers 1151 Seminole Road at Atlantic Beach, Florida 32233 this 25 . day of ' ' January. 1990 at \'.aS (A.M /P.M. Code Violation Sec 24-17 This notification was in reference to" " ' " SIGNATURE OF SERVER: SIGNATURE OF RECEIVER: DATED: l I i CITY OF ' �ILLG �CRGfti �� 716 OCEAN BOULEVARD + 11.U.BOX 26 --- ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2386 January 25, 1990 Mr. Claude Chambers 1151 Seminole Road Atlantic Beach, Florida 32233 Re: North } of Lot 4, Lot 5, Block 18 Atlantic Beach Subdivision 574 Ocean Boulevard Atlantic Beach 170141-CRS-A01-125 Mr. Chambers, := I have inspected the property at 574 Ocean Boulevard and have found the following: The building is a two story with single electrical and water services. There are two tenants living in two separate areas of the building. Each area is equipped with a separate bath and kitchen. The kitchens are complete with a double sink, stove, oven and refridgerator in each. Based upon my inspection, I have determined this building meets the criteria established in Section 24-17 of the Code of Ordinances in the City of Atlantic Beach, as a duplex dwelling. This case has also been reviewed by Ms. Suzanne Bass our Code Enforcement legal counsel and found to be in non-compliance. This case will be turned over to the Code Enforcement Board if it is not brought into compliance with the Code of Ordinances of the City of Atlantic Beach within thirty days of today's date. ncerely, on Ford Code Enforcement Officer cc: City Manager Suzanne Bass/Code Enforcement Counsel File CITY OF ' 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA$2233 TELEPHONE(904)249-2396 December 15, 198911, M E M O R A N D U M To: no. Suzonne Bass, Code Enforcement Prosecuting Attorn From: Rene' Angers, Code Enforcement f Subject: Complaint Mo. 01-125 574 Ocean Boulevard, Claude Cham a a- Dear Suzanne, I would appreciate your input on the subject oomplaint before I proceed. Please note: " The property is zoned RS-2 Single Family. " The property was zoned RA-Single Family when it was purchased by Mr. Chambers in 1975. " The building is rented to two unrelated people. " They each have access to the entire building through an interior door, which I believe is kept locked. " They share electric service, water service, heating, washer and dryer. " They do - not share cooking facilities. Although there has always been an extra sink, I believe Mr. Chambers added a refrigerator and stove. " In 1988 the Duval County Tax Assessor changed the classification of the property from single family to duplex. 1989 guadm� and Zoo�n� e, n e y i Min SEROgR: Coplate Items'1 and 2 when additional services are desired, and complete Items Papd,,A. Put your ress in the"RETURN TO"Space on the reverse side.FaNurs to do this will prevent this card*affbeing returned to you.TM Mtur f2 will Id m_a of the Derson delivered to do a det f d live Fora one ss a ollowin—'g sse�es afire avaifa6fe.Consu t po'T—stms- r or s an c c sex es for additional ssrvica(s)requested. 1. Show to whom delivered,date, and addressee's address. 2. ❑ Restricted Delivery (Faro dtarge) (Esrra diarge) 3:'Article Addressed to: 4. Artloie Number P 429 404 303. Mr. Claude E. Chambers T pe of ervice: --� 1151 Seminole. Road Registered O Inland 0 cermied O COD Atlantic Beach, Flroida' 32233 ❑'express INaa O i� m RecelprchandIt se Always*tsin sloneture of addressee or agent and DATE DELIVERED. 6. si r • ressee's Address (ONLY(j xrepesW afWf"paW) 8. nature -A6ent T. Date of Delivery U,/O` PS Form 3811;Mar. 196E « U,S.Q.P.Or 1966-212-866 DOMESTIC RETURN RECEIPT , W1 r t { + ki{�ya`�(1 t r k SM1i R ilk q,,r7y r t k k. ;xi•e` 6 n 5 t '`4 t CITY OF IT ii r t Wi � Ij 716 OCEAN BOULEVARD — -- d P.O.BOX 26 t '+ ATLANTIC BEACH,FLORIDA 32233 j TELEPHONE(904)249-2896 October 5, 1989 C CERTIFIED MI I MA L Mr. Claude E. Chambers 1151 Seminole Road Atlantic Beach, Florida 32233 REs North 1/2 of Lot 4, Lot 3, Block 18, rt ,t Atlantic Beach Subdivision 574 Ocean Boulevard, Atlantis Beach i.N ,1 ti 170141 - CRS #01-125 Dear Mr. Chambers, a Public records indicate that you' are the owner' of the above referenced property. The property is currently zoned RS2-Single Family and before 1975 the property was zoned RA-Single Family. The use of the property has apporantly been changed from single family to two family without the benefit of the proper zoning authorization from this office. As the property is not zoned for two-family use we ask that you take immediate steps to convert the building back to it's permitted use. Please contact this office within seven days so that we may discuss the plans and permits that will be required. 4" 1 I Rene' ngers Commu ity Devela ant Coordinator , ccs City !)anagen file✓ ;d�,� r " I icy • ` Y t�h �#wr x cTrA}, x 10/02/89 Memorandum To: Maureen King From: Rene' Angers Subject: Horth 1/2 of Lot 4, Lot 5, Block 18, Atlantic Beach; 574 Ocean Boulevard Please advise what the z ing of this property was in the year 1975. 1 PROPERTY WAS ZONED "RA" -- COPY OF ZONING REGULATIONS ATTACHED MY OF JVrL dTI C 1EAM ODUE VIOIATION FORM AUG 4198 Date JulT 1. 1989 .• Building and Zoning Address and/or Location of Violation 574 Ocean Blvd, OOMPLAINT; House divided i into two indi'rual rental units in RS-2 zone, Parking commonly tills lot and overflow& onto sidewalk and right of way, Owner and/or Tenant of Property Owner - Claude Chambers 1151 Semin©ie� Rd. 246-9046 SIGHMM OF O[Xq%AINANT c Phoned 249-5003 ADDIti:S.S 4 Ocean Blvd. ------------------------------------------------------------------------------- Date of Investigation Investigator Conditions Found Action Taken -Ccupliance NUM: 1 28-8 Zoning § 28•-8 I trade, manufacture or commercial purposes or for other than one or more of the fol- lowing specified purposes: 1 (1) A single detached one-family private dwelling. (2) Any, use permitted in a Residence "A" District.. (b) Building site area reautred. The requirements shall be the same as those for a Residence "AA" District. (c) Front -yard required. The requirements shall be the same as those for a Residence "A" District. (d) Side yard required. The requirements shall-b6 the same as those for a Residence "A" District. (e) Rear yard required. The requirements shall be the same as those for a Residence "A" District. (f) Building height. The requirements shall be the same as those for a Resi- dence "A" District. (g) Minimum lot coverage. (1) One story, twelve hundred square feet enclosed heated living area. (2) Two story, seven hundred fifty square feet enclosed coverage on the ground floor and not less than a total of twelve hundred square feet enclosed heated living area. (h) Accessory buildings. Accessory'buildings are permitted. (Ord. No. 90- 60-8, § 2; Ord. No. 90-70-38, 1.1; Ord. No. 90-72-56, 1 1. ) Sec . 28 8 . Reside:n,C t The following regulations shall apply within each Residence "A" District: (a) Permitted uses. Within any Residence "A" District, as indicated on the zoning map, no building or premises shall be used and no structure shall be erected which is intended or designed to be used in whole or in part for any industry, trade, manufacture or commercial purpose or for other than the following specified pur- poses: ur-poses: i (1) A single detached one-family private dwelling. (2) The office of a physician or surgeon, dentist, musician, lawyer, archi- tect, teacher or other like professional person residing on the premises; provided, i that there shall be no display from the street nor advertising, except a small pro- fessional name plate, and adequate off street parking shall be provided. 209 Supp. #4, 9-72 i� s, Atlantic Beach City Code § 28-8 l (3) Municipal administrative buildings, municipal recreational buildings, municipal playgrounds and municipal parks. (-i) Public libraries and public museums; provided, that there shall be no display visible from the street or advertising on the premises. (5) Churches and other places of worship, parish houses and Sunday School buildings. (6) Schools, colleges, clubs, lodges, social and community center buildings, except those a chief activity of which is a gainful service or activity usually conducted as a business, such as dancing or bowling; provided, that there shall be no display or advertising from the street, and the approval of the city commission shall be secured in the following manner and a copy of such approval shall be filed with the building in- spector. Approval shall be only given by the city commission by ordinance passed by a four-fifths affirmative vote of a quorum present at a duly constituted regular or spe- cial meeting. (b) Building site area required. The minimum building site area shall be one lot or parcel of land of at least five thousand square feet in area and a minimum front age at the building line of fifty feet; provided, that any lot not less than twenty-five feet in width shown on any recorded plat or deed on January 24, 1940, is excepted, but. the required front yard, side yard and rear yard shall be maintained. (c) Front yard required. There shall be a front yard having a depth of one-sixth of the depth of the lot, but in no case shall the front yard be less than twenty feet. (d) Side yard required. (1) There shall be a side yard on each side of a building having a width of one-tenth of the width of the lot, but in no case less than seven and one-half feet. (2) On a corner lot, the side yard on the street shall be fifteen feet. (3) Eaves and cornices shall,not extend more than one-third of the width of the open space over which they project, and not more than four feet in any case. (4) In case of a lot being replatted so as to create two lots facing another street, the side yard on the street side of the new corner lot shall be not less than one-sixth of the depth of the original lot or lots before replatting. The front yards of the new lots shall be not less than one-sixth of the depth of the new lots, and not less than twenty feet, (e) Rear yard required. a (1) There shall be a rear yard having an area of fifteen hundred square feet, bounded by the side property lines, the rear property line and a line parallel to the rear property line passing thru the rear most extremity of the main building, but in no case shall the main building be closer than twenty feet to the rear property line. 210 Supp. #4, 9-72 a I § 28-9 Zoning 4 g 28-9 In case of a lot having less than one hundred feet depth on January 24, 1940, the area of the gear yard may be reduced by 1.666 percent for each foot of the depth of the lot under one hundred flet, but in no case shall the main building be closer than fifteen feet to the rear property line. (2) Notwithstanding the provisions above, when the garage is attached to and a part of the main building, the garage (but no other part of the main building) may extend no nearer than one-tenth of the depth of the lot to the rear lot line; provided, that in no case shall the same extend nearer than ten feet to the rear lot line. The term "garage," as herein used, shall mean a structure or space designed primarily for the storage of motor vehicles and used primarily for that purpose, but such term shall also include space devoted to and used for household laundry purposes, storage, servant's toilet and like household purposes. Such term shall_ not include living quarters. (f) Repealed by Ordinance Number 90-73-59. (g) Minimum lot coverage. j (1) One story, twelve hundred square feet enclosed heated living area. (2) Two story, two hundred fifty square feet enclosed coverage on 3 the ground floor and not less,than a total of twelve hundred square feet en- closed heated living area. (h) Accessory buildings. Accessory buildings are permitted. (Ord. No. 90-59-3, § 5; Ord. No. 90-60-10, § 1; Ord. No. 90-70-38, § 1; Ord. No. ! 90-72-53; Ord. No. 90-72-57, § 1; Ord. No. 90-73-59; Ord. No. 90-73-61, § 1.) Sec . 28-9 . Residence "AC" (RAC ) Districts . The following regulations shall apply within each Residence "AC" Dis- trict: S (a) Permitted uses. Within any Residence "AC" District, as indicated on the zoning map, no building or premises shall be used and no building or tstructure shall be erected which is intended or designed to be used in whole or in part for any industry, trade or any manufacture or commercial purpose, or for other than one or more of the following specified purposes: (1) Any use permitted in Residence "A" Districts. (2) Any use permitted in Residence "B" Districts. (3) Any use permitted in Residence "C" Districts. 3` 4 211 Supp. #5, 12-74 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. T(/{j 7 3 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB i Date AUMST 7, 19 R l i II Valuation$ 404.00 Fee$ 5.00 This permit not valid until above fee has been paid to City Treasurer,and is j subject to revocation for violation of applicable provisions of law. Tiffs is to certify that COASTAL FENCE MFG. CO. • j 3409 PHILLIPS HIGHWAY. JACKSONVILLE FLORIDA ? I 8�1n I has permission to build install fence as plans submitAW approvetPOCAC 4272 IA 8/10/8 AucusT 7;1981 0 Classification FENCE ADDITION Zone RESIDENTIAL Owned by ERNEST BUTT 544 OCEAN BLVD. ATLANTIC BEACH FLA 32233 Lot #3 Block d1 R S/D ATLANTIC RF:AC'N House No.SLA OCEAN RT.1W A=AN'T7(` 1217A!`T7 x+TriuTnn 32233 According to approved plans which ate part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE t 10 4- 1111 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 or owner.. FRED at MILLS Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER i PLUMBING ELECTRICAL SEWER WATER FOR OAAFFICE USE ONLY ...19 Permit #--yr,/�_4f .....Fee ....... CITY OF ATLANTIC BEACH Valuation $---spa ye)-4--------_--_----------------- FLORIDA House #.Lfv's 6'to ,4rat.... r� .......7,...s.-z- '. APPLICATION FOR BUILDING PERMIT ,,c�,,�, ,e►,/,, 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....- j- r19 C'O�v.. 3Owner----------------------------- Addressy. 1Q.- Telephone No. . Architect.---..................-----•-- ._...........Address.---..........------ ......-.-------------•----- •- Telephone No-----------_--------------- Contractor Builde : . _P - _Address4�. _�.!/l �jt!� _.117`#V --.Telephone Block No. Y Xl Lot No.-----' -J---•-- ---- -------Sub Division-- . fir Zone... ------------•--•- -------------- --------------Street-----------------------..Side Between--................................................and........•--...........-- ata. Valuation $__. :_Q�� .____ -For what purpose will building be used.................. Type of construction.�..._. � 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 Qenters............................................. Greatest Span......-•--....._.......................... n 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 A P P R O V I- pall lot-lines and existing buildings. CITY OF ATLANTIC DEACfi Two copies of plans and specifications shall BUILDING OFFICE be submitted with application. Inspections required. �. 1. When steel is in place and ready to pour footing. W 2. When steel is in place and ready to pour columns and/or 1' Z Z 3. When steel is in place and ready to pour beam. 44 1 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. W 6. When septic tank drain field or sewer is laid but before it is covered. q q 7. Electrical inspection by City of Jacksonville. vs 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 the work as described in the above statement, we hereby agree to perform said work in accordance with the attached la and s ciflcations, which are a part herepf, and in accordance with the building regulations of the Ci A tic Signature of Build .--• ......---•- ---• ......�..................... Address.. .__....... /._" _ ---- Signatureof Owner-------- ....___--------....................---•-- •---........--- Address..................................-----.......... Coastal fence Mfg* C& 3409 Phillips HisiwaY / Jacksonvilie, n 32207 DATE ppp11E; (904) 398-1124 PHONE 'S LOG NO. 'CUSTOMER # .: $'-I ZIP ADDRESS CHAIN LINK SPECIFICATIONS JOB SITE t� " ,,,t'I ] +iC ��! ," } J ., ,Y' Top Rail X D Total Height /" TERMS Line Post 0 C pnst Snared T Y Cash Upon Completion 13� End Post O D Style Fence MasterCharge'Visa ❑ Corner Post 0 O Gauge ❑ 9 ❑ 1 Walk Gate Pnst G O 4 Knuckled U Safeguard 7 Drive Gate Posts 0 D Gate Frames 0 -J QUANTITY Top of Fence to Fouow Ground ri Be Level with Lowest Grade ,J Be Level with Highest Grade ❑ CONSTRUCTION NOTES APPROVEQ CITY OF ATLANTIC QE Q11 13UILDING OFFICE PtU CONTRACTf I/we, the owner(s) Of the premises mentioned herein, hereby contract THE SUM OF with you and author,TP you as a contractor, to furnish all necessary labor and mAtrr.a's to construct the irnprovem«its desrr,hed herein IN WITNESS WHEREOF the parties have hereunto signed then In case payment is not made as specified in the terms of payment,the company reserves the right to repossess all materials used or, this lob with names the daV Of 18 out recourse. ' All material is guaranteed to be as specified. All work to be com- pleted n a workmanlike manner according to standard practices. Any AL FENCE MFG. CO. alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. Customer assumes full responsibility for relocating, staking and clear- SIGNED ing fence lines, as well as deed or subdivision restnction! ogta1Fence is OWNER not responsible or liable for any damage of any nature to underground obstructions. SIGNED In consideration of said work and services to he done by the con- OWNER fr;,cfor,the owner agrees to pay the contractor This proposal may be withdrawn by us if not accepted within 30 devs.