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Permit 711 Ocean Blvd (vault) CITY OF ATLANTIC BEACH 800 SEIVIINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptCalcoab.us Application Number . . . . . 07-00001227 Date 8/29/07 Property Address . . . . . . 711 OCEAN BLVD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . 13500 ---------------------------------------------------------------------------- Application desc REROOF 183 . 9 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LYNCH, ROBERT K. OWNER P.O. BOX 45 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 13500 Expiration Date . . 2/25/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 00 . 00 PERMM 1S APPROVED ONLY M ACCORDANCE WfM ALL crry OF ATLArmc BEACH ORDiNANcEs AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION J .. CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 �l,>> Office: (904)247-5826 • Fax:(904)247-5845 Job Address: t-, �jt C', Number: Legal Description Valuation of Work(Replacement Cost) $ (3 S e9 O ■ Class of Work(Circle one): New Addition Alteration R Move ■ Use of existing/proposed structure(s) (Circle one): Commercial Residential ■ If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N-Akn ■ Is approval of homeowner's association or other private entity required?(Circle one): Yes No Describe in detail the type of work to be performed: 2 e eco 4 s I A,•n tc, r-. s kt r 3161 t q 3 ` Property Owner Information **�� Name: /Ue.Ib a. t!!j tycG,` Address: �� � 0 C��� N ( �c�• City M State„[LZip_22,Y37 Phone Contractor Information: Name of Company: 59-36 s"fA � %''IZ, Qualifying A ent: �4ft I"%-C4 ft..,1= Address:_104.9 /3?100d City �! State tz Zip 72-1-s-3 Office Phone 'L- -x-Z- '?<- Job Site/Contact Number State Certification/Registration# CCC; 13 2 `I I z V Office Fax# 7- 4 -7 43 2.0 Architect Naive&Phone# Engineer's Name &Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a�ern t and that all work will be perforated to meet the standards all laws regulating construction in this jurisdiction. This permit becomes null and void if work P not commenced within six(6)months, or if construction or work is suspended or abandoned for a�eriod of six(6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Yools,Furnaces,Boilers,Heaters,Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR. PAYING -TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this pe of work will be complied with whether specified herein or not. The granting of a ermit does notpresaune to give authority to violate or cancel the provisions or other federal,state, or local law regulating construction or the performance ojconstruction. 41 Signature of Property Owner: F Signature of Contractor: Sworn to and subs abed befo me Sworn to and subscribed before me this 1Z Day of � -- thisAV%L FAMW Day of My Canmia kx�a3�97n a Melt w trees Notary Public:, inas Notary Public: DO NOT WRITE BELOW THIS LINE: OFFICE USE ONLY Review Result(Circle one): Approved Disapproved Approved w/Conditions Review Initials/Date: Development Size Habitable Space Non-Habitable Impervious area Total Area Miscellaneous Information Conditions/Comments: ccupancy Group Type of Construction N -umber of Stories Zoning District #Parking Spaces Max. Occupancy Load Fire Sprinklers Require Flood Zone Revised 12/11/06 R NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: Address of property being improved: General description of improvements: Owner: Pt? I(—*.AC L,.- Address: 1 I ( 0 e Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: n Contractor: c'�r-', cc^�'. n Address: I n Ye-A,4 (,,,.-t-- "_ Telephone No.: Fax No: Surety(if any) Address: Amount of Bond S Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: 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: Address: / r" Telephone No: Fax No: l� 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 Signed: ate: Before day o 'G in ihe County of Duval,State Doc#2007280022,OR SK 14162 Page 724, Of Florida,has personally appeared Number Pages:I Notary Public at Large,State of Florida,County of Duval Filed 8 Recorded OS/29120D7 at 92:52 PM; M commission expires: JIM FULLER,CLERK CIRCUIT COURT DUVAL COUNTY y p RECORDING$10.00 Personally Known: Ir bi4 or Produced identification: JYM14.7005 u a3t , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD N ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 k Application Number . . . . . 09-00001786 Date 10/21/09 Property Address . . . . . . 711 OCEAN BLVD Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc water to air a/h 42K ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LYNCH, ROBERT K. DONOVAN HEATING & AIR P.O. BOX 45 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . WATER TO AIR AH 42K Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/19/10 ----------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ;Ari.. CITY OF ATLANTIC BEACH F7l 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 37133 OvQ- ` I' OFFICE:(91)"75828 t FAX 10.$904)247-6845 BUI DING-0EPTMCOAMUS MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 12.ISTHIsA SUB PERMIT: 3.DATE I(NO 1an 0la 0 YES PERMIT it PROPERTY OWNER: I 4.NAME 75.ADDRESS IF DIFFERENT FROM JOB ADDRESS: rpH - Ae rf L. nc,k MECHANICAL CONTRACTOR: 7. OF COMPANY: 8.ADDRESS.: Yx G n >t lZ w�S �p t STATE OF FLORIDA LICENSE NO: GA C L)3"I )co to CELL PHONE: i1.FAX NO: 12 EMAIL ADDRESS 13.OFFICE PHONE: 14. APOcetion is hereby made to obtain a permit to do the work and installations as indicated. I Certify that all work will be performed to meat the standards of all laws regulating Construction in this jurisdiction. This pemrit becomes null and void if work is not commenced within sic(6) months,or if construction or work is suspended or abandoned for a period of six(6)monft at any time after work is commenced. ARI# CONTRACTORS SIGNATURE: 1S.CLASS OF WORK: 16.BUILDING: 17.SERVICE: 1 .CURRENT CODE 0 NEW INSTALLATION 13 NEW ESIDENTIAL 7 FLORIDA BUILDING CODE- , REPLACEMENT OF EXISTING SYSTEM J EXISTING 0 COMMERCIAL MECHANICAL 0 ALTERATION I ADDITION TO EXIST SYSTEM 0 REPAIR 13 OTHER MECHAMMIL EQUIPMENT TO BE INSTALLED: 18.HEAT: 0 SPACE 0 RECESSED ENTRAL 0 FLOOR BURNERS: 20.AIR CONDITIONING: 0 ROOM CENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: cfrn 22.REFRIGERATION: MAX CAPACITY: cfm 23.COOLING TOWER: CAPACITY: I gpm 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: 0 PUMP 0 WELL 0 PIPING 28.GAS PIPING: OF OUTLETS: 0 GAS AHU: 0 GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATMI%BORERS,LNNFiRED PRESSURE VESSB,HEAT E)XJ WaER OR COIL 1N DUCTS ETC VALUE FOR OTHER ITEMS: 31.COOLING EQUIPMENT: AIR ING R FR ERATION E U MENT NEN ETC. NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY 32.HEATING EQunnaNT: NUMB NA ES OILERS,FCES,AIR HANDLERS M. OF UNITS DESCRIPTION MODELS MANUFACTURER BTU AGENCY 604 c -Y- - /0 ya0 d u, 33.TANKS: TYPE LIQUID A NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY SLOG04 Permit Appticaion Mech:REVISED:12/1812008 CITY OF 4 - Office of Building Official REQUEST FOR INSPECTION 9 r Date _rO Permit No. f Time / y— A.M;. Receive -,,d ' ( P.M. Job Addre Locality Owner's C--/1 / Name l.�–� Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing 7 Footing C Rough Wiring O Rough 14Air Cond. & I] Re Roofing C Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation C Lintel C Final CI Sewer C Fire Place C Pre Fab PECTION �tv� Mon. Tues Wed. Thurs. Friday P.M. �{ 1 A.M. inspection Made J Ins p-ector Final Inspection C _ �L Certificate of Occupancy _- �00 �— 1 Date FOR OFFICE USE ONLY Date----- -------19 �3 . $ Permit #...7 ........ CITY OF ATLANTIC BEACH Valuation $.._._ .....-A... .. CL FLORIDA House #.--X-71-1-- - __..... . ........•--•-----------................................................... APPLICATION FOR BUILDING PERMIT ................................................................... ........................................ ............................. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date.................------------------------------------------ ...... 19--•---•----- -_AIA Owner---1?013_Et_1-------------k----------1,YO-C-4---_----------------------Address-_-)//.....C&AAA).....��_P------Telephone NoZ41.. W-V Architect...................... ................------------------------..............Address.................................. .............Telephone No------------_--__---- ContractorBuilder----.......................................................................Address-------------_---•---•--------•--------------------------Telephone No.-----..... ------ Lot No-----------------------_-----.............-----Block No..--------------........... Sub Divisionpr----lonx-------kZV47161------------.-.-.-Zone---------- ----------------------------------------------------------Street.---------------------_Side Between...............•-----•------------------------------and-----------------------------------------------------Sts, Valuation $ ............:For what purpose will building be used...fAE;�VA_rve _691-S,---...... ------ � F_...Type of construction i( Dimensions of Building--Jff---f ----_..Dimensions of Lot...10.4)....... ..................Size of Footings....J?.-)(.-I--0 ------------ Size of Piers....__.__.......... -----Size of Sills------------- ---------.__GTeatest Sill Span in ft............------__....Type Roof-Asetw-r....4&JQ-F- How will Building be Heated?......................r''__._...._......_._.__.---.--_--.-.--_Will Building be on Solid or Filled Ground?_-....___._............................ Size of Ceiling Joists 0 Z- L-z — --------ra.!�5 Distance on Centers..........;4�-------------................ Greatest Span....._-----------------------0........ -----------------I Size of Floor Joists--------------`__—--------------.............Distance on Centers-_-._... ------......................... Greatest Span.... ---------------_------------- Size of Rafters-...--------- Distance on Centers........ ?-.(----------------- Greatest Span-----.-.--.2-`Z ..............---------- ----------------------- This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,-and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. M 8. Final inspection. Note: In case of any rejection,re-Inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City o tla/ticB ach. % Signature of Builder..- .. .... .... .. ........ ............. ....a......... Address--_.---__ _#-----_a'aw—-—------ ------------ Ya e Signature of Owner.--........ .. ........ m...... ..... Address............. ...........................................................­................. ............. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 2475826-FAX: 2475877 PERMIT INFORMATION LOCATION INFORMATION Permit Number. 21413 Address: 711 OCEAN BOULEVARD Permit Type: GARAGE DOOR ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: HOTEL RESERVATION Est. Value: Parcel Number: Improv. Cost: 900.00 OWNER INFORMATION Date Issued: 2/06/2001 Name: ROBERT& NELLIE A. LYNCH Total Fees: 25.00 Address: 711 OCEAN BOULEVARD Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/05/2001 Phone: (904)249-4602 Work Desc: GARAGE DOOR REPLACEMENT CONTRA P N FEES OVERHEAD DOOR COMPANY OF JAX PERMIT 25.00 coons 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. $25.88 4 ATLANTIC BEACH BUILDING DEPT. DDite: 2/87/81 81 Receipt: 88321 1 C777 OF ATI,?N-T.7 C ZE _CF_ F � T a Z�pL%G=_TION Fc� ODEL %, ADDITIONS, O� �' rT7--R r770NS 2,10VTNG, D IOLSTiONS 44 ..�� _ ��Gc:•_ G� a-._C = c�.,;._ ._�_o^. OVERHEAD DOOR C6MPAN-Yr OF JACKSONVILLE State L.Ce.^.Se 591881676 .00CUPATIONAL TYPE 1 6884 PHILIPS PKWY DR. N. 268-1627 c4 — JACKSONVILLE _ FL Coo` 32256 =eS e n t use G_ Dv_1 C_. 00//��� ^• /� cf _ rsec c�G_�_ .:? ! 6 C. :eRSIGRS G= _ a _ Sc f7 (CC_-=CL%zL) TWO (RE SI71.�LL) Cax�--i� S-7 TS OF P=VS, INCLUDING SITv P_'ti, SCT-- O=RGY CO w FO��!S, NOTI OF COQ ti ''7�'�i- e � CCN _ o p�2 -o S•!:o_-: tc a before me c` _s ( [! day G= T. James C Ward *my Commission CC804432 Expires January 24 2rr ar n w 17666 ,1 VEPARTME NT CITY C3ATLAN"TIC 85 t0EWT, IN �QCA' f R I NFORMA 'I Q -- fi r _ 3 7 + A dress: 711 .CC S SQ �� P+ I~m fi P ae R I Ctt ATLANTIlt S � PLO R DA , 321233 --� �� � B1�SCRIBfiIOn _ � . . ., r . `a r. '�yge: 131!#CEETS BLOCK Bl ock»�! Teat: fi p Use RZsjMVATT,ON, , �. eta ml rov , Cast 60.0 A � 2,5)*00 I unit P + y ate ' APPLICATION P'ERIS 25,� AT I'DA3,223 _ 57 4, , _ , 41F f CON CLAi II I k ! SON 31 "iQL ISL, 3 - 7., G K: I I 7 4 y 3 f; I NCITICE •tNSPE Tf NS.14fUST 0E REQUESTED A?LEAST 4 l�i�a PRI ?R Tt' #PI PI TIC?# '. { 3WLL?ING"MATERIAL, �tt�B818H.ANQ"DEBRIS FROM THIS WiBf 3RK MUST N©T �3E'PIiCEd IN PtJBL#C SPACE, AND#uJST k E kf EII #+" HAULEb A BY of EITHSFI CC3NTRACTQFt OR OwNr; I ` A L R .TCS " 'OU ` " ' THEA. MECHANICS' .L N. ' GAN ,RE U .T 1N, TIDE Pt t P t T PAYIMC3 'T;WI BU# QlN! ! MPRt ENT . a SLED ACCQRPING"TQ'-APPRQVF PLANS WHICH ARE PART OF THIS PERMIT"AND'SUwta LATION'Of:APPLlCASLE PROVISIONS QF LAW. #? IC !�BI11LC3"I�"DSP "TME a �� i CITY OF AT LANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: ~� ' , ®'e'� OWNER OF PROPERTY: 41t"'` ;M,1�j S CONTRACTOR: C m - dh CONTRACTCR'S ADDRESS: 3 6 (4L( 11 1 J !: � GC ZIP STATE LICENSE NUMBER: TELEPHONE: DESCRIBE WORK TO BE PERFORMED: VALUATION OF PROPOSED CONSTRUCTION MATERIALS TO BE USED: SIGNATURE OF OWNER: SIGNATURE OF CINTRACTCR: SWORN TO AND SUBSCRIBED"BEFORE ME THIS �� DAY CR NOTARY PUBLIC - PatriciaAmonette MY COMMISSION N CC553881 EXPIRE Liadiiity Insurance Supplied R= Aupust27,2000 DON=TM W FAIN e1MURANCfi,INC. Wert<ers Ccmpensancn Insurance Supplied Contractor License Information Supplied Occupational License information Supplied r, 1 {a DEPARTMENT OF BUILDING 1 ` CITY OF ATLANT#C BELCH " t SERIT IN�C'�ROTIO"N _ LQC1 T O N ST C It _ a rmm Tumbc�r': 119 Address: `' C Ait BOULffiN�RD 'e 'Typ w" LL1 `IC B���N� �S�OlUb . x«2233 I t c rA':NEW> ]SWAt, DEBCRIPTON r: ' Ypt.WOOD, T%,, $2 ock: Loi w` ' P ot; ad . section: 01 Subd:0 '" `� � Nn Subdi v,i$4 ora.XtLAXT I C BRAM: ,Es t �Ta3ue , Cy 00 ee � r civ V. ' 'Co b 00 Tot 00 Da Up Wc� k I � POR IRRIt3�fi� TxU klS Ia� r. _ A ON `` { +iceAPPLICATION TVZ ON T�'t 0 � PI ` Rb 1-7 PLIO X1 DA 02f 411; ine: ' C RRA A 'r': P. .C'. BSS '� � � .'a �&h�s';�aQ.,r w;nx,t^°gi3..rn Ma y amu + a.e.•ra.e.�. s,. avM� aa( NQ1 S a i a. 1 ` NOTICE:'—ALL E?NCFiSTE:Irl�RMS AID F©O't�1.NQS'MUST00 INSPEC"t`#�D OXFOA .PERMFT"V66$ix MOhITH$AFTER�DATE OFISSU j Bel .{�#AIG.MA7ERIAL,f9lJ8BlSH"ANa CtEBAl$FROM'THIS WORK MUST NOT SE PLACED#N PUOLiC SI?gCE,A'rvc MU�T`BE Aft D UP APt{3AAULt-0,AWAY6Y bTH' ER� ONTRACTO` Okl OWNER } � T THE If1�1 E`V +i!lf HA ,' ' 'ER TY t i R;PAYM43 TWICE FOR SIU.1. i ACCOR61 G�TO.APf''ROY I� PLANS WHICH ARE,PART OF THIS PkRMiT ANC?.,StIBJECT 1Q Ft A 1t OF APP.ICABLE PRC Y}31 NS OF LAW. "9 fit. i ii AfLAyNTIC AC'H BUILEPAR HENT 1 483 1 CITY OF Office of Building Official REQUEST FOR INSPECTION Date 7 Permit No. � Time Received — P.M. Job Address L ality Owner's C� Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing G Rough Wiring Rough ❑ Air Cond.& Re Roofing Slab G Temp Pole D Top Out CI Heating Insulation a Lintel 1 Final Sewer Fire Place Pre Fab READY FOR INSPECTION A.M. ..� Mon. Tues. Wed. Thurs. Friday —Pidl A.M. Inspection Mads inspector' � _� Final inspection Certificate of Occupancy C.; ��� Date FFF $10.00 APPLICATION FOR VOL PERMIT CITY OF ATLANTIC BEACH PROPERTY MER Name: z:P-�z 2"ZZ- � Day Phone2�l 7/7 y Address c '7 /- /36� Zip 3z z 33 APPLICANT, IF MER THAN OWNER Name: /�. �it/� f/icl v� S Day Address., d_ l�6 -S ,�'�/�i �`iG �t Zi2 Z 33 JOB Address or Location: Legal Description: Is well to be used for drinking purposes? xto Arty person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from.the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: I agree to carmly with regulations stated herein: lgnatureDate i ,►_ ��,� /CITY OF Office of Building Official REQUEST FOR FOR INSPECTION Date — ( ` Permit No. �G Z" Time / i 1 A.M. Received / / 3 --1 P.M. 72 Job Addres Locality Owner's Name Contractor BUILDING CONCRETERICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ oug Wiring ❑ Rough ❑ Air Cond. & Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ R al Sewer ❑ Fire Place ❑ �j�D�ao[��/ Pre Fab READY FOR INSPECTJAN // A.M. on.. Tues. Wed. Thurs. FridayP.M. A.M. Inspection Made Inspector Final Inspection ❑ Certificate of Occupancy Ci ' //®� Date PSA s i ©EPARTMENT OF®till:Dlka CITY OF ATLANTIC BEACH. I ~- PERMIT INFORMATION - �...4..-- LOCATION,:- �;y* ��p} INFORMATION�yy+T �ryy w w w v w y Plrmt 1, Number! . 9 t 5 Address: 711 OCRAN BOULEVARD PKmit Ty ?e ELECTRICAL ATLANTIC BEACH, FLORIDA 3 2213 3, j C f woek: NEW -_----_� L AS DESCRIPTION C r . Type: WOOD FRAME Lot : Block: Sectian: repbsed ,Use:, PQOL/EPA Township,- 411 nc is cSubdivision:, ,ATLANTIC BLACK 04 mated; Value. Total e = $35 00 Amou Dat' ' ' IMMING POOL 1 TIS ,. _.._ N �h #FPLXCATION IEEE PERKI T .535.004 Add? BOULEVARD NAS" LMPAC . FEE o 4 ' d CN t FLOP I � � � �`EE � � ��" � 'Al " ,� ,� s. y� } `"' * "} .r. ��x * '.%a'� re �u w2' �A ",3 Ta9.F a 'w"a RADON GAS'-IR,R.S. $0 .W' � ORKAT ..» .,.. RAIN ' D.fiSf !Vtitles' ' ICAS Se,�l CE INC. CAPITAL 1OV , $0 .00 ; ORAN RR, `L' . 071-6' 43i , CROSS CONNECTION .Q Q ,, Type,* 2SEC H IMPACT FEE CONST_ 6ffAROE o.o r v d` NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE fNSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE SUILbING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST Nt�T.BE,"PLACEQ,{N PUBL#C SPACE,AND MUST BE CLi RED UP AND HAULED AWAY BY EI`fHEA CONTRACTOR OFI OWNER Ari " LURE TC COMPLY WITH THE MECHANICS' LiEN.LAW CAIN RESULT; IN ' PTY W1#ER PAYING TWICE F �# r , o � �� #7lPiYEMENT . . ACCORDING TO APPROVED,PLANS=WHICH ARE PART OF THiS PERMIT AND SUBJECT TO RE +i Of ►TION'C}F.APPLICABLE PR©visiONS 60 LAW. VOCATIOt ATIATIG BEAGFI BUIL D#NG DEPARTMENT tf4� ;3S:tJ�! l4 T .► u. CITY OF ATLANTIC BEACH, FLORIDA Approval by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �� S 19 Cl 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: MASTER ELECTRICIAN S G E JOURNEYMAN NAME d/,f,7 q,-e111 ADDRESS: ')// 02172" �Cv/0• RFD BOX BLDG.SIZE BETWEEN: RES.( ) APT. i ) COMM.( ) PUBLIC ( ) INDUS. ( 1 NEW( ! OLD ( 1 REW. ( 1 ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ) SQ.FT. SERVICE: NEW( 1 INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER f ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED OPEN I TOTAL 0.90 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT _ FLUORESCENT&M.V. FIXED i0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PNS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 1--.IaIZ TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA I.I I NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES Ps ..;, Y k DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ,... - PL�'�l T ` Ir NPORI TION . » LOCATION I'NP"OPAATl ON -----w- r l t Hine . Ad re : 7 i 'OCEAN BLVD. ,;F 3fii t' Tye : SWIXII CG POOL ATLANTIC BEACH, FLORIDA ,310233 f e r NEWL L DE,BCRIPT ON ` on tr. : ,,WOOD ?RAR�E, Lot'. ti Secti nz Sy R ? Subdisn: Impr€v ," = : # . ' to , �F a.4: 0 .00 Int It D. 001 . 9f tx40ft �js'0 qal , t � IONATtNEE ` o, 1 � PERI ' 533,0 BLVD. NATER IMPACT FEE 0, S 111111 ok I FERC .. .T � RADON 0A,S-H.R. -.., . . T N 'ORAAT, tJ ADO CAE Q R r .` j B R CCL . CAPITAL I NFROV E $0 ,00 �. EWER, v, 'p,. .D1 =QAC !LL9 FL, 32216 CROSS CZONNZCTTON' .` 00 Type: SEC-, H IMPACT FEE CO ST W URC AR .-Alm � � "B� Vin= NO"IS: 0! �t�1M fii�Z PAID 1115, . NOTICE ALL CQNCRET#,FORMS ANR FOOTINGS MUST BE INSPECTED B#FORE POURING PERMIT VOID SIX MONTHS AFTER DATE t1F ISSUE i 0,04,LDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE �E:Af ED UP ANp'HAULED AWAY BY EITHER CONTRACTOR OR OWNER LURE TO CO PLY WITH THE MECHANICS' LIEN LAI CAN,. ;RESUL ' 1N PRC�PSRTY ' .PAYING TWICE FOR BUIL.D1�#�` ��PRC)WEMEN 4`1 kS ,UEfl ACCORClk"NC3 TO APPROVE WHICH ARE PART Of THIS PERMIT AND SUBJECT TO'RE fC3t { #l�#:AfiI i OF ApPLIC L P# Its Of LAW. a AT i TtC BkJ►LOIN PA MENT. t�t�Ot At14 tX� 40 It "sll� 007 ll . _� y 777777 !_ v . CITY OF ATLANTIC BEACH APPLICATION FOR POOL PERMIT Job Address Lot # Block Subdivision ner e V1" G V Address / }c �� (Y(I Vd Contractor -Sig - 1-4 Address `�`35� '000� __�/. 4f e! 6 4C License dumber z L 2 q-5, Valuation ��j �'G u W Gallons 6,00 i SITE PLAN ••front • rN t i) S' 1� rear Signature Owner Date Signature Contracto e .. � Date 5-e Ci 1Y '�tj � cc •� p �`� 1� C i' " f:INA1NCIAN,PRINTING Cr-tA&" notice of Commencement (PREPARE IN DUPLICATE) To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property _�C�_ %_L ekg�12���J�G�J�- -J------ ------------•-----------------------------------------•------------------------------------------------------ -----------------------------------------------------•-----------------------------------------------------. General description of improvements ___ ___fid/-_ ---------------------------------------------------------------------=-------------------------------------- T �. Owner --- - - L__--- t_1---------------------------------------------------------- Address Owner's interest in site of the improvement ___ Q_O / Fee Simple Title holder (if other than owner) _____________________________________________________________ Name --------------------------------------------------- - Address -------------------------------------------------------- --------------------------------------- Contracto _L� __L_f�_ S!S1_L_ ----- -1--5--------------------------------------- Address ,. ___ �__ Surety (if any) -------------------------------------------------------------------------------------------- Address -----------------------------------------------------------------Amount of bond $-------------- Name and address of any person making a loan for the construction of the improvements. Name ------------------------------------------------------- Address ----------------------------------------------------------------- -------------------------------- Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name ---------------------------------- ------------------------------------------------------------------- Address ------------------------------------------------------------------------------------------------ In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 [2] [b], Florida Statutes. (Fill in at Owner's option). Name ------------------------------------------------- Address ------------------------------------------------------------------------------------------------ THIS SPACE FOR RECORDER'S USE ONLY — — -----�—�-- -- -- -------------- e Sworn to and subscribtd before me this ______________ ---2--- day of __ MY COMMWIm-N#CC 341659 EXPIRES:Fehury 2S,1998 t; Bonded ThN Nosy Pubic Underrvrltera P SHOWING SURVEY-- .41. ell Deljl,41 CON 10 co vr IM, OAle7 ,FrC4,p .16 0 s, v rp ro iC q:b --X- DENOTES FENCE 0 DENOTES IRON PIF IE HEREBY CERTIFY THAT THE ADOVIE LdA,,i2 WAS SURVEYED BY 0 ME AND THAT--..-- 13 LOCATED UPON SAME AS,4+#OWN AND THAT THERE ARE No RMCM CHMKNTS UPON SAID MAX:qRCIA 0&1, 1 SSOCIATES SIGNED v Rt "Tgoa 'suava, SCALE:- "M 16T a suavayon P40. rLA •01/TI alot PLUIP*JNT 89.Wvgcz. INC. ORDER No.? CITY OF 4&42.ftAeac4- Office of Building Official REQUEST FOR INSPECTION �-- Date Permit No. Time A.M. Received _ P.M. Job Address Locality Owner's Vz�-04--,Name � Contractor C11, 1j BUILDING C CRETE ELECTRICAL PLUMBING MECHANICAL Framing F:1 Fooling ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ElRe Roofing ElSlab 171 Temp Pole ❑ Top Out ElHeating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSSPECTION M. Mon. Tues. Wed. Thurs. Friday P. , _ � .. A.M. Inspection Made P.M. Inspa r �� it �,� .E�p Inspection ❑ Certificate of Occupancy Date CITY OF 4&4a&c BeacA-41* IX f Office of Building Official y/ REQUEST FOR INSPECTION Date--`— / i_ Permit No. --- Time i q A.M. Received ���_ P.M. Job Address Locality Owner's , Name �d _M Contractor -----_ � --- ------- BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing ❑ Rough Wiring Rough Air Cond. & Re Roofing F' Slab C Temp Pole L Top Out Heating Insulation ❑ Lintel ❑ Final Sewer Fire Place Pre Fab READY FOR INSPECTION Mon. Tues. �j Wed. Thurs. Friday .—I A.M. Inspection Made Inspector_ _ Final Inspection 0 Certificate of Occupancy Date —_ CITY OF .4&aa c Bead-0;&u-da a 9- Y Office of Building Official G, REQUEST FOR INSPECTION Date _ 3 3 Permit No. `P v Time dA.M. Received P.M. / I/ t C 4- 67� Job Ad ss ocality Owner's 114 Name -4 1 -,,� Contractor _ BUILDIN CRETE _ ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. C'Wed. T�hVrs, Friday PM. Inspection Made _ P.M. Inspector +. Final Inspection FJ Certificate of Occupancy ❑ Date oPHPART��aT OF 80101M� ., CITY QP ATLANTIC BEACH, e ►a t ALAN "I� :� 32233 I a's ;c NEW, LZOAL DESCRIPTIONCONCRETE Lot.- S-1 ook Section.., ' Pq pos 4d "V a SINGLE111W1Township RNP: ,: C qrs:. l Code: Ct`' Subdivision: HOTEL R}�SRRVAT I CN ° p t i t i►t jed, V*1 U4: $0.00 �t; Imciv. Cost Toat1 ... $10-00 . Amo $10 .00 Ay Its 'APPLICATION FEES : � .00 Ards SOULEVAl 3 l IMPAC : s4,.fl * T �'*r � ,� aF= r RAIO$ tGAs-N;.R.S. r?Q PORMAT N , #ami: NER > t .t - SZORA SAF so 00, CROSS—CONNECTION Q }Q I Tyke 1 SRC N. mPA T" PER 0 � 0 NOT -S, RCHARGE Ol S: I ! e El twtq'fto ALL CONCRETE 1 C1RMSr AND FOOTINGS MA0 91PORE POURtWo 1 a PERMIT VOID SIX MONTHS AFTER`DATE CSP ISSUE' B 1 tINc MA,7ERI L RUBBISH ANDDEBRIS PRAM THIS WORK MUST NOT I IE PLACED IN PUBLIC SPACE,ANO MUt BE :L AR ..uP AND.1IAULED AWAY BY EITHER C-ONTRACT08 dA OWNEt� E.£'S, , I i S UR T 1 COMPLY ITH THE PCHANICS LIEN L. 1�/ CAN RE Q IN T t RQ�' TY C WA E PAYtNQ TWICE FOR QU1,LDJN i �Et3"ACCQRDtoTCS AP ROVED PLAN&WHICH ARE PART ©F THIS PERMIT AND Sl7B.JECT TO C1��tI:IN �l °C SN c�F APP�.ICABLE PROVISIONS QF LAW. ,> x ALAItitTj EACH$ .ILDI GDEPARTMENT00 !# . 4 1% 4 SRT Zook WALL (uara� • � �l C/STIJY'�� �l -V rG xk ZIP i" fow, L 7r &f4l-e dWle 1694- k s APPLICATION FOR FENCE PERMIT Ovners Job Address- .�/_©„�I YIC_ Ll. -------------------------------- Lot-------Block -------------------- --------- Lot_______Block and/or Unit • Subdivision Contractor if different from ovner_�•�------------------------- ------------------------------------------------------------------ Valuation of fence •____________ Corner or interior lot_________.. Type conatruction_1 _A��___________ Shov location and height of fence an veli as location of street(a) . r Owner signature Date Contractor signature _Date SAI #1 0 4i qn 17� / (map ROBERT K. LYNCH WALL 711 OCEAN bOULAVARD nF A wall to be six toot tall alonc the north line of the property approx. 112 feet to join the existing six foot wall on the east line. a Extention of the six foot wall on the east line. Both walls to be of 3" concrete block on 12x20 concrete footing with two 44 rebar on saddles witty rods upturned at intervals to filled blocks. 21 June 1994 >g r M. lrYNGOu� �r f�0y I IC \ ce 3 I O Alr 10 Io I o� Ra�oV� wiuva� ANS fRANt iN X6'-S" AWWAy I � � I X P s ffW*Af AIMC CITY Of IPPR T ASN ICEBE�ACH [ IL DIN 3 FFICE t 99 .zaeF,eT ,�. Gr�vc.�r Xa 7/1 CABs Rc�F 7v MArc �'. x6 �' ove~,� u��uaaws APPROVED Ut,, Nam J�€' CITY Or ATLAWNG B ;t BUILDING OFFICE /e/��"*jj� T 44L .lars�- 0 C T 2 B1 TURAW b?tP�llvstoN to lo T- 7V F-KisriA�L- ftl3,C�RG�£ PROVED ATLANTIC BEACH BUILDING OFFICE OCT 2 0 1992 cps CRdss CrCmce rxD �X a nuc TC O 7// 6boIwo A F:;*p01 <- �v,�,Eg 727 774 gX6 'lbgall To .��CisTiuc- Ad ��rlN6 H'FkJ SGA b 7-0 APPROVED CITY OF fiTLA.NTIC BEACH BUILDING OFFICE CT 2 1992 C EPARI ENT OF BUIL,C�tNi I CITY OF ATLANTIC B AC�1.. z i �1i µ Wo a ' ' 14 i 7 01,0, FWR DA 322x: bo y #Wk i ..' •L 77.. iR. . r a.S. 0. h ♦y� Ayy/, i > M t r^i NGTOIC ALk Ct?NCAI f t�C AAE ANt1"FST 1 5 y t, t�111 fiiIP StX MC1IV Ftp url clr�MATIIA RUl�SSH ANE BI$ - + awe waw � s ►. ►a tit .� Q UP All AtlLEt� wAY CIT�iACTOR,C�R`atiivlEF� a r .+ ACCt�tip�N "` APPARE � # W,GF,1P iCASLE f�Ftt?ISQNS LA1111. 7777 LATiC S CH,SuiLOING FPAA7"AdEXT_ A43 PA0117VAI 38 Ac IdlesIr ' s` b � df Pit �'6a�- �"•�9rV - 7// pew APPROVED CITY OF ATLANTIC BEACH 4r,,4h,Vr/e ,pp BUILDING OFFIC5 G7� o OCT 2 1A�� C1jA aF RT Aoj�Nc FFI�E w �.. ,a�Ne p�pN - h MW4W 4Wr PAWAV \ 0 0. 1f&AdV4W V 1,V,00 J 9,VP fe44#t. W s10 4Id" X6'-8N z zz �x p s B•E9M L/N� APPROVED CITY OF ATLANTIC BEACiI BUILDING OFFICE OCT 2 � 1992 mer- 66lmoo: Rlz f vric Ske-rzox) 7;rxv 674-ki- -711 C°L^1tf7N 84.VD C1 6'f C'_ IeCO)c 7V MAM �X est co P�CYo sfir� 7ti�v� x6 dors r 1-1,vra,- r o��c,e cc9ruooc�S �8 AAYQAW APPROVED CI78NoBEACH R7a /"T�uILDINGFFC A�vD JorST` Tts P,G�9�' Pb�N!'s OCT 20 1992 %-%- (I — 7-4401,D r6',�PA7ustc too 10r ���1fl►A6 MA7'C� �54�98 7V F.aCrsr�i� RWAOp /�J19T��hry�I'F�raw: T8 "is CRossJ CON�cT4D m e � 0,20&v 84.vo f�1�l�rrc Bb'�tP-�N/ F�v�1�A r f sn 6 Xj(!6T/N` X196 N�rr! s.G Ric ,V,:r- 7-0 APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE CT 2 : 1 92 �� y Andress 7-f Heated Square Footage (, ra $ , s per sq ft = $ , .S"3 Q • O Garage/Shed $ — per sq ft = $ Carport/Porch Q $-- `ver sq ft = $-- --- --- ----- Deck @ $ per sq ft = $ — -- --- Patio @ per sq ft = $ __ TOTAL AL,UATION: $— S.3 O Total Valuation lst $ (,006. 616 Y3 PQToo $ f ao Remainder Valuation ,�.oa nen thousand or portion thereof -------------------------------- ----- ------ Total Building Fee ADDITIONAL, PERMITS anal/or FEES REQUIRED � y -- + Filing Fee Mechanical Fireplaces @ 15.00 $ _ BUILDING PEI,1'�11T FEE $ �D 0 . 0 6 Plumbing —-- Electric/Neva ----------------------------------------- Electric/Temp Septic Tank BUILDING PERMIT $Well WATER METER CHARGE $ &siurming Pool S&,1ER IMPACT FEE $ �- Sign WATER IMPACT FEE $ Water Connection MISCEIJ ANEOUS $ Q i Sewer Connection $ — .-- Water Meter $_—__ Elevation Certificate GRAND TOTAL DUE $ (� .Q O ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES r . CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING owner(s): �n� ? ,� 41Vo L.YAIG-,1V Address: /'O. .64X <xrAN GLOP S Phone: 964 ¢ 42 ar4.,4 m7 te- SF,Peh' p* of 1ivrx4. X�ScR v p r/oN ere 1,9 v ccP Aga < /64e da a Lot # Block or Unit # Subdivision Contractor: 72�x ,&gVA�/r'�11C� Address: SF-A1ge Phone: 5�d�4 State License No. Describe work to be done: P �,y,� 6'/✓, �X/,T77k4 Materials to be used: e-4M* 02?" Signature OWNE Date: � h1�� Signature CONTRACTOR: APPROVED CITY OF ATLANTIC BEACif BUILDING OFFICE OCT 2 1992 ,iia an L °�i � FLA. ts47 4Aws AAMCo PowM 4" Fs 117.13 lull � x (gantutpn,rt*nt�ext# 4"0VAQx 1N ourucAru %o (ohm U nmV ttuMgm The undersigned hereby Informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of Prope►hr.........ft,/►.t�rllZLt.°......e t c ,......Pl. ...4.•f......» `G... ', f iC?A/»«............... -,W........... ........ G '..`sa ..».......«....«................. ................................................................................».«.»...«.................................................................................«_.«.._..««.........................._.............. _ ........................................._................«..............................«......................................................................«..»....«......... .... »...»� ......._... ._.....» General description of improvements...»....r ,P,l�✓.,CJ�t�....©f...........,� �:..1.�.....�'�!1. Yr«.. ...».«...»..» ... .................................................................»»...................................................................«..........»................««...•...............».......».....r«..».......... » .........................................................................._.........«...................................................................................«........... ...«......«........«................... Owner...........f6ZAkt.,7.:........9.........6W.......AV&.•.L/.�.....�:.....!i�! ...................»..............«.».•...»«............................ Address......./.-x......egX..........4- �......«.... 1....Qtr! ! ..... .!JO,,, ....««................_..........«».»...».......».«.»».�........... Owner's interest in site of the improvement.......1411 110a..........................................................«.....»•....„..««.»«.».................. Fee Simple Tole holder (if other than owner) Name..........................................»............................,............»....................................... ............»......................•..«........«..............»...««.........»..... Address......».......................................................................................................................««...............»....»........_..........«...»..».....«...«............«....»...» Contrador....««.......».....».«.....».......»...».».......................«..............................................................,................ ..............»«.......»»»...................««.... ei♦».«.«....»..•»«••••.... .«».«...........•...»».............N«•Mr«. .........»...«.....................».«»».«.«•»««..««».«M..W.MM.•M N.«.MM..M..»...•..N.•.»•.»..•» Surety (d any)..»...............»...................«......»«.......»«....................«............................................................... .....«.»..«.«».............«»... ..»».. »....»...«»»........».....»»...................«........•»•.»».».............»............».........«..................... rnouM of ..»»...............•«...... Name of person within the State of flwide desigrwted by owner upon whom notions or other doo o is my be served: Name.........e ,k L.. :......A:1 ...`c .............«..«:..................................................»...««....».«.«...........«..................«« Address.... 11:.... ..... .....«.. ,llt7.....JAZ.134..:rC�.C,i:. ..................».»...» C 7// In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.13(1) (F), Florida Statutes. (Fill in at Owner's option). Name......................«........_...».............................«.................«.................»...............«......«...»....................«.......»»......»»...._._......».................... Address...................................«..................».......................................................... ..w..... ... «mw.....w.r».•.......».«... ...... Vnle a/ACX"it XKCOROXIIV USX ONLY ..y�,. .. .«.......»«....................... Sworn to and subscribed before me Ww.........L/................ .................. z;zr. . ...........t9.;/ _.._ � f ��`��h�1i�NETTc orAa STATE OF FLORIDA U3LiC MY Comm Exp$/27/96 ' CONINI N;-;R CC220017 OWNER BUILDER PERMIT AFFIDAVIT State of Florida ) City of Atlantic Beach ) BEFORE ME, the undersigned authority, personally ipVrarvd -----• who upon firat %.ring duly sworn, deposes and say�sit I• � .�_.�`_lr���UG'�{--------------• and the legal owner of the 1119V pW� rCt t ��A�PT X642-So a Subdivision --- Block --------- ----- Lots,_ - - AKA I am applying for a building permit pursuant to %Is* Owner Builder exemption not forth in Florida Statute, Section 489. 107. Florida low requires that I .have been provided with th& following DISCLOSURE STATEMENT% DISCLOSURE STATEMENT ,State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as rho owner of your property, to ,act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence cir a farm outbuilding. You away also build or improve a commercial building at a cost of 023,000.00 or less. The building roust be for your use and occupancy. It way not be built for sale or lease. If you well or leasee more then one building you have built yourself within one year atter the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state low and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. +operty Ow r Sworn- to and subscribed be me :his _,11___- • NOTARY PUBLIC My Commission Expires$ ;:.,Mli N J TE a�ray' STAT OF FLUn:'DA PU3LICMy Conn,r� ExF COMM P-i_�n (A;220017 CITY OF ATLANTIC HEAC;H PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS I)I:M01,FN ONS Owner (s) Address: 4 QdX_ _1 /ITav--',g'L PQ_.__.Phone: - Q¢ _ 4 67 Lot Block or `Unit # Subdivif:ion: _ __ *t44rTie- ,fF.4,-# IT 'Or- Describe FDescribe work to be done- G°Qr(!L° t-C..._�Lc2�( .__L�G'e(1Z7�Y_______-______ Present use of building : _zkkzloJ�-&�_r __ Valuationof Proposed__Construction: Proposed use Is this an addition?_-- If yes, what are the dimensions of the added space: laft. X /O ft. Will the added area be heated and cooled? 06VV£eTZoll New electrical (or increase) New plumbing fixtures?_jV New fireplace?/(J--New Heat/AC?,&O SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: - - - // - - - Date; Signature CONTRACTOR • Date: 'APPRCSVSD CITY OF ATLANTIC BEACH PLANNING & ZONING OFFICE d B� X039 ° DEPARTMENT Op BUILDING CITY OF ATLANTIC.BEACH „�r..__ PERMIT INP04MAT10 . �...,..� I~QtGAT1ON INFORMATION .. .� _ . Frntitur a x+43'9 Addr +as>Rtr 180; t3CEAl GROVE DRIVEPi Permit `T a i l NBR' ATLANTIC: BEACH, F` RIDA 322 3j i dillin, an tit Worki , INdRgABE - LEGAL SJ9SC.RIPTxCJN # on tr.' Typet WOOD 0 L a 3 � 8�: �,a 8ectl a 'ralaQ i�d l a BIndL . F`, X ' Tc rt i h Pa _ 12NC« O mel L 3x� R s: 1 Codes s O Bubc#ivisicera: 'gati tod "Ya lug a S0.00 dr 0 0 T tit 1 F+e i �R9Q.00 AmQurlt ltd *40.00 Wicyrk , ° �M" t#37t` motor size froom 3/4 tO V ` .. RNATZCIN "aV .., ,AP1L.ICA►TIQN FEES - -_ -' PERMIT AQP Ad 4 "E. DRIVE WAT F? ACT "FEE EACH, ' PLO w R 'INF' T "PE #. ' k Awl MIM 06 WATER room% a � NE - APf .t3 ary li I RAtLE�IC : kARE s&U.fi C3. Rt;.INBF�4T F" E C" C �.. SEC. 41 ACT .FEE 4- T S' z NOTICE *=ALL CONCRETE FORMS AND FOOTINGS MUST BE 11�1Ei��C�`€p 1�SPORE POURING I PERMIT OIQ SIX MONTHS AFTER DATE F"ISSUE'" BU I:L111Yd MATERIAL RUBBISH AIN`Ct ©E 3R#S FRAM THtS WC3RK MUST N T.BE PLACEd IN�'U8L#C SPACE AND MUST BE CL iREt UP ANCA"i�IAtJLED AWAY BY E#TtiETi CONTAACTt OOR C)WNEFt, Y #` ► RETO C0140 Y WITH THE MECHr41 ICI til I LAW-C i �k1�.T tN H t F `1'Y t Vli ►A1�INarI"V' I A R B aL 1 C 1 f V # IENi' ' :" wt TEz 10126/`%. ! ElI,IEI ;ACCORDING T4 APPROVED:PLANS WHICH ARE PART OF TFf13 l�ERMT ANQ SU t7 R1/OCA OR V TIt N OF APPk#CABL PRi �#B#C?N r of LAW. y Inwilv Rum"; XT CH.BU LD#tVG DEPARTMENT