The URL can be used to link to this page

Permits 826 Ocean (vault) j . siA CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ! n ATLANTIC BEACH, FL 32233 ///) INSPECTION PHONE LINE 247 -5826 , • Mwi� Application Number 08- 00001203 Date 9/04/08 Property Address 826 OCEAN BLVD Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 1 fixture Owner Contractor PARKS ADVANTAGE PLUMBING GREG GAUSE INC. (DBA) ATLANTIC BEACH FL 32233 941 11TH AVE S JAX BEACH FL 32250 (904) 247 -9848 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 42.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 3/03/09 Fee summary Charged Paid Credited Due Permit Fee Total 42.00 42.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.00 42.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. } CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 07 1 I I I OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 J BUILDING - DEPT@COAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY WJOB °ADDRESS a` . , P , A-03q " ,, 1P4r, `aA`' w, h °# ''. ' •2; IS „THISA°Sl1B;PERMIT: Whop_ . :' ' t 3 DAT u , ❑ NO Atlantic Beach, FL 32233 AYES PERMIT #: ; + - -x - - r,� 'w .eROPERTY OWNER ,..1r t ,w (uk Y # r . ;; 4. NAME: 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6. PHONE: 6e J3J f . k , �' 5 ± ` ”, . a �F, ' PPLUMBING CONTRACTO c ;' al ?, 7. NAME OF COMPANY: 8. ADDRESS.: 401 //,/p,K 'ryh � i 10/ 1 111 a 663 l!0 9. STATE OF FLORIDA LICENS NO 10. CELL PHONE: 11. FAX NO.: 1 MAIL ADD 14. ) ii4S 13. OFFI )h O � q7 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at a j time after wo - commenced. CONTRACTORS SIGNATUR 15).NATURE OF WORK:,,. ,f '45. ; d / „< 164 0: ; tit, `irO a 5^ ., 17+ . k'i 444 :A .. , �- .`,.., $ i& CURRENT CODEv `W n ❑ NEW ❑ '06 FLORIDA BUILDING CODE- RE-PIPE PLUMBING ❑ OTHER: ' 44∎, '-0 t ` # . ' r ',∎ 19 NUMBER OF FIXTURES F1- d.;� '... . }„ `a; t r , BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): ROOF DRAIN P le. 20. PLUMBING PERMIT FEES: PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 = L,Urio FVKM bLuUw. MCVIJCI.J. iw I WZw, BACKFLOW PREVENTER REQUIRMENTS: TYPE OF FACILITY MINIMUM TYPE OF PROTECTION Breweries, Distilleries, Bottling Plants D.C.V. A. Car Wash with recycling system and /or Wax Eductor R.P. Chemical Plants R.P. Dentist Office R.P. Film Laboratory or Processing Plant R.P. Food or Beverage Plant D.C.V.A. Hospitals, Clinics, Medical Buildings R.P. (Parallel) Irrigation Systems D.C.V.A. or R.P. Laboratories R.P. Laundries & Dry Cleaning Plants D.C.V.A Machine Tool Plants (Health or System Hazard) ** R.P. Machine Tool Plants (Pollutional Hazard) ** D.C.V.A. Metal Processing Plant (Health or System Hazard) ** R.P. Metal Processing Plant (Pollutional Hazard) ** D.C.V.A. Nursing Homes R.P. Packing Houses or Rendering Plants R.P. Pesticides (Exterminating Companies) * ** P.V.B. Overhead fill Petroleum Processing Plant R.P. Petroleum Storage Yard (Health or System Hazard) ** R.P. Petroleum Storage Yard ( Pollutional Hazard) ** D.C.V.A. Piers, Docks or Waterfront Facilities R.P. Power Plants R.P. Radioactive Material Plants R.P. Restaurants with Soap Eductors and /or Industrial Type Disposal R.P. Sand and Gravel Plants D.C.V.A. Schools with Laboratories A.V.B. Swimming Pools with Piped Fill Line A.G. at pool Sewage Treatment Plants R.P. Sewage Pumping Stations D.C.V.A. Tall Buildings over three stories R.P. Veterinary Establishments R.P. Commercial facilities: Due to frequent occupancy change all commercial facilities require a minimum RPZ on the service.In addition to and including those types of facilities listed above, an approved backflow prevention device of the type designated shall be installed on each domestic water service connection to any premises containing the following real or potential hazards. MINIMUM TYPE OF PROTECTION Premises having an auxiliary water system not connected to public water system RP Premises having a water storage tank, reservoir, pond, or similar appurtenance RP Premises having a steam boiler, cooling system, or hot water heating system where chemical water conditioners are used RP Premises having submerged inlets to equipment R.P. 4 y a - c) (.c) OCe CA MAP SHOWING SURVEY OF La T 4 ..4.4.4% rNE SOUrZ/ z8 FEET et"' LOT 5 ) P4 r"E. A4GE ,45 /rECaw /,t/ PG4 7 000K /5 PAGE 60 fist' THE C /J I! Nr P08L /G' , C'ECD, •,p E A=• 0 L C10U.VrV j FG OR /aq , 5 .0. (40 • ,4iw fiva0 /� 50.00 _ _ p C • ps . c.1), � • `a M rev ■ • 5.0: ,c.0, % <3 i . 1 1 k c r 4 ~ go 0 1;414° . YY 1'' � ( 1 r , . • o +' , Poor py, �� g • 3 c /c o 0 O �' rF K 1 ._. ti 11, cio 06 to II V C Niwt : i IT , ..." Z ♦ WI 02 i 6 sr. F»uu0 1 -Pe ./ P.p fog / O Cos.. /f.,r / 0.35' w 2G. 5 ' t (• Ct.) w� $ C . V ProA ---' , I ' Z8, 00 ' 4 . Fa�/vo $. / p ie y . . d..,..) 0 • d .1-$ N y ?, • k , - 7e' l g: M e • • N ^ ' 6 'arm? .. 11'.:' /. �. /S _ CO H f N. cvtia7riHStnv � l r J sourly rArr nr • twit t om \ • /t• • ,io W".IS � +� I 57aW Q ii' • ,► a , ...,vusr' a Awe f • J «ca�cv N ARC • � v � t � ..., n , , �•• cN bIWOPOS C.411.10 o /rrANei NI RFSlOENGE 'Y., ` • - o�crA V e , A A e.v air Ate,/ ,� Q \ 0 A ,rN6rN w 4.4•74,/, G R V ( I , /A • V s• • 1 /,.�. orNdrr>N irrir, J►vNnr� (q) NvNO?rrNl of 4 ,•wor, . M . = I (w) or wwsvAt Love ° NE oT ■ *-0 6 z ,� . F a - 9. o . f.( NO rEs L . 7 if A aJl/A? IRY JGMVIY .V.. �� CA'N.^.;!J.vor rr rut.: 9. r•C,t.•: r t CN.A /N L �IAYt 4 4"..1. 1.1-z••• • o• Yt • /.PO• O /P!. �/ b e. (..1) OlNOrtJ R O L /NI E L Ht Jt!/ b. � ' .w6 1 cow yA CM!" e r ery6Nl Rr ,✓rr N N II4111 4 % S 1 e / I rE� ,vE /Cr /o t/ .°aa. .rravcrvgs a • rEO e v a. e. N " r/Y /J PROPEgTY APPEARS ra GAF /A/ 14' •, V1,1 . FLOOD ...2-c744+- ••"• -AREAS OFrEA' N /NCO • _.. 4 % .: re' QE OC/TJ /OC .SOD YEAR iYO+70• U , IJ � $ r ,,o2444/. C /re PAA /VU.vE.!/t ti i\ t in war" f , �:', /tOO >t OOO/ O. MA REV /9EU API,' /L - J � . � !Pow p, L7, /9d9. s • ' ems Fa r Al /.!' J� �t, CITY OF ATLANTIC BEACH - 5 .. 1 800 SEMINOLE ROAD ` , ' ; r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 c sf i s, INSPECTION EMAIL REQUEST: Building- dept@coab.us Application Number 07- 00000803 Date 7/10/07 Property Address 826 OCEAN BLVD Application type description FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 1000 Application desc extension of concrete wall Owner Contractor PARKS OWNER ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Permit FENCE PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 1/06/08 Special Notes and Comments *EMAIL INSPECTION REQUESTS TO: BUILDING- DEPTQCOAB.US Avoid damage to underground utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247 - 5834. There is a shallow gravity sewer main adjacent to the property line on East Coast drive. Avoid damage to sewer. Fee summary Charged Paid Credited Due Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ) ) INSPECTION PHONE LINE 247-5826 —ofil9 INSPECTION EMAIL REQUEST: Building-dept@coab.us Application Number 07-00000803 Date 7/10/07 Property Address 826 OCEAN BLVD Application type description FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 1000 Application desc extension of concrete wall Owner Contractor PARKS OWNER ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Permit FENCE PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 1/06/08 Special Notes and Comments *EMAIL INSPECTION REQUESTS TO: BUILDING-DEPT@COAB.US Avoid damage to underground utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834. There is a shallow gravity sewer main adjacent to the property line on East Coast drive. Avoid damage to sewer. Fee summary Charged Paid Credited Due Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1- - 1 1 - j-11‘1 .0 •<, 1 ' ..s \\ AP ' f->.‘ CITY OF ATLANTIC BEACH , ,.„ ss- --- , - ..„-, *4:7 .:-.4 *,... 7,, 800 SEIVHNOLE ROAD 7.5 , - - - ' ' ATLANTIC BEACH, FL 32233 it j INSPECTION PHONE LINE 247-5826 Jr , INSPECTION EMAIL REQUEST: —osii9P Building-dept@coab.us Application Number 07-00000803 Date 7/10/07 Property Address 826 OCEAN BLVD Application type description FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 1000 Application desc extension of concrete wall Owner Contractor PARKS OWNER ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Permit FENCE PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 1/06/08 Special Notes and Comments *EMAIL INSPECTION REQUESTS TO: BUILDING-DEPT@COAB.US Avoid damage to underground utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834. There is a shallow gravity sewer main adjacent to the property line on East Coast drive. Avoid damage to sewer. Fee summary Charged Paid Credited Due Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ,, ,,a! ' / 1111castic Beads - 4lovula ci- 4 J Office of Building Official REQUEST FOR INSPECTION Date . - � � 99' y Permit No. J./ Time /� A.M. Received / P.M. } District No. i V ; i — / te-12 --- Job ddres Locality Owner's - a i t Lam' I el Name Contra‘ • Al! — •.. / x4 - ; BUILDING CONCRETE LE ECTR PLUMBING MECHANICAL Framing ❑ Footing ❑ - Roug lS Wiri ng ❑ ❑ Air. Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSP - a ' � Mon. Tues. Wed. P ' r ) A.M. - Inspection Made (! ' `r. Inspector — — Final Inspection Certificate of Occupancy Date CITY OF Atlantic /leach - 4flivticda y g �" Office of Building Official / REQUEST FOR INSPECTION G -2_, <�� /3 Date � / ' .0 �� / � � :� � Permit No Time ) / : 3 0 A , M. V .s Received v District No. 8 4 C e& — .4 ,d 8 cv S oQ3 Le— Job Address r Locality Owner's /�- LA T� Name ■ L doe- - Contracto _ CONCRETE ELECTRICAL (PLUMBING raming ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air. Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place 0 Pre Fab OR INSPECTION A.M. Mon. �� Wed. Thurs. Friday P.M. Inspection Maae , Inspector Final lnspectio t -��" � Certificate ofOccup cy j....' ri t moo. / / Date d .f}-Z. L67 --- 6 / LL n', 3 dvi ,. r '''`'''� CITY OF ATLANTIC BEACH PERMIT ' ,„ BUILDING / ZONING DEPARTMENT APPLICATION # 7 ' ° 800 Seminole Road \ Atlantic Beach, Florida 32233 07- © :0 3 r ,r UFSI�)�. (904) 247 -5800 (904) 247-5845 Fax � � �� , www.coab.us / jiflil‘td APPLICATION TRACKING FORM REQ IRED k DEPT: Property Address: gc)G, Q 1 J" z 110/1111 BUILDING p N Ilrinn PUBLIC WORKS Applicant: OtoN 4 0 �a PUBLIC UTILITIES ��!L Y Epp FIRE DEPT. Project: ) LN� e Ditt 1' 10 11 / L 4 Y PUBUC SAFETY hi -Fool heiqhi" w APPROVAL A 0 REQU AGENCY: RECEIVED BY: INITIAL: DATE: 7_ f i L, �, w N D.E.P HUFSTETLER ■� * `''� P, ¢ Y N S.J.R.W.M. CARPER T L � Y {�+ _ Y N ARMY CORPS of ENG CARPER D O V C11 HOTELS & RESAURANTS HUFSTETLER � ; APPUCATION STATUS ' •r DA • M CIRCLE ONE SITE BUILDING DA AP REVIEWED BY: IN illigg/40—" . ❑ ❑ 1ST REV 11E1 ❑ 4 0 � eriCtrc 61 6 - .5 . �� . .— 1 . 1 nmrearw= IS : 11 CO l / F I O A , �� ❑ ❑ 2ND REV ❑ PUBLIC WORKS I-/-- ( o � h€/ itt PUBLIC UTI uT1ES FIRE DEPT. PUBLIC SAFETY ❑ I❑ 1 3RD REV I I 1 I LE GOpy r it. P .. BUILDING PERMIT APPLICATION ! r 1 • CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach FL 32233 Office: (904)247 -5826 • Fax: (904) 247 -5845 - ob Address: l5 2_C> O C 6 Permit Number: ,egal Description L o i q /f ry 10 T rF ES Q U?!-J Z 4s r=7" 6 L d j S. PA-./21 /1 ^ P6 is 1 0 .6o f Valuation of Work (Replacement Cost) $ ) GC 0 • Class of Work Circle one): New Addition Alteration Repair Move • Use of exis posed structures) Circle one): Commercial Residential ▪ If an existing structure, is a fire spnnkler system mstalled? (Circle one): Yes No N /A • Is approval of homeowner's association or other private entity req ? (Circle one): Yes No )escribe in detail the type of to be performed: CXTEivs A F Cant ci2F7F cwt-LC 30`. W4Lc_ ro f3 6" 9 )`t-1 (6 Property Owner Information .. Jame: 5C R Tr . B () i--L t 5 Address: '6 2 Cs. o CL•' 4 N 3L0 0, :ity WI p., T tL 13 67t - t - tt State kip 3Z'233 Phone c-( < s67 99 is` Contractor Information: name of Company: S r P11 (2. KS Qualifying Agent 4ddress: City State Zip Dffice Phone Job Site/Contact Number State Certification/Registration # Office Fax # 4rchitect Name & Phone # Engineer's Name & Phone # 4pplication is hereby made to obtain apermit to do the work and installations as indicated I certify that no work or %nstallation has commenced prior to the issuance ofa permit and that all workwill be ormed to meet the standards ?fall !aws regulating construction in this jurisdiction. This permit becomes null and void k is not commenced within six (6) months, or f construction or work is suspended or abandoned for a period of six_ 16) months at any time der work is :ommenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. thereby certify that Ihave read and examined this application and know the same to be true and correct. All provisions o laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a vermit does not presume to glue authority to violate or cancel the provislorts of any other federal, state or local Taw regulating construction or the performance of construction. Signature of Property Owner: Signature of Contracto . SworAtliand subscrib • - fore e this (l Day of _ ..•,/1 Sr Sworn to and subscribed before me this P SHIRLEY L GRAHAM Notary Pub ' t�, ' r; ACC--1"374...4 � Na m '^ . s NoteY Pubic Slade of Florida 14 y� it y , ,►.:! T' # x533 g s . 8533 �'• qs n ,.` won D D 51 •� qnN REVISED + � .b� Bonded By National votary AS Banded By National Notary Assn. 5 c o l 'c] { f Pt- Y C K_ S L Z E ( 1 y\ LcJ b ! L C_ 0.) p / 1 1_ R C E N CJ i2 C E C tl) ; J 2 L A fL P etc c. ( ft 0,c_ . S'c_-N q I( - t( t__ _ miim mikeimi1.1111 1 Cp '1 r''' 'r'� CITY OF ATLANTIC BEACH F BUILDING / ZONING DEPARTMENT APPLICATION ION # A -;° =,.' 800 Seminole Road , Atlantic Beach, Florida 32233 a . Enticir !! 7- o() U (904) 247 -5800 (904)247 -5845 Fax www.coab.us `n �X. APPLICATION TRACKING FORM REQ IRED DEPT: Property Address: 1 0) (p 1 it j , 7) Z3 bid rah PLANNING 2 Emu BUILDING V C‘b\r/ r�� PUBLIC WORKS Applicant: ©1I)N o PUBLIC UTILITIES a �L, FIRE DEPT. Project: 1 �N�S e dnCetr 'Oft /1 $/ i f tiC y 1 13111 0 //4_ i elk I .S1 ((I w APPROVAL C ti L? 3 A REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: ✓ w 5 Y N D.E.P HUFSTETLER / \" n Q 3 Y N S.J.R.W.M. L CARPER 1 O a � z Y N ARMY CORPS of ENG CARPER w �( �` O Y N HOTELS & RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: ❑ 1 ❑ 1ST REV I I ❑ 1 1 htere& 14( 1:4/ / i I ❑ ❑ 2ND ❑ ❑ A : G 1 1 PUBLIC WORKS PUBLIC UTILITIES A fj REVISE FIRE DEPT. D PUBLIC SAFETY ❑ 1 ❑ 1 3RD REV I ❑ I ❑ ( 1 I Return this form to the Building Department once you have entered your comments into the AS400. C. 79. A g sL�', BUILDING PERMIT APPLICATION rj r F „ ,. CITY ATLAN "- - 800 Seminole Road, Atlantic Beach BEACH FL 32233 ';�rn3S} Office: (904)247 -5826 • Fax: (904) 247 -5845 - ob Address: Z 0 C t= A Permit Number: O - d ad 3 , e g a l D e s c r i p t i o n L o T q A - rvrO T HFSo t17N 2 S T= T 6 i— _ 0 Ts" . PA-4 i Evi, i m e t Valuation of Work (Replacement Cost) $ ) GC 0 • Class of Work (Circle one): New Addition Alteration Repair Move • Use of existing/proposed stnu•ture(Circle one): Commercial Residential ■ If an existing structure, is a fire sprmkler system mstalled? (Circle one): Yes No N /A • Is approval of homeowner's association or other private entity requir (Circle one): Yes No )escribe in detail the type of work to be performed: I C r cxT Ervs /ate �F Con/ C � r7 tJ410-1.L. O r L. 3 , . w14 L. � TO f3 ) f (6 Property Owner Information Name: 5C M 8 PA-a_ le S Address: `i3 2 Cry D Ce 6 N t c 0 0 L'ity An to Kt T IC 1) -t. rt State _Gip 3 2'233 Phone r"i b 4 4 `a 7 4 C ? Contractor Information: 'game of Company: . 1T P A- a KS Qualifying Agent Address: City State Zip Jffice Phone Job Site/Contact Number Mate Certification/Registration # Office Fax # Architect Name & Phone # Engineer's Name & Phone # 4pplication is hereby made to obtain apermit to do the work and installations as indicated I certify that no work or installation has commenced prior to the issuance ofa permit and that all workwill be rformed to meet the standards ?fall !aws regulating construction in this jurisdiction. This permit becomes null and void y work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six_ (6) months at any time after work is :ommenced. I understand that separate permits must be secured for .Electrical Work Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. thereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this hype of work will be complied with whether specified herein or not. The granting o a permit does not presume to give authority to violate or cancel the provisions of any other federal, state. or local law regulating construction or the performance of construction. Signature of Property Owner: Signature of Contracto . ` ! r 5worp, d subscrib- t 'efore e • �D of .� Sr this Swain • to and subscribed before me Day t.- ,� Wtr r j � P r - v RLE 1, this I ( � **�( �a�a � � - State Of Notary Publi ••1� . , r j i► .L � N . ' • - NW Florida �► - i� 14. 1 s r ' _ Commis ► # * T' 8533 • , o „; fission # DO 518533 J Bonded By National vote v Q ssn Bonded By National Notary Assn. REVISED t : .l ::l) MAP SHOWING SURVEY OF ,44/17 LOT 4 ' THE .5•01./7 • 5 8 FEET O/r L OT 3 P re,TAWGE A5 /rera40EG ,N P[..4 r eraox /S, PAGE 60 4'' rye C•UA Arc rv7 .J P L /G' A ewe/406 A.' O L /VAG, C'0 '. 'r - j FL OR /ll4 , � ; 1— *F.4 COA [ 7,4 /vE (4o R,w) • -- 78. 00 F•uvo /' .. • .5°.4)°. �`– r8.oip' , � T – p • fem./ Prr! ..t � / ` ` — 2✓. ao / ■ • is $9 � • ...• ' • • Spot Y • • b Mme✓ 1 • 'lg2. N t1 - h %• An (Pe s rro) 1 ` ; • :` � o 0 /6.0 o § \ 1 Q p /i•ws 4 V v / • t' � 4 V It; o 4 ' � ., q J rreu nna / 0 / 2G. 5 ( G!) r w ' 1 tS.00' ..A. 72 Fvu.vo `f $ 1.4•0.•-• Pipe ?: r • �.: c {/O N 8 . Oh '' U •• . N h ■ 6.r6 AT tY,, Vie. /S CO • 0 .. b 1.I j M. a ' w+wl1 wagr,q • •• '. -...1..... f Jr. -faun N NI 1 well II 0ArfSfIr...f /�1�0VRY - I` 1N elNOrl1 €'S qO O /17ANCI Q .. • ' ^ RES /OENCE 4 1 ,� ►• A [ r r V O Aae Oq.1rANCof /L R • y II•Wa CO" . y rle ..040/f1.1 V / 4 Z IKON p • ` I vy [ OivtP ! sea M • y U s;a ,:z ! ., rill, I' reer»v �. O h .44,4 I NvN07lrNl e.. A /Vet: • 1. ,� _ • • + 10 N al (IV 0∎Weris .rAetiA[ 4.444. 1 i.o' QO NOrEs 1- i C F o 0 V'O' G r."...• Al A Lr ., 4/.Ia4m- trwyze R . 6 s (.r) 0lvs:g a l.cvrre, sate. e. Dawe I JlT JY'l /, . -VN� Y/ - /RON "vv.,. . - . � .re...- S $.1:-1G NJJ1!/ I d , (A) 0l.VOrES Re 0 /AL t //vE f. .!f 6F�lA [Ave err 4/6.v1 q! n'4,- 14 I orE' 1rT4/C ro. es.`aAVa sr�vcTagE aw rsv e v p, e, L /.vim T /oU Par (°)' /" s. /5, Pa. co) N 7-///.f PROPEgTY APPEAR.! 7 4/c' /.t/ •Ly 1 . ; /'LOGO t A.V.c/IS OFrEA'te /A1C0 • �, - 1+ 7[ 1 .: r' OE 0!'F$.00 500 YEAR F / �1 1 .. ; p4 4 /N. GoALtiU/V /TY- pA/VE'L rVU.[ia,!p M V pip... f ° �:; /tOO7t oo0/ O. MAP RCV /SEO APFVG Mow Mryt /'+ el+lGC v bar • IV' C •o • • J vi 8 RE ISED K) to DcP oL s(__) • Ir.. waraffivii • MAP SHOWIN SURVEY OF L or 4 A.vo rNE Sour. ;/ z8 FEET op L or 5 .g7.0.4/1- f"E.TA'4•E 45 /reea40E4: /.t/ PG.4 r 4410 ' /5, PAGE 6 o 40• THE Cox me &j r / lc., KCC0.4D E; GIC Ouv,. C -rou''r 1-• 2 FGOR /Gld , • 2 — '" :l EaT CCU' .57-- .•7R/VE 44% foilAi0 1- till . .• . . . • 80. 00 t" z 8. oo ' 2470. (M. Ct r, ! � q . . f fn.nv0 /i ` r ,./.7 • • I CS /c. A ' A' ^V f ro Y , • , ' �c • k e4 4 a 0 y, fie) /�.o p Li • • 0 V 0 V ° , , �1 ICts e�r r u- ; o Lt,' V V • M' 1 C • \ S. 1 - "o F Pea,' Pre € " �.. (� CAA.) t Fouuo7 ' 2G.5 '� 6 C40') r � . • 2,, 00' ,.&-0,44,T, 9.00' . $ . Ito[/ Pile v. Vo •iu 0N • • N M 4earye 41.) /[!. is _ •fi e N � M A. nP V • \ 1 J. cv.w71 1our... • /? C • ill 4 1 ,r„ N' Jr • I 5 7- 0R .Y •J' .Jr.vuref 0,.....44C r� .f' /rJ1CM'Ltr ty A.IO • 1 Q` t ' /PFS O R Y �_ Y J F' r w ere a`ini o O V ENGE • O R , 1 r,Var A ANL OlIrANC/ N LY ef.4.0 .J /SICM .92G M R • O 71 ^ V L••vi P .vrvr ll ny N.54 aJd•0rLJ J rL•r, Jr rowrws 1. S' y A.�a �.: vw n+inv� 0,.. .4 roar. Ql pp (.t•) aL .TAA41L LAVi w E u1 C Z � ' � l.o N o � *0 1 443 (L ca 9, O . N0 7 - ES ,�. Q •i] L r.../..r Lf A d yt,gy JLNYfY 0 0 � rie r ) im. -eJ .4 ry $ u e. � 5 � OT/H.. 3 ee v ,i/Ay I , ow,: • Q Ni ?N wave. /in t'!. /0341 A 1• C. L./; - 1'Na4' C.4".4/.41 LAW/ ...I/Wen le. /J. )'! - LP. • Pc t/N7 y.1 .4.2,v P /Pl. r t \V444.' Z Slr YLUi . :�^ - /RaNP /P! -Le NiJtS/ �� _ e (A) Or.YDres ,c,,,,,,,..44, L /N$ 4', R'e6-T� /CT/oe/ ro °e• rnavcrays eA1eo ov - Z.. /Ale vas. N (lirP /5,/G.co) -- To.//3' PRO�EgIY AF f TO L/C / '\ Z 9 I t `� 0. 000 SOME ',�(' - ARCAS .0ETEF tI /.VCO • �j \ �. To ere O!/TS /.00 .JOO YEAR FL000 • \`.4. . / ; i'L.f /N. Co tl il[!N /TY -PANCL Nv -te.eCR M ; uu V --s.., n f, uNO f ; : /C0071' 000/ O. MAP RCV /SEU A /L J 1 IRMA! ,••••"1" , /7, /9d9. (' 4 _ k ' $. • (AA* CAP .> -Crum 6Nr At /• 14 L. pETA L N U itz c E ; fir S' 2 pt_ 2 Pra-LCr-TO 0,c_ . pcn- t C- ( A f c3 Loc. V__ q ?<_ cr 07 -0'0 bodd� ✓i5Ei / 1"o,e D aGG a "pro de oti - Public Utilities — Distribution & Collection Date: Initials: Project Name /Address: 8 - N Application/Permit #: OeM73 Check Box Application Tracking Comments To Add Comment Avoid damage to underground water /sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247- OA- 5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑ A sewer cleanout must be installed at the property line. Cleanout must be covered with ❑ an RTI concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested ❑ by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch -read meter in a properly sized vault and an appropriate ❑ backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247 -5839 for backflow ❑ requirements. At a minimum, will require double check backflow preventer. Fire lines must be metered with a Sensus touch -read meter. Meters larger than 2" must ❑ be installed in a vault as noted in JEA specifications. • abie Cc dAocv pa"""' 7J a � � o�azca --4 fa X/;(12- 7,. i'P.rx � -12 dy■ #t *` �.oslct f 1D- . GL�'3'LC�' d�.1i a r ❑ F: \PlanReviewComments- PU.doc 1 Xv1 r 1 e CITY OF ATLANTIC BEACH ' $ : �? � BUI LDING l ZONING DEPARTMENT APPLICATION "' v. # ., ,� 800 Seminole Road /f ;flit ` ` Atlantic Beach, Florida 32233 J Fily (904)247 -5800 D f �.:D(�U 3 www. 2 c ab us S Fax 1 .. ' C F 1�E 1 JUN 1 1 2001 APPLICATION TRACKING FORM II3Y. __ l / A J REQ IRED DEPT: Property Address: lb i0 G� t `� / J Z � ©� BUILDING 1 `vm PUBLIC WORKS Applicant: Qlt1Ng , � 0 Y N PUBLIC UTILITIES re Project: 5jEw4 1�nettn. Ion f! Y N FIRE DEPT. Y N PUBLIC SAFETY w APPROVAL c p REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w '& Y N D.E.P HUFSTETLER 0 0 a i Y S .d.R.W.M. CARPER //i rl pil O 4 _ Y ARMY CORPS of ENG CARPER ' A Y N HOTELS & RESAURANTS HUFS i t ■ LER • 1� 6. p I/Q APPLICATION STATUS p CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INIITIAL: / • ATE• 1� ❑ 1ST REV ❑ ` t / ` . /1 t /, B ii ' . g fififfrAllii' PLANNING BUILDING El 1 ❑ 1 2ND REV El ❑ 1 I UBUC WO C PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ❑ I ❑ I 3RD REV I 13 I ❑ I � 1 Return this form to the Building Department once you have entered your comments into the AS400. 1- y''` CITY OF ATLANTIC BEACH PERMIT BUILDING / ZONING DEPARTMENT APPLICATION # 800 Seminole Road Atlant Beach, Flor 32233 Q i� JF31a�. (904) 247 -5800 Q �O (904) 247 -5845 Fax www.coab.us APPLICATION TRACKING FORM REQ IRED DEPT: Property Address: g„) 6, a tf ti —r) 16 hid O rem PLANNING Z WEI BUILDING PUBLIC WORKS Applicant: Ok)At i e O lirrik PUBLIC UTILITIES Ce � Y FIRE DEPT. Project: ,.)TN !. 6S 'I)ettT /OOP 1 0 1 Y PUBLIC SAFETY w APPROVAL 1 Z W REQU AGENCY: RECEIVED BY: INITIAL: DATE: R e41.5t1 )0 1) �'a = N Y N D.E.P S.J.R.W.M. HUFSTETLER CARPER -Do _ Y N ARMY CORPS of ENG CARPER iiirel Y N HOTELS & RESAURANTS HUFSTETLER AO ii t t o ` APPLICATION STATUS pl fp CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITI : DA 0 0 1ST REV E r - 0 (o //` # p ",,,,,, ) ,_ ,,,„„,,,,,} 6:5 ,, w c— R IS 0 PLANNING �r liar F 9r/1/,t 4 2ND REV 0 E / - I ILDIN ,1AO" I IBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY 0 0 3RD REV 0 0 Return this form to the Building Department once you have entered your comments into the AS400. x•29 -D7 ' BUILDING PERMIT APPLICATION , .• CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach FL 32233 Office: (904)247 -5826 • Fax: (904) 247 -5845 Job Address: Z ( 0C C#4-AJ Permit Number: Legal Description 1 L1 4 NO T fF F S o 07 /,J 2- f 1 L O S" P 6F a � i E 4 s i° / Valuation of Work (Replacement Cost) $ 60 0 • Class of Work (Circle one): New Addition Alteration Repair Move • Use of existing/proposed structure(s ( Circle one): Commercial Residential • If an existing structure, is a fire sprmlder system mstalled? (Circle one): Yes No N /A • 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: ><T &my S F' CON e yL r7E" &J ' 3 0 r . 4) 4 L yo Be- 9' H 6.1 Property Owner Information Name: 5c 6 Tr B PA-2 eS Address: C O C T 4 N B L J 0 , City AT LA- P,, T (L 6 rf State 17-Cifip 7 a2.2'.i 3 Phone '10'4 `6 `6 59' 1S Contractor Information: Name of Company: P A - 0_ KS Qualifying Agent: Address: City State Zip Office Phone Job Site /Contact Number State Certification/Registration # Office Fax # Architect Name & Phone # Engineer's Name & Phone # Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance oja permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction, his permit becomes null and void work is not commenced within six (6) months, or a construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks 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. Thereby certify thatlhave read and examined this application and know the same to be true and correct. All provisions of 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 other federal, state. or local law regulating construction or the performance of construction. 01, Z.,„ Signature of Property Owner: Signature of Contract° . ' Sworrpp subscribe 'efore i e Sworn to and subscribed before me • _ this /t / Day of �/ this SHIRlEY L GRAHAM 4 Notary r i� . �! i� r�rj;;;_ s P S Fbrida No Public � � • Notary , � � ,, , _ "� race a 14.201 n s • t y Comfits . n Expired . � `y, •.�' 8533 '• OD 518533 Commission # " "" Bonded Commission B REVISED 1 .��':(� Y Nationa l Notary ` • Bonded By Nationa! "JOfv assn Assn. W Oce � • , MAP SHOWING SURVEY OF Lor 4 A.va r,yE soar z$ Feer oR Lor 5 PARA' Y , p( C r "oak' /5, / c 0 4'' rNE C'L/RrrE/t/r t E G�4GE AS /t'ECAPDEb /N Ot/VAL bUAd rY PUdL •r'L"C s � FL OR /!aq • • o • • folodo P' vita pl►6 SO.00 ` `� td !C _ 7 • • Cb .. !, ,' M lAeW /yam ' ` IWA (.L. � • ere cn • • • ( Passim ) _ / ' ` • 3:0 /6.0 0 . i, 0 � 1 \., Q 1 ,•� lf4reu• l i r v v ,•r . 0 • , , N•wt P N vil /t' �' Q • 4 - • M } • 1 • Ar e` S. //FNuup 1 'lrtoN P,P 1n7 fOlrUO v', (� C4 1 V i f ' 0 .35 . $4. VV (� r 22,0o. Fouwo 4 - J ` � 7 • pm. p, /E • 3 ��• ;c am _ ...� ( w , Ill t' rvr • • nvLr ` • / STORY' 1 �, I rJ ..vur�a of wwe ■ 0••• IJlCM'al N .440 �0 1 • R o �y �. J LN J.VelfJ�AMO O /STAN!/ ' l E�t/CE o ' • /1 e A .4.4 JlANCt 7 Aye,/ NI # Q ` ...war wwevS v � BZG i R V U p t ` 5To�M iiroir, •lrroyAv . w �y. Awe 4t MVNegoTMI OF A .•NOT • te • + � QfA•eriJ •7AA•1AL JAW LL ti F fL° °C A p• 40 N rES R 1 7- . 4 v 4 L d.7[lhL1AR,SLA∎VIr �JI 0 0 �( v) ai! c`- . - at.crorrr ruLt a. •-••••07 •-••••07 •-••••07 . r- Wen 2. I' 4 L.I. 0. 4..~.V C. LAVA' .0.#•44-4.„ 1 i r x JI si • "-vv., Yr. /RON viol [.., _, I I '�"� - f 1•NON PiI! -Ld NiJI!/ _ J _ (jl•� OINOlCS ,�r /Nl `� OJNO :J tlq A L q L/ c giIA'r Ire 4 /►v f• 6 Tr/Cr/o,v A0 ' r t Ave J14've•ry/,*E 41"" ON pe (° -- V /.'S. /5,P .co) rN /J PROOEgTY AC.aEARJ TO L/F /N y Z 9 ,�1 • /LOGO 20NE 'W -AgIAS OFrEiP 1.ew,eL7 \ _ .1. IF Tv QE OC/TJ /OC .500 YEAR FL rJL7' � . ; "4.4 N. COALIi/C/N /TY-P,INCL iVuAie f/t \ , y . - fA6/11/O :C /L'oO 000/ O. MA P Rel./450W A,aq /L [ , .... PSR 3Q44 fi, 6436 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ., . :.. PERl IT I NFO M+AT LOCATION INFQI MAT I ON Permit Number r. 6287 Address 826 OCEAN BOULEVARD Permit Tye: FENCE ATLANTIC BEACH; FLORIDA 32233 C ass of Work : NEW ` " - -- - ~- LEGAL DESCRIPTI0N ------ . Type: STUCCO Lot 4/5 Block:. Section :__ Proposed Use: SINGLE FAMILY Township: RNCI`: 0 Dwellings: 1 Code: 0 Subdivision: PARK TERRACE Estimated Value: $1504 »f0 Improv» Cost: $0.00 Total ,Fees : $10.00 Dill: . 2 ; 24/93 Work D - y/ T1 CCt7 FENCE /WALL NS TO PER PLANS NCB' C EXCEED 48" HEIGHT * T I ON ,APPLICATION FEES --- 4 .. p,! icx PERMIT Ad a ` BOLEVARID WATER. S1+PAC' FEE $0.00 T ;.'CE, FLORIDA: 3A 33 c E "- P' FS� -�� $0 t3* RADON, GAS - H.R.S. $0.00 — 8 r T N ORMAT ON .. _ _ _ RADON GAS % Ta te: �RO ; � Y �' "DER ` r Fla 00 WATER TAP $0 » 00 SEWER TAP_ $0 00 [ SE �.�,. 4 HYDRAULIC SHARE $000 LiC. ale Type : 1 RE- INSPECT PEE 7 a SEC .I , IMPACT FEE $0'.4)0 .htbTES NOTICE -- ALt. CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE rrr BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT SE PLACED IN PUBLIC SPACE; ANO MUST BE CLEARED UP AND HAULED AWAY SY EITHER CONTRACTOR OR OWNER "`FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. tI}A tInd ICE: ee/i b •18S1.1ED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO °ATION FO# VIOLATION OF APPLICABLE PRQVISIONS OF LAW. tEEIPT ATLANTIC BEACH BUILD' G DEPARTMENT By CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD "'' ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 06- 00031921 Date 1/20/06 Property Address 826 OCEAN BLVD Tenant nbr, name INSTLL 6' CONCRT BLK FNCE Application description . . FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 1000 Owner Contractor PARKS, SCOTT OWNER ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Permit FENCE PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date • . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL J MAP SHOWING SURVEY OF LOT •¢ A•v' THE SOU7 - .ij Zg FEET of LOT 5 , Pq•1‹ Tem.46-E .4 S /rt OEG /A1 PGA r mole /5, /WGE CO 40 THE C" f UUL /G , verCORD 6 a - DIJVAL C1OU.VTV / ''LOR /La•4 • 1.- 4497. COA.5 L71?/VE <ixo' Riwv ',we, /' • • 50.00 r8. tAp ' • f C' a. IL q ° feuu0 / N. f.3. CO 4 • � I � 59 4' WA LL iC /6.0' m Cli t roy • p M4sav Y. , • r^ - 1 • a 6•lAca� o , '• 4 • V, � 3 y... Peer -O) ` , L Q o V . I'd • if fYIU• { r v • ' L Niws . t / • V V A ormft re • / / v ;;'', . \ e% S . 9 11-.. Fvuuo S •IRO• P%/• y (A ad P) . ' M► C4r) y � ?G5 ij , 7.00• +, ZB• CO Fe i/A/o c ' !A' &/ Pr,. Off! U - N h + .... �(tUwq err; � /6 • tr ` A /T.O' t 1 • A ± I ST'RY OP MC ,t /f• • / /JlCOMO1 LV APO p'1 *1. 150A/ 4 � z �/` Nrll r CM7 �0 O frANE! V /INtN AO' M • ,\ , I D R • Jnvanv cv A'Aewi x•/ ` V /- r • o h V /. O. ii irir, .f rrvnvJ N ,..9.S? .y ANA NG/NL1.IITNJ Of A .•VO>: M (A9 Powg4 PAPAAL 4.44 1 Z r ‘ N u 01-4.o' ` tO DO a TES 1 R D 0 . ( � O' /Imo* vw a gysu�ver •_ I O • , O ripe. T. t t, L:I.VG. -!t .WS l77 sCAel, '_WL •f 1. pf• ..Y.0.' gs.v wA 'I i. F9, 14 VA • Few., YJ • IRON ••••.0.r. i dFr/}.J., . S. •rq >Nf /IE - S !/ _ t. rig OINOpCS go0 /AL 1•NI r [ '�'YJ ! pl 0 v P J Ct� PPIP•O LAY. OF 4••ewr W IN+Y i b'\ i /re ro•Pi`S Av! •rr- 7t/CrCvgs ew.Pa cur As. (9Y • S. /5, /G. SO) ' '. • • TN /J A APPEARS 7 o G/F. /N Z 4 4 t sGOOO ro �1. To NA• •.V • -AREAS OETE. N .C/.VEO \ _ � 4 « dE' OI/TS /OC .1007 YEA..? i L r: 00 PLAIN. ( u J ` ] 1 •: t IN. C PAA/.EL .VUA.KeA �; PROW. ■ ' � /1" 000/ O. MALm gEVeSEl7 ARR /G �/'�, ►\ �. ILTSV Iii / /9d9. -- Ja11Ll - , r.,� $ ( tre. dap) /• ¢ y CAei► rs Z I / • pL J CITY OF ATLANTIC BEACH "` PUBLIC UTILITIES DEPARTMENT , -' 1200 Sandpiper Lane b oilw /i` Atlantic Beach, Florida 32233 904 247 -5834 a, (904) 904 247 -5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # (YD- . 319 (9 1 Property Address: e5gL0 � /1 &l Va.) Applicant: c Pox K Project:.( /� ��' C fl( - V block-61)0e L1L)Ql i Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: ,�Fa • . 4014 nto" - ' r t-ri. s� Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions, please call (904) 247 -5834. Revie ed bb , Donna Kal I, • • , Public Utilities Director , /19 Date / - /O - OO Signa • e Contractor Notified Date / 2. ?(Pd / li 6 CITY OF ATLANTIC BEACH FENCE PERMIT APPLICATION Date: 1 - ( - dfp PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Job Address: jf Z- O C E SN ►J t L V . Owner's Name: s'C O 1'"j T PA R-KS Address: 5 2 6. 6 c E� L V D. Phone: 3 5 3- 11 1 1 Legal Description: Block Number: Lot Number: Zoning District: Fence Contractor: .5 o Tt- 13 PA 2 tcs Address: Phone: City: /4 T L A rV i 1 C € A- H State: c Zip: 3 2233 Fax: Type of fence and materials to be used: 41 yp C O WC Q c"'T E �[..oG fL Valuation Of Fence: 1 C7 C� o 7 Interior Lot ❑ Corner Lot ❑ Dempster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? H p If yes, please submit with this application. Tree Protection: it NO. Applicant certifies that no trees will be removed for the installation of this fence. ❑ YES. Removal of Protected Trees will be required for this fence. 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. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application (please print). Name: 5C-O e tes Mailing Address: S 2 (.9 O LTp- N 6 L v0 . 1 L 6E044, Phone: 3 52 - t t l 1 Fax: 06 2 -q 2' ' ( O 4 S E -Mail: SC 0 zt I3 P. (2 VS' *O tior,'A OIL ,CO w■. 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 - http : / /www.ci.atlantic- beach.fl.us Page 1 Revised 3 /04/04 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 day of , 20 State of Florida, County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced Signature of Contractor: Date: 1.S 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 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 - http : / /www.ci.atlantic- beach.fl.us Page 2 Revised 3/04/04 J � :fir 1 - -- J ,:i CITY OF ATLANTIC BEACH ; OWNERIBUILDER AFFIDAVIT -- Date: t . -4 • v Job Address: e5p(..., 0 C"t a. vu - ■ V a. CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS N VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455 - 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER - BUILDER PERMIT. PROPS' TY i WNER/BU1LDER // SG.-k1 -$r j0 - 'Pc"--k S SWORN TO AND SUBSCRIBED BEFORE ME THIS r *AY OF N.A.A. 2( ' "F v" 'P JEANNE M. SHAW q/j/ �; ,n ,.. MY COMMISSION # DD 435986 f ( • .,,.��.. EXPIRES: May 31, 2009 ; � ' p d •' Bonded Thru Notary Public Und®nvr ters NO, ' "- ' Y PUBLIC COMMISSION EXPIRES: 31 j aeV7 NOTE: PHRASES UNDERLINED ABOVE. O t t ' f CITY OF ATLANTIC BEACH Cc: - A -` . ' BUILDING / ZONING DEPARTMENT D. Ford L. Higgins r 800 Seminole Road Uoe . 5 —, Atlantic Beach, Florida 32233 C• r ' - von (904) (904) 247 247 -584 5 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # CrQ`i2/%6) Property Address: BA/42 0 (fan f / Yd..) Applicant: aDil Park--- Project: ')2f111 4' CCflCi e () f L/ta F-r nc-e T his permit application has been: E pe Approved •. f J.�Jc )1,2,u,.1(714. o f - oy - al iv i ria7it d'a�d -the attention: CG .--- AA.14-1/ . .� --6. (V) _y'_-_ di,e.. ,,7e ' 1 :7 1 , - .AL, --(3 ft/er49 .0) / CV - r- r d -- l�Cp �C1.P Q t ( r heinq Can t-ru eta! op rya r o. prop -Ci - &q . P Ii' rc v uD 4.1'÷e plan 1 ad v ( i -4 11)h t-t hf bm'•fl r 2( i re-e I-re hrn 3 propot,1 in cor(-'c -Hc3 . b ! — '`751)Lb rvt .: f, i (eau/. s1-►' 4' Please re- submit you pplication n these items have been completed. Reviewed By: ‘1-1-1o(1 Date: --L C ! / 9 Date Contractor Notified: © v se0 (k) Flood protection. All Lots and Building sites shall be developed such that Habitable Space is constructed at a minimum Finished Floor Elevation of eight and one -half (8.5) feet above Mean Sea Level. Flood protection provisions shall be approved by the designated Administrative Official to ensure that grade changes will not alter the natural drainage or adversely affect other areas downstream through added runoff or adverse impacts to water quality. Sec. 24 -83. Required Yards and Permitted Projections into Required Yards. (a) Required Yards. Unless otherwise specified in this Chapter, every part of a Required Yard shall be open and unobstructed from the Finished Grade to the sky, except for Structures that do not exceed thirty (30) inches in height. (b) Structural Projections. Architectural features such as Eaves and Cornices, and open balconies and porches may project a distance not to exceed forty-eight (48) inches into Required Front and Rear Yards. Such balconies and porches may be covered, but shall not be enclosed in any manner, except that balconies and porches within Rear Yards may be enclosed with screening only. Eaves and Cornices only may project into Required Side Yards, but not beyond twenty -four (24) inches, or forth (40) percent of the established Required Side Yard Setback, whichever distance is less. /wO re (c) Mechanical equipment. Equipment such as heating and air conditioning units, pumps, compressors, or similar equipment that makes excessive noise, shall not be located closer than five (5) feet from any Lot Line. Sec. 24 -84. Double Frontage Lots. • (a) Double frontage Lots. On double frontage Lots, the Required Front Yard shall be provided on each Street, except for Lots as set forth below and as set forth in Section 24 -88. (b) Special treatment of ocean -front Lots on Beach Avenue. For these double frontage Lots having frontage on the Atlantic Ocean, the Front Yard shall be the Yard which faces the Atlantic Ocean, and the Required Front Yard shall be measured from the Lot Line parallel to or nearest the ocean. (c) Special treatment of Ocean Boulevard Lots with double frontage. For double frontage Lots extending between Beach Avenue and Ocean Boulevard, the Required Front Yard shall be the Yard, which faces Ocean Boulevard. C.0 .. � - 6 (,, -4-&- frurvtia- .101 • 0 J c swot u -,►.A. Q JAM.- Sec. 24 -85. Nonconforming Lots, Uses and Structures (a) Intent. Within the established Zoning Districts, there exist Lots, Structures and Uses of Land that were lawful prior to the adoption of these Land Development Regulations. Such Lots, Uses and Structures would be prohibited, restricted or regulated through the provisions of this Chapter or the adopted Comprehensive Plan. It is the intent of this Section to recognize the legal rights entitled to property owners of existing Nonconforming Lots, Uses and Structures, and to permit such non - conformities to continue in accordance with such rights, but not to otherwise encourage their continued survival. Furthermore, the presence of any nonconforming characteristic shall not be considered as justification for the granting of Variances, and any Nonconforming Structure or Use, 10 which is made conforming shall not be permitted to revert to any Nonconforming Structure or Use. Initial Effective Date: January 01, 2002 Last amended April 11, 2005 as adopted by Ordinance Number 90 -01 -173 as adopted by Ordinance 90 -05 -186 38 Sec. 24 -155. Establishments Offering Dancing or Live Entertainment. If at any time the City Commission shall determine, based upon procedural due process, that the Live Entertainment, for which a Use -by- Exception has been issued, constitutes a public or private nuisance, is not in the best interests of the public, is contrary to the general welfare or has an adverse effect upon the public health, safety, comfort, good order, appearance or value of property in the immediate or surrounding vicinity, then the City Commission may, upon such determination, revoke, cancel or suspend such Use -by- Exception and related Occupational License, and any person or party applying for and receiving a Use -by- Exception for Live Entertainment is hereby placed on notice that the Use -by- Exception may be canceled, revoked or suspended at any time pursuant to the provisions of this Section. Every Use -by- Exception hereafter granted for Live Entertainment shall contain a recitation upon the face thereof that the same is subject to revocation, cancellation or suspension for the reasons stated in this section. Sec. 24 -156. Exceptions to Height Limitations. it Upon specific application, the City Commission may make exceptions to the limitations and restric. b �� on Height of Buildings or Structures only within the CL, CPO, CG and CBD, ILW or PUD Zoning Districts, provided that in any instance wherein such an exception is granted, the City Commission s 1 prescribe the maximum allowable Height of the Building or Structures involved. Sec. 24 -157. Allowable Height of Fences and Walls. (a) Within Required Front Yards, the maximum height of any Fence or wall shall be four (4) feet. (b) Within Required Side or Rear Yards, the maximum height of any Fence or wall shall be six (6) feet. (c) On Corner Lots, no fence, wall or Landscaping, exceeding four (4) feet in height, shall be allowed within ten (10) feet of any Lot Line which abuts a Street, provided however, that clear vehicular and pedestrian sight distance shall be maintained at any Street intersection. (d) The height of fences and walls shall be measured from grade to the top of the Fence or wall. Where a Fence or wall is erected at the junction of properties with varying elevations, the height of the Fence or wall shall be measured from the side with the lowest elevation. The use of dirt, sand, rocks or similar materials to elevate the height of a Fence or wall on a mound is prohibited. (e) The maximum height of retaining walls on any Lot is four (4) feet. A minimum of forty (40) feet shall separate retaining walls designed to add cumulative height or increase site elevation. Sec. 24 -158. Guardhouses and Security Buildings. (a) Guardhouse or security Building shall mean any Structure designed, built or used exclusively for the shelter and on -duty accommodation of persons engaged in the protection, guarding and security of persons and property. Initial Effective Date: January 01, 2002 Last amended April 11, 2005 as adopted by Ordinance Number 90 -01 -173 as adopted by Ordinance 90 -05 -186 74 CITY OF ATLANTIC BEACH _ FENCE PERMIT APPLICATION V� Date: I fp PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Job Address: e L C O c C la N 6 L V . tt, Owner's Name: Sc. oTy b ? R- Address: 3 Z aC p ry L -'J D. Phone: 3 S3 - 11 1 ( Legal Description: Block Number: Lot Number: Zoning District: Fence Contractor: ,5 Tr 13 PA 2 l&s Address: Phone: City: / T L A tn.) i 1 C. "BE AL N State: Q4 Zip: 3 2233 Fax: Type of fence and materials to be used: C oi,o Q L. E 13) C C 4C 41 Valuation Of Fence: 1 1 c7 ( Interior Lot ❑ Comer Lot ❑ Dumpster or storage tank enclosure iikow is approval of Homeowner's Association or other private entity required? 1k, p If yes, please submit with this application. Tree Protection: NO. Applicant certifies that no trees will be removed for the installation of this fence. ❑ YES. Removal of Protected Trees will be required for this fence. 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. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and /or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application (please print). Name: 5C0 4 e 14-1t Mailing Address: 2 Co O CZ N 6 L V . T L /i 1)T ( 6E646, t4 14 Phone: 353-011 Fax: ja. 2'4 Z- 4 E -Mail: SC 0 fl 13 PA (2 (IS a� t {e ?et . C orv� 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 1 Revised 3/04/04 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 day of , 20 State of Florida, County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced Signature of Contractor: Date: 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 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 http : / /www.ciatlantic- beach.fl.us Page 2 Revised 3/04/04 •t 1i!\ CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT ` c- Date: t . 4 . 0 Job Address: p� De--C a, VA,. &-1 V a. CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE — OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455 - 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. 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. PROPS' i WNER/BUILDER k v SWORN TO AND SUBSCRIBED BEFORE ME THIS i •AY OF h,c . 2006 � I— V' P JEANNE M. SHAW r y ` MY COMMISSION # DD 435986 — "' r...'r EXPIRES: May 31, 2009 p! Bonded Thru Notary Public Underwriters N O Y PUBLIC COMMISSION EXPIRES: Mai 3! .3• NOTE: PHRASES UNDERLINED ABOVE. J MAP SHOWING SURVEY LOT ¢ A4/0 THE O F Sourz/ Z8 FEET Of LOT 5, p,1 TEirit4CE AS /rE'CG440E4 MI P44 r NOOK /5, 134GE CO 4 THE CU /°uat/G oreareRD• GI' OUV4L G'0uwr - ,. gyLA4 • 4E4.57 Ca.a /- 0,4;:v v (4o' & '' Riw) ,. • . �•-:�+ • 78. oo' • Fk/MO /" '50.00 .., `- Z8.aio • t'J f fl uN PIPE "D . ; . e aID • �bb CEO Ilex/ / N.T. 5. i��• 59� if, LL r • 1 rotr • � � • i I. p p M.tsay.�✓• .'� Y i FALa . 1- 0 " ‘C >r 8zc r ! • (PossrO) + '1 ( •� 4...0, /.o 0 p V 6 O 0 N.ws P �. s CA t II Q • ` \/ City of Atlantic Beach a : 1 m YNs spinal wefts Ismplasel +MM eppiesbiel :onitt�, ArbdiYirloA Ira► W dr rrp1AW0�K,11R i0N I#M ©On!>n i :nd Uii IS bras INNMINO M AC! Flotidaluildinp and 111 , 1 8 <i i i i s s I l fl 1 1111 I Ii 1 1 J MAP SHOWING nor 4 Ago Tf/E SURVEY OF SDi/7 / ze FEET op' LOT 5 , PARK re:TA A S IferaPpEO /.v PGAT 4,00K /5, /c11t 60 4"' THE C•uA/reAJ7- PudL/G, /!'CCaRpS 4� 01/1.44 4. Cb ' 'rj-, I�LO/Q /QIq i , J.E4T Co•as - ,7Riv€ <4O • '' R/1 - .. 78. oo ' ' " wow Ar[ ■ % • . • • es. ot line z✓ aio -�'- fC • a� 1 , ci ' .. � .0 M rF.ew ro • s 9►�� s • « LL IL . n • • FZ ^ :l r. • 5. o' /z ,. 0 4 MRS0015 /c. ^ • lsrot • u /H4savc✓• , 'A g e,,as o , y, • V, ( Pe sew) F L , I A p o �v , o s.o /a e 0 V T 1•1 �• deify- F r V V 43 1� 1, �p Flies[ • E '' r / tO V Ft' .' t.. sod ]conic* • This mem Otongliones Wit applioabls k W :a,4,h, ...' +rises w sub °0 • • the lemon et p . ' . • not 4 r .: sna rii O M . e t he : aAda fev r uv. 41 1 to 1111 • Ciro*, n ..... w lig • ZG.S ( 44. c y � � • O f - �. -%�'-- • r r .,. ., -,.� �$• .. .d / - vo Agno c � . 4 • • 4 . , 1C/. ' 3y g - -. c t ..l� r O • V k .. ' !fr IN `Y /S a N d I V stiAwair J .�MNnv . - /7.0' JAJr W • M IDI • STORY' A A /•• • /. . w€,r. J I .7 /OILY /J N/.VUTIf q/ MC /�. • /.JCCMpJ• 0/.440 . • 4'1QOVRY 4 Q � Y Np�r a J vewo ourAuce 0 n RESJt'E,t/CE V 0 w ar sA AN Q•JlANCI• •1 • JIM:7W s:S. AAO/VJ / V Ike./ JO Bea M R 0 • ,/ (� ((A 0,,,...„ �ri,,H, 15 4 q O.N . /J IOW' ,O S . M + 11 A..0 el NVNOfJTNI OA" A .011071 .011071 ('I) a •WOPIel ..A.00014 SAVO z • .� r.er N v , ) � TIo' 1 4p tV ■vorES 1 [ p F 'J O' 1 7.4"/Jr 15Aa5u�a•�Rr r.e remer.l1 .Wl , lGL! ,_ ` i o C 1 (.0.41 R /.Nr o•• Ps/.4e i. C•wi • ii !War*, wxaiivrr. /141 a J.[. /. . J•N /aN C [AVA• IINC� i. ie J4 i. • ,-11.vo Yt•/gov viva . __ \ C. [ rit) OtN011r R..4 [ /ml !. [ OrwO, f CFATl.7 [Ave 0 /.1/6117 GV slip N 0 1 1 ApeirrT /C /O. c�.AVa J7.ovcrugE auso gm/ At s. L /A/E T /at/ oar. (eY .' . , ,p .co) I i '• " 7W /3 PROVEgrY ACPfi1RS TO G/F /A/ Z y `Z " 14000 2-0 4 . 10 '.Y' AREAS.0FTE. '.t/ /.VCO .. . 4 19. Tv CE OUTS20.5' JOO YE.1 R , PZq/.V. COAivU/Y /TY- PAA/CL /t /l/,velg / 'V fp y�yp f . t;, 7 /9g 000/ 0.'41,4. REV /SEO APR /6 ' - 3. f M "pl. , , . >/7, /9s9. . . i , A epee v fur al t 9' f 1„, CITY OF ATLANTIC BEACH f PUBLIC WORKS DEPARTMENT 1200 Sandpiper Lane , Atlantic Beach, Florida 32233 (904) 247-5834 (904) 247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # (Yij L Y9 1� Property Address: 8 a L/ C, ° ,2n 6,1 Vd . Applicant: . C6 - 7 1 4 Pctri Project: �T r d`I oll 4' Cbncro r° Mock nC '(wa f1) 11( Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Works Department and the following items need attention: Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions, please call (904) 247 -5834. Reviewec4:,•1 rper, P.E., Public Works Director - Date 7K Signature / Contractor Notified Date fi CIT Y OF ATLANTIC BEACH '' FENCE PERMIT APPLICATION Date: — 049 PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Job Address: e Z ( D C e is iJ 6 L V f3 , Owner's Name: SC. Q TT 1 ? p (Z, kS Address: Z. 4. 0 C 6 IA.) "g L V D Phone: 3 53 - (t 1( Legal Description: Block Number: Lot Number: Zoning District: Fence Contractor: 5c D Tr 13 7 2 KS Address: Phone: City: I T L A i t C. -j E "le— l- State: csC41 Zip: 3 2233 Fax: Type offence and materials to be used: p W C QL�E �LDt =IL �. r- . A 41 Valuation Of Fence: 1 i b Cam® 7 Interior Lot 12 Corner Lot ❑ Dumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? vt. t' If yes, please submit with this application. Tree Protection: 6 NO. Applicant certifies that no trees will be removed for the installation of this fence. ❑ YES. Removal of Protected Trees will be required for this fence. 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. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application (please print). Name: 5 C -OTr e A-11. (4S Mailing Address: 2 Co 0 £. N 6 C.. V 0. A T L A V' T IC_ S3 EtekL t4 f=-L-14 .hone: 3 53 ' t l 1 1 Fax: Agit 2 C4 Z 44 4 E -Mail: S"C o tt R PA a( S 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 - Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 1 Revised 3 /04/04 I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct All srovisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a :rmit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws al 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 G/ 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 Signature of Contractor: Date: 3 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 Phone: (904) 247 -5800 Fax: (904) 247 -5845 http : / /www.ci.atlantic- beach.fLus Page 2 Revised 3/04/04 .i• ` ,5-, 1 CITY OF ATLANTIC BEACH --` ' OWNER/BUILDER AFFIDAVIT Date: . -4 • 0 Job Address: P)c . Le 0 C a, vu CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE — OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455 - 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. 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. PROP • i R/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS , - OAY OF K.e.& 200 �L V~'v 214 -, JEANNE M. SHAW * � + = MY COMMISSION # DD 435988 L i ' EXPIRES: Ma y 31, 2009 �„ 0nrwoc Th u Notary Public Underwriters NO Y PUBLIC i COMMISSION EXPIRES: t- t 3l 7 NOTE: PHRASES UNDERLINED ABOVE. I J MAP SHOWING SURVEY OF fr LOT 4 A,v' retie sour/J 28 FEET o' L oT 5 , 1"41i'K r iTA4CE AS 1' 'CaPOE1, /A/ PGA T Avok /5, Al ae 6 o 4r THE e AICEAvT f UdL AG.' DUVAG C'Ot//vr FL O , /!'CC . Gl� • � d; ----- 1 —' it 7 COA Z7Riv ' <�- R/w) • 78.00' fiavo I" So.00 .� s tc. !4w/ `b� t- 8.00 • "�- r5. 1e7 -- -- - — - - -`.-w (44 c4s) .. ' • ' � /i N.T.S. o ` ero IY R1 Iwew nr . . 4! •wA LL � z • % �� K s.o 'a •. p 4 N►Rso NR /G. J -' 1�Ci �` O i • • • P .N4sewse. ' Y i 64►e.i`er o i. N i \ �BzG h / • ••• k ( P6 l rao) :� ` r 0 o . D 3:Q V v ti) 4 1 11 Q ( 0 L( ;' - M oW 10 \� S. b Sr. f»•.uo i'11o.v or•e d (44 CIS i) "own. i " lt ' 0.95 's'/ ! ^-- 9.00 4 O W , 2 ocy FO # pm., t 4 4 ... �N Co .. U N r A � 6!y(r ` p /S - • • . V • .. • • a N i , N aw�vsi .aatnv . • W WOWr • 1 STORY' /S• . tY JC 40 ! OP Mee O 1 $.• f/ Y �v' 1 t ^ / MASONRY y V v ` ir. rAeorits e O O/JIAwes F'E51p�,�/G� Q r A Anr asrA.v.-A• 4 //4,!N 4 ' ' B2 A • e nwrN ev .eAews 42-- L � G M it V v uA/!AC 6 !vr/ew V S• 1 • o N 5r� a.,• ! "Fr, .../11,41,41 A4.0 I . N J + ••� wcrJg TNI 4 4 A /1•eT M N. v l , �� 1 ov A WO"IFS A•AMAt &AV, s go' N o 01-44P � X 11 40 "z NOYES R F -0o0�` O' t T.vit�w aouARrtutvsr W / ,/ i f , Ave.'s e•• w.. Y. 1 R E� Yl YR • e.1.-v.v.., vs • LPON O /0!. _, f ( elNOrlS IPAO /AL L /4,l (• Ot....rt tttrlA 4,5v... OA l'gievr W •✓•fr " 441W V) o /reirr�icrtme , •-.7 . A..6 rrAC/crY/RS s4le0 0•41.0.11. L //vE (liY I" 8./5, rG. co) Tee/J .°ROPEgr• APPEAFS TO L/E /A/ • 'L, I.1 ,.�� FG 000 2 04,E ',Y + -AREAS L7.FrER. N /MeZ, V \ _ 4 To QE OI/TS /OC .SOO YEAR FGf /JO• 4 V oo CoAI•�U.V /TY- PA/VE'L �VU.veE� f0 1/IV0 + ' a r e 000/ O . MAP 'wry/se-4.7 3 lRou /ice •.'. L7, /9 .. A +' ■ erase 'M FNr : =i1 !r1•9' \ 0 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD " ATLANTIC BEACH, FL 32233 i INSPECTION PHONE LINE 247 -5826 ` Application Number 05- 00031413 Date 10/13/05 Property Address 826 OCEAN BLVD Tenant nbr, name REMOVE GARAGE Application description . . DEMOLITION Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor PARKS, SCOTT OWNER ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Permit DEMOLITION PERMIT Additional desc . Permit Fee . . . 100.00 Plan Check Fee . .00 Issue Date . . . . Valuation . . . . 0 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t — /d i BUILDING OFFICIAL +t T i:rS�J't' r; ;rya s ) CITY OF ATLANTIC BEACH DEMOLITION PERMIT APPLICATION Date: to 13 -OS Job Address: 7 C CS L� ►4 `'� Owner of Property: 5' c. 1T' IJ PA - tL 1 Address: 2 cs. 6 Telephone: Legal Description: Block Number: Lot Number: Zoning District: Contractor: $ c-oTr P-El• 2 State License Number: Contractor's Address: S co 1r 13 PA-,2 14S Telephone: q p !-t F "? - ° l' I S Fax: Describe proposed use and work to be done: ( t er‘.o v E 6 A-QA -6 C Present use of land or building(s): i-& vM -t Is approval of Homeowner's Association or other private entity required? tiv If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material or the removal of any trees? ,ErSIO. Applicant certifies that no change in site grade 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. 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 he 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. Attach Tree Removal Application if trees are to be removed or relocated. I hereby certify that all informati ovided with this application is correct. Signature of Owner: Date: / - / 3 -6 S I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or Local rules, regulations, ordinances, or laws in any manner, including the 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. 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic - beach.fl.us Page 1 Revised 1/14/03 -- "f.:,, - ` ,l r r r 'e`f ' - ,., k :, CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD \'-: J ATLANTIC BEACH, FL 32233 . ./ 7 INSPECTION PHONE LINE 247 -5826 Application Number 05- 00031477 Date 11/03/05 Property Address 826 OCEAN BLVD Tenant nbr, name INSTALL SIDEWALK /DRIVEWY Application description . . RIGHT OF WAY PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor PARKS, SCOTT OWNER ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Permit DRIVEWAY PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee .00 Issue Date . . . Valuation . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 4 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL s r '' `%>> CITY OF ATLANTIC BEACH y « ∎ 1 PUBLIC WORKS DEPARTMENT r)1 1200 Sandpiper Lane / Atlantic Beach, Florida 32233 ,� (904) 247 -5834 j' (904) 247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 05-,3 ( 47 7 Property Address: 1 1 r Q e e w ev �L Applicant: co rr /fir ks Project: - Pr/ IL' 4 y /V4 aid fleGtl -k. ■/ ►, / / r . Your application is approved as noted by the Public Works Department. / / Final application approval must come from the Building Department. / I lY v Your permit application has been reviewed by the Public Works Department f and the following items need attention: Provide lot coverage calculations (maximum 50% impervious allowed) . "VVIOUP Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions, please call (904) 247 -5834. Reviewe. • y k Carper, P.E., Public Works Director • e Date /(/).,..05 Signature Contractor Notified Date rfa fed /o/d6 ''" CITY OF ATLANTIC BEACH - , CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF V?11(1 AND EA MEIVTS , . J_ •, — 800 Seminole Road 904 -247 -5800 , ✓ Atlantic Beach, Florida 32233 -5445 Fax 904-247 -5845 PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Date 1 o ^ (1 - O S PERMIT # Job Address t) 1 (s D. C L & L- v 0 . ISSUED BY THE CITY Permitee: S co Tr Q , ? f4 Telephone # q0 y 3 S 3 ) 1 \ f Permittee Address: Requesting Permission to Construct: big/ a lj /IX A/V J/4L /0/106 (- Location: (Reference to Cross - Street) ' L f-7___ pr' t Applicant declares that prior to filing this application he has ascertained: the location of all existing utilities, both aerial and underground and the accurate locations are shown on the A Letter of Notification was mailed to the following Utilities /Municipalities: Jacksonville Electric Authority Yes ( ) No ( ) Date: ■ Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes ( ) No ( ) Date: Comcast Yes ( ) No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all,. or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shalt be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone #: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. W. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in it perviou area on owners lot or in the btha Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: 1 (i.,)..,O.1 0 : ,S YP�@ , : Tamara Renee Marten, Before met ' / .. f,� day of in t e County of Duval, ; . •' Commission #DD 17 ' State Of orid s p appeared ( (3 ,OG- k - C *.. o Expires: Dec 12, 200cf Notary Pu is at Large, State of Florida, County of Duval. ia� Bonded Thru My commission expires: L/ t Z / ,7 ( - 0 Personall giiao . Atlantic Bonding Cu.: E'h Produced Identification: - 1 Ci , 1 ■,/'' 4 ' , "r ' 11 1 - .. , • I I 4 4 4 1 I I J 1 I 1 1 I ) I . 1 I , 1 I I . . ' 1 1 ' I ■ I I 1 . e 1 1 I I 1 1 i i 1 I i 1 ■ 1 i I, 4 i 1 i . ■ 4 ■ "..—. j ■-, Parks & Associates ATTORNEYS AT LAW 60 OCEAN BLVD., SUITE 4 ATLANTIC BEACH, FLORIDA 32233 (904) 353 -1111 www.353-1111.com BOARD CERTIFIED-TRIAL LAW STATE BAR OF FLORIDA STATE BAR OF GEORGIA November 2, 2005 Rick Carper City of Atlantic Beach Public Works Dept. 1200 Sandpiper Lane Atlantic Beach, FL 32233 Re: Coverage Ratios for Impervious Determinations Dear Rick: Pursuant to our conversation of November 1, 2005, you needed calculations to determine coverage ratios for impervious determinations. They are as follows: Existing Lot Square Footage: 85 x 28 = 2,380 174x57 =9,918 12 298 Building and Connected Areas: Base Home: 1222 Porch and Driveway Apron: 196 Patio: 500 Utility Rooms: 12 Garage: 320 Additional Pads: 294 2,544 • Proposed Additions Walks (Front, Right Side, Left Front): 150 Driveway: 250 Patio (Front): 240 640 Conclusion Total Square Footage of Lot: 12,298 Total Impervious Coverage after Job Complete: 3,184 Percentage of Impervious Materials: 25.8% Thank you for your help and cooperation in this matter. Sinc - ely, r ' S • t B. Parks J MAP SHOWING SURVEY OF L or 4 AA/0 THE 610/./774/ Z8 PEET at' LOT 5 , PARK TE)rg4G - A5 Ireca oe. /a/ p4 T irevx /5, /03/GE 60 40 TIE Oz.htmENT PURL/c... eeee,40s Ac I O!/✓4c• C�OeJ,c/TV j •=1.0.4010.4 • a .. 4E4 r Ca.a »1 OR/ ( • R,w) .. .. • 78.00' fiuio /' .56 , `� rd. a p • � �• z9. ao� / — - - � • IRa/ Pot `ti f euuo /4 "• r S. (4'b 04.) fQ In T c *i "or • s.o ic .v != 0 0 0 �� l ` l !SPo y • ' p M4sa f • •' , C PD�s.C {. O • Q Ni CI • M M. I. Cai NI k V \ 61.4 61.4 � +stow "me i + �' 0 .35 . S% , eI ve.. ns 0./0' 0/4 11 ? G.5 ' " o 1 f c (44. G li) t - ^. fr 4 " e.00• .. 4 ?8.00' V i�. ,,. �. q- s • 3 I, . . k, • Is ' � s • Ne U N • 4ccenQ — 7fl 45' if se u •M?rA• • \ ! J. • JourN �•,1 `�/ ^ AP 1't' • •• Galles • 1 J /VIA 1 • ,r /J •••N(/res 0....4•4 0....4•4 t 1t' w uCMSOX M AOf n .NOgpl/Ry Y �` Q Fr10.44W.1 CNORD D.JTANCI 4 y ` . RES/OE,(/CE V �) O "\ A e , •' ^ } 4 R • tivolN M .4.4.0K1.1 . • /!M!I/ r S - 6ZG M Q v V 5 : dV N Arlr, .l rf►NAYI V ( O 1� A.v0 4 Nt/A' rNJ o. A /1007. • Os S 4o, I b Q1 d0 (w) 04 R.4 4L LW •• u ," so .- 01-4.0. % NOTES Z 1 . fa-Zoo • 9. 0 ' a nv/r w amu,.a,.vY C t . (N. T. q CfA' rJ Ag7 77O sc! Z 0 .f. 004 a /f,vr v weer. 0.. ez.l. + ...wow CAI /N L.WA TIA.Cl. S. IA$4YR • 1C1.11/.7 YJ•/.pow PiPI. 101 a f) oe vor.es gAOUC demo. N\NN.Nilliig?t r. �lvo :1 reNrs:a LAVI 0 ..r./f/649 - 4. /Y /f• S 1 TE6'T.riCT/o t/ peas.. Aver Jrl(/CTa/!O OAS•O DA/ LAVE • • T N / J , o / 4 o / � E R T Y A0, To L/F /.V •L 4 1 `1. �L 000 zONE '.`C' - AREAS OBTeF.ir /,yFO To �E' OUTS /OG' .100 YBAR i 1 PLA /V. L•oAI,vUN /TY- r• /t/u.✓eri PouNO 2 + i; /roO rt 0001 O. MAP REV /SEO A•oR /L Cv �AAs QI P� , r , • N\ 1 APPLICATION FOR FENCE PERMIT Owners name_ 'LI( Job AdOress___Wt-A2___WPAVIAN/4012 LotA_5__ Block and/or Unit # Subdivision • 9wicrftmc15:, Contrabtor if different from owner Valuation of of fence Corner or interior lot N11MA5e__ Type constructionj:A4) stucco / I- Shov location and height of fence as well as location of street (s). atirl-erf kel ive t re eiCe-4?eri r - T' t C • '„ - „ '.' ' — 1.----r. f- . , ■7,,)- a5gETIEM gi t ' F EB 2 3 1993 Building and zoning / 111 1 Owner signatu'-z.46._. .. _ 2_ Ar _11,Apip DateGel'H Contractor signatur- 11 ...7 4 - _i3AAA3triNaDate- y y K m T co zo 33-1 o I 0 m mi m o 0 r <' i 2 Z i 0 °v f DS ❑ ❑ a a j I a • 1 rQ'1 A Z e � m A 1. S m n ❑ ❑❑ D m 0 �8 D 33 C p { O E0 r m, p " ° • r • m p " a m T1 ^ m A Z o r _ a m , nor"; p g-+ o m= .4 o n _ 3 —I v D I • F m = F. - r = - Q - T El ❑ c/ j C ❑ Q N i mT=DC r J � v ° g A ypn dS 1 Z vD A 33 ❑ ❑ 1 TRANSMITTAL DOCUMENT FOR JEA DATE: ? °� -' -- 1 The following permits have passed "rough" inspection: permit No. Address • d -) , ,Enclosed are our (blue) copies of the permits. Please update your records accordingly. f Th2k o BUILDI G CLERK CITY OF ATLANTIC BEACH � v /vcb • 1 • DATE:- 2 9 2-1 PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY: - 19 7 5 / SINCERELY, Y t /ia e BUILDING INSPECTION DIVISION cc: FILE BUILDING AND ZONING INSPECTION DIVISION . CITY OF ATLANTIC BEACH ATLANTIC REACH. FLORIDA 322i33 APPLICATION FOR MECHAP•ICAL_ PERMIT CALL•IN NUMBER IMPORTANT •— Applicant to complete all items in sections 1, II, III, and IV. I. / t LOCATION Street Address: __ - f c.s / di t.../1 s OF Intersecting Streets: Ietw.en IUILDING And Subdivision 1). IDENTIFICATION -- To be completed by all applicants In consideration of permit given for doing the work as described in the a bcve statement we hereby agree to pe•fc said wo•1 i. a : : :•oa - :e with the attacked plans and specifications which are pert hereof end in accordance with the Cit of Jacksonv;I a ordinances e^a s•e of good practice listed therein. N.M. of Mc Prin t ) l I Contractors Cantrackr (Print) int) S I T - / J w 9,)/ /i/ c SIT - 47e � Mastar ` ft c_ Name of // �1 71 Property Owner r .6 ; il Signature of Owner ) ere Authorised Agent , ' . ' _./ Architect of Architect t or Engineer III. GENERAL I t ' !I Anon r A. Type of heating fuel: B. IS OTHER CONSTRUCTION /SING DONE / THIS BUILDING OR SITE? S Electric ❑ Geo — ❑ LP ❑ Natural ❑ Central Utility (3 Oil IF VES, GIVE NUM /ER OF CONSTRUCTION f PERMIT SS`�aS -- R ❑ Other — Specify IV. MICHANICAI EQUIPMENT TO EE INSTALLED TITURE OF WORK (►Aride can**. list of components on back of this form) .L Residential or ( J Commercial Heat ❑ Space ❑ Recessed Centred 0 Hoot New Building Air Conditioning; (3 Room ., Central 'Existing Building / if _V " 0► Duct System: Hoteri. Maw* f 0 Replacement of existing system Madmen§ capacity � �<`7 c.f.cn. New Inataltatlon (No system previously instalte ❑ R.frigentio. ❑ Extension or add-on to existing system ❑ Cooling beret: Capacity A. ❑ Other — Specify _ vp . ❑ Fire epeinkl.n: Number of heads ❑ Bunter ❑ Madift ❑ Escalator )cumber) ❑ 6asoli.. pump• (rumba►) THIS SPACE POR OFFICE USE ONLY (Ree.hred) ❑ Teaks. (number) Remarks ❑ LP6 contai^en (number) ❑ U.P..d pressure teaser ❑ Win Permit Approved by p ❑ OMs. — Specify Permit Fes LIST ALL EQUIPMENT Ant CONDITIONING AND REFRIGERATION EQUIPMENT Ifuatber Unit. Deacrtptlon Model Number Manutactuter Cia Approvtts 1z a s 8' iii C/Avab/(-- 2 eVc...._ ' 5057 DEPA OF BUILDING CITY OF ATLANTIC BEACH PERMIT 'INFORMATION - _r ...:.__,:- LOCATION ItilFORIIAT ION --- - ---- - ' ' - - Permit Nusrtbwr: .5057 AddreE3s : 826 OCEAN BOULEVARD Permit ` Type: PLLIMB/iNIG ATLANTIC ' eEACH, FLORIDA 32233 . Claims +i Work I.2'A.DDXTION' ' - - -. LE'rAL'DESCRIPTION -.._- Cczr� str . Type:' WOOD FRAME Lot :. "` Bi,ocsk: Section I po Protoed Us *: SINGLE FAMILY TOwfShip z RNDI 0 Dwellings: I Code I 0 Subdivision:: EetiMated Value: *0.00 Impto°v. Caet I E0.00 ThtaL. I .o , *25.50 �Asaou ' , �' *25. 50 Wi: . .. " . ,. ° ATI t3N -4 - , ' p �-_ -- APPLICATION FEES _ -__- WICK• PERMIT *25.50' Addree ', �' BOULEVARD WATE4 I IPAC . FEE # .00 " 13 H, F'LI RI 1 v .s �E FEE " " TM RADON :OAS -. R. S. *0.00 -..�. .�_ air T � = O .;,N�R1�AT�FI ...� --- RADON GAS - 5%. $0.00 U)�iOtNG . 14 WATER TAP. �... .00 �..w WER TAP *0. Actdir,s s 1101 . ' . NW'' , A"TL«A BEACH P`I.OR1DA 32233 IiYDRAULIC SHARE *0.00 M �, �. RE:-.INSPECT FEE ,i SS 013 Li , ee I rt yl : SEC. R IPIPACT F'"£ *O. ' ' :f*4:. ' 1yy vsraa �y ^+ '41-'''''''''''''''','-' NOTES: 1 . NOTICE --ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING I ' PERMIT VOID SIX MONTHS AFTER DATE Of ISSUE k BUILDING MATERIAL RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULEI'O AWAY BY EITHER CONTRACTOR OR OWNER f ' "FAILU TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENT'S." VAR.I 'il MITE' (13/1V92 i , ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND. SU: { Via- o REVOCA 16. ` OR s : 3 <x � ° t er ;��. VIOLATION OF APPLICABLE PROVISIONS OF LAW. 1,.m r . : IECIP I!a 0 ATLANTIC BEACH BUILDING DEPARTMENT .tc'' ' ' By - ''' , 1 ,/,.. , ..,/ ( ;.-7 /7 ," „43`-------- ' r 3- S CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: PLUMBING CONTRACTOR: .1, LICENSE NUMBER: C`CC6 57/94 OWNER: A9C gpii th 1/4 BUILDING CONTRACTOR: 67;A41/7 TYPE OF BUILDING: 5 f h SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER • TOTAL FIXTURE COUNT: IX 5, 5 C + $15.00 = (,;(-> i „ , . 7 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATEL, 2-16' 19! IMPORTANT NOTICE: • I 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 THOMIPSON ELECTRIC CO., INC P. O. FCC{ r� 3ACKSCrIV LLE BEACH EL ?rlo fr9F ELECTRICAL FIRM: MASTER ELECTRICIANATURE JOURNEYMAN NAME ,r .�etti_4 f'tit/?G ,ADDRESS: YI + ae.444,,a FO BOX BLDG. SIZE BETWEEN: RES. ( ) APT. ( 1 COMM. ( 1 PUBLIC ( 1 INDUS. ( ► NEW ( ) OLD ( ) REW. ( ADDITION ( 1 TRAILER ( ) TEMP. SIGNS ( ) SO. FT. SERVICE: NEW f>r INCREASE 1 1 REPAIR ( ► FEE CONDUCtOR SIZE 6 AMPS .c2 COPPER ( ) ALUM.)' - .� SWITCH OR BREAKER S AMPS / PH �W / Z©VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT 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 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. 1 H.P. VOLTAGE PHS ( ,,ei'r./A.Z /,t CITY OF ATLANTIC BEACH, FLORIDA Appro. by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:--.., _ /a 19,9 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 50398 /� /��,/ a ■ I . 41 1 • : � (/ / AM., .� /Z— ELECTRICAL FIRM: MASTEt1 ELECTRICIAN S NATURE JOURNEYMAN NAME. / dtADDRESS:� CS ePaet.fr1WI RFD BOX BLDG. SIZE BETWEEN: RES. ( ) APT. ( 1 COMM. ( ) PUBLIC ( 1 INDUS. • 1 NEW ( ) OLDJ4- REW.)41- ADDITION ( ) TRAILER ( ► TEMP. ( 1 SIGNS ( ) SO. FT. SERVICE: NEW ( 1 INCREASE REPAIR ( ) FEE CONDUCTOR SIZE / p AMPS Z COPPER 1 ), ALUM.ljd is ° ° Z v / SWITCH OR BREAKER ZOO AMPS PH W ® 1/OLT RACEWAY / Zf EXIST. SERV. SIZE /0(9 AMPS / PH W / OLT RACEWAY / - c; e-) FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS 2(9 CONCEALED OPEN TOTAL RECEPTACLES /%T CONCEALED OPEN _ TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES / 7, y v 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 z Z. • 0-1 , OVER MOTORS H.P. 1 VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MIS ELL • NEOUS . 4 ., _ - _� Ar e.0. , i .IrAr .. CITY OF V 411a tic /3eQCia - 4i ,Gvtiica Office of Building Official REQUEST FOR INSPECTION `` CV �� Date 3 9 Permit No. Time Received District No. 6 t ' Locality Job Address �_ Owner's v � Name t A _ / ( _I Contractor I ��_.. BUILDING , � ELECTRICAL PLUMBING MECHANICAL Framing ❑ f _ - Rough Wiring ❑ Rough ❑ Air. Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Fire Place ❑ Lintel ❑ Pre Fab R INSPECTION A.M. :::tion C F riday P. M. Made I • I v • Inspector c P KFABtR I , Final Inspection ❑ Certificate of Occupancy Date 5025 DEPARTMENT OF BUILDING 1 CITY OF ATLANTIC BEACH PER$IT INFORMATION LOCATION INFORMATION Permit Number 5025 Address: 826 OCEAN BOULEVARD Permit Type: BUILDING ATLANTIC BEACH, FLE0R1DA 32233 Gass of Work t ADDITION -_ _ -� L . AL. DESCRIPTION" Ccrnetr. Type: MOOD FRAME , Lcrt: Block: Section: Prcopoeed Uee: SINGLE FAMILY Tovxn*hip z RNO: 0 Dwellings: I Code: 0 Subdividion:. E *ti *at,Pd Values *63000.00 mprov. Cost :' *0.00 Total « e. *628.00 AIncau , -> *628.00 Dot' 3 3/92 3 •-. ,.. ADDITION PER PLANS NA TION APPLICATION FEES I PERM -- -__-- K �. �,� . *468 .0t r. BOULEVARD WAY " R IMPACT PEE *160 AdtaC`s. P FEE *0 OO CH, FLIaRxl4 2� , S_� RADON GAS -14. R. B. *0. Lit] +fir ., RFOT tATZON -- - RADON OAS" -- 5% *0.00 l A.Ya wrt r r rs C. .I. OE LY WATER TAP *0.00 Add ..e SEWER TAP ;TACK ILLS, FL 32245 HYDRAULIC SHARE *0.00 . 0 RE- INSPECT FEE Q. 00 SEC. H IMPACT FEE /11 *0. 0 air, NOTES: i NOTICE - ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE F CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING I o : - ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUB 1 REVOCA !* ;' .:4 R VIOLATION OF APPLICABLE PROVISIONS OF LAW. SOO ATLANTIC BEACH BUILDING DEPARTMENT I By: fir'. */ t Address Ya D C r A n} 6 L U 7 ( K c Pi o O P �) Heated Square Footage 1° 1 @ $ per sq ft = $ Garage /Shed 1.. I @ $ per sq ft = $ = ILO - @ $ per sq ft $ Deck @$ per sgft =$ . Patio - r ✓ @ $ per sq ft = $ 0 TOTAL VALUATION: $ , .3 COO. oc) 6 3 C 9c:-) ,2'60 - Total Valuation 1st $ G ) c C ] 00 c) 5 . ,>-c-' $ :47._ cs-�; Remainder Valuation $1. per thousand or portion thereof Total Building Fee $ /? - (-) ADDITIONAL PERMITS and /or kEES REQUIRED + k Filing Fee $ /5 ( Mechanical i1 Fireplaces @ 15.00 $ BUILDING PERMIT J I E $ , ' - '7/e(5 /6 ' ,,-, (-- ) -) Plumbing %„/ Electric /New V Electric /Tang (0 BUILDING PERMIT $ Septic Tank WATER METER CHARGE $ — O -- Well - - SEWER IMPACT FEE $ Stunning Pool (9° WATER IMPACT FEE $ /6)0 Sign MISCELLANEOUS $ Water Connection Sewer Connection /(26 fi p 0 c Ai $ Water Meter Elevation Certificate /�o 1 GRAND TOTAL DUE $ (� - CALCULATIONS and /or NOTES 4 • FLA. I967 LAWS i" �' ORM AOe FS 713.17 • ' MAR 21992 Notirr ]af (Itanintracrtning, g and Zoni g �ry (�.� �y}y� *+ =term 1F11 IN DUPLICATi1 full= K =tern The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property 826 Ocean Blvd. Atlantic Beach, Florida 32233 .. N._...._. N ............. .........N...».»...... ».NN..... . N.»... N..».... N...».. N..«..»..........» NN»»............ ..N..N. „.N...».N......»»N... «N„ « ........N. .» N. � .............»».........»» N..».. .N....._./N.....NN ».........NN. Add 160 S.F. of new space, one new bath, G eneral description of improvements „.. »» . N... N ............N»N».N...,..NN..N.. rework exterior elevation and general remodeling. Hope Van Nortwick Owner ..... .. ». ».....N.. »......N....N „.... . P.O. Box 50805, Jacksonville Beach, Florida•32240 Add reu ». N.» ... »N.. »NN. ».NN.N.......»....N» N»..NN.� .N» Fee Simple O wner ' s interest in site of the improvement » ............. »....N »... .......»»». «.N. . „NN. • • N ».....N. Foe Title holder (if other than owner) Name .»„.... «».»» »........N „...»..„„......» „N „. Add ress N. «. „...».. « ». »N.... »... »N.. �.. » »»« » «....».. »... ».....».» » ..».....» N......»........». N » »........»...�.»N......... »N». ..»........ Co ntractor N»...»N. ” ...».NN...N.NN ».....NN.»...N »N...N»N«.»N. ».». »......«N Add ress. N ». N..» .. N.... N».......»..»..».».....«. ».....»N.....»...�......N...... Surety (if any). I . Address —. »....»„......»..... N..........N. »N.. » .. »».. „.».». . ... ». „..N. Amouw* of bond $... »....... ..„......N .. Name of person within the State of Florida designated by owner upon whom notices or other doagnates may be served Name Hope Van Nortwick . N..»...... ... »........ »»N.....N.........N ... .».N.....» »........».»...»............ ........ Address P.O. Box 50805, Jacksonville ,Beach, Florida 32240 In addition to himself, owner designates the following person' to receive a copy of the Lienor'sNotice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option), i N ame ». ..... « ........... ».... ».. ».... « »...« «.. »....NN. , »... ... NN.. »...N..„.»».N «.... » ».NN »N.. ..N« ..... «» ... « „_. Address • 5 ':2 C CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Hope Van Nortwick Owner(s): Address: 826 Ocean Blvd. Phone: 249 -5585 Lot # Block or Unit # Subdivision: Contractor: E.D.T. Inc. W. R. Gellatly 2) _)_ 9 / ? Describe work to be done: Remodel to include: New kitchen cabinets and appliances. Remove soffit and add a parapet to the roof, re -roof, add oie bath, relocate the existing_ sa.Shina...machi.na,_ add rt- h tin0 - _,of ,new- ,space.- ,and,_ re- stucco the existing building. Present use of buildingmis , ,j-a]-,,_.Si.ngl.E..-famiLy Valuation: $63,000.00 Proposed use: Residential, single family Is this an addition? yes •If yes, wha#. are the dimensions of f the added space: 17 ft. X 9 ft. Will the added area be heated and cooled? yes New electrical (or increase) ?_y es Nqw plumbing fixtures ?__Yes New fireplace?_ a _New Heat /AC ? 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: _ ::::--- MAR Signature CONTRACTOR: � \( PP V 219 Building and Zoning CITY OF ATLANTIC BEACH PERMIT APPLICATION #OD L, frEOPPMTINS OR NS Hope Van Nortwick Owner(s): -- Address: 826 Ocean Blvd. Phone: 249 -5585 Lot # Block or Unit # Subdivision: Contractor: E.D.T. Inc. W. R. Gellatly work to be done: Remodel to include: New kitchen cabinets and appliances. Remove soffit and add a parapet to the roof, re -roof, add onebath, relocate the existing yak h i inc1C�L7.I1e. ,_ a&L rcw ghl -b M- s-. f - of- s w- -e--a - - re- stucco the existing building. Present use of building : lig. ditja14_ s; nc f y_ Valuation: $63,000.00 Proposed use:. Residential, single family Is this an addition? yes If yes, what are the dimensions of the added space: 17 ft. x 9 ft. Will the added area be heated and cooled? yes New electrical (or increase) ?_yes New plumbing fixtures? __yes New fireplace? no _New Heat /AC? yes 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: E XCEIVIE MAR U 1 W 992 Building and Zoning I , CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH i_; (8) TUB OR SHOWER STALL (6) WATER CLOSET WATER CLOSET, TANK OPERATED (4) 4 1 VALVE OPERATED (8) BATHTUB /SHOWER (2) URINAL WALL LIP (4) 1:: SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) 1 LAVATORY (1) 1 COMBINATION SINK AND TRAY (3) ' 1 WASHING MACHINE (3) 3 POT, SCULLERY SINK (4) v DISHWASHER (2) '% WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) ___i__URINAL STALL, WASHOUT (4) BIDET (3) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER /BEAUTY 1 ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) ) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS @ $20.00 EACH $ (60.00 JOB INFORMATION L C 0 ( F.= el" 4- -- ©01 C ) (<26---/ / FLORIDA ENERGY EFFICIENCY CODE FORM 1000 -C -91 FOR BUILDING CONSTRUCTION SMALL ADDITIONS Section 10 -- Residential Prescriptive Compliance Method Climate Zones AND RENOVATIONS Department of Community Affairs NORTH 1 2 3 Compliance with Section 10 of the Florida Energy Efficiency Code may be demonstrated by use of Form 1000C -91 for additions of 600 square feet or less, and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 1000A-- 9- 91 -91. �, 1 PROJECT NAME: Qty iRN ,.... BUILDER: ��7 • - 14.Y.- �'1i AND ADDRESS: E =�3'Sa ' +� ri PERMITTING CLIMATE r, ::411, OFFICE: / T[ AA IC B f.CI+ JURISDICTION 2 3 OWNER: NO.: MIT 54 2 NO.: 1l e.1 1 l i o l b CONDITIONED SQ, NEW GLASS AREA AND TYPE NEW CONSTRUCTION If Multifamily, number of FLOOR AREA FT. Clear Tint, Film, Solar Screen ADDITION `�4 units covered b PREDOMINANT ; Single- I I SQ. Single- SQ. 4 this submittal: EAVE OVERHANG C.A pane FT. pane FT. MULTIFAMILY ATTACHED n I I I LENGTH _ r SINGLE-FAMILY DETACHED _ I PORCH OVERHANG I I� Double SQ. Double SO. LENGTH . • Pane ane FT. pane FT. FOR ADDITIONS ONLY WALL TYPE AND INSULATION CEILING TYPE AND FLOOR TYPE AND INSULATION WOOD FRAME MASONRY INSULATION WOOD MASONRY EXTERIOR:` EXTERIOR: UNDER ATTIC: r i 0 RAISED: • RAISED: PERCENTAGE R= ` 1 R= R= ® R. R OF GLASS ADJACENT:_ — ADJACENT: SINGLE COMMON: l COMMON: i 1 n TO FLOOR: % R= _ R= I — C ._ ASSEMBLY: R. R= I I•. R= _ l I 1�LJ COMMONS COMMON: COMMON: - SLAB -ON- GRADE: R. I I L — R. R= E __ DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM In Cent ral Electric S trip M Heat El Electric El Solar Unconditioned I Pump Space El Room Natural Gas Other `: Natural Gas ❑ Heat Recovery n Q PTAC Fuels ❑ Other Fuels Li Dedicated Heat Pump r 0 R • • • ❑ Room Unit/PTHP In Conditioned [] No New System 0 None C No New System EF SF /EF= Space 0 None El No New System R SEER/EER =I 1 1.0 COP /HSPF /AFUE= I I I NUMBER OF BEDROOMS= I hereby certify that the plans t cove by the calculation are In pllance with Review of plans and spec cations covered by this calculation indicates �� compliance will I we Florid • fore ruction Is completed, this the Florida a Energy 0� building will be Inspected ■ • pliance rdanee Rh on 553.908, F.S. DATE:" PREPARED BY: BUILDING OFFICIAL: I hereby certify that th F da Energy Cods. vc:Av 3 OWNER AGENT: DATE: / DATE: TABLE 10A MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Windows 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doors). N Exterior & Adjacent Doors 904.1 Maximum of 0.5 CFM per sq. ft. of door area: solid core, wood panel, insulated or glass doors only. ) Exterior Joints & Cracks 904.1 To be caulked, gasketed, weatherstripped or otherwise sealed. )( Sole & Top Plates 903.2 Sole plates and penetrations through top plates of exterior walls must be sealed. K Infiltration Barrier 903.2 Infiltration barrier must be installed in exterior walls & raised wood floors. J,C-,..4 x Interior Joints & Cracks 903.2 All openings in interior surfaces of ceilings and exterior walls must be sealed. K Fireplaces 903.2 Fireplaces must have flue dampers, glass doors and outside combustion air intakes. •fit S� l ht Exhaust Fans 903.2 Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust ductwork. Combustion 903.2 Combustion space and water heating systems must be provided with outside combustion air, Heating except for direct vent appliances. Water Heaters 904.2 Comply with efficiency requirements in Table 9 -7A. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. External or built -in heat trap required. Swimming 904.3 Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a � I k Pools & Spas pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78 %. Hot Water Pipes 904.4 Insulation is required only for recirculating systems, including heat recovery units. In such cases, piping heat loss shall be limited to a maximum of 17.5 BTUH per linear foot of pipe. Shower Heads 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. X HVAC Duct 904.6 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, Construction, sealed, insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditionec Insulation & Installation space and air handlers located In attics must be insulated to a minimum R -4.2 (R -6 after 1/1/92). x , HVAC Controls 904.7 Separate readily accessible manual or automatic thermostat for each system. Renovations Only Glass 1003.0 Meets the requirements of sec. 1003.0. See step 3 of page 2 of this form. -1 FLORIDA ENERGY :CF;17,11:TITIUCCYTIONDE FORM 1000 -C -91 FOR BUILDING SMALL ADDITIONS Section 10 -- Residential Prescriptive Compliance Method N Z o nes AND RENOVATIONS Department Of Community Affairs Compliance with Section 10 of the Florida Energy Efficiency lf ative a$e provided for additions by use of Form additions or 900A gi re f or less, and renovations to single and multifamily residences Uv \ PROJECT NAME: Vh. 'ls `•ANS- - BUILDER: "^ ° �Se \CA c sttl � t 1\ PERMITTING CLIMATE AND ADDRESS: OFFICE: ZONE: 1 — 3` j,tc�1>i`�A \.c. ' C�. PERMIT 1 I I I I NO.: JURISDICTION 1 I I 11! 1 1 OWNER: NO.: I I l \rIto PC) M 1�N\ NO l I t CONDITIONED t SQ. NEW GL A AREA AND TYPE 1 NEW CONSTRUCTION n If Multifamily, number of FLOOR AREA FT. Clear Tint, Film, Solar Screen ADDITION � t i units covered by PREDOMINANT Single- SQ. Single- Q. gl this submittal: OVERHANG pane FT. pane FT. MULTIFAMILY ATTACHED LENGTH �• tbR•:S SINGLE-FAMILY DETACHED r. 1 I 1 1 1 LENGTH OVERHAN FT.Pane1e FT. pane I FT. FOR ADDITIONS ONLY WALL TYPE AND INSULATION CEILING TYPE AND FLOOR TYPE AND INSULATION WOOD FRAME MASONRY _ INSULATION WOOD MASONRY EXTERIOR: rail EXTERIOR: UNDER ATTIC: - ^^ RAISED: 77 n RAISED: R. _ � R = _ R. sir . V R= \7► > I + .:.j R. O ERCENTAGE ° I 1 I•— ( I I ._ I I . R. — COMMON :1 1 I. R= COMM :I 1 10 OF GLASS � ADJACENT: ADJACENT: SINGLE . 0 R= _ _ ASSEMBLY: R. TO FLOOR: ... COMMON I I 1- COMMON: f L- COMMON: R. SLAB ON R BADE: (�i — DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM In Unconditioned Central [Electric Strip I Heat Electric ❑ Solar P Q S•ac Room L Natural Gas Other Natur Gas ❑ Heat Recovery R. 1 ❑ R PTAC C Fuels Other Fuels Li Dedicated Heat Pump �► 6 0 Room Un In Conditioned ❑ No New System None No New System EF= SF /EF= I] 1 S aces N — ❑ No New System R. • SEER /EER =I I L COP /HSPF /AFUE= I 1 I,— NUMBER OF BEDROOMS= 1 hereby certify that the ed}ee plans ��\\and specifications covered by the calculation are In compliance with Review of plans and tfications avers y this calculation indicates Celle. ,. ` 4 � fy compliance wh the do nergy a Befo con c pkted, this Lao the Florida Energy ` \) Minding will l with in for pi in a a with Section 553.908, F.S. PREPARED BY: 1 DATE: BUILDING OFFICIAL: 1 hereby certify that bu •. lip �Itf h I ride E r9Y Code. �, •. — Q Ilk N � ` t`A � } , a�.Z a ■o f ■ DATE: / OWNER AGENT: DATE: �`�! TABLE 10A MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Windows 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doors). Exterior & Adjacent Doors 904.1 Maximum of 0.5 CFM per sq. ft. of door area: solid core, wood panel, insulated or glass doors only. Exterior Joints & Cracks 904.1 To be caulked, gasketed, weatherstripped or otherwise sealed. Sole & Top Plates 903.2 Sole plates and penetrations through top plates of exterior walls must be sealed. SA u Infiltration Barrier 903.2 Infiltration barrier must be installed in exterior walls & raised wood floors. C„C K Interior Joints & Cracks 903.2 All openings in interior surfaces of ceilings and exterior walls must be Sealed. Fireplaces 903.2 Fireplaces must have flue dampers, glass doors and outside combustion air intakes. ExvsN \ Exhaust Fans 903.2 Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust ductwork. Combustion 903.2 Combustion space and water heating systems must be provided with outside combustion air, H X eating except for direct vent appliances. Water Heaters 904.2 Comply with efficiency requirements in Table 9 -7A. Switch or clearly marked circuit breaker (electric) X or cutoff (gas) must be provided. External or built -in heat trap required. Swimming 904.3 Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a s * �k Pools & Spas pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78%. IN Hot Water Pipes 904.4 Insulation is required only for recirculating systems, including heat recovery units. In such cases, L piping heat loss shall be limited to a maximum of 17.5 BTUH per linear foot of pipe. Mk Shower Heads 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. X HVAC Duct 904.6 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, Construction, sealed, insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditionec Insulation & Installation space and air handlers located in attics must be insulated to a minimum R -4.2 (R -6 after 1/1/92). A HVAC Controls 904.7 Separate readily accessible manual or automatic thermostat for each system. '�( Renovations Only Glass 1003.0 Meets the requirements of sec. 1003.0. See step 3 of page 2 of this form. + � ( ` � ` 7 -1 / f t '{ 1 O O• e t 19 ,,,,, SSE �, fot 01 / t :.,- .,- . .. Af .,, ',- - . ° r\ T,-, ,,_ , .., re' �. r te . fi 1 , i : . 4, , -, 1 -.t i F . F FEE $10 00 APPLICATION FOR 4i T CITY OF ATLANTIC PI Y Day Phcme g `�`� PRO Name: � i Address c f, 4. / '' ,,G.. A APPLICAII IF OTC ' THAN Day Ph one r9 Name c ff % : °. , Zip A,drires s ; 0 -- Address Or Location: 4 , � � i ` % 5 Legal Description: - ." - / %. a. A ` I. .:E3 g purposes? Is well to be used for drinking per' a permit as corporation or other entity' receivi -ng p Any person, individual, h provided in Section 22-40 of the Code, Atlantic Beac. and who plans to use ses , must first obtain a ermi.tted well for drinking p art nt , water from the p report from the State of • Florida D f the City of bacteriological test recd thereof to the bui d furnishing a certified copy � will not be issued 'until sa report is on file with the building Atlantis Beach. A certificate of occupancy artment. p Department Notes: , k , 4 I agree to canpl � y with rem . , /,, , j tlst ,;. at , , 1 1 W 1