Permits 1062 Ocean Blvd (vault) CITY OF
4&#d4c 13e4c.4-
Office of Building licial
'iCia'
REQUEST FOR INSPEC ON
0
Date z P 7rmit No.
Time A.M.
Received PM
m 9&X
Job Address Locality
Owner's
Name Contractor
BUILDING N;CR;ET�E ELECTRICAL PLUMBING 11, MECHANICAL
Framing Rough Wiring Rough E Air Cond. &
Re Roofing El '4ab Temp Pole El Top Out F Heating
Insulation E] Lintel El Final El Sewer 11 Fire Place
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. Friday
XM.
Inspection Made RM.
Inspector— Final Inspection D
Certificate of Occupancy E
Date
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
JOB LOCATION.- 106,
OWNER OF PROPERTY: TELEPHONE.-: C�
CONTRACTOR:
CONTRACTOR'S ADDRESS-.
61�_ ZIP:- ZA���
STATE LICENSE NUMBER:(wa-1 TELEPHONE.-2—q � _ (3Qqcl
DESCRIBE WORK TO BE PERFORMED:
VALUATION OF PROPOSED CONSTRUCTION '2_1 0 C)
MATERIALS TO BE USED�
SIGNATURE OF OWti�' .
,A
SIGNATURE OF CONTRACTOR-
SWCRN TO AND SUBSCRIBED BEFORE ME THIS DAY OL/,��
AS TO OWNER: AIDW Ammft
fZ_TARY PUBLIC August 27,2000
SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OAj��
AS TO CONTRACTOR
No ARY PUBLIC
Patdclak""M
Liability Insurance Supplied my COMRAI�slm#CCUM1 EXRRIES
August 27,2000
Workers Compensation Insurance Supplied BONDED THRu TROy FAjN INSUWa,INM
Contractor License Information Supplied
Occupational License Information Supplied 3 7.
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18572 Address: 1062 OCEAN BOULEVARD
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: P arcel Number:
Improv. Cost: QWNER INFORMATION
Date Issued: 7/29/1999 Name: GREGORY, M ARY
Total Fees: 51.00 Address: 1062 OCEAN BOULEVARD
Amount Paid: 51.00 ATLANTIC BEACH, FL 32233
Date Paid: 7/29/1999 Phone: (000)000-0000
Work Desc: REPLACE AIR HANDLERS AND HENT PUMPS
CONTRACTOR(S)
APPLICATION FEES—— 0
A1R__BNG_INEERS_INC.__ PERMIT 51.0
F1-NAL e0ba"s Required
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUIL DING MA TERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
,---MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER ---------
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
Date: 7/29/99 @1 Receipt: 0075719
CHECKS 28091
ATLANTIC BEAC)BUILDING DEPT. 00100003221000
u
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC DFACH
ATLANTIC III&ACH. FLORIDA 1112ASS
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Appl;carit to complete all items in sections 1, 11, 111, and IV,
q I I
Street Addro". tjL1MLe, &ry(1h .
U)CATION A L)d
OF' 0
DUILDING
11, IDENTIFICATION — To be completed by all applicants.
14 C614;Jistolion of parl"it liven for doing the work as described in the above statement we hereby agree to pirform sold work In accordance
with Ilia 4146thpal plant on specifications which wo a port hereof and in accordance with the City of Jaclsonvillo ordinances end itanclardt
61 90041 Practice I;Itod there;".
NSM6 of W646 kal Contractors
a GL or P In V)eer 3
C"*"w jhlof) Master
Massa of
Property orheii
!!$=0 Owner signature of
hoil Agent Architect or Engineer
III. G041AL WFOWMM
Is OTHRR CONSTRUCTION SCING Dome ON
THIS BUILDING ON SIT9 I
13 Gt�—13. LP 0 Nalytel E3 Central Ufft IF Yes, Give Numatilt or CONSTRUCTION
0 Chi
is"*
V4 111110"" IWOWNT TO N Ill"WALLIS HATU
5!"OF WORK
W of caftissinsmts so bed*I this Cr Residential or 0 Commercial
Spew E3 Reuma �= a now 0 Now Building
Co,-WA1,66log: tj itaimsen w-ce" 13 ling 9WIding
D-ici sr"3 Mo ZZ001scoment of existing systern
0 Now Installation jNo sysion previously,installed).
0 Extension or add-on to existing system
0 Other Specify
C"Ung **WC8Pd-s`*f
13 FW,0AWMI Nowbo of 1104&_
0, 1:3 "k 0 boo6ow- INWAWI
TM $PAC$ OCR Offl=
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No.
1�44T-
ILDING
DEPARTMENT OF SU,
ATLANTIC BEACH.
CITY OF
LOCATIOI m I-ON
N f
PERMIT 1: 0.4
�6�jAjL BO
145447
ATLANT
Rdi Ic'! BEACH nol�
------- LE AL '01S,CRIPTION
Block: 3 : Lot Twol 0
FRAME
C On t Rnq
section., 0 subd 0
P-ovoser U*011
AN
subdivi6ioroAn TTC BEACH
U14
t . Va.1
0
ov,. Cost,i"I
p
T ial Fee*1." 30 0,0
-13 0
unt p
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17,
30!,00
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EVARD
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01
10 T0,IN P CTION
NOTICE��INSP �4 HOORS'PiR
ECTI ST BE.REOIJESTED AT LEA$T -
0
NS ,MU
ILDING MATESIALOI�RUBOISH ANDDEBRIS.FROM THIS WORK MUST,fiOT 13E PLACED IN PUBLIC SPACE.,AND MUST BE,
RED UP 4N[b HAU"LEb AW4YBY,EITHFA CONTRACTOR OR OWNER
I N
W CANI
A RE:TO COM LY WITH THEMECHANICS' JEMIA RE41
SULT
OWNERPAYING TWICE
OPT TY FOR'SO LOt"N
T ATI,
cc" 16TO -PROVED PLANS WHICH ARE PART OF THIS,PERMIT AND'susiec TO RE
:1 SUED A N AP
ATION 0 tCABLE PROVISiONS OF L
L AW.
4,
G P MENT
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77'
�42
"'7
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address ;%
D a
Heated Sauare Footage oer Sa
Garage/She6
a f
Carport/Porc q t S
Patio
P
TOTAL VALU7i.T7-ON :
Total Valuation 1st
Remaining Value $ per thousand
or portion thereot
TOTAL BU I T D I NG FEE S
Lj 2,o
+ 1/ 2 Filing Fee Q
Fireplaces @ S15 - 00
BUILDING PERMIT FEE S
WATER IMPACT FEE $
SEWER IMPACT FEE
WATER METERI'TAP
CAPITAL IMPROVEMENT
SEWER TLP
RADON ( HRS ) CO,17��
SECTION H PAVING $
HY-DRAULIC SHARES
CROSS CONNECTION -S
SURCHARGE . 0050 8
OTHER $
GRAND TOTAL DUE
ADDITIONAL PERMITS OR FEES : Mechanical PlumbinQ
Electr-ic/-New Elecr-ric/Temp
_ SwimminaPool
Septic Tank Well Sign_Finish Floor Elevation
Survey_ Other
CALCULATIONS and/or NOTES :
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS
MOVING,DEMOLITIONS
Owner(s) : Mam OATIff, �
Address:- /06 '2- one:
Lot # _� Block or Unit # Subdivision:
Contractor:
State License #
Address: Phone No:
City State Zip Code
Describe work to be done: UAW af
V
Present use of buildi
ncr:
Valuation of Proposed Construction:
Proposed use: ea0j(_ �6v /�-
Is this an addition? If yes, what are the dimensions of the added
space: ft. X P�_ ft. Will the added area be heated and
cooled? New electrical (or increase) ?
_1A --1. 1 _�to
New plumbing fixtures? &� New fireplace?—ALNew Heat/AC?
SUBMIT TUREE (COMdERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING
SITS PLAN, SURVEy, ENMGy CODE FORMS, NOTICE OF COMMVCEMENT, AND
OWNERICONTRACT VIT, IF OWNER IS CONTRACTOR.
IQR�_T.DA
Signature 0 9
Signature CONTRACTOR- -.-- Date:
&I AF
Sworn to ai b= or m his day
-1d of
A
his
"i : ' Z
_e� m
NOTARY PUBLIC STATE OF FLORIDA AT LARGE
MY POWs Ajnftft
Oftanni.-omm,EXPIPIES
ftW 27.20M
RM INN FAR 46PA14CF,
B1015 QQXRDRAILS
B1015.1 GFNFRAL
All upenrlosed Noor and roof openings, open and glazed sides of jaidjng:'�'
and ya''Vs, WeMjes 01 Wry— whivh are Moy" than 30 inches (762 mm) above
finished 9YO"nd level or a floor below shm1l be piot"cted by a gumrdlail .
Guardrails stall form a varl 1 ,ml ptr,V,,I iv, b,, rj,, or less thAn 42 inches
(10(7,7 nlm) lii(jh. Open guardrails bhall have intecmediate rails or ornamental
paLt"rn such that a G-inch �1512. mil-1) diameter sphere cannot pass through aoy
opening, A bottom tail or curb shall be provided that will reject the
pasaagc of a 2-inch iSl rcaa) diamcter sphere. Construction of guardrails
shall be adequate in strength, durability and attachment for their purpose
as describcd in B1608.2.
FYCEFTTONSt
1. Guardrails are not required on the loading side of loading dcaks,
2. Guardrails shall be permitted in conformance with requirements for
spe"ifin nocupanrips in
L
L ll("'A
1� �n� X Li
Un �4 c � 2-Y
Ply iv V- c) 0
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Ae FkeP-&NeW COI)st
V"g Itehor Trin, TOfml
S, CONSTRU c-TiON
A-C ' Ave. At,.Bch.,FL 32233
1174 Bch.
(904)241-2051
A.OANE SAW-YEFk
pfesident M I
_�7
0 NJ
A-"P,p AA"vr' 6EA01
of
MAP SHOWING SURVEY OF
LOW 4, BLOCK 39, ATLANTIC BEACH ACCORDING 'IX) PLAT THEREOF RECORDED IN PLAT BOOK 5 PAGE 64
OF THE CURRFITP PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
IATLANTI C BEACH PARKWAY UNIT 3
P.B. 15, PG. 83 ,BLOCK 2
r FNCI I" I.P. 50.01 (50.35 1 P-I-P) FND. 1/2"I.P.
0.
-_-v
—----- lot
q� *' 0.5
6' WOOD PRIVACY FENCE--/
0 1 L
9--BRICK COLUMN 8 WOOD
In PRIYACY FENCE
I'X I COLU MINIS 8.8'OFF CENTERS)
WOOD PRIVACY FENCE
bl BRICK PATIO IN
CONC.
�3 & TIP
0 Q;
12 1
IRV
0.1 10 IN CONC.
6.7
8.9 "'2Z.4 4.1 5.3 LOT
LOT-3 0
o NZ4
w Lo
8
2-STORY
ni FRAME RESIDENCE 4.1 C\j
NO, 1062
WOOD
STAIRS
8 R ICK PATIO IN
O_3 CONC.
12 1
C.
0 LN
10
*24.4 4 1
'LANOING
0.7
0 - 24.4 R41 16.4
NOTES:
0 NO B.R.L. AS PER PLAT 0-9
2)ANGLE AS PER PLAT BRICK PORC3-8�O
F-
c\j w
w
CONC.
w
w DRIVE
It
F-
ti
FND.1/2"-1.P. .30 FND.1/2"I.P. .25 (100 0.)
(49.65 I.P.-I P)
150.0')
50.0' IUO.35 I.P-f.P.
FND. 1/2"I.P.
OCEAN BOULEVARD
50' (PAVED) R/W
I HFREBY CERriFY Tiwr TH%, PROPERTY SHOWN HEREON LIES IN FLOOD ZONE -C- AS SHOWN ON THE blow
tW.ARD B0kJNDARY MAP MR THE CITY OF ATLANTTC BEACH, FLORIDA.
I lg'J�FBY CERTIFY TO MMMONWEAF,"i !,AND TTTI�F COKPANY AND SFPURITY FIRST FEDERAL SAVINGS AND
LOAN ASSOCIATION 'ITMP T HAVE SURVEYED '111E LAND.S AS SHOWN IN THE ABOVE CAPT10N AND THAT TliIS
MAP IS A TRUE AND CORRECT REPRESENTATION OF 'lliXf SURVEY AND 'nlAT THE SURVEY REPRFSENTED HEREON
NET-.r.'; 'lliE MINIMUM STANDARD REQUIREIVlENTS ADOPTED BY 11M, FLORIDA STATE BOARD OF PROFESSIONAL
TAND SURVEYORS CHAPTER 21-1111 AND Tl-fE FLORIDA LAND TITLE ASSOCIATION.
THIS SURVEY NOI JALID UNLESS
t)FALED WITH. AN EMROSSED SFAL DO N W. BOATWRIGHT,
OF SURVEYOR SIGNED HEREON FLORIDA REG. LAND SURVEYOR No. 3296
SCALE: I,, : 20' BOATWRIGHT LAND SURVEYORS, INC. DATE SIGNED:
DRAWI4 BY: GRISH 1301 PENMAN ROAD SUITE D JAN 20 96
F.B. FILE JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET I OF
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Read-Atlantic Beach, Fl 32233 -Tel. (904) 247-5826
ROOFING PERMIT
7
Permit Number- A19853 Address: 1062 OCEAN BOULEVARD
Permit Type. RE-ROOF ATLANTIC BEACH, FL %-31-2-233;
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: I Subdivision:
Est. Value: Parcel Number:
Improv. Cost: 2,100.00
.1-- all"1010
Date Issued- 4/07/2000 Name: GREGORY, R
Totat Feest 37.513 Address: 1062 OCEAN BOULEVARD
Amount Paid: 37.50 ATLANTIC BEACH, FL 32233
Date Paid: 4/07/2000 Phone: (000)000-0000
Work Desc: REROOF1 _
M A
-20 00 -E70,;�'
AIA ROOFING, INC. PERMIT 37.50
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AN11,1JEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND
MUST BE CLEARED UP AND HAULEDAWAY BY EITHER CONTRACTOR OR OWNER
FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SOBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$37.5014
Date: 4/07/00 01 ReceiDt; 0047728
CHEMS 1137
00100003221000
'tITY OF ATLAATIG BEACH—`—
CITY OF
��oo SE.%flNOLE Ro,\D
ATLANTIC BEACH, Ff,oRfDA:;22:�:�--,445
TE,1,EPHONE 904)2-17,
F,\X 1 904 2 1-,--),�05
S,52-5600
CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" ReoUIRES OWNER/BUILDER TO
ACKNOWLEDGE: THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES:
STATE: LAW REOUIRES CONSTRUCTION TO BE: CONE: BY LJCF-NSE:D COI,17RAC70�S. YOU HAVE: APPLIED FOR A PERMIT
UNDER AN EXEMPTION TO THAT LAW. THE: exemPTION ALLOWS YOU, As THE OWNER OF YOUR PROPERTY, TO AcT -�,s
OWN CONTRACTOR EVEN THOUGH YOU CC 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 $Z5,000.00 OR LESS. THE: BUILDING MUST BE: FOR YOUR USE AND
cccLiPANcy, IT MAY NOT Be BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDiNG YOU HAVE BUILT YOURSELF
W17HIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE: LAW WILL PRESUME THAT YOU BUILT 17 FOR SALE OR
LEASE, WHICH 15 IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE: AN UNLICENSED-PERSON AS YOUR CONTRACTOR.
YOUR CONSTRUCTION MUST BE ZONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR
RESPONSISIL17Y 70 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 17 Is FOR PERSoNAL OR FAMILY
USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANce UNDER $2,CCC) Be UNDER A BUILDING PERMIT A140 PASS
ALL NORMAL INSPEC71ONS. THE onciNANcE s-rA7-ES OWNERS MAY PHYSICALLY 00 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 COMPF-NSA71ON INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS
THE: OWNER. OWNERS HIRING WORKERS BECOME: EMPLOYERS AND SHOULD ALSO OBSERVE IRS W17HHOLDING TAX AND/CR
FORM I C99 REOUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
UNLICFN NDER ANY CIRCUMSTANCES. OWNERS BEING suejEcT
TO $5,C)CO PENALTY UNDER FLORIDA STATUTE No. 455-22-8(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 (P-47-
5826) IF IN DOUBT.
I HEREBYACKNOWLEDGE THAT I HAVE: READ THE ABOVE DISCLOSURE 37ATEMENT AND THAT I COMPLY WITH ALL
THE REQUIREMENTS FOR THE ISSUANCE OF AN CWNF-R-6U ER PERMIT.
7
PROPERTY WNE
'07� UILDER
72
ADDRESS :FF- EPHONE4f/_1
SWORN TO AND SUBSCRIBED BEFORE ME TH
NOTARY PUBLIC
NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES:
ARE EMPHASIZED BY THE allILDING
pWda AM
DEPARTMENT. caossl()N III Maw
WWK Avg 27,20
DEPART141INTOFOUILDIN
�!'WF, Z�-
10
CITY OF.ATLANT
J: '-.....
,5
77 77 !t
------ ------ -
LOCATION INYORMATION
PERM IT INFO ATIO
-:`P Address: 10,62 AN -8010
LFWAD
Oct
TIC- BEACH, �VLORIDA �
p
�'3 2 2 3�3�
ml,t ATLAN
p
ADDITION'' LZOAL DS V
of Wo SCRIPTI.0
Lot Section
co� t,r y e-. WOOD FRAME ,
0
BI tk- 3 9
Township.,L RN04 0,
'PAT
Pro se"t,
C ode
Subdivis-i t OL4 TIC BEACH''
N
ed"Vil 44.00
$30 ' 00
D CK
tdOND FLOO�, 1�' . 11 1, 1 ; I
PEA ,PLANS
1,CA 'JON V�,J$Aa
vw-.4.Ala w
T,I ON P,
PERMIT
NI.
ri 0
-BOULEVARD, OATER, IMPACT FEE to 00
0
CH
FEE $0
;PLO
RADON, GAS H R'.S. $0 .00
ON"
0 0
Pill Ti RADON GAS
CAPITAL 'IMPRO'VE. W 01
a RI*ZP TAR,
ATL
A
"HYDRAULIC SKAI�tg
-0
IS' CONVECTI
i6en �k
Type* .0
$ H IMPACT- �OVV'.
PC
-K!
MS AND FOOTIN SMUS SE INSPECTOD'SEFORE PdIJ#k!*r3
G
--ALL CONCRETE-000 ir
L o
OEp mIT'VOID SIX MONTHS AFTER DATE OF ISSPE�
S040fNG mATtRiAL,R'U ISW6RK MUST NOTSE' PLACED'IN PUBLICSIPAct,ANO MOS r sE
1- WSH AND 0901RISFIROM TH
A 'OUPANO kAULel)AWAY By"EITHER CONTRACTOI 'OR OWNER
Esu,
'W CAN AESU
T14E MECHANIC S' MERL^ WSU JN.
ou
tO OWNER IC IL I M V19MENT
PAYING TW E -oft
ARE.PART'OF THISPEOMM A 0 SUBilECTITO REVOCATIo -FOR
6006446"TO-0 I�IOVE:6.,PLA
N
NS
of: 0 -LAW.
, JCABLEJ� V
A "m $:OF
lift
....... .....
C177 OF ATT�A!KTIC D"E.ACII PERMIT CLLCULLTI011 SUET
Address 6 F
Date It -
Heated Square Footage @ _per sq ft = $
Garage/Shed A per -sq ft = $
Carport/Porch )—@ - per sq ft = $
Deck g -per aq ft =
Patio @ ver aq ft = $
TOTAL VALUATION: $
47IC-0
To luation let $
NV. (4
Remaining Value per thousand
or portion thereof
TOTAL BUILDING FEE $ 7�0
+ 1/2 Filing Fee 10
(c-') Fireplaces 6 $15-00 9 0
BUILDING PERMIT FEE $
WATER IMPACT FEE
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP
RADON (HRS) .0045
RADON (CAB) .0005 $
SECTION H PAVING $
HYDRAULIC SHARES $
CROSS CONNECTION $
(59L,Q4) SURCHARGE .0050 $
OTHER $
GRAND TOTAL DUE $ t�
ADDITIONAL PERMITS OR FEES: Mechanical_; Plumbing
Electric/New Electric/Temp_;SwimmingPool
Septic Tank_ Well Sign Finish Floor Elevation
Survey other_
CALCULATIONS and/or NOTES:
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEHOLITIONS
owner(s) :
Address : (0(.,-'L- 0C-Lnv'--' 3�( L)-(-�' Phone:
Lot # Block or Unit # Subdivision: .d1/AA-1)k1 %- T� gt%LL
Contractor : 56VVAJ
Address: Phone No:
Describe work to be done: -Sp-co'-J-C)
gi� I
-D
0 A-)
Present use of building: JI
valuation of 'Proposed Construction:
Proposed use:
Is this an addition? !�e646 If yes, what are the dimensions of
the added space: -ft . X ft . Will the added area
be heated and cooled? New electrical (or increase)?
New plumbing fixtures? Ile' New fireplace?_:L-_New Heat/AC?
SUBMIT THREE COMPLETE SETS OF PLANS,- INCLUDING SITE PLAN,
suaftev-VqMr=2QPAW' e OF-CeMNBUGENE", AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER S NTRAC OR*
< -C
Signature OWNER: 4A Date: /V 1-51
Signature CONTRAC"':'- 4: !L-C- Date: tt
OW14ER BUILDER PERMIT ArrID4VIT
Stbto of Florida
City of Atlantic Ba,acts
BEFORE ME, the undersigned 'authorlty,
--f- personally hppvarvd
Le�L-I_6g?k�Q:s V--------------- !who' upon fixast b*Arsrj duly
sworn, deponese and says&
---------------
and the legal
owner of th; lollowin p oportys
Subdiviaian
Block Lots '
ANA
I am t.pplyinq for a building 1permit'� pursuant -a is* Owner
Builder exemption oat forth In Florida Statute, Sectio 489. 103,
Florld� low re4uirea that' I 'havo� be on providwd witti. ttov Jollowing
DISCLOSURE STATEMERTs
DISCLOSURE� STATEHEMT
-State law roquirow, conutructioll, to be done by lice I so
contractors. You have applied for at permit under an
�xemption to that low* The exemption allows you, as
the owner of your proporty� ; ' to ' ,lact as your own
contractor even though you do not have a license. You
munt ouperviae the construction yourself, You may
I t I I � % a
build or Improve a one - or wo family residence co
farm outbuilding*: You may,`,alia build or Imprcovo a
commercial building at a co'�ailjlcf 025,,000.00' or lease
The building must be tar your !unw and occupancy, it
may not be built :for sale or loan&* li If you soil or
loaWo more then one bui;dlng ;you have built yourself
within one your after the cons�ructlon In completwolth&
law will presume that you built 4t for sale or loaner
which to a violation of, � this *momption, Your
construction must be done aoccrdLng �,to building co I do*
a# L rt Ajn�
and zoning regulation ycur1r9wpcnxIb1l1ty� to
make nury that people employed by you—have licenses
required by state low and' by' i county or munlcl�ol
licensing ordinances.
I hereby acknowledge that I ha've, read the above DISCLOSURE
STATCHeNr and that 2 comply with oil the requirements for the
issuance of an Owner-Builder permit
Further, bfliant � xoywth not.'
P 'Uperty, wnwr
Svorn. to and subscribod
b;fo me this day
4 o"e
NOTARY' P�QCG"
"Y Commission Expireas
D0noTwP_KAMWL
ATE OF FLOPMA
OW EXP.1/29/94
?;
OWNER BUILDER PERHIT AFFIDAVIT"c"'
�,thtlw of r1orida,
City cof Atlantic B*acts
BEFORE HE, the undersign*d ,�authority, personally &ppworvd
w 0
K-------------- h iuPon 91rat Wing duly
sworn, deposes and oayxs
n- -------------- and the legal
owner of th; gollowl proportys
Subdivision
Block Lots ' 41
AXA
I am rpplying for is building iparmiV pursuant .a low Ovnor
Builder exemption net forth In Florida Statute# SactLo 4419. 103.
Florida law r&quirom that I ,hay*' been providwd vItti, tts& following
DISCLOSURE STATEMEUTs
uISCLOSURE STATEME11T
State law rvquirooiconutructicp� to be done by lice mod
contractors. You have applied 3for !,& permit under an
�Xemption to that low- The exemption allows youo. an
the owner of your property# :, to ! ,'act your own
contractor even though you do not have a license. You
must supervise the construction yourself. You may
build or improve a an* - or� tv ol ' isl residence cor 'l a
I lI I I
farm outbulildthgo! You may,,,Ialso �'build or Imprcov* a
commercial building at 0, costl�fl
.09 025,000.00� or 1*sao
Tho . building must be for your !uno and occupancy It
may not be built for sale or lonswo � If you s*ii � or
looke, more then one bui;ding �you have built your4olf
within one year after the cons�ruction to complatep �the
Inv will presume that you builtlt for sale or less&,
which in a violation of' ' thin *xemptiono Your
construction must be done occo�rdlnglto building code*
and zoning regulations& it Ani your' lrouponsibilityl to
make sure that people employed by you—have liconown
required by state low and � by' county or municipal
licensing ordinances.
I hereby acknowledge that I hive, read the above DISCLOSURE
STATEMENT and that I comply with �oll the requirements for the
Issuance of an Owner-Builder pormit
t
Further, offiant soy&th not.
13sloperty vn*r
Sworn. to and subacribled
bef me this day
al
"er
NOTARi PUSICIC
Hy Commission Expireas
I W00row P_KAW190L
ATE oF FLC*VDA
"kEXPAIW/94
WORCtol N 0 E D
).A
W.
OW14EII BUILDER PERM I T ArrIDAVIT
stuto 01 Flotids
City ol Atlantic Beach
13EFORE ME, the undermIgnWd
�muthorlty, Personally bppvarwd
L21 L'5t:! K-------------- who upon fixast b*irsu duly
sworn. deposes and wayss
------------- and the legal
owner of th; 1011owinO proportyi
Subdivision
Block .......L Lots . .1
ARA
I am rpplying for a buAldingiparmit1pursuent .a low Owner
Builder exemption met forth In Florida Statute# Sectio 489. 103.
Florld�a law requires that I havo' bwan provldvd with, tho XollawAnq
DISCLOSURE STATEMEHTs
DISCLOSUREISTATEMENT
-State law raquir*miconutructlon� to be done by llceim*d
contractors. You have applied for ':a permit under an
exemption to that low. The exemption allows you# &a
th.- owner of your proparty; � ' to act an your own
contractor even though you do not have a licenmr. You
must supervise the construction yourself* You may
build or Improve a an* - orl' t4o family rosid*nce c&� " a
� I I
form outbuAldingo' You may:,�s no 'b'U'lld or I:prcPv* a
commercial building at a costIc�11.of 025,000. 00 r lasso
The building must be tar your !uno and occupancy it
may not be built gar sale or loano* � If you mail. or
lw&Wo more then one bullding �ycu have built your4elf
within one your after the constru'ction In complatap �th*
Inv will promumo that you built It for sale or loan&.
which In a vlolotion of lth to exemption. your
construction must be done ooccrdlng�'to building codes
and zoning regulations* It A'n1your !r&xpcnxIbilIty� t*
make sure Vint people employed by you--have, licanows
required by state low and by county or municipal
licensing ordinances.
I hereby acknowledge that I hs'vo� reod the above DISCLOSURE
STATEMENT and that I comply with all the requirements for the
Issuance of an Owner-Builder permit
Furthero offient mayoth not.
t
Plop_;rty, vn*r
Svorn to and subscrib&d
me this y
t)Vto do
NOTARY PUSIFIC
fly Commission Expires$!
Dororw P_KAMSOL
ATEoFFLCADA ,
1 4
i ocmK EW.1/29/94
J
&(RxtC)N 0 E D
MAP SHOWING SURVEY OF
LOT 4, BLOCK 39, ATIM"IC BEACH ACCORDING TO PLAT THEREOF RECORDED IN PLAT BOOK 5 PAGE 64
OF Tim CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
IATLAN TIC 13EACH PARKWAY UNIT 3
P.B. 15, PG. 83 ,BLOCK 2
0.1 C FNO 1"1.P. 50.0' (50.35 I-P-I.P.) r FND. 1/2 1.R
<
'-0.5 0.5
6' WOOD PRIVACY FENCE.,)
--BRICK COLUMN & WOOD
PRIVACY PENCE
(I'X I'COLUMNS 84OFF CENTERS)
WOOD PRIVACY FENCE
Tlsl�
W! 13RICK PATIO IN
III
0.3 CONC. N,
0 1]-afl;�K PATIO IN-CONC.
.01 i .
24.4 Z, 6.7
4.1
LOT3 - pi 3.3 -0 L 0 T,,j
0 N'j".... ..'.
tc) 2-STORY
c%j FRAME RESIDENCE 4.1
NO. 1062 veu.) Deck
W! WOOD
STAIR' S Ff'f.'f F-Vuvy\ 06"
ING
0.7
0 24.4
NOTES: 'n 4.1 r-by. 6c,5f
1)NO S.R.L. AS PER PLAT ..... 0.9
2)ANGLE AS PER PLAT <79 BRICK POR0
w
600k Pk*fw+jLiw,
w CONC.
w
cr DRIVE
0
0 150.0,) FND.1/2".1'.p. 900 FND.1/2"I.P. ��O.zs
49.65 I.P.—I P) ---A
100 0')-
50.0 (IfjO.35 I'p-I'p
FND.I/a*I.P.
OCEAN BOULEVARD
50' (PAVED) R/W
t
I HEREBY CERTIFY TIiNr THP., PRc)pErriy sHOWN RERMN LIES IN FLOOD ZONE "C" AS SHOWN ON 11LE �JOOD
IMARD BOUNDARY MAP FUR ME CITY OF ATLAMIC BEACH, FLORIDA.
I H&MBY CERTIFY TO COMMUNWE-4J,"i LAND TITLE ". PANY AND SFr.URITY FIRST FEDERAL SAVINGS AND
LOAN ASSOCIATION 1111N.P i MVE SURVEYED '111E LANDS AS SHOWN IN THE ABOVE CAPTION AND THAT THIS
MAP IS A. TRUE AND CORRECT REPREsimATIoN OF 'lliAT SURVEY AND THNr THE SURVEY REPRESENTED HEREON
MEF.-I%,' MIE KINIMM STANDARD RWUIRMMIWrS ryr- BY E FLORIDA STA , OF PROFESSIONAL
AM) CD TH TF BOARD
IMD SURVEYORS CHAPTER 21-Hil AND TI-IE FLORMA LAND TITLE A.SSOCIATION.
A
THIS SURVEY NOI VALID UNLESS IN-
SFALED WITH AN EMOSSED SEAL
OF SURVEYOR SIGNED HEREON D N W. BOATWRIGHT, L.
lot FLORIDA REG. LAND SURVEYOR No. 3296
SCALE:— 201 BOATWRIGHT LAND SURVEYORS. INC. DATE SIGNED: I
D W� I� JAN 20 'Rr.
RAWN BY: riRlau 1301 PENMAN ROAD SUITE D
OF
F.LB. #: F16E JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET
MAP SHOWING SURVEY OF
LOF.r 4 BLOCK 39, A7LAN`rIC BEACH ACCORDING TU PLAT 7`HEREOF RECORDED IN PLAT BOOK 5 PAGE 64
IOF THE cuRRFNr PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
ITLAN TIC BEACH PARKWAY UNIT 3
P.B. 15, PG. 83 ,BLOCK 2
FND 1"1.R 50.0' (5o.35 P-i-P) K_FND. 1/2 1.R
'10.5 0.5
6' WOOD PRIVACY FENCE-)
�-BRICK COLIJIJIN & WOOD
PRIVACY FENCE
I VX I'COLUMNS&W OFF CENTERS)
to
WOOD PRIVACY FENCE
W! OR ICK PATIO IN
c; 0
0.3 CONC.
12.1
0.11.48111"i�K'PATIO IN71CONC.
8.9,
24.4
4.1
LO TZ - Jj LOT 5
0
t6 R
?_S u')
TORY
FRAME RESIDENCE 4.1
NO. 1062 —
--WOOD
STAIRS (VO"
0 10-LANI ING
y 0.. 24,41 4.1 Id.4
NOTES: In
1)NO B.R.L. AS PER PLAT 1-i 0.9
BRICK PORCH!
2)ANGLE AS PER PLAT f7q
Ito Fec+ pgan—
w
w CONC. 60uik Pkofav�Liw, W
0 DRIVE
10
-c
FND.1/2" 900
F ND.1/2"I.P
150.0) 49.65 I.P.-I P)
(100.0
50.0,
F No.In"I.P.
OCEAN BOULEVARD '
50' (FAVED) R/W
I HEREBY CER`rIFY 'IMr T�% PROPERTY SHCW.N H.EJRa)N LIES IN FLOOD ZONE "C" AS SHOWN ON ITIE kIAM
IWZARD BOUNDARY MAP FOR THE CITY OF ATLANTIC BEACH, FLORIDA.
I HEREBY CERTIFY TO COMIMEAL'"I I.,ANJ) TTTIX ". PANY AND SFr.URITY FIRST FEDERAL SAVINGS AND
LOAN ASSOCIATION '11INP T HAVE SURVEYED T11E [ANDS AS SHOWN IN '111E ABOVE CAPTION AND THAT THIS
MAP IS A TRUE AND CORRECT REPREsENTATioN OF '111AT SURVEY AND THAT THE SURVEY REPRESENTED HEREONI
MFZI'.S' THE KINIKIM STANDARD REQUIRMWrS ADOTYMI BY THE FLORIDA STATE BOARD OF PROFESSIONAL
6W) SURVEYORS CHAPTER 2141111 AND TIlE FLORIDA LAND TITLE ASSOCINPION.
THIS SURVEY NOI 'JALID UNLESS
SFALED WITH AN EMBOSSED SEAL
OF SURVEYOR SIGNED HEREON D N W. BOATWRIGHT, L.
FLORIDA REG. LAND SURVEYOR No. 3296
SCALE: I" s 27
BOATWRIGHT LAND SURVEYORS, INC. DATE SIGNED,:
- JAN 20 'AG
LDRAWN BY: GRISH 1301 PENMAN ROAD SUITE D
t. I i
13. s . _ F16E SHEET OF
F.B. JACKSONVILLE BEACH, FLORIDA 24 1-8560
MAP SHOWING SURVEY OF
L,OT 4, BLOCK 39, ATLANTIC BEACH ACCORDING TO PLAT 711EREUF RECORDED IN PLAT BOOK 5 PAGE 64-
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
IATLANTIC BEACH PARKWAY UNIT 3
P.B. 15, PG. 83 ,BLOCK 2
0.1 rFNO 1"1.P 5 0.0' (5o --s 5 p-1-p-) rFND. 1/2"I.P
y --
"o.5 0.5
6' WOOD PRIVACY PENCE-)
--BRICK COLUMN & WOOD
PRIVACY PENCE
X
4 1' I'COLUMNSS.0'OFF CENTERS)
- j
0
p
a mk�A\%G Wr
WOOD PRIVACY FENCE r
,,,\11 �A
V! BRICK PATIO IN
in
0 -013 CONC.
.BR CK PATIO IN C S.
O--NC. ':'::., )., x
8.9" 24.4 4.1 LOT 5
in 5.3
LOT 3 -0
0 N%j "��-.1'-,�'.*I
!j z m 1'.
2-STORY 2.a
c%j
FRAME RESIDENCE 4.1
NO. 1062 'Deck VI,li e-
K�! 'WOOD
r STAIRS Fcef F-04,yk 0,09h-t"i-
in
WOC
STAI
v4.4
CLAN ING
4.0 24.4
A
In 0.9
NOTES: .4 01
1)NO B.R.L. AS PER PLAT BRICK PORCH- 8-0
2)ANGLE AS PER PLAT --- .0 Ftieh p1lar— L5
CONC. 6outk Pkop&v�Liw,
w
DRIVE
w
0 0
FND.1/2".I.P. FND.1/2"m- 1��O.2
(100.0)
—t 150.0') .1,49.65 I.P.-I PA
L 1 100.3 5 1.P.-I.P.I
50.0'
FNO.I/&*I.P.
OCEAN BOULEVARD '
50' (FAVED) R/W
I HEREBY CERPIFY THAT THE PROPERIT SHCWN RMEON LIES IN FLOOD ZONE "C" AS SHOWN ON THE PIWD
HAZARD BOUNDARY MAP FUR 711E CITY OF ATLANTIC BEACH, FLORIDA.
I HEREBY CF.RTIFY 70 C0114OWEAL'"i LAND TITLE COMPANY AND SMURITY FIRST FEDERAL SAVINGS AND
LOAN ASSOCIATIoN quNr T HAVE SURVEYED THE LANDS AS SHOWN IN TliE ABOVE CAPTION AND THAT THIS
M&P IS A TRUE AND CORRECT REPRESENTATION OF '11tAir SURVEY AND THAT THE SURVEY REPRESENTED HEREON
MWNS 711E KINIKIM STANDARD RI3IJ)UIRMW- rS ADOPTM- BY THE FLORIDA STATE BOARD OF PROFESSIONAL
LAND SURVEYORS CHAPTER 21-Hil AND 711E FLORIDA LAND TITLE ASSOCIATION-
AL
THIS SURVEY NOI 'JAL ID UNLESS
bEALED WITH AN EIVIROSSED SEAL
OF SURVEYOR SIGNED HEREON DOWN W. BOATWRIGHT, L.
FLORIDA REG. LAND SURVEYOR No. 3296
lit DATE SIGNED:
SCALE: 20'- BOATWRIGHT LAND SURVEYORS, INC. JA N
DRAWN By: GRISH 1301 PENMAN ROAD SUITE D
SHEET OF
F.B. ULE JACKSONVILLE BEACH, FLORIDA 24 1-8550
FOR OFFICE USE ONLY
DEPARTMENT OF BUILDING
Dat 10 19�7x
CITY OF ATLANTIC BEACH, FLORIDA
Permit tAe�e
d
#A
Valuation $ VrV,
Application for Permit for
HOUSE 0
Miscellaneous Alterations,
and Repairs
ZE§CRIB4: /1
(State if to kepair,Vaiter, add to or move building, erect' awming8j"
signof etc.
�; Butlding on; Lot No.r. Sub.Div.
Blk N
Valuation �0
O"ne. .5 N 4&42204 Me
rs
61'...-1.1 11
BUILD114GS AND OCCUPANCY
�Buildi:n Use Residential or Businesk�
;'What Plfjmbing work to 'be done?
,�Size of Present Bldg. o? WREinsion Lot Site_.
�-Uo
of stories 'now after alterek_Material of roof
'Material Pres
of ent Building , terial of Exten4on
—Ma
X8qK8 ARY PbMS TO BE SUBMItLED, HEREWI
�TH
OIL BURNER OR GASOLINE SOUIPMENT
"Name of Oil Burner or Gasoline P
UmP.Type or Model
,,,,Name and Address of Marsufactur
�:Zx coniqection herewith,, application is also made to in;t'alj:
,:gal. capacity tank(a) made bY of
ouhdo
zind 9-r
(Name of Manufacturer) (Und--4r or Above)
mier 'ot 'Above)
of building. F
or
FEMEF),
(Thsidg7k Mfi0e) (game of PUr
FUMSHDRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE 6F
TJ41S BLANK
SIGNS
�'Size Classification
(State whether� ground, ro5r, wall, pro3ectifigBliiijer)
,Material ofConstruction.
��,:ElluminatedZ.Type 'of illumination
-9 or We5n)
(!;ta,td Oeffier r,Wp
Vill sign be over public property?
SU& _LNG SHOWING CONS UCTION 'OP SIGN.M� METHOD 0
RRAW _
HANG NG
�EITE ADDITIONAL INFORMATION BELOW
(FOr Canvas awnings provide di'
mensioned drawing, $x reverse side)
IM&AVI Tilt-'
,1MPORTANT NOTIqF
In consideration of perm?V�gTven for doing the work as described '
in the ab
qve statement, , we hereby, agree to perform said work in
4ccor-dappe-with the attached plan'
s and specifications, which a�re a
v Ono
-0
art her, and . in accordance with the building regulat
of -1an. x�.�-Seach. ode)
(southern StArAgard Building C
S' ignature��20f, Build or I or-:,.Owqe
A
ddre. <57
OCA&I ----...;Phone No.-,
CITY OF
716 OCEAN BOULEVARD
P.0.BOX 26
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2396
CATION FOR TREE REMOVAL PERMIT
DATE
Applicant
NAME
ADDRESS e4ST 1-0-r .3-7
Owner
NAME
ADDRESS
Location of tree i-f different from owner' s address :
Reason for Removal !
Rear Lot Line g72
indicate
possition of JUN 2 2 1988
4J 4j
tree on 0 0
lot d Zoning
Building an
L /
Front Lot Line
Building Official
CITY OF ATLANTIC, BEACH ' FLORIDA
A
4y AMICATION IFORAILICTItICAL PERMIT
A
*0 THE CHIEF ELECTRICAL INSPECTO DATEO'
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
EREBY AGREE,TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
HICH ARE A PART HEREOF,:ANOX'ACCOR-DANOWITHTNt ELECTRICAL REGULATIONS, CODES,AND CITY OF
LANTIC BEAC14 ORDINANCES'.
�'Rtck-AL p
%gMICAL fl!tm-: mamll ILECT*IC
OAME n&t�,Jig- E=P-'%XQL ADDRESS:
4 RFIX-----BOX
OLDG.$IZE BETWEEN: L)is
as.m" APT.( I COMM. PUBLIC INDUSAl 'NEW OLD R9W.I I
A'OMTION Il TRAILER TEWi I SIGNS I SO.FT.
*ERVICf:- ,:- NEW,( l*CR9A$E I REPAIR FEE
AMPS 2,00 copplu�t AkU_M.&4
AMPS PH W 2-40 VOLT CA4,ug, &AgMy,
W VOL
RACEWAY
�"F
FEEDERS NO. SIZE
NO., size,, , No $1.7
QHTING OUTLETS CONCEALED OPEN
TOTAL
jtqMACLkS, CONCEALED IOTAL
0-30 A104.,
tw
ITCHEW
LUORmclurai M.V.
0-1,00 AMP$. 0
vall
tPLIANC9 BELL TRAXSF�
H.P.RATIN' P.PATINO -2z-,e�
Oul"a 'coov.MOTOR, OTHER MOTOR$ AM -HEAT
lKW
N ilK VOLTAGE pHs
-*TOR$ ,-:tip,: 0 TAG
S
MISCELLANEOU
Z
TAANSFORMERS: UNDER 600 V.
ovgtew V.
NO. , NO. lKVA
FLASHES'
MOTOR,",
NEON TRANSF
CH SIGN,
FORWARDED
A,
L
TOTAL PeEs
f
e..Ww�
WK-71- FOR OFFICE USE ONLY
Date.-.--,Y'/ .................197f
Permit #_Z41nalf....Fee$... ...
CITY OF ATLANTIC BEACH Valuation n. ......................
FLORIDA House .....e;�............
X-4 P)_a ......................
-------_-------
.... .....
APPLICATION FOR BUILDING PERMIT ...........................................................................
---------------------------------------------------**-------------------
Application is hereby made for theapproval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified. Date.... .........../_5/---------------....................
A�_ '�9 '.� "I .....f.514
Owner__N)t6__&(r�.---1Y.0.0.44- ........-------------------_Address---A?A�- --- ------- ��-,PAe_4�Telephone No._AA�.-&4
Architect... ---_----------__ ......................Address,..._.......— Telephone No.........................
JV.............................--------------- --------*------------- --------------
Contractor Builder---elr---Ac- W-------a...........11---1,-& -
C'* ---------------Telephone
-Address.-.,,/-- -------
LotNo--------------------------------------------------Block No---------- ------------Sub Division-------------------------------------------------------------------------------Zone---_-----------
-.................--------------------------------------Street--------------- -------Side Between......---------------------------------............and......................................................St$.
Valuation ---------For what purpose will building be used.----- ------------------------_-----Type of construction.................................
Dimensions of Building---------------___--------___....Dimensions of Lot_ ............--_-------------------....... ....Size of Footings----_------.............-........
Size of Piers._----------------------------.-.Size of Sills---------- ------------------Greatest Sill Span in It------- -----------Type Roof-.....................................
How will Building be Heated?-.---------- -------------------------------------Will Building be on Solid or Filled Ground?-.-.........................._--------
Size of Ceiling Joists.---_-----------------__-------........ Distance on Centers----...... ..............................., Greatest Span-----------------......................... P?
Size of Floor Joists.-----------------_------------------------.,Distance on Centers.......... ................................. Greatest Span-----------..............................1. po
Size of Rafters------------------------------------------------ Distance on Centers... .... ..... .......... -------------, Greatest Span._....... .......................... it
This rectangle is to represent the lot.
0 4 rz Locate the building or buildings in the
lame" tv 19 right position. Give distance in feet from
all lot-lines and existing buildings.
'V -FL, W'd-A REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
RD
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns ani,
VAR 16 1979
A p P R C)V E D
3. When steel is in place and ready to pour beam. CITY OF TLANTIC BEACH
4. When framing is completed. SUI ING oFF1
5. When rough plumbing is completed,and ready to covecW OF ATURNTIC BEACH 2
14
6. When septic tank drain field or sewer is laid but before it is covered. R
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City of a Beac
r..-.—
.. .........
Signature of Builde .......................... Address- ..........A1,01
............ ..........
Signatureof Owner---------_----------------_------_----_------------- --------- Address...................................................---------_-_-......................
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO. 4038
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
D te 4/18 .19 79
Valuation 3,000 Fee$ 13.00
This permit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of law-
This is to ceirttify th Xred We. Mills General Const. Co.
has permission to build remodol 2 bathrooms - no structure
chames.
classifieati,r, residential ____Zo e
Ownedby Mr. & Mrs. HaDk Stevens
Lot Blo S/D.
House No—1062 ocean Blvd.
According to approved plans which are part of this permit
NOTICF—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
x
4— 0-0. 4-10, 0 Building material, rubbish and debris
Z from this work must not be placed in
public space, and must be cleared up
and hadled away by either contractor
or owner. t3*1. 0 TL
Bill
FOR OFFICE PERMIT DATE CONTRACTOR G Uc I
USE ONLY NUM13ER
PLUMBING
ELECTRICAL
SEWER
WATER
11/25/81
City of Atlantic Beach
Atlantic Beach, Florida 32233
RE: 1062 Ocean Blvd... Atlantic Beach, Florida
We purchased the above property in June, 1974. It was determined to be single
family zoning with duplex status grandfathered in, per records of Board of
Adjustment Meeting of July 22, 1974.
We have maintained it as such at all times since.
,Joanne D. Stevens, Henry MI Stevens,
,�Pwner Owner