Permits 867 Ocean Blvd (vault) 000510
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
- ' RMIT INFORMATION ------ ..-.. _•. - --
,`�"` " . ��• CATION -------
Ps►r* Numbers 510 � YARD
Permit Types ELECTRICAL A� ` � 019ACK, FLORIDA 32233
C1400 of Warks NEW -----.., --- LAQAL 01011111MIPTION ----------
Constr. Types H/A Lat s #looks Section:
Proposed Use: SINGLE FAMILY Plot1, Page: O
Dwellings: O Code: ur
Estimated Value: *0. *X XWMATIOW --- - =',�#-+✓
Improv. Cost: so-do *000, CAVI I ry
Total Fees: *0.00 A ll ' *#V * SOULEVARD
Amount. s d: *0.00 Aft—AW ,C ER, FLORIDA 32233
Dattlr ` "014'.
Work Dvj30. :' 4OOAMP8 IPH 3W 230 VOLT/V*CAI 'URS '"R*sy PERMIT
------- - T,RACTV*tS) -------- WAIT $I
Y.Y iFi
AT so. op
twACT flu
►,� 0
so. do
RAS GAS - 3X *0. 00
WATER TAP *0. 00
NEWER 'FAP *0. 00
HYDRAULIC SHARE *0.00
RE-INSPECT FEE *0. 00
ENGINEERING *0. 00
OTHER *0.00
NOTES:
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
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 IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANT H BUILDING DEPARTMENT
B .
JOB COPY
CITY OF ATLANTIC BEACH, FLORIDA
Approwd by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCO NCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: f� v 6EL�CTRICIANS NATO
NAME �,` J1_ \ C�C�x .'yt� ADDRESS: =�c��I oC'2a.k �JSLJJ _RFD__�____ROX
BLDG.SIZE BETWEEN:
RES.(9 AFT.( i COMM.( I PUBLIC( 1 INDUS. ( 1 NEW(� OLD( ) REW.( )
ADDITION( ) TRAILER ( ) TEMP,( ) SIGNS ( ) SQ.FT.
SERVICE: NEW( ) INCREASE ( ) REPAIR ( ► FEE
CONDUCTOR SIZE '`-i' AMPS COPPER I I ALUM.
SWITCH OR BREAKER AMPS PH W a OLT CbLARACEWAV G
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, OVER
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP,MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
0
0.1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. lKVA
NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
aOD
TOTAL FEES '
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OF ATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORK SHEET
Date Requested : December 3, 1987
Building Contractor: Carlson and Company
Building Permit Number: 8428
Address: 867 Ocean Boulevard
Legal Description : A Part of Hotel Reservation
Improvements to the above described property have been completed
in accordance with the terms of the permit and is certified to be
ready for occupancy as
Multi-Family
Lowest Floor Elevation: XXXXX
---------- ---------- ----------
required as built n/a
Sales Tax Certificate:
-date submitted
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY:
Fire Chief
Public Works 12/3/87
Planning Director87/ /
--12 3
Building Inspector 12/3/87
---------------
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OF ATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORK SHEET
Date Requested : December 3, 1987
Building Contractor: Carlson and Company
Building Permit Number: 8428
Address: 867 Occan Boulevard
Legal Description: A Part of Hotel Reservation
Improvements to the above described property have been completed
in accordance with the terms of the permit and is certified to be
ready for occupancy as
Multi-Family
-----------------------
Lowest Floor Elevation: XXXXX
---------- ---------- ----------
required as built n/a
Sales Tax Certificate:
date submitted- -
4 -
�y j Jy
CITY OF ATLANTIC BEACH
sly,
800 SEMINOLE ROAD
r = ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
i
i
t
Application Number . . . . 06-00033924 Date 9/18/06
Property Address . . . . 867 OCEAN BLVD
Application type description PLUMBING ONLY
Property Zoning . . . . . TO BE UPDATED
Application valuation . . . . 0
-------------------------------- --------------------------------------------
Application desc
repipe/9 fixtures
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
FRIEDLINE ASAP PLUMBING CO
867 OCEAN BLVD. SD SERVICES OF JACKSONVILLE
ATLANTIC BEACH FL 32233 P. O. BOX 16631
JACKSONVILLE FL 32245
(904) 994-6440
------------------------ -----;----------------------------------------------
Permit . . PLUMBING PERMIT
Additional desc .
Permit Fee . 98 . 00 Plan Check Fee . 00
Issue Date I Valuation . . . . 0
Expiration Date 3/17/07
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 98 . 00 98 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 98 . 00 98 . 00 . 00 . 00
f
f +
+
PERMIT IS APPROVED ONLY IN ACCORDANCE wnu ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
t" PLUMBING PERMIT APPLICATION
%' r1
„r
Date:
Property Address: F,,o 7 Q C
Owner: lticli,,44 rc;�D.�,'„�� Telephone#:
Contractor: _5".9'p Op'4KrK17;,s Telephone#: 5 y-6yyo
Contractor Address: 'Fax#: 3S'6-C,77""
In consideration of permit given for doing the work as described in the above statement,we herebv agree to perform said work in
accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed therein.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: if other construction is being done on this building or site,
❑ New list the building permit number:
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains _L Washing Mac-hine
Lavatory Water
Sewer Water Heaters
Other
Fees
Permit Issuing Fee: $35.00
Total Fixtures: X $7.00 + $35.00=
800 Seminole Road-Atlantic Beach, Florida 32233-5445
Phone: (904)247-5800. Fax: (904)247-5845- http://www.cl.atlantic-boach.fl.us
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
f ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00033991 Date 10/04/06
Property Address . . . . . . 867 OCEAN BLVD
Application type description RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4770
----------------------------------------------------------------------------
Application desc
HURRICANE SHUTTERS
-----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
FRIEDLIN HIGHTOWER GEOTECHNICAL SERVICE
867 OCEAN BLVD. ROBERT D. GAMMIE
ATLANTIC BEACH FL 32233 P. O. BOX 330466
ATLANTIC BEACH FL 32233
(904) 246-9934
----------------------------------------------------------------------------
Permit . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 55. 00 Plan Check Fee . 27 .50
Issue Date . . . . Valuation . . . . 4770
Expiration Date . . 4/02/07
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- -- ------ ---------- ---------- ----------
Permit Fee Total 55 .00 55 . 00 .00 . 00
Plan Check Total 27. 50 27 .50 . 00 .00
Grand Total 82 .50 82 .50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUUMING CODES
NOTICE OF CO11IIM.ENCENIENT
State of =1, P,vt,t 43 A Talc Folio No. J-702-34P-001'7-
County
7023lp-001'2-
County of h u V A
To Whom It May Concern:
The undasigned hereby informs You that improvements will be maw to cerin real FvpertY,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF CObWMCEMENT.
Legal Description of property being improved: s' - 69 16 - 2 S -4q i �Q 49 ?7
WoTr�rt , Nerc- U - V/ R les—lo - 11 +
Addr
es to - 11 `1-
Addr ess of property being improved: _ (o--T 4:1)e e A v,; 3`v J "la 13 e�c ,
Genal demon of improvements: N-u r r e t_A&e.
Owner: �_'RR�a C)L i ^3 Vl e>+va�A S Address: V667+ e U�F AyU C3LV p
Owner's interest in site ofthe improvement: Ft,e-Stvun(2
Fee Simple Titleholder(if other than owner):
Name:
Contractor.
Address'__31 r-> M eA.0, Dr. Aha,�,,,•tfc, &-ci,e4, Fie... 1x-7_3:;6
Telephone No.: goq-g&Z—Coe 14 A Fax No: 504-2-11-3 z 1-`1E-
Surety(if any) A,/A.
mss: Amount of Bond S
Telephone No: FaxNo:
Name and address of any person making a loan for the coon of the improvements
Name: nJ�rt_
Address•
Phone No- FaxNo:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be
served Name: ,v
Address:
Telephone No. Fax No:
In addition to himself, owner designates the followmg person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address: 1
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
TMS SPACE FOR RECORDER'S USE ONLY OWN Q
Signed:
Before me h day the of Duval,State
t?f Florida,hat personally appeatM `
Doc#2o06336828,OR BK 13544 page 397, Notary Public at Large,Stade of Florida,County of DuvaL
Numb pages:1 My commission expires:
Filed&Recorded 09/26/2006 at 03:47 pM, Personally Known: or
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Produced IdeodificationNOTARY PLUM.
RECORDING$10.00 Sue Ann Winter
Commission#DD456824
Expires: SEP. Ol, 2009
r�riAir�J
: CITY OF ATLANTIC BEACH
} Si
PLAN REVIEW SHEET
Routed-to--
S
i�
_ S.Makowsk'
Building Department Public Works&Public Utilities Departments
800 Seminole Road 1200 Sandpiper Lane S.Doerr
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 R. Carper
(904)247-5800 (904)247-5834 D. Kaluzniak
(904)247-5845 Fax (904)247-5843 Fax Public Safety
PLAN REVIEW COMMENTS
Permit Application# (p ' '39
Property Address:
Applicant:
Project: lT/ ! 71 Jh,�f45
This permit application has been:
Approved as noted by the Department.
Final application approval must come from the Building Department.
F-1 Reviewed and the following items ed a ention:
tai'r
A16
PV y� m QFp�GE
ev 6
o�
Please re-submit your application w en these items have been completed.
/ /��°/v'" 1 9
Reviewed By: Date: b4/0
Date Contractor Notified:
,S
CITY OF ATLANTIC BEACH
n,
WINDOWS,SKYLIGHTS,GARAGE DOORS,HURRICANE SHUTTERS
Date:
Please submit(2)complete sets of plana with application.
qPp ,OVED
kTLAJob Address:__ lbw} o G O-A fu 3 Ly� (a T "AN r k c a c,4 C L-1 �ITYBO ILDNGNACH
OFFITIC CE
Owner: r-VZ k "I N ti y1�t'N VJ R S
Address: Rs 4-f3 o U� Phone:
Legal Description: Block Number: Lot Number: Zoning Dispt:
Contractor: c;r Gto�-ezt tti. Su�TAjc, State License Number: 5 ACA
Address: 3(5 SNI ec&,., `O r`, Phone:
`
City: �t o". �c. vd-e�CA' State: F-l- Zip: 7i Z-2--3 3 Fax:_gOtf-d-41-'��L'} Ar
Describe proposed use and work to be done: W u r f c a vo e
Present use of land or building(s):
Valuation of proposed construction: _ 4� 47 6
Is approval of Homeowner's Association or other private entity required? Nyes,please submit with this
application.
Required Building Data:
Mean Roof Height (ft) Building Width (ft) Building Length (ft)
Roof Slope Window Height (ft) Window Width (ft)
Window Elevation from Grade (ft)
Measurement from corner of building to window (ft)
Number of windows being installed
Mean Roof Height
� I �
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 - Fax: (904)247-5845 - http:#www.cLatlantic-beach.fl ns
Page 1 Revised 1!27/03
Procedure: In order to expedite issuance of permits provide all Information as appropriate. Incomplete applications may
result in delay in issuance of permit.
In addition to the building data,the following information is required:
1. Product approval for all (FDC 2004)
2. Installation Procedures
3. Window Description/Type
4. Garage Door Description/Type
5. Skylights Description/Type
6. Hurricane Shatter Description/Type
7. Elevation View of Window Locations
I hereby certify that all infbrr=qjLMvided with this li on
Signature of Owner. I
Date:
I hereby certify that I have read and examined this application and know the some 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 Contactor: Date' � `?'' j7a�(o
Address and contact information of person to receive all correspondence regarding this application(please print).
Name:
Mailing Address:
Telephone: Fax: E-Mail:
AS TO OWNER
r
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval
Notary's
Personally known NOTARY PUB STATE OF FLORIDA
ue Ann Winter
❑ Produced ideatificati n Commission#DD456824
Type of identificatio
Bonded Thou Atlantic Bonding Co.,Inc.
AS TO CONTRACTOR
Sworn to and subscribed before me this day of ��-C ,20 ,,r�-
State of Florida,County of Duval
Notary's S'
DIANA MARIELEBWrC
MY COMMISSION S DD 366335 [ Personally known
sm i EXPIRES: tuber 27,20008 ❑ Produced identification
ftWedThru'
Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 • Fax: (904)247-5845 - http:#www cLatlantk-beach.fl.us
Page 2 Revised W7/03
r ' �
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�
�,ITY OF ATLAf�TIC BEACH ;ilY OF ATLANTIC BEACH
g�ILDING OFFICE BUILDING OFFICE
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om Horne i Log In = Hot Topics ? Submit Surcharge Stats&Fads j Publications FWStaff ' BQS S*e Map ', Lin
4!7 Product Approval
USM: Public User
Product Approval Menu >Product or Application Search >Application List>Application Detail
APPROVED
FL 116085 p4 ATLANTIC BEACH
New
Application Type
BUILDING OFFICE
Code version 2004 D�j Q 2006
.11tpliess = Application Status Approved
• , Comments
rlxuAr �y
aac ,
Archived r
FlCMRICW
Product Manufacturer Town and Country Industrie&, Inc.
- -= Address/Phone/Email 400 West McNab Road
Ft. Lauderdale, FL 33309
- (954) 970-7700
tomjOtc-alum.com
*fl tttl�tdLltt!K A�ICE�
• ou'r sEcRETAft' Authorized Signature John W Knezevich
. jwknezevich@2ithettgroup.com
•yWRAsSISTAiveE
Technical Representative
- Address/Phone/Email
"OUR °" Quality Assurance Representative
'DCA EMPl y-
SERVICES Address/Phone/Email
Category Shutters
Subcategory Accordion
Compliance Method Evaluation Report from a Florida Registered Architec
Licensed Florida Professional Engineer
r Evaluation Report- Hardcopy RecelVed
Florida Engineer or Architect Name John W. Knezevich
who developed the Evaluation Report
Florida License PE-41961
ittpWfloridab>uRding-orglps/p�appy x?P Qv�'tUgvF .c1m1 1VV$UGgmZII3i1e2p�O6... 7/19r7om
;049 college street
Quality Assurance Entity National Accreditation and Management Institute
Validated By ORLANDO L. BLANCO, P.E.
Certificate of Independence
Referenced Standard and Year (of Standard Ye,
Standard) TAS 201, 202, 203 19S
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 12/30/2005
Date Validated 01/05/2006
Date Pending FBC Approval 01/09/2006
Date Approved 02/07/2006
Summary of Products
FL 11011odel, Number or Name IDescription
6085.1 16.8 and HR Accordion uminum Accordion Shutter astem
Limits of Use (See Other) nstaliation instructions
Approved for use In HVHZ: Verified By:
Approved for use outside HVHZ: Evaluation Reports
Impact Resistant: PTID 6085 T 05-596 DWGs 68-HR 1-
Design Pressure: +/- PTID_6085 T 05-596 Report68-HR f
Other. This product is suitable for installation in
the High Velocity Hurricane Zone (HVHZ) with
e exception that it may not be used in Miami-
Dade County. These products may only be
Installed on concrete, hollow concrete block or
wood substrates. For all other conditions site
pecific design shall be by this office or our
legated engineer. These products must be
Installed in accordance with the Minimum
Shutter Separation From Glass Tables of the
referenced drawin .
Back Next
M&Adminb tratton
P: ... 7/19/2006
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CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
INSPECTION REPORT
JOB LOCATION 867 OCEAN BOULEVARD PERMIT# 510
ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION A
OWNER NAME FRED CARLSON PHONE 3
LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE ELECTRICAL
CLASS OF WORK NEW
w CONTRACTOR PROPOSED USE SINGLE FAMILY
w�
WORK DESCRIPTION 200AMPS IPH 3W 234 VOLT/VACANT FOR ONE YEAR/COURTESY PERMIT
jINSPECTION REQUIRED 12 FINAL ELECTRIC INSPECTOR AM
x
DATEINSPECTED BY APPROVED ❑ REJECTED ❑
l
COMMENTS
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
INSPECTION REPORT
JOB LOCATION PERMIT#
869 OCEAN BOULEVARD 509
ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION A
OWNER NAME FRED CARLSON PHONE
LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE
Lu CLASS OF WORK ELECTRICAL
aCONTRACTOR PROPOSED USE NEW
z SINGLE FAMILY
z
WORK DESCRIPTION 200AMPS 1PH 3W 230 VOLT/VACANT FOR ONE YEAR/COURTESY PERMIT
INSPECTION REQUIRED INSPECTOR
z 12 FINAL ELECTRIC AM
DATE INWECTED BY APPROVED ❑ REJECTED ❑
/ COMMENTS
!k
C��ex�tft�tt�r .cif t�rru ttn�r
CITY OF
owQh& &4A- %"
Erparzmrnf of +Nuilbing 3nsprrurm
This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use. For the following.
Use Classification
.i rw ti i d Bldg.Permit No 2
z SC '.s
Group--TypeConstructiion Fire District.
Owner of Building` �17"' �`� Address__
Building Address - Oc ! ? IC7,i.�fi:�f'i.1'.:aAtaldy_ "i�; 'i "4t'�"lI c a(.";t
Building Official Date:
POST IN A CO"PICUOUS ►LACL