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Permit 1760 Ocean Grove Dr (vault) CITY OF ATL ,7TIC BEACH PERMIT f BUILDING /ZONING DEPARTMENTAPPLICATION# 800 Seminole Road '�". «:-• -~ Atlantic Beach,Florida 32233 V � / (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQUIRED _ DEPT: Y N ^ PLANNING Property Address: � �1( � z Y N BUILDING J/( = Y N PUBLIC WORKS J'�� Applicant: �� DAL LL� ow ' `fa) Y PUBLIC UnLmES Project: 1�I t LCL I t.tJ Y N PUBLIC SAFETY w -APPROVAL v o REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE u uJ Y N D.E.P HUFSTETLER G=7 Y N S.J.R W.M. CARPER _ Y N ARMY CORPS of ENG CARPER F- O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: S BUILDING DA AP REVI BY: 1 DATE: IST REV ❑ PLANNING ❑ 1 ® 2ND REV 10 ❑ BUILDING PUBO S PUB ES FI DEPT. PUBLIC SAFETY ❑ ❑ 3RD REV ❑ ❑ Return this form to the Building Department once you have entered your comments into the AS IN. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office:(904)247-5826 • Fax:(904)247-5845 Job Address: 19 60 (D Cep-, Gy-6 yr t Permit Number; ; Legal Description Lk L3 O c-e a.y, G r o v t, - u h :t- tj'a Z Valuation of Work(Replacement Cost)$ • Class of Work((Circle one): New Addition Alteration Repair Move ■ Use of existing/proposed structures)(Circle one): Commercial Residential ■ If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Is approval of homeowner's association or other private entity required?(Circle one): Yes Describe in detail the type of work to be performed: t 'G f to k-e 4 0 c -k4rsi-i-,j f-e rc.C_ 6--, s:d f'ro F U _ f--ru-rn 1,a�4� Pr rr 1 , o u S :Zk, (� 1 Property Owner Information Name:_ ew e i Aa t r,— Address: 1-760 d c e e-, 6 rd rt City 41=1-0,4--c State EtZip 1-2- L33 Phone 9D (l, 2-Y� f 7 L V _ Contractor Information: Name of Company: h umQualifying 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 certi no work or installation has commenced prior to the issuance of a permit and that all work will be rforrned to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void York is not commenced within six(6) months, or r construction or work is suspended or abandoned for a period of six (6) months at ur�y time after work is commenced f I understand that separate permits must be secured for Electrical Wo' rk, Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMIVIENCEMENT 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 NOTI1bE OF COMMENCEMENT. Thereby certi that I have read and examined this application and know the same to be true and correct. All provisions of laws and orddinances governing this type of work will be complied with whether specified herein or not. The granting a�fa 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. �� ` ��' _.__ 7--� Signature of Contractor- Swo t and subs i d e ore Ve Sworn to and subscribed before me thy of �- this Day of ,4.0 P K.CUNNINGHAM Notary Pub �' ¢ NC Caftry m�� 8� Commlesion i DD 523&38 REVISED 03.05.07 `" -_- �"+ d+"+:�.ao�'..aI�N°tan Assn. LOT 23 BLOCK Cq-'EAW L4eovE - uurr t.,Ia z AS RECORDED IN PLAT BOOK __Z.� , PAGE 20 OF THE CURRENT PUBLIC RECORDS OF t)UvAL- COUNTY,FLORIDA T� DCE'AW c4ROVE DtZIN/ • a1 .alPe S.03'4c# 42''E :r 310•74 ' 1 SE7 •t=.• ' sHT 'h•• It p;E�'aEtlGts o.2' i.ei aEFE1t E►iGt: """i PIPE tal?" PIPE s' Nesr 3 M tt a O' N 1 F t w •$ 345 11.3 �0 t- N 14 p w N x N r r Al` 4.o 4 p t ST b It-/ M A'SOW LiY M MES- -W t'7 cso N a r 2 . w X ,Y Lo-t 24 LoT ZZ a In 3 8•co 1 t.3 z�.4• 4m• � � • 3.4 pw4 LewtC QO wE o / KL dt 4r / IL - 00 W A'TE Z x V} PUM P 4 c"Atnl Ltuc PrucE IReu PIPE QA OT -,ET It=: 19tabi PIPE .It .K .�.�_ 03 1.1.03' 4ci 4Z" W. y coo.00 • o?J -oT 4S LOT 4L� ( LoT 4.7 t7UT_F.: 'i•ilf;ltF, 14AY BE ADITIONAI. RFS TRICTIMIS THAT APPLY HOOFS: 'i'ilAT ARF NOT :.11t roftt Oil Tit 1 C SUR.IFY HUT MAY PE FOUL() 1. Ibis is a boundary Survey. it! T11F: t'11141.1C RFCURUIS OR FACILITIES OF-THIN COUNTY. 2. Flood zone X as brat. ;tscertainc d frrnt r l ood 1 assurance Rate Map, cramini t y pallel no.t2ouis--o CL-Ited 4.1-1•B4 3. fk-'ar.inq dattait fvi WEST 1ZjI,.1 t-IME� !OF O-WA&wJ C.Ro-4E DRIVW BSEt1.14 S.d'3'4V'4Z"E tW[DFRYrFRTiFYTQ: aoalla CWACLES AGtE2MA10 . AUG. 10. 2002 2:56PW -USFENCE N0. $]9 P. 1/4 s N i y fk Mk' � X coalw $ I N t +� r 7 e - � rn111p, :, rn RT 319 3 m i, CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 r i J s S INSPECTION EMAIL REQUEST: Building-deptncoab.us Application Number 07-00001231 Date 9/10/07 Property Address . . . . . . 1760 OCEAN GROVE DR Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2200 ---------------------------------------------------------------------------- Application desc INSTALL 6 ' FENCE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ACKERMAN, CHARLES OWNER 1760 OCEAN GROVE DR. ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/08/08 ---------------------------------------------------------------------------- Special Notes and Comments *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING-DEPT@COAB.US ---------------------------------------------------------------------------- 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 PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office:(904)247-5826 • Fax:(904)247-5845 Job Address: I rl 6,9 0 Get-, �Ya ve �'vt Permit Number Legal Description _ 6± 2-3 ©c-e-_ 6%r o v L t 0a --I- Valuation zValuation of Work(Replacement Cost)$ g 9-00 I ■ Class of Work(Circle one): New Addition Alteration Repair Move • Use of existing/proposed structures) Circle one): Commercial Residential ■ If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A ■ Is approval of homeowner's association or other private entity required?(Circle one): Yes Describe in detail the type of work to be performed: _Rare to, e '90 ' iq f-enc _ 900—r k)&,A S : Property Owner Information Name: :Jo I,n (2_,ka_v(-e s ACJ(c ria-- Address: (-7 G o 0 z e 6, G rr City &- ;c- (fie a-'t- State C(Zip 3 0 3 Phone q,0 q, 2-,f b y 7 Contractor Information: (..P5 1 - S_ Name of Company: �Z./� 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 offa permit and that all work will be performed to meet the standards of aXX laws regulating construction in this jurisdiction. This permit becomes null and void ork is not commenced within six(6) months, or if construction or work rs suspended or abandoned for a period of six ((6) months at arty time er work is commenced I understand that separate permits must be secured for Electrical N'orl�Plumbing,Signs, ells,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 IWROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of Xaws and ordinances governing this tyke of work wtTl be complied with whether specked herein or not. The granting o,fa 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: V. 0 ` $-'�'` -`----_-_ Signature of Contractor. Swo t and subit d e ore a Sworn to and subscribed before me th ay of this Day of -- . �•.,, K. CUNNINGHAM NO Notary Pub ¢.' 1► A ., .' il-lyCarni s*n#DD 52 38 "�„`�` Bonded By Na>lonal Notary Assn. REVISED 03.05.07 CITY OF ATL"MC BEACH PERMIT BUILDING /ZONING DEPARTMENT APPLICATION# goo Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 V 1 (904)247-5845 Fax www.cmb.us APPLICATION TRACKING FORM RF,QQIRED DEPT: Y N PLANNING Property Address: et) D&Q VI,,^��b�_X _ z Y H BUILDING Y N PUBLIC WORKS Applicant: Y PUBLIC UTILITIES Y FIRE DEPT. Project: ::C lJ Y N PUBLIC SAFETY w -APPROVAL Z Q REQUIRED AGENCY: RECENED INITIAL: DATE UJ a Y N D. UFS a d Y N S.J. ER = Y N of R O Y N H S& S R APPL ATI N STATUS CIRCLE ONE: BUI ING AP fOnEWED BY: (INITIAL- D T,E:: 1 REV ❑ faf �C'J OT D PLA 2ND REV ❑ ❑ PUBLIC UBLIC U ES PUBLIC SAFETY - ❑ ® 3RDREV ❑ ❑ Return this form to the BuRding Department once you have entered your comments into the AS400. a CITE.' OF ATILARNMC]BEACH -~. PERMIT BUILDING/ZONING DEPARTMENT APPLICATION# 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 tJ (904)247-5845 Fax www.coab.ns APPLICATION TRACKING FORM REQQIRED DEPT: Y N PLANNING Property Address: 7 D YA�, � �({�� Z Y N BUILDING p ! J� +� = Y N PUBLIC WORKS Applicant: _ 1 1��1 i Y L 1 �� V W ►L�V Y PUBLIC u nLtT1ES Y FIRE DEPT. Project: .. _L--/t%�t t�L t t�`t_�� Y 7N PUB SAFETY Cl) -APPROVAL 00 REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE LUit Y N D.E.P HUFSTETLER :g S.J.RW.M. CARPER Frr Y ARMY CORPS of ENG CARPER 0 Y HOTELS 8 RESAURANTS HUFSTE LER APPLICATION STATUS CIRCLE ONE: S BUILDING DA AP REVIEWED BY: INITIAL: DATE 0 1ST REVf15 110> PLANNING 2ND REV BUILDING PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV F0 10 1 Return this form to the Building Department once you have entered your comments into the AS400. BUILDING,.PERMIT APPLICATION CITY OF ATLANTIC BEACH j � 3 ' 800 Seminole Road,Atlantic Beach FL 32233 Office:(904)247-5826 • Fax:(904)247-5845 Job Address: fir] 6 D 0 Gear Clyey t `�+',�� Permit Number; Legal Description L g {' 2-3 Dc_ems,.. &,rQ;jL - L6,--t t 0" Valuation of Workl n(Rep acement Cost)$ ■ Class of Work((Circle one): New Addition Alteration Repair Move ■ Use of existing/proposed structures)(Circle one): Commercial Residential • If an existing structure,is a fire sprtn er system installed?(Circle one Yes No .N/A • Is approval of homeowner's association or other private entity required?(Circle one): Yes Describe in detail the type of work to be performed: ��P fa 70 , -k�crs j-5 �e 4,c.t_ &—\, al&, e.,4,, — f acv- Pr-rL � Ql' 4,Y-4 S : CP I Property Owner Information Name. o k n C_J,"(-e s _"e_y1rVo.,_ Address: 1-760 d c e 6,,, G rd,1-e 0L111 V_,_ City A+-1u...A;c 34".j- State FeZip 3 z 133 Phone 4 D q, 6 f 7 6 Contractor Information:-� WS ( • 5�Ltf S Name of Company:- - K7(,/b 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 o{{a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction 7`his permit becomes mull and void ork is not commenced within six(6) months, or rf construction or work is suspended or abandoned for a period of szr (6) months at arty time mer work is commenced I understand that separate ppermits must be secured for Electrical Wo' rlti Plumbing,Signs, Wells,Poa/s, Furnaces,Boilers,Heaters, Tanks and�iu Conditioners,etG 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 NontlE OF COMMENCEMENT. Thereby cern�y 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 type of work will be complied with whether specified herein or riot. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local Iaw regulating construction or the performance of construction. Signature of Property Owner. -�% '� c ' r - ' Signature of Contractor awsubs i d e ore Sworn to and subscribed before me of this Day of �,.w••u..., K.CU Notary Pub `;�,•►n � Cantu "ECommkWon Abkwy ded By Na REVISED 03.05.07 rsy'''r�c CITY OF ATLANTIC BEACH PERMIT BUILDING / ZONING DEPARTMENT APPLICATION # 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.cmab.us APPLICATION TRACKING FORM RF IRED DEPT: . , o (,YJN PLANNING ZYPr®peAddress: BUDDING Q = N PUBLIC WORKS Applicant: UUK O w7t V2 Y N PUBLIC UTILITIES Project: I t ��G ` Vl_l'V Y FIRE DEPT. Pro J Y N PUBLIC SAFETY APPROVAL LU 00 REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: Z Y N D.E.P HUFSTETLER O� a S.J.R.W.M. CARPER _ N ARMY CORPS of ENG CARPER H O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITI : D E ® ® 1ST REV ® 9 PLANNING BUILDING ® ® 2ND REV PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV Return this forma to the Building Department once you have entered your comments into the AS400. BUILDING PERMIT APPLICATION J S CITY OF ATLANTIC BEACH < < 800 Seminole Road,Atlantic Beach FL 32233 Office:(904)247-5826 • Fax: (904)247-5845 Job Address: 0 Ce# �Ya ,It ��',�t. Permit Number: Legal Description L6± Z3 ©c-co, (,,(av - Valuation of WorkCost lacement Re $ Work(Replacement ) ■ Class of Work((Circle one): New Addition Alteration Repair Move ■ Use of existing/proposed structures)(Circle one): Commercial Residential ■ If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A ■ Is approval of homeowner's association or other private entity required?(Circle one): Yes ftsc:rbe in detail the type of work to be performed: -Rc e to � 'got 6-^ d{- _ � a"� Property Owner Information Name: Qo 6 n Gkrw(-e s �c,kc rte,o„_ Address: 1-76 o 0 c e G ra�t 0-v;V, City A,= c (14--j- State rC Zip 3 2 0 3 Phone 61,0 �b 4 7 t V Contractor Information: (.P 5 1 5 S Name of Company: lel V 6b 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 f a permit and that all work will be peto meet the standards of all laws regulating construction to this jurisdiction. 7T'his permit becomes null and void if work is not commenced within six(6) months, or r construction or work is suspended or abandoned for a period of six (6) months at any time after work is commencedf 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. I hereby 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 type of work will be complied with whether specified herein or not. The granting rwa permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local regulating construction or the performance of construction. Signature of Property Owner: ti i j p m' Signature of Contractor: Swo t and subs i d e ore a Sworn to and subscribed before me thi,w y of this Day of ',, ti � K. CUNNINGHAM Notary Pub ' •� Notary Pu s��e F do F Comff*W n N DD 523638 REVISED 03.0 5.07 8y National Notary Ann. AUG. 10. 2007- 2:56PM -USFENCE N0. 879 P. 1/4 r r E5 s w sx 4 $ sa x y N 1 + yIng jam., AbI 1! j x N '1 �� �i i►iia_�j�i :� 1r_,�• yj"A'fes f •'� 1 4 copy C .................................. ...._._......._.. rrj p(a � - `O in r S •, Yn � P 8 $ 3�� CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 . ... , Permit Number: 4049 Address: 1760 OCEAN GROVE DRIVE Permit Type: UTILITIES ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Logs): Block: Section:0 Square Feet: Subdivision: Est. Value: L _Parcel Number: Improv. Cost: �, � , .e 6,01 Date Issued: Name: WALTER LIANAU Total Fees: 767.22 Address: 1760 OCEAN GROVE DRIVE Amount Paid: ATLANTIC BEACH, FLORIDA 32233 Date Paid: Phone: (904)384-1623 Work Desc: INSTALL 3/4"WATER SERVICE S't 3 2 $ xk Y 3i 'e 1 A �, so PUBLIC WORKS DEPARTMENT WATER IMPACT FEE 350.00 P WATER METER/TAP 85.00 CAPITAL IMPROVE. 332.22 I I I I I , I I NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. I I ATLANTIC BEACH BUILDING DEPT. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION; . .LQCATION INFORMATION �. Permit Number: 19736 Address: 1760 OCEAN GROVE DRIVE Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: j Proposed Use: Lot(s): Block: Sec#on: 0 Square Feet: Subdivision: OCEAN GROVE a. Est. Value: Parcel Number: Improv. Cost: 3,100.00 OVWNER INIFORM`ATlO1 Date Issued: 3/16/2000 Name: JOHN CHARLES ACKERMAN Total Fees: 45.00 Address: 1760 OCEAN GROVE DRIVE f krrtotrrrrP�titl- 45.00 _ A� B�Ef�GH F1 ^�D-.'�-J3 _ Date Paid: 3/16/2000 Phone: (904)246-9764 Work Dees VINYL SOFFIT AND FASCIA - PERMALAR INC. OF FLA. INC. PERMIT 45.00 I 'I S - W , FINAL BUILDING NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION- BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $45.0014 Date: 3116!60 61 Receipt: 0642`,]77 CHECKS 7823 ATLANTIC BEACH ILDING DEPT 00180603221800 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS E$r- 1&cf4 16 0000 Owner (s) : J�)Ay A�q4clv AG�.eewiv Address: 12Ce0 dPhone: ct 76 '- Lot # Block or Unit # Subdivision: 'O! r G t/6 rl &-bt Contractor: ' pp Irl State License # Address: � j �l� Phone No: ��—�o�q� City_ State T Describe work to be done: U1 YZ- Sc Ffl?' d- FRSG>� Present use of building: t7a Valuation of Prcocsed Construction: ZOO, ` Proposed use: ��ZS/DrY c is this an addition? if yes, what are the dimensions of the added spacer —rt . Y ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT TFC (CObojERCIAL) TWO (RESIDENTIAL) COIdpLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, MMRGY CODE FO V, NOTICE OF CO ENGM-fWT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: (} Signature CONTRACTOR: L ,. Date: 4'6 Sworn to and subscribed before the is �=—d of 19' Qd a B �j�C AT F F 0 LARGE ro ,��� o� ch 31,,, #CC909982 �'f9 • l�ndedttN� ��p- WINANCIA`DRINTiNG C,WAPAM 110tice of COMMencement 410111110ARX IN DUPLICATE) N 5 M. RETURN 0 l- 7-ZZ-7 0 To whom it may concern: PHONE # �� ttl W The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE +6 OF COMMENCEMENT. ❑. Description of property _�Q - - -�--- C- ----(' tJ �i�(% � 0v� 0 -----------------------------------------------------...----••---------------------------------------------- 0 General description of improvements -------------------------- ----------------q---1----- jVl1- q6q� Owner -_cl VI7`r_°�_�/q�`� /�I C-lel,./i?1!7 Address -C-2 k�---0 C /�D�__�s_/� f�--p !�/t __--- TL d`f T jf 1 f G t f�L: � 3 .3 Owner's interest in site of the improvement51 -----------------------------------7-----------_-__. Fee Simple Title holder (if other than owner) --------------------------------------------------------------- Name -------------- ----------------------------------- •-----------------------------------------------• I / l Address __�.�_��f_?.��4�___�?- --=--------- -------------------- -------------- --- Contractor ---------------------------- -- ..-------- --✓------------------------------- Surety (if any) --------------------------------------- __c -----------------------------------------------------------------Amount of bond $-------------- Name and address of any person making a loan for the construction of the improvements. Name ----------------------------------------------�.------------------------------------------------ Address --------------------------------------- ---------••----------------•------------------------ Name of person within the State of Florida, other than himself, designated by' owner upon whom notices or other documents may be served: Name ---------------------------------------------�----------------------------------------------- Address -------------------------------------------- ----------------------------------------------------- In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 [2] [b], Florida Statutes. (Fill in at Owner's option), Name -----------------------------------------------6-------------------------------------------------- Address ----------------------------------------------------------------------------- ------------------ THIS SrACE FOR RECORDER'S USE ONLY Owner Boot: 9569 59276 Page: 2505 Filed A Recorded Sworn t d subscribed before me this -------------- 03/16/00 12:30:84 PM •Ko ��ii HENRY ii COOK _ CLERK CIRCUIT COURT - .••`iia ' • -��. -" - ----""--"""""-'"-" DUVAL COUNTY a °i�•• TRUST FUND S 1.00 :a RECORDING $ 5.00 * ;g ....,��___-- • #GG 687156 otary Public 99••o�ondeA\ria•••• �: /���� ;—ern. y ra# 6 iV, 09 TMIgHT OF SU LOING CITY OF ATLANTIC 77777, 777"-77 ItF' 3�AC .. .. ... i+t�C'1� ti .I� `Ctt 't'Itt N ?1 `t 4'4 A " .� � �=WE DRIVE UT r 69 wtiacic i: i 'MAN 49 a SCRP ' tH .. at Lot ., Sly � seotioo� � wols r ATLY ted Ne* ,u*4 *0 00 22 *17 61;4 22 ,Tw x � - _� A�'�� � A' � M FEES di z e ds � :, GSOVZk D��trI'!1'E- ?IAZ*A A3yam � �; P � �� �0. t ` T ,. t:c,#�'� .= 4,0 ``^t 9 y Ow RA 42 43 LIC: SHARE $0.60 Tye► s t1 �, ter- . kg E. Ai !y a N lTICIW-'/►Li.CCNCR tE 0o###il+$►Aht�FOoTING;S MUST 8fet SPr�CT�c►i�lEF4RE t,�Ot###tNEi' # r P 4 MIte t/Qtfl SIX MONTHS AFTER DATE OF ULA66lLbiNG MAT F#F,0.L, IUBBlSN AIVt fl 3flfS 1=ROMTHIS WORK M JST.NOI BE PtN pU4 LIC SPACE,AND M J T BE UP AND HAt#i C3 AWAv BY,tit, FI CONTRACTE?R oR OWNER. .A lt PR t P R Y"i E AY A1G ' 'WILE P-04 BU QIOiIN¢"Tt);APPt3V �,PLANS WHECH ARE PART OF THIS.PEFitt`f Af+fit3.Si1- , FIEVQG' �F# `E3F A "PLICA#31,E i�flC1/tI N OF LAW. A�AIdfiC HEACKIBUILOING DEPARTMENT t, 777 71,maai x WALTER LIZAU 3/4"WATER SERVICE 1760 OCEAN GROVE DRU 384-1623 JO COST RECORD 1',•'r 4:-DESCRIPTION + i",Y ',''r: QTY.' MATERIALS "'L1��OR '., 'TOTAL 6" X 1" T.S. PVC 1 15 00 1" CORP STOP 1 18 48 1" CURB STOP 1 22 36 1" SCH 40 PVC PIPE 20; $3 60 1" MALE ADAPTER PVC 2 1 54 1" 90 L PVC 1 0 27 3/4" X 5/8" METER 1 85 00 3/4" METER ENDS 2 3 60 3/4" RUBBER WASHERS' 2 0 50 1" X 3/4" REDUCER PV 1 0 29 CONCRETE METER BOX/1,1D 1 21 00 SUB TOTAL $171 64 10% O.H. $17 16 TOTAL 188 80 2 MEN 2 HR FO 5 11R . 13725 30% O.H, 41 17 TOTAL $178, 421 MATERIALS LABOR TOTAL TOTAL _U88180l $178142 , $367, 22 ,.MISC. 106 EXPENSES :. AMOUNT OTHER SOB EXPENSES 1 TRUCK 10.00 HR OR 5 URS. TOTAL COST $417. 22 TOTAL SELLING PRICE 150.001 LESS TOTAL COST GROSS PROFIT LESS OVERHEAD COST 7.OF SELLING PRICE TOTAL NET PROFIT $417 22 app • • . . ,• ��� . � X991 •• . ' • • �1tY d� A't LANT IC BEACH pUVLVQ WORKS DEPARTMENT,. PRICE QUO'"Te APPLICATION FOR MATER AND/OR SEWER TAP r APPLICANT NAME--- ---- •---r--- - - �� ---- ------------ MAILING ADDRESS-f.C_&�-C r/L 1P-- - ------------- PHONE NUMBER_0- _'_G__ ________ DATE__Z _ _1__________ SERVICE REQUESTED_ __� C� / - --- ---- ----------------------------------------------- f SERVICE LOCATION___ ren L___________________________________ ------------------------------------------------ N DATE SENT TO DATE RETURNED PUBLIC WORKS__ _ TO BUILD. DPT. DATE OWNER NOTIFIED--------------------- J U L - 51991 L,Uiidi;;g and Zoning R.E.C, t JUL t 'v p.UBLJC: wc)lr-KSS :r s. 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. r BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMBINATION SINK AND TRAY (3) _WASHING MACHINE (3) POT, SCULLERY SINK (4) 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) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) i LAVATORY, BARBER/BEAUTY MICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNIT , @ $20.00 EACH $ _ 6 JbB INFORMATION ;r x7359 t, DEPARTMENT OF BUII�lG :z CITY OF ATLANTIC ir3EACl=1 . 'PERMIT INFORMATIO w_ _ .. LOCATION, INFORMATION r xl' to er: Address.-, 17'60 OC 4 4�/E- }3RIVL��_ T P+ )�Ul EI,NO A' N IC BEACH, ORIDA 32233 „ s �►f WorkIALT SON L'EC��I, Iil�i�CRI�'TI4 t Irr� " tI+�CQI�? PR Black 'Lot 3 gip; r ,Izi d + I sq fcti43nF, O > S ad:tl t t l f x" Subdiv �:o't ' Val OROVE UNIT2 ov. Cost ; 3 .l F �8 BO' unt Pa .I'0 6 . q 'APPLICATION FEES . b I E f, 'e4, ° " . CON It JACKSOI ;IL EASE PTS 322150 L I i NOTICE;.INSPECTIOI43 iomT BE REQUESTEb AT LEAST,24 HOURS.PRIOR TD NVSI CTIQN " so', NG MATERIAL, RUBBISH AND C? KRIS FROM THIS WORK MUST:NOT BE PLACI IN'PUBLIC SPACE, AND lulu BE t ED UP AN[ AAULSD"AWAY BY SIII"ER CE NTRACTO ©R OWNER 774 Y AAILURt + r Iti, THE . ECHA1�I OS' .�iA ► �N + 3 "* 't-Y, 1' : i 'FANG TWICE FOR MOW �� "fit � ,I ED ACCORDING TO APPROVED. PLANS WHICH ARE PART' OF THIS PERMIT ANIS SU6JECT TO REVOCA?ION R TION OF APPLICABLE PROVISIONS OF LAW. a. ,t � ATLA iTIC BEACH 804DINC3 DEPARTMENT BY l � CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 17 c, OWNER OF PROPERTY: _TELEPHONE N0. PLUMBING CONTRACTOR ` CONTRACTOR' S ADDRESS: iLo- z A1 !� STATE LICENSE NUMBER: c-k,<l �a TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 4j Aill'ANTIC COMPL&I'llff MAt4AGEMEINT 21 APR 2 91993 TAKEN (date/time) : Bufldinglandtoning COMPLAINANT: Lre--U-l� — -Fig ---- I I,a4-.t Name First Name ADDRESS: 177 S 0-el7l (k;70 Cd CITY/STATE/Z ?3Z 3' TELEPHONE: COMPLAINT: 0-fe- cf;o MPW Me ala" 40 ue-- CA, "7 47a-t gLa.V da-,,4 I-S Tuve ve q0 V 5 6 42'Aa-e LOCATION: liAw i& 11mviii,fivis"19 , Z PROPERTY OWNERS PHONE: PROPERTY OWNERS NAME: ' DEPARTMENT FORWARDED TO: COMPLAINT TAKEN BY: DATE/TIME: OFFICE USE ONLY Mv INVESTIGATED: (date/time) tc��7 3 ASSIGNED DEPT./DIVISION: PRIORITY: INVESTIGATOR: 41 CONDITIONS FOUND: ACTION TAKEN: COMPLIANCE: NOTES: n, DEPAIENT'OF su1L. HOW CITY OF ATLANTIC LPT, ON EACH PERM jrT, 'sr TIY Lit 11 TY,� c, 84 ct aso t r � PING 4di, $�,.t' x - 'kl~ r GROVE tmat I 0 + ► y: tr " } ? Aou� 00 . . ti CIS ' A �Ii CAIN CAS S0 f N I "A JXPROV w so.00 A AC CSS ., 'CONN CI_FEZ T �tl coOor Ski ST Solticl N.. f; a k NQ7lCE-�ALL,Cf?I +CRT FRMS AND FOOTINGS MUST Blw NVSPE`Ir 81 >COR PtURINC>S �, PERMIT YO?D SIX MONTHS AFTER'pAT Cfl".I S JE ' ESU?A�DWG,MATER#4 RUSSISH ANb l3E SAJS FROM THIS WQFIK MUST NQ"f BE PI.ACEp(1V"PUBLIC SPACE,AND MU1!3E CI-.. REIT JP ANI ''NAIJI. E , A `y!:"C�RAC7C?R OR 04NNi*R`` . fJ 'MICE:FOO = s A CoftaiN?G Tb AI PRC rg PL AS WHICH ARE PART OFERMl7 ANIS SUBJECT OF APL:ISI~r :IRt �tSIC9t+#S; OF LAW. ADIU -4T TLA T#C B CH BUlNO DEPAR°I" l4#yT By; " FIS: $10.nO APPLICATIM FOR V ELL PERMIT CTTY OF ATIAWIC BEAM PROPERTY a+1N M Name: �7„Gllr-L SG �' ll� Day Phoiie� q��5r Address c ` Zip APPLICANT. IF OMM TW WER Name: „- Gd �f aims Day Address: `1`� /G �� Zips 11:01 33 JOB Address or Location; t ,-'Z�O � Legal Description: Is well to be used for drirsking purposes? ..2.� Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beech Code, and wbo plains to use water from the peradtted well for drip tIngpui�aoses, must first obtain a bacteriological test report from.the State of Florida Health Department, furnishing a certified copy thereof to tate building department of the City of Atlantic Beach. A certificate of oca4xmc3r will not be issued until said report is on file with the buildirg departxneznt. Department Notes: I agree to camply with regulations stated herein: g�atureDate i h 8341 DIPAi YIMENT OF SU� [TY OI+•ATLANTIC 800 " I+Ite Address,,, . '1760 OCEAN GROVE �3RIVEi LECT ATL ANTIC REACH, rLOXIDA 32233 -Wo ADDITION , LIKOA,L DESCRIPTION ------ I IiCCD PRARE Lot : E;l+ack; Se t`i cry; b 04 Use' `IPME .. `A TLS" Toon ({�� }��( /y (� 4, Toonshi » RNG:,. '�„/ 1. fes.- a�jq�.f��6j�` y r�"y' �,o t. �" w.ty� yy.�y, $Uba,u,�s 0 +��tO'�1� ° rr► :I parr. ,cost: � es Tot I a'd.w $25.-00 T ION CAw �d aRtOvt CA T � i A' E " NPA T �'� �+�.01D s� 2. SOM' IMPACTe. Ilk IEC #17 TREET SEW 49, TRP ` 4 _ CROS CONNECTION PEC, E -1 1? CT ..PEE $d".00 CONST RC S. yyi j 1 tj j r Aa, NdTICE-ALL CONCR!'I Is+1RM8 AINQ FtyK�TINOS MUST 8E INS Cup#Il,S O iE"l dtJRING PEl MIT'VOID SIX MONTHS AFTER-bA`fE OF ISSk) i LOW G, MATEAJAL.RUS'S"I ANt bEBBI"S FROM THIS#+WORK MUST NOTA PtAC 0 IN PUBLIC SPACE;A�#b MUST BE t I AI I P ANIS ,4AULEP AWAY BY E"ITI�ER CCINTRAGTOFI OR" OWNER z RE �'y` ? 11 ftyr' 'WITH THE MtCCHANtC$$ . • ,, !„�4W/ A� �i iS►�It�T"1At } CZRplt�fa;TD APPIpVSp Pt�RN.S,WHICH ARE PART OF THIS PERMIT AWt7 SUBJECT TO REVOCAT� � i A81�f 1 iOlf•1"I dF LAW. y TiG BEACH BtL1iNC� MENT "vow00000m JM00 14 I +II 41 r 43#7 r r C'O'Y OF ATLANTIC BEACH, FLORIDA ; A.r•M•Inr APN1►IGTION FOR ELICTRICAt fU1MiT TO TME CM"ELECTRICAL INiPECTORs DATE:' 11 IrmmTAAIT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE4ORK ASQESCRIB40, IN TIIE FGI.LOWING; • is HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE,ATTACHE4 PLAKS;AND Spf�iFICATiONS; WHICH ARE A PART. HEREOF, AND IN'ACCOROANCE WITH-THE ELECTRICAL 8EGUJAT1oNS: CODES AND CITY OF ATJ.ANTiC REACH ORDINANCES. - _ c..�.:. BLOiiMiE owl A/r.1 Mw.1 1 /i1pLIC 1 1 INDYi.1 1 MEW 1 1 OLD i t ASK 11 AopITwN TIWLEA! 1 T6W.1 1 Ii10Ni 1 1 `Ijo:►T: "AV" 1119w 1 1 06GPfsAK 1 f REPAIR 1 i VOLT FWAV vAft OLT PEEDERi NO. mr.1 • NO: SIZE NO.all SIZE _ LIGHTING GUTLIlp CONCEALED OPEN IFOTiL RECE/fACLEJi CONCEALED OPEN MAL •fir+'! so AMM. i A . r. . FLUORESCENT AIN.V.• IIICLO pe. vsat . wta►�IwNwc• BELL TRANSR. AIR M.P.RATING M.P.,RATING CONDITIONING COUP.MOTOR 07MER MOTORS AMPS call.MEAT: KW-HEAT" �I OVER MOTORS - M.P. VOGfAGE - PHS- NO. 1 M.l. VOLTAGE Mt LLANE _ TRANSFORMERS: UNDER§W V. — OVER 609 V. NO. KVA- W. KVi► NO.NEON TR/W . NQ. VA. AIA. MOTOR SIZE WITCH 04AMO EACN SIGN . TOTAL FEES 8446 �y A p yy DgPI�1.lirmENTOF PUILDMI31 . CITY OF ATLANTIC 0A CH I t 'O ,l4ATION ------ --- LOCATION INFORMATION- --- - � tr i umber: 8446Address.: ,17'60' OCEAN GROVE DRIVE 4 Ty' ASCAN I CAL, AT ,A1 I SRAH I"L.OR`I LSA 32233 ;u ' s ork Al T 'TTLOAt' ------- - LEdAL DESCRIPTION ---------- 1 dits,t r . Ty e w WOOL! FRAME Lot* �I ci d� Smart srn„ c d- Use S IWOL E FAMILY Townhik* � � RNCel-11 Subdivision.: OCEAN cRovE t r t d VA`1ue< $0 ,p0 Tpt a l ees $251, 00 A.m .5 f G " 1 L Z'€? AL, DUCTS FOR ADDITION AICs *" - �� APPL�ICA "I ?N ` t � PERMIT $25.00 _ OROV,t -DRIVE WATER 114PACT FEE $0 00 C14, PLOR y FEE ax.* � T IN " I _- ] ESO T" ON --�-_ .. RAOCN, ICAP Name, ;. Lt O CAPITAL IMPROVE. $ ,t3C �L . . �. SEW `,SAP.. nr .. $ t ' A IL,LE BEACH, FL 3 5 ARCS CONNECTTm $o .G0 C 4Ha EC, a IMPACT FEE ,06 ARGESVRCHCO N STa f ' x rk 1 6 t �t` j 'Y t f =k, { S NOTIt r---ALL CQNCRETIE OORMSAND FOOTINGS MUST BE-INSPECTED 0EFORE PCt)IkING PERMIT'VOID SIX MONTHS'AFTER©ATE£1f ISSUE 1 BU LDING MATERIAL;�RUSBISH AND OEBRIS FROM THIS WORK MUST NOT BE PLACEp,IN�PUBLIC SPADE,AND MUSTBE � E ABED UP ANO:AA"ULED AWAY BY EITHER GQNfRACTC3R OR OWNER � ; # 'All UME tlo C010FOLY WITW THE MECHANICS' LIEN LAW CAN RESULT IN TWICE FOR SUIL�`#1 04PR ?1lEME'NT -." #»3S1EI ACGOR,DINC TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO- W. ;RE�/ ATI4N fOR ? # ,'. iN Q APPLICABLE PROVISIONS Of LA ATL TI BEACHIL[?ING DEPARTMENT ' - Dawes ! S4 41r �&�$1 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, 11, 111, and IV. '• rhe OCA &f2©Ir Z_LOCATIONStreet Address: OF Intersecting Streets: Between 17 �� And �( ?h BUILDING Subdivision II. IDENTIFICATION — To be completed by all applicants. In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) Master q Name of 1 £,� / Property Owner C �7, " Signature of Owner Signature of or Authorised Agent Architect or Engineer III. GENERAL INFORMATION A, Type of hating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON (g Electric THIS BUILDING OR SITE? L ❑ Gas--❑ LP ❑ Natural PC Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION O�O O Oil PERMIT U Q Other— Specify IV. MECNANICAL EQUIPMENT TO BE INSTALLEC NATURE OF WORK (Previde complete list of components on beck of this form) $] Residential or O Commercial (]' Hut ❑ Space ❑ Recessed O Central O Floor O New Building Q Air Conditioning: ❑ Room (. Central 1. Existing Building ) Duct System: Materia Thickness_ O Replacement of existing system Maximum opacity CAM. El New installation(No system previously installed) QRefrigeration 19 Extension or add-on to existing system Q'Cooling tower: Capacity g.p.m. C1 Other — Specify Q Fins sprinklers: Number of heads Q Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE POR OFFICE USE ONLY O:Gealine pump`. (number) (Received) Toni, (number) Remarks Q LFS containers (number) 0 Unfired pressure vessel O leilem Permif Approved by pei� Q 0"W —Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Number Vnift Description Model Number Manufacturer (Tons) A HEATING • FURNACES, BOILERS, FIREPLACES CapM) Ay W Number Vans Description ![oriel Number Manufactures (BTU) J TANKS NOW Many Naalnal Capacity Type LQuid Naaue of Serial Approving am Dbanensiaoe Contained Manufacturer No. Agency A _ Y .# VISPA tTMENT OF®UI4 itNti CttY OF ATLANTIC BEACH ,. , »� . 'umber:: � CATION INFORMATION e apt NX 273 AdJae , 17 6th OCEAN 'GROVE DR VE y ¢ � t Tlrp BUILT?Itt df irk: ALTERAI�ICN ATLANTIC BEACH, FL IDA 32233 FAm E Proposed Use.. SII (; I,r�t: Black. Section: FAMILY Town ih` c RNG: d w line, I Cady; Q . . Subdivjo i o, OC'l Arifi GROVE 9tl ted VaIue: Itoitov 4 Cost: 03:2CIO To, Fees $45.00 znt i tO.00 *o. k ` PERMIT #$1SI ;- CLgSE jN CARPORT .NzI ► 1O .:_� _ � . rPP tCA ION ArAlPE �clS OV& D QD ACID. FLOR 'DA, 2 ..3 WATER II~iPACT. FEE $Q.44 'h ��° S lXPAC FEE. $0.00 - , ."R..S. ikFO 1}p ON ------ •. :. { NE Narr�a, � R RA�aN c�� � $0. 00 ddre CAPITAL- TPROVE. S4 .0� _ H "D AULr C ,$RARB $0. } ' CROB�� C�?NHECTIC►N SEC.ti IMPACT FLIT CONST. St3RCHAMR G .00 E E0 .. ' 4l' x *S,f NflTiaGE-+�Af`.I..CbNCAETE FflJI#MS ANO FOOTING S MU$T`HE I.N�IPECTE. 18EPflRE POURING } '[ Fl itRMIT VOID SIX MONTHS AFTER DATE OF ISSUE , 8LlIbINt3 MATERIAL r RUI3S1,8H AND bEBFtIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST B L ►REgIJP AQ FIAiJLEO AVkiAY BY.EITHiER CONTRACTOR-OR OWN1� E LURE TCS CC?MRtY WITH THE MECHANICS' � P'Rt?I ill ,#.Ails GAN IAESU '� j tTY Cl1N'NER ISI YIN 'TWICE FO "BUIL01,�1 , hI I R VEII�ENfiS,t;N + r I,SEQACCORQINa.TO APPROVED Pl�Ah1S WHICH ARE PART' OPTHIS PERMIT AND SU¢JECT'TO �fI T*N OFAPP PR©VISIONS DF LAW. REVOCATION FOR. to IC BA+CFt BUI,:DING DEPA ME'NT M oil t t 41(a y 65 l,0 l yyu "" �6 CITY OF A LANTIC BEACH PERMIT CAL LATION SHEET' � t Address 66-1(�z= 6iaa Date (pAE"Om Ta 1(1a-/zMt1' Heated Square Footage •p @ $ per sq ft = $ Garage/ hed b @ S1 per sq ft = $ / Carport Porch FItST/N6 �w @ $ Q0 per sq ft = �L Deck @ $ per sq ft = S Patio @ $ per sq ft = $ TOTAL VALUATION: To,a% (a a4 n 1st $I Remaining Value $5 per thousand or portion thereof TOTAL BUILDING FEE $ 3 Q ' + 1/2 Filing Fee $ r d ( ) Fireplaces @ $15 . 00 $ 4( S-- BUILDING PERMIT FEE WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ -OTHER $ GRAND TOTAL DUE �- ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: a 8206 DEPARTMENT 4F BUILDiNGt ` y . . CfTY OF ATLANTIC SEACH` 4440s *� }yam #� /� '. :, �. __ ; LOCATION I N�`�4RMAT�SYR --»-__-_- 5 .rtry" fu�►i 1 21 Addr+�a� : ; �7 00 AN OROVE DRIVE VE 1 ' ' + LIMING AT LANT-1 C'AEACH, FLSR DA .X 2 3 3 Warks ADD I.tIONAwl- ._....__�,.. L QAi DESCRIPT29N ypry @A }Y CSINGLE '£ L]� fN Lot Section: gt ru 3,r ir. p-os R.d- V w7 S3 i �I. GLI Si: FAMILY Township s RNQ. Q ellirg G��dc�`. {# _ �u�a�� vi��w�n, �t�CZAN t3�t�3VE �. 1�t"imete Values $0.00 a ` Itg`rcv "0, tw . o.00 T tla - ' $32,50 I AtCsun Std iR �" ...... APPCAS'I C3N FEES - - - A4, r ss,: R E DRIVE 32. S0, . WAT IFA 'T FELE 0� 4' 1N, no ,I "4� r ' s 6 1 ,.,�" _« 'RADON GAS-H.R.E �Ct.OCt' q i-}r_ FOR �_1.., RADON CAE' t t3.C}Q i " .PLUMs T 4-IMPROVE.-VE.. 4 .00'. j + ��' 'Elf 1 SE4ZR TAP $0.00. 3AB LI,1 BEACH, FL 32250 i "t'ype, HYI�At SHARE $0'.00 i CROSS CC��NECTIt7N . 4 6EG R. IMFAC FEE $0,0 ?y. If 77777, ` xi 7 Y€ r s NOTICE*-/tLL CONCRETE FORMS AND FOOTINGS MUST BE IN$PECTEO BEFORE P1UR#NG. PERM IT VOID,SIX MONTHS`A1=TER'PATE OF ISSUE MATERt�[t_ RUBBISH ANS t�ESAIS,FROM THIS WOR MUST Nt3T BE PLACED tN",F�19' CL ARET OF ANq.kIAULEY Y EI Ct1 li'I✓ONTRACTQR OR OWN'E'R .URE TO, MPL Y WITH THE MECHANICS' ++ � =L ..�t�PEl "I'1� GIVER PQYlNG"TILE FOR B#JIL.QII�Ii A,r ! EQ ACCORDING TO APfRG3VO".P4i NS WH 14:r AR 'F4RT QIR TttS PJiMfT,i1 S" AT14N.Of A +i fCAftg PFIC1Vt lit x 3f A1?!t. .. AfLAJTIC EACH'gli1LQING DEPARTMENT y y s�' 1 CITY OF ATLANTIC BEACH ACKkrrv-4 01 of APPLICATION FOR PLUMBING PERMIT J JOB LOCATION OWNER OF PROPERTY: L/ / BUILDING CONTRACTOR:__ol&c� ------------------------------------_ ________ -_________________ __ PLUMBING CONTRACTORAND ADDRESS: �i-----•-_____...___.---------- -___..._..---._._._....------------------------------ TELEPHON£ NUMBER: J _ L_---_ _ STATE LICENSE NO: ------'#� �o--------------- ------ TYPE OF BUILDING: __----------SINKS p�------- WATER HEATERS ----__I ----_BATH TUBS DISHWASHERS _URINALS DISPOSALS ------CLOSETS WASHING MACHINE ------------FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE SUNT: x $3. 50 + 515. 00 = $ -�2 - ----------------------------------------- ----------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WIT}! THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904 ) 247-5626 fN 3'-d 9 g� l^ t aoo c�� c � t� .' D$pARTMENT OF WILDING CITY 01:ATLANTIC BEAdk ;Pffi�I T N;�`C>R1 AT I bPt . ....:.. ...»_ .: .. LOCATION I>! FORt�AT I O� � � } mi �tutTiber: 8101 Address,. 1760OCEAN GROVE PRIV ` ermit Ty,p :, BUILDING ATLANTIC .SEACH, frLORIIJA �3� ss bt Nor ADDITION. Tyge. WOOD FRAME LVL., 23 Block: 2 Section. opus ed Use: S MLE FAMI LY Tpun P, O it :n+ 1 Cede'. t Subdivisiono' OC AN CRCVE U11IT _2 tir4ated V41u*c ItItIPI tit. C St : 00 iat 39 .22 1 € un 3 9 3..2 2 9 ' T AXE Y ROOM ADD 'MOR PER PLS I L I CAT 1014,' SES the . ACICRIR PERII+1 1 5 Q A dt' R � ` pit LORIV will . 6. 4 WAER.'�'I ' IJTAF0.14 $4.b0 CAI 01 „A + ree SRR=' "AP $0.00 " . :HYD 1 C 'S ARE $ 0 e: T1►la+� l C. CRR CONN CTION $0. M .,a Q. ba CONST, ; `CRAR I PAID 3 U 1994 x CITY OF ATLANTIC BCH. NOTICE.-ALL CONCRET,.E FORD S AND FOOTINGS MUST BE IN""ll)BEFORE P014NING PtRMIT VOfD SIX MONTHS AFTER DATE OF I$SUE DING MATEAIAL,�RUBBISH AND.q BRIS FROM THIS WORK MUST NOT BE PLACED'IN PUBLIC SPACE,AND MUST BE ' i tAREO:LtP'ANO+HAUL�'D AWAY B� EITHER CONTRACTOR OR O WNER; ,RkiLufts 1'E� fJ 11PLY wrTH THE MECHANICS' LIEN LAW C�►N RESUL.T IN p�IlNl �` /►YINGr,�v»cc�R I111AOEIVIN'TS.�' w r r S EI A CORQt lta�'TO APPROVED PLANS WHICH ARE !'"J1RT O THIS PSI Mid' AND',SUBJEC7 TO REVOCATIC7N FOR tit t?F APPLICABLE PROYJSIONS OF LAW: } A ANTIC BEACH BUILDING EPARTMENT n i �g r k,S ji IIAMCO won"AOe FLA. 1167 LAWS T FS 713.13 of xxtrrt�eYt�c�ex�rt�extt "SPARS IN CYFLICATS, to fvljDm t# sm�tCPi'xt: 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..... .....\•••••N.....N..N.... »....... .........................NN.N.N............N..rHNHH....HN............M.MHYN..WNNN.NHH...H.HN.N....N.....N....N.HNN.H...N..N..NNN....N...Y.......YN.....N...N..H.N..N\...............HN.. ...............................NNN...N.H.................................NNNH....N.N...NHHHH..................-...N.H.N.........N..H..HHHH.NH.N.NY.N.H..N.H.HH....HHNrN.....NNH.HHN..HN...... 4...................:........ ... .......r..HN........................N.....r.HH...............H.HH.HH..I.......I........................ •........N.N.NNNNNN..rN....N...N.NNNN.H....N.N.....Nr.N...HH.... r.�Na. b...1........ ......................... r ....H.N.NH...HN..N...NH....rHHr...HN.H.......... General dowipton of improvements.. ..............N.....H.................... �. n........ ( .:a..Y. . > .........��.� . t . N .........................................................I..............:.......I....... Owner............ .1 ...A..( Address...... N Hd.............. :......... `�.ra.v.... ........... .':.!...: ..N.YHN...N.H.NHO..N.N.H..Y.HHN.N.H...... .. Owners interest in site of the improvement•.......N.................. .N •••• ...H.N.N.H.N...N.NH.HH.H.HN.......N.....H..NNH...UHN......HNNN......... fee Simple Title holder (if other than owner) Name.............. v.P. .....,........................................................................................................N....................N........................... Address......H.........................................................................................................................N.N............................NH............H...............N................... Contractor.................. .lr.,.l..✓tH. ...:................................ ........................................................H...............H.H.........................NH.... Address...................................................................................................................NH.....N.rr.H......NNNN.NN.H..N..HH.NNH.N.H..M......NNH...NN.NNHw.........H Surety (if any).........................................„...............................................................................................................N.»..N.N....N.NN.Y...N............. ..........H Address..................................................................NN..................................„..........................H.................Arnount of bond �.................,..N.N....... Name of person within the State of Florida designated by owner upon whom notices or other doaxneMs may be sarved= Name........... ........................N..........................N...„.................................. ...................................N.H...N...............YY.»H.HH.Y..N...N..N..N.NH..H.........N. Address...............................................................N.............................................:.........................H...................................HN....N...H............................N..... In addition to himself, owner designates the following person'to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (F III In at Owner's option). Name......................................................................H...............N............................................N..N...N..........................H.....HY..... . ...... H...................... Address...................................................................................................... ........._.._.. .......,....... ... «..,.......N.. ...................Y......... THIS**ACi FOIL IIiCORDiR'f ueN ONLY au, �^-- .. . ............. ....H..........N.... . Y .....I.N.H�iIH��.� ........... I..r.....r ... .. . . OwW Sworn to and subscribed bFoew this...a•:.. ..•... re ?, H&UNCIA Ah10N<'jftw �Tc UTAK STATE OF FLORIDA PUBLI kNty Comm Exp&27/96 COMhI NBR CIM4417 { e r,r CITY OF ATTarATIC BEACH PERMIT CALCULATION SHEET Address C ( r% (fl 0 U e D"2, (A-01io/ p/c! Date Heated Square Footage S" @ $ 73 • 00 Per sq ft = $ Garage/Shed @ $ ner sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ ver sq ft = $ Patio @ $ ver sq ft = $ TOTAL VALUATION: $ �)A 36)8 Tota] 1st $ ' 6 ,3rlation - e Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE + 1/2 Filing Fee $ ' ,S (0) Fireplaces @ $15.00 $ d BUILDING PERMIT FEE $ /8 7 WATER IMPACT FEE SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ (5�2 ) RADON (HRS) .0045 $ 1-9-7z (5-?2) RADON (CAB) .0005 $ .� SECTION H PAVING HYDRAULIC SHARES $ CROSS CONNECTION $ (s 7-2� SURCHARGE .0050 $ --5- b 6 OTHER $ GRAND TOTAL DUE $ ` 9 2 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 DEMOLITIONS /. i Owner(s) : Cy�IES ��e.f��- C QAeLes Address : 1'1 0 DCt&rl 6rcV� Phone: 2- 6 1 7 6 V Lot # 23 Blocrk'ior Unit # Subdivision: ( ecz.rz C,rcye_ Contractor : l\ (t�fCecVW1r`- Address : Phone No: Describe work to be done: 4t J t r-\ �be 0 2oa/�' h�-4M/1- t �eoo't- Present use of building: Valuation of Proposed Construction: Z S� adc� Proposed use: Is this an addition?+ky-e s If yes , what are the dimensions of the added space: /�S/ x 3 9 f t . X f t . Will the added area be heated and cooled? s New electrical (or increase)? New plumbing fixtures? �s New fireplace? 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:_ G Date : 3 Signature CONTRACTO ' Date: GA 1f QF AZzoNtNG FFG El p�,pNNIN ,{ 4 5/ fV!A t'.R 2 31994 B1111ding and Zaninl 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 (8) TUB OR SHOWER STALL (6) �U C- WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) V BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) _LAVATORY (1) COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) POT, SCULLERY SINK (4) 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) BIDET (3) URINAL STALL, WASHOUT (4) 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 ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS ( rC� @ $20.00 EACH $ �CJ� JOB INFORMATION t�/?Q /:(U'� All)Dl OWNER BUILDER PERMIT AFFIDAVIT tbtr' of Florida ) City of Atlantic aeacts ) t8EF0 ME, the undersigned authority, personally ippvarvd _ C1__�i�(L—V .,,�S��.C+��fl�,• who upon first t*ir•q duly worn, depoa&s and says i Q1L(I kciAl -0'-' l/ � .�� _fY� r� ------• and the legal owner of the following propertyi Subdivisionr�0�' AKA ....- I am applying for a building permit pursuant to the ' Owner Builder exemption set forth in Florida Statute, Section 4419. 107. Florlda lav requires that i have been provided with ttev tollowiny DISCLOSURE STATEMENTt DISCL03URE STATEMENT .State law requires construction to be done by licensed contractors. You have applied for a permit under on exemption to that lar. The exemption allows you, as th.t 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. coat of 025,000.00 or less. The building must be for your use and occupancy* it nay not be built for sale or lease. If you sell or leak& more than one building you have built yourself within one year after the construction to complete# the law will presume that you built it for sale or lease, . which is a violation of tbis exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to snake sure that people employed by you have licenses required by state lar and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. � rr erty Owner Sworn to and sub-r ib&d before m• this _ 40Y MOTARY PUBLIC F A T; I dIA AMONETTE My Commission Expires# ; ' 1 `rA`�E OF FLORIDA 8/27/96 %-R OC220017 t'47»nlj JO 31d1.S ala ?113N01'�N ytOldlt�d DOLE J.KELLEY,JR., P.E. Consulting Structural Engineer JACKSONMI-12,FLORIDA JOB TITLE L i�E►^.M 1Pt �61 Pl��t:tr { ; CALCULATED BY DAT 1 0 JOB NO. t CHECKED BY DATE SUBJECT M'�P� �f"1 O4 SKETCH NO. SCALE SH—j—OF—,'I— Cot F—,'I— I , ! 1 �T/Li9G�Ut�- Ct}C.�t�t.METlory Ac—v1 t=R.M A'I�S nESE AT o¢iV Ti L v 0 A i I Cif! t`r INC nFr-ir F r _ Q91 I I 994 t I I This e4neer Certifies that i have reviewed the attached snd in�dii"� .oicuiotior s and fithe laid values,connector .lo 'd ca pec � gs.and material specifications shown;thcra1011 I to W imCoMphance with the S.B.C.C.1. Standard'Building Co Chapter 12,Section 1205.2 for this specific residers tin, A�t �rcow �u . fa a I ! ! I DOLE J.KELLEY,JR., P.E. Consulting Structural Engineer AA JACKSONVILLEf� ,FLORIDA JOB TITLE G,IG '11 "*of CALCULATED BY C+G DA,3j I O 7A ^ JOB NO. CHECKED BY DATE SUBJECT �M Amppi i n O A SKETCH NO. SCALE SH-?.--- OF29- A �.�. w, ..W.........._.......�.,.�..„.�..�.u......,.d�,..�.,.�.:�. �...�..._.. _.,.... �._�.�.__...>�.��......� , _.....mow .._ �._.,F,. .�. .__,. r _ _ _ i t A5 Ic. t� JJ 1�ELoc, Irl �►1.�ssu� ” 2g �`�'F . e (IF.►F'r J'tr = Z�, t-'s 1C 2�O (o p►s F qP?='`tG A I T in 1 GSL)r\.W Tb t/o}ru Dv e, Mno F rj1,4M,i Cit ti/�wl $ 6 / '2 tJ4T" mn' C.&A r.� m oD>= 1 �f IL to tp j G Q ,X �'X (, off, P F—�Ort, 1 .33 &VF%F-to ( F C - 0 j ��►+� Tei &I/LT=:,C� . I n Vgc� = Z 'X %L I°�I >� 3 X C3°). 2p�s c -IOps. st' Ibs � �353i Ms' I 31531 Ar f TRS r� i TABLE 1205 FIGURE 1206 USE FACTORS FOR BUILDINGS AND OTHER STRUCTURES BASIC WIND SPEEDS FOR 50-YEAR MEAN RECURRENCE INTERVAL Natun Occupancy-u� .Vb*Minds WW Purb Rio drM 11M a btric%*W Spud of 110 wo ----.-- -- Fseta r Alb u!Yppc res e><ceDl ftm NSW below oo ---- 1.0 -. DA* and*tr�m w11aa the ocapanl --` - --- -- bad Is 300 of more in any ala roan. 1.15 S S &W&p erd mtica+res desV&W as eaenlW%c&Jw .1 Mldud%but not Wnited Im 1.15 - s (1)HosoW and oto madtcal UcUms havkV fu M or emarpsncy ke bmd Ann , (2)Fks or rescue end poke dadve ¢ (3)Pon"carve"kaon fac"and*&Sw X . ({)Pownq*Wban - --- - - Power statkxu and oerr .. "I pt end Wulellruand Wtown the npnsdd a low hu"tohwwl Mie in ft everd at Whin,such a apdadlural 0.8 >; b11MdYl0t,aAab tampaary adMMe],end mkar slaapa s Won 2 Y TABLE 1205.2A VELOCITY PRESSURE(psQ i La Building Hight 60 ft or Loss ( _-_• _ 1 ' r f I%"Roof 1""MIN Wbld V01004.V(IMM) oso go 1 R. aa 10 13 17 50 18 23 SCJ 14 23 - 60 15 20 25 31 38 �S �' � � 1.AWgfrflab2d0dMrplfosrobllydbbenontads0a . +�. __ � t,/ ZEawMipMmOpOfMOftllMdlotmOfSroaIMgMOladandfdoraal0ao1f017. 1 >.liver YiMipdWon d uoNdrftNo b per. SrS'R ,. . �• . � Q' i 280 1982R*vWw10 SWldfrdOWftC"01991 SW4wd8WWkVCodWO1e01 1992Rovwm *>) 1 ' F TAW 120R2M GCp COW"CWNTS FOR MffRS PROVIOMIO PAWANCE IN TRANSVERSE DIRECTION' FIGURE 1206.201 w2aY aaalftla.l+ t.+.wrf.e.•r+rfr APPLICATION OF COEFFICIENTS FOR PRIMARY a.d a.rfSTRUCTURAL SYSTEMS PROVIDING ffr. 1 r a a 1 a a { I. RESISTANCE IN TRANSVERSE DIRECTION weir : . •20 1.. r •.» .r Lo As •n . (PwIWa sign Mdkahs Inward aetlrlg Pie) uf20• d .. 70 i'<.f{8• f • w» .2p •.7] ..tl .AS •.» •.16 un Cars N aDdA w taa arrr w an w D.a w:..aa @WNW wiwla 10 am .. ] •.0 •20 tib •.� ..r •.a •a0 -2S } _ e.qr 2 .A0 .2t •.�{ -.rs wa ..a ,n ,n r+ ! sur sur till •.]+ •AS ..tl •22 tit! ; .`,f 11 +S .4a 0 •.» •IA •A0 ..» tilt •.r •A2 •.H ` tt 088910• f A •IA •12 -t.i •.b •i.{ •1.1 •.r. � ■ r•4e93f• f 1 •tA •1.{ •tA a0 •IA •12 •1.1 r 1 .[ f 1. -1.1 .12 tip •.10 •A8 •.10 ,Sp -20 •.2D ✓ _ / ` r•a 494rfwS0 d0 • -20 •AS ,20 - .1 •1 . . � ! H.1t -a In *Asur •20 l] • ti15 t •q •tA •12 '•12 •1.1 •1.{ •1.1 •1.1 Il �iDt.usi e<w 2 •.r •s •lA •tA sur •AO •IA •tA e.�a ] d.i N.1 •]I 41 sun wtl •.t2 ti12 { •1.1 •1J •12 •1.1 -1.1 •1.4 •1.0 41 0.89W lit •L •.» +» o Nl •.» •.» 0 7.11 •12 �2D •.p 0 .I.l :� •AO 0 10•aa92P •.» •.» 0ln .t.e •.» •.» 0 FIGURE 1206.282 1.11 •u .20 •.r o . r o 2r<.91P al •u •.» ti» o .0u ,»•2o •.» o APPLICATION OF COEFFICIENTS FOR PRIMARY 1.11 .1j ..2o ..20 0 .14 .20 .20 o STRUCTURAL SYSTEMS PROVIDING RESISTANCE IN LONGITUDINAL DIRECTION (Positive sign Indicates inward acting prossure) IM DfL Y e•M aDawa...wta•awt w D+t Y Q(YY 1.8889 1 ff+f TAW 120620 GCp COEFFICIENTS FOR MWFRS i PROVIDING RESISTANCE IN LONGITUDINAL DIRECTION ' +� (ALL ROOF ANGLES]' �+ �+ • _ • trrla•2- ! a /{ r 1 o a .w.. e.wu+. arra.. � M >• >• r Y ! i f f + fY •aaaaal 0.0 f YM. D� N/ 1 ' •1. m -arts •1491 ' 4611 aa+ a» aA ar a» a» As ar am 1,11 4r ar .0 00 420 40 .14 800 2rl.. lmP&VWmn SW100rd&Wd1"C*d"1991 SWWwd&AditCDdN01W1 19a2Rfvwiore U3 DOLE J.KELLEY,.JR.,P.E. Consulting Structural Engineer 1K�� JAMONVILL,E,FLORIDA JOB TITLE / 4 CALCULATED BY it- DA S 10 1D f ` JOB NO. CHECKED BY DATE SUBJECT AJ SKETCH NO. SCALE SH--�-OF--6- `� ��t.t F`r '_ F-r�o�-r �or►,c��l ;�oc.�r�►,� = � �'� t� �5�, ��� - 1 t�ps� r►- f f33 x�5��e� DP,, ' x �,zs� = t3t3lbs iI w-t A Nl> -d�cp"rrav-& pc r rtt)N'bA-r10 1 t npi�V t4'n� �GowN�-tbn.a :=�f�"T�CJt�' �2 �Nc.�rol CJt fit: N V�NT�Q tJ t.. E--r4 ►�1 E+ r'"i' ►'�S i4rN P --Z►owe,5" gi:-*0-t ' 1 `" C?� C'PA ni IytlQ w sr +c ion e Ito I{p r G . W 00C;3S/`F r fZic f o GMl7 of .1f-- rj .. $ Q, G Anvl�; ,�r.t.t�'T.? Cesz4S GtJtPsrS: i DOLE J.KELLEY,JR.,P.E. Consulting Structural Engineer JACkSONVILu,FLORIDA JOB TITLE Ar.r-o h w 141J CALCULATED BY CG�. D AM 3 !oO� " NO. CHEOM IW DATE 6uwwr A= D,T to^I r HARDWARE TCONNECTOR SC WOSCN NM _ SM-LS—OF +� 1PL�F ' � � . / r DLE� AESCRIPTI N. I �... . ...� 8 g N._.... .. SE .ME AL FASTENERS I CQNN CT RS ; ONlECTORS _ Ifog . i .Rrc ' on ._ ._ _. I 1h. 7 P46 i i I A s�'P�� ' S1�o i ht . I I , I _ i i C�ptV � TO L GIbT/ Co 454 4,ff' �-IIlo _ .__ I i . _ _. _ ►N �z X� I A } G i I ! I il I � -- - - i L , I I f I NIAPSHOWING SURVEY OF V 23 1iI.Olh DC-E A Q (-4Zo'4U' - vUl-r -Qo. Z A', RI( (MM 1) IN I'[ \1 MH )K. 20 I'A 2c> ()I 1111 ( 1,1101 N I PU'131 R RFA ()RDS (A [)uvAL. II( )RII)A C-4 [ZOVE DV- IVE 5. 03'4 cp I Z I- Cc c>C> 31- 14 T r 'I, Se-T SET 11 E FE QF 1.J' F Et'j". 112'n- pl"R T"PE- vi I- w 0 p"z 04 tp I o I T 17 Y I A ul 0 0 Lt L T z - 7 . W 38 .......... LII to co 00 00 V) J W44 1" fs l,,i, o34Cp 4z-, i,,) o oc> r-,r ,.F.:� i L-'I f q c.o Lp T ,�-� -T DWIEBE I Qc- 5 G I F Fa'( F F I I FY TO: -i c)w N C W a 7-LE S AC L E Z A�,J 1-AQC1 TITLE IV-J',QeaQCE t-1 P A MAI ffllc*w S'lJI?VFY WFIS THE MINIMUM TECHNICAL STANDARDS AS J I F(�'IRTII BY THE FLORIDA 110API) (J LAND SURVEYORS, PURSUANT ipl'�' flanks Ir ) 4r .O. 7 rj.(-")RIDA STATUIES AND CHAPTER 21HH-6 VI( Wlf..)A AWAINISTRAIION CODE, urve y "866 NIA f\.'( 10 )VI: Aft 1:11 P SURVEYOR NO 4470 Marvin R. Banks (904) 641--'?520 SIGNED 19 cl SCALE: 2o 411('1 THIS SURVEY NOT VAIAD VNLFSS THIS PRINT IS EMBOSSED WITH THE SEAL OFTHE ABOVE SIGNED 9977 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT,. INFORMATION ------ LOCATION INFORMATION ----- Pei� t Number: 697 Address: 111,60, OC9.AN GROVE DRIVE Permit Type: MECHANICALATLANTIC BEACH, FLORIDA 32233 til"Ass of Work., ALTERATION --___------ " LEGAL DESCRIPTION ------ Constr . ---_-Cns r . Type: WOOD FRAME Lot: , B1 ock: Section- 11 Ip +posed Use: INGLB ' "AkI'LY T wnsh.ip: RNC3: 13 11ings ., Subdivision*, OCEAN GROVE Estimated Value: Improv. Cost . 0 .00 Tot. 1 Fees: $41.00 � 4 ,Amount . 41 .00 ' /22/43 1 Ik "De .,q DENSER AND AIR IIAPII)LEi ZM ECIETIPTO SYSTEM APPLICA'T'ION FEES PMIT10£ 171 Addr GTROVTI DRIVE WATER IMPACT PER $0 ,00 H, FLORIDA .x,223 BE IP�PAC. FEE � p, T y�yM,y�y 3 1 OA Ir r AD re o- i. .0 :a Ct POST I ON ..�. . RADON GAB �5� $0 .00 { Name �i E NO � A I�RWATER TAP , €� :Q�? .dress �°JACR� LLE BEACH, 32253 Q CH 9 4z - HYDRAULIC . ��._ _.. ....fit?-��1 C SHARE I+i rtsl AO Type: 3 CAPITAL ` IXPROV"E r ,. SEC:ZI IMP FEE ei" 0:00 . { .. ,NOTES; I ;z NOTICE-=;AL4 CCFI+ICRETE F6fk IS 414D FOOTINGS MUST BE tNSPECTI:C>BEFORE POURING PERMIT'VOID:SIX MONTHS AFTER DATE OF ISStWE. $U .DING MATERIAL,.RUBBI$H AND DEBRIS FROM THIS WORK MUST-NOT BE PLACED"IN PUBLIC SPACE,AND MUST BE GL ARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER ALLURE TO COMPLY WITH THE MECHANICS' t„�Elwi LAW GAN RESULT` IN T E:PROPERTY'DWNER PAYI"NG TWICE FC R BUIL�IIVQ 1lIIIRR 3VENIEN'T AW 94A ." F ED ACCORDING To APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SWEGT Tt��I� � �"' FOR' u P Ti01�I{}F APpiriCABLE'PROVISION$OF LAW. T��b II41.t>II RECEIPT�UBER: 093119 ACH BUILB"ING 15PARTMENT;" BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC 9EACH ATLANTIC BEACH, FLORIDA 31293 APPLICATION FOR, MECHANICAL. PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to complete all items in sections 1. 11. 111, and IV. 1• Street Address: 12-LO-0 �Yl��i�zrc IJ� LOCATION ���'-_f�rry r OF lnlrrlrcting streets: fislwren And cUIL»ING Svd•divisian It. IDENTIFICATION — To be completed by all applicants w In corns darNion of perm;I g;,en (or doing the wort as described in the obave statement we hereby agree to pe•Ie•m'u;d wo•t r- a.*:--3a--t ..e► Me attactjsd pians and sprcifkal;ons which ah a part hereof and in accordance w;th the C;ty of Jocison„X* ord;nar•ces s•a of good prect-ca listed there;n. Nava M M"han;cal Conhaetets �� Caatrector (Iriatl 7 �j Mader flaws of I haperry Sy.atire al O•au SignaWre al W A.** iced Agent Architect or Engineer III. GENERAL Wt!�4ATIOW �'' e i Type d I"tiaq Irefa ' If OTNER CONSTRUCTION BEING DONE ON yrctric TNif BUILDING OR S1 TC 1 ❑ Gas—Q LT Q Netvni Control Utility of Yes, Give NUTARER or CONSTRUCTION ❑ Oii PERMIT -0 ots.. Specify IV. M CK N11C.LL SOUIPIAWT TO It INSTALLED NATURE OF WORK (pm"&eorroo$Get of eompoMats on back of this form) Residential or ( 1 Commercial that ❑ Specs ❑ Reutwd R Central O Flow Cl New Building Ai+Cond*tiewing: ❑ Room 21 Control ❑ Existing Building ! ❑ pveet S'Yeftm; Mefti+el_. Tkilclaou Replacement of existing system fht•aiw IM upecity of m. D New installation(No system previously installed) 0 Extension or add-on to existing system ❑ D Other -- Specify ❑ C'904" toes of: CaPeuh 0Pa"r Fire epeinllas: Nvnsba+ of L—A. -- n Eiwow (3 Ma"ft ❑ Escalater_..r....,......ttwRlber) THIS SFACE FOR OFFICE USA ONLY tiJ 6aeof:.a pw-pts_ ttwmber) tRae+lv+rf) I ❑ Teal, ttwn►baej R•MA$ ❑ U*c.wt0- ttwn►berl Q UaEnd tea+V"M O iaiars ?am!# llppeoved by Date PorWt Fee j UST ALL EQUIPMENT AM CONtDi ONO AND RURICER,ATION EQUIPMENT ! Nnoabsir Valu. D"Crfptbes >t[odel Numbs ltaatitat:Wrar r-aftai-ijy A �►t ovIins C'0)y_QF&S r? HEATU+G t FURNACES. BOILERS, FIREPLACES- Numb"UnAs IREPLACES7tutsMrnVans beecrfptlots lfodttlNttlatbt! ,[eattllrc!>✓iretr capadtfHTIJ)rAgency ApprowbC TAN 0 now Maar Nowbaal capaclt ' aad Dfmaodons� con �4�d Ntrsns ad Serial A;c Appproving Contained. AGlatttacctlrar — Nod, ncy I CITY OF ATLANTIC BEACH N- 13433 FLORIDA �} C NAME � `-�`" � � � ADDRESS CITY c; /-763 When Signed, Dated and Numbered, This Becom#Aot*lWtt6pk**oeipt $15.00 74 Receiv-eRay'�f4 01' t(Lpt- 0083 MAKE CHECKS PAYABLE TO GASB{ CITY OF ATLANTIC BEACH, FLORIDA TREASURER \tet ' CITY OF 5 4&4A& 19113444-IM" Office of Building Official Q` REQUEST FOR INSPECTION Date Permit Time � Received a M. Job dres 'Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMB[ MECHANICAL Framing ❑ Footing ElRough Wiring ❑ Roug Air Cond.& He Roofing 1-1Slab11Temp Pole G Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place Pre Fab READY FOR INSPECTION t Tues. ed. Thurs. Friday Inspection Made Inspector ' - a � Final Inspection ❑ �7 Certificate of Occupancy 17, (' Date CITY OF 4&4,;t& 99Office of Building Of ' ial �Z}REQUEST FOR INSPECTION Date / Permit No. TimeJ A.M. Received . �—_ P.M. J ress I Locality Owner's Name ___Contractor _ BUILDIN �5pofi ELECTRICAL PLUMBING MECHANICAL Framing Rough Wiring ❑ Rough ❑ Air Cond. & ❑Re Roofing Temp Pole 7 Top Out ❑ Heating Insulation C_- Lintel Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION ,M. Mon. ues. Wed. Thurs. Friday A.M. Inspection Made ——-----P.M. i 75pector %r_�✓_-2�- �– _� '__ ___,,Final Inspection ❑ Certificate of Occupancy 1 Date CITY OF 4&40t& 13 Office of Building Official REQUEST FOR INSPECTION Date Permit No. Timef A.M. Received E � �P/M' � Job A es Locality Owner's Name _; — _Contractor BUILDING CONCRETE C-ECECTRICAL PLUMBING C IECLANJCAL C ing Footina 7R'ougli Wrong Rough Air Cond. & C' Re Roofing C Slab _ Temp Pole Top Out Heating Insulation ❑ Lintel Final Sewer Fire Place Pre Fab READY_ R INSPECTION Mon. Tues, - `Wed�I Thurs. Friday—_ PM�y — A.M. / 3P Inspection Mads ��� r intor--- Fina! Inspec:io spec Certificate cf Occupancy C_I CITY OF 19 Office of Building Official REQUEST FOR INSPECTION Date — Permit No. Time A.j A.M; Received _ v __.P.M� 7- d---._—___ Q�-n r-'�t✓'Z�-� 'mac-z,. Jo old ss Locality Owner's /s4:2z /Name C��NCRETE fContractorBUILDING } ELECTRICAL PLUMBING MECHANICAL Framing <-, Rough Wiring Ll Rough Air Cond.& - Re Roofing ❑ Slab Temp Pole Top Out C7 Heating Insulation ❑ Lintel Final Sewer E Fire Place _. Pre Fab READY FOR INSPECTION A M Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made _ PM ---- -- _. r., clog —__ �.� Final Inspection I pe / Certificate of Occupancy i n-,tom ` CITY OF Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time y A.M. Received �� P.M. Job Address Locality Owner's J Name ___J 4f "��'�.. Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing n Footing ❑ Rough Wiring - Rough ❑ Air Cond. & n P.- fir n aO Slab 11 Temp Pole = Top Out 17 Heating tion Lintel Final - Sewer ❑ Fire Place FL Pre Fab READY FOR INSPECTION A.M. Mnn. Tues Wed. Thurs. Friday _ __P.M. Inspection Made Final Inspection C � �- Certificate of Occupancy Date ---- -- — --- CITY OF Office of Building Official (y �? REQUEST FOR INSPECTION 4- -7 Jam- Date Permit No, Time f A.M. Received _]. ( (L_ P.M. JPlIddys L all Owner's Name contractor r—VUILD^1 G� CONCRETEC-TRICA CHAN{CAL Footing ❑ ��- FIeLt gtr O Air ond. & Re Roofing ❑ Slab Temp Pole a Top Out Heating Insulation ❑ Lintel C' Final I Sewer Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues.. Wed. Thurs. Friday �+y A Inspectio�IWde P.M. Inspector �^ Final Inspection O Certificate of Occupancy Date + 'Cit Y OF a - Office of Building Official REQUEST FOR INSPECTION Date_ /` __ Permit No. Time � � A- � Received _-_p�ryry – P.M. _ V _ Job dr ss cal)ty Owner's Name Contractor BUILDING CONCRETE ELECTRICAL LUMBIN MECHANICAL Framing Fooling Rough Wiring Air Cond. & L7 Re Roofing Slab L; Temp Pole Top Out ❑ Heating Insulation L Lintel Ci Final _we J Fire Place aJ ,�j1C,� Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made P.M. l Final Inspection 1 :nSpector _ _ Certificate of Occupancy F. Date __ OF ADDITIONS or CORRECTIONS D • NOT REMOVE JOB ADDRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted 4 AF4f' �► n.. �. 'y�"G>/`T✓�.r Lam",'`��"`/� ,,,. /�' / . /r� l� -�.✓<a.9 rte ^ it is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. l After additions,or corrections have been made, coa!L�11 Building Department for an inspection. Field Inspectors are in the office from to 5�7 Monday through Friday. PLUMBING ate, ELEC BLDG. B-4 PRESS HARD-USE BALL POINT PEN 11= OF ADDITIONS or • " • INS • NOT REMOVE o•u THIS JOB HAS NOT BEEN COMPLETED The following odditions or corrections Shall be mode before the job will be accepted it is unlawful for any Carpen`e• Contractor. 8,ptaer• or other persons, to cover or tows•to be covered on, oa^of the work with flooring• loth.*a^ Or other material until the prooer •nspectat has, had ample t.rne to Oppro" the installation After additions or corrections hove been mode. ul} l/ l�lidinp Department for an inspection. i,e.d ,,4"crors are .n the office from Q•L.�„�•fo„e•.e.�a#��_Me-za. --ough It-day (-.�Yt••ti„ fJ�►� ' :! moi!' � 4,DG i