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Permit 1825 Ocean Grove Dr (vault) ADDRESS_ ����._6(f - BUILDING PERMIT NUMBER_-.-3 5�3 ,Y INSPECTIONS FOOTI NG SLAB_____ FRAMING._--.d _. y; L____-----.-.- COVER INSULATION FINAL BUILDING C CERTIFICATE UCC / — G ELECTRICAL PERMIT # _.3 96 i°-1 A)4 INSPECTIONS ROUGH FINAL_----- ----.----.------------- MECHANICAL PERMIT # ---------------- PLUMBING ___ __PLUMBING PERMIT NOTES: d CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD , �< < ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001870 Date 11/12/09 Property Address . . . . . . 1825 OCEAN GROVE DR Application type description ROOF PERMIT Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 2000 ---------------------------------------------------------------------------- Application desc REPAIR FL FL 126 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FORD, CAMPBELL CARR ROOFING INC 1825 OCEAN GROVE DRIVE 11309 N COUNTY RD ATLANTIC BEACH FL 32233 GLEN ST. MARY FL 32040 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . REPAIR FL 126 Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2000 Expiration Date . . 5/11/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rr /� ri sA CITY OF ATLANTIC BEACH I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- s) OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPTCCOAa.US ' /s TSN BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JCIG ADDRESS: I 1 2.VAWATM OF 3.$0.Fr.UNDER ROOF 4.LM&DEQ: 5.CLASSOFWORK° FSE OF 9TR(I0TURE: ` ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOTS BLOCK_SUB DIVISION U ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCOWSON OF WORK Jai ALTERATION ❑ACCESSORY BLDG. 5:FIRE SPROWLER: II.. i' ( u c�(g REPAIR 13POOL/SPA 13 YES ❑N/A C' e^.1LPUVOJIC.4t, 1 - l ❑MOVE ❑OTHER ❑NO lE 9.NAME: 15.C MPANY NAME: 23.COMPANY NAME: 'zi 16.NAME: 24.LICENSEE NAME: "'���Ili S G 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: A-;C"e OnQ -t 18.ADDRESS:?C) 4 Q 1J L 28.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 120.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: -610-M31 13.CELL PHONE:' 21.CELL PHONE: 2� 29.CELL PHONE: 14.MAIL DRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: fr vVt PW(rFO11"A TlfAN IE KOt) BCINtrNG COMPANY: MORTGAGE LEW)GR, 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS. 34.ADDRESS: 36.ADDRESS: I:e 2-!;7'QL Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law, WARNING TO OWNER: r YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWr`t>!*IR or A01MY CO O "t (►r` POMrer of Atbornely or ' ) �0�1 Signed: ate:1'f/! Signed: (� / Date: Before me this_4 ay of YVl 2009 in the county of Before me thi day of 1 V 2009 in the county of Duval,State of Florida,has personally appeared Qv%vil.State of Florida,has personally appeared V�ll.q 6 Li herin by himself/herself and affirms that all statements and declarationsareherin by himself/herself and affirms that all statements and declarations are �( true and true and accurate. �j ��G� Notary Public at Large,State of County of Notary Public at Large,State of ' ✓' ,County of � personally Known ❑Peuc:d ally Known irProduced Iden 'on- rodIdentlficati Notary Signature. 4 Notary Signature: CHRIS NE L.MCNEILLY MY COMMISSION M DD9279-8 '„ , •;gin. CYNTHIA A.PEREZ f tRES:xovcol6�ot,2ot3 % Commission DD 832389 L1.9. y Fl.Na y Dimm Amax Co. BLDG01 Permit Application Bldg:REVISED:12/182008 :�; ,€ Expires October 20,2012 %i,$;;�,,•`' Banded Thru Troy Fain Insuranop WO.38&7019 NOTICE OF COMMENCEMENT (PREPARE N OUPWAM Permit No. Tax Folio No. State Of County Of To whom It may corrcerrr: The undersigned lime"informs you ttW improvements will be mads to certain tart property,and In accordance with Section 713 of the Florida Statutes.the following information is stated M this NOTICE OF COMMEMEMENT. XLegat desaipbon of property being improved: L ;;ko ot x=.=10— ng knproved: �1 F Bec.L h G1 eco 3 J General description of improvement: — A'Owner .,t-,Address �3 I 2:Z3 Owner's interest in site of No improvernant Fee Simple Titleholder(if other than owner) AActddress address i I ILIR` Phone No. Fax NO. Surety of any) Address Amount of bond S Phone No. Fax NO. Name and address of any person making a loavu for the construction of the improvements• Name Address Phone No. Fax No. Name of person within the Stabs of FWft other than himself,designated by owner upon whom notices or other docu nems malt be served: Name Address Phone NO. Fax NO. In addition to hirnseif.owner dedWelles the 1b11ov*V person to reoafve a copy of the Liermes Notice as provided m Section 713.08(2)(b),FW4m Stalules.(Fill In at OwnWS option). Address Phone p0_ Fax No. Expiration date of Notice of Commermment(the expiration date is one(1)year from the date of recording unless a dN►erent date Is spedlfed): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: bate: Before me tl�s dale of 4 +�+� '. i in the u vu d i, rc QK �uE 5 rage 9Q9 Number Rages County of Duval.Stale of Florida.has personally appeared Reccrded 1 1,12/2009 at 10:55 ANI, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY R E C O R D!N G$1 Q.OQ Notary Public at Large.Stam Of County of Duval My commission expires: Pow eAy KWWn,k` --- or Produced Identlfication [g'(gitE L.MCNEII.LY MY COMMISSION M DD927929 E)anRES:Novay*m 01.2D13 r.pd TARY Fl.NOWY Dim—Aron.Co. '1r`1 a (T� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001377 Date 10/06/09 Property Address . . . . . . 1825 OCEAN GROVE DR Application type description ROOF PERMIT Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 1800 ---------------------------------------------------------------------------- Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FORD, CAMPBELL ROMANO ROOFING SERVICES 1825 OCEAN GROVE DRIVE P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5649 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1800 Expiration Date . . 4/04/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH �9� I I SW SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 a OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTQCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2 UATION OF WORK 13.SO.FT.UNDER ROOF 1 a s C�v o%l L ®a 4.LEGAL DESCRIPTMN: S.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT!BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8,FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A OVE ❑OTHER ❑NO PR TY –A—RC-1-47—EU /MMWEEW 9.NAME: 15. MPANY NAME: ` 23.COMPANY NAME: 'S C 6Q 1 ` Q 18 ME w� 24 UC£N5EENAME Q `{1 C19 N Dr a „ u 10.ADORES : 17 STATE_0F FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: �Q-- v 18.ADDRESS: 26.ADDRESS: 1 r1 IS QnCu/1 11,OFFICE PHONE: 12.FAX NO.: 1`OFFICE PH� 20.FAX O.: 27.OFFICE PHONE: 28.FAX NO.: •i 13.CELL PHONE: 211.CELL PHONE: 29.CELL PHONE: C7 I�rd 7�. 14.EMAIL ADDRESS: 22•..EMAIL ADDRESS: (� 30.EMAIL ADDRESS: �G tltN4ti s T' CQ ft., (IF OTHER THM owtEtt BONDING COMPANY' 1NORTOAtiE LENDER: . 31.NAME: 33.NAME: 35.NAM£: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Welts,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (if Agent,Power of Attorney or Agency LOW Required) (Qualirw Only) Sig Date: Signe : Date: — SIJ Beoe day of 2009 in the county of Before me this day of 2009 in the county of Du has personall Duval,State of Florida,has personally appeared hedn by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of ,County of Notary Public at Large,State of County of ❑Personally Known ❑Personally Known ❑Produced Identification- ❑Produced Identification- Notary Signature: Notary Signature: NwfyPdit-smdit to01111111111111111. IftwV it,M BLDG01 Permp EVISI 0 001 N 1 10 NOTICE OF COMMENCEMENT (PREPARE IN DUPUCATE) Permit Nq.. Tax Foliool State of 1 Countyof 1—_V n 1, To whom it may concern: The undersigned hereby Informs you that Improvements wilt be made to certain real property,and In accordance with Section 713 of the Florida Statutes,the following Information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Address of property being improved: Ql'� General description of improvements: Owner GL r Address Owner's interest in site of the improvementQ Fee Simple Titleholder(if other than owner) Name A dress n Contractor n Addresslirs, ' r .— -. Phone Np, Fax No Surety(if any) Address Amount of band$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fitt in at Owner's option). Name Address Phone 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): THIS SPACE FOR RECORDER'S USE ONLY OWNER � G Se ere s day e3���ES Caen. Duval,State of Fterida.has percpnatfy a<ppr.:ared here.^by himsetfi haseff and a ' that al tatements and dedn tions rsrein ------------ ---------———------ ` are frac and jc�-xplres: l�oc#2009`22!725,OR 8K 15012 )Rage 511, li Number Pages:1 Recorded 09122/2009 at 10:55 AM, SIM FULLER CLERK CIRCUIT COURT DUVAL Notary Pub!; Large, r C��� COUNTY My commissRECORDING$10.00 Personalty K +Z�IQ1Z Prcduced Id CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000903 Date 6/24/09 Property Address . . . . . . 1825 OCEAN GROVE DR Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc condsr 2 . 5 tons / ah 30K btu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FORD, CAMPBELL WAYCHOFFS AIR CONDITIONING 1825 OCEAN GROVE DRIVE 9539 103RD ST #46 ATLANTIC BEACH FL 32233 AND HEATING JACKSONVILLE FL 32210 (904) 838-9052 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . CONDSR 2 . 5 TON 30K BTU AH Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/21/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Jun. Z2. 2009 1 :34PM WAYCHOFF'S AC No. 6111 P. 2 CITY OF ATLANTIC R EACHli ECHANICAL PERMIT A1P PPI CA�'ION 5D. Date: 3 �t d`r Property Address: 1 a a t)C e Gu n T)-r Owner; t p- hi 11--.. FOt' Gj Telephone M. Contractor: [k})a,w Telephone#: Contractor Address: lD t n V` 1rax Contractor SignatarC: h ooftelckrafm of permit;ivm fm doing Sm wask as duorkiiwWo above aftawnad,we hereby apee to pdfana said warts in aceardance. with do attached ptmts and specifications,hide are a part hereof and fn seaordsaw witb the City of Ailamic Bo ueh adinanom and standords of good gectiot fisted Amin. 1l"of 0eadkig Y+'uel: if otbfer omatmctiou is being done an this btdiding or site„list the tgWdm#pennit munber. t9/151ectric ❑ toss: LP Natural _Central Utility 0 oil O Gdw-S MECOANICAL EQUI(trtaiENT TO BE INSTAURD NATURE OF WORK. e-1400 _Space _Recessed t'Cctmal _,,,Floor ta/ilrsidentiel e Air Coaditiown Ronin jE'misal O Duct Sy'Staw. Matmriffi Thickness CI Commercial lVlaximlllte CApBCICfr Cult ❑ Refrigeration ❑ New BWUlbig Ct Cooling 'ower:Capacity pltn a Fire SpztWers:Number of Heads ❑ Elcisiing Duildittg ❑ El"or. __ Matdift Bscdatos (Nmgber) �ep>ar It of Existiag Systan ❑ Gasoline Pamps —- — (Nwtber) D Turks ❑ New butailatiott a LPG Coataiuers u�j (No system previously installed) O Uttered Pressure Vessel 0 EYtataism or Mid-on to ZxWing Syd m d Boilers E3 Gas Piping O Optic-Specify C) Cdw-Specify LIST ALL EQUVMNT AM C UNDx OIWIXG,RFAWGA"TION Roun%mENT 4 CONDEM 01*8 Approving Number Ilnik Darcriptioa Model to Mianheenoar Tai s Agmq MTINC—PORNACEa.601UM,pTRULACES!AIR HANDLSA'S Approving Number Units Description Model N manufacturer BTU's Aermy -X TANKS NodCOW 'PapeLgWd Berlet Appca' Hew maij Difflonsiass Conwimed lttarwfaaaref No. 800 Semiuok Rased o Atlantit Bede!,Florida 32233-5445 Phone:(904)W-$800 o Fa= (904)2d7-5845 o b�/fir CgAftuAus RCrIgCt11/04 Jun. 12. 2009 1 :33PM WAYCHOFF'S AC No. 6111 P. 1 Wayp off's Air Conditioning 8286 Western Way Circle, Ste D9, Jacksonville, FL 32256 (904) 730-5083 Voice-(904) 730-5087 Fax Tw. Atlantic Beech Perrnilling O(fIce From Ginger Hampton,OM Com; CO.- AM elleA» 247-5845 Pagost 2 Iftm tng cover Phonal 247-800 ttt+atm 0122/09 no., Permft for CampbeA Ford CC: fib Urgent 0 For Review ❑Please Comment El Please Reply [3 urease Recycle e Comments: Please call me at 7304M to pet credit card Informadon for payment then fax permit!o me at 7306087. Thank you and have a great dayl Ginger k DEPARTMOI NT OF BUILD-4 F CITY OF ATLAA Tic BtACH �r it .Atu ar 4.t6 Addrew6 i 1,013 iOCEAN t CiVE 3 Per*it".Type v M N, -,-AL . 'ATLANTIC BRA H0. maDA Casa4 € ; NEW _ MABRTPTH t , WOOD PRAME, Lott socti 04 z F`AtT ' T ►trh p ;RN£ o., Subdivisitain"s , "atedl. Y lu►e s Bek«C}Q ,k. Is `0 A Aids. C)r"} . DiRt ION FEES, 00 A�r w AH `� � # 3 VER ACT FES:', 41 ,,, .: Tc B *0. t" '�T � yam, *0223, ,A asol y,. i AH* fly.f "FE Bim«lk '�M !ACT' "vs, �fl:o0 gill a a ��jj {wo 3" �i �l r� d{ 1 NOTICE-=ALL CONCRETE ft 008 AND FOOTINGS MUST QE iw�wt�cT�I�BEFpRE POURING PERM,I7'VOID SIX,MONTHS AFTER 0ATE OF,rssu E C1�LC ING MA1 ERktVI,RUSBtSH AND DE 3RIS FflOM THIS WORK MUST NO E PLACEp.IN'POO IC SPACE,ANQ MUST SE Ck 1RED UP AN©HAULED AWAY BY f'iTHER CONTRACTOR oR OWNER " Al L.t,iR Co., PLY',WIT THE MECHANICS' fElt, CAN, ROU .T' N " � _ RY NG T"IVCE FR:8 #Iio.ACC4E i3lN?G TO R"Ff�RC3v # "kAN WHrCH AFib RAFi7 ©r` THIS !? tf AD t ! To pf# ATrc �r o Al r. Ae. rI ISIO +r F r Aw t� ATL �TrC BEACH 8t�tarNEAR �T.z Tlt �4 NOW BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82288 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, ll, III, and IV. 1, LOCATION Street Address: G4f#4^0/ /C"40(/Q OF Intersecting Streets: Between And BUILDING Sub-division 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. Nance of Mechanical Contractors , A G� /Q, Contractor (Print) Car/fin/ A Master CA Name of SvI b Property;Owner Signafure of Owna Signature of or Avthori:ed ant Architect or Engineer IU. Q�ENER1IL I Type of heating Lr--/ B. IS OTHER CONSTRUCTION BEING DON O l is Electric THIS BUILDING OR SITE? Q Gas—❑ LP ❑ Natural ❑ Cenfrol Utility IF YES, GIVE NUMBER } ONSTRUCTION Q OS PERMIT Cl Other:- SWJfY IV. VICHANIM EQUIPMENT TO iE INSTALLED ATURE OF WORK ti sevwe complete list of components on back of this form) Residential or ❑ Commercial Heat ❑ Space 0 Recessed I Central O ROW New Building Air Condrtioninq: ❑ Room u'C Central ❑ Existing Building ED Replacement of existing system Duct System: Material Thicknau New ia av nstallation(No system previously installed) Maximum capacity s:.f.m. Q Rehigaration ElExtension or add-on to existing system El Other — Specify ( Cooling tower Capacity q.p.m. Q Fins sprinklers: Number of hesk ( flevetor ❑ Manlift ❑ Escalate r (number) THIS SPACE POR OFF= USE ONLY ' Gasoline pump (number) (Raoeiwd} Q Tank` (number) Remarks (a LM oontainsi (number) Q 'Unfired,Pressure'vesral Q reihxs Permit Approved by Daae Q OMer - Specify Permit rIST ALL EQUIPMENT ;,"TR CONDITIONING AND REFRIGERATION EQUIPMENT Gpsd Nmobor,Units Deacrlpt lift No"Number Manufacturer (�opisj MUL40 Ito `SATING,- FURNACES, BOILERS, FIREPLACES X=bes Units Desertpttm no"Number SL'=Uftct ww ( )Y .06 A�d 46 BR579 of T KS xanY Namlaal CapslMty Zyps LAqWdNam of Serial Aj a" Dlaueodons Container! l[aausaaolmyr No. 0*PARtM£N7 OF BUtLE#tMQ CITY 4F ATLANT#C IB�ACf1 �. 'pg i 141T TNI'C3 >YA'TIl H T [ N INE"{ # l!9EA''I #N + :$ t N _s ddrs £At Nl£ . + y F1»# 8ttr `I!,.�kltT ,, 8£ACfii�, L.tRIpA 32233 . Gl.ka# tax� Ca K£ 1 . ..�. z .. MAL ICiSIPTT #IC C+ r�£tar. `Ylt.; Wt1 #I 'RAI oto : O+ tican: rrr�. 3 ng s Cada: �O gubdivi*�64:j­ imatstdr Va O� O 3 Ipra�r Cr t..s C?w ! tsl F' r�s Y 47.x;.00 t? t± , 9 13 £ ZN rIJE'$ R£SIDtNC£ Oft ON AP tICATI • W ' - 3' 1rA ! F't£ $0.00. tDA ho A� ii * ."' "* . . VA's' ' A £O` 00 IAOM FLOICIDA 32233 l Yt At 1 C : � 000 Li 1:, s ACS' F rµ ro Nt3 s S: 'i` '4 e � - , a NOTICE AL#.Ct�WCRIrT0 FORMS AND FOOTINGS MUST PESMX MONTHS AFTER DATE CQF 1 81JE $ LflING MIATERi L,RUPSISHAb jooE$RjtrFAOM THIS WORK MUST NO-i� PLACEC� GN PUBL1�SPACE,AN#a MUST BE ,4 ARE# UP ANO, AULEo AWAY F�Y="EI1"l fl CQNTRAGTOR QR OWNED?'. ` x� THE.000 St MEC.HAIti I ���� �1N �►N.R���L'� t.N 1 UEQ ACCOADI46,TO AF'PRdvED PLANS WNlCH ARE PART OF THIS PO4MIT`AIVp.3fJ p REVt)G" � FI�F3 { 1l# LAT#C)N OF.APl ,ICABLE PRQVISIIONS C LAtN. #. a ATL�NTIC BE?CH Bl lLD.1NG,DEPARTMENT k , CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION:_ ,3� j �G�. �. 2� t•, < PLUMBING CONTRACTOR: LICENSE NUMBER: r 73 OWNER: ��7 4 g �,-y\ BUILDING CONTRACTOR: TYPE OF BUILDING: Z SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS f DISHWASHERS URINALS J DISPOSALS \ CLOSETS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT:„ + $15.00 = �1 ------------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CITY OF N2 2 7 7 9 ATLANTIC BEACH FLORIDA 6 2 7.5itel! 19 NAME , ADDRESS CITY 4 When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURCQ . _ 3 o !ANTu >: CITY OFATLANTIC 4 f F l t A C fi _-- ---- LOCATION 'NFOR'AT'ON rw # k s N Addro" GROVEDRIVE "+ r r e ..i w A ' kRTIC BEACH, F40RIDA 32233 Dust' T �a� k : ` Lt "lock + 'rcap�aMoC$r �*s $1, al" PAIIII,Y a RNC C' Subdiv 0 a OV, . Its ►rcay. a t: 0 AMD'"' M+ APOLICATION FEES flow - : > . ► , " ,T A + # FF1 ¢" y 1A:' # 11:T" -4.CSO; `!kr i LflTII �� r* a �' F � a. AWA +J 9L t1�FC1 1'lATION AS- - 53G SCI. ". L0 W*T 12233 T 00 ypiollOAC EE N S. t NOT1CIE ALL 01©NC.R T ,. t Mg-AND FOOTINGS MUST S #NSP .irIri�-tiEli:oRi !"OU ING :Pe IR SIX MONTHS AFTER3AT,E C3F ISSUE . . L- ING MATERIAL,RUR131SH'ANa D"EBRI&FROM THIS WORK MUST NO'T BE PC E,AN 7 VIS BE ARE©UPAN`b+IAULEO AWAYITFI'EIr✓UNTRAGTOR OR OWIUf=R:`. b CIS �C P 1 TY° S`I ` R SAYING 1WICIEFOR, 11�#PAOV IR111 i i IS USS ACCOROING TO,APPROVED P4.ANS,WHICH ARE PART OF THIS t?�MIT`ANSU I S CATION PrA 'FItfCAL IICiF LAW. ATLtNTIC,EEACH BI(IILC?iNG DEPARTMENT 'f .:cess ZX,2 S� 1 JC Ee4fL{ Heated Square Footage % @ $ SyU3,0 per sq ft - $ f 4 yy J.Ci garag ed Cid sq ft - $ Q 0 Carport/Porch @ $ per sq ft = $ Deck �2- t 'per sq ft = $ 3 4 © _iso Patio @ $ per sq ft - $ TOTAL VAII ATION: $ .101-o G Total a uat on 1st $ /00 O o cZ 3 /o r , va 7 Remainder Valuation . per or portion thereof ------------------ Total Building Fee $ S 3 ;t _a AD -M—DN-A-L PIIiEQTS and/or-FEES FZWMM ; + % Filing Fee $ 2 6 00 � , Fireplaces @ 15.00 *4ectmical L/ Plumbing � BUILDING'PER�IIT FEE $ i Electric/New ✓ ;,,_ Electric/Tem �D� PEST $ ff f Septic Tank WATER ME= CES M Well Rdmuing Pool SEWM DFACr FEE $ U 3�C` Sign WATER imAOT FEE $ (2 I o o Water Carrmection MISE�S'Ai��[TS $ Sewer Connection �;� I O $ ,6 Water Meter Elevation Certificate GRAM TOTAL UE --------------------------------------------------------------------------------_------------- CAIOJUTIONS and/or NUM P Y CITY OF P.O.BOX 26 ATLANTIC BEACH,FLORMA 32233 BUIL.AINU PERMIT APPLICATIOM TELEPHONE(904)249.2396 kEOV1R1 D ,SUBMITTALS Each application for building permit must be accompanied by three• complete sets of plans, including a detailed site plan, indicating location of utilities, parking, size ui yards, setbacks and other data as required by code and/or the building, zoning or community developmet departments u:f they City ai: Atlantic Beach; one set of Florida Energy Efficiency Code sheets (on new construction or additions of 500 sq. ft. or more) ; a recent survey of the land for new construction and additions; and " a tree survey or letter certifying no trees on propert.y. APPLICATION CHECKLIST 1. Building Application form 2. Three complete sets of plans including detailed site plan 3. Recent survey, including tree survey or letter cert.ifyinq _ no trees on property 4. Owner/Builder Affidavit (required when owner fists as / contractor Energy Sheets _ ►- 6. Notice of Commencement TIME REQUIRED FOR PERMITTING; APPLICATIONS ARE CONSIDERED IN THE ORDER RECEIVED SCHEDULED INSPECTIONS Requests for inspection are taken from 8:00 a. m. until 4 :30_p_ m._ Inspections are made the following working day; please specify am or pm inspection. When calling in an inspection please have the permit number. lob location and type of iris3jlectAc�n,needed. Inspections are scheduled as follows: 1. Footing 2. Under slab plumbing/sewer/electric 3. Slab 4. Framing, rough electrical, mechanical, plumbing call for cover-up on building, , use building permit number and reference other applicable permit numbers (electrical, plumbing, mechanical and building, etc. ) S. Insulation 6. Final inspection 7. Finish Floor elevation survey/Certificate of Occupancy BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE Concrete cannot be poured and work cannot be cuvered up until the building card is SIGNED by the inspector. You may be required to uncover any work that has not been inspected. It is the responsibility of the BUILDER/CQNTRACTOR to post the building card. A fee of *15. 00 is charged for all reirnspectiun&. 'ROPERTY DESCRIPTION CITY OF ArZaaeici Fwlt - T(o,zivf a at M__ :__Block --------Section Oils � 7160CEAN BOUI.E%-ARL 4 P.U.BOX 25 ATLANTIC BEACH.FLnRJDA 22231 �ubdivisian:__� � 11 TF4ER#� 1yy�igtI .^, '� 3trc�et Nameff r sr Address: ._- � .�_ _ _ ___ k ` C � DESCRIPTION OF{ If in a FL D^HAZARD 'lood Zone:--------------orpo completer page 3. Brief .I ;; -- t .a P Descriptions_ J ! ' Class of Work: �Nev/Rwaoderl/Addition)__/���____ '011ING INFORMATION Typo of ' Conattruotions i :oning Proposed tistricts.........Uses..................... Estimated Value o � 000 ___-__ :xceptions or hat*r1alss ariances Granteds,,_- Solid or ------------------------------------------ Filled -- --- Grounds Roofs OWNER INFORMATION kethod of Hostings,,�_ Jcf EAT pwr►�p Property Ovners L,��/�i? �-l �S/�L/s(/.Q/V--- Phones hailing ------ Address ------ zips---------------- CONTRACTOR INFO TION Contractor �fvC/G`?�Rr2D/1'tA-►.� JD£/1„S a2 �/• / f --------------------------------- Phones Hailing -------------- Add raps:____,Q_ ------------------------------- Zip:__y3,�,�33---- Expiration License Numbers 5�..�._�_�G_®�.� DateDates t I HEREBY CERTIFY THAT I HAYS READ AND EXAMINED THI8 APPLICATION AND KNOW INC SANE TO CE TRUE AND CORRECT. ALL PROVIszoxs OF THE LAMS AND ORDINANCES OOVERNINO THIS TYPE OF YORK. WILL 9E ?1`r COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE ORANTING OF A PERMIT DOES NOT PP.0=:I"E TO wr• GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS of ANY FEDERAL. STATE OR LOCAL Rit LES. ^�1�;s•/�(1r.•r• REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR TUE M; PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT I-, ts, ! CONTINGENT UPON TME ASOVE INPORHATIoN 8CIRO TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BE£N OR SMALL YE PROVIDED AS REQUIRED. i 4 ' d gnature� Y "14 Ovner Si r ................................Date ------------ gnatury -y _^_ Date---`-- . i r TREE REMOVAL SECTION A APPLICATION MUST BE RECEIVED BY NOON OF THE WEDNESDAY BEFORE THE MEETING. 1._ �l , rn Property Owners Name Address Telephone 2. _ Location of Tree Removal/Site Alteration SECTION B (To be completed by applicants whose property Is zoned residential,Includes an existing dwelling,and which is root presently owner-occ upiedo 1.What changes are proposed to the above specified site? or 2.what is the purpose of these proposed changes? 3.Specify trees proposed for removal as follows: TREE COUNT SPECIES. SIZE(D13H x HEIGHT) CONDITI 4.Wilt these trees be relocated on the sarne property? 5.if not,will replacement trees be planted? 6.Specify proposed replacement trees as follows: TREE COUNT SPECIES SIZE(D8H x HEIGHT) 7.Attach site plan. (SKIP SECTION C AND COMPLETE SECTION D) e SECTION C (To be completed by all other applicants) 1.Site zoning: 2. Required attachments: Site Plan indicating: (a)proposed structures (b)utilities and utility accessfeasements (c)vehicle ingress and egress corridors (d)staging areas for equipment and material storage (e) location of signage and posting of permits (f)type and location of grade changes (g)all alterations to natural drainage pattern (h)temporary tree protective barriers (i)location of sprinkler/irrigation system(nommen ial only) - r Tree Survey indicating: (a)all trees with a DBH of six(6)Inches or greater (b)species and size of all such trees (c)all trees of special or unique characteristics (d)each individual tree to be removed (e)each individual tree located Immediately adjacent to Constnxtion areas (i.e.,construction occuring within area of ddpline or within 10 feet of stem) (f)all trees to be relocated on same site (g)proposed replacement trees (h)description of tree protectio"reservatlon measures (i)schedule for implementing protectlompreservation measures a)landscape maintenance plan(commerdal only) SECTION D I ag the tree protection practices required by City of Atlantic Beach Code of Ordinances. P rty Own natumDate FOR CITY USE ONLY Applicant has been Issued a tree removal permit and has complied with all provisions,limitations and notations of said permit. Community Development Director, Date (Required prior to issuance of Certificate of Occupancy) NOTE: Refer to"Tree Protection for Builders and Developers"available at City Hall or contact Division of Forestry,8719 W.Beaver Street,Jacksonville,FL 32220,904-781-1434. FLOODPLAIN DEVELOPMENT INFORMATION Type of Developments-------------------------------------------- Flood Zone: Required Lowest Floor Elevations_-____- If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is cn Pile with the Building Department. COMMENTS: Applicant Acknowledgements I understand that the issuance of this permit Is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided an required. I agree to comply with all applicable provisions of Ordinance No. 23-7-11 and all other laws or ,_•� ordinances affecting the proposed development. r ....Applicant•s Signa r `� . ------------------------------------------- ------ Department Use Required Lowest Floor Elevation __________ As Built Lowest Floor Elevation _________________ Survey Filed with Building Department ______-____ Building Department-Representative page 3 CITY OF ATLANTIC BEACH Fixture Unit Worksheet foY 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 / Q SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) �j 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) 3 POT, SCULLERY SINK (4) DISHWASHER (2) �' WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE 3 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 I ICE MAKER (1/2) c SHOP (2) ° SURGEONS SINK (3) LAVATORY, SURGEONS (2) `JACUZZI (2) `-" URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS © ' @ $20.00 EACH $ ( �% • Q JOB INFORMATION `) 0 C lz rl ro Co f z 0(►(,� FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 900-B-91 Section 9—Residential Point System Method Climate Zone Department of Community Affairs NORTH 1 3 PROJECT NAME BUILDER: J z'" W AND ADDRESS: PERMITTING CLIMATE OFFICE: ZONE: 1 ❑ 2 ❑ 3 OWNER: PERMIT I� NO.: CTION I t d (� U I4J NO.: NEW CONSTRUCTION IF MULTIFAMILY,NUMBER OF CONDITIONED SQ. GLASS AREA AND TYPE UNITS COVERED BYFLOOR AREA 1 FT. CLEAR TINT,FILM,SOLAR SCREEN ADDITION THIS SUBMITTAL: L� PREDOMINANT_ .MULTIFAMILY ATTACHED ❑ CHECK IF THIS SUBMITTAL IIEN6ERHANG FT SI ANE FT SIPANE NGLE- � FT. REPRESENTS A WORST CASE PORCH OVERHANG DOUBLE rV�SQ. DOUBLE- SQ. SINGLE-FAMILY DETACHED CONDITION: ❑ LENGTH �.a FT PANE LL1J FT PANE FT. NET WALL AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R = SQ, ES0. M FT. r1l FT ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R ADJACENT LOG R = [SFT. ❑ .❑ �2ok�F° c ❑��. EE �O ❑ CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNtDER ATTIC R = SGL ASSEMBLY R SLAB PERIMETER R = RAISED.WD ON❑ R = FQ FQ ❑ FT FT i T DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS OT WATER SYSTEM HOT WATER CREDITS IN CENTRAL ❑ ELECTRIC STRIP HEAT ❑CEILING FANS ELECTRIC SOLAR: ❑ ,❑ UNCONDITIONED SPACE R = KROOM ❑ NATURAL GAS PUMP ❑CROSS VENTILATION NATURAL GAS S.F.SF ❑ PACKAGE TERMINAL El ROOM UNIT OR ElO OTHER HEAT RECOVERY(CHECK) ❑ AIR CONDITIONER PACKAGE TERMINAL FUELS WHHOUSE FAN ❑ OTHER FUELS DEDICATED INCONDITIONED NONE HEAT PUMP ❑ NONE ❑ATTIC ❑ NONE HEATPUMP: ❑ . C❑,❑ SEER/EER= AFOUE .��� HSPFI j ❑ MULTIZONE EF = BEDROOMSq�-j NUMBER RACTIINFILTRAT /_ �, T �� Z1 C{ I�t X 10o = . PRACTIC USED fie' ❑ #1 #2 # TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. Mcertl he pla and sRecifica on red by 7callation are in comp nce wi the Review of plans and specification Bred by this talc on in • tes co pliance with Florida . / the Florida Energy Code.Befor��ac)tn coon is comp) ed,this buil Ing will a inspected (� !� for compliance in accordance 553.908,F DATE: i✓ mpli nce with the Florida Energy Code. BUILDING OFFICIAL: DATE: DATE: �- —..—T FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 900-B-91 Section 9—Residential Point System Method Climate Zone Department of Community Affairs NORTH 1 3 PROJECT NAME I « '►� BUILDER: AND ADDRESS: PERMITTINGj\R cti ZCLIMA ONE:TE 1 ❑ 2 ❑ 3K OFFICE: F"-�` (�! PERMIT JURISDICTION OWNER: .�+t� NO.: NO.: NEW CONSTRUCTIONIF MULTIFAMILY,NUMBER OF CONDITIONED SQ. GLASS AREA AND TYPE UNITS COVERED BY FLOOR AREA FT. CLEAR TINT,FILM,SOLAR SCREEN ADDITION ❑ THIS SUBMITTAL: PREDOMINANT 777 So. MULTIFAMILY ATTACHED ❑ CHECK IF THIS SUBMITTAL �ENGTH ERHAt�G �. FT SINGLE-PANE FTT SINGLE- FT FT REPRESENTS A WORST CASE PORCH OVERHANG DOUBLE- SQ. DOUBLE- SQ. SINGLE-FAMILY DETACHEI)k CONDITION: ❑ LENGTH �.� FT. PANE FT PANE �� FT. NET WALL AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAMER = EXTERIOR STEEL R = EXTERIOR LOG R = I I L50141 SOT. [1] .9 � °: l t �o FTTTI]so- [11 FT. ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R = ❑ ❑ .❑ So' � c [�FT- ❑ �F° [I] CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTIC R = SGL ASSEMBLYR = SLAB PERIMETER R = RAISED:WD CON❑ R = FQ 0-0 11117FQ m l ___L FT. FT-1 DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS DI CENTRAL ❑ ELECTRIC STRIP HEAT SOLAR: UNCONDITIONED El FANS ELECTRIC ❑ .m SPACE R = DOM ❑ NATURAL GAS PUMP ❑ CROSS VENTILATION NATURAL GAS S.F. = � �� ❑ PACKAGE TERMINAL ❑ ROOM UNIT OR ❑OTHER HEAT RECOVERY(NECK) ❑ '`-' AIR CONDITIONER PACKAGE TERMINAL FUELS ❑WHOLE HOUSE FAN El OTHER FUELS DEDICATED IN CONDITIONED HEAT PUMP ❑ NONE ❑ ATTIC RADIANT ❑ NONE HEAT PUMP: ❑ .m SPACE R = ❑ NONE BARRIER E.F. = ❑,❑ SEER/EER = �, AFOUEHSPFI a. MULTIZONE EF = BEDROOMS NUMBER F = .PRACTICE USED _ �1C�4 rl /Ysr�'I X 100 ❑ #1 ;( 2 #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. I hereby certify the the pl ecificati s vered y the calculation are in compliance wi the Review of plans and specificatio vered by this calculation indic tes mpliance with Florida Energy Cw the Florida Energy Code. Befor cons udion is corn ted,this buil ng be inspected for compliance in accordance wi Se ion 553.908, PREPARE DATE: f' I her mg i ian with the Florida Energy Code. ` y� BUILDING OFFICIAL: \� A NT:: r7 DATE: © w 91 DATE: _�9 , 1 Jow �1Y LOAN 1: 0705731945 f7R5Ta�i NOTICE OF COMMENCEMENT ITO HE EXECUTED IN DUPLICATE) •��--.T�;rsuant to Section 713.13 Florida Statutes, the undersigned gives notice of the following: SIPS -W4# rM days from the recordation of this Notice, improvements generally described as TAX— CCNSTFil1CT I ON OF A S I'NGLE FAM I LY DWELL I NQ will be commenced on the real property In pUyAL County, Florida legally described as: I TFE WEST 83.35 FEET OF LOT 6 IT NO 2- Kl. ACOORDIN3 IQ PLAIN ELAT rQ ,w PAGE 20 OURFENT PUBLIC RECCEDS OF DUVAL OOUNTY FLORIDA 0 J If any, of said real property: LOT 6, OCEAN GROVE DRIVE --r` CD Street address. ,;� c-n ATLANTIC BEACH FL 32233 ; The property is owned by whose address Is: .-cv.a tV DR- The owner's Interes s o mprovemen FEE SIMPLE ,_to j co tV 2 (FPS SIMPLE TITLE, OR OTHERWISE) Name and address of fee simple title holdler if other than the above owner The name and address of the contractors) is (are): • 1644 PARK TI ESTn► c ATI AN, _T I C B The name and address of the r=,y on the payment bond of any) Is The amount of said ^7 whose Florlda'add �, CHARLES S. MARSFBURN & LOIS M. �n A LOT 5, MAN AVE DR / ATLANTIC BEACH FL 32233 Is es grated as the plison �• M „whom all notices and other documents relating to Florida's Mechanics' Lien Law shelf be served N addition to the r �. owner whose address Is +j'0° Copy of Notice to Owner shall also be served on SECURITY FIRST FEDERAL SAVINGS AND LOAN 41 ASSOCIATION which is making a loan for the construction of Improvements on this property, at the following address w 1821 ;ECURITY FIRST BLVD / DAYTONA BEACH, FL 32114 _ >c>Signed in the presence of: �'���� �•�' JSIGNATURE J wI (SEAL) �� WITNESSES LQI SIGNATURE 00 (SEAL) - s(SEAT ora _ STATE OF FLORIDA ) SIGNATURE SS COUNTY OF DUVAL ) I HEREBY CERTIFY that on this day personally appeared before me, an officer duty authorized to administer oaths AM take acknowledgements, CHARLES S MARSHBURN AND LOIS M. MARSHBURN, HiS WrFE o me well Knownknown to me to be the perso s rM in end who exec u a foregoing Instrument acknowledged to and before me that (if Individual) executed said Instrument for the purposes therein expressed (if corporation) they executed such instrument as President and Secretary, respectively, of a or corpora sea a saidInstrumentdue regu au or y; sa umen the free act and deed of saki corporation. *OF WITNESS my hand and official seal this 6TH day of JUNE 1991 (SEA L) o ry c My Commission Expires: #+•""•+ OFFICIAL NOTARY SEAL 14 a E / NOTICE OF COMMENCEMENT NY CONN. 5/9S os►e9 STATE OF nORi0A wvn--� Cou"41., p ` 1.UNOERS1090 0011 M 66 Ciituit&fbunty (:ouitir� UE.11 County,Flotidl,00 IIEREBY CERTIFY the Whirl rind 1$regoin�i� a true and correct copy of the original is it iypeaii on record and Ole in the office of the Clerk of Circuit&County Courts of Ouvsf County,Florida. WITNESS my hand and seal of C erk of Ci Coun'y Col H Jacksonville, Florida,this the day 19 NE Y W. COOK , iCferk, curt.end County C rta v l 'e t Floc! Clerk CITY OF ATLANTIC BEACH, FLORIDA Approved 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 ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. r 16 ft.& " /w.J"-410cl, ELECTRICAL FI MASTEA aE T ICIAN SIGNATURIf lJOURNEYMAN NAME At ADDRESS: "'w RFD-BOX- BLDG. FD BOXBLDG.SIZE BETWEEN: RES. APT.1 ) COMM.( ) PUBLIC( ) INDUS.( 1 NEW OLD( 1 REW.( 1 ADDITION ( ) TRAILER ( ) TEMP.t 1 SIGNS ( ) SO. FT. SERVICE: NEW M- INCREASE 1 1 REPAIR ( 1 FEE CONDUCTOR SIZE -t9f-'- AMPS00 0 COPPER I ALUM. SWITCH OR BREAKER AMPS PH ?Wo VOLT a ACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. X1.100 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 CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS " TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA IND. lKVA NO.NEON TRANSF. NO. . VA. MA. MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED S TOTAL FEES CITY OF ATLANTIC BEACH, FLORIDA Aonrowd or APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19L IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,-CODES AND CITY OF AT JE&%WBRINANCES. South SecW St acksonvl Bch FL lf(ECTRICAL#IRM: SIGNATURE JOURNEYMAN NAME ADDRESS: A25/l_ - �m 040bl°J6 RFD----.BOX BLDG.SIZE BETWEEN: REL 1' APT.1 1 COMM.1 1 PUBLIC( 1 INDUS.( 1 NEW(vY OLD( 1 REW.l 1 ADDITION 1 1 TRAILER 1 1 TEMP.fw SIGNS ( 1 SO.FT. SERVICE: NEW I INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER f ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLTI 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 CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 800 V. OVER 800 V. NO. KVA 1, 1 NO. IKVA' NO.NEON TRANSF. IND. VA. I MA, 11 MOTOR SIZE I SWITCH I FLASHER EACH SIGN FORWARDED O � TOTAL FEES CITY OF ��� b � � ,ate- U ,4&. Office of Building Official 96 —7 � REQUEST FOR INSPECTION l Date .. /� / Permit No. Time Received p.M. DistrictNo. J / Job Address Locality Owner's Name Go Contractor BUILDING CONCRETE ,.-j' LECTRRiCCAt .. PLUMBING MECHANICAL Framing ❑ Footing YRADY $puQhYlLicing—✓ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Lintel Fire Place ❑ Pre Fab FOR INS CTION A.M. Mon. Tues. Thurs. Friday P.M. ® � A.M. Inspection Made Inspector i r Final Inspection C�- �j e-V Certificate of Occupancy G,�G G se 4 SI ���#tfirtt#�e of (�rru�rttnr� CITY OF Brvttrtmpnt of Nnitbing Jnaprrtion 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. .l„ Use Cimification �.° "-t %-+ Bldg.Permit No. r t Group t5' Type Construction Fire District_ Owner of Building Address—_t ¢;;rt cx i; x t Building,R dress i s'it _ ,.' •'I¢- "Locality_- d___.. By —*'' Building ciai Date: _ POST IN A CONSPICUOUS P"C[ CITY OF 4&rctic - Office of Building Official REQUEST FOR INSPECTION 4 Date X-7 —.24/ Permit No. ` Time Received ` v ` A. District Nq. Job AddressLoca p Owner's Name Contractor BUILDING CONtF�ETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. as. WedC/ Thurs. Friday P.M. Inspection Made 2 S Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF 4&6A4-c Be=k-47lozsc�,d Office of Building Official REQUEST FOR INSPECTION Date Permit No. �� Time -:fyo A.M. Received P.M. District No. a Job Address LocalitC�����/� / Owner4/� Name Contractor BUILDINQ' � CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing Cl Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Piece ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Friday P.M. A:M: Inspection Made Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF Lel X61 3�'� 4awdic Office of Building Official REQUEST FOR INSPECTION Date7 `� Permit No. r Time A.M. Received P.M. District No. jam' z� ��-�.�,��•j Job Address AddressJ/ Locality Owner's /t1_ ►moi Namey "�'K- Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tue Wed. Thurs. Friday P.M. Inspection Made ✓ M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION Date_ �—`-� -- Permit No. � Time S District No. Received M• 8 Job Address Locality Owner's Name Contractor BUILDING �" �I CRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab _--TiFmp Pole ❑ Top Out ❑ Heating Lintel Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. s ► A:M: �" "'G Inspection Made Inspector °"A Final Inspection❑ Certificate of Occupancy Date CITY OF 4&4# 4c Be=i-ala Office of Building Official REQUEST FOR INSPECTION y^ Date -- 'l Permit No. ` Time ` A.M. Received C District No. / � Job Address L041ity Owner's Name _ Contracto BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ 529ghWiring ❑ Rough ❑ Air.Cord.& ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab �---- -, READY FOR INSPECTION Man. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made P. Inspector g- Final inspection❑ Certificate of Occupancy Date CITY OF 3 4&4#d'c Qeczr,4-A;lau*J4 q q 8 a'OffIceof Building Official1 b :f REQUEST FOR INSPECTION (_yn Date / `,ll� Permit No. TimeAAReceived rDistrict No. Job Address tocalit Owner's Name Contractor BUILDING CONCRETE CTRICAL LUM13ING ECHANICA Footing O oug r ng Roug �[ Air.Con . Re Roofing 0 Slab O Tamp Pole D Top Out Heating Lintel 0 Fire Place Q Pre Fab READY FOR INSPECTION Mon. Tues. l Thurs. Friday P.M. Inspection Made P• Inspector t Final Inspection❑ Certificate of Occupancy Date