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Permit 440 - 444 Osprey Key (vault) '� 441,4„ � �I CITY OF ATLANTIC BEACH " i NO SEMIN OLE ROAD ATLANTIC BEACH, FL 32233 �, INSPECTION PHONE LINE 247 -5826 J1;1 Jf' Application Number 06- 00034533 Date 1/04/07 Property Address 444 OSPREY KEY Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc NEW SERVICE 150 AMPS 240 VOLT Owner Contractor WHEELER, JACK D. WILKINSON ELECTRIC 444 OSPREY KEY Q /A:CARTER, MARVIN ATLANTIC BEACH FL 32233 3770 ROGERO RD JACKSONVILLE FL 32277 (904) 962 -4254 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . 95.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 7/03/07 Fee summary Charged Paid Credited Due Permit Fee Total 95.00 95.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.00 95.00 .00 .00 4) , b ` f ' PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Up ofAtlantic Beach Permit Information To: TEA Electric Order Fulfillment, (Fax No.: 665 - 7372) Attention:. Carol Schweizer/Lorie Craven, 21 West Church St T -4 (665 -6521) Subject: City of Atlantic Beach Permit # O b - 34 3 3 Date: / - 5 0 7 Service Address: i/ / (/ ' 6-72r*), R€ y/ Owner: Owner Phone: Electrician: t /E G Electrician Phone: 9( 2 - 4z $$ Type of Work: New Service [_] M Home Subfeed [ j Increase Service [j Heat & AC [ ] Repair Service LJ Other *Li Rewire [_ Other Description: Temp Pole [. Service Type: verhead (Repair/Replace) [_jUnderground (New Services) Building Use: esidential LJChurch JEnvironmental [ ]M-Home [ 'Commercial [ ]Other Other Use Description: Service Size: New Service: Amps: /S C volts: ayb Phase: ) Existing Service :Amps: Volts: Phase: E -mail: cravli@jea.com or schwcrrr@jea.com or resorn @jea.com `- �� '`' CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: / ,)-- - )- 'C - Cd (; Property Address: 1. � 9 t i O C is ti Kc Y Owner: — 5 c.t_\: k: ,,- \< • Telephone #: 2 \ AL Contractor: ik i \ \ \,• , s - ∎- t e At , _ ..L ; , Telephone #: 9 E j. -12 q Contractor Address: -? . ,� C ZA J,.1 � ,22 -77 F ax #: Contractor Signature: e=� f t- 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 Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is New ,1- Residence ❑ Temp. ❑ New being done on this building .� Or site, list the building ❑ Old ❑ Commercial ❑ Signs ❑ Increase Permit number: ❑ Re -wire ❑ Addition Sq. Ft. .. Repair Conductor Size: AMPS: COPPER ❑ ALUMINUM ❑ Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS \ 5 0 PH 1 W -) VOLT ,l_yu WAY Meter Number 1 Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN \- tuc.."c Receptacles CONCEALED OPEN 0 zn Atvmc 31 100 AMPS Switches Incandescent - _Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING tt it C °',1^ ' k CEILING KW -HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS 5 ) HEAT Motors 0 -1 H.P. VOLTAGE PH I NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous C„ c l,• 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Revised 1/04 HP Officejet 7410 Log for Personal Printer /Fax/Copier /Scanner Information Systems 904- 247 -5845 Jan 09 2007 8:58AM Last Transaction Date Time Type Identification Duration Pages Result Jan 9 8:57AM Fax Sent 96657372 1:24 4 OK • S ; ,4 CITY OF ATLANTIC BEACH . / i , _ , J MECHANICAL PERMIT APPLICATION Date: /- 77' ® 7 Property Address: g C-.St K /CS, Owner: ,J 7C /C /.f. C L -c Telephone #: e 75 /O Contractor: / - 5 l.) /d-6 c' 5 Telephone #: 'V‘ - f 9 ,7 7 Contractor Address: Fax Co ` - S Fax #: 2 - 3 1, -) 2 6 Contractor Signature: / In consideration of permit given for doing :77 ed in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which arof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site, list the building permit number: Electric ❑ Gas: _LP Natural _Central Utility ❑ Oil Cl Other — Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK 19' Heat _ Space Recessed Central _ Floor ilitResidential ti3' T it Conditioning: Room VCntral 2. Duct System: Material ' - Thickness /�y ❑ Commercial Maximum capacity 4' p C> cfin ❑ Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm ❑ Existing Building ❑ Fire Sprinklers: Number of Heads ❑ Elevator: _ _ Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) VNew Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add -on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other - Specify ❑ Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING, REFRIGERATION EQUIPMENT & CONDENSOR'S Approving Number Units Description Model # Manufacturer Ton' s Agenc HEATING — FURNACES, BOILERS, FIREPLACES & AIR HANDLER'S Approving Number Units Description Model # Manufacturer BTU's Agency c--/-- TANKS Nominal Capacity Type Liquid Serial Approving How Many & Dimensions Contained Manufacturer No. Agency 800 Seminole Road • Atlantic Beach, Florida 32233 =5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Revised 1/04 4 . v - S. 1 ---Ah r- r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00034448 Date 12/29/06 Property Address 440 OSPREY KEY Application type description RIGHT OF WAY PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc REPLACE 1ST 12 FT. OF DRIVEWAY DO TO CRACKS Owner Contractor JACKSON, JR., EDMUND W RK BALLARD CONSTRUCTION, INC. 440 OSPREY KEY Q/A:BALLARD, CHARLES ATLANTIC BEACH FL 32233 1713 HAWAII DR. E JACKSONVILLE ' FL 32246 (904) 246-8510 Permit DRIVEWAY PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 6/27/07 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. g ' to - CITY OF ATLANTIC BEACH ''' PLAN REVIEW SHEET Routed to: y D.Hufstetler Building Department Public Works & Public Utilities Departments S. Doerr r1 JRI9r 800 Seminole Road 1200 Sandpiper Lane 411: _ o - M Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 AWF1 uznia (904) 247 -5800 (904) 247 -5834 Public Safety (904) 247-5845 Fax (904) 247-5843 Fax PLAN REVIEW COMMENTS L Permit Application # O11 34/112( Property Address 0/0 away kgy Applicant: iQ lAtiAieb CO 7u -CRO/V j --�- -A c Project: £6/2tftC4 /2 Fr et ; cvaa b &l £/ This permit application has been: 1 Approved as noted by the /e l/') Department. Final application approval must come from the Building Department. E Reviewed and the following items need attention: Approved to replace with concrete only. Revocable Encroachment Permit not required. Please re- submit 2- copies of all revisions. Please re- submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued. // Reviewed By: " till, Dat ..E C F,ivf _ / � Date Contractor Notified: aafiec/ 0151 DEC Y 5 2006 BY: _______ ` CITY OF ATLANTIC BEACH JS ' ` � CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 'A ;, 800 Seminole Road i. °# ,4 [6_ s 904 - 247 -5800 Atlantic Beach, Florida 32233 -5445 a. ` e Fria' 904 - 247 -5845 PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Date / )--//q/ 0 i P ER M IT # Job Address ij9i2 P—Vil, XP ISSUED BY THE CITY Permitee: K k ea l/ow„d CO",, i s7 Telephone # 2 ( 6 r� /i Permittee Address: /1 /3 fk u,4 i s Dr- :E• Reqyesting Permission to Construct: R Pla t-0, 7 � e- /1 ft Of Aire?' 4, -" f ",9. Location: (Reference to Cross- Street) ,af7 d / 0 . $ J2 /7 J( �.�1' -'/r / 4 } / 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. flow A Letter of Notification was mailed to the following Utilities /Municipalities: Jacksonville Electric Authority // - 3 J 3.( Yes (X) No ( ) Date: / J ai Bell South Telephone Company g a_ 6w- 647 Yes No ( ) Date: ,,/01' r . Ferrell Gas N/ Yes ( ) No ( ) Date: Comcast /,,Rove , C' , ewe Yes ().6 No ( ) Date: 7 77 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone #: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty -four (24) hours prior to starting work and again immediately upon completion. OWNER le 41)0 c A °• ii_ cliz, y ' Signe. • ' t ' of _ L at/4 5' '6 c�r+/I�Ri the County of Duv I, s 1 MY COMMISSION Sta - • Florida, has personally appeared /Hun /AA \73 1 3O s.J * a ,, , • ���,i �- EXPIRES: : Jul ul # DD 342192 P Y PP = ' y 29, 2008 No - Public at Large, State of Florida, County of Duval. A . ;• ` Bonded Thru Notary Public Underwdters M ommis yonpires: . _ C() Pers /L J,,7. - - / a • Produced Identification: R.O.W. Permit Attachment of for R.O.W. Permit # issued , 2005 Atlantic Beach, FL 32233 Owner's Name: c✓rrlvnrd /V- e'lt'sG, Property Address: Jig 6 P.Spe - fi t Subdivision: Se I-v, Lot # /Block #: • 4 96 R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 2005, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach, Florida, hereinafter referred to as "USER ". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right -of- Way/Easement permit numbers noted above (copies attached). This work is generally described as: , 9 /aP y' / /,07/),i/5 5-e %U/1 ( (7' / /kr ay Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above - described property of the CITY, the USER shall replace at the USER' s sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page 1 of 2 USER shall, at the discretion of the CITY, be requested to submit as -built drawings showing the change within thirty (30) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations /requirements of public rights -of -way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this day of , 2005. Milk . CITY OF ATLANTIC BEACH, FLORIDA, By " ` a ,4 ∎ 1 P , a municipal corporation: Property Owne, By: Jim Hanson, City Manager Attest: Rick Carper, Public Works Director STATE OF FLORIDA COUNTY OF DUVAL On this /y day of Dom,» /ie e , 2004 personally appeared before me, a Notary Public in and for said County and State, /ijnu to. SACKS T the property owner of 9Y0 a s re Keyy , Atlantic Beach, Florida, known to me to be the person(s) described in and v !ho executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. / / / /�" By: 1 ,,,, , . — e...46". ,, ei-‘4.6s_.,, . • 8 o AI= State Property 0 ner AV* YVONNE M. C (to be signed in presen e of th : No . ) :Y MYCOMMISSIO� DD ' ° *� eas ed n PI r ES .. Jul y 2 9, 2006 ry uONc U nderwdtere Page 2 of 2 . . . ......... . , MAP SHOWING SURVEY OF LOT 48, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. R . 6 . A4. ■• - •••,......A., r , ) 4e 4 ,...., s ■ s • ) 07 s 7' _..„,../, ••• ,1 - • e iii !v. 13" e.g. zii 0-* -5-re;sefritA: \ • .,..-- _ ;--,- ,,,. %,..._ .. ,=--,-.. -- ° .... --. • .... ej‘.....e :TAV-42.47159 • • . . ,,, . I• A ■ % .. \\• I : ..:ti ‘ o ,,':•N V-- -- .. V: I ... 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C' 7 " . . . . , C 1 . . . . .-- 9.8 ,:. -- 72. - > •■•• • 01A0 afae4PS4../0 •'17.1 / AZGIVIE) Itloseirldso .0% At 61,44,4s44.4T • 0 09'Y AZZGCX: claii.ve-" 4VAAck. x 4 p.: /zet975 cazt=v CERTIFIED TO: DENESE TITLE AND ABSTRACT COMPANY I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant H . A. BURDEN to Section472cx7Florida Statutes. & ASSOCIATES INC. i M. - J,4- , i LAND SURVEYORS N g000rmoro soioo.66 No. -,/ - - - f jr"1T Jn. � °_ CITY OF ATLANTIC BEACH 0 PLAN REVIEW SHEET Routed to D.Hufstetler Building Department Public Works & Public Utilities Departments S. Doerr �� JS35`�r 800 Seminole Road 1200 Sandpiper Lane Car Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 uznia (904) 247 -5800 (904) 247 -5834 Public Safety (904) 247-5845 Fax (904) 247-5843 Fax PLAN REVIEW COMMENTS 4 Permit Application # Q(,e 3gite g Property Address 1 /0 ©,SPE6y ll/ Applicant: a. ightiAfeb COWS11 LLCT7t /V j Project: £6/2tftCE �2 t� cva 2 1 /11 4 / This permit application has been: Approved as noted by the a /i r Department. Final application approval must comE'from the Building Department. El Reviewed and the following items need attention: Please re- submit 2- copies of all revisions. Please re- submit your revisions to the Department . requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from bein issued. 4 Reviewed By: /� � " I r 4 Date: �� a -z �': l /ice. _�� i ►� _i_� t Date Contractor Notified: (ly2i0-/17 DEC } 5 2006 I , BY: sr CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS U =r 800 Seminole Road i - � 904 - 247 -5800 { „ t F )1� Atlantic Beach, Florida 32233 -5445 - 0 904- 247 -5845 PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Date )-- / /q/ PERMIT # f�1 H Job Address 1/ 90 i f f A 1/0..,01 / f ISSUED BY THE CITY Permitee: ` , - / /acI Cry ,y �� r 7'r' C� Telephone # 2'/ 6 L9j 7 2 Permittee Address: /7 /3 /-1714., D E. Req esting Permission to Construct: R/' p /a -t" Fri,; 1 /-2 f/ a f ere-047 / Location: (Reference to Cross - Street) f Y7'Y/ d./ d V / ® 5 flr /7 /(/ (*doe / t ) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. now A Letter of Notification was mailed to the following Utilities /Municipalities: Jacksonville Electric Authority q 2 3 1 3s' Yes (X) No ( ) Date: Bell South Telephone Company g 6u— 6t2? Yes ,, No ( ) Date: "fir Ferrell Gas �� Yes ( ) No ( ) Date: Z,g,ra Comcast /,1 ./ j _ am , Yes (>6 No ( ) Date: jrjn'�� 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone #: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty -four (24) hours prior to starting work and again immediately upon completion. Y r OWNER L � 4- O 0 Q' .GL Signe•• / i Date: 1,A 06 �Y,,,,, Befo' his /9a- say of — iegi the County of Duval, g�a5'� ry YV COMMISSION CALVERLEY +•t '•;r MY COMMISSION # DD 342192 Sta - • Florida, has personally appeared E _kf d £U. �Trk "KS6 .J ji � `; EXPIRES: July 29, 2008 No a , Public at Large, State of Florida, County of Duval. •it,~rt;;:• Bonded Thru Notary Public Undernriters M ommis 'on expires: .I • e R O0 Produced Identification: R.O.W. Permit Attachment of for R.O.W. Permit # issued , 2005 Atlantic Beach, FL 32233 Owner's Name: )(- G/ C *fo' Property Address: /it/ D ®5pe fi t Subdivision: ,57-e I v, be Lot # / Block #: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 2005, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach, Florida, hereinafter referred to as "USER ". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right -of- Way/Easement permit numbers noted above (copies attached). This work is generally described as: A 1 /ae, X i,.17 j o/ dyne / Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above - described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page 1 of 2 USER shall, at the discretion of the CITY, be requested to submit as -built drawings showing the change within thirty (30) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations /requirements of public rights -of -way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this day of , 2005. v, \ CITY OF ATLANTIC BEACH, FLORIDA, By: ' ''' .a P A 1 A a municipal corporation: Property Owne By: 1 Jim Hanson, City Manager Attest: Rick Carper, Public Works Director STATE OF FLORIDA COUNTY OF DUVAL On this J9 day of 7)eceiy) Ze e. , 200eg personally appeared before me, a Notary Public in and for said County and State, )2/me aq/ W . SACK T the property owner of VW) Q S re yy key , Atlantic Beach, Florida, known to me to be the person(s) described in and vAho excuted the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. / / . "•,, , I . ' _ • ' ' . • ..• Co 4 e State Property O �� ,,`•"'�'Y YVONNE M. c R�EY (to be signed in presen e of the Not. r ) :+; , ; r MY COMMISSIO D 34219E r'•:; +� EXPIRES: July 29, 2008 ' ' f'� t Bonded Thru Notary Public Underwr tar • Page 2 of 2 SHOWING ........... MAP SURVEY OF LOT 48, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. re .' A' .6.44. ...X.c5 ..91, •••'?",'" yfra" . ig ) 77);.473 \ . -1. , 007 T 91°) \--:\ --.•, --- V.. . \\\ evi•i° k / CP ,.. 414 _ •rr---Y ' 1 - ea•---• roir ..- ‘•` -- ' : , - .7 -- - z - e? • : \N ‘ 64..6 .'vV /..2...fg3) • • . . , . t- , . I % ..... . 1 • %. , • • • , • 9 ; ". •,.... 5.. -...-'43 - C. Ci\ ‘ V I\ % \:. — .: - to 11 : • 1,3 ... \ -- — ,. - ' I ---- —77 ....- % :**"\'‘t • . , 14N . - l 0 N • " ist \\I 1 f! 0 1 % ) 10 6 ■I A "Ai; • It; 11 A , k 34 Au ; i,,-; k qi h ..9 n 41 \ NI s c). f S 0 IV q , \TI El ,/, ■ Y1 4 2' 4 •ir . _ — se WWI ierjj „,,e' d pogo" . 1-s--:_tf , ,--- ----- ,a_A 7■ 3114-11/ .-- C.;;.--"' - • 7 6::: ...,.., . • r4 ) 1 ) - - • ...---Zt3.ao Nv / ,-. ) Al 7537=32 la 47 0 e' ,' / . 4 4 I N ...'' - L - 1 i 1 Ni 1 • .../' - 6 , : -' _ _. . .!•-•...„.... , . „.„--: 7 4,,,, _ ••444i s-A3.1,9,./ /7 ---.?._--- .,- ,44 - 1/49P1_/7•7 — 1 41-4C.. ./-'.. /964..... • I - • . e .....t) W.A." 7/4"5 i : , <:;e 7 . ''51/ a= 41.4 so, --; 5:•-e ,. •...-i..:-....4‹.!..t.: . •Ce- 474 / .4, - , ' • At .c CA/ECfr C E /7 *. 7 6 /5,5, .1rA As ..4 . ardx44v4w .040ft.er,-1, 7 " ...../...../..., .c. ........,e.,i'S , c-=..t• .-2: a ' , - - -- , =•7 - 7 i.e .-- 9,s -- p - e:› ...,,-,:,...,. . id o ,g NEV z.4%.../E ZIFY" w e 1 CITY OF ATLANTIC BEACH tsi 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 r y JJ Application Number 06- 00034447 Date 12/29/06 Property Address 444 OSPREY KEY Application type description RIGHT OF WAY PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc REPLACE DRIVEWAY AND SIDEWALK Owner Contractor WHEELER, JACK D. RK BALLARD CONSTRUCTION, INC. 444 OSPREY KEY Q /A:BALLARD, CHARLES ATLANTIC BEACH FL 32233 1713 HAWAII DR. E JACKSONVILLE FL 32246 (904) 246 -8510 Permit DRIVEWAY PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 6/27/07 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. r �s s, CITY OF ATLANTIC BEACH >> PLAN REVIEW SHEET Routed to D.Hufstetler '� Building Department Public Works & Public Utilities Departments S. Doerr J' 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 (D. C ) (904) 247 -5800 (904) 247 -5834 Public Safety (904) 247-5845 Fax (904) 247-5843 Fax PLAN REVIEW COMMENTS Permit Application # O - 3q Property Address LP % Ocoee/ / . Applicant: a ,q W7� l ' / liNS tiara//, .�iA/C . Project: Prithe,6 aiSUAri '' 10 VEMM .° S,ieW <,... This permit application has been: A Approved as noted by the /P Department. Final application approval must come from the Building Department. El Reviewed and the following items need attention: Approved to replace with concrete only. Revocable Encroachment Permit not required. Please re- submit 2- copies of all revisions. Please re- submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the c rect department may delay your permit from being issued. Reviewed By Date: f, T 1 p Date Contractor Notified: /oli;-/ DEC t 6 2006 BY: CITY OF ATLANTIC BEACH A `� CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY, AND E,A` TS �� l J 800 Seminole Road 04- 2 47 -5800 uxi r'' Atlantic Beach, Florida 32233 -5445 Fax 904 - 247 -5845 PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Date l / O PERMIT # ISSUED BY THE CITY Job Address y y y D9pvp y d J1 ( 7 Permitee: <\ kC L/4 r.�/ Co''i.S/r'& /(on .27:_c_ 7 C� Telephone # 2 " 95 1 t , '° E Permittee Address: /7/ 3 Wet, 104,t c �/i" Requesting Permission to Construct: 'i e pJo i/ d IPA cciar11 tend S' L.SQ Location: (Reference to Cross - Street) p»Yk /c/? eJ y / r1s-,dY', y°. 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities /Municipalities: Jacksonville Electric Authority "fa. f 313 S Yes ( ) No ( ) Date: i�' / /q /a 1 Bell South Telephone Company 7 G Li - act Yes ( ) No ( ) Date: / t Ferrell Gas A// /9 Yes ( ) No ( ) Date: Comcast / - fit, . r �� / 1– c',v p Yes ( ) No ( ) Date: - 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone #: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty -four (24) hours prior to starting work and again immediately • • • n completion. r� V OWNER of' M DONNA L BUSSEY ig - d 4 Q , t - Date: 12- r . '. MY COMMISSION it DD 412624 = - ore me this /5 day ' ! • i Cou of val, ? :-: EXPIRES: March 30, 2009 Y '{ •. Bon Thru Nogry p u !•r State Of Florida, has personally appeared p -K �M rt / L h et - e r 0"� Notary Public at Large, State of Florna, CpAnty of Duva My commission expires: /VI •S 0 Personally Known: F L 1) h V Li Cbi$6 Produced Identification: w '/(o - -'/ 2. 2h. y _o R.O.W. Permit Attachment of for R.O.W. Permit # issued , 2005 Atlantic Beach, FL 32233 Owner's Name: ji9G* D. )A/be-e/k/ Property Address: 1/ y yl ospre 47 )97 d> e &A - Subdivision: 5;1 v B 1-4' /P/3 Lot # / Block #: ar 7 R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 2005, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach, Florida, hereinafter referred to as "USER ". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right -of- Way/Easement permit numbers noted above (copies attached). This work is generally described as: Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above - described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page 1 of 2 USER shall, at the discretion of the CITY, be requested to submit as -built drawings showing the change within thirty (30) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and /or specifications, to include utilities locate requirements and use limitations /requirements of public rights -of -way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this day of A t 005. CITY OF ATLANTIC BEACH, FLORIDA, By: KIL a municipal corporation: ' I e erty Owner By: Jim Hanson, City Manager Attest: Rick Carper, Public Works Director STATE OF FLORIDA COUNTY OF DUVAL On this / day of beam Ae r , 204 ,personally appeared before me, a Notary Public in and for said County and State, d?IC . Daniel WMG -/Cr , the property owner of % 1spre kG , Atlantic Beach, Florida, known to me to be the person(s) described in and v$ ho executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. A vha 1 ,i/C/ Notary Public in for said County •, d State I perry S wner 1 (to be signed in presence of the Notary) ,, • ", DONNA L BUSSEY ! MY COMMISSION # DD 412624 V.- i EXPIRES: March 30, 2009 .. Bonded Thru Notary Pubf$c Undewrtters Page 2 of 2 MA e SHOWING SURVEY OF LQT 47, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. . .1-7RC-3/ >-=--..'-■--7-.75:: V \ -" ,---- k. i.<.•Awve=. -.... - .7;■--- 'N",.... \ 1 . 1../ ...-& ' ..,----'--- ..' ' - .NS ..."• ... ...‘ ZO. , ' .. ' A • ..32- •GT::=> , "t V\ • ' ' ' `..- 3 s... ' ..:'''',, sS-?- ,// • tI N NV •'''..,. . (I ti ' • ;:. OP k .• 2 . % • 2 'e 1 :: „, ., 5.e' a• .... , t . . 4 ec? ::„ @ : . ... • • ., "7 0. I; . 6 t T , .: rt, ' . 9 IW 4. ..;'. . ■ I 0 it t . 4 Ati 1 V 7'Aftti k \ \ ( 1 ) r • b 0 ' 't ■ •X' Y - t..... tt 74 ." ' tn ..- ; • ' 1 "4- ' ' ' . * • - \ -, •-•:-.1,, • • •--. / vi • • : • ,. \ v .., 11.. 1 ,. .z...,-... c. < "'Pk>. "c... 7 ..:,-,,r.4='-,15) 25..e2 • se---,,- -4:: - .,,,,....,., , v-t/ 7 - 7 '32.714 ---„____- - -------- \ ------ 1 - .e...::.,:;) • • . • 1 ,,,...... ---- 1%,U1,11Z--7=d11.1 .¢...4..c....,-/-5-4--.-_9 • 7'/S As .1 tsexAxaquese- ..0.441‘,‘,..ftyr -..-....,,,, ....."./..A ".4 • e, ,mettazam../to P?Es--,-)%vc•r-Alac, i...."..ee ay' isr--07: AL-....-wf... ,...-....---,-.- ..-,-1 ...-5. -,..„-,-, ,.....-..4,-, AL." .....- - :arr " - 7 - 7‘46 .. 401%....2C . 4.4". 145141:::EZP Z. ,Arazgici._-- .e?..' . 1110 . 48. i . . _ 4. 1= 5 :"._ .. /0; "9.---e i : CITY OF ATLANTIC BEACH "dt :� PLAN REVIEW SHEET Routed to D.Hufstetler Building Department Public Works & Public Utilities Departments S. Doerr .- t JF31 9' 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 aluznia (904) 247 -5800 (904) 247 -5834 Public Safety (904) 247-5845 Fax (904) 247-5843 Fax PLAN REVIEW # # M 3y�y� Permit Application a Property Address ON / o KEY Applicant: K 1, %fi ori) l fill/ y21LC7)QAl Z / / t/C • Project: �� - E0T - \ 10VeV4y .° �h � � ., J This permit application has been: Approved as noted by the '// .4 Department. Final application approval must comifrom the Building Department. ❑ Reviewed and the following items need attention: ee() ---r /`//77 444/4,-- #e , !Abe Co v Dr" J -,^ a-leadosdS /l ie c--ef i4 7,2ade 'd V Iti:4/e . Please re- submit 2- copies of all revisions. Please re- submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued. 7 Date: /'Z,/o -j I , Reviewed By: t ! i., • Date Contractor Notified: (yO/ted i -/ 7 DEC 1 5 2006 _. ; 5 ';�1 �' C ITY OF ATLANTIC BEACH CI 1 i , Jr - ` } JS ° '' ' WA _ N S TS j ,.;� ; � CONSTRUCTION PERMIT WITHIN CITY RIGHTSSOF Y„Q� ,Q F. E��� ,, , \ ` "�`�',' z � 800 Seminole Road �,..,,. ' y 904�247 -5800 \ .4psis)''' Atlantic Beach, Florida 32233 -5445 I Fax 904 - 247 -5845 1 { PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. },� * - � - - -� Date r / i 0 -� I PERMIT # ISSUED BY THE CITY Job Address yii y al pee y X ?7 Permitee: � 1 < /.x.14 -J Co vtsVu.0 7 t -�n c. Telephone # 2 LW- 65/x! Permittee Address: f ?/ 3 /-/a, WA/ c � r E Requesting Permission to Construct: T1 e /Ilk? G'/ d rli,Alu/a'rl 1 6z-nel Sid, a* /,(/ Location: (Reference to Cross - Street) ,P»rk /c/? •►I y- / p j DP/p ieG7 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities /Municipalities: OW/ Jacksonville Electric Authority `/ 1 f 3/ 3 5 Yes ( ) No ( ) Date: Bell South Telephone Company ist L tic' - t o 0 `' . Yes ( ) No ( ) Date: i'2- / /y /c/ 4 Ferrell Gas ^/ / Yes ( ) No ( ) Date: NO Comcast / / , Po,. C' b } I e'w 1 Yes ( ) No ( ) Date: /.2-//4/4P/ f 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone #: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately • • •n completion. , .--4 4------- OWNER i f 9' sap , DONNA L BUSSEY .ig � T /Z ,, MY COMMISSION # DD 4t2624 ers i -:: O 4. 041414 1 r �� ' 40 Date: / 14 4 ����, . _ - ore me this / l'" day 'f ?` ' '' i Cou ■ of •uval, ,; '� "= eon rnmN y u State Of Florida, has personally appeared ITIM' . i i ' . A � �' �' Notary Public at Large, State of Flori , C runty of Duva My commission expires: 3 ■S 0 Personally Known: F L 0 r, V 4f Li ' Produced Identification: R.O.W. Permit Attachment of for R.O.W. Permit # issued , 2005 Atlantic Beach, FL 32233 Owner's Name: j ink 0.144 ..//et/' Property Address: z/ y 175/ej -e p 47 dpi Bel) Subdivision: Pr-3 Lot # / Block #: a' iy 7 R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 2005, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach, Florida, hereinafter referred to as "USER ". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right -of- Way/Easement permit numbers noted above (copies attached). This work is generally described as: Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above - described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page 1 of 2 USER shall, at the discretion of the CITY, be requested to submit as -built drawings showing the change within thirty (30) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations /requirements of public rights -of -way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this day of ' 005. CITY OF ATLANTIC BEACH, FLORIDA, a municipal corporation: ' .. erty Owner By: Jim Hanson, City Manager Attest: Rick Carper, Public Works Director STATE OF FLORIDA COUNTY OF DUVAL �" On this r7 day of J Lein k /' , 2O .personally , appeared before me, a Notary Public in and for said County and . State, t LK. l& l L4}) ee e r , the property owner of q Osprel kZ , Atlantic Beach, Florida, known to me to be the person(s) described in and vbho exe sited the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. O/rt a, '` I • Notary Public in for said County , d State € . perry • wner (to be signed in presence of the Notary) DONNA L BUSSEY ' •:= MY COMMISSION # DD 412624 EXPIRES: March 30, 2009 4ti eti;9" Bonded Thru Notary Public Underwriters Page 2 of 2 MAP SHOWING SURVEY OF ',IDT 47, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 AND SSA OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. • , , f ), •C'-', 2 ;- 7 . - 77'. Al, /221:?C-.),....,?"`■---7"----5 \------\ 1 ."i• . --- /( • k .-,... c,; \ , ----'7;4 t/...W/8 5- 'kN, ,....` - . • -7::;----i=• -s.',...„ - X . .u.`\_ • ' - • ■Ss ---6'. --9 - 4 .- z ,-., • - .:--''' ° • .5* ...e 'fl -- ' .. --• \ .. , 6::..., ..2 • . ,... Se ::.'.• .A:de,... • • •1 • . I ' ' ' ,'"..-".. - 6*. co - . ,_--, .." ta) iC\ jo % „ .., ...V , I• . : ,7 - l‘' .•. q...' • 1.• . #4 - @ " ... • I ; - • f(k 0 A . I 0 1, 2 X tff 9 X IA 1\ 1 r .7.':5 • - N I, s , n ' 0 r k A g tk s v 4- , d. - -• •- ; :. i4 l'• ° / , -/ 0 I D(' "I: • 4 , V ‘• ' - 4: .-,-,'. . (‘) . ,-:- ,; 7 4.. ?() c L... I) ‘4 .4 . 1,> :.: :'..i" *: ": • *: , .jcie, vl el 1 ^-cai., • ..4 : .9 : to "g ‘.... U .,.....\ <2._-__ N. -- - ..C.... L\ I'V.N . : 1 : 5; '>3..., .4•••e s:5 -5,40-77,;4-24eyL,- .S5f ---3•• -.;4';,..... 7 . ' .4••• ..,..Z. - , , ..(■••-'' .....9P• ., c.:C- ..a?.,47/4--•-„re:-/ , j c i AZ 7 - 7 • 32._. -, </ ...,..,:-..,_----- -7;,.;?' '■: ■, 'Tst, .■y ) 0.. ",;;■,. , * c... • \ • ,._. i ,„,.. . ...9 U•o., ' /."!. ‹.' ‘--., ■ets.•r... , C ',, E - - C- - ,/•• C: ' .:.' Zt." 2' • 1- 1. 4. ct".. , / :.. • ...: -7 •.5 ..a Gf ,i- SCI-44 '' -g 1,p_ r-ex...../,,4/4.1:5.....-,4,g,L)....per.e.-- -.5,4 ,er' 0.17-4,44. ze_er-_,-,,--.■-s'e.".0 -_-..- _li.. , .7 ,. /9 arce"AnlicAN,- ..,..s.e..4R\o,m),-• ,...-./..n./.4c-_ - f...-....z L•••& • "VC, erjee_z24,4_,L.4 •:W6 .4.."./.E airy" Air-47: v- .-1-2 - -/--, :. ..e.: e - " SYG......"7 ,...".. .G V. 6 .,.., .. IVRICP:itMerie.. ,.. %,....er IOC, 0404.2, .21:44e& e -• ca-- Afok,444.44 AZZezzi. , ASY ..-■‘4C:r) 11.4 4.s..=, ...-9 eat .- k ) \ \ t \IA • CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 j-T Application Number 06-00034051 Date 10/11/06 Property Address 444 OSPREY KEY Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 4 fixtures Owner Contractor WHEELER, JACK D. STEEG PLUMBING 444 OSPREY KEY 1601 MAIN ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 63.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/09/07 Fee summary Charged Paid Credited Due Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. lgo CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date:/ // eX Property Address: n ! Owner: k- Z,4) A rr/c 2 Telephone #: Contractor: Sig- e A f ('? r c- Telephone #: t7 /Vr�J ) ) Contractor Address: /lp U / JO.o >ti 17(1, Fax #: ,997 f" 9' Contractor Signature: 4/0/ ,,ear.,,, In consideration of permit given for do' "the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans an. specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: • If other construction is being done on this building or site, ❑ New list the building ermit number: ❑ Re -Pipe 33 4' ? Number of Fixtures: Bath Tubs / Showers / Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 = 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : /lwww.ci.atlantic- beach.fl.us Revised 1/04 a * ■-i. N ,olltrilA CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 - 401119'f' Application Number 09-00000982 Date 7/08/09 Property Address 444 OSPREY KEY Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 4515 Application desc REROOF FL 10124.1 Owner Contractor WHEELER, JACK D. SCHULTZ ROOFING, INC. 444 OSPREY KEY 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-2315 Permit ROOF PERMIT Additional desc . Permit Fee . . . 52.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 4515 Expiration Date . 1/04/10 Fee summary Charged Paid Credited Due Permit Fee Total 52.00 52.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 52.00 52.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. • Permit Number Tax Folio Number /'7 NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be mad to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: 4/y Qs j 4/ /„ 0S.,r.1 /29E /7a S 91 2. General description of improvement: 3. Owner information: 1. Name and Address: CT 7j' D Lo hee le R 5g . ON Q 2. Interest in property: 7; ' f 3. Name and address of fee simple titleholder (other than owner): ' (, C ontactor's name and address: Douglas Schultz Schultz Roofing Co., Inc. 216 N 20th St Jax Bch, F1 a. Phone number: 904- 246 -2316 b. Fax number: 904- 246 -3808 5. Surety Information: a. Name and address: Doc # 2009144927, OR BK 14911 Page 2462, Number Pages: 1 b. Phone Number: Recorded 06/18/2009 at 01:06 PM, C. Fax Number: JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY d. Amount of Bond; RECORDING $10,00 6. :Lender's name and_address: a. Name and address: b. Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents maybe served as provided by 713.12(1)(a), Florida Statutes. a. Name and address: b. Phone number: c. Fax number: 8. In addition to himself/herself, owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of Recording unless a different date is specified) Signature of Owner: 4 Sworn to and sub $gibed before me this /c day of r) k' y ,2 . , . CITY OF ATLANTIC BEACH n < o ri a 7 ^ 09 - 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 ( I 1 I I I " t OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 , BUILDING- DEPT @COAB.US 4 Fi , BUILDING PERMIT APPLICATION DUVAL COUNTY L � * 45 01X) Ls if - ❑ NEW BUILDING ❑ DEMOLITION I�a�R LO BLOCK SUB DIVISION / IG y�. L 0 ❑CONVERTING USE ❑COMMERCIAL 1- S 'EIP'lYO F )RK -" ❑ ALTERATION ❑ ACCESSORY BLDG. �E �f3: > J00-17 6 ❑ REP L3 N/A ♦ • e v 7 •ZS�tr' �L /01 2,i. ❑ MOVE AIR ❑ POOL / SPA ❑ YES • OTHER ❑ NO 9. NAME: 155,0MPANY NAM E: 23. COMPANY NAME. 19e D. cep hee /e e 50 -A° /iz ,� ' �!�!]/ c'?---Z R 6 ME: v 24. LICENSEE NAME: /4 A ,AC)./.72.., 10. ADDRESS: 17. S ATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: 18. ADD ES 26. ADDRESS: - , 3k& 4-)j //e ' i?" 1 1 . O F F T C E ' I f H O N E : 112. FAX NO 1 � E � j � 2 � � FAX � � : 27. OFFICE PHONE: 128. FAX NO.: 4 ' 13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE: d) -• ///)7 7,-9/"Z5 14. EMAIL ADDRESS'. 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: g_ i 31. NAME: 33. NAME: 35 NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: 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 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: *** 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. ER �N coscr . 11+ , 0 Signed: / L . �..., Date:�Gn V - �Lbv� i Signed: �— Date: //d( /9 Bef• ■ e this / _ day of _ ice. , 2009 in the county of Before me this ■ day of X� , 2009 in the county of D • State of Florida, has perso /ly appeared Duval, State of Florida, has person y appeared t T� <� D. C:�h ee `� r j � i, � 4 • z?h o� "i a..,. herin by himself / herself and affirms that all statements and declarations are herin by hirhself / 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 /n // 21 onally Known l - educed I. - . tecar , - £CJ ' `��je`) /� -")/ A "° ❑ Produced Identifi ., io ,/ /. Notary Sig . . ,3 :.0 V 4 / . , � /1 ,, %a Notary Signature: % ! ! �i ' t e�� it MY COMMISSION N OD 5+ldd 7 ; i°` ?Pg : ROSALIND CLARK EXPIRES: AugUlt 26, 2010 . At : MY COMMISSION # DD 544427 tpf g1,.s Bonded Thru Notary Publio E./Mew/10s W., b,= EXPIRES: August 25, 2010 BLDGOt Permit Application Bonded Thru Notary Public Underwriters Application Bldg: REVISED: 12/18/2008 I 1 CITY OF ATLANTIC BEACH )f 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 -----/ : ' INSPECTION PHONE LINE 247-5826 , i 1 1 II Application Number . . . L . 06-00033647 Date 9/21/06 Property Address 444 OSPREY KEY Application type de cription RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . 1 TO BE UPDATED Application valuation . . . 20000 Application desc BEDROOM ADDITION ' Owner 1 Contractor - 1 WHEELER, JACK D. OWNER 444 OSPREY KEY ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ! : Permit . . . . . . 1 BUIL TNG PERMIT Additiona d scl . Permit Fe :. J , 0.00 Plan Check Fee . . 65.00 . . Issue Dat' .: . . 1 Valuation . . . . 20000 Expiratioill. Date. . ,1 ! 3 0/07 , 1 Fee summary •harged Paid Credited Due Permit Fee Total 1 130.00 130.00 .00 .00 Plan Check Total 65.00 65.00 .00 .00 Grand Total 195.00 195.00 .00 .00 , 1 I 11 . PERMIT IS APPROVED ONLY IN ACCORD CE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODE& ;s `' ; ' •"4:.-e6 CITY OF ATLANTIC BEACH Routed to: S.Makowski t PLAN REVIEW SHEET - - #, s , � Building Department S. Doerr Public Works & Public Utilities Departments S L. Higgins '! 0131!) 800 Seminole Road 1200 Sandpiper Land S . Carper Atlantic Beach, Florida 32233 R C uzniak (904) 2 7 -5840 Beach, Florida 32233 (904) 247 -5834 D Kl (904) 2 2447 -5845 Fax Safety (904) (904) 247 -5843 Fax PLAN REVIEW COMMENTS f Permit Application # __121:2_ --- ___ ` 5 %io Y , — e / \\{1j\ Property Address: Applicant: Project: This permit application has been: ❑ Approved as noted by the Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: ' f i g' AI ri) , .S .!1 G - A. 11/4) v r - 1 p ) s - / .0-9 ye-L. 7 6 j ,ei 149 .,iiv 1 0 s.! v , ',is- I IIIIINIIIIIIIII Co r/za Gin - 9.1 B,e 6, /o.'o2a -. � rr�.�, _ii : i k 10,1111 10 Art.111111• '''"'"'"'"1:4 "iii IlIIII1lIII1IIlIlIMlll — I - I -- Mil iiii iiii III Please re- submit ' o , a i i lication when these items have been com , leted. f , t , Reviewed By /,- --- - ` Date: ' / C/ + f Date Contractor Notified: C i � Il ,4 ^ -_' r , '\ =\ CITY OF ATLANTIC BEACH e PLAN REVIEW SHEET Routed to ' ,";- S.Makowski Building Department Public Works & Public Utilities Departments L. Higgins �"1 � 800 Seminole Road 1200 Sandpiper Lane S. Doerr Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 R. Carper (904) 247 -5800 (904) 247 -5834 D. Kaluzniak (904) 247 -5845 Fax (904) 247 -5843 Fax Public Safety PLAN REVIEW COMMENTS Permit Application # 0 6 — 536 y,7 Property Address: q 7 O 5/'a/ ,u Applicant: Project: This permit application has been: 1 I Approved as noted by the Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: V fi-giv s N /V Afr v/G-ni y oe-- .58a, - - S( © 5 /✓ &c fo6(- Se's 6/ P4. , u w;.,baA J p Rooms /iv6 o (9 /V Sdr © ` Ykus,S R.5 _ eitgta tin- 9./1.eG ro; 0Z,c. - lnz. 14Niflf4 ?) IL/2 II 4'0 9.�8.oto / / Please re- submit yo e . application when these items have been completed. Reviewed By: Date: 013/0 Gi Date Contractor Notified: MAP SHOWING SURVEY OF LOT 47, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. C 41. PRC.>/ \-----\ -1--- *Q *.. I c....„ \ ". • • . - , , X • - ":, - --zi-• -......?„„ X •%..c.__ "‘tz, - ,-' R - .5'6 I "& '• ---- , - ..■Vs " -,-- • , , ------ \ • .5 4; 'eC::) . 6 , ___. .23 • ' t % \ 1 1) . . , . , I 0. • - „ 0 . ; ‘ . . , ■ • •‘ .... 7 .- .:_••' , A.e) , -.. ' ' • ' .1 I 1 ' ' (Y1 • ! „ U .. ' '• (11 (\j •• '',. ' ,... .., ': •1: , ' • /S s'Y' , L'7 -10 ) •;\ el. 9 .• .,,:..,..., ,., .. • A " r, ,.....'' @ • • % /.2. 0. _ _ _ _ _ _ ' • : it (1 ‘0, • • . • 1(‘ ; ; • ON % I O A 41 T it, k tk : s , , • r• „ b ; o?e;'''xk="L'e-__:t,,, ,„,yeitif• ki iN N et, 0 6. ‘ In a. 4.. ‘-... 4 1 • • \ .'''.4 — \ .C....a. N \NN ... . . %.'.% '-'‘? - '.. • . ,:. 4 .2,'. AZi - C---•' . ' ..r.: ....;) 1 i - - - 1........ ......" 4 4 q ;.?..L , ■fa..P .- c...-.-/ - ci-re'reD --..; e ,,,,,,,,,,... ,., ,< 6 17/45 . / 04 eGratiallar.e ...-‘,..44vw>! . -,7-e-, -..:_w ,......, ....--,,,,....a e_ -:,-..-....e ■.•,- Y ... / fic, • Ael -.Are-1; RES77r/Le L."./E' are- ,E -e-L v/...-: ...."--.7-.. ---,-.1..., ---yA -,-,--, •:•:;,,./C) SA/ ,.ecl.- G-.,...E ..7" AIRCOatrA A 4..r.s.dA•14.., .. .7 ... -ol /.. ...1‘' .44.0., -A, _Al-. A , k ,r 5 q 7 INSPECTION LOG JOB ADDRESS L \ a - I I n a . CONTRACTOR OWNER ( yY\ Tic - - t9/ BUILDING PERMIT 1 y s ELECTRICAL PERMIT y ` I y - y - 7 9 Z PLUMBING PERMIT 1 L I&c TEMPORARY POLE PERMIT MECHANICAL PERMIT . 1` - 1Z - 7 MISCELLANEOUS PERMIT FLOOD ZONE DATE SURVEY FILED Called -In Approved J.E.A. Temp Pole Footing Slab a) I g Framing 5) N 5)15 Plumbing (R) 3Jm a a Electrical (R) 5 /Iy 5)/5 if Mechanical 5) rd 5)15 Fireplace Top out 5/1 5)/ Other Electrical (F) 7— 1/ r / � � l 7 FINAL INSPECTION n ( ( - 17 Certificate of Occupancy Issued l CON ENTS : "")/ Y0* CITY OF ; q 1 7 4 y ie Mantic &ea:A - 41+4a Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P.M. District No. Job Address =i Owner's Locality Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING _ Framing ❑ Footing ❑ Rough Wiring ❑ Rough � MECHANICAL Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ g Heatiin & ❑ Lintel ❑ g ..--, Fire Place ❑ READY FOR INSPECTION Pre Fab Mo Tues. � Wed. Thu A.M. Friday P.M. Inspection Made /p� _;S / ( P.M. � / Inspector F `�. . / Final Inspection ❑ — Certificate of Occupancy Date 4 4 . v✓ � r r ,r- Office of Building Official REQUEST FOR INSPECTION S Date 3't 2 -$6 Permit No. T � im eived /Q' ' t7 t ,7 A.M. Rec P.M. District No. Lofts 7 -t (7/ . 71,-t,_ .Ct_Q..,5 Job Address Locality Owner's 1't �^ / Name Contractor / Y BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ / Rough Wiring ❑ Rough ❑ Air. Cond. & ❑ Re Roofing ❑ Slab [fY Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. (Friday P.M. ,7 A.M. )nspeeDen Made ))) �� P. M. Inspector , e Final Inspection ❑ Certificate of Occupancy Date CITY OF' L\ `� 411cadic - 4 . • Office of Building Official REQUEST FOR INSPECTION >�� r (' "1 a permit No. Date Q , , P M District No. Time c.� \ Received l t1,40.44-a. ' J • Locality Job Address Owner's Contractor MECHANICAL Name ELECTRICAL PLUMBING Alr. C H & BUILDING CONCRETE Be Rough g/ Aeating p Rough Wiring Top Out Footing p Fir Place ❑ Framing Blab ❑ Temp Pole F Fab Re Roofing ❑ Lintel ❑ A.M. READY FOR INSPECTION P.M. T Friday .__---- ---- -- Mon. Tues. ■ hur red. A.M. ` r- (..0 P.M. Inspection Made a7 Final Inspection ❑ :� Inspector — Certificate of Occupancy Date CITY OF "l a. & I eac i - 4! 1ovida Office of Building Official REQUEST FOR INSPECTION /i 1 l (p (J Permit No. 7 t i S' 5 Gate p Time Received ) g istrict No. M._> P.M. M • L L ( Q 9C 7 6 .(X 7 Job Address 1 Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air. Cond. & ❑ Re Roofing ❑ Slab Heating ❑ Temp Pole ❑ Top Out ❑ Fire Place ❑ Lintel ❑ Final ®/ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. ( inure.'] Friday P.M. ( /// A.M. Inspection Made r `� P.M. C O Inspector Lq ■ Final Inspection EV Certificate of Occupancy Date : ,_.4.. . / , 1/4 . 4 i \ . / t. N . . .' , �erttfttat of C�rru CITY OF \ 4 Road. De Department D uith $ pursuant to the requirements of Section 109 of the Southern Standard This Certificate issued }� that at the time of issuance this structure was in eomphance with the ''s•.4.,.., B Code certifying '.4)#4.** th various ordinances regulating building construction or use. For the f ollowing. Bldg. Permit No _— - - - - -- Use Classification Fire District._ Type C — - -- -- F "' Alim I 'S, ______Address _ -- Owner of d d r e ng `y aalit y _ — Building Address _ y . . ' Date: �— — B 1 r rear I A C ON.�IC000B PLACE y( :.. > `*yam y wA • i 1 T • CITY OF fie&a eat - 9eepteda • • 716 OCEAN BOULEVARD 4 • P.O. BOX 26 - ~ ATLANTIC BEACH, FLORIDA 32233 TELEPHONE (904) 249-2395 September 11,1986 Pre- Service Section Jacksonville Electric Authority 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #4941 - 1990 Mealy Street South Permit #5073 - 1992 Mealy Street South Permits issued to Bill Thompson Electric Company O ....4 #&7Q1 - ddfl nsinrdV KPV ......... MAP SHOWING SURVEY OF LOT 47, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. .-=: '-'7. /fr>. PRe7,7 \-----\ 45 4.- -■-.' X 3 - 7 . ‘ ,... ..%,;" •2c:? ' 1% .3 • ..1-c... . -,-.,. •/•E.. C./--& . ' ----2-----° ‘N \ Oril A4P •v _ - •:e."c • i ■. ' \k•SIkk' , I 11 1 1 ° 6 • 0 , . !1 - .2' ' • 0 r • , A254444,452-e". . eo.zogwas 444.44. y \ k' /. S . c.k...iffee' re ' ■D 4--,.......1 .. e . -- t_ . z -7' t N NN A' ‘ -- c- \ ' 0 .>... N. N N sil? ia7 -'(•••• \', „ , k 11 4( A/ 7 - '32" . <:- ""9....c..__ ,...---- • rAl/S /5 04 ag="434 ; 54.44%.*M>o:• • MP egAtejaKATIP RdetTA,C Likda sly. fig.47: • V' 2, . 4 -4eS* At/ Aiter;c• .2rataler a...7 , MAP SHOWING SURVEY OF LOT 48, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. ,a. R. 6. M. ,4c7,�7.5 \ ck3. �� R�s . f .-- ‘ , .. w.orri � , \-----\ MN 82 ° t ?A e �� a _ S � . 1 N �� �� 91 7� /' 1 p 3 N o tb 44 p : \ '\ N T.. a H e r.' AlaeoM aa 7I DF e a N �h s' 4.5 X5.7 q s rr \ ., M ‘ ti \ / 0 0' hv ,4.1 e .9 28.E s� ) M : -. � ) 7,- ' , e , ( 4., � � ',CI ' 0( /1/1/4 s. "� /7 —v-- -- ,- " ____5 L1/41/ 1/1 c - - AlCE7 44-4 ct </ /// /96G Sflh Jjcaa •7 AS A. J su m • Ab 194(GAK.420 R ;ZciCk, L..AF Syi T. i . DEPARTMENT OF BUILDING 7485 CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB it 78.50 TL Date 2/24 19 9459 478 *51DCKTC 1 4 3/04/8 Valuations 1 17051.50 F $ 478, 50 7485 .00C ct 5455 1 A 3 /t14 /B This permit not valid until above fee has been paid to City Treasurer, and is 1 0001 subject to revocation for violation of applicable provisions of law. This is to certify that Reyhafi, Inc.; 1112 -3rd Street Neptune Beach. FL 32233 RR0034591 has permission to build Towhhouse Classification Residential Zone POD Owned by ROM Properties Lot 47 & 48 Block S/DSelva Lakes 1 House No. 440 $ 444 Osprey Key According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE - -� 4------0° 4-----4------0° 0 ' _ Building material, rubbish and debris 31 from this work must not be placed in public space, and must be cleared t up and hauled away by either con- ,� ct r or owner. Building Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR f PLUMBING ELECTRICAL SEWER WATER AlIgik (-17 - CITY OF ATLANTIC BEACH L - H0 APPLICATION FOR BUILDING PERMIT Owner A i .. / s „+ , Address //i , .5% 9 zip31,4,33 Phone L - 16# SF Architect Address / N j •,C. / Zip a 2,. Phone a yy_U.Tv` Contractor, f ` i ° -dress / /p „ �',,� ; �. y ?iph4,37 Phone2.yj - 1,eY Contractor's � cense lumber 4 qs 1/ Expiration Date C/A,/ ? Copy on File Lot #1/U 4.8 Block or Section # Subdivision,,, Ova 1)4,1.4,, Zoning Street �( "ZC. Between and side Valuation $ v Type of Construction Purpose of Building Number of Units Fireplaces Utility Service: Water Sewer If the City if providing water or sewer service, do we need to make taps? Dimensions: Building Lot Size Footings Sz. Piers Sz. Sills Greatest Span Sills Sz. Ceiling Joists Distance on Centers Greatest Span Sz. Floor Joists Distance on Centers Greatest Span Sz. Rafters Distance on Centers Greatest Span Method of Heating Solid- Filled Ground Roof Flood Zone If located within a FLOOD HAZARD complete page 2 SUBMIT Two complete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required: 1. When steel is in place and ready to pour footings. 2. When steel is in place and ready to pour columns /lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical, plumbing, electrical, fireplace, is completed and ready to cover up. 5. Final inspection. SETBACKS NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB. In case of rejection, reinspection MUST be called for after •t Line corrections are made. In consideration of permit given for doing the work as described in the above statement, we w hereby agree to perform said work in accordance ccL with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. Signature Owner _ / : - Signature Cont actor _ ' ron • e FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: New Building Alterations to Existing Building Flood Zone Required Floor Elevation Actual (as built)Lowest Floor Elevation If located within a flood hazard zone (zone A) 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 on file with the Building Department. COMMENTS Applicant acknowledgement: 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 as required. I agree to comply with all applicable provisions of Ordinance No, 25 -7 -11 and all other laws or ordinances effecting the proposed developemnt. Date Applicantls Signature Department Use Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation Building Department Representative ,. PLUMBING PERMIT f „ ELECTRIC PERMIT f BUILDING PERMIT WORKSHEET TEMPORARY ELECT. - 2ated Square Footage / /0? @ $ 38 SO per sq ft = $4z,..,?, 696.E 'rage /Shed +460 @ $ 1(0 0 per sq ft = $ 0 - irport @ $ per sq ft = $ • )rches @ $ per sq ft = $ .ck @ $ ,per sq ft = $ ttio @ $ per sq ft = $ TOTAL VALUATION $ • '9 .?l j° 149 ° O $ tal Valuation Data • 1st S/ cC -(e) g7 CV $ mainder Valuation @ $ 0 2.37)per thousand or portion thereof TOTAL BUILDING FEE $ /36, + k FILING FEE $ 1 ; g _ , 3 FIREPLACE @15.00 $ /C--. DU TOTAL BUILDING PERMIT $ ,/9, / JMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ACT. TEMPORARY $ ELECTRICAL PERMIT $ TER METER SIZE $ ACCOUNT NUMBER . IER IMPACT FEE $ rER CONNECTION $ ( @10.00 per fixture unit) 'ROVED BY: TOTAL BUILDING /PLAN FILING FEE $ /. ?'`' TOTAL WATER METER CHARGE $ 815 U O TOTAL SEWER IMPACT FEES $ /036'6o TOTAL WATER CONNECTION CHARGE $ A60.00 A . MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $ / S �/. � /1 0 ? �) /C/, PLUMBING PLKMLT # w ELECTRIC PERMIT I . BUILDING PERMIT WORKSHEET TEMPORARY ELECT. .a test Sq Footage 15 @ $ c V ` C a per sq ft = $ 5 te 9, 0° 'rage /Shed 4o 7 @ $ g CO per sq ft = $ /7 . i rport @ $ per sq ft = $ )rches @ $ 0 per sq ft = $ !ck @ $ per sq ft = $ ' itio @ $ per sq ft = $ TOTAL VALUATION $ • (0 /5S /03Co .6° $ /a6, .ta1 Valuation Data 1st $v5 / 45 �- : Co 36. $ 36. CO mainder Valuation @ $ c.40 per thousand or portion thereof SO BUILDING FEE $ / �vo?. + . FILING FEE $ F/ . 0 FIREPLACE @15.00 $ /<5 GO TOTAL BUILDING PERMIT $ vPg. 7S UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ • ECT. TEMPORARY $ ELECTRICAL PERMIT $ rER METER SIZE $ ACCOUNT NUMBER 4ER IMPACT FEE $ TER CONNECTION $ ( @10.00 per fixture unit) 'ROVED BY: TOTAL BUILDING /PLAN FILING FEE $ c5�, TOTAL WATER METER CHARGE $ �f� GO TOTAL SEWER IMPACT FEES $ /035. Co TOTAL WATER CONNECTION CHARGE $ 967, UO Cilli: MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $ / (p ;8 7 -r- /65 -- Si r7- L u. atml l DEPARTMENT OF BUILDING i CITY OF ATLANTIC BEACH. FLORID • C.� 1 PERMIT TO BUILD t4/15/ THIS PERMIT MUST BE POSTED ON JOB , t , 9 �� 86 067 D ate x 4/15 19 Cf/S: !I � Fee 7 Vaauation $ ' t8 above fee has been paid to City Treuurer, and is This permit not valid un l provisions of law. This is to certify that subject to revocation for violation of P Plumbing F.W. has permission to WI Install Pluabinw. Zone RSSi.den'ti Classification � eT1LieS Owned by RGM PTO Block_ ----- —S/D Lot , + . ..: !r: a tea.. House No. �. art of this permit TE FORMS to approved plans which are P NOTICE — AL L CON jRST BE IN 4 According AND FOOTINGS SPECTE T VOID SIX MONTHS PERM TE OF ISSUE T AFTER DA 0 Building material, rubbish and debris D 4 f rom this work must not be placed � — "� in public space, and must e a cleared I b u p and hauled away by tra tor or owner. , , • ' �'" �" �N -Is) � Building Official. CONTRACT PERMIT FOR OFFICE NUMBER USE ONLY 1111M PLUMBING ELECTRICA SEWER aIIIIIII WATER IIII IIIIINIIIIII I .: ,40iA AllIkBa CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249 -2395 JOB LOCATION 440 - 444 Osprey Key PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY AA 01 • LICENSE NUMBERS P4P145 State RF0037503 OWNER R G M BUILDING CONTRACTOR R G M TYPE OF BUILDING Duplex 2 SINKS 1 SHOWERS 7 LAVATORY 2 WATER HEATERS 2 BATH TUBS 2 DISHWASHERS URINALS 2 DISPOSALS 5 CLOSETS 2 WASHING MACHINE FLOOR DRAINS OTHER 25 TOTAL FIXTURE COUNT X$3.50 + $10.00 DATE 3 / � /86 TOTAL AMOUNT $97.50 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. 8. CITY OF ATLANTIC BEACH, FLQRIDA 1 Approved by APPLICATION FOR ELECTRICAL PERMIT l,I TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 3 ~ 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. O �L� 1, ' ELECTRICAL .TOURNEY FIRM; MASTER ELECTRICIAN SIGNATURE MAN ( NAME. ` \ V\ 9c ii$ADDRESS: 4 Ds RFD BOX BLDG. SIZE BETWEEN: RES. (/) APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW (4 OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( ► INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE 2 I 0 AMPS 1 S U COPPER ( ) ALUM. (".1./ 3 o ° Z? SWITCH OR BREAKER J 5 © AMPS ) PH 3 W O VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL H 0-30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FI XED 0.100 AMPS. • OVER APPLJANCES 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 ...w a a•...4.�wuee�n_ t ua►raen aM it - 1 II AVCQ RAA ti 1 CITY OF ATLANTIC BEACH, FLORIDA qi Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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.r3 h O Pr , 0 "' SS ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME. `M1 ADDRESS: L I (-) Q'� j RFD BOX BLDG. SIZE �_ BETWEEN: RES. ( APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW (X OLD ( ) REW. ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW (�1 INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE a AMPS J, SC) COPPER'( ) ALUM. 30 °" O SWITCH OR BREAKER / S AMPS 1 PH 3 W G3(»OLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZ LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. ?"IXED 0.I00 AMPS. 1 OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT MOTORS H.P. VOLTAGE • VOLTAGE MISCELLANEOUS TT" AUCCtOP.KCDQ. H 1UnCR AAA v (AVER RAA V MST Np...� / PE LANG 1 l 4 OED of pt+ ►NS O sots) 1p �i a 'QI ; Ibts . a13Qt 1 p© p4 ` Date $ � awl ;, :6 yd `° G'ry s of �a N 4 ce bas been oat PLO�uiop NV t1 °n $ iJ ab g o 0 a v y t v � t �:t n °� aab tion 4oc ° State ,ubi� that CK per 'Oils is to oetti�fY stall l{eat lr Z one AA fission to SID bas ljettn �tial / i se ct Tt i eS Block ohs on I , Co �E BE 1�, Classifi� lot �� V' is yet % t E' Q ' 1 ' E GS M � ly o�„eabY ©. & �� 0 , a s e 4ait of tb 14 0110 ,--N1,1, �D BEFORE SO Mo U S Lot a laps o bi A bC tED VOID oV IS de bt's se ° ' fovea SY E1� Dp,TE and cea �Aa owing to a Y AF�EReiial, tub be 4 �1 a 1 vilidding, s voek Oust d toast be the! c ° 9. $ ti's e, a by e1 ee fn' blic speed avvaY tt sod of at wrote ✓ 100 ttip CONS aPCtOa ! p4E PvMBga N ° EE�GE FU S E O14'Y P0VMgiNG 10100010 SONO% 0011111011111 VJ P SEa OW ak BUILDING AND ZONING INSPECTION DIVISION \ 1 CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT - CALL -IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. 1. 440 -iii oscx y cry LOT 7 "r 4 LOCATION Address: OF Intersecting Streets: Between And / BUILDING r .,7 L..VIN Ia4Kc'S Sub- division 11. IDENTIFICATION - To be completed by a1I 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 attacked plans and specifications which are a pert hereof and in accordance with the City of Jacksonville ordinances and standards of good .practice listed therein. Narn. of Mechanical Contractor: Contractor (Print) Master fYt tQ 7 to Name of „ �+ —�, • Property Owner h" Signature of Owner Signature of or Authorised Agent a Architect or Engineer 111. GENERAL IN A, Type of hoofing fool: 8. IS OTHER CO NSTRUCTION BEING DONE ON V� Sothic THIS BUILDING OR SITE? O Gas — 0 11 0 Nabors! 0 'Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION O Oil PERMIT `'t O OtMr Specify IV. MEDNANICAL EQUIPMENT TO IIE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) X Residential or ❑ Commercial I'"c, Heat O Space 0 Raceswd )(Control 0 Moor lam. New Building Al, Ce. dlfloning: 0 Room X Central ❑ Existing Building k Duct System moforie Thieknes l 0 Replacement of existing system Maximum cepscity 1.53-or, e.fm. New installation (No system previously installed) O Extension or add -on to existing system 0 Refrigeration 0 Other - Specify O Cooling tower: Capacity g.p.m- O Roo sprinklers: Number toads O Elevator 0 Menlift/ 0 Escalator (number) THIS SPACE POR OFFICE 111E ONLY 0 Gasoline pump' .e" (nwnber) (IteasiMed) (3 Tank_. (number) Remark O LPG conteinors ._( number) a Unfired pressure velem Permit Approved by Date O Sellers O Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT p�ty Number Unite DMCdpf ton Node' Number 114auf'pctutrr C ('�bp8) A=vir 1 c.olu4D t9A,L GJ jj't�'4 Ar I Do '['L'2ttAa� , a.. V / c « I LJu t," 73ty (4100 {i L 3 „ P t�,. 1 Permit Number Tax Folio Number j % - 9 .5q5: NOTICE OF COMMENCEMVMENT STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be mad to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: 4/A0.116-/C.,, 27C / 7a sl cve clup CAS 4/ O/ & -49/ 1 }4 1 6 c Ae y k 2. General description of improvement: Ohio J/e. `' 1 e c 3. Owner information: // 1. Name and Address: (: /rn'tj cil Gv , S <j ; , , 2. Interest in property: Few u n k 3. Name and address of fee imple titleholder (other than owner): 707q&1 e-Ci : fr,4e4, i e 4 i Douglas Schultz Schultz Roofing Co., Inc. 216 N 20th St Jax Bch, F1 l 4. Contactor's name and address: a. Phone number: 904-246-2315 904- 246 -3808 �� b. Fax number: 5. Surety Information: a. Name and address: b. Phone Number: c. Fax Number: d. Amount of Bond: 6. :Lender's name and address: a. Name and address: b. Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents maybe served as provided by 713.12(1)(a), Florida Statutes. a. Name and address: b. Phone number: c. Fax number: 8. In addition to himself/herself, owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of Recording unless , different date is specified) Signature of Owner: eAvl r, ►,�'' d� da of L.. , 20 0 . Sworn to and sub�d be e this , , Y r i t , tvi l Jj ,, M ,, CITY OF ATLANTIC BEACH 1 ,' , ; PLAN REVIEW SHEET \, - \ Building Department Public Works & Public Utilities Departments - o;31t 800 Seminole Road 1200 Sandpiper Lane _�+�.� Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 - . arper (904) 247 -5800 (904) 247 -5834 B . ' a uzniak (904) 247 -5845 Fax (904) 247 -5843 Fax - - PLAN REVIEW COMMENTS Permit Application # v 5(..e41 Property Address: 444 Q r '1` Applicant: (1) I& f l--cJr Project: 6 dx am,i -- l gyi This permit application has been: 0 Approved as noted by the Department. Final application approval must come from the Building Department. ® Reviewed and the following items need attention: el 0 Nato Pq fog. A[-G , k.,NDoteS pool oo`i..-v shin . S 4- IfinirS . • �i Ara:Aralal .. ,- - 44-- -� - V . - = - • ' - • ' ' Al ,:, p"..) !ST cc4.4, e, Go !J - ..,..: a'!t • /Q /a 2V t - ' ! 00 . a. lialiMINOMMIlidniV2-7_4111111MilMadaliallinikkaallit '''. .( '' 0,110 V / ,f. I__ / �. qua.. +L.�l Mail G•1 �1LL = pit..■ � =�li��i.- � -' 110 y1.06 I i it f a tzP ,Lsr• -e14f, t.. - , . .- , -- 4' r = _ /� - 01 1 r0/ / / �� -01/.40 -./ / _ . ..- ..0 I Please re- submit your application when these items have been completed. '- " --•- - - -' Reviewed By: ( i Date: ?�4 ■ Date Contractor Notified: s` - L��r,, CITY OF ATLANTIC BEACH 3 o ,„ *-`' BUILDING PERMIT APPLICATION r' ~ (Alterations & Additions) �,.��� �06 Date: 2 I / 0 6 8 / Job Address: A y 0 5prey eey Owner of Property: JA G/{ D. -d' J A Me t1 • ).t/h e 81 e' Address: 4L 4 1/ ( 5 p J /65, kP. Y Telephone: ? 0 t f- Z Li 6- 857 D Legal Description: Block Number: Lot Number: it 7 Zoning District: Contractor: 0 W>Vir� ' 8v. /de 1 ,-- - State License Number: Contractor Address: // Telephone: Fax: Describe proposed use and work to be done: 8Sd '"»O 00 114 4 C4407+ — C. owiveY Iv, di{¢•ia•/i >f Goiwor Willi 37 le.: to sx4 Oil ivy bed Pamir Present use of land or building(s): A P. 5 / 1 e. rvc i Valuation of proposed construction: 2 n 000 Dimensions of the added space: / hi feet x Z D. 3 feet Will this project involve: Heating & Air - } Plumbing jic Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? yes If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? NO. Applicant certifies that w� _. ., change in site grade, impervious area or fill material will be used on this project. � IN YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ® NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904- 247 -5826. In order to correctly verify . zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post - construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre - construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application (please print). Name: () P C k C� D. l!V h li la ) C ,�/ ) Mailing Address: /q .S j' r? i G -/ /foi/ 0 I e,h. �' • ,_20 33 Telephone: 90c/- y6- 8 Fax: E -Mail: J1DW X9 13F06mn1C8,s1 -A f I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: ,,,,,r/L D Z--/ P,P -1' - Date: 0 eVd Og AS TO OWNE'i Sworn to and subscribed before me this px day of A- I/ L. 7 u , 20 (9 . State of Florida, County of Duval o 1 �t ,,e or Notary's Signature: �,��,.` -- NOT "? PURIM-STATE OF FLORIDA [st Personally known ' Ai i c n R. Br . 2 l ❑ Produced identification Cumniis ion # D1.;.,2 Type of identification produced Expires: JUNE 05, 20419 Bonded Thru Atlantis Bonding Co., Inc. Signature of Contractor �`= �`v � �� '' `�/( +.� Date: i D 2— a/ AS TO CONTRAC /� Sworn to and subscribed before me this 2 ---- Ll / day of d �t u S 71 ,20e 6 . y State of Florida, County of Duval N O T A R Y PUBLIC- ST",TE OF FLORIDA Notary's Signature: ( a ` )&te Allen R Booth 1 ; iii C^ emission # DD421205 M Personally known ,,r Z Expires: JUNE 05, 2009 Produced identification Bonded Thru Atlantic Banning Co., Inc. Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 - Fax: (904) 247 -5845 • http : / /wvrw.ciatlantic- beach.fl.us Page 3 Revised 8/04 4. MAP SHOWING SURVEY OF 1,0T 47, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 AND 55A OF THE 'CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. / ',rte? . 44. 7 "- C . t P pya /s / _ � \---:--\. )7ta l l e t - p-si x'30 „ ��S6o�0 2 "x=20.' j a ? i e • `... \ t ) , • ■ l' 07 r ' o y .OA( -moo'" 0 0 Q� � �` ` N N - ' � - F� a • y 7' 2 y� . cam. b , , t7":; AY .\__ - ti •.,.....,........, z 'ELFT /ate /Y / 7‘/�[,..� itri-r/ .'% -`:, Gk - L .. Vic . , ; l a'4.. X33,4 3E0 Sr ,NJt �' c(: ).(% 0 - `jC3.. /x -5. •1, /S /S /q t...-.4-7", : � q � • rjITiJM. .¢EG' / EC/SEO c/ r�c u i9�yf • ~ro AWE Tim /C-r -- c/ L.„-� ay' A ¢l .PE v» _.e ' - /c'; / 5' 6 /',-, %.�/, t- . •7 xer` ".�� ".t/ vv��T f�nq { E�EV47 c .r. 4 . 4..4v.: /Ia775 czep/'C. 4 `: fi CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: g o z-) 0.6 Job Address: 1 / 4 / Q jpray ,ay 0/ / ,7 0 4 ',33 CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE — OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455 - 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER - BUILDER PERMIT. / IPA. A / PROPERTY OWNE • : 14 ER 1 SWORN TO AND SUBSCRIBED BEFORE M THIS 2 DAY OF 19 vI v37 20 0 6 . 1/ Rk ■ I w� •'r • OF FLORIDA NOTARY PUBLIC Allen R. Booth MY COMMISSION EXPIRES: Commission # DD ;21205 NOTE: PHRASES UNDERLINED AROVF.. Expires: On # 05, 2009 Bonded Thru Mantic :funding Co., luc Special Information for Owner/Builders DISCLOSURE STATEMENT for Section 489.103(7), Florida Statutes: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THE LAW. The exemption allows you as the owner of your property, to act as your own contractor even through you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two - family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one (1) year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an un- licensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that the people employed by you have licenses required by state law and by county or municipal licensing ordinances. In addition, the owner must supervise construction and becomes liable and responsible for the employees he /she hires. This responsibility includes, but may not be limited to: 1. Workers Compensation, for workers injured on the job. 2. Social Security Tax must be deducted from employee's wages and matched with owner's funds. 3. Federal Withholding. Since owners must be liable for injuries to workers they hire, the Building Division suggests Workers Compensation Insurance be purchased unless the homeowners insurance policy clearly protects the owner. Owners hiring workers become employers and should also observe IRS withholding tax Form 1099 requirements on the workers they employ on their improvement work. Un- licensed contractors cannot be employed under any circumstances. Owners are subject to a $5,000 penalty under Florida Statute #455.288(1) instigated via Building Division citations. An Occupational License is not adequate. The owner should physically see the county Certificate of Competency or the Florida Contractors Certificate to ascertain a person is a licensed contractor. Telephone the building Division ( 247 - 5826)if in doubt. I h eby acknowledge that I have read and understand all the above on this 2nd Day of, 9 7'� - i i . I OSro /(K m. '7'th 9j'233 er Builder Signature Address JACK D. WHEELER qa y - , L 6 -Ss/o Print Name Telephone Number STATE OF FLORIDA: COUNTY OF DUVAL n Before me personally appeared L I Gk 1/' lit/ heeler to me well known to be the individual and owner builder described in and who executed this instrument and severally acknowledged the execution thereof to be his own free act and deed as such owner builder hereunto authorized. WITNESS my hand and official seal thisZay of, A of atAtlantic Beach County and State aforesaid. .� ‘Zrel NOTARY PUB C, ATE OF FAO �/ Print Name: � L L p 19 1 6O nt ` ' MY COMMISSION EXPIRES: is'Personally Known NOTARY PUBLIC-STATE OF FLORj DA ❑ Identification: Allen K. booth Commission k 0042 i 205 Expires: JUNE 05, 2009 Bonded Thru Atlantic Building .:o., Inc. • FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION = FORM 600C -01 Residential Limited Applications Prescriptive Method C NORTH 1 20 _ _ Small Additions, Renovations & Building Systems Compliance with Method C of Chapter 6 of me Florida Energy Efficiency Cone may be demonstrated by the use of Form 600G -01 for additions ol 600 snore ieet or less, site- installed components of manufactured homes, and renovations to single and multilanniv residence: Allemative methods are provided for additions by use of Form 600B-01 or 600A -01 PROJECT NAME: U1 it c li -1):)/1 BUILDER: y AND ADDRESS: yal oSp�Y g PERMITTING CLIMATE A HA..,4 4-te (Jc 4 .7 z3; OFFICE: A (r..Klie, (kc.f,I.ZONE: 1 ! 2 3 X OWNER: PERMIT NO.: 1 1 1 I I JURISDICTION NO.: SMALL ADDITIONS TO EXISTING RESIDENCES (600 Square )eel or less ol conditioned areal Prescriptive requirements in Tables 6G-1. 6C -2 and 0>3 apply only to the components al the addmon, not to Me existing budding. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed speafcally to serve the addition or is oeing installed in conjuncoon with the addition consoucbon. Components separating unconditioned spaces from conditioned spaces must meet me prescribed minimum insulation levels. RENOVATIONS (Residenbal buildings undergoing renovations costing more Nan 30% of Ine assessed value of me building). Prescriptive requirements in Tables 6C -1 and 60 -2 apply only to Ine components and moment being renovated or replaced MANUFACTURED HOMES AND BUILDINGS, Only sne-tnstalled components and features are covered by this form. BUILDING SYSTEMS Comply when complete new system isinstalled Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. 4 2. Single family detached or Multifamily attached 1 2. 5'i t c, far„( 3. if Multifamily -No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. ZAO 5. Predominant eave overhang (ft.) 5. Q • . 6. Glass area and type:. Single Pane Double Pane a. Clear glass 6a. sq, ft, Y.t' sq. ft. b. Tint, film or solar screen 6b. sq. ft sq. ft.' 7. Percentage of glass to floor area 7. /0 ., 8. Floor type and insulation: a. Slab -on -grade (R- value) 8a. R= lin. ft. b. Wood, raised (R- value) 8b. R= sq. ft. t c. Wood, common (R-vaiue) 8c. R= sq. ft. d. Concrete, raised (R- value) 8d. . R= sq. ft. e. Concrete, common (R- value) 8e. R= sq. ft. - 9. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R- value) 9a -1 R= sq. ft. 2. Wood frame (Insulation R- value) 9a -2 R= // '1 2. sq. ft. b. Adjacent: 1. Masonry (Insulation R- value) 9b -1 R= sq. ft. 2. Wood frame (Insulation R- value) 9b -2 R= sq. ft. c. Marriage Walls of Multiple Units` (Yes/No) 9c . 10. Ceiling type and insulation: a. Under attic (Insulation R- value) 10a. R= 3 0 L 20 sq. ft. b. Single assembly (Insulation R- value) 1Ob. R= sq. ft. 11. Cooling system* (Types: central, room unit, package terminal A.C.. aas, existing. none) 11. Type: Co.a.ai SEER /EER: /.3 See 12. Heating system': (Types: heat pump, elec. strip. natural gas. L.P. gas. ' 12. Type: H L- loo A-1, gas h.p., room or PTAC, existing, none) HSPF /COP /AFUE: 7. S NrPF 13. Air Distribution System *: a. Backflow damper or single package systems' (Yes /No) 13a. b. Ducts on marriage walls adequately sealed' (Yes /No) 13b. _ 14. Hot water system: 14. Type: 4 f lri . (Types: elec., natural gas, other, existing, none) EF: . `j 2. * Pertains to manufactured homes with site installed components. I hereby certify that t . ns an. sp ice.tions covered by the calculation are in Reviewof plans and soecilicalions covered by this calculation indtcatescompliance compliance wi . -: • .� ner. Cod [,�/ with the Florida Energy Coae. Beioreconslruclion tscompleted. this building will be • 1 / inspected fgrcompligoe in accordance with Section 553.908 FS. PREPARED c : _ _._ _ DATE: -_. ... _. U I hereby ce ify that t - "Tr. . • . co fiance with th Florida Energy Code. BUILDING OFFICIAL: _ OWNER AGE T: DATE _ -_ _. DATE:_____ FLORIDA BUILDI ODE - BUILDING 1.1 ."ni Construction Site Management Plan Site: Addition of bedroom, bath and closet to residence at 444 Osprey Key, Atlantic Beach, FL 32233 1. Provide dumpster for construction debris. Have permission from owner on west side to place dumpster westward as needed to allow passage to construction site. 2. Provide access to rest room without entry through residential area. 3. Provide water and electricity as needed from residence. 4. Construct any temporary containment fence if required by your Building Department. A / r nerBuilder Bate ./6 b . REOUZ_ST FpRAR U ALA YAL - This,neguestlbon is re( # -to. ofwork. .. DATE RECEIVED BY ARC: Dew/ �eq� 154 M , l 7g 0 .27 3D THIS SECTION TO BE COMPLETED BY HOMEOWNER Date: MR f oq 2 006' Name: ,SAC U. lvhee ler Lot# 7 Address V9' O lap Home Phone: _ y ' o 9 --._ ?.q_4"- 443:57 p o f - hone: _ _ - Contractar: ie / f (.v ;// _ 4 :4e./e.JW .... 4 /7`Gr #ht$,4rv4 /) - :wag - caeca painting, roofrepairstrep , mss, etc.) - . Be(3/ .8014 AV)/ 6 04 2 /pdilto,v To SW Ate 7 - e f 2xl37V r € jilts' C tP • I JF -. ithb74. 7.5 Go.4, p f 1,vif/ a// 1 & do/sr mfter>,4 omla,A, rL 8 T O�o A/ - 7 �YJy�d yOv✓ /tee fe le ivare, . i-- F. - . - Location: Attach a copy of your survey indicating the location of the work to be done. _Describe Lecadtar Spoons: Attach a cop!' ofthe plans, drawing picture, specifications (material, color, etc.) All =_ , or paint must meet SLA specifications. Estimate& date•of crompletimr 1//4 /© NOTE: Owners are responsible for **conduct ofthe contractor. You are rewired to supervise the , being don. You an nab Atlantic Beach. you are to provide the ARC with a copy of the building permit, - Homeowners Signature: - 4.... C'C.�/ '�- Fate` ` c !,/e j t-j .... Date - g v t/C• 4 4 oc '.-,,. /' L4ay a ,. ARC Simtttature(sk r , , `;=:' • trnz : Ctc4113)NlA sadf i ' •I- auS CAQU uJA a C CaU EZ . 'DEkJ (IV t* 4.4 C) . it i'4 2. \Ai140Oki m 'fa r1fAULAN a 1STI NL WIivaa tlJ.litArric CouN2- 'JA/2lL8itab.)Z 3. wno,o Tyu rrt lb tip PAf tJTe, R rtm, •1 m mac , . , Guu.. Gee/ ( uyALAvij " 2iZ ) Stei" SAC.tc6ium !tux"_ 3 EAt.i\ .f-iA • .. E\.tSiltLJG, 11nr3 Sit.Qcstlf LE WI L.A.. 25E. ?A.e.5 5 eiiZ 'WAS I iteCS 3 t� -rrrr r 0 1k czehPueofs, g -_74 ,e. R C o L 7) Vi Av.iArli. ►,.► 711/q ©sor i Po f. pe v'GolA 71 korrji.-fvcP q J � *l: ,zq9 rat / z -/ 73 8 / l f/ 7 P s 5 -r/z €f I 9' x'.3' / Pero a,. ��,� ,t f 7 79 / D' -- 2. , z g y / m12-er vi �.,,.) J1/14 c e io b 19 do eel - i 7‘9 d a- � •- ) Pik .,Qdd `,..1 33 *.r 9 028 p " 3_ r 9 2 g., � . `T i � , ik ti 1 sp , 1 t 9• ? I m 1 O N - -tst 12 A I 4. ©S . !n ,. � 49 • S , 5,I,36 ti ,x0 .6 ,t l 4 ' •Y ,,L,1 1 3t1e ` i ‘.I �� e i • s. i. _. . -' ' ° ._ '' , 2. • 77 f ,2% A e - ---4 7,'S n �c�� .. ul btzwr� •i 5 . i K 25 ' tr " i l'S \tAcke.. emp...t.u, AD0 / K z v. = Z87 Acc.fl sa 1...... ,- 491.0 I . $4Xgr+0 Z a -7'0 4' 2 ' ‘114,,k c e . 6 . f ---- =., CITY OF ATLANTIC BEACH — j PLAN REVIEW SHEET . :: - • . Building Department Public Works & Public Utilities Departments • 4 rm ll)`" 800 Seminole Road 1200 Sandpiper Lane Mantic Beach, Florida 32233 Atlantic Beach, Florida 32233 • - rPer (904) 247 -5800 (904) 247 -5834 s • •fn umiak (904) 247 -5845 Fax (904) 247 -5843 Fax ---- Public - Safety --- ' - ') Y ( PLAN REVIEW COMMENTS ; =' 1 Permit Application # CC ' SSL 4 l Property Address: 444 0 - J Applicant: (fl A.I i r Project: b-"t coY Adidi—h:tyyl This permit application has been: 0 Approved as noted by the Department. Final application approval must come from the Building Department. ® Reviewed and the following items need attention: V 0 Nee) g /'v'-L Ser o govP 77Qvss DRAM /,v0- .s.,'-s. 17' Anosp P/ A ,4 1.4 ',.vAOt S j t. Doo2l /2_o0,4 -v sHlNGae'n5 ,F- yours . '� C9 $9o4i w,N'VW s Pz eer a G-/ gg5 g 3/o • I.1 kB,G . 0 s/loc✓ Alec: Aqua" Re c. . ',t/ eat. goon v /' ShbW (912 ,Vohs (9m( 8A-iA /200 tsnJ / &7'"' IG coviZ Go i S w &Az r.tirlerfrft j/ / & C-. !/ - 11. / .2g ,f C4ctR/Z Poo,. . vg e,,,frim- „os, o'xfstn'c. twiv 1.4 71/4 is Gol.✓ss 1'0 i‘e VP L� To? l P IT r s I' 1 f Z o o m Ogi 1 , — / 1 1 % ) 5 1 - - / we eirleids. smiA, tox4s77 (Gook /' - ' • r 61t/e 61t/e Dc ells ©A/ ? H777 7 .°'o- 7-7.' sSfow ©, T it /ole- P 61 statimu • 4 ED Please re- submit your application when these items have been completed. Reviewed By Date: Date Contractor Notified: Cg y � $, -2 °? a a e ...,. . = al 4t 03 ID ty , )2 o GI a ` o ► b, Fro ° co" 't N �` �� a i °� N c = JJq rb . +' k WO ° 0 a ` ` r" H 11 11 1 �� z > coo ° -0 rn0 0. S. 03 P. 1 1 111 a� y O > U RS A `'`• >.. A on c on 1 a C 4 b A O c, N .Q .0 "� t U • ZS N -5 s r: 4; so t 0 cswd0 to xU awda a � A 0 • g 1 N A " W fq > 0 +„ M of V) \O N M 4 00 a: O -- ( • �• O 73 a :, , rl ,,, t 03 CO ik •k•• \ - R 0 A , t tee s d \ a �0. 2. 4 ......_ er J �- th g:1 ''4 1,k,-; 4 0 6. * 1 k " A 00 14 \i w 1 r : w c t' o t.") E to a� c c o y> o V 4 cn 2 t� a o to ,1,3 z i.a 4 a 0 ° ~ e 0 . C7 et o n o 0. G am ] a. on oil ° y on o .��, ,L)‘° . 0 cig c o .o 0 . a� > a= = 5 y e u W a 'v t'" 2 b ago ' c .3 o c o 5 eu c° 4.. o vcnwt 0v 0¢ � a z m c c4 3C4avwv ow • (Ni M Nh' V'i v:i th o0 O; C "" N M d' v'; vO [-: 00 O; O N M 4 vi ■O U U 6 � Q a ,iot- -■ ev z 0 o uo N, o a t Q .4. c4ti a � 0 0 L A \ '4 cr z� e s at L . O .L ✓ 6 • L cn L r N 03 e� v ] O g y W O 01 ` y 0 O ., ct H ° c 03 L ° S • a- V O ° vi b • 0 y x = "O a) 0* O o d AQ va 0 t O fg E - L a w v U .4 a A 3 O v) . -- • N M ‘y 4'1 vO r-- CA V --+ N M of cn ■O t.- 00 C1 O ..- . - V1 c .,o * c c ° W la - o ;. ,c . O� 'O j o �� s- v o C 3 +r ', w w L. ,L) . - ^ V 4 4 g 5 I .: C N h c C Q• �\ hi ..- 3 - O o co.= 4 § c U O o c -C 'k t - a, 0 •.c d'4.. 0 y ' ` C N to �, 3 a v �. 8. a cn 03 c �, o Id r'" Q) 0 NI V L f.L ...... O C. O .O yy "C3 co 4r LL ea) .0 . Q" > O as ..= E C 6 A N '� C O z ed o -d o c U En w W 1 0 c� c o25 Q o Po o. 0 C En s. O, -O N vi O C o c 6 , y C O Z 111 .,, 1 O . N O O O .2 2 r "i, s . +',. t'" O L J °c = o E. cd o o M cis A to o a 4 a o o ap 1 11 0 1 da' 4 ii ;4 r4 o g wa ; � 45 4 o - o z z . ° 2 2 a� • L. cd a to o 0 N •j; � w ~ N - 'O p y _ b A p, y 0 +,- a c _ . O p � es U xi , O = wii V D O al O • O, id E" •S C d U E'" U , ' CITY OF ATLANTIC BEACH 1 j PLAN REVIE SHEET Routed to: Building Department Public Works & Public Utilities Departments L s 800 Seminole Road 1200 Sandpiper Lane 7 ` - ;. Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 (904) 247 -5800 (904) 247 -5834 11. ' - uzniak (904) 247 -5845 Fax (904) 247 -5843 Fax Public Safety PLAN REVIEW COMMENTS P e r m i t Application # CAS/' S L 2 4l Property Address: 444 p r Applicant: 11) kef- kir Project: f 3(dXU)rY1 t 1L(,t 4"L This permit application has been: // ' V Approved as noted by the O,e,hl; G idodsDepartment. Final application approval must come from the Building Department. 1 j//06( 0 Reviewed and the following items need attention: Show silt fence location on site plan. Please re- submit your application when these items have been completed. I Reviewed B . ; - DRECEIVED ?-/ 7/ � ie ,, ,, , A u G 0 2006 Date Contractor Notified: f ( ] le 1 QC ofvte l 1710' BY. Construction Site Management Plan Site: Addition of bedroom, bath and closet to residence at 444 Osprey Key, Atlantic Beach, FL 32233 1. Provide dumpster for construction debris. Have permission from owner on west side to place dumpster westward as needed to allow passage to construction site. 2. Provide access to rest room without entry through residential area. 3. Provide water and electricity as needed from residence. 4. Construct a silt fence from existing building to existing fence, as shown on attachment. R V fi r ' r � / /` �� / i ce - 2 f/ O B LyJ� � - 9 I 0 2 3 G e/ �, Jack D. Wheeler - Bg Owner/Builder 9 / "�` Date `� L ,� 8P 0 7 7006 MAP SHOWING SURVEY OF LQqT.47, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 ANU SSA 01' THE ' ;VI/1 1T PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. \ ---- A . i r *-1/ --•:: -�-� -2.1;:, -5 _ .rte 1 J °s ,2c =moo. -r i V\ . • SST ..74c.... k\- `\ New . ;� r R • •, N 6. 'I{ C Ex�'"! f e,vd It 2 a e" 41" 1 Is .X to o Q =V- !i i N 0 r' . l S 7' F e.v c �,. L oc, 114, v CP 7 5 bc, ----÷ .A--;...._. 7 ,.-v....1;•42gr ` o A " 3 2: . t �q� 1 -. r 1 2 . .......„ o F .c alt �ieC.gps4fais r _ �o . - J REri� 3+,'O ''O 5:.C7r i e-C: ►C! Lf % SC34.4 T$ J'� /S AS .4 ?ta u G. • np t° L.".GGr $Y' 097. .4[10 !, 'r' ir, .yBE rcc tr; ✓-,w RAVOtide '91 ale Ai Gr t? T „,,...::;,?1---1 - ; -l ` TIC BEACH �� r �� CITY OF ATLANTIC = ItI PLAN REVIEW SHEET (\„. Public Works & Public Utilities Departments � B 0 Se ol e Road t 1200 Sandpiper Lane arper Atl antic Bea each, �SJi319` SemBc Atlantic Beach, Florida 32233 Atl, Florida F32233 lo '� umiak (904) 247 -5800 (904) 247 -5834 / _ � , ' - _ _ _ , (904) 247 -5845 Fax (904) 247 -5843 Fax !� l s PLAN REVIEW COMMENTS )c � Permit Application # f O' 5 4 Property Address: 444 biro(' Applicant 1 JCJ -e-e (-ems Project: b cL com a This permit application has been: ❑ Approved as noted by the Department. Final application approval must come from the Building Department. © Reviewed and the following items need attention: 0 Nth g f '-t ser- gouP 77evss Df 0v /Nc) s -C . T New P AA2 Az-c 444;00x4 . Doo2 /L000/..- siiiivUto .1- ire s . lJ S,/oi D.0N s Meer a G- !?.&'SS R 3!0 ./d f /E,B.0 . 6 SNcw Alec, Phva Rec. . 8cra Raoul 0 sm70.3 o 2 N4 am( 8444' I2oo/'z 0 /BT” ,4004. c.o'Gy S w'2# r,6 t~ L/ ,( G. 11- Jl. I 7..4 re cGrFI /7o02 . l✓, wHicIr DOSE 6.-xisiiier tNt,v ' Timr is Gof•✓,, 1'0 1 6ee¢ /tee vP 6.0 lo st AA- . , V' , Estt/e T. ii<S o i 7 H77 Tr esio-ai 7 sgoa• o fir` ' Aga- Paw Please re- submit your application when these items have been completed. Reviewed By Date: Date Contractor Notified: CITY OF ATLANTIC BEACH r s� BUILDING PERMIT APPLICATION §` ter (Alterations & Additions) J;ilsr Date: 9/2/0 Job Address: W q Q 5 P re y xe y Owner of Property: jiO i( D. J I3 ive J. Loh e e 1 C✓ Address: #14 r7 5 p ye tf hP y Telephone: ?ay- Z l 6 -857 Legal Description: Block Number: Lot Number: if 7 Zoning District: Contractor: O W 1Vev/ "qv, /de ✓ State License Number: Contractor Address: f� Telephone: Fax: Describe proposed use and work to be done: 04depoodmpfe Co* pwMrr Ams d+{¢'iar./i >f GoI%"" f Wrt'b dyi Al , bee/ ra m'$ Present use of land or building(s): RA 61,61c r-.c Valuation of proposed construction: n 000 Dimensions of the added space: / feet x 2.0• $ feet Will this project involve: Heating & Air- )( Plumbing Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? yes If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? tgl NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. lI YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ® NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904 - 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post- construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail, plans must contain the following information as appiopi late for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description_ 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre - construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: Include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application (please print). Name: J iCc D. l it/ h'� r4 Je }� Mailing Address: ' I L C J OY 'Li / P > fe-ei/ &h. 11 3'zZ 33 Telephone: D /- 2 4//, g, s/ D l Fax: E -Mail: J t W n Er F eCep yr 4 f - I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. • Signature of Owner. ✓ C'�'%� - Date: 0 19/ AS TOO Sworn to and subscribed before me this - day of tiL U 5 20 (?,�j 1 ' . State of Florida, County of Duval , � Notary's Signature: Lty� / 6 2 , • T T �TMr NO, . . Pt'PI.IC -S'MTE OF FLORIDA Personally known Allen R. hrr • ±t h ❑ Produced identification Commission # DD-,2121'5 Type of identification produced Expires: JUNE. 05, 2609 Bonded Thru Atlantic Bonding Co., Inc Signature of Contractor. , -at._ Date: 0 02._ Or6 AS TO CONTRAC1 Sworn to and subscribed before me this r day of ,4 u4 , GL 7 , 20 06 . State of Florida, County of Duval NOTARY PUBLIC -ST"TE OF FLORIDA Notary's Signature: O,-- /e Allen R. Booth C r~nmission # DD421205 �1 Personally known s Expires: JUNE 05, 2009 u Produced identification Bonded Thru Atlantic Bonding Co., Inc. Type of identification produced 800 Seminole Road - Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http : / /www.ciattantic- beach.fl.ns Page 3 Revised 8/04 MAP SHOWING SURVEY OF , . LOT 47, SELVA LAKES, AS RECORDED IN PLAT BOOK 41, PAGES 55 AND 55A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 44. (% '■i, \ , . 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V . 7, O.', . • -TA//S Agioar:arrery a— ol-fi ./ 4 Vt:4 .S' 17,/a" ..go" an,- Aq. flo0: / 4S411 AS 1 41 49 - AWACS. AAso.: ,/,re:Evr7 G:tatw . ' , CERTIFIED 'PO: DENESE TITLE AND ABSTRACT COMPANY I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant N . A. DURDEN to Section-122027 Florida Statutes. & ASSOCIATES INC. 7A , .&.i?'2,- - Z-e ' LAND easserzaeo • No .1* . SURVEYORS Poet Office Box 50670 SIGNED ,. 4'3'74 t ' ,i 74 % .• 530 Beech Boulevard /-._ Jeoluonvile Beach. Redd* 32250 SCALE: THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. 414/g p PO Pe r / Cola ?Corr,f;r C � 7 6- q ' 1 � _ 24 4. j 7 p 2Y�6�47/�/G+ fW�G�IJNi�pl f 1el i 1 CJ,5 ) 7,J 0 f P ' ' ov 5 ;X' f 4.s y� ,28 ' � //2r free v fi,e 70 beAdded- 41 7 9 27 2 pz s- 4V ..t~-0»p{'Y' °+,s 4f (f4✓ o - e #0 4 i 0 1 7 Q /�!! t % , 736 �i ,A , ,..4 - t , ; 1 5 . • l_ 4. '\ N.t 4g7 Reid -..., 3 3_3 19 23.5, p ?$,T,. 0- �� 1 .V 9. % 'I sx it in 0 X5',9 V- W .4i e , stt • 44'..—. — — —.— • — 44 5 91, 3 , i * - 17 AtAt S' S.41 V 413 4 * vl /0- w • _ ,4 o d � ,,, l 2./6, 77 11 /-/a4.A!�& A f.G4 6411'5Ce _ 11717 -Al; , 12 A gei ' D0 /4 Kz Z rCC . ts3 14 i • 6t. z s73 ',1 -1 4 r. Z-0 '2 �Al /.i4 - g4 X Viso ,t j '7, 4 2 r r 8.4 '_ b ei ,duo/ /red if4/41 1 7227- -(0 DATE RIVED BY ARC: THIS SECTIONIOBE comprATED BY HOMEOWNER Date: /1719, 0 y, o 0' Name: t hla o. hih ee ler Lot* ¥ Ate: //9' 06/'r'? Hi p Home Phone: fa y (� � / 0 O ---- Comr : J e ! { .- 64. _4eietWeal _. obftr 40mY4/) eztetiar painting. roofrepairsireplacement, 1 . etc.) it ir Bedroom , eti, C d C/0141 OeX af $ ri 70 SU/ Ayr 7 1 - 9)¢ WV*, et-5 ,bl®N d1 mom 75 .Ay /t wife A// the G'olsr m er'v a e »r' ws/strwy L_ E-.. ! vi1'I✓q? s'rJ �.s • Sly tJd � W..l clod/ix' -feed 9 • -- - - Location: Mace a copy of your survey indicating the tocatieh ofthe work to be done. DesorelseLecesitar - Specitioationa: Attach a copy &the plans, thswing, picture, specifications (material. color, etc.) All arterior paint new meet SLA • B date-ofaoaaphetion: //`4 O NOTE: Owners ate resuoudbie for the conduct °Me coatructor. You ate re road to supervise the k being done, Yw ere labl- asy Atlantic Beach, you we - = rt, to provide the ARC with a copy ofthebm'iding permit. licaneowness Signet:sect - Date: (57, A ie r i f Date:Approved 4/ V ,C erki,/,‘„ d(44,o, ARC Si ure(s): . ��ri ch Z 'S``is-- \ f ' , 1 (7 - - " t 11ESTES: C ),JA t�u L A U tDJ�1 C Ga t.nfZ . "Dubs fist c" 4 4 teas • CTC 7 2. Ws,IQpyd °f7! rnAR.8 ectSilkiL Wth _lava sfi2AarG ces.rat. ' ibLSd 32.ir 3. woha0 *Mi m fb 8' PAD>J1 WE 1.7Ami sJ GAY tatimsivar IZD tom►"" 3 15461c6e►N•1 1 LI . i3 EA C 1� Ft A .. . E" t SThJ4. 1 v E fi YLA!t ?11.e.5 5 L3I2 `WAS rhea 4 -sor 0 Ctira CzXh _ Construction Site Management Plan Site: Addition of bedroom, bath and closet to residence at 444 Osprey Key, Atlantic Beach, FL 32233 1. Provide dumpster for construction debris. Rave permission from owner on west side to place dumpster westward as needed to allow passage to construction site. 2. Provide access to rest room without entry through residential area. 3. Provide water and electricity as needed from residence. 4. Construct any temporary containment fence if required by your Building Department. -1 r >j /Owner/Builder J Date C 1 r. ; j:31 CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Routed to Building Department Public Works & Public Utilities Departments ■'..' s 0'ta> 800 Seminole Road 1200 Sandpiper Lane 4' Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 arper (904) 247 -5800 (904) 247 -5834 U Kaluzniak (904) 247 -5845 Fax (904) 247 -5843 Fax Public Safety PLAN REVIEW COMMENTS Permit Application # (YJ) S%2 4 Property Address: 444 0 Applicant: (1) l/(,`C-e. I - e,r Project: & "( 1CO r 1 This permit application has been: 1:41- Approved as noted by the � i>t r4 Department. Final application approval must co from the Building Department. Reviewed and the following items need attention: Please re- submit your application when these items have been completed. Reviewed By: Date: s / Date Contractor Notified: „,r‘,�r CITY OF ATLANTIC BEACH �s j a BUILDING PERMIT APPLICATION Vr (Alterations & Additions) (ilf Date: 8/a l d 6 Job Address: 6/ 41 G./ Q 5 p re y ee y I Owner of Property: JAG!{ Q. -�- . J A / 'e J. )41h e e l e✓ Address: 17117417/ o 5 p y e y ke c, Telephone: y [I - ,Z L 6 -95/ a Legal Description: Block Number: Lot Number: if 7 Zoning District: Contractor: 0W/VeV wi / ✓ State License Number: Contractor Address: Telephone: Fax: Describe proposed use and work to be done: 84' rbom0604 C4iil,7: — Co - pwNU✓ hos ds{ 'ioaret Cofi -p LW/rf b 3719 1; "fa 4 X J 37' A- btdd ra,,vs Present use of land or building(s): ii ,R 5 / d G r 1 Valuation of proposed construction:, , peD Dimensions of the added space: 1 /L feet x 2. 0.5” feet Will this project involve: Heating & Air- 34 Plumbing K Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? Yes If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this 2 below. App IN roval YES. See Ste project. _ _ ,,. .... Step pproval of the Public Works Department is required prior to issuance of a Building Permit. ® NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904 - 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post - construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre- construction topographical survey. 4. My significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application (please print). Name: � RC k V.ih i u f7 Mailing Address: L /l�L . �1 t�Y�'C /YR } ��a,r . ?. f • 3'20 33 Telephone: l Df - �y�' s/1 Fax: E -Mail: J.bw t? 13FOCeenc'/O-/kt I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. 41 1, Signature of Owner. % J L� 7 ( P� Date: 4 f1/4) 2-/Z AS TO OWNE " • Sworn to and subscribed before me this .7j day of G2 7 u 5 t , 20 (9 State fto e o Florida, County of Duval Notary's Signature: (4— L _ r 1►�� PIMTIC- STATE OF FLORIDA 19 Personally known Alin 11. kit . i ❑ Produced identification C cmn� i ss j # D1: ,212'''5 Type of identification produced Expires: JUNE 05, 20ii9 Bonded Thru Atlantic Bonding Co., Inc. 410 , / Signature of Contractor: tt Date: r oz_ oft AS TO CONTRACT Sworn to and subscribed before me this . 2 .-�� day of ,4 (4 y C! 5 , 20 06 . State of Florida, County of Duval J NOTARY PUBLIC-STATE OF FLORIDA Notary's Signature: Ca i� dtd: Allen R. Booth C'rnmission # DD 421205 Personally known t Expires: JUNE 05, 2009 D Produced identification Bonded Thru Atlantic Boi. dng Co., Inc. Type of identification produced 800 Seminole Road - Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 3 Revised 8/04 t Builder ' "',: — gl` Job Tnfdrrnalioiitf" 1, Interco # ** I 1 File Job : #: J -06 -0595 Salesman: David Price Pe Designer: Philip Shoemaker Manning Building Supplies , x 4ndeli� nat L J o b : ` Jacksonville, Florida 32256 jaxtruss @mbs- corp Phone: (904) 268 -8225 * Fax: (904) 260 -2981 Date: 8/22/2006 i Del. Date: RAI S 444 Osprey Key of Atlantic Beach FL L, Cover Sheet — s I Truss Level L A proud Penner el WoodTruss AAlpine Engineered PrpOUdr. Inc. Qty Span Description Pitch OHL TC Size Truss O/A Height Weight TC /BC OHR BC Size Ext. Weight 1 20 -06 -00 Al 5.50 / 0 02 -00 -00 2x4 05 -06-11 120.3 LB 02 -00 -00 2x4 120.3 LB 7 20 -06-00 A2 5.50 / 0 02 -00 -00 2x4 05 -10 -09 97.9 LB 02-00 -00 2x4 685.3 LB Trusses: 8 Hangers: 0 Jacks: 0 Beams: 0 re Piggy Backs; 0 I- Joist: 0 Total Trusses in Package: 8 Rim Board: 0 o P. pm l r �R Rilliiis r omeBASE by Alpine Engineered Produces, Inc Page 1 of 1 r m _'' ao i ud p ! no0 : NUWS31bS o o zz --, ua owaoys d! 1! d :H3NSIS30 z heN Rauds0 fihti : SS3600d m o 0 0 '" :NOIldI 13S30 ° -I, E ooue uI : 3WOlS(10 r. r- A 7 T mI LA 8.. E Lo II L. 1 L : ,. io, m . . , . o EL 0 0 ^ II l VV CE I O ,i41. 8„ 8+ PRO I 1 I I 1 I L. L" i 1 7 T H P • . 1 " 0 ) a \ r \ m 0 0 r i r fos r r r ”R. pm r Alpine Engineered Products, Inc. 1950 Marley Drive Haines City, FL 33844 Florida Engineering Certificate of Authorization Number: 567 Florida Certificate of Product Approval # FL1999 Page 1 of 1 Document ID: 1 SZZ 151- Z08221 12340 Truss Fabricator: Manning Building Supply Job Identification: J -06- 0595 - -- 444 Osprey Key Atlantic Beach, FL Truss Count: 2 10 Model Code: Florida Building Code 2004 Truss Criteria: ANSI /TPI- 2002(STD) /FBC Engineering Software: Alpine Software,Version 7.24. Structural Engineer of Record: The identity of the structural FOR did not exist as of 1PP Address: the seal date per section 61G15- 31.003(5a) of the FAC Minimum Design Loads: Roof - 47.0 PSF @ 1.25 Duration Floor - N/A Wind - 120 MPH ASCE 7 -02 - Partially Enclosed vs Notes: Seal Date: 08/22/2006 1. Determination as to the suitability of these truss components for the structure is the responsibility of the building designer /engineer of -Truss Design Engineer- record, as defined in ANSI /TPI 1 Arthur R. Fisher Florida License Number: 59687 2. The drawing date shown on this index sheet must match the date shown 1950 Marley Drive on the individual truss component drawing.. Haines city, FL 33844 3. The loads indicated on all referenced girder trusses are consistent with the truss layout provided by Manning Building Supply for the above referenced job identification. Loads applied by non -truss elements and basic load parameters are to be reviewed and approved by the FOR /building designer. 4. As shown on attached drawings; the drawing number is preceded by: HCUSR151 Details: 140GC- ,, # Ref Description Drawing# Date 1 19318--Al 06234086 08/22/06 2 19319 - -A2 06234085 08/22/06 ro P* pm 00 7 pp 11 11111 11111 11 III 1111 111111 111 11 II a -o z (n w -( r •e r 0 m z o o c ra ( C m r 0 0 E' CD m - S S O O � D c) x c CD rp 0 0 0 I. � J (n co o Cu CT - 5 - 5 (n ae� D CD 7J o n (, aC. LO 7 i n r = t. Q - o n - . o m Cn 1.2 v - o c c./5 o xxz 2. 3, ", Z < (n -i o A . 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Z co N N O) 0 A A - 0 -1 X ° v co v O A _ 'n C = - D C A C a n s ° O m - ' 7:) m ° VI ° .. .. n m n w f / X O O Z . 7.3 O v Z N Z N O = _ O p �k ➢ _� �IMN11 . O _ W m N X 0 X N X N X Z° .� o o O �, ,I - T r r r\ r\ ° L7 z Z 01 Z A Z A ° -n ........... / /I N - y -- - 7o v) N N CA N CA CA CA O Z �, • N ■� z C W W .- O _n 9 W 0 W (3 0 0 ( z r \ .. - 0 .. rn .. .. 'a m -7 0 0 0 0 0 0 m 01 W 01 A O� A P ; I , Z 9 ,9 G /cli s n r VI 0 i� m* V2 3 3E 01 V/ a Z n O z O z 0= 0. N r • r � O • _ r -I - 0 D W -1 W -1 n -I n a D Z W m n . ` r. E .rn E m m OJ a • -{ m D m a m 7 m m m m m n m cn m z z m z z ➢ Eq * / 1 x •4181 INIMM N ++ O O O a O -I W D / m m - ➢ m -1 Z 0 O w A A W W 0 y D y m D N -i N -1 N D N n x • I -, r .< -5 v 0 n n 2 m CD e Y O - y Co -I --i v I- m A m m 0> = ') 2 z 2 m. Z C 7Z1 -f O n n n C) =' N :_ _ _: CO x m ° 3 7-1 -C r) O C--) O ■M D> D A a + N � f 0 r - \ l0 ° � rn D -1 2 O 3 TI r r r r r N 0 A n Z o n • �, v+\ z n m o m m - N 3 J m . 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ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 09- 00000768 Date 6/02/09 Property Address 440 OSPREY KEY Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 4085 Application desc REROOF FL 10124.1 Owner Contractor JACKSON, JR., EDMUND W SCHULTZ ROOFING, INC. 440 OSPREY KEY 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246 -2315 Permit ROOF PERMIT Additional desc . Permit Fee . . 50.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 4085 Expiration Date . 11/29/09 Fee summary Charged Paid Credited Due Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r .., , ' , CITY OF ATLANTIC BEACH s++. 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 09 — I I I I I •I 1 r�i OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 ' 1 BUILDING - DEPT @COAB.US 4 1 /7 - -04° 9 BUILDING PERMIT APPLICATION DUVAL COUNTY "X L01`! BLOCK SUB DNISION �! l �/ 4(.2,,/,..,;,. El NEW BUILDING ❑ DEMOLITION C�ESIDENTIAL C_' B ! L f CK 1 B ° 4 " f . ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL r . ;. ' . ' ❑ ALTERATION ❑ ACCESSORY BLDG a via S //� /� p IiR 94e+q 0 POOL / SPA �` "�'♦ �l �`fJ �� 1 ❑MOVE ❑ NO ❑ N/A � �p�i'F ..; OTHER 9. NAME 15. COMPANY NAME: � 6 dot / / `P ) 0y r� 23. COMPANY NAME: 16. NAME. 24. LICENSEE NAME: h i. ./ . )/1 (.U. ∎ - TA ( n ■ . f)>C.4q /4 3 . 77 it( ) /TZ) 10. ADDRESS: 17. STATE/OF FLORIDA RI LICEN E NO.: 25. STATE OF FLORIDA LICENSE NO.: X 18. ADDRES 26. ADDRESS: 1962' zJ /) /. C �' s ,, , 11 - 9FFaCE PHONE: . � ' �� �`� "Pt 24 k /r7 j 7 . I 12 FAX NO.: (-9a6 E 2 ? -9zi `7 27. OFFICE PHONE: 128. FAX NO.: 13. ` CELL PHONE: 21. CLL PHONE: 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: 31. 35 N NAME: 33. NAME: A . ` . „ n NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: 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 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. 1 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: *** 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. °t _,, ,4, r s . o Signed 1946 �Ay..:tN I n ►_ „ A ' , ( Date: \r =( t rf Signed: '�.�.r Date. 44.-2— Before me thi ��T" d. , of Pal, , 2009 in the county of Before me this day of eq 1 y 2009 in the county of Duval, State • Flon a, has +erso ally appeared Duval, State of Florida, has personally appeared herin 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 1, (ice\ , County of U V 0 - � Notary Public at Large, State of ❑ P lly Known , County of i) \ 1� ❑ Personally Known roduced IdentAi bon - V ❑ Produced Identification - Notary Signature ...1" ` l � Notary Signature: Y'Y: DONNA G. HAMBY ,: +a■ :.; MY COMMISSION* OD 783649 •. -. . o EXPIRES: August 29, 2012 • . F ., ;t'� Bonded Thru Notary Public !Jnderwriters BLDG01 Permit Application Bldg: REVISED: + +,c