Loading...
Permit 447 - 451 Osprey Key (vault) ("-**. -----'-',,,,,,\\ VP ' fl CITY OF ATLANTIC BEACH . s) 800 SEMINOLE ROAD J °.; z ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 09- 00000984 Date 7/08/09 Property Address 447 OSPREY KEY Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 5500 Application desc REROOF FL 10124.1 Owner Contractor ROCK, WALTER D. SCHULTZ ROOFING, INC. 447 OSPREY KEY 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246 -2315 Permit ROOF PERMIT Additional desc . Permit Fee 57.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 5500 Expiration Date . 1/04/10 Fee summary Charged Paid Credited Due Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ... Fr f CITY OF ATLANTIC BEACH 09- I I I I I ..., " 800 SE ROAD, ATLANTIC BEACH, FL 32233 +` 0 OFFICE: (904)247 -5826 • FAX NO. (904)247 -5845 r9 -I BUILDING- DEPT@COAB. US ,,. 9#-- , _, /• -- BUILDING PERMIT APPLICATION DUVAL COUNTY 5C -00 1 aog 7D �� � , „ , , x 0 DEMOLITION RESIDENTIAL (Ake.' / y�� ` ..,-- El BUILDING LOT _BLOCK_SUBDIVISION - {='At /1 S� /'% /]e 0ADDITION 0 USE COMMERCIAL Est. " , 0 ALTERATION 0 ACCESSORY BLDG. , ` Fii ESP�RR � 0 REPAIR 0 POOL 1 SPA 0 YES ❑ N/A T L 10 b2/* O MOVE • • NO OTHER 9. NAME. 15AMPANY NAME: 2 .-� 23. COMPANY NAME 4. - 2 A / 7/;.. 4, ✓,�A (� J-,0 S67- Nt4ME: „ _� 24. LICENSEE NAME: € 4 c - ' .!' , ) / j ;-.-, ....AI / /l 7 25. STATE OF FLORIDA LICENSE NO.: 10. ADDRESS: 17. STATE • FLORIDA LICEN E �.: 18. ApDRCSS: !'/� 26. ADDRESS: `` J G ', ['�,.,. Kai/'. ' ' / 4 � ) ' -tom g r -Y 72 i 27. OFFICE PHONE I 28. FAX NO.. 11 E 112. FAX NO 19. OFFICE PHONE II20. FAX NO Z 13 CELL PHONE: 21. CELL PHO E: � 29. CELL PHONE: . 14 EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: 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. 1 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. 1 sate: S igned: Date: Signed: �� J Before me this / day of !-e.-/ , 2009 in the county of Before me this Duval, State of Florida —4; , has pers•'ally day of 2009 in the county of _ - 1•eared Duval, State of Florida, has perso 2 y (.../77e. " ly appeared �.., l - l . herin by himself / herself and affirms that All statements and declarations are herin by hi self / herself and affirms that all statements and declarations are true and accurate. -- ` Nota true and accurate. Public at Large, Stat ~ / e • /�� Cou ty of 4 Notary Public at Large, State of - , County of / 1[ l i / 0 Pe sonall Known 0 Produced Identification - "...z...-../. _ Personally Known // ,, �ro Y / i , r � c ' f ' > / ' "; . (7 / 7 . � _ - x.1,61 i yrll'roduced 1.- 'rficati- � � " , Notary Signatur -.-/ - 0 J Notary Signature: S e ' •,• ROSALIND CLARK I ; ' - "'''�- gAND : ARK a ct '�: ;: :i;;•' �:: 1 �•� - MY COMMISSION # DD 54442/ ;.: �•� :. MY COMMISSION DD 5 44427 _5' = EXPIRES: August 25, 2010 = � EXPIRES LI Augu 2b, 2 010 '� pf 4ti r Bonded Thru Notary Public. lJnde w it , , „ pf Fk B Thru Notary Public Underwriters BLDG01 Permit Application Bldg: REVISED: 12/18/2008 WS . .4..4 a { _ ` A CITY OF ATLANTIC BEACH n , a 800 SEMINOLE ROAD =" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 08- 00000660 Date 5/13/08 Property Address 451 OSPREY KEY Application type description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 1 ah Owner Contractor KEY CITYWIDE AIR CONDITIONING 451 OSPREY KEY & HEATING, INC. ATLANTIC BEACH FL 32233 17341 ALICO CENTER RD, STE A FT MYERS FL 33912 (239) 277 -0084 Permit MECHANICAL PERMIT Additional desc . Permit Fee . . . 55.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 11/09/08 Fee summary Charged Paid Credited Due Permit Fee Total 55.00 55.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 55.00 55.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH St 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 s OFFICE: (904)247 -5826 • • FAX NO.:(904)247 -5845 �� `" BUILDING- DEPT @COAB.US 07 I I I I I MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1�7ff Jc 'r { t J / OED ADDRESS.. = , ` ` .. °& ,a a . _ , _ .' ,' yx _° ,,�', , ' . = . ka . ",,...2e I3;JHI3 A.SUB PERMIT.,t .,x / G,{. s =y ,,. _: .v - / 7 S� 0-5P/ l/e y ❑ YES PERMIT #: 5 --- l3 p �, Atlantic Beach, FL 32233 AAMMOIF;210: 4. NAME: / eAhv � /� 5 ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6 PHONE: 7 7s3 -0935 ME AN CALCONTRACTOR, r ., ,< 7. NAME OF COMPANY: but Lrl? jt (o,J QT7/ g � il/h 8. ADDRESS.: / 73 q ,41/ c 0 ce,AeL /L e( 9. STATE OF FLORIDA LICEN N0: 10. CELL PHONE: 11. FAX NO.: V0 0(2 12. EMAIL ADDRESS: 13. OFFICE PHONE/70g _ 3, I 14. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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. CONTRACTORS SIGNATU,.j', /� �- -2 -- r:1SXL` $S °OIF WORK., .; ;. 10,I ; g 11 3. .; 16 BUILDING$F 1% .K.. 17. SERVICE " , . 1&;PLIIMENTOODE:Offfivwxgoom ❑ NEW INSTALLATION ❑ NEW MRESIDENTIAL ❑ '06 FLORIDA BUILDING CODE - 'REPLACEMENT OF EXISTING SYSTEM EXISTING ❑ COMMERCIAL MECHANICAL ❑ ALTERATION / ADDITION TO EXIST SYSTEM ❑ REPAIR ❑ OTHER IMMO A, ME CHANKAUE"QUIP1AENTTO.BEINSTALLED: "`.15+1. <., , . - , <.4fi. a`.. '?t4 . . .... '', s.' 19. HEAT: ❑ SPACE ❑ RECESSED t9,CENTRAL ❑ FLOOR BURNERS: 20. AIR CONDITIONING: ❑ ROOM ❑ CENTRAL 21. DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: cfm 22. REFRIGERATION: MAX CAPACITY: cfm 23. COOLING TOWER: CAPACITY: gpm 24. FIRE SPRINKLER: NUMBER OF HEADS: 25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26. COMMERCIAL HOOD NUMBER: 27. FIREPLACE: PREFABRICATED: MASONRY: 28. IRRIGATION: ❑ PUMP ❑ WELL ❑ PIPING 29. GAS PIPING: # OF OUTLETS: ❑ GAS AHU: ❑ GAS WATER HEATER: 30. OTHER - SPECIFY: SOLAR HEATING, BOILERS, UNFIRED PRESSURE VESSEL, HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: , 11 /� t ,,, �. r 4a„. IFt 'w �: NDI R' a. "u # .' ,a�2 =a a' " ,. cepy GERA'I N= . EO IP gtalfM NT:A £ X q §. „a sg jai »gl $,'� gLr *. sib , ' .. O a -s . 6t a wt v ., �' T�sC ''GOTIO Ii G:RE.FRI N E=t�TICONDENS S IAWO r ` TTA +~ rt ., ` - 4Rral lwrpr*..07- NUMBER APPROVING OF UNITS DESCRIPTION MODEL # MANUFACTURER TONS AGENCY as Z? & i s4 .. .rni ia4 E f e a r, w a ;+ ,35 3}Z:{ !. r ";fyjR`M.E.: ,tiI ,5 1. R.� , ,�.s, r h a.. a `w':a.z""nj 4 y ta. :�' ., e?'°. ^` ... �°ti ,, �i ' ; i ' z 7 a�. i ip .FURNACES BO L `FIREPJACES AIR HANDLERS E C .s,.. , .w .�„ va . § =3r.~; ioSta NU BER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY l /4,A kyt/ilie r . Prifrt 0 0030 r 0 p et y ,,, e TYPE LIQUID APPR* ING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL # AGENCY COAB FORM BLDG03: REVISED: 8/13/2007 ", � J f f {V1 , ., 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 08- 00000926 Date 7/17/08 Property Address 451 OSPREY KEY Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 19 fixtures Owner Contractor YAPP FLORIDA DELTA MECHANICAL, INC. 451 OSPREY KEY 2716 BROADWAY CENTER BLVD ATLANTIC BEACH FL 32233 BRANDON FL 33510 (866) 219 -0729 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 168.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 1/13/09 Fee summary Charged Paid Credited Due Permit Fee Total 168.00 168.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 168.00 168.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 08- i I l rr. . " B OB SEMINOLE ROAD, ATLANTIC BEACH. FL 32233 K 7 OFFRCE' (001 >24735Z5 a FAX NO.:(9W)24T-394S BUILDING -0EFTOGQA0.VS . - PLUMBING PERMIT APPLICATION DUVAL COUNTY LI 51 o5 • Ye/ KeY 0 YES PLItMIT • 4 NAME: 3, ADDRE$8 IF DIFFERENT FROM JOB ADORES& 4 it Pe kin N IA-111e \ i ail e 4,141•/642. T. NAME f�+ A • . itorirJ►a v6e.* ►. mecxra.v.1Ga.1 • .211b &roadv o. ceyrteT 81vd, 9. STATE OF Roam LICENSE • f 0. CELL PHONE: 11. FAX NO.: C , 1-1 . „- b12. ' t2. EMAIL ADDRESS: 13. OFFICE PHONE: 14. . R1 • syn.,: elmilrWYKC11avtu14 . 11-0: = 4 AppliCadon 1s hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of as laws regulating constnrctcn in this jurisdiction. This perm* becomes null and void if work is not commenced within six (Si months, or If construction or work Is suspended or abandoned for a period of six (6) months Many time after . i commenoOd • CONTRACTORS SIGNATURE: lilt , • I i_:T 0 v FLORIDA BUILDING CODE - 24 E-PIPE PLUMBING ❑ OTHER: BATH TUB SEWER CONNECTION BIDET 4% SHOWERS . . DISH WASHER • SHOWERS PANS • DISPOSAL •• j SINK DRINKING FOUNTAIN 3 WATER CLOSET TANK FLOOR DRAIN 3 WATER CLOSET VALVE • HOSE BIB WASHING MACHINES 1 ICE MAKER WATER CONNECTION l INTERCEPTOR I WATER HEATER 1 "I LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): ROOF DRAIN PERMIT ISSUING FEE: $35.00 l I . • TOTAL FIXTURES .•• 1 • x $7.00 (PER FIXTURE) + $35.00.= GOAS FORM BLOWN: REVISE0:1/10,20O8 . CITY OF ATLANTIC BEACH J , _t+ . „ ' ) 800 SEMINOLE ROAD o v ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 04- 00027969 Property Address Date 3/29/04 Tenant nbr, name 447 OSPREY KEY Application description . . RESIDENTIAL IADD /RENOVATE/ALTERIM Property Zoning TO BE UPDATED Application valuation . . . 4100 Owner Contractor ROCK, WALTER D. HIGHTOWER GEOTECHNICAL SERVICE 447 OSPREY KEY PO BOX 330466 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246 -9934 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 55.00 Plan Check Fee 27.50 Issue Date . . . Valuation . . . . 4100 Fee summary Charged Paid Credited Due Permit Fee Total 55.00 55.00 .00 .00 Plan Check Total 27.50 27.50 .00 .00 Grand Total 82.50 82.50 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. .1 411A* . � BFFICIAL � ` • cc: 1 -j-VP CITY OF ATLANTIC BEA D F ord 4 4� BUILDING / ZONING DEPARTMENT sA 800 Seminole Road S. Doerr J V Z Atlantic Beach, Florida 32233 (904) 247 -5800 ,���13 (904) 247 -5845 Fax PLAN REVIEW COMMENTS -v ` ` f . Permit Application # 04— 2 1 t.= Property Address: 447 sPREt-f 1 Applicant: 41 f-} Tb0J C . Project: R Crh t -t.L Ct-k / Tf2 l•- This permit application has been: Approved ❑ Reviewed and the following items need attention: Please re- submit your application when these items have been completed. Reviewed By: `mil l Date: 3/e' t© C/ 1k ItH CITY OF ATLANTIC BEACH ` °t, BUILDING PERMIT APPLICATION (FOR INTERIOR REMODEL) itvAia Date: N, At • o t- Job Address: jig 7 OS'RC"f j.4 / TL . - g C a . Owner of Property: t /4 O � 1 C4L Address: 1- 1' - f 7 t)s�iz� j/. Telephone: q/ • f2 Legal Description: Block Number: Lot Number: Zoning District: t1 &(1 177w�12 UEXidect Contractor: 12 p c\N 1 I se U,cts Luc State License Number: ! 1 C t "5 3'LY / Contractor's Address: q05 t 0 5 N . 1'7 6: 4 j& , 1 1C, ,i 5 . Z ST) Telephone: :2' 1 Zc1 Lf Fax: 2 Describe proposed use and work to be done: t ,1 �,z, r c) { c a L- CAA AJ ., jcc`ST C.- ttZ TZZPLICgts tapes 04-11 44ti34--,f'frkl ec, - n Present use of land or building(s): Valuation of proposed construction: it ? New electrical or increase in service? Add plumbing fixtures? Add fireplace? Add heating/air conditioning? A- Is approval of Homeowner's Association or other private entity required? ,jt> If yes, please submit with this application. 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. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and two (2) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 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. I hereby certify that all information provided with this application i . ect. Signature of Property Owner: �� Date: / (4 . Z. Li 0 y I hereby certify that I have read and examined this application 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 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 1 Revised 1/15/03 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 Contractor: ' 3( Date: Address Address and contact information of person to receive all correspondence regarding this application (please print). Name: RAC( 'D . C iM me r A Mailing Address: -lO) I K1 P. � 'a-C Telephone: - t(p2 - t' Fax: E -Mail: AS TO OWNER: Sworn to and subscribed before me this -1 day of M , 20(11 4 . \ State of Florida, County of Duval {1� ji_� -L11� J Notary's Signature: k" - G `" ' ` M Personally known F RARitARA C. LAWSON ❑ Produced identification �r.ra r, "r Gomm tom. 5/4 /04 Type of identification produced u' PU Ltc ' .... { Per ow lly Known 11 Other I.D. AS TO CONTRACTOR: -t),.. Sworn to and subscribed before me this " day of � , 20 N 4 . State of Florida, County of Duval Notary's Signature: C. 43X_ � L - A t►�r IN Personally known ❑ Produced identification Type of identification produced _ L 0: ; sT F ),, BARBARA _ •a °raF;rl,v My Comm E:. PUeUe ". d No. C_ ,e f9 Personally Kn: 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 1/15/03 g. MIN. RETURN Z i Book 11710 Page 2324 PHONE # 1 NOTICE OF COMMENCEMENT State of 'f" (a• Tax Folio No. County of Du VAR. To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Address of property being improved: , � ■, General description of improvements: I, . ,, a rcr�n, A,i C.�, 4 4 M(SG.. rn Owner: v)QQ ear Q.ock Address: 44 Q k et 4-H. 1-) t 32233 Owner's interest in site of the improvement: ' F-e-e Gam 0.1 Fee Simple Titleholder (if other than owner): WA Name: Address: Contractor: 1 (3-4 (tit t (2 C'13 CL` 5 $'0R rtoe(t- 0-£rt: eke i S+ tYS ,t:iC Address: 4'oS r7 t ) dray 13c 3 :2-z S D Phone No: go �� 24 5 .2. 0 fit.( Fax No: ci t t. 2.'l q3 u1 Surety (if any): (• V,4 Address: Amount of Bond $ Phone No: Fax No: Name and address o f any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may served: Name: Phone Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option). — Nam e: Address: Phone No: /� Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): 1 THIS SPACE FOR RECORDER'S USE ONLY Signed: It Date: 5/Z Before me this day of in the County n °2.ro ofD S to of Florisla,344s penally appeared aA' c ri °� . r � Notary ota ub c at Lar a State oor County � � rut.) ^J D' P - „� , f Florida, ty of Duval. ,,,►+ My commi sip •ire . ►� a O , Personally ; _ or ... «••• '& Produced I th 'n: ' Personalty Known, t 1 OUr i.D. mg L y L11 ' i �' '`' CITY OF ATLANTIC BEACH . °`'"' ,I '.72 800 SEMINOLE ROAD r j j ° ' u" ' ATLANTIC BEACH, FL 32233 t INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 09- 00001420 Date 10/15/09 Property Address 451 OSPREY KEY Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 4835 Application desc 3EROOF FL 10124.1 Owner Contractor YAPP SCHULTZ ROOFING, INC. 451 OSPREY KEY 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246 -2315 Permit ROOF PERMIT Additional desc . Permit Fee . . . 55.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 4835 Expiration Date . 4/13/10 Fee summary Charged Paid Credited Due Permit Fee Total 55.00 55.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 55.00 55.00 .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 /VC 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: ` � .€1 2. General description of improvement: 5-,, 'k 3. Owner information: 1. Name and Address: A fU s,q 4ceei 2. Interest in property: c , 3. Name and address of fee simple titleholder (other than owner): 4. Contactor's name and address: Douglas Schultz Schultz Roofing Co., Inc. 216 N 20th St Jax Bch, F1 n 1 a. Phone number. 904- 246 -2315 ! � l � 1 " '; 904 -246 -3808 1 I` z": CITY OF ATLANTIC BEACH 0 7� I I I I I I * S s \ 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 t ' � s1 OFFICE: (904)247 -5826 • a FAX NO..(904)247 -5845 \ V . `7 BUILDING- DE PT @COAB.US . i: V BUILDING PERMIT APPLICATION DUVAL COUNTY 1. JOB ADDRESS ' I Z VALUATION OF WORK: 3. SQ. FT. UNDER ROOF ciiii Atlantic Beach, FL 32 ^_33 42:8S. 0 0 4 �� AL DESCRIPT N: i 5. CLASS OF WORK; 6. USE OF STRUCTURE: l� ❑ NEW BUILDING ❑ DEMOLITION IS RESIDENTIAL LOTW, BLOCK SUB DIVISION #, i C ..."`-, ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL 7. DESCRIPTION OF WORK. . ALTERATION ❑ ACCESSORY BLDG 8. FIRE SPRINKLER: a J /} 6 `SY r"' 74 6`)V ❑ REPAIR ❑ PO / SPA Q ❑YES ❑ N/A n /C K� '�L` � � ( 06 r � .. cal f 1 0 MOVE OTHER/le- C I> ❑ NO PROPERTY OWNER: CONTRACTOR: ARCHITECT 1 ENGINEER: 9 NAME: 15. COMPANY NAME: 23. COMPANY NAME: Schultz Roofing Co, Ins 16. NAME. 24. LICENSEE NAME. n n ,61„4neci Douglas A Schultz 10. ADDRESS ppp��" //, 17 C A C O 6 3 RI D 8 /� LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: 5f / �e �fw/ 18 ADDRESS: 216 N 20th S t 26. ADDRESS: /2(' � / J.1 ,i 5 Jacksonville Bch, F1 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO: 27. OFFICE PHONE: 28. FAX NO.: /,j /7 o,6? 246 -2315 247 -3808 13. CELL HOE 21. CELL PHONE: 29. CELL PHONE: 904- 759 -0063 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: schroof2315Cyahoo.com FEE SIMPLE TITLE HOLDER; BONDING COMPANY: MORTGAGE LENDER: (IF omen THAN OWNER) ' 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. 222 WARNING TO OWNER: 222 YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent, Power of Attorney or Agency Letter Required) . .. (Qualifier Orly) Signed: . L/I 1 /A 4i,.., Date: I 0 v 9 Signed: A .. • ..„„.. Date: __ _ _ _ Before mA this da of lJ V�l in the o ty of Before me this / , i the county of Duval, Nte of Florida, has personally appeared D-c_00 c '' Duval, State of Florida, has personally appeared herin by himself / herseeand affirms that all stateme s 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 \a-- , County of ✓U■/'� Notary Public at Large, State of .C. , County of -- b,.JtJ a ❑ Personally Kno ✓lJ �()� rs eonally Known tjrl\Q( Produced Ide tification - 1 ❑ Produced ldentifi do ' ` Notary Signatu i_. a� iv/ w� ` Notary g �%' i �� � � ry g �. A, Nota Signature: / � r� � R- ROSALIND CLARK ,,., y�.,, ^ ' am ,: MY COMMISSION # DD 544427 ,� DONNA G HAMHY •-� . o EXPIRES: August • st 25, 201 ' �' * ti ?Y COMMISS # OD ? ; rfy Bonded Thru Notary Pu st 5, 201 dters M ;'..�� Br, EXPIRES: Rugust 29 2 01249 COAB FORM BLDGO ' r t,3 s:' /29tded Thru Notary Rublic Underwriters MAP SHO SURVEY OF V rw. LOT 44 SELVA LAKES AS RECORDED IN PLAT BOOK 41, PAGES 55 and 55A, OF THE CURRENT PUBLIC'RECORDS - OF.DUVAL COUNTY, FLORIDA. V / 1 4 " \ j / \ 7 p ' , , . , „ . P i> of /1 ttc- 7,_, k -\1 46 /i /14 ` ' . , ,, /4.. P b . N ft) 0* — - EN Ajo. 457 � y �, � r V 2- 5 Tony €. �. � ,� cog u /n/A (r,6' `out c.oW yN/5HE0 �I T ' p p/ > 3 A - ✓L 1 0 V ,, '(� �� P AtcNEO aid � � , i m �•�� N . ry „ �. " . o 2 � 0 `°�f ` 1 CMO 'I �y ' � � �'( 4," hi f�+ { y y P V , \ r I 1 i - ,,,e i . ,r te P A N . /3 "'- / - l/� /, 11 pAGge`sntiir \ &) V 1�Y .. / ..,,... ,,,„,„,....„,,,,,„., - t. @ ' . v. ,. , , f � J sus (`g. -' o \ . • • / , 1 . t R / , J 5 , S 4 5 e 0 O r ' / , ° 6. 4 4 P ° 5 . 55 $ 554. •Th/% As A .0 ,rr >� •'T7AI/!S X47$ /•c/ /QLwa ZCac/E C rltiNK•/I '. •Tfd6 CO "Kft ". 410 4L '111- a •' a - 114. •is4� ,•4 4/G. nip! CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s): K Ti4 1' 6 /2.v 4/1/2:r Address: i f 57 D,S)' / Phone: Lot # Block or Unit # Subdivision: 5dIJf9 1-it 5 Contractor: /��� ►.I Address: 1 t-;11e'- Cr Phone No: 3q 37 Describe work to be done: ,'1'79"6.5 P 6207 �/1e 5 i XJ! r G, / L / t0/1 12, vLl f L7 1-(41-1 � b F T I rr 1%7 U�TL Present use of building: A✓J2)C Valuation of Proposed Construction: P 73O0 Proposed use: /g jd7 ')CC Is this an addition ? /l)2 If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat /AC? S - - SETS OF LAN ,:_.S.ii&MEY , EN 6-Y mnp FfRM8 _ ..eb CTOR AFFIDAVIT, IF OWNER IS CONTRA OR. > Signature OWNER: , y OZIF-1,2/71Mi ' -�_ _ ,��, �� Date: j2Q r3 �( Signature CONTRACTOR: Date: /7-30—q.3 orl pF ida $ �' : J '1 1\ ���� o tticlal p� �� I of :: n9 10 � ( � J }' �' �\ plflce NSpE \ � � Q ', REQ UEST permit . pistrl \ � °t N °• --1 1 P • n'• W agY K CNANICA� Date /51 01 ` r+; ' ME & o Time /s _' 7 ✓ d. 00 _wed , / '7 p`uMg1NG A ir Gon 1 t O Heat J dress _ _ RoP put n Fire Place } -- �"nn• • O pre Fab NO. QNC RET E R po\e O / sewer P.M. Nam C O Temp D/ pING pootm9 O F1na\ C f10N pr idaY .----------- g ar 5a13 O V pp INS Frami �mte\ i t Thurs• Re Aoofln9 6.2;11 Wed• r'� 1 \ nsPe10n • ue -- i �� Gertrficate ° f QCC UPancY 1 ron Made i ' c p \nsPect �s�"' CON of 0 ' �� % � - ui►din9 Dttic ►a► 14 14 of g SpE �ION Office FIEQVES permit N° 7 District No. _ g/ A.M• 1 pM• �caUty • pate S ; ; fa MECiipNICA o Time . Received Contractor pL Urilg ►NG' O Hea ng & • Addre ` ' RI Fo u9h • Et. ►M /t 0 Fire Plata v+ner s Job , I � t1Ca ETE Ft ° E9 po en9 Q $ewe pYe Fab p.M• C� O O p.M N a me Temp gV►LDING O Footing Final i pW Friday glab R EADY FCFi INSpEC� Fra rnln9 O ��nte1 T hurs• Re Roofing 58.13 CV / Wed• � !// v. Final Inspection y I 0 QCCUPancy Date � CerCrtic M ° ^' Mad `� e Inspection r - 'i e r,0', j Y OF k ?>... 3 -1 i ti Offic REQUE Office of B PEC TION `' F ST FOR uilding IN ` ��_ Permit No. Date ��� Time Received , 'ir- .calily Job Addre /► Q cC _ Contractor ME„�, ANICAL Owner's ❑ Name ELE c_2_1\ Ai r Cond. & CONCRETE •oug Heating Rough Wiring ❑ Top Out n Fire Place 0 BUILDING Footing Temp Pole , Sewer Pre Fab Framing C Slab Cl Final Re Roofing 0 Lintel INSP Insulation READY FOR Thurs. Wed. Tues. / A.M. 9 Mon. RM. Final Inspection r / ccupancy 0 Mad= -� �` Certificate Date of �, ` Inspector n ■TIC BEACH 44 Q,�IAN- OF OF BUILDING o / a ; PERMIT v1. ... • t _ LOCATION INFORMATION Address: 447 OSPREY KEY (10R1‘0.' A TLANTIC BEACH, FL 32233 Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: SELVA LAKES Parcel NOTICE Number: OWNER INFORMATION Name: WALTER ROCK OF Address: 447 OSPREY KEY ADDITIONS or CORRECTIONS ATLANTIC BEACH, FL 32233 Phone: (904)241 -4249 DO NOT REMOVE ON FEES JOB ADDRESS W f DATE OA PR5' f 3-S---, THIS JOB- HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted r -.-,rt. .„7-- Required F.__ I AT LEAST 24 HOURS PRIOR TO INSPECTION WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND :ONTRACTOR OR OWNER - ON LIEN LAW CAN RESULT IN THE ING IMPROVEMENTS" PART OF THIS PERMIT AND SUBJECT TO REVOCATION - $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time of approve the installation. After additions or corrections have been made, call 247 -5826, Building Depart- P` G . $25.:: 14 ment for an inspection. Field Inspectors ELEC r Date: 1/29/99 81 Receipt: 8838318 are in the office from 8:00 a.m. to 5:00 CHECKS 2138 BLDG 88188883221888 p.m. Monday through Friday. Dec-11-943 01:04P City A t l a n t i c Ueach :-)U* M / :A3014 H.04_ CITY OF ATLANTIC BEACH APPLICATION EtR PLUMBING PERMIT JOB LOCATION: 747 42.- re ' 1 cy OWNER OF PROPERTY : A({C� -�- ord 4 e;94..... TELEPHONE NO . (94.,M 6 ` 9 PLUMBING CONTRACTOR (/) i /tLa-m 1 /7 L// C � /9 ` CONTRACTOR'S ADDRESS: ' _ / / Arrint.L. �7`h /6 t,C�.Qu- ri 337 , STATE LICENSE NUMBER: C , S TELEPHONE :c(7 7) x'73 1 © HAFT MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER '/IU OTHER TOTAL FIXTURES: x $3.50 + $15.00 MINIMUM PERMIT FF.E $25.00 ) SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - :9041 247 -5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247 -5834 12 -11 -1998 12 :10PM 904 24? 5805 P•02 Plumbing • Electrical • Air Conditioning • Gas • Appliances "Above & Beyond" MIDWAY Corporate Office: 4677 118th Ave. N. SERVICES Clearwater, FL 33762 CFCA 25591 ER0013532 CACO 057583 March 24, 1999 Atlantic Beach Permit Department Customer Service Department Att: Pat Marris 800 Seminole Road Atlantic Beach, FL 32233 RE: Permit Number: 17717 Dear Ms. Marris, Enclosed is a firm check, number 2354, in the amount of $15.00. This is payment for a red tag issued against the above - referenced permit. Please credit our account. Sincerely, 7:k d Phyllis Styrzo Permit Department E-nc osure 2 / 4 /7 St. Petersburg 898 -1200 • Seminole 391 -1177 • Clearwater 573 -9500 • Tampa 961 -2800 • Nationwide 1- 800 - MIDWAY -5 Brandon 685 -8000 • Pinellas Park 544 -4100 • Tarpon 937 -5700 • Gulf Beaches 393 -6545 • Fax 727 - 556 -0117 r ?s , .„ ■ e G1TY OF f 410 , ' � ,ntLd Standard .""� � S out h e r n R' Section 109 of the wi the ents of h co mplianc e Souther t he requirements cture was r" � ursuant tv this stru � '"""sf issued p i ssuance This Certificate at t he time of For t he f N, that use. � ' • , "\.^.—. Co certifying o construction or Building o building Fermw —� — _ antes re gulating Brag. ' various o din r . , c , x �— us r , , � �,.' I ,ti District -� �� ' 'am Fire 1 i U se Classification . -� Address �� T _ 1K Gcoup �� 1 pcality : , y Owner of Building ' r r 1 �� __��� �� t — B Building Address pate. -- 6, -- 1, or" i ��Buildin l CONSPICUOUS wa tt y ' rots/ 1N A CONE i 'w - 111,,, { 3l BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: /07 Building Contractor: / /- 4Q/!u‹ Building Permit Number: Qe's Address: LyC/./ 7 (2) 9 , , , Legal Description: L3 j / Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Lowest Floor Elevation: j4 . f L/ required N. as built n/a ti.. Sales Tax Certificate: date submitted * * * * * BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY :. Fire Chief J�2� /P A . - Public Works _ - _ L W _If Planning Director 164 17 £v/ /' Building Inspector t / , ,— / �tx CI , ZC� D . -4:4 � �t of a,� t'. 1 �� 17ea � t% n n dard , ti""__ �• lbing t he Soot, th ern Sta �.+ •1 � mYn 109 of I' with the itir Or ?' . of SeetL r �pli41LCC the require wa s in, u rsuan t t0 t hi s struct ued p ° iss ua n ce r e 0U This Certi er that a the ti me f n o► use 1; o th f Y' Th ctt° . Code ce rtifying , constru pecmitNo '���— » Building ulating building Bi rious ordinances reg — L— Ua , . t pistnct 7r �. , r ,ire i 7 a Hon cud_ ddcess r -�'� Use Cl •t.� Coost _ �_A i _� i— ----- '',.....k,..,. Opnec o[ Buildin8 _ BY - - -.� � Address pate ti" h BwidmB Oficiai t 1N A C ONSPI CUOUS y - s„ k a "'BaJdinB roe 31'. IY \ ( ! BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: Building Contractor: Building Permit Number: F' Address: 1( 57 0.42{ Legal Description: Z - «// Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Lowest Floor Elevation: / °. 1 required as built n/a .// Sales Tax Certificate: date submitted * * * • * BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief __ J` �- -C)7 /a ../f7 -4/ A A / Public Works Plannin Director _ J - a-oZ r / --7 fr- • ,1 Building Inspector - /a, _ D f _- ic7,,-- q ?' _,,, $ PER ?NO RTM ACN' FLOR\ \‘‘‘ t � � ��� � / \ \ crrY OF 0.11.) p��IT MUSS BE 19.�'�' G��� 1 Date $ 11 1•y� d is , ute an Q atd to Ct \y Tt 410. et, s �' v � tlon $ u ntil ava lee has o Qlica Q to�siou \ . • j mit no valid d on iot i g t , ibis Q` F t tot� su bjec \ This is t° ceIafY that to bi Zon ,ak�Se 1 has as �1 V3 SID Block � � Glassi�c 1tG� S zE F by Key it c °N�R� BE i13' °caned 441-451 Oscrey p air o f this pei NOTICEO�TINGS 4 °V SRING' YIS Lot K e No i laps which a Sp D ED BE V� II) SI �F ISSUE on s ov ed p CT to app p T DATE a nd de bris 4.--- According t AFTE bbisb laced 1nate rial , r a in b e p le�e d gilding _ t oas t n e itb con' p B tbis w° k an d er � + fr °n' tic spa re, away by i s► pa heale ,; up an ner.. r °w tract. �„� . ' g uildin8 � Iwo (,, CONTRACTOR D ATE NuM ER '�' • 01101 FUSOFFICE NLY E` ECtR \ CA1. SEWER .000010 WATER CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 249 -2395 JOB LOCATION 447 - 451 OSPREY KEY PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY At" LICENSE NUMBERS MP145 State RF OWNER RGM PROPERTIES BUILDING CONTRACTOR RGM PROPERTIES TYPE OF BUILDING DUPLEX 2 SINKS SHOWERS 8 LAVATORY 9 WATER HEATERS 2 BATH TUBS 2 DISHWASHERS URINALS - 2 DISPOSALS 6 CLOSETS . WASHING MACHINE ' FLOOR DRAINS OTHER 29 TOTAL FIXTURE COUNT X$3.50 + $10.00 DATE 8 / 10/ 87 TOTAL AMOUNT $111.5 0 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. c „,,, r 11_1:) 1 \ i ITN OF '4 r� &eac4- jkontala ` �� Office of Building Official I ` REQUEST FOR INSPECTION , Date > Permit No. Time A.M. Received P.M. Distri t No. (- 7 Y CV:// tr I - - r e-- Job Address % Locality Owner's j , 11 7 Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air. Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Sewer ❑ • e Place ❑ READY FOR INSPECTION / Pre ab A.M. Mon. Tues. Wed. Thurs. Friday ' P.M. / A.M. Inspection Made i ( PM. Inspector Final Inspection f,l°` PPP Certificate of Occupancy Date CITY OF 4II2sitic h - 141,74 /a Office of Building Official REQUEST FOR INSPECTION Date / - '. / 1 if Permit No. ! Time A.M. Received , P.M. District No. ri - i . �� � (1.- //1 Job Address Locality Owner' s Name 7 � � _...... � :m:.. . - -C -C-i .i Contractor / - 11-f - 1 ,411./c'f BUILDING c CONCR TE �) ELECTRICAL PLUMBING MECHANICAL Framing ❑ .. . -- � Rough Wiring ❑ Rough ❑ Air. Cond. & ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Fire Place ❑ Pre Fab R ,. - -' OR INSPECTION l A.M. Mon. Tues. Wed.' Thurs. Friday P.M. A i Inspection Made 3 Inspector r FinalInspection ❑ (K___ Certificate of Occupancy Date q NI-L V CITY OF AYouttec Said-944444 r �� Office of Building Officia h 7� c REQUEST FOR INSPECTION /G Date /v ^� / Permit No. Y V Time A.M. Received P.M. District No. gg 2 - 4,57 Job Address Locality Owner's Name ontractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing EZ/ Footing ❑ Rough Wiring 21-- Rough ❑ Air. Cond. & ❑ 4- ''' 1 Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ft/ Heating Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab on. Tues. Wed. Thurs. Friday A.M. 1 _ ' ' M. Inspection Made ? — ! , Inspector ' -- final Inspection ❑ Certificate of Occupancy Date DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA PER QQ g MIT NO *+ -- PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 499.50 T Date Au ust 6, 19 87 31343 499. 5flCKT+ Valuation $ l A 3 f 1 I f 129, 579.50 1 Fee $ �D8�C1 t 3 4 1 ! c . 5 / 1 1 i 3,343 f t !!0 This permit not valid until above fa has been paid to City Treasurer, and is nOn subject to revocation for violation of applicable provisions of law. ! i This is to certify that RSYHANj INC. I MO 03 4591 - 1112 Third Street, Neptune Beach has permission to build Classification �5ldl'111t i Fll Zone— PUD Owned by , „ r r. a :. „ • , Lot 43-44 Block S/D Selva Lakes I House No. 447-451 Os , re Ke According to approved plans which are part of this permit 2 NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS 11------0. -n AFTER DATE OF ISSUE �'* z Building material, rubbish and debris -i from this work must not be placed in public space, and must be cleared 2 up and ed away by either con- tract o owner. y' rr Bu' •tag Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR ./ PLUMBING ELECTRICAL MIIIIIIIMI SEWER MIIIIIIIIIMI WATER IIIIIIIIIIIIIIIII PLUMBING PERMIT # BUILDING PERMIT WORKSHEET ELECTRIC PERMIT TEMPORARY ELECT. f ea ted Square Footage 1 sci @ $ = 5 per sq ft = $ 6/ ..72. Q ' C arage /Shed 1/10 @$ CSC per sq ft ar $ q, 5J9. (JO arport @ $ per sq ft = $ orches @ $ per sq ft = $ ' eck @ $ per sq ft = $ atio @$ per sg =$ TOTAL VALUATION $ 6,er 7 e 4;7 sa $ / //_ 6 Dtal Valuation Data • 1st $ ae 000, . l 6707. QO O $ 3go amainder Valuation @ $ C .00per thousand or portion thereof TOTAL BUILDING FEE $ / `-' + k FILING FEE ' FIREPLACE @15.00 $ LS. 00 TOTAL BUILDING PERMIT $ e;62/, 7 ,UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ECT. TEMPORARY $ ELECTRICAL PERMIT $ TER METER SIZE $ _ ACCOUNT NUMBER WER IMPACT FEE $ TER CONNECTION $ ( @10.00 per fixture unit) 7i cr PROVED BY: TOTAL BUILDING /PLAN FILING FEE 6 TOTAL WATER METER CHARGE $ 8'6:00 TOTAL SEWER IMPACT FEES $ / dd TOTAL WATER CONNECTION CHARGE $boo, a0 MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $ ' --1 ....-_—.4-- \ . �, i WL 1S72 S; ---- D 13LD6 PLUMBING WOJIKSHEET I SINKS I SHOWERS 1 DISHWASHERS 3 CLOSETS 1 BATH TUBS FLOOR DRAINS 1 WASHING MACHINE 1 WATER HEATERS 1 DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT 14 @ 3366 49 00 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.* FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. /a* BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) � DRINKING FOUNTAIN ( UNIT) URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (1 UNIT) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK - OPERATED (8 UNITS) (4UNITS) SHOWER STALL, DOMESTIC BATHTUB (W /OR W/0 OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) a DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK /WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10 EACH \ 2t ' j0' OG aC 0.00 0 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT y39 S En_VA LALeS Ga. OwnerEa ktigkraa _Address_tylvv t3 I ? T -}+� �_ziP z phone . Architect ��� ��____Addrese -���,y P� phone yrz Contractor '- /1.1- 7µ .•o � . p t? ? Jd�. Qit1L� ,,6tlG_Addrese��pJ -,L e .- zip phone Contractor's License number& o o ay j expiration__� - -- Lot__tC _Block or Section Subdivision S L--- I Zoning Street between and side Type Construction No. Units No. Fireplaces Purpose of Building Eet.Valuation $ Utility Method - Water Sewer 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 or Filled Ground Roof Flood Zone If located within a FLOOD HAZARD ZONE complete page 3 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 plane and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights -of -way and to clear, clean, grade, and drain said right -of -way to City specifications. Signature Owner Signature Contr ctor page 2 ti ffik AU 798 • dui /d ing and Zonina 1 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: Flood Zone: Required Lowest Floor Elevation: If building is 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 development. Date Applicant's Signature __ Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed with Building Department Building Department Representative page 3 • - - -- — — PLUMBING 1'JRI-i1T BUILDING PERMIT WORKSHEET ELECTRIC PERMIT f TEMPORARY ELECT. f Bated Square Footage .3 S S J @ $ c3o per sq ft = $ ,5 767. S C arage /Shed 4zb0 @ $ mmdo per sq ft = $ J a00. O° arport . @ $ per sq ft = $ orches @ $ per sq ft = $ eck @ $ per sq ft = $ atio @$ per sgft =$ TOTAL VALUATION $ • y O � `�d .5-0 /off . s v ,Sz )tal Valuation Data • 1st $ iTO, &QQ . . l 97, s � v c $ off, ?mainder Valuation @ $ a.UUper thousand or portion thereof TOTAL BUILDING FEE $ / 2 -l6', S + k FILING FEE $ 2 �Sr FIREPLACE @15.00 $ /S: dQ/ TOTAL BUILDING PERMIT $ &3 ; 70 UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ECT. TEMPORARY $ ELECTRICAL PERMIT $ TER METER SIZE $ ACCOUNT NUMBER WER IMPACT FEE $ TER CONNECTION $ ( @10.00 per fixture unit) PROVED BY: . , TOTAL BUILDING /PLAN FILING FEE $ a� 7, Z- TOTAL WATER METER CHARGE $ g,� O0 TOTAL SEWER IMPACT FEES $ /0(3.5.°C) / TOTAL WATER CONNECTION CHARGE $_____ oci MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: $ / '/, 7S,-- 13 361 Fr. • 3 -L3LDG. PLUMBING WO�tKSHEET SINKS _L.. SHOWERS / 3 / DISHWASHERS CLOSETS BATh TUBS FLOOR DRAINS / - - WASHING MACHINE _L. WATER HEATERS l DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT 15 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM, J.4_, BATHROOM GROUP CONSISTING OF WATER CLOSET, LAVATORY, AND � LAVATORY (1 UNIT) BATH TUB OR SHOWER STALL (6 UNITS) SERVICE SINK TRAP STAND (3 UNITS) DRINKING FOUNTAIN (l UNIT) URINAL, WALL LIP FLOOR DRAIN (1 UNIT) (4 UNITS) URINAL, PEDESTAL, SYPHON WASHING MACHINE RES. JET BLOWOUT (8 UNITS) (3 UNITS) / WATER CLOSETS, TANK - OPERATED - WATER CLOSETS, VALVE OPERATED (.UNITS) (8 UNITS) BATHTUB (W /OR W/0 OVERHEAD SHOWER STALL, DOMESTIC SHOWER) (2UNITS) (2 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) 3 KITCHEN SINK /WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10.,00. EACH ` �(O - / , :Qt o6 CITY OF ATLAN IC BEACH APPLICATION FOR BUILDING PERMIT 0 wnerEG frj J 6f fl _Address 3 9 S m► �_vA LAtc 1�Z4Ar1T.�. --- ziP?" phonean-01; Architect - s.LL∎d_ lt.E____Address /a �'1 b zi 'Y�o hone 2 P P a�t1.l Y� �fif itl� /is 7%41.• 7%41.• d miff Con tractor ,,LAeG_Addrese.Alf. 7241* rte/ isz zip _phone2 / -YS Contractor's License number& o c :_„02 expiration j - -- Lot Block or Section Subdivision t5L- Zoning Street between and side Type Construction e No. Unite No. Fireplaces Purpose of Building Eet.Valuation $ Utility Method - Water Sewer 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 or Filled Ground Roof Flood Zone If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights -of -way and to clear, clean, grade, and drain said right -of -way to City specifications. r Signature Owner m _ 4 . ..,, ' CZ1(142 'Date Signature Co rector_ page 2 ilia Id ' AUG b- 1 j87 • 'wilding and Zoning 4 FLOODPLAIN DEVELOPMENT INFORMATION Type of Developments Flood Zone: • Required Lowest Floor Elevations If building is 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 plane 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 development. Date Applicant's Signature -1. Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed with Building Department Buiid Department Representative page 3 • FLORIDA August 6, 19 87 NAME RCM PROPETTIES, INC. ADDRESS 1112 Third Street CITY Neptune Beach. FL 32233 2590.00 TI 2 590.000KT 3644 I A 8/11/0 , 526fl .00CAC WATER IMPACT FEE #40- 343 -3700 3644 52010 8 /II /G SEWER IMPACT FEE #41- 343 -5200 RAID 2,070.00 1 OOf' AUG 11 1987 ` -- 2,590.00 Lots 43 -44, Selva Lakes Unit I 447 -451 Osprey Key ,; When Signed, Dated and Numbered, This Becomes an Official Receipt Received Payment MAKE CHECKS PAYABLE TO CITY OF ATLANTIC BEACH, FLORIDA TREASURER CI oq za ' o f v z� °t RI 7i PI 0 c> IIN 1> �z N> ; w PI ot.) 1> z C) N> w a n N� Paf > — z RI V. (n F) "' m - I O Q :...11 n • r' g f T1 �r C/7 ;AI • yr =J C p C, -i ' erg b O � 111111 4 a r m m ul w 00 to c, 'n rn ; v n r- '" w C) b --.1 a > p o 0 Rte b _ r+ COQ m w 0 to ow< o C '� owz C ta ▪ -5tl F a F-+ D won O CO 0 113 > a 1-. p-• > n m �; > CO ,a ■ DEPARTMENT OF BUILDING 8987 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB ?ft TI. Date R/6 19 R7 fW•OOCKTf Valuation $ Fee $ 52.00 5683 I .1 I n t im 3937 • ttC; CC ! This permit not valid until above fee has been paid to City Treasurer, and is w I t �' / t subject to revocation for violation of applicable provisions of law. t ) This is to certify that OCEANSTATE HEAT€ has permission to bNitd INSTALL HEAT 8 AC RESIDENTIAL Classification Zone PUD Owned by RIM Lot_ 43 -44 Block S/D.rPlvQ i.nke,c T House No. 447 -451 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 z AFTER DATE OF ISSUE + 1 ---- O Building material, rubbish and debris - from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor .9l wner. i Building Official. 1 FOR OFFICE PERMIT MUM USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER A& Aiik BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32283 APPLICATION FOR MECHANICAL PERMIT CALL -IN NUMBER IMPORTANT - Applicant to complete all items in sections I, II, III, and IV. LOCATION Stre Addr ess; �{ 'z 1 `4 �j ( (�} '�'e , . . e }c OF ' intersectin Streets: Between SM(01/43O(..6- r And P«z> t=b BUILDING c C a4K-' S Sub- division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) C , + Muter w t -- ' Name of c vti Property Owner Siyne$ure of Owner r_* Signature of , Authorised Agin �"r Architect or Engineer III. GENERAL 1 . • TION A, Type of heating fuel: B. )( 1�I IS OTHER CONSTRUCTION BEING DONE ON tinkle THIS BUILDING OR SITE? � Gas - ❑ LP ❑ Netumi ❑ Control Utility IF YES, GtVE NUMBER OF CONSTRUCTION Q OR PERMIT ❑ Other Specify IV. MECHANICAL EQUIPMENT TO SE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) P°i Residential or ❑ Commercial Heat ❑ Space ❑ Recessed Gntrel O poor X New Building X Air Conditionings ❑ Room Centel ❑ Existing[ Building Doet System Matsiria) rack ■•• ❑ Replacement of existing system Masimum capacity e x New Installation (No system previously installed) ❑ Refrigeration • Extension or add-on to existing system ❑ Other - Specify 0 Cooling tower: Capacity g.p.in. • Pre sprinklers: Number of heads ❑ Devote' ❑ Manlift ❑ Escalator, (number) THIS SPACE POE OffICE USE ONLY ❑ . Gasoline pumps (number) (Received) ❑ Tests _.(number) Remarks ❑ L*G cont•iner (number)' ❑ Unfired pressure vessel Permit Approved by Oat• O'er C3 Other - Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Itrumber Vnite Description Model Number Manufacturer CtiCIY AZ G©AAp N t`r D`? 3e) ,v a.` Z fJ C_.- 1 I` k St)..)b1 - 3 : tt S tc j(i()_:Ii) CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 i 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 WJTH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. /-/ '' - i , ' ' :: 74-ii 1.- r ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN 7 7 "°l ...E NAME ° - , � ADDRESS: ;° r` - . (; . ' _.-7 Kt. /RFD_BOX % BLDG. SIZE BETWEEN: f ./ %-4 ,/ , ,-- ' RES. Iirr APT. 1 1 COMM. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW t - ) OLD 1 ) REW.1 ) ADDITION 1 1 TRAILER 1 ) TEMP.( 1 SIGNS ( 1 SO. FT. SERVICE: NEW 1 INCREASE ( ) REPAIR 1 1 FEE ,-° CONDUCTOR SIZE O _ AMPS -) COPPER ( t ALUM. (4 `° SWITCH OR BREAKER r` AMPS PH ` W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE I NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. � 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 1 0.100 AMPS. I OVER APPLIANCES I l 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. 1 VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS y9 1 0 ,(A , 2\ ),II,cif‘ CITY OF ATLANTIC BEACH, FLORIDA Approv•dby APPLICATION FOR ELECTRICAL PERMIT �� c TO THE CHIEF ELECTRICAL INSPECTOR: DATE:, r ' 19 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. / - 7 .2' gi j- -:: : „„e„, ,_.„.., ,:::v"--*7 , ' it t 1/4 ,,•' e , , 4- 1---- ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE / JOURNEYMAN NAME. t'" ('`� / '. / ADDRESS: 7 S / 6) °=' ` >�' / ` '` 1 RFD BOX BLDG. SIZE . BETWEEN: icy `' 7 /.7 7')- / 7 J RES. (4 APT. ( 1 COMM. 1 1 PUBLIC ( 1 INDUS. 1 1 NEW 1( OLD ( 1 REW. ( ) ADDITION 1 1 TRAILER ( 1 TEMP. 1 1 SIGNS 1 1 SO. FT. SERVICE: NEW (1 INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE ,-_ r) AMPS �' r� COPPER 1 ALUM. h' SWITCH OR BREAKER / 0 AMPS / PH . , W 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 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. i OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CELL HEAT: KW -HEAT 0 -1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS t i - ` - CITY OF ,%0 iirteuve Feezd - 't ida .0 716 OCEAN BOULEVARD P. O. BOX 25 �? ATLANTIC BEACH, FLORIDA 32233 :".. ,, - ,, 4 TELEPHONE (904) 249 -2395 December 17, 1987 Third Floor Pre- Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and is satisfactory: Permit #5764- - -82 West Eleventh Street Permit #5765 - - - -84 West Eleventh Street Permits issued to Early Electric Company. Permit #5634 - -- -2233 Barefoot Trace Permit issued to Bill Thompson Electric Company. Permit #5683----447 Osprey Key Permit #5684 - -- -451 Osprey Key Permits issued to Adkins Electric Company. Sincer#ly, ee j, z 2 ,Ae. V -/C �/ r Rene' Angers Community Develo Went Director cc: file RA /tb • \ , CITY OF ffitleiaree geete4 - 716 OCEAN BOULEVARD P. 0. BOX 26 ATLANTIC BEACH, FLORIDA 32233 ■foN. %;, TELEPHONE (904) 249-2396 DATE: /J58 PRE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY: 60 /02 I alti M ea /y S kat (0 I S/5' _irealiliSir.ltt 50 1.440 eorele 3 /9 c; 13 -3 Semiriole 595 1 Ceatix aLt to o3/ 0,/61.L4. stwl • aym SINCERELY, BUILDING INSPECTION DIVISION cc FILE • Permit Number Tax Folio Number / 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: 2,.5 / Q 6 2. General description of improvement: ' 'k - . 3. Owner information: 1. Name and Address: 4, ,A to s. Ace e1 2. Interest in property: c 5 ris 3. Name and address of fee simple ti t leholder (other than owner): 4. Contactor's name and address: Douglas Schultz Schultz Roofing Co., Inc. 216 N 20th St Jax Bch, Fl q �O a. Phone number: 90 246 -2315 r b. Fax number: 90 4 =246 -3808 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 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) ,2, Signature of Owner: . ,'� y kb ;el Swom to an scn'be� e me this day of ( (fit-- 1 ,