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1505 E Park Ter (vault) CITY OF ATLANTIC BEACH J 810 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027542 Date 2/02/04 Property Address . . . . . . 15x5 E PARK TER Tenant nbr, name . . . . . . INTERIOR, CABINETS , TILE, Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 50000 Owner Contractor -- -------- - - ----- ---- - -- ---- --- --- -- - - - ------ - - - CORNELIUS, MARGARET CORNELIUS CONSTRUCTION CO. 1505 E PARK TERRACE 71 19TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-9706 ---- -- -------- - - --- - -- ----- -- - ------- -- - -- - --- - - -- - -- - - - ---- - ---- - - - -- -- ---- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 280 . 00 Plan Check Fee 140 . 00 Issue Date . . . . Valuation . . . . 50000 Fee summary Charged Paid Credited Due -------- - - -- - -- -- -- - ----- - - ---- - - - - -- -- - --- - - - - --- -- - - - -- Permit Fee Total 280 . 00 280 . 00 . 00 . 00 Plan Check Total 140 . 00 140 . 00 . 00 . 00 Grand Total 420 . 00 420 . 00 . 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. �X BUILDING OFFICIAL 1 a C) Cc: CITY OF ATLANTIC BEACH o. �- BUILDING / ZONING DEPARTMENT ss ns y S. 800 Seminole Road Atlantic Beach,Florida 32233 J (904)247-5800 rff (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # '�{ Property Address: Par-/- -7—erraC Project: lr1 Enc✓ /�.v�Cvie �� c; 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: Date: 1 Zd l7� w 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: Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: MAR6,AR9_7 S UR_KjF_ 1 tJ—S Mailing Address: `[I 14TH— S�I' -ATL-- ' RL' 3 22"3- Telephone: 24q •9 Xo Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this -2-2 ep day of 20 • State of Florida,County of D�yal....;,; atd E.SohINN ' �MOSSIONF•• '%y Notary's Signature: 91 ❑ Personally known #DD076222 Produced identification 2 Q ;,oma;• ;o Type of identification produced FZ -Pfljj2![-s L(G4+.cs� ''991•••.�;�a�n-Ins�'d;�:'���Q, AS TO CONTRACTOR:R"-,, (/C,'STAIE Sworn to and subscribed before me thisy day ofVz State of Florida,County of Duval Notary's Signature: ......hjO/h,,'�� ❑ Personally known �`� •�p��`2SY 9 NFpo. M)Produced identification �a�° ?0 Type of identification produced A00;1-2- t0at C< 'f5; #DD076222 ;Qz '•�9'•• .�BondedthN�,� pQ�� •9l- • ;Faio-lns�•;.� �.. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/15/03 �t s CITY OF ATLANTIC BEACH .r BUILDING PERMIT APPLICA'T'ION (FOR INTERIOR REMODEL) Qlte: GC rri 1Do Job Address:_15 05 PAR.K I Et��AcE 1` Owner of Property: ARCAg-E T :5 • COR NE 1--105 Address: -0 1q!` 5T , ATS-- 3CH - Telephone: 24� q7a� Legal Description: Block Number: Lot Number:�_ Zoning District: Contractor: cvR1JF lav 7 State License Number:C Be o 4 12 16 Contractor's Address: "0 IVA ST-- ATL. SC Telephone: `Z 4 Q - 170(o Fax: Describe proposed use and work to be done: K 1r mt)VATI�nllaolM_t 112/R�+�W f L) lit- �/ 1rw C� 11NET5 AP LI P,ISC ES �1.-LJ171f�I N(� f f� a 1, rK Present use of land or building(s): oa Valuation of proposed construction:��(�, DOb New electrical or increase in service?_ Add plumbing fixtures? Oc) CcfiAlsC-tl= Add fireplace? oh Add beating/air conditioning? 14 Ci Is approval of Homeowner's Association or other private entity required?�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 is rrect. Signature of Property Owner: Date: 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.ei.atiantic-beach.fl.us Page 1 Revised 1115103 Ajja�-�-��,���.-� /CITY-O/F '�_�`� .�J�-� 1Q&^4'c B�-0;&% 4 Office of Building Official REQUEST FOR INSPECTION �-- Date 1 l li Permit No. t Time A.M. Received P.M. Job Address 1 Locality Owner's fBUILNVv i/V vDIN CONCRETE ELECTRICAL PLUMBING MECHANICAL tin ❑ Foot ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTI A.M. Mon. Tues. � Wed. Thurs. Friday P.M. Inspection Made Gf P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date y1� CITY OF ATLANTIC BEACH --� 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 - ' INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027887 Date 3/15/04 Property Address . . . . . . 1505 E PARK TER Tenant nbr, name . . . . . . 6 ' WOOD Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1200 Owner Contractor - ------------------------ ----------------------- CORNELIUS, MARGARET OWNER 1505 E PARK TERRACE ATLANTIC BEACH FL 32233 ----------------------------------- ------ - ------------------------- --------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 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. BUILDING OFFICIAL Cc: CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONING DEPARTMENT � ins . Doe 800 Seminole Road J �M Atlantic Beach,Florida 32233 (904)247-5800 rJl1>'r� (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 0K4 - &-723 7 Property Address: `lbs �Cx,r-Ls T r!"Ci.0 e i Applicant: _ / [�rr� re-f 012,y3e la S Project: Cn c 'e This pe mit application has been: r" Approved � eviewed and the following items need attention: e. i ` r C -F . Please re-submit your application when these items have been completed. Reviewed By: ��� Date: 12 d� } rs' f CITY OF ATLANTIC BEACH FENCE PERMIT APPLICATION MM ,t Date: Job Address: ��n �' - Owner's Name: {{ Q Address:-a. N I IU ,i �.. 4. Phone: 9 7 a Legal Description: Block Number:q Lot Number:� _Zoning District: Fence Contractor: r-,Twnef Address: Phone: City: State: Zip: Fax: Type of fence and materials to be used: 110 ct n ^ Valuation Of Fence: JA/D �d� ❑Interior Lot Corner Lot ❑Dumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? 4l If yes,please submit with this application. Tree Protection: ❑NO. Applicant certifies that no trees will be removed for the installation of this fence. N o taew(� ❑YES. Removal of Protected Trees will be required for this fence. 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. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application(please print). Name: .� dR IJP L1tJ� Mailing Address: `�( N I LI e�"f e11`[Yl_ Ft'{'• 3 22?� Phone: 2 u q` t rT0& Fax: 24�, ' 4 4 4 2— E-Mail: -P aRNp L-105 nem 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page I Phone: (904)247-5800 • Fax: (904)247-5845 ' http://www.ci.atlantic-beach.fl.us Revised 3/04/04 Sec. 24-157. Allowable Height of Fences and Walls. (a)Within Required Front Yards, the maximum height of any fence or wall, including posts or columns, shall be four(4) feet. - )Within Required Side or Rear Yards, the ma um height of any fence or wall, including posts or columns, sh_al,_1_he_six-(b)-fba:----- (c) On Corner Lots, no fence, wall or Landscaping, exceeding four (4) feet in height, shall be allowed within fifteen(15)feet of any Lot Line which abuts a Street. (A minimum twenty-five (25) foot Sight Triangle shall be maintained.) (d)The height of fences and walls shall be measured from grade to the top of the fence or wall, including posts or columns. Where a fence or wall is erected at the junction of properties with varying elevations, the height of the fence or wall shall be measured from the side with the lowest elevation. The use of dirt, sand, rocks or similar materials to elevate the height of a fence or wall on a mound is prohibited. (e) The maximum height of a retaining walls on any Lot is four (4) feet. A minimum of forty (40) feet shall separate retaining walls designed to add cumulative height or increase site elevation. r Ordinance Number: 90-01-172 Effective Date: January 01,2002 Adopted: November 26,2001 68 MAP SHOWING BOUNDARY SURVEY OF LOT 1 BLOCK 4n ACCORDING TO THE PLAT OF SE LVA MIARENA UNCI NO, 2 AS RECORDED IN PLAT BOOK 27 , PAGE(S) 6 & 6A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: MARGARET S. CORNELIU , r City of Atlantic Beach STEWAR:f TITLE OF JACKSONVIL 'E, INeianning and Zoning Department WATSON & OSBORNE TITLE SERV (MI5,apjWml vermes compliance nMh appila" AND PEOPLE'S FIRST COMMUNI 9'7WKsubdlvlslon and other local land ev_e(o_pment regulatlons, Mit do$ nal oens#hft / approval for the Issuonoa of pa1o1b. Co qmb! with Ftorlda Coda and o11Mr Or a�local, Stab cast Fodwol 28 9, B�0 must be v~ a/ ►!+1111 d Atoilc 6 + 4 ryry� 4" N 6S3j�O9 LZ' C M>l �MtarlM 0.1 112" x P.T. METAL .. 0.7, J_ FLAG Q / X h 'O POLE �'/ � 0.8'' � 0.5• COe • d • 4:Y4 GM. 1 h •BRICK. `6 METAL PIN LOT 1 WALL 5.34. dG BLOCK 4 a' :. .eQCb . ti / ALL (� �ry i BRICK GONG. V � 3• 47.8. ?, covD at A 0.N ry� RC /�� G N AL 41 0 COV'D ~ Y y N 44 BRICKI �SS°,' �� COW. O N 9.9 40.3' ARC .........F Q h N O OJ CONC. ' ,�J is �. 4 oi' ?O . 6 112" - CONC. 25.1' �.----------- — ——--- -- ------ — — P.CC. BRICK 35' B.R.L. POOL AREA :(6 SCREEN y :L ENCLOSED jj m tel. -J , . :.r g: - .- 112" 9.31' P.C. 1/2" (R & M) 112" S 4728'40" W 99.88' (M) S 47"26'10" lY 100.00 (R) �" � J4 SEM/NOLE ROA D • '' (100' RIGHT—OF—WAY) � y E Y pR OENERt L �BOTE$= J S t. BEARINGS ARE BASED ON LA BOOK 27, PAGE 6A �i 2.STRUCTURE NO. 1505 SHOWN HEREON UES WITHIN FLOOD ZONE X AS BEST m� rn s `3 � n Book 11553 Page 349 DocO 20020077 $ool,: 115 3 Ra es: 349 — 35t Filed & Recorded 12/30/2003 02:19:15 RPI JIM FULLER CLERY, CIRCUIT COURT DUVAL COUNTY 3.00 RECORDING $ 1,50 TRUST FUND $ CORY FEE $ 2.00 CERTIFY 1.00 (Space Above This Line for Recording Data] PERMIT NO. TAX FOLIO NO. NOTICE OF COMMENCEMENT State of Florida County of Duval THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713 Florida Statues,the following information is provided in this Notice of Commencement. 1. DESCRIPTION OF PROPERTY(Street address, if available) 1505 Park Terrace East Atlantic Beach, Florida 32233-5534 LEGAL DESCRIPTION OF PROPERTY Lot 1, Block 4, SELVA MLRINA UNIT NO. 2, according to the plat thereof as recorded in Plat Book 27, pages 6, and 6A, of the current public records of Duval County, Florida. /� , ✓✓ 2. GENERAL DESCRIPTION OF IMPROVEMENT 3(a).NAME/ADDRESS OF OWNER 3(b).OWNER'S INTEREST IN PROPERTY Margaret S. Cornelius 71 19th Street Atlantic Beach, FL 32233 3(C).NAME/ADDRESS OF FEE SIMPLE TITLEHOLDER(if 4.NAME/ADDRESS OF CONTRACTOR other than Owner) Margaret S. Cornelius 71 19th street Atlantic Beach, FL 32233-5342 Page 1 OF 2 FLNC1 P.0201 Roof-_ 11553 Page 350 5(a).NAME/ADDRESS OF SURETY 6.NAME/ADDRESS OF LENDER PEOPLES FIRST COMMUNITY BANK 5(b).AMOUNT OF BOND 7. Person(s)within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes are shown below: 7.NAME/ADDRESS 7.NAME/ADDRESS 8. In addition to himself, Owner designates the person 8.NAME/ADDRESS OF PERSON TO RECEIVE COPY OF whose name and address appear in the box at the right LIENOR'S NOTICE to receive a copy of the Lienors's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration of date of Notice of Commencement (the 9.EXPIRATION DATE expiration date is 1 year from the date of recording unless a different date is specified) is shown in box at right. Signature of Owner < NOTARIZATION STATE OF FLORIDA COUNTY OF St. Johns The foregoing instrument was acknowledged before me this 22nd day of December, 2003 by Margaret S. Cornelius who is personally known tome or who �00t6filgr#d Driver's License atd E..S.h/o as identification. �M�SSIO,yF V��oatY 9 *� 0.• :*= Notary Public My commission expires: St.. #DD076222 ;a (Seal) ��'��A�,::�; ''.17C STA f4•e.pete.. .. WHEN RECORDED RETURN TO: DRAFTED BY: ADDRESS,CITY,STATE NC2P.NOC.0400.SH MAP SHOWING BOUNDARY SURVEY OF LOT 1 BLOCK 4 ACCORDING TO THE PLAT OF SELV/A MARENA UNET NO.. 2 AS RECORDED IN PLAT BOOK 27 , PAGE(S) 6 & 6A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: MARGARET S. CORNELIUS, STEWART TI'fI,E OF JACKSONVILLE, INC. , WATSON & OSBORNE 'TITLE SERVICES, TNC. AND PEOPLE'S FIRST COMMUNITY BANK. tor 9 \+�O 4X4" / N 6s 3 �`9 +COCk 4 e 0 At 0.1' N e P X0.7' J_ T METAL �( o FLAG ._ G POLE 0.5' 4X4'r-Ai. L.. -BRICK G• - W/METAL PIN LOT 1 WAL[ �'.. BLOCK 4 e- . . ..AG �p` (Is ^�? �i RICK vW ALL .. ^�?j BR/CK s�. .•_ l �"W CONC. o' 12: o (51 V O C� ARC77LE isp, COVID `y �r y 1 ® BR/CK CGWC. o 10 9.9' W N F- ARC •F Q h N O ;!J: CONC. N i •FSS' 1 4'oi' 20 6' 112" ------ CONC. - 25.1 . .. N ------ ---------- --- P.C.C, BRICK 35' B.R.L. POOL AREA SCREEN yLnENCLOSED cr1�4,. pr' 112" 9.31' � P.C. 1/2" (R & M) 1 2" +iJ P.T. S 47*28'40" W 99.88' (M) 4;-28,10" A' 100.00' (J?) SEM/NOLE ROAD (/00' R/CHT-OF-WAY) v E Y O GENER L T B®TGFs= v R S 1. BEARINGS ARE BASED ON f�LA27 PAGE 6A C 2.STRUCTURE NO. 1505 SHOWN HEREON UES WITHIN FLOOD ZONE X AS BEST �l , , C-0 _ lz�' l a + AL I �L 1 5.P , I( ST t k Cd ILL 6 l 1, i c AKA DOC,-Z " CZE M DF)F-U—I i y C-jA i 3 In , LAOV IL wac _ �m t� cv F�gMtu�i dItL REM. Ll V 11`1 C-r ( l r p 0 ---- - -- 1Z'-czbD i - o j B , M�5T �� D R.M j ..f , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 l INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027987 Date 3/26/04 Property Address . . . . . . 1505 E PARK TER Tenant nbr, name . . . . . . IRRIGATION SYSTEM Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ---- ------------------- CORNELIUS, MARGARET HULIHAN TERRITORY 1505 E PARK TERRACE P.O. BOX 331268 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 285-8505 ---------------- -- ---------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 50 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 ----- ----------------------------------------------------------------------- Special Notes and Comments OWNER MUST HIRE PLUMBER TO INSTALL BACKFLOW PREVENTOR AND MAKE CONNECTION FROM THE PRIVATE PROPERTY 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 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 DAPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL -� CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: D Property Address: Owner: PC�Gam/ �r�e L s" Telephone #: -Z419r-�D,41- Contractor: 7iLr�G,Y•- %'���%�'✓ -t f-rL Telephone#: Contractor Address: Fax#: 4-17 22 Ye) 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. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters LL v Other Fees [-, Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 = 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800- Fax: (904) 247-5845- http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD k.. ATLANTIC BEACH, FLORIDA 32233 " INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027473 Date 1/06/04 Property Address . . . . . . 1505 E PARK TER Tenant nbr, name . . . . . . INTERIOR DEMO Application description . . . DEMOLITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------- ----------------- --------- -- - ---- ------ -- CORNELIUS, MARGARET OWNER 1505 PARK TERRACE EAST ATLANTIC BEACH FL 32233 (904) 249-9706 ------- --------- --- ---- --------------------- ---- - --- -------------- ---------- Permit . . . . DEMOLITION PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- --- - ------ -- -- --- - -- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH * ` DEMOLITION PERMIT APPLICATION Date: 12 ' 22-o :9 Job Address: t565 �A �CE Owner of Property: (A8R --' og N P t 1 OS Address: `11 ° JT- ATL• Sic" • t-EL• -�2-233 Telephone: 2W q 0(a Legal Description: Block Number: ^ Lot Number: f Zoning District: Contractor: Aft n R� / ASR 1J;u 12; State License Number: Contractor's Address: Telephone: 2 'C(7aFax: Describe proposed use and work to be done: pocK -BATHSP_ 10 5 1JF-," E Present use of land or building(s): 5 C L ►71 LY Is approval of Homeowner's Association or other private entity required?�0—If yes, please submit with this application. Willthis project involve changes in elevation,site grade or any use of fill material or the removal of any trees? NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. 0NO. 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. Attach Tree Removal Application if trees are to be removed or relocated. I hereby certify that all information provided with this application is rrect. Signature of Owner: Date: J 2 . 22 '6 3 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 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. 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 1/14/03 V Signature of Contractor: Date: % 2 Address and contact information of person to receive all correspondence regarding this application (please print). Name: l OR 1�11< IJ5 Mailing Address: ATL_- 6Cf4 T L �223t) Telephone: Q 4 q -�J rZQ o Fax: E-Mail- AS TO OWNER: Sworn to and subscribed before me this day of '_P6Ze;k 9 3 . State of Florida,Coun1j;.Qf,Dluv,#.1 Notary's Signature: o'0�ary 9'?o 5- , ❑ Personally known *• ��� �*« Produced identification o': *DD076222 ••o 9'• r�naaam�� :o?; Type of identification produced FC T, -11u4Kt '•9f ••.01 Fainjno : AS TO CONTRACTjC•STAjEp� Sworn to and subscribed before me this day ofE 204 3 . State of Florida,County of Duval Notary's Signature: ❑ Personally known ,cwdE:Sch/ofd%� � Produced identification ��` ��ISSIONF•.• �': Type of identification produced FZ- D�2Gcl�d1 C LC�rs1S� zZ; #DD076222 ::A T eOn*dthN ��•. 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/14/03 CITY OF ATLANTIC BEACH t r 800 SEMINOLE ROAD -r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . 04-00027634 Date 2/03/04 Property Address . . . . . . 1505 E PARK TER Tenant nbr, name . . . . . . RE-PIPE 16 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ---- - - -- - - - - -- -- ---- - - -- -- - ------ - - - - - - - ----- -- CORNELIUS , MARGARET B & G PLUMBING 1505 E PARK TERRACE 13997 BEACH BOULEVARD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 223-3585 -- ---- -- ---- --- - - - - - -- - -- -- -- - - ----- ---- -- --- ---- - --- -- - - - - - --- - - - -- --- ----- Permit . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 147 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due --- - - - - - -- - - ----- - -- - ----- - -- - -- - - - - - -- - - - - - - - - - -- - - - - - - - Permit Fee Total 147 . 00 147 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 147 . 00 147 . 00 . 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. BUILDING OFFICIAL Feb 03 04 09: 28a B G PLUMBING 9042233750 P. 1 ;;fes f CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: 2-3 —o Y Property Address: 1 5 0 5 P"V- e41 i Owner: _ PfSGG/ c o R N m L l u J Telephone#: Contractor: Q o-G P(_UA%A►,,4 c o Telephone#- 2.23- 3 585 Contractor Address: 13 Rg-7 13 �✓4 C.14 Q wn 'Fax#: Z 2 3- 3 )!S 6 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. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: Q/ Re-Pipe #aiff, Number of Fixtures: Bath Tubs _(_ Showers �3 Closets Shower Pans 1 Dishwashers 1 Sinks I Disposals Urinals Floor.Drains 1 Washing Machine , Lavatory 1 Water SORvrcE Sewer I Water Heaters I Other LAvwoR/ SlnrtL Fees Permit Issuing Fee: $35.00 Total Fixtures: 16 X$7.00 + $35.00 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845. http:l/www.ci.atlantic-beach.ft.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r�Ji3l�� Application Number . . . . . 04-00027542 Date 2/06/04 Property Address . . . . . . 1505 E PARK TER Tenant nbr, name . . . . . . INTERIOR, CABINETS, TILE, Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 50000 Owner Contractor - -- - -- - - - - - - -- - - - - - - - - - - - - ---- - - --- -- - -- -- -- - - -- CORNELIUS, MARGARET CORNELIUS CONSTRUCTION CO . 1505 E PARK TERRACE 71 19TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-9706 ----- - ----- --- ---- - - - - - - - - - -- - - - - --- -- - - - -- - - -- - - - - - - - - - - - - --- - ---- - -- ------ Permit . . . . . ELECTRICAL PERMIT Additional desc REWIRE 200AP, 1PH, 3W, 220V, 211RAC Sub Contractor KNIGHT ELECTRIC LLC Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due - - ---- -- --- - - - - -- - - --- - - -- - --- - -- -- - - - -- - -- ---- -- - - - --- -- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 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 BUILDING OFFICIAL CITY OF ATLANTIC BEACH C-it, mmun� r ELECTRICAL PERMIT APPLICATION 4A= Date: D41( Property Address: Owner: ��Y Corm /"Vs Telephone#: Foy- -2W-974 Contractor. tt� �' CGL..c Telephone#: q0-41-477- 0691 : Contractor Address: 172 AMk(U(4 AA, Fax#. qX-2 73--6 yV In consideration of permit gjvcn for doing the work as described in the above Statement,we hereby agree to perform said work in accordance with the attached plans and spccifcadons which are a part hereof and in accordance with the City of Atlantic Reach ordioanco and standards ofgDod ptactice fisted therein. Building: I Building Type: Q Trailer Service: It other construction i9 New Cr Residence to Temp. a New heung dw on this building U_ Old u Commercial o Signs o Increase ptsae,tiffi�'°building U,Re-wire 0 Addition Sq. Ft. o Repair OV ac I�V'a Conductor Size: AMPS: Z06 COPPER 0 ALUMINUM Fr Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service 27 RACE i, Size AMPS 200 PH W y VOLT //D WAY feeders, NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED f OPEN ] Rec tacles CONCEALED OPEN0 In AWN I I Ian AMPS �g Switches �a Incandescent Fluorescent & M_V. Fixed 0,100 AMPS VE BELL A liances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT � (v Motors 0-1 H.P. VOLTAGE PH I NO. OVER 1 FI.P. PHS Transformers NO. KVA NO_ KVA No.Neor Transf. Ea. Sign_ Miscellaneous 44 2� 'f°� �•'YlC� 800 Seminole Road-Atlantic Beack Florida 32233-5445 Phone: (994)247-5800- Bax: (904)247-5845- http:/lwww.ei.atlaadc-beach.tLus CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 �I PERMIT INFORMATION LOCATION IIUFORMATION �._��:_l Permit Number: 17981 Address: 1505 PARK TERRACE EAST Permit Type: WELL ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORIIATK?N Date Issued: 3/29/1999 Name: BRADLEY GUSTAFSON j Total Fees: 10.00 Address: 1505 PARK TERRACE EAST Amount Paid: 10.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 3/29/1999 Phone: (904)246-2315 Work Desc: SHALLOW WELL FOR IRRIGATION PURPOSES ONLY CtNVTRACTOR 5 APPL1CATfON FEES _ L.N. WILLIAMS PERMIT 10.00 I it NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $10.88 14 Date: 3/29/99 01 Receipt: 0845172 CASH ATLANTIC BEACV BUILDING PT. 00100003221000 PSR 1221 090A' I9NT OF BUILMIGI CITY OF ATLANTIC BEACH m PR M TINFORMATIOPI � - - - LOCATION INFOPMATION --- ------ Pe mit NUMbei: 12261 Address: 1505 PARK 'TERRACE EAST emit, Tyj6:RElfit DttIN0 ATLANTIC BEACH, FLORIDA. 32233 OI s. �I Work. _- LEDAL DESCRIPTION ..� �... n t,r. t' :WOOS? FRAML B 1 cock: Lot Twla �' OposL*d Us*: Section;t � Subd �? Rng0 Dwellings': 1 Subdivision; Est. Value: 0 .0,0 I Prov< Cast : 1 , 995. 0 Total pt 30.00 Wit 3O.Ott miz O PRS V TION �� � �. APPLICATION FEES Ar; RACE UST 2 el el Ve4 telt, R FORMAT I. Po D SY TEM$ A UIP MUTT /�q�, Fy " Jf�33 ml r 1 ALL CONCRV'B MOO AND FOOTINGS MUST SE.IINSPECTED,09FORE,,POURING a PERMIT VOID SIX MONTHS AI=TF-Pt DATE f ISSUE' B Q11tdG 1tPlAi'IzRI ' ,RUBBISH AND D�IRI FROM THtS WORK MUST NOT 8E PLACED IN PUBLIC SPACE,AND MUST BE GL RED UP AND,, AWAY BY R CtNTRACT©R OR OWNER . . rt WITH fi�E M CHA ICS LIEN LAW CAN R UL " IN ED ACCORDING TO,APPROVED PLANS WHICH ARE PART OF THIS PERMIT , �$ II"O R # TnON�A►f UCABLE PROVISIONS CiP LAW. . - A� tIC B 8t E I DING, A R f X 4 CITY OF ATLANTIC BEACH PERMIT CALCULATI01NEET /' Add r ess— /-S70 5d� q rz Lx T-:7—g f1A—c of T(4)� Date - — ( 9-76 Heated Square Footage @ $_ _per sq f t. Garage/Shed @ $_ _per sq f 0 t Carport/Porch Lk��fi,PIL $_,.___per sq -If t Q\fD e c k A $_per sq t Patio iD $____per sq ft TOTAL VALUATIO14 : Total alu0 atia� l.st s A 6 0 ? 0 0 Remaining Value $ cOper thousand 0 portion thereof TOTAL BUILDING FEE b + 1/2 Filing Fee $—LL-- C�—0 ( ) Fireplaces @ $15 . 00 BUILDING PERMIT FEE to 0 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT SEWER TAP ) RADON (HRS.) . 0050 SECTION H PAVING HYDRAULIC SHARES CROSS CONNECTION SURCHARGE . 0050 OTHER GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES : Mechanical ; Plumbing_ Electric/New_Electric/Temp_; E,wimmin gPool Septic Tank ; Well ; ____; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : &RjOb OCJS7-0 F_S64 Address : /SD /F4g-d��A / -jZ -Phone : �o ) Z V 9 • ZXK2 Lot # Block or Unit C# Subdivision: Contractor: aJJ a-r-i 4-j A.n ACd J, P. (26. , //tl State LicenseZ- -��s Address : d Phofie No:C9OV) 7-911- ACES 3zz Describe work to be done: \ Flo !L- / ,Fx: Present use of building: Valuation of Proposed Construction: Proposed use: Is this an addition? 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? SUBMIT T@&Z COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY; ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: \ t Date: Signature CONTRACTOR: Date: 11 6 License Supplied: Liability Insurance: Worker's Compensation Insurance: l _ s I Pec ,eEA cis,N trvS.t 100 Z_4.. • ALAS �Ool��fRS F.CEPcACf it%>cycy FA�icy �oon� .CCA To 8E �CEJS(/RE G/ito d r40.BfNE.9 r,y �100R `SCAMS. .�cAo ly dSTOFSON �f.SiDLNC'E /SOS P,,,cK 76,c,cRcf EAsr ,4r111A17-/0 BEi90M, Fc0,c1,D6 APPROVED CRY OF ATLANTIC BEACH BUILDING OFFICE V JUL 19 1996 JUL 191996 Building and o 9 Bill C. ?+M- an Jr. P.E. 'Registered Florida No. 42677 „pIN LOCATION PLAN Gustofson Residence 1505 Park Terr. E., Atlantic Beach, FL DPAM BCH DATE: 7/17/96 WALI!, N/A CHECKBD+ BGM JOB N0: I Filled Level Holes Slab :r Excavated Atlas Piers & Lifted Driven To Areas Filled Load-Bearing Strata ,J U� 191996 guiiding and Z°ning Bill C. McMahan Jr.. P.E. ATLAS FLOOR PIER DETAILS Registered Florida No. 42677 Gustofson Residence 1505 Park Terr. E., Atlantic Beach, FL DRAWN: BCU DATE: 7/17/96 SCALE: z CHECKED: BCM JOB N0: NA FFE $10.00 APPLICATION FOR WIIL PERUT CITY OF ATLANTIC BEACH PROPERTY U44ER ILRM: '/ s��s D Day Phone2 S��ZS S.3 Address c ��✓- C� �- C Zip APPLICANT, IF MER 11M OWNER Name: _ C�� �i l s� S Day Address., y -z' X �.7� 77�i���C lam= Zip JOB Address or Location: Legal Description: Is well to be used for drinking purposes? e.2 a Any person, individual., corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, msst first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: I agree to comply with regulations stated herein- 2 �- i.gnature to ' � a MAP SHOWING SURVEY OF • LOT BLOCK AS SHOWN ON MAP OF : E2E-I VA MAR.I?JA - U01-' i� . 2 AS RECORDED IN PLAT BOOK Z-7 PAGE V(��_(oA__ _ OF PUBLIC RECORDS OF OUVAL CO. FLA FORRAQLEY LOT q o7od Y AID IJ m m r- ' '^K 47 co ap '' m z�.z• ' (Q� jj b oq ! m �1' 4,5. CATV 5:. V " Nfn d� M 1 N 4Iq1-6 5 4 a n. Lb NO /03--- pS ' Li. 3&.5. P VL 40 �z. Fa \Q CITY OF ATLANTIC BEACH 0. 4-7°?.lo� i©"�- 1420.C CITY CF ATLANTIC Br, PLANNING& ZONING OFFICE BUILDING OFFICE N /1, 21 88 ��-M I�OI.E RDA© ,�u �a Cep �iw� 2 - " `.' �G0L)6-TY 120Ap [)c_ a Iu l>c0 /CITY Or} /F (7 Office of Building Official / REQUEST FOR INSPECTION (� Date � 9 `'"' Permit No. Time A.M. ` /)I Received QP.M. U" Job Address Locality Owner's Name _ -Contractor �L- BUILDING CONCR ELECTRICAL PLUMBING MECHANICAL Framing Footing Cl Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing 1 ' Slab Temp Pole 0 Top Out Ll Heating Insulation I Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab A.M.f on._ Tues. Wed. Thurs. Friday hit. g A.M. l Inspection Made __ _ Inspector Fi nal Inspectio Certificate o Occupancy ❑ Date DEPARTMENT OF BUILDING 9771 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.- v PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date June 2 - 1988 Valuation$ (j 01p()r()() Fee$ 46.50 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that -MITrCUE1I GUNI:= cowT RRO-0-,!e5Ag-----3-r3 Milli Greek Read Jaekemville, PEI 32211 has permission to build swilm!"..g Pool as YeT Pians Classification ReSUentih, Zone Owned by Lot Block 4 SfIaelvIr ' rina 02 House No. 1505 PARK TIRRACE FAS>g'P According to approved plans which are part of this permit 46x50 TL NOTICE—ALL CONCREW69FARM AND FOaMWS MAT MM SPECTED BBJM POURINI OC PERMI17 D SDCI 11104MME AFTER DATE OF ISSUE 1 C10 1----► /--- 1 o Building material, rubbish and debris z from this work must not be placed m public space, and must be cleared up and hauled away by either con. alto or owner. F Boii&l Official. FOR OFFICE PERMIT DATE CONTRACTORI USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER o'' �M�. Address Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ Total Valuation lst $ 3 « v o T C5 $ kz� Remainder Valuation -:�?.Poper thousand or portion thereof --------------------------------------------� Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED + Z Filing Fee $ Fireplaces @ 15.00 $ Mechanical i BUILDING'PERMIT FEE S Plumbing Electric/New ------------------------------------------------- Electric/Temp L SO Septic Tank BUILDING PERMIT $ _ Well WATER METER CHARGE $ � adming Pool SEWER IMPACT FEE $ Sign WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ Sewer Cormection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ' ---•------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES CITY OF ATLANTIC BEACH APPLICATION FOR POOL PERMIT Job Address /S't� AC'e�C ! C= c� C�6 t C C= Lot # Block #_ L� Subdivision -1CeVg M.*,PrH„� Y Owner 64 r) t L, Gr 114 �-- S p h/ Address / J 0 a PA (c, �--�„e✓10C t Q:__� e Contractor Lk- k Address 3Z to �{ E' License Number Valuation $ /"4 �� Gallons-----' fl N---11_ SITE PLAN front A,P,pR0V CITY GF ATLANTIC BEACH Cn SUILDING OFFICe JUN 219 'L BY rear Signature Owner Dates Signature Contrac `JC � Date '� { CITY OF attic V"d-91� Office of Building Official REQUEST FOR INSPECTION Date T "' •` * Permit No. z 7 Time A.M. Received P District No. J0 Address , Locality, Owner's ! 3 + Contractor.{�I t .p°t [E Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Q Rough Wiring CJ Rough ❑ Air.Cond.& ❑ Re Roofing Q Slab ❑ Temp Pole Q Top Out ❑ Heating Lintel ❑ Final Q Sewer C Fire Place ❑ READY FOR INSPECTION P7 ` i Mon. Tues. Wed. Thurs. Friday Inspection Made M. ' Inspector Final Inspection❑ Certificate of Occupancy Date - •, it sun DateFee E Permit No.LOC caI Q Be n __ and a This a to certify thatam Dick= It am � � Q �_ • (Electrical Contractor) (Matter Electrician) has `ermission to in4tall Electrical Construction as described herein in _ acce' once with the iprovisions of the Electrical Cade and regulations of t City of Jacksonville, and subject to the information shown on the oppl ation, drawings land specifications which are mode a part of this fo `" AMTUM Ty n#work• o �` SERN IGE• Feed s: (Jutta Rec cles: Switc'es: Incas escent: - w Fluort ocent: _ Appl' ces: Air Ct `ditioninge Mata s:: j Trans rmers: '. Sign Misc neons: r-SlAut ado" �Nt IVt?RK IS DONE UNDER h4iS I RNtIT MIN ANY SIX ISSUED BY: �( N S PERIOD, P RMIT Electrical Insp«tK+n.svp.rviar vwrn cc vntvn . 77777 BUILDING AND ZONING INSPECTION DIVISION c CITY OF ATLANTIC BEACH, FLORIDA z w ELECTRICAL PERMIT Date 6/15/ Fee $ 20.00, Permit No. 6116 0 Location W PARK TU m O Between and a This`is tog certify tha}tg� g ° a_... EL i��+AIC Ac Cl-URE W (Electrical Contractor) (Master Electrician) has permission to install Electrical Construction as described herein in W _� accordance with the provisions of the Electrical Code and regulations U of the City of Jacksonville, and subject to the information shown on the application, drawings and specifications which are made a part of this "!; Y permit. 4T f- a y for W NUIURTIAL 1TI" ° s Type'of work: G " SERVICE: eXiSt Serb 4`00 4PPS, .kph Star Z30 Val t 4 Feedelrs: :E s, Outlets: 0 u Receptacles: m Switches: '^ Incandescent- Fluorescent-. APPli0 es: Air Co"itioning: Motor Transformers: Signs; Miscellaneous: rwid 'aftd wirell I lit JA IF NO WORK IS DOLE UNDER THIS PERMIT DURING ANY SIX ISSUED BY:, MONTHS PERIOD, PERMIT Electrical Inspection Supervisor - BECOMES VOID. �$ � CITY OF ATLANTIC BEACH, FLOND ,.w Approved by APPLICATION FOR ELECTRICAL PERMIT THE CHIEF ELECTRICALINSPECTOR: DATE: June 15 1988 11 APORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE EREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, RICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGU TIONS, CODES AND CITY OF fiLANTIC BEACH ORDINANCES. ER 0008818 ME 250 JOURNEXMAN LECTRICAL FIRM1McClure Elec.MAM-Ithjj ELECTRI IAN i NAME Brad Gustafson ADDRESS: 1505 Park TerracP__R•—RFD BOX PLDG.SIZE BETWEEN: I RES.t ► APT.( 1 COMM-( ! PUBLIC( 1 INDUS. ( 1 NEW( 1 OLD(K) REW.I 1 DDITION l 1 TRAILER ( 1 TEMP.f 1 SIGNS ( 1 SQ. FT. SERVICE: NEW( ► INCREASE ( 1 REPAIR ( FEE ► NDUCTOR SIE AMPS COPPER ( 1 ALUM., TCH OR BREAKER KER AMPS PH W VOLT RACEWAY XIST.SERV.SIZE AMPS 1 PH W 230VOLT RACEWAY fEEDERS NO. SIZE IND. SIZE NO. SIZE IGHTING OUT`ETS CONCEALED OPEN TOTAL ECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 91.100 AMPS: SWITCHES E INCANDESCENT FLUORESCENT&M.V. FIXED 10.100 AMPS. OVER APPLIANGEB BELL TRA NSF. IR H.P.RATING H.P. RATING CONDITIONING, COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW.HEAT 0.1 OVER 'MOTORS H.P. I VOLTAGE PHS NO. I N.P. VOLTAGE PHS k. o- ' MISCELLANEOUS Ground and ori rr- a I nOioI =Elated ac ip a P CITY OF Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P,M. 49 District No. Job Address �j,L�ocWA01 Owner's �!jzg Name Contractor(( BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.$ ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. uy. +• / Tues. ed. Thurs. Friday P.M. A.M. Inspection Made (/ P.M. Inspector Final inspection Certificate of Occupancy Date