Permit 1668 Park Terrace E (vault) g577
PFRW-T
CH FLORIDA g4
_,P
F,,a.rM,eS.T Of BUILDING
CITY OFXTLAKTIC SEA - JILD
-To at
PIERMIT f'OsTrao ON JOB
MUST BE
THIS PE 6'77
7
Date 64-50
12PS30.00 fee$
Valuation$ a,.City e,,aud is
fe,bas beeo P" .. soflaw.
-rws rt-1 no,valia 0-fa above t,of applicable Plovslon Isc.
subject to t,
vocation for violatio
DWN
west plans
is to certifY that—'1644 ?!T�V- as P
BathToom Nddit3
------------ to'b4ld age _20
has Vernliss'on Zone
'Ka-rina
'elva
S
classification--i&C1111
MaTt
BIOC'k--
Owned by 6 MXCE fPST
Lot of this perluit pows
1.668 t 1OrICE—ALL CONC1 By, IN-
lJouse NO WIlicl, are P NjUST
ding to approved 'Plan' IN ND VOOTINGS pOUp,1J-JG-
ACCOT A
SPECTED BEFOuE ST14S
PEWIT VOID Sly, MO
AFTEP-DATE OF ISSUE
d debris
,I rubbish at placed
:0 Building tnatetta 9 t be
0 k must 00 cleated
z frotn this wot d nust be
irk tiblic,sPace I "' by eitiler Con.
anj`�auled Sway
/�r owner.,
Buii
TRACTOR
oATE
pF
RIAIT
FOR OFFICE NUMBER
USE Ot4Lf
FLUtABING
S,ECTRICAL
EWER
WATER ........ .. ....
100mk
t&& r 7 1 1 1
Address Q I?A-1 L=,j--V4 T- (A �K)
116at-e-d Square Footage 0 @ $ per sq ft. = $
�Carage/Shed Al.(r C, @ $ per sq ft
Carport/Porch @ ,$ er sq ft =
Deck - @ $ er sq ft = $
Patio @ $ Der sq ft = $
TOTAL VALUATION
C
C,
Total Valuation ist $
Rmainder Valuation �7-1^1(-Per thousand or
portion thereof
----- --------------------------------------I Total Building Fee
ADDITIONAL PMTITS and/or IEES REQUIMD i + .1-, Filing Fee
Mechanical Fireplac I es @ 15.00
BUILDINGIPEPMT FEE,
Plimbing
Electric/New --------*---------I----------------------------------
Electric/Toup , BUILDING.PERMIT
Septic Tark
WATER METER CHARGE $
Well SEWER IMPACT FEE $
admi-ning Pool WNrER D,1PAC.T FEE $
Sign MISCELLANEOUS $V-:�,
Water Connection $
Sewer Connection $
Water Meter
Elevation Certificate ' $
GRAND TOTAL DUE
----------------------------------------------------------------------------------------------
CALCULATIONS and/or NOTES
City of Atlantic Beach -
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND
FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY
WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN
DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
__ 1__BATHROOM GROUP CONSISTING OF --SERVICE SINK TRAP STAND
WATER CLOSET, LAVATORY & BATH (8)
TUB OR SHOWER STALL (6)
--WATER CLOSET VALVE
- ---WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
---BATHTUB/SHOWER (2) --URINAL WALL LIP (4)
- --SHOWER GROUP PER HEAD (3) -FLOOR DRAIN ( 1)
--SHOWER STALL DOMESTIC (2) ---LAUNDRY TRAY (2)
--LAVATORY (1 ) _COMBINATION SINK AND TRAY (3)
-WASHING MACHINE (3) ---POT, SCULLERY SINK (4)
--DISHWASHER (2) -WASH SINK EACH SET OF
FAUCETS (2)
__XITCH N SINK (2)
--DENTAL LAVATORY ( 1)
- ---KITCHEN SINK WITH WASTE
GRINDER (3) --DENTAL UNIT OR CUSPIDOR (1)
- ___BIDGET (3) - ---URINAL STALL, WASHOUT (4)
_FLUSHING RIM SINK (8) - _COMBINATION SINK AND TRAY WITfi
FOOD DISPOS. (4)
--URINAL, PEDESTAL, SYPHON JET
BLOWOUT (8) - _DRINKING FOUNTAIN (1/2)
--LAVATORY, BARBER/BEAUTY
SHOP (2) -LAVATORY, SURGEONS (2)
--SURGEONS SINK (3) -ICE MAKER (1/2)
@ $10. 00 EACH
TOTAL FIXTURE UNITS
JOB INFORMATION'40
A*to
4�Lo
To�
K&E: to 9155 9-71 47077-
MAP SHOWING SURVEY OF
LOT--A�--BLOCK-Ze-AS SHOWN ON MAP OF
.54fe V,,V 7
AS RECORDED IN PLAT BOOK PAGE -5-4' OF PUBLIC RECORDS OF DUVAL CO., FLA.
FOR
Z 0 7-
45 es- '9' 140 `�v
2 1/,0 40. 0
TT
/3 31
2101
%
tz�
3,.0 '
life. 0
6.6
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
Owner Address zip -------
--------1A1*,q;w4---- ------phone a s,�`c -0 8-;;,
A hj -t /7-r- Address/4 /�Z/"C 7o� A/,__Z i P3 3 phone OL �41-d /44
rc te , —4 __�: ------ -------
bVe.,
Contractor,��ontw S-AddressZl Y 4 4j(" -?Z"A- W. zip B-33 phone
Contractor's Lice se number 6��)9 "E CkLoxpiration
----------- ----
Lot---L-Block or Section--/ �N'---Subdivision5;;?-k0, Zoning_
S t r es:��4'ItAXI betwee4L)W7-Ae (f-4-'1S and-,;5��
q:ft-IeR-44� side
41
Type Construction .......No. Units.... /....No. Fireplaces--
Purpose of Building & Est. Valuation /*>-'O 0 Q:) - .�
-- ---------------- ------ ----
Utility Method - Water.....L--------- Sewer--
Dimensions - Buildingj�el�to 146V Lot_/
---------- R_,!- A i Size Footings .?X J4.
Sz. Piers------------Sz. Sills-------------Greatest Span Sills----------------
Sz. Ceiling Joists ' D
r -x-y-_
.#LAL!�s... istance on Centers---- ---Greatest Span- -*.L� `--
Sz. Floor Joists Distance on Centers Greatest
7 Greatest Span ova '
Sz. Rafters j --Distance on Centers_ va,,y-*.... -------
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.
Signature Owner -Date--,�
----- ------- - 7-----------
--;1
S gnature C ntr D a t e
-------- ----------- --- ---- ------
page 2
FLOODPLAIN DEVELOPMENT INFORMATION
Type of Development:-------------------------------------------K
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, ce tifying
that the LOWEST FLOOR ELEVATION is equal to or above he base
flood elevation established for that zone.
aED
bo�e ce 2
No final inspection will be made and no certificate f occupancy
k
will be issued until the survey is on file with the Building
Department.
COMMENTS:
Applicant Acknowledgement: I understand �hat the issuance of
this permit is contingent upon the ab 7'_ information being
correct and that the plans and supportin�/data have been or shall
be provided as required. I agree to c mply with all applicable
e
provisions of Ordinance No. 25-7-1 and all other laws or
ordinances effecting the proposed de elopment.
Date..............Applicant's Sip- ature..........................
---------------------- -----------------------------
Department Use
Required Lowest Floo Elevation -----------------
3t-Fl
El
e
v-
ati-
0
0
As Built Lowest Flo Elevation
I
it h il d i ng Depi
-----------------
Survey Filed with ilding Department ...........
--------------- -------------------
Building Depar ment Representative
page 3
----——-- ————————————--
127'33 '
DIEPAMUBit OF SUU*G'
0V OFATLANTIC OEACRI
�to�AT I on INFOR ON
MATI
PZRMIT N -%, ION
rom
t� OUM
be 1213 Address!'.
09 1 DAr
FL R 3,2233
—. Perxit TY e:PENC
iss of Work-.,' W, LEGAL D213CRIPTION
0
Lot ., Twp,*,
Type;W e E 0 Subdo Rxig
SeCt'jo
AMI LY
:�,:!-Propoved, Use S:19(jLz MAR
INX
$ubdiv'isi0wSELVA
DVel I i
Vatl
ut
z t 01 00,
'2 ,80b, 4 0'0�
00
00
I'rg 9
PER PL4
'N'S
Ur 6 irk, Ile FENCE
gr
APPLICATION PUS,
IT'I ON
JR
)kAd Z: FAST
-FOR I DA"
Tom,
rR
Li
NO"" f!=FOMS Aim FwnN=wtwaa wsp�qr�paw�n%ppy*ma
A",
EA
-�,P MIT VOID SIX MONTHS AFTER DATED
P ISSUE
TH WORKMUST NM]BE LAF- INPUBLIC SPACE LWBE
MA -M AND M
Qj4DMA (MAJALAV- 0HA R"rFl" IS
DVP�AND
HAULE'D EITHER CONTRACTOR OR OWNER
S L.1
MCMANIC, E 4'LMA ESULTIN
ff:'T E,' �:�CAN $1
_NTS
'04TWICEFOR
THEW
PA
i-rd AppRovep PLANS WHICH ARE PART OF THIS PERMIT AND SMECT TO RE R
C C'ORDIW'
'ABLE OF LAw'
APPLIC
T, ------
BEACH BUILDI NT
-V
APPLICATION FOR FENCE PERHIT
Owners name Phone ZL�6 ��Y_3
--E-- -_,_j 4------------- ------------
Job Address- 00 rkat_ F,�� ---------------------
Lot -2 8-1 ock and/or Unit #------------Subdivision- '56-c-Uk--MAP("
Contractor if different from owner-------------------------------
-----------------------------------------------------------------
Valuation of fence $_ -Zq aq �& Z) Corner or interior lot----------
Type construction-&j PA-&-s S-----------------------
Show location and height of fence as well an location of
street(s) .
Owner signature Date
-W- P---- -- --------
Contractor signature--------------------- -------Date--------
MAP SHOWING SURVEY OF
LOr 6, BU= 12, SFI,VA MARINA UNIT W), ), AS RFXX)Rf)FI) IN I'T.AT lk)* A,
52 OF THE CURRENT punt,IC RW)Rky,'; OF r.AJVAI, (Y)UNIPY, l"WRI(A.
P A R T E R R ACE E A S T
60'RIGHT-OF-WAY(PAVED)
MOND V2.IRON PIPE
LS�250
rOUND 1/2"IRON PIPE
SET WE RON PIPIA S.06"24'50'E. 10 2-00'
02 00'
181 45' IF 1%A
0.
CONCRETE WALK
STOOP
30'B R L
eg-.-o'
241'
280
4.4
I STORY
BRICK RESIDENCE
NoI668
CID
'ch
2'
35.1, 15 2�
03, 1
C 0 PRIVACY
FENCE
L 0 T 5
�L 0 T
0
CONCRETE DRIVE a
?E
14 1' �v'
P 0 L L
�'W
P�
0 7.7, 0
ct
NOTES
THIS IS A BOUNDARY SURVEY.
V�001)PRIVACY--'�
BUILDING RESTRICTIRDN LINE(ILR,LJ AS PER PLAT. !WNCE
BEARINGS BASED ON THE EAST LINE OF LOT 6,13LOC"
12,AS PER PLAT.
B L c 12
FOU"01/2"111011 PIPE F�D 1/2"IROM PIPE
00 CAP NO CAP
W 06'30'0 6"W 10 2,2 8'FI ELD)
p A R K
-XA)
T*t". Pfk)P.-RTY S"M HEMON APPEARS ID) Li,- IN FL(
Ix' (AREA OUTSIDE 500 YEAR FIMD PLAIN) AS W�U,L
:AN W-1, Lk-TERIMINa-) FIM TWE Ff=[� [NSURAWE RATE
M&I C�14"ITY PANEL NLM7R 120075-0001-D, RFVISF.l�
17, 1989 FUR AMAICIC 133FACH, FLORILA.
I !1[F1PXBY i.'ERTU'i T() MARION F. AND SONIA M. MARVIN, JP.,
M[)FIyAf;X, (Affit41*4W,T)i IJ%NI, TFILE ANF� IIHSc'HMAN, Ni::RN &W
INAT T 11WE* SURVFYFI� THE, l,,Nf)li AS SliOWN IN DfF ABOV'� ('API'1,)N A��
THAT THIS MAP IS A TRUX AW ('ORROC7 OF FILNI :�11)11
AW 'IIIA'r PliF SURVEY
_0 HEP-XIN III` MINIKFM
';TAN[AkRl�; OF TliF, I-U)RIF)A A(iMTNI.`;TRATIV:-' OAIE IH t,
'[III,' I,LOPTI�A IdNINIFY TITLE ASSAX'IATION.
yiNIS SuAVCY %QT V&LW UNLCSS
SEALED INITHAN 11110901111111110 HAL DONN W. SOATWIRIGHT, L S.
Opr quarvam"1*40 NIKON FLORIDA REG. LAND SURVEYOR No.3295
BOATWRIGHT LAND SURVEYORS, INC-
DRAWN SY"-'I"IrMAN
CITY OF ATLANTIC RFACM
r%r-r� A AV-.
Eau SEMNOLE ROAD-ATt Akrnc R Ark_t�!71
M, 1--n_S7_;5 V4
#Cr%IMRM A"1rIP%&1
-Mm..
Permit-Number: 19953 Address- 1668 PARK TFRRA( F: EM;T
Pearmit Tvue- IM C. 1B I H, %.Q1 R 11 n A. !k?
-t-t= r% i L_A�
Class of W�rk: NEW Townshin- n Ranner n
I I - -
vroposed Use: _��z,INRGLF FAMILY n 131eveA
Latls'-
Squaro Feet Subdivil-al0n: S E 1-'M NA A IR'I N'A
E%A�Value:
Irnprov. Cast- 6 0 3.5;0 V4&w#N E Mm 11 INI FQ-RMAIAT it 0 N _j
1 Date Issuedg 4/2 512 0,1010 F_
Mnmw F ft'"nXIM AP,
1�n nn r-A f'-!-
cta "'dre-s- -ARKTERMACE -M%31
T- ! Fee.,,.: Ad I I I L_ k�r_ I-
'Ti ZL%"rr' M nD.r%A
i Amn. unt Pn;d-
V.-V M-Lj ...
hoo-voz I�Z104)246-3843
Data Paid: 412.5?i^,E Ov 0 0
ONS
Work Case-.; E R E__CT 16L i_j%j t r-rz I v E P E R, P L-A
F_n X1-r r ED r e-
i iviv FEES
-T
iPR'1j'r'_Erx1 "MmER
K1f)T1rr- - WSPECTI-0-PLIq %4L!ST RP Qr7-1!rCZTC7D AT 1 r7A'ZT I- "nime DDIn- -r mo-ar'TInKI
Aim,nINGMATFRIAL, R1 JR411RH AND nF:Rpl!q !:Pr)ftA THI-q kNir)pv h.41 IqT klr%-r RP P1 ArPn IM D1 M-1 it- CZDArr. Ahin
MUS I BE- r,, ,-- RE' UP AND L+AULED Avveky D' E,'T''T_R M"TRA' R CW"--
-A r MAE 1 101 1-1 M MCM
"r-An I Mr- Tn (_-^M10i V%WITU TMC f-nvqc.v--i ie-nnow 1 %.=K- I Atm.- r-Avq ==,z,n -r m -r,,=
Mw�I MAV L.Mov �#Aww %ONAVI MCQUL I go's A I-M v L-IN I I
t W
D NE PAVikii-Z 7eW1r;: Pi-jP r4i M PiihirZ ihfiL)Qr-sVr_;RA9:kiT0Qo;
I is.Ri q=n T APPPr1XfP:n P1 AK14Z M/Wit-W APP DAPT viC:TWiQ Dr-ORm-r Akin Qi m i�rr-r D1=%/nrA-r1nk1
i _*-",- ,0. .1 1 1.0-ED I -__ .....C..-I._ . A. 1 0. 11 11- 1 E.
I r%-L Ai-.Mi if"A.Mi
��Ix v I
$10.00 14
Az, ��e Date: 4/26/00 61 Receipt: BV52982
ATLANTIC BEACH -WILDING DEPT. CHECKS 786i
001008UMM
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
CHAPTER 489, FLORIDA STATUTES, PART I 'CONSTRUCTIION CONTRACTING" REQUIRES OWNER/BUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489. 103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. You HAvE APPLIED FOR A PERMIT
UNDER AN ExemprioN To THAT LAW. THE EXEMPTION ALLOWS You, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR
OWN CONTRACTOR EVEN THOUGH YOU Do NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM ou-I-Buil-DiNo. You MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF $Z5,000.00 OR Lzss. THE 19UILDING MUST BE FOR YOUR USE AND
OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF
WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR
LEASE, WHICH IS IN %AOLA-nCN OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR.
YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR
RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY
COUNTY OR MUNICIPAL LICENSING ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT is FOR PERSONAL OR FAMILY
USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A aUILcINr, PERMIT AND PASS
ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY 00 WORK THEMSELVES; OR MAY MIR
UNLICENSED WORKERS PROVIDED SUCH WORKERS SE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST 196 ON
THE J019 AT ALL TIM WHILE WORK IS IN PROGRESS BY UNUCENSED TRADES PEOPLE." T�41S DOES NOT ALLOW USE OF
UNLICENSED CONTRACTORS.
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS
WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS
THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE: IRS WITHHOLDING TAX AND/OR
FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
UNucemsep CONTRACTORS CANNOT Be EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUB'JECT
TO $5,0100 PENALTY UNDER FLORIDA STATUTE No. 455-228(l). AN 'OCCUPATIONAL LjcgNSM" IS NOT ADEQUATE.
THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" To ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-
5826) IF IN DOUBT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE: ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL
THE REQUIREMENTS FOR THE ISSUANCE OF AN OwNER-BuILDER PERMIT.
PROPERTY OWNER/BUILDER
ADDRESS TELEPHONE
SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 119
NOTARY PUBLIC
NOTE: PHRASES UNDF-RL114ED ABOVE MY COMMISSION EXPIRES:
ARE E14PHASIZIED BY THE BUILDING
DEPARTMENT.
APPLICATION FOR FE14CE PERMIT
714�- S P,,+ 3
?� 49
Joh Address-
L IV
Lot 8 ck and/or Unit # 7
3ubdivision
COntmclar if differeat from owmer
Vah'ation of fence-k,60 - So COMW Or Intarior.Lot
k,aa<
TYPc of Construction
Show location and height of fence as wen as location of 3treet(s).
Owner Signature Date 4-
Contractor Signature Date Ile
MAP SHOWING SURVEY OF
LOT 6, BLOCK 12, SELVA MARINA UNIT NO. 7, AS RECORDED IN PLAT BOOK 34, PAGE
52 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
PARK TERRACE E A S T
60�RIGHT-OF-WAY(PAVED)
POUND Vt OM PIPE
SET 1/2" S.060 2 4'50"E. 10 2.00' -FOUND 1/1"lit
rim",
L.11.367t!RON Plpf-�
M.
2 410 0'
b
CONCRETE WALK
ire
STOOP
3 0'8�R'.
24.7'
28.0,
12
4 P'
I STORY
BRICK RESIDENCE
No.1668
Z co
Do
tw (A Lw
41 0.3,
6,WOOD PRIVACY
PENCE
0
�Tuy< 51
�.l�
DaCK
CONCRETE DRIVE o"
LIM
U�1!'
14.1'
GRUNHWINE 'P 0 0 L
r
�414 Ili 2—oki,
0 T.f
ok r
0
cs
NOTES:
20.2,
9.6'
THIS IS A BOUNDARY SURVEY.
BUILDING RESTRICTION LINE (B.R.L.),AS PER PLAT.
B�ARIINGS BASED ON THE EAST LINE OF LOT 6,BLOCK
'I AS.PER-PLAT.
z
FO NO 1/2"IRON PIm—/ P"D ve.iRm.pt'
NOICAP N. 06024'500 W. 102.00' NO CAP
(N.06o 30'06"W. 102.2 WFIELD)
p A R
THE PROPERTY SHOWN HFJ;IEC)N 'APPEARS M LIE IN FLOOD
'.24NE, "r (AREA ovrsiDE 5oo YEAR FLOOD PLAIN) AS WELL
AS CM -BE DETERMINED FROM T�M FLOCID INSURANCE RATE
MAP, CO"MII;Y PANEL NUMBER 120075-0001-0, REVISED
APRIL 17, 1980 FOR ATLANTIC BEACH, F`LORIDA.
I HEREBY CERTIFY TO MARION F. AND SONIA M. MARVIN, JR., FAIRFIELD
MDRTCAGF, C"DN�ALTH LAND TITLE AND BUSCHMAN, AHERN. AND PERSONS
THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE`CAPTION*;�AND.,
'MT THIS MAP IS A TRUE AND CORRECT REPRESENTATION.OF.�gPAT 4UWEY
AND THAT THE SURVEY REPRESENTED MOON
.I "I
STANDARDS OF THE FLORIDA ADMINISTRATIVE CODE CHAPTER�, 21-�FH-6,'AND
THE �WRIDA LAND TITLE ASSOCIATION.
A U Y 0 5 A L
SIOLVERMAN MNCE COMPANY
6384 Phiffips Highway
Jacksonville, FL 32216
(904) 730-0882
FAX. (904) 730-5142
HOM rtiora�� wommorle
DDRESS CITY 5TATE zir CODE
ISTALLATIO6 ADDRES6 (If DiFrERZrrr) CIT'y 5TATE z1f,coot
ENCE TYPE SPECIAL G TiE-OMS BUiLDINGS
INSTRUenoms DIAGRAM LIM Art yammoKxd
TO BE TERMIW F4)b'T 0 WALK GATE 0
BOARD Or( BOAW FENCIN I EFRE EM C(:Trt D C),"N',,o
K E Y MSTTMO rPriC-Z)00= DOUBLE GATE
SHADOW BOX
ISTOCKADE
FETICZBOARD WIDTH
C3 4- C1 15-
TLC
ZSCRUITION
Ile d
ITAL
,MAR MCI!
-01TAQF- "EIQKT
MOTH
AWS
F QUAM MUTH MGT.,
CMICATIOM
77j or/ , ME FOLLOWIMQ rIOUTM
HAVE BEEN COVERED W1TH
CUSTOMEK
Ell RepresenExive's
CIAL WOM TO BE
PORMED BY CU37OHM
FIERCE 70:
A.Podow Nope Of Oround
11.Follow Contour of0rounrl We ftinby Propose to (Urrdsh Labor anti rnidenaLw.otuplete in jicroTdAnCt with above
tiPCC1fj3TJOaG- for the 3UM Of 3 -- With payment to be mad4c upon
C.be Uvel w7th"es Or*& COFnPkOOn of Above 3PeciftabonS. ALI work in guaranteed VA(h trotenab for one yeaL
D.k Lewl with LAwtst CIrade Silvermon fence Co, tS not rtsp-ondsible for Under-groLuld ob,%rUCE10"3uch as power
E.Ik Uvcl 3nd Split the Qmde UnCS. 31)rink)CT fiM. pipe3 for weds. etc.
UnC3 Cltzr of ObstrucDorts Ar-r-EFTARCle of raorosAL
Lines idke(f with/by Cimtorna The;tbove price:s, 'sPecilk-Mons aild condibomq ve befeby accepted- You are authorized
Qate Loudon/Swing Direction to do the work as Specified. PaYMCnt Will be madc as outfiricti above.
Ferrmt kzpondidbdity Cl ACCUTED: 31griatum
CoBtacit UbLity Company Date:
2
ZO=d z V- 19 OEL V06 ODUOA Uet.U�AOAL � S vsv : or 00-0"Z-.Adv
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
-C
Application Number . . . . . 03 -00027394 Date 12/12/03
Property Address . . . . . . 1668 E PARK TER
Tenant nbr, name . . . . . . REPAIR
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
----------------- -- ----- - --- ---- --- - - - --- - - -- - - -
MARION, MARIAN TIETJEN TECHNOLOGIES
1668 PARK TERRACE EAST 51 WEST 7TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 270-0070
---------------------- --- -------- - --------- - - - ----- ---- - - - - -- - - ------ - ------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
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 T17US 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 8`UILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
A A k
es—
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH9 FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO TVE CHIEF ELECTRICAL INSPECTOR: DATE: ,2�,—, 1.2 20L,?
IMPORTANT NOnCE:
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 SPWIFICATIONS, WHICH ARE A PART HEREOF,
AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND OFLAILI�WIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ELEC IAN SIGNATURE:
OWNERS NAME:./A41'-kl;'_v ADDRESS: -,�,�_RFD BOX
BLDG. SIZE -BETWEEN:
RES-�/) APT.( COMM.( PUBLIC( INDUS.( NEW( OLDP-j' REW.(
ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) — SO.
SERVICE: NEW( ) INCREASE( ) REPAIR
CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( ) FEES
SWITCH OR BREAKER 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
SWITCHES 0.30AWS I 31.100AMPS
INCANDESCENT
FLOURESCENT&M.V.
FIXED 0.100 ANIPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING I CEIL. KW-HEAT
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS I NO. I H.P. VOLTAGE PHS
MISCELLANEOUS 11'?e
UNDER 600V OVER 600V
TRANSFORMERS: NO. . KVA NO. IKVA
NO.NEON TRANSF. NO VA I MA I MOTOR "ITCH FLASHERS
EACH SIGN
Updated 5/20/2002
BUILDING AND ZONING INSP
ECTION DIVISION
CITY OF ATLANTIC BEACH, FLO
IDA d 07
z
ELE
PTRICAL , p
ERA11T ,
Date
Fee $
Location Permit No.
Betwe mat
en Torn" 0 �4
This is to
certify that and ca
h (Electrical Contractor)
03 Permissi
on to install Electrical Co Electrician
accordance with the nstruction cis d
E
escribed herein in
f Provisions of the Electrical Code and regulations
Permit.
0 the City of Jacksonville, and subje the information shown on the Me
OPPlic0tion, drawings and specificoti ct to
for ons which ore mode a p
TYPO Of work-
SERVICE: ' -III IIII I I I Z
011%dft�110,*r ' Q.
son* sx 2
. OXUt SUO 20 1*
Feeders:
Outlets.
Oeceptacles. U
Switches.
0
Incandescent, he
Fluorescent., 04
APPlionces,
Air Condition,
tng:
tors:': -
formers:
eous..
K IS DONE U
NDER
DURING ANY SIX
�OD ISSUED By
PERMIT
Electrical 1
*ct;on sup*rior
BUILDING AND ZONING JNSp8CTION DIVISION
z; z CITY OF ATLANTIC BEACH,FLORIDA. z
d
ELECTRICAL PERMIT
Oate
Fee $
Z�Permit No.
Location
vW""
'Between f�Ot,
emn
This-is to certif�that ond
ectric C lhffiWWM..& mks,
has permissio -Frramr)
n to instd Electri W
col Construction as described herein in 0
accordance with the Provisions of the, Eiectricol Code and regutations CL
of the City of Jacksonville, and stjbioc# to t
he information shown on the
aPPlicotion, drawings and specific6tions which ore mode a Part of this
Permit.
for
Typo of Work.
SER
"VICE: AWWIL�
-wow Soft
Fo
outlets. u
Recept,oclos..
0
Switches:
Incondos
cent: 'a
FiluOrestent:
ApPliancos.
?Mors:
news:
77777
E UNDER
'VQ4lNG',ANY SIX
ISSUED sy,�
"TNAAM
CITY OF ATLANTIC BEACH, FLORIDA
Awl a bv AP LICATION FOR 9LICTRICAL PRRMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 'L�6 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'Akqgfl�PDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
b&TER ELECTRICIAN SIGNATURE JQURNEYMAN
ELECTRICAL FIRM:
NAME
ia-LADDRESS: 1.;�-UICICS- RFD. Box_
BLDG.SIZE BETWEEN:
RES.(A APT.I COMM.( PUBLIC INDUS. NEW(* OLD��) REW.
ADDITION 4�) TRAILER ( TEMPA SIGNS ( —SO. FT.
SERVICE: NEW( I INCREASE( REPAIR ( FEE
-) 1-1, 1
CONDUCTOR SIZE--- AMPS COPPER I ALUMAX)
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
PH ) W -'OVOLT G3-h-)Q-RACEWAY
EXIST.SERV.SIZE AMPS J
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALEDI OPEN TOTAL
RECEPTACLES CONCEALEDI OPEN TOTAL
0.30 AMPS. 31.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER —7�BEILL TRANSF.
APPLIANCES I -- -
AIR H.P.RATING H.P. RATING HEAT:l KW-HEAT
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL
OVER
MOTORS H.P. VOLTAGE vPHS NO. I N.P. VOLTAGE PHS
MISCEE'LANEOUS
C�'
—70VER 600 V.
TRANSFORMERS: �7UNDER 600 V.
Igr,D IL
140.
Uji-IDI"G
of
-TM .
-tic
-XtA
0 1 Ota JOB
:Vol-VTO STEID
pe MUSI BE
PERO 1w 1 19
Date--J60�'�40t
fee 36-90 oa is
$ vaa to citl ot law
,bxc V'.-Ao-
til-bo" of nyllo
on jot V.jouttoo
not
"'Vr"to T00%%
to cet�'kjy that
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twlsvevvl�lt C014co -BV 114-
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140. 'vVich t��4-0 To Bvioo , MO 5
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t 51)v
P'Ccoalng 0 'Cj? I VOID 51 IS'S aeblis
YV,W� SIX
L bis'h 'Jace(I
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c�'qx,a
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au.e
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F ORE OT41.4
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections 1, ll� 111, and IV.
Street Address:.......14,47 -- le Ae
LOCATION
OF Intersecting Streets: Between And
BUILDING Sub-division
11. 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 attacked 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) wog-h'q-M No,.* 7 Master -1,
Nam* of
Prop" Owner to H -).Pv-4
S;Pofvro of Owner Signature of
on* Architect or Engineer
or Authorized Ag
M. COENLUL INFMMATM
A, Type of fing fuel:
IS OTHER CONSTRUCTION BEING DONE ON
filedric THIS BUILDING OR SITE?
0 Gas—0 LP C3 Natural C3 Control Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
13 09 PERMIT
0 Ofisor — Specify
IV. MICKANWAL L9UIPMINT TO N INSTAUAD NATUREOF,WORK"
(Provillie complete fist of compo Is oft back of this form) P-_'Residential or Commercial
Heat 0 $Pat* 13 RWAKW a PAW P-'New Building
Ck4ir COWWW"ifig: 0 Room &15�tral Existing Building
b'jwc� System: Matsdal ri-g, Replacement of existing system
age, t-�ew installation(No system previously Insloltod)
cAns,
Extension or s4d-on to existing system
0 Rem"ootion
13 Cowling tower. Capacity 9-Pin. D Other— Specify
C] Fire sprinMers: Number of Is"
C3 Ow0er C3 Monlift 0 Escalate (number)
THIS 111PACIll OOR OPPM US Ony
E3 Geselline pump, —(number)
C3. (number) Remelts
(3 VG contaliam (numb")
0 Un&ed pre"Ure ve"
Permit Approvocll D011116-
C)
OAW Specify Permit
;;W AM EQUIPMENT
AM COMT10MNG AND REFRIGERATION EQUEPMENT
XMberuaft Dwodpuoa Modell Number KanufacbmIl, A=Qvtmg
A. 0-
CITY OF
4&4a& Be4CA-6914uJa
office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M. DIstrIct#o
Received P.M.
Locality
owner's Job Address -/-, _
Name _________.,-C�ntractor
BUILDING CONCRETE PLUMBING MECHANICAL
Framing 11 Footing 0 4t�� Rough Air.Cond.& 0
0 Temp Pole 0 Top Out Heating
Re Roofing 0 Slab Fire Place 0
Lintel 1:1 Final Pre Fab
READY FOR INSPECTION
C_7rriday�.�-
Mon. Tues. Wed. Thurs.
inspection Made
Inspector Final Inspection 0
Certificate of Occupancy
Date
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'IN'd
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CITY OF.
4&4ft4.0 Be4c,4
Office of Building official
REOUEST FOR INSPECTION
Date / �)—,
T[me Permit No.
Received A.M,
P.M/
District No.
jop,Aaaress
Owner's Locality -------------
N a rn e J—
BUILDING Contractor-
CONCRETE ELECTRICAL PLUMBING
Framing 0 Footing Evx Rough Wiring 0 Rough MECHANICAL
Re Roofing 0 Slab 0 Temp Pole 0 Top out Air.Cond.& 0
Lintel 0 Heating
Fire Place
Mon. rT Pe..-,4 READY FOR INSPECTION Pre Fab
Wed. Thurs. Friday A.M.
inspection Made A.M. ---�P.M.
P.M.
Inspector
Final Inspection 0
Certificate of Occupancy
Date
26903 REOROERFROM QUALItybUSINESS fbRIS,INC (,U)394.3652
CITY OF
ATLANTIC BEACH No, 4209
FLORIDA
April 7,
19--3-7
NAME HARDMAN/WEEKS, INC.
"'A 11
ADDRESS 1644 Park Terrace West v
5024
CITY Atlantic Beach, Florida-32233 Irl n
r r, 1. 1
PAID
WATER IMPACT FEE #40-343-3700 APR 13 1987 60.00 �
I new bath addition
1668 Park Terrace East
When Signed, Dated and Numbered, This Becomes an Official Receipt
MAKE CHECKS PAYABLE TO Received Payment,
CITY OF ATLANTIC BEACH, FLORIDA
TREASURER
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his is to tion for I �bas bee 0
that t7.04ti-0,of, n Paid to .50 '50
PP4�all jty 7t,%, 14 ,17,50
has e provisi"S f �','d i
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CITY OF ATLANTIC BEACH
APPLICATIO14 FOR PLU�IBING PERMIT
JOB LOCATION
PLUMBING CONTRACTOR
LICENSE NUMBERS
OWNER
BUILDING CONTRACTOR "AVAV4.410
TYPE OF BUILDING-"'B*k IA
SINKS SHOWERS
f LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE .