The URL can be used to link to this page

1653 W Park Ter (vault) CITY OF ATLANTIC BEACH ` } ; 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032052 Date 2/23/06 Property Address . . . . . . 1653 W PARK TER Tenant nbr, name . . . . . . ROOM ADDITION TO GARAGE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 39600 Owner Contractor ------------------------ ------------------------ MASTERS, R. J. BERRYMAN ENTERPRISES INC 1653 PARK TERRACE WEST 13103 GILLESPIE AVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32218 --------- ------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Special Notes and Comments PERMIT PAID IN FULL ON ORIGINAL PERMIT NUMBER 06-32031 . THE PERMIT WAS DELETED OUT OF SYSTEM IN ORDER TO CORRECT CONTRACTOR INFORMATION. Fee summary Charged Paid Credited Due ---- ---- --------- --------- - ----- -- --- ---------- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILD IASL a A CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Property Address: PckrK 7w. Owner. _ g+ev_5-, Telephone#' Contractor:_ py' 2 0r+ TY e . Telephone#: 3U- 777/ q/ Contractor Address: +a na N F Fax N: Iti �q1 Contractor Signature: �' �4 Gil 0--4-`f In consideration of permit given ibr doing the work as described' the above statement,we hereby agree to perforin said work in accordance with the attached plans and specifications which arca part hereof and in accordance with the City of Allan&Beach ordinances and standards of good radia listed therein. Type of Beating Fuel: If other construction is being done on this building or site,list the building permit number. Electric ❑ Gas: _LP Natural Central Utility ❑ oil D 31� OJ�- ❑ other-Spedfy MECHANICAL EQUIPMENT TO BE INSTALLED NA OF WORK Heat _Space Recessed /enttal _Floor NA Air Conditioning: ^Room Central ❑ Duct System: Material 4f+ IN Ss )yQ, ❑ Commercial Maximum rapacity 'Silo cfm ❑ Refrigeration ❑ New Building D Cooling Tower:Capacity Rptn ❑ Fire Sprinklers:Number of Heads 13 Existing Building ❑ Elevator. __ Manlift Escalator (Number) ❑ Replacement of Existing System 13 Gasoline Pumps (Number) O Tanks (Number) ❑ New Installation ❑ LPG C•o-?ainers (Number) (No system previously installo) ❑ Unfirec+ :Tesstue Vessel ❑ Extension or Add-on to Exis+.i-g System ❑ Boilen ❑ Gas Pip:1g ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description MVdei# Manufacturer Ton's Agency l.Ono�t�'4�Er 1 R:r lav TW A -fra its HEATING—FURNACES,BOMERS,FIREPLACES&Ant HANDLER'S Approving Number Units Description Model p manufacturer BTU's Agency it 9 Y>E 1{M TANKS Nominal Capacity Type Liquid Serial Approving How Many Dirnensions Contained Manufacturer No. Agcnry 800 Seminole Road a Atlantic Beach,Florida 32233-5445 Phone:(904)247-58M• Fax: (904)247-5845• http://A-ww.ci.atiantic-beacit.fl.us Revised 1/04 L'd L69Z-96£-b06 -oul '}l04ur00 ioopul d60:50 90 £Z qe� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD F J ATLANTIC BEACH,FL 32233 0 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032365 Date 2/22/06 Property Address . . . . . . 1653 W PARK TER Tenant nbr, name . . . . . . WIRE ROOM ADDITION Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ --------------------- --- MASTERS, R. J. BILL THOMPSON ELECTRIC CO, INC 1653 PARK TERRACE WEST P.O. BOX 330150 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5601 ---------------------------------------------------------------------------- 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 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CIT'V OF ATLANTIC BEACH ORDINANCES AND ]'HE FLORIDA BUILDING CODES. Yk Olt } ♦ 4 BUILDING OFFICIAL Q, s CITY OF ATLANTIC BEACH f' ELECTRICAL PERMIT APPLICATION - - --- --- Date: Property Address: Owner: - X9,0 Telephone #: Tom ��4 i Contractor: U'!'I 8PW FkCt*C0'WC Telephone #: Contractor Address: Atlantic Bft*FL 32233 Fax#: .z7© .QS '�40 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: O Trailer I Service: If other construction is ❑ New ❑ Residence O Temp. ❑ New being done on this building &2 Old ❑ Cammercial C) Signs ❑ Increase or site,list the building ❑ Re-wire Addition Sq. Et. _ _ e--Repair Permit number: Conductor Size: AMPS: COPPER ALUMINUM Switch or T RACE Breaker AMPS PH W VOLT WAY Existing Service RACE. Size AMPS 2W PH W 3 . VOLT WAY i Feeders: NO. SIZE NO :1:%1 NO SIZE Lighting Outlets - --- - - - CONCEALED �� OPEN --_- - — - Receptacles CONCEALED �� OPEN (110 AMPS I 100 AMPS Switches - Incandescent Fluorescent & M.V. Fixed o.loo ahlPs OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDE R600 V O V E 8600 V — Transformers NO. hVA NO. KVA No.Neon Transf. ----- - Ea._Sign Miscellaneous X e lazy e- 2cr A VI Alalfh /'�Ae . -- j1__2ZZ rX-7 800 Seminole Road .Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845littp://www.ci.atlantic-beach.il. s _r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 Y�k INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032470 Date 3/08/06 Property Address . . . . . . 1653 W PARK TER Tenant nbr, name . . . . . . INSTALL 6 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ MASTERS, R. J. STEEG PLUMBING 1653 PARK TERRACE WEST 1601 MAIN ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 77. 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 77 . 00 77 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 77 . 00 77 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: e.'5-j Owner: _ fS �� Telephone ----- Contract.or: P�1j '� c Telephone Contractor Address: /�C��! ///✓�/�^ Fax o: in consideration of permit given for doing the work as described in the above statement, we hereby ager to ixrform said yurk in accordance with the attached plans and specifications wiuch am a pan hereof and in accordance with the i:it� of Adan , Beata, ordinance and standards of good practice listed therein. Installation of pltttnbing and fixtures must be in accordance with the most recent edition of the Southern Standaru Plumbing Code. — -- — I Plumbing Type: I if other construction is being done on this bwiduts ir site. New list the building permit number o Re-Pipe .3*6 5Z__. Number of Fixtures: _ Bath Tubs Showers Closets Shower Pans I Dishwashers _ �_ Sinks Disposals Urinals Floor Drains Washing Machine I Lavatory Water l l Sewer Water Heaters Other Fees Permit Issuing Fee: 535.00 Total Fixtures: X .57.00 $35.00 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone: (904)2475800 - Fax: (904) 247-5845 . http:/twww.ci.atlantic-beach.fl.us ' CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FI 32233 - Tel. (904) 247-5826 ROOFING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18343 Address: 1653 PARK TERRACE WEST Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: ROOF Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: 4,000.00 OWNER INFORMATION` _ Date Issued"* 6/09/1999 Name: RON MASTERS Total Fees: 35.00 Address: 1653 PARK TERRACE WEST Amount Paid: 35.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/08/1999 Phone: (904)396-7771 Work Desc: REROOF W/ SBS MODIFIED BITUMIN WITH ALUMINIUM EAVES CONTRACTORS APPLICATION FEES PROPERTY OWNER PERMIT 35.00 f -tris ctions Re >uired FINAL 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. 9 \99 �� gcx• 01pa 35.009 0gG3896 Date: 6/09/99 81CM Receipt: C of A IC B X190003221800 CITY OF A7LA tTIC BEACH RCOFiNG PERMIT APPLICATION JOB LOCATION: I � � Ray(Y, TGrrracce Qyyf OWNER OF PROPERTY: c (A j . CONTRACTOR: VENNI gw CONTRACTOR'S ADDRESS: 7ip +� STATE LICENSE NUMBER. TELEPHONE -4-b- V91 DESCRIBE WORE TO BE PERFORMED: R`e''IrbO`1-1 &P, VALUATION OF PROPOSED CONSTRUCTION MATERIALS TO BE USED: SEL K CL V(d 9ltzx, v Eau SIGNATURE OF CWNER: SGNATURE OF CONTRACTOR: Satan Q rc d F r" e-,, 7 COvNTy OF DUVAA` SWCRN TO AND SUBSCRIBED EE=ORE ME 7HIS OAY OF 19 NOTARY PUBLIC 1 D rl, t7L # !�) �- 33fo- 73o-- 3q - V-0O Liability lnsuranc�Supplied Wer<ers Compensation Insurance Suppliea dllr Cant-actor License Information Supplied MMREFN1rJNG Notary Puok-Sta1e of Harts* AAyrCpmm Occupatienai License Information Supplied Commmioni Mo781 iulon#CC72C781 Jo 4830 66PAATIY RMT OF'BUILDING CITY OF ATLANTIC 6EACH _ I tN `, NFIr1 to ` O+i - -- LOCATIONIN `O)~1MA7C1C3N ar t Nua a 4 1 0 Addreso a Wit PARK T9kRAcS WEST , '' "` � ` AT A! TIC BZACl'4; FLORIDA +d 32233 NES " _, _ OA � '" '10N qtr. Typo a W IC ,, 1 R.AX La:+t Holt: a U t SNC Lw FAMILY e� Tvri»h3p s RNC: 110 �at�O�r ;, � Ct: 't E) Subdlvi;�ii�►a1��,': , 1F►t�ked V+e lug s $0.00 .00 `Ot 493, 15 Aa��iu 0493. 154!, C)fl:� 1 r 3,m,�, po? op I TION - h T .,' �: _,, .. t 'FLICATION: FERE . . FS`,Rffj'T A TgakACEI I7rf1~ST > MPAG Fe � 8p.do Cm. fiLtlR of °�tV. I� 1 �, . ' 7pr s� RAIDON As_$. R. $0.00 0 .. � . CI 1gFORtMAT tt N ----- RADOXSAS , aim*m $0.00 wA'�FR so.o DER , TAP" HYD AULrC SHARE >I30. a I 3L ►p+ 0Nom' FSS ! SEC# H IMPACT FEW 41 2 NOTICE'ALL CON+ RE't 'FORMS AND FOOTINGS MUST BE INSP@C"I''00 8£PORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF IS.$UE 36 '`©ING MATERIAL,;RUBBISH AND,DEBRIS FROM THIS WORK MUST NOT BE Pt;A0 Q'Ik'PUBLIC SPACE,AND MUST BE CI RED UP AND LED AWAY BY EITHER CONTRACTOR OR OWNER, a% i1..URE T TH HE AAECHAI' C �P ' ` t1 .. " " P it3P►L ' " " t '1it"IIVo TWICE FCR �U_ttl � E.� fi '1N �t I , ',.A©GOROI.NC T ,-AOPOO1�ED PLANS WHICH ARE FART OF THIS PERMIT AN[1 SU$$ REV,OCA OF A#'PLAILE pROVIS#ORIS Of LAIN. 4z ATLAh SIC BEACH BUI4,DING DEPARTMENT ev. I I 04�' h s PRICE QUOS APPLICATION FOR WATER AND/OR SEWER TAP t APPLICANT NAME MAILING ADDRESS_��7 PHONE NUMBER r ------ --- --------------- DATE_-----�--1`-�'-------- SERVICE REQUESTED--/ ---/------------------�-------------------------- SERVICE LOCATION_ 4:.'_� ------------------------------------------------ DATE SENT TOj DATE RETURNED PUBLIC WORKS___�"_=_!� TO BUILD. DPT. ---------------- DATE OWNER NOTIFIED_____________________ 4 I - .� r� 'a•. J f 3 and Zoning 1� 1" IRRIGATION METER RICHARD T. DOWNES 1632 PARK TERRACE WEST 246-1720 JOB COST RECORD '.DESCRIPTION QTYo7: `AAATEMA.LS' �'!.LABORy',71 TOTAL 4" X 1" T.S. A.C. 1 $12 80 1" MALE ADAPTER PVC 2 $M4 1" 45 L PVC 1 $0 40 1" CORP STOP 1 $18 48 1" CURB STOP 1 $22 36 1" METER 1 $145 00 1" METER ENDS 2 $4 50 CONCRETE METER BOX/LI 1 $21 00 1" BACKFLOW PREVENTOR 1 $87 00 12" GALV. NIPPLES 1 $1 71 6" GALV. NIPPLES 1 0 78 T" 90 GALV. L 1 1 17 1" SCH 40 PVC PIPE 10' 1 80 SUB TOTAL $318 54 10% O.H. $31 85 TOTAL 350 39 2 MEN ($27.45/HR) FOR 4 HRS $109 80 32 94 TOTAL $142 74 MATERIALSLABOR TOTAL TOTAL 350 39 $142174 $493.1131 *104 1iISZr) ,. tEXPEIVSES�'' '; .,>,.� OUNT t)TIIFR)UR EXP(NSES TOTAL COST $493. 13 TOTAL SELLING PRICE LESS TOTAL COST s c n GROSS PROFIT LESS OVERHEAD COST D t OF SELLING PRICE R A 2 TOTAL NET PROFIT $493113] rrn ..+ :r. n Lo C $g m z V , 8 � PRICE QUommm APPLICATION FOR WATER AND/OR SEWER TAP 111 APPLICANT NAME ------------ ----------,---------- ------- MAILING ADDRESS L �� t �� _C__ �_G_�l_ ______ PHONE NUMBER DATE �`- C? �� `rr , SERVICE ------------- r------------------ ----------------------------------------------- SERVICE LOCATION_/ / -!�z ------------------------------------------------ DATE SENT TO -, - DATE RETURNEDPUBLIC WORKS WORKS �' TO BUILD. DPT. / DATE OWNER NOTIFIED--------------------- RECEIVED Y JAN 0 6 19gZ PUBLIC WVORK$ �T and Z �$�; . �� '�, -�`sem�•-• g, F i CITY OF 4 Office of Building Official p REQUEST FOR INSPECTION Date 7/34 0 J Permit No. Time A.M. Received p. District No. Job Address Locality Owner's 401 Name C r BUILDING CONCRETE LECTRICAL PLUMBING MECHANICAL Framing 13 Footing ❑ u h ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. ed. Thurs. Friday P.M. A.M. Inspection Made p_M, Inspector Finallnspection� Certificate of Occupancy �Q /1e 1� 2, ZC•��" , Date a BUILDING AND ZONING INSPECTION DIVISION c qW z CITY OF ATLANTIC BEACH, FLORIDA Z u. ELECTRICAL PERMIT a Date *%' Fee $ .00 Permit No. J ¢� Location Between and Q f. This is to certify that Not - W t (Electrical Contractor) (Master Electrician) ; has permission to install Electrical Construction as described herein in W a accordance with the provisions of the Electrical Code and regulations Z $ of the City of Jacksonville, and subject to the informationshown on the UA application, drawings and specifications which are made a part of this 3 permit. for a Type of work: Ir> p SERVICE: , a N Feeders: Outlets: O u Receptacles: m Switches: Incandescent: Fluorescent: Appliances: Air Conditioning: Mo ors: Transformers: Signs: Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIXISSUED-.BY: MONTHS PERIOD, PERMIT Etectric nspect' r BECOMES VOID. `µms. LL f y . CITY CSF ATLANTIC BEACH, FLORIDA Aeby APPLICATION FOR ELECTRICAL PERMIT O THE CHIEF ELECTRICAL INSPECTOR: DATE:,PAPO19 RTANT NOTICE.- IN OTICE:IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE,FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORKIN ACCORDANCE WITH THE ATTACHED'PIANS AND SPECIFICATIONS, HICH ARE A PART HEREOF, AND:IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CC' OF ATLANTIC BEACH ORDINANCES, r ECTRIG&L floft MASTIR ELECTRIjglAN JOJJRNEWN E I�/�C': i � 4 ADDRESS• � /Q (�, Ld RFD BOX z/V BLDG,SIZEBETWEEN; woo o 1 ES. I APT.t 1 COMM.( I PUBLIC 1 ) INDUS,I ) NEW�1 .1 OLD REW.1 I { 1 ODITION 1 I TRAILER t I TEMP.( I SIGNS f I SQ. FT. SERVICE: , NEW. I INCREASE 1 I REPAIR 1! I FEE; DUCTOA SIE AMPS COPPER I I ALUM. TCH OR OLRLAKER PH W VOLTRACEWAY- -SERV. C W Y XI$T.SERV.SitE AMPS PH W7'. OLTA • V.RACEW Y EDERS NO. SIZE> NO. SIZE NO. S}ZE IGtITING OUTLETS CONCEALED OPEN TOTAL I ECEPTACLES CONCEALED OPEN TOTAL 0.40 J�P6. 31.100 AMPS. WITCHES CANDESCENT .LUORESCENT&,M.V, '. FIXED O.too Aid",; gy- PPL.IA NCIzS BELL TRANSF. R H.P.RATING H.P.RATING NO}TIONtING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW4HEAT CIA 0.1 11VER A . ,.. . = TA43S;:`:., PHS NCI:. rt 11.P.. V@LTAGIc , ISCELLANEOU RANSFORMERSs UNDER 800 V. OVER S00 V. r NO. KVA NO. lKVA 40 J.NEON TRAN$F. NCI. VA. MA. MOTOR SIZE SWITCH FLASHES CMS}GN FORWARDED TOTAL PEES CITY OF ATLANTIC BEACH APPLICATION FOR ROOFING PERMIT BUILDING OWNEPHONE JOB ADDRESS ILQ�� {kr � 1�'�C � 1,.L)e3 AL LOTH BLOCK OR UNIT SUBDIVISION CONTRAC'T'OR � � �,,t�;� ��,�� SHONE ADDRESS LICENSE NUMBER _ C��a��cYr �I EXPIRATION JOB VALUNFION $ MATERIALS: SIGNATURE OWNER DATE DATESIGNATURE CONT'RACT'OR DEPARTMENT OF BUILDING 8594 CITY OF ATLANTIaBEACH,FLORIDA PERMIT NO. M PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB I Date Apri 1 13 19-81— 7.50- T 502Z 1 A 4/13/8 ` Valuation$ 3,650.00 Fee$ 7.50 8594 onnCAC EI022 1A, 4/13/0 This permit not valid until above fee has been paid to City Treasurer,and is 1 Ofli subject to revocation for violation of applicable provisions of law. This is to certify that S & W Rnnf ng CQ_ R(:004R-6Q1 i 6799 Barney Road Jacksonville 32219 has permission IXK, OC re»roof Classification Residential Zone j Owned by Lot Block S/D House No. 1632 Park Terrace West 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 AFTER DATE OF ISSUE 4 10 4 ----10 O Building material,rubbish and debris zq from this work must not be placed in publi space, and must be cleared up auled away by either con- t r cto or owner. Building Official. FOR OFFICE PERMIT DATE CONT CTOR USE ONLY NUMBER i PLUMBING ELECTRICAL SEWER WATER -- �" -- (: Y% 'l.y Lia •d G OFFICE USE ONLY DEPARTMENT OF BUILDING Date - CITY OF ATLANTIC BEACH, FLORIDA Permit # 4 Fee $ Valuation $ Application for Permit for HOUSE #If V • Miscellaneous Alterations, and Repairs DESCRIBE.-10 E - (State if to repair, alter, add to or move building, erect avvings li ' signs etc. ) SM Building on: Lost No. „ Blk No, Sub.Div. .s A"Addres Valuation ,,Owner 's Name BUILDINGSAND OCCUPANCY 1, Building Use - Residential or Business , What Pium„bing work to be done? Size of Present Bldg. Size of Extension Lot Size, No. of stories' now after altered Material of roof Material of Present Building Material of Extension NECESSARY PLANS TO BE SUBMITTED HEREWITH OIL BURNER OR GASOLINE EQUIPMENT :, Name of oil Burner or Gasoline Pump Type or Model Name and Address of Manufacturer In -connection herewith, application is also made to install: gal. capacity' tank(s) made by of gagger �. . ground, (Name of Manufacturer) +0nc r or Abovey, Under or Above) of building. For nsia or u s a ame o urc as FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE #`DE OF THIS BLANK SIGNS Size Classification (State whether , ground, roof, wall, pro ec ing, anner) Material ,of Construction illuninated2 Type of illumination " a e whether Lamps or Neony, °W� '1 sign be over public property? SUNIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGLNG 1, . WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensionedc o everse side) co lion IMFORTANT NOTICE: 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 Sart hereof, and in accordance with the building regulations of the City of Atlantic Beach. (Southerj2 Standard ,Building Code) . ., IWI Signature of Builder or Ovine Address t d Phone No. FOR OFFICE USE ONLY Date--------'g 4/ .19 .7/ ........................... Permit $....7 CITY OF ATLANTIC BEACH Valuation30, ...._.'x,.,__..._..1 : ................... FLORIDA House . ...... ........................................................................... APPLICATION FOR BUILDING PERMIT ............................................................................ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date.........&,Y.. .04...1971--•-_--•---•-----•-•-•-----.., 19----------- ax Owner-.Mr...-&..Itro-.---J-4t,o.k.-C.axr.on---------------------------------_-Addressit-Ullwood- a6h __----------------Telephone No...z Architect.....9!�qrglk_p 4nt_....----------------------------------------Address,..........................XqP !k..j_f.40Telephone Contractor Builder--.----i!J_,.__Aderho1d I Han c --------------------------------------------------Address311...Mh_.3't._B*&cb...........Tplephone No.-.246!"0070----- Lot No...-.----16------------------------------------Block No---------6------------------Sub Division----S*1VA_.jUr_ ...7-- ------------------------ - _Zone....R-0-s.- -----------------------••-------•--------•-----------Street..---__--------------Side Between._-------------------_-------------------------_and................................................-----Sts. Valuation $---3Q*-QPQOQ....For what purpose will building be used._.d!1T_011:1n9.............Type of construction... Dimensions of Building---Z4Q_0s_q..__ft---------Dimensions of ---------_---.........Size of Footings----------_8_-A..20..__------ Size X.20-........Size of Piers..._-_.._ ---------------------Size of Sills_......---_---------------Greatest Sill Span in ft...........................Type Roof-A*Pbalt...ahlxjgles How will Building be Heated?................03&C-tric--------------------------Will Building be on Solid or Filled Ground?......q�qlid.................... Size of Ceiling Joists------jp�x_s ------------1 Distance on Centers...... ..................... Greatest Span._.__RQ._X:tA.................. Size of Floor Joists------------•........... -------------_- Distance on Centers---------- ----- ......------- ...... Greatest Span--------------........................ Size of Rafters..................tri -..___.._._-_._.__.-._,..s- Distance on Centers.. -...R---------------------------------I Greatest Span.----210--ft._................. This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. 'Ilk 10 Inspections required. 1. When steel is in place and ready to pour footing. rA 2. When steel is in place and ready to pour columns and/or lintel. Z V-4 Z 3. When steel is in place and ready to pour beam. 04 q d' 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. M S. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT 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 the Cit of Signature of Builde ...... Address------•...................... Signatureof 0 ..... ......-----•----•-.._:..-.....-....-__ Address................................................. CITY OF ATLANTIC BEACH BUILDING AND PLANNING << , 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 ... :, FAX:(904)247-5845 htcp://ci.aflantic-beach.fi.us �c ,3 t� Monday, December 29, 2003 Richard T. Downs 1632 Park Terrace West Atlantic Beach, Fl. 32233 Subject: Flood Zone Designation Mr. Downs, The property addressed as 1632 Park Terrace West is in and "X" flood zone. This designation means the property is not susceptible to flooding in case of a 100-year storm event. Here are specific answers to your questions: 1. Are you in the SFHA? No. The SFHA zones are A, AE, AH, AO, A99, V, and VE. 2. What is your elevation? Elevation information is not available from our files. The City did not require elevation surveys in"X"zones when the structure was built. 3. Should we continue to buy flood insurance? Flood insurance is not required by lending institutions in"X" flood zones. Please contact me at (904) 247-5826 or by e-mail at dford@ci.atlantic-beach.n.us if you have any questions. Sipcerely, k, Don C. Ford CBO Building Official Cc: File Richard T. Downes 1632 Park Terrace West Atlantic Beach,Florida 32233-5610 Email: downesrt@comcast.net Telephone(904)246-1720 December 12, 2003 rn� Building &Zoning Department City of Atlantic Beach F,r .�„rr.s • 800 Seminole Road Atlantic Beach, FL 32233 Re: Lot 8, Block 6, Selva Marina subdivision, Unit 6 No hurry about this, but we'd like to know how we stand on the flood zone and elevation situation, if you can tell us. We buy flood insurance every year in addition to homeowners, although we were told when we bought the property in 1990 that it wasn't required. What we'd like to know from an official source is: 1. Are we in the SFHA? 2. What is our elevation? 3. Should we continue to buy flood insurance? Thanks in advance for your help, and enjoy the holidays, Sincerely, �L'a , ►, - Richard T. Downes FOR OFFICE USE ONLY Date--•-------5___0F_.Q--....19 1. Permit # ...Fee$ . ......... CITY OF ATLANTIC BEACH Valuation $-.---3- .1 � ........... FLORIDA House #._4 3.' ... ........ ....................... ;V��' ................................................................... APPLICATION FOR BUILDING PERMIT --------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- Ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date.............................. .. c 6............................I ig...71.. Owner...Iz�J.lf..... ...... ................................... ...........Telephone ...... ................................. Architect................................................... .........................................Address...........................................................Telephone No............................. Contractor Builder........... .............. ...............Address...........................................;i;........z':--- els one No............................. Lot No.................... - 4 -& lool- /f(....................Block No........... ..............Sub Division........5_-,0........ 1---j�a---r.........Zone................. .......................................................Street... .........._....Side Between............... ..............................and......................................................Sto. Valuation ............For what purpose will building be used...../1 ._ ..............................Type of construction..............:..................... Dimensions of Building.......t .............Dimensions of Lot........ . . .z..........................:Size of Footings...................................... .................. ... ... Size of Piers.........;....---•..................Size of Sills....---.........................Greatest Sill Span in ft...........................Type Roof..................................._ How will Building be Heated?...............__...........................................Will Building be on Solid or Filled Ground?........................................ Size of Ceiling Joists......................••--................, Distance on Centers............................................ Greatest Span......................................... ft Size of Floor Joists............................................... Distance on Centers----...... ................................. Greatest Span............................................ OP Size of Rafters................................ ....... Distance on Centers........ ... ............................, Greatest Span............................................ of This rectangle is to represent the lot. C 0160 Locate the building or buildings In the right position. Give distance fit feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel In In place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is In place and ready to pour beam. 4. When framing Is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical Inspection by City of Jacksonville. S. Final Inspection. Note: In case of any rejection,re-Inspection MUST be called for after corrections are made. FRONT OF LOT In consideration permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance/I vOth the attached plans and specifications, which are a part hereof, and in accordance with the building it 'I ' " r _t fA regulations of the Ai o t nt' e Signatureof Bjufldr2_,�4. .. ................................... Address.-......---..._.....--------- ...................................... .................. Signature of 0 r........... ................ t.......----•-•---------•............... Address.---.................................... 3/g s>FGL ?irJ on 3a , ,l iv E ; i IJ l3#f } ,I,- Ile t1 cA �yb//, Te,4 /�! )� G . -} v b vqlJ� APPROVED CITY of ATIL-ANTICC CEACH r S , 11 9,t' 'sem 1 CITY OF 800 SEMINOLE ROAD -- ---- ---- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247 5805 November 23, 1994 Mr. Richard T. Downes 1632 Park Terrace West Atlantic Beach, FL 32233 Dear Mr. Downes : On behalf of the City Manager Kim Leinbach, I am responding to your letter dated November 18, 1994. I investigated your complaint on November 22 , 1994 and found plastic furniture and garden debris present on the right-of-way of the City Park. At that time the Sanitation Department was directed to remove the trash and garden debris. The Public Works Department has been directed to place "No Dumping" signs along that portion of the right-of-way. I will continue to monitor this situation and would appreciate your calling me should you see anyone dumping. It is my intention to write a short article in the newsletter referencing this problem. The Tide Views is a quarterly publication. I will also re-enter your mailing address . In closing, we are equally concerned about the dumping problem in the City of Atlantic Beach and will work toward correcting your neighborhood problem. Please feel free to call me Monday through Friday between 8:00 a.m. and 5:00 p.m. at 247-5855. Sincerely, Karl W. G unewald Code Enforcement Officer KWG/pah cc: Kim Leinbach Jim Jarboe Bob Kosoy a $ wry Nov 2 1 1994 1 �y ➢ Richard T. Downes d 1632 Park Terrace West `r7994 Atlantic Beach, Florida 32233-5610 Telephone (904) 246-1720 ' cii g and Zoning 18-Nov-94 rte; Mr . Kim D. Leinbach City Manager Atlantic Beach Dear Mr . Leinbach: We 've hesitated a long time over sending this letter . We 'd like to stop a practice that is at least inconsid- erate if it isn't illegal, yet we don't want to start a neighborhood war . Nevertheless there is a problem, and we 'd appreciate your help . . . or at least some advice . We have lived for four years on the west side of Park Terrace West just opposite the corner of a park which from our front door looks more like a landfill . Instead of dumping yard trash on their own front lawns for city pickup as we assume the law directs, a number of our neighbors to the north carry it down the street and dump it on the corner of the park opposite our front door . The result of course is a perpetual pile of junk ( it 's not all yard trash) that we have to see whenever we look out front. City people pick it up, and they do so more than once a week . Still, the occasions when the area is clear are so infrequent that the grass never has a chance to grow back . And now, having seen the perpetual pile, and assuming that it 's the City Dump, yard maintenance people from outside the neighborhood (some from outside the city we suspect) add to the mess by dumping their trucks . We have two suggestions that might help resolve the problem without confrontation. First, ask the editor of the city's newsletter (come to think of it, we haven' t seen one lately? ) to do an art- icle on the relevant ordinance(s) , emphasizing the "consider your neighbors" aspect. Secondly, post "No Dumping" signs for a month or two. Please give us your thoughts . Sincerely, Richard T. Downes Richard T. Downes 1632 Park Terrace West Atlantic Beach, Florida 32233-5610 Telephone (904) 246-1720 05-Dec-94 Mr . Karl W. Grunewald Code Enforcement Officer Atlantic Beach Dear Mr . Grunewald: Thanks very much for your quick and cooperative re- sponse to my letter about the illegal dumping on the City Park right-of-way. More trash appeared on Thanksgiving morning, this time including an old washer or dryer, but the Sanitation Department has since cleaned it up again. We haven' t seen any "Mo Dumping" signs yet but assume they're on the way. As to Tide-Views, we received the Winter 1994 edition yesterday and were a little disappointed that it con- tained no mention of this issue, but it is understand- able that there wasn ' t enough time to get your article in. We ' ll hope to see it in March. We will try to report to you whenever we see anyone dumping where they shouldn't, but it is almost impos- sible to read license plates from our vantage point . We can, however, identify the source exactly when the delivery is made by a rider-mower or similar vehicle, and we will call you. Thanks again . Sincerely, Richard T. Downes , 1994 �9U 1� 41� a.31it; 4_.6Jt1 �t� JOBADDRESS CP� a�� ec-mace 1�e TYPE WOR1� PROPERTY OWNER Tin U ( Je r s 774'1.FP�'D1YE�q�y_��Q• rf�� coNTRACTo ��.e�- _TELE ONE (9QY) 39 -`��-7 j PERMIT DATE INSPECTIONS: FOOTING SLAB TIE BEAM . LLVTEL NA.TLLI2YG G F.RAMINGiCOVER DP INSULATION FINAL BUILDING CERTIFICATE OF OCCUPANCY ELECM4IC4L PERMM INSPECTIONS ROUGH FINAL 3dECHANIC4L PERMM INSPECTIONS ROUG T FINAL PL1731BING PERAdM INSPECTIONS ROUG TATWErR SLAB TOP'OUT WA FINAL NOTES. CITY OF ATLANTIC BEACH J j s1 800 SEMINOLE ROAD -r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034358 Date 12/14/06 Property Address 1653 W. PARK TER Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc install switches for electric shutters ---------------------------------------------------------------------------- Owner Contractor ------------------------ MASTERS,. R. J. MODULAR ELECTRIC CONTRCT . , INC 1653 PARK TERRACE WEST Q/A ALLY, ROBERT A. ATLANTIC BEACH FL 32233 1215 ALTOONA AVE LAKELAND FL 33813 (352) 684-4739 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/12/07 ---------------------------------------------------------------------------- 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 PER16�d T IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TET' 1E7L0II8IIIIDA II$UMDDIING CODES. Y01/2006 01:01 3526837483 MODULAR ELECTRIC PAGE 04/04 CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Proparty Addtrem -� Owner: l�Osd 1�.�� t � �i Telephone At: Contruter. Agfa(" beat#: Contractor Address: 'ax�#: - r CantrsActor S' stare: — ty 6n umideradoo of pumit given ur dWrg the wurk as dcarribed i!!'h4*bow strd=xwk wt hen6y awm ttr pmfurm ouid work in accordance with the attached plan.+and specifications wbicb am aW haeof aid in accordance with the City of Adaptic Beach ordinates and standards of good_pradic t listed therein, Building: $ Uding Type: o Trailer Service: tf other cofatructi" k Q New Residence O Temp. U Now hafe6 draw rm WA tmilding lk site,list the t uN" .Old 0 Ctmtrntxciat 0 Signs a Istcnmiat: Fcnnit nttadbcr v Re wire O Addition Sq.Ft. 4. Repair Condudor Sire: AMPS: COPP1?R ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY ExiatlntR Service RACE $itx AMPS PH W VOLT WAY Mawr Number Feeders: NO. SIZE NO SIZE NO SIZE UgWng Outlets CONCRALF..O OPEN Rectuidaa GUNCF.Atkf) - UPH,N - Switches Iacaudescent .— piwrm=t M.V. Fixed 0.100 AMPS OVER HELI.. Aptim" _ '- _ TRANSFER. Air H.PXATING M.P.RATING CEILING KW-HEAT Conditi ' COMP.MOTOR OTHER MOTORS ANA'S HEAT Motors 0-t H.P. VOLTAGE Phi NO. OVER 1 H.P. PHS 11�'�1Y S�► :tiQS1SL Trosforlum NO. _- _ KVA NO. KVA Nn.Ncon Transf. Es. Si R1$i9rol laitte✓o+�s goo Segkinole Road-Ailmtk 13ead:tt,,Florida 32233-844S Phom(904)247-SM- Vom (904)247.5645 Revised 1/04 CI'T'Y OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH,FL 32233 » ✓� INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032686 Date 4/19/06 Property Address . . . . . . 1653 W PARK TER Tenant nbr, name . . . . . . INSTALL HURRICANE SHUTTER Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation 10000 Owner Contractor ------ ------------------ ------------------------ MASTERS, R. J. ROLL-A-WAY, INC. 1653 PARK TERRACE WEST 10601 OAK ST, NE ATLANTIC BEACH FL 32233 ST PETERSBURG FL 33716 (727) 576-1143 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00 Issue Date . . . . Valuation . . . . 10000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 80 . 00 80 . 00 . 00 . 00 Plan Check Total 40 . 00 40 . 00 . 00 . 00 Grand Total 120 . 00 120 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WrM ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILD O IA sSrL� �J� CITY OF ATLANTIC BEACIFI, Cc: r S, BUILDING / ZONING DEPARTMENT �Hi—ggins800 Seminole RoadAtlantic Beach,Florida 32233 "!DID, (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: �Ql - �P r K T-er rare, u)'�" Applicant: Project: This ermit application has been: Approved F7 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: \N� Date: \� Date Contractor Notified: CITY OF ATLANTIC BEACH PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS, SKYLIGHTS AND GARAGE DOORS OF SINGLE—FAMILY OR TWO-FAMILY (DUPLEX ) CONSTRUCTION Date: Job Address: I LSA Owner'sName: K «4/c-/ Address: Phone: Legal Description: Block Number: Lot Number: I Z Zoning District: Contractor: C,K& 0 -/Q -CtJ t/ State License Number: Address:1066 _5T /Uc- Phone: 7�t'7- , 76 City: State: Zip: ;3 7/6 Fax: 7:17 - 593. 97t) / Describe proposed use and work to be done: (N`S M9[� /CW rr i c L,. J lu-Q I -e Y-S Present use of land or building(s): IF Valuation of proposed construction: orc , Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Building Data: Mean Roof Height c72 .5 (ft) Building Width _(ft) Building Length (ft) Roof Slope *Window Elevation from Grade /s (ft) Window Height (ft) Window Width r (ft) Measurement from corner of building to window (ft) s s h 4 a s s 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 - http://www.cl.adantic-beach.tl.us Page 1 Revised 1/27/03 procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data,the following information is required: 1. Manufacturer's Test Report 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Elevation View of Window Locations I hereby certify that all informati ovided w'th this application is correct. Signature of Owner. Date:4K �\"► `�L �l'J 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 pians and supporting data have been or shall be provided as required Signature of Contractor: E 14:1Date: Pk"q G 14- 9 Roo Address and contact inf mation of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of VV\QJ, ,20 State of Florida,County of Duval RIEN*ft y � Notary's Signature: Df��1.ME L•MALES Ih�hle >s9als d Fk�neaPersonally known AWW ab#=dan26,201J ZP emmh n N W 511496 ❑ Produced identification It NwoaN%Wry Asan. Type of identification produced AS TO CONTRACTOR: (� Sworn to and subscribed before me this `! � day of L —, 206 /, State of Florida,County of Duval Notary's Signature. j;•r:•v WHARTON REID CRAWSHAW MY COMMISSION#DD 090043 IN Personally known _? 'a EXPIRES:Mara 18,2006 Produced identification Banded Thru Notary Public Undeiwdt m �. Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.cLatiantic-beach.fi.us Page 2 Revised 127/03 ME Of CprsYENC"ENT RAMCO FORM 409 FS r=ttY ra to:Icttciosc self-addressed sramped ersvelape e: l3 Sr.R Shunen dlki Rail-a-%vay rocs: 23:5 SI.lch:is B1,ui -;-'43Q3 aux 15 Jackscnvi{le,FL 322461 Instrumeal prepared by; a-a-xvky It �y ? 777— t1 Vii.�Li;yiia'j BluR,;?-1 W r3L x S Doc#2006116604,OR BK 13173 Page 2333, «m *``f. 3O?46 Number Pages:1 Filed&Recorded 04/04(2006 at 12:15 PM, Icily Appraisers parcel idenrrfieasron JIM FULLER RECORDING$10 CLERK CIRCUIT COURT DUVAL COUNTY SIaCE ABOVE THIS I-age fOR raocEnk4G OAT^ SMILE ASOYE TM UNE FOR kW0RDWG 0^T.a NCTfCE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida County of l lLt The undersigned hereby gives nofica-that hoprovements will be me&1%cartsin mW propa q,and In accordance with chapter 713 of the Florida Statutm the follwaing itttvrtrr Aon Is ptatidod tttthb HOME OF Ct)MMENCEL*NT. Legal description of proK ty fmclude Street if avatm) /�-6.3 P41e - rr.4Ce lo ' { ✓�' - S� c � - a S-- a 9 t �"r`=L(/JE- kl �J<tJ,4- G T /i'Q �j Ga /Z General description of' rovem fs ,-j c, Y 1 -c, 4,IIs J Owners Name Ci G; -�'' Address ? e i c: Pi 3.Iz z 3 3 awrier's Interest in site of the kpVv9Merti Fee Simple Title holder(if other titan owner) Address per: Fat._ Contractor 42iAlt .S/arc c 4" o a- _ 0?3 7-'DT ^` 1 Af r-�1} C� i Address Jr So.UU7'J FL .Z„2 b _ Pltott>a ��: Surety Fax: 9d �7�f-�oS3 Pltotie: -f S-9-Sr Fac Address lltrlO mt of bond S Lendefs Name Address: phone: Fax: I Persons wtihln lira S` ta a;Ff+attda dastg�atad by o upon ttritoat or other dactttnents may be salved its pro- f vided by Section 713.13(1){a)7,Fiorlda Statutes. s Name . 3 Address In addition to himself*owner designates Fax Of Phone: Fax: to receive a copy of the IaeWs Notice as provided in SeWm 713-1 1 3( fib),I=lotidat Statut85. Explr ion t of tic of C [f the axpiradon date b 1 year tt�am the Bete 1Wtaecordittg unless a ctdieeet►t data is spr:cifed} WWA4 Nw.of 0...r S ieOTAEY RUBBER StrutT SEwt i iiia rtlic4 the rato..;,,�idewtil,ersior or ilea Atiirat L_ to ` s 0 Di L $ S to awd f rw f Of ha A, oda tc flhitttr Pd -Slab of Fbft 1 `� Gatt�Noa b#M Jan 26.2111 0NUNCIO taot�tMNllon#DD5ff486 - �ottd�d MMionM Notary Assn. ` I hereby certify that all information provided with this application is correct. Signature of 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 rales,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. y Signature of Contractor: t `"'�---~" Date: AS TO OWNER: Sworn to and subscribed before me this day of ( t ` ,20 State of Florida,County of Duval Notary's Signature: e.,Personally known b�. ' MtRvi1� • Nf3@�@r ._: i CgrnMiltifjpn�A� SO ❑ Produced Identification ,�; 1fpifQf 6,ptd$a,' '%:�d'•a�.•�BondWhOyFiin Ynirin�l.Yk.e0y.3Yq.1Ut9 . Type of Identification Produced AS TO CONTRACTOR Sworn to and subscribed before me this day of /` ll'" t�- 20 C State of Florida,County of Duval Notary's Signature if Personally known Kevin H. Wewbtar Ccmmisa*p#C)PI5084 ❑ Irxpif88 = 0 2008 Produced Identifications. •�� ` 6ondee7+ogFrn Maunn4,Nlc fife Type of Identification Produced 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845• http://www.cLatbmtic-beach.fLus Revised 8/04 Met 13 05 08,38p Terry 904 998 8C18 PA I I lem 2, t wicks t Ir. l!Addr*sl Unit 4 Pba tet_�% �l 2 ,P1 Siegle FmiayS�#V 1 . FSO r�� qc v ' j j 6 _. ! t` in low Frame:IfOfiom above md=W..%W dleate I . ?R F SLO?V�: Lem i r Ctt=tbw 1.0 degrees i �Mv STTink3. Yes 1 N >Are .acs A.vailab;e: Yes ! APPROVED CITY Of Al LA;,i iG TEACH `? BUILDING OFICE ! t (APR 0 4 1uU6 oa-a- vay Plaw rec,uktNt to `f a thli ,jotr ,J 1 -- 3 It �I 3, i I` Name: Masters Atlantic Beach Address:_1653 PARK TERRACE W City/State/Zip ATLANTIC BEACH S/F Opening H W Product Plans 1 74 36 P55 03-01-031 2 74 36 P55 03-01-031 3 74 36 P55 03-01-031 4 74 36 P55 03-01-031 5 74 36 P55 03-01-031 6 95 97 US60ER 03-01-031 1 The Dream,Inc. :�rtt►s D&R Shutters,Inc. SWVrVg SElYCM g jBrunswrck,Savannah, rO •a•wav Jacksonville and the Beaches Hilton;bead,Beaufort&Chadeston : ��+ STORM AND SECURnYSHUTTErIS • (mm Amelia Island to St.Augustine i 'Home Office & Showroom 5831 Lowcountry Drive•Ridgeland, SC 29936 1-888-765-2929• Fax 1-843-717-1749 ' f PHONE DATE r` TOJ �l JOB NAME f LOCATION 1453 i�41 I JOB NUMBER JOB PHONE The following is a layout of home or business& is an addendum l 1 S v q C3 v e.f- i Auftwized t i I s 7� T!5 f '7 y Date of Acceptance: --- y�i Signature i i Signature M • it / r' a♦ 1 : / ! � / � �'�' �. ��` ,� �" ,r ' PRODUCT APPROM Product Type Detail r r t r i t t Overview Product Search Organization Product Smarch Application User: Public User -Not Associated Avith Organization- NeedHelp .,..,,.. Application#: FL5013 Date Submitted: 08/03/2(x)5 Code Version: 20()4 Product Manufacturer: Roll-a-wav Storm and Securitv Shutters Address/Phone/email: 10601 Oak St.NE Saint Petersburg.FL 33716 (727)803-9283 Technical Representative: Donald Foxvler Technical Representative Address/Phone/email: 10601 Oak Street NE St.Petersburg.FL 33716 " dfowlerrcrroll-a-iiay.com --"�-• Category; Shutters t'+^d�t�ect Subcategory: Roll-up �.J Ap�►r�rart Evaluation Method: Testing Report Referenced Standards from the Florida Building Code: Section StAndard Year Florida 1609 2004 Building Cod ASTM E 330-02 2002 "M ASTM E 1886-02 2002 &amp: E 1996-02 DCBCCD PA201-94. 1994 ' PA202-94 PA203PA203 -94 Southern STDD 12- 1999 Building 99 Co Florida TAS 201-04 2004 Building Cod littp://www.floridabuilding.org/pr/pr_dett.asp?fPT=5013&RV=0&fm=ROSrch 12/6/2005 Pagez of4 Testing Lab: American Test Lab of South Florida Inc. Quality Assurance Entity: National Accreditation and Management Institute Validation Entity': THOMAS J. TWOMEY P.E. Authorized Signature: THOMAS TWOMEY jbrengineerone,El".aol.com Evaluation/Test Reports Uploaded: PTID 5013_jATL Report No.0,126_01_(�vdf PTID 7013 T ATL Report No.()316.0L05.pdf PTID 5013 T HTL Job Nc7.0006_-_0106-03.ndf PTID 5013 T HTL Job No.406- 022,031-1.P& PTID 5013 T HTL lob No.006- 0224-03-9.odf PTIDX013 T_ RAW_D\NgNo._3- PTID 3013 T RAW Diva No._3_ 01=i)3 Lb 1)df Installation Documents tploaded: PTID 51_)13 I P.E__Ccrtificaticros of Independwnct.l�df Product Approval Method: Method I Option B Application Status: Approved Date Validated: 09/05/2005 Date Approved: 09/07/2005 Date Certified to the 2004 Cade: Page: Page I/1 Go pp/Seq Product Model#or Model Limits of Use # Name Description Not to be used in HVHZ. Span 156", +/-31 p.s.f., ax. span tested 144", est p.s.f. +/-40, Large issle "C"91b C 50Ft/s. eakest product tested to 013.1 1138ER Roll-up Shutter ualify the stronger with dditional testing to verify pan charts.All span imitations are erformance only and ay be limited further by hoice of mounting onfi urations. littp://www.floridabuilding.org/pr/pr_detl.asp"IPT=5013&RV=O&fiil=ROSrch 12/6/2005 Not to be used in HVHZ. pan 164", +/-10 p.s.f., ax.span tested 144", est p.s.f. +/-40, Large issle"C"91b Q 50Ft/s. eakest product tested to 013.2 P55DER Roll-up shutter ualify the stronger with dditional testing to verify pan charts.All span mitations are rformance only and ay be limited further by hoice of mounting onfi urations. Not to be used in HVHZ. pan 164", +/-10 p.s.f., ax. span tested 144", est p.s.f. +/-40, Small issle. Weakest product ested to qualify the 013.3 P55ER Roll-up shutter tronger with additional esting to verify span harts. All span limitations re performance only and ay be limited further by hoice of mounting onfi urations. Not to be used in HVHZ. pan 132", +/-17 p.s.f., ax.span tested 144", est p.s.f. +/-40, Small issle. Weakest product ested to qualify the 013.4 P55ER 2nd Rall-up shutter tronger with additional esting to verify span harts.All span limitations re performance only and ay be limited further by hoice of mounting onfi urations. Not to be used in HVHZ. pan 144", +/-40 p.s.f., ax.span tested 144", arge Missle"C"91b c@ 50Ft/s.Weakest product ested to qualify the 013.5 Rall-up shutter tronger with addional esting to verify span harts.All span limitations re performance only and ay be limited further by choice of mounting configurations. Not to be used in HVHZ, unless less than 96"wide (span)x 96" high. Span 156", +/-31 P.O., Max. pan tested 144",Test p.s.f, +/-40, Large Missle 'C"91b @ 50Ft/s. littp://www.floridabuilding.org/pr/pr_dett.asp?IPT=5013&RV=O&fin=ROSrch 12/6/2005 eakest product tested to ualify the stronger with dditionat testing to verify pan charts.All span 013.6 Roll-up shutter imitations are erformance only and y be limited further by hoice of mounting onfi urations. Next VariStpn �•cnr�d Copyr_q a_ndDisciaimer ;02000 The State of Florida.All rights reserved. /r � YlR��Y► http://www.floridabuilding,org/pr/pr_detl.aspolPT=5013&RV=O&fni=ROSrch 12/6/2005 s tI CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001139 Date 9/12/08 Property Address . . . . . . 1653 W PARK TER Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 26330 ---------------------------------------------------------------------------- Application desc 2 STRY ADD INCL ELEV SHAFT & LANDING NEW COVD ENTR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MASTERS, R. J. MASTERS TOUCH CONSTRUCTION 1653 PARK TERRACE WEST SERVICES INC ATLANTIC BEACH FL 32233 6207 CHERRY LAKE DR N JACKSONVILLE FL 32258 (904) 347-6827 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 165 . 00 Plan Check Fee 82 .50 Issue Date . . . . Valuation . . . . 26330 Expiration Date . . 3/11/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 165 . 00 165 . 00 . 00 . 00 Plan Check Total 82 . 50 82 . 50 . 00 . 00 Grand Total 247 . 50 247 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. , City of Atlantic Beach APPLICATION NUMBER I- Building Department EData assigned bythe Building Department) 800 Seminole Road s Atlantic Beach,Florida 32233-5445 OX 1.3 Cl Phone(904)247-5828 • Fax(904)247-5845 Q lr >r E-mail: building-deptCooab.us routed: -! City web-site: http.1fwvw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I (p .5•'� � �Gt..t'+�. I t� Department review wired Yes No Building pp CL51t t ( � 8 tJl-C Planning &Zoning Applicant: public Works Project. 4 Public-Utilities- Public Safety „Z ,"71r- Sn7ry W l4�/ Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICAdiON STATUS Reviewing Department First Review: proved. ❑Denied. (Circle one.) Comments: LANNING& NGYZII� PUBLIC WORKS Reviewed by: — Date: PUBLIC UTILITIES Second Review: []Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH AQ a �: eco SEMINOLE ROAD.ATLANTIC BEACH.FL 32233 i 192008 k. rjl OFFICE(904)2475828 a FAX NO-IMPa-580 ' BURDMIG DEPTOCOAB.US »r BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.YALUA I ION OF WORK 13.SO-FT.UNDER ROOF IU5'3 pdri� Tr?�rOCC (�l b� , �i. e�C�: ��33 ZCo,330. 4.LEGAL DESCROMON: 5.CLASS OF WORK S.USE OF STRUCTURE' 13 NEW oun DING ❑DEMOLITION 19 RESIDENTIAL LOT-Y-- BLOCK SUBDIV{3m A#ADDRWN ❑COW4ERTMUSE E3 COMMERCIAL T.DESCRF71ON OF WORK: ❑ALTERATION 0 ACCESSORY BLDG. 8 FIRE SPRINKLER S O,,z e kovj 1 n C u i R q Cl0. d✓ $ a ah E3 REPAIR EIPOOL/SPA E3 YES WA c ,Iurvpvl)-r'. w 13 MovE 13 OTHER 113-No PROPERTY OWNER: EO RACT©R: % ARCHFTECT t 0Wvff .&M 9.NAME 15.COMPANY NAME: e'lon 23.COMPANY NAME: 1 7.ona�d F NtaUfe .1 eP AaS�' rres AJM Can l k l,)C ' 16.NAME: 24.WCENSEE NAME K ana l d i -m as(6vs 61,4 C5� 10.ADDRESS: 17.STATE OF FLORIDA DISE NO.: 25.STATE OF FLORIDA LICENSE NO.: i t�53 Parti Terrace ulesi' C G SVA v U 211 / �anfic /3ectch, FG az23 18 fox x1dT �rPc�rk Terrgrn IJes� i'uhkc Jedm-bcactl, Fl- 320.qi A41alihc 6e&Oh, --L 32-2-,33_ 11,OFFICE PHONE12.FAX NO.: 19.OFFICE PHONE 2M FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: oy-29G,- (ar(o2 �to4-LV(o-52z4-� 50 -,3N - (o&27 OY-,U2-Oifr "Ioq-.2,qt.-(p6-62 I 904-, H2 5-Z2l0 13.CELL Clioy-' -'y9y( 21 CELLPHONE - 29.CELLPHONE-- 70Y-Irvy(a 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: mctsfars 0 hofhla-i!-cor,) c16)0,Y)0 crs400crlcs."I-n %0A/h ccsler's 10 Plofma.i/.Cow) E§WRZ SONDING COMPANY: MORTGAGE LENDER: IF01HMTWWOYNIBi) - 31.NAME 33.NAME: 35-NAME: 32,ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a pemvt to do the work and instaltabons as indicalml. 1 certify Mat no work or indaftion has commenced prior to tit.issuance of a permit and Mat aN work will be perforated to meat Me standards of all laws regulating consbuctiion in Mia prisdir:tion. This pemut becomes rill and void if work is not©ommenced wftftirt sic(6)months, or if construction or work is suspended or abandoned for a period of six(6)monMs at any tune after work is comatenced. 1 unijersUM Mat separate perrrtiis must be securW for EfacbicW Work,Plumbft Signs,Wells,Pools,Frarmco%Bothers,Heafiors,Tardrs, Air Condidmm%st0. OWNER'S AFRDAVIT-1 certify Mat all the foregoing rtrfor Twdon is accurate and Mat all work will be done in compliance wNh aN applicable laves regulating consfrtmdon and zoning.I w8 not occupy or use the referenced building or any part#wd,uMN all inspedNons are Ana led and prior to obtakting a oertiticate of occupancy or compiefion issued by Me buik%V official,as rued by law. �k*1111 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (f Agent.Power A or Agerrey l.~R"w-d) Orgy) Signed�c $ sl Date: fo Bere me tlaa 17 day df Awns f�.200%n the camty Of Before me a d r 2007 the of Duval.State of Florida.has pmeonary Bppeared Duval.Stab of Raids,has paraanaNy appeared 4d. 3 . Magifxs TA aiel J . C1'Conncy' herin by hhrmelr/herseM and affirm that all statements and declarations are pterin by himself/hersaK aid affirms OW all stalervients and declarations are true and accurate. Into and accurate. �//11 Notary Public at large,State of .County of {�UIJJ- NotaryPublic.tarp.,Stab or F f q4&- .County or QV V We ®-Penury Knowe i vbv=air Krrowrr ❑Produced WwW ation- ❑Produced berm8wem- Notary Signature: LLSCNotary Signature: - " WMER A.WELCHAw lo-1 HEATHER A.IMELGH MY M y DO 630160 MY COMMIS&ON#DO 630160 EXPIRES:January 17,2011EXPI;ES.January 17,2011 CDASFORM 1/1fI41MAThruNoWryPu6lcUnderwrirers arroeo Thr,FbYry aubfc Undenxgers sz-J'' I C4 of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach,Florida 32233-5445 0 8'' 1 /3 Cl Phone(904)247-5826 • Fax(904)247-5845 ram E-mail: building-dept@coab.us / (� City web-site: http://www.coab.us .11 Date routed: __ r APPLICATION REVIEW AND TRACKING FORM Property Address: Co .�.� glrk 7- Department review required Yes No � 1Building Applicant' t -7-d m C�� Planning &Zoning Public Works Project: r Public Safety71 "71r 1,w-ry WOy Fire Services Other Agency Review or Permit Required Review or Receipt Date Of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: 4 pproved. (Circle one.) Comments: BUILDING PLANNING&ZONING PUBLIC WORKS PUBLIC UTILITIES Second Review: []Approve PUBLIC SAFETY Comments: FIRE SERVICES Rev Third Review: QApproved a Comments: Reviewed by: Date: ;s L'fi CITY OF ATLANTIC BEACH O�� I I �3 I I G �Q 20(tiQ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 j/ UU j� OFFICE:(904)247-5826 a FAX NO.:(904)247-5845 BUILDING-DEPTCCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY I,JOB AWR98S. t 2.VALUATION OF WORK 3.SO FT.UNDER ROOF 1105'3 Farb, Terroce v(J(bF fI*l�,�fi� ee�'� L33' ZCa, 330. 60 "Z z 4.LEGAL DESCR ON: 5,CLASS OF WORK 6.USE OF STRUCTURE: (3 NEW BUILDING 13 DEMOLITION X RESIDENTIAL LOT BLOCK SUBDIVISION J0ADDITION 13 CONVERTING USE 13 COMMERCIAL 7.DESGRF'TION WORK- ❑ALTERATION 13 ACCESSORY BLDG. B:-FIRE SftNKLER: J S o✓y +fon 1 n r-U r/r 9 e cLd✓ 8 W fly ❑REPAIR 13 POOL/SPA 13 YES Iff WA ✓1 C4, rl�li W a VE3 MOVE 13 OTHER ❑NO fRqffJMc ARC' Tr 9.NAM 15.COMPANY NAME: fru 23.COMPANY NAME: 2wta�(d c MwUYeCi� NL«sler the a r' a S +ion COn ( k /0'-, 18.NAME: 24. ICENSEE NAME: O'Co Ronu.ld j .,lac(fr15,14/J9 c5.1 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25,STATE OF FLORIDA LICENSE NO.: 1&5-1 PQ✓k Ter✓ace u/es� C C. A A Co i) 0 2y A.r4anfie 6mck, rL az-7-,63 18.ADDRESS: 26.ADD ESS: 7e��gre (JOEP 90 &It i i�+� 14o SSS Park Pahke L)edM Ijeach, r1. .3203'4. r Al(aJ hC 6eaCh, FL 32233 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: Oy-2'((o- 6,r(o2 1to1-31!7 (,827ay-2r2-orfs" "joN-ayx t,-4, '62 a g041- yfo-S-Z.20 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: qoy- '7ar-'14y(0 110y- 511y- 'toy- '70s•-t-rry(v 14,EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: /a%rnCkOtrs `'►7as-4j0C%1CS .corn wmexslers liJofmai1•co-,n FEEN"nx"Unlia"OLAWN, ' I #F*T+6Rtrrw0MeW SONOM CQtt MCIRTiiAIiE LENOER: 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 38.AD RESS: Application is hereby made to obtain a permit to do the work and installatio s as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating Construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any,part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. ** WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ovMM or AQ&W cOW"CTOR ' �'L ,�-,^(ff Atte'x a Ageticy t abler Rerriratq crrey) Signed t &40L ate: I �8 Sign Date: Before me this�day of S( 20016in the county of Before me is da 2007 i the 4nty of Duval,State of Florida,has personally 9ppeared Duval,State of Florida,has personally appeared kovla-1 MCL fie-- -s D('-4(ej J &'Conno.- herin by himself/herself and affirms that all statements and declarations are herin by himself/herseff and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of v�Zf� County of D.U IJOJ- Notary Public at Large,State of n O�0111 Count,of oU ,A ®"Personalty Known M-Personally Known ❑Produced Identification- ❑Produced � Notary Signature: (� Notary Signature: (� *. «: MY C (MISSION#D D QR CODE CO "" HEATHER A WELCH ry FAT E OMMI rE tt MI"90•,. COAB FORM BLDG r s,' EXP ES:January PI ,�S�Januaryf'i 0 t 1/16��tl ru Notary public UndrLg LANK B P ITS FOR ADDITION . 'T., HLwf �hN P MENT.S AND CONDITIONS. OP REVIEWED BY."/%! (SATE: NOTICE OF COMMENCEMENT State of Florida Tax Folio No. 172020-0326 County of Duval 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: 34-52 09-2S-29E SELVA MARINA UNIT NO 7 Address of property being improved: 1653 Park Terrace West,Atlantic Beach,FL General description of improvements: two story addition including elevator shaft and landings and new covered entryway Owner: Ronald and Maureen Masters Address: 1653 Park Terrace West.Atlantic Beach,FL Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: The Master's Touch Construction Services,Inc. Address: PO Box 2107 Ponte Vedra Beach,FL 32004-2107 Telephone No.: 904-347-6827 Fax No: 904-212-0155 411 Lety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone 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) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER I�VM Notary: � • Signed: Date: r 0 Before me this 1 day of sin the County of liuval,State ----___-----.�-----------— — — _--� Of Florida,has personally appeared an a t d ..1. M q§jU c DM#2008214981 OR$K 14812 page 2117, Notary Public at Large,State of Florida,County of Duval. t Number Pages:1 My commission expires: JGt.I/►UGL 4 I Recorded 0811912008 at 12:16 PM, Personally Known: or JIM FULLER CLERK CIRCUIT COURT DUVAL Produced Identification: COUNTY ,,. z W COMMQSSION t DO 630160 RECORDING$10.00 E)(PIRES.January 17,2011 �l CITY OF ATLANTIC BEACH 804 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 / INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032052 Date 1/19/06 Property Address . . . . . . 1653 W PARK TER Tenant nbr, name . . . . . . ROOM ADDITION TO GARAGE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 39600 Owner Contractor ------------------------ ------------------------ MASTERS, R. J. BERRYMAN ENTERPRISES INC 1653 PARK TERRACE WEST 13103 GILLESPIE AVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32218 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 1/19/06 Valuation . . . . 39600 Expiration Date . . 7/'18/'06 ---------------------------------------------------------------------------- Special Notes and Comments PERMIT PAID IN FULL ON ORIGINAL PERMIT NUMBER 06-32031 . THE PERMIT WAS DELETED OUT OF SYSTEM IN ORDER TO CORRECT CONTRACTOR INFORMATION. Fee summary Charged Paid Credited Due ----------------- ---------- --------- - ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 u PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH „ zi1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 \ INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032031 Date 1/19/06 Property Address . . . . . . 1653 W PARK TER Tenant nbr, name . . . . . . ROOM ADDITION TO GARAGE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 39600 Owner Contractor ---- ------------------ -- ------------------------ MASTERS, R. J. WALLS CONSTRUCTION INC 1653 PARK TERRACE WEST 13103 GILLESPIE AVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32218 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 280 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 39600 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 280 . 00 280 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 280 . 00 280 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDICODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH Cc: D. Ford BUILDING / ZONING DEPARTMENT i in -- ; 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 6 -- 32-0 f Property Address: �rryrrl�-� Applicant: Ind Project: This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these item have been completed. Reviewed By: X-Ak Date: 41��C-, Date Contractor Notified: CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Alterations & Additions) Date: 1- 6 - 06 Job Address: 14663 Park Terrace LJ e s Owner of Property: f-j /p� t�s S �'/+,�• Address: 1652 15?a r k T-e ee n C eg c.J01 r Telephone: (l,,/ '71's-11-9116 Legal Description: Block Number: 1A Lot Number: /,2- Zoning District: Contractor: o-r d P-1I ACC 4C eState License Number: C•,Bc Contractor Address: a/03 6 orm4le, ,O e W l' Telephone: 56q - 5 7 7 Fax: Describe proposed use and work to be done: X I s e Present use of land or building(s): Valuation of proposed construction: Dimensions of the added space: 4ff 4fe j� , .3 2�4/ feet x feet Will this project involve: n , Heating&Air- Plumbing Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? N,:> If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the sAdifllogn of 5-% n; r v? or the removal of any trees? [ NO. Applicant certifies that no change in site grade, iar pervious area 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, NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)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 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 8/04 , t In addition.to construction and engineering detail, pians must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application(please print). Name: We J 1�hJI't��_�V-4.xl f S Mailing Address: / �,/� t o e0 Telephone -5`7 7 `, Fax:C'qO�JT7:C 769 e E-Mail: _ I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules,regulations,ordinances,or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: Q: Date: AS TO OWNER: Sworn to and subscribed before me this 9 _day of 12006 State of Florida,County of Duval Notary's Signature: MELANIE 1. NICHOLS NOTARY PUPLIC, STATE OF FLORIDA F1,Personally known My Commission expires Sept. 20, 2007 ❑ Produced identification Commission No. D0243038 Type of identification produced Signature of Contractor: 61 � Date: f 9 AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 V State of Florida,County of Duval MELANIE 1. NICHOLS Notary's Signature: NOTARY PUPLIC, STATE OF FLORIDA My Commission expires Sept. 20, 2007 �20ersonally known Commission No. DD 243038 ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 3 Revised 8/04 :. .....,. ,: CITY OF ATLANTIC BEACH OWNERIBUILDER AFFIDAVIT Date: Job Address: /" A CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE, OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE. OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN.OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DQ`-YORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH W+':�3:KERS BE UNDER"DIRECT _UPERVISION OF THE OWNER, WHO MUST BE,ON THE JOB AT ALL TIMES WHILE 'ti ORK IS IN PROGRESS BY TsiA`L,ICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED COM11RACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS•WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMI11LOY ON THEIR IMPROVEME1,1T TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF —20—. NOTARY PUBLIC MY COMMISSION EXPIRES: rrnrr. uuo ncre in.m��r n.rrr, .,,.,.m 4 NOTICE OF COMMENCEMENT State of �o r r c�li Tax Folio No. County of iD u ✓z 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: ,/e"', / /aL.F .Z � if � � ��-� � 7 5 t' Address of property being improved: General description of improvements: ' � gr_ Address: v„s,�- Owner's interest in site of the improvement— ,c x �� P�»r►-r Fee Simple Titleholder(if other than owner):. Name: Address: Contractor. Address: G Phone No: e Fax No: a -r 7•- 3 Surety(if any): Address: Amount of Bond S Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: A':iress: P':-,ine No: Fax No: Nari ;of person within the State of Florida,other than himself; designated by owner upon w�om notices or other doc-u,nents may be served: Name: Address: Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in -- Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1) year from the date of recoFding unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLYR Signed. PWAS—Date: Before me is dayo in the County of Du 1, State of Florid per ally appeare a Notary Public at Large, State ofF up o a,_ My commission expires: d�� ' - �OF FLORIDA Personally Known: rnmmicclon No, nn24303.2 Or Produced Identification: G--r---tic. CONSTRUCTION SITE MANAGEMENT PLAN Ord. 6-18 — Requires contractors to submit a construction site management plan to include the following: (1) Location of demolition (2) Grading and drainage surface water management plan to comply with Chapter 24 Article 3 and Section 24-67. (3) Parking plan showing.off street parking. (4) Fencing plan locating fencing on at least three sides of property. (5) Location of construction trailer and loading/unloading area. (6) Location of chemical toilets. (7) Location of dumpster(s). (8) Traffic control plan showing irlcess to project. (9) Other activities where special'�conditions exist as approved by the Building Official. The complete ordinance may be obtained at the Building Department, at the City Clerks office, or on line at Municode.com CITY OF ATLANTIC BEACH cc: BUILDING / ZONING DEPARTMENT L. Hi ins 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Q - 2- Property Property Address: Applicant: Project: This permit application has been: Approved 0 Reviewed and the following items need attention: Please re-submit Luappiithen these items have been completed. Reviewed By: Date: ♦ J 1 !rlo Date Contractor Notified: a# - CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Alterations & Additions) 5� Date: Job Address: 1,663 F a rk T err uc 2 tJ e s Owner of Property: ZVZZ 'i e r s Address: 1652 /&k Te cenc e 1,19)0' r4 Telephone: (?ell-- 70S-111'16 Legal Description: Block Number: / Lot Number: /,,;Z Zoning District: Contractor: �+y�� % f rr��-_e 1 (.� � /�S State License Number: Cd C Contractor Address: Telephone: 50!1 - 5 7 7 y Fax: 7S7 7 G13 Jf Describe proposed use and work to be done: J"•' t4� /oar 1-cem agZ,4 >Q s �d ! S 4-1siG 54e Present use of land or building(s): Valuation of proposed construction: oc� Dimensions of the added space: hr{,ro , .3 2' q"feet x „L y ` -,l' feet ,'S em S7N' Will this project involve: I n c. r Heating&Air- ( Plumbing 1, Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% -mare na or the removal of any trees? [X NO. Applicant certifies that no change in site grade, impervious area or fdl 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. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)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 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 8/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: sT7c- A C Telephone Fax:t' O. _ZL262 eV -E-Mail: I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules,regulations, ordinances,or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner, Date: AS TO OWNER Sworn to and subscribed before me this day of ,20 r_ State of Florida,County of Duval Notary's Signature: MELANIE I. NICHOLS NOTARY PUPLIC, STATE OF FLORIDA Commission No. DD 243038 personally known My commission expires Sept. 20, 2007 produced identification Type of identification produced Signature of Contractor: "s?se .lL�� E� � Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day ,20 V JO State of Florida,County of Duval MELANIE I. N I C H 0 LS Notary's Signature: NOTARY PUPLIC, STATE OF FLORIDA My commission expires Sept. 20, 2007 ersonally known Commission No. DD 243038 Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.its Page 3 Revised 8/04 r CITY OF ATLANTIC BEACH OWNEWBUILDER AFFIDAVIT Date: Job Address: f CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICFi ISED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, ?.S THE, . OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE- OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN.OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DCx•'-?IORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WiDRIKERS BE UNDER"DIRECT tUPERVISION OF THE OWNER, WHO MUST BE.ON THE JOB AT ALL TIMES WHILE 'tir ARK IS IN PROGRESS BY TA4MICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONIRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS*WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS HHUNG WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMI�:LOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF _20—. NOTARY PUBLIC \AV rnAARAT4Zc7nrr IIwrocc. NOTICE OF COMINJ ENCEMENT State of >c✓oe Tax Folio No. County of 7 u ,rte,/ 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: #� 7 5 ( Address of property being improved: General description of improvements: Lac 640 alp t2 IC r_s �n L� �Gl Lf.�-�.— Owner: -- �o..7��.t d' Jog Address: .=GS_ y -,ea �— ze Ccly Owner's interest in site of the improvement: c x Y(,-.g R,-in Fee Simple Titleholder(if other than owner):_ Name: Address: Contractor. Address: G Phone No: ® I. Fax No: tro Surety(if an Address: Amount of Bond 3 Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: P'-!43'ne No: Fax No: Nara ,;of person within the State of Florida,other than himself, designated by owner upon Yid- m notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself;owner designates the following person to receive a copy of the Lienor's Notice as provided in _ Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLYR Signed. (� 3 Date• Before me is day o in the County of Du 1, State of Florida. per y appear Notary Public at Large, State of �[7� o My commission expires, ART 'V 1- I J, S I f1bF FLORIDA Personally Known: Cnmmicsinn Ne. <7D26�r��R or Produced Identif on: Doc # 2006016526, OR BK 13011 Page 105, Number Pages: 1 , Filed & Recorded 01/17/2006 at 09:27 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10. 00 NOTICE OF COMMENCEMENT State of Tax Folio No. County of 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: ,Lo / /D�,F .Z 5 . A Address of property being improved: General description of improvements: ov/In tt-c/Giro ��r 6,o Or "X I sn .' t a p Owner: �G n�a /�/ /y7d� e r C Address: iG_S. P� ��p r+.te n 4,1, S Owner's interest in site of the improvement:_ Fee Simple Titleholder(if other than owner):, Name: Address: Contractor. i&zendqj1 IL rpl� Address: Phone No: Fax No: v ;7— -5- Surety Surety(if any): Address: Amount of Bond S Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: A',5.ress: V-me No: Fax No: Nara of person within the State of Florida,other than himself, designated by owner upon ve�:=notices or other docx.nents may be served: Name: Address: Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in _. Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name- Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recovding unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY taA-% Signed. Date;—q,�,,z Before me ibis _+day o in the County of Du 1, State of�FIori s pe ally appeare Notary Public at Large, State ofog hly commission expires- e 'er $ F FLORIDA 119, eW7 Personally Known: r'0g4mjg-)gM Nn. 5112A3038 Or Produced Identific ion: w - .. jl....-'Y: t .... T7 • .. r .k+ .. .. LOT /2- 5LOCK /Z SEGVA MAgINA Uq/7- N0. 7 AS RECORDED IN PLAT BOOK 94- PAGES 52 OF THE CURRENT PUBLIC RECORDS OF OuVA I- COUNTY,FLORIDA. CERTIFIED TO 'Po�✓,aco JosEvy e' M4U gffCy ANOREA A4A5Te_RS POA/'rE VE 0,2A 1-f0.97-0.4 GE CO,in PA �1 Y T/TGE /Av5e1,g;1 A10E 00M,--A AI)- OF• M/,v,_1ES o rA TW-' WUn/7 iA10710AI MO.Qr6A6ECOM�A�1�!/ %7`3 �uccE3sprS qrd/a/ ,QsS�9a5 REV/,560 SEPT l5 /997 SY 0WNE>z/4RG�trEGr� rs WAW✓056M 1445 e74t%A.I:4.fWWO E)Er-r:) P.EVISEl� L)SC.2Z,2005 8Y 0WAJd f1 A9V4t Mcr,,RMALD JOSEPH mA5TE14S,4•l•A (CHA19-LI1JK F0JGE P A R K 33. o • 5O'� 8 3.7.(o,...........'4 .ee� �tl 2�K0 CdA) • S. 9�32'S7"E.• .. . r f/ZCUO.GAP? //Z'/.P. C'APE A-' c14a1N-014K R(4CE. O.1 (,c10 CAV) G 'WOOD - r O p , O �1 . `n srrrrs /O'E.4.5E A4E.v7- =0 A? "FO'4 OP&A::5. LIT/G, Ge G LATE a9 >� • OJ•OF/ , LOT 1( b X0.0• (_07- 'Z_ STY. N STEPS. to N #! Il°53 ro fL -Z0 _ N AIG �, ldV.W°eo M roec,v 3• S J� 'Q' ti) w i r o GAZA^ N ct� - � tri fZ.Z' N ••'• t�i• '. 2d.o M 35 Q G 01 l f•' a.a coat Banc ' ,+ S7EPs JVACK •!2; ' .QEOAQ `,.fo CA Fnd•I/`t 0.4.x, O,pB . 4. CO+1C.MOaJ. �$• S Q: 4•P 47'4&" LEGEND DATE "SeIg- //, /992 8 DENOTES CONCRETE MONUMENT SCALE NOTES: x•x DENOTES FENCEI ZOZ f 0 DEN07ES IRON PIPE SE 4. u%NeR J44 NG 1.Bearings are based on Qd PLAT z DENOTES CROSPIPE CUTOUNO 2.This is a, survey. 3.Elevations shown thus (15.0) reser to N.GNA o1 1929. Richard A. Miller & ASSoeiateS, Inc. 4,Subject property Iles within Zone "X as shown on F.I.A.Flood Hazard Boundary Professional Land Surveyors 00 /a Communit No. /z OO 71 11330.5 St.Johns Industrial Parkway North Map Jacksonville,Florida 32216 dated P•P/� /�, /9 9 .�Gr1T3�oE 500 yK Floeo). 5.Unless otherwise noted,any portion of the subject parcel that may be deemed as Wetlands tom)642- 7 by Slate or Governmental Agencies, has not been determined and any liability resulting 1 HER[ TIFY T AT THE SURVEY SHOWN HEREON MEETS THE MINIMUM therefrom Is not the responsibility of the undersigned. TECH C STA IDS SET FORTH BY THE FLORBOARD OF LAND 6.There may be Restrictions or Easements of Record evidenced by title examination that have SUR :Y is,r'u nNI:r7.Z027AZMAr/. not been shown hereon. NOT VALID UNLESS EMBOSSED WITH A SURVEYOR'S SEAL R ARD A. MILLER,P.L.S.CERT. NO.3848 I'V� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001766 Date 12/31/08 Property Address . . . . . . 1653 W PARK TER Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc walkway ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MASTERS, R. J. OWNER 1653 PARK TERRACE WEST ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/29/09 ---------------------------------------------------------------------------- Special Notes and Comments PER R. CARPER CHARGE DOUBLE WWO ---------------------------------------------------------------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. LOT /Z-fSLaGK /Z 5e4%AA A4 A R iAIA C✓Al/T A/0.7 W PLAT&lfltt 3: OF D*COMM MMIC W:CWM GFCJtLvQ L COW YV.FU)PJDA K its+. 17,604 a�+ ...w 3 4 Lo r Ml }� s 2,50 ± Q L •JIB Ai G_ "tet.EpKantE Cagc.g 3`� is t lk-31 -N- G� PAR,� -TERRA E 17'8. PLAJv SCALE FILE COPY ACCESS V1/ALKW --/ TO STr{EET City of Atlantic Beach " " ' R APPLICATION NUMBER Js Building Department (To be assigned by the Building Department.) :» 800 Seminole Road ' Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904) - 15845 Z Ftir E-mail: building-dept@coab.us il City web-site: http://www.coab.us Date routed: �O D V� APPLICATION REVIEW AND TRACKIN -_77�_ //Y� Department review required Yes No / Property Address: 63 Pi -PA.r4 �r- Building Planning &Zoning T istrator Applicant: 6ky1fl- Public W Public Utilities Project: ff//L. k�4T Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: �� ^% L/c BUILDING PLANNING&ZONING Reviewed by: ` Date: TREE ADMIN. PUBLIC WORKS Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH ncr n _ CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAXAR NTS ' ' yr 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date n r +-�- ,'t_ PERMIT# Job Address tp�5? Pa-eL �{,1 fe-e ea wQ WLs+ ISSUED BY THE CITY Permitee: RaA&4 � J. M3.s4ers Telephone# Permittee Address: lroS3 Pi3V-k ltdc-f_ u.1� Requesting Permission to Construct: Access Location: (Reference to Cross-Street) CA136 Qj�rygxrbool 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) No ( Date: Bell South Telephone Company Yes( ) No (✓f Date: Ferrell Gas Yes ( ) No (✓j Date: Comcast Yes ( ) No (✓S Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervitsion of Slope te elem" located at aJ4V%#,s 104W. Telephone#: •8781 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. S. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. * kss 6eam,-, «m rtettk, \��IIgHl1 NHll�jr OWNER 0VgION1ip v Signed: PJ 1 Date:29 PeC406&v ` �v°?�ta8 20roo'0fg•: Before met is day of in the County of Duval, _k -•� �i+ :* State Of Florida, has personally appeared ; #Do 77095 Notary Public at Large,State of Florida,County of Duval. i�`'• Bonded My commission expires: � own:T l Produced Identification-.----- X/4,; -.44.9--0.0 p, �r`�1/111,S N\��\ R.O.W. Permit Attachment of for R.O.W. Permit# issued , 200_ Atlantic Beach,FL 32233 Owner's Name: &mA44 M i4er5 Property Address: 1bS;'; Pa k,Teyel4t VJf* t Subdivision: S6Va, (VIe'1Y'tM� UK�t Lot#/Block#: to I2. , R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of 200by Atlantic Beach, Florida, a municipal corporation organized"T�,,x isting under the laws of the State of Florida, hereinafter referred to as "CITY" and �, , Ma of Atlantic Beach, Florida,hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER pennission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached). This wor s generally described as: o aG d l2 Al WAt,.�i` r».w rr(o .►ua . a Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified ma'1 return receipt requested, to the following address: t(Os3 'Park-Trr %Cc. yutl* , la�w{tic. $"tet,., FL 32233 The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly snake any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the pen-nit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY, including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." Page I of 2 The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty (30) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this pen-nit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and emolovees shall be saved harmless by the USER from any of the work herein under the terms of this The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty (30) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this day of Dtu 200 By: - S Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this day of �ou '21ry�k�,Q�✓ 200 , personally appeared before me, a Notary Public in a d for said` and State, '{� 1d rrla,�k,�5 the property owner of 1653 (irk Terr�w a& , Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instr`wo ��i�}� acknowledged to me that he or she executed the same freely and voluntarily and for th, '� s therein mentioned. e:�•�M\SSION•�•.�cP� Notary�ubfic�infor�said County and State =?; #pp 77s1s6 o,�• .o� 9•''iii .2_.di•�\ CITY OF ATLANTIC BEACH, FLORIDA, a '%y;�, oic'S'7no� �`��\ municipal corporation: �q ZApprd: Ric . Ca r,Public Works Dir ctor For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 of 2 3 :F Impervious Surface Calculations % Formula Find square footage of the following: House footprint 252 R` Driveway Z Sc 4` All sidewalks/walkways � j..cy M AJC pads Detached.garage/sheds _ Pool Decking Patios, terraces and/or decks , _ _ _ Sd a 4-` obi A` Add the total square footage of the areas listed above then, divide the sum by the total lot area of the property. �1 7/ (.p4-- = ®, 2'361 5/14/2007 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001458 Date 10/27/08 Property Address . . . . . . 1653 W PARK TER Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc wire for new elevator ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MASTERS, R. J. BILL THOMPSON ELECTRIC CO, INC 1653 PARK TERRACE WEST 49 WEST 7TH ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5601 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 39 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/25/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 39 . 00 39 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 39 . 00 39 . 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 i '0 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O n� OFFICE:(904)247-5826 9 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US y ELECTRICAL PERMIT APPLICATION DUVAL COUNTY ;-A.JOB ADDRESS: . .. .', :;;4Sd/.�� !.i.4. ' '2€IS':,THISA'SUB'PERMIT:'r'^�k !�...p�a..d &48! .a�s�. it,@ t.9:1i DATE �.�,t,'t1.Rta.:SONO , Atlantic Beach FL 32233 YES PERMIT PROPERTY OWNER: 4,NAME 5,ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: ^0`1 Ale �.c/e--z � 70S-- zfe06 . *;ELECTRICAL'CONTRACTQR IItMM0491 iWA t �."01 �Il seal ..SII, 7.NAME OF COMP ol6 /{ 6.ADDRESS.: 9.STATE OF FLORIDA LICENS N0: C 10.CELL PHONE: 11.FAX NO.:2,10 � G 0- 12 EMAIL ADDRESS; - 13.OFFICE PHONE: 14. -C C, LZr✓l -C LOC,,I 15.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 rk is commenced. CONTRACTORS SIGNATURE: i:16.CLASS OF WORK:'; t 17-SERVICE:+,I:lot_?IRvx.1,.,!IR9 .tII6411?4 i!k4!ne t8a'METER"NUMB a l Iq 3ddll6 Io k:Ilaoa. 1.o llla` ❑ MULTI FAMILY-#OF UNITS: ❑ RESIDENTIAL ❑ SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING. !ai ll.;19.CURRENT CODE: ,v.laaa,.,aut ...,... , }ALTERATION ❑ SIGN gOLD ❑NEW '05 NATIONAL ELECTRICAL CODE ❑ REPAIR ❑ POOL/SPA ❑ REWIRE ❑OTHER: 4 t:9al• FI9tRa �B[9RiEyw� M � � `i , S4 20. TYPE OF SERVICE: ❑ OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPICITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24. EXISTING SERVICE SIZE: AMPS: 7-W PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT& M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑ YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: ` 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS:_ 31-100 AMPS: OVER 100 AMPS: Iii '{a !Is,+,sa.tia�„f„ ., arf:s;a„r�I41c.a;dr,1.,!!�:32`AIR'CONDITIONINGaCI ' i11@4#IddtdAlilVIkF>arll�9ll IIIA a6lllVpPitk. I° #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #41'€ r i..,."...,,?Ia°.,S� CE i1€4's�E" sil!1.4da_Ifv?@411I?tltE II a9lllai9El El tr# s3E I10I33:';MOT.0RS:. Ir 3i' NUMBER: VOLTAGE: 30 HP: Z- KVA: NUMBER: VOLTAGE: HP: KVA: :°.<. .eeellf.'ele`.al�iil..l .�34:!TRANSF..ORMER$tiIIIMNNM ;hu -.,., I.. UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: !�Sr�701!;s4f!:�35 MISCELANEOU ;REPAIRS:�kll I DESCRI E IN DETAI - COAG FORM BLDG02:REVISED:8/13/2007 .r CITY OF ATLANTIC BEACH ¢y 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 u - INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029351 Date 1/18/05 Property Address . . . . . . 1653 W PARK TER Tenant nbr, name . . . . . . INSTALL SHUTTERS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10674 Owner Contractor -- - -- - ------- ---- ------- ------------------- ----- MASTERS, R. J. ROLL-A-WAY, INC. 1653 PARK TERRACE WEST 10601 OAK ST, NE ATLANTIC BEACH FL 32233 ST PETERSBURG FL 33716 (727) 576-1143 -------------- ----------------------------- ------ ------- - ------ ------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 85 . 00 Plan Check Fee 42 . 50 Issue Date . . . . Valuation . . . . 10674 Fee summary Charged Paid Credited Due -------------- --- ---------- ---------- -------- - - ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total 42 . 50 42 . 50 . 00 . 00 Grand Total 127 . 50 127 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODESL BUILDING OFFICIAL CITY OF ATLANTIC BEACH Cc. rL�l,f J3 -D—F- - d J' = BUILDING / ZONING DEPARTMENT �Doerr S� 800 Seminole Road S. Doerr J �r Atlantic Beach,Florida 32233 (904)247-5800 NrJptl�r� (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # L:4- ZC1-::S 's' Property Address: ( (o E) L�-) Applicant: �a LA—- P\- W Project: 5 tom=jai Z.� 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: �� (pa �r1 h F' City of Atlantic Beach • 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone:.(904)247-5800 •FAX(904)247-5845 •http://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS,SKYLIGHTS AND GARAGE DOORS OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION fes, ,Q Date aY f Address where work is to be performed j b' '��'eMYaCI U�J'Q�/� �1T 9 C40) Applicant L10 V1?t01 Address IK3 6 air ,ulk t-xa G , A�� "'Pho 2 '�-2$ Sety Marw+a Legal Description: Block Number l 2 Lot Number 12 Zoning District�M 10• '7 Contractor '�f&T/' (54v 4- to License Number 5d(2699J541 . Address Phone .��— �(o City o �e�`� State)_Zip -737/6, Fax 7.)L 7 --S" Describe Proposed Use and Work to be Do n_ IN 4 �l-U� �1 V�t�rS 11V' (N��v DI�U�n.wtt S • Present Use of Land or Building(s)' Res-l�CA--. ao Valuation of Proposed Construction ' ( yi(674- Building Date: Mean Roof Height Zb� (ft) Building width 3�, (ft) Building Length '� t (ft) sills Roof Slope *Window Elev.1 11 - 14' (ft) Window Height (ft) VarttiS �/aY�C� Window Width 4' •IV_(ft) Measurement from comer of building to window ' ( (ft) 0 $ 5 *Window Eley.From Grade w \� FILE COPY Jerry E. Hicks, Contractor //��, � CustomerName:%�t,-n� { ,��c��pertyOwner:CYYN Address:]LL-3 V c Q� - Unit# City, Countyt� 1�1u c-cc. Phone# q(0 c6 7 j / Single Family Residenc Y� I. STRUCTURE: Masonry Wood�V' Concrete— Aluminum_ Other (specify) (Window Frame: If opening varies from above materials, indicate type: 2. ROOF SLOPE: Less Than or Greater than x 10 degrees 3. FIRE SPRINKLERS: Yes No z 4. BUILDING HEIGHT 5. COASTAL ZONE Yes No "T—s" he jc.h't s 6. CONDOMINIUM/ASSOCIATION APPROVAL: Required Not Requited 7. ARE SPECS AVAILABLE: Yes No 8. PSF 3 7• 7 ALL DRAWINGS MUST INDICATE THE FOLLOWING: FILE C I. CORRECT SHAPE OF BUILDING 2. ROOM TYPE (Kitchen,Bedroom,etc) 3. OPENINGS WHERE WINDOWS OR SHUTTERS ARE TO BE INSTALLED. 4. WHETHER SHUTTERS ARE MANUAL OR ELECTRIC. 5. MAIN STREET. FILE Copy 4'"2(7VED ,11LANT1C BEACH '00 0ING OFFICE 0 8 2004 D&R.NOFL.60502..._ t'rv/' Storm �. Security Shutters \dress Awl< City Opening Track Width Track Height Product type Plans ID I - I I I - I I J i I The Dream, Inc. :2. O� D&R Shutters, Inc. servcing � � � servcin9 Brunswick, Savannah, Jacksonville and the Beaches H�lton Head,Beaufort& Charfeston ~�� STORM#NOSECUP17YSHUTTEPS from Amelia Island to St.Augustne Home Office& Showroom Rt. 1, Box 75T(Hwy 462) •Ridgeland, SC 29936 1-888.765-2929-Fax 1-843-717-1749 ue welm".11 TO: ( C Pa Q�^7 b� DAT E2� JOB NAME/LOCATION (CD &)A )� rn 7 s JG ,5_3 C _t`-'T (t L� JOB NUMBER JOB PHONE The following is a layout of home or business&is an addendum to contract Q�d geA � 2 if t Authorized Signature?,/21 Date of Acceptance: Signature Signature --CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION -- _Lj ATION INFORMATION ^ _ Permit Number: 23804 --T Address: 1653 PARK TERRACE WEST Permit Type: FENCE ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: 2,991.00 _ OWNER#NFORMATION - _ Date Issued: 4/08/2002 Name: RON MASTERS i Total Fees: 10.00 Address: 165.3 PARK.TERRACE WEST Amount Paid: 10.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/08/2002 Phone: (904)396-7771 (� Work Desc_ VINYL COAST CHAINLINK FENCE PROPERTY OWNER 10.00 N, • ,' vN_ ,k 'fir y � y A a w 2MZi 74 SRI t.�.n'-0`��V�a-,� 4�. x��"'':�'',yti „•x Mi � � i - t e.�t� ,�, �. -*g � rJ,r� „�.-"ter. 1sr,�• , ��`�`�''T `� � fi�«.,'"E�' t�J�,Ky, �• �' " NOTIC >, R T AX i; , &T 41 #�` TES#NSPCTION z: -- E3 -.moi<=+`Cats i rw-ice" ..- .�Y ,,'"` ,,hr Y+• :, " BUILDING MATERI $# ^�� TD 1i�3 LIC SPACE,AND MUST BE CLEARED } P3CR? CTEQTV "FAILURE TO COMP , I A IN THE PROPERTY OWNER ISSUED ACCORDING TO APPR R T' Feil ' ND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE P --� I doer: DSMITH Type: OC Drawer; I I x Date: 4,'12:82 81 Receipt no: 48815 14 €HERMITS-BUILDING 1 o113.E�€I AT IC BEACH WILDING DEPT. Trans number: B8 56r CK CHECKS 14288 $18.00 Trans date: 4/1.2/02 Time: 18:55:11 I V F:r BOW ED 444 APPLICATION FOR FENCE PERMIT Atlu-nzic Beach SUM" ard Owners name-R&riz lcUAac�4-er--S-----------------Phone 246_97el Job Address-10--3---- Lot__, ,_Block and/or Unit #_,z SubdivisionS4f4kAa9li/A- Contractor if different from ownerCe .�it/ _ Valuation of fence t Z �•�D _ Corner or interior lot,[1Yz2t-R/DYC_-' Type construction q C ajL4h _ 'rLitic-`Z Show location and height of fence as well as location ot street(a) . ; Owner signature Date_____, , Contractor signature 04/02/02 08:24 FAX 9043564556 KBJ ARCHITECTS [�jOp3 MAP SHOWING SURVEY OF « (_OT 12-254.0C /Z A5 RECORDED IN PLAT BOOR 34- PAGES 5z OF THL COMM PUT IC RECORDS OF 01— ca CEFTIr1EC IO AGNACL! k73C as J Mqc hCC aI A4049A HASTE S7-&n"nQ7' TrTLE ouAlQeury Cl2if-rPauY r�aFaav t. Baz�I.c�TT, P•A �� + p A 4 K �9.�d 8�.7Ce' •reoa ^' o S.ll' 54.50 �• 1/`Luo'eAa7ti (yp ,C A m G'r-aoa O I � sexes' e 8P•i' I'•fir, Fo 4 O12Nka.4i UTrL.. N ws d dv Lt77-- 30,0' Y tOY ;4. AM ^i I 5T4 v5 S d AV(453 m Is' A 20- . y .ems b kl _^ 17,1 19.C' tay' �.•I, 'S S}• ' a� p1p F�K��4'w i1O11 W�- Q q w 'd1• fo9.s$' A.4.47'4&" AeC:46.rb r 7"��',QAG� pQ,4lc' cvo � REDUCED COPY NOT TO SCALE iZEVIGED+ FEm.2G,ly9F3 - IZeGR Wlr_k:e(7: f=61,IZ111378 TO SL4OWINPICOLCICIrY6�r4H•47D LEGEND WE � •r/ �'�� NOTES- • al NLilFA IUNIr.11L 11 MIINIIMLNI SCALE - I""'- . •c luw�lrs lull�InPF rL✓p n+.A+: JO@NO /+'ozr �bGOtO nC�T • ulnlm.luau rn,InuMu .. ' Har1I11t,��11�lIJ�l 11 YII ,. ._ ._ A III MIIII tilIN6h UII --�� '2 fills lS __._..._____.'��'VNpd'¢✓.... .. .•urW^� ] Elavbiaxli bllOwn Ihu*(150r ICICI 10 N 0 V 0 111 1929 Richard A.Miller&Associates,Inc. 1 5uble[I yl nyilty Iles wuhlu lOnz_�__ii GllAwn vnF IA I•luull Vlilil tlBwuNl•ly P(U(eis(nrldliarVl SurMeYfrrs Map rQ CWrlimmi Nu__._. i7 9� .___._, IIOOP591.Jm(m IndurerW Parkway North tlilCll i� rr. r� Ivo 0.. G[.Q7G,) AOL III Hp10i 12215 51IrIIe9%ulni'Iw1S,11111wi„uly Onrhnn allha.,IIh1 nl pilled t1mllrluy I (I"O'ludrK WalLnul• 19041612• by S1iia UI GOYllnll}pill I Ay211L'ICS,IlbS uul rain VtIGlinlilCll Onn nrty 114011lly,ICb1110009 alb L' Ia1 I IRI IIII aW lvl V SIINWN IILXLUN MIrIS IM MWIMUM Ir1C(Chorp Is nut IIIC faspunslbdify of IN and Igned 11[11 C 51 15 5fi FOAIrt 5, INE FLOROi 5U 10 Of !ANO S li}erela,py ue lieNfll i:llUl}5Vr(;Igpmanl}qI RGCVrll pvlden O011 bylull:a.nli Nlld:IUII lb,I1P.e rillI. Y n.:III ,lyaur fornry}t'(I;:u ylA Fyl net bw 0flwn IN:u:uh r �' / •I///� ZZ % / R 9V7 VAi10 UNLFSfi LM8055Fi Wlip i SUMVk1Oi S%Fit A AOA NJLLE ,P.L..CERT.N0. ® 1' 03.15/02 12:02 FAX 80435945 6 KBJ ARCHITECTS 002 e FROM : DUVRL FENCE, INC. PHONE NO. 904 260 4747 Feb. 22 20182 07:00PM P2 DUVTAL VMCX, XM. 11566-2 1MlY=Ttf% nw. Jaatcsamsil.le, FL 32236 (904) 260-47/447: ZAX. 260-4256 FROPO$AWCOxT hrT 02/22/2002 okwtxm= Iafogoatxont III Zugo—tLon., RON 14MTERS SALESMAN: GARY WINCE T H:246-8781 9"Kh856-1031 OR 356-4556 1653 PARK TERRACE WEST ATLANTIC 'OEXCH, FL 32213 Notes: KrNG L7' 2 * SISING GE1T351 EA 10'X LC%kTES � ALL POS" N C v�nb.waarrt rwu�v:r.rr6 ewtw uwe wswda or ,�yF7-DGAE1Lit,-8.•8` TOP Rw f-6/8' • AAxY OYQLE YA S�y1RR d2' 5..320 FT 4113ZGH ALL SIAfiCCK VINYL CHAIN esu Pear Act tw eahaare Pvc a snow eznfa LINK TRIgCE,9-GA. SPIRE, 1-3/8" TOP FAIL, 1-S/6" LINE POST, 9-GA. BowaK TENSION WIRE, 2-1/2" CLA60 IWO unDaa anIt Hoe VM, CORNER, a GATE POST. ,7. ; + ie"�P �a•` °° ry 2 ' SA 4 FX 4' SINCZE MATCHINGCp►TES 1 ah 10'X 4' DOUai+D MATCuIN4 @ATB INSTALlEU. .. .. . .$ 2,991.00 PRICE INCLUDES MATERIAL, L.AAOR 4 PERMIT TZFMS: 258DCWN,6RLANCE DILE ON CO2WLETION. w+llS,MIN, Zft' agrees to gsaeatan Above,gown to IwO e7}jww"ON asqdieed:as the awrob T'xee ismm date ten i.o aceta-Imaw iald"=3wpI£Ce mw seas. Additioaii chug" Sos ARV mon woken 08t Grieved.!.m WMA Ltivm rmm. me, .hall advise tba asatoAes as to iadal d`000*�Aea that wsr rrMaat-1 III %I-asA6abs,9 wiiL SAse be, 2501 ZeQUTAtiofa tilt respowalbLUtir gco domply1ap rdth said ached. Me £ail aaLnt aE ba" ae®tzaat s1ed+h ww raq¢Tarieog and ebtaihiaq fmy"•g.a_,_w pma;{a mIi ;weft additieaal ck=ww will became Dwrabia aaa eeweleasen of Ali vibe tba eustaets. hEnM a'==, ah@. rill aasiss tis refry rbowww as an Le ass,2"1 L.L..d. awtasmt, df- s+w(vaat, i"a actmmI VOIRI0r am £w. :•e to A dipmas db mwe 44 a Sias !'N 0I (os a MIALwa m•E 1e,ameatad, but armor he as,atam" 419ae,DWM !>OICa ala_ aI ease asssa. zur swuryxwenlbf.lity mfoaerp3pq 8e°pP�S UUM go in aw Qws1w to awpois that ane amt Ault ey.tlalaftt d repro• aitch "or 9b--+ae +a,-aaoaraey. if faw oe-ty piss narsfsk 7e, +41019101 4d Nf1r f..Rk iiwiand, MIL wa.Lft1& wI Snowed it 1d tatloa>w-ded that tba aadin- lefm tke Os+egastp khae 1pxqpactw wE D %2L rxwci' nw. ant3,3 113 1uvaLava Lve:tsia3a9 to this job ase din 1uu. oc myM W=M, =c- x11.3 -%I tam w.x+et,Bwsibil9.ty Ear bad snaoraL is scanted to LOVA=.�, wc. is�avant aaccess and tmdem axama pdbL a ut313t1as i scogLed 4.4 eszskad_ Xowcwos, mq pammt ww" Um tmw a£ Uma agauagC. nw austanar Mn roR, 7ih1C. PADva*$ no £efs hl®athwd sees to pa!811 iratezast amnlzus t= k ADZI20aar 31aes, or notLar aamarbed bariad lines " avllaatLan off this 6*t ifsctiladi", tact ZLaS.bnd. ee ay objeebs. Abe afWtINAI .NYf ww we 411 linhilltV Eve widr attawway'd few acd coaxt amt. dammI -ad liy disoatisg DMOA WXD , I=. to dial Lu the imaadisto eiaiaitp of l=oan atilitins. Sae Fl..ai hiu�vi1.1 Tawe based eta the �.a+�f �o„ylst7ge of daua3ao Munk aar.khus+esti arssEeae,ed_ hdjuAe�tA {� aAtostal aged ea tms SoD 4" 442Astmonls fee labae will be i>'ed 6 ] lsoe roe, CUBt*MQri ce�atraat A7d013>Lb: .d0 r GL'1 l�'MAP,oc Aq t late Dr7wa PIL;Tb�L+ltitf �rdr�' # ' 790-00 A-wVted, fez DUVZLL ZzVICle, INC. : Duo;vac mpw�i M 2 I ,0 risrD�aesan Daae r' I&ARTMENT OF BUS Al"O it OF ATLANTIC" # .. .. OI OI LOCATION I�NFORMAT I ON I1 ' MAT HUmb" r: ^ 7:5,16' Add ; sl -L T RRACB NEST {» �y MECHANICAL tA 3223 ATLANTICPZACH., FLORI C a ;Wo ►L RTI 3H . . _ . .�.. LEGAL .D BC IPTICN- -. "------ A ~.:�. --- � : OOtI ` � Lot. H Iao 'Seotion o s-eU ti^. INGVEFAMILY", Town��ip 1;I inq 'I 'COAs: Qubd vi on., ° SELUALAIwtINA ,. ma Ta . I . .CC I 6s.60 � ' � 93 i '' I TING CENTRAL HRA ' ANO AIR SYSTEM.,-, - -' APPL I CAT I CH PEES AT t65.00 Act TERRACE HAST 'RATER IMPACT FEE .0 R; DQ0, OAS-0 R S $0 .0 . . _. R C> PORATIN RADONCSA, 5$ .0 Name O RT CAPITAL I1lFROVE, $0.6 TAP^ ? ' �I�3RAULIC SITARS $0 .0 'n OR" c � , ACT ION0, SEC H .IMPACT PES $ty " I sem- f ES) �� 1 I i j 'NOTICS =A�.1:COI!Ncl �tl FCRMs ANt��oOTI NOS MUST 6lE 14SP9C lE0 e�t�ORE PO MNQ PEAMIT VOI0 SIX MONTHS AFTER DATA OF.ISSUE tLC711Nt3 MATERIAL,IAL,RUBBISH ANb,L1E�3R.iS SROM THIS WORK MI1ST NOT SE PLACER IN PUBLIC SJ'AOE,AND MOST BE EA IEt ,UP AND HAULED AWAIT BY EITHER CONTRACTOR,OR OWNER, , ,, ` ' Ct I .PV. WITH THE I�IECHAI�tICS' I.I,EN LAWnCAN RESU IN PF160f ' '+C? Il A1fIN i TW1C BUILt IN+ I I"OVEIIIMEN UE[3 A.66006046 TO APPR Etk PLANS WHICH ARE:PART OF'IHIS PERMIT ANQ�$UBi ECT TO,REVOCATIQN FOR OI.ATIOtN OF, PPLICABLE PROM ONS OF LAW. 1 ANTtC EACH ouiwING 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 I, II, III, and IV. LOCATION Street Addross: OF Intersecting Streets: Between And INUILDING Sub-division IL 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 i ccordance with the attachod pians and specifications,which are apart hereofandin accordance with the City of Jacksonville ordinances standards ofgood-.practico listed therein. tL 4 of Mechanical Contractors Contractor (Print) Master #tomo of p ,� hoporty Owner Signature of Owner signature of Or Authorized Agent d��C Architect or Engineer Ill. 69I0AL INFORMATION A. Type Mating fuel: 6 IS OTHER CONSTRUCTION BEING DONE ON ir eeftic THIS BUILDING OR SITE? -nn 0 Gas—Q frl ❑ Natural ❑ Centrel Utility IF YES, GIVE NUMBER OF:CONSTRUCTION 1 Oil PERMIT IV. IIECMMIM& OWWMMIT TO N INVALLRp ��tesidentlal ' ORIk (hevid� lid of eempoaents on beet of thn` j or ❑ Commercial Heat, Q Spate ❑ Reaped Centiol O PAW ❑ Building Air Conddienino: ❑ Room CeMnI Ing Building Qrct Sys"; Mas..l.r Thhe� Replacement of existing system Maaimsuw capecity, tf a4 ❑ New installation(No system previously Installed 13Exte Rofrig"tion ❑ nsion or acid-on to existing system i ❑ Other Specify O Cooling towers CepaEfty 941l^ I3 Fire oprinM": Number of (W& Q Hwetw 0 Monlift ❑ 6ea1ater..�__w(nsss ►j THIS SPACE FOR 001N E US*My Q 6aeaeo pe n►po (number) ( di Q; Task. (number! Ramarkt Q LM oosYsin'ik ., (number( D vetted pses�ure waw j 3 Other — SBecFit► 1 ST AU !I UIPMENT AIA CONiDI OKING AND nFRtGEmnoN EQUIPMENT > iF >Aco4ei Number xanutaadu+erj� * ' ►` �►Cl ,>son.», Ii pLAc>ira Der>la toi orlptfon ata4d I9umber >K r A TANKS 796w Macy Wmallud cep"t r Ty"Up" Naar at Serial Dlaaealeioes ContatnW bye No. r "ANTIC BEACH FLORIDA 2/1 NAME Mro, R,ouaald J. baster ADDRESS 1653 Perk Terrace gest CITY Atlantic Beach, FL 32233 Install l" service line ger job cost record attached 375.73 _ Pat T- f:� When Signed, Dated and Numbered, This Becomes an Official eceipt MAKE CHECKS PAYABLE TO Received Payment CITE' OF ATLANTIC BEACH, FLORIDA TREASURER CITY OF r °cu is Fed - 96%6d4 da 716 OCEAN BOULEVARD P.0.BOX 25 ATLAr'TIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 i�ZC;PI V r- Z.� MEMORANDUM - January 29, 1991 JAN Z y 1991 To: . Bob Kasoy From:' , ' Don Ford Re: Masters Water Tap,:,:. a, - 1653 Park Terrace West Yy,.,.E .L t ... .. �n.....:.t --.5.,...+y..w. zrv.rf ,w.W.•s'F ..,y Ronald Masters has asked the Cityfor` an'estimate to install - a 1 service" line to his house in lieu of replacing the 3/4", service which is now barely supplying enough pressure to service his house. . On 1/11/91 the building'department sent a request for a price quote to public works.... The price quote was returned on 1/15/91 but was in error. After talking to Teresa Blanchard, a $85.00 credit was given for thy existing 3/4" meter. Mr. Masters has requested that we also credit him for part of the cost of the labor.- He feels that the City is saving the expense of, replacing his- 3/47- service and,; .< z that he should not be billed for 100% of the labor, cost.; ' Please- contact me as . soon as possible to complete this price quote for Mr. Masters DCF/pah... cc; City Manager r c A gnw Iv_vVV . . . � Q't, $,l1.lorsPrL GVwtt ct �itt�,o Q�. GJnko y- 000 401 117A."cede . raz7 jMOM-' ,.,ERVICE 3/4" to 1" .a_: . .r.,:_, ,:, RON MASTERS 1653 PARI: TERRRACE WEST 3 356-9491 )OB COST RECORD. r i DESCRIP flOh:; QTY.r MATERIALS ;'LAB0R f TOTAL�. A :w•` 4" X 1" T.S 1" CORP STOP 1 11 .30 1" MALE ADPATER PVC 2 1.14 • . 1n 90 L PV 3 1" GALV. PIPE ' I" S + .170 " Al CURB STOP ;zz "" "' "" "` 1" METER -' 1" 60.b0 cre it for 3 " eterl— $85:00)-•- k: RUBBER WASHERS :'t it METER ENDS 2.. :: 12. _ l • SUB TOTAL $139. 9 z= 2 10% O.H. 13. 0 TOTAL 3 MEN 27.45 HR FOR 7 HRS 300% O.H. $57J64 V— $249 249�79 , TOTAL .� mATERIALS LABOR TOTAL TOTAL `1521.99 1 $249179 402.b8 t 'Ml �1; 17CPQ�ISF$:- F�C:• 11 OTHER LOB EXPENS $140-bo t. * TOTAL COST ,. t.l 140 0 TOTAL SELLING PRICE LF x LESS TOTAL COST �.ir.(.J.p`.G3a�,.,.a..,,X spS..i.. ..r.t:..r t r ♦ r'',..., 21.. GROSS PROFIT LESS OVERHEAD COST. OF SELLING PRICE i X TOTAL 140 0 L b 16 - - AT1ANTIC BEACH - CITY OF JB'_IC wave nti PART�'r Pates CQUOMMM APPLICATION FOR WATER AHD/OR SEWER TAP APPLICANT HAKE ---- !SAILING ADDRESS l(6 --------- - PHONE HUMBER__(. -_ ------ DATE ----------- SERVICE REQUESTED_,,,,/ ------------ ------------- `+-.rc _.._ � d ' A �•T[ i YyM*' �" ?,2 'W,'.. axr} 4 _.f• s5 S y„yar x r •1 / 6S3 : SERVICES LOCATION '°° ----------- — -------= C- -------------- — 3 -------------------------------------------- a � � DATEfr SENT TOF.'a' DATE RETURNED t t PUBLIC WORKS_ !j 7 TO BUILD. DPT. �__��S��t 91 DATE OWNER NOTIFIED--------------------- ; RECEIVED fi , -. : . JAN a: FjjauC WORKS 1 r ,�'�,, +r�, f 'i ° r�:x '�^-c �� *'" t`� ;.5.r 5`;vs �,.»,.;'{et, x^ r - .� °,.t'e' x,g, •':'F.", ~ Pa n�. '�x F 5.� tw � §"," x hr'a'F t°eSl� 4R' itiEC z .h� i'?'` �Yr 1 fir": r t a N, , ( �k' ,.r.� fir+ w '• ,� �' `. #,;wa ,. .,:VICE 3/4" to 1" RON MASTERS.__ 1653 PARI: TERRRACE WEST 356-9491 )OB COST RECORD'. yr=rDESCRIFTION--'_'`--+j'--�,3~r QTY.--4--MATERIALS-: :::LABORTOTAL 4" X 1" T.S 1" CORP STOP 1" MADE ADPATER PVC 2 51 .114 } 1"'90 L PVC ' (� } 1" GALV. PIPE } 21 ' S I S 11 AQ PVC PTPE } ' } 1 I CURB STOP 1" METER " (` 1 60.100 cre4it for 3 eter' $85.00) i RUBBER'WASHERS 4 1 - 1" 1-rTER ENDS 2 S12.00 I SUB TOTAL 1 $139.109 - - - - - - - ( 13.901 � 10! O.H. 1 _ TOTAL 3 NEN ($27.45/HR) FORIW HRS S192JI5 30% O.H. 5764 } TOTAL $249J79 -173 11 MATERI i LS �4BOR AL TOTAL I !;81521.99 , 'MIS 106 ECPENSSOTHER 108 EXPENSES ( � � TOTAL COST : 2 TRUCKS TOTAL SELLING PRICE- LESS TOTAL COST �r - s _ ._ -• -- Gaass PaoFlr ;1 LESS OVERHEAO COST 'd OF SELLING PRICE TOTAL ql40ljT I 5 X� 33 �cSlQ j. JAIJ 1, 1001 � CIV OF kILklmrz BEACH p t611C 1'�C'rc4�e CITY OF r�'Qat c Ve d - �eauda 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 MEMORANDUM January 29, 1991 To: Bob Kasoy From: Don Ford C�-r Re: Masters Water Tap 1653 Park Terrace West Ronald Masters has asked the City for an estimate to install a 1" service line to his house in lieu of replacing the 3/4" service which is now barely supplying enough pressure to service his house. On 1/11/91 the building department sent a request for a price quote to public works. The price quote was returned on 1/15/91 but was in error. After talking to Teresa Blanchard, a $85.00 credit was given for thb existing 3/4" meter. Mr. Masters has requested that we also credit him for part of the cost of the labor. He feels that the City is saving the expense of replacing his 3/4" service and that he should not be billed for 100% of the labor cost. Please contact me as soon as possible to complete this price quote for Mr. Masters. DCF/pah ccs City Manager FOR OFFICE USE ONLY Date......... .........19 Permit .....Fee$ CITY OF ATLANTIC BEACH Valuation $ FLORIDA House *./� ................... ................... APPLICATION FOR BUILDING PERMIT .......... ......... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that list of sub-contractors be submitted to this office so that licenses can be verified. Date....,46- ................ 19-71.... (gy Owner... ...(---NAM...J,... ---------.-Address-5461,---- n Telephone No..74 Architect. __ P. ...M_ASTZ��,&..............Address._J*. ....A�. ....VkZC7............--Telephone No...._._......."........... Contractor Builder. -Y Lo _ 2JA a...Address._7322-1.1.......__........I...........aleR4one No----------................ Lot No........ Block No._-----1-L..----------------Sub Division-S?).va....Ma rwa.- it-7.......Zone................. ----------------------W-1----BI I F�9.rk-_T_ er r9 Between...-•--..........I................. --------and......................................................Ste. Valuation $--------------------------------For what purpose will building be ...Type of construction...-p A .(_y' I . ......... Dimensions of Building-_`_,I1.–t1_-...... ----------Dimensions of Lot......US..........]-,5c).,-_----------Size of Footings-&-x-24 ........... Size of Piers. __----------------------Size of Sill's----- ......Greatest Sill Span in ft..........................Type Roof....--------..__......_............... TP How will Building be Heated?.4�4c A---141FA . ........willBuilding be on Solid or Filled Ground?--- ................ I( It r7 Size of Ceiling Joists_......_2_Xs......---------- Distance on Centers........ C) ------ Greatest Span........I I/– –0 it to ---- ---- ... -------*-------*---------* ................................. Size of Floor Joists-----------�Z ----------- Distance on Centers...... ........................, Greatest Span........1_ ............... to Size of Rafters.---------- -------------------- Distance on Centers.. ...................... Greatest Span.........1217).'(............... it This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 4- 1. When steel is in place and ready to pour footing. rA 2. When steel is in place and ready to pour columns and/or lintel. 4 3. When steel is in place and ready to pour beam. 4. When framing Is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical Inspection by City of Jacksonville. S. Final Inspection. J Note: In case of any rejection,re-inspection MUST be called for afterF(IRIRi5 !4 4mo corrections are made. GA&4 G5 FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance wi*--t2re\attached tl and specifications, which are a part hereof, and in accordance with the building rF . regulations of the Ci of A _k Signature of Builder, .......... .... .. A/ Signature Of Own - -----rl- Address...JAC&X.AN"a/...I........... CITE` OF 4g!- 13 - " Office of Building Official l REQUEST FOR INSPECTION Date__ r- " _ Permit No. Time A.M. 3eceived _— P.M. _ /f Job Address , .� C Locality \I-mer s 90 GJ /) t `S f� ^—' Contractor 3UILDING CONCRETEELECTRI ' PLUMBING MECHANICAL "raming 1 Footing CI Rough Wiring -.EiQugh Cl Air Cond. & 3e Roofing C Slab F Temp Pole C: Top Out G Heating nsulation LintelL' Fina! C Sewer CI Fire Place Pre Fab READY FOR INSPECTION A.M. Aon. Tues, Wed. Thurs. Friday-----PM. / A.M. )spection Made r ___ --P.M. spector- _ / Final Inspection 1 Certificate of Occupancy Date - ---------- —._ CITY OF ,4&.z 9 nni€- Office of Building Official REQUEST FOR INSPECTION date Permit No. `/� /. v Fime AV, 3eceived _ /V41�___�_ P.M. Job Address Locality .owner's Jame Contractor 3UILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL raming Footing i Rough Wiring C; Rough Air Cond. 8 3 fin L, Slab 17 Temp Pole Top Out Heating n.ulaiio Lintel Final Sewer Fire Place Pre Fab READY FOR INS CTION A.M. Aon. Wed. Thurs. Friday—_._ RM. y� ispection Made Spector ma! inspection ' Certificate of Occupancy !- Date .--—-------- CITY OF ATLANTIC BEACH, FLORIDA Approwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. VtitL LECTRICAL FIRM: -�j MASTER EL CTR}ICIIA NATU,RE Jo NAME( CY7 -�ADDRESS: ()�,�,� (') I /��L&FD'- BOX BLDG.SIZE BETWEEN: RES.( ) APT.( ) comm.( 1 PUBLIC( 1 INDUS. ( 1 NEW( 1 OLD ( 1 REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP.( ) SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER 1 ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-80 AMPS, 81.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS , Q. a TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA NO. lKVA NO.NEON TRANSF. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ �- - TOTAL FEES nn CITY OF /� 4&4*dfC &444-"f&U*da Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time Received ' P. -57 Job Addr ocality Owner's Name )(. Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation Lintel ❑ Final ❑ Sewer ❑ Fire Place Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday P.M. 9 A.M. Inspection Made / l Inspector Final Inspection ElCertificate of Occupancy ❑ D ate t In An111�� ,� //CITY OF //�� __ �� 1Y+LLhKZL'c !3�-1146 4 /r Office of Building Official REQUEST FOR INSPECTION Date ` e)r` f Permit No. / O Time Received Job Address Locality Owner's Name _Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made " /3 �� P.M. Inspector /�L- ��a-- a'�� Final Inspection ❑ Certificate of Occupancy ❑ Ile" GIGS� / Date E 07 DEPARTMENT OF BUILDING > CITY OF ATLANTIC BEACH w ... .. 1pmxf INFORMATION LOTION 2N1' ftm ION _ ------ p irmit Num► T r.. 11007 Address: -1653 PARK TERRACE WEST P it � BVILDIAG ATLANTIC, BEACH. FLORIDA` 32233` C '. � __... . _.. LEGAL DESCRIPTION . ...w. _...... cin tr. y 'NOOSE FRAME Lot . 12 Bl r ., 22 Section' roposed U o: SINGLE FAMILY Tcawt� hip :; RNG: elling r i Code, 1 Subdiui �.c�: �SZLV`A MARINA 7 E tlxt t V* sae: $3$00.60 : pray, cat . 6.00 Amount $45.00 x D 1/ 7/95 r FLOb STORAGE AND ,SECOND": FLOOR CLOSET' . . .. �1T ON APPLICATION I R'EtE e IY1"0< GEEEN R p IT $45 .0 A ��`', E E NATER IMPACT PER $0.4 K EACE " FLOA I DAA 2333 S I�F� FEE �a0.0 p -w, 1 �r ,a �F ,. ....._ . 90 INFORMA'T Oft -.� RADON CAB 5% $0 .00 Nom; ` N'ER CAPITAL IMPROVE. $Q .tl A dross. 40 nor CRbSSOI"SNECTIOI! $S , Ll cense Type 1 SEC E IMPACT FEE $0.0 CAST.$� ARt3 .0 SCHOO /AAL.BCH $�}. � C NOTI, n f r' I �s NOTICE ALA.CONCRETE FORMS AMC+FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUS DING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN l UBUC SPACE,AND MU SE CL�RE[3 UP AND AULED AWAY BY EITHER CONTRACTOR OR OWNER aRE tlibY THE MECHANIC'SLIEN:LAW ,SAN RUIN POPE "�`� 0O11�I'N �# FYI N TWICE FURTHIE U � � 3OVEMEN " DI ;GTO APPROVED PIANS WHICH ARE PART OF THIS PERMIT AMD SU8JECT TOS , AP "LE PFIC3'VISiC1N OF LAW. H tal EPARTMENT 110 3 Sy. e CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : >; WALD J , AQD MAUI 1 A. MAS"ERZS Address: 623 P'ARKr 11EFRKAGG VJE'5T- Phone:_2440- Lot 4-0-Lot # 12 Block or Unit i 12 Subdivision: SE LVA K4AKIWA. UNIT 7 Contractor: State License # N1� Address :— Phone No: W/A Describe work to be done: ADD r-IfZST V-Wol;� ST019AGG R00t j ,4K0 S ECC)fJ b t wK 64-OSET ( MI-E - 4LL I MT15K I O R FI W t SH tM K TO ESE COMPLEWD fiy owr3E-t3 6W A `1"tMe AVA1LA$C.r_- EASIS) Present use of building: SINGS r-QMII.y IBES' DEklGe Valuation of Proposed Construction: `$ 3�,5C�• OD Proposed use: SIIJGLE r-4I,4IL-� RUSIDENCE Is this an addition? yeS If yes , what are the dimensions of the added space: a ft . X 12 ft. Will the added area be heated and cooled? YCS New electrical (or increase)? YES New plumbing fixtures? f4O New fireplace? NO New Heat/AC? WO SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. EjSignature OWNER: Date: 2✓ �� Signature CONTRACTOR. Date: License Supplied: WIN Liability Insurance: WA Worker's Compensation Insurance:• CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEE Address 6 g3 F �G S Date ` �_ �� l Heated Square Footage A@ $ per sq ft = $ Garage/Shed 0 ,@ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ J� Deck i @ $ per sq ft _ $ Patio @ $ per sq ft = $- 6- TOTAL VALUATION : $ TotaApttion 1st $ l Q o JJ $ ll� Remaining Value 5,�: per thousand or portion thereof TOTAL BUILDING FEE $ ..3 o + 1/2 Filing Fee $ - 1 ( ) Fireplaces @ $15 .00 $ O BUILDING PERMIT FEE S_ WATER IMPACT FEE $_._ _ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP S ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ 1 ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well ; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: CITY OF ,*&ae& bead - 17&U,ala 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)2,47-5800 FAX(904)247-5805 Chapter 489, Florida Statutes.Part I 'CONSMUCnON CONTRACTING'reVires Owner/Builder to acknowledge the law: DISCLOSURE STATEMF.IJT for Section 489.103(7),Florida Statutes: State law requires construction to be done by licensed contractors. You have applied for a permit under the exemption to that law. The exemption allows you as the owner of your property,to act as your own contractor even though you do not have a license. You mist,i lice tb-igad Won yQuw1f. You may build or improve a one-family or two-faily residence or a farm outbuilding You may also build or improve a commercial building at a cost of$25,000 or less. The building�be for your own yrs and occupence. R may not be built for We or lease. If you sell or lease more than one building you have built yourself within 1 year after the constnution is complete,the law will presume that you built it for sale or lease,which is a violatioin of this exemption You ma=hire an unlicensed person as you contractor. Your construction must be done according to 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 empty or municipal licensing ordinances. Ordinances also allow an Owner to improve their own property when it is for personal or family use,and likewise regrci re all work(except maintenance wader 12,000)be under a buildingpermit and pass all normal inspech ons. The ordinance states owners may physically do work themselves,or a=hLre unlipensed yiwrkers provided such workers be under "direct a"ryisi on of the owner,who must bean the iob site at all tuxes while work is in progress by unlicensed trades people." 7his does not allow use ofunlieensed contractors. Since moors may be liableAr t riwies to workers they hire,the Building Department suggests Worker's Compensation insurance be purchased unless the horneowners insurance policy clearly protects the Owner. Owners hiring workers become employers and should also observe IRS withholding tax andlor Foran 1099 requirements on the worker they employ on their improvement work Unlicensed_ eannot be iriderKWeircumstatices, Owners being subject to$5,000 penalty under Florida Statute No.455.228(1). An'Oc - .oral License'is not adequate. The owner should physically see the county'Certificate of Competency'or the Florida'Contracton 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 and understand all the above on this RD day of 1JCV ' 1995 12.�, �&A Is Witness,Building Dept Employee Owner/Builder I bs3 Park d%Ls 11qTaw.,�i G iia , Flanc.,& 3223? NOTE: Phrases underlined above 24(o-9791 are emphasized by the Building Phone r DepwtzrnNt. KC„ W.". .1 SHOWING SURVEY L.' ' LOT /2- ,3LOCK /Z 561-VA MAR/NA UA//7-'A/0. 7 „AS RECORDED IN PLAT BOOK 34- PAGES 52 OF THE CURRENT PUBLIC RECORDS OF CutA G COUNTY,FLORIDA. r CERTIFIED TO -'PoNAco Joseo�/ M4U geeA/ AA/O eeA A4A5TER5 POA/TE 11E0,2A MORTGAGE COAfPAA./Y T/TGe /A/54/.?:4A/CE OOMPAAle O,- "I"A/eSOrA T/NE NU/VT/.VGT'OA/ 1(W0.Pr6,4Ge COMI'AA/y/ /ts �uceElsprS 4nd�oi Ass�9aS l P� A" RK. 3 3.10 b , 1 4;!eE" <No��--- f', 5�'-50 E� ! A too a1 ('A.10 CAS �,,, t, I' �tla•�.j` f/ 1 f � �1{ f h! IJA � I•� t � S } I I " /D'EASE MEAT' I t �r FO R PA?A 4ro GOT l� N 80.0' Lo_r F7 d 5 ry N ,5TE PS 20 �, •' . •; ,� nl . A/G e' Weoo N N G o✓C• • n rocc r 5• ' ,S o GAtZAGE:N �R•:. /7• /' o� Z4• �• ss ro cane Beoc � •�� 7 ' laaw" WALK I tlncA# ,r/'• o•& 4' COAr6.MO1J• Ih :,o.(voeAP) ;. 47'4&" A rc% 4 G.Ito' �••-•r' ,:� , ;' • WSJ ( '; ; r�RQC . pQ (&o ) , e LEGEND DATE FEB.//, /992 ■ DENOTES CONCRETE MONUMENT SCALE /"= 30 NOTES: X DENOTES FENCE /2 02/ O DENOTES IRON PIPE SET/R.M/I/eR J08 NO. g .PEC OR-Q ' Pe- r • DENOTES IRON PIPE FOUND 1,Bearings are based on x DENOTES CROSS CUT 2.This is a. /3oun/o a e� survey. 3. Elevations shown thus (15.0) refer to N.G.V.D. of 1929. Richard A. Miller & Associates, Inc. '. 4. abject property lies within Zone "X" as shown on F.I.A.Flood Hazard Boundary Professional Land Surveyors D /D Communit No IZoo7_ 11330.5St.Johns Industrial Parkway North dated P,P/z_ /7, /9 fpoe,75 0-- 500 >,r ,�eo0o�• Jacksonville, 32216 5.Unless otherwise noted,any portion of the subiect parcel that may be deemed as Wetlands by Slate or Governmental Agencies, has not been determined and any liability resulting I HERE TIfV T AT THE SURVEY SHOWN HEREON MEETS THE MINIMUM Li therefrom is not the responsibility of the undersigned. TECH C STA IDS SET FORTH BY THE FLORI A BOARD OF LAND 6:There may be Restrictions or Easements of Record evidenced by title examination that have suR .r S.Pu ANT TOS oN 027 A A i ,.not,been shown hereon. NOT VALID UNLESS EMBOSSED WITH A SURVEYOR'S SEAL R ARD S ,A. MILLP.L.S.CERT. N0.3848 CHK.By F.B. '�45 PG. 33 •. I, L