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Permit 1763 Park Terrace E (vault) i`l'l r✓3� CITY OF ATLANTIC BEACH zz 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 " INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001286 Date 9/17/09 Property Address . . . . . . 1763 E PARK TER Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 3" CONDUIT TO REPAIR SERVICE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HAGIST, JULIETTE B. HENKELS & MCCOY, INC. 1763 PARK TERRACE EAST Q/A:LIPPY, ALLEN ATLANTIC BEACH FL 32233 1179 SOUTH ELLIS RD. JACKSONVILLE FL 32205 (904) 783-6697 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 9/17/09 Valuation . . . . 0 Expiration Date . . 3/16/10 ---------------------------------------------------------------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ENGINEERING DESIGN PERMIT DATE REL WRN:7059927 N.O.: M.O.#: 417489 CONST: AUG 12 2009 CIR. TREE TRIMMING SUB-STA: NEPTUNE BEACH N.O.: 595 REQ'D:NONE CELL ENGINEER: B. TRULL N.O.: 591 -5428 ZIP CODE: CUSTOMER/ j lI SVC PHONE LOCATION: iX PARK TERRACE EAST CENTER: CONTR.ADM. N.O.: 665.7754 TROUBLE TICKET#20090809-000022 i I I SELVA M R"1N I (Y I SEALw R" R ©i URDT21 i C-4ELI S f1TIERRA NONE 07 t TIE RA VERDE DR 75B 11fQ4� t t oo' 1802 (-- Lij a I 50A r+us 1 1804 t-4I U) ! 01 _ 1 304-CATV —.. ._. _. ..- i ...- -------- -- O i c <8 j N .. A '/1787 _ >771i- 50B /� 1 r , 1 I ! Oi ' - I � W i Il , `n i 01 1769 M C JI n o I J Ti �/� I !~ I /1J769 1777 ----------i 7 B -- -- - --------—I i ----- - I - -- ` I 02 1763 r � CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 f tss> Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SU9MIT(3)COMPLETE SETS'OF PLANS WITH APPLICATION. Date WW ��rXi^14 1 Z 00 ( PERMIT# ISSUED BY THE CITY Job Address 124f PAPP- TER,,PA E EASE Permitee: 14so us. +_ Mczo . I ti C_ Telephone# .3,34-1475- Permittee ,3 "1G7SPermittee Address: 1171 e w S Ab S JAe KSA%W1uC F;- 3 2ze75' Requesting Permission to Construct: 130E 3/ LDtJPN IT TD iREPAIA ELEe-7-Al4}k- 5e9t//GE 1743 PARK TERRAc E CAST' Location: (Reference to Cross-Street) SRTNQ16/+ 2A106- 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: 5UtJSH/A16 A- 2 g5'7066S�J Jacksonville Electric Authority Yes( ) No ( ) Date: Bell South Telephone Company Yes( ) No ( ) Date: Ferrell Gas Yes( ) No ( ) Date: Comcast Yes( ) No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of 514 H!4 5 (Co ractor's Project Superintendent)located at fill &t45R9 S. W. & 3 zZPS— Telephone#: ay 3Y-/b7S' 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. ,� 7. This permittee shall commence actual construction In good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: Before me this day of in the County of Duval, State Of Florida,has personally appeared Notary Public at Large,State of Florida,County of Duval. My commission expires: Personally Known: Produced Identification: ?['e,46C �X �� ry �- M t trL>>r� City of Atlantic Beach •a 'sc�,z, ;`;, APPLICATION NUMBER Building Department * ,� j " /. (To be assigned by the Building Department) Y 800 Seminole Road ��,.J�, IN '9112 Atlantic Beach, Florida 32233-5445 (, Phone(904)247-5826 Fax(904)247-5845 Al �3 4f, T E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICNqT� ION REVIEW AND TRACKING FORM 1 1 �3 Property Address: �� /Qe+� L Department review required Yes No Building Applicant: A ` Q Planning &Zoning Tree Administrator Project: (�J I D `-r O MHz ublic Works Public Utilities (,�,• Public Safety Fire Services r1T gency Review or Permit Required Review or Receipt Date of Permit Verified B ept. of Environmental Protection ept. of Transportation s River Water Management Districtrps of Engineers of Hotels and Restaurantsof Alcoholic Beverages and Tobacco APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING M(J" PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 e\�rLtf.rf .3 - CITY OF ATLANTIC BEACH s f 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029074 Date 9/30/04 Property Address . . . . . . 1763 E PARK TER Tenant nbr, name . . . . . . ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 Owner Contractor -- ---------------------- -- ---------------------- HAGIST, JULIETTE B. COPPEN ENTERPRISES 1763 PARK TERRACE EAST 562 KING STREET ATLANTIC BEACH FL 32233 .JACKSONVILLE FL 32204 (904) 338-9757 --------------------------------------- ------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. OFF ZR�' CIAL Jc 1;r v�d r � ' CITY OF ATLANTIC BEACH ' », V~ PERMIT CALCULATION SHEET Date Address K jet t 7 Permit fee based on dollar evaluation as indicated on permit application. Heated Square Footage @ $ per sq ft= $ Garage/ Shed @ $ per sq ft= $ Carport/ Porch @ $ per sq ft= $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ $35.00 1st $1000.00 $ $35.00 Total Valuation Remaining Value Per thousand or portion thereof: CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ^ ZONING: + '/Z Filing Fee $ 2_ FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER MXTER/TAP $ CAPITAL EMPROVEMENT $ SEWER TAP $ C ( )RADON HRS .0050 $ SECTION H PAVING $ CROSS CONNECTION $ ST ( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE $ g 3• Cc: CITY OF ATLANTIC BEACH oEad . s" BUILDING / ZONING DEPARTMENT L. Higgins 800 Seminole Road s� Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS ' Permit Application # Property Address: 1-7 b 3 PARK TVRRA CE Applicant: C Q fin) E� �� 1��S�CJ Project: 1 1010 This permit application has been: Approved E] Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Lkv Date: 7 (2et rD,�( Jan 28 04 08:07a Information Systems 247-5845 P• l :? CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATIONf�. Date: _7/0 Job Address: 3 1 /`1�� '�� G� -_ E ' Owner of Property: --- Address:_ �o` C h "� l'r` e- Telephone: Contractor: ��A_fes �� State License Number: o c C S R-2 c(of Contractor's Address: S Z �'— 1�•�s S �`'" Telephone: r3 ^ e3 7 / Fax: Scope of Work:�� o Deck Slope: Greater than 2:12 Less than 2:12 w Valuation of work: •� o� 'r Product Name(Example:Timberline): 'T �w` kr Cc ��-- Manufacturer(Example:OAF): 't ASTM Designation(s): Se Required Inspections: Sheathing and F'ri Signature of Owner: Date: Signature of Contractor: Date: ,7 AS TO OWNER: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: mefthew abs personally known •h*C n, E] Produced identifi was ArM! ,00� Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this 1 day of State of Florida,County of Duval Notary's Signature: �ersonatty known 6*man ❑ Produced identification 14.'OOiF Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telepbone: (904)247-5800 •Fax: (904)247-5845 -bttp://www.d.attentic-beach.1l.us Page I Rtvised 2l21A3 rM�N. RETURt4 p1i01qE#_ 1LS-0 Notice of commencement Book 12060 Page '1624 Permit Number Tax Folio Number STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in the Notice of Commencement. 1. Description of property: 7 � �-�.�. e �0 2. General description of improvements: 3. Owner information: �JA C-C, a. NAME AND ADDRESS: ��S e/N (-76 b. Intrest in property: & c. Name and address of fee simploe title holder(other than owner): -�4. Contractor's name and addreCoppen enterprises inc. 562 KING ST. JACKSONVILLE, FL 32214 repared by: 838-8331 247-3920 oc# 240 08814 `-'Coppen Enterprises : 1624 562 king st jacksonville, fl 32214 Rale: 1624 Filed b Recorded 5. Surety information: 09/28/200 09:29:28 AM a. name&address: c. fax: JIM FULLER b. phone number: d. amount of bond: CLERK CIRCUIT COURT DUVAL COUNTY RECORDING i 5.00 6. Lender's name and address: REECC ADFUND TIOMt1 f 4.00 a. phone number: b. fax: 7. Person within the State of Florida designed by owner upon whom notices or other documents maybe served as provided by 713.12(1)(a), Florida Statutes. Name and address: a. phone number: b. fax: 8. In addition to himself/herself, owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b), Florida Statutes. 9. Experatio date of Notice of Commencement(the expiration date is one(1)year from the date of Recording unless a different date is specified Signature ner: Sworn to and subsc ed before me this _day of 2004. f I r ,�" • Ny C�96'f17 Notary: / tom >toDe Known Personally ✓ ID shown My commission expires: E. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ;1 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000823 Date 6/15/09 Property Address . . . . . . 1763 E PARK TER Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------- Application desc new 6ft fence ----------------------------------------------------- Owner Contractor - ------------------------ ----------------------- HAGIST, JULIETTE B. SUPERIOR FENCE AND RAIL OF NFL 1763 PARK TERRACE EAST 5470 HIGHWAY AVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217 (904) 683-6349 ------------------------------------------------ Permit FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . o Expiration Date . . 12/12/09 ------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. Roll off container company must be on City approved list and cannot be placed on City right-of-way. ------------------------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 514- rC'Lti CITY OF ARANiiC BEACH SW SE4NOLE ROAD,ATLAUM BEACH,FL OFFICE em)247-SM a FAX NO.$904)247.5M .•: BU LDNN308n9CaMus DUVAL(:AUNTY BUILDING PERMIT APPLICATION � I D NEW eulLtxNCN O DF.allou'cloet A3 - LOT etncic___sae DP#r" °ADamN °coNvexrsra Um 03 ALTBIATION °AOCOSSOW N 10 RWAR DaOOLrsPA DYES DNfA WIN 0.NAME 1 S 23.COYpANY NAI+IE ,e 2l LICENSM NAML ll' y�-p Ctager> 10.ADDRESS 17.STATE OF FLORIDA!!CENSE NO- 26 A rE OF FLORIDA t1CB�E N0. t93 Park-Tar acs �•,1L ADDRES& 25.ADDRESS �a33 �`'' �� 12 FAX OFFICE FAX ND.. 27.OFFICE PHONE 2e.FAX NO.: ,a CBI.I .CB.I.PraNe 29.cal PHONE •tl>r/�� 3M EMAILADDRES6: ,,.tataAe ADDRESS T[ NAS 3e5 NAN1B J 31.NAME.' y �i s2-ADDRE I-ADOMM& se.ADDRESS appy is herd rn� to obtain a pemw>t to do the worts and irtatalatio►a as irtdleabd. oatly ihat no work«i,tsbN�ion has comntenoed prior to ttte b almnoe ala penia snd that a1 work wai be performed to meet the standards of at Iowa regjeffi t9 rAn tutSon to this mon This pefrt>lti becomes MA snd void if wok is not aamtmmd wlthln arc(8)nwnt . or if coorroVtxiion or mtmt be seimik Is m ed Or abandoned for a period of sin(6)ntonftts at mW Pinna stter work is commence`moi tat sfattd tnac [+ i9ectrkaA w s vwl Poogr Fhafonnation is s=ffda and anal a1 worts wo be done b oorf*&"w1h 21 W010"OMYirl=tlrs/Lt�FiDAt17T-I Gm*#0 am the 1aertoir,p ther+of.t�aU irrepedictts are tirteled and laws roQt�attrg cats*ucion►and zoning.t v A not O=W Or uBa the referenced bdMV or Wq PW prior to obt*ft a MOM*of mupartr.'y or Oonlpi om lashed by the btMM OWW as rogt led by taw. *** WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMP BE RECORDED AND POSTED ON THE OB SITE BEFOvEMENTS TO YOUR PROPERTY.A NOTICE OF RE THE CONBiIENCEMENT MUST FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING.CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT• � rte.. �1:c5:r.. -1 F� � • Myl?C I1 now bm Slpr l2008 in the ootatty d Befole ^ttl a .2008 i,ft county of Boft ma tlds�day d� of Florida,tea Ptrrson ly appeared 1)utraf,Stab of Ftorida,tws pen—*appeared ue twin by l*n**l 1 ttenalf end thataN atr0a mft artd dariardbna+N° orlrt tby ttimef/ttaraaf and Ndlo.. B aw sfatmtmnb and decimations and somrsAL r tore and acatrrab. l (rXlZL County of t�t� N Publicat tar9a.Seta d i� County of � NMary Public at Large.SntE of �known C3 parmoft fa>own ° Li �'»f1 • Notary ftft8h-- 4iota►n Sipnetute: • oontlL 00 TRACY MELTON ? MY oma*�. C smDD4iB121 % ,• p(ptRES'..lculrY.,A1n,2Un��,,B,���{.j� .' MAP SHOWING SURVEY OF LOT-A- -BLOCK-Z#—AS SHOWN ON MAP OF _ EL V R1�1 A gain AS RECORDED IN PLAT BOOK �¢---PAGE 'S OF PUBLIC RECORDS OF DUYAL CO.,'FI. - . FOR O0'y'. .t' PARK rEr��A cE , EAST ell 2-f " •�•�"N/` R- 474E. Gs' r: N q. N ' � - ._--•----- -.I ,,gyp'g..P G. 4 . •. � '� . Q 'o. t3 3' /.S .P m ,.sroRy 97UCCO ' V q+'//•7103 R; . z.F • ��t VE 5 t >` pa K Y v'v Y - - X GoAx P.4Tlo. x v Cp ,� ] ZiF,p' S } y o y ~- goo. TO X .�/.-70 `o.1,ro u sA TZIR /6 A Oro 0 AJ t n T /d wc XNJU4L'✓ City of Atlantic Beach PLICATION NUMBER Building Department JUN 0 9 2009 FFDate gned by the Building Department.) =7 800 Seminole Road — f� 02 3 '' rr Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904) - ed: /09 wilt E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �7G 3 Ace ill �r ent review required Yes No P �Y ILL Pla ng Applicant: �' ree Administrator Project: /V �L (A) ublic Utili u lic Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Wafer Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: XApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed ��" Date: - 1— TREE ADMIN. Second Review: RAPproved as revised. ❑Denied. PWI Comments: :::�PPReviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Revised 05114/09 ss±,;ay City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) i7 800 Seminole Road D do Z 3 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 ��,a>>• E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us 11 APPLICATION REVIEW AND TRACKING FORM Property Address: 7G 3 A'e ✓it nt review re uired Ye No Applicant: FPI ng ree A istrator Project: 11f`l l� ub ubli Utili ' u is Safety Fire Services Review fee'$ pept.Sighatur'e 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: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: QApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14109 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) =7 800 Seminole Road D ! d0 Z 3 s� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 W11 , E-mail: building-dept@coab.us Date routed: a City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: g!! ent review required Yes No PPla ng Applicant: pFire istrator Project: N`� u) tili 'afety vices Review fee$ Dept,Sig pre 'Y Other Agency Review or Permit Required Review or Receipt Dateof 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: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONIN • ,a�D..t� Date: 'D"D Reviewed by TREE ADMIN. Second Review: [-]Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Revised 051/4/09 CM Of AT"ATIC 13FACH 09- 806 SEMOLE E ROAD,ATLANTIC 6EAM FL 32238 OFFICE:(964)247.6828•FAX NO.:tBWrht AM ., au1tDsG0EPTG0oA1Lus DUVAL COUNTY BUILDING PERMIT APPLICATION 0 NEWBUKXM 0 DEMOLMON D R�toBRs1AL LLar sLapc r. sue DWRON 0 ADD"''°" 0 CONV6 RTsta USE n13 ALTERATION0 ACCFSSORV OLM �,� ©t�oOuspA ❑v6s CJ wA Q L 9.NAtdE 1S1 NAME 23,COIIpANY - Al SAE= LICENSEE NAME 17.STATE OF FLORIDA Lt�16E NO. 25.STATE OF FLORIDA UC9R»NO- 1O.ADDRESS n Q VaN- 1y�U V OLM 4a A Oss 2s.ADDREss: E FAX 1R0-. 27.OFF7CE PHONE 2Q FAX!10 1a ce.LPr+o1R£: 21.CEL.PHONE 29,CELL PHONE � ADD ��� 30.E►AAIL ADDaEs� 14.90ADDED UL NAIL: 36.NAIVE �f st ADDMSM s4.ADDRE� �e.A°DRF-ss` Apptcrloo is homw made to obtain a pemt to do the wont and i oe am i Is " work 1x inuutstiDn has consrlenoed prior to the issuarloe of a pertrtit and that ail work wifi be perf mod to meet the standards of ar laws rs�uletif<tg oortelblMdion in hila Thb p9m*bow..m M and void if wok is not aonxnormed%Win sir 0 monih6, or if cor*uc um or WO& lDr abandoned for a period of sir(6)monft at=q*no aflar work is co m mmd. i mftstand that separate pmft mast be mmod msc6isal ECS phnolm swai WWK Pods,Fu=mpih 9010ta,Ns1ft -Tanb, AU vll�t 0140 kaeble OMY1�AFFIDAVIT-1 cerii<y that at the taegokg is acatrab mrd Ytet id wittddorre.d d irlspadim are ti mW and W"rarjkthq cmutu m Err!zonkV.I wM not o=IPY r d the the er Wkft �!►P� pilar b obtak"a oerti 4m*of o=Vancl or ort W.as required by law- *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPRB TO YOUR PROPERTY.A NOTICE OF RECORDED AND POSTE ON THE OB SITE BEFORE THE COMMENCEMENT MUST • FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CDN�IAENCEMENT. fes•. �-��i� „5 Dab: ir:�! b d LS�L= 200 in the counq o! Blore ms this�dW d_ 2005 in 41e ca+nlYBis Duvet,Stab of Ftorida�has Paras M ft apperMsd� (ofail►aPP!w'b� r V�.J► � � and dadarations are hems by WmWW!herself and that aN b ar d dadoFVfi0 s— harMl by 1lb. //heraW and idrt.. Bf�M true and aocurate- ► bus and scarab. 1` � '�`f,��,-�,,{{////►//� of to t/ N Pubik at La,State of i C:artly aF S Notary 4udic at Larpe,State�a -4 c+s�,v Courtly Known Notary Stgn8h : Notary SgnaWre: ta6lrtrn, • ill�pwslbara,sot:. ot. ` CY�4O1612i lir R� y� ° ORES.A ' d r MY BLuG01?ermMAppEit70nEAdg:P.i=�IxD:iut&2�D8 '•a�I tJt TMS OF ewe l+bt2t Y 1RECEIVED City of Atlantic Beach JUN 4 9 2009FEDaterouted: CATION NUMBER Building Department by the Building Department:) z7 800 Seminole Road 0302-3 - Atlantic Beach, Florida 32233-5445 $Y' Phone(904)247-5826 • Fax(904)247-5845 ,5319? E-mail: building-dept@coab.us 0 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ent review required Yes No A licant: �, �. Pla ng PP ree Ad nistrator Project: /1�`l U) Wr ubr ublic Utili u is Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof 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: Approved. ❑Denied. (Circle one.) Comments: BUILDING �� /4 /'/ Com. �-�--- PLANNING &ZONING Reviewed by: - Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: i Zeviawed ty:_�� --- Data: -- I Revised 0,6114109 CITY of ATLANTIC MACH 09- Alk 8m SgMOLE ROAD,ATLANTIC BEACK FLU= = OFFICE=(004)247.6828•FAX N0.1904W-6849 ,:. E3uILOM3-DEFTQC0 s us ©UVAL COUNTY BUILDING PERMIT APPLICATION aC 11 ©NEYy etJlLDINci 0 DEMOLITION G RaBIDB1tIAI LOT E3LOCK._. Bls A1IASION O ADOffM ❑CONVOR TING LIGE CA.- { '' o ALTE MMON t7 AccmmaRY BAoa W ' S{�►�i. >�� �� ©Poa-r sP� [1 va ❑wA 13 111 23.COWAWWAVWAVE:9.NAM JUII�� �"' 'Z.• ytD �aget�- y aE, NAME t0.ADDRESS 17.STATE OF FLORIDA LX;ENb E NO: 25.STAM OF FLORIDA L1CB NO n V� C'Vl i k-Tar OLM —•PRV 26.ADORE om- am ; FL.3Ra33 11. � � 12 FAX NO.: �� LFAX}IO.. 27.OFFICE PRONE: 28.FAXNO.: 13.bsLLPHONE W.CB L PHONE 14 BfALADO ADD 30.'EIMR ADORESM NAME: 36.NAME f 7AMlp0kW1On SC ADOREle herebyMade LD Obtain a permit to do the work and iTtsiattons as kx%= . I De* Flat no woEk or ka on has prior tD fila tTiStJanDe�a p��arld then Alt work wAi t]a periotTrlad to crltet 1119 sfel[d8rds Of ar IRYMa rEQl�atln9 t�.IBlbucilon to tLilEsShia sPand0d Or petrrin beoonlea rill!!and rroid it wak is not aoEtrllExlosd within six(�rtlDntl>eI, or>f oonsUtxifon or r1ut�b*ork b ��forfor a pedod of six(6)tfwrltha d any tirrEe atter work is oomnaElceTanki4 Air sme2m aim d 1 ul stud �Pemlils Eisc�risai W g Wei Poole,F is a= abs and ttlat d work wit be done h oorrEpi um w1h r apptieable OMYt�AFFN)AVIT-1 oerfily!flat all the foregoing lherdP untl aQ InWee"m are t coded and lawn t(nlj rc6on ord 270nirlg.t wHl not ooaEpykasEr otac r�W by few. tx�t, a Of°��Or°0 °n *** �r WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTSR� RDED AND POSTED ON THE OB SITE BEFORE THE COMMENCEMENT MUS TO OBTAIN FINANCIN FIRST INSPECTION.IF YOU INTEND G,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT• x tip`. .[ i:a.r{.�� F•e IPC mmimmm �tC'i .. . W. some. ikle:� sw zoos h` 1� r d t3ebte Balt of� zoos i1 tt�e caunht of B.fw D.W.ma alis _day of of Fbirid�.�t�s P=,j+�11 .stab of F1orHs ews W- M�h►ePp�"xl 1� r ti S um au and daemrauon.ale tlelin by tdlTl.er'/ilars.f and adlNms 4#and d.darauoli.ars tl.rirl by Elktls.Ef j Eretsed end Wa and aoouraie. tue and aowraw. a< S1aEa at NobM Pub i t 1 ic at Low,St.,,otilt,-C County of t�✓ Known K '4'�, L�c-onfl ❑ProduoKi WerM . Notary ftn•b= notary SignaWm: ~. TRACY SHEtTONN so J , o�.aofs.�o .P*�► Gornm�ss ppQi6121 (`� mvp(p1FiES:JuiY 1,200 BL'vGOi?emll AppE;,:aii0n 6ddS:P.c^^�IaD:iJi&2�'3 �' . ��,�,P �3F - eOFwe CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 LOCATION INF-d"AtION PERMIT IN Address: 1763 PARK TERRACE EAST TIC BEACH, FLORIDA 32233 Permit Number ATLAN Permit Type- MECHANICAL if Township: 0 Range: 0 Book-. Class of Work: ALTERATION Lot(s)' ' . Block: Section:0 Proposed Use: Subdivision: SELVA MARINA 1 Square Feet: Parcel-Number. Est.Value- OWNER INFbik _A_N Improv. Cost: -Wame:----HAG_EW-r1HA6fS_T Date issued: 8/03/2000TERRACE EAST 41.00 1 Address: 1760 PARK Total Fees: I ATLANTIC BEACH, FLORIDA 32233 Amount Paid: 41.03 Phone: Date Paid: 8/03/2000 -omp AI�DAIWAANIkEk_­ Win— REPLACE ­EA_T_ k FEIES—_ CONTRACT09(S)__.,_______ PERMIT _._APPLICATION, 41 W OCEAN STACTE-k�Wr_8�01 R _pe-cti-ons Req;i NAL 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 mu T__pECLEARED 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 LA Date: 8/04/00 01 Receipt: Oa.?7��89 CHECKS ATLANTIC BEACH U1 DING�DEPT. BUILDING AND ZONING NSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC aaACH,FLORIDA 3aa73 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. 1. 1 3 1 .LOCATION Sfred Address: OF Intersecting streets: Between And WILDING Subdivision 11. IDENTIFICATION —To be completed by all applicants. In consideration of permit given for doing the work as described In the above statement we hereby agree to perform said work in accordance with theettacipd plans and specifications which are a parr hereof and in accordance with the CRY of Jacksonville ordinances and standards of good.practice listed therein. Name of Mechanical Contractors ^ Contractor(Print) ^/ Mader r"1 Name of Prep. ._........_ A ST Slgnafun of Owner / ..,�....... . Signature of . or Aulhorlsod A • _ Architect or Engineer Ill. GEN L INFOR Type of Asa foell 8. IS OTHER CONSTRUCTION BEING_OQNE ON Eh-chi. _ THIS BUILDING OR SITE? /\/ ❑ 6u—Cl. U ❑ Natural ❑ Centra(Utility ❑ on IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT ❑ Other—Specify IV.MICHANICAL SQUiPMINT TO 11 INSTALLED NATURE OF WORK (P'evide complete list of component,on beck d this form Ut Reeldenllal or C3Commercial e.. Heal ❑ speer ❑ Reconed Ventral 0 Row ❑ New Building ;" lr Cenddiosimg: ❑ Room w/Cemtral dJ Existing Building ❑ Osct Syehm: Materiel Thirieeee LY Replacement of existing eystem Maalmum capacity �f mL ❑ New Installation(No system previously installed) ❑ Rdrigeretion ❑ Extension or add-on to existing system ❑ Cooling lawn Capsdty 9 ❑ Other—Specify ❑ Rpm qrl ideras Number of hw� ❑ Elevator Q Msniift ❑ Escat ler (numbs►( THIS 31PACS POR 019<ICE Ufl4 ONLY ❑.$"no pump (rwmbw) (Reeete•dl ❑.•Tse (number) Remarks ❑ LPC sxenhlW+ (rwmber) ❑ Unfired Fracture vera) ❑ Milers Permit Approved by Dat. 17 Othw—Specify Permit Few LIST ALL EQUIPMENT ADL COMMONING AND REFRIGERATION LQUIPMENC CspaC1y A pprorbW NtmlborVBJta Description Yodel Number ManudaoWrer (WOM) ACOMW N8ATING •FURNACES, BOILERS,FIREPLAC S Oaya,kF Aq roving Numberudee to DortpU- ModelNLmber Manufacturer (1111IM) Aunt TANKS Now Many Nombsesit Cayaolty Type I hind Name Of Serial Approving am Dlmeodoom Contained Maantaotvrer No. T DATE: 2 -��/' y PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE. FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND AkE SATISFACTORY: I F7,5-1-11 �1 _ e QL2_/�au _7;100 -------- W_v I —----------------------- ------- ------------------------------------------------- ------ I -------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, BUILDING INSPECTION DIVISION cc:FILE CITY OF rh C&r ,q 6A -6 T �.O�f�fi�ce o f Building Official Date REQUEST FOR INSPECTION _ �. Time Received t A.M. Permit No. -- Job gddres --_-� Owner's Name Locality BUILDING --- Contractor , Framing NCRETE _.. --tt-- --�"XG Re Roofing Footing ELECTRICAL PLUMBING Insulation Slab LJ ❑ Lintel F I ugh �, Rough MECHANICAL Temp Pole Final Top Out ❑ Air Cond, g ❑ Sewer ❑ Heating Mon. READY FOR INSPECTION I' Fire Place Tues. ECTION Pre Fab Inspection Ll Wed,Made Thurs. nspector Friday A.M. — PM -- --- - P M. al Inspection Certificate of O c uOrncy I- Date CITY OF ATLANTIC BEACH, FLORIDA Approval by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: zi 1 e 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. 01M THOMPSON ELECTRIC CO., INC, 30150, AILMG BEACH,EL AI�I 32233-0150 ELECTRICAL FIRM: MASTER ELECTRICIAN SIG TURF, JOURNEYMAN NAME 4�%U?=7" ADDRESS: 1 l� re re-L A til -RFD-BOX— BLDG. FDBOXBLDG.SIZE BETWEEN: RES.N APT. ( ) COMM. ( ) PUBLIC ( 1 INDUS. 1 1 NEW( ! OLD ( 1 REW. ( ) ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ) U G- -5,--41v/C—R FEE CONDUCTOR SIZE AMPS COPPER 1 ALUM. SWITCH OR BREAKER �7 AMPS PH W VOLT ACEWAY EXIST.SERV.SIZE AMPS PH 2W 17AM ` r/&-RACEWAY FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 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 CEIL HEAT: KW-HEAT O.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS FOR OFFICE US ..19 ONLY ...... Date_ Permit #........................Fee$ /....... CITY OF ATLANTIC BEACH Valuation $_J) 006 - -------- --------A................. FLORIDA House ------P444JOI-It- ............................................................................ APPLICATION FOR BUILDING PERMIT ............................................................................ ................................................................. Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. 192-3 Date................... ..... ..... ....................... 'e�0:5) "'SSrft- ----------- ephone Dr17 _Address......e Owner---- --------- --------------------------------------- Architect_....... ------------ ... ........Addres&_.Z";Pe'_.a_S_ 'P------- elephone No.;�13:..59 N.TZ A.5 4-- Address..... --------- &..........................Telephone No-------------------------- Contractor Bui Lot No. - No.---------/-$/---------.--Sub Division------- -j1A2fW. ......��_ zr..............Zone--------------_ - _ 4 3 '0_%reet---- --------Side Between---------­ .1.....................................and------------------------------- _"_:_-..._..Sts. ---- ----- ---- Valuation $ -4A)VvFor what purpose will building be used..."�!5._"�I/tuzom4pe of 10 -1/1 , J .. ...... ,3 R ..Size of Footings..__.c Dimensions of Building-I.V.'W/....Y.49;i�_'_�_Dimensions of Lot-....?X�.zl.... Size of Piers------'.­-----------------------Ssi3e of Sills---.- -----------GT a s Sill Span in ft.--.----•--------_-------Type Roof__...-.............................. �e4 Z., How will Building be Heated? ._._.::,C 11 Building be on Solid or Filled Ground?--------- -n?...... Size of Ceiling Joists.._ Distance on Centers.._ -_-------------------- Greatest Span........_............__......_...__.__..__.. Size of Floor Joists--------------"77777777: _ Distance on Centers_._....:r��---------------- Greatest Span._._....__....-_.-. ;0 ----------- Distance on Centers.. Size of Rafters--------- ------------......... Greatest Span.........�.�:2....................... 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. 1. When steel is in place and ready to pour footing. 7 Z 1 2. When steel is in place and ready to pour columns and/or lintel. Z j57 3. When steel is in place and ready to pour beam. lob E-4 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. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. IY91 - T FIfONT 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 attac plans specifications, which are a part hereof, and in accordance wit e building it 7k ic regulations of the lantic ..... ... .. ....... Address...........e'e... .... ...... .... ........ Signature of Builde Address........... Signature of Owner........ - --- -_I ... ........... c' 4.e CITY 01= t► Office of Building Official / �� REQUEST FOR INSPECTION ; Dae—L! / JJ,, Permit Received ' !V A. M. District No. Job Address //7 Locality Name Owner's Contractor_] ��^ [�✓✓ Y- KT_ BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation.......❑ Wire..................❑ Rough Wiring.❑ Rough............... Rough............❑ Chimney...........❑ Lath..................❑ Finish Wiring..❑ Final................. ❑���inal...............❑ Framing............❑ Scratch..............❑ Fixtures..........❑ Sewers...............l0 Water Heater..❑ Final................. ❑ Brown...............❑ Motors............❑ Gas................... ❑ Finish................❑ Cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Fri. P.M. Inspection Made 4A Inspector s „ s w ' APPLICATION FOR WATER CUT-IDI TO THE CITY OF ATLANTIC TIEACH: Application is hereby made for water cut-in at the following address for fr���� units. Cut-In charge of Street No. tZ& . Lot Block � , Subdivision Ordered by: ,�. rt sc.1Ll�L" OWNER Mailing Address : DATE: ACCOU 4T -110. -jV"- DIETER 110. DATA I GTALLPD z 4 4 Y CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT NO. Date • LOCATION Street LOT NO. _12 BLOCK NO._—_ MASTER FLUMBER U lJi�tl6• V11 _ BUILDER OR CONTRACTOR 11' -4J Bldg. TYPE OF BUILDING -LSIIIK_S_Z-LAVATORY__LBATH TUBS URINALS CLOSETS FLOOR DRAINS /'SHOWERS _WATER HEATERS_ DISHMASHERS _,,,,,,_,_DISPOSALS I OTHER TOTAL FIXTURES 0 rq) .00 D �= NO WORK MUST BE DONE UNTII. A PERMTT HAS BEEN FROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size .."d location of all the soil and vent pipes, and the number and location of all fixtures, (in accordance with Ordinance no, 188 of the City of Atlantic Beach, Florida) must be shown on back of appli- cation and be approved by the Plumbing Inspector. DRAW PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK. Approved by Plumbing Inspector Date (FOR OFFICE USE ONLY) ROUGH-IN INSPECTED f^ / R.EICARKS FINAL INSPECTION:_ l_ 7�L CERTIFICATE ISSUED: I w DEPARTMENT OF BUILDING 3 6 8 7 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Valuation$ nfstl Fee $ 28-00 6 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify that B GWAite has permission to buil SW].tCmin of sub-'eCt t0 ff:AC1X1 r .1 rement-_r- p: .. .a;. i i�Z1i.a�l«. Classification residt*-n -ia zo_ Owned by 1, s/D Melva Yjari. l Lot 8 Block House No -763 ;'park 'Per 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 ,I AFTER DATE OF ISSUE * ► 0 Building material, rubbish and debris —� Z from this work must not be placed in public space, and most be cleared up and hauled away by either contractor or owner. Bill 1,11. Davis Building Official. FOt OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER �, FOR USE ONLY k...............19-).d Date._.7.. ..... Permit *......-••...............Fee CITY OF ATLANTIC BEACH Valuation $ ed............................... FLORIDA Hous &,./,-)............... 4-:2-j- ..........(e ..C............................ 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.................... ............................... Owner----...-- - •�c ephone No..? 4 ............... J/ ----------------_-Address--- .JA--------I/ Architect-----------------------------------------------------------------------------------------------Addresa............................................................Telephone No...--------- ---------- Contractor o-----_-----_---------- Contractor Builder /w- ................................Address.Z.0 4_�. ... ......--I ephone No.. Lot No...---------------_--15—---------------------Block No.----------- ------------------------Zone................ ­ ..........Sub Division... ...............------------Street....------------------.-�Side Between................. ---_------------------""and------------------------------------------------------Sts. --­---------------------- -�C)C) purpose will building be use -------------------- p'e of Valuation $...2A�----- t 5�.4v, construction...... cir" e e t-/ 0 e, C e-0-1 , ;,�_,_� ;-.�6 - s of Building--< ------ '!�..........Dimensions of Lot--......................................................Size of Footings-------------------------------------- Ibimension ----0--Z 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----------------------__----..........I Distance on Centers............................................. Greatest Span............................................ .. Size of Floor Joists----------------------------------------------Distance on Centers...... ... .......---_-------------------. Greatest Span..............................------------- op Size of Rafters------------------------------- ------------------ Distance on Centers.. ..... .....................-----------, Greatest Span_----------------------------------------- it This rectangle is to represent the lot. APPROVED 04 te e building or buildings in the CITY OF ATLANTIC BEACtl t ti n. Give distance in feet, from RUILDING oFF.ICF 'rh I p oil 0 L 1, al lot lines and existing buildings. A P P R 'Y " A*, U'L D IN 0 LANG 0 V E D "C , Ctt h L FF1 t' t ot P REAR LOT LINE Two copies of plans and specifications shall AP 9 197 t be submitted with application. Inspections required. Sy 1. When steel is 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. W 8. 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 tta ed pla e ications, which are a part hereof, and in accordance with the building regulations of the City of A ea 4//a Signatureof Builder---_-------------- .. ........ ................... Address... ....................... ---------------------_- ........ Signature of Owner...-............--------•---------- ..................•--...:.............._ Address...17,6_2-------Z'i- m GunITE & ASSOcm �& s� inC Residential and Commercial Swimming Pools SALES — SERVICE — CHEMICALS — ACCESSORIES PHONE (904) 642.1313 • 10513 ATLANTIC BOULEVARD • JACKSONVILLE, FLORIDA 32211 Mr. ravid Hagist April 12, 1978 1763 ParkeTerrace Fast 246 8002 Atlantic Beach, Florida r Proposal & Contract Dear fir. Hagist: We, the undersigned, propose to furnish all laborp materials, a dui ��ent, fie , � d permits n essary o construct one sw ng pool �.t vL , .for the sum ofS/ o0 Contractor's res onsibilitiesl: A. Pool to be of steel reinforced gunite Construction with one row of 6" tile at water line and cantilever decks. Interior of pool to be smooth finished marble plaster. Be Pool to be unconditionally warranteed for a period of one year from completion. C. All e'ectrical requirements .to be provided. D. Premises to be returned to condition a8 found, excluding grass. E. Cool coated deckingo be provided as mutually agreed upon, approximately A_ square fest. F. Pool equipment provisions# _3 returns __ auto. timer vacuum wAose skimmer �� auto. chlore telescoping pole Z sq. ft. filter 3odTIA 'light test kit _..L_ hope Pump ;�Melrie , leaf rake Iladder gdiving bde wall brush Owners to bear the cost of relocation of-subterranean interferences in way of pool, if necessary. . Payment in full required .upon ..Completion of the pool. Owners and contractors signatures as appear below reflects acceptance of thin proposal and shall Constitute a bonafide contract. Owners are hereby notified of their right .to rescind this contract within t ree working days. Date , z - Date'1 Robert Gregor,- Eavid .Hagist KLiti t0 9196 11-73 83799. MAP SHOWING SURVEY OF LOTS _BLOCKS AS SHOWN ON MAP OF .SEL VA I1 A R IIJA U�/T AS RECORDED IN PLAT BOOK PAGE B5 OF PUBLIC RECORDS OF DUVAL CO.. FLA. FOR ,0o.(/ X_ .✓ow,cfs 0" co.vsr C42- �'41C . i PA RK T CRIU CC EAST moo. i,Pou Sep . 23 - .S'3 "w rp. irov .P• 47s4. S co 24.2: � Z4.2" � —_ I • • � 'M /3 3' /S.P • � ZZ.O' /-STORY STciCCO 0 . O 10W.5 4 L 1,A-IG • V• p✓//7103 � 24 'EA ✓ES b W COA/C. PATiO �i O n CJ o=0 .cDJ cn Z4.0 00 n m O po.5 Opp flail_ mn s o ' �° ► o o• �� E a ¢Z 2'¢ En " 70 •.3170 • Iro IA-041 A fIQQ'-fi8 07 /4 v OmQc� O� o Az,-, o Cb �M V I ` V 1 IL Ik- V yv a fit � 0 00 aL oJ� • Aj Ll Irso us Sol � va oo E O « � a 9.4 V . . . . V h %C tt- r 3 LAA V W � 4 INS J z 'L J © � � � ,% �y C= N V .» gg. : g 0` 0 r v1 40N A b 1 � � � w Uf i DEPARTMENT OF BUILDING 3690 � O a CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. J PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 4ZaflZ7_819 Valuation$. ..l.100 Fee$ 5.00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify that David He Hagist { I has permission to build z 6 firlo ' fe n.r,- Classification rigai Elllt j,�J 7++ne Owned by DSV d H IIs st Lot 8 Block 14 ��D Stl3 House No 1763 Park Terrace East According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUSTBE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE -4 14-10, 0 Building material, rubbish and debris ZI from this cora const not be placed in public space, and must be cleared up and hauled away by either contractor or owner. r, ± T /20/7rO Bel FOR OFFICE PERMIT D USE ONLY NUMBER ATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER i i i i i FOR OFFICE USE ONLY Date-------•------•-----•-----••-----..119-...... �. Fee�... 1 ---- Permit *........................ CITY OF ATLANTIC BEACH Valuation $------------------------------------------------------ FLORIDA -------------------------- ------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...........................................•••-••--•-••-•....----.......1 19............ 1 k� E o'C�ln^ 9106 ac —Owner.. U.t' --...-- -:•.. -. /✓-�.2 ------...-•---....Address..�.l..Address-17413..... / /_K. ..----Telephone No.........-•.................. Architect----------------------------------------------------------......................................Address............................................................Telephone No.............".- ,Contractor Builder------•--------------------------- ----Address--------•...................................................Telephone No...........................-- LotNo.-----------_--- W Block No.---------�3---•-•------Sub Division............................•--•--••--••---...------....-----•-••--•--.........Zone------_-----•-- - _ . .---� ... sfR. ---- --•-•--------------------Street.- -----------------'Side Between.-=---.. rRrN _ and Valuation $........L3 -©'. For what purpose will building be ............Type of construction........ QD---------- Dimensions of Building---(9..----- &'Y------------Dimensions of Lot..............m...................................:Size of Footings...----.--.--.-------------------- Size of Piers.--.---•-------"---•---------------Size of Sills.._----...-- -----.........Greatest Sill Span in ft.---------- ..--------Type Roof.-.-----_...------7 ------.--.----- How will Building be Heated?---........................`^......-------__---_---.-----.Will Building be on Solid or Filled Ground?....................................... Size of Ceiling Joists__------------------ ------------ Distance on Centers-----------_............................... Greatest Span..................... ----------------•--- » Size of Floor Joists-------------------------------------------.., Distance on Centers-........ ....................... Greatest Span ' ..................... » Size of Rafters-------------------------- ----------, Distance on Centers..........._------r-- .......... Greatest Span..................... ......... of r This rectangle is to represent the lot. CIT�O p R 0 V E D Locate positionmGi Give or distance inf buildings Q(� BUIL p� NTIC p all lot-lines and existing buildings. VG 0ppi fI REAR LOT LINE Two copies of plans and specifications shall AP (� '978 be submitted with application. _ Inspections required. 4 By 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z s U v Ey x 3. When steel is in place and ready to pour beam. `� a 4. When framing is completed. S 5. When rough plumbing is completed,and ready to cover up. W 6. When septic tank drain field or sewer is laid but before it is covered. A A 7. Electrical inspection by City of Jacksonville. 8. 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 City of Atlantic Beach. j Signature of Builder . ..................-.-......... ......... .................... Address--------------------------------_-------•---•-------F-'-/---J-/-..t.....-•-•C--s...?...... ........--------- ............ Address... .......................................................of Owner��." L 1974 k&tO 9153 11-72 53785. MAP SHOWINGSURVEY OF LOTS_ _BLOCK /# AS SHOWN ON MAP OF •SEL Vi4 �1 A#qmm utar: Alo 8 AS RECORDED IN PLAT BOOK .1¢ PAGE e5 OF PUBLIC RECORDS OF DUVAL CO., FLA. FOR .Dom .c ✓oyc�soc� �'o.vsr. co. ivG . 2Y PARK rCRR,4 CE" tA,ST 3:i' .comic.: W,41-AC. aL_ ` p /3 3' m 22.0' O /-.STORY STGICCO G i v 0K/EG L 1,J6 • •�///7lv3 � II , 24 EA VES Q �`` 4j V fi COAJC. 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