Permit 1767 Park Terrace W (vault) IL01 -0,
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/11/92
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ATER IMPACT '40.00,
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SEC. ff iMPAICT FElt "r"7i&,,
.-NOTICE;'
Cp"ETO PORPAS AND frOOTINGS4WI)ST,09 INSPECTED
INC
"Fig PQiJR,
-KRMITVb!D,SIX MONTH S AFTER DATE�O' F ISSUE
MATERIAL.-RUBBISH ANp,bEsRl$,
',FROM THIS WORK MUST,NOT BE,PLACED IN PUBLIC SPACE,AND MUST BEY
OLkAkV,UP AND�,H �p ,EjTHEA,CONTRACTOR OR ClWt4eo.
Au'
y
LAW'CAN SULT
�,"NUUU WTHR MECH
ANIC$1,1� N,
WGM
f THIS PERM4T�A
ION FOR
OF LAW�,
'PRoV", ION$ 'TO
'D,A OORDING TO Af*,PRbVtD PLA HIC,
C C WARE PART OF�
T
N OPAPPLI
A
zih P*.,C
T E
14TIC BEACH OrUILDING6 PARTMEN
"A T
CITY OF ATLANTIC BEACH
PERMIT APPLICATION ROOFING
Owner(s):
C9 CA.
Address:
one:
Lot #-. Block or Unit Subdivision
Contractor: ''ef-
4
h"
Address:
Phone: 74 — 7-7 7//
State License No./fc v
Describe work to be done:
Materials to be used:
�0/lj
Signature OWNER: -
Date:,
Signature CONTRACTOR
MAP SHOWING SURVEY OF
LOT 21, BLOCK 12t SELVA MARINA UNIT NO. 81 AS RECORDED IN PLAT BOOK 34, PAGE 85 OF THE
ICURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
0/1
S86* 54,'50ft F- 130,
-X
42' Zhw_ -J'— — 12.6'
Pro.
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706A-AO W 641AZ
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00033838 Date 8/31/06
Property Address . . . . . 1767 W PARK TER
Application type deilcription ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuaticn . . . . 0
------------------------- ---------------------------------------------------
Application desc
REPLACE SERVICE
------------------------ ---------------------------------------------------
Owner Contractor
------------------------ ------------------------
NARUSAS, BECKY JEM ELECTRICAL
1767 PARK TERRACE W
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/27/07
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- --------- ---------- ---------- ----------
Permit Fee Total i 85 . 00 85 . 00 . 00 . 00
Plan Check Total i . 00 . 00 . 00 . 00
Grand Total 85 . 00 85 . 00 . 00 .00
pERMff IS AppROVED ONLY IN ACCO",�NCE WM ALL MY OF AIIANTIC SFACH ORDWANCES AND THE F1A)MA
BUILDE4G CODES.
CITY OF ATLANTIC BEACH
ELECTRICAL PERMIT APPLICATION
Date: ..., ,f—
Property Address: wle,` re4v. cxl
Owner7: / -
F Telephone#:
Contractor: J Telephone#: 5;1c/'/�9t.? -35�
Contractor Address: Fax#:
Contractor Signature:
-Tn—considerati
on of permit give5,!for d ng the work—as describ d in the above st'atement, we hereby agree to perform said work in
accordance with the attacheolans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and.standards of j�ood practice listed therein.
Building: Building Type: Li Trailer Service: If other construction is
U New Z'�_Rcsidence U Temp. C3 New being done on this building
Or site,list the building
;cr- Old Ll Commercial El Signs Ll Increase Permit number:
El Re-wire u Addition Sq.Ft. u Repair
Conductor Size: ANTS: C PPER ALUMINUM
Switch or
S
L: RA E
Breaker AMPS PH W VOLT WAY
:Existing�Semrvice S
S : RACE
Size AMPS �t)C) PH W VOLJ�tV
773 WAY
Meter
Number
Feeders: NO. SIZE NO SIZE NO SIZE
Lighting Outlets
CONCEALED OPEN
..Receptacles CONCEALED OPEN
Switches 0-;n Amp-, j i f)n AUPS
Incandescent
Fluorescent &
M.V.
Fixed 0.100 ANTS OVER BELL
Appliances — TRANSFER.
Air H.P.RATING H.P.RATING CEILING _TW___-HEAT
-Conditioning COMP.MOTOR OTBER MOTORS AWS BEAT
Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS
UNDER600V OVE 600V
Transformers NO. KVA NO. KVA
No.Neon-Tr—ansf.
Sign
Miscellaneous
800 Seminole Road*Atlantic Beach,Florida 32233-5445
Phone:(904)247-5800 e Fax: (904)247-5845* http://www.ei.atiantic-beach.fl.us
Revised 1/04
)Ulf
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
r 11jr
Application Number . . . . . 04-00028466 Date 6/14/04
Property Address . . . . . . 1767 W PARK TER
Tenant nbr, name . . . . . . HVAC
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
NARUSAS, BECKY DONOVAN HEATING & AIR
1767 PARK TERRACE WEST 315 SIXTH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-3785
Permit MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 79 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
C )6-'� ( - � k
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
Date: 001 /1110V
Owner of Property:
Job Address: /7 C 7
Contractor: 1-"V 0 L"e),-V
In consider4don 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
ordinances and standards of good practice listed therein.
III. GENERAL INFORMATION
A. T of heating fuel: B.
ir Electric IS OTHER CONSTRUCTION BEING DONE ON TIES
Q Gas: LP —Natural —Central Utility BUILDING OR SITE?
13 Oil
0 Other-Specify IF YES,GIVE NUMBER OF CONSTRUCTION
PERMIT
IV.
MECHANICAL EQUIPMENT TO BE NATURE OF WORK
6 Residential or Commercial
INSTALLED 0 New Building
(Provide complete list of components on back of this form) El Existing Building
V Heat _Space —Recessed &-'Central Flo" W Replacement of existing system
R Air Conditioning: Room '�-�,C� 13 New Installation(No W.W.previously installed)
0 Duct System: Material Thickness 0 Extension or add-on to existing system
Maximum c9P&Ci1Y--------cfm 0 Other-Specify
0 Refrigeration
• Coo4ngtower. Capacity
• Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY
• Elevator: _ Mantift_F-scaWor_(Numb-) (Received)
(3 Gasoline pumps_(Number)
• Tanks (Number) Remarks
• LPG contaiD= (Number)
U Unfired pressure vessel Permit Approved by_ Date_
CI Boilers
0 Other-Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGEILATION EQUIPMEW
Number Units Description Model Number Nunufacturer Capacity Approving
(Tons) Agency
(7r'CT Q"'o rz(r,-- LALI
HEATING-FURNACES,BOILERS,FIREPLACES
Number Units Description Model Number Manuhtcturer Capacity Approving
A
q) (BTU) Agency
aMrAgazz- Ze V'4"'K 31
TANKS
How Many Nominal Capacity Type Liquid Name of Serial Approving
And Dimensions Contained Manufacturer No. Agency
800 Seminole Road e Atlantic Beach,Florida 32233-5445
Phone:(904)247-5800*Fax:(904)247-5945 o httv://www.cLatlantic-beackfl.u3 1/14/03
08/01/2006 15:32 FAIL laoot
NOTICE OF COM&ENCEMENT
(PREPARE IN DUPLICATE)
Permit No, 0 (9- 60 0 SI 19� Tax Folio No.
State of County of
To whom it may concern:
The undersigned hereby Informs you that improvements will he made to certain fW PrOPWW,and in
accordance with Srsaion 713 of the Florida 610111110111,the following Information 118 sated in Oft NOTICE 09
COMMENCEMENT.
Legal description of pfoperty being Improved:
Address of property being improved: 6
A+t 312325
General description of improvements: ys��
'49,
owner
Ad
owner's Iftrog in site of the improvement
Fee Simple Titleholder(it oths;than owner)
Name In
Address
contractor
ON.
Address 400) Bq 0 a' ZE-o-11 too I t1i Pil G
Phorm No. q— � '57 '!9- M .Fax No. 9'0 —)4-2- loi�y-
Surety(If any) OA
Address Amount of bond$
Phone No. Fax No.
Name and address oi 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 servel-
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 Statutes.(Fill in at owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Nolice of COMM90q9ment(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RICORDEWS USE ONLY
—Date:
Print Namel—EL-400thes
Before methwx�06y Of in the
son Duval,8 of
Doc 0 2005201lieD,OR RK 134:9 POP MI. 0111111111
NuftW PWW I =08 at%a.47 PM. =a
nied a R000rded OW ne:
JIM FULLER CLERK CIRCUIT,.OURT DUVAL COUNTY
RECORDING$10.00 N;,,yVM7r,—,t I-aw,S$NAFjodda,County of Duv I
My commission expiro, ;XZ67
Personally Known or
Produced Identification
08/07/2006 10:52 FA I X 9047371044 TOM TROUT INC 10001
7*94 oawd S44" IV62
PN
5569 -1 Bowden Road
Jacksonvilie, Florida 32216
(904) 737-5412 fax (904) 737-1044
To; A,flantic Beach Building Dept From Pmetor Cooper
i
Faic 247-5877 Pages: 2
1
Phone., 247-6235 Date: 8/7/2006
Re. P,lease confirm receipt CC: Proctor Cooper
0 Unientl E3 For Review El Please Comnient 121 Please Reply LJ Please Recycle
0 Comments: Attached is a survey of 1767 Park Terrace West Atlantic Beach FL 32233. Permit
#06533284 On the survey please note the dumpster and poTt-a-let locations. Please contact me at 759-
1,
4521 lettii ng me know this has been received and noted.
Thank yo I u,
�ooper
Proctor C
US/07/2006 10:53 FAX 9047371044, TOM TROUT INC Z002
MAP-SHOWING SURVEY OF
LOT 21, BLOCK 3-21 ELVA KWNA UNIT'No. 8, 'Aj jt=RDEn
==T POLI 'S 'm PaT BOOK 34, PAGE 95 OF I AE
C RWMDS OF DUVAL couNTy, FLORIDA.
5&s'50"F_
130,
AV
uj
u
4
(AXN '!
Lw
Liji
N861 6 0--
w
Ila
a
z
-Z 4000
IH19 MINT IS FOR INFOPMATION
PURPOSES ONLY, THIS PRIfft Ha
NOT BEEN EMB ,
OSSEO WITH THE
su
RVEYORS SfAL IWO. 15 tjoy VAUD.
- A. DURDEN
ASSOCIATES . w I AJ
ft H
j9U1kV!ZV10R1r.
T"
mmx BOX&0870 APP-tL
11116T SOUTH
KSO
91-fAki-rn
08/07/2006 11:35 FAX 9047371044 TOM TROUT INC 16002
Aug 07 06 11:1 is V��hjlism R Stowem 904-2644.569 p.2
N01r10E OF COMMENCEAMNT
(PREPARE IN DILIFLIGATIZ)
Pe,rnit No. 2
Tax Folio No.
state of County of
To.whom it may concern:
The uncftrsigr-4*d her-eby informs you that Improvements will bi9p nzade to certain real property,an,I ir,
accordaince with Sectiein 713 of the Florida Statutes.the following information is stnted in this NOTIC OF
COMMENCEMENT.
Legal description lot property being improved: V>Xa5.�
-5't-1,J
Addre--5 of prope", being improved:
1
General d I provements:
ascription irn
. 0 ,,I',::;- -�,, - �Q
Owner— -1 CA-.-I- J r-) 't- CX-5
Address -7
owner's interev 17 site at the impsoverrit a—4--
Fee Simple Titleholder(if othe han ow er)
Name
Address
Contractor V-. t-Al
AddTOSS
Phone No. cm Fax t4o. C
)-O�e—:2 3 .- ley
Surely(if any)
Addrtxs.:� Amount of bond
Phone No. Fax No.
Name and addreAs of any person Mahing Z4 loan for the construction of the improvesinent:;.
Name
Address
Phone No- FaK No.
es aher
N3me of person W11hin the State of Florida, other than himiself,des;gnatecl by owner upon whorn notic or
docurnenls may 'be sewye4j:
Name
Address
Phone No. Fax No.
In addition lo hinli elf,owner designates the following person to fecaiva a copy of the 1--tenoes Notice as prcadad in
Section 713. ( (b4. Florida Statutes.(Fill in at Owner's option).
Name OT AP-
Address I --
Phone No- ------ Fax No.
Expiration ciale of Notice of C m ment(the eiii:piratiovi daic is one(1)year from the date ot recording inlatis a
different dAble is 9pecified)*
THIS SPACE F�OR RECORD&H-8 USE 5—HLV
Frin-.NOMW.!r—_-
Before me this -Y of in tho
I
()cc&2nob-266140,OR Ok 34— PnQe 697 c=—-me0anilYL42LIQ�L�IVRI �tilitO 0
r-jurrAmi,Fag",I
FVAQ&litacmded obt01/2006 at 03�47 PM. z:!D 4C PIA voy 21.low
JIM PULLER CLERIK Cilil;I CUIT CotjiRT OUVAL COUNTY xo�&�
I F - 0,County of DUV.Al
RECORDINIM-S10-010 N.I;ly W. t LATUO*
My Commission=Xpfra.
Pamonally Known or
P,oduced ld&mtitication
CITY OF
4&4a,4'c BeacA-&;&u-da
Office of Building Official
REQUEST FOR INSPECTION
Date 9- 2a Permit No. .2-2 5
Time A.M.
Received M.
176 -7 �it (::!N74,,,t A-cIL-4Z
Job Address J Localit
0 ner's
w Contractor
Name
BUILDING CONCRETE ELECTRICAL PLUMBING
Framing E] Footing 1� Rough Wiring F] Rough 1-1 Air Cond. & El
Re Roofing 1-1 Slab 11, Temp Pole 1� Top Out El Heating
Insulation El Lintel 11 Final 11 Sewer El Fire Place
Pre Fab
READY FOR INSPECTION
A.M.
Mon. Tues. Wed. Thurs. Friday
Inspection Made i(—
RM. 3 P/,li
Inspector--.-.. C Fin A V"o @1r"
Certificate of Occupancy [-j
Date
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
��PERIYIITINIFOWAY—1 N* �WCATIONINFORMATIO f��
Permit,Number: 22590 V-0 Address: 1767 PARKTERRACEWEST
Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section:0
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: 7""'r,, 5RjNF "M
MAT ht
Date Issued: 8/30/2001 Name: NARUSAS
Total Fees: 43.00 Address: 1767 PARK TERRACE WEST
Amount Paid: 43.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 8/30/2001 Phone: (000)000-0000
Work Desc: REPLACE HEAT PUMP AND. NOLE-9,.,_
LK S
DONOVAN HEATING AND AIR -0
43.00
'vo
V
40"
"r, ai
12-
5W,
No,
"T
Afft
S
VL
lo�
&
I,C -17
ROUGH MECHAN A L,, 7 N"
-,M"M--v
gy
J,
W
TO I-NS CTI
,OUR
'T- 5 ON
NOTICE�INSPEdl
BUILDING MATERIA" :RUBBIS F M TF IIS WORK M1 IST NOT BEi�TMED.M..", BLIC SPACE, AND
MUST BE CLEARED ANDH -BY..E[THtkCONTRACTOR OR 0
N T RU C7, N' L I E N N RES ' IN T
"FAILURE TO comPL H-7 "S n HE
PROPERTY OWNER P� IXTS.
APPRO !P H TVF AND SUBJECT TO REVOCATION
ISSUED ACCORDING TO ,F_
FOR VIOLATION OF APPLICABLE PRO
$43.86 14
Date: $131VII It Receipt: 9081
CHECKS 8248
ATLANTIC 6EACH BUILDING DEPT.
1 4-
43
PAWYMEW�V08
TtANTIt,
'Ti
VOW
xt-l'ot x LOCATION INVOMATION
rom, ou:
t
TZRIMIC WEST
fAr 11 34
:ATLiNTiC BEACH, FLOR
Type,* PLOMIN4 "IPA, 324'
lotdlilt DUCItIPTIOt
V
o ork
t* al 4�16k e� 'tion:.
L
'I.,
i4tse Utof St 161 ',AM
Subdivisio
4i,
$0.'00
-0
tov. "C"ost'. .,00
-mp
�. Tot,*i 0'0:
_tZS` 00
7w,
irk
tn
7 7 7-
ION 119,80,
APPLICAT
loft , !y OF' '
pom T, $25.,00' '
"d, iMPACT FEE
or WIEST 1 A
V
V 0 ',
'R , FIZZ
L
op
RADOO lop'
CAB
ON
1 TAL TJOR
ANY 00
r J .....
Saw
'CONNECTION
PROS
00
Lio Type 0 UP J11 1)(PACT PON
C -81
-1;17�4"A
imp*
INSM
US ANO FOMNGS7 P"ING,
WnCE ALL
AFTER DA
VOUSIX iSITHS
ND ST
FROM THISWORK'MUST N
M$H A ND�DE SMCE,A, 'MU
ktiRiAL,AU, O�APEi'IN�fVSLIC
I ,b
Uo",A
N
MiEWCOW—AACTOR OR OWNER
PLiAAM LED f
ULT
H
E
W,CM
F THE , n
''A
-E,
All
'HE T"C
�T
r
' G* 4�tms'�WHIP'H is ANDSUEPECT TO 11011! ,�44
-��J$$Ufb'AC DORDW
A F,ART Of &
TjH 'p
OF if 41
PRpVj:
'OF I".' ....
81EA0*4#UIL6
NT
y
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
-7
JOB LOCATION:
OWNER OF PROPERTY:
PLUMBING CONTRACTOR
CONTRACTOR' S ADDRESS:
STATE LICENSE NUMBER: e� ,� 117416 TELEPHONE: 1:00/4--
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY -----YATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURES: X $3.50 + $15 .00
(�M-i N IMUM PERMIT FEE - $25.001�',
SIGNATURE OF OWNER:-
SIGNATURE OF CONTRACTOR:
-----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP - ( 904) 247-5834
9041
DEPARTMENT OF BUILDING PERMIT NO_ -
CITy OF ATLANTIC BEACH.FLORIDA
PERMIT TO BUILD 00CA.
THIS PERMIT MUST BE pOSTED ON JOB
97
7_19�
Dat
no fee
Valuation
P'rnn'nor valid unta above fee bas been Pi,to City T,easurel,and is
This provisions of law.
subject to revocation for violation Of aPP""ble
This is to certify that phyllis louse
has permission to
Zone
Classifjcation__ftAld=ti'���
Owned by ilis ous Block-------S/D-----------
tot— 1767 park TeTTACC West
House No. Plans which are part of this permit
According to approved NOTICE—ALL CONCRETE FORMS
1NGS MUST BE IN-
AND FOOI pOURING.
SPECTED BEFORE
pEPMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
terial,rubbish and debris
0 Building Mal
z
fron, this work must not be placed
and Must be cleared
in public space,
UP I hauled away by either c n'
r or Owner�
jr J11
B Aing fficial.
PERMIT DATE ONTRACTO
FOR OFF NUMBER
USE ON
PLUMBING
ELECTRICAL
SEWER
WATER
ilk
qo
CITY OF
716 OCEAN BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE 1904)249-2395
-----����APPLICATION FOR TREE REMOVAL PERMIT
�---DAT�E A-1�-a lqg7
1 O'D Q M -r�z
Applicant
NAME
ADDRESS
Owner
NAME
ADDRESS
Location of tree if different from owner' s address :
Reason for Removal! --la 'Vis4- (�&F-
7 W, '�aO
MhW WL kUk I
'?" Rear Lot Line APpR OVED
Z CITY OF ATLANTIC BEAC[j
4W 0) EU"LDING OFFICr
indicate r4
possition of x AUG 2 6 ','987
tree on 0
lot 1-4 YL—
Q)
a
Front Lot Line
10
AUG24 '198-i Building Official
uilding and Zoninv
DEPARTMENT OF BUILDING 4087
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Valuation$_,1Z"q_qj Fee S
q g_A_0Q__
This Permit not valid until above fee has been paid to City Treasurer, and is
subject to revoc�atlou for violation of applicable provisions Of law-
This is to certify that Dq"4ag CQQ8t
has permission to build sif rKwIlIng
Classification-
Owned Biock__12____S,/D Selya Marina
Lot 21
House No 1757 P
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
0 Building material, rubbis b
P, Z from this work must not
public space, and must
and hatiled aTg:r,by eitftq
or owner. ')UC C
7 ")UCA
7
Buildins official-
--------------
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL CONTRA
:FOR F N DATE
'�F PURM IT
'Cc M'ER
Y
Uq�
CT
LUMB ING
ELECTRICAL
SEWER
WATER
look"
FOR OFFICE USE ONLY
,,nacRE To comny wrrH THE VIECHMIC'S Date------1�._.c2f...........197f
LM LAW CAN ROULT IN M PROPERTY Permit *_,MZ7..Fee
0"ER PAyff(GP(6FFR?LAW%§kCH Valuation $ ..........
WROVE10M,
FLORIDA
................................................
APPLICATION FOR BUILDING PERMIT
0..9-a 2�.................
...........................................................................
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 Atlanfic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that-a list of sub-contractors be submi ed to this office so that licenses can
be verihed. 19/
-----------------------------------
6 e No—.-
..... --_------------------------..Address...._4 ................Telephon
Owner ........ . .........
Telephone
--------------------------Ad
Architect.......zo_�75 dress_5/dC�
71z--
..Telephoue No
............Address/.? .........
Contractor Builder.. ---- ---- ---
-Lot N 0----------- ------------...Bloc1c.No-----Z --------_-_--Sub Division..�q�-Z�..�6----- -.1.......................Zone.................
-----_-----------_-Side Between_ ...... . ...................and....................................................Ms.
.. ...................Street
7-------------
Valuation .........For what purpose will building be used �/.; Type of constructlom'�.. .............!!?z......
........Size of Footings--- .............
Dimensions of Bullding__��&.X__Az-----------------Dimensions of Lot.... ........................
Size of Piers----------—-------------------S of Sille--------—--------------------Greatest Sill Span in ft..........................Type Roof... . ...................
How will Building be Heated?.... -------------Will Building be on Solid or Filled Ground?--- --_------------
-7------
Size of Ceiling Joists------:4YZ�--------------....... Distance on Centers........ .............................. Greatest Span......Z ............................
15 ( .. ................
Size of Floor Joists------- --------- . ........Distance on Centers........ ..................------------ Greatest Span................ ......
14.1_.4�1� ....... Distance on Cc /Z
Size of RaftersZ41��---V nters . ........................, Greatest Span--------------------------------------------
This rectangle is to represent the lot.
Locate the building or buildings in the
APPROVED right position. Give distance in feet from
CITY OF 4LAKIC BEACH all lot-lines and existing buildings.
BUIL NG OFFICE REAR LOT LIKE
Two copies of plans and specifications shall
be submitted with application. 28
Inspections required.
1. When steel is in place and ready to pour footin
2. When steel is in place and ready to pour colum t
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.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In considerati of perm. :.qven for 4oing the w�� nt, we hereby agree to perform said
�s described in the above stateme
with e �t ch d I
work in accords, tac e �w lim dApec)fici n , which are a part hereof, and in accordance with the building
regulations of th ity 0 antic Bea
Signatureof Build ............. ..... . .. ............... Address..,....................... ......__...........................................................
Signatureof Owne ........ ....... ..... .......... ---- .............................................................................
DEPARTMENT OF BUILDING PERMIT NO. 4092
CITY OF ATLANTIC BEACH, FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
7q
valuation$_x4QMb4A9_ Fee S
This permit not valid until above fee has been paid to City Treasurer. and is
*abject to revocation for violation of applicable provisions Of law
This is to certify th L9
has permission to build—
Aters 2,1. dishwd! ;hing macnIl
Classificati
Owned - - Block---J,7—S/D–qalua-llari�na---a—
Lot '71
House No
ermit
According to approved plans which are part of this p NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
7"" AFTER DATE OF ISSUE
;0
—lo. 0 Building material, rubbish 4eb
'4 Z from this work must not . P
public space, and must
F and hatiled swj* by eithw
4 1 ��,CACG
or owner. 0�,CAC
------------
M
Buildim Offield-
CONTRACTOR
FOR OFFICE PERMIT DATE
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF AFLAAfirlt &rAP11
APPLIZATIOP FOR PVWHXNG PERMIT
v
.9,41
FLUMBIllo FIRM? zv.,eli�rek
RASTER, PLUMBER ell "-50
OCCUPATZONAL LTCERSE NO.
STATE CERTTFSCATE
BUZL4,,!!_El OR C.097RACTDIR -------
YYPE' OF BlUILDYNG
—'am,wSt;
:z WITER qfArr:fis
Th" Tea
VAI�T P AL S
n"asfy.."
FLOUR N?A"Tlvq —.9 rw/!EPN
,/�'TOTAL FZXTtJi?E 4.70UPIT
iNS7,4t.L,jTj0H 0,T PLUKKOG AND FIXTURES ANST BE IN ACCORDANCE WITH ?HE WSF
XECEllir EDZTZ09 OF THE SOUTHERN STANDARD PLUMB-TOG CODE-.
0
CITY OF ATLANTIC BEACH
WATER COWZCTION CHARGE
DATE
LOCAT lot;
ZZ
OWNER___
PLUMBING F1
MASTER
BUILDER OR COMTRACTOR
U
TYPE OF BUTLD330(;::��V�-
(-3? BATMOM GROUP COlTS:18T=G OF SHOWER STALLO DOMESTIC 2uni,
WATER CLOSET, LAVATORY & BATHTUB
OR SHOWER STALL (6 units) /9 SHOWERS GROUP PER HEAD 3uni-
BATHMS (WTTH OR WTTHOUIT OVER SURGEONS SrNX (3 units)
HEAD SHMR) (2 units)
FLUSHING RIM S4W (a units)
BIDET (3 units)
SERVICE SINKTRAP STAND 3unt,
COMBINATION SINK AND TRAY (3 units)
POT* SCALUW SM (4 units'
COMBINATION SXNK & TRAY W/PlOOD DIS.
(4 units) URINAL, PEDEMAL, SYPNON JX
DENTAL UNIT OR CUSPIDOR (I Unit) BLOWOUT (8 units)
DENTAL LAVATORY (I unit) WALL LIP (4 units)
DRINKING FOUNTAIN 0� Unit) &LL, WASHOUT 4 unit
_Z DISHWASHER (2 units) URINAL TROUGH EACH 2-Ft.SM,
2 -1 n-J,ta
pLOOR DRAINS (I unit)
]KITCHEN SM (2 units) 'WASHING XACHrVR RES.
WASH SXW� EACH SET OF FAUC?
__L.��,JTCHZN SINK W/FOOD WASTE GRMDER (2units)
(3 units)
LAVATORY (I unit) j ZMATER CLOSETS. TANK OP. 4uni
WATER CLOSETS, VALVE OP.Bunj
LAVATORY, 9ARBZR, .BRAUTi PARLOR
(2 unital 1AUNDRZ TRAY (2 imitsj
LAVATORY, SU]iG=98 (2 units)
CITY OF ATLANTIC BEACH
716 OCM BOULEVARD
ATLANTIC BEACH, FLORIDA
ADDENDUM-TO BUILD-ING PLAN
1. Building location:
2. The attached plan for the above building is approved subject to mating the following
applicable construction requirements:
under exterior walls, reinforced with
gs shall be continuous monolithic concrete
two 5/811 deformed reinforcing rods for Ong-story buildings and these S/8" deformed
reinforcing rods for two-story buildings. Reinforcing rods shall be placed in the
lower one-third of the footings, properly placed and fastened on metal sa M es
with wire. Footings shall be six inches wider on each side than the wall above,
shall be at least eight inches thick and shall rest on firm soil at least twelve
inches below undisturbed soil.
b. t construction, each unit cell shall be reinforced with at
,least one No. 4 bar poured and tamped with concrete; such
reinforcing shall be properly tied into the footing and spandral beam.
All wood truss rafters (roof construction) , shall be securely fastened to the
exterior wa a with approved hurricane anc re or clip$.
a. Construction of nearby one-family dwellings, which are duplicates or intensely
similar, shall be avoided. Such. similarity considers the external configuration
and appearance (i.e., roof, OUtur wall matetials, window size and design, and
other like characteristics) of structuras. In accord with the foregoing, similar
or duplicate homes shall not be constructed within close proximity of each
other, and shall be at least 500 feet apart if any one similar dwelling is
visible from any other similar dwelling.
L
a. The final connooction between the house pl ing drain and ewer s*rViC6
connection (at the property line) must pected the re
covered.
r
c y Manager
The undersigned hereby certifies that he has read the above and understands that this
addendum takes precedence over any cwtvary details totKe Plans a 169 ifications
and agrees to comply with the inte.,It of t1is addend
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CITY OF ATLANTIC BEACH —1
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
P00
Oil W���
Permit Number: 20363 Address: 1767 PARK I EKKAUL WEST
Permit Type: FOUNDATION ONLY ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section:0
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: 7/17/2000 Name: NARUSAS
Total Fees: 25.00 rAddress, : 1767 PARK TERRACE WEST
Amount Paid: ATLANTIC BEACH, FLORIDA 32233
Date Paid: 7/17/2000 Phone: (000)000-0000
Work Desc: NEW SLAB/PORCH FO DATION
IT 25.00
1 RiC IERTY OWNER PERM
FOPOTINMGG
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.
1 Receipt% 0074009
Date: 7/16/00 0 43K
CHEY'S
08100003221900
4A NTI�C
CD
City of Atlantic Beach
CITY OF A-TIJLVTIC BEACH Building and Zoning
PMRMIT APPLXCATT01V RENOZZZ,, ADDITIONS., OR ALTERATZONS
MDVZVGf rEMLXTICNS
Owner(s)
9'
Job Address: Phone:
Lot # Block or Unit Subdivision:
Contractor: State License #
Address: Phone No:
city State Zip Code
Describe work to be done:
Present use of building:
Valuation of Proposed Construction:
Propos ed use:
Is this an addition? tNb If yes, what are. the dimensions of the added
space:-ft. X ft. Will the added area be heated and
coo-Led?_ New electrical (or increase) ?
New Plumbing fixtures?_ New fireplace? New Heat/AC?
SMMET, MMRGr CMSXEMTXAZ) CCWLLFP2T SMTS or PLANS, MMUDING
0
SX22 PLAN, (="MCZ") TW a0ZW
SMar -HE=
OWIM/CONMACTM AB77XAVX.T, Xp on= ZS C0MrMUCM0r'C= OF AND
Signature OWNER:
-z- --------------. Date:
Signature CONTRACTOR:
Date:
AS To OWNER:
Sworn to and subscribed before me this, day o
2000.
AS TO CONTRACTOR. ARY PUBLIC
SwO-rn to and subscr M. PWCIA Mono
ibed before me this MY COM
------- day of HSASON 0 OCKWI EXPIRES
MfW9
UPMCE'jNC.