1600 W Park Ter (vault) MY OFATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE.(904)247-5800
FAX:(904)247-5805
SUNCOM:852-5800
http://ci.atiantic-beach.fl.us
Wednesday, October 15, 2003
Samuel Howie
.1600 Park Terrace West
Atlantic Beach, Fl. 32233
Subject: Change of Address
Dear Sir,
Your request to change the address of you house at 1600 Park Terrace West to 357
Country Club Lane,will not be completed due to the following issues:
1. The address of 1600 is consistent with all the surrounding properties. The
property to the north is addressed 1614. The property to the east and to the rear is
addressed as 1601 Selva Marina Dr. The property to the south is 1580 Park
Terrace West.
2. There are no Country Club Lane addresses on the west side of the park.
3. The closest Country Club Lane address is over 470 feet to the east. This gap in
addressing would cause confusion with the various delivery services and most
important the emergency services.
We understand the address was changed in 1959 against your wishes. We cannot change
the address back due to the afore mentioned issues.
Please contact me at 247-5826 or by e-mail at dford@ci.atlantic-beach.fl.us if You need
to discuss this matter.
Sincerely,
9�F,r�BO��
Building Official
Cc: City Manager
File
Enclosure: Copy of address map
map output Page I of I
JAXGIS Property Information
ISS2
1633
I"S
1620
1627
1644
H
1620
Ian 1636
1014
ifizi
16IS
1601 33S 325 315
1719615 0000 1601
1600
Ises 310
tsrs
Isse 330
'1464
IS" 15"
1560 14S2
IA20
4545 1542 1445
ism
U21
Isn
153S
cep"ht 4c)2we ay.-t
law
RE# rots/ Acme Va/Descdpdons od LandUse Zoning EIVT
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wbe Nook
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sw 16-2S-29E
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g0lWME ARK TE 700 D.5 2 ELVA MARINA UNIT NO Pod
AF
17196MS U 261
UELTETAL L OT 2 BLK 6 fone
33
httn://maDs.coi.neVWEBSrrE/DuvalMAps/toolbar.asp 10/15/2003
Map Output Page I of I
JAXGIS Property Information
1614
.................
1661
AT
0
Capyrip hi JC)20M C ity af Jackonvilk F1
RE# a Address Total Acres Plat Map Legal Descriptions Flood LandUse Zoning ENT
INan, value JBook Panel one
1600
[HAC WI E PARKTE 27-06 16-2S-29E Not in
171966000 MUEL T ET AL W 261700 5582 SELVA MARINA UNIT NO 2[Flood
132233 LOT 2 BLK 6 'one
http://maps.coj.net/WEBSITE/DuvalMAps/toolbar.asp 10/14/2003
Duval County Property Appraiser - Parcel Summary Page I of 2
PARCEM INFORMATION
Owner's Name: HOWIE , SAMUEL T ET AL Fteal Estate Number: 171966 0000
Secondary Name: THERESA D
Property Address: 1600 PARK TE W Mailing Address: 1600 PARK TE W
City: ATLANTIC BEACH ATLANTIC BEACH , FL
Zip: 32233 Zip: 32233
Unit Number:
PARCEL DESCRIPTION
jProperty Use:0100 SINGLE FAMILY FiWl—eDate: 11/1/1999
Legal Description: 27-06 16-2S-29E SELVA MARINA Sale Price: $86,500.00
UNIT NO 2 LOT 2 BLK 6 -
lNeighborhood: 003128 SELVA MARINA UNIT 02---7r—
ISection/Township/Range: 16-2S-29E INo. Buildings: I
lofricial Record Book and Page: 09461-1634 Area: 1960
jMap Panel: 558 2 =[Ex—terlor Wall: CONCRETE BLOCK
VALUES AND TAXES FROM 2002 CERTIFIED TAX ROLL
11-and Value: $158,400.00 ][Taxing Authority: USD3
jClass Value: $0.00 ]FC—ounty Tax: $566.34
jImprovements: $100,800.00 1[School Tax: $688.65
IMarket Value: $259,200.00 J§Tls—trict Tax: $261.33
jAssessed Value: $107,385.00 IFO—ther Tax: $41.23
lExempt Value: $25,000.00 JbLo�Tax: $47.80
ITaxable value: $82,385.00
ISr. Exempt: $0.00
11Sr. Taxable: $0.00 IFT—otal Tax: $1,605.35
t
0"S"
21
...........
Additional Links:
- Map This Property-(MapIT) - Property Record Card (PRC) -Taxes - Back to Search Paae
Additional Info:
All values from 2002 Certified Tax Roll.Updates weekly.Maps and data are not updated as frequently as the Tax Roll data and may not reflect
http://pawww.coj.net/pub/property/�eno.asp?renum=1 71966%200000 10/14/2003
Duval County Property Appraiser - Parcel Summary Page I of 2
INFORMAnON
Owner's Name: HOWIE , SAMUEL T Real Estate Number: 172020 0177
Secondary Name:
Property Address: Mailing Address: 1600 PARK TERRACE W
City: ATLANTIC BEACH ATLANTIC BEACH , FL
Zip: 32233 Zip: 32233-5610
Unit Number:
PARCEL DESCRIPTION
jProperty Use:0000 VACANT RES JFS—ale Date: 0/0/0
Legal Description: 34-51 09-2S-29E SELVA MARINA ]Sale Price: $0.00
UNIT NO 6 LOT 23 BLK 6 -
INeighborhood: 940905 SELVA MARINA NBHD #1 IF-
ISection/Township/Range: 09-2S-29E [N—o. Buildings: 0
lofricial Record Book and Page: IFH—eated Area: 0
IMap Panel: 554 3 =Exterior Wall:
VALUES AND TAXES FROM 2002 CERTIFIED TAX ROLL
ILand Value: $280.00 Authority: USD3
IClass Value: $0.00 Tax: $1.92
jimprovements: $0.00 J�ol Tax: $2.34
IMarket Value: $280.00 Tax: $0.89
lAssessed Value: $280.00 Tax: $0.14
lExempt Value: $0.00 Tax: $0.17
ITaxable Value: $280.00
ISr. Exempt: $0.00
ISr. Taxable: $0.00 J�otal Tax: $5.46
T
Additional Links:
- map This-Pr eft_(MapIT) - Property Record Card (PRQ-Taxes - Back to Search Page
- Op
Additional Info:
All values from 2002 Certified Tax Roll.Updates weekly.Maps and data are not updated as frequently as the Tax Roll data and may not reflect
http://pawww.coj.net/pub/property/RENO.asp?RENUM=172020+0177 10/14/2003
UT20QI01 City of Atlantic Beach 10/14/03
Customer Master File Inquiry 15: 43 : 14
Customer ID . . . . . . . . . . . . : 1549
Name . . . . . . . . . . . . . . : HOWIE, S. T .
Mailing address . . . . . . . . . : P.O. BOX 778
Zip code . . . . . . . . . . . . : 32233 ATLANTIC BEACH FL
Delivery point . . . . . . . . . :
Phone . . . . . . . . . . . . . . : 904 - 2494616
Drivers license number . . . . . :
Social security number . . . . . :
Attention/doing business as . . . :
Old Account Number . . . . . . . : AB05128
Customer name type . . . . . . . : P PERSON
Group number . . . . . . . . . . :
Deposit sponsor ID . . . . . . . :
Display bank draft information : N NO
Display additional information : N NO
F3=Exit F5=Services F6=Service orders F7=Cust misc info F8=Alt address
F9=Change history F10=Payment plans F12=Cancel F24=More keys
�UT47,OIOI City of Atlantic Beach 10/14/03
Account History - Combined Inquiry 15 : 36: 42
Customer ID: 1549 Name: HOWIE, S . T .
Location ID: 1548 Addr: 1600 W PARK TER
Cycle/route . . . . : 02 12 Amount due . . . . . . . . : . 00
Initiation date : 1/01/77 Pending . . . . . . . . . : . 00
Termination date : Customer/location status . : A
Type options, press Enter.
S=Display
Trn Trn Reference Running
Opt Type Date Description Amount Date Balance
DT PMT 10/13/03 JLANIER 10130303 59 . 43- . 00
BL BILL 9/29/03 CYCLE BILL 59 . 43 10/01/03 59. 43
DT PMT 9/12/03 JLANIER 09120304 48 . 47- . 00
BL BILL 8/27/03 CYCLE BILL 48 . 47 9/01/03 48 . 47
DT PMT 8/08/03 JLANIER 08080305 37 . 77- . 00
BL BILL 7/30/03 CYCLE BILL 37 . 77 8/01/03 37 . 77
DT PMT 7/11/03 JLANIER 07110305 53 . 82- . 00
BL BILL 6/27/03 CYCLE BILL 53 . 82 7/01/03 53. 82
DT PMT 6/13/03 DSMITH 06130304 43 . 12- . +
73-=Exit F5=Adjustments F7=Pending F8=Charges F9=Print history
F10=Reference numbers Fll=Payments F12=Cancel F24=More keys
Samuel Howie
1600 Park Terrace West
Atlantic Beach, Fl. 32233
Subject: Change of Address
Dear Sir,
Your request to change the address of you house t�
57
Country Club Lane, will not be completed due to 'e"f6ilowing issues:
1. The address of 1600 is consistant with all the surrounding properties. The
property to the north is addressed 1614. The property to the east and to the rear is
addressed as 1601 Selva Marina Dr. The property to the south is 1580 Park
Terrace West.
2. There are no Country Club Lane addresses on the west side of the park.
3. The closest Country Club Lane address is over 470 feet to the east. This gap in
addressing would cause confusion with the various delivery services and most
important the emergency services.
While we understand the address was changed in 1959 against your wishes, we cannot
change the address back due to the afore mentioned issues.
Please contact me at 247-5826 or by e-mail at dforda-ci.atlantic-beach.fl.us if you need
to discuss this matter.
Sincerely,
Don C. Ford CBO
Building Official
Cc: City Manager
File
Enclosure: Copy of address map
JA
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00029365 Date 12/08/04
Property Address . . . . . . 1600 W PARK TER
Tenant nbr, name . . . . . . REPAIR ROOF FROM TREE DMG
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2400
Owner Contractor
------------------------ ------------------------
HOWIE, SAMUAL BURGER ROOFING CO.
1600 WEST PARK TERRACE 134-1 ERNEST STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204
(904) 249-4616 (904) 355-2756
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 68 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2400
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 68 . 00 68 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 68 . 00 68 . 00 . 00 . 00
PERMrr LS APPROVED ONLY IN ACCORDANCE wrm ALL crry OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
PERMIT CALCULATION SHEET
Ct,r,114
Date
'?tAetc-
Address L
Permit fee based on dollar evaluation as indicated on permit application.
-Heated Square Footage @ 5 per sq ft= S
Garage / Shed @ 5 per sq ft= S
Carport Porch S persqft= S
Deck @ S per sq ft= S
Patio @ persq-ft— S
TOTAL VALUATION:
'S �LA cc S35.00 is, S1000.00 535.00
Total Valuation
Remaining Value Per thousand or
portion thereof:
CONSTRUCTION TYPE: TOTAL BU-ILDING FEE S qS
ZONING: + '/:z Filing Fee
tp
FLOOD ZONE: Fireplaces @ S35.00 S
IMPERVIOUS SURFACE:
BUILDING PERNUT FEE S
WATER EM?ACT FEE S
SEWER EVIPACT FEE S
WATER IVIETER/TAP $
CAPITAL IMPROVENIENT S
SEWER TAP
C ( )RADON IIRS .0050 S
SECTION H PAVING S
CROSS CONNECTION S
ST ( ) SURCHARGE 5
OTHER
CC:
CITY OF ATLANTIC BEACH Q:0
BUILDING/ZONING DEPARTMENT H1g!gin:s>
oerr
oerr
800 SEMINOLE ROAD
ATLANTIC BEACH,FLOPJDA 32233-5445
TELEPHONE:(904)247-5800
FAX:(904)247-5845
61119 http://ci.atlantic-beach.fl.us
OEC 0 7 2004
PLAN REVIEW COMMENTS
Permit Application# 04 - 1936S
Property Address: '1600 Nf4- PAFtYk
Applicant: GMRGrcR RVOTITO C9 -
Project: REPNIR WNGii P=f �910M �Rtt DAMAGE
rmit application has been:
Apprroved
El Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed by: Date:
CITY OF ATLANTIC BEACH
DEC 0 1 P004
ROOFING PERMIT APPLICATION1 1�
Date:.D ecember 1,2004
Job Address:1600 Park Terrace W
Owner of Property: Sarmial Howie
Address: 1600 Park Terrace W Telephone:904-249-4616
Contractor: Burger Roofing Co. State License Number: CCC032514
Contractor's Address: 134-1 Ernest Street,Jacksonville,FL 32204
Telephone: 904-355-2756 Fax: 904-358-0733
Scope of Work: Repair shingle roof from tree damage
Deck Slope: Greater than 2:12 --XX Less then 2:12
Valuation of work: $2,400.00
Product Name(Example: Timberline): Timberline
Manufacturer(Example: GAF)- GAF
ASTM Designation(s): 2 1
Required Inspections: Sheathing and Final
Signature of Owner- Date: 2-/-2 /0
r
Signature of Contractor: Date: IZA
7
AS TO OWNER:
Sworn to and subscribed before me this day of 4 20
State of Florida,County of Duval
Notary's Signature:
ROI DAB.MEREDITH
MY COMMISSION#DD 037721
Personally nown
EXPIRES:July 14,2005
9onded Thru Budget Notary Services Produced identification
Type of identification produced
AS TO CONTRACTOR:
_10
Sworn to and subscribed before me this day of rf PWII&I 20 dV
State of Florida,County of Duval
Notary's Signatur
ROLANDA B.MEREDITH Personally k wn
My
0
Type of identification produced
A, My COMMISSION#DD 037721 El Produced identification
EXPIRES:July 14,2 05
OF EFLI�' 1-1 dad Thru Budget Notary Services
800 Seminole Road,Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 http://www.ci.atiantic-beach.fl.us
Pave, I
Burger Roofing Co. State Iic.#CCC032514
134-1 Ernest Street.
Jacksonville, Fl, 32204
VED
Phone (904) 355-2756 --'E--c'E: J
Fax (904) 358-0733 p.
(91TY OF ATLANTIC BEACH
Bjjv, 71,')N NG
December 14,, 2004
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beack, FL 32233
RE: 1600 W Park Terrace
To Whom It May Concern:
Upon removal of the old roofing material at the above referenced address, the
sheathing appeared to be installed properly.
Sincerely,
Gary Burger7
President
Sworn by Gya Burger who is personally
Known to me on this l4th day of December
1641anda B.*Mejrdith,Is tary
ROLANDA B.MEREDITH
MY COMMISSION#DD 037721
EXPIRES:July 14,2005
Bonded Thru Budget Notary Services
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001827 Date 10/29/09
Property Address . . . . . . 1600 W PARK TER
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
ATT
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HOWIE, S . T. BELL SOUTH TELECOMMUNICATIONS
P.O. BOX 778 PER M GRIFFIN 5/15/08 NO
ATLANTIC BEACH FL LIC INSURANCE REQUIRED
ATLANTIC BEACH FL 32233
(904) 256-3182
----------------------------------------------------------------------------
Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 10/29/09 . Valuation . . . . 0
Expiration Date . . 4/28/10
----------------------------------------------------------------------------
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.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001827 Date 10/29/09
Property Address . . . . . . 1600 W PARK TER
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
ATT
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HOWIE, S . T. BELL SOUTH TELECOMMUNICATIONS
P.O. BOX 778 PER M GRIFFIN 5/15/08 NO
ATLANTIC BEACH FL LIC INSURANCE REQUIRED
ATLANTIC BEACH FL 32233
(904) 256-3182
----------------------------------------------------------------------------
Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 10/29/09 Valuation . . . . 0
Expiration Date . . 4/28/10
----------------------------------------------------------------------------
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.
1622
1614
1619
0
1615
0
0
Y-
Q<
1601
1600 0 1601
2" PVC
6" PVC water main
LLUB
c
6" PVC water main
8"vc sewer main
1575 1580 1585
1570
1565 565
0
1531
1566
1555
1545 1542
1535 152
K
City of Atlantic Beach APPLICATION NUMBER
Building Department GCT 20,39 (To be assigned by'the Build el�iaitment.*)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 B`V-
-M Fax(904)2
Phone(904)247-5826
E-mail: building-dept@coab.us Date routed L2 9
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM 6ol lg2 I
Prop"Address: X'Tj2je1,1 ��
Department review required Yes No_
Building
Applicant: 14-7-F Planning&Zoning
Project: aw!��
-Pu—blic Utilitie
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
SL Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other--
APPUCATION STATUS
Reviewing Department First Review: [�Approved. E:]Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN.
Second Review: FlApproved as revised. F�Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. F�Deniedl.
Comments:
Reviewed by: Date:
Revised MUM
10/23/09 09*26 11 4 904 24? 5845 NO.712 P001/001
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
900 8wwdnft RON 904-247-58W
Advft Beach,FloOft 32233-5449 Fax 904-247-5845
Date------------ QC�o 0%
PIEPAORT 8
JobAddress 1600 JPAak— MIA& L-S) ISMO HY TM CITY
Permitse' A+
Q Telephone 0
Permifte Address: -Irx�o-A 94A.A-C— Q2aA 3�ftw CL
R"wongP*mwmiontoCon*uct:--- OlPO_A '41 PIA—r -
Locution: (Refenowme to CrowSnal) -raax— CaWjr,02 DK
1. Applicant declares that prior to fhkV this application he has ascertained the location Of all aWsIIA0 Utilities,
both&anal and underground and the accunde location are shown on the sketches.
A Least of Nullification was mailed to Me 1161lowing UtKNsvVWiclPsft5:
Jadmonville Electic Authority Yen( ) No ( ) Data-
Bell South Te"hone Company Yes( ) No ( ) Delf:
FwmH Gas Yes( ) No ( ) Date:
comcat Yes f ) No ( ) Date: hi Wr
2. WIvw*m necessary for the construction, repair, improvernent. iWOUnance. saft and elliciont operation,
alteration or relocation of all,or any portion of said~or easernect as delamr*wsd by the Dosclor of Pubic
Worits, any or all of said poles. wires. pipes. cables or other facilities and appurtenances &Atwftd
hereunder, shall be immediately removed from sold Wast or assamem or resel or relocated heraw as
mqL*vd by the DirecW of Public Waft, am at the expense of the Pemulas unless reimbursement is
authorized.
3. AN work 00 most City of Aderft Beach or Florida t of TruMortation Standards and be
fi.&&A%A or jAj9fjF
pwftnvwd under the supervision of JM (Contirector's Project
Supeftendent)locsted at -A grada —To"Mons 0 -?3!104 41:3-
4. AN materials and equipment OW be uAect to Inspection by lhe Mector of Public Woft or his designes.
6. AN city prop(ty sftb be restored to b odginal condition as ftf as pniic6cal,In keeping vAth city specilicalMns
and the menrw satisfactory lo the city.
S. A sketch of plans cwm" details of this installation, as welf as. a copy of a rocent rA,#vy*0 be made a
Part Of this p9rmit' 911199"Of Iftmag any Incluse hi kmaigul mos go ON020 N RE In ft eft
Uhl of Way are to be Iffiluded with this anakallon.
7. This Wmities,dw commence schm constniclion In good fafth with_days. 9 the be*vft data is
mom than 60 days ftm deft of permit"proval, than parmbes and vevow the pwm1t with the Du*dor of
Public Waft to mate sum no changes have oocumid in Vve area that would~the pomillad consULiction.
11. It is undwalood am agreed that the rights and privileW herain ad out we grevited only to the extwt of to
City's right.We and intamt in the land to be~ad upon and used by the holdw,and the Holdw will,at all
times, assume all dak of and indemnify, de*W, @M save harmless Me City of Atlantic Beeich from and
againal any and all loss.dernap. arid cost of expenses arieft In any rnwww of the exerclas or attempted
anarcives by do 1 w1do of the oftreseld fl"and pftWgn.
0. The Director of Pubic WbrM OwN be notified %onty-four (24) hours pnor to stwWV wo* and sW
immediately upon completion.
OOMR
Sigrmd:.._ 0".—
Before me this day of_In ihs County of Duvgg,
Steve Of FWrft has poew""pvW
No"PUM M LW$%SUM of Fkp .Cvjffly of DjvW.
My comwAssfan vow.
pemortally Kmm: Of
Produced Idervilkadon:
APPLICATION NUMBER
City of Atlantic Beach 2 0113'.)
-the Building
Building Department (To be assigned by. De�aftment.j
800 Seminole Road
Atlantic Beach, Florida 3"33-5445
- Fax(904)247-5845
Phone(904)247-5826
ki. E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
Building
kpplicant: Planning &Zoning
Project: M- . tor
Ublic Utilitie
�fety
,-PM%I_c ai
I Fire Services
0 PIR W-2
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 Distflct
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APIPUCATION STATUS
Reviewing Department First Review: )(Approved. ODenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by( Date: 10blir/09
TREE ADMIN. Second Review: FlApproved as revised. 7Denied.
PUBL WORK Comments:
PUBLI U LI
PUBLI F4ETY Reviewed by: Date:
FIRE SERVICES Third Review- DApproved as revised. ODenied.
Comments:
Reviewed by: Date:
�evissd 05114109
10123109 09:26 It 4 904 247 5845 1,10.712 P001/001
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT 0114IN CITY RIGHTS OF WAY ANO EASEMENTS
600 Sominale Road 204-2417-58%)
Adenlic Batch,Florida 32233-WS Fox 904-247-5845
Do aa- a000N PERMIT 0
1 ISSUED BY THE CITY
JobAddrisse t6OO 12864L �162- L-IJ
qA X2 4r 4 Telephone 0
Permittes,Address: a-3�4 RcAAC— Qj�_AA .,%-ACLSQ--0A& ---3jft& CL
Requesting Permission to Construct: 00tFA
Location: (Reftrance to Cmes-SVM) 'A" QHZjr*2 Dic
I Applicant declares that prior to filing this application he has ascertained the location of all existing utilities,
both serial and underground and the accurate locations are shown on the sketchets.
A Letter of Notification was mailed to the following Uthitles/Municipalities:
Jacksonville Electric Authority Yee,( ) No ( ) Date:
Bel South Telephone Company Yes,( ) No ( ) Date: Aj 114
Ferrell Gas Yes( ) No ( ) Oats: 416j 1%
Corricast Yes( ) No ( ) Date: mift-
2. Wh&vver necessary for the construction, repair, improvement. maintenance, safe and effident operation,
altairation or relocation of all,or any portion of said street or easement as determined by the Diredw of Public
Works, any or all of said pohn, wires, pipes, cables; or other fachifies and appurtenances; authorized
hereunder, shell be immediately removed from sold street or easement or roast or relocated hereon as
required by the Director of Public Works, and at the expense of the Permittee Lwow reimbursement is
authofted.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be
performed under the supervision of JM W&M (Commotor's Project
Superintendent)located at alSW- #?A"9 IZAdA _Telephoto#.- -7S'S 0491in
4. All materials and equipment shall he subject to inspection by the Director of Public Works or his designes. -
5. AN city property shah be restored to No original condition sit for as practical, In keeping with city specifications
and the manner satisfactory to the city.
151 A sketch of plans covering details of this installation, as vall as, a copy of a recent survey shall be made a
part of this permit. PlIgUlIltignj IngWina any Incrtase In IM04[y1glIf area n gwps I .er I It CLt
0 Ej at a te V
Bight of Way are to be Included with this anakadon.
7. This permAtee shall commence adual contniotion in good faith vAth_days. If the b4nning dete is
mom Man 60 days from date of permit approval, then permittee must review ft permit vvith the Director of
Public VYbrM to make sure no changes have occurred in the area that would affect the perntitted construction.
a. It in understood and agreed that the rights and privileges herein*91 out are granted only to the extent of the
City's fight,title and interest in the land to be entered upon and used by the holder,and the Holder will,at all
times, assume all H*k of and indemnify, defend, and save harmless the City of Atlantic Beach from and
agliiinst any and all loss, damage, and cog of expenses arising in any memor of the exercise or attempted
wardses by the hoIcW of the aftnesisid rights and privileges.
0. The Director of Public VYb*s shall be natiflied %wity-four (24) hours prior to starting work and again
immediately upon completion.
GVMER
Signed;- Date:
Bothro wo this _day of_In tho Counly of Divot,
slow Of Florida,has parannelly$DPW"
Notary Public at L&W,Biala,of Florida,County of Duval.
My commission expiras:
Personally Known: Of
Produosd Iderflificollon:
FOR OFFICE USE ONLY
A
Date-.-//-.--/O--------1959-
zzrsa
Permit #____W_ -�-IrFee $----- -----------
TOWN OF ATLANTIC BEACH Ili_0
Valuation $--- ------
FLORIDA House #------------------------ --------------------
---�a X,
-------------16-oo
APPLICATION FOR BUILDING PERMIT
--------------------- ----------------------------------------------
Application is hereby made for theapproval 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 Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic
Beach and all rules and regulations of the Building Department of the Town 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 Town 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-------------------------___/1/0_v-----------/--C)
Owner---- -------fft?---VV.../J�7_---------------_----Address--- --------------------------- ......-Telephone No_.------ ----------
Architect--- -io-w-R-Y-------Address----------------------------------------------------------Telephone No...--.-------------
Contractor Builder---- OW.&W--------Address_/S7'W6_.5/J/�NA_ -----------Telephone Noex-3
LotNo..------2-----------------------------------BI ch.No-------------G--------------Sub R----------------------Zone--- -----------
o-40 111, 7P,r,- We t------------------------Side Between--------------------------------------------------and---------------------------------------------------Sts.
Valuation --------For what purpose will building be used.-----/f- - construction.
0-11-x Z.
Dimensions of Building---------------------------------------Dimensions of Lot--.-----,---------------------------------------------Size of Footings------- --- ---------0--------
Size of Piers--------��---------------Size of Sills------------—-------------Greatest Sill Span in ft------I-—---------------Type Roof.,4�,kJ.L.T_..jVP-------
How will Building be Heated?---- ------- 1?7-4,e----Will Building be on Solid or Filled Ground?------
Size of Ceiling Joists------- ----------- Distance on Centers----...... ../._6---------------....... Greatest Span-------------------I------------------
Size of Floor Joists----------------------------------- Distance on Centers_........ ---------------------- Greatest Span---------------------------------------
Size of Rafters--------------- -,K.-(------------- ----------- Distance on Centers.......
--------- Greatest Span-------------- ------------------
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.
2. When steel is in place and ready to pour columns and/or lintel.
3. When steel is in place and ready to pour beam.
E-4 E-j
4. When framing is completed. 0
5. When rough plumbing is completed,und ready to cover up.
6. When septic tank drain field is laid but before it is covered.
7. Electrical inspection by City of Jacksonville. X
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-11he attached plans and specifications,'which are a part hereof, and in accordance with the building
regulations of the Town t *e Be h.
et' Addre -- ------ - A-IV
x—
Signature of Builder------
Signatureof Owner-- _----------------_------------_-_--------- ------------ ----------VV�4- Address------------------------- ---------------------------------------------------------- ........
InOtAxctions to Builders and Contractors building or working in
0 Toum of Atlantic Beach
1. No work on any building *hall be started without obtaining the
necessary permit.
2, No changes in the approved plan shall be made without the approval
of U-te building inspector ,,
3., inspections-. The foliowing inspections shall be called for;
A� Foundation, when steel is in place.,
B. Plumbing, rough.
C. Lintle, when steel is in place.
D� Framing, before any wall covering is placed.
E. Electrical, City of Jacksonville.
F. Septic Tank or Sewer, before covering.
G. Plumbing, final�
H. Final, When all work is complete.
Any concrete poured or work covered without the necessary inspection.
shall be removed or uncovered at the request of the Building Inspector.
4�� After the final in*pection and upon submission of a drawing showing
the size and location of completed building on lot to the Building
Inspector a certificate of occupancy shall be Issued. No building
shall be occupied before said certificate is issued.
5� Plumbing pernit do*% not cover sewer connection permit.
6. All contractors and sub-contractors shall have occupational license
,issued by Town at Atlantic Beach before doing any work within the
Town Limits. Contractors shall furnish certificate of liability
Insurance when obtaining license.
7. The penalty for violation of any provision of the Building Code or
of ordinance #186, shall upon conviction thereof be punished by fine
not exceeding $500-00 or Imprisonment for not exceeding 90 days, or
by both such fine and imprisonment.
8. Copies of The Southern Standard Building Code and ordinance #186
are available at the Town Hall for reference.
9� When a sidewalk exists across front of building lot, said sidewalk
shall be placed in first class condition before final inspection
is requested.
I have read and been furnimhed a copy t�,f wtructions
in connection with Building Permit So.
Signed ZAZ:2 111f
Date
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