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Permit 1668 Park Terrace W (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 2/08/05 Parcel Number . . . . . 172020-0156- Property Address . . . 1668 W PARK TER ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . HULIHAN, SCOTT Contractor . . . . . . OWNER Application number 04-00028583 000 000 Description of Work RESIDENTIAL ADD/RENOVATE/ALTER Construction type . . . Occupancy type . . . . Flood Zone . . . . . . ts Approved . . . . . . . uilding ffi ' al VOID UNLESS SIGNED BY BUILDING OFFICIAL PERMIT WORKSHEET Certificate of Occupancy--1 Job Address: _ Type Work: Property Owner: Phone # Contractor: Phone # u.R Permit#: Date Issued: ' 7 / o Building Inspections: Footing Slab '1-i 5-off Tie Beam Lintel Nailing / Sheathing _ _p Framing / Cover Up Insulation �� Final Building Tree Permit# F YES NO Electrical Permit# [ C4 Z B5a5 Date /Copy to JEA 10- I4-0� Temp, Pole Permit# Date /Copy to 0 ' Z�Cv LI JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power -1 - y Released to JEA '7- -pc�— Temp. Pole Released to JEA Final Released to JEA 0�- 3 Mechanical Permit# Inspections: Rough Final Plumbing Permit# ()i4- Inspections: Rough / Underslab - - Topout Water/Sewer , Final Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Neiling /Sheathing Final // L Fire Inspection: Failed Inspections: , -ti Date Paid: Date Paid: P�LAN�jc F�0R i 2 `' 24 C, OF • � 9 • • • " � • ilk yeJosammul JOB ADDRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted 3 G� P,,2S l A,L u,�S WA 55 cmc. City of Atlantic Beach *** CUSTOMER RECEIPT *** Oper: DSMITH Type: OC Drawer: 1 Date: 10/22/04 01 Receipt no: 5650 $#.00 REINSPECT FEE Description Quantity Amount 2N4 28583 BP BUILDING PERMITS 1.00 $35.00 It is unlawful for any Carpenter, Contractor, Builder or other Tender detail persons,to cover or cause to be covered, any part of the work CA CASH $35.00 with flooring, lath, earth or other material, until the proper Total tendered $35.00 inspector has had ample time to approve the installation. Total payment $35.00 After additions or corrections have been PLUMBING Trans date: 10/22/04 Time: 11:26:01 made, call 247-5826, Building Depart- ment for an inspection. Field Inspectors ELEC are in the office ffrom 8:00 a.m. to 5:00 BLDG p.m. Monday through Friday. ILANT�C bt 7. F�(0)R OF ADDITIONS or CORRECTIONSm D• NOT REMOVE JOB ADORE DATE Vu . lo THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted ► 1fZ E$1 .00REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- 98L B'"G ment for an inspection. Field Inspectors are in the office from 8:00 a.m, to 5:00 P.M. Monday through Friday. CITY OF ATLANTIC BEACH ' 1 N S J 800 SEMINOLE ROAD -,� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . 04-00028583 Date 10/14/04 Property Address . . . . . . 1668 W PARK TER Tenant nbr, name . . . . . . RENOVATION/ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 200000 Owner Contractor -- --- -- ----- - -- -- ----- -- -- - ----I------- ---------- HULIHAN, SCOTT OWNER 1668 PARK TERRACE WEST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 545-4586 -- ---- -------------------------- -------------- ----------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc REWIRE EXISTING SERVICE Sub Contractor MCCLURE ELECTRICAL CONTRACTORS Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 ------- ---- --- ----------------- --------------------------------------------- Special Notes and Comments RADON 308 , SURCHARGE 456 Fee summary Charged Paid Credited Due --------- -------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDIN � L 4' dy s CITY OF ATLANTIC BEACH y j ELECTRICAL PERMIT APPLICATION J +vj oit . Date: tib",-� ' Property Address: ST� Owner: �C©�-�- �; U, Ali Telephone#: Contractor: "`r �-� c" -v-i C Telephone #: Contractor Address: W-o SUM—" 'F-. Fax#: Z`�°��`L o In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Build' ype: L] Trailer Service: b other construction is being done on this building ❑ >ew esidence ❑ Temp. ❑ New Or site,list the building ❑ Commercial ❑ Signs ❑ Increase Permit number: Re-wire ❑ Addition Sq.Ft. ❑ Repair 1-A Z19583 Conductor Size: AMPS: 7PH ER ALS Switch or RACE Breaker AMPS W VOLT WAY Existing Service RACE Size AMPS 2zo PH W VOLT 3a WAY S� Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0 30 AMPS 31 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sin Miscellaneous 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845 - http://www.ci.atlantic-beach.fl.us i CITY OF ATLANTIC BEACH Iis 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 ,Filt Application Number . . . . . 04-00028921 Date 8/26/04 Property Address . . . . . . 1668 W PARK TER Tenant nbr, name . . . . . . HERITAGE TAMKO 30YR ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6900 Owner Contractor ----- ----------- -- ------ ------------------------ HULIHAN, SCOTT ROMANO ROOFING SERVICES 1668 PARK TERRACE W P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 545-4586 (904) 246-5649 ----------- - ---------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 98 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6900 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98 . 00 98 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 tr Grand Total 98 . 00 98 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUIDNG OFFICIAL r �) CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET rJifj�r Date 6 l D c-f Address l (o (c, C.� Uj • t" � 1 C n 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: $ oa, $ Cr ls` $1000.00 $ $35.00 Total Valuation Remaining Value Per thousand or portion thereof: . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . CONSTRUCTION TYPE: TOTAL BUILDING FEE $ `J ZONING: + '/Z Filing Fee $ 3 _ FLOOD ZONE: ( ) Fireplaces @$35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ . WATER IMPACT FEE S SEWER MPACT FEE $ WATER METER/TAP $ CAPITAL EWPROVEMENT S SEWER TAP $ C ( )RADON HRS.0050 S SECTION H PAVING S CROSS CONNECTION $ ST ( ) SURCHARGE $ OTHER S GRAND TOTAL DUE $ CITY OF ATLANTIC BEACH Cc: P. Ford BUILDING / ZONING DEPARTMENT isgins I 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 J;3 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # Property Address: Applicant: 6) —) Project: 0 This permit application has been: Approved X Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: Altz rO 'r CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION - Date: "// Job Address: 117(/ �� � I C�r�L� es Owner of Prop Address: Telephone: Contractor: I&M Ai✓C 11 poT_!i✓9__.S'e,4P V tCPs State License Number: C C-C 0S'-8/ �s Contractor's Address: 3d W, 9 bel-62f f-7- g-f1,,9n1 /c 134 , 7/ Telephone: 9D 1/- °.1 V lo 5-l► 419 Fax: !? —1Z, } Scope of Work: Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work: d Q-V 1 Product Name(Example: imberline):_� ! LM Manufacturer(Example:GAF): D � ASTM Designation(s): J J 1 Required Inspectio : S Signature of Owner• Date: Z/ /Cr/ Signature of Contractor: Date: AS TO OWNER: Sworn to and subscribed beforethis_ day of ,20 State of Florida,County of Duval Notary's'Signature: ❑ ,Personally known Produced identification 944507,97700070 I Type of identification produced 9 4450 7,97 70 0070 AS TO CONTRACTOR: Sworn to and subscribed before me this day of Zia 20 State of Florida,County of Duval c �� Notary's Signature: ❑ Personally known -A J.M�ERLINE-McLAUGHL1,1 ❑ Produced identification KMYc;OMMISSION#CC976739 Type of identification produced %F V, xPltz s.0ecember8,2004 e i-rmn,. 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 - http://www.cLatiantic-beach.fl.us Page 1 Revised 221/03 Boob. 12006 Page 2288 Iry pH4NE '2 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of County of To whom it may concern: The undersigned hereby informs you that Improvements will be made to certain real property, and In accordance with Section 713 of the Florida Statutes,the following Information is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved: ti ZZ, Address of property being improved: 3.-2- �. General description of improvements: " Owner 04 Address !Z Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor_ yy Address _s� T� Phone No. '� ,-- „ ��z �la^'F 'r Ifa Ate- 3 'Z 233 Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the imprpvements. 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 CITY OF ATLANTIC BEACH S1 s} 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 �Ji3S Application Number . . . . . 04-00029045 Date 9/22/04 Property Address . . . . . . 1668 W PARK TER Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ HULIHAN, SCOTT SAWYER GAS COMPANY 1668 PARK TERRACE W 411 PABLO AVENUE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 545-4586 (904) 246-6471 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I-K r BUILDING OFFICIAL w CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Cj J.Z-Z ;04 Property Address: �1 la �� W 6-S Owner: -'s(c,TT' 1-�u .' a A ) Telephone#: Contractor: q w C�a5 Telephone #: (,•b� 7 Contractor Address: q i .Sp u zv� 'Nlu miw. VrD Fax#: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: ❑ Electric ❑ Gas: _LP Natural _Central Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed _Central _Floor Residential ❑ Air Conditioning: —Room _Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm ❑ Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _ Manlift Escalator Number 3S-- El (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) C3Tanks (Number) � New Installation J ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS FIREPLACES AIR HANDLER'S Approving Number Units Descriptio Model# Manufacturer BTU's Agency . l� V N10G2 SL i N t1l f6r1l 66- Cr A TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. A enc 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us °SS, CITY OF ATLANTIC BEACH I y 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028583 Date 8/25/04 Property Address . . . . . . 1668 W PARK TER Tenant nbr, name . . . . . . RENOVATION/ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 200000 Owner Contractor --------------- --------- ------------------------ HULIHAN, SCOTT OWNER 1668 PARK TERRACE WEST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 545-4586 ------------------------------------------- --------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc REPLACE HVAC Sub Contractor OCEAN STATE HEAT & AIR Permit Fee . . . . 123 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments RADON 308 , SURCHARGE 456 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 123 . 00 123 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 123 . 00 123 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. C B DING OFFICIAL cc.n�c S u'--1 TYLAsfi 6" )L- CITY " )L-CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION , f Date: �2s-o f' Owner of roperty: IW'k( ha Y-)'uu Job Address:- vs11" �a'' IL r Q L E= Contractor In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein- 111. hereinIII. GENERAL INFORMATION A. e of heating fuel: B. jr Electric IS OTHER CONSTRUCTITn DONE ON THIS _ ❑ Gas: _LP Natural _Central Utility BUILDING OR SITE? — ❑ Oil ❑ Other—Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE NATURE OF WORK Q '� Residential or Commercial INSTALLED New Building (Provide complete list o f components on beck of this form) Existing Building Heat _Space _Recessed iZentaal _Floor Replacement of existing system Air Conditioning: oo t.f yen LlNew Installation(No system previously installed) S— Duct System: MaterialThickness K'e ❑ Extension or add-on to existing system Maximum capacity Z-05 fJ clin ❑ Other-Specify ❑ Refrigeration ❑ Cooling tower: Capacity nim ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: _ Manlift_Escalator (Number) (Received) ❑ Gasoline pumps (Number) ❑ Tanks (Number) Remarks ❑ LPG containers (Number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers ❑ Other—Specify Permit Fee LIST ALL EQUIP NT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving (Tons) Agency TLJ r Gt i_ HEATING—FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving 1 ran-e— (BTU)46 tW Agency '722E31 LW TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic BeacW411oav3 catfantlebeach.fl.us Phone:(904)247-5800*Fax:(904)247-5845• 1/14/03 FAXED �. ZLANT F�OR10a 3 • OF ADDITIONS or CORRECTIONSI D• NOT REMOVE JOB ADDRESS DATE C-6 V- E)tZilb� THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted KitAkL �-�e-ukoS rc-'A %'E>, k L-C4 , VCOF 2 uo Le Ve lL. $W.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 Bloc p.m. Monday through Friday, AN rc 0 City of Atlantic Beach *** CUSTOMER RECEIPT *** Oper: JLANIER Type: OC Drawer: 1 �= OR�QQ► Date: 8/27/04 01 Receipt no: 81670 Description Quantity Amount 2004 28583 BP BUILDING PERMITS 1.00 $35.00IF- NOTICE Tender detail CK DECKS 124 $35.N Total tendered $35.00 O F Total payment $35.00 Trans date: 8/27/04 Time: 8:28:35 ADDITIONS or CORRECTIONS D• NOT REMOVE JOB ADDRESS DATE �cVa W Sfz&It' THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted S t l S S7 l 1:.t 120t)r CK# _�... _ 5"T .Z) ALL t4A-t L5 I_10 tWL-0A At55 I i-T F_u r 4 I,RdC TO wt mor=-- ?L4 4=1 E a ,z V P "Ele2 23 woo 0 76 C [�,J$$$.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been .. made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 p.m. Monday through Friday;, BLDG CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 J v INSPECTION PHONE LINE 247-5826 �'�Ji31a� Application Number . . . . . 04-00028640 Date 7/12/04 Property Address . . . . . . 1668 W PARK TER Tenant nbr, name . . . . TEMP POLE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- HULIHAN, SCOTT MCCLURE ELECTRIC SERVICE 1668 PARK TERRACE WEST P.O. BOX 51368 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 249-9061 ----- ---------- -- ----------------------------- ------------------------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 t PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1-J, BUILDING OFFICIAL S�`Jr r n; CITY OF ATLANTIC BEACH Y s) ELECTRICAL PERMIT APPLICATION J � - Date: Z `� Property Address: (—S Owner: '— k � � --� Telephone #: Contractor: \C-\ C(_Lv, E4 �­�1 4,V", A, Telephone Contractor Address: VI d I k�Ao c-__) �^'��� - � Fax#: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Bud6g Type: ❑ railer Service: 1f other construction is El New ar Residence Temp. ❑ New being done on this building / Or site,list the building C9' Old ❑ Commercial ❑ Signs ❑ Increase Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALUMINUM Switch orRACE Breaker AMPS 6(.9 PH W VOLT DO WAY 1 Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0 30 AMPS I I 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH I NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sign Miscellaneous vwS �� �te o,Ln-rc� 'X �� �1i-nvc-ki vv U� U)eS 800 Seminole Road • Atlantic Beach, lorid 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 . http://www.ci.atlantic-beach.fl.us 4vq.4. ci'ry OF rei � /a, ®y Office in EQVET°f eidntg,��ctied FoRry P ffic ial I(, ECT'o N A.M. . 0Wner's Job Address "` Per Name CCr mit No. eUICDINO Framing Re Rooil l nsulantlong Footin RST Contr �Ocality li Slab actor MonCinte/ O Ro�FCTRI . ugh wir C4L f O n / Poie mg G PCUMeIND insp,tnsAeCr t'On Made T S. REq p�POR INS Sew ut o MECHgNIc or ,Fj,f We/a`� PFL.�I �) 0 Air Cond. q� I ON �4LC Cir^ F eating e P Thurs. �C,(� Pre Fbce AM *rte � M.. Friday A. Final/nsPectio M Certitlcafe n D of Cate occupancy G City of Rt1anIPT e0' stat GtbTDE R tic Beach Drawer: 1 Type- t no, 78273 Oper: 7/13181 84 Recelp Date: ploont IOtion Quantity Descr 2w 28b11 gp gUImw KNITS $35.88 1. Tender detail 1188.88 CA Ca S$35.88 Total tendered f65.� Total pay sent Trans date: 7113184 fd ,�5 �, .O� p1lAN ORI a 5 2004 CK# • OF JOB ADORESS • A 6,op 1r2� "®n o�r� THIS'JOB �=y"`�� The following additions or o�OT BEEN pOMpI.ETEp the ' cti°ns shall be made before lob will be accepted y s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 7 ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 04-00028583 Date 7/13/04 Property Address . . . . . . 1668 W PARK TER Tenant nbr, name . . . . RENOVATION/ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 200000 Owner Contractor ------------------------ ------------------------ HULIHAN, SCOTT OWNER 1668 PARK TERRACE WEST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 545-4586 ----------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 760 . 00 Plan Check Fee 380 . 00 Issue Date . . . . Valuation 200000 ---------------------------------------------- Special Notes and Comments RADON 308, SURCHARGE 456 Fee summary Charged Paid Credited Due ---------- ---------- ---------- ---------- Permit Fee Total 760 . 00 760 . 00 . 00 . 00 Plan Check Total 380 . 00 380 . 00 . 00 . 00 Grand Total 1140 . 00 1140 . 00 . 00 . 00 s PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUII nIVO C Q 4'. 1 BUILDING OFFICIAL t CITY OF ATLANTIC BEACH o. s � BUILDING / ZONING DEPARTMENT s isY S. Doerr 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application Property Address: 1 (p b On Ho 1 0 l t Applicant: Sc `l"- o Project: /10 9 ,44-I 2f�s This permit application has been: IV Approved F-1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: I Date: r7 - 2 0 CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION ~ � 1� (Alterations& Additions) c. Date: Job Address: l 6 S 1�w r K •� r rg ce s• Owner of Property: &Z4•1l 1t4l Address: 118 .6 if!ach<i We C-161 Telephone: Legal Description: Block Number: 6 Lot Number: 17, Zoning District: UO'.. 3,0 4C Contractor: �Gf//1��/ /,�vi'��t�� State License Number: Contractor Address: Telephone: Fax: Describe proposed use and work to be done: GOO O ��•���� Present use of land or building(s): �4, . /!- Valuation of proposed construction:its 01!5 L9 What are the dimensions of the added space: / Z feet x Z Z feet Will the added area be heated and cooled? C0 New electrical or increase in service? V Add plumbing fixtures? Add fireplace? r 1V0 Add heating/air conditioning? V e c Is approval of Homeowner's Association or other private entity required? /Y D If yes, please submit with this application. Will t is project involve changes in elevation,site grade or any use of fill material or the removal of any trees? NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑YE See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4, i ican env ne vt iron features,including any jurisdictional wetlands,CCCL,natural water bodies. Impervious Surface area lculations: include driveways;sidewalks, patios and other Impervious Surfaces. Swimming pools N r total Impervious Surface. 6. Ot er information as may be appropriate for individual applications. I hereby certify that all informatio prov' ed th' application' o Signature of owner: Date: 2 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: ��O'f 7� 1b L-A q r r Mailing Address: 6 y iTCdl CA 70"!aP C Telephone: IF s �_Fax: 21 70 Z Z—30 E-Mail: ^ AS TO OWNER: M Sworn to and subscribed before me this 'z �� f4_1� day of-- / _ .20 State of Florida,County of Duval cr % JENNIFER SCHLUETER Notary's Signature: ='� = MY COMMISSION M DO 121301 EXPIRES:May 27,2009 ❑ Personally known ...... aaided rhru Notary PLOC Ur&fflraers OC1UCed identification C 00 1, Type of identification produce d�� `l J 1 O AS TO CONTRACTOR: Sworn to and subscribed before me this day of 120 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ei.atlantic-beach.fl.us Revised 1/04 Page 3 Sl,:Lyr CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET J,3 Date: -7 Z Address4 . Heated Square Footage 6 @ $ , o per sq ft= $ Garage/ Shed @ $ per sq ft= $ Carport/Porch @ $ per sq ft= $ Deck �@ $ per sq ft = $ Patio �@$ per sq ft = $ TOTAL VALUATION: $ Total Valuation 1St $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: -L TOTAL BUILDING FEE $ ZONING: IQs"j + %2 Filing Fee $ FLOOD ZONE: _ ( ) Fireplaces @ $35.00 $ .— IMPERVIOUS SURFACE: ,-0 BUILDING PERMIT FEE $ WATER IMPACT FEE $ 2 p SEWER IMPACT FEE $ O- WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C (30f RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ 3 STOy-6 ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 WATER IMPACT FEE WORKSHEET ADDRESS: % W r—/1/2✓f�f_ DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers,commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower 6 Bathtub(with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine,domestic 2 Drinking fountainficemaker Floor drains 2 Hose bib 1 Kitchen sink,.domestic 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray(1 or 2 compartments) 2 2 Lavatory 1 Shower compartment domestic 2 ( Z Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 . Wash sink (circular or multiple)each set of faucets 2 Water closet,flushometer tank, public or private 4 Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS= 77- MULTIPLIED X 20 TOTAL$ 20 LOT BLOCA' - - - - - - - -- 7- Z-0,4 CO_ 'P_---- ------—--- - --- ,- - - - _ I ye i °I PALMWOOD LANE 78�037C 35' o L, o,vF Sro,eY BRICK No 1668 N 37 S' r 96• � h Dov!,`- \ 'a' p 2.3'1 .O ZS.9' o v ` 60.3 \ vC & c^,)coo `+I j 6.78003 '/0"YI/ /80. 34' I i ;T .A!;C !.:`:LESS E�L•7CSSr.;; tt';H EAC ^:" TriE Uf;C_-$'G`,£C'. SF.tF,:f :..i S�SFC C:'. _�.�.'�' � '. 7F�' I},'AT ''F_I C I_SHOW,' HERF"' t$ IN 714E r^ :ZCCC ;N Ai.Cov' fvSl:.4A?%C;; PAT V4,,4.CC7,/-FOP dTLd �'r/G 6E�'C� r—LCRl4�. ✓-lfEO G_1 TRI-STATE LAND SURVEYORS, INC. gs; v.t>;�IF.40c?�t'S %4`AY SU.is , ?. aCk.'SC^�:,' __. ='_CF..'DA J22.56 (904) t :<•., l;£RE3r CERTIFY r-/Ar r-'F A60k,'£ C.a;.CS %+F=E S R':rv:C CFR .44 qc p, Sor.- PER -C'. -- ERE Aa: •:C " £NC.0 04CH.tlE`%rS cxc or AS SrowN AND rc 7 - 5' R4` ',wow;/ ,., '. - r• �, •• rlf.:?£CN .Ne_- niF �417:Q,uU.r.! ;cCHflrC.+� Sr• ^:A?SS S'i F•:'Rrrl ri!f .,,CR/DA. BOAF',O OF LAND SUR _YC4• --^:!: '? ;! `" `'•:! e?;U?', FLORIDA Srttifr=S IMP lad Duval County Property Appraiser-Parcel Summary Page 1 of 2 • t net co n'.a c Oftc ar''Nebs+3e of t1a Cdy gat Jricksonv� a FsciiJa Property Appraiser Home> Do artments>Property -p aiser> Duval County Database Search Parcel Information Owner's Name: HULIHAN , scow s Real Estate Number: 172020 0156 Secondary Name: CARMEN M Property Address: 1668 PARK TE W Mailing Address: 1668 PARK TE W City: ATLANTIC BEACH ATLANTIC BEACH , FL Zip: 32233 Zip: 32233 Unit Number: 2004 Exempt Value: $25,000.00 PARCEL DESCRIPTION Property Use: 0100 SINGLE FAMILY Sale Date: 7/22/2002 Legal Description: 34-51 09-2S-29E SELVA Sale Price: $355,000.00 MARINA UNIT NO 6 LOT 12 BLK 6 - Neighborhood: 940905 SELVA MARINA NBHD #1 Section/Township/Range: 09-2S-29E No. Buildings: 1 Official Record Book and Page: 10598- iHeated Area: 2277 2171 Map Panel: 554 3 Exterior Wall: FACE BRICK VALUES AND TAXES FROM 2003 CERTIFIED TAX ROLL Land Value: $150,000.00 Taxing Authority: USD3 Class Value: $0.00 County Tax: $2,129.83 Improvements: $175,210.00 school Tax: $2,777.29 Market Value: $325,210.00 District Tax: $988.44 Assessed Value: $325,210.00 f6ther Tax: $162.77 Exempt Value: $0.00 Voted Tax: $166.18 Taxable Value: $325,210.00 http://apps2.coj.net/pao/RENO.asp?RENUM=172020+0156 6/30/2004 Duval County Property Appraiser - Parcel Summary Page 2 of 2 ISr. Exempt: $0.00 Sr. Taxable: $0.00 Total Tax: $6,224.51 Printable Version Additional Links: Map This Property (MapIT) - Property Record Card (PRC) - Taxes - Yahoo Maps Map-It Feedback - Payment Feedback - Appraisal Feedback - Tax Estimator - Back to Search Page All values from 2003 Certified Tax Roll.Updates weekly.Maps and data are not updated as frequently as the Tax Roll data and may not reflect matching information. Mayor-City Council -Jobs - About Jax - I want to... - I am... - Services - Departments 630-CITY(2489) - Site Policies - Webmaster- Cc) 2002 City of Jacksonville http://apps2.coj.net/pao/RENO.asp?RENUM=172020+0156 6/30/2004 3' J ' ') CITY OF ATLANTIC BEACH r�'w3>>, OWNERIBUILDER AFFIDAVIT Date: L 8 0 Job Address: / 6 6 8 �� K 7-e l^cc Vest CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING'REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE- OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMP'T'ION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN WNE ILDE ERMIT. PROP`ERVb47NfKBUHXER 1� SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF ""�� '. 20 � 'ry`'• JENNIFER SCHLUETER MY COMMISSION#DO 121301 ^ r• 'a EXPIRES:May 27,2006 ' Bonr rj Thn!Ngtary Puhtiq UMd gFWr;tq,5 j�j j PTJB N=T N EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. CONSTRUCTION SITE MANAGEMENT PLAN Ord. 6-18-Requires contractors to submit a construction site management plan to include the following: ,/1k (1) Location of demolition 41�- (2) Grading and drainage surface water management plan to comply with Chapter 24 Article 3 and Section 24-67. VI(3)Parking plan showing ofstreet parking. 41k (4)Fencing plan locating fencing on at least three sides of property. Al�- (5)Location of construction trailer and loading/unloading area. 1J(6)Location of chemical toilets. �7) Location of dumpster(s). (8)Traffic control plan showing access to project. �>olle ul (9) Other activities where special conditions exist as approved by the Building Official. The complete ordinance may be obtained at the Building Department, at the City Clerks office, or on line at Municode.com 5 MIN. R€TIAN NOTICE OF COMMENCEMENT PHONE# (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of County of To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. / �s Legal description of property being improved:_LOT /Z /.�IOV"e I S�/tea /f1a�o It r-- CL Address of property being improved:_ Ch General description of improvements: dVe Aoort—jr T-I r+l "--Owner ff �►.IQI�� C) Address 6 / .lKG�i •f�► t e4 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor �✓9y�/ !��f�/ Addressd Phone No. Fax No. Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name 6o 11W4,-7 /44.1- ,,?1A'> Address Phone No.-,14-17 f 4� g / 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 Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is spgi fta. THIS SP CU E ONLY N tv tw Mr`u aeI. m Mrom tiDFio Signed: Date: Before me this��-day of 20 in the ru County of Duval,State of Florida,has persona ly a e a ru Sap w F+ Notary Public at Large,State of Florida,County of DuvBIARBARA -0 •fin a My commission expires: NntAry Putin A. HAMILTON c Personally Known M=miC, State of Florida Y ► : exp. Jun Produced Identification Coe 1, 2007 AM"D, DD 213399 n--. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 rINSPECTION PHONE LINE 247-5826 .r �`Ji31 �r1 Application Number . . . . . 03-00026760 Date 8/27/03 Property Address . . . . . . 1668 W PARK TER Tenant nbr, name . . . . . . WELL Application description . . . WELL PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- HOULIHAN, SCOTT L.N. WILLIAMS 1668 PARK TERRACE WEST P .O. BOX 567 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 285-8505 ----------------------------------------------- ----------------------------- Permit . . . . WELL PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH WELL PERMIT APPLICATION Date: ?- ,7- 7- Job -Job Address: Owner of Property: -5�ro P// /-"/-D v/ 14 a+ Owner's Telephone: C2-IR - IR S-() Contractor: Contractor's Address: d , 0,>< 3 O �����r✓f��3 Telephone: _� �/- �'�/ ' r Fax: f. Is well to be used for drinking purposes? Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: I agree to comply with regulations stated herein: ignature Date 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800•Fax: (904)247-5845• httn://www.ci.atlantic-beach.fLus Revised 1/17/03 } r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 M Application Number . . . . . 04-00027933 Date 3/18/04 Property Address . . . . . . 1668 W PARK TER Tenant nbr, name . . . . . . DEMO OF INTERIOR Application description . . . DEMOLITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ------- -- -------------- HULIHAN, SCOTT OWNER 1668 PARK TERRACE WEST ATLANTIC BEACH FL 32233 (904) 280-1896 ------------------ -------- --- -------- --------------------------------------- Permit DEMOLITION PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 00 . 00 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. BUILDING OFFICIAL J ; s� CITY OF ATLANTIC BEACH �` wr DEMOLITION PERMIT APPLICATION Date: Job Address: Owner of Property: Address: /3 zl� �pn �rCw1 (S/��� Telephone: Legal Description: Block Number: Lot Number- Zoning District: Contractor: C ©tom &' � State License Number: Contractor's Address: 13e1 a /r' - y/�> f )_ � 070 - z 10 Telephone:qDy S� -�/S�'6 Fax: �� Describe proposed use and work to be done: ee —Tzo`: (',rte 0-,- Present use of land or building(s): P--S' Ciro�fzf Is approval of Homeowner's Association or other private entity required? -o If yes, please submit with this application. Willt ' project involve changes in elevation,site grade or any use of fill material or the removal of any trees? NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ®NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Attach Tree Removal Application if trees are to be removed or relocated. I hereby certify that all information this application is correct. Signature of Owner: Date: 3 z I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 - http://www.ei.atiantic-beach.fl.us Page 1 Revised 1/14/03 x Signature of Contractor: 1%Date: 3! ' y Address and contact information of person to receive all correspondence regarding this application (please print). Name: 5,;ZLI Mailing Address: 1177 Telephone: 1 S_HS�6 Fax: Z 7p L z 3 cj E-Mail: AS TO OWNER: Sworn to and subscribed before me this I SV'-\dayof VY)(Ali, 20 � State of Florida,County of Duval r Notary's Signature: JENNIFER SCHLUETER MY COMMISSION#DD 121301 ❑ Personally known oduced identification EXPIRES:May 27,2006 914 y %;oF F;�`• Bonded Thru Notary Public Underwriters ,�'-]C1P7 "�U —_aa-t—D Type of identification produced l[ AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us Page 2 Revised 1/14/03 City of Jacksonville Page 1 of 2 cojryeCh�c,el'.'aebsa'e ,Jt t"e Coy A}JackwnY,...,te F(c-e'lci Property Appraiser Hoe> Departments > Property Appraiser> Duval County Database Search Parcel Information Owner's Name: HULIHAN , SCOTT S Real Estate Number: 172020 0156 Secondary Name: CARMEN M Property Address: 1668 PARK TE W Mailing Address: 1668 PARK TE W City: ATLANTIC BEACH ATLANTIC BEACH , FL Zip: 32233 Zip: 32233 Unit Number: 2004 Exempt Value: $25,000.00 PARCEL DESCRIPTION Property Use: 0100 SINGLE FAMILY IrSale Date: 7/22/2002 Legal Description: 34-51 09-2S-29E Sale Price: $355,000.00 SELVA MARINA UNIT NO 6 LOT 12 BLK 6 - Neighborhood: 940905 SELVA MARINA NBHD #1 1E Section/Township/Range: 09-2S-29E No. Buildings: 1 Official Record Book and Page: Heated Area: 2277 10598-2171 Map Panel: 554 3 Exterior Wall: FACE BRICK-71 VALUES AND TAXES FROM 2003 CERTIFIED TAX ROLL Land Value: $150,000.00 Taxing Authority: USD3 Class Value: $0.00 County Tax: $2,129.83 Improvements: $175,210.00 School Tax: $2,777.29 Market Value: $325,210.00 District Tax: $988.44 Assessed Value: $325,210.00 Other Tax: $162.77 http://apps2.coj.net/pao/RENO.asp?RENUM=172020+0156 3/18/2004 City of Jacksonville Page 2 of 2 (Exempt Value: $0.00 IlVoted Tax: $166.18 Taxable Value: $325,210.00 Sr. Exempt: $0.00 Sr. Taxable: $0.00 Total Tax: $6,224.51 Printable Version Additional Links: Map This Property (MapIT) - Property Record Card (PRC) - Taxes - Yahoo Maps Map-It Feedback - Payment Feedback - Appraisal Feedback - Back to Search Page All values from 2003 Certified Tax Roll.Updates weekly.Maps and data are not updated as frequently as the Tax Roll data and may not reflect matching information. Mayor- City Council -Jobs -About lax - I want to... - I am... - Services - Departments 630-CITY(2489) - Site Policies - Webmaster- 6c) 2002 City of Jacksonville httP✓/aPPs2J.co'nEt!p ao/RENO.asp?RENUM=172020+0156 3/18/2004 T ' F - zo 4 4 � ❑ ❑ a � 1 y t 0' rmr n ( }� 8 O m n ' m THE A °mD:SEC##*#Clot -411 mZ. �o n THE EtECTR# �1�..�L 1 ,C DE AND CITYOF ❑ ❑ ❑ m - - c _ m .� 71 3 a jF § C ; m c , m Z X � o Q n1s ,...�.,.... o L^ o o ZtNDUB.{ # E t # Qt»t�! # REW.i # a ° ° D m � A M. v n OLT Y ❑ ❑ < at�D 'T A.. ties . OF NTs' RATt ` ; joqTORS -%R? T �E a, l # Q. ."`. �1. ASE P J '= 1 RtSCMfiMEIS• I IA _ f{ R, 01IRh 05PARTMENT OF eUmoma _- CITY OF ATLANTIC BEACH �.. PERMIT IMF, ATlIm ------ - L�CATIOH TRFMRMATI0 Pyr nit Number: Address 468 PA*K TRRRACE EAST permit Ty p t I F AtLANT,IC', BEACH, FLORIDA Cl of Warks. . ., .. . _ . Constr. 'Typo►Y WOOD FRAME Lot: 'Flack n Section: . . Proposed Uve.- 91MGLE FAMILY Tcrinohi.p: RHO t, 0 Dwellir'96 3 Code: 0 Subdivisio l E ti t tc�d Value z- $0. 00 Improv. Coot $0. 00 Tot 9 X22.:50 A oun.. $22.50 Was r .. . �. ATICtN -� - - � _ __ IAPPL C AT TOM FEES • ' ° I PERMIT $22.50 Adores ERRACE EAST,,,l � wA;� IMPAC FEE ��d� so.50q, H, R L zP 4000 B 20B WA f so'. �. RADO "TR HFORMAT 't, - RADO� CAB - 5% $0. 00 M .CA irFAr'1'ERi �'AP,. . .�_ �. .._ ,. 0.00 Addx > B s 2 CUMT FRAIL : SEWER! TAS �0 aE ; SWI 0; ` L 2 59 HYDRA jLIL'ld S14AR , 00E� � ! 00 Li ee Type; 7 RE �-+IN$PECT FEE 51 $6:pU IN SPA OTHER ,CO „b MOTES:; a i I- l i i � z NGT10E—ALL CONCRETE FARMS AND FOOTINGS MUST BE INSPE TEi BEFORE POUR{NG PERMIT VOID SIX MONTHS AFTER DATE OF i SUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE P�ACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE-PROPERTY W' NER PAYING TWICE FOR BUILDING IMPR V EN Vl�.it>aTr : crr ' M # IS$UED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMli ANC) SUO REVOC FOR VIOLATION OF APPLICABLE PROVISIONSOF LAW. l � �.� 4 AL FMIK '.. # 'ATLANTIC BEACH BUILDING DEPARTMENT` E,PARTMENTf CITY OF OF BUILDING ATLANTIC BEACH, PERMIT FLORIDA �i Q28 h_ THIS PERMIT MUST BO B�'�''� PERMIr NQ�Q -� POSTED ON JOB � ValuaDate tion$ ._AUGusT 1988 i $ 20.00 This Permit not valid LLFee sub' n above Fe Jett to evocation e has been rfor violation of Paid to C'tY Treasurer, This 1S t0 aI'Phcable provisions of law,and is �11 hl(t �t certify 4 fY that SNYDEE HEAT & AC 43.9 �POrK7 I en has i permission to b INSTALL HEAT Classification AC/j�EpLA Owned b Y—�_JELLISON Lot Zone j House No � 1 p Block: According to a pProved plan. plans which TEpRACE 1YE ST. -----_S/D i are part of this permit NOTICE--ALL CONCRETE FORMS SPED FOOTINGS MUST BE PERMITEFORE POURING. IN- VOID SIX MONTHS z Build' R DATE OF ISSUE Ing material j I from this work ' rubbish and debriin s aublic space, and must 6e placed hauled awa be cleared t'ac f owner, Y by either con. E USE ONLYPERMIT ? 'N �( NUMBER DATE Building Official, PLUMBING _..� C RACTOR ' ELECTRICAL ISEWER WATER �� BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 38235 j APPLICATION FOR MECHANICAL PERMIT CALL-IN IMPORTANT Applicant to complete all items in sections 1, II, III, and IV. 1• Street Address: /6 6 F 1-�Aek- LOCATION OF Intersecting Streets: Between /f,p rL�/V/�L. {:S LI/ _ Andd'— BUILDING' Subdivision II. IDENTIFICATION — To be completed by all applicants, In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good.practice listed therein, j Name of Mechanical Contractors O Contractor (11000) 5 DA— Master t✓ Name of Property Owner Siypatun of Owner Signature of er Autiwrmod Agent Architect or Engine r ur. 61104S.41 1NFORNU►TICNI A' Type of boating fuel; B. IS OTHER CONSTRUCTION BEING DOVE ON It Elsctdc THIS BUILDING OR SITE? AA5 Q Ess—C` LP Q Natural ❑ Control Utility IF YES, GIVE!NUMBER OF CONSTRUCTION Q OR PERMIT O oth.r — Specify IV. WCMAN" EQhlIPMENT TO N INSTALLIIID NATURE OF WORK (Provide complete list of components on back of this forms F6 Resider►tial or ❑ Commercial most Q Spree 1 Recessed A Control O Row ❑ New Building i 10 Air Conditionings (3 Room W Centro) Existing wilding Q Osct System: Material Thick Replacement of existing system Maximum capacity CAM New instillation(No system previously Installed) ❑ Extension or add-on to existing system Q; Refrigeration ❑ Other —1specify C Cooling fewer: Capacity 9P Q fire sprinklen: Number of hesdr Q Elwetor O MonNft ❑ Escelator (number) THIS SPACE POR OFFICE USE ONLY 0 GosdiM pumps (mrnlber) 'ReMIMed' 17 Tards._ Inumber► Ramsrks 13 LPG conteinan (number) C) UrAred pwssure vow Permit Approveo by psi. 0 r>Am O � SpK Permit i i LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Cs ! tY NumberUalb Description Nodal Number manufact�r (Toms W 000527 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION INFORMATION*remit Number a Aid s 1 PARR TERRACE IWE T.. P t mi t Typo I tIILND. bll^a A L,.AI+ITTC ,BEACH,, PLORrDA 32233 a of dark: R �OAIR iLE�AL t�E CRIP�'Ii�►R `,� Ci> 4tr.' Typet I±;BEI�OLASS L,r�t `_� S�.OAL E+�fj - -_ FrPcd Urs BNI3L»E I+A1IILY P1L1 gook Psx. C ' D�re13. 8 4 Cod a (3 Subc#ivia�.r.��i s sol a marina Fiat s*at I Yalue.j $0. 00 PWNER II'IF"C3RMA"CIOAI Improv. Cost, . *3485.00 Names.` T R Y 1'ICClFE 'I` et l E' ,r « O AddrrI B8 PARR TERRACE MEET _� `. Ci AT .AtTIC BEACR, -FL.CIRIA 32233 T3 .t � f 8 Work 0--Yeas fib rqlass ahinge 7ss . iA115 GRA � � .IC TION PEES �r ,».,mow - ♦ ° ti t, r � SER I . I p/ � WATER IHPACjr 'FEE *0. "EW III FEE 51 ; tie t - i d � RADON CA s 'Hj R. B. *6., R. . 6« « RADON GA ; % } WATER "T"AP *0.00 EWER TAP *tib'. 00- DI . Y RAUL.I E Sl4AR _ 6. 00 INSPECT �;EE b.00 a, tE`� v�rsx%w"°`;'3ha�xsr"('`gib r, .vw »P,rFs9 moi. "OTHER-- L,1 ,. NOTES: l 1 s 1 NOTICE,—ALL CONORETE FORMS AND FOOTINGS MU$T 8E INSPE4E0,0EFORE POURING i PERMIT VOID SIX MONTHS AFTER DATE OF ISISUE�. BUILDING MATERIAL,RUBBISH A � ' ND DEBRIS FROM,THIS WORK MUST NOT BE PACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND MAULED AWAY BY EITHER CONTRACTOR OR OWNER. FAILURE TQ LY COMPWITH THE MECHANICS' LI N LAW CAN RESULT IN THE PROPERTY 01NNE`R PAYING TWICE FCR BUIL. ING IMPRO EMENTS." AG ORDINGTO APPROVED PLANS WHICH ARE PART OF THIS PERM I AND SUBJECT TO REVOCATION FQR VIDLkfl4l+l OF APPLICABLE PROVISIONS OF LAW. > ATL, IC BEACH BUILDING,DEPARTMENT CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT. C/-, "CU,E Owner ©e, J s7 l3A.� ��Address7 Architect Address I zip Phone Contractor G�,gS� f OFA Co.. Address --.Phone zip License Number A �o03 �'sz��LA-4 ziPPhonea��_o 98 Lot _______Block or Section �� expiration Date 30 �g Copy on File Street Subdivision Between Zoning $ Valuation 3 and side ups ' Type of Construction — ' Purpose of Building Number of UrLits_ Fireplaces Utility Service: Water Sewer ---- If the City if providing water or sewer service, do we need to make taps? Dimensions: Building P IOtSize Sz. Piers Footings Sills Sz. Ceiling JoistsGreatest Span Sills Distance on Centers Sz. Floor Joists Greatest Span Sz. Rafters Distance on Centers Greatest Span Method of Heating -----.Distance on Centers— Greatest Span Flood Zone Solid-Filled Ground Proof If located within a FLOOD HAZARD complete page 2 - �,9� F ER6c.4sS 5R1^1Gc5S SUBMIT: Two complete sets of plans, including 'a detailed site plan. Florida Energy Efficien Recent Survey cy Code Sheets Inspections Required: 1. When steel is in place and ready to pour :footings. 2. When steel is in place and ready to pour colunms/lintel. 3. When steel is in place and ready to pour beam. 4• When framing, mechanical, plumbing, electrical, .fireplace, is completed to cover o d and ready 5. Final inspection. NO INSPECTION WILL BE MADE IF BUILDING CARD IS SETBACKS NOT POSTED ON JOB.. In case of rejection, reinspection MUST be called for after corrections are made. t Lot Line In consideration of permit given for doing the work as described in the above stat hereb agree * etnFazt, we a � Y g to Perform said work in accordance FJ- with the attached plans and specifications, and � rD which are a part hereof, With the buildingaccordance �+ regulations of Atlantic Beach. Signature Owner f�D �• Signature Contractor ron Ine FlkE-�DERV10E DIVISIUN JACKSUNVILLE ELECTRIC AUTHOklTY �'J.3 WEST DUVAL STkEET JACKSONV1LLL, FLOkIUA 32202 THE FOLLOWING Flt'1AL IN I'E:C'1'lOt�( :; ) HAVE M-A-:N MADE' AND AkE SATISF ACTOkY : -- - , ) i i i SINCERELY, 1 BUILDING INSPECTION DIVISION cc : FILE FOR OFFICE USE ONLY Date-----------::$:�. ...... CITY OF ATLANTIC BEACH Permit #-,/z. ......Fee$--9.5. .... Valuation ;;"- ----- FLORIDA -------- ---- ---------------------- House # 16-4-It \."- .A!ge 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... ....... .. .. ...7_ n. ..... .......................1 19.........._. Owner._ &Z---------- - - ----------------------------------------Address_Y.31_�'....I',a"/2- .. ........Telephone No............................. Architect...I�P_014�74.....1-3 .................................................Addres&.(/ ... ...e....Telephone No.,-�F-37_F'}- Contractor Builderl. ...Address....... -GWS7-- V Lot No.-.,I/O /17.-------------------------Block -V _2..?��; /A(is..Telephone -----------------Sub Division_._ ---------------------I---------Zone.-------•------- ...AP ----------------_._..__Side Between. ......and....... ..............Sts. Valuation ---------- -----------For what purpose will building be used/7e, /&e�e2-c­e Type of construction-2; e-C.W-. L7- Dimensions of Building.-e-T ZZ---------------Dimensions of Lot.... 7 gs --LotZZY--------_-------Size of Footin Size of Piers,.'7.—"-"�.----------------Size of Sills---- -----Greatest Sill Span in ft.._-. 7�......Type Roof- - 7 ___ How will Building be Heated? ...........Will Building be on Solid or Filled Ground?.... d}°1- ------------------of Ceiling Joists.-_7&-elerXe-Lr--------- Distance on Centers-... ............., Greatest Span--------.0219 ............................... Size of Floor Joists.--_-_._._._.__ •--------------- Distance on Centers....... 7'�- - -------------., Greatest Span....._..-77-7-7­ . .........------- ....................... Size of Rafters----- -------------------- ------------I 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. Two copies of plans and specifications shall REAR LOT LINE be submitted with application. 717 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 Z 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. 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 A.#ntle Bea a _ 4_Signature of Builder----_ ................... Address.lf�.. Signatureof Owner-------------------------------------------------------------------------------- Address This plan approved subject to the following provisions being included in the building; In hollow mason unit construction, each unit cell shall be reinforced with at least one No. 5 bar at all corners and tamped with concrete; such reinforcing shall be properly tied into the footing and spandrel beam, y truss roof construction shall be securely fastenedlt000d the exteriorters-- walls with approved hurricane anchors or clips, be continuous monolithic concrete undeexterior wal—sFooti reinforced r with two 5/8" deformed reinforcing rods for one- story buildings and three 5/8" deformed reinfor- cing rods for two-story buildings. rods shall be placed in the lower one-third the footings, properly placed and fastened on r` �t metal saddles with wire. Footings shall be 20" � � �•C wide and " 8 thick minimum. ���t/' !e5.5i { J � i 41 P ,00 EGr F ` r� I `_')` w ae>/ 173 � F t • (( t (5-r.'f j >r: 0 Proposers construction DESCRiPTION OF MATERIALS No. J Under Construction Property address _._ City _ strife Mortgagor or Sponsor , ti.r,r„ i •111..:1 Contractor or Builder Don F. Johnson,_ Inc. INSTRUCTIONS I. for odditronol information on how this form a to be wbmrtted, number required. them the minimum acceptable wilt of copies, etc., see tht instructions opphcoble to the FNA Application for minimum requirements connclt be eo_ Mortgage Insurance or VA Request -c• Doo-e— niatnon of Reasonable Value, as 4 Include no olternates of equal phrases- ci c,>r s•7,:^air rc ,, on. the case may be. s,deronan of a request for acceptonce of u:baa ar :„utF,. 2. Describe all materials and equ;p:nent to be used whether or not shown on not thereby precipded.l the drawings,by marking an X - each opp,opriote check box and entering the 5. Include sigrsatures required at the end of this fwm information called for ,n each space If space is •nodeclucte, enter See mise b. The construction shall be completed in comp�ionre v�v- rhe eiated s�aw.,tys and describe under item 27 or on an attocneti sheet and specifications, as omended during processing T+.e sper.ficano ,,e rh s 3. Work not speciFcally described or shown wr11 no' be considered unless Description of Materials and the applicable Mln.mun Can,, c , ,rats 1. EXCAVATION: Bearing sail, tvj>c _sgndy �O�ll ___ __ _ 2. FOUNDATIONS: i,x,iin s +rmrrctc rrlr :._. 2500 lbs. 1. 1111 lti;ri£s,ren> (2) 14 rods , brick• 3" blocC _ _ I lxlnriatiar. s,aC1, tnatr tial _. ► Keinfoii intz hitt tint !i>+.iiiifatittn s.a{1. rn,1• n,r! ._ Parrs luwxlauuu scall Colutnns_lnai mal .(nd siirs I'i,rs ucu,tial anti rrinfnti ntc __ material and size Sill, 1ua1,11.11 &tscincnt rntrance ,trcat.a _ ��indoi,, afcasss)s _. Watesprtualinft _ l'rxxmq dr.stns `I ervnttc protrc nun soil poison $axfin[nrl(ys qi'o ' gloor1t; (o\" _ 11at1(111. Special f6uncl'ini ns Additional mfoi ni S. CHIMNEYS: n a�ILie able Material a-ri0 C ._. ___.�__.,.�. __._-. l'refalst n',atr•tf m in, and r _r o Flue lining material ""`�y � 51TFlcntr^t fiu=' ,"<" _ .._ ___ }•.reltixl-r fli;i 1 Vents t ntalr=rias arrit Ras ,* c,ii ltcater Atlditiol* information 4. FIREPLACES: app2iaatble I,N pe• ,,,.1�sued fucl P_- s., lnlrnnsrn f`] ,it,ulaturp,;r <r (,�if, 'r '�._ l,,l) dunk, ,tuu :ri �l se pun. Eire>lat: facia lWi4k hntu tic 41<srrh b1'#Cl{ 0 glow Plans indicate Wha .:F abricated or job-;`b i1t. W Additional inforhtdtsora:�_�_____�,-_- ._.� __... _ : S,'1XIERiC+it WALLS W nxl ftascric ttiuud grad" rti.1 s cc.irs j� �+ w, . . J C;rrrnl l brae h, Budding p.1f,cr „f If yLcatf>tng �+ thitkill", _���� s ,'tt; +24 (� - - - - - si ifid. �., st>iss cci .s r ?`,r. Siding — .. grade sise . . __ . rtiviSutl __.. Shingles_.. grade' _ ._ tv lx' siu _ _ r�l tst.ir< ._ t.,;t<,,• St rlGllo thl,hilr"ti _. l.it 11 ♦laaoru v vcnccr ___.__ _ __..__ ._. �i li Cik__. Nla�onry: Llsolid [I fisrcd atur(rJ(sii total ssalf thickness A facing, thitkness__ __-- - f,uutu r•;�' __ .� Ila(kap tnatcrial _ __- thickness Drwr sills : _ 'Aindcns sills _._,_..__ �rA__. __ __ _._. _. l.inr<•l< Irier'rior surfatet,: dantppr,n,>fing. - (:Oats Of -__. .:____ _ __.,.:._..._ - tUrrIOe Adclitionat inlurnimion: Exterior pwnting. inateiial _. _.. Gable snail construction ij sarrt ,i., r;rstll %,Alsi Other cun;trtwitoo 6. FLOOR FRAMING: DESCRIPTION OF MATERIALS a ti 9. PARTITION FRAMING: -t:, x,c._�`,.�._�'• -- -- std€- and ---- 1il(lrt;•m.rl rnfur,nnur;t� 10. CEILING FRAMING: l:\tsts ,�u"dd. Niiulr' <Ur,t .. ,(, ,,, __ . __ _ _ - -- A6 _ OthCY __ A6Itt+'uni ;rt i 1 1 r"4 11. ROOF FRAMING: R'111-, '11 l R ktt n ussr•s :sec drtail? grade and spe(ies 1Z'�Tez r �(Idurnntl rt, 12. ROOFING: 7C Nt11IIi: c - "alt a. L 24Q.1b f n,te<n�tti felt urrgl'tt ar thukrie'ss1,l_�i4 nuinb,r otpl;r�'-- - ----. surtaank rnat'Ii4l igalr. meta - _ _a�( ;rr •.�1 tett ._.�.r __ t '� �tra.<4 .,,.�,; 13. GUTTERS AND DOWNSPOUTS: }h,wts xnrt� ;.,••, t+ e r l ,n,,trr rte . ��� 1G�. 7 `�• koK' nrarrL'tat �.� _ 5r�e- 3)r,e,uslu,pr, .n , .��r, � Stt,r . r l >r�;..�r _ :Irs..4�e�1L .�1prinsh hlur ks: matt•n,t} and } 14. LATH AND PLASTER l,,,t:. i_;u,tii _,t _'r : :e- _ •s� cl.t ur !}rx km-s' f'lastcr •,r,:[. utaf: •;ii;;�s ,;,.:i, � .ti E;ypzui71 ut3"„fI""X _ it;;,knr•t 1i.2tt fnist, pu"L71t.@Ci Jrnnt rrr.ttrir(nt taped ." cemented 15. DECORATING: Paint, wallpaper, etc.) f. y„ W o, 1°r�.r .(,r rhr.r •. At .,� .rc.•� Cs.n�tiu } ,tett �(� ur��r .. .. ,.,,t� t..•:tu75.1tU6.:- .rZ;31:i� __ - Cs'"7.,iftl6l �lifi. Kitt, fall gars' _.- _ _ &namel point (Wit 16. INTERIOR DOORS AND TRIM: _ Oo,irt Ivftr ��.i13:"2 b3.vy �n;tte•rial __ Li_„�Si Y 7kr(,r trityl j},- _ Slit7tG_LS — _ nr,t:,:. Lel. c�t itC7Ck V:.}L. pine . A(i(ittiraual inl,r`::.�t,nr _ _ 17, WINDOWS: kAmdosss. 1,pc_ +?iLlYll. i.' ""rial - l:lac<_ 141;1c4�" � s.r1. — 7 i'�< ''` h3i., t Y. k _ h(•,t. ne _ I:in; ( ix• _ . 1a.. -,}«1L'1�15- F'a,nt _ S4ectihar>?n}�fnn� r� - - (�fil•t'kiS' f1i1� tl t.t. ".4x' tllA IIIlxI _- 13oSenxent '(�,inth>�+s. t'i•. _ _ ar• .,. _ _ _ _- s l u reeaa. timi dx`r ...._. -w `ir mi 1;'0' rr; .A<I(lurorrs! i, lrnrn.urxr I& ENTRANCES AND EXTERIOR DETAIL: Main <-ntrane ' cl,x>t .tr.. 1?G-r1d0-r-Q-Sa 1 ClE _ L%idth `( 7 it /l J t rt } f ./ >� C)thcr entrance dom, ht, •";�.,.�xii]C�.�i7j3. ��.:(,.,']i-�,_. wrdt}r .: a ku 7{ead flashing' t\••ath, _ _ - ,.l,l,•t;ti �slx•3�S':L:�;.. Z.@.__ _ .,.+d(itc. �1:.,•� S,ict rn drxv s rhit K;i, _ ._ .rurrhx't ,ctrl n•,clr,rsl Combination ,ort an<t strc(�u a;x>n 'io— rs _- r,ur;rt(u _ xrc'c•n t loth - Shuttx(s !ixl•ri liarlinds _ l cane; Exterior mill—'rk t.te— rt•s.w .iG_ iE vel J � Nit1@ I';t(trt .$X.tk.'�'1t1L'.--Flti�.liE� - r.. •..� i Additional .ntotm,,tiwi, 19, CABINETS AND INTERIOR DETAIL: , - hit(hen ,ahrn,is. utti(v: n7 _ hclv� Ire{ � •' 1-�--- •.,]( f .,,, Hast unity •r +t,'nal 1 _ P+T,yr .-j.w N•.w,f {' 1 :' tri:»" .i'% * .. $ ANO 1�t�l�fl�i y GAcA. ATC. 1 Mh'I AtAL r It A'bIRtI11. - . t5lt1tFlt'SKt I�1t�"kNi+H. •Kitchen :E#stth � !t sraw 4- x+rsuw I ATMAIL, u P: rxn, ,nc,t, TC. HtttcrirUvttit f tsr' t Fxoar Fit t.l ba#h lerTi�ldRt+ rtYlZY t g X {P Bathroom accessories: ❑ Recessrd; material number,---; X)Attached; material C WNM number a Additional information Fsx-Texr: Y VuWnta Lor.src>H �T,stcr lwtPR"*F4XTutte It*NT1V1CATK) Nes. Sue Gtu_r�st -. ,_ _ . Sink t _ # x 324—L-tes— Lavatory Gerber n Water closet _ n Tr, y .�,i6 Bathtub.�.._�.... __,__� i.ci 3. -"T -_.&s� f- -�-- Shower over tub�__.__ .1__ Stall showcra Laundry tra%s_�__ _-�L " .-_ ,• __...f_,_ �( Curtain rod A[, Dour ❑ Shower pan: Water sstpply: ❑ public.; L4community system, ❑ individual (private) system,* Sewage disposal: [3 public; [1 community system; ❑ individual (private) system.* *Show and describe indixddual syslerrr in consplele detail in separale draieigas rend specx*aliani according M regarretnmir House drain (inside): k] cast iron; ❑ tile: ❑ other � _.. - _-- House sewer loubside:l: ® east iron; ❑ tile;[(other Water piping: [3 galvanized steel; ❑ copper tubing; ❑ ()the' ___ .. �..�_ ._._��_ ._ _.. Silt cocks, nvmberl__.�.� _ Domestic water heater: type----0-10C- v „�v_ Y, make and r odrl _. : heating capacity Y 100hi gp . rise. Storage tank: material_ l i tt j --- - -- :�ht µ_ i ; capacity.-� gallons. - Gas service: ❑ utility company, ❑ liq. pet. gas; ❑,other _ n_ C:as piping: [jcooking,; E3 house heating.. Footing drains connected to: ❑ storm sewer; ❑ sanitary sr.wer; [] dry well. '`^utnp pump, rt6akr and model _ rapicity -- -. discharge& tetter 23. WATIR: ❑ Hot water. [ Steam. ❑ Vapor. ❑ One-pipe systern, ❑ J'%,-prpe 'vstern ❑ Radiators. ❑ Convectors. C1 Baseboard radiation. Make and model Radiant panel: ❑ floor: ❑ wall; ❑ ceiling. 'Parcel coil: material------<. ❑ Circulator. 0 Return pump. Make and model capacity , KTan, Bona : make andmodel Output _, .. Btuh.; net ratiatg ____.__atuh. Additional 'information,: Warttx air: Q Gravity. Forced. Type of system IBB b*t rnatrrial: supply �__�_._ return _ _ Insulation—,-—, thickness;_, _ ❑ Outside air intake. Furnacr: make and model : ---_- _ �_-_ _._ _- Input_ _� _:._ _.Btuh.; output AtuT.. Additional information: Space. heater; ❑ floor furnace; ❑ wall heater. Input _ -_ - Btuh,; output _.. -Btuh.; number units Wake, model_ __ -� �_-_ Additional information: Controls: make and types __- Additional information: Fuel: ❑ Coal; ❑ oil; [] gas, ❑ liq. pet. ,gas; electric; ❑other storage capacity.___ Additional information: Firing equipment furnished separately: ❑ (`;as burner, conversion t%pr D Stoker: hopper feed ❑, bin feed ❑� Oil burner: [] pressure atomizing: [] vaporizing Make and model _ — �- Control ---- _ Additional information: Electric heatings rstem type--_ __ 5 >f �.___._- �__ _. - _ Input—__:_____watts: volts; output Btuh, DESCRIPTION OF MATERIALS 26. INSULATION: _ LOCA TION TinCKNESS_ _-_ MAI RIAL, TYPE, AND MEMO() ()I INtiT ALLATIITV�-- VAPOR BARRIER Roof -------- ���____ Fi 9,.r ass Batts Ceiling - l Wall �� _ ��2� 55 Batts Fltxcr HARDWARE: (make, material, and finish.) SPECIAL EQUIPMENT: (state material or make and model.) Venetian blinds _ Number - �w_- Automatic; washer Kitchen range. Yrrig�-aiir$ -� 891f'..� - Clothes drier Refrigerator Other QOOCI Nutone V26 Dishwasher Garbage disposal unit � icinerat6i er 2 ZT. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewhere;or use to provide additional information where the space provided was inadequate. Always reference by item number to correspond to numbering used on this form.) PORCHES: See pis TERRACES: GARAGES: plans - �� _ �i�`�y� • See WALKS AND DRIVEWAYS: 38e plot pIa Driveway: width base material_ConCa__ thickness ._4-____"; surfacing material _ thickness " Front walk: width----..-____; materiae; ._._.__- -; thicknc-ss____-_ ". Service walk: width--; material—_; thickness " Steps: material _.__---_--_ -_-_- __---_---�.._; treads- _ -_ risers--- Cheek waits. ---_ OTHER ONSITE IMPROVEMENTS* (Spe(ify all exterior onsite improvements not described elsewhere; int ludin{g items such as unusual grpeling,drainage structures, retaining walls,jersce, railings, and accessory structures.) LANDSCAPING, PLANTING, AND FINISH GRADING: Alliw #50.00 ,rop§oil y_._—" thick: ❑ fn)nt yard; ❑ side yards; ❑ rear yard to feel behind main building. Lawns (seeded,sodded, or sprigged): ❑ front yard ____ ___; ❑ side yards� n rearvard NOTE TO BUILDER.- 2X6 RIDGE A. 1/2" PLYWOOD DECKING WHERE CEILING JOIST FRAME AT RIGHT ANGLES TO COMP SHINGLES RAFTERS PROVIDE 2X4 TIES 48*0.C. FOR FOUR is"0.CAFrERs ELT JOIST BAYS. PROVIDE SOLID BRIDGING UNDER. B. WHEN TRUSS DET. IS ATTACHED, DELETE INFORMATION -� -� RELATING TO CONVENTIONAL ROOF FRAMING. ROOF BRACING C. S MAX.—'! 48 SECURE 1 *4 o EACH CELL FROM FOOTING THRU PLATE AND FILL CELL WITH CONCRETE. INSULATION C. J. IS" C. SEE FL.00M PLAN INT. HEADERS 4X$ 2X6 RAFTERS UNLESS NOTED 16" C OTHERWISE ON PLANS. ` STORM ANCHOR INSULATION EA. RAFTER 2XS C.J. _ 16" C. 2-2X4 DOUBLE PLATE WITH 4 X 10 HEADER MET DRIP SCR. VENT FLASHING PER M.P.S. 902-3 INT. FINISH 2X4 STUDS I6 C. 1/2' INSL. BD. I"AIR SPACE 1/2' BOLTS 72" C. 2X4 STUBS 16" C. THRU 2X4 P.T. SHOE WALL TIE ._-_._ --_� IG" VERT. C. _EXT, WOOD SIDING 32"HORIZ, C. 1/2"BOLTS 72" C. 4" CONC. SLAB \ THRU 2X4 P.T. SHOE` X10 6X6 W. M. ON YAP. BAR. " MIN. �ep�� HEADER �—' CLEAN SAND'FtLC -. . $X20 CONC. FTG. 264CDIIT. O - b \ UNDISTURBED SOIL SECTION: FLOOR SLAB FRAME WALLM UTILITY RM. VAP. BAR. 8X16 CONC. FTG. UNDISTURBED—SOIL----A -�cl 26_ 4 4 CONT. 2 X4 STUDS 16'C. EXT. WD. SIDING BRICK VENEER WALL SECTION INT, FINISH " N WITH RIDGE SECTION 4 BEARING FOOTING MET. FLASHING CALKING RQlr�r DN nr�r