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1638 W Park Ter (vault) `R riaJJ fry u 4sa\ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031743 Date 12/05/05 Property Address . . . . . . 1638 W PARK TER Tenant nbr, name . . . . . . REPLACE DUCT WORK Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ CLEMENS, EUGENE DONOVAN HEATING & AIR 1638 PARK TERRACE WEST 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL 12/05/2005 09:52 9042413745 DONOVAN PAGE b1 '''.j7&. •`,'., ; .�1�.'� v�'l'f�•L•Jj71J.�/1, F q�w,F•r..,'yl,,,; tr ir.(:r; M�j`�y.•Aq y �,��1 C� PERMIT. LP 5:7ts;•'A •:.i.:. •.17Yj�►..•}i�'.1,� 7+wl�!hISi,I+�.0:;1'�i•t''' '� Mrs;,:+°• i��• '• •� � '•, ''•"•'`'�" k:'. s`• pate: , '�''�`�' • � �'propecty.Addreas: ,,,; /� 3 � �.�. ,.� �• �,�'• ., ` �,:>.x,•, .. , . , s Teiephotza#It 2�,'�':•�• .:. .. ' ';;;:•�. Owner. •.�o n+ -_ ::.; :,;:•r c6oici +�;'.��•'+ �'`�'••�: • „J� / �„,��r � Ftu�: f. �" ray%''t:'r.� • •'r~•r,��;:�'ii.', Kd pia,Aardgar ir6lob ri� 1Mr+ot L f tuootdseer wlih 4�rf COY ' .';'.�:�.s;:.;,: .. Woh Wa t M .ti; "�r`,`•'.S'. o[ Ftah � ar d�NP{�1�W�b�� ;4:':�r', ,'•; WAY /^��,�' - , oI•Other- TAI. I►• NATUA�OF WORK 1VLgCtIANCAL 1t',Q Flom O RaddauW :�'`•' "':' ` . k;:•'�. . . .. �'i•""� // , CO�d�tlotiiD$' LAC Q W ;{',;,itkr5•: r,: ..`'. ..Q�;•D410tSyltem: Mac 2.C7r,' :,off• �Now ir �Ke,�.::•;Y :�.�'t.n_ li:. Iti<•+p'In ti�,,,y .a��•h N ,Lpolla$Tower:cm 9p111detf:Nt '/4i� "'°'• 'i; r,.;:^: nabet alHads,; ._ --. ,4 Id vim ���. N �;�;• , ' '•�'•�• ,.+�: ':':, y'•"i i,�i^r5. Q'•'iTatfws„�-.•.�.,.r.- Ihiumbar) 'y+:fir•` t':Fp�'•;�.•, .••�; ;t;'•, p Faatmmtlaaor/�tibm.a' •t •": •;;� 'Uo6iedP�ran+utmVesfeI :.,:.,,,::•;,::, ;dai pipltid l - ' ,... ' �•t;:• .�Other-St�ecitY�. t°'G t N � .::4,:�: . VIpM1Nr W;FItL01CRA'I7CK'sQtl�t�.M! 'Tan j1 � •'Iymet'X,`;.. ti. ., m CplyplTIONIN� °x:;.,' Num da ° ;.:. —777777777 .rk•::" .� : :: HRAT11rG�FtttZ1'tA t10WA !!J►CiS AAtR•a11TmL�t '8111.'t.' ;�i'''iY'•�'r'1►�t�pQ!',''" :.Cat.," -'try' . ,• 't.. r; , No Koft !00 S..Wk Road Lti;*esatb4 f/Q4: a; Fax (�) .�„ mac,;':.;•'+'" .. r,: Pbottes( ?149-"800• SS CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000744 Date 5/29/08 Property Address . . . . . . 1638 W PARK TER Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 11860 ---------------------------------------------------------------------------- Application desc REROOF FL784 . 2 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CLEMENS, EUGENE SCHULTZ ROOFING, INC. 1638 PARK TERRACE WEST 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-2315 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 11860 Expiration Date . . 11/25/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. asR aea �' 777 01EPAT"OIF vuI1L* i ` CITY OF ATLANTI60A -,.» PILI 3I T" INP`C} lA 'ICN .. .: LOCATION, INPO ATICN I Ir Al N 15,17 7 Addeo$: ���.� SARK TERRACE �>wniit ;T�r�: PLUMBING BEACH, FLORIDA X2233 ATLANTIC c" S 3 f Wpr;k:ALTERATION . � ,. ;. LEGAL DESCR I PTCI UN - Ti t ''Ty ;1~1CC?I? PP +JEE . B 01(1, Lat Twp; 60pos* Vs :SINGLE FAMILY,', S+�at ate: �3 ubtl:'" Dwelling Sub',0vi$'i0n. SELVA MARINA: '. V a t , Val%ke: 0 .'00'' �rgray. Ccs t': 10tal F 25 ' 00 ount25.00 „ } I a e k. ION APPLICATION PEES. N� IT 25.00 ACIzACE REST; on ` aw w+wrORMAT TO LA f"T' E D Sob's p � Lr . r JAC" I FL 32 IS; f n1 > � rtr f. ^g'x "', , �°"g 'r ms,; g. +° ,3t " •nLtuwaN n " .:�s � �#"t, aN r S. �< B 4' E NOTIC -INSPECTIONS MUST 8E REOUESTED AT LEA'S`E14 HOURS PRIOR TO INSPECTION 4 Y z9 �, y , ILDING MATEFI AL.RUBBISH AND DEBRIS FROM THIS WORK MUST N� .BE PL, CECT i!U PUBLIC SPACE,AND MIST BE I C"EARED UP ANC,HAULED AWAY BY'EITHER CONTRACTOR OR OWNER 5 AILURE 4 CQ PL.Y WITH THE N�ECHAt+�t � .Ll�� � A�11 SAN �� 'U �1` IN E PROP RTY t WNER.PAYING TWICE POR E3.UIL01 'GIMPROVPMEMUS." . UBC}""ACCORbI 70 APPROVE[) PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATIO 1'FOR LAT' C3F A LICABLE PRovisloos CF LAW. /1TANTICB ACH BUILDING pEPARTMENT 3a C 3 I CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT ,,( JOB LOCATION:,, z�n�-� ,�-��_.. � �tl-------------- OWNER OF, PRO ------------------ BUILDING CONTRACTOR: ----- ---------------------------- PLUMBING CONTRACTOR AND ADDRESS: -- � -------------------- --- ------ - ---,� - -�?�-6 ---------------- TELEPHONE NUMBER: -_ w _____________________ _ STATE LICENSE NO: _--CFC®56776______________r-_`__----- TYPE OF BUILDINGS ____________SINKS SHOWS S ------------LAVATORY _____________WATER HEATERS ____________BATH TUBS - -------------DISHWASHERS ' ------------URINALS _____________DISPOSALS _____CLOSETS _____________WASHING MACHINE ------------FLOOR DRAINS SHOWER PANS _____________ OTHER---------------- TOTAL FIXTURE ' 7UNT: _____ x $3. 50 « $15. UO = S ---------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 i z ti i QEPAOTMENT GF BURR 0 tITYbC ATLANP O " y . VP i 0 .. . . LC} A ► > �T - .. { Nub�r: aAddr s 6 " P Et�CE. GS' 1 >w n1i T CI i GAL ATLANTIC A#}R T DA , 2 2 3 --ALTMA 014 DESCRIPTION gnit r. ' ' :,No ��' E I ask r Leat : 'Cwt° : c + ► ZE+ 1� `1 X E ► ,` # alas t Q ` Dwel 1 # . ticz E LV I TEA r Est . 'Va ! . t TQt,ik I t?C i 27 r ION �+ ' "3' +' L �... .tee..' b... .. ... r. + 17 00 C NO, �Ls A LC£ A 32250 c C` Exp T . ; a, C i E z y i j 1 . PDFQNTIC0ALCol o"T� o's,1 S,AWjaTFCIi itt»,PI�Ui�II�it3 Y k PER VItf V©lbL SIX,AAONTHS AFT E t I1ATE B HILI ING M,ATER�0.L,RUBBISH ANIb desoIS FROM THIS WO K MUST OT:OE pLAC I IN PUBLIIC S AI�I:«. I£i tt UST BE ' C IEARED UP'.ANbI,I AllLlri AWAY�V'EIl NER`0614TRACT©R R<?W.hIEI : COMPLY '1 I�`N THE 11 C.HAfi t � 'LAW: OA ` r 'Ay-Ifo C ou I UEQ ACS©Rt I,iYG TQ APPR4�/EQ PLANS WIIIC+II ARE MART QF' THIS PERMIT AN�3 �1J>�JEGT TC) RENfICATI�3h .FdR CATION C?I`''AP1yvf LICASLE'PR©V SI�NIa Iwo LAW. In r AT NTI BELCH B$ I�151N, ` E RTMENT � f vu'da„u'a.Fb d....,.a5u✓'a. ,. �k�$��49.�`...- x,. . ayw +�Tr”`3e �.a,1.rv.hk� _.•,�.. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I� Street Address: CtA � c LOCATION OF Intersecting Streets: Between seyl, t i,'o And Ue- P�-'a� BUILDING Subdivision It. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attacked plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein, Name of Mechanical Contractors Contractor (Print) fV.C�up.n�s. i t Master (yl t Nemo of ((`,, /� Property Owner y {` v.{!_-fi_1�� QA Q-0 13 ( / Signature of OwnerSignature of or Authorized Agent (,J /�— Architect or Engineer III. GENERAL INFORMATION A, Type of heating fuel: S. 15 OTHER CONSTRUCTION BEING DONE ON Type, ctric THIS BUILDING OR SITES All ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Ofhor -- Specify IV. MICHANICAL EQUIPMENT TO It INSTALLED NATyRE OF WORK (Provide complete list of components on back of this form) tJResidential or ❑ Commercial ❑' Hest ❑ Space ❑ Recessed O Central O floor ❑�/New Building Ai►Conditioning: 13Room � Control existing Building C3 Duct, System: Material Thiekness Replacement of existing system Maximum capacity c.f.m. ❑ New installation(No system previously installed) ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g.p.m. ❑ Fire sprinklers: Number of heads- C3 Efevator ❑ Monlift ❑ Escalator (number) THIS SPACE POR OFFICE USE ONLY ❑ Gasoline pumps (number) (Reeeived) ❑ Tanks. (number) Remarks ❑ LPG container. (number) ❑ Unfired pressure vessel Q sailers Permit Approved by Date — 0 ONser — Specify Permit Few LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT cK�aacciiy A Number Ues Unit. Description Model Number Manufacturer Cibnajpprrvinr lx- Cao30 1 Do `5. J 112- HEATING • FURNACES, BOILERS, FIREPLACES CapNumber Units Description Model Number Manufacturer (9m)Y .A� TANKS low Many Nominal Gapacit Serial Approving and Dirnensionsy Connta red Man tures No. pAgency BUILDING AND ZONING INSPECTION DIVISIO CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT --- Applicant to complete all items in sections 1, ll, Ill, and IV. LOCATION Street Address:OF •` Intersecting Streets: Between And `/ BUILDING , Sub-division li. 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 pians and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. =92k, asse of Mechanical /�� �"^* Contractors Con#raetor (Print) /!, Master Naay of =` •, hearty Owner Sigsafu►e of Owner a Si9neture of or Ail4h had Agent Architect or Engineer Ill." 094MAL INFOINATIO A, yyPe of heating W:' B. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? Q ,Gas Q LP D Natural Q Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION I' on PERMIT Other Spy IV. IiINCMANCAL EQUIMdENT TO EE INSTALLID NATURE OF WORK (Pro"complete lief of Components on back of this form) Residential or ❑ Commercial Heat Q ,Span Q Roeertod Control O poor ❑ New Building Air Cosdstioning: Q itoom Q Central Existing Building Irl pucf System: MatoAss, Thick•••• ❑ Replacement of existing system Maximwn capacity 40.111. ❑ New installation(No system previously installed) Refii9oration ❑ Extension or add-on to existing system ❑ Other —Specify Cooling tower- capacity y.p,n►. Fire tprinklon: Number of heap Q Elevator Q Moniift Q Esoeletor_�_(numbor) THIS SPACE FOR OFHCE USE ONLY Gowino pum- (number) +) j Tank• I {number) Berserks in eentsinen (aumber) 'Unfired pressure wseel lliilen Permit Approved Olhar Specify Pers►it F.. $T ALL EQUIPMENT AM CONDITIONING AND REFRIGERATION EQUIPMENT 10�Number Unit, Deacriptbn model Number Yauutaotnrar t � ACMW i BEATING - FURNACES, BOILERS, FIREPLACES xtmiiber Uaft;B Desedpum NO"Number XBOutaablIEW A�► TANIICS MWw Many Nawad anQ Gpecity y contained Name at Serial A vine Naautaeturer is ' ' i f DEPARTMENT OF BUILDING 9'/�� { r CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 't^^�} ryr 'n V 1"I PERMIT TO BUILD 644 1 � r)/I?3�E THIS PERMIT MUST BE POSTED ON JOB 7t# �I'1�CAC 645 1 ri t?313 Date j��v ! 11 Valuation$ Fee$ 21 20.00 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that DONOVAN HEATING & AC has permission to builtlX REPLACE SYSTEM ` Classification RESIDENTIAL Zone Owned by GENE CLEMENS f Lot Block S/D House No. 3632 PARK 2ERRACE WEST,' 1 According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE --► 4---- P O Building material,rubbish and debris 2l from this work must not be placed in public space, and must be cleared up and hauled away by either con- i tractor„or .wner. A/' , m g fficial. FOR OFFICE PERMIT DATE CON�IK60R USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER I CITY OF ATLANTIC BEACH (' 07-800 SEMINOLE ROAD.ATLANTIC BEACH,FL 32233 4 �.) OFFICE (904)247-5826•FAX NO (904)247-5845 BUILDING-DEPT@COAG US p 0 BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS. 2.VALUATII/OrN OF WORK! 3.SQ.FT.UNDER ROOF ���t�� hkYt,crtaic Beach, FL _ 00 4 LEGAL DESCRIPTION: 5,CLASS OF WORK: 6.USE OF STRUCTURE. LOT/7-BLOCK SUB DIVISION NEW BUILDING ❑DEMOLITION I�ESI DENT IAL �. de CI—� ❑ADDITION 11 CONVERTING USE 1:1 COMMERCIAL 7 DESCRIPTION OF WORK: ❑1 ALTERATION ❑ACCESSORY BLDG 6 FIRE SPRINKLER ` tGS a J KREPMR I,'Q� 11 POOL I SPA 11 YES ❑N 4 k0 10rr— W y b"1 2 ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER: 9 NAME. 15.COMPANY NAME. 23.COMPANY NAME Ccc���e /2e Schultz Roofing Co, Tn 3 16.NAME. 24.LICENSEE NAME. Dou las A Schultz 10.ADDREK 17.STATE OF FLORIDA LICENSE NO.. 25.STATE OF FLORIDA LICENSE.NO. CCC0636989 18.ADDRESS. 21.6 N 20th St 26.ADDRESS. Jacksonville Bch , F1 11 OFFICE PHONE: 12.FAX NO.. 19.OFFICE PHONE 20.FAX NO.: 27.OFFICE PHONE 28.FAX NO.. 246-231.5 247-3808 13 CELL PHONE 21 CELL PHONE 29 CELL PHONE. 904-759-0063 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: schroof 231 5Clyahoo. com FEE SIMPLE TITLE HOLDER: (IF OTHERTHAN OWNER) BONDING COMPANY: MORTGAGE LENDER: . 31 NAME 33 NAME 35 NAME. 32 ADDRESS 34.ADDRESS. 36 ADDRESS. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or- abandoned rabandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be Secured for Electrical Work, Plumbing,Signs,Wells, Pools, Furnaces,Boilers, Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning, I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 222 WARNING TO OWNER: 222 YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Poyier of Attorney or Agenc atter Required) (QuaVier Oniy) 9 Date. C. Signed:_ pate: Signed: � � 14 Before me this_ day of 2007 in the county of Before me this _ day of 200in the county Of Duval,State of Florida,has personally appea d Duval,State of Florida,has personally appe ed C u a e r, P_ /erg e 115 / fi o C�_..h � ie 2, --- herin oy hAlself/herself and affirms that all statements and declarations are herin by hi el'/herself and affirms that all statements and declarations ar, c true and accurate. true and accurate. Nota ry Public at Large,State of County of N,��otary Public a Large,State of County of- .YJ Personally Known 12ar/Personally Krown Produced Identification- f K� ❑Produced Identitcaeon- __�— Notary Nota rySignature: ROSALIND CLARK MY COMMISSION#DD 544427 ROSALIND CLARK EXPIRES:August 25,2010 Notary PUNICUnde writers MY COMMISSION#DD 544427 Thru COAB FORM BLDG •. EXPIRES:August 25,2010 Bonded Thru Notary Public Underwrlters FS Tt3.t3 Return to:(enclose self-addressed stamped envelope Name` Schultz Roofing CO. , Inc. Address:216 N 20th Street Jacksonville Bch Fl 32250 Doc#2008138198,OR BK 14516 Page 1211, This Instrument Prepared by: Number Pages:1 Filed&Recorded 05/29/2008 at 09:24 AM, Name: Rosalind Clark JIM FULLER CLERK CIRCUIT COURT DUVAL Schultz Roofing Co. , Inc. COUNTY Address: 216 N 20th St. RECORDING$10.00 Property Alqi 'tipAyAjsr1>%.j3eaeh, Fl. 32250 --__— -- -------- --= SPACE ABOVE THIS LIME FOR PROCESSING DATA SPACE ABOVE THIS UNE FOR RECORDING DATA NOTICE OF COMMENCEMENT 70'-�� Permit No. Tax Folio No. State of Florida County of The undersigned hereby gives notice that Improvements will be made to certain real property,and in accordance with chapter 713 of the Florida Statutes,the following information is provided in this NOTIC OP COMMENCEMENT. Legal description of property(include Street Ad ess,it av ilabte)„1C —� 41 51 6 S General descriptio of improvements N Owner's Name Address Owner's Interest in site of the improvement Fee Simple Title holder(if other than owner) Address Phone: Fax: Contractor Douglas A. Schultz Schultz Roofing Co. , Inc. C Address 216 N 20th St Jsnvllle Beatho hone-904-246-2315 Fax: 904-247-3808 Surety Phone: Fax: Address Amount of bond$ Lender's Name Address: Phone: Fax: Persons within the State of Florida designated by owner upon whom notices or other documents may be served as pro- vided by Section 713,13(1)(a)7,Florida Statutes. s Name Address Phone: Fax: In addition to himself,owner designates Of Phone: Fax: n to receive a copf of the Lienor's Notice as provided in tion 713.13(1)(b), Florida Statutes. Expiration da of Notice of Commencement(th piralion date is 1 year from the date of recording unless a different date is specified) N E Signatwe of Owner Printed Name of Owner `o LL O NOTARY RUBBER STAMP SEAL I have relied upon the following identification of the Affiant 10 N.xp,gwFOSMM . 01 t MY COMMISSION#M 500 t+ o end subst:r2bed rc this day of_-W EXPIRES:August 25,2010 Sonded Thru NoWY PU1*U de+W*N jNotary signature Printed Name 1l CITY OF ATLANTIC BEACH APPLICATION FOR ROOFING PERMIT BUILDING OWNER JOB ADDRESS l LOTH BLOCK OR UNIT # SUBDIVISION CONTRACTOR ADDRESS 7 ff LICENSE NUMBER�?d,1'70L �- �/ EXPIRATION JOB VALUA'T'ION $� MATERIALS: SIGNATURE OWNER DATE SIGNATURE CONTRACTOR DEPARTMENT OF BUILDING 8561 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 7*9r) T Date 4/6/87 19 { �pCCAG 50 Valuation$ Fee$ 7. IQC This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that S & W Roofing Co• RC9948-501 6799 Rarney Rd Taeakonville 52219 has permission to t_.► X re roof Classification Residential Zone Owned by Clemons Lot Block S/D House No. 1.638 Part Terrace West - According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE —01 4 O Building material,rubbish and debris Z from this work must not be placed in public space, and must be cleared up and auled away by either con- tract owner.. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER A"k A . CITY OF r � �eac( - ��Cviida 800 SEMINOLE ROAD - ----- - ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 January 14, 1997 Eugene Clemens 1638 Park Terrace W. Atlantic Beach, F132233 Dear Mr. Clemens: Our records indicate that you are the owner of the following described property in the City of Atlantic Beach: Re: 1638 Park Terrace W. a/k/a: Lot 17, Block 6 Re: 172020-166 It has come to our attention that the assigned house street numbers are not permanently attached to your building. This is required by Chapter 6, section 108 of the Code of Ordinances of the City of Atlantic Beach and Jacksonville Electric Authority Rules and Regulations section 2.19 The absence of these numbers affixed to your building; and visible from the street is a determent to your safety should you reQuire police fire or medical emergency services. I urge you to install a minimum of four inch high numbers in addition to any numbers presently displayed on a mail box. Failure to properly display the numbers can result in this violation being brought before the code enforcement board. Under Fl . S.S. 162 you can be fined $250.00 per day for a first violation and $500.00 dollars per day for a repeat violation. Sincerely, Karl iliiGru"newald Code Enforcement Officer KWG/gah cc: Public Safety Director Ptl. W. Bull - 1417 cec:7151 E DUD ..E NFORCENlENT ..:. .... ............... i.':..::::::::' ::Y}L;:!j;'•y:'::}::':y::: ::.:::i::i::::;.:i v: :i:::::.:v:::`i`:'. i ..::::::::i';:: .i..ji;:':ji:� ....::..:::...:... ;i - OF ATLANTLC BEACHXX X COMPLAINT #: 76 COMPLAINT DATE: Q///9� TIME: Q(o.Sf COMPLAINTANT: �.� \\ ���rr�>> 14 Last First s" ADDRESS: '_CZ` 7U �r+v^ �c �_' iincr\ 1�- �.�. lL1 _ Street City State 2Z 2 Zip COMPLAINT TYPE: 04 ��vc cr kip t LOCATION: //p3�9 Atlantic Beach, FL 32233 Street City State Zip TELEPHONE #: PROPERTY OWNER: COMPLIANCE: DEPT./DIVISIONS: 10 - 6 PRIORITY CODE: TAKEN BY: INVESTIGATION DATE: / / TIME: INVESTIGATOR: DEPT./DIVISIONS: 10 - 6 ACTION TAKEN: COMPLIANCE: U S- LEGAL DESCRIPTION: RE #: Nature of Complaint POLICE DEPT. COMPLAINT NUMBER REQ/ 5'1 kLo�calbion T F S '— O O DIS �_ . ARR COM Q $ Dispatched By Officer Assigned REC DIS dent ARR Pd, COM Complainant REC DIS ARR Address of Complainant COM REC Phone Number ec�o ❑JSO DIS ❑ FCIC/NCIC CHECK ARR HOW RECEIVED: COM ❑Radio ❑ Person FIRE DEPT. 9Phone El 911 ❑Teletype ❑ other ❑ TRAFFIC TICKET ❑ CIDENT REPORT REC NOTIFIED: SAO ME DET JEA CAB ❑ PARKING TICKET OTHER DIS JSO CHIEF FDLE TOL INCIDENT REPORT ^ ARR /� COM TIME: FOR OFFICE USE ONLY Date---------51 19 ...... CITY OF ATLANTIC BEACH Permit $.... Valuation $ 0 a ............ FLORIDA House ............ ............................................................................ APPLICATION FOR BUILDING PERMIT .......... ....... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date........M Ay. ------------S............................. 19... Owner_AGV691. 4 N.'---t-RY7.1Y .1-,').W -,-.Telephone No..?_.Ytw�?z /tr,./f Aff &7 6 IfA;71 C- Ac.1y, Architect;47M.4 -----------Ad JIATelephone AT&I Contractor -77-------------------Address,/SO4(- r_,000YRA)W4V.Jic&elepbone Lot No.--------1-7----•-----------------------------.-Block No..-...40,----- ------Sub Division... ---MAR! ---------------------------------Zone................ At 41KJe.....WJ!9?rdet....----------------...Side Between-............--------------------------------------and_--_---------------11W.C -•--..2 tv(dostis. Aerlit <Type of construction....lr)� ----------- Valuation $.-. -4%04Q.......For what purpose will building be used.)65_S1_0_ir/VC_ ------ Dimensions of -_Dimensions of Lot..-IIX----- .......Size of Footings..---5. ar_'y------------ Size of Piers...---------------....... Size of Sill's--------------_-----------Greatest Sill Span in ft------_--------Type Roof-Aseh. 41.r ---------- 0 How will Building be Heated?.2_-.t_ ...64------- Ing be on Solid or Filled�Ground?----- ............ Size of Ceiling Joists---- on Centers........4K_e.......................... Greatest Span........xt-Lo................... eir Size of Floor Joists......__ _-------------------- Distance on Centers.......... -----_------- Greatest Span...........11.40................. Size of Rafters--.--- Distance on Centers..... e .,-. .....------, Greatest Span......._.31..IF..:0..... e ............. 51,4 This rectangle is to represent the lot -5-,3,7 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 T 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. Z Z 3. When steel is in place and ready to pour beam. 1 4. When framing Is completed. E-4 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. q ff, 01zo 7. Electrical inspection by City of Jacksonville. ra S. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signature of Builder..- Address.. X------- Signatureof Owner---------------------------................................................. Address........................................................ CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT NO.��...�. Date : Gc.� Ili 7a2 LOCATION 3 street LOT NO. 17 BLOCK NO. S/D LV'OL' OWNER MASTER PLUMBER BUILDER OR CONTRACTORBldg, �?"j,J� TYPE OF BUILDING t SIPKS_ '5"0' LAVATORY 3 BATH TUBS URINALS 3 CLOSETS FLOOR DRAIDS SHOWERSWATER HEATERS DISH4ASHERS DISPOSALS OTHER_ - y116c 5ti rN� �G.CCi..I�e TOTAL FIXTURES �S/ 9 " 1 . 00 NO WORK. MUST BE DONE UNTII A PERMIT HAS BEEN FROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size and location of all the soil and vent pipes, and the number and location of all fixtures , (in accordance with Ordinance no. 188 of the City of Atlantic Beach, Flurida ) must be shown en back of appli- cation and be approved by the Plumbing Inspector. DRA4 PLAN AND SIECIFICA.TION OF ABOVE PLUMBING ON BACK. i.pproved by Plumbing Inspector Date (FOR OFFICE USE ONLY) ROUGH-IN INSPECTED_ '? `Z REI ARYSIL FINAL INSPECTION: CERTIFICATE ISSUED: M