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Permit 221 Pine St (vault) 0 5 ;` D �ARTMEt T QF.a.UlWING 'r!�'l� �'�i'M"tlkt!'�J�!"a"`rl��l► '" �, z.�.+r�`x�t Yttt�a�t�x�^�r�1r�r - ��.._ .�"�.- �� " ,�►cx��r �: � ��xx� air ` '�" 1�JG. ` ." 1R��JkG" 1�"!'Lltl�"!'t+C bf�A+��tf►� �"L.C1l�CrnA �`��� ^� AP61`redo rll _"^ `." :LMNL. *Y•00 .: *316. c,x a j fi nt4 E; N� XV i om 1s t sd AT s 11111 ' 'T� '� *Ap Oil ... ri 1. i y � 7:' liN ll f I L ki 1 l � t t �,�s,' �� r , o :. k p All , l f. ma z i s j ilt CITY OFATLANTIC BEACH, FLORIDA App. x� APPLICATION FOR ELECTRICAL. ,'PER MIT , TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ' �* 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING IN THE FOLLOWING WE HEREBY AGREE TO PERFORM SAID WORK N ACCORDANCE WITH T HE ATTACH DIBED PLANS ANDS ECF CATIONS, WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH'THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES.ELECTRICAL FIRM. MWER ELECTRICIAN SIONAIIVRE JOURNEYMAN NAME ADDRESS: ( 111 '... RFD_---_BOX_.__ BLDG.SIZE ,: BETWEEN ,Ste' :. �►a- RES.1 ) APT.( 1 COMM.1 ) PUBLIC( ) INDUS. ( 1 NEW( OLD( REW.( %)' ADDITION V) TRAILER ( ) TEMP.( ► SIGNS ( ) SO.FT. SERVICE: NEW( ► INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT q Eyy E EXIST.SERV.SIZE stDo 'AMPS I PH 3 W x240 VOLT � � RACEWAY FEEDERS NO. SIZE SIZE NO N0. SIZE . S LIGHTING OUTLETS CONCEALED OPEN TOTAL.. , RECEPTACLES I CONCEALEDOPEN f 0-30 AMPS, TOTAL1-31-000-AMPS, SWITCHES ., .. INCANDESCENT wM., _.... .. . y FLUORESCENT&M.V. FIXED 0.100 AMPS. I t APPLIANCES BELL TR,AN60 AIR H.P.RATING �...� ��:H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS 'AMPS' C E I L HEAT: "KW-HEA 0.1 . . .� OVER' = �,r ; . .. r. ra MOTORS H.P. VOLTAGE PHS NO. .. 1 H.P. PHS MISCELLANEOUS ., ow► CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 221 PtdUr-, S - OWNER OF PROPERTY: 66fU 66 TELEPHONE NO. %- T7 PLUMBING CONTRACTOR DAVID GRAY PLUMBING, INC. CONTRACTOR' S ADDRESS : 8850 Corporate Square Court , Jacksonville , FL 32216 STATE LICENSE NUMBER: CFCO 22586/436 TELEPHONE: (904) 721-7211 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: iCJ x $3 . 50 + $15. 00 MINIMUM PERMIT FEE — $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: VyWld Gray ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — (904 ) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP — (904 ) 247-5834 .40W 10I CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 Permit Number: 19972 Address: 221 PINE STREET Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: Date Issued: 4/28/2000 Name: DUGUIS, BEVERLY Total Fees: 50.00 Address: 221 PINE STREET Amount Paid: 50.00 _ ATLANTIC BEACH, FL 32233 Date Paid: 4/28/2000- Phone: (000)000-0000 Work Desc: 10 FIXTUR,'E"REP E DAVID GRAY PLUMBII , INC. PERMIT 50.00 FINAL NOTICE:-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP"AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY W#TFt THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FO BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $50.6814 Date: 5/01/00 01 Receipt: 0053731 CHECKS 19957 [::ATLANTIC BEACH 13UILDOG DEPT. 00100003221000 CITY OF �uctc'c ��Cac�i - �loaic� 716 OCEAN BOULEVARD .--- — P.0.BOX 26 ATLANTIC BEACH,FLORIDA 32239 TELEPHONE(904)249.2396 September 17, 1990 Mr. Greg Cooper 221 Pine Street Atlantic Beach FL 32233 Re: Application for Building Permit Room Addition 221 Pine Street Dear Mr. Cooper: We are in need of additional information to complete our review of the application for construction of the proposed room addition. Particularly, we request the following item: .On the submitted plans, indicate how stormwater falling on the additional roof area will be prevented from discharging to neighboring parcels. If I can be of assistance to you in completing this item, please contact me at my office (249-2395). I can work with you here or I am available to meet you at this site. Sincerely, Thomas E. Bowles, P.E. Director, Community Development TEB:vcb F ® MAP SHOW/NG SURVEY OF :gut 535, as shown on the Plat of Saltair, Section 3 , as recorded in Plat Book 10, page ,6 of the Currer►t Public Records of Duval County , Florida . For : Paul McGowan "I hereby certify that I iiave examined the F. I .A. Official flood hazard maps and the above property does not lie within a flood prone area . " A L o T 5J¢ N ON S44- -90. V $• /00 rA 4. ��'.tVis Vi4Ry x l N ° h �- o.y/ k 0. S S N n` o � 0 OWNER BUILDER PERMIT AFFIDAVIT Mate of Florida City of Atlantic Beach ) BEFORE NE, the undersigned authority, personally appeared �RF_C-'0 - -______ who upon first being duly sworn, deposes and says: , ------------------ -' and the legal owner of the following property: Subdivision _ A LTA(_--------------- -------- Block ------ Lots -------- AKA __��,_�U2f--Sir-e-C------------- I am applying for a building permit pursuant to the Owner Builder exemption set forth in Florida Statute, Section 485. 103. Florida law requires that I have been provided with the following DISCLOSURE STATEMENT: DISCLOSURE STATEME14T 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 925, 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 more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for male or lease, which is a violation of this exemption. Your construction must be done according to 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. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. ----------- --------- Property O ner Sworn to and subscribed befor9 Ioe this „/_�Z---- day CITY OF 1*&ar& Ve d - 94UW4 BUILDING PERMIT APPLICATION 716 OCEAN BOULEVARD REQUIRED SUBMITTALS P.O.BOX 25 ATLANTIC BEACH,FLORIDA 52233 Each application for building permit must be accompanied by two complete TELEPHONE(904)249.2395 sets of plans, including a detailed site plan, indicating location of utilities, parking, size of yards and other data as required by code and/or the building, zoning or community development departments of the City of Atlantic Beach; one set of Florida Energy Efficiency Code sheets (on new construction or additions of 500 sq.ft. or more); and a recent survey of the land for new construction and additions. APP ICATION CHECKLIST 1. Building Application form 2. Two complete sets of plans J 3. Detailed Site plan 4. Recent Survey, if required �5. Owner/Builder Affidavit" Building and Zoning "Required when owner acts as contractor TIME REQUIRED FOR PERMITTING VARIES; APPLICATIONS ARE CONSIDERED IN THE ORDER RECEIVED. SCHEDULING INSPECTIONS Requests for inspection are taken from 8:00 a.m. until 4:30 p.m. Inspections are made the following working day; please specify am or pm inspection. When calling in an inspection please have the permit number, job location and type of inspection, needed. Inspections are scheduled as follows: 1. Footing 2. Under slab plumbing/sewer 3. Slab 4. Framing, rough electrical, mechanical, plumbing call for cover-up on building, use building permit number and reference other applicable permit numbers (electrical, mechanical, etc.) 5. Insulation 6. Final inspection/Certificate of Occupancy. BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE Concrete cannot be poured and work cannot be covered up until the building card is SIGNED by the inspector. You may be required to uncover any work that has not been inspected. It is the responsibility of the BUILDER/CONTRACTOR to post the building card. A fee of $15 is charged for all reinspection. PROPERTY DESrRIPTION j ----- 716 OCEAN BOULEVARD Lot # � Slock # Section P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 -------------- Subdivision: Y Street Name �p DESCRIPTION OF WORK or Address: --- -1y-�--L. "_______ If in a FLOOD HAZARD Flood Zone:--------------area complete page 3. Brief Description:__ Class of Work: f r (New/Remodel/Addition)- ZONING New/Remodel/Addition)-ZONING INFORMATION Type of Construction: Zoning Proposed ,�— District: Use:--------------------- Estimated Value 5_-_-_--- + Exceptions or Materials:__________________________ Variances Granted: __________ Solid or Filled Ground:-------------Roof:----------- OWNER INFORMATION Method of Heating:__________ Property Owner: Phone: 0 ---�� - -- - ----------------- _� 1(,�O Mailing Address_�i� _ �C11�-- --------------------- --13 1�-- -r-�Z 3-3------- Zip'---------------- CONTRACTOR INFORMATION Contractor:--------------------------------------------- Phone: Mailing Address:------------------------------------------=- ------------------------------------------------- Zip:---------- Expiration License Number:----------------------------------------- Date:-------------- 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 PRO ECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION EING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDaAREQUIRED. f Owner Signature ` �------ -- ------ - Date------------ \: Contractor Signature----------------------------Date 9, <. FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: ............................................ Flood Zone: Required Lowest Floor Elevation: --------------- If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Date--------------Applicant's Signature-------------------------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation - ---------- As Built Lowest Floor Elevation ----------------- Survey Filed with Building Department ----------------------------------- Building Department Representative page 3 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner(s) : C-1 V eA 0 Y' A- Address: —Z Z � ��� 5�-- Phone: z""1 "" 1 `� Lot # V Block or UIt1L # SubdivisionyaAi 4�e Contractor• Describe work to be done: Present use of building: Proposed use: Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled?_s New electrical (or increase)? Q New plumbing fixtures?M_ New fireplace? _New Heat/AC?)Aj::) SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDING SITE PLAN AND SURVEY IF THERE WILL BE AN AD TION TO THE E STING STRUCTURE. Signature OWNER: Date: Signature CONTRACTOR: Date: 1 ' 0002961 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ' .•.•w- t'l�Rf'1�7 ltr!'°�1tf9A't'X�#!t .._..�__ _ �.,._--_ Lt�C:A'�"XtaN 2HlMdlt!'tAT'ICt1t -_ -__�___ era-it NUMber s 2"1 221 Slift t%7'f ZmT r4wr it Irype -2 IS0ltr1 XHO A"rLA rC >MSL°^cn, rd'LCaftrbA ti32x=t Lebss eat Murk x: AVVXTZ'I H LL�3AL Or0cmx'"'f`x01t 'Constr. Type a' wo. oD PRAnZ tApt s Z'3!3 biock% 2 Section% '3 rropC wwo Us*% "tlitOLE PAffXLY Towneehipr tows C/ 1 CvCtea O !SbdlVlnlon% GALT AxR �etxyaate�dr v ,�ar s �Ult°�i�'�t1.�3, i mpgr ov. cost$ aha.00 T of a l ;Fer+ W146. 53 Amount #1]CC f781` t + `. .� rf�t TO or NtU$iE y � T`ar+r tr< _- _ _ A!• -trow rear s drw*tet _ 'E'#"lt 1 "# WA9"ER �1-At3'r f-se � Vi t» ► � °I:CfR1t9A 3 '�` ;)flEif$!� a !"A�",,,"t rnc►ne "'��41 .rA11 fW> .1 f" fix. t F +C'Jb f fkMATI03Tt *ADO" 0 is tix 00.21 vw t sem. ttSCtf!°thUL "J'"^Re �C►.qtD Caen&*k, ` h tw, "r'y pg*s � #tL ~1f11�7� free *..tec. " T PACT !"L�1B 9�K3.Otti k",-W a ._ a ," ff,a „ '�' r �R „•' r .. T 'wi 4 NOTES: � f] , 1 r NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE LACED 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 OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." VALIDATION r yq9 ( W/gy i a f its 1: AN ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PER IT AND SUB REVOCA I R VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILD1 ARTME T :7 By: ow Address Heated Square Footage 1 ` @ $ ' * ,1 per sq ft = $ a Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ 1-7 TOTAL VALUATION; $ f !� W (r $ �� -- TotalV cation 1st �' 3 C 1-), W. $ � -Remainder Valuation ,S ,9,"per thousand or - porton thereof -------_---__- ---------- i ----; Total Building Fee $ ADTIZONAIPERMI TS and/or FSS REQUIRED + k Filing Fee $ TC r/, 5� Fireplaces @ 15.00Medianical BUILDING PE= FEE $ '. �= Plumbing 1 H Electric/New L------------------------------------- Electric/Temp Septic Tank BUILDING P�MMIT $ WATER METER CHARGE $ Well g Pool SEWER IMPACT FEE $ Si WATER IMPACT FEE $ Water ConnectionMIS OUS/�" A,$ Sewer Carmection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE -------------------------------------- ------------------------------------------------------- CALCULAITONS and/or NOTES ' psR-ssaa7362 ? DEPARTMENT OF BUILDING `- CITY OF ATLANTIC BEACH , PERMIT INFORMATION LOQ ATI ON INFORMATION .. Fem t Nui 3Address: 221 PIKE STREET Permit Typ '# RE-RO3 ATI ANTIC BEACH, FLORIDA 32233 C`l ass f work; NEW _ EGAL DESCRIPTION "Ora te~`. Type:' WOOD FRAME �c+t Lack„ Section: ,:,Proposed € : m ' SI ROLE FAMILY Tow ship: RNG: 0 Vw4l I i ngs Code 0 vLdivisi on<? tstima,ted Value. $200 .00 IMprcu , Cott , b ! F Total Fees : $22 . 50 I?a '` $22 . 50 All /2"x/93 ? ' W" k•.`D. ROOF WITH NEW ASPHALT BRI 1,E$ ATI'+OAI � � � »_ TION FEES -�- PER�1I� $22 . 50 Add , TREET WATER IMPACT FEE 0 00 1 , H, FLC+RIIIAagg;pP CT EIS , (} '00 RATION AS-H.R. S. 0 00 �» # R FORMATIRADON.. C $ 0 0 ' Telae P 0 R CAPIT AMPROVE $0 . 00 SEWER, TAP ' _ . q w a�_ 00 ` . HYDRAULIC SHARE 0�C0 Type: CROSS CONNE TION U-4,00 ' aEC.HIMPACT FEE 'OT ES:• I I l NOTICE-ALLCONCRETE FORMS AND FOOTINGS MUST BE IN$PliCTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF I�SUE , "BUllt 1NQ MATERIAL,RUBBISH AND.DEBRIS FROM THIS WORK MUST NOT BE PLACED lk PUBLIC SPACE,AND MUST BE � CLEAR15D UP AND� AULED AWAY SY EITHER CONTRACTOR OR OWNER � r 4`FALURE TQ CCMPI.Y WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PrRC�PERTY OWNER PAYING TWICE FOR BILI DING IMPROVEMENTS:" •$ ISStJBp,ACGORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERM IT AND SU CT TO FMCWFOR 11IOLATIJN OF•APPLICABLE PROVISIONS OF LAW. z t { IMIPT Pell et ,109887 SAT.AOT!! EACH-BUILDING DEPARTMENT J � CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) :_ Address: 2 Phone: -zi Lot # Block or Unit # Subdivision Contractor: j � Address: Phone: State License No. Describe work to be done• Materials to be used: jf� Signature OWNER: e Date: Signature CONTRACTOR: i 4002 , DEPARTMENT of BUIIt?#1G CITY OF ATLANTIC:-9EACF kLfAT2On OCATX13N ;INP6NAT ION Y ' Number a 4002 Addro* 21.., PIKE TREE , P NIfi Type t" HU=ILONG ATLANTIC , BEACR,` FLORIDA 233 ClaPli of, work L A�1��7rI"C��.: --------- LEGAL, DESCRIPTION ------ Cbh, ;r'.' Type i I:R WOdD ' A Lott 535 4lock.t , Section r 'x' fp4ec rd "U r a `St 00 f F'AM1L.y at p s RIG: Q L?�v+s3ings Code: C1 aubdivial Eataatd Value t *840. 00 otprov. Cwt $0. 00 'dotal 522. 50 A ►ur�� *22. 50Do TRACE SHED a � a ATION w�j+IJ elf.d►`'iip�VwM ' 4 '�•.4M, APPLICATION ress PERM �` 22. 5Q STREET W ►TE :#E�'ACT F`EEMti *€�. �, A ?gip �� �� �,� �9L �. ;• ,�- : tAI)E *().00 F` IATI ► t RC GAS 5 O� app.. > me s C!P ER BATE TAP' *O.003 HEWE TAF` _*fl. 00 NY7R U ,IE� FEAREQ.Cifl i.�Catei ,ti Type i RE` DEET FEE 00 C. IMPACT FEE , z, si'w"+61" 'mxn r, ra . yarn. 4 r, T 44 "'GeSy, 1 r NOTIE$ f S NOTICE=-AL.i,CCINC.RETE FORMS ANL'?FOOTINGIS MUST BE IN$1'ECTE©L3EFO1tE POU ilNia PERMIT VOID SIX MONTHS AFTER[TATE OF ISSUE BUIL0jNl$MATERIAL;RUBBISH AND DEBR'S FROM THIS WORK MIST NOT BE PLACEa fN PUBLIC SPA ;AND MUST BE CLEARER UP AND HAULED AWAY BY EITHER CONTRACTORS OR OWNER `Oth:UR ".TCS +C PLY WITH THE MECHANICS' � LA1�;CAN RESULT IN THS "I opE$t OWNE "PAYING TWICE F0A B�#t �� IMPi�OVEME�t, { !S$U�ED AC�GCRRING 70:APPROVED PLANS WHICH ARE FART OF THIS PER IT AND SU$J TO RE VIOLATIIAF�PLIGABLE PROVISIQMS OF:LAW. < ITPT R: &Q&7 ATLAN'tS AC I Bk ILDIN.0 DEPAflTME T n,,, 4-1 t � l lull NF Heated Square Footage @ Garage $ per eq ft •• $ . ed Ca @ $ !q..o 0 Uer aq ft • $ 0 0 Carport/Porch �- —' @ $ p peragft - $ Deck r----- @ $ ver sq ft - $ Patio @ $ ver sq ft - $ 70M VAUWM: LL0 , 06 ,s- © fl Total Valuation $ /-5'i1st $� Remainder aluat on -- $ Porti ntthereof thotsaW or - -----------------------------; Total Budlding Fee $ / © a ADDITIONAL PFIa4TS and/or FEES REQUn= S + 4 Filing Feeb $ 7. Mechanical Fireplaces @ 15.00 $ Plumbing ; BUIID]M IPE*UT FEE $ ,2 ,5-v Electric/New ' Electric/Tamp ------------------------------------------------- Septic Tank B=IM PE*ffT $ .2. 3-0 Well RM MOM CHARGE $ Si inning Pool SEM 3X= FEE $ Sign WAM D ACr FEE $ Water Cormection I"B9(ELZAI�US Sir Corrjection $ Water Meter $ Elevation Certificate cRM TO►rAL UE $ a . 3—y ---------------------------------------------------------------------------- "ALQ)IA W and/or NMES CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner(a) ,Address:_ .- h-- .U-2/ti-Phone: Lot 3� Block or Unit -3 -- Subdivision: Yt --- Contractor:_ ---------------------------------- D e cribe work to be done: i -. . ------------------------------------------------ Present use of building:_-0�_ --------------------------------- Valuation: _____------ Proposed use: 'Is this an addition?_�al)_ If yes, what are the dimensions of the added space:_ fit. X ------ft. Will the added area be heated and cooled?_-t\_-�r _ New electrical (or increase) ? YZr New plumbing fixtures? V\k) New fireplace?Y\�O New Heat/AC?- y1110 -- I eat/AC?_ h10 __ SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS ONTRACTOR. Signature OWNER: Z t ,t1 -- ---- -------- ---- Date: C2 _ ------ Signature CONTRACTOR:- ( ONTRACTOR: Date: __ JUN 2 51991 Building and Zoning OWNER BUILDER PERMIT AFFIDAVIT State of Florida ) City of Atlantic Beach ) BEFORE ME, the undersigned authority, personally appeared --------------------------------, who upon first being duly sworn, deposes and says: wing P� _--ng- -P Y---------------, and the legal owner of the fo lo--- r art : Subdivision __ � -----------------------_-- Block _-- .� ----- Lots ----- AKA ------------------------------------ I am applying for a building permit pursuant to the Owner Builder exemption not forth in Florida Statute, Section 489. 103. Florida 4aw requires that I have been provided with the following DISCLOSURE STATEMENT: DISCLOSURE STATEMENT, 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 025, 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 more than one 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 a violation of this exemption. Your construction must be done according to 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. -I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. ---- ----------- --- Property Owner Sworn tnd suby�=,ibed befOr&Wthis -��-11 ) ____ day Lwws ►s 7 t 3. s RAN"Penn me 41, rir aorf t��a�t�arta��c�x�riae omw"afts"ft"am it mn �tf The undersigned hereby inform=all concerned that improvements will be made to certain real property, and In accordance with section 713.13 of the Florida Statute; tha following information is stated in this NOTICE OF COMMENCEMENT. Description of property....»�?„„� «......... «•5w.....:. ...«...«..«. .M.M....MM..NMM.. .............. .... .»._.........««.H»..N.»...M...N....M...,N„H........«....»....«»......w...._.........««.«H........ Gwmal &sa* ion of improv aw�M.........H. 4 ..H..... .......... 1. ........................«......«.....«.•.w««.........««..H.H.N...qq..•w..•«».•..MH....H••.......««.................. ................«.........«.. ..............H.««..............«.............H..H..«......««.«....«...... ..........«.«......«.... Aj Owners Wwod in she of the ipWptleAl e.««•N „•„•,•,,....•.»..........».H«....................... Fee &Mpfe Tslle bolder(d other am"ffm) NaMe•..H.».»..»� .. ». .��•�««•H««•.. H. ... .•«.«.«•«.HHHH«H»««....«H...... ...«H.H•..H.«.HM.••HH•»q..».««y.»w.••..�y�« VIJ •• .H.««.Mw..«•M.NMN.«M«••M.•«««M«•.N•HH.H«H•M..N.»««««•«.«H..•..p.w.H«. • « MMM.•« Contractor.»N~, wL ..•.....«....N.M........MMMN•.....M.MM...••..•M..NN.........«......................N.M•...N...N &►4*Y �«-II ��/�..•N.....N.N..........MN...-.q...M..MY•.N........N.......«..................N.N.M.NN«..N«N...... N .N.»«.N..».•«.M......»......N.M.M.N..HN..A,,,eun,t of b��..,N..H.N.N.M...._,H_ Name of person Wwtin 06 store of rmlda desio wer ro by ower W"wbow,notiaet od er aaasrrs , be served Nave...»...»..�"...�•,..�-.M.M.MM.N....,N„N.•M..M. .MMMM M...•.M.MN..MN.NN..N..•.•..N.N..•NN....•«.•«...«NN.N«.wN.N...N..N... ----------- In addition to himself,owner deignatas following as provided in Section 713.13 11 f (F), FiorW Statute. (Fill ito race"0 n at Owner's option). . LiM°rs Notice «..M.M»M...N.»•...»...»....N.M....•M..NM.....N.»...-...N.....M.. CMACS PM .. RSCMOsn'a Yes 4"MV «..«...t.N... «..7.., Nom. »�..»...N. »»..,�,... .. ESTIMATE NO. owl FORWARD ■ ®'� �r,® ■11■ ■111■ ®111 .�71■ Ills■111■ ®11 . :-��11■ ■111■ ®11 1 ■11111111111■ Ills®111 t ■11IN 1100111■ IllsX111 ■111■ 4 , _,��11■ ®111 ■111■ 1111■ ®111 ■Illi ■111® X111 ■Itl ■111■ sill ■11ilimmilimmilimX111 ■111■milimmilloollimmi1 111.mill sills mill .�t 111mill m111■ _ _SIII_. __.■111 Isil� ■ 11 ■11e��__._._ ___X11111 � -� � _ Ili ■111 111!! 11■ iM111111 1 11■ ■1113iii ' 1 IIA ■1111■mill11111 II�J i11�■ X111 .11/1 i■■.� .c/111 .=��- ■111 ®111 e , N ■111 1 ®111 �11�/ ■e11i� .®111 ■111 INN ■111 ._ iimmiii ■I A v 11 X111 ■11■� � ��� sill �s�■ ■ ■It!■ '1imniiin®111 ■llimisillosietomiie �• �® ■��ee ®111 IN 11 oil 11191 W_ 1. .. q.i ■111■ _ a ®111 . ®111 �!!g ■!I�!in S O ®111 x MAP SHOWING SURVEY OF !0T 5 35, PLAT OP SECPION NO. .3 SALTAIR, &S, RECORDED IN PLA'P BOOK 10 PAGF. 1.6 OF THE: CURRENT PUBLIC RECORDS OF DUVAL COUN'1'Y, klA.)RI`)A. FOLNo�0 2'/QT S46 / �\ CAIP ON 0-1, 1 `Qr S oe. r49/� X90 \\ SO Fle4. i \1 i 77� NOTES r \� FOVNO 48 THIS IS A BOUNDARY SURVEY. e9' 9d'41'1 4a N P/P NO BUILDING RESTRICTION LINE PER PLAT. ANGLES AS PER FIELD SURVEY. NORTH PROTRACTED FROM PLAT. q 3/•/ ALL FENCES ARE 6' WOOD. SOT S34 R F , £ '94 ti \' s ^I p iDFM `\ Q 8 rQ ;v Q O /0 S \o� `0 T S36 0 FOV\\ MD 14 pON T ZO m w f S!3 m g g w C 3 `V H 9 3 m << So 0 0` m 3 0 9 O Q'.. co"J 411 W ❑ ❑ a QQ�ZJ FOU / w c g 0 ° C4P RON p/pe Q 0 ! �` j ❑ ❑ C p O m 1c o .< ID 3 % -n IN 11,001T) ZONE "X" (ARIAS OUTSIDE 500 YR. Arr"'IC BEACH, FLORIDA. CL 1 m p LOAN AM?IRICA FINANC.IAL CORP. , AND m til '" V '311014N IN THE ABOVE CAPTION ANT) THAT I :3r °' 3 n.� SJftVL rVd1.) 'IMA'!' THE RJRVEY REPRESENT D Ilf 5 z p ;'GORTDA ADMINISTRATIVE CODE CHAPTER CITY OF /*4`t*e Ve4d - 9&uW4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-58M FAX(904)247-5805 JULY 1 , 1991 Gregg Cooper 221 Pine Street Atlantic Beach, F1 . 32233 re: Variance to setback Dear Mr. Cooper, This letter shall serve to grant to you a Minor dimensional Variance in accord with Section 24-47(8) , permitting you to construct an attached shed encroaching 1 . 2 feet into your west side yard setback. No other encroachment is permitted and all other Zoning and Building Codes shall be complied with. If any questions arise please feel free to contact me at City Hall or by phone at 247-5826 . Sincerely, QCT.,/ C�ji George Worley, II Community Development Director cc: File DEPARTMENT OPSUILDINQ CITY OF ATLANTIC BEACH qy �qyl �pW'r �pryy 'y�.�yq�y` •Ne yg,�yy yyp� .�}p yY�y[`���yv y/� '�19.�{ r+w 4i a�Lw A' :.i NI 411. P0,41+RT' TION "f#'I �#i Yn i"�Fi4i +#- !• " Hus1 ew"i 3'31Ca Adder* is E 223 PIIiIE STREET, ATLARTTC BEACH, F'LORJOA X2233 4f Voir X100, -------- L.Ia.6AL SCl PTIDN -----_---- c rzstr,. Ty1 :' lk= RAKE Lot; � 1 d, l " "' "" 3 CELE: PAKILY T,161vnjih pi RMSt �} Drl 3 i r g l C ►c s s t? Bubdivislion ttsct pu+ � IMQ.00 lftp;-ov. s E0. 00 *37.00 ASO Wcrxlt DZUSER ASID AIR HAI~I3LER APPLICATION FEESAT : ' 037. 06 AidMw RkRT r C'A'I' R IOPAC" REQ .00 F LORI #fie '. .. RA (rs.'. R �+yl� ` ra .. $0.00 gT T ,. t . . . A'I`L �R FL, �22� � h? D 1� � B�HAFtE $G. GOLic 3 : .00.a r " SEC. d i HPAll,C"C I4 AM19.0 f ....�.y "�v8t4Hamr.:eW,pgMNn o - NATES' Y t+l©TICE--ALL C+a111C1 1 t E IAC s AND F00T'lNrCs}3.WIUS?BE INSIr+ECTEp EsjEFCiRE PQtIWING RERMtT`V t"D,Sf)MONTH5 AFTER DATE OF"ISSUE BUIt_pIPJCa MATERIAL,.RUR#3iSHA+�I " D"DSBRIS FROM THIS.WORK MUST NOT BC D E PLA ^1N PUBLIC SPACE,"AND,MUST BE " ,CLEARED UP AND FIAUI.ED AWAY i EITHER CONTRACTOR OR OWNER � A[L ;tRE TOCCIIL� 11 ` TH TIE MECH�INICS' IIS LAW"Ca1�1.�ESUI.T IN 18SU R"ACCORDING on TO,AI 'RC�III D PLANS WHICH ARE PART OF THIS PERMIT ACV"0"SU REV©CA40-011A OF-APPLIC BLIET ATLANTIC BEACH"BUILD top:[77EPAOTMENT 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' {�i,✓� s ,�cE 7" LOCATION Street Address: 67-11 OF Intersecting Streets: Between eez w S( ' And S&t j-, BUILDING Sub-division _ 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 attaclLed 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 1 /^ +! �a Contractors / Contractor (Print) Master Name of _ ,/ Property Owner i2�G'G �p 0 �� C�� 0 Signature of Owner Signature of or Authorized Agent Architect or Engineer IU. GENERAL INFORMATION A, Type of heating fuel: B. /S vo IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? /ro ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT Q Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATU9E OF WORK (Providd complete list of components on back of this form) Residential or ❑ Commercial Heat (:I Space [3 Recessed ET�Central O Floor ,❑, New Building Air Conditioning: E3 Room ►LJ Genfrel 10Existing Building ❑ Duct System: Material Thickness ^� 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 Q Elevator ❑ Manliff ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gaoling pumps (number) (Rea i 9 Q Tanks (number) Remarks Q LPG contains, (number) Q Unfired pressure vessel Q Boilers Permit Approved by Date ❑ 011W — Specify Permit Fee LIST ALL EQUIPMENT AHL CONDITIONING AND REFRIGERATION EQUIPMENT (�)Y A� Number Units Dereslption Model Number Manufacturer O y a 3 0 3", o NO CITY OF Office of Building Official REQUEST FOR INSPECTION /err Date �/ �( Permit No. L7 t�C Time Received P M" / District No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL IFFBA ng ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made P.M. Inspector. FinallnspectionX Certificate of Occupancy Date CITY OF Yq&4M4'C Ate- Office of Building Official 01 REQUEST FOR INSPECTION Date Permit No. g„J TL f0 Time A.M. Received ' Q P.M. District No Job Address Iity ` Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUM ING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab RE Y FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. Inspection Made M. Inspector- Final Inspection Certificate of Occupancy Date CITY OF b Office of Building Official REQUEST FOR INSPECTION 12 94/7 I Date Permit No. �P e Time P.M. District No. Received T Address / Locality Ow Q Contractor Na BUIL I G CONCRET ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Temp Pole ❑ Top Out ❑ Heating Re Roofing ❑ Slab Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. Inspection MadeAgo� v Final Inspection❑ Inspector Certificate of Occupancy 9 Date���C DEPARTMENT OF BUILDING 85 1 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. Q V PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB ^4 s 00 T Date July 5 19 87 449 1 Al 7/05/9fa5 1 .C>MCA I Valuation$ 3-3,30-00 Fee$ 24.00 445 1 ", 7/06/0 i nnn 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 Grelt Cooper has permission to Ql+ enclose ca=Qrt no structural Changes I Classification Residential Zone RS-2 { Owned by Greg Cooper Lot 535 Block Section 3/D Saltair House No. 221 Piste Street According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ,I AFTER DATE OF ISSUE ` 4 4 00 0 Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared ! up Maid hauled away b either con- tr4tor..or owne wilding Official. �1 FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR . Ii PLUMBING 4 ELECTRICAL SEWER WATER ,:N(Ahs �Mls! @ $ per sq ft = $ @ $ per sq ft = $ 3 @ $ per sq ft = $ per sq ft = $ @ $ per sq ft = $ . , TOTAL VALUATION: T 1st 3• mer thousand or portion thereof -----------------------� tal Building Fee $ �. 3/or FEES REQUIRED + 2 Filing Fee $ �. Mechanical ; Fireplaces @ 15.00 $ Plumbing UILDINGIPERMIT 'FEE $ a Electric/Neva --------------------- -------------------------- Electric/Tam Septic Tank BUILDING PERMIT $ Q� Well WATER METER CHARGE $ Rd rating Pool SEWER IMPACT FEE $ Sign WATER IM'P'ACT FEE $ Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter $ Elevation Certificate " ' GRAND TOTAL DUE $ � CALCULATIONS and/or NOTE TWA J'U i_ CITY OF ATLANTIC BEACH APPLICATION M MAKE ADDITIONS OR ALTERATIONS Owner&,-(e_ M---lAddress +'ate ��. - -� r�. Phone��`%( Architect \ �. Address Phone Contractor Address Phone Contractors License/Certification Numbers Expiration Date u1�- Property Address ��n ., � " Lot # � Blcok or Unit J �-� Subdivision Valuation of Construction $ Type of Construction-1410 C� Describe Work to be Performe Materials to be Used Present Use of Building n Proposed Use of Building Flood Zone__C__ Dimensions of New Area: HEATED GARAGE -- CARPORT OR PORCH IECK PATIO YES NO NUM ER Will there be an increase in number.of units? Will there be a decrease in number of units? Any additional1 P tubing fixtures? AnY new fireplaces? / SUBMIT TW C -- lt SETS OF PIANS INCLUDING SITE PLAN Signature OWNER Date `l • .r{�\ Signature CONIPACAOR Date 1 n �dcF ,1 YYY 1 1 0: �- i seded 110a!) 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