Permit 258 Pine St (vault) CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, F1 32233 -Tel. (904) 247-5826
ROOFING PERMIT
-PERMIT JIN� FORMATIQ
N I ON�JN ON ,
Permit Number: 23322 Address: 258 PINE STREET
Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range- 0 Book:
Proposed Use: Lot(s): Block: Section:0
Square Feet: Subdivision:
Est. Value: Parcel 'Number:
Improv. Cost: 3,100.00 _-OWNMINFORMATION
Date Issued: 1/15/2002 Iffa—me_: JIM SMITH
Total Fees: 45.00 Address: 258 PINE STREET
Amount Paid: 45.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 1/15/2002
Phone: (904)241-3785
Work Desc: REROOF
C—ONTRACTORUS ON FEES
41
45.00
AlA ROOFING, INC.
�Ok
3
ZWK_
4F.
2-N
I�z7�
1.7
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tj M
NOTICE IN
SPECTION
BUILDING MATERIAL, Rip R 9*_Tt4Ny*:tIIIiUST- No UBLIC SPACE, AND
MUST BE CLEARED UP
"FAILURE TO COMPLY IN THE
PROPERTY OWNER PXITF 11 .7 ,
ISSUED ACCORDING TO APPROVED PLAN PERMIT TD SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF
e�/
WAS 14
CITY OF ATLANTIC BEACH Date: 1/15/82 61 Receipt: 9@2700.3
CASH
13893
DEPARTMENT OF BUIL610401-
CITY OF ATLANTIC BEACW
FERMIXT INFORMATION *ATION iNFORMATION
L 0 C
er,m,it Numbipr - Address— 258 PTNE STREET'
fermi t T v p e- PLUXB I NO
ATLANTIC BEACH- PLORIDA 34�233
C1 454� of Work-'ALTERATION LEGAL DESCRIPTI
ON
ions t r. Tvpe ;W00D P',RAME R1 oc k Lot ; Twp:
roposed Ube,
Section, 0 Subd.*o
:J-: Dt4e i I inq.,p:
Subd i v f-s i pn
value-
ant 5 0
j
Li 0 9
WN
APPLICATION FEES ----------
MR14 I T 25 Or)
dfz�r IT
'10 'g,
Ze
Pho,
"RXA
T
R
AT Ntl' A
� PLU TILE
tiA
tt 2,50
Exp ,
Tril 1A
NOT
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INS"
CTgp�Sffo
RE POURfNQ
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,R'UBaj8H AND THIS WORK MUST NOT BE ACED IN PUBLIC SPACE,A NO MUST BE
dLEAASD Up�AND�HAULED AWAY BY EITHER CONTRACTOR OR OW
NER
9 T01%OM Lr WITH THE NIECHANICV
FAMUR LIEN LAW CAN RESULT IN,
'THE PROPERTY�O` 'WN' ER,,PAYING TWICE FOR BUILDINi ivcc; MEw-T,
.!-'jSsve0 ACCORPINGto APPRjn-VED.PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT REVOCA'TION,FOR
TO
.`��VJQQLATIOXOF APPLICAKE',P ISIONS,OF LAW.''
Rbv
Aw 54mm- a
WKS
BEACH BUIL
A. LANTIC. DING:D`EPARTMENT
6
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBIN PERMIT
Zf,
OB LOCATION:
WNER OF PROPERTY
`PLUMBING CONTRACTOR 1gV741A1V 1-1e- C� 5
ONTRACTOR'S ADDAES SC23
S:
'3kl
-STATE LICENSE NUMBER: TELEPHONE: -S ,
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SHOWERS
SINKS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS ASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER,
TOTAL FIXTURES: x $3 . 50 $15 .00
%�4.
INIMUM PERMIT FEE $25 .00
IGNATURE OF OWNER:
�SIGNATURE OF CONTRACTOR:_
------- -------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
-5826
( 904) 247
LL A DAY AHEAD TO SCHEDULE INSPECTIONS
ERCONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
IOR TO COVERING UP ( 904) 247-5834
",tml�
All
5908
P 2ARTMENT OF,BUILD]NO
Ell
,bI-ryoFATLANTICl3EAtH
LOCATION INFORMATION
PERMIT INFORMATION
Add�wfiw% 254 PINE STREET
r�jt NU J�e
T BEACH, FLORIDA 32233
4�'Pgrmit Typ*I ATtAN IC
---------- EG 9SCRIPTION -----------
��C ago '0:(- Work t' DECK AL D
L
Type 1 1000 YRA 5119 Block 2
ME
RNG 0
P old Uso i PATIQ/DECxe
4096 1 0 , Subdivilwio�o SALTAIR SECTION 3
Esit d Voluo t
I*Prlovl
Tote *37. 50
Aocun
$37. SO
/92
Dat
I!It
AS
FRAME UPP9R DECX , PER P
�'7
APPLICATION FEES
PERM IT
ATION 4
*37.50
N
W' T APACT FEE $0.00
A
M, FLOW
ED
FEE
YA_4,40 46-
R DON GAS,-H. R. S. $0.00
------ - RADONIGAS 00.00
OR VE, phekir 0 R! 'TAP, 0
WATE OP
RA
Stv"ti,TAP $0. 00
Addr Its t
4, FL. 32233 HYDRAPLAC SHARE $0.00
ATLAS BZAd
"'lw*1011�1 00
Type: I RE-INPPECT FEE A,
Licome-
SEC.H! IMPACT FEE
$0,400,
A
N6TtS.
ALL CONCRETE FORMS,AND FOOTINGS MUST BE INS ErTED BEFORE POURING
NOTICE
PERMIT,VO4D SIX MONTHS AFTER DATE OP.ISSUE
0 DEBRIS FROM THIS WORK MUST NOT,05 PLACED IN PUBLIC SPACEi AND MUST BE'
BUILDING MATERIAL,RUS816,HV4
HAULED Y,BYEITHER�CONTRACTOR OR OWNER,
AWA
CLEARED UP AND
THE MECHANICS WIN LAW-CAN RESULT IN
01-NG KENTS.
IkPAYINQ TWICE FORSU IMPROVEM
HE PROPERITYOWN0 I I I
"aloollof DAN.
11W.; W146 H"
ISSUED ACCORDING TO-APPROVED PLANS WHICH ARE PART OF THIS PE 1 9 T) IJECT TO "I.. ATION FOR
A13LE PROWS.IONS OF LAW. too
10N OF,APPLfC
Es"
Rm
t "DEPARTMENT
ATLAWIC SIE
=7�
!'7 77
Adc-lr'ess-
Heated Square Footage sq ft =
Garage/Shed
�D 1--00 —, er sq ft = $
Carport/Porch per sq ft = $
De ck A t'k yer sq ft = $
Patio @ $ ____per sq ft = $
0%- TOTAL VALUATION: $
Total Valuation
lst $
--4 L
13 / Q)
PE�. der Valuation per thousand or
portion thereof
-------------------------------------------- Total Building Fee $
ADDITIONAL PERMITS and/or FEES REQUIRED g
+ -, Filing Fee $
e) Fireplaces @ 15.00 $ C,
Mechanical
BUILDING, PEP,111I T FEE $
Plurrbing
Electric/Noq
--------------------------------------------------
Electric/Term.
BUILDING PERMIT
Septic Tank $
Well WATER METER CHARGE $
&Amdng Pool SE14ER. DVIPACT FEE $
Sign WATER IMPACT FEE $
Water Connection MISCE11-AINE,OUS $
Sewer Connection `4 (A 0 z ij $ c�
Water Meter $
Elevation Certificate
GRAND TOTAL DUE $
-----------------------------------------------------------------------------------------------
CALCULATIONS and/or NOTES
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDIITIONS OR ALTERATIONS
Owner(s) V4 o4 IT I-I ------------------------------------
Address: ;?,S-8 ----------------Phone:- 2419- 27-30
Lot #-,6-7'T-K1-ock or Unit Subdivision; ------
Contractor:
A'Br-'� --------------- -- ---------
Describe work to be done:------Cc, f A- W��a---
0 ----------------------------------------------
- LF
-----------------------------------------------------------------
Present use of building:..... ------------------
Valuation: -----------------------------------------
Proposed use:_J��C-�L---------------------------------------------
Is this an addition?_-Ye5----- If Yes, what are the dimensions of
the added space;
K ft. X ----ft. Will the added area
be heated and cooled? _A20 New electrical (or increase) ?_/VO
New plumbing fixtures?_p ---- --------
New fireplace? k10 New Heat/AC? 0'
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OW R: Date:
--- - -- -----------------------
Signature CON 0 ------ Date:
APP.ROVED 7 bWr-41
CITY OF ATLANTIC BEAC!1
fflIlIfl' OFFICE
PLANNING
�EP 16 1992 E P 1 1992
By.44/������ uilding and Zoning
FLA. 1947 LAWS
FS 713.03 QO nAMCO fronH 409
WS t
of Q�O&MMU-1131
4PI49PARS IN DUFLICATKI
Whom it Itulu luutrent:
The undersigned hereby informs all concerned that improvements will be made'to certain real
property, and in accordance with section 713.13 of the Florida Statutes, the following information
is stated in this NOTICE OF COMMENCEMENT.
Description of property........ �51.9.....................Syb ............. .14
.......................I..................
-.omit
................................. .......................................................................................................................................................................... ..........................
........................I.............................................I.......................................................................I........................................................1...........................
General dewiption of improvements....... ........A.......
................................................................................................................................................... .................................I..................
.............................................................................................................11........I.......................................................................................................................
Owner.......... .......... yt-� --. -
....................................I................................................................................I...........I.........................I.......
Address.......P—S.8............P
..........she-.g.g. ......... .......
.................................
Owner's interest in site of the improvement............................................................................................................
fee Simple Tillie holder (if other than owner)
Name....... ............
Address.............................................................................................................................................................................................................................
Contractor......
..............
U;�....I..... .........5*--P:�..,..............................................................
Surety, (if any)......Nlk.�..................................................................................................................................................................................
Address.......................................................................................................................................................Anuma of bond $........................**--
Name Of Person within the State of Florida idleshinaled by owner upon whom notices or other docurnards my
be served.
N..........A//A
....:...................I...............I....................................................I................I......................I......................................—.—.............................
Address.
In addition to himself, owner designates the following person I to recaive a copy of the Lienor's Notice
as provided in Section 713.13 (1) (F), Florida. Statutes. (Fill in at Owner's option).
Name
Address
THIS SPACC FOR RXCoj%DC".S USK DN&.y /........................................I........................
5240
r
DEPARTMENT OF BUILOING
CITY OF ATLANTIC BEAC14
-------- LOCATION INFORMATION
PERMIT INFORI
�IATION
5240 Address: 2!k� PINE �STRM
*it, xuwtmr:%
Perlwi ATj.A*TIC BEACH, FLORIDA 32233
t T IRICAL ESCRIPTION ----------
----------
' ion
of Work 1 Apobit
'Class
ock r
WOOD FRAME, Lot�
07 RNG:, 0
T shipt
1 , §INGLR FAMILY
vision t
0 Subdi
ated Value:
Coast S 00.00
*37.00
. *to
T
A*ou
L
Amn AT 9
""k
[APPLICATION FEES
4
ATION
"7
PERMIT
IMPACT FEE 00" '$0.00
V)A
TREET
FLORID
Ph e
GAS-H. R. S. :$0-00
60. 00
AN ------- RADON GAS
R R F RMAT�
TAP--,
W I'll VATE �401
H
*0.00
e-SOUTH SEWER TAP
SHARE $0.00
IRYDRAULIC
: FLOR16A, j225O
'Li Typet 3 RE SPECT FE
so�Q
Ct FE
sec. I"PA
-�Nons:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECT90 BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE 01 IS-SUE
DING MATERI ND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND:MUST BE
� ,BUIL �L,RUBBISH A
R
CLEARED UP AND HAULED AWAY BYEITHER CONTRACTOR OR OWNE
�, '�IFAILUAE,101'COMPLY WITH THE MECHANICS" IE N I.AWCAN RESULT IN
THE P FOR SWILDINI E� S,
ROPOTY,11OWNERVAYING TWICE I 13L IMPAOV
A
Aw.1 MAU m
ISSUE C) Ac(,;ORDtNG To I APPROVED I PLA%NS WHI I CH ARE PART OF THIS PERMIT AN RI"
ANECT TO TtON F
N QF�APPLJCASLE P90VISIONS OF LAW.
om�
ATIO
AfLANTIC,BEACH BVIII-DING'DEPARTMENT
'411---A. t
Y:
BUILDING AND 10" NING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233 a L/
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV.
Aim-
Street Address: Z5 9
LOCATION
OF Intersecting Streets: Between And
BUILDING
Sub-division
11. 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 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.
A
Name of Mechanical Contractors
Contractor (Print) Matter 17
of
-,Property Owner
Owner Signature of
Architect or Engineer
d Agent j�
III,. GIIINNAL INFORMATION
A, Type of Waring W: B.
IS OTHER CONSTRUCTION BEING DONE ON
Xsectric THIS BUILDING OR SITE?
E3 Gas—0 LP 0 Natural 0 Central Utility
IF YES, GIVE NUMB9159F..;ONSTRUCTION
C) on PERMIT
13 Other — spedfi,
IV, MOVAICAL EqUIPMONT TO K INSTALLIC NATURE OF WORK
(Provide cemplets rest of componvints on back f this form) Residential or El Commercial
Neat 0 Space 0 R ov C entral 0 Ficior 0 New Building
Existing Building
Air Conditioning: 13, Room Tc2trel
13 Csict System: Material Thickness— Replacement of existing system
Maelfflum capacity C.f.m. El New installation(No system previously Installed)
El Extension or add-on to existing system
0
13 Other — Specify
C) Cooling tower. Capacity 9-pin.
13 Rio sprinlilors: Number of Wad-
111111101wellor 13 Manfift . 13 Escalato (number)
T041S SPACII MR OFF= UM OKY
&solims pump& _(numbsr) JR
13., To _(ftumber) Remarks
in confai —(number)
13 Unfired Possum MW
Permit Approved by. Date—
bows
b 00W Specify Permit Fee
Uff AU EQUIPMENT
AM CONDITIONING AND REFRIGERATION EQUIPMENT
C&
wad�y AppMvft
NuMber Units Description Model Number Manut"turer (TOUS) AgOW
M An 02M AZOW7
70
al
7�1
C*)Y4
CL)
1-4
UQ
%
MAP SHOWNG SURVEY OF :
L C)-TI 4,L:f A I IZ , U�,'I T "Q C> 4-3
accurd!ng Ij plct recorded in Plot Page of tha currant public
records Exarnioalion of Fiood Hazurd Boundary Map, Community
N 0, 1 Prjr'8j --. 0Q0Ir- I datod — 4.16-W5 , I.ndiciatst
thot 'he proporty shown onJ dosc;ribed riareon hee within a Zone— C
t2
L
T )
a-7
k7
13
-.1 C C-
We I e t
C)
(3
1r,144 I W.0?4
A-T 1-1
VNE 7-
0 k�Av )
L
Building and Zoning
GLAIN" I"' S-"'ON INC*�
-01
Ile-
'r7
CITY OF
r- D 0- 7 r IJ,�
-,2
14&4a& 12e=4-0;Am-,& 0(
Office of Building Official
REQUEST FOR INSPECTION
Date 15'
Time Permit No.
A.M.
Received 'P.M. District No.
Job Address Locality
Owner's -3 (T)
Name Contractor
BUIL�DING CONCRETE PLUMBING MECHANICAL
C
Framing 0 Fo RoughWiring D Rough 0 Air.Cond.& 0
Re Roofing Slab 0 Temp Pole D Top out El Heating
Lintel 0 Fire Place 0
READY FOR INSPE Pre Fab
Mon. Tues. Friday A.M.
_P.M,
Inspection Mace - 2- -
Inspector Final'Inspection 0
Certlfl.aieo-M.upancy
Date
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO.. 4065 _
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date__5J3j0L_197()
Valuation P!UUlbiag Fee$ 19-(W
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 F.W-Fair Plimibing: Co.
C' T
has permission to build siak,3 '3 2:4'x2i-Qr4Ch6'2 bath
closets, 1 water heater,l washing �achlne.
C G
Classificati ZO
---ZO
residentUl – WW
Owned G-T-exivillm & Helena Want- Co
Lot z;14 Block— SID S23t Aix
House No- 25R Pirip Stroagat
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
0 Building material, rubbish and debris
Zfrom this work must not he placed in
public space, and must be cleared up
and haliled away by either emtractor
or owner.
Bill M. Davis
Building Official.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
DEPAR:TMENT OF BUILDING
T
L
Cl i�� � 4063
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date- 5/26
���jq ,-
Valuation Fee$ 1-35- 19
This permit not valid until above fee has been paid to City Treasurer, and is
"JiJect to rOvOcation for violation Of Applicable provisions of law.
This is to certify tha - cmst, Co.
has permission to build 24 A-Z8111—
Classificatiou_���
Owned
Lot-, S19
House No_251��� Block_S/D_A5x'L1t__Ajr
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
101. 0 Buildinx material, rubbish and debris
Zfrom this work must not be Placed in
public space, and must be cleared up
and hatiled away by either contractor
or owner.
Bill bl. Davis
Build�t-.f
X T 0
FOR OFFICE PERMIT
UsE ONLY NUMBER DATE CONTR
i� - R
PLUMBING
ELECTRICAL
SEWER
WATER
UIY]rI P,"fli'7 "� yj�- v 7
Y
`7
FOR OFFICE USE ONLy
OWXL�2 A:�'U E UY
li'lUFORBUILDING
k A"lia i llvu Date.... 19
W_RQ KN Permit .....Fee$
ANTIC B.EA��-C�! H.
v�
2,;ga Valuation
................
House
AP
PLICATIOIAYF�W EDING PERMIT 0
Ci*TY OF ATU5JNT1C BEAC11 .................
...........
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 Buildinx Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlanfic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verihed.
Date.......
.. .... ............
Owner---
------Address-
-.o ------4- ......Telephone No-J.y'F....
Architect................-------------------------------------------------------------------------------Address,...........................................................Telephone No.............................
Contractor Builder-------Jnrll�---------------------------_---------_---..Address-------Tkey��IZ—-----------....................Telephone No..........--------.........
Lot No.-..-.------�711------_------------
_...Block NO---------------- ---------Sub Division......YA.L.TP..i*-(?----------------------------------........Zone-----_----_--
.............. ..........................Street------------ -----..�Side Between..._......._....................................and......................................................Sts.
Valuation ----------------For what purpose will building be used....... .......Type of construction.....Cilet-
Dimensions of Building.----------------- -------_----Dimensions of Lot---- --------------------------------Size of Footings--- .jD.Y04mone-
Size of Piers------------------------------------Size of Sills.... ........
---_.....Greatest Sill Span in ft...........................Type Roof......................................
How will Building be Heated?----1"dAJ_"_V.r� ------------Will Building be on Solid or Filled Ground?---.
Size of Ceiling Joists--- --------------........... Distane'"Menters--------- 0--c- ?P"
... . ......*..................., Greatest Span-------A .......................... ..
Size of Floor Joists---l)W-k�--------------------....... Distance on Centers_....... t/------_---_-----------..., Greatest Span....A- ------------------------------
Greatest Span.-/Z.....................................
Size of Rafters-.--- -------- ----- Distance on Centers....._ .... ..
0 '.� U'A64 This rectangle is to represent the lot.
A P R Locate the building or buildings in the
1111TY or IVED right position. Give distance in feet from
" PrACH
E"'U I L all lot-lines and existing buildings.
G'n''
REAR LOT LINE
Two copies of plans and specifications shall 05 1
be submitted with application. 41
Inspections required. 3
1. When steel is in place and ready to u
2. When steel is in place and ready to po r columns a d/or inte
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.
.ville.
7. Electrical inspection by City of Jacksor
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�Zorm 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�4tlantic Beach.
Signature of Builder.....t)"........4 .... ............................... Address.....
Signature of Owner------------------------------------..............................................
Address
Crry OF ATIANTIC BEACH
,4 WATER C014MEM 109 CHARGE
_258'Pine Street
owu Grenville & Meuse Const. Co.
PL==Ia p
SUMER OR COMRACTOR Grenville & Meuse Const. Co.
S/F Dwelling Residential
ME OP BUILDMG
ONO
a?.e_.9ATmt0m cmup consisTmG or
V%TZR CUMET# IAVATORr & BATHTUB
OR Soomm STALL (6 units)
smm= GRWP ru BUD 3ml.
(WITH OR WITIOUT OVER (3 units)
SM SHOWIM) ' (2 units)
PIM
CoNsmhTIM SnM AIM TRAY (3 unit*) S=9M= 3W4!
iiq m i I --Jm SCALUM SIM (4 6"04
- mmm am & TRAY IN/r= DIS
(4 Units)
D=ThL =IT OR CUSPXDOR (I unit)
(4 units)
DJNTAL 1AVATORY jI U r nit)
IVAL Sir (4
Dlt=]K=g IMMAU (IS unit)
wwww 4 ISO
(2 Units)
2
rm MA D"mit (I unit)
KIS CNIN S=K- (2 mits) NUMM No.
Jum SIM xmm an alp
....... 8=1t W/WW UMN OR
(3 Units) (2units)
RR CLOgnme
iMiITORY (I unit)
Pmm CU)="* Vam
shilmm. =wTk Omto*
(2 units) ILVOCIM
ARVATORY, 6U]��S (2 units)
2.401521 c 3' a'Ien
5/25/79
0 Mf't
c 258 Pine Street
SIL
CUP' S F Dwellin Residential
SHOWERS
I TAYATER HEATERS
�-2-,PZiTH TUBS DISHWASHERS
DISPOSALS
JASHING MACHME
OTHEk,
/Z-TCf'gAL COVIIIT
Nf DI FILT.114331-MG t-%ND k*XA" TURES ZjjjGT !�3E ?x* ,� A'7IICCoA' DZ-ZICE WITH .""HE AMOST
OF 'IMB SOUTHEMI STANDARD PLUMBXlqG CODD-
CITY OF ATLANTIC BEACH
716 OCEM BOULEVARD
ATIAMIC BEACH, FLORIDA
ADD END UM TO BUILDING PLAN
1. Building location: _'aat�
2. The attached plan for the above building is approved subject to mating the following
applicable construction requirements:
a. Footings shall be continuous monolithic concrete under exterior walls,, reinforced with
two 5/8" deformed reinforcing rods for one-xtory buildings and thnse S/8" deformed
reinforcing rods for two-story buildings. Reinforcing rods shall be placed in the
lower one-third of the footings, properly placed and fastened on metal saMles
with wire. Footings shall be six inches wider on each side than the wall above,
shall be at least eight inches thick and shall rest on firm soil at least twelve
inches below undisturbed soil.
b. in hollow MLgVnr 1 .1 be ,reinforced with at
X un t construction, each unit cell sha3
least one No. 4 bar at all corners, poured and tamped with concrete; such
reinforcing shall be properly tied into the footing and spandral beam.
c. All wood truss rafters (roof constructi2n), shall be securely fastened to the
exterior walls with approved hurricane anchora or clips.
d. Construction of nearby one-family dwellings, whivh are duplicates or intensely
similar, shall be avoided. Such similarity considers the external configuration
and appearance (i.e., roof, outwr wall materials, window size and design, and
other like characteristics) of structures. In accord with the foregoing, similar
or duplicate homes shall not be constructed vithin close proximity of each
other, and shall be at least 500 feet apart if any one similar dwelling is
visible from any other similar dwelling.
h in
e. The final connocction between t'e house Lng dra P the newer service
connection (at the property line) must iaspectpd by City -being
covered.
g r
The undersigned hereby certifies that be has read the above and understands that this
addendum takes precedence over any ccntrary details to the plans and specifications
and agrees to comply with the intent of this addendum.
r
Contracto �Owner
1�i1
Z�7
m 1,v
-3/4" T
f- 85.-00--+--2�.700
258 Pine Street
519
yq Salt Air
MOtTVI-NVI ADDRESS
A"114 CW
5/25/79
258 Pine Street
519
Salt Air
Grenville & Meuse Const. Co.
S/F Dwelling Residential
P A I D
Do
IAN 15 2002
CITY OF ATLANTIC BEA]H CKj C;4v—
ROOFINGPERMIT APPLICATION
. JOB LOCATION:- T11Je-
L
OWNER OF PROPERTY:-- TELEPHONE:: ,2 IK
CONTRACTOR:
CONTRACTOR'S ADDRESS: z
ZI R-3
STATE LICENSE NUMBER: te- TELEPHONE:5-3�/- ri'l�g
DESCRIBE WORK TO BE PERFORMED:
VALUATION OF PROPOSED CONSTRUCTION
MATERIALS TO BE USED: A r, VA 51,1 1)e. I-e-
SIGNATURE OF OWNER*
: CT - T7
SIGNATURE OF CON CT
SWORN TO AND SUBSCRIBED BMPEW
DAY 0
to:
Notary
�b`
AS TO OWNER: B0j'j(j'Cj tho�!
My con') BLIC
W,& L
'rA F0
Gpg11Tj# 74
SWORN TO AND SUBSCRIBED BEF ME THIS DAY
AS TO CONTRACTOR
B0 -11 ' opubrIC IN7,-
Yd -C-02
Liability Insurance Supplied n d ,I;C,�Ojl
MY cornn'll
Workers Compensation Insurance Supplied CoMrn# 745126
Contractor License Information Supplied
Occupational License Information Supplied
Book 10312 , Page 1804
RET'Ll
Lc I:P1000
,fl%l 3 5.3 6
NOTICE OF COIMME1�4CEPYJ Page: 1804
E N T Filed & Recorded
01/14/2002 03:18:oo pM
JIM FULLER
CLERK CIRCUIT COURT
TO WHONI IT IMAY CONCERN: DUVAL COUNTY
TRUST FUND $
RECORDING i U
real The undersigned hereby informs all concerried that improvements will be made to certain
property, and in accordanc-e �.vitlh -Slecton 713.13 Of the Florida SL12tUteS, the flollowing
information is stated in tis NOTICE OF CONINIENCENIENT.
Oescription of Frope
rty
0.\
General CeSCription of Improvements.,
CWner
Address:
OWner's interest in site of improvements.
Fee Simple T-itte Holder(if atl-ter than owner)
Name
Address
Contractor-ALIX 1C 6 6
Address
4)
Surety (if any) ki - A
Addre ss A
rriount of Elond s
Name of person within the State Of Florida designated by owner upon whom-rictica's or other
documents may be served:
Name
Address
In addition to himself, owner designates the following person to receive a CG' PY Of the Leinar�s
Naticeas provided in Section 713.130)(F), Florida Statutes. (Fill i� at Cwner's option).
Name Al-A-
Address, Q�N
pt
vFte
A
Sworn to and subs ed be''I'(d 4,T Is
ay Of 1,12F 2
CITY OF,
4&4ft4'c BeacA-0;&j,-k
Office of Building Official
REQUEST FOR INSPECTION
0
Date Permit No.
Time 7�7
Received �)
-ir--�PM District No.
Job Ad Wss —1r- Locality
Owner's
Name
Contract r
BUILDING CONCRETE ELECTRICAL PLUMBIN M�ECHANICAL
,�� I C�
Footing El Rough Wiring o Rough EJ Air.Cond.& 0
Re Roofing 0 Slab El Temp Pole Top out 0 Heating
Lintel F� Fire Place
READY FOR INSPECTION Pre Fab A�M.
Mon. Tues.. Wed. Thurs. Friday
/ 3 .....(�A.�M _P.M.
Inspection Made
Inspect Final Inspection n
De e Certificate of Occupancy
Date