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145 - 147 Pine St (vault) DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. FEE .QQ , PERMIT TO BUILD } THIS PERMIT MUST BE POSTED ON JOB r Date April 29 19 87 *00CR 61305 i A c4l3QJ8 Valuation$ Fee$ no fee 1 p!1f11 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. 11 - one i This is to certify that Charles Nichols ode has permission to build b 1 fence one Classification Residential Zone Owned by Charles Nichols ode Lot Block S/D Satta_r I` House No. 14S Pine Street According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS IN- SPECTEDAND FOOTINGS MUST BEFORE POURING. ( f PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 1 O Building material,rubbish and debris -711 from this work must not be placed in public jfpace, and must be cleared V up wnd,Hauled away by either con tor or oidner ilding Official. _ j PERMIT >sfi�n� FOR OFFICE NUMBER DATE C OR C USE ONLY E h PLUMBING ELECTRICAL SEWER WATER +r � � l DEPARTMENT,OF BUILDING C CITY OF ATLANTIC EACH,FLORIDA PERMIT NO. 6886 V PERMIT T BUILD P79975 T THIS PERMIT MUST BE POSTED ON JOB ,a "7 `/02/I' ��7 ! �w 7/C�/fa Date jure 26, 1985 L606 900CAC u7 iA 7/CP/O Valuation$ 79,438.80 Fee$ 279.75 i C1�1[l 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 SOUTHEAST C GIAST BUILDERS has permission to build x 8�er P Suomi tted Classification redidmdAl Zone RG Owned by DMI Mintm Lot 680 Black Saltair Seg ivn 3 House No. 145=147 ME S ' According to approved plans which are part of this permit NOTICE—ALL CON RETE ORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4 4 1 O Building material,rubbish and debris zi from this work must not be placed in public space, and must be cleared n uled away by either con- tra r owner.._ / tf_./ Building Official FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAkL , A, v SEWER r WATER CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner Address ()nV W, Phone .'3�)C Architect Address Phone ContractorConsf f „Id �S ` _SPhoneY'J- � License Numbers rt, Z 013b Expiration Date _5o, 1 q,�, Lot # c C. Block # �Fe 3 Subdivision So 1 iai /C S r V � � -'1 MECHANICAL PERMIT# ,DDRESS �.. j�_ PLUMBING PERMIT _ BUILDING PERMIT WORKSHEET ELECTRIC PERMIT S� TEMPORARY ELECT. lea ted Square Footage /?IF/ —@ $ mer sq f t = $ - ;arage/Shed @ $ per sq ft - $ :arport @ $ e� per sq ft = $ 'orches 3 $ @ $ �mer sq ft - $ )eck /$ @ $ mer sq ft = $ ✓� -` ' 'atio � @ $_ el�du per sq ft = $ TOTAL VALUATION $ z 00 .otal Valuation Data 1st $ r MaL temainder Valuation @ $ per thousand or portion thereof TOTAL BUILDING FEE $ + k FILING FEE $ FIREPLACE @15 .00 $ TOTAL BUILDING PERMIT $ 7 _ ------------------------------------------------------------------------------- 'LUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ iLECT. TEMPORARY. $ ELECTRICAL PERMIT $ 1ATER METER SIZE $ ACCOUNT NUMBER ',EWER IMPACT FEE $ CATER CONNECTION $ (@10. 00 per fixture unit) 'XPROVED BY: TOTAL BUILDING/PLAN FILING FEE $ oZ 79, TOTAL WATER METER CHARGE $ ' TOTAL SEWER IMPACT FEES , CJt1 $ O �D '' TOTAL WATER CONNECTION CHARGE $ QO MISCELLANEOUS CHARGES $ GRAND TOTAL DUE: f FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION + ! SECTION 9—RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES FORM 900-A-84 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 This form may be used to demonstrate compliance with the Energy Code for new single-family detached or multifamily attached dwellings under Section 9 of the Energy Code. An alternative to this method for single-family detached dwellings, and multifamily attached dwellings of three stories or less, is provided in Section 10 of this Code.Only dwellings which are above ground frame(wood siding,brick veneer,etc.)or concrete wall type construction may be calculated using Sections 9 and 10.Other types of construction must comply under Section 4 or Section 5 of this Code.Additions to existing residential buildings shall comply with the requirements of Section 10 of this Code.Detailed information on how to complete this form may be obtained from your local building department or the Department of Community Affairs,Energy Code Program,2571 Executive Center Circle East,Tallahassee,Florida 32301. PROJECT NAME rro PERMITTING OFFICE: AND ADDRESS: CIRCLE CLIMATE ZONE: 1 BUILDER: PERMIT NO.: OWNER: 16 N N"T'ON JURISDICTION NO.: ❑ DETACHED IF MULTIFAMILY, NO.OF UNITS GLASS AREA AND TYPE COVERED BY THIS CALCULATION: EET2 CLEAR TINT,FILM,SOLAR SCREEN SEPARATE CALCULATIONS .ARE REQUIRED SGL SGL FOR EACH WORST CASE UNIT TYPE.CHECK IF M L_X AT THIS CALCULATION REPRESENTS A WORST "V'CSI i ri DBL DBL CASE CONDITION. O NET WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS R= n FRAME +R= FLOOR AREA UNDER ATTIC SGL.ASSEMBLY m.E l 1 a ` R= R= F COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM CENTRAL ❑NONE ELECTRIC STRIP ❑GAS ❑ NONE �ELECTRIC RESISTANCE ❑ SOLAR ROOM ❑ OIL ❑ SOLAR ❑ HEAT RECOVERY ❑ GAS ❑PACKAGE TERMINAL AC HEAT PUMP:COP = ® ❑ DED.HEAT PUMP:COP = ❑ m EER/SEER= �® OTHER: ❑OTHER: CALCULATED E.P.I.: �. CALCULATED E.P.I.MUST NOT EXCEED 100 POINTS In accordance with Section 55 .907 F.S.,4certify pla Review of the plans and specifications covered by this calculation indi- and specifications covered b alculatCates compliance with the Florida Energy Code. Before construction is Florida Energy Code. completed, this building will be inspected for compliance in accordance with Section 553.908, F.S. OWNER/AGENT: BUILDING OFFICIAL: DATE: .2 DATE: 9A PRESCRIPTIVE MEASURES Must be met or exceeded b all residences.) MINIMUM REOUIREMENTS CHECK TO INDICATE COMPONENTS REQUIREMENTS COMPLIANCE WINDOWS 903.1 MAXIMUM OF 0.5 CFM per LINEAR FOOT OF OPERABLE SASH CRACK. DOORS 903.1 MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA.INCLUDES SLIDING GLASS DOORS. EXT.JOINTS&CRACKS 903.1 TO BE CAULKED,GASKETED,WEATHER-STRIPPED OR OTHERWISE SEALED. CEILING INSULATION(903.9) MINIMUM OF R-19. WATER HEATERS(903.2) MUST BEAR ASHRAE STANDARD 90-80 LABEL OR A MAX.4 WATT/SQ.FT.STAND-BY LOSS.SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF VALVE(GAS)MUST BE PROVIDED. SWIMMING POOLS(903.3) IF HEATED BY OTHER THAN SOLAR,MUST HAVE POOL COVER DESIGNED TO MINIMIZE HEAT LOSS. ALL NON-COMMERCIAL POOLS MUST BE EQUIPPED WITH A POOL PUMP TIMER. HOT WATER PIPES(903.4) INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS. IN SUCH CASES,PIPING HEO,T LOSS SHALL BE LIMITED TO A MAX.OF 17.5 BTU /H PER LINEAR FOOT OF PIPE(SEE 504.4). SHOWER HEADS 903.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE. HVAC DUCT CONSTRUCTION CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHANICAL CODE. V 903.6 DUCTS IN UNCONDITIONED SPACE MUST BE INSULATED TO A MINIMUM R-4.2. HVAC CONTROLS 903.7 A SEPARATE,READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM. t FORM 900•A-84 CLIMATE ZONES 1 2 3 9C I DESIGN CREDIT POINTS(CP) 9D HEATING SYSTEM CREDIT POINTS CEILING FAN IN COND.SPACE(max 5 CP) 1 NATURAL GAS/PROPANE HEATING 16.0 MULTIZONE A/C SEPARATED BY DOOR 5 OIL HEATING 12.8 CROSS VENTILATION(1 CP per room) 1 WHOLE HOUSE FAN(min.1.5 cfm/s.f.) 5 WOOD STOVE 7 9E DESIGN PENALTY POINTS FIREPLACE WITH OUTSIDE COMBUSTION AIR 2 WASHER AND DRYER IN COND SPACE TOTAL GLASS OPENS LESS THAN 400/6 5 9C TOTAL(not to exceed 12 points) FIREPLACE WITH INSIDE COMBUSTION AIR 5 9F WINTER OVERHANG FACTOR MOM 9F SUMMER OVERHANG FACTOR SOF FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW 0-0.9 1.00 0.98 0.99 0.74 0.71 0.82 0.93 1.00 0-0.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 O.&__1.00 2-2.9 1.00 0.98>0.77 0.76 0.84-:2 j j. "�1.00 2-2.9 1.00 0.98 0.92 0.91 0.92 .94 98 3-3.9 1.00 0.98 9 0.81 0.79 0.8'1--'QTR 1.00 3-3.9 1.00 0.95 89 0.86 0.85 0.86 0.89 5 4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91 5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0.76 0.79 0.88 6-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0.75 0.85 7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0.72 0.70 0.77 0.70 0.72 0.83 8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.68 0.77 0.68 0.70 0.81 9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0.76 0.67 0.68 0.79 10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.66 0.77 11-11.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11=11.9 0.97 0.76 0.64 0.64 0.76 0.64 0.64 0.76 12 UP 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 12 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75 9G I HEATING SYSTEM MULTIPLIER HSM) COP 2.5-2.6 .8 2.9-3.0 3.1-3.2 3.3-3.4 3.5 8 UP HEAT PUMP HSM 40 .37 .34 ,32 .30 29 SOLAR HEATING SYSTEM (BACKUP SY EM FRACTION) x (BACKUP SYSTEM HSM) ELECTRIC STRIP HEAT 1.0 NATURAL GAS/PROPANE/OIL 1.0(SEE TABLE 9D FOR CREDITS) PTAC 8 ROOM HEAT PUMPS MINIMUM COP 2.2.HSM FOR COP 2.2-2.4= .45. SEE TABLE ABOVE FOR COP>2.4 9H COOLING SYSTEM MULTIPLIER(CSM) ELECTRIC EER/SEER 7.8-7.9 8.5-8.9 1 9.0-9.4 9.5-9.9 10.0-10.4 10.5-10.9 11.0-11.9 12.0-UP CSM .83 61 0.72 0.68 0.65 0.62 0.59 0.54 GAS COP 0.40-0.440.45-0.49 0.50-0.54 0.55-0.59 0.60-0.64 0.65-0.69 0.70 8 UP CSM 1.50 1 1.25 1.20 1.09 1.00 0.92 0.89 MINIMUM SEER/EER LEVEL 7.8 FOR STRAIGHT COOL OR HEAT PUMPS;MINIMUM OF 7.5 EER FOR ROOM UNITS AND PTAC. FOR ROOM UNITS AND PTAC CSM FOR EER 7.5-7.7= .87.SEE TABLE ABOVE FOR EER>7.7. 91 1 HOT WATER CREDIT POINTS HWCP) ELECTRIC RESISTANCE WATER HEATER 0 GAS WATER HEATER 10 INSTANTANEOUS WATER ELECTRIC 4.5 HEATER GAS 12.6 HRU(A/C)WATER HEATER ELECTRIC BACKUP 6.7GAS BACKUP 13.9 HRU(HP)WATER HEATER ELECTRIC BACKUP 9.7GAS BACKUP 14.5 HEAT PUMP WATER HEATER COP 1.60-1.89 1.90-2.19 2.20-2.49 2.50-2.79 2.80-3.00 (DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4 OVERALL SOLAR FRACTION' 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 SOLAR IME ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24.0 HOT WATER 5R 1 GAS BACKUP 11.4 12.8 14.2 15.6 17.0 18.8 19.8 21.2 22.6 24.0 *PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM_100=OVERALL SOLAR FRACTION 4 ,y FEE $ .00 APPLICATION FOR FENCE PERMIT CITY OF ATLANTIC BEACH PROPERTY OWNER rr r f Name:- Iy I Day Phone �:, 1�6 - 5 Address: `S V 1lyc- s Zip Code 3233 APPLICANT, IF OTHER THAN OWNER Name: Day Phone Address: Zip Code JOB INFORMATION Address or Location: Lot Block Subdivision H l APPLICATION MUST INCLUDE SITE PLAN SHOWING PLACEMENT OFFENCE `s CVIc£ W 4 wk CITY OF 1h*a4c Ve d - � 716 OCEAN BOULEVARD --------- P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 I, GQ ddress 1 request to borrow building plans of on file with the City of. Atlantic Beach, Florida. I understand that a $200. 00 deposit is required and that it will be refunded when the plans are returned, in tact. Contents : Signature Date B i ling Departme t Representativ r Date Plans Returned e . byV-\-A-o'vN �� CITY OF 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32235 TELEPHONE 011249-2396 October 15, 1985 Pre-Service JEA 233 West Duval Street Jacksonville, Florida 32202 The following final inspection has been made and is satisfactory: . Permit IX316 - 615 Aquatic Drive Permit yy+315 - 621 Aquatic Drive Permit JY4314 - 627 Aquatic Drive Permit 1/4313 - 633 Aquatic Drive Permit #4312 - 639 Aquatic Drive Permit 114317 - 645 Aquatic Drive Permits issued to Allstate Electrical Contractors Permit I14831 - 145 Pine Street Permit X14832 - 147 Pine Street Permits issued to Brooks & Limbaugh Electric Co. Sincerely, /'John M. Widdows ,-- Building Inspection Supervisor JNW:ra ulT A�_P-P R c0 V Ir PLUTIBING WORKSHEET SINKS SHOWERS / DISHRti'ASHERS CLOSETS BATH TUBS FLOOR DRAINS ai WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE LIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER Da AND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT C0NNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF 2. LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN 0i UNIT). URINAL, WALL LIP FLOOR DRAIN Cl UNIT) (4 UNITS) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) �j WATER CLOSETS, VALVE OPERATED t3 WATER CLOSETS, TANK-OPERATED (8 UNITS) (4UNITS) ' SHOWER STALL, DOMESTIC(W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE LITS @ $10.,00 EACH CITY OF X 4a&.? Ve d - 9&TZ& 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH.FLORIDA 32235 TELEPHONE(904)249-2395 June 14, 1985 7 TO WHOM IT MAY CONCERN: Reference: Lot 680, Section 3, Saltair Subdivision Street #143 and 145 Pine Street This is an approved building lot zoned RGI, Single Family or Duplex, located in Atlantic Beach, Florida. Sincerely, John M. Widdows Building Official JW:lk T L)EPARTMENT OF BUILDING {� 6# g KT CITY OF ATLANTIC BEACH,FLORIDA PE BMJ NO.AgAfit 1918 5 PERMIT TO BUILD Ir e • f7424 I A 6/19/6 THIS PERMIT MUST BE POSTED ON JOB 1000 Date Juw 26. 19 85 - Valuation$ I"UCHMIM Fee$76.00 Ami This permit not valid until above fee has been paid to City Treasurer,and is 'I subject to revocation for violation of applicable provisions of law. +I This is to certify that OCEANSTAE HEATING & AIRi has permission to bX$9 INSTALL 7• HEAT & AM i Classification Zone Zone Owned by DAN MINIM Lot 680 Block Salt a±r S/D ii House No. 145-147 PRE STRIM j 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 ,t AFTER DATE OF ISSUE --10 4 00. O Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up aud hauled away by either con- 0 r„owner. _7 /r u / 0"—A Building Official. i FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING I� ELECTRICAL SEWER WATER i low BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA $2205 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, 11, 111, and 1V. LOCATION Street ',Address: OF Inferse�ting Streets: Between And ILKDiNG Sub-division f II. IDENTIFICATION -- To be completed by all applicants In consideration of permit given for doing,+he work as described in the above statement we hereby agree to perform said work in accordance with theattacl@d'plans and specifications which are a pert hereof and in accordance with the City of Jacksonville ordinances and standards of good, practice listed therein. Neene of Mechanical Contractors Contractor (Print) Mashf a Name of Pre ty Owner t M=of Owner Signature of Authorised Agent c ,,,,,,�.•--- Architect or Engineer ltt.� GEl�IERIIL 1 , A, Type of Meting fel,: B. IS OT11ER CONSTRUCTION BEINGDONE ON secfria THIS BUILDING OR SITE? Q .Ga—Q LPI ❑ Natural ❑ Centnl Utility IF YES, GIVE NUMBER OF CONSTRUCTION r—gpf Q OB PERMIT �F O a(0 Q O"W -- sw. y IV. #A Ki H C L 11111IJIPIsla1T'TO K INSTALUiD NATURE OF WORK (Provide complete t of components on tack of this ford) � Residential or ❑ Commercial Neat ❑ Spece [3 Recossod CenMd O Hoon Now Building Air ConirillWag: Q Room A Contra ❑ Existing`Building b( p .,w borrao 42fl ❑ Replacement of existing system Maximum ap�eity. , C>c'V c,; New installation(No system previously InaI4. ed) O Refription ❑ Extension or add-on to existing system ❑ Other— Specify Q Cawing tewor;il Copecity g-p.m- Q ire sprinklors;IiNumbot of 11044111 Q Hevoter' ❑ Monlift ❑ Esoale (nuedarl THIS WACE POR OPPM US ONLY C3 . Gasoline pumpo (number) (Roeoiw�I �, Tanks` (number) Ilenatks Q LM awtui -.(nun eber( Q Unfired,P"ur r votcw Permit Approved by Data ❑ ' 0 OW1WW SP00y Permit a.. Pff ALL EQ ..FMENT AM CONDI'1 ONING AND REFRIGERATION EQUIPMENT Capaoi� lgumber Derartpttioa Ko"Number Iiiiaautaclurer (Tooa) MR �- i i i DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 0 V PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Jum 26. 19 85 73.110 Date 73 r CIC T Valuation$ PIi`aIlu Fee$ 73.00 1:991 1 A 7/17/[ This permit not valid until above fee has been paid to City Treasurer,and is 3991 1 A 7/1 7A subject to revocation for violation of applicable provisions of law. 1 . j This is to certify that STYLES SMITH PUMIM I CM1547 has permission to d PILING Bg Classification 1WII L4L Zone Owned by DAN MINION 600 Lot Block SSD House No. 145-147 PITS STFM 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 01 r i O Building material, rubbish and debris Zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- tra � caner.. Building Official. j FOR OFFICE PERMIT DATE CONTRACTOR it USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH lY APPLICATION FOR PLUMBING PERMIT JOB LOCATION PLUMBING CONTRACTOR ,2kf�� LICENSE NUMBERS C , - OWNER_ � Ln po, BUILDING CONTRACTOR c5jc�l TYPE OF BUILDING SINKS SHOWERS Lf LAVATORY HEATERS BATH TUBS Z DISHWASHERS URINALS DISPOSALS CLOSETS ?-WASHING MACHINE FLOOR DRAINS OTHER JE,TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUY3ING CODE . rN e rt INSPECTION LOG JOB ADDRESS , �✓ 1 CONTRACTOR Pt OWNER BUILDING PERMIT ELECTRICAL PERMIT PLUMBING PERMIT TEMPORARY POLE PERMIT MECHANICAL PERMIT MISCELLANEOUS PERMIT FLOOD ZONE DATE SURVEY FILED Called-In Approved J.E.A. Temp Pole Footing S 1 ab Framing Plumbing (R) - Electrical (R) Mechanical Fireplace Top out --� - — Other Electrical (F) FINAL INSPECTION Certificate of Occupancy Issued COM11ENTS: CITY OF .d 4&44940 Beach-0;&U4& - Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P*, . Dis ict N . Job Address Locality Owner's Name Contractor BUILDING CONCRETE ' tCTRICAS) PLUMBING MECHANICAL Framing 11 Footing / 9 ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab .H Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPEC N A.M. Mon. Tues. /J �7 Wed. Thurs. /( V) Friday P.M. /"..- G l5 —�l7 A.M. Inspection Made P.M. /�'})�,, Inspector 4 Final Inspection❑ 4-1 Certificate of Occupancy Date ` CITY OF Office of Building Official REQUEST FOR INSPECTION l,,c 0�?y Date Permit No. Time A.M. Received P. District No.. l E / V 7 A.M. ,�. Job Address Locah y Owner's Name Contractor eAgk 630-� BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation ....C] Wire ...........❑ Rough Wiring . C] Rough ........F-] Rough ........❑ Chimney ......❑ Lath ..........❑ Finish Wiring ..❑ Final .........E) Final .........❑ Framing .......❑ Scratch .......❑ Fixtures .......❑ Sewers ........171 Water Heater ..❑ Final ......... Brown ........❑ Motors ...... Gas ...❑ Footing ....... Finish .........❑ Temp-Pole .....C] Cesspool ......❑ Slab ..........❑ Wallboard .....E] Final Inspection.❑ Top-out .......❑ Lintel Beam ...r-1 Water .........F1 READY FOR INSPECTION A.M. Mort. Tues. Wed. Thurs. Fri. P.M. pection Made l v P.M. Inspector • CfTY OF 4&4MkC / W44-&;&U4 � f�n Office of Building Official REQUEST FOR INSPECTION Date. �J� t� Permit No. ` �s Time A.M. Received 01111, District No. Job Address Locality Co ntracto Name —/ BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation ....❑ Wire ........:.❑ Rough Wiring .Rough ........❑ Rough ........f� Chimney ......❑ Lath ..❑ Final g Framing Scratch ❑ Finish Wiring .....❑ Final ❑ g ...... .......❑ Fixtures ....... Final ❑ Brown ❑ Sewers ........❑ Water Heater ..❑ Footing .......E] Finish ........ Motors Motors ...... ❑ Gas ..........❑ Slab ........(:3 Wallboard .....❑ Temp-Pole .....❑ Cesspool ......❑� Lintel Beam ❑ Final Inspection.❑ WaterTop-out . ..❑ Water .........❑ READY FOR ,,INSPECTAQ.N A,M. Mon. Tues. Wwcy, hurs.)), Fri.'s P.M. Inspection Made ! p,M, Inspector CITY'OF 7q&449&. /3eac>li-�,Gvru Office of Building Official EQ-EST FOR INSPECTION Date. r / -� Permit No. Time A.M. Receive P. ? District No ✓ Job Address Owner's d'� ✓ � Name Contractor BUILDING PLASTERING ELECTRICAL 1 PLUMBING HEATING Foundation ....❑ Wire ..........❑ Rough Wiring ,.❑( Rough ...... ❑ Rough ...,.. s- lim .... ❑ L th ........❑ Finish Wiring ..❑ Final ........2-final ..... .s- Framing ..... ❑ cratch .......❑ Fixtures .......❑ Sewers .... Fine! Water Heater ..❑ Final ..........Brown ........❑ Motors .......�EC3,resspooi.'.'.,.E1 ❑ Footing .......❑ Finish ..... ❑ Temp-Pole ....Slab .... ❑ Wallboard .....❑ Final InspectionTop-out .......El Lintel Beam ...❑ Water .........Cl READY FOR INSPECTION A.M. E10ction Tues. Wed. ` Thurs. A.M. Fri. P.M. J� Made P.M. Inspector CITY OF ^ U 4&4ss& /211340 t-49&WZ& Office of Building Official SJW-QUEST FOR INSPECTION A Date. Permit No. Time A.M. Received -f�P M. Distric No.. .fob Address Locality Owner's Name Contractor BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation ....❑ Wire ...........❑ Rough Wiring ..❑ Rough ❑ Rough Chimney ......❑ Lath ..........❑ Finish Wiring ..❑ Final ❑ Final ❑ Framing .......❑ Scratch .......❑ Fixtures .. .....O Water Heater ..p Final ........C1 Brown ........❑ Motors ❑ Sas rs .. . . Footing .......❑ Finish ......❑ Temp-Pole .... Cesspool ......❑ Slab ..........C7 Wallboard .....❑ Final Inspection.❑ Top-out .......00 Lintel Beam ...El Water ...❑ READY FOR INSPECTION A.M. on. Tues. Wed..... _/ Thurs. Fri. P.M. Inspection Made ZZ A.M. P.M. Inspector J 1 r CITY OF ATLANTIC BEACH, FLORIDA App►owd bV APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBYAGREE!TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF,AND IWACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACIN ORDINANCES. „_ QipCSt `'7 "'" ELECTRICAL Fi ft: MASTER ELECTRICIAN SIGNATURE JOURNEMAN NAME FiFSj" 'jST'" ADD ESS: � l ,5 � RFD BOX_-_ BLDG.SIZE BETWEEN: RESA 1 APT!'.l I COMM.( ) PUBLIC( I INDUS. ( 1 NEW( ! OLD( ! REW.( ) �jpokihey /�J�CE OG�lf�7A�. ADDITION ( ) TRAILER ( 1 TEMP.04 SIGNS ( ) SO. FT. SERVICE: NEW INCREASE I ) REPAIR ( -) FEE DOCTOR SIZ Q AMPS C� COPPER ALUM. !i t ITCH OR BRE KER AMPS PH ,3W ''2 OL RACEWAY XIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZENO. SIZE 41GHTING OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED OPEN I TOTAL 0.30 AMPS. 31«100 AMPS. SWITCHES 1 CANDESCENT t 1 FLUORESCENT at M.V. FIXED 0100 AMPS. OVVR APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT ov =LLANEOU .P. VOLTAGE PHS NO. H.P� VOLTAGE PHS TRANSFORMER: UNDER 600 V. OVER 600 V. (wrofftratt of (Orruvattrij CITY OF ON&MI& &ask- Rai& Drpartmrnt of Nixtibtng Ataprrtton This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use classification 1IL43yeA; Bldg,Permit No.&: t' _ Group Type Construction Fire District f tImitic f)er'ch Owner of Building— moi— c LM __—_ Address Building Address 14,'j-147 r Section t :- Bu Date -k)QtAk'-4- 4 _ PIWT IN A CONNICUOUa P"CIE { r CITY OF ATLANTIC BEACH 800 SE HNOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034247 Date 11/20/06 Property Address . . . . . . 147 PINE ST Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc replace fence Eft ---------------------------------------------------------------------------- Owner Contractor '--------------- BENNIE OWNER 147 PINE STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/19/07 -------------------------------------------------------------------=-------- 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 PERwris APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MAP SHOWING BOUNDARY SURVEY OF N / 05 LOT So 8L OCK —=--A 5 SHOWN ON MAP OF SAA-t-A.tjZ Sftc-c-t o t4 uy. 3 AS RECORDED IN F&AL BOOK /o PAGES '4 OF THE Fuc, Zcorb5 OF buYAL,lb.�cA CER T/FIED TO.- NK t•-45L G SEWN/E, &tA r=g4 c AS LEW I etc' e-150464-TA'?, S v o v JOBSITE COPY N 22�to'cx�••E t4 CAP ►KocA� 25.Co "OCA.P 25o.00• come'. Ot g D��vE. lr C4 QW " :T : r watK 0 %3.9• 7.2' n FRAME N 0 N 0 z 7.z tp 4 O M O 2.7. CAN c. V K N G'wooD ZS.00' /l ItV110 X— N o CAp Z 5.00, i No CAp S.ZZ" t O'f0"VJ. LLT &qo L 0 T &E39 I LoT toes $! 4ili- r CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Routed to: .Hufstetler Building Department Public Works&Public Utilities Departments oer 800 Seminole Road 1200 Sandpiper Lane er Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS 'J Permit Application# d& J-'1' 27 7- Property Address / / -n£ Applicant: Q /,(� /✓�� - /1//Gi / ,6Fi✓/Ir/� Project: !" nC r This permit application has been: •,I,J�Approved as noted by the �� Department. Final application approval must come from the Building Department. VolReviewed and the following items need attention: ��pPaRT ` d G w / 7. Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from -being issued. Reviewed By: 23. v i "tom Date: i� a Date Contractor Notified: 4 CITY OF ATLANTIC BEACH =� FENCE PERMIT APPLICATION ,a ,3 Date: /V�✓ �(�"'v PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Job Address: /4y / �'r_ T`��' l `� z Owner's Name: ' v ��` `T r 3~`-AWre Address: l'T 1 /�� / Ar6 77 C-1 / Phone: ` 4 Legal Description: Block Number: - Lot Number: G &l Zoning District: Fence Contractor: Address: l y � � r Phone: `a( 42 City: c Y State: Zip: Fax: Type of fence and materials to be used: Valuation Of Fence: erior Lot ❑ Corner Lot ❑Dumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. Tree Protection: NO. Applicant certifies that no trees will be removed for the installation of this fence. ❑YES. Removal of Protected Trees will be required for this fence. 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. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Phone: Fax: E-Mail: 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 1 Revised 3/04/04 I hereby certify that I have read and examined this application and attached documentation 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 Owner: Date: i4 " AS TO OWNER: i Sworn to and subscribed before me this day of ,20 06o State of Florida,County of Duval Owl ,,nY SHIRLEY L. GRAHAM Notary' ignatu Notary Public-Stab of Fbft WY Commission Expires Feb 14,2010 Personally known Commission s DD 518533 ❑ Produced identification Bonded By National Notary Assn. Type of identification produced Signature of Contractor: Date: v v 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 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ei.atlantic-beach.fl.us Page 2 Revised 3/04/04 Jroy Jr CITY OF ATLANTIC BEACH ' Y s) PLAN REVIEW SHEET Routed to: �~ .Hufstetler lI1� Building Department Public Works&Public Utilities Departments oer 800 Seminole Road 1200 Sandpiper Lane er Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS ,/ Permit Application# Q& ��2 J 7 Property Address / ��n E- Applicant: N g ' N/Gi F I 61rW161 Project: )q nC r This permit application has been: Lr---Approved as noted by the Department. Final application approval must Cl from the Building Department. Reviewed and the following items need attention: Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued. 1,24 Reviewed By: Date: O Date Contractor Notified: CITY OF ATLANTIC BEACH FENCE PERMIT APPLICATION �t Date: /J q✓ PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Job Address: Owner's Name: ' y I exC-L-- AW ie Address:_ l )� /�� l' ?Z G. OC-a /1 Phone: Legal Description: Block Number: Lot Number: Zoning District: Fence Contractor: �`'' �fi (`7 jO+ I fli Address: �lw� sf— Phone: City: c ham► State: Zip:20_,� Fax: Type of fence and materials to be used: Lin,104M) Valuation Of Fence: I ate` erior Lot F1 Comer Lot ElDumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. Tree Protection: EaINO. Applicant certifies that no trees will be removed for the installation of this fence. ❑YES. Removal of Protected Trees will be required for this fence. 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. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Phone: Fax: E-Mail: 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 1 Revised 3/04/04 I hereby certify that I have read and examined this application and attached documentation 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 Owner: Date: %D / AS TO OWNER: Sworn to and subscribed before me this _day of 20 p4 State of Florida, County of Duval """"'• SHIRLEY L. GRAHAMNotary' igna ?° Notary Public•State of Florida :n. • ;My Commission Expires Feb 14,2010 Personally known F rj` Commission#DD 518533 Bonded By National Notary Assn. ❑ Produced identification Type of identification produced Signature of Contractor: Date: 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 Page 2 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ei.atlantic-beach.fl.us Revised 3/04/04 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J =� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 �t J3t11�' Application Number . . . . . 09-00001041 Date 7/20/09 Property Address . . . . . . 147 PINE ST Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc concrete to pavers ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BENNIE, NIGEL OWNER 147 PINE STREET ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/16/10 ------------------------------------------- ------------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r CITY OF ATLANTIC BEACH n� CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS s7. 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COP7LETE SETS OF PLANS WITH APPLICATION. Date / PERMIT# Job Address ISSUED BY THE CITY Permitee: Telephone Permittee Address: Realiesting Permission)o Construct: Lj� cf C� C C l JZJWF ~� Location: (Reference to Cross-Street) c / 1. Applicant declares that prior to filing this application he has ascertained. the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes (' d'G ( ) Date: Bell South Telephone Company Yes ( o ( ) Date: Ferrell Gas Yes `� ( ) Date: Comcast Yes ( T �O ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Flgrida Depa ment of Tf�ns�ort Ion Standards and be performed under the supe ion of /73-0/4-,1 j%4t+ i"�9 J/%�/i (Con tor' P ject Superintendent) located at ��, Telephone# 4 t 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. S. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director ofP blic Works shall be notified twe ty4our (24) hours prior to starting work and again immediately upon omple, ion. OWNER - �� COPY . Signed: Date: Before is day of in the County of Duval, Stat Flori has personally appeared ary Publi t Large,State of Florida, County of Duval. My commiss n expires: Personally Known: Produced Identification: p i P R.O.W. Permit Attachment of for R.O.W. Permit# issued , 200_ �Atlantic Beach,FL 32233 Owner's Name: BIWAI/, Property Address: A(I S f Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 200—, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach, Florida, hereinafter referred to as"USER'. WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). This work is generally described as: Mwea Taf�s' — �)rr'awjg7lj Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating,replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the perinit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY, including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." Page 1 of 2 A* The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and coi itions of this permit and to all of the applicable State and CITY laws and/or specifications, to incluf06tilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED nd SIGNED day of , 200_. K- Prope ner (to be s' ed in presence of the Notary) STATE F ORIDA CO OF UVAL On is . day of 20 , personally appeared efore me, a Notary Public in and for said Cou and State, t e property owner of , Atlantic Beach, Florida, known to me to be the person(s) des ed in and who executed the foregoing instrument; who acknowledged to me that he or she ecute the s e fr eelyly and voluntarily and for the uses and purposes therein mentioned. Not lic in tod unty and State CITY OF ATLANTIC B ACH,FLORIDA, a municipal corporation: Approved: Ricky L. Carper,Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 of 2 MAP SHOWING BOUNDARY SURVEY OF N A ©5 LOT G 0o BLOCK AS SHOWN. ON MAP OF AS RECORDED IN ?UVT BOOK Io PAGES /4 OF THE PtiZCE1 r EUJ51 cc. Ze0Z1>5 0E buym'ro, CERTIFIED TO.• N/C-,E7— G sENN/C aNA e2.r c xS D e Z G 5 2 Se t o 77 SU d City of Atlantic Beach Planning and Zoning Department We approval verifies Compliance with applicable zoning, subdivision and other local land development regulations, but does not constitute approval for the issuance of permits. Compliance with Florida Building Code and all other applicable local, State and Federal permitting requirements must be verified by nature of the City of Atlantic Beach BuildingT:rl�wtl�., rissuance of a Building Permi Proved Br.5 � m� Devel opment ire or Rate S - (o N.2L°10'00•`E. ' riffx'/z t7 No CAP 1,L CA, 2 G"t� wtoCAp Z50.OD' 2 S.ao' s 0 �► $ '� J it oue• SAME ° N a N°IN7 3.a' "o o Y -r•z o 0 103 COYCRep o ° h V t I M 2Z 'i w COM- ^7 waw I � b'�ntapp x FexcE -- ZS.00' O.P o.R' lr`rPcM1c�t.a' t.8x'� FD.t/Z-1, ht o Ch'? �•�i i too CAS .22° t r7CX�•'1YV City of Atlantic Beach APPLICATION NUMBER S Building Department � � Z (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-58 ^moil E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /�� r //V� �� Department review required Yes No Building Applicant: �A)W1,4 Planning &Zoning 'strator Project: s Pub is Public Safety Fire Services Revier�v fee $` � , Dept Signatures x 3 Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ®Approved. ❑Denied. (Circle one.) Comments: N o c�nav�E �,. \nn�6cJ�oVS S�N�ace �o�� S�J4 w�'��oV't" BUILDING PLANNING &ZONING Reviewed bye- ' DatelGo`0 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. [—]Denied. Comments: Reviewed by: Date: Revised 05/14/09 Public Works Plan Review Comments Oki 16q 7'Lb Initials: elp Date: Project Name/Address: ') �1 Pl�e ST Application Pgrmit#: bR '�h��kfllox application Traekuig Comments to;Add Comment„ Provide impervious surface calculations. Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. Provide drainage plans showing site topography (flow arrows, etc.) Provide construction site management plan,including Right-of-Way Permit if using ❑ ri ht-of-wa for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing l' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ er Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting ❑ ro er construction will be required. A Right-of-Way Permit must be obtained for use ❑ A Revocable Encroachment Permit must be obtained. ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from ❑ street or drainage feature (swale, structure or lagoon). All concrete driveway aprons must be 5 inches thick,4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW(Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. f-Roll off container company must be on City approved list and cannot be placed ❑ - on City right-of-way. a �rs�r�tJ '� CITY OF ATLANTIC BEACH _ CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 lls Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)CO PLETE SETS OF PLANS WITH APPLICATION. Date '9 PERMIT# Job AddressAA ISSUED BY THE CITY Permitee: N I Telephone# Permittee Address: W x s Ref3liesting Permission Jo Construct: C l Location: (Reference to Cross-Street) //� 1Z G 13 -p 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ( ) Date: Bell South Telephone Company Yes ( o ( ) Date: Ferrell Gas Yes `� ( ) Date: Comcast Yes ( T No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Flgrida Depa ment of T n�ort, Ion Standards and be performed under the supe�'sion of d i f &/qwx (Con tor' P ject Superintendent) located.at�Ali . Telephone#7 h .3oa-t 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. S. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of P blic Works shall be notified twe ty=#our (24) hours prior to starting work and again immediately upon ompletion. OWNER Signed: Date: BefoeF' lori i day of in the Co t} c D al, Copy Sta has personally appeared ubli t Large,State of Florida,County of Duval. My commiss n expires: Personally Known: Produced Identification: R.O.W. Permit Attachment of for R.O.W. Permit# issued 3200_ Atlantic Beach, FL 32233 4` Owner's Name: 41/4 t L R6-,411v1, Property Address: l ell //y j S Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 200_3 by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach,Florida, hereinafter referred to as "USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached).�y This work is generally described as: (,' -;metrf, 7`aI�w/gy Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised - utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating,replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY, including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." Page 1 of) The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(3 0) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the tenns and co itions of this permit and to all of the applicable State and CITY laws and/or specifications, to inclu utilities locate requirements and use limitations/requirements of public rights-of-way and other lic land. USER further agrees that the CITY and its officers and employees shall be saved ha ess by the USER from any of the work herein under the terms of this permit and that all of said liilities are hereby assumed by the USER. DATED nd SIGNED day of - , 200–. Prope ner p (to be s' ed in presence of the Notary) STATE F ORIDA CO OF UVAL On is 1 — day of ` 20 , personally appeared efore me, a Notary Public in and for said Courky and State, e property owner of Atlantic Beach, Florida, known to me to be the person(s) des d in and who executed the foregoing instrument; who acknowledged to me that he or she Kecuted,theT e freely and voluntarily and for the uses and purposes therein mentioned. Not_ lic in fAd unty and State CITY OF ATLANTIC B ACH,FLORIDA, a municipal corporation: Approved: Ricky L. Carper,Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 of 2 i MAP SHOWING BOUNDARY SURVEY OF N / 05 LOT 6,00 BLOCK ______AS SHOWN ON MAP OF AS RECORDED IN ?ZAT BOOK /0 PAGES OF THE C&Ze rW_Uc, t ecaz�S nF atlyAt,�t CERTIFIED TO.- "Ke-a-- G. SENNIC ,ALM elz.c eX \��I ttoLE.SA-t� LE�_M Dere, C- f3 Se i ::Pf=jL> &EPOAL-fifoA64-(_ 777t.44- JAISVK4AAX 0K4FA& city of Mntic Beach Planning and Zoning Deparbnent TAI# approval werNies compliance with applicable �+ toning, subdivision and other local land Ga development regulations, but does not constitute approval far the issuance of permits. Compliance wiM Florids Building Code and all other applicable local. State and Federal permitting requirements must be verifrad by nature of the City of Atlantic Beach Building i pri7toIssuance of a Wilding Permit. pigs S�� ve opl�tnene r" N 2Z"lo'�"E r4 CAII PtocAi' Z co uccst� .?S'0.00' come. M 01 w mac- . P-r: 13 � • CNC• d �. 3 w�c.K p �3.q J E" SAME N w ' o z T.T �1 0 ° tP J1 log c=eo Zig , WCoN[.v -•y d•5'WiNR iN x x G'wooD O t 0.4, �t�"t C� �.t�..11-a• � 1�oCAp ZS C�' i taD CA's 5.22° 10*00W. IAT tago L o T &99 LO-17 (p88 CITY OF ATLANTIC BEACH,-FLORIDA APProwd bw APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 5 + i IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING WE HEREBY AGREE[TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATI NSI WHICH ARE A PART HEREOF,AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND Cl OF ATLANTIC BEACH ORDINANCES. LECTRICAL FIRM: MASTER ELECT !CI DAME S ADDRESS: f p/ S T RFD BOX BLDG.SIZE BETWEEN: RES.( APT.( ! COMM.( ) PUBLIC i 1 INDUS.t ) NEW) OLD( ) REW.( ) $ ADDITION ( ) TRAILER ( i TEMP.( ) SIGNS ( 1 SO. FT. I, � SERVICE: j NEW INCREASE ( ) REPAIR t 1 FEE CCMIDUCTOR SIE AMPS O' COPPER ALUM. MT—CH OR BR KER a� SCAMPS PH 3 W `T/O T 576:7-jRACEWAY Q f p, EXIST.SERV.SIE AMPS. PH W VOLT RACEWAY FEEDERS IND. SIZE IND. SIZE NO. SIZE .LIGHTING OUTLETS CONCEALED OPEN TOTAL (RECEPTACLES CONCEALED OPEN TOTAL L 0.$0 AMPS. _ 1.100 AMPS.` SWITCHES i 1NCANDESCEN FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF AIR: H.P.RATING H.P.RATING CONDITIONIN COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT i, �b 0.1 OVER MOTORS H.P. "VOLTAGE PMSNO. i H.P. VOLTAGE PHS MISCELLANE TRANSFORMERS: UNDER 600 V. OVER 600 V. i CITY OF ATLANTIC BEACH, FLORIDA A p.�b ' ELECTRICAL p r APPLICATION FOR E PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: `f 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMITGIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING WE HEREBY AGREE JTO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATI INS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CI OF ATLANTIC BEACH ORDINANCES. S � G � l ELECTRICAL FIRK' MWER ELECTRICIAN.SIGNATURE NAME Sao7!f ADDRESS:' &S''-Pl4/& S7; RFD EWX BLDG.SIZE BETWEEN RES.jj(f APT' ( i COMM.( ! PUBLIC( 1 INDUS.( 1 NEWA-T OLD( 1 REW.( 1 ADDITION ( ) TRAILER( ! TEMP.( 1 SIGNS i I SO.FT. _ SERVICE: j NEW INCREASE( 1 REPAIR ( 1 FEE i QDND OR SIZ v?.? AMPS 11t>> COPPER f ALUM. . 0 • b SIIYI CH OR BRE KER PH 3 W RVQVOLT RACEWAY EO(IST.SERV.S!Z AMPS PH W VOLT RACEWAY r FEEDERS` SIZE. IND. SIZE NO. SIZE a LIGHTING OUTLETS CONCEALED OPEN TOTAL q s RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. 6 SWITCHES INCANDESCENT FLUORESCENT III M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING i COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 1 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS E ISCELLANE i E TRANSFORMERS: UNDER 800 V. OVER 600 V.