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Permit 310 Plaza (vault) 4 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD h � ATLANTIC BEACH, FL 32233 v INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029177 Date 10/21/04 Property Address . . . . . . 310 PLAZA Tenant nbr, name . . . . . . DEMO INT/REMODEL/SHED Application description . . . DEMOLITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ----------------- -- ----- -------- ---------------- RILEY, RICHARD OWNER 306 PLAZA ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 332-3086 ------- --- ------------------------ -- -------------------------- Permit . . . . . . DEMOLITION PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . 0 Fee summary Charged Paid Credited Due --------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA WELDING CODES. BtIII.D m Y � r CITY OF ATLANTIC BEACH DEMOLITION PERMIT APPLICATION Date: (D Job Address: 2 Owner of Property: L lrq n n LC 1-- Address: ��, P��Z Telephone: 3 3 Z.- 'O S- (c, Legal Description: Block Number: ( 0 Lot Number: Zoning District:So b V i 0�S+o O A Contractor: State License Number: Contractor's Address: Telephone: Fax: n cribe proposed use and work to be done: 410 Present use of land or building(s): iti Is approval of Homeowner's Association or other private entity required?X If yes, please submit with this application. Will thi rolect involve changes in elevation,site grade or any use of fill material or the removal of any trees? NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Attach Tree Removal Application if trees are to be removed or relocated. I hereby certify th info do a wi is appli tiect. / Signature of Owner: +-v,, \ Date: LZ I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/14/03 R Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print).dc Name: 1\rC 4A-r2 Mailing Address: 3- PLA Z/4 rt L,q..r T c L c,�4 �t✓. 3 Z Z �� Telephone: 'a u.,t�4`L-_ Fax: 33 L- 3 Z r, 4- E-Mail: 1`-R;Le ;t G�_ PSS D AS TO OWNER: Sworn to and subscribed before me this S+ day of 0 C,,f 20 0 State of Florida,County of Duval "'•• ELLEN LAVAKE Notary's Signature: r',f MY COMMISSION#DD 342487 EXPIRES:August i,2008 i t e«Mpnt4a rr�uoaawr�era E] Personally known Produced identification Type of identification produced FL TDL_ MOO _TS3 3-yg_367-0 AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/14/03 CITY OF ATLANTIC BEACH r ? 1 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029207 Date 11/01/04 Property Address . . . . . . 310 PLAZA Tenant nbr, name . . . . . . BATHRM STUDS & KTCHN CAB. Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3000 Owner Contractor ------------------------ ------------------------ RILEY, RICHARD M. HIGHTOWER GEOTECHNICAL SERVICE 310 PLAZA PO BOX 330466 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-8542 (904) 246-9934 --- - ----------------------------------- ------------------ ------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 45 . 00 Plan Check Fee 22 . 50 Issue Date . . . . Valuation . . . . 3000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- -------7-- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67. 50 67 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Interior Remodel) �r Date: Job Address: `A Z P�- Owner of Property: k Nx, - Address: (o ,A_LA Telephone: 2-A 1 ' S4-? Legal Description: Block Number":��... Lot Number:_�_Zoning District: Contractor: 6t�P.JC� Gt&y C&WCL c4 Q JA • State License Number: C -Gd 5804 t Contractor's Address: -3v5 0%!*� t3G" ► RL- 43-2 33 Telephone: q64,_ QQ L•(*8"41 �1 p _ Fax: R04- ;,q j-3;L-jj Describe proposed use and work to be done: "n 1 net} SOUK �Lr-L, .g.� Present use of land or building(s): •41. a Valuation of proposed construction: 000 b New electrical or increase in service? Add plumbing fixtures? V S Add fireplace? � Add heating/air con*pww M Is approval of Homeowner's Association or other private entity required? If yes, please submit`with this application. 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. Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor, and two (2) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •bttp://www.ci.atlantic-beach.fl.us Page 2 Revised 1/04 5 MIN. RETURN PHONE`# l Z Book 12106 Page 163 NOTICE OF COMMENCEMENT State of r Tax Folio No. County of �) To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being imp oved: L-vT Address of property being improved: L 2 neral description of improvements: Q c(5 q Owner: M Address: to Owner's interest in site of the improvement: Q , Fee Simple T' leholder(if other than caner): Name: Address: ` L r c Contractor: keAddress:�— Phone No: Fax No: yjM11.3 7 656 Surety(if any): pa es 1 Address: Amount of Bond$ = ecorded Phone No: Fax No: TT48: 6;17 AN Name and address of any persorkmaking a loan for the construction of the improvements. CLERK CIRCUIT COURT Name: N DUVaL COUNTY Address: # 5.00 Phone No: Fax No: R r ppDiTl "^' 1.40 Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other 4.40 documents maybe served: Name: j\ Address: Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues �Ej11 in at Owner's option). Name: `���� Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY ( NER Signed: ` Date: O Z pq- Before me this Z/ _ day of 46a 0�,q in e County of D val, State oqf Flo *4a has personally appeared o L►a1'd 1 Notary Public at Large, State kf Florida,County.of Duval My commission expires: MICHAEL HILLEGASS Personally Known: or Produced IdentificatiSTAT-E OF FLORID on: ' '��"�`'��`ti �� COMM. NO. DD156500 eta P4-LA (CTi�u�� 41;woc� Iru T z U � I to It, 0 c r.� I-N CITY OF ATLANTIC BEACH H' BUILDING OFFICE OCT 2 9 2004 By:-� ---- 3 co PO�Zk &r,+AODP- i I i I I i r, L Qa i C Loser ► -- — — T Wa ►� ST Jos Tobi iZJL?L4CIeD 6%ac./%jS O�- UkTWrl �)A-mk`e St 'L'1r CITY OF ATLANTIC BEACH Cc' r yrs D. Ford BUILDING / ZONING DEPARTMENTL. Hi ms 1 S 800 Seminole Road S. Doerr J r Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 04- 222,07 , Property Address: 310 PLAZA Applicant: � IGHTUYVER CEOIFON ) M- SVCS )NC. Project: REQ C E DW G" S MD5 IN WO OO &. IWOTNI WEA X ITC%)N CP'BITS � This permit application has been: ED- Approved E:] Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: l�' [2� (0`- � r lo CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029181 Date 10/21/04 Property Address . . . . . . 310 PLAZA Tenant nbr, name . . . . . . 5 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------- ------ ------------------ RILEY, RICHARD STEEG PLUMBING 310 PLAZA 1601 MAIN ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 ------------------------------ -------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due -- ---------- ---------- ------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 Y PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES B a r . CITY OF ATLANTIC BEACH t� PLUMBING PERMIT APPLICATION .• r Date: Property Address: —1112) JIA � 7�Np ---------___ —_ Telephone ) hone owner: 9 l*���� Z C` i Contractor: Contractor Address: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a pan hereof and in accordance with the C t> of Addntic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. if other construction is being done on this building or site, Plumbing Type: p New list the building permit number: Re-Pipe INumber of Fixtures: Bath Tubs Showers --------- Shower Pans Closets I, Sinks Dishwashers Urinals Disposals Washing Machine _ Floor Drains � Water Lavatory Water Heaters Sewer Other i I Fees Permit Issuing.Fee: $35.00 Total Fixtures: 800 Seminole Road • Atlan c5geachh /1W� atla_��-beach.fl.us Phone: (904) 247-5800 . Fax: (904) 2 CITY OF ATLANTIC BEACH xt1 800 SEMINOLE ROAD > �r ATLANTIC BEACH, FL 32233 b INSPECTION PHONE LINE 247-5826 Application Number . . . . 04-00029179 Date 10/21/04 Property Address . . . . . . 310 PLAZA Tenant nbr, name . . . . . . 150AMP, 1PH, 3W, 240/120V Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---------- -- ------------ ------------------------ RILEY, RICHARD BILL THOMPSON ELECTRIC CO, INC 310 PLAZA P.O. BOX 330150 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5601 ---------------- ----- ------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . REWIRE BATH Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------ ----------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 t 1biTAtlantic Beach ( E WCE1a *Draw ; 1 Types nut 5175 01 Receipt Mount ,on Quantity 29119 : j110196 1.0 41®•� C BEACH ORDINANCES AND TEID FLORIDA er detail 4613 $71.0 ,E VVrnf ALL Crry OF ATLANTI tendered ' Total g:4@:39 total Paysent Tire: Trans date: lq/211®4 CITY OF ATLANTIC BEACH U ELECTRICAL PERMIT APPLICATION ye _ --- - Date: /L d Property Address: /Q ,�`Q g � I Owner: ,�•��. Telephone #: Contractor: BILL THOMPSOELEGIk,u �u., ii'a . . Telephone #• Contractor Address: KLAN11C.BEACH,FL 32293.015@ _ Fax#• Z7lU-G.S-�Cb In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer I Service: If other construction is ❑ New ✓ _ Residence ❑ Temp. ❑ New being done on this building ❑ Old ❑ Commercial ❑ Signs ❑ Increase Or site,list the building cls'-Re-wire ❑ Addition Sq. Ft. ❑ Repair Permit number: Conductor Size: AMPS: COPPER El ALUMINUM Switch or ::i—9 Breaker RACE `AMPS PH W VOLT WAY Existing Service _ --- - -- Size AMPS /�1 Q PH 2 RACE W VOLT /zCU WAY i Feeders: NO. SIZE NO -- �lll- f NO SIZE j Lighting Outlets71 - — CONCEALED1 OPEN Receptacles 1CONCEALED ! OPEN L:77_n 10 Am —— -- 11 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. ConditioningCOMPCOND. Air .TING H.P.RATING CEILING KW-HEAT MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA 1I No.Neon_Transf. Ea._Sign Miscellaneous ��- 800 Seminole Road •Atlantic Bouch,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)24 -5 5 . http://www.ci.atlantic-beach.lLus CITY OF ATLANTIC BEACH # 1 800 SEMINOLE ROAD 'J ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028263 Date 5/12/04 Property Address . . . . . . 310 PLAZA Tenant nbr, name . . . . . . SPRINKLER SYSTEM Application description . . . IRRIGATION/SPRINKLER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- RILEY, RICHARD HULIHAN TERRITORY 310 PLAZA P.O. BOX 331268 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-8542 (904) 285-8505 -------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Permit Fee . . . 50 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited ----Due-- ----- ---------- ------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. B DING OFFICIAL PREPARED 3/10/03, 8:34:34 INSPECTION TICKET CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS PAGE 1 - 3/10/03 ADDRESS . : 310 PLAZA - ----- ----------------- DATE ---- 03 TENANT, NBR: REPLACE ROOF SUBDIV: CONTRACTOR BURGER ROOFING CO. OWNER RILEY, RICHARD PHONE (904) 355 2756 PARCEL _ - _ PHONE (904) 332-3086 APPL NUMBER: 03-00025598 ROOF ------------------------------------ PRINIT: ROOF 00 ROOF PERMIT -------`------------ REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 17 01 3/10/03 LJH _ BD ATHING , TIME: 08:00 -1�_D� -_ - R SHEATHING BETWEEN Jo MD 11 y'lWE! 355-175.6 --------------------------------- ---- COMMENTS AND NOTES ------------------ CITY OF ATLANTIC BEACH s� 800 SEMINOLE ROAD !J ATLANTIC BEACH, FLORIDA 32233 ` INSPECTION PHONE LINE 247-5826 Application Number . . . 03-00025598 Property Address . . . . . • 310 PLAZA, Date 3/04/03 Tenant nbr, name Application description . . . ROOF REPLACE ROOF Property Zoning TO BE UPDATED Application valuation 6425 Owner -- Contractor RILEY, RICHARD ------------------ 310 PLAZA BURGER ROOFING CO. 134-1 ERNEST STREET ATLANTIC BEACH FL 32233 JACKSONVILLE (904) 332-3086 ---------- - (904) 355_-2756FL 32204 Permit ROOF PERMIT -------- Additional desc . . Permit Fee 98 . 00 Plan Check Fee . Issue Date ' . 00 Valuation 6425 Fee summary Charged Paid ------- ----- ---------- Credited Due ----- Permit Fee Total 98 . 00 -----98 . 00 ------- -- Plan Check Total • 00 . 00 . 00 Grand Total 98 . 00 • 00 . 00 98. 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BU WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS ATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 110T, 11 )IN.. BU G OFFICIAL a CITY OFATLANTIC BEACH r 800 SEMINOLE ROAD y, ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5805 v SUNCOM: 852-5800 rr c http://ci.atlantic-beach.fl.us j PLAN REVIEW COMMENTS Permit Application # c2 Applicant: o . Address: ` l U ca Project: -r t'ZC Your application is approved 0 Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date Contractor Notified Date CITY OF ATLANTIC BEACH PERMIT . CALCULATION' SHEET Address \ � r Date Heated Square Footage @ $ Per sq ft -= $ Garage/Shed -&4 Tper sq ft = $ Carport/Porch @ $ sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ 2- $ .Total Valuation 1st $__ eE Remaining Value $ $ per thousand or portion thereof TOTAL BUILDING FEE $ (� + 1/2 Filing Fee $ 33 . ( ) Fireplaces @ $15 . 00 $ . BUILDING PERMIT FEE WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT, $ SEWER TAP $ ( ) RADON (HRS) .0050: $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ . Q• cF GRAND .TOTAL DUE $ . ADDITIONAL PERMITS OR FEES : Mechanical_; plumbing � Electric/New Electric/Temp ; SwimmingP.Pl Septic Tank Well ool Survey Other Sign Finish Floor Elevation CALCULATIONS and/or NOTES : r S fyLy! C17-y rr ATLAN- r .. • � In ! t 1,iL'`!Mi' c'. LL 'd ', -, •sft ij FSE '7 1 J I V _ A byY City of Atlantic Beach• 800 Seminole Road •Atlantic Bead, - Phone: (904 247-5800 •FAX ��+r x'33=34�"" _ AX(904)247-5805 •http://www/ci.atiantic-beach.h.us PERMIT APPLICATION FOR ROOFING JOB LOCATION 310 Plaza,Atlantic Beach,FL OWNER OF PROPERTY Richard Riley PHONE# 332-3086 CONTRACTOR ' Burger Roofing Co. 'CONTRACTOR ADDRESS 134-1 Ernest Street Jacksonville,FL ZIp 32204 CONTRACTORS LICENSE NO. CCC032514 PHONE# 355-2756 SCOPE OF WORK Removing old built up roof and replace new modified granulated roofing membrane 1 7,S'f DECK SLOPE /4" GREATER THAN 2 : 12 LESS THAN 2 : 12 ACTUAL VALUATION OF WORK S 6,425.00 PRODUCT NAME&MATERIAL. TO BE USED Johns Manville Dynalastic 180 ASTM DESIGNATIQN(S) D6164 REQUIRED INSPECTIONS X SHEATHING X FINAL, APPRCVED LIBILITY INSURANCE POLICY SUPPLIED X YES NO CITY CF ATLAWIC BEACH BUILDING OFFICE WORKERS COMP.POLICY SUPPLIED X YES NO FEB 2 2€003 CONTRACTOR LICENSE SUPPLIED X YES NO OCCUPATIONAL LICENSE SUPPLIED X YES NO SIGNATURE OF OWNER SIGNATURE OF CONTRACTOR 0-0 SWORN TO %B �i HIS DAY O 200 * * MY COMMISSION#DD 037721 s or EXPIRES:July 14,2W5 AS TO OWN "tOFF� Bonded Thru Budget Notary Services /C%? - ��`.F•`:'°/� ROLANDA B.MEREDITH OTARY PUB I' * * MY COMMISSION#DD 037721 AS TO CONT EXPIRES:July 14,2005 7� F Bonded Thru Budget Notary Services OTARY P V BL Permit# 5 MIN. RETJU�N. �, 5�a t Notice of Commencement PHONE# Hook 10945 Rage 1643 To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Description of property 310 Plaza,Atlantic Beach,FL General description of improvements Re-roofmg existing built up roof. Owner Richard Riley Address 310 Plaza,Atlantic Beach,FL Owner's interest in site of the improvement Fee-Simple Fee Simple Title holder(if other than owner)___ DEPARTT or nuimirm VOR OFFICE USE ONLY CITY OF ATLUTTIC BEACI-1, FLORIDA Date 19 ----------- Permit # Fee $ A lication for Permit Valuation $ Misc. Alterati6na House In Repairs FOR RECORDS Ota V MAY WISH TO BUILD ROOM ADDITION IN THE FUTURE DESCRIBE: Povfi! r5LAR f)�P,c, 1� ?__jq 0 7- S. C Q (state if to repair, alter, add to or move building, erect awnings or signs, etc. ) Building on: Lot No. �t) Blk No. __ ­ /0. Sub.Div. Address i-2292 E&4,94 Valuation $ Owner's name Dadiij BUILDINGS & OCCUPANCY Building use - Residential or Business What Plumbing_ work to be done? Size of Preneont Bldg. Size of Extension Lot size Material of Roof No, of stories now after altered Material of Present Building __Material of Extension PLANS 14UST BE SUBMITTED HEREWITH SIGNS Classification (state whether groundbanor)roof, wall, projecting � Material of Construction Illuminated? Type of illumination (State whether lamps or neon) Will sign be over public property?_ SUBMIT DRAWING S1.10WING CONSTRUCTION OF SIGN AND METHOD OF BANGING WRiITZ ADDITIONAL 117FORMATION BELOW (For canvas awnings provide dimensioned drawing on reserve side) IMP0111TAIH NOTICE: In conbidoration of permit given for doing the work as described in the above otatcment, we hereby agree to perform said work in accovdance with the attachaplans and s'nccifications, which are a part horcof, and in accordance with the building regulations of the City of Atlantic Beach. southern stand, I 31ing Code) C -10, Signature of Buiv lder or 0,-nor �-f- C01A cc, v Phone S/ I CITY OF r'� arctic 'Ve4d - 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 52233 TELEPHONE(904)249.2395 June 22, 1990 B Ms. Dana Angel 310 Plaza Atlantic Beach, FL 32233 Dear Mrs. Angel: I have not been able to find a permit for the 310 Plaza address. I have checked with the City Clerk's Office and no permit is in the city files for a roofing permit at 310 Plaza. Please call me at 249-2393 if you have any questions concerning this matter. Sincerely, Don Ford Building Official DF/gjb cc: City Manager File k ©EPARTMENT OF BUILDING CITY OF ATLANTIC BEACH . PERMIT INFORMATION ------- LOCATION INP ORHAT -t B ?erllt Number- , 1 1023 Address: 31:4 PLAZA DRIVE t Type:REMODEL INC ATLANTIC BEAD r . E'L IRIDA 3'.2,`33 41 ass of Wa> k.REPAI i ----- - - LEGAL DESCR.I'E' SON -------... � .� Coasts= Type:WOOD FRAME wBlock; � Dtr sTIK Or,6 osietd Use. Section.-, 0 SubdtO Dwefling : 1 Subdivision: " Est . -:Val te 0} .00 Improly. CQ t . 6,000.tip Total Feo, 60.00 Amount ' '60 .00 D o 0_ 699 Werk: S REPAIR! PAINTING, DRYWALL ,, KITCHEN, GABINI��"B, DIRE-DAb AIT � 41t 11 ION, APPLICATION I ZES, jA d RIVE Apo B FLORIDA 32,7 3,4 X f9in WNW( s .,. . R 'ORMA 'ION - ` t C1e'ti P DA 'ST SES y �. , ASS NI x FLORIDA 12H6 � Exp: } A ha .Y ¢y �'u x4�f'.➢av9�9•, a w"v.V.$w'#. 1As d%+ " e µn ."�Md°rVz .mpexuNwaw#.bn* w x w NQTES.. � e { t A NOTICE--INSPECTIQNS MUST BE REQUESTED AT LEAST 24 HOURS { $U'iLD1NO MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT-BE PLACED IN PUBLIC SPACE;A MUST"'@E CLEAA6 UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER i i FA LUR TQC? COMPLY WITH S'THE MECHANICLIES. !AW�: 1` N THE PRt3PERTY 16,WNER PAYING TWICE FOR BUILDING I" I�► ��, '�'"$,'� " i F7 � � .CCARDINCa TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANDSUBJECT TO'R t, w� WOF.,APPLICABLE PF OVh^1C+N5 OF LAW. s ATL,AWtd EIEACH BUILojNG DEPARTMENT ° L By. CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS Owner(s) K A A re-L Address: ( b ,0., 4, ATLAhTtph Phone: Lot # 5— Block or Unit # o Subdivision: � ,+G. Contractor: RAUL Ohycs 0P- lU C mt k State License #_ c (3 c c:>,6-8 ;LI Yf 6j � p Address: ] L�1 ( (3UW «Gy �-•� `Pfio�e No: -7 1 6'6 ct 7 City—3 AC_kS Oki ✓� (C State Zip Code Zz.� Describe work to be done: NAD t4L=a, ( Present use of building: (G$> Ae—&J 4=_c,,,,��,, Valuation of Proposed Construction: Proposed use: Is this an addition? kC> If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT TRREE (CONMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COM49WCEHIENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: _ Signature CONTRACTOR: Date: l[ Z�t Sworn to and subscribed before me this /P day of N BLIC STATE FLORIDA AT LAR HALE EMDR MY COMMISSiuq#C0%942:36 ] !"t. .1.44=ft"ra S:d ata t9,2000 �Y Pubiic Undxw 5 MIN. RETURN Bk: 8861 F'g: 2265 PHONE # 731-6647 �Doc# 98042726 NOTICE OF COMMENCEMENT 102/26/ 98orded 10.47:07 A.M. HENRY W. COOK CLERK. CIRCUIT COURT TO WHOM IT MAY CONCERN: DUVAL COUNTY, FL REC. $ 6.0o The undersigned hereby informs all concerned that improvements will be made to certain L7 real property, and in accordance with Section 713.13 of the Florida Statutes, the following N information is stated in this NOTICE OF COMMENCEMENT. N Description of Prooert LAC, p Q1 A s - General Description of Improvements_ Z 1 c Owner nAN A (\I Address: --C, q GF7L 3zi -33 Owner's interest in site of improvements: Fee Simple Title Holder (if other than owner) Name Address ContractorL L' � S� S S o - ►�0 Address _ �, S„ . o Surety (if any) nr A2 Address Amount of Bond S Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name /,► Address In addition to himself, owner designates the following person to receive a copy of the Leinor's Notice as provided in Section 713.13(1)(F), Florida Statutes. (Fill in at Owner's option). Name N/A Address: tp Owner Sworn to and subscribed before me this ( q day of 19 .,G Not ry Public HAL E.HENDRIX :. •' :n"RES:,r,;�•.: :a,u � NOW/P-W f.. • • , ' • °h '3.x. 7 �. i .T • Ot • -r +, �� • "R'" a Eo �{"sY:.f b",'F�-fes 'a a'�m. .F�` �•si�s 3.�+:'c-ia*tlr�' ��' i�� ` �� �_�`' �Yk.4��1� y� ?l+��yi-�H.fvY•��N � 1Y ony ,Cu,Y Sit ���.;�,�y� .k4 � A�•��}�� 'V -� +'�"dP.r-'Y`a 1 w`�,� `s 'm ' ?X41 a� �"'�"1+3 *F"` • • '��r'�^.L�'�tu.'.�:_-�ss� .C`er r � ,k,d..,♦S,s-, v`M``�.�s w r�'.su ?:a..tr� s> �r8�i��`es�� --tom 3 `�..�vl� '�S'$.��«Lu:a �"�:s.._: � ��. '::^y�" �' > 5'�,moi���'��� ���y'�..�'a•�-� �� .� � ��, t rt. ,n-.�f-°r � .,� @. .� si..�4'ru s..�rT,.asp.:s, �nR.••a�a��"'�a'r�-+��+��.1��'�+�irs?��' ti1� s��` ss:a`iis.u�� "�. • • � a MEN mkt _ AAR - n 1' ! hll]h w s BUILDING AND ZONING NSPECTION DIVISION CITY OF ATLANTIC BEACH AT6ANTic t..' ......A Sattt APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. dd I. 31U P�AZR LOCATION ""'of Arest: OF intersecting Streets: Between_ ,A7T cc"A�rT i'L aUILDING And C V ice. Srb.dtrbfon II. IDENTIFICATION—To be completed by all applicants. In tomiderefiem of permit given for doing the work as described in the above statement we hereby agree to perform said work In accordance with the eactice plans and rpecifiuffone which are a part hereof and in accordance with the City of Jacksonville ordinances end standards of good.practke listed therein. Name of Meehanlcaf Conhaafor(Print) Contractors>T Masker Name of Property Own* Signature of Owner Or Avlheriao ons Signature of Archifec} or Engineer Iii. CEJ L INFOR A. Type of Meting 8. Ekacfdc IS OTHER CONSTRUCTION BEING OONE ON THIS BUILOING OR SITET ❑ 6es—❑. U ❑ Natural ❑ Control Utility — �f ❑ OB IF YES, GIVE NUMBER OF CONSTRUCTtON ❑ Otter—Specify PERMIT iV. 1r1ECHUNJCAL N;UIPMENT TO EE INSTAIlED NATURE OF WORK (Provide complete flat of compornnh on beck of this form( Residential or ❑ Commercial J. Neat ❑ Space ❑ Recaued 11' Central 0 Roar ❑ New Building Ar Air Ce041d164189: ❑ Roem A' Control Existing Building ❑ Duct System: Mahrfet— Thlclussm �I Replacement of existing system idormum capacity t(^ ❑ New Installation(No system previously Installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tearer Capacity ❑ Other—Specify 9d>� ❑ Firs spriellun Number of head. 1.3 fdewtar ❑ ManliR ❑ Esrale►er (namb-1 ❑.Cataliee PwO•e (nvnrber) THIS SPACE POR OFFICE USE ONLY 0.•Ta.ka (number) (Ree�iwdl . Remarks ❑ LPC oeetelemI (numbed ❑ Unfired pressure recess ❑ Milen Permit Approved by per. ❑ OMor—'SpeeNy. Permit Few . L1SIT ALL$QUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT U NlmebarThsita Deft"puan Me"Number Hanufactuser CapaettY App—tag tJ (Tosee) n�1Ba��etl�r HEATING•FURNACES.BOILERS, PIRF.PLACES CA Number Usha Description Yoke:Number X-11faaWrar (BTV)� 'LA601a T A +�sa�eaff TANKS New many Noviastl Cap"! �t�U tyd Name of Serial Ap� and Dimaatioat Ifametaoturae No. CITY OF 4&4a4C /3eaa4_P;4,_ - Office Of Building Official p^� REQUEST FOR INSPECTI NZ CSL Date \(r _ '� ( / Q ^ Time _ Permit No Received A•M'� J M. dress c Owner's Name Localit BUILDING C CR E Framing ❑ ELECTRIC PLUMBING Fo ing ❑ Re Roofing ❑ Slab Rough Wiring ❑ Rough Insulation ❑ Temp Pole ❑ Top Out ❑ Air Cond. & ❑ ❑ Lintel ❑ Final ❑ Heating ❑ Sewer ❑ Fire Place ❑ Mon. Tues. READY FOR INSPECTION Pre Fab 1 Wed. Friday Thurs. A.M. \\� Inspection Made A.M. Inspector � P.M. Final Inspectio Certificate of cc pancy❑ Date • • • • OWNER INFORMATION Name: Riley, Richardi • 11 • • 1 Plaza • 11Atlantic Beach, • • / . • • // h.ne7111 f/1 0111 TRIC HEAT .,.3rS¢ .n.:ar� .1- z a s..s ..a+tv,.r.. xm.. F ON FEES ON �:" ,�•�,y°�. ,r,�,ems';. �t ,� £�a�r� ���� ��-- w. � . ,{r'$z '.. ' . A. All ? - t y y-. "�- adt : .rami- 7ez +p — xfi'�-6�r'�r°��ca��.in�sxi:iN C SPACE, AND � • O � s Sm^M to s c>:,�`T'}����j*fir., ti -.M�r`�k? � .f y $$ rt` t .,r•`.Rm,!dx ,r�� h� � CERTIFIED MAIL August 9, 1989. TO: Ability Roofing Company 565 King Street Jacksonville, Florida 32204 FROM: Dana Angel , 310 Plaza, Atlantic Beach, Florida 32233 . ATTENTION: MR . GERALD RIGGINS On May 6, 1985, your, company installed a new roof on my dwelling . This is to inform you the roof has never stopped leaking: "-'I have voiced this complaint over a four year period. You or your representatives have come out with a bucket of cold patching asphalt , dabbed here and there - the next time it rained the roof continued to leak. Fortunately, rainfall is far below normal at Atlantic Beach, but we have had several very severe storms. On occasions I have seen e and listened to water dripping hours after the rain has stopped. In May 1989, I completed making 48 installment payments of $137.22 each. In good faith I paid you cash to your contract of $3., 100. In order to pay you I had to borrow this money at a very high interest rate on a loan. Without hesitation I paid you for your six hours work on my house. The ceilings leak from one end to the other. Every plastered ceiling panel is outlined with cracks and stains, with evidence of leakage. Every ceiling light outlet leaks /streams of water during heavy downpours. Water also runs down the interior of the room partitions, down ander the baseboards and wets the carpets. The carpet has been wet throughout the house. My new kitchen paint, which is oil based, is curling, cracking and pealing from the ceiling. Being continuously water-soaked, I am confident a lot of unseen/under roof damage has taken place in addition to that which can clearly be seen. During the past four years it has been almost impossible to keep plastic drop cloths, buckets and pans scattered throughout the house. Two of my beds were ruined. My house remains in total disarray and it is terribly nerve rendering. You excused the roof leaking to the fact the house was old, it settles and moves, thus creating the cracks and leaks. You said I would just have to keep after them. Not so. For twenty years prior to your workmanship and installation of this new roof, I did not have leaks, nor did I have to make one trip to the top of the house to sweep off the water. cont'd. Page 2 Gerald Riggins August 9, 1989 In order to rectify this whole condition several things will have to take place. I want the present roof completely removed and replaced according to code. Damaged or dead wood in the structure is to be replaced. The roof is to be 'built up' in order to give sufficient fall for proper drainage. All parapet walls, chimney, corners and sides given proper material to make it impervious to water leakage, as well as intense heat from the sun. Exposed pluhibing pipes given proper boots to prevent leaking. Eave drips around back porch to be properly replaced and dead/damaged area replaced. All downpipes to .be repaired and workable. All of the above mentioned was suppose,to be in your original contract. In addition to the above work on the roof, I expect some consideration for• the extensive damage that has been done to the interior of my house. Restitution will have to be made for the impaired, stained and corroded condition of my walls and ceilings. Also, due to the electric fixtures being water soaked, electric shortages have occured. Fixtures and outlets should be inspected and repaired. For my satisfaction and protection, I must ask for an additonal warranty . All work and material must be observed and approved by an authorized building inspector of my choice. Please let me know within two weeks what I can expect to be done.about this roofing matter and what steps you intend to take to correct it. Sincerely, Dana Angel 310 Plaza Atlantic Beach, Florida 32233 Page 3 of 5 Report No. 8148 Jt •{i its •if;?;i:i;il SE�iSt i i jit Slitli t � 4.9.. F°F�?:ics i Ft is tt•,' _'� . •�li�ij 'k'tm. �.���+.-i- � per! ,�•t �+ , I .ads' .>!1 s>., '- .�., �,�. ''' �1i 1 s I tiF ili.=i.' li '' - k Z •t- -t •�y' '�::. I!i i..:::.•.::? isj is :it,i� i=i:� F �. ijiitts:::....;:...ilt..}} } tliE�I:y tt!:•: iii.; :E:iia����ilil}}i��ii , i.��l•rit •::}� ��ii � E: ::.r.!s••iii:?:?:?5?:?:::„r.:ti :a , s• .+N.r_ ,. r, \ .:t:.,..':i:t1•'•i'�!�~:: ?!:}::"ifSti:fii' } 33� � �/ '�{lfiii??is:?i?�:£:i:r:•. si3,::sxi}s.:• , F t s ..:?in:r•:.:..::�:::it::'::?Et?ii:..r�•:£i£i�:. t:�I,}i �• 0 :::iF3N{£•:::i::i!ii?:t :::i� '::}!}?iriiiiiii:.}�}I:i s .i:'s:; i.. s •.:u}:?i£iE:sis:;;:is}..n: .: t:r.•rt.:?isJi. •..i:Fi : O'p' 'y ".'}:££:?3:::i•Eiir}Eiii?;;i.? ..:iiiiiiiijii =.si:�:.. i 'i:s , F' ^n:eF::.._:i sttik• i°?tr ti.: 4r ••:if(i:i:�tii iY:t'_�i '�;•:tt�',:t�!•!It::tliii }, • :::i: � i£�'r.i,n:•e C:Ii.•33.i�[ilii,?it t. �a ' itiisi:il i EaF'•. x rs (� ••t.iSS ' iiitFt t e•s:. ij.... ,I}it�is i s S iit?gi�,.Iii t!a?ns�i:i?i:ss??it}ss. rHill iif i�EE?ttt'n&}�n O D ^ ts:E:1iEiI!iiiii 4- ' •fli i��E�� �Sti.4 i{ti I�£ J. GSFO 1 1 Asfaldan AL-80 -—— - — Glesdan R-36 -Interply heat fusedit b - Substrate heat fused i,,.:,,.......r.��..� c)-Asphalt primer o) b d c ( FIGURE 1 ro n a t �' r Report No. NER-199 Printed February, 1986 NATIONAL EVALUATION SERVICE COMMITTEE RE_EXAMNATION'NTWOEYAR° RHENOFOL C,CV AND CVt SINGLE-PLY b. Report dated March 18, 1981, under Project No. ROOFING SYSTEMS 80N K 17870. BARRA CORPORATION OF AMERICA,INC. c. Report dated March 19, 1981, under Project No. 190 FAIRFIELD AVENUE 80NK23130. WEST CALDWELL,NEW JERSEY 07006 1. Subject: Rhenofol C, CV and CVt Single-ply Roofing d. Report dated November 13, 1980, under Project Systems. No. 79N K 11918. 11. Properties for Which Evaluation is Sought: e. Report dated January 11, 1984, under Project No. !. Fire-retardant Roofing System 83 N K 14631. 2. Sructural 2. Report No. OE7A5.AM (4470) dated May 15, 1980, Ill. Description: General: The Rhenofol C, CV and CVt and Report No. OG7A76.AM (4470) dated April 2,1982, on the Rhenofol CV and CVt systems by the systems are fire-retardant single-ply roof coverings designed Factory Mutual Research Corporation, containing for installation over combustible and noncombustible sub- the results of calorimeter, burning brand,wind uplift, strates. Rhenofol C is a minimum 34-mil unreinforced and simulated hail tests. membrane made of plasticized polyvinyl chloride. Rhenofol CV is a minimum 44-mil plasticized polyvinyl chloride syn- 3• Reports from the United States Testing Co., Inc., thetic membrane with fabric reinforcement. Rhenofol CVt Hoboken,New Jersey,containing the results of physi- is a 40-mil reinforced polyvinyl chloride material with spe- cal property tests in accordance with applicable ASTM sial additives for use in areas subject to high summer methods as follows: temperatures. Installation and other details are shown in a. Report No.79376-4 dated December 8, 1980,on the Tables Nos. 1, 11 and 111. The systems are designed for Rhenofol C membrane. installation only by applicators trained and certified by the b. Report No. 79376-7 dated December 10, 1980, on Barra Corporation of America, Inc. the Rhenofol CVt membrane. Identification: Each roll of the product bears a label iden- c. Report No. 79376-5 dated December 10, 1980, on tifying the manufacturer's name,product name, membrane the Rhenofol CV membrane. thickness,width,length,the NES report number,any appli- cations restrictions,a statement that application must be in d. Report No. 35640-2(interim)dated September 24, accordance with the manufacturer's instructions, and the 1981, containing the results of accelerated aging, name of the inspection agency(Underwriters Laboratories, tear-resistance and tensile strength tests on the Inc.). Additionally,the foam plastic insulation boards bear Rhenofol C, CV and CVt membranes. the manufacturer's name, product name, listing agency 4. A report (No. 6773-83) dated October 4, 1983, from name (Underwriters Laboratories, Inc.), and the flame- Ramtech Laboratories, Inc.,containing the results of spread classification. brittleness temperature impact test in accordance with 111. Evidence Submitted: Installation manuals and the ASTM Method D 746-79. following test reports have been submitted: 1. Reports under File No. 89262 of tests conducted by IV. Conditions of Use: That the Rhenofol C, CV and CVt Underwriters Laboratories, Inc., in accordance with Single-ply Roofing Systems comply with the 1984 Basic/ UL Standard No. 790 (ASTM E108), as follows: National Building Code and 1986 Supplement, the 1985 Standard Building Code, and the 1985 Uniform Building a. Report dated October 17, 1980, under Project No. Code, subject to the following conditions: 80N K7186. This report is limited to the specific product and data and test reports submitted by the applicant in its application requesting this report.No independent tests were performed by the National Evaluation Service Committee and the committee specifically does not make any warranty,either expressed or implied,as to any finding or other matter in this report or as to any product covered by this report. This disclaimer includes,but is not limited to, merchantability. This report is also subject to the limitations listed herein. Page 1 of 5 Page 5 of 5 Report No. NER-199 a wuj 3 � ¢^ C-0 =' z o Z z ui W ¢ wui EE ir g >J a S zco� Cl) aw Y (q a p RCC U r W Z Oz W w as ¢—n a Z ��± a z w `�-' 3 Z � / z U) w� Q F x v < �m ai � } CO) z i LL Z MOO R O H LLOLLz g a2z� a z oCDgg o a¢c�a a 0 �Q-pILCl)LLJJ ' 2 aZwZ V Uzi 2 Wl- I ' Q= >XLuC �[f Q Z 1 OO m Y a o Z a a 3 v a y. w w z w � O a— z o v ? �+ Jw z aw 3 ¢ _'R c � z� z g �Z) z o o w � w aw �z`�> 3 I-- �m u z �LL w W aLL a LLoQ w ° ¢� ai xa`� m - >- o U oao a o zm � s aL- o ac7 ,� m I Da z w iw Ra:L- v z ( _ ! — - o zQ w a� z �� o H ��I a iw CQ ¢¢ � a J J z N° _o W - O J ~ z F z -' o Ir LL Z W CD U' aw aUJ J= 0 L-jU Z� V w 02 o -------=�' Z -----1 ♦ OC C7 ���_ W CITY OF 4&4#z4-C /3et�c(i_6� Office of Building Official Date REQUEST FOR INSPECTION �T Time f / Received/ A.M. Permit No. 3 P.M. District No. if � ddress Owner's Name Locality HUILDING Contractor Framrng CONCRETE Re Roofing noting ELECTRICAL -1--f slab p Rough Wiring ❑ PLUMBING MECHANICAL Lintel ❑ Temp Pole ❑ Rough Top Out ❑ Air.Gond.$ ❑ ❑ Heating Mon. READY FOR INSPECTION Fire Place 0 Tues. ECTION Inspection Made Wed. Thurs. Pre Fab Friday A.M, Inspector ��, /d A.M. P.M. P.M. - �yy / Final Inspection❑ Certificate of Occupancy /� Date �2 0EP'AHTAAENT`OP SUILDtNG CITY OF ATLANTIC BEACH` t �, __ . rt +t tx�r ^x ' r lnt i ar a►t — __——___ - 4 t'+I��E"�l�'�.t l+tuws�a�r.w ;�► Adctr��a�y ��.tt �� , t� rwr��ttYtr '�" AT AW�� ,tit 'tls�r ! At:'tsYtIK; .._. �. .w_ $;. 11l►Lt !! Il� tN t r. ► 'l�SAtiz Lot� t L1rriln �Suxaatltv�lal�aCta�h1 J�"lb .�► t"�'X�G;, 1tt3H.:' t%*0w�r.t ua t �►Ctt. - � �ItC1�ice? � ► Z2 " 4�4 tri '' ,��Y"'� � � ''�* as ,, !"!S�!�!'t;�`4" 1�►'.�;�;� . ob AT _ u Ittt ;GAIt ` �'" is �� A�atS`�"��_�.��. ; "'� ��'!'`�_,��. �311�M�l9lk,, �'`!M�" �'►�1 +133 ' r #1J!"+�Ab � ,� '�'��V♦ � 4 t�fltES.., i Notle1.- At, . t�tt~Tt!#�bFi1W$1tii�lp�1'�TtA1GS MUST BE 11+1SPECTSE! Pt ITVOID SIX,MONTHS AFTER DATE:0F ISSUE t3i11tl iNG,MATBRtAI, t t�H A k Bt+#1S t -RbM THIS WQRK MUST NOT RE PLACttG t 1�ttS IC SPACE;:AND MUST BE C:EAt 'AhfDFAL A�Y:S C? ERGNTRAGT1kF C11MEa, . a a # t � 1TM `TMS Al � '''� YI � � �� U�:.T IN Ur IB UE CORDI CATtUN FOR pt AT, ANTl_q BEACH 8t11L N r'DEPA�[MEN I ` Address 310 �'?`, seated Square Footage „l�% @ $ per sq ft = $ sarage/Shed � @ $ per sq ft = $ ;arport/Porch@ $ per sq ft = $ )eck @ $ per sq ft = $ 'atio @ $ per sq ft = $ TOTAL VALUATION: btaliluk on is t $ o c n \ ;main r Valuation per thousand or portion thereof -------------------------------------------- --- Total Building Fee $ Q R a .DDITIONAL PERMI'T'S and/or FEES REQUIRED 1 $ � + k Filing Fee S' G bdimical ; Fireplaces @ 15.00 $ ,lam•ng BUILDING'PER IIT FEE $ G�S -- :lectric/New i aectric/Temp �eptic Tank BUILDING PELT $ ��SG O 'ell W= M= aWCE $ wimmi ng Pool SEWER IMPACT FEE $ ign WATER IMPACT FEE $ later Cormection ]MISCELLANEOUS $ ewer Connection $ 'Ater Meter $ :levation Certificate �— t Z� GRAND TOTAL DUE $ --------------------------------------------------------------------------------------------- ALC MTIONS and/or NOTES CITY OF ATLANTIC BEACH PERMIT APPLICATION FOR REMODEL, ADDITION OR ALTERATION Owner(s) : -Z Address: ,3 / p t�L� �A Phone: 1,Ya Lot # Block or Unit # /D Subdivision:_.4�—zA�r/T/c Contractor: &/,0 --72,) DC-72s License No. ,� Opp y/O e/ Address:-/,r;2 b Go o J w j&) �'T' Phone: Describe work to be done: Present use of building: Proposed use• Is this an addition? /( b _ If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDING SITE PLAN AND SURVEY IF THERE WILL BE AN ADDITION TO THE EXISTING STRUCTURE. Signature OWNER: Date: T Signature CONTRACTOR: Date: ! /o r / l f4/'i� ,wi7'�, .��Yr�.-E hi`�!✓Gr.` ��:^.�. dti'f�c'j`"' ..�7 'A�.��! l r • � 05/10/89 .. ..,._ _ ..._.,...r_. AUDIT CONTROL NO. 0461652 } LICENSE NO. BATCH NO. FEE AMOUNT RR 0004104 11260 3104.GO CONS TRUCTICN INDUSTRY LICENSING BD IPOST OFFICE BOX 2 JACKSONVILLE, FL - 201 LIC SIGNATURE T CARD-FOLD HERE-1 EN SpTATEUPCyR OF FLOF*iIDA DEPA�Ul� I %�S�iURR Y INA nON LICENSING BOARD 1679 REGISTERED BUILDiNG CONTRACTOR JGNSSONP FOLKE > MID TOWN BUILDERS INC (INDIREQ. PRIORS TOST MCONTR* IN ANYLAiEA) HAS PAID THE FEE REQUIREt�J-$Y CHQPIER ` 4$9 F.S., FOR THE YEAR EXPIRING MUNE :30/ . 1991 B�AlNE LAR GON EZ SECRETARY,D.P.R. I y CITY OP ow"to'. ott1�181 office of B°IIdiNSPECTION REQUEST FOR -/ permit No. l District No. Date p.M. Time tocailty Received i lr MECHANICAL Job Address ` PLUMBING Air.Cond.8. ❑ Owner's ELEC ❑ Heating ❑ Rough ❑ ❑ Name CON ETE Rough Wiring Top Out Fire Plage BUILDING ❑ pre Fab Foots Temp pole A.M. Framing Slab P.M. Re Rooting Lintel &READY OR INSPEC'(IANFridayThurs. � Mon. ' Final Inspection cuy� InsP�ion Made �P r Certificate of OccuPancy Inspector Date CITY OF .� 4&4M& BeacA-AMUd4 Office of Building Official REQUEST FOR INSPECTION Date / / Y I / Permit No. s' TimeL Received / P.M. District No. oe Job Ass ity e� Owner's Name F��elf _Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing 1:3 Footing ❑ Rough Wiring ❑ Roug 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 P.M. .M. Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy ✓� �� Date 5� J ' I 1 ! I ' i i i I I 1 � 3 1 .� WINANCIA`PRINTING 03NOkW Rake of Commencement To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information L stated in this NOTICZ OF COMMZNCZ3CM. Description of property —-ATLANTIC BEACH Lo-_tom_ 3 ,Qgk_IQ___________ Having an address of: 310 Plaza,Atlantic Beach, Fl.--32233 General description of improvements _A-U12kd1 j.QvzL-a td_repa.ii:.s_ bx ing—j7jZ=tvxP_iutQ.----- compliance with the Cid of Jacksonville's Housing_Safe�_ de Standards. Owner ------Dana-Angel-------------------------------------------------------__--_-----__--______--- Address ---3Z0_Plaza�_Atlanta_8ea�1 _F ._3?�3 ---------------------------------- Owner's interest in site of the improvement ____Fee Simple_--___-__ Fee Simple Title holder (if other than owner) -----N/A_ --------------------------------------------------- Name ------N1 A----------------------------------------- ------------------------------------------------- -- NIA---------------------------- -------------------------------------------------------------- Contractor ----M14�=2Qh�ILB�.L4�Bs-SC1C�--------------- ----------------------------------- Address 1520 Goodwin Street, JacksQaYiJ-Ze,-Z1,-.__322Q4________________ Surety (if any) N/A -------------------------------------------------------------------------------------------- Address --------------NIA-----------------------------------------------Amount of bond i_N-ZA--------- Name and address of any person making a loan for the construction of the improvements. Name --- Southeast Bank_fL)-r-_.5av-jzga---------------------------------------------------------------- Address -300 West Adams Street. Jackson yj-jpL_FL _32202-_____________ --------------------------- ----------------------- Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name ----------NZA------------------------------------------------------------------------------------ Address N/A In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 [2] [b], Florida Statutes. (Fill in at Owner's option). -N�A---- Name --------- ------------------------------------------------------------------------------- s A P P L I C A T I O N F O R B U I L D I N G P E R M I T CITY OF �J REQUIRED SUBMITTALS 1 + � iC veaC4 - 7('OU 4 Each application for building 716OCF.ANBOULEVARD anted b P•0.BOX 25 permit will be accompanied y ATLANTIC BEACH,FLORIDA 32233 two complete sets of plans, including TELEPIIONE(904)249-2396 a detailed site plan indicating location of utilities, parking, size of yards and other pertinent data; one set of Florida Energy Efficiency Code sheets; recent survey (on new construction) SCHEDULE OF INSPECTION Requests for inspections will be accepted from 8:00 AM until 4x30 PM. All inspections will be made the following working day. 1. Footing 2. Rough Plumbing/Sewer CALL IN WITH PERMIT 3. SlabCALL FOR EACH 4. Fi aming, Rough Electric, TRADE Mechanical, Top Out Plumbing S. Insulation 6. Final Inspection/IssuanceofCertificate- _ of Occupancy ----------------------- ------------— BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE Pour no concrete or cover any work until building card is SIGNED by the inspector. You will be required to uncover any work that has not been inspected. Y $10 fee is required for all re-inspections. PROPERTY DESCRIPTION l.11 i Uf' 'rilaarre'r-C Lot ___Block #--/'0 ---Section # 7160CFAN BOULEVARD ------ I',O.BOX 2Fi ATLANTIC BEACH,FLORIDA 32233 Subdivision:_ "-7n 4itIrle -?/----- - TELFI'110NE 904)249-2395 Street Name or Addresst DESCRIPTION OF WORK If in a FLOOD HAZARD Flood Zones--------------area complete page 3. Brief Description:l�!/4� �1A�' Class of Works (New/Remodel/Addition) C-6 ,t[:4 ZONING INFORMATION Type of Construction: Zoning Proposed Districts_ -_Uses --------------- Estimated Value $ /) // Exceptions or Materials: Variances Granted: .......................... ------------------------- Solid or ----------------------------------- --- Filled OWNER IffFORttATION Ground: __Roofs ----------- ----------- Method of llewtings_-________ Property Owner: . /(/_f /S��y✓,G L Phone: Z4j�- /4go ---- -------------------- Mailing ? ,fes ___ Address_rild_L_� ------- ��e_ L 7�!'�iy_ /---- ------------------------------------------------- Zip°--3 3 CONTRACTOR INFORMATION Contractors- X111.4 O41A.PA&I-.444�/jj N� Phone: Mailing ----------- ------ -------- -------------- Address:,/'s �rdO,Ql#✓/i✓-.�T _ =_�G�'-------- ------------------------------------------------ Zip s ---------- License Numbers Expiration ----------------------------------------- Dates---- ---------- I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO RE TRUE AND CORRECT. ALL PROVISIONS OF THF LAWS AND ORDINANCES GOVERNING TI17; TYPF nF WnRN WI1.1, PF l ,j U.rt11'L1ED Wt'111, WIIFT11R11 RPEClrIED UrRFIH OR NOT. TIIE GRANTING OF A PERMIT DUES NOT PRE511ME 70 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 MY.r*' - ' PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS Y � Jai, CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. el .j'I `• I'�;, 4 Owner Signature _ Date ,t50 is Contractor Signature Date_ /d I�,� ——— — — --—----—— 'r CITY OF ATLANTIC BEACH SO 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 �J331�r Application Number . . . . . 03-00027248 Date 11/14/03 Property Address . . . . . . 310 PLAZA Tenant nbr, name . . . . . . WELL Application description . . . WELL PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ -- ----------- ---- - - ----- RILEY, RICHARD R.J. WELLS 310 PLAZA 1078 NESTING SWALLOW ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32235 (904) 330-3084 (904) 221-7988 ----------------------------------------------- - -------- - ------- ----- ------- Permit WELL PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------------- ---- ---------- -- -------- ------- --- - - - --- - -- - Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL S' Isr CITY OF ATLANTIC BEACH WELL PERMIT APPLICATION rte: Date: r Job Address: 3 A) Owner of Property: Owner's Telephone: 33 U 30 7V Contractor: S Contractor's Address: /C' &X 3�5"i �S�29T-vG ,5w.,q c (cjj L)e Telephone: " 5 OCJ— 7/ '/,6 Fax: Is well to be used for drinking purposes? /V6 Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: I agree to comply with regulations stated herein: 7Z Signature Date 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800•Fax: (904)247-5845• httn://www.ci.atlantic-beach flus Revised 1/17/03