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Permit 314 Plaza (vault) CITY OF ATLANTIC BEACH BUILDING 1 ZONING DEPARTMENT D. Ford 800 Seminole Road lig ins Atlantic Beach,Florida 32233 Oben (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # "n-0515 Property Address: c5)4 P I za,) Applicant: Jot La rx rx r4- A AL 6o 56P Project: This permit application has been: ED Approved Reviewed and the following items need attention: I + l I Q i , \J r c ( 1 J4U5 . IZAS Please re-submit your application when these items have been completed. Reviewed By: V � " Date: Date Contractor Notified: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032115 Date 1/31/06 Property Address . . . . . . 314 PLAZA Tenant nbr, name . . . . . . WIRE FOR AHU & ATTIC LGT Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ - ------------------- --- LAMBERT, JOE DUTCHER ELECTRIC INC 314 PLAZA 1122 NORTH 3RD AVENUE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-5800 ------- --------------------------------------------------------------------- Permit . . . . . . ELECTRICAL 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL Y V , CITY OF ATLANTIC BEACH �r ELECTRICAL PERMIT APPLICATION Only)), Dater 3 �,� Property Address: Y,/y Owner: Telephone Contractor: ` E' /G Telephone#•.any/-�`�C�� Contractor Address: 1Z2 �`�/� �t Fax#: Contractor Signature: 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 ycod practice listed therein. Building: Buil g Type: ❑ Trailer Service: If other construction is ❑ New Residence ❑ Temp. ❑ New being done on this building .p"Old ❑ Commercial ❑ Signs ❑ Increase Or site,list the building ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Permit number: Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS LTNDER600V OVER600V Transformers NO." KVA NO. KVA No.Neon_Transf Ea._Sign MiscellaneousA?l , 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 1� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032110 Date 1/30/06 Property Address . . . . . . 314 PLAZA Tenant nbr, name . . . . . . INSTALL 1 AHU Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -- ---------------------- ------------------------ LAMBERT, JOE DONOVAN HEATING & AIR 314 PLAZA 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due -- --------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES IV"_J BUILDING OICIAL 5 CITY OF ATLANTIC, I-CH i^ MECHANICAL PERMIT APPLYAON Date / • _ _� '` Property Address: 3C� P/.�- Owner: Jan.-C<., ("•e.(z+ Telephone Contractor. D©/v©VA-AV C/ -eG+ 1 - Telephone#: 2`l X1 5 Contractor Address: .S f �v Fax#: 75 Contractor Signature: 3 In rwauderd wof permit given for doing the wodc a described the above statement,we hereby agree to parform said Wo*in accordance with the attached plans and specifications which are s part hereof and in accordance with thV City of Atlantic Beads ordinance;.aad standards of good practice listed therein. Type of Recline Fuel: If other construction is being done on this building r or site,list the building permit number: ' O Gas: _LP Natural _Central Utility j O Oil O Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK I O Heat _Space Recessed < tc81� Floor O Residential i O Air Conditioning: Room antral O Duct system: Material O o Maximum capacity c>m O New Building Refrigeration O Cooling Tower:Capacity ttnm O E c3— Fire Sprinklers:Number of He O Elevator. Manlift Escalator (Number) System o Gasoline Pumps _(Number) O Tasks (Number) O New Installation } Q' . LPG Containers (Number) (Ho pre?riously instailod) ,. a O Unfired Pressure Vessel O Extension or Add-on to Existing System O 'Boilers O Gas Piping O Other-Specify ' Other—Specify LIST ALL E UIPMENT AM CONDMONING,REFRIGERATION EQUIPMENT do CONDENSOR'S # Number Units Description Model y Manufachu a Ton's Agency 1 -IM-MG—FURNACES.BOILERS„FI>Z I ACFB&A IIiANDLER'S � �.' Numbgr Units Description r . . i s TANKS Nominal Capacity Type Uquid Serral �Vms How LMM A Dimensions Contained Manufachm No. ep 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800 0 Fax: (904)247-5845 9 htto;Ilwww.ei.stiantic-beach.fl.us `Revised VO4 CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032147 Date 2/10/06 Property Address . . . . . 314 PLAZA Tenant nbr, name . . . . . . RE ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8962 Owner Contractor ------------------------ --------- --------------- LAMBERT, JOE CHAMPION ROOFING SERVICES INC 314 PLAZA 3734 SPRING PARK ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 396-4642 -------------------- ------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 113 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 8962 Fee summary Charged Paid Credited Due ----------------- ---------- -- -------- --------- - ---------- Permit Fee Total 113 . 00 113 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 113 . 00 113 . 00 . 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 PER UT CALCULATION SHEET Address ?C+A- V4_ Date Heated Square Footage @ $ , / . ' per sq ft= $ 1 Imo Garage/ Shed@ $ — per sq ft= $ Carport/Porch e �@ $ per sq ft= $ Deck @$ per sq ft= $ Patio @ $ per sq ft^ $ TOTAL VALUATION: $ 3S Total Valuation 1 s` $ a 0 Remaining Value $J. per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ � ZONING: + '/z Filing Fee $ 3 F FLOOD ZONE: O Fireplaces @$35.00 $ EvTERVIOUS SURFACE: BUILDING PERMIT FEE $___/1 3 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT.$ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ a� GRAND TOTAL DUE: S �j Jt D CITY OF ATLANTIC BEACH aa'olQ v ROOFING PERMIT APPLICATION Date: ' Job Address: 3 92a -� Owner of Property: h- tilg Address: 3 1_-4 Ca�(�,�� an�C bd'l U- X 33 Telephone: Contractor: 1 State License Number: Contractor's Address: 4 P-LAja Telephone:-011p1-4)3�C9 - 4 sqZ Fax: q�� 3 LQ-5343 Scope of Work: QQ,-Y � 5�lna,�� 40 tl fry)( Deck Slope: s/ I Greater than 2:12_ Less than 2:12 Valuation of work: Product Name(Example:Timberline): Manufacturer(Example:GAF): GA�- ASTM Designation(s): D 3 T 1 X31 CQ i T I 3 Required Inspections: Sng Final Signature of Owner: Date: Signature of Contractor: 4'oj Date: AS TO OWNER: Sworn to and subscribed before me this f day of ,20 State of Florida,County of Duval Notary's Signator : pa„ro Macleod ersonally &a(:Q� a known MY Commission DD220127 ❑ Produced identification Expw"puna 05 2007 Type of identification produced AS TO CONTRACTOR: l Sworn to and subscribed before me this l day of Vjblaaz ,20 . State of Florida,County of Duval Q, (2q � „� Donm�eod Notary' ignature:-4tv ty n • g• MY CWM18 W OD220127 Personally known �+ n� EXPiM Jun®C&JOP7 [] produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fat: (904)247-5845 •http://www.ekstiantk-betcb.iLus Page 1 Revised U21/03 CITY OF ATLANTIC BEACH Cc: D. Ford �i BUILDING / ZONING DEPARTMENT 800 Seminole Road S.Hs Atlantic Beach,Florida 32233 oerr (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: / ?/,*Z q Applicant: O-A Project: a r00 ,� AV This permit application has been: Lid Approved F-1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: I J� Date: _V i Date Contractor Notified: FROM CHAMPION ROOFING FAX NO. : 904 396 5343 Feb. 02 2006 03:51PM P1 A. _ CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION ~Yt Dace: l l7 Job Address: 3� 4n 3 02,3x Owner of Property- c�k�I�4��,J�L�?g it ,�„ r Address: 31.4 ,� , J.] �i &Jn O.-EL 6;0_33 Telephone: 1 --NU3 Contraetor: State License-Number: C.P,c Q:�1 4 O. Contractor'&Adder:8 na&" 2 6 Telephone: tatl]i.k ( o L C9 L{1 Fax: Cg �"Sq U-n43 Scope of Work: 4 -'C P517-4, iS�knak� :� iry)1 0 Dock Slope: 4-1/ 1 Z1. Greater than 2:12 �j �Less than 2.12 Valuation of work:Product Name(Rr ple:T.imberline):� Lmhp�►' 1 �_�A 1. (�� Mamifimm r+er{Example:GAF): ASTM Detdgnatit>o(s} T 1 b31 (Q i Tm pAj„y j 34 U�- Requbvd Inspections: Pinel S*M tttm of Own": Date: /o?-T f r 2-00 .%^� Signature of Conb aetor: Date: AS TO OV/MP- Swam to=4 subscribed before me this day of - .20 State of Florida,County of Duval Notary's Si�tAtur Donne MD&GOd sa►stty known my com"fto"002t� Type o identification EjOr"JueM 05,2WType off identlttcateon produced QP6AS TO CONTRACTOR Sworn to and subscribed before me this day of .—.20 State of Florida.County of Duval Ootaw 111e1ao4 Notary' tgaaatre: • W CMff4WM W220127 1'ersoaaliy known 60ft Juno 111,lAR7 (� produced identification Type of identification produced 8005 minak Rm A'•Admade Omcb,Florida 12.233.5443 Telepboar. (!01)'247-5800 •F49; (904)247-SAO •btV:/Avwwsi.wdmtle macb.0-ms Yme t Revised2aV03 � oticc of C011111mircilint (PREPARE IN DUPLICATE) I(I v. "of)COf II I'lle undersq'iled hr�rch� Informs you that III provemcnts will he made Lo certain real properly, and In ncr-urdanee with section 713 13 of the Florida Statutes, the (r,lli�«;ng inlrxnl;Ilinn i,, staLvd rn this NOTICE' C)F' CC)MMENCEMEN'F t t 11" � irrscnptrnnofpropert 1 �� —t . 0 -►tet +� �- —� � r r -- - X11 I ;'-neral d-s; r tor: o!improver• t`nt,. kZf; R00F ir r _ Addr ss _�l-lt;{ ��. ��--- >_�- r• _`�=It .t.il�l� �� L �4�J Owner's interest In srLe of the improvement Fee Simple Title holder(if other than owner) Name Address Contractor CHAMPION ROOFING SERVICES , INC. s 3734 SPRING PARK ROAD, JACKSONVILLE, FL 32207 Addres Surety(if any) Address _ Amount of bond $ 4 ':ami` and address of any person making a loan for the construction of the improvements. r!ne o;person within the State of Florida.nthr,r than himself,designated by owner upon whore nor, ces n, n!her dac':mcnts ma. be served A d d r e s s -- ----—– –------- ---- -------- – rj idil:on to himself, owner person to receive a copy o!the Lienors Nath'' or;rvided in Section 713 Of; 121 It,l I`ionda Statutes If,III In at Owners option) Addri ss .. --– -- ----- THIS SPACE FOR RECOROER'S USE ONLY _ t) ner Gonne MacLeod • My Commission D0220127 Doc#2006049186,OR BK 13064 Page.2359, sem" rr I;, and z„t, r r i,.,n I i1„ , Ih s ! l - Expires June 05,2007 OI Number Pages: 1 Filed&Recorded 02/10!2006 at 09:42 AM, � -- �-rr r,r -! -- -`✓ JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 �f ,�.• CITY OF ATLANTIC BEACH �1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032128 Property Address . . . . 314 PLAZA Date 2/03/06 Tenant nbr, name CONSTRUCT CHIMNEY CHASE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning TO BE UPDATED Application valuation 320 Owner Contractor LAMBERT, JOE -------- ----- -- ---- 314 PLAZA OWNER ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Permit BUILDING PERMIT--------------- ----- --------------- Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee ' Issue Date . . 17 . 50 Valuation 320 Fee_ ______summary Charged Paid Credited Due ------- --- _______ --- __ Permit Fee Total 35 . 00 35 . 00 _ Plan Check Total 17 . 50 . 00 Grand Total 17 . 50 . 00 . 00 52 . 50 52 . 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 Y BUILDING /ZONING DEPARTMENT ~ =r� 800 Seminole Road L. Higgins f r Atlantic Beach,Florida 32233 S. Doerr (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 0� • Property Address: / e Applicant: L&m Asiie J Project: Nn5re qe &I'tnni V This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: �w CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Alterations&Additions) Date: ,j- 3 /-' 2 0 0 6 Job Address: _ /� �17 t9 Owner of Property: -,-_7-e2 r Address: l ,��2�f Telephone: .i T l S76 3,& Legal Description: Block Number: 412 Lot Number: 7_Zoning District: ATLY�C N Contractor: '5 .611 IC State License Number: Contractor Address: Telephone: Fax: / -- // Describe proposed use and work to be done: C_Q V STWkeC 7- �!/// 7 elle L1 �J*I.SE Adz AX/5 �/-,r711Z,6 C� Present use of land or building(s): Valuation of proposed construction: JkXW U D /,*G/uCd Q p Dimensions of the added space: feet x feet Will this project involve: ❑ Heating&Air- ❑ Plumbing ❑ Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? V— If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the ;addition >f s5% r 1-alorc or the removal of any trees? VNO. Applicant certifies that no change in site grade, impervious e:rea 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. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)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 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 8/04 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. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application(please print). Name: J O S,E� it �C.Rh? .Ur eoe? Mailing Address: �/ /�L ff 7, if/T/ G ��j�T � 2-Z,�3 Telephone: 15Ma Fax: E-Mail:,44 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: (/ —3( — 7 i AS TO OWNER: Sworn to and subscribed before me this day of ,2066 State of Florida,County of Duval Notary's Signature: J. DENISE M. ARP ❑ Personally known MY COMMISSION#DD499370 J. EXPIRES:Decant l4,2009 Produced identification I.8003-NOTARY Fl.Notary oiscout As«.Co. 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 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us Page 3 Revised 8/04 z a n_ CITY OF ATLANTIC BEACH OWNEWBUILDER AFFIDAVIT Date: 1- 31- 06 Jab Address: �/y /�L#� ?14 J CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR INDROVE A ONE- OR TWO FAMILY RESIDENCE_ OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSINtr ORDINANCES. ORDINANCES ALSO ALLOW AN.OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO'YORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH Wi]ll'.KERS BE UNDER"DIRECT :UPERVISION OF THE OWNER, WHO MUST BE.ON THE JOB AT ALL TIMES WHILE •;r ORK IS IN PROGRESS BY 7 ?LICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CON"TRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS*WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY To CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY ENG1,0Y ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUA�TI OF AN OWNER-BUILDER PERMIT. - -vu '::�n PROP TY OWNE UILDER iDENISE M.ARP SWORN TO AND SUBSCRIBED BEFOREME THI5�I�AY OF 20(/67 J MY COMMISSION 4 DD499370 EXPIRES:December 14.2009 14IM3.NarAity Fl.Namy Discount Asea.Co. NOTARY PUBLIC MY COMMISSION EXPIRES: Xtni"v. OUDACCOlT%TnVvr T%TCTI •nrnro a ssi CITY OF ATLANTIC BEACH "2A OWNERJBUILDER AFFIDAVIT Date: 1- 31— D� Job Address: L �/ �1 -04 / J CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.1030,FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE- OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WI'T'HIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE.LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES ORDINANCES ALSO ALLOW AN.OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMTT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO',;YORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH Wr"1iKERS BE UNDER"DIRECT UPERVISION OF THE OWNER, WHO MUST BE,ON THE JOB AT ALL TIMES WHILE ;r:JRK IS IN PROGRESS BY I 'WLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED COMIRACTORS, SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS•WORKER'.S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS I_MUNG WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY Etvff i OY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUAN OF AN OWNER-BUILDER PERMIT. i PROP TY DENISE M.ARP OWNS UTLDER SWORN TO AND SUBSCRIBED BEFORE ME THIS�IjAY OF 200{..9 MY COMMISSION 0 DD499370 EXPIRES:December 14.2009 1.800 3•NOTARY F1,Notary Diacaaat Aroc.Co. NOTARY PUBLIC MY COMMISSION EXPIRES: PLh-ZA- CIM NEY GH�SE (/31/x6 CU -f r►�le_„� �� s-1�� -P�Pe cew-�ev�e� Wtc cl V1-G G 0. ("0+- S.�G W K _ co Iter.+rv.c+et �y F----I°EL l3 iN°� CONCTt2UC 7-1 ON I ' �I �IIIII 31,. " F(As vt y (-e tore � ,Som►-� F ILE APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE FEB 0 3 2006 By: 3(If ?I-A--Z-A G H-cM NGS' C �IAS� (31106 C�ltrrtvle� cap by F-RIDtL CpNSt�l/Cj10J� 464DY 5OA-iD i plywood cr "C4 t- -P S cv-e w ect -� y bao od o rooT corner IYW �i 5(�p-F(aski or CV%CLe (" Screwrd ( I l "� �ravv�G . 5" PAsViini ra a i d F� a u axr 0u+� �� m`nr,.Nw �sfaEr•,wrx � 4r: s e y r r J k k a W( �t Co 6a� CoR,v� BRA �( C SEs 3 ° C h',r� N E T Ale _ X14 3d �T 14 v 7fW C4f4A t4 /I i" w tDE IDK ��l �i j 2 7 ji AIRAeOJV F4cH !Ar ' NOTICE OF COMMENCEMENT State of ASTax Folio No. 12� 1?21 0000 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 descrippon of property being improved: ,QG Dc k O /p , ,p1- -7�_ �i✓�/G Address of property being improved: General description of improvements: 16 Owner: Ad dress: G 1 �. Z Owner's interest in site of the improvement: owII 46 me-- Fee Simple Titleholder(if other than owner):. Name: Address: Contractor: -se'/ Address: Phone No: Fax No: Surety(if any): Address: Amount of Bond$ Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: A.'Tress: F" «'ze No: Fax No: Nara;-.;ofperson within the State of Florida,other than himself, designated by owner upon notices or other docu,, encs may be served: Name: 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. (Fill 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): ]PENIS � MY COMMISSI N#DD499370 EXPIRES: nber 14,2009 THIS SPACE FOR RECORDER'S USE ONLY I-SW M Y F1 Not cowtA oc. NER igne : Date: (o Before me this day of_ in the County Y� Doc#2006038297,OR BK 13046 Page 2385, of Duval, e o Flo 'da,has personally a e Number Pages: 1 Filed&Recorded 02/01/2006 at 12:22 PM, Notary Public at Lar JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY �' ge, State oforid C xmty of Duval. RECORDING$10.00 My commission expires:_= 1t Personally Known: or Produced Identification: Page I of 1 't�bcuio �111111loll 1111111111111111111111IN _. Print Date: Transaction#: 788918buiiv.. P 2/1/2006 12:23:14 PM cm Receipt#: 749039 Cashier Date: 2/1/2006 Jim Fuller 12:23:00 PM Clerk Circuit Court (KPEARSON) Duval County 330 E. Bay Street Rm 103 Jacksonville, FL 32202 (904) 630-2044 Customer Information Transaction Information Payment Summary DateReceived: 02/01/2006 Source Code: BEACH O JOSEPH LAMBERT Q Code: BEACH 314 PLAZA Return Code: Over the Total Fees $10.00 ATLANTIC BEACH, FL 32233 Counter Total Payments $10.00 Trans Type: Recording Agent Ref Num: 1 Payments p = CASH $10.00 wN FL-'k Recorded Items . BKPG: 13046/2385 CFN2006038297 Date:2/1/2006 `` (N/C') NOTICE 12:22:59 PM COMMENCEMENT From: LAMBERT JOSEPH To: COMMENCEMENT INDEXING t2 $0.00 RECORDING 1 $10.00 0 Search Items 0 Miscellaneous Items file://C:\Program Files\RecordingModule\default.htm 2/1/2006 NOTICE OF CONMENCEMENT State of ',�oR�� Tax Folio No. l2� V21 . 0000 County of -Ou MA l To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal descrip *,o of property being improved: 0C k 0 AQ 4,01- ?T_ Address of property being improved:_ Z,c} �g�/C Cy G - AL2 a I General description of improvements: Owner. Address: �/y ,�/ d I j —3-2 -7-3 Owner's interest in site forthme, provement: owa w A*o e_., Fee Simple Titleholder(if other than owner):. Name: Address: Contractor. Se/� Address: Phone No: Fax No: Surety(if any): Address: Amount of Bond$ Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: A.'�xess: Y. me No: Fax No: _. Nam:,:;;,of person within the State of Florida, other than himself, designated by owner upon wa;=notices or other docu,,nents may be served: Name: 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. (Fill 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): �i MY COMMISSI N#DD499370 di % .' EXPIRES: 14.2009 THIS SPACE FOR RECORDER'S USE ONLY Z Y FI-Na MwfAsoc. NER Ir : Date: Before me this day of in the County Doc#2006038297,OR BK 13046 Page 2385, of Duval,SW e o Floyida,has personally a e lJS , / Z-j7WEt;e"'/ Number Pages: 1 Filed 8 Recorded 02/01/2006 at 12:22 PM, Notary Public at Large, State of F orid Colmty of Duval. JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY c! RECORDING$10.00 My commission expires:_J_ v� l 0�� Personally Known: or Produced Identification: --�. Page 1 of 1 ECU��G1�9 I II�III VIII VIII I'III VIII II��I III I��I Print Date: Transaction #: 788918 '"ro;�;; 2/1/2006 12:23:14 PM Receipt#: 749039 Cashier Date: 2/1/2006 Jim Fuller 12:23:00 PM Clerk Circuit Court (KPEARSON) Duval County 330 E. Bay Street Rm 103 Jacksonville, FL 32202 (904) 630-2044 Customer Information Transaction Information Payment Summary DateReceived: 02/01/2006 Source Code: BEACH O JOSEPH LAMBERT Q Code: BEACH 314 PLAZA Return Code: Over the Total Fees $10.00 ATLANTIC BEACH, FL 32233 Counter Total Payments $10.00 Trans Type: Recording Agent Ref Num: FTilMCASH $10.00 1 Recorded Items BKPG: 13046/2385 CFN2006038297 Date NOTICE :2/1/2006:22:59 PM COMMENCEMENT From: LAMBERT JOSEPH To: COMMENCEMENT INDEXING RECORDING 2 $0.00 1 $10.00 0 Search Items 0 Miscellaneous Items file://C:\Program Files\RecordingModule\default.htm 2/1/2006 CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 / INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031313 Date 12/22/05 Property Address . . . . . . 314 PLAZA Tenant nbr, name . . . . . . ATTIC ADDITION DUCT WORK Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2500 Owner Contractor ---- ---- --------- ------- ----------- ------------- LAMBERT, JOE OWNER 314 PLAZA ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ------------------------------------------------------------------- --------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2500 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 95 . 00 95 . 00 . 00 . 00 J PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CFFY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL 17 , '11r' CITY OF ATLANTIC BEACH Cc: BUILDING /ZONING DEPARTMENT D. Ford ... . }r 800 Seminole Road � m ' Atlantic Beach,Florida 32233 S. Doerr (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 0,6' - JI 3 / 3 w Property Address: Applicant: Project: _ /Jt;77'C 20 07'� This permit application has been: M/Approved ®' Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: `fl s-' L L Date Contractor Notified: BUILDING PERMIT APPLICATION � Kevin Green CPA _4 1p: Meredith Hernandez (Alterations& Additions) I, 0/ (904)288-8999 Date: S E'�'t Z 7 . Z 00S 4 Z / - La v..t b-c orf CIP lir l d Telephone: 104- 24 C J 6 34, W tq n(�� f! Lot Number: Zoning District: Whp 5 '('� State License Number: W Fax: proplo/ sed use and-work tome done: a 41c- ade(� t 4- o+.� — A-«-e 4 ko � 1 Gl,U c f W 8-•k .�-t7 _UPS+ZX i✓S rr 0Al- ' 6y f X t S-b L1aa v c Present use of land or building(s): Valuation of proposed construction: `'- ZS;a b, C 0 What are the dimensions of the added space: /T �+ ^_Z feet xZ y ^- feet � �ee -lak� Will the added area be heated and cooled? `n 0 New electrical or increase in service? 49 J\/0 Add plumbing fixtures'? o Add fireplace? „ v Add heating/air conditioning? Is approval of Homeowner's Association or other private entity required? LLo If ves, please submit with this application. Will this project 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. _ ElNO. Applicant certifies th t no trees gill 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. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written veriGcatiou must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lancs,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Conunencement, OxNner/Contractor Affidavit if owner is contractor,and four(4)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 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 • Fax: (904)247-5845 - http://www.ei.atiantic-beach.fl.us Revised 1/04 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 sullicient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. IdentifN any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant envirournental features,including any jurisdictional wetlands.CCU,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate f ndividual applications. f I hereby certify that all infonnation provided wi h uis application is correct. - � Signature of owner: Date: A7Zd 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 ai ordinances goveming this type of xvork will be complied with, whether specified herein or not. "I'he granting of a pennit does not preswue give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any mariner,including tl governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon tl above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: _ Date: Address and contact information of person to receive all correspondence regarding this application(please print). Narne: t/oS Pp "fru Mailing Address: 3 (V- elQ -ecti y9-7.(ct r �t e �t'�ti.,(-� ; FL 3 2 2 �,3 Telephone: 90y-y- 21i�( ~t6 ?6 Fax: _ E-Mail: i COt�ccaS� . AS TO OWNF,R: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval JEANNE M.SHAW MY COMMISSION A DD 435986 Notary's Signature EXPIRES:May 31 2009 y; 8WedThruNdfaryPubWL n rnr w ❑ Personally known ['"Produced identification Type of identification produced T--L-_O ci v' 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 3 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us Recused 1 04 CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Alterations & Additions) Date: S��f 2 7 . 2 DU Job Address: Owner of Property: TO 5 ep L, i,,� J, ✓'f Address: 31 q- a L1 Telephone: `704- Z4- 3 6 Legal Description: Block Number: 10 Lot Number: �_Zoning District: Contractor: c::, w v — State License Number: Contractor Address: Telephone: Fax: Describe prop�/os�ed use and/work to be done: C2�i c (X�d('(- 0" -- 'a ., -( c-f w&k 4-o l! 5+ t t -s G✓t t c) Present use of land or building(s): !' Valuation of proposed construction: �p b, 0 d What are the dimensions of the added space: —' --feet x feet Will the added area be heated and cooled? V-X 0 New electrical or increase in service? Al 0 Add plumbing fixtures? V\1 U Add fireplace? V1 0 Add heating/air conditioning? ' Lo Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will this project 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 till 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 th t no tree_�ill 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. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Pennit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)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 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.cLatla t -beach.fl.us Revised 1/04 hn°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. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. I_.ocation of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-constriction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may b4providdli idividual applications. I hereby certify that all informis application iscorrect. Signature ofowner: /Date: / L 7/d1 hereby certify that I have rthis 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 riles,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 Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). J,_ Name: o C-!? t'1 r Mailing Address: 3 (v- elQ -2-, A I de, 7r e_ R>v a FL 32 2- Telephone: Telephone: 900- 2Y-( --P6 3G Fax: E-Mail: j�c �a vu h AS TO OWNER: �n h l�a ,�.1 �� Jr Sworn to and subscribed before me this 7�--day of -f 20 O, State of Florida,County of Duval f NE M.H MASSE M.SHAW Notary's Signature: P,4Y COMMISSION#DD 435986 t7' g EXPIRES:May 31,2009 ,p ,.• Bonded ThruNotary Public UAd*rwrten El Personally known [g-'Produced identification Type of identification produced _'moi._)t-fV k A c . 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 3 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us 55 Revised 1/04 N' CITY OF ATLANTIC BEACH J1�<, OWNER/BUILDER AFFIDAVIT Date: SePf Zf. 2-005— Job Address: 3 CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR % PROVE A ONE– OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKERYCOMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMI''LOY ON THEIR IMPROVEME'.' 'TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THEVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE 0 AN OWNER-BUILDER PERMIT. PROPERTY, WNER/BUILDER SWO Sot DAY OF _ �k(--200 Notary — O�,RY PVe`' fSSfE MERRITT P. •° Nota Pubic-State of Florida x My Commission Expires Feb 9,2009 L ,11 �;�o Commission#DD 394893 NOTARY PUBLI C MY COMMISSION EXPIRES: NOTE: PHRASES NOTICE OF COMMENCEMENT State of F/yrt'dsc, Tax Folio No. o/R BIC q-7Y2-"19`1 County of_'L>k va 1 To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: A+1<w4-tc Ret e.0 L,+ 7 Bloc It) Address of property being improved: ►Q--&- w A-I-1+u��e (3,&o c L 3 22-3-k General description of improvements. c 4 a e r o o-e li vw add134 .44; e xlshka rvc� 'A �c" .Il lye uut400 (cd� Colo led sisraQe oL&�eoL Owner. J L a LA4 lo-w—t Address:_ 31�i P/a�c� , fl t(a w c Be a c f~ , FL 3 22.3 3 Owner's interest in—site of the improvement: owVje Fee Simple Titleholder(if other than owner): Name: Address: Contractor: Address: -- Phone No: Fax No: Surety(if any): Address: Amount of Bond$ Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: vt 0 V%AQ— Address: Phone No: Fax No: Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be served: Name: ►1.trV-4- 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. (Fill 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 ONLYOWNER — Signed: Date: - Z�' 5 Before me this ay of r, m the County of,Duval, Stat f Florid has personally appeare r i k „�; otary Public at Large, State of Florida,County of Duval. ied � cu;,_ied 6--3210C,6Q+�; l rn,, My commissio expires: R Personally Known: p-� Produced Identification: ?� 8�� MERRITT Tio My Commission E10 xpires Feb 9�2ppg COmmiSSiO�#DD 394893 Page 1 of 1 111111111 IN Print Date: *` 9/28/2005 2:42:17 PM Transaction#: 734002 Receipt#: 695023 Cashier Date: 9/28/2005 Jim Fuller 2:41:46 PM Clerk Circuit Court (KPEARSON) Duval County 330 E. Bay Street Rm 103 Jacksonville, FL 32202 (904) 630-2044 Customer_Information Transaction Information Payment Summary DateReceived: 09/28/2005 Source Code: BEACH Q JOSEPH C LAMBERT Q Code: BEACH 314 PLAZA Return Code: Over the Total Fees $10.00 ATLANTIC BEACH, FL 32233 Counter Total Payments $10.00 Trans Type: Recording Agent Ref Num: 1 Payments ME CASH $10.00 1 Recorded Items BKPG: 12781/1897 CFN.•2005357520 R _ 1�1/C�_NOTICE COMMENCEMENT Date:9/28/2005 2:41:44 PM From: LAMBERT JOSEPH C To: COMMENCEMENT INDEXING 2 $0.00 RECORDING 1 $10.00 0 Search Items 0 Miscellaneous Items file://C:\Program Files\RecordingModule\default.htm 9/28/2005 PSfl•38gd _.� 17390 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION NFO ATION w it Mzr. _ - nLOCATION S' uINFORMATION w -� d -e:� a PLAPe= t tYPe. PLUMBIff(; ADRIVE ATLANTIC BEACH, FLORIDA X 00 2 3of Ro k4ALTERA, TION i t 3 -------- L* ESC IPTION --_ P � d Use* Lot : Tap.SL S1ec Es t t i� aiRng * 0 ue SdLvi i o .) ImPrdv. :Cast 13 Total peer 5<40 Ar bunt Paid: � 25 00 Date Pix 99$ cork D so" MINE O>Y �el� r JOAPPLICATION C ATIO FEES -� LAO25, 00 IDA 32233 ROTell _� r ROryryO ' CBS R,.VOA7 � dd 20ST T N T � '!H. . r MOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN UBLIC SPACE, ANIS MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER ' ",FAILURE TO, COMP LY WITH THE MECHANICS" LIEN LAW CAN ;RESULT IN THE OWNER WNER PAYING TWICE FOR BUILPING IMPROVEMENTS.' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT` TO REV VIOLATION OF APPLICABLE`PROVISIONS OF LAW. OCATION FOR t25.IB !4 A N, , BEACH BUI DING PA TIM,ENT2243 �113a2i1� Y. Uc*t-16-98 08: 28A P.01 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: � ,� � OWNER OF PROPERTY: PLUMBING CONTRACTOR: C # CONTRACTOR'S ADDRESS: STATE LICENSE NUMBER:_ CFC �'j TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS i OTHER TOTAL FIXTURES: X 3.50 t $15.00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. CITTYOF .�4 viql/� *040 133�-o"d ` f/t/./ Office of Building Official REQUEST FOR INSPECTI Permit No. � 3-90 Date Time Received y Locality Jobb ddr s Owner's Contractor — P--MBINGG MECHANICAL -- LUr_ Name --- ELECTRICAL Air Cond. & CONCRETE Rough Wiring D ou Heating C' Pole C Top Out 4 Dire place BUILDING ri Footing �� Temp Sewer re Fab Framing J Slab Final Re Roofing Lintel 'M' Insulation _' READY FOR INSPECTIOday N - Thurs. Fri _—.------ Wed. Tues. /, 7 A.M. Mon. ` — Final Inspection Inspection MadeCertificate of Occupancy Inspector Date f SIRTMENT OF BUILDING 5 6 7 2 OF ATLANTIC BEACH,FLORIDA PERMIT NO. RMIT TO BUILD MIT MUST BE POSTED ON JOB ---- - 5/19 1983 46*!►ur T I Date 461 bu,K T Li 7;i I ik o/19/J Valuation$ 8,181.55 Fee$ 46.50 1;J672 *GOCAC This permit not valid until above fee has been paid to City Treasurer,and is 7 subject to revocation for violation of applicable provisions of law. i out) This is to certify that JOSEPH C. LAMBERT has permission to build ADDITION AS PER PLANS � Classification SINGLE FAMILY Zone Owned by JOSEPH C. & JANET E. LAMBERT Lot 7 Block t n S/D AR House No. 314 PLAZA 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--i O Building material,rubbish and debris Z from this work must not be placed in public space, and must be cleared up and hauled away by either con- "tratto --owner._ `f /h,1� /�e C iU ff Building Official. i FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER i PLUMBING i ELECTRICAL I SEWER WATER , 6 I CAT,: @ S - per sq ft. _ $ - - - } D) C .. .a.GE (1'rtll'�,IE/S 3F er sq. ft. - - - -__ ---- — __- per sq. ft. _ $ S @ $ per sq. ft. _ $ @ $ per sq. ft. = $ PATIO: @ S per sq. ft. = $ TOTAL I n_N: t, ..';IT r i S I lA �,A- I CIN DATA I s t - h_ �.�D F, ::. _LAIiU1v @ $� .Uyer t: ,D n - -- - or portion t'r,-_roof TO_-_'+L BliII_DI`;G }'r ::'•;iTrEE. . . . . . . . . . . . . . . . . . . . . . . . . . . . s _V- PLUS PLUS 'iHE CILDI G PJkMIT OR Pl-:2N FILING fFF. . , . . . . . . . . $ TOTAL FEE DICE ( � 1 N G - }IT fr_F. C L - � __� 1 .r r.ril i r v r -El -HCiRI CAL k,r 1S j DLL l-AL: $ I �,,ATER SIZE: fEE: S S =_R CO".",'CTION C�L-^_RGE: SD' ARE FOOTAGE: fPE S ,%AI R CO',-':ECTION Cl--'',_RGE: FI-;-URE CSIIS @ $10. 00 PER UNIT: $ ACCOUNT 1,10. : " OVED i7Y: r�L BUTT r; Pi_a� FII G r-'r5: S -- ..G/- r 't i' i' t''� 4`J D ! � TAL !- ' • 171CBEACH Y— `, �' 1(1! AL .'A1TR C'_1. _.�,(- 1_Io,: _ xl?�� Gr'TCn _ - S �T -- TW i I �I j DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT No. 5616 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date April 3 19 84 j Valuation$ MECHANICAL Fee$ 42.00 a This permit not valid until above fee has been paid to City Treasurer,and is r�1 P I I CK i subject to revocation for violation of applicable provisions of law. , 7; WOW ;"' t This is to certify that HUXAM HEATING & AIR � b our '77�' ! �4 14/0 � INSTALL HEATING AND AIR OONBITIONING has permission to buNp AS PER PLANS SINGLE FAMILY RS 2 Classification Zone Owned by J. LAMBERT Lot— Block 9 S/D A.B. House No, 314 PLAZA III � 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 -n AFTER DATE OF ISSUE ♦ --� o Building material,rubbish and debris z from this work must not be placed in public space, and must be cleared up and auled away by either con- t weer. l i Building official. t: FOR OFFICE PERMIT DATE CONTRACTOR :USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER I I I I I I i I j BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH _S' &//e�7 ATLANTIC BEACH, FLORIDA 32238 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT --Applicant to complete all items in sections 1, 11, III, and IV. i. LOCATION Street Address: RA Z OF Intersecting Streets: Between And BUILDING Sub-division 11. IDENTIFICATION To be completed by all applicants in consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good.practice listed therein. Name of Mechanical Contractors Contractor (Print) W A AFA � �,. Mester Name of / 11roperty Owner Signature of Owner Signature of or Authorised Agent VL� Architect or Engineer 1t1. +Q ItAL INFORMATION A. Typs of heating fwi: B. IS OTHER CONSTRUCTION BEING DOMES T XEfeetdc THIS BUILDING OR SITE? C3 baa ❑ LP ❑ Natural ❑ Cenral Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q Ori *� PERMIT © Other -- Specify j N IV. IdICFU1M"L WUW~TO SE INSTALLED NATURE OF WORK (hevide complete list of components on back of this farm) Residential or ❑ Commercial 9 N""t ❑ Space ❑ Reused tW O flow kReplacoment ❑ New Building Condrtiening: 13 ,Room Vitalxisting Building © Deet System: Mateiral iThick"In of existing system Masimum capacity e f rm. ew installation(No system previously Instsged) ❑ Extension or add-on to existing system Q Refrigeration ❑ Other Specify ❑ Cooling tower Capacity g.pin• Fire Vrinkl n: Number of heads_,. o Ehevoter ❑ Marlift Q Ewletw (somber) THIS SPACE POR oPPIC# USE Of y Q Gasoline pumps --inumber) (Reeaired) Q: To `(number); Remits ❑ LPG am%ieon (number) p Unfired maura vow Pam+it`Approved by Duh O 0 O*W — specify PormiI;M i ]IW ALL EQUIPMENT AIR t ONDMONING AND REFRIGERATION EQUIPhIENT Ca d Ntmnber UA to D"Wiptiot► No"Number SRamuta4buVr (TOM) 03 72P, 4 i DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. - 5617 PERMIT TO BUILD j THIS PERMIT MUST BE POSTED ON JOB u16�wi" T Date 9/23 19 $3ke00W PLUMBING i '£ i rl Valuation$ Fee$ 24.00 =tai i' •��i(�ftr This permit not valid until above fee has been paid to City Treasurer,and is t. d f Lje'l w, subject to revocation for violation of applicable provisions of law.I. i%4Qt) This is to certify that STEEL PLUMBING COMPANY I has permission to b> ,� TPIPEBING As is Classification STNGLF. FAKTT V Zone $$ 9 i Owned by J.LANBERT Lot 7 Block 10 S/D A.B. House No. 314 PLA%X According to approved plans which are part of this permit = NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- i SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE ♦ --� 0 Building material, rubbish and debris _z from this work must not be placed in public space, and must be cleared up and hauled away by either con- cwner,. ) [ Building Official. . III FOR OFFICE PERMIT D USE ONLY NUMBER ATE CONTRACTOR i i PLUMBING ELECTRICAL I SEWER WATER L.. Awk CITY OF ATLANTIC BEACH -} APPLICATIONd FOR PLUMBING PERMIT OWNER'S NAME S �JC" i?��t t?t oit LOCATION MASTER PLUMBER STATE/COUNTY OCCUPATIONAL LICENSE NO. 'F(>t)3 y.s,3 CERTIFICATE NO. CONTRACTOR L C;A it — TYPE OF BUILDING r" /CL'tiC SINKS SHOWERS __1_LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH-THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CITY OF ATLANTICBEACH, FLORIDA Approwdby` APPtICATitlN FOR ELECTRICAL ;PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:- 3 -----1�� .3 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 SPECIFICATIONS, WHICH ARE A PART HEREOF,AND IWACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF, ATLANTIC BEACH ORDINANCES. EL RICAL FJOUBNEYMAN IRM: E IC ADDRESS: ' � RFD BOX NAME v'— BLO . IZE BETWEEN:_ RES.( APT.( I COMM.( } PUBLIC( I INDUS,( I NEW( I OLD( } REW.( ) ADDITION f I TRAILER( I TEMP.f' i SIGNS ( I i SO.FT. SERVICE: NEW( } INCREASE( I REPAIR (' I FEE CONDUCTOR SIZE AMPS COPPER ALUM i TCH OR BAjAKER AMPS PH W VO T iRACEWAY i EXIST.SERV.SIZE L AMPS PH — W — 'VOLT RACEWAY FEEDERS' NO. SIZE IND. SIZE NO. i SIZE LIGHTING OUTLETS CONCEALED OPEN { TOTAL a RECEPTACLES CONCEALED OPEN '' TOTAL 0•$0 AMP$. :11.100 AMPS., i SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS, OYER APPLIANCES BELL TRANSF. AIR H.P.RATING H.F.RATING i CONDITIONING ' COMP.MOTOR OTHER MOTORS AMPS CEIL 09AT. KWHEAt 12 VOLTS PHS : NO. R.P. VOL PNS ... USE ELLANE US FOR OFFICE USE ONLY Date.._................................19 . CITY OF ATLANTIC BEACH Permit #...-....................Fee:_.... FLORIDAvaluation $...................................................... House # APPLICATION FOR BUILDING PERMIT ..................................................................... -------•-------------------------•-----•------...•--••--•-••••••--......•-- Application is hereby made for the approval of the detailed statement of the plans and s building or other structure described. This application is made in compliance and confot rmitywith the uildingions herewith mOrdinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of. Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. cf' t • aLcL Date......... , 1 Owner---- --------- -- �--li--e� 3/�- �� 9...----•---- •... rens... 2� / S A 2f/� i�4x , t k Telephone No._2-11.1 •---••.•-----.2 }3 -.-.... c •- •-----•Address./DU3• , CC r,� . -:.. Contractor Builder....1�-�ete.�,-•�-�.: _ -- - • el phon N .... •--- •---- --•---Address..-------•---•---- .... •----•--...- •...Telephone No------------.......... Lot No.-.....�-------------_---------------------•--Block No.---•---- . Z� Sub Division-------•--- ----...-.... -----...-...............................................•�-....--•-Zone------------- ------- PZ4.Z J •-- Street_. _.--:Side Between.. ,r a- -C "a. ---------------------- nd..._ :+ .. ;`e......•----..._Sts. Valuation $.............. For what purpose will building be used.�6'��`�� r Ty ��yy�``��A '�*1 .4ctc.r: -------- ---------------- ofG@onstruction Dimensions of Baiidin �-6 ----.-----Dimensions of Lot-_.-.6-p x /. O g----•- ------------- ------------ -•--•-•--------------•---•-Size of Footings.-----••.11? . X !Size of Piers...-. -------------- e�D",C �� ` -Size of Sills- -.._-. .-..Greatest Sill Span in ft................... f Type Roof.- How How will Building be Heated?.-� ? - E la Will Building be on Solid or Filled Ground?_-.11 o- �. ati�< Size of Ceiling Joists-. , �r�-�•-.�- ------ ----------- -- , Distance on Centers_-_....-. Z x � ---•------ ...... Greatest Span............................................ „ Size of Floor Joists-.--•----- 12 „ Distance on Centers. ....... --_.-__-----.-_-----------__, Greatest Span"` 91 ............. » Size of Rafters...--. ---x 8 /2 ---__....-----------..----- --- � Distance on Centers . -_ .....-. � , Greatest Span... t. ......�'...-•--•.--•••• » .� ,.c This rectangle is to represent the lot. �_c t N^ t- u� Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. Two copies of plana and specifications shall ` REAR LOT LINE be submitted with application. 5C Inspections required. 1. When steel is in place and ready to pour footinXnd/or 2. When steel is in place and ready to pour Columl. W W Z Z 3. When steel is in place and ready to pour beam. a a 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. Q 3C F 6. When septic tank drain field or sewer is laid but before it is covered. W 30 7. Electrical inspection by City of Jacksorville. A 8. Final inspection. « 4C, E�r6 w Note: In case of any rejection,re-inspection MUST be called for after corrections are made. In consideration of permit g FRONT OF LOT p given for doing the work as described in the above statement, we hereby atrree to nerm— a-4 work in accordance with the attached mama „A DEPARTMENT OF BUILDING PERMIT NO. 5618 CITY OF ATLANTIC BEACH,FLORIDA IT TO BUILD PERM BI THIS PERMIT MUST BE POSTED ON JOB i Date 19 36,163.55 154.50 Fee$ Valuation$ +I, This permit not valid until above fee has been pc oleo City envisions Treasurer,law and is L subject to revocation for violation of a p� P 7 r This is to certify that ;1 �; •�a1�CC has Perini AS PER PLAITS SUBMITTED ssion to build ADDITION RS 2 Classification SINGLE FAMILY Zone Owned by J• LAMBERT S/D A.B. 7 Block ------- I Lot House No. According to approved plans which are part of this permit NOTICE-ALL. CONCRETE FORMS AP DTFOOTINGS MUST BE ED IN S BEFORE POURING. l PERMIT VOID SIX MONTHS I AFTER DATE OF ISSUE O Building material,rubbish and ebris ----► �♦ a from this work must not be placed in public space, and must et hercleared b up and hauled away y t ct on caner. Building Official. I r CONTRACTOR PERMIT DATE FOR OFFICE NUMBER USE ONLY iPLUMBING ELECTRICAL ! 1 SEWER IWATER I CAL: . 1 CAL: iml.11lNG P1:}:'-11'1 !:U1:Y.`11EET per sq. ft. HEATFI) SQUARE FOOTAGE: - 1C��7 @ - G ARAGE (PRIVATE/SHED) : -- - ---- -- _-- per sq. ft. _ $ ------.. _ -- -- q. ft ------- --- CA PORT: @ $ per s--- ---_--- --- @ $ — - per sq. ft. _ $--------- --- _ PORCHES: ----- -- - --- per sq. ft. _ $ 37! 6-- - DECK: ---- @ $ ------- --- Per s q. f t. PAT 10: TOTAL VALUATION: 5 PERMIT FEES on TOTAL VALUATION DATA Ist � � @ $ per thousand or portion thereof TOTAL BUILDING PERMIT FEE. . . . . . . . . . . . . . . . . . . . _ ------- THE BUIL ING PERMIT FOR PLAN FILING FEE. . . . . . . . . $�- -_ PLUS�FEE TOTUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- ----------------------------- l,'ECR?'\ICAL P-KNIT FEE: PLU-,BING PERMIT FEE: $ �� - - - ---------- - ELECIRICAL RESIDENTIAL: $ ELECTRICAL TEMPORARY: $___ !•TATER 14ETER SIZE: FEE: SEWER CONNECTION CHARGE: SQUARE FOOTAGE: FEE $ !'.AT ER CONNECTION MARGE: FIXTURE UNITS � - @ $10.00 PER UNIT: ACCOUNT NO. : ---- ----------- ------ --'-------` TOTAL BUILDING/PLAN FILING FEES: .ii'PRO\'ED BY: TOTAL WATER METER CHARGE: TOTAL WATERER CU_aECTION CYG)O ARGE; $- � APPRC''s ED BEACH TOTAL SEWER CO',:':ECTION CHARGE: 0 GPa\D TOTAL DUE: � - - ' -- DEPARTMENT OF BUILDING 6251 7 [ 1 i CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. _J PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 5-2- 19 84 Valuation$ f;rapt ono Fee$ 1-1; nn 15,00 T 15*00CKT This permit not valid until above fee has been paid to City Treasurer,and is 1 7 1 t6.,, 1 n 5/0"1�/p 6 subject to revocation for violation of applicable provisions of law. L72 is 1 *00CAC J©spph C. Lambeth 11 w This is to certify that e 3]4 Plaza has permission to build Fire Place Classification RESidential Zone Owned by Lambert Lot 7 Block 10 S/D A.B. House No. 314 Plaza According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- I SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 4----►- 0 Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared rouled away by either con- wner. o Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF 4&ws,&c Beads-4/4" Office of Building Official REQUEST FOR INSPECTION Date _ Permit No. Time Received_ P.M. District No. job A dress O Owner's �- Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed.J hurs Friday P.M. A.M. Inspection Made / ! 7S P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF. 4&,d� /3..c.4- Ottice of Building Official REQUEST FOR INSPECTION �y r 2 �.7 Permit No. Date L� — (J r / �•—.), --��^� District No. Time ,. l V P.M. Received Locality Job Address Contractor MECHANICAL owner's PLUMBING ELECTRICAL Air.Cond.& 0 Name CONCRETE Rough Heating BUILDING Rough Wiring Top Out 0 Fire Place 0 0 Footing Temp Pole Framing Slab pre Fab Re Roofing o Lintel 13 A.M. P.M. READY FOR INSPEC N Friday--- Thurs. Wed. A.M Tues. Mon. n 2 D P.M. , inspection Made V Final Inspection O Certificate of Occupancy Inspector Date a N CITY OF _ . 4 'U 4&� B� ��DWJ ` Office of Building Official REQUEST FOR INSPECTION f Permit No. DateDistrict No. Time -` P.M. Received Locality Job dress r` _Contractor MECHANICAL owner's PLUMBING Name ELECTRICAL ❑ Air.Cond.& ❑ CONCRETE �,/ Rough Heating BUILDING ❑ Rough Wiring , Top Out ❑ Footing '� Pole �' ❑ Fire Place Framing ❑ Temp ❑ Slab Pre Fab Re Roofing Lintel ❑ A.M. READY FOR INSPECTION Friday P.M. Tues. WedThurs. _--------"' /) A.M. P.M. Inspection Made Final Inspection❑ Inspector Certificate of Occupancy Date Ilk , Otticle, Ott►ce of Boding SPECTION RE VEST FOR permit No. District NO• p,.M• pate P.M. Locality Received I MECHANICAL onractor dress MgINCAir Cond r,LECTRICAL�pppLHeating owner" ough Fire place . - ❑ Name CONCRETE ❑❑ Roughirin9 Top out PreFab gUILDINCl�Footing Temp Pole ❑ A.M. PM Framing ❑ Slab ❑ ' ON Re Booting lintel FOR INSPECTIFriday--�'"- READY Thurs. Wed, A.M. V PM Tues. on• Final Inspection❑ action Made Certiticate of occupancy inspector pate CITY OF 716 OCEAN BOW r.'SRD-CRAWLR 25 ATLANTIC BEACH. FLORIDA 32233 BUILDING PERMIQ NO.# ELECTRICAL PERMIT NO.# PLUMBING PERMIT JOB ADDRESS 1 CONTRACTOR OWNER DATE REMARKS INSPECTOR FOUNDATION FOOTING Ail1 _— SLAB ! - PLL'IBING (R) "�L? — f_/__— ---- --- - -- —-- TOP—OUT S El,,ER 1 ------ ---- TEMPORARY POLE LINTEL/BEAM COLUMN ELECTRICAL (R) ��✓�U f�_ ---- — ----- — ----------_� PLUMBING (F) -- —/-- -- — FRAMING ----- — --- — ELECTRICAL (F) GRADES SHOT --- ------------- --------- CLEARING LO OTHER / cel _ / FI`;AL INSPECTION _ • !L. :' S HCv.ELL - A.'-!ES E !�ri00N ALA C :E.EN L. W !.,IN70N. JR. C T � F,; :E G. V;,%, SS Cor..... _r;er C:,... _ :er Cr, s s Z, e' C - _ -,er F - " __ t p„ : a C EAI LRS DrR T _ CKLR CARL I-i iCKI [ �, C - >y C C; - - 7 - - s DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH 1 ,.77�.� . W ,A'C O#II'' I NFClIRRMA1I It3lt 31A PLAZA Adds ° Type' IRUIAOX" AT ANTIC BEACH, FWRIOA 322:33 :1 4GAL DESCRIFIIONaZ Cor tr. `I YiP N, 11 Lot P opo d U SBI %'PANIL ow shipF RNGz O b'di is + 1 Vlz rp '� � . Tat :0 ":so O ,. d _ PPLICATION FEES tilt "!I` lIlB `!' il , I ^. 50 A xe h't'ERt ;N AC FEE 00.4 �I?I OA3223 SEWER IMPACT FEE 00.00 p 4 t A' tISTUR 0„Ota WIMMATN RAIN A 5 $6.00 N ie►+ e Y' DATER TAP $0400 Addrofes a � ` SEWER,f'I"AI' *I�t,+ tCt -DftA' LIC -SHARE HY H = " 3E � ?�# � OTHER NOTES: 7 1 � !P/ . 6,.., NOTICE —ALL CONC0ETg,FOR SAND FOOTINGS MUST BE I NSP CTED BEFORE POURING PE MIT VC>ID SIX MONTHS AFTER DATE OF $SUE BUILDING MATERIAL,RUBSISKL,AFROM THIS WORK MUST NOT BE LACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY 8YVTHER.CONTRACTOR OR OWNER. `FAILURE TO Ct I1> P .Y< TF# THE MECHANICS' LIEN, LAW CAN RESULT �N THE PROPERTY OWINEI�' PAYING TWICE FOR BUI DING IMPROVEMENTS:" j$$W ACCORDING TO APPROVED"0LANS WHICH ARE PART OF THIS PER IT AN SUBJECT TO AT FOR d W, 'LA C7I=APPLICABLE PiC?VI$lDNS C1F LAW. ' ATLANt1C BE ING DEPAP IVIENT I Ur G f"ROPERTY DESCRIPTION , '2 716 OCEAN BOULEVARD Lot # Block #--------Section #-------- 1'.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELE1111ONE 1904)249-2395 Subdivision:--------------------------------- Street flameJ /� a DESCRIPTION OF WORK or Addresss------------/---------------------- If in a FLOOD HAZARD Flood Zones __--_area complete page 3. Brief f --------- Description YJ U >> d k, '74-/,1-10 t Class of Works vto u S 'G (Hew/Remodel/Addition)______________ ZONING INFORMATION Type of Construction:_______________________ Zoning Proposed District: Z _Use: ��no A& ` � Estimated Value s t) U -------- -----�•---- -T----------------- Exceptions ---------------- Exceptions or ✓ J Materials:__________________________ Variances Granted:_________________________ Solid or ------------------------------------------- Filled Grounds Roof: OWNER INFORMATION Met/hod of Hratings.................. Property Owner __VAlf C _ sf-�It Qf (�lv�c�e_✓� Phones-2- _-S-2 7 3 Mailing Address A 22_33 --��------ ------------------------- Zip:---------------- CONTRACTOR I14FORIIATION Contractor: 0 W Phones Mailing Address: Zips--------------- Expiration ____ _Expiration License Humbert Dates--------____-- • T HFRFRY CERTIFY THAT I HAVE. RFAD AND EXAMINED THIS APPLICATION AND KNOW THF. SAMF. TO PF. TRUE 11 AND CORRECT. ALL. PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL IRE 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 PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING 0,. DATA HAVE BEEN OR SHALL BE VI D"ED AS REQUIRED. 9` V "IAta�1A i'f� II/i Owner Signature �s'`- Date____________ s . ,•. � Contractor Signature Date 0 FLOODPLAItl DEVELOPHEHT IHFORHATIOH Type of Developments— Flood Zone: -------C-i------------- Required Lowest Floor Elevations_______________ If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for, that zone. Ho final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COHHENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Date- /2 2' _Applicant's Signature ---------------------------------------------------- Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation _______- Survey Filed with Building Department ___________ ----------------------------------- Building Department Representative page 3 OWNER BUILDER PERMIT AFFIDAVIT Mate of Florida ) City of Atlantic Beach ) BEFORE ME, the undersigned authority, personally appeared ilc X--e ( E/a r.0 &.4 "_ `-e`- --, who upon first being duly ------------------------------ sworn, deposes and says% I �,c tce .f /e� c K-c La. 6 �'f , and the legal owner of the following property: Subdivision ` 7)/4 7_.' ------- ------------- Block --------------- Lots -------------- AKA ----------------------------------- I am applying for a building permit pursuant to the Owner Builder exemption set forth in Florida Statute, Section 483. 103. Florida law requires that I have been provided with the following DISCLOSURE STATEMENT: DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25, 000. 00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. If you sell Ur lease more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. --:=- ------------------------- P-to erty Owner Sworn to and subscribed hF.fnrE. mom+ this / 7� day FOR OF�/! SE ONLY Date..._._... 1........--19 -- dv Permit #------------------------Fee$...._.................. CITY OF ATLANTIC BEACH Valuation $.....'.Soo FLORIDA House # ....... •-------•-----------------------------------------------•--•---------------- APPLICATION FOR BUILDING PERMIT .--------•------------------------------------------------------------------ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date........oran—.28J---1g7b-------------------------------- 19---------... Owner----W-a er ---- l ............................................................ ..._ ------•------••...............•-•----••-.----..Address....3.14...�laZA--.---------•-•----------------Tel one No...2;R-J84 9.. .0 46— -1183 Architect.......rUte----------------..............................................................Address............................................................TenNo. ...................... ... ContractorBuilder---•---$141f-------------------------------------------.................Address----------------------------...............................Telephone No.---.-----.---.--•-••-------- Lot No----------_-_-7 _..Zone----_--•------ -•-••----••------•--------•--•--Block No-------------�-�............-Sub Division........................................••------•-••----••-•-----•-•--.-••--- FIA-Za..........................Street.....-south......Side Between--E•...C4aet---1Dlri' fA.....---_....and--------SEXY inOIALRd.................Sts- Valuation $....2.5.0@.0Q..........For what purpose will building be used....'re-siderce...........Type of construction---fr.a 1. _--_-.-_-.------ Dimensions o �.X--1$-- R�---Dimensions of Lot....5.Q.X.130-------......................Size of Footings...$..r10W!X-e d-"--- Size of Piers-----nor'-a--------------------Size of Sillt Sill's ............Greatest Sill Span in ft...........................Type Roof...bti�1t~Llp............. How will Building be Heated?-----ez # j.. S S @a1...................Will Building be on Solid or Filled Ground?-.------_Solid................ Size of Ceiling Joists------2--X--6............. Distance on Centers.............24!!-......................, Greatest Span........1,31_.......................... of Distance on Centers---------- --------------------------------- Greatest Span_._-................. ..Size of Floor Joists----•-•-----�.al;+-------------•-----•----, ---............._._.... Size of Rafters------_--------------- ---.-, Distance on Centers.... ------_----------, Greatest Span......................-------•-----..----•- „ This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W v 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. W W 6. When septic tank drain field or sewer is laid but before it is covered. A 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of theCity of A antic Beach. Signature of Builder Ad ess................. Signature of Owner.. .. _.:_ � .a . y OIL Q5.A , 7 1 4' �- ' �' `• tt I � lv ti N � I CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT I PERIAJ,t#N�MAT�Q L04A `10N INFORMATI(flN � Permit Number: 21858 Address: 314 PLAZA Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 f Class of Work: REPAIR Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: a Est. Value: Parcel Number: �INF �lIATION Improv. Cost: -�'`^�____ -- Date Issued: 5/01/2001 Name: JOSEPH AND JANET LAMBERT Total Fees: 25.00 Address: 314 PLAZA Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 _ Date Paid: 5/01/2001 _. ? one: (904)241-5273 Work Desc: DISCONNECT CONNECT ` TER CAN I TIC +iI F - EES BARKOSKIE ELECTRIC SERVICE P I _ 25.00 47 01 to5 f FINAL k :•' ,+,.. is •�� „r �` ";�, . NOTICE- INSPECTION TBE REQUES'T'ED AT LEAST 24 HOURS_ --TOR TO SPECTION _ BUILDING MATERIAL, ft4JBBISH Ai4bbl BRIS FROM THIS WORK MUST NOT B LACED IN BLIC SPACE,AND MUST BE CLEARED UP A HAULS AY Bl'EITHER CONTRACTOR OR NER _ �._ "FAILURE TO COMPLY'1ITH T 10 R LT IN THE PROPERTY OWNER PAYING(' tIC OR [ I IIIAP ISSUED ACCORDING TO APPROVED P H;*41RE�-?P�AAkT,4F IT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISION i f t•, r I — $25.0014 ATLAI �'IC B H BUILDING DEPT. Date: 5/01/01 01 Receipt: 0053374 CHECKS 10335 CITY OF ATLANTIC BEACH, FLORIDA ' Awre""y APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: HEREBY IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED TNB .FO.I !3 IN 1 W.E WHICH AREA PART HEREOF AFORM ND IN ACCO IN WITH THE NCE ELECTRICALARE ULA O�NSACODES AND CI 0f ATLANTIC BEACH ORDINANCES. BARROSKIE ELECTRIC SERVICE INC ELECTRICAL FIRM: MATTER ELECTRICIAN 21 JO IRNEYMAN NAME BLOO.SIZ! BITWINNI RES. APT.( 1 COMM.1 1 PUBLIC 1 1 INDUS.( 1 NEW( 1 OLD( f NEW. ADDITION( I TRAILER ( 1 TEMP.( 1 .SIGNS 1 ) Sly FTI SERVICES NEW 1 1 INCREASE 1 1 REPAIR( 1 CONDUCTOR SIZE SWITCH OR BREAKER 1ST RV SIZE AM O LT RACEWAY FEEDERS NO. SIZE NO. SIZE• NO. SIZE ., LIGHTING OUTLETS CONCEALED OPEN TOYAL. RECEPTACLES O.iO AMPS. CONCEALED OPEN TOTAL SWITCHED INCANDESCENT FLUORESGINT'IM M.V. PucsoAIDE APPLIANCEE BELL TRANSF: CONDITIONING OMP.MOTOR OTHERAM RATING AMPS CEIL HEATS KW-HEAT I y MOTORS H.P. VOLTAGE PNS NO. 1 N.P. VOLTAGE PNS 18 A / " Go o Lw eiv TRANSFORMERS UNDER 000 V OVER Goo V NO. KVA N0. KVA EACH SIGN NO,NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHE 17 FORWARDED S TOTAL FEES FOR OFFICE USE ONLY Date. ------ ...... ------195_. „! ----195.. IJ Permit # 41_Y J--------0_.!”---Fee $___. TOWN ---- TOWN OFATLANTIC BEACHValuation $---/ 670 dp4e .../----------------------------------------- FLORIDA House #-------------------------------------------------------- " - 4. ---------------------------- APPLICATION FOR BUILDING PERMIT --------------4 Zna ----------------- -------------------------------------------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the Town of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date-------------------------J4-------/,;p-------------------- Owner___.,R,F,4_,_YAM-----------4_1----- R_ A4 -------------------Address2&_/--- No.-17/ Architect_-------- ------------------Address 0---A?kllul---1-W1,M-14-----T414PRone No. ---- Contractor /V_0_,0A_Z---------Address---_----------------------------------------------------Telephone No.--..-_-__----._. ._. LotNo.-.-.-----7--------------------------------Block No.----1-.-A2----------------Sub Division.-----------------------------------------------------_-----------------_..Zone.-.------ -------- A _/ 5,A .......'-.--A, _ .'Z.'4. Street__J,9(, W----'Side Between--- ---44MXY%4�0,d-------Z!1:6Cl-------------------St,. ------------------- _'7 Valuation ----Yorwhat purpose will building be ;.used-,zl�i""-f - �- Type of construction ---------Dimensions of Lot----- ......Size of Footings.___'J---A' . 0--..-2_ ------- M* Dimensions of Buildin g---Ja Size of ---------------Size of Sills---.!A_l---------...-Greatest Sill Span in ft.-__-9_ ;-----_---..Type Roof... How will Building be Heated?---C_*,7,rfA4-----01A_#4C42'4ftl Building be on Solid or Filled Ground?--_-S__0X_Z'0a--------- Size of Ceiling Joists-._-_ ---------------Distance on Centers_-__-_.._. - ----------------------- Greatest Span-------1'e------------------------------ Size of Floor Joists-.-------- Distance on Centers---.-- -------------/-------_._.-, Greatest Span---------/P---------------------------- Size of Rafters------ ----------------------- Distance on Centers__....4 ----------------- ------ Greatest Span-------4'f---- ----------------------- " This ---------------------- This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE fld ' Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 4. When framing is completed. 0 E-4 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby -agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the Town of Atlantic Beach. - 22 1� ;4� 'e Signature of Builder ------------------ Address----- ------woe _4?'1W?----&�x Signature of Owner_ -- ------------ , -.......�4-------- Address------------------------------------------ 0=0 MAP SHOWING SURVEY OF AS RECORDED IN PLAT BOOK-ff—PAGE -OF PUBLIC RECORDS OF DUVAL CO., FLA. 3/ /04 PL RZ r9 _ 50 /50' ' 7_om � p/it. Leve/ ence lk N= 314 �?EGri�c._k Q._ilkNE 27,:.!924 TGI l3,eitV 4i /f MAP SHOWING SURVEY OF AS RECORDED IN PLAT BOOK—ff—PAGE 63 OF PUBLIC RECORDS OF DUVAL CO., FLA. FOR=.li1�25. f-t�C')p�CJ1trG�:C?D�QF THE 0 0 INC,amo-y2"LRotv # FnUNDxz,/ o/Y- w 1 Ali�p x Sc/// Leve/ r. N"0,71- f�esidence M ' V i N' 314 � Q� Q7 B• O a AM Ar. {� �.POJCT�pNCanc.Sd0010 V � ' 1v _W-10 -- t4 4P � A FOR OFFICE USE ONLY Date.q._.� ...............191? CITY OF ATLANTIC BEACH Permit .....Fee $........................ Valuation $.............. .. ... FLORIDA House #...3 APPLICATION FOR BUILDING PERMIT .................................... ........................................................................... ........................................................................... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlanflc Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Owner............. L Pt�, Date........C I--•--------------•-------•-----, -- 19........... ------------- --*----------------------------- ............................... Architect................ .......... ---------------------------------- Address.... -------_---------Telephone Contractor Builder....._.._ -----------------------------J-------Address,... ......................................................Telephone No............................. ------------- ------------------ 0 -----Address....(;I/Al.-I--- ...SYV�-N.5*elephone No.---- ................ Lot No................. --7•--•--------------•---".........Block No..----.....1._v......... ....Sub Division.......4- C 1_1?I-V;:,-/C. /-9' C ...........................................I...................Zone................. ------------- -----Street---.. �()6'/ 4_52.........and_................................ Side Between.....- /4 .1'a.. / a ..�C..........Sta. Valuation ........For what purpose will building be used... 0 zl,� .. ... ...Type of construction......_ -- ------- 17" '<.....3 "./ - 0 Dimensions of Building--...- - -----7...........Dimensions of Lot.. .., _.O :�5 -5 ....... ............Size of Footings_�.�..K./o Size of Piers..._--__........_... ........ ....Size of . ._.........Greatest Sill Span in ft..... .............Type Roof.... ------- How will Building be Heated...__ k T .'�e4r Size of Ceiling Joists ZX --------Will Building be on Solid or Filled GroundP..-__:5.'.0............................. ............ -------- Distance on Centers... .---. ;�-------------................ Greatest Span..._.��.4 -------- ------------- of Size of Floor Distance on Centers. - - ---------- ..............., Greatest Span... ................................... Size of Rafters ... ---- ----- - - - Distance on Centers - .... ................ Greatest Span................._..........___..__......... This rectangle is to represent the lot- APPROVECi Locate the building or buildings in the riht posion. istance in CITY G" rl'i;,,N TIC BEACH allglotlinedandGive existidng buildingsfeet. from Two copies of plans and specifications shall Two LOT LINE be submitted with application. C TP ') r' 1�83 Inspections required. 1. When steel is in place and ready to pour footing. r C, j,, Al� 2. When steel is in place and ready to pour columns*n Or lintel. Z Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksor.ville. M 8. Final inspection. co Note: In case of any rejection, re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work In accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signature of Builder................ Address...... .............. ............. .................. .............................. Address......... Sig-nature of Owner..... k