Permit 319 Plaza (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Buifding-dej)tg,coqb.us
Application Number . . . . . 07-00000922 Date 6/27/07
Property Address . . . . . . 319 PLAZA
Application type description ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
------------------------------------------------- ---------------------------
Application desc
reroof
--------------------- ----------------------------------- --- -----------------
Owner Contractor
------------------------ ------------------------
ENNIS, THOMAS OWNER
319 PLAZA
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
---- ------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/24/07
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00 42 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
'j-
BuILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 Fax: (904)247-5845
Job Address: Permit Number:
:�f Z2
Legal Description gjE;5,71 02�
Valuation of Work(Replacement Cost) $ -Z
• Class of Work(Circle one): New Addition Alteration fe F)ail
Move
• Use of existing/proposed structure(s Circle one): Commerc Fes 1 e Tn ,
• If an existing structure, is a fire spriMer system installed?(Circle one): ire e on N/A
• Is approval of homeowner's association or other private entity required?(Circle one Yes
Describe in detail the type of work to be performed: . IA,&A4c
kyt-M J61 of Uoss 4 30 It 11A
Property Owner Information
N
St�
_15��
Zip
Contractor Information:
Name of Company: -A Qualif�ing Agent:
Address: city State Zip
Office Phone Job Site/Contact Number
State Certification/Registration Office Fax
Architect Name &Phone#
Engineer's Name &Phone#
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or
installation has commencedprior to the issuance ofapermit and that all workwill be performedto meet ihe standards ofall
h d n Th, e be e nu and id rk n menced hins, 6�
it
i is t com time er work
11
S,Pool
gu tr c s 1' if(6w onth 0 at any iet s,
�w tr s us* 'od sapb md t ned a p od 0 si Plu s ng, S.
t Z 4, igns,
s re n i n in t i j r's ct' r 0 or ri
g co's uct 0
onth c n n 0 or s s e or an
s p t rm ust cur f
or sd iond trh a e ara e I be e d or lec ric I or
0 uct w
comme ce un rst t ts m s
F urn s, oil rs, ters, T n s n r Con toll rs tc.
ace e ifea a k a d dit e , e
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
i hereby certify that I have read and examined this application and know the same to be true and correct. Allprovisions9f
laws and ordinances governing this ,ofwor�will be complied with whether specified herein or not. Thegrantin o a
X 1 11 �
,e to give au. .0�it
permit does not presun y to a raw
— . . Jolate or cancel the provisions -of any other federal, state�. or loc
regulating construction or the Performance of construction.
Signature of Property Owner', Signature of Contractor:
Sworn to and subscribed before me Sworn to and subscribed before me
this_Day of this—Day of
Notary Public: Notary Public:
REVISED 03.05.07
Special Information for Owner/Builders
DISCLOSURE STATEMENT for Section 499.103(7),Florida Statutes:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS.
YOU HAVE APPLIED FOR A PERMIT UNDER AN EXElt"TION TO THE LAW.
The exemption allows you as the owner of your property,to act as your own contractor even through you do not have
a licanse., You must supervise the constuction ymnelf You may build or improve a one-family or two-Runfly
residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less.
The building must be for your own us and occupancy.'It may not be built for sale or lease. Ifyou sell or lease more
than one building you have built yourselfwithin one(1)year after the constTwtion is complete,the law will presume
that you built it for sale or lease,which isa violation of this exemption. You may not hire an un-licensed Derson as
yLur contractor. Your consftuction must be done according to building codes and zoning regulations. It is your
responsibility to make sure that the people gMploved by you have licenses Maired.by law and by coj4p�or
municipal licensing ordinances.
In addition,the owner must supervise construction and becomes liable and responsible for the employees he/she hires. This
responsibility includes,but may not be limited to:
1. Workers Compensation,for workers injured on the j ob.
2. Social Security Tax must be deducted from employee's wages and matched with owner's Rinds.
3. Federal Withholding.
Since owners must be liable for iniuries to workers they hire,the Building Division suggests Workers Compensation
hisurance be purchased unless the homeowners insurance policy clearly protects the owner. Owners hiring workers.
become employers and should also observe IRS withholding tax Form 1099 reqairements on the workers they employ
on their improvement work.
Un-licensed contractors cannot be employed under gM circumstances. Owners are subject to a$5,000 penalty under
Florida Statute#455288(l)instigated via Building Division citations. An Occupational License is not adeguate. The
owner should physically see the county Certificate of Competency or the Florida Contractors Certificate to ascertain a
person is a licensed contractor- Telephone the building Division(247-5826)if in doubt.
I hereby acknowledge that I have read and understand all the above on this ;?-7 DayofET�4/<57
Owner Builder Sfdnat�re Address
e�, 40E-5- Z—
PriatMame Telephone Number
STATE OF FLORIDA--
COUNTY OF DUVAL
'Before me personally appeared to me well!mown to be the individual and
owner builder described in andwho executedthis instrument and severally acknowledgedthe executionthereofto be his own free
act and deed as such owner builder hereunto authorized.
WITNESS my hand and official seal this dayoZ_atAtlantic Bear-h.-County and State aforesaid.
NOTARY PUBLIC,STATE OF FLORIDA
PrintName:
VIISSION'EXPIRES:
N1Y COA&
Ej Personally Known
Ei Identification:
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CITY OF
800 SUVIINOLE ROAD
ATLANTIC BEACH. FLORIDA 32233-5445
FAX (904) 247-5805
4�1t� SUNCOM 852-5800
TELEPHONE (904) 247-5800
DATE
JEA Construction & Maintenance
2325 Emerson Street
Jacksonville, FL 32207
Attention: Connie
Re: Final Electrical Inspections
Dear Connie:
Final Inspections on the following locations have been completed and approved:
PERMIT NO. ADDRESS
912 2 Z --6 a eet-� 1,J,,J k
FL6-9--c
/,:57 S---2 3 3) q
Please call me at 904-247-5826 if you have any questions.
Sincerely,
ATLANTIC BEACH BUILDING DEPARTMENT
BUILDING AND ZONING INSPECTION DIVISION
CITY (W ATLANTIC BEACH
ATL--C.69AGN.Ptolff..%*&*.,
APPLICATION FOR MECHANICAL PERMIT
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CITY OF ATLANTIC BEACH
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DEPARTMENT OF BUILDING
C
ITY OF ATLANTIC BEACH
PERMIT INFORMATION ------ ------- LOCATION� INFORMATION
15582'
Permit Number ddress'. 3,19 rLAZA DRIVE
A
Permit TYPO!MECHANICAL
ATILAXTIC BEACH, FLORIDA 32 2 33
Class of work-ALTERATION ------ -- 3 i
LZOAL DESCRIPTION ---------- -
(Zonotr - Type:WOOD FRAME
Block: ' Lot : Twp: 0
Proposed Use'.SINGLt FAMILY Section:
Rng: 0
Dwellings :, Subdivision*
Est . Value:
Improv, Cost !
Totalire 62.00
Amount
62.0,0
Date
1,967
Work
Do
R1111,1-;Fwax I ANn ATR -
HFAT
ol
40,
APPLICATION r ES,
name
:Addil' 31-4- 62.00 IMUCH ,
FLORIDA 32,
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Name
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noRrDa 32233
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'NOTES:
A
NOTICE- INSPECTIONS, MUST BE REOUESTED AT LEAST 24 HOURS PRIO
R TO INSPECTION
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACE*(N PUBLIC SPACE AND MUS BE
T
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MEPMANICS' LtEN, LA
THE W CAN,A. ESULT IN
POPPERITY OWNEAPAYING TWId'IE FOR BUILDING IMPROV
EMENTS.
44ISUE0 ACCORDING TO AOPROvED PLA
NS WHICH ARE PARTOF THIS PERMIi'AND,SUBJECT TO,�REVOCA
VIOLATION OF APPLICABLEPROVISIONS OF LA FOR
W.
qt
7 81
gat#a
QZAP
FBN G
UILbI
_LEARED
�ATLANTIC 10"
D ARTMENT
?S�CH BUILD
By.
-.4
-1
CITY OF ATLANTIC BEACH, FLORIDA 75
Approved by APPLICATION FOR ELECTRICAL PERMIT
E:=
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:— 1997
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 IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: Ti CIAN SIGNl E
NAME- ADDRESS: 5T
—RFD_BoX
BLDG.SIZE
I BETWEEN:
RES. 0() APT. ( I COMM. PUBLIC INDUS. ( NEW( OLDJ�f REW.
ADDITION ) TRAILER ( TEMP. I ) SIGNS I ) SQ. FT.
SERVICE: NEW( ) INCREASE (y REPAIR FEE
CONDUCTOR SIZE 4— 0 AMPS ".
ALUM.
SWITCH OR BREAKER 2-00 AMPS PH '� w —25�2VOLT S&1�- RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE
4;L ENO SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN
TOTAL
RECEPTACLES — CONCEALED TOPEN TOTAL
0 30 AMPS.
SWITCHES 31-100 AMPS.
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
S
ANCES
APPLI-= BELL TRANSF.
AIR H.P. RATING HiP. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
4 7-6 10
MOTORS H.P. OVER
VOLTAGE PHS No. I H.P. VOLTAGE PHS
MIMLLANEOUS
-�F-k—z7 K.(-cyLc,4V�, 15� ye::z%a 1 4L
_A-