Permit 515 Sailfish (vault) FOR OFFICE USE ONLY
.......19,61
CITY OF ATLANTIC BEACH Permit ...Fee
Valuation $ ................
FLORIDA House
............................................................................
APPLICATION FOR BUILDING PERMIT
2-* ............................................................................
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 automEetically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlanfic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified. *�X75f
TIA .1
Date......................................--------------------------- 19............
W.
Owner---- -----Address------ -----------------------------------------------Telephone No---------------_-----_----
Architect.....................................................------------------------------------------Address------------------------------------------------------------Telephone No-----------_---------------
Contractor Builder.....................15"Axnr----------------------------------......Address............................................................Telephone No...._.........------------
Lot No---_---------------a..........................Block No----------�77...............Sub Division...... —--------.--.....-.Zone------
�'_o
V.Aetr&------------.............Side Between......................-------------------------_---and------------------------------_..............----Sts.
Valuation ...For what purpose will building be used_------------------------------------Type of construction-------------------------------------
Dimensions of Building--.*
tfo X
_6----------Dimensions of ---7X.Po---------------Size of Footings-------
Size of Piers.------____--------------------Size of Sills---------------_--------------Greatest Sill Span in ft...........................Type Roof__.A3_.u_cLT7._ur..__
How will Building be Heated?_7F-VVtNftr_M..6>Vgq—M1>)......Will Building be on Solid or Filled,Ground?--- .............
Size of Ceiling Joists---------�MV .......... Distance on Centers..................Z_ ..............., Greatest Span---------------------......................
Size of Floor Joists----------_------------------_-_---------- Distance on Centers............ ................................. Greatest Span---_--------............................
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.
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.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville. M
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 City of Atlantic Beach.
In x;VJC_)_ Address...............................................................................
Signature of Builder..4;ff.. ...................... I
Signatureof Owner.................................................................................. Address....................................................................................................
4k
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACE FLORIDA 32233
INSPECTION PHO14E LINE 247-5826
Al
Application Number . . . . . 04-(i 10028715 Date 7/21/04
Property Address . . . . . . 515 ;iSAILFISH DR
Tenant nbr, name . . . . . . WELL
Application description . . . WELL PERMIT
Property Zoning . . . . . . . TO t�E UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
BROWN, CALVIN H. WILLIAMS WELL DRILLING INC
515 SAILFISH DRIVE PO BOX 330-567
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-8489
-----------------------------------------------------------------------------
Permit WELL PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- --- ------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
PERMT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLA 4TIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
B ZLtMIFICIAL
CI Y OF ATLANTIC BEACH
WELL PERMIT APPLICATION
-Olt
Date:
Job Address:
Owner of Property: 6 6V
Owner's Telephone: S'/, ,(3- Y;tl, 5�
C�ntractor: / U-'11-114t�
Contractor's Address: �/Or
Telephone: Fax:
9rl-
Is well to be used for drinking purposes?
Any person, individual, corporation or other�entity receiving a permit as provided in
Section 22-40 of the Atlantic Beach Codejj and who plans to use water from the
permitted well for drinking purposes, must first obtain a bacteriological test report
from the State of Florida Health Department,'fumishing a certified copy thereof to the
building department of the City of Atlantic each. A certificate of occupancy will
not be issued until said report is on file wit i the building department.
> A reduced pressure zone backflow prevent-,r must be installed on the City water
service on the customer side of the meter. A certified tester must test the backflow
preventer and a copy of the results sent to Put I�lic Utilities.
Department Notes:
I agree to comply with regulations stated herein:
Date
800 Seminole Road e Atlantic Belch,Florida 32233-5445
Phone: (904)247-5800*Fax: (904)247-5845 httt)://www.ci.atlantic-beach.fl.us
Revised 6/25/04
Jun- 16-99 1:?: 14P P.01
CITTY OF ATZAIV�ZTC BEAM
APPLICATION FOR PJ�MWJNC PEMUT
JOB LOCATION:-
abl�� 64�
OWNER CF PROPERTY: "IFLEPHONE NO. -CD�165'
Mf--,R All P/)p (�P4 �,b,4 dQ
PLUMB-LNG CONTRACIC
CCNTRACTOR'S ADI)RESS :_'5�5t C�Y'0-20
STATE LICENSE NUMBER: r�,*442 0-c-7_1 ?_TELEPHONF,:._
HOW MANY OF THE FOLLOWING FIXrJRES INSTALLED
-SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS
DISHWASHERS
URINALS
___DISPOSALT S
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER
WATER
REPIPE
OTHER
TOTAL FIXTURES: x $3. 50 +1 $15 . 00
MINIMUM PERMIT FEE $25. 00
SIGNATURE OF OWNER:
SIGNATj'RE OF CONTRACTOR:__-�,,�.
------------------------------
IN ------- -------- -------------------
.6, STALLATION OF PLUMBING AND FIXTUREIS MUST BE IN ACCORDA14CE WjrrH
THE MOST RECENT EDITION OF THE SOUTH,I�RN STANDARD PLUMBING CODE .
CALL A DAY AHEAD TO SCHE-r"U"' E INSPECAONS - (904) 24-1-5826
SEWER CONNECTIO14S MUST BE CA-LLED INTP PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP (904) 247-583f
17
DRPARTMENT OF 8 JILDING
CITY OF ATLANTIC BEACH
------ LOIGATION INFQ91%ATI 3N
"Rill T I NF4R%A-TION
it k4abiw"r I Add7owat 515, SAILFISH -ORTIVIE
*it 'T'yo,-o ELE ,.T I L' T "An rc, AkAdO� FLORIDA 132,233
T
W6rU,s NEW,
ypet W > f9k JE Lot:
U*,e t;,. : I it",VAKILY Alto t 0,
'Posed
Subliviviowt
00.00
vprov
437.00
:Dot
rk T!, �� HEAT AND AIR
ToN f
TION APP 'AT
it PERN T�,
*37.Oc
-lk,, tff�,ACT FEE, (XI
xs� , DRIVE,
*0.
FLORIDA 3 1
w W10AC FEE
"A
*AV$14 ig
$4.H R
NATI�4ff ------- RADON ., AS, -5X
R
ft 'T'Ap *0
A
ma" WAT,t
SEVER, TAP-',
32233' wron '46� S�
NE�T Aidlij: JFLORIDA
'kisprCv, 'Fee 09 0
T
-Ypol
T
Fer,I , �AY
�J'
�N
NOTICE'�-ALIL CONC
ORM&ARD FOOTINGS Ml IST BE IN
P&MIT,VOID SIX MONTHS AFT ER DATE OF
M ILD!NG MATtAiAL,"Ruiasi�44 Af4b�besms FROM THIS WORK 10 J$T NOT BE PLACE I D IN PUBLIC SPACE,AND MUS T BE
EAREDN i -I � 1� -, 1-1, 1 . " I !" 1, 1 1 A
'UP A b�kAbLEDAWAY.15Y`tITHItR CONTRACTOR OR 01 VNER.
W�C A'N--
Top- , P VITH T E MECR N CS"LIEN 1A RESUL:
H
N
--P 0 PAYING TWICE f OKRUI di -P -OV E�N
E 14 00 , 1 R L 4�IM' �,'ll E,
�ILE&
I AOCORDINO TO AP�' WED,PLAN'$ WHICH ARE PART C P
THIS PERMI
TAND susic-0 FIA3EVOCATIO
F*PPLIC
LAT OF LAW.
LAT 40 14$� ,
00I
I'd*
N TIC StACHBOILDING ppPARTp,
4tNT,
47- 4
-iPJILDING AND ZONING KSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
M
CALL-IN NUMBER
APPLICATION FOR ECHANICAL PERMIT
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV.
LiTION Street Address:- 'Vy— '_<Az jo?
�4A
OF Intersecting Streets: Betwoon And
BU14IING
Sub-division
11. IDENTIFICATION — To be completed by all applicants,
i In consideration of�permit given for doing the work as described in the abovlq statement we hereby agree to perform said work in accordance
'�with the attacked plans and specifications which are a part hereof and in a C cordance with the City of Jacksonville ordinances and standards
iof good,.practice listed therein.
No of Mechanical Con raefors
C for (Print) Mal or
,on or (_'14 A& vpz/o
N44 of
-Pro+ty Owner dfgwv%-'�
Sign,lifuro of Owner Sign iture of
or!t!t!±!d Agent Arcl i foct or Engineer
111111. 'GENFAALIN!21!!�&
A, of hearing fuel: B. 00
IS OTHER CONSTRUCTION BEING DONE 011
Bectric THIS BUILDING OR SITE?
roes—C3 LP E3 Natural [3 Contra[Utility
IF YES. GIVE NUMBER OF CONSTRUCTION
on PERMIT
Otfwr — Specify
IV. jlill�CAL MUWMNW TO N ININALLM MATURE OF WORK'
complete list of compin �its go beck of this form) �U Residential or 11 Commercial
teal 0 PAW New Building
Heat 0 Space E3 R Con
AIrCoadMening. El Roof" control Existing Building
T
ct System: Me XL_ Replacement of existing System
Thicknous
El Now Installation(No system previously Installed)
mairimum Capacity ... c.f.m.
C3 Extension or add-on to existing system
Refrigeration Other — Specify
Cooling tower. Capacity
Fin sprinklers: Number coF h".
flovote, C3 Monlift 0 Escalloto THIS SPACI 001t OFF= UU ONLY
sowing pumps —(number)
To (number) offlarks
LM containers -(number)
Unfired pressure vossol
Permit Approved by Do%
CAW Specify I ormit
luir ALL EwnpmENT
Ant CONDITIONING AND REFRIGERATION EQUIPMENT
CqWty Approvift
XUMberUnfts D"CrIpUcift Model NUMbor Kaftufactuff (7101111111) ACMW
CITY OF
Olfice of Building Official
REQUEST FOR INSPECTICIN
Date 3 i
Time Permit N I,
Received A.M. P
PM.
rl\ -(_
Job Address S
Owner's
Name -b W
BUILDING CONCRET ELE
Hal_c_�� —PWR BING
R MECHANICAL
e Roofing 11 Slab Rough Wiring Rougt� 0 Air Cond. &
Insulation Ej Lintel Temp Pole El Top Got 0 Heating
D Final 1] Sewerl F-1 Fire Place
5G � EL�E
Mon. READY FOR INSPECTION Pre Fab
Wed. A.M.,/
Thurs. Friday 7mr,
Inspection Made �Z— 5r A.M.
Inspector RM.Final Pection 0
Certi#e of Occupancy Ej
at
Date
J,
7695 ,
DEPARTMENT OF 9 JILDING
CITY OF ATLANTIC 915ACH
PERMIT ------
LOCATIW -WORMATION ---
695
515 SAILFISH DRIVE .
e rr6i t T y p 6 t, BU,J�,U,',D I x 0
ATLANT1 C, SEACA, FLOR I DA �2233
ADD
---- L90AL DESCRIPTION ----------
rist r T L ion
ot : k
OP evi
JR#911Y
cide '0 Subdiv $1on: Royal Palms
Ks imated value
V. 'COS,
431'. so
x�qun
$3: . 50
"It De�
De
jen,roorn
pmq
TION
X
PERMIT, $31 . 501
r R IMP,
WA
ACT FEE $0 00 ,
L4,,: T
IDA 47,
12- 0,
01V
p If-w
c
RAD N -H,�R.S. so .00 �
$0.
RADON OA 50
4ATION S 6,
.00
'Name
AP4�TA V), 00
L, IMPROVE
P
SEWER tA
��$0.00 !
HYDRAIATC
Son 1 $0.001
0 scl
CROSS, colt" r rox
0
SEC fl: IM-pacT, FEE
140
01
bTjCE, ALL
J4 CONCAt-
te FORMS AND FOOTINGS ML BY Of 4NS
ISFORIE POURIN
7777
�ERMI'r VOID SIX,MONTHS AFTRDATE OF,1$$UE.
'61,NGMATERIAL,RUSSISHAND DEBRIS FROM THI$WORK MUST NOT SEPLACE01N PPj3LIQ,SPAQE.AND MUST BE
AAEDUPAND�HA
ULW AWA*:BV'e11'1THE.R CONTRACTOR OR OV NEA
Al`,� URET0,
COMPLY WITHL THE M9C,HA N'ICS' LIEN. LAW CAN, IN
pEA
TYOWNEAVAYING,TWICE,MR BUMIXING10"EN T
APPIRdVit) PLANS WHICH ARE,PART HI$ PERMI -0 REVO
0 T MAIND SUBJECT7 CATIOt4 FOR,
OF APkIPAB't SIONS
OF LAW.
-W ARXME T
*viltor. ct, Rit,
Date% 12/27193 00-R"iot 0019��-
Total flaywrit
CITY OF ATTAINTIC BEACH PMUq:j- CALCULnTIOjj sHEXT
Address --f f" -
f t- F/,s ( I F POKCt4
Date../42Q ? 3 1
Heated Square Footage $ er sq f t = $
Garage/Shed Der sq ft = $
Carport/Porch /"/:—'O__per sq f t = $
Deck per sq ft = $
Patio $ er sq ft = $
TOTAL VALUATION: s---Z 2 10 ,
Total Valuation Ist $ 1"rocj
930 , c� 0 cc)I $ J--
Remaining Value thousand
or portion t ereof
TOTAL BUILDI:G FEE $
+ 1/2 Filing Fee
(t) Fireplac I s @ $15.00 0
BUILDING PERRIT FEE
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/rAP
CAPITAL IMPR VEMENT
SEWER TAP
(14,5 ) RADON HRS) .0045 $
(/t,13) RADON CAB) .0005
SECTION H PA ING
HYDRAULIC SH RES
CROSS CONNEC ION
Q 4�3) SURCHA OE .0050
OTHER
GRAND TOTAL DUE 2 ( , s
ADDITIONAL PERMITS OR FEES: Mechanical Plumbing
Electric/New Electric/TemP
;SwimmingPool
�gw
I
Septic Tank Well_ Sign_LFinish Floor Elevation
Survey Other_
CALCULATIONS and/or NOTES:
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIO (S
owner(s)!, 0j oDCA
JOA0 , , 01, —�v
—I.. A-
Address : 515 Ga
(44 6C Phone: qO,4 - a_�!j J -n7
Lot # (2 Block or Unit # Subdivision: ewAAk
-�gM6/Contractor.; WmakELI
Address : —Phone No:
Describe work to be done: (,0-,LAkg&
sexte'vi ID Gvt�-(�A4
Present' use of bui 1 ding:
Valuation of Proposed Construction:_
Proposed use:
Is this an addition?
-- IJID If yes ,� what are the dimensions of
the added space : A/Aa ft . x OVAI ft . Will the added area
rT
be heated and cooled? New electrical (or ing_rease)? 11t3
-T-
New plumbing fixtures?AJO New fireplace?-AJO New Heat/AC?—(4.P
i I /
SUBMIT THREE COMPLETE SETS OF PLANS, fIVCLUDING SIT��JLAN, SU RVEY ,
NOTICE OF COMHEN(�EMENT, AND 6i4NE1R/-CONTRA`CTOR
AFFIDAVIT, IF OWNE TRACTOR.
R
Signature OWNET' ;EZ-T:;� Date:\ .).,-
Signature CONTRACTOR: Date :
OWNER BUILDER PERHIi AFFIDAVIT"
Stutcr of Florida
City col Atlantic Ba,acts
BEFORE ME, the und*rsignod out CrIty, Personally &Ppvorvd
--------- who upon Six"t boirs# duly
-------------------------- and the legal
owner of the 1011owInik propertys
Subdivision
Block -------
AKA
am applying for a building permit Pursuant .o ' %ho Owner
Builder exemption not forth In Florida Statute, Section 469. 1oo.
Florld4 law requires that Z .have been provided with ttow following
DISCLOSURC STATEMEUT&
DxScLOSURE STATE ENT
ztate low requires construction t be done by liewnevat
contractors. You have
applied or a permit under an
exemption to that law* The exem tion allows you, as
the owner of your property# 0 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 &oily residence 4r a
form outbuilding, You may Ulm build or Amprcove a
commercial building sit &- cost 0 025,000. 00 or less.
The building must be for your us and occupancy, it
way not be built for sale or 1 We It You moll or
looke, more then one building ;: have built yourself
within one year after the constru tion An complete# the
low will presume that you built t for sale or I&&*&,
which In S violation of thimi ionemption. Your
construction must be done acoarding to building codes
. and zonIng regulations, Xt AS Your responsibility to
make sure that POOP10 employed by you have licenses
required by state low and by county or municipal
licensing ordinances* I
I hereby acknowledge that I have read the above DISCLOSURE
STATEMENT and that 2 comply with &I& �the requirements for the
issuance of an Owner-bulld*r permit,
Further, offlant sayeth not.
Property Own*r
Sworn to and subscrSbod
before me this y
-- ----NIX!
FLA 1941 L^W*
nAUC0 FORM 4"
Id 41,
of armulnenrement
lava$
The undersigned hereby Inhwiv A concerned that Improvements will be moft to certain real
property. and In accordance VvI* Intlan 71&13 of the Florkis Statut*4 the following Information
is stated in this NOTICE OF COMMENCEMENT.
Demw0fien of Preperty—.— 92"-�4_1 0--,0,
..................
....................r......... ....... ..............................
...... I.......... .......................................................... ................
CWwal dsur0fien of rmqp-m-
..... ...... ........... ................
......... ............................................................................. .............. ..........
q I ......................... ...................................................................
Ownw.
L...............................i.......................................................... ......................................
ownsr�s IWO so in I" of Ow W*r
.............
I" Uv#Ie rAs h@WW Of elher *A*"W")
............................. ............................
.............. ........................................................
........................................... ...................
.............
A" (9
.......... ..... ......
&nty of
——---------—--------
A A.L--
of bow ..................
per"a W" do a" of RM& d--is by "M Wh" R or edw iecoma WWY
be om*A
..................................
In"Mition So hkv"Wf.0WW
as Pf*vkf@d In Section 713.13 1) Pawn tO rft*W 4 COPY Of the Lionoes Notice
(101, FWW*Sts4u"& (pill In st Owner's option).
None
...................... ..................
......................
to ......... ..........................
"No OPMW#POO assesew
*r
IT. 13 i13 e—'5
Of -AIAIAO'
Al 41 F 4F —w
5.
14-
rx�
N
41
11-91
'14
I.A.
40 IV<':
')t x
*-77
40
Z4
2 5
4'CA111,rAt Fpwza Z'
Y.
;t
qth
kJ
ME Al
I-OR 4PRA 1AIA e7-,=- Z17-Y Z-171,65
NOTE: The location of the building, the finished Miles and
elevations of all improvements are in substantial agreement
with the approved plans and specifications and adequately
accomplish the objectives of the VA minimum property
requirements.
I HEREBY CERTIFY THAT I HAVK SURVEYED THK LAND$ AS SHOWN IN THS ADOVK CAPTION
AND THEM ARK M KNCROACHMKNT91 AS fM40K'1V- H. A. DUADEN & ASSOCIATES, INC.
928 — 7TH AVE. SOUTH
JACKSONVILLE BEACH. FLA.
SIGNP-0— M-'A ig 73
SCALE:—
REGI STEREO SURVEYOR NO. 1674 FLA.
ORDER NO.
00 APPROVED
CIly OF
:all
r, 7
and
p4 i
7 L) D�
------------
APPROVED
FACIi
NO, CITY OF ATLANTIC "' '
BUILD)Nrl OPFICE
C 2 ' 1993
I�e,G 7 IF
17 10 2 7 1993
Building and Zoning
CITY OF
Beal:A
Of[�ice of Building Official
REQU ST FOR INSPECTION
Date
Time Permit No.
Received A.M.
A 1.
Job Address
Locality
Owner's
Name : -Contractor
BUILDING CONCRETE ELECTRICAL
Framing Ej F] PLUMB MECHANICAL
Footing Rough Wiring j Rough El Air Cond. &
Re Roofing El Slab J�
TemP Pole F1 Top Out E! Heating
insulation 0 Lintel L, Final 0 Sewer I><Rre Place El
READY FOR INSPECTION -K(e Fab
Mon. Tues. Wed. Thurs. (:Frday
Inspectic, A.M.
PM.
Inspector Final Inspection F-,
Certificate of Occupancy o,
Date