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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