393 Plaza (vault) CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-6877
N',
1 91
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Address: 393 PLAZA DRIVE
Permit Number: 21567 L
V
Permit Type: REMODELING ATLANTIC BEACH, FL 32233
Class of Work: ADDITION Township: Range: Book: 5
Proposed Use: SINGLE FAMILY Lot(s):42 & 44 Block: 11 Section:
Square Feet: Subdivision: ATLANTIC BEACH "A"
Est.Value: Parcel Number:
Improv. Cost: 80,000.00
Date Issued: 3/23/2001 Name: BLA(;KMAN, SHIRLEY ANN
Total Fees: 725-00 Address: 393 PLAZA DRIVE
Amount Paid: 725.00 ATLANTIC BEACH, FL 32233
Date Paid: 3/2312001 Phone: 90
Work Desc: Add porch,flodda room, convert car ort to !garage, replace window
__J_WNx_A1i0_N FEE$
NU HOM RI A, INC. PERMIT 570.00
WATER IMPACT FEE 120.00
CROSS CONNECTION 35.00
21�7T-
ISLAB COVER UP FRAMING
FINAL
NOTICE- INSPECTION!51�UST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR Ofk OWNER
91FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING T"CE I f9R BUILDING IMPROVEEM ENTS"
ISSUED ACCORDING TO APPROVED PLANS VMICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATI N APPLICABLE PROVISIONS OF LAW.
AT�ANTIC SEACH BUILDING DEPT.
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address Iq Z/� 7-/O,-j
Date
Heated Square Footage "(q @ itleper sq f t = $
Garage/Shed @ $ per sq ft = $
Carport/Porch @ :�j A per sq f t = $
Deck per sq ft = $
Patio Pe r sq ft = $-
TOTAL VALUATION: $
C� $
Total 'Valuation 1 s t $ G
C r_i $
Remair�ing Value $ per thousand
9
0� portion thereof
TOTAL BUILDING FEE $ C
+ 1/2 Filing Fee $ 7
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE
--��;-WATER IMPACT FEE
SEWER IMPACT FEE
WATER METER/TAP
CAPITAL IMPROVEMENT
SEWER TAP $
) RADON (HRS) .0050 $
SECTION H PAVING $
HYDRAULIC SHARES $
CROSS CONNECTION $ -':9,s
) SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE $ �124--c
ADDITIONA'L PERMITS OR FEES: Mechanical Plumbing
Electric/New Electric/Temp_; SwimmingPool
Septic, Tank Well-; Sign Finish Floor Elevation
Survey� Other
CALCULATIONS and/or NOTES:
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address—'3 Iq Z- /7 E 11n.0 1111LPP1 770 A)
Date 2 f
Heated Square Footage $ Ler sq ft = $ 13\
Garage/Shed @ $ per sq ft = $
Carport/Porch per sq ft = $
Deck 4�pe r sq ft = $
Patio $_per sq ft = $7-
TOTAL VALUATION : s
$ 6
Total /Valuation 1st $ $
-7 (�, I ri 0 CD ./ ; 6
RemairAng Value $ per thousand
9
01 portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $ 7
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE s
WATER IMPACT FEE $
SEWER IMPACT FEE $ C)
WATER METE R/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
) RADON (HRS) .0050 $
SECTION H PAVING ( $
HYDRAULIC SHARES $
CROSS CONNECTION $
) SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE s 2.
ADDITIONAL PERMITS OR FEES: Mechanical—; Plumbing
Electric/New Electric/Temp_; SwimmingPool
Septic, Tank_; Well Sign Finish Floor Elevation
Survey ; Other-
CALCULATIONS and/or NOTES:
CITY or ALANTIC BZRCR
ROOFING PZRKIT APPLICILTION
owner(s) :
Address: -Phone:
Lot #_, Block or Unit # Subdivision:
Contractor: --VIC)(.) f �- 4
Address: q-�0 ,,C � b V13 Y- C -\ ,
City, State and Zi q C, -Phone 22- 6 CS
State License # C ()C2 C'
Describe work to be performed: Lc,S,
Valuation of Proposed Construction: 001 C"
Materials to be used: C"KA
Signature of Owner;
Signature of Contractor:
Liability Insurance Supplied
Workers Compensation insurance Supplied
License information
V94
pvl.
DEPARTMENT OF BUILDING
4TIb BEACH
CITY OF ATLAK
]POPAhTIOS
IN
9 D
3 PLAZA RIVE
k it 9794' AT LAN
m
rm TIC� SEAC
Ty e V� RE ROOF
ZOW D 0
cl ass, of, 40 k.- NEW
st r'. . Ty e'. WOOD :FRAXE: Lot
Oil
To ROO
roposed� V se SIwdLE ,FKY.(.,4TT)
1"TIC� BEACH-%
pode:, 0
e1l ing
$i3OO.00
titimated Valuel
SO
A lrhprov:�:� '40st '. .00
$22- 50
'T
otal'", s
' AM :$22 .50
fy�9�
Arg, 0400
1014%, FEES
TIO a 122.50
�1%771 161 jir
ER
w � V
01dre PLAZA- DRIVE4, rlkoac FEE, S 0 0 0
CH LOR
0
n 0059 TAP $0 .0,
RADOW GAIS-Ii.R.Is.
------- RADON C" tik $0 001 ,
T
$0.00
0
;S,t, "'OnCTION, $0�.00
$EACH, FL. 32233 CRO-8
,e --010 oo
s 0 SIC, IKPACT Fit
9, Type
CONST.SV`A(,:-1�AR0E 0
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QUA L
N ES;
�i$F.6.0,'rF.D:BEFOR]4,POtIAINIG
NOTICE:,—ALL CONCRETE:FO"MS AND FOOTINGS.MU RE,IN, ,
'OF SSUE
D --E I
PERMIT Vol SIX MONTHS AFTER OAT
ILDING MATERIAL, RUBBI,SHLANb E),F,$,AIS FROM THISWORK MUST N PUBLIC SPACE,,AND MUST BE
PTI
bTHFA CONTRACTOR 014 OWNER,,
REb URAND HAULEDAWAY BY , I
IN
COMP Y
E MECH LIeN LAW ^AN R
ILU
R:Eil,'O NiTH TH
PR
YINGTWICE
FORTHE CWQ�VEMENTS
OPERTY OWNER PA
IONfOR
SUED ACCOR UBj r',T To REVO'CATL
RoVF-O,PLANS WHICH ARE PART OF THIS PERMITAN
ING TO APP S
0' P A PLICA%t PROVISIONS'OF LAW.
OLATION
ENT 003D I.
ANTIC BEACH]BUILDING,�Q
L�311 0� 01 4*1 OW*4r
010
77� jp�ji 7P
- As*- -.,s-
Office of Building IY444-4
Official
QUEST FOR INSpECTIOIV
't
�d
5q ------- AM
P� Permit No.
A Dr I'V,�,
,.A,7—& Lo lity
Co RETE Contractor DOIVIA
Footing ELEC-rRICAL
Stab PLUA48ING
Rough Wiring
Lintel 7em MECHANICAL
P Pole Rough
C-3 Final 7op out 0 Air Cond. &
READY FOR S."'., Heating
Tues. INSPECTION Ui Fire Place
ide Wed. Thurs. Pre Fab
A�M� Friday
Final inspection
Certificat.of Occupancy
CITY OF
4&4a4c Be=4-4&"'
Office of Building Official ?
REQUEST FOR INSPECT 13
Date Perm
Time A.M.
Received
Job Address Localit
Owner's 1� -Gon1ractor
Name
MECHANICAL
JU:I L:D:l N G CONCRETE ELE- �UMBIN
FraR* Footing D R ith VWY;',' I><Rou 11 Air Cond. & 11
ng
0 �bp Out
o'
PXRW 0 Slab Fj VP Heating
InsVI toiP D Lintel 0 FiiV El Sewer 0 Fire Place El
Pre Fab
READY FOR INSPECTION
.M.
Mon. (T:ues) Wed. Thurs. Friday
Inspection Made A.M.
PM.
I nspector 2�;�471 Final Inspection E
Certificate of Occupancy E
e-Z Date
DEPARTMENT OF BUILDING C 0
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. Q 077
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date JMe 21, 19 85
1,674.40 15-00
Valuation Fee$ 15#00 T
This permit not valid until above fee has been paid to City Treasurer,and is IS00'r
YT I
subject to revocation for violation of applicable provisions of law. 6/21/85
6 A 77 VeGeA
This is to certify that EMM IZE WY
391 PLAZA 10001
has permission to build Screm Porch a-q I)pr :Dlan-z slivrrit-ted
Classification- residmtial Zone
Owned by &WIIA� Lee J10y
Lot 42-44 Block 11 S/DAtlantic Beach
House No.-- 391 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 10 4 01 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-
pf-6 wner.
Building Official.
FOR OFFICE PERMIT DATE
USE ONLY NUMBER CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
Owner Address � � / ?I_A5_A P1 Phone. �-�ri-
Architect Address Phone
Contractor Address Phone
License Number Expiration Date
Lot # y
A , q� Block # Subdivision �IC lf'�/'Z-o/"ning
Street Between and side
/ '5-t7(D
Valuation $- Purpose of Building5mrA/ 40fype Cons t.
Dimensions : Building Lot Sz .Footings kj )S17-Z,1�1�e
Sz.Piers ___Sz. Sills ----Greatest Span Sills
Sz. Ceiling Joists *�,Xf;, -Distance on Centers Greatest Span
Sz.Floor Joists Csfy1C, Distance on Centers Greatest Span
Sz. Rafters -Distance on Centers f4 Greatest Span
Heating Solid-Filled Ground Roof ��-o - 5;�
Flood Zone If located within a FLOOD HAZARD ZONE fill out
reverse of this application.
Inspections Required:
I. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns/lintel. APPROVED
3. When steel is in place and ready to pour beam. C!'Tv. (-1;F BEACH
4. When framing, mechanical , rough plumbing and fire place 0 1N G C,F,-;C E
is completed and ready to cover up.
5 . Rough electrical. JUH 2 11985
6. Final inspection.
In case of rejection, reinspection MUST be called
SEI
for after corrections are made. /PACKS
In consideration of permit given for doing Rear Lot Line
the work as described in the above statement . I
we hereby agree to perform said work in
accordance with the attached plans and rn
FJ-
specifications , which are a part hereof, and 0�
in accordance with the building regulations M
of the City of Atlantic Beach. L--4
0 0
rt rt
FJ-
M
Signature OWNER
Signature BUILDER
Front Lot Line
MECHANICAL PERMIT#
DDRESS PLUMBING PERMIT
BUILDING PERMIT WOR.KSHEET ELECTRIC PERMIT
TEMPORARY ELECT.
cated Square Footage @ $ per sq ft = $
arage/Shed @ $— per sq ft = $
arport $ Der sq ft = $
orcbes @ $ F. 6 per sq ft = $
�eck @ $ per sq ft = $
atio @ $ .....per sq ft = $
TOTAL VALUATION $
Zlt4g 6-- 00
_,e — s
otal Valuation Data ist $ 60
6 0 Q
6-j s
emainder Valuation @ $ 5-.60 per tbousand
or portion tbereof
TOTAL BUILDING FEE s
+ k FILING FEE $
FIREPLACE @15 . 00 $
TOTAL BUILDING PERMIT $
------------------------------------------------------------- -- ----------------
LUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
LECT. TEMPORARY $ ELECTRICAL PEF141T $
ATER METER SIZE $ ACCOUNT NUMBER
EWER IMPACT FEE $
&TER CONNECTION $ (@10. 00 p�er fixture unit)
PPROVED BY: TOTAL BUILDING/PLAN FILING FEE $
TOTAL WATER METER CHARGE $
TOTAL SEWER IMPACT FEES $
APPROVED
CJY Gc T�G BEACH TOTAL WATER CONNECTION CHARGE $
rLjj!,---)1-NG OFFiCS MISCELLANEOUS CHARGES $
4LIO
GRAND TOTAL DUE:
3V /V fL
—7
ws, ;� fAR )E LEF
IV
)IV
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,4"(4 30
P*6A
Y-4
Lj,
5 LAS
04�
i. ........
17) 7, 7
F ED)V 7- VIE
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lb
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