Permit 785 Plaza (vault) CITY OF
Office of Building Official
Date —/�_ OR INSPECTION
Time
Received / P.r
s�� A•M. Permit No.
�lCt �- District No.
Job Address
Owners
Name
BUILDING Locality
Framing ❑ CONCRETE ContractorVL
Re Roofing ❑ Footing ❑ ELECTRICAL C—
Slab L7 Rough Wiring 0 PLUMBING
Lintel Temp Pole �, Rough MECHANICAL
Top Out Air.Cond.g
Mon. Heating
Tues. READY FOR INSPECTION Fire Place 0
Inspection Made 2 ed. Thurs. Friday—Pre Fab
Inspector
P.M.
Final Inspection
Certificate of Occupancy
Date
ce Q BUILDING AND ZONING INSPECTION DIVISION c
_i Z CITY OF ATLANTIC BEACH, FLORIDA z 4W
_ 0- ELECTRICAL PERMIT a
Date b/b/moi Fee E 20.00 Permit No. 4945 3
O
J
Lu
Location 785 nWA St'
cc
Between and _ Q
This is to certify that a
R A R Elcytric Robert Salett* O E
(Electrical Contractor) (Master Electrician)
has permission to install Electrical Construction as described herein in Of W a
accordance with the provisions of the Electrical Code and regulations U °c
of the City of Jacksonville, and subject to the information shown on the Lu 0
application, drawings and specifications which are made a part of this 3
permit. ;n
for Wtltro3
V
LU
Type of work: x st itl�-moi*dollti;dAlr CoAd on n
SERVICE: Ex3St. SOW. Site 15rrz, 1pk3w, 11S/230V011 a
>
a u
--__ N
Feeders: "'
-- --- 1
Outlets: O
U
Receptacles: m
Switches: H
Incandescent: _
Fluorescent:
Appliances:
Air Conditioning:
Motors:
Transformers:
Signs:
Miscellaneous:
IF NO WORK IS DONE UNDER
THIS PERMIT DURING ANY SIX ISSUED BY:
!` MONTHS PERIOD, PERMIT Electrical Inspection Supervisor
BECOMES VOID.
CITY OF ATLANTIC BEACH, FLORIDA
Approvod by APPLICATION FOR ELECTRICAL. PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19
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 WI H THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
P, & P, Electric Co. (44S
ELECTRICAL FIRM MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
NAME De Pietro ADDRESS: 785 Plaza St. RFD BOX
BLDG.SIZE BETWEEN:
RES.(� APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD 1 REW. 1, 1
ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SO. FT.
SERVICE: NEW ( 1 INCREASE ( ) REPAIR ( 1 FEE
CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( 1
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE I-S-U AMPS PH W /4' 3VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES _ CONCEALED OPEN TOTAL
0.80 AMPS. 31-100 AMPS,
SWITCHES
INCANDESCENT _
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TR NSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS N.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
t � J
1�
DEPARTMENT OF BUILDING 3429
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 6/30 19
J Valuation$ 275.00 Fee $ LI/C
This permit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of Lw.
This is to certify that
i
has permission to build a f rLmt
Classification residential Zone
Owned by Jams M. D i P i etr0
Lot Blocic S/D
House No. 785 2 1 aaa
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIR MONTHS
fff ,I AFTER DATE OF ISSUE
0 Building material, rubbish and debris
--� Z from this work must not be placed in
r public space, and must be cleared up
and hauled away by either contractor
s or owner.
R. C Vogel
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
i
SEWER
WATER
FOR OFFICE USE ONLY
SZ4!��,... -7 7
Date------- .....19
Permit #------------------- Fee$•.-j',!l
;5. ........*...
CITY OF ATLANTIC BEACH Valuation $_--7...... ......................
FLORIDAHouse #7...................................................
AP-PROVED
----------------CAT-Y---OF-ATIANT40.-KAG14............
APPLICATION FOR BUILDING PERMIT BUILDING OFFICE ................
-----------------------------------------------------------
1977
-------------------- .................................
Application is hereby made for the approval of the detailed statement of the plans and specif* tions herewith submitted for the
building or other structure described. This application is made in compliance and conform- tance 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 submitte o this office so that licenses can
be verified.
Date.............. . ....... ---------_----------------- 0.....
-------- ..
L ..
---—--- ..........Telephone Nov. ........9;.
Owner_ -----------
Archlj� ...................----------------------------.........................................Address,...........................................................Telephone No-----------------------------
Contractor Builden. --.......Address------...-•---•---•------•.................................Telephone No.------- ---------------
--------------------------------------- .....................
LotNo.-------•-----------------------------------------Block No.--------------- - ---........Sub Division---............................................................................Zone.................
---------------_--------Street-- --- -------------:Side Between and------------------------------------------------------Sts.
Q----For what purpose will building be us�v�_._kir_'_kType of construction--------------------------------------
Valuation...$-, 2 -------------YA-------------------------
Dimensions of Building--------------------------.-----------Dimensions of Lot- .--.----.-.--------__------..................._...Size of Footings--------------------------------------
Size of Piers---------------_-_---------------Size of Sills-------------------------------Greatest Sill Span in ft.-------.-.--------_... Type Roof--------------------------------------
How will Building be Heated?---- ---------------------------------------------------------Will Building be on Solid or Filled Ground?.....--._._..........._.................
Size of Ceiling Joists----------------------------------------- Distance on Centers............................................. Greatest Span--------------------------------------------
Size of Floor Joists----------------------------------------------- Distance on Centers--_...._.. ................................. Greatest Span.-_--------..-.--_-._.----.--------------- "
Size
pan-----------------_-----------------------
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
5W /f
all lot-lines and existing buildings.
4OL5 e REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application. y ____
Inspections required.
1. When steel is in place and ready to pour footing.
Z Z
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.
E4 E-4
4. When framing is completed. 2 3
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. L+J
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 sp4eeificati ns, which are a part hereof, and in accordance with the building
gulations of the Cityl� Atlantic Bea h
1cLSignature of Builder- ----------------------------
Address..........Z.-I ---- -----------
...................... ...........
Signature of Owne ....... ddress........ .................................
16
"A4
SNS IDE'
'70 �' __-�
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DEPARTMENT OF BUILDING FOR OFFICE USE ONLY
CITY OF ATLANTIC BEACH, FLORIDA
Permit # Date lg
----- ---
Application-for-Permit —_____. Fee
Valuation $
$ —""
for Misc. Alterations/ House # 0 /111
and Repairs 1
DESCRIBE: I_
(state if to repair, alter, add to or move building, erect awnings
or signs, etc. )
Building one Lot No. Blk No. Sub.Div.
Address Valuation $
Owner's Name
BUILDINGS & OCCUPANCY
Building Use - Residential or Business
What Plumbing work to be done?
Size of Present Bldg. Size of Extension
Lot size Material of Roof
No. of stories now after altered
Material of Present Building Material of Extension
PLANS MUST BE SUBMITTED HEREWITH
SIGNS
Size Classification
(state whether ground roof,
roof, wall, projecting
Material of Construction bann
Illuminated? Type of illumination
Will sign be over public property? (State whether lamps or neon)
SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING
WRITE ADDITIONAL INFORMATION BELOW
(For canvas awnings provide dimensioned drawing on reserve side)
IMPORTANT NOTICE:
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, whidz are a
part hereof, and in accordance with the building regulations of the
City of Atlantic Beach. $outhe Standard Building Code)
Signature of Bui der or 0 nedi ,
Address 1 A AP one
F
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.
- 6788
PERMIT TO BUILD 46#00 T
THIS PERMIT MUST BE POSTED ON JOB 44900W
Jme 4, / 111 6/154/8 5
Date 1 ;7 *00CAC
Valuation$ 'rp aril coal Fee$ 46-DO I P ` C/04/8
i G11,
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that OC:EMSME HEATING £Y Alit DO MIn( iiG
has permission tcpdmild TMZMATT. TEAT & AIR
Classification PN SIDEIII7AL Zone
Owned by DiPietro
Lot Block S/D
House No. 785 PiA7.A
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
/ 0. O Building material, rubbish and debris
� from this work must not be placed
in public space, and must be cleared
u and hauled away by either con-
trac r caner.
Building Official.
FOR OFFICE PERMIT DATE
USE ONLY NUMBER CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
I
s B�i4LDING AND ZONING` INSPECTION DIVISION
CITY OF ATLANTIC BEACH
._ ATLANTIC BEACH, FLORIDA 32233.
.n APPLICATION FOR MECHANICAL PERMIT - CALL-IN NUMBER
" IMPORTANT — %applicant fo complete all items in sections l; II, Ill, and IV-
7 j` 4 5 :Street Address: ;
.IrAC+�ITION
R-� Intersecting Streets: Between And
_ r%Sub-division
11. FICATION -- To be completed by all``applicants .
(n a
oration of:permit.'given.for ooing'the work.as described in`ihe above—stotement we tereby'agree to;perform"said work m accordance
Twit( attaelLad'plans and specifications which area part hereof,"and in accordance with,the_City of Jacksonville ordjnances_aad_standards
o ;gwa praetiee-listed therein. —__
tiase�efrlr(ithaniul Contractors
Ciiiiiadet:,(Mat) _ M
Master rn" + 2`t
9 ```.t °y + 4of�Orrur
Y signature of
ar�rtlroRed Agent Architect or Engineer
s -
�It `GiBA1 INfO N
+� IS OTHER CONSTRUCTION BEING DONE ON �, y,,
THIS BUILDING OR SITE? A)D
a t: -amt ❑ LP ❑ Natural ❑ Contras Utility
'A
IF YES, GIVE NUMBER OF-CONSTRUCTION
LY. PERMIT
A � r
IV ##Cf IIN110AL'E�QUIPMfNT TO REINSTALLED NATURE OF WORK
At, templeto list'of Com *rots on back of this form �,/
Po+� [ ) DCJ Residential or ❑ Commercial
Nat ❑ Space' ❑ Rocosied �►] Control O, F1oer> ✓(]` New Building
ir►srCnirdrtanmg ❑ Roomr Control ' j ?, Existing Building
;Q�;�sset Systren:
Material
Threk ❑ Replacement of existing system — -
�/
New installation'(No system previously instatled�
Maximum Cape
cify -- —
u (] Extension or add-on to existing system
❑ Other — Specify
Y`C001fseg toyer: Capacity _.�_-- 9 p-^
}.0+1',yfiw*sprinkl•n: Nurn6or of headL--
❑ Elevator tM trifift ❑. Escalator (number)
THIS SPACE FOR OFFICE USE ONLY
�.._ pumpr_. (number) _
(RauFwd)
(number) Remarks ---- --- -- --
❑ LAG corrtai (number)
❑ " URfwid pressuro vessel
Permit A proved by pat•
ti
a
> — Specify Permit Fee
v. -
L�BI' .-EQWMENT
A=C0Wn0NING'AND REFRIGERATION EQUIPMENT'
1. Capscity A
bfruau. DwrlpUon Model Number pprovftig
Manufacturer (Z'bna) -
11118* ';FURNACES BOILERS, FIREPLACES
1 51 M
pe t,71 4140.OiF ! n
vX�p►NG
t)v ME ? E c F�oR�DA
of A,TLANULD
G�TY ON JOB
PERM1�StO 0 ?0 ,9 11
TN15 PERMIT MUr
Date 2Q.
IV6�Tr Fee
'.►>i" and is
'f teasutei,
VLU
citY
been Qasb\ e p d .sions o4\aw
VG
V aluation$ hove 4ee has zov
\ica
This pettnu°°c°Tevaatlon 40[vio\a�iOn° v
subjec
This is
to cettif y that S��
to Z°ne
has Permission
e5i SID
Y ,1e�0
�ficatjp° BXOC S
Class M
ued y CRETE FOR,T`�
�' it CON T BE
O of jb5 Yom"' ich ate part of this pet NODCFOOTFONLL RE P vRO TKS
K toed plans
w AN CTED BE M vE
�\ Dose N°� E
to app Sp PE AFTER DD OF ISSASE aebxis
A��otdtng ari laced
� xribb�sh
ri1aterial, rist not be pleaxed
Briild�jis work aria by ether cot►.
-�
from
i
IPO'
bi'c s°lea away
rip ana or owner
. act p4ficial.
guildinB
GONTRAGTOR
°ATE
OFF�GE
NUMBER
FOSE ONLY
PI_UMB,NG
E`EGTR,GpI.
SEWER ....f
W
CITY OF ATLANTIC BEACH -70 -7
APPLICATION FOR PLUMBING PERMIT
DATE
NEW TYPE OF BUILDING
OWNER'S NAME
g S (A-Z,4V REPIPE RESIDENTIAL
LOCATION ADDITION COMMERCIAL
PLUMBING FIRM %LA�/rC CCgS� O/urrc(�i.�y C'a vla. ADDRESS —.?C)q N 3 r'
d s ; �gx 3�h
MASTER PLUMBER A R/V O L D _ g E Ai N E T-T- 2-4ct S 3
please print
CITY/COUNTY OCCUPATIONAL LICENSE NO.
STATE CERTIFICATE NO. C F<: A z 1 J Z
BUILDER OR CONTRACTOR
-------------------------------------
--------------------------------------------------------
SINKS LAVATORY BATH TUBS URINALS FLOOR DRAINS
CLOSETS SHOWERS / WATER HEATERS DISHWASHERS DISPOSALS
WASHING MACHINE OTHER TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST
BE IN ACCORDANCE WITH THE MOST RECENT EDITION
OF THE SOUTHERN STANDARD PLUMBING CODE. SIGNATURE OF MASTER PLUMBER
FIXTURE UNIT BREAKDOWN
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT
INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT
TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. SEC. 27-3 (c)
BATHROOM GROUP CONSISTING OF BATHTUB (W/OR W/O OVER SHOWER STALL,
WATER CLOSET, LAVATORY & BATH HEAD SHOWER) (2 UNITS) DOMESTIC (2 UN
TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY
COMBINATION SINK & TRAY (2 UNITS)
(3 UNITS) DENTAL LAVATORY
COMBINATION SINK & TRAY W/ (1 UNIT) KITCHEN SINK
(2 UNITS)
FOOD DIS. (4 UNITS) DENTAL UNIT OR CUSPI-
DOR (1 UNIT) KITCHEN SINK ti
DRINKING FOUNTAIN (2 UNIT) DISHWASHER (2 UNITS) WASTE GRINDER
FLOOR DRAINS (1 UNIT) LAVATORY (1 UNIT) LAVATORY, BARE
LAVATORY, SURGEONS (2 UNITS) SHOWERS GROUP PER HEAD BEAUTY PARLOR
SURGEONS SINK (3 UNITS) (3 UNITS) (2 UNITS)
FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP POT, SCULLERY
URINAL, PEDESTAL, SYPHON JET
STAND (3 UNITS) SINK (4 UNITS)
BLOWOUT (8 UNITS) URINAL, WALL LIP URINAL STALL,
URINAL TROUGH EACH 2'
(4 UNITS) WASHOUT (4 UNI
SECTION (2 UNITS) WASHING MACHINE RES. WASH SINK EA
(3 UNITS) OF FAUCETS
WATER CLOSETS, TANK— WATER CLOSETS, VALVE (2 UNITS)
OPERATED (4 UNITS) OPERATED (8 UNITS)
TOTAL FIXTURE UNITS
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ADDRESS NECHANICAL PERMIT# '
PLUMBING PERMIT
BUILDING PERMIT WORKSHEET ELECTRIC PERMIT
Heated Square Footage S TEMPORARY ELECT.
--- @ $
_per sq ft = $
Garage/Shed @ $ __mer sq ft = $
Carport @ $ per sq ft = $
Porches
@ $ per sq ft = $
Deck
@ $ per sq ft = $
Patio
@ $ per sq ft = $
TOTAL VALUATION $ ,
6?( , /�O ,°�' � �1 0a
Total Valuation Data lst
/ / G, �d 3000
Remainder Valuation @ $ -�? C1P
er thousand
or portion thereof
TOTAL BUILDING FEE $
00
+ 2 FILING FEE $
FIREPLACE @15 . 00 $
TOTAL BUILDING PERMIT $
r
--------------------- ------------------- ------ ---------------- -------------------
PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
ELECT. TEMPORARY $ ELECTRICAL PERMIT
MATER METER SIZE $
$ ACCOUNT NUMBER
SEWER IMPACT FEE $
4ATER CONNECTION $ (@10. 00 per fixture unit)
APPROVED BY: TOTAL BUILDING/PLAN FILING FEE $
TOTAL WATER METER CHARGE $
APPROVED TOTAL SEWER IMPACT FEES $
Cil `, 1Ci1
TOTAL WATER CONNECTION CHARGE
.✓, MISCELLANEOUS CHARGES $
By - GRAND TOTAL DUE: $_ �
f CITY OF ATLANTIC BEACH
IJ 800 SEMINOLE ROAD
-;) ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-dept@c0ab.US
Application Number . . . . . 07-00001451 Date 10/23/07
Property Address . . . . . . 785 PLAZA
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2500
--- --------------------------------------------------------
Application desc
INSTALL 6 ' FENCE REAR/ 4 ' FENCE FRONT
-------------------------------------------------------------
Owner Contractor
-----------------------
------------------------
-
DIPIETRO, JAMES M. OWNER
785 PLAZA
ATLANTIC BEACH FL 32233
------------ ----------------------------------------------------------------
Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 .00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/20/08
----------------------------------------------------------------------------
Special Notes and Comments
*ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY
CONSTRUCTED.
*SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED.
PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL
INSPECTION.
*EMAIL INSPECTION REQUESTS TO BUILDING-DEPTQCOAB.US
Avoid damage to underground water/sewer utilities. Verify
vertical and horizontal location of utilities. Hand dig if
necessary. If field coordination is needed, call 247-5834 .
Fence must be easily removable where installed in drainage
and utility easement. (No posts set in concrete. )
----------------------------------------------------------------------------
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i
CITY OF ATLANTIC BEACH PERMIT
'• sJ �EJ�EI�ING / Z G DEPARTMENT
F
PI_ICATIoav#
800 Seminole Road t
�r � 1��
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
APPLICATION TRACKING FORM
R DEPT:
N Y
Q � ) N
BUILDING
Property Address: u W �
F- N PUBLIC WORKS
Appuca�nt. 0 Y PUBLIC UTILITIES
�� � Y FIRE DEPT.
Projects Y N PUBLIC SAFETY
L9 APPROVAL
REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE:
LU Y N D.E.P HUFSTETLER
S.J,R.W.M. CARPER
Cr
� Y N
UJ
Y N ARMY CORPS of ENG CARPER
O Y N HOTELS&RESAURANTS HUFSTETLER
APPLICATION STATUS
CIRCLE ONE: SITE BUILDING DA AP IEWED BY: IN DATE:
JOC=1 REV
P NTNG
® ® 2ND REV
ING
PUBLIC WORKS
PUBLIC UTILITIES
FIRE DEPT.
PUBLIC SAFETY ® 3RD REV
Return this forma to the Building Department once you have entered your comments mato the AS400.
r, CITY OF ATLANTIC BEACH 07
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(9(A)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
7k S MZT� 3
Atlantic Beach, FL 3223
❑NEW BUILDING ❑DEMOLITION Z MIDENTIAL
LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL I�
❑ALTERATION ❑ACCESSORY BLDG.
ffi
❑REPAIR ❑POOL/SPA ❑YES ❑N/A
V ❑MOVE ❑OTHER ❑NO
i .
Q� 15.COMPANY NAME: 23.COMPANY NAME:
9.NAME: ^ MFS M•'f' �
f T 16.NAME: 24.LICENSEE NAME:
fll �IC��
1�0-A
ADDRESS:
17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
p 5 �� 18.ADDRESS: 26.ADDRESS:
11.09OMPHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
13.r.Ekti'M01W �Q� A
21.CELL PHONE: 29.CELL PHONE:
14. IL ADDRESS: 7 I 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS:
34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Wells,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
222 WARNING TO OWNER: 222
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
7afflC��
Date 7 G rSigned: Date:
day of2007 in the countyof Before me this day of 2007 in the county of
Florida,has personally appearedDuval,State of Florida,has personally appeared
i -Di 0iCAf1)
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. true and accurate.
s ,f
Notary Public at Large,State of County of v Notary Public at Large,State of County of
❑Personally Known ❑Personally Known
URtoduced Identification- ❑Produced Identification-
Notary Signature: Notary Signature:
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NOUry PW*•81110 of raw
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MAP SHOWING SURVEY OF
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AS R=CO*DED`M ML.AT AOOK�Act;�- -=OF rUgLlC RECORDS OF DUVAL CO-- FLA.
FOR
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CITY OF ATLANTIC BEACH PERMIT
BUILDING /ZONING DEPARTMENT APPIICATiO�Nj#
800 Seminole Road !�.
3•=•. A:'.. Atlantic Beach,Florida 32233
`'—JiiS�%" (904)247-5W
(904)247-5845 Fax
www.coeb.us 1
APPLICATION TRACKING FO : 2 ®�
RF ! DEPT:
nn Y,4W PLANNING
Property Adm: P U�r� z N BUILDING
.�{ = N PUBLIC NtORKS
Applicant: j t I 0 Y
Y FIRE DEPT.
Project: Y N PUBLIC SAFETY
Pu -APPROVAL
15 C3 REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE
uJY N D.E.P HUFSTE LER
d Y N S.J.P W.K CARPER
Y N ARMY CORPS of ENG CARPER
O Y N HOTELS$RESAURANTS HUFS'TETLER
APPLICATION STATUS
CIRCLE ONE JITR BUILDING DA M REVIEWED BY: MAL: J DATE:
❑ IST REv...,J ❑
PLANNING �y ❑ 2ND REV ® ❑ 1 1
BUILDING L�
PUB WO S
L ES
FIRE DEPT.
PUBLIC SAFETY ❑ ❑ 3RD REV ❑ ❑
Return this form to the Building,Department once you have entered your comments into the AS400.
Public Utilities—Distribution & Collection
Initials:
Date: /0.�- '
Application/Permit#:
Project Name/Address:
Check Box
To add
ppkcation Tracking Comments Comment
Avoid damage to underground water/sewer utilities. Verify vertical and horizontal
location of utilities. Hand dig if necessary. If field coordination is needed, call 247-
5834.
rthe
l meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑
cleanout must be installed at the property line. Cleanout must be covered with ❑
oncrete box with metal lid. Cleanout to be set to grade and visible.
d pressure zone backflow preventer must be installed if irrigation will be
or if there is a private well on the property. Backflow preventer must be tested ❑
ified tester and a copy of the results sent to Public Utilities.
te the building will be unsprinkled. If plans change, any fire lineinstalled must
red with a Sensus touch-read meter in a properly
t be tested by and an a certified testertand ❑
backflow preventer installed. Backflow preventer m Y
a copy of the results sent to Public Utilities.
If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow ❑
requirements. At a minimum,will require double check backflow preventer.
r
lines must be metered with a Sensus touch-read meter. Meters larger than 2" must ❑
stalled in a vault as noted in JEA specifications.
❑
❑
❑
❑
❑
F:\PIanReviewComments-PU.doc
i a
8 '
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 07-t' I I I I
t OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPTOCOAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
1 JOBADDRESS .,,,ri;,'..I� °2,VAWATIONOFWORK,.,=i.,,: 3,S,Q.FT,UNDERRQOF.,
7 S^ e-772 Atlantic Beach, FL 32233
. ' 6.USE O STRUCTUREQOWu'
❑NEW BUILDING ❑DEMOLITION ZHMIDENTIAL
LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
`J C�ESGRiT1QN QF„WORK,., ',.;,, „ ,p4, p Y”p ❑ALTERATION ❑ACCESSORY BLDG. 8 F1R£fSpRINKLER? ',t,'"
❑REPAIR ❑POOL/SPA ❑YES ❑N/A
v ❑MOVE ❑OTHER ❑NO
CONTRACTOR. . ..a td ="r. ,,e;'ARCHITECTrIENGINEER
g NAM QM M A, a . 15.COMPANY NAME: 23.COMPANY NAME:
I C I lJ ► 16.NAME: 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
*.5-
. 18.ADDRESS: 26.ADDRESS:
11.Of.GI1111116PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
13,CEI=L-P/qpIqr 21.CELL PHONE: 29.CELL PHONE:
R;uol..
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
n, FEE SIMPLE TITLE HOLDERr` BONDING COMPANY =MORTGAGE LEND(=R
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will bP performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Wells,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
222 WARNING TO OWNER: 222
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
t�i�d'l�a�I;,QgN�r�'","'+h'9aa x�7•'L '4EIr... NEur,-.,�.� ._ I��t". �k•,k.;.a �^ ��14-
-.T_�
MINIM
dt 'QW , a �' �iyk pp3AGENT 1�, s
G 122517
MAP SHOWING SURVEY OF
LOT -a _ BLOCK.___L____AS SHOWN ON MAP OF
AS RKCORDKDIN PLAT DOOK_1_�AGE <20 � � OR P'U13LIC RECORDS OF DUVAL CO., FLA.
Si AY Ute" EAS C(v\
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CIrrY OF A'TLAN ' C WEAC:H
��. PERMIT
r � BU"ING/ZONING DEPARTMENT APPLICATION#
800 Seminole Road
Atlaatic Brach,Florida 32233 (J ��"✓ J
(�')247-5$00
(904)247-5845 Fax
www.omb.ns
APPLICATION TRACKING FORM
R t" DEPT:
Y PLANNING
Property Address: _z'6fi P t Q �.Uy z
P N PUBLIC WORKS
Applicant: Y PUBLIC UTILITIES
Y 9FIRE DEPT_
11rojec#: Y N PUBLIC SAFETY
-APPROVAL
REQUIRED AGENCY: RECEIVED BY: INITIAL DATE
UUJ Y N D.E.P HUFSTETI.ER
Y S.J.RW.M. CARPER
N ARMY CORPS of ENG CARPER
O Y N HOTELS&RESAURANTS HUFSTETLER
APPLICATION STATUS
CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: IN DATE
❑ ❑ 1ST REV ❑ '
PLANNING.// ❑ ® 2ND REV ® ❑
PUBLIC WORKS
PUBLIC UTILITIES
FIRE DEPT.
PUBLIC SAFELY ❑ ❑ 3RD REV ® ❑
Retarn this form to the Building Department once you have entered your comments into the AS400.
CITY OF ATLANTIC BEACH
a 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 07-' I I I I I
g y r OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPT@COAG.US
oil BUILDING PERMIT APPLICATION DUVAL COUNTY
an la"p�Q�i,ADQRES$.l,E'i'r.cir"'^a/'G4�� "( a°w'�", 87�"�t+s� ,`1;p,1�.r�. ylrb !a,y.r 9..„.` ',.rnw lt:.:s�.7"• r URI,iAiTIC1N,0F WOR �.;'I, +ti,.xa�„n..'.•..., 3:SQ.F.T;UNDER ROOFi 4. .„ .�:
7 SZ Atlantic Beach, FL 32233
?�' , kDESCRIRTtQNIw a P u .r ,a,u ,C w�r '4r'0"W y*:? S.4CIAB&kQFAMORK. ".
❑NEW BUILDING ❑DEMOLITION .112-RE'SIDENTIAL
LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
., . ., . , .„ nts. ❑ALTERATION 13 ACCESSORY BLDG. $:FIRESPRINKLER-I'0,0? DESORIPTION
❑REPAIR ❑POOL/SPA ❑YES ❑N/A
❑MOVE ❑OTHER ❑NO
kr9$ s 7 9€:III i PRQ.PERTY:DIMNER 9e Ii 3 a91«F r?a 1& .� n.s,::„.,,�I CONTRAGTQR H ..i F .1 w;; "., 'wF.'d(I c as ARCHITECT':/ENGINEER.,.y
9.NAME DMFS . �i
AJ
M dp/� QM: 15.COMPANY NAME: 23.COMPANY NAME:
I C I 1 16.NAME: 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
18.ADDRESS: 26.ADDRESS:
11.O WIPPHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 26.FAX NO.:
#Omr
13.QFI L-P ONE•, 21.CELL PHONE: 29.CELL PHONE:
16&WA1-- /- 9 9 1/ 9
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
+ es «,:FEE SIMPLETITLE HOLDER G
g7t1cR rHAN„avVNER)NA
� s ,' I �w .. ,BONDING CQMPANY G'.i.s° ;`,at w F..,G...t n..' n ., MORTGAGE LENDER
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. Icertify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Wells,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
222 WARNING TO OWNER: 222
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
W ,3AGEN
G 12251 T
MAP SHOWING SURVEY'` OF
BLOCK_ � --AS SHOWN ON MAP OF
AS RECORDED IN PLAY 9OOK_. _PAGE' L2 ; OF PUBLIC RECORDS OF DUVAL" CO., Fl..A.
.FOR
/J1.���.i ._ �� �.0",t_.l y..t�., `. �-` .'.`ty.,.. l✓1 f1.1 t���i ,r :- r� t.,'." ,`,P� .
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CITY OF ATLANTIC BEACH
--fi 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
!J X34 INSPECTION EMAIL REQUEST:
Building-de-pta-coab.us
Application Number . . . . . 07-00001591 Date 12/03/07
Property Address . . . 785 PLAZA
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
--- ---- ---- ---- ---- -------------------- --------- -- -- ------ --------
Application desc
concrete driveway
---------- ----- --------------- ---------- -- --------------------- -
Owner Contractor
------------------------
---- ---- --------- --- ----
DIPIETRO, JAMES M. OWNER
785 PLAZA
ATLANTIC BEACH FL 32233
---- ---- --------- --- ----------------------------- ------- ----
Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . 11/30/07 Valuation . . . . 0
Expiration Date . . 5/28/08
---------------------------------------- -- ------ - -- ------ - --------
Special Notes and Comments
All driveway aprons must be concrete, 5 inches thick, 4000
psi, with fibermesh from the edge of pavement to the
property line . Reinforcing rods or mesh are not allowed in
the ROW (commercial driveways - 6" thick).
---------------------------------------------- ----------- - ----
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
a
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH ;. PERMIT
s BUILDING /ZONING D�+ APPLICATION #
;r 800 Seminole Road J
Atlantic Beach,Florida 32233 / �•,�
, r t Q
(904)247-5800
(904)247-5845 Fax
o®J
www.cmab.us 1' , .
APPLICATION TRACKING FOR �'' �?00?
REQUIRED _ DEPT:
Y N PLANNING
Property Address: 2L: /a2 '�-.� z Y N* BUILDING
_ Y PUBLIC WORKS
.Applicant: (� �C�'h C l�—� 00 N PUBLIC UTILITIES
Y N FIRE DEPT.
Project: Vfr— Loa k Y N PUBLIC SAFETY
w
APPROVAL
U REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE:
Z UJ
Y N D.E.P HUFSTETLSR
C9�
C7 Y S.J.R.W.M. CARPER
_ Y ARMY CORPS of ENG CARPER
O Y N HOTELS&RESAURANTS HUFSTETLER
APPLICATION STATUS
CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE:
® 1ST REV ® Ac— I� L
PLANNING ® 2ND REV
BUILDING
�ICWOR
PUBLIC UTILITIES
FIRE DEPT.
PUBLIC SAFETY
® ® 3RD REV
Returns this form to the Building Department once you have entered your comments into the AS400.
BP251iO3 CITY OF ATLANTIC BEACH 11/28/07
Application Tracking Action Log Inquiry 08 : 42 : 48
Application . . . . . . . . 07 00001591
Address . . . . . . . . . . . 785 PLAZA
Application type . . : RIGHT-OF-WAY PERMIT
Revision/Path/Step/Seq/Agency: A 01 00 PW PUBLIC WORKS
Action date . . . . . . . . . 11/26/07
Action type . . . . . . . . : FR DISSAPPROVED - 1ST REVIEW
Action by . . . . . . . . . : LS LISA SHOWMAN
Time spent . . . . . . . . . . . 00
Date/Time/User added . . . . : 11/26/07 16: 21 : 00 LSHOWMAN
Comments Print
Provide impervious surface calculations.
A Revocable Encroachment Permit must be obtained if
proposed driveway is not concrete or asphalt.
All driveway aprons must be concrete, 5 inches thick, 4000 Y
psi, with fibermesh from the edge of pavement to the Y
More. . .
Press Enter to continue.
F3=Exit FB=In/Out Status F12=Cancel
BP251103 CITY OF ATLANTIC BEACH 11/28/07
Application Tracking Action Log Inquiry 08 : 42 : 48
Application . . . . . . . . 07 00001591
Address . . . . . . . . . . . 785 PLAZA
Application type . . : RIGHT-OF-WAY PERMIT
Revision/Path/Step/Seq/Agency: A 01 00 PW PUBLIC WORKS
Action date . . . . . . . . . 11/26/07
Action type . . . . . . . . : FR DISSAPPROVED - 1ST REVIEW
Action by . . . . . . . . . : LS LISA SHOWMAN
Time spent . . . . 00
Date/Time/User added . . . . . 11/26/07 16: 21: 00 LSHOWMAN
Comments Print
property line. Reinforcing rods or mesh are not allowed in Y
the ROW (commercial driveways - 6" thick) . Y
Bottom
Press Enter to continue.
F3=Exit F8=In/Out Status F12=Cancel
79 � �laaa�
0000 � �i }luase �oor
A) Al-Y
L6
gQ � T ,4Cross
Public Works Plan Review Comments
Date: �� 2� D7 — Initials:
Project Name/Address: 75�� ��-- Z Application/Permit 4: e27-1S_I I
r
-�'I ....
Provide impervious surface calculations.
Provide erosion and sediment control plans with installation details and maintenance
schedule.
Provide drainage plans.showing site topography(flow arrows, etc.) ❑
Provide construction site management plan,including Right-of-Way Permit if using ❑ .
right-of-way for construction parking.
Provide a pre-construction topographic survey prepared by a Florida Licensed ❑
Professional Land Surveyor, showing l' contours.
Section 24-66(b) of the Land Development Regulations requires on-site storage for
increased runoff. Provide Delta volume calculations and on-site retention required per ❑
Section 24-66(b). (See attached info. Sheet)
If on-site storage is required, a post construction topographic survey documenting proper ❑
construction will be required.
A Right-of--Way Permit must be obtained. AMOO W ❑
A Revocable Encroachment Permit must be obtaine �/1�U�IN�A�/ (s Ivar
Pool–Wellpoint(if used)must discharge into vegetated area 10' minimum from street ❑
or drainage feature (swale or structure)
All driveway aprons must be concrete, 5 inches thick,4000 psi,with fibermesh from the
edge of the pavement to the property line.Reinforcing rods or mesh are not allowed in
the ROW(Commercial driveways–6"thick).
Any utility cuts in the road must be repaired using COI Standard Detail Case X and must
be overlaid.10 feet in each direction fromithe center of the cut. Repair must be shown on
the plans.
i Y
CITY OF ATLANTIC BEACH
J CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445
fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. NOV
Date _// 2U --- G �.
Pon
,f-,PERMIT#
Job Address
IS
BY THE CITY
1 � � yPermitee:
Permittee Address: `7 �'�' ��,S.Z,4
A4 20
Requesting Permission to Construct: n1 .0 ul OR 1 i 14),4 v N E/�ST�I fir" &,F 4GU
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities,
both aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes ( ) No ( ) Date:
Bell South Telephone Company Yes( ) No ( ) Date:
Ferrell Gas Yes ( ) No ( ) Date:
Comcast Yes ( ) No ( ) Date:
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public
Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized
hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as
required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is
authorized.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be
performed under the supervi_'7,f'
. (Contractor's Project
Superintendent) located at , t P t1Z Telephone#:
4. All materials and equipment shall be subject to Inspection by the Director of Public Works or his designee.
5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications
and the manner satisfactory to the city.
6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a
part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city
Right of Way are to be included with this application.
7. This permittee shall commence actual construction in good faith with days. If the beginning date is
more than 60 days from date of permit approval, then permittee must review the permit with the Director of
Public Works to make sure no changes have occurred in the area that would affect the permitted construction.
8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the
City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all
times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and
against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted
exercises by the holder of the aforesaid rights and privileges.
9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again
immediately upon completion.
OWNER
Signed: Date:
Before me this day of in the County of Duval,
State Of Florida,has personally appeared
Notary Public at Large,State of Florida,County of Duval.
My commission expires: Personally Known:
Produced Identification:
< 1 ►Il /�
�p qI
Impervious Surface Calculations % Formula
Find square footage of the following:
House footprint
Driveway
All sidewalks/walkways
AIC pads
Detached garagelsheds
Pool Decking
Patios,terraces and/or decks
Add the total square footage of the areas listed above then, divide the sum by
the total lot area of the property.
5!14/2007
CITY OF
Office of Build g Off' tal �900�
REQUEST FOR IN ECTION
Date_ V '^ 7 " 7
Permit No.
Time A.M.
M.
Received
— 7--
Job
Address
// c U Locality
Owner's /\ ��-�
Name �ii1 Contractor _
BUILDING CONCRETE ELECTRICAL PLU MECHANICAL
Framing ❑ Footing ❑ Rough Wiring Li ❑ Air Cond. & ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑
READY FOR 1 PECTION Pre Fab
Mon. Tues. Wed. Thurs. Friday P.M::)
Z) RM.Inspection — P M
Inspector Final Inspection ❑
/'L�11 Certificate of Occupancy ❑
�J Date
-------- ---------------------------------------
CITY OF ATLANTIC BEACH — - -
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877
PLUMBING PERMIT
PERMIT.INFORMATION - -
Permit Number: 19004 -- ---` LOCATION INFORMATION,
Address: 785 PLAZA DRIVE
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block:
Square Feet. Section:
Subdivision:
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: 10/19/1999 -- -- -- -----OWNER INFORMATION
Name: DIPIETRO, JIM _ ____---
Total Fees: 25.00 Address: 785 PLAZA DRIVE
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 10/19/1999 - Phone: (000)000-0000
Work Desc: INSTALL BATHTUB - - --
1-- ------------
----CONTRAG'FC1R(Si - - ___ APPLICATION FEES I
CHRISTY FIRST COAST PLUMBING PERMFT -
I 25.00
I
i
- — ------- --- Inspections Rewired __ ---
i
i
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
_II
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 OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
I
i
$25.6814
Date: 18/19/99 61 Receipt: 6884745
ATLANTIC BEACH BUILDIN PT. 66ECK68a221666 5688
CITY OF ATLANTIC BEACH
APPLICATION FOR M MHING pgRlIT
JOB LOCATION-. as2-A c�
oWNSR OF PROPERTY:
PLUPSING CONTRACTolt: CA z 3aa AIL.
CONTRACTOR'S ADnRass: A&
�
STATE LICENSE NUM=g ' � TZLRP ppsa_��
BM NOR OF TBE FOLLOWING FIXTURES INSTALLED
SINES SHOWERS
_LAVATORIES WATER HEATERS
__,_BATB TUBS .DISNWAS88RS
—URINALS ---- ,DISPOSALS
_,_,CLOSETS WASRM MACHINES
,. FLOOR DRAINS _�—OBOWER PANS
OTHER
TOTAL FIXTURES: X 3.50 + $15.00
MINIMUM PERMIT PEE - $25.00
SIGNATURE OF OWNER:
SIGNATURE OF
��ASN�MIr,YY.
INSTALLATION OF PL=ING AND FIXTURE$ MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DA? AHEAD To SCHEDULE INSPECTIONS . (904) 247-5826
SEWER COURCTIONS MUST EE CALLED IN TO PUBLIC WORKS FR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834. .
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FI 32233-Tel. (904) 247-5826
ROOFING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18714 Address: 785 PLAZA DRIVE
Permit Type: RE-ROOF ATLANTIC BEACH, FL 32233
Class of Work: REPAIR Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel_ Number:
Improv. Cost: OWNER INFORMATION_
Date Issued: 8/24/1999 Name: DIPIETRO, JIM
Total Fees: 30.00 Address: 785 PLAZA DRIVE
Amount Paid: 30.00 ATLANTIC BEACH, FL 32233
Date Paid: 8/24/1999 Phone: (000)000-0000
Work Desc: SHINGLE &TORCH-DOWN
CONTRACTOR$ APPLICATION FEES
INTERCO DESIGNS PERMIT 30.00
Ins 'ons Required
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 PUBLIC SPACE,AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$30.8014
Date: 8/24/99 81 Receipt: 8882367
CITY OF ATLA IC B CHECKS 15636
®818e883221688
fir•--' }y�
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION � 4 199,a7
City of Atlantic Beach
G Building and Zoning
JOB LOCATION: � p ,5� P f� 2 � +O n
OWNER OF PROPERTY: j _TELEPHONE::
CONTRACTOR: F '
CONTRACTOR'S ADDRESS: �/cS� �A kA/Q life
Z o-/-1 F— ` ZIP:
STATE LICENSE NUMBER: �c�a y�IL�d2 / TELEPHONE:
DESCRIBE WORK TO BE PERFORMED: l2Q/lCatU/�
VALUATION OF PROPOSED CONSTRUCTION
MATERIALS TO BE USED: S�.��•r�2U/�G d �/�
d✓CCL.
SIGNATURE OF OWNER:
.:�t�
SIGNATURE OF CONTRACTOR:
SWORN TO AND SUBSCRIBED BEFORE ME THIS_ DAY OF AC– 19�
AS TO OWNER: ARLENE T=ES VARRO
NOTARY PU ppm NW.c� 25.20
A
SWORN TO AND SUBSCRIBED BEFORE ME THIS &No.hI03 -g19 f9
AS TO CONTRACTOR yn�— �
NOTARY PUBLIC
Liability Insurance Supplied DARLENE TORRES NAVARRO
Notary Public,State of Florida
Workers Compensation Insurance Supplied My comm. exp. Dec.25.2002
Comm, No, CC7M79
Contractor License Information Supplied ../
Occupational License Information Supplied
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received P.M. District No.
Job Address Locality
Owner's ^
Name Contractor n�
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Lintel ❑ Fire Place ❑
READY FOR INSPECTION Pre Fab
Mon. OTue . Wed. Thurs. Friday P.M.
{�
nspection Made A.M.AP M
Inspector Finallnspectionv/
Certificate of Occupancy
Date
CITY OF
4
716 OCEAN BOULEVARD
P.O.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2396
August 7, 1985
Pre-Service JEA
233 West Duval Street
Jacksonville, Florida 32202
The following final inspection has been made and is satisfactory
Permit #4490 - 785 Plaza
Permit issued to Bivins Electric Company (residential increase)
Sincerely,
John M. Widdows
Building Inspectioriupervi.sor
Jrbd:ra
(1 CITY OF
Office of Building Official
l REQUEST FOR INSPECTION
3i
Date
Time
Permit No.Received A.M.
P.M.
District No.
Job ddress
Locality
Owner's A r
Name
Conntra
BUILDING PLASTERING ELECTRICALctor /'PLUMBING
Foundation ....❑ Wire HEATING
Chimney ......❑ Lath .. '' ❑ Rough Wiring [] Rough ........❑ Rough
Framing .••❑ Finish Wiring ..❑ Final g ❑
g .•.....❑ Scratch .......❑ Fixtures •"• •.•-❑ Final .........❑
Final ... ❑ Brown ...•❑ Sewers ..❑ Water Heater ..❑
Footing .•. ❑ Motors ❑ Gas
....❑ Finish ❑ Tem Pole •o ❑
Slab ..........❑ Wallboard L7 Cesspool ......❑
Lintel Beam ...❑ Cl❑ Final Inspection Top-out .......❑
Water .........❑
READY FOR INSPECTION
Mon. Tues. A.M.
Wed. `r Thurs:` Fri. P.M.
Inspection Made 7 d J \ A.M.
P.M.
Inspector
CITY OF ATLANTIC BEACH, FLORIDA
ri
APP*ovwd APPLICATION FOR Ef.ECTRICA
PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19.,E
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR -DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TtJ;PERFORM. SAID WORKIN ACCORDANCE WITH THEATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A P;AR7 HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
F r
ECTR CAL IRM: M&SIER ELECTRICIAN SIGNATURE
NAM r .__-ADDR ESS: .RFD BOX
BLDG.SIZE BETWEEN:
RES.(/ APT.( } COMM.1 1 PUBLIC( ? INDUS.( ► NEW 1 ! OLD 1 vl REW.1
I 1
ADDITION 1v TRAILER ( 1 TEMP.(` 1 SIGNS ( 1_. SO. FT.
SERVICE: NEW 1 1 INCREASE(A REPAIR (
1 FEE
CONDUCTOR SIZE aZd AMPS COPPER I 1 1 ALUM.
TCH OR BREAKER AMPS PH W VOLTRACEWAY 9<9
EXIST S RV.SIZE AMPS PH --I W 4,W VOLT ez WAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL x Z)
RECEPTACLES J& CONCEALED OPEN TOTAL
0.30 AMPS. 31.100 AMPS.
SWl7CHE'S
INCANDESCENT
FLUORESCENT&M.V.
11XBL� 1 0.100 AMPS, OVSR
APPLIANCES BELL TI IANSF.
,AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
MOTORS H.P. VOLTAGE PHS NO. I H.P. OLTAGE PHS
MMCELLANEi�tUS;:
TRANSFORMERS: UNDER 600 V. OVER 600 V. 1
DEPARTMENT OF BUILDING 6 7 6 8
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.
j PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date April 29, 19 85 11 50 T
11 *50CKT
Valuation$ 26,180.00 Fee$ 118.50 t 19 1 A 4/30/8
6766 *00CAM
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law. logo
This is to certify that JAMS D. PIE1W
I 785VPlaza.
Roam Additions as per- plans
has permission to build
Classification
residential Zone RSl
Owned by James D. Pietro
Lot Block S/D
P House No. 785 PLAZA
According to approved plans which are part of this permit
c NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
„ AFTER DATE OF ISSUE
/ 10 4 . O Building material, rubbish and debris
-zi from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
r ` wwnner.
j Building Official
FOR OFFICE PERMIT
f USE ONLY NUMBER DATE CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
OwnerAddress g'a's- 101A;rA 91'- Phone
Architect Address Phone
Contractor Address Phone
License Number Expiration Date
Lot # Block # Subdivision Zoning
Street Between and side
Valuation $ to �c�o Purpose of Building�Q�s,��,,,rr,ry Type Const.
4, X 3-,-
Dimensions : Building- ,,•,t /e Lot Sz .Footings
Sz.Piers Sz. Sills Greatest Span Sills
Sz.Ceiling Joists T,Qvss&s Distance on Centers At Greatest Span ,2G'
Sz. Floor Joists Distance on Centers Greatest Span
Sz.Rafters Distance on Centers Greatest Span
Heating Solid-Filled Ground Roof
Flood Zone If located within a FLOOD HAZARD ZONE fill out
reverse of this 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/lintel.
3. When steel is in place and ready to pour beam.
4. When framing, mechanical , rough plumbing and fire place
is completed and ready to cover up. ,z
5 . Rough electrical.
b. Final inspection.
In case of rejection, reinspection MUST be called '" "
BACKS
for after corrections are made.
In consideration of permit given for doing Rear Lot Line
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 Q
in accordance with the building regulations
of the City of Atlantic Beach. o 0
rt rt
H.
ru m
Signature OWNER
Signature BUILD
Front Lot Line
a
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IL
Pot opofsp
rrrs.�•sii.v 1 ,b
lo
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fx�s ro.�a-
PRo�otso STRve rt�R� i .v
n I FXT.e�A S/oi✓
e NO k
V
Aof
'S /4PROX//li�TE- 7 P 3 ,Oil A Z A
L� f�25 Il
MAP SHOWING SURVEY OF
LOT -i - BLOCK AS SHOWN ON MAP OF
AS RlCORDw 1N PLAir W)OK AGw L), 6 Q OF PUBLIC RECORDS OF DUVAL CO., FLA.
Fon F� J K p fug7 '
FILE COPS'
1 1+V
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