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1517 Richardson Ln (vault) PERMIT WORKSHEET Certificate of Occupancy Job Address: Type Work: , ` w DPLX Property Owner: Phone # 1� Contractor: Phone # Permit#: Z Date Issued: 2, (rte Tree Permit# Foundation Permit# I Q Dq Demolition Permit# BUILDING ELECTRIC MECHANICAL PLUMBING Tem .Power# Footing JEA Release Date Temp. Power Slab Letter Rec'd. Underslab Tie Beam Temp Pole# 0J,e�►� Lintel JEA Release Gas Piping Date �L-fl Nailing/ 2'10-0 _25�d Water/ Sheathing Sewer Rough/ Framing Rough Rough Topout I Il /d Insulation JEA Release :.. .:.;.. Date Building II� Electric Mechanical l� Plumbingrr Final ) Final ' FinalJ J Final ��•�'"�,Q 3._�`��" JEA Release •.._ j Date Drainage Inspection: Pool Permit# Inspections: Steel Final Elec./Grounding Final Roofing Permit# Inspect: Nailing/Sheathing Final �- Fire Ins,pecUc3,,n: Failed Inspections: -es- Date Paid: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 6/17/05 Parcel Number . . . . . - - - Property Address . . . 1517 RICHARDSON LN ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . BEACHES HABITAT Contractor . . . . . . BEACHES HABITAT 904 241-1222 Application number 04-00028608 000 000 Description of Work TWO FAMILY RESIDENCE Construction type . . . Occupancy type . . . Flood Zone . . . . . . Approved . . . . . . . Building Offi ial VOID UNLESS SIGNED BY BUILDING OFFICIAL Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: (0 11 LP10�z Contractor Name: 0hC- -I f` 040 5 ( TIZ) Permit#: O"I _01?Ie LP 0 1 Property Address: k�— rl L Legal Description, EYVZT5 Improvements to the above-described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: ❑ Single-Family Residence ❑ Commercial "Other: -DU 0 CJS Lowest Floor Elevation: / .3 S' �� c Required As Built The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works _ _ o Public Utilities Planning Dept. Building Dept. Final Survey with FFE Yes ❑ No All Re-Inspect Fees Paid [� Yes ❑ No Page 1 of 1 Schlueter, Jennifer From: Kaluzniak, Donna Sent: Tuesday, June 14, 2005 1:35 PM To: Schlueter, Jennifer Cc: Walker, Chris Subject: RE: Final for CO Jenny, 1515 and 1517 Richardson are OK for Utilities. No backflow requirement, and sewer installation was inspected by PW inspector and cleared by DEP. -Donna From: Schlueter, Jennifer Sent: Tuesday, June 14, 2005 1:24 PM To: Carper, Rick; Kaluzniak, Donna; Deming, James; Nodine, Phil; Walker, Chris Subject: Final for CO Hello, Paul Finley/Beaches Habitat called in for his final inspection for his CO's at 1515 and 1517 Richardson Ln, Permit #'s 04-28607 and 04-28608. His contact phone number is 334-2278. Tx, Jenny 6/14/2005 CITY OF ATLANTIC BEACH -' 800 SEMINOLE ROAD .:3 w ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028608 Date 8/24/04 Property Address . . . . . . 1517 RICHARDSON LN Tenant nbr, name . . . . . . NEW DUPLEX Application description . . . TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 60000 Owner Contractor ---------- -- -- --- ------- - ----------------------- BEACHES HABITAT BEACHES HABITAT P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 8/24/04 Valuation . . . . 60000 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE .28 CAPITAL IMPROVEMENT 325 . 00 ST CONSTRUCTION SURCHARGE 5 . 09 AB CONSTRUCTION SURCHARGE . 56 STATE RADON SURCHARGE 5 . 37 SEWER IMPACT FEES 1250 . 00 WATER IMPACT FEE 410 . 00 WATER CONNECT/TAP & METER 525 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 2556 . 30 2556 . 30 . 00 . 00 Grand Total 2556 . 30 2556 . 30 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. s B DING OFFICIAL r� CITY OF ATLANTIC BEACH .� 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 F . .. . . . . . 04-00028608 Date 8/24/04 1517 RICHARDSON LN NEW DUPLEX -"ImILY RESIDENCE FL 32240 --————————————————— �srr, �I+,per Fee . 00 .ted Due 00 . 00 Date; ONpR4 Z iC Beate 0 Q . 00 T * . 00 . 00 DesCriat$en4/g4 g! eteipoc DraMer; 1 Bp 4 antitY 81142 B'U(DIS P4Q8 C* 48ount 1.00 BUIOIAp-B607 *26 PEOITS Sl.30 ender detail 1.88 Tots $19g 8g Tnt 1 Pay+ent d f484I. Trans date; #2841 30 81P41g4 $ 84 x.'38 e. 18,48:23 BCH ORDINANCES AND THE FLORIDA BUILDING CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET wl Date: Address / ) (, 7 ��c r�f r,?-d6 x NFes. Heated Square Footage (C1 S� @$ 2 per sq ft= $ 0.- Garage/ Shed 2- @$ 2 per sq ft = $ Y 3 Carport/Porch �~ 2-- @$ 2 per sq ft= $ l 300 Deck @$ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ Total Valuation 1st $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: JQ( 7, + `/z Filing Fee $ FLOOD ZONE: , ( ) Fireplaces @$35.00 $ IMPERVIOUS SURFACE:�2 =� BUILDING PERMIT FEE $ _ 4,119— WATER IMPACT FEE $ �__ SEWER IMPACT FEE $ ` _----WATER 4ET CTAP $ CAPITAL IMPROVEMENT$ 3 - �— SEWER TAP $ -- - C (t13 2) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ 3J ST(I 13 22) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 WATER IMPACT FEE WORKSHEET ADDRESS: S_� DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers,commercial 3 Automatic clothes washers,residential 2 7' Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower 6 �-- Bathtub(with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine,domestic 2 Drinking fountain/icemaker % Floor drains 2 Hose bib 1 Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder and/or , dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory 1 Shower compartment domestic 2 Sink ) 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink(circular or multiple)each set of faucets 2 Water closet,flushometer tank,public or private 4 Water closet,private installation 4 Water closet,public installation 6 TOTAL NUMBER OF UNITS= , MULTIPLIED X 20 TOTAL$ WO C� • �:L�,rfJ3 CITY OF ATLANTIC BEACH r`,iL. Higgins �s 4, BUILDING / ZONING DEPARTMENT o j. 800 Seminole Road j Atlantic Beach,Florida 32233 (904)247-5800 ;3 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 0 � o Property Address: Applicant: GC Project: This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ' n , ATL.1IC BEACH,FLORIDA 32233-4318 r a 511, TELEPHONE:(904)247-5834 FAX: (904)247-5343 SUNCOM:852 5834 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # 04 `� 0 Applicant: Address: project:. Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities.Department and the following items need attention: av Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewe Donna Kaluzniak, Public Utilities Director Date 7-16 Signa e Contractor Notified Date Showman, Lisa From: Carper, Rick Sent: Monday,July 12, 2004 2:16 PM To: Schlueter, Jennifer Cc: Showman, Lisa Subject: PW Plan Review comments Jennifer, the following comments apply to 1515, 1571, 1525 and 1527 Richardson Lane (Building permit ap's 04-28607, 608, 609, 610): 1)Spot elevations on site plan do not show lot draining to street as required by 24-66(a) -show site regrading plan. 2)Site delta storage/volume calculations required (24-66 (b)). Thanks for assisting with this while Lisa is on vacation. Rick Ricky L. Carper, P.E. Director of Public Works/City Engineer City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 rcarper@coab.us 1 1.._ IVED fyU�rj, G 'r T ANITIC BEACH 70NING l iul_ 2004 CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION, (FOR NEW SINGLE FAMILY RESIDENCE ANS __ _.� I DUPLEX CONSTRUCTION) Date: Job Address: `� �i�-w.��t� � i-�9a3E� �'i �'�-�z 13� » reg-- 32233 Owner of Property: _ L s )�d✓5 a-� Address: 147( F-Q,��,iA✓may �4 �� '«,► FL 3223 Telephone: 99�-25�/-lz22 Legal Description: Block Numbe1prr�:�� I .� Lot Number: fir- Zoning District: �aa�:R R.c,6L,r- Contractor: �'eAdt.s V. �: 11 k- State License Number: Contractor's Address: rgema ic(- 3 Z 23 Telephone: goFax: Describe proposed use and work to be done: 4�_ t>� f-r-;: � ��a.�_ -•P Present use of land or building(s): V O's a.- Valuation of proposed construction: cc) , v� r( Is approval of Homeowner's Association or other private entity required? kfb If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? ❑ O. Applicant certifies that no change in site grade or fill material will be used on this project. [ YES . See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. VO. Applicant certifies that no trees will be removed for this project. ES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP L Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. hi order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 - http://www.ci.atiantic-beach.f.us Page I Revised 1/14/03 4t a) DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE e ATLANTIC BEACH,FLORIDA 32233-4318 z' TELEPHONE: (904)247-5834 G FAX: (904)247-5843 SUNCOM: 852-5834 k' http:Hci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC-WQftKS DEPARTMENT Permit Application VCD Applicant: Address: S /75 Project: ❑ Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Works Department and the following items need attention: Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call (904) 247-5834. Reviewed by Rick Carper, P.E., Public Works Director Date Signature Contractor Notified Date DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 FAX: (904)247-5843 SUNCOM: 852-5834 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # F(96 Applicant: ' Address: /j� .7 [�'►Q(mss ark alt Proj ect: dd Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. o Your permit application has been reviewed by the Public Works Department and the following items need attention: Spot elevations on site plan do not show lot draining to - — street as required by 24-66 (a) -- show site regrading plan. — Site delta storage / volume calculations required by - 24-66 (b) . - Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call (904) 247-5834. Review d by Rick Carper, P.E., Public Works Director Date 6LOtll Sijhature Contractor Notified Date sLy; CITY OF ATLANTIC BEACH Fo BUILDING / ZONING DEPARTMENT s. Doerr g1 J 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 oil �� (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # Property Address: Applicant: Project: This permit application has been: ❑ Approved ❑ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: IS',iVI s CITY OF ATLANTIC BEACH r s 800 SEMINOLE ROAD . t r ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5826 Application Number . . . 04-00029239 Date 11/03/04 Property Address . . . . . . 1517 RICHARDSON LN Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------ ----- ------- ---- --- ----------------- BEACHES HABITAT ADVANTAGE PLUMBING GREG GAUSE INC ATLANTIC BEACH FL 32233 P .O. BOX 49225 JAX BEACH FL 32240 ------------------------------------------------------- --------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 112 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due -- --------------- ---------- ---------- ---------- ---------- Permit Fee Total 112 . 00 112 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 112 . 00 112 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING ES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH w PLUMBING PERMIT APPLICATION Date: Property Address: Ir)7 ,Q f� kM4 7,� Owner: 064c *9 f��9lf i�`AT Telephone#: c1�y-W�- JZ'Lz- Contractor:4A1/9.AZT�-e AL m 8i,,,G Telephone#: �2 - �7&y Contractor Address: c>2 tn/ 1 Fax#: 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 City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: / If other construction is being done on this building or site, ClNew list the building permit number: 0 Re-Pipe Number of Fixtures: �— Bath Tubs Showers Closets Shower Pans Dishwashers I Sinks Disposals Urinals Floor Drains / Washing Machine Z Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: T X$7.00 + $35.00 800 Seminole Road -Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 . Fax: (904) 247-5845 • http://www.ci.atiantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD w ATLANTIC BEACH, FLORIDA 32233 k'.. INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028608 Date 3/08/05 Property Address . . . . . . 1517 RICHARDSON LN Tenant nbr, name . . . . . . NEW DPLX/RAD1132/SCH1132 Application description . . . TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 60000 Owner Contractor ------------------------ ------- - ---------------- BEACHES HABITAT BEACHES HABITAT P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 ------------ -------------------------------- -- ----------------- ------------- Permit MECHANICAL PERMIT Additional desc NEW HVAC Sub Contractor HUXHAM HEATING & AIR Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- --- ------- --- ------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING ODES. BUILDING OFFICIAL t aI— I ren CITY OF ATLANTIC BEACH r .. MECHANICAL PERMIT APPLICATION Date: Property Address: //S/7 ,L; 4�SOn/ ,41-- Owner: � f(4,..; ��LZt` ��3 Telephone #: Contractor:_ Telephone #: �Ylo 7 Contractor Address: l� � JJL-- `J Sj Fax #: 0.1 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 purl hereof and in accordance with the City of Atlantic teach ordinances and standards of and practice listed therein. Type of Heating Fuel: If other construction is being done on this building tiY Electric or site,list the building permit nutnbt er. ❑ Gas: LP — —Central Central Utility ��-77��j LI Oil o��n ❑ Other-S ecil' MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Mr" Heat —Space _Recessed vCentral _Floor W'- Residential Q' Air Conditioning: _Room Central 2'' Duct System: Materials f Thickness15 LI Commercial Maximum capacity1�41100 cfm ❑ Refrigeration New Building ❑ Cooling Tower:Capacity gptn ❑ Existing Building ❑ Fire Sprinklers: Number of Heads ❑ Elevator: __ Manlift Escalator. (Number) ❑ Itcplacetncut of Existing System C3 Gasoline Pumps (Number) ❑ Tanks (Number) Or� New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Boilers LIExtension or Add-on to Existing System ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT &CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency BEATING-FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency d l /d� tL- D TANKS Nominal Capacity Type Liquid Serial Approving llowmany &Dimensions Contained Manufacturer No. A cuc 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 . http://www.ci.atiantic-beacit.fl.us