Permit 55 Robert St (vault) nq�
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address �0 13a a i J
Date e-
Heated Sauare Footage @ $ per s ft = $ P-( J"00
GaragShea„ - go @ S f g 00 per sa 4f . = S 20
Carport I � ) @ $ / per sq t = $
Deck Q @ a per sq ft = S
Patio �& @ $ y �� per sa ft =
TOTAL VALUATION : S
Total Valuation 1st
Remaining Value -
'kGArper thousand
portion thereof
TOTAL BUILDING FEE $ (o 0-00
+ 1/2 Filing Fee $ &f0, 0c>
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $� c C',. O — 0 '
WATER IMPACT FEE $ .�'n r>>
SEWER IMPACT FEE $_ Q_00
WATER METER/TAP $ 25,2T,0
CAPITAL IMPROVEMENT S 100
-T"/= LUCIy SEWER TAP $ o
x/�, -/af<- ((� ) RADON (HRS) 0050 S 4/ ;-S
SECTION H PAVING ( j $
HYDRAULIC SHARES $ D
CROSS CONNECTION $
ftpp(D) SURCHARGE . 0050
OTHER $
GRAND TOTAL DUE $ 4, � 9
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing
Electric/New Electric/Temp ; SwimminaPool
Septic Tank Well--; Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES :
CITY OF ATLANTIC BEACH
Fixture Unit Worksheet for Water Impact Fee
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 TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF
WATER CLOSET, LAVATORY 6 BATH SERVICE -SINK TRAP STAND
TUB OR SHOWER STALL (6) r 2 (8)
WATER CLOSET, TANK OPERATED 4 WATER CLOSET
( ) VALVE OPERATED (8)
BATHTUB/SHOWER (2) • URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (1) COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3)
POT. SCULLERY SINK (4)
_o_DISHWASHER (2)
WASH SINK EACH SET OF
_KITCHEN SINK (2) 2 - FAUCETS (2)
DENTAL LAVATORY (1)
KITCBEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
BIDET (�) URINAL STALL, WASHOUT (4)
FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET
BLOWOUT (2) ________DRINKING FOUNTAIN (1/2)
LAVATORY, BARBER/BEAUTY
SHOP (2) ICE MAKER (I/2) . S
SURGEONS SINK (3) G LAVATORY, SURGEONS (2)
JACUZZI (2)
URINAL STALL, WASHOUT (4)
TOTAL FIXTURE UNITS 17 S @ $20.00 EACH
$ 3S d. o
JOB rxFORMATION S-3 rl 2 T� � 7
o f t'�'oinaianity A f(,,i;ir,,, MY: &13?
WRIZW ENTROY 1TFICITNry CUT XV
FOAW 6064-T? 41holt 15uildfng Performance Wood A W Th,
ti .i 1."Vao '�'0641 5`0 Q. /Gb7IOtW'W mybilat for Wanity
S X. xd;r-ld, 2141•
jr /IsAwl 7 T 1 xwl� !'Cz.1"YA p.z:.
Atlantic Beach, Fl . 14URT /Zow" 14,1 2k,l 34,1
Sogrjel D,9�1s- A/
1. Nem construction or addltfuiy ?. New Wastravtfx"
A Slagle W&Y/y or Nullikaily attached """%
3, if NaltiWally-NO. at' unit,,,,
4, if NollifaKly, is Ws a worst cass (yealho) 4.
5. COWIthl"ed ROO, Area (5q. f
PrRuymiaant eat, overhang (R. )
I
1. torch owsrhang &UPtA (ft. 5
Single AWOO O"Obje Awa','
0. Clear GUS',, W. O.Wqff 146,OA,;f`t _,
b. Wt, file or solar screen Ob. O.Osqft O.OaWqfI
a. }(.s.rt`.:: 0. 00 , 73 00 R.
/0.Net WA 11 t,'_q aieo' io' ula
d. Warior" 2. hood flame (Insulation R P017.00, 007125"qn,
16*''�' A"':;:1'1'.
!!.Ceiling type area and SWAM".
a. Woor attic (Tasulation R-Valme) ila.=30. 00 1000.Oawqtrig
II.Air distributioa system.,,,
a'. 19a. R- 6.00 anco"d
13. Cooling systuo 13. Qve: Central
00
WHeating syslym1 !-4, p'ype." /"s.imp
QVT„ 00
5./A.)1' &0'4 1 60 15. pipe, Electric
ER 0. 9JI
U. WyltratiLir, Practice, 1, Z or
1R.NPAC C"OdIts (CF�Wliay rKs, rV croms Vent, /0
hoi,,sp ton, AW-Attic radian!
Wvier, WNUM200ej,
P.i' (want mot eAread 700 point-s) 19" 91 7'1�
a. 70tal As-Guilt poiok,%, low. 224 W.0
95
r.- ------- ------- -------- - - ---- - -- ---------- -- --- ----- -- - --- - -- --- - ------- -- -
Ph
eby. ueo i'' ".y - '6" plans aad Review Jr W plans and
specifications covered by, this CHOU covered by this
W100 are in cojoliaace with the Compliance with i"be
Construction in comolete'
this banding 4111 be inspected fo(
comoliaace 1" accoroWove wilh Sectimi
"A
1 hereby certify that this baildiag is
in compliance with toe r7atiow Energy
Code.
1=1 TAW a-v"A" "A" 1 4t. 1
64617 CLAT! V W!TH Al t ZNFY I TRA 77 ON 1WESCRIP T 1 ITT,
Y per linear foot of operable Sas/i
----- ---------------------- ------------------ ------ ----------- ---- ------------
Exlerior 4 6Wi' of v 5 6'f'hl pt',r sq. fi. of dr't:. 'volid
A(i"h.ic'ewt '/'*'*oor"-- coi e, wood panel, .t Fr. led o'c (Jool f"+oly.
-- -- --- --- ---------- -------- ------------------------ ---- ------------- ------
FAterio-f- Jo 606. 1 TO be Or
S Weeks wise sealed,:
----- - ------------------------------- ------- --- ---- ----- ---- ---------- - ----- --
1=77CE #2 665. e" 11.1'1141"i"YPII '11-1 I'VI 7H WAC 77Cr #� AiV,(,
----- ----- ---- ------ - ----- ------ - - ------ --- - --- ------- - ---- ----- - ---
FA!"Pior plaza pe"etyaKons sealed. lafillvdfloa b4criso,
WtAlled. Sole SF.lat"Ifle"J". J"i"Vt
Qnet vdtioas, joials and aracAs ap Werion surfoup,,
x Cell lay, rnalkeQ sealed or g6skelvd,,
------------------ --- - ------ — ------
i"?f.'-i"�v')7' 16% I Ductmork in u"Condytioned Spec. most be sealed,
-- --- - - ---------------- ------- - - -- - - - --- ----- -- --
7 Con"Ped will oulside
dumoueZ's.
- ---------- ----- - ----- - --—
Waust runs 6= ? with 0000ers'.
5013.A.Z.,
----------- I------------- ----- --- -- ------ ----------------------------------- ----
-Fqp?
600buszlu6= F Combustion space and Wal'.t�'r heaLing ',"Ysleo-s oi0vioh,'G+r
Rea tiqu '4"7/h air,
appliaaces.,
---- -------- ----------- -- - ----- ------------------------------------ --- -------- -
t*,, HZ7AS'1,,'�?1,-, (east be met or exceeotdby
I -- ---- ----------------------------- -- ----- --------------- ---------- ------- - --
>f4il'er R'uzars 670 1 VaNY With efficiency requirements in Thble 6- 1L
Switak or clear!,- marked circuit breaker (electric)
or Cutuff (gas) must be f f*.k"'.d;'f o'c ba-Y'li'
in beat trap raqaAwd.
SWUM&P Abols dad beakid pools www& 4001 cviyls (excep! SOQF;
&XINT. Ahla uo7r?aevai4l pools mass ria vy a PmWo Wtc,.
04S spa x pool hedter5 ma"'-4' s
effinlency of YW PalwHat.
iY 677. 1 Mile; flow must he restrietwd to no wets then 3 Yal
lops PPV mioull K 80 Awla..
-- -------- --- -
Air Distfibutioo 610. ? All fittlays, meehaoical equipavfir &ad pleamo
chambers Wall he wenha"icei'lly
ulated sad installed in wit/., /ke
of Secifoa 610. vacts !a a"Coaditio0ed attfcs must
be insulated to a mi"fouv of R-6. Ali Avirdlers s4wil
aot be installed in attics Wess •Q mechauical
closet.,
raddlY aGcessib;tt,?.i'i?!?<ri of,
thexwos!W for E: .t system.
------ - ------
601. 1 WS R-3 both slows. 690006 6WHOY x flours P-1j'.
WMER C41CVI A MOANS
J5,
Afii�7,4 x 5"i•}d`,f
---------- ---------------- - -------
"Y 6�0 8 1914. 0 M UP IV J`fle.6' 3
4"" (10 6 2105.6 • M OR C 2.0 M7 . 79 126.0
owl t,t. E 15. 0 ?v. 7 . 90 70M .5
= 01 P 1 15.0 MW . 94 11171 IT
9 39. 00 WS 2516.2 M CIR S 300 66.2 . Q 1469.
lul CIR S 9-0 602 . 38 34 A T
W 45.00 65.8 XWO jr Ml Cl R At 45.0 79. 1 . 57 2044-3
- ------------------------------------- ------------------------------- -------- -
F/VOR / 70M 449j.. 01 ASS AM 61,11 i4
ARIA AREA N C POINT.',5'
--- --- -- ---------------- ------------ ------------------ -----------
. 15 1,000.00 14000 1. 6 06,-80 9,870.00 • v,
MW GIA19------------
"MY-A x
------------------------ --------------- ------
9 YTW. j CIA Ajod Flaws MO 807, 3 1. 70 1311,
. 10 444','
. 7 44,8 11 t..-'f WUO(/
"31,7.Al 4
OA 0 ..6 0
0 -4684.0 S M b-o a-Ora 0 26�1 5 4 56%4
INF117AW71ON-------- -
1000. 0 S.0 8000.0 f1 Practice /000. 0 8.00 60003,
70% SUNNTR MAIN
P4, 59WO 11, 977. 41
70741 x STWUN COMING 70M x 0,4P Of.'A"7T x 3T9UN x WOM /"OMINV61
P A11011, T 1WINK9 h',4 NV W 7 hvjT sty 7 XWWW"11
- - - ---- - --- --- ----------------------
14, 593. ?0 . 37 51399.61 / t1, 90141 1. 00 1, 0?0 . 340 1.000 4, 3 5 7. 3/`,'
AIMER CA!CM A MON11,11
zoo BASE won AS-80M
GIA33
ORIM ARFA 3MEW 7W nc ORITN ARrA 8 49W x par
1Y r - 10.6 -378.0 sm CIR 30. 0 7. 3 1.11 PAY
.339.2 m cl P f, 00 9. 1
15. 0 Tv . 17 -TV
sui CIR E / L 0 M 47K8
3 MOO -10.6 -4 ct,e,t� -S, 30. 0 .28. 4 M - V 5.
C/ev 61 9.0 AT4 .64 16Y.
Al 45. 00 - 70.6 -47110 C!R At 45. 0 -9.2 .24 99.
707M 40"L G!ASS 401 WASS GI A 05'
AREA AREA FAC70P AVIN73 AVINK NVINF3
1 3 1,000.00 146100 1. 021 -1, 54Z 66'
NON
x RMPH o Aht,"A x Al/, Lf
-
-------------------------------------------------------------------- ---------
Aulls--- -- --- - -------
W 80113 2.2 106.0 ifC,kl wvckd Ffwae 1 8("; 6
6.4.0 3.6 230.4 Frdae /?.0 64.0 3,65 230A
1. 3 416.6 4 P. 30 -'JP . 6
7000.0 W 7200.0 30.0 1000-0 7. 00 700.
Sib 1300 8. 9 1114.8 Wab on-Grady . 0 131. 0 M60 748P.
I
/000. 0 W.4 ?400.0 WcUce 1000. 0 7.40 1400.
TOW WINWR NVINT3
10,ml 78 74,0•r5+..3.. o.;;,
7a ^ix 3 PW W a f, 7 MG 70 70'
AUN p7s M 7 XVINT:.5,' 14 V17 AWINFI�l
--- ----------------- I------ - -- --------------- ---------------------------------
14,043.01 1. 00 t. 010 .484 1.000 ?;212.6,',-,'
.r x+
t.tttt,
34 1-1, 04
V
Inr
i "V- 4
". -9
?4
AIA 71*6'�'
f.
5!'5 5.1
.....................
Yt
.................... ...................... ............
el t J i ek, a(3 TA I
iilyl 1, 1,
5 q 0
z:Z
"'ob
cisk
6
if /0
loo
1"
T[W
/AWY- IV ow ml, J,t-of"Y'
IN
"iVISIU1.4 7
Y--
1
6.6
1-117A
Lr.tiei 0. <16,
Z i i'v i,,, ,IH 41y, s, ..i,ii o fo
ai
A
,vit u 6.
of the CPT ratfay aumbe''
7J,"
64"'06.", -93,
0 10 20 30 40 50 60 ?0 80 90 70(l
Me maKmam allowable Ell' is ?00. We lower the CPT the more affYclept the
1aw Ef fYcie6cy i7igh
SINVI CIR JW I TjNF
-------------x.........
---
rr
. . .. . .. . . . . . . . . . . . . ..
ry1
ue. -70.0 r ...............,------------ v
R-folue. . . . . . . . . 17. ----- -
AIR CONOFFIONER. . . . . . . . . . . . .
tet:- rfF /X-
HFATIAW SMUN. . . . . . . . .
MUNK HSIT. . . . . . . . . . . . Z
AWN hFAM. . . . . . . . . . . . . . .
Electric Ck . . . . . . . . . . . . . 0, 93
5-4 511,
0.4?"
Sulcir . .. .. . . .. . . . . ---------------------
OVER FEA MWES. . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . —
1 certify that these eaergy •SIO!"g fbatbres
/i, aw beep fustwilod in this hounn,
A&hwss� 1W t.2,
t'1+)'r
vfVor Cf'ie"-qj, rot. 'o�ry
/*,,"oi ;,k,-, d c'f::•c.., too at of COOMOOfty Affwi,
ftp!labJ` I il,141 13 AX41'�" i`'-
File
At ldhvia Uswb Ft WIN,
y:
10941 Suach Md.
jWuAvooQjl,.-', F! 322,
30b 1. Plan 1000 3q. Ft,
AM dauAsonv!11q,AP
54
74• r';..~.
Oesigo 7D., "';W a. 79 log F
o'ye n'
To
4�;`
79373 81H 84
QW141foa Air 51/fl 47'f171 o i'- I ey A 7045 MOP
Ont Air loss 2020 Utah Wign 7emp. SOMP 3. 0 nay F
17463 Nab
Nalt.
"Ti,1ib
S 1 r,l,0 I i fied ...ATrNT MOUN6 F4W!P MAP
Al Y
tateroal Gains 7170 W/i
i i ,,I n 7W 81 Wi
lWG to fil tra 1 fa".,
A red (sq. ft.) 7000 1000 741- lateat Equip load 5AWY stab
Wame (CU. N. ) 80001
Air Chdayes1wour 1.0 0. 5 Z'`'f h
Ui 4r G11 I r,-'0 134
A0
Qpe Air hWadlei;
0 Utah WWI& wonlfag 0 Mob
0 WS W."t COOK"y 0 Efut'i
84.1j7 i y 70"0 My a nag r 70101 COOI;q:� 0
Acli�n/ "'!�'.i e""Y"'Y ACM! 51017"g Fin 810
HY Air MM 10MY 0, 04r 1TAW wQ Mg Air rlow Ch"lar 0.040 NAM ab
$Inua 75proostat load leas hyn! Awylo &11 1
TV MOK cent Med bly &10004 My"WO-V Q I IF ;_ew.MOMS of Nonual rorm
RIMOd CAI A
d5b 11 Plan 1000 Sq. Ft. Me name, 1000.610 8-5-9,::"
Mcedure A - Winter infiltywtion H7u colculatjoy,
------- -------------- ------------------------ --- ---- - - - --
I i 1F trJ JAF6LJG0 Gril
HOMMM x 0.0161v 134 /,TM
2. Winter Mfillratioa Stab
tr
1. 1 x 04 MY
3., Winter 1"Mirstiah MY
M Total NNOw 30- F "M
X Poor r3 v-..'`:7
7. Bowser infiltration Ml
rr
5 0.0167 61 M
f!r2. summer 1=100106 Sub
rr 7. 7 x 61 4TH A 19 dameer TV 135W stab rr
3fr
. Moser lafiliratloo HUY
165 To ta
X Door Arv,
-------- ---------- ---------------- --------- ---------- - - --- --
i."" latent 10filtyation Gahi
(Yi l-f.. 67 CTM 2Y76 Stab
i"3 roafyswent Sizing load"',
swasible pie "MaGoo 104",
7. 7 x '56.� 1".emi. x
sensfbl"c loei(/ for 91ruclvve (I Me 19) OUT RUN
Sam of B"Matfoa and skyncture loadv UM Stab
Rating and 79mperatuie Swing L' O'e"
Equipment Ming load - 3eosibh,''' ?TV 7 stab
2. latent Ming lox'i'
I
0. 68 k Jf"� CTM A 49 gr.jifr. 1661 Stub rrr
l 'odf,"'s --: "f'�"30 'k h'l'a/s
lodo, C' i 2226 MA
Sizing lodd Meat'
Monstruction Quality is.< a of Flvepl4nes 0;
r; �Pr , i , 1 no Wy &A , a 0&,, &j I
1000.810 job# Pla" 1600 Sq, F&
/44YVVIIIJIZ J1. M Ed. --- -
1/ Name of Abow
21 Rannivy Ft., Exposed W911 wv rv. 132.0 rL
31 Room Dfwensio"s, FI, 1000. A 1.0 Ft.
41 d 8.0 lbea(Avol
- ----------- -- ---------- -- ------ -- ------ ---
v1sw or IC37Y HM / Area / •..'•t r,_.( Area / Wh rJ
jI EAVWSVAW INTINly `i J; lienythl My / Cly Ileogthl Hy / Cl,
-------------------------------- -------------------- -------------- -----
51 Gross latiPCI 3.41 2.01 8071 rose 1 wet* gopy Were 1 sees
Exposed IbI13CI 1.41 1.31 641 "t sets 1 641 *tot rose
e'viu, /c/ 0.0/ 0.0/ 0/ rtrr tsar 1 0/ rose ,It
QrMfoos Idl 0,0/ 0,0/ 01 sees 1 test 0/ rose ttrt
rr lel 1 0.01 0,0/ 01 tort 1 www* I ;/ sort toot
i1 irl r 0.01 0.01 0/ *�rt sets 0/ tort tort rrr
I - -- - --, - - - - / - - -- I - - - I - - V - . - - - , -/
61 Ni odown /� / or 1461 MYSI/ sees 1 1461 SOVI rtff
X 81anx f M 137. 01 " 01 0/ r*fs a/ at ****
loops My IGI 0. 0/ or were 0/ a/ too,
010/ sort 0/ 0/ W*tr 0/ 0/ tots
010/ so 01 0/ rt*t 0/ 0/ strw
IN v 0/ 0/ 01 ttts 1 0/ o/ ttwr
r ;7 W&OWWO Mirth 123-01• ?461 wet* 330Q 7461 "t MS/
X Glass NFXNW 1 0.01 01 *set 0/ 0/ ***) tr,
Mrs clq : CM vol a/ sees 1 0/ 0/ ores 0/
sww 0.0/ 0/ rtrt 1 01 0/ ever 1 0/
1 11 JI 30M rr 0. 01 01 terr 1 01 01 strw 1 0!,
Ably 0.0/ 01 rose / 01 01 est. 1 0/
-- - --- -- --------- --- ---- - ---------- ---------- - -/
81 OM 391 6YWI 40SI 391 6181 4031
rr1 /I /"�,/'t 11 -(r o. .4 o/ o"',
--------------------------- - ---''r1 Net Q112VI 3.41 2,01 62YI 21291 KA561 62?1 21291 12611
Ewposed iblISCI 1.41 1.31 641 a5l at/ 641 a5l Sy/
Walls dnd /c/ / 0.0/ 0. 0/ 01 a/ 0/ 0/ 01 0/
kyrtitions Idl 1 0.0/ 0.0/ 0/ 0/ 0/ 0/ 01 0/
lel / 0. 0/ 6401 01 0/ 0/ 01 0/ 0/
/f/ 1 0. 01 0.01 01 01 01 0/ 0/ 0/
/10/ 1911109S 1611601 P-01 2.31 1000/ 0741 92791 ?000/ P0141 2?791
IbIlml 7. 01 P. 31 a/ a/ 01 0/ a/
/a/ 0.0/ 0.0/ al 01 61 0/ 01
1771 Floors I&IMA130.01 0,01 13PI 40631 0/ l rf rIr
1bl 1 0.0/ 0.01 0/ 01 0/ 0/ 01 of,
To/ 0.0/ 0/ 01 0/ 01 a/
1721 l4filtvalloo a 13n21 r 61 ?851 5584/ �35`61
/---- /-- -, - ------- - ------
1731sur-tot Rtwh ZOSSONS- IMIP1 sees !P6191 sees test 1 lost
1741 Vact Utah loss logrwlt, t*or 7i,Z"1 *-oeo
1751 76twl Otak ioss a 131?4 rf ssst 1 793131 test sees / 193131 et"
,r+.. -
- - ---- ------- -------/
1761 lot. P 30(V 61 sort 800/ 6/ o*,to l600l
P 41 rest =001 41 sets 49001
sees / .*.9t•*-' *.*:'A'.1' / .*.t.*.*
/181 Duct stub vake tree rpw-
/t9/ G&&n(1?H8)oPIr 1 ?. 00/ tort rr 16MI LOO/ sees rr i65 X71
! " ,- ! vtty. 1 Rio/ mini tort I syn! VIM
ovi"lou, U&I ty fieu by W&A cu WONE XNOW loco j
i?ilil,7/7
W7NVGW DA 7A
301 W, Plan /000 Sq. FT. WN 100Ai�r IiGIO
0 S A At
Y A 1 (7 7 i"t V 1111'1� N ill /i,
At 61 "' A
1" 1. 0 A,
n S d it Y 2 90 ?- 0 1.5 0. 0 1.0 38. 0 3 9.0 3 9.
d H & d C 0 n 8 Y 2 90 1.0 1. 5 0.0 ?. 0 (", ("", )
0 It 3 0 Y 2 90 1.0 1. 5 0. 0 1.0 ?3.0 30.0 0.61
n a Y 2 5W 7.0 1. 5 0.0 1.0 72.0 4 3.0 4 5.e9
MAP SHOWING BOUNDARY SURVEY OF :
LOT 12, BLOCK 3, DONNER'S REPLAT, AS RECORDED IN PLAT BOOK 19, PAGE 16
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
RECEIVED
L ElN/5 S TREAT
AO12 1997 ?O' R(6(-/T-OF wqy Found%T'%nPa
27,0.00 50. 00' 0 5.n9'w�st
City of Atlantic E each o0 --
Building and Zo in (bund. 4f;) %cr� 0
Q
o�
l I xCo
W
a
O ^� o
W J
o a
#o ~ °o
NOTES : N V CV h
NO BUILDING RESTRICTION LINE BY PLAT, BUT THERE MAY BE J w
RESTRICTION LINES OR EASEMENTS THAT AFFECT THIS
PROPERTY BY ZONING OR RECORDED IN THE PUBLIC RECORDS
OF THIS COUNTY THAT ARE NOT SHOWN ON THIS SURVEY. x—x
THIS PROPERTY LIES IN FLOOD ZONE "X"BY FLOOD MAPS
REVISED 4/17/1989, COMMUNITY PANEL NO. 120075 0001 D.
1
vi
h
h
a
Fnu/Jd%z"I-un Pi,Oe $ oo
/Corp YNvI.PCo�'a�) \,�
50. 00' --
R08ERT STREET
30' R16"T- OF WAY
I HEREBY CERTIFY TO: BEACHES HABITAT:
REVISED 11•29.96 TD SNOW ENCROACH16F6�tK-R 011-D. STEWART TITLE OF JACKSONVILLE, INC. : WATSON 8 OSBORNE,P.A.
PRICE QUOTE
APPLICATION FOR WATER AND/OR SEWER TAP
APPLICANT NA
MAILING ADDRESS �.
PHONE NUMBER_ `/` - b .S y DATEz-97
SERVICE REQUESTED
SERVICE LOCATION �Z
Z L1C
--�--
DATE SET TO PUBLIC WORKS F-12-Q-7
DATE RETURNED TO BUILDING DEPARTMENT
PUBLIC WORKS DEPARTMENT.
pPRICE QUOTE RESPONSE
WATER: / 5 1 L'
SEWER: J i9, --- --== �--=
OTHER:
PRICE QUOTE PREPARED BY: �S19
DATE NOTIFIED OWNER
t
� P3R-38rki <
88
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
1 �
PERMIT INFORMATION _
t Permit Number: 1519E �_ • _. LOCATION INFORMATION ,.
Addre ss : 55 ROBERT STREET
'
Permit Type:BUILDINO
A 'LARTIC BEACH FLORIDA 32233
r. T e•
lo-6 :
3
- 'LEGAL T?ESCR I PT I ON
w in LY L t ub /2 22` TwP: '0
e pan D
�.
Su divis on:.DOWNEV ` Rng. s
�
Est ., Value: 0. 00 ' S RT�PT�AT
Imlarc� t < +:tart n
29i505.00
Total P` S.,: 4, 995.00
Alunt, Pa' d; 995
,00
Dat 99,
rel T HABITAT HOME PER ER PLANS _ iHST 1000'
112, µTIQPI --------- APPLICATION FENS
Nam, S� ITER H,ABITA #IT� .__ .
{ Add,' "
C �{3 ?
ATER IMPACT FEE 350.00
AT , , FLORIDA223 SEWER L1 �. T FEE 25
Phoh � 6 zre
F
RS S}Off, a
a� r,� + `.a' s�,""
FORT I ON RADON CAB � �• 5
I Na;ne: PE' 0. 25
CAPITAL IM ROVE'.'LlX325r
Addr,r P.O BC . 3 � �ER, TAl?
00 ,
CANT I ZA
SEW
2",N 500 13
; E
ROSS CONNECTION 35.00
Di RC13I d?2 k Exp: I 1 SEC H IMPACT' FEIN
2 ' D.0
Type
,r CONST SURt'y�ARGE
4. 50
'{�`]
A7=rrF3+S71B
N
NOTES
4
j
NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 H�QURS PRIOR TO INSPEC '
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOTBE PLACE&IN PUBLIC.SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
i,
`'PAILURE TC) COMPLY WITH THE MECHANICS' LIEN C/#I�. T:IN
THE PROPERTY OWNER PAYING TWICE FOR BUI1.OIM #�
:
"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIC?LATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTt EACH BUILDING DEPART ENT
By: t
,�,'P„SR•384�,
DEPARTMENT'OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION
Permit Numbers ,1521.EAddress:
.. � �w . IaOCATION INFORM TION
�►PeaPLUMBING Addy aa '
Permit T �+ ROBERTSTREET
Class of Work*'NM A''LANTIC' REACH, FLORIDA 32233
-----__- I L►Eat,, D>LSCRIPTDON
C�rna t z Typ :WOOp F AME �B l ock: 3 at :Sall 12 ----------
0
! Proposed Use:SINGLE FAMILY ��c�tir�n < Subds Twp:
l��tel arca . t3 Subdiuision:DONNER'S REPL.AT Rn : „tl
'Est . Value:
'Imprav Cost : n
Total 1�'ee 46 . 50
'Amoun
6 '
J,
. '
o- i
f
Sri r `
__ -- -a PLICATION "EES
, 7 IiES HABITAT PERMIT N
ddr: 2 T #2 46 `5
! H C FLORIDA �`
AklPhqq��y'yy� ( `� � # Au�o �a�' a ' � a d
o �i k P m �4 r ° r r r f °S� '�`�'` '
. w C A R ORMA'TIQ ., --_--
Nams• B �”O P I NO
:JACKSON FL 32224
Exp* t .r
... .,M ...b .max.
't
NOTES;'
I
R
NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HpURS PRIORTO INSPECTION
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE P�ACED IN PUBLIC SPACE,AND MUST`BE s
'CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
a i
"FAILURE TO COI I LY WITH THE MECHANICS' LEN L,AW CAN RESULT 1N
THE PROPERTY OWNER PRYING TWICE FOR BUIL ING IMPROVEMENTS "
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCi4T#ONr�=C ! �
'VIOLATION OF APPLICABLE`PROVISIONS OF LAW.
ATLANTIC CH BUIL rNGPAR ENT rl ,
F
�r1 ii
{{I[
I '
i'
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION : 55 po s F-ets sI-2EE r
OWNER OF PROPERTY:
�I
PLUMBING CONTRACTOR _$ d-G P( um aw c
CONTRACTOR' S ADDRESS: 1399-7 812cl� (3Cvn
STATE LICENSE NUMBER: c.=ca 13,553 TELEPHONE: 23 -3585 fir,
+'
� i
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED ;!
SINKS SHOWERS
Z LAVATORY
-1-WATER HEATERS
2 BATH TUBS DISHWASHERS `
i .
URINALS DISPOSALS
Z CLOSETS WASHING MACHINE r) i'
FLOOR DRAINS SHOWER PANSj '
OTHER { '
TOTAL FIXTURES:--- 9 x $3 . 50 + $15 . 00 416• S °
"MINIMUM PERMIT FEE - $25 00
SIGNATURE OF OWNER:
:
SIGNATURE OF CONTRACTOR: ,I,
-----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH ;(+
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS
-' - ( 904) 247-5826
"i
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP - ( 904) 247-5834 Vii:
r
� PA
po
Peictol Poo°0
G°c``Gp
pa`e e Jedaa`e5e
C`�ce` J ,o P �G SPO ea' aye
Pe J° GO
0
Pe Jia J e3
PSR48A4
I
F
k
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
k
PERMIT INFORMATION — LOCATION NP"ORMATIO'N
Permit Number: 15449 Address : 55 ROBERT STREET
Permit Tyge:MECHANICAL A�'IANTIG REACH,
1` Class of .Na k:NEN FLORIDA RIBA 32233
onstr. Type:WOtA FRAME- --- - LEGAL' DESCRIPTIONProposed Use:SI:NIGLE FAM�IL,Y 5�+�ck:;3 Leat :�3.1/2 1�2 -�� �-. .� .
Section., 0 Subd: Rng: �
I?w llin s: 0 Subdivision:DONNER`S REPLAT
Est , Values: 0 .00
cost : 0 .00
'dotal Fe 43 .00
Amount -,,P
43.00
97
AL H AT aND AIR IN NITW__HOMi
TIONt Y
'7 APPLICATION FEES
WNamiES HABITAT
PERMIT
# 43.0
_
QAddr 26
; BFLORIDA 3
1 3 a 4 ;
OR 7l_
Nam : CON ROLL N i SrKSONY IWi
INC.
4
Y �AcxSONi �� E FLORIDA 32236
NOTES,
1
NOTICE INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
a
{
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLAQEO IN PUBLIC SPACE,AND MUST BE
CLEARED'UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
i
'FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAIN CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS "
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT t4 REV
VIOLATION OF-APPLICABLE PROVISIONS OF LAIN. OgQWFOR
s� s :<,I
CAM
ATLANTIC BEACH BUILDING°DEPARTMENT
77': x..,.
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT --
CALL•IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
I.
LOCATION Street Address: ��__ Q
OF Intersecting Streets: Between
BUILDING And,.Sub-division p ��
II. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the abcve stalement we hereby agree to perforin said work in accordance
with the etfaci>ed plans and specifications which area part hereof and in accordance wit the City of Jacksonville ordin work
end standards
Of good practice listed therein.
Name of Mechanical 2
Conhacfor (Print) `''� 6pContractors
_1Yl(J:�'� �( Master
Name of
Property Owner
r A n tuof Owner
o —��
or Authorised Agent Signature of
Architect or Engineer
111. GENERAL IN RMATION
A.
Type of heating fuel: 6.
IS OTHER CONSTRUCTION BEING DONE ON
Electric THIS BUILDING OR SITE t
❑ Gas—❑ LP ❑ Natural
❑ Central Utility
❑ Oil IF YES, GIVE NUMBER OF rCONSTRUCTION
Js X d
C] Other — specify PERMIT
IV. MECHANICAL EQUIPMENT TO RE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) ( Residential or ❑ Commercial
Hest ❑ Space ❑ Recessed 9g) Central O Floor New Building
Air Conditioning: ❑ Room IA IA Central ❑ Existing Building
Duct System: Meterial / Thickness ❑ Replacement Of existing system
... .maxirr7um"-cipac.� _.. t:.f.fn.. r�. .N!1W in of al!?tlnn.lflen cyef nrn,rn,In,,rly .,d,.
❑ Refrigeration ❑ Extension or add-on to existing system
❑ Cooling tower: capacity g.p.m. ❑ Other — Specify
❑ Fire sprinklers: Number of heads
❑ Elevator ❑ Manlift ❑ Escalator (number)
❑ Gasoline PUMP% (number) THIS SPACE FOR OFFICE USE ONLY
I lt«.Ir.d l
❑ Tenkc (number)
Remarks
❑ LPG confeinen (number)
❑ Unfired pressure vessel
❑ bilen Permit Approved by Data
❑ Other — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Unitis Deucription Model Number Manufacturer ���ty AppmVins
I w,P t/l. OL - au�V►nA'Kk�. ..—___ Z AsOL
CITY OF ATLANTIC BEACH, F40RIDA
A. mwbv APPLICATION f0IJ ELRCTIRIC,Ak PRItMIT
TO THE CHIEF ELECTRICAL INSPECTOR; DATE: 1,47
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 WITH THE ELECTRICAL REGULATIONS, CODE&ISMO CITY OF
ATLANTIS#A lO OM,CD ANCES.
Ic
1004 South Second St
JWASonvl Bch FL32250
a CdvrulrA'l SIR". MASTER E4E'CTR CIAN SLQUMRIE
NAM4L ADDRESS: 5S �d 13 C- 4-0
f oa.IHZE NTWEEN:
RES. APT.11 COMM.1 1 PUBLIC 1 INDUS.1 1 NEW 1 1 OLD 1 1 REW.I i
ADDITION l 1 TRAILER 1 1 TEMP. SI�iN; ! 1 . , _ ._ >i0.PT. _
SERVICE: 109W I i INCREASE 1 1 REPAIR 1 1 FE
COND=OR'
IST.SERV.SIZE AMPS W YR
T
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCoEALED OPEN MIAL
0.80 AMM.
9WiTCHts
INCANOESCENT
FLUORESCENT&M.V.
FIX[D
0.100 AMM. Ov[11
w�PLiwNcss BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
OVER._ _
MOTORS H.P. VOLTAGE PHS NO. 1 M.P. VOLTAGE PHS
MISCELLANEOUS 4
TRANSFORMERS: UNDER OW V. • OVER GOO V.
CITY OF
AS A
"I Office of Building Official
C' REQUEST FOR INSPECTION
y/
Date____ �—/ �` __ Permit No.
Time A.M
Received _ _P.M.
Job Add res L lily
Owner's
Name — _�--Cpntn for __—
BUILDING CONCRETE CELECTRI�At— PLUMBING MECHANICAL
Framing , Footing Rough 11 Air Cond. &
Re Roofing = Slab Temp Pole Top Out Fi Heating
Insulation _ Lintel Final ewer F] Fire Place
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. Friday _ G
C` �_2D
A.M.
Inspection Made _ _ P.M.
Inspector _ Final Inspection 1
Certificate of Occupancy
Date ----- ----- —
DATE:
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION( S ) HAVE BEEN MADE. AND ARE'
SATISFACTORY :
Y-----------------------
------ -------------- - ------------------------------
i
------ -------------------------------------------------
i
------ -------------------------------------------------
i
------ -------------------------------------------------
Enclosed are the blue copies of the permits.
SINCERELY,
BUILDING INSPECTION DIVISION
cc: FILE
CITY OF ATLANTIC BEACH, FLORIDA
.. J
A.,.«..w APPLICATION FOR BLICTRICAL PIRMIT
14
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 11
PORTANT 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 WITH THE ELECTRICAL REGULATIONS, CODER AND CITY OF
ATLANTIW, s DIc INNANCES.
1004 South Second St
JSckaiOW Wh ftiMO
6UFR ELECT "-'Au
NAME ADDRESa: RFa_..��x.....,.,.
BLDG.iIZE UTWSSN:_�^„
1 COMM.11 PUSLIC 1 1 INDUS.I I NEW 1--r OLD l 1 RAW.11
ADDITION 1 1 TRAILER 11 •t 1 SIGNS 1 1 am FT.
SERVICE: Naw INCREASE 1 1 REPAIR 1 1
PH LA
WAICH Qfi BR KKR
1ST.SERV.SIZE AMPS
FEEDERS NO. SIZE NO. SIZE NO. SIZE .
LIGHTING OUTLETS CONCEALED OPEN TOTAL
Ci!'TACL CON SALE[ OPENITOTAL
0.80 AIAM. �•
t.
SWITCH[*
INCANDESCENT
FLUORESCENT
AMM. I OV[11
Pu:io
APPLIANC99 I . I _ I SELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
i
_.1 ILP.
p.� OVER
MOTORS H.P. VOLTAGE PHS NO. 'JE PHS -
MISC LE LANEOUS _ _ . . .: •,:
TRANSFORMERS: UNDER 600 V,• OVER OWV.
_... V... I 1 I[� -
CIT'i GF
3
10
9-7
Date --
A.M.
Time M
---
-- f
Received __ -- _ ----
-
Jot A:;is�
Owner `ontrac or —
---- '" '" =tM41 �
Name . --------- PLt' i3ti4 "
r
Lt;.CI p1"sCAL Air cond. & sK
UILUIN
CONCRETE I Rough
r;ng ! Heating
Footing Top Out Fire Place
g �[.; Temp Pole Sewer
Slab Final Pre Fab
Insulation Roofing Lintel READY FOR INSPECTION ON A.M.
Fnd�y 11
Wed. Thurs. r
Mon.
Tues. I
A.P.1.
r— _P.tv1.
Final Ins ection
1 anc
— p p I
inspection Made of Occu Y
certificate
n p":ctot --- _
Uaie _
TRANSMITTAL DOCUMENT FOR JEA
DATE: _ C�
The following permits have passed "rough" inspection:
Permit No. Address
g�,A- �c:�eY caz�:c b � c:rs® .ess c ��}xexss �. Please update
your records accordingly.
BUIL I, G CLERK
CITY OF ATLANTIC BEACH
/vcb
� /CITY OF /
1�&ao��LC /3 eacA-Q*U-4
Office of Building Official
t�,,1 2 L REQUEST FOR INSPECTION
Date I Permit No.
Time %q M
Received M_
Job Address Locality
Owner's
c
Name _ L Z � � j �� Contractor /�V1 P� i R-ir
BUILDINGCONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing Footing Rough Wiring LRough Air Cond. &
Re Roofing Slab Temp Pole Top Out Heating
Insulation Linte! Final C Sewer Fire Place
READY FOR INSPECTION Pre Fab //''"�
Tueu� �A M '
Mon
Wed. Thurs. Friday____PM
— �— A.M.
Inspection Made r-. _ PM
0101 - — �r' < 'nal Inspection
— ----- ------------
Certificate of Occupancy
Date
CITY OF
4&4a LC
-f
Office of Buildi g Official
REQUEST FOR I SPE ON
Date �". T
Permit No.
Time A.M.
Received PM.
Job Asf,7des Locality
Owner's C�_1.--�...1f�/ 1Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Rou ❑ Air Cond. & ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out �❑ Heating
Clnsulation Lintel El Final L—; Sewer Fire Place ❑
READY FOR INSPECTION Pre Fab - '^"��/
Mon. Tues. Wed. Thurs. \ Friday -P.M:
Inspection Mad S A.
P.M.
Inspector Final Inspection
Certificate of Occupancy C
r
Date
p
f No.
Received A
_P.n — -
J
Jots A, lros R ",
Owner'
Name
- - Contr3E•trr
BUILDING C:C1TJ'u'RE rE _ _
Framing
R_ Roofing Footing Slab MEC;iANIC 1[
_
Reagh Wring µ�
Insulation Temp Pole _� Air Cond. d
Lintel t Top out 11lealing
SE�`ier `ire Placrt
Pilon.
BEADY FOR INSPECTION A- Prc Fab
Tues Wed. _..,.
f/ Thur''
Inspection Made —� —� `y FriE aY�
'nspet iron
�-��'il,`IClilc G(CcCUi1:_.�tCy
4
I
PROPERTY 1?ESC32IPTI0N
Lot #' ) lo2,Block #_:� Se tion # RECEIVED
Subdivision: J--
AUG 12 1997
Street Name DESC RIPTIO17 OF WORK
or Address.: /?O46�,c°� City of Atlantic Beach
(If in a FLOOD HAZARD Building and Zoning
Flood Zone:_X__area complete page 3) �--f� e/
Brief Description � , /- J 1
Class of Work: (New/
Remodel/Addition: Iye b )
ZONING Type of Construction: 4000
d )Ci�g'Ve
Zoning Proposed
District: Use: Estimated Value $
Exceptions or Variances Materials:
Granted:
Solid or Filled _•
Gr(aund:.� � Roof:
Method of Heating:
Ofd INF101MATION
Property Owner- Phone. 42-f9- L<'746
Mailing Address
i Zip
CONTRACTOR INFURNATION -
Contractor: P,�Ne-V 1(){ /p C'ISS Phone-. —►
Mailingress—T
12 D, l MIA Zip.
Expiration
STATE LICENSE NO: �.e (�t�1/� �,/ Date-.
Date:
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED' THIS APPLICATION AND KNOW THE SAME TO
BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
WILL BE COMPLIED WIT11, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL
RULES, REGULATIONS, ORDINANCES, OR LAWS IN AUY MANNER, INCLUDING THE GOVERNING OF
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE
ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND
THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED.
Owner Signature DATE
Contractor Signature DATE
S4iORti PAID SUB �BED BEFORE ME BY s L "`-! THIS �2, DAY
OF
1997.
< r
NOTARY PUBLIC petricleAmonette
*; r_ MY COMMISSION N CC553881 EXPIRES
y,�� August 27,2000
P,`` BONDED M TROY FAIN INSURANCE,INC-
CITY OF
800 S ri N
E. I. OLE ROAD
-- - "-- --- --- ATLANTIC BEACH, FLORIDA 32233-5445
TELEPHONE(904)247--5800
FAX(904)247-5805
NOTICE
TO: Water Department
FROM: Building Department
DATE: �- - o - 9 '
1
Please be advised that the final building inspection has been
completed on each of the following addresses and construction water
is no longer needed:
Permit Number Address
Sincerely,
Building Department
CITY OF ATLANTIC BEACH
TREE REMOVAL APPLICATION
All applications must be received by 5 P M �r� the MONDAY prior to the �,�„��-,
meetma in order to Km placed on the agenda for COnSir�Aratnn �t�rn..r�L TE
APPLICATIONS wILL NOT BE PROrF
g'Qn
1. ye
APPLICANT
APPLICANT NAME7
ADDRESS TELEPHONE
2. � S � �✓/off
ADDRESS OR LEGAL DESCRIPTION OF PROPOSED TREE REMOVAL
3. DESCRIBE PURPOSE OF TREE REMOVAL.-
4.
EMOVAL:4. SPECIFY TREES PROPOSED FOR REMOVAL AS FOLLOWS:
NUMBER SPECIES DIAMETER (DBH) CONDITION
IA)o / ee
5. TOTAL NUMBER OF TREES TO BE REMOVED:
6. TOTAL NUMBER OF INCHES OF TREES TO BE REMOVED:
7. SPECIFY PROPOSED REPLACEMENT TREES AS FOLLOWS:
NUMBER SPECIES DIAMETER (DBH)
8. ATTACH SITE PLAN INDICATING THE FOLLOWING:
a) Site topography, including proposed grade changes
b) Existing and proposed buildings and other improvements with dimensions and
required setbacks
c) Tree protection zones as applicable
d) Location, DBH and species of all trees with a DBH of six inches or greater
e) Location, DBH and species of all trees with DBH of less than six inches
proposed to be used for mitigation
f) Specify trees of unique or special character
g) Each tree proposed for removal clearly marked with a °X`
h) All existing and new trees proposed to be used for mitigation clearly marked
with brackets "[ j"
1) Location of utilities, easements and material storage areas
9. ALL TREES PROPOSED FOR REMOVAL MUST BE CLEARLY MARKED ON SITE
BY RED SURVEYORS RIBBON.
10. ALL EXISTING TREES PROPOSED TO BE USED FOR MITIGATION FAUST BE
CLEARLY MARKED ON SITE BY BLUE SURVEYORS RIBBON.
11. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSFn.
I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE
II, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES
OF THE CITY OF ATLANTIC BEACH:
LICANTS SIGNATURE D TE
OWNERS SIGNATURE DATE
APPROVED :
TREE CONSERVATION BOARD CHAIRMAN DATE
DATE:
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE
SATISFACTORY:
-------------------------------------------------
-------------------------------------------------
--------------------------------------------------
Enclosed are the blue copies of the permits.
SINCERELY,
Q-/),-,U
BUILDING INSPECTION DIVISION
= FILE
MAR 02'' '98 12:27 CLAR=OH n-= F,O`,
MAP SHOWING BOUNDARY SURVEY OF THE
LOT 12, FLOCK 3, AS SHOWN ON MAP OF SOUTH 1/2 OF
AS RECORDED IN PLAT BOOK 19, PAGE 16 OE THE PUBLIC RECORDS Of D�NNER�SQRREPLAT.
NOTE; ELEVATIONS SHOWN THUS 10,00 ANQ REFER TQ NATIONAL OA
��pAL GEODETIC VERTICAL DATUM,
�1SADELL MARK DAVIS; HABITAT FOR HUMANITY OF' THE JACKSONVILLE BEACHES_
ATTORNEY'S TITLE INSURANCE FUND; AND DONAHOO, DONAHOO, & BALL —
LEWIS STREET (30' R/W)
$0.00' `—
W
RE1%'7,r,1VED
q V) MAR 1998
� City of Atlantic Beach
0 Building and Zonlf�i
0 �; 0 4
� a o
z U4
Y Y
F—
`� z N4
0
0
cn m
50.00' 4
� W
�.
M
'I
' 7.3' 30.3 po W 12,4'
Cy- C.7
0 "azo
Z e�
fr � 7-r
W 8,
v�R00F�D POR�tI
N m 9
77n n' ,
FLOODPLAIN DEVELOPMENT INFORMATION
Location:: p�j�,�'`
Type of Development:
Flood Zone: X
Required Lowest Floor Elevation: _ S�
If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB
HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above
the base flood elevation established for that zone.
No final inspection will be made and no certificate of occupancy will be issued until the survey is
on file with the Building Department.
COMMENTS:
Applicant Acknowledgment: I understand that the issuance of this permit is contingent upon
the above information being correct and that the plans and supporting data have been or shall be
provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11
and all other laws or ordinances affecting the proposed development.
Date 97 Applicant's Signature
Department Use:
Required Lowest Floor Elevation
As Built Lowest Floor Elevation / - f 2—
Survey
Survey Filed with Building Department
Building Department Representative
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OFATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORKSHEET
Date Requested: 2/18/98
Building Contractor: Pelkey Builders
Building Permit Number: 15188
Address : 55 Robert Street
Legal Description: S.1/2 Lot 12, Block 3, Donner
Improvements to the above described property have been completed
in accordance with the terms of the permit and is certified to be
ready for occupancy as
sinle family residence
Lowest Floor Elevation:
required as built
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED DATE APPROVED BY
Fire na
Public Works 2/18/98 2 . 21 9 � JC p
Planning 2/18/98
Building _2/18/98 Z
CITY OF
y I ° Office of C3u11r1ing Official
ENISPECTIOYNI
Date. -- / --)-'// / f 5— F V
- - - - - Permil N,.,.
Time A.M.
r t 3ceived
Job Addr -
Locality
Owners
N - -------- -- Contractor - -
BUILDING CONCRETE ELECTRICAL PLUMBING MEC ANICAL
Framing Footing Rough Wiring t Rough
Re Roofing Slab g' Air ond. & J
Temp Pole Top Out Heating
Insulation Lintel Final i Sev✓er !7 Fire Place !]
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. A.M.
-�� Friday
j A.M.Inspection Made � C � l �~
Inspector Final Inspection ! i
-Ce
- —
Certificate of Occupancy i=J
Date
`ANr�C
FOR\OQ'
Imm
OF
JOB ADDRESS DATE
ff�r J,,� c5-74 12—
THIS JOB HAS NOT BEEN COMPLETED
The following additions or corrections shall be made before
the job will be accepted
$15.00 REINSPECT FEE
It is unlawful for any Carpenter, Contractor, Builder, or other
persons, to cover or cause to be covered, any part of the work
with flooring, lath, earth or other material, until the proper
inspector has had ample time of approve the installation.
After additions or corrections have been PLUMBING
made, call 247-5826, Building Depart-
ment for an inspection. Field Inspectors ELEC
are in the office from 8:00 a.m. to 5:00 BL
p.m. Monday through Friday.
CITY OF
Office Of Build' g O ial• /����
REQUEST FOR IN
Date ECTION
Time
Received A M Permit No.
Job Addres `—
Name / �"� cality
BUILDIN .,G CONCRETE Contractor
taming ELECTRICAL
Re Roofing Footing PLUM13IN
Insulation Slab Rough Wiring ❑ E �HANICALintel ❑ Temp Pole Rought
Final L Top Out Air Cond. &
C Sewer ED Heating
READY F INSPECTION Fire Place
Mon. OR INSPEPre Fab
Tues. `
ed.
Inspection Thurs.
Made ! Friday
Inspector A.M.
F'
Certificate of O
c Pan
dd
Date E
CITY OF
Office Of Building Official
2- REQUEST FOR INSPECTION
Date—
TI.
ate_ /
Rp
Time l �l0
Received q M Permit No.
P.M. ---
------ Job'
dr
Owner's 6//
Name ocality
BUILDING Contractor \j
Framing CONCRETE
Footing ELECTRICAL
Re Roofing Rough Wiring PLUMBING M HANICAL
Insulation Slab Rough
Lintel Temp Pole Air Cond. & I
Final Top Out
Sewer Heating
READY FOR INSPECTION Fire Place i
Mon. Pre Fab
Tues.
Wed.� '
Inspection Made Thurs. Friday A.M.
L--- P.M. I
InsPsctoi---_ .� --------_--A �
---- ----_ Final l
—�.�
1
Z
rtificate of Oc panc� e ---- ,
/ CITY OF
Be4c.4-q;k,,4
Office of Building Official
Date
REQUEST FOR INSPECTION
Z
Time
Received q M Permit No.
PM.
JobAddr�, o
Owner's
Name cality
BUILDING CONCRETE On1ractor
Framing ELECTRIE
Re Roofing Footing PLUMBING
Insulation Slab r'
u9 ring ❑ MECHANICAL
❑ Lintel ❑ Temp Pole Rough
n Final Lj Top Out F, Air Cond. g
/yF\' Sewer C Heating �
Mon. READY FOR INSPE ❑ Fire Place ❑
Tues. CTION Pre Fab
Wed.
Inspection Made —� 3 r�0 Thurs. A.M.
Friday
Inspector A.M. ----- —PM.
Final Inspection
Certificate of ccupancy
Date
s
Traffiratz of (0ccuvIur
ltlttntir fa — vrtbtt
�P�tt�tmPnt of 11jutlb� �
This Certificate issued pursuant to the i��
requirements o
Building Code certifying f Section'703.8 of the Southern Standard
�' g that at the of issuance this structure was in com '
various Ord' pliance with the
mances regulatin
.,,c g building construction or
use. For the following.
Use Classification Single Family
Group W.frame l Residence
Type Construction sf Bldg• Permit No. 1.5188
Owner of BuildingSade - Fire istrict Atlantic
del Davis Baa Haiita c Beach
B in9 Address 55 Robert he%ddress .�t1 in is
..treat Beach
Locality Atlantic Reach
BY: DON G. F�JRD R1 32233
Date:
POST IN A CONSPICUOUS PLACE �3
i
Terfiffitrate of Orrupaury
(situ of
-Atlantic +Ne# — Yloriba
+Devartment of '%ilbing Insertion
This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use. For the following.
Use Classification Single Family Residence
Bldg. Permit No. 15188
Group W.frame Type Construction sf F;re gistnct Atlantic Beach
Owner of Building SadeDavi l Dave Habita
ea he Address _atl a_nt;c Beach
B ing Address 55 Robert Street Locality. Atlantic Beach FL 32233
^.,., By: DON C. FORD
Building Official Date: .Gj
POST IN A CONSPICUOUS PLACE
t
q
O
f G
1
i
� y
f
If
++i
i
�1
y j
i
l �
�� �'^•'fit
i
J
war
ADDRESS
BUILDING PERMIT NUMBER_ ,� �! F-
INSPECTIONS : FOOTING
UNDER SLAB PLUMBING
SLAB 3 -
FRAMING C' — 5
COVER-UP__ 2 -5 -ql'
INSULATION � c/ - 5
FINAL BUILDING g ,q
CERTIFICATE OF OCCUPAN y
ELECTRICAL PERMIT # 45-6 `�3 w 7-4)
INSPECTIONS ROUGH
FINAL_
MECHANICAL PERMIT
PLUMBING PERMIT # ✓ =-2',�
NOTES : '2 - Q -- 2 Ct