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CITY OF ATLANTIC
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D AT LEAST 24 HOURS PRIOR TO INSPECTION
NOTICE INSPECTION$ 'MUST BE REQUESTE
MUST NOT BE PLACED IN,PUK IC SPACE,'AND M10STBE
ILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK
EARED UP AND HAULED�AWAY BY E'ItHER CONTRACTOR OR OWNER
LAW
00, COM, s',LI 'IN
FAILURE'r""I PLYVITH THE MECHANIC F.N,r CAN RESU
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HE ROPERTY WN SIR PAYING TWICE'FOR' SUILOING IML IROVIEM
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TO,REVO 'OR
J$SUED ACCOROINGTO APPROVED PLANS'WHICH.ARE PART OF THIS PERK41T AND
SUBJECT
N OFAPPLICABL
OLATIO E PROV SIONS OF LAW.' I leln
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I ATLAN
Tic EACH I$
P-01
Nov-18-97 01 : 49
CXTY OF ATZ"TIC BEACH
PERWT A2PLXCATXON REHODEL, ADDXTXONS, OR ALTERATXONS
MOVING,DEMLXTIONS
Owner(s) : ��)('HLJ -760
Acdress: phone:
Lct 0 1 Biock or Unit Subdivision;
contractor: fe—
State License
Address: Phone No:
City State zin code
xv
DescrIbe work to be done(1) IZ f- --,&-;-4,,0V I'OfiC-4 &104reZ SCd-Cf�,A,)
llt#�Cle 14- 5nue-fe slie,,p 12-)
�Stt- -z9.TTA 111.o 42 t t-,
Presenr- use of building: /2f-/j rlql-e-
- Iso D , 6
Valuation of Proposed Constrac.ion;
r on o S ea is e: "-fll d�)-e All 11 t 5 7-0 A f4 e,
s this an aadition? 141b If yes, what aze the dimensions of the added
tA_l
space: 'of- ft. x X/jl-- ft. Will the added area be heated and
ccoled?- New eiectrical (or increase) ? /J
New plumbing fixture5? New fireplace? New Heat/AC7
SVMXT TM= X000RCZAL) TWO WSIDENTIAL) CCWLE= SVTS OF PLANS, 1NCZU.DX1vG
SZ TZ PLAN, . SMVVY, MERGY CC= FOR45, NOTX= OF CCNNWC=MNT, AND
ONNER/CM-MACTM A17ZDAV"XT, ZY TS CONTRA=R.
Signature OWNER: =ate.-
Date-
Signature CONTRA
Sworn tc and subscri before me th'is :lay of
e-.
"V
EIVED
4�5 NN, paWa AMOWU
A.
C�
MY C()MMISSION 0 Gc5m,
9 1997 August 27,20M
FAIN INSURAV
P
Some)TM TRDY
U
city of Atlantic Beach
Building and Zoning
CITY OF
�00,1;FMINOLE W)z�i)
1()Nl--1 9(),, 21 T --(W
ll'Al\ ,904 1 '217-5��05
t I -�5 0
CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FroR A PE:RMiT
UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR
OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST__SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE: AND
OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF
WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR
LEASE. WHICH IS IN VIOLATION OF THIS EXEMP"TION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR.
YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR
RESPONS151LITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE: LICENSES REQUIRED BY STATE LAW AND BY
COUNTY OR MUNICIPAL LICENSING ORDINANCES,
ORDINANCES ALSO ALLOW AN OWNER 70 IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY
USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,(DOO) BE UNDER A BUILDING PERMIT AND PASS
ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY CC) WORK THEMSELVES; OR MAY HIRE
UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON
THE JOB AT ALL 77MES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." 7HIs DOES NOT ALLOW USE OF
UNLICENSED CONTRACTORS,
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE. THE BUILDING DEPARTMENT SUGGESTS
WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS
THE OWNER, OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/CR
FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228(f). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE.
THE: OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE: BUILDING DEPARTMENT (247-
5826) IF IN DOUBT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE: [DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL
THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILCER PERMIT.
/P RTY OWNER/BUILDER
ADDRESS TELEPHONE
SWORN TO AND SUBSCRIBED BEFORE ME THI DA OF_y/-O—� -7
J'AY"
NOTARY PUBLIC POW MOWN
NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: W COMMSSION#CC&rvWl EXPIRH
ARE EMPHASIZED BY THE BUILDING kmUst 27,20M
BoNoED THRIJ TROY FAIN INSURANCE,INC
DEPARTMENT.
5
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09/25/97 THU 13:59 Ml 904 354 0077 BROWN OBRlNGER
MAP SHOWING BOUNDARY SURVEY OF
LOT 15. BLOCK 9. ROYAL PAI-MS UNIT TWO, AS RECORDED IN PLAT BOOK 30, PAr'E5 94 AND -94A,
OF THE CURRENT PUBLIC RECORDS OF DU'VAL COUNTY, FLOR)DA.
CERTIFIED TO:
JOHN ONDR;,-JICl4A
BAINK OF ST. AUGUSTI�4[ IrV44,1,
LAWYERS THLE INSURANCE FUND, (NO.
DALE BEARDSLEY, P,A,
REOFIN DRIVE
(6C.Q' F?lGKT OF MY)
FOUND 1/2'fRQN rft
No MENTPCATION 85'37*27' E -- x
F-QvNc i/:- a,'3N-ripe
NO CENTI-IC4,110N
LLI
STRICTaLpt
'Al
ONE STORY
M�SONRY
POSTEID # 760
LOT 14
b LOT 15
BLOCK 9 x
Bt SLOCK 9
:.,7 4!
LOT 15
BLOCK 9
57
lUrf EASEMEN',
&MAGE ANC unurr mrm
-/FOUND 112'IM4 Inn
ull jc��mc*
'31'�7" W
0 \s'
LOT 8
BLOCK 9
L TM
LEGEND:
FM4CE
CONCRETE
NOTES:
i. SaEAANCS ARE BASED ON -n'.E '-�AT-41, or ALf)NG Tw� REA-SIONS
OLITHERLY RIGHT OF Wl%Y UNE OF IkEUPIN EjgtVg-. ----F-
2, PY GRAPAC PLOTTNC CNLY THE CAPTONED LANL3S LIE VATI-1414 FLOOD ZONC AS s"IM ON THE F�
N47IONAL FLOOD INSURANCE MAP DATED APRIL 17. Isisq, commumn,I'LUMBEF 170,16, V-AN�L -QS)CI—Q
1,PirWrq riF VIA.Y AR PF� RE,',arr,�D r'l..',.T&/Op TITLE COWTVENI
CITY OF ATLANTIC BEACH, FLORIDA
Appr ved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Wo sc) 19
IMP013TANT 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, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
�j L :
ELECTRICAL FIRM. MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
ADDRESS: ReW F- ? tJ RFD-BOX
NAME z E�44::�A
BLDG.SIZE BETWEEN: ?lk-L'w'z'lfue'
RES. ( Ofe APT. ( comm. PUBLIC INDUS. NEW( OLDI REW.
ADDITION ( ) TRAILER TEMP. I ) SIGNS ( ) SG. FT.
SERVICE: NEW( INCREASE 1-.( REPAIR FEE
CONDUCTOR SIZE 2.o d) AMPS COPPER ALUM. Iff
SWITCH OR BREAKER 2,0 Q AMPS PH 12-) W a4OVOLT 47';e� RACEWAY
EXIST.SERV.SIZE I QQ AMPS PH I-S W ZHaOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
SWITCHES 0.30 AMPS. 31-100 AMPS]
INCANDESCENT
FLUORESCENT&M.V.
FIXED O-WO AMPS. OVER
APPLIANCES i I I BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0 OVER
MOTORS H.P. VOLTAGE PHS No. 1 H.P. VOLTAGE PHS
MISCELLANEOUS aKvw-e . 35KRIW� MMT- I
CITY OF
4&4w4c Beac,4-lk":&
Office of Building Official
ok, REQUEST FOR INSPECTION
Date 5;`7
Permit No,
Time
Received PNA
Job Address j Locility
Owner,
Name s- or
BUILDING CRETE ELECTRICAL�' PWMEIING MECHANICAL
Framing - cling Rough
Air Cond. &
Re Roofing 7 Slab -_j Temp Pole TOP Out Heating
Insulation Lintel Final Sewer Fire Place
Pre Fab
READY FOR INSPECTION
Tues. Wed. Th u rs. Friday PM,
A.M.
-7
Inspection Made
--PM.
t—necior Finial Inspectic,
Certificate 2Krcancy
Date
DATE : -7
-------------
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECT:GN ( S ) HAVE 3EEN MADE AN& ARE
SATISFACTORY :
'2 -----------------
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Enclosed are the blue copies of the permits.
Si- LY,
BUILDING INSPECTION DIVISION
cc : FILE