Permit 353 Royal Palm (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 09-00000481 Date 4/08/09
Property Address . . . . . . 353 ROYAL PALMS DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 --------------
-------------------------------------------------------------
Application desc
service increase from 150 amp to 200 amp
-------------------------------------------------------------
Owner Contractor
------------------------
------------------------
Ferguson, Kia RIVER CITY ELECTRIC
353 ROYAL PALMS DRIVE 2825 HOLLYBAY ROAD FL 32073
ATLANTIC BEACH FL 32233 ORANGE PARK
(904) 278-4904
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc - - INCREASE SERV FROM 150 TO 200 . 00
Permit Fee . . . . 85 . 00 Plan Check Fee 0
Issue Date . . . . Valuation . . . .
Expiration Date . - 10/05/09 ---------------
---------------------------------------------------- --------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 85 . 00 8S . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 85 . 00 85 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
q,l
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09
F7 I. OFFICE:OU 247-5826 0 FAX NO.:(904)247-5845
BIJILDING-DEPTQCOAB.US
ELECTRICAL PERMIT APPLICATION DUVAL COUNTY
1.J013 ADDRESS: 12.13 TIHIS A SUB PERMIT. 3.DATE
0 NO
110
9c�V-1 C 0 YES PERMITM
PROWLER:
4.NAME: 5.ADDRESS I DIFFERE FROM JOB ADDRESS: PHONE:
iz�v*N- 1`3�3
El ECTRICAI CONTRACTOR- -
7_NME OF COMPANY 8.ADDRESS.
i�� \ 0- P P-/- 5- 73
9.STAT�CF FLORIDA LJCENft NO: 10.CELL PHONE: 11.FAX NO.:
a,C,C,C Q'5-6 9L 15,C-A I --c)(1.1
12.EMAIL ADDRESS: 13.OFFICE PHONE, 14.
15.A43plication is hereby made to obtain a permit to do the work and installations as indicateq-'I rtify th all work will be performed to meet
'I
the standards of all laws regulating construction in this jurisdiction. This permitbewMes;nu andlld�lf a' commenced within six(6)
t, ,n jiga,
months,or if construction or work is suspended or abandoned for a period of sixt,(6)mo a y ti mmenced.
CONTRACTORSSIGNATURE:
16.CLASS OF WORK: 17.SERVICE: is.MEIIEvit NUMBER:
0 MULTI FAMILY-*OF UNITS: FRA-ESIDENTIAL
firSINGLE FAMILY 0 TEMP SERVICE 0 COMMERCIAL
0 ADDITION 0 TRAILOR 19.BUILDING: 19.CURRENT CODE:
0 ALTERATION 0 SIGN ZOLD 0 NEW 0'05 NATIONAL ELECTRICAL CODE
0 REPAIR 0 POOL/SPA 10 REWIRE 10 OTHER:
LIST ALL ELECTRICAL WORK:
U-bVERHEAD 0 UNDERGROUND UP POLE
20.TYPE OF SERVICE: -;Lg&u
21.NEW SERVICE: CONDUCTORS PER PHASE: XPOWER IS ON 0 POWER IS OFF
22.SIZE OF CONDUCTOR: AMPACITY:-1=.!2-0 OCOPPER )2rALUMINUM
AMPS: 2-0- PH: W: VOLT: 0 RACEWAY SIZE: 7�V4
23.SVffCH OR BREAKER SIZE: L_
24.EXISTING SERVICE SIZE: AMPS:1_� PH: W: VOLT:. Zq RACEWAY SIZE: 4L�11
26.FEEDERS: #OF- AMPS: #OF AMPS:- #OF- AMPS:
26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.:
27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
28.FIRE ALARM: 0 YES 0 NO
N-3-1 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-1FAMILY AND ROOM ADDITIONS
29.SMOKE DETECTORS: NUMBER:
30.RECEPTACLES: 0-30AMPS:_ 31-IOOAMPS: OVER 100 AMPS:
31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
32.AIR CONDITIONING:
#OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW:
*OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW:
33.MOTORS:
NUMBER: VOLTAGE: HP: KVA:
NUMBER: VOLTAGE: HP: KVA:
UNDER 60OV: NUMBER: KVA: 34.TRANSFORMERS:
OVER 60OV: NUMBER: KVA:
M.MISCELAtMOR REPAIRS-
DESCRIBE IN DETAIL:
BLDG02 Permit Applia�Elec:REMSED:12/18=8
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000475 Date 4/08/09
Property Address . . . . . . 353 ROYAL PALMS DR
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 CU 1 AHU
------------------------------------------------- ---------------------------
Owner Contractor
------------------------
------------------------
TROPIC HEATING & AIR
Q/A:MARKS, CHARLES J.
750 MAYPORT RD.
ATLANTIC BEACH FL 32233
(904) 241-1788
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 79 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/05/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000609 Date 5/01/09
Property Address . . . . . . 550 ROYAL PALMS DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
safety
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
AVEN BROOKS & LIMBAUGH ELECTRIC CO
550 ROYAL PALMS DRIVE Q/A BROOKS, CHRISTY
ATLANTIC BEACH FL 32233 42 WEST 8TH ST.
ATLANTIC BEACH FL 32233
(904) 241-9051
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/28/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
0801
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08-
OFFICE:(904)247-6926 0 FAX NO.:(904P47-5U5
BUILDING-DEPTCCOAB,US
ELECTRICAL PERMIT APPLICATION DUVAL COUNTY
0
0 YES-PeRM(T M 151( Ing
rRCU6L( r-A IV
.ME- 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
J.7�AAME OFIC_qMPANY- 8..ADORESS.:
Dn- CK,g i:M (-4?
9.STATE ' 0.CELL PHONE: 11.FAX NO.:
I fk�"IN662296 Et S7-
�2.E"L ADDRESS: 13.OFFICEPKONE: 14.
15.Application is hereby made to obtain a permit to do the work and installations as indicated. I cerdfy that all work will be performed to meet
the standards of all laws regulating construction in this jurisdicdon. 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.
CONTRACTORS SIGNATURE:K
E3 MULTI FAMILY- OF UNITS: KRESIDENTIAL
ASINGLE FAMILY 13 TEMP SERVICE 13 COMMERCIAL
0 ADDITION [3 TRAILOR WAX
0 ALTERATION 13 SIGN )11,OLD 0 NEW [3'05 NATIONAL ELECTRICAL CODE
13 REPAIR 0 POOL SPA 10 REWIRE 113 0 HER:
Lgo Aj,'
20.TYPE OF SERVICE: IYOVERHEAD 13UNDERGkOUND 0 UNDERGROUND UP POLE
41-
21. NEW SERVICE: CONDUCTORS PER PHASE: 13 POWER IS ON 0 POWER IS OFF
22. SIZE OF CONDUCTOR: AMPACITY: OCOPPER 0 ALUMINUM
23.SWITCH OR BREAKER SIZE: AMPS:- PH: W: VOLT: RACEWAY SIZE:
24.EXISTING SERVICE SIZE: AMPS:_ICX2 PH: W: VOLT: RACEWAY SIZE:
25. FEEDERS: #OF AMPS: #OF AMPS; #OF AMPS:
26. LIGHTING FIXTURES: INCANDESCENT:- FLUORESCENT&M.V.:
27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER100AMPS:
28. FIRE ALARM: 113YES 0 NO
29-31 00 NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS
29. SMOKE DETECTORS: NUMBER:
30. RECEPTACLES: 0-30 AMPS: 31-100 At4P& OVER 100 AMPS:
31. SWITCHES. 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
AIR..P(?NDMC?NjNq��1X
#OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW:
#OF UN17S: COMP.MOTOR HP RATING: AMPS: HEAT KW:
-777-77 31;N
NUMBER: VOLTAGE: HP: KVA:
NUMBER: VOLTAGE: HP: KVA:
-�-�CTRANSFORMERSV
UNDER 60OV: NUMBER: KVA:
OVER 60OV: NUMBER: KVA:
35.Ml§CE14ANEO US REPAIRS:
DESCRIBE IN DETAIL:
go
COAS FORM BLDG02:REVISED:111=008
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00030370 Date 5/18/OS
Property Address . . . . . . 353 ROYAL PALMS DR
Tenant nbr, name . . . . . . REROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4450
Owner Contractor
------------------------ ------------------------
FERGUSON, KAI OWNER
353 ROYAL PALMS DRIVE
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 83 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4450
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 83 . 00 83 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 83 . 00 83 . 00 . 00 . 00
PERNUT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address
Date 51 1 Ob fo-,—:,
Heated Square Footage @ per sqft= $
Garage Shed @$ per sqft= $
Carport Porch @$ per sq R $
Deck @$ per sqft= $
Patio @$ per sq ft $
TOTAL VALUATION: $
/4 $
Totaf Valuation I' $ UG&O
3q!�� $ ;L0
Remaining Value $6. per thousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $
ZONING: + 1/2 Filing Fee $
FLOOD ZONE: )Fireplaces@ $35.00 $
IMPERVIOUS SURFACE:
BUILDING PERMIT FEE $ gs�
WATER IMPACT FEE $
SEWERIMPACTFEE $
WATER METERJTAP $
CAPITAL IMPROVEMENT$
SEWER TAP $
C ( )RADON .0050 $
SECTION H PAVING ( ) $
HYDRAULIC SHARES $
cRoss CONNECTION s
ST( ) SURCHARGE $
OTHER $
GRAND TOTAL DUE: $
Cc:
CITY OF ATLANTIC BEACH
D. Ford
BUILDING ZONING DEPARTMENT
Lr-
P 800 Seminole Road S-V-6—err
Atlantic Beach,Florida 32233
(904)247-5800
con 19
(904)247-5845 Fax
TV C')F PJL,-"�r�JJC
www.coab.us
PLAN REVIEW COMMENTS MAY 1 ,� 2200b
Permit Application # CDS Sb S-7?-)
-77
Property Address: --3S5
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: LLk Date:
Date Contractor Notified:
CITY )F, !,T!
MAY i 7 200b
CITY OF ATLANTIC BEAC
ROOFING PERMIT APPLICATION
BY
..........
S
Job Address: C
Owner of Property: L Telephone: 2 f-i
Address: rok Is Ic �-IQJR �CLC
Contractor: j2!2onc�hc,, R—ccL n State License Number: P-C-0011
Contractor's Address: 20-5 0 Fax:
Telephone:
ScopeofWork: Rorc3oF
Deck Slope: __�j�..Greater than 2:12 Less than 2:12
Valuation of work: Lf-, Ci S 0 ,r- -,
Product Name(Example: Timberline):
Manufacturer(Example: GAF):
ASTM Designation(s): V-
Required Inspections: Spfathing and Final
XSignature of Owner: ,.. Date:
Date:
Signature of Contractotrr:
/KAS TO OWNER:
Sworn to and subscribed before me this (941 day of 20-
State of Florida,C9t
pkoQy�.L.Mul Notary's Signature:
I �A'� myc"T"sionWOMM
vil/ Expkft AU"15.2W5 F-1 Personally known
N-4roduced identification Ft
Type of identifi%tion produced
AS TO CONTRACTOR:
IS4-1 day of 26673 .
Sworn to and subscribed before me this
State of Florida,County of Notary's Signature:
,\\X� * cums.
0%4z Z
�2,200� Personally known
Produced identification
Type of identification produced
e Road Atlantic Beach,Florida 32233-5445
Page 1 T 247-5800 Fax: (904)247-5845 -http://www.ci.atiantic-beach.R.us Revised 2/21/03
NOTICE OF COMMENCEMENT
(PREPARE IN DUPUCATE)
Permit No. Tax Folio No.
State of County of
To whom it may concern:
The undersigned hereby informs you that Improvements will be made to certain real property, and In
accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: r
P- is 6--, E 900�406 A I- I Oc- R
Address of property being improved: 3S3 R0�4--( of
F I
General description of improvements: e 0- rl-c, r, Q1-4
r
Owner
Address Ll Ll 2 FYIJ Z Z-4GC
Owner's interest in site of the improvement LO 0
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor-- CC,
Top Address Z o -4 G kS�0—tv,� Fto.-Jolr-
C* Phone No. 2-"-t'2- f-L'-t C Fax No. 3 7--,--�0(,p
x Surety(if any)
Address Amount of bond $
Phone No. Fax No.
N.ime and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06 (2) (b), Florida Statutes. (Fill in at Owners option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
7, FOR OFFICE USE ONLY
Feb 6 70
Date.................. ...... 19 ......
Permit *......?j.4.........Fee$.....3.0....00....
.... .......
CITY OF ATLANTIC BEACH Valuation $1_.qA_0'0-0.'00.............*.........
FLORIDA House #.....3.5 3 F%
..Qya
Dr.
...........................................................................
APPLICATION FOR BUILDING PERMIT ............................................................................
............................................................................
Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance 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 submitted to this office so that licenses can
be verihed.
Date..........2=....19--70................................ 19............
Owner....R10----Vizta----50T-p-._---------------------------------------------Address.....7.18---F-1a----Tit-le------------Telephone No..38.3----
Architect_................................................__--------------------------------------Address,---------------------------------------------------------Telephone No............................
Contractor Builder-----R.......W........How-ard--------------------------......Address.1.5.58....S-an----M---r-c-o-------------Telephone No.�98-13777_.
------------------ ----- ..... -------- ........
Lot No......25 -_.Block No-------�13--------------_-Sub Division-9gyal Pa�s
------------------------------------------------------------------Zone...............
R�oyal....Palms....dr,------------Street....eW3't ...Side Between---Triton Rd.
--------------------#-----------------and....S.aba�o----dT....................Sts.
Valuation $.10..,.00-0 .....For what purpose will building be used......ReS------------__------Type of construction...BrIC�k---Vane4e r
Dimensions of Building-----26---X---40 ------Dimensions of Lot.----8()�---X__9.3---------..................Size of Footings-------8__X__2.0...........
Ashp Shgs
Size of Piers.--------- -----------------------Size of Sills-----------------------.. .-.-.Greatest Sill Span in ft-----_-_----------------Type Roof..............................I-----
How will Building be Heated?-Central Gas ............................
---I--------- ...............---------------- .....Will Building be on Solid or Filled Ground?..4q!id
Size of Ceiling Joists------Tr_USa_e.8-------------- Distance on Centers-_-.... --------------................, Greatest Span------------------------------------------- to
Size of Floor Joists_---Sleb---------------------------I Distance on Centers.......... ----- --------------------------- Greatest Span-------------------------------------------- to
-----------
Size,of Rafters-2 x 4 Trusses ---- --------------------------------, Greatest Span.........----_----------- ------------ It
---------------- ...... Distance on Centers.. , 24
This rectangle is to represent the lot.
Locate the building Or buildings in the
right position. Give distance in feet from
-all lot-lines and existing buildings.
FEB 20 '19 REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application. THE CITY OF ATLANTIC BEACH
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. Z
3. When steel is in place and ready to pour beam.
4. When framing is completed. E-4
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.
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 attac4ed plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City o;49tlantic
,.,Oeach.
Adrss---_---------------_------.....................................................................
. . ..................
r---t__l-----------------
Signature of Builder-- I ... .. .... .....
e
ess---------------------------------................................................ ............
-----2.. ...........
ZZ
Signature of Owner .................
42 3
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M$AmLD FOOTINOS M
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MONTHS AFTER DAfEb -ISsoi
:SllUll:L G MATER] kL,RUMSKANDDEBRIS-FAOM THIS W04K'MUST NOT SE�LACE 'J AND,MUST'SE
WPUBLIC�$PAC
AU 'E CONTRACTOR OR OWNM
'AY.BYf
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ANTX�-8 'h EPAAT;!0tNT
�,,ATL EA H, u[Lb I N
CITY OF ATLANTIC BEACH
APPLICATION FOR ROOFING PERMIT
BUILOING OWNE
a& -__PHON
JOB ADDRES
LOT LOCK O� UNIT 1
SUBDIVISION
CONTRACTO
PHONE
7
ADDRESS_2
LICENSE NUMBER
EXPIRAT
ji�
i,
JOB VALUATION
MATERIALS:
SIGNATURE OWNER
DATE
SIGNATURE CONTRACTOR DATE
3- 91
loon
Inotife of Commencement
(PREPARE IN DUPLICATE)
To whom it mev concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with section 713.13 of the Florida Statutes, the following information Is stated in this NOTICE
OF COMMENCEMENT.
Description of property -----� -0-------- ------------ ---
------------ 0.r-)-1-4 -.,c----.0-n---------------------------------------------------------------------
------------------------------------------------------------- ----------------------------------------------------
General description of improvements
--------------------------------------------------------------------------------------------------------------
Owner- ----- -0---
-----------------------------------------------
Address
----------------------------------------
Owner's interest in site of the improvement -et-VIG---
Fee Simple Title holder (if other than owner) ------------------------------------------------------------------
Name ----------------------------------------------------- --------------------------------------------------
Address -------------------------------------------------------------------------------------------------------
Contractor ---- ---------------------------------
-------F -o-C-1
Address —3-3-33---Li-t-CIA
Surety (if any) -------------------------------------------------------------------------------:--------------
Address ------------------------------------------------------------------Amount of bond 0--------
Name and address of any person making a loan for the construction of tile improvements.
Name ---------------------------------------------------- -------------------------------------------------
Address -------------------------------------------------------------------------------------------------------
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents
may be served:
Name -----------------------------------------------------------------------------------------------------
Address -------------------------------------------------------------------------------------------------
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.06 [21 [b], Florida Statutes. (Fill in at Owner's option),
Name -----------------------------------------------------------------------------------------------------
of Commencement
(PRIEPARK IN bUPLICATK)
To whom it mev concern:
The undersigned hereby informs you that improvements will be made to certain real property, and In
accordance with section 713.13 of the Florida Statutes, the following information Is stated in this NOTICE
OF COMMENCEMENT.
Description of property ---- ------7��
0 r-5 - -V- -)-A
------------------ -------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------
General description of improvements
---------------------------------------------------------------------------------------------------------------
M-,-.)-- a\-
Owner -----
Address ------
Owner's interest in site of the improvement
Fee Simple Title holder (if other than owner) -----------------------------------------------------------------
Name
Address --------------------------------------------------------------------------------------------------------
-PA!=s-------i'- cx
Contractor ------5---e----
Address K-72 9
Surety (if any) --------------------------------------------------------------------------------:
Address ------------------------------------------------------------------Amount of bond 0-------
N2MC and address of any person making a loan for the construction of the improvements.
Name ------------------------------------------------------------------------------------------------------
Address -----------------------------------------------------------------------------------------------------
Name of person within the State of Florida, other than himself, designated by owner upon whom notk-" or other documents
may be served:
Name
Address
In addition to himself, owner designates the following person to receive -a copy of the Llenoes Notice as
provided In Section 713.06 [21 [b], Florida Statutes. (Fill in at Owner's option).
Name
Address
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road Atlantic Beach, FL 32233-Tel: 247-5826 Fax: 247-5877
PLUMBING PERMIT
FERMT
opt
Perm1t Number:
Permit Type: PLUMBING Address: 35.3 KOYAL PALM UKIVE
C1838 of Work: ALTERATION ATLANTIC BEACH, FLORIDA 32233
Proposed Use: Township: 0 Range: 0 Book:
ah,ftf. L 3 :
square Fee.. Block: Section:0
Est Value: Subdivision: ROYAL PALMS
Improv. Cost: Parcel Number:
Datelssued: 12/28/2000
Total Fees: 25.00 Name: JUNNSON
Amount Paid: 25.00 Address: 353 ROYAL PALM DRIVE
Date Paid: 12/28/2000 ATLANTIC BEACH, FLORIDA 32233
jes I li— ;il Phon-- 10nA11)A 6-8966
,E ;Illli 1:I:;i
���ork EI --c: REPIL115ii,11111 E --
C 4
ot
ON -
Or- VLUMd1N(i EK' MI'U
25.00
FINAL
NOT-ICE -INSPECTIONS MUST BE REQUESTED AT LEAST 24-HOURS PRIOR TO INSPECITION
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 BUILINNG IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
CA JnN
0
13
:�AqNTIC EBLEAC BUILDING 0 te: Receipt-. 00396
a 13
CHECKS
crry OF A!rLmMXC BEA=
AFPZZCA-TZ0N FM PLUMBING PIMOUT
JOB LOCATION: bc-
OWNER OF PROPERTY: lUh*ce, eAnn TELEPHONE
PLUMBING CONTRACTOR t a,"
� c &-t-04
CONTRACTOR IS ADDRESS: tol�- 41fd0L -9[vA �(441 2--9? -
STATE LICENSE NUMBER: TELEPHONE: aN7-(,53c, ,
HOW NaM OF TRZ FOLLOW= FIXTURZS INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER
REPIPE OTHER
TOTAL FIXTURES: x $3. 50 + $15. 00
MINIMUM PERMIT FEE - $25. 00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
-----------------------------------------------------------------
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
CITY OF ATLANTIC BEACH
SS
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00030550 Date 6/15/05
Property Address . . . . . . 353 ROYAL PALMS DR
Tenant nbr, name . . . . . . REMODEL BATHROOMS
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2500
Owner Contractor
------------------------ ------------------------
FERGUSON, KAI & CARRIE FERGUSON BUILDERS
353 ROYAL PALMS DRIVE 317 THIRD STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 993-1315
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2500
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 95 . 00 95 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH Cc-.
D.Ford
BUILDING / ZONING DEPARTMENT
�14
800 Seminole Road
oerr
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # (D5 -,�OSSL)
5'F-�n e Gum Qwffl2L-E�r- i VC)
Property Address: Q
Applicant: F C
Project: nA b rw n/L
This pe it application has been:
Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Date:
Reviewed By: 4�:
Date Contractor Notified:
R E 0 E 11 V 17 D
CITY DF,�JIJOJTIC
CITY OF ATLANTIC BEACH
JUN 13 2006 13UILDING PERMIT APPLICXTION
(Alterations&Additions)
Date: 3 h
3), JL 13
Job Address:
Owner of Property:
qq? MVr
Address: nt Telephone: W-2-yt-0/1/2-
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: 2V o I'A' State License Numben.
Contractor Address: 317 A-fq-1C—_ qkA,,e'U-_, �Z_,
0 4
Telephone: Fax: / (�_ Z;?
�t. 6
De be proposed use and work to be done: ..J�j JJJQ L 7 ME)�2--�4
�f2 L-A=!�Z t _7�1_Ii5
Present use of land or building(s):
Valuation of proposed construction: -2,,J-0
What are the dimensions of the added space: feet x 455 feet
Will the added area be heated and cooled? Y1,4 New electrical or increase in service?
Add plumbing fixtures? ��d teplace? /IJ 0 Add heating/air conditioning?
Is approval of Homeowner's Association or other private entity required? If yes, please submit with this
application.
Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to
the original impervious area or the removal of any trees?
M NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this
project.
El YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
7 NO. Applicant certifies that no trees will be removed for this project.
YES. 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 approvriate
Incomplete applications may result in delay in issuance of permit.
STEP 1. 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. In 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 -hftp://www.ci.atlantic-beach.fl.us
Page 2 Revised 8/04
In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures,temporary and permanent,including setbacks,build g height number of stories and squar footage. Identify
any existing structures and uses. in e
3. If required by the Department of Public Works,a pre-construction topographical survey.
4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications.
I hereby cerfit,that all information providSo-wilh this application is correct.
Signature of owner: 'k,
Date:
I hereby certify that�hC Ad exammin this application and know the same to be true and correct. All provisions of the laws and
ave read a
ordinances governing this type of work will be complied with,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 any 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.
Signature of Contractor: U_, Date:
Address and contact information of person to receive all correspondence regarding this application(please print).
Name: i
Mailing Address:
Telephone: Fax: E-Mail:
AS TO OWNER:
Swom to and subscribed before me this day of 20
State"a.f.Florida,County of Duval Notary's Signature:
Usa Harmon
9 WCOMMISSION# DD294572 EXPiRES
vtf Personally known
, February 26,2008
P BOMMI)THRU TROY FAIN WSMANCE INC
FkrProduced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of Ivy, 20 Z9
State of Florida,County of Duval
V P L moher Notary's Signature:
0% '%
1;5 GVM
V %
Commission#DD337526 Personally known
VkExpires At**21,2011 Produced identification
4k!T1W F*-MWOM W- Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Page 3 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Revised 8/04
mks,.
Joe ) Z-6a IA-L-
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FILE COPY
4toj"
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106A I.-
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4TI
Clhff�.ATILAMTIC 8EA
BUILDING,OFFICE
<
JUN 14 2005
By:
Xy
AT �-A*Jr i C..
TILfl b
�,14-sq-ck *0 t-ti W-k pa-"Q
Aj
rl-1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00030459 Date 6/01/05
Property Address . . . . . . 353 ROYAL PALMS DR
Tenant nbr, name . . . . . . REPLACE BATH TUB
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
FERGUSON, KAI CHRISTY FIRST COAST PLUMBING
353 ROYAL PALMS DRIVE P.O. BOX 50446
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 247-4419
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00 42 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Property Address:
Owner: Telephone
Contractor: a6r; 101w#%&Ok��'-Telephon.e
7Z7— 1,NJUV
Contractor Address: 9'0(4y k_ Fax
Contractor Signature: '2�,
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,
Q Now list the building permit number:
13 Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Sprinkler System Other
[Fees
Permit Issuing Fee-:- $35.00
Total Fixtures: X$7.00 + $35.00
800 Seminole Road-Atlantic Beach,Florida 32233-6445
Phone:(904)247-5M- Fax: (904)24745845* http:ltwww.cl.atiangc-boach.a.ta
Revised 1/04