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Permit 380 Royal Palm (vault) PSR-3844 9315 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ LOCATION INFORMATION ermit Number -, 9311� �treEz * 390 RoyAj, PALMS DRIVE Permit Type : RE-ROOF RTLANTIC BEACH . FLORIDA 3113�� lass of Work: NEW --------- LEGAL DESCRIPTION -------- - - Cconst . Type; WOOD FRAME ;-)t , Block : Section: PYOPOsed Use : SINGLE FAMILY Township -, RNG: 0 wellilqsI Code : 0 jbdivision: ROYAL PALMS �stima :ed Value: so . 00 mr, ov , Tc, t T tal 7 - - 822 . 50 7; 4- r,r% 'WNER INF,.'�RRATION APPLICATION FEES - Nam JAMES W, 1-104,50N 11 41- -- ` PERMIT 522 . 5C, Id r e2q, 'PALMS DRivE WATER IMPA,."'T FEE --1 S A CH , FLORID' 01ENEtIMPACT FEE 1:+-1 4)74,3 Q t1.0 R/TAP RADON GAS-H .R . S . COjNtAACT,0R INVORMATION. ------ RADON CAB 5% err . Cin' NamJ Ct MANOE ROOFING Cp,, CAPITAL IMPROVE . 50 . 00 BLVD, SEWER TAP $0 .00 ,JACKSONVILLE . FLORIDA 3220r CROSS CONNECTION C)-7 64 0. 53 .00 SEC H IMPACT FEE CONST , SURCHARGE NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 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 MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.59 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT 000000000 000000000 $22.50 14Date: 11/08/94 01 Rept; 0008630 DECKS 1613 By: CITY HALL ATL BCH TEL No .2471224 Jul 13 ,93 11 :05 No .004 P .01 CITY OF ATLANTIC: BLAC:1-1 PERMIT APPLICATION ROOFING Owner(s): cJ S Address: Lot # - 810CR or unit #_-_ .. Subdivision —~ Con tractor;�.G state License No.� Describe work to be dona: Materials to be 'used; -21i�y �7�7 Signature OWNER Signature CONTRACTOR: i I CITY OF ATLANTIC BEACH, FLORIDA Approv*d by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 6-19-00 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE E CTRICAL REGU ATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. R & R ELECTRIC OF NORTH FLORID:', INC. P. 0. BOX 62238 JACKSONVILLE FLORIDA 32.:'19 ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME James Johnson ADDRESS: 380 Royal Palm —RFD—BOX— BLDG. FDBOXBLDG.SIZE BETWEEN: RES. ( APT. ( ) COMM. ( 1 PUBLIC ( 1 INDUS. ( ) NEW ( ) OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( ► TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( ) INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE G AMP COPPER 1 I ALUM. (6<— SWITCH OR BREAKER AMPS PH 3 W 140 T RACEWAY EXIST.SERV.SIZE 22) AMPS PH W LT RACEWAY FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT _ FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEILHEAT: KW-HEAT O� Cie 0.1OVER MOTORS H.P. VOLTAGE PHS NO. i H.P. VOLTAGE PHS CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 » a NOW FORMATION Permit Number: 20240 Address: 380 ROYAL PALMS DRIVE Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: ROYAL PALMS Est. Value: Parcel Number: Improv. Cost: Date Issued: 6/19/2000 Name: JAMES M. JOHNSON Total Fees: 94.00 I Address: 380 ROYAL PALMS DRIVE Amount Paid: 94.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/19/2000 _ Phone:--(9Q4)783-071 Work Desc INSTALL HVAC PERMIT FEE DOUBLED GRIMM'S HEATING AND AIR CON D PERMIT 94.00 NOW FINAL NOTICE'INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $94.0014 Date: 6/20/00 01 Receipt: 0966947 --LLCHECKS 7980 ATLANTICBEAC BUILDING 00100003221000 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH 6ATLANTIC 9IZACH, FLORIDA 32A9e i5lt APPLICATION FOR MECHANICAL PERMIT U CALL•IN NUMBER IMPORTANT — Applicant to complete all items in sections I, ll, Ili, and IV. LOCATION Sfreef Addrett: 7�0 o e P' l`A L ID/7— OF Intersecting Sfreah+ netwaen [�jjy�I ��r.-U—�Q And_ BUILDING Su6-dlvislon 11. IDENTIFICATION -- To be completed by all applicants . In consideration of permit given for doinq fho work as described in the above lfefem"t we hereby agree to per(orm said word In accordance with the attachpd plans and Ipeci{notion♦ which ere a parr hereof and in eecerdence with the City of Jecksonvflls ordlnsneef end ttanda�ds of good practice listed therein, Nun• o1 Meehanleat / \ Contractors(P►inf) 60)L4,Li ( p ��Jsrl /f-�1 Nerve of �-- Properfy Owner i 5 � $19nefure of Owner v Signature of or Aufholltad Agent ' A.chiieci or �ngimar III. GiNFRAL INFORMATION A, Type of he•ttng fuels E3. ,.� IS OTHER CONSTRUCTION BEING& DONE ON {mac THIS BUILDING OR SITE? Q Gas—❑ V 0 Nefvr•I ❑ Central UMity IF YES, GIVE NUMOER OF CONSTRUCTION a Oil PERMIT O Otiser ^ Specify lV. W901IMICAL 1111011UMMINTT TO it 1NSTTALI,EO NATURE OF WORK (pro/vide complete lief e(cempemenk on Geek of fAi.f&rm X, Reeldentlal or ❑ Commercial .Td.�Ilsst ❑ Space ❑ Reeeseed U CenMI O Hoar ❑ New Fluilding ar jr Condrfisninq: C] it., �C ( •n/r i X_ Existing Building �Of►ct System: M•hr»t Tq-07 K - Thkkn.a� 1� (6> ❑ Replacement Of existing system Maelmum eapacity--- c f.rn. -New Installation(No system previously Instattesn © Refrlgogfion ❑ Extension or add-on to existing system Q Cee 1no teller. Capacity V��^. U Other — BpeCify ❑ Ale, SP604140".. Nura6er of 66 O E4i•for ❑ A1snllh ❑ &ul•to I3 644011,19 pure— (evmber) THIS 9►ACE POR CiadI US QNRY (Reeatwd ❑ T•oks (number) R•marka ❑ LPG c"%Inv�L (nvmbw) O IJalired ptitrvn.vers+ 0 gone" Permit Approved by Oats- (3 000 --specify Permit Fee LIST ALL EQUIPMENT AnR CONDITIONING AND REFRIGERATION EQULPMENT Cmc! Number Volts Dwcrfptlon lrtIoMl Number II[aetvtaatunp (TO")r I � 62 'arnoc-arr C� _ _ 1 - /CITY OF 'V3 Office of Building Official Ul REQUEST FOR INSPECTION Date `� Permit No. © � Time A. Received ob Ad ss Locality O er' A� Nam Contractor BUI ING CONCRETE ECTRICAL ��,PLUMBING CHANICAL Fra ' g ❑ Footing ❑ Ro Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. < Friday P.M. _ A.M. Inspection glad <P.M. Inspector -nal Inspection ❑ cupancy ❑ Date C=YOF g! � _ 7, ,a 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904) 247-5805 SUNCOM 852-5800 DATES - -® )EA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved: P�ERMIT NO. DDRESS L 3 W 0 G ce-. 02L a,;L�'-7 - e'q e C4 ` OD 60 Please call me at 904-247-5826 if you have any questions. Sincerely, � O ATLANTIC BEACH BUILDING DEPARTMENT PSR-3844 6900 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - --- PERMIT INFORMATION ----- -------- LOCATION INFORMATION ------ - -- Permit. Number: 6900 Address : 380 ROYAL PALMS DRIVE Permit Type: PLUMBING ATLANTIC BEACH . FLORIDA 32233 Class of Work : ALTERATION ---------- LEGAL DESCRIPTION -------- Constr . Type : WOOD FRAME Lot : Block: Section: Proposed Use : SINGLE FAMILY t Township : RNG : 0 Dwellings : 1 Code: 0 Subdi7hision: ROYAL PALMS Estimated Value : $0 . 00 Imrov . Cost : $0 . 00 otal Fees : $18 . 50 A ount Paid: $18 . 50 Date Paid: 6/ 3/93 REPLACE WATER HEATER OWNER INFORMATION --- ---- APPLICATION FEES ----- Naie : �_�14EN '' PERMIT $18 . 50 Address 380 ROYAL PALMS DRIVE WATER IMPACT FEE $0 . 00 ATLANTIC BEACH , FLORIDA SEWER IMPACT FEE 80 . 00 Phoa : f904 ) 715-1@97 WATER METER $0 .00 RADON GAG-H .R . S. .$0 . 00 ----- - CONTRACTOR INFORMATION ----- RADON GAS - 5% $0 . 00 Na e : A S . A . P . PLUMBING "" WATER TAP $0 . 00 Addre s : F . O . BOX 16631 SEWER TAP $0 . 00 JACKSONVILLE . FL 32245 HYDRAULIC SHARE $0 . 00 Licenie : C'FC0191 5 Type : CAPITAL IMFROVE. $0 . 00 SEC .H IMPACT FEE $0 . 00 OTHER $0 . 0 0 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 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 MECHANICS' LIEN LAW CAN RESULT I THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS TIME: 11:" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJMT41LTO REVOCATIQ VIOLATION OF APPLICABLE PROVISIONS OF LAW. TENDERED 4 RECEIPT NUMBER: OW ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION OWNER OF PROPERTY: -- ---------- ---------------------- BUILDING CONTRACTOR: PLUMBING CONTRACTOR AND ADDRESS: ------------------------------------------- -------------------------------------------- TELEPHONE NUMBER: Zez — / ---- ------- ---------------------------- STATE LICENSE NO: TYPE OF BUILDING: ------------SINKS __SHOWERS ------------LAVATORY RlV- ,CSI_ —_---WATER HEATERS ------------BATH TUBS _—___DISHWASHERS ------------URINALS ___DISPOSALS ------------CLOSETS WASHING MACHINE -------------FLOOR DRAINS __—SHOWER PANS OTHER_______________ TOTAL FIXTURE COUNT:__________ x 93. 50 + $15. 00 = 5 ---------------------------------------------------------- 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 v0.tt ,Z�t JaNi�saw� J4„,c s Al 13L� s” -,fro R�ya 1 .1wr y Qn A3 Al CITY OF ATLANTIC BEACH SPECIAL INVESTIGATION TO BE FILLED OUT By COMlLAINTANT . DATE I - - ADDRESS 3 LOCATION ((// ..�.��A•1 � �Nit.'' l r t`t�P er a r..� COMPLAINT 2 OWNER OF PROPERTY L SIGNATURE OF COMPLAINTANT c c E - �� PHONE ! --------------------------- CE USS ONLY `- ---------- Fm 0m DATE OF INVESTIGATION INVESTIGATOR CONDITIONS FOUND +� w • L var 6�rt. ACTION TAKEN a COMPLIjANCE- .r NOTES: DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT No. 5259 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date SEPTEMBER 27 19 82 Valuation$12-500-00 Fee$ 15.00 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that SIDRO C. MA 4ANSAG (BY POWER OF ATTORNEY) 417 MARO DRIVE, ATLANTIC BEACH, FLORIDA has permission to build REROOF AS PER PLANS SUBMITTED Classification SINGLE FAMILYZone RS-1 Owned by JOSE R. RELLAMA Lot 23 Block 2S S/D ROVAT, PAI.Mg House No. 380 ROYAL PALMS DRIVE According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4-0 4- - 1-0. O Building material, rubbish and debris from this work must notlaced in public space, and must,4 u led way by Jit]�e TIT frac or i A 9/c7/1 I Jay .UCCAC Building Officif U 0 0 FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING i ELECTRICAL SEWER WATER FOR OFFICE USE ONLY Date....................................19 .----- Permit #---•....................Fee#._.. CITY OF ATLANTIC BEACH Valuation $.......... FLORIDA House #...... U--9_,6P--------------------------- s.a0 P/=F ...--------....— .................................... APPLICATION FOR BUILDING PERMIT Y/S; -----------------------------------------------------••-•--------.....---- 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 verifI d. / ®��?L► C• /'t�.�91 /�it1-i � Date._....... `�� - y�` 7f.......... , 19 . :..... .l....... ' ` __ . ,3 y42, f i!r 8<—Telephone No..1- /__1 �.� Owner(4�5� ---------------Address..-.. A./ . Architect............................................---------...._.....................--------------..Address.-----..............•------L...---------•--...------------.Telephone No--------------_------------- /;1 Builder../..✓`1��� ��... :._ 5 `!-Address.. �7 �---------�--�`-• Telephone No.c _�� ._7 .!�� a ---Zone-----------------Lot No.---... ..................... Block No. QZ' . Sub Division 5 . - -- Pa�r ►t.-/.gin -------Street---/�--Side Between._..._Lr r.C/ S....5)--......and.-----c1i-Y'4121 9.....fJl� Sts. Valuation. �..`....... or what purpose will building be used....._.................................Type of construction.._..OL./-c..Q EX/SJ'/�f/ _ - X/ r1A.Za....................Size of Footings---- e!/$ ----------- . .... Dimensions of Building.-_._..___..... .........�i---..---.-Dimensions of Lot Size of Piers------------------------...........Size of Sills_._A�x 1077!4..Greatest Sill Span in ft...4:X, !�&Type Roof.....5%//�f C _- How will Building be Heated?------------- �.. �.. ..._-..-�.. ------__-----_-Will Building be on Solid or Filled Ground?...----- X!S_../��- x..ST/l� Size of CeilingJoists i 5 ^ " �:X.__�_._/.1��----, Distance on Centers. .............•---..........._........_..., Greatest Span----.........-------............._..---•--.. Size of Rloor Joists.............................................. Distance on Centers. ..._... .-.........._...._..........._- Greatest Span............................................ Size of F 00/ p f if ----_...-e .....f.......................... Distance on Centers ._ ... ...... ..'., Greatest Span---------919 ........... „ This rectangle is to represent the lot. Locate the building or buildings in the APPROVED right position. Give distance in feet from QJTY OF A.Tt%.NTIC BEACH all lot-lines and existing buildings. BUILDING OFFICE REAR LOT LINE Two copies of plans and specifications shallSSC% 6S-10, be submitted with application. SEP 2 '"1 11982 w Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns azi a a 3. When steel is in place and ready to pour beam. /e.S 4. When framing is completed. 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. q °Q A 7. Electrical inspection by City of Jacksor.ville. 8. Final inspection. Note: In case of any rejection, re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signature of Builder-- Address---------------------------------------------------------------------------------------------------- Signature o w�ner._` .'Q -C...... ..........�'eu,"I*MM-------'r/Addre:ss-- ........................................ N07-e: P01VC7Z OF 4rr01-2A/,-`1j 4/rI46114=o. , i t � I � - i i �• `� E 1 i v , r.— Y - rvlf� P S H 0�PV I P,! G S U Id 1-1a.4 OF Lot 2:1, 5- lock 25 , as shown on the PlI-it of Royal Palms Unit 2A as recorded in Plat Book i i1 , Pages 1 , 1A , 113 , 1C and ID of the Current Public Records of Duval County , Florida. For: Jose R. Rellama t P/-\L M 5 0 V, 4, L IC) CC/TZ-ASSS t f t t t s k ' F ' i r 1 1 i --�leizn- /V. Uj 25• �.6� �. o 39' / S-M/zv SR/CK /ZN ELI VF_5 ti --_'- —r--- •-.�/1 c�c%S F —a- uric.- Q m Gb�PCN 0� CO�VC. N �o7sr-,(ow�v N K I ►Il p.>-_„a /O' E�/rf7' �L74 ��.'�ilN. �, C/:'�L.�.�� .:`--- -02 N 5 __1 SPECIAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That I, Jose R. Rellama , a legal resident of Arlanrir RParh- Floridn , have made, constituted and appointed, and by these presents do make, constitute and appoint TGirlrn Mamansag , whose present address is 417 Mako Rd. , Atlantic Beach Florida 32233 , my true and lawful attorney to act as follows, GIVING AND GRANTING unto my said attorney full power and authority to: obtain from proper local City Authorities a permit authorizing my said attorney to make the following repairs to 380 Royal Palms Dr. , Atlantic Beach, Florida: Repair all leaks in roof of house and replace livingroom eiling. FURTHER, I do authorize my aforesaid attorney-in-fact to perform all necessary acts in the execution of the aforesaid authorizations with the same validity as I could effect if personally present. Any act or thing lawfully done hereunder by my said attorney shall be binding on myself and my heirs, legal and personal represen- tatives, and assigns. PROVIDED, however, that all business transacted hereunder for me or for my account shall be transacted in my name, and that all indorsements and instruments executed by my said attorney for the purpose of carrying out the foregoing powers shall contain my name, followed by that of my said attorney and the designation 'Attorney-in-Fact." I FURTHER DECLARE that this power shall remain in effect even though I am reported or listed, officially or otherwise, as "missing in action," "captured," or a "prisoner of war," it being my intention that any such designation shall not bar my said attorney from fully and completely exercising and continuing to exercise any and all powers and rights herein granted until this Special Power of Attorney is revoked by my death or as otherwise provided herein. FURTHER, unless sooner revoked or terminated by me, this Special Power of Attorney shall become NULL and VOID from and after 1 October 1982 Notwithstanding my insertion of specific expiration date herein, if on the above specified expiration date, or if at any time within thirty (30) days immedi- ately preceding that specified expiration date, I should be, or have been, carried in a military status of "missing," "missing in action," or "prisoner of war," then this power of attorney shall automatically continue to remain valid and in full effect until sixty (60) days after I have returned to United States military con- t�ol following termination of such "missing," "missing in action" or "prisoner of w4r" status. IN WITNESS WHEREOF, I have hereunto set my h d a d seal this 27th day of August , 1982 � i' 'l E R. RELLAMA ` ^ - - - (SEAL) • � r STATE OF VIRGINIA ) CITY OF NORFOLK ) Before me, a notary public in and for said city, personally appeared the above named Jose R. Rellama , who acknowledged that he did sign and seal the foregoing instrument and that the same is his free act and deed. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal this 27th day of August 19 82 Notary ub is My term of office expires on the 3rd day of OCT 19 g3 . i j' DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA3 4 6 9 PERMIT TO BUILD PERMIT NO. THIS PERMIT MUST BE POSTED ON JOB Date--__ $/t 5 19 Valuation$ 1500.00 10.W Fee $ This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that J OSO R Re j l alba has permission to build— =n3 I Qstet Cerpar..t. and ,off r Classification— residential �r+ne Owned by Lot r. Block S/D House No. 380 ROitA} e Rei 111 • s According to approved plans which are i part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE SPECTED BEFORE POURING. IN- k PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE Ft 0 Building material, rubbish and debris t z from this work must not be placed in Public space, and must be cleared up and hauled away by either contractor or owner. k R. C. Vogel aa;la;ng orr;e;,l. 4WATER JR , 17DA li CONTRACTOR Q 0 I i v,�►69 10.0: j P r vaw. 'M* FOR OFFICE USE ONLY Date..f✓)L .......... .....19 �.7 Permit #!` Fee$. ,().............. CITY OF ATLANTIC BEACH Valuation $. .......� APPROVED FLORIDA House #_V.T - F- 1EEACH BUiLDING OFFICE ----- --- --- - APPLICATION FOR BUILDING PERMIT AU G 15 1977 ............ •• ••••- �' 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 verified. i .-1 Date....l` --------------------- 19...7..7 Owner-� J�- ......._. ZL Z- _ ---�...... ..Address:��.. 4 g�.. �� '�)K Telephone Architect............................................------------------.....---------------------------Addres&...........................................................Telephone No............................. Contractor Builder---- -- - ------- .........Address............................................................Telephone No............................. Lot No ':�_3 .... Block No.----� Sub Division----•........................................................•-------. ------Zone---•-----........ (�../ -------Street---- -- --------Side Between---------------------------------------------- -And.......... ----------------------- -------Sts. s� _p_�....For what purpose will building be used...64VC W� (AC a of construction........................�u... Valuation $-��_----------•--'•- P P g ------- ---••----- YP Dimensions of Building.------------------------------------Dimensions of Lot_..-....:.-.---.........................................Size of Footings.------.---------.----------.-.------- ` Size of Piers----------------------------------.Size of Sills_________._ _ ------- Sill Span in ft------------------------_Type Roof...................................... �.3C How will Building be Heated?-......-._.---------------------------------------...........Will Building be on Solid or Filled Ground?..................................... Size of Ceiling Joists_---------------------------------------- Distance on Centers... ....... ................................. Greatest Span............................................ " p Size of Floor Joists__----------------------------------------- Distance on Centers_....... ------------................... Greatest Span.-------.._--.------.--__----_----.--------- " \1 Size of Rafters..--------------------------------------- ----, Distance on Centers. --- ---- -------------•--------------, Greatest Span-----------................................ " This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. 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. q A 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 attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signatureof Builder-------.._.....-•-----------------•-------•------•--•-•--..............--..--_. Address.................................................... --......_...........---•--........................................... Signatureof Owner... ............................-----...._........_.............:---------------- Address.................................................................................................... --- 7,41 -- M r I _ ) . \ � © \ \ |\2 | � m. ! ^ � \ < j � d � s» § $ � w a MAP SHOWING SURVEY OF Lot 23 , Block 25, as shown on the Plat of Royal Palms Unit 2A , as recorded in Plat Book 31 , Pages i , 1A , 1B , 1C and 1D of the Current Public Records of Duval County , Florida. For: Jose R. Rellama �I ROvA L <�aiw) PALMS DR. 5. 7/6'02"F. 80 ro5 7t7 CUTLASS DR. W mMAL m -- cn mGb�cH /o. ro 0.3 39 ' lYl M x Q 1'! UT/L. GbRGH N SNEO � NCONC. NoT Svaw�v m 1J x ►11 0.-/' 0.2" /V- 7 016'0:0 W _d CITY OF ^& f`� Office of Building Official REQUEST FOR INSPECTION ' Permit No. Date A.M. Time P.M Received.9 � U Locality Job Address Owner's W&yj Contra Name BING MECHANICAL CONCRETE ELECTRICAL _ Air Cond. & BUILDING Rough Wiring ❑ Heating ❑ Footing ❑ Temp Pole ❑ Top Out Framing Slab � Sewer [I Fire Place � Re Roofing 1-1Final Pre Fab Insulation ❑ Lintel READY FOR INSPECTION OA.MWed. Thurs. Friday Tues. Mon. A.M. P.M. Inspection Made Final Inspection ❑ Certificate of Occupancy Inspect Date