444 Royal Palms Dr (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
r
Application Number . . . . . 05-00029847 Date 3/08/05
Property Address . . . . . . 444 ROYAL PALMS DR
Tenant nbr, name . . . . . . REPIPE 10 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
---------- --------------
------------------------
MIRANDA, RONALD F.W. FAIR PLUMBING CO .
444 ROYAL PALMS DRIVE P.O. DRAWER 51558
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-7191
-------- -------------------------------------------------------------- ------
Permit PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 105 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
- --- ------ ------- ---------- ---------- --------- -- ----- -----
Permit Fee Total 105 . 00 105 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 105 . 00 105 . 00 . 00 . 00
pERmrr IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
BUILDING OFFICLA1
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
will,
Date: :jz
Property Address: PA_M�_ 4��/_'
Owner: Telephone#:
rl"j V
Contractor* Telephone#: 0
Contractor Address: 7,� �T I Fax V/�
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,
El New list the building permit number:
X Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals , Urinals
Floor Drains Washing Machine
Z, Lavatory Water
Sewer Water Heaters
Other
Fees
Permit Issuing Fee: $35.00
Total Fixtures: 1) X$7.00 + $35.00=
800 Seminole Road-Atlantic Beach, Florida 32233-WS
Phone: (904) 247-5800 - Fax: (904) 247-5845- hftp://www.ci.atiantic-beach.fl.us
Revised 1/04
MR-304 i
DEPARTMENT OF 91 1IL01ING
CITY OF ATLANTIC I IEAC-H,
PERMIT,,' INF0RXATIW------ --- ---- LOCAT I ON I N FOVOMT,I ON
LMS: DIR 1VE
Ple it Numberk Add 4144 1, ROYAL PA
-less ,
ATLANTIC UACU,: FIORIDA �-22331
ermit' TyVe:PLUX9IN0
LZdkL- DZ$CR,1PTT00,
k*ALTERATIO,
C1 ss of Wor N,
Twp,.
nstr. Tyj�**.W0OVP`RAMX Block:, 'd-
o os d 13a,4vSINGLE FAMILY S ction: Sub 01"
p
S bdivision.
Dwel lln4p .
Est , VaItW�
0-00
I prov, Cost,
Total re 25.00
25 00
4
mount
..........
APPLICATION FEES
0
N' 4IT 2
A
r
gWK
V FLOpti 3�,�,,,
n,
�0
�-N C
"ftR
OAMAT 1,64,
"R
P U I I
DAR 0,T -
T
L 32
CKS NiYll ,
o
T
-oak-�xj
NO, S:
NOTICE�,-JNSPECTIONS MUST 89 REQUESTED ATLEAST- 112.4 Hqlyflp P RIOR T0.4"SPECTION
LDING MATERIAL,RUBBISH AND'DEBRIS FROM THIS WORK M JSTNOTSE PLACq,04N PUBLIC SPACE,AND MUST BE
1b ARED UP ANDI�HAu LEO AWAY BY EITHER CONTRACTOR OR OWN ER
11,LURE T W tAN AESULt IN
O 'COMPLY WITH THE IVIECHAKICS9 LIEN LA
U Ot
T�,, 4E PR R
OPERTY OWNE PAYING TWICE F
T OF,THIS PERMIT AND SUBJECT TO RE "FOA
UED ACCORDING.TO APPROVED PLANS WHICH ARE PAR
LATION OF APPLICABLE PROVISIONS Of LAW.
N
Tic BEACH, RTMENT
I r1k,
4
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: wo ye?/ I
OWNER OF PROPERTY:—
PLUMBING CONTRACTOR:
CONTRACTOR'S ADDRESS: -5 -6 , kr,
STATE LICENSE NUMBER: C-) �>__TELEPHCNE:
HOW M��IIY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORIES 'WATER HEATERS
BATH TUBS DISHIWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACH:NES
FLOOR DL-�:NS SHOWER PANS
OT-,IER ..I-,/e 114e,�
TOT-U FIXTURES: X 3.50 + Si3 .00
MINIMU'M PERMIT FEE = $25 -00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
-----------------------------------------------------------------------------
INSTALLATION OF PLU`M3ING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) '447-5834.
C77
c
CITY OF ATLANTIC BEACH, FLORIDA
Appro= APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
IMPORTANT NOTICE;
IN CONSIDERATION OF PERMIT GIVEN FOR D ING THE ORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCO DANCE W H THE ATTACHED PLANS AND S ECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE TH TI ELECTRICAL REGULATIONS, COD S AND CITY OF
ATLANTIC BEACH ORDINANCES.
Z. 6,0'-j6f;'� -.4-60, -- t-b%f ar
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE /' I JOURNEYMAN
NAME. .—ADDRESS: LIV-1sq-6"g,i, RF BOX
BLDG.SIZE
RES. APT. ( COMM. PUBLIC INDUS. NEW( 11 OLD)q REW.
ADDITION ) TRAILER ( TEMP.( ) SIGNS ( ) SO. FT.
SERVICE: NEW( INCREASEPq- REPAIR ( FEE
CONDUCTOR SIZE -AMPS AQ COPPER ALUM. 09
SWITCH OR BREAKER 15--6 AMPS PH 3 w -7-YcJVOLT RACEWAY
EXIST.SERV.SIZE /,!:1 0 AMPS PH -3 W -1-46 VOLT RACEWAY
FEEDERS NO. SIZE_ IND. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
.30 AMPS. 31
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS,
APPLIANCES
BELL TRANSF
AIR H.P.RATING H.P. RATING
CONDITIONING . COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE
MISCELLANEOUS
1-13
DEPARTMENT OF 0 ILVING ,
NTIO tAC14
CITY OF ATLA
PERMIT, INpQRMATT I*PCATITON INFORMTIO,'N
PRIVE
Add resa: 444 ROYAL ,PALk
t, N ull rmh
T el BZA60� ,,� ,PLORIDA 1,32,233
LTI ti0f IFTION
as of woik-A ERA 4 0
' 'at r Tyl*'�,*.WOOV ?XAMZ ock., 0
B
0 Use: ,
dt�ioa:,' 0, Subd lk� 0 ,
I s b�_-ROY L PkLms
iy sito A
"t, vald 0,A0,
0 .00
tov. C0.1t
Total P 4Z400
ount
n JAM A*
T
pp't"I'PA to Ess
4 0 0
p IT
,gft
Alf 4
a PLORIDA 3;
I OP 3�
40w,"P,P", -
OP
I ow: ------
R
0 0
:A "-,1'4 ,
L
NEPTUnt A IsORIDA 32233
"T
S:
ti
ICE ALL CO
P40T NC.RtTt_FOftMS AND FOOTINGS MUST13E 114?i�
0ERMITVOID SIX MONTH
S AF 0 VE
R DATE F IS$
LOING MATERI` RU813I;SH,Af4b 603RIS,F�ROM THIS WORK M�J S.T' N' OT SEPLACED'IN E, ND
PUBILI SPAIC , A MLST B-91
AVLED,*W�$Y THEjR,CQNTRACTORORO1VNER j
ARED UP,
ILUR.E., 0,00M.A.Y.,"WITH THE MECH NICS1 LIEN"LAW CAN ,R.'ES.UI.;*.,!N ,
:PRO , -SUILDING tMP 1411
N
PAYING TWICE R
PRO , T, 0�
'6�io-PLANS WHICH ARE PART
LIED ACQOR6t 4G,YO Ap�i;i THIS, PERMIT AND UBJECT110,0EV;
LATiON,OF.A0.1 VCABLE��$Ilpv 6 OF LAW.
4mt
NT
-AT 10, EACH, Ul I
io,
F 77
V
R ME
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC 01EACti, FLORIDA $1232
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMB'ER
IMPORTANT — Applicant to comPlete all items in sections 1, 11, 111, and IV.
LOCATION Street Address: qqq ROval- Pialan DA.
OF
WILDING And
11. IDENTIFICATION To be completed by all applicants.
10 coms;doest;oA of porm;t 9;�qn for doing the work 01 described in the above statement we hereby
.;* the Offachpil PISA$ *Ad specificos;ons which are a per t hereof and in accordance wish she Cit a gr*a to perform said work in accordance
of good p#oci,ce listed Aeroin. y Of Jacksonville ord;noncei and standards
Noofte &f k4eclsookol — I
C.04*64tw I hist) Contracters
maaa.$ 04 MaSN? CA co V9,�,10
Press" 0waor r
$;Vwtvfv 64 -- E,X--� R ------------
W Asr*er its 4 A Signature of
Arthiloct or Enq;ftq*r
INFORk
N
A. Tnu ling W: B.
ussicif IS OTHER CONSTRUCTION 11CINg possitt ON
0 Ga LP C) NoNmi 0 Com#,61 Utgily THIS IIIUILOINO OR SITE?
C3 04 IF YES, GIVE NUM$Cft OF CONSTRUCTION
C) 0*W PERMIT
V. W=1MICAL 1QUVWNT To N OWALLAD
Are
MATURE OF WORK
IF 8. camooft so of compeassaft go bed of this "1 0 Residential or 0 Commercial
611*'Heal 0 spoice 0 Recesew 1) 111~ 0 Now Building
"C—drifiessissy: 13 04,- 0,-c," C1 EXIIIIIIng SiOlding
(3 Dect System: Wo%r6L----- "placement of existing l'yetem
ussa;fte" coposcily tAft 0 Now Installation(No @y8t9M Pf*VIOUIIY IM41116119d).
0 Ite4i"0111"" 1) Extension or add-on to existing system
0 coes-9 ftww- calls"ity C1 Other— Spocity
(3 Fwss slariallen: Nvmb4w 01
(3 Elswotw 0 us"ft 0
C3 G"O&W MOWL—�fIntomber) TM IFACI 004 opiping U" ONLy
Rem&$
(3 LPG
0 Uffrow prMwe vesses
0 F.
0 09hes, — spot*
W 'MzNT
Ant COMMMMIG AND REFRMItATION EqUWUM
U04411 Number vW viaeft
.3
MATU4,G7 IpURNACFS, DOIUM FIAMACES
CITY CW
4&4wi4*c Be=4-QOUC142
Office of Building Official
REQUEST FOR INSPE 9V
N
Date Permit No. /7/
Time
Received P.M.
f —T
Job Address
... ...... Locality
Owner's
Name Contracto6�z� 1,
BUILDING CONCRETE
Framing Ej Footing i�R[C PLUMBING CM[t7C:�H�ANICAL
Re Roofing Wing 11 Rough Air Cond. & El
D Slab El Temp Pole 0 Top Out E-1 Heating
nsulation Lintel 10 Final L' Sewer 1-1 Fire Place
READY FOR INSPECTION Pre Fab
Mon. Wed. Thurs. Friday A.M.
P.M.
Inspection de A.M.
pec ns ction
Certificate Of Occu ancy E,
Date
DATE: 0��'V�j
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION( S ) HAVE BEEN MADE AND ARE
SATISFACTORY :
------------------------
--- ---------------------
--------------------------------------------------
-------------------------------------------------
-------------------------------------------------
Enclosed are the blue copies of the permits.
SINCERELY,
BUILDING INSPECTION DIVISION
cc : FILE
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
—N
N--
]PER I
Permit Number: ..22532 Address: 444 ROYAL PAI-Mb UKIVt=
Permit Type: SCREEN ENCLOSURE ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s):15 Block: 17 Section:
Square Feet: Subdivision: ROYAL PALMS
Parcel Number:
Est. Value: 7���4F—QRMATK—A --
Improv. Cost: 4,500.00 -- Name: RANDY WILSON
Date issued: 8/22/2001 Address: 444 ROYAL PALMS DRIVE
Total Fees: 53.00 ATLANTIC BEACH, FL 32233
Amount Paid: 53.00 Phone: (904)246-2627 -
Date Paid: 8/22/2001
Work Desc: SCREEN PORCH/CARPOR _,
'C
53.00
R�
�Twy 0 EA
�P*
7�,
z
T
;�7 7
... ........
IOR TO INSPECTION
EAST24 14�01U
!ATL R;S PR
NOTICE,- INSPEd
M4 1)BLIC SPACE,AND
WORK: UST NOT BE i�CED IN P
M TH
BUILDING MATERIAI�,R BBIS em8*;0M, ls�
'XwAY BY EITHER CONTRACTOR OR 0 R
MUST BE CLEARED UP. N H
,om S RUCT I I 'T IN THE
ON LIEN AN RE9yL
"FAILURE TO C OeK T,",
TS1@
PROPERTY OWNER P
�"G
AND SU ECT TO REVOCATION
C R
ISSUED ACCORDING TO APPROVW,
FOR VIOLATION OF APPLICABLE PR
7Add ess
0�
nrl
$53.0014
ATLANT C BEA H BUIL ING DEPT. Date: 8/22/01'01 Receipt: 0083486
CASH
00100003221000
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address 6�SL4$� 96,1AC..AC&j '91r,
Datee-/O — 0 f
Heated Square Footage @ $_per sq f t
Garage/Shed @ $_per sq ft
Carport/Porch @ $—per sq ft
Deck @ per sq ft
Patio 3) A $_per sq ft
TOTAL VALUATION: $
Total Vajuation 1st $ 16d) C)
3 5-0 0 a 0 $
Remaining Value $S�z,-per thousand
or portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $...... /,V
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
) RADON (HRS) . 0050 $
SECTION H PAVING
HYDRAULIC SHARES
CROSS CONNECTION
) SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE $ C)
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing
Electric/New Electric/Temp_; SwimmingPool
Septic Tank Well Sign_Finish Floor Elevation
Survey other
CALCULATIONS and/or NOTES:
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS,
MOVING, DEMOLITIONS
Ci'y C)t Ati
0 A VJ 6�j k-3 SO-0i ":'r- ElaZich
wner(s)
9 an
Job Address qlk4 V0— Phone 00ing
Lot# Block orUnit# Subdivision —R, Ak 01 S
Contractor Qk-y-NN&2 State License#
Address Phone
city State Zip
Describe work to be done
Present use of buildin
Valuation of Proposed Constructiorr#4socD
Proposed use CAAk- *—b P�7C-
Is this an addition? !4c4:.G If yes, what are the dimensions of the added space: x ft.
Will the added area be heated and cooled? �j 6 New electrical (or increase) i90
New plumbing fixtures? New fireplace? KYO New Heat/AC? ftj 0
SUBMIT THREE (COMMERCIAL)TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING
SITE PLAN, SURVEY, ENER 0 ORMS OTICE OF COMMENCEMENT, AND OWNER/
CONTRACTOR AFFIDAVIT F E ISC CTOR.
Date:
Signature of OWNER=
Signature of CONTRACTOR Date
STATE OF FLORIDA
COUNTY OF
Sworn to'(or affirmed) and subscribed before me this day of 200
AS TO OWNER: Notary's Signature
0 Personally known
0 Produced Identification
Type of identification produced
Sworn to (or affirmed) and subscribed before me this ;2- -7 day of LTV A/ 2001
AS TO CONTRACTOR: Notary's Signature
JOHN KOMOREK 0 Personally kn2llll:��
Notary Public,State of Florida C1 Produced Identification
my aommoxplras Apr.14,9003
orrim,No,00420701 Type of identification produced
Bonded thru Service insuranooOompamt, me,
Duval County Florida Page 1 of 2
City of Jacksonville Florida
Clicking on the map will: ILU��—p
(c)City of Jacksonville
Enter one of the following to LOCATE
RE: I Address:F----J
or
Resd map
map created: 8/13/01 4:17:07 PM. Maps generated using the City of Jacksonville's Geographic Information Syst
public information from various departments and agencies within the City of Jacksonville. Maps and associated
must be accepted and used by the recipient with the understanding that the primary information sources should
for verification of the information contained on these maps. As such, the City of Jacksonville make no war
expressed or implied, concerning the accuracy, completeness or reliability or suitability of this data for
particular use. Furthermore, the City of Jacksonville assumes no liability whatsoever associated with the use
such data.
HELP Property Appraiser Access Jacksonville
http://cojmap.coj.net/scripts/esrimap.dll?name=JAX&Cmd=APZ&Re=&Address=&Owner--6..- 8/13/01
Duval County Property Appraiser-Parcel Summary Page I of I
Iparcel summary-Values from the 2000 Certified Tax Roll]_
IRE No.: 5100000
lOwner's N SON , RANDOLPH 0
jProperty [44-4 ROYAL PALMS DR 7 jUnit No.
JATLANTIC BEACH I -
IMailing Addr [44-4 ROYAL PALMS DR I
JATLANTIC BEACH , FL I F32T3 3-3 926
1property 0 SINGLE FAMILY __]
ILegal description]F31-16 38-2S-29E R/P OF PT OF ROYAL PALMS UNIT 2 A LOT 15 BLK 17
----] 807 ROYAL PALMS :]FSe—c-Twn-Range: Fl-7-2S-29E
INeighborhood,
JOR BK& 70-1826 Fm�iftnel: 1[5-56A4
ISale Date: ---7FI—1/15/19 9 9 JFN�7ftildings: F
Isale Price: MOM
ILand Valu �440.00 IFH—eated Area: Fl-324
Oass Valu Fs 6--6 6 1 FE—xterior Wall: JF(�07N7CRETE BLOCK
lImprovem F$4-5,100-00 fifa7x7ing Authority: ]FU—S D 3
Imarket Va F$-58,540.00 IFCO—Unty Tax: IF$-193.00
lAssessed V F$-51,587.00 B—ckoolTax: 11$229.07
lExempt Value, ]F$25,000-00 FDTitrict Tax: [$84.34
ITaxable V 587.00 I[Other Tax: [$13.64
ISr. Exem7jt77::::] 0 1 Fy�ted Tax: JF$17.67
— tal Tax: 5537.72
ISr. Taxable7-777][$0-00 IET—o
This page displays values from the 2000 Certified Tax Roll with weekly updates of
ownership & sales.
Map-lt...Fe.edback
Payment Feedback
Home PRC Map-IT Taxes Appraisal Feedhack
View 2001 Proposed Property Taxes
Mzilt�
http://pawww.coj.net/pub/property/RENO.asp?RENUM=1715 10+0000 8/13/01
CITY OF
Ak&a&e Ve4d - 57&u�&
800 MENOLE ROAD
vr IL 74 ATLADMIC BEAM FLORMA 32233-5445
TELEPHONE,(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
CHAPTER 489, FLORIDA STATUTES. PART I 'CONSTRUCTION CONTRACTING' REQUIRES OwmmRjButLDmR To
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489. 103(7). FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE By UCENS=CONTRACTORS- YOU HAVE APPLIED FOR A PERMIT
umomR AN cmmFrnom To THAT LAW. THE m=mpnoN ALLOws You, AS THE OWNER OF'YOUR PROPERTY, TO ACT AS YOUR
OWN CONTRACTOR MVM4 THOUGH YOU DO P40T HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSEL .
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 1—. THE BUILDING musT BE FOR YOUR use Amo
ocraupmcy. IT m^y NOT Be,13UILT FOR SAI IS OR t EASE. IF YOU S— OR I LEA M A BUILDING YOU HAVE BUILT YOURSELF
WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SAI 9 OR
LEASE, WHICH IS IN VIOLATION OF THIS E=MP`TION. You MAY NOT HIRI!AN UNLjCZNSIED PEgsom AS YOUR CONTRACTOR.
YOUR CONSTRUCTION MUST az DONE ACCORDING To THE BUILDING CODES AND 7ON114G REGULATIONS. IT Is YOUR
RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYIED BY YOU "A)fF-LJCF-%S" REQUIRED BY STATE LAW AND-By
COUNTY OR MUNICIPAL WCENSINQ ORDINANCES.
ORDINANCES ALSO ALLow AN C)wNmR To IMPROVE T�4ejp OWN PROPERTY wmem rr is FOR PERSONAL OR PrAMILY
USE. AND LIKEWISE REQUIRE ALL WORK (EXCZF-r MAINTENANCE UNDER $Z,000) Be UNDER A BUILDING PoRwr AND iwAss
ALL NORMAL INSPECTIONS. 714C ORDINANCE STATES OWNERS MAY PHYSIC.U.Ly 00 WORK THEMSELVES, OR MAY Hf
UNLJCCNS= WORKERS PROVIDED SUCH WORKERS Be UNDER "otperar sui-mrRvisiom Or Tme OwNem, WHO mUST Me g-041
774C J091 AT ALL 77MF-S WHILE WORK IS IN PROGRESS By umucemsem TRAog:s pEopLe.* -114is DOES mar AL.Low use or
UNLICENSED CON77qACTORS.
SINCE OWNFIRS M^ CY HIRE DMI-ARTMIDWr SUGGESTS
Y BE LJAOLX MR INJUR19CS TO WORKERS THE THF- BUILDING
WORKER'S CompaNsAmom INSURANCE BE PURCHASED UNDER THE I-Iomr
.OWNERS INSURANCE pouCy CLEARLy pRGTFcTs
THE OWNER. OWNERS HIRING V�DRKMRS BECOME ZMPLOyffm AND SHOULD ALSO ossa7vve IRS wrr"moLmwo TAx AmDICR
FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
UNLICENSED cowrgkcTogs CANNOT BE gempt-gymo UNDER ANY CIRCLIMSTANCIVS. OWNERS OF-ING suOJIECT
m. $5,C00 PENALTY UNDER FLomcASTAT1jTC No, 455-228(1). An 'QCCUPATIOtM6 1,19%7421" IS NOT A01OU&M-
THE owmen SHOULD PHYSICALLY SEE -n-w COUNTY "Ceimmr-A'm or Compwrmxcy' OR THE FLORIDA *ComTRAcToRr.
CmRm9cATm' To AscriRrAim IF A PERSON IS A LICENSED CONTRACTOR. TtLEPHONE THE BUILDING DmPARTmwxr(247-
5826) Ir IN DOUBT.
I HEREBy ACKNOwLeDGE THAT I)qAvE REA-THE Asove DMCLOSURE STATEMENT'AND THAT I PLY
THE Rcou,Rzmzwrs FOR THE ISSUANCE or Am owNER-BummeR PERMIT.
JOHN KOMOREK 14 14 A , Aj
NOtn,'� StAto of Florida PROP OWNER/BUILDER
MY 14,2003
CC826795
TELEPHONE
<41
�-E;,#867093 Z-4 ID 062-77
Eoww,od theu sdfvjc�, �Ompany,Inc. ADDRESS Tv/I"
SWORN TO AND SUBSCRIBED BEFORE ME THIS. 2-7-DAY OF
Pursuc
NOTE. PHRASES uNoF-RuNro Asove C—MMION EXPIRES:
ARE EMPHASIZED BY THE BUILDING
Or-PARTMeNT.
07/24/2001 13:21 FAX 9042621656 JONES-GROFF ALUM [a 03
zR jrlc)u.7,rRy '�,7ANDARQ r A NC L 7,
r,OvLCj)rF: PISE "y
r
21 boll
Cl)" 13LAM
W/ � EACH
`X9 SMP
COGL SLAM
A-";:T N i u P o�,L I vv/ � EACH
01A THPul S()L 7'--.; M N. Flnov!DE KNEE BRACE EACH CULUMN
X 6 -3-1 L-i tDGE SEAM (901H DI'AM:,, MIN I I.-NOTH 3 F7)
0 POST W1 � FACH
(FA::,TEN T
liL" DIA THRU SCILTI, MIN.)
3" X 3" X !/Is" putir's
5" R�Sst-P iN1DXUJ$TR'(
-:.ER
0
I AN 1`3 AR.0 V'AMEL7-
LF7-
0�7v
CONNECT To �jLAO W/ E-ACH 5" L,1rI1,
6' 2"
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APPROV D
CITY OF ATLANTIC BEACH
41 PLANNING & ZONING OFFICE
AUG 14 2001
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MAP '-HOWING BOUNDARY SUR 11 EY OF
LOT 15, BLOCK 17, REPLAT OF PART OF ROYAL PALMS UNIT TWO -A, AS RECORDED IN PLAT BOOK 31, PAGES 16
AND 16A THROUGH 16D, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
RANDOLPH 0. WLSON
COUNTRYWIDE HOME LOANS, INC.
TICOR TITLE INSURANCE COMPANY
BUSCHMAN, AHERN, PERSONS AND BANKSTON
ROYAL PALM
(60.0 RIGHT OF WAY)
ROYAL DRIVE (PER PLAT)
FOUND 1/2- IRON PIPE S 07'16'02" E 80.65' (PLAT)
NO IDENTIFICA71ON S 07032'20" E 80.82' (MEASURED) FOUND 1/2-IRON PIPE
v FOUND 1/2- IRON PIPE
Ix - X 0-2!�, NO IDENTIFICATION NO IDENTIFICATION
o. �A .'- : -
4 11
110.31,(PLAT)
-(MEASURED)
A4 190.17
LLJ -'-AA
.4, Lli
.4
< 25' 9"NG REsTmc'nON x
. . . . ItE
W 12.4' b COVERED PORCH 0
22-7'
0.
w
23.5'
.0.
0 M b
Ili 00 ONE STORY %_0 0 Q
cn c MASONRY
4
POSTED # 444
LOT 16 4
BLOCK 17 LOT 14
> BLOCK 17
w
12-0' b
w 21V El
a .
OD
U)
ON!
m C-4 c4
z > 00 00
LOT 15 24.0'
APPROVED
CIlY OF ATLANTIC BEACH
MD PLANNING&ZONING OFFICE
UG 14 01
0.2t-�' tO'DRAINAGE AND UTIUTY EASEMENT—/ U—PuTy
MA L L
F 65ND 1/2- D.3,/-FOUND
IRON PIPE �—O.27 4*f L
NO IDENTIFICATION NO 11 gf_
L/
N 07*31'06m W 80.43' (MEASURED) "
N 07*16'02" W 80.65' (PLAT)
LOT 10 LOT 11
BLOCK 17 BLOCK 17
NOTES*
ACCEPTED BY.,
LEGEND:
R - RADIUS —X—X= FENCE
L – LENGTH CONCRETE
FOR OFFI/CESE ONLY
7
Date------------------
19�.
41<'�)
... ...........
Permit *. . . .......Fee$
CITY OF ATLA NTIC BEACH Valuation $...).-r ...........................
FLORIDA House ..... 4P
............................................................................
.VLICATION 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 Atlanfic 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.
Date...........
y----------------------------
Owner-------4�fdk --------- ------------_-------AddresJ_2r -Telephone N0,7P2#._W1a.30
61
Architect.....__----_---_-_--_-----------------------------------------------------------------Address-_---------------------------------------------------_Telephone No------------_
-----------------Address....P�-- I f /_�-----------Telephone No---------/
Contractor Builder ... .... .. ..................---------
Lot No.....'a -5- --y
------- --------_....Sub Division- one---------
------__........Block No.
'--.Street--.------W��------Side Between - --------------------------and.......... Sts.
/W_-
��_ or -—----------------
-------------
Valuation ---0---0------------For what purpose will building be used...... -----Type of construction..
Dimensions of Building----Z!�.,A_aL4-----Dimensions of Lot---- 7,1F -----------........Size of Footings---- ---------
---7---
---------__...........Type Floof
Size of Piers-..---- -----------------_----Size of Sills ---------------------Greatest Sill Span in ft..
11�_"_ 1k 0 ......
How will Building be Heated?-------- --- ---------_-------Will Building be on Solid or Filled Ground?-] --------..... ---------------
Size of Ceiling Joists------------------------------------------ Distance on Centers----...... .......................... Greatest Span............................................
Size of Floor Joists------_-----------------------------------_- Distance on Centers.......... ............ I............ Greatest Span........--_------------;,;iw.............
----------- Distance on Centers........ .... -.2. .......... Greatest Span--------- --------------------
Size of Rafters------
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
APPR"T.P.-I'D all lot-lines and existing buildings.
CITY of ATLA;',`,'i'., REAR LOT �KE
Two copies of plans and specifications shall BUILDINC OFFiG'L
be submitted with application.
�7
Inspections required. Date__� 121
1. When steel is in place and ready to pour foofting.
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. -2-7-
4. When framing is completed. H
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.
FRWr 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 ity af AtlantJAa9Beaeh,.:r
_J&7
C .........
Signature of Builde2 -------------- ... Address
Signature of Owner.............. .............................(,/_------_-4------------- Address............
........................../.................... ........................
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERM-IT
PERMIT NO. 21 -- Date : December 6, 1972
LOCATION 444 Royal PalmSDr. Street
LOT NO. 15 BLOCK NO. 17 S/D
OWNER
MASTER PLLP.4BER_ Arthur L. Gann Bldg.
BUILDER OR CONTRACTOR
TYPE OF BUILDING - BasjAg,,,ntjaj
, 1' Sjj,,j4,_s 2 LAVATORY 1 BATH TUBS URINALS 2 CLOSETS
FLOOR DRAINS SHOWERS 1 WATER HEATERS DISH9ASHERS
DISPOSALS OTHER
TOTAL FIXTURES �1 .00
NO WORK MUST BE DONE UNTI1 A PERMIT HAS BEEN PROCURED
PLANS AND SPECIFICATIONS must show a plan and description of the
size--.and - location of all the soil and vent pipes, and the number and
location of all fixtures , (in accordanae with Ordli-nance no. 188 of
the City of Atlantic Beach, Flt)rida) must be shown on baok of appli-
cation and be approved by the Plumbing Inspector.
DRA9 PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK.
Approved by, Plumbing Inspector
Date
(FOR OFFICE USE ONLY)
ROUk'-T"H-IN INSPECTED REVARTS e-1-t
FINAL INSPECTION: CERTIFICATE ISSUED:
DEPARTMENT OF BUILDING 4072
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.—
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date-6/11 —19 79
valuation . SOO-(M — Fee $ 5.00
This pertnit 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 Jobnay Va;Imell &7
has permission to build to meleeiaee*istiag garage and add off street
arking
Classification residential ZO P
Owned by CA"r R. Joann
Lot is Block__1L_ S/D Rnyal_.Palm
House No 444 RaVal Palm 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
4-10- 0 Building material, rubbish and debris
Zfrom this work must not be placed in
public space, and must be cleared up
and hatiled away by either contractor
or owner.
TL
Bill H. Davis ':�661XKT
D"'T"OWI 1/79
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTR6tTOR I �j 75
PLUMBING
ELECTRICAL
SEWER
WATER
A*W
FOR OFFICE USE ONLY
A URE TO
3VT 'MANCAS Date...........64. ...........19
fr TT P-..
Permit .....Fee ......
LU LAW
OWER
AJ &MAWROHUCH Valuation .......................
R&ROM "Z . ........
FLORIDA House *........ . yze"�a6' a
...........
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 Atlanfic 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. Da ... ................................... 19.7f...
Owner...Ce dress...#�t.........�(A.....#061.......Telephone Xo..ale"
...............................................................................................Ad "f
..........
,Ores -------------------------- Telephone No............................
Architect....................... . ......
Contractor Builder..��..........4
/> TMO-3
4.0. ..................................V44elephone No;.I.....................
ZLot No.-.-/(5.-.....................................Block No.__.0----------------------Sub Division. .. ..a 2.................................Zone.................
............................................................Street---_--------------------2Side Between....................................................and......................................................Sto.
Valuation $...sj._.42�2.A2�2..For what purpose will building be used..4-4/1X-).....................iype of constructionviak U)004,
Dimensions of Building_.....................................Dimensions of Lot......... ........................................Size of Footings.....................................
Size of Piers....................................Size of Sills................................Greatest Sill Span in ft..........................Type Roof.....................................
How will Building be Heated?-----------------------.......................................Will Building be on Solid or Filled Ground?........................................
Size of Ceiling Joists........................................... Distance on Centers............................................. Greatest Span............................................ op
Size of Floor Joists..............................................,Distance on Centers.......... ................................, Greatest Span............................................ of
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. F P R C V C- D
1. When steel is in place and ready to pour footing. CiTY OF 1-i'LAVIC DIAC
2. When steel is in place and ready to pour columns and/or lintel. I-,U1'LD1r4G C)FirCE
3. When steel is in place and ready to pour beam.
4. When framing Is completed. 1 979
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before is
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 9f Atlantic Beach.
Signature of Builder.. ........................ Address......9Y.V..A;_.a.... A.
......I.............. Address......... ........(
Signature of Owner....... .........rr............... .....................................................................................
MAP SHOWING SURVEY OF
Lot 15, Block 17 , as shown on tho 'F',,,i)1at of a p�irt of 1-110yal P;-11 m�-; 1-hiit 2A it,; rccor�!��d in
Plat Book 31 , 'Pages 16 , 16A, 16'B , 16C and 16D of HIO Cl-irrci:t I �tiwic of Duval
County, Florida.
For: SWD chr'istlO
Your, File No. 5731-A
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