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780 Sabalo Dr (vault) lr, IS CITY" OF ATLANTIC BEACH 800 SEMINOLE ROAD � ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-0 000214 Date 2/18/09 Property Address . . . . . . 780 ABALO DR Application type description RESI ENTIAL OTHER Property Zoning . . . . . . . TO B UPDATED Application valuation . . . . 1534 ----------------------------------------Y----------------------------------- Application ---------------------------------- Application desc door replacement ----------------------------------------``------------------------------------ Owner Contractor ------------------------ ------------------------ GLOVER, ALLEN LOWES COMPANIES INC 780 SABALO DRIVE P 0 BOX 1000 ATLANTIC BEACH FL 32233 MOREHEAD CITY NC 28557 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMI Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 1534 Expiration Date . . 8/17/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRE *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OFA LANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i �i CITY OF ATLANTIC BEACH iv 800 SEMINOLE ROAD,ATLANTIC-BEACH,FL 32233 07m1�...L� r) OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@CCW.B.US } BUILDING PERMIT APPLICATION DUVAL COUNTY I, Jp6 ADCMRSS . ' zY.. .aT(orr oF:Yi! Rit s,soli t„uNpft RooI :, Q /�Xo Atlantic Beach, FL 32233 &100 SS`OF.WORI(6 ?; . :11w1t:.',z, mak„rr ,l 8 t]SE.OF,STRUC7UREi � z ❑NE N BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL UESCRIPTION'4l FWC1fFit"f a' of+,•.,tur '• + � �} ry r,.:`• � r=' ❑AL ERATION ❑ACCESSORY BLDG. 8 FIRE SPRINKLERV.�1,00V ❑R AIR ❑POOL/SPA ❑YES ❑N/A ❑W VE ❑OTHER ❑NO ' r 'dP.ROPREiTY,�WNER' � , ,..� °.,...: I OWN : w .y, ARG131TEGT 'ENGINEER .,. ,.,. g�N f„1 �r � ` I— 15.CQ PANY NAME: � 23.COMPANY NAME: 16.N 24.LICENSEE NAME: 10.ADDRESS: 17.STA E OF FLORIDA 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS-DRESS: �� /] 26.ADDRESS: C. f 11.OFFICE PHONE: 12.FAX NO.: 3.� X NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: OyE�� 29.CELL PHONE: 14,EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: g R „ . r 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and insiallations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be perfon ned to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work Is not commencec 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. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,He ers,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accur ate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the refere ced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the buil ling official,as required by law. WARNING TO OWNER: r YOUR FAILURE TO RECORD A NOTICE OF COM ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR ROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND P STED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDI G YOUR NOTICE OF COMMENCEMENT. r GE1 61 d alt�lti � .: r R � ned: Dat' g e: Sig ed: Al ate Before me this_1 —day of –� 20 n the county of Be f re me this �� d of 20�e county of Duval,State of Florida,has personally pe red ID I,State of Florida,has personally appeared ?Z. 4 S e �= herin by hims /herself and that all statements and declarations are he by himself/h rself and affirms that all statements and declarations are true and accurate. ©, tr and accurate. Notary Public at Large,State of ,County of No ry Public at Large,State of ,County of V w _ c211ersonally Known q Pwr9onally Known e,e+wi>day,. .,na.:,•. „-•. .....,,�, :x.,„; ❑Produced Identificatior�A -- roduced Identification .v • Notary Signature: No ry Signature: LE REVIEWED FOR CODE COMPLIANCE ` `k r, .n.aa..�.c AGY61�fI :ciaim:wi[n 'aa 2 CITY OF ATLANTIC BEACH SEU PERRhOTS FORADDIBONAL N, p`p B• n MY COMMISSION#f REQUIREMENTS AND CONDITIONS �'E►`�'r�,",: rFMWR �+ ,f EXPIRE6 M �,. MY COMMISSION M DD !4539 Bond6d ItNY N .,..tr REVIEWED BY: EXPIRES:March 3 Gm DATE WTNV I�tANou %art CITY OF ATLANTIC WCH 09- ( ( I I sa 900 SEMINOLE ROAD,ATLANTIC H FL 32233 I r t OFFICE:(904)247.5926•FAX .:(904)247-5945 aUILDING4)EFTOCO .us f- BUILDING PERMIT PLICATION DUVAL COUNTY I.JOS ADDRESS: Z V Tato OF WORK t3.MFT.UNDERROOF 4.LEGAL DESORPTION: b.CLA OF WORK B.USE OF STRUCTURE ❑ BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_SLOCK_SUB DIVISION ❑AD41TION ❑CONVERTING USE Q COMMERCIAL 7.DESORPTION OF jW K E3 ALTION 11 ACCESSORY BLDG &FIRE SPRINI(LM ❑R AIR ❑POOL!SPA ❑YES ❑NIA �* 0*1MCTOFAItG !Et10R1EER: 9.NAME 16.COMPANY NAME: 23.COMPANY NAME 18.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: I$.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: 8014DING COMP WY. MORTGAGE LENDER: ' 4F OTHER TWAOWt� 31.NAME: 33.NAME: 35.NAME 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is heraby made to obtain a permit to do the work and Insh Nations as indicated. I Derby that no work or installation has commenced prior to the issuance of a permit and that all work will be Wm ed to meet the standards of all Iowa regulating oonstruclim in this jurisdiction. This permit becomes null and void if work is not cxtmnterloed ' six(6)months. or if construction or work is suspended or abandoned for a period of six(6)months at any time atter work is or . I understand that separate permits must be secured for Electrical Work,Plum 8 Woos.Pool*,Furnaces,Boilers Tanks. Air Condbt3onets,etc. OWNER'S AFFIDAVIT-I car*that all the bragokug ktfonnation is a and that all work will be done in compliance with all applicable taws regulating construction and zoning.i will not occupy or use the building or any part therof,until all inspections are linaled and prior to obtaining a certificate of occupancy or Completion issued by the building Official,as requimd by law. *** WARNING TOOWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COj ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED ANDTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDYOUR NOTICE OF COMMENCEMENT. OWNER or AGENT &20MCTOR (B Agent,Power of AIM"of A"XV Ledgr Ret>WOO Ody) Signed: Dab: Sir Oate:--//-tog me#ft day a .2M In the county of me�';� I dayof 2008 In ft cour4y of Duval,State of Florida,has peraor skY appeared O .Stab of ►` penally appeared heft by himself/herself and affirms that all stabmerga and dedwanons we hedr by tarn$W 1 hersen and affirrna that all sbbrnwrts and dedwarions are true and ecourate. Mwtndaccurate. Notary Public at Large,Stab of .County of PubNc at Largs, of L CourRty Of ✓� ❑Personally Krown Kf10N71 Notary Signahm. lNoterySignature: " PPY SHIRLEY L.GRAHAM nUO� r°. Notary Public-State of Florida 1 � My Commission Expires Feb 14,2010 SLDG01Pw"AppicaOoneldgREVISED:12M8f2009 ,;F,,.,, ,?;° Commission#DD 518533 Bonded By National Notary Assn. ,�`t;;,.'` '�i,w'+{\i:?;ti `::'`:::;;5:;'•\i'{`li".;:?•,;``i�iJ•:iz`w::.'i:;•:is.:y�:;:;:2'c:•::yC•:ti.fii::+,�;i;;:::.,`i>i?i:,`.`.\•'<i`r z ` tit a`,\. ;:•.•,`'{;; ` ° ;`a% �, ?: \ '� .,z`,v a...b`�h � •,,;.'�' "`````�'+�'�,`` �\"'` , C ti'••y'`.`••`,�.k'X`'``,��';.•a�*`,',�'`,'•`��`>``,1�'i�..;�ze,``„`�`}4��, ;.,� '' ',tfi•'C2'+.t`, i �`'-: �ti � \ -k:*ti,\ \.. \`'„�`;`, "�'� ',z \\''�'� }\`2*sJ`\``4 y,.,',`'z vy'. k BCIS Home Log In User Registration Hot Topics: Submit Surcharge' < ;: •'"` >,. = ;w. `: ge Stats&Facts: Publications: FBC. w" k Product Approval USER: Public User Product Approval Menu > Product or A lication Se rch >A lication List>Application Detail s.�;z;`,^.,...� ,z.�,a,;;va,;:�s•��;.: FL# FL4904-R3 ��zti•.4......s:, �:" {.':•.ti.` Application Type pP Yp Revision Code Version �,:<~¢v�. �.,:;z�`zk4`.,z,.:•�.:: 2007 Application Status Approved 3``:•, }w + ....va4•��tiy\._ Comments Archived Product Manufacturer Masonite International Address/Phone/Email One North Dale Mabry Suite 950 Tampa, FL 33609 (615)441-4258 sschreiber@masonite.com Authorized Signature Steve Schreiber sschreiber@masonite.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency National Accreditation&Management Institute, Validated By National Accreditation&Management Institute, Referenced Standard and Year(of Standard) Standard TAS 201 TAS 202 TAS 203 Equivalence of Product Standards Certified By : Product Approval Method Method 1 Option A Date Submitted 12/23/2008 Date Validated 12/29/2008 Date Pending FBC Approval 01/05/2009 Date Approved 02/03/2009 Summary of Products --------------------------------------------------------------- -------------------------------------------------------- '; FL# Model, Number or ame Description i ------------------------------- ---------------------------------------------------------------------------------------------------------------------------- 4904.1 Wood-edge Steel Si e-Hinged Door Units 6'-8"Opaque I/S and O/S Single Do Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes FL4904 R3_C_CAC_NI006110-R3 Approved for use outside HVHZ: Yes Quality Assurance Contract Exph Impact Resistant: Yes 12/31/2010 Design Pressure: +76.0/-76.0 Installation Instructions Other: Evaluated for use in locations adhering tote Florida Building FL4904_R3_II_FL4904 6_8 Opaqu Code including the High Velocity Hurricane Zone,z nd where pressure Verified By: National Accreditation requirements as determined by ASCE 7,Minimum Design Loads for Created by Independent Third Part, Buildings and Other Structures,does not exceed the design pressures Evaluation Reports listed. T-0"x 6'-8"max nominal size.When large ry issile impact Created by Independent Third Part, resistance is required, hurricane protective system s NOT required. See DWG-MA-FLO128-05 for details. ---------------------------------------------------------------------- ................................--........._...................................-----.....-----....------------------...---................................. 4904.2 Wood-edge Steel Si1e-Hinged Door Units 8'-0"Opaque I/S and 0/S Single Do Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes FL4904_R3_C_CAC_N1006110-R3 Approved for use outside HVHZ: Yes Quality Assurance Contract Exph Impact Resistant: Yes 12/31/2010 Design Pressure: +70.0/-70.0 Installation Instructions Other: Evaluated for use in locations adhering to I ie Florida Building FL4904_R3_II_FL4904 8_0 Opaqu Code including the High Velocity Hurricane Zone,z nd where pressure Verified By: National Accreditation requirements as determined by ASCE 7, Minimum Design Loads for Created by Independent Third Part, Buildings and Other Structures,does not exceed tV e design pressures Evaluation Reports listed. T-0"x 8'-0" max nominal size.When large missile impact Created by Independent Third Part resistance is required, hurricane protective system s NOT required.See DWG-MA-FLO129-05 for details. 4904.3 Wood-edge Steel Side-Hinged Door Units 6'-8"Opaque I/S and 0/S Door w/o Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL4904 R3 C CAC NI006110-R3 Approved for use outside HVHZ: Yes Quality Assurance Contract Exph Impact Resistant: Yes 12/31/2010 Design Pressure: +55.0/-55.0 Installation Instructions Other: Evaluated for use in locations adhering tote Florida Building FL4904_R3_II_FL4904 6_8 Opaqu Code including the High Velocity Hurricane Zone,and where pressure Verified By: National Accreditation requirements as determined by ASCE 7,Minimum )esign Loads for Created by Independent Third Part, Buildings and Other Structures,does not exceed the design pressures Evaluation Reports listed. 12'-0"x 6'-8"max nominal size.When large inissile impact Created by Independent Third Pam resistance is required, hurricane protective system s NOT required on S31ON'W83N3.9 T 31V0 'ON SNW11A313 IYJkw SMS 311�iN3A 0300'd LO 0Z !_ d \ VN.' it 91 o �E Z2z OPS' -311M8VHO �lavussp ta—•6 SM5 Hi�h3i M3 -,S 35N HH 80 Z 8 ,6 S3PVV36 M.Z 8UUG I?315303-UODM; SMS L130VdS 0300b 80 5l z 5...__. 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Z az¢ tt v j0m a' C w K O O Z E r-.O. fn C�W'3 ~ �a �a a rrO yr z m` wo En q= co u. 0�Z2 d zz O m: O h 0 yv J o 0 O C]z Ci O 0.2 _ O EU cm p ¢wninw min v� -� O Z C),& qO J w w ¢m w CN[ z G-X c o z (L a v0 T m F- ca LD WXZ .� .. ao ---------- Z U T Z 0 CO O d el u .-fV» € 7 S. ;n vl 1 I SlIV130 rF �Nuiav da 5N011V907 9N12lOHJNV' A8 -- -- -- 31d0 ON n o nl SM aLl 11N�n 03aGV LQ OL L H c ,91 Z9C ON '3-LIO 7,JVHJ SMS RION31 M3NOS 30NIH 8Q Z l 8 0� S Vl�/ a QO L WOO MIS 3903-AODM 1 sMs -- 213�vos a3ooe so 5 t z l MMa.e-.s 3-reooa s -- --- -- b Z d,VOO IVNOIIVNt431NI 311NOSVYV r�naoaa a0o0 9993x3= r x w 0 w p�p, C�p C)O _ a Z6 a ,w C) ``' n x w ' WWO(r)LLJQ \\\ N Q i LLJ Cr o 1 I v z I I I Q r•-r•:t C� { i Lxj DO I QI N� I OC W N. N Q Z I f, a3oHJS n-ognn 'SHOW tr -•--•• N Li 1�1 a3�v�s L3lvnna �Hory ro `� _j is o — -- - ---- _._ , � �q� m j 1���4 q 1 t� Uj oi_ v cn C) Q � ,i - u�,- -- x cyfL o U h! w D' O, 4 Q x LO x o: �. i w i� q x x p ' V)- 0 tn _ T _ _ I z x VIzI— 1 co O W OP —' ..6L£L �J 3 City of Atlantic Beach APPLICATION NUMBER To be assigned b the Building Department.) Building Department ( 9 y g r `-.SA 800 Seminole Road Q tir Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: �� G _ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM ­Q199artMent review required Ye No r/di y� Building Property Address: nmg &Zoning Tree Administrator Applicant: Public Works Public Utilities Project: l�� Public Safety Fire Services Other Agency Review or Permit Required Rev ew or Receipt Date of Pe mit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLLGATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle oneQ Comments: (:BUIDLDIN PLANNING &ZONING TREE ADMIN. Reviewed by: Date:gR 2 It PUBLIC WORKS Second Review: []Approved as revise . ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed b :- Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed b : Date: 1Fa CITY OF ATLANTIC BEACH -M 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 NSPECTION PHONE LINE 247-5826 Application Number . . . . . 08- 0001596 Date 11/25/08 Property Address . . . . . . 780 SABALO DR Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------- ------------------------------------ Application desc lcu lahu --------------------------------------- ------------------------------------ Owner Contractor - ------------------------ ----------------------- GLOVER, ALLEN DONOVAN HEATING & AIR 780 SABALO DRIVE 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 ------------------------------------- -- ------------------------------------ Permit MECHANICAL PE MIT Additional desc . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . 11/21/08 Valuation . . . . 0 Expiration Date . . 5/20/09 --------------------------------------- ---------------------------- Fee summary Charged aid 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 1S 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 -00001596 Date 11/21/08 Property Address . . . . . . 70 SAB DR Application type description ME CAL ONLY �, J Property Zoning . . . . . . . TO BE ATED Application valuation . . . . - - - - --- - - - - - -- - - - --- -- -- ------- -- - --- ------ -- - ----------------- Application desc lcu lahu -.. - ._ - - - - - - - - - - - - -- - - -- - -- -- ------ -- - - ---- Owner Contractor - --- - - - - - --- -- - - -- --- -- -- ------------------------ FUCHS DONOVAN HEATING & AIR 708 SABALO DRIVE 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 --- ----- --------- - ----------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 =t -:>i_ie Date . . . . Valuation . . . . 0 Expi-ration Date . . 5/20/09 - -- ----- ------ ---- ------ -- --------------------------- 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 14 113111 IS :1PYRON'Ll) ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA M It DING CODES. ems_ • y- f2TY OF ATLAN71Ct� �7� eppEROAU.Ai1N111C OFFM PO4W7-G=r FM 4 M)a-00 PERM MATE C��v3 �-•Jsu {wG!►f'1l mcAL. •A UCATM W AL COU r 1:YOB ADDRESS: o E�YT� Atlatatic Beach FL 32233 .._. x ROM 4..N AB /IOOtieSSF F .10B4 7 OF kiloLOOIEMVIY STATEOFFLA[W11LICF]ISENOt 18.CB.tFRf011� 320� � 12 Ei11W 11 13.OFFM:E 1'1101>E i�� _ �� �'� APOCOM Is hereby n0ft 10 8 Pm*110(JO the wO&mo ftbaaft�as Itis biLGCI k INS Ic out al iS 1 CORFt1E110Bd MI B 0 be F W 00 8 S Of eM IRt m 19guleEt coltslnsgon in*ft�' sk to) mmr*or ff=Wucwn orwRodt is s1Rf:1 omw or abandoned t r a Period a moans at=VIM amrwo*is oom mme& 9 comnvcTom 18.Fri31OFVNOEiK. a NM DWMJATION a NEw EVIDENTIALAjmn_ aAWOA etALoplc3 fbDE- �irCwsasTMSYSTEAA o(SrWG E]CONNEtACML AAECHEiMMCM- a ALTERATION/ADOTTION TO EMT SYSTEM a IIEPMR El OTHER 18.HEXT• 13 SPACE D iWCEWfP.AL 0 FLOOR 28.AM C)NWTjomm - a ROOM 21.DUCT SYSIiME MATE�M.: MAX CAPACITY: ci11t =IM RMATION- MAX CAPACITY: 1X111 23.COOUMG 7GVH R "PAC": Im 24.FSE SPIWN ..ER NIMH OF MEAD&: 25.UFT SYSTEa1• lzosptjw IiAAN.IFT: ESCMATW AUTOLIFT 26.CVM IERCLV_HOOD 27.F1RIPUICE: CAT®: MASMW. 28.MMMIM: DWELL 13PH31m 28.GM PrWG: WOF OUTLETS: O AI#x O GAS WATE R HEATER 3L 0THEIt-SPECFY: a0t AR IfGM*k BOL6tL UNFI M PREBBUREV8W3.MftT8KWMGM ORCOLM OOCMEIr- FORaiI�t RBrS. APPRQVINUMBER NG OF t.1N1rS MODE7_9 TONS r G mT 'K 7fl cr yi c. 3APPRUVM OF MH hK 0 MODEL.# BTU AGENCY UNnSNUMBER GALLONS C01W EWuIEiFAcru� SE32M* Mew -77- CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ta. � ATLANTIC BEACH,FL 32233 f f SPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00 32876 Date 4/27/06 Property Address . . . . . . 780 SABALO DR Tenant nbr, name . . . . . . ROOM ADDITION Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- GLOVER, ALLEN EARLY ELECTRIC CO INC 780 SABALO DRIVE P.O. BOX 50678 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 ---------------------------------------- ------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged P id 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF TLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES BUILDING OFFICIAL 1 CITY OF ATLANTIC BEACH ELECT CAL PERMIT APPLICATION Date: Property Address: OP ' Owner: Telephone#: i Contractor: C Telephone#., Contractor Address: MPP S Fax#: Contractor Signature: In consideration of permit given o oing e work as described in a above statement, we hereby agree to perform said work in accordance with the attached pl and specifications which are art hereof and in accordance with the City of Atlantic Beach ordinance and standards of ood actice listed therein. Building: Buing Type: LlTrailer Service: If other construction is ❑ New a Residence ❑ Temp. El being done on this building er_ ns Old ❑ Commercial ❑ Si ❑ Increase or site,list the building Signs Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALS Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Rece tacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 AWS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTO S AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sign Miscellaneous B 800 Seminole Road•Atlantic each,Florida 32233-5445 Phone:(904)247-5800. Fax: (904)247-5 45• htta://www.ei.atlantic-beach.fl.us Revised 1/04 d'J'j r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-0 )032104 Date 2/01/06 Property Address . . . . . . 780 3ABALO DR Tenant nbr, name . . . . . . ROOM ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 Owner Contractor ------------------------ ------------------------ GLOVER,MARY OWNER 780 SABALO DRIVE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 -------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMI Additional desc . . Permit Fee . . . . 130 . 00 Plan Check Fee 65 . 00 Issue Date . . . . Valuation . . . . 20000 Fee summary Charged Faid Credited Due ----------------- ---------- --- ------ ---------- ---------- Permit Fee Total 130 . 00 130 . 00 . 00 . 00 Plan Check Total 65 . 00 65 . 00 . 00 . 00 Grand Total 195 . 00 195 . 00 . 00 . 00 3 9 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF TLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL I 8 CITY OF ATLANTIC BEACH cc: BUILDING / ZONING DEPARTNMNT D. �r i1 s 800 Seminole Road oerr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: 7 �r v Applicant: Project: khom *t-+ A This permit application has been: C Approved Reviewed and the following it Dms need attention: Please re-submit your application when these iten is have been completed. Reviewed By: Date: Date Contractor Notified: CITY OF ATLANTIC BEACH BU LDING PERMIT APPLICATION S) (Alterations & Additions) •— ��l;l 1 Date: Job Address: Igo ct,. w/ Y "�- - Owner of Property: 3-4 Address: (� e- i etlone: Legal Description: Block Number: Lot Number 3 Zoning District: C� 9J fN� Contractor: State License Number: Contractor Address: - Telephone:l Fax: Describe proposed use and d work to be done: _F _ _. `.� --, I F I— '` A '�'7 Present use of land or building(s): qL(k Y' G)Y' Valuation of proposed construction: 'f C C CJ ! e What are the dimensions of the added space: U°° ` 'feet x ,/ —feet Will the added area be heated and cooled? v New electrical or increase in service? Y,eS Add plumbing fixtures? Add fireplace? Add heat/ing/air conditioning? -7-7 ES Is approval of Homeowner's Association or other private e ity required? /y 12 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? XNO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this r project. ❑YES. See Step 2 below. Approval of the Public Wor s Department is required prior to issuance of a Building Permit. XNO. Applicant certifies that no trees will be remov for this project. ❑YES. Removal of Trees will be required for this pro ct. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree i nservation Board,which meets two times each month. i Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the pt Dposed 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 Pu is Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not r quired, 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 remove I or relocated. STEP 4. Please submit Building Permit Application, Energy Cod Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construc ion plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 2233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904 247-5845 -http://www.ei.atiantic-beach.fl.us Revised 8/04 Page 2 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 infoymation in a clear and legible manner. a 1. Current survey showing the property boundary with bearings and distanct s and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topogr tphieal survey. 4. Any significant environmental features,including any jurisdictional weth nds,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewal 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 certify that all information provided with this application is correct. Signature of owner: Date: �G,�D V Y� r I hereby certify that I have read and examined this application and kno the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether sp cified 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 loc rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the prope I understand that the issuance of this permit is contingent upon the above information being true and correct d that the plans and supporting to have been or shall be provided as required. Signature of Contractor: Date: /►�D^0� Address and contact in ormation"of person to receive all correspond nce regarding this application(please print). Name: '�P �J7 (,t�� Mailing Address: -r c"k '1 n..- Telephone: (� r�► " - YYS 3 Fax: E-Mail: AS TO OWNER: 0.v.�'a li Sworn to and subscribed before me this e2t 6_t` day of r ,200(t . State of Florida,County of Duval _ Notary's Signature: ----� JEANNE M.SHAW MY COMMISSION#DD 435986 P sonall9 kno ❑ EXPIRES:May 31,2009 Produced identification :� Bnnded Thru Notary Public Underwriters t Type of i entification produced (t- y k U 5-re 57- 5 3 O AS TO CONTRACTOR: 3, r,,n ,20! Sworn to and subscribed before me this �{off. day of • State of Florida,County of Duval JEANNE M.SHAW Notary's Sigi ature: I14Y COMMISSION#DD 435986 EXPIRES:May 31,2009 ❑ Personal known i ? p t3cndad Thru Notary Public Underwriters 1Q--Pfoduce identification Type of dentification produced '�---L,. 800 Seminole Road -Atlant Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904) 47-5845 -http://www.ci.atlantic-beach.fl.us Page 3 Revised 8/04 if CITY OF ATLANTIC BEACH D13y,' OWNER/BUILDER AFFIDAVIT Date:" Job Address: CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCI ION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLOR DA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO TT AT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN ONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION OURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUI,DING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LE SE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN N IOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YO JR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. T IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRE D BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPRO THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPE TIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE Ul 4LICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO JST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DO S NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO AlORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCEBE URCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. O RS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMI"L.OY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLON ED UNDER ANY CIRCUMSTANCES, OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATU rE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY S E THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASC ERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF N DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ IHE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSU NNCE OF AN OWNER-BUILDER PERMIT. -m a4m S_ ljzv-v-� PAOI MTY OWfEPUBUILDER SWORDTM THIS Z�D Y OF 200 JEANNE M.SHAW t IsIV CQMMISSION#DD 435986 EXPIRES:May 31,2009 ,--- pd Gc,nnee;`Ivu Notsry PuWfo UndenvrRers N Y PUBLIC ''aan-iw,:a:;r.:;zwwser'�.c::wi•._,:,rwnwMrs MY COMMISSION EXPIRES: p.A -1 .NOTE: PHRASES UNDERLINED ABOVE. I NOTICE OF C O CENIE�Ii T State of G r-I Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements wi11 be made to c ertain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE O CO11UdENCEMENT.y Legal Description of property being improved: Address of property being improved: v �- General description of impmveaoents: 1 `e6_ 0ti C4- x' - b tA 6, k _ Owner f �. Address: )' lam. Owner's interest in site of the improvement: - c' l C< -c l j Fee Simple Titleholder(if other than owner): Name: Contractor. �� / =-ct j - Address: ' e,i 1,6 . ( .Vi Telephone No.: - �� -�`� Fax No: -r--- Surety*(if any)- Address: Amount of Bond S. Telephone No: Fax Na Name and address of any person matdng a loan for the construction of the mprovements Name /? j�' c } G l" , f G`✓ Address• ► � Phone No: %fl f '�`%', C`c Fax No: Name of person within the State ofFlorida, other than himself, designatz by owner upon whom notices or other documents may be served: Name: Address: Telephone No.- Fax No: In addition to himself, owner designates the following person to recei re a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one ( )year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER `'��] 1 _L6_Signed: / ' L •1�( ' fc_ Date- f 4�! ----- Before me this dal'of—����.J-z> (o in the Co ry of Duval,Stae JEANNE M.SHAW Of Florida,has petso Y appy i-V-` MY COMMISSION#OD 435986 Notary Public at L State of Florida,C of DnVaL EXPIRES:May 31 2009 My c:omnission exp' ''•".?o,F o?' bonded Thru Notary Public Underwriters _T_ - Personally Known. or Produced Identificadou: PA_ n« tV L G 14 Up ,• qr,,, T '57 '7 S 0 !'rj r� CITY OF ATLANTIC BEACH , c�. BUILDING / ZONING DEPART MENT D. rd ins 800 Seminole Road r Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 0(0 " Property Address: 760 �C 0ib lac i v Applicant: W A-if,r Project: 1�- a J This permit application has been: Z<- Approved Reviewed and the following it ms need attention: 12A- 2D— I 8 Please re-submit your applicatio en these items have been completed. Reviewed By: .c -- Date: Date Contractor Notified: CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Alterations & Additions) Date: J --7- Job Address: Owner of Property: Jam, Address: 1=jv D Y. - 3�elpphone: Legal Description: Block Number: Lot Number: —Zoning District: Contractor: l�L) i� r State License Number: Contractor Address: - Telephone:ly � _ Fax: Describe proposed use and work to be done: _. hill `� r0 -1zY1 Present use of land or building(s): Cwr DY'� V�l -j' 0-10 V' Valuation of proposed construction: 0 D O D What are the dimensions of the added space: Y700h4 - feet x feet Will the added area be heated and cooled? P..S New electrical or increase in service? Ves Add plumbing fixtures? No Add fireplace? Add heating/air conditioning? �� Is approval of Homeowner's Association or other. private en 'ty required? /y D If yes, please submit with this application. Will this project involve changes in elevation, site grade or ainy use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? I NO. Applicant certifies that no change in site gra e, impervious area or fill material will be used on this project. issuance of a Buildin ❑YES. See Step 2 below. Approval of the Public WorkDepartment is required prior to issue g Permit. NO. Applicant certifies that no trees will be removet i for this project. ❑YES. Removal of Trees will be required for this projo ct TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree C nervation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please fo low all steps and provide all information as aparonriate. Incomplete applications may result in delay in issuance of perm 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 Pub c Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not r uired, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpil wr Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removec 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 construct on plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 3 Z233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904) 7-5845 •http://www.ci.atlantic-beach.fLus Revised 8/04 Page 2 F In addition to construction and engineering detail,plans must contain the fo dowing information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required infornation in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distanccs and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlai ids,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 certify that all information provided with this application is correct. // I Signature of owner:_�fflk&ZADate: l� I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied 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 d that the plans and supporting d have been or shall be provided as required. Signature of Contractor: Date: Address and contact in ormation of person to receive all corresponde ice regarding this application(please print). Name: (�--t O v C t,- Mailing Address: 170o ef�--5 �. ) L 3--,1-:Z- 3_3 Telephone: Fax: E-Mail: ASTOOWNER: ark lk-a� Gr�"-e_.(' Sworn to and subscribed before me this a day of ,2004. . State of Florida,County of Duval Notary's Signa e: ---� JEANNE M.SHAW r MY COMMISSION#DD 435986 onally mo, •= EXPIRES:May31 2009 ,., � i:ti`Q; BondedThruNotaryPublicUnderstors LTJ' educed i entification Type of idt ratification produced C'' Mf\\J CA AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 6-Le . State of Florida,County of Duval JEANNE M.SHAW Notary's Sign e: hRY COMMISSION#DD 435986 `a. Im EXPIRES:May 31,2= F� personally mown (:±i Qec Bonded Thru Nftq PLtNc Undenmte+ ---- Q_fYo-duced ii lentification / Type of idt ratification produced 800 Seminole Road -Atlantic each,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.adantic-beach.fl.us Page 3 Revised 8/04 f �t 6 CITY OF ATLANTIC BEACH OWNER/BUILD R AFFIDAVIT Date: �J_ �5 73 Job Address: �Cc.� �v �� 3 CHAPTER 489,FLORIDA STATUTES,PART 1 ,CONSTRUCT ON CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLOR DA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO T LAW, THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION KOURSELF. YOU MAY BUILD OR IMPROVE A ONE- OR TWO FAMILY RESIDENCE OR A FARM OUTBUll DING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR SS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEA SE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CON TRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN V IOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YO LjR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. T IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REOU DBYSTATELAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPRO THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPE TIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UI 4LICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO JST BE ON THE JOB AT ALL TBES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DO SS NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO ORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMF`LOY ON THEIR WROVEMEIIT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOl UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUI1 NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY S E THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF N DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSU ANCE OF AN OWNER-BUILDER PERMIT. P O VRTY O ER F LAc--G-4 tto• SWORD OT rn 11 Ttii THIS ZD Y OF 20 *'Pb, JEANNE M.SHAW .; MY COMMISSION Y DD 435986 =?• i EXPIRES:May 31,2009 rn„�..` Bonded Thru Notary PubM Undewb, N Y PUBLIC MY COMMISSION EXPIRES: µam 31, .NOTE: PHRASES UNDERLINED ABOVE. NOTICE OF C O CENT E T State ofTax Folio No. C•may of To Whom It INW Concern: The undersigned hereby infra=you that improvements will be made to =rtaia real property,and m accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE Of CONDAENCENEENT.� Legal Description of property being improved: t Address of property being improved: Z' se L General description of imProvements: ( ��� � C,c >- `�- C� �' Z'^ 1-7 3 Owner. (, L%t' Address: G� Owner's hoarest in site of the improvement: ri a, �` I CLLC Fee Simple Titleholder(if other than.owner): Name: Contractor. �� ) '� - < fv , l 1� r Tele No.: a ax No; Surety-(if any)- - Address: Amount of Bond S. Telephone No: Fax No- Name and address off any person making a loan ft the construction of the improvements - Name.• -J � 1d (� 1�G CJ Phone No: Q/D�/ ��c?' "1 G Fax No: —, Name of person within the State o 71onda, other than himself desi by owner upon whom notices or other docmnems may be served: Name: Address: Telephow No.- 'Fax No:_ in addition to himself owner-designates the following person to receive a copy of the Lienar's Notice as provided in Section 713.06(2)(b),Florida Statssea. (FBI in at Owner's Vim) Name: Address: Telephone No• Fax No: Expiration date ofNoticz of Commencement(the expiration date is one (1)year from the date of recording unless a dim dah:is THIS SPACE FOR RECORDER'S USE ONLY OWNER IK Signed: 7T7 '42441f_� ' Before me this day��v` ��C� in the C ofDaval,State a� JFJWNE M.SHAW Of Florida,has w�— '�,' MY COMMISSION#DO 435986 Notary public at Stan of Florida, of Duval. EXPIRES:May 31u My cion cep I �dO or a nonaecnWu r�omry Personally Known: 15 PmMmtificaii�n_ Gt_ T-)rAJ AC'_ l i fo. t F73T'Wi 3'Q . City of Atlantic Beach _Planning and Zoning Departmeni This approval verifies compliance wkh a plier+tile zoning, subdivision and other to I lard approval for the Issuance of-permits. Co npliance with Florida Building Code and all other a plicable local, 8tsts and Federal permitting req r rrt� [�4 Aust be verified by signature of the City M, ?1C Beach Building amciall prior 4o the Issue ice of a BupAMny Penn , MMS omm sive o en re t*** Ytiti r 20 o � + f> pi^ � q ' w AAA* FIL ECopy CITYAPPROVED F ATLANTIC BEACH B ILDING OFFICE 7�d' �j<' � r' •r• i `�„� �: ..- 'JAN 3 p 2006, Ft 7 q- r1 Y � , V fl 0 a c l� K1 M -z� e� 4 — ax ------ HLE COPY ,� � �...,�. {•...tj»�li Mme..� .yf...�. � � j9 130 50,6 10 0 K. , 4-i, b3��,� ��— 3�� 33 gQy/��g_ y�.s33 NOTICE OF CON.INIE�CETA/1EN1T State of -' Cr-► Tax Folio No. County of ) u-t,`tL I To Whom It May Concern: The undersigned hereby informs you that improvements will be made to c xtain real property,and in accordance with Section 713 or the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT., Legal Description of property being improved: 9, ' Address ofpproperty roved: " JL :;- y }- �- General description of improvements: (Ile--SC-7I C+G a dc4 L 4 �_ r.. ., Owner Address: G� C' �1 Ownee s interest in site of the improvement: - f LZ L-c- f J 1 Fee Simple Titleholder(if other than owner): --Name: Con.tractor. - '` Address:, - T,elevhone No.: -(--F=— `t�_ -Fax No: Doc#2006031856,OR BK 13036 Page 1890, T— Number Pages:1 Surety(if any) Filed&Recorded 01/26/2006 at 12:59 PM, Address. JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 Telephone No: Fax No: Name and address of any person making a loan for the construction of the h uprovt...uz Name: 12` ?,: ec, . Address:_ C k. t L y , Phone No: U �/ �� C'L Fax No: Mame of person within the State ofFlonda, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone 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 Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one ( )year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER DaeSigned Z- Beforenicthis day of— %,\- z)-o(p inthe o ty ofDuva/l St rve JEANNE M.SHAW Of Florida,has pend y appeared ;__ MY COMMISSION#DD 435986 Notary Public at Large,State of Florida,Co ty of DuvaL EXPIRES:May 31,2009 ''•• 'b* Bonded Thru Notary Pubic Underwr4ers qy�c° Known:ZXp d � or • OF . P.��!,o�y Known: Produced Identification, r% FL- T)r W CITY OF 4&4a&' BeacA-&;&Uk& Office of Building Official REQUEST FOR INSPECTION Date— & Permit No. 14 Time A.M. Received P.M. District No. JqUAddress � 't/`'e� Locality 3 Owner's Z Name _Contractor BUILDING rNCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ noting ❑ Rough Wiring ❑ Rough 11 Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out 17 Heating Lintel El Final J�`,! Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. rd. Thurs. CF id y P.M. A.M. C Inspection Made ��""" �� Inspector — Final Inspection❑ Certificate of Ocupancy Date y CITY OF ATLANTIC BEACH, FLORIDA AP>a►owd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: G 19 R'`o IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITYOF ATLANTIC BEACH ORDINANCES. p.- ELECTRICAL FIRM: WAdTER ELECTRICIA NAME ADDRESS: 40 . M. _RFD SOX BLDG.SIZE EETWEEN. l?oyac Pgc.v! - s `►t FfSM " RES.(W AFT.( 1 COMM.( ) PUBLIC 1 1 INDU .i i NEW( ! OLD( 1 REW.( ) ADDITION C I TRAILER ( ! TEMP.I ) SIGNS ( F SO. FT. SERVICE: NEW(, ) INCREASE(LK' REPAIR I FEE DUCTOR SIZE Q AMPS COPPER ( ALUM. "' SWITCH OR BREAKER 1 0 G AMPS ) PH 3 W VOLT SE=VAY L!(IST.SERV.SIZE I 30 O 0 ` AMPS" PH 3 W 't VOLT ` RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. 1 -3 D $WITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0•t00 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS A APS CELL HEAT: KW-HEAT to s 0.1 ovill TE3R3 H.P. VCILT '' PHS NO. lI.P. VOLTAGE PHS ISCELLANEOUS i , TRANSFORMERS: UNDER 6W V. O ER SiW V. NO. KVA I NO. lKVA NO.NEON TRANSF. NO. VA. TMA. - MOTO I SIZE SWITCH FLASHER EACH SIGN FORWARDED r, TOTAL FEES 0� 1 CITY OF ATLANTIC BEACH T!1/ 2 'OQGO G. / � � - SPECIAL INVESTIGATION TO BE FILLED OUT BY COMPLAINTANT DATE ADDRESS �- LOCATION ] l COMPLAINT 0v G C �2 OWNER OF PROPERTY G /�/�� ,(� -At SMUNME OF CONPLAINTAIiT G^c PHONE ---------------- FOR OFFICE USE ONLY DATE OF INVESTIGATION Z,61 Il1VE8 IGATOR CONDITIONS FOUND ACTION TAKEN r COMPLIANCE NOTES: s . 6794 i +f bff A MENT Of'at im ypQ! 1f i CITY Qt'ATLAt *IC i y}� dH `FLR +1IT; IN ` # ' QN -�,..«...�, e..- �',.__ t+C� A 'iICSN INVORMTTON ----M-- P � x+794 add ess,s ? Q EtAIrt DRIVE tt� t. ; ` N ROOF` ATLAN IC,� It "FLORIDA X2233 b ► NEFi . _. .. _ - LEGAL DESCRIPTION t TIS�`�' Wt � Lot1e1o . . st CLBe.. D nos w 1 Codi : C, '. dub ��1sic��: TIPV. ;leer ; . yy( ,t�?} Y Rii dw. Y ,os M ! '!' # W. f "I r S fi .50 - , CE o -$22- 50 RCt F N 1 � ." SHIP1CLEa AFpLICATIt7N w p 2 2 d 54 wC "IRIV L NATE IiPFI �` bt .. OQ Vh R r w. $0 .00 - [AT,I 014 RADON 0,06 iq a L T,601 NG KR TAP AC -'��.r '�wry ��' „�,: . '-L 322"11 11Y, , NRAR .'t Q SECwN IMPACT. k�`E tt yaa,w�-,,xaraF ux„7Nh,a .m , a�m{rorare „ ro .. nexi, ', � t 1 3 NCT#CIS--AtL C�rNCi ETE FORMS ANE9 FOOTINGS UST'SE INSGa�CTEQ'BE!'oa�,PC�tJ1 tNG i PERMIT 11 }L?SIX MON THS A ER DATESAF#581# �. tLEyI,P#�a MATE# GAL;. #U ISH ANC3 DEBRIS FROM THIS WORK UST N'i T 81=PLAG ttv PUBL'C SPACE.AND-MV T BE LEAREDUPAN�>1IAU#.ECY1�ifi�l�tYS' fIHEk� U#VTG�ACTORC�R WRIER ot ' 4 WRE`,T �f .Y 1N#TH THE MSC AN#C6 .AV1/ CAt RESULT 1N S PROF RT`` � t piiY (j'"C tJ 1 t3VE�l1 NT .� SUED,ACCOR Iw T APPI + US1 PLANS WHICH ARE PART F THIS°F #�#�i*Aft T #t IAI#QNit,�1= �J ICl4#3i»S,#�F NS©F LAW. EACH''BUILDI#VCr fEPilifM.ENT � � x ( L7 e s CITY OF ATLANTI BEACH PERMIT APPLICATION ROOFING Owner(s): -' t- G V 'eAl� Address: q, "i —Phone:— Lot hone:Lot # Block or Unit # Subdivision Contractor: Ad r c Address: 144 , eS Phone: TA 4 `11U� State License No. O �'-� `� 1` -] Describe work to be done: C, Co- Materials to be used: -` ��` `-� l 0 L Signature OWNER: Date: Signature CONTRACTOR: g� E i i 3 IAI CITY OF r�!�a�rtic t�eac! - i�lmrida 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247.5805 April 19, 195 f 4 Allen B . Glover 780 Sabalo Road Atlantic Beach, FL 32233 Dear Mr . Glover: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 780 Sabalo Road a/k/a Lot 13, Block 13 Royal Palms Unit 2A RE#171482'0000 An investigation of this property discloses that I have found and determined that a public nuisance exists thereon as to constitute a violation of Section 12- 1-3 of the Code of Atlantic Beach (high weeds and grass) . You are hereby notified that unless the condition above described is remedied within fifteen (15) days from the date hereof , the City will remedy this condition at a cost of the work plus a charge equal to 100% of the cost of the work to cover City administrative expenses , which will be assessed the property owner or occupant . If not paid within thirty (30) days after receipt of billing, the invoice amount plus advertising costs , will be posted as a lien on the property. Within fifteen (15) days from the date hereof , you may make written request to the City Commission of the City of Atlantic Beach for a hearing before that body , for the purpose of showing that the above listed condition dos not constitute a public nuisance. Sincerely, X "f Karl W. G unewaId Code Enforcement Officer KWG/pah cc: City Manager VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED CITY OF ATLANTIC I EACH APPLICATION FOR I']Jf,'l5]NC I'ElUl!T JOP, LOCATI0:1: la(Asnalno -- -- _� OWNER OF PROPERTY: PLUMBING CONTRACTOR: CONTRACTOR' S ADDRESS: Z,L'i l3 2, --- a STATE LICENSE NUMBER: �ii � -_':L'I;I,k:PiIONL': 7 - -- "lit 1 3 I30W MA,t� ' 01' THE FOLLOWING PIX'1'UI I':S :INSTALLED SINKS LAVATOiR71 n 1Iv'A'1't;R t[I;A'1'ERS ATH URINALS DISPOSALS CLOSETS; WASUI:NG MACHINES FLOOR DRAINS SHOWER PANS OTHER— ._NAVY TOTAL FIXTURES: _ X 3.50 + $15.00 --- —__ - MINIMUM PERMIT I'EE = :;25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: /, ., ----------------------------------------- ---------------------------------.--- INSTALLATION OF PLUMBING AND FIXTURES MUS ' BE IN ACCORDANCI; WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTION's (904) 247-5626 SEWER CONNECTIONS MUST BE CALLED IN TO PUbL,IC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5334 . s [ 1 DEPARTMENT OFILRI.NG CITY ofATLANTIC I IEACH PERM ON ,LOCATION INFO MAT.ION MI IN R ] r L ,lm i - ? Add ?$# SAEALCD; L�FIVE � tTl T A 'LUMBI Tf ATL, N"II)C BBE C4 ,: I±"LCNI�►� ',3221' N '.'ktiALTERATION _ .� LE AI, DESCI n L>_, ;' :FRAME �B 0c 'Lb��� Tia�; Lew# I + I Sdif oo s ed Vio Q 00 nprov T tat. Amount p: 4 3 ,,INE TON I r a A pf I 2,5 00 RIVE sw ' 'on £ ry •a+s s .r,,` 41.c� 104TIO , i La 1.4 L:s NNP, t IR A c vry ¢fid # L x � L f I' n "OnolE -INSPEC'CI4NS fIUST SE REQUESTED A T LEAS' 24,HOU �NIOII:"I'f�INSP'EGTIL?N l t#LDINt3 MATE IAL,RlJ$BtSH AND DEWUS FROM THIS WORK UST NOT se' LAC_eD iN PIJE34IC SPACE;AND MUST BE t i.Ef RED UP AAt HAULED AWAY E#THFR CONTRACTOROR OWNER I*AILLRETx3 CtJMPC.Y WITH THE MEC ANICS 41EN LAW,CAN RESULT IN ' NG IMRCYEM"� PRO RTY` NER`PAYING TWICE DRBENTS." II JOSUED ACCOR ,.#NCS TO APPROVED PLANS WHICH'ARE PART OF THIS PUIMIT AND Sus ttCT TO REVOC:ATtC °FQR OLATtON OF A, PLICABLE PROVI$IONS OF LAW. +I' > k7 . tTt ACHBul atN EP TMENT ; . . .k 4 FOR OFFICE USE ONLY Date---------Feb 26..___19 70 Permit #..938.....................Fee$30.00._...... ..................... CITY OF ATLANTIC BEACH Valuation $.-.-.10 oo.................... FLORIDA House # ....... �80 Sabalo Drive ............................................................................ APPLICATION FOR BUILDING PERM11 ............................................................................ 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 ink 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 th 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 Atlanie 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. 2— R. L. Johnson Constr. Co. Date................... ....................................1 19............ Owner.....XR44X193V=XXWP------------------------------------------Address.._XF ..JCJ�W ..........Telephone No.- Architect---------------- n �ddresa ------------------------------------------------------Telephone No-----_--------- ------ R- � C ; Contractor Builder_.j&XJkXZ==&---------------•----------.......Address ----Telephone No.----------•---------------- Lot o------_-------------------Lot No.----1. ---------------------------------------Block No.--..-----13-------------._Sub Div sion----ROY-.@-I---P-EIMS-------------------------------------Zone-- ------ X7V7---8---0------S----abalRt rW'__.W_e_6t----.-Side Between-T-V-iton-R ----------------------and------a_ab.a!Q Di...................Sts - Valuation $...1Q,9_000.........For what purpose will building be used-l-Res----------------------..Type of constructionBr-ick-Ne-neex Dimensions of Building----2-6---x__1-0_..__._--.Dimensions of Lot._.__. X--..9-3....................._...Size of Footings.-----8.._X--_ 0----------- Ash-p., It Size of Piers_-----... --------------------Size of Sills--------- ----- ......Greatest Sill Span in ft.--.-----------------------Type Roof-----....---......................._. ....Solid.................. How will Building be Heated?Central Gas _­........... -----------------------------­----------........Wil I Building be on Solid or Filled Ground? Size of Ceiling Joists__TrU-8-8-eJ$_--------------., Distance on Centers....-..... ................................ Greatest Span..---.---------.--------------------.------- » Size pan.------------------------------------------- Size of Floor Joists_.._--.- .Distance on Centers...... ... _-----_---------------------., Greatest Span...---.---.-----.-.--.--.--.---------....... Size of Rafters--.2._X-_-4-_.--T ru_s_s�e_§---...... Distance on Centers ❑ ........24,----- -------- Greatest Span-------------------------------------------- This rectangle is to represent the lot. Locate the building or buildings in the BE rum E IV EDO right position. Give distance in feet from all lot-lines and existing buildings. FEB 2 1970 REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. ME MY OF A NTIC BEACH 1. When steel is in place and ready to pour footing. Pq N Z 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. E-4 E-4 4. When framing is completed. 2 3 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 c)vered. 7. Electrical inspection by City of Jacksonville. &02 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for afte- corrections are made. FRONT OF LOT In consideration of permit given for doing the work as descriled 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 Cityatlantic each. R L JOHNSON ............ ----------------------- Signature of Builder.... ........................................ ........................ Address-------------- BYE ------------------------ Signature of Owner. ..... . ............ ----.. . ..... ..... ----------- , ^ T ' ._._ .. ,.._,_..... ......._ .....tee—....r `` n) � -/gyp^ '��• ( � � t 1 41: 9'#�`F V/'16, ^a YEA17S } Z Dov;. JIVA 4- lp �' C. �E .�,/�� -�•�/11.:x. j' `i...+... � � C�I� t 6 ' 5 w.� 4 e V \\ Car• r r' _. .__._, � r ----------- SA -A . 41A,,r' " Z er=g , 771� 0 Y X11 '/e'v 5 �•� t_. � � P �r�Vit- � c� ��l�� ,'!+� f CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 800 Seminole R �r Atlantic Beach,Florid ad 32233 �IfOR �.. (904)247-5800 Job Location: '7M SaBALn Owner of Property: Telephone: L/ Plumbing Contractor: �C Contractor Address: It S 3 State License Number: (2o p v Telephone: Z ( _4 How many of the following fixtures: ❑ New or IX Re-Piped SINKS SHOWERS 2 LAVATORY WATER HEATERS _BATH TUBS DISHWASHERS URINALS I DISPOSALS 2 CLOSETS I WASHING MACHINE FLOOR DRAINS `SHOWER PSS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIP D) OTHER Minimum Permit Fee: $35.00 Total Fixtures: X $7.00 + $35.00 = Signature of Owner: Signature of Contractor: Installation of plumbing and Cures must be in accoi dance with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904) 247- 826 4 PREPARED 9/24/03, 8 :13 :20 INSPECTION TI±CKET PAGE 6 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 9/24/03 ------------------------------------------------------------------------------------------------- ADDRESS . : 780 SABALO DR SUBDIV: TENANT, NBR: RE-PIPE 9 FIXTURES CONTRACTOR STYLES SMITH PLUMBING iPHONE (904) 241-4131 OWNER GLOVER, ALLEN PHONE PARCEL 171482-0000- - APPL NUMBER: 03-00026837 PLUMBING ONLY ------------------------------------------------------------------------------------------------ PERMIT: PLBG 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 4 5 0124/03 9 LJ-utrt- -------------------------------------- COMMENTS AND OTES x CITY OF l ks d- 4 Office of Building Official Ll I REQUEST FOR INSPECtION Date_ _ !�S Permit No. Time .M. M. Received p�JfL V Job dr ss o L Owner's �— Name Contractor BUILDING CONCRETE ELECTRICAL LUMBING MECHANICAL Framing E: Footing Rough Wiring ❑ Air Cond. & Ci Re Roofing C Slab CJ Temp Pole Ll ITO Out ❑ HAating Insulation 1:1Lintel Final Sewer y Fire Place Li !�fit Pre Fab READY FOR INSPECTION Mon. Tues. Wed. 'Thurs. Friday P.M. A. Inspection Made p, Inspector Final Inspection Certificate of O upancy ❑ Date