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365 Sailfish Dr (vault) Lit CIT� OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Buildingadept�&coab.us Application Number . . . . . 07-CO000802 Date 6/11/07 Property Address . . . . . . 365 SAILFISH DR Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO EE UPDATED Application valuation . . . . 0 ---------------------------------------- ------------------------------------ Application desc ADD CIRCUITS TO KITCHEN AREA ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WHITE BROOKS & LIMBAUGH ELECTRIC CO 365 SAILFISH DRIVE Q/A BROOKS, CHRISTY ATLANTIC BEACH FL 32233 42 WEST 8TH ST. ATLANTIC BEACH FL 32233 (904) 241-9051 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/08/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF AT�ANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC 13EACH ELEC'RICAL PERMIT APPLICATION Date: Prope7rty Ajddress: F(O Zwn e 7r. 7 Telephone Ic COUtractor,�&c L4 Contractor Address: Telephone Contracto'.111, Fax =A imttj 1, In consideration accordance with Of Permit 9i'11,11,11n for doin w1i the artach " g the Wb&&3 damliQ it Ord=Ce and standards of cd Plans and specifications wWch am a Umve smtement� we he�rebh_ ag=to PafOrm said work in Ood nactice listed therehL Pan hcmf and in Building: Building Type: accordance with the City of Atlantic Beach 0 New Residence U TmUer If other coasaucdnn is Old X 0 Tamp. SZ-rvice: 13 Commercial a sigm U New being done on&,is building Re-wire U Addition Increase Or site,list the building Sq.FL__ Pcrnlit number r Size: Switch or C AL Breaker AMTS 00 P]ff Existing Service ------ W VOLT RA Sim AMPS WAY Meter - PH, RACE Number VOLT WAY -18 ? "'7,,. q6 7 Feeders: NO. SIM NO S Lighting Outlets No SUM CONCEALED OPEN Roce tacles CONCEALED OPEN ------ Switches ----------- Incandescent Fluo nt & M.V. ----------- Fixed 0.100 AJAPS OVER A liances BELL Air H.P.RATING TRANSFER. Conditionin FLP.RA G CEELING KW-HEAT COND-MOTOR OTHER IU AMPS Motors - 01C/S HEAT 0-1 H.P. -?-f _)ROLTAGE OVER 1 H.P. -TH-S T MM— --------- Transformers NO. ------ NO.Neon-Transf. NO. KVA Ea. Si Miscellaneous X) 800 Seminole Road-Atlantic Beg Ch,Florida 32233-5445 Phone:(9q4)247-5800, Fax: (9W)247-SM b=��aus Revised 1/()4 CIT OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-OD000742 Date 8/03/09 Property Address . . . . . . 365 "DAILFISH DR Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO B3 UPDATED Application valuation . . . . 0 ---------------------------------------- ------------------------------------ Application desc REPLACE SIDING T-11 ---------------------------------------- ------------------------------------ Owner Contractor ------------------------ ------------------------ WHITE OWNER 365 SAILFISH DRIVE ATLANTIC BEACH FL 32233 ---------------------------------------- ------------------------------------ Permit . . . . . . BUILDING PERMIC Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . valuation . . . . 1000 Expiration Date 1/30/10 ---------------------------------------- ------------------------------------ Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 1106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDtNTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DkAAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ----------------------------------------------------------------------------- Fee summary Charged P�id Credited Due ----------------- ---------- ---- ------ ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATI ANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF AnANTIC BE kCH 09- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(9(4)247-5845 BUILDING-DEPT@COAB.U, BUILDING PERMIT APF,ILICATION DUVAL COUNTY 1.JOB ADDRES& VALUAT1(?N OF Wl)W 13.SQ.FT.UNDER ROOF 'T C7 -4.LEGAL DESCRIPTIOW 5.CLASS 01�WORK 6.USE OF STRUCTURE 13 NEW BU-DING 11 DEMOLITION 0 RESIDENTIAL LOT_BLOCK-SUB DIVISION 11 ADDITIO 4 11 CONVERTING USE 1:1 COMMERCIAL 7.DF;SCRIPTION OF WORK' 1 11 ALTERA')ON 11 ACCESSORY BLDG. T FIRE SPRINKLER: I*,QEPAIR OPOOL/S 13 YES 11 N/A 'T 11 MOVE 0 OTHER PA 113 NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: W�It Q 16.NAME: 24.LICENSEE NAME: 10.ADDRESS, 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: E- 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12,FAX NO 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDR SS' 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: X2-'(4r-`kW FEE SIMPLE TITLE HOLDER'. BONDING COMPANY. MORTGAGE LIE DER: (F07WRTR*l0WlFM , 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 installatio[Is as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to,meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced withih 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,Heatom,Tanks, Air Conditionem,etc. OWNEWS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced ilding or any part therof,until all inspections are finaled and pn.or to obtaining a certificate of occupancy or completion issued by the building cial,as required by law. WARNING TO OW ER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR hi, PAYING TWICE FOR IMPROVEMENTS TO YOUR PR PERTY. A NOTICE OF I COMMENCEMENT MUST BE RECORDED AND POST D ON THE JOB SITE BEFORE THE j r FIRST INSPECTION. IF YOU INTEND TO OBTAIN FIN NCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y UR NOTICE OF COMMENCEMENT. OYMER or AGENT CONTRACTOR Of Ag4'13�of Aftorney or Agericy LMer Required) (Qualffler Only) Sig�nd/ -Date: Signed: Date: on 20013 in the county of Before me I iis day of 2009 in the county Of Be ore me this g�r I day of Duval,State oA Florida,has personally ap kd Duval,State of Florida,has personally appeared A-A114-vy, 9.1,2- herin by hAs'elf/herself and affirms that all statements and declarations are herin by hin self/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of County of Notary Publ c at Large,State of County of 13 Personally Known 11 Personall r Known ��,Y,dSucej I LA L'-- A 11 Produred Identificafion- r 'g 9 pel?N ieuo.;eN Aq psVfie-�jb........ ia a:---TER% f1q, floce 1111e%A Notary Sign 3ture: --------- ------ 01,0 !dx :§4 0 81 S-011 d AMP REVVWWD FOR CODE COMPLL4,NCE N 11 0,31 IN CITY OF ATLANnC BEACH PERMITS FORADDnIONAL FLDG01 Permit Application Bldg:REVISED:1211812003 q SEE P '-'�-QUIREMENTS AND CONDMONS. FILE CO V R LEV I E WjAE D B Y. DATE: 0 CITY OF ATLANITC REACH '800 SEMINOLE ROAD 'K FLORIDA 32233-5455 ATLANTIC BEAC TELEPHONE:(904)247-5800 FAX:(904)247-5905 SUNCOM: 852-5800 wwwwab.us March 31,2009 Ms.Elizabeth D.White 365 Sailfish Drive E. Atlantic B each,FL 32233 Subject:Atlantic Beach City Code,Chapter 6,"icle 114 Section 6-16 Adoption Dear Ms. White, Duval county Tax records identify you as the owner f the following property in the City of Atlantic Beach,Florida. AKA: 365 Sailfish Drive E. RE# 171384-0000 Consider this a Courtesy Notification of Violation,ftt on March 30,2009 that while conducting a routine patrol the Code Enforcement Officer identir your property of being in violation of the following City Code: International Maintenance Code as Adopted:'304�Exterior siding1trin in poor condition. In an effort to eliminate any undue hardship,-�_!Tgra titing you up to 90 days from receipt of this notice to correct the violation by properly preparing a nd repainting the siding on the outside of your house. Should you have any questions or concerns involving this matter,I can be contacted at(904) 247-5855. ALEXANDER J. SIHERRER Code Enforcement Officer C: Assistant City Manager Gity of Atlantic Beach Building Department APPLICATION NUMBER (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 0 - 4� -NZ- Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND "RACKING FORM Property Address: Jft7AS4 jDapagment review required Yes No-I Building ��) --I Applicant: C-A Planning &Zoning Tree Administrator Project: S76-i P1 9 Public Works Public Utilities 0Z)J, Vfe / &—/-7'0 A/ Y- Public Safety Fire Services Other Agency Review or Permit Required Revie,4 f or Receipt Date of Permit Verified By 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: APPLIC TION STATUS 7 Reviewing Department First Revieww: Approved. F�Denied. I (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:_�M.. Date: TREE ADMIN. Second Review: E]Approved as revised. E]DeWied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:_ Date: FIRE SERVICES Third Review: DApproved as revised. FlDenied. Comments: Reviewed by:_ Date: Revised MUM CITY OF Office of Building Official REQUEST FOR INSPECTION Date 2- Time Permit No. Received 0 �A.M. PK Owner's 7 Locality Name Cc tractor BUILDING ONCRETE ELECTR CAL PWM G Framing p_ Footing IN MECHANICAL Re R..fing E Slab Rough Wfing E Rough Air Cond. & Insulation Lintel Temp Poic Heating Final 1: Sewer Fire Place READY FOR INSPECTION Pre Fab Mon. Tues. I Wed. Thurs. Enda�y ___(��) inspection Made A.M. ---PM. Inspector Final Inspect —A Certificate of 6ccupency — ,"mom Date CITY OF 4&aa& Beac, 0;&w-k& off Ice of Bulldl�g Official REOUEST FOR INSPECTION Date Z7 = Permit No. Time A.M. District No. Received P.M. Job Address Locality Owner's e-.-�- Name- -=Z:Z-Contr�ctor MECHANICAL BUILDING ONCRET ELECTRICAL PLUMBING Framing o Ing 11 Rough Wirinl; El Rough 0 Air.Cond.& 0 Re Roofing 0 Slab K- Temp Pole 0 Top Out 0 Heating Fire Place Lintel 0 READY FOR INjPECTION Pre Fab AeM (;an;- � A r ei ol� Friday f-4 4 t 2 Wed. Thurs. A.M. , ,i,*ttj , Inspection Made t- -- --P.M. Inspector- p, tr- Final Inspection 0 Certificate of Occupancy Date CITY 01r. Office of REQ Buildinjil Official Date UEST FOR IN SPECTI Time ON Received per it No. Owner's Job Ad.re,, rict No. Name BUILDING Contractor Locality Framing CONCRETE As R00fing 0 Footing ELECTRICAL 0 Slab 0 Rough Wiri PLUMBING Lintel 0 Tamp P,,.,ng 0 Rough MECHAN�i 0 0 Top out 0 Air.Cond.& CAL—I Mon. READYFOR Heating Tues. Fire Place Inspection ade - — Wed. T Pre Fab Inspecto 2 Friday A.M. A M. -------—P.M. ---P'M* "'Ell No* Dwn-r's Job Address rict No. qame ILOING lity Locality YA P.M. Final Inspect rtjj,jcateotP1<— Occupancy ate CITY OF, &;kt a- . Office Of Building official Date REQUEST FOR INSPECTION 'rime 57f;z Received 0A A M. Permit No. ol P.,M. District No. Owner's -�uaress 0*1 Name 14!�� BUILDING Contracto 7 Locality Framing El CONCRETE r Rooting Footing o Re ELECTRICAL PL I 0 Slab Rough Wiri UA481h Lintel 0 Temp P.Jaing ED Rough MECHANICAL 0 Top out ED Air.Cond.& 0 Heating Mon, Tues. READY FOR INSPE Fire place 0 inspection Made Wed. C Pre Fab T hl ro N Inspector A.M. P.M. Final Inspection El Certificate of Occupancy Date MAP SHOWING'�iLJRVEY CjF-' LOT..--&---. BLOCK .. 7 AS SHOWN ON MAP OF A-0 e'�4V/ 7- /4V AS RECORDED IN PILAT PU13LIC RECORDS OF DUVAL CO., FLA. �5 7- Al. 71 A:� ?27. 5Z 6 71 14,1' p 4.1' 'cC L 4, 9D 14. 4 0 4 14 4 0 75. 14 7— /Z 7'1S,5' 7- 19 IZI 10*_ 04:�l 1�57 77 I HEREBY CERTIFY THATTHKABOVE Z ,,AS 8U.Mylryto my LEGEND: Mg AND THAT K CONCOCT& MONUMENT 19 LOCA T90 UPON SAM19 AS GHOWN AND THAT THCRE ARK NO CNCPIOACHMKNT8 UPON loto'N CORNER 0.AlD__Z HE-ACULES. INC, Pao 91 IG N E EX 19 (,P c 'CORNEA SCALE: REG 56 RVEYOR PL.A, REG, NO 13JOr OIROCR NO CIT� OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptodcoab.us Application Number . . . . . 07-00000902 Date 7/06/07 Property Address . . . . . . 365 SAILFISH DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 500 ---------------------------------------------------------------------------- Application desc beam to replace load bearing wall --------------------------------------- ------------------------------------- Owner Contractor ------------------------ ------------------------ WHITE OWNER 365 SAILFISH DRIVE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 -------------------------- Structure Iaformation 000 000 ----------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESID3NTIAL 2 Flood Zone . . . . . . . . ZONE K --------------------------------------- ------------------------------------- Permit * ' * , * , BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 500 Expiration Date . . 1/02/08 --------------------------------------- ------------------------------------- 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. *EMAIL INSPECTION REQUESTS TO: BU.ILDING-DEPT@COAB.US --------------------------------------- ------------------------------------- Fee summary Charged ?aid Credited Due ----------------- ---------- --- ------- ---------- ---------- Permit Fee Total 35. 00 35 . 00 . 00 . 00 Plan Check Total 17. 50 17 .50 . 00 . 00 Grand Total 52 .50 52 .50 . 00 . 00 PERMIT IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE: FLORIDA BUILDING CODES. WULV�CiPPM EMPM FEWSAWMAL MXWTM MULPM Ul"Lo JIM-F OrrLmlom OCCLIDANCY, PostaNTLAL- C20MCrm rtim IT V MAL CP ALTIPATIM LEAL 2 LOADWS CN NN 8SAPS IM Lg&#T.ILL 6 DLJ DO-NIAMM KIPPOW PRACrIOM 0~LDL nL#a4 so) SCIC"s op WORK AT LOUER LEVELs •mTALL TWWWARY LoAD-wAjmwn wAu-s AT marm som OF OF 006THS WALL TO BE RffIIOVW TO CARRY WErANT OF FLOOR SYSTEM ABOVE LNTIL NSIU MVA%l 18 SET AND&rPCWW •WEflOVE WOSTNG WALL AT C04TER OF WoUsa IL PPWM I' */-NORTM OF GTAIR TO NOWN NXMRIOR WALL Uj •WALL NEW PARAUAM WEAM AS NOW AND SHOM (a :z PLAN NORTW PEP40VE EM67*0 WALL I fy 16TM".L&TO PIMMMA DEMOLITION w iN.T.b. < ,oe MAN NOWH IL 18' LONG 20E PARALLAM P�L 5 1/4" x 14" BEAM !:09 SIW664 2 - 2x6 END ar NEW FIXOR SUPPORT DrEAM KTA JOB No.REM-0601-2 0/14/2001 X,ME as few OCOPANCYs PIESCAWLAL-M c4mlwj=m?yF% ryps V, LEVEL OF ALIBUTM LWAS.2 LO M ON NO ORAM IM LM&#T.(LI.*D.L.) WD-naAWU APPOIRr PRACrIONIk W"LDL(BAC14 brocps op UJORK AT LOWER LEVEL- lu •IWTALL TMIPOCRARY LOAD-DEARM WA-L6 AT WTW SIDW CP OF lW6TM WALL TO BE REMOVED TO CAPW UJEIGAW OF KXXM SYS""AMIOVE UNTIL.NEW WEAM 16 GET AND GU"�OWW •PISIMOVE MSTNG WALL AT CENTER CIC WOUSE IL MWI'l P 4/-NORTI-I OP OTAIR:TO MOWN EXTERIOR WALL W •WTALL NEW PARALLAM WAM AS NOTEID AND 6140M ED C4 PLAN NORTH REMOVE EXISTWX 'o /z 16TWA UAI TO PWA o Copy z w Z z KTA. PLAN NORTH Cld IL NEW 18' LONG 2AVE PARALLAM FOL 5 IAN x 14" BEAM FWRWA BE F7:2 2x6 DO armw—j AR0013W4 AR00136r84 NOW Fi.00Q SUPPORT BEAM N.TA JOIS No.REM-0601-2 0/14/2001 Special Information for Owner/Builders DISCLOSURE STATEMENT for Section 499.103(7),Florida S1 atutes: STATE LAW REQUIRES CONSTRUCTION TO BE.DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER i LN EXEMPTION TO TBE LkW. The exemption allows you as the owner ofyour property,to act as your own contractor even through you do not have a license., You must Wervise the construction yourself You r 3ay build or improve a one-family Or tWo-fiUnily residence or a farm outbuilding. You may also build or improve;L commercial building at a cost of$25,000 or less. The building,must be for your own use and occupancy.'It may noi�be built for sale or lease. Ifyou sell or lease more than one building youhave built yourselfwithin one(1)year after the construction is complete,the law will presume that you built it for sale or lease,which is a violation of this exemption. You may not hire an un-licensed person as your contractor. Your construction must be done according to building codes and zoning r'e on . It is your responsibilfty to make sure that the people pmployed you have licenses required by stft law and by colMly or mpnici-pal licensing ordinances. In addition,the owner must supervise construction and becomes liable and responsible for the employees he/she hires. This responsibility includes,but may not be limited to: 1. Workers Compensation,for workers injured on the job. 2. Social Security Tax must be deducted from emplq rees wages and matched with owner's fiands. 3. Federal Withholding. Since owners must be liable for injuries to workers they hire,the Building Division suggests Workers Compensation Insurance be purchased unless the homeowners insurance policy c learly protects the owner. Owners hiring workers become employers and should also observe IRS withholding tax Form 1099 requirements on the workers they employ on their improvement work. Un-licensed contractors cannot be emDloyed under�in wn rs are subject to a$5,000 penalty under y circtimstar ces. 0 e Florida Statute#455.288(l)instigated via Building Division citations. An Occgpational License is not adequate. Ihe owner should physically see the county Cerdficate of Competency or the Florida Contractors Certificate to ascertain a person is a licensed contractor- Telephone the building Division ',247-5826�f in doubt. I hereby acknowledge that I have read and understand all the aba te on this Day of, Oc 7 IAAI�__ �6� - �Qlt E_ Gwp6r Builder Sipatare Address -4. zc.(,k q5 4 Print Name Telephone Number STATE OF FLOREDA-- COUNTYOFDUVAL 'Before me person4ily appeared to me well kmown to be the ind-Nidual and owner builder desc ribed in and who executed this instrument and severall acknowledged the execution thereofto be his own free act and deed as such owner builder hereunto anthorized'L WYMSS my-hand and official seal th[EQL-'� da Coun and State aforesaid. y of, A 1: c 13eWco J am- 01 GRAWHAAM all tA I tp :d State al N Pubk sw of Fbide ot" NOTARY PU BLIC� FLORIDA _M a Fab i4j]MiO y commissw commission#DO 5180 Bonde�B N t�� MY CONWIL�SION EXPIRES: ...... El Pgpgonall I y �Uow 76 - -a _ 0M qgentiffcati(n. __h),37M CITYOF ATLANTIC BEACH 800 SEMINOLE ROAD SO ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 09-CO001357 Date 10/08/09 Property Address . . . . . . 365 SAILFISH DR Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO EE UPDATED Application valuation . . . . 1200 ---------------------------------------- ------------------------------------ Application desc REPLACE WINDOWS (NON - IMPACT) ---------------------------------------- ------------------------------------ Owner Contractor ------------------------ ------------------------ WHITE, ADAM ZACK OWNER 365 SAILFISH DRIVE ATLANTIC BEACH FL 32233 ------------------------------ - - ------------------------------------ Permit . . . . . . BUILDING PERM T Additional desc Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 1200 Expiration Date . . 4/06/10 ------------------------------ Special Notes and Comments *2007 FLORIDA BUILDING CODE-W/ 1051106-SUPPLEMENTS - -------------------- 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRE3 *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 OF A-LANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. P7 ' CITY OF ATLANTIC 3EACH 800 SEMINOLE ROAD,ATLANTIC I EACH,FL 32233 09- - OFFICE:(904)247-5826 9 FAX NC :(904)247-5845 BUILDING-DEPTOCOA 3.US BUILDING PERMIT A 3PLICATION DUVAL COUNTY A.JOB ADDRESS: 2,YALUtTION OF WORK, 3.SQ.FT.UNDER,ROOF 365' C-- 5q;I C) Dr C/0- CLA 4.LEGAL DESCRIPTION' 5.!S OFVORK�:' &USE OF STRUCTURE 101 NE UILDING 13 DEMOLITION 'RTESIDENTLAL 8U LOT_BLOCK-SUB DIVISION 101 JADD ION 11 CONVERTING USE 0 COMMERCIAL 0 7,DESCRIPTION OF WORK 13 ALT TION 13 ACCESSORY BLDG. 8.FIRE SPRINKLER: *EPMR 13 POOL/SPA 13 YES 13 N/A 11 MCA 'El 11 OTHER 113 NO ARCHITECT I ENGINEER: PROPERTY OWNER: CONTRACTOR* 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: Am Zelci 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 5q 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: -TI;LFAX NO 19.OFFICE PHONE: 20.FAX 140.: 27.OFFICE PHONE: 28,FAX NO.: 1211-0 1 1 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRAS: Ack 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: Z IMPLE TITLE HOLDER: BONDING COMPA V.:, MORTGAGE LENDER: (IF OWER THAN OMER), 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 installotions as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performeo to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced 4thin 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 commer ced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNEFVS AFFIDAVIT-I certify that all the foregoing information is accuratE and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referencA d building or any part therof,unfit all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the buildin 3 official,as required by law. WARNING TO 0 NER: YOUR FAILURE TO RECORD A NOTICE OF COMM NCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR P OPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND PO ED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN A ANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT -CONTRACTOR (if Aggnt,��Attomey or Agency Letter Required) (Qualifier Only) Signed: Date:- 0 Signed Date: Before me Ks -2CI_day of -5eP-IPA kll 2009 in the county of Before ne this day of 2009 in the county of Duval,State of Florida,has personality appeared Duval, itate of Florida,has personally appeared IT herin by himself/herself and affirme4hat all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true an,I accurate. Notary Public at Large,State of County Of �4(Wdt- Notary 3ublic at Large,State of_,County of ��ersonally Known 11 Per-Dnally Known roduced Identificafion V,(,79L t&1-3ave�1'7 74, 106 /0 0 Proc uced Identification- Notary Signature: Notary Sig0lim, -W r #V 0&4kJ. Notary Public State of Florida REMWED FOR CODE COMPLIANCE Nancy E Bailey E COM My Commission D Crff OF ATLANTIC BEACH ADD Ino tDND C Fxpires 02/081201 BIL 01 0 Ii ' n I : S SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS. E COPY REVIEWED BY. T DATE:-&Z-0,Z!?,� CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER I BUILDER TO ACKNOWLEDGE THE LAW. DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTI TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERIV IT UNDER AN EXEMPTION TO THAT LAW. THE EXENIPTION ALLOWS YOU,AS THE OW TER OF YOUR PROPERTY.TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DC NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU I JAY 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 0� $25�000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MA"NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE I UILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LA W WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRA JOR, YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT FEOPLE EMPLOYED BY YOU RAVE LICENSES REQUIRED BY STATE LAW AND BY OUNTY OR MUNICIPAL UCENSING ORDINANC S. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE :OR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPEN-SATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BIECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CA�INOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN-O�CUPATIONAL LICENSE" IS NOT ADEQ1UATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCIY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICF_NSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE TH�T I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REPUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. qq, �;5 ADDRSS PHONE NUMBER 1(m 7—c4ck PRINT NAME #Wt� DATE SIGNATURE Before me this 0?q day of ivfeAl,bP_IF 2&q in the county a f Duval,State of Florida,has personaffy appeared herin by himself/herself and affirms that all statements and declarations are true and a t . Notary Public at Large,State of County of P-4,vet 11 Personally Known 4-14 - EL DR. 0 '1V roduced Identification .4r 0' Notary Public State of Florida jr Nancy E Bailey Notary Signature: My Commission DD745822 or Expires 02108/2012 P/BILDG/0��-Build�Affiidmt;REVISED: 4/16/2009 �tti)://www.floridabuildin2.orOT)r/i)r an) dtl.ast)x?varam=wGEVXOwtDcitiatMZhx%2baiEJls6loblHTOT... 9/24/2009 BuILDING PERMIT APPLICATION CITY OF ATLAN ic BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 9 Fax: (904)247-5845 Permit Number: Job Address. 61A,� Legal Description Valuation of Work(Replacement Cost) $ • Class of Work(Circle one): NeW Addition <2@1�tero�atjiqi Repair Move el • Use of existing/proposed structure(�s)JlCircle one): ommercial esi�Fea E m installed?( �> N/A If an existing structure, is a fire spri er syste Circ e one): �Pes 0 'i M Is approval of homeowner's association or other private entity re uired? (Circle one Yes Describe in detail the type of work to be performed: >j k6(2 C,vA I v1 (-ep le,te�-,ettj d_ Ot 1 cled 6ect Property Owner Information Dr F, k4/Li 'f C_ Naz:g44a,,�, �C.,��..,Address: city f t A C_ State FL Zip_!,��3ftoj ie CIO 9 cicl I Contractor Information: Name of Company: 0 vvq e r Quali Fying Agent: State Zip Address: -city- Office Phone Job Site/Contact Number State Certification/Registration# —Office Fax Architect Name&Phone# Engineer's Name&Phone Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commencedprior to the issuance ofapermit and tj iat all work will beper/ormed to meet ihe standards ofall laws regulating construction in this jurisdiction, Thispermitbeco es null and void ij-work is not commenced within six(6) r' work is suspended or abandoned fir a period of sixW6) months at anv.time after work is 0 s, W months, or if construction o I ir ells, Pools commenced I understand that separate permits must be secure dfor E ectrical o k, Plumbing, Sign Furnaces,Boilers,Heaters, Tanks andAir Conditioners, etc. TMAY WARNING TO OWNER: YOUR FAILURE TO REC RD A NOTICE OF COMMENCEMEN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT 'WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. i hereby certif 'plication an know the same to be true and correct. Allprovisions 9f y that I have read and examined this ap laws and ordinances governing this type ofwork will be complied with whether specified herein-or not. Thegrantingofa i late or cancel the n visions bf an other fe&ral, state, or local law permit does not presume to give authoriPy to v o 1-ro regulating construction or the performance of construction. Sig nature of Property Owner: A J�_J* ignature of Contractor: ovvA e SN��and subs i ed befqge�me �wom to and subscribed before me th, Day of t lis Day of Notary Public: Y L.G04RAWHA Public; Nftry Pubk-S�We of F JMY Cww*Ww Expires Feb 14 2010 REVISED 03.05.07 Commission#DD 51853 Bonded By National Notary ssn. o 76 M & -0 A CITY OF ATLANTIC BEACH PERMIT APPLICATION# SS BUILDING / ZONING DEPAPTMENT Seminole Road 0 Atlantic Beach,Florida 32233 (904)24 -5800 (904)247-5845 Fax viww.coab.us APPLICATION TRACKING FORM REQUIRED DEPT: Y N PLANNING 0 — Property Address: 'VA Z /-r-_),N 'BUILDING N PUBLIC WORKS Applicant: 14)1*7 �YN� PUBLIC UTILITIES Y N FIRE DEPT. Project: rAalwelf, 6JI11 Y N PUBLIC SAFETY APPROVAL REQUUJD AGENCY: RECEIVED BY: INITIAL: DATE: Z W W Y N D.E.P HUFSTETLER Y N S.J.R.W.M. CARPER w w N ARMY CORPS of ENG CARPE N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITI -1)4TE�t 1ST REV 0 A PLANNING 0 2ND REV BUILDING PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY 3RD REV Return this form to the Building Department once you have entered your comments into the AS400. I -S- 29-0 WINANCIM.PPINTING 01MAW 110fire of Commenceinent (PREPARE IN DUPLICATE) To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is,,qtated in this NOTICE 000V�OF COMMENCEMENT. Description of property --- ID-41------ ----------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ---------------------- - --------------------- General description of improvements --2�- - ------------------------- --------------------------------- ----- ----------------------------------------- 0 w n e r �c- ------------------ --411-1--------------- -j3t�Address ----Y- 7 j Owner's interest in site of the improvement ----------------------------------------------------- Fee Simple Title holder (if other than owner) --------------------------------------------------------------- Name ------------------------------------------------------------------------------------------------------ Address ---------------- ---------------------------------— ---[�--------------------------------------- t )-- s - Contractor ----------------- ------------- Address -F-1-j-------------- Surety (if any) -------------------------------------------------------------------------------------------- Address -------------------------------------------------- ---------------Amount of bond $--------------- Name and address of any person making a loan for the construction of the improvements. Name ------------------------------------------------------------------------------------------------------ Address ------------------------------------------------------------------------------------------------------ Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name ------------------------------------------------------------------------------------------------------- Address --------------------------------------------------------------------------------------------------- In addition to himself, owner designates the following per on to receive a copy of the Lienor's Notice as provided in Section 713.06 [2] [b], Florida Statutes. (Fill at Owner's option). Name ----------------------------------------------------- ----------------------------------------------- Address ------------------------------------------ ---------- THIS SPACE FOR RECORDER'S USE ONLY ------------ Own Sworn to and subscribecLbefore me this -------------- z— day o --------- l4e- V.;- i--------------- Notary Public W)TARY PUBLIC, STATE OF FUORIUK; i�j LUNICUSSION EXPIRES: FEB. 25, 1994, 13 DED THRU NOTARY PUBLIC UNDIZRWRITZRG� CITY OF ATLANTIC BEACH APPLICATION FOR POOL PERMIT Job Addres� Lot Block --S.ub.division QOV41 Owner Address Contractor Address License Number Valuation Gallons SITE PLAN f romt 7--T (D (D Fi, rear Signature Owner Date Signature Contracto Tlate-�� L *V0 'APF BEAC" ITY of &zovhNG OWCE JUN JUN 10 199L ?i g and Zoning 5546 DEPARTMENT OF St I IILDING CITY OF ATLANTIC I MACH ------ LOCATION. ,JNfORMATION ------- PERMIT INFORMATION fl#r*it NumbOlr t 554,6 ,, Adc[ream 1 3" SAILFISH, DRIVE , 32233 ATLANTIC BEACH, FLORIDA; "Per*it Typo: ELECTRICAL C� , � -------- LEGAL DESCRIPTION ---:------- 1, asa� of Work s ADOITiom t I Section:.* Rf (;o0str. Type: CO ,TE Lo! Proposed I Usez P0 r�LA§PA Tovnehipt RNG:, Oodv:_ 0 Suj)divisiont- 1*011ings.: E*ti�wated Valuet $0.00 sprov. Co.st: Total We a � *20.00 Im"ING POOL APP '7 `7 LICATION FEES "ATIO14 PER *20. ( N MIT WAT R I ACT 0.00 6 46 -8 ISH DRIVE S FLORID 4,A 40": 0 -GAS RADOW -�H- R.S. NFOR W�,ON -----T- RAPON GAS $0.00 WATER TAP $0.00 sc lc� PC Name: "'9V SEVIER TA $0.00 4�Idr**04, $0.60 JAC ILLE� FL� :32207 HYDRAV41C SHARE PECT FEE. 133 Typo. 0 -INS 0. 00 $0, 0 SEC' He, IMPACT FEE $ ES: POURING *�AL�CONCRETE F0f1M$AND FOOTINGS N UST SE,IN* CTED I$F. "OTIP PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ML18T BE ILDING MATERIAL,RUBOISWANDDEBRIS FROM THIS WORKIAUST NOT BOPLACIED'IN PUBLIC SPACE,AND U 0,AW'' BY, ER,CONTRACTOR OR OWNER, EARED UP AND,"AULE A-Y, EITH Li W F AILURE�� UP ITHTHE MECHANICS' LIEK, LAW CAN, REsuLT IN, TWICE FOR SUILI , rs 94PAY DIN,GL Tj ING "", .� I VWX, TIA $UEjD ACC PPROVED PL TO Fit IT,16N FOR F THIS PERMIiAk OA01NO TO ANS WHICH ARE PART 0 A." APPLICABL, ROVISIONS OF LAW. 400 IOLATIOR,OF tLDIN`G'Dk0AATMtNT A, LANTIC sEAC", 5488 DEPARTMENTOF-8 ILDING CITY OF ATLANTIC EACH LOCATION INFORMATION PERKI-1— INFORMATION- ------ 5 AILFISH DRIVE jp_,�Twjt Numo 5488 , Addreent S ATLANTIC BEACH, FLORIDA 32233 Perinit. Types, SWxMXIXG OOL HE LEGAL DESCRIPTION d1lass of Work. Lot; -11 27 Sectiork" CO CRETE �Propqved Use: S1 GLE. FAMILY Townships RNG: u �ROYAL PALMS UNIT 2A I codet D S bdivisiont ,I tiinated, Value t. *7000.00 $0.00 ��Tot $30.00 *30.00 v AP ION FEES ------ JIATXON� p , PLICAT PERMIT, $30. 0 AMS FEW01"70 $0. 30 IS" DRIVE Ad res "GV, �,, W` "g, S Cfl� 'PLO 4 P $01 )o RADONIGAS 4 ------- - RADON 6A,S, , so. '0 ------- T NFORMATION TERN P $0. Naww; SOU -*Iddlt--wis-C I SEWERJAP, $0.100 HYDRAULIC:�SHARE JAC ILLE,, FLORIDA Type: 5 RE-INSPECT FEE,.' 0 SEC. H IMPACT VJ $0149,n, NOTES: 7 pE S,9FORg POURING NOTICt—ALL CONCRET,�FORMS AND FOOTINGS N UST BE INS Tfo ID SIX MONTHS AFTER DATE OF ISSUE PERMIT VO UST BE UILDINd MAT EBRIS,FROM THIS WORK AUST NOT BEPLACIED IN PUBLIC SPACE,AND U ISH AND D 'EAIAL,R, 8 LEARED,UP AN HAULE AWAY SYEITHER CONTRACTOROR OWNER� -PLY ' 'ANAESULT IN, 1FAI,-LURE---"T0 C VITH, THE MEC ANICS, I RPAYINGTWIC 0 BUILD' ` 1 *HE PROOEATY".., NP, E R" QJ ov REVOC OR EDACCORDIN41TdAPOR E.DPLANS WHICH ARE PART F THIS,PERMIT AND SO PPL4CA6Lg,IPA fl!�O ATION OFA oV NS OF LAW. ,W !0 z"i 7 $x-00 Su To mo 7 7 �:77 MENT IANTIC BEACW - 0EP A� �5UILDINC _y. CITY OF ATLANTIC MACK FLORIDA Approved by APPLICATION FOR IL ICTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES ANO CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: JAASTER ILECTflICIAN SIGNATMIE JOU13NEYNAbi pv,�-07-,ky 'y ADDRESS: NAWE-3i —RFQ x— BLDG.SIZE BETWEEN: REL K) APT.( COMM.( PUBLIC I INDUS. NEW I OLD( REWA I ADDITION TRAILER ( TEMP.( SIGNS SO.FT. SERVICE: NEW( INCREASE( REPAIR FEE CONDUCTOR SIZE AMPS C DPPER (- I ALUM.I I SWITCH OR BREAKER AM-PS PH W VOLTI RACEWAY EXIST.SERV.SIZE 5- AMPS PH ", W .9 /-VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE OP9N TOTAL UGHTING OUTLETS CONCEALED1 RECEPTACLES CONCEALED1 OPEN TOTAL P SI-100 AMP*. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED a o-too AMPS. I OVCR APPLIANCES BELL TRANSF. J AIR H.P.RATING H.P.,RATING CONDITIONING COMP.MOTOR OTHER MOTORS' AMPS CEIL HEAT: KW-HEAT 0-1 OVElt MOTORS H.P. VOLTAGE PHS NO. I H-P- VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. COVER 6,00 V. NO. KVA I I NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTI)R SIZE t-SWI-T--CH---I- FLASHER EACH SIGN FORWARDED $ TOTAL FEES 10203 DEPARTMENT OF OU WING NTIC E EACH CITY OF ATLA -------- LOCAT I ON I NFORMAT I ON --- PERMIT INFORMATION ------ H �DRIVE A& ress: 365 'SAILFIS Permit, Number: 1,0903, � 1, a I ATLANTIC BEACH, FLORIDAI- 32233 .,"Permit Tylpe:, PLIJ14BIN --- ----I--,- LEGAL DESCAIPTION (lass of Work: ALTERATION Block: section;, Atlonstr . TYpel WOOD FRAME Lot RNG: ' roposed Use: SINGLE :FAMILY To"ship: 0 Sutdivisionl: ROYAL PALMS D*el 1 ings �ode: 0 ' lUe: Estimated V4 00 -00 improv. Cost : Total es , $25.00 Amo $25.00 io,112/95 r XNENT APPLICATION FEES, P-E-R-' TION Am- CITT' IF MIT FISH I D I RIVE 'IMPACT, PER $0.00 CH,, PLOR�W 4�4E P P 2 4 9 - A*O RADON 'GAS-H R $0 .00 so .00 NFOAMA ON ------- RADON CAR 5% PITAL IMPROVE, $0 .0"o ST COA CA ILLE: BZACH, FL 32240 CROSS, CONNECTION $0.00 c Tlype: 4 SEC H IMPACT FEE , P0 CONST. SURCHARGE 0 $ N S: INSPECTED 13EFOOE POURING NOT10E—ALL CONCRETE FORMS AND FOOTINGS MI IST 13E TE OF'ISSUE PERMIT VOID SIX MONTHS AF TER I E ACE,AND MUST BE 8,UILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK M JST NOT BE PLAC DINPUBLIOSP EARED UP AND HAU 11 LEDAWAy 8,�EITHEACQNTRACTOR OR(WNER. THE MECH NIC'S' LI'ENr LAW,CAN RESULT IN 0010 'TAILURE T 11r, 15 PROPERTY -PAYINGMICE R THE.BUILDINGIMPAOVEMENTS TO REVOCATION FOR �j UED ACCO.RDIN PROVEDPLANS WHICH ARE PART F THIS PERMIT-AND:'SU GTOA P ROV!SIONS OF LAW. LATION OF APPLICAS JHJJ T F I S, 0 Q M -" "A n1cBEACHBUILDING DEPARTMENT $MOD,14 01 jl*t'� CITY OF ATLAN,riC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: vs--------------------------- OWNER OF PROPERTY: 11 -pjl,�35-------------------- BUILDING CONTRACTOR:-------------------------------------------- PLUMBING CONTRACTOR L --6L AND ADDRESS: -------------------------------------------- TELEPHONE NUMBER: --------------------------- STATE LICENSE NO: ----- --- ------------------------ cl TYPE OF BUILDING: -------- ------------------------ -.Rc SINKS -------------SHOWERS LAVATORY -------------WATER HEATERS BATH TUBS -------------DISHWASHERS URINALS -------------DISPOSALS CLOSETS -------------WASHING MACHINE FLOOR DRAINS -------------SHOWER PANS OTHER ��WfC TOTAL FIXTURE COUNT:---------- x *:3. 50 + $15. 00 = $----------- ---------------------------------- ------------------------------ INSTALLATION OF PLUMBING AND FIXTJRES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE sourHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPE:TIONS (904) 247-5826 0003118 DEPARTMENT OF SU'ILDING CITY OF ATLANTIC BEACH ------ -------- -------- - j r4Prftl't Ty.pV 2 JtJ4-ltMl* --------- —41------ - 'rype% WOOD r*Anjt L4d�t i t I rroposed Uso-2 v$ifmtx FAIVILT I imt-lue't4od Value% 00 ozz.*0 Somm If OnsvLo vslt wom FLOR 'o "At "o *=rim 0 po 010. "awe so* 4 Typw% 0 NO ES: URING NOTICE�—'ALL CONCRETE FORMS AND FOOTINGS Mil ST BE INSPECTED BEFORE PO PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE B�ILDING MATERIAL,RUBB11SH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MOST BE C EARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR C WNER. "FAI LURE'TO COMPLY WITH. THE MECHANICS' LIEN LAW CAN RESUO IN 7HE PROPERTY,OWNER PAYING TWICE FOR BUILDING IMPROV MENTS.' IBM bqyf: BJECT TO CATION FOR ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT 'OLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC 015ACH BUIL G DIE CITY OF ATLANTIC, BEACH ROOFING PERMIT APPLICATION Owner(s): 5,6 t L fn-/-5 H phone: Address: 365 �11 Y(o- 0 Lot # Block or Unit # Subdivision C' Contractor: Address: Phone State License .No. 5Z) Describe work to be done:- /�CROCJF t1(Y,.fS4?- -f godF Materials to be used: F�ct---r pg,e t4o-r *5=)q5'A-mLT Signature OWNER:— z �ate: Signature CONTRACTOR CITY OF ..#*Ata&a Ve4d JL SW SEMINOLE ROAD ATLANTIC BEACH,FLORM4 32233-5445 TELEPHONE(904)247-58M FAX(904)247-SM5 May 12, 1994 Mrs. Dorothy R. Williams 365 Sailfish Drive Atlantic Beach, FL 32233 Dear Mrs. Williams: Our records indicate that you arb the owner of the following property in the City of Atlantic Beaci, Florida: 365 Sailfish Drive a/k/a Lot 11, Block 27 , RoyRl Palms Unit 2A RE#171384-0000-4 An investigation of this property discloses that I have found and determined that a public nuisance exists thereon as to constitute a violation of City of Atlantic Beach Ordinance Section 23-36 (high weeds and grass) . You are hereby notified that lose the condition above described is remedied within fiftee (15) days f rom the date hereof , the City will remedy this con ition at a cost of the work I i plus a charge equal to 100% of the co t of the work to cover City administrative expenses, which will b 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 lion 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 does not constitute a public nuisance. Sincere y, Karl W. 'Grunewald Code Enforcement Officer KG/pa Enclosure cc: City Manager Don Ford CERTIFIED MAIL RETURN RECEIPT REQUESTED