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410 Sailfish Dr (vault) CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32231 -Tel: 247-5826 - Fax: 247-5877 ELECTRICAL P RMIT INFORMATION LOCATION INFORMATION---= PERMIT -liermit Number. 18745 Address: 410 SAILFISH DRIVE Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ADDITION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lol�(s): Block: Section: 0 Square Feet: Su 3division: ROYALPALMS Est. Value: Pa Tel Number: Irnprov. Cost: OWNER INFORMATION Date Issued: 8/27/1999 Name: JOSEPH R. CLEMENT Total Fees: 25.00 Address: 410 SAILFISH DRIVE Amount Paid 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 8/27/1999 Rhone: (904)247-6493 Work Desc: WIRE—FOR ROOM ADDITION CONTRACTOR(Sj-1 - APPLICATION FEES F�— BAY ELECTRIC COMPANY PERMIT 25.00 IhsDections Reg jiredl� ROUGH ELECTRIC L ELECTRIC NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION___ BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.0014 J=� Date: 8/27/99 81 Receipt: 8882968 CHECKS 18510 ATLANTIC BEACH/13UILDIN-(3-DEPT. 00188083221000 CITYOF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001836 Date 11/02/09 Property Address . . . . . . 410 SAILFISH DR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 ---------------------------------------------------------------------------- Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOSEPH CLEMENT OWNER 410 SAILFISH DRIVE ATLANTIC BEACH FL 32233 ------------------------------ Permit . . . . . . ROOF PERMII Additional desc Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Expiration Date . . 5/01/10 Valuation . . . . 2400 ---------------------------------------- ----------------------------------- Fee summary Charged P id Credited Due ----------------- ---------- ---- ------ ---------- ---------- Permit Fee Total 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 62 . 00 62 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A]LANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC I 1EACH 09- 800SEMINOLE ROAD,ATLANTIC BEACH,FL32233 OFFICE:(904)247-5826 0 FAX NO,:(904)247-5845 -DE BUILDING T@COAII.US ft I BUILDING PERMIT A�PLICATION DUVAL COUNTY JO -A �W-j� B PE?RESS'l-1.1-�.-,�,,-��,-.---,"��,, 2.,ULM noN 5 RK",' �1,SQ1,FF.LIND R,R bc E4�sf A.1 Rc-1, Ft 3;u C� do , 06 ;RIRTION.,'L'.,. OFVVORKn.`�` a.,1-18E�OF STRUCTURE�- 13 NEW lUILDING 11 DEMOLITION 0 RESIDENTIAL LOT_BLOCK_SUB DIVISION 11 ADDI-ION 0 CONVERTING USE 11 COMMERCIAL F 11 ALTE ZATION 11 ACCESSORY BLDG. er� IRE S�RINKLER�--�z- 0 REPA R OPOOLISPA 13 YES 0 N/A goof 13 MOVE 0 OTHER No .,PROPERTY,QWNIER-�.,`.,�,--,�"'.� —'11" -ARCHITECTI �CONT RAC70R., 9.NAME: P, 15.COMPANY NAME: 23.COMPANY NAME: 18.NAME: 24.LICENSEE NAME: 10.ADDRESS' 2 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: C) 5C 18.ADDRESS: 26.ADDRESS: Fl-, -Vz 33 11.OFFICE PHONE: 19.OFFICE PHONE: 20.FAX N D.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: gog 1015- 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: F S EE IMPLETITLEHOLDER4�--`-- R.� DING Fq�PAN r!,,- M E- 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 installs ions as indicated. I certify that no work or installation has commenced prior to the issuance of a pennit and that all work will be performec to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced wi hin 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 comment ad. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate nd that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the ref�erence building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building fficial,as required by law. f WARNING TO 0 NER: YOUR FAILURE TO RECORD A NOTICE OF COMMEEiICEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PR)PERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FM ANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOR ING YOUR NOTICE OF COMMENCEMENT. CONTI: CTO OWNEWor', A GENTV, ZA (If Agent P6w6r of Aftiorney or Agenq efterRequired to (Qualifier only) Date: Signed: Date: B� a this day of 2009 in the county of Before mi this day of 2009 in the county of t. Duval, te&�Florida,has pe at ppeared Duval,St its of Florida,has personally appeared V), 7- t4,1 herin by himself/4rself and affirms that all statements and declarations are herin by t mself/herself and affirms that all statements and declarations are true and accurate. true and E--Curate. Notary Public at Large,State of Notary PL Aic at Large,State of C 0 u-7-f t—�k—J42,L- County of P.rsor!�Known D Person illy Known LJZ�ced ldentffic5� 0 Produod Identiffication- Notary Siqnatur.!" Notary Sif Inature: 4— dh 112" '—'911IRLEY L. GRAHAM Notary Public-State of Flor a .-My commiss BLDG01 Permft Applimation Bldg:REVISED: 2/18 ion Expires Feb 14,2010 �0 Commission#DD 51853' d Bonded By National Notary sn. 'BEACH CITY OF ATLANTIC 19WNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/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 PEFJ�IT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OW�ER OF YOUR PROPERTY.TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU D( NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOUMAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUIL)ING. YOU MAY ALSO BUILD OR IMPROVE A CON11YERCLAL BUILDING AT A COST OF$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 LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION(IF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRA�TOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU RAVE LICENSES REOUIRED BY STATE LAW AND BY ('OUNTY OR MUNICIPAL LICENSING ORDINANCES. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKE R'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS B1 ECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 1EQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CA 4NOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,OOC PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN-OCCUPATIONAL LICENSE' IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE 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 IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE TH,kT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. Wo SqAE,g Pr A,,� �Nj��44 ye)'( 6/3 ADDRESS 3,74t33 PHONE NUMBER _jo- .5 C1e4*AdA_f PRINT NAME �� 4 ,.,�SIGNATUIJ)E 1) — 20 the county o DATE Before me this — — day of #?�&v I — Duval,State of Florida,has personally appeared hedn by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of County Of k:e P;on Known .... d;RaA`HA1M 46^ RHIRLEY L7G .d Idenfification- '��! ��b I. Notai y Public-State of Florida Y Corrnission Expires Feb 14,2010 nmission#DID 518533 Notary Signet By National Notary Assn.. FIBLDG/Owna-Build�Affadavit;REVISJ:4/16/2009 CITY OF ATLANTIC BEACH, FLORID APPLICATION FOR ELEc'rRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:— -7, 1911- IMPOF3TANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE Wl H THE ATTACHED PLANS AND SPECIFICATIONS WHICH ARE A PART HEREOF* AND IN ACCORDANCE WITH THE LECTRICAL REGULATIONS. CODES AND CITY OV ATLANTIC BEACH ORDINANCES. 6), - tMTRICAL FIRM; M it d 1 MATURE JOURNEYMAN NAME- ADDRESS:_9/o is'4 Zc, RFD-BOX- MILD0.SIZE Aac/ PLazo? RESA`/' APT. ( comm. ( PUBLIC I INDUS. NEW OLD( REW. Y'll, ADDITION TRAILER I TEMP. I SIGNS SQ. FT. SERVICE; NEW( INCREASE( I REPAIR FEE CONDUCTOR SIZE AMPS COP"EM ( ) ____ALUMj ) 6WITCH!2R PREAKER AMPS PH W RAOEWAY EXIST,SERV,SIZE AMPS PH -3 W RACEWAY FEEDERS NO. SIZE IND. SIZE NO, _Sl Z E_ LIGHTING OUTLETS I CONCEALED1 I TPEN I TOTAL RECEPTACLES I CONCEALF-01 I TPEN I TOTAL SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED APPLIANcEs 13ELL TRANSF, AIR H.P. RATING H.P.OATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS_CEIL HEAT: KW,HEAT 0VER MOTORS H'P' VOLTAGE PH$ No. 1 HIP. VOLTAGE PHS MISCELLANEOUS TRANSFOAME pts: UNDER 600 V. OVER 600 V. NO. KVA NO. IKVA INO. IVA. NO.NEON TRANSF. IMA MOTOR RIZF I IMM-14 I =1 EACH SIGN FORW�`RDGO 4 CITY 4&4a4*c Bew4- Office of Building Oificial 6-) P ST FOR NSP REQU P ION Date 97 Permit No. Time Received RK s Owner's&d Name Cont actor BUILDING C."t ELECTRI(AL PLUMBING MECHAN'ICAL Framing F-1 Rough Wirijig Rough Re Roofing 7 Slab Temp Pole 1-1 Top Out Air Cond. & F1 insulation [1 X, Heating Lintel I Final Sewer 1-1 Fire Place READY FOR INSPEGTION�� Pre Fab Mon. Tues. Wed. Thurs. Friday_0 — 9-r/ A.M. Inspection Made Inspector- Final Inspection F� Certificate of Occupancy Date 17210, DEPARTMENT OF MUMNO CITY OF ATLANT11" 8 CH PERMIT 114FORMA'TION LOCATION INFORMATION r , t Number; Aidress,:, ' DRIVE 410 SAILFISW P� mit" Type`:FOUNDATION ONLY ATLANTIC BEACH, FLORIDA 32233 Work":,NEW ---- -- I tit"GAL DESCRIPTION ---------- t r, Type lot Twp* , 0 4000D FRAME, Blo k., ; FAMILY Sec" iont 0 Subdo. Rng: : 0 AL, PALMS ellin s:k 0 sub iviiion:ROY t �- valmi:- 0 00�, Im Ov. Cost'.0i tal Feet: 2 5.0,0 unt Paid* .00- ate Pw I[or, Desc. r0TUR9: 0ARAGE N ,-' PPLICATtON FEES 'JOS a 25.00 Go TlrEft, L LORlDA ,32233 :A', ce eac /4 �9 4 & ON �j TION - 4 PROP Add, .................. L i NOTICE -INSPECTIONS'MUST,89 REQUESTED AT Lt IN ECTION T sp 4 BlUl WING MATEAtALj,RUBBISH AND,DEBRIS FROMTHS WORK MUST NOT BE PLACED)N�PUBLJC�'SPACE,AND MUST BE 'i r CLEAR ZD U PAND -lAULED AWAY,BY EJTHER CONTRACTOR OR O�VNEA aid ILURE I COMPLY WTTH THE ,ME LIEN LAW CANAOULT IN Hn E*ifl p, U-IL,16INIG' *vs A NER AYING TWIC' FIft 8 IM , R TLITO RE ED'ACCORE)l TO APPROVED PLANS, WHIQH ARE PART OLI THIS PERMIT:AND!SUBJEC VOCAT*N:;:()fj tION OF APP JCABIX PAOVI$tbN;SdP LAW. Apr latel 9/m9a ING D AT, H PARTMENT AC B- .r Wr .,ANr C BEAC1, CITY OF ATLAN PERMIT APPLICATION REXCrEL/ ADDITIONS1 OR ALTERATIONS MCVZYG,, DMfol'ITIONS owner(s) : 410 Pi c n e: I? lGel 1-� Slcck or un-4t Su'- _71 Icn: 2 4 1998 Contractor: — City Of Atlantic Beach State License IT Ilding and Zoning e s s —P�icr e NO: —2 —ztaz:e -4crk to be done: en: use of bu-� =rcpcsej C-nszr,,ct` on: Z.1-43 an atd-4 :-4cn? 7� �jeS, what al-e the dimenslons o� the �cace: 3!,-y f-. -dded �rea e ne-=--e�a ant cc c Az� New eleczrical (or Increase) New cl'ambing New f-i --eclacelA New SUBMIT TRR= (=149MCZAL) TWC (RESIDENTIAL) SETS OF PLWS, ZYCLU6=VG SZ= PZaN' =Vr M=G CCDE 'FCP-AfS, NCTI=' OF ANr WNERICONTRACTCR A.E77DAVIT, Z.F OW2= ZS C0N=ZjCTCR. s-� cnazure -WNER: Dalte: I -Z� CA Signature CCNT. dr Date: Swcrn to and subscribed before me this -dav of AC :-�n A A CAT A R QYLPI U E—L-1 STAT OR--DA AT?FTE- 0 �My C Zes f. My Co es. . Edith Amy Mid" *vK*My commissim ccomm ExPlr9s July 13,2001 IL REC r '1 4 1998 J400 M 0O.Irs city of Atlantic Beach Building and ZOni'19 ( e tic- R'ECEIVED f,��D 2 4 1998 71� p tic BeaCh cit�:Of AtIan guilding and ZOIIInI 411- CO. iri A' 0,;' 6' 44 C�C,& lit oyll ( e ---777T PSR-Sw k DEPARTMENT OF Bt 1ILDING CITY�OF ATLANTIC I IEACH: PERMIT IN LOCATION INFORMAT pe mit Number. "M is Ad 410 SAILFISH DRIVE ermit Ty -R ATLANTIC, BEACH? FLORIDA 52233 EMO�tFLING LEGAL DESCRIPTION --7------- I ss ' of Work.,GARAGE nstr . 1pe*WOOD-FRAME B otk Lot : -,TwP., 0 o0osed seiSINGLE FAMILY slectiph': 0 Subd- Rng:* 01: Dwelling,s . - 0 S ,bdivision:ROYAL PALMS ' ' Est'. Value* 0100 'Improv . Cost; 3 ,240 .00 Tot,al Fee 45.00 un pimo, t ps 4, 45.00 K V" Date /1998, EA" Wcrk , INTO GARAGE APPLICATION FEES T'l ON 7' No me .- T MIT 45.00 0 Ad d e,, DRIVE 0 I I I I - I Nl,� DA 3 2 13'l, 0 FLORII, tool . P ACV m", Pl, 5 @'fip RzXZI, 1 31, Xl� R A, ORMAT I- ------ ......... ,a� N, e PR f r 'Ad" Exp�-. T, N 0 S: NOTICE INSPECTIONS MUST 13E REQUESTED Al LEAST 24 HOURS PRIOR TO INSPECTION B4-ILDI,NG MATERI�AL,RUBBI$H AND DEBRIS f ROM THIS WORK M JST NOTBE PLACED IN PUBLIC SPACE,AND MUST BE C � ,C 'AF HAULED AWAY BYE I TH EfT CONTRACTOR OR OWNER LT If% -,TO COMPLY WITH THE, MECHANI ILURE CS' LIENJLAW CAN RESU OR BUILD E PROPERTY OWNER PAYING TWICE R ING IMPROVEMENTS., J All ' 'I ' ACCOADI SIG TO APPROVED PLANS WHICH ARE PART C F THIS PERMIT AND SUBJECT TO REVOCATRIf'" N OF APPLICABLE PROVIStONS'OF LAW. All NTIC BEACH 8 JILDING 0EPARTMEINT C i TY 0 F AT T j� _ij"'T,' BEACH PERMIT' CAECULATION SHEET Add 5�A el- /2, 7-/0 4 Heated Saliare Footage s r7 a r p o -Z 1 Jj 7 2 7 Va czal ist Remalnlnc� Value ')Z)e-- tho_,sanci ,ar port-ion i-Jiereotz TOTAL BUILIDlIG FEE s + F-Llinc Fee S Firer)laces @ S15 0C� I BUILZING PERATT FEE s WATER IMPACT FEE $ SEWER IMPACT FEE s W.z T 7-R M E TA E R/ F A-',-) CAP17ALi IMPT-I'VEMENT RAL'�CN � WT�S C 5 '--ECTION H PA 1 7 1 jNG HYDRAUL7�� SHkR73 .3 CRCSS CONNECLPION s S U R C-H�'tl 7 0 T HEF GRAND TOTAL DUE ADDIT ION" 7 PERIMITS OR FEES : Mechanica- ur,-,z--. .I a Eiectric/New Electric/Temr, S W 1 r-RM I-I a_P(D 0 1 Septic Tar',-, e 11 1 S a n Fiocl_- Survev Other C.Zi'"'CULATIONS- an(-,/ or N,CITES : CITY OF A C BEACH RECEIVED PERMIT APPLICATION REMODEL, IDDXTIONS, OR AzTd&:�X&898 MOVING,DEMO.rXTXONS CitY of Atlantic Beach Building and Zoning Owner(s) Addr e s s Elk- I hone: '�I& Z'( 7- 011'3 Lot # Block or Unit # Subdivision: ce-11 p6ne vl-7372- Contractor: State License # Address: —Phcne No: City State Zip Code Describe work to be done:... i vwvcl J (N Present use of building: I-Voy-'Ac— L"'�"6k Valuation of Proposed construction: ocx C' Proposed use: 0 Is this an addition? If yes, what are the dimensions of the added space: ft. x ft. Will the added area be heated and cooled? New electrical (or increaSE ) ? �Ijc New plumbing fixtures? l�-]" New fireplace? New Heat/AC" A/ 7 SUBMIT TEREE (COMIERCIAL) TWO (RLrSZDENTZAL) C21FLE SETS OF TE PLANS SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE or COLMV z 4�� ONNERICONTRACTOR AE71DAVIT, IF OWNER IS CON7RACTCR. Signature OWNER: Date:- Signature CONT;CeTOR: Date: Sworn to and subscribed before me this of �70TARY PUBLIC STATE OF FLORIDA AT LARGE ped"One" W CaWASSM 0 cc5ml OMS Al*lg V.20M CITY OF gead - 57&ud4 800 SEMINOLE ROAD NTIC BEACH,FLORIDA 32233-5445 ATLAi TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I -CONSTRUCTICN CONTRACTING" REQUIRE:S OWNE:R/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 THAT 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. Yoi CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCd OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $2 5'000.00 OR LESS. THE: BUILDING MUST BE FOR�YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU S LL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE -AW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. )LOU MAY-NOT HI qE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILrING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY To MAKE SURE THAT PEOPLE EMPLOYED By YOL HAVE LICENSES RE UIRED ORDINANCES ALSO ALLOW AN OWNER To IMPROVE- THEIR WN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE LIND $2,000) BE UNDER A 19UILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY 00 WORK THEMSELVES; aR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, &HO_MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS By UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY 3E LIABLE FOR INJURIES To WORKERS.THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE: BE PURCHASED UNDER THE HOMEOWNERS INSURANCE: POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRAZ:TORS CANNor BE EVIPLOYED UND R ANY CIRCUMITANt-Fr-. OWNERS BEING SUBJECT To $5,00<) PENALTY UNDER FLORIDA STATUTE No. 455-225(1). AN "OCCUPATIONAL LICENSE:" IS NOT ADE UATE. THE OWNER SHOULD PHYSICALLY SEE THE: COUNTY "CERTIFICATE :)F COMPETENCY" OR THE FLORIDA,"CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISQLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. �RTY OW�ERJB�UILDER�� PE ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS �=A NOTE: PHRASES UNDERLINED ABOVE NOTARY PUBLIC ARE EMPHASIZED BY THE BUILDING My COMMIS 31ON EXPIRES: DEPARTMENT. PaWda knonette W GOWASSION#CC553881 EXPIRE. August27,2000 BOMM TM TRDV FAIN USLRqa,INC. Oq S �T. 0 1 . 1- 4 C) o 'Z7 1 0 N .90 0 Cp r4 lfd r-I at > G�4 Lo 1012 Al-- P.C, 41 c 70 c L 0 s cr� .IQ UTI L oll, L7V .1 N G R.A P.5. 50,4CO) 5040 ID T 24' 0** 1 C) 0 I- IV I N G AWL A A T'�p -T'*%- -- 57 - G C-1 Oz 000 A-2 rTl FT 00 co On 0 CA 6u 4014 Jc ci it us- us -1, !7111 CD it A at: �j IN- T-7 "r It tu -Z al 14 lw A, %x Z$ W aoL.� 5 04 Cb C3 Z 6AM' 2E Z V6 C-1 kU sj P.- X A4 Me w li;;. N" AN t4 tz C-4 co-I T-7! at cs ,all .16 Cl C-i C%j 4% 15 It 4G f .4�4--j 4 yj, .4 t 'i w Ta I cq V �l 1� -t7 Q-j bona OEM t7l!7 -jj� co C, (D C2, 'E -Wftw ddd "*ON (:)P% -0 c s9VSV9-L3Od4v) IV LQ' m u co < to LU - c 13A31 ltL(I- %AOLS ly in Q :X 0 ,4.V cx 00 N U pp,p R 0 V D 111C BEACH GUY Of JL Ll 4 wo CA CQ Im IN X I .X cd 14 tv m c C7, 0 N AT gy ftftft J co v4 M X i LL, La CO 0 C;j U_ to g L, C) z< cz-) czz Cl.' ci ("I lj 7' L) 04 m c LAJ E 42% m 0 N LL ft-aft C7, o Cc uj tt M -cc w LLI m 00 I.L MY) > -4- c P�0 02t -5(D Mi--Z C12 IL U-�j co CL W QJ Ll LL. r\jir FOR OFFICE USE ONLY --_-------9-/2-2.............19 .6-9 Date .......... 39.00 Permit #..... Z��.....Fee$........................ CITY OF ATLANTIC BEACH Valuation $...13.,000.00 .................................................. FLORIDA House .....4-10....S a-il-f-i-sh---D-r... E. -------- .................... ......................................................................... APPLICATION FOR BUILDING PERmir ............................................................................ ........................................................................... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws )f the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of t]te City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Buildin Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlan ic 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. 9/22 69 Date........................................................................1 19............ Owner..........J......F.....Adarho.ld............................................Addres 1)4444...Ba&ch...BIVA.....Telephone No2460.07.0....... Architect................................................................................................Addresi............................................................Telephone No............................ Contractor Builder...i^...F....Adexhn.ld.............................Addreol.14L"...Beach..Bl.vd,,....Teleph*ue M24-600-770....... Lot No..................2..............................Block No.........I.0................Sub Db Ision.....RciyaI.2alms.......................................Zone................. 410 SailfishDr. E. East.........Side Between...f'ri ten ...................and..Sa.b.alo.................................Ste. ............................................................Street.................. .:�............................ ................. Valuation s.13..*.QQQ,9Q..For what purpose will building be used..AT�!ling............Type of construction........br.iok............. Dimensions of Bulldlng.�4...:?�...37!th..........Dimensions of Lot....k1.1!�Q a.6 5..X....93.................Size of Footings.ff,!X.16.1.1................. Size of Piers.........r...........................Size of Sills...............................Greatest Sill Span In ft............40...........Type Roof.....bui.lt-u .....................P....... forced air solid How will Building be Heated?................................................................Wil Building be on Solid or Filled Ground?........................................ "611 121 IF Size of Calling Jolsts.?:��...............................I Distance on Centers.... :...................................... Greatest Span............................................ Size of Floor Joists.............................................I Distance on Centers........'. ................................I Greatest Span..................n...................... IF 2x6 1611 12f IF Size of Rafters..................................................... Distance on Centers....... ................................., Greatest Span............................................ This rectangle Is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. '2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 4. When framing is completed. VA 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 dwered. ,A 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MJJST be called for M- te ".. afl M' 'b corrections are made. FRONT OF LOT In consideration of permit given for doing the work as descri e a ove sfatement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atla tic Signature of Builder---- .......... ................ Address... —..... .. ............... Signatureof Owne___ .7- ----- - ........... Address.................................................................................................... FOR OFFICE USE ONLY DEPARTMENT OF BUILDING Date CITY OF ATLANTIC BEACH, FL(*LMA 7-9-� 19-7 Permit 4k/7-7%3 Fee $ Valuation $ -�'7'P7-'eo Application f6k Permit for HOUSE # Miscellaneous Alterations and Repaiks' (State! if to repair, alter, add to' er move building erect amings, signs, etc, ) Bul lding", on; 14ot No. Bik No. 1/10 ,,Sub j Div- 1. jkddre a 75 luatio Owner 9 N$qo�!et BUILDINGS OCCUPANCY Buildin es Age=A'O -.�AA�t 1-z- # Use,— Residential or Busin What Pl6mbi;ig work to be done? le " Size of Present Bldg. Size of Extension Lot Siz4� No. of stories novta: fter altere Material of roof Material�,,'of Present Building Material ,of Extens�on NECE$§ARY PILMANS TO E SUBMITTED HEREWITH OIL BURNER OR G OLINE EQUIPMENT Name of Oil Burner or Gasoline Pump- -Type or Model Name and Address of MaAufacturer Is coni%e:tion herewith, application is also made to install: gal. c4icity tank(s) made of e meEal XF-r'%--,-�%A ground. (Name of Manufacturer) Wn&ir or Above) (Under Wo�e) of building. For (Insi ser) de or OUtsiTei) (Name of Purcha FJ1RNISH,DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANJ: SIGNS Size Classification (State whetHe-r ground, roof, wall, projecEing,banner) Materiaklof Construction 11 luminated? Type of illumination -her L59p-S or Neon) (StatU whet Will Xig' be over public property? SU:IT DRAWING SHOWING CONST CT B90 ON OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawin rse/side) A IMPORTANT NOTICE,: In consideration of permit given for doing the wor-, as described in the above statement, we hereby. agree to perform said work in accorda=e with the attached plans specifications, which are a part hereof, and in accordance with t1e building regulations, of the city OfAtlantic Beach. (Southern StzrAard Building Code) . Signature of Builder or AddressL /Tz!) gjq .4a A 4Z3 ZZ IK Phone No._ CITY OF ATLANTIC BEACH, FLORIDA v I Approvod by APPLICATION FOR ELECTRICAL PERMIT TI THE CHIEF EL i ECTRICAL INSPECTOR: DATE:— 1917 N IPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING TH WORK AS DESCRIBED IN THE FOLLOWING, WE i EREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE I fITH THE ATTACHED PLANS AND SPECIFICATIONS, V IHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH'THE ELECTRICAL REGULATIONS, CODES AND CITY OF A rLANTIC BEACH ORDINANCES. Ai IA s ICIAN IGNjjUIlj-- JOURNEXON ECTRICAL FIRM: MASTER ELEET)l 0�AME ADDRESS:- D—BOX— AD TE R EL RESS. [C) EN' I LOG.SIZE ETWEEN: S.V APT. I COMM.( PUBLIC INDU NEW I OLD REW. JPDITION I TRAILER ( TEMP.( SIGNS ( SQ. FT. FEE SERVICE: NEW INCREASE REPAIR I 4ONDUCTOR M4E lo AMPS CC PPER f I ALUM.(K) ZTCH OR So W� K E R AMPS PH :?W120VOLT le RACEWAY Z4S IST.SERV. AMPS PH 3 W �(qOLTISC RACEWAY EDERS 0. SIZE IND. SIZE NO. SIZE GHTING OUTL)ETS CONCEALED1 OPEN TOTAL ECEPTACLES CONCEALED[ OPEN TOTAL 0.30 AMPS. WITCHES CANDESCENTi LUORESCENT Ik M.V. FIXED 0.100 AMPS. OVER 8 1 1 BELL TRANSF. 1 PLIANCKS p I I KIP.RATING H.P.RATING �C.�... OTHER MOTORS AMPS CEILHEAT";`- KW-HEAT - 0-1 OVER IAE' OTORS H.P. VOLTAGE PHS NO. 1 M.P. VOLTAGE PHSt ISCELLANEOUS do&t� oalawLls-- l�TRANSFORMEOS: UNDER 600 V. OVER 600 V. KVA 11 IND. lKVA NC). 0.NEON TRANSF. -�O. VA. MOTOR SIZE SWITCH FLASHER ACH SIGN 0 0 7 FORWARDED $ TOTAL FEES CITY OF ATLANTIC BEACH APPLICATION FOR RODFING PERMIT BUILDING OWNER r PHONE 01 JOB ADDRESS Ll I C) LOT# BLOCK OR UNIT # SUBDIVISION CONTRACTO ?r,c,-f PHONE c) ADDRESS c S I j- LICENSE NUMBER r)C)Li EXPIRATION(,- JOB VALUATION $ A (-i oQ MATERIALS: _j SIGNATURE OWNER PATE SIGNATURE CONTRACTOR DATE DEPARTMENT OF BUILDING 10082 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 9-12- Date 88 Valuation$ 1,400.00 Fee$ SO 7e90 T This Perrrdt not valid until above fee has been paid to City Treasurer,and is 7,50CKT subject to revocation for violation of applicable provisions of law. 6026 9/12/8 This is to certify that Monahan Roofing T 11"T 1218 Lic. RC004 6996-- __4_�_ 'T MOO has permission tcXLU- re_3M0 Classification residential —Zone— Owned by --I;W._Mello I Lot --Block —S House No. 410 Sailfish A ording to approved plans which are part of this permit NOI ICE—ALL CONCRETE FORMS ANE FOOTINGS MUST BE IN- SPECTED BEFORE POURING. P�IRMIT VOID SIX MONTHS AFTER DATE OF ISSUE 0 Buil ng material,rubbish and debris z i from this work must not be placed in pu)lic space, and must be cleared up aid hauled away by either con. r or owner. "S ing FOR OFFICE PERMIT USE ONLY NUMBER DATE co rRACTOR PLUMBING ELECTRICAL SEWER WATER CITY OF AK'Nr& V&ld—R"44 OffIcs Of Building official Date REQUEST FOR INSPECTION Tim Pecs .Ived A M. Permit No. -4:, ,,7!V AM. Distr' t No. Job Address �a w1j:r's m CDcality BUILDING Contractor Framing CONCRETE ELECTRICAL PLUMBING-------------- Footing 0 Re Roofing E:3 Rough Wiring MECHANICAL Slab 0 )6� Rough 0 Air.Cond.& Lintel Tamp Pole 0 Top out 0 Heating 0 Final &;?' Sewr Fire Place Mon. Tues. READY FOR INSPECTION Pre Fab Wed. Inspection Me Thurs. Friday A.M. A.M. PM. Inspector Final Inspection 0 Certificate of Cccupancy Date