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665 Sailfish Dr (vault) ii, CIT ' OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 NSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-0 001716 Date 12/26/08 Property Address . . . . . . 665 3AILFISH DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1050 ---------------------------------------- ----------------------------------- Application desc add concrete patio ---------------------------------------- ----------------------------------- Owner Contractor SPIGHT, JOYCE OWNER 665 SAILFISH DRIVE ATLANTIC BEACH FL 32233 --- Structure Information 000 000 ADD ONCRETE PATIO Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMI Additional desc . . ADD CONCRETE P TIO Permit Fee . . . . 40 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1050 Expiration Date . . 6/24/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ---------------------------------------------------------------------------- Fee summary Charged P id Credited Due - ---------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 40 . 00 140 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OFA LANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic'Beach• APPLICATION NUMBER Building Department (To be assigned by the Building Department.) ` 800 Seminole Road / Atlantic Beach, Florida 32233-5445 k Phone (904)247-5826 Fax(904)247-5845 E-mail: building-dept@coab.us Date routed. City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: (� �`+"�C r ent review required Yes No Builds Applicant. �� ��� aninn X. so a Project. �.Y Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit 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: APPI-19ATION STAT S Reviewing Department First Review: Approved. [—]Denied. (Circle one.) Comments: (:B:L:1�1LDI PLANNING &ZONING Reviewed by: Date: PUBLIC WORKS PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑ enied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by:j Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: IIDate: r77771"" t;. CITY OF ATLANTIC IJEACH 1 100, _ 1 800 SEMINOLE ROAD,ATLANTIC B ACH,FL 32233 08- 2S OFFICE:(904)247-5826•FAX NO.:904)247-5845 BUILDING-DEPT@COA US BUILDING PERMIT AF.PLICATION DUVAL COUNTY 14 077 '77e' ,,�. 0 Die i.. ,{n/ / ❑NEW UILDING ❑DEMOLITIONSIDENTIAL LOT BLOCK kSUBDIVISION ❑ADDI ON ❑CONVERTING USE ❑COMMERCIAL #?�. t}�ij"; .. s:. -- "_,. ,,u.,,... .�,...•,,: ,.,. „,,.,,.. S ❑ALTE ATION ❑ACCESSORY BLDG. .-11o .I?#r(NI .. _ , ❑REPA R ❑POOL SPA 1:1 YES NIA MOV L 11R ❑NO 1a •s Gq5 GTQ�t, ,. 777 ,;1CFtlTEG ►SsINER ., a:. 9.NN/AME: 15.COMPANY NAME: 23.COMPANY NAME: P'•�L/" �� �� 16.NAME: 24.LICENSEE NAME: O10 $• l-7 CO 170- 10. (16.ADDRESS: �/j� /�/j'�''+ /��[//yj�� 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 0 S �" ' -�- ` '- 18.ADDRESS: 26.ADDRESS: wEyT 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX 27.OFFICE PHONE: 28.FAX NO.: D - -AD7/ xr71719' 13.CEIL PHONE: 21.CELL PHONE: 29.CELL PHONE: 4-10V Z117-717? 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 1 30.EMAIL ADDRESS: ' .$,gy: ,�, v 160 M"W" 11 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 installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performei I to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced w thin 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 commen ed. 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 and that all work will be done in compliance with all applicable laws regulating construction and zoning.I will not occupy or use the reference J building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** 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 TED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FI ANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,U Now= , , �thecounty!of Slgned: Date: Slgned Date:Before me this day of Before a this day of 2007 in the county of Duval,S e of Florida,has pera11y'1 1�pp,earedp Duval,irtate of Florida,has personally appeared herin by himself/hersel and affirms that all statements and declarations are herin b himself/herself and affirms that all statements and declarations are true and accurate. / l true an accurate. Notary Public at Large,State of `� County of 4 1 Notary I lublic at Large,State of County of IP Per ally Known 11Personally Known roduced Identificatio ❑Prod iced Identification- Notary Signature: Notary fgnatu ====Z==== DE COMPLIANCE SHIRLEY L. GRAr� CITY OF ATLANTIC BEACH Notary Public-State o) SEE PERMITS FORADDITIONAL Wy Commission Expires FOA RM 1/ / 08 ��r t ;; Commission#DD 5 QU�ENTSD CONDITIONS. FT� P •��Or i,°,��•. Bonded By National Not ED BY: / DATE: MAP SHOWING SURVEY OF LOT 7, BLOCK 6, ROYAL' PALMS UNIT ONE, AS RECORDED IN PLAT BOOK 30, PAGES 60 AND 60A, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNT!Y, FLORIDA. i - ' m • � � I o I N I L07 B I ` o � I z Jm Q I I 00 IELD) 0.4 FOUND 1\-2 IRON I `"• (N82'44'36"E 99.93' 1 PIPE NO Cis AP N82,4 ,58 o.. Oo IRON 4 CHAIN LINK FENCE 0.1 1\4" ' O.4' FOUND I PIPE NO CAPS. ---• N N I O O O vFd.' 0 .RE�C °►�R€ I o ed a v ' Z a a 24.7 s .: Lf) I z a, o x m � .. Z .... v J 9, 00 m V rn�o ' 06 —` Y rl o � Cn rl � I ..` 0 24.T 0.1' 29.0, I A\C 0.3• FOUND 1\2.. IRON PAO LINK FENCE PIPE NO CAP O 4' CHAIN �i 6' WOOD FENCE x 82'43'58' 100.00 I �I FOUND 1\4" IRON C „ gg.91' FIELD) 0.1 PIPE NO CAP J (582.41'25 rn I I V ' I I LOT 6 I NOTES: —THIS IS A BOUNDARY SURVEY. —BEARINGS BASED ON THE WEST LINE OF LOT 7, BLOCK 6, BEING N07'16'02"W AS PER PLAT. -25' BUILDING RESTRICTION LINE AS PER PLAT. THI� SURVEY WAS MAnF FnR TF-I� AFNG'FIT OP -5' EASEMENT AS PER PLAT. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) ` 800 Seminole Road Atlantic Beach, Florida 32233-5445 f Phone(904)247-5826 • Fax(904)247-5845 E-mail: buildin de t coab.us �I g- p °� Date routed. City web-site: http://www.coab.us — APPLICATION REVIEW AND TRACKING FORM lYC � � r ent review required Yes No Property Address: Buildi f}� �/C a i ZO g Applicant: s Project �y Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Perrr it 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: APPLICATION STAT S Reviewing Department First Review: proved. ❑Denied. (Circle one.) Comments: B CANNING 8, G PUBLIC WORKS Reviewed by: Vot ` Date: PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. PUBLIC SAFETY Comments: FIRE SERVICES Reviewed by: Date: Third Review: []Approved as revised] ❑Denied. Comments: Reviewed by: Date: 7 ` '_ CITY OF ATLANTIC I 11EACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 0 _ QV ' •` OFFICE:(904)247-5826•FAX NO.�(904)247-5845 BUILDING-DEPT@COAI.us � ..i BUILDING PERMIT AP PLICATION DUVAL COUNTY „ .t F Le Iso . 490 �9 D / ❑NEW UILDING 11 CONVERTING SIDENTIAL LOT BLOCK�SUBDIVISION f\D ,5 11ADDI ON ❑CONVERTING USE ❑COMMERCIAL iRi�..._; '. _..-•,,,..r ,.„x°" §1� f„�. ,��.,.. i ❑ALT E ATION ❑ACCESSORY BLDG. /f� '' ❑REP R ❑POOL SPA ❑YES N/A [►/G.C+/ �D ❑MOV I� ❑NO _ 1kN .,4C'0NT1 T .R. .: #1_h1GtAt1 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: /7#/t/ 16.NAME: 24.LICENSEE NAME: B• G to 7 o 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: zoRUIC z� '/n�/�n/�4,c 18.ADDRESS: 26.ADDRESS: WEST 11.OFFICE PHONE: t2.FAX NO.: 19.OFFICE PHONE: 20.FAX 0.: 27.OFFICE PHONE: 28.FAX NO.: D - �C67/ 1 19 -7/7 13.CE L PHONE: 21.CELL PHONE: 29.CELL PHONE: d Z147-71741 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: 0 l l ' , + .. x v 0)7iT , 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 installz tions as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performei to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced w -lin 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 commen ed. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heater ,Tanks, Air Conditioners,etc. OWNER'S 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 referencebuilding or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the buildin official,as required by law. *** WARNING TO 0 NER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING iYOUR NOTICE OF COMMENCEMENT. :earvi , 1.° 9, u ,+ 3. Signed: Date:/ 0� Signed: Date: Before me this day of in the county of Before r ie this day of ,2007 in the county of Duval,State� a of Flprida,has pe lly ppearecl Duval, ate of Florida,has personally appeared herin by himself//hersel and affirms that all statements and declarations are herin by imself/herself and affirms that•all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of County of�� Notaryblic at Large,State of County of Pe ally Known 1:3Pers ally Known Vroduced IdentI catio ❑Prod �ed Identification- Notary Signature: Notary gnature: I'll SHIRLEY L GRAHAM `O,�PgY PUB('- Nota Public -State of lorida •• My Commission Expires Fe 14,2010 COAB FORM BLDG01:REVISED:1/10/2008 %'q� Commission#DD 51 533 Bonded By National Nota Assn. I MAP SHOWING :SURVEY OF LOT 7, BLOCK 6, ROYAL PALMS UNIT ONE, AS RECORDED IN PLAT BOOK 30, PAGES 60 AND 60A, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNT:(, FLORIDA. I i i � m a I � ISI 0 >>r I LOT B j I o U I 00 I I I m 'g436 99.93 IELD) f 0.4' FOUND 1\2" IRON (NSZ ' "E is I) 0.00 .. PIPE NO CAP N82'4. f58 - - 1 4 IRON 4 CHAIN LINK FENCE 0.1 0.4' FOUND P \ I PIPE NO _•••- - N N N � V 4' C� oQa�COo+<�� I O o co, 4 24.7' tT 29.2 I V J Z_ y O rn o j A � ^ z N � r" 0 < ) Iz z , X I�1 `° -4 0 70 A d g J a� rn � 0 rn rn 0 24.7' 01' C0 3' FOUND \1 2.. IRON PAD 29.0' ❑ O O FENCE PIPE NO CAP a 4' CHAIN UN J g' WOOD FENCE f x (� f f 100.00 I 'I FOUND 1\4" IRON SVZ'43 5$ 99.91' FIELD) 0.1' PIPE NO CAP (582.4125 W, I V ' I I I OT 6 I I I NOTES: -THIS IS A BOUNDARY SURVEY. -BEARINGS BASED ON THE WEST LINE OF LOT 7, BLOCK 6, BEING N07'16'02"W AS PER PLAT. -25' BUILDING RESTRICTION LINE AS PER PLAT. -5' EASEMENT AS PER PLAT. TUICI CI IRvw WA(Z WAnc rno Tuc orkir-r-rr nr MAP SHOWING URVEY OF LOT 7, BLOCK 6, ROYAL PALMS UNIT ONE, AS RECORDED IN PLAT BOOK 30, PAGES 60 AND 60A, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. m v cn � r z m c N UOT S W O ci I I m W Q 00 U �• Lo I a IRON A' 4'36"E 99.93 FIELD) + o.a' PIIPE NO\�P (N824 ++ 1100.00 . 0 4' FOUND 1\4 IRON N82'4 58_ 4' CHAIN LINK FENCE 0.1' PIPE NO CAPS _ N N o w ON C VER � 24.7 v= O A �-" o �- ,U vim, 91 m �N� > �Zm70 0 °P. 9; 6 O l o J I (s -� c) v r 0 A\C i 0.3' FOUND 11\2° IRON `� ` 29• ❑PAD p FENCE PIPE NO CAP O 4' CHAIN UN J g' WOOD FENCE x .43+58h+ 100.00 �� FOUND 1\4. ON 2 99 91, FIELD) 0.1' PIPE NO CAP (S82-4125 I LOT 6 I l I NOTES: —THIS IS A BOUNDARY SURVEY. —BEARINGS BASED ON THE WEST LINE OF LOT 7, BLOCK 6, BEING N07-16'02"W AS PER PLAT. —25' BUILDING RESTRICTION LINE AS PER PLAT. -5' EASEMENT AS PER PLAT. THI� SURVEY WAS MADE FOR THE BENEFIT OF CITY OF Be4c.4- Office of Building Official !' 3 t (REQUEST FOR INSPECT hh Date /\ Permit No. Time UO A.M. Received , Job Addres L Owner's C6 Name Contractor DING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring IRugh ❑ Air Cond. & ElRe R ❑ Slab 17] Temp Pole C! To Out 1-1Heatingu ation El Lintel ❑ Final ❑ S er El Fire Place ❑ READY FOR INSPECTION Pre Fab _ Mon. A111 Tues. Wed. Th rs. Friday A.M. Inspection Made - ?d n A.M. P.M. E-167/ Inspector inal Inspection j� �j certificate of Occupancy FE"� v f ��p ! date CITY OF v2-,)6 - � Bim- Office of Building Official�. REQUEST FOR IN Date SPECTI � Time nC° ReceivedA M. � p No V P. _ Job Address Owner's ` Name Loca�ity BUILDI Contractor Framing CONCRETE El Re Roofing Footing p Insulation Slab Rough Wiring ❑ MB C', MECHA El Lintel Temp Pole Rough CAL Final Top Out C�7 & ❑ Sewer Heating Mon. q READY FOR INSp ❑ Fire Place Tues. ECTION Pre Fab Wed Inspection Made Thurs. e- Friday M. Inspector A.M. — — --P Final Insp ,tion ❑ 7" �� � Cer i'ca e 3 Occupancy❑ �L. Date i City of Atlantic Beach APPLICATION NUMBER Building Department r , (To be assigned by the Building Department.) t 800 Seminole Road DEC 1 6 2008 � Atlantic Beach, Florida 32233-5445 (�J Phone(904)247-5826 • Fax(904)24 $f45 E-mail: building-dept@coab.us _ - - City web-site: hftp://www.coab.us Date routed: i APPLICATION REVIEW AND TRACKING FORM ent review required Yes No Property Address: Buildi Applicant: Zo gs Project: Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit 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: APPLICATION STA US Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING PUBLIC WORKS Reviewed b Date: PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed b : Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: I, Public Works Plan Revie� Comments F � I 1.nitialo t Date: l 2 1� 08 j b- f i( 1 5H L R' L AppliL'Stlfln�ei`IYlit#: Project Name/address: to tD C'hedkMox Comm nts to "Aad �plicafion Traekm�g aCom�nent Provide impervious surface calculations. D Provide erosion and sediment control plans with install tion details and maintenance schedule. site ❑ Provide drainage plans showing topography (flow arrows, etc.) Provide construction site management an, including ght-of--Way Permit if using ri ht-of-wa for construction arkin • Provide apre-construction topographic survey prepare d by a Florida License Professional Land Surveyor, showin 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations al ld on-site retention required ❑ er Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topo aphic survey documenting ❑ ro er construction will be required. A Right-of-Way Permit must be obtained for use D A Revocable Encroachment Permit must be obtained. Pool—Wellpoint(if used)must discharge into vege_tated area 10' minimum from 0 street or drama a feature (swale, structure or lagoon . All driveway aprons must be concrete, 5 inches thick,ing psi,with mesfibh aree o from the edge of the pavement to the property line. Reinfo cing rods or mesh are not ❑ allowed in the ROW Commercial d 1vew d —6 Ctlu J Standard Detail Case X and Any utility cuts in the road must be rep g must be overlaid 10 feet in each direction from the c ' ter of the cut. Repair must be ❑ shown on the plans. Roll off container company must be on City approve list and cannot be placed on City right-of-way. D ❑ 0 P7 f" CITY OF ATLANTIC EACH 08- ���' .Fs ; - � 800 SE CITY ROAD,ATLANTIC BE ACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:k904)247-5845 BUILDING-DEPT@COABLUS =" BUILDING PERMIT A PLICATION DUVAL COUNTY „ tcas �tWINr z r dr)N tit:W Sc FfJr ?E#; ...' 50 . 00 13;~ ❑NEW UILDING ❑DEMOLITION SIDENTIAL LOT BLOCK YJ SUB DIVISION ❑ADDI ION ❑CONVERTING USE ❑COMMERCIAL t,;.r;}it ,G'"13f15-. ' .,. ���"_"...... .. '�,lxx ;� ._..,.`._ ,-r, ❑ALTE ATION L3 ACCESSORY BLDG. wt^I 11 REPA R ❑Po SPA 1:1 YES N/AA OL 13 MOVE IR ❑NO 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 112#11-1p/p A �� �� 16.NAME: 24.LICENSEE NAME: 5 e7-hylkw 7/ 29 10.ADDRESS: /tn[/�n' 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: (6700 I /m/c •�� 18.ADDRESS: 26.ADDRESS: wEyT 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX O.: 27.OFFICE PHONE: 28.FAX NO.: D -A07/ ZF71711 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: Ev 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 installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performei I to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced whin 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 commen ed. 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 and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the reference J building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO 0NER: *** YOUR FAILURE TO RECORD A NOTICE OF COMM, OMM NCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR P C PERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND PO ED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FI 4ANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. " ,; , Signed: Date: �� Signed: Date: Before me this day of in the county of Before me this day of ,2007 in the county of Duval,State of Florida,has pea1119'ared Duval,E tate of Florida,has personally appeared herin by himself/hersel and affirms that all statements and declarations are herin by himself/herself and affirms that-all statements and declarations are true and accurate. �� true an accurate. Notary Public at Large,State of County of fC/n� Notary ublic at Large,State of County of Pepevffal y Known 11Personally Known roduced Identfioetio ❑Prodijced Identification- Notary Signature: Notary ignature: ""s y P r SHIRLEY L.GRAN kM Notary Public State of Florida U.' My Commission Expires Fe 14,2010 COAB FORM BLDG01:REVISED:1/10/2008 =�� Commission#DD 51 533 Bonded By National Not ry Assn. i CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX (904)247-5805 SUNCOM 852-5800 DATE ` d JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Rough)Electrical Insp ctions Dear Connie: Rough Inspections on the following locati ns have been completed and approved: PERMIT NO. ADDRESS ` Please call me at 904-247-5826 if you have any questions. Sincere y, ATLAN IBER BUILDING DEPARTMENT i I i CITY OF ,44ae& Eeaed - 57&v-& 800 SEMINOLE ROAD _ ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE (904) 247-5800 \ FAX (904) 247-5805 wei. e�2ar� SUNCOM 852-5800 DATE JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Roug Electrical Insp ctions Dear Connie: � Rough Inspections on the following locations have been completed and approved: PERMIT NO. ADDRE S - r uo Please call me at 904-247-5826 if you have any questions. SEncer ATLANTI BEA H BUILDING DEPARTMENT I I CITY OF gee," 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE (904) 247-5800 FAX (904) 247-5805 SUNCOM 852-5800 i DATE_ JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 1 Attention: Connie Re: Final Electrical Inspections Dear Connie: i Final Inspections on the following locations have been completed and approved: PERMIT NO. ADDRESS GGA (17 L(Q i I i Please call me at 904-247-5826 if you have any questions. j ire ly, i � 6 TIC CH BUILDING DEPARTMENT i y, CITY OF ATLANTIC 3EACH 800 SEMINOLE ROAD,ATLANTIC EACH,FL 32233 O Q v I I II 1) OFFICE:(904)247-5826•FAX N .:(904)247-5845 BUILDING DEPT@CO US BUILDING PERMIT A PLICATION DUVAL COUNTY qW ss... W5 ,x :, .,u 1p LG�SAOpa D13NE"BUILDING ❑DEMOLITION SIDENTIAL LOT BLOCK SUB DIVISION f\O � ,� ❑ADDk ION ❑CONVERTING USE ❑COMMERCIAL -770EWR #{#�.w.,'..-. 11 ALTE RATION CI ACCESSORY BLDG. WiT,!tumIt Kt?IEQQ [� /R� ❑REPAIR ❑POOL!SPA ❑YES N/A ❑MOV CJ4J H1�ER j ❑NO 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 7�.�e,4,¢cE u,Ey� 16.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 112.FAX IN19.OFFICE PHONE: 20.FAX O.: 27.OFFICE PHONE: 28.FAX NO.: 1 1- 13.CEIL PHONE: 21.CELL PHONE: 29.CELL PHONE: r1W Z117-71,71? 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: gg 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 installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit 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 commen ed. 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 3nd that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OV INER: *** YOUR FAILURE TO RECORD A NOTICE OF COMME 4CEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PR 3PERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN AANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING OUR NOTICE OF COMMENCEMENT. Signed: 444XDate:/ Signed: Date: Before me this day of in theA!of! Before m this day of 2007 in the county of Duval,Se of Florida,has pe ally ppearedp Duval,St to of Florida,has personally appeared 6 Tv herin by himself/hersel and affirms that all statements and declarations are herin by himself/herself and affirms thatall statements and declarations are true and accurate. / ^ true and e ccurate. Notary Public at Large,State of County of "-r 0,L NotaryP blit at Large,State of ,County of IP Pe ally Known 11 Person IIy Known vroduced Identificatio ❑Produ d Identification- Notary Signature: Notary Si nature: SHIRLEY L. GRANA ��p0.y PGe` Notary Public-State of F orlda COAB FORM BLDG01:REVISED:1/10/2008 ,'^i s MY Commission Expires Feb 4,2010 Commission#DD 518'33 Bonded By National Nota ,Assn. CITY OF c;�! / / 0 ``� Office of Building Official REQUEST FOR INSPEO1ION Date C2/4v-3 /V Per it No. Time ' ( rg A.M. Received �/�J Job Addres �i �} Locality _ u Owner's Name Contractor BUILDING CONCRETE ELECTRICALLUMBING..- MECHANICAL Framing ❑ Footing U Rough Wiring Ci F ough ❑ Air Cond. & C Re Roofing ❑ Slab ❑ Temp Pole L p Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ S ewer ❑ Fire Place ❑ READY OR INSPECTION Mon. Tues. A Wed. Pre Fab A.M. urs. Friday P.M. 2�-V A. . Inspection Made _P 7 Inspector < Final Inspection ❑ Certificate of Occupancy Date CITY OF fJl7,IE"d1? 4tl aic /each-�� q -K Office of Building Officia REQUEST FOR INSPEOON Date C/C� Time / er it No. A.M.A Received L ' �� M _ P.M. Job Addres Locality Owner's i Name � Contractor _ r��� BUILDING CONCRETE ELECTRICAL UMBING ECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ R ugh ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel Cl Final ❑ S wer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. T urs. Friday P.M. Inspection Made A.M. PM -y Inspector . inal Inspection ❑ Certificate of Occupancy ❑ ate IL _0 OD' nn1� //CITY OF ri /SeacA-� Office of Building Official REQUEST FOR INSPECTION Date ` �I Per it No. Time A.M. Received vl llL PM Job Address Locality Owner 5 � Na : Contra or BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing C Footing C Rough Wiring Cu h 9 L: Air & Re Hoofing ❑ Slab 1:1Temp Pole EJTop Out ❑ Heating Insulation ❑ Lintel C Final C S awer ❑ Fire Place C READY FOR INSPECTION Pre Fab Mon. Tues. Wed. cl�pmm T urs. Friday Inspection Made A.IV. PM Inspector =inal Inspection ❑ ertificate of Occupancy ❑ ate t l Y CITY OF 4&" /.3eaclt- Office of Building Official REQUEST FOR INSPECTION Date �Y [ PerrrtNo. l`t Time A.M. Received P.M. Job Address Locality Owner's' i ' Name ontract BUIL G CONCRETE ELECTRICAL LUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & Re Roofing ❑ Slab ❑ Temp Pole ❑ Tip Out ❑ Heating Insulation C Lintel ❑ Final ❑ S 3wer ❑ Fire Place ❑ Pre Fab :R IN ECTION Mon. Tues NMl'Velp T iurs. Friday A. . Inspection Made PM Inspector JUN 18 2001Final Inspection ❑ ertificate of Occupancy ❑ t date 12.3 (Ne'' CITY OF �.� 4 � Office of Building Offici � REQUEST FOR INSPEC ION / �a Date Pern it No.f)i3C`"CT Time e d Received RM. l tl (P-5 �J Job Address o ality Owner's i' p� � Name �J Contractor 0 BUILDING CONCRETE AL` L BING MECHANICAL Framing ElFooting Elouh Wiring ❑ ough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ em ❑ F1Heating Insulation ❑ Lintel ❑ Final ❑ r ewer ❑ Fire Place ❑ READ OR INSPECTION Pre Fab Mon. Tues. Wed. A.M. urs. Friday Inspection Made — 0 —� /u Y P� ? M. Inspector 6 El Inspection El'f / Certificate of Occupancy ` C ! ! J 7� � � Date CITY OF ATLANTIC BEACH hen Validated, This NO. 3364.9 C FLORIDA Bec mes an Official Receipt. C Nu1 20- NAME U ADDRESS CITY � t aha 88 74 Date: 5118101 61 hei eipt: 0066 5 CHECKS 1513 ��189803t3I9�;0 ' — CITY OF ATLANTICBEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 3 -TEL: 247-5826-FAX: 247-5877 LOCATfON 7pRMATNbN PERMIT iIFO!'tMATfOi14 _ __.__ - Ad ress: 665 SAILFISH DRIVE I Permit Number: 22407 ATLANTIC BEACH, FL 32233 Permit Type: MECHANICAL Township: Range: Book: Class of Work: NEW Block: Section: i Proposed Use: SINGLE FAMILY Lo s): Square Feet: Su division: Est. Value: Pa cel Number: _ (? R f1�IFrIIRIIITION Improv. Cost: ame: PHIL GIaTT4 Date Issued: 7/25/2001 Ad ress: 665 SAILFISH DRIVE Total Fees: 81.00 Amount Paid: 81.00 ATLANTIC BEACH, FL 3223 Date Paid: 7125/2001 F hone: (000)000-0000 ( Work Desc: NEW HVAC 1 CC�NTRACT+I� S ER T _ 81.00 NYDER HEATING &AIR GOND- il a ;4 ns x 6 �4," 77* ST u RE,3C EE?A .LEAST,24 HOURS,PR R TO INSI ECTION NOTICEINSPEC $T BE R rE w r y BUILDING MATERIA RUBBISH, � KRIS FROM THIS WORK MUST NOT BE � CED IN�1BLIC SPACE,AND MUST BE CLEARED UP AND HA - AWAY BY EITHER,CO TRACTOR ORO ER 41 "FAILURE TO COMPL. .WITH T, NSTRUCTIO LIEN IkAo.,CAN REST IN THE PROPERTY OWNER PQ 1NGF R tM �EII TS"., ISSUED ACCORDING TO APPRO PI 'Wk1ICH ` R Ffi AND SUBJECT TO REVOCATION APPLICABLE PR6'G'W0NS V — FOR VIOLATION OF g 1 _T f61.IB lel AT NTIC SACH BUIL ING DEPT. Ilyte: 7/W91 N Receipt: KMI119 - �� i11116932R1669 ' PVIUJIIN147 ♦1�� ��t�l�v�.� � r�. �.�/ (f�.�� ✓► T •V��.�r • CITY OF ATLANTIC BEACH ATLANTIC IIlACN. ""'"I"A•s0•• ' APPLICATION FOR MEONANICAL PERMIT IN NUMBER IMPORTANT — Appiicant 110 COMPlefel all items in sections I, 11, W. and IV, I. LOCATION s+►..► MN•«: �, b65 s�a .'sat tit OF lei* iWools: 16kTTitt T.1A-t_ Qt.�✓� Aad . 11`l VoUAT 46 1 K1ILWNG fv�•dlrilipt . i - '11. IDENTIFICATM—w To be completed by all applicant .. h ce•sido/Niee of Mrrtil given ow doing tA• werl es dostrikod ie tAo • evo statement wo A•rotry sQro• 10 004orn� 4.141 work in sccordsnte W.tn Me 6"4644 Moa "d sMCilit"e"l erAicA ote • ►erf Mreol •nd i eccersbnce Wilk the City of Jubonville ordinonces and slendrrd� *I toed ►Mectrc• k8od $Lee&;*. NeN o• •I •tAo•tsol et►MNhrs c...«w. IiTw1 of Sn.a"(1,? Jc •N.f #moo" Oatw :c w P G�t4:o`(-i0 1'"Ofitty of Own w AeAtt W A$"# stt•Itm• of et►Ihd of 1/ps•a 111. SAL MM!l"TION A. ���s,.•/;ty 441: �� I.OTNp GONOt11yMI0N eNINO OOMt ON THIS WILDING 011 OITC t ES O i+e—O V O Nsl.wi p Cat+►st�It>Ny 4 « 1/rill, at19 NVMOIN OF CCODTIIVCTION OMIT v. w�awucx�oulrwMt tb M sww lMpmll a vrostlt ,� L 1 ""111611110 W of 011111""'b*I W•/A i ItoNd•ntta,l or [l Comm•rcl•I t��� I+••1 O > O e.•s•>i•/ d C.ow O C3 % • wua1 r�ti�+MI O o..�r ���..� enl•ufy twNelfq . �J pw. ham: z ?TIM M ; of existing seam wlMw•.e..ar•.—�9°=y�.w....�•.1+w 0 Now h•tawma(No sy.l.n,pmftsly In•t•N•ot. O O 1410FIVOR or 6664n to orlstlno•yst•m O Ow" bwot G"Ie l► O ONt•►— eiootty Oa. W&UM. 1#or*W 111 L—AL�..�...w_.�.._.. O &on%# p WWW O I�n1 O *No%* sal h1q 3►Aq P" o I un ofty C � 1�1a1 O U616 puft"two O tlsiw Uff AM OWN Ai DAM >�'tslos�l►rOt*1 ZQ try• sty.vnsly I.,r ul"s�twNtfl>t �•�t�lorlto+sf. ° ' A b �cJ3u IC TW • FUMA M &ensu. rt#ts�At 2Y _ 7G C-C.IC . TSA �--_—_- CITY OF ATLANTICFBEACH DEPARTMENT OF PUILDING i SW SEMINOLE ROAD-ATLANTIC BEACH,FL 3223-TEL: 247-5828-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22090 Address: 665 SAILFISH DRIVE Permit Type: BUILDING ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: Proposed Use: SINGLE FAMILY Lot ): Block: Section: Square Feet: Su ivision: Est. Value: Par el Number: Improv. Cost: 15,000.00 OWNER INFORMATION Date Issued: 6105/2001 N me: PHIL GIOTTO Total Fees: 128.00 Address: 665 SAILFISH DRIVE Amount Paid: 128.00 ATLANTIC BEACH, FL 3223 Date Paid: 6/05/2001 Phone: (000)000-0000 Work Desc: REMODEL RESIDENCE- RENOVATION CONTRACTORS 4 APPLICATION FEES PROPERTY OWNER :' =y 'PER T 128.00 K nR ,a ,. r u *'v kr UNDER SLAB PLUMBINU, _ , R U.•H ELE. TRIC ROUGH MECHANICAL TI FlhAL ,. .n: NOTICE' :INSPECTI BE REQUESTED AT U EAST 24 HOURS PRIQA TO 1NSPItCTION JrK BUILDING MATERIAL; RUI BISH A DEBRIS FROM THIS WOR MUST NOT BE CED IN POBLIC SPACE,AND MUST BE CLEARED U°i*AND HAULM,AWAY BY EITHER CONT CTOR OR O R "FAILURE TO COMPLYITH TIS STtUCTION EN CAN RESt@Ta1N THE PROPERTY OWNER PAYE iof " ISSUED ACCORDING TO APPROV LA°�#SwVHCH, RE�►P F AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PRO S VW. �i 4 AylLANTIC BEACH BUILDIN T. �: 6/87191 91 Receipt:: W63 14is1x 16966.?�'21888 i i i ��C++IS^T+Y OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Lo zgEAJ 'bLJf4- 7-1bJ Date (�. 2 Heated Square Footage -^ @ $ per sq ft = $ Garage/Shed DN @ $ per sq ft = $ Carport/Porch �@ $ per sq ft = S Deck @ $ per sq ft = $ Patio \S� @ $ per sq ft = $ TOTAL VALUATION : $ C)0 Total /Valuation 1st $ d Q Rema n ng Value $ per thousand c� portion hereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ 3 ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ /2,F WATER IMPACT FEE $ SEWER IMPAC FEE $ WATER METER TAP $ _ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC S ARES $ _ CROSS CONNE( TION $ ( ) SURCH RGE . 0050 $ OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Survey Septic Tank Well ; Sign Finish Floor Elevation ; Other CALCULATIONS and/or NOTES : i S AU"3 r �C2TY OF AT IC BEACH l k ? F ,� PERMIT APPLICATION RmSODm, AD.DiTIONS, IONS T _ MOVING, . .LITI01vS �, ' ..' Owner(s) : >TlL� ��fT/l�` .. N� Job Address: Phone: 2L �� C �/Y/�1 TJ L 7/ Gei Lot #_ Block or Unit Subdi ision: Contractor: State License # Address: ?I ione No: City State Zip Code Describe work to be done: 7` ------------------ Present use of building: Valuation of Proposed Construction: Proposed use: Is this an addition? _ 0000 If yes, wha.t are. the dimensions of the added space: ft. X ft. will the added area be 'heated and cooled? New electrical (or increase),? New plumbing fixtures? New fireplace? New Heat/AC? SCSIKZT Impim (COkfidEFYCz. T.) TAO (RESZZ= ) COWL--= SETS OF PLANS, ZNC=nrG SSTE PLAN, SMvEYj ENERGY COL7E rcm S, ' NOTZCE OF G0dbaNCIIdENT, AND C"N�1CORTRA=OR A j DAVIT, IZ' CANED ZS CO ST>4� ver FLv�er�A Cb t/nl r y 611 iw v,4C Signature OWNER; i��% - Date: /734� . G 300-67'3— s? - Signature CONTRACTOR: Date: AS TO OWNER: Sworn to and subscribed before me this !day of 2004 Tp C��T "A'' NOTARY 'PUBLIC URE�h:�Cll�7�i r'TOR: CC-4ommLislon PublictoteaFiaido f ��� ��, ed before me this day o� ,2000. #CC72DMt NOTARY PUBLIC v w PuL CITY OF lQQ7, v AvY�� agw�ja&AD A A 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORID^ STATUTES, PART I 'CONSTRUCT10 CONTRACTING' REQUIRES OWNER/Bu1LDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FoR SECTION 4a9. 103(7), FLORIC A STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY UCEI45EO COWMA6`TORS- 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 CONTRAXTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE NS uCT10 F. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING- YOU MAY ALSO BUILD OR IMPROVE A COMMERCLIL BUILDING AT A COST OF $25,000.00 OR tzss. TME BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NClT BE BUILT FOR SALE OR LEASE. IF YOU 5 OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE L1kW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH LS IN VIOLATION OF THIS EXEMPTION, You MAY NOT HIRE AN PERSON AS YOUR C YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE MUILD31tG CODES AND 70NING REGULATIONS- tT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE MP OY BY Y NSIR Y A WAND COUNTY OR MUNICIPAL LICENSING ORDINANCES ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR o W PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL woi:w (EXCEPT MMNTENANCE umocic, $Z,000) BE UNDER A BUILDWG PERMIT MID PASS ALL NORMAL INSPECTIONS. THS ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER 'DIRE SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL WW-5 WHILE WORK IS IN PROGRESS BY UNLICrNS TRADES PEOPLE-' 77-/1S DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS- SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WO THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE M[OWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EM t-DYERS AND SHOULD ALSO OBSERVE IRS wfTHHoLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON EIR IMPROVEMENT TRADES, UmucEmsmo coKrRACTORS CAN"OT BE EMPLOYMpY CIRCUMSTAINNICES. OWNERS BEING SUBJECT TO $8,000 PENALTY UNOFJ? FLORIDA STATUTE No, 455-228(1). Aid ' CCUPAT10 1- WCENSE' IS NOT ADEQUATE, THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CER ricATE F COMPETENCY" OR THE FLORIDA 'CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED comTRAarc R. TELEPTIoNE THE BUILDING DEPARTMENT (Z'47- 5826) IF IN DOUBT. HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE OISC LOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTY WNER/BUILDER F&Af C,3DD- ADDRESS TELEPHONE SWORN TO ANDSUBSCRIBED BEFORE ME THtS_� Z / AY F f ?K�Y F8 1:)-00/ �V NOTARY PUl 3LIC NOTE: PHRASES uNDERLINED ABOVE MY COMMIS BION EXPIRE ARE EMPHASIZED BY THE BUILDING MAUKEEN TONG DEPARTMENT. Notary Public-State of Hord My Commission Expires Ma 31,2002 Commission#CC720781 z i 06/01/2001 11:41 19048867174 GHIOTTO AND ASSOC PAGE 02 luluoz Pup dV�pttn� i or?a� �N`d Book 1003,1 Page* 12' 1tc8 u top. y Z KV 5. Milt R;..YURI$ NOTICE OF COMME CEMENT(33 A13D3S WU P �►NE �` TO WHC.. IT MAY CONCERN: Th., undersigned hereby informs all concerned at improvements will be made to certain real prop�rty, and-in accordance with Section 713,13 of the Florida Statutes, the following informatic.rlp is stated in this NOTICE OF COMMENCEMENT. Oescripti4-n of Property L Dr 7 ee Q: General C ascription of Improvements_ /170 4- rN �. Hca {' t r Address: 52 Owner's interest in site of improvements: e-W a Fee Simpl Title Holder(If ether than owner) ae .F14001131116 Name Address Filed t Reended W 11=1 14421132 IM Contractor l nt1 FULLER Address rim VWiT — , RECMIN f 5,00 Surety (if any) Address `. Amount of Bond $ Nam4'of :, rson within the State of Florida designat d by owner upon whom notices or other document may be served: Name l.�GiLi Address ° ) In additiooi to himself, owner designates the foilowin person to receive a copy of the Lainor's Notice as i. ovided in Section 713.13(1)(F), Florida S atutes. (Fill In at Owner's option). i-A /tF r of bvv�c Name Address: Owner Sworn to fore me this o2 day of WO-441 ZT- MAURUN rorrG Way Punic-::rote of F106do , Nota P bIIC W Commission Sores Mar 31.2= Notary commission:*cc?M791 Y CITY OF �1 5L 1��ctiC S'eac�i - 7�vtia�a 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 6 F January 24, 1994 Ralph W . Spight 665 Sailfish Drive Atlantic Beach, FL 32233 k { Re: Lot 7 , Block 6 , Royal alms Replat a/k/a 665 Sailfish Dri e RE#171225-0000-6 Dear Sir: The property listed above has been in violation of the Atlantic Beach Weed Ordinance 55-82-19 . As of October 26 , 1993 , the property remained in violation and the Public Works Department was Inst ucted to cut the weeds and grass on September 8 , 1993 . Enclose please find a copy of the invoice for the work performed as follows : P E 1 . Invoice dated November 2 , 1993 in the amount of $190 .00 . Please be advised that if payme t is not received within 30 days , the City will proceed with a lien registered in the Circuit Court of Duval County. Please advise this office of your intent . Sincerely, �r Karl W , Grunewald Code E forcement Officer KWG/pah cc: City Manager Don C. Ford VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED } CITY OF NO ATLANTIC BEACH FLORIDA k 11/2/93 19 NAME Ralph W. S i ht ADDRESS 665 Sailfish Drive CITY Atlantic Beach FL 32233 Cutting Weeds and Grass at 665 Sailfish Drive RE#171225-0000-6 - Plus 1007 Administrative Fee $190.00 "After causing the condition to be remedied, the C ty Manager or his designee shall certify to the Director of Finance the expense incurred in remedying the condition, whereupon the expense plus a charge equal to one hundred (1007) percent of the expense to cover city administrative expenses, plus advertising cost, shall become payable within thirty (30) days, after which a special assessment lien and c arge will be made u�on the property which shall be payable with interest at the rate of ten (107) percent per annum from the date of the certification until paid." When Signed, Dated and Numbered, This Becomes an Official Receipt 4AKE CHECKS PAYABLE TO Received Payment ITY OF ATLANTIC BEACH, FLORIDA TREASURER 6 F F i CITY OF Sgt!-attic 8�eacl - �Gv�u� 800 SEMINOLE ROAD --.-_--_ ----_-.-_-- _ _-__.------- ATLANTIC BEACH,FLORIDA 32233-5435 TELEPHONE(904)247-5800 FAX(904)247--5805 ��Januarl 24, L994 Ralph W . Spight 665 Sailfish Drive Atlantic Beach, FL 32233 Re: Lot 7 , Block 6, Royal Palms Replat a/k/a 665 Sailfish Drive RE#171225-0000-6 Dear Sir: The property listed above has been in violation of the Atlantic Beach Weed Ordinance 55-82-19. As of October 26 , 1993 , the property remained in violation and the Public Works Department was instructed to cut the weeds and grass on September 8 , 1993 . Enclosed please find a copy of the invoice for the work performed as follows: 1 . Invoice dated November 2 , 1993 in the amount of $190 .00 . Please be advised that if payment is not received within 30 days , the City will proceed with a lien registered in the Circuit Court of Duval County. Please advise this office of your intent . Sincerely, Karl W. Grunewald Code Enforcement Officer KWG/pah cc: City Manager Don C. Ford VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED �q�3 f CITY OF 800 SEIIINOLE ROAD `_- -- --------- ATLANTIC BEACH,FLORIDA 32233-5435 TELEPHONE(904)247-5800 FAX(904)247-5805 November 2, L993 Ralph W. Spight 665 Sailfish Drive Atlantic Beach, FL 32233 Re: Lot 7 , Block 6, Royal Palms Replat a/k/a 665 Sailfish Drive RE#171225-0000-6 Dear Sir: The property listed above has been in violation of the Atlantic Beach Weed Ordinance 55-82-19. As of October 26, 1993, the property remained in violation and the Public Works Department was instructed to cut the weeds and grass on October 28, 1993. Enclosed please find a copy of the invoice for the work performed as follows: 1. Invoice dated November 2, 1993 in the , amount of $190 .00 Please be advised that if payment is not received within 30 days, the City will proceed with a lion registered in the Circuit Court of Duval County. Please advise this office of your intent . Sincerely, arl W. � runewald Code E forcement Officer ' KWG/pah cc: City Manager F Don C. Ford VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED CITY OF No ATLANTIC BEACH FLORIDA 11/2/93 19 NAME Ral h W. S i ht ADDRESS 665 Sailfish Drive CITY Atlantic Beach, Cutting Weeds and Grass at 665 Sailfish Drive RE#171225-0000-6 - Plus 100% Administrative Fee $190.00 "After causing the condition to be remedied, the City Manager or his designee shall certify to the Director of Finance the expense incurred in remedying the condition, whereupon the expense plus a charge equal to one hundred (100%) percent of the expense to cover city administrative expenses, plus advertising cost, shall become payable within thirty (30) days, after which a special assessment lien and c arge will be made ubn the property which shall be payable with interest at the rate of ten (J Ox) percent per annum from the date of the certification until paid." When Signed, Dated and Numbered, This Becomes an Official Receipt AKE CHECKS PAYABLE TO Received Payment ITY OF ATLANTIC BEACH, FLORIDA TREASURER P N O T I C E T O A" B A T E TO PUBLIC WORKS DEPARTMENT Dates__J412EJ93______________ WEED ABATEMENT 1x3 NUSIANCE ABATEMENT [ ] RECEIVED Property Address: 665 Sailfish Drive -O- -Z-'4 �� -19gi- Legal Description: Lot-7, Block 6,_Royal P ms Replat - RE#171225_0000_6 - - Property Owner: Ralph. W. Spight --------------------------------------------------------- Mailing Address: 665 Sailfish Drive, Atl ntic Beach, FL 32233 --------------------- ------------------------------------ Type of Work: _ cut weeds-and grass -------- ----------------------------------- Lot Size: Or ered By:�f.r __: arl G ' ewaid -----------N-----------------------N N N N N M M N NNNN N N N N N N N------ TO NNNNNTO ZONING DEPARTMENT �� Date Work Performed: d� -------------------- EQUIPMENT EMPLOYEES # c _ # hrs. ____ 1' -�---��----------- # hrs. `✓ 2. -- -�%--------------- # hrs. -------�- 3. ---------------------- # hrs. ------- 4. # hrs. Comments: _ Signed: �lL'�1_____ Suri ndent, P blic Works N ------------N N NNN N N N N N N N N N-N NNN N N N N N N NNN N N N N N N-----------N--------------- COSTNNNNNNNN-NNNNNCOST COMPUTATION ------------------------------------- ----------------------------------- 1 No. of 1 Equipment I No. I Amount I Sub- I Admin. I i ! Employees I Used I Hours I Per Hour 1 Total 1 100% 1 TOTAL I ------------ ------------- -------- - --- ---- ------------- ----- - ------- ------- -------- --------- I I I 1 I 1 I I 1 1------------1 -------------l-------- 1 ---------- i ------- l--------l ---------1 I i i I 1 1 I 1 1 ------------ l -------------1--------I - --------I-------1 --------1 ---------! I 1 1 I I I i I ------------ ------------- -------- - TOTAL BILLED• Date Billed:_i / --------43 Date Payment Received: /`-�93 - ------------------- �µc 9 CITY O A 800 SENLINOLE ROAD -- - A7'LANriC LLGAcIi.L`L,�f2[11A 32,t3_;,gy L ELE11110NG MW) 247-SN00 FAX(404)247-5805 October 5, 1993 Ralph W. Spight 665 Sailfish Drive Atlantic Beach, FL 32233 Dear Mr. Spight : our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 665 Sailfish Drive a/k/a Lot 7 , Bloch 6, Royal Palms Replat RE$171225-0000-6 An investigation of this proper--y 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 a assessed the property owner or occupant . If not paid within thi ty (30) days after receipt of billing, the invoice amount plus adv rtising 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 ftes not constitute a public nuisance. Sincerely, earl Ts7. t:;runeLlxlCi Cuda F. afOrCE_M(_��jy°L Ofki ,er I.6dG/pah *' c o s u r e City Manager Don C. Ford RTIFIED MAIL IECEIPT REQUESTED CITY OF �rtic cod - 94Uu a 11 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 March 10 , 1994 Ralph W. Spight 665 Sailfish Drive Atlantic Beach, FL 32233 Re: Lot 7 , Block 6 , Royal Palms Replat a/k/a 665 Sailfish Drive RE#171225-0000-6 Dear Sir : The property listed above has been in violation of the Atlantic Beach Weed Ordinance 55-82-19 . As of October 26 , 1993 , the property remained in violation and the Public Works Department was instructed to cut the weeds and grass on September 8 , 1993 . Enclosed please find a copy of the invoice for the work performed as follows : E 1 . Invoice dated November 2 , 1993 in the amount of $190 . 00 . Please be advised that if payment is not received within 30 days , the City will proceed with a lien registered in the Circuit Court of Duval County . Please advise this office of your intent . Sincetely , Karl W . G unewald L Code Enforcement Officer KWG/pah cc : City Manager Don C. Ford VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED E E `I¢ t Prepared by: Suzanne Worrall Greeny Return to: Maureen King, Patterson & Green, Attorneys City Clerk, 800 Seminole Road 3010 S 3rd St . , Jax Bch F1 2250 Atlantic Beach F1 32233 ORDER A�D CLAIM OF LIEN The Code Enforcement Board of the City of Atlantic Beach, having found that proper notice was given to RALPH W. SPIGHT regarding the violation of Secticn 12-1- (b) (3) of the Code of Municipal Ordinances of the City Q, Atlantic Beach; that RALPH W. SPIGHT has either 'Tailed to request a hearing or has not remedied the violation; that the City of Atlantic Beach has caused the violation to be remedied t the expense of RALPH W. SPIGHT —; and tha the City Manager or his designee has certified to the Direc to of Finance the expense a t t the h 0 jrj 0 c incurred by the City of Atlantic Be ch in remedying the Violation: 1 c me e T It is the Order of the Code Enforceme t Board that a Claim of Lien be filed against RALPH W. SI)IGHT —, and shall be recorded in the public records of the offi e of the Clerk of the Circuit Court in and for Duval County which 'hall be payable with interest at the rate of ten percent (10%) per ,\annum from the date the certification until paid. This Claim of Lien is for unpaid assessments and interest on such assessments accruing as of November 2 , 1993 together with administrative expenses and any adVertising costs incurred by the undersigned representative of the City of Atlantic Beach incident to the collection of the assessment and enforcement of this lien, which is granted by Florida Statue 62 . 09 and the City of Atlantic Beach Code of Ordinances 12-1 (b) (3) and 12-2 (6) (d) , upon the following described property in Duval County, Florida: LOT 7 , BLOCK 6 , ROYAL PALMS REPLAT A/K/A 665 SAILFISH DRIVE ! OWNER: RALPH W. SPIGHT This Claim of Lien is to secure payment of the official assessments against RALPH W. SPIG T by the City of Atlantic Beach in the following amounts : City of Atlantic Beach Expense of remedying the public nuisance: $ 190 . 00 Administrative Expense : $ 37 . 00 Advertising Cost : $ 57.60 TOTAL DUE: $ 284.60 PLUS : Interest of ten percent (10% per annum from the date of Certification: $ Executed this day of , 1994 . CITY OF ATLANTIC BEACH By: Its : Chairman I CITY OF Xa4af c &vult - 07&va da 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 FAX COVER INSTRUCTION SHEET TO: WCJ its FAX # /S o i FROM: MAUREEN KING, CITY CLERK FAX #247-5805 DATE: 3' .50 - 61 hh NUMBER OF PAGES (INCLUDING COVER SHEET ) O� INSTRUCTIONS: P �M P PU61_1e, 4of(CZ IKI -Ftf6 APRIL114e DA-15s : *** PLEASE DELIVER IllMEDIATELY *** IF THERE ARE ANY PROBLEMS WITH THIS TRAb SMITTAL PLEASE CONTACT US AT 247-580 k CITY OF ATLANTIC BEACH PUBLIC NOTICE Pursuant to Florida Statutes Chapte 162, notice is hereby given the City of Atlantic Beach intends to file a lien in the amount of $190.00 against property known as Lot 7, Block 6, Royal Palms Replat, also known as 665 Sailfish Drive, Atlantic Beach. Failure to remit said amount to the City of Atlantic Beach within thirty (30) days from the date of first publication of this notice will result in said lien being filed in the Duval County Public Records. f �N NOTICE TO THE OWNER ND ALL PERSONS INTERESTED IN THE ATTCHED PROPERTY This property, to wit: —' C—' located at: e 7-- Chi`' 4;-f, 4 is improperly stored and is in violation of 1he Ordinance Code of the City of Atlantic Beach, Florida; Chaptr Art is II, Division 1, Section 21-24 (a) and must be removed within 77 otherwise it shall be presumed to be abandoned property and may be re oved and destroyed by order of the City of Atlantic Beach. If the property is a motor vehicle, the owner will be liable for the costs of removal and destruction. Dated: Signed: Coeforcement Officer Ci of Atlantic Beach 80C Seminole Road ME ntic Beach, Florida 32233 (90 1) 247-5826 t CITY OF ATLANTI BEACH DEPARTMENT OF OUILDING 800 Seminole Road -Atlantic Beach, FL 3223 -Tel: 247-5826- Fax: 247-5877 PLUMBING PE MIT P QCA'TlON i11iFt l l lATIl7A! Permit Number: 22390 Ad cess: 665 SAILFISH DRIVE iPermit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: NEW To nship: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: SL bdivision: Est. Value: Pi rcel Number: Improv. Cost: OWNER INFORMATION _'i( Date Issued: 7/24/2001 ame: PHIL GIOTTO Total Fees: 50.00 Address: 665 SAILFISH DRIVE Amount Paid: 50.00 ATLANTIC BEACH, FL 3223 Date Paid: 7/24/2001 hone: 000)000-0000 Work Desc: RE-PIPE _ I CONT _�'LCATIOI Fli ES SKINNER PLUMBING, INC. - �P.E T,. 50.00 P,� , WONi wyr Y E `g w 1 _ .. 4 ..., S r. F b NOTICE - IN�PECTIO, T BE REiOUESTED Ai LEAST 24 HOURS>PAIOR TO I SPECTION BUILDING MATERIALS RUBBISH° D DEBRIS FRO��I�:THI WORK MUS YT BE PLED IN PUBLIC SPACE, AND MUST Bt-CLEARED � AND HA I.:ED AW Y BY EIT I . CONTRAC . R OR OWNER "FAILURE TO COMPLY` gTHjt . _ R ULT IN THE PROPERTY OWNER PAYI I, V)NSM FO� RLlN lop �l�'E4, E ISSUED ACCORDING TO APPROVED PLA I . Aft T PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIS O ON j ATLANflC BEACH BUILDING f5t.98 i4 I DE--PT. --- -- _ a7/24/Ai ®1 Receits b87572A YO1B@A93221996 F i CITY OF ATLANTIC $EACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach,FL 32233+Tet; 247-5826- Fax:247-5877 ELECTRICAL PE IT PERMIT,INF ORMATION LOCATION INFORMATIDRiON 154-6iit Number: 22067 Add ss: 665 SAILFISH FL 32 33 Permit Type: ELECTRICAL ATLANTIC BEACH, Township: Range: Book: Class of Work: INCREASE Lot( �: Block: Section: Proposed Use: SINGLE FAMILY Sub ivision: Square Feet: pa el Number: Est.Value: OWNER INFORMATION Improv. Cost: Date Issued: 6101/2001 N me: PHIL GIOTTOAd ress: 665 SAILFISH DRIVE Total Fees: 64.70 ATLANTIC BEACH, FL 322$ Amount Paid: 64.70 Date Paid: 6/01/2001 Pone: 000 000-0000 Work Desc: INCREASE SERVICE TO 150 A /1 H/ 0/1 0 V ALUM. RACWY co NTRACTOR S xs. PLICATION FEES I 64.70 RIVER PER CITY ELECTRIC COMPANY; Ki 4 Kr 4 Xv^ Yip 14t • �n F ROUGH ELECT ICxQ" �A P, NOTICE- INSPECTION; „ T E REQUESTED A LEAST'24 HOURS yP 2IOR TO INSPECTION BUILDING MATERIAL,t2UBBISH AND,DEBRIS FROM THIS WO K MUST NOT BE(..ACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULEt3�AWAY BY EITHER CON RACTOR OR ER �.. CTION W AN RE TIN THE "FAILURE TO COMPLYWTH T�t� � PROPERTY OWNER PAYING 1" ItIE 0OR !! III�P " ISSUED ACCORDING TO APPROVED ISNpATSF�S IT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVIS16I FW. s $64.7614 ` Date: 6/81/81 61 Receipts 8961831 AT ICB' CH BUILDIN DEPT. CKCK3 21888 ATLANTIC BEACH, FLORIDARE"171VED Approvedbr 'APPLICATION FOR ELECTRICA, PERMIT MAY ? i dui 1 City of Atlantic Beach TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ' ��ti� _i -j'9'�"� Building and zoning ` 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 IWACCORDANCE WITH THE ELECTRI L REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 1 �', -� �J.;�-�,�,;`�.,,� (-�,/l�/` �� -fin�. ✓ ELECTRICAL FI/ �� MASTER ELECTRICIAN SIGNNjATU n NAME �C7t I (i l(iC..k,(i ADDRESS:u12.� .J�`1 '4 r• RFD BOX 4.,U�"'J BLDG.SIZE BETWEEN: RES.V AVT.( 1 COMM.( 1 PUBLIC( 1 INDUS.( 1 NEW I 1 OLD 1 REW. ADDITION( ) TRAILER( ) TEMP.( 1 SIGNS ( ) 1C r�l SO.FT. SERVICE: NEW)� INCREASE( 1 REPAIR ( 1 r FEE CONDUCTOR SIZE AMPS COPPE ALUM.VK ,3 1 f t2� SWITCH OR BREAKER AMPS PH W �"( OLT ° RACEWAY i 7.a EXIST.SERV.SIZE L ob AMPS PH 2 W ?4" OLT �'n RACEWAY FEEDERS NO SIZE NO. (/ SIZE U NO. iSIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.9 AMPS. 91.100 AM SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. ovim APPLIANCES BELL TRANSF. J. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIHEAT: KW-HEAT I Q 0 0-t OVER MOTORS H.P. VOLTAGE PHS NO. I N.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. A OVER 600 V NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHE EACH SIGN FORWARDED S y TOTAL FEES CITY OF 800 SEMINOLE ROAD �'- - - ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE (904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 DATE } JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Rough Electrical Ins ections Dear Connie: Rough Inspections on the following locations have been completed and approved: PERMIT NO. ADDR SS jA Please call me at 904-247-5826 if you have any questions. Sincerely, ATLANTIC BEACH BUILDING DEPARTMENT l CITY OF ATLANTIC BEACH DEPARTMENT OFUILDING' 800 Seminole Road -Atlantic Beach, 9132233 -Tel. (904) 247-5826 ROOFING PE RMIT PERNIIT INFtQRMATIQN LOCATIQN INFORI IATIQN Permit Number: 22740 Ad dress: 665 SAILFISH DRIVE Permit Type: RE-ROOF ATLANTIC BEACH, FL 32233 Class of Work: NEW To nship: Range: Book: Proposed Use: SINGLE FAMILY Lo (s): Block: Section: Square Feet: Su division: j Est: Value: Pacel Number: i Improv. Cost: 2,400.00 {)V1rF1�1l�R{IyFgRMAI<TIQN Date Issued: 9/26/2001 ame: PHIL GIOTTO Total Fees: 35.00 Address: 665 SAILFISH DRIVE Amount Paid: 35.00 ATLANTIC BEACH, FL 3223 Date Paid: 9/26/2001 hone: (000)000-0000 Work Desc: REROOF 1 — C©NTRACI'OR A1A ROOFING, INC. APPLtCATttN FEES M R 35.00 �� ♦'K a} ' s z` .a,. .. g f # e. 1 ry y. w xr{ a fay,3 v � ',�a' R��, a'+ .�T w a F ' , 41 S' 'p'Nyi'�.N�a x� ,� z h x FT NOTICE IN PECTfiOI�; C I3f F UE TI_i F, ST 2 HOURS PR(OR 701 INSPECTION BUILDING MATERIAL, RUBBISH A 13 is FROM THIS WOR MUST NOT PLACED Ilj 'UBLIC SPACE,AND MUST BE CLEARED UP�V�HAUL,E AY Bye CONT. CTOR O 141=R:; "FAILURE TO COMPLY-V4, VGi.R ULT IN THE i PROPERTY OWNER PAYI' LC O ISSUED ACCORDING TO APPROVED P ARS RMIT AND SUBJECT TO REVOCATION R VIOLATION OF APPLICABLE PROVISION ' - j CITY OF ATLANTIC BEACH Date: 9/27/91 91 Receipt; BVJ22597 -- — -- �2 DIECKS 1862 0 CITY OF ATLAN iC BEACH ROOFING PERMIT �PPLJCATION _ I JOB LOCATION: OWNER OF PROPERTY: TELEPHONE:: CONTRACTOR: C { CONTRAC>T�OR'S ADDRESS: / 2L5 5 /f P V 6 ZIP: ; y STATE LICENSE NUMBER: CC. C 65 p TELEPHONE: ��l DESCRIBE WORK TO BE PERFORMED: /'ac)C) r- VALUATION OF PROPOSED CONSTRUCTION 00 , C--)Cj MATERIALS TO BE USED: SIGNATURE OF OWNER: '" / 4J SIGNATURE OF CONTRACTOR: " y Patricia Amonette .; MY COMMISSION x CC947012 EXPIRES ?, August 27,2004 SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY O �ONDEDiM" Y"y&Nc6,Nc AS TO OWNER: NOTARY PUBLIC SWORN TO AND SUBSCRIBED BEFORE METHIS r DAY O Q-001 AS TO CONTRACTOR �2L{ NOTARY PUBLIC Liability Insurance Supplied S38S1C v1NYUn8NI NIVd A sy ��'k001''1Ztn6ne 'V, X3 ZtDL�6J� #N AW Workers Compensation Insurance Supplied WcD e»auou,y 01:140dCNSSIW , Contractor License Information Supplied Occupational License Information Supplied