645 Sailfish Dr (vault) CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD—ATLANTIC BEACH,FL 3Z 33—TEL: 247-5826—FAX: 247-5877
Z�` ��kmff W-VORMAT, LOCATIONINFORMATtM,
Permit Number: 22545 Address: f)45 SAILFISH DRIVE EAST
Permit Type: REMODELING ATLANTIC BEACH, FIL 32233
Class of Work: ADDITION To,vnship: Range: Book:
Proposed Use: SINGLE FAMILY Lol�(s):5 Block: 6 Section:
Square Feet: Su)division: ROYALPALMS
Est. Value: Pacel Number:
EW
Improv. Cost: 2,000.00
Date Issued: 8/22/2001 Idame: WILLIAM O'FERRELL
Total Fees: 30.00 Address: 645 SAILFISH DRIVE EAST
Amount Paid: 30.00 ATLANTIC BEACH, FIL 32233
Date Paid: 8/22/2001 Rhone: (904)249-4636
Work Desc: ADDITION OF 2 WALLS ON CA_R, W R
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BUILDING MATERIA', RU THj$WO R--` U' ST NOT BEP CED IN,. BLIC SPACE,AND
N A 'Y BY EITHER:CON I CTOR OR 0
MUST BE CLEARED e ND,HA
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"FAILURE TO C 'A Af T tid-no N` IEN kN RE IN THE
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PROPERTY OWh UPR V S".
. V
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ISSUED ACCORDING TO APPR PIK'
FOR VIOLATION OF APPLICAB PR I is
$38.N 14
Date: 8/22/81 81 Receipt*. BUM%
CHECKS 698
ATtWN- tId-BtAC0 BUILDING DEPT.
CITY OF ATLANTIC BEACH PERM T CALCULATION SHEET
Address 6, SL S- -S F it, E A-s
Date - 2---s - 0 (
Heated Square Footage @ _per sq ft
Garage/Shed @ _per sq ft
Carport/Porch @ per sq ft
Deck @ _per sq ft
Patio @ _per sq ft
TOTAL VALUATION : coo
o o 3 $ I
Total Valua�ion ist $
0 -0 0 $
Remaining Value cv per thousand
k- portion thereof
TOTAL BUILD 'NG FEE
+ 1/2 Filin Fee 0
( ) Firepla es @ $15 . 00 $
BUILDING PE�MIT FEE $ 3 Q
WATER IMPACP FEE $
SEWER IMPACP FEE $
WATER METER�TAP
CAPITAL IMP �OVEMENT $
SEWER TAP $-
) RADON (HRS) .0050 $
SECTION H PkVING
HYDRAULIC SiARES
CROSS CONNE"ITION $
) SURCHkRGE . 0050 $
OTHER $
GRAND TOTAL DUE $
ADDITIONAL PERMITS OR FEES: Mechanical- Plumbing
Electric/New Electric/Temp__; SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES:
�"r
(,- r.-1,R V E D
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CITY OF ATLANTIC BEACH �$-, 17 '60
PERMIT APPLICATION REMODEL, ADI)ITIONS, OR ALTERATION,-,,,,�,
MOVING, DEMOLITIONS C-f Beach
Owner(s)
Phon
Job Address6
Lot# Block��U�nit# 65 ubdivision 0 U,-q'i nii—kda
or
Contractor tate License#
Address Phone
city State Zip
Describe work to be done
An V"Y'AA
Present use of building
GD
Valuation of Proposed Construction qp-
Proposed u
dedspace: ) C'-) ft-X fit.
Is this an addition? -t' If yes, what are the dimensions of the ad
Will the added area be heated and cooled? A-0 New electrical (or increase) No
New plumbing fixtures?—is—C) New fireplace?—NL— New Heat/AC?
SUBMIT THREE (COMMERCIAL)TWO (RESIDENTIAL) OMPLETE SETS OF PLANS,S INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/
CONTRACTOR AFFIDAVIT, IF OWNER IS C NTRACT
Date:
Signature of OWNER
Signature of CONTRACTOR Date
STATE OF FLO A
COUNTY OF day of A
affirmed)and subscribed before me this
Sworn to (or
AS TO OWNE R: I Jotary's Signature
11 Personally kn
E GIAX HORN
OR Produced Identification
MISSION#DO 030526
my COM
-XPIRES:June 3,2005
ype of identification produced
8onded Thru Notary PuM Under
Swom to (or affirmed)and subscribed before me this day of 1200
AS TO CONTRACTOR: Islotary's Signature
D Personally known
I Produced Identification
Type of identification produced
RECEIVED
CITY OF Ag 17 661
o�� ge4d �'&U�e4
city of Atlantic 603ch
oft233-5445
OL7
9A.I�P�A=FLORRM
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
CmAp,rzR 489, FLORIDA STATUTES. PART I 'CONSTRUCTIO11 CONTRACTING' REQUIRrS OwmzR/Bumm" To
^CKINOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489. 103(7), FLOFIttm^ STATUTE.S.
STATE LAW REQUIRES CONSTRUC'nON TO BE DONE By U CONYR^CTORs. YOU HAVE APPUFM FOR A PERMIT
uNoER Am cmmmiom To TH^T LAW. THE EXEMPTION ALLOWS YOU, �S THE OWNER OF YOUR P"OPFIRTY, TO ACT AS YOUR
OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A UCENSE- YOt MUST SUPERVISE THE CONSTRUCTION YOURSELF.
YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING- YOU KAY ALSO BUILD OR
IMPROVE.A COMMERCIAL BUILDING AT A COST OF $z!5,000.00 OR ums. THE mutu)ING mkisT 13E FOR YOUR USE AND
OCCUp^NCy. IT m^y Mar BE BUILT FOR RAI OR f EA E. IF YOU Sm 3-L Oft I PEA E A BUILDING YOU HAVE BUILT YOUFtStEL?r
WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLEM, THE -AW WILL PRESUME TM^T YOU BUILT IT FOR SALE OR
LEASE, WHICH IS IN "oLA-noN orTHis Excmvmom. You m^Y morr Hutz Am umugmNsap pW_RSON AS YOUR CONTRACTOR.
YouFt comsmui=noN MUST BE DOME ACCORDING TO THE BUiLZING =DES AND zONING REGULATIONS. IT 15 YOUR
RESPONSIBILITY To MAKE SURE THAT PEOPLA tiAve LICENSES RZOUIRED 13Y STATE LAW AND By
QOUWrY OR MUNICIPAL LICENSING ORDINANCM�
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE 714CIR OWN PROP ER. Ty wHEN IT IS )rOR PM:VWNAL.OR rAMfLY
US4 AND LIKEWISE RE-QUMR--ALL WORK (ExcEPT mmmTEmmcr umag R $2.OdCu BE UNDER A BUILDING PERMIT AND F-Ass
ALL NORMAL INSPIEC77ONS- THE ORD'MAMCM SrATZS OWNERS MAy PHYSICALLY 00 WORK THEMSELVES. OR MAY MIR
wi,40 " r N
UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER 'DiRrcr supe"visioN OF THE OWNER, usT BE 0
THE JOB AT ALL TIMES W"ILZ WORK 15 IN P4ROGRESS By UNUCZXS�M TRADES pcOpLx. THIS Does NOT ALLOW USE OF
UNUCZNS9= CONTR54CTORS.
cilr4CE OWNERS MAY BE LIABLE FOR INJURIES TO WORKEAS THEY HIRE. THE BUILDING DIMPARTMEW SUGGESTS
WORKLER'S COMP40�LSATION INSURANCE BE PURCHASED UNDER THE 4OmF0wNmRS INSURANCE poucy cLr-&.qLy PRcrmcTs
THE OWNER. OWN045 HIRING V�PRKERS BECOME EMpLOYERS AND gijouLm ALSO omsEyrm IRS WITHHOLDING TAX AND/OR
FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY o#4 n-iEIR IMPROVEMENT TRADES,
umucEmsEm cowrRAcTQRS r-AN"QT OK F"pLayep Umj)Eg Ag ST OWNERS FiNo ej r-T
y cimcum Amcg;.. B su E
CzENSE' 15 Nq
To $5,000 PENALTY UNDER Ft-am.DASTATUTC No, 455-225(1). Am 'Qccuriamog&l.-"' jr-I T AOKOUATZ.
THE OWNER SHOULD pHysICALLy sr-z THE COUNTY "CIZATIFICATH OF COMI'mi NCY' OR THE FLomo^ *CONTRACTORS
CERTIFICATE' To Ascr."rAm IF A PERSON is A ucENsED cowrR^c rCR. Tmt-E.ImHomr-THE BUILDING OEP^WmENT (247-
seza) IF IN DOUBT.
I Hrpe33y ACKNOWLIMOC THAT I HAVE READ THE A80%1E 09 CLOSURE ST47EMENT AND THAT I cOmP'LY WITH A"
THE REOUiREMENTS FOR THE IssuAmcz or AN OwmER-5uiLorm P 3qmrr.
GEORGLAk HM
NER/BUILDER
M OMMISSION#DD030526
PROPEIRITI'OW
EXPIRES:June 3,2005
skz!"A.N-1 1 8�nde-d Thru Notary Public Underwrkm
A0ORES4 'TELEPHONE
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SWORN TO AND SUBSCRIBED ORE ME THIS I-OAY
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NOTARY I'UBLIC/
've my combllrs-sl� EXPiRES:
NO`TE: PHRASES UNoCRUNE A13OVE
ARE EMPHASIZED BY THE B LD114G
DEPARTMENT.
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CITY OFATLANTIC BEACH
APPLICATION FOR FENCE PERMIT
Owners-1-k-Jitilporr) Phoneo?zll
&�sAddress
Lo Block andlor Unit# Subctivision 9NOSNA) FAIrQ� V6"'+ 0he-
11�j
Contractor if Different From Owner
Valuation of Fence $ Comet or Interior Lot
Type of Construction 00V�tn r-r- an 4 A0 41 00oa Fr )c-Y
Attach Survey Showing location and height o F fence as well as location of street(s).
clift of Avank Beach
FiNnning WW Zoning Department
This OPP 01W V11066 somplianoe with applicable
zoning. subdivision and other local land
410VOIDPRIOM regulations. but does not constitute
=11=ft Issuance of permits. Complianre
11UNding Code and all oftr applicable
10001, 111tate and Federal permitUng requirements
11well be v~ P#tUre of the y of Atlantic
bosch prior to i Luance of a
AM @we W. valiopment Director
_7
Owners Signature 4000111 W,,
Contractors Signature
OWNG BOUNDARY SURVEY OF
MAP SH
LOT — BLOCK (a SHOWN ON MAP OF
ROYAL P,01_1617S
AS RECORDED IN PLAT BOOK 30 PAGES OF 7HE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
CER TIRED FOR.L�/&L 1A M A, D/kJ/-3 d Qr6-,_0 R,5 e- ; -? S 717-Le5 1A_,)rL1,e,,0410C6_
070 76-00 '
k)
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5 7-'y j 1�3_
6 4
P,,e i 6.4<
45 x
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6�
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ALn
mann"N ano Loning Lmpm
07 /6a' 00 1,V 75.00 7W approval vwfts sompllarm wfth applicable
zoning, subdivision and othor local land
development regulations, but does not constitute
approval for the Issuance of pernwAL cornpiiance
wfth Floritle Suflft Code and ON odw applicable
local, $left and Foderal Monts
ed 4slignakwe of ft CrofO:
Delv6- must"O 0 nuc
Beach pdw ft af a
('616) bulldft!l SEMIL
Approved or. 47�&74C'4t -
A*n —
Develop "Amw
RECEZ7- W.0- -_-)9- 400 Z-Z-99
NOT VALID UNLESS EMBOSSED WTH SEAL OF THE UNDERSIGNED. BEARINGS BASED ON_Z_IK� LINE AS SHOW
THE PROPERTY SHOW HEREON APPEARS TO LIE WTHIN FLOOL HAZARD ZONE 9 AS SCALED FROM FLOOD
WSURANCE RA7E MAP_1_ FOR 7HE CITY OF 1q_rL-4-r_r'c- , FLORIDA, DA TED 4—t-7-6�) AND
ts&WdI4
J.q _WnbW A_q A rY)1JR7F_qY (INL Y AND DOES A10T CONS777WE A CER77FCA TION OF SAME.
CITY OF
800 aEAMNOLE ROAD
ATLANTIC BEACH,FLORMA 32233-5445
TELEPHONE(904-)247-5800
FAX(904)247-5805
SUNCOM 852-5800
CHAm a 4ag, FLORIDA STATUTES. PART I 'CON UC'nON CONTRAL-TING' REQUIRES OwmzRjBuoLmmR To
ACKNOWLEDGE THE LAW:
DISCLOSURE SMATEMENT FOR SecTiom 489. 103(7). FLoRtg^ STATUTES:
STATE ILAIN REQUIRES CONSTRUCTION TO 159E DONE BY U Em comTR^cToRs. YOU HAVE APPUEM FOR A PERMIT
UNDER AN exempnoN To THAT LAW. THE ExEmii-nar,; ALLOWS You, A S THE OWNER OF YOUR PRoPmRry, TO Aar As YOUR
OWN CONTRACTOR EVEN THOUGH You Do morr HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSIELfr.
YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVIX A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR -Ess. THE BUILDING MUST BE FOR YOUR USE AND
OCCUPANCY. IT MAY N(0T BE BUILT FOR SAI OR I PA M. If YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF
WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPL=, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR
LEASE, WHICH IS IN VIOLATION Or THIS EXEMF-rnOI4. YOU MAY NOT HIP E AN UNLICENSED PERSON AS YOUR CONTRACTOR.
YOUR CONSTRUCTION MUST BE DONE AccoRciii To THE BUILDING Cams AND 7amsG RrouLA-noNs. IT is YOUR
RESPONSIBILITY TO MAKE SURF THAT PMOPLZ-Z!j��BYYOU HAY-C LJCF-mSrs RgoUIRr:6D BY STATE LAW AND BY
COUNTY OR MUNICIPAL LICENSING ORDINANCES.
ORDINANCES ALSO A'1 W AN OWNER TO IMPROVE 774CIR (;WN PROPERTY WHEN IT is iraR PER.SOmAL OR PrAMtLY
USLI. AND Lj)wmsE REQUIRE-ALL WORK (&xczPT hwNTENANcr umam r $Z,000) Bc UNoER A BUILDING Pr.Rt4rr ANo F,*ss
ALL NORt4AI- iNSPLrCTIONS. THE oRDimAmcm STATES OWN93RS MAT PHYSICALLY 00 WORK THEMSELVES; OR MAY HIR
UNUCCMSED WORKERS PROVIDED SUCH WORKERS BE UNDCR "DIRZCT SUPERVISION OF'THE OWNER, WP40 MUST af-r ON
THC JOR AT ALL TFftQ WHILE WORK 15 IN PROGRESS BY UNLICENSE D TRADES PEOPLE.ff -1)415 DOES NOT ALLOW USE Or
UNLICENSED CONTRACTORS.
SJNC3E OWNERS MAY SE LIABLE FOR INJURIES TO WORKEPti THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS
WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE H:)mr_OWNIERs INSURANCE POUcy CLEARLY PROTECTS
THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYmRs AND -wicull-al ALSO onsEwvm IRS WITHHOLDING TAx AmoloR
FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON T-11EIR IMPROVEMr-mr TRADES.
UNucamsElD cowrRACTQRs r-AgmoT ag EMPLOYED UNDER ANY cm-CWMSTANCIEZ. OWNERS BEING suejEcr
To $5,CCO Pm-t^LTY ummst FLaF"jmA *YATwTc NG, 4SS-228(1). Am '0ccum-nopigg, jjcgmsg' is NOT ADEQUATZ.
THE OWNER SHOULD PHYSICALLY SEE THE COUNTY -CaFmrir-Arm c)F CompmTmNcy' OR THE FLORIDA *CowmAcToRs
CM"InFICATZ" TO ASCZ1RrAAN IF A PERSON IS A Uc-Nsm cowrRAar DR. TkLapHomm THE BUILDING DEPARTMENT (247-
58215) ir IN DOUBT.
I HEREBY AcKmovwj=Gz THAT I HAvm RxAc THE Asow 0M.'LOSURIE STA7EMe-fr ANo THAT I compt-Y wrrH ALL
THE REQUIREMENTS ITOR THE ISSUANCE Or AN OWNER-BUILOCR PE
GEORGIA A.HORN PROPERTY OWNEF;VBUILDER
My COMMISSION#DO 030526
ja
9z , ,
EXPIRES:June 3,2005 2-
Bonded Thru NotarY Public ljnderwf�ers
ADDRESS
SWORN TO AND SUBSCRIBED BEFORE ME THM 0al,
-L
NOTARY
BLIC U
CD ABOVE
NOTE: PHRASES UNIDERILINL MY CO MON EXPIRES:
ARE EMPHASIZED By THE BUILDING
OxP^RT%"-r.
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, Fl 32233-Tel. (904)247-5826
ROOFING PERMIT
0
MITNO RM L
Permit Number: 23519 Ad Iress: r545 SAILFISH DRIVE EAST
Permit Type: RE-ROOF ATLANTIC BEACH, FL 32233
Class of Work: REPAIR To vnship: Range: Book:
Proposed Use: SINGLE FAMILY Lo�(s):5 Block: 6 Section:
Square Feet: Su)division: ROYALPALMS
Est. Value: Pacel Number:
Improv. Cost: 1,300.00 7�
ANO ' A -1
0
ER _fW T ON
Date Issued: 2/22/2002 1 lame: WILLIAM O'FERRELL
Total Fees: 30.00 A=: 645 SAILFISH DRIVE EAST
Amount Paid: 30.00 ATLANTIC BEACH, FL 32233
Date Paid: 2/22/2002 (904)249-4636
Work Desc: REPLACE 13 SQUARE FIBERGLA—A S S I GLES
Fla
e6NT
GILL C- LOUTIER ROOFS AND REPAI 30.00
A
M&
L
...................
NOTICE- I PECTION
BUILDING MATERIA LIC SPACE,AND
MUST BE CLEARED� �4K UK
........
IN THE
"FAILURE TO COMP
PROPERTY OWNER P
IT AND SUBJECT TO REVOCATI,
ISSUED ACCORDING TO APPROVE ON
FOR VIOLATION OF APPLICABLE PROVI
Oper: DSMITH Type: OC Drawer: I
Date:: 2188102 01 Receipt no: 38336
14 -BUILDING 1 $30.00
PERMITS
CITY OF AT N IC BEACR---- TraA number: 792286
CA CASH
Trans date: -2/28/02 Time: 15:07:50
I D
A D
P '
[FEB 2 2 2002]
CK#
CITY OF ATLANT C BEACH
I�
PERMIT APPLICATION REMODEL, A DITIONS OR ALTERATIONS
I
DEMOLITIO S
OQner(s) :
Address : Y-S— 'S 4 Phone:
Lot #— Block or Unit Subdivision:
Contractor: clik- C co")p'll, --s /700-7 S fi(-
lzoo r
State License 0 5-7 G, (/ 7
Address :, t-',Ickt)'� '�]T --Phone No: �-o
Describe work to be done:
ef-�'w 9 t-1 SS '9 H ov 9
Present use of building: S
Valuation of Proposed Construction:
Proposed use:
Is this an addition? If yes , what are the dimensions of
the added spacef ft . X ft . Will the added area
be heated and cooled? New electrical (or increase)?
New plumbing fixtures?_ New fireplace?_New Heat/AC?
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER: Date:
Signature CONTRACTOR: A,— Date:
License Supplied:
Liability insurance:
Worker's Compensation Insurance:
i'55 1
CITY OF ATL Y1C BEACIR
800 SENIINOL E ROAD
ATLANTIC BEACH, I WRIDA 32233
INSPECTION PHON1 LINE 247-5826
Application Number . . . . . 03-0 )025548 Date 2/18/03
Property Address . . . . . . 645 3AILFISH DR
Tenant nbr, name . . . . . . INSTALL 8X7 GARAGE DOOR
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 600
Owner Contractor
------------------------ ------------------------
OIFERRELL, WILLIAM OWNER
645 SAILFISH DRIVE
ATLANTIC BEACH FL 32233
---------------------------------------- ------------------------------------
Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50
Issue Date . . . . Valuation . . . . 600
Fee summary Charged Paid 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
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT 13 E PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRA&OR 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 VIOL kTION OF APPLICABLE PROVISIONS OF LAW,
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
FAX:(904)247-5805
SUNCOM: 852-5800
http://ci.atlantic-beach.fl.us
C
PLAN REVI OMMENTS
Permit Application #. 03
Applicant: t'i arn
Address: (p Q�5 t'3tl I I
Project: CA C'_�cr_ 0 C)C,r
I,'--) I __J
4410"U'r application is approved
o Your permit application has been reviewed and the following items need
attention:
Please re-submit your application when these items have been completed.
Reviewed by La to-5
Signed —Date
Contractor Notified Date
R E C \/ r
T
0 0
CITY OF ATLANTIC B CH
[)OW
li�N]C
PERMIT APPLICATION FOR REPLACEMENT OF W NDOWSSKYLIGHT&AND;
V
GARAGE DOORS OF SINGLE—FAMILY OR TW )-FAMIL --Y-'CONSTRUCTtON
Date:
Job Address: 1-b bf� �Z-frl
Owner's Name: 2,�,) A r',
--
Phone:
Address:
Legal Description: Block Number: Lot Number: Zoning District0l,�,'A'I ?S�, rn S
Contractor: State License Number:
Address: Phone:
City: State: 2'1p: Fax:
Describe proposed use and work to be done:
C� J,
757)
Present use of land or building(s
Valuation of proposed construc ion:
j
Is approval of Homeowner's A ocia:tion or other private e 3 required? If yes, please submit with this
application.
Building Data:
Mean Roof Height _(ft) Building Width j Se (ft) Building Length (ft)
Roof Slope *Window Elevation from Giade (ft) Window Height_(ft)
Window Width (ft) Measurement from corner of building to window (ft)
h
4 a
800 Seminole Road Atlantic Beach,Florida 32233-5445
Page I Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atlantic-beac h.fl.us Revised 1/27/03
Procedure: In order to expedite issuance of permits provid all information as appropriate. Incomplete applications may
result in delay in issuance of permit.
In addition to the building data,the following information is re juired:
1. Manufacturer's Test Report
2. Installation Procedures
3. Window Description/Type
4. Garage Door Description/Type
5. Skylights Description/Type
6. Elevation View of Window Locations
I hereby certify that all information provided with this application is correct.
ol
z ate:
Signature of Owner:
I hereby certify that I have read and examined this application and kno the same to be true and correct. All provisions of the laws and
ordinances governing this type of work will be complied with, whether sp,-cified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any federal,state or loa I rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the performance of construction of the properq. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the plans and supporting data have been or shall be provided as required.
Signature of Contractor: Date:
Address and contact information of person to receive all correspond,-nce regarding this application (please print).
Name: R
Mailing Address: 6145 S A 1 1)
Telephone:9'�N, J�4'7'�, Fax: E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this 0
6 day of. F� 2003.
State of Florida,County of Duval
Notary's Signiture:
JENNIFER SCHLUETER
MY COMMISSION#DD 121301 D Personall known
EXPIRES:May 27,2006 Produced identification
Boflded Thru Notary Public underwriters Type of' entification producedF4— DL-0OLI -q-Z I A/I
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20_.
State of Florida,County of Duval
Notary's Signature:
F-1 Personally known
F� Produced identification
Type of i entification produced
800 Seminole Road -Atlanti-Beach,Florida 32233-5445
Phone: (904)247-5800 Fax: (904)24 7-5845 - http://www.ci.atlantic-beach.fl.us
Page 2 Revised 1/27/03
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Q
PITY OF AIIAMIC BEAC21
A .
DaLn
AdcLuess 'and/or Locaticy of Violation
Owtier and/or Tenant of Propei:Ly.,,�
Plione#
All'�PE-)'S--
------------------------------------- -- -----------------------------------------
Date of InvesLigaLioll
Lives LiRato
CaLiALI.olis
cz AC
A
61
AcLicp Take
Ca IV I ial Ice
CITY OF
1*&a4'e Fe4d - 9&u�d4
716 OCEAN BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
-411�t TELEPHONE(904)249-2395
November 18, 1988
Mr. Bobby Knight
645 Sailfish Drive
Atlantic Beach, Florida 32233
Dear Mr. Knight,
It has been brought to our attenti3n that you are openly storing
equipment, materials and debris, and junked or inoperable
vehicles at your home on Sailfisi Drive. This letter is to
advise you that the Code of Ordl:naices of the City of Atlantic
Beach prohibits outside storage of of these and similar items.
You are hereby advised that these items must be removed from the
property or stored completely within an enclosed building so as
not to be visible from the street within fifteen ( 15) days from
the date of this letter.
There is also evidence that you nay be running a lawn care
service from your home. Please be advised that you may not
operate a business from your homE- without first obtaining an
occupational license from the City 3f Atlantic Beach.
If there is some reason you feel y3u can not comply within the
stated time limits please contact tiis office immediately.
Sincerely,
C CITY 0 A A C BEACH
ITY 0 A A C BEACH
f
/dl nforcement ficer
.filL
cc:file
IEAUJ
�CPIY OF AILAMIC L
WUS-VIOLATION TOM
Date
3 ;3
Address and/or Lac
aLion of Violation 6'
C ILAINE:
A.1 A,-
Dmier and/or Tm=t: of Property
S IG,ZLU1JPE OF CONPLAItWI,
Phone/L
�DDM, S 3
------------------------
---------------------------------------------------------
Date of Investigation
------------ Investiutor
Cuiditions 17,buid
Aculm Takc,11
.7
Wipliance
CITY OF
1"o&c Fe4d - 9&reW4
716 OCEAN BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
January IG, 1989
Mr. and Mrs. Bobby Knight
645 Sailfish Drive
Atlantic Beach, Flori-da 321-33
Dear Mr. and Mrs. Knight,
I wax-it to thank you for your cooperation in cleaning up under
your . carport and along the side of your house. It looks much
better.
Unfortunately, we have received ancther complaint. This -time it
concerni5 the back yard. I investigated the complaint on Friday
and found that there are some miscellaneous articles and debris
that need to be cleaned up.
W e a r7 k that you take immediate action to correct the situation
and for your continued cooperation in helpirig t o Cl-eate a
neighborhood everyone can be proud cf.
I will re-inspect your property in approximately ten days. if
you have any questions please call.
I ely,
enep s
Code Enforcemen 0 ficer
cc:file
CITY OF
Office Of Building Official
Date REQUEST FOR INSPECTIC<
Time
Received A.M. Permit No.
P M.
Job Address
Locali y
Nam
Contractor
CONCRETE ELECTRICAL PLUMBIA G
Framing Foot
Re Roofing ing 0 Rough Wir MECHANICAL
Insulation Slab 11 ing F) Rough
D Lintel TemP Pole U TOP out 0 Air Cond. &
I inal El Sewer 0 Heating
11 Fire Place
Mon. Tues. READY FOR INSPECTION Pre Fab
Wed.
Inspection Made Thurs.
A.M.
Inspector M.
Final InsPEction Fj
Certificate )f Occupancy ri
D
CITY OF
Office Of 13uildthg Official
REQUEST FOR INSPECTION
Date
Time
Received A.M. Permit No.
6 P M.
Owner's Job dress
F- Ocali ty
UILDIN tor
Fram,n
l Ro
of 0 Footing
e ing F — D
Insulation Slab Rough Wiring
Jo
Lintel Teml)Pole Rou 0 Air
F11 TOP ut rid�ar
Final El Sewe 0 Heating j
F1 Fire Place
Mon. READY FOR INSPECTION Pre Fab
(lu�s A+tt Wed.
Inspection Made Thurs. Friday A.M.
Inspector — 0 ( A.M.
!)& PM.
IV i n ��nl;p e,t i 0�nrF—'
Certifl o
0 Occupancy C,
Date