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885 Sailfish Dr (vault) r J3 �°SS CITY OF ATLANTIC BEACH 800 SEMINCJLE ROAD ATLANTIC BEACH FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r f313 Application Number . . . . . 04-00028256 Date 5/13/04 Property Address . . . . . . 885 SAILFISH DR Tenant nbr, name . . . . . 6 ' WOOD Application description . . . FENCE PERMIT Property Zoning . . . . . TO ESE UPDATED Application valuation . . . . 382 Owner Contractor ------------------------ ------------------------ SLEDGE, KATHRYN OWNER 885 SAILFISH DRIVE ATLANTIC BEACH FL 32233 j ------------- ------------------------------------------------------------- Permit . . . . . . W/W/O FENCE PERMIT Additional desc Permit Fee . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged laid Credited Due ----------------- ---------- ----I ------ ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 j . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 N i a i q a BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NC T BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAIL TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPR OVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR V OLATION OF APPLICABLE PROVISIONS OF LAW. h, e G""OFFICIKL UOw c Cc: CITY OF ATLANTIC BEACH D. Ford J BUILDING / ZONING .DEPARTMENT ins is1 S. Doerr r 800 Seminole ad J Atlantic Beach,Flori a 32233 (904)247-58 0 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C 4 :� W a s Property Address: �� L��Ca t c c� 1�C Applicant: 'Brct J 144 n n n ` Project: �� q This permit application has been: a?---Approved Reviewed and the following items need attention: s a i Please re-submit your application when these ite> s have been completed. Reviewed By: v' Date: l G d CITY OF ATLANTIC BEACH FENCE PERMIT APPLICATION F as Date: c5' 'D`7 a ��s Job Address: t) Fisk Owner's Name: ,l�S ,B�v�.�/�S �� ��� a ,rJ9�l'�� L .��✓o e rJ Address: "C5 Phone: 9441 2417 /ms's 911' Legal Description: Block Number: Ile Lot Numberi Zoning District: 536,- 3-27 Fence Contractor: 6e-WO! Address: P S ,fie i d s ./ .0 ` 'IV Phone: Z`/2 G' 4'>r 9::.- City: State: ` iip: SZZ3.3 Fax: Type of fence and materials to be used: umCV d Valuation of fence. 3r'3oZ Is Oroval of Homeowner's Association or other private entity requred? If yes,please submit with this application. Interior Lot ❑ Corner Lot 9 ❑Dumpster or storage tank enclosure Tre Protection: P NO. Applicant certifies that no trees will be removed for the installation of this fence. ❑ YES. Removal of Protected Trees will be required for this fence TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. PLEASE PROVIDE TWO(2)COPIES OF APPLICATION AND HE FOLLOWING REQUIRED INFORMATION: 1. Attach copy of property survey showing location,height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements witout written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) 2. Provide completed Owner's Authorization Form if applicant is ther than property owner. 8 I hereby certify that all information provided with this application is correct. Signature of Owner: Date: Signature of Contractor: Date: Address and contact information of person to receive all correspond nee regarding this application (please print): Name: „d,PAo >/ Mailing Address: �S Phone: �'��? !o f P' Fax: E-Mail: 9 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)2 7-5845 • http://www.ei.atiantic-beach.f.us Page 1 a Revised 1/14/03 i j OWNER'S AUTHORIZATI ON FOR AGENT is hereby authorized to act on behalf of the owner(s) of those lands described within the attached application, and as described in the attached deed or other such proof of ownership as may be required, in applying to the City of Atlantic Beach, Florida, for an a application related to a Development Permit or other action pursuant to a: ❑ Zoning Variance Appeal ❑ Use-by-Exception EjFence or Pool Permit ❑ Rezoning El Sign Permit ❑ Plat or Replat Other i BY: Signature of Owner Print Name Signature of Owner Print Name Telephone Number State of Florida County of Duval Signed and sworn before me on this day c f,2002. By Identification verified: Oath sworn: Yes No otary Signature y Commission expires: 1 I II 1 MAP SHOWING BOUNDARY SURVoEYd OFES 60 AND 60A, FLOLO T 31, BLOCK 6, ROYAL TOYHE CURRENT PUBLIC RECORDS OFE OVAL COUNTY, FLORIDA. CERTIFIED TO SANDRA PHILLIPS COUNTRYWIDE HOME LOANS, INC. STEWART TITLE OF JACKSONVILLE, INC. WATSON & OSBORNE TITLE SERVICES, INC. 20' RIGHT OF 4Y DRAINAGE AND UTI ITIES I S 85'20'02" E 80.65' (PLAT) S 8519"22" E 80.75' (CALCULATED) NO 112. IRON PIPE O.S' NO 10 NTIFlCATION ae, 5 D 0.5' RANAGND E A71UTIES EASEI�NT X -- STAMM"wlloti u 470Y 0.3' as w1IUIEs oDRtN:It � LOT 31 0 F BLOCK W d W Q 1.7 � 28.4' 3.1' 15.2' 0.3' 1000 8 • 00 o LOT 32 as M .t; ..:•-•, ONE TORY LOT 30 BLOCK 8 " �+= 't'' �' MAS NRY BLOCK 6 W POSTE # 885 3 3 t y., • ..; caVon In Ol 28.4''%�i•:,i•: tY 15.4' ENTRY 25 HANG RESTRICTION UNE O V1 4=t r'r Zp,►i r ch Q �IuutUC N I N6R0'OE'E W%h app#C* l6 I wS1 put) +;r.:::r a &W Other focal land ,r3r E ;.,...�.;, 9.46'tNEAaurp) o.w ;.,,. •, ___._.___.._ X 0but does Rot aomltltute PONT Or CURVAIUIIE SET I,= M >oAt e Mal l�ildand wINi �ppl�le+aa N 85'24"35" W 80. 6' (ME ofC*J of c N 85'20'02" W 80. 5' (PLA memo )w to on of a SAILFISH RIVE (60.0' NIGHT OF AY) �II 1 NOTES: ACCEPTED BY: LEGEND: R - RADIUS —X— FENCE L w UENM :+ CONCRETE NOTES: REVISIONS i. BEARINGS ARE BASED ON THE Pt/1T HEARING OF N 04'39'88' E ALONG THE A i CITY OF ATLANTIC BEACH 800 SEMINO E ROAD ATLANTIC BEACH FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027230 Date 11/10/03 Property Address . . . . . . 885 SAILFISH DR Tenant nbr, name . . . . . . INTERIOR DEMOLITION Application description . . . DEMOLITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ PHILLIPS, SANDRA JMC/LODESTAR 58 JEFFERSON AVENUE 1336 MYRTLE AVE . PONTE VEDRA FL 32082 JACKSONVILLE FL 32209 (904) 273-7418 (904) 551-6044 ---------------------------------------------------------------------------- Permit . . . . . . DEMOLITION PER IT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 100 . 00 00 . 00 . 00 . 00 Plan Check Total . 00 00 . 00 . 00 Grand Total 100 . 00 00 . 00 . 00 . 00 d I 8 s BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT I 1E PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TD 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. Y I BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMIN LE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHO LINE 247-5826 �Jr3I�� Application Number 03-00027327 Date 12/09/03 Property Address . . . . . . 885jSAILFISH DR Tenant nbr, name REPLACEMENT WINDOWS Application description . . . RESIE DENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO UPDATED Application valuation . . . . 2400 8 Owner Contractor PHILLIPS, SANDRA LODESTAR CONSTRUCTION COMPANY 885 SAILFISH DRIVE 1257 W. 25TH ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32209 (9 04) 273-7418 ----- ---------- -- ------- ---- -------- --- 1 ------ --- ------ - --- --- - ------- -- -- Permit . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 135 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation 2400 FeesummaryCharged F�aid Credited Due ----------- ------ ---- ----+------ Permit Fee Total 135 . 00 135 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 135 . 00 135 . 00 . 00 . 00 I BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT E 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 IMPRO MENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. (CI BUILDING OFFICIAL S � . CITY OF ATLAN IC BEACH co; �J BUILDING / ZONINGDEPARTMENT Higgins J � 800 Seminole R ad Atlantic Beach,Florii a 32233 (904)247-58 (904)247-5845 Fax PLAN REVIEW COMMENTS /2 Permit Application # -- j7 Property Address: 3 F-S Sic, Applicant: Project: rEpIrit r ImealLA��Irldr , This permit application has been: Approved .. an hlfowin ms need attention: V-6 59 Please re-submit your application when these items have been completed. Reviewed By:-C.AL Date: 1 •3. 03 r �- - V1 . 03 k? x s d: . CITY OF ATLANTIC BEACH PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS, SKYLIGHTS AND GARAGE DOORS OF SINGLE -FAMILY OR TW -FAMILY (DUPLEX) CONSTRUCTION Date: /2/z/0-3 Job Address: JK e>A ,L 6 S N Owner's Name: S At-j-9C,c\ i I C L i PS Address: 5S -P\/G 32022 Phone: 2-x3 -741 T Legal Description: Block Number: CO Lot Numbe : 3 i Zoning District: Contractor: .�N«( L doE<l A2 State License Number: C 4 C O S j Q 2 S- Address: 1$3(o A"9.-1L,6 A-<— ' Phone: 7 0 3 7,5-73 City: State: F2 ip: ;-22a 5 Fax: �- Describe proposed use and work to be done: 9 CSP G PC L-t tic w I &j b(3,0VS Present use of land or building(s): c a C-*+<,A� Valuation of proposed construction: --Z-`(o v •v Is approval of Homeowner's Association or other private enti y required? 00 If yes, please submit with this application. Building Data: Mean Roof Height 2 (ft) Building Width '12 O (ft) Building Length O (ft) Roof Slope *Window Elevation from Grade (ft) Window Height (ft) Window Width 7j (ft) Measurement from corner of building to window D (ft) S S h 4 a sS �N , 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)24,7-5845 - http://www.ei.atiantic-beach.fl.us Page 1 Revised 1/27/03 { Procedure: In order to expedite issuance of permits provide allinformation as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data,the following information is required: 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 prove a wr application is correct Signature of Owner: Date: 12- 2 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 local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the prope . I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting ata have been or shall be provided as required. Signature of Contractor: Date: j 2-1110 Address and contact i mation of person to receive all correspond nce regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this O�/��- day of G;�4 C2w� ,20 State of Florida,County of Duval Notary's Sign ture: aLav�_�,o MAUREM IQNG MY COMMISSION li DD 095060 ❑ Personally known r•. EXPIRES:March 31,2006 [T Produced identification sonftd Tt,,,NO"p underwrnera Type of identification produced FO L M b;LS- 432- 0-38 AS TO CONTRACTOR: Sworn to and subscribed before me this dVk day of C;D-4 U-W-A-e / ,2003 State of Florida,County of Duval Notary's Signature: "" h•,, MAUREEN IQNG ❑ ersonall known .. MY COMMISSION#DD 095060 [Produced identification °df EXPIRES;March 31,2006 Type of identification produced (f• X• P�S00lZ i amrded Thm Noury Pwk undw Aere 0 90001,-303 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)24 -5845 • http://www.ci.atiantic-beach.fl.us Page 2 Revised 127/03 Q • AND DESIGN PRESSURE HAS BEEN INSTALLED IN THIS UNIT. N O LASS HAS PREVALENT CHARACTERISTICS SUCH AS BUBBLES, O LIGHT DISCOLORATIONS, BLURS AND HAIRLINE SCRATCHES. � T ESE ARE TO BE EXPECTED AS THEY ARE INHERENT QUALITIES o THAT MEET OR EXCEED ASTM-C1036. K I N CO ItIXED LIGHT GLAZING LTD• 3/32" ANNEALED CLEAR MANUFACTURER OF ALUMINUM WINDOWS AND DOORS 3/8" AIR SPACE 3/32" ANNEALED CLEAR JACKSONVILLE BRANCH Jacksonville, FL 32254 ENT LIGHT GLAZING 904-355-1476 3/32" ANNEALED CLEAR 904-353-0689 3/8" AIR SPACE www.kincowindows.com 3/32" ANNEALED CLEAR WARNING: DESIGN PRESSURE DO NOT PRESSURE WASH WINDOWS. DO NOT USE ANY PETROLEUM- (AS LIMITED By ALL COMPONENTS)BASED PRODUCTS. mi= 350 ■ 11111111111111111111145 . 0 JX05660-001-000 JX05660 M5011 SO023WHANSSBCL M50 WB 36.75X37 .5 1/1 WH CL CL AN SSB DP +30. 0 / -35.0 PSF HE= 36.750 SI= 36.750 CR= 32.875 ST= 32.875 SB= 32.875 SR= 19. 000 JA= 35.625 CP= 18.437 'UT= 32.562 X 16.687 GB= 32.562 X 16.687 SZ= 36.750 X 37 .500 GL= 2.5MM 11/19/2003 13:20:13 JAFROD SEQ:232 - KWCERT Dee 03 03 09: 01a Information Systems 247-5845 p. 1 Cc: CITY OF ATLANTIC BEACH Higgins s r ' BUILDING / ZONING DEPARTMENT 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # �, - �j 13� `7 Property Address: 3 S 'Sco I �! Applicant: 1 Project: a This permit application has been: El Approved a5'00' Reviewed and the following items need attention: :f) —t' t -�d R �1 fit, Q-4 E Please re-submit your application when these item i have been completed. Reviewed By: _ Date: 1 .3- k 1 • HIGH PERFORMANCE H.P. MARK 40 ® ' 2 E FLAN / G 5245 OLD KINGS ROAD P.O. BOX 6429 SINGLE GLAZED JACKSONVILLE, FLORIDA 32236 +"" SINGLE HUNG WINDOW PHONE 904/355-1476 AVAILABLE Bronze. White or Crearn • EXCEEDS F.H.A. Minimum Property Standards • Proven Insulating Glass Design • Block & Tackle Balance System • Snap-In Glazing Bead I ER WINO Interlocking Meeting Rail FINSEAL weatherstripping f i Insulated units manufactured with the Swiggle Seal insulating glass system MARK 50 INSULATING GLASS FEATURES: • 9;16"Insulating harrier comprising of an enclosed air space between wo layers of glass. • Optional colored glass available. • Optional Colonial Muntins available • Automatic Sill Latch Smquile Seal a lmdci mark of Tru-';r-ad Tcchnologic,. Inc. m� yyam Ay f'� b(• 2� A= W n n 1!�! , ^WN P�y ^ A LA W n X eya 1^ F5 p N z Nn nN gg z � WX vAtA � �yrj < m = M €S G. 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M- mne00 -� a G ling z1;.•�fi o 40. � �:1br ii}�. ai y by -IZ0--4 �S N A ni,i biz zi z`ntln z i�nnn �2wiei i.it ii �' df bprl D aX q E .p f3 wm psi > m1�€ o S mG $ Kg A (Zn G1 � f Oi�An mg NO\r5=.� i1ppp mi1nn yg+ wo W N y o J'^ iwiwipw.l.i 'ni.1n.�.1 'n Z t D Ate ? -i2i2irzc xix iiii� �iY•'i�� iif cl�� o L NW Lin.__ 6 n Apo O ch 1 � IJ V`• { 4 CITY OF ATLANTIC BEACH 800 SEMINC ILE ROAD j N ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHOT IE LINE 247-5826 Application Number . . . . . 03 -00027326 Date 12/09/03 Property Address . . . . . 885 SAILFISH DR Tenant nbr, name . . . . . . KITCHEN CABINETS, REPAIRS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO EE UPDATED Application valuation . . . . 2600 Owner Contractor ------- - --- - ----- -- - - - -- --- - -- ----- - - - - --- - --- - - PHILLIPS , SANDRA LODESTAR CONSTRUCTION COMPANY 885 SAILFISH DRIVE 1257 W. 25TH ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32209 (904) 273-7418 ---------- ----------- ---------- -- ---- --------- -- --------- Permit . . . . . . W/W/O BUILDINC PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee 45 . 00 Issue Date . . Valuation . . . . 2600 Fee summary Charged aid Credited Due ---------- ---------- --- -- ---- --- ---- -- - ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total 45 . 00 45 . 00 . 00 . 00 Grand Total 135 . 00 135 . 00 . 00 . 00 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 10 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. BUILDING OFFICIAL Cc: „ !�•Jj CITY OF ATLANT C BEACH BUILDING / ZONING EPARTMENT L. Higgins 800 Seminole R ad j r} Atlantic Beach,Flori 32233 " (904)247-58 I c;3 (904)247-5845 ax PLAN REVIEW COMMENTS Permit Application # C - C)-1(3a& Property Address: 89S cc ►(--is C Applicant: Project: This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: (, Date: (2 -3 - o3 CITY OF ATLAN TIC BEACHFr ' r BUILDING PERMIT APPLICATION (FOR INTERIOR REMODEL) t ry Date: U / 10103 Job Address: Owner of Property: Address: rJ k Telephone: 130-1 Legal Description: Block Number: Lot Numbe : Zoning District: Contractor: M �,, �iF�V2. State License Number: C Ci�, 0 Ste(& S Contractor's Address: Telephone: q09 S-0 (e Oq ( Fax Describe proposed use and work to be done: t tJ�C&t �it 1, 10 S;—W L_L_ Ai Present use of land or building(s): 00— Valuation of proposed construction: n�-_ Z:) 4 o cj 3,C3 New electrical or increase in service? Add plumbing fixtures? 1J O Add fireplace? {J Add heati g/air conditioning? Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please fo low all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor, and two (2) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail,plans must contain the llowing information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required infc rmation in a clear and legible manner. I hereby certify that all information provided with this application is correct Signature of Property Owner: a Date: 2 Q� I hereby certify that I have read and examined this application and knom the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether spt 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 loca rules,regulations,ordinances,or laws in any manner,including the 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)2 7-5845 •http://www.ei.atiantic-beach.fl.us Page 1 Revised 1/15/03 m I governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting d 31a have been or shall be provided as required. Signature of Contractor: 1 Date: 2ci3 Address and contact i f rmation of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of ��G¢A%JaA V ,20 03 State of Florida, County of Duval Notary's Signa ure: 4aw-U14I.— MAUREEN KING ❑ Personally known ' MY COMMISSION#DD 095080 Q' produced identification EXPIRES:March 31,2006 Type of id ntification r BaitledThruNotaryPubHcUMeiwMers YP produce IM PASS P02T AS TO CONTRACTOR: $000 /-1303 Sworn to and subscribed before me this a14L day of c P� ,20 03 State of Florida,County of Duval _ Notary's Signa e: G2AIUiv✓ '!y% MAUREEN KING MY COMMISSION#DD 095080 ❑ Personally known EXPIRES:March 31,2006produced identification ',f°L `,•r Barded Th" Notary Publ c undenvrtters Type of identification produced r # 6zs X32-1�9-• S-U 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)24 -5845 •http://www.ei.atiantic-beach.fl.us Page 2 Revised I/15/03 i ;r y 'I r' CITY OF ATLANTIC H BEA C OWNER/BUILDER AFFIDAVIT Date: Job Address: CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO TF.AT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE- OR TWO FAMILY RESIDENCE OR A FARM OUTBUII,DlNG. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR I ESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEA SE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CON TRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR 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 HAVE LICENSES REQUIRE I BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPEC FIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UIN LICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO ML ST 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 BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE URCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT 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 CONTRACTORS CANNOT BE EMPLO D UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATU NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCE ZTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF D DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSU.A qCE OF AN OWNER-BUILDER PERMIT. PROPERTY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS DA OF 20-. NOTARY PUBLIC MY CC IMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Florida's Const uction Lien Law Protect Yourself aid Your Investment According to Florida law, those who work on our property or provide materials, and are not R%' NTb0ew' - paid-in-full, have a right to enforce their claim for payment against your property. This claim is known as a construction lien. Jeb Bush If your contractor fails to pay subcontractors Or material suppliers or neglects to make other Governor legally required payments, the people who are owed money may look to your property for Kim Binkley-Sayer payment, even if you have paid your contractor in full. Secretary This means if a lien is filed against your property, it could be sold against your will to pay for Customer Contact Center labor, materials or other services which your dontractor may have failed to pay. 1940 North Monroe Street This document explains Florida Statute 713, art 1, as it pertains to home construction and Tallahassee,Florida remodeling, and provides tips on how you can avoid construction liens on your property. 32399-1027 Protecting Yourself If you hire a contractor and the improvements cost more than$2,500, you should know the VOICE following: 850.487.1395 • You may be liable if you pay your contrac or and he then fails to pay his suppliers or FAX contractors. There is a way to protect yo rself:A Release of Lien is a written statement 850.488.8748 that removes your property from the threat of lien. Before you make any payment, be sure you receive this waiver from supplies and subcontractors covering the materials EMAIL used and work performed. CallCenter@ dbpr.state.n.us • Request from the contractor, via certified r registered mail, a list of all subcontractors INTERNET and suppliers who have a contract with the contractor to provide services or materials to www.MyFlorida.com your property. • If your contract calls for partial payments before the work is completed, get a Partial Release of Lien covering all workers and materials used to that point. • Before you make the last payment to yr ur contractor,obtain an affidavit that specifies all unpaid parties who performed labor, services or provided materials to your property. Make sure that your contractor obtains releases from these parties before you make the final payment. • Always file a Notice of Commencement b fore beginning a home construction or remodeling project.The local authority tha issues building permits is required to provide this form.You must record the form with ff a Clerk of the Circuit Court in the county where the property being improved is loca d. Also post a certified copy at the job site. (in lieu of a certified copy, you may post at affidavit stating that a Notice of Commencement has been recorded.Attac i a copy of the Notice of Commencement to the affidavit.) • In addition,the building department is prof ibited from performing the first inspection if the Notice of Commencement is not also fi ed with the building department. You can also supply a notarized statement that the qotice has been filed, with a copy attached. The Notice of Commencement notes the intent to begin improvements, the location of the property, description of the work and the amount of bond (if any). It'also identifies the property owner, contractor, surety, lender and other pertinent information. Failure to record a Notice of Commencement or incorrect information on the Notice could contribute to your having lo pay twice for the same work or materials. Whose Responsibility Is It To Get These Releases? You can stipulate in the agreement with your contractor that he must provide all releases of lien. If it is not a part of the contract, however, or you act as your own co itractor, YOU must get the releases. If you borrow money to pay for the improvements and the lender pays the contractor(s)directly, instruct the lender to get releases before making any payments. If your lender then fails to follow the legal requirements, the lending institution may be responsible to you for any loss. What Can Happen If I Don't Get Releases Of Lien? You will not be able to sell your property unless all outsta ding liens are paid. Sometimes a landowner can even be forced to sell his property to satisfy a lien. Who Can Claim A Lien On My Property? Contractors, laborers, material suppliers, subcontractors d professionals such as architects, landscape architects, interior designers, engineers or land surveyors all have the right to file a claim of lien for work or materials.Always get a release of lien from anyone who does work on your home. Additional Tips On Home Construction • Verify that your contractor is properly licensed. Inform tion regarding licensing can be found below. • If you intend to get financing, consult with your lender Dr an attorney before recording your Notice of Commencement. • Insist that the contractor/remodeler secures a building permit and adheres to all building codes and ordinances. Information All Construction Contracts Should Contain • The contractor's name, address,telephone number ar d contractor's license number. • A precise description of work and materials to be supplied.The contract should specify the grade of construction,flooring and trim materials to be used. Don't accept the phrase"or equivalent'; the contract should specify appliance models and alternat s for models not available. • A beginning date. • A completion date. • A complete list of companies or individuals supplying the contractor with labor or materials. Be sure they are insured so you are protected against theft or damage to their supplies or work. • Financing information and the payment schedule. • All necessary building permits or licenses. • Agreement regarding site clean-up and debris disposa. • All warranty agreements. Ask for explanations and clarifications of legal terms or cor fusing language. Be sure you understand completely what you are signing: Remember, promises are difficult to enforce unless they are in writing. Even for small jobs, have a written contract spelling out the details. Be wary of anyone who says, "We don't need to bother putting it in writing." I i it L 3 I � i f _ �_axe ..�� ._..... d .._.......r.�.._...�.._.,. .,. .._ I } Lowe's Kitchen Renovation PIs, a S MIN. RETURN Book 11505 Rage 2498 ' i pH4NE # 4 NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: oC t( j Address of property being improved: �S h 2Z General description of improvements: i Owner: n r `P Address: P V z Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Address: p� Contractor: L n E s Address: X a Phone No: Fix No: Surety(if any): if A Address: Amount of Bond$ Phone No: Fix No: Name and address of any person making a loan for the construction f the improvements. Name: Address: Phone No: F ix No: Name of person within the State of Vlorida,other than himself;—designated by owner upon whom notices or other documents maybe served: Name: Address: Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2xb),Florida Statues. (Fill in at Owner's option). Name: i (T Address: Phone No: I Irl Fax No: Expiration date of Notice of Commencement(the expiration date is ne(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER mSigned: Date: i z <3 p -. ro Before m is ,,_ _day of m the County ~FatMA o uval, State of Florid�s ersonally ppeare ,� "�m p„ , VyVt ry Public Large, State of Florida,County of Duval. C� ommissio expires: �T='7j1� "`�" i ►�+ Personally Kn n: or Produced Ident fication: rl--o l., L -�p-0 JENNIFER SCHLUETER s. MY COMMISSION#DD 121301 EXPIRES-May 27,2006 a p °" Bonded Thru Nolary Public Underwriters � III i A. �• rr CITY OF ATLANTIC BEACH r r DEMOLITION PERMIrf APPLICATION Date: [ I 1© I Q.3 Job Address: Tr Owner of Property: `D qn (OL Address: $ J fS 2 Telephone: GIOy .273 7C([S Legal Description: Block Number: Lot Number: * 1 Zoning District: Z5-1 Contractor: State License Number: Contractor's Address: ?i " 7t�_ Z 2-0 Telephone: Iq d1-( U 0 LJ(4 Fax: J O S_6it0 _2_ Describ - Describe proposed use and work to be done: Q G-o4o 0 BGG oYLCl�- Al`;7S Present use of land or building(s): 4,__ Is approval of Homeowner's Association or other private entityrequired? If yes, please submit with this application. Will this project involve changes in elevation,site grade or any us of fill material or the removal of any trees? RIO. Applicant certifies that no change in site grade or fi material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. E�rNO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this projecl. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please foll w all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Attach Tree Removal Application if trees are to be removed or relocated. I hereby certify that all information provided with this application is correct.. Signature of owner: o- Date: I hereby certify that I have read and examined this application and know 1he same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local i ules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required 800 Seminole Road •Atlantic E each,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)24'1-5845 -http://www.ei.atlantic-beach.fl.us Page 1 Revised 1114/03 E Signature of Contractor: Date: Address and contract information of person to receive all corresponder ce regarding this application (please print). Name: J Yl cT�� �l► i S Mailing Address: " -A v e— Telephone: 90q 273 7(419 Fax: E-Mail: So tojA(I e oto l I .C Ory, AS TO OWNER: Sworn to and subscribed before me this ' `� �l day of �—'� 20(�. State of Florida,County of Duval Notary's Signat re: JENNIFERSCHLUETER ❑ Personally known ' MY COMMISSION#DO 121301 B—f�roduced identification EXPIRES:May 27,2006 rAers Type of ide tification produced -f--\-/P\, P412. ._78(D-(,49 ' ����, yontledThruNoracyPuDficUnderw �O AS TRACTOR: V—)d Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signa e: ❑ Personally known ❑ Produced identification Type of ide tification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ei.atlantic-beach.fl.us Page 2 Revised 1/14/03 a Licensing Portal -Licensee Details Page 1 of 1 Log On DBPR Home I Oni ne Services Home I Help I Site Map Public Services 10:51:45 AM Search for a Licensee Licensee Details Apply for a License View Application Status Licensee Information Apply to Retake Exam Name: P ORGAN, JACKIE LEWIS (Primary Name) Find Exam Information L DDESTAR CONSTRUCTION COMPANY LL, File a Complaint N me) AB&T Delinquent Invoice Main Address: 1257 WEST 25TH STREET & Activity List Search JACKSONVILLE, Florida 32209 User Services Renew a License License Information Change License Status License Type: Certified General Contractor Rank: C rt General Maintain Account License Number: C C59825 Change My Address Status: P obation, Active View Messages Licensure Date: 0 /07/1998 Change My PIN Expires: 03/31/2004 View Continuing Ed Special Qualifications Effective Date Vie# Term Glossary Bldg Code Core Course Credit OR Online Help View Related License_I-- formation View License_ComWai_t L I Ter ns of Use I Privacy Statement https://www.myfloridalicense.com/licensing/w113.jsp,jsess onid=PE0II0N0BEGHkKj9f... 11/10/2003 u. ss CITY OF ATLANTIC BEACH 800 SEMIN LE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027231 Date 11/10/03 Property Address . . . . . . 885 SAILFISH DR Tenant nbr, name . . . . . . HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -------- ---------------- -------- ---- _ _ FELIX, SANDRA DONS A/C HEATING & APPLIANCE 885 SAILFISH DRIVE P.O. BOX 10206 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32247 ------------ ----------------------------------- Permit . . . . MECHANICAL PER IT Additional desc . . Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged P3.id Credited Due ---- ---- ----- ------ ---- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE T COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROV MENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOL TION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL ry, i a 11z BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLAN IC BEACH ATLANTIC BEACH. FLORWA 32233 APPLICATION FOR MEHANICAL I`'ERi"'1'IIT IMPORTANT-.Aiicant to corn fete a!! items ' sections I, .II, III, and IV. I Street Address: LOCATION OF Intersecting Streets:Between BUILDING Stab-division And IL INDENTIFICATION—To be com feted b all a !i ts. In considnratian of pernut given for doing the worst as described in the above smtement we accordance with the attached Plats and specifications which are abereby Agree to parlbrm said wort in wdinanpa and staodnrdt of cod notice Iisted therein. Part h of and in accordance with the City of Adentie Beach Nattte o Mecitatical �v��� C ==Con,Cootractor PnotName o PM ty �+ r Owner &4AfA 10,4 E l l Signature Of Owner Or Authorized eat - ` ,tc -�s Sion tiro of III. GENERAL LNFn2iw kTIpN Asa tat En nee` A. 7 ofbsumsfltel: B Electric IS O HER CONSTRUCTION a G DONE ON THIS O Oils •-O' _Natural —Central Utility BU[ DING OR SITE? N C? O Oil n qC Other-Specify / 1T4 IF S.GIVE NUMBER OF CONSTRUCTION IV. MECHANICAL EQUIPMENT TO BE NATURE OF WORK INSTALLED O Residential or Corwrtercial (Provide complete list of compoteuU on back of this firma) O Now Building '� Hatt Space Recessed �Ceatrti _Floor � Pxistiog Building Air Coadinoeing: G1 Room Ce RaWaeensaat of existing system 4- Duct System: Materiel�Ju�k/&m, ea Now Inuatlatioa(No sysam previously inAalled) I Awaeu city a' Extatssion or add-on to existing system O Rehigeration O Ottwr- Specify_ O Cooling tower Capacity Q„ - O Fire sprinklers. Number of hce& 'tt O Elevator: Maaliit_Esaaletor (Nur) TRO SPACE FOR OFFICE LSZ ONLY O Gasoline pumps L'Itaunt (Numbs) (Receive) loers (Number)Number) emarta essure vessel rmit A Approved by tate ------_ cretin Fee � LLST ALL E UIPMENT AIR CONDI OMNG AND REFRIGERATION EQUIPMENT Nunnber Unita Description Model Number Ma $ctuatr j Capacity Approving I Oqs A '" z- jz EI8ATING-FURNACES.BOILERS.FIREPLACES Number Units Deeviptga Madel Number Masshaturar Capacity Approving I D T A AMCY ,.t TANMa KS How Macy Nominal Capacity 'Type Liquid Name of saw Aad DierewnsansContained nuiactu No. Approving e i s r. CITY OF x ' 716 OCEAN BOULEVARD P.0.BOX 25 v ATLANTIC BEACH,FLORIDA 32233 "� •� } �.;:� TELEPHONE(904)249-2395 a April 25, 1OBr) tar. Maurice B. Bro;an 3544 Raymur Villa Drive Jacksonville, Florida 32211 RE: Lot 31, Block G, Royal Palm Jnit I : 171249 885 Sailfish Drive, Atlantic Beach, Florida i rl I X4-9` Dear Mr. Brown, We have received complaintt3 re arding the occupancy of your Property, referenced above. Neighbors report that 'the home is being used as a "rooming house". The area in which your property is located is zoned only for sir,gle family use, all occupants must be related by blood, inarriagE, or adoption. Any other use of the premises is illegal. We ase: that you loot: into t e matter and take immediate corrective action if warranted. Should you have questions regarding the proper use of your building please contact the Atlantic Beach Zoning Departirent. Thank yo1 or your coops.=raticn. Si, 'Ce CODE ENFO 'E MT OFFICER Y CITY OF j TL UITIC BEACH cc: fl r CITY OF ATLANj'IC BEACH J j 800 SENUNOL ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00 27233 Date 11/10/03 Property Address . . . . . . 885 SAILFISH DR Tenant nbr, name . . . . . . ELEC INCREASE TO 200AMPS Application description . . . ELECT IC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ PHILLIPS, SANDRA DINOSAUR ELECTRIC INC. 885 SAILFISH DRIVE 156 NORTH RIDGE RD ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073 (904) 389-4413 ---------------------------------------------------------- ------------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc . . INC 200AMPS, IP , 4W, 240V, Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 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 TD COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPRO MENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH s ELECTRICAL PE"T APPLICATION J .. ,I J Date: Property Address: � Owner: ..µ�x-i �? - � r' ,� J � Telephone#: Contractor: Telephone Contractor Address: Fax#: 404-�i79-41e4 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New `' Residence ❑ '`Temp. ❑ New being done on this building ns Old ❑ Commercial ❑ Si Or site,list the building 9- g �" Increase Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALUMMUM -'" Switch or RACE Breaker ac AMPS PH } W VOLT WAY Existing ServiceI L Z 4 RACE Size p 0 AMPS PH W VOL WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN A 30 AMPS —11 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS LJNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf Ea. Sign Miscellaneous d 800 Seminole Road •Atlantic Beac ,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us