Loading...
71 Saratoga Cir (vault) CITY OF ATLANTIC BEACH PERMIT BIDING / ZONING DEPARU IENT APPLICATION # 1;00 Seminole Road == Atlantic Beach,Florida 32233 O I (904)247- 800 ` (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM R I DEPT: PLANNING Property Address* 4 Y BUILDING ( _ PUBLIC WORKS Applicant: h1b 0 N PUBLIC UTILITIES Q1 Y FIRE DEPT. Project: Y PUBLIC SAFETY (no Gh"c, a-o-•f m—p r► rti� N PPROVAL LU U o REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w � Y N D.E.P HIJFSTETLER ¢_ O Y S.J.R.W.M. CARPER _ N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS H FSTETLER APPLICATION ST TUS CIRCLE ONE: SITE BUILDINGDA AP IEWED BY: IT DTE: 1 ST REV PLANNING ® 2ND REV BUILDING' PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV Return this form to the Bifildinp_Department once you ave entered your comments into the AS400. 3 CITY OF ATLANTIC 8 EACH 07- I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 ry OFFICE:(904)247.5826•FAX NO.(904)247-5845 BUILDING-DEPT@COAI US BUILDING PERMIT A PLICATION DUVAL COUNTY .. 1100 71 Saratoga Circle South Atlantic P,nacR, FI. 1233 'S. t!R W K:' .UF3E AF STRt7�TtiHE: q,LEGAL Cl29CHWtIt1N— El NEW BUILDING ❑DEMOLITION Uij jLaT�I_3 BLOCK _+SUB DIVISION iV wTtC tgPA-d '/Il 41a ® [ICONVERTING USE ❑COMMERCIAL D1kY. 0 [1 ACCESSORY BLDG. F1FCE remodel kichen and bath,make addition to laundry room and replace the exterior door ❑REPAIR (3POOL/SPA ❑YES [3 WA [3 OTHER repave and replace sliding glass door move HVAC air handier and build closet ❑MOVE 0 9.NAME: - - 15.COMPANY NAME: 2 NY NAME . Rehab S Tiffany Wilson David and Janice Anaco stems General Contractors,IncIn y 24.LICENSEE NAME: 16.NAME: Hannah addington Tiffany Wilson 10.ADDRESS: cgct 512588 25.STATE OF FLORIDA LICENSE NO.: 1465 Hopkins Creek Lane Neptune Beach,FL 32266 18.ADDRESS- 26.ADDRESS: 12620 Farmmington Court 830-13 AIA North#146 Ponte Vedra 32082 Jcksonviile FL 32246 1 i.OFFICE PHONE: 72.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 11. 0595 2808459 339 719 220 4660 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 8389763 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: daveantico al ahoo com hannah a,)rehabs stems c.com . � tfN7it�"tiulC�4�= . 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 insta lations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be perform ad to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced Nithin six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Welts,Furnaces,Bolters,Heaters,Tanks, Ai Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accur a and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referen ed building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the build Ing official,as required by law. 222 WARNING TOWNER: 222 YOUR FAILURE TO RECORD A NOTICE OF COM ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR ROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND P STED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN INANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN YOUR NOTICE OF COMMENCEMENT. 77-7-71 �Z./D'ZOp7 Sign Date:�2-11 &7 Signe Date: t114sBefore me this 10"day of (&eft7&-,r,,2007 in the county of Befo day o 1� f 2007 in the county of Duval,State of Florida, s personally appeared Duv , rsonally appeared Q VJ d kcD C hedn by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that a atements and declarations are true and accurate. I true nd accurate. J�N S Notary Public at Large,State of L-� County of Du V Not Public at Large,State of�Q]CL(dC�County of ❑Personally Known f ❑F Drsonally Known Produced Identif' 'o ✓ oduced identification-_ ._ Notary Signatur . _ Not Signature: w r` COAG FORM BLDG01:REVISED:12/10/2007 BANDY ALBRITTON � • + Notary Public,State of Florida CNIIIIIIIIII B Commission#DD481576 # My comm.expires Oct.13,2009 NOTICE OF COMME1 TCENffiNT State of F-v-m, 0 A Tax Folio No. County of 1>1k VA-( To Whom It May Concern: ! vements will be made to real property,and in accordance with Section 713 of The undersigned hereby informs you that impro the Florida Statutes,the following infiarmation is stated m this NOTICE OF COMMBNCEMENT. � � Legal.Descxption Property f-' RFs'lock 3 hof being innproved: R'' Address of property being improved: S �+ o 5 �JA t�filAkm� eAc AL 3 AZ 3 3 General description of improvements: re eg-re.,y-b 44L60—VD Owner. Av i� -;r -T&tv r r;{' N �d Address: ! 0 - er k�o �c ee 1A/ N T we 4c'., - aG Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor. ab s4tm ev►eir al Con-ha 3 �q,Q a Address: g U— 1 T�•t t1�1`-'"A TelephoneNo.: EA 6-9 FaxNo: 9 1 Surly(if any) Amount of Bond S Address: Telephone No: Fax No:— Doe#2007381110,OR BK 14304 Page 2434, a loan for the construction of the Number Pages:1 Name and address of any Person making Filed&Recorded 12/11/2007 at 10:21 AM, Name: JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Address: RECORDING$10.00 Phone No: Fax No: —--- _---- -- - ---- —. _- —-- Name of person within the State of Florida,other than himself,dempate d by owner upon whom notices or other documents may be served: Name- Address: Telephone No: Fax No.• _ In addition to himself owner designates the following person to receive a cosy of the Lienor's Notice as Provided in Section l 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER signed: Date: l2-/D �• 6D I�ATIIpl11AMp0` Before me this. day of r in the County of Duval,State IdN132h, tM1Nr^Ma stIMM ifl.AiwM Of Florida,haspem may appeared IIr01 M EMM �l1x Notary Public at of Mort cool c��}uval. 4yI�NItIMtNi I!00F My commission ergs of 7J I j or t�lilbiliwwMNrMrINM� Personally Known• Produced MMHBCB@ on: CEYY OF ATLANTIC BEACH PERMIT B1111DYNG 1 ZONING DEPARNT APPLICATION# ' 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 v (904)247-5845 Fax >� �• �� � www.coab.us DEC 1 '1007 APPLICATION TRACKING FORM BY REQUIRED DEPT: N PLANNING Property Address: 71 Z z Y At BUILDING N PUBLIC WORKS ApplicuIt: ( N . PUBLIC UTILITIES Y FIRE DEPT. Project: Y PUBLIC SAFETY C no ch"c, +-F�rt e W PROVAL 00 REQUIRED AGENCY: RE CEIVED BY: INITIAL DATE Lu_� Y N D.E.P H FSTE fLER ¢� �0 Y N S.J.RW.M. ARPER _� Y N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS H IFSTETLER APPLICATION ST kTUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: DATE 1ST REV a P Z PLANNING ® ® 2ND REV Q ®' BUILDING PUBUCWWORY,$ PUBL6. a ES FIRE DEPT. PUBLIC SAFETY ® 3RD REV 10 1 AkolhIm thi%form to the Buiildina Denartrnent once van ve entered vmnr comments into the AS400. Public Utilities —Distribution & Collection Initials: Date: 2 I/ gjF/;yOptE74 All 7&W15A1*.4-re L'97 Project Name/Address: 7� �/�• Application/Permit# 7777777771 Check�,ox A�Plicaton Trckin Baa g,C�mm� s comment Avoid damage to underground water/sewer utilities. Verify vertical and horizontal7- ❑ location of utilities. Hand dig if necessary. If field coordin tion is needed, call 5834. Ensure all meter boxes, sewer cleanouts and valve covers a,c set to grade and visible. ❑ A sewer cleanout must be installed at the property line. Cleanout must be covered with ❑ an RTI concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Back ow preventer must be tested ❑ by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans chang a, any fire line installed must be metered with a Sensus touch-read meter in a properly si Led vault and an appropriate ❑ backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clernons at 247-5839 for backflow ❑ requirements. At a minimum,will require double check b ickflow preventer. Fire lines must be metered with a Sensus touch-read mete . Meters larger than 2"must ❑ be installed in a vault as noted in JEA specifications. Cl F:\P1anReviewComments-PU.doc �an � Fo- od. � V U � � � '7 Ho �; *� 0 w o 0 'a t� �a .c o 8 O.:t� O 04 �j M � O N O M OW 0. qw cn w w a a oo � T Uce c U A4 .b ° O ce 0 a deo z z y o0 mg A A � N .O � 0 O M O ict � goj cd y GO O A au v ca ' � � O p �� ri IT vi N M 'I, vi "o lh 00 O� r~-. .N, •o° U d pQ as 0 a n w a� O 0 0 a q o � '. 0 . V W A W ani � U it rA rte+ �i p V a3 •�, � a0 S CA U5 V U � ° oo A a y a� a 0 o ° w 0 to W b o �I o .� �, (iy S S ° o ° ° °a d � rnWv� U C7 UrrnC OQ � p4Z � v� � � � 3 �4aUp4 N M � vi 110 [- 00 � O r" .- .-+ w QI I" .-� al tV M c} � �O l- 00 01 � -- ,N, cn U U A a Q� a k -+ N � w y a N cn � H N a O � I cd cn WA � � r�+ n v � w 0 sC V1 H cv �" O CO Q. � C ami v r O � '" � admcnUa; w � ap3 Hwr� UU � � aA � � � � � c� N M � h � t— V N M V') �o t— 00 (0� .4 7U .a o C) 40. O O O � 4 v� W N W O � Cid U � � •� M 0 H 'b cq ed � N 3 0 .0 Q. 0. o C Cd 4 .2 cc a, > ° -c vi w W ° U U ° `� � 0 � a oo U � W v� -C3 _`i' O o CA s., dip N O 3 t" N tp O dQ 'Z "C .� x W y ce > H 'd a� b e o0 U N d L � v cli Poo +o �' — a� 0 b d 44 �� � a � y b 0 rr•.�� N N ce G pw O W � .c ° Z O 00 0 10 Z W N "Cl N - y N� 4.+�. Q Cd kzl � � o H 4 .- U E-+ U MAP' SHOWLVG BO U La � SU.�� �� LOT /.3 BLOCK AS SHOWN ON MAP OF AS RECORDED IN PLAT- BOOKPAGES �3 THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CER TIFIED FOR: �• 7-17-4 C CLrL- 17E ,,P4C-) �l P,..4 7-0(�;,4 CIA CJ'OU741 Z Q2 A Z3 43 " 6000 a o o.Q 0"O 0' o 3 ' ti a. CQ ----------------- (1) �-f7Zp rt c� s 4 �rl �< 7 Co r 47 0 ' CJ/vin r�vm \Q) 00 o•� ' / 2, t!h - -- � &9p �� , z S"� • / moo• oo - NOT VALID UNLESS EMBOSSED WITH SEAL OF THE UNDERSIGNED. BEARINGS BASED ON R UNE AS SHO THF PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE X AS SCALED FROM FLOOD Q L) H A Qac z �° IJ W WwwQz� i,z ow xx >Q w0 O F z v z� O PQ LL Q 0 5r aZ a x aW2x1p LU Ogg hN �g : � y�� 50 W90 ga g W p a aa€ g " gsa d : " 9 a� � � O o b g b• � V 8 !v1 as ITn3d w 4 - 116 a� .81 91,11 " Z R x x ia� 3 �3a R�> O 191 < any �fp � a � s � a jjixf �. Vx s Xjq �� 011 U as LIJ y W n. Cie c N R ; LU z viol .1 13 :1164 IN : �a �� �� " lie Ig tv 3 N 03 ds�w - Iii III 1i 11 Zif: " � � Id gig x�� ��` �� � �� m �� W lt 1 9 1 I `1Mg1 1. 8 �g 118 Xgs 'Nil ti11I Y5e y¢ n i gb w n s Y� i �b 3 � Sq �W dE 3io `r N W a j a g s 99 Y RE a � as a Red � a e �' � @ A>�_ dee a € �� a aag "a � $ gg a le 161611 OW111 �i G @ @ s€ s�■Alii aii Id3 "'� wq 4 a � Qa� 9 .� .� .3 Bu�N :��� t �g s6e"foo �a� aid sao < s a�a���a� a �aa�i�aa " a > > � a � Q a W �e e$ a 43 4 a@ B g ,Y � � aaa� �` a 1111 a � � g ads � � anis"a �3M m �g g I ig6 S16 a1 1-11119111h§ 1 � a � MUM������ S�ffCQ �� ��3�s�°ss�� � gg�g����g a���� Q §§M—m.f9® 9m69A K!u � � 5id � spa �b o� a oaa 6 f "�Wsgdg"99.960 _411_€A h, ) [§ (\) § �\ . � d� � §)\ ��/\ } � } } � � } } } � � � � � \ \\z N ouj AH 2 \ /� /7!\ `�$ $ \ } � � � � } } } � ��� � §§ 06 z x � / \\x �� m� ��# | . �\ �x �) � �` �|` § | � | ) /! 3 L J 0 Q A Ong HIM 115 o "z --------A-7- t ..nj.. I w opt I Its, A, h It Rig a AR HIM= 4 f 1 "W4 14 7j z < i Y U Z :3 Lci � wQz Z,4 y C7_V UJ Mz 0 3s Ig C13 0 fs -10-4 10 10++ o (( 10 -------------- Vil P Igo 'n 21 R11 e N11oz e, OAS LIJ go L CITY OF ATLANTIC BEACH[ PERMIT APPLICATION# a BUILDING/ZONING DEPARTIVEFNT r' 800 Seminole Road J x:=•- = Atlantic Beach,Florida 32233iwLo „ (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQUIRED DEPT: N PLANNING Property Address: 71 re I �' Z Y N BUILDING PU Y N BLIC WORKS Applicant: N . PUBLIC UTILITIES --I-r/) .-��� Y ARE DEPT. Project: t t� Y PUBLIC SAFETY C nv ct"c, 4-o-ftc+p r;rtt) PPROVAL REQUIRED AGENCY: CEA/ED BY: INITIAL: DATE wC Y N D.E.P H FSTETLER d Y N S.J.RW.M. CARPER y Y N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HI JFSTETLER APPLICATION STikTUS _ CIRCLE ONE SITE BUILDING DA AP BY: INITIAL DATE ® Q 1 ST REV PLANNING ® ® 2ND REV ® 0 BUILDING PUBLIG WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV itetnrn thin form to the Building IDenartment once von have entered vomer comments into the AS400. rsr CITY OF ATLANTIC EACH 07- -LL-LLJ -1 r �`' Imo SEMINOLE ROAD,ATLANTIC I EACH,FL 32233 OFFICE:(904)247-5826•FAX N -:l )247.5&t5 Bl11tJ1fNG DEPWo us DUVAL COUNTY BUILDING PERMIT A 3PUCATION uNOER RoaF 2.Y TION OF WORK: ,' 1.JOB ADDRESS: 11 QO 71 Saratoga Circle South Atlantic Beach, FL 32233 8 USE QF STRUC TURF: 4.LEG DES 5.C OF WORK: �//_ t O N BUILDING E�=N LOT f 3 BLOCK SUB DIVISION 4�N5t J�'C'�Cln wt lff} ® Cl RTING USE f�COMMERCIAL 7.DESGRtPTK3NOFWORK: ® O SORY SLOG-remodal Wciren and bath,make aourew w letmdry roan and replace the e>tterlor door ❑RE AIR ❑ SPA ❑VES ❑WA remove and replace sliding glass door nave HVAC air handler and build ClosetMO E ❑OTHER C A ARCf�f7C-GTIENii1N�R: fRTY Q'. 23.COMPANY NAME: 9.NAME: 15.COMPANY NAME: Rehab Systems General Contractors,It Tiffany Wilson David and Janice Antico 24.LICENSEE NAME: Is.NAME: Hannah addIhhgton Titany Wilson 10.ADDRESS: cgci 512588 25.STATE OF FLORIDA LICENSE NO.: 1465 Hopkins Creek Lane 26,ADDRESS:Beach,FL 32266 18.ADDRESS: 12620 Famumnglon Court 830-13 At A North#146 Pont 3 Vedra 32082 Jcksonvilie FL 32246 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.F NO.: 27.OFFICE PHONE- 2808459 HONE- 28.FAX NO-: 246 0555 280 8459 13399719 2204660 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 838 9763 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: daveantica cry ahoa.com hannah Wrehabs stem c.com F BONDING Cain ANY. moRraAt�LENDER: Ol orHER l"MQWN 35.NAME: 31.NAME: 33.NAME: 36.ADDRESS: 32.ADDRESS: 34.ADDRESS: Application is hereby made to obtain a permit to do the work and Inst lotions as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work Will be perforr ied to meet the standards of all laws regulating Construction in this jurisdiction. This permit becomes null and void if work is not commenced within 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 comrr enced. I understand that separate permits must be secured'for Electrical Work,Plumbing,Weft,Furnaces,Sollars,Heaters,Tanks, A r Conditioners,OW. OWNER'S AFFIDAVIT-1 certify that all the foregoing information is occur to and that all work will be done in compliance with all applicable laws regulating construction and zoning.i will not occupy or use the reform Ded building or any part therof,until all inspections are finaled and prim to obtaining a certificate of occupancy or completion Issued by the bull Ing official,as required by law. 222 WARNING TO WNER: 222 YOUR FAILURE TO RECORD A NOTICE OF COM ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR ROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND P ST ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDI G YOUR NOTICE OF COMMENCEMENT. vwNER or ANEW CQNTRACTOR (0 Agent or Agency Letter Retpired) (01.111111far fhtly) 4 Date- /2-fD-ZoD7 s� vete:����1.±-�-7 sem ' / r�'�,�f �,I ) e' r,ty Before me this L--day of (gym POr.2007 in the county a Fie me 1s / r day b 2007 Irl ine cou of Duval,State of Florida, s pers"11Y appeared D ,St sonaNy appeared Qtlj EGD herin by himself/herself and affirms that all statements and declarations are her by himself i herself and affirms that te11n8IN5 and dedaratiorns are true and accurate. �-)�;� / tru and accurate. Notary Public at Large,State of -4- County of DU V No Public at Large,State of nW of pJtl�V S� _ [3ow Personally Whom 1 ❑ ersanaily rrbfkaton- �\ oProduced ldentfb ✓._ .. .---- _ ---------__-_--- Notary Signatur No ry Signature: COAs FORM BLDGot:REVISED:12/10/2007 MOM tEl1ANs 41�r MMmY ALBRRTM we flrwwrt �nrttr � 'i No" , Of I da C nl• JOSL CofRFI"onilDW15T6 r11htM6TlhFonrF *coatm,a Od 13,2009 j p 10 M v Q', 0 �•�• V > ITI � ago y o o ff CD 0 -� p- ID �-* CD CD EL v' 0CD eD CL 00 c o 10CD `� cin p CUQ 0. a � d d " - o CD� fo C n W o �. (21 tz n O � d b C CD ago I in. C "c W O 10CD CD W l CD O i' Q CL Ate'+ = N ~] O 0 fb y � fb i eo N N � cr � � O CD C O .�. p C. C � d n � w --1 O� cn A w N n cD CD 0� �?�?-O � po 0 O . OOQp• , 00IM h V � UDQ U04 `r3 CD 'S ODq a� .* O "� 0 O C C' rio r-L 0• 'r3 .-, M ',:.h O CD v, p " O (D p '� '� cD `�p r- M �. UR OQ CD m N 0 A grA 0 0 to O W. C 0 � � n CD ¢' CDD O p CD 3. 0 0 m n ". Q.. 0. 0 °o ss. CDC r to 0 to R y A r t O A to � ;sJ CEJ n a+ 00 J ON to w N n 14 -, y �. c� arc sv a' o 0 �- CD ti ~ cc m p co �+ 5 C m C A "t � A � O . a H � N r 0 H A CD eb CD r r � p p A N � ON A CD CCD a 0 (�� >. O (CD `Jy' C) (D � CD tj O ►� O 0 r 0 �. o p' 0 : 4 a N� �* wr a a -1 p' 90 0 Z a o °� cr moo r . .CD CD cr CD CD 0 -1 Q 0 > " CDD ('DD cr Q � a0 CD ' O UQ � N W "� CD CND ((DD �. W C O Cy/1 x � C' 0 z > 0 o � � CD , � tj o O O CCD 0 03 ' CD 0' =. 0. w 0 0 �' CCD 0 o w CD A a c 10 � P) o 0 w CD "� per' a cD 0' a H 0 (D 0 y CD 0 C .7 cn P CD• "T . a. � CD cD O G p C of C �� ON CD O cr CD • N O .coi 0 -NP ¢ 5. cr (CD O cr Q" ►� C O O cD W C 0 `" O. y Q. 0 CD 0CD 5p 102. y '0 CSD p CD cr � p. C C O A. cD •-* � y. MAP SHOWING ISG UI C1-J? �'U�� 0� LOT /.3 BLOCK AS sHoWN ON MAP OF T e4 0 AS RECORDED IN PLAT BOOKPAGES 13 CF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA t�.�t3 L..�—- �F P,c.�a•v.,��� �K1 3 r�-- �,e Z(�4�; �.�lC-, �I•'���,4'e T CER PRED FOR: til sA -1(- C L'Li L- (7 ifLl C-) 7-0(;,4 (fiAecL E C,POU71-1 Sze o Top3� - s. �8� z3 •�3 „ p c. 0T a o_ p_¢ c o0. 5 0 GQ m � lD 37 0' /4 r I K N ra 7 0 4'- ----- Cfl5 ° "tA / moo oo � NOT VAUD UNLESS EMBOSSED WITH SEAL OF THE UNDERSIGNED. BEARINGS BASED ON R. UNE AS SHO THF PROPERTY SHOWN HEREON APPFAR.S D TO LIE WITHIN FL HAZARD ZONE X AS SCALED FROM FLOOD - r ,.,,. .,.„ /7 -P, 9 fizz,P40 O U c�0 Z F wp z62 U� r z� �O OU, 5 � z c7vpw x5 Mp O fx F ° Z Q F �` Ep :zz o ° i a1 W a 'S51 a s -4 w a Y 19 _ a Hi £eyes Ja $ - a a � p m Lu 3alo ho jig g$ z U Iii 5 r a4 W-1 J1,9 a SNxte i at HN LU Baga a� w $ $ � O o � Ips ill ��� �� � 6 6 : Z � OP lig $ � � i1j@ g i �9a e 'ixX8, D E ear '— Q y ' k'� ' •'Y tn a 611i ;-agj oda f ly"aPa LLJspaT1 9 S�GGeQ�: a ��gY&.fig n 6 CY— CL ii-hi LU fif 1k1 ; w # 6��ff 3a g# 1�e �y J Q/ a IP Y�g 3 5igeIN 15 w & �qa y g �5 99 " O z $ami bn Wn �i`: f ,i1 Y9 � $ m n e �� p8 �L11 i n11 5�5 � l 1e 1l R 1111 Ix 1 u., gw5i 519 3 i_ N 15 art a $ a k.�§ � Y� 9 � .4111a a�= @gk ad �aNz9 @ @� §Ua .. _Rag aM, � o 0 Q aaa � a aaaN @ � �Y�a V a.aa� � gQy� a m d Mo ik X11111 IRASHI § ,110WIRI � A & � a � � W� �r @ 3a saa g9 s a_ZZ. CD I Q a �} .f7<. 4® �� �m 3a3 �sed��a3 � $�a $ € � osdoaoo w W�WWS r � : 8� : a�de��jgg ¢ Ilt��@@ [S b{!(fH -f4w 3iY S43E3 46< < C r 4 wo A 00 23 lie 19 N RR kill Hill I RE, be i Ti-; 11 Y§P 0 u uj 0 10, -Q Q 6, z 9z C') LLJ un, o�xF X09 rLU �z 15 zi LLJ z iK z LIJ IDC101 LU ct is' X, w Z�! 0j: it 0 rZ LU U- 1A LU LIJ W, z T.= rT-m Z UNDO" oil old zid zTw- lot: KIM p WNas , fj WTI gel I ,L l- mv 0 R� it, 1 1 ply " oil JH 0 PZH M goal i1Z.- 46 U6 Nz� O�z Lo uj WUJ O Mz G5 cio 1Nk..10 10++ 0 ZA Ali 4 1 j '��---------------- 1 Ld il0 1®R CITY OF ATLANTIC BEACH PERMIT P►IJ7LD][NG I ZONING DEPARTIV EENT APPLICATION#- s' 800 Seminole Road La:L I .ww� Atlantic Beach,Florida 32233 r (904)247-5800 � +' , �JFS1� (904)247-5845 Fax .� www.coab.us UE APPLICATION TRACKING FORM REQUIRED DEPT: �` N PLANNING Property Address: Y Id BUILDING Y N PUBLIC WORKS Applicant: b N PUBLIC UTILITIES Y FIRE DEPT. Project; t� Y PUBLIC SAFETY co - APPROVAL W 0 REQUIRED AGENCY: REICEIVED BY: INITIAL: DATE uY N D.E.P H FSTETLER ¢ Y N S.J.R.W.M. CARPER old 4 UJ Y ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HI JFSTETLER APPLICATION STONLIS _ CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: w DATE: p ,ST REV ® / 1'5�4 imA3 /O_ lkvuI �� k PLANNING ® ® 2ND REV ® ®' BUI ING P BLIC WO PUB TILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV ® ❑ Re.hirn thin firm tee the Ri ildina Denartcment once vou have entered your com meeuts into the AJSS400. Public Works Plan Revie1v Comments Initials: ( — Date: �� �-Of apet- k17`4" BA7 A li c ationT ermit#: Project Name/Address: A- pp Tuf,f ' FM1 �. t} r• i """�-��j...�� Ti�'fy Jrr' 't-d '�11.:11�.i.i1 ���'j r a�t-tr t .� ^a r �"3 h� re c ."•...:d 'r, ri.. 4L �.IIlII1e 5 9n 9u � qtr P;rsf Lf t htt,Sr srtims `�r� _•. Ir li 9 L'h, +r k _,'4P'NI"tii 3ak-isi 3 r i F�vp, ' .J ii a-C z Icit�` t �' 7,+�rr.{ i�iYiF� s3i T eta T�kfl�T PS r- s.�..l;k����"� �`�N'—�.�`�i�;.� ��^.�.�-•f��"IiFkyff t7�,E, +„Ssdwl j} ,tom`+"l�a�'�`-5j ii, ,.�4k 1� Fm�p ??e.. c i4 i.: cnav'i.. .{.'+�,t,... r,. :.�_ - -- Provide impervious surface calculations. Provide erosion and sediment control plans with installatio'i details and maintenance ' ❑ schedule. ❑ flow arc s, etc.) Provide drainage planssite topography showing ( Provide construction site management plan,including Right—Of--Way Permit if using ❑ right-of-way for construction parking. Provide a pre-construction topographic survey prepared b a Florida Licensed [� Professional Land Surveyor, showing 1' contours. wires on-site storage for Section 24-66(b) of the Land Development Regulations r q increased runoff. Provide Delta volume calculations andon-site retention required per ❑ Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topogra'hic survey documenting proper construction will be required. ❑ A Right-of-Way Permit must be obtained. ❑ A Revocable Encroachment Permit must be obtained for Pool-Welipoint(if used)must discharge into vegetated: area 10' minimum from street ❑ or drainage feature (swale or structure) All driveway aprons must be concrete, 5 inches thick,4000 psi,with b ermefrom in e ❑ edge of the pavement to the property line.Reinforcing ds or mesh no the ROW (Commercial driveways-6"thick). Any utility cuts in the road must be repaired using C07 Standard Detail Case X and must be overlaid 10 feet in each direction from�the center of he cut. Repair must be shown on the plans. `T CITY OF ATLANTIC EACH Q7- J Boo SEMINOLE ROAD,ATLANTIC H,FL 32233 rt=, OFFICE:(904)247-5826•FAX :(904)247-5845 a BUILDING-DEPT'OCO US s ��t=` BUILDfNG PERMIT PLICATION OLIVAE COUNTY I-, TKX7 OF WORK. $$O.Fr.UNDER HOOF t.ros Ar)DFtEss: , 71 Saratoga Circle south Atlantic Beach, FL 32233 4,LEGAL DESCRIPTION: 5.CLL OF WOWX: S.USE OF STRUCTURE: ,{y�� / �t / ❑N BUILDING ❑DEMOLITION LOT t 3 BLOCK SUBDIVISION 4�A(T C. &gG4C" Y111h `� ® 13 CONVERTING USE ❑COMMERCIAL 7.DESCfPxION OP WORK: ® ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: remodel kidtat and bah,make additlon lamely room and re0—the exterior door ❑RE ❑POOL!SPA ❑YES ❑NIA remove and replace eliding glass door move HVAC air hamar and txdW dote[ CON7R ❑MO E El OTHER 'ABC tEN(31NEER: 9.NAME: 15.COMPANY NAME: - 23.COMPANY NAME: Rehab Systems General Contractors.l Tiffany Wilson David and J.*!,"- 16,NAME: 24.LICENSEE NAME: Hannah addin9wn Tifiany Wilson 10.ADDRESS: cgc1512588 25.STATE FLORIDA LICENSE NO.: 1465 Hopkins Creek Lane 18.ADDRm 26.ADDRESS: Neptune Beach,FL 32266 12620 Fammington Court 830-13 AIA North#146 Pont Vedra 32082 Jcksonville FL 32246 11.OFFICE PHONE: t2 FAX NO.: t9.OFFICE PHONE 20.F NO.: 27.OFFICE PHONE: 28.FAX NO.: 2460595 280 6456 13393719 2204660 13.CELL PHONE: 21.GELL PHONE: 29.CELL PHONE: t4.EMAIL ADDRESS: 2 22. 979763EMAIL ADDRESS: 30.EMAIL ADDRESS: 2. daveantico ahoo.eom hannah a)rehabs stem c.com FEE P BONDING COM Y: MORTGAGE LENDER: OF OTHER fNAN'OWr rt) 3t.NAME: 33.NAME: 35.NAME:..... 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and inst,illations; as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be perionj led to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months,or if construction or wank is suspended or abandoned for a period of six (6) months at any time after work is comm 3med. I understand that separate permits must be secured for Electrical Work,Plumbing,Wells,Fumaces,Boners,Nesters,Tanks. A r Condf kwm,1,etc. OWNER'S AFFIDAVIT-1 certify that all the foregoing information is accurg to and that all work will be done in compliance with all applicable laws regulating construction and zoning.I will not occupy or use the referen ced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the bui n9 official,as required by law. 222 WARNING TO WNER: 222 YOUR FAILURE TO RECORD A NOTICE OF COM ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR ROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND P STED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN INANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDI YOUR NOTICE OF COMMENCEMENT. OWNER or AGM WWRACTOR (n Agent y or Agee Letter Required) fthta)W-Only T *� Date: iz-t&-ZO07 sig :_ Date: / —r Before mqthil �ft of a t7b0 -.2007 in the county of a me s 1 � day o ,�� (2007 in the county of Duval,State of Florida, s personally appeared D ,St = rsorrally appeared -Davjd `Co hetin by himself t herself acid affirms that all statements and dedarafions are he by Nmsed t herself and affirms dud tenants and declarations are true and accurate. true 3nd accurate. ,.y�� Notary Public at Large,State ofi� County of Pu V Not Public at Large.State of County of p'^y(Off! ❑Personally Known �A�- - COA8 ❑ ersonally Known �r�s t j t.'{i I i ice• ( Produced wentif- jIdenlikadon- V►-- ----- ...--------Notary Signatur . No ry Signature:FORM BLD001:REVISED:12/10/2007 W �_-_• Now wlwls- .�aMir L A& MWYALBRi a+ • Mratlwwrn VIII Nomry PWk State of Ponta M Commission#DD481576 Ifiwletitleoupl My mm won Oct.13,2009 MAP SHOWING BOU�i rLxiRT SURVEY OF LOT /i BLOCK AS SHOWN ON MAP OF o AS RECORDED IN PLAT BOOKPAGES �3 F THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED FOR:^' �.. r , Cia,� ^ .,.ter,a�� d G - aT°^ r C COIL -034 C) c.,POU Qom. z— �''3 - 23 '43 -1Q, s �8 T = ti' o o.a' i m CS3 O aR a � --- % cA ti / z \T /a t o a NOT VAUD UNLESS EMBOSSED WITH SEAL OF THE UNDERSIGNED. BEARINGS BASED ON R LINE AS SHO THF PROPERTY SHOWN HEREON APPFAR.S TO LIE WITHIN FLOW HAZARD ZONEx AS SCALED FROM FLOOD M F C d U 1- 4 V V �` U' $ W UU �� Qz �z FEzaxX0 4 4-0 zz z Cl a ED <u oa 3 dad _ R 41 as c t_ ar a $ off a „ F2 as � � s aLL Ng M6o 3a Y az U 1, G a\ ^€a ter $ Hip W W a a a� eR b o a : a d• �:ry �$ =a 0 46 0 o a { a SO1111; Y ash ass U SEs a dad ex. E#a e �" gCL Sb 2gY fie LLJ Z � a N ����a�� � ? a ;NN'.91 mil iy MRb� S�a�a$ LU c De Cie HM r xg � � � r WIP it Z €�a eek J yy11 @ q$t �p-8 a � $6g pp9b 8 a o� bld: 3 Cie LLJ Z 3a q; � n phi �Yt �y� �: 111 11 %39 �� �� a g�g m 3e� a g, 33 8 < gg 3 b 3� 'LLI i W.011 fila it 11 SE Se H � � 9 X 1I #1 's 81 1 4 N � � 7 at a a z a j a a � s a and N § � bill V) x 349s89-A,�9 iljnih.-,Ifi da 5a "so 469.0 Oaf '.' aaaaao 1W �5aaama O W a $ @ g 58 �` b t 8 - y m a ss a § ffi a `gad# € oda ' w "611-11 s § 919,HM a Q s§§ <� �. 9® ami®m� 3a3 �aad�� $��� § abbe€ os � oao Wd w W S r ad�4 � : �ade������ €21N" .. __hi \ §) (/) ))/ : : � � � � � � � � � —� . Lj 0 u < < z_3 ,o §a m<& /) )! $ . . . � : : . . � R m 2§ \ � � � � � / � : � � � � � ! � ! l ;® l{)§ \A§\; / � � � � . . . . : : [ e Z;l ■ Q| <: 2w / xxx /} 1 \\\ \ §\ l", \\~ j\ 0 / & \\ ` o WIN !'S � 0 -Q�� zz ZCL 0- 0 U 0 HUI CZE Q HR� o 00 ZT; goo lip _j z < fill, fit 0 Nall I '1� U) lin,IF Z IC 21 Lu z z Q < 0 z 0 0 ui iTri- Jz- O o� ..��z O v� � baa HN Val lip 1211 RAM, Nei 1111 it so stool no Aid R 0 Q � ; � � ! 11 ii OR- HIP We ool zf� zw E3 I Cr -4::::10 10++N 1 0 10 i . oil MIN I Cog R Al �ou � o Q. w w o ++ V U Q, cn N a Cd >.. $ W o p ew W ,a � o W o a a IV N y a �+ c H 0 CJO UI.... rA Qr A � C O cd 0 a Q '00'. Z 0 0 �0 r•. o v boa a� o Cd M a tw• a°o 'v �'• a o O ... oEn o 0 o o oC*n 2 o •O•O a��i Q, 0 Q N M V vir3 -i N M V• .o l- w ON N a w 843 v e' 0 a rn vi w a� H O a .? np0 U w L ai e� cid s� 7 •y p � a4-4� vs o° i o co U!lo' 0 ID Q on �. . o o o o73o -ct o PO4 w Qi N M d W) t— 00 O� ^" N M V7 �O t` 00 C� o -- N M fit' V) - U U A 0 a � � N d' moi" 0 c 0 a N N a O ¢ a o n V un w O 0 y � � z cnCd H O " O UU+ � 40, O 0 Cd `i.' ¢• O O O O „�Vq i~ -• 0Un ¢ aa � � xw � p3 Hwa � � � aA3un 'I' vi \O f-- 106 OiIwo U fsl r� > -d U ,0 to Old ate•+ O � O ., � OR O �+ O o w :b .� 0 0.4cd COO) N 3 cd ti-4 -� a a. o Cd a ° Gn ' o i -d cd w cd O U U rn U 4r 0. � " " o c°�C13 U 'b a� Cd -s °' 9:11 o 0 7 b o a `No d A � 3w F+ C)a O a� o .� OPS ' ;3.-. Cd 'n d) 72 a ;3 W ° 0 015 .0 v z z OU � taq Z 't� cd Q O O O ¢, y � s3. a O N D O cd N ,� o H U H U CITY OF ATL A TIC BEACH J 800 SEMINOLE ROAD N� ATLANTIC BEACH FLORIDA 32233 INSPECTION PHO E LINE 247-5826 Application Number . . . . . 03-( 0027346 Date 12/04/03 Property Address . . . . . . 71 . 3 SARATOGA CIR Tenant nbr, name . . . . . . REPL AIR HANDLER Application description . . . MECIANICAL ONLY Property Zoning . . . . . . . TO E UPDATED Application valuation . . . . 0 Owner Contractor -- -------- ----- ----- ---- -- -------------- - ------- ANTICO, DAVID ADMIRAL AIR 71 SARATOGA CIRCLE S . 514 EDGEWOOD AV S ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32205 (904) 908-5252 -------------- - ----- -- ----------------- --- -- ----- -------- --------- ---- ----- Permit MECHANICAL PE ' MIT Additional desc . . Permit Fee . . . . 59 . 00 Plan Check Fee . 00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ---- - ----------- - - --------- --- -- --- - ------ --- - -- --- ----- Permit Fee Total 59 . 00 59 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 59 . 00 59 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NO BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION c fj. Date: � C Owner of Property: �� U 1 t Job Address: G wG Contractor: In consideration of permit given for doing the work as described in t te above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part iereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. III. GENERAL INFORMATION A Typyff heating fuel: B. Electric IS THER CONSTRUCTIOX BEING DONE ON TIES ❑ Gas: _LP Natural _Central Utility B LDING OR SITE?—sN� ❑ Oil ❑ Other–Specify IFS,GIVE NUMBER OF CONSTRUCTION P, T IV. MECHANICAL EQUIPMENT TO BE TURE of WORK INSTALLED Residential or Commercial ❑ Building �ovide complete list of components on k of this form) sting Building V Heat Space Recessed IK.ntd _Floor 9 Replacement of existing system ❑ Air Conditioning: Room Central O New Installation(No system previously installed) Cl Duct System: Material Thickness ❑ Extension or add-on to existing system Maximum capacitycfin ❑ Other-Specify ❑ Refrigeration ❑ Cooling tower: Capacity 9Pm Cl Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: Manlifi_Escalator (Number) ❑ Gasoline pumps (Numb) (Received) ❑ Tanks (Number) Remarks ❑ LPG containers (Number) ❑ Unfired pressure vessel ❑ Boilers Permit Approved by Date ❑ Other–Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving Tons Agency HEATING–FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving BT Agency TANKS How Many, Nominal Capacity Type Liquid Nam of Serial Approving And Dimensions Conthined Manu heturer No. Agency 800 Seminole Road•Atlantic Be ich,Florida 32233-5445 Phone:(904)247-5800•Fax:(904)247-5845 htty://www.cLatlantic-beach.fl.us 1/14/03 ` DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH i i w__ PZRM17 114POF MAT;I OI+ - _� L LCAT I CSN INFORMATION � � POrmit Numb w: ;14082, Ad cess: "71 SARATOGA CIRCLE i Permit TY e:RB-ROOF ATLANTIC'' BEACH, FLORIDA 32233 ciiass o Wo A.,NEW L OAt DESCRIPTION ------ Coxls t r. TT FRAME lock:3 3 .l Tirp, #iopos,ed 0 e:BINdLR IL ' dtian: fl Subd: Rag: 0 "'Dwellin s: f bdi�r sion�ATtiAHTIC BEACH dIL A Est . Val e; "O'.00 Tm rov. co t : 1 ,200 .00 k Total 2 t1lC?Sil a 2 C3. ION A?� PLIGATICN FE B PERMIT 5_.-0 } tAdd E Olt A.. +7 tea"' � �x;�` � Lel Piton P Clavi AAS ORMAT I O ' Sl • PR A 4 } I k NOTES. � : f f t NOTICE'—ALL CQNCRETE FOAMS AND FOOTINGS M ST BE INSPECTED 00-FORE0,01.1�Il1iC3 I PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE k j IILMC3 MATE IAL,RUB CLEARED SH AND_DEBRiS FROM THIS WORK UST NOT BE PLACED iN PURL#C SPAC1r,AND M ST BE EARED UP AN HAULEp SH EIT ER CONTRACTOR C WNER `*FAILURE Q CQ WITH THE MECH NICS- LIEN I W CAN RESU T IW THE PROS QTY C -NE`R""PAYING TWICE OR SU WING AlPROv MEN ." G � LIED ALCOR, NES TO PROVED PLANS WHICH ARE PART F THIS PERMIT AND Sv 841E&Ttd REVCICATI 1 L1ITION OFAA PLICABLE PROVISIONS OF LAW. r #1T ANtIC Hl UiLDING. PAR'TMIENfi � 1 By: I 7 s CITY OF ALANTIC BEACH ROOFING PERMIT JUIPLICATION Owner(s) : /J...ol Address: S C.t Phone '0S Lot # 11L_, Block or Unit # subdivision:All. &L V#114- Contractor: otvAjer Address : S-IgI7I t:- City, City, State and Zip Phone State License # '4 Describe work to be performed: Z Valuation of Proposed Construction:_,' ZGOoo _ Materials to be used: 51-111,16L r4-�cj r s Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information i CITY OF Fe4d - 5&UW4 SOO SEBfIINOLE ROAD -- - -_--_--.__-__. ATLANTIC BEACH, FLORIDA:32233-5445 TELEPHONE 19041 24-,-.-)800 FAX 19041 247-5805 SUNCONI 35'2-5i;OO CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICEN ED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. 1041 MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000,00 OR'..LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU S LL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HI E 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 YO HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR WN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAr PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIR CT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENS D 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 WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE PIOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON HEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228( 1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE. OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACI OR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DIS CLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. r PROPERTY OWNE BUILDER -7 4,4L,- a 't' -7a 1015,S�Y ADDRESSTELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS "TIA OF �,Wllllulll/// \�N YN 4. NOTA Y P BLIC • 1SSlpp�••;�`�S, NOTE: PHRASES UNDERLINED ABOVE MY C MMf SION EXPIRES:EcLU, .•',y� , O��Z ARE EMPHASIZED BY THE BUILDING 'w-VpRY6 cgOf9 • 67 I Z DEPARTMENT. +*• �"`"� i*'� #CC 6194$4 :a h � DATE SERVICE LJ WILL CALL PHONE ��INSTALL ❑ DELIVER a NAM MAKE 4-9 ADDREP _/ r�`ryI 1 T. MODEL 1(^ I A � SERIAL T, ITEM TO BE SE ED NATURE OF SERVICE REQUEST Rj \�. �—OUAN.' bESCRtPT10N ld F PARTS OR MATE IA-a AMOUNT' j I I tc j c P Co I I I � 1 I I � I c.r I t � I I n I ( � I I LABOR PERFORMED TOTAL MATERIAL I TAX TOTAL ^� LABOR I TOTAL AMOUNT DATE WANTED DEPOSIT RECEIVED BY sllsIBLE ATES ARE FOR LABOR ONLY,MATERIAL ADDITIO L.WE WILL NO BER SP FOR LOSS,OR DAMAGE CAUSED BY FIRE,THEFT,TESTING ORAY OTHER CAUSES YOND OUR CONTROL DUPLICATE JOB O O AUTHORIZED BY: jv TSssa TER S - NET CASH NO GOODS ELD OVER 30 DAYS CITY OF ljoa .- Office of € wilding Official 3 ~ Z Permit N --- -- —--- Date._ � -- Time cality Owner's for --- Name — — _ CONCRETE ELECTRICAL PLU BING MECHANICAL BUILDING _ Air Cond. & - Footing oug mng -' Rou Framing - _ _ Heating Re Roofing Slab Temp Pole C1 Top ut - Fire Pace - Lintel Final Sew r Insulation �. � Pre Fab READY FOR INSPECTION Wed. Thur. Friday P.M. Mon. Tues. _ A.M. Inspection Made ---- --� Fir at Inspection 7S k.spector_ - CQ,tificate of Occupancy Date ----------- CITY OF r 4 fit,.C,�-- - C 7ti Office of Building Official � f v riEQUE: T FOR INSPECTION ------- — _ J Permit No. Date _ Time Received r� -- ---�/\ Localit JobAd' dress Owner's -- Name --,— BUILDING CONCRETE ELECTRICAL UMBI G MECHANICAL Air Cond. & Framing Footing Rough Wiring i_! Rough Heating Re Roofing Slab ❑ Temp Pole r Top Out Sewer Fire Place Insulation Lintel C Final ' Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. (:F:rida]y5—RM. A.M. Inspection. Made _ – Final In3pection -.. „p - --- ._ r.cto .— Certificate of Occupancy 1 Date --- DATE PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) H VE BEEN MADE AND ARE SATISFACTORY: C o / ' > - --- ----- � _f --- CSS_ �- ------------- ------ -------------------------------------------------- ------ -------------------------------------------------- . Enclosed are the blue copies of the permits. CER LY,- BUILDING INSPECTION DIVISION cc: FILE 1 i asR- d 0%9885 OEFARTMENT OF 9 11LOINd, CITY OF ATLANTIC I EACH .:. FERt�l T INF't � ION LOG TTON INI 4I�A 'IOI!�I' Imt Nimor: SBSS r r A03A CIR .LI SOU H . Pe ri T) ; E� C ' A' . : LC= ���� `1 FLORIDA. N �r , : If IOJ + Prop�sed i ; $1NOL FAMILY to4i*h SNC:` Codi, Sw �n: NOL F. �B . . 2 4 D " °. RING FOR WELL PUMP ION, VER$ APPLIOAT Jews; W'A #ACt FEE �+ �► ' ` FLOC It oil P A t U y ,:DON DAB H,R«S Name . L CO" n` ' Y INC. CAPITAL :I1! ROVw "O � e . ti , " , r,.. , , «I f. "L'. CROSS. �CONNC I� . . 0 I >,<,..Ar C SEC�N Il�IMCT FEE CON .SURC A.RO � _ r, t�00T5: I � 9 f NOTICE: ALL C +tCRf l'1 FOMS AND FOOTINGS Mt ST t3E twecTED B6FORIE POURING PERMIT VOID SIX MONTHS AF ER DATE OF ISSUE Bt ILRING MATERI L, RUSBI . AN©dE IIS FROM THIS WORK.NI ST NOT BE PLACED 1N PUBLIC SPACE, BE CLFAREt3 UP AN t AULeO,WAY`ICY DITHER CONTRACTOR DRO NEA i ; ` ` AILURE C� y.vV TH THE MECH hl�+�'S LEEN LAW LN: "'# P t3R TY+ PAYING TWICE F R THS'WiLtN N s 1„ SUED ACCORD NG TO APPRQIlEt7 PLANS WHICH ARE PARI` THIS P1 RMIT AND S�BJEC1{TO REUOCATI IrOR if,; N L?F A LtCABLEgPROVt81 S OF LAW. ATI�ANTI BEACH, UIL©INGt,EPARTMEN7' u . ,.. 77 M, CITY OF ATLANTIC EACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH T E ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. A G Lee a ELECTRICAL FIR-M/: ,y MAST ELEC RICIA I URE JOURNEYMAN NAME`` b�t/ 4CAZ�y ADDRESS: s DG/J Cd1z 5t7-RFD-BOX BLDG.SIZE BETWEEN: RES.(e APT.( 1 COMM.( 1 PUBLIC ( ) INDUS. ( ) NEW( ! OLD ( .1-' REW. ( 1 ADDITION ( 1 TRAILER ( 1 TEMP.( 1 SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE( 1 REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV,SIZE O.D AMPS PH JW . d VOLT SZ1 RACEWAY FEEDERS NO. "` SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. I OVER APPLIANCES BELL TRANSF: AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. VER 600 V. NO. KVA NO, lKVA NO.NEON TRANSF. NO. VA. MA. MOI OR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ TOTAL FEES 1 CITY OF ATLANTIC BEACH, FLORIDA .or.e ar APPUCATION VGA ILLCYRICAL * Rmlr TO THIE CHIEF ELECTRICAL IMWECTOR: OATEN 1>l 1 AMATANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBE�qQ_,IN THE FOLLOWING. WE HEREBY AGREE TO PERFORM SAID WORK IN ACCOROA CE WITH THE ATTACHED PLANS AND SPECIFICATIONS WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH , ATLANTIC BEACH ORDINANCES, THE ELECTRICAL REGULATIONSCODES AND CITY OF fQ EL CTRICAL FIM: R I A M MA NAME. j'll ? T I�i1 02.i2 r ADaRE$5:,� 1 � -7-0 �i• T gLQQ.81zE aETw�IE.u1- _ RES. AFT, ( 1 COMM, t l PUBLIC C 1 i S.I I NAW( pa„p �4 REw' ADDITION t 1 { ? TRAILER 11 TEMP- I I SIGNS I ) SQ FT. EFIViC � NEW ASE REP R 1 j FEE DUCTOR SIZE �--D c COPPE CH OR OREAKER 0 r P W S EXIST.SERV.SIZE PH w (YO RACKWAy (�C) FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED 0-80 AMra. OPEN TOTAL SWITCHES 31.100 AMP@: INCANDESCENT FLUORESCENT A M.V, — FIXSD 0.100 AMPf, OVER -• -- AtluANC¢S AliiBELL TRANSF. CONDITIONING H'P' RATING H.P. HATING . MOlOR OTHER MOTOR$ AMPS CEIL HEAT: � KWHEAT . a1 MOTORS H.P. VOLTAGE PKS OVER NO. t N.P. VOLTAGE PHS MISCELLANE U TRANSFORMERS: UNDER 600 V. OVER f3UQ V, NO. ft VA NO. ll(VA NO.NEON TRANSF. NO. VA. MA. EACH SIGN MOTOR SIZE SWITCH FLASHE FORWARQEO TOTAL.FEES CIT OF ATLANTIC BEACH =� 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 1INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building_dept�,coab.us Application Number . . . 08-0000036 Date 1/10/08 Property Address . . . . 71 S SARATOGA CIR Application type description ELEC RIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------- ------------------------------ Application desc WIRING FOR ROOM ADDITION ---------------------------------------------------------------------------- Owner Contractor ------------------------ ----------_------------- ANTICO, DAVID & JANICE MCKINNEY ELECTRIC COMPANY 71 SARATOGA CIRCLE S. 7198 CAMFIELD ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32222 (904) 838-4815 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation 0 Expiration Date . . 7/08/08 --------------------------------------- ------------------------------------ Fee summary Charged laid Credited Due ----------------- ---------- --- ------ ---------- ---------- Permit Fee Total 70 . 00 70 .00 . 00 .00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 .00 70 .00 . 00 . 00 PERMIT'IS APPROVED ONLY IN ACCORDANCE WITH ALL MY OF MANTIC REACH ORDINANCES AND THE FLORIDA BUILDING CODES CITY OF ATLANTIC E EACH _ " 800 SEMINOLE ROAD,ATLANTIC B1-ACH,FL 32233 08 OFFICE:(904)247-5826•FAX NO.(904)247-5845 +' BUILDING-DEPT@COA .US ELECTRICAL 11'aPERMIT ERMIT T P�r:�P,","LIC.. ALrTh,I,O.,, Ns DU%V/AQL<COUNTY OUNTY IT 41,DATE QQfkM . Jh 1 a ❑N / ES PERM eJ / B �Frnyaf„ 4.NAME: "+ 5.ADDRESS IF DIFFER NT FROM JOB ADDRESS: 6.PHONE: 7.NAME OF C ANY: 8.ADDRESS.: �� 9.STATE OF FLORIDA LICE E NO: 10.CELL PHONE: 11.FAX NO.: 12.EMAIL ADDRESS: 13,OFFICE PHONE: s 14. 15.Application is hereby made to obtain a permit to do the work and installati ns as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This perm t becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of s (6)months at anytime after work is commenced. r CONTRACTORS SIGN URE: yy�, m` i , a`r i1 r.,�, p g aI J1„�� ,'R .' ,..m`� w�.. 111 ,',�Y r..,n���§i� .�.��I. SFr'+�rli§II 9:§ r�.n'�f' o� 6+td ”x`•': ❑MULTI FAMILY-#OF UNITS: RESIDENTIAL KNGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR tYALTERATION ❑SIGN 5ktLD ❑NE N ❑'05 NATIONAL ELECTRICAL CODE [54EPAIR ❑POOL/SPA ❑ REWIRE ❑OTHER 411?, a§ 'i"GI qi�,y 1 hili u����lil yi �1 „n k °II 20.TYPE OF SERVICE: OVERHEAD ❑ UNDERGR UND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: 2teo PH:_� W: VOLT: RACEWAY SIZE: 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: — FLU DRESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: L 31-100 AN IPS: OVER 100 AMPS: 28. FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,M LTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: _ 31-100 At IPS: OVER 100 AMPS: 31 SWITCHES 0-30 AMPS 31-100t At IPS: OVER 100 AMPS "nr ' "X3b`.,1 #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: pp COMP. MOTOR HP RATING: u {gyp AMPS: HEAT KW: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 3 ;TRANsF5R ISx 111 a �r UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: u 9'm 1;.„}q .�(j y� ...ED X lP �FA:I$C .7�l, U DESCRIBE IN DETAIL: .4 some, , COAB FORM BLDG02:REVISED:1/8/2008 CITY OF ATLANTIC BEACH 800 SE MOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept2eoab.us Application Number . . . . . 08- 0000005 Date 1/03/08 Property Address . . . . . . 71 Ic SARATOGA CIR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------- ------------------------------------ Application desc INSTALL 6 FIXTURES --------------------------------------- ------------------------------------ Owner Contractor ------------------------ ------------------------ ANTICO, DAVID & JANICE W/W COMPANIES, INC. 71 SARATOGA CIRCLE S. 12130 CHEYENNE TRAIL ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 237-8885 --------------------------------------- ------------------------------------ Permit . . . . . . PLUMBING PERMIT Additional desc . Permit Fee . . . . 77 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/01/08 --------------------------------------- ------------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ----------- ---------- ---------- Permit Fee Total 77 . 00 77 .00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 77 . 00 77 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF TLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 4 CITY OF ATLANTIC BEACH 07– `' cd 800 SEMINOLE ROAD,ATLANTIC E EACH,FL 32233 OFFICE:(904)247-5826 0 FAX N :(904)247-5845 BUILDING-DEPT@COP .US PLUMBING PERMIT A 3PLICATION DUVAL COUNTY ;`1'JOB ADDRESS: 2:IS TI IIS A,SUB PERMIT:.!,i .3.DATE:- ' I (-44 6,Pa (A G tir'. -e- Atlantic Atlantic Beach FL 32233 ❑YES PERMIT* a` PROPERTY OWN Rr 4.NAME: 5.ADDRESS IF DIFFER NT FROM JOB ADDRESS: 6.PHONE: PLUMBING CONTRA CTOR: 7.N OF COMPANY: 8.ADDRESS.: Int IW �\es 1A30 9.STATE OF FLORIDA'LICENSE NO: 10.CELL PHONE: 11.FAX NO.: Cr(- 110LI a3 -10,2(0q F&3-`'k3--43 y.S 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14• tiJesl-►�er �j Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of s x(6)months at any time after work is commenced. CONTRACTORS SIGN URE:�� 15,NATURE OF WORK: 6. 7. 18.CURRENT CODE: ❑ NEW ❑'06 FLORIDA BUILDING CODE- -�a-'-RE-PIPE PLUMBING ❑OTHER: 19.NUMBER OF FIXI URES: BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ( ICE MAKER WATER CONNECTION INTERCEPTOR i WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER(SPECIFY): ROOF DRAIN 20.PLUMBING PERMIT FEES: PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) +.$35.00 = COAB FORM BLDG03:REVISED:12/12/2007 QTYof � office ofB� Data ° �yREQUEST FpR NSP of, - �L Time d Received CTI ON � Job PMM, P rmit No- Ob Name Di trict No. _.. QUILDIWG Framing Cj Re Rooting CDNCAET mooting locality E ontr actor Stab ❑ ELE R1CqL. Lintel ❑ Rough Wiring ❑ ❑ Temp Mon Poia Final � Rough Tues op out ❑ CNAN,-L InsPectio ewer ❑ Air.Cond.& ❑ n Made W tlADY FDR INSPECTIDN ❑ Heating Inspector Thurs, Fire Place ❑ Pre Fab A.M. Friday PM: A. PM. ' e+a Fini 1 inspection ❑ Cart irate date of CccuPancy CITY OF ATLANTICBEACH, FLORIDA Appto%*d`by APPLICATION FORLECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCOR2&=9 WITH HE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: M E CT ELERICI N SIGNA R JOURNEYMAN NAME-✓� Q%d&- 1_tn Q./ ADDRESS: -71 a- GL C�OrCGP�uJ�I► RFD__,BOX SLOG.$12E BETWEEN: RES•t�l APT.t 1 COMM.( 1 PUBLIC( 1 INDUS.( 1 NEW( 1 OLD( 1 REW.( 1 ADDITION t 1 TRAILER t l TEMP.( SIGNS ( SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPA R (X1 PEE , 0601,10TOp SIZE AMPS COPPERf I ALUM. SWITCH OR EIREAKER AMPSPH W VOLT RACEWAY !X18"1'.SERV.SIZE D00 AMPS ( PH 3 W P,30 VOLT b�p RACEWAY EEDEI � I11O. Site NO. SIZE NO. SIZE LIGHTING 0 L CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 6.3 AMPS, 91.100 AMPS. yWl?CNS IWAMUSCM PLUOAESCENT R M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF: AIR H.P. RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS MPS ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE pHs NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. QVER 600 V. NO.. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOT R SIZE SWITCH FLASHER EACH SIGN. FORWARDED _.. TOTALFEES W DEPARTMENT OF 81 JILDING CITY OF ATLANTIC BEACH `_.. . or' i ;�1�I�'f�R ATIOI� -- - �--- LOCATION INI�`ORt�A'�Ir�N �� �,.. _-» Permit Numb r. 681 iddress: ' ,7,1, SARATOGA CIRCLE BOUT Pe>wmit Ty e,. WELL ATLANTIC SEACH, FLORIDA 32233 Cti�s of Vo 'k: NEW �,..- ;;� LWAL DESCRIPTION c�D tr . Ty es R{ LQt: Black. S t an �opos4d : BI CLE FAMILY TawnshiP:' RNG. 1 I Coad . . Su �risa 4n s ted ttlu O .C3 Ii Prov. ' ost . X0 ,00 "To �ses l Au 1 {3 iv -well , Fermi t TION nj ' - ADPL I CAT ION ,"PEZS s .PERMIT $I4 Atl �,,. QA CIRCLR SiTH WATER IMPACT RREcl .fl F, k T H, FLORIDA 2 2 ,5` IMPAC*'' gR Ph A " Pias S. nN �� , O FORMAT I N -� F DON �y +311�a�}��-} '� $0,�3#I y WA Name SEW ER-, T°A ? t} HYDRAO L I C SHARE D {} L cerise' Type s CAPITAL IMPROVE.: .(3 es SSC.H IMPACT ' 4y, e�v t 1 PAID CRY 4t Atlantic Bch: NDTIC ALL CONCRETE. FOAMS AND FOOTINGS M ST BE tN$PE�TRO 00014 POUSlNCi �k PERMIT WOID SIX IuIONTHB AF ER DATE OF ISSUE k EI�1iLDtNG MATE IAL,RU8I ISH ANb DEBRIS FRO THIS WORK UST N4T SE PLACED IN PUBLIC SPACE,AND MAST BE .. �EAii ED tIP ANC HAULED AVltAY BYEITHER CONTRACTOR UR Ytlt�iER d i LU Re < o Cdmkyl WITH THE MOCH ANICS9 LIEN LAW CAN RESULT IN 'M E.RRt P RTY E YIfNER r �,Y1NG TWICE OR UJL0.1NG 11 fP iC EM N S." ISUE:D.AGCOR, 11.1Ci fi0 A�PROVill PLANS WFi1CM ARE PART F THIS PERMIT At� SUBJECiT ICI: Tt N FOR PUcA PROVISIONS OF LAW. T RED 313 . �, gE7 on IPTMAXRr. 49W8 r b A'[ ANTIC BEACH sIILDI EP TIOENT t # t F- $ i AFTLICATION R '&-M PEMI T CITY GF AM NTIC PL74 Ei PROPLMY MER I Nam: ES Day Phone `� ,�99 a� Addres s c '�� �A-rrY^ �'' � APPLICANT IF GFHER THAN OWNER Naw: Address; Day Phone �`..__..... JOB Zip__-— Address or Location.. Legal Description: Is well to be used for drinking purposes ICU : Any person, individual, corporation oro er entity receiving provided in Section 22-40 of the Atlanti Beach Code, and whnl�s rto as use water from the permitted well for bacteriological test report from the State ofFlorida Hea1tlrpo �Department funli.shi.ng a certified copy thereof to building deg Atlantic Beach. A certificate of oc art �.t ®f the City of report is on file with the buildiTag d�p will not be issued until said Department Notes: I agree to ccrmly with re gzlatior's stated f erein: s1-griature - Ila-t . . 1 1J,!- y j r f , r B�+ r EACH CITY Y F ATLANTIC y 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 SPECTION PHONE LINE 247-5826 SPECTION EMAIL REQUEST: ✓' 1 `�i 'ldin -de t c0ab.uS 08-00 00005 Date 1/10/08 Application Number - 71 S AR.p,TOGA CIR Property Address Application type description PLUMB NG ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . • • 0 ---- Application desc INSTALL 6 FIXTURES ---------------------- ------------ ---- Contractor Owner ------------------------ ------------- W/W COMPANIES, INC. ANTICO, DAVID & JANICE 12130 CHEYENNE TRAIL 71 SARATOGA CIRCLE S . FL 32233 ATLANTIC BEACH FL 32233 ATLANTIC BEACH (904) 237-8885 ---- -----------------------Permit PLUMBING PERMI Additional desc Plan Check Fee • 00 Permit Fee 77 ' 00 . . . 0 Issue Date . . . . 1/03/08 Valuation Expiration Date . . 7/05/08 --- Fee-summary - Charged aid -- Credited Due 77 . 00 ��' 77 . 00 . 00 . 00 Permit Fee Total 00 00 00 . 00 Plan Check Total 77 00 00 . 00 Grand Total 77 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY O ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t 4, CIT OF ATLANTIC BEACH 800 SEMINOLE ROAD %; sl r} „ ATLANTIC BEACH,FL 32233 ' INSPECTION PHONE LINE 247-5826 Jf�l 'r INSPECTION EMAIL REQUEST: Buildin�dept&gab.us Application Number . . . . . 07-00001664 Date 1/02/08 Property Address . . . . . . 71 SARATOGA CIR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO 13E UPDATED Application valuation . . . . 10000 ---------- - -- --- -- -- -- ---- -- -------- - - - - ------ -- - --- -- -- - ----- - -- - - -- ------ Application desc REMODEL KITCHEN/BATH/LAUNDRY RM -- -------- - - --- -- - -- -- -- -- -- -------- - - - - - -- --- --- -- --- --- ----- -- - - - -- ------ Owner Contractor ---------- -- --- --- -- ---- - -- - -- -- --- --- ----- -- --- ANTICO, DAVID & JANICE REHAB SYSTEMS G. C. , INC. 71 SARATOGA CIRCLE S . 830-13 N AlA, STE 146 ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 280-8459 -------- ------- -- -- -- Structure Information 000 000 - --- --- -- ------- ------ Construction Type . . . . . TYPE -A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE -------- ---------- ------------------ -- - --------- -- ---- --- ------ ----- ------- Permit MECHANICAL PE MIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/30/08 -------- -- - ---- - -- -- -- ---- -- - - - - - - ----- ---- -- - -- - -- - -- --- - --- -------- -- - ---- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RES DENTIAL. 2005 NATIONAL ELECTRICAL CODE . Construction rolloff must be provided by company on City' s franchise list . ------------ -- --- ---- - - --- - --------- - - -- ------- ---- -- -- --- ------- - - --------- Fee summary Charged Paid Credited Due ------- --- ----- -- ---- - - ---- ---- - -- - - - - - --- -- --- - --- - - --- - Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1` Lr,7411 CITY OF ATLANTIC BEACH E A 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 07_ I I I I I OFFICE:(904)247-5826•FAX NO.: 04)247-5845 BUILDING-DEPT@COAB S MECHANICAL PERMIT PPLICATION DUVAL COUNTY 1";IOB"ADD (�RESS C .,e n.. ,.. , .'r,+..,. .at/�1•r rf�'ox ,:, IS1H 11 SUB PERMIT^, ' . +' "/ /. t.. 3i DATE. ONO d .�/>r` 4�/�q �Q/ V�c^ ❑YES ERMIT M OI t0 Atlantic Beach FL 32233 n¢ u:"~t s[wa.v�„ :4ivi.i 's"x �.t n.,£.s'�htilf i r 'a.PROPERT,OWNS 4.NAME: 5.ADDRESS IF DIFFERE T FROM JOB ADDRESS: 6.PHONE: 11- 1 �� l+„4h, e u. r ti MEC PNICAL CON TORa a 7.NAME OF COMP 8.ADDRESS.: /✓v All' 9.STATE OF FLORIDA LICENSE 10.CELL PHONE: 11.FAX NO.: 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. Application is hereby made to obtain a permit to do the work and installations a 3 indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit b,-comes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS SIGNATI IRE: w•15:CLASS OFWORKE ' .. r n.74ei s '.w'; , i6.'BUILDING,.'3. ., iT:SERVICE ;F§kit• i 18.:CURRENT,CODE.'tr s <: ..., ,.i;x ❑NEW INSTALLATION ❑NEW ❑ RESIDENTIAL ❑'06 FLORIDA BUILDING CODE- ❑REPLACEMENT OF EXISTING SYSTEM ❑EXISTING ❑COMMERCIAL MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑REPAIR ❑OTHER f., 0€ a ,1 " s. .i .,,'h MECHANICALfQUIPMENt;TO EE INSTALLED ., au8 ,.� 9 fi 1401 19.HEAT: ❑SPACE ❑ RECESSED 11 CENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM ❑CENTRAL 21.DUCT SYSTEM: MATERIAL: THI C KNESS: MAX CAPACITY: Cfm 22.REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY: gpm 24. FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27. FIREPLACE: PREFABRICATED: MASONRY: 28. IRRIGATION: ❑ PUMP ❑WELL ❑ PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS HU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: 7 C1 G Al VAl RED PRESSBOILERS,R HEATING, I URE VESSEL,HEAT EXCHANGERQ r l OR COIL IN DUCTS ETC. V LUPFOR OTH ITEMS: !ig4; I 7 ga ti i 31 uCOOLJNG EQUIPM NT5s4 "m Aa. k „ v sa . A1RC NDITI NING'REFRI l±RA1ION'E IPN CONbF NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY 32.HEATING EQUIPM NT ih s i +r'; ?ItN ' BOILERS''FIREP'L'Y NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY 33.TANKS. .vet x ie. ! h�AiN ! T7M--=]D APPROVING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY WAS FORM BLDG04:REVISED:11/6/2007