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67 Saratoga Cir (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E 0 11 0 C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 2/26/07 Parcel Number . . . . . 171780-0()00- Property Address 67 S SARJ�TOGA CIR ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . PHILLIPS Contractor . . . . . . THE DESI(3N & BUILD GROUP, INC. 904 241-2228 Application number . 06-00034L63 000 000 Description of Work . RESIDENTEAL ADD/RENOVATE/ALTER Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . . Buil"in official VOID UNLESS SIGNED BY BUILDING OFFICIAL CITY OF 800 SEMINME ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-SW FAX(904)247-5805 SUNCOM 852-5800 October 23, 1997 Diana Nixon 67 Saratoga Circle Atlantic Beach,Fl 32233 Dear Ms. Nixon: Our records indicate that you are the owner of the fc llowing described property in the City of Atlantic Beach: Re: It has come to our attention that the assigned house reet numbers are not permanently attached to your building. This is required by Ch ter 6, section 108 of the Code of Ordinances of the City of Atlantic Beach and Jac Ville Electric Authority Rules and Regulations section 2.19 4 The absence of these numbers affixed to your buildi g and visible from the street is a determent to your safL-ty should you require police, fire or medical emergency services. I urge you to install a minimum of four inch high nun kers in addition to any numbers presently displayed on a mail box. Failure to propedy display the numbers can result in his violation being brought before the code enforcement board, Under F1 . S.S. 162 you can be bed $250,00 per day for a first violation and $500.00 dollars per day fbr a repeat violation, S1 el �Jpcer Y Kad W. Grun4wa�ld �� Code Enforcement Officer KWG/gah cc: Public Safety Director CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD A p TLA, MC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034163 Date 11/13/06 Property Address . . . . . . 67 S SARATOGA CIR Application type description RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE' UPDATED Application valuation . . . . 0 ----------------------------------------------------------------------------- Application desc INTERIOR REMODEL ---------------------------------------- ------------------------------------ Owner Contractor ------------------------ ------------------------ PHILLIPS THE DESIGN & BUILD GROUP, INC. 67 SARATOGA CIRCLE 348 PLAZA ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-2228 ---------------------------------------- ------------------------------------ Permit . . . . . . BUILDING PERMIr Additional desc . . Permit Fee . . . . 230 . 00 Plan Check Fee 115 . 00 Issue Date . . . . Valuation . . . . 40000 Expiration Date . . 5/12/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ----I------ ---------- ---------- ---------- Permit Fee Total 230 . 00 230 - 00 . 00 . 00 Plan Check Total 115. 00 115 . 00 . 00 . 00 Grand Total 345 . 00 345 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF j LTLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PLAN REVIEW SHEET RoiAed4a�- x e 5.1-lufsAetler_ Building Department Public Wort 9&Public Utilities Departments S. Doerr 800 Seminole Road 1200 Sandpil�er Lane R. Carper Atlantic Beach,Florida 32233 Atlantic Be&h,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-58 4 Public Safety (904)247-5845 Fax (904)247-58 0 Fax PLAN REVIEW COMMENTS &3 Permit Application#— a 6 - Property Address 6XI Applicant: D� Project: A�7 rfe lea This permit application has been: W--�Approved as noted by the 30 Department. Final application approval mi ist come from the Building Department. El Reviewed and the following it,-ms need attention: Ok 7).4 VE /d , -?41, Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department re uesti g them. Building Dept, Public Works and Uti ity information at top of page, failure to notify the correct departmle t may delay your permit from being issued. Reviewed By: Date: Date Contractor Notified: NOTICE OF COMMENCEMENT State of Tax Folio No. County of Lk\1 aJ—.... To Whom It May Concern: The undersigned hereby informs you that improvements will be made to c ertam real property,and in accordance with Section 713 of the Florida Statutes,the following information is tated in this NOTICE OFCON04ENCEMENT. - d- Legal Description of property being improve U vlk'l-� (\10-- 1�'L — — Address of property being improved: -y- G nerrmal cription of improvements- pro Owner: Ej at NY)At A-t n Owner's interest in site of the improvement: pd� Fee Simple Titleholder(if other than owner): Name: contractor 'D ej,n -A Lj-A (--n ir 3 0—r." Address: — �L bc TelephoneNo.: Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person.malcing a loan for the construction of the inir--+� Doc#2006392591,OR BK 13635 Page 1293, Name: Number Pages:1 Filed&Recorded 11/1&MW at 10:57 AM, Address: JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Phone No: Fax No: RECORDING$10.00 Name of person within the State of Florida, other than himself,desi served: Name: Address: Telephone No: Fax No: In addition to himselt owner designates the following person to rechive a copy of the Lienoes Notice as provided in Section 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 f Signed: Pate: Before me thrs 31��day of . C Duval, Of Florida,has perso ially appeared 1 Notary Public att Larte,State of Florid. A– a147._ ot 003MI: My commission exptes: Personally own- or Produced tif'"T n: CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Interior Remodel) 16! 21)06� Date: Job Address: 's 0_�— A--1QqCL, cle-) Owner of Property: t d4D A,t It I —Def-G-1 VID R, CL Address: D::f a L)C c3c'� Telephone: 0 0 - 6(0&3 Legal Description: Block Number: Lot 14 Zoning District: ArrL (zkl Contractor: State License Number: Contractor's Address: _3W— R1_,ezX -52-2-33 Telephone: 2-��-2-3o'V Fax: Drribe proposed use and work to be done: ( r4eet o PZmodcL 0two- 4o Present use of land or building(s): w Valuation of proposed construction: 'i�4D , ODD Will this project involve: ar"Heating&Air- ff"'Plumbing &"llectrical Li Fireplace Conditioning Is approval of Homeowner's Association or other private ei tity required? Nk) 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 Departmtnt, 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 I Alowing information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 800 Seminole Road -Atlantio Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904) 47-5845 -http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/04 Address and contact information of person to receive all correspondc nce regarding this application(please print). Name: N ili.e-, o I e, `P � , c Mailing Address: \ -Ts�>e (�j 1-0 V 1? 10 P_D_ Telephone: 4 - (o D.LP - 0Le�p Fax: U E-Mail:ap h C U(I Ce 6-0-Lf,-Q-4 0 n . 0,�- ,3 1 hereby certify that I have read and examined this application and attac d documentation and know the 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 provision;of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance(if construction of the property. I understand that the issuance of this permit is contingent upon the above information being true an�l correct and that the plans and supporting data have been or shall be provided as required. Signature of Ownel,—) W�_� Date: AS TO OWNER: Sworn to and subscribed before me this day of 20W_. State of Florida,County of Duval Notary's Signifure: MEW��,A M MFPKS Flo'�da '�k"`%Notary Pi, Florida Personally known 5,2007 Produced COrninission 4 _�D 350516 0 1 Lim Type of i(entification produced ROL Signature of Contractor: Date: AS TO CONTRACTOR: 7-Y Sworn to and subscribed before me this day of 2 0 State of Florida,County of Duval Notary's Sign ure� IZ� n_�e�rsonally known Produced identification Type of identification produced L PU*-SW Of P446 14 2010 comrnbwon 0 DO 5185i Bond8d BY National No"4W. 800 Seminole Road -Atlanth Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904).47-5845 http://www.ci.atlantic-beach.fl.us Page 3 Revised 1/04 MAP SHOWING BOUNDARY SURVEY OF: LOT 14,BLOCK 3,ATLANTIC BEACH VILLA L NIT NO.2 ACCORDING TO PLAT THEREOF,AS RECORDED IN PLAT BOOK 31,PAGE 13 OF THE CUF RENT PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA '50opA '�o3�- 'FOUN 112" IRON�IPE (NC 10) N WOOD POWE POLE .81 I 'CONC, FOUND10 RIBBONS 777 IRON PIPE (NO-10)a 2. GUYA C R 16 0-9-CONC. I FOUNOlf2" RIBBONS IRON PIPE (LS 6715) 0 37.0' 1.6 I Y MA RY AND FRAME 4' 1- ADDRESS67 LOT 13 BLOCK 3 478' "o 13 — C's co C) AIC 0.2' CCDV T CD z 0.4' ag. FOUNDlf2' 90 ZT IRON PIPE FOUNDlr2", S' (LB6715) a, FOUND 1/2" I RON PIPE IRON PIPE (LB 6715) 1 0" 31 1 LB 6715) LEGEND: 0 'NE FOUND 112 IRON PIPE —X— WIFE FENCE NO-ID) AQIJPTiC GARDENS I-- CIAIN L;lIK FEN-,E PLAT BOOK 38,PAGE 71 ----------- 6.R.L, BU LONG RESTRICTION L LOT 2A CIL CEINTERLINE I CENTRA ANGLE CH CHORD L LENGTH R RADIUS WOOD FENCE INE A A LENGTH 0 N NOT TO SCALE AtC TS AIR CONDITIONER OVER HEAD ELECTRIC 0 OHE— CONCRETE ok, 1 so� 4,>O,10. 01 AQUATIC GARDENS lVOOC PLAT BOOK 38,PAGE 71 z LOT10 NOTES: 1. NO UNDERGROUND UTILITIES OR STRUCTURES LOCATED. FOUNDIrl" 2. NO UnUTIES LOCATED EXCEPT AS MAY BE SHOWN HEREON. IRON PIPE 3. 140 ATTEMPT WAS MADE TO LOCATE JURISDICTIONAL WETLAND LINES NOR TO NOTIFY THE (LB671b) 4. PROPERAGENCIES. AQUATIC GARDENS ABSTRACT OF TITLE WAS NOT FURNISHED TO THE UNDERSIGNED. PLAT BOOK 38,PAGE 71 BY THE USE OF THIS SURVEY,YOU AGREE TO BE BOUND BY THE TERMS WRITTEN)N THIS SURVEY. LOT 1C 1. THIS SURVEY IS INTENDED FOR SOLE USE OF THE PARTIES CERTIFIED HERE)N. 2. NO PARTY SHALL ASSIGN THIS SURVEY DRAWING OR ANY INTEREST OR OBLIGATION HEREON WITHOUT THE PR OR WRITTEN CONSENT OF THE UND ERSIGNED. 11 3. ANY REPRODUCTION Or THIS SURVEY 1.PROHIBITED. ;A�N�KS I HERCRY OffRTIFY TO:EDDIE J.PMLLJPS;NICOLS L PHILLIPS.SE FINANCIAL.-BEST A Mill)V CA M T1 TL R,L L C,FIRS T AMER MAN TITL E INS URA WE COMPANY 77R SUR\VE�ORSI INC THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SETFORTH BY THE FLOR`OA BOARD OF PROFESSIONAL LAND S URVEYORS.PURSUANT TO BEC77ON 2866 MANGROVE AVENUE JACKSONVILLE,FL 32246 4 72.027 FLORIa4 STA TUTES AND CHAPTER 6 1 G 17-6 FLORIDA ADMINIS TRATIVE CODE TEL(904)641-2520 FAX(904)641-2060 .VOTES THIS IS A BOUNDARY SURVEY. FLOOD ZONE'X'AS SESTASCERTAINED FROM FLOOD PANEL NO 120075100010 FLORIDA REGISTERED S EYORS DARED4.17.1989 MARVINR.BANKS NO"70 DARYL S.BANKS NO W83 BEARING DATUM SASED ON THE"ESTLINE OF LOT 14 BEING S12-44'44E DATE.MAY20,2008 THEREMAYSEADO'77ONAL RESTRICTIONS THATAPPLYBUTARENOTSHOVAY ON SCALE.I INCH=30 FEET THIS SURVEYBUTMAY BE FOUND IN THE PUBLIC RECORDS OR FACILITIES OF THIS COUNTY JOB NO:13582 THIS SURVEY DOES NO TOETERMINE OWNERSHIP FILE NO:B-3018 LICENSESUSINESS ER 6470 THIS SURVEY NOT VAUD UNLES;THIS PRINT IS EMBOSSED MTH THE SEAL OF THE ABOVE SIGNED CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-d000lo8o Date 8/20/08 Property Address . . . . . . 67 3 SARATOGA CIR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO EE UPDATED Application valuation . . . . 1200 ---------------------------------------- ------------------------------------ Application desc shed ---------------------------------------- ------------------------------------ Owner Contractor ------------------------ ------------------------ OCCUPANT OWNER 67 SARATOGA CIRCLE ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE E -A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE 2, ---------------------------------------- ------------------------------------ Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 1200 Expiration Date . . 2/16/09 ---------------------------------------- ------------------------------------ Special Notes and Comments * COMPLETE THE APPLICATION BY FILLING OUT THE ARCHITECT/ENGINEER PORTION. RE-S-CBMIT. * *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. Please call for inspection on the highlighted portion on your plans that involve the tie-dcwns, straapping, etc . before they are covered up. Thank you, Mike Jones . * ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A I'LANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(9D4) 47-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY WM8' GRES 9�0' .......... (ol 5,�7-r,/,,a At 1 ant i c Beach, FL 32233 D MEW SUILE NG [3 DEMOLITION grRESIDENTIAL LOT_BLOCK SUB DIVISION [I ADDITION 11 CONVERTING USE EJ COMMERCIAL 0 ALTERATIC 14 EI ACCESSORY BLDG. 11 REPAIR OPOOL/SPA 0 YES El N/A &r1$-Te-)C7 JOA 6 IF El MOVE El OTHER @"0 A UMME'N ARPHIT fNGINEER-;c-',� N' 9.NAME: 15.COMPANY NAME: 23.CO ME: )tk r f"'&,I - 41jiu 16.NAME: 24.9ETqSEE NAM eac;-C- frdx� J- inO V 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: PRI rrr)�=' &7 00 0 2- 18.ADDRESS: 26.ADPVESS: 00, S. q;! o J nh 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: PH / 1 1 2&. 7.n 128.FAX NO... 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: Cl 4 -FE HDLDEWh-�-�"'T'Z" g' 'T 51-1 MUM imr�, .I"— . ';� 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 installationt as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to I neet 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 commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,TE nks, Air Conditioners,etc. OWNEWS AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced bu Iding or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building offl,-ial,as required by law. WARNING To OWI ER: YOUR FAILURE TO RECORD A NOTICE OF COMMEN EMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PRO ERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POST�JE ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINA CING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y UR NOTICE OF COMMENCEMENT. R X .... . VF.: c igned: Date: Signed: Date: Before me thi ay of -l' 2007 In the county of Before me th is day of 2007 in the county of Duval,State of Florida,has personally app ared Duval,State)f Florida,has personally appeared milibev;'I- �?22c. ee e- herin by himself/herself and affirms that all stat�lents and declarations are herin by him!elf/herself and affirms that all statements and declarations are true and accurate. true and acci irate. Notary Public at Large,State of County of Notary Publiq at Large,State of_,Countyof Personally Known 11 Personaily Kno �r — _ -:I,,& LLf— �L — du 1051111TIR 01'roduced deritil Lion �Sl Notary SI Oda Notary SignEture: REVEMD W- R VC111IDE C-01!1 f le -- --- ---J" CE CITY OF ATLANTIC BEA H — t' nal y SEE PERMITS FOR ADDI-Un0"'I r REQUIREMENTS AND CONDITIONS. COABFORM BLDG01 REVISED 81 7 REVIEWEDBy:,,n_a- CITY OF ATLANTIC BEACH OWNER 13UILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN E)[EMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNE R-OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DON OT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU NVY 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 325,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAYI,OT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BULT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WELL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF ITHS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACT DR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES A]M ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY C01JNTY OR MUNICIPAL LICENSING ORDINANCES. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FC R INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'3 COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECDME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 RE:)UIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 P NALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN"OCCUPATIONAL LICENSE' IS NOT ADEQU/TE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQU REMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ADDF�-ESS PHONE NUMBER /*-j-(1 C PRINT NAME 2:2:�41 e z/z�Z, SIGKAT7Rr-1--t DATE Before me thiaL day of r="- 2007 in the county of Duval,State of Florida,has persona-ry appeared he n by himself If herself and affi -ns that all statements and declarations are true and accurati, Notary Public at Large,State of tw�,��of "ftza,,� 6-0, C1 Personally Known SHIRLEY L. GRAHAM 11 Produced Identificati9w-1--1 NotarZPublic V5 0 mission ExPires Feb 14,2)10 "I' C mmissiOn Notary Slgnatu�-�- �-A In#DID 5,1853-3 n. COAB FORM BLDG07;REVISED: 8/14/2007 CIN City of Atlantic Beach APPLICATION NUMBER 11 Building Department (To be assigned by the Building Department.) I-IN 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: hftp://vmw.coab.us _A APPLICATION REVIEW ANDTRACKING FORM Property Address: 7 c,;re,-1-o q a, qf4!�",t review required Yes No n Zon* Applicant: or P --unies UZTI c 01 ' 'Or .6ct: Public Safety Fire Services Other Agency Review or Permit Required Revie6v or Receipt Date of Perr iit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: DApproved. M/Denied. (Circle one.) Comments: #PbcahoA )neecls' PO,)-On 0 P,,) c, PLANNING &ZONING Reviewed by:. 1h Date: PUBLIC WORKS PUBLIC UTILITIES Second Review: [�fApproved as revised F�Denied. PUBLIC SAFETY Comments: S Plec-i a C-0 P" w e,41 OA py, #')I FIRE SERVICES Reviewed by: Date: A Third Review: F�Approved as revised, F�DeWed. Comments: Reviewed by: Date: APPLICATION NUMBER City of Atlantic Beach 301, fl7 Building Department (To be assigned by the Building Department.) 800 Seminole Road 7:ff D� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)2 -584�UG 0 6 21,10 E-mail: building-dept@coab.us Date routed: City web-site: hftp://vmw.coab.us APPLICATION REVIEW ANDTRACKING FORM � 7 ea. D9partnteqt review required Yes No Property Address: ujld�� Applicant: a) n .�&Zon' F__�_Ojr S s� TTIC—TM"l PU es 'Project: ��M 1z N!D2e& Public Safety Fire Services Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept.of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: WApproved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by Date: PUBLIC WORKS PUBLIC UTILITIES Second Review: EjApproved as revisec. ElDenied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: [:]Approved as reviseq. ElDenied. Comments: Reviewed b�: Date: CITY OF ATLANTIC M CH 800 SEMINOLE ROAD,ATLANTIC BEAC H,FL 32233 08- r) OFFICE:(904)247-5826*FAX NO.:(90 t)247-5845 BUILDING-DEPT@COAB.UE BUILDING PERMIT APPLICATION DUVAL COUNTY _R,RDOF�_ P.- � � _I". T� �W 9"."Y'ALLIA.i;K OF__QRK9' 0 1 Af0(.4-r0&,4 Clde >Atla 2tic Beac h F L 32233 W,*,:tE A�DE is L 13.` S5-'- FST UCTUR.01" ff'NEW BUI-DING 0 DEMOLITION ZrRESIDENTIAL LOT BLOCK SUB DIVISION [I ADDITID1 1 0 CONVERTING USE Q COMMERCIAL -E :e4.FIR5.$PRINKL 71DESCRIP TIO 05WORK;"o" El ALTERAI ION 0 ACCESSORY BLDG. 0 REPAIR 0 POOL/SPA El YES 0 N/A '&7 4�fp 1;-T W_'J c-1 15 IF 0'eLlIq Q MOVE 0 OTHER iq A -.�:;:`CONT CTOR.'� RTY, ",:PRO RA PE OWNEW X.- - i�;A11c"ITIECUENGINEM 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: )'T1 16.NAME: 24.LICENSEE NAME: 1*.-4 -C&C'C' 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: &77 18.A DDRESS: 26.ADDRESS: C/A0. 11.OFFICE PHONE: 12.FAX No.: 19.OFFICE PHONE: 20.FAX NO. 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: --a,f>-Z- 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: T i-t�-C i 4 ia I �,'_FEFE SIMPLE31TILIE HOLDER4 g bi MOFftdx N�' 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed t)meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced with n 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,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNEITS AFFIDAVIT- I certify that all the foregoing information is accurate a id that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced )uilding or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO 0 NER: YOUR FAILURE TO RECORD A NOTICE OF COMME CEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PR PERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POS ED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBT N F1 N ING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING OUR NOTICE OF COMMENCEMENT. .............. "S1. �J -j-01 M -y er. a w Date: Sig�n,d �_ Date: Z'/ Signed: '*" t _day of 2007 in the county of Before me t 7 bay of ./A 2007 in the county of Before mE this Duval,State of Florida,has,personal[;al�pbmd Duval,StE te of Florida,has personally appeared &I�L jnC.(_4)ree- - herin by himself/herself and affirms that all statofnents and declarations are herin by h mself/herself and affirms that all statements and declarations are true and accurate. true and 8 ccurate. Notary Public at Large,State of County of Notary Pu blic at Large,State of CDunty of Personjliy_�,no�Ln '&-11 f L_ El Person Rily Known c Men VdI 11 Produc�d Identification- -A �rou Notary S 111 Notary S11,nature: L Ulu 5 33 nded By National ry Assn. CCAB FORM BLDG01:REVISE D:11/6/2007 o f Y CITY OF ATLANTIC BEACH "B"WNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTI TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PEFJv IT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OW FER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DC NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU I 1AY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR INTROVE A COMMERCIAL BUILDING AT A COST 0'- $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MA"NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE E UILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COM[PLETE,THE LA W WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION C F 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 I EOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY C OUNTY OR MUNICIPAL LICENSING ORDINANCES. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE --OR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S C6-M—PENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE— POLICY TO CLEARLY PROTECT THE OWNER. III. IRS WITHHOLDING; 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. IV. PENALTY; UNLICENSED CONTRACTORS CA14NOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETEN " OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. (0 r,�. _S_ 2-7o lnol ,3 ADDRESS ' PHONE NUMBER Z�j I PRINT NAME DATE Before me thi day of 2007 in the county of Duval,State of Florida,has person-ary appeared he by himself/herself and ffirms that all statements and declarations are true and accuratt Notary Public at Large,State of ftdh..0,_Cqunry of Personally Known mAy SHIRLEY L. GRAHA - 0 Produced Idenflficat! Notary plihii, 0— -e Of F rida 77 rom"nissiOn Expires Feb fv " Ac 2010 Ommission#DD 5185 Notary Signature: Ion.) KT--,- ssn. COAB FORM BLDG07;REVISED:8/14/2007 1 City of At lantic Beach APPLICATION NUMBER Building Department (To be assigned b y the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 0 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us 11 — _Z . ............ APPLICATION REVIEW AND "RACKING FORM Property Address: Swo-1-oea. review required Yes No &Zon Applicant: or Puri—cutmies Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATJON STAI US -]Denied. Reviewing Department First Review: M<pproved. (Circle one.) Comments: BUILDING NNING & NI Reviewed by: Date: PUBLIC WORKS PUBLIC UTILITIES Second Review: ElApproved as revised E]Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: FlApproved as revised. ElDenied. Comments: Reviewed by Date: CITY OF ATLANTIC BEA(H 08- ; 800 SEMINOLE ROAD,ATLANTIC BEACF,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(904 247-5845 BUILDING-DEPT@COAB.US N BUILDING PERMIT APPLICATIO DUVAL COUNTY EB; WEN U PWADDR 9 ilimill�i.�, OC/de ,$Atlantic Beach, FL 32233 1MV GAL,DESCRIPTION1,10' OR� 51QLASSOF;"VOR nEW BUIL)ING 13 DEMOLITION 0-RESIDENTIAL LOT BLOCK SUB DIVISION [I ADDITION 0 CONVERTING USE 0 COMMERCIAL :F 0 ALTERATI)N El ACCESSORY BLDG, DESCRIPTIQ 11 REPAIR OPOOL/SPA 0 YES 0 N/A &15-TeJC7 10A 6 o� MOVE 0 OTHER 074o R CONT. -K F P.441'11RR 9.NAME: 15.COMPANY NAME: 23,COMPANY NAME: �-T, 16.NAME: 24.LICENSEE NAME: /,.-I e4t�-c" 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 6-7 18.A.DDRESS: 26.ADDRESS: ----7F NO.:, 27.OFFICE PHONE: 128.FAX NO.: 11.OFFICE PHONE: 112.FAX NO.: 19.OFFICE PHONE: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: -3-1 f>-z— 0 401 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: 0 IFEE�SjMf F M ER" jip fly ;6#1�, NERI,890wl 4,90,;: 31,NAME: 33.NAME: 35.NAME: 32,ADDRESS: 134.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installatio is as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed tc meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced withli I 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 commencei:. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,'anks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate ar J that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced I:Aiding or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the buildingancial,as required by law. WARNING TO OW 4ER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PilrinERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POST D ON THE JOB SITE BEFORE THE r I FIRST INSPECTION. IF YOU INTEND TO OBTAIN FIN NCING, CONSULT WITH YOUR 4 t LENDER OR AN ATTORNEY BEFORE RECORDING YTUR NOTICE OF COMMENCEMENT. 7_,,.M�75�7� Rig�ig,Mgg�gngg`,'�gim ' -CONTIMMT- 0 911 i'S."51-A'k, 1.&`;�.11. g; Signed: Date:7 "o,43 Signed: Date: Before a thi ayof I,t 2007 in the county of Before me his day of ,2007 in the county of Duval,State of Florida,has )erson.11; Ppjare, Duval,Stat�of Florida,has personally appeared mi,lakv-2 —j22C.64e— — herin by himself/herself and affirms that all stat4nents and declarations are herin by hir iself/herself and affirms that all statements and declarations are true and accurate. true and ac;urate. Notary Public at Large,State of County of Notary Pul:ic at Large,State of_,County of Person Ily_�Lnmjn, A^ a L- � 11 Persona ly Known m I ----- J, du 10anUTIFa El Produce I Identification- %Lr-I Ui 1711V Notary S! Notary Sigi iature: rion 'hill; 7 f e3r Ulu 5 33 7 onded By National ry Assn. aF .3 ff 2- 019 2 COAB FORM BLDG01:REVISED:11/6/2007 -7 6 00 95 3, CITY OF ATLANTIC BEACH (OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA S)TATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),F1 ORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMI F UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWN 3 OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO OT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU Y BUILD OR IMPROVE A ONE-OR TWO FAMILY RESIDENCE OR A FARM OUTBUTLDL-NG. 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 140T BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE B1_ILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAV T WELL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION 01 THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR coNTPAc roR- YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONS113ILITY TO MAKE SURE THAT PI OPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FDR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 RE-QUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CAN�JOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 "'ENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN"OCCUPATIONAL LICENSE" IS NOT ADEQLATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICE14SED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQ IREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 4 ADDFFESS ' - PHONE NUMBER C PRINT N E -z1z_z_e SIGIAA17�E-0—t DATE Before me thi day of 2007 in the county of Duval,State of Florida,has persona-ry appeared herin by himself/herself and a irms that all statements and declarations are true and accurat4. Notary Public at Large,State of C unty of ,,,W.11, Personally Known SHIRLEY L. GRAHAM Produced Identificati Nota p,hjj,_ T ic Of Flo jda t Ommission Ex r, res Feb 14 2010 co 18 A MMISSIOn*DD 51853: Notary Signature: y sn. COAB FORM BLDG07;REVISED: 8/14/2007 CITY OF ATLANTIC BEACH W SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034468 Date 12/19/06 Property Address . . . . . . 67 S SARATOGA CIR Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO 13E UPDATED Application valuation . . . . 0 ----------------------------------------------------------------------------- Application desc REWIRE 150 AMPS --------------------------------------- ------------------------------------ Owner Contractor ------------------------- ------------------------ PHILLIPS E-4 ELECTRIC, INC. 67 SARATOGA CIRCLE S 1247 BOCA GRANDE AVE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ----------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PEIVIT Additional desc Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/17/07 ----------------------------------------------------------------------------- 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 PERWr IS "PROVED ONLY IN ACCORDANCE WrM ALL CITY OF ATLAN`nC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Uy ofAihmidc Beach Pgr#*LnLomma in To: J EA Electric Order FulfiHment, (Fax No.: 6(5-7372) . Attention: Carol Schweizer/Lorie Craven,2 West Church St T-4 (665-6521) Subject: City of Atlantic Beach Permit# Date: 1,2 .0 (0 Service Address: (.4-,e, Owner: Owner Phone: Electrician: el' Electrician Phone: 3 4t YM Type of Work: New Service r I M-Home Subfeed r I Increase Service Li Heat& AC r I Repair Service Other Rewire Other Description: Temp Pole Service Type: MOverhead (Repair/Replace) L—lUnderground(New Services) Building Use: WResidential L_jChur,-,h "Envirommental LJM-HoMe "Coimaercial "Other Other Use Description: Service Size: New Service: Amps: Volts: Phase: Existing Service:Amps: Volts: Phase.- E-maff:cravliWeaxom or schwgin iga.com or resoin(@iea.com CITY OF ATLANTIC BEACH ELECTIRICAL PERMIT APPLICATION Date: Property Address: 5cz, c? t-e Owner: iEj ptll'tll'o '� Telephone#: (?Ll —Ain Contractor: /CC,_ff" Telephone#: .2*&-349t�& Contractor Address: ';:,13 Fax#: ) YC, 3,7 3 C� Contractor Signature: In consideration of permit given f9Kdoing 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 art hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: U Trailer Service: If other construction is Ll New Mor' Residence E3 Temp. El New being done on this building Or site,list the building u Old U Commercial El Signs C1 Increase Permit number: 'W Re-wire L3 Addition Sq.Ft. 4- Repair 0 ou Conductor Size: AMPS: i 5-0 COPPER Fj ALUMINUM 4ff Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Meter t e, Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Q 30 AMPS 31 100 AMPR Incandescent Fluorescent & M.V. Fixed 0.100 ANVS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTO]!S AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS LJNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon—Transf Ea._Sign Miscellaneous 800 Seminole Road-Atlantic I teach,Florida 32233-5445 Phone: (904)247-5800 9 Fax: (904)247-5845 e http://www.ci.atlantic-beach.fl.us Revised 1/04 .X e CITV OF ATLANTIC BEACH 800 SENUNOU ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-OD034487 Date 12/26/06 Property Address . . . . . . 67 S SARATOGA CIR Application type description PLUM ING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------------------------------7-------------------- Application desc re-pipe/ new fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PHILLIPS, EDDIE TDG PLUMBING 67 SARATOGA CIRCLE 4426 LOYS DRIVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 545-7341 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMI Additional desc . . Permit Fee . . . . 84 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/24/07 ---------------------------------------------------------------------------- Fee summary Charged Faid Credited Due ----------------- ---------- ---- ------ ---------- ---------- Permit Fee Total 84 . 00 84 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 84 . 00 1 84 . 00 . 00 . 00 p=Wr]5 AppRov" W&y iN AccmwANcF.mm m.L ffry oF tTLANnc BFAcn o"ff4ANcnkND Tm FwRmA W"F4GbODE& CiTY OF ATLANTIC BEACH PLUMBI?[G PERMIT APPLICATION Date: 12/2 t. /0 Property Address: r'9 J0 fo cs' &I-e- Owner: CFJ al-'e, LL,'im Telephone Contractor:=�ta 41 C_ Telephone#: Contractor Address: Fax#: Contractor Signature: ) _1/4zj� Inconsideration of permit given for doing the work as described in the aliove statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hreof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, El New list the building,pennit number: K Re-Pipe Number of Fixtures: Bath Tubs Showers 2�' Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other *See attached sheet see For Backflow and Irrigation procedures Fees Permit Issuing Fee: $35.00 Total Fixtures: �7— X$7.00 + $35.00 4 800 Seminole Road -Atlantic Beac1h, Florida 32233-5"6 Phone: (904) 247-5800- Fax: (904)247-5846 hftp:/Iwww.ci.atlantic-beach.fl.us Revised 9/06 CIT4 OF ATLANTIC BEACJJ 86.0.-SEAMOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034470 Date 12/19/06 Property Address . . . . . . 67 S SARATOGA CIR Application type description MECBANICAL ONLY Property Zoning . . . . . . . TO E UPDATED Application valuation . . . . 0 ------------- -------------------------------------------------------------- Application deBC 1 CU 1 AHU ---------------------------------------- ------------------------------------ Owner Contractor ------------------------ ------------------------ 0.CCUPANT NICK' S SOLAR & AIR SYSTEMS 67 SARATOGA CIRCLE 4891 TIMIQUANA RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL .32210 (904) 737-5499 ---------------------------------------- ------------------------------------ Permit . . . . . . MECHANICAL PEINIT Additional desc . - 79 . 00 Plan Check Fee .00 Permit Fee . . . . Valuation . . . . 0 Issue Date . . . . Expiration Date . . 6/17/07 ------------------- --------------------------------------- ------------------ Fee summary Charged aid Credited Due ----------------- ---------- --- ------- ---------- ---------- Permit Fee Total 79. 00 79 .00 . 00 .00 Plan Check Total . 00 * 00 . 00 . 00 Grand Total 79 . 00 79 .00 .00 00 PERWr IS APPROVED ONLY IN ACCORDANCE WrM ALL CITY 01 ATIANnC BEACH ORDINANCES AM ITIE FLORIDA BUILDING CODE& IK 'ITY OF ATLANTIC BEACH 11 Kill,, G MECHANICAL PERMIT APPLICATION Date: Cr ehllv�11-1 Property Address: Owner: 49iA- j 9/ !�3x�na Telephone#: Contractor: Aj -1 r Telephone#: 7,32 5-56'i j - &c C�a(0 , 6 / Contractor Address: U 4 a Aew-lt Fax#: 7112,51 ��q' q' Contractor Signature: the work as described in the above s atement,we hereby agree to perform said work in accordance In consideration of permit given for ael�g with the attached plans and specifications which are a part hereof and in accordai ce with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building • Electric or site,list the building permit number: • Gas: —LP —Natural —Central Utility • Oil LJ Other–Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK • Heat —Space _Recessed —Central —Floor El Residential • Air Conditioning: _Room Central -t ZI Duct System: Material Thickness / 2- U Commercial Maximum capac In Ll Refrigeration ity-�OC cf Ll New Building ZI Cooling Tower: Capacity Existing Building Ll Fire Sprinklers:Number of Heads X El Elevator: —- Manlift Escalator (Number) Replacement of Existing System Li Gasoline Pumps —(Number) 5K Li Tanks _(Number) U New Installation El LPG Containers (Number) (No system previously installed) E3 Unfired Pressure Vessel El Extension or Add-on to Existing System L3 Boilers Q Gas Piping Ll Other-Specify_ Ll Other-Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSO�VS Approving Number Units Description Model# Manufacturer Ton's Agency C) HEATING–FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# qanufacturer BTU's Agency () TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained anufacturer No. Agency 800 Seminole Road e Atlantic Beac Florida 32233m5445 Phone: (904)247-5800 e Fax: (904)247-5845 a hi i)://www.ei.atlantic-beacii.fl.us Revised 1/04