91 Saratoga Cir (vault) CIT OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
I NSPECTION PHONE LINE 247-5826
will
Application Number . . . . . 09-OD000402 Date 3/25/09
Property Address . . . . . . 91 S SARATOGA CIR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO B� UPDATED
Application valuation . . . . 5900
---------------------------------------- ------------------------------------
Application desc
reroof
---------------------------------------- -----------------------------------
Owner Contractor
------------------------ ------------------------
CUMMINGS, GEORGE ROMANO ROOFING SERVICES
91 SARATOGA CIRCLE S . P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-5649
---------------------------------------- -----------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . . i
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5900
Expiration Date 9/21/09
---------------------------------------- ------------------------------------
Fee summary Charged P id Credited Due
----------------- ---------- ---- ------ ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 60 . 00 60 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A' LANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF CONMENCENIENT
or A OL Tax Folio No.
State of
County of
To Whom It May Concern:
The undersigned hereby informs you that unprovements will be made to 0 rtain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OFCOMMENCENIENT.
Legal Description of property being improved:
Address of property being imprreW--'�%I '4:�N at jr g-jeja q� JbILt
General description of improvements-.44 rao
A
owner Ly Address: 4 (�A r L 0
Q�
Owner's interest in site of the improvement:
WF * I *leholder(if other than owner):
Name:
CH> ^-1
Mao
Address: C-I'L�
Surety(if any)
Address:
Amount of Bond$
Telephone No: Fax No:
dam—
to$##
Name and address of any person maldng a loan for the construction of the h nprovements 1�y DANIEL S.ROMANO
Navy PUMIC-sta Of FWW
1-ft.
Name: Z W W7-1 Mv Comm EXPIr"No* 12
COWWW"#W Wm
Address:
Phone No: Fax No-
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be
served: Name:
Address:
IL
Telephone No: Fax No:
in addition to himselt owner designates the following person to rece a copy of the Lienor's Notice as provided in Section
713.06(2)ft Florida Statues. (FRI 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 doj(�)
specified):
i ,e
TMS SPACE FOR RECORDER'9 USE ONLY ONV;NER
Signed: p
Date: h.71.09
Befb 'M ihis day of in me CoWity of Duval State
lonid'ahas person4y appeared
Doc#200906qW,OR 13K 14820 Page 2227, lotary Public at Large,State of Florida,County of Duval.
Number Pages:1 Ay commission expires:
Recorded 03/25/2009 at 10:20 AM. lersonally Known: / /.Cp :2Q —or
JIM FULLER CLERK CIRCUIT COURT DUVAL -roduced Identification! (T 0,"` '-1,/ d f
COUNTY
RECORDING$10.00
CITY OF ATLANTIC EACH 08-
800 SEMINOLE ROAD,ATLANTIC CH,FIL 32233
OFFICE:(904)247-5826 0 FAX N (904)247-5845
BUILDING--DEPT@CO US
fit BUILDING PERMIT A PLICATION DUVAL COUNTY
/0 0.
J2 . .....
[3 NE DING 13 DEMOLITION ESIDENTIAL
LOT BLOCK SUB DIVISION [3 ADD 1- [3 CONVERTING USE COMMERCIAL
I�KLT ION [3 ACCESSORY BLDG. WRION77%
77�'&EP R [3 POOL I SPA YES N/A
12 10 mo 0 OTHER NO
9.NAME: 15.COVY NAME: 23.COMPANY NAME:
PFk0#A%-ex so-k 04196141,43�-yt 6
16.NAME' 24.LICENSEE NAME:
10.ADDRESS, 17.STATE OF FLORIDA LICENSE NO. 25.STATE OF FLORIDA LICENSE NO.:
— L C,M/�t
k& 66,1 rc 18.ADDRESS: 26.ADDRESS:
3-'L'"3 & 77-11)
'11.OFFICE PHONE: 12.FAX 1 9.OFFICE PHONE: 120.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
F6
13.CE(PHONE' 21.CELL PHONE.*,),, 29.CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
T, V�-gTl-- "'"'��-l�l I - ,- , 'T I , - , 6`%�
TZ
17EAR
ORR--
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 instal ations 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 meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced �tithin 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 comme iced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heate-s,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurat nd that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenc building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the buildi official,as required by law.
't
d
ga
d
g
V
WARNING TO WNER:
YOUR FAILURE TO RECORD A NOTICE OF COMM NCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR P OPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND PO TED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN F NANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECOR N YOUR NOME OF COMMENCEMENT.
Signed, ate: Signs VY Date:
13.tc a m his da of 2007 1 in the county of Beforl meth.///—/..dayof 2007 in the county of
D al,State of FI p blic State of Florida Duval State��nda,has personally appeared
tl!�Tpu. -
herin by him I rs thpt#At are herin t y himself/herself and affirms that all statements and declarations are
f i
true and a r Expire$10/21/2012 true a d accurst
'S
Notary Public t Large,S a o Notar Pu " Lar tate of of
,9—personally Known Known
[3 Produced Identificabon- C3 Pon'Ilu d Ida tio -777
13 P
Notary Signature: Note Si L
A-
N t ry Y L. GRA
o a
Public State
7i": rida
Y C'OMMiSSiOn Expires F b 14,2010
r
COAS FORM BLDG01:REVISED:1/10/2008 -Of'lmissiO� #DD 518533
L�ondC I BY Naf,Olaf Notary Assn.,
CITY OF
4&6a&c Bwc,4-
Office of Building Official
REQUEST FOR INSPECTIOW
1
[Date Perm
Time
ReceW P KA str No.
77/�W,Z&C,I:q 4—
i ciar -ocall y
"re
Owner's
Contractor
SwUmix— C RETE ELECTRICAL PLUMBING MECHANICAL
F�tg El RoughWiring 0 Rough 0 Air.Cond.& 0
Re Roof I ng 0 Slab El Temp Pole 01 Top 0 t 0 Heating
Lintel 0 Fire Place 0
Pre Fab
READY FOR INSPECTION A.M.
\� � Prid— P.M.
Mon. Wed. Thu
A
P.,
n Made P'M.
Inspection
Car,f icate of Occupancy
Dat,
CITY OF
4&4A410
Off ice of Building Official
REQUEST FOR INSPECTION
Date Permit No. 3
Tlme� 15 4P A.M.
R ved M. District No.
�ob Add pas Locality
Owner's
Name r--11 Contractor
BUILDING kl� \ CONCRETE LECTRICAL PLUMBING MECHANICAL
Framing Ej Footing ��IoughWiring [I Rough 0 Air.Cond.& 0
As Hoofing El Slab 0 Temp Pole 0 Top Out El Heating
Lintel EJ Fire Place 0
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. Frid Y—P.M.
U-S
C�Tp
Inspection Mad
Inspector— Final Inspection(311
<—Ll Certificate of Occui)ancy
,Zz�) -T E
Date
OF BUILDING FOR OFFICE IgSE ONLY
CITY OF ATLANTICBEACH, FLORIDA Date
19 7."
Perm #.A2,r3 Fee $_gM2�_
Application tot Permit �aluation
#
for
*isc. Alterations Houso #
and Repairs
6P,
ESCRIBE:
(state if to tepaiki,_ aleer, add to or move build
ing, erect awnings,,
or signs, etc. )
Building on: Blk Sub.DiV.
1 1 1-14� Av-� 4a-
,Address op. ValuAtion
Owner s Na66
BUILDINGS & OCCUPANCY
,Building Use Residential or Business
'What Plumbing W0r1k to be done?
Size of Present Bldg.
i, I -�.�ize of extirigion,,41,".
Lot size Material of Roof
,o. of stories no
after altered
Material of Present Bu
ilding
j ial of Extension
Meter
SUBMITtED HEAMIM
SIGNS
size Classification
r,gx ound, roof-, wall, p
state whethe
rojecting
banner)
' Material of Construction
Illuminated? TYPPe of illumination
(State whether I
amps or, neon)
'�ill sign, be over public propar'ty7
SUBMIT DRAWING SWWr COR6T
AUCTION 0 P SIGN AND METHOD Of- HM(;ING
MUTE ADDITION" 1149-OR 4ATION R
E-Low
(For canvas awnings provide dimensi:�ned
Y
drawing on
ide
4 ORTANT NOTICE:
P
Inconsideration of permit given for doing th
e described I
in the above statement, we her I eby agree to perform said
work in
�ocordance ith t'
he attached plans cifications,: ,which a re
and s
' Plort hereof, and in 'accordance with the ilding regulations of the
City of Atlantic Beach. $outher n a - Vuildipg Code)
Oignature q
Builde,r Owner
��#dress
Phone
CITY OF ATLANTI BEACH
DEPARTMENT OIFIUILDING
800 Seminole Road-Atlantic Beach, FL 322 3-Tel: 247-5826- Fax: 247-5877
PLUMBING PE MIT
PERMIT IRF
LOCATIM'
-Pe—rmit Number: 21317 Adi Iress: 91 SAK' ATO.GA I CIRCLE SO!-JVH—
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION nship: Range: Book:
Proposed Use: SINGLE FAMILY Lo(s): Block: Section:
Square Feet: Su )division: ROYAL PALMS
Est. Value: Pa -cel Number:
Improv. Cost:
OWNER
Date Issued: 1/22/2001 —F ame: GREENE, PERRY
Total Fees: 36.00 Adi Iress: 91 SARATAOGA CIRCLE SOUTH
Amount Paid: 36.00 ATLANTIC BEACH, FL 32233
Date Paid: 1/22/2001 Plione: (000)000-0000
Work Desc: SIX FIXTURE REPIPE
MEAfff M- N FEES'
KU I U-MR)FER SERVICES COMpANy ��-00
FINAL
NOTICE -INSPECTIONS MUST BE REQUESTED AT L EAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC
SPACE, AND MUST BE CLEARED UP AND HAULED AWAY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION L N LAW CAN RESULT IN THE PROPERTY
,V 1�1
OWNER PAYING TWICE FOR BUILDING IMPROVEMIETS'
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART C IF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
2 ,&
Ditei 1/23/1191 Rmipt: M291
A-TbVN-T—IC BEAdH5UILbtNG DEPT. CHECKS 156
31%
CITY OF ATLANITIC B�ACH
APPLICATION FOR PLUMBING PER.MIT
JOB.,LOCATION, : Q;!.� oixo _Q
OWNER OF PROPERTY:--�? 9
PLUMBING CONTRACTOR
CONTRACTOR'S ADDRESS:2_�Dzs (n. 2 � .L4
sk� 4
-TSER: 0�,,q TELE7?HON
STATE LICENSE NL
HOW M.-A
.�y OF THE FOLLOWING FIXTURE'S INSTALLED
-S I INK S SHOWERS
-LAVATORIES WATER HEATERS
-BAT'i TUBS DISHWASHERS
URINALS DIS?OSA-LS
-CLOSETS WASHING MACHINES
-FLOOR DRAINS S H OWE R P AN S
OTHER
,( oJkL21
TOTAL FIXTURESf q, 3i5O + $15-00
MINIMUM PERMIT FEE - $25.00
SIGNATURE OF O',JNER:
SIGNATURE OF CONT7-,ACTOR:
..7----------------------------------------- ----------------------------------
INSTAITLATION OF PLU`M.BING A.NrD, FIXTURES MUST BE IX ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (0104) 247-15826
SEWER CONNECTIONS X'UST BE CALLED IN TO PUB�IC WCR_KS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834.
CITY OF
'a4aza Tear &SIZ&
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
DATE
JEA Construction & Maintenance
2325 Emerson Street
Jacksonville, FL 32207
Attention: Connie
Re: Final Electrical Inspections
Dear Connie:
Final Inspections on the following locations have been completed and approved:
PERMIT NO. ADDRESS
C)
-:2 / 353
Please call me at 904-247-5826 if you have any questions.
Sincerely,
ATLAN IC BEACH BUILDING DEPARTMENT
CITY OF
BwaA-0;&u-Ja
Office of Building',Official
1
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received PM.
Permit N 0
r r
Job Addr Locality/
C
a
Owr s (2�7
Narr�:r,
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 1:1 Footing F! Rough El Air Cond. & F1
Re Roofing 1:1 Slab D Temp Pole D Top Out El Heating
Insulation El Lintel Final Sewer El Fire Place
Pre Fab
'R AAY FOR INSPI53-TION
i A.M.
Mon. Tues. Wed. Thurs. Friday PM.
I
Inspection Made
I.`
Inspector— Final Inspection D
Certificate of Occupancy El
Date 2 —�2
N I U�- WILDING
-I 'mK I mr
800 Seminole Road-Atlantic Beach, FL 3433-Tel: 247-5826-Fax:247-5877
ELECTRICAL 1 PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21353 Address: 91 SARATOGA CIRCLE SOUTH
Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdlidsion: ROYALPALMS
Est. Value: Parcel Number
Improv. Cost: OWNER INFORMATION
Date Issued: 1/30/2001 Name: REENE,, PERRY
Total Fees: 50.00 Address: 9 SARATAOGA CIRCLE SOUTH
L TI(
Amount Paid: 50.00 A LANTIC BEACH, FL 32233
0 1
Date Paid: 1130r2001 jPhone: 0 )000-0000
Work Desc: ESS1 50AMP 1 PH 3W 240V REGROUND SERV19E
FE _
ES�
CONTRAC
-ALL-SERVICE ELECTRIC CO PERMIT AIW, W&ftDN 50.00
FINAL ELECTRIC
NOTICE- INSPECTIONS MUST BE REQUESTED AX LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS W( RK MUST NOT BE PLACED IN PUBLIC SPACE,AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER COh TRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTIO LIEN LAW CAN RESULT IN THE
LIEN W C"
IM 71 TSff
PROPERTY-OWNER PAYING TWICE FOR BUILDIN IMPROVEMEN
T
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PA OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
Date: 1/31/91 it Receipti IM7%
NTIC BEACH BUILDING DEPT.
DIECKS 12;4
wleelmlew
DEPARTMENT OF IBUILDING 4287
CITY OF ATLANTIC 13EA CH. FLORIDA PERMIT NO.
PERMIT TO B ILD
THIS PERMIT MUST BE �OSTED ON JOB
D 11 i
2/28
Valuation$ 45n-W Fee S 00
This permnit not valid until above fee has leen paid to City Treasurer, and I,$
subject to revocation for violation of applicable provisions of law.
This is to certify that Myrari D- Cooper
has permission toX&V enclose exisiting carport and add off street_
parking according to plans submitted.
Classification residential
Ownedby---MVrnn D- Vny%�
Lot 8 � —Blo k 3 AB Unit #2
House No- 91 Sarat 21 Cir1ce South
According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
x
14-111. 0 Building material, rubbish and debris
Zfrom this work must not be placed in
public space, and must be cleared up
and haxiled away by either contractor
or owner.
Bill 11. Davis r
Dn"'IngoTf ��XAT
W,
1 t!?0
FOR OFFICE PERMIT DATE CONTI!� 0r'Ac
USE ONL� NUMBER
�Tl I id
PLUMBING
ELECTRICAL
SEWER
WATER
AOW
CITY OF ATLANTIC BEA H Pwmft
FLORIDA Valuation $.... ..........
House
APPLICATION FOR BUILDING P�MIT .... ....
L
Application is hereby made for the approval of the detailed statement Of the plans and specifications herewith submitted for the
building or other structure described. This application Is made In compliance and conformity with the Bun Ordinance of
the City of Atlantic Beach, Florida, and all provial A ding
Beach and all rules and regulations Of the Building Dons Of the wx of the State of FUrida, all ordinances of the City of Atlantic
ePartraent�i of the City of Atlantic Beach, shall be compiled with, whether
herein specified or not.
The Contractor or Owner-Bunder who has been issued a B
contractors engaged by him are duly licensed in th ufU'nx Permit is Automatically responsible to ascertain that all sub-
Ing intermediate or final inspections it is a s City of Atlanfic Beach, Florida. To prevent delay or embarrasment re&IA-
be varlhed. uggested that a list of sub-COntrzctOrs be submitted to this Office so that license, cAn
Date.....
Owner..... .....D...... .....................Ad([ream_ ----------1'��o.. ..........................
Architect
ContractorBuilder -------------------------------Addres&........................................... No......................
Lot No........... I ------------------------------------Ad�ress.z�................................................—Telephone No............................
................................Block No...........:�------------_---Sub DlvlslonA?��17-
............................................................streld.........................Side Betweei i........ e� ...........Zone................
Valuation $...41S- .............................................and........................... ..........
......Yor what Purpose will building be w
Dimensions of BuIldIng.._&.' -Type Of ConXtructfozL..LQS2.Q.d..................
-----------------Dimensions of Lot...[
j-----z-----........................................Si" Of POOtInV...................................
Size of Piers.... .....................Size of Situ............................... atest Sill Span in ft..........................Type Roof..........................
How will Building be Heated?...........!�.!' 4-
Sim of Calling Joists -------------------------------------------"Will Building be on Mid or MUM Ground?..........................
...... Distance on Can":........................................... Greatest SPM.............................._ 0
Stu of Floor Joists...............................................Distance on Centersi:__-_ -----------_---------......... Greatest span------------------------------------
She of Rafters.....................................................,Distance on Centers.......................................... Greatest Span-........................
Loj�s r0ct%",* Is to represent the lot.
to the b or biLildings in the
2 ri ht Position. Give distance in feet from
IOt-lLn6s and existing bundings.
Two copies of Plane and specifications sho REAR WT IM
be submitted with applicatIML Frel I
Inspections require&
L When steel Is In place ww ready to pow footing. FL3 1�9 1980
L When steel Is In Place and ready to pour col.mr, r
3. When steel Is In Place and ready to pow beam. ANTIC BEACH
4. When framing is complete&
5- When rough plumbing is completed,and ready to cover
UP.
S. When septic tank drain field or sewer In laid but before It is Dovered.
7- Electrical Inspection by City of jacksor
S. FInal Inspection.
NOW In came of any rejection,reingpection 'S
corrections are--A* MU T be called for a&1 r
In consideration of permit given for doing the wo as ed FRONT OF LOT
work In accord- with the attached Plans and in the above allteinent, we hereby agres to perform said
regulations Of the City of Atlantic BejcL specifi"tjong' which are a Part her"t and in rdAW* with the building
Signature Of Builder-
............................
Signature of Owner....
Addrws_..�
may oF ATLANric BEACH
716 OCEAN 13DULEVAIRD
ATIANTIC BEACH, FIORIDA
ADDENDUM TO BUIMING PIAN
1. Building location-.; cj' 5A-0-47-06/+ Cb-, 5D, oqrIA1)T('C OeiAck
2. The attached plan for the above building is, approved subject. to meeting the following
applicable construciton requi-rements:
a. Footings shall be continuous monolithic concrete under exterior walls, reinforced
with two 5/8" deformed reinforcing rods for one-'story buildings and three 5/8"
deformed rein-forcing rods for two-story buildings. Reinforcing rods shall be
placed in the lower one-third of the fcDtings, properly placed and fastened On
metal cables with wire. Footings shall be six inches wider on each side than the
wall above, shall be at lea t &-ight inches thick and shall rest on firm soi-1 at
lea t twelve inches below undisturbed �Dil.
b. In hollow masonry,unit constructicn, e Ph unit cell shall be reinforced with at
lea t on No. 4 bar at all corners, pouriad and tamped with concrete; such rein-
forcing shall be properly tied into thefooting and spandral beam.
c. All wood truss rafters (roof construcitDn) , shall be securely fastened to the
exterior walls with approved hurricane anchors or clips.
d. construction of nearby one-family i ings, which are duplicates or intensely
similar, shall be avoided. Such similarity considers the external configuration
and appearance (.i.e., roof, outer wall materials, window size and design, and
other like cha-racteristics) of structures. In- accord with the foregoing, similar
or duplicate lxxres shall riot be construicted within close proximity of each other,
and shall be at least 500 feet apart i any one similar dwelling is visible frcrn
any other similar dwelling.
e. The final connection betA�een the house Plurbing and sewer service
connection (at the property line) Tmast be by City be or?, Deing
covered.
9
The undersigned hereby certifies that he has r ad the above and understands that this
addendm takes precedence over any contrary de��ls to the plans and specifications
and agrees to ccn-ply with the intent of this ad I dendu-n.
ContVtor/OwHer
Oate
MAP SHOWING SURVEY OF
Lot Block 39 Atlantic Beach Villa Uni t 110. 2, as recorded in Plat Book 31,
Page 13, Of the current public records of Duval Coulitys Florida.
FOR : SPACE BUILDFRS, 11m .
En
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DEPARTMENT Of iUMOING
CITYOFATLANT ' BEACH
INP
LOCATION VRiIATI
T�H
39941 ,
RAT6GA
;,*4t Numb*rz $A, CIRCLE, SOU
Y�p suILD'Iftr;
P *jt T A1TLAnT1C' j1vAt;H, FLORIDA 322p,31
4*0 of Work 1 Amitiow_ Litai" " Ok"IPTION
000 -FRAnE
t T �t W - L
0 .1 soctio�4
y o'�
T RNG
I p
Oppmed, U10e
Subd1v isi
0
ti,*ated' Value,:, *1�300.00
ost $0.00
1* ov.
pr
*30.00,
All Total ,
� Jsl().00
91
D
'.rORAM SHED
tiox, zt. 1*1 T ATT FEES
*30.00
- SOUTH WATI r__ Fag ' ' *0.
APR ;RCLE
T
SE
FLORIDA
PA
4
WOW
Tr 7"
FORMATION RADON ' 00
_A
WATER 40
#0
t,.TA,
fAc
106RAU ARE
SA,
T YP03
n
Svc*;,K '11,KFA.",
Oil OTI _1
'fir . ....
77
7� 70
4-NO
TESi
"U';
'LCO" 06TS FO MS AND FOOTINGS I 1UST 09:#N$ #F.POR�P0uf4ING
4"-At R
E "TER OATS
P AK41T'VOID SIX MONTHS A
0,11 ' 'C
I)ING MATERIAL,RU66ISk.'AN6080AIS FROM THIS WORK:VUST, NOT AN T
Ulf. E PLIP"L -A _0 iUS '85,
D
LiARio Up AN kAutfib"AWAY�jj�g"Ek CONTRACTOR OR :)WNI�R,,
TO't
O'Li�'Y"*ITH THE MECIIANICV ".LIEN..-"LA-.W,,,CA,N.,,RESU�Ltlm:"
' TwEIPROPERTY
PAYING TWICE �FO
_DING,TQ 4'ov 'D OIR V A
tSUED ACC6'R O::API1 PLANS, WHICH ARE PART OF1Ht8 PVIM1T:*N0�',S6 66C
OR
LICABLE-P
T' R
T1614 OF APO 0 SOF LAW,
A0
PART ENT
ANTIC BEACHiSuiLDINO'DE
�ji
Addr6ss (--&,a
� Heated Square Footage @ $ per sq ft = $
Garage/Shed
@ $ __per sq ft =
Carport/Porch @ s per sq ft = $
Deck @ $- per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION: $
C)
Total Valuation lst, $ 600 0
$
Rerainder Valuation $ per thousand� or
portion thereof
-------------------------------------------- .7otal Building Fee $
ADDITIONAL PERMITS and/or FEES REQUIRED Filing Fee $ C)
Fireplaces @ 15.00 $
Mechanical
I 0,ILDIW, PERMIT FEE $
Plunbing
Electric/NcK.7
L------- ------------------------------------------
Electric/TeM BUILDING PERMIT $
Septic Tank I XTER MEM a]ARGE $
Well
S,.dnrdng Pool .04ER IMPACT FEE $
Sign WATER IMPACT FEE $
I SCEI.1 ANEOUS $
Water Connection
Sewer Cormection. $
Water Meter $
Elevation Certificate ',RAM TOM DUE $
------------------------------------ ------------- -------------------------------------------
CALCULATIONS and/or N=
CITY OF AT ANTIC BEACH
PERMIT APPLICATION REMODE ADDITIONS OR ALTERATIONS
Owner(s) :- DARRELL jL._ 1&WETj ---- ---------------------------------
Address:__ 91 SARATOGA CIRCLE S ALANTIC _AfLAR%bne:__ 241 8735
"Lot # Block or Unit #-Z
_ Subdivision:
Contractor: SELF
------------ ---------------------------------
Describe work to be done:-- 10 x �16 Stowogg 1;..LL:�n.S
. ............
------------------------------------------------------------------
------------------------------------------------------------------
Present use of building:------ NONE ------------------------------
Valuation:----0- --------- --------------------------------
Proposed use:.... stowage of tools and extra items ---------------
In this an addition?--- NO ___ If yen, what are the dimensions of
the added space:---------it. X -------It. Will the added area
be heated and cooled?-------- N.w electrical (or increase)?-----
New plumbing fixtures?.... New I�Lreplace?----New Heat/AC?--------
SUBMIT T*,0 COMPLETE SETS OF PLAN INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF CO MENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTO
Signature OWNER:-- Date:___.2j_.jjj.NZ_ 9
,Signature CONTRACTOR:----------- ---------------- Date:-----------
JUN 2 7 1991
Building and Zoning
01 \A
X-P- A
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-2-71991
Building and Zoning
4m
40k
Aw
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JUN 7 1991
oft
Building and Zoning
A
PLI. 1967 L^WS
FS 713.13 11A&W.0 FOR&@ me
Of Oro : nwUrement
".66
go i6hom it MV
The undersigned hereby informs all concerned th t Improvements will be made to certain real
property, and in accordance with section 713.13 of th: Florida Statutes, the following Information
is stated in this NOTICE OF COMMENCEMEN
T.
Description of property....-Aa.7.7-2�................
i./V..........
............... .................................................
................................................................................................................... ...................................................
............................................................................................................................................................
General clescription of improvenonts,...
...........
........................................................................................................................ .........................................
..................................................................................... ...........................................................................................................................
Owner.
AcUress.......�7/......... -4
Owner's irderest in sit* of the knWovoRMW.......
Foe Simple Tide hoWw (if other t6n owner)
Name.....................6��...............................
.......................................
Ac1dr*w.................................I.......................................
..........................
Contractor.......................... ...............................
A"w...................................;.....................................................
Swely (d any)............ .................................................................................................................
A"m...............................................................................................................................A41110" of low
Nam of person witW tho state Of NMI& &$*Wod by ner qm whom notion or O*w &awwa my
be "rve&
Name...........
. ..................... ..........................................................................
Ad&ess...............................................................................................................
In addition to himself,owner designates the following petson'to receive a COPY Of the LionoesNotice
as provided in Section 713.13(1) M, Florida Statutes. (Fill In at Owner's option).
Name..................................
.................—....................... ............................................................
Address
T1414 *PACs Von OXCOOIDUR-0 Uez 6j#LV
Sworn am lore me ..............
.......................... .....................................
............I............................. .. ....
Notery Public
NOTA
�y PIJBLIC' STATE OFtLORIDq
My comini'-sion
ExPires Aug. 17,
9411
OWNER BUILDER PERMIT AFFIDAVIT
State of Florida
City of Atlantic Beach
BEFORE ME, the undersigned authority, personally appeared
Uar_r-P_1_1__1L_"w.@_r-�------------ who upon first being duly
sworn, deposes and says:
1, Darrell h lowery ----------------------- and the legal
Qwner of the following property:
Subdivision
Block ------ Lots
AKA -----------------------------------
I am applying for a building permit pursuant to the Owner
Builder exemption set forth in Florida Statute, Section 489. 103.
Florida law requires that I have been provided with the following
DISCLOSURE STATEMENT%
DISCLOSURE STATEMENT
State law requires construction to be done by licensed
contractors. You have applied for a permit under an
exemption to that law- The exemption allows You, as
the owner of your property, tc art as your own
contractor even though you do not have a license. You
must supervise the construction yourself. You may
build or improve a one - or two family residence or a
farm outbuilding. You may alsolbuild or improve a
commercial building at a cost ofl$25,000. 00 or less.
The building must be for your use : and occupancy. it
may not be built for sale or less I - 11 you sell or
lease more than one building you have built yourself
within one your after the construc ion is complete, the
law will presume that you built i for sale or lease,
which in a violation of this exemption. Your
construction must be done accordi+g to building codes
and zoning regulations- It is Y ur responsibillty to
make sure that people employed bj you have licenses
required by state law and by ounty or municipal
licensing ordinances.
I hereby acknowledge that I have lead the above DISCLOSURE
STATEMENT and that I comply with all �Lhw requirements for the
issuance of an Owner-Builder permit.
Further, afflant sayeth not. 00,
LOW
__!O
Prop,_rty 06wn
Sworn to and subscribed
befo�r*___m* this
------HCA_eii:
NOTARY PUBLIC
My Commission Expires% 1j V1 0-'�
NOTARY PUBLIC, STATE OF FLOVA
JUN 2 7 1991
tAy Commission Expires Aug. 17, 19A
Building and Zoning