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446 Sargo Rd (vault) `4 4 CIT)( OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptacoab_us Application Number . . . . . 08-0000235 Date 2/19/08 Property Address 446"', SARGO RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO UPDATED Application valuation . . . . „ 5500 ------------- --- --- -- -- -- - ---------- - - - - - --- --- - - - - - - - - -- - ------ - - - --------- Application desc reroof fl 617 --- - ------ ---- - -- --- ---- -- -- - - - ----------- - - - - - -- ---- - -- - -- ----- - - - --------- Owner �i Contractor - ------ -- --- - - -- -- -- ---- ---- -- -- - ----- - ----- - - - - THOMAS, FLOSSIE MAE OWNER 446 SARGO ROAD ATLANTIC BEACH FL 32233 it �I ----------- ---- -- -- ------ ----------------- -- -------- -- --- ---- - ----- --------- Permit . . . . . . ROOF PERMIT Additional desc Permit Fee . . . . 47 . 50 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5500 Expiration Date 8/17/08 -------------- -- ------ -- -------------------- ---- ------ --- - - ------- - ----- ---- Fee summary Charged Paid Credited Due ---------- - - - - -- - ---- -- ---- - - - - ----- -- - - - - -- -- ----- -- --- Permit Fee Total 47 . 50 47 . 50 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 47 . 50 47 . 50 . 00 . 00 �I I I II �I it PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF gATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. it i' CITY BEACH 00 SEM:NOLE2O4FAD,ATLFNTIC: EACH,FL 32233 08-1 t+� 800 SEMINOLE ROAD,ATLANTIC -5826 .:(904)247-5845 BUILDING-DEPT@ C qA B.U S ,r=r" BUILDING PERMIT 4PPLICATION DUVAL COUNTY 77 , ❑NE V BUILDING ❑DEMOLITION WRESIDENTIAL LOT_BLOCK_SUB DIVISION ❑AD ITION ❑CONVERTING USE ❑COMMERCIAL 13 AL ERATION ❑ACCESSORY BLDG. *E AIR ❑POOL/SPA ❑YES N/A (� ❑M E ❑OTHER ❑NO 777;-7,6na ` r o 3 (iqx ,r 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: r- 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE N 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: I 26.ADDRESS: 'y Lf to s�,� v �tx� 11.OFFICE PHONE 2.FAX NO.: 19.OFFICE PHONE: 20.F NO.: 27.OFFICE PHONE: 28.FAX NO.: 0q-2q1-0o0N p 13.CELL PHONE- 21.CELL PHONE: �j 29.CELL PHONE: N 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL AD ESS: A) A xa s t n a e' d Y a .`,. a .,. .R. ... 2..,; .:. , . . .. 31.NAME: + 33.NAME: I 3 .NAME: IGS . DRESS: 34. DRESS: 36.ADDRESS: Application is hereby made to.obtain a permit to do the work and instaPtions 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 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,Heats,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accura 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 building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the buildi:'g official,as required by law. WARNING TO OWNER: *�Nr YOUR FAILURE TO RECORD A NOTICE OF COMN�ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND PO TED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN NANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN YOUR NOTICE OF COMMENCEMENT. g, Signed Date: Signe : Date: Before me this day of 2007 in the county of Beforo me this day of 2007 in the county of Duval,State of Florida,has personally appeared Duval;State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin y himself I herself and affirms that all statements and declarations are true and accurate. true a d accurate. Notary Public at Large to County of.. V t�l.. Nota Public at Large,State of ,County of ❑PersonallyS ❑Pe ovally Known Produced Ition "'��. uced Identifcation- Notary SignaKary er U bfl o Signature: ".' Commission#DD 518533 Bonded By National Notary Assn. COAB FORM BLDG01:REVISED:1/10/2008 r �ZQ8 3 � ' Sri CITY OF ATLANTIC'BEACH OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING'REQUIRES OWNER 1 BUILDER TO ACKNC WLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTIOT TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERM T UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE O R OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST THE CONSTRUCTION YOURSELF YOU h Ay BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUIL LNG. 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 MA NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE T YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE L WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION F THIS EXEMP'T'ION. YOU MAY NOT AN p YOUR CONSTRUCTION MUST HIRE 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 RE D BY STATE LAW AND BY COUNTYAL LICENSRLG ORDINANCES, 11. INJURY LIABILITY; SINCE OWNERS MAY BE L LE =OR IN URIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKE ITS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. !I 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 CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES.OWNERS BEING SUBJECT TO$5, PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN-OCCUPATIONAL LICENSE-IS NOT ADE UATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LIC ENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT;i HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. L (r �-kr-a o ted ADDRESS PHONE NUMBER PRINT NAME SIGNATURE DATE Before me thisp day of .2007 in the county of uf� Duval,Statahas personally appeared hem by himself/herself arm affirms that all statements and declarations are true and ac:curate. Notary Public at Large,State of 14—e _,County of i ❑Permnelly Known (,i¢m&md UmMicarion-J J L.GRAHAM •4r'NY P4e Notary Public-State of Florida Notary Signature: Commission Expires Feb 14,2010 Commission#DD 518533 COABt�tatjXA7;REVtst�:s/t+nom Bonded By National Notary Assn. it FOR OFFICE USE ONLY / .2.........19 X Date__..._..-�O ..1. Permit *........................Fee$..-..-....-............. CITYOF ATLANTIC BEACH Valuation $...................................................... FLORIDAHouse *----------------------------------------------------------- .................................................................. APPLICATION FOR BUILDING PERMIT ........................................................................... ............................................................................ 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 �,mpliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of!'the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the !City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Buildingermit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of AtlanficIlBeach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of subcontractors be submitted to this office so that licenses can be verified. Date........................ a-_2------------------- A, . . Owner...H_(5�......Etrp�.(r.......HA-a....7 ". x.5.ftx.5 .44(Q....�S. p.13... Telephone No......... Architect................................................................................................Address.-.�........................................................Telephone No.-------.---.-------•--.---•- Contractor Builder..... .....Faxk--or...... ....Address---i -------.-.-.-.---_--.------..---------.__---.---.-----Telephone No----------------------------- ' .. .... Lot No---------------------------------------------------Block No-------------_--_-----------Sub Divi4on---------------------------------------------------------------- -----.-..--- ..Zone............. 1 Street.. .-.,-..-...-2Side Between_...._..'I -----------------------------------------and......................................................sts- i Valuation $................................For what purpose will building be used.....:..................................Type of construction.---..-------.------.-.._............. Dimensions of Building---•-----------•-'Size ---------------------------------------Dimensions of Lot.........:...'......_...__......._._._._-.-.--..••----•-4i .Size of Footings------------------------------------- .........Type Roof..------------------------------------ Size of Piers-------------- of Sills....---•--. ........GreatestJ Sill Span in ft--------_------- How will Building be Heated?---------.....................................................will Building be on Solid or Filled Ground?........................................ Size of Ceiling Joists-------------------------------........... Distance on Centers...._.._.i..................................I Greatest Span............................................ Size of Floor joists..............................................I Distance on Centers........1�.. ................................ Greatest Span............................................ 'i Size of Rafters---------------------------------- ........Distance on Centers..... ................................I Greatest Span-------------------------------------------- This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in fees, from 4f.,0 /Ns r-)q Aa• T-7 o A) r- rov all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. Z 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 4. When framing Is completed. 5. When rough plumbing is completed,and ready to cover up 6. When septic tank drain field or sewer is laid but before it is covered. as W 7. Electrical inspection by City of Jacksonville. S. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after 1, corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic B*%ch. I 0........... ------ .............. ................. ddress.........43. .. Signatureof Builder................................................ ................. ddress Signatureof Owner.....--•-----------•--•--•-----•................................... - ------ -------- ___Sdw od 'E'&" Sales" an Sign*d CITY OF ATLANTIO BEACH APPLICATION FOR FLUV-kING PERMIT PERMIT NO Date : LOCATION Street SII . LOT N0. BLOCK NO ., &' S/D a-:9 � OWNER - -- MASTER FLU14BER ­4da'4L 'z i Bldg. BUILDER OR CONTRACTOR Permit._VTjo- ./7.7, .._. TYPE OF BUILDING SI!�P__I_LAVATORY__L_BATH TUBI URINALS CLOSETS FLOOR DRAINS SHOWERS___WA ER HEATERS—DISH4ASHERS DISPOSALS OTHER TOTAL FIXTURES_ � � �fs1 . 00 NO WORK MUST BE DONE UNTIL A PERMIT HAS BEEN PROCURED PLANS AND SPECIFICATIONS must shov a plan and description of. the size..-.and location of all the soil and vent pipes, and the number and location of all fixtures , (in acc rdanoe with Ordinance no. 188 of the City of Atlantic Beach, Fluri a ) must be shown an back of appli- cation and be approved by the Plu bing Inspector. DR.F 4 PLAN AND SI,ECIFIC.,ITIOI OF ABOVE PLUMBING ON Br CK. t�pprov E d by Flumbing Inspector Date (FOR OFFICE US ONLY ) ROUG"H-IN INSPECTED REIIARY,S FINAL INSPECTION: G %iCERTIFICATE ISSUED: I llQ55 DEPAI T ENT OF Bk ILDING CITY OF ATLANTIC EACH xm#t N Ad re�ss�; 446 SAlIt3J RmAD Permit T �6 a R�:�Ikfi��3F ATLANTIC VkAtH« FLt3RIIlA 32233 a as of Work,., Nle .«_ ----:._. L�t�AL- T�I�SCRII?�I+�M -_.«_-_... onstr. T pe: WOOS PR SE I,c� alck Sioction» r�rpos d Se: SINGLE `AIS L,Y Town hi.p,,-. .` 4 l in+ s , , 1 Cod x ' "0, Su divisi o]6 ' A01ML PALMS 1x Pra Cer t to.00 � Taal Peefa :Amount Paid: Amount t'22-50 X22. 0 j Date i Nam FAIT.: $12 + Ad ADOF TER :I1 ' TS Std C CM LC3AI 2 5�ZR' l+ T rtz to. Pio C?1 ill AP„ t0.{34€3, 10 PIN t3 Hwy AI�'Y�I.iTy��I� ��+ROV ► soo. t���w1} AC11 T Pt,,, to 0 CCI T. I C IAI C $0 .Q0. SCII�GI , ATL F acj(♦ •€�� t a I i I l 1 ' t NOTICB -ALL CtN+ICRETE F# ,ELMS AND FOOTINGS Ml IST BE INSPEMW B #?ORE POURING . PtRi4rf VOID SIX MONTHS AF rER wE iIL, UE B04LIDINO MATERIAL,RUBBISH AND DESRIS FROM THIS WORK M ST NOT BE CE©I.N PUBLIC$DACE,ANS MIDST BE CLEARED UP ANIHAULEfl Arni,��t ICY EITHER CONTRACTOR OR `# UR t 't ` THE IIEN L1 REU .T AN Y1NG T "V1C F R TSE r � � T ". a Q ACG MG TO APPROVED PLANS WHICH ARE.PART OFTHIS PERMIT'AND SUBJEC T TQ A' €�E ABLE PIVISIiN$OF LAW. !, R f i " A NTI BEACH .IfILDIIVG EPARTf 11rNT I t CITY OF ATLANTIC BEACH j ROOFING PERMIT AtPLICATION I, 30E LOCATION : OWNER OF PROPERTY: �I�,4 I CONTRACTOR % �•�.�-� L II CONTRACTOR' S ADDRESS: ,517 4.eo* ` /�•�'�. • STATE LICENSE NUMBER:--- b Y9.2,5 TELEPHONE: DESCRIBE WORK TO BE PERFORMED: L7 VALUATION OF PROPOSED CONSTRUCTION MATERIALS TO BE USED: I SIGNATURE OF OWNER: •- SIGNATURE OF CONTRACTOR III Liability Insurance Supplied Workers Compensation Insurance Suppl ed License Information Supplied it i, l it �I �I DEPARTMENT OF BUILDIN CITY OF ATLANTIC BEACH,FLORIDA PERMIT LNO. �/ 3 I PERMIT TO BUI , ! � !` THIS PERMIT MUST BE POSTED ONI JOB u 5 s DEKA Date Auvmt8 19.�. 101 ! Valuation$ 66U61 In 0 1 2 W3.37 Fee$ �=gQ This permit not valid until above fee has been paid to City T 7easurer,and is subject to revocation for violation of applicable,p"visio of law. j This is to certify that � C� ME T SnY'oQ Roa has permission to build Roof ovex atia SI�b mid SCIS jn� Classification r�Qi clt-i a7 Zone Owned by Lot lock.S/D House No. According to approved plans which are part oft,is permit a NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS �_♦ AFTER DATE OF ISSUE 0 Building material, rubbish and debris I from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. JOHN M. �WIDWW Building Official, FOR OFFICE PERMIT { 1 USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER I I t ENT OF BUILDING Q 8 DEPARTMENT 9 `'t PERMIT NO. CITY OF ATLANTIC BEACH,FLORIDA J�,(r PERMIT TO BUILD '`�`�� i THIS PERMIT MUST BE POSTED ON JOB T �, V�, 8828-8 Date .9 0l�'�'-- / 22 Fee$ 7.50 ,y�� � Y� Valuation$ This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that SSR$ CC035634 7,SOCK -roof 79n�c .0110 has permission to build re 7 IA j r t reg ent a Zone Classification Owned by Flossie Mae TBomaas Lot 819 Block 18 S/D 2A House No. 446 Sarl ad According to approved ans whi h are art of this permit NOTICE-ALL CONRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE Pj DURING. PERMIT VOID SI!,K MONTHS AFTER DATE OF ISSUE � ,�---� O B aterial, ru bish and debris om this work mus not be placed in public s ace, and must be cleared up and led awa , by either con- ftrac owner � r ding Official. �'.. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING L. ELECTRICAL �'.. SEWER I WATER s N r CITY OF ATLANTIC BEACH �`• APPLICATION FOR ROOFING PERMIT li BUILDING OWNER rL p 5 5/� „� PHONE ME- 66() JOB ADDRESS L4- 11 LOT#_BLOCK OR UNIT # St BDIVISION CONTRACTOR 'I PHONE ADDRESS1.� c �-o l LICENSE NUMBER C-C 0 3 L{ EXPIRATIONSy JOB VALUATION $ 11:1-�, b I � MATERIALS: i i I i G I SIGNATURE OWNER DATE �j, o� `7� 6 SIGNATURE CONTRACTOR Gt. DATE y b I� it I ij it Q C 11 TY OF A'I7.AN l I( i BCH «1'I'L.ICA7.'LO'l "ilk t? I? Alli)] I hl.",S OR IONS tl 1�S- �Q Ot ner E x}L Address_° .. _ -_ X71`-' U----o0ne Q08, Architect Address Phone Contra:,tor Address Phone Contr_-actor_s Licens(-,/Cer_tification Nu:i)ers PI 3 Expiration Date �� Property Address— � -- --- �0 Zoning I cit #_1_q —Blcok or t.hlit E --� $ St��r_�ivi_si_on /7 z� -_-- Q _. Valuation of Construction $ I ,�� ! of Construction Describe Work to be Performed 1�3-p---. � Materi-als to be Present Use of Building- Proposed uildiPro sed Use of Building Flood Dir�,ens ions of Ne-,,T Area: HEWFED CAB AGE OR :>'IUR\GE --- D C UU-)ORT OR PORCH DECK PATIO YES NO NLT3ER Will 41-1,Eere be an increase in nt ,3oer of units? Will there be a decrease in number of twits? Any additional nitr:�ing fixtures? Any new fireplaces? j SUBMIT 'Iti,IO C0'MPLETE SETS OF PIANS INC.r,LVING SITE PLAN Signature Orw'ER - - — F� �� - Date-- --L- Signature CONTRACTOR Date 1 > i � I 1 itr i L t � / I 1 L � i y 1 it � I 1 . f 1 I ,IVIG 1 I 1 � r i a z I N � IO ar I i V4 i 1d C a Ilu a No 724-5360 ARMSTRONG FENS COMPANY 724-5360 130 Arlington Road, South — Jacksonville, Florida 32216 Directions erms Available A-t"Lq,wrt- 44--vP to &0Y4.L. WALI- �tu / :ustomer _ � re "t)ALC dv T- _ — I�� s I� sem.C>v 2A . address ___.__ lQ '5"-6 —_- �JS y �L Date c"� o� q Z -- s A f+'i_C ►�iJ Pi utall at:_________.___ __-tic bpi FC,, �` Phone Number . 32233 When s ned _b the -- — - 9 y purchaser and accepted by this Company this proposal becomes a contract---bin&&-g both F„-chaser and Company -Total Feet--ale C• High Total Cost �� 3_ ------ v Down Payment____ k 00 --- _Total Feet_----- ___ High `s= alance Due Upon Completions—�3, Approximate Starting Date �'' — _Total Feet__ ---High MATERIALS PAY AENTS NOT RECEIVED AS AGREED Gate Pasts O.D. ARE SUB ECT TO 1'/2% INTEREST PER MONTH _ _ a` _ .-- CHECK THIS SKETCH p End Posts O.D. Any additio al material or labor used will be at the cost of the buyer. r Corner Posts a 1A O.D. 1,ne Posts _ _ _ I'Ag --- O.D. Top Roil _._ ___ -__-- O.D. f, I FABRIC Mesh -- '? -- Gauge k GATE SIZES + c1- q si _t ifJ J'' 4j hi t F-OR AN i DAMAGES TO I„ 'qR;=-rRrtit.)D CABLES, PIPE, OR ANY 1)T k 41 P i.'NMARKED OBJECTS. The t, p ice is given with the agreement that the Purchaser wiN clear _11 ;. f r construction of fence, and properly mark with stakes, or othrwi �,qr $e� "n CoMrect. Dote Accepfe Lam_ fro Signed Salesman Signed q