475 Sargo Rd (vault) CITY OF ATL
ANTIC BEACH
SS
800 SEMINOLE ROAD
ATLANTIC BEAC FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-CO030565 Date 6/16/05
Property Address . . . . . . 475 SARGO RD
Tenant nbr, name . . . . . . SCREEN ROOM 14X16
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO 1E UPDATED
Application valuation . . . . 4600
Owner Contractor
- ------- --- ------ -- ---- - --- ------ - ------------- -
DEMERS, LORI ALL WEATHER CONTRACTORS, INC.
475 SARGO ROAD PO BOX 600781
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32260
(904) 343-9872
-- ---- - - - ----- --- - -------- --- ---------- ------- ------ --------- - -------------
Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 105 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4600
Fee summary Charged Faid Credited Due
---------------- - ---------- - - --------- ----- ----- ----------
Permit Fee Total 105 . 00 105 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 105 . 00 105 . 00 . 00 . 00
PERNUT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLA 4TIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODE�%.'
BUILDING OFFICIAL
Cc:
CITY OF ATLANTIC BEACH
D F
BUILDING / ZONING DEPARTMENT L. Hi gins
800 Seminole Road
Atlantic Beach,Florida 32233
A 0,FIAT (904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # 0S - '��Ostcc--
Property Address: 4--(f) �5"r D 2-Dad
Applicant: oul I O�/-1 ]'-�
Project: 141
This permit application has been:
Ez/Approved
El Reviewed and the following items need attention:
Please re-submit your application when these item is have been completed.
Reviewed By: U Date: s-
Date Contractor Notified:
T�l
CITY OF ATLANTIC BEACH
�`BUILDING PERMIT APPLICATION
(Alterations & Additions)
JUN 14 2006
Date: At A V.3 1. A 00:Y-
2-S"> ------/—
Uy
Mr 7"r C,
Job Address: '76 SA A Crn d A ?A Ck P/— a3
Owner of Property; e
Address: 415
Saik&c Z. Ua,�a Telephone: 608— QW?
Acad � ALlAh-ne_ ZEACkfr
Legal Description: Block Number: 1/7 Lot Number: I Zoning District:
Contractor: .&.X yliexn at Al,u.01 maj Ah State License Number: 1_o� Co,3
Contractor Address: P. 0- ba C269 1791
Telephone: DmLj6la-917), Fax: 506 —
Describe proposed use and work to be done: SCIk td A�,VclesafieL /"i/
Present use of land or building(s): e ti s dew riAk
Valuation of proposed construction:
What are the dimensions of the added space: oq feet x feet
Will the added area be heated and cooled? Alo New electrical or increase in service? "e
Add plumbing fixtures? Add fireplace? "Ve Add heating/air conditioning? Aeo
Is approval of Homeowner's Association or other private enlity required? 4"0 If yes, please submit with this
application.
Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to
the original impervious area or the removal of any trees?
3/N 0. Applicant certifies that no change in site grade, impervious area or fill material will be used on this
project.
R YES. See Step 2 below. Approval of the Public Wor i Department is required prior to issuance of a Building
Permit.
dN 0. Applicant certifies that no trees will be remove( for this project.
YES. Removal of Trees will be required for this proj(ct. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree C(nservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please f6 low all steps and provide all information as appropriat
Incomplete applications may result in delay in issuance of permiL
STEP 1. Verify zoning designation and proper setbacks for the prc posed construction. If you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-!826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Pubi c Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (If not re juired, written verification must be provided with this application.)
The Department of Public Works is located at: 1200 Sandpil er Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor,and four(4)complete sets of construct' n plans to the Building Department which is located at the Atlantic
Beach City Hall,800 Seminole Road,Atlantic Beach,FL 3 233 Telephone:(904)247-5826
fl,
800 Seminole Road -Atlanti�,Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904) Y.47-5845 -http://www.ci.atiantic-beach.fl.us
Page 2 Revised 8/04
MAP SHOWING BOUN ARY SURVEY OF
DING TO THE PLAT OF
LOT I BLOCK 17 ACCO
y , PD&M UWT"
RJSMKT (W P)&RT (W "T
AS RECORDED IN PLAT BOOK 31 , PAGE(S) 16, 16A, 16B, 16C & 16D
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: l..ORl L. SMITH,
FIRST AMERICAN TITIX ItISURANCE COMPANY ,
WASHINGTON MUTUAL BANK, F.A.
AND WATSON & OSBDRNE, P.A.
LOT 24
BLOCK 17
N 07*12'41* W 89.42' (M) lo' EASEMENT FOR
DRAINAGE U-nUTIE
N 07*16'02" W 89.43' (R) sl
1/2" IP C4
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S 07'16'02" E 108,61 ' (R)
S 0716*02' E 108.69' (W)
SARGO ROAD
60' R/N
I/ IP La 3507
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RESIDENCE No. 475 U) :t
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SO- R/W
0 GENERAL NOTESS 31, PAGE ISA.
1. BEA INGS ARE BASED ON PLAT BOOK
0
2.STR 'ICTURE No. 475 SHOYN HEREON LIES WTHIN FLOOD ZONE X AS BE
DE1 RMINEID MOM F.E.M.A. FLOW MAPS PANEL NO.
A"330C' IATED 3URVEYORS INC. 3.i4l IS A WRFACE SURVEY ONLY- THE EXTENT 'OF-UNMW4UND FOOWQ
I LAND A JENGIXEERING SURVEYS PIP S AND UTILITIES. IF ANY NOT DETERIMINED. SITIVE AREAS IF ANY. NO
4.--IMSDICTIONAL ANVOR E&RONUENTALLY SEN
3846 BLANDING BOULEVARD WbdTED BY INS SURVEY.
5.THI SURVEY WAS BASED ON LEGAL DESCRIPT1ON§ FURNISHED AND TI"
1 9
JACKSON%nLLE, FLORIDA 32210 C RECORDS KRE NOT SEARCHED BY T14S SURVIEYOR FOR EASEMENTS. Im
904-771-6468
CO N'ANTS OR RESTRICTIONS THAT MAY AFFECT THIS PARCEL
6.U OTHERVASE STATED ALL " PIP FOUND HAVE 'NO IDENTIFICA710
CERTIFICATE OF AUTHORIZAT10N NO. LEI 0005488 V
!OT!V I LSD SEAL OF
'T S V 7.NO VALID WTHOUT THE SIGNATURE AND T'HE ORIlGLW& RA
TFLDA LICENSED SURVEYOR AND MMM
I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY -C UY ANCHOR LEGEND/AlMEVIATIONG
DIRECT SUPERVISION AND M-EETS THE MINIMUM TECHNICAL 0 -�ET IRON PIPE (SIP) MARKED P.C.- POINT OF CURYE
STANDARDS FOR LAND SURVEYING PURSUANT TO CHAPTER *OSSOC. SURVEY' OR LB. 548a P.T.-POINTOF TANGENCY A -CBM M
* -FDUND IRON PIN OR PIPRIP2 C/L = CIENTIERUNE L - AAC LEM
61C17-6,MDA AD INISTRA;TlgO CODT,j CHqTEg-412, F.S. 0 =FDUND CONCRETE MONUMENTIl, R/B - REBAR R - RAINA
X - CROSS CUT OR DRILL HOLE R/W - RIGHT OF WAY C - OOM
P.R.C. - POINT OF REVERSE CURVE'W - WIRE FENCE 0 UU131 WE
BY: CHARLES B. HATCHER P.C.C.- POINT OF COMPOUND CURVE 0-0 - WOOD FENCE WELL
FLORIDA CERTIFICATE NO. 3771 1 B.R.L - BUILDING RESTRICTION UNE CONC,- CONCRETE STREET Ul
JlD9 NO. 26650 DATE 03/21/2 (ORB) - OMCIAL RECORDS BOOK X—X - CKWWNK FENCE ELECTI
()RV) = OFFCIAL RECORDS VOWME rU3 - LFTILITY POLE TAQ9%:D%
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PARTIAL ELEVATIONS GIRT TO POST CONNECTIONS C5 CONNECTION WITH EXPOSED FASTENERS
2
DETAILS SHOWN HEREIN ARE EXCERPTS OF THE GUID
IN HIGH WIND AREAS AS PUBLISHED BY THE ALUMINI,
CITY OF ATLANTIC BEACIH Cc:
BUILDING / ZONING DEPAf',TMENT
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # o5 — f�05�0 S"
Property Address: 41n ��nr a o �110
Applicant: ai i wea+,kEE I i um I A U,rn
Project:
This
,ormit application has been:
Approved
Reviewed and the following Hems need attention:
Please re-submit =when these items have been completed.
Reviewed By: Date: a
Date Contractor Notified:
CITY OF ATLANTIC BEACH
IS "BVILDING PERMIT APPLICATION
IU
(Alterations & Additions)
Date: A V sil A OC:Y-
Job Address: S4 A,L
Owner of Property; i em�ecj_/
Address: 4 1 J -' d ALIA IiLe C tAL6 Telepho COX— Qa35P
>A A G�c n 16
Legal Description: Block Number: Lot Number: I Zoning District:
Contractor: A4 vilria-1ye Aiu.mt,*.1Ah State License Number: 1A 4LA(D,3
Contractor Address: P. LI). 16,,1X CMO 1,7gl
Telephone: C?61V—,W3-9 if 7k Fax: 90--
/-- ZX1
Describe proposed use and work to be done: SCReQwed 04/c/c,scific/_ /,-V 'A I
Present use of land or building(s): e��i ciew 7-1,4k
Valuation of proposed construction:
What are the dimensions of the added space: feet x /6 feet
Will the added area be heated and cooled? Alc New electrical or increase in service?
Add plumbing fixtures? Add fireplace? V� Add heating/air conditionine. *e
Is approval of Homeowner's Association or other private entity required? /Y61 If yes, please submit with this
application.
Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to
the original impervious area or the removal of any trees?
21NO. Applicant certifies that no change in site grad-., impervious area or fill material will be used on this
project.
YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
[Z/No. Applicant certifies that no trees will be removed for this project.
YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Cosservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please f0llDw all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit
STEP 1. Verify zoning designation and proper setbacks for the prol osed construction. If you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-M 26. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Publi( Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (If not reqjired, written verification must be provided with this application.)
Ile Department of Public Works is located at: 1200 Sandpipc r Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed ar relocated.
STEP 4. Please submit Building Pern-it Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic
Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)217-5845 -http://www.ci.atlantic-beach.n.us
Page 2 Revised 8/04
In addition to construction and engineering detail,plans must contain :the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all requirei information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and di tances and the legal description.
2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify
any existing structures and uses.
3. If required by the Department of Public Works,a pre-construction topographical survey.
4. Any significant environmental features,including anyjurisdictional wetlands,CCCL,natural water bodies.
5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications
I hereby certify that a information provide application is CO Tect.
��wi
Date:
Signature of owner:
I hereby cer* that I have read and examined this application and ow the same to be true and correm All provisions of the laws and
ordinances governing this type of work will be complied with,wheth�slpecified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the performance of construction of the pro:)erty. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the plans and support ng data have been or shall be provided as required.
Signature of Contractor:--
Date:
Address and contact information of person to receive all correspondence regarding this application(please print),
Name:
Mailing Address:
Telephone: Fax: E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this day f Aj cy,� 20 c7�— .
State of Florida,County of Duval
Notary's Signature: /V1'c_U C 't,
ow Helen R WIlson
4? ON
%_ 4 * My Commission DD142431 M Persor ally known
I 1V Expires August 15,2006 Produced identification
Type f identification produced A11(c
AS TO CONTRACTOR:
Sworn to and subscribed before me this Ll day A 0 N A 20_g
State of Florida,County of Duval
JOHN M.JOCELYN Notary's S gnature:.
A i )V14
My comm. expires May 6, 2008
No.OD 317046 Person ally known
Produced identification
Notary Public,State of Florida
Type c f identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 - http://www.ei.atiantic-beach.fl.us
Tage 3 Revised 8/04
MAP SHOWING BOUNI): ARY SURVEY OF
LOT BLOCK 17 ACCORPING TO THE PLAT OF
W P&RT QF jWyg, p)M" UW T" ik
AS RECORDED IN PLAT BOOK 31 PA-JE(S)- -16.,. 16A, 16B, 16C & 16D
-a 54, � .
OF THE CURRENT PUBLIC RECORDS P11
CERTIFIED TO: 1,0111. L. S WOO=PLE-IM2 W4MV
FIRST AMERICAN TITLE I E COMPANY,
WASHINGTON MUTUA F.A.
AND WATSON & OS pe 411111 Ago oploo Miming 40M
P 74tre*0 P*jfWhA6 Aq MPGA GQ I*nW
ftowed on"'d puo aims '18001
P PW OM kOM WAA 40M
Irumd p @wAm"w#iq luoidde
SWO V4 leMpInOW WQWd0l9A9P
met P01011 puo uolewpqns Ouiuoz
**VP9A PAOXMIN 9141
LOT WWAXWO SWOZ Pul &4uu*W
17 qw"opegy jo AMO_
N 0712*41' W 8 42' (M) 10' EASEMENT FOR
N 07'16'02" W 89.43' (R) DRAINAGE & UnLITIES
/2�
ri in
I - IP 18.3' LB ;7
/2 If
LB 3857 x -K X X X x x PHONE
71 RIPER-
0,3'
%-FENCE
ON LINE
03
I nT--I
3LOCK 17
0
0)
56.0,
Uj Uj LOT 2
CONC. x
STOOP BLOCK I
I STORY BLOCK FRAME
r X— 00
4 RESIDENCE No. 475
r4
I
x
00
56.0' Go
VERED 0 z
CONC,
-7.9' R.R.L.
rAl Atlantic Beach
PIS Zoning Department -COIN C.-WALK
a Renee vAth applic ble
07N other local l'and
zonin , U. i CONC.
devzoloop ns, *A does not constitute DRIA
approve cg permits. Compliance
Flo end all other applicable 9
a to, ral PO ing requirements A a?
4 ot a 1/2- IP
11114111di" P L--j LJ3 -M57
BEARING REFERENCE
p4wwwww aw.
wW Mopwont DlrectoiP OT 16'0 2" E 108,61 ' (R)
S 07-16-02- E 1C 3.69' (M)
SARGO ROAD
1930' R/V�
A., La 7
LI 2 Ls. x==;-x�x_x .
x x x 'PHONE "n
7r_
.3
NCE x
ON LINE
LC�T I
BLOI�K 17
0) 0
JIQ 6, . . . . . .
00") x W)
56.0, cn ri
I. 1 0, LOT 2
CONC. X LAJ w
co Z - , BLOCK 17
STOOP
cl I STORY BLOCK FRAME X_ Go
4
co RESID'NCE Me. 475
N
'35,
00 .4 56.0, !b
00
__tOVIE ED. 0 z
CO6
H.R.L.——
-CONC. WAL
14E
GONG.
DRIA.
w 9
1/2- IP Q�
—
LB U57 , U2;IP
57
1,7' BEARING REFERENCE
S 07*16'02" E 108. 1 (R)
S 0716'02" E 108.69' (1
SARGO ROAD
150- R/W
GENERAL—momp
q 0 1. BEA INGS ARE BASED ON PLAT BOO 31A PAGE I
2.SIR ICTURE NOL 475 SHOWN HEREON LIES WITHIN FLOOD ZONE X AS 90
MI RMINED MOM F.Em.A. FLOOD MAPS PANEL NO. I OATED:Otl]�nW
3.ii�i IS A WRFACE "VEY ONILY- THE EXTENT OF-UNDROWUND FOOTINQ
ATED 3URVEYOFIS iNC. PIP S AND UTILITIES Y NOT DETERMINED.
LAND & JENWHEERING SURVEYS IF AN AREAS IF ANY. NO
4.4)RISIDICTIONAL AND/OR E&RONUENTALLY SENSITIVE
TED BY THIS SURVEY.
3846 BLANDING BOULEVARD 5.THI SURVEY WAS BASED ON LEGAL DEscRiPnoN§ FURNISHED AND Tr
JACKSOWULE. FLORIDA 32210 PU C RECORDS WERE NOT SEARCHIED BY THIS SURVEYOR FOR EASEMiNTS., TITL
904-771-6468 CO NANTS OR RESTRICTIONS THAT WAY AFFECT THIS PARCEL
6.U OTHERWISE STATED ALL IRON PIP FOM HAVIE NO IDENTIFICATIO
0 CERTIFICATE OF AUTHORIZATION NO. LB 0005488 7.NO VALID WTHOUT THE SIGNATURE AND THE ORIGLMAL RALSED SEAL OF
FL DA UCENSEI) SURyM AND MAPPM
I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY -GUY ANCHOR LE(koWjAWXEVtATl0N& (R) - REM
DIRECT SUPERVISION AND M-EETS THE MINIMUM TECHNICAL 0 -SET IRON PIPE (SIP) WoRKED P.C.- PONT OF CURVE �M)-M&"
STANDARDS FOR LAND SURVEYING PURSUANT TO CHAPTER *LSsDC. SURVEY" OR L.B. 5W P.T.-POINT Of TANGENCY A OBM M
S'
C
N'
ON 0 V
S PCEF
9A
0 - 7OUND IRON PIN OR PiPEQIP2 C/L CENTERLINE L AAC LEX
61 Gl 7- INI COD CH TE F.S. 8 = IDUND CONCRETE MONUMENT( R/B REBAR R RADKJS
X - CROSS CUT OR DRILL HOLE R/W RIGI-ff OF WAY C CPom
P.R.C, - POINT OF REVERSE CURVE-W WIRE FENCE 0 - VKU WE
BY: CHARLES B. HATCHER P.C.0 - POINT OF COMPOUND CURYE 0--0 - WOOD FENCE WELL
FLORIDA CERTIF1CATE NO. 3771 O.R.L. - BUILDING RESTRICTION LINE CONC.- CONCRETE - SMEET U
(ORB) - OMCIAL RECORDS BOOK X-X - CKVCNK FE)CE -- ELECTI
JOB Z). 26650 DATE 03/21/2001 (oRV) - OFFICIAL RECORDS VOLLIME cQj - UTLITY POLE T%49SFDA
SCALE: 1" = 20' DRAFTER D. RICK._ J.EA - 440WWLU amm KM*IM-ou- -MXfAD UTILITIES I K - POM M"
174-48
DEPARTMENTOF 3WLQING�
CITY OF ATLANTI, BEACH
'LOCATION INFORMATION ---------
PERMIT iNroRMxrxON
ernt Number 17448 ldre !�.o ,41,'S" SAR00 ROAD
Pe ,,mi t ,TYpo PLUMBING. ATLANTIC102ACH.- FLORIDA 32233
IZOAL, DESCRIPTION ----------
I as 1; o f Wdrk:'ALTZR I ON 0
Cor� t,r. TYpe'VMOOD FRAME Blo k: lopt
Prc osed Us**,"SINGLZ PA14ILY: Sec ion: Rnq: 0
wel I ings 0 sublivision"
t . Value.:
0 �oo
Imt ov., cost : 0.100
1�tal Fee's 25.00
'Anount P 25-00
bate P, K998
N APPL TOATION FEES ----------
25.00
am f
dd)
4 DA�- 3 2 2 3'�,
o
eel
ol
h6l e:
CON
MIKE , C.
TH
I�dd 22zll--
JACKSONVI FLORIDA 32216
Li" C
NO fES:'
NOTICIE INSPE CT1014$."T BE REQUESTED A- LEAST:2, 4 140UOt'01141"'TO 04SPECTION
0 OILQING MATERIAL,-RUBBISH,AND DEOR18:17ROM THIS WORK M JST NOT BE PLACED�IN,PUBLIC SPACE, ANP MUST BE
WN8R
�EAREDVO Ad)4AULEDAWAY SY.t"eAtONTRACTOR OR
AESULTIN
ICS' I" LAW CAN,
01AILLIW TO COMPLY .WITH THE MEC
El MOPE,RTY C414EAPAYING TWICE -'601LDINO IMPROVItMeNTS-19
�,H
UED ACCORPING-TO, APPR v S WHICH ARE PART OF THIS PERMITAND SUBJECT TO,REVOCATION FOR
1 0 LICABLE'PROVISfONS OF LAW.
ON F,APP
o r
r
7
,a
UE
T
bat
lkeilotl loulln
1694
OEM
X 13UILDING I P
IA� NT)"EACH ARTM9NT
CITY OF ATL�AMNT BEACH
APPLICATION FOR PLEMIMG PERMIT
JOB LOCATION: 1/125- -,5,4e�"6 X;�.
OWNER OF PROPERTY: '�UrnM,flC TELEPHONE NO.11 >,;�K
�2
PLUMBING CONTRACTOR MlgLzogol -plt"brw�
CONTRACTOR' S ADDRESS : 54jr, rl 3� 0,6
STATE LICENSE NUMBER: TELEPHONE: dK-Z��,6
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER
�7RE'P I P E OTHER
TOTAL FIXTURES: x $3 .50 $15 . 00
MINIMUM PERMIT FEE - $25. 00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:.
------------------------------------ -----------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPEC-IONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN"O PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP - (904) 247-5814
C11Y OF KILAWLIC BEACH
CODE VIOIAHON FOIU4
Date
7 Aem
Address and/or Location of Violation—
r-It 7/-/
COHPLAINT:—'��,--)��-
Owner and/or Tenant of Property
SIGMWE OF COWl-AlNANT__, Phonelf
ADDRESS
---------------------------------------------------------------------------------
Date of investigation 0- lt��/;2 -) I nv e s t i g a t o r—
conditions Found vOet-y�
.5
Action Taken , 1- y
02
CaTliance
5
C 9'
NQIES:
e-7
C11Y OF IVILANEIC BEAM
CODE VIOIAFION 1OF14
Date Q:2 -
Address and/or Location of Violation �w cacl
L-J,
k'Nk
CCUIPLAINE:
,,o,cA .
Owner and/or Tenmt, of Property __-C.A--ck
S IGO= OF OCIAPLAINAUF Phone# �Sfi -,Sj,0 G
ADDRESS -AS) PtA
----------------------------------------- --------------------------------------
Date of Investigation Investigator
Conditions Found
Action Taken
Coupliance <��v
NQIES:
FEB
Building and Zoning
CITY OF
716 OCEAN BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
may 10, 1988
Mr. NIcasio D. Rocha
6246 Haney Drive
Jacksonville, Florida 32216
RE: 475 SargO Road, Atlantic Beach
Dear Mr. Rocha,
Our records indicate that you are the owner of the above
described property in Atlantic Beach, Florida. Investigation of
this property discloses and I have found and determined that a
public nuisance exists thereon so as to constitute a violation of
Section 12-1 of the Code of the Cit) of Atlantic Beach, in that
equipment, boats, bicycles, and mJscellaneous debris is being
stored throughout the yard.
You are hereby notified that unless the condition above described
is remedied within fifteen ( 15) dayE from the date hereof, the
City will remedy this condition at a cost of the work plus a
charge equal to 100% of the cost cf the work to cover City
administrative expensest which will be assessed the property
owner or occupant. If not paid within thirty days after receipt
of billing, the invoice amount plus advertising costs, will be
posted as a lien on the property.
Within fifteen days from the date hereof, you may make written
request to the City Commission of the City of Atlantic Beach for
a hearing before that body, for the purpose of showing that the
above listed condition does not constitute a public nuisance.
S�ji n cgy e 1 y,
Rene' A pre
Community Developm nt irector/
I
Code Enforcement 0 cer
vc
kA-V
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
JOB LOCATION:
OWNER OF PROPERTY: )Q 6 C 1-4
CONTRACTOR: s—F jbtVs- 4e,,,er"ffG-
CO?4TRACTOR'S ADDRESS: /QP ,
ZjP:
STATE LICENSE NUMBER: )Q(f 605Z TELEPHONE: 7 Y 4—q IE�—
DESCRIBE WORK TO BE PERFORMED:
VALUATION OF PROPOSED CONSTRUCTION
I
MATERIALSTO BE USED: KC)d /F' F—:,o R-)-t—u
SIGNATURE OF OWNER: 'Oe�
Z.9
SIGNATURE OF CONTRACTOR:
SWCRN TO AND SUBSCRIBED BEFORE ME THIS DAY OF
NOTARY PUBLIC
Paffldaftonft
Liability Insurance Supplied My COMMISSION#C105=1 WIRES
August 27,2000
Workers Compensation Insurance Supplied WNDED IM TIVY FAIN INSURANCE,INC.
Contractor License Information Supplied
Occupational License Information Supplied
PSR-3441
571
DEPARTMENT OF St ILDING
CITY OF AT H
L NTIC E iEAC
PERMIT� INFOR)IATION
--- ---- LOCATIONJ F ION --------
'Pe rmit Numbee: 15571� Addiets : 47, 5 ,9AIROO 1kOAD,_ ,
�ermit TypettRE-ROOF ATLANTDC 0ZACH, FLORIDA 32233
C1 iss of Wor4:NEW -------- -
,LEGAL DESCRIPTION
C imstr . Typie:WOOD FRAM9 Block: ' Lot* ' Twp: 0
'p � osed.Us6:STNGI,E FAMILY $� ction*. 0'1:� Subd., Rng, 0
Dwellings: 0 Sit bdivision:
Es t,. Valuc 6 .00
I rov. Cost: . 3 .000.00
�Total Fees, 25 .00
ount Pat' 25.00
Date '
�/1997
Ac 71 9-F -.1-
'p, tll r g
Vgp
4
xMOD
Wof k, Dp44 IFIED BITUMEN
APPLICATION PUS -----------
TION
*1 T 15.00
7
N
ke
, 11 :� -
A4 Ir"
FLORIDA 32�,�
�7 9 14 i'VIRP,
P
e
Ph � 5�
,;r� Y�3, 11 ,, ",
4
C "OWOR FORMATIOP ------
Nai ST., 4111*ob
Ad r 17 b ,'!'pAR HUR ROAD�
4
i 01
211
L c: R 00509i, zkp:
TY
Jv,-a;
NOT
NOTICE INSPECTIONS MOST SE REQUESTED AT XAST 24HOURS PRtOR TO INSPECTION
----------
BU �DING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK ML ST NOT,.SE.,,,kACEDjN PUBLIC SPACE,AND MUST BE
CLI ARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR O�A NER
ILURE CO FLYWITH THE MECHi4NICS9,L11_E%'1,LAW CAN RESULT IN
T E PROPE 0 ER PAYING TWICE F?R BU LDI G, IMPA 'E '
OV MENTS
'IS$ ED ACCORDI TO.APPROVED PLANS WHICH ARE PART OF THISPERMIT AND SUBJECT TO REVOCATIONTOR
V1 ATION OF CA13LE P ROVISIONS OF LAW. '
T�
L T C BkAC
I H BU WING DEPARTMENT
BY:
WINANCIAN.OPINTINC.'.C,WPANN
'9
1-ni0fiff of f0minencemelit
(PRIPARIE IN DUOLICAM)
To whom It mav concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with section 713.13 of the Florida Statutes, the f)Ilowing information is stated in this NOTICE
OF COMMENCEMENT.
Description of property --- ---------------------------------------------------
-----------44--1 ------la�A--a------et�------- 1;j-:,,�, 6*/ /,:,,
--- -re-----------------------
----------
uk. -,j
- ----------------------------------------------------- -------------
General description of Improvements ---9------------------------------------
trl-------------------
1.j 1 ir 0 1. 1 U i,Wk I
--------------------------------------------------------
---- ------------ -------------------
Owner ---Olt)
xt,
Address -----------------------------------------------------
Owner's interest in site of the improvement -------------------------------------------------------------------
Fee Simple Title holder (if other than owner) -------------------------------------------------------------------
Name ---------------------------------------------------- -------------------------------------------------
Address ---------------------------------------------------
Contractor -C ST,
------------ --9................................
AddressL 2 V,7q---- he--:R�-----P--P t:15;0 tj -N
------------------------------------------------
Surety (if any) ------------�T-/--11--------------------------------------------------------------------------
Address --------------------------------------------------- --------------Amount of bond $--------------
Name and address of any person making a loan for the construction of he improvements.
Name ------------PI/-P--------------------------------- -- -----------------------------------------------
Address ------------------------------------------------------
Name of person within the State of Florida, other than himself, designa ed by owner upon whom notices or other documents
may be served:
Name ---------------
Address -------------------------------------------------- ----------------------------------------------
In addition to himself,.owner designates the following perscn to receive a copy of the Lienor's Notice as
provided in Section 713.06 [2] [b], Florida Statutes. (Fill in at Owner's option),
Name --------------IV
/3�-------------------------------- ----------------------------------------------
Address
THIS SPACE FOR RECORDER'8 USE ONLY
-----------------------------------------------
Owner
Sworn o and subscribed before me this
------- day of ------------------------- 19
-------cj-,�
Notary Public
iA PP 1, PaWela knonette
"U"
MY COMMISSION#CC5M881 EXPIRB
August 27,2000
BONDED THRU TROY FAIN INSURANCE,INC