1639 Sea Oats Dr (vault) t' )
P
1995
ing
i l 9 and Zon'
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, AD ITIONS OR ALTERATIONS
DEMOLITIO S
Owner(s)
Address :. // /~ rJ TZ Phone : Al
Lot # /b Block or Unit ;ubdivision:
Contractor:
State License # '� '
Address : z 2 2. Phone No:
Describe work to be done: /�a•d r=� �? ,�` T�rf�.
:t>r a i 7. /9�i*✓ G�/ f?/ ! 1 ,71 i ar OQ 0;,4
Present use of building: ' �=� ��' 7
Valuation of Proposed Construction: 17
Proposed use:
Is this an addition? & S If yes what are the dimensions of
the added space: 3:!�;7 ft . X - ft . Will the added area
be heated and cooled? ' " New electrical (or increase)? A
F; A-E.u I"�,�Je� '�>
New plumbing fixtures? k"- New firep ace? ft►New Heat/AC? L S
i
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER S CONTRACTOR.
f
Signature OWNER: Date:
Signature CONTRACTOR: .- {-- Date:
License Supplied: �G
Liability Insurance:
Worker' s Compensation Insurance: 'ir,�,� �!�� R� 'nz ��� t' a /� ,,y
-�,Sve.;aE�C r G.p
CITY OF ATLANTIC BEACH PE IT CALCULATION SHEET
Ad-',ress S S A-PP i Tt 0 -(J
Date :3
Heated Sauare Footage /3f2-- Cd s- _per sq ftp
Garage/Shed10 � A @ $ p e r sq J:
11 my,
arport/Porch 6t( (a $:I:::_per sq ft
E)e--r: o $ per sq ft $
Par lo (9 $—_�__per sq ft
TOTAL VALUATION : $ j 7
z
4 61
Total Valuation 1st �0C
/7
Remaining' Value $3 per t ousand
or portion�
,thereof
TOTAL BUILING FEE $ 0 C'
+ 1/2 Fili �g Fee $
Firepl ces @ $15 . 00 $
BUILDING PIRMIT FEE $--
WATER IMPAqT FEE $— 9310-o C)
SEWER IMPAqT FEE $
WATER METE�/TAP $
CAPITAL IM ROVEMENT
SEWER TAP 1 $
(13(24- RADON (HRS) . 0050 s
SECTION H OAVING ( $ "4)
HYDRAULIC OHARES $
CROSS CONN4CTION $
(13(2-)- SURCIJARGE . 0050 s s--9 0
OTHER $
GRAND TOTAL DUE $ / 51-
ADDITIONAL PERMITS OR FEES: Mechan�cal Plumbing
Electric/New Electric/Temp_ ; SwimmingPool
C
Septic Tank Well. Sig Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES:
CITY OF ATLANTFC BEACH
Fixture Unit Worksheetpfor Water Impact Fee .
I
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR
EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYSTEM. THE WATER SUPPLY CHARGE IS IIIEREBY FIXED AT TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE ClWATER SYSTEM.
BATHROOM GROUP CONSISTING OF SERVICE ,SINK TRAP STAND
WATER CLOSET, LAVATORY i BATH (8)
TUB OR SHOWER STALL (6) Cv
WATER CLOSET
WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
BATHTUB/SHOWER (2) URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) r FLOOR DRAIN (1)
SHOWER STALL $OMESTIC (2) LAUNDRY TRAY (2)
__j_LAVATORY (1) COMBINATION SINK AND TRAY (3)
MASHING MACHINE (3)
� POT, SCULLERY SINK (4)
d_DISHWASHER (2)
WASH SINK EACH SET OF
KITCHEN SINK (2) - FAUCETS (2)
DENTAL LAVATORY (1)
tKITCHENSINK WITS WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
B
BIDET (3)
URINAL STALL, WASHOUT (4)
FLUSHING RIM SINK (A) COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
URINAL* PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2)
BLOWOUT (2)
LAVATORY. BARBER/BEAUTY VICE MAKER (1/2)
SHOP (2)
SURGEONS SINK (3) 0 ,__LAVATORY, SURGEONS (2)
______JACUZZI (2) Z .�_URINAL STALL, WASHOUT4
S ( )
TOTAL FIXTURE UNITS $20. EACH f 3
JOB INFORMATION 3 % .S� 00-i f Ttzl'
DEPARTMENT OF BUILDING k 4104
CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 7/11
1 12
Valuation Fee
This permit not valid until above fee has been paid to City Treasunr. and is
subject to revocation for violation of applicable provisions of aw.
This is to certify tha
has permission to buil
3 closets,l water heater I dishwasher.1 dis osal I walling ma hire
E
ClassificatioesidenrM lone
Owned by
Lot Bloc /D
House No 1639 SneA Oats Drive
According to approved plans which are part of this p rmit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIR MONTHS
AFTER DATE OF ISSUE
m--0. ► Building material, rubbish and debris
from this work must not be placed in
public space, and mast be cleared rep
and hauled away by either contractor
or owner.
uildl�
1177 19 7/11/79
FOR.OFFICE PERMIT DATE CO T TOR
USE ONLY NUMBER
PLUMBING I
ELECTRICAL
SEWER
i
WATER
i
I
i
DEPARTMENT OF BUILDING
PERMIT NO. 6031
CITY OF ATLANTIC BEACH,FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
ry
+ .P 4
Date June 1.1 , 19_84
Valuation$ POOT Fee$
City T
This permit not valid until above fee has been paid to tjeasurer,and is i
rr � 0
subject to revocation for violation of applicable provision!of law.
I
This is to certify ertif that
r ,OR,IDA B )NqLD POOLS �(
I
has permission to build N
Classification RESIDENTIAL Zone
I
Owned by '
Lot !Block S/D
House No.
1639 SEA OATS DRIV4
i
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
4 AFTER DATE OF ISSUE
-----r--► O Building material,rubbish and debris
z from this work must not be placed
in public space, and must be cleared
up,, -hauled away by either con-
tf or owner.
1 Building Official.
f
FOR OFFICE PERMIT DATE 1� CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
I
WATER
FOR OFFICE Q;31H: ONLY
v n Date. .. 19 ......
Permit #.. .........------------Fee $........................
CITY OF ATLANTIC BEACH valuation $
FLORIDA ' House #.......•----
•---•- .....
APPLICATION FOR BUILDING PERMIT ..........
-•-•......................
Application is hereby made for the approval of the detailed statement cf the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance 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 ity of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by hire are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified. 1
Date.------•-------••CO-_------------------------_------••----...... , 19.. 47...
Owner----- ��S G�.� - � d e`��" ---------------------------•----------_Address..L ;�9------j-0FI,- - 3---�Y ----.-Telephone No.24.�C?-.1 A 4---
Architect...................................-----•-•-----•----•------•----------------.----•-......Address---- .............................................-----Telephone No.
PPPI-S 114L O -,L3Ec, ......Telephone
Contractor Builder..Flc,-,--Qoy...... ,._...__..-- Address. ...._s .. a�--- =-- '
% _....._._SubDivisi n_.��CC " ' �.c C ......... .......... ......Zone... -
LotNo--------------- 7--------------- ...... ---Block No.--------- -
-Side Between--- and----------------------------------------------------.Sta-
- -- ------------ ---------- ----- --Street- - - �-� -- --II----...-- ---- ---
Valuation $.-.7500- ---_---,For what purpose will building be used--_.. OD.1_---__.---_......Type of construction...5�'Dfi4re�-N-..._
i
Dimensions of Building-...--117 1( 34 -- -..--.Dimensions of Lot.._._/W- + , ....Size of Footings.................:......._......-...
Size of Piers------------------- ---- -----Size of Sills---------- ---- Greatest 3ill Span in ft------------------_-------Type Roof------- -_----------------------
How will Building be Heated?_-- - ... -------..--------- ------------------------.-----Will uilding be on Solid or Filled Ground?..--.--.-..------ --
Size of Ceiling Joists-_--- --------------------- -._----., Distance on Centers._-..-... ------..--- ----.._-----------, Greatest Span........ -- ----------------
„
Size of Floor Joists--_-_---------------------------•----------, Distance on Centers ...... __.._.._..._..---------....., Greatest Span.......---_------------- ----•-
„
Size of Rafters----------------- __._, Distance on Centers .... --------_........_....--.-, Greatest Span--------------------------------------------
„
- -
This rectangle is to represent the lot.
j Locate the building or buildings in the
E right position. Give distance in feet from
all lot-lines and existing buildings.
E REAR LOT LINE
t
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
C
1. When steel is in place and ready to pour footing. a W z
2. When steel is in place and ready to pour columns and/or lintel. n r)
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. W
6. When septic tank drain field or sewer is laid but before it is cov red.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note- In case of any rejection,re-inspection MUST be called for after
corrections are made. _.
FRONT OF LOT
In consideratio of p rmit given for doing the work as describe in the above statement, we hereby agree to perform said
tiork in accords a Rith the attac d pMad1pecificationa, a 'ch are a part hereof, and in accordance with the buildi; g
regulations of th City of tl tic B
Signature of Builde ...... Address----- --�.''.' .....
Signature of Owner... ..-. _ ddress....�-�.•�--.1 ----SCS...O-i-fs.._t].r.. . --. .. ................
CITY OF ATLANTIC BEACH, FLORIDA ISAAC ELECTI� co. INC.
ERNIE IS ,
POST OFFICE BOX 85S3
p.o,,.a 4yAPPLICATION FOR ELE TRICAL PERMIT JACKSONVILLE, FLORIO1 3239
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: `'Z ! 19
It
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING TH WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH TH ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
�2 ma
ELECTRICAL FIRM: MASTER ELECT 1ClAN IGN T
�'/ fN pR w�
NAME I `QRrbk I3QNDED Opal-S (rolgSYADDRESSc /62 9 e—q 019f�`5 RFD EIOX
flait w- Ptfmlf #000131 ETWEEN:
RES. APT.( 1 COMM.( 1 PUBLIC( 1 INDU . ( 1 NEW( 1 OLDS REW.
ADDITION ( ) TRAILER ( 1 TEMP. i SIGNS ( 1 SO. FT.
SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE
NDUCTOR SIZE AMPS COPPER ALUM.
TCH OR BREAKER AMPS PH W VOLT RACEWAY
XIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
O•d0 AMPS. 81.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
.APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONINGCOMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
O-1 OVER
MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS` a
G+1 /i+'JJ�7f/�6 46
TRANSFORMERS: UNDER 600 V. QIVER 600 V.
NO. KVA RIND. lKVA
NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN -
FORWARDED
$ —
TOTAL FEES (l ,
Building Permit # 4097
Electric Permit # 2478
2479
INSPECTION R;CORD Plumbing Permit #
JOB ADDRESS ��a .coa Hats nrizrs
f
CONTRACTOR M.M.Jackson
OWNER George Forsyth III
4
TYPE BATE I tZMARKS TItT,SFOR
FOU.IRMT ION
.--•yam.. ,v
SLAB
PLUMBING (R) /7i E
SEWER
TEMPORARY POLE 2 �G
LINTEL/BEAM
COLUI127
ELECTRICAL (R) -a_-49
PLUMBING (F)
f
f
FRAMING
C
ELECTRICAL (F)
OTHER
FINAL
E
f
CITY OF
Alof& &,ask %Gids
Office of Building Official
REQUEST FOR INSPECTION
Date Permit Permit No.
Time A.M.
I
Received P.M District No.
Job Address Locality
Owner's
Nam =ECT�I�gt
tBUILDING PLASTERING PLUMBING HEATING
Fou a Wire..................❑ Rough...............❑ Rough.........±.Cl
Chimney...........❑ Lath..................❑ Finish Wiring. ❑ Final................. ❑ Final...............❑
Framing............❑ Scratch..............C3 Fixtures......... ❑ Sewers...............❑ Water Heater..❑
Final................. ❑ Brown...............❑ otors............ ❑ Gas................... ❑
t it"LC//. /,_.. Finish................❑ Cesspool...........❑
(ea•V Wallboard ........❑
READY FOR INSPECTION i �,•`�"'� �
Mon. Tues.' Wed. Thurs. ri. —P.M.
Inspectidn
Inspector
8-1.2
F
CITY OF
Office of Building Official
l REQUEST FOR INSPECTION �lG)
Date Permit No.
Time A.M.
ReceivedP District No.
�•o�.Si� < e�
f
Job dress i Locality
Owner
Name
BUILDING PLASTERING ELE CTRICP L KI WING HEATING r
Foundation.......❑ Wire..................❑ Rough Wiring El Rough...............5 Rough.........,.❑
Chimney...........❑ Lath..................❑ Finish Wiring. ❑ Final................. ❑ Final...............❑
Framing............❑ Scratch..............❑ Fixtures..........❑ Sewers...............❑ Water Heater..❑
Final................. ❑ Brown...............❑ Motors............❑ Gas...................❑
Finish................❑ Cesspool ...........❑
Wallboard ........❑
READY FOR INSPECTION Pli7r
Mon. Tues. �. 'fir' Wed. Thurs. Fri. P M
Inspection Made 7—/7 A:
Inspector Zee
B•f.2
CITY OF
004ftGl t &49s-i�
Office of Building Official
,,_ ,,,_, ,, REQUEST FOR INSPECTION
Datei Permit No C"?y�
Time A.M.
Received PV. District No.
r
Job Address Locality
s J .r ...;....�
Owner's : 1 /
Name ca�tYv r
BUIL6N f PLASTERING E ECT,RL PLUMBING HEATING
Foundation.......❑ Wire..................❑ Rough Wiring ❑ Rough...............❑ Rough......., ..❑
Chimney...........❑ Lath..................❑ Finish Wiring. ❑ Final................. ❑ Final...............❑
Framing............❑ Scratch..............❑ Fixtures......... ❑ Sewers...............❑ Water Heater..❑
Final................. ❑ Brown...............❑ Motors............ ❑ Gas...................❑
Finish................❑ . . : Cesspool ...........❑
Wallboard ........❑ `
READY FOR INSPECTION —K—UD
Mon. Tues. Wed. Thu.. Fri. P.M.
Inspection Made L 110:
Inspector
B-1.2
CITY OF
tic i8iack- �ou'da
Office of Building Official
-7,,REQUEST FOR INSPECTION
Date J / Permit No.
Time
Received District No.
Job Address Locality
Owner's
Name t Contractor_
LASTERING ELECTRICAL PLUMBING HEATING
Foundation.......❑ Wire.................❑ Rough Wiring. Rough...............❑ Rough...........❑
Chimney...........❑ Lath..................❑ Finish Wiring.. Final................. ❑ Final...............❑
Framing............❑ Scratch:.............❑ Fixtures.......... Sewers...............❑ Water Heater..Cl
Fina . ❑ Brown...............❑ Motors............. Gas................... ❑
Finish................❑ Cesspool...........❑
Wallboard ........❑ i
READY FOR INSPECTION
Mon. Tues. f Wed. T iurs. P.M.
Inspection Made—
Inspector—
B-1.2
ade InspectorB-1.2
CITY OF --- _
AVafti& &4&.
64,4Off"
REQUEST Building
Data
FOR INSPEC O
v�: ?�l- �- N
Rece^red—__ �.Ar11 Permit No.
- P,IH
kDistrict No.
Job Address 6
Owner's
Name locality
LOIN G PLASTERINGELECTRICAL
contractor
Foundation..,,,,•p E L ECTR I CA L
ChimneyWire..................❑ LU NG
Framing ..•........0/Lath..... ❑ Fin sh Wiring, Rog HEATING
....... .Lk' h...............p
Final....... Scratch... Wiring Final Rough............❑
' ❑ Fixtures..........
.......... ❑ Brown... ❑ ............ ❑ Final.............
Finish.. ............❑ Motors.......... Se rs............... p
❑ ❑ Gaff ❑ Water Heater.. p
Wallboard I•'"""'••••••••• ❑
❑ cesspool......... p
Mon. ues. READY FOR INSPECTION
Inspection Made ed. Thurs. A
Inspector Fri.----__ M
CITY OF
off4It& &Nk
Office of Building Official
Date-�—/—�J� REQUEST FOR INSPECTION C 7 p
Time Permit No �. T / v
ReceivedA.M. 1
�� ` S�� P 7'�' DiM. strict No.
Job Address _
Owner's Locality
Name
BUILDING PLASTERING ctor
Foundation.......❑ Wire ;_/.PLUMBING HEATING
Chimney ❑ Rough Wirin
...........❑ Lath..................❑ Finish Wiring R ugh........ ❑
Framing •••••••❑ Rough........:...
g............❑ Scratch........ g..❑ Fi al................. ❑ Final........
Final............. ❑ Fixtures........
❑ Brown....... Cl Se ers...............
......•❑ Motors.............❑ G ❑ Water Heater.. ❑
Finish................❑ ................... ❑
Wayboartl E] Ce ispool.......... (]
Mon. EADY FOR INSPECTION
Inspection Made Wed. A.M.
�—01A� Thurs. Nly1� Fri.— �
InsPector P.M.
B-1.2
i
P
,t
' j
400 -ee
MASTER PLM4BER
MAr TING-ADDRE
-59
`RR PMO• DATE INS"TA7JIM
611y �� c e
11vs Z �/e Y old
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Se19-775 ,o p
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I I`N'Y OF ATLANTIC H JACH
APPLICATION FOR PLUMBING PERMIT
DATE
LOCATION
PLUMBING FIRM
MASTER PLUMY
CITY/COUNTY OCCUPATIONAL LICENSE NO. /"
f
{
aa-
Si-All!E CERTIFICATE NO.
BUILDER OR CONTKACTOR
TYPE OF BUILDING
SINRa SHOWERS
,,,t_�AVATORY / WATER HEATERS
25�_BATll TUBS ° DISH00ASHERS
_.YRINALS DISPOSALS
&LOSETS ! MASHING MACHINE
FIZOR DRA INS
OTHER
/TOTAL FIXTURE CajNT
INSTALLATION OF PLUMBING AND FIXTURES jdUST BE IN ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SOUTHERN ISTANDARD PLUMBING CODE
i
crry or ATIANTIC szkrR 0 Z)
WAIM c"CMECTION rFrAk!kl-.v.* Sb x
lfrPT T014
ImNew
R
o'Timm;
All-AMDXR OR M#11TRAOTOR L
TnV. OF 13U7t.P7NG-
-LIATHROOM GROUP CONSTSTING OF STALL, DOnt.","Ir-
wxTim mormor, LAvpvropy & 9ATwm
rAz SHOWER STALL (6 unftrx) SHOWERS Gpo"p PEI-, wjk-
-mATmvB twrrH OR wTTmuT OVER $M
11111,M) sHt)W'R) (I I.-In it "n)
Pti-stim; rim
"'MfMqAlrTalq STWK Alm TRAY (-, uniti) "'-SEIWJ�'*F qlNnRAP
INA, Aq STNe-,* A. T RA"!r W,/Pf)or)
rinit,q) UWrNAI,. PXWI,:.TrAf, ,
TrN TT 014 ,I)SP TMV (I kin i
I. -IOML 71AVATORY (I
,.UP" gj, Wh J."j, 4t
0,
0-A
un4
S
IAVWORY (I
LAVATORY, BARBER, SPAT)TY rh)krXw,
f? units) A,i'wv r
,,,,,._LAVATORY. SUMMUIS i
i
DEPARTMENT OF BUILDING 4097
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB 1
Date 716 19_7R_
Valuation$ — Fee$ 1 Ft6_h?
This permit not valid until above fee has been paid to City Treasurer, and is
subfect to revocation for violation of applicable provisions of 4w.
This is to certify that1H Ti Tarivig}nn
has permission to build sif dwelling
Classificatio ne
Owned by Enron Rnvtstyt}t TTT
a F
Lot 1t1 Block----5-----s iDgelva Marina 6
House No 1639 -Q02 Os3ts Drive
According to approved plans which are part of this permit
NOTICE— LL CONCRETE FORMS
AND Foc TINGS MUST BE IN-
SPECTED WORE POURING.
PERMI VOID SIX MONTHS
"n AFT R DATE OF ISSUE
♦—� ► 0 Building material, rubbish and debris
from thisw1Ork must not be placed in
public spac , and must be cleared up
and hauled way by either contractor
or owner.
Bill Ai Davis14 •6((' TL
FOR OFFICE PERMIT �"�? *'t
USE ONLY NUMBER DATE CON dt CTOR
PLUMBING I
ELECTRICAL
SEWER
WATER
�'r
1
~
FOR OFFICE USE ONLY
CITY OF ATLANTIC BEACH Valuation .............
,
FLORIDA HouseP'Cr
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement o�f the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance 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 Building Permit is automatically responsible to ascertain that all sub
contractors engaged by him are duly licensed in the City of Atlaniie Beach,Florida. To prevent delay or embarrasment regard
ing intermediate or final inspections it is suggested that a list of sub-.,ontractorB be submitted to this office so that licenses can
be verikied. 01 ra '
#.4 Date....................................7./a......................
Owner.... j6ev.i�_�------ ----016 4 JF.Address...........................................................Telephone No.............................
H p
rLO No— 0...............................Block No........S--------_-------Sub Divisiim...Sclor.......A ....... _.i------T---------Zone.................
Z..... .......A'4..'C--------Street.... ...............Side Between...... ......................................and......................................................sta.
Valuation ...........For w'hat purpose will building be used..* It-----feSIAA14.4ype of construction....b f it k.....vettf.re
How will Building be Heated?l
to
TThis rectangle is to represent the lot.
6V Locate the building or buildings in the
right position. Give distance in feet from
JUL 2 1979 all lot-lines and existing buildings
A P,P -0 V E 0 REAR LOT LINE -Silded
Two of plans and specifications shall CITY OF AT-ANTIC BEA'DI
Inspections required.
1. When steel is in place and ready to pour footing. 4L.5 1979
2. When steel is in place and ready to pour columns and/or lin
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 covei ed.
7. Electrical inspection by City of Jacksonville. Ca
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made. A?
FRbf4T OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to pe_z4�k= said
work In accordance with the attache,
regulations of the City of At ntic
' Gipmutz�� of
Signature of 8vmmer '&�� Vansaxnd
--- ____________________�___._____.___
�
. .
CITY OF ATLANTIC EACH
716 MEAN BOARD
ATTAWIC BEACH, rrR11DA
ADDENDUM TO BUILDlLG PIAN
1. Buitaincl location:
2. The attached plan for the above building is appy ved subject to =meting the following
applicable construction requirements:
a. Footings ahall be continuous monolithic concrete under exterior walls, reinforced with
two 5/8" deformed reinforcing rods for one-story buildings and three 5/8" deformed
reiaforcing rods for two-story buildings. Rkinforcing rods shall be placed in the
lower one-third of the footings, properly placed and fastened on metal sa4dles
wit1; wire. Footings shall be six inches wild on each side than the wall above,
shall be at least eight inches thick and shall rest on firm soil at least twelve
Inches below undisturbed soil.
b. In hollow masona unit construction, each un; t cell shall be reinforced with at
teaone No.4bar at aJll corners, poured d tamped with concrete; such
reinforcing shall be properly tied into the ooting and spandral 'beam.
a. All wood truss rafters (rcm.)f construction) , hall be securely fastened to the
WjWW_aor' walls with app%oved hurricane anchos or clips.
d. Construction of nearby one-family dwellings, rwhivh are duplicates or intensely
similar, shall be avoided. Such al.milarity considers thi external configuration
azid appearance ii.a., roof, outrwr wall mater als, wirjobw size and 4psigiW Ad
otber like characteristics) of structures. n accord with the foregoing, similar
or 4uplicate homes shall not be constructed within close proximity of each
other, and shall be at least 500 feet apart f any one similar dwelling is
visible from any other aimilar dwelling.
a. The final conne�ction between the house p Lng drain eAnd tM sewer service
con4iaction (at the property line) must .ba;. Pected the tity before being
covered.
CP
Tbs unders�qned hereby cextifies that he has read t above and understands that this
addendum takes precedence over anpco%trary details to thS plans and specifications
and agrees to comply with the intent of this addendun. A
co �ctor/Owner
Date
PA TG 4IR-Y �, lq7`3
HENT Add M,04-EO 5GUAleE FE-61 : 1946)
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HEREBY CERTIFY THAT ; t ,VE SURVEYED T E LANDS o5 StiOWI,; IA'. (TI{- AE30VE CAPTION
¢ AND THERE ARE NO ENCROACHMENTS. l/
H, A. DURDEN & ASSOCIATES,
N G.
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JACKSONVIL-LE BCACH. FLA-
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SIGNED__ t -_1 L' 1970
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DATE:
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PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
t
THE FOLLOWING FINAL INSPECTIONS) HAKE BEEN MADE AND ARE
SATISFACTORY:
-------------
---------------- = --'----------------
------ ---------��= - �-- - ----------------
------ ---------------------------- --------------------
------ ------------------------------ -------------------
Enclosed are the blue copies of the permits;
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5...�NCERELY. E
BUILDING INSPECTION DIVISION
cc:FILE
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CITY OF
)4&44dW BW41CA-0;&
Office of Building Official
REQUEST FOR INSPECTIYN Q
Date �
Permit No.
Time A.M.
ReceivedR M.
3 0
Job Address ca it .-
Owner's
Name Con ctor
BUILDING CONCRETE ELECTRAL ' PLL MBING MECHANICAL
Framing ❑ Footing ❑ Rou ❑ Rou jh ❑ Air Cond.& ❑ l�
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top ut ❑ Heating
Insulation ❑ Lintel L7 Final Sew r ❑ Fire Place ❑
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. Thin. Friday nP,
A.M.
Inspection Made / ! PM
Inspector iI-Inspection
Ce tificate of Occupancy❑
r /�,���y�������� Date
.�IR
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le?a930 a3M3S
IVOIN133
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paaeop aq ;snuff pus 'aaeds aTlgnd ut
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s?pue iia nseaiy 61iD o1 ped U0911 seg aaj anoge pan pgeA 1Ou 3?wsad s?gj.
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BUILDING PEW-11T
HEATED SQUARE FOOTAGE: — @ $ _ ,-- -------- per sq. ft. = $— - --
GARAGE (PRIVATE/SHED) : t26
@ $ per sq. ft. =
CARPORT: _ _ @ $ per sq. ft. = $
I — —
PORCHES: — @ $ — per sq. ft. _ $ _`--
f
DECK: -- @ $ --- per sq. ft. _ $
PATIO: — @ $ — ---- per sq. ft. ----
I
TOTAL VALUATION: f $
PER!1I_ T FEES
f
f
TOTAL VALUATION DATA 1st $
RE'•:AL'�DER VALUATION @ $ per thousand
or portion thereof
I
TOT_4L BUILDING PERAIT FE1 . . . . . . . . . . . . . . . . . . . . . . - . . . . .
PLUS 15 THE BUILDING PER`•}I11T FOR PLAN FILING FEE. . _ _ . . _ . . . . $
TOTAL FEE DUE. . _ . . _ . . . _ _ . _ _ . $
• . . . . . - --
------------------------------------
--------- -----------------
f $
PLL=•i5ING PEtZ'•iIT FEE: $ 1•i�CPLAN IC�L P=R-IIT FEE:
f
FI-ECIRICAL RESIDENTIAL: $ ELECT JCA1 Ti'-2PORRY: $ ----
I
WATER METER SIZE: FEE: $
_ r
SElvER CONNECTION CH_kRGE: SQUARE FOOTAGE: FEE S
WATER CONNECTION CPLARGE: FIXTURE L'NITS (a $30-00 PER UNIT: $
ACCOUNT NO. :
P
'+"+i_A,NTlC BEACH €
APPROVED BY: 13UI DING OFFICE TTAL BU'ILD1NG/PLAN FILING FEES: $ _—
JUL T TAL '.•TATER :iEIFR CRAP.GE:
T TAL 1-TATER CONNECTION C'F'_yRGE: $
C1 T�TAL S E i:'ER CO':' ECTI ON Cl-ARGE: $
R
G ':D TOTAL DUE: $
C
x
368
DEPARTMENT OF BUILDING PERMIT NO.
CITY OF ATLANTIC BEACH. FLORIDA
PERMIT TO BUILD
D ,loci
THIS PERMIT MUST BE POSTE XS®
Date 6 19
t R30 O0 — Fee 5'40
Valuation
Thu permit not vdfd until above fee has been paid to City Tre+tp�p°rer' °°d b
applicable provisions Of law.
•abject to revocation for
violation of app� 4
gxntstron
For o.
This is to certify tha �
cr to-
has permission to buil i submitted-
ne
classificationSandy ForsythI
Owned by Salva PSSriisB
B}oc'
Lot 10 1639 S O is Dr F e
House Noermit
According to approved plans which are part of t is p
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN- ,
SPECTED BEFORE POURING.
PERMIT VOID SIX MON
A TER DATE OF TISSUE S I
Zeb
Building material, rnbbiah 1
from this work mast not !
public space, and mug
_�T
I and hauled.atv F ;I �...
or owner.
Bill
Bowing Officl"-
CONTRACTOR
PERMiT DATE
FOR OFFICE NUMBER
USE ONLY
PLUM13ING
ELECTRICAL
SEWER
Q'. WATER �
f
CITY OF ATLANTIC BEACH P' =t'
Valuation /
FLORIDA :..... ...�,�.�:...��°�...........
Hao,. i��� �
APPLICATION FOR BUILDING P�RMIT
f
Application Is hereby made for the approval of the detailed • bment o! the plans ands
building or other structure described. This a lication L fade in compliance and conformityspecifications herewith submitted for thi
the City of Atlantic Beech, Florida, and all provisions of the�Awz of the State of Florida, all ordinances the
the ding O��of Atla�aU
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 B 1dinR permit is
contractors engaged automatically responsible to ascertain that all sub
Ing intermediate or fin him are duly licensed a the y of Atlantic Beach,Florida. To prevent delay or embarrasment regard•
nal inspections it Is suggested Cit
be verified. that a 1121 of sub-contractors be submitted to this office so that licenses cam
I
Date._........_......_...._........
:-
Owner.:---.._: _�__.!✓- ---•-•-- --�• �
r'•
..._.. . _---------- dressl �Ia_` _.r ...Telephone
Architect.._._........................................................
_....................----------Address.......................
_.
Contractor Builder_:f,�,/�,1?1� ekphone No. _.•-_....__..
Address......................-...._.........................._..Telephone No....................
Lot No............10-------------------------------Block No.-----5 ...................SO Division_.... = ............ .-------'--------------------....._....Zone.....-----.._...
Street...........................Side Betweon....................................................
and._ ............._ _....... .........
ValuationIP Q
i-•- •- • ---------------For what purpose will building be
used........................................
Dimensions of Building TYP• of construction.......................... .
••. $ize of Foo
------
Sise of Piers....-----------••--•-----------•_3ize of Sills...........
----•-• - �
Dimensions o
-- test Sill Span in ft._.__..__.__•--..-_._....
How will Buil �`Ype Boal.............................
Building be Heated?..
Will Building be on Solid or Filled Ground T..........._._.....__-_..
Sim of Ceiling Joists.__.--•------------------- , Distance on Cen
., Greatest
Size of Floor Joists......---------------------•---••--•---•- ►Distance on Centers..-.._._-. _•--••--_•••__•.._.___.
Greatest Span...................................
Size Of Rafters.----•..........................
.............., Distance on Centers.............
_.................... Greatest
Spam.._
This r4cUM& Is to represent the lot
Locate the building or buildings in the
A ht position. Give distance in feet from
all lot-lines and existing buildings.
Two copies of plans and specifications shall REAR LOT IMM
be submitted with application.
Inspections required, 4
1. When steel Is in place and ready to pour footing. i
2. When steel is in place and ready to pour columns and/or lintel.
S' 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. N
7. Electrical q 04
Inspection by City of Jacksonville. 6a
04
S. Final inspection. o0
Note: In ease of any rejection,rs-iaspection MUST be Called for of ar
corrections are made.
c
In consideration of permit given for doing the workas � MONT OF LOT
ce
work in accordanwith the attached plans and in the • statement, we hereby agree to perform said
regulations of the City of Atlantic Beach. cubo which ars a part hereof, and in accordance_with the building
Signature of Builder Y
--
-• ----------------------------------------------------------------
Signature of Owner..............................._..............
- - -'— - Address...______.-____.___..».__............-.........._.......................................
24 7 - 360 ARMSTRONG FENCE COMPANY 724-5360
`, 130 Arlington Road, South - Jocksgnville, Florida 32216 2052
Directionsj�
A� SPr7l%✓o% ��r t ;4
erms Available ,�,QeC
----
:ustomer -
1 ,� E Date -
Adress -,7
�� / Phone Number
-u
istall at:
--
--
When signed by the purchaser and cce e b this ompany proposal becomes a contract---bin '�,g of •�' o'e`
and Company. O, a - - y e S -- --- -- -=-
r� / E Total Cost _ C' �G
/ Total Feet�7 _--
- Down Payment
Feet ✓' C'! -- g g Balance Due Upon Completion �' C - ----—
High --
Approximate Starting Date'j
Total Feet _--_High i
------- PAYMENTS NOT RECEIVED AS AGREED
MATERIALS ARESUBJECT TO 1'/2% INTEREST PER MONTH
OD. BARBSUP i
Gate Posts - BARBS DOWN ❑ CHECK THIS SKETCH
End Posts __"t /- ---- _—_ O.D- Any additional material or labor used will be at the cost of the buyer.
Corner Posts -/ -- -- ----- --- - 0.D. 0
l r a
line Posts — --` -------------------- O.D. P CD
L.�Q
r.
Top Rail _� �'' --------- ----- 0-1).FABRIC JI
Mesh _�- — Gauge
GATE SIZES 10 Ol
— ZZ��A o!` (moi A4 ..LL1
t
NOT RESPONSIBLE FOR ANY DAMAGES TO �--
UNDERGROUND CABLES, PIPP 6a o
OTHER UNMARKED T!� BE.iaCl The proposal price is given with the agreement that the Purchaser w71
cFFiCt, clear all lines for construction of fence, and properly mark with stakes,
oche :se.
Do Not Sign Before Reading Contract. t'
Date Accepted
Qy ''
$igntd €Solesman _ - --
1 01 96
MAP SHOWING SURVEY OF
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CITY OF ATLANHC BEACH V
BUILD NG '
OFF"I C t;
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lie A. DURDEN
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& ASSOCIATES -- _—
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LAND & HYDROGRAPHIC '
.SJRVEYORS / (�
POST OFFICE BOX 50670 —� SIGf ED___.11.'j--{c' c. _.._L_2_---.--
54 61H STREET SOUTH
yAC KSON VILLE BEACH• I-LA 32250 SCALE _
THjS f�R*CY NOT VALID UNLESS THIS PRINT IS EkjBOSS D WITH THE SEAL OF THE /MOVE SIGNED.
335353
MAP SHO WING BOUNDARY SURVEY O
LOT o BLOCK `� AS SHOWN ON11iP F
.� 11 Ir
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AS RECORDED IN PLAT BOOK 34-- PAGES >> Sf Pz OF E PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
CERTIFIED FOR:
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NOT VALID UNLESS EMBOSSED WITH SEAL OF THE UNDERSIGNED. BEARINGS BASED ON fz-l—J LINE AS SHOWN
THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONEA AS FROM FLOOD
INSURANCE RA TE MAP 2Q0 I FOR THE CITY OF A-rt ��z'r FLORIDA, DATFD
TRI--STATE LAND SURVEYORS, INC.
8411 BAYMEADOY6 WAY SUITE #2, JACKSONVILLE, FLORIDA 32256 (904) 731-7235
LEGEND I HEREBY CER77FY THAT THE ABOVE LANDS WERE SURVEYED UNDER MY
■ CONC. MON RESPONSIBILE SUPERVISION AND DIRE T70N, THAT THERE ARE NO
• IRON Cay ENCROACHMENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN
(-IrT Win W/cs i44) HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY
FENCE 77-jE FLORIDA BOARD OF LAND SURVEYORS PURSUANT TO SECT701V
p BION COR.(ROUND) 472,027, FLORIDA STATUTES-
CROSS
TATUTESCROSS our
GAL BUXDING RES7RICn0N UNE
CW'r WGIENT LAR Y G EDDY, P.L.S. No. 4144
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