1642 Sea Oats Dr (vault) CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877
PLUMBING PEI'�RMIT
PERM ()RMATION
Permit Nuiiibber N
Permit rype: PLUMBING Address: 1643 SEA OATS DRIVE
Class of Work: REMODEL ATLANTIC BEACH, FLORIDA 32233
Proposed Use: Township: 0 Range: 0 Book:
Square Feet: Lo s): Block: Section:0
Est. Value: Su Ddivision:
Improv. cost: Pavel Number:
Date Issued: 10/12/2001 OW LN—FORMATM
Total Fees: 46.50 ame: JUHN SOO
Ad ress: 1643 SEA OATS DRIVE
Amount Paid: 46.50
Date Paid: ATLANTIC BEACH, FLORIDA 32233
10112/2001
(904)221-0059
Work 04s:��. INSTALL�PLUMBING;��r .1 ip"
CO __S
BAE—DWIN'b UUALITY PLUMBI EES
46�50
M.,
0
Wil.
1�7
�vg
"A
.... ....----
FINAL
i
R: -----------
_41
S
NOTICE- IN
5i1krt.Al6k TOA,, SPECTION
+i AN
BUILDING MATERIAL ORK
Ols CED IN PUBLIC
SPACE, AND MUST BE CLI
AWAY
OR OR OWNER
T
"FAILURE TO COMPLY WIT
ESULT IN THE
_-PROPERTY OWNER PAY-ING
NTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH RE R (�F THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF
$46-50 14
"0 �7 7
B k* Section,0
division:
_cel Num ;�SR IN
OW FORMATION
AT NTi(; BEACH BUILDI G DEPT. Date. 101121@1 gj Receipt: 9@828c-i
CASH
CITY OF ATLANTIC BEACH
i
APPLICATION FOR PL�W�SXNG PERMIT
JOB LOCATION:
OWNER OF PROPERTY: -TELEPHONE NO.
PLUMBING CONTRACTOR
CONTRACTOR' S ADDRESS :
STATE LICENSE NUMBER: F6: 05- 7 TELEPHONE : 0-5
HOW MANY OF MW-FOLLOWING FIXTURES
014 NEW
P I�P
SINKS SHOWERS
LAVATORY
WATER HEATERS
BATH TUBS
DISHWASHERS
URINALS
DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER
WATER
'-__'��RE-PIPE (LIST FIXTURES B�ING REPIPED)
OTHER
TOTAL FIXTURES :
z 1rlt2__ x 3 . 5 0 +1� $15 . 00
MINIMUM PERMIT FEE $25 . 00
SIGNATURE OF OWNER:
I A 'it
SIGNATURE OF CONTRACTOR:
------------------------------------ ----------------------------
INSTALLATION OF PLUMBING AND FIXTURE$ MUST BE R NCE WITH
THE MOST RECENT EDITION OF THE SOUTH$RN STANDA D U
i
DA
CALL A DAY AHEAD TO SCHEDULE INSPECT-70NS (90 75
CK9
CITY OF ATLANTIOBEACH
800 SEMINOLE ROAD, ATLANTIC B8ACH, FLORIDA 32233
APPLICATION FOR V1 NEW LICENSE Tr NSFER OF AN OCCUPATIONAL
LICENSE TO CONDUCT THE FOLLOWING BUSII,�ESS: (Check one)
BUSINESS NAME
BUSINESS LOCATION 0&7-4,6j&7-/t,-
SQUARE FOOTAGE OF BUSINESS PREMISES
(I]CCLUDE BOTH BUILDINGS & OUTSIDE AREAS USED IN CONJUNCTION WItH TUE BUSWESS, BUT K<Yr AREAS USED FOR PATRON
PARKING)
MAILING ADDRESSI .,<99 .5-a ;re�- &
4T 11C
EXPLAIN FULLY THE �fftURT� OF THE BUSINES$
t,P
0040(/4'e-
DO YOU HAVE, _O-RWILL YOU HAVE, ANY VE��DING MACHINES ON THESE
PREMISES?
_) (VEKDMG MMWJCES IXCLUDE zxusE,,ENr/pamE Kww-KEs, POOL/BILLIRR TABI FS, ELECTROKIC
MUSIC MMNINE WM ANY 0019 OPERATED MACHINE WIUCH DISPE)MES A I�ODUCT OR SERVICE)
IF YES, PLEASE INDICATE NUMBER AND TYPE�OF MACHINES
OWNER/PRINCIPAL OFFICER
HOME ADDRESS /110
BUSINESS PHONE HOME F'HONE—�! /a 7Z
DATE OF BIRTH SEX /0 �RS LICENSE # e_14 Z
DRIV (Attach copy
FEDERAL EMPLOYER ID OR S. S #
STATE LICENSE/CERTIFICATION/REGISTRATI N # ( If applicable)
(Attach copy)
I. THE UKDLRSICKED, SWEAR OR AFFIRM THAT THE ABOVE STATEMENTS 4RE TRUE AND CORRECT A" I AGREE TO W)TIFY THE
CITY CLEJZK IF THERE IS ANY C11AKGE IN THE ABOVE LPCFOI*MTX,00(-
I pURTHER UKDEIMTAxD THAT ISSUANCE OF A LICENSE BY THE CITY CLE4 IX NO VAY RELIEVES HE OF THE RESPONSIBILITY
rM COMPLIMCE WITH KTT- PROVISIONS OF THE CODE OF ORDIJCWCES PI*TAXXLX(; TO COKDUCTIXG A
BUSrKESS IN THE ITT OF ATI-ANTI BEACH-/07
C
Sig ture Title
Print Name ate
NOTE: NO PERSON, FIRM, OR CORPORATIO SHALL EN&�GE IN OR MANAGE
ANY TRADE, BUSINESS, PROFESSION, OR OCCUPATION IN ATLANTIC BEACH
WITHOUT FIRST ' OBTAINING A LICENSE .�ND PAYING AN ANNUAL FEE.
APPLICATION AND'/OR PAYMENT DOES NOT CON STITUTE APPROVAL OR ISSUANCE
OF A LICENSE.
ALL OCCUPATIONAL LICENSES EXPJIRE �SEPTEMBER 30 OF EACH YEAR
P SA4 144,
DEPARTMENT OF I MIL61100
dITY OF AttANTIC B,*�
PERM ,T
I , INPOR.MATION ------- -------- LOCATION INFORMATION ---------
Ierm' it NUMVer: 9,S,,7
Address., 1643 SEA OATS DRIVE
Permit 7 rpe: RE-Roo
P ATLANTIC BEACH,. FLORIDA 3223-1
4111ass Of W )rk- NEW ------
--- LEGAL DESCRIPTION ----------
" Cons t r. Type: WCOD FRAME
Lot : Block- Sect,
tPr6posed tfse:: SINGLE FAMILY Township: RNG- ion 0
1 wel I ings : I Code: " , 0 Subdivision:
1,stimated Value: $27,00 .00
Improv. Cost .* to .00
Total $45 .00
Amou, $45�00
ATI 'APPLICATION FEES
014
PERMIT $45 .00
d
re
ATS ,DRIVE
W
?EEO i
$0.00
n 9 TO
P
KITAP"
RADO � OAS:H.R , S $0 .00
NFORMATION RADON CAB 5% $0 .:00
�,,,Na�e
PING CAP I'M IMPROVE $0 00-
elt T MR74-iox
SEWER TAP WOO
AT BEACH,," P'L. 32233 CROSS CONNECTION $0 .00
Type: 0
� $E�7 H IMPACT FEZ ---to 00
$0
CONMSURCHARGZ� ,
NO7 S:
Fee Doubled Work commauced without Per= t.
4 NOTICE--ALLCO01CRETE FORMS AND FOOTINGS MUST BE IN PECTED BEFORE POURING
S
PERMIT VOID SIX MONTHS AFTER DATE,OF ISSUE
'BU DING.MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK IVIL St NOT SE PL'AC_
.ED IN, PUBLIC SPACE,AND MUST BE
CIL" RED UP AND HAULED AWAY'BY EITHEO
CONTRACTOR OROWNER
AILURE COUP Y WITH THE MEESH�4NIC N
WLIS. LAW CAN RESULT IN
S, PROPIE
TY OWNER PAYING TWICE FOR 8
UILDING, I�OFOVEMENTS,
LANS.WHICH ARE PART OF THIS PERMIT AND TO REVOCATiON FOR
ACCORDING TO APPROVED P
ION OF,APPI.ICAbLE P 4OWSIONS OF LAW. SUBJECT,
ATL, C BEAcH'SU!L0INGDEP#RTMENT
x4W,010"W
B
Y,
ism
CxTr or wjwz� WMca
ROOFING FnHIT JU�PLIMTIOH
owner(s) : )C)kr� �,�00
Address: JGLJ3 SeCl C)ctC hone: 29(5`1 -7(:::"
—P
Lot # Block or Unit # Subdivision:
Contractor:
Address: Lo 3cl )- b,-, .3
City, State and Zip k- 3o Phone 1 -0
State License:: # PC- QQLt-) 34C\
Describe work to be performed: P e-
Valuation of Proposed Constructio' n:—li
Materials to be used: -5,k) j'
Signature of Owner;
Signature of Contractor:_
Liability insurance Supplied
Workers Compensation Insurance Suppl:�ed---
License Information
CITY OF ATLANT'tC BEACH
APPLICATION FOR .LL_U,�BING PERM-IT
EER14IT NO.
Date : 4_
LOCATION 1643 Sea Oats Street
LOT NO. NO.-- J _S/D SA
OWVER
MASTER FLU'TNITBE
BUILDER OR CONTRACTOR Bldg.
-L. F. Aderhold P e rm i 1862
TYPE OF BUILDIDG Residence
SIPJS 'J.-LAVATORY BATH TUB�':_URINALS CLOSETS
FLOOR DRAI14S__I_SHOWERS___j WA ER HEATERS I DISHviASHERS
-DISPOSALS OTHER_j %( A_<
TOTAL FIXTURES
I'll . 00
NO WORK MUST BE DONEUNIII �A PERMIT HAS BEEN PROCURED
PLANS AND SIECIFICATIONS must shoJa plan and description of the
size .'And lo,cation of all the soil and vent pipes, and the number and
location of' all fixtures, (in acc*danae with OrdInance no. 188 of
the City of Atlantic Beach, Flurid ) must be shown.' .on back of appli-
cation and be approved by the Plum�bbing Inspector.
DRAJ PLAN AND 61,ECIFIC.,1TION1 OF ABOVE PLUM
BING ON KCK.
`pprove4 by
Plumbing Inspector
Date
(FOR OFFICE USEiONLY)
ROUG;H-IN INSPECTED REYARFS e�Ll
FIhAL INSPECTION:_ CERTIFICATE ISSUED:
FOR OFFICE USE ONLY
Date.............0.7........197J�
Permit # 1-8-6-2......Fee$ 63.11i,.....
CITY OF ATLANTIC BEACH
Valuation $....
.... ... .............
FLORIDA
House :t_e2...............
APPLICATION FOR BUILDING PERMI
............................................................................
............................................................................
Application is hereby made for the -approval of the detailed statemer t of the plans and specifications herewith submitted for the
building or other structure described. This application is made lq� compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws , f the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of tf�
herein specified or not. I p City of Atlantic Beach, shall be complied with, whether
The Contractor or Owner-Builder who has been issued a Buildinj Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
img intermediate or final inspections it is suggested that a list of su contractors be submitted to this office so that licenses can
be verihed.
------ Date......... �;................ 19_2"?
Owner.df �6�v_10,qle.,P�
------------------------------------Address- ............�# ------------Telephone No.z�W____—
Architect----------------- .........—------- ..........Address- ------- ......Telephone No_3"..—��
Contractor Builde
e ---------Address. ------------Telephone No.,w.&-
Lot N-_--------%7- Block No—_-5— Z
-------- -----_------Sub Divi�qn.......�' Zone
ndjAe -e
.:!�--------- ----Street--------------- ---------Side Between...t_��_IOX7�ve
a
Valuation $_94_MtV4...For what purpose will building be used..I 2wep,/'& Type of construction--------------------------........
Dimensions of -----Dimensions of Lot.—Seg-----ple '5
X3----------------------------Size of Footings---- PKAX 6�V
Size of Piers......7_�� --------- -----Size of Sill Greatesi Sill Span in ft------—------_-----.-Type Roof')E
Now will Building be Heat da Building be on Solid or Filled,Ground9
_b .__--- .................
Size of Ceiling Joist . . .
------- ------ Distance on Centers-.-,....-- --------------------------------I Greatest Span............................................ 11
Size of Floor Joists-
Distance on Centers----- - --------------------------------- Greatest Span........................................... py
Size of Rafters...... -------------- Distance on Centers........ Py
------------------------_-_ Greatest Span--- ------------------------------_-
This rectangle is to represent the lot
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall AP I- 7V
be submitted with application.�
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. F
Z
3. When steel is in place and ready to pour beam. 74'-Q"
f
4. When framing Is completed. *4 ,
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 cov red.
7. Electrical inspection by City of Jacksonville. M
8. Final inspection. k
N*te: In case of any rejection,re-inspection MUST be called forafter
corrections are made.
FR kNT OF Lo
P1,104 ',e
In consideratio� of permit given for doing the work as described in the above statement, we hereby a,��r_� rmpfai'd
work in accordance *th the attached e 2ca ons,
_pl and sp if i ti wb ich are a part hereof, and in accordance with the building
regulations of the �i y Atl�pitic
Signature of Build. . ........... Ai ldress----------------------__--------
...... ............. .. . ....
Signature of Own -----------------
....................... ................ Arress.................................................................. ...............................
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . og-o6000427 Date 4/03/09
Property Address . . . . . . 1643� SEA OATS DR
Application type description RIGH�-OF-WAY PERMIT
Property Zoning . . . . . . . TO B UPDATED
Application valuation . . . . 0
---------------------------------------- -----------------------------------
Application desc
sidewalk repair
---------------------------------------- ------------------------------------
Owner Contractor
------------------------
------------------------
SOO, JOHN Y. C. OWNER
1643 SEA OATS DRIVE
ATLANTIC BEACH FL 32233
-----------------!----------------------- -----------------------------------
Permit DRIVEWAY PERMI'
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date 9/30/09
-----------i---- -------------------------- -----------------------------------
Fee summary Charged Pi4d Credited Due
----------------- ---------- ---- ----- ---------- ----------
Permit Fee Total 35 . 00 : 35 . 00
. 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00
3 5 . 0 0 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A71 LANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road
904-247-5800
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date C)
EEI
IS RMIT#
SUED BY THE CITY
Job Address— Q C, Ocj--� thifli
Permitee: Telephone#_
Z 2�2>
Permittee Address:
A e neteA\-14,1 C.,
Requesting Permission to Construct:
Location: (Reference to Cross-Street) Sq(z 0(4-�
1. Applicant declares that prior to filing this application he�has ascertained the location of all existing utilities,
both aerial and underground and the accurate locations 2�re shown on the sketches. -)g
A Letter of Notification was mailed to the following Utilitie,,/Municipalities: cyl
Jacksonville Electric Authority Yes ('j No Date: -o45/v cl
Bell South Telephone Company Yes No Date:
Ferrell Gas
Yes No Date:
Comcast Yes No Date:
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public
Works, any or all:of said poles, wires, pipes, cables or other facilities and appurtenances authorized
hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as
required 'by the Director of Public Works, and at the (�xpense of the Permittee unless reimbursement is
authorized.
3. All work shall meet City of Atlantic Beach or FlorcA! Department of Transportation Standards and be
on rac or s P t
performed under the supervision of, (C t t rgec
�t locatedat_ .5b, Ox"�ei 4,)��- r'q(,C�Telephone#: &MISS
4. All materials and equipment shall be subject td inspectior�by the Director of Public Works or his designee.
5. All city property shall be restored to its original condition I as far as practical, in keeping with city specifications
and the manner satisfactory to the city.
6. A sketch of plans covering details of this installation, as�well as, a copy of a recent survey shall be made a
part of this permit. Calculations showing any increasi in imDervious area on owner's lot or in the city
Right of Way are to be included with this application.
7. This perm! ittee shall commence actual construction in good faith with days. If the beginning date is
more than 60 days from date of permit approval, then pBrmittee must review the permit with the Director of
Public Works to make sure no changes have occurred in the area that would affect the permitted construction.
8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the
City's right, title and interest in the land to be entered up n and used by the holder, and the Holder will, at all
times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and
against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted
exercises by the holder of the aforesaid rights and privilec es.
9. The Director of Public Works shall be notified twenty-four (24) hours or to starting work and again
immediately upon completion. Co
FILE PY
OWNER
Signed: S�t) Date: 3
Before,me this day of in the Co�nty of Duval,
State�f Florida, has personally appeared
Notary!:Public at Large,State of Florida,County of Duval.
My commission expires:
I Perjjilf C 0 P y
Produc Identi ication:
B L 0 C K UNIT L
L 0 T
PLAT BOOK PAGE (S)
CURRENT, RECORDS , DUVAL COUNTY, FLORIDA
SCALE: 1" 20'
G3. 7D'
WAI�! E
101 EAZEMENT
0"5
- 011
(9
E Lg--,v
L-9
F_
F- to,e)
31 '71
CONC. WALK +
16,
CONC.
DR I VE
(y� APPROVED
Arch" tural Cont omm
-7
ANITAR
SEWER ......... .. ...... .............. .......
......................
CURB pATE........................'-..I...1-9.V4. ..........
NOTE; VERIFY SANITARY
SEwER LOCATION AND ELEV
IN THE FIELD -
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
X e9 , 0
Phone(904)247-5826 - Fax(904)247-5845
I E-mail: building-dept@coab.us
Date routed: 41.9
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND' TRACKING FORM
/W3 Department review required Yes No
Building
Property Address: O#fS A—
Planning &Zoning
i Tree 6d n s rator
Applicant: A)iv i-, ZF@blic
utilities.)
Project: r _P__uF1_icSafety
Fire Services
Other Agency Review or Permit Required RevJew or Receipt Date
of PeIrmit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
AP LICATION STATUS
R�evlewing Department First Review: Approved. F]Denied.
((Circle
Circle one.) Comments:
BUILDING A-
n L Lk)tl� -
PLANNING &ZONING
Reviewed b Date:
TREE ADMIN.
PUBLIC WORKS Second Review: E]Approved as revised. E]Denied.
PUBLIC UTILITIES Comments:
VJR
PUBLIC SAFETY
FIRE SERVICES
Reviewed tly:_ Date:
-]Denied.
Third Review: DApproved as revisid.
Comments:
Reviewed tly: Date:
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
i 9 "9
Phone(904)247-5826 - Fax(904)247-5845
E ail: building-dept@coab.us
-will -m Date routed:
Cityweb-site, hftp://wvfw.coab.us
APPLICATION REVIEW AND 'tRACKING FORM
&Y3 Department review required Yes --No�
Building
Property Address: Planning &Zoning
TreeAd inistrator
Applicant: ublic
utilities
Project: LOA ruTli-cSafety
Fire Services
Other Agency Review or Permit Required Revic or Receipt Date
of Pen it Verified By
Florida:Dept.of Environmental Protection
Florida Dept.of Transportation -
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STAI�US
Reviewing Department First Review: XApproved. ODenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by Date: IXNA
TREE ADMIN.
-]Approved as r visec. ODenied.
PUBLIC RK Second Review: F
ff I Comments:
PUBLIC I I
T IT
PUBLtC,VETY
FIRE SERVICES Reviewed by� Date:-
--JApproved as rev se -]Denied.
Third Review: F F
Comments.
Rev�ewed b��: Date:---
City of Atlantic Beach APPLICATION NUMBER
(To be assigned by ng Department.)
Bulloin%.Pi�avrtrnent
'7Z
800 Seminole Road
Atlantic Beach,Florida 32233-5445
;�5845
Phone(904)247-5826 . Fax(904;��4
E-mail: building-dept@cdab.US
a] Date routed:
City web-site: http:/ANww.coab.us
APPLICATION REVIEW ANC,i TRACKING FORM
Department review required Yes No
Property Address: Selo—, Building
Plann Zoning
Applicant:
Tu-b I i C
Public.1.1tiffities
Project Public Safety
Fire Services L I
Other Agency Review or Permit Required Review or Receipt Date
Of Permit Verified By
Florida Dept of Environmental Protection
Florida Dept of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: OAPProved. i E]Denied.
Vie,
Circle one.) Comments:
BUILDING
PLANNING &ZONING
Date:
PUBLIC WORKS Reviewed
PUBLIC UTILITIES second Review: DAPproved as revi!i�edl. FIDenied.
Comments:
PUBLIC SAFETY
FILE COPY
FIRE SERVICES
Reviewel by: Date:
Thircl Review: r-JApproved as i evi ed. ElDenied.
C ornments:
Date:
Reviewec by:
L- V I
V4
M A
L 0 T B L 0 c W UNIT
PLAT BOOK 34 PAG�E (,S) 51, A
CURRENT RECORDS, . DUVAL COUNTY, FLORIDA
SCALE: 1" 20'
1�1 A L E.
10' EASEMENT
0.t3
4,r
- 011
L9
ZE L C-
F- -
F-
31 O' ON WALK
6t
CoNc.
DR I v
APPROVED
r6 rc i ipral Contro ornmitile
A h' t., I c
� y
ANITAR .... ...
3 t'll E R
...........
.....................
,Qd
CURB �
City of Atlantic Beach
APPLICATION NUMBER
Builoing Department (To be assigned by th B ilding Department.)
7;u`
-Nf�'
.1 800 Semihole Road 1�
0 �/' 4�
Atlantic Beach, Florida 32233-5445
Is Ck
Phone(904)247-5826 - Fax(904 845
E-mafil: building-dept@coab.us �?O� Date routed:
City web-site: hftp://vvww.coab.us
APPLICATION REVIEW AND t, RACKING FORM
Property Address: ��s Department review required Yes No
Building
Applicant: U) Plann ning
Sblic W��
Public Utilities
6,07
Oroji.cf: Public Safety
_4 Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Perinit Verified By
Florida:Dept. of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STAII�US
Reviewing Department First Review: [YApproved. F—lDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date:
PUBLIC WORKS
PUBLIC UTILITIES Second Review: DApproved as revised�: DDenied.
Comments:
PUBLIC SAFETY
FIRE SERVICES FILE COPY
Reviewed byi Date:
Third Review: E]Approved as revisel F�Denied.
Comments:
Reviewed byJ Date:
Public Works Plan Rev4w Comments
Initials:
Date:
Project Name/Address: _��6ffrle brz Application Permit W: 0 -/)–Y9
%edkMo
M
IT A6 ,
di on i Tad om
Bn s
t
Provide impervious surface calculations. 0
Provide erosion and sediment control plans with instalhi tion details and maintenance r p6L
schedule. I —
_;ows7etc.)
Provide drainage plans showing site topography (flow E
Provide construction site management plan, including ight-of-Way Permit if using
rig11t_of_wq for construction parking.
Provide a pre-construction topographic survey preparec by a Florida Licensed
Professional Land Surveyor, showing V contours.
Section 24=66(b) of the Land Development Regulation, requires on-site storage for
increased runoff, Provide Delta volume calculations at i d on-site retention required 0
per Section 24-66(b). (See attached info. Sheet) _i
If on-site storage is required, a post construction topog raphic,survey documenting 0
proper construction will be required.
A Right-of-Way Permit must be obtained for use
A Revocable Encroachment Permit must be obtained.
pool–Welipoint(if used) must discharge into vejetab�d area 10' minimum from
street or dr ge feature (swale, structure or lagoo
00'
W po
in
irit'if e,
dr a e fea c
u
y aprons i
he pa Pmen
V
OW(C4
ee
tr t�r
5 inches thick, 000 psi,with fibermesh from
All driveway aprons must be concrete
the edge of the pavement to the property line. Reinforcmig rods or mesh are not E3
allowed in the ROW(Commercial driveways–6"thic I k).
Any ufiihiNy cuts in the road must be repaired using CO� standard Detail Case X and
must be overlaid 10 feet in each direction from the cet�er of the cut. Repair must be 0
shown on the plans. o—ved i 1—stand cannot be placed on
Roll off container company.must be on City appr
City right-of-way.
13
0
CITY bF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RJGHTS OF WAY AND EASEMENTS
800 Seminole Road
904-247-5800
I Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATIONJ
Date 40-0 9Cr7_ I
PERM[
ISSUED BY THE CITY
Job Address IAQ��_5 7NT��O
Permitee:
phone#
Tele
Permiftee Address:
Requesting Permission to Construct: 91F--T-0r( a Arc
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this application h4 has ascertained the location of all existing utilities,
both aerial and underground and the accurate locations aire shown on the sketches.
i
A Letter of Notification was mailed to the following Utilitiei�/Municipalities:
Jacksonville Electric Authority Yes No (?14) Date:
Bell South Telephone Company Yes( No (>oq) Date:
Ferrell Gas Yes No ()c) Date:
Comcast
Yes ( No ()c) Date:
2. Whenever necessary for the construction, repair, impr ement, maintenance, safe and efficient operation,
alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public
Works, any or all of said poles, wires, pipes, cables� or other facilities and appurtenances authorized
hereunder, shall be immediately removed from said st�eet or easement or reset or relocated'fiereon as
required by the Director of Public Works, and at the &-pense of the Permittee unless reimbursement is
authorized. 7
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be
performed under the supervision of (Contractor's Project
Superintendent) located at Telephone#:
4. All materials and equipment shall be subject to insp�ctionl�by the Director of Public Works or his designee.
5. All city property shall be restored to its original condition ;i�s far as practical, in keeping with city specifications
and the manner satisfactory to the city. i
6. A sketch of plans covering details of this installation, as !Well as, a copy of a recent survey shall be made a
part of this permit. Calculations showing any lncreas4 in iMDervious area on owner's lot or in the city
Ric
jht of Way are tq be included with this application.
7. This permittee shall commence actual construction in good faith with days. If the beginning date is
more than 60 days from date of permit approval, then pi�rmittee must review the permit with the Director of
Public Works to make sure no changes have occurred in i1he area that would affect the permitted construction.
8. It is understood and agreed that the rights and privileges!herein set out are granted only to the extent of the
City's right, title and interest in the land to be entered upc�n and used by the holder, and the Holder will, at all
times, assume all risk of and indemnify, defend, and S ve harmless the City of Atlantic Beach from and
against any and all loss, damage, and cost of expenses e rising in any manner of the exercise or attempted
exercises by the holder of the aforesaid rights and privileg s.
9. The Director of Public Works shall be notified twenty four (24) hours prior to starting work and again
immediately upon completion.
OWNER
Signed: Date:
Before me this
day of in the COLInty of Duval,
State Of Florida,has personally appeared
Notary Public at Large,State of Florida,County of Duval.
My commission expires: -1 Personally Known:
Produce�d Identification:
..........
Iml2ervious Surface Calcuiaflons % Formula
Find squard footage of tl�e foRowmig:
House footprint
Dfiveway
All sidewaIks/WaAways
A/C pads
Detached garage/s�edss
Pool Decking�
Paffos, teffaces and/o�decks
Add the tota.1 square footage of the arm liste above then, divide the sum by
the total lot area of the property.
\'/V CDC-K3 5 10 P�
KC 0
0-41 A-LK 5-3-2-
-5--(S 0 0-
5/1412007
NOT ALL PAVERS ARE I REATED EQUAL
100% IMPERVIOUS (COAB LDR 24-17... !Solid surface pavers. (e.g., brick or brick
appearing pavers as opposed to open grid pavers) do ot qualify for any reduction in impervious
area, regardless of type of base material used.
P L 0 T PLAN
�`5-- E' L I V1�" 11/1 A 2- H A
LOT BLOCK UNIT
PLAT BOOK PAGE (S) 5
CURRENT RECORDS , DUVAL COUNTY, FLORIDA
SCALE: 1" 20'
VJ A 0.E
EASEMENT,
N
0
4
_701 oll
ka
L9
71
1 31 CoN
A L
16,
CoN C.
DR I v
APPROVED
At-chi -tural
ANITAR
E'll L R
......... .. ........ ..........
........... ......
CURB
PA E..............
NO TE VERIFY SANITARY
SEWER LOCATION AND ELEV .
IN THE FIELD -
10.0
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08- DO001249 Date 9/16/08
Property Address . . . . . . 1643 SEA OATS DR
Application type description RIG4T-OF-WAY PERMIT
Property Zoning . . . . . . . TO 3E UPDATED
Application valuation . . . . 0
--------------------------------------- -------------------------------------
Application desc
repair/replace concrete patio
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SOO, JOHN Y. C. OWNER
1643 SEA OATS DRIVE
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/15/09
----------------------------------------------------------------------------
Special Notes and Comments
Roll off container company must be on City approved list
and cannot be placed on City right-of-way.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF TLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
4�
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00030615 Date 6/21/05
Property Address . . . . . . 1643 SEA OATS DR
Tenant nbr, name . . . . . . INSTALL HVAC HOOK UP
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO 13E UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
SOO, JOHN Y. C. AMERICAN ELECTRICAL CONTRACTOR
1643 SEA OATS DRIVE If 5065 ST.AUGUSTINE RD #3
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 737-7770
-------------------------------------------------------7---------------------
Permit ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ----------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERNIIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
BUILUING OFFICIAL
j
ELECTRICAL PEIRMIT APPLICATION
CITY OF ATLANTIC BEACH
ate.
Property Address:
Owner:
Telephone 4':
i Contractor: hnen Telephoneg:
Contractor Address: PA LU a I�OE Fax 4:
-0- Cie
considera-ion of pemi it
We to
SP�0:flcations vvhich an� apan hereof and iracoorda:jc0 ,;_!h
oF�inarc�and standar--is o5g,:)cd
Build ing: 13u1J(!iTj9'TNDe:
i d
0 Tcmp�
"St
n s
D Inc—ase
_j Re-Wirc
Sq. Ft.
Repair
Conductor
PFER
svvi'ch or
Breaker AMPS i P14
,XiVinn- Ser-v"cc VOLT
Size A-VPS
------- _LP H
GLT
-s: IN 0. S
Feedci
C 0_X C F-,A E D
OPEN
L_c�!���N LED
OPEN
Incancescent
'Ll crcscen,
Fixed OVER
.,'�opiiances
"N.-17 FRANNSFER.
H�,P,RATj-\G--tH.IP'—R,,ATI--\,O _71
_G T�:
1 COW, MC)TOR S CEfLN
Cond,-,ionimz 0TJ-U_J,1,M0TQRS AMP
HE A T
-- --------
0-1 H--,)-
P, NO- 0,v,E-P_; 1-4,P.
-r,an�formers NO,
KVA NO
N KVA
F,
Phone: (904) 247-5,900 . Fax: (904) 247-5845 http://www.ei.atiantic-beacb.fl-us
CITY OF 9
Office of Building 0 icial
REQUEST FOR INS�ECTI
Date
Time Pe it No.
A.M.
Received RM.
job Address
Owner's .Locality
Name Contractoz&o—
BUILDING CONCRETE 5EL:
Framing 11 Footing MECHANICAL
Re Roofing E Slab pb:n E] Air Cond. &
c
Insulation m,Pole U Top Out E Heating
Lintel 0 Final 11 Sewer El Fire Place
READY Y_Q�INSPECTION Pre Fab
Mon. Tues. CWed:) Thu
Inspection Made A.M. S. Friday M.
R
Inspector— Fii al Inspection E
C tificate Of Occupancy Fi
Date
CITY OF ATLANTI BEACH
DEPARTMENT OF 3UILDING
800 Seminole Road-Atlantic Beach, FL 322:�3-Tel: 247-5826- Fax: 247-5877
ELECTRICAL PERMIT
�ERMIT INFORMATION LOCATION INFORMATION
-NE6—nit Number: 22M
Ad Jies—s�-—1643--S�EA—OATS DRfVt------]
Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION To,vnship: 0 Range: 0 Book:
Proposed Use: Lois): Block: Section:0
Square Feet: Su 3division:
Est. Value:
Improv. Cost: Pavel N-umber:
---- OWNER INFORMATION
Date Issued: 10/24/2001 1 lame: JOHN SOO
Total Fees: 25.00 Address: 1643 SEA OATS DRIVE
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 10/2412001
MW S (904)221-0059
sc R-E—GROOND ELE
Work De 4E—RV RCI 'k
CONTRACTORPS
A ,LICATIONFEES
nu
WDVANCE—DWIFif�G �������������l�VIC
25.00
at A�,,,� "'i "I
�A
,Z, �r
Pp�
,yw-
g
P
V:,7t
ft
FINAL ELECTR -Z'
�k
I" NMI,
. .........
NOTICE - IN
CT1110 D-AftEA T24 HOUR' PRIOR.T01NSPECTION
W-7
BUILDING MATERIAL, 8=14%
�- RIS FROM T wo �-EID IK 6BLIC SPACE,AND
-HIS MUST N
LA,C
MUST BE CLEARED UPAD.41AULEDW �H
CONTF CTOR
"FAILURE TO CO PLY
LT IN THE
F-7
PROPERTY OWN PAY1
CS
ISSUED ACCORDING TO Af D PI -.AR ERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVI IONS
ATLANTIC BEACH--B--U- $25.08 14
ILDING DEPT. 111/24/61 61 ftweipts W%35
CHECKS 2w i
--niummalow—
CITY OF ATLANTIC BEACH, FLORIDA
APPLWATION POS RACTNUICAL MMff
DAM—
AMPOWAMrMnC&
IN CONSIDEMMON OF PERMIT Gnift MR 0 THE WORK AS DESCRIBED 0 THE FOUM"MG. WE
14ERJEBY AGREE TO PERFORm SAID WORX fit ACCORDA ICE WFTM THE ATMCMED PLANS MO SPMFMTIOMX
WHICH ARE A PART HEREOF,MO IN'ACCORDAME WIT i THE ELMRICAL REGULAMONS,CODIM AND C OF
ATLANTIC 840,CH ORDINANCEIL ny
AAva-,ca 5 e vice, -Tn(-
SmArm XINA=u –
ADDR=lk W- 1) So-0- �n4�. Dr-,V'V- F12--Aox�
BLDILSUS '—sam"Ift-'sclitiriba Zr +
Apr.( =SUL I I PUBLIC( I NEW I I OLD(34 stow.( I
A=XTMM TlWLLg I SLFT.--
sor*w- owt I UICIMEAM fMANk
SEW ALUK 04
glemon WMAMM — AM Irl VOLT
mm.Saw an so
—op E3 .1 dio�,T I 5&A
FROMM "m NO.
im!2m! -T-
-TOTAL
*Wag 81-100 ANAVO.I
a AL V.
#%XM shim
APVLA^MCM
"ft� I TRAMM.
am MTM I
MOM AMM JC�Lft"*r- WW-HMlr
marom— H.P. TAAQ
PM
TRANSFOPAWWR& up-
4=V.
fmx KWA llcvA
WCL MOM TRAMM. VA. 'OR SM FLASpig-14
jAxat
Fp I
PLOT PLAN '
H A
LOT BLOCK UNIT
PLAT BOOK PAGE (S)
CURRENT RECORDS, DUVAL COUNTY, FLORIDA
SCALE' 20'
G3- 70'
10' EASEMENT
u� 5:
0.1a
0
go
F-
F- i 10,e)f
31 17 It
CONC'
1c,B/
6t
CONC.
DRIVE
APPROVED
Allcl' Pral Cont omm' e
"o
... . . .... . .......... .
ANITAR
EWER .... ... .. ... ......... ....... ...........
....... .. ... e... ...... ... ..............
19
CURB PATE:
10,
NOTEI VERIFY SANITARY
vsr -0 SEWER LOCATION AND ELEV-
IN THE fIELD*
-7/7 Z
C'7-Y OF
Rea ell
Office Of Buildi 2
Date 16 - REQUESrFOR ng official
Time 0 INSPE to
9d / (�S- �
Receive Cr
M.. Permit No.
Job Address
Owner's 3
Name
SU'LOING Locall
Framing NcRE7.,
Re 00fing "i Contractor
Insu ation LD Footing E f r
Slab CTFIJ
Lint C "Ough Wiring PLU N
11
7emP Pole Rough 131 G A4ECHANICAL
7op out 0 Air Cond &
7-u.,,. REAI)y FOR INSpe Sewer p Heating
.0 C7'10N C, Fire
nspect'On Made Wed. Place
Wed
InsPector U -�7,q Lf(L�/ Thurs. Pre Fab 0
A.M. Friday A M.
Final in'5pectio,,
ert,,,cato 0,
C t. Icat,-of Olcup�,,Cy Ej
Date
Cer
NOT ALL PAVERS ARE C#REATED EQUAL
100% IMPERVIOUS (COAB LDR 24-17... Solid surface pavers. (e.g., brick or brick
appearing pavers as opposed to open grid pavers) do pot qualify for any reduction in impervious
area, regardless of type of base material used.
tit.
50% IMPERVIOUS (COAB LDR 24-17... Surfaces using pervious concrete or other similar
open grid paving systems shall be calculated as fifty (5)) percent impervious surface, provided
that no barrier to natural percolation of water shall be installed beneath such material.)
Products shown are examples, others may be eligible with Public Works Director approval.
IZZ'
41
N"
IT
"j;' 40� 4,
A4
Tremron TurflBloc SF-Rima