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1663 Sea Oats Dr (vault) i ADDRESS /66 BUIr.D?NG PERMIT NUMBER INSPECTIONS : FOOTING UNDER SLAB PLUMBING SLAB - FRAMING COVER-UP ' �' '7 INSULATION �9-- FINAL BUILDING CERTIFICATE OF OCCUPA cy EL E CTR T CAL PERMIT NROUGH 10 9 -7 FINAL ob MECHANICAL PERMIT # PLUMB T NSG PERMIT ## /99-vi' NOTES ' fie lCao F_ g 3 sk I CITY OF ATLANTIC BEACH 1 DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 322331-Tel: 247-5826-Fax:247-5877 ELECTRICAL PERMIT r_r 11,11 1 -- __�----- —. _ l, 4T�ON IN0ORMATIOb1i M' TID -"� �J �Ad ress: 1663 SEA OATS DROVE Permit Number: 22391 ATLANTIC BEACH, FLORIDA 32233 ` Permit Type: ELECTRICAL To nship: 0 Range: 0 Book: 34 Class of Work: INCREASE Lo s):16 Block: 5 Section:0 Proposed Use: SINGLE FAMILY Su division: SELVA MARINA UNIT NO. 6 V Square Feet: Pa cel Number: __.,._ ------ -- I Est. Value: R:�FORMATION Improv. Cost: ame: FRALICKER Date Issued: 7/24/2001 Address: 1616 BEACH AVENUE i Total Fees: 40.00 ATLANTIC BEACH, FLORIDA 32233 00 Amount Paid: 40. L hone: (904)249-5191 Date Paid: 7/24/2001 Work Desc: 100 EXISTING UPGRADE TU 20OAMP/1 H13Wt1201240 A F � .SFE I 40.00 i �C-RAAW—FORD ELECT. s w i � C Ii t r r u a 3 y NOTICE- N SPECTIQ BE REQUESTED" �' 24 HOUR P lOR TO 1�1SPECTION BRIS F THIS RK MUST NOT BE PLACED IN P, B_ SPACE,AND BUILDING MATERIALS RUBBISFt MUST BE CLEARED LIR:AND HAU "-AWAY BY EITHER;C TRACTOR OR O, ER "FAILURE TO COMPL WITH T STRUC CTI LIEN AN RES TIN THE PROPERTY OWNER PMIG 1EIF 11' Evil ITS" LPA+-W CH R RT F'. ISSUED ACCORDING TO APPROV . AND SUBJECT TO REVOCATION I FOR VIOLATION OF APPLICABLE PROIQNS r CIA _-- n _t _ $48.014 AT NTIC BE CH BUIL N DEPT. Utts 7/W91 11 k"ipt: 81757&1 I CITY OF ATLANTIC BEACH1 FLORIDA Aavrowd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: L,�A/ 14 df IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THEATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN-ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. E4c_ , ELECTRICAL FIRM: M LECTRICIAN SIGNATURE NAME �/�• ��if ADDRESS: 2, RFD BOX BLDG,SIZE BETWEEN: RES.( r,Y APT.( I COMM.( 1 PUBLICII 1 INDUS.( NEW( ) OLD( 1 REW.( ) ADDITION( I TRAILER ( 1 TEMP.( 1 /SIGNS ( ) SO.FT. SERVICE: NEW( ) INCREASE REPAIR ( 1 FEE _ CONDUCTOR SIZE a7` AMPS Z�J COPPER ( ALUM. Glq SIWITCH OR BREAKER / / Z DU AMPS PH 3 W VOLT " RACEWAY /20 EXIST.SERV.SIZE AMPS PH � W • ?VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 1•i 00 AM SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OV6A APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING ' CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL EAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE I PHS NO, 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. VA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED S TOTAL FEES CITY OF �tea.�ctic Seas& - ��Cenida SOO SEMINOLE ROAD 4TLANTIC BEACH. FLORIDA 32233-5445 TELEPHONE (904)347-5800 � FAX (904)347-5805 SUNCOM 852-5800 DATE JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved: PERMIT NO. �ADD RE S Please call me at 904-247-5826 if you ha a any questions. Sincere) , ATLANTIC BEACH BUILDING DEPARTMENT 1 i CITY OF ATLANTICBEACH MECHANICAL PERMIT II i 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 3223�i-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION '- LOCATION INFORMATION': Permit Number: 17826 Address: 1663 SEA OATS DRIVE Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: 34 Proposed Use: SINGLE FAMILY I Lot s):16 Block: 5 Section: 0 Square Feet: Subdivision: SELVA MARINA UNIT NO. 6 Est. Value: Parcel Number: "Improv. Cost: OWNER INFORMATION' Date Issued: 2/22/1999 N ame: DALE FRALICKER Total Fees: 37.00 Address: 1616 BEACH AVENUE Amount Paid: ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/19/1999 P one: (904)221-1159 f Work Desc: REPLACE AIR HANDLER AND CONDENS R CONTRACTOR(Sl APPLICATION FEES HUXHAM HEATING &AIR PERMIT 37.00 i I f Inspections':Rj red ROUGH MECHANICAL FINAL I I i NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING MPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PAR OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. I i I $37.88 14 Date: 2/22/9981 Receipt: 8836378 AT NTIC BEACH UILDING EPT. CHECKS 262$ 88188883221888 __i BUILDING AND ZONING 'INSPECTION DIVISION CITY OF ATLAN�.T.IC BEACH ATLANTIC BEACH, FlwRIDA 32233 APPLICATION FOR MECHANICAL PERMIT -CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Sfreef Address 3 OF Intersecting Streets: Between_ And BUILDING Sub-division _ 11. IDENTIFICATION — To be completed by all applica is In consideration of permit given for doing Ike work as described in Ike above statement we hereby agree to perform said work in accordance with the affac4d plans and specifications which are a pert hereof and in accordance with Ike City of Jacksonville ordinances and standards of good practice listed therein. Name of Meeheniea) Conlreefors Contractor (Prinf I �i,� �` Mester Cficos /��j r/s Name of Property Owner rA4 is L Signature of Owner signature of or Authorized Agent __L)" Architect or Engineer III. 6ENEM41N MATT A. Type of heating fuel: B IS OTHER CONSTRUCTION BEING DONE ON r9 Electric THIS BUILDING OR SITE ❑ Ger—❑ LP ❑ Natural Central Utility IF VES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MICHANICAL EQUIPMENT TO EE INSTALLED NATURE OF WORK (Provide complete list of r:omponents on back of this form) Residential or U Commercial Heal ❑ Space ❑ Receswd ez, Centre) O Floor C) New Building Air Conditioning: ❑ Room A] Cenfrel )01 Existing Building ❑ Duct, System: Material Thicitno•• (16 Replacement of existing system Ma■lmum capacity C.I.M. U New Installation(No system previously Installed) ❑ Refrigeration O Extension or add-on to existing system ❑ Cooling tower. Capacity V.P.M. Ll Other — Specify ❑ Fire sprinkhsn: Number of Made ❑ Elevator ❑ Manliff ❑ Escalator Inumber) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pump. Inumber) (R+ +d) ❑ Tank• (number) Remarks 13LPG contains, (number) ❑ Unfired pressure vessel ❑ /ellen Permit Approved by Data Q Othor — Specify Permit Fes L18T ALL EQUIPMENT AIR CONDIT110N1NG AND REFRIGERATION EQUIPMENT Capacity wvtrlr Plumber Units Description Model Numtor Manufacturer =or I f. vivo HEATING - PUP.NA.CES, BOILERS, FIREPLACES Approving NulrnberUnits Description Model Num r Manufacturer (BTU)) Agency TANKS Now Many > Dimensions� 7 Type I.slgldd Name of Serial Aproving Contained ufaettn a No. IencT Permit No.VC? Tirr.<; Job ,„S,t s / /ality - Owner', -- - Contractor _ UIL_DING CONCRETE ELECTRICAL. PLJi'IMI`G MECHANICAL Framing Footing Rough `Hiring Rough Air Cond. R Re Rooting ` Slab femp Pole Top Out Heating Insulation 7� Lintel Final Sewer Fire Place / _ Pre Fab READY- FOR INSPECTION Mon- Tues We fhurs. Friday A.M. ' Inspection Made __ _P __( r p.,;*,, s'^-- - -- Ceft nct,tr of OcCupj rcv ' I Uate f DEPARTMENTOFB LDiNQ CITY OF ATLANTIC E EACH PERMIT NP"t �Tlo .:� �. . . OCA TON NFORMATIOR Pe mit NrlbrQi4 .Add es-: OATSRV1 ' T 'KCTTL V3ES TLAITC 11AI " '1,O1IlJA322 33 1 �;AT �ATION � P�,".ermi �C1t .� . C tet . �TT� 1t3� �i a��cki{ :� .�ow' �}ry� "*��yf�( j� ryy��_ j 3 + llir� tl bdiv'i 6 .00 � rav > c�s' t tlf3 . : 'Total >1?'ll� s : ql punt Pa O a Dtte . >7_ V k De STS ATI.OI+I4, " ".. 5 t? z . ,s T A DRV )9 DA 322 , jr ov 3� ami toll, INS' JACKS R SAO i EXPI S �1 E .wu.d y i a j i i 1 NOTiCt -lNSP TIO4§'100$T @E 14EOUESTED A LEART� H�URS'�'�itt�H l� t'I i ee IL©INO MATE141IAL,RUBBISH ANIS DEBRIS FROM THIS WORK UST NOT BE, PLACEQ IN PUBLIC SPACE,'AND MUST BE EARED UP ANEW HAULED WAY BY.EITHER CONTRACTOR OR WNER I FIotILURE 1Yt3 PLY 1IVITM`THEM EC MICS' LEEN CAS#; RESULT IN 44 E,PRO , Rtyll, PAVING TWICE. ENTS." I UE© ACCORDING TOA F�RQYEC► PLANS WHICH`ARE DART F THIS PEfl111llf AND SUBJECT TO REVOCATION FOR ATt7NPA ;,PLiCABI .PRQVISiONS 0FLAW, 0453 Ar ANTIC BEACH r t11L17I G, EI?ARTMEMT 11 3 11 i CITY OF ATLANTIC B ACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: PLUMBING CONTRACTOR: CONTRACTOR'S ADDRESS: STATE LICENSE NUMBER: �/ �L'G - z Z TELEPHONE: HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER l J TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------- ----------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUSI BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. CITY OF ATLANTIC PEACH, FLORIDA j Approved by APPLICATION FOR ELECTRICAL PERMIT ,IV TO THE CHIEF ELECTRICAL INSPECTOR: DATE:— IMPORTANT ATE:IMPORTANT NOTICE: V IN CONSIDERATION OF PERMIT GIVEN FOR DOING IHE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCOR DANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. / JX' ELECTRICAL FIRM: JNIASTER IfLEC R161AN SIGNATUR—f JOURNEYMAN NAME ////� � ADDRESS: �6 RFD BOX BLDG.SIZE BETWEEN: RES.4-'1' APT.( 1 comm.( 1 PUBLIC ( i INDUS. ( 1 NEW( 1 OLD (W REW. ( i ADDITION ( ) TRAILER ( 1 TEMP.( ) SIGNS 1 ) SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR 1 1 FEE CONDUCTOR SIZE AMPS COPPER 1 1 ALUM. ( 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE C?O AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 j 1 OVER MOTORSH.P..P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS '�4 MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ TOTAL FEES o I CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT N0. Date : LOCATION Street LOT NO . 16 BLOCK. NO ..__. S/D s& OWNER Stockton Whatley & Davin C4 . DIASTER PLUMBER. Carl H. Rounillat r. Bldg. BUILDER OR CONTRACTOR 1864 TYPE OF BUILDING Residence 1 SIN1rS 2 LAVATORY 1 BATH TUBS URINALS 2 CLOSETS FLOOR DRAINS 1 SHOWERS $JAL R HEATERS 1 DISH,nTASHERS DISPOSALS OTHER 1 Washing Machine TOTAL FIXTURES 10 ''i . 00 $ 10.00 NO WORK MUST BE DONE UNTII A PERMIT HAS BEEN PROCURED PLANS AND SFECIFIC11TIONS must show a plan and. description of the size and location of all the soil and vent pipes , and the number and location of all fixtures , (in accordance with Ordinance no. 188 of . the City of Atlantic Beach, Flurid ) must be shown on back of appli- cation and be approved by the Plumbing Inspector. DRA'�d PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK. i1pproved by Plumbing Inspector Date (FOR OFFICE USE ONLY ) ROUGH-IN INSPECTED - /- z REVARYS FINAL INSPECTION: C��/ -,� CERTIFICriTE ISSUED : FOR OFFICE U E ONLY Date_----------- ...1924� Permit # O .....Fee ......... CITY OF ATLANTIC BEACH Valuation $--2_34�- o ............. .... FLORIDA House # ....'4ez ....... ........................................................................... APPLICATION FOR BUILDING PERMI1 ............................................................................ ............................................................................ Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the 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 tha 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 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. .......... ...... 19...72 Date ;...._.....,.---- ------------ -- L. Ownerc�_. ----------------------­-----............Address._7/�/ ...................Telephone .. ...7...... ------5.......Telephone Architect... _101A......... ddres& ............ ---------------_----A ....&/...0 Contractor --------------------Address- _/7 .............Telephone Noa?'4;e.7�elw .......... ....... Zone_ ----------- Lot No--------------- A----------------------Block No.------ -------.......Sub Div sion..' .. ....... ...Street_ Side Between.. .. ----a,dAnele------7", 'f ....St.. rLj ----------- Valuation ......For what purpose will building be used.i�/ ��,4 -Type of construction- /Z�_ W---------_-- --------Size of Footings.... P?(%(.......... Dimensions of BuildingV.' X._ --__._..--:Dimensions of Lot.._- .......... A Size of Piers_----_----------------------------Size of Sills ......------- ....Greatest Sill Span in ft..------ 1- -------Type Rc�Of ...........7 e Heated?______!!4� How will Building b - ------- ----------------------------Will Building be on Solid or Filled Ground. ---------------------............ ......... ................................ Greatest Span------------------------------------------ P2 Size of Ceiling Jois �W5s------------------- Distance on Centers Size of Floor Joists--_----------------------------------------,Distance on Centers........ -----------------------_-- Greatest Span_-------------_-------------------------- Size of Rafters--------__I ------------------------ Distance on Centers..... .. ------------------ .............. 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 be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. Z Z 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,'and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is c3vered. 7. Electrical inspection by City of Jacksonville. rn rn 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FROM P OF LOT In consideration of permit given for doing the work as descriled in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City ofis_ity ...Signature of Builder- .. .... Address---------_---------_-----------------------------------------------------..................... Signatureof Owne ----_---------------------------------------------------------................ Address--------------•--•-----_----------------------................................................ i CITY OF ATLAN# BEACH ROOFING PERMIT APPLICATION JOB LOCATION: 6 OWNER OF PROPERTY:— CONTRACTOR: CONTRACTOR'S ADDRESS: Z1P: '6 STATE LICENSE NUMBER: TELEPHONE.-- DESCRIBE ELEPHONE:DESCRIBE WORK TO BE PERFORMED: VALUATION OF PROPOSED CONSTRUCTION MATERIALS TO BE USED: SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: � 1 SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 19 ?7 7 NOTARY UBLIC p� 4R�Y rY'' Patdcla Ammolu Liability Insurance Supplied •,`.` = MY COMMISSION N CC5=1 EXPIRES August 27,2000 Workers Compensation Insurance Supplied BONIXI)MTWYFAIN NuMNM,INC. Contractor License Information Supplied Occupational License Information Supplied F PSR• 44 F DEPARTMENT OF E UILDING CITY OF ATLANTIC BEACH 1 �w. PERM I T, INFORMATION - _ ----- LOCATI Off# I N RMAT TO P Numb #r,.t Numr, 154S 4 Ad r'esa: I61 3 1 A OAT SIVE - Pcm tType:RE= OPF ATLANTIC SEACH, FLORIDA 32233 r a3S of Work:STEW LEGAL :I)ESCIP20�1 _� � bn t r.--TTy�4.-W10,bt FRAME E 1 Back.5 'L6f z 16- TOP: D roposed U ,$I LE iPAM2 LY ect i pan, ► Sub Dwell inks ubdiviti,4n:SLLVA MARINA' UNIT NO. 6. Est . Val {3 00 mprov." Cott : 5 r 200 .00 Total Ike25 .00 Jnr -Amount fi -44 k IC3N APPLICATION'.,FEES. .,� . N m � . � P� IT� A ft; 1 ��3RI R1R ft ( R' P LOR I DA 3 d on R OST 100, ` CLt `ITT 5", I PHILLIPS HIGH AY i +y N , ES; � � 1 P NOTIC0F INSPE TiON19- MUST BE REQUESTED A LEAST 24 HO-RS-PAIOR TO INSPECTION.. i t : S ILRING MATER)AL,RUBE SH ASID DEBRIS FROM THIS WORK UST NOT BE PLACED 14 PUBLIC SPACE,AICD MUST BE - 1 C `EARED UP ANO HAULED WAY'BY EITHER CONTRACTOR OR NEW el s. e r AlLUR C) Ca hLY 4lIITH THE MECH .NLCS' L EI II SAN � " ' IN PIP' R7 WNER'PAYING TWICE OR BUILCLNiAP4 � .'y wAIIAMY 1 Uv 11 UED ACCORp NG TOA PROVED.PLANS WHICH ARE PART F THIS PERMIT,A`ND SUBJECT TO REV'OCATi f ' LA�TION OF AP LICABI E PROW OF LAW, �iy of Axtant ch j AT ; NTIC BEACfi B 1LDING EPAATMENT ...... CITY OF ATLANT C BEACH PERMIT APPLICATION RIIKODEL, ALDITIONS, OR ALTERATIONS MOVING,DEMOL TIONS Owner (s) .' � Address: Phone: 65'1 - 7-Y Lot # Block or Unit # Subdivi ion: Contractor: r o State License # Address: Pho e ?Fo: City State Zip Code Describe work to be done: 121-2- e t o Present use of bui'_ding��flr'� Valuation of Proposed Construction: Proposed Use: d W, Is this an addition? If yes, what �re the dimensions of th�,e��ryry ',� 0 g pCH space: �.7 ft. X `l ft. will the added area be heated arlCt`' 0_DING�OFFtGE B cooled? tn.d New electrical (or increase) ? SU New plumbing fixtures? no New fireplace?;✓`o` New Heat/AC? ;--0 I summIT TUX (CCb0XRCIA.L) TWO (RESSDENT2AL) =NPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS NOTICE OF COA4�NC �TT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OW= IS CON ZRACTOR. Signature OWNER: - Date• 5' 2 7 Signature CONTRACTOR: ate: OP� Sworn to and subscribed bef �4S�iis ��S ay of 19 � � ' RECEIVEDC:�'�' � n` Y UBLIC STATE OF FLORIDA�� {{ AT MLAda RGE MY COMMISSION#CC553Pf!' R SEP 15 1997 TRO BONDED THHU RD27Y FAIN'NSU:•: a„ , NSU icA�11 �C RANC! ihi City of Atlantic Beach Building and Zoning I' i. i I 2-2xg F)TYP 2-2%iZTYP (ngZcHz1+G SAZNG4XS ON 3O*FELT 6vER y2'Cox.PLY NATLF-0 4!'ar_P_ENIPS AND"' MOTH E FLELn. 4x4 RT, 2-2x6(!VALLEYS TYp. z 27 �X�Si.ZNG-RoOfi l.I�E i I x ,.44.4 POSTS Of$A 044 A00-OPS n —4� W 4 ProposED PORCH 4'CoNcttE i E SLad f--12"---�} TYP FOVNDhTZON SEC. ; "N'L .SEP 1997 EXZ.ST Nd'• City UT Atlas tic Se 11 Rijilclinp 7o, ino i t ��//4 /CITY OF WCA d Office of Building Offi ial REQUEST FOR INSPE ION Date Time P rmit No. Received L J '2) / P ' Job Addr�eE __. plity Owner's 1 Name Q- Contractor _ BUILDING CON ETEELECTRICAL Framing P- FootPLUMBING MECHANICAL Re Roofing D Slabng o J Rough Wiring f Rough D Air Cond. & D Insulation ❑ Lintel D Tem Pole FTop Out 11Heating m_ f-1 Sewer D Fire Place D READY F R INSPECTION Pre Fab Mon. Tues. Wed. / Thurs. A.M. l (/ Friday Inspection Made � �(� A M. —P M. Inspector Final Inspection D Certificate of Occupancy ❑ Date GS Iti SLATY O�RAf TER P RK @ ER.PATR —77 UE FIF ' II k 1 i � ` I I C r� oA 2x8 Tota rs E t�'OL( 8 TreA S Co ; I V " � f .,. ..0 Ma ....... QC...t7r h ATLRSEP 2 2 1997 w R \ A PT. P.T.0-2c r 'R `w � �x�T�NG"C'ru5S�k7 Roo IF S SCALE: APPRO ED BY: DRAWN BY J DATE: !} < REVISED 1 s } j DRAWING NUMBER MAP SHOWING SURVEY OF LOT 16, I3LOCK 5, SELVA MARINA UNIT NO. 61 AS RECORDED RDED IN PLAT BOOK 34PAGES 51., 5111. AND 51B, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUN17, FLORIDA.. _ .BEARINGS ARE BASED ON THE EASTERLY RIGLIT—OF •WAY LINE RECEIVED OF scn onr5 DRIVE ASBEING N.06°16' 1.0"W. BY PLAT. -THIS PROPERTY LIES IN FLOOD ZONE 'T' 13Y FLOOD MAPS EP 1 8 1991 REVISED 4/17/89, COMMUNITY PANEL NO. 120075 0001. D' • � � � �,_.. � i of ,Atlantic ''4 � r`� � � �iilding and Zoning fOIJNV FOUNiol v aA � m w 12.7s +?E6TQ/CT/cN .cavPisl�at.nT 0 ' s .4 TTfl ��n `v G o `1 m k'�5/L7E/YC m p C ry,V • x L \Ggc��\o FourvP �z„/�oN f} S. G /G' I REBY CERTIFY Sv TO: .�. �=.�.��rc.��s� • Q �rTo,•zN.Fys•7i�-c.�/rvs`�.vo��rcf T14A T THIS SURVEY MEETS THE MINIMUM TECHNICAL STA DARDS AS SET FORTH BY TI4E FLORIDA BOARD OF PR FESSIONAL SURVEYORS AND MAPPERS, PURSUANT TO SEOITION 472.027 FLORIDA STATUTES AND CHAPTER 61.117-6 FLORIDA ADMINISTRATIVE CODE. �uRVIP,�O[ =� INC. il! /fes LB 6645 P OFESSIONAL LAND SURVEYOR NO.1674 FLORIDA H. BRUCE DURDEN, SR. 1103 SOUTH,THIRD STREET DAT 10.5p r.0 JACKSONVILEt°BEACH, FLORIDA 32250 (904) 249-7261 FAX (904) 241-1252 SCALE. THIS MAP OF SURVEY IS NOT VALID AND MAY BE USED FOR INFORMATIONAL PURPOSES ONLY UNLESS IT IS SIGNED AND HAS THE ORIGINAL RAISED SEAL OF THE FLORIDA LICENSED LAND SURVEYOR WHOSE NAME IS PRINTED HEREON. i is CITY OF ATLANTIC BE H, FLORIDA Avo,ONd sr APPLICATION FOR tLECTI ICAL PERMIT i. TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_ IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRI PLDANS AND SPECIFICATIONS,THE WE HEREBY AGREE TO PERFORM- SAID WORK IN ACCORDANCE WIT THE ATTACH WHICH ARE A PART HEREOF, AND IN-ACCORDANCE WITH THE E ECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. So 8" ELECTRICAL FIRM: MASTER ELECTR-16kit MATURE JOURNEYMAN ADDRESS: JINDUS. OAS S De i v�` RFD BOXNAME �/�-1�CT. F(!/'t L k t kc(--ft EEN: BLDG.SIZE RES.( APT•l1 COMM.( 1 PUBLIC I 1 NEW( ! OLD REW.( 1 ADDITION TRAILER 1 1 TEMP.1 1 SIGNS ( 1 SO.FT. FEE SERVICE: NEW l 1 INCREASEY) REPAIR ( 1 CONDUCTOR SIZE AMPS b o COPPER ALUM. SVATCH OR BREAKEg Zoo t PH 3 w VOLT SC-R, R C WA EXIST.SERV.SIZE : l S v I AMPS l PH 3 W z3 VOLT S C--J RACEWAY FEEDERS NO. SIZE I NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED PEN TOTAL RECEPTACLES CONCEALED PEN TOTAL O•>f0 AMM. s 1•f 00 AMP$. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXRD F._ 00 AMM. Ovim BELL TRANSF. APPLIANCES AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR ' OTHER MOTORS AN PS CEIL HEAT: KW-HEAT _F_ t 01 MOTORS H.P. VOLTAGE PHS NO. M.P. VOLTAGE PHS iSCELLANE TRANSFORMERS: UNDER 600 V. O ER 600 V. NO. KVA NO. i IKVA NO.NEON TRAM!SF. NO. VA. MA. ;R SIZE SWITCH FLASHER EACH SIGN FORWARDED $ TOTAL FEES �S CT I' j' TRANSMITTAL DOCUMENT FOR JEA DATE: 9 - 12 The following permits have passed "rough" inspection: Permit No. Address � e ex,c=xX b:kucxs® xaf'x II shexpemmwtm. Please update your records accordingly. Thank yv,/ BtIll"DING CL CITY OF ATLANTIC BEACH I /vcb �II �II I 11SR i G DERARTMENT OF B LIKING CITY OF,ATLANTIC EACH t 1 - » PERNITI INFORMATION . ..� -- LOCA' I Off! I N FORMAT I ON ;.,�, add ���. SQA OATS llRt�'>I 1 m t Numle'r. 51531 'LTIC BEACH, FLOMRII3A 32233 emit Tyge.14ECH NICAL - L A CRss of Worlk*NRW '�PTION. t r . `,TY . lOODi FRAME B oex-t +a =1 ' O oposed Use.SING E FAMILY S ctlon: f3 ��� 51, lA �q Dwellin�h w t3 S bd�,` inion SELV1 'MOINA VRI ' NO 6 Est . Ualoe*. D A 1 wrov.d Co 0 .00 Total � a � 43 .40Amount { Dat M q97 AUml N], L# � RAL' NEAT ANIS Al t e.a ION ..w w...� � � J. to ERMIT FLORIDA 0 VE #le,15 1 44 ; I:? C e I ,ORMATIq __. A tM ' . 7 S I TRET SOUTH r NV ° SEACM. 'FL 2250 �t Exp: n 4 N ES; r f � r r NUTICI�-INSPI CTION$ MUST SE REQUESTED LEAST 24 WCI`URS PRIt�O;TO INSPECTION UILDING MATERIAL,RU. , ISH,AND DEBRIS FROM THIS WORK UST NOT BE PLACED N PUBLIC SPACE,AND MUST BE LEARED UP AN `HAULlD AWAY BY EITHER CONTRACTOR OR INNER 4 FAILURE TD C !LY WITH THE MEC ANICS' LIEN,A CAN RESULT IN t TH;E pR© R�'ii'` VI/N'ER PAYING TWICE OR BU1t� 1iG IM.PFtt3EMENTS." i ' SUED ACCORDING TO:APPROVED PLANS'WHICH ARE PART F THIS PERMIT AND;SUBJECT TO`REVOCATIOM FOR � I LATION OFA PLICASL PROVISIONS OF LAW. 1 i147 g Ila 15�? r iNM 21 � A !ANTI EACH,BUILDIN DEP RTMENT f y E k r � a ` BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC', BEACH ATLANTIC BEACH, FLORID 32233 APPLICATION FOR MECI' ANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address:_ OF Intersecting Streets: Between_ And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abe a statement we hereby agree to perform said work in accordance with the attactLed plans and specifications which are a part hereof and in ccordance with Ike City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Co Tractors Contractor (Print) ( / /—���L M seer Name of Property Owner Signature of Owner Si nature of or Aufhoriaed Agent Ar hitect or Engineer III. GENERAL INFORMATION A' Type of beefing lural; 6 IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE 7 ❑ Get—❑ LP ❑ Natural PK- Utility ( I IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on beck of this form) ( Residential or ❑ Commercial PHeat ❑ Space ❑ Recessed F�-`Centrel O Flow ❑ New Building 15 Air Conditioning: ❑ Room Central ❑ Existing Building 19 Duct System: Materia - Thickrso 0 i 1.1 Replacement of existing system Maximum capacity c.f.m. �0� New installation(No system previously Installed) ❑ Refrigeration IS Extension or add-on to existing system [ICooling (ower: Capacity q.p.m. LJ Other — Specify ❑ Fin sprinkles: Number of heads ❑ Elevator ❑ Menlift C3 Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pump (number) ❑ Tanks (number) Remarks ❑ LAG container (number) ❑ Unfired pressure vessel Q biles Permit Approved by Det. ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION O EQUIPMENT i Number Units Description Model Number Manufacturer c(Tons) Apprrvirss CU �L'rl l HEATING FURNACES, BOILERS, FIREPLACESCapaci pproving Number Unita Descrl tion ![ �Y w p oriel Number Manufacturer Agency TANKS Rea Many Nominal Capacity Type Liquid Nane of Serial Approving and Dimensions Contained Manuf turer No. Agency �PSA-361 23 0EPARTMENTOF91111LOING d r CITY OF ATLANTIC I EACH 1 I +� PE 1IINFO TION ------ - LOCATION' INFORMATION,f P; zMit <'u�i : 131323 Add 1663 Edi OATS DRIVE e>~mi TY 1 a Rt) TJ ? TIt3N ATLANTIC HEA 1. FLORIDA 32233 ssc+ k:A1�?1 I I p y�� j4EdA - ,DESCRIPTION W - .. ._ 431 w s 4! � FS �,B OC y too' . r Q 'dt� e:SINLEF��ILT Ect + ; . 0', 5 I SA Rr� > M Iw, X'1 T21 v o 6ELVA. A 6 INA UNIT NC. E O 0 I Isr ,V. Ca50.00 Total ., r F. 527 .78 A unt, ! .7 S ; va ION - - � ► CA 'I� FEES' - 2- N . P RMI'i' {?. C} A `thy G O` `' RIVE Ian 0 FLUX IDA 3 �,.r ` �❑} � �fiMETER�P }spy � a 6,�� ��� �• � .�? • S C?J A DON y} t+ r�-Ri;E�i� 0.00 R DON t�E7,S-H R.rS 3.69 Ct7 ORMAT 14 I K,-- ---- R LION CAS 50. 20 yM+y y� - 0,00 0 0 .^ S ER TAP., 0.00 c. ' sS, C NN CT' ON iJ r V SCR IMPACT EPEE (� �y 3 r-' 4A : . vO HARGEIATSBCH- &' r Nt�TC ALL C NCAETE FORMS AND FOOTINGS N UST BE tN$FECTED 9EFOR POURING PERMIT,VOID SIX MONTHS AF TER DATE OF ISSUE " DING MATE IAL„RUB ISH AANDOEE3RIS FROM THIS WORK UST NOT.SE PLACED IN PUBLIC SPA E,AND MUST BE RED UP AND HAULFEDIAWXY BY EITHER C©NTFACTORR OR OWNER ` FAIL AV TQC PLY WITH THE MEC ANICs L1E 4 LAW; AN RESULT IN M g : R P EAT'Y WN0 PAYING TWICE FOA,f3UILIDING IM,PRQ►!IfENT'�i." USD ACCOR, IMGs TO'APPROVED PLANS WHICH_ARE BART OF THIS PERMIT AND SUSJEOT TO REVOCATION FOR, l,ATION OF A PLIOASLRROVISIC?NS OF LAW, tlperataz ` t'IkE 14tal Payment 115�7.�6 A ANTIC SEA CH UILDIN ENT g P6R- a S DEPARTMENT Oil BI 11ILDING, CITY OF ATLANTIC I EACH ; ¢ ERM I N 1 C ` ICN LOCATION INPORMNZtom—, _ww Ir lr Nul + r; .,• 13524 Add eS3- 16'' i3 SEA OATS DRIVE PermitTyoe:STORAGz ATLANTIC BEACH, FLORIDA 32233 � . f Woik.NEN -I LZQAL DESCRIPTION ..�,�. ns t r . 'hype:WO01 FRAME H ock: 5 ,:Lot: 16 Twp. 4 roposed Ude:SIWLE FAMILY ction: o subd 1 ,'51A Rnge 4 i el2in is bdivition:$ELVA MARINA UNIT N4. 5 0.00 Prov< Ccat 2-,,5,92 -00 f Total Fe 157 �50 Amount r Q*AQVilArm pop ` ��� � n �I+3N - A 'PLI`CA' ION FEES _.., N , P RkIT37 , 50 1 cit la a RLVE "�N TER I 'RE �� 1 tD e a � � kit PROOk f 1 NC ES: 4[ F i{{ l r oorricg ALL C NCRETE 1 QRMS AND FOOTINGS N UST SE INSPECTED BEFORE POURING { PERMIT VOID SIX MONTHS AFTER DATE 0F,ISSSUE 11LDING MATERIAL,RUBBISH ANODEBRIS FROM THIS WORK UST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE EARED.UP ANDNAULE AWA��!�E Y i tTHER CONTRACTOR OR WNERI' ll FAILURE To; MI I:Y 'WITH THE MEC ANICS' LIEN LAW CAI�i RESULT IN HE PRC9 f'TY VI HEIS PAYING TWICE FOR BUILDING IMPROVEMENT'S." UED ACCORDING TOPPROVED, PLANS WHICH ARE PART F THIS PERMIT AND SUBJECT TO REVQCATION FOR QLATION OF,A PLICABL PROVISIONS OF LAW. �}PeTdtp115! 5 T: I:11tYLF " Total Paysent f15�.5 A TIC BEA H UILDIN DEPARTMENT i. CITY OF ATLANTIC BEACH Fixture Unit Worksheet: for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THI MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED D CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS !,HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. d BATHROOM GROUP CONSISTING OF SERVICE .SINK TRAP STAND WATER CLOSET, LAVATORY 6 BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET WATER CLOSET, TANK OPERATED ( ) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) POT. SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK {2} —T DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET —URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (1) LAVATORY. BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY. SURGEONS (2) JACUZZI (2) URINAL STALL. WASHOUT (4) TOTAL FIXTURE UNITS e $20 00 EACH s I �, 00 - JOB IAFORMATION (is .-. 9017-00 r S j D&ARtMENT OF 811 IIL��fi�1t3' CITY OF ATLANTIC I IEA014 �. LOCATIONINFORMATION ' rmit NumbOr: Add esu 1.613 SEA OATS LIRIVE er mit rPLU INfl ATtW' G BEA($ FLORIDA 32233 C tit Wc�Irk:Abf31 10 _ _ ... LEGAL OESCRIPTI1ON ---__ -_-. st Ty e. E E -B o-c s L ST'wp t xQprd tT �SIP EiILY titian: Crxbd•.,51 „ Rncs I ar bd vigimb.SEL'VA Dwe ALN i t1� NC�� E 01.00 rtaPray. Cot OL 00 Total F� � �� 49 SLO mcaunt ix 49. 50 ,. It3N Ak�Pt:ICATION .FEESS I 'm P" Rig!IT 49 50'DRIVE y y FLORIDAWIN, g a <� ov �< fit Y yt j M'. R ��A.L 3. tt 1 N me ST ET AI'I.AN CH FLORIDA 32233 x ! -a r 4 w� ( N ES. (r 4 k NOTIC --ALL C NCIPMTE FOAMS AND FOOTINGS UST BE INSPEGi ED BEFORt POURING, PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE r 3 ILDI-NG MATERIAL,RUBBISH ANQ D1 BRIS FROM THIS WORK UST NOT SE PLACED IN PUBLIC SPACE AND MUST BE EARED-&AND HAULS AWAY BY EITHER CONTRACTOR 08 INNER � FAILURE' . Q MI 1.Y WITW THE MSC ANICS LIEN LAW SAI RESULT IN HE°PRO RTY WNER PAYING TWICE OR BUILDING IM444 52 Rt��#EMEN'�S." I'SUEQ ACCORDING TO PPR;WED PLANS WHICH ARE PART F THIS PERMIT�AI p f �t AT#Ir? 4 R VioLATiON'OF A PLICABL PROVISIONS OF LAW. 1 A ,I ANTIC BEACH BUILDIN DE ARTW�y�NT s CITY OF ATLANTI� BEACH APPLICATION FOR PLUMBING PERMIT JOE LOCATION: PLUMBING CONTRACTOR: LICENSE NUMBER: }'e L) J C,14NER: BUILDING CONTRACTOR: TYPE OF BUILDING: /► l 1 SS NKS SHOWERS Z, LAVATORY WATER HEATERS �II BATH TUBS DISHWASHERS URINALS DISPOSALS �- CLOSETS WASHING MACHINE FLOOR )RAINS llt� (� OTHER = TOTAL FIXTURI15.00+COUNT: � --- -------------------------------------------------------- ------------ -------------------- -------- INS ALLATION OF PLUMBING AND FIXTURES UST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDAR PLUMBIPC CODE. �u! ul CITY OF f BwcA2-1 Office of Building'Official REQUEST FOR IN PECTI Date Time ,� _--- Permit No. 4 Received M f f Job Address Owner's Lo y/ __-�+ !—�6 S '7 Name -- _--Contracto� -� BUILDING CONCRETE ELECTRICAL Framin LUMBTN MECHANICAL Re Roofin Footing Rough Wiring �: 9 Slab Air Cond. & Insulation Temp Pole To Out Lintel Final p Heating Sewer i_; Fire Place ❑ READY FOR INSPE TION Pre Fab Mon. - Tues. Wed. Thurs. Friday Ar-� J irsr<.ction Made A.M. -- -- f P.M. -_ - ---- -- _ Final Inspection Certificate of Occupancy is i Date _ CiTw OF Office Of Building NOfficial Rr,"NUEST FM IN 'PECTION Date__ 7 Time — Permit No. Received JobAs Lo Owner's Name BUILDI Contractor NG CONCRETE- '1 ELECTRICAL Framing Footing PLUMBING MECHANICAL Re Roofing = Slab / Rough Wiring Rough Insulation ?G Temp Pole Air Cond. & Final Lintel / Top Out Heating " Sewer Fire Place Mon. TREADY FOR INSPEC ION Pre Fab Tues/ / Wed. Thurs. V� ridgy inspection Made _ A.M. P.M. ----(fes - --- -._- Find Inspection Certificate of Occupancy .. CITY OF �4�h�rc l3eaclz-i��vrr� % Office of Building Official V,' REQUEST FOR IN PECTION Date Time - —gz—--- Permit No. 13 _ A.M. Received �'� �j P.M. Job Address Locality Owner's Name ��,(_ / Contractor BUILDING CONCRETE ELECTRICAL PLUMBING Framing MECHANICAL Re Roofing ElSlab ng " Rough Wiring ED Rough ElAir Cond. & ❑ "�� Insulation ❑ Lintel Temp Pole ❑ Top Out ❑ Heating ❑ Sewer ❑ Fire Place ❑ READY FOR INSPE ION Pre Fab Tues. Wed. Thurs. Friday pM. Inspection Made A.M. Inspector ^ Final Inspection ❑ Certificate of Occupancy L Date /► /CITY_O/F '0; _ 4 V Office of Building Official REQUEST FOR IN PECTION / 3 5/3 Date �/—it S''J�"� Permit No. TimeA.M. Received 42 ,' 3 PM. c Job Address Locality Owner's Name Q 4 / �,rf{f.:.�� Contracto', BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring Ci Rough Air Cond. & ❑ � ' He Roofing ❑ Slab Temp Pole ❑ Top Out Heating Insulation ❑ Lintel ❑ Final ❑ Sewer Fire Pface ❑ READY FOR INSPE TION Pre Fab Mon. ues. Wed. Thurs. Friday Inspection Made A.M /,ST Inspector Final Inspection Certificate of Occupancy Date f CITY OF � REQUEST of IN w- - � 9i,Official 6 ` " " EQUEE PECTION DateP r �_� — Permit No. Time A.N. Received _ _ RM �-s Job Address Locality Owner's Name L �- Contract r BUILDING CONCRETE LECTRICA PLUMBING MECHANICAL Framing Footing Rough ring Rough Air Cond. & Re Roofing - Slab Temp Pole Top Out Heating Insulation Lintel Fina - Sewer -- Fire Place Pre Fab READY FOR INSP CTION A.M,. Mon. Tues Wed. Thurs. Friday P.M A.M. Inspection. Made w P.M. Final Inspection Certificate of Occupancy Date _ CITY OF O,i1Ncr is Suifdinq t?f$iliai JEST FOR o. ap BUR-DIN'__ CONCRETE_ ELECTRIC lifl(�II�CCHANiCA nswatior, �i��i,�ena Rough Wiring Ro.jgh Air Cond. & F arring Foot Re Roofing a. 7r, e-1" Top Out Heating READS I'rOR lg,fCT Sewer Fire Place g,[CT Pre Fab _ � EE A.P.1. Mon. Tues 1Ned. Thurs. Friday . �A M. nspec[ior' ave c',oi_ _. . �_ . - < - F nai Inspection Certificate of Occupancy I p MAP SHOWING SURVEY OF LOT 16, BLOCK 5, SELVA MARINA UNIT NO. 6, AS RECORDED IN PIAT BOOK 34, PAGES 51, 51A AND 51B, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. .BEARINGS ARE BASED ON THE EASTERLY RIGHT-OI'-WAY LIN ' OF SEA OATS DRIVE AS BEING N.06016' 10"W. BY PLAT. •THIS PROPERTY LIES IN FLOOD 'LONE "X" BY FLOOD MAPS REVISED 4/17/89, COMMUNITY PANEL NO. 1.20075 0001 D ! 7 A -1 77 FOUNt2 �Zll me"v o , FouYVv �2" /,qoN /V !o /C ��•• 'fit ty) a. .47-1- -g6'.NEo N O LO CONI'-_�q -•.''' .•'--�-1 `' V l:C. , 10.9 G 0 �7 5/G�E/VCIE t X � V p oa ROCEIVED 0 0 x 4�R 1 1 1997 �:•.'-=•. City f Atlantic Beach Bui Ing and Zoning 0.2• o a F4UNP „/baa o./' �O I�G" � 90 00 IL o.//<'ON OiPE� Nos•v.f) /�� TiP,QCj" .�7'r /3r'p�<r7"1 —�— -- -- —I H NEBY CERTIFY TO: S.Fic�//�!�<..G�' o�'�.GC% LJTT�.f•�N,Fyr'T,rc..� :^/S.`.�;.vo/N�. TNA THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PRO,ESSIONAL SURVEYORS AND MAPPERS, PURSUANT TO SECTION 472..027 FLORIDA STATUTES .AND CHAPTER 6113 7-6 FLORIDA ADMINISTRATIVE CODE. sup l/ U �' � INC., LB 6645 P OFESSIONAL LAND SURVEYOR NO.1674 FLORIDA H. BRUCE DURDEN, SR. 1103 SOUTH THIRD STREET DAT JACKSONVILLE BEACH, FLORIDA 32250 (904) 249-7261 FAX (904) 241-1252 SCAiE: THIS MAP OF SURVEY IS NOT VALID AND MAY BE USED FOR INFi i?RMADONAL PURPOSES ONLY UNLESS IT IS SIGNED AND HAS THE ORIGINAL RAISED SEAL OF THE FLORIDA LICENSED !',LAND SURVEYOR WHOSE NAME IS PRINTED HEREON. MAP SHOWING BURVEY OF ,01' 16; IILOCK 5, SELVA MARINA UNIT NO. G, AS RECORDED IN PLAT ROOK 311, PAGES 51) 51A AND F5113, or TIID CURRENT PUBLIC RECORDS OF DUVAL COU TY, FLORIDA. .BE RINGS ARE BASED ON THE EASTERLY RICHT—OIC--WAY LINE OI' SEA OATS DROE AS .B1;ING N;06°1h' 10"W. BY PLAT. -TII S PROPERTY .IES IN FLOOD ZONE "X" BY 171,006••MAP RE ISED 4/17/80, COMMUNITY PANEL NO. 120075 000:1. 1' A v Z5 ro'.�r��i•'/T-off-- ,,a y ' / � FOLlNt� �2" .�ZON N, 90. 00 Ir BUIUOZ pue oinine 40goe olloeav to 4413 } L661 1 WV Q 2! ` sl�. "1 —•X_ w7' Q c.liz•-� I� MR Y-1 o� o M.4 g6 NR OG i m R S/GNC X V Y —0.2• , 7 0�/ .(� 0 �Y 0 0 -�•— ��S _.. �.: _. ._ 4f!'Nd N[i pie e-!i./l.Fi �� �A•2 ,RIAAF.r'WAV "I HEREBY CERTIFY TO: et;� 4 �'_.., ' ., ? f'.'�` .�+ I"�+��fr'` h'©.�1�' R f.(7i•0L/'L"+'t,•�i`'C/ , . s TH T THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS, PURSUANT TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER UR (�(\N /1(Xn(� 61.617-6 FLORIDA ADMINISTRATIVE CODE. nnEM L,�[ ,11J�, D WVIEV01m� INC. �� a LB 6645 fROFESSIONAL LAND SURVEYOR NO.1674 FLORIDA H. BRUCE DURDEN, SR. 1103 SOUTW THIRD STREET DATE: JACKSONVILLE BEACH, FLORIDA 32250 (904) 249-7261 FAX (904) 241-1252 SC LE: / or TIS MAP OF SURVEY IS NOT VALID AND MAY BE USED FOR IN ORMATIONAL.PURPOSES ONLY UNLESS IT IS SIGNED I—Ahr HAS THE ORDINAL RAISED SEAL OF THE FLORIDA LICENSED1 LAND SURVEYORWHOSE NAME IS PRINTED HEREON. i I CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address /G (o F- 6- 0&T-1 0A if ee t' Date `7 3- Heated Sauare Footage C) @ $ per sq ft = $ �) Garage ed yL @ $ �O per sq ft = S Carport/Porch is S 0 per sq ft = $ Deck © @ $ per sq ft = $ Patio 6 @ S pAr sq ft = S TOTAL VALUATION: S S�e 2-- / S .0 0 $ / s�. OD— Total Valuation 1st $ Of) -2- D 00 s / 0 , � b Remaining Value $S;nOper thousand or portion thereof TOTAL BU I L D I G FEE $ 2 T.610 + 1/2 Filing Fee $ / .S-0 ( ) Fireplaces @ $15 . 00 $ BUILDING PER MIT FEE $— WATER IMPACTI FEE $ O U SEWER IMPACT FEE $ WATER METER] AP $ CAPITAL IMPR OVEMENT S _ SEWER TAP S ( ) RADON (HRS ) . 0050 S SECTION H PAVING ( a $ HYDRAULIC SH RES S CROSS CONNECTION $ ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE $tel , S ADDITIONAL PERMITS OR FEES : Mechani al Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : it f CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address C .3 S�✓� � � �2- Date Heated Square Footage@ $ 0•0-0 per sq ft = $ 0 Garage/Shed n @ S Ca per sq ft = S Carport/Porch @ $ per sq ft = S Deck @ $ per sq ft = $ Patio @ $ per sq ft = S op TOTAL VALUATION: 5! 3170 Dob 2 6 0 . 0 2 Go o.oo Total Valuation, 1st $ -"0 0 —2. 1/ O © S 00 Remaining Value S60per thousand oV. portion hereof TOTAL BUILDING FEE $ 2 E. 0 + 1/2 Filing Fee $_LLro ,0 0 (�) Fireplaces @ $15 . 00 $ BUILDING PE MIT FEE $_ �2 0 100 `Dnr FEE $ 0©.o0 '? I APS' $— -- �� S VEMENT S ` S 0050 r --� : kRES PION $ o f RGE . 0050 S .�f G ADDITI al Plumbing Electr I ; SwimmingPool Septic 'Taira Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : i APR 1 1 1997 City of Atlantic Beach Building And Zoning CITY OF ATLAZVTTC BEACH PERMIT APPLICATION REMODEL, DITIONS OR ALTERATIONS DEMOLITI NS Owner(s) : 'J��'e k Address: ICC 3 �Pr, Qab01r-1ptP Ione: .Z.�1=�3/Q (�� (0 ` ~ Lot # Block or Unit "' # / Subdivi 'ion: Contractor: ,J Fv2ajC ke-r State License # Address: S Phon e No: w0 m(I-23 J--3 Describe work to be done: Present use of building: Valuation of Proposed Construction: Proposed use: Is this an addition? VQ-.i If yes, what a e the dimensions of the added space: 777p ft. X ft. Will the dded area be heated and cooled?-� New electrical (or increase New plumbing fixtures? *X New fireplace? KDINew Heat/AC? ltio SUBMIT 27OZEE (COIfi& RCIAL) TWO (RESIDENTIAL) II COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEM TZ', AND OWNERICONTRACTOR AFFIDAVIT, IF OWNER is'CON CTOR. signature OWNER: Date: Signature CONTRACTOR: Date: ���5,`r 0 �L E Q License Supplied: Q�� ya`�� Q �\. �` 'l Liability Insurance: �QPa��� Worker's Compensation Insurance: � QQ IIT Bu!uoz pue Ou!plln8 yoeae ollueliv Jo 41!0 L661 1 1 add G3AI3 I I � G)g� QZo j7:) �' � n� n v �Cum CI m � x �f G IT f bm— P?W1 E 9`)/ --7001 SII I, S _ U b m 0 � cn _ _ II bi2/�?-��I���7� • X10,..1 o ' [Ti - � � x rn x RI 0 UN Ctl `y Z ul -rl s O n • x m . J(jo PTl J � Qi1 -�jR IT (Tj F. i U N !' l CITY OF S00 SEMINOLE ROAD - -- ------ - - ATLANTIC BEACH. FLORIDA 32233-5445 , t TELEPHONE (904)247-5800 FAX 19041 247-5805 SUNCOM 8.52-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTIO CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY UCEN IED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, ASS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE i OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR aEss. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SE-L OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LOW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDI G CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU IHAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR O N PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REOUIRE ALL WORK (EXCEPT MAINTENANCE UNDE 2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY! PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRE T SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSE TRADES PEOPLE. THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKER THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE H MEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS ANDSHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON T EIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UND R ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228(1). AN OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE F COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFI-ATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACT R. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PEF MIT. 101P RWODA DYJAK PROPERTY WNER/BUILDER +F I COMMISSION # CC 572052 •r BONDED EXPIRES JUL 25. 20M �' aa' ATLANM CO- ADDRESS TELEPHONE BONDMSWORN TO AND SUBSCRIBED BEFORE ME THISW�DAY F � I ae"1 NOTAR U LIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES; ���-� c�'DOO ARE EMPHASIZED BY THE BUILDING DEPARTMENT. III III FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OB-93 Residential Component Prescriptive Method B NORTH 1 2G Department of Community Affairs Compliance with Method B of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OB-93 for single and multifamily residences of 3 stories or less in height,and additions to existing residential buildings.To comply,a building must meet or exceed all of the energy effii ency prescriptives in any one of the prescriptive component packages and comply with the prescriptive measures listed in Table 613-1 of this form.Compliance by this method will be,in most cases, quivalent to an EPI of 100 points or less.An alternative method is provided for additions of 600 square feet or less by use of Form 600C-93.If a buildino does not comply with this method,it may still )mply under other methods in Chapter 6 of the Code. PROJECT NAME: /d I ILDE : AND ADDRESS: p PERMIT' ING CLIMATE OFFICE: "rL&KI'( Ic C ZONE: 1 ❑2 ❑3 OWNER: A L I CV l PERMIT N0. JURISDICTION NO.: ,601 fit GENERAL DIRECTIONS M�• 1. New construction including additions which incorporates any of the following features can iot comply using this method: raised wood floors without continuous stem walls, steel stud walls,single assembly roof/ceiling construction,or skylights or other non-verti I roof glass. 2. Choose one of the component packages"A"through"E"from Table 6B-1 by which you int ind to comply with the Code. Circle the column of the package you have chosen. 3. 'Fill in all the applicable spaces of the"To Be Installed"column on Table 6B-1 with the infol mation requested. All"To Be Installed"values must be equal to or more efficient than the required levels. 4. Complete page 1 based on the"To Be Installed"column information. 5. Read"Minimum Requirements for All Packages",Table 6B-2 and check each box to indic ite your intent to comply with all applicable items. 6. Read,sign and date the"Prepared By"certification statement at the bottom of page 1. T le owner or owner's agent must also sign and date the form. Please Print CK 1. Compliance package chosen (A-E) 1. 2. New construction or addition 2, 3. Single family detached or Multifamily attached 3. 4. ` If Multifamily-No. of units covered by this submission 4. 5. If Multifamily,is this a worst case (yes/ no) 5. 6. ' Conditioned floor area 6. :777 sq. ft. 7. Predominant eave overhang (ft.) 7. .2 , 8. Porch overhang length (ft.) g, A,p 9. ' Glass type and area: Single Pane Double Pane a. Clear glass 9a. sq. ft. 61&sq. ft. i ,+7 wEw b. Tint, film or solar screen 9b. sq. ft. sq. ft. 10. Percentage of glass to floor area 10. I % 11. Floor type, area and insulation: a. Slab on grade (R-value) 11a. R_ U lin. ft. b. Wood, raised (R-value) 11b. R= sq. ft. c. Wood,common (R-value) 11c. R= sq. ft. Cl. Concrete, raised (R-value) lid. R= sq. ft. e. Concrete, common (R-value) 11e. R= sq. ft. 12. Wall type, area and insulation: a. Exterior: 1. Masonry (Insulation R-value) 12a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 12a-2 R= AR> sq. ft. b. Adjacent: 1. Masonry (Insulation R-value) 12b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 12b-2 R= l I �sq. ft. 13. Ceiling type, area and insulation: a. Under attic (Insulation R-value) 13a. R= .3 CJ sq. ft. b. Single assembly (Insulation R-value) 13b. R= sq. ft. 14.Air Distribution System: Duct insulation, location 14. R= (,&,, _ 4-r`TI6- 15. Cooling system 15a. Type: C bff 96L-5PL I'r (Types:central,room unit,package terminal A.C.,none) 15b. SEER/EER: to, 15c. Capacity: " io 16. Heating system: 16a. Type: N (Types:heat pump,elec.strip,net.gas,L.P.gas,room or PTHC,none) 16b. HSPF/COP/AFUE: 16c. Capacity: .4 17.i Hot water system: 17a. Type: KQK 1 (Types:elec.,nat.gas, L.P.gas,solar,heat rec.,ded.heat pump,other,n)ne) 117b. EF: I h@reby certify th4tnnd spe icatiov �by the calculation are in compliance with the Review of plans and specifications covered by this calculation indicates compliance with Florida Energy Cothe Florida Energy Code. Before constr i is completed is build' w' be inspected � for compliance in accordance with seal n 5 .908,F.S. 5(PREPARED BY: TE:I hereby certify thais inc m ce with th lorida nergy Code. �� BUILDING OFFICIAL: ` OWNER AGENT: DATE: DATE: -1 - ILA. I067 LAWS Is 71a.1a 11AMCo Pon&#Ape 41, afi�ifvi��/C�%UL�Q/ �I� L3•..��/� re Of Saar �xt�r.��rt,�xtt 4POUPARK IN DU♦LI P AT[) �II fU�Dlti it �t�Ytt. I' � Book 8591 pg lggg The undersigned hereby informs all concerned thanIt improvements adto certain real property, and in accordance with section 713.13 of th t Florida Statutes,willbe foll wi g information is stated in this NOTICE OF COMMENCEMENT. or Description of property............... � —A:0 ... 1 ti . ......( f..... ....................... ................................r...... .. ` .r.».. }�. ..C. .. .�.. .�(..-A............ .. ........... ..............................................»...... .............................. ..........................................1.. .3...... ... a-lz......1�.. ...... s.: l....................e::............. � z� , ,.v .............�:�.............»............»........................................... ...................>�.. General description tion p of improvements mP nt h 16. ........Fccc- kxe. ...................................................... ....... .... ..... .. ........................................................................................°............................................ ...................................... Owner.................. O-C—& ,� w ............................................................ 1 Address..................1�...f�.....:� l -� .. mv Owners interest in site of the improvement.......... ` ....................... Fee Simple Title holder (if other than owner) ............................................................... •.•••••.'.,•••.•»...•.•.••••.•••,••,..•..••....•.,' Name....................:......! .1.............. Address.............. .................. ......................................................................... ............................................................................................... Contractor............... �} ,:�4:.�� ..................................... ...................................»»............................................»........... Address....................16:.��.3........ P�i. ...��..1-�.f:.....h�-.1...�.......... .........................................»................»»».. ..»».......... Surety (if any)............................................................................................................. ........................................»..».............. ..........................» Address Nam* of person within bond _.. ...... ............... the State of Florida d•siynated by owner pon whom notices or other b• served: dowments may V Name............... ..... t..`- °�. ? ....................... Address............� j........... ....0 ..... ...................»».........».......»......................... :.................... ........................................»................................................ In addition to himself, owner designates the following person t o receive a copy of the Lie as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in!at Owner's option). Hors Notice Name......................... Address.............................................. .. ....».».................................. THIS SPACE ran 1tECO1tDEtt'4 USE ONLY................................_.. .. ,...... .. ................ .........................I.................... .........4..... `•.. ...............' xwn= ''id vaa �'�P ti RDYJAK ncm►*+ o,o MMISSION #CC 572052 ' as�xoo1,"*= " � EXPIRES JUL 25. 2000 r' -c�•tl•ti ?� ubsghb�gfMs r,0scwl�.n�� Sworn to an a` .w►. VM+tQtA tllG..:........................ ofigoy��o+�° ........ . da wo e.... t'r� .................................19..T,� -no ;t NO Notary Pu ' I APR-17-9.r THU 1'� RECEIVED APR L 4 1997 City of Atlantic Beach Building and Zoning AF�C"k13"l�t?t""'�/FiMGINIvE!2S C 1'i7.T'1�'I�'1�7"TC�1 COASTAL CONSTRrIC'T ION COrM FOR A L KAJUR STRUCTURES TO BE LOCATPI3 w r it I N CITY OF ATLANTIC BEA", FLORIDA /. _ APPLICANT ` S rIAMEa��_.J�._.._L�. ..Pr �� FH �NE PM X37 6S7k�i',a:i: A,. Z?--l7 r ._ TAX ra�� . .�wN>r� rrAM� ; M� , R . TYPE OF Home f �R -.i not a.a 1 Add?. tar"�n � ;C;arage ( ) Pool ) Jr�w ,;clmm+ re ral ( omrnfrr xal Addition ( ;ntller _ I 9.11. STFT AI)PF1zS ; � 4 �% C?.. �. P.F. { ) We claim the st ru'"tui r- t.o b<' czee lit a and t.wo taiiii1y c,n1y _. ( ) Pjoet , Dock , etc . ( , Other (8 p c c i f y .).....,...............__..�.....-..r.......... ISI.....,. .-.. I also certify that nc> �:.'��erted toa non exenifet. �a�.e witt txo Irt �ci rlq ;p�_�1 aeif:,] t ", f ul i y CGTT1F11y with the nld11";MCE'_ . - S I geed : vat --- -- ---- -- -- CERTIFICAT1 N l h-, s certifies that tine plans anti ^ ' er, i t i rr�ti gin:; 1':rn�t tnd and sE?aled tho undnri.;lefn'*iJ mef+t all cril,fe i- ia not f rlh l',y the+ C: t } i AtIant: iC' Bear-1'1 a Cunstruc.'tl 'n ".;C)dt' Foot ,97,-rript f rox, the J10 mt:'h requl l eil:ieiJs i if t11e coast-1 ,1 ! f7olls t r u':t 1 5;1 .': .le , but meat all t_}lra etherreCity cf At larlt icy �_�ach Builciili:,; C:,cic . I The strilcturp inc;;°luding ibundatllion , tr.nme , roof decking , ext.c—rjor walls and floors has bee ciesianed for wind lc>ads of 110 mph with all desjyji complyino with tllf- 19 chapti—r Stiulciald B1.1 ] (14119 Code. --- .. _ - _ -_ _.._____ ._____ ._. . �i /windows , doors and all other eFtei:-ior devices: r1-Amply with the 110 mph wind load . ! Ll Th . structure i .7 1 �r_atnd outstde!l the .area affec-ted by wave force- , OF ( ) The st. ru--ture is caq� blv of wit hst1,1n,3zn(g wav+, forces result'Ing from a wave crest height of__ �-fpi�et M1P1, inclu�iirlq uplift farces . _ - -- ----------_ __ --_---_-.- The structure is loc-atpd in FIAT Zone -A and tlt foundation design has con�; i.dt'Led possihl '� o4nsure to and erosion , OR ,ice The star uc�t.ure is 14)cat.ed in F'IA Zol'ie X and the f ounda,ti.on wi l 1 not be exposed to hydi,edynamic , hydrostatic loads or water scour , OR - # Foundation design has been co mt+ e0i'd with f l oor elevation above tho -pecifipi Stillwater pl vatlnn , and to resist wave , hydr ociynamic , hydr. c.;.;tat i.c and wiir�'' 1 pads act i lay simul taneousl y with dead loads . Fi onion computations for the foundation design have t akrn account t:hje pr ;;jcrte,J erosion l ossot, from a 1()0 year storm #-went ar.l(l ;ill v,, rtical �r.d late> al elc�sioil ili"..-Iudinq caused ley structural component. s . No excavation of dur)(as is include in this pro -«-ct OR Duna exc,avat. i c n pr rmit is attache i . ----- -- - - - - - - -" "p - ------- - - Ce ---- - - ertif >_ed this2-'!:) djay c,f.. . . f2-1L, rida Architect ' s 1,i ;:.e°nue No . Professional Engineer s Q ,__ I' Vote M 6 rz.ICs. ; t cK e'r .. @ �� C tom► �LT/► c alt, FL . F1C,*t . 1607 ,OA5� Dtit W/x/D ��- a�/2 5r a }ms's A4p Aj OZU JRA?OL 5 let t7 1�� � 3 A LtcAv ers>✓ A wl rlt lnrI.NA L• SE-c%aAl , w/4 p � 4mFPU Pi 4Q-LA M �v Mw I. o I i x Z+ 7 - 27. ►? P-S � L 1-7 L - E0 ME RECEIVE® . ... .. .. ....... . .. . APR 2 4 1991p,pRpv o 1. p110T►C 'BEACH_ City of Atlantic Beach L,OING ° �cE F -- -Building and Zoning _. 4 1997 ar° 3 Alm _.__._:.. - _ __ _ X7.1 b zo ti!E _ G-� = _ /•5 k4(.A) • s x y8Y, (-2'7-17,) ,,.., 3 X 73z5 �� i i i 37X .B-3 ... 41-30 41,32 V_ dab- X 2 1.17 -11 17. � g 213 zacq� � 3-38 LO Z�� .8'X /I. ot 33 GhNC.•I.,�a-�� . Z487 966 . Y g�6, � 26Z4 2- 2 x 2 5 I j ca 14 Pq z3 Z. Z ' zZ54.7 X o.5 4' 41,32 oX33 ,�x zd,6-] -1- zc;2' 2E5fl xo X to-_33)x I. 743 Coll n 1,77 c.1 8z � 392 .33 - 31zo > 2 1 KA i i �. - zm D3_ ' NA A7 777-1-- ZZll x Z 3 � - - U5 L KA _ 501-9�x_ �1� 267 Lisp- 2 2 tic +t5_ �C�' 6A- _ / 1 I'. .. fir. �I 4,-7730%- _ .O 2-S r 43"`� F qaIr-ter, �? U x `ilz x{-so is 321 jp/-,+� � KA r,::Am FAclA f� -a • 2 "� �23� IZ 3 tz,37r k-A6' 11.37 A ,za-1 + 1Z (-4FAc - 3 _ FN- FAe— FAAs _ _ Z60 Cc-�) F-c-b =o . _ PS►c S�" ,� 'o �9 _ 2�X 12..3� ,+ 1 1sc. -c' Fib z� � . 2(w X 2. 37 f J•79 _.__. 4i* fiw = 7 55,i3 ' G3 06 _ -_ 60cj2 LT) __. x8 8� Fe-,-182 psi jbz71 25.375 = 4 a r] F5,� 4.0,47 A&z � p ,22 2 i 3 3147. 4- C�1 '� t2 3� _ 11.79 X 6347 117 s _ .._ �f3c _ 3l�{-8 ►� - . IV-79 ___TJ_ _ 144•I'8 _2 Af X-6 - 4b 2 _ 1'-', Fc- � ,Q p to f 4.70 8 _ t -771 2 6� F F--� 47cP7 > 225z P �at ltanx1412 � c Ivy M I czo—Loo�-o L.y L. ��� ►,�/ S ,cz 4,-7 � ,C �7.33f a, (zs ��-�- Z. 2.3 3.�►1k AMAY 26171� 2-33 - 4 X41 )e2, 33 41,z Tr S/-7l 14 .1 q 27 _ — 13/.+ K-T /I f M cieo--LSM LY L i ~� 3 NaO 0 q° � u 7.-�. w A,L,L w. 0000, VtJ• �`(�N I7- . MAP SHOWING SURVEY OF F*BEARI BLOCK 51', SELVA MARINA UNIT NO. 61 AS .DECOR ED IN PLAT BOOK 34, PAGES 51, 51A AND THE CUR ENT PUBLIC RECORDS OF DUVAL COUNTY FLORIDA. ARE BASEL ON THE EASTERLY RIGHT-OF-WAY LINE TS DRIVE AS BEING N.06°16' 10"W. BY PLAT, -THIS ROPERTY LIES IN FLOOD 'LONE "X" BY FLOOD MAPS _ REVIS D 4/17/89, COMMUNITY PANEL NO. 1.20075 0001 D , i 4010 4w 90. e7o / FOIJIV t� �Z' /fyON ,4 tit 40 .. , ♦ l ,.``. 1, ♦. 2ln.8' 7W A"�} b tai I f" /V _)( it�A5aN/4)L_ pl 0 mESf L�ENCG. j� i (�,Vr 11 X o.2• �l � t �/� ;; (4, V1)) Y r , W c � list ,, t• {� c �© a V I O.t `� l.NdiNs iv.c r L✓LF y7 � l 0 FOUN` /V20N �,I,-o zwO A. "//ia1v ,vipg x•o.� !�� r�t'/4G'T' .�J" /3r'�tf+7'1 /'i�;E�Nol,r,v.� I HEF EBY CERTIFY TO: t7,ctL,E- 1 THATfH' S SURVEY MEETS THE MINIMUM TECHNICAL STANRDS AS SET FORTH BY THE FLORIDA BOARD OF PROFSIONAL SURVEYORS AND MAPPERS, PURSUANT TO SECTN 472.027 FLORIDA STATUTES AND CHAPTER 61Gi6 FLORIDA ADMINISTRATIVE CODE. � amo raN INC. LB 6645 PR FESSIONAL LAND SURVEYOR NO.1674 FLORIDA H. BRUCE BURDEN, SR. J105 SOUTH THIRD STREET DATE, 100101 JACKSONVILLE BEACH, FLORIDA 32250 (904) 249-726,,1 FAX (904) 241--1 252 SCALE:— -- a20 THI MAP OF SURVEY IS NOT VALID AND MAY BE USED FOR INFO MATIONAL PURPOSES ONLY UNLESS IT IS SIGNED AN HAS THE ORIGINAL RAISED SEAL OF`TME FLORIDA LICENSED eND SURVEYOR WHOSE NAME IS PRINTED HEREON. DEPARTMENT OF,St 11LD11NQ� i CITY OF ATLANTIC EAgll { INFORMATION --- ----- LOCATION INFORXAT�OI� OATS DRIVE Pix T e.' RL RO? ATL, ."T I O BEACH g FLORIDA 32233 f ra Y"+ty r+.�.r, otk: NEW, ensu.` Tye e: WO D FRAME LotB1cr �«' Section: c a de: S,INOLE F I ICY Township RPIG: + Sul chiin a . r .ue< 514 3 ,00 r rk r 1 22 . 50 i OATS DRIVE FIAT MPk T FEE t3 ,Ott CkT b FLORID I P REE ., �" � T RAI3G�l� a x"R.w .0 NPO TON RAD01*' CAB"." $fit.bC3 - - R e Y L Ti , 'INC APITAL ,IMPROVE K ILLE¢ It73L.I ' 3IR Ct Type* CROSS",CON,,ECT ION , IMPACT, FSE 0_ t a f" N$TtCCONCA TE FORMSANO]FOOTINGS ST Bt# lifti Eta SIr;1 OlM 10 PERMIT VOID SIX MONTHS A ER DATE OF ISSUE ?"Ih1G MATERIAL,IAL,,,RUBWSH AND DI:BR4S FROM THIS WORK UST NOT-BE PLACED IN PUBLIC SPACE,AND MUST BE E1,AED UP AN, 1AULED AWAY'BYE HEA CONTRACTOR OR WN R FAQ#!.tlRE TCS MPS V/#TH. THE MSC AVCS' L.lEN LA► f CAN RESULT IN P # RTY1AtNE" ;;PA►Y1NG TWICE tR BU#Ltd#NG #AhIC�VEMENTS." UEI~! ACCOR LNG TQ APPROVED PLANS WHICH ARE PART F THIS'PERMI AND SUBJEA'j TO REVOCATION FOR' - .< , AEON F<A PLIb L PROVISIONS SOF LAW. A �NTIG`BEACH"Pu ILDING;F EPARTMENT CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION owner(s) : l- Address: dPhone• Lot # , Block or Unit Subdivision: Contractor: Address: ! City, State and Zip Ily- ` lf4 ©1 1 Phone State License # G Describe work to be performed: I o �c Valuation of Proposed Construction: :�Y/i 11 Materials to be used:- 1 ® Signature of Owner; Signature of Contrac ` Liability Insurance Supplied Workers Compensation Insurance Suppled License Information