1751 Sea Oats Dr (vault) 638
DEPARTMENT OF W
F ATLANTIC EACH''
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I*ANTIC BEACH 8
CITY OF ATLANTIC BEACH
PERMIT APPLICATION1 ROOFING
Owner(s) : JC-krne-,S V�Qlcj
Address: 17 C, 0 1q, Phone:
Lot # Block or Unit # Subdivision IVA
Contractor: �erenz
Address: Phone: 7,7, 1 - 017V
State License No. 4tcoov<l-<"��y
Describe work to be done: LAC
Materials to be used:
Signature OWNER: Date: c.2,��O �V
Signature CONTRACTOR:
HULIHANTERRITORY, INC.
1177 ATLANTICBOULEVARD
1". 0. BOX 331268
ATLANTIC BEACH, FL 32233
Junc2. 2004
Ms. Jennipher SchILICICr
('ity ot'Atlantic Beach. Fl,
80() Seminole Road
Atlantic Beach. Fl, 32233
Dear Ms. Schluetcr:
On May 20, 2004, we applied for and received a permit to drill a well at 17-51 Sea Oats
Drl�c in Atlantic Beach I'M Mr. Jason (it-ass. \k'(,- did not ha\c to install a nc�� "cil and
VvOL]ld like to request that .ve receive a credit 1'()r this permit. Vncloscd is said permit.
YOUr help *11 t1j's matter will be greatly apprcciat d.
Thank yOU,
Pat I ILdilian I firsch1cr
Secretary-TreaSUrcr
Encl.
CITY OF ATLANTIC BEACH
800 SEMINOI�E ROAD
ATLANTIC BEACH,-�LORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00028328 Date 5/20/
Property Address . . . . . . 1751:! SEA OATS DR
Application description . . . WELLIPERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------
HULIHAN TERRITORY
GRASS, JASON P.O. BOX 331268
1751 SEA OATS DRIVE ATLANTIC BEACH FL 32233
ATLANTIC BEACH FL 32233 (904) 285-8505
i------](T'0�4---A---1-6�— ---------
----------- ----------------------------
Permit . . . . . . WELL PERMIT
Additional desc
. 00
Permit Fee . . . . 35 . 00 i Plan Check Fee 0
Issue Date . . . . Valuation . . . .
Fee summary Charged �aid Credited Due
; ------ ---------- ----------
------ --- ----- -----
Permit-Fee-Total 35 . 00 35 . 00 . 00 . 00
-----n 0
Plan Check Total . 00 . 00 . 00
Grand Total 35 . 00 35 . 0 . 00 . 00
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. "FAILUO TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMP�OVEMENTS"ISSUED ACCORDING To APPROVED PLANS
'I
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR IOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
800 SEMINO�E ROAD
ATLANTIC BEAM FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 04-�0028328 Date 5/20/04
Property Address . . . . . . 175 SEA OATS DR
Application description . . . WEL�' PERMIT
Property zoning . . . . . . . TO 4E UPDATED
Application valuation . . . . 0
Owner Contractor
-------- ----------------
---------------------- --
GRASS, JASON HULIHAN TERRITORY
P .O. BOX 331268
1751 SEA OATS DRIVE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 285-8505
---------------------------------------- ---------- --------------------------
Permit WELL PERMIT
Additional desc
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Valuation . . . . 0
Issue Date . . . .
Fee summary Charged �aid Credited Due
I
---------- ------- ---------- --- ------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST N�T BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILUR�TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMP�OVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR YIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
1U%
is
CITY OF ATLAN CBEACH
WELL PERMIT AP LICATION
Date: -3,C) -04
Job Address: '7 Z I
Owner of Property: V--
Owner's Telephone: B 4 - a S 02,
Contractor:
Contractor's Address:
Telephone: al�,VF)- gsc)s Fax: Q
Is well to be used for drinking purposes?
Any person, individual, corporation or other entity receiving a permit as provided in
Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted
well for drinking purposes, must first obtain a bacterio logical test report from the State of
Florida Health Department, fin-nishing a certified copy thereof to the building department
of the City of Atlantic Beach. A certificate of oc upancy will not be issued until said
report is on file with the building departm4
Department Notes:
I agree to=col wit gulations ate herein:i
91-g—dature Date
7 9.S
800 Seminole Road Atlantic B ach,Florida 32233-5445
Phone: (904)247-5800 e Fax: (904)247-584 http://www.cLatiantk-beach.fl.us
Revised 1/17/03
FOR OFY
19 'TDate.........
Fee$............. ......
I/
Permit
CITY OF ATLANTIC BEACH Valuation $
House
FLORIDA
............................................................................
APPLICATION FOR BUILDING PERMIT ...........................................................................
..........................................I................................
etailed statement of the plans and specifications herewith submitted for the
Application is hereby made for the approval Of the d ilding Ordinance of
building or other structure described. This application is made in co npliance and conformity with the Bu
the City of Atlantic Beach, Florida, and all provisions of the Laws of t le State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the ('ity of Atlantic Beach, shall be complied with, whether
herein specified or not. issued a Building Permit is automatically responsible to ascertain that all sub-
The Contractor or Owner-Builder who has been City of Atlanfie Beach,Florida. To prevent delay or embarrasment regard-
contractors engaged by him are duly licensed in the is office so that licen e
Ing intermediate or final inspections it is suggested that a list of sub-CDntractors be submitted to th 2 8 can
be verihed. Date........... .... ........ 19.7,Z
................ ............
t ---Telephone No.'5q.S...4-434
.............Address_3?1�0
Owner...
D�L.Telepbone No......................
Archited---�_ ...............Addresa.
Contractor .......Address.... ......................................................Telephone No...:���
. ........Zo ne.............
e41%
.....................Block No---------1.5...............Sub Divisi ....McOu� .......R.
LotNo.............. ............
...... ..... ..................
........Side Between.....llj�'
of construction'_-;5_-�---\J_2�..............
Valuation _For h t purpose will building be use
wn I
Dimensions of Building._3p__��_�4..............Dimensions of Lot...... ---Size of Footings_-<8-)d-&--------------
Size of Piers_0)�'C-rc ......Size of Sills_- ..............GTeatestSill Span in -----Type Roof..GA7w.-C................
IluIlding be on Solid or Filled Ground? .....................
.. ....................Will
How will Building be Heatld?-----V to
.................. Greatest Span........ ..5..........................
.......... Distance on Centers.......... _.............
Size of Ceiling Joists. of
Size of Floor Joists.qy..Q ............,Distance on Centers-.....---77:�..................... Greatest Span.............................
.3n_,49=. I #P
Size of Rafters...2)4 2- 4" Greatest Span---_------516--------------------------
..............Distance on Centers........ _-----------------------------#
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 ane specifications shall
be submitted with application.
Inspections required.
1. When steel is in plam and ready to pour footing. P9 r(J
Z 9
2. When steel is in place and ready to pour columns and/or lintel. A
S. When steel is in place and ready to pour beam.
4. When framing is completed. N
5. When rough plumbing is completed,and ready to cover up.
d
6. When septic tank drain field or sewer is laid but before it is cc re
to
7. Electrical inspection by City of Jacksonville.
S. Final Inspection.
Note: In case of any rejection,re-inspection MUST be called for.after
corrections are made. rf
FRONT OF LOT
In consideration of permit given for doing the work as describ in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, are a part hereof, and in accordance with the building
regulations of the City of Atlantic Beach.
JA "TJJCQ.:�,� .............................
Signature of BuiIder...7(,f-4,(_.C.,0-!S2.... ................
Signature of owner...... . ..........
CITY OF ATLANTIO BEACH
ING PEKMIT
APPLICATION FOR FLUMIKEG�EBNL'
PERMIT NO .—LL4— Date :
1,)6- 1
LOCATIO
LOT NO . 6 �BLOCK VTO .—
OWNER
MASTER PLUMBER Bldg.
BUILDER OR CONTRACTOR
TYPE OF BUILDING
URINALS OZ CLOSETS
_j�_LAVATORY BATH TUB"
FLOOR DRAINS_/ SHOWERS_"An'FR HEATERS__) DISH4ASHERS
DISPOSALS OTHER ) 04
TOTAL FIXTURES_YL- u f"i
NO NORK MUST BE DONEUNTII A PERMIT TqA-, BEEF ----TT- D
PLANS AND SPECIFICATIONS 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 acclordance with Ord-.Inance no. 188 of
the City cf Atlantic Beach, Flt)r a) must be shown on back of appli-
cation and be approved by the Pl;bing Inspector.
DRA'of PLAN AND SIECIFICITICN OF ABOVE PLUMBING ON B;XY.
A,pproved by Plumbing Inspector-
Date__
(FOR OFFICE USE ONLY)
ROUG-,H-IN INSEECTED___,L'�� —REVARKS
FINAL INSPECTION: CERTIFICATE ISSUED:_____.