1761 Sea Oats Dr (vault) 1
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, FL 32233- Tel: 247-5826 - Fax: 247-5877
-- _ PLUMBING PERMIT
PERMIT INFORMATION =Address:
ATION INFORMATION
Permit Number: 23890 1 SEA OATS DRIVEPermit Type: PLUMBINGANTIC BEACH, FL 32233
Class of Work: ALTERATION Range: Book:
Proposed Use: SINGLE FAMILY (_): Block: Section:
i Square Feet: Subdivision:
I Est. Value: Parcel Number:
Improv. Cost: -- -- --
Date Issued: 4/18/2002 — ------ OWNER INFORMATION
Name: ETTLINGER, ETTA AND TODD
Total Fees: 53.00 Address: 1761 SEA OATS DRIVE
Amount Paid: 53.00 ATLANTIC BEACH, FL 32233
Date Paid: 4/18/2002 Phone: (904)249-2065
Work Desc: REPIPE ----
CONTRACTOR S - APPLICATION FEES
WATER HEATERS PLUS
4
____63.00
.__.� -.r.'. ,� a�� s xx.�.��� y. � .-.tom'[-�r '���5. .. - -^-•.:*�:
3 1
NOTICE - IN ' '# Not r
_ fIPECTION
r _
s
BUILDING MATERIA�� max„""; }` .;': :;"
1 RIS t�1� IN PUBLIC
SPACE, AND MUST B rl _ S�.EfiTHE _
y 1 OR OWNER
"FAILURE TO COMPLY 4 -
-
PROPERTY OWNER PAYI IN THE
-
ISSUED ACCORDING TO APPROVED P Y
MIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISION
Oper: CNERYLE Type: OC Drawer: 1
Date: 4/18/82 81 Receipt no: 51492
14 PERMITS-BUILDING 1 $53.88
ATLANTIC BEACH BUILDING DEPT. 1761 SEA OATS
CK CHE S 1629 $53.88
Tr date: 4/1&7K iae: . 3,25
1
CITY OF ATLANTIC BEACH
APPLICCATIOi1N FOR (PPL�U14BX NG PERMIT 1
JOB LOCATION:
ck
OWNER OF PROPERTY: TELEPHONE N0.
PLUMBING CONTRACTOR W
CONTRACTOR' S ADDRESS: nuo
STATE - LICENSE NUMBER: TELEPHONE: �g
HOW MANY OF THE FOLLOWING FIXTURES
RE-PIPED OR NEW `
SINKS 1 SHOWERS
2 LAVATORY ' WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
/ SEWER WATER
RE-PIPE (LIST FIXTURES BEING REPIPED)
OTHER
TOTAL FIXTURES: , x $3. 50 + $15. 00
MINIMUM PERMIT FEE - $25 . 00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
-----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
Date: 03/14/02 Time: 10:48 AM To: Roto B 1-904-396-4311 Page: 001-002
AC_Q. CERTIFICATE OF LIABILITY INSURANCE 03/14/2002
PRODUCER (904)829-2201 FAX (904)829-2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Herbie Wiles Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
400 N. Ponce de Leon Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Drawer 3067
St. Augustine, FL 32085-3067 INSURERS AFFORDING COVERAGE
INSURED Roto Rooter of St Augustine Inc INSURER-k Safeco/Am States/InsurQuest
dba Water Heaters Plus Inc INSURER B. Associated Industries Insurance Conpany,
1960 US 1 South #8 INSURER C. Zurich/F&D
St Augustine, FL 32086 INSURER D*
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTANJ,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS.
NSRR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
DATE OON DATE CMWDD[YY) LIMITS
GENERAL LIABILITY DICE23211650 06/14/2001 06/14/2002 EACH OCCURRENCE S 500,006
X CCMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one f1m) S 200,000
CLAIMS MADEFX]OCCUR MED EXP(Any one perm) S 10,000
A PERSONAL s ADV INJURY S 500,000
TGENERAL AGGREGATE $ 1,000,000
GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO S 1,000,000
POLICY PERCO-- LCC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S
ANY AUTO (Ea aaident)
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS
BODILY INJURY S
NON-ONNED AUTOS (Per acddem)
PROPERTY DAMAGE S
(Per accidenl7
GARAGEUABILITY AUTO ONLY-EA ACCIDENT S
ANY AUTO EA ACC S
OTHER THAN
AUTO ONLY AGO S
EXCESS LIABILITY EACH OCCURRENCE S
OCCUR a CLAIMS MADE AGGREGATE S
S
DEDUCTIBLE $
RETENTION E g
WORKERS COMPENSATION AND 329029 02/28/2002 02/28/2003 1 TORYUMRS I IMERT
EIVMOYERS'LIABILITY
B EL EACH ACCIDENT $ 100000
E L DISEASE-EA EMPLOYE*$ 100000
EL DISEASE-POLICY LMT I S 500000
to a of Florida PM301140100 10/01/2001 10/01/2002 Steve Ettlinger
C ILicense III Permit Bond $3,000
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILIENOEAVOR TO MAIL
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE �y�,�
Julia Baker/MOB
ACORD 26-S(7187) FAX: 824-7234 CACORD CORPORATION 1988
04/18/2002 12:06 9048247234 ROTO ROOTER PAGE 03
2001-2002 OCCUPATIONAL LICENSE TAX ;
LYNWOOD ROBERTS
OFFICE OF THE TAX COLLECTOR t. : .
CITY OF JACKSONVILLE and/or COUNTY OF DUVAL, FLORIDA
ti
791 EAST FORSYTH STREET ROOM 130, JACKSONVILUa Fl. 32202 PHONE: (904)030.2000 PAX: 19041630-1432
Note A penalty Is Imposed for failure to keep thisconspicuously at Your setsbllehment or place of business. ,;pr�t{;�t.•.
This license iifurnished In pW6tfMN6 pf"!plleptal 770.772 City ordinance codes.
..... .. ::tri
ETTLINGER, STEVEN 10• ;, •"l'
MATER HEATERS PLUS INC
PN8 8 SYCZ:r
111180 us t S �'`•;'
ST AUGUSTINE, FL 32080 msµ,
..:.,. .. ::ni, .� �.'.,:. .,, ,.� i.` •iil°A e'iY9,is.', , .;etrp�!6�r.
ACCOUNT NUMBE1 1796OP-00"'1 ,
LOCATION ADDRESS: "
i
DESCRIPTION: QUALIFYING AGENT. CONTRACTORS....'"'' r�z
County License Code: 770.000-005 County Tax: N/A
Municipal License Code: 172.325 Municipal Tax: $100.00 �'•>
Total Tax Paid: $100.00
n
VALID FROM OCTOBER 1 . 2001 TO SEPTEMBER 30. 2002
'r
RCPT# : 001/23/9311/0102/02152002 DATE: 2/14/2002 AMT: $100.00
ATTENTION '
'The Following Construction Contractors Require Additional Licensure"' c
ALARM POOL ALUMINUM/VINYL
RESIDENTIAL BUILDING ROOFING
ELECTRICAL SHEET METAL SOLAR
MECHANICAL PLUMBING IRRIGATIONfi .
GENERAL CARPENTRY WATER TREATMENT"
UNDERGROUND UTILITY HEATING AIR CONDITIONING'.t';. I
REFRIGERATION r
This is en oocupetlonet license tax only. It does not permit the licensee to violate any existing regulatory or zoning laws of the County or City.`.,'
Nor 00ee It exempt the licenses from any other license or permit requited by law, This Is not a certification of the licensee's qualification. ..
•E 9l
TAX COLLECTOR > �
THIS BECOMES A RECEIPT AFTER VALIDATIONe
04/18/2002 12:06 9048247234 ROTO ROOTER PAGE 02
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04/18/2002 12:06 9048247234 ROTO ROOTER PAGE 01
WATER HEATS
1960 US 1 South, PMB 8
St.Augustine,FL 32086
DATE: -4
TO:
NAME. (21
-V
FAX: Z U-7^ �
SUBJECT:
FROM: jTd-►�
NAME: �1
o� if V. Ivey 6&L4
PHONE: gZU~ l8
FAX: 82 2,'-)�
COMMENTS:
PLEASE CALL NUMUR BELAY IF FAX TKAN5M155ION 15 INGOMPLFIE.
Phone (904) 824-1918 -Fax(904)824-7234-Steven Ehlinger,Owner, CF-CA57849
�� CITY� � �` 8113- 1610 6
f4&4a4c Bew.4-AMtscl�
Office of Building Official
REQUEST FOR INSPECTION
Date — I 6Z Permit No. :�z —J),d i
Time A.M.
Received P.M.
Job Ad ss Locality
Owner's
Name Contractor P—Lvo
BUILDING CONCRETe ELECTRICALLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring Rou El Air Cond. & ElRe Roofing ❑ Slab 11Temp Pole ❑ op Out ❑ Heating
Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑
Pre Fab
READY FOR INSPECTION
M
Mon. Tues. f Wed. Thurs. CF:ri:day�--'A:
Inspection Made
` \ A.M.p
Inspector �� Final Inspection
NJ ancy ❑
Date
� , CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
J
r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001139 Date 8/07/09
Property Address . . . . . . 1761 SEA OATS DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
miscl
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ETTLINGER UNITED ELECTRIC COMPANY OF
1761 SEA OATS DRIVE JACKSONVILLE
ATLANTIC BEACH FL 32233 5716 ST. AUGUSTINE ROAD
JACKSONVILLE FL 32207
(904) 731-4210
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/03/10
----------------------------------------------------------------------------
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
.�` �' CITY OF ATLANTIC BEACH
s' ELECTRICAL PERMIT APPLICATION
�r
Date:
Property Address: 1 to Je,o. O 0 TS �r
Owner: Et+ } n -er Telephone #:
Contractor: W" �J C I t 1_4r-` C 0 t TGA Telephone #: 7 3`_ Z 1°
Contractor Address: ,J C-�) 6 S� f��C�✓S ^� �� 3 Fax#:
In consideration of permit given for doing the work as described 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 City of Atlantic Beach
ordinance and standards of good practice listed therein. If
Building: Building Type: ❑ Trailer Service: being done on this building
other construction is
❑ ' New Residence ❑ Temp. C3 New b
X Old ❑ Commercial ElSi ns ❑ Increase Or site,dist the building
g Permqit lumber:
El Re-wire o Addition Sq. Ft. Repair Q — (0 5
Conductor Size: AMPS: COPPER ALUMINUM
Switch or RACE
Breaker AMPS PH W VOLT WAY
Existing Service RACE
Size AMPS PH W VOLT WAY
Feeders: NO. SIZE NO SIZE NO SIZE
Lighting Outlets
CONCEALED 16 OPEN
Receptacles CONCEALED 9 OPEN
Switches
Incandescent
Fluorescent &
M.V.
Fixed 0.100 AMPS OVER BELL
Appliances TRANSFER.
Air H.P.RATING H.P. RATING CEILING KW-HEAT
Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT
Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS
UNDER600V OVER600V
Transformers NO. KVA NO. KVA
No.Neon_Transf.
Ea. Sign (' h n
Miscellaneous d J r�' ' DLV (-G^ e �dc^rC
800 Seminole Road . Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 . Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl:us
\s j' \411 -✓J�
,� Vis, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
INSPECTION PHONE LINE 247-5826
DIM
Application Number . . . . . 09-00001142 Date 8/10/09
Property Address . . . . . . 1761 SEA OATS DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 11800
----------------------------------------------------------------------------
Application desc
reroof
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WELLS BURGER ROOFING CO.
1761 SEA OATS DRIVE 134-1 ERNEST STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204
(904) 355-2756
----------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 89 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 11800
Expiration Date . . 2/06/10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 89 . 00 89 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 89 . 00 89 . 00 . 00 . 00
O�
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
rI CITY OF ATLANTIC BEACH
-
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08v
OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
-0, BUILDING PERMIT APPLICATION DUVAL COUNTY
.JOB ADDRESS: 2 VA/LUATIO OFF1WORK 3.SO FT.UNDER ROOF
1761 SEA OATS DRIVE Atlantic Beach FL 32233 !/
4.LEGAL DESCRIPTION: 5.CLA S OF WORK: 6.USE OF STRUCTURE:
❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL
LOT 7 BLOCK SUB DIVISION 03134 SELVA MARINA UNIT 08 ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER:
❑REPAIR ❑POOL/SPA ❑YES ❑N/A
Remove and replace shingle roof ❑MOVE ❑OTHER ❑NO
PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER:
9.NAME. 15.COMPANY NAME. 23.COMPANY NAME
TODD WELLS BURGER ROOFING CO
16.NAME: 24.LICENSEE NAME:
GARY BURGER
10.ADDRESS. STATE OF FLORIDA LICENSE NO. CCC032514 25.STATE OF FLORIDA LICENSE NO..
1761 SEA OATS DR 18 ADDRESS: 26.ADDRESS:
ATLANTIA BEACH, FL 32233 134-1 ERNEST ST
JACKSONVILLE,FL 32204
11.OFFICE PHONE: 12.FAX NO.. 19.OFFICE PHONE: 20,FAX NO.: 27.OFFICE PHONE: 28.FAX N0.'.
904-355-2756 904-358-0733
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE.
904-237-9664
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
BURGERROOFING@BELLSOUTH.NET
FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER:
(IF OTHER THAN OWNER)
31.NAME. 33.NAME. 35.NAME:
32.ADDRESS. 34.ADDRESS: 36.ADDRESS.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Wells,Furnaces,Boilers, Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
*** WARNING TO OWNER: ***
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT CONTRACTOR
(If Agent,Power of Attorney or Agency Letter Required) (Qualifier Only)
7
Signed: Date: Signed: Date:
Before me this day of ,2007 in the county of Before m is r day of 2 in the county of
Duval,State of Florida,has personally appeared Duval,State of Florida,h�is persori ly ap"14ared
herin by himself/herself and affirms that all statements and declarations are heti by himself/herseland affirms h t all statements and declarations are
true and accurate. true Md accurate. --- r
Notary Public at Large,State of County of Notary Publi)nti
e,State o Courlty� ( ��t
❑Personally Known Personallr
❑Produced Identification- ❑ProducedNotary Signature: Notary Sign
1P
- ' * Ft MEIRE"
MY COMMISSION#DD 900284
EXPIRES:July 14,2013
--'"0'o'e1 Bonded Thru Budo MofarY Services
COAB FORM BLDG01:REVISED:7129/2009
• �� J��' CITY OF ATLANTIC BEACH
i� 800 SEMINOLE ROAD
J r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
r
09-00000965 Date 7/07/09
Application Number . 1761 SEA OATS DR
Property Address . . • •
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 88155
--------------
-- ----------------------------------------
------------------------
Application desc
KITCHEN REMODEL
----------------------------------------
-- -----------------------
Contractor
Owner ------------------------
----- ------------------ OWNER
ETTLINGER
1761 SEA OATS DRIVE
ATLANTIC BEACHFL 32233
--------------------- Structure Information 000 000 --------------------
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
-----
Flood-Zone-------------------ZONE-----------------------
---------------
Permit . . . . . . BUILDING PERMIT
Additional desc • ' 416 . 00 Plan Check Fee 208 . 00
Permit Fee . • • • Valuation . . . . 88155
Issue Date • • ' ' 1/03/10
Expiration Date .
-------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
* SEPARATE ELECTRICAL AND ROOFING PERMITS WILL-BE-REQUIRED_-----------
---------------------------------------Paid------Credited
Due
Fee summary Charged
Permit Fee Total 416 . 00 . 00
20800 00 . 00
Plan Check Total 208 . 00 208 . 00 . 00
Grand Total 624 . 00 624 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
V- Building Department (To be assigned by the Building Department.)
s� 800 Seminole Road
Atlantic Beach, Florida 32233-5445
�J Phone (904) 247-5826 • Fax (904)247-5845 -11z O
E-mail: building-dept@coab.us Date routed:
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /76 6'a s gDr D p ent review required Yes No
�1 Buildi
Applicant: � ���u� ��ue4 rn Planning & Zoning
-I Tree Administrator
Project: /r(ih �/1� 6C Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B
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: Approved. [-]Denied.//
(Circle one.) Comments: 6 &L W-11/ ✓Ppl i.. e- Va/V Cl 14�-
CA �r m',�' - ✓ -/ 1�-Q �e—ton
BUILDING
PLANNING'&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑De ied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
CITY OF ATLANTIC BEACH 09_ I I I I I
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826 a FAX NO.:(904)247-5845
BU ILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
1 JOB ADDRESS 2.VALUATION OF WORK 3.SO FT UNDER ROOF
1761
4.LEGAL DESCRIPTION:
5 CLASS WORK: 6.USE OF STRUCTURE.
❑NEW BUILDING ❑DEMOLITION TR RESIDENTIAL
LOT-7—BLOCK 15 SUB DIVISION -e C'll ° L/ ❑ADDITION ❑CONVERTING USE El COMMERCIAL
Cff ALTERATION ❑ACCESSORY BLDG 8 FIRE SPRINKLER.
7.DESCRIPTION OF WORK.
❑REPAIR ❑POOL/SPA ❑YES Q N/A
("„1„ �P ElMOVE ❑OTHER El NO
,L�y PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER:
15.COMPANY NAME. 23.COMPANY NAME. r
9.NAME: /✓�i rra�v &r /
16.NAME: 24.LICENSEE NAME:
10.ADDRESS: 1 .STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
i 7G I ��� oArs,D/ vc" G- 3� 7LC
18.ADDRESS: ,D Soy 37/ 26.ADDRE
2 `Ys—"Ow/
.7 0o era z E'b 1
11,OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 12C.,FAX NO y_ 27.OFFICE HONE: 28.FAX NO.:
13.CELL PHONE: CEL PHHON y 29.CELL PHONE
14.EMAIL ADDRESS: 22,EMAIL ADDRESS: 30.EMAIL ADDRESS:
FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER:
31.NAME:
(IF OTHER THAN OWNER)
33.NAME: 35.NAME:
32.ADDRESS:
34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER: ***
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER!(If AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMME CEMENT.
OWNER or AGENT CONTRACTOR
of Attorney or Agency Letter Required) ( lifie ly)
Signed
Date: 1�nl
Signed: Date: 2 U�
Before me4FI§
day of
2009 in the Before 4thisday of 2009 in the county of
Duval,Stathas perso ally appeared Duval,State of Florida,has personally ap ear
by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations arL
t a and accurate. w true and accurate.
Public at Large,State of�Q ,County of WC Notary Public at Lar e, of�L County of
�I sonally Known ❑Personall own
uced Identification [IProdu d tificati -
Not Signature: Nota Sig
;rmm
Nota ;Public- e of Florida E COMP = EMy Co fission Expires Feb 14,2010
'' My c MNTIC BEACH `-'F Commission#DD 518533
leoC0 P$ MITS FOR ADDITIONAL Bonded By National Notary Assn.
B cati Bldg:REVISKE014MCMENTS AND CONDITIONS.
REVIEWED BY: DATE:
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GENERAL NOTES AND SPECIFICATIONS
REMOVE ALL PARTITIONS AS INDICATED AND PROVIDE NEW
FRAMING AS NOTED. REMOVE REAR ENCLOSED PORCH ENTIRELY,
INCLUDING THE LOW BRICK WALL. PORCH TILED SLAB WILL
REMAIN.
REMOVE EXISTING CEILING FINISHES AND PATTERNS IN AREA OF
WORK. INSTALL NEW KNOCK DOWN FINISH THROUGHOUT.
PROVIDE GYPSUM WALLBOARD PATCHING WHERE REQUIRED BY
DEMOLITION. THIS WORK INCLUDES OFFICE CEILING.
PROVIDE NEW STUD PARTITIONS WITH GYPSUM WALLBOARD AND
WOOD BASE. PAINT ALL NEW AND EXISTING WALLS AND BASE IN
AREA OF WORK WITH A PRIME COAT AND FINISH COAT AS
RECOMMENDED BY MANUFACTURER.
PROVIDE NEW 6 INCH WOOD BASE IN ENTIRE AREA OF WORK.
PROVIDE A NEW PANEL DOOR INTO OFFICE, BIFOLD PANEL DOOR
AT PANTRY, AND PANEL DOOR INTO GARAGE (TO REPLACE
EXISTING). ALL NEW DOORS TO HAVE NEW CASING.
INSTALL 3 NEW WINDOWS AS INDICATED. WINDOW UNITS ARE
INSULATED AND MUST MEET ALL GOVERNING CODES AND
ORDANINCES. PROVIDE 2 - 2X8 BEAMS WITH CONNECTORS OVER
THE TWO WINDOWS IN THE DINING AREA. MATCH EXISTING AS
CLOSELY AS POSSIBLE.
El
REMOVE ALL EXISTING KITCHEN CABINETWORK AND REPLACE
WITH NEW AS INDICATED. COUNTER TOPS AND KITCHEN
WINDOW SHELF WILL BE GRANITE. EXISTING REFRIGERATOR,
DISH WASHER, RANGE AND RANGE HOOD WILL REMAIN AND BE
RELOCATED AS INDICATED. PROVIDE NEW CABINETWORK AND
MILLWORK AS INDICATED IN GREAT ROOM.
PROVIDE ELECTRICAL SERVICE TO RELOCATED KITCHEN
EQUIPMENT. PROVIDE NEW 8 INCH RECESSED CEILING CAN
LIGHTS ON DIMMERS, ELECTRICAL OUTLETS AND FLUORESCENT
FIXTURES IN NEW AREAS AS INDICATED. FIXTURE IN OFFICE IS A
FOUR LIGHT SURFACE MOUNTED FLUORESCENT WITH LENS.
SKYLIGHT SHALL BE EQUAL TO WASCO PRODUCTS INSULATED
CLEAR RIDGE SKYLIGHT TO FIT OPENING. PITCH OF SKYLIGHT TO
MATCH ROOF PITCH.
EXISTING WOOD FLOORING AND TILE FLOORING TO REMAIN.
PROVIDE NEW WOOD FLOORING OR TILE (TO MATCH EXISTING) IN
LOCATIONS WHERE PARTITIONS HAVE BEEN REMOVED. TRIM
EXISTING FLOORING AT THESE LOCATIONS TO CREATE STRAIGHT
EDGES TO RECEIVE NEW MATERIAL. REMOVE EXISTING FLOORING
4 IN KITCHEN AND REPLACE WITH NEW HARD TILE. OFFICE
FLOORING TO REMAIN. PATCH AREA WHERE PARTITIONS WERE
REMOVED WITH NEW TO MATCH EXISTING.
FIRPLACE BOX IS A FLUELESS PROPANE GAS FLAT BLACK UNIT
WITH A 42 INCH OPENING AND OVERALL WIDTH OF
APPROXIMATELY 48 INCHES. FABRICATE A S.S. CHANNEL AS A
ONE PIECE TRIM AS A FIREPLACE SURROUND. FRAME FOR A
FIREPLACE HEARTH AS SHOWN. HEARTH TO BE GRANITE TILE.
COORDINATE WORK WITH THE PROPANE PROVIDER RESPONSIBLE
FOR GAS SERVICE.
THE FOLLOWING ALLOWANCES ARE INCLUDED IN THE BASE BID:
CABINETWORK - $9000; HARD TILE - $3.00/SF; GRANITE TOPS -
$3500; GRANITE TILE - $3.50/SF; NEW OVEN AND MICROWAVE
OVEN - $1250; CONTINGENCY - 3%. LABOR FOR TILE
INSTALLATION AND OVENS ARE IN BASE BID. LABOR FOR
CABINETWORK AND TOPS ARE IN THE ALLOWANCE. OVERHEAD
AND PROFIT ARE IN TH BASE BID.
CONTRACTOR SHALL HAVE WORKER'S COMPENSATION AND
EMPLOYER'S LIABILILTY INSURANCE, COMPREHENSIVE GENERAL
LIABILITY INSURANCE AND PROPERTY DAMAGE INSURANCE FOR
THE DURATION OF THIS CONTRACT.
ALL WORK SHALL BE PERFORMED IN STRICT ACCORDANCE WITH
MANUFACTURER'S RECOMMENDATIONS. CONTRACTOR OR HIS
REPRESENTATIVE SHALL BE ON SITE AT ALL TIMES WHEN WORK IS
BEING PERFORMED. COORDINATE DUMPSTER LOCATION, WORK
SCHEDULE, PARKING LOCATIONS AND TIME OF DAY WHEN WORK
WILL BEGIN AND END FOR OWNER'S APPROVAL.
ADDITIVE ALTERNATE #1: REMOVE ENTIRE EXISTING ROOFING
SYSTEM TO DECK AND RENAIL DECKING. INSTALL NEW
FIBERGLASS ARCHITECTURAL 30 YEAR SHINGLES OVER 1 LAYER OF
30# UNDERLAYMENT. PROVIDE .032 PAINTED ALUMINUM EAVE
DRIP AND FLASHING. PROVIDE NEW LEAD PLUMBING FLASHING
AT ALL PLUMGING VENT PIPES. INSTALL BARGE FLASHING
WHEREVER THE FASCIA BOARD JOINS THE ROOF. REPLACE ALL
ROTTEN OR DAMAGED WOOD AS REQUIRED. WOOD
REPLACEMENT PRICES: 1X2 - $1.00/FT; 1X LARGER THAN 2
INCHES - $3.00/FT; 2X - $4.00/FT; PLYWOOD - $65.00/SHEET.
SEALED BIDS SHALL BE SUBMITTED NO LATER THAT 2:OOPM,
THURSDAY, JUNE 25, 2009.
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001200 Date 8/20/09
Property Address . . . . . . 1761 SEA OATS DR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 FIXTURE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ETTLINGER STEVEN ETTLINGER INC
1761 SEA OATS DRIVE DBA ROTO ROOTER
ATLANTIC BEACH FL 32233 1960 US 1 SOUTH #8
ST AUGUSTINE FL 32086
(904) 824-1836
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/16/10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00 42 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Aug 20 0Eo 12:28p JENNIFER 904-824-7234 p.2
CITY OF ATLANTIC BEACH 09�
?00 SEM NOLE P.OAD.?TLANTIC BEACH,FL 37233
p OFFICE-(�-'04)2475826 a FAX NO.:C9&4)247-5°45
BUILDINGEPTOCOA8.1LIS DUVAL COUNTY
PLUMBING PERMIT APPLICATION S,DATE:
2.IS THIS A SUB PERMff:
1.JOB ADDRESS: /� `/
I SEA AC -D{�`�yf C3 NO
QS PERMITR: 1ZI ✓�JQ O t�I��/O
PROPERTY OWNER: 3 PHONE:
5 AGDP.ESS IF DIFFERENT FROM JOB ADDRESS r� r
4.NAME: Sw f— A-5 ii`i ,v5 [�
PLUNGIN9`0 0111l'I Ful!"CTOR: s r�
yn 6.AADDRESS ,/ • cTl T�- 6
7NAMEc T O -+ANY: L�rvO j 1� -110C) Soft f+
�7 t C�i7rl"I 10 CELL PHDryE: f - �yf�X C _72—!5
9.STATfiOF.FL�IC UCENS�N 1f1 L•1l "r
GPG J OG(} ,4.
13-0 Fi%E�ONE�
12.EMAIL ADDRESS: O�-{) OG
ity
all
be
t tne
ions as
cert
Application is herebsmad to bconstruc on no this do tlurisdiction This he work arid Ipermittt becomes mull land oidhftwork isknot NCOMMenoced within sex 46
standards of all lawregulating
months,or it Construction or work is suspended or abandoned for a period of six(6)month any time fter work is commenced.
CONTRACTORS SIGNATURE.
18.CURRENT CODE:
.6.IIATURE11 O,! K: 1 O't37 FLORIDA BUILDING CODE-
C NEW PLUMBING
O RE-PIPE ❑OTHER:
19.NUMBER OF FIXTURES:
BATH TUB SEWER CONNECTION
BIDET SHOWERS
DISH WASHER SHOWERS PANS
DISPOSAL SINK
DRINKING FOUNTAIN WATER CLOSET TANK
FLOOR DRAIN WATER CLOSET VALVE
HOSE BIB WASHING MACHINES
WATER CONNECTION
ICE MAKER
WATER HEATER
INTERCEPTOR
LAVATORY
URINALS
LAUNDRY TRAY OTHER(SPECIFY)'
ROOF DRAIN
20.PLUMBING PERMIT FEES;
PERMIT ISSUING FEE: $35.00 r O�
TOTAL FIXTURES: _�
X
$7.00 (PER FIXTURE) + $35.00 =
BLDG03 P=rr'l APP"Cahlon Plumb 053509
V CITY OF ATLANTIC BEACH
s f 800 SEMINOLE ROAD
r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001173 Date 8/18/09
Property Address . . . . . . 1761 SEA OATS DR
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DUCT WORK
----------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
WELLS AIR MAX HEATING & COOLING INC
1761 SEA OATS DRIVE 316 PARKRIDGE AVENUE
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065
(904) 276-4340
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/14/10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 55 . 00 55 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
o a9
CITY OF ATLANTIC BEACH
00
OLE
1�' 8OFFIICE (904)24705826 0 FAXINO.EACH,FL(904)247-58453 09—
BUILDING-DEPT@COAB-US
MECHANICAL PERMIT APPLICATION DUVAL COUNTY
1.JOS ADDRE7 1 2.IS THIS A SUB PERMIT: 3 DATE:
❑eYES NO PERMIT#
,PROnot I Y OWNER:
a NAME 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS 6 PHONE
Cisl'�-r_ 1
MECHA AL CONTRACTOR:
NAME OF COMPANY. 8.ADDRESS
i,(+!% C'0�kg�ZVuue_
9.STATE OF FLORIDA LICENSE 10 CELI,PtiOf Ong 11.FAX N0�
�V LTL.(`.V.S C07"7
12.Ejv1AIL ADDRESS:Q 13.OFFICE 14
AO
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6)
months,or if construction or work is suspended or abandoned for a period of six(6)months at any a after work is c menced.
ARI#
CONTRACTORS SIGNATURE:
15.CLASS OF.WORK: 16.BUILDINGS: 17. 1/ICE: 18.CURRENT DE:
❑ NEW INSTALLATION ❑ NEW ESIDENTIAL ❑ '07 FLORIDA ING CODE-
❑REPLACEMENT OF EXISTING SYSTEM efXISTING ❑COMMERCIAL MECHANICAL
ALTERATION/ADDITION TO EXIST SYSTEM
❑ REPAIR ❑OTHER
MECHANICAL EQUIPMENT TO BE INSTALLED:
19. HEAT: ❑ SPACE ❑ RECESSED ❑ CENTRAL ❑ FLOOR BURNERS'
20.AIR CONDITIONING: ❑ ROOM ❑ CENTRAL
21. DUCT SYSTEM: MATERIAL: E/GX THICKNESS: I MAX CAPACITY: (460 cfm
22. REFRIGERATION: MAX CAPACITY: cfm
23. COOLING TOWER: CAPACITY: Spm
24. FIRE SPRINKLER: NUMBER OF HEADS:
25. LIFT SYSTEM: ELEVATOR MANLIFT: ESCALATOR: AUTOLIFT:
26. COMMERCIAL HOOD NUMBER:
27. FIREPLACE: PREFABRICATED: MASONRY:
28. IRRIGATION: ❑ PUMP ❑ WELL ❑ PIPING
29. GAS PIPING: #OF OUTLETS. ❑GAS AHU: ❑ GAS WATER HEATER,
OTHER-SPECIFY: _ 3M Cann eX 1,"\�S r P&N
SOLAR HEATING, BOILERS,UNFIRED
PRESSURE VESSEL.HEAT EXCHANGER M e Sg-'
OR Co!i IN DUCTS ETC VALUE FOR OTHER.ITEMS:
31.COOLING EQUIPMENT:
AIR COND+TIONING REFRIGERATION EQUIPMENT CONDENSORS ETC:
IJUMBER APPROVING
OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY
32,HEATING EQUIP,-RENT:
NUMBER
FURNACES BOILE-m,S,FIRE PLACES.AIR HAND ER TC.
OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY
33.TANKS:
LIQUIDTYPE ii
NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENC`
BLDG04 Permit Applicaton Mech.REVISED-.12/18/2008
CITY OF 7So Sb
4&4#klC /ieacA-0;&u-c&
Office of Building Official
REQUEST FOR INSPECTION
Datey Permit o.
Time A.M.
Received �7 PM
Jo Address Locality
Owner's
Name _Contractor
BUILDING CONCRETE Q
LECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ oug ❑ Rough ❑ Air Cond.& ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑
READY FOR INSPECTION Pre Fab ^,l
Mon. Tues. Wed. Thurs. Friday
O, I� A.M.
P.M.
V
Inspection Made PM
Inspector P Final Inspection
Certi icate o Occupancy❑
"t Date
i
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tei: 247-5826- Fax:247-5877
ELECTRICAL PERMIT
PERMIT INFORMATIONCA' '# =1?N ?RMATttlAl .
i Permit Number: 23723 Address: 1761 SEA OATS DRIVE
Permit.Type: ELECTRICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: _ _ OWNER INFORMATION
Date Issued: 3/26/2002' Name: TODD WELLS
Total Fees: 25.00 Address: 1761 SEA OATS DRIVE
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 3/26/2002 Phone: (000)000-0000
Work Desc: REGROUND 200AMP SERVICE
CO1T ALICATIOI1:l` S . :
ENCOMPLASS ELECTRIC R w �4 25.00
s�''�,;'Tg,�i"�"`t°
-
-�
v
pyx f"' Von
�x
4k zA.
Waff
m4 g
NOTICE 1 IC ' TO PECTION
BUILDING MATERIA ty k� " � �
_._ _ LIC SPACE, AND
MUST BE CLEARED t ORS
"FAILURE TO COMPIN THE
PROPERTY OWNER PA d
y
ISSUED ACCORDING TO APPRO 4 $#: ND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PR
I
r Oper: DSMITH Type: OC Drawer: I
Date: 3/27/92 91 Receipt no: 45789
14 PERMITS-BUILDING 1 $25.99
ATLANTIC BEACH BUILDING-DEPT. Trans number: 800098
CK CHECKS 2963 $25.98
Trans date: 3/27/82 Time: 17:960'
•
C)TY Or- ATUN-TIO BEACH, FLORIDA
1-1C)PUC,1Y10M GOC2 r-LrCTItICAI. p111MIT
ATO YIIL Clt((1'IiLf.rT111CA41Nyprr,T011: DAYF::-
w
IW CiINSInrfIATIOPJ lel' PFIIAIIT CIVLN ror, UOINC TIIC WOfll( AS 017SCI1tnED IN TIIC.FOlLOW1NG, Wf
IIt•nti(IY 'I;:IILC IU 111:It!'pltf,t SND WOIII( IIJ ACCORDANCC WITH ME ATTACIICD PLANS AND SPECIFICATIONS,
Al'I. al Alla A I'AfIY (IIiAF.OF, ANj)([J ACCUItUnN(I.1vIT11 Tllf; I:Lr.(`TIIICAL REGULATIONS,CUbEG AND CITY OF
y Al LANT(C:II:A(:11 0111)INANCI`.S:
1._ ... _h!:l Yzi ri rLft ISN ,I�N9T�![lli
GVFuS _ %o�� /76 --JOUM t1�A11
Cr
. / � � t11:TWf:liN:
Il[S.1 K nPT. 1101113CILT IPJpUS.I 1 NEW( 1 OLD
t nr_W.1 1
tnu,Tu)a; 1 -rnA)l.rll t 1 YC.m:'.t 1 SIGH t )
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co:Jl)uc7c::I Slzr: - ----
f......_. cnrrrn At unt
;vn'rr.ttot:rinF)k,(rn — ---
_..._.v��.r --- __I1AU.WAY
— VO T
�_ ACEWAY
. ._.. _._.._....^- - NO. 417E
OPEN TOTAL
R •ru-r..ta•7nC:.t:S —
_ -- - _.._........_. _ UPON TOTAL
111f!1'1 f;l t l�. I_�_—_-- 1 I.I U U_n_r•. •�
FUI)JC,;NOiif,!;CIJY'• T-T'�'�'^---------__ ..
A 1.1.1.1 A r l f:::ll
U1I'.)IA YltJO IIA71IJp---- ------I
-. COl.tl•,1 tOTOn OT fJ,OYt)IlS
_._....._....._._....__ —......... ......__. _AMPS CEII.IIEA7: KWIILn7 �
• rtUYr)n_:_ ILI'• VONO. Vo
l.7A0
ulJnrn olio V.
_......... - — -- —Ovrn
_ NQ KVA NO.
Nn.NfUrJ )tlnra:P• rJU, - (KVA
rn_cII SIGN VA•
• - _! - .1I__--^MA.--1
. -= - 71111� _I
swt7cll FLASIteri
40
• T: FO(IW.�)
TOYALFEES
`• a -_
R
DEPARTMENT OF BUILDING FOR OFFICE USE ONLY
TY OF ATLANTIC BEACH, FLORIDA Date 19
Permit # Fee $
Valuation $
Application for Permit for HOUSE #
Miscellaneous Alterations,
and Repairs
DESCRIBE:- k! c T- 4,4&Vr%1
(State if to repair, alter , add to or move building, erect awwings,
signs, etc. )
Building on: Lot No. 2 Blk No. /,� Sub.Div.
Address 426/ 5,ir4oaZ5 �Lk�K _ Valuation $
Owner 's-Name r',�, 41,2al
BUILDINGS AND OCCUPANCY
Building Use - Residential or Business
What Plumbing work to be done? No i✓
Size of Present Bldg. Size of Extensionia x r? Lot Size
Ido. of stories now after altered_Z�__Material of roof G41-y SrEh
Material of Present Building G-Al-il TrC&Material of Extension
NECESSARY PLANS TO BE SUBMITTED HEREWITH
OIL BURNER OR GASOLINE EQUIPMENT
Name of Oil Burner or Gasoline Pump Type or Model
Name and Address of Manufacturer
In connection herewith, application is also made to install:
gal. capacity tank (s) made by of gagmetal
ground. (Name of Manufacturer) iCj_n6--' or .Ahcve)
(Under or Above) of building. For
(Inside or utsi e Name of Purchaser)
FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF
THIS BLANK
SIGNS
Size Classification
(State whether ground, roof, wall, projecting, anner)
Material of Construction
Illuminated? Type of illumination
State whether Lamps or Neon
Will sign be over public property?
SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING
WRITE ADDITIONAL INFORMATION BELOW
(For canvas awnings provide dimensioned drawing on reve
IMPORTANT NOTICE: Qp►'
In consideration of permit given for doing the work as described
in the alcove 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 of Atlantic Beach. (Southern Standard Building Code) .
Signature of Builder or Owner
Address Phone No.
MAP SHOWING SURVEY OF
LOT '79 BLOCK 159 SELVA MAPINA UNIT NO. 81 AS RECORDED IN PLAT BOOK 34, PAGE 85 OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
------------
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DEPARTMENT OF BUILDING 3041
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date March 17 19
Valuation$ x'00.00 Fee $ 3•a'
This permit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of law.
This is to certify that Joseph UnUt3t"';OOL
b
has permission to build rgp i ace rusted lawn Shad
Classification S i n-g1 a Zone RQ5
Owned by Joseph Underwood
Lot 7 Block i> S/D S/M V(
House No. 17;31 Sc a Oats Drive
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
-4 ► O Building material, rubbish and debris
1 from this work must not be placedin
public space, and must be cleared
ap
and hauled away by either contractor
* or owner. /
t Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
DEPARTMENT OF BUILDING FOR OFFICE USE ONLY
Cl"`.i'Y OF ATLANTIC BEACH, FLORIDA Date -3 :4Z_19 %6
----------- Permit #_IieZz Fee
�Q Ipplication for Permit Valuation $
fc.r Misc. Alterations House
and Repairs
DESCRIBE: Al/'J1 /J (���Z,/�'/� /�i r J ti ,��j /^✓7 _
(stare if to repair, alter_, add to or move building, erect awnings
or signs, etc. )
Building on. ,.ot ' o. � Blk No. / Sud �.
Address 7 Sh"A X97 2x Valuation -$
0. ner` s Name Tom,cti P.0 411 1 - (�/l a7C.C'/_✓4 rl/�
BUILDINGS & OCCUPANCY
Bui_..aing Use - Residential or Business
What Plu-robing work to be done? /q
Size of Pre,:ent Bldg. / 'X /2' 'Size of Extension
Lot ize `1? ,X / 3 5' Material of Roof
No. of stories now / after altered r
Material of Present Building >TIZ,CL Material of Extension v2 c p
PLANS MUST BE SUBMITTED HEREWITH
SIGNS
.size — Classification
(state whether ground, roof, wall, projecting
banner)
Material of Construction
Illuminated? Type of illumination
(State whether lamps or neon)
Will sign be over public property?
SUEMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING
WRITE ADDITIONAL INFORMATION BELOW
(For canvas awnings provide dimensioned drawing on reserve side)
IMP.1' 'AN'r NOTICE:
In consideration of permit given for, doing the work as described
in the above statement, we hereby agree to perform said work in
accordance with the attached plans and specifications, which are a
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MAP SHOWING SURVILEY OF
8
15t SELVA MRINA UNIT NO. 81 AS RECORDED IN PLAT BOOK 34o PAGE +,s 5
n!i�r,Tr, T!7CnTIMI,, O !)TIAT, rn11�1'fY,
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DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION - ._-- L.�j�i � ,.i . 11j �111;1:i3 TION
?ermit Number: 5888 {dress: 1761 SEA OATS DRIVE
Permit Type: MECHANICAL ATLANTIC: BEACH, FLORIDA L1123:'
class of Work : ALTERATION ----------- LEGAL DESCRIPTION ----
Constr. Type: WOOD FRAME k.ot : Block : Section :
Proposed Use: SINGLE FAMILY Township: RNG: O
Dwellings: 1 Code: O `subdivision :
Estimated Value: $0. 00
Improv. Cost: $0. 00
Total Fees: $41. 00
Amount Paid: = $41. 00
hAL NEAT A I.R
---- OWNEP INFORMATION ---- APPLICATION FEES ---
Name: UUNSON REALTY: PERMIT $41. 00
Address : 1761 SEA OATS DRIVE WATER IMPACT FEE $0. 00
ATLAN's'1C SUCH, FLORIDA SEWER IMPACT FEE y!,
hen+:r:
(904j-4"46-6721 WATEP METER Sts.
RADON GAS-H. R. S. $0. t_...
CON`f'1RAt.:'I OR I-NFORMATI'ON RADON GAS - 5% $0. 00
Name: HUXHAM HEATING & A_' WATER TAP $0. 00
.ddress: 2006- BEACH BOULEVARD SEWER TAP $0. 00
JACK:3ONVILLE BEACH, F-1 HYDRAULIC SHARE $0. 00
i -enae: RA0024,'352 Type: RE-INSPECT FEE $0. 00
SEC. H IMPACT FEE $0. 00
OTHER S!,
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
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 MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
'dkIDATIQN DATE: 09/17/90"
MID HM
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT Ava jg JECT TOR 4 C ATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
CHANGE s.00
ATLANTIC BEACH BUILDING DEPARTMENT
By:
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH 11 (�
ATLANTIC BEACH. FLORIDA 32233 U
APPLICATION FOR MECHANICAL PERMIT - CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections i, II, III, and IV.
LOCATION Street Address:
OF Intersecfing Streets: sef.een And
--- --------------
BUILDING
Subdivision
II. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the abcve statement we hereby agree to s
—tit the attached plans and specifications which area Ce• a se;d .e . e::r�e ce
of good practice listed therein. Pert hereof and in accordance w to ttie Gry of Jeclson�.l'e ordi�alces a i•e-x,_s
Nemo of Mechanical Contractors
Contractor (Print) f Mester /7
Nance of C
Property O.ner
r
Siyasture of O.ner `� Signature of
K Autllorned Agent Architect or Engineer
ttt. GENERAL IN RMATION
A. Typai lseatinq Net: g,
IS OTHER CONSTRUCTION BEING DONE ON I
❑' Hectic THIS BUILDING OR SITE?
❑ Get—❑ V ❑ Nafvral ❑ Central Utility
❑ Od IF YES. GIVE NUMBER OF CONSTRUCTION
PERMIT
❑ Buser — Specify
IV. M1CKANOCAL EQUIPMENT TO 1E INSTALLED NATURE OF WORK
,(,Pr0040 complete Fst of cornponenh on back of this form) U Residential or O Commercial
to "*at ❑ Space ❑ Recessed ® Central 0 Floor U New Building
Er Air Condrfioaing: 13Room ❑ Control ❑ Existing Building
❑ Duct System: Materiel Tkickn*"L _ em Replacement of existing system
Masimsses capacity Cl❑ New Installation(No system previously installed)
❑ Refrigeration O Extension or add-on to existing system
I
❑ Cooling t,oww: G L7 Other — Specify pacify --
❑ Fin sprinklers: Number of Aee� ----
❑ Eiavatew Q Menlift ❑ Escalator. (number)
❑ Gasoline pumP4 (number) THIS SPACE FOR OFfICE US& ONLY
❑ Tawks (number) O
Remarks
❑ LPG conteia... (number)
❑ Unfired preMYn wsw
❑ seas" Permit Approved by Det.
❑ OMer — Specify Permit Fee
LIST ALL EQUIPMENT
ADA CONDITIONING AND REFRIGERATION FQULPMENT
CABALrINtmsber Veit. Description Yodel Number Yanutacturer jY A :
� � I In •=�-
FOR OFFIC# USE %N11Y
_' —� *'� ;v.
Date-
.......... 7 ... . ......
Permit #_aq3.A1.......Fee
CITY OF ATLANTIC BEACH Valuation $ ......
FLORIDA House #---
............................................................................
APPLICATION FOR BUILDING PERMIT
--------------------------*-------------------------------------------
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 the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of 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.
Date.....IlaX-Qh..19,_19-73......----------------__-, 19------------
Owner---------J-----F,__Aderhold-----------------------------------------------------Address-A71.1---Sea---Oa.ta-.Dr-------------Telephone No...2461nOD-7-0----
Architect..........WA-d-Q...Bra ----------------------------------------------------------Address,_.04
..Q.�Toodcock Dr0
--------------------------------------Teleph'Dne Noi9672?O-------
Contractor Builder------J.- '.---oderhald.......------------------------Address-171.1 -----------------
...Se-a---Qats__.Ar,�------------Telephone No.__�4� 0070
1--- ---------
Lot No. 7-----------------------------------Block No -5-----------------------.--Sub Division-----aqlVa_. A--.Mqxi a
-------------------------------------------Zone-----------------
1_7A,------Sea___J3ata__ar—---------Street---- -- --------Side Between---Paric--Te r-race- Fast----and---Seminole---I Rd..----------------Sts.
Valuation ------------For what purpose will building be used-----dVQ3_1_iru--------------Type of construction-.Mq�:qQarY---------•........
Dimensions of Building---�11_)(.....Y,yl -------------Dimensions of Lot--1.3 1---x._951__------------------------Size of Footings--------------------------------------
Size of Piers-----------------------------------Size of Sills.--------- ----- -----------Greatest Sill Span in ft---------------------------Type Roof-------------------------------------
How will Building be Heated? electric ________________Will Building be on Solid or Filled Ground?-----s-o-lid.......................
-------------------------------------------------- ----------
Size of Ceiling joists-------txuao----- ---------- Distance on Centers----------24-t-I---------------------------, Greatest Span-----------3016-11...............
Size of Floor Joists-----------------------------------------------Distance on Centers .....------- ------------- Greatest Span--------------------------------------------
Size of Rafters. -----------------tr-uss-----------------------Distance on Centers 24 H---------------------..-, Greatest Span-----.-.--30-t-6......................
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 eat
';�uildings.
REAR 0 LINE
Two copies of plans and specifications shall C 93-
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. Z Z 6;
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 covered. q )7
7. Electrical inspection by City of Jacksonville. W
S. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT CPF�OT
In consideration of permit given for doing the work as described 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 o Atlan:t!i�c
ach
-------_---------- --------- --- ---------------------------------------------------
Signature of Builder_ Address
Signatureof Owner- ------------------------------------------------------------------------- Address--------_------------------- -_-----_-----------------------------------------------------