1791 Sea Oats Dr (vault) CITY OF ATLANTIC BEACH
goo SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
03-00025637 Date 3/21/03
Application Number 179, SEA OATS DR
Property Address CypREsS STOCKADE 61 FENCE
Tenant nbr, name
Application description FENCE PERMIT
TO BE UPDATED
Property Zoning 1021
Application valuation
Contractor
Owner ----------- ------------
--------------- LANDMARK FENCE
DRESISONSTOK, THOMAS F 2305 N. ORANGE BLOSSOM TRAIL
1791 SEA OATS DRIVE FL 32233 KISSIMMEE FL 34744
ATLANTIC BEACH
-----------------------------
Permit . . . . . . FENCE PERMIT . 00
Additional desc 35 . 00 Plan Check Fee 0
Permit Fee 3/11/03 valuation
issue Date 9/07/03
Expiration Date Charged Paid Credited ----Due---
Fee summary ---------- ---------- ---------- . 00
------ --- -----
Permit-Fee-Total 35 . 00 35 - 00 . 00 . 00
. 00 . 00 . 00
Plan Check Total 35 - 00 35 . 00 . 00 . 00
Grand Total
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 IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
W19CH ARE PART OF THIS PERhGT A?SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDfNG OFFICIAL
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
AnAIMC BEACH,FLORIDA 32233
INSpECTION pHONE LINE 247-5826
Application Number . . . . . 03-00025637 Date 3/11/03
Property Address . . . . . . 1791 SEA OATS DR
Tenant nbr, name . . . . . . CYPRESS STOCKADE 41 FENCE
Application description . . . FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1021
Owner Contractor
------------------------
LANDMARK FENCE
DRESISONSTOK, THOMAS F 2305 N. ORANGE BLOSSOM TRAIL
1791 SEA OATS DRIVE FL 34744
ATLANTIC BEACH FL 32233 KISSIMMEE
----------------------------------------------------------------------------
Permit . . . . . . FENCE PERMIT
Additional desc - - . 00
Permit Fee . . . . 35 . 00 Plan Check Fee 0
Issue Date . . . . Valuation . . . .
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
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 IMPROVEMENTS-ISSUED ACCORDING To APPROVED PLANS
WHICILARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE: (904)247-5800
FAX: (904)247-5805
SUNCOM:852-5800
http://ci.atiantic-beach.fl.us
�,W
PLAN RFVI- . COMMENTS
Permit Application #
Applicant: Ec 'e
Address: I ct 4 d)r
Project: S q , ;Dlc �e
cation is approved
Your appli fff
o Your permit application has been reviewed and the following items need
attention:
Please re-submit your application when these items have been completed.
Reviewed by
Signed ate 67-3
Contract/W Notified Date
R E C E I V E D
C17Y OF ATLANTIC 7BEACH
BUILDING &ZONING
n 6 20 03
MAR 0 6 2003 1
CITY OF ATLANTIC BEACH
FENCE PERMIT APPLICATIO BY:
�'A C
Date:
Job Address: 1 � q,
Owner's Name: 6. 1V [) RU-E jj, Z[ 7
Address: 1 7 q i E 0 0 61'� R o c
tL. kP I i�ckPhone:
-041 fmooup t,141%400
Legal Description: Block Number: Lot Number: Zoning District: L
Fence Contractor: LA-ND. C E5�- Phone:
Address:
City: 91�a!5j)f tl illy —State* ZiP3 Fax:
Type o
A 1�nce and materials to be used:
Valuation of fence: t_-6�
is oval of Homeowner's Association or other private entity required? If yes,please submit with this application.
Interior Lot F� Comer Lot E]Dumpster or storage tank enclosure
Tree Protection:
19NO. Applicant certifies that no trees will be removed forthe installation of this fence.
nYES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED.
Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
PLEASE PROVIDE TWO(2)COPIES OF APPLICATION AND THE FOLLOWING REQUIRED INFORMATION:
1. Attach copy of property survey showing location,height and all distances from property lines of the proposed fence. (Fences
shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works
Departments. Fences shall not restrict any private easement.)
2. Provide completed Owner's Authorization Form if applicant is other than property owner.
I hereby certify that all information provided with this application is correct.
...�Date: �
Signature Of OWTier:
Date:
Signature of Contractor:
Address and contact information of person to receive all correspondence regarding this application (please print):
Name: 17
U A a�11TMV111-( zy- 4) 7
Mailing Address: nw - S� . I.'r, &
E-Ma
Phone: 34-2 Fax: "t;S, & I - I
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Revised 1/14/03
Page 1
Sec. 24-157. Allowable Height of Fences and Walls.
(a) Within Required Front Yards, the maximum height of any fence or wall, including posts or columns,
shall be four(4) feet.
(b) Within Required Side or Rear Yards, the maximum height of any fence or wall, including posts or
columns, shall be six(6) feet.
(c) On Comer Lots, no fence, wall or Landscaping, exceeding four (4) feet in height, shall be allowed
within fifteen (15)feet of any Lot Line which abuts a Street. (A minimum twenty-five (25) foot Sight
Triangle shall be maintained.)
(d)The height of fences and walls shall be measured from grade to the top of the fence or wall, including
posts or columns. Where a fence or wall is erected at the junction of properties with varying
elevations, the height of the fence or wall shall be measured from the side with the lowest elevation.
The use of dirt, sand, rocks or similar materials to elevate the height of a fence or wall on a mound is
prohibited.
(e) The maximum height of a retaining walls on any Lot is four (4) feet. A minimum of forty (40) feet
shall separate retaining walls designed to add cumulative height or increase site elevation.
Ordinance Number: 90-01-172 Effective Date: January 01,2002
Adopted: November 26,2001 68
See. 24-160. Dumpsters, Garbage Containers and Refuse Collection Areas and Above-
Ground Tanks.
(a) Within residential Zoning Districts, trash receptacles, garbage, recycling and similar containers shall
be shielded from view except during time periods typically associated with refuse collection.
(b) Within commercial Zoning Districts, dumpsters, trash receptacles, above ground tanks and similar
Structures and containers shall be screened from view by fencing or Landscaping, or shall be located
so that these are not visible from adjacent properties or Streets.
Ordinance Number: 90-01-172 Effective Date: January 01,2002
Adopted: November 26, 2001 70
When Price, Service & Quality Counts 904-367-1940
rarni.4y .d T�—V Fax: 904-367-1950
2206
5318 Philips Hwy e Jacksonville, FL 3'
SUBDIVISION: BILLING ADDRESS(If different): PROJEAD'INSTALLATION
ADDRESS �v
o*Due to and/or supply conditions,installation
CErY&STATE ZIP cannot be s heduled f 'fie days,dates or-Umes.
c M
Lwft(C &auv) --k)�L) #A+r; -
TE—L TEL 'fTEL
DATE TEL RES -7- 065/ ICELL
FAX 1OFC
V�09D CHAIN LINK PVC ALUMINUM OTHER
Total Footage
Fence Height
Style of Fence
#of Walk Gates Widtb___4j��Open In Out
Width Open In/Out
#of Double Drives
ALL FENCE TYPES:GRADE CONTOUR
(SELECT APPROPRIATE METHOD)
MARK EACH PAGE INDIVIDUALLY Sli oilling
__jWght1yMRo
—------------------------------------------
Fence to follow slope of
ground.(Customer to fill in
low spots upon completion)
Fence to be top level. Slightly-Uneven Ground
of fence to be in
contact with ground Proposal/Contract Sale Price OPTION"A" OPTION B OPTION"C"
"O,omver possible.
where HIMM — E
(Customer to fill in low CONTRACTIPRICE
spots upon completion)
Gradual Sloping Ground PERMIT
L3Fence to be level and CHANGE ORDER
split the grade
(Trenching in high spots. TOTAL Z) o
Customer to fill in low REM[— - V
spots upon completion) CONTRACT CONDMONS
WOOD WARRANTY INFORMATION The undersigned owner hereby promises to pay Landmark Feence Co., i upon
All wood fences carry a one year warranty on workmanship. The completion of installation,the lump sum payment. Said owner further agrees that until final payment is
warranty covers structural and gate workmanship. The warranty does made,the title and right of possession of the merchandise shall remain in Landmark Fence Co. I will not
njot cover splits,cracks or warping. Nor does it cover any fungal growth sell,remove or encumber the same without your written consent,and that upon default of payment you
or discoloration. This is a natural process for wood. may at your option,take back the fence or affirm the sale and hold me liable for the full unpaid balance.
Should legal action be necessary to collect said debt,then an attorney's fee will be assessed.
Initial: Landmark Fence Co.is responsible for locating underground cables and utilities. However,
y N Landmark Fence Co.is not responsible for damage to sprinkler lines or any other hidden underground
obstruction. Also,property owner is solely respon4le for locating property lines and determining
Customer to Clear Fence Line. . . . . . . . . . . El L3 where fence is to be erected.
)., iDupon
dm kF Co.measures through all gates. The charge for the gate(chain link or wood)
L) L
Core Drills. . . . . . . . . . . . . . . . . . . . . . . . an a 4hinc!e latch&, dlaborin
reflects Zcostrof'M-k tvolved
Access to Water. . . . . . . . . . . . . . . . . . . . . . L] Ll
Access to Power . . . . . . . . . . . . . . . . . . . . . L1 Ll tur
Buyer's Signatur
Tear Down. . . . . . . . . . . . . . . . . . . . . . . . . . Lj
Haul Away. . . . . . . . . . . . . . . . . . . . . . . . . . Ll Salesman
Asphalt . . . . . .. . . . . . . . . . . . . . . . . . . . . . Lj Directions:
HOA Required.. . . . . . . . . . . . . . . . . . . . . . L3 L3
Sprinklers . . . . . . . . . . . . . . . . . . . . . . . . . . Lj Ll
. . . Ll El
Self-Closers. . . . . . . . . . . . . . . . . . . . . .
Finance . . . . . . . . . . . . . . . . . . . . . . . . . . . . El L)
Permit
Locates
—---------------
AF 44241
MAP SHOWING SURVEY OF
LOT 10, BLOCK 15, SELVA MARINA UNIT NO. 8, AS RECORDED IN PLAT BOOK 34, PACE 85 OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA TOGETHER WITH THAT PART OF TRAC`T "C"
LYING BETWEN LCIT 10 AND THE WEST RIGHT OF WAY LINE OF SEMINOLE ROAD (COUNTY ROAD NO.608,
A 100 FOCT RIGHT OF WAY AS NOW ESTABLF7,:D
y 1,-0,4 :�, -\-/�0- G,
<0 LE Z 0 A r-:D
�A
OCr CD 8' 20" W
-7- C-7- C
A M
City of Atlantic Beach
Planegg and Zoning Dvartment 116—
This approval verifies compliance with applicable
zoning, subdivision and other local land
development regulations, but does not constitute
approval f r- Compliance
To B 1*
with Florid, be�-a"tid�alt' T appi"Pip
-A;",d quirements
4-fri nattiteWth of Atlantic
nce of a
g e.k'm
By.
Approved
p rov
,k1ph F
J�j
n
oFnmuniM6 t Director
Date:—92.;4=10(a 22�fd-
G G
N
Q 0
'10
y
>
c5 ,E,4 OA-T-'2-
(14 7171�A��-,;;-)
REVISED 8/18/86 TO CORRECT LEGAL
7;v//-5 /--5 A A30zlX11�7A17Y Y
6 ---/4;"
-7-y O<D
�5-10-n y
4 10--d-5 Y -2e-W 0 - -6, ",:;,a
FOR: THOMAS DREISONSTOK
I HEREBY CERTIFY TO-
THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL
STANDARDS AS SET FORTH BY THE FLORIDA BOARD
OF I-AND SURVEYORS, FURSUANT TO SECTION 472.027
FLORIDA STATUTES AND CHAPTER 21 1-111-1-6 FLORIDA
H. A. DURDEN ADMINTISR.ATION CODE. 451
& ASSOCIATES INC. vayoov P40. -�;e"
1U."KG19T9RK0(30'
LAND
SURVEYORS SIGNED
Post Office Box 50670
1103 South Third Street SCALE:
ZI Jacksonville Beach,Rorida 32250
THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED.
0002994
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
--- LOCATION jnponnATI10114
reftnxT INFORMATION 17'eOl 13MA UA" OR
permjv- Number ATLANTIC; 13r
,AUN, I-LORIDA
permit Type% RE-ROOr -- -------- LISA3AL br�eRIFTIn" ---
Class ox Work% NtA "-ection.
Constr. Typel W000 PRAnr Lot 13lock
Township!
rroposed Use: qxMiDLE FA"ILY *3ubd1v1810n1 2SELVA MARINA
1 0
nweiiings. Code'. Wo. 00
mat imated value; DO
rinprov. Costz 022. nO
Total Feest V-212. 15C)
AmOun't Paid:
Date Paid: lot 2/*10
work ftesc. z RE-ROCIF FWIUSE
rLrptnxy
,game- WATErt xnrACT rEE $0.00
ACdreSSI j,"I %9EA OATn LN newt" IMPACT rtE %D. 010
ATLANTIC 8EAC", FLORIDA WATZR "tTZft 010
Pbone% RADON OA5-"- R- 16- 00
ftADON GAS - t3% DO
CONTRACTO wATER TAP !P0 I DID
"affle'. co"TRACIrr"O VIC. 15rwrft TAP SO.DO
Aodreas-
ROUTe 2 BOX 17"6 LIC 00
nYORAU
CALLA"AN PL v I n. DO
License: Type, nEC. " IMPACT lFtE 150.00
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.
CS' LIEN LAW CAN RESULT IN
"FAILURE TO COMPLY WITH THE MECHANI BUILDING IMPROVEMENTS-95
THE PROPERTY OWNER PAYING TWICE FOR DSUBJECT TO REVOCATION FOR
ISSUED �ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AN
VIOLAT19N OF APPLICABLE PROVISIONS OF LAW
ATLAN I ACH BUILDIIf I DE RTME T
[,/L
By:
Ll
CITY OF ATLANTIC BEACH
APPLICATION FOR ROOFING PERMIT
BUILbING OWNER- PHONE o?V9 -05W
JOB ADDRESS j99) &,4-- ---o/v"& AL�- 3��3-3
# SUBDIVISION 3,eju�2
LOT# _ BLOCK OR UNIT 9
CONTRACTOR SeA,(S- G;� (7,,9c PHONE--,35;51 S 9,06
ADDRESS--5333--/�- C4,441 509)(.
LICENSE NU14BER aaj� 0 �3S(o3 (/- EXPIRATION
JOB VALUATION $ i3D
MATERIALS:
/Z
SIGNATURE OWNER PATE
SIGNATURE CONTRACTO DATE_j 0
T CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 05-00029535 Date 1/14/05
Property Address . . . . . . 1791 SEA OATS DR
Tenant nbr, name . . . . . . REROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13660
Owner Contractor
------------------------
------------------------
DRESISONSTOK, THOMAS F ROMANO ROOFING SERVICES
1791 SEA OATS DRIVE P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-5649
----------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 150 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 13660
Fee summary Charged Paid Credited Due
----------------- - --------- ---------- ---------- ----------
Permit Fee Total 150 . 00 150 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 150 . 00 150 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
BUIL )ING WFIC Al
NOTICE Op cOMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
To whom it may concern:
The undersigned hereby Informs you that improvements will be made to certain real property, and In
accordance with Section 713 of the Florida Statutes, the following Information Is stated In this NOTICE OF
COMMENCEMENT.
-->_j I- —
Legal description of property being improved: . I �:z
yj I-r— UD� c i�� 2 ZE
Co I
Address of property being improved:
General description of improvements: Afea-e>o�E
I)Rt-- '11�1,,a -2
Owner—4do cpz7-- —7 2A
Address 17 1 Z S'eE-A 40715-
Owner's interest in site of the improvement
Fee Simple Titleholder (if other than owner)
Name
Address
Contractor—� OM4"Ve) 0 -pj/V,? Se V C--r
Address 3 D )q BQ X �tl 3 .2- 2 3
Phone No. 9'0 11 C1 Fax No.
Surety(if any)
Address A ount of bond $
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No- Fax No.
R E C E I V E Q
CITY OF ATLANTIC BEACH
BUILDING &ZON NG
JAN 13 2005
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date: z/Z4 If ze s-
JobAddress: 17VI Sew -0-47:s- bR.
Owner of Property: 4&D,�a
Address: 'z7qV 642�T 7-w. R&Anb4l� Telephone:
Contractor: jeQM.AA10 1?oef A/ —,Ve,?V I e-4S State License Number: I-r--C Q-S-r?I
Contractor's Address: jQ I? VXT�9& e-7- /2-f4j4/i/T/e- vX , 7/ Y,.?0 33
Telephone: C�Q I/- 116 4 Fax:
Scope of Work: )9cf-r-og
Deck Slope: & Greater than 2:12 Less than 2:12
Valuation of work:
Product Name (Example:Timberline): (OZ�&
Manufacturer(Example: GAF): UkrA:!f--
ASTM Designation(s):
Required InspectioZns, (and Final
Signature of Owne Date:
IF
Date: 0/- 00 --05
Signature of Contractor: A
AS TO OWNER:
Sworn to and subscribed before me is rXO day of 20-C>55
State of FI orida, County of Duva Nota ry's'Signature:
ELAINA
My CoWnSSION#DD357393 Personally known
23,2009
R.NoWy DiUmmt ASSM M Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this I-A r) day of qpcp—
State of Florida,County of Duval Notary's Signature:
0
Personally known, EL X 1051391
El Produced identification W co"sSioN 23,2009
ASO&C*'
Type of identification produced
800 Seminole Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.cLatiantic-beach.fl.us
Page I Revised 2121/03
CITY OF ATLANTIC BEACH
PERMIT CALCULATION SHEET
Date
Address
FV Permit fee based on dollar evaluation as indicated on permit application.
.Heated Square Footage @ 5 per sq ft= 5
Garage / Shed @ 5 per sq ft= 5
Carport Porch 5 per sq ft= 5
Deck @ 5 per sq ft= 5
Patio @ 5 per sq ft= 5
TOTAL VALUATION: 5
$35-00 131 S1000.00 S 535-00
Total Valuation
S
Remaining Value Per thousand or
portion thereof:
CONSTRUCTION TYPE: TOTAL BUILDING FEE S 10 E>
ZONING: + 1/7.Filina Fee 5 6:-0
M,
FLOOD ZONE: Fireplaces @ S35.00 S
LNITERVIOUS SURFACE:
BUILDING PERmaT FEE S I
WATER RAPACT FEE S
SEWER RYIPACT FEE
WATER IVIETERJTAP
CAPITAL IMTROVEMENT S
SEWER TAP
C ) RADON HRS .0050 S
SECTION H PAVING S
CROSS CONNECTION 5
ST ( ) SURCHARGE S
OTHER
CITY OF ATLANTIC BEACH Cc:
D. Ord—
B ILDING / ZONING DEPARTMENT
U S. Doerr
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
r AV, (904)247-5845 Fax R E C E- I V EL L:)
www.coab.us CI TY OF ATLANTIC BEACH
BUILDING &ZONING
PLAN REVIEW COMMENTS JAN 13 2005
Permit Application # BY:
$ON
Property Address:
Applicant:
Project:
This permit application has been:
Z" Approved
El Reviewed and the following items need attention:
FE
Please re-submit your application when these items have been completed.
Reviewed By: - Date:
CITY OF
4&aa4c Beac-4-I&Ukia
office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
TI me A.M. /--)District No.
Received P.M
1;?91 Locality
Job Address
Owner's Contractor
Name
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing Footing 0 RoughWiring 11 Rough Air.Cond.&
Re Roofing Slab 0 Temp Pole Top Out Heating
Fire Place 0
Lintel 0 Pre Fab
READY FOR INSPECTION A.M-
Mon. Tues. Wed. 7.7. Friday-
inspection Made
Inspector Final inspection 7
Certificate of Occupancy
Date
001898
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
LOCATION INFORMATION
Permit number ! �1898 Address! 1791 SEA OATS DRIVE
H ATLANTIC BEACH, FLORIDA :3_-:-:1.J
Permit Type: MECHANICAL LEGAL DESCRIPTION
Class of Work: REPAIR Sectioni
constr . Typet N/A alock�
PrLiposed Uaei SINGLE FAMILY Township: RNG-
Dwellingst 0 Code-, 0 lbdivisionz SELVA AHRINA
Estimated Value! "90. OC1
Improv. coett $0. 00
Total Fees; $20.00
Amoun-t Fald: 1420. 00
P�7 ;ff- I �1, 9/90
f?EPLACP EXTSTINLi li ,
THFLAflIATION APPLICATION FEES
STO PERMIT $20. 00
N $0. 00
�FA OATS DRIVE WATER IMPACT FEE
_EWER IMPACT FEE $0. 00
WATER "ETER -so.
pAoOU GAS R. R. S. so. 00
-- 5% $0. 00
�t�Cj,cjR ItIFORMATION RADON GAS
Name-. ATLANTIC BEACH HEATING WATER TAP $0. 00
d d r e 1225 4TH SI'RECT NORTH SEWER TAP $0. 00
JACKC-�ONVILLE BEACH, FL. 3225� HYDRAULIC SHARE $0. 00
CA C 0 4:71 2 Typet. 0 RE--INSPECT FEE $0.100
ell ENGINEERING $0. 00
OTHE'R
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.53
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
A TLA
By: NTIC BEACH BUILDING DEPARTMENT
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FL.RIDA 32233
APPLICATION FOR MECHANICAL PERMIT CAI-L-IN NUMBER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address:
LOCATION Z And
OF Intersecting Streets: Between
BUILDING
Sub-division
11. 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 perform said work in accordance
with the attacl�ed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Master
Contractor (Print)
Name of
Property Owner
Signature of Owner Signature of
or Authorized Agent Architect or Engineer
Ill. GENERAL INFORMATION
A, Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON
0--Bedric THIS BUILDING OR SITE?
0 Gas—[3 LIP 0 Natural 0 Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION
0 Oil PERMIT
13 Other — Specify
IV. MICHANIlCAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(provide complete list of components on back of this form) 0-- Residential or El Commercial
0--mest [3 Space [3 Recessed 0-—C.ntral 0 Floor 0 New Building
C) A;r Conditioning: [3 Room EV—Ce-trel 11 Existing Building
0 Duct System: Material Thickness.— 2--'R-eplacement of existing system
Maximum capacity c.f.m. El New installation(No system previously installed)
[I Extension or add-on to existing system
(3 Refrigeration El Other — Specify
0 Cooling tower: Capacity 9-P.M.
0 Fire sprinklers: Number of head----
0 Elevator [3 Manlift 0 Escalato (number) THIS SPACE FOR OFFICE USE ONLY
E3 Gasoline PUMP$ —(number) (Lweiv
C] Tonks 1number) Remarks
(3 LPG confainors._____ (number)
0 Unfirod pressure vessel Permit Approved by Date-
0 Boilers
[3 Other — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT capacity A raving
Number Units Description Model Number Manufacturer (Tons) =CY
(J-,
HEATING - FURNACES, BOILERS, FIREPLACES capad Approvft
Number Units Description Model Number Manufacturer (BTU) ASOW
4--o-
TANKS Serial Approving
now Many Namllnial Capacity Type Liquid Name at
and DIMININIOnS Contained Manufactlzrar No. Agency
. . . .. . ------- 3059
DEPARTMENT OF BUILDING PERMIT NO.
CITY OF ATLANTIC BEACH, FLORIDA
PERMIT TO IBUILD
BE POSTED ON JOB
THIS PERMIT MUST
Date 4Z19Z _191�
53 000- 00 Fee $ 12 0�O
Valuation$_ __
until above fee has been paid to City Treasurer, and is
This permit not valid
bject to revocation for violation of applicable Provisions
T Coleman
This is to certify that 1
inqle famil dwell'ing
has permission to build_-f���
ne
ClassificatiO resideance
owned by T. y,. coleman S/D
Block---L5--
Lot 1791 Sea oats Drive ---
House No.— art of this permit
According to approved plans which are P NOTICE—ALL CONCRETE FORMS
GS MUST BE IN-
AND FOOTIN
SPECTED BEFORE POURING*
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
rubbish and debris
6 Building material,
Z from this work must not be placed in
public space, and must be clear up
and hmiled away by either contractor
or owner.
I
R. C- 70
___!:f-_�BUiIdi.9 Official-
CONTRACTOR
PERMIT DATE
FOR OFFICE
NUMBER
USE ONLY
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR SEWER CONNECTIONS
PERMIT NO.--J,2-�-. DATE 4/19/76
LOCATION1791 Sea , oats Drive STREET
LOT NO. 10 BLOCK NO. 15 Selva Marina Unit #8
OWNER T. K. coleman
TYPE OF BUILDING Single family dwelling
Edward Winters
MASTER PLUMBER
INSPECTED BY
BILLED
ACCOUNT NO. M-30
APPLICATION FOR WATER �UT-IN
TO THE CITY OF ATLANTIC BEACH :
i
y made for3/4" tap water cut-in at the
Application is hereb
following address for _ one
Cut-In charge of 85. 00
Street No. 1791_1��
_�a t LsD
15 S/D .. Unit #8
Lot 10 Block 15
Or ered by T. K. Coleman__
Owoer
Ad ress 1939 8th Stre
acksonville Bea h , FL 322-5LL—
Date
Account No.
Meter No. M-30 Date nstalled
FOR OFFIC� USE ONLY
Date------ 'A----19 ------
J)
,/,00
Permit #......................Fee $_ -_ ..�...
CITY OF ATLANTIC BEACH Valuation L........................
FLORIDA House #---aYL
--------------s2r�a
APPLICATION FOR BUILDING PERMIT ...........................9.51"
............................................................................
pproval of the detailed statement of the plans and specifications herewith submitted for the
Application is hereby made for the a d in compliance and conformity with the Building Ordinance of
building or other structure described. This application is ma e
sions of the Laws of the State of Florida, all ordinances of the city of Atlantic
the City of Atlantic Beach, Florida, and all provi Atlantic Beach, shall be complied with, whether
Beach and all rules and regulations of the Building Department of the City Of
herein specified or not. issued a Building Permit is automatically responsible to ascertain that all sub-
The Contractor or Owner-Builder who has been Florida. To prevent delay or embarrasment regard-
contractors engaged by him are duly licensed in the City of Atlantic Beach,
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./ -------------------------------------------
�f5j� ................Telephone
Address--- -----
Owner-------
-------------------- ......................................Telephone No.-./
Addres&---------------------
Architect------ - ---------------
------------- ------ ��X ------Telephone No-f
Contractor Builder--- ---------------------------------Address---6 ..............
..........Zone-----------------
Lot No------ --------------------------------------Block No------Jy................-Sub Division_ �/ .. .. to'
1'7& IV --------------and----/PR------11P,4e r?o------------- ---S
. ..... Street-- ----------------------Side Between.......e ---------
_V.-A ---4d 6!........
be used -------Type of construction ----------
Valuation $ 4""C' OC t�-_SFor what purpose will building -----
----------- Size of Footings---- ----------------
Z� ------Dimensions of Lot-----q��......... Z4
Dimensions of Building---- ------ -----Greatest Sill Span in ft.--...-----------------Type Ro,f-..,; .........jh�*41-6.
Size of Piers----------------------------I-----Size of Sills------ --- _ . be on Solid or Filled Ground 9 1.....I"
..-Will Building
How will Building be Heated?----- ---------------------------
Size of Ceiling Joists_�,�y--- --------- Distance on Centers------- ----------_- Greatest Span---cv�---------------------------------
Greatest Span--------------------------------------------
Size of Floor Joists----------------------------------------------I Distance on Centers-- ------- ...---------- /I
Size of Rafters---- ----------- Distance on Centers .......---------- Greatest Span....45�----..........................
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. 9
V4
E-4
3. When steel is in place and ready to pour beam. E-
4. When framing is completed. $
5. When rough plumbing is completed,and ready to cover up.
aid but before it is covered.
6. When septic tank drain field or sewer is 1 En
M
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made. FRONT OF LOT
In 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 of Atlantic Bell
............. Address-_-117d-9------IF
.��4
Signature of Buildexz��.Z�.'/,........
................
'*4' 1/-- ------------------------------ ---
Address...
. ....................
Signature of Owner..;;;�--741J----
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
kERMIT NO. Date :
LOCATIO C,0 n Street
LOT NO . .1310 C K 114 0 .
OWNER Af 4 *V d 4
MASTER FLUMBER
BUILDER OR CONTRACTOR 'Bldg.
),I A, Woe_^r" 6�s7'_ ermit-N.O,.
TYPE OF BUILDING Jilkff,I- V L.i,� L F R
SIj, '3
.ys 5 LAVATORY -�� BATH TUBS URINAIS CLOSETS
FLOOR DRAIDLi SHOWERS WATER HEATERS DISHW`ASHERS
Pre e C�oe
DISPOSALS OTHER - _4-
TOTAL FIXTURES 'tri 00
NO WORK MUST BE DONE UNTI1 A PEM!IT HAS BEEN ILOC.URED
PLANS AND SIECIFICATIONS must show a plan and description of the
size ,and loeation of all the soil and vent pipes , and the numbor and
logation of all fixtures , (in acoordance with Ordinanoe no. 188 Of
the City of Atlantic Beaoh, Flurida) must be shown on baok of appli-
cation and be approved by the Plumbing Inspeotcr.
DRAi FLAI� AED SIECIFICATION OF ABOVE PLUMBING ON BACK.
Approved by_ Flumbin3 Inspector
Date
ROUGH-IN INSkECTED (FOR OFFICE U6E ONLY ) REVARKS
FINAL INSFECTION: —CERTIFICATE ISSUED:---
tp,e P
VA
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