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1836 Sea Oats Dr (vault) PERIN M WORKSHEET Certificate of Occupancy Job Address: Type Work: � Oct 16Mr4� Property Owner: Phone # 1.410 Contractor: �r,c�i ► Ye"rte.; i- -711-474 ey Phone # i4 �V 3 �g �� Permit#: Date Issued: Building Inspections: Footing Slab d l Del Tie Beam Lintel Nailing / Sheathing Framing / Cover Upt04-("-04 Insulation - o Final Building Tree Permit# YES NO Electrical Permit# to O4_ 2,7(5,(- Date/ Cop EA (� ` 5o o4 y —7 1.2-9t lo Temp, Pole Permit# Date/ Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric -t-v--54 Released to JEA j5-0 Temp. Power Released to JEA Temp. Pole Released to JEA Final -O Released to JEA O- -6 Mechanical Permit# Inspections: Rough .Final Plumbing Permit# Z Inspections: Rough / Underslab Topout - Water/ Sewer Final - - Drainage Inspection: Pool Permit# Inspections: Steel Final Final Roofing Permit# _ / ) Inspectic S �, . Fire Inspection: d jcjY .,�� '> �U - Failed Inspection T)'0S(A,A,►ya,u Date Paid: rs �'�ric CITY OF ATLANTIC BEACH PERMIT =,JING/ ZONING DEPART NT APPLICATION # 000 Seminole Road �O q =•��k=•�• Atlantic Beach,Florida 32233 ,r (904)247-5000 (904)247-5545 Fax vrww.coab.us y, `4008 APPLICATION TRACKING FORM REQUIRED DEPT: PLANNING Property Address: ��/9 QA'�5 D r z Y BUILDING N PUBLIC WORKS Applicant: �Gf1/Y�� ori Y N . PUBLIC UTILITIES Y N FIRE DEPT. Project: 0'Y) C I Y N PUBLIC SAFBTY mAPPROVAL w U a REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE Z� Y N D.E.P HUFSTETLER ¢ Z) 0 Y (NiS.J.R.W.M. CARPER It_� Y ARMY CORPS of ENG CAPPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: � ® 1ST REV ti1 V SOp C�h - �4A S k ee 0\ es /A-f— bg S)MA 6,�r— 07c— PLANNING BUILDING ® ® 2ND REV PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV Amm,a°rbmwnPn*Q isn fn thp.. ARAM- I I Fo 4"MOOL"'THIC GL,\B a! GgG W 1,4 x W 1AV4'0►� I S iCor�p►gc.-r, po;LSoNE:t7 Fst-��.., . ECD 7''AaA EPQAM ALS I 2x _qj L 5 V'0.c F-R5 G —i ..i J � C of :'I25Y.P Zx12 VRLL H lj-t E EC_ W 3— 12 x 3 Yi`Sc RwS wl I"W J CITY OF ATLANTIC BEACH Q / 80O � 0 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 �+ _. I� OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: /- S / �✓j �,/ ❑NEW BUILDING C1 DEMOLITION RESIDENTIAL LOT 6 BLOCK SUB DIVISION e il&7 /-( �� l'K 1 7� ❑ADDITION- ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: - ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: / ,vA / / rl REPAIR i I_1 POOL/.SPA n YES ❑N/A fG4 r�G� 7co✓ y�G f� lJ� �'I0 S�E�- [1 MOVE -2rOTHER El NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: � 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: /636 S�'ciu�s �; 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.:,?:7 67 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 37- Z 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: 6 7C7,116P691 ) 4 - : L&vi+ FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: G�GIf-e 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: C 0,011 Q Zy J} 6,(leers t�r 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 a�s 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If A nt owe f ttomey or Agency Letter Required) (Qualifier Only) Signed: / Date: O Signed: Date: Before me this 200YNn the county of Before me this day of 2007 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. \ true and accurate. Notary Public at Large,State of O/1 a ,County of It VC-Ai Notary Public at Large,State of County of Personally Known ❑Personally Known ❑Produced Identification- ❑Produced Identification- - Notary Signature: Notary Signature: NlY COMMISSION tt DD495249 ' ECPIRES:Novez 30,2110) a ' IkV�4,N VOTARY Fi.No;:vy U[scc:ux i\sva Co ..pF9`i�V�,ttS@3�3tdUPCI°�trw COAB FORM BLDG01:REVISED:1/10/2008 f b Impervious Surface Calculations % Formula Find square footage of the following: House footprint Driveway "4 All sidewalks/walkways l 3 15�' A/C pads Detached garage/sheds `f Pool Decking _ Patios, terraces and/or decks Z z z.7s 76, Z S Add the total square footage of the areas listed above they, divide the sum by the total lot area of the property. TY76 70 ,. ze�o � 5/1402007 .,-----BOUNDARY SURA of _OT 6 BLOCK 2 SELVA MARINA UNIT NO.9 PLAT/DEED BOCK_6 PACES) 20 of 7W CAMW PUBLIC RECORDS aF T UV AL t+TM ROMA O.R.V. 411 I, PA13ES 363-364 ati 8 00024 3' E 91 .013' os' i 50.00' LOT 7 5 LOT 6 BLOCK 2 16.40' 18.50' b 0 0 o Fl �00.< N i!1 18.80' o Lo fn N 20.20' r � r 1.00 O W 1.00' 0 3 b 1 -STORY FRAM E m In RES. N❑. 1 B36 �- .. Ln Ln o o AX o 4.30 012.50' N Elm Ci D Z GARAGEN WOOD N f DECK 2 20.80' 17.80' 1 18.50' — �' 30'D.p I-� — OV. ♦ C � tf; N 00013241 w 91 .013' NOTE; BEARINGS BASED FROM THE EAST R/W SEA OATH DRIVE ( 60' R/W) LINE OF SEA OATS DRIVE N 00002'41' W CUM DATA HiJRvlr 7 AtiNDTITIoh3 O.LD.) -No R>E/1ttF1CATlON PG- -PACE O -DELTA O -FNO. CCNU MC UWENT CN0 LD.) -No W L!A(FENCE P.K. -PARKER KALON NAIL D -DEGREE CURVE ■ -5cT CQRC PE/,R0'-f 0 (. _ _ _- _MIRE FENCE l P.O-EL -POINT OF BECINNINC R -RADIUS -END. RCN P'?E 00" I2 •� G-0-. _WOOD FENCE-6 P.O.C. -POINT OF COMMENCEMENT L -LENGTH OF ARC O -�T IRON PPE 00 --CV---CV- -OVERHEAD CASIEVI90N (RL) -RADIAL LINE C -LENGTH CF CHORD y1 -FND.DRILL H OSS _ �E _ -OVERHEAD ELECTRIC PWL R.LS. -REGISTERED LAND SURVEYOR CB -CHORD FEARING T -SE 'T� CSS --T--T-- -OVERHEAD TELEPHONE SERV. R/W -RIGHT-OF-WAY T -LENGTH OF TANGENT • 'X' HAg' -POWER POLE(WOCO)(CONC.) SAN. -SANITARY PC -POINT OF CURVATURE ■ SET fuL NA:L �METALXFlBERCLASS) S.P. -SCREENED PORCH PI -POINT OF INTERSECTION O -END NFd isK ENCH ARK+ELEVATION T.B.M. -TEMPORARY BENCH MARK PT -POINT OF TANGENCY `' _"� -CONCRETE TRANS. -TRANSFORMER PCC -PONT OF COMPOM, CURVA r-.� D END.'lii VERSFEc.POINT ® -ASPHALT M. -WOOD PRC -POINT OF REVERSE CURVATURE _E' -.:ET-R ta NOuENT W-M. -WATER METER PNT -POINT CF NON-TANGENCY CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept(a,coab.us Application Number . . . . . 08-00000191 Date 2/13/08 Property Address . . . . . . 1836 SEA OATS DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1500 ---------------- -------------- ------------------------------ ---------------- Application desc CONCRETE SLAB ONLY --------------------------------------------- ----------------------- -------- Owner Contractor ------------------------ - - ----------- ---- ------- THOMPSON OWNER 1836 SEA OATS DR ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 --- -- ------------ ----- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------- --------- - ----- - --- -- ---- ------ - - --- -------- ---------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1500 Expiration Date . . 8/11/08 -------------------------------------------- -------------------------------- Special Notes and Comments *EMAIL INSPECTION REQUESTS TO: BUILDING-DEPT@COAB.US *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. -------------------- ------ ------------- ------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---- ------ ------- --- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 40 . 00 40 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ri��JyrlJ; CITY OF ATLANTIC BEACH PERMIT BUHDING / ZONING DEPARTMENT APPLICATION # 000 Seminole Road �p 3=='-�x=•Y �r Atlantic Beach,Florida 32233 D� (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORD REQUIRED DEPT: N PLANNING Property Address° /(�v � A, O�5 D r � Y i�! BUILDING N PUBLIC WORKS AppReante ��l1/�� 0 Y N . PUBLIC UTILITIES Y N FIRE DEPT. Project: p'j) Y N PUBLIC SAFF Y U) -APPROVAL w v REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w W. Y N D.E.P HUFSTETLER ¢ D � Y N S.J.R.W.M- CARPER Lu _ Y N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP IEWED BY: INITIAL: DATE: ® ® 1 ST REV 0ILD N ING ® 1 ® J 2ND REV PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD s s CITY OF ATLANTIC BEACH OQ- �� I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 v OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF 62a�s v /5� E/ /`1 4.// 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: LOT 6/- 'a y7L 11 NEW BUILDING ! ❑.DEMOLITION RESIDENTIAL BLOCK 2,SUB DIVISION Se a7 l7C1✓/rtiyK t'�" I ❑ADDITION"''""" -❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION of WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: //,, A' �� A / r-I REPAIR i rl POOL /SPA ❑YF.; ❑NIA �1/,te,%ete fG 'lo f0,1- I-e P- UO 1167a,�e. ❑MOVE THER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15,COMPANY NAME 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.:��47 - 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: /-9(9-�b0 a�s'yv 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 7- Z 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: Q 71!0.'h)o 06216),11W- : Ld�vvt FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: %'q 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: �t Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has 7 Jy- 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 a�s 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. r 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 A nt owe f ttorney or Agency Letter Required) (Qualifier Only) Signed: / Date: z �4` Signed: Date: Before me this _day of a 2002in the county of Before me this day of 2007 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of 611 ae-,County of U va� Notary Public at Large,State of ,County of 1!otPersonally Known ❑Personally Known ❑Produced Identification- ❑Produced Identification- Notary Signature: r,. Notary Signature: My C0K4M1ISSI0N S DD495249 g -01RES:tvovu:tLcr 30,2'00 U<. � 1-0U>-3 VOTARY Fi.Nctary Uisw:ux As�-Co, COAB FORM BLDG01:REVISED:1/10/2008 i In.pervious Surface Calculations % Formula. Find square footage of the following: House footprint Driveway Z 4 All sidewalks/walkways l 3�' AJC pads ` Detached garage/sheds 5-`f Pool Decking Patios, terraces and/or decks Z z Z,7S_ Add the total square footage of the areas listed above then, divide the sum by the total lot area of the property. 2- 5/142007 2007 CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT l I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS 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 OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS_ THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW 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 BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER 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 OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT i COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. / - ADDRESS PHONE NUMBER PRINT NAME SC-/ SIGNATURE DATE Before me this 3—day of �.Vten 2009 the county of Duval,State of Florida,has personally appeaby himself/herself and affirms that all statements and declarations are true an``d Notary Publicat Large,State of County of D1nyLv\ L7 Personally Known ❑Produced Identification- `''�� •'�t'{'""-"�� r� � q`'TJ i1'.�1✓i.1 7 a N v COMI IISS,i I Nova.La SU 20N Notary Signature: w Fi.Notary D �w Co COAB FORM BLDG07;REVISED:91/4/2007 T ^stir; r - ��` x',v�,•A'J.'-'�.�-mss tF Impervious Surface Calculations % Formula Find square footage of the following: House footprint Driveway All sidewalks/walkways l 3 5� AIC pads Detached garage/sheds 5- Pool Decking Patios, terraces and/or decks 2 z z,7s_ �O70, Z S Add the total square footage of the areas listed above then, divide the sum by the total lot area of the property. zea fl a 5/14/2007 BOUNDARY SURVEY rjf 7�altil�d50`I of OT 6, BLOCK 2, SELVA MARINA UNH" NO.9 PLAT/D® 13001(_3 PAGES) `LO OF THE CURRENT PUBUC RECORDS OF T UV AL COUM FLORIDA O.R.V. 91 1 : PAGES 363-364 pti S 00024 31 E 9 1 AM' i 5 50.00' LOT 7 LOT 6 BLOCK Z 16.40' 18.50' .. ,• 0 0 o 0.f F7 E N N 18.80' O at1 20.20' 1.00 a W 1.00' Iri 3 b 1 -STORY FRAM E m Lq RES. NO. 1836 r U10 !n 4.30 o T` WC (D m N 12. 50' o El m Z CiARX3ZN WOOD L`! ai WEu_ `n DECK '2 ® 20.80' 17.80' 18.50' _ so Lq ♦ M M IL E CDd, - it N 00°02'41 ' W 91 .00' NOTE: BEARINGS BASED FROM THE EAST R/W SEA OATS DRIVE ( 60' R/W) LINE OF SEA OATS DRIVE N 00002'41' W CUM DATA: SURVEY ANNOTATIONS: PC_ —PACE A —DELTA E3 —FND. CONC. MONUMENT MO L0.) -NO 10£NTLFlCATON P.K. -PARKER KALON NAIL 0 -DECREE OF CURVE -SET CONC. MONUMENT) --X--X-- -CHAINLNK FENLE ADI P.O.H. -POINT OF BEGINNING R -RUS • -FNO. RCN PtPE/ROO- V2 '}N --+-t- -MRE FENCE P.O.C. -POINT OF COMMENCEMENT L -LENGTH OF ARC O -SET PON PPE OO —O—o- -WOOD FENCE-6 (RL) -RADIAL LINE C -LENGTH OF CHORD FNO. DRILL HOLE/CROSS --Cy—CV- -OVERHEAD CAB ENSION R.L.S. -REGISTERED LAND SURVEYOR CS -CHORD BENRINC + -SET DOLL HOLE/CROSS --E—E-- -OVfAHEAD ELECTRIC PW L R/W -RIGHT-CF-WAY T -LENGTH OF TANGENT • -RIO. P.K. NAS --T--T-- -4N3 4EAD TELEPHONE SERV. SAN. -SANITARY PC -POINT OF CURVATURE • -SET P.IL NAA. -POWER )(PFIOLE(WOODxOONC_) S.P. -SCREENED PORCH PI -POINT OF INTERSECTION _ 0. NAIL SET KM-4-ASK -BENCH M/IRiL+ELEVAT'ION T.B.M. -TEMPORARY BENCH MARK PT -POINT OF TANGENCY TRANS. -TRANSFORMER PCC -PONT OF COMPOUND CURVASuRr A -1710. TRAWERSE POINT -CONCRETE wo. -WOOD PRC -POINT OF REVERSE CURVATURZ ♦ -SET TRAVERSE POINT ® -ASPHALT W.M. -WATER METER PNT -POINT OF NON-TANCENCY ■ -FNO. R/W CONIC. MONUMENT BOUNDARY SURVEY .� of LOT 6 BLOCK 2 SELVA MARINA UNIT N0 .9 AS REOOROED W PLAT/DM BOOK-6 _PAGE(S) 20 of THE atRFExT PUSUC FtEcaRDS of ,TjUV R�- COUNTY, FLOMA O.R.V. 91 1 I, PAGES 363-364 a� S 00°24 3' E 91 .00' O7 i 50.00 LOT 7 LOT 5 I LOT 6 BLOCK Z 16.40' 18.50' 0 o c 0 1 o.f �' Ll pY 18.80' o L'1 20.20' 1.00 ! W I 1 -STORY FRAME QA RES. NO. 1836 Ln tn ,b qID 0► 4.30 812.50' o ❑ m 11 111 'o m In Z GARAGE cliW100D jl NWmWDBCK en O 20.80' 17.80' 18_50' — Q . c 0 .♦. �, o R 467.92' JL . w N 00°02'41 ' W 91 .00' NOTE: BEARINGS BASED FROM THE EA 1�j36 SEA OATS DRIVE ( 60' R/Yi ) LINE OF SEA OATS DRIVE N 00` CURPE DATA: SURM AMTIQTATIONS: -FIRE HYDRANT P6. -PAGE A -DELTA O -FNO. CONC MOZ.IME�i, .. (NO I.D.) -FOUND P K -PARKER KALAN NAIL D -DECREE OF CURVE -FUD. Et4ti PSET CONr_ wE �T'IZ --+--I -CARACE P.D$ -POINT OF fEWNMNC R -RADIUS —a-- -GUY MARE POG -POINT OF COMMENCEMENT L -LENGTH OF ARC O -ET IRON PPE 00 -HEAD WALL -RADIAL� C -LENGTH OF CHORD } -RNO. ORLL HOIE/CRO55 --CV— -LICENSE BUSINESS -fg'CSTERID LAND&MVEYOR CEI --CHORD ANG } -SET DRILL MiOLEj:R S --E-"E -FlELD MEASURED �...> M' -RICHT-OF-WAY T -LENGTH OF TANGENT -ENO. PX NAL --T--T. -MANHOLE -SAN. -SANITARY PC -POINT OF CURVATURE • -SET PJC NAA. fS -MONUMENT S.P. -SCREENED PORCH PI -POINT OF INTERSECTION © 'NO. NAI 9< OFFlCUL RECORD VC UME T.ELM. -TEMPORARY BENCH MARK PT -PONT OF TANGENCY -sET ttAC _PLAT TRANS. -TRANSFORMER PCC -PONT OF COMPOUND CJ4VATU IE A -filo. TRAV SE PONT -PERM. CONTROL PONT M0. -WOOD PRC -PONT OF REVIRSE CURVATURE A - T TRA4�R5'c PONT -PERK- REFERENCE POINT ILM. -WATER METER PNT -PONT OF NON-TA CE NCY 6 -fNO. R/W COYC. UOI`&MENT A ACCURATE TOPOLOGY RL C"TY ROMA INC . PROFESSIONAL SURVEYORS do MAPPERS, LAND PLANNERS 3838 SUNBEAM ROAD, SUITE E, JACESONVUIE, FL.32257 (804) sea-83ae / rAX 8Se-8997 LOT 7 'I HEREBY CERTDPY. That this map depicts the resnits of a field survey made under =yrespansi a direction and complies with the latent Minimum Technical 8taudards for as promulgated bgtha Florida Skate Hoard of Profs anal Surveyors and Mappers, Ater e1G17, F.larida Adm'lniatrative Coda: Pursuant to Section 472XV. Flaxida_8�it_.nteal Subject to all notes and notations shce?z harem=` O2 f0 - 05 _= � 02- 05 DATE FtEI D Tolm Cok—eLEM Y DATE HAP SIGNED nWRMAN B. MG 7 _*L,D. C TION Na 4424 to - If) NOTATION: This surrey do'ee sot constitute a title search by Surveyor and therefore the anderdgnmr mcke■ no certification regarding information shown or Sot shown hereonpartaining to easements, claims of easements, rights—cf—way, setback lines, r- overlaps, boundary line disputes, agreements, reservations, restrictive covenants, ownership title evidence, or any other 3 facts that an accurate and currant title search may disclosa. THIS SURVEY I9 PREPARED AND CERTIFIED FOR THE EXCLUSIVE USE OF THE CLIENT NAND HEREON AND IS NOT VALID UNLESS IT BEARS AN ORIGINAL SIGNATURE AND AN EMBOSSED SURVEYORS SEAL PREPARED AND CHRTIPISD FOR: !n 0 WILLIAM R_THOMPSON IV co CERTIIMD TO: ATLANTIC HOME MORTGAGE INTEGRITY TITLE & ESCROW SERVICES,CORPORATION OLD REPUBLIC NATIONAL TITLE INS.CO. PROD. No.: 0.5-052 SHEET 1 OF l SCALE: ; 2 0 F.B./PG(s): 62-1-11 DRAWN BY: CHECKED BY: -TbK. SEC. TWP. RNG. LINGS BASED FROM THE EAST R/W F.I.R.M. FLOOD ZONE: 11X OF SEA OATS DRIVE N 00002'41' W COMMUNITY PANEL No.:12©0-15-OOC>t Zj DATE OF F.I.R.M. INDEX: 0 ANNOTATIONS: BASE FLOOD ELEVATION: " L CONC. MONUMENT Mc LD.) -NO IDENTIFICATION CONQ MONUMENT I K--x-- -CHAnN LINK FENCE No. REVISION DATE "TRAVUSE RON PI00I2 O I.� --+--+-- –r/RE FENLE NktON PP£ O0--0– –WOODFENCE-6 DRILL HOLE/CROSS --CV—CV– –O ERHEAD CAHLEW90N DRILL HOLE063 --E—E-- –OVcAFNEAD ElECiRIC PMRP.K. NAE_ --T--T-- –OVERHEAD TELEPHONE SERV. PX NAIL it –POWER POLE (WOOD)(COW–) (NETALXFlEIE3NGLASS NA0. ISK �N -j'� � aN ARx+�vAnaN TRAVERSE POINT –CONCRETE POINT ® –ASPHALT L R/W CONC. MONUMENT CITY OF AT'LANT'IC BEACH PERMIT BUMD G/ZONING DEPARTMENT APPLICATION # TJ 800 Seminole Road O/ / -=• .x= • Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQUIRED DEPT: o�,,/ N PLANNING Property Address: f v JM D*rs © r z Y At BUILDING F- ORKS Applicant: �,� �07 UTILITIES Y N FIRE DEPT. Project: 6Y N PUBLIC SAFETY w APPROVAL vREQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: Z _� Y N D.E.P HUFSTETLER ¢� � Y N S.J.R.W.M. CARPER _ Y N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP IEWED BY: INITI : D ® 9 ST REV ® fn S,y { /j1 '11 L�8 6Aj� PLANNING C ® ® 2ND REV BUILDING , PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV t, FILE COPY RmQ-vvv-m fh;q fnz- u to the'Rxii1i inn Do? nr"ent.omee you have entered vour comments into the AS400. '" %.:,, CITY OF ATLANTIC BEACH 08- I I I F7 _ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I.. ! OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: 5i `� �t�,� 11 NEW BUILDING 1:1 DEMOLITION RESIDENTIAL LOT BLOCK%-.SUBDIVISION ` r6, Ir ❑ADDITION' 5 -❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: L ❑REPAIR ❑POOL/SPA ElYES ❑N/A ES ❑MOVE THER ❑NO PROPERTY OWNER: CONTRACTOR: Z42 ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: /53,6 sell �a5�s �y 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.:�� 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: Z� -s6o/ ro 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: Z el 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: �,sio a691 aL • �e,ti, FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: 44A ZZI9JO e0� Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has 3y- 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR If A nt owef ttomay or Agency Letter Required) (Qualifier Only) Signed: ate: Signed: Date: Before me this day of -�- 0 2001Rin the county of Before me this day of 2007 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. \ p true and accurate. Notary Public at Large,State of c��,County of L�u Va.t Notary Public at Large,State of ,County of Personally Known ❑Personally Known ❑Produced Identification- ❑Produced Identification- Notary Signature: Notary Signature: t ' � ivlY COMMISSION of DD495249 EXPIRES:Novel Ar 30,AKO op Fl.ha D.uamt Asi :Co o+.r{. .. • '+�.« ,. 'fit Ial►►I sVOTARY � ''Yt}Br�,".�a?Ww,.,�,lii1.,M►�r,y�i:i�an' COAB FORM BLDG01:REVISED:1/10/2008 FILE COPY CITY OF ATLANTIC BEACH a .. OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS 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 OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW 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 BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. Ii. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. Ill. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. /15 3� Sea ADDRESS �J PHONE NUMBER PRINT NAME �/ v S �J SIGNATURE 7DATE Before me this�day of �.ti .Zen the county of ' Duval,State of Florida,has person; appeared rin by himself I herself and affirms that all statements and declarations are true and a te. Notary Public at Large,State of ''Cl'L County of wtyGv\ FILE 13 Personalty Known ....- ❑Produced Identification- eY� 5.-gSNrj1iT ,r MY COMIv%ISSION 0 DD495249 FyPiREB:November 30,2009 Notary Signature: �� F7.NotaryDisco-tAsw-Co. I$G'Y3dOTARY U COAB FORM BLDG07;REVISED:1/14/2007 ,61`/f 7f(oM N J4�/5>r �6 s Impervious Surface Calculations % Formula Find square footage of the following: House footprint 2X04. .5_ Driveway All sidewalks/walkways !3 AJC pads q' Detached garage/sheds Pool Decking �+ _ Patios, terraces and/or decks 2 z z.7s 7zo76, zs Add the total square footage of the areas listed above then, divide the sum by the total lot area of the property. 2-?0 d y'Niskrti�.►Y+YiAki: a.';rn-�i•+••g6•�,W;ares•;;�x,�uw+.,u _ S'i�ma!Wrtarty"csi_L+Fu'L"f.!5'w'�viir� "�i':h."• ;j FILE COPY * '* ' '�L.k,UW_..:.i•..4Y�.�..r. rwar.�..e.:,....'.✓„1a:ra.•.��/'� CITY OF ATLANTIC BEACH PERMIT BUIELDING/ ZONING DEPARTMENT APPLICATION P 800 Seminole Road Atlantic Beach,Florida 32233 (904)247- 800 (904)247-5845 Fax vrww.coab.us \ PIC&APPLICATION TRACKING FORM REQUIRED DEPT: (� N PLANNING Property Address° d�i9 QA'i 5 D z z Y t� BUILDING N PUBLIC WORKS Applicant: 0 Y N . PUBLIC UTILITIES Y N FIRE DEPT. Project- dj') I Y N PUBLIC SAFETY W APPROVAL v REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: Z_� Y N D.E.P HUFSTETLER Q� Ito Y id S.J.R.W.M. CARPER Lu _ Y N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: L: DATE: ® 1 ST REVre ® / PLANNING BUILDING ® ® 2ND REV PU IC WO S PU LIC IE DEPT. PUBLIC SAFETY ® ® 3RD REV va . _ .n_•_ r,__—.__ i_ an__.lfH_.:_9.8_�...FT..........d ....a4,.........Q.a..ww 9scn..r-4---A suirnanv a-anaxnsn6 inft i77P71n thp.. ASA Nd N. CITY OF ATLANTIC BEACH OQ- "' 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 ��++ P�J .IvI OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 13.SQ.FT.UNDER ROOF 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: 11NEW BUILDING 11 DEMOLITION RESIDENTIAL LOT CJ BLOCK 2\SUB DIVISION Sr l`a1 ` r� -r ❑ADDITION' L'7 ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: El PcoA!R ❑POOL /SP.A ❑YFS 171N/A C-f:�i(L��L�t� f�l�lG� �(r^✓ ��G 3� C� �'I G��S'E� ❑MOVE OTHER ❑NO PROPERTY OWNER: CONTRACTOR: 4 1 ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 4, 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: /6)6 s1'6( deaVs Oi- 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX 1\10.2 47 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: Yy-ado/ �fyv 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 7_ /Z 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30,EMAIL ADDRESS: 0621 ) 41- , G�vt�t FLIE 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. IIf/certify that no work or installation has r3T y- 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 O�s 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. 1 will not occupy or use the referenced building or any part therof, until all inspections are fnaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. Nr 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,AAVnnt owe f ttorney or Agency Letter Required) (Qualifier Only) Signed: ' Date: Z Signed: Date: Before met _day of Oc 200ain the county of Before me this day of 2007 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of 011 CL'-,County of U V c.-, Notary Public at Large,State of ,County of Personally Known ❑Personally Known ❑Produced Identification- El Produced Identification- -- Notary Signature: Notary Signature: - t';��f'`I i�E�PORFF>:�NovO�DD49V2��9 2 18W3`NOTARY Fi.Nc,ar�U�aw;ux As:�;.i:o., �dG`�+k�u�t,f@5:4;1�."46'�dg+/CYl•,i'i+'6�'lfio COAB FORM BLDG01:REVISED:1/10/2008 �r Impervious Surface Calculations % Formula Find square footage of the Mowing: House footprint Z' 04. -')— Driveway Driveway Z 1�4 All sidewalks/walkways 7 5' A1C pads Detached garage/sheds ` Pool Decking Patios, terraces and/or decks Z z z.7L Add the total square footage of the areas listed above then, divide the sum by the total lot area of the property. 116 Ze?,9 5/14/2007 BOUNDARY S ,6111 of _OT 6 BLOCK 2 S ELVR MARINA UNIT NO-9 PUT/MM BOCK 2 PACES) `L 0 OF IM ANT PUBM RECORDS OF T)Q I AU caffn Fi_O�OA D.R.V: 911 1, PAGES 363-364 ati 8 00024 3' E 91 .00' v.7.' 50.00' LOT 7 LOT 6 BLOCK 2 16.40' 18.50' Q o.� N 04 18.80' N 20.20' .— 1.00 0 r W 1.00' 3 1-STORY FRAME Q► u0 RES. NO. 1836 L` o Lff Lf) o r QL QL 4.30'0,12.50' ❑ m 81 Z Ci�ff N WOOD N `n DECK � �. 20.80' � 17.80' 18.50' — V � 0 • � t[) N 00°02'41 ' W 91 .DO' NOTE: BEARINGS BASED FROM THE EAST R/W t. SEA OATH DRIVE ( 60' R/W) LINE OF SEA OATS DRIVE N 00002'41' W CUM DATA. -FWSuray %cg, i (No I.D.) -No IDENTIFICATION PG- -PAGE A -DELTA 13 -cam GOING M.^.iLUMENT / �t --K--X-- -CHAIN LINK FENCE P.N. -PARKER KALON NAIL D -DECREE CURVE : _FNO. RON PPE/.�CDS/'1,'Y� �.� __}-"'F---WIRE FENCE l P.O.E. -POINT OF BEGINNING R -RADIUS T -�CON PPE/RDD —D—o- -w000 FENCE-6 P.0.G -POINT OF COMMENCEMENT L -LENGTH OF ARC --Cy—CV CVERNEAD CAHIEWSCM FNM,DRILL H OSS C -LENGTH E CNG --E—E-- -OVERHEAD ELECTRIC PWL (RL) -RADIAL LINE -SEE CFmL HOLE OSS P.L.S. -REGISTERED 1�W0 SURVEYOR CFI -CHORD BEARING • -i?ND'.FX NAL --T--T-- -SAD TELEPHONE SERV. R/W -REGISTE F-WAY T -LENGTH OF TANGENT . r-SETP J -POWER POE(WOOD)(CCNC.) SAN. -SANITARY PC -POINT OF CURVATURE ...END NAIL ..:S< _(NETALFlBERGLASS) S.P. -SCREENED PORCH PI -POINT OF INTERSECTION SET C ARK+ElEVAT1CN T.B.Y. -TEMPORARY BENCH MAR)( PT -POINT OF TANGENCY TRA4?�Sc POINT -CONCRETE TRANS. -TRANSORMER PCC -POINT OF COIMFO D CURVAT4:3. ` -SET'.��POINT -ASPHALT vc -WOOD PRC -POINT OF REVERSE:-CURVATUP.F. g _FND.R/W CC{:C. UCNUMENT W.M. -WATER METER PNT -POINT OF NON-TANGENCY STOP WORK CITY OF ATLANTIC BEACH, FLORIDA JURISDICTION OFFICE OF BUILDING OFFICIAL NOTICE This building has been inspected and P General Construction ❑ Concrete, Masonry and Finish Cement Work ❑ Lathing ❑ Plastering ❑ Elevators ❑ Plumbing ❑ Mechanical Work ❑ Electric Wiring ❑ Gas Piping IS NOT ACCEPTED Please correct as noted below before any further work is done. — NOTE — February 23, 1978 Paul R. Steckla Date Inspector Do Not Remove This Notice DETACH and Bring this Portion of Card With You. Location: 1816 Sea Oats Drive, Atlantic Beach, Florida 32233 No Building Permit Date February 23, 1978 CITY OF ATLANTIC BEACH, FLORIDA JURISDICTION FORM 400.7 Paul R. Steckla INSPECTOR ® per jr .e`er►, r s /�s s Neu 800 SEMINOLE ROAD,ATLANTIC BEACH,FLORIDA 32233 FAX(904)247-5845 CITY OF ATLANTIC BEACH Fax To: Chris White From: Building Department(Robin Pundamiera) Fax: (904)280-7171 Pages: 4(including cover sheet) Phones (904)280-8060 Date: 12/2/2004 Re: 1836 Sea Oats Drive(04-27654) CC: N/A ❑Urgent Rl For Review ❑Please Comment ❑ Please Reply ❑Please Recycle • Comments: N/A CITY OF ATLANTIC BEACH IJ 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027654 Date 3/02/04 Property Address . . . . . . 1836 SEA OATS DR Tenant nbr, name . . . . . . ADD DEN/ENLARGE M.BATH Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 Owner Contractor _ ------------------------ LODESTAR CONSTRUCTION COMPANY SALLES-CUNHA, JENNIFER 1804 SEA OATS DR.VE 1257 W. 25TH ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32209 (904) 246-9187 (904) 703-2573 -- ------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc 65 . 00 Permit Fee 130 . 00 Plan Check Fee . Issue Date Valuation 20000 __ _ _ __ _ ------- Other Fees WATER IMPACT FEE 40 . 00 Fee summary Charged Paid Credited -- -Due -- ----------------- ---------- ---------- -- Permit Fee Total 130 . 00 130 . 00 . 00 . 00 Plan Check Total 65 . 00 65 . 00 . 00 . 00 Other Fee Total 40 . 00 40 . 00 . 00 . 00 Grand Total 235 . 00 235 . 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 WHICH ARE PART OF THIS PERMIT AND SUBJECT TO VOCATIION FOR VIOLATION ISSUED ION OF APPLICABLE ACCORDING ROV S ONS OF LAPPROVED PLANS BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD v ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027654 Date 8/02/04 Property Address . . . . . . 1836 SEA OATS DR Tenant nbr, name . . . . . . ADD DEN/ENLARGE M.BATH Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 Owner Contractor ------------------------ ------------------------ SALLES-CUNHA, JENNIFER ALL PHASE CONSTRUCTION CO INC 1804 SEA OATS DR.VE P.O. BOX 19775 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-9187 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . CHANGE OF CONTRACTOR ONLY Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . 7/30/04 Valuation . . . . 20000 Expiration Date 1/27/05 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. QU��ILING OFFICIAL CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION J (Alterations&Additions) Date: :71,2610 `1 Job Address: f SPS O Owner of Property: �'' y? V� 1 12 j Address: ( 2_ 5�� , Telephone: Legal Description: Block Number: Lot Number: Zoning District: Contractor: 4L( 0�� State License Number: C 2 O / Contractor Address: j n ��x (C! j- Telephone: 91VI y Fax: q C) D Describe proposed use and work to be done: �,� �.�,, ,.g Drs, —1t, T �n S 4?4 Present use of land or building(s): Valuation of proposed construction: What are the dimensions of the added space: feet x feet Will the added area be heated and cooled? New electrical or increase in service? Add plumbing fixtures? Add fireplace? Add heating/air conditioning? Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? ❑NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑ NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/04 \J 'Itl r �r CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: 6 e Job Address: CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS 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 OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW 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 BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$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"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TINJES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER 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 OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR- TELEPHONE ONTRACTORTELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. .+ Paula A RamnW _ mvz0mm=N# DQl9Iw Df w PROPERTY OWNETBUILDER AAard�1L lD01 . . eo�otan�rmvr��, SWORN TO AND SUBSCRIBED BEFORE ME THIS 2 4 RA-SY OF 20Q.Ll NOTARY PUBLIC MY COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. Jul 23 [14 03: 1.9p Citi of Atlantic, Beach Bu 904-2-47-5345 p. 3 III addition to cors',nn,tion and engineering detail, plans r.lust contain the folloveirg,information as appropriate for the type of work' being pufouiied. Scale of dtawings should be sufficient to depict all required information in a clear rnd 1ggi'v[C iu+Juiri. 1. Gi rent stay(} .howiny the property boundary with bearings and distances anti tho legal dcseription. 2. Location of all structures;temporary and p„rmincnt,including sc'ibacks,build'ng height,number of stories and square footage. Identify 2liq CXistilig:,truc:lar"bill'(tlsdS. 3. Ifrcquircd by tie Deprrtmeat of Public Works,a prc-construction topoenaphical survey. 4. Any significant environmental features,including any jurisdictional Nvetlands,CCO,natural Nvater bodies. S. Impervious Surface area calculations: include driveways, sldewati.s, patios and other Impervious Surfaces. Swimming pools aiay be excluded Froin total Impervious Surface. 6. Other informaLon ns may be appropriate for indiAdual applications. 1 liereby ccrti Cy the+t all infonxation.provide)wilh this applicat1w is correct. ks"i11 Date:ature ofovvne,: V I hereby certify Ont i have read and examined this application and know tho swrie to be laue and correct. All provisions of the laws and ordinwiccs govem'mg this type of work- will be complied with,wlic•thcr specified, herein or not. The grari6 -f a p,-rrnit does not presume to give authority to violate or cancel the provis-eris of any federal,state or local idle 2.reguiauv„a,vita:.11.......11 ..,.....j............, governing of construction or the p,.rformance of construction offlie properly. 1 understand that the issuance of this pennit is contingent upon above inforniatioii being true and correct and that this plans and supporting data have been or shall be providul as requitvd- '+ niticitureOfC-Qntr1 —] ,. „ tictor� Y!"_,-,_--___..------ _ Date:—/../,2L f~2.../o Addre:;s and cort'act int6rination of person to receive all correspondence regarding this application(please print). Nitric: Nlailin Addrea.; __ _� �-� -_ Teic;phonryt _.. ' t -�_ y lFax: 10�_.��9l ye I-Mail: AS TO OWNER: Sworn to and subscribed before me thisday of gip_ .: State of Florida.County of Daval Pavia,A!`=n6l Notary's Signature: ,- WYCOW=1ptd(1 Dmino emn March It 227 1-4etsonally knoom t3orm�TMauraont gtteC ❑ Produced ideritiiication 1'ype of identification produced AS*10 CONTRACTOR: S,born to and sail scribed before me thus. _ � day or___.__.. -• --- ----.—_.__ 2007. State of Florida,County of Duval Notary's Simature. -- kpAarA.QW4& !1 ( Personalty known Produced identification eam�h t� K Type of identification produced 800 Seminole Road •Atlantic Beach,Horida 32233-5445 Telephone: (904)247-5800 -Fax: (904)2471-5345 •htlp:llww�v.ci.alla,itie-bcac6.A.us �'JgC 1 Revised 1/04 5 MIN. RETURN NOTICE OF COMMENCEMENT PHONE # �2�—�_7J (PREPARE IN DUPLICATE) Permit No. 0�_l U S-j 2 �L (P S Tax Folio No. State ofl 0 `5 � IN County of To whom it may concern: m 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. Legal description of property being improved: �- LL AA A4L- 6, J N i I co r` Address of property being improved: 0 �C S t`I L ' General description of improvements: 00 " 0 ��t,CuCI I�1v�r5�GC^'L 4�q W Owner C��Ci %r SLI L OT- A- � 2 Address 1 �� 2o�C o� y'vd Owner's interest in site of the improvement Fee Simple Titleholder (if other than owner) N C Name Address Contractor /V� Address 1313 ��j �-S( 1'� ��SI as 2 - Phone No. Fax No. Surety (if any) n� Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address I Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name torAddress Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY O 11<�7t�l Signed: Date: �1 Before this day of � / v7L'iJ in the -- , Cou of Duval, State of Florida, has personally appeared ppyy pp Notary Public at Large, State of Florida, County of Duval Book:�1017V 0418 My commission expires: Page: 9316 Personally Known + or Filed 8 Recorded 04/01/22004 03:38:55 PM Produced Identification JIM FULLER CLERK CIRCUIT COURT DIANE WISE DUVAL COUNTY RECORDING S 1.00 Notary Public, State of Florida TRUST FUND $ My comm, exp. Feb. 16, 2008 Comm. No DD 201287 MEMORANDUM -3 2. 33 TO: CITY OF ATLANTIC BEACH >C - d'17- FROM: '17-FROM: RUSS GAMBILL DATE: 8-05-04 RE: ELECTRICAL PERMIT NUMBER 04000-27654 3SL-R �G PLEASE CANCEL THE ABOVE PERMIT. THE GENERAL CONTRACTOR WE WERE WORKING UNDER WAS TERMINATED BY THE OWNER. RUSSELL C. GAMBILL,VICE PRESIDENT ER-0010900 Jacksonville Office & Lighting Gallery 1931 Blanding Blvd.t Jacksonville, FL 322101 (904) 389-4413 t Fax: (904) 389-4643 Amelia Island Office & lighting Gallery: 12-A Amelia Village Circlet Amelia Island, FL 32035 t (904) 219-3549 Mailing Address: 1549 Royal Fern Janet Orange Park, Fl 32003 www.dinosaurelectri(.com t dinoelectric @aol.com . r t lv� CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 �fJJF31�� Application Number . . . . . 04-00028770 Date 8/02/04 Property Address . . . . . . 1836 SEA OATS DR Tenant nbr, name . . . . . . MOVE OUTLETS/RECESS CANS Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------ ------ ----------- ------------- SALLES--CUNHA, JENNIFER G C ENTERPRISE CONSTRUCTION 1836 SEA OATS DR 5214 KINGSBURY STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32205 (904) 683-6891 ---------------------- - ------------------------- ---------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . 7/30/04 Valuation . . . . 0 Expiration Date 1/27/05 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. .aj LDING OFFICIAL w S r�tl tJ� CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: Property Address: E.Pr Owner: Ski-i leS- Ltj t A _ Telephone #: Contractor: �� E"Q tS':& T, Telephone#: 73-6YAt Contractor Address: 6;�14�IAJ6 SKtJfV ST 1l�Ft't_5��5 Fax#: -551-13S(. 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. Building: Building Type: ❑ Trailer Service: 1f other construction is El New *S. Residence ❑ Temp. ❑ New being done on this building Or site,list the building V Old ❑ Commercial ❑ Signs ❑ Increase Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: O COPPER ALUMINUM Switch or / RACE -7�,� Breaker AMPS �`�fl PH W VOLT 2 l 0 WAYU/7G Existing Service RACE Size AMPS I50 PH ` W VOLT�� WAYU Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Q 30 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 APs ov>; Appliances Air H.P.RATING H.P. KW-HEAT={- 1 S Conditioning COMP. MOTOR OTI Motors 0-1 H.P. VOL PHS UNDER600 V Transformers NO. KVA No.Neon_Transf. Ea. Si �4 � , U ( C� SMiscellaneous Y JT 0 Seminole Road•Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us JIJL-22-2004 15:49 From:SANDCASTLE REALESTAE 9042856988 To:5516052 P.2/2 EC2ciVEL CIT`! Cr ATLANTIC BEACH BLJIL DING :� �oDvNG July 22, 2004 JUL 2 9 2004 i TO: City of Atlantic Beach Attcntion Building Dcpartment BY' 247-5826, FAX 247-5845 FROM. Jack Morgan Com.panies d/h/a/ Lodestar C:onstniction 703-2573, .551-6044, FAX 551-6052 As of July 22, 2004, please be advised that Jack Morgan Companies d/b/a/Lodestar Construction will no longer be the building contractor lur 1836 Sea OaU, Atlantic- Beach, Florida. Please cancel my lxrmit datui March 2, 2004 #0427654. &2- ck Mol Da c Z .. 07/22/2004 05:15 5516052 JACK MORGAN CONST PAGE 01 JUL-22-2004 15:49 From:SRNDCRSTLE REALESTRE 9042856988 Tc:5516052 P•2'2 fuly 22. 2004 TO. City of Atlantic Beach Attention suikling Department 247-5826.rAX 247-5845 FROM: Jack Morgtu2 Cum.punies d/h/a/ Lodestar Construction 703-2573, 551-6044.TAX 551-6052 As oriuly 22, 2004, please be advised that Jack Morgan Compn.n.i.ea d/b/a/Lode'tar Construction will no longer be the building contractor tur 1836 Sea Oats,Atlantic Beach, Florida. 111easc cancxi my permit JeW March 2, 2004 #0427654. Is Z 0 k c►rga c !J (-7/ R E 0 E I V E 0 l CIN OF ATLANTIC BEACH i BUILDING & ZON NG JUL 2 2 2004 LB : CITY OF ATLANTIC BEACHSS / 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 r C/ hlt yr r s INSPECTION PHONE LINE 247-5826 Application Number . . . 04-00027654 Date 6/30/04 Property Address . . . . . . 1836 SEA OATS DR Tenant nbr, name . . . . ADD DEN/ENLARGE M.BATH Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 Owner Contractor - ------------------------ ---------- ---- --------- SALLES-CUNHA, JENNIFER LODESTAR CONSTRUCTION COMPANY 1804 SEA OATS DR.VE 1257 W. 25TH ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32209 (904) 246-9187 (904) 703-2573 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc MISC. RECEPT & OUTLETS 4Q Sub Contractor DINOSAUR ELECTRIC INC . Permit Fee 70 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ------ Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING FFICIAL r f CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: Z eD Property Address: oe Owner: nn�¢.. --� G�/L �'�' Telephone#: 1 , Contractor: v' Telephone #: Contractor Address: �. Fax#: In consideration of permit give for oing th wor as des ed the a ve 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. Building: Building Type: ❑ Trailer Service:❑ New b other construction is '� being done on this building ft New i* Residence El Temp. Or site,list the building Old ❑ Commercial ❑ Signs ❑ Increase P t number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair — 7 (o S4 Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WA Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0 30 AMPS 'I I I Q0 AMPS 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 OVER60011 Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sign Miscellaneous 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us j y1r`I j-1l� CITY OF ATLANTIC BEACH j IJ 800 SEMINOLE ROAD - ATLANTIC BEACH, FLORIDA 32233 v INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028672 Date 7/15/04 Property Address . . . . . . 1836 SEA OATS DR Tenant nbr, name . . . . . . REPIPE 6 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- SALLES-CUNHA, JENNIFER ANDERSON PLUMBING 1836 SEA OATS DR 1540 HOWARD ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32218 (904) 757-3413 -------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . . 00 Permit Fee . . . . 77 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited ----Due--- ----- ---------- ---------- Permit Fee Total 77 . 00 77 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 77 . 00 77 . 00 . 00 . 00 r PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICI L turf CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION r � Date: - D4 Property Address: ��J� `� ��`�S Dr Owner._ ef- -i ��e-r Ge1 J� sy'�V),, Telephone#: nn Contractor: 1�� Telephone#• H�e�SC�r� �� Contractor Address: 'Fag#• 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. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. PlumbingType: If other construction is being done on this building or site, yP ti New list the building permit 17( St I Re-Pipe I Number of Fixtures: I Bath Tubs Showers I Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Waste Mace Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)24745800• Fax: (904)247-5845• http://www.ci.atiantic-beach.fl.us Jul 15 04 12: 10a JD Vaughn a Sons 904 641 -0884 P. 2 J.D. VAUGHN & SONS PLUMBING, INC. 2822 Huffman Blvd. Jacksonville, FL 32246-4030 904-641-0833 Fax 904-641-0884 K ' July 15, 2004 City of Atlantic Beach Permiting Department RF: Release of Permit #28250 1836 Sea Oats Drive To Whom It May Concern: Please release the Plumbing Permit #28250 for 1836 Sea Oats Drive, as we are not going to be doing any more work at this address. Thank you, A D. Vaughn President CFC033870 Ju1 ,15 04 12: 10a JD Vaughn & Sons 904 641 -0884 P. 1 FACSIMILE COVER SHEET TO Jennifer COMPANY City of Atlantic Beach FAX # 247.5845 FROM Syd COMPANY J.D. VAUGHN & SONS PLUMBING, INC. PHONE (904) 641-0833 or 641-0879 FAX (904) 641-0884 DATE 7115104 PAGES INCLUDING COVER SHEET: 2 RE: Release of Permit VtteA 4- • -Aj\J' J11� - i Yom►' ,S rS r'J� y CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . 04-00028250 Date 5/10/04 Property Address . . . . . . 1836 SEA OATS DR Tenant nbr, name . . . . . . RE-PIPE 14 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SALLES-CUNHA, JENNIFER J.D. VAUGHN & SONS PLUMBING 1836 SEA OATS DRIVE 2822 HUFFMAN BLVD. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 641-0833 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 133 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 133 . 00 133 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 133 . 00 133 . 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 WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. '! r ( > 1"k BUILDINOFFICIAL y'1e�1 CITY OF ATLANTIC BEACH J PLUMBING PERMIT APPLICATION Date: � Job Address: lt3 LO Se.L3�• o a�C5 br;ve. Q1-}-0000D,164 Owner of Property: -Cc,c,� Telephone: Plumbing Contractor: � ' s `Y)G Contractor's Address: e;N ZZ r1 W ' 3ZZ Telephone: ,V T I� V O J Fax: q0q 6v) – o n'T State License Number: How many of the following fixtures (re-piped or new): _Sinks Showers (—Water _Lavatory Water Heaters S- Hose Bib Bathtubs Dishwashers Sewer Urinals Disposals Other _Closets Washing Machine Shower Pans Floor Drains Re-Pipe (List fixtures being re-piped) Total Fixtures:x $7.00 + $35.00 = (Minimum Permit Fee: $35.00) Signature of Contractor: j Installation of plumbing drid fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904) 247-5826 800 Seminole Road• Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Revised 1/14/03 CITY OF ATLANTIC BEACH F �� BUILDING / ZONING DEPARTMENT L.H' insherr sJ 800 Seminole Road s� Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENT Permit Application # bA- Ov Property Address: I (ps ac. Applicant: �i)E rojectT TD0.�. 1 �iJC t'c- Q�-� • ��^C�- his rmit application has been: r 2'G� ed a th 11 win items need attention: Review g W v ,2- -IJ 0' 1 1'44 00 ye" 1 Please re-submit your application when these items have bek Date: Reviewed By: _ WATER IMPACT FEE WORKSHEET ADDRESS: DRAINAGE FIXTURE UNIT FIXTURE URE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers,commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower 6 Bathtub (with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 Drinking fountain/Icemaker 'YZ Floor drains 2 Hose bib 1 Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory 1 Shower compartment, domestic 2 Sink ( 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple)each set of faucets 2 Water closet,flushometer tank, public or private 4 Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS= ;4 MULTIPLIED X 20 TOTAL$ FRCEIV DFATLANTrCMACH LDING) ,&ZON NG EB 0 4 2004 CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION { (ALTERATIONS/ADDITIONS) ia .o yl Date: Job Address: (�3 lP SE�` O A l e. D2\,rte A!t"A-tJ j(�- (�,, G- �r,� Owner of Property: \)etj n1 jr-C'ti S A L U c 5 - �-`� '.'N K- r-,p + \ �'�'�/ -Oq 03 Address: WL `� 1_�`(1�C_14- Telephone: Legal Description: Block ff Number: 2 Lot Number: (O Zoning District: Contractor: c,I L o s l A-4- State License Number: Contractor's Address: At Telephone: 5 S I Lt o`14 Fax: ©�2 Describe proposed use and work to be done: A 7 O ty C, C-w 1-15 C—x LS7`'K I riL A.Z_C, k or., MoS-Iert &,-wRAo-\ Present use of land or building(s): C-t, "%•4z- Valuation of proposed construction: 2 v I o o - v i What are the dimensions of the added space: Z.y feet x fe feet l� Will the added area be heated and cooled? ES New electrical or increase in service? �D Add plumbing fixtures? _ Add fireplace? IsAdd heating/air conditioning? lib Is approval of Homeowner's Association or other private entity required? I. O_If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? R1 NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. JONO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required (If not required,written verification must be provided with this application.) The Department of Public Works is located at:1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 1 Telephone: (904)247-5800 • Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.us Revised 1/14/03 HP OfficeJet K Series K80 Log for Persoriai Printer/Fax/Copier/Scanner Information Systems 247-5845 Feb 25 2004 10:06-am Last Transaction Date Time .1_v Identification Duration Pages Kesult Feb 25 10:04am Fax Sent 95516052 2:13 2 OK In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owner: — Date: c�— I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractoremation Date: Address and contact of person to receive all correspQndence regarding this application(please print). Name: Mailing Address: Telephone: —70"> 2 513 Fax: :S( 4 O Z. E-Mail: AS TO OWNER: Sworn to and subscribed before me this L4 0, day of F > 2021 State of untv of Duval , �. JENNIFER SCHLUETER Notary's Signature: *; MY COMMISSION#DD 121301 x' 'a= EXPIRES:May 27,2006 bonded Thru Notary Public U, ,,,rders ❑ Personally known KI-Produced identification �y Type of identification produced 15 Z�� Z"� �'� �� _ AS TO CONTRACTOR: Sworn to and subscribed before me this 14 _day of 2 State of Florida,County of Duval Notary's Signature: VV V f JENNIFER13CHLUETER ❑ P sonally kno M t Y COMMISSION#DD 121301 [_ rroduced identification cr / _ c �r� _i_ EXPIRES:May 27,20l>6 Type of identification produced gor,dad Thru Notary��Undq writers 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 • Fax: (904)247-5845 http://www.ci.atiantic-beach.fl.us Revised 1/14/03 Page 2 Cc: �syLy� CITY OF ATLANTIC BEACH e—Q-- Eara , L. Higgins J� s� BUILDING / ZONING DEPARTMENT oerr 800 Seminole Road J Vr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # O 4— Z74c,5A Property Address: 8-3(.. "�EJN' Applicant: DE.2-''Ip�ct2.. C t..r>-m Cr, Project: A D TI-) This per it application has been: Approved Reviewed and the following items need attention: Please re-subrryour applicatio when these items have been completed. Reviewed,$'y: Date: FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OB-01 Residential Component Prescriptive Method B NORTH 1 Compliance with Method B Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600B 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 efficiency prescriptives in any one of the prescriptive component packages and comply with the prescriptive measures listed in Table 613-1 of this form.An alternative method is provided for additions of 600 square feet or less by use of Form 6000 If a building does not comply with this method,it may still comply under other sections in Chapter 6 of the Code. PROJECT NAME: `76 IN- 0 A 5 n BUILDER: �- AND ADDRESS: i '� 5t!�ev PERMITTING CLIMATE OFFICE: ZONE: 1 2 ❑3 OWNER: "SALl-�� _ G,1��;J PERMIT N0. JURISDICTION NO.: -)�-,J0 l t-64_ GENERAL DIRECTIONS 1.New construction including additions which incorporates any of the following features cannot comply using this method.steel sud walls,single assembly roof/ceiling construction,or skylights or other non-vertical roof glass. 2 Choose one of the component packages"A"through"E"fromTable 68-1 by which you intend 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 68-1 with the information requested.AII'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 613-2 and check each box to indicate your intent to comply with all applicable items. 6 Read,sign and date the"Prepared By'certification statement at the bottom of page 1.The owner or owner's agent must also sign and date the form. Please Print CK 1. Compliance package chosen(A-F) 1- 2. New construction or addition _ --T-- 3. Single family detached or Multifamily attached V is G 3• `�' 4. If Multifamily-No. of units covered by this submission N; 4. J 5. Is this a worst case? (yes/no) 5• 6. Conditioned floor area (sq. ft.) 2004 6" 7- 7. Predominant eave overhang (ft.) j 7• - ./�7-- 8. Glass type and area : Single Pane Double Pane a. Clear glass t 8a. sq.ft. 3 V sq.ft. IBY �- 8b. sq. ft. sq. ft. b. Tint,film or solar screen _ 9. Percentage of glass to floor area 9- 10. Floor type, area or perimeter, and insulation: a. Slab on grade (R-value) 10a. R= (' lin.ft. b. Wood, raised (R-value) 10b. R= sq•ft c. Wood, common (R-value) 10c. R= sq.ft. d. Concrete, raised (R-value) 10d. R= sq.ft. e. Concrete, common (R-value) 10e. R= sq.ft. 11. Wall type, area and insulation: a. Exterior: 1. Masonry(Insulation R-value) 11a-1 R= sq.ft. 2. Wood frame (Insulation R-value) 11a-2 R= � sq.ft. b. Adjacent: 1. Masonry (Insulation R-value) 11b-1 R= I / `�J sq.ft. 2. Wood frame (Insulation R-value) 11b-2 R= sq.ft. 12. Ceiling type, area and insulation: a. Under attic (Insulation R-value) 12a. R= 7 z� sq.ft. b. Single assembly (Insulation R-value) 12b. R= sq.ft. 13. Air Distribution System: Duct insulation,location 13• R= Test report (attach if required) 14a. Type: 14. Cooling system 14b. SEER/EER: �- L (Types:central,room unit,package terminal A.C.,gas,none) 14c. Capacity: 15. Heating system: 15a. Type: (Types:heat pump,elec.strip,nat.gas,L.P.gas,gas h.p.,room or PTHC,none) 15b. HSPF/COP/AFUE: 15c. Capacity: 16. Hot water system: 16a. Type: ) -- (Types:elec.,nat.gas,L.P.gas,solar,heat rec-,ded.heat pump,other,none) 16b. EF: - Review of plans and specifications covered by this calculation indicates compliance with I hereby certify that the or and spec ications ov red by the calculation are in compliance with the the Florida Energy Code Before construction is completed,this building will be inspected Florida Energy Code �r/ �� for compliance in accordance ith Section 553 908,F.S. PREPARED By: DATE ..__._`_[ ----------- BUILDING OFFICIAL: hereby certify th s building,as esi is' lance with the Florida Energy Code. �� L _---- DATE: 2 O DATE:_ .- _/1_ •Z-Z ------ ------_..__.- OWNERAGE _-- - 13.195 FLORIDA BUILDI ODE-BUILDING 01/22/2004 12:45 5516052 JACK MORGAN CONST PAGE 01 imc JACK MORGAN COMPANIES C00059825 d/b/a LODESTAR CONSTRUCTION OESIGNING YOUR FUTURE,BUILDING YOUR DREAMS 1336 NWRTLE AVE.NORTH JACK$ONVTLLE,FL32209 904 703 2573 January 22, 2004 PROPOSAL For Jennifer 5alles-Cunha Re: 1836 Sea Oats Drive,Atlantlie Bench,Fla. Scope of Work: Construct additions to the Glen and master bedroom, and interior alterations,according to the plans at the above referenced address Jack Morgan Companies, d/b/a Lodestar Construction will furnish labor and materials to perform the following: Constrict a 111 sq. ft. addition to the master bedroom,according to the plans. Construct a 330 sq. ft. addition to the family room according to the plans. Raise the living mom floor to a height of 8"below the main.floor. place bead board and chair rail in the kitchen,nook, and hall, Place crown molding in the master bedroom and public areas. Replace 2 front windows with French doors. Replace dining room door with matching door to rest of house. Replace front bedroom window. Replace railings on front deck with columns. Replace shutters on front of house Coat: $321500.00 Additional cost.. Re-roof main house (architectural shingles only) $ 4,500.00 Re-pipe main house w/pvc-cpvc, $ 2,800.00 PSR-3844 14279 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - - PERMIT INFORMATION ------ LOCATION INFORMATION ---- Permit Number: 14279 kddress : 1535 SEA OATS DRIVE Permit Type:REMODELING ATLANTIS" BEACH , FLORIDA lass of Work:REPAIR --------- LEGAL DESCRIPTION --------- Constr . Type:W00D FRAME Block: Lot : Twp: Proposed Use: Section: 0 Subd:O Rna : Dwellings : 1 Subdivision: Est . Value: 0 . 04 Improv . Cost : 350 .00 Total Fees : 25 , 00 Amount Paid: 25 .00 n- �„ c3��i• 7 t� 1 il�o� anprORN TEY-' ._ REPAIR . PAINTING OWNER INFORMATION -- --- -------- APPLICATION FEES --------- Name : JAMES MCLAUGHLTN PERMIT 25 0{ Addr - 1930 SEA OATS DRIVE ATLANTIC BEA"H FLORIDA 32233 Phone: 00C' }OOn_nn0r ------ CONTRACTOR INFORMATION --- - Name : THE MPNGE c---IRPORATION Addr : 5400 VERNA BLVD . , #1 JACKSONVILLE . FLORIDA 32205 Lic : C'CC041352 Exp: / Tyne.• 1 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 ME IMPROVEMENTSLIEN LAW CAN RESULTi5 THE PROPERTY OWNER PAYING TWICE FOR BUILDING ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION N �FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. r, Date. 01 CHECKS ^ 1683 00100003221000 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) Address: // G � ,45t, 4 • Phone: Lot # Block or Unit # Subdivision: Contractor: o? "e5-i� (!�Imp, State License # CiSc 6 z1,??&C q / Address:��!!JD //�z/t/�- pyi�c,l l/11i(_� 3�P one No �7fi— Describe work to be done: U/w/&*, ` r CC! Present use of building: Valuation of Proposed Construction: Proposed use Is this an addition? A16 _ If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? Alb New plumbing fixtures?-AL New fireplace? New Heat/AC? _ SU&MIT TMR= (COMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF CoM-fE 7C M=, AND OWNER/CONTRACTOR VIT, IF OWNER IS CONTRACTOR. Signature OWNE Date: Signature CONTRACT Date: 7 r ?�;,-- License Suppli d: 1 C-e)C d `4 C3 7 Liability Insurance: Worker's Compensation Insurance:j.// BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, ill, and IV. LOCATION Street Address: ,/ ,,� OF Intersecting Streets: Between__ poy {_ ( r(o r E And ��h �' ` e–t— BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants , 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 attach9d plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good.proctice listed therein. Name of Mechanical Contractors Contractor (Print) f/ I r r Y s Master 1 f Name of Property Owner Signature of Owner Signature of or Authorized Agent A6L�i/ / Architect or Engineer III• GENERAL INFORMA7f6N AType of heating fuel: B. H4ctric IS OTHER CONSTRUCTION BEINGp0� ON THIS BUILDING OR SITE4 O Gas—❑ LP [3 Natural C1 Central Utility — ❑ Oil IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed .-O Centrel O Floor ❑ New Building /Air Conditioning: ❑ Room _O—Centnl /2Existing Building ❑ Duct System: Material Thickness .Replacement of existing system Maximum capacity c{m ❑ New Installation(No system previously installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ [I Cooling tower. Capacity y•p.m. Other — Specify ❑ Fin sprinklers: Number of heads ❑ Elevator ❑ Manlift ❑ Escalator (number) ❑ Gasoline pum si (number) THIS SPACE FOR OFFICE USE ONLY ( ) ❑ Tonic (number) Remarks ❑ LPG contains K (number) ❑ Unfired pressure vessel ❑ Boilers Permit Approved by Dat• ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Ciapa sA re _ 'Pons) cy HEATING - FURNACES, BOILERS, FIREPLACES y Approving Number Units Deecrition Model Number Manufacturer CM aci) Agcwy� IQ I C Y Af TANKS Row Many Nominal Capactity TYPO L4uid Name Of Serial Approving and Dimansiovi Contained Manufacturer No. Agency r CITY OF ATLANTIC BEACH PERMIT APPLICATION R&HODEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS Owner(s) : &IX141AIc- Address: Phone: Lot # Block or Unit # Subdivision: r Contractor: State License # ,1 Address: (0 00 ��/.�'J �i�Gd�!!y 14`14 Phone No: /�G% Cit State 14i1 Geld Zip Code2zz Describe work to be done: Present use of building: ,/ Valuation of Proposed Construction: 7` C 1,22 Proposed use: Is this an addition? // If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT TTIREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature 0 R: L/ Date://,O- Signature CONTRACTOR: Date: (� Sworn to and subscribed before me this e- d of 19� RECEIVEDNOTARY PUBLIC STATE OF FLORIDA AT LARGE '�` P`�' a�' Off 2 8 1997 _�: .: MY COMMISSION H CC553881 EXPIRES Clt August 27,2000 y of Atlantic Beach BONDEDTHRUMYFAININSURANCE,INC Building and Zoning PSR-3844 15478 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------- LOCATION INFORMATION Permit Number : 15478 Address : 1836 SEA OATS DRIVE Permit Type : REMODELING ATLANTIC BEACH . FLORIDA 32233 Class of Work :REMODEL -------- - LEGAL DESCRIPTION ---------- Constr . Type:WOOD FRAME Block- Lot : Twp* Proposed Use: Section: 0 Subd .,O Rng : Dwellings - 1 Subdivision: Est . Value : 0 . 00 Improv . Cost ! 7748 . 00 Total Fees : 25 . 00 Amount Paid: 25 .00 1 17Z(I work AGE DOOR OWNER INFORMATION ---- -- - APPLICATION FEES --------- F Name : JAMES MCP LAUGHLIN �RMTT 25 . 00 - -Ir - 1936 SEA `'AT-S DRIVE ATLANTIC PEACH , FLORIDA 42 w -INTFAC -R INFORMATION'T C1 )RMATION -Name: OVERHEAD DOOR COMPANY OF JAX Addr : 6?84 PHILLIPS PARKWAY DRIVE N JACKSONVILLE , FLORIDA 32256 L-i - : OCCUPATIONAL Exp : NOTES: 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 MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.8014 patp. igipw,47 01 14 CASH 00100003221000 ATLANTI-'-EACH BUJLDINGIPA MENT BY: I-Aoons- F T OF BUILDING 3539 TIC BEACH, FLORIDA PERMIT NO.TO BUILD T BE POSTED ON JOB te 11/21 19 Valuation$ 33.000 _ Fee $ 94.00 This permit not valid until above fee has been paid to City Treasurer, and is anbjeet to revocation for violation of applicable provisions of law. This is to certify that Al Torek _g I I has permission to build a re Classificatio S/F D�nte> > na zone Owned by 2 S/D Lot Block House No. 1 R�Fi e�� i Terri 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 0 Building material, rubbish and debris --� z from this work must not be placed in public space, and must be cleared up and hauled away by either contractor or owner. mldin`Of8eial. FOR OFFICE PERMIT DATE CONTRACTOR • r USE ONLY NUMBER I ftvst�llG�T� t , av inn iat3 ` PLUMBING 0CpRnS ELECTRICAL {•i d I SEWER F WATER i i FOR OFFICE USE ONLY 7 Date.,, ------7 -----197... Do Permit ............... CITY OF ATLANTIC BEACH Valuation 0.. ................. FLORIDA House .................................... -------- -7a --- APPLICATION FOR BUILDING PERMIT .........lgae------Z. ---------------------------------------------------------------------------- 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. rPate--------f 4��19,-7-7 ------ 64 SY--- --- --------- ------------------------------- ---------------------.--Addres ----- --1-----------------Telephone No.,,;?,;(Y- ..... Architect-AV .............. &------ --------Telephone No..2 -7 ...........................Addres ...... ............ Do -----Teloehone No.,264 Contractor Builder,_1009t------ - ;_�_----I ---------------------Address---- - ---- ---- ...Zone-_------------- Lot No.-------LD.......------------------I----------- 4-_------------------Sub Divisio I.J#4----M&A ....... -----------------------Street---- ---------- ---------Side Between . -1 '#v1.1!L----------------and-------- --------------------�Sts' -r_7*_.,.'."L--------- Valuation ---For what purpose will building be used._.. Type of construction____ of Building-----------------------------------Dimensions of Lot- ----------------------------------------------Size of Footings-------------------_-------------- Size of Piers------ ----------------- -----Size of Sills- -----Greatest Sill Span in ft.----------------------- Type Roof ------------------------ _ ----6 How will Building be Heated?ARe4%*r-------------- ...........---Will Building be on Solid or Filled Ground?.-`----�q-------------------------- =( 100- C ?I -------------- Distance on Centers- ....... ------------.-, Greatest Span__._-----_-.-__-__.__._-----_.__-.--__-.---- Size of Ceiling Joists ----- Size of Floor Joists----------------------------------------------- Distance on Centers_. ._ -- - ------------------------------ Greatest Span------.------------------------------------- if Size of Rafters -------------------------------------------------- Distance on Centers ..... ... -- ------------------------- Greatest Span-------------------_--------------------- 19 This rectangle is to represent the lot. APPROVED Locate the building or buildings in the CITY OF ATLANTIC BENH right position. Give distance in feet from all lot-lines and existing buildings. P-WLOING OFFICL REAR LOT LINE Two copies of plans and specifications shall NOV 17 1977 be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. B,j 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. Ho F, 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. P 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 givenfor dAng the work as described in the above statement, we hereby agree to per?Nrm said work in accordance h thv-,qta6 hed ns and specifications, which are a part hereof, and in accordance Inith the 66iding regulations of the Ci L1At1an1Jc______e ch 9-164---- -------------- ----------- .......... ....... .. ... ..-.Signature Signature of Builder--.... - ------------ ------- Address--_ --------------- 4 Signature of Owner--- ------------1.V.. ---- --- --&i--------------- Address.-q?---- ----104 ............................. r&i- Cr" OF ATTANCTC- SFACM 716 MW4 BOULEVARD W%)D1UWVM 'W BUILDING PIA14 2. That ;&ttAk!heui pltfoy the .4ki-Z-A,", buildtnq, :to approved s4b, joct to Meet!M tht! R011.0wiMi i:*.onstruction requirements-, 1014411. bO manolithic cnncrete under exte.rior walls. reinforced w1th two, 5/6' doformed reinforcina rods .-Fnr onv-story buildi.7y4a and three 5/81' defr;rmamd reinforcinq :rods for tw4r,--jNtory buildinqn , Reinforcing rods tw-- ril,ftcod in the lower 0-ne-th)-d -nt the foot-rqs, pr4-.perly placed and -Eastea.*. 1 c%n metal. siaddles with w.-i r*-. Footings r,holl be six indhes wider nn each qj(,Jz_ t,,,Ibn aj, the w;�j*I ve, _-Oha 1.1 he at 3keas t e �), h t inches th 1 ck. acid shall r.�zil.l.. *n 'Eirm _0.1 at leat tv-elve- inchsfA helow undlvite b. 21--n- hollow imasonry unit c-ons -ruction. each -tit ,:"$.Aj she 1 is da reir,fore.,ed with at least one no,5bar at atl an,d tamped writh concrete; arch reinfar,Anq ishrJ1 L*i prolverl,1" -il-Aed itito the footing and apandral bearm. C. —Ali-Al w(-wx1 trumv rafters Iroof *-.1-s11J be secttrely fastenM to the exterior wlk a "s with aPP- rovo�d. e anchors . or clip'l U d, Ccnstruction of neArby rano-fwnills, dwellivi-v., which &re dUPlicAteg cr lt;t.ensely simALlar, shall be avoided,. Such stwilarity cons dere the external confiqu..rotion and appearance U ,e- , roof, outer way.?. mat,.,.Nrials, window oixe and doxign. rond -)thar like clWr&�terj sties) of stn.,-rJ.-,_ireV, In accord with thp. f!or,-,Woinq air-ilar or Tkomes -qhaLl not be Constructed within proximit. and sha 11 y of each othe� be at least !a00 feet apart if- an, one nimilAr dweLljr.-q is visible frovi anV other. 9-1-milar dwellinti. Sewer service c!r.-)°rnee-tions must: be probed wlth clean-out roar in the presence of a city j.nxYpectc.?z. f. The final connect,jan kietwevq the r,1v d.rain ar+d the sewer service cannoction fat the property JAn'-0 Arist. be, inspected by the City heinq City Manager The undersigned hereby certified that he has read o`hta above and understands that this adde*ndum talkes prece-dence ATly cortrary details to the plans and aod aq C v with the intent of this addendum. LY C17Y OF AILAN"V BEACH AM 1 TI(A @ S "StSW 11 I:L*ft 3 4 T aE... .. INATM Qff-I D AT Yms tcoLL0U1 NG AWRMS F 1 .�.... 'tkl T(S). aim m com OF —Lg. I-d tvtt . SUM W. Ltd 6 .ocr, 2 SUBDIVIS1C1 SM#9 GOV _WSM P LUAM ore. Inc:,. 40 acean Blvd. , Atlantic Beach, FL K%I LI NC ADOMS WE METER NO. 2G 2 3 2�Z / -_ O�A't'E 1 AIS3ALLED CO TIS OF AR"° Co BEA04 WATER CONNECTO ON yI17 LOCATI ON owwL .mI ND FIN#_.._ / - -G am Lm CR oww ►OIC,_,__ TYPE OF BUI LD1 NG Z- BAMON MW CONSI STI Nis OF SHOWER STALL, DOMESTIC (2 UNITS) WA'gt CLOUT, LAVATORY A BATHTUB Olt 0101 R STALL t6 UNIT'S? _.r._-31471M (=W) PER HM 0 UNO t BAlWW MI TH OR WI TMOW OVER _-StIRBFO l., S O w 0 tNNO TSfi MID fit) (2 INi8TS) .,r. jtUS141 O RIM SOW (!) tNl TS) -511XT (3 UNITS) itoE SOW-TW STAND (3 UNITS" .:_. -OWIN&TION SINK a i(AAY o tRiITS) cowi mi Tl Olt Sow * 'TRAY If/F ®0 SP�6�%, _ SIIR�IIC)E SINK-P TRS U IMITS) URI* (4 UNITS) „_,_PORT, SOtALEW'S)-A1C (N UNOTS) OE`tWAL tN11 T OR CiNP10O1t Q,i' UT) UR TIAL, PEElE�TAL, SWHON JET, BLONOUT to UNITS) Owft LAVATORI/ (I UIT) _,,,_tNt111A1, MNLI. LIP e4 t1N11 T5) ,._�t11�C11K,i �AIlI (I iNil'1'�?` i .W swjm !2 �„tNI IMAL STALL, 11100W (4 U O TS) !N!I?5) r,,,,_URI NAL Tii0i8B�8 (EACH 2-FT. SECTO Oto R OPAI NS t I tNNI T7 (2 UNITS) ,1�t= 'SONC (2 ONRtS?` .__,[,wbvlSli m wm#NE (toms.) o twiTS) �1C171 M 5111iC 11 wzm- ODER JUM SINK. 0M SET LF FAUM7S 0; UINTS) (2 UR075) J.A'Ot/OTORY (I UNIT) _MATER CLOSET, TANK-OPEIiATM (4 UNO TS) -LAVATORY, BAM R, BEWW PAPUR (2 UNITS) ___NATER CLOSET, WALVE-04RATED (a tN I TS) „ .AMATORY, StNIMKIMS (2 UNITS) A N W TRAM' 12 tN I TS) r • iDEPARTMENT OF BUILDING 3543 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 11/22 197— I Valuation$PLlJTM1Lo Fee $ 11 .00 p This permit not valid until above fee has been paid to City Treasurer, and is f abject to revocation for violation of applicable provisions of law. This is to certify thatW. Fair Plumbing Ge. has permission to build 11:0 install I sink-, 7 Anuatories 7 bmth tii:) 2 closets, 1 water heater, 1 dishwasher, 1 disposal and 1 washing machine. FF Classification Res i dent i a 7 Zone k. Owned by Al Tore, Inc. Lot Bloc _S/D Qb*9 House No. 18366 1?rivtm According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS f AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. ' PERMIT VOID SIX MONTHS ,t AFTER DATE OF ISSUE X — � ► O Building material, rubbish and debris Zi from this work must not be placed in I. public space, and must be cleared up and hauled away by either contractor or owner. R. C. Vogel Building official. FOR OFFICE PERMIT DATE CONTRACTOR r USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER let 7r op MIMM fl", WX ,. Rz-s f.., o k jos''+' } CITY OF oftha &^94 - 716 OCEAN BOULEVARD—DRAWER 25 ATLANTIC BEACH. FLORIDA 32233 February 21, 1978 Al Tore, Inc. 40 Ocean Boulevard Atlantic Beach, Florida 32233 Attn: r"r. Jim Pastore Dear r"r. Pastore: This is to advise you that a stop work order will be applied to the structures under construction at the addresses listed below unless pertinent building permit fees and other associated charges are paid to the City of Atlantic Beach, Florida, by 5:00 P.M. , February 22, 1978. 225 Eleventh Street 1836 Sea Oats Drive 1860 Sea Oats Drive 1876 Sea Oats Drive Yours truly, Paul R. Steckla Actino City Manager PRS/rr WILLIAM S. HOWELL JAMES E. MHOON ALAN C. JENSEN L. W. MINTON, JR. CATHERINE G. VAN NESS Mayor-Commissioner Commissioner Commissioner Commissioner Commissioner R. C. VOGEL OLIVER C. BALL MRS. ADELAIDE R. TUCKER CARL STUCKI RICHARD HILLIARD City Manager City Attorney City Clerk-Treasurer-Comptroller Chief of Police Director of Put Works and Fire Department //CITY OF /3 se —&;&uda Office of Building Official REQUEST FOR INSPECTION A � 9 T Permit No. Date Time A.M. Received 3 Z�� cality Job Address Ow erjL Contractor Nam BUILDING CONCR TE ELECTRICAL PLUMBING Air Gond.&C C Framing ❑ Footing Rough Wiring ❑ Rough Re Roofing EISlab O Temp Pole ❑ Top Out [i Fire Place C' Insulation ❑ Lintel ❑ Final ❑ Sewer Pre Fab READ SPECTION A.M. Mon. Tues. Wed. Thurs. Friday A.M. P.M. Inspection Made Final Inspection Inspector -- Certificate of Occupancy ! nates PSR-3844 8 219 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION --- - LOCATION INFORMATION ----- Permit Number : 8219 address : 1836 SEA OATS DRIVE Permit Type : MECHANICAL ATLANTIC BEACH , FLORIDA 32233 Class of Work : ALTERATION ---------- LEGAL DESCRIPTION ------ Constr . Type: WOOD FRAME ot : Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 aellings : 1 Code: 0 =ubdivision: ,stimated Value: 50 .00 Improv. Cost : $0 . 00 Total Fees : $37 .00 .Amount Paid: $37 . 00 Dat - 4 ? : 4/21/ 94 TIIDENSER . AIR HANDLER AND HEAT STRIP -------- OWNER INFORMATION -------- ---- APPLICATION FEES ----- NaTn.e : JAMES M{'-'LATJGHLIN PERMIT $37 . 00 Address : 1836 SEA OATS DRIVE WATER IMPACT FEE $0 . 010 ATLANTT` BEACH . FLORIDA 322 SEWER IMPACT FEE $0 . 00 none _ WATER METER/TAP $0 .01) RADON GAS-H .R . S . $0 .00 --- -- CONTRACTOR INFORMATION RADON CAB 5% $0 . 00 Name: AIR ENGINEERS INC . CAPITAL IMPROVE . $0 . 00 Address : 1094' BEACH BLVD . SEWER TAP $0 . 00 JAX. FL . 32216 HYDRAULIC SHARE $0 .00 MHAR-634 Type : CROSS CONNECTION 50 . 00 SEC .H IMPACT FEE $0 . 00 CONST . SURCHARGE $0 . 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 "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT 0000{K1000 �� 1:37(.4R�8 'Date: 4121194 01 Rcpt: 9387 CHECKS By: