1915 Sea Oats Dr (vault) ..✓ ' , j,,)moi+-�\f�"�J�'.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J .
r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . 09-00000621 Date 5/05/09
Property Address . . . . . . 1915 SEA OATS DR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
-------------------------------------------------------------
Application desc
12 fixtures
-------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
BARNES ASAP PLUMBING CO
1915 SEA OATS DRIVE SD SERVICES OF JACKSONVILLE
ATLANTIC BEACH FL 32233 P. 0. BOX 16631
JACKSONVILLE FL 32245
(904) 994-6440
---------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc .
Permit Fee 119 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/01/09
----------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------
Permit Fee Total 119 . 00 119 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 119 . 00 119 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
8-800 CITY OF ATLANTIC BEACH 08-
800
SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
PLUMBING PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE:
E NO
/ % S'�� C%/ J� ✓l ❑YES PERMIT#:
PROPERTY OWNER:
4,NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
PLUMBING CONTRACTOR:
7.NAME OF COMPANY: 8.ADDRE S.:
9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO(:
12.EMAIL ADDRESS: 13.OFFICE PHONE: 14.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)
months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced.
CONTRACTORS SIGNATURE:
15.NATUR F WORK: 16. 17. 18.CURRENT CODE:
❑'06 FLORIDA BUILDING CODE-
RE-PIPE
PLUMBING
❑OTHER:
19.NUMBER OF FIXTURES:
BATH TUB SEWER CONNECTION
BIDET SHOWERS
DISH WASHER SHOWERS PANS
DISPOSAL SINK
DRINKING FOUNTAIN WATER CLOSET TANK
FLOOR DRAIN WATER CLOSET VALVE
HOSE BIB WASHING MACHINES
ICE MAKER WATER CONNECTION
INTERCEPTOR WATER HEATER
LAVATORY URINALS
LAUNDRY TRAY OTHER (SPECIFY):
ROOF DRAIN
20.PLUMBING PERMIT FEES:
PERMIT ISSUING FEE: $35.00
TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 =
COAB FORM BLDG03:REVISED:1/10/2008
DEPARTMENT OF BUILDING 4709
i
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date %SAY 29, _19V_ i fs2.001 �
Valuation $ 60,000 Fee $ 162.00 162:UQCKT
1 243 IA 6/05/61
This permit not valid until above fee has been paid to City Treasurer, and is 471,119 *DCCACG
subject to revocation for violation of applicable provisions of law.
This is to certify that EBERLING BUILDERS
i112 3RD STREET. ANXIME BEACH 32233
has permission to build S/F WELLING AS PLANS SUB1,1117 ED.
Classification s.1 1� n TgLLiNG
7.one RESIDENTIAL
Owned by EBERLING BUILDERS 1112 3RD STREET. NEPTUNE BEACH 32233
Lot if,5 Block lU11-I 1 S�D 1;ELVA MARINA
House No]915 SFA OATS DPIVE ATI A? IN- BE-AC17- VIA 32933
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
* AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
i
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4-111. 0 Building material, rubbish and debris
— � z from this work must not be placed in
i public space, and must be cleared up
and hauled away by either contractor
or owner.
ACTING CITY MANAGER,
CARL F. STUCKI
Building official.
(r
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
{� PLUMBING
E
( ELECTRICAL
SEWER
WATER
A�
Date... -------------- 19 V
Permit #.. Y. 4.
CITY OF ATLANTIC BEACH Valuation ................__------
FLORIDA
................-------
FLORIDA House 604S
............
.......................................................
APPLICATION FOR BUILDING PERMIT ........ ...........
..........................................
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is antomatically responsible to ascertain that all Bub-
contractors engaged by him are duly licensed in the City of Atlanfic Beach, Florida- To prevent delay or embaxr"ment 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.
D.-t........May... ......1-93-1--------
Eberling Builders , Inc ....... ..__S t.............—.-Telephone. 315 3
Owner..........................................------------------------------------ ............Address-1112....3-rd..
.-, Bob Connor -1620
Architec-------------------------------------.......................................................Addxesa-11§A�.. St . Jose _gl�l
.....................�Ph epbone No,
Contractor Builder......Eberling Builders ,
....�gAddress_1112-_aK�L....St.,-.................Telephons.No-2-41z3153
....................... -------------
Lot No.........5
...........Block No................................Sub Division......Se
va.
.1
-Marin.a....It...IL................Zone_.... -----
..........Street..........................Side Between....Seminole Rd-. S:tA
...........and...........................
Valuation y.-......_--_...................For what purpose will building be use ....Residential....................................Type of construction.................._. ..........
Dimensions of Building...-.4.6.x.5.0............................Dimensions of Iot..irregq1AK.........................Size of Foodn�gs._....8X20_...............__.
.............
Size of Piers....................................Size of Sills................................Greatest Sill Span in ft...........................Type-Roof........
How will Building be Heated?...Elec......Hea.t...PUMp............Will Building be on Solid or Filled Ground T...... Solid
Size of Ceiling Joists........................................... Distance on Centers....................._............__.___..... Greatest Span-------.--._.----- __...__.—___ »
Size
pan------------------
Size of Floor Joists.............................................. Distance on Centers........... ................................. Greatest
Size of Rafters....................................................... Distance on Centers........ .................................. Greatest Spam------
This rectangle Is to.repi*mnt the lot
Locate the building or.-buildings In the
right position- Give•dlzt*z" in fewt from
all lot-lines and e3cisting'biaildings-
REAR LOT LINE
Two copies of plans and specificstions shall
be submitted with application. APPROVED
Inspections required. CITY Of ATLANTIC BEACH
1. When steel is in place and ready to pour footing. PQ BUILDING OFFICE
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 I>estrn. MAY 2- 1981
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. A By
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. see site plan(attahed)
FRONT OF LOT
In consideration of t ven for doinRthe work as described in the above statement, we hereby agree to perform said
work in accordance th the at P1 an is 'ons, which are a part hereof, and in accordance with the building
regulations of the C y qif
Neptune
1112 Third St . , Suite #....1, Beach,
Address...................................•----.................................... _
S-;g-natu�re of Builde /. ..........— - ------------------ . ......Florida
Sig-nature of Owner — — , - .. .- - . . ..... ..................... ..... Add--ess------------------ ................................................................................
CITY OF ATLANTIC BEACH
WATER CONNECTION CHARGE Z 30. 00
DATE
LOCATION5.eW QA"54
OWNER ��.e raj ;, s ,ws
PLUMBING FIRM
MASTER PLUMBER
BUILDER OR CONTRACTOR
TYPE OF BUILDING
BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC ( 2 UNITS)
WATER CLOSET,LAVATORY AND BATA
TUB OR SHOWER STALL.(6 UNITS) ��` SHOWERS GROUP PER HEAD ( 3 UNITS)
BATHTUB ( WITH OR WITHOUT OVER SURGEONS SINK ( 3 UNITS)
HEAD SHOWER) (2 UNITS)
FLUSHING RIM SINK ( 8 UNITS )
BIDET (3 UNITS)
SERVICE SINK TRAP STAND ( 3 UNITS )
COMBINATION SINK AND TRAY ( 3 UNITS)
POT,SCULLERY SINK ( 4 UNITS )
COMBINATION SINK AND TRAY W/FOOD DIS.
( 4 Units) URINAL, PEDESTAL,SYPHON JET
BLOWOUT. ( 8 UNITS )
DENTAL UNIT OR CUSPIDOR ( 1 UNIT)
URINAL, WALLL LIP ( 4 UNITS)
DENTAL LAVATORY ( 1 UNIT)
URINAL STALL, WASHOUT ( 4 UNITS)
DRINKING FOUNTAIN (!.5 UNIT)
URINAL TROUGH EACH 2'SECTION
DISHWASHER ( 2 UNITS) ( 2 UNITS)
FLOOR DRAINS ( 1 UNIT) WASHING MACHINE RES. ( 3 UNITS) 3
KITCHEN SINK ( 2 UNITS. WASH SINK EACH SET OF FAUCETS
( 2 UNITS )
KITCHEN SINK W/WASTE GRINDER
( 3 UNITS) WATER CLOSETS, TANK- OPERATED
_ ( 4 UNITS )
LAVATORY ( 1 UNIT ) ✓
WATER CLOSETS, VALVE OPERATED
LAVATORY,BARBER,BEAUTY PARLOR ( 8 UNITS )
( 2 UNITS )
LAUNDRY TRAY ( 2 UNITS )
LAVATORY, SURGEONS ( 2 UNITS)
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 4
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date JUNE 5, 19=1 12 a U0 T
Valuation$ PT.I MRTNG Fee$ 19-()Q 129DOCKT
1252 JA 6/05/8
This permit not valid until above fee has been paid to City Treasurer,and is 4124 900CA
subject to revocation for violation of applicable provisions of law. :J 1A 6/05/8
This is to certify that B & G PLUMBING
11997 Rearh Rlvrl TRrlrc.,,, ,i71P Flnrlda3716
has permission to Wdinotgj 3 1 SINK, 3 LAVATORY, 2 BATH TUBS,
2 CLOSETS, 1 WATER HEATER, 1 DISHWASHER, 1 DISPOSAL, 1 WASHING
Classification S/F DW . . ,TNQ Zone RESTF)ENTTAT.
Owned by
Lot #5 Block #11—UNITS/D SELVA PIARINA
House No. 1915 _SEA OATS DRIVE ATLANTIC BEACH FLORIDA 3223-1
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
� O Building material, rubbish and debris
i from this work must not be placed
in public space, and must be cleared
= up and hauled away by either con-
tractor or owner.
ACTING CITY MANAGER,
GAR-1 R 2TU041
Building Official.
FOR OFFICE PERMIT DATE
USE ONLY NUMBER CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERP'IIT
Date -3
Location 12 S2l;x L/i53 e�R iJ e
CC Pluunbing Finn '1' �u m 1� .J Leo .
Master PlLunber
City/County Occupational License No. c p p-
State Certificate No.
Builder or Contractor ��e R�� .✓t d e;2 S
Type of Building ,�f ��/1 i/yy' J��s.d e c/ A /
SINKS SHCWE1 S
3 LAVATORY �+_VaTER HEATERS
BATH TUBS _DISB�USHER.S
URINAL ,% DISPOSALS
,Z CLOSETSWASHING MACHINE
FLOOR DRAINS
OTHER
TOTAL FIXT JRE COUNT
INS'T'ALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SOLA STANDARD PLUMBING CODE.
CITY OF ATLANTIC BEACH FLORIDA
INSPECTIONS
BUILDING PERMIT NO.# 4709 ELECTRICAL PERMIT NO.#
J PLUMBING PERMIT NO.#
47?4
JOB ADDRESS 1915 SEA OATS DRIVE. Atlantic Beach
CONTRACTOR EBERLING BUILDERS
OWNER EBERLING BUILDERS
DATE REMARKS INSPECTOR
FOUNDATION
FOOTING
► SLAB
PLUMING (R) fes/ oe
00,
TOP-OUT 2 {/ :
SEWER
TEMP-POLE /,1 %'tea✓
ELECTRICAL (R) G 30
ELECTRICAL (F) a
FRAMING eI 6! � 1
PLUMING (F)
LINTEL/BEAM
COLUMN
STEEL
SHOOT GRADES
LOT CLEARING
OTHER ._
FINAL INSPECTIONS _0 /
f I�
- I
r
BUILDING AND ZONING INSPECTION DIVISION
O CITY OF ATLANTIC BEACH, FLORIDA Z O
\ 0 �
U) ELECTRICAL PERMIT Q
z
Date .i i.• __ :5 . 3 `% I Fee S 1Permit No. : ? 30
W
Locationt Ca
Between and Q
This is to certify that a
0
s' (Electrical Contractor) (Mosler elect:c on) W E,
has permission to install Electrical Construction as described herein in ix a
LU
accordance with the provisions of the Electrical Code and regulations U c
of the City of Jacksonville, and subject to the information shown on the = c
application, drawings and specifications which ore mode a part of this 3 V
0
permit. F_
for
W p
CL
Type of work: o
SERVICE: r .i - •.L r J "
L ._ _..�t ....�✓. 1 T'z. A t.i�/ s•_ ., . L!`. ..`.L.. Q L
N U
Feeders: s"
Outlets: O
Receptacles: m
Switches:
Incandescent: _
_ F-
Fluorescent:
Appliances:
Air Conditioning: 1
Motors:
Transformers:
ROUGH INSPECTION 6-30-81 — G.A.EDWARDS
Signs:
Miscellaneous:
FINAL INSPECTION 8-24-81 — F.W,MILLS
IF NO WORK IS DONE UNDER
THIS PERMIT DURING ANY SIX ISSUED BY: 1 t
MONTHS PERIOD, PERMIT Electrical Inspection Supervisor
BECOMES VOID. r
�J
CITY OF
i, e .�
716 OCEAN FOULEVARD—DRAWER 25
li ATLAr;TIC BEACH, FLORIDA 32233
August 24, 1981
Pre-Service Section
3rd Floor.
Jacksonville Electric Authority Bldg.
233 West Duval Street.
Jacksonville,Florida 32202
Dear Sir:
The following listed final inspections have been made and are satisfactory:
Permit No.#3190 - 1915 Sea Oats Drive. Atlantic Beach Florida 32233
Bivins Electric Co.
Sincerely,
FWM/rev Fred W. Mills
Electrical Inspection Supervisor
WILLIAM S. HOWELL JAMES E. M.HCON ALAN C. JENSEN L LV '.11NTON, JR. CATHERINE G. VAN NESS
Mayor-Commissioner Commissioner Com-missioner &.,Tnmissioner Comrni«ioner
BILL M. DAVIS OLIVER C BALL f:"P.S ACELA:DE R T UC✓ F., :^RL STUCKI
Citv Manager City Attorney :' rk-TrF;. _,rer-CO ;r. i_'?tet of Pchce Director of F.t�.ic Works
_ire Department GLEN`.' 4 EDAIAPDS.
PSR-3844 12137
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
-- -- PERMIT INFORMATION - ------- LOCATION INFORMATION -
'ermit Number : 12137 'Adress : 1915 SEA OATS DRIVE
Permit Type:MECHANICAL ATLANTIC BEACH , FLORIDA 32233
glass of Work:ALTERATION --------- LEGAL DESCRIPTION -------
Constr _ Type :WOOD FRAME Block: Lot : Twp :
Proposed Case :SINGLE FAMILY Section : 0 Subd: Rna_ :
Dwellings : 0 Subdivision:
Est . Value : 0 . 00
Improv. Cost : 0 . 00
Total Fe s : 37 . 00
�+rnutnt PPT` 37 . 00
971995
'DENSER
- --- .. TION __ _ -- APPLICATION FEES -------
arne ET1I T
37 , 00
DRIVE
FLORIDA
----- , NFORMAT I V -
Name : Ai ii `INC .
JAX FL . 45
Lic : AR-F3 E�°
ry
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 MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS"
$37.88 1A
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AtO SG1I`MG-0IfO RH*)C@ffAM FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS 18863
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION _ LOCATION INFORMATION _
Permit Number. 23274 Address: 1915 SEA OATS DRIVE
Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0 Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: % _ _ OWNER INFORMATION
Date Issued: 1/07/2002 Name: RALPH CREECH
Total Fees: 41.00 Address: 1915 SEA OATS DRIVE
Amount Paid: 41.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 1104/2002 000)000-0000 -
- -
Work D_esc: REPLACE HVAC
- ,
_ CONTRACTOR(S ATION FEES_ _ - _
AIR NOW _ p 3 — 41.00
4�- a
50 19. soo
i
--' �; '•»J�M,`!r°` �t�'��^-�s;` s _= ate. �`.- ''�
,
:- �>'ya
s
77J
FINAL
_ 1
u -
.a ` s ms�.r
NOTICE ECTION -
�.. � -
BUILDING MATERIAL FRO W M41ST NOT I f # UBLIC SPACE, AND
MUST BE CLEARED UP 1 OR
"FAILURE TO COMPLY LT IN THE ,
PROPERTY OWNER PAYIN � �U
ISSUED ACCORDING TO APPROVED PLA ��' PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF
--
ATLANTIC BEACH BUILDING DEPT. Date: 1/87/82 81 Receipt: W4428
---GIiECKS -
MINN3221888
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLC,111DA 32233
APPLICATION FOR MEc:;HANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
LOCATION $treat Address: �C J _ _ 17� C
OF Intersecting Streets: B•Iween And L� /
BUILDING
Sub-division
II. IDENTIFICATION — To be completed by all applican-t!; ,
In consideration of permit given for doing the work as described in the sbove statement we hereby agree to perform said work in accordance
with the attached plans and specifications which are a pert hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name 01 Mechanical (;onfraetors �' ,/
Contractor (Print) �� - tvtasfer G C..i
Name of b
Property Owner
Signature of Owner Signature of
or AVtlhorbed Agent ` Architect or Engineor
111. GENERAL IN RMA N
A' =E19ctrirr"
g fuel: E3.
IS OTHER CONSTRUCTION REIN ON
THIS BUILDING OR SITE /
❑ Gas—❑ L? ❑ Natural ❑ Central Utility
❑ Bit
IF YES, GIVE NUMBER OF CONSTRUCTION
PERMIT
❑ Other — Specify
IV. WICHAHICAL EQUIPMENT TO EE INSTALLED 7"R111dential
F WORK
(►revi• plate list of components on back of this form) or ❑ Commercial
heat ❑ Space ❑ Recessed C7 Cenfrel O Floor ❑ New ulldlnp
L7 /Ur Condrfioninq: ❑ Room ❑t nei tnl L Exls Building
❑ Duct System: Material Thickness Replacement of existing system
Maximum capacity c.f.m. ❑ New Installation(No system previously Installed)
❑ Refrigeration O Extension or add-on to existing system
0 Cooling loser: Capacity q,p,rr,,
O Other — Specify
❑ Fire sprinklers: Number of
head-Elevator ❑ ManliFf ❑ Est:alator (number)
❑ . THIS SPACE FOR OFFICE USE ONLY
Gasoline pumps (number)
(fid)
rY BUILDING, 'AND. ZONING- INSPECTION DIVISION
CITY OF ATLANTIC BEACH
J '
ATLANTIC BCACH, FLORIDA 32233
- .. .,
f APPLICATION ,AOR MECI-IANICAL PERMIT CALL-IN NUMBER
IMPORTANT=Applicant to complete all items in sections I, II, III, and IV.
I
LOC ATION N
Street Addn'sst
OF., Inlsusooting Stnetu Between And \ I\
BUILDING` ;
Sub•dfvidon
I1. IDENTIFICATION To be completed by all applicants.
conllderetion:o.(:permit given for.doing the work as described in the above slotomont we horeby agree to perform sold work In occordanco
with the 'ottocfpd'plans and IPIWICatlons which are a pert hereof and in accordance with the City of Jacksonville ordinances and stondords
of good.prectic• listed therein, �< ,
Name`of MeohenlC
caI {{��ttpp [(�' o
Contractor (Print)' ntractors' ('4IR� :L:" s Master
Name of
Property Owner. . ,' � +`
y
Signature of Owner Signafun of
or.AuthorisedrAgent �; i Architect or Engineer
ENEPA INFORMATION':; ` i..
A,'
Type of heating fuel: 6.
8+clric ,'' IS OTHER CONSTRUCTION UE11tG OQNE ON
THIS BUILDING OR SITE7_
Q Gas=Q LP
Q Natural ` CJ Control Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
❑ OII a PERMIT
::;:� 0• Othen Spedfy;. a :i.
IV, MECHANICAL'EQUIiI.IEtfT�O`It INSTAl17�
PME T ' NATURE QF*WORK
t(►rov,de complete list of componeph on bock of this form) -E� Residential or O Commercial
�'s'hfoat, I] Spec• �❑ it•cessod antni O How Q Now Bulidin'
irY' r Conditioning ❑ RoomEr
-Central O'fxisling 8uliding
' O Duct Systomi M•hn•I Thlcknou Ei�—Tloptacomont of oxistlnpsystom
O Now Installation No p y
s TMexJmum-upecity e,f,,,,, ( systom roviousl InstaLvd)
C Fxlonsicn o;add-:)r.to Wson- st
� O Refrig�uhon _ . ysom ,
t O Othor — Specify
❑, Coohnq towors Capacity
O fire'iprinkforss Numbei sof hewds
❑ Hwator ❑''M•nilft Q L"1410r (number)
THIS SPACE iOA OFFICE USE ONLY
> 0 Gasolins pump. (numMr) ( { )
1 Q;.Tan
kr (number) Remarks
LPG cont•inen (number)
Q'.',Unflred Pressure woes
Q j.Wllen' Permit! Approved by Dote
Q, Cthar SpecifyPermit F•-
LIST-ALL EQUIPMENT
r
AIR.CONDITIOtiINO.AND;.REFRIGERATION EQUIPMENT
Dwriptlou ModalNumbes Manufacturer c(Z`ouuajY Approving
IMATING'r FURNACES BOILERSI FIREPLACE$
n a���t ►.r . . �s, •,:Vt-0.+��e> Capa.oitY DJ A
=
+w• ,:;� Number Uaits N�S „+� : IhscriptiOd �: Model Number Manufacturtr (BTU') x
.�E. . ..,•:,: ,.,.r
' TANKS
now Many.>. NOIXIW C&pis lv ` Typo I14uid Name of serial Approving
and DimnsioW ,'. Contsiknod Manufaeturcr No. Agency
.':1'.^'.. esti', . .•)` ' ..'� ... . :;5i•,
/P;11�` CITY OF
f'YrL(� & -&7&u-c&
Office of Building Official I
R
EQUEST FOR INSPECTION I
Date t�' Permit No.
Time A.M.
Received PM
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL 7 PLUMBING --MECHANICA
Framing ❑ Footing i Rough Wiring u Rough ❑ Air Cond.& ❑
Re Roofing ❑ Slab a Temp Pole ❑ Top Out ❑ Heating
Insulation ❑ Lintel C' Final ❑ Sewer ❑ Fire Place ❑
READY FOR INSPECTION Pre Fab
Mon. A.M
Tues. Wed. Thurs. Friday I+
Inspection Made �- p� A.M.
P.M.
Inspector - Final Inspection
Certificate of Occupancy❑
Date I
CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
j ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00029458 Date 1/04/05
Property Address . . . . . . 1915 SEA OATS DR
Tenant nbr, name . . . . . . REROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 9275
Owner Contractor
------------------------ ------------------------
BARNES, RONALD ROMANO ROOFING SERVICES
1915 SEA OATS DRIVE P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-3381 (904) 246-5649
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 120 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 9275
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120 . 00 120 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 120 . 00 120 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
Lot. 10-400k
BUILDING OFFICIAL
RECEIVED
• . CITY OF ATLANTIC BEACH
BUILDING & ZONING
' DEC Q 0 2004
CITY OF ATLANTIC BEACH ,
R ROOFING PERMIT APPLICATION _
rt IS
Date: 2
Job Address:
Owner of Property: RQgw/Fc
Address: /9 ��A r���s ,faP i� /_,�y ' _Telephone: !-3f3/
Contractor: eQM AIV O Roolfl Al leg it ie-eS• State License Number: t -C DSS I b 3
tY Q
Contractor's Address: 3 y W % ��! z`T //��A�✓T/c j�c3.2 33
Telephone: 90 1/ �{lo SSIo 4<<1 Fax: 90V'.2 Sid U
Scope of Work: A? / 9Of
Deck Slope: Greater than 2:12_ Less than 2:12
Valuation of work: � z
a o_
Product Name(Example:Timberline):
Manufacturer(Example: GAF):
ASTM Designation(s): i 6
Required Inspections: Shea ' g an�Jd F�1
Signature of Owner: / �1 � Date: / L _
Signature of Contractor: Date:
AS TO OWNER:
Sworn to and subscribed before me is day of_�„J��' ,200 4—
State of Florida,County of Duval
Notary's Signature:
41”_ ELAINA ROMANO
a MY COMMISSION#DD357393 ❑ Personally known
rr EXPM s:Septwi a 23,2008 ❑ Produced identification
14W3-NOTARY n.Notary Discamt Ass=Co.
Type of identification produced&. 7��-�•��7-L'�
AS TO CONTRACTOR
Sworn to and subscribed before me this day of . 20 fJ4-
State of Florida,County of Duval
Notary's Signature:
h ELAINA ROMANO
MY COMMISSION#DD357393 Personally known
�p p pff(F&septw1ber23,2008 ❑ Produced identification
I4003•NOTARY S.Nowt'Dia—,Aasos.Co. O ud6 fte/
800 Seminole Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us
Page 1 Revised 221/03
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with Section 713 of the Florida Statutes,the following information is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:-
Address of property being improved: T.� '�r
General description of improvements: =',�}4f
Owner
Address
Owner's interest in site of the improvement
Fee Simple Titleholder (if other than owner)
Name
Address
\Contractor_A L)M4Na o e-C lva -Y@/l✓I e-.S
Address 3c� 1 1 �� S'%��eT �1�.4N c 13 c_ � 3123 3
�—' 90 y - ~/� 112;z Phone No. S+�D� '� '2 �H -S�U`j Fax No. �/
Surety(if any)
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
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
Address
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):
TNIS SPACE FOR RECORDER'S l!'SE OMLY OWNER
Signed. ! Date:1L �"Z'
------- Before me this day of �L.) in the
Doc#2004397922,OR BK 12203 Page 732, County Of Duval, State of Florida, has personally appeared
Number Pages. 1
Flied& Recorded 12/29/2004 at 12.08 PM C-1
!IM FULLER CLERK CIRCUIT COURT DUvAL COUNTY" (
RECORDING$10.00
Notary Public at Large, State of Florida, County of Duval
My commission expires:
Personally Known or
Produced Identification �� . L 1a::�2-7Z 7-�J-yl7-d
ELAINA ROMANO
MY COMMISSION#DD357393
EXPIRES:Sepftrber 23,2008
1.81W-NQrARY F1 Notary Discount Asea.Co.
CITY OF ATLANTIC BEACH
- = PERMIT CALCULATION SKEET
z ,
Date
Address t q IS Se- -
Permit fee based on dollar evaluation as indicated on permit application.
Heated Square Footage @ 5 per sq .ft= 5
Garage / Shed @ S per sq ft = 5
Carport/ Porch @ 5 per sq ft= 5
Deck @ 5 per sq ft= 5
Patio @ S per sq ft= 5
TOTAL VALUATION: 5
ov
S q,2 • 535.00 ls` 51000.00 S 535.00
Total Valuation
S 82�,od S S d� S SGS
Remaining Value Per thousand or
portion thereof:
CONSTRUCTION TYPE: TOTAL BUILDING.FEE S
ZONING: + '/z Filing Fee ' S
FLOOD ZONE: ( ) Fireplaces @ 535.00 S
IMPERVIOUS SURFACE: J
BUILDING PERDNITT FEE S
WATER RYIPACT FEE S
SEWER IMPACT FEE S
WATER METER/TAP S
CAPITAL IMPROVEMENT S
SEWER TAP S
C ( )RADON HRS .0050 S
SECTION H PAVING S
CROSS CONNECTION S
ST ( ) SURCHARGE S _
OXNER— j l9 7
r I�\1 ✓��
< r r CITY OF ATLANTIC BEACH CC:F
BUILDING /ZONING DEPARTMENT L.Hggins
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
y FAX:(904)247-5845
J,�I3f' http://ci.atlantic-beach.fl.us
PLAN REVIEW COMMENTS
Permit Application# 044 - 2 0)1415f9
Property Address: o))� SEA DAT 5 OR 1 v J
Applicant: RdMhNO OOF��G
Project:
This permit application has been:
[]proved
❑ Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed by: LAA- Date: k. c{.y S
CITY OF
4&aa c BeacA-glaUc&
Office of Building Official
REQUEST FOR INSPECTION
Date August 21,1981 Permit No. #3190
Time A.M. TTI DUVAL
Received.—10-00—AM P.M. District No..
1915 SEA OATS DRIVE. SELVA MARINA
Job Address Locality
owner's EBERLING BUILDERS BIVINS ELECTRIC COMP.
Name Contractor
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation ....El Wire ...........E] Rough Wiring ..❑ Rough ........C3 Rough ......Chimne ❑ /
Finish Wiring mal .........❑ Final
Framing .......p cratch .......p Fixtures ... S wers .......:0 Water Heater ..❑
Final Brown ........❑ Motors
Footing ... ....E] Finish .........El Temp-Pole ❑/TCyee spool ......El
Slab ....0 Wallboard .....[3 Final Inspecti n. I ,T -out .......El
Lintel Beam at-out
........
READY FOR INSP A.M.
E)8/24/81 Tues. Wed. u Fri. P.M.
—� (�A.M.
Inspection Made
Inspector
CITY OF
4j4_
Office of Building Official
REQUEST FOR INSPECTION
PermNo.
19 X31 III DWAL
Date J�'Y 2 A.M. District No.
p.m. SELVA MARINA
Time
Received Locality
1915 SEA OATS DRIVE'
Job Address EBERLING BUILDERSTING
Contractor PLUMBING HEA ❑
owner's EBERLING BUILDERS ELECTRICAL ❑ Rough
Name PLASTERING ❑ Rough ❑ Final
BUILDING .o Rough Wiring . Final 0 Water Heater .•❑
re ..... ID Finish Winn....C3 Sewers .......❑
Foundation ath Fixtures o Gas 0
Chimney 0 Scratch C] Motors ole ❑ Cesspool
Framing ''•' Brown ........ out
Final ......'' ',0 Finish .....o pen l inspection 'TOP-Out
'•� A.M.
Footing C3 Wallboard P•M.
Beam
Slab READY
Lintel FOR INSP Fri.
Thurs.
Wed. A.M.
Tues. P
on.
Inspection Made
Inspector
CITY OF
4&K&
Office of Building Official
REQUEST FOR INSPECTION
Date 3190
JUNE 30, 1981 Permit No.
III DUVAL
Time A.M. District No.
Received 9.00 AM P.M.
1915 SEA OATS DRIVE. SELVA MARINA
Locality
Job Address
owner's EBERLING BUILDERS Contractor BIVINS ELECTRIC CO.
NameLUMBING HEATING
BUILDING PLASTERING ELECTRICAL Rough ........❑ Rough ❑
Foundation ....❑ Wire .... .....'.❑ Rough Wiring Final ❑ Final .......❑
Chimney ......❑ Lath .....❑ Finish Wiring ..❑ Water Heater ..❑
Sewers ........❑
Framing .......❑ Scratch .......❑ Fixtures '❑ Gas .. .......❑
Brown ...❑ Motors EJ
Footing . ...Q Finish .... .....E3 Temp-Pole . ...C] Cesspool .....•❑
Slab ..........❑ Wallboard .....❑ Final Inspection,[] Noater t.
........❑
Lintel Beam .. ❑ A.M.
READY FOR INSPECTION P M
Tues. Wed.
Thurs. Fri.
Mon. A.M.
P.M.
Inspection Made - Q
Inspector
• � w
rr.
CITY OF /n� n • AA �
4& /s lP�-v> &UC>!c
Office of Building Official
REQUEST FOR INSPECTION
Date JUNE 24 1951 Permit No.
Time 2; 15 PM A.M. III DUVAL
Received P.M. District No.
1915 SEA OATS DRIVE. SELVA MARINA
Job Address Locality
Owner's EBERLING BUILDERS B. & G. PLUMBING
Name Contractor
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation ....El Wire ..........❑ Rough Wiring ..® Rough ........El Rough ........❑
Chimney ..❑ Lath ... .....❑ Finish Wiring ..❑ Final .........❑ Final .........❑
... ❑
Framing ...... .❑ Scratch .......❑ Fixtures .......C1 Gasers ........C]
Water Heater
Final . .❑ Brown ........E] Motors .. .. ... .❑
Footing .......E] Finish ......❑ Temp-Pole .....❑ Cesspool ....::❑
Slab ..........❑ Wallboard .....[] Final Inspection.❑ Top-out ..... B'
Lintel Beam ...❑ Water .........C1
FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. A.M. Fri. P.M.
Inspection Made P.M.
Inspector
CITY OF
ir4 � c /3e=A-q,laU.4&
Office of Building Official
REQUEST FOR INSPECTION
Date
1981 Permit No.
JUNE 12' III DUVAL
A.M.
District No.
Time9•00 AM P.M. SELVA MARINA
Received
1915 SEA OATS DRIVE. Locality
Job Address cTTNS E ECTRIC CO.
Owner's Contractor HEATING
Name ELECTRICAL PLUMBING ❑
BUILDING PLASTERING Rough [] Rough ❑
Wire ........❑ Rough Wiring . ❑ Final ❑ Final
Foundation Lath ❑ Finish Wiring Ej Final
ers ........❑ Water Heater ..❑
Chimney Scratch ....❑ Fixtures ❑ s ❑
Framing ..••'❑ Brown ❑ Motors Cesspool ......❑
Final .........❑ ❑ TemP-Pole Top-out .....11
Footing .......❑ Finish Final Inspection.❑ Water
Wallboard .. ❑ --'' -'❑
Slab ........❑ A.M.
Lintel Beam .. ❑ READY FOR INSPECTION P.M.
Thu rs. Fri.
Tues. Wed A.M.
Mon. P.M.
Inspection Made �7d /�
Inspector i�
..r
CITY OF
4&arr.4c Becc4- &7&Uc&
Office of Building Official
REQUEST FOR INSPECTION
Date ITINF 5 Permit No.
Time3-45 PM A.M. III DUVAL
Received P.M. District No.
1919 SFA OATS DRIVE SFT VA MARTNA
Job Address Locality
Owner'
Name s EBERLING BUILDERS Contractor B & G PLUMBING
BUILDING PLASTERING ELECTRICAL PLUMBING -* HEATING
Foundation ....❑ Wire ..........C1 Rough Wiring ..❑ Rough ........M-Rough ........El
Chimney ......E] Lath ..........❑ Finish Wiring ..❑ Final .........❑ Final .........❑
Framing .......El Scratch ...... .❑ Fixtures .. .....❑ Sewers ........C] Water Heater ..❑
Final .....❑ Brown .... ....D Motors ........F1 Gas .. .......❑
Footing .......❑ Finish .... .... .[_j Temp-Pole .....C] Cesspool ......11
Slab ..........❑ Wallboard .... ❑ Final Inspection.❑ Top-out .......❑
Lintel Beam ...El Water .........❑
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. Fri P.M.
A.M.
Inspection Made P.M.
Inspector