584 Seaspray Ave (vault) CITY OF ATLANTIC BEACH
:J 800 SEMINOLE ROAD
j ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 02-00025239 Date 1/29/03
Property Address . . . . . . 584 SEASPRAY AVE
Tenant nbr, name . . . . . . POOL
Application description . . . POOL
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 20000
Owner Contractor
------------------------ ------------------------
SULLIVAN, TOM BONAFIDE POOLS
584 SEASPRAY AVENUE 2210 FLORIDA BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 247-1313
---------------------------------------------------------
Permit ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
---------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 75 . 00 75 . 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
WHIARE PART OF THIS PERUT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH, FLORIDA
A ppmy—,d by APPLICATION FOR ELECTRICAL PERMIT
I _j
TO THE CHIEF ELECTRICAL INSPECTOR: DATE; "-� d�
IMPORTANT NOTICE:
IN CON''SJDERAT(ON OF PERM17 GIVEN FOR DOING THE WORK AS OESCRIBED IN THE FOLLOWING, WE
I-EREBY AGREE 0 PERFORM SAID WORK IN ACCORDANCE W;i I-{ 7HE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND JN ACCORDANCE WITH'THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASCER ELECTRICIAN SIGNATURE
NAME 9
tlQ`f� ADDRESS:s.iL`Z RFD SOk
SLOG_SIZE BETWEEN:
RES. (V� APT. I } comm. ( ) PUBLIC ( I INDUS. ( ) NEW ! I OLD ( I REW. l J
ADDITION ( J TRAILER ( ► TEMP. ( ) SIGNS f 1 -- SLS. FT.
SERVICE: NEW { ) INCREASE t J REPA;R { J FEE
CCNOUCTOFA SIZE AMPS COPPER ( 1 ALUM. ( l
SWITCH OR BREAKER AMPS ' PFI �--W VOLT RACEWAY
DUST.SERV.SIZE AMPS _`P!iT W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE I
LIGHTING OUTLETS CONCEALEDJ OPEN I TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
O.]O wMrit. Y 7 .SOD w1M r9.
SWITCHES--
INCANDESCENT WITCHESINCANDESCENT
FLUORESCENT&M. V.
FIXED
0.1091 wars•
APPLIANCES I BELL TRANSF,
AIR PRATING H.P.RATING I +
CONDITIONINGJC&P,MOTOR OTHER MOTORS AMPS CE1L HEAT:', KW-HEAT j
f! f
t I 4 I
a1 ()VER H.P, VCLTAGE_ PHS I NO. 1 N.P. VOLTAGE PHS —
'�2 'x 4 o I -
MISCZ:LLANEOAJS
i
TRANSFORMERS: UtIDER 800 V. OVER 600 V.
I NO. I KVA NO. KVA
NO. NEON TRANSF, fti!O. EVA. MA. iic7Tt3R SIZE I SWITCH FLra.SHE
EACH SIGjN i
FORVYARDED
i TOTAL FEES +
I
I
CITY OF
/� �� ����� /� �� ��_
fY��1�LC /3�—"t>GOZ�fCZ�i
4� C I Office of Building Official
REQUEST FOR INSPECTION
Date / / .7 Permit No.
Timer �
Received {/{��� ) �PM.
Job Address Locality
�
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING ECHANICA
Framing C Footing - Rough Wiring El Rough Ai
Re Roofing Slab 7 Temp Pole C Top Out — Heating
Insulation C Lintel - Final C Sewer _ Fire Place
Pre Fab
READY FOR INSPECTION
A.M.
Mon.
7,
C
Tues. Wed. �•Thurs. Friday
Inspection Made
Inspector Final Inspection I-
Certificate of Occupancy C:
D �
aVfs
PREPARED 12/19/02, 16:58:34 INSPECTION TICKET PAGE 5
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 12/20/02
------------------------------------------------------------------------------------------------
ADDRESS . : 584 SEASPRAY AVE SUBDIV:
TENANT, NBR: POOL
CONTRACTOR BONAFIDE POOLS PHONE (904) 247-1313
OWNER SULLIVAN, TOM PHONE
PARCEL 170703-0428- -
APPL NUMBER: 02-00025239 POOL
------------------------------------------------------------------------------------------------
PERNIT: BLDG 00 BUILDING PERlNIT
REQUESTED INSPDESC IPTION
TYP/SQ COMPLETED RESULT RE LTS/COMMENTS
18 01 12/20/02 LJH TEEL FRAME INSPECTION TIME: 13:00
-------- ----___--_ steel pole inspection.
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 2/14/03, 9:21:25 INSPECTION TICKET PAGE 1
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 2/14/03
--------------------------------------------------------------------------------------------
ADDRESS . : 584 SEASPRAY AVE SUBDIV:
TENANT, NBR: POOL
CONTRACTOR BONAFIDE POOLS PHONE (904) 247-1313
OWNER SULLIVAN, TOM PHONE
PARCEL 170703-0428- -
APPL NUMBER: 02-00025239 POOL
-------------------------------J_________-____________-________________-____________-___-___-___
PERMIT: ELEC 00 ELECTRICAL P IT
REQUESTED
IN DESCRIPTION
TYP/SQ COMPLETED RE LT RESULTS/COMMENTS
---------------------- ------------------------------------------------------------------------
22 01 2/14/ 3LJH. EL ROUGH TIME: 13:00
grounding am or pm inspection
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 3/14/03, 16:56:32 INSPECTION TICKET PAGE 1
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 3/17/03
------------------------------------------------------------------------------------------------
ADDRESS . : 584 SEASPRAY AVE SUBDIV:
TENANT, NBR: POOL
CONTRACTOR BONAFIDH POOLS PHONE (904) 247-1313
OWNER SULLIVAN, TOM PHONE
PARCEL 170703-0428- -
APPL NUMBER: 02-00025239 POOL
----------------------------------------------------- ------------------------------------------
PMIT: BLDG 00 BUILDING PERNIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
18 01 12/20/02 LJH STEEL FRAME INSPECTION TIME: 13:00
12/20/02 AP steel pole inspection.
16 01 3/17/03 LJ BD FINAL TIME: 08:00
_1y�``�(Y _ SAFETY INSPECTION BONAFIDE POOLS 247-1313
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PSR-3844
13507
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
- --- PERMIT INFORMATION - --- LOCATION INFORMATION -----
Permit Number : 1351.) Address : 584 SEASPRAY AVENUE
Permit Type :MECHANICAL ATLANTIC BEACH . FLORIDA
."ass of Work:ALTERATIfON --------- LEGAL DESCRIPTION ------
Constr . Type:WOOD FRAME Block : Lot : 31 Twp:
Proposed Use: Section: 0 Subd:O Rng *
Dwellings : 1 Subdivision: SEASPRAY
Est . Value ; O . 0
Improv . Cost ;; 0 -
Total F
_� �4i°�_ iti ER. ANL
- -OWNER INFORMATION ---_ ___..__ APPLICATION FEES ------
Name' PATPI "1A BARNES PERMIT 3"
Addi♦ ``,Q? z 'EIAS PRAY AVENUE
AT1,2'.,NT! EEACH . FLORIDA
Phone i4 ' : C 40
CONTRACT'_:R, INFORMATION
Name: B&;3 tiERVI,-'ES
Addr : 54 WEST NINTH STREET
ATLANTA . BEA-'H , FL 32233
LiCP. .r:
TVx►a; 3
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. $37.00 V
CHECKS 11591
ATLANTIC BEACH BUILDING DEPARTMENT €�51131383E�11 �
By:
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC DEACH. FLORIDA 32233
APPLICATION FOR MECHANICAL. PERMIT cAt:�:IN NUMBER
IMPORTANT —Applicant to complete all items in sections I, II, III, and IV.
I.
LOCATION Sheet Address:
OF Intersecting Sheets: Between r / _
And
BUILDING
Sub-division
II. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the abcve statement we hereby agree to pe•fe•m said wo•t
v,ith the attached plant and specifications which are a pert hereof and in accordance .;In the City of JacksonvTo ordi„aces a^a
of good practice listed therein.
Name of Mechanical Contractors
CoAtrac Kir (PriAt) Matter
Name of
Property Orner
tig.elun of Owner of
oAsthori:ed Agent Architect
or Engineer
III. GENERAL INFORMATION
A. Type of heetinq fuel: E3.
15 OTHER CONSTRUCTION BEING DONE ON
^c THIS BUILDING OR SITE T_
❑ Gas--❑ LP ❑ Natural ❑ Centre) Utility
[3 04 IF YES, GIVE NUMBER OF CONSTRUCTION
� PERMIT
❑ Other — Specify
IV. WIPCKANICAL EQUIPMENT TO RE INSTALLED NATURE OF WORK
(P canplete lint of componenh on back of this form) 11-�”TURosidontial or r j Commercial
Heat ❑ Space ID Recessed 0/Cenfrel O hoar ❑ New Building
"I Condr604in9: ❑ Room Cenlref P---E"Existing Building
❑ Noct System: Material nickists" sed Replacement of existing system
Maximum capacity c.f.se. ❑ New Installation(No system previously Installed)
❑ Refrigentiow ElExtenslon or add-on to existing system
❑ Coolie9 tower: Capacity m ❑ Other — Specify
O�P
❑ Fire spr.nklM: Number of heaa�
❑ Eiewtor ❑ Menlift ❑ Escalator (number)
THIS.SPACE FOR OFfICE USE ONLY
❑ GeSol;M pumps (number
❑ TeAs (number)
Remarks
❑ LOG contaia.rti (number)
❑ Unfired peeuure ve" r
❑ so"" Permit Approved by Dak I
❑ Other — Specify Permit Few
LIST ALL EQUIPMENT
AII< CONDITIONING AND REFRIGERATION EQUIPMENT Cipaci
ty Number Unit. Description Model Number Manuiactuhr ('}BOGS) wj��r�
{O G-K v U
HEATING FURNACES, BOILERS, FIREPLACES
-- Cats�dty �tmror4es,r
PSR-3844 11662
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
- -- PERMIT INFORMATION -- ------ LOCATION INFORMATION -
Permit Number : 11652 Address : 584 SEASPRAY AVENUE
Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA 3223
Class of Work : ALTERATION ---------- LEGAL DESCRIPTION -------
Constr . Type: WOOD FRAME Lot : Block : Section:
Proposed Use: SINGLE FAMILY Township : RNG: 0
Dwellings : 1 Code: 0 Subdivision: SEASPRAY
Estimated Value: 50 .00
Improv . Cost : SO .00
Total Fees : S25 .00-
Amount `f-zjid;----
25 .00Amount `f-zjid;- S25 .00
Dt.+ 3/26/95
OWNER INFORMATION ---- APPLICATION FEES
Nana . - -ATRICII- BARNES PERMIT $25 .00
Addie ss " "84 SFT SPRAY AVENUL WATER IMPACT FEE SO . 00
AT iNTIr" BEACH , FLOR?n �^ SEW- R- IMPACT FEE v 50 . 00
P at #. .: 90 4 24 -7'1,.91 WATtR ME : `ITAP a
RADON GAS-H .R. S . $0 . 00
------- CONT*ACTOR ,INFORMATION -- -- RADON CAB 5% $0 . 00
Name: F.W , .VAI 'LUMBING3 CO. CAPITAL IMPROVE. SO .00
1.ddress : 1'QER 51558 SEWER TAP
jA^ �TLLE BCH ,FLf3224 8 CROSS CONNECTION $0 .00
Type : 0 SEC H IMPACT FEE $0 .00
CONNST . SURCHARGE p� � � 00
SCH.AT-ar J T-,,,. r.-,T.T c4�^. r.n
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"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATIQKFO R
VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 3/26/96 til Rcpt: 0044152
00100003221000
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION : ,-5
y
OWNER OF PROPERTY
PLUMBING CONTRACTOR F w_ FATTY PT.TTMBTNG CO
CONTRACTOR' S ADDRESS :P__ O_ BOX 51558 , Jacksonville Beach, Fl 32240-1558
STATE LICENSE NUMBER : RTp nn-17503 TELEPHONE : 904-241-7191
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER__1�rxe
TOTAL FIXTURES : _ �x $3 . 50 + $15 . 00
MINIMUM PERMIT FEE — $25 . 00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
-----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — ( 904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP — ( 904) 247-5834
1
0/d 9/
G�t1
CITY OF
/'lactic Ve d - 9&ud4
a1 800 SEMINOLE ROAD
�— — - - -- — ---- -— - ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
May 19, 1994
Mrs . Patricia E. Barnes
584 Seaspray Avenue
Atlantic Beach, FL 32233
Dear Mrs . Barnes :
Our records indicate that you are the owner of the following
property in the City of Atlantic Beach, Florida:
584 Seaspray Avenue
a/k/a Lot 31 , Block 4, Seasprpay
RE#170703-0428-9
An investigation of this property discloses that I have found
and determined that a public nuisance exists thereon as to
constitute a violation of City of Atlantic Beach Ordinance Section
23-36 (high weeds and grass) .
You are hereby notified that unless the condition above
described is remedied within fifteen (15) days from the date
hereof , the City will remedy this condition at a cost of the work
plus a charge equal to 100% of the cost of the work to cover City
administrative expenses , which will be assessed the property owner
or occupant . If not paid within thirty (30) days after receipt of
billing , the invoice amount plus advertising costs , will be posted
as a lien on the property .
Within fifteen (15) days from the date hereof , you may make
written request to the City Commission of the City of Atlantic
Beach for a hearing before that body, for the purpose of showing
that the above listed condition does not constitute a public
nuisance.
Sincerely,
Karl W. Gunewald
Code Enforcement Officer
KG/pa
Enclosure
cc : City Manager
Don Ford
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
1
Z_71, s/ r/vY
d
Lp g
rA
: r , t1994 �rt
Building and zoginy
PSR-3844 9055
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION --- ------- LOCATION INFORMATION ----
Fermit Number : 9(-)55 Address : 584 SEASPRAY AVENUE
Permit Type: RE-RO-OF ATLANTIC BEA"H . FLORIDA '223''
'lass of Work : NEW ----------- LEGAL DESCRIPTION -------
` Type: WOOD FRAME Lot * 31, Block : 4 Section:
Proposed Use . SINGLE FAMILY Township: RNG: 0
1 Dwellings : I "fa: 0 Subdivision: SEASPRAY
I Estimated Value : "3?85 ,nn
Iinprov ._ Cost ! 80 . 00
Total Fens S22 . 50
Amount ,'at d' 822 . 50
T.Jnr-i• !`a$r H NEW SHINGLES
w, Fk �1V: MAT APPLICATION FEES ---
_ F,,-.t.. C)N _- -
PA'?`RIC'1A BARNES PERMIT S22 . 50
,84 cEiks, :AY AVENUE WATER IMPACT FEE
z.Tl ;.t'1'I 7 CH . FLORID^. 3 -222 -j' t<� R IMPACT FEE' c"
WATER METER/TAP cr
RADON GAS--H.R. S ,
CC,NTRACT- F INFORMATION ------ RADON CAB 5% 80 .00
Name* JEFr. "r CAPITAL IMPROVE . S0 .00
Address-. in,�- SEWER TAF SO .00
-:!RLAUDO,.. FL 28rJ. CROSS CONNECTION SO . 00
ens'aType * O SEC H IMPACT FEE SO 00
CONST. SURCHARGE 80 . 00
SCHARGE/ATL.BCH S�
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
£�000(1000 0000((00 i22.50 14
ATLANTIC BEACH BUILDING DEPARTMENT Date: 3/03/34 01 RCPt: 0079984
CHECKS 1112
By:
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22055 Address: 584 SEASPRAY AVENUE
Permit Type: DRIVEWAY ATLANTIC BEACH, FL 32233
Class of Work: ADDITION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s):31 Block: 4 Section:
Square Feet: Subdivision: SEASPRAY
Est. Value: _ Parcel Number:
Improv. Cost: 1,300.00 OWNER INFORMATION
Date Issued: 5/30/2001 Name: LEWIS, DAVID_E _
Total Fees: 60.00 Address: 584 SEASPRAY AVENUE
Amount Paid: 60.00 ATLANTIC BOEACH, FL 32233
Date Paid: 5/30/2001 Phone: 904)241-3080
Work Des&: PATIO & DRIVEWAY H4
CONTRACTORS _-APPLICATION FEES
PROPERTY OWNER A J' ,I
R ' 60.00
k,
0
A
a, alt
FINAL bris'te aired :
a
x
A
NOTICE-,INSPECTIC IV $T BE REQ>�JE8TfDAT LEAST 24 HOURS PR R TO INSOECTION
BUILDING MATERIAL,'RUBBISH AND IjEBRIS FROM THIS WORK MUST NOT BE., ACED IN VJBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
o..
"FAILURE TO COMPLIFIAtITH T C tS:�RUCTION LIEAt�IsLI kCAN RESULT IN THE
PROPERTY OWNER PAYtNC E O! . ILWi PROVEIYWNTS"'"
ISSUED ACCORDING TO APPROVED*PLANS WHICO ARS PART OF•JIIS PZRWT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS QP LAW:'
/ Oper: CHERYLE Type: OC Drawer: 1
_ Date: 5/06/02 01 Receipt no: 55250
ATNTICj`RtACH BUILDING DEPT. 14 PERMITS-BUILDING 1 $60.00
00100003221000
584 SEASPRAY
CK CHECKS 8068 860,00
tfth1� Tine: 15:17:36
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS,
MOVING, DEMOLITIONS
Owner(s)
r�-��14Qt6vl!�
Job Address
q �`4S '� v ��11>`. Phone
Lot# AO Block or Unit# / � Subdivision
_ - State License#
Contractor
Address � �� �-�"� Phone Z`t
City �c�i State A ' Zi
Describe work to be done ���� `� �" CC IU 6
0
c
Present use of building S f)
Valuation of Proposed C nstructio �t- 3`
�i15
Proposed use c� �
Is this an addition? ty a If yes, what are the dimensions of the added space: ft. x ft. e
U
New electrical or increase) 'f�
Will the added area be heated and cooled? ;�'�' (
New plumbing fixtures? New fireplace? New Heat/AC?
SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING F
SITE PLAN, SURVEY NERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ L O•
CONTRACTOR A -IDAVIT, OW RIS CO ,TRACTOR.
,« � ��
Signature of OWNER Date: C�\
Signature of CONTRACTOR Date
STATE OF FLORIDA
COUNTY OF '
Sworn to (or affirmed) and subscribed before me this day of 200!
ai
AS TO OWNER: Notary's Signature
Personally known
_ Produced Identification
��
MoM Pt�bBa 2005
WW
#tea Type of identification produced L12
Sworn to (or affirmed) and subscribed before me this day of
200
AS TO CONTR' ORS Notary's Signature
L
Personally known
IMAY 2 0Produced Identification
City of A,tlantIC Coach Type of identification produced
131-1idirIr41 arlid Zoning
AF 44241
MA. , SHOWING SURVEY JF
LOT 31 , BLOCK 4 , SEASPRAY, AS RECORDED IN PLAT BOOK 35 , PAGES 64 AND 64A
OF THE 'CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
-t
D
G 0 RIGHT•OF- 6./A Y
S•�O 28 OV'E. "75.QO'
-
FOU,VD � /.PON .. �F
// OUND� IRON P/PE
P/PE/NO id) NO ID
•G O • . - N 2o'�ic0/NCS RESTR.rTicri/
c/.vE B�' ,scar
A c-�
0 /5.3" (V (V 259 � ¢•
14
0
N 0.B CLEAK
✓.544
3� A K 3oA h
�0��� 8.1 58.C." �•� I LO�G IL 1
PR
W V I o IO \A &fib��NG pFF\G�
Q
G o � N �►�Y 3 �, �
N
20'EQ SEMENT FOR SRA/n/<tl�E, FOUNO IRON P/yE
`' UT/L/T/ES .d.�/o SEtt/E•45 �� PL4T �
� '8 OOx k/ x Go0
�7
a
Lo T Z4 LoT 25
NOrEf.,
1.TN/f PROPERTY LIED /N FL 000 Z ONE"X%6 Y FI-00,0 AAPf
KEd/fE0 -,Z//7/69, COVAIZIN/Ty P,4NEL N0. /Z 00 U 000
Z. BEARINGS ARE BASED ON TIIE fOUTNE,PL Y RIGHT OF 6/il Y
UNE OF fEAfPRA Y AVENUE Af 841N JG7°Z6-00"E /N
A,ccORDAN« <✓ITN PLAT BOOK 3S, mciz 1,4A .
PREPARE0 FOR lf/E g61VEF/T OF
ATTo)ZVEYJ T1 TLE /uf09AAIC E FdN, /NC,
l✓/LL IAM G. A/0 E, -M
OA VIP E. L E,/If
®��®E� LAND
�1 Mf.4/GL!'S /�✓/�DL ES�JG E���/oE.Q
�ILlJ�V L5Y®ifllS INC.
LB 6645 H. BRUCE DURDEN, SR.
PROFESSIONAL LAND SURVEYOR NO.1674 FLORIDA
1103 SOUTH THIRD STREET DATE: NOVf VEER /6, 2000
JACKSONVILLE BEACH, FLORIDA 32250 SCALE: / ` ZZ'
(904) 249-7261 FAX (904) 241-1252
THIS MAP OF SURVEY IS NOT VALID UNLESS IT IS SIGNED AND
HAS THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR.
CITY OF ATLANTIC B�E�AiCH
nl�DADTRIENT OF
DING
800 SCb1INOLE ROAD-ATLAN T IC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 I
- PERMIT#NFORUNTION - # Qg TKfN'tWOMAT
I
Per—mk Number: 21108 Address: 584 SEASPRAY AVENUE I
Permit Type: REMODELING I ATLANTIC BEACH, FL 32233
I Class of Work: REMODEL ! Township: Range: Book:
yProposed Use: SINGLE FAMILY I Lot(g):31 Block: 4 Section;
Square Feet: Subdivision: SEASPRAY I
Est. Value: I Parcel Number: I
Improv. ^aft. 10,000.00 ---' OWNER;NFQR!'",3TION
i nate I¢guari; 171nft0-nnn 1- u�.Y,�• I EVnnS "A v' D " !
!•O!!l�I. I YM1C, V Y!V L.
I Total Foes: an.n0 I A� dress: 584 SEASPP.AY AVENUE I
.�..,�:
.m.ou..• .03rd:
ono ! " I LANTIC 80EACH, FL 32233
nate Paid: 12108,2000 C Pi,oV11e: (904)241-308
Work Desc: PAINT..'ARPET, CABINETS, `HIND. WS
CONTMONK-
PERT,
,ON - ;:,. i ata ►T i FEES
I11 PERT,Y OWNER PERMIT 90.00
� I i
I
I ! �
I I 1
I
I I
s recf�FIWLBUILDIN__G I !
1 !
� � I
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
1'cArr :JRE TO CG+�"oLY WITH THE CONSTR'U'CTION LIQ- LAW CAN RESULT IN THE PROPERTY j
1 7^11
-URE
PA)fING TWICE FOR BUILDING IMPROVEMENTS-@
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT T O REVOCATION I
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. _
I i
I
I
I �
n n 1
$98.06 14 !
_ e Date: 2/88/81 81 Receipt: 8832429
ATLANTIC BEACH BUIL/DING EPT. CHECKS 6929
88186883221686
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS
s,.MOG, r DEMOLITIONS
Owner(s) : lL,� Lt)�S
Job Address: &AS 1 A-L Phone:
Lot # Block or Unit # Subdivision:
Contractor: �rG / State License #
Address: `/s-!�- ATL. . I3yd, Phone No:
City ATL.Tek , State Zip Code �ZZ33
Describe work to be done: �/�CN� �/Q�C�E � �Q bfA) , (A)/'Ado t,)
,
Present use of building: S%r�iv�lt`�C
valuation of Proposed Construction: �j ooy � (0, DID
1
/-: i`
Proposed use: //L �d/
Is this an addition? b 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) ?—S, "-
New
3`, 'New plumbing fixtures?k�O New fireplace? k New Heat/AC? /l
SUMaT THREE (COMbfi=IAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF CObmI NMIgNT, AND
OWNER/CONTRACTORVZT, IF OWNER IS CONTRACTOR.
r �Dr�Signature OWNER: Date:
Signature CONTRACTOR: Date:
AS TO OWNER:
Sworn to and subscribed before me this / 1 day of, 2000.
—1 Nl�
NO Y PUBLIC
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of , 2000.
S;; °i'• HAROLD L.MA'rrHEWS
MYCOMMISS&I#CC612781 NOTARY PUBLIC
EXPIRES:May 10 2001
df t bonded Thru NotaryPubic Underwr o nn
CITY OF
,o*� Fear, - �'&vda
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
i
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489. 1 03(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
USc, Ap4,u LIKEWISE REyUiRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,0,00) 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 TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." 7)-115 DOES NOT ALLOW USE OF
UNLICENSED CONTRACTORS.
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS
WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS
THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR
FORM 1 099 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(l). 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,
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.
HAROLD L MATTHEWS
=int' PROPERTY OWNER UILDER
MY COMMISSION#CC 612791 _
a= EXPIRES:May 10,2001 /Y1 , �� S/41" lam'' L, nCiL
Oonded Thru Notary Public Underwriters
ADDRESS TELEPHONE
(Ht�
SWORN TO AND SUBSCRIBED BEFORE ME THIS AY —
NOTA PUBLIC
NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES:
ARE EMPHASIZED BY THE BUILDING
DEPARTMENT.
� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 02-00025239 Date 12/02/02
Property Address . . . . . . 584 SEASPRAY AVE
Tenant nbr, name . . . . . . POOL
Application description . . . POOL
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 20000
Owner Contractor
-
------------------------
-----------------------
SULLIVAN, TOM BONAFIDE POOLS
584 SEASPRAY AVENUE 2210 FLORIDA BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 247-1313
----------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 130 . 00 Plan Check Fee 65 . 00
Issue Date . . . . Valuation . . . . 20000
Fee summary Charged Paid Credited ----Due---
----- ---------- ----------
Permit Fee Total 130 . 00 130 . 00 . 00 . 00
Plan Check Total 65 . 00 65 . 00 . 00 . 00
Grand Total 195 . 00 195 . 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.
f S.
BUILDING OFFICIAL
j rL\J. / CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH,FLORIDA 32233-5445
1� TELEPHONE:(904)247-5800
FAX:(904)247-5805
rj SUNCOM:852-5800
6 My /) http://ci.atlantic-beach.fl.us
"(
PLAN REVIEW COMMENTS
Permit Application # Ja
Applicant: �'l a'rl e P0
Address:
Project:
Your application is approved
o Your permit application has been reviewed and the following items need
attention:
Please re-submit your application when these items have been completed.
Reviewed by
Signed Date //' Z-
Contractor Notified Date
a 693
RFGFIVFD
CITY OF ATLANTIC BEACH NOV 2 5 2002
APPLICATION FOR POOL PERMIT BY:_4
JOB ADDRESS 54"'1
Se a sp r�7 !4y
LOT# 3 BLOCK# PL SUBDIVISION
OWNER VQ.�'L,
ADDRESS S,?,/ S�� riJ - � n � iv
CONTRACTOR
ADDRESS
TELEPHONE
LICENSE NUMBER RP o°302
VALUATION GALLONS -P:% 2-
SITE PLAN
front
rear
SIGNATURE OF OWNER DATE
SIGNATURE OF CONTRACTOR DATE
The Florida Statutes Page 1 of I
The 2000 Florida Statutes
View Statutes Online Sunshine Print View
Title XXXIII Chapter 515 View Entire
REGULATION OF TRADE, COMMERCE, Residential Swimming Chapter
INVESTMENTS, AND SOLICITATIONS Pool Safety Act
515.29 Residential swimming pool barrier requirements.--
(1) A residential swimming pool barrier must have all of the following
characteristics:
(a) The barrier must be at least 4 feet high on the outside.
(b) The barrier may not have any gaps, openings, indentations, protrusions, or
structural components that could allow a young child to crawl under, squeeze
through, or climb over the barrier.
(c) The barrier must be placed around the perimeter of the pool and must be
separate from any fence, wall, or other enclosure surrounding the yard unless
the fence, wall, or other enclosure or portion thereof is situated on the
perimeter of the pool, is being used as part of the barrier, and meets the barrier
requirements of this section.
(d) The barrier must be placed sufficiently away from the water's edge to
prevent a young child or medically frail elderly person who may have managed
to penetrate the barrier from immediately falling into the water.
(2) The structure of an aboveground swimming pool may be used as its barrier
or the barrier for such a pool may be mounted on top of its structure; however,
such structure or separately mounted barrier must meet all barrier
requirements of this section. In addition, any ladder or steps that are the means
of access to an aboveground pool must be capable of being secured, locked, or
removed to prevent access or must be surrounded by a barrier that meets the
requirements of this section.
(3) Gates that provide access to swimming pools must open outward away
from the pool and be self-closing and equipped with a self-latching locking
device, the release mechanism of which must be located on the pool side of the
gate and so placed that it cannot be reached by a young child over the top or
through any opening or gap.
(4) A wall of a dwelling may serve as part of the barrier if it does not contain
any door or window that opens to provide access to the swimming pool.
(5) A barrier may not be located in a way that allows any permanent structure,
equipment, or similar object to be used for climbing the barrier.
History.--s. 1, ch. 2000-143.
httpi//www.leg.state.fl.us/citizen/documents/statutes/StatuteBrowser2000/in.../SEC29.HT 09/29/2000
The Florida Statutes Page 1 of 1
The 2000 Florida Statutes
View Statutes Online Sunshine Print View
Title XXXIII Chapter 515 View Entire
REGULATION OF TRADE, COMMERCE, Residential Swimming Chapter
INVESTMENTS, AND SOLICITATIONS Pool Safety Act
515.27 Residential swimming pool safety feature options; penalties.--
(1) In order to pass final inspection and receive a certificate of completion, a
residential swimming pool must meet at least one of the following requirements
relating to pool safety features:
(a) The pool must be isolated from access to a home by an enclosure that
meets the pool barrier requirements of s. 515.29;
(b) The pool must be equipped with an approved safety pool cover;
(c) All doors and windows providing direct access from the home to the pool
must be equipped with an exit alarm that has a minimum sound pressure rating
of 85 dB A at 10 feet; or
(d) All doors providing direct access from the home to the pool must be
equipped with a self-closing, self-latching device with a release mechanism
placed no lower than 54 inches above the floor.
(2) A person who fails to equip a new residential swimming pool with at least
one pool safety feature as required in subsection (1) commits a misdemeanor of
the second degree, punishable as provided in s. 775.082 or s. 775.083, except
that no penalty shall be imposed if the person, within 45 days after arrest or
issuance of a summons or a notice to appear, has equipped the pool with at
least one safety feature as required in subsection (1) and has attended a
drowning prevention education program established by s. 515.31. However, the
requirement of attending a drowning prevention education program is waived if
such program is not offered within 45 days after issuance of the citation.
History.--s. 1, ch. 2000-143.
http://www.leg.state.fl.us/citizen/documents/statutes/StatuteBrowser2000/in.../SEC27.HT 09/29/2000
` _ a
•1±rL!1-
•r
City of Atlantic Beach 800 Seminole Road Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us
PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS,
MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION
DATE
APPLICANT v''r Voln
ADDRESS S��f Ifo ra U PHONE: Z u� 3Z. 6 a
ADDRESS WHERE WORK IS TO"BE PERFORMED SU Al P
LEGAL DESCRIPTION: BLOCK NUMBER _ LOT NUMBER__z3 , ZONING DISTRICT
CONTRACTOR �n n21 Leo'"a 1/P STATE LICENSE NUMBER
DD 2 eS
ADDRESS Z Z i� F'�Qn�� l5 'v� PHONE II
CITY.n ,I-',,,e L
/ � STATE I- ZIP } Z o in--- FAX
0
J
DESCRIBE PROPOSED USE AND WORK TO BE DONE
PRESENT USE OF LAND OR BUILDING(S)
VALUATION OF PROPOSED CONSTRUCTION 177TO 11-0
Is this an addition? Mo If yes, what are the dimensions of the added space: �✓ R feet by feet
Will the added area be heated and cooled? /✓�� New electrical or increase in service? "V/,q
New plumbing fixtures? New fireplace? iv/A New heating/air conditioning? i✓ A
Is approval or Homeowner's Association or other private entity required? IVa If yes,please submit with this application.
PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all
information as appropriate.)
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please
i contact the Planning and Zoning Department at 904-247-5817. 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 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. Please submit 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
01/02/02
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.
1. 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. Existing and/or proposed driveways.
4. If required by the Department of Public Works, a pre-construction topographical survey.
5. Any significant environmental features, including any jurisdictional wetlands, CCCL,natural water bodies.
►6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.)
7. Other information as may be appropriate for individual applications.
I HEREBY CERTIFY THAT ALL INFORMATION,,PROVIDED WITH THIS APPLICATION IS CORRECT.
SIGNATURE OF OWNER L-77 DATE
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 CONTRACTOR DATE ' �l� '0 Z
ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING
THIS APPLICATION (PLEASE PRINT)
NAME ``o X41 f t7 G K°s9✓Y
MAILING ADDRESS S2,10 Plt ,
PHONE FAX 2q9 7 2 13 E-MAIL
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF dot•. Z 2
11M 07T HUTTEN
...
STATE OF FLORIDA,COUNTY OF DUVAL '*: * %r`Mi ON#DD 088427
m P ry31,2006
NOTARY'S SIGNATURE e
i
AS TO OWNER: Personally known
❑ Produced identification
Type of identification produced
AS TO CONTRACTOR: Personally known
❑ Produced identification
Type of identification produced
01/02/02
MAP SHOWING BOUNDARY SURVEY OF
LOT 31, BLOCK 4, SEASPRAY, AS RECORDED IN PLAT BOOK 35, PAGES 64 AND 64A,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
TOM J. SULLIVAN
COUNTRYWIDE HOME LOANS, INC.
STEWART TITLE GUARANTY COMPANY
RICHARD T. MOREHEAD, P.A.
SEASPRAY AVENUE
(60.0' RIGHT OF WAY)
S 67'28'00" E 75.00' (PLAT)
S 67'10'06" E 75.00' (MEASURED)
FOUND X-CUT 5 ' S•1 0 E W A L K •• FOUND 1/2• IRON PIPE
IN CONCRETE j NO IDENTIICATION
0.2! 0.1' 250.00 PL .,i
ac
in e J�
• •(NV' N �t�
• 20' BUILDING
• RESTRICTION LINE F e
z
l� 15.2' ,c c 25.9' 8.6'
8.0'
bi COVERED 17.4' N W
ENTRY
0
a W O.I
X—m ONE STORY W Q Q
MASONRY W
`-' POSTED # 584 a
0 000 X 0.6,
0.6'O S
LOT 32 p 1 I 8.0' se.s' ATI . p o LOT 30
BLOCK 4 � COVERED PAD
x W 0 BLOCK 4
w
PAno I �
I Prd 3 3
0
0 0 _ `. O0 0
C14 N 1 I O o
V) 1{T (V
M I I CY) Nl
N N
N N ti 1 3 6� I N N
Z Z � I N to
I
L
4=0-T 31 - (n
H BLOCK 4
Z7'
FOUND 1/2' IRON PIPE 20' DRAINAGE. UTILITIES AND SEWERS EASEMENT
NO IDENTIFICATION 0.2' 0.0'
0.0' FOUND 1/2• IRON PIPE
1.0'/ UNDER CONCRETE
LOT 24 N 67'01'16" W 75.08' (MEASURED) LOT 25
BLOCK 4 BLOCK 4
N 67'28'00" W 75.00' (PLAT)
NOTES: ACCEPTED BY:
LEGEND:
R e RADIUS —X— = FENCE
L - LENGTH O - CONCRETE
NOTES:
1. BEARINGS ARE BASED ON THE __ PLAT_ N 22'32'00" E REVISIONS
___ BEARING OF --------------- ALONG THE
NORTHWESTERLY BOUNDARY LINE OF SUBJECT PARCEL.
DATE DESCRIPTION
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE X _I AS SHOWN (r THE
NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075. PANEL _ 0001 DU
3. THIS SURVEY REFLECTS ALL EASEMENTS do RIGHTS OF WAY AS PER RECORDED PLAT k/OR TITLE COMMITMENT
IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED
4. THIS SURVEY NOT VALID WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE CERTIFYING SURVEYOR.
JOB # 17192 DATE OF FIELD SURVEY: 04-10-02 DATE OF ISSUE: 04-11-02 SCALE: 1" = 20'
CERTIFICATE
2522 Oak Street I HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE
Jacksonville, Florida 32204 AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA
(Phone) 904-389-5989 BOARD OF PROF / SUT:It/EYORS AND MAPPERS IN CHAPTER 61617-6. FLORIDA
(Fox) 904-389-6175 AOMINISTRA RSUANT TO SECjTJRN 472.072. FLORIDA STATUTES.
' C-0—
MICHAEL J. AIELL
LICENSED BUSINESS N 6702 REGISTERED SURVEYOR AND MAPPE # 4879 STATE OF FLORIDA
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS
MAP SHOWING BOUNDARY SURVEY OF
LOT 31, BLOCK 4, SEASPRAY, AS RECORDED IN PLAT BOOK 35, PAGES 64 AND 64A,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
TOM J. SULLIVAN
COUNTRYWIDE HOME LOANS, INC.
STEWART TITLE GUARANTY COMPANY
RICHARD T. MOREHEAD, P.A.
SEASPRAY AVENUE
(60.0 RIGHT OF WAY)
S 67'28'00" E 75.00' (PLAT)
S 67'10'06" E 75.00' (MEASURED)
FOUND X-CUT 5 S,I 0 E W A L K y FOUND 1/2• IRON PIPE
IN CONCRETE NO IDEND ICATION
•f -
0.1' 250.00 PLAI
0.2'
' O>
a
>o
N N 7 S
• 20' BUILDING
' RESTRICTION LINE G
z
i5.2' o 25.9'
0 8.0
tJJ COVERED 17.4' c' U-1ENTRY fZ
(n (J')
~ Q ONE STORY o Q
x o
01 m MASONRY to Lj
d
POSTED # 584 .�
o Lo x x-4
0 00 0.6'O 0
LOT 32 Co 1 I 80' 58.5' CON11
ONCR p o LOT 30
BLOCK 4 COVERED 'A0 X 0 - BLOCK 4
PATIO r
FL
LJ w I 1p'-IrO5c) �r 3
0 O
N N 1 1 N iv
Cv ti 1 3� 6i I CJ N
Z Z I. 1 CV <n
-L-OT 31 - f)
BLOCK 4
-•>_�,...., 20' DRAINAGE. UTILE TIES AND SEWERS EASEMENT
FOUND 1/2• IRON PIPE
Plannr;.� NQ IDE`TIFICATIIN 0.2 0.0
FOUND 1/2• IRON PIPE
This approval Verifles eomp ar:'',e w,th applicable UNDER CONCRETE
zoning, subdivision and other local land
development regulations, but does not consti
approval for the issuance oTp�r1i
with Florida Building Code arid- ,6N1err appi b '01'16" W 75.08' (MEASURED) LOT 25
local, State and Federal Pffilk" fbquireme s BLOCK 4
must be verified bbyy signature of the City of Atlantic 7 28 00 W 75.00 (PLAT)
Beach Buildin40MMuni
% ' I prior to the Issuance of a
Building Per
Approved By: NOTES: ACCEPTED BY:
Deve opment R - RADIUS X— = FEN
L = LENGTH O = CONCRETE
NOTES: REVISIONS
1, BEARINGS ARE BASED ON THE ___PLAT____ BEARING OF N 22.32'00" E ALONG THE
NORTHWESTERLY BOUNDARY LINE OF SUBJECT PARCEL.
LATE DESCRIPTION
2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE _____X__ I AS SHOWN ON THE
NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989. COMMUNITY NUMBER 120075. PANEL
3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT
IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED
4. THIS SURVEY NOT VALID WITHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE CERTIFYING SURVEYOR.
JOB # 17192 DATE OF FIELD SURVEY: 04-10-02 IDATE OF ISSUE: 04-11-02 1 SCALE: 1" = 20'
CERTIFICATE
2522 Oak Street HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE
Jacksonville, Florida 32204 AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA
(Phone) 904-389-5989 BOARD OF PROF A SUfQ/EYORS AND MAPPER$ IN CHAPTER 61G17-6. FLORIDA
(Fax) 904-389-6175 AOMINISTRARSUANT TO SEC
N X72.072. FLORIDA STATUTES.
MICHAEL J. AIELL
LICENSED BUSINESS N 6702 REGISTERED SURVEYOR AND MAPPE N 4879 STATE OF FLORIDA
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS
p
� q k
f , �
3 0 �
PQ' o u
2 Qi m
1
ZOOZ 9 AON
3:)iAJo ONiaiim
HOd3QOIIoII d 0 Allo
r
r
fv
N
�V
u
z
w �
0
o W A4
Ilk-
N V
i Qrl
3 a h
s o
cu �
fb
4� 03 Ct
ZE
h �
l •�
i'
IS
Not-
^ S
4 4k, `
` } o 1
Q 3 3 ,
If) ta
sp
v
IS.. cry
� 4
' 7
Q
C
a
3
00 U v�
CL E ' •
L7� d C a
Czu
-'
"a N
cv i IM Z
Q `
N
` v z
Q y w 8
E
www
nw c� U
°Du >
El c a Ig
CL
� / . a
r.L o 0— C ~
1W�
ca9 E cp
c o u a o
OS' O Wuo o taAu 0
<iN . o pica
W E °n E `y o ..
O {r/ Lo c' 3� � ca � cm
.Q '0w Eo _ E
a c c c' wm
C -W I M d q=4 CD
.... .� N l.._ co E n >S t v° Ou
L I > 7 c T
E o
E �CN
V � • N
L •'� c E
rr �
0. � E
� N a
1 c �
a a
�.1 c
o
c N
Y U
u .
e c
e
y o
�u
go
� E~
x c
a o
May 15 09 05:59a Moodys Roofing Inc 9047813731 p.1
NOTICE OF CONM.ENCEMENT
State of Tax Folio No.
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: S'0�{ [C�CLS�CL j e —
General description of improvements:
Owner. TCS i^'l Address: .S�''OL_S �- A
Owner's interest in site of the improvement: -
F Simple Titleholder(if other than owner):
erne: ----
o GAJ C
±x AYF c.
Address: Q
Telephone No.: Fax No: -
Surety(if any)
Address: _ -.__- Amount of Bond S
Telephone No: Fax No:—
Doc#2009106816,OR 8K 14865 ?age 158.
Name and address of any person making a loan for the construction of the R��05'06Coo9 at'013' 1'M.
Name: J M FULLER CLERK Ci4CUiT COURT DUVAL
^OUNif
Address: RECORDING$1000
Phone No: Fax No:
Name of person within tate State of Florida,other than himself, designated by owner upon whom notices or other documents may be
served: Name: _--
Address:
Telephone No: Fax No: _
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in
See
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name.
Address: -
Telephone 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 OWN,ER
Date:
Signed: in the County of Duval,Sic
Betore roe this day of
f 110ri has person alh apQeared
lorida,County of Duval.
°' �'`'s htala161q'P4gr5fal ' brisa or
fxmded 8y Nat Nota A n.
CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Vr INSPECTION PHONE LINE 247-5826
r�JSiS�''
Application Number . . . . . 09-00000586 Date 4/28/09
Property Address . . . . . . 1805 SELVA GRANDE DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 17135
---------------------------------------------
Application desc
re roof 40 yr arch FL#5444 . 7
----------------------------------------------
Owner Contractor
-
------------------------
-----------------------
HAWKINS, JAMES D. GRASTON ROOFING CO INC
1805 SELVA GRANDE DR. 2680 FOX HUNT TRAIL
ATLANTIC BEACH FL 32233 ST. JOHNS FL 32259
(904) 287-0298
----------------------------------------------
Permit ROOF PERMIT
Additional desc RE ROOF 40 YR SHNGL FL5444 . 7
Permit Fee . . . . 120 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 17135
Expiration Date . . 10/25/09
-----------------------------------------------
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.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
st OFFICE!(904)247-5826*FAX NO.:(904)247-5345
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
ww"UND I Rpffloww
1904',SII2.LVA WtAM* 100?.Atlantic Beach, FL 32233 11) /3Y .?.3 .36 S-qs .
77
2&4.M4E0WDESCRWT,ION-;
[3 NEW BUILDING 11 DEMOLITION 0 RESIDENTIAL
ILOT_BLOCK—SUB DIVISION El ADDITION [I CONVERTING USE El COMMERCIAL
0 ALTERATION 0 ACCESSORY BLDG. rFl ZE
f-46 LJLJL(.'-7 11 REPAIR OPOOL/SPA 0 YES 0 N/A
RF-R*.* wrw 4(ov. 4ACR 17hr-7 AL SMINC.44,S El MOVE 13 OTHER _ N CHITEC 1 0 No 1
AR
QWNER
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:
UArmes C. mA&-kwS. C*&A37QA1 fk"F/W-C,0-1AJt-
fo-r -U LV4 &AA^A* OAS- 16.NAME: 24,LICENSEE NAME:
A-MANIM e2k" FL31233 AANi&L G"S70AJ
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
I Le.(— e A,.,L)
1 B.ADDRESS: 26.ADDRESS:
,x,(.80 FCM 14AJ7 7It 4 1 L
5,4iAJT XONAIS r-L 312.59
11.OFFICE PHONE: —12.FAX NO.: 1.9.OFFICE PHONE: NO.:
,Lr1>— I r&5-
20.FAX NO.: 27.OFFICE PHONE: 26.FAX
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EIVIAIL ADDRESS:
51A a.
-DER,'
'OTH If" NE
NN R
............
31.NAME: 33.NAME: 35.NAME:
—
32,ADDRESS: 34.ADDRESS: —36ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
'as
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
3
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.
Iohm
ggi55 rw
E*-B�AGENI
M�,i!t.,OWN
F
,—f Date:
11S i g n a d4:� Date: Signed:
7-0 2007inxeca tyof
ore this day of 2007 fn the county of Before me this day of
,;e,
State
of Florida,has personally appeared DuvState of Florida,ha eared
herin by himself/herself and affirms that all statements and declarations are hern by himself/herself and affirms that all statements and declarations are
true and accurate.
t true and accurate.
I—
Notary Public at Large,State of County Of Nota ublic at Large,State of County of
El Personally Known �t.rnally Known
flProduced Identification- tc. 0 Produced Identification-
Notary Signature;Signature: "-:I;: J016MAN jAMESnVDAVI$--
Notary Public- State of Florida EL A.
WIC
My Co"WissiM Expires Feb 8,2011 Jp, SION#DD 791167
Conftssion 0 DD 638409
EXPIRES:September22L,2012
" ..
. ru Nota
Ty p Undow
os . 4P tOm
COAG FORM BLDGOI:REVISED:111612ovi—
Apr 28 09 04:50p Graston Roofing Co Inc (904) 287-1835 p,1
NOTICE OF COMMENCEMENT
PER-MIT NO. 01—oksvmo Sy(—
TAX PARCEL NO. 1 k cL5 Ila -SO'7y
STATE OF FLORIDA
COUNTY OF /3!•1✓4 L
The undersigned hereby gives notice that improvements will be
made to certain real property,and in accordance with section
713.13 of the Florida Statutes,the following information is
provided in this NOTICE OF COMMENCEMENT.
THIS SPACE FOR RECORDER'S DATA
Legal description of property(include Street Address,if available)
3R— — 0R -as -a9F 5,E�vA T)Geieh I---7 as 01hA1a c— O!2 8k 5eAA - 4/3
84SS 54t.yA A-7i-4nT71C— AQ-AC-6�
General description of improvements 44o 9k4c A,2CWaEr.74&c4t
' s1�„vbt�S
Owner i gMf--S A CRtES7n.1
Address 18a S Lv4 Trfz, f-A AR1Vz �47L.;+�7ic Sx,¢Pit/� rL . 3a 233
Owner's Interest in site of the improvement
Fee Simple Title holder(if other than owner)
Dame
Address
Contractor_ 4A,.,a t, R
Address �A(o3a l yCk un'Y "7RA/t S fI /K/7 'TollmS FL 3,pa=E!j
Surety
Address Amount of S bond
Any person making a ban for the construction of the improvements:
Name
Address
Person within the State of Florida designated by owner upon whom notices or otber documents may be served as provided by Section
713.13(1)(&)7,Florida Statutes.
Name
Address
In addition to himxelf,owner designates
Of
To receive a copy of the Lienor's Notice as provided in Section 713.13(1)(6),Florida Statutes.
Expiration date of Notice of Commencement(the expiration date is I year from the date of recording unless a different date is
specified.)
WARNING TO OWNER:ANY PAYMENTS MADE BY THE
OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS
UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTI OF COMMENCEMENT.
SIGNATUR OWNER
PRINTED NAME OF OWNER
xSWQjRN TO AND SUBSCRIBED BEFORE ME THIS` Z_�DAY OF
i✓[�-t L ,20L*. „�'•/ JAM pAyfb
petl0yr►t .side of FloiNa
� _ ��in11M f/b'os Ftbl,xptt
MY COMMISION EXPIRES Z —��l �• � � Cs+��1100 i384g9
NOTARY PUBLIC , 9s�tlnd �0�
• _ .2ARTMENT OF BUILDING PERMIT NO. 4456
CITY OF ATLANTIC BEACH, FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date AlIgtt�t 25 19
Plumbing9.00
Valuation$ Fee $
This permit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of law.
k This is to certify that iU9 QQ-
has permission to
1 shower, 1 wa er heater, 1 washing machine.
Classification asidenL al Zone
Owned by New P?et Co.
Lot Block S/D
House No. 594 SaaSpra AyP1
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
-,l 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.
Dill X. Davis
i,
Building official. I
FOR OFFICE PERMIT DATE
CONTRACTOR 14
USE ONLY NUMBER t
.'77 1 3/2.5J,
PLUMBING
p iN
k
€ ELECTRICAL
ESEWER �
WATER
."Imp�
d.s
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
Date: OS- l C X D
Location l J
Plumbing Finn
Master Plunbes._--�'�
City/County Occupational License No.
State Certificate No. /b 3 W:2 — ()
Builder or Contractor_L-i /xt i— (26 ;
Type of Building
SINKS 1 SHUAJERS
LAVATORY [SLATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
�C�JJSETS ---L4WHING MACHINE
FLOOR DRAINS
OTHER
` 1 TOTAL FIXTURE COUNT { j
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CITY OF
Office of Building Official
�S REQUEST FOR INSPECTION
Date 7C—Q Permit No.,,�!�?lJ CL%
Time A.M.
Received P.M. District No.
Job Add(�fr/esss Locality
Name
BUILDING PLASTERING LECTRICAL LUMBING HEATING
Foundation.......❑ Wire..................❑ Rough Winn ugh...............❑ Rough............❑
Chimney...........❑ Lath..................El Finish Wiring.. Final................. ❑ Final...............n+
Framing............❑ Scratch..............❑ Fixtures.......... Sewers...............❑ Water Heater.. ❑
Final................. ❑ Brown...............❑ Motors............❑ Gas................... ❑
Finish................❑ Cesspool ...........❑
Wallboard ........❑
READY FOR INSPECTION A.M.
Mon. Tues. Wed Thurs. Fri. P.M.
Inspection Made --' i IA:
Inspector
B-1.2
CITY OF
oft tlulf ►-
Office of Building Official
p_ y REQUEST FOR INSPECTION
Date / 3'�/ Permit No.
Time A.M.
Received P.M. District No.
Job Address
f/
Locality
Job
Owner's ��//�! for
Name
ILDI PLASTERING 'I J�,�� P NGS HEATING
Foundation.......❑ Wire..................❑ Rough Winng. Roug ...............❑ Rough............❑
Chimney...........❑!Lath..................El Finish Wiring..❑ Final................. ❑ Final...............❑
Framing............ Scratch..............El Fixtures..........❑ Sewers...............❑ Water Heater.. ❑
Final................. ❑ Brown...............❑ Motors............❑ Gas................... ❑
Finish................❑ Cesspool ...........❑
Wallboard ........❑
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. p N1 Fri. P.M.
Inspection Made P M
i
Inspector
B-1.2
CITY OF
gftaftC &4ds -
Office of Building Official
¢,�/.
REQUEST FOR INSPECTION Aga
Date � Permit No. Y�
Time A.M.
Received Pv• District No.
Job Add ss Locality
Owner's
Name
BUILDING PLASTERING LEL�RICAItor PLUMBING HEATING`
Foundation.......❑ Wire..................❑ Rough M Rough...............❑ Rough............❑
Chimney...........❑ Lath..................El Finish Wirin
g..❑ Final................. ❑ Final...............❑
Framing............❑ Scratch..............El Fixtures..........❑ Sewers...............❑ Water Heater.. ❑
Final................. ❑ Brown...............❑ Motors............❑ Gas................... ❑
Finish................❑ Cesspool ...........❑
Wallboard ........❑
READY FOR INSPECTION A.M.
°n T Wed. Thurs. Fri. P.M.
Inspection Made �:M.
Inspector
B-1.2
CITY OF
OMM C &494- RW&
Office of Building Official
REQUEST FOR INSPECTION
Date /O" Permit No.
Time A.M.
Received P.M. District No.
Job Address Locality
Owner's
Name Contractor
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation.......❑ Wire..................❑ Rough Wiring.❑ Rough...............❑ Rough......Y.....❑
Chimney...........❑ Lath..................El Finish Wiring..❑ Final................. ❑ Final...............❑ _
Framing............❑ Scratch..............El Fixtures..........❑ Sewers...............❑ Water Heater.. ❑
Final...----......... ❑ Brown...............❑ Motors............❑ Gas................... ❑
Finish................❑ Cesspool ...........❑
Wallboard ........❑
READY 1"NS CTION A.M.
Mon. Tues. Wed_. Thurs. Fri. P.M.
Inspection Made--- Z 0 A:
Inspector
B-1.2
.2yi -3,2,
CITY OF k,,14
Office of Building Official
REQUEST FOR INSPECTION y�jp
Date � Q . Permit No.
Time A.M.
Received P.M. District No.
1 e-V
Address Locality
Owner's
Name Contractor
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING-
Foundation.......❑ Wire..................❑ Rough Wiring.❑ Rough...............❑ Rough......,.....❑
Chimney...........❑ Lath..................El Finish Wiring..El Final................. ❑ Final...............❑ .
Framing............❑ Scratch..............El Fixtures..........❑ Sewers...............❑ Water Heater.. ❑
Final................. ❑ Brown...............❑ Motors............❑ Gas................... ❑
Finish................❑ Cesspool ...........❑
Wallboard ........❑
Mon. Tues.
READY FOR INSPECTION / A.M.
Wed. Thurs. Fri. t P.M.
Inspection Made
Inspector
B-1.2
CITY OF
lfQhU4
Office of Building Official
r —7 REQUEST FOR INSPECTION
Date�`7 — / `�(� Permit No.
Time A.M.
Received P.M. District No.
Job AOdress Locality
Owne's
r
Name / '�. �,: Contractor
BUILDING PLASTERING ELECTRICALLUMBING HEATING
Foundation.......13 Wire..................El Rough Wiring.❑ Rough..........—El Rough............❑
Chimney...........❑ Lath..................❑ Finish Wiring..❑ F inal................. ❑ Final...............❑
Framing............❑ Scratch..............❑ Fixtures..........❑ Sewers...............❑ Water Heater.. ❑
Final................. ❑ Brown...............❑ Motors.............❑ Gas................... ❑
Finish................❑ Cesspool ......,....❑
Wallboard ........❑
READY FOR INSPECTION A.M.
Mon. Tues. �We Thurs. Fri.
Inspection Made IA
Inspector
B-1.2 �7
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received PV. District No.
Job Add s i Locality
Owner's
Name Contractor
ILDIN PLASTERING ELECTriCAL PLUMBING HEATING.
oundation.......❑ Wire..................El Rough Wiring.❑ Rough...............❑ Rough............❑
Chimney...........❑ Lath..................El Finish Wiring..❑ Final................. ❑ Final.........:.....❑
Framing............❑ Scratch..............C1 Fixtures..........❑ Sewers...............❑ Water Heater.. ❑
Final................. ❑ Brown...............❑ Motors.............❑ Gas................... ❑
Finish................El Cesspool ...........❑
Wallboard ........❑
READY FOR INSPECTION lJA.M.
Mon. ues. Wed. Thurs. pFri.
Inspection Made P:M:
Inspector
8-1.2
CITY OF
Oftfs 4 &WA - Ra'&
Office of Building Official
REQUEST FOR INSPECTION
Date_ f ' pV Permit No.
Time A.M.
Received District No.
w
Job A dress Locality
Ow
Name ner's �'/,' ,
Contractor__J`f'/�[�i7./
BUILDING PLASTERING ELECTRICAL HEATING*
Foundation.......❑ Wire..................❑ Rough Wiring.❑ Rough...............❑ Rough...........❑
Chimney...........❑ Lath..................❑ Finish Wiring.. Final.,............... ❑ /Final...............El
Framing............❑ Scratch..............❑ Fixtures..........❑ Sewers...............P- Water Heater.. ❑
Final................. ❑ Brown...............❑ Motors............❑ Gas................... ❑
Finish................❑ Cesspool...........❑
Wallboard ........❑ �')
READY FOR INSPECTION M
Mon. Tues. Wed. Fri. F.M.
Inspection Made 4
Inspector
B-1.2
CITY OF
Aaft& &4A-
Office of Building Official (�
REQUEST FOR INSPECTION
Date_
Time Permit No.L2'O
Received A.M.
Pv. District No.
J140 , dCres //�
G�C Locality
Owner's
Name oaa� Contractor
BUILDING PLASTERING �LECCTRICAL ` PLUMBING HEATINFs
Foundation.......❑ Wire................❑ Rough Whin
Chimney 9 g.❑ Rough...............❑ Rough....... ....❑
Y...........❑ Lath..................❑ Finish Wiring..❑ Final................. ❑ Final........:......❑
Framing............❑ Scratch..............El Fixtures..........❑ Sewers...............
Final................. ❑ Brown.......... ❑ Water Heater.. ❑
.....❑ Motors............ Gas................... ❑
Finish................❑ Cesspool...........❑
Wallboard ........
READY FOR FOR INSPECTION
Mon. Tues. Wed_._ hurs. Fri. A.M.
Inspection Made p M P.M.
Inspector PA
B-1.2
CITY OF
ow4/t64 &OA - Rai&
Office of Building Official
Q REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received P-M. District No.
Job Address Locality
Mns 7�1�1 p
Name � contractor / '_
BUILDIN PLASTERING ELECTRICAL PLUMBING HEATING
Foundation.......❑ Wire..................❑ Rough Wiring.❑ Rough...............❑ Rough............❑
Chimney...........❑ Lath..................El Finish Wiring..El Final................. ❑ Final.........._...❑ °
Framing............❑ Scratch..............❑ Fixtures..........❑ Sewers...............❑ Water Heater.. ❑l
Final................. ❑ Brown...............❑ Motors............❑ Gas................... ❑
Finish................❑ Cesspool ...........❑
Wallboard ........❑
READY F _ PECTION MM
Mon. Tues. Wed. Thurs. p M Fri. P,M.
Inspection Made 4 z Y ,M, /1 DD
Inspector
B-1.2
CITY OF eze
Office of Building Official C ~
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received P.M.
District No.
-r^ �
Job Address 1//
Locality
Owner's
Name Contractor
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation.......❑ Wire..................El Rough Wiring.❑ Rough...............❑ Rough............
Chimney...........❑ Lath..................❑ Finish Wiring.. Final................. ❑ Final..........y....Q
Framing............E) Scratch..............El Fixtures..........❑ Sewers...............❑ Water Heater.. ❑
Final................. ❑ Brown...............❑ Motors............❑ Gas................... ❑
Finish................❑ Cesspool ...........❑
Wallboard ........❑
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. q Fri. P.M.
Inspection Made — P0:
Inspector
131.2
INSPECTION RECORD
BUILDING PERKIT ELECTRICAL PERMIT #
PLUMBING PERMIT#
JOB ADDRESS
CONTRACTOR_ �,/��
OWNER
TYPE DATE REMARKS INSPECTOR
FOUNDATION
FOOTING
SLAB
PLUMBING (R) Gi•C;
SEWER
TEMPORARY POLE
LINTEL/BEAM q oe
COLUMN
ELECTRICAL(R) �•,?�-bp ���y�
PLUMBING (F)
FRAMING
ELECTRICAL (F)
Oum
FINAL
r
' t
CITY OF ATLANTIC BEACH
APPLICATION FOR SEDER CONNECTIONS
ACCOUNT NO.
DATE
LOCATION
LOT NO. BLOCK PJO. '. SUBDIVISION
OWNER
TYPE OF BUILDING
MASTER PLUMBER
DATE
INSPECTED BY
4 ,
CITY OF ATLANTIC BEACH
APPLICATION FOR WATER CUTIN
APPLICATION IS HIM= MADE FOR. !/ WATER CLT-IN AT
THE FOLLOWING ADDRESS FOR h / UNIT (S)
CUT-IN CHARGE OF Y6-
STREET
6•STREET NO.
LOT f BIZ SUBDIVISION
ACCOUNT NO.
MASTER PLUMBER
MAILING ADDRESS
i
I
DATE_'_ /Sj-
METER NO. Z ,5-ir I2 :' DATE INSTALLED Fly
DEPARTMENT OF BUILDING PERMIT NO.
4450
CITY OF ATLANTIC BEACH, FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date
Allgu l4 _19
7751 lei —
Fee $
Valuation$
valid until above lee has been paid to City Treasurer, and is I
This permit not licable provisions of Lw.
anbject to revocation for violation of app
T I
This is to certify that
Pan
has permission to buil o
plaits submitted.
lane
1i, � �—
Classifieatio
wIet c 4 SeaSI rayr
Owned by S/D
31 Bloc'
Lot 584
S
Rouse No.
to approved which are part of this permit NOTICE—ALL CONCRETE FORMS
ed pl
According AND FOOTINGS MUST BE
SPECTED BEFORE POURING.
PERMIT VOID SIR MONTHS I
AFTER DATE OF ISSUE
V material, rubbish and debris
O Building laced in I
—"---� Z from this work must not bebe arm up
"{ public space, and must
ustther eontraetor
and hauled away y
or owner. I 4�;0 i
Bill,;M• Davin
1 Butldtng Offieid
i
F
CONTRACTOR
PERMIT DATE I
FOR OFFICENUMBER
USE ONLY I
PLUMBING
( ELECTRICAL
l SFwER
L
E WATER
W
Date..........LZ_......_..1!
�t.:LA,L �....�'w
CITY OF ATLANTIC BEACH Permit
Valuation ;._ �S�j 4a Hca.: .... ....
FLORIDA Hoaee -
APPLICATION FOR BUILDING PERM:'r
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 Wt of sub-contractors be submitted to this office so that licenses can
be verified.
A' Date...... .._...�_.......-•-•------------------••---_.........., lii..��.
Owner*r ..&!Fr---e;o-------------------------------------------------------Address-//yA.., ._� t✓aaQ A!KTelephone
Architect....................................•-cc....�..........---.................-•---•--•-•---.....---.Addreaa......................._..................................Telephone No........_...................
Contractor Builder......._............ ...................L..,.j..............Address............................................................Telephone No.........---...---...........
.1
Lot No..............2 ........ Block No............./- Sub Division........6 -rp .....................................Zone--•--•----•------
Street.. Side Between..... and ---- _---------$ts.
Valuation ;.' r�jrs'.9....-.Foer what purpose will building be used..4! UE..FA!` Af_/— ype of construction...'M*X#j
'If �e i�
Dimensions of Building---- �...X .--••--•---Dimensions of Lot------.x f s ........................Size o! Footings....- -- .............
Size of Piers............._ .................Size of Sills-----------------------------Greatest Sill Span in lk.. ..........Type Roof_..-S !!V .........
How will Building be Heated?. " .......l t� ! '....Will Building be on Solid or Filled Ground?...5 �! .. . ._._.
Sise of Ceiling Joists................. ..--..•...---........ Distance on Centers.............--..... . ._.---... Greatest Span---..... .._.. ..... ... _. "
Size of Floor Joists-----••............... ..................... Distance on Centers........... ---.......-y?................. Greatest Span............................................ ~
le
Size of Rafters.^......7.4?ass l�.............. Distance on Centers- .��.�------------------------ Greatest Span--....�.-........................ "
i- i R, 0V D
CITY This rectangle is to represent the lot
Locate the building or buildings in the
A ht position. Give distance in feet from
lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and ape Mextions shall
be submitted with application.
Inspections required. t '"
1. When steel is in place and ready to pour WW
2. When steel is in place and ready to pour neand/or lintel. M ��
8. When steel is in place and ready to pour AU G 0 6 1980
4. When framing is completed.
5. When rough plumbing is completed,andread to cover up. W
6. When septic tank drain field or sewer lTI E i i IG eg
Aj
7. Electrical inspection by City of Jacksonville. az
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for rafter
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which a part hereof, and in accordance with the building
regulations of the City of Atlantic Be
Signature of Builder ... Addrew...t,/�, ... ....^XAIAP..
Signatureof Owner................................................................................_ Address......._.................._.......................................................................
SATE!'
DA
OWNER
FKRM
BU7,LDER OR
i !F�� y..l i" s ."v»._.....,....,...m......_:,..+,-�..,_<..,>-�+....a..>_n...+s.o_x_,.L...�„n,.�...a.,-:�u�.,.,�_.:=.a.te.-.�-.....vv,+......,.w.,.R...»......a..,...-,r-__.,,.+.__.,...,.........
BiATHROV-1 GR-0i ,f k-c-INSIST-jai; OF D 5HOWER ER � SAL Lg DOMESTIC 2 its)
RA` h'PIJB (WITH OR iTYNOUT +VER
HEAD SHOWER) f2mlatsl SURGEONS EINK 0 Units)
Fl-U'S'o,'rUANG RUM SINK 1�unitlsl
C'„MAll!''M a,al .]iMeh, AND 4Rt+,a' W 00E,) V X°�`., POT, .���!i»�_���':' SINK ( r i..nit:i
41'e�. f7'te..g ;' + 11 "E=lf yl 'f+ i
SLOW"UT (8 apt
DY�:'a�'cWf��:�HU2 `Z u{r$lts �V.�� ��.. S FS M".
2 UnIf.
�
� hJ
--FITCHEN
tgAst6 SINK EACH SET OF r AUCT
i,'.!TCHFN SM WIFIJ-00 WA34Y ',RYNDCR _.,._.._? ,.all' s
pti K S
VALVE OP (C anits)
)
'y MAY Unit
"m Its
SURGENVi f12