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475 Whiting Ln (vault) f Jj CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00031918 Date 1/20/06 Property Address . . . . . 475 WHITING LN Tenant nbr, name . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5500 Owner Contractor ------------------------ ------------------------ DAYE ROMANO ROOFING SERVICES 475 WHITING LANE P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5649 ---------------------------- -------------- ---------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5500 Fee summary Charged Paid Credited Due ------------ ----- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 RDINANCES AND THE FLORIDA PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH O BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 'q 5� (� t a cti �Ik . Date Heated Square Footage @$ per sq ft= $ dam-- Garage/ Shed �,�-na,$ T per sq ft= $ C Carport/Porch at-)@ $ per sq ft= $ Deck @$ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ 36 $ 35 Total Valuation 1' $ 10c) Remaining Value . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: _ + 1/Z Filing Fee $ FLOOD ZONE: ( )Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ O WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METEPjTAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: CITY OF ATLANTIC BEACH D � D. BUILDFord ING / ZONING DEPARTMENT Fii ins 1 s1 800 Seminole Road � t.-r 1"- - S. Doerr r t1. Atlantic Beach,Florida 32233 CITY OF AT AKa'"!C; tM�� (904)247-5800 B ! (904)247-5845 Fax www.eoab.us JAN 0 4 2006 PLAN REVIEW COMMENTS Permit Application # Property Address: ` �t vt L Q v�v Applicant: b m Q v n n �/l Project: K17c f This ermit application has been: Approved E-1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. ed By Date: I L b6 Review y.• Date Contractor Notified: REC17, CITY OF ATLAN T IU ncMut' B ti, AN 4 200fi CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION c Date: �� Job Address: Owner of Property: n Address: \ Telephone: "I -' 24 1 Contractor: State License Number: )Ib Contractor's Address: Telephone: -2-4 — Fax: Q t�- 2-Ata! Scope of Work:- Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work: S Product Name(Example:Timberline): Manufacturer(Example: GAF):�1,�T�7� ASTM Designation(s): Required Inspections: Sheathing and Final Signature of Owner: ~--� Date: d Signature of Contractor: Date: AS TO OWNER: Sworn to and subscribed before m this day of - '20"�r State of Florida,County of Duval Notary's Signature: Pik. ELpjNA ROMANO MY CoWmssioN#DD357393 SeptemberoEYMIES' 23,200 0 ❑ Personally known OFFt.Notary D swum Assoc E] Produced identification 1-800-3.14 ARY Type of identification produced AS TO CONTRACTOR: I�eMbaV- Sworn to and subscribed before me thisday of r ,20 State of Florida,County of Duval Notary's Signature: ELAINA ROMANO ❑ fij2a— Personally known MY COMMISSION#DD357393 ❑ Produced identification n'�`��a EXPMES:September23,2008 Type of identification produced 1-800 3-NOTARY Ft.Notary Disoa t Assoc.Co. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.us Revised 2121/03 Page 1 FROM :Romano Service FAX NO. :9042461692 Jan. 05 2006 04:34PM P2 i Doc p 2008001320,OR BK 12983 Page 1990, Number Pages 1 ty' Filed&Recorded 01/0312006 at 03,48 PM, JIM FULLER LE CIRCUIT COURT DUVAL COUNTY RECORDING pp Permit nlunber— Tux Folio number NOTICE OF COM111EN('FMl✓NT STATE OF FLORA COUNIT OF DUVAL THI:;UNDIASIL)F17 hereby gives notice that improvenlent will be made to ccrWn real lm)perty, arid 6 acx:ordaalce wit11 Chapter 71'1,Florida Sudwes,the following information is ptnvided in this Notice of Couunencenient. 1, Desc ript'on ofpini. a ty: rz mend description of inlpruvenients: ti 3. Chvner inloanatioa: a. Nang and Address: b. Tnwrea n pmpe y Y T P -2 ZZ c. Nat tie Find address of fee supple titleholder(other than owner)) _ �c TM 4. :outractor's male wid address: a. Plioue nwnber .� b.tax nrmrber: ,QUA 5. S=ty infuriation: a. Name and address b. Phone ntunber _._c.Fax number: d.Amount of bond: 6. Lender's pante and address: it. Pbone tauntber'V b.Fax number:_ 7. Person within tyle State of Florida designed by owner upon whom notices or other doctwients mayl*served as provided by 713.12(l)(a),Florida Statues. Nance and Address: _ a. Pboue ntrulber: b,Fax number: 8. In Itdditiou to bimsclf/herself,owner designates of to mceive a copy of the Lienor's Notice as provided in Section 713.12(1)(b), Florida Statutes. 9. Expiration date of Notice of Cotnnrenceuteut (the expiration date is one (1) year from the date of Recording runless a different date is specified). XSi guature of Owucr. Sworn toad subscribed befove 7ne this day r>.r r 20 Notary(= Known personally/IL)shown: _ �My crmurrission expu'cs: �1011%t f I.A1Nt�KOMpNO q/ My COMMISSION 1i U0.1571)1 �i7'ON�/g E,X},IP ES.SLV,,w 13.20Q FROM :Romano Service FAX NO. :9042461692 Jan. 20 2006 05:39PM P3 / Doo N 2006001320,OR BK 12983 Page 1990, Number Pages 1 Filed&Recorded 01103!2006 at 03.46 PM, JIM FIJI I FR CLERK CIRCUIT COURT DUVAL COUNTY \` RECORDING$10.00 Perms(nuttlber Tax Folio number — NOTICE OF COMMENCEMEN'i' STATE OF FLORIDA COIIN`PP OF DUVAL THE LINDEItSIDED hmvby g6vm notice that itttpruvettteur will be made to certain teal property, told iu accordance with Cbapter 713,Morida Statutes,the following 4.1fornration is provided in this Notice of Cornuicucentent. I, Descnpt ou of pmt rty: l;eneral description of iniptovenlients: 3. Owner info nlation: a. aulc and Addteae: Inc b. 1nu'pruperly! 7j c. Name and address of fcc simple titleholder.(other than Owner): A ontractor's name turd adder s: a. Phone numhe). „ t b.Fax nutn.11cr. 9(Y�- Zf'►(v� L�Z 3Zz33 5. Staety information: a. Name and address — h. phone nutnhcr.^� c. Fax ournber: d.Amount of bone!: G. Lender's natne turd address: a. I'ttouc number: - -- b.rax uwnber: 7. Pctsoll within the Statc of Florida designed by owner upon wltotn notices or other documents Maybe served as provided by 713.12(l)(a),Florida Statu". Name and Address: a.Phone umber: _ h.Fax tnlnrber. 8. In addition to hirnself/hetaelf,owner debigJates receive a copy of the Lietior's Notice as provided in Section 713.12(1)(b), Florida Statutes. 9. ExpiJatio.0 dale of Notice of Conunerxentent (the expiration date is one (1) year front the date of Recording unless a ditferalt date is specified). XSignature of Owuer,k Sworn to 1d suhsctibed before the this Y of r200S Knu)vri personally/lll shown'_,-.. __._. —My commission expires: A[t.OMANO F"m NN, MY�.DµtipSSllN+A DINS?t91 `�/- FX1111C4. Pay .. V�rrn/�n.�M E::—== PERMIT WORKSHEET Certificate of Occupancy Job Address: Type Work: Az:)Dc-n0&i 4-7 5 L 1"1710 G b-A . g&.� Property Owner: -- Phone # AH 1E i Contractor: Phone # own e�v— Permit#: dZ — zs c9 4 Date Issued: Building Inspections: Footing S-O Slab �p Tie Beam Lintel Nailing / Sheathing Framing / Cover Up a Insulation Final Building Tree Permit# YES NO Electrical Permit# Date/ Copy to JEA Temp, Pole Permit# Date/ Copy to _771 JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# t2.QY1e(�l,��S��'05 04-' �q'(D Inspections: Rough I I .Final �— Plumbing Permit# S Pe,/-v,,uv-t ,�-Iq 10c _X�q t J Inspections: Rough / Underslab q. •p Topout Water/ Sewer Final Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing / Sheathing Final Fire Inspection: Failed Inspections: 3 Date Paid: Date Paid: August 1, 2006 City of Atlantic Beach 800 Seminole Road Atlantic Beach,Florida 32233 Attention: Building Inspection Department RE: 475 Whiting Lane,Building Permit#02-25094 To Whom It May Concern: The purpose of this letter is to inform you that I, Doug Daye, owner/builder,request that the plumbing permit associated with the above captioned address, Plumbing Permit#03-26852, Contractor: Stiles Smith Plumbing, 1537 Penman Road,Jacksonville Beach,FL 32250,be canceled as soon as possible. Atlantic Beach Building Official, Larry Higgans, on June 22, 2006, issued a"notice of additions or corrections"to the plumbing installation listing at least four deficiencies. Stiles Smith Plumbing was notified by letter and by telephone by Doug Daye, on or about June 26, 2006,that their rough-in/top-out inspection had failed. I requested a return call from Stiles Smith Plumbing to arrange getting them onto the job site in the interest of their bringing the plumbing up to code. I have had,to date, no response whatsoever from Stiles Smith. At this point I am ready to have their permit terminated so that I can hire another plumber to permit the job and bring the plumbing rough-in up to code. I appreciate your help in this matter and look forward to notification from the Building Department that the existing Stiles Smith Plumbing Permit#03-26852 has been canceled so my project can move forward. Sincerely, Doug Daye 475 Whiting Lane Atlantic Beach,Florida 32233 (904) 610-5602 MAP SHOWING SURVEY OF LOT 17 BLOCK 11, REPLAT OF PART OF ROYAL PALMS UNIT TWO A AS RECORDED IN PLAT BOOK 31 PAGES 16, 16A, 16B, 16C AND 16D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. City of Atlantic Beach Ptanninq and Zoning Department SABALO DRIVE This approval verffMs compliance with applicable zoning, subdivision and other local land - - ment regulations, but does not constitute approvaliec e- usnce of permits. Compliance with Florida Building Code and all other applicable local, State and Federal permitting requirements must be verified by signature of the City of Atlantic rn Beach Building Offi • I prior to the nuance of N Building Permit. r` I in 4�r�ed By: LOTH I I o unit ve opment r c ori I� 15'eq Date: �— O d ' r FOR DRA1NA FND.11/2"LP. M C „ GE ANO O7 /rIES 0.2 x ND.2"I.P. N.82 43 58 E. 93.-'T-- 0'2' 0.1 t�_ -oD 0.2' N N 4' CHAIN LINK FENCE 20.0' W I cONc --- DRIVE- e+ J POR 29.5' coNc. 24.7' a Ln STOOP Z (D Q � W n :4oNc':: cD �' 3 m m :PATIO;: Z O Q e OD r 3 I S TORY MASONRY N0. 475 / O 111 p N w 3.d (V v - O LL 0 Z W (0 _ ~ �� / t W (I H tQ ti = i4� Z-D ti LOT 10 O Q I d d n Z v 10 fn l 29.4' 24.7' Il'o _ aD 'tom 0.2' Ki al' ALJ _ 2 x x 2� FND.I I/2"I.P. FND.2"I.P. S..82043'58"W.93.0' I ,k f 5. 15• I I LOT 18 NOTE: BEARINGS AS PER PLAT B.R.L.AS PER PLAT LOT 9 I HAY CERTIFY THAT THE PROPERTY SH13001 HEREON LIES IN ROOD SONE "C" AS SHOWN ON TETE FUM HAZAW GARY MAP FOR ATLANTIC BEACH, FLORIDA. I HEREBY CERTIFY TO DOUGLAS H. & KATHERINE H. DAYE, INVESTORS HOW IYpRTGME AND AMERICAN TIS INSURAUM COMPANY THAT I HAVE S[TRiWED THE LANDS AS SHOIiIFN IN THE ABOVE CAPTION AND THAW THIS- MAP IS A TRUE AND CORRECT REPRESENTATIOff OF THAT SURVEY AND THAT THE SURVEY REPRE- S 24TED HEREON MEETS THE MINIMUM STANDARD REQUIREMIE7M ADOPTED BY THE FLORIDA STATE BOARD OF PROFESSIONAL LAND SURVEYORS CHAPTER 21-HH AND THE FLORIDA LAND TITLE ASSOCIATION. THIS SURVEY NOT VALID UNLESS ��• �' SEALED WITH AN EMBOSSED SEAL ` rJ OF SURVEYOR SIGNED HEREON DONN W. BOATWRIG14T, L.S. FLORIDA REG. LAND SURVEYOR No. 3,296 SCALE: if :ZO BOATWRIGHT LAND SURVEYORS, INC. D F4/9N D: DRAWN BY T,W11 1301 PENMAN ROAD SUITE D _fes dk- FILE AArkcnNva I F RFAr.W L-1 nom• 9A 4_QrZrn SHEET I OF RETURN 1 0Ck1,0735- :Page . z 06 ' PHONE#: `� NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. Stale 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 properly being improved:-LO-1 1 IBLOCIV- 11 ` f`eUAT p-F ?A ( p-F o �>✓ 41-16 -k-WIT 2 A 5. fzPe ��� o l(Dg . l(o i4�t17� q)vVAL Co..- U4 Address of property being improved: 415J wl�}IT(f�(A LAA(L A-ftAk-r 3 v&d , General description of improvemenis:. 1—(/old Of f2ATN F*-0`6' b- 1 LTUq�11Z Owner ` )00(a A--, � �" � � Address 4�� V�l��.l?1�� Ll� A�'4/ziN '/C r✓ >�� � 2Z� Owner's in(ere.st.in site of the improvement 6l l3 1�4 I' tw'l"... . Fee Simple Titleholder (if other than owner} .. Name Address Contractor -,QOU(A t/ --• D VS M�tZ Address Phone No. Fax No. Surely(if any) Address Amount of bond Phone No. Fax No. Name and address of any person.making.a loan for the construcUon of the improvements. Name Address Phone No. Fax No. Name of person within the Stale of Florida, other than himself, designated by oltv documents maner,uport,whom polices or other y be se`rved: Name b Nfr 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 dale ofNolice of Commencement-((ho bypiralion dale is one (1) year from the dale of recording unlessa ' differenl date is specified): THFS SPACE FOR RECORDER'S USE*ONLY O ER Signed: Before me this 2 day of in the Cdnly of Duval, State of Florida, has personally appeared . Doc# 2002305817 Book: 10735 of Public a Large, Stale of .lorida, ounty of Duval Page: 2306 or Filed-'$ Recorde My commission expires: 10/29/2002 Q9:32e05 AM +v� LICUIT COURT Personally Known DUVAL COUNTY RECORDING 5.00 Produced Identification T=L, :DU TRUST FUND S. 1.00 =?P :IENER � 121301 •06.en.,. TION TICKET PAGE 16 PREPARED 9/12/03, 7:49:39 INSPECDATE 9/12/03 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS ------------------------- ADDRESS . : 475 WHITING LN SUBDIV: TENANT, NBR: 5 FIXTURES PHONE (904) 241-4131 CONTRACTOR STYLES SMITH PLUMBING PHONE (904) 610-5602 OWNER DAY, DOUG PARCEL 171434-0000- - APPL NUMBER: 03-00026852 PLUMBING ONLY ----------------------------------- PERMIT: PLBG 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------- - -------------------- ---- 42 01 9/12/03 JH P ROUGH TIME: 08:00 D3 MBALL PLUMBING - RONNIE RAY 509-7724 OR 997-9551 -------------------------------------- COMMENTS AND NOTES -------------------------------------- y 'raj�l',jrl �SCITY OF ATLANTIC BEACH r J 800 SEMIINOLE ROAD r� ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 I c Application Number . . . . . 03-00026852 Date 9/11/03 Property Address . . . . . . 475 WHITING LN Tenant nbr, name . . . . . . 5 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor - ------------------------ ---------- ------------- DAY, DOUG STYLES SMITH PLUMBING 475 WHITING LANE 1537 PENMAN ROAD ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 610-5602 (904) 241-4131 --------------- - ------- ---- ----------- -------------------------------------- Permit . . . . . . . PLUMBING PERMIT Additional desc . Permit Fee 70 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 0 Fee summary Charged Paid Credited Due --------- -------- ----- ----- --------- - -------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 f 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: PROPERTY: OWNER OF PLUMBING CONTRACTOR: 'J CONTRACTOR'SADDRESS' l � STATE LICENSE NUMBER: HOW MANY OF THE FOLLOWING FIXTURES RE PIPED OR SHOWERS SINKS LAVATORY �-WATER HEATERS I DISHWASHERS BATH TUBS DISPOSALS URINALS WASHING MACHINE __j _CLOSETS SHOWER PANS FLOOR DRAINS WATER SEWER RE-PIPE (LIST FIXTURES BEING REPIPED) p�y S l YAK _OTHER C � �'+" ) TOTAL FIXTURES: J X$7.00 + $35.00= MINIMUM PERMIT FEE: $35.00 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. CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 � 1 49? Application Number . . . . . 03-00026245 Date 6/06/03 Property Address . . . . . . 475 WHITING LN Tenant nbr, name . . . . . . MOVE EXIST. CONDENSER Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- DAYE, KATHERINE COASTAL HEATING AND COOLING 475 WHITING LANE 611 NORTH 4TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-2030 ------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . . Permit Fee . . 51 . 00 Plan Cl;eck Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 51 . 00 51 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 51 . 00 51 . 00 . 00 . 00 t 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 CE FOR BUILDING ACCORDING TO WHICH ARE PART OF THIS PERMIT AND SUBJEPAYING CT IMPROVEMENTS"ISSUED TO REVOCAT ON FOR VIO ATIONOF APAPPROVED CABLE PROVISIONS OF L . PLANS BUILDING OFFICIAL z4 5 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT IMPORTANT —Applicant to complete all items in sections I, Q, III, and IV. [. Street Address: 7 d LOCATION OF Intersecting Streets: Between 7,et2- d 'e k And S.4 s ,4 L BUILDING Sub-division II. INDENTIFICATION —To be completed by all applicants. In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereofand in accordance with the City of Atlantic Beach ordinances and standards of good practice l isted therein. Name of Mechanical I Contractors Contractor Print) ooLl to / Z 7 Name of Property Owner Signature of Owner Signature of Or Authorized Agent Architect or Engineer III. GENERAL INFORMATION A Type of heating fuel: B. SII, Electric— — — IS OTHER CONSTRUCTION BEING DONE ON THIS ❑ Gas: LP Natural Central Utility BUILDING OR SITE? ❑ Oil ' ❑ Other–Specify IF YES,GIVE NUMBER OF CONST UCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE NATURE OF WORK Residential or Commercial INSTALLED ❑ New Building (Provide complete list of components on back of this form) p/ Existing Building ❑ Heat _Space _Recessed _Central _Floor ❑ Replacement of existing system ❑ Air Conditioning: Room Central ❑ New Installation(No system previously installed) ❑ Duct System: Material Tbickness ❑ Extension or add-on to existing system Maximum capacity cfmp/ Other- Specify�Wo d C C'd,✓J C C/L O Refrigeration ❑ Cooling tower. Capacity fpm ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY Cl Elevator: _ Manlift_Escalator (Number) (Received) ❑ Gasoline pumps (Number) ❑ Tanks (Number) Remarks ElLPG containers (Number) ❑ Unfired pressure vessel Permit;\pproved by Date ❑ Boilers Cl Other–Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving F W Torts 2 A encv t/L HEATING–FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving T Agency i TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving I And Dimensions Contained Manufacturer No. A enev RAFTER (AS NOTED) CEILING JOISTS (AS NOTED) SIMtPSON, MTSM16 STRAP / w/ 4 %4 x 13/4 TITEN SCREWS O AT TIE-BEAM " x 8" ANCHOR BOLTS AT / 48"oc. w/ 2"x %$" WASHERS O %2" NUT 0 - v = z 2"x 2"x %8" WASHER CONT. TIE-BEAM WITH A P P R O V ^ (2) #4's TOP AND BOTTOM CITY OF ATLANTIC dE.;Cn B""-°`TL OFFICE AND #3 STIRRUPS AT 18110C. DEC 0 8 2004 �C- %2" THREAgED ROD TO Bye . FOUNDATION RECEIVED CITU nc ATLANTIC', BEACH HEBEL WALL DEC 0-6 2004REVISED LINTEL DETAIL •+ f 'c DAYE -475 WHITING LANE RUISBERG ENGENEERING, INC. By. ��/ �� � (FL.CERT.No.25846) 2W HARTLEY RD.,SUITE 202 JACKSONVILLE,FL.32257 Ph.(904)886-2401 Fax(904)260.4367 JEFFREY K.HULSBERG,PE FLOYD S.SIMPSON,PE All. oc\�ecc nATG!7r ne fl0 a\N1.1 pV n l\I ll r.apvCn RV. lww J� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025094 Date 11/01/02 Property Address . . . . . . 475 WHITING LN Tenant nbr, name . . . . . . ADDITION,BATH & LAUNDRY Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 29400 Owner Contractor ------------------------ ------------------------ DAYE, DOUGLAS OWNER 475 WHITING LANE ATLANTIC BEACH FL 32233 -------------------------- Structure Information ------------------------- Construction Type . . . . . TYPE VI ------------------------- --------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 180 . 00 Plan Check Fee 90 . 00 Issue Date . . . . Valuation . . . . 29400 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . WATER IMPACT FEE 160 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 180 . 00 180 . 00 . 00 . 00 Plan Check Total 90 . 00 90 . 00 . 00 . 00 Other Fee Total 195 . 00 195 . 00 . 00 . 00 Grand Total 465 . 00 465 . 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. K� , ( - IK,, DING OFFICIAL Jy PECEIVFI3 t� OCT 2 9 2002 BY: City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-544 Phone: (904)247-5800 FAX (904)247-5805 - http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL-, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) JOB ADDRESS 1 175 DATE ©C`ZuE5 (Z 2-8 Z00 v APPLICANT__ ADDRESS L pALF krLk4 71(- 15If PHONE: q z4— 041-0:313 LEGAL DESCRIPTION: BLOCK NUMBER (� LOT NUMBER I ZONING DISTRICT, CONTRACTOR M O06&W, a, _DA`>'i✓ STATE LICENSE NUMBER Ok��hlli l� ADDRESS 475 Y�1.4t-twa, Lamy, PHONE 9D4-24l-0S9_5 ' (PIC) -,`(.?- CITY 'O JI1C. BCS STATE _EL— ZIP zZ33 FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE 45A JO1 - -_ePr71+F,00M --AoK'P E,� TZboW\_ PRESENT USE OF LAND OR BUILDING(S) 171/�l(al� *'A I f_q IZESdDF,l4 ( �.4(- VALUATION OF PROPOSED CONSTRUCTION 000 00 Is this an addition? Lj If yes, what are the dimensions of the added space: /4 feet by SO feet Will the added area be heated and cooled? New electrical or increase in service?' New plumbing fixtures? �ig, New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? If yes,please suljmit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? ®NO.,Acpplicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. 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 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 or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 6✓18M STEP 2. 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 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 DATE /0/,?- 7 02— 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 ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME ^DOJU LL S MAILING ADDRESS 4,15 A rtdkri c- 15FA l TEL :'377-13 -- PHONE qo4- 241- o 3 FAX E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS 2 DAY OFC=7 STATE OF FLORIDA,COUNTY OF DUVAL - • JENNIFERSCHLUETEU NOTARY'S SIGN �iMALk ^Y COMMISSION#DD 1? ....•a EXPIRES:May 13it1 AS T R,k ndw Thru NOWY Pubic U deenniters ❑ Personally known [Produced identification l l Type of identification produced �� �l/�/ y l 15Zv AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced 6/18/02 �$ylull]r CITY OFATLANTIC BEACH / 800 SEMINOLE ROAD J� ATLANTIC BEACH,FLORIDA 32233-5445 ss1 TELEPHONE:(904)247-5800 J FAX:(904)247-5805 3. SUNCOM:852-5800 J �r http://ci.atlantic-beach.fl.us CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OFOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE- OR TWO,FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK(EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR TELEPHONE 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. 4-75 ��V` 6 �-4 ER `� 1� �r ADDRESS SWORN TO AND SUBSCRIBED BEFORE ME THIS,4-q DAY OF C. 200 2 JENNIFEHSCNLJETER fsal jkk-41 � MY COMMISSION#DD 121301 AN�TXRVYY UB " EXPIRES:May 27,2006 •' `� MY underwriters COMMISSION EXPIRES: Bonded Thru Notary . . . AROW MAP SHOWING SURVEY OF TOOT 17 BLOCK 11, REPLAT OF PART OF ROYAL PALMS UNIT 'IWO A AS RECORDED IN PLAT BOOK 31 PAGES 16, 16A, 168, 16C AND 16D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SABALO DRIVE M N ul LOT 16 COTI 1 N I I I —ter 15 EASEMENT Fp I FND.1112"I.P, m O ' u R URAINASE AND UTILITIES 0.2 x FND.2"LP N.82 43 58 E. 93 '� I 0.2' 0.1 00 0.2 N�� N4' CHAIN LINK FENCE ' N _�'N� �� rn 20.0 W I _ DRIVE RPOR 7 29.5' CONC. 24.7' o STOOP Z Qlo W COtiC' C) O ,'PATIO-:, Z O 00 J CC) 3'S 1 STORYMASONRY Q LL)I NO. 475 _ CV w 3.b' O (V �o O Z U- O w '^ Y < W W 2 �--lQ °` w 1 LOT 10 a O a I W pI 3 z L) m o � \ 29.4' 24.7 0.2' al, 2 X0-2 FND.1 1/2"I.P. [{►j October 29, 2002 DAYS, DOUGLAS H. LEGAL DESCRIPTION 475 WHITING LANE 31-016 38-2S-29E USD3 ATLANTIC BEACH, FL R/P OF PT OF ROYAL PALMS UNIT 2A 32233-3912 LOT 17 BLOCK 11 KATHERINE H O/R BK 6291-285 RE: IMPERVIOUS SURFACE CALCULATIONS Lot size: 80.65 x 93.0 = 7500.45 sq. ft. Existing Structure: Main house 44.1 x 24.7 = 1089.27 Carport 20 x 9.8 = 196.0 Storage (included in Patio) Conc. Patio 30 x 8 = 240.0 Conc. Drive 26 x 8 = 208.0 Conc. Stoop 3.5 x 12 = 42.0 Total existing = 1775.27 sq. ft. Proposed Addition: Sitting Area 11 x 12 = 132.0 Dressing/ Bath& Laundry 17.7 x 18 = 318.6 Proposed Addition Total = 450.6 sq. ft. Total of Existing and Proposed Impervious Surfaces: 1775.27 + 450.6 = 2225.87 sq. ft. Total of Existing and Proposed Impervious Surfaces expressed as a percent of total Lot Area= 29.67 % Please note that there is an overlap of square footage where a portion of the Proposed Addition (part of the Laundry) will be built where a portion of Existing Structure is currently(part of Conc. Patio). The overlap amounts to approximately 92 sq. ft. and would reduce the Total Impervious Area by that amount. Respectfully submitted by: Douglas H. Daye, owner. October 29, 2002 DAYS,DOUGLAS H. LEGAL DESCRIPTION 475 WHITING LANE 31-016 38-2S-29E USD3 ATLANTIC BEACH, FL R/P OF PT OF ROYAL PALMS UNIT 2A 32233-3912 LOT 17 BLOCK 11 KATHERINE H O/R BK 6291-285 RE: IMPERVIOUS SURFACE CALCULATIONS Lot size: 80.65 x 93.0 = 7500.45 sq. ft. Existing Structure: Main house 44.1 x 24.7 = 1089.27 Carport 20 x 9.8 = 196.0 Storage (included in Patio) Conc. Patio 30 x 8 = 240.0 Conc. Drive 26 x 8 = 208.0 Conc. Stoop 3.5 x 12 = 42.0 Total existing = 1775.27 sq. ft. Proposed Addition: Sitting Area 11 x 12 = 132.0 Dressing/ Bath& Laundry 17.7 x 18 = 318.6 Proposed Addition Total = 450.6 sq. ft. Total of Existing and Proposed Impervious Surfaces: 1775.27 + 450.6 = 2225.87 sq. ft. Total of Existing and Proposed Impervious Surfaces expressed as a percent of total Lot Area= 29.67% Please note that there is an overlap of square footage where a portion of the Proposed Addition (part of the Laundry)will be built where a portion of Existing Structure is currently (part of Conc. Patio). The overlap amounts to approximately 92 sq. ft. and would reduce the Total Impervious Area by that amount. Respectfully submitted by: Douglas H. Daye, owner. CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 4/.71— 6JH/ r1A-)6 L A Ill L L/If-DA-9,, 71- o .Date /0 -_30 - 02— Heated Square Footage L/Z a @ $ 70 per sq ft= $ Y0 0 Garage/ Shed @$ per sq ft= $ Carport/Porch @ $ per sq ft= $ Deck @ $ per sq ft= $ Patio @$ per sq ft= $ TOTAL VALUATION: $ j2 , y00 O0 $ Total V luation 1st $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: 12,5 - 22 + % Filing Fee $ FLOOD ZONE: K O Fireplaces @ $15.00 — IMPERVIOUS SURFACE: 7- BUILDING PERMIT FEE $ WATER IMPACT FEE $ I GC) SEWER IMPACT FEE $ —0 - WATER METER/TAP $ —o — CAPITAL IMPROVEMENT$ —o SEWER TAP $ C ( ) RADON IA1 50050 $ _ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ -13s— ST( S— ST( ) SURCHARGE $ o OTHER $ o GRAND TOTAL DUE: $ WATER IMPACT FEE WORK SHEET ADDRESS: L� S� CJa/rlAh l A-Nr T/oA) DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, bidet, and bathtub or shower 6 1 Bathtub (with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 Drinking fountain 1/2 Floor drains 2 Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory 1 Shower compartment, domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple) each set of faucets 2 Water closet, flushometer tank, public or private 4 Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS = MULTIPLIED x 20 TOTAL$ l� 7�N RECEIVFD h, OCT 2 9 2002 BY���J City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32213-5/445 Phone: (904)247-5800 FAX (904)247-5805 . http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX ) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) JOB ADDRESS 4116 WAI-TIAI, DATE ©c-��c3c� 2- 2�o� APPLICANT `Dc>UWN• `�A`�t: ADDRESS 4-15 >�U lk►-[t>�G. L pal>; 14TL Tl 1 ie =tf PHONE: 9 - ?ff I-o LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER ZONING DISTRICT CONTRACTOR 3DOJGLtA6 'D qF - STATE LICENSE NUMBER O��N Ft ADDRESS4aJt Y�l�l-fll��it �Mrzl_ PHONE 9D¢-2�L-093 ' (f11) 5LI02` CITY 'fLM:1lL Bc&C }—STATE _L— ZIPZ3 Z i 3 FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE �Y�t�V IDD I rlON - A`�f�P-b�M A�D PRESENT USE OF LAND OR BUILDING(S) 171/ (AL.E 7FA'rn I f-`t' gE rDFWT 1 A'1— VALUATION OF PROPOSED CONSTRUCTION i� ,DOD°�- Is this an addition? If yes,what are the dimensions of the added space: /4 feet by '�)O feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? d If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? ®NO.,Arpplicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. 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 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 or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 6/18/02 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 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 DATE d Z 02— 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 ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME D006WV:), �- -'PAVr MAILING ADDRESS 455 MirTl M6 Lwiy- , 816447tL 13r-Aal- r- 1- ° 3-ZZ33 PHONE qO4- 241- o'b`33 FAX E-MAIL CO tc SWORN AND SUBSCRIBED BEFORE ME THIS 2 DAY OF STATE OF FLORIDA,COUNTY OF DUVAL - ,•ia� y _ JENNIFER SCHLUETER NOTARY'S SIGNATURE *: ^y COMMISSION EXPIR #DD 1213111 ES:Ma 27, AS T R ended Thu Notary Ma Unds iters ❑ Personally known Produced identification D/-�-y..t..�I LoQ I I.1 t /CZV Type of identification produced � .I��l/�/ V'T `7 J AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced 6/18/02 MAP SHOWING SURVEY OF LOT 17 BLOCK 11, REPLAT OF PART OF ROYAL PALMS UNIT IW A AS RECORDED IN PLAT BOOK 31 PACES 16, 16A, 16B, 16C AND 16D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SABALO DRIVE Ii LOT 16 I _'LOT I I IN I I I IS,�SE�ENT FORD I RA FMD. I12"LP. c u IMAGE AND UTILITIES o.2 N.82 43 58 E. 93(� — 0.1 0.2' N�� N 4 CHAIN LINK FENCE Z; 20.0' •GONG. m ►- --- POR ►- 29.5coNc. 24.7' z STOOP Q (flw CD W d PATIO;- Q O z 3 OD °' CO 4Z 3� I STORY MASONRY J NO. 475 O w (V N w p m v 3.6' Q so / Z I Z O lz a 0 w H t� -j ,40� V.`! w I LOT 10 Oi 29.4 24.7' /l.G/ OD 'I-- � � 0.2' 0.2' 0-1, FWD.I 1/2"1.P. 2 x x x FMD.z"1.P. S.82043'58"W.93.0' I f Ix 1 1 LOT 18 I _ _- NOTE: BEARINGS AS PER PLAT B.RL.AS PER PLAT LOT 9 I F SY CITIFY THAT THE PROPERTY SHU001 HERS LIES IN FLS SONE "C" AS SHS C2I TME FLOOD HAZARFI BOUNDARY MAP FOR ATLANTIC B€'.AICH, FLORIDA. I HEREBY CERTIFY To DOUGLAS H. & KATHERINE H- DAYS, INVESTORS W4E "`iY'AGE AND AIf'�tICAN TITLE INSURkbER COMPANY THAT I HAVE 3URVEYED THE LADS AS SHOO IN THE Af"VE CAPTiON AND TR&T THIS MAP IS A TRUE AND CORRECT REPRE4EN`ITATION OF THAT SURVEY AND THAT THE SCfRi�Y REPRE- SEPMED: HEREON MEE:M THE MINIMUM STANDARD REQUIREMENTS ADOPTED BY THE FLORIDA STATE BOARD OF PROFE.SSIOlNAL LAND SURVEYORS CHAPTER 21-HH AND THE FLORIDA LAND TITLE ASSOCIATION- 1- TH'tS SURVEY NOT VALID UNLESS SEALED WITH AN EMBOSSED SEAL OF SURVEYOR SIGNED HEREON DONN W. BOATWRIGHT, L.$. FLORIDA REG. LAND SURVEYOR No. 3295 S :_? CALEo r BOATWRIGHT LAND SURVEYORS, INC. D F4l1C�'N D: *AWN BY' T.�_____. 1301 PENMAN ROAD SUITE D SHEET I OF I aIQ w &- RLF fA/ 0^K111e I r OCAnu �l ^rssn• n� • srrn MAP SHOWING SURVEY OF T,OT 17 BLOCK 11, REPEAT OF PART OF ROYAL PADS UNIT TWO A AS RECORDED IN PLAT BOOK 31 PAGES 16, 16A, 16B, 16C AND _16D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SASALO DRIVE M N N I N LOT 16 LOT I 1 I � �g EAS NAGE FN i 1/2"i.P m SEM or FOR pRAI GE AND UTILTJE x' D N N.82°43'58"E. 93� `-- iED 2"I.P.0.2' CIO N 4' CHAIN LINK 20.0' 4 IVE mRPOR �'29.5' CONc. 24.7'Lo STOOP W :coyc2 � PATIO;: Q c } 3.5' 1 STORY MASONRY 1 J 7 cr NO. 475 a W� p Cv o (V co O Z LL. (7 Y a 3.6' r Z 2 0 — co`I �W O = f O H a' LOT 10 2a O I --0 Oivi \ 29.4' 24.r -()D ti 0.2' Ki Ki ai x0.2' FND.I 1/2"1.P. FND.2"1.P. I S.82'43'58"W.93.0' 1 , 5' 1 5' LOT 18 NOTE: BEARINGS AS PER PLAT B.R.L.AS PER PLAT LOT 9 I HEREBY CERTIFY THAT THF PROPERTY SHOWN HEREON LIES IN FLOOD ZONE "C" AS SWM ON W- F- FLOOD HAZARD BOUNDARY MAP FOR ATLAN`T'IC BEACH, FLORIDA. I HEREBY CERTIFY TO DOUGLAS H. & KATHERINE H. DAYE, INVESTORS HOME MORTGA AND AMERICAN TITLE INSUI2Abr-E COMPANY THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRE- SFMED HEREON MEETS THE MINIMUM STANDARD REQUIRFLMENTS ADOPTED BY THE FLORIDA STATE BOARD OF PROFESSIONAL LAND SURVEYORS CHAPTER 21-HH AND THE FLOR2DA LAND TITLE ASSOCIATION. THIS SURVEY NOT VALID UNLESS � SEALED WITH AN EMBOSSED SEAL OF SURVEYOR SIGNED HEREON DONN W. BOATWRIGHT, L.S. FLORIDA REG. LAND SURVEYOR No. 3295 SCALE: 1 '20 BOATWRIGHT LAND SURVEYORS, INC. DST 4S19N D: DRAWN BY: T.W.D. 1301 PENMAN ROAD SUITE D SHEET I OF 1 F.B. +F: FILE JACKSONVILLE BEACH, FLORIDA 241-8550 MAP SHOWING SURVEY OF LOT 17 BLOCK 11, REPLAT OF PART OF ROYAL PALS UNIT TWO A AS RECORDED IN PLAT BOOK 31 PAGES T16, 16A, 16B, 16C AND 16D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SABALO DRIVE Tl"' r I N LOT 16 LOT I I I I I_� Ig EAS I I EMENT FOR RAI Nq FND.11/2"LP m7N.82043'58"E. GEgNOUTILO-IES 0.2 kl ND.2"LP 9—z 0. 0.1co _ 0.2 N N 4' CHAIN LINK FENCE N� _ 20.0' W GONG'.:. of �J I m --- DRIVE RPOR 29.5'I CONC. 24.7' o STOOP Q W 0 CoNct0 Z 3 PATIO;: Z O 1 STORY MASONRY �+ J � 3 _ • NO. 476 W+ 0 CV w 3.d O Z - u w v 3.6' _ o Y Z Z = fI w w a ti _ uj r-1 LOT 10 2 a O a W O 3 Z c=i f \ 29.4 24.7' \ ao r- 0.2' 0 0.2 FND.I I/2"I.P. Y. FNo.2"I.P, / S.82043'5811W.93.01 j 5 1 5 LOT IS NOTE: 11 BEARINGS AS PER PLAT B.R.L.AS PER PLAT LOT 9 I HME$Y CERTIFY THAT THF PROPERTY SHO WIN HEREON LIES IN FLOOD ZONE "C" AS SHOWN ON THE FLOW HAZARD BOUNDARY MAP FOR ATLANTIC BEACH, FLORIDA. I HEREBY CERTIFY TO DOUGLAS H. & KATHERINE H. DAYS, INVESTORS HES W)RTGAGE .AND AMERICAN TITLE INSURAIMCE COMPANY THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRE— SENTED HEREON MEETS THE MINIMUM STANDARD REQUIREMENTS ADOPTED BY THE FLORIDA STATE BOARD OF PROFESSIONAL LAND SURVEYORS CHAP'T'ER 21—HH AND THE FLORIDA LAND TITLE ASSOCIATION. THIS SURVEY NOT VALID UNLESS SEALED WITH AN EMBOSSED SEAL OF SURVEYOR SIGNED HEREON DONN W. BOATWRIGHT, L.S. FLORIDA REG. LAND SURVEYOR No. 3295 kDR ALE: 1 '20 BOATWRIGHT LAND SURVEYORS, INC. DAT�4/t9N D: AWN BY: T.wo. 1301 PENMAN ROAD SUITE D SHEET 1 OF 1 . #: ..�1�E JACKSONVILLE BEACH, FLORIDA 241-8550 rLT16MAP SHOWING SURVEY OF , OT 17 BLOCK 11, REPTyAT OF PART OF ROYAL PALMS UNIT 'IWO A AS RECORDED IN PLAT BOOR 31 PAGES 16A, 16B, 16C AND 16D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SAB_ALO DRIVE M N ti LOT 16 LOT I I I N Ig EASEMENT FOR FO, I I ao D U _ ANT I " FND I/2"LP N.82°43'58"E 93�`~— I CITIES 0.2 I ND.2"I.P 0.2' 0.1 0.2 -�_N a' CHAIN LINK FENCE a N N� _ 20.0' w CONC. DRI• . �}-J --- ` DRIVE' It _ RPOR F 29.5' CONC. 2a.7' o STOOP Q LID W d ,CONc' U) CO Z 3 00 PATIO;: Z O STORY MASONRY lY J NO. 475 Jjj 110D (V W 3-9 o cV O Z - LL (7 - Y a 3.6' Z _0 Z — _ = W W f 'a iti Z w ti l LOT 10 = a O 'a w O 3 z � p vi f \ 29.4 24J' - CIDP- 0.2' rn M al' 0.2 x _ X 0.2' FND.1 1/2"1.P. M.2"I.P. / I S.82°4358"W.93.0' f 1 , I I5' k 15 I , LOT 18 NOTE: BEARINGS AS PER PLAT B.R.L.AS PER PLAT LOT 9 I HELY CERTIFY THAT THE PROPERTY SHCJ M HEREON LIES IN FLOOD SONE "C" AS SH(WN ON Tl, FLOOD HAZARD BOUNDARY MAP FOR ATLANTIC BEACH, FLORIDA. I HEREBY CERTIFY TO DOUGLAS H. & KATHERINE H. DAYS, INVESTORS HOME MORTGAGE AND AMERICAN TITLE INSURANCE COMPANY THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT REPRE-SENTATION OF THAT SURVEY AND THAT THE SURVEY REPRE- SENTED HEREON MEETS THE: MINIMUM STANDARD REQUIREMENTS ADOP'T'ED BY THE FLORIDA STATE BOARD OF PROFESSIONAL LAND SURVEYORS CHAPTER 21-HH AND THE FLORIDA LAND TITLE ASSOCIATION. THIS SURVEY NOT VALID UNLESS SEALED WITH AN EMBOSSED SEAL . ., "e OF SURVEYOR SIGNED HEREON DONN W. BOATWRIGHT, L.S. FLORIDA REG. LAND SURVEYOR No. 3295 rEO)RAW,CALE: 1 `20 BOATWRIGHT LAND SURVEYORS, INC. DAT�4/tgN D: BY: T•w•o. 1301 PENMAN ROAD SUITE D 1 , —8550SHEET OF FILE JACKSONVILLE BEACH, FLORIDA 241 CITY OF ATLANTIC BEACH �t 1 800 SEMINOLE ROAD j " ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 ix Application Number . . . . . 04-00028911 Date 5/09/05 Property Address . . . . . . 475 WHITING LN Tenant nbr, name . . . . . . RENEW PLBG PMT #03-26852 Application description . . . PLUMBING ONLY Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ DAYE, KATHERINE STYLES SMITH PLUMBING 475 WHITING LANE 1537 PENMAN ROAD ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-4131 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . RENEW EXPIRED PERMIT Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHIM ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL S V r J t CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028909 Date 5/09/05 Property Address . . . . . . 475 WHITING LN Tenant nbr, name . . . . . . RENEW BLDG PMT 02-25094 Application description . . . REINSPECTION FEE Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ DAYE, KATHERINE OWNER 475 WHITING LANE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . REINSPECTION FEE Additional desc . . RENEW EXPIRED PERMIT Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULJJN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHIPART OF THIS PE JECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL 1� CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028910 Date 5/09/05 Property Address . . . . . . 475 WHITING LN Tenant nbr, name . . . . . . RENEW MECH PMT#03-26245 Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ DAYE, KATHERINE COASTAL HEATING AND COOLING 475 WHITING LANE 611 NORTH 4TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-2030 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . RENEW EXPIRED PERMIT Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING lvTROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL r CITY OF ATLANTIC BEACH gt1 800 SENIINOLE ROAD 4 rJ rf ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030980 Date 8/15/05 Property Address . . . . . . 475 WHITING LN Tenant nbr, name . . . . . . CHANGE TO 200 AMPS Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- DAYE, KATHERINE BROOKS & LIMBAUGH ELECTRIC CO 475 WHITING LANE 42 WEST 8TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-9051 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BCODES. k)Gldkj.l . BUILDING OFFICIAL CITY OF ATLANTIC BEACH r' ELECTRICAL PERMIT APPLICATION Date: rj Property Address: -� f r � Owner: Telephone #: Contractor: K h,(- rr,(16-lcC /� C J ephone #: 2' - )L; Contractor Address: Lf 2— ( ��Q-j -, Fax #: !n consideration of permit given for doing the work as described in the above statement, we hcrcb accordance with the attached plans and specifications which are a part hereof acid in accordance with the Peiry of Atlantic Beach ordinance and standards of nod racticc listed therein. Y agree to perform said work in I Building: 0 New wilding Type: 0 Trailer Service ld Residence : If other consavcuon is 0 Temp. 0 New being done on this building I /O 0 Commercial 0 Signs go-I`ncrease Or site,Im the building :D Re-wire 0 Addition Sq. Ft. 0 Repair Per=number: Conductor Size AMPS: 2 COPPER Switch or ALS Breaker AMPS Z1PH Existing Service W VOLT�� W RA y Size AMPS I0 PH l RACE W � VOL -�� WAY Feeders: N0. SIZE NO SIZE Lighting Outlets NO SIZE CONCEALED OPEN Receptacles CONCEALED OPEN Switches Lncandescent Fluorescent & .M,V Fixed 0 100 AMPS OVER Sp liances BELL Air H.P.RATING H.P. RATINGTRANSFER. Conditionin COMP. MOTOR OTHER MOTORS AMPS HEAATTNG EKW-I)FAT H . I 'Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS v Transformers NO. KVA N0. KVA ti'o 'veoo Transf Ea. Sign Miscellaneous c— c 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 . http://www.ci-atlantic-beach.tl.us