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Permits, etc. - s- -��J, City of Atlantic Beach APPLICATION NUMBER � .,-;' r n � Building Department (To be assigned by the Building Department.) r 800 Seminole Road ' • t Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 � .____ E -mail: building- dept@coab.us Date routed: (e rl i i { ci City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM 485 k .) KA, vp i n l Department review required Y No Property Address: lam► I V Building Applicant: r 1117_ Planning &Zoning Public works Pro1 . ,, . , actILL-k, � _ , 1 ..) Public Utilities O Public Safety P 1 /I 0nt 9 4 / - d Y1 - ?sS6 Fire Services Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APP ATION STATUS Reviewing Department First Review: i rg, Approved. ['Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING PUBLIC WORKS Reviewed by: ril in.—a. Date: 7 C PUBLIC UTILITIES Second Review: EjApproved as revised. Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: DApproved as revised. ['Denied. Comments: Reviewed by: Date: f ' CITY OF ATLANTIC BEAC :', PERMIT _, 1 J APPLICATIC3N �, -. :r 800 Seminole Road i`,.'1.+ •• = • V Atlantic Beach, Florida 32233 �� �- �� \ . 904 247 -5'000 C/ � rliil �f' (904) 247-5845 Fax - Aram. coab.us ' • APPLICATION TRACKING FORM . REQUIRED DEPT: f� I ^ �pp� Y N PLANNING Property Address: �v 3 lX) )ft,/,--ti r i L__W1 5 C �J BUILDING ' H Y N PUBLIC WORKS ' Applicant: Gl1L Pti fla Y N PUBLIC UTILITIES • � Y N FIRE DEPT. Project: �. Y,�,/ yI f5h-ee:/-rb(y> - Y N PUBLIC SAF t" (r3 Y--6.6*5- . w - APPROVAL U a REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE U1 � Y N D.E.P HUFS I t I LER Q 3 Y N S.J.R.W.M. CARPER tr i = Y N ARMY CORPS of ENG CARPER 0 Y N HOTELS & RESAURANTS HUFSTETLER APPLICATION STATUS _ f CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: ® 0 1ST REV ® 0 i2 re j te a-' . PLANNING BUILDING 0 0 2ND REV 0 * • PUBLIC WORKS . PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY 0 n 3RD REV alI n • G 11 n us) ' ‘Aq 3 w�, `) L V P t-+ - I c_ 6ec, c_ st de, Cpsf 5\0N1 y 17-00 daft �/a�•'��� G yta ',r ;4Is or)) , Boa C'+Q\3 on) (V. bin Ai- 3 000 P voi 10;^5 a,1 Vnler;Dr i t i C t 3 2.10 Ut)i ws a' O vrs (fla 2'd ( 000 E)c•er ;ir Wa 3,°° o �o Cosh' r .,r 1 ''„ � r!„ CITY OF ATLANTIC BEACH I �4 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 V OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 BUILDING- DEPT@COAB.US O RQ I I ' - BUILDING PERMIT APPLICATION DUVAL COUNTY '.JOBPDDRE5$" ,;„ �.'.TI1�q OVi r illii ,^ � .- 11 T� =, II 0' � "ii �, A'tilfgF # : ;°��III� , W '''' 0 '� , „ ��'„ I0�' � , WI I �1II , ���i�� ;���;' � � , ��la e: } L ig 3 Wbri ►I LAC A tl an ti c Beach FL 32233 � / 5 Q'7. ,o LEGAL' DESCRl i plull d?p:110 ,I, 'I'�'@ ,,,, ^I' IiF.,sl. .>iiii'u. r 'p ` -.`' .wa 7,: "1 iKali,' ' I I Ib `�� " ns' I i, � �.. 1 �, „ " ors: CTtSRe, - g. , ❑ NEW BUILDING ❑ DEMOLITION r.. - ESIDENTIAL LOT BLOCK SUB DIVISION XADDITION ❑ CONVERTING USE ❑ COMMERCIAL 45;.14.*', . r - OS OF , ,<aa vMl;li((ip(0 ,i .?: (t ,. , Mild ,' a S: 'i'i'iI'."cAq., dill ❑ ALTERATION ❑ ACCESSORY BLDG. .'SPfR1f+►KLER, ,re. „ rret rr /^ S eel COCA ' C 1 L 0 ❑ REPAIR ❑ OTHER / SPA ❑ YES 7N /A a / r/ CI ❑OTHER ❑ NO ; a, *00 .... NI 0 B p " .. e-gr 'R ��1� ' w III . ri ��b . d6S _. � (Nr . , � � �! BIA li .) '111k: ANG NEE,Itt00 UM,.„ 9. NAME: 15. COMPANY NAME: 23 COMPANY NAME: � OS 14-tn2 16. NAME: 24. LICENSEE NAME: 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: 1- 1.(0% Whii;f L4/1e ® 18. ADDRESS: 26. ADDRESS: A/14 ys t ii c e:CJ, R... 3 L 2 3 3 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 128. FAX NO.: Z 2 q&-o09 0 13. CELL PHONE: ,..-- CELL PHONE: 29. CELL PHONE: 7 13/ - 66 14. EMAIL •DDRESS: • 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: V ' ✓ 2 Ceirt -c 1 ` ° ''fie¢ g ,. tl " ri . : ®7 � > f *_110: Y rt '- l ;, ,< �i viii Mpg., i; 1111,:r p :At ' - ,S ;1 , , l i , » I :� m 11I� � R l in = r • i a P . 4.11,'. " • ` Kc w :.V Et ` ' ' R ' ,�' �kl, „it��„ .. : a:� =. .. � , � I' � h'° `x�a.,� 9ti b ' r��� ' '� � w x as a � ,* "_,.»„fir . p 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. *** WARNING TO OWNER: * YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. g >r • re - is < ;'- � " _ • .. 1Y � _ e . j t a 44., ' 4. Signed: A'. � r---, Date: i . /44//) I Signed: Date: l Before me this / / day of J et" 0rti' , 200 n the county of Before me this day of , 2007 in the county of Duva State of Florida, has personally appeared Duval, State of Florida, has personally appeared (thu-_ Pri nZ herin by himself / herself and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarations are true and accurate. / true and accurate. Notary Public at Large, State of V , County of 'D�VO Notary Public at Large, State of , County of Personally Known ❑ Personally Known ❑ Produced Identification - ❑ Produced Identification - Notary Signature. -' i ce_ _ Notary Signature: - _ ,�` „ Y K. CUN " : Jil .1 '; :'s Notary Public - State of Florida i . • Ay Commission Expires Feb 28,2010 , := Commission # DO 523638 COAB FORM BLDG01: REVISED: 1/8/2008 ' s 4'''' "' Bonded By National Notary Assn. CITY OF ATLANTIC BEACH ®WNER / BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER / BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE — OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REOUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455 - 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER- BUILDER PERMIT. get 647 1 113 wh L., Lthe AD ESS PHONE NUMBER PRINT N E l J1- SIGNAT RE DATE Before me this 1/ day of .1441 2008n the county of Duval, State of Florida, has personally appeared herin by himself I herself and affirms that all statements and declarations are true and accurate. �y Notary Public at Large, State of 1 � , County of At V '�`� K. CUNNINGHAM :•r ` - Notary Public - State of Florida $Personally Known M Commission Ex • ❑ Produced Identification - =�, u`,, pins Feb 28 2010 Commission # DO 523638 Bonded By National Notary Assn. Notary Sig. _ ____ COAB FORM BLDG07; • - .401F177 NOTICE OF COMMENCEMENT State of F,0 �' , ac., Tax Folio No. County of c.3 \fa_ 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: L 3 l.1`) �� t 14...4.e.- 1 G e n e r a l d e s c r i p t i o n of i m p r o v e m e n t s : 900 ` F M d r 'i D 't" e x i S J. �1 37 t v CT✓ r.< , Owner: Cos Pc c\'? Address: i iO W Jt t U'7 i c I-4 /4 -P 9 Owner's interest in site of the improvement: 1,nn P ro VC Vb m e k ( r/'t I A T' . Fee Simple Titleholder (if other than owner): Name: Contractor. Ot, -e._ C Address: Telephone No.: Fax No: Surety (if any) /OM Address: Amount of Bond $ Telephone No: Fax No: Name and address of adn�y e - rrs o making a loan for the construction of the improvements Name: t / 14--- / � Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: 14' 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 Section 713.06(2)(b), Florida plk M in at Owner's option) Name: S Address: i r - I , , s•r K. CUNNINGHAM Telephone No: Fax No: - °o`'"- :`'F'�- d Florida I Expiration date of Notice of Commencement (the expiration date is one (1) year fro I, r , ' -` r -.4' til ' ,: is ;J:ulV : wiitaw --- THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: /'� f/ 6 Date: l -1I - O' Doc # 2008009511, OR BK 14344 Page 578, tefore me • L ( day of } 1 in the County of Duval, State Number Pages: 1 )f Florida, has personally appeared (4w 9Ct ?l1- Filed & Recorded 01/11/2008 at 04 :01 PM, dotary Public at Large, State of Florida, County of DuvaL JIM FULLER CLERK CIRCUIT COURT DUVAL ex p " , (9 8 a.p t D dy commission expires: , RECORDING $10.00 'etsonally Known: t---' or 'reduced Identification: Page 1 of 1 11111111111111111111111111111111111111111 '•> Print Date: gl '` 1/11/2008 4:01:10 PM Transaction #: 1088466 Receipt #: 1042478 Cashier Date: 1/11/2008 Jim Fuller 4:01:05 PM Clerk Circuit Court (KPEARSON) Duval County 330 E. Bay Street Rm 103 Jacksonville, FL 32202 (904) 630 -2044 Customer Information Transaction Information Payment Summary DateReceived: 01/1 1 /2008 Source Code: BEACH Q GUS PRINZ Q Code: BEACH 468 WHITING LN Return Code: Over the Total Fees $10.00 Counter Total Payments $10.00 Trans Type: Recording Agent Ref Num: 1 Payments P =- CASH $10.00 1 Recorded Items BKPG: 14344/578 CFN.•2008009511 Date:1 /11/2008 r41 IN /C) NOTICE COMMENCEMENT 4:01:03 PM From: PRINZ GUS To: COMMENCEMENT INDEXING 2 $0.00 RECORDING 1 $10.00 1 0 Search Items P O Miscellaneous Items file: / /C: \Program Files \RecordingModule \default.htm 1/11/2008 �. 4 : W? r i,; CITY ` F E+ ATLANTIC ;; AC `I� PERMIT � - h 800 Seminole Road D / j,� u ",~ r. Aflaniic Beach, Florida 32233 ` I w (904) 247 `,�;;l�f (904) 247 -5045 Fax www.coab.us • APPLICATION T CKING FORM . .e • R RED DEPT: /,, //1/ N PLANNING Property Address: 'I Id 3 f 4 7 1,0✓i 0 Y BUILDING Y N P-UBLlCJpE�RKS • Applicant: 0 A ) 1 t 4 . V N P r I ITIES Y N T. Project: Cif/7n /-777 /filetr Ja _ Y N 1 • • • w APPROVAL E3 O REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w f Y N D.E.P HUFSTETLER 2 Y N S.J.R.W.M. CARPER _ tt Y N ARMY CORPS of ENG CARPER 0 Y N HOTELS & RESAURANTS HUFSTETLER I APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP RP EWED BY: INITIAL: DATE: ® 0 1ST REV 0 ! 5 -- & -- /- - • . Z1J/ JOD -07 (NING _ ® 0 2ND REV 0 is B • 1G PUBLIC WORKS • PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY 0 0 3RD REV • • • .,rn,,r, fillit £. fn Ms Rifling-lino llipingurtment. mete vim have enteree:i your comments into the AS400. '11/'1f 1 S! f } J � = CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 08- 00000134 Date 7/15/08 Property Address 483 WHITING LN Application type description RESIDENTIAL ADDITION /ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 61400 Application desc FRAMING AND SHEETROCK Owner Contractor PRINZ, GUS OWNER 483 WHITING LANE ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit BUILDING PERMIT Additional desc . Permit Fee . . . 308.00 Plan Check Fee 154.00 Issue Date Valuation 61400 Expiration Date . . 1/11/09 Special Notes and Comments *2004 FLROIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: * INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Approved per Variance.(ZVAR- 2007 -07) Fee summary Charged Paid Credited Due Permit Fee Total 308.00 308.00 .00 .00 Plan Check Total 154.00 154.00 .00 .00 Grand Total 462.00 462.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. . ' ` `S } CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 01119'f' INSPECTION EMAIL REQUEST: Building- dept(c Application Number 07- 00001668 Date 12/14/07 Property Address 483 WHITING LN Application type description FOUNDATION ONLY Property Zoning TO BE UPDATED Application valuation . . . 5500 Application desc SLAB FOR ADDITION ONLY Owner Contractor PRINZ, GUS ADVANCED CONCRETE 483 WHITING LANE 13245 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 SUITE 4 JACKSONVILLE FL 32225 (904) 997 -1112 Permit FOUNDATION ONLY Additional desc . Permit Fee . . . 100.00 Plan Check Fee .00 Issue Date Valuation . . 0 Expiration Date . . 12/14/07 Special Notes and Comments Must not build over the utility easememt. There is an existing sewer main in the easement. ** *CONDITION OF PERMIT: That you understand that your foundation and building addition will be located within the utility easement shown on your survey.You understand the proximity of your foundation and your building addition to the 8 -inch clay sewer main that runs in the easement. That you or any future owners of the home will be responsible for repairing any damage to the sewer main that occurs as a result of your construction work in the easement.Clean or inspect the sewer main. You or any future owners of the home will hold the City harmless for any damage that occurs to your foundation or building. That you will notify any buyers of the property of the above conditions. Fee summary Charged Paid Credited Due Permit Fee Total 100.00 100.00 .00 .00 Plan Check Total .00 .00 .00 .00 PERMIT IS VrxWEDTRWIN ACCORDANCE WIAIOALQ,CbTY OF AllIAATIt2 %EACH ORDINANCtAND THE FLORIDi 0 BUILDING CODES. ....,---- • kt '.,... . , LOT 12 . . - '_r ,.-, = 7 - .LO11„ - , • . . . • • - • , 1o• .rassentem. "Pon 1 .0.. DR4IN40.11 & IITE11121S . , • --. . .. . . .. • --..- e iko R (E I. •'• "I. • 1- - ' Jr ------. • . 7 tiaiii" .:-..; : O. " • 10 1 , --- 4 I- :, Mgt; • ---------, ........,—........ ............ bz- , , ..—........_ : • - • - - . WM STOW sass 45 :111 . .. .. . - ' - - L. 9 ...q., . .. 4" OWN . . • .- - Met .112:1=' c ■ , . . . - - . 1 .- ret;i' VS h c....-,.... Ct ... • Ati . - • ig it. ,......:,.., ... . cb , sis 41 .3 0......_::: LOT 15 r... . nay STONY .114801,87 .111031:011,NE #4811 - , ... I* it, - t---,-,,. ......, ii .-. . . . . . . ,.:.....-. (...,. tak :lei- g • - •comED -, , . . . " sift 1 01 1? • !.'" i .• : . ...-. , 1 13 Via • - • - - b - :....... l 'b , ........... . .. .. - ■-.4 a 4 ...• ,. ........ , -- • • • • • • • ' 6 t .4 . I - . . . i I 1 • 4 3 • • • • • • I : . 4- t .. .... --- .. ... , . ..... ... (ass, .4... , , * ... ...... .. ........... % A ... .. _ ... _ .... A ..... A 80.72 .... -- -- • - , 14.15 - — ........ ...' L : • :. . *. 1 . .. i ' CORNER - , , 1 1/2" IRON Kin — - — . ------- -- °urn— Ranni.1.5 •7?..rft.n 'Mtiri, Def., 1 .......................... 1 Fit: 7 ' V compi+tol.v.: mth apslienbit 4 -- 1?..orir.',-;, scl and other local land •.°- 1121 MB 4117 INFATER . i recL but does not constitute • - -: c'.1 for thtt.: is,a,ance of pernids. Compliance 1. Win TrAG War s.vi.til Florida BuildMo Code * and all other applicable 60 Kraide R?' local', State and Federal permitting requirements ' must b verified by signature of the City of Atlaritic Reach Building 0 al prior t the issuance of a , V iutbt4;: a, po • 1,,p1 . . JOBS'ITE COPY . .. • .• Building Permit. -.- Ad o• es . . ■ ' - Approved By: 4.e.ims.6or ' . rAW'rla - elopment " S.Va 14 0 MINDMIS FOLDED tAr maw PIPE (NO CAP) .• • - mom roma, 1-1/4' MOW MIN ( WO CP) • .- VIVAINS 072111101711E 1■3171D °ALL DEN05210 OriallaUD 17/7UST mar . .1 • sz.m.a: DENOrEtil Writitir =MI MANE= f i :.. d i.• :-.• i ,j '4 ' i 1 : i - ‘ BBB - • .1r : .: .$ ' :I• : - - ;:, or—wily ERM' Clierle r irk . • :14,Lel. e I. ...- :e• jr ir., nif -- 7, ,, 1 s ,,,,, •-, ;.....,:, ./,...irls 4 ii 'o i : 11 F7 IF ; ?: !:r;-lIIIIIIIIIIII • Pr:or 1 ', at:' I r ot Jr,' i .' 4111* .0 0 4 1 1-'1 ii.TAIIIIMMINIMMINIMMEIME IIICH NI THE .41MI (ffliViDE ME 500 an se r; it i 0 PiX i.... H-0141,17111111;511 i - By - , • ! jam - . , lc .4 I - l• 1, ff. • -- P ' ` ---7-- - ' . ' .. , . ' • _ ,!..4 jra '._,_•y i fr • • , - '4 ■ ' . PT..; • ; - i Ifir ISAlt . fraill• Irina esrrnsfrows. ............... — - - "... A Jan !OWN I 0 a. .......... .". 1 - Y6' LOT 12 LOT 11 i 10' ZISEMZNT Prow DRAINAGE & DTILf1IZ9 (S b b ., .i'.t1 a N. -- -- ONE grow I FRAME s Es nr_o . 6 104 4 CHAIN it% LINZ F - _� ct , COMM PORCH 0 f 19.5. gt f / ° ' ' • LOT 15 am CRY MASONRY - °0 � .-1 AE �a area ,< d ICI 'W. v b _ � p �► r .` LOT 17 pa 1 f I .. ` 'co i WADI news ,. - . - .::: - .11 . .q...-.::: ' t . lk oUND MATER �$_� 'i• £ t #4144 . L�l7lti 3 \ s-s uarraw —.� prate uaraRS 15' COMIRATA CURB * GOITER WAITIM LANE - .30' M1BL1C ANNA-OP-WAY FILE COPY - ,- n. . FILE COPY 0 ANNTIES POUND tAr IRON PIPS (NO CAP) O.U.L. • DIGNXPES POUND 1-1/4° IRON PIPE (NO CAP) DARWIN OVERHEAD urzzarr LINE NHS a� ._. g� S�8�LB SANITARY .SCR M4NROL dONHV'a11sAS�rlF °SGje r ...,:r ' 3� NCH IS ?'XE AREA ?7<1 «i7TP of i r hill f r irr4 s+! #, i� rT, t" "z , APRIL f - , , ,10 - 1,: , '.4 iti��rM,i'�/ .yll7frN t /71�. l: RaV , ON / h 7 _ BY PIiA1'. I AIT Mane desnar.�. . T Q 1 !771 nsaus• • ......— - k.._4_, ! ^fs 1 jam, (N o 'se' r Sle. 5ta x (v 1 h 3 ' 2 7e 6 I v s1Gb x 10 - 0 10 0 ': ' K 24 =' .4 1;5'70,10 P). 4, ' V \aka Rery o reef 60 tick. e)tah 1(0'4 /)( L 1 (o = - 763. b ( Fro „ i - 5146 I S , (,'X bS . 7' = / • `12 O `" 3 I x 25'.3' (02. 73 .1� cw,ve,.►a,, 12.' x /9' = 4,4d. 190 �� 2 ql9 , -2.s .r-4-. f , of g eov ) q Nkvk) S ‘a\o O Fro, i-- o 4 ; c r / 9 X 2 I . `-/ ' ..: 1 4 D( 0 C4 rpori -- /t'x 22..' Li 11 g sick (44%,+ lle.six35 := € 57.7.7.6— Exfe � c.k :X �2 y 4 M 6 Fronk. port, I ), 2 ,1 / Z • 7 - 6 5 1 s 414. T6\ S. , 4. t51- Irep('iit SD ill 93 = 7, 1 175. i3 f �pp-- /, s 70 . ! +- 0 I --} 3 I L i 2 7 ' •.v4 New 5146 f( ,,)i 3 , L 7 —. - 7, L1 78'. /3 1 LOT 12 .LOT 11 10' ZASZifirmg ?OR / 1 v. DRAINAGE & rozu 'I,B t to r.2' II (s z 8S' " t 4:?. i r. O211a S"lORY S . H DD r7,14:16 7 7V 1 4' CHAIN LINK P v 34.9' © fg COVERED PORCH J o k 6.f x f , °coo rot LOT 15 R MASONRY • °�° 8 le / 4 C • (0 5. 7.►a©v 1'4 y re b► a1V S '►tY r E./ LOT 17 `* ,-- 43 PI illi IJNr PENCE (80.66.3 , A. c. 80.72 (fx8.68'J �, _ ' 14.5' 1 i ' e ___ _ id ; 1 CORNER - i r -r /! �f�' - L i OU711D "' R.LS #4144 N dTBR S.S Y$---' 4 MAILBOX UTILITY METERS R V 11 .. ... r C � \air 1.5' comma= CORE & COTTER 14 ' 60' WHITING RIGHT-0P-»AT i - Cohcrte `_AcOn R e P LEGYDilk 0 "BS PROOND f/$' IRON .PIPS (NO C.4P 0 DENOTES UNLESS Q f /M PIPS (NO CAP) NV8 ARE S.MYS SEWER MAMMY ED aAsr I OP -WAY l70� IN �� 1 ' � NCR l3 THE r, r ~. AREA OUTSIDE r,? r, i�� ►'r srj TL,r ir7rs;3�; %+� BY r - x #►r 7 i,� N1;7 P :_ r:i f RB' I►•TS'E'D 17 la t a r� �i %r 7 )�y ; ire �, �� � -.., ? _C17ON 111 f$R..L i BY PLAT _ ,17.1 'Pura m..... _ __ 4p , txpe6L-fc, 0„,- a,u_ i obi 0,5- 6 9 rs : �' - -r; CI TY OF ATLANTIC s EAC !: PERMIT w „ . r APPLICATION # r - � ; . - -, , TI,1'Il°� / II G DEPARTMENT I li, =� „, •, ,� -x h, V� 800 Seminole Road i [Pteb \ . ... 4 Atlantic Beach, Florida 32233 Di— (904) 247 -5800 f -1-0511 (904) 247 -5845 Fax ` ,T -E D I JEC 1 2 1007 APPLICATION Tim' j CK NG FORM R , DEPT: ) PLANNING Pr Address: .44)3 1 Q1 �/i UV vu f 1. . ��e/ 2 u BUILDING /� 1( 'A . n p 4, NIA V g lA + l PUBLIC WORKS • A licant: a. ct v a Y l,_L t( "I p �� ��g ' � � N . PUBLIC UTILITIES MINA FIRE DEPT. ( Project: VLb DI 6 i'j. Y v PUBLIC SAFETY w •APPROVAL a REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w f Y N D.E.P HUFSTETLER Q = a Y N S.J.R.W.M. CARPER z D Y N ARMY CORPS of ENG CARPER O Y N HOTELS & RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVI ED BY: TIAL: DATE: 0 1ST REV tj 0 cio yx 1 . 1 4 bk Id over the tcaii /1 a -ems`• .g.re is an Azi Stin, sewer /n.a ir, In Ile PLANNING 0 0 2ND REV 0 Ili BUILDING PUB IC RKS PUB IC ITIES FIR DEPT. PUBLIC SAFETY _ II 3RD REV II a as _w.___.__ ,cn_e_ &•___..... ,tom 1.1/- 7 VD....:..7.A:_.... lilt--,.......4--- ,.,-.4 ,nm.,,,,. vans. 145 nmr" 2nm..11-.Tewh Frd - rnmr anrtvnM SaWP19pfiQ LT7Hi'l!A AR. AR441.9wdtl_ , 12/14/2007 10:32 9048230245 CATHY TRINGALI PAGE 01/01 December 14, 2007 Gustav Prinz 468 Whiting Lane Atlantic Beach, Florida 32233 904241.8556 To the City of Atlantic Beach, The following statements pertain to building permit application no. 07 -1668. • I understand that the foundation and building addition will be located within the utility easement shown on my survey. • I understand that the proximity of my foundation and my building addition to the 8" clay sewer main that runs in the easement. • I understand that I and any ibture owners of the home will be responsible for repairing any damage to the sewer main that occurs as a result of my construction work on the easement. • I understand that I and any future owners of the home will told the city harmless for any damage that occurs to my foundation or my building as a result of any failure of the sewer main, or as occurs during any excavation or work to repair, clean or inspect the sewer main. • I understand that I will notify any buyers of the property of the above conditions. Gustav K. Prinz P ,, / 0.12 1 A-ab-4/ 1 - "Q " ) 0 7 14 Carolyn M. Pope 1 ; ;; Commission 9 DD493372 �' Expires December 17 2009 wow Plier FOR IRWIIINie 10040410 _-_, txpecu -fe, ca( isuli bLI 05 - car . r r5 1`.1f,:: CITY 0 F A LANTIC EACH PERMIT r ��� is i � s r, / �4 �+ `� A PPLICATION # r" ? - ; s� '00 ,n om- A° tl Seminole c Belch, 32233 ni-169teb `` .Atlantieach, ` (904) 247 -5000 J'' 1 r (904) 247 -5845 Fax www.coab.us APPLICATION TRACKING Fe" R y,IRED DEPT: i , grim PLANNING Property 3 i') ¥ U ��`�) ° [ BUILDING arty n I� nQ ,,J Cioitiff __. PUBLIC WORKS Applicant: N Y . 1 1. (/l, 0 iri PUBLIC UTILITIES • rr L Project: ( Y v PUBLIC SAFETY co w APPROVAL 5 a REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w Y N D.E.P HUFSTETLER CD C! Y N S.J.R.W.M. CARPER _ cc Y N ARMY CORPS of ENG CARPER I- 0 Y N HOTELS & RESAURANTS HUFSTETLER , APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: 0 0 1ST REV 0 All S \ / 2 —/I LJ ? PLA 1 IdI ∎ 0 0 2ND REV 0 111 BUILDING PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY • !a 3RD REV UJ e; , a. _,- ---- An_ • .e____., a -- ab ien- .saga..... uP.....,.,...e ..,,.a....m.,..,.....,,,. 16neer „n, ■mn.,4,. re...4 ,amine 4+41bThl nfa i nifal *hp toS44III_ • .Ysw +. CITY OF ATLANTIC BEACH { l" r. 08-i I � � s 800 SEMIN ROAD, ATLANTIC BEACH, FL 32233 �� ___I I I ' �'f ,v7,--...-77 ` _ n OFFICE: (904),247 - 5826'• FAX NO.:(904)247 -5845 EIUILDING- DEPT @COAB.US ' =MO BUILDING PERMIT APPLICATION DUVAL COUNTY 1 J, D 0 E SS '�w r { k,,.: r + ..< : ;F `" - „ �{ �tMi *� . ., .. i as, �4, 2 VALUATION OF wO ) " , x 3 S FT 11 DER ROOF 5 , ...s �5 �'.,, s.( .....�?..ia*`�e"r' t a :. 4 .., , N tx,. T..,.�:,; C t \\A,� nt t L, 32233 ',: si4:: LEGAL DESCRIH'': 0.1Vi. {�k? „u'£ ?, , "'t'� . arn�r... 1" t Kavr- . S . 4"� �: b . �. � t 3 c. t c,.- r. - i/ :.. ., ,..E ❑ NED T UNO N RIf i + , ❑ DEMOOLI I OM O , 5 , ,. - 6 E I D STRUCTURE t...,.. ON SI M E ERCI L LOT BLOCK SUB DIVISION TING USE COMMERCIAL , 70AE CRIPTION:OOWORIGd,» cl „.. r'N k s i �k " hk s� ,, ., i 0 ALTERATION 0 ACCESSORY BLDG. 6 F.IRESPRINKLER �`�... �h,z:zx; nn ❑ REPAIR ❑ POOL / SPA . ''^^ ` W/ ❑ MOVE OTHER .1( ❑ ❑ YES NO ❑ N/A ':10 . s P.ROPERTYOWNER:';'I s ?.- k�,3,. . " r , ., ,tCONTRACTOR'xC , ;?:.,? .'6�"r W .l:.s.A r . .Y.A CHIT. ENGINEER . J ., eAtir. Pr �A 15 23. COMPANY NAME: t d �'-0h'rV22T1Z 16. NAME: +-� t / 24. LICENSEE NAME: CALA- 1 19141 I�r -^ 1 D ES 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: 9 Lakit 18. ADDRESS: ` V) 26. ADDRESS: / 2-0 / - 4 A C fps e fr'') v> LUZ. G e- 1 E 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: � 7 997 - / - i- 9 AXNO.: ) f 1 ELL P /C � . 21. CELL PHONE: Z �� 29. CELL PHONE: ys= 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: 73. MS it, L g0335 4 BL • . f � FEE SIMPLt~_TtTLE HOLD ,f ,, *' . y NDINGeCOMPANY ,, ` C ,' ' ti ` '' ' , h '' MO RTGAGE LEND ER ' . , wie .,., 0,0THER THAN OwNERr t , , S :: t ..., + . y a r,..,, a z..:.:?� , . ^*.. 4 ci , 4�N.r',.y`+i . +�i ..x`i':"4 oo :i.�.:::; t , is � ..,,,, ,. :„ C , ::.....: 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. � Y�,r 'x > } ll a 1 91 "' :> t, t , ,q� OWNERor AG t r, 0110.64A, , , x ti. ° � �, � s ;u�_ + � R � CONTRACTOR �. � , a'4 V ?v t. ��5� 'w, genty x qtr �c.4 rrt2�' ., 9 *M �`,.v�. r tir . ,,, {IfA9�t, Powp�ofAttorne� :ArA9 @nCgLetferRequlred) ,.a ,.,, ,i . �, ,< .�!w� >..�,�j :*�,_ a`�..,�`�.�, (Gu'alifl ",. ly) ,�. x :; , �..:,. Signed: },1 /� I r Date: `I �3p n 7 Signed: 1 . ., / Date: `N �p,� Before me this l ( day of��� � /�J , 2007 in the county of Before me this 1 ( day of X in the county of Duval, State of Florida, has personally appeared Duval, State of Florida, has p rsonally appeared G►.r .P( ince Lt.) . 1 a Tarn, i'i. herin by himself / herself and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarations are true and accurate. true and accurate. i �y Not Public at Large, State of , County of Notary Public at Large, State of l � , County of Duval ersonally Known / , / ❑ Personally Known F.- f L c(-� Produced Identification - -p V �1 Produced Identification - L_ V L_ otary = Notary Signature: _ 1 .: ►" � ' INGHAM ` ``,am, ,', ;�- r n N � - ,. ;��, • �ublic - • tate of Florida 1 a� K. I • . , '..'. xpires Feb 28 2010 I 0 4' , Notary to F` ..: • 4 1 :4„,„..-=1- 7 ,','; 6 0 1 Commission # DD 523638 I � _• r Ay Commission ,fig: 2010 COAB FOR"' _ , l / ry ` I • _ _ �8nb National Nofe Assn. I ' , y ' "Wu, 1 °p Bonded By National Notary 3 523638 I t 4p ,c,a txped.A ct.- istu_i (A) 05- c 6 19 ke* S PERMIT APP ___._,_, CITY OF ATLANTIC: ' .� E A C , y , � h ,� � ' � � U,'!I s !G / Z4 DEPARTMENT G ��� LICATION # �'� h ' .�� °00 Seminole Road ,., antic Beach, Flori Mantle da 32233 �� ^ ft Q(e � '�'' "� (904) 247 -5845 Fax www.coab.us APPUCAT ON T1 A' FORM R iaIRED DEPT: PLANNING Property Address: 4 U 3 N Y t, iit,14.6 2 BUILDING I/) c,Dite,Ir _ �� PUBLIC WORKS f \ Applicant: `�l a 0,1 L t ei r 0 v im PUBLIC UTILITIES / 1110/A FIRE DEPT. L Project: ' \( V v PUBLIC SAFETY cn w APPROVAL w U 0 REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w 1 Y N D.E.P HUFSTETLER < C/ Y ,, N S.J.R.W.M. CARPER i N ARMY CORPS of ENG CARPER O Y N HOTELS & RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP IEWED BY: IN L: 'AT 1 O 1ST REV 0 r 1/ �, �/ 1 L t / r PLANNING O 0 2ND REV 0 ;I♦ BUILDIN PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY O 4I♦I 3RD REV III Irl Return this form to the I IIlildina Department once you have entered your comments into the AS400. 10-v � ; ,: CITY OF ATLANTIC BEACH RQ_ I I I I ' ` { ,�, 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 O V !¢ t OFFICE: 4904) -5826 • FAX NO.:(904)247 -5845 \ , BUILDING- DEPT @COAB.US '' BUILDING PERMIT APPLICATION DUVAL COUNTY 1,:JP: ESS r,x .EaF ( ,,,;;a r . iai: ° , ".. . . t "' I 4 .2:VALUATIO O ; .s;;, 3 SCrEf UNDERROOF tie ,, 4i ntic 32233 5 5 X) r4 : LEGAL DESCRI. ON,... r, yr, ,u i,.Is4s, . cl "Y..ikf : : 0CLASS:OF'WORI t A' .,! : ",. WA IKag 6: EOFSTRUCTiiRE,i. +3':, ❑ NEW BUILDING ❑ DEMOLITION SIDENTIAL LOT BLOCK SUB DIVISION 'ADDITION ❑ CONVERTING USE C OMMERCIAL 7; DE CRIPTJOND WORK:1"°`, 411 , i.. , _ r: r a i' ❑ ALTERATION ❑ ACCESSORY BLDG. 8. FIRE SPRINKLER.,u O (/�� ��//�J '/'may,.' ❑ REPAIR ❑ POOL / SPA ❑ �/� ��/ �/ , l�� ❑ MOVE OTHER ❑ YES NO ❑ N/A ; 'PROPERTY,OWNER: ., . ;; : . „ CONTRACTOR . ,. i g $r „ x ,� ,a A CHIT.ECT/ ENGINEER. ;' „ .> .:, ICE, pr f A 15 fO PANY NAME: 23. COMPANY NAME: 16.. NAME: � ' / t 24. LICENSEE NAME: W1 L!•.I 14-.4. I �d C - +'T 1 D ES 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: 9 Lakit 18. ADDRESS: ` r (�� 26. ADDRESS: zo A IC -,113- e k'S o r-- uj LUZ. i GL op.F.p4g P � le 12. FAX �NO.: 997 — /// Z 7 / 20. FAX �O ^ `5/ I/ 27. OFFICE PHONE: 28. FAX NO.: 13. CELL P I D. �C 21. CELL PHONE: 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: 13- 2s 4 v N 033SC) 4 O E t FE ES i M P H ` H G M �1 n ' 1 ;> sNDING COMPANY y ` N O5+ „' ri V 1lIQItTGAGE • LENDER riK 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. { 'o ' OWNE o AI i �� . ti, ,� ; ��' , 1. r > t°� " COI TRgCTOR; .�, , y . .,, . a or n `� . 7 t AO. h * r� :., ^ 1 " / ( tam P, ,: �'� '' .�e�. ,,. 7 =.� {If+49entePow {of Attorne 'ett . ..� {,±� REMORA sda� , � � •'�r�, .��i.r'(Oual) 11`.° , . � ....., ..:. , . �,^ n //. / Signed: "� tJ Date: `I ( 3o A 7 Signed: i..- + Date: Before me this ( day of ^ m f I(' , 2007 in the county of Before me this 1 ( day of (f m 1-4 in the county of Duval, State of Florida, has personally appeared Duval, State of Florida, has bk. nally appeared 0-1,r?- .P rtnom. wiu arvt u, herin by himself / herself and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarations are true and accurate. true and accurate. �� Not Public at Large, State of , County of Notary Public at Large, State of F � , County of oid .rsonally Known / ❑ Personally Known T r Produced identification- - F - 1) ) Produced Identification - t' 1_ - PL..- otary Signatur " Notary Signature: Ile ��. „�� ►� INGHAM ♦ — — — — — — 1►� `tit L 'Olt - •fate of Florida o 1 K. r7 0 (.1 .1• spires Feb 28,2010 * Notary .ms # DO 523638 i 0 t COAB FO � ' • Commission fission "'�l " . , ' 10 t rt Bt:, , VIE Boni A lan. _ — _ — _ / _ - _ r 4 ��' 4. � ' ` ^' ` � Commission 0 00 523638 Bonded Bp Na onai Notary Assn. 0 r lei City of Atlantic Beach �~ Plan Review Correction Report As of: 01/31/2008 Permit #: 08 -134 Job: Residential Addition/Remodel Address: 483 Whiting Lane BUILDING '04 Florida Building Code - Residential 106 Information contained in construction documents incomplete and without sufficient clarity to review this application against the technical codes. 106 Title page information required; Address of project, Index of all drawing pages and attachments, Name, address, phone number, signature and date of person responsible for design of stucture etc. 302.1 Classification of Occupancy not indicated. 602.1 Type of Construction not indicated. R301.2 Construction Sytems; Typical wall sections not detailed with sufficient clarity and not included; all insulation requirements, ventilation requirements, up-lift connections, soil compaction and termite treatment, vapor barrier, etc. Also can not use ' /z" gyp bd on ceilings with 24" o.c. spans. R301.2.4 Floodplain construcion not addressed. Finished floor elevation, not indicated on elevations or within construction documents. Base Flood Elevation not indicated. X Window and door requirements not detailed; flashing and waterproofing details, florida product approval, wind -borne debris protection etc. 106.1.1.2.1 Roof assemblies not detailed; roof system, materials, fastening requirements, flashing requirements, wind resistance rating, product approval, evaluation and installation instructions T601 Submit details showing compliance with Construction Type: VA R303 Light, Ventilation and Heating requirements not addressed. R307.2 Bathtub and shower spaces not detailed. R308.4 Glazing requirements at hazardous locations not indicated. R309.1 Opening protection not addressed. Provide penetration protectives for all penetrations into rated assemblies. R309.2 Separation requirements not indicated. R309.3 Carport floor surface to be of noncombustible material. R311.4 Unable to review door requirements. 8314.2 .3 Attic and crawlspace requirements not detailed. R316.1 Plan does not meet insulation requirements. Insulation not detailed with sufficient clarity. R320.1 Requirements for protection against termites not indicated. X Draft- stopping requirements for floor and roof not indicated ** *BUILDING REVIEW NOT COMPLETED * ** LIFE SAFETY Code: 2004 Florida Fire Prevention Code tit 24.2.2 & R310.1 Secondary Means of Escape not addressed 24.2.3 Arran g P ement of Means of Escape not addressed CO � 24.3.4 & R313.1 Detection, Alarm, and Communications Systems not addressed. 24.5.1 Heating, Ventilating and Air - Conditioning not addressed. ** *LIFE SAFETY REVIEW NOT COMPLETE * ** 1 CIVIL x Civil Drawings not provided x On -site water retention calculations not provided x Spot elevations for property not provided ***CI VIL REVIEW NOT COMPLETE*** STRUCTURAL Code: 2004 FBC, ASCE7 -02 v► R301.1 Structural Design Criteria not indicated. Also the building code requires all component and cladding loads, pressure coefficients, roof live and dead loads be indicated on plan. Ch. 16 Structural Engineering hasn't been submitted (Pages S1 -S4) 106.1.1 Supporting structural calculations not submitted ** *STRUCTURAL REVIEW NOT COMPLETE * ** ACCESSIBILITY Code: 2004 FBC -R R322.1.1 Accessibility not addressed. * * *ACCESSIBLITY REVIEW NOT COMPLETE * ** ELECTRIC Code: 2005 NEC X Page Al, General Notes; Change to '05 NEC Art. 220 Branch - Circuit, Feeder, and Service Calculations E3301.4 IRC Additions and Alterations. Determine load calculations for proposed addition. ***ELECTRICAL REVIEW NOT COMPLETE*** PLUMBING Code: 2004 Plumbing- Residential X Floor plan showing location of plumbing fixtures X Page P1, Water Heater detail not readable ** *PLUMBING REVIEW NOT COMPLETE * ** MECHANICAL Code: 2004 Mechanical- Redidential X Energy Calculations not provided X A/C Compressors to be located on site plan X Product approval for air - handler and compressor ** *MECHANICAL REVIEW NOT COMPLETED * ** 2 OTHER X Tree removal affidavit or site clearing permit required ** *END COMMENTS— COMMENTS PRELIMINARY*** 3 'sue r y CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 03- 00026942 Date 9/24/03 Property Address 483 WHITING LN Tenant nbr, name HVAC Application description . . MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor THOMAS, FORREST HUXHAM HEATING & AIR 483 WHITING LANE 1078 NINTH STREET SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246 -6721 Permit MECHANICAL PERMIT Additional desc . Permit Fee . . . 79.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 79.00 79.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 79.00 79.00 .00 .00 City of Atlantic Beach * ** CUSTOMER RECEIPT *** Oper: CKOMOREK Type: OC Drawer: 1 Date: 9/24/03 01 Receipt no: 92325 Description Quantity Amount 2003 26942 BP BUILDING PERMITS 1.00 $79.Y Tender detail CK CHECKS 6316 $79.00 Total tendered $79.00 Total payment $79.'x. Trans date: 9/24/03 Time: 8:58:19 HIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED R OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN KLJULI IN Itlh YKUrrx1 1 Uwivr_n 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 flp �' CITY OF ATLANTIC BEACH �", MECHANICAL PERMIT APPLICATION v /1 4 /I /L ?_) Date: / Owner of Property: 1 Job Address: Contractor: g. (r•N f y r,� In consideration of permit given for doing the work as described in the above statement, we era)) agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. 111. GENERAL INFORMATION A. Type of heating fuel: B. B" Electric IS OTHER CONSTRUCTION BEING DONE ON TIIIS ❑ Gas: _LP _Natural _Central Utility BUILDING OR SITE? e LC) ❑ Oil ❑ Other— Specify IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT Iv. MECIIANICAL EQUIPMENT TO BE NATURE OF WORK INSTALLED (21" Residential or Commercial ❑ New Building (Provide complete list of components on back of this form) QI— Existing Building l( Heat _ Space _ Recessed �entral Floor [j}�' Replacement of existing system fib Air Conditioning: Room 1 Central ❑ New Installation (No system previously installed) ❑ Duct System: Material Thickness ❑ Extension or add -on to existing system Maximum capacity cfin ❑ Other- Specify ❑ Refrigeration ❑ Cooling tower: Capacity gpitt ❑ Fire sprinklers: Number of heads ❑ Elevator : Mullin Escalator (Number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps _(Nutnber) (Received) ❑ Tanks (Number) ❑ LPG containers (Number) Remarks ❑ Unfired pressure vessel ❑ Boilers Permit Approved by Date ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Num Units Description Model Number Manufacturer Capacity Approving (Tons) Agency 11EAT1NG — FURNACES, BOILERS, FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving / 1 (13T II) Agency ! 2,/ ° //, -t y /ink 7;7,77.t 5 _ `36 OC L) TANKS I Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • hap : / /www.ci.allantic- beach.fl.us 1/14/03 ! L`1 r 3 1el , o i _ ti CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J 1 ATLANTIC BEACH, FLORIDA 32233 ' INSPECTION PHONE LINE 247 -5826 -J13 Application Number . . . . . 03- 00026579 Date 7/28/03 Property Address 483 WHITING LN Tenant nbr, name SHOWER INSTALL Application description . . PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor THOMAS, FORREST KIMBALL PLUMBING INC 483 WHITING LANE 807 ST. JOHN'S BLUFF ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 42.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 42.00 42.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.00 42.00 .00 .00 City of Atlantic Beach Oper: CKCMOREK D!E TRECEIPT * ** OC Date: 7!28/83 01 Receipt no: 77423 3 Descri ion Quantity Amount BP BUILDING R PE 1 .00 842.00 Tender detail CH CHECKS 2524 842.00 Total tendered 842.00 Total payment 842.80 F Trans date: 7/28/03 Time: 11:54:35 K MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED I .. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN F DING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS LION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW NA BUILDING OFFICIAL Feb 12 03 10:028 Information Sastems 247 -5845 p.1 . 111-2/ 4.4 # , CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION t,: r 2-123 Date: J � �1 0 5 Job Address: L Owner o f Property: FC V y' e S'1 1'v S Telephone: 5C c 1 " Numbing Contractor: K1 r - r'�� `' w t om ^ " (� i �' C- •__ Contractor's Address: < C� 1 C•1"- j 0 h n K Telephone:"► el 1 C l l _ Fax: 9 l l c State License Number: j FC 0 S C 1 How many of the following fixtures (re -piped or new): Sinks 1 Showers Water Lavatory Water Heaters Hose Bib Bathtubs Dishwashers Sewer Urinals Disposals Other Closets Washing Machine Shower Pans Floor Drains Re-Pipe (List fixtures being rc- piped) Total Fixtures: I x 57.00 + S35.00 ` � . u (Minimum Permit Fee: 335.00) 1 Signature of Contractor: l � — � 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 $00 Seminole Road • Atlantic Beach, Florida 32233 -$44S Phone: (904) 247 -5800 • Fax: (904) 247 -S114S • http : / /www.ci.atlantk- besch.fLus Reviled 1/14/03 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 23379 Address: 483 WHITING LANE Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: INCREASE Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: ROYAL PALMS Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 1/25/2002 Name: FOREST THOMAS Total Fees: 30.00 Address: 45 DONNER ROAD Amount Paid: 30.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 1/25/2002 „ , - -- - - a - : (904)024-6865 --, L Work Desc: ESS100AMPS - 200AMPS " . 3W „WV SkU i , M - S. INCREASE 1 CONTRACTOR(S) ,, .---- --, -- 1"-.- 5 , ' '" :* -- - m*-"CATION FEES ic MCCLURE ELECTRIC SERVIC - ' , .L , - - - I 30 tjo _ -„,t , _,,-,:,, ,: .,,,, ,, ..-,„2 .:f:::Icr ,1- - ---- --i., - ',,*-t;:"; 4 ' .„-., .„. ,, , , _ , .,,,,_ -_,-:..•..,..,,„......_ .--. A N, A .. . 3._ if ' ' ----- „,_, . - -: ..'' ' t ---=' - -f.T• f,t '.=;-,.- A I 9.0 -- 45.'---.4:._!--4' - ,- - ', ,,, ,N,`':- - ---, -ii: .;!...---,,,, . -- _.,---::::,:'--- .'•- r A lk .'"' tr 1 % -,,, - • IA-- oz :1 ,.-- ' A f. t ,.. , ,,,, , 4 , -,,.-.,,, ,::,.„'.:. ....,,%-,t,, ..,..,—...,.,..,- --, ...„, z'L-.,‘,..... ,..: ,,,,,, -,::-,-.. •' - t• ' A W., .. '-'74. . .: "% ' ' '' ' F , t ' ' . ' .. 7 ! :=1,-,- , ''..2•,:::-.7-- .: - ' ' _ __ _____ ____ __J F," ' ';-r y 1 '''•'-h -z . -,l - -- - - ,, , _ __ _ ,.,,,. _ ,, ,,,,a, NOTICE - INS ',ECnONS_ Y i' . - :4 AEQUESTED-ATLEAST 24 HOUR - - IOR TO SPECTION BUILDING MATERIAL, BBISH AN P -BRIS FROM THIS WORK MUST NOT: ' PLACED i . SPACE, AND . „, MUST BE CLEARED UP . le HAULED v. .'..y,14v..EFTHER_CONTRACTOR O ! , ER.„:: _ _ .... .__.. - 4* "FAILURE TO COMPLY oi,' . _ -,' .: C - NS ' - ' k ''' . - .. LT IN THE PROPERTY OWNER PAYIN e -'1 , - \ FO 7 : iv t. ISSUED ACCORDING TO APPROVED PLA `, . .1 A - ' -i 0 ERMIT AND SUBJECT TO REVOCATION . . , FOR VIOLATION OF APPLICABLE PROVISIONS 0 ..._, ,_..) Date: 1/25/82 81 Receipt: 8829913 ATLANTIC BEACH BUILDING DEPT. CASH I _ _ 68180183221AN ..--- CITY OF ATLANTIC BEACH, FLORIDA f Approm.d s • APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 1 2 i ZCo IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING. WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL. REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. r ( Q.Lms EA -tx.LIv‘ 774. i v'. ELECTRICAL FIRM: MASTER+'•• RICIAN SIGNATURE ---- JOURNEYMAN v °° / d j NAME" 1li 1 4 ADDRESS: i4` b I4 i �.�r ✓ / k RFD . BOX BLDG. SIZE BETWEEN: RES. (X1 APT. ( 1 COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( 1 OLD (X REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW )) INCREASE REPAIR ( 1 FE / CONDUCTOR SIZE `•1'`0 AMPS 2 COPPER ( ) ALUM. ' \ (� SWITCH OR BREAKER 200 AMPS I PH 3 w 246VOLT 564 RACEWAY ( EXIST. SERV. SIZE < 00 AMPS .. PH 3 W 2 4 0 vOLT SC-1J RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL _ RECEPTACLES CONCEALED OPEN TOTAL. X 0.30 AMPS. 31.100 AM PS. I SWITCH ES _ INCANDESCENT FLUORESCENT & M. V. I F I X ED 1 0.100 AMPS. , OVER - - APPLIANCES BELL TRANSF, AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR fIII! OTHER MOTORS AMPS C£IL HEAT: KW -HEAT 0-1 OVER - I MOTORS H.P. 1 VOLTAGE _ PI-IS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. I" OVER 600 V. • NO. KVA 111 NO. KVA NO. NEON TRANSF, NO. V A. MA. I MOTOR SIZE SWITCH F LASH E' EACH SIGN . FORWARDED • 'r $ 1 rnra, GC =V =� _ `I CITY OF ATLANTIC BEACH . , . ) 800 SEMINOLE ROAD 1 ,1') ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 J.r 19 INSPECTION EMAIL REQUEST: Building -dept a,coab.us Application Number 07- 00001442 Date 10/16/07 Property Address 483 WHITING LN Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 11 fixtures Owner Contractor PRINZ, GUS CHRISTY FIRST COAST PLUMBING 483 WHITING LANE P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247 -4419 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 112.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/13/08 Fee summary Charged Paid Credited Due Permit Fee Total 112.00 112.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 112.00 112.00 .00 .00 PERMIT IS APPROVED. ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rt , CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: hop(,/, 7 Property Address: —/ 7 3 , Owner: t't S P Ly -vg Telephone #: 02 4,1/ - g Contractor: vL / ' / ' 4 , • Telephone #: C9 ( {7— 'P1 ? Contractor Address: /(o c5' ( � A8 Fax #: ?-- (*Q ( O � Contractor Signature: l'�t , C ,t1 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number e -Pipe Number of Fixtures: / -T d- _S i 0 Luc r /4 b �2S Bath Tubs / Showers R - Closets Shower Pans Dishwashers / (Sinks K k . Disposals Urinals Floor Drains Washing Machine Lavatory • Water Sewer Water Heaters ''` Sprinkler System Other t 1r'-��t x '1 D l RQ S- ci_ W('x` v- !oe kepi G Fees �l Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 = 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • httpJ/www.ci.atlandc- beach.fl.us Revised 1/04 6 1 r ,: '.1_, CITY OF ATLANTIC BEACH i J 800 SEMINOLE ROAD s) J - Z ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 ' Application Number 04- 00028264 Date 5/12/04 Property Address 483 WHITING LN Tenant nbr, name RE -ROOF Application description . . ROOF Property Zoning TO BE UPDATED Application valuation . . . 3000 Owner Contractor THOMAS, FORREST COPPEN ENTERPRISES 483 WHITING LANE 562 KING STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 338 -9757 Permit ROOF PERMIT Additional desc . Permit Fee • • . 68.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 3000 Fee summary Charged Paid Credited Due Permit Fee Total 68.00 68.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 68.00 68.00 .00 .00 City of Atlantic Beach * ** CUSTOMER RECEIPT *** Goer: DSMITH Type: OC Drawer: 1 Date: 5/12/04 01 Receipt no: 54842 Descript4ion 28Q264 ntity Amount BP �� PERMITS $68.00 Tender detail CK CHECKS 1524 $68. Total tendered $68.00 Total payment $68.00 Trans date: 5/12/04 Time: 9:34:07 S WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN R BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS VOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 4?) BUILD FFICIAL • • • • CITY OF ATLAYTIC HEACE PERMIT ..C.ALCQLaTION S7-777T •Address At& (!..:tA-i1' -w-'=, (—to • Date 6 • (t c -( Heated Scuare Faatage @ $ mer sc ft ..= $ , . .Garageish.ed c,zx @ $ user .sc .ft =..$ Carport /Porch @ .$ I cer sq ft.= $ Dec. . @ $ oer sa ft = $ • • _Patio @ $ mer: sa ft = $ TOTAL VAL:UAT LON : S Zc4 -5 .$ 55- .Total Valuation 1st $ i,G© • • Remaining Value •$ per thousand .or ;portion .thereof • • TOTAL BUILDING FEE $ �5 • • ., . + 1/2 FiLing, Fee • : $ .` ) Fireplaces @.$1.5.0(2. $ • .BUILDING PERMIT FEE $ :6' F. ,. W.A.TER IMPACT .FEE • $ • • SEWER FEE ..$ - . WATER' METER /TAP . ,$ CAP LTAL .IMPROVEMENT . :$ .. • SEW ER TAP S •(. ) .RADON . (Has) . 0050: ' $ • SECTION H PAVING ( ) $ . . EYDRAUL.IC SHARES $ CROSS CONNECTION. •$ •• .( ) SURCHARGE . O 0 5 0 . $ • • 'OTHER .$ -• .GRAND .TOTAL rum , •$ 6 r . - _ .•_. ADDITIONAL PERMITS OR .FEES : i.cal • .Plumbing Electric /Near Electric /Temp ;Swimming9ool • Septic Tan-k • Well ; Sign • Finish. Floor Elevation Survey • Other C and /or NOTES: • • 4 g - CITY OF ATLANTIC BEACH x , , r { V, ROOFING PERMIT APPLICATION 1 Date: 6 los [ULF Job Address: L Li & h ft1 Y) L -O 1 l b i A � �an,f hector) �� >� fi a Owner of Property: I SN � O 5 Ply Address: 1 l t) e" Z. - 11,, — / e1ephone: 2 4 /‘- - 7,3 Contractor: ('� ^ [! 4•_ i- 'v State License Number: CC C 0 5 ik 2 L/ 7 Contractor's Address:. S ( 2 -- t� -.�- Telephone: $?3g -g3 2 I Far 2 Li 7 -3 y 2 (J Scope of Work: 40 C f Deck Slope: Greater than 2:12 ✓ Valuation of work: '; 0 .. _- J✓ _. -. Product Name (Example: Ti . . aline): f , W b ,-er (t (1 L Manufacturer (Example: G • 4 ): C� .� C^ *-)1111 0 ASTM Designation(s): Required Inspecti •,• • h - . . .ng �,� and . i : Signature of 0 er: Ai Date: / A Signature of Contractor: Date: , 77 / . AS TO OWNER: L, ii.. �� Sworn to and subscribed before me this 'J day of' - / / / f . 200 V State of Florida, County of Duval • Notary's S' e: O` ,,.Y Py Julie Williams Personally known My Commission D0260341 ❑ Produced identification .f ' of F . .; Expires October 21. 2007 • Type of identification produced AS TO CONTRACTOR: .t� Sworn to and subscribed before me this ∎ , �- day of , 20 Q State of Florida, County of Duval Notary's Signature: 1 e is. 1uiie whams ,1„.1. Personally kno My Comm ission DD260341 0 Produced identification Vi, p p/ Expires October 21, 2007 Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 - 5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 - http : //www.ei.atlantic- beach.11.us Page I Revised 2/21/03 5 `MAIN. RETURN Book 11797 Page 1993 PHO NE # r3- i-33 I I NOTICE OF COMMENCEMENT Permit number Tax Folio number STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: 483 Whiting Lane, Atlantic Beach FL 32233 2. General description of improvements: Roof 3. Owner information: a. Name and Address: Bao : 797 4 9552 Forest Thomas 483 Whiting Lane, Atlantic Beach FL 32233 Page: 199 b. Intrest in property: Filed I Recorded Owner 05/12/2004 09:12:31 AM JIM FULLER - c. Name and address of fee simple titleholder (other than owner): CLERK CIRCUIT COURT DWAL COUNTY � Contractor's name and address: Co en Enterprises TRUST RECORDING 5.00 pp p TRUST FUND $ 1.00 \Qt 562 King St. Jacksonville u a. Phone Number b. Fax Number 838 -8331 247 -3920 5. Surety information: a. Name and address: b. Phone number: c. Fax number: b. Amount of bond: 6. Lender's name and address: 7. Person within the State of Florida designed by owner upon whom notices or other documents maybe served as provided by 713.12(1)(a), Florida Statues. Name and Address: a. Phone Number: b. Fax Number 8. In addition to himself/herself, owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b), Florida Statutes. 9. Expiration date of Notice of ,•1' mence nt ipi ation date is one (1) year from the date of Recording unless a different date is specified) Signature o Owner 1110F"... - 4, r --- Sworn to a • s u • cribed before me t • is ! d ay of � / 7a 2040i. - _ - y ii Notary: Y /1"-/ (A ✓ now person - / ID shown: My commission expires: LOOL ' LZ Jag0100 4altdx3 ' e iO t� L b£09L00 uoissiww00 dW sweiiiiM aiinr ., 0 /n�11''� / CITY OF _p� 411a Beach- - 471o' da Office of Building Official l REQUEST FOR INSPECTION Date 51 13 Permit No. Time A.M. Received . P.M. _ Lt-e3 lAik\)1 LK , Job Address Locality Owner's , ^ -- Name Contractor Y / v BUILDING CONCRETE ELECTRICAL PLU BING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Linte ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTI A.M. Mon. T -s. Wed. Friday P.M. A.M. Inspection Made � PM. - Inspector V t/ Final Inspection ❑ ► l ^ (_ �j,„IV-r1J' h h Certificate of Occupancy ❑ '/ l Date It,:iyiNti 'e t 0RIO NOTICE OF ADDITIONS or CORRECTIONS DO NOT REMOVE JOB ADDRESS DATE 4 S3 WtU '3t • o) THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted 5 ,4=4 Pala -.l 1U --- c.t4cL flL L3C V S VT fi i .c, cc1/ !/ i $t� .00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247 -5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 BLDG p.m. Monday through Friday. PREPARED 7/31/03, 7:34:49 INSPECTION TICKET PAGE 8 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 7/31/03 ADDRESS . : 483 WHITING LN SUBDIV: TENANT, NBR: SHOWER INSTALL CONTRACTOR : KIMBALL PLUMBING INC PHONE : OWNER . . : THOMAS, FORREST PHONE : PARCEL . . : 171433 -0000- - APPL NUMBER: 03- 00026579 PLUMBING ONLY PERMIT: PLBG 00 PLUMBING PERMIT / REQUESTED INSP DES'RIPTION TYP /SQ COMPLETED RESULT R .ULTS /COMMENTS 45 01 7 3 /03 LJ •L FINAL TIME: 08:00 �,' ,4111 MARK KIMBALL 838 2325 COMMENTS AND NOTES CITY OF ATLANTIC BEACH • DEPARTMENT OF BUILDING `" 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247 -5826 - FAX: 247 -5877 PERMIT INFORMATION' ' ;" _ • - - LOCATIQN INFORMATION Permit Number: 18891 Address: 483 WHITING LANE Permit Type: STORAGE SHED ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: ROYAL PALMS Est. Value: Parcel Number: Improv. Cost: 2,000.00 OWNER INEQRMATION i Date Issued: 9/29/1999 Name: FOREST THOMAS Total Fees: 30.00 Address: 45 DONNER ROAD Amount Paid: 30.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 9/29/1999 _ Phone: (904)024 -6865 Work Desc: TOOL STORAGE SHED CONTRAC OR(S) , yt: r .' ?iP L ► ON' FEES PROPERTY OWNER PERMIT 30.00 ,'� � .,. GtLQr�l,S: "RO�t�l`@EI - ,. _, FOOTING FINAL BUILDING NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAIN 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 PROVIsiON OF LAW. _____I $38.88 14 e...._ Cl ,. Date: 9/38/99 81 Receipt: 8891318 ATLANTIC BEACH ILDING DEPT. CASH 88188883221888 t f' CITY OF ATLANTIC BEACH 2 4 1999 PERMIT APPLICATION REMODEL, ADDITIONS, O "; AL_TgRalkalZ QNS h MOVING, DEMOLITIONS and Zoning Owner (s) : (���5 7 TO'/VA S Job Address: 1,5 I, ( I h o n e : �/(p� 7, 3 3 - D ob Lot # l (p Block or Unit # /' Subdivision: 6eQ cf t/ ' /M Contractor: Xig_LAS 77. C_ 5 State / License # Address: yT ?L l „v, .Z Phone No ° `r`L2y6 , ?9 33 - 7- 1� [iS - City/g77( State / Zip Code ���3 Describe work to be done: r( d C) ••L- s Air ''- • Present use of building: .Stb 2A Valuation of Proposed Construction: ,a bb Proposed use: Sh.. Is this an addition? If yes, what are the dimensions of the added space: /7 ft. X / 3 ft. Will the added area be heated and cooled? A/b New electrical (or increase)? 4t1 New plumbing fixtures ? && New fireplace ? /VLVNew Heat /AC? V' SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT , AND OWNER /CONTRACTOR AFFIDAVIT, IF 0 IS CONTRACTOR. Signature 0 ' E• : "V' ! �'• %�% Date: q',2 r / Akil Signature CONTRA •- . Wf% � � Date: / - 2(- 7 AS TO OWNER: c Sworn to and subscribed before me this da o Air „S� . , 199 f NOTARY PUBLIC AS TO CONTRACTOR: e J'.ye , Patricia Amonette ,= MY COMMISSION 11 CC553881 EXPIRES Sworn to and subscribed before me this day of ,�.�;` Au 9u�t279 2000 . 4 � ;' BONDEDTNRO TROY FAINTRSDRANCE,INC NOTARY PUBLIC . I III CITY OF "lieleuttic t earl - iviida ;,, ,, SOO SEMINOLE ROAD '-1 — _____ _ __ _ __ ATLANTIC BEACH. FLORIDA 32233 - 5445 1 .,1 TELEPHONE , 9041 247 -5800 ,filli F.1Y -1 k SLNC 190OM ) 83 53 --5805 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 UCENSED 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 BUILT LNG 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) SE 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 SE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST SE 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 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( I ). 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 I5 A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HERESY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER PERMIT. CID - Rob - RTY OWNER /= ILDER � 4, yr l'r 4 mo .1-97 iw - `b -7 34 S ADDRESS �" TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS D Y OF 1 t I' 1 9 F ' // , mil/ r e NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING , .`ir,Nf.. °p Pat�ciaAmonette DEPARTMENT. ,`,q I MY COMMISSION 0 CC553881 EXPIRES Fad August 27, 2000 =.r�� }4 BONGED THPU TROY FAIN INSURANCE, INC, • 6 1 ! VA , lesf: \Crt,' 4 4) )11 FP 2 4 1999 City of Atlantic Becch \ 3 /e , N c - "D CI r L3tiiiding and Zoning , ht)gl A. 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