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196 SEminole Rd (vault) \ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD .3- v ATLANTIC BEACH, FL 32233 " ry INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000265 Date 4/07/08 Property Address 196 SEMINOLE RD Application type description SWIMMING POOL/SPA Property Zoning TO BE UPDATED Application valuation . . . 17950 Application desc REFINSH POOL AND DECK Owner Contractor KRITSKY SWIMCRAFT POOLS 196 SEMINOLE ROAD 1992 KINGSLEY AVENUE ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065 (904) 272-7946 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 120 . 00 Plan Check Fee . . 60 . 00 Issue Date . . . Valuation . . . . 17950 Expiration Date . 10/04/08 Fee summary Charged Paid Credited Due Permit Fee Total 120 . 00 120 . 00 . 00 . 00 Plan Check Total 60 . 00 60 . 00 . 00 . 00 Grand Total 180 . 00 180 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. /=:,i,"i' CITY OF ATLANTIC BEACH PERMIT � �� "�Jf � � • APPLICATION / ,,: - .. , BUILDING I ZONING DEPARTMENT J 5' r'-`�"�"�-'���"�� 000 Seminole Road ar,,r g� •.=:A- Atlantic Beach,Florida 32233 • �. (904)247-5800 /` �rJF;I�` (904)247-5845 Fax �WWW.COah.us _-�Cr"j/ rt7. . APPLICATION TRACKING FoRIUI t,;_, ' \\ , REs D DEPT: --� `©� PLANNING /9'_ Jfm, o/, '7d 2 rpm BUILDING �Property Addr�s�. . 17-- wpm PUBLIC WORKS Applicant: Swim e rQ 7 To Q l5 _ Oo Y N . PUBLIC UTILITIES Applicant: `( l Y N FIRE DEPT. Project: .-Atia.s4.. 7001,_ / •cl f 1�, Y N PUBLIC SAFETY N APPROVAL DATE: w REQUIRED AGENCY: RECEIVED BY: INITIAL Z Y N D.E.P HUFSTETLER a Y N S.J.RW.M. CARPER iit Y N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS ___ _ DA AP REVIEWED BY: INITIAL TE: CIRCLE ONE: SITE.. BUILDING 1 REV �. ( /� ` I ® I 1 El I � .6 �0 PLANNING 0 2ND REV 1 C I a I l I_ S fr776/1- - p C ,z, - wait- - 1115` Pu suc wo PUBLIC UTILITIES " L 4 ' . FIRE DEPT. PUBLIC SAFETY 0 0 3RD REV ® I ® 1 I I • • • I rr , fr 1 CITY OF ATLANTIC BEACH t?' 800 SEMINOLE ROAD.ATLANTIC BEACH,FL 32233 ( I ( I I sj OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BU ILDING-DEPT@COAB.US 07_ 9- `. BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 12.VALUATION OF WORK 3.SQ.FT.UNDER ROOF lqL Semi Hate t'•l. , Atlantic Beach, FL 32233 l-ii CI 50 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION 1$RESIDENTIAL LOT(o/D BLOCK SUB DIVISION • )TO.c r-' ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK WALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A - e N/s'i poi D`RonADye -nepeate L,Y:s1 ),deck.µdr,✓e. ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.5,9MPANY NAME: �" (� 23.COMPANY NAME. M l C'. , MC I' �+ ITS IS� C C /•1 K1`) 15 kt. 16.NAME:�O e �� 24.LICENSEE NAME: 10. SS: ! 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: cl,(c Sewn;nt.' le ' CPC 05[9 4 5o _^ 18.ADDRESS: SSS:a Kt rl s lCs.(f}04Z.. 26.ADDRESS: Iaof c cLcKs 3)33 )ra,+n.1e Rik rk/F-CaN I3 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FOC NO.: 27.OFFICE PHONE: 28.FAX NO.: aria--ill to I a7 -68W is CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 55f-a7g7 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: ,-oe @So;mcr'ayols.Corr,` FEE SIMPLE'TITLE HOLDER:(IF OTHER THAN OWNER) BONDING ANY: MORTGAGE LENDER: 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,Wells,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. 222 WARNING TO OWNER: 222 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 YOIlINOTICE OF COMMENCEMENT. OWNER or AGENT NTRACTOR (If Agent,Power of An«ney w Agency Leber Required) / , (• i. • ) Signed" G /f/",` // �� �ii/ Date: .2//V.,r /K Data 2 L` � Sig Before me this N day of ,.: '" �m the county of Be• s I: day of F bruLLrt/ ,Mtn the county of Duval State of Florida,has persogaly appeared Du =,State of Florida,has personally appeared i - / rill..•.1•,g; hoe 'f`cl. i-t&(c eJr. herin by himself/h- _ • tNtlaMagial111011 . • 'are herin by himself/herself and affirms that all statements and declarations are true and accurate. t_7-4,' ias EXPIRES:October 16,2011 true and accurate. i -er 1�a,.•' Tbru NadryPWe , Notary Public at Lan "J./ .L..._�' IL_' Notary Public at - .-,State of F L- ,County of C l _ / Personally 1j/ ❑Personally Known ' l LProduced(dent'. : - l2-c i, L%,L� "/-fe _ - ❑Produced .- .:(ion- Notary Signa re: �i �. �'7.7 Oa-U Notary Signa re:`" �l .... • ` _ ��a1 •.• eke.�'> t'AMQA O.TURNER r �s�' " `� `� ` r+ = MY COMMISSION#DD 429673 �*.-;c: EXPIRES:September 14,2009 ''4'''•A ` Bonded T e Notary Public Underwrders -- / _ .-. COAB FORM BLDG01:REVISED:11/21/2007 FEB-14-2008 08:36 From: To:2726811 Page:212 M. ` SHOWING SURVEY C LOT (.olp BLOCK — , ..S.6.V"rA1lc SE.AT LC,L_ 1.10. I kS RECORDED IN PLAT BOOK to , PAGE 8 OF THE CURRENT PUBLIC RECORDS OF DuvAL :OUNTY, FLORIDA .. Y1. ( ,)) ie C a. r)- I L01 „ 5 Lo/ "4 /cj %.0 S•VS 2c 4 eaa,u / ".I� . v I s�uci �O.Od e1. ,I _ N ,11 • uonb . CA*-� -X--•�-•� tl O.Z [euc[ D ' N. 9 0..1 / 0e..u, r t-I We ILew PIFQ Ip�� 1 pervious • . cpwl) Iii��' Pool ,, • I fi,. •g .:,L� The undersigned acknowledges that this document /S�:' has been received,approved end accepted this 1,' t 5 _t ..v±t r day 4f , 19_ v to.4••O , wawa r01 L . 1 �L ^ o1LK't .r 1 N N • OS LIH• ti O P0C '� r,re F1 Wt% �1 7,3.1• IN/ : I ^� t,o T 1...1 1 0 N /6)2- Q �� t.o 7 r.r o Sva 7 1 S oR{ N O _ a� • 1:Q411-11 ?1,1 .,. • 1 1$. If 1411.• /0-q " .. , A�� l ) cow. LAICAL.■ ( !� _ a V ND 1 d. s,46:s. ' 1.5 W 1 04 • M. •p •cc, 41t4 1( c c 2."'�• . c y�Q �l?� qa N G 0 • /� 2 av4o 1� 7O O. . , N fo ,FouNp II% .• 4 N �t/u6 :- ewl PIPC . 0.2 It��1 PIPE d r � 50.00 . j w 1"b SE M L! O n R.O A E -6-4-t- .. ��) �� of IA.) • tvoremt1ZLY .s p► Lvo, l U I ?O' ¢I1.WT OR W4Y r LA jj& P9 y f _ !�1?� 317 TOTES: itII-I(t MAY BE AU1•PIONAI. RESTRICTIONS THAT APPLY THAT AUL mrr SHOWN ON '1'IIIS SURVEY DUT NAY. DE FOUND This is a boundary survey. , IN THE PUBLIC RECORDS OR rACII,ITI E6 OF•TN IS COUNTY. . Flood tone X as best ascertained from Flood Insurance Rote Map, community panel no.lieol5•oeaodated 4.11, 81 I HEREBY CERTIFY TO: ERIC M. , t-1Aa`e ALJ1.., v.rt 1-r s 1<•r 5AltWt,1 4G6,k O GCS IJJtl.I.Q , ►.,.A. 1 PIR,T AHEQ1ca...3 T1y1.E Iutiu¢01,►..142 Ge1-1 •e41...IY • THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT Marvin '' .-Banks • TO SECTION 472,027 FLORIDA STATUTES AND CHAPTER 61G17-6 SUCVe ors, nc. FLORIDA ADMINISTRATION CODE, = ■ / 254Fi MANGROVE AV E. tLORtDA REGISTERED SURVEYOR O.4.470 (ACKSONVILLE, FLORIDA 32246 Marvin R.•Banks (904) 641-2520 SIGNED aetemyair, t t _ 19 9s_ 4444 SCALE: I''?o' • THIS SURVEY NOT VAUD UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED 03/13/2008 14:43 FAX 9042726811 SWIMCRAFT POOLS ]001 •FEB-14-2008 08:36 From: To:2726811 Pese:2'2 M. ' SHOWING SURVEY C LOT talc. BLOCK , SAO'A1TC 5V al.°Li lay. 1 AS RECORDED IN PLAT BOOK_L2`, PAGE 8 OF THE CURRENT PUBLIC RECORDS OF OW/AL COUNTY,FLORIDA 11.-. L 0 5.10 I LOT 514 L°r $1S I ZW6� f 05 : �O c •u • 50.00 eT 0. IO �,4E Fo..up 111.. DO• e.7 II/Me..uo III 14.4 PIPE CIjjj q° I` Peu Plve •• The undersigned acknowledges that this document,, •G e / / �! .2 : ` 7 ties been received,approved and accepted this 7 ! (v �4 l r day of 19_._ �., - I VtiK .N 4 ~ 1ey. ,... w _/ �/(��// WOOS �7 4..e u\4[t T.I. 7.° 10 LOT V{1 0 r b LOT c,oe. od --v O'er W I STORE n M �/ ! lei. {► 19.. •N• " `` G ,24 P ..e (Attic., '''s''�k'�' ' 11!1 /1244/ 74 .0 :..,..11..,:.'. I/ W4-1 t / .:-.5,g0 ..,,,, ' 10 ~ 0 e.5 Otl.lf ti /I II N N 7� / - ow DWI' IK.4 •IPE a 4 V " e.\ O .....,.ie Sn.00• v •. : . .. SO.ao' . �� �( \ , w��K _ / ,, �5vg4 5E MIFJOL_E. ROACH !� Forte-11ILLY SALrive OLvo, l I ('lo" ¢II,HT Or wqy) 50 00 , a�,� ) co, ,1� ci? 2 NOTES. TIERT:. HAY DE AIJITILNAI. RESTIrtCTIoNs THAT Amy THAT Alit: MIT SHOWN ON '111/S SURVEY OUT KAY DE FOUND 1. TN,it a boundary torv•y. , 111 T111.: PU111,1C RECorms OK FACILI'I'Ies OF•THIS COUNTY. 2. Flood con• x as bast ascertained from Flood Insurance Rate Mop, community panel no.1'+e.+TS•eeo.tadated 4.I,.a, I HEREBY CERTIFY TO ea{c M. j MAR"' 1►uv Kr2IT SIC ' (S AR LAT7 IlAL1K Or J ACS SO wI`�ILLR,N.A. I FIRST AM a RIGG w! 71,Lr IN4ut■ 1442 m -ie i•IY THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS • SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS,PURSUANT Marvin P . Banks TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER 61G17.6 Surve ors, nc. FLORIDA ADMINISTRATION CODE. 2866 MANGROVE AVE. FLORIDA REGISTERED SURVEYOR NO 4470 IACKSONVILLE, FLORIDA 32246 Marvin R.•tanks (904)641-2520 SIGNED Ott2Mt1ti a t9 19 95 *4,144 SCALE: l'.Te' THIS SURVEY NOT VAUD UNLESS iHI!PRIM IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED 03/13/2008 14:08 FAX 9042726811 SWIMCRAFT POOLS a002 is'4)( ,22(i7 •-• Rcel- Svii1c,1 444j-* 01? - *M4 Set,JA),) )/ P6 N,,5/13,,,6 ' �2 t+ I{y� I ra/c-ieJLA)/tis 74:/t8ous )(1()L. fte-slit,s: Al /64-se - /66 Al /4,,D//ea- 3-116 4,t (ov4.4? .L - o� - itioe„■,g_ii o7c-07.._ 14/04-11L pcii 3--i) v2174/-) = cae, )"/-d 03/13/2008 14:08 FAX 9042726811 SWIMCRAFT POOLS 0 001 1992 Kingsley Avenue Orange Park,FL 32073 Swimcraft Pools, Inc. Phone:904-272-7946 Fax:904-272-6811 Fax To: . l:' , From: L� 1dL Fax: 441.- 6R 4 Date: Phone: Pages: T Re: Pizzo.; �C-01 � CC: ❑ Urgent ❑ For Review El Please Comment ❑ Please Reply ❑ Please Recycle •Comments: 03/13/2008 14:08 FAX 9042726811 SWIMCRAFT POOLS a003 Zir 4Jd 1 OA) ob ` 4yv . 4a" ~ we/( h4_ /4c_eloA) dwi,)a4yu5 ,Lr hiplitalet") WI-4de,, id,((#741A) kAi4,,c5 kr(e4",/, r 111 Cff44 (y o Ike S 4e,i-Yr /14 rrLJ / b). if % 4,7ty- ot.P.A__ �� w, I de el,/ oti v 4J,// i2 4-�..„ D R j74a 7C�� u14,4 s / (L)64./Ay de4)4_ ( L), 1( 1 •a�t.� G�vv�l p 0 7g.,0 If 8.# eacpae,i5 (..),//te b_b6d 2,4 pi t ge,iii)yz„ e-711/44,1 . Atio )Li "y. /h44 F ,s DE • /� /C?f - Lcydt uescription of property being improved: L. - • 0.\-t-a ' SSG ,., Address of property being improved: ICI • I General description of improvements: Owner r- ' V . ' Address - •• • • r Owner's interest in site of the improvement .'e Si Fee Simple Titleholder(if other than owner) Name Address _ A--Contractor v a COI 11\1\ Address \• a. K t6 Y 9 ". Z • P r - Phone No. b 4 • Co Fax No. Surety (if any) Address Phone No. Amount of bond$ Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: --6 Name Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): • THIS SPACE FOR RECQRDER'S USE ONLY � �._ct. ,"tlea�n_01_a` v 1‘7Aff OWNE R 1- -9 Signed. ,Arf ^ D V Before me this d!A!� - RATE inty of Duval,Stat: .f Flor".a,has personally a t the ell Doc#2008048728,OR BK 14396 Page 2409, �� Y appeared Number Pages: 1 self/herself and affirms that all tatements and declaraennc,,,,herein by Filed&Recorded 02/26/2008 at 12:46 PM, true and accurate JIM FULLER CLERK CIRCUIT COURT DUVAL ; Y:'"s'.'., ,IOEM•FIOlDBa ?iR• �� ? COUNTY / :,: ..,� MY COMMISSION#DD 686530 RECORDING$10.00 '•'��-4: EXPIRES:October 16,2011 t/ SZ Bonded lgi-0 _ No Pu.,!!...�/,!-,State �� Count of com."s-ton expires: ens. ally Known .duced Identification - •1 ,I. . - 9r__,1,(4 u R.O.W. Permit Attachment of for R.O.W. Permit# issued ,2005 Atlantic Beach,FL 32233 Owner's Name: 5-1r_C_ Kr/TSB Property Address: s( ° /Odea JIBINZWEIS Subdivision: W Lot#/Block#: ,�D f (G�� Sec-, R.E.#: //7 05-id - ()00 0 REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this ;)_•_.-) day of p-c_ �.�,. � . 200$ by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and c /1-`,r f,cky of Atlantic Beach,Florida, hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit num. . : -• above (copies attached). This work is generally described as: • /ekc e - _ i/ / ,u Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: tcrlr ty, n01 , I () -t t r ACaCh PL 3a-D33 The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing,or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page 1 of 2 Z•d 91789-L17Z-1706 sweisAS uol;ewao;ul 4017:Z6 LO 6Z AoN USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this 49--S day of e C)i'k ctiti-k , 2046 CITY OF ATLANTIC BEACH, FLORIDA, By: a municipal corporation: Pro,ski__ By: Jim Hanson, City Manager Attest: Rick Carper,Public Works Director STATE OF FLORIDA COUNTY OF DUVAL On this a5 day of Ce_10(`LLo , 200E personally appeared before me, a Notary Public in and for said County and Stale, Sri c 01. Kr' +s , the property owner of t q L" , Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. • ' rt ( ' &))_,1,2C By: L�.�.��� Alf" Notary Public in for said Ci untv_and state pro 1^pY�P--., PAMELA O.TURNER (to be signed in presen — f the Notary) ' . : MY COMMISSION#DO 429673 �!, '" . EXPIRES:September 14,2009 i: 6ondad Thru Notary Public Underwriters ,ir .. Page 2 of 2 E'd 9689-L17Z-17O6 swe;sits uol;eauopul d0b:Z6 LO lZ AoN CITY OF ATLANTIC BEACH 1 1 CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS �� �`J f:) , 800 Seminole Road 904-247-5800 %c2;.;,�:- Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date - /r9'-3/C1/r5 PERMIT* 7& ,�fjn//(l�' / ,,6140 ISSUED BY THE CITY Job Address / Permitee: _ t01 r11 C 77- 12t) /5 41C, Tee ephone# •�-7D- — /9 /6 /n� /-tc _,F? . 7C' -7 3 Permittee Address: t 9C/oI /�l �E'c/ ,'7Z�`'., �}" 7 ' Requesting Permission to Construct t-•�C1.t k1 "'I , !)•t Octet, �0ck-, d."LU*t i L,att c .j LJI el 1.t_. Location: (Reference t0 Cross--t eet) evil[' ` Y , 'f• r 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes(td No ( ) Date: . -, - Bell South Telephone Company Yes( No ( ) Date: Ferrell Gas Yes(X No ( ) Date: Comcast Yes(A No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Apartment of Transportation Standards and be performed under the supervision of ,Sc2iirt(r/f-/a)/5 .,�i1c • (Contractor's Project Superintendent) located at •-/'i,; / c)s/E ,��,eJG7 2J2eie- ,/-4, ,c Telephone#: /-1 4. All materials and equipment shalt be subject tro inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application_ 7. This permitt ee shall commence actual construction in good faith with _ ' days. If the beginning date is more than 60 days from date of permit approval, then perrnittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: %�� Date: �8 Before me this day of n theeCCounty of Duval, State Of Florida, has personalty -••--r red -',-i'c 1 1. -' Notary Public at Large,State o Flor'•=,Cou of D I. _. - My commission expires: .t- 'A6-- ---- •- -, lime';' - •,�t ' ntiflcat�i PI., ns- . ,:, ;,,: MY COMMISSION#DD 429673 hHl . ` EXPIRES:September 14,2009 �.:s`: -,...4,•,F• oe" Bonded Thru Notary Public Underwriters L'd 9b99-LbZ-1706 swelsAg uolteuaaoful d9£:Zl LO 2 AoN S==?'yr CITY OF ATLANTIC ':EACH PERMIT •- y. °a.'� , DEPARTMENT APPLICATION # . � _st, INO / ZOO 'I ME �a t'-�; �ti r� 000 Seminole Road r,.:.:: Atlantic Beach,Florida 32233 /*k* a- 0,2& 6, (904)247-5000 y p `' T`` JSil�r (904)247-5845 Fax _��e www.coab.us j APPLICATION TRACKING FO REQUIRED DEPT: 9(.■0r /� V N PLANNING �Property Address: = NM PUBLIC WORKS i Applicant: 1 m 0%raK �o Y N FIRE DEPT. Project: e VCS lV kit 0/ Dit.e- V N PUBLIC SAFETY APPROVAL DATE w RECEIVED BY: INITIAL REQUIRED AGENCY: T.3 w Y N D.E.P HUFSItILER 0 cp 0 Y N S.J.R.W.M. CARPER 0 _ V N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS __ _ CIRCLE ONE: S BUILDING DA AP REVIEWED BY: INITIAL: DATE�� ® 1ST REV Eil 0 /TI� ..i v 6 c_7( CC_ CO Z rf;' V`#9"1 • PLANNING 2ND REV ® hilI IIIENEWa. BUILDING �� �� (�)t_ /r�c/il - BLIG WORK f_ C 3 3.t - �'n"`s)— PUBLIC UTILITIES Om (Af)-Q• 4 • FIRE DEPT. PUBLIC SAFETY ® fl 3RD REV ,o • FEB-14-2008 08:36 From: To:2726811 Pa9e:2/2 M. ` SHOWING SURVEY C LOT tota, BLOCK - , SAVTA11z, sBCT1ota 1.10- 1 AS RECORDED IN PLAT BOOK to. , PAGE 8 OF THE CURRENT PUBLIC RECORDS OF I)uvA�.. I COUNTY, FLORIDA • t.o-r gq 5 t_of S,4 LvT S013 L,u,(, y y i¢tt[i 50.00 ez 11.3 14 '0 �°"p 17'' 0 ' ° r/ �¢ PIvE UE Izow plat _( n p,'VIO/0 5cciC . L. - - • • The undersigned acknowledges that this document has been received,approved and accepted this I ,' ' . r 5 i •.N r day of , 19 -:\ 't ?a4' �' , M,Ocup ....... ■ ._ .o O� M1 v1cK . N '9 I 1^ r GS • 46v. , on Q a6CK ��'� wy asp FIwll , I .,uL O 1-127 Ivl I °d o 0 r LOT ‘,.0.0% •I. STOR{ N 0 FZArhE Zvi. *F 19 t... wi • S y• uoee 1 7 g lo ai. --1N° 9.9 .r NH r yI.z4.7 1.12 a r.A, • ' I•S I. 1 1'I a We... Qd 0 ' C 4.44.it p p V �0 N •Lew( 0 N A,7 ' , naive ti City of Atlantic Beach I) 9a Fl '4 Ill .. N Planning and Zoning Departs . 6ot~l dlvE ItaLl P1De j d O.r ... $12.1212 This approval venTies'coinp pence �'---•-• ...__ .r.• zoning, subdivision and other (;o a r. last$ ' .;: . ';5 o . . ' • development regulations, but does approval for the issuance of permits. Compliance \ 4. 4.�,C . with Florida Building Code and all other �rypbje l 1 , 1 0 L e. �A ^ ` 1,•,*.uk local, State and Federal permitting re �eenn���t �.1 �,..+ must be verified by si•nature of the City ofq,tta g,� Beach Building Off' I prior to the issuanderdrili "' ZL`r ''51/.L7 A 111~ L3t_V o, 1 Building Permit. ( 'fo' ¢I( 47 or wA-e) Approved By: A L f._-4 / �a 4 / - C , " ev- •..ment •tread'. Date: TOTES: 't'il1:RF; MAY BE nl)I'I'IONAL REST1tICI•ICINs THAT APPLY I'HA•I' ARL rlt)T SHOWN ON THIS SURVnY CUT MAY DE FOUND This is a boundary survey. , 1 f 7•IIN PUIII,IC RECOItCS OR FACILITIES OF•Tic IS COUNTY. . Flood zone x os bast ascertained from Flood tnsuranS• Rote Mop, community panel no.l•2 0.15•000,odatod 4- 11, a I HEREBY CERTIFY TO: E 1210 M. : 1... At`f Aw■ l 14r4 IT s l‘-'1', t3 AR Lit/1 r30.1.ak PC .iAGCSo1.•'JlL4gi , 4+,A. t FIR,T All C ICA►..I 711L. l►.ItiuzAk)G8 4 e1-1p•kw-r• THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT Marvin P.- Banks • TO SECTION 472,027 FLORIDA STATUTES AND CHAPTER 61G17-6 Surve ors, nc. FLORIDA ADMINISTRATION CODE, .- 2. Al 2866 MANGROVE AVE. FLORIDA REGISTERED SURVEYOR NO. 4470 — JACKSONVILLE, FLORIDA 32246 Marvin R.-Banks (904) 641-2520 SIGNED taecel-ImE e, tat 19 95 • 4444 SCALE; I",zo' THIS SURVEY NOT VAUD UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED 1'` £'�Ip�t CITY OF ATLANTIC BEACH - „i ^ 800 SEMINOLE ROAD.ATUWTIC BEACH,FL 32233 07 I �" „ ( OFFICE:(904)247-5826•FAX NO.:(904)247-5845 WV: BUILDING•DEPTOCOAB.US '� '' 1 9 BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 12 VALUATION OF WORK 3.SQ.FT.UNDER ROOF \RL Se rrl n01e, Rd.. J Atlantic Beach, FL 32233 t '7,q 5o 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE: / f/ c iat r ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LO1CD/�BLOCK SUB DIVISION c i ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: J ❑REPAIR ❑POOL/SPA ❑YES ❑WA �7Nl,�t /D`(jsynlDUe`11-� :�• 1 deck c/r/'a e_ ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15. MPANY NAME: ((�� 23.COMPANY NAME: c�t1ui mct%ac+ U�(S,T.4AC. fit'1c. (n. r ri+sk.4 16.NAME: -Oe ��� 24.LICENSEE NAME: 10. SS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: C c, 5 i vw(a -P-d, CPC-D5(6,q 50 18.ADDRESS: 26.ADDRESS:cici tart c c- ♦i3 33 �rct,v‘l�Pea-k./FC.3)C113 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE 20.FAX NO.: 27.OFFICE PHONE: I 28.FAX NO.: C7-14)---1911 10 I aP-( f, 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 5S/ a 7 q7 1{.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: Toe @Swin∎cro. Vols.co ill FEE SIMPLE TITLE HOLDER: BONDING Cc!MPANY: MORTGAGE LENDER: (IF Onea THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. 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,Wells,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. 222 WARNING TO OWNER: 222 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 YO : NOTICE OF COMMENCEMENT. OWNER or AGENT a NTRACTOR Of Agent,Power of Attorney or Agency Letter Required) . (• ° • ) Signed Gc¢.111 C�ia `� Date: "A--/.. ■Sig •. ., '% Date: 2/,�/o r 7�•� 1; 200�n the county of Before me this L "f d t-- 200 the county of Bet.- rper day of i�fl Pear• estate of Florida,has persoaally appeared Du State of Florida,has personalty appeared - / „ ..•. �- 3-0e ft). 4-(a(c4e,r.. herin by himself/he a. -• �:tilStlilli S6RIVi�`:.,-!.. .1 • s are herin by himself/herself and affirms that at statements and declarations are EXPIRES:October 16,2011 true and aaxrrate. true and accurate. 7•vt . .,lbw Notary Pubic - '" - - Notary Public at La.e,State of FL- ,County of C 11 Notary Public at La _ .. .. _._r ..�__ --• __°- ❑�'''�P.,,e,!rs�on_alty Known �j i Personally • ' laPrahiced Mani i, • - CL f I,• t•;.f2 /`-F _i' ❑Produced Notary ,. , �� 6) - - Notary Signet ruse:___ ..81 _ • ` - •�-< .kAQ w-s •/� _ `n, ,__ A :;Y ry •, PAMELA TURNER . r Af1)) ,. Lk i- '-�""" 011ii �. ? MY COMMISSION#DD 429673 1 .. EXPIRES:September 14,2009 14',of,,,, B Bonded Ttuu Notary Public Underwriters COAB FORM BLDG01:REVISED:11/212007 CITY OF ATLANTIC BEACH 07- i e 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 sw.,, ),,,,1 OFFICE.(904)247-5826•FAX NO (904)247-5845 /'f BUILDING-DEPT@COAB US :?V BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS. 2 VALUATION OF WORK' 3.SQ.FT.UNDER ROOF t9loSe nit'nOle. Rd. , 1 -7,g5c 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE. i ❑NEW BUILDING ❑DEMOLITION gi RESIDENTIAL LOT/id&BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ALTERATION ❑ACCESSORY BLDG 8.FIRE SPRINKLER- 0 REPAIR ❑POOL/SPA ❑YES ❑N/A A c VY[[)�I f"fdanove#-^Q2 QA:5.J:0 deck 4'n✓e. ❑MOVE _❑OTHER ❑NO PROPERTY OWNER: / CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME 15 �q MPANY NAME n 23.COMPANY NAME 171' Kr)+sk c>>It�i rncra�- 1;�is4c. !� 16.NAME 24 LICENSEE NAME So e OC\• H-o kkor- 10.ADDRESS 17 STATE OF FLORIDA LICENSE NO 25 STATE OF FLORIDA LICENSE NO q(o 5e le CPcD5(0g510 18.ADDRESS , 26 ADDRESS IQnfiClccI\ i�L l9at a Kr, r.5sle (7/40-e. ' 3x233 �rc�t/N9e Poxfk_ FL3aCYi3 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE. 20.FA NO 27.OFFICE PHONE 28.FAX NO a-1a--79Uly 97.-6 ii 13.CELL PHONE' 21.CELL PHONE. 29.CELL PHONE 551-d 7117 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: yo/.5 30.EMAIL ADDRESS: TOC @SWi.t cra .corn FEE SIMPLE TITLE HOLDER: BONDING ANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME. 33.NAME. 35.NAME. 32.ADDRESS 34 ADDRESS 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. 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,Wells,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. 222 WARNING TO OWNER: 222 YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,7Power of Attorney or Agency Letter Required) ; / (Qu. fie Only) Jr ` Signed' G�+u�/K Date: 2- g OCR Signe••• , ��P ••1i' Date: .2//�/�r Before me this i3 2 day of In the county of Befor - his 1, day of web/tlarY ,200'in the county of Duv tate of Florida,has personally appeared I Du =,State of Florida,has personally appeared / A .r ■.h.! 3-0e rr. An Heir herin by himself/he ;e a-r;:4 71i4t1SgitCtdttItSeeflN'Iit®1l e@lara ons are herin by himself/herself and affirms that all statements and declarations are Lrd true and accurate. Sre,..rte:a EXPIRES:October 16,2011 true and accurate. '4,; "t i`' 'landed Thru Notary Public Unde wrier. Notary Public at Lan " ••• - - _ Notary Public at Large,State of FL- ,County of C l ❑Personally Known ( S L S / /_4 .7_ 1 lit/Personally Kno n I ©Produced Identi - L CXl h I L' -fL .✓ / K 1T~"" ❑Produced Identl cation-� Notary Signa� iii_. / off S3-U Notary Signat re: �`7E��7_t�1�_ 0 �.�q� i�'V, °7/ ► .d 'a° PAMELA O.TURNER °�. > �f = ' Y,,:: MY COMMISSION#DD 429673 ■ r�,�l EXPIRES:September 14,2009 ' •;;oF 4: Bonded Thru Notary Public Underwriters COAB FORM BLDG01:REVISED 11/21/2007 • y :/,, , CITY OF ATLANTIC I EACIl PERMIT � �I ZONING DEPARTMENT ENT APPLICATION # . p t{1 Ul �07.i."-:--.: -..----� �.m��'r� 000 Seminole Road : Atlantic Beach,Florida 32233 e i, e2-6C �---,,l;,sr (904)247-x$00 (904)247-5845 Fax www.coala.us • APPLICATION TRACKING FORM RES- -ED DEPT: N PLANNING Property Address: /94, J47/7711/f, Z J OF z ai BUILDING Z .0 N PUBUC WORKS • Applicant: SiAl i m oar -Toe IS D o Y N . PUBLIC UTILITIES Y N FIRE DEPT. Project: � , 7 jeoI— / C11-6 Y N PUBLIC SAFETY w APPROVAL v O REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE w 1 Y N D.E.P HUFS I t I LER Q 2 Y N S.J.RW.M. CARPER L i 1 Y N ARMY CORPS of ENG CARPER H Y N HOTELS&RESAURANTS HUFS I t I LER APPLICATION STATUS _ CIRCLE ONE: SITE BUILDING DA AP REVI ED�BY: INITIAL: DATE: 0 0 0 ZJz7lo8 1ST REV PLANNING BUILDING 0 0 2ND REV 0 ;1 PUBLIC WORKS PUBLIC UTILITIES ' FIRE DEPT. PUBLIC SAFETY 0 El 3RD REV S Cl AflR% Property Appraiser-Property Details Page 1 of 1 KRITSKY ERIC M Primary Site Address Official Record Book/Page Tile# 196 SEMINOLE RD 196 SEMINOLE RD 08250-2365 9417 ATLANTIC BEACH, FL 32233-4141 Atlantic Beach FL 32233 Buildings Building 1 Building 1 Site Address 'Element Code 1 Detail ...... 196 SEMINOLE RD Atlantic Beach FL 32233 Exterior Wall 6 Vert Sheet Siding Exterior Wall 12 Cedar or Redwood I , . T Building Type 0101-SFR 1 STORY SOH Roofing Structure 3 Gable or Hip Year Built I 1981 Roofing Cover 3 Asph/Comp Shingle ,Y r SAS - T...ype ,Gross Area I Heated Area Interior Wall 5 Drywall Base Area 1324 1 1324 Int Flooring 5 Asphalt tile Patio 105 0 I UGR =/). Int Flooring 14 Carpet Patio 161 0 Heating Fuel 4 Electric �JI Unfinished Garage 264 0 it Heating Type , Forced-Ducted Finished Open Porch —.32 0 Air Conditioning 3 Central Total 1886 1324 D a iv Ai(p Element `Code p Stories 1.000 f ?( � rN'i- -- Bedrooms�j�A'� /sig Rooms/Units 1.000 Co �/� .2 r Traversing Data �P r > �1(4 l(d' _ ({'F : 3z s'A, ?0 ?of 1 i ti 5 fal S90 /(#) 4e ci.0 a39(t). S-' 01,\Ky ,f(1 1 Ve"- 171-O,k g 2 a- //a 7 IL NC 95/ : / :-o 5 /GJ)- S/ 4:24.2f0 (2,../ A.t,,L 5-9c) _____---.— ,Iyit. frotr-2,-- , c.S?a — / 6s - /&j - 0, 5/--- may, , . . http://apps.coj.net/PAO PropertySearchBasic/Detail.aspx?RE=1705920000 3/17/2008 Page 1 of 1 • 3nitrisr 06 i iiir . i tt -t~ 32 3304 ° ii i 4pi 1 f 1 r J r I 11 / .. rll 4 INw iiii alt .. 4 tea ," Copyright(C1 2035 C rty of Jacksonville.F l http://maps5.coj.net/output/DuvalMaps_itdgism428764580344618.png 3/20/2008 Page 1 of 1 7 x - c dgYlb 4,'� 'af -4'k, '0 �s ' iw c '''' itto 11 4111, . Ilk - - W. t1 .,«rte 7: 170592 0000 - 796 G L tiI , n „ co tie , - .4 ., .. - 174 . ,... . . ,. „ • ... . , __ . • . ... ... , _. ., d Copynght{CI 2050 4y of Jmksonvdla.F� 01 �27ft • :.� http://maps5.coj.net/output/DuvalMaps_itdgism428763920344635.png 3/20/2008 • CITY OF ATLANTIC BEACH • APPLICATION FOR WATER CUT-IN fi APPLICATION IS HEREBY MADE FOR `/ WATER CUT-IN AT THE FOLLOWING ADDRESS FOR • / • • UNIT (S) CUT-IN CHARGE OF g1,1^Qd STREET D. /f LOT 6 /e BLOCK } SUBDIVISION ACCOUNT NO. MASTER PLUMBER MAILING ADDRESS DATE NETER NO.,2y.5"�/, • DATE INSTALLED g/IeD e 6 4 A.,'4 270, CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTIONS ACCOUNT ND. DATE 6- as— gD LOCATION 194e, LOT NO. 6/Q BLOCK NO. SUBDIVISIONy� Z, OWNER � �12.14-e.)-E., ( z�t( . TYPE OF BUILDING MASTER PLUMBER DATE INSPECTED BY i 1---------------_ .i DEPARTMENT OF BUILDING CITY OF gTLANTIC BEACH, FLORIDA PERMIT 4 3 9 3 TO BUILD PERMIT NO. THIS PERMIT MUST BE POSTED ON JOB Date I Valuation $ % 19 _ Fee $ 1 i This Permit not valid until fee has been i subject to revocation paid to City for violation of applicable Treasurer,8 of i Pplicable and is This is to Proviaiona of Lw. � o certify that �• A use Const. has permission Co. to built S/F Dwellin _ according to plans submitted. Classificatio r Owned by Grenville & Meuse Cons t.nCo.:Cording i 1 Q i se No. Block 196 Serino S/D S7tt Ai I le P`oad r Sect,3 to approved plans w i hick are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST SPECTED BEFORE POURING. IN PERMIT V SIX MONTHS e 1111-----)0. 4___� AFTER DATE OF S UE ► p ISSUE 1 Bom phis material, rubbish and debris publics work must not be placed in and haul ace, and must be cleared up owner. away by either contractor Bill M. Davis i t2, 1 Tip FOR OFFICE Bmldtti b USE ONLY PERMIT & Wu NUMBER DATE �^ I I PLUMBING CONTRACTOR `! + ;.nPt^ ELECTRICAL 1 ::I SEWER_____al 1 WATER 1 i k /d6.. ccoo.oo Go C. . r70. 00 Date ......_._.1! S. i)in . £{S'no permit . ..il+..i. . :..., CITY OF ATLANTIC BEACH valuation $ '51 )..1_‘0.'4.-.-.... .... FLORIDA H«s.. ,tt..��e._, � -. APPLICATION FOR BUILDING PERM: Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date.12.1 1..-..1. ., l ° Owner 6 r ` , ( cz¢%17e-i- ..e._6.^-.'.1 -- Address .:.1 Ca. o .e.11 Telephone Na k2_:.22. 7.. Architect Address _ ._......»....._...._.Telephone No.. Contractor Builder .�.n.S 4 W rc ft- Address / ._ Telephone No Lot No. �o,l..� Block No Sub Divisioa.Sy�..LI41.112a... . :... Zone Street Side Between .and... —...._ Sts. Valuation $..3.? 0-e-- For what purpose will building be used.._ &.4..- ..rc,,. Type of construction. Dimensions of Building/ ."1. 4--t/474n..__Dimensions of Lot -0 /Y,l c° Size of Footings Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof .•••- How will Building be Heated? ii-e-ai.. '. Will Building be on Solid or Filled Ground? ...Size of of Ceiling Joists Z n 6 , Distance on Centers - , Greatest Span.._.,4 4.2.-..--_..--- _...-.. " Size of Floor Joists ,Distance on Centers_......... , Greatest Span ............-..—.. " Size of Rafters / (, 4:e.'.. _..,Distance on Centers 2 Y l r , Greatest Span IS-'7 " This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from /\ i' R O V E U all lot-lines and existing buildings. CITY GE TTL_N T iC BEACH REAR LOT LINE Two copies of plans and specifications shall e u:L D 1' OFFICE be submitted with application. o Inspections required. J ._ 3 1980 S e 1. When steel is in place and ready to pour footing. , " 2. When steel is in place and ready to pour columns and/. .tt/ .‘,i Ci7 3. When steel L in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. q ec ,,, '-'D 7. Electrical inspection by City of Jacksonville. s 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit 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 building regulations of the City o .ditlantic Signature of Builder.. .0 Address...2-.oY a-i- // - , / Signature of Owner _ Address... .._......... ......_ » • I • CITY OF ATLANTIC BEACH 716 OCEAN BOULEVARD °"' .+" ATLANTIC BEACH, FLORIDA ADDENDUM TO BUILDING PLAN • 1. Building location: ,, / • c1 I,G, ,, 3 f • 2. The attached plan for the above building is approved subject to meeting the following applicable construciton requirements: a. Footings shall be continuous monolithic concrete under exterior walls, reinforced with two 5/8" deformed reinforcing rods for one-story buildings and three 5/8" deformed reinforcing rods for two-story buildings. Reinforcing rods shall be placed in the lower one-third of the footings, properly placed and fastened an metal cables with wire. Footings shall be six inches wider on each side than the wall above, shall be at least eight inches thick and shall rest on firm soil at least twelve inches below undisturbed soil. b. In hollow masonry unit construction, each unit cell shall be reinforced with at least on No. 4 bar at all corners, poured and tamped with concrete; such rein- forcing shall be properly tied into the footing and spandral beam. c. All wood truss rafters (roof construciton) , shall be securely fastened to the exterior walls with approved hurricane anchors or clips. d. Construction of nearby one-family dwellings, which are duplicates or intensely similar, shall be avoided. Such similarity considers the external configuration and appearance (i.e., roof, outer wall materials, window size and design, and other like characteristics) of structures. In accord with the foregoing, similar or duplicate hares shall not be constructed within close proximity of each other, and shall be at least 500 feet apart if any one similar dwelling is visible from any other similar dwelling. e. The final connection between the house plumbing %O! and sewer service connection (at the property line) must be ' .- 'ty before being covered. The undersigned hereby certifies that he has read the above and understands that this addendum takes precedence over any contrary details to the plans and specifications and agrees to carply with the intent of this addendum. 41 lifirfil Contra t / /Owner Date • • • CITY OF MIMIC BEACH D VIPER CONNECTION CHARGE 0 I DATE_ &-:.6 tY0_ ,_ ,„/ ',/ _.,,,Z. -.6- ------------------ OWNER__ if / PLUMB I 4G FIRM ., MASTER, i'Ll4,3ER En*, IMO IV.07...24,1•13,.24 Cr.F.I■Mr*01,....OZ/7,t...,,oiti..4 91..r 3,n....2..i,SC/r•S■n.,tfsy,../,,,..,c.TaZ,V2A7,n,..a........,100,.a.irn v....sm.-a...au.:■eve BU tIDER OR TYPE OF BUP,_DING , ..0 ..../ ' BATHROOM GROUP CONSISTING OF D. SHOWEE mit, DOMESTIC (2 units) . „_„.. ATER CLOKT LAVATORY & i';A:THIUB :AMPS GFOR N.:R HfrIO (3 onits) WK.= (WITH OR WITHOUT OVER nliEftS SHOWER) (2units) SliRGEONS 61",i); (3 units) BIDET (3 unit ) FLUSHING RIVI SINK (eunits) _..._, ....._ CONINATICA SINK AND 'IM (3 units) SERV!i.CC-7 SIlvIr, TRAP STAAB (3 /mi.ts) ....-- ___,Ca$INAT YON St Aim TRAY WIFOOD (AS POT,, SCALLERV SI'elK ( units) 1,4 units IJRIM., FEDtSTAL, SYPHON JET DENTAL UNIT OR CLISPION (I .iinii0 --BLOWOUT (8 units) DENIAL LAVATORY (1 unit) iiRIIiAl„ Vt.ki. `LW (4 ..._..... __ DRINKING FOUNTAIN (1/2 unit) _.i2RAL STALI„, WAHOUT (4 uni ts) DISHWASHER (2 trei ts) URINAL TROINH EACIe. ,;:-FT.. SECT iON ----2 to113 FLOOR DRAM (1 unit) _ pc /MS4111'4:4 MIT-'4NE RES.: (3 / FITCHEN SINK (2 units) „/D• _ WASH IN EACH SET Or FAUCET KITCHEN SINK WIFOOO WA3TE ORINDER -—2 units .-- 5 (3 units) WATER CLOSETS, "FMK. OP (4 units) ....._ LAVATORY (1 WATER CLOSETS, VALVE OP (a :Inits) LAVATORY„ BARBER, BEAuTY PARLOR ----(2 Linit i; LAUXDR,7 TRAY (2 anitl,) ..,...,...,, LWATORY, SUPGEONCS (2 unt3) N 1 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA 4 4 2 6 PERMIT TO BUILD PERMIT NO. THIS PERMIT MUST BE POSTED ON JOB Date Jul 28 19 �_ Valuation$_ Plumbing 9.00 Fee $ This permit not valid until above fee has been paid to City Treasurer, subject to revocation for violation sod is of applicable Previsions of law. IThis is to certify that rw, FAIR PLUMBING CO. 1 i has permission , l t 1 •a 1 water heater,l washing ' ' v ' oriel 2 bath tubs 2 closets, n$ machine. Classificatio i • Owned by Grenville & Meuse Co>ist. Co. ne I Lot Block SAD House No. According to approved plans which are part of this I permit * AND FOOTINGS MUST BE NOTICE—ALL CONCRETE FORMS S ECTED BEFORE POURING. IN I 'I PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE Z Building material, rubbish and debris I I from this work must not be placed in Public space, and must be cleared up and hauled away by either contractor or owner. M Bill M. Davis Building Diasial. FOR OFFICE PERMIT ' l USE ONLY NUMBER DATE -- CONTRACTOR _-- rk PLUMBING r _ i 1 G ELECTRICAL i i r r SEWER r WATER ' 111111111111111111 k F I- CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT Date 6 Location - 4°F Plumbing Finn (' tl ejLeXti Ma SfiPr Plumber tqj)/ City/County Occupational License No. State Certificate No. Builder or Contractor 40/14_,i i :/// ' // ! / ' :�� � T y p e of Building (j.-Li /?1 4L SINKS SHOWERS ,2i LAVATORY / 4LLA'IR HEATERS BATH TUBS DISHWASHERS URINALS DTSPOSAIS t� CTJJSETS / WASHING MACIUNE FLOOR DRAINS OTHER i' TOZA.L FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. 4 I 4 I T -------...---- s-, c , c, lirc ) -6/4-Th B1 1 1 I 411 WI 0 dr----, = '44111 • 0 00/1A , . ... .. .... ' WIIIIMinau _.! piiii1111 I IIII os t i), 111-1 . , _..,. 3oi44o ONI• Ina il3vG.,19. 3Ailiotnralivci 3,7 )1,113 , 1 t 1 0 11 p 711 •/...-3-1 'zrj _ . n 0 l'i rr.) S odcr?)S • . IH'.............I.II . , ...----,-.----- 1 ,---.----..------.. =---..--..-....----4 I ...-..-....-..*-- , , .-..--------......-.. . .............- --.-- ----- 4-- ---=... `,....,_ " •-•3 0 c. 00N. ....* 3/04/92 CITY OF ATLANTIC BEACH 8: 59 : 12 CMR007 SPECIAL INVESTIGATION CMN007 COMPLAINT # 28 04 P COMPLAINT DATE: 92/02/18 ASSIGNED DEPT/DIV : 10 06 COMPLAINT TIME: 10 : 51 : 40 COMPLAINANT : STRAUS ADDRESS: UNKNOWN ATLANTIC BEACH FL 32250 PHONE: 904-000-0000 EXT : LOCATION : 1 LOT S. OF S.W. CORNER OF SEMINOLE & DAVID STREET ATLANTIC BEACH FL 00000 OWNER: S P/ 111.5 4-77 COMPLAINT DESC : FENCE AT REAR OF PROPERTY IN EXCESS OF 6 FOOT HEIGHT LIMIT. ORIGINAL 6 FOOT FENCE HAS HAD TWO FEET OF GREEN COLORED PLASTIC ATTACHED TO TOP. 3/y/S�2 DATE OF INVESTIGATION: 0/00/00 INVESTIGATOR: u c CONDITIONS FOUND: 41 r;,'ic /- ACTION TAKEN: Ni //,' v f1frS. P, r r' ' //t-%%/1 i , d G_4),S O f 5 - -%- 9z 2. COMPLIANCE: NOTES: PSR_3844 11510 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION --- - LOCATION INFORMATION ---- Permit Number: 11510 Ad,iress : 196 SEMINOLE ROAD Permit Type: RE-ROOF ATLANTIC BEACH . FLORIDA 3221° Class of Work : NEW LEGAL DESCRIPTION Constr . Type: WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellings : 1 Code: 0 Subdivision: ATLANTIC BEACH Estimated Value: 51500 .00 Improv . Cost : 50 . 00 Total Fees : 525 .00 Amount Paid . 525 . 00 Date Pay -a°2/23/96 Work "'i FIBERGLASS SHINGLES -- OWNER INFORMATION - -- - ---- APPLICATION FEES Namc : :RI : M . KRITSKY PERMIT S25 .00 Addr'es- - 1 I SE'11 TNOLE ROAD WATER IMPACT FEE S0 . 00 ATLANTIC BEACH . FLORIDA ?22'3 SEWER IMPACT FEE " $0 .00 Phone: (904)724-1080 WATER 'METER/`TAP RADON GAS-H . R. S . 50 .00 CONTRACTOR INFORMATION -- RADON CAB 5% 50 .00 Name : PROPERTY ')WNER CAPITAL IMPROVE , 50 . 00 Address : SEWER TAP CROSS CONNECTION 50 .00 License " Type : 1 SEC H IMPACT FEE $0 .00 CONST. SURCHARGE 56,00 S CHARQ E/ TL.E CH. S Q �Q � ...... . g - NOTES: FRS 06 t.A: a p Sian .c SO' NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR THE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATIQCiti VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 2/23/96 01 Rcpt: 00365521�� CHECKS 00100003221000 ATLANTIC BEACH BUILDING DEPARTMENT By CITY HALL ATL ECH TEL No . 2475805 Feb 23 , 96 14 : 47 No .010 P .01 CITY OP ALDBTIC BEACH ROOFING PERMIT APPLICATION Owner(s):, , 724/- /ago Address: /% Scii7/N0L.E ,0,70 Phone: /q Ski -8viy Lot t , Block or Unit t Subdivision: Contractor: O wNgte Address : 5/1)r).� City , State and Zip, Phone State License 0 Describe work to be performed:, if-t-/X)41/.6- AC/4, tr //A c .6 S) /2e t G ei`=?PF(Z) 22/►lSrit=JGe- 5N/, z ES 91- jeOLL. A194e. valuation of Proposed Construction: $f SOO-OU Materials to be used: �I�F�G t s 3 %eIt 3o L- Fr Signature of Owner;, 7 i 7t • 7,�� Signature of Contractor: Liability Insurance Supplied, Workers Compensation Insurance Supplied License Information