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1025 SEminole Rd (vault) FOR OFFIC]k U J A__S_PC _T / Date-f"- .... ---------n-------•-19— W_ Permit #___ ...... ...Fee4� I------------ CITY OF ATLANTIC BEACH Valuation $ Or......109r------ FLORIDA House #.................... .Z ----------- --------------- ................................. .......�-- APPLICATION FOR BUILDING PERMIT ....................................................................... --------------------------------------------------------------------------- Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is 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_ My-------V------------------------------ '4_4 Owner_h,._"___fAA_#------OvoT,-act- JN(ra-Addres A -----Telephone No----------------------------- Architect_./X 15r-E.&A J_.......................Address................---------------------------------........Telephone No------------_--------------- Contractor B—pgoer------ (?.4 0 4T&--------Address-------- - ------------------------------------------Telephone No.---------- Lot- _*-? -.-----_-_-Block No—fla----------------.,.-Sub Division---44.164-------------------------------------------------------------Zone4 # -----------------­---------------------------------------Street------------ Side Between---------------------------------------------------and-----------------------------------------------------Sts. Valuation $024.0-00a4Q-For what purpose will building be useda-W-WMAP.......Type of construction-I OR...4.9...140N_- ---------- # 20_0 ...JUD.-*______......___._-_:Size of Footings-.of Building---*...1_4 ------------Dimensions of L ... --- Size of Piers.&O.-1_4_0--------Size of ---------Greatest Sill Span in ft---- ----------------Type Roof- -----------------1---------------- How will Building be Heated?-___ ......................Will Building be on Solid or Filled Ground?40440.-------------------- f If Size of Ceiling Joist._'Alt-4--_------_- -------- Distance on Centers--------- --o--------------------------- Greatest Span--------------- -------------------------- Size of Floor Joists-__02.-1-_-T____________________________Distance on Centers----------I.0----------------------- Greatest Span----------- --------------------- Size of Rafters--------402-A-4-----------------------, Distance on Centers-------- - --------__---------- Greatest Span----------I--to---------------------------- This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z �-4 3. When steel is in place and ready to pour beam. a 4. When framing is completed. E-4 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. 7. Electrical inspection by City of Jacksonville. W 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.2;4)tlanti=ceach. " 0 Signature of Builder / - ................................ Address----------------------------------------------------------------- ------------------------ Signatureof Owner---------------------------------------------•-------------------------•--------- Address---------------------------------------------------------------------------------------------------- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMA7I04 - LOW10N INFORMATION - Permit Number: 1621-3 /,?-,) /-/ Address: 1025 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER'INFORMATtON --- Date Issued: 5/13/1999 Name: WILLIAM DIAS Total Fees: 25.00 Address: 1025 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/13/1999 Phone: 904)241-5021 _ Work Desc: REPLACE SEWER LINE — _ APPLIG�tTIOVCONTRACTORS FEES___ DAVID GRAY PLUMBING, INC. PERMIT 25.00 It#s �R aired FINAL 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 LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.88 14 Date: 5/13/99 81 Receipt: 8®55974 CHECKS ATLANTIC BEAC BUILD DEPT. 88188883221888 19166 DEPARTMENT OF BUILDING FOR OFFICE USE ONLY CITY OF ATLANTIC BEACH, FLORIDA Date la-X 1 Permit #,2Fee $ ---------_ 1�_��� % Application for Permit Valuation far Misc. Alterations House # %tJ -2-5- and Sand Repairs DESCRIBE: (stateifto-re ir, alter, add to or move building, erect awnings I / or signs, etc. ) Building on: Lot No. y y'*lk No. � Sub.I�. Address O1 124 o luation $ -/`10t Owner' s Name BUILDINGS & OCCUPANCY Building Use - Residential or Business What Plumbing work to be done? Size of Present Bldg. Size of Extension Lot size Material of Roof No. of stories now after altered Material of Present Building Material of Extension PLANS MUST BE SUBMITTED HEREWITH SIGNS Size Classification (state whether ground, roof, wall, projecting Material of Construction Illuminated? Type of illumination — (State whether lamps or neon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reserve side) IMPORTANT NOTICE: 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 of Atlantic Beach. Southern S d d By�.lcj1 Cod ) Signature of Builder or Owner �l L,'� o Address D Pho 4�� -� 724-53601 ARMSTRONG FENCE COMPANY 724-5360 5q - 13() Arlington Road, �,Ivfh Flot-io 32216 761. Directions A Terms Available Customer Date Address Phone Number Install at: -?14 17- Aff: bejrnes 0 contract- -bind-i�g both Fjrchasei V y When signed y the purchaser and acceptod and Company. 41 - ­-- __ __ 3 total Cost V_ Total Feet4_ I Down Payment --Total �et/___ Balance Due Upon Completion Approximate Starting Date Feet. Kah PAYMENTS NOT RECEIVED AS AGREED MATERIALS ARE SUBJECT TO 1'/2*/' INTEREST PER MONTH Gate Posts CHECK THIS SKETCH 10" 0.D Any additional material or labor Used will be at the cost of the buyer. End Posts Corner Posts Line Posts 0.D Top Roil FABRI IRI Mash ou(je e, GATE SIZES ate• \140T RESPONSIBLE FOR Ar4Y DAMAGES TO �Ny UNDERGROUND CABLES, PIPE, OP, agreement that the Purchaser w The proposal price is given wiih the ly mark with stake (DfH[L7R UNMAf�KrD )BJFC'f':. CIUAr all lines for constructiot, of fence, and proper or otherwise. N Not Sign Before Readinq ..ort nit ii=-e i.,% Date Accepted rn Sa e s I an -, Signed Signed CITY OF ATLANTIC BEACH J BUILDING DEPARTMENT INSPECTION REPORT 299 1025 SEMINOLE ROAD PERMIT# JOB LOCATION ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION (904)241-5021 WILLIAM DIAS PHONE BUILDING OWNER NAME ADDITION > PERMIT TYPE SECTION CLASS OF WORK SINGLE FAMILY BLOCK N� LEGAL DESC'. LOT PROPOSED USE r z w a� CONTRACTOR a TWO BEDROOM & ONE BATH ADDITION ONTO EXISTING STRUCTURE gWORK DESCRIPTION AM 4 COVER-UP INSPECTOR O INSPECTION REQUIRED ? REJECTED APPROVED DATE INSPECTED ��-342- BY • COMMENTS CITY OF ATLANTIC BEACH BUILDING DEPARTMENT .l INSPECTION REPORT 394 IC35 5EMINOL.E ROAD PERMIT# B LOC I ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION '{.,/,` (904)241-9051 MR. DIAS PHONE OWNE AME ELECTRICAL SECTION PERMIT TYPE INCREASE LEGAL DESC: LOT BLOCK CLASS OF WORK SINGLE FAM17I,Y uj'w' BROOKS & LIMBAUGH PROPOSED USE CONTRACTOR co CBLERCWYESS100AMPSiPH'3W: uj CS4/0200AMPSALUMSB200AMPSiPH3W240VOLT <1 WORK DESCRIPTION a 12 FINAL ELECTRI� AM SPECTOR 2& INSPECTION REQUIRED O a L�" � REJECTED C APPROVED 0 DATE INSPECTED Y Z COMMENTS CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT 396 ,. 1025 SEMINOLE ROAD PERMIT# JOB LOCATION ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION (904)249-5191 WILLIAM DIAS PHONE w OWNER NAME PLUMBING SECTION PERMIT TYPE ADDITION LEGAL DESC: LOT BLOCK CLASS OF WORK SINGLE FAMILY w STEEG PLUMBING PROPOSED USE a CONTRACTOR z+r. a z install plumbing 0 WORK DESCRIPTION ' 8 TOP-OUT PLUMBING INSPECTOR AM cr INSPECTION REQUIRED REJECTED DATE APPROVED LJ DATE INSPECTED �� BY !!l•LLL COMMENTS ` CITY OF ATLANTIC BEACH �l BUILDING DEPARTMENT INSPECTION REPORT ' JOB LOCATION 1025 SEMINOLE ROAD PERMIT n 396 ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION vn OWNERNAME WILLIAM DIAS PHONE (904)249-5191 LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE PLUMBING CLASS OF WORK ADDITION uj U~ STEEG PLUMBING PROPOSED USE SINGLE FAMILY ¢ CONTRACTOR w z z Lu Z` WORK DESCRIPTION install plumbing INSPECTION REQUIRED 2 ROUGH PLUMBING INSPECTOR AM mwz z ,.. 0 F= a Elo DATEINSPECTED BY 1 cr APPROVED �J REJECTED �r COMMENTS CITY OF Office of Building Official REQUEST FOR INSPECTION �eLc2- 1) Permit No. Date A.M. Distri Time P.M. Received w Locality Job Address � Owners �i i�/ Contract Name PLUMBING MECHANICAL BUILDING CONCRETE ELECTRICAL ❑ Air.Cond.8 ❑ ❑ Rough Wiring ❑ Rough Heating Framing ❑ Footing ❑ Temp Pole ❑ Top Out ❑ Fire Place ❑ Re Roofing ❑ Lintel Slab ❑ Pre Fab Y FOR INSPECTION P.M. Thurs. Friday�— . Wim' Mon. TuesA.M. �^ P.M. c'<rbcMw Insp6 �M81de Final Inspection l\ Inspector �f���� Certificate of Occupancy Date CITY OF ATLANTIC BEACH .I` BUILDING DEPARTMENT INSPECTION REPORT PERMIT# 140�. JOB LOCATION SUBDIVISION 299 1025 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 PHONE 40 i� OWNER NAME (904)241-5021 WILLIAM DIAS PERMIT TYPE LEGAL DESC: LOT BLOCK SECTION 40 U` CLASS OF WORK BUILDING v� PROPOSED USE ADDITION CONTRACTOR SINGLE FAMILY w z Lu WORK DESCRIPTION a 40 TWO BEDROOM & ONE BATH ADDITION ONTO EXISTING STRUCTURE INSPECTOR z s,, INSPECTION REQUIRED AM ° 1 FOOTING a cc APPROVED ❑/ REJECTED ❑ 3r�fE INSPECTED � '✓� BY, Z vo �, COMMENTS 000299 A • - DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMrr INFORMAT1014 LOCATION INFORMATION Permit Numbel , 299 Addressi 1025 SEMINOLE ROAD Perm+-t Type:; BUILDING - ATLANTIC BEACH, FLORIDA 3223-, Class of Work: ADDITION LEGAL DESCRIPTION --- - - - Constr. Type: WOOD FRAME Lot . Block : Section: Proposed Use; SINGLE FAMILi Plat Book: Pages 0 Dwell irnae i O Code: 0 '3ubdiviraioll: Estimaied Value: $0. 00 OWNER INFORMATION Improv. Cost: $29484. 00 Name: WILLIAM DIAS TotaL r $257. 03 Address: 10:15 SEMINOLE ROAD Amount Paid ; $257. 03 ATLANTIC BEACH, FLORIDA 322-4-, Date Paid: 12/19/88 Phonet (904)241-5021 Wovk - TWU BCDROOM & ONE BATH ADDITION 0141*0 EXISTING STRUCTURE CONTRACTOR r'3 APPLICATION FEES PERMIT $129. 7 a,9 1 A 1121�_ WATER IMPACT FEE $120., SEWED IMPACT FRE #6 WATER METER 14ADON GAS H. 11- -S. RADON GAS $0. 36 WATER TAP SEWER TAP *0. 00 HYDRAULIC SHARE $0. 00 RE-INSPECT FEE $0. 00 OTHER $0. 00 $0. 00 NOTES: 7.PI: 442 IA I 4 a U NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.59 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: �,t`ddress /Da?,�teISP lco% `11caLed Square P'00Lage 8 @ $ G) per sq ft = $ �� Gnragc/Shed @ $ per sq ft - $ Carport/Porde @ $ per sq ft = $ Deck @ $ ' per sq ft = $ Patio per sq ft = $ TOTAL VALUATION; bu fotal VbLivation 1st $ $ �X� 60 Raraunder Valuation $- `S .Wiper ousan or portion thereof ------------------ / ADDITIONAL PERt1ITS and/or FEES REQUIRED Total Building Fee $ �� + z Filing Fee $- Q S 4'Iechani.cal i Fireplaces @ 15.00 $ • lts�rb' BUILDING►PERMIT FEE ✓);lectric/New I - Electric/Tarip Septic T'ai�cBUILDING PERMIT $ ?S Well WLITER METER CHARGE $ ST,&ming Pool SEWER IMPACT FEE $ Sign WATER IMPACT FEE- Water EEWater Connection MISCELLANEOUS $ Sewer Connection Water Meter $ Elevation Certificate ' GRAND TOTAL DUE $ CALCULATIONS -and/or NOiI S ---- ----------- ----------------------------------------- ---------- /37 U- ds 7 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM IWO-B-86 SECTION 10—RESIDENTIAL PRESCRIPTIVE COMPLIANCE METHOD CLIMATE ZO Revised: 1/87 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 PROJECT NAME StN C.L IFAM w.y BUILDER: 62Sew PERMITTING •' CLIMATE AND ADDRESS: 2 3 OFFICE: ��,, 1�.Jrt ZONE: 1 PERMIT JURISDICTION OWNER: D'PCS NO.: NO.: d C NEW CONSTRUCTION ❑ IF MULTIFAMILY,NUMBER OF CONDITIONED SO. GLASS AREA AND TYPE UNITS COVERED BY FLOOR AREA FT CLEAR TINTTFILM,SOLAR SCREEN ADDITION THIS SUBMITTAL. EAVE OVERHANG SINGLE- SO SINGLE- S0. MULTIFAMILY ATTACHED ❑ CHECK IF THIS SUBMITTAL LENGTH �•© FT. PANE FT PANE FT. (3 stories or SINGLE--FAMILYSDETACHED❑ REPRESENTS A WORST❑CASE PORCH LENGTH ❑•❑ FT DOUBLE-PANE ®FT DOUBLE-ANEFTTS CONDITION: PERCENTAGE WALL TYPE AND INSULATION CEILING TYPE AND INSULATION FLOOR TYPE AND INSULATION OF GLASS WOOD FRAME MASONRY WOOD MASONRY TO FLOOR: ' EXTERIOR: EXTERIOR: m•� UNDER ATTIC: m• RAISER:- RAISED: a I I ❑.❑ R =❑•❑ ADJACENT: �•�l ADJACENT. �•� COMMON:M E COMMON: =[ COMPLIANCE u R = R =[Ell L PACKAGE (� COMMON: R= [T-1 GRADE:G ADEN R = ❑.❑ CHOSEN: `�` COMMON: COMMON: R = ❑, R = DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM IN CENTRAL ❑ NONE ❑ ELECTRIC STRIP HEAT PUMP ELECTRIC ❑ SOLAR UNCONDITIONED SPACE: R = ❑ ROOM ❑ NATURAL GAS OTHER FUELS KITNATURAL GAS ❑ HEAT RECOVERY �•� ❑ PACKAGED TERMINAL ❑ ROOM UNIT OR ❑ NONE ❑ OTHER FUELS ❑ DEDICATED HEAT PUMP IN CONDITIONED AIR CONDITIONER PACEATAGED PUMP TERMINAL EF = SF/EF = ❑.❑ SPACE: R = SEER/EER = �•� COP/AFUE _ ®.� rn �•� NUMBER OF BEDROOMS = l�"�• In accordance with Section 553.907 F.S., I hereby certify that the plans Review of the plans and specifications covered by this calculation indicates and specifications covered by this calculation are in compliance with the compliance with the Florida Energy Code.Before construction is completed,this Florida Energy Code. building will be inspected for c in accorda a with Section 553.908 F.S. OWNER/AGENT: BUILDING OFFICIAL: 2 /z l� DATE: DATE: /.- - L9- 9 - FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 1000-A-86 SECTION 10 — RESIDENTIAL PRESCRIPTIVE COMPLIANCE METHOD CLIMATE ZONES Revised: 1/87 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAYBE DEMONSTRATED BY USE OF FORM 1000A-86 FOR SINGLE AND MULTIFAMILY RESIDENCES OF 3 STORIES OR LESS IN HEIGHT,AND ADDITIONS TO EXISTING RESIDENTIAL BUILDINGS.TO COMPLY,A BUILDING MUST MEET OR EXCEED ALL OF THE ENERGY EFFICIENCY PRESCRIPTIVES IN ANY ONE OF THE PRESCRIPTIVE COMPONENT PACKAGES AND COMPLY WITH THE PRESCRIPTIVE MEASURES LISTED IN TABLE 10A OF THIS FORM.COMPLIANCE BY THIS METHOD WILL BE,IN MOST CASES, EQUIVALENT TO AN EPI OF 100 POINTS OR LESS.AN ALTERNATIVE METHOD IS PROVIDED FOR ADDITIONS OF 600 SQUARE FEET OR LESS BY USE OF FORM 1000C-86.IF A BUILDING DOES NOT COMPLY WITH THIS METHOD,IT MAY STILL COMPLY UNDER SECTION 9 OF THE CODE. PROJECT NAME S(A)& BUILDER: AND ADDRESS: et's semw& PERMITTINGCLIMATE 2 ❑ 3 9 ��.� OFFICE: ZONE: �1 PERMIT JURISDICTION / / C; L OWNER: b L ILS NO.: NO.: IF MULTIFAMILY,NUMBER OF CONDITIONED �] SQ GLASS AREA AND TYPE NEW CONSTRUCTION ❑ UNITS COVERED BY FLOOR AREA / '� FT CLEAR TINT.FILM.SOLAR SCREEN ADDITION � THIS SUBMITTAL EAVE OVERHANGSINGLE- PANE � FOT SINGLE- �T�. MULTIFAMILY ATTACHED ❑ CHECK IF THIS SUBMITTAL LENGTH 11 II II J (3 stories or less) REPRESENTS A WORST CASE PORCH OVERHANGDOUBLE- �SQ DOUBLE- �❑�SQ SINGLE-FAMILY DETACHED❑ CONDITION: ❑ LENGTH ❑,❑ FT PANE FT I PANE �J�_L FT WALL TYPE AND INSULATION FLOOR TYPE AND INSULATION PERCENTAGE F GLASS 1 CEILING TYPE AND INSULATION WOOD MASONRY TOO FLOOR: l 3 % EXTERIOR:OD FRAME EXTERIOR:ASONRY RAISED: RAISED: R = R = ❑.❑ UNDER ATTIC: D.® R =❑.E R =❑•❑ ADJACENT: �. ADJA RENT: m. COMMON.� ❑ COMMON:(�I❑ COMPLIANCE I I L PACKAGE COMMON: R= ❑•❑ GRADE: R = ❑.❑ 0 COMBO= M.❑ COMMON: ❑E DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM INx CENTRAL ❑ NONE ❑ ELECTRIC STRIP HEAT PUMP ELECTRIC El UNCONDITIONED SPACE: R = ElROOM ElNATURAL GAS ❑ OTHER FUELS El OTHER GAS HEAT RECOVERY �.® ❑ PACKAGED TERMINAL ❑ ROOM UNIT OR ❑ NONE El OTHER FUELS El DEDICATED HEAT PUMP. IN CONDITIONED AIR CONDITIONER PACHEATPUMPAGED ERMINAL EF SF/EF = ❑.❑ SPACE: R SEER/EER = �.� COP/AFUE _ ®.m ❑ ❑ NUMBER OF BEDROOMS = 2 In accordance with Section 553.907 F.S., I hereby certify that the plans Review of the plans and specifications covered by this calculation indicates and specifications covered by this calculation are in compliance with the compliance with the Florida Energy Code.Before construction is completed,this Florida Energy Code. building will be inspected for compliance in accordance with Section 553.908 F.S. OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: TABLE 10A MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK WINDOWS 904.1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK. EXTERIOR&ADJACENT DOORS 904.1 SOLID CORE,WOOD PANEL,INSULATED OR GLASS DOORS ONLY. MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA. INCLUDES SLIDING GLASS DOORS. EXTERIOR JOINTS/CRACKS 904.1 TO BE CAULKED GASKETED WEATHERSTRIPPED OR OTHERWISE SEALED. SOLE&TOP PLATES 903.2 SOLE PLATES AND PENETRATIONS THROUGH TOP PLATES OF EXTERIOR WALLS MUST BE SEALED. INFILTRATION BARRIER 903.2 INFILTRATION BARRIER MUST BE INSTALLED IN EXTERIOR WALLS&RAISED WOOD FLOORS. INTERIOR JOINTS/CRACKS 903.2 ALL OPENINGS IN INTERIOR SURFACES OF CEILINGS AND EXTERIOR WALLS MUST BE SEALED. FIREPLACES 903.2 FIREPLACES MUST HAVE FLUE DAMPERS GLASS DOORS AND OUTSIDE COMBUSTION AIR INTAKES. EXHAUST FANS 903.2 EXHAUST FANS VENTED TO UNCONDITIONED SPACE SHALL HAVE DAMPERS,EXCEPT FOR COMBUSTION DEVICES WITH INTEGRAL EXHAUST DUCTWORK. COMBUSTION HEATING 903.2 COMBUSTION SPACE AND WATER HEATING SYSTEMS MUST BE PROVIDED WITH OUTSIDE COMBUSTION AIR,EXCEPT FOR DIRECT VENT APPLIANCES. MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND STANDBY WATER HEATERS 904.2 LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF(GAS)VALVE MUST BE PROVIDED. AN EXTERNAL OR BUILT-IN HEAT TRAP MUST BE PROVIDED. SPAS AND HEATED 904.3 SPAS AND HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST HAVE A SWIMMING POOLS PUMP TIMER. GAS SPA&POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75%. HOT WATER PIPES 904.4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS INCLUDING HEAT RECOVERY UNITS. IN SUCH CASES, PIPING HEAT LOSS SHALL BE LIMITED TO A MAXIMUM OF 17.5 BTUH PER LINEAR FOOT OF PIPE. SHOWER HEADS 904.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE AT 20 to 80 PSIG. HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHNICAL CODE.JOINTS IN UNCONDITIONED CONSTRUCTION 904.6 SPACE SHALL BE SEALED,DUCTS SHALL BE INSULATED TO A MINIMUM OF R-4.2. HVAC CONTROLS 904.7 A SEPARATE,READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM. City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXEDIAT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. i __1 _BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH ----- TUB OR SHOWER STALL (6) ____` WATER CLUSET VALVE _____WATER CLOSET, TAN!{ OPERATED (4) VALVE OPERATED (8) _____BATHTUB/SHOWER (2) ___ URINALiWALL LIP ( 4) j _____SHOWER GROUP PER HEAD (3) _____FLOOR DRAIN ( 1 ) _____SHOWER STALL DOMESTIC (2) _____LAUNDRY TRAY (2) I _____LAVATORY ( 1 ) ____-COMBINITION SINK AND TRAY (3) I . _____WASlIING MAClIINE (3) _____POT, SCULLERY SINK (4) -----DISHWASHER (2) __WASH SIN!{ EACH SET OF ' FAUCET (2) KITCHEN SINK (2) _----DENTAL ILAVATORY ( 1 ) _____KITClIE!! SINK WITH WASTE GRINDER (3) __-_ 'DENTAL UNIT OR CUSPIDOR ( 1 ) _____BIDGET (3) _____URINAL STALL, WASHOUT (4) _-__-FLUSHING RIM SINK (8) _____COMBINATIOU SINE{ AND TRAY WIT!! FOOD DIISPOS. (4) _____URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) DRINKING FOUNTAIN ( 1/2) _____LAVATORY, BARBER/BEAUTY SHOP (2) 4 ------- SURGEONS (2) ; _____SURGEONS SINK (3) _____ICE MAKER (1/2) ____ 'WET BART (2) J TOTAL FIXTURE UNITS....�__-- @ $20100 EACH $___%?Q ` I --------- f JOB INFORMATION_'O,ZS %iwhr>„e% I i !�:;�;,;r:rtl ';• uc�^r:l,l,•rau;l CI•i Y 11f= '3oarN� 'a 0� 1}fir(•�rt��G r,���::r�� - ; Cv;:c:•t�. f3Section 7 16 0 CE'AN'130L11.ri1'ARU y'y -f---L'loc1: l'- -- -- i (tion ;If tT --- T P.C!.I!U\25 N•I,AI"I1C I1Ghf'll, I I r11!111,1:1:!;':11 1.:111,1!.: D/ II:I,1:1'Ilter;I;I!1U11::.ItI -nw5 _t.rcet Maroc DESCRIPTIOII OF 1IOIi1C 11 in a FLOOD HAZARD ,�j n X'f?n com pl.v 1 ! �� . f tea ,ane ;3, Brief U!:1:r(yX•11,t.L(�1�1 oNTO_�7crsriNb ._SJ_.���11�'F Class of Work: (Mew/Remodel/Addition) :::OII):IIG :111FOR11A'IION Type of ------D/ r(9Qi�Ti- Construction: ok- DE - _9km � --------- t:onirl4 1"rc.,lici^e:ci � DictXict: ___-IJs>ra:---AltknNJmi/------- Estimated Value 1 _ /70 --------------- Fxciel)Uons or Vnrll111c CU Ur.u,led: -""-"-------•---------•----------- Solid or ---------------------- ---------------- ----- Filled Ground: Pool OPIIILR I1lf'UI;t1A'I'TOII A _ Method of Properly U�,•ner-: VV! '`�� '� -+t�IJN� _DrAS --------------------------------- Pllone: Hailing -------- -------------- Addrer.c S -------------=- zip:_ 3aa 33------ 7 COUTRACTUR 1141"011IIATIOII Con tial for: JI/ - Phone -----------•--------------- - ttai.linc) ------ -------------- Ad(Jr ecG -------•----•----------------------------- -------- Zip' L Lee --------•--------- Expiration n r Ilumh�r Da to: 1n cc.rnrideration of permit (:liven for doing the wail: nf3 dcr;cribcd :�,!,t1•.1 till? Above statement, We hereby agree to pra.rfor•m cslid wort: in 'r !" accorclancc with the attached plans and specifications which are a pelrt- hereof, and in accordance kith all rules and regulation( of the City of Atlantic Deacli. L �` t 1. ,f Udnrr signature /- Date_ 1 T L1J �t �. ;1 Cof1Lrnctor Signature----------------------------Date------ • FLOODPLAIN DEVELOPMHT INFORMATION Type of Development New Building Alterations to Existing Building Flood +F-loorEle-vattion Required Floor ElevationActual (as built)Lowest If located within a flood hazard zone ..(zone A) a survey must be made after Lhe slab has* been poured, certifying that the "lowest: floor ereviFHon`s equate-to or allove the base flood elevation estabTisFe for that zone . No Final Inspection will be made and No Certificate of Occupancy will be issued until the survey is on file with the Building Department . C01-HENTS Applicant acknowledgement : I understand that the issuance of this permit is contingent upon the above 'information be:i.nl; co)-'-ecl: rind that the plaits and supporting data have been or shall be provided as required. I agree to comply with all applicable. provisions of Ordinance No . 25-7-11 and all other laws or ordinances effecting the proposed developelnnt. " Date Applicantls Signature -------=------------------ ---- --------,------------------------------ Department Use Survey filed with the Building Department n Certified Lowest Floor Elevation quired Lowest Floor Elevation-- Building levat-iori 'Building Department Representative GEr✓pITp,YRtMF ANt PGNF _ L.00CA� , BEPGN ttaF02ITwol nlr C)A ,�IpN RnFU 60 1lO1..FO `J'3 � �. � dEACII� T1,At11CjC F.5CR1P rZOtl ttoll I E;GA� Sec. 0 INFUtt1Ay A�t1 �� - eioolcs ps�9�'' book s P Nv�n1�f r ° E�F�;t'I;j1:A1' LpC plat' ATY011 _ t,�c �riL i� CYPe' IttrRCAyC i�.Isiun• 1NFpEtM r m t,cS 0\01 1 ss of W�i'�e•. t)f A C F AKrI"I 5� --- r �� p1A5 l.'� pnAn '32-231 ��►,sty . U��' Sttic�L ��O " ty;�:�[e M 10�g 5t M INq 1 F'LOEt1QA " U AU��eas: ATLAt1TIC BF PC i i O. O r)051 00 E�3tim G,> t° Q t%ones �,�• pt{3W2 1[npluV• l:E+nSa� X51. 0 .frG'10OA� .9t Tota ti pai�.S: 1; L? iF �3 TCt31.ERCWYL"".=.. An�uutt� paid' AM'Ps1ptt5kt2gOVOL' p ► - - aALUH��B?00 FEES '�- 4l�!'ur��)At4P. ._ .. APpLICA'TIUN X51•s7O wog �»s�. �� PLR 1T tt 4j0 0Ll . + >r WATER IMF ACT�FEE 90,,00 T fiEi✓ OKS & LXMBpUGtd gEWFR IMPAC 'Q. O(�, ,!.,�r. �•��� T 1~ tISTEIR, $0. 00 • fi' Rp;Utlti GAS—N. R,S. $u. Ol7 RADON GAS 5y ().!d6J n WATER 'CAP SEWER TAP HYDRAULIC SHARE 90.`C 6' RE-X t1SPECT FEE $0. 00 E IIGIHEER114G $0. 00 aTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFOF DURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLi CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. SCE,AND MUST BE "FAILURE TO COMPLY WITH THE MECHANICS' LI EN THE PROPERTY OWNER PAYING TWICE FOR BUILDING W CR i M S PR� ULT iN ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ENrS,,, VIOLATION OF APPLICABLE PROVISIONS OF LAW. AND SUBJECT rQ ATLANTIC BEACH BUILDING DEPARTMENT a,� f- AT��`NT1C O EICAL PERMIT I►PPLICATIOt4 FOR LECTR Approved by 19 DATE: THE FOLLOWING, WE Tp THE CHIEF ELECTRICAL INSPECTOR' DESCRIBED IN gNECIFICATIONS' IMPORTANT NOTICE: THE WORK AS CODES AND CITY OF ERMIT GIVEN FOR DOING AL REGULATIONS, IN CONSIDERATION OF PSAID WORK IN ACCO RDANCE WITH THE C TACHED PLANS AN HEREBY AGREE TO PEREOFM SAI IN ACCORDANCE WITH THE ELECTR WHICH ARE A PART HE , ATLANTIC BEACH ORDINANCES. MASTER ELECTRICIAN SIGNATURE ELECTRICAL FI M: RFD_--BOXY ADDRESS: ' NAME BETWEEN: BLDG.SIZE REW. 1 1 RES.1�1' APT• ( 1 COMM.( ) PUBLIC ( ) INDUS. l 1 NEW 1 1 OLD 1-� ADDITION 1i1� TRAILER ( 1 TEMP. ( 1 SIGNS 1 1 SQ. FT. FEE SERVICE: NEW( 1 INCREASE (--1- REPAIR ( 1 CONDUCTOR SIZE AMPS COPPER ( I ALUM. ( -J i l SWITCH OR BREAKE;,,2,dz2E�AMPS PH 3 W OLT RACEWAY r-- EXIST.SERV.SIZE AMPS PH 3W,-?`P)VOLT (iA RACEWAY FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES `' CONCEALED OPEN 0.30 AMPS. TOTAL 31-100 AMPS. SWITCHES INCANDESCENT 0 FLUORESCENT&M.V. FIXED 0.100 AMPS, APPLIANCES OVER AIR H.P. RATINGBELL TRANSF. CONDITIONING COMP.MOTOR H.P. RATING OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 4, 0 MOTORS 0.1 61 H.P. VOLTAGE PHSOVER MISCELLANEOUS NO. 1 H.P. VOLTAGE PHS TRANSFORMERS: UNDER 600 V. OVER 60p V EACH S{GN NO. NEON T -No. KVq RANSF. - N0. VA. - - NO. MA. MOTOR KVq SIZE SWITCH FLASHER FORWARDED TOTAL FEES BUILDINGor DFPPFt-TME -TIC BEACH TIO CI-Ty OF NTLAN -——-———---"" L0CAT'T-(-'14 I ROAD VA 32.233 ;Idr ems 1025 SEM FL0111 BE' w. t4F0ejj&T1 -AL 4tS LEG DEBTIC S-('R1PT10 mutf 1 NECAL, 5ecti0f10 pe;-mit jiECHf3IocvFaye: Fevili -, Type' I)TT-10" plat boohl Class f Wox.k 1 AD loll t lass 0- TYPe` H/A FAKILV t4ER INFORKAT1014 cufilst3�- - 1.5,1 tA G L,E ow se(j Use 0 Frupo 0 cods- -w-- 00 BILL DIAS UOLE ROAD 'c'w e I I i rk a- value! $0. 01-3 SEMI 3 Estimated Cast.: $-20. 00 Address ATI.,AHTIG BEACH. FLORIDA 322 $20. 00 Total fe"',• ph clue ton"U11+ T Ot4 T0 t,Xpj,jCAT10" FEES - --- $20. 00 i. so. 00 W AT6t I Itip ACT FEE so.,00 SEWERItIP ­w,ACT FEE f* 00 w,NTER mfR ,;I f V Vr)tj G Af#-44, R.a. r p .ALq3N GAS WATER TAP SEWER TAfso, efa- HYDRALJLI( SHARE $0. 00 RE-- I NSPitr FEE $0, 00 EN1131HEE110 I$o. 00 OVI'. U. NOTES: NOTICE —ALLCONCRETE FORMS AND FOOTINGS MUST B I It � It) b PERMIT VOID SIX MONTHS AFTER D , BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST-, CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNEb "FAILURE TO COMPLY WITH THE MECHAN THE PROPERTY OWNER PAYING TWICE FO IV CAW pf? ' & - ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF I 62'S'j VIOLATION OF APPLICABLE PROVISIONS OF LAW. A�Cr 7'0 ,� 44,f_-jvTS. /IV ATLANTIC BEACH BUILDING DEPARTMENT L/O "'41 7-/O/v FOR By: G INSPECTI� N vVIS10N t ING AND TONIN LANTIC BEACH PJ-0 NUMBER gvILD CITY o 33 PERMIT FLORt�p` 32233 A7L�®x`BF;kCMEC�IA APPLICATI®N ,4^[` and IV. IMPORTANT — ,ppllcan t to complete all items In sections I, II, III, 21"t, l And LOCATIONStreet Address: Intersecting Streets: Between OF BUILDING Sub-division leted by all applicants . 11. IDENTIFICATION -- To be comp agree to perform said work in accordance teen for doing the work as described in the abcve statement we hereby 9 ' n of permit g hich are a part hereof and in accordance with the City of Jacksonville le ordinances and standards In consideration Pans and specifications v+ with the attaclLed p o{ good practice listed therein. Contractors Master Name of Mechanical -� Contractor (Print) Name of Property Owner Signature of��� Signature of Owner Architect or Engineer or Authorized Agent �J 111. GENER" ATION B. YE-5 A• Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON '16- Electric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECMANICJIL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) ❑ Residential or ❑ Commercial Heat ❑ Space ❑ RecessedCentral O Floor ❑ New Building ` ( Air Conditioning: ❑ Room ,]( Central it X Existing Building /X` Duct System: Material bS ie"i2I1 Thickneu ❑ Replacement of existing system Maximum capacity 1 C`� c f m ❑ Y in New installation(No system previoUSl stall ) 13 Refrigeration � Extension or 9d ❑ Cooling tower: Ca add-on to existing syctam Capacity El Other — q.p.nr. Specify ❑ Fire sprinklers: Number of head: ❑ Elevator ❑ Manlift ❑ Escalator ❑ Gasoline pumas — -- _(number) 13 (number) THIS SPACE FOR OFFICE Teaks-------_ �R«ted) — (number) USE ONLY ❑ LPG contained Remarks (number) ❑ Unfired pressure vassal ❑ Boiler ❑ Other Specify Permit Approved by Permit Fa QST ALL EQpIpMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Un1ta � �>Nption Xodel Number C�,Vp N� Ufacturer f��Y A �RR�iiEE2_. ` ey IEA ' FURNACES, BOILERS, FIREPLACES Number Unita Dacrlptioq YoQel Number TANKS How AunY Nom, Pact >� ahr � Lqt�tained Name of —Kaurutta er Serial No. Approving Agency —j c8I,3%LD%%G pEPARTM04-f Or 11C BF PCVA ............... C1.T OF A 10tA 1014 INFpNMA jo-'!.) FLox ATL A" DESCalpTslog LE„Gi ALem t jork 396 page'. 0 t K u 114,61,RG pjk plat- Banks Pei lult, Type , clase of AD lc. IR/ h Type,. IgGLE FA" conS t"", . s 0 DIAS .., Ljoe. ad $0. 00 A,me. IWILLIA ROAD p-ropoo" . 0 W2' 5 SEMINOLE xjingo. . 00 idf (**a I -H FLORIDA 32'2 33 Dwe so A*NTIC BEAC F,13t C.Ost 111)24rJ-5191 I mpro 924. 00 ph c)ie Tcjta aid 3, o1b I -fppv>Ll(,' N FEES T $24. 00 rT43R ;{T IMPACT -,E $0. 00 IMPACT E: $0. 00 q-TF,F-0 EW fZ tjFTJ�R • A Alp IA. F. $0- CIA-71 I 'll il - GAS so. 00 $ 00 ,AS -- r. 0. C a 71 RR 'TAP $0. �-,#ER TAP $0. 00 $0. 00 ,,,OiRAUL SHARI�\ RI-INSPECT FEE 1�0. 00 E161NEERING $0. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTING ILIST BE INSPECTED BEFOR '. IG PERMIT VOID SIX MONTH- -TER DATE OF ISSUE BUILDING MATERIAL,RUBBI' ---------- AND DEBRIS FROM THIS WOMUST NOT BE PLACED IN PU13LIC, ER CON-TRACTOR OWNER. 1D MUST BE CLEARED Up AND HAULED AWAY BY EITH "FAILURE TO COMPLY WITH THE MEANICS' LIEN LAW CA THE PROPERTY OWNER PAYING TWIC-'OR BUILDING IMPROV.7- IN ISSUED ACCORDING To APPROVED PLANS WHICH ARE P)F THI(PERMIT AND SUBJECT T0 R VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: a / CITY OF ATLANTIC APERMIT APPLICATION FOR PLUMBING_17-�------------------------------ JOB LOCATION:-------- - -- _X11 ---��----------------------- PLUMBING CONTRACTOR:___ - _____________________________ I f ob 3 1`l---�---------- LICENSE NUMBERS:---- ----------------------------- OWNER:-------- L►'I_--��A 5-------------------____ _----- BUILDING CONTRACTOR:_____J�1---���'---"- TYPE OF BUILDING:------- SINKS __________SHOWERS LAVATORY _____�__ WATER HEATERS __BATH TUBS __________DISHWASHERS URINALS __________DISPOSALS 1_-CLOSETS __________WASHING MACHI' ----------FLOOR DRAINS __________OTHER __TOTAL FIXTURE COUNT ---------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMNBING CODE. ---_---- TY OF ATIAN�C B�NG 247-5877 CI --- DEPARTMENT OF BUS Tel. 247-5826 -I=aX.24 Atlantic Beach, FL 32233 -Tel.. Seminole Road - _ --- -- i PLUMBING PERMI - ....-. � -- _LpCATtON INFORMATION ....��. 1025 S M LE ROAD PBRI&T INFpRMA"!'1 Address: FLORIDA 32233 / 7 ATLANTIC BEACH, Book: Permit Number: Township: 0 Range 0 Permit Type: PLUMBING Block: Section: Class of Work: ALTERATION Lot(s): 'on: divisi Proposed Use: Sub arcel Number: Square Feet: P ---- _ OWNER INFORIIA'A'i'�! _-__-- Est. Value: WILLIAM DIAS Improv. Cost: N Date Issued: 5/13/1999 Address: 1025 SEMINOLE ROAD Total Fees: 25.00 ATLANTIC BEACH, FLORIDA 32233 Amount Paid: 25.00 I Phone: 904)241-5021 Date Paid: 5/13/1999 Work Des c: REPLACE SEWER LINE APPLICATION FEES — __ COITRRCTSt PERMIT 25.00 DAVID GRAY PLUMBING, INC. FINAL --- _------ i NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCA FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. PAID ATLANTIC BEACBUILD DEPT. MAY 1 3 1999 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: PLUMBING CONTRACTOR: CONTRACTOR'S ADDRESS: /� /� STATE LICENSE NUMBER: (?�C0�2�� �- _TELEPHONE: HOW MAW OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS ,Q SHOWER PANS OTHER ,y I ijdd Lfi4, � t,,,Ik TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE _ $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: JM t �; ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. TLF AU TIC BEACH TY O V AOLE R� CI goo sE ATLANTIC BEACH,FL 32 826 r s� 247-5926 INSPECTION PHONE LINE 06-00032576 Date 3/22/06 p,pplication Number 1025 SEMINOLE RD Property Address REROOF Tenant nbr, name ROOF Application description TO BE UPDATED Property Zoning 6750 Application valuation Contractor Owner __ ----- SHORE ROOFING COMPANY DIAS, WILLIAM F. 914 7TH AVENUE SOUTH 1025 SEMINOLE ROAD FL 32233 JAX BEACH FL 32250 ATLANTIC BEACH (904) 241-8842 __ ------ Permit . _ ROOF PERMIT Additional desc . Permit Fee 98 . 00 Plan Check Fee . 0 Issue Date . . . Valuation 67E Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98 . 00 98 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 98 . 00 98 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEAD( BUILDING CODES. 0 BUILDING' { d 0��11 rSLllV� CITY OF ATLANTIC BEACH Ca BUILDING / ZONING DEPARTMENT D.. EHiggins 800 Seminole Road Atlantic Beach,Florida 32233 r�J?;1�f (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 10( — 0'�,57(0 Property Address: /NJ '5 7�-)Yaf k oft°)Lad,) Applicant: n LOL�EK/2 Project: rjo-� This permit application has been: Eq/Approved F-1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: RE_—CL CITY OF A,TL/ N-' ! is ISA 200 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION RV Date: I PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. Job Address: wct Owner of Property: j P Address: 1M'.1 1,A-le 1 p ,0 Telephone: C3)q I - Soo Contractor. ��roi ter: 1 n�C State License Number: CCC OS Contractor's Address: 'WA A h v - 3 I Telephone: L1 - 8g�a Fax: a Lj I &7 Scope of Work: L.AX4� Deck Slope: 5,X12 Greater than 2:12 Less than 2:12 Valuation of work.: Product Name(Example: Timberline): JD ),-.e %1 , ✓1+a a"�i — Manufacturer(Example: GAF): Q ✓lit D ASTM Designation(s): f 1 / g S G 3 Y 4 a Required Inspections: Sheathing and Final L&Signature of Owner: ,61 Date: AS TO OWNER: Sworn to and subscribed before me this day of%XOb,. ,20 LQ_- State of Florida,County of Duval �� Notary's Signature: Y.ADiAl1i11ARfiUP al""� � ❑ Personally known Produced identification Type identification produced Signature of Contractor: Date: AS TO CONTRACTOR: da of�QC ,20�_• Sworn to and subscribed before me this Y State of Florida,County of Duval Notary's Signature: AaRlq Personally known ❑ Produced identification a' to=rl000 teootType of identification produced ' � sone.a wu �-ars4' „aefbrWa Notary Assn.,Inc ....... '$bU;Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 •http://www.cLatlantic-beach.fl.usRevised 2/21/03 Page 1 Permit number 'I•ax Folio number NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIDED hereby gives notice.that improvement will be made to certain real property, and in accordance with Cbapter 713,Florida Statutes,the following information is provided in this Notice of Commencement- 1. Description of property' ► 1- S `�`1 illi'.`�FS 1711:1 il, 2. General description of improvements: 3. Owner information: a. Name and Address:bull � b. Interest in Property'� !f c. Name and address imple ' eholder(other than owner): 4. Contractor's name and address: CAN a. Phone number `�1 ' '� b. Fax number- 5. umber5. Surety information: Doc#2006097982,OR BK 13143 Page 2147, Number Pages: 1 a. Name and address: Filed&Recorded 03/21/2006 at 09:44 AM, b. Phone number. c. Fax nu JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 6. Lender's name and address: a. Phone number_ b. Fax number- 7. umber7. 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-Addmss: -- — - - 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 Commencement (the expiration date is one (1) year from the date of Recording unless a different date is specified). Signature of Owner- Sworn wnerSworn to and subscribed before me this V of 111WC Q),-\ 2d-0�Q---• Notary IIAAR.lORtE M. F Vkm BonNOOK3aA4M NInN�` FWkb NaWY Am.bw CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD r� ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-582 Application Number 04-00028536 Date 6/24/04 � � lOZ5 SENIINOLE RD Property Address REPLACE EXISTING HVAC Tenant nbr, name . • . ' . MECHANICAL ONLY Application description • ' . TO MECHAHABE UPDATED Property Zoning . . . • . • • 0 Application valuation . Contractor Owner ------------------------ _ __ RIAS, WILLIAM F. DONOVAN HEATING & AI 1025 SEMINOLE ROAD 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 ----------------------------------------------- - -----Permit . . . . .- -MECHANICAL PERMIT Additional desc Plan Check Fee . 00 Permit Fee 71 . 00 0 Valuation Issue Date Charged Paid - Credited Due Fee summary . 00 ----------------- --- 71 . 00 71 . 00 . 00 Permit Fee Total 00 00 . 00 Plan Check Total 71 . 00 . 00 . 00 Grand Total 71 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING ODES. . ( - 1".K BUILDING OFFICIAL - r CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Owner of Property: W/L[64-IL4 DtAS :, Job Address: /0 ?57 Contractor: reby 01 id work In considem ion of permit given for doing fications which areas badpartthereof and in acc danceewith thea City of Adant eaBeach in accordance with the attached plans and spec ordinances and standards of 9nodraefice listed therein. III. GENERAL INFORMATION B A. Type ofbW- Ulg fuel' IS OTHER CONSTRUCTION B3I�JG DONE ON THIS —���—� Central Utility BUILDING OR SITE? r� ❑ Gas: _LP _Natural — ❑ Oil IF YES,GIVE NUMBER OF CONSTRUCTION ❑ Other—SP-if) PERMIT IV. NATURE OF WORK Commercial MECHANICAL EQUIPMENT TO BE Rcsiden or 0-----New Building INSTALLED . . m -----___ (provide complete list of components on back of this form) ❑ en _Floor Replacement of existin ions installed) ❑ Heat Space —Recessed Central ❑ New Installation(No system prev IY C] Air Conditioning: Room ❑ Extension or add-on to existing system ❑ Duct System: Material__. cfm ❑ Other-Specify Maximum capacity ❑ Refrigeration MM Cooling tower. Capacity TRIS SPACE FOR OFFICE USE ONLY ❑ Fire sprinklers: Number ofheadsumber) (Received) ❑ Elevator: _ Manlift_Escalator �� � ❑ Gasoline pumps (Number) Remarks ❑ Tanks ❑ LPG containers (Number) Permit Approved by Date_ C3 Unfired pressure vessel ❑ Boilers permit Fee— ❑ Other—Specify LIST ALL E UIPMENT o AIR CONDITIONING AND REFRIGERATION EQUIP IP NNrr>ber Manufacturer Capacity �ry vi Approving Number Units Description oaf PtiM w(Z(ozN Thi �,�. OILERS,FIREPLACES Manufacturer Capacity Approving Description HEATING—FURN ACES,BOILERS, Model Number T en Number Units vt,L, , ,mac Serial Approving TANS T Liquid Name of A enc How Many Nominal Capacity Type Manufacturer No. And Dimensions Contained 8o0 Seminole Road•Atlantic Beach,Florida 32233-5445 1/14/03 Phone:(904)247-5800•Fal:(904)247-5845• htt ://www.cLatiantic-beach.il.us CITY OF Office of Building Official REQUEST FOR INSPECTION S Permit No. Date 12 Time A.M. Dlstri Received P.M. Job Address ,.. � „ Locality q1 \ Owner's � jy ContractI ��J//�—��/) Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Heating Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Fire Place ❑ Lintel ❑ Pre Fab Y FOR INSPECTION Mon. Tues. Thurs. Friday P.M. A.M. Inspecaoo Made � ET P.M. Inspector Final Inspection Certificate of Occupancy Date M-✓ Dq ii a H I--5�1 AA CITY OF Office of Building O REQUEST FOR INSPE10 Date t / Permit No. Time A.M. Received PM\ Job Address Locality Owner's Name ► "`� ntractor UILDIN CONCRETE ELECTRICA PLUMBIN MECHANICAL ❑ Footing ❑ iring ❑ o ❑ Air Cond. & Re Roofing ❑ Slab ❑ Temp Pole. ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Ties. Wed. Thurs. riday Inspection Made h n6-L- P.M. Inspector (,C Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233- Tel- 247-5826- Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit-Number. 24048 Address: 1025 SEMINOLE ROAD Permit Type: PLUMBING. ATLANTIC BEACH, FLORIDA 32233 Township: 0 Range: 0 Book: Class of Work: ALTERATION Lot{s}: Block: Section:0 Proposed Use: Square.Feet: Subdivision: Est.Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 5/09/2002 Name: WILLIAM DIAS Total Fees- 25.00 Address: 1025 SEMINOLE ROAD- Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/09/2002. Phone: (904)241-5021 Work Desc:' INSTALL PLUMBING APPLICATION FEES CONTRACTORS .25:60 STEEG PLUMBING MIIN T-EEG 2 v_�, - ...yam s�• _ `+•� s. �. - �' -�- 'rte• -_ � - �'=�- ECTION NOTICE t IN PUBLIC BUILDING MATER SPACE AND MUS =� -_ - r � (Y OWNER IOW ^ N THE "FAILURE TO COM 4 _ . - �- �•-- ��_= -PROPERTY OWNER P ISSUED ACCORDING TO APP R SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE P Open: DSIIITB Type OC Drawer: 1 Date: 549182.01 Receipt no: 56148 14 PERMIS-BBILDIRG •1 525.00 00100003221000 - . AT NTIC BEACH BUILDING im-SHIN LE RD CK CHECKS . 5127- 525.00 Tmm 44ke; 5109102 Time: 16:01:03 CITY OF ATLANTIC BEACH APPLICATION FOR PLU14BING PERMIT 12y JOB LOCATION: l OWNER OF PROPERTY: /<� f�Zr TELEPHONE NO.' �/ PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS: STATE . LICENSE NUMBER: 1. R"403 W TELEPHONE:�W_S/y/ HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS J BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST .FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: x $3. 50 + $15 . 00 MINIMUM PERMIT FEE - $25 .00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 CITY OF B e4 CJAS- p a q4 Office of Building Off, REQUEST FOR INSPECTION- r/ Permit No. 8J a Date / �V A.M. Time P.M. Received y�i %!�^� cality Job dres,s; Owner's Contractor N ECTRICA� MBING MECHANICAL BUILD CONCRETE Rough ❑ Air Cond.& ❑ ❑ Footing ❑ Rough Wiring ❑ ❑ Heating J ❑ Temp Pole ❑ Top Out ❑ 7 ❑ Slab ❑ Sewer ❑ Fire Place Re Roofing ❑ Lintel ❑ Final Pre Fab Insulation READY FOR INSPECTION PM Tues. Wed. Thurs. Friday Mon. A.M. R Inspection Made Final Inspection cupancy ❑ Insp r Date CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24196 Address: 1025 SEMINOLE ROAD Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: _ OWNER INFORMATION Date Issued: 6/04/2002 Name: BILL DIAS Total Fees: 32.00 Address: 1025 SEMINOLE ROAD Amount Paid: 32.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/04/2002 - ea., (000)000-0000 Work Desc: REPLACE CONDEN - .fi1Q_AIR-HANDLER, CONTRACTORS _ �. __ f _- ICATION FEES DONOVAN HEATING AND Al - PT <�, 32.00 3Y, r 41 ti - fid' � i. ��4❑: � -�n`� ' xs'4a� •4 nr � eq�ured z NOTIC - INSPECTI 0 MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPa ION E` BUILDING MATERIAL4 RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE FACED 1N PllL1C SPACE, AND MUST BE CLEARED bXAND HAULED AW ,..BY(EITHER CONTRACTOR OR OVAER /511 a "FAILURE TO COMPLY--WITH TIRUCTION LIE , AN RESIN IN THE PROPERTY OWNER PAYING ftC OR UINGIM01119V -- - n s ISSUED ACCORDING TO APPROVE CH,XREnP/ T OF �Pyx IT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROM OAVV Oper: MITI Type: OC Drawer: 1 Date: 6/05M 61 Receipt Do: 62737 14 PERIITS-BUILDING 1 M.00 00100603221000 ATLANTIC BEAC BUILDI EPT. 1025 SEBIM RD CK CHEMS 9277 $57A9__ Tian date: 6/05/02 Tj> : 9:41:51 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC B"CH,FLORIDA Saa]S APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. LOCATION Slr••1 Add,...: OF I.f.r..eting sh..lr: s.tw..n f���a n l C f?(vra • Ane WILDING sYb-dh.Irlen II. IDENTIFICATION —To be completed by all applicants In comid.nlion of permit qir n for doinq the work er d.ecribed In the above deterrent we herehy sgree to perform raid work In•ccord•nce with th• .M.cllyd pl.m end rp•cific•C... which u• • put hereof end in accordance with the City of J.ck.—ill. ot..nu, and dandarde of goodpr.ctic• listed therein. N.me e1 Mlch•.,e.l D/� I Conh•cfon b�`n w/'0 Cenh.e}er /rinf l Mader `\ (A Name of v) 01 a A003� 7 n.p.dy Dene, S11aabs of Owner Sign.fun el w AYlhorh•d Agent Arehiteet or Engln•u Ill. GENERAL INFORMATIOk A. Type of eeng feels B. IS OTHER CONSTRUCTION BEING DONE ON f3ec}ric THIS BUILDING OR SITE 7 /v / ❑ Go.—❑ LP ❑ N•turd ❑ Cent..1 Utility IF YES' GIVE NUMBER OF COHSTRUCTIOj [3Oil PERMIT ❑ Other— Specify IV. MIGHANICAL EQUIPM04T TO ll INSTAUUO NATURE OF WORK I►revile complete Ilsf of components on beak of this form) P Residential or ❑ Commercial � - Host ❑ Specs ❑ Rscnwd ,?�'Contnl O Floor ❑ New Building Nr Cond,111"Inq: ❑ Resists J1 Centmi ❑ Existing Building I ❑ l System: Materiel Thlcknea Replacement of existing system Maxlmiem upedty CJAL ❑ New Installation(No system previously Installed) ❑ Rs/rlgereHon ❑ Extension or add-on to existing system O Other—Specify ❑ Coaling tower: Gp.clfy 9-p^_ ' ❑ Fire sprinklen: Nvmb.r of h«da ❑ EbveMr ❑ M.niiff ❑ E.ul•ter (nYmberl THIS SPACE POR OPFICI USI ONLT ❑ 446611.0 pYmo. (..mbar) ❑. Tena` (number) R—As ❑ LOG centelnere (number) ❑ Unfired pose...-sew ❑ Milo. I•m,il Approved by Dsf� ❑ Other—'Specify /emit Fee - LIST ALL EQUIPMENT AiB CONDITIONING AND REFRIGERATION EQUIPMENT Gpat! X»ak units ptlon Manufacturer Number Yanutaetur ('1b t w eon Y IMATING - FURNACES, BOILERS, FIREPLACES ppeecc!! Apptoth� i N bar Unita Deeoriptloo XoQel Number Xanufaatnrer G(IYTST)r �k�c]r /• NowTANX&MA 09 ^� Sow Many NowbW Capselty 'ICConta � Hanufaattaer Serial Apj /J✓�) r 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: 24016 Address: -1025 SEMINOLE ROAD Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed.Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 5/06/2002_ Name: WILLIAM DIAS Total Fees: 25.00 Address: 1025 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/06/2002 _ Phone: {904)241-5021 Work Desc: REWIRE OFF CIRCUIT IN BATHROOM WITH NEW 20AMP CIRCUIT _CONTRACTOR(S) APPLICATION FEES -BROOKS & LIMBAUGH ELECTRIC _ _": �.w_ _ `'--'_, 25.00 --- • es - L'-e. ; 1" - ECTION NOTICE IN-��� - � ���� =: __ BUILDING MATERI MUST BE CLEARED _ WE "FAILURE TO COM THE PROPERTY OWNER P ISSUED ACCORDING TO APPR SUBJECT TO REVOCATION . _ FOR VIOLATION OF APPLICABLEY 1 _ _ - ; .' - Oper: DSNITNTppeOC Drawer: 1 nate: 5/66/02 81 Receipt no: 55260 M - I)SMITSAWILDING 1 $25.08 ATLANTIC BEACH PUILDING DEPT. W009=09 - - - - -W-0- n ---- --- -- SIER C1 CHECKS 15516 $25.00 Sire 15:26:57 CITY OF ATLANTIC BEACH, FLORIDA Approv.a by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-5--6 "�Z 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. �p 23j`JV ELECTRICAL FIRM: MAST R LECT/h�CLACCN SIGNATURE Pow). JOURNEYMANNAME- - ADDRESS: U�J `-gfy"ro.L RFD BOX BLDG.SIZE BETWEEN: RES. ( APT. ( 1 COMM. ( ) PUBLIC ( ) INDUS. ( I NEW ( 1 OLD ( 1 REW. ADDITION ( ) TRAILER 1 ) TEMP. ( ) SIGNS ( 1 SO. FT. SERVICE: NEW ( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT. RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGATING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31 100 AMPS. SWITCHES I' _ INCANDESCENT FLUORESCENT & M.V. _ FIXED FjH.P. n#TING OVEn APPLIANCES _ _ BELL TRANSF. AIR H.P. RATING CONDITIONING OR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. IKVA NO. NEON TRANSF. NO. EVA. MA. MOTOR SIZE 1 SWITCFI FLASHER EACH SIGN FORWARDED TOTAL FEES _ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL. 2475826-FAX: 247-5877 PERMIT 1NFt)R1111A '!C?N ----LOCATION INFORMATION Permit Number: 23858 Address: 1025 SEMINOLE ROAD Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 2,880.00 -OWNERINFORtIMATION -- Date Issued: 4/12/2002 Name: WILLIAM DIAS Total Fees: 73.00 Address: 1025 SEMINOLE ROAD Amount Paid: 73.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/12/2002 Phone: (904)241-5021 Work Desc. RENOVATE BATHROOM 11APPLICATION'FEES GflNTftACT S r PROPERTY OWNER 73.00 u � F � f. �r.�,...�' ,Y'-. .� i 4C Y 4r",.,,�1` y{• t '3 K MW wo �. ��'.4�llYFh • fe .� -. •fw.sL�3i.ae- �� � ��t�•� �h.,�3„`= a�2't• ..�1. "� Yx-..? � .v s -.'4"> '.J's•�+'"�`3gYk:"�s, ,S��e�^`.�,a"°y..2' .s". NOTICE NC `! t3EI #TION — ak BUILDING MATERIAL, `_ Tat IC SPACE, AND MUST BE CLEAREDQR "FAILURE TO COMP L N THE PROPERTY OWNER PA - I - -- — --� ISSUED ACCORDING TO APPRO _ D SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PR Oiler: DSMITH Type: OC Drawer: 1 D49579 ate: 4/15/82 81. Receipt nn: $73.IN ��A 14 PERMITS-BUILDING 1g84285 ATLANTIC BU G DEPT. Trans EMINOL 1825 SEMINOLE RD 8 CK 7 Trans date: 4/15/82 Time: 11:52:44 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address �0� -5�6-rfl VQ LE K0. �QFNa u*T,r- 4S/to-1KOd k Date 4 '/�2 -02— Heated Square Footage Lid @ $ Z per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = S Deck @ $ per sq ft = $ Patio @ $ per sq ft = S TOTAL VALUATION : $ pop() O l I $ l 1� Total Val $ l oo a Remaining per thousand „ 7 ortion thereof BUILDING FEE $ vl8'� Z Filing Fee $ .13 ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ 3 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ 3 ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ 3 ,0� ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : CITY OF gead - 5&uda 800 SEivCi tOLZ ROAD ATLANTIC BEACH FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES. PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNERIBUILDER TO ACKNOWLEDGE THE LAW: - DISCLOSURE STATEMENT FOR SECTION 489. 1 C3(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, ALS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EV1EN THOUGH YOU DO NOT HAVE A UCENSE. YOU MUST SUPERVISE THE CON57RUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCLAL BUILDING AT A COST OF $2S,000.00 OR LESS. THE CUILDING 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 EXbIPT1 E0N. YO MAY N HIRE AN UNLICENSED P RSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT 15 YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLL- EMPLOYED BY YOU MAVIC LICENSES RE UIR D BY STATE LAW AND BY COUNT,f OR MUNICIPAL, LICETISING ORDINA2iCES. C1oU,NANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONALL. OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2.000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL IWRE NSPECT7ON5. T)-1E ORDINANCE STATES OWNERS MAY PHYSIC-AL-Lf WORK THEMSELVES; OR MAY - 00 UNLICENSED WORKERS PROVIDED SUCH WORKERS Be UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON CENSED TRADES THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLIPEOPLE_ Tits DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENY SUGGESTS RLY WORKERS COMPENSATION INSURANCE Be PURCHASED UNDER THE HOMEOWNERS IN5URANCr_ POIRS „HOB OTA PROTECTS THE OWNER. OWNERS HIRING WORKEREALSO S BECOME EMPLOYERS AND SHOULD AO OBSERVg FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES ECT UNLICENSED CO CIORS CANNOT BE EMPLOYE q UNDER ANY_CIRCUMSTANCES. OWNERS EING ADEQUATE TO 4,�,�j,QQQ P�_NALTY UNDER FLORIDA STATUTE NO, 45S-228(1). AN_O�'r' PATIONAL THE FLORIDA THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTI NT ATE ORF C7E:LE="ONE THE BUILDING DPARTMNC �4� CE:TrFlC-ATE" TO ASCERTAUN IF A PERSON IS A LICENSED CONTRALTO 5825) IF IN DOUBT, 1„I��I.�p./OWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT'AND THAT 1 COMPLY WITH ALL TME REQUIREMENTS FOR THE ISSUANCE OF AN OWNER.-BUILDER F'CR1•If7. P £RfcY owN•ER/BUI/�� TELEPHONE ADDRESS \!�\1►►111111110111/Z�/ y DAY OF SWORN TO AND SUBSCRIBED BEFORE ME THIS / V� M�SSIONFrA•. /�5 5'2�0p OTARY ' BUG ;* f ,.a NOTE. PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: /v 2: -CC 613829 y �= ARE EMPHASIZED BY THE BUILDING ��• hof Sonded�`� ��i,99�p:ryPublic1; D EPARTM ENT. RECEIVED MAR 18 9002 ' City of Atlantic Beach Building and Zoning City of Atlantic Beach- 800 Seminole Road • Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - FAX (904)247-5805- http://www/ci.atiantic-beach.fl.us PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION ' DATE APPLICANT YV��l/�� l G- // ADDRESS /doZ scr�/A.)0 �� PHONE: ADDRESS WHERE WORK IS TO BE PERFORMED IQ S LEGAL DESCRIPTION: BLOCK NUMBERLOT NUMBER 4 c ZONING DISTRICT CONTRACTOR (9w ij 2 STATE LICENSE NUMBER ADDRESS PHONE CITY STATE ZIP FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE O elC�fRro[ 0J1A dc+cyS or PRESENT USE OF LAND OR BUILDING(S) e VALUATION OF PROPOSED CONSTRUCTION Is this an addition? NO If yes,what are the dimensions of the added space: N1 4 feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? e5 New fireplace? Xo New heating/air conditioning? No Is approval or Homeowner's Association or other private entity required? O If yes,please submit with this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone: (904)247-5826 01/02/02 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works, a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands, CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE �1 �0 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED . WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING ADDRESS f 0 nZ 2itif��yrJ�P u PHONE FAX E-MAIL A SWORN AND SUBSCRIBED BEFORE ME THIS ` DAY OF O V STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE AS TO OWNER: ❑ Personally known Produced identification �1 Uo�04Ct�(o 3o1G ,'gas`• "'•• GEORGAA.HORN Type of identification produced gin W r' �.:A' ..� 4MMISSION#DO 030526 'A''i' ;EXPIRES:June 3,2005 7 pi Jonded Thru Notary Pubk Underwriter AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced 01/02/02 PAGE PROJECT WORKSHEET OF FORM 199 BY DATE SUBJECT CHECKED BY DATE : .., • ThI drC T ' VAIV f : 1 - - _ �- -- t i : Cary A p - - -- _-, - ;-- - --- --- --� __ _4— -_ 8 o� o S614 —r i —�-- ---- -- ' T i I , -I- i E i M : _,_ _;-__ .._ter__.— _--•-___, _ -r-- . t — — ii 1 4 � i i i 1 CAp 1jy OF aR o BUf�DAT�oFIc B CN PR 12 740? Al f�� `.D 31H0 A9 03NO3H0 103rans 31H0 Ike 66l M103 Ao 133HSNHOM 103PO2ld 3`JVd CITY OF B� vt��n��` .�,/_� rile/ Office of Building Offlcla REQUEST FOR INSPE ION j l Permit No. Date 7 �"� Time Received O� � Locality Job d ress ! n Owner's Contractor d L Name PLUMBING MECHANICAL BUILDING ❑ Roug ❑ Air Cond.& ❑ CONCRETE ELECTRICAL ❑ Footing ❑ Rough Wiring ❑ Top Out ❑ Heating ElFraming Slab EJ Temp Pole Sewer Fire Place Re Roofing ❑ ❑ Final ❑ Pre Fab Insulation ❑ Lintel READY FOR INSPECTION A.M Tues. G Wed. Thurs. Frida _- Mon. A.M. Inspection Made Final Inspectio Inspector i ica upancy ❑ Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21013 Address: 1025 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 11/20/2000 Name: HITE, JEFF Total Fees: 50.00 Address: 1025 SEMINOLE ROAD Amount Paid: 50.00 ATLANTIC BEACH, FL 32233 Date Paid: 11/20/2000 Phone: (000)000-0000 Work Desc: REPIPE 10 FIXTURES CONT RAC R S' Ai°P 'ISN FEES 3 PAUL SEEBECK PLUMBING PERMIT 50.40 : -- Ins tions R u[tred� FI NAL i NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER-PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $50.1614 c� Date: 11/28/88 81 Receipt: 06136CHECKS 34 AT TIC BEACH UILDING T. 88188"21W CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: �L� � �� TELEPHONE NO. PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS: 2�j d `Z o c�2 o r�> STATE LICENSE NUMBER: CF�O 5; TELEPHONE: SOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS 2 CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER (-2 RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER ( x $3. 50 + $15 . 00 TOTAL FIXTURES: 1 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: INSTALLATION OF PLUMBING AND FIXTURES MUST BE I ACCORDANCE LUMBING CODE. WITH THE MOST RECENT EDITION OF THE SOUTHERN STAN CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826