1090 Seminole Rd (vault) DEPARTMENT OF BUILDING FOR OFFICE USE ONLYDate `� - �7 19� � a
C OF ATLANTIC BEACH, FLORIDA permit #DFee
Valuation $ 3, 0 0O . °°
G Application for Permit for HOUSE # i0 Ifo -5 X-6
Miscellaneous Alterations, '
and Repairs )
DESCRIBE: 3 5Q � t r 6 el 0-r e• CCL-r' L-1 o o)c/
(State if to repair, alter, add to or move building, erect awnings,
signs, etc. )
Building on: Lot No. Blk No. Sub.Div. �? 3
Addreos 0 u-�" � vc.k t Valuation $
,_---/ Owner 's Name
BUILDINGS AND OCCUPANCY
Building Use - Residential or Business
What Plumbing work to be done?
Size of Present Bldg. Size of Extension Lot Size
0o. of stories now after altered Material of roof
Material of Present Building Material of Extension
NECESSARY PLANS TO BE SUBMITTED HEREWITH
OIL BURNER OR GASOLINE EQUIPMENT
Name of Oil Burner or Gasoline Pump Type or Model
Nzne and Address of Manufacturer
In connection herewith, application is also made to install:
gc.l. capacity tank (s) made by of gagge metal
ground. (Name of Manufacturer) tUnd• or Above)
(Under ar Above) of building. For
Inst e or Outside) --(Ta—me o Purchaser)
FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF
THIS BLANK
SIGNS
Size Classification
(State whether ground, r oo , wa prod ecting, anner)
Material of Construction
Illuminated? Type of illumination
(St-ate w et er 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 reverse side)
IMPORTANT NOTICE:
In consideration of permit given for doing the work as described
in the ahove 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 Standard Building Code) .
1
Signature of Builder or Owner �iJC1JL1 older)
Address 1 leu Phone No. 5 09-
FOR OF�F17 USE ONLY
Date-------- ... .... ......Z�19 ------
Permit #•-1••-•----•--.. ...Fee
CITY OF ATLANTIC BEACH
Valuation .....................................
..... .............
FLORIDA House # ...
..........
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 su:bm4itte to this office so that licenses can
be verified.
Date_....... 191 ...
..... 2................... ..
... ..... .....
..........Telephone No.....
Owner---------------------- •-•----------------------- .......................Address-------------------------------------------------- ------
� �4-------------------------
Architect_---------------------......................................................................Addres&...........................................................Telephone No-----------------------------
Contractor Builder------. ------------------------------------------Address_....----_--------- Telephone No-------------------------
Lot No ---Block No...-------- -------------Sub Division----
.-ZoneA-A----
------------ a
---------------Side Between....... -------------------and------------------------------------------------------St
------ ......Street
Valuation $_._., ` •..For what purpose wused....__..------------Type of construction. ; ..--
/
building be
f Footings...... .......
----------------Size o
Dimensions of Building-----------6------------- mensions of Lot
Size of Piers---------------------------------Size of Sills----------------------------...Greatest Sill Span in ft._............---------Type Roof--,.. . ........ .........
",..I...........
.... . Will Building be on Solid or Filled Ground?-- ---- -------
How will Building be Heated?------
Size of Ceiling Joists-__.__. ------------- Distance ;n Centers...........
...........------, Greatest Span___._..._S--------------------------------
..
Size of Floor Joists.....•. ----------------, Distance on Centers-- ------- --- -------- Greatest Span..-.--_ --------------------------
--------------------- ----
Size of Rafters ----------------------------------------------------- Distance on Centers Greatest Span----------- ...................... .
-
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. Pq Z
Pq
2. When steel is in place and ready to pour columns and/or lintel. Z
3. When steel is in place and ready to pour beam. E-4
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.
7. Electrical inspection by City of Jacksonville. V2
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 of Atlantic Beach.
Signatureof Builder.---... ................................................................... Address..................................................................................................
Signatureof Owner------------------------------•----..............-----.....-----a..............- Address-------_-------------------- . ............................................................ .....
FOR OFFICE USE ONLY
Date.......
Permit
CITY OF ATLANTIC BEACH
Valuation .........................
FLORIDA House ...........................
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. 4
Date--...----- P ------ - -------------•-----, 19....//
,
Owner------ ----
-------- ---- --------------------------------------Address-----------------------------------------------------------Telephone No.
Architect---------------------------------------------------------------------------------------------Addres&...........................................................Telephone No----------------------------
Contractor Builder------cl_�_ ---------------------------------------------Address---------------------- --------------------------Telephone No.---------- -----------
,'7 'Of I _1 I -7
Lot No. --------- 'ie �� _; `�14 I.?-.-Zone-A--A----
--------------.........Block No-----------/--------------_---Sub Division----- -- - ----
ts
....Street-------------------------Side Between.-....------------__---------------------------and--------------------------------------------------- -S'
)--- ---- 74 ----------
Valuation $.___- /
...For what purpose will building be used--------
------------Type of construction_ �00�
10
/0'
Footings...__ .......
-dimensions of Lot- ------- ------------------Size of
Dimensions of Building-
Size of Piers--------.-------------------------Size of Sills-----------.------.-- --------Greatest Sill Span in ft. .....4�
ft.-------------------------.Type Roof- --- -------
ejo.wr Centers........... .
...........Will Building be on Solid or Filled Ground?... ............
How will Building be Heated?
Size of Ceiling Joists-------4 1 Distance on Centers.......... .............................., Greatest Span----------
/. '0' 4�_)----------------------------
------ Distance on Centers- Greatest Span-..__...----- ----------------------------- --
Size of Floor Joists_--------- ..# ------------- Centers.. ...-._. --------------------------I
................ Greatest Span..--------- --- ------------------
Size of Rafters..--------------•-------------/----------------------- Distance on Centers. ... ................. T'
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 ane 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 Z
3. When steel is in place and ready to pour beam. E-4
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.
7. Electrical inspection by City of Jacksonville.
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
a part hereof, an cordonce with the building
work in accordance with the attached plans and specifications, which are in ac
regulations of the City of Atlantic Beach.
Signatureof Builder__---•-•------._.---------------------------------------------------------- Address....... ..........---------------•---•----•----------•-----
Signature of Owner-- -------------------------------------------------------------
--------------- Address------------------------------....................................................................
i
i
9384
i DEPARTMENT OF BUILDING PERMIT NO...
iCITY OF ATLANTIC BEACH.FLORIDA '00CAC
PERMIT TO BUILD
j THIS PERMIT MUST BE POSTED ON JOB
t ooc
January 4 19_$g I
Date
Fee$
no fee
Valuation$ I
aid to City Treasurer,and is
permit rmit not valid until above fee has�n p able provisions of law.
'� I subject to revocation For violation of applicable
{I r,9ichael Rowe I
li This is to certify that
j �y� remove tree due to lightning strike
has permission to`tStf11
Classification Re s ident ial
Zone
I,
i Owned by Block S/D I
I LotI
I House No. 10 () Seminole Road
mit
s which are part of this Per
According to approved planNOTICE—ALL CONCRETE FORMS I
AND FOOTINGS MUST BE IN- i
SPECTED BEFORE POURING. I
PERMITAFTER DATE OF ISSUE
MONTHS
0 Building material, rubbish and debris
I i �—�► laced
zI fron, this work must not be p
i in public..space, and must te Lhere�on -
u bhuled away Y
traowner.f
ch r
I
/ Buil ' official.
I
I
i
I CONTRACTOR
I
FOR OFFICE PERMIT DATE
USE N
NUMBER
O
iPLUMBING I
i I
I ELECTRICAL i
SEWER
WATER
i
CITY OF �.
1*&4f c Feacl - 12&uWa.
716 OCEAN BOULEVARD
P.O.BOX 26
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2396
APPLICATION FOR TREE REMOVAL PERMIT
DATE /f � � 7
Applicant
NAME e C- GJ
ADDRESS
Owner
NAME
ADDRESS /O 5 o S�����/e /kJ
Location of tree if different from owner ' s address : /C//X
Reason for Removal : r
Rear Lot Line
a� a�
indicate T
possition of
tree on 0 0
0 0
lot a a
v a�
•b v
Front Lot Line
Building Ocial
DEPARTMENT OF BUILDING FOR OFFICE USE ONLY
CITY OF ATLANTIC BEACH, FLORIDA Date �4-,)-1 -19�7�-�
----------- Permit # /ZJ3 Fee $- ,- - 2
Application for Permit Valuation $�C D
for Misc. Alterations House #,7 Z42, Som
and Repairs
DESCRIBE: Z�2n d C
(state�if to repair, alter, add to or move building, erect awnings
or signs, etc. )
Building on. Taot 7o. d Blk No. Sub.Div. S
Address 90 4 Valuation $
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
banner)
Material of Construction
Illuminated? Type of illumination
(State whether lamps or neon)
Will sign be over public property?
SUBMIT DRATRING SHOWING CONSTRUCTION OF SIGN AND f42THOD OF HAN:,ING
WRITE ADDITIONAL INFORMATION BELOW
(For canvas awnings provide dimensioned dr8L&mss ve side)
la
A.
DAT
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. (3outhern St�a4dard B ld'n Code)
Signature of Builder or Owner
Address 4 C) PhoneS-
�s CITY OF ATLANTIC BEACH
S z 800 SEMINOLE ROAD
1 s ATLANTIC BEACH, FL 32233
=t INSPECTION PHONE LINE 247-5826
Jl3
Application Number . . . . . 04-00029354 Date 12/06/04
Property Address . . . . . . 1090 SEMINOLE RD
Tenant nbr, name 13 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
DDS, EDWARD M. RAS STEEG PLUMBING
1090 SEMINOLE ROAD 1601 MAIN ST
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-5191
---------------------------------------------------- ------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 126 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
- ---------------- ---------- ---------- ---------- ----------
Permit Fee Total 126 . 00 126 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 126 . 00 126 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANETC BEACH ORDINANCES AND THE FLORIDA
WELDING C DES
y
BUILDING OFFICIAL
t•
CITY OF ATLANTIC BEACH
p PLUMBING PERMIT APPLICATION
Lj
Date:
Property Address: -- -
� Telephone
Owner:
i
Telephone
Contractor: z
�L
Fax #: ail _0�3.`1-
contractor Address:
the work descnbed u1 the above statemel. we hereby agree [v Perform said wvrk in
In consideration of permit given for doing ifications wtuch are a Pan hereof and in accordance with the Cin of A[lanti� Beach
accordance with the attached plans and spec
ordinance and standards of good practice listed therein.
lnstalladon of plumbing and fixtures trust be m accordance with the most
recent edition of the Sou[hem �[andard Plumbing
Code.
If other construction is being done on this building ur site,
list the building permit number.
I Plumbing Type: o New ---
Re-Pipe ----
II
INumber of Fixtures: Showers
� Bath Tubs ---
Shower Paris
3 Closets
Sinks
1 Dishwashers
Urinals
Disposals
_� — Washing Machine
1
Floor Drains
Water
Lavatory --
-- Water Heaters
Sewer
_ Other
I -
Fees
Permit Issuing Fee: $35-00
?{ $7 OU $35.U0 =
� Total Fixtures: _
ci.atlantic-beach.fl.us
800 Seminole Road9Atlantic chh �{dW2233-` 5
Phone: (904) 247-5800 . Fax
CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
r ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00028399 Date 6/03/04
Property Address . . . . . . 1090 SEMINOLE RD
Tenant nbr, name . . . . . . REPL SIDING/2ND STORY
Application description . . . SIDING
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4550
Owner Contractor
-
------------------------
- ----------------------
DDS, EDWARD M. RAS TWO M CONSTRUCTION
1090 SEMINOLE ROAD 1122 9TH ST
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 246-1529
-------------------------------------------- --
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50
Issue Date . . . . Valuation . . . . 4550
Fee summary Charged Paid Credited ----Due---
----- ---------- --------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total 27 . 50 27 . 50 . 00 . 00
Grand Total 82 . 50 82 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
•
QB ING OFFICIAL
Cc:
y,,y. CITY OF ATLANTIC BEACH D. Ford
S r�, . iggi s
BUILDING / ZONING DEPARTMENT . oerr
JS 't. Ss1
800 Seminole Road -
J Atlantic Beach,Florida 32233 R E E- i V
(904)247-5800 CITY OFATLANTICBEACH
(904)247-5845 Fax
MAY 2 8 2004
PLAN REVIEW COMMENTS
BY
Permit Application # p4- 7—8 3 99
Property Address: O 9 0 �'�' ( VJOIT. '
Applicant: `�—w o I'''� �t ('no ST'(LV CTI O
Project: C4 / �►J� 'R-�
T,_hiispermit application has been:
a Approved
Z�wed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: Date:
RECElVEf.D !-
CITY.OF ATLANTIC BEACH
yG '' `` CITY OF ATLANTIC BEACH
MAY 2 8 2004 BUILDING PERMIT APPLICATION
J
(Alterations& Additions)
/ � f
BY: �� � Date: 6 -' 2U' - d A1C
I
Job Address: !?n S�h4 %n D
Owner of Property: n h ?4t
Address: .16 g b S hz Y1.1> o /2 o Q J�— Telephone: .2 2
Legal Description: Block Number: Lot Number: Zoning District:
s'( �,S�rd�:lan State License Number:
Contractor: � G!> !t �iCt..�---—,,
Contractor Address: 11 �
12
Telephone: D ) �f' -J-S-Z 9 Fax:
Describe proposed use and work to be done: 70/ G TYi h vL .S�d1 —
29Alp
r
Present use of land or building(s): S,`h 9 1 Q �d yhr
Valuation of proposed construction:
What are the dimensions of the added space: feet x feet
Will the added area be heated and cooled? _ New electrical or increase in service? do
Add plumbing fixtures? 10 p Add fireplace? in�� Add heating/air conditioning?
Is approval of Homeowner's Association or other private entity required? _ o If yes, please submit with this
application.
Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees?
El NO. Applicant certifies that , gomaterial
ts
❑ suan a of a Building YES. See Step 2 below. Approval of hePublic Wrks Departmentis required prior
Permit.
ff'NO. Applicant
certifies that no trees will be removed for this project.
YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
STEP I. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this
formatio
n, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctlyverifyzoningdesignation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (If not required, written verification must be provided with this application.)
The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, 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
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.us Revised 1/04
Page 2
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.
I. 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. If required by the Department of Public Works,a pre-const aphical survey.
4. Any significant environmental features,including any sdictional wed ds,CCCL,natural water bodies.
5. Impervious Surface area calculations: include iveways, sidewalks, atios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surf ce.
6. Other information as may be appro d' idual applications.
I hereby certify that all inform on is rrec _
Date:
Signature of owner:
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.
�� ,Q � a�
Signature of Contractor: Date: d��— � cam`
Address and contact information of person to receive all correspondence regarding this application(please print).
Name: fterJ R C.,SSelo —Two 41
Mailing Address: 7
476 n' pr 4—d /.�Lei 3ZZi"v
Telephone: SL7Fax: �0 �� oZ-�'�"� S 3g E-Mail:
AS TO OWNER:
,2o bS�.
Sworn to and subscribed before me this day of
State of Florida,County of Duval
. Dasher Notary's Signature:
,A%11111, G
P0,'''% WOD n#CC 954808
1 ..
o:• Commies►
r _ empires Aug. 28,2004 ❑ Personally known
Bonded Thrn
OFFt � Atlanta Bonding Co„jnr ❑ Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20D
,
State of Florida,County of Duval
Gwen E. Da
s Signature —)2:
A
�Commission ff CC
Expires Aug. 28
Q�c Bonded Personally known
iFliFFt��` 4tlanfic Bonding C .. r'
o,,,,,,• Produced identification
Type of identification produced
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ei.atlantic-beach.fl.us Revised 1/04
Page 3