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1679 Seminole Rd unit 1-4 (vault) PSR-3844 09950 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION - - --- LOCATION INFORMATION -------- Permit Number : 9950 Address : 1679 SEMINOLE ROAD #2 Permit Type : RE-ROOF ATLANTIC BEACH, FLORIDA 32233 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: Estimated Value: $2000 .00 Improv. Cast : $0 .00 Total Fees : $22 . 50 Amount Paii : $22 . 50 Date Paid: 4/ 3/95 Wor!•. REPLACE OLD ROOF WITH NEW ---------- OWNER INFORMATION ----- ---- APPLICATION FEES ----- Name : DOUG DOANE PERMIT $22 . 50 ..- Ire ss 1679 SF14INOLE ROAD #2 WATER IMPACT FEE $0 . 00 ATLANTIC BEACH , FLORIDA 32233 SEWER IMPACT FEE 50 .00 Fhone: { 904) 745- 0'728 WATER METER,'TAP 50 .00 RADON GAS-H .R . S . $0 .00 ------- CONTRACTOR INFORMATION ------- RADON CAB 5% $0 . 00 Name : CHATHAM ROOFING COMPANY CAPITAL IMPROVE , 50100 Address : 3536 UNIVERSITY BLVD. N . # E _ SEWER TAP SO .00 ij!:''KSONVILLE , FL 32211 CROSS CONNECTION 50 .00 ti,-:ense : FC004598' Type , SEC H IMPACT FEE 50 .00 CONST. SURCHARGE 50 .00 SCHARGE/ATL.BCH . S0 < 00 NOTES: 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 PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" 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 Date: 4/ 4/95 01 002.00 14 DCCa��te��:gg 4/04!95 01 Rcpt: 0043063 By: t pQl(�1003221000 CITY OF ALANTIC BEACH Poor MG PERMIT APPLICATION Owner(s) : � Phone: Address: Lot #_, Block or Unit # __Subdivision: Contractor: Address: City, State and Zip J \(1X =Phone .)i State License # or Describe work to a performed: " Valuation of Proposed Con truction: Materials to be used: Signature of Owner; Signature of Contractor: Liability Insurance Supplied c / Workers Compensation Insurance Supplied License Information `� CITY OF ATLANTIC BEACH r s) 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 7-7 tlv INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000863 Date 6/24/08 Property Address . . . . . . 1679 SEMINOLE RD 02 Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------- Application desc REPLACE WATER HEATER ------------------------------------------------------ Owner Contractor - ------------------------ ----------------------- HURD ATLANTIC COAST PLUMBING CORP. 1679 SEMINOLE RD. #02 DBA:ATLANTIC COAST PLUMB. &TILE ATLANTIC BEACH FL 32233 Q/A: PARRISH, NICHOLAS JACKSONVILLE FL 32224 (904) 249-5381 ---------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Permit Fee . . . . 42 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/21/08 ----------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Jun 24 08 11 : 10a Susan Parrish 904-246-3673 P• 1 -��- CITY OF ATLANTIC BEACH s PLUMBING PERMIT APPLICATION tt Property Address: i Owner: /Y_-'-dam _� _ Telephone#: _�-LGs�.L � Cuatraetor: ��? /��'/!'�� J ►!'� lelephor,e #: _��% - .7.� -? Contractor Address: � �P.G� j�� 1 �� Fax :_.45t :D- „� � In consideration of permit given for Doing the work as describeu in the above statcrncnt.we hereby agree to pert�rm%aid work in accordanoe with the torched pluu and specifications which arc a part hercul*and in"curdance with the Cit%'o"Atliuuic$each ; ordinance and standard. of good practice listed therein. Installation of plumbing and fixtures must be Li accordance with the most recent edition of the Southern Standard Plumbing Code. - Plumbing Type: lfother construction is being done on this building or site. New list the building permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains __ Washing Machine Lavatory Water Sewer �_ water Heaters 1-119al ice Other Fees Permit Lmuing Fee: 535.00 Total Fixtures: �_ X S'1.00 + S35.00� I I 800 Seminole Road . Atlantic Beach, Florida 32233-5445 Phone: (904) 2475800• Fax: (904) 247-5845 . http:llwww.ci.atlantic-btrach.fl.us l CITY OF ATLANTIC BEACH SSI 800 SEDHNOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033392 Date 6/28/06 Property Address . . . . . . 1679 SEMINOLE RD 01 Tenant nbr, name . . . . . . INSTALL SEWER LINE Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ RONALD J. REEG ASAP PLUMBING CO 5 LYNNEFIELD CT SD SERVICES OF JACKSONVILLE MEDFORD NJ 08055 P. O. BOX 16631 JACKSONVILLE FL 32245 (904) 994-6440 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WrM ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUR DING CODES ;t CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION sl 1 � / Date: Property Address: /� 72 Owner: /,�o �' F Telephone #: 7- Contractor• ' c 1jw,, -,,5-Telephone #: Contractor Address: ;,q�; �L �a�<iJ 'Fax#: y�" 7 7z� In consideration �, m of t given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, O New list the building permit number: O Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Z/ Other Fees Permit Issuing-Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road . Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845• http://www.ci.atiantic-beach.fl.us ► �, `r � fps>• CITY OF ATLANTIC BEACH is1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept Da,coab.us Application Number . . . . . 07-00001166 Date 8/28/07 Property Address . . . . . . 1679 SEMINOLE RD 03 Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------------------ ---------- Application desc 1 CU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CARREY, STEVE PERFECT-CLIMATE HEATING AND AIR CONDITIONING, INC ATLANTIC BEACH FL 32233 11210 PHILLIPS INDUSTRIAL BLVD JACKSONVILLE FL 32256 (904) 646-1020 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 51 . 00 Plan Check Fee . 00 Issue Date . . . Valuation . . . . 0 Expiration Date . . 2/24/08 ---------------- ------------------------------------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 51 . 00 51 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 51 . 00 51 . 00 . 00 . 00 i PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Aug 17 07 10:20a Perfect Climate Htg&Air 904-262-7703 p.2 CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION J:1 y i (DaRte: - t 5 -o Property Address: t (or-y("nn 1 `1� l n O l e, L` ack -1*3 Owner: t0O-r C-kA Telephone N: Contractor. Pel-Ve-c C1��0.�� VA + AitTelephone#:I n LA(Q- 1 bD O Contractor Address 1 N IN i Ig Fax#: DUa - T)03 Contractor Signature: 21JI-4 L L In consideration of permit given fa doing the work as described in the above statement,we hereby ague to perform said work in accordance with the attached plans and specifications which are a part heroof and in aeoordance with the City of Atlantic Beach ordinances and standards of practice listed therein. 'hype of Heating Fuel: If other construction is being done on this building or site,list the building permit number. Electric ❑ Gas: _LP _Natural _Central Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed _Central _Floor Residential ❑ Air Conditioning: !Room 1 Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm ❑ Refrigeration Maximum New Building ❑ Cooling Tower:Capacity >p Existing Building ❑ Fire Sprinklers:Number of Heads o Elevator. _ Manlift Escalator (Number) Replacement of Existing System i ❑ Gasoline P_umps (Number) O Tanks (Number} ❑ New Installation 13 LPG Containers (Number) (Ido system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping O Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDrr'IONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model Manufacturer Too's A1: Y LBEATC a. UL- BEATING—FURNACM ING—FURNACES.BOILERS.FIREPLACES&AIR HANDLER'SApproving Number Units Description Model it Manufactum BTU's Agcy TANKS Nominal Capacity Type Liquid Serial Approving How.M 6t Dimensions Contained Manufacturer No_ 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845• http://www.ci.atlantic-beach.il.us Revised 1104 S.LIr`. CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION r1Date: I `- ((j " 0-7 Property Address: R coact -4*3 Owner: -- Telephone #: Per I er0kk,MCJ Q Hecct'� AIt'Telephone #:�aLik - 16D O Contractor Address: 6 1 ( k 2 Fax#: c�LQa - �19U3 Contractor Signature: Lk��— In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: Electric ❑ Gas: _LP _Natural _Central Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed _Central _Floor Residential ❑ Air Conditioning: Room 1 Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacitycfm Ll Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: __ Manlift Escalator (Number) Replacement of Existing System ❑ Gasoline Pumps _ (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• htta://www.ci.atlantic-beach.fl.us Revised 1/04 �s CITY OF ATLANTIC BEACH Y. . 800 SE HNOLE ROAD x; ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . 06-00033364 Date 6/26/06 Property Address . . . . . . 1679 SEMINOLE RD 01 Tenant nbr, name . . . . . . SEPTIC TO SEWER Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ RONALD J. REEG CITY OF ATLANTIC BEACH 5 LYNNEFIELD CT MEDFORD NJ 08055 ATLANTIC BEACH FL 32233 ------------------------------------ --------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 6/26/06 Valuation . . . . 0 Expiration Date . . 12/23/06 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . SEWER IMPACT FEES 1250 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 1250 . 00 1250 . 00 . 00 . 00 Grand Total 1250 . 00 1250 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WrM ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Page 1 of 1 Graham Shirley From: Kaluzniak, Donna Sent: Monday, June 26, 2006 10:27 AM To: Graham Shirley Cc: Walker, Chris; Brugman Kerri Subject: RE: 1679 Seminole Rd unit 1 Shirley, Chris met with his plumber, tap is existing and has been located. This is only for the one unit 1679-1 Seminole Rd. His impact fee will be $1250. Thanks, Donna From: Graham Shirley Sent: Monday, June 26, 2006 10:23 AM To: Kaluzniak, Donna Cc: Walker, Chris; Brugman Kerri Subject: FW: 1679 Seminole Rd unit 1 Donna, Mr. Reeg called to advise he wants to set up septic to sewer for 4 units at 1679 Seminole Rd, could you please give me a price on this. Thanks Shirley From: Walker, Chris Sent: Monday, June 26, 2006 10:19 AM To: Brugman Kerri Cc: Graham Shirley Subject: 1679 Seminole Rd unit 1 Hey, Ron Reeg of 1679 Seminole Rd just called me and is tying into city sewer but is in south Florida. I told him that he needed to pay his impact fee and the plumber will need to pull a permit to do the work and that we will have to inspect the tie in. 6/26/2006 C7TY OF.-�: _XNT?C B---ACI. 300 SENtivCLE ROA TELEPHONE: , )04) :47--800 FAX: '904- -247-5305 _ SUNCONt: 3�2-5800 I www.coab.us CC 4 r c r C U City m' sw ❑City AttoMq June 28, 2006 ❑Pr SS ile ❑ I Date: Christopher Anderson --1679 Seminole Road, 44 Atlantic Beach, FL 32233 RE: Pedestrian Path Dear Mr. Anderson; This is to respond to your letter of June 19, 2006 addressed to Mayor Wolfson and the city commissioners. Your letter requests information about any plans the city may have to extend a s no lans to extend pedestrian path along Seminole Road in front Road in front of yourur house. hho lose at any at any the near pedestrian path on either side of Seminole future. The city has installed pedestrian paths on the north end of Seminole Road, Plaza Drive and West Plaza Drive. Planning is being completed for extension from West Plaza to Main Street. The Mayor and Commission have approved extensions to the pedestrian path system on a yearly basis during the budgeting process. Additional extensions to the pedestrian path system will be discussed with the City Commission during the upcoming budget reviews in August. However, none of those extensions to be proposed will come anywhere near your house. IH, at sc point ;n the future, an extension of the pedestrian path system in front of your hot se. is considered,then city staff will weigh the engineering alternatives as to which side of the street to put it on. Your input would be welcomed at that time. In the meantime if you have any questions or require any further additional information please let me know. I am, Very truly yours, Hanson City Manager cc: Mayor and Commission Rick Carper, Public Works Director �SS CITY OF ATLANTIC BEACH - 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 u INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030042 Date 4/06/05 Property Address . . . . . . 1679 SEMINOLE RD 01 Tenant nbr, name . . . . . . 10 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ LEE, ERROLL ASAP PLUMBING CO 5 LYNNEFIELD CT SD SERVICES OF JACKSONVILLE MEDFORD NJ 08055 P . O. BOX 16631 JACKSONVILLE FL 32245 (904) 994-6440 ------------------- ---------------------------------- ----------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ----- ----- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES�.0\ BUILDING OFFICIAL � j r CITY OF ATLANTIC BEACH ��f �s PLUMBING PERMIT APPLICATION r t) j Date: Property Address: Owner: — 4 ,t11011_ zTelephone#: 2 k 7- G� Contractor: SA /� �°aluM/1 i-. Telephone#: Contractor Address: PG /'oX ;-a7e Fax#: 3 A/,/. -0776 In consideration of permit given for doing the work as described in the above statement,we herebv agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type•• If other construction is being done on this building or site, u ew list the building permit number: Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers _L_ Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other Fees Permit Issuing-Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road .Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904) 247-5845. http:llwww.cl.atiantic-beach.fl.us 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 3 ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . 04-00028244 Date 5/10/04 Property Address . . . . . . 1679 SEMINOLE RD 03 Tenant nbr, name . . . . . . RE-PIPE 8 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- CARREY, STEVE ASAP PLUMBING CO. 1679 SEMINOLE RD. #03 P.O. BOX 16631 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245 (904) 993-3433 -------------------------------------------- ---------------------- Permit . . . . PLUMBING PERMIT Additional desc Permit Fee 91 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- Permit Fee Total 91 . 00 91 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 91 . 00 91 . 00 . 00 . 00 P r 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. F BUILDING OFFICIAL -ell, OF � c r. CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: — O-/ Property Address: /e 7 5 u.Y :i 'X3 Owner: Telephone #: 2,411- Contractor: y/-Contractor: A Telephone #: 7 5 t- Gyy6 Contractor Address: 6' G 13La7D 1 el Z, Fax#: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: if other construction is being done on this building or site, � w list the building permit number: e XRe-Pipe Number of Fixtures: / Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains / Washing Machine Lavatory Water Sewer / Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 = 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845• http://www.ci.atiantic-beach.fl.us ------ -- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 - --- - T- Tdd RMATION -- PERMIT INFORMATIONs: 1679-4 SEMINOLE ROADPermit Number: 23378 ATLANTIC BEACH, FL 32Book: Permit Type: FENCE ip: Range:Class of Work: NEW Block: Section: Proposed Use: SINGLE FAMILY ision: ATLANTIC BEACH Square Feet: Number:Est. Value: OWNERINFORATIImprov. Cost: 1/24/2002 e: MARY K Y HURD Date Issued: 10 Ofl ss: 1679-4 SEMINOLE ROAD Total Fees: 1Q 00 ATLANTIC BEACH, FL 32233 I Amount Paid: 1/24/2002 000 000-0000 Date Paid: I Work Desc: WOOD WITH ARBO CATION FEES I -- _ CONTRACTOR S HE OOD A. DOWLING _ tav sI. f s 6;�. .- ' R A. � �Ws i aaX c ST BE REQUEST D AT Ll HOt Z R TOINy S ECTION _NOTICE - -- DING MATERIAL, - A BRiS FROM THIS W�3RK MUST NOT LACED INtrUBLIC SPACE,AND f BUIL TORO NER MUST BE CLEARED UP FfAUL15 X I � �� RFS LT IN THE "FAILURE TO COMPLY ..HT PROPERTY OWNER PAYIN ' 1NIC f RMiT AND SUBJECT TO REVOCA T ION ISSUED ACCORDING TO APPROVED P .. _ — FOR VIOLATION OF APPLICABLE PROVISIONS b4MIk -- I � - !18.81 14 Date: 1/25/82 11 Receipt: UM12 A LANAI, BEAC BUILDING DEPT. 811118132 2 1818 CITY OF ATLANTIC BEACH APPLICATION FOP FENCE PERMIT Owners — 4-a �1,6;� Phone� � �� Address 16 /, - �� � ' Lot Blockan&orUnit# Subdivision Contractor if Different From Owner J Valuation of Fence Corner or Interior Lot . Type of Construction klllMllF Attach Survey Showing location and height of fence as well as location of street(s). COof Atlantic Beach PtanrNrp and Zoning Department Tttla approval verifies eompltanoe with applicable �, zoning, subdivision and other local land ��- _e( development regulations, but does not constitute approval for the issuance of permits. Compliance with Florida Building Code and all other applicable local, State and Fe ral permitting requirements C must be verified by nature oft ty of Atlantic J Beach Building O 1 ai prior t i suance of a Building Permit. i Approved By: J� Qm A y evelopment Director Date: d i Owners Signature Contractors Signature ' �� , y • i zeal; R � v. ... , r � ..,..` •71.gM �0 3H11N7�N�y�S - 1� ,' � �. `�, , NAT a 5,W s Ile- Y 1 1 .�U 13 I� ,Z c n'i m. I � ! 1 . `'-�• `+1 111 7N O ,N _ t Abb 1 • � t Vti bt.Ationtic' ern,.': i < !r a I z - - -- � w ; �1N3WdSv3 1�11l11f1 9 — ------------ i , ,ors - _ >- 21 090 s I ' a Z ` w wl V) _ 1 Zo ^ M v. 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ILOr/, BLOCK 7 I L07-.2, ,BLOCK 7 :� ,�° 6'!/ti/iry Eas�meni.s✓��%T: ro[�ne I Fund/"/in»PiA�' moo• of AeGo�`wAad/i>•i�oce p'it'on" s.s� O �` �TeLyne ` OV a r) m g Lo IN. go-it 00 E � � W , e = ZB.9 ` 50- 00' bund/"/ror�Piac _ o SH EL L SrpEEr 401 RicHr-OF-WAV NOTES N0 BUILDING RESTRICTION UNE BY PLAT,.BUT THERE MAY BE RESTRICTION UNES OR EASEMENTS THAT AFFECT THIS PROPERTY BY.ZONING OR RECORDED IN THE PUBLIC RECORDS OF THIS COUNTY THAT ARE NOT SHOWN ON THIS SURVEY. THIS PROPERTY LIES IN FLOOD ZONE"X"BY FLOOD MAPS REVISED 4/17/19A9, COMMUNITY PANEL NO.120.075 0001 D. 1�1 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT - - LOCATION INFORMATION Address: 1679 SEMINI ROAD PERMI 2 9FORMATION ATLANTIC BEACH, FLORIDA 32233 Permit Number: I Range: 0 Book: Peri Type: ELECTRICAL Township: 0 Block: Section:0 Class of Work: ALTERATION Lot(s): Proposed Use: SINGLE FAMILY Subdivision: Square Feet: Parcel Number: —J Est.Value: ___OWNER INFORMATION DOANE Improv. Cost: - Name: DOUGLAS S• Date Issued: 1/108/2001 Address: 1679 SEMINOLE ROAD Total Fees: 25.00 ATLANTIC BEACH, FLORIDA 32233 25.00 Phone: (904)249-7050 Amount Paid: -11/08/2001 Date Paid: EXISTING 400AMPS SE FROM OVERHEAD TO UNDERGROUN Work pec: CHANGE -- APPLICATION FEES 25.00 CONTRACTORS - w BROOKS &LIMBAUGH ELECTRIC _ -- wAf - -_ "'G t � ---s- .-.ar- ryc_•�y�x iy,-; 3s �:c..a - FINAL ELECTRIC _ ' RECTION NOTICE- I - yam V - x LIC SPACE, AND BUILDING MATERIA MUST BE CLEARED - ry � = THE "FAILURE TO CHER PA PROPERTY MP OW _ - - - - AND SUBJECT TO REVOCATION ISSUED ACCORDING TO APPROV FOR VIOLATION OF APPLICABLE PRO = 1 ;, G (25.88 14 Date: 11/88/81.81 Receipt: 88896_14 .—_— ATLANTIC BEACH BUILDING DEPT. eeleeeea2�18ee CITY OF ATLANTIC BEACH, FLORIDA Avvray.a or APPLICATION FOR ELECTRICAL PERMIT F TO THE CHIEF ELECTRICAL INSPECTOR: DATE.---42:� 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 CfTY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM MASTER EL ECTRICIAN�SjIGNATUCRE URN / J - NAME//l��/L!!�/G r(��;1 ADDRESS: i � RFD BOX BLDG.SIZE BETWEEN: RES. (1') APT.( 1 COMM.( ) PUBLIC ( 1 INDUS.l I NEW ( 1 OLDX REW.( ) ADDITION ( 1 TRAILER ( 1 TEMP.( 1 SIGNS ( 1 SO. FT. FEE SERVICE: NEW( 1 INCREASE( 1 REPAIR ( 1 CONDUCTOR SIZE I AMPS COPPER ( 1 ALUM. ( 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.JOG AMPSOVER BELL TRANSF. APPLIANCES AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT Q i OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS C r' Cv� (_ C�(i�-jtf fLJI/� �/� f��f/�L-z C✓2 Gtici�) TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S TOTAL FEES CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLAN'T'IC BEACH,FLORIDA 32233-5445 J� TELEPHONE: (904)247-5800 FAX:(904)247-5805 S) SUNCOM:852-5800 http://ci.atlantic-beach.fl.us ,7 ij/7 LJ 1 J -------------- ----------------- �.•----�'`'-"- ``�---------- -'_-------- FROMT_'L T------------------------------------------ RE_---�-ca a 9 q ------------------------------------ . CITY OF ,g��c �eac� - �Gvcida 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 DATE JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved: PERMIT NO. ADDRESS Ll -3 J 6 a2k � �T Please call me at 904-247-5826 if you have any questions. Sincerely, ATLANTIC BEACH BUILDING DEPARTMENT #'CITY OF Qecck-��sd� y4�le:�c . Office of Building Official REQUEST FOR INSPECTION / —o Permit No. Date A.M. Time PW - Received 6 o � Loc lily Jo dress Owner's ( t /ILS Contrac r Name 5 PLUMBING MECHANICAL CONCRETE ELECT CAL BUILDING � Rough ❑ Air Cond.& ❑ Framing 11 Footing Temp Pole 9` O TOP Out [3 Heating El Re Roofing 1:1 Slab ❑ Sewer El Fire Place Insulation 11 Lintel ❑ Final Pre Fab READY FOR INSPECTION A.M. P.M. Wed. Thurs. Friday Mon. :Tus/ C� r A.M. Inspection Made _ Final Inspection f Insp or J_ ertificate of ccupanc AC n '7/1 Lf/7R�t Da e U ` oo inn CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL 247-5826-FAX: 2475877 PERMIT INFORMATION LOCATION INFORMATION Address: 1679 SEMINOLE Permit Number: 24209 ATLANTIC BEACH, L 22 P 33 permit Type: UTILITIES Township: Range: Book: Class of Work: NEW Lot(s): Block: Section: Proposed Use: UTILITY Subdivision: Square Feet: parcel Number: Est. Value: OWNER INFORMATION Improv. Cost: Name: CITY OF ATLANTIC BEACH Date Issued: 6/06/2002 Address: 800 SEMINOLE ROAD Total Fees: 0.00 ATLANTIC BEACH, FL 32233 Amount Paid: one: (000)000-0000 Date Paid: - ---- R ONp _ NT OF THIS LOCATION Work Desc: INSTALL 1" IRRlGAT10 __ KATION FEES CONTRACTORS --- n ., >�. ,,. PUBLIC WORKS DEPARTMEN t - -� ,� * $ 0.00 a ... •` .e ._... _-_ nulred s- ,. NOTI C - INSPECTI'ON„� ST BE REQUESTED AT LEAST 24 HOURS PRION TO IIdSpE TION t, -- - - - BUILDING MATERIAL RUBBISH AI©pE8R1* FROM Tk €�RK MU:rT BE PtCED IN pULiC SPACE, AND .f3 R MUSTBE CLEARED UR AND HAULED?AV1F FI' T _- — Y--- N RESU IN THE "FAILURE TO COMP , 1NITH T tE l` v p, ” ve PROPERTY OWNER PA t�«�E�o F�`> -' if� -� — - -=V- �� HHi 2T T E AND SUBJECT TO REVOCATION ISSUED ACCORDING TO APPROV L i FOR VIOLATION OF APPLICABLE PRO_ S -- .. —- Oper: D61IT9 Type: OC Drawer' 1 Date: 6MI02 81 Receipt no: 63231 14 PEI IMBAILDIIIG 1 5.60 A TIC BEACH UILDING D � 1679 SENINO1.E RD Trans date: 6/06/02 Time: 17:84:16 InA-- �q�, 7 Ut e CITY OF 6iQ" - -r-7/-O/ `� y �� ���,� ` -�� moRe�E �CJ��Wzuc ¢GC/ti Office of Buildin Official REQUEST FOR I SPECTIO ermit No. Date TimeM' \ — Received / � .M. Job Owner's Contractor -- BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL [_ Rough Wiring Rough Air Cond. & ra Footing To Out — Heating Re Roofing Slab ❑ Temp Pole p _ Fire Place E, Sewer Insulation Lintel C Final Pre Fab READY FOR INSPECTION A.M rs. Friday P.M Mon. Wed. Tues. � —A.M. P�t Inspection Made — Final Inspection Inspector Certificate of Occupancy Date _ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD—ATLANTIC BEACH,FL 32233—TEL: 247-5826—FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Address: 1679 SEMINOLE ROAD Permit Number: 24209 Permit Type: UTILITIES ATLANTIC BEACH, FL 32233 Township: Range: Book: Class of Work: NEW Lot(s): Block: Section: Proposed Use: UTILITY Subdivision: Square Feet: Parcel Number: Est. Value: OWNER INFORMATION Improv. Cost: Name: CITY OF ATLANTIC BEACH Date Issued: 6/06/2002 Address: 800 SEMINOLE ROAD Total Fees: 0.00 ATLANTIC BEACH, FL 32233 Amount Paid: one: (000)000-0000 Date Paid: Work Desc: INSTALL 1" IRRIGATIO R ON MEDIA I NT OF THIS LOCATION ICATION FEES CONTRACTORS "' Y PUBLIC WORKS DEPARTMEN $ 0.00 k 7 W4 It q�rlred — icy x g a R w . : _._._--- -- :e- -----. NOTICE INSPECT ST BE REQUESTED AT LEAST 24 HOURS PRIOkTO INSPTION BUILDING MATERIALS RUBBISH A+1D DEBRIS FROM THIS WORK MUST NOT BE P,iGED IN PlJL1C SPACE, AND MUST BE CLEARED [1`F?AND HAULED AWAY BY EITHER O.TRACTUi © R "FAILURE TO COMPLY-WITH T STRUCTIt)N LlEtV SAN R'ESU IN THE PROPERTY OWNER PAY NG. CE fO X . � ISSUED ACCORDING TO APPROV �HkCH AREgP/ 2T 6F T�PE, AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROS C71�•tW - - -- A TIC BEACH UILDING D PSR_384� _ 15928 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LCCATION INFORMIRTT`?�,j errrit Number, 15928 bras I679-3 SEMINOLE ROAD` rtTILIT?ES ATLANTIC BEA^li , FLORIDA 322 Permit Type: ----- ---- - ,,lass of Work:NEW - ------ LEGAL DESCRIPTION Constr. Tvpe :WOOD FRAME Block : Lot. ' TwpF prop-osed Use: SINGLE FAMILY Section: 0 Subd, Rnpr Dwel linos ` rt Subdivision, Est . Value : 0 .00 Improv . Cost : 0 .00 Total Fees : 558 . 93 Amount Paid_: 658 . 93 Date Paid: '2 13/1.998 t r SEMINOLE-IMPACT FEE PAID PMT#15� ' GNI�~P INFORMATION - __.__ __. _. � _.4_ APPLICATION FEES - ---------- game . ?T't'�I3R? "c�REY PEF:MIT 0 .00 Adds ; 1 �? l BEA��IiwTDP COURT WATER IMPACT FEE 0 .00 '>TLANTI "EEACH . FLORIDA SEWER IMPACT FEE 0.00 Phone. f 90 4'2 461 ,:?, WATFR MPETER I TAP }0 } RADON 0 .00 CONTERCT42F INFORMATION - RADON CAB 5% 0 .00 Rome : FUELI'.' WORT`` D?EPARTME0"' CAPITAL IMPROVE. 0 .00 F'WER TAP 558.93 Li:. . Exn . NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION FBUILDING:MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE EAREP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT UILDING IMPROVEMENTS.99 THE PROPERTY OWNER PAYING TWICE FOR B ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION^FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CtiECKa ATLANTIG,BEACH BUILDING DEPARTMENT t ' v By: Jan-30-98 09: 56 P.01 PRICE QUOTE APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME U MAILING ADDRESS PHONE NUMBER_,2? –�/3DATE SERVICE REQUESTED SERVICE LOCATION /6 7 Y- 3 DATE SET TO PUBLIC WORKS_Z_ C ?` DATE RETURNED TO BUILDING DEPARTMENT PUBLIC WORKS DEPARTMENT PRICE QUOTE RESPONSE WATER SEWER: . e I ciqo a e d To h 2 m c;d e C-o OTHER' — PRICE QUOTE PREPARED Signature - Title DATE NOTIFIED OWNER– To cl WNERIO" d k-LLvNDW " 3 /"-A-AvH d9i =b0 96-El-9a3 PSR-3844 r DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION __ _ .. ._ _ L;-,CAT I r-"N INFORMATION =ermit Number : 1581 ' zddress : 1579-3 SEMINOLE ROAD Permit Type;LTTT_LITIES ATLANTIti BEACH , FLORIDA 32233 ."lass of Work :NEW -------- LEGAL DESCRIPTION ---------- Constr . Type:WOOD FRAME Block: Lot : Twp: Proposed Use : SINGLE FAMILY Section: 0 Subd: Rng Dwellings : 0 Subdivision: Est . Value : 0 .00 Improv . Cost : 0 .00 Total Fee: : 1 . 250 .00 Amount Paid; 1 . 250 . 00 Date P-34-1 ` 1122!1998 Deese ; SEv ^EE _ _.... OWNER INFORMATION O r n _ _ --_---. APPLICATION FEES -------- i ame : EDWARD �'.AP EY F ERM I T 0 .00 `,d ir ' ?8>1 BEA 'HS I llE URT WATER IMPACT FEE 0 .00 ATLANTIC DERCH : FLORIDA 3 2 t 3:� SEWER IMPACT FEL -- -- C,�NTF'.ACTCR INFORMATION - Name', WORKS DEPARTMENT Addr . Lic ' Fv^ . NOTES: 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 MECHANICS' 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. $1250.00 59 CHECKS 1903 41000003435200 ATLANTIC BEACH BUILDING DEPARTMENT By. CITY OF 800 SEMINOLE ROAD - - - - ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 Date / - -2 ��ulr42v C'�rc�Y ` �(,�O L F .2 -X36 Dear Property Owner: The costs to connect your building to the City sewer and/or water system are as follows : Sewer Tap - Labor and Materials to tap into sewer main $ U Water Tap - Labor and Materials to tap into ! Q water main S Water Meter .- Cost of Meter Cross Connection Inspection - Inspection by Public Works to ensure backflow prevention Sewer Impact Fees - Funds future expansion of the sewer plant $ / �� •00 Water Impact Fee - Funds future expansion of the water plant $ d Capital Improvement - Funds for improvements , expansion or replacement to water system $ TOTAL COSTS $ / 2 S�O . O O If you have any questions concerning these charges please call the building department at 247-5826 . Sincerely, Qc" C- � Don C. Ford Building Official DCF/pah CITY OF �. 800 SEMINOLE ROAD ---- - ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 MEMORANDUM October 4, 1996 TO- Bob Kosoy, Director Public Works FROM: Don C. Ford, Building Official RE- 1679 Seminole Road (4-units) Confirming our telephone conversation with Pat Harris today the cost for the sewer tap for the above four(4) units is $700.00. You stated your approval of each unit paying 1/4th of the tap along with their respective impact fees of$1250.00 each. Mr. Doane (Unit 2) is coming in Monday, October 7th to pay his share and Mrs. Anderson will be making arrangements to pay her share as soon as possible. At a later time when the other 2 residents tie in to the City sewer they will be responsible for their 1/4 share of the tap in the sum of$175.00 with their respective impact fees. Thank you for your attention to this matter. DCF/pah cc: City Manager 1 0000aaa�aaaaaa TEL No .2475805 Sep 20 ,96 10 :23 No .008 P .01 PRICE QUO] ,UDD -/-7�- f o� APPLICATION FOR WATER AND/O Celh i l _ Z71- u Al� Ts APPLICAN'�1�1lIW� (,(� / p�Nr MAILING ADDRESS /lp 7 PHONE NUMBER 40 . 4;�VZ J.1 o SERVICE REQUESTED /0-4/ re, SERVICE LOCATION c;� DATE SET TO PUBLIC WORKS DATE RETURNED TO BUILDING DEPARTMENT PUBLIC WORKS DEPARTMENT PRICE QUOTE RESPONSE WATER: SEWER: eC.& core. ore- ct d (�' t � . l ,.-, OTHER: �Q p PRICE QUOTE PREPARED BY: eaCl DIS Signature-Title DATE NOTIFIED OWNER 7J � G^U PSR-3844 12704 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ~--- PERMIT INFORMATION ----- - LOCATION INFORMATION Permit Number : 12704 Address : 1679 SEMINOLE ROAD #2 Permit Type:UTILITIES ATLANTIC BEACH, FLORIDA 3223- Class of Work:NEW ----- ---- LEGAL DESCRIPTION ---------- Constr . Type:WOOD FRAME Block: Lot : Twp: ' Proposed Use: Section : 0 Subd* 0 Rng * Dwellings : 1 _ Subdivision: Est . Value: 0 . 00 Improv . Cost : 0 . 00 Total =ter = ,1 , 425 . 00 _a h ?NFCRMATION -_._ ___ __ _ _-- APPLICATION FEES ---------- Name DCA'14E PERMIT 0 .00 Addr 1�7`? S EMINOLE...ROAD #2 WATER IMPACT FEE 0 FOr_ TT ANTIC BEACH;' FLORIDA 322 SEWER 'IMPACT ZEE -617.0 c Phrn, `'j 4`1-r5-0728 WATER METER/TAP 0 .00 RADON GAS-H .R. S . 0 . 00 ------ CONTRACTOR I FORMATLON, ---- - RADON CAB 5% 0 .00 N axAa,�,,._ PURL Imo S DEP, -TH99T CAPITALIMPROVE:' ��°�0 0 Addr : SEWER TAP 175 ^^ T Exp: / NOTES: 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 PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR,,, VIOLATION OF APPLICABLE PROVISIONS OF LAW. `'" iT !:1/x!7/96 81 Receipt; u�ys = ATLANTIC BEACH BUILDING DEPARTMENT By: 12994 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION - LOCATION INFORMATION -- Permit Number : 12994 3dress : 1679 SEMINOLE ROAD #2 Permit Type:MECHANICAL ATLANTIC BEACH . FLORIDA32231 Class of Work:ALTERATION --------- LEGAL DESCRIPTION - Block- Lot : Twp: Constr . Type :WOOD FRAME Section: 0 Subd:O _ Rna' n Proposed Use: Subdivision: Dwellings : 1 Est , Value : 0 .00 Improv . Cost : 0 .00 Total _ ," ' 37 .00 nO AIR H DLER --,------- APPLICATION FEES ------ :)WNER INFORMATION ---_. _____ 17 nn Name : tr'TT� DOANE PERMIT Addr 1679 SEMINOLE ROAD #2 ^�� j ATLANTIC BEACH , FLORIDA 322 - Phone: 11904'745-0728 ----- CONTRACTOR INFORMATION ---- Name: OCEAN STATE HEAT & AIR Addr : 1476 ATLANTIC BLVD. NEPTUNE BEACH , FLORIDA 32233 Lic : MHAR-786 Exp : / Type: 3 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATE D HAULED AWAY D DEBRIS FROM THIS WORK HER CONTRACTOR OR MUSTOWNNOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AN "FAILURE TO COMPLY WITH THE MECHANICS' LpING IMPROVEMENTS N LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUIL -T.94.� ISSUED ACC=APPLICABLE APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVO I VIOLATION PROVISIONS OF LAW. iae: 12/04/ 6 01 Receipt: 0016478 00100003221000 ATLANTIC BEACH BUILDING DEPARTMENT By: BUILDING ANIS ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC B[ACN. FI-ORIDA s:els APPLICATION FOR MECHANICAL PERMIT _ CALL-IN NUMBER-_.- IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address:-\(0-1-1 �-�P�nns✓)0 (,P-- OF `P Z OF latersecting Streets: {el.een BUILDING And Sib-di.isien II. IDENTIFICATION — To be completed by all applicants . I. conudaration of permit g;ven for doing the work as described in the above statement we hereby agree to Perform said work in accordance . M the a act,co plans and speciY,caKont which are a part hereof and in accordance with the City of Jacksonville ordinances and standards d good prect,ce 6Ued Uere�n. Na..e et sdeclsaaical Ga+irathw (h;af) C contrasten J �� r✓ Master Kece+ eI Prvpo+y 0.ner U9*4NIe e/ Owaer 01 Si nature e/ aw Aa*Wrs*J AI at ` 9 Architect or Emainaer Ill. 6040LALINFORMATION ,A. Tyleo =13ION BEING DONE ON TE T O " -❑ Lie ❑ N&Nrel ❑ C,604" U4fy Oil OF CONSTRUCTION ❑ OfA.ar — S,.eify V. MOCKA.411CAL I*UftMfT TO N N 3TALLI1D ((NNATURE OF WORK f' C6440' 1"t of compeeeah ee sod d K4 i. I LEJ�esidential or 11 Commercial Hast ❑ Shea ❑ Recessedly �+NW p 1,604, O NOW BUIlding ❑ A-C— dt 0-9: 13 Re" 113 C**Prd 9-Existing NUlldlno ❑ 0"+ �'�'"' M•tw ° Tie a", �Riplacamanl of existing system a"'•s•"' ugh �l� O New Installation(No System pravlously Installed). O ❑ Extension or add-on to existing system O C*oj;p 00.00. Cshcity D Other - Specify ❑ FA $WiAld n: Nureollter oil Breaks O E6.et« ❑ wo"ff ❑ Esc.Jete. ❑ Ss.»Co. wrr,.. THIS !PACS MR� I USI! ONLY [) T (t>r,e�..) ❑ LIG t»w+ei�era Rertwrle leetrrebe.) ❑ UIP&Od ,Asea. ❑ JJ &Dien rer /1pOear+d Dote. 13 otow — s,K:sy IamB �...� LJAT ALL SQUIPAIENT ATR C0MX710M14C AND REFRWARATION EQUWMENj Man>ter Vaib Deacr�ttyaR MO"Number X&nuft4tIvW CMPMRY A" mwbqg I�ATUIG FURNACES. BOILERS, FIREPLACES PSR-3844 12918 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION ----- -- -- - LOCATION INFORMATION - Permit Number : 12918 'address : 1679 SEMINOLE ROAD #2 Permit Type:REMODELING ATLANTIC BEACH , FLORIDA 32233 'lass of Work:ADDITION _______ LEGAL DESCRIPTION ------ `t Constr . Type:W00D FRAME Block: Lot : Twp: Proposed Use: Section: 0 Subd:0 Rng: C' Dwellings : 1 Subdivision: Est . Value . 0 .00 Improv . Cost : 3 , 500 . 00 Total Fetg; 45 . 00 Amount ='P* La 45 . 00 4TE 1NFORMATION -- --. __-__ APPLICATION FEES ------- - Name t'tt�r i :ANE rE'RMIT 00 Addr : 1679 E&.TNOLL ROAD #2 FLORIDA 322' Phoney ;1 ------ C A R INFORMATION Name: HI ENER�jSALES , INC . t'MV, —'ROAL) SOUTH 7ACKSOFLORIDA 32259- Lic 'CB € 53 ? Exp: l NOTES: 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 PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATIO�N4 FOR .00 14 VIOLATION OF APPLICABLE PROVISIONS OF LAW. Atenr - @1355 CHECKS 4073 00100003221000 ATLANTIC BEACH BUILDING DEPARTMENT By: -- CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address `� l ,UDL's- Date / /- /,S- - ?6 Heated Square Footage / @ $ per sq It = S Garage/Shed ��1 @ $ per sq it = S Carport/Porch `1�U _�M @ $ per sq V Deck @ $ per sq ft = $ Sp Patio @ $ per q tt = S TOTAL VALUATION : S 3�d p.0o �S /J_O- S /5-c J Total Valuation 1st $ 70Z) Remaining Value $5-. per thousand or portion thereof TOTAL BUILDING FEE S + 1/2 Filing Fee $ t ) Fireplaces @ $15 . 00 BUILDING PERMIT FEE S_ WATER IMPACT FEE $ _ SEWER IMPACT FEE S WATER METER;TAP S CAPITAL IMPROVEMENT SEWER TAP S. 1 RADON (HRS1 . 0050 SECTION H PAVING HYDRAULIC SHARES S CROSS CONNECTION S ( ) SURCHARGE . 00`50 OTHER S GRAND TOTAL DUE _ ADDITIONAL PERMITS OR FEES: Mechanical Plumbing- Electric/New Electric/Temp : SwimminaPool Septic Tank Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner (s) :. ilVCIA5 `j ��A-AJ t, — Address: ' 1079 1�5EM10JO(-C Phone: Lot # Block or Unit ,# Subdivision: Contractor: Neo 1 t)� 1J(lE � c,(�(o(� — �±EDG State License # ��jC(''S3�I�,S �_[�� gTg2 j Address: C`t�� nPhonnef No: �9� � Describe work to be done.: - k C JQ f�- ,5 KC tC-tt S IA.) 7 41 U V-A Present use of building: o c7 Valuation of Proposed Construction: 3 & � Proposed use: Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE (CCH!MERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF CO"dEWCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR: —` Date: License Supplied: Liability Insurance: '�` 1 } 1996 Worker's Compensation Insurance: Building and Zoning J mature vueTM SKYLIGHTS & ROOFING DOANE RESIDENCE 1679 SEMINOLE RD. #2 ATLANTIC BEACH, FL 32233 (904 ) 249-7050 SCOPE OF WORK 1 . ) REMOVE DECORATOR CEDAR BEAMS FROM ATRIUM OPENING. 2 . ) INSTALL CODE APPROVED HANGERS. �//*/G GJ 6'1-1�> /o 3 . ) INSTALL DOUBLE 2x8 CLEAR FIR JOISTS . 4 . ) INSTALL 4-PLY CDX PLYWOOD ROOF DECKING. 5 . ) DRY IN ##30 FELT & SHINGLE TO MATCH. 6 . ) INSTALL VELUX SKYLIGHTS- THREE MOTORIZED VENTILATING & THREE FIXED, SIZE 106 ( 2 ' x 4 ' ) . 7 . ) CUSTOMER TO FINISH PAINT, TRIM, ETC. 8 . SEE ATTACHED DRAWING. NiON 41996 �,. 1 Building and g N i)V 151996 Building and Zoning Hi Energy Sales, Inc. d/b/a Nature Vue—SKYLIGHTS 11369-002 Trade Court • Jacksonville, Florida 32256-2722 (904) 268-9176 0 U D (-:)J). 0 CIP cr Q¢Q 7 ~ W � G 4.05 Z 1 0 o LO N I O rn -C3 v J Ok L C U O ---------- fury cC 3 lIt-IN V OJ } XJ ------------ N J -------------- CIO m U D O ---------------- O ----- M U - T- -- W 1 � I H � W -- - ----------- Ir --- ------------ z Q - ------------ O o 0------------ LD L, � m m Q m p --------- Ln � � w ~ Q m x x = Z > > :DNF U) W O W Lu> J Lo D> -- > x Y � 1 O 1 i-+ (n Z W t-+ m mLL CLO = Jz (o3 J w Ir O Q Q J CITY OF Office of Building Official �t REQUEST FOR INSPECTION Date__- v—1" —9_� Permit No. Time O C— A. e� Received J t Job Ad& ss Localit t Owner's Name // _ Contra tor — BUILDING CONCRETE ELECTRICAL PLUMBI MECHANICAL Framing C'. Footing G Rough Wiring ❑ Air Cond. & ❑ { Re Roofing ❑ Slab i.:; Temp Pole Top Out ❑ Heating it Insolation i Lintel E Final Sewer Fire Place Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Fridays A.M. t Inspection Made __ _P.M. Final Inspection ❑ Certificate of Occupancy C! Date PSR-3844 12736 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- - PERMIT INFORMATION ---- -------- LOCATION INFORMATION ---- Permit Number: 12736 Address : 1679 SEMINOLE ROAD #4 Permit Type:UTILITIES ATLANTIC BEACH , FLORIDA 3223' Class of Work:NEW ------- LEGAL DESCRIPTION -------- Constr . Type:WOOD FRAME Block: Lot : Twp: C, Proposed Use: Section: 0 Subd: O Rng : C' Dwellings : 1 Subdivision: Est . Value : 0 . 00 Improv . Cost : 0 . 00 Total Fever. 174 . 00$176 00 Amount xxx $175500 -P TAP 9717 - TTDLTT CHRISTOPEIER J. & DEIRDREAl ER ON _ -,WNEP. INFORM yo -- _ _ APPLICATION FEES ^lameI'ERANDERSON PERMIT 0 .00 ddr ° 7 SE', -NOLE ROAD #4 WATER. IMPA£T FEE ,- 0 .,00 '.TLANT1;7 3EA .FI`rr, FLORIDA 322-1 SEVER IMPACT FEE hones 9a"s a ; `�'7�� WATER METER/TAP" 0:00 $ ejj 17i&247-9391 RADON GAS-H .R . S . 0 .00 �.UNTRI'v"TCI. T14FORMA7 RADON CAB 5% 0 .00 'dame PTJBf Z^ P71' CAPITAL- XP OVE 00 Adddr SEWER TAP x1--7x2xx0x0 175.00 L NOTES: 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 PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" 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 PSR-3844 09951 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ ---- --- LOCATION INFORMATION Permit Number: 9951 Address : 1579 SEMINOLE ROAD #3 Permit Type: RE-ROOF ATLANTIC BEACH , FLORIDA 3223? Class of Work: NEW --------- LEGAL DESCRIPTION --------- Constr . Type : WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings : 1 Cade: 0 Subdivision: Estimated Value: $2000 .00 Improv. Cost : $0 . 00 Total Fees : 522 , 50 Amount Paid: $22 . 50 Date: Pail: 4/ 3/95 DLD ROOF WITH NEW -------- --- OWNER INFORMATION ------ - ---- APPLICATION FEES ----- Name : ELI CAREY PERMIT $22 . 50 Addressr 1t)79 SEMINOLE ROAD WATER IMPACT FEE $0 .00 ATLANTIC BEACH , FLORIDA ?:_ 3 SEWER IMPACT FEE 50 . 00 Phone. ( 904 ) 74r,--0728 WATER METERlTAP $0 , 0+ RADON (3AS-H _R. S . $0 .00 --- ---- CONTRACTOR INFORMATION ---- -- RADON CAB 5% 50 . 00 Name - CHATHAM ROOFING COMPANY CAPITAL IMPROVE. $0 .00 Address : ­ 3536 UNIVERSITY BLVD, N . #161. SEWER TAP 50 .00 JACKSONVILLE , FL 32211 CROSS CONNECTION $0 .00 License : RC0045987 Type ' r SEC H IMPACT FEE 50 .00 CONST . SURCHARGE 50 .00 SCHARGE/ATL .BCH , 50 .00 NOTES: 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 PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 000000000 000000000 Q2.50 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 4/04/95 01 Rcpt: 0043068 /✓.' ;'% ,�'' �w X0003221000 By: f PSR-3844 12769 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - PERMIT INFORMATION -- - LOCATION INFORMATION ------ Permit Number : 12769 .ddress : 1679 SEMINOLE ROAD Permit Type : PLUMBING ATLANTIC BEACH , FLORIDA 3223? Class of Work':ALTERATION --------- LEGAL DESCRIPTION Constr . Type:WOOD FRAME Block: Lot : Twp , Proposed Use: SINGLE FAMILY Section: 0 Subd: Rng: Dwellings : 0 Subdivision: Est . Value: 0 .00 Improv . Cost : 0 . 00 -Total "- 25 . 00 APPLICATION FEES ------ T PERMIT 25 . 00 V ame Addr iA_ L1 2OAD > BAF^ FLORIDA all `. Phone: ------ Co*rR R I FORMAT I C h, dame CZRTI El VVIRONMENT1k,L Addr: "'>9892 NODY BOULEVRD ,ACKSON�" , FLORIDA 32221 L i, f CT 2,, . r. Exp: T ve NOTES: 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 PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" 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 gy; YOC�K rUld 05 7 9 09: 11At•1 ATL BCH CITY HALL F. 1 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMB11NG PERMIT ,,n JOB LOCATION: , �� m �� 1 _ o QTY OWNER OF PROPERTY: V- 0 C)c,_ — PLUMBING CONTRACTOR: �c�, e ( h�. C or y"Zm� S • A b 6 CONTRACTOR'S ADDRESS: STATE LICENSE NUMBER:CJ7C b5 a''Ay-1—TELEPHONE: 1D t HOW M�Y OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES, WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS ,1�t SHOWER PANS OTHER�nS `�C,"A .S ( S�j.�) L_,n� TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR! -------------------------------------- -- 7- ------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247 .5834. CIT! OF ALARTIC MCH ROOFING PBRKIT APPLICATION Owner(s) : LA r(-�i Address: 'L0_ 4-S--Phone: q�- q2�D Lot # lock or Unit # Subdivision: Contractor: Address: j fQu A n' City, State and Zip �Ckx\ �d �' __C� t Phone �U State License # ' , Describe w rk to be erfotmed: - �L- Liu 1"a Valuation of Proposed Cols ructi n: Materials to be used: Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insu7,-Supplied License Information PSR-3644 om+,£000Hoo� 9647 WEVEM-4U4 10 / :ajea DEPARTMENT OF BUILDING „4 a 0019K$ 000000000 000000000 CITY OF ATLANTIC BEACH gr MS 40 - PERMIT INFORMATION -~ -- - --- - LOCATION INFORMATION - 0. Permit Number 947 Address : 1679 - 1. SEMINOLE ROAT) Permit Type: UTILITIES ATLANTIC BEACH . FLORIDR class of Work* NEW" ------ ---- LEGAL DESCRIPTION - - -g 'onstr . Type : NIA Lot : Block : Section ' o Proposed Use : SINGLE FAMILY Township: RNG: 0 8 - o ! Dwellings : 1 Code : 0 Gubdivision: Cm P3 Estimated Value : $0 .00 I improv . Cost ! S0 . O0 8 C>4- raid total Fees : S974 , 98 Amount Paid: 5974 98 64ATER SES:' OWNER INFORMATION --- APPLICATION FEES ----- ? . ItEE`= PERMIT S0 , 00 t " NNF ELD CURT WATER IMPACT FEE 5420 .00 51 MEL ,pTe: 1*t;J . 08055 SEWER ?MPAr'T FEE gn nr non, ; "41� fi85 MATER METER/TAP 5194 . RADON GAS-H -R . E So . 0c, CONTRACTOR INFORMATION --- RADON CAB 5% 50 .00 Name : F+T <r.,Ir' w ,-_PF.S DEPARTMENT CAPITAL IMPROVE- 5325 .00 Add 1eFs . SEWER TAP 50 . 00 'ROSS CONNECTION $35 .00 ,,,- 4 T<,T,_ ; SEC H IMPACT FEE 80 .00 CONST . SURCHARGE $` SCHARGE/RTL. BCH. NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE T 4MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE P AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER RE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN TJHE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." IS"QED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR ATION OF APPLICABLE PROVISIONS OF LAW. m 000000000 000000000 $420.00 54 ATLANTIC BEACH BUILDING DEPARTMENT Date: 1/31/95 01 Rcpt: 0028304 WNM3433700 By: January 30 , 1995 City of Atlantic Beach 800 Seminole Atlantic Beach , FL 32233 Attn : Don Ford 904-247-5826 Re: Water hook-up for 1679 Seminole Beach Rd #1 Dear Mr . Ford: Enclosed is a check in the amount of $974 .98 to cover all charges for water hook up as follows : Water Impact Fee: $420 .00 Capital Impact Fee : $32S .00 Water Meter : $194 .98 Beach Flow Fee : $ 35 .00 $974 .98 As per our discussion , I need the water turned on this week . If you could have the meter set by Wednesday , I ' ll notify Styles Smith Plumbing to run my lines . Thank you for your time and consideration in this matter . Regards , Ron Reeg RR/tla d n 1 \ IL -t��� nn ►-� ne C� o n. G�� Q `4 (o_ .a J ���r__�Tp r MPOLCT G. V �Q CT 1 4 G 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 FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS @ $20.00 EACH $ 4-D-0 _o o JOB INFORMATION I to 9 — I J n ( �2 �64 asap Jan y 1? : �6 1`10 .01 r' . �1 IC Ib q o o LAO LQ =fes- - Vj ply` �.-� T -_------- -��� • ,;--� 'i S �S.o� � 3 �t v. _ .__ _. . --- pages brand ta �ca�sm;tta�m — — .—r— — rPM k' t Ptwont -------- Dept. Faxfax _— --- - - PSR-3844 v 7841 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------ - - LOCATION INFORMATION ---- - i Number , 7841 Address : 1579 SEMINOLE ROAD #3 UTILITIES. _ ATLANTIC BEACH , FLORIDA' 3223 Permit Type: -------- LEGAL DESCRIPTION -------- lass of work: NE�l tion: -.nscr . Type : WOOD FRAME -0t : Block. Section: proposed Use SINGLE FAMILY Township: RNG: '? Wellingsubdivis?on 'stimated Value: 150 .00 Improv. Cyst: $0 -00 Tota . '4 + -- ---- APPLICATION FEES WtiER INFORMATION -- kY PERMITO Ey ROAD WAT `-IMPACT FEE $420 C,. TTr PEACH . FLORIT"fi T ' FEE wAi'Ei: METER/TAP RADON GAS-H . R. S . $0 . 00 `ONTRA.CTOR INFORMATI-,,4 - - RADON CAB `_% $0 .00 is e. PUFLI WORKS DEPARTMENT : APITAL IMPROVE . $325 .00 SEWER TAP $0 .00 HYDRAULIC SHARE 50 .00 n CROSS CONNECTION $35 . 0 ' ECM ..IMPACT .FEE $0 .' Ct?NST . GT; NOTES: PAID FEB n 7 1994 CITY OF ATLANTIS BCH, NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING AND HAULED WAY BYDEEBHER CONTRACTOR OR OWNEROTBE PLACED IN PUBLIC SPACE,AND MUST BE "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT ILDING IMPROVEMENTS-99 THE PROPERTY OWNER PAYING TWICE FOR BU F CCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR OF APPLICABLE PROVISIONS OF LAW. EACH BUILDING DEPARTMENT 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 FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH / (8) TUB OR SHOWER STALL (6) <0 WATER CLOSET WATER CLOSET, TANK OPERATED (4) q VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) _LAVATORY (1) COMBINATION SINK AND TRAY (3) _WASHING MACHINE (3) POT, SCULLERY SINK (4) _DISHWASHER (2) 2— WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE 3 DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) if . `� TOTAL FIXTURE UNITS / C-I)L6a ? RT- $2000 EACH JOB INFORMATION f (? � `J - 3 � �� ! tJ D L k(e A 7"t- r4 ti'T« �-� so= v41,T-ei (A4 ,F6) CITY OF ATLANTIC BEACH J)o,✓1(40�, IA Fixture Unit Worksheet for Mater Impact Fee FIXTURE UNITS ARE ESTABLISSED AS THE MSASURSMLST OF WATER DEMAND FOR EACH WATER FIXTURE UNIT IMSTALLIID AND CdNNK'M TO THE CITY WATER SYSTEM. THE WATER SUPPLY CMOs IS HIMY FUM AT TWENTY DOLLARS PER FIXTURE UNIT CONNECT4 " TIu CITY VATU #TOM* ✓ I f ,BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY i BATH (8) A TUB OR SHOWER STALL (4) WATER CLOSETV/ 7 _WATER CLOSET. TANK OPERATED (4) ? VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) l ' SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) � SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) t ' LAVATURY (1) COMINATION SINK AND TRAY (3) WASHING MACHINE (3) POT. SCULLERY SINK (4) _DISNWASHER. (2) WASS SINK EACH SET OF FAUCUS (2) _KITCHEN SINK (2) -- -- - DZNTAL LAVATORY (1) KITCHEN SINK WITH WASTE � DENTAL UNIT OR CUSPIDOR (I) GRINDER (3) BIDET (3) URINAL STALL. WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WIT;: FOOD DISPOS. (4) URINAL. PEDESTAL, SYPNON JIT DRINKING FOUNTAIN (1/2) e. 'BLOWOUT (2) LAVATORY. BARBER/BEAUTY4 SHOP (2) ICE MAKER (1/2) SURGEONS S INK (3) LAVATORY. SURGEONS (2) _LJACUZZI (2) PRIMAL STALL. WASHOUT (4) 4D TO360•vv r TAL FIXTURE UNITS 0 $20.00 FACS COB INFORMATION (� SL�/yIA 6 L � Tl— r4NTa � �LN 37' . d� •a0,4/ . �� PSR-3844 7 61 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - ------- - LOCATION INFORMATION ----- rermit Number : 7961 Address : 1679 SEMINOLE ROAD #3 Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA 32233 :"lass of Work: NEW ---------- LEGAL DESCRIPTION ------ Constr . Type: WOOD FRAME .ot : Block: Section: Propp?sed Use: SINGLE FAMIL`, Township: RNG: 1 Dwellinas : 1 Code : 0 Subdivision: Estimated Value : $0 .00 Improv . Cost : $0 . 00 Total Fees : $25 .00 Amount Paid -. $25 , 00 Date Paid : 31 3194 +Drk Desi , !NQ—TA',L WATER SERVICE TO NEW WATER METER - OWNER INFORMATION APPLICATION FEES Name • EDWARy CAREY PERMIT $25 . 00 Adlres•T - 1679 SEMTNCLE ROAD #3 WATER IMPACT FEE 50 . 00 ATLANT_ ' BEACH, FLORIDR SEWER IMPACT FEE $n On : ne , + 9n4',, `: WATER METER/TAP So .o`-., RADON GAS-H.R. S . $0 . 00 -- CONTRACTOR INFORMATION --- RADON CAB 5% $0 . 00 Name, ST'EEr PL`.':-lD I NG CAPITAL IMPROVE. $0 .00 ddress : 1601 MAIN STREET SEWER TAP $0 . 00 ATLANTIC BEACH FLORIDA 3223 HYDRAULIC SHARE $0 . 00 License: CFC037196 Type : 4 CROSS CONNECTION $0 . 00 SEC .H IMPACT FEE $0 . 00 CONST. SURCHARGE $0 . 00 NOTES: 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." 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 000000000 000000000 $25.00 14 Date: 3/03/94 01 Rcpt: 0035196 97 By: ,l_ CHECKS CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: BUILDING CONTRACTOR: PLUMBING CONTRACTOR '^ AND ADDRESS: ll �� TELEPHONE NUMBER: STATE LICENSE NO: TYPE OF BUILDING: TYPE OF WORK: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINSll SHOWER PANS OTHER 1431011 lVAAt -Tr e,,1,v 740 Az U M r TOTAL FIXTURE COUNT: x $3 . 50 + $15 .00 = $ ---------------------------------------------------------------- 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' 000702 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LUCATIUN INFORMATION Permit Number : 702 Address: 1679 SEMINOLE Permit Type; BUILDING ATLANTIC BEACH, FLORIDA 3223 Class of Work: REPAIR LEGAL DESCRIPTION -- ------ Gojjstx-. Type: N/A Lot : 1-2 Block- Section: A proposed Use; RE-ROOF Flat Book% Page: 0 Dwellings: 0 Code: 0 i;ubdlvislon: SELVA MARINA UNIT 6 Estimated Value: 40675. 0f. OWNER INFORMATION Improv. Coati $0. 00 Name: EDWARD CAREY Total tees: $7. 50 Addrests 1 1679 SEMINOLE Amount Paid: 7. 5t ATLANTIC BEACH, FLORIDA 3223-i Date PaJdl 4/17/89 ehonei (904)246-4360 RE-ROOF OUPLEY CUiHTRACTOR(S) Ai"FLICATION F'Er�S - - - ROOFTNG PERMIT $7. 50 WA'rER IMPACT FEE 90. 00 SEWER IMPACT FEE .30. 00 WATER METER 'tet?. 00 RADOIH GAS- 11, R. S. RADON GAS -- 5 / $0. 00� WATER TAP , $OA)I* I A. SEWER TAP $0. 00 HYDRAULIC SHARE 1$0. 00 RE-INSPECT FEE $0. 00 ENGINEERING $0. 00 f-I Ir 9 r P NOTES: 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." 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: 1_ z- CITY OF ATLANTIC BEACH �D APPLICATION FOR BUILDING PERMIT Ownerkc/-,*,id Cir e y Address /(0 7 f S �..,, ,L c L&7- zip_ Phone !!y e Architect Address zip Phone CcmtractorP///, ,;,/ /�osr`::�� Address 'i 33 gl,_/ zip3,)�// Phone7��-i zap Contractor's License Number/?C6060/67 Expiration Date 4-30- g`1 Copy on File Lot Block or Section # Subdivisiond�1U �1. 21� �iZoning StreetJrvn2( Between ,� _and �g�l, ,qG side Valuation $l�7�'.�r Type of Construction �- Purpose of Building _ Number of Units�Fireplaces Utility Service: Water Sewer If the City if provid' water or sewer service, do we need to make taps? Dimensions: Building_ Lot Size Footings Sz. Piers Sz. S is Greatest Span Sills Sz. Ceiling Joists Di tance on Centers Greatest Span Sz. Floor Joists Dist e on Centers Greatest Span Sz. Rafters Distance Centers_ Greatest Span Method of Heating Solid-Filled round Roof Flood Zone If located within a FLOOD HAZARD complete page 2 SUBMIT: Two complete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required: 1. When steel is in place and ready to pour footings. 2. When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical, plumbing, electrical, fireplace, is completed and ready to cover up. 5. Final inspection. ' SETBACKS NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB.. In case of rejection, reinspection MUST be called for after Rear Lot Line corrections are made. In consideration of permit given for doing the work as described in the above statement, we a Q hereby agree to perform said work in accordance m with the attached plans and specifications, which are a part hereof, and in accordance rt rr with the building regulations of Atlantic Beach. Signature Owner Signature Contractor Ton Jne PSR-3844 09949 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - PERMIT INFORMATION --------- LOCATION INFORMATION -------- Permit Number : 9949 Address : 1679 SEMINOLE ROAD #1 Permit Type: RE-ROOF ATLANTIC BEACH . FLORIDA 3223? "lass of Work: NEW --------- LEGAL DESCRIPTION --------- Constr . Type: WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellinas : 1 Code: 0 Subdivision: Estimated Value : S2000 .00 Improv. Cort : 50 . 00 Total Fees ! 522 . 50 Amor 522 . 50 rn n -- ___--- OWNER I.NF'+rMATION - ---- APPLICATION FEES ----- �dame : REED PERMIT 522 . 50 r ve : 1679 SEMINOLE ROAD #1 WATER IMPACT FEE $0 .00 ATLANTI REACH FLORIDA _ SEWERIMPA+ T FEE $4. On phone: 90481,'5_0728 WATER METER/TAF $0 . 0j RADON GAS-H.R. . S. 50 .00 - - - CONTRACTOR INFORMATION -- RADON CAB 5% SO .00 Name : CHATHAM ROOFING COMPANY _APITAL IMPROVE. $0 .0.4 Address : 11,53 UNIVERSITY BLVD . N . SEWER TAP $0 . 00 JACKSONVILLE . FL 32211 CROSS CONNECTION $0 .00 L-1-ense : F.0 0, 4 r 98 7 Type: ' SEC H IMPACT FEE 5`0 . 00 CONST . SURCHARGE SO .00 Si"HARD-ETP.TL . B'"-H . $0.00 NOTES: 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 PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" 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 0000t)(00 0(K)OW000 $22.5014 Date: 4/04/95 01 Rcpt: 0043070 By. ",'c 3221000 CITY OF ALllNTIC BEACH ROOFING PUNIT APPLICATION Owner(a) : Address: 1 Phone:(4fl-qS. .3 -CnD� Lot # , Block or Unit # Subdivision: Contractor: LkA7 Address City, State and Zip Phone :2 qC_V 7) State License # Describe work to be 7rf ormed: Valuation of Proposed Const uction: Materials to be used: LL)Lka IJ �Ij Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insuranc Supplied License Information PSR-3844 09952 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH Permit Number; 9952 Address : 1679 SEMINOLE ROAD #4 Permit Type: RE-ROOF ATLANTIC BEACH ; FLORIDA 3223-3 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: Estimated Value : S2000u00 Improv. Cost : $0 .00 Total Fees : $22 . 50 Amount Paid: $22 . 50 Date Paid: 4/ 3/95 J Name: DEBRA ANDERSON PERMIT $22 . 50 Address : 16'79 SEMINOLE ROAD 94 WATER IMPACT FEE $0 .00 ATLANTIC BEACH, FLORIDA 31'._ SEWER IMPACT FEE $0 . 00 Phone: f904 ) -745-0'728 WATER METER/TAP $0 . 00 RAISON GAS-H .R . S. $0 ,0(- ------- O ,Or--- - CONTRACTOR INFORMATION -_- - RADON CAB 5% $0 .00 Name: CHATHAM ROOFING COMPANY CAPITAL IMPROVE . 50 .00 Address : 3536 UNIVERSITY BLVD . N _ V t_ SEWER TAP $0 .00 JAC'FSONVILI,E . FL 32211 CROSS CONNECTION S0 . 00 License : RC004598"' Type : " SEC H IMPACT FEE $0 . 00 CONST. SURCHARGE $0 . 00 SCHARGE/ATL. BCH. SO>. 00 NOTES: 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 PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" 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 0()0000000 00Q00Ca0 22.50 14 Date: 4/04/95 01 Rcpt: 0043071 By: o / WOM3221000 CITY OF ALANTIC BEACH ROOTING PEMIT APPLICATION owner(s) : "P�No Y—\ — q Address: VA Phone: Lot = lock or Unit # Subdivision: Contractor: \� Address: OLA City, State and Zip Phones State License # J Describe Work to be Terformed: \-� L�� Valuation of Proposed Construction: Mater' al to be used: a /71 Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information PSR-3844 16113 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH T-'F"1M1T 1NF,_,R?f.ATION ------ LOCATION iNFORMATION D .ddress : 1679 SEMINOLE ROAD #3 , ermit Number : 1E111^1 Permit Tvne: PLUMBINC. ATLANTIC BEACH , FLORIDA 32_137_k `-'lass of 'Work:A.LTERATION LEGAL DESCRIPTION Constr . Tvve:WOOD FRAME Block : Lot : Twp , Section: 0 Subd - rl Proposed Use : Dwellinas : 1 Subdivision: Est . Value , 0 . 00 IM, rov . Cost ' 0 nn �otai Fees ", 25 . 00 Amount Paid: 25 OC, Date Paid! 3!13/1998 OWNER 1NFORMAT1`:N APPLICATION FEES Name , ED CAREY PERMIT 25 . 00 Addr* 1,579 SEMINC,•LE ROAD .4 ,, T.TLANTTC BEH . FLCIRI DA Phone: f 904 )145-f)71_P CONTFACTCR 1NFORMATION Name! WILLIAM C-OODLI1'I-1 Ad�!r , 404n WOODCOCK DRIVE jACKSONVILLE , FL 31.20 RF006671�3 Exr ' Tvre* NOTES: 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 MECHANICS' 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. 55.66 14 Date: CHECKS 1378 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: Cp 7`I 6 u-e�,e- OWNER OF PROPERTY: SFeoe Ccs.ff PLUMBING CONTRACTOR: S G p6Lu ' CONTRACTOR'S ADDRESS: �� l ITU �Oy j STATE LICENSE NUMBER: I�" r�C2ln�n � TELEPHONE: ayI- HOW MOY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER W�� 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 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.