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1749 Seminole Rd (vault) cc..CITY OF ATLANTIC BEACH D. Ford �s BUILDING / ZONING DEPARTMENT L. Hi ins S. Doerr r - 800 Seminole Road . � Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS SGT J 1 2003 Permit App ication # d 3- 2-7 1 g(p o- Property Address: Lt 1 SQ-4 10 Q L-R-- Applicant: t l Z) Project: L-L 'PAL)Cfzs This permit application has been: ❑ proved Reviewed and the following items need attention: 74 1 'h 4 1$ 4- t�e -f5Ou vct-:S� - e 0 4- / Please re-submit your plication when,these items have been completed. Reviewed By: Date: //71�3- 3 �f,v�11rJn CITY OF ATLANTIC BEACH . CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 l9"Y�-4.4 Date ��� 3 % e3 PERMIT# ISSUED BY THE CITY Job Address %`1 y y �.�,�-ell Permitee: Telephone# cL C 5- Permittee Permittee Address i 7 q 5' Requesting Permission to Construct: Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) CbC&( ) Date: Bell South Telephone Company Yes ( ) o ( ) Date: Ferrell Gas Yes ( ) ( ) Date: Comcast Yes ( ) ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of U� .w� � (Contractor's Project Superintendent) located at Telephone#: ­11�77- 766 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: Before me this day of Fit.)V,in the County of Duval, State Of Florida, has Personal Yappeared Z--)FYr D 6IS7- "• : MAUREENKNG Notary Public at Large,State 9f Florida,County of Duval. ;+; MY COMMISSION#DD 095080 My commission expires: - /3�f EXPIRES:March 31,2006 Personally Known: or ' pf BV06d lb ru Notary Public Underwrflers Produced Identification: Gini 223'- ——e-5 00BBBISIONS MO, 8qL - L` M39911NOfsiIYAW Sa1te 15 NiffterFor*H 32792 I 1-888-508-caMM721 I eEsuR�c�rs MIAMI NFBSAFMCENOlI/Alf 1- 107-1672-2872 Mki s I I I s ❑ t l I ) 1 ' I I i ❑ • PURCHASE NAME: TELEPHONE: r�o� 2 J/7- 9571 ADDRESS/CITY/STATE/ZIP CODE: DATE: �� 1 CUSTOMER I.D.: HOME DEPOT STORE #: _�r; 1, (WE) the homeowner(s), hereinafter referred to as "Owners", to hereby employ Curb Designs, Inc., hereinafter referred to as "Contractor", to provide materials and/or labor and services at the above listed dwelling, as follows: DECORATiVE CONCRETE'COATINGS I DECORATIVE LANDSCAPE CURBING DRIVE WALK PATIO DECK OTHER MOWER = SLANT 4.6 SQUARE = 6.6 SQUARE n COLOR(S), PATTERN, DESIGN: COLOR(S), PATTERN, TEXTURE: ✓��'R��� M C 1/X DESCRIPTION: DESCRIPTION: IN CONSIDERATION,for materials, labor and services, l Owner agrees to pay Contractor the sum of: The terms of this purchase agreement are as follows: o�I R � � .yo,.r �7•�a7 !'.t..J.}' �.+2 t-1 .�'` �a s'O_.2�`7 yS'0 Method of payment:' t s�t i ,,,I•,, �.p •3 Y t This is a home solicitation sale and if you decide within three(3) t business days you do not want the goods or services agreed to,you may cancel this agreement by providing written notice to Curb Designs, Inc., r g & 6438 University Blvd., Suite 15, Winter Park, FI 32792, in person or by U.S. Mail postmarked before midnight of the third business day following the date of this agreement. IN WITNESS WHEREOF the undersigned have here unto subscribed their name on this the day of Homeowner(s), Owner(s), Signature(s): Contractor Reserves Right for Field Supervisor's Approval: Contractor Representative: Hairline cracks are considered a normal part of the concrete curing process. Separations(if a landscape border moves)will be repaired. All damage done by others will be repaired with a minimum 5150.00 charge. Interest will be charged at a rate of 1 112%per month on all past due accounts. Additional provisions on the reverse of this purchase agreement may apply on purchases. When signing this agreement the Owner(s)agree to all terms of this agreement including:that the Owner(s)of the above mentioned premises hold or have legal title to the above mentioned premises and further agrees that if this contract is cancelled by hives or them,for any reason whatsoever,either before the work has started or after the work has started,except where expressly permitted by law,to pay Contractor a,—of money equal ,11,11 of the contract price herein agreed to be paid,as fixed,liquidated and ascertained damages without proof of loss or damage at Contractor's option or Contractor may pursue any and III other remedies available. Contractor remedies hereunder shall be deemed cumulative and the excemse of one remedy shall not preclude excercise of another,in event Contractor should bring legal action to enforce its rights hereunder. Owner agrees to pay al, costs of such action,to include reasonable attorney fees through appeal. All blank spaces herein not filled in at the time of execution hereof by Owner(s)shall be deemed not applicable. All representations made orally are not applicable if not written in this contract. CURB DESIGNS,INC. RESERVES THE RIGHT FOR FINAL APPROVAL AND ACCEPTANCE OF ALL ESTIMATES AND PURCHASE AGREEMENTS. IF ACCEPTED,ESTIMATES Contractor's Information: State and/or Local ARE VALID UP TO 30 DAYS FROM THE ABOVE LISTED DATE. ow INC BOUNUAHY SUKVty ur } , -*o, ihQCK -"- AS SHOWN ON MAP OF As R !k T SOAK eo PAOR OF PU81.10 RECORDS OF DUV/�I. CO. FSA. s �� FOR /? �SCli'7u S fIS•�K/- '50.7 ' •, FNS h r Ap /4: U, 77 LUT U Co i3 Tc/CG L) /.)&CAL AIC /v/ Lp s i nlec OCT 31 2003 DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 r Tsi ' TELEPHONE:(904)247-5834 J (3'hl1L.S FAX: (904)247-5843 SUNCOM:852-5834 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT �- Permit Application # 03 - 2-11 8L, Applicant: 46( ASU tD Address: c4 I �EIK t SOLE 1,;�t7 - Project: 5'f14LL PUeEq—S Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewed by Donna luzniak, Public Utilities Director Date Signature Contractor Notified Date CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 904-247-5800 800 Seminole Road Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 elyL.Q.p Date / 3 d� PERMIT# ISSUED BY THE CITY Job Address %7 Permitee: ovt� / Telephone # 024` 2 G? Z Permittee Address % 7q zC/_ - Requesting Permission to Construct: ) Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) %�( ) Date: Bell South Telephone Company Yes ( ) o ( ) Date: Ferrell Gas Yes ( ) ( ) Date: Comcast Yes ( ) (F)( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision ofG . qo (Contractor's Project Superintendent) located at Telephone #: V07- 7,o6-5`005 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: *Date: Before me this day of -Q�,in the County of Duval, State Of Florida,has personaly appearr/ ed Z-)F#Yr T H"'y'' MAUREENMNG Notary Public at large,State of Florida,County of Duval. - - MY COMMISSION#DD 095080 Mycommission expires: -3/3 � �• EXPIRES:March 31,2006 �'•',t',P��t�d'� Bo,Wea Thru Notary Pubic UMerwmefs Personally Known: or Produced Identification: F--DL2 — — "n ti MNNNNNM-� r� 9ffBBBjFS18#Ss 8l 143311WIM rs BM, S1111815 MWIerFort F132792 - aaree 1-888-588-CM[28721 COSTON,,FBSAfBEC,FNlTUNI. 1-07-5722372 NAME: TELEPHONE: ADDRESS/CITY/STATE/ZIP CODE: r� �e z 3 DATE: �� �J ° CUSTOMER I.D.: HOME DEPOT STORE #: rl- 1, (WE) the homeowner(s), hereinafter referred to as "Owners", to hereby employ Curb Designs, Inc., hereinafter referred to as "Contractor", to provide materials and/or labor and services at the above listed dwelling, as follows: DECORATIVE CONCRETE'COATINGS DECORATIVE LANDSCAPE CURBING DRIVE WALK PATIO DECK OTHER MOWER SLANT 4.6 SQUARE 6.6 SQUARE cn 7✓ J�Y v .lj� COLOR(S), PATTERN, DESIGN: COLOR(S), PATTERN, TEXTURE: /z,iKld 4V f' DESCRIPTION: DESCRIPTION: IN CONSIDERATION,for materials, labor and services, y`f- l Owner agrees to pay Contractor the sum of: 23,�e e 9� The terms of this purchase agreement are as follows: `' I R d �1c.tt tJ-,a�s7 !�•1?' c-r O y � /fin. ,..� .t}.' ..� • /' .J �-/ .8- - �7 -/.+ FJ "1 Method of payment:• t This is a home solicitation sale and if you decide within.three(3) i business days you do not want the goods or services agreed to, you may cancel this agreement by providing written notice to Curb Designs, Inc., 1 6438 University Blvd., Suite 15, Winter Park, FI 32792, in person or by U.S. Mail postmarked before midnight of the third business day following the date of this agreement. =_ z IN WITNESS WHEREOF the undersigned have here unto subscribed their / name on this the day of d 3 ti Homeowner(s), Owner(s), Signature(s): Contractor Reserves Right for Field Supervisor's Approval: Contractor Representative: F-- ---I I- Hairline cracks are considered a normal part of the concrete curing process. Separations li f a landscape border mores)will be repaired. All damage done by others it be repaired with a minimum 5250.00 charge. Interest will be charged at a rate of 1 112%per month on all past aue accounts. Additional prow ani an the reverse of chis purchase agreement may apply on purchases. when signing this agreement the Owner(s)agree to all terms of this agreement Including:that the Owneris)of the above mentioned premises hold or have legal title to the above mentioned premises and further agrees that If this contrvct is cancelled by hime or them,for any reason whatsoever,either before the work has started or after the work has started,except where expressly permitted by law,to pay Contractor a sum of money equal to 20%of the contract price herein agreed to be paid,as fixed,liquidated and ascertained damages without proof of loss or damage at Contractor's opnw or Contractor may pursue any and all other remedies—fable. Contractor remedies hereunder shall be deemed cumulative and the excemse of one remedy,shall wC preclude excercise of another,in event Contractor should bring legal action to enforce its rights hereunder. Owner agrees to Pay all costs of such action,to include reasonable attorney fees through appeal. All blank spaces herein not filled in at the time of execution hereof by Owner(s)shall be deemed not applicable. All representations made orally are not applicable if not written in this contract. CURB DESIGNS,INC. RESERVES THE RIGHT FOR FINAL APPROVAL AND ACCEPTANCE OF ALL ESTIMATES AND PURCHASE AGREEMENTS. IF ACCEPTED,ESTIMATES Contractor's Information: State and/or Local ARE VALID UP TO 30 DAYS FROM THE ABOVE LISTED DATE. CITY OF ATLANTIC BEACH ,.� DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5825-FAX: 247-5877 –, - -- ---LOCATION INFORMATIt3T1' L p "INFOI TION" ' ;.� I LE Permit Number: 22628 Address: ATLANTIC EBEAOH, FLORIDA 32233 Permit Type: REMODELING Township: 0 Range: 0 Book: Class of Work: REPAIR Lot(s): Block: Section: 0 Proposed Use: Subdivision: ATLANTIC BEACH Square Feet: Parcel Number: _______ -------- Est. Value: OWNER INFORMATION Improv. Cost: 2,500.00 Name: DAVID HAGIST Date Issued: 9/06/2001 Address: 1749 SEMINOLE ROAD Total Fees: 38.00 ATLANTIC BEACH, FLORIDA 32233 Amount Paid: 38.00 Phone: 904)246-2790 Date Paid: 9/06/2001 REPAIR DOOR Work Desc REPLACE STRUCTURAL St _. _ , - y `' APP ----3 LI CATIt31I1ES - 8.00 ARMIDILLO CONSTRUCTION ' = _ R 3 ' nc ins e utred - FINAL BUILDINA3i4 .; is ,, -,ar ,x,p. ., - ,• tea, �r.r ST BE REQU€STED AT LEAWC3jRS_l'RI TO INSPECTION NOTICES INSPEC _ x a LIC SPACE, AND BUILDING MATERIAE,RUBBISH S THIS`WORK AIIUST NOT BE 1', . a I P+t6 MUST BE CLEARED l AND#iA . AWAY BY EIT-HEItCONTRACTOR OR OVER '1(1NI°TI#T ON LIEN AN "FAILURE TO COMPLRAS IN THE EJO NTS" ` — -- PROPERTY OWNER PA!fl G - - _- T F Ig( AND SUBJECT TO REVOCATION ISSUED ACCORDING TO APPRO P S HRP T IS t .:- FOR VIOLATION OF APPLICABLE PR � `° f38.00 14 ! -- Date: 10/04/01 01 Receipt: 0000707 ATLANTIC BEACH UID EPT. CHECKS 1213 —----- --�iBee�►3�'tlil�— w CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address t � t pec • �a , ER°C RuL Date Heated Square Footage A @ $ per sq ft = $ 0iv Garage/Shed �@ S per sq ft = $ Carport/Porch!1t,@ @ $ per sq ft = $ Deck $ per sq ft = $ S Patio op @ $ per sq ft = $ TOTAL VALUATION: $ Total Va�uation 1st $ i00 0 / �b 4C- $ Remaining Value $ arper thousand o portion thereof TOTAL BUILDING FEE $ 2S + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: CITY OF ATLANTIC BEACH 2001 PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS,';'s' MOVING, DEMOLITIONS City of Atlantic Beach Owner(s) poo n and Zoning Job Address /7 V0 �% /�9 ' &"i �e7 j/r✓ Phone_ Lot# Block or Unit# 9Co" Subdivision ContractorEv'wC;j , 1144 62-� e�License# Address 0 1127kw7�(, Phone 90 City State Zip 32233 Describe work to be done�L�-�v+t9C. Sj �I t �/1 S�JY�✓a rJ �S Sn L�n9E�� Present use of building_ Valuation of Proposed Construction ZfOo — Proposed use Is this an addition? /1/0 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 (COMMERCIAL)TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature of OWNER Date:1i ���tit��+ P'P GNo o 0 �N Signature of CONTRACTODate o" d STATE OF FLORIDA COUNTY OF 7)u y-ca. Sworn to (or affirmed) and subscribed before me this L" day of - ----, 2001 AS TO OWNER: Notary's Signature RMJ�_Uvl-1 E=H- Personally known t4Y CO7840 Produced Identification EXP04Bondedwrtters Type of identification produced Sworn to (or affirmed) and subscribed before me this `/ day of ^, 200t AS TO CONTRACTOR: Notary's Signature Personally known .:rY;"'•. EILEENHOLSTON Produced Identification =q. ?1Y COMMISSION#CC 957840 r-tveyS- G/ceh.�-- EXPIRES:March 27,2004 Type of identification produced •,',t dr���W Bonded Thru Notary Public Underwriters Hook 14132 Page 2254 ppoc## 2441 X4454 Boo4;: 14132 MIN. RETUPA Fuge: 2254 Filed 8 Recorded M NOTICE OF COMMENCEMEN1*09/04/2001 10:25:15 AM JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY TO WHOM IT MAY CONCERN: TRUST FUND t 1.00 RECORDING $ 5.00 The undersigned hereby informs all ccncemed that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Desc,iipticn of Property 7 y� �C"�l�L� /7o&�-p x, J �, ;2Z33 51A 24 General Description of improvements _ / .✓ Gl 0-.•.•E IF Owner Dgli z Address: �7l�Gj � ,��y IZoIF /�7N�sJ7ic, /��+rti11 f 12Z;3 Owners interest in site of improvements:, Fee Simple Title Halder (if other than owner) Name n, Address Contractor fly✓ Lo�cJ Address L23 Surety (if any) Address Amount of Bond Name of person within the State of Flerida designated by owner upon whom notices or other documents may be served: Name Address In addition to himself, owner designates the following person to receive a copy of the Leineris Notice as provided in Section 713.13(1)(F), Florida Statutes. (Fill in at Owners option). Name Address: c��rcd� Owner Sworn to and subscribed before me this 61,4M day of �'a EILEEN HOLSTON MY COMMISSION#CC 9578404d] EXPIRES:March 27,2004_ o ary Public .',t•'•p°�d;° BondedThnuNotary Public Underwrilem CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT04PORMATIOX LOCATION#kFORMATION Permit Number: 19604 Address: 1749 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REPAIR Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcell Number: Improv. Cost: OWNER INFORMATION- Date Issued: 2/16/2000 Name: DAVID HAGIST Total Fees: 25.00 Address: 1749 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 322%13 Date Paid: 2/15/2000_ Phone: (904)246-2790 Work Desc: REPIPE CONTRAC ^OR(S) _ APPATION FEES CHRISTY FIRST COAST PLUMBING PERMIT 25.00 FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC: SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROP RTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCA ION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. f85. 0 14 Date: 2116108 01 Receipt: 08 4978 ATLANTIC BEA BUILD DEPT. 68100003821000 5463 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: ( , 4 GI Sem't no( -e- � OWNER OF PROPERTY: TELEPHONE NO. SlY6- D790 PLUMBING CONTRACTOR r U CONTRACTOR' S ADDRESS: tL/n� STATE LICENSE NUMBER: JCOb- p `�K7 TELEPHONE: r7- HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER J REPIPE OTHER TOTAL FIXTURES : x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTORS ------------------------------------------------------ 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 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION CITY OF ATLANTIC BEACH il 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 DIM Application Number . . . . . 09-00001276 Date 9/10/09 Property Address . . . . . . 1749 SEMINOLE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4945 ---------------------------------------------- Application desc REROOF ---------------------------------------------- Owner Contractor - ------------------------ ----------------------- HAGIST, DAVID RON RUSSELL ROOFING INC P.O. BOX 656 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 636-9909 ---------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . Permit Fee . . . . 55 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 4945 Expiration Date . . 3/09/10 ---------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---------- --- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. p r a CITY OF ATLANTIC BEACH 09� I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 x `<_ OFFICE:(904)247-5826•FAX NO.:(904)247-5645 ' - - BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK 3.SO.Fr.UNDER ROOF 7 cM k,x.0 ATL *-f 3 L 2 3 3 *-f 4.LEGAL DESCRIFITION 5.CLA OF WORK 6.USE OF STRUCTURE- ❑NEW BUILDING ❑DEMOLITION 0 RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ( JU REPAIR ❑POOL/SPA ❑YES ❑N/A -&Fa TSAWLAI-E j . ❑ MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR'_ ARCHITECT!ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: MI l D f CYOTH(ft 'A fk&(J` 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: St AN, E �a c`cc- 11 Z74B i Z 26.ADDRESS: � ��. 18.ADDRESS: f(TcA,ariL VIWH GZ3 2 '�'`( ootNAL,1- (ip, i ACI�SAv�` F(-, -3Z--Z0 7 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 90) 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: pc f- ao 2ce --Il I e" 14.EMAIL ADDRESS: 22.tMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SWIPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER' OFoTl�lltilW owl 31.NAME: 33.NAME: A14 35.NAME: 32.ADDRESS: 34.ADDRESS:NA 36.ADDRESS: IN Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (K AgaM Power of Afiomey or Agency Letter Required) (Quarfier oAy) Signed: Signed: Date: Before me this + day of /[r1 5 2009 in the county of Before me this day of 2009 in the county of Duval,Sete of Flo' a, persgnall ppe red Duval,State of Florida,has personally appeared Davi M 16 herin by himself/herself and a rms at all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. !`II true and accurate. Notary Public at Large,State of I Q I V 7,County of V)I Notary Public at Large,State of County of Personally Known ❑Personally Known ❑Produced Identift - ❑Produced Identification- Notary Signature: Notary Signature: E#(4398�153 ^`AY RENEF-CLARK-WHITE A`'r„r'i'd; 4l3SION#DD691371 BLDG01 PermitAEVISE�.tc[j8120g6Jury02,2011 XFloridallotaryServ'ce.com ' NOTICE OF COMN[ENCEMENT STATE OF FLOP-b ` COUNTY OF DJ V t''�L THE UNDERSIGNED hereby gives notice that improvem=will be made to ceram real property,and in accordance with Chapter 712 Florida Statutes,the following information is provided in this Notice of Comanencement. 1. Description of property:(leaaldggjption of property,and street address if available) 2. General description of improvement: 'C` 3. a. Naer me and address: t�r�►� C.y r�,T14(A `711 -,,- (va e rje4-"- ATLAia,e-- T5 (k(1 :Fl-, 3 2- b. Interest in property: tj I i-' AJ L c. Name and address of fee simple titleholder(if other than owner): L) f�r n i< 4. Contractor:(name and address) RON NCS a. Phone number: (9 C'q' (I-S G`9`�t✓ 5. Surety. a. Name and address: A b. Phone number: c. Amount of bond$ b. Lender: (name ands address): �4 a.Phone number•. & L� 7. Persons with the State of Florida designated by.Owner upon whom notices or other-docurnents may be served as provided by Sectio, 713.13(1)(a)7,Florida atutes• , (name and address): N '•i.'—�--oaFlti� �1��, 4+11 (40MA� 'ALS PY-,�-, 3 ?O S. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Sectio, 713.13(l)(b),Florida Statutes:(name and address) 9. Expiration date of no' e o commencement(the expiration date is one (1)year from the date oflecording unless a different date i specified) dV This Space for Clerk's Use Only �.. -- - --- (signature of o Doc#2009'217828,OR 6K 15000 Page 1602, Number Pages:1 Sworn to rd subscribed before m Recorded 09/10/2009 at 01:42 PM, g day Of JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 NOTARY PUBLIC AMY RENEE CLARK-WHITE MY COMMISSION#DD691371 EXPIRES July 02,2011 (407)398.0153 FleriAwNntw vco M i� rj..yL�1 J•J j�.. • r s, CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 r� INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dent(a-wab.us Application Number . . . . . 07-00000462 Date 4/06/07 Property Address . . . . . . 1749 SEMINOLE RD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------- Application desc REPAIR LINE SIDE LUGS --------------------------------------------- Owner Contractor ------------------------ DUTLER, BILL BROOKS & LIMBAUGH ELECTRIC CO P.O. BOX 656 Q/A BROOKS, CHRISTY ATLANTIC BEACH FL 32233 42 WEST 8TH ST. ATLANTIC BEACH FL 32233 (904) 241-9051 ---------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . . 00 Permit Fee . . . . 70 . 00 Plan Check Fee . Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/03/07 ------------------------------------------------------------- Fee summary Charged Paid Credited Due --------- ---------- ---------- - Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. TS y;�T1 �s tf CITY OF ATLANTIC BEACH =' ELECTRICAL PERMIT APPLICATION Utt Date: Property Address: 0,4 Owner: F7 Telephone#• Contractor: CS Grid �1 1'YI L�C h Telephone#: . �{ Contractor Address: 4Z (� Fax #: Contractor Si gn ature: 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. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New CS Residence ❑ Temp. ❑ New being done on this building C3 `'Old ❑ Commercial ❑ Signs ❑ Increase Or site,list the building C) Re-wire El Addition Permit number: Sq.Ft. ❑' Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS / PH 6YIrO W VOLT Z WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN nln Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT i Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER6QQV OVE v Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous r _APE�] :-j T 800 Seminole Road.Atlantic Beach,Florida 32233-5445 Phone: (9q4)247-5800• Fax: (904)247-5845• httP://www.ei.atlantic-beach fl us Revised 1/04 City Beech Pern* To: JEA Electric Order Fulfillment, (Fax No.: 665-7372) Attention: Carol Schweizer/Lorie Craven, 21 West Church St T-4 (665-6521) Subject: City of Atlantic Beach Permit# Date: ' Service Address: l g `7 9 S, ,yxyylp k Owner: �jf 11 Jtk,, f - Owner Phone: Electrician: Electrician Phone: Type of Work: New Service [_] M-Home Subfeed [_] Increase Service Heat & AC Repair Service Other [_] Rewire [ ] Other Description: Temp Pole [_] Service Type: Overhead (Repair/Replace) [,Underground (New Services) Building Use: Residential L]Church LjEnvironmental �]M-Home "Commercial [JOther Other Use Description: Service Size: New Service: Amps: Volts: Phase: Existing Service:Amps: Volts: �}D Phase:�� E-mail:cravli(a,iea.com or schwcm(a.iea.com or resptuC ca.com HP Officejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 Apr 06 2007 12:56PM Last Transaction Date Time Type Identification Duration Pages Result Apr 6 12:55PM Fax Sent 96657372 1:19 3 OK CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 19 INSPECTION EMAIL REQUEST: Buildina-dept(a0ab.us Application Number . . . . . 07-00000795 Date 6/07/07 Property Address . . . . . . 1749 SEMINOLE RD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc CHANGE OUT PANEL ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- HAGIST, DAVID BIVINS ELECTRIC CO. P.O. BOX 656 3167 ST. JOHNS BLUFF RD S . ATLANTIC BEACH FL 32233 STE 110 JACKSONVILLE FL 32246 (904) 646-0019 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/04/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA 4 BUILDING CODES. rS`r�`fllj S, CITY OF ATLANTIC BEACH �r ELECTRICAL PERMIT APPLICATION "�rJiil�f' Date: Property Address: 1-7qq S&L, :Er4 . AfLAtC"bc—h. EL CAUOwner: Telephone#: S1q-T643 Contractor: l 0 1 Telephone#: Zqq Contractor Address: Ah .,/ * W&�—rc. Fax#: l Contractor Signature: In consideration of permit given for Aoithe ork as described in thea ve statement, we hereby agree to perform said work in accordance with the attached plansd peci ations which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of go ractic listed therein. Building: Build' g Type: LlIf other construction is Trailer Service: being done on this building ❑ New IIY Residence ❑ Temp. ❑ New Or site,list the building Q/OId ❑ Commercial ❑ Signs L3 In Permit number: ❑ Re-wire Ll Addition Sq.Ft. epair Conductor Size: AMPS: COPPER ❑ ALUMINUM Switch or I RACE Breaker AMPS PH W VOLT WAY Existing Service �,{ RACE/1 Size AMPS PH W VOLT.,-1-46 WAY CA Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches 10 A UPq 1 100 AMPS t Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neonf. Trans Ea. Sign_ Miscellaneous ry c 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• httn://www.ci.atlantic-beach.fl.us Revised 1/04 PSR-3844 15201 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INF,: F.MRTI QN _ ---- LOCATION INFORMATION ----- =ermit Number : 1.5201 ureas : 1749 SEMINOLE ROAD Permit Type:REMODELING ATLANTIC BEACH . FLORIDA 322: 3 'lass of Work ' SHED -------:-- LEGAL DESCRIPTION Constr. Type:WOOD FRAME Black' Lot ' Twp: r: Proposed Use, SeAion: 0 Subd: O Rng° Dwellings : 1 Subdivision:ATLANTIC BEACH Est . Value: n •Qn Improv . Cost : 2 ,000 .00 Total Fees : 30 .00 Amount Pai,44 30. 00 Pate P-i ? !g4/t.997 4ot: c. [,A TED WOOD ON EXISTING OUTBUILDING AND FENCE OWNER INFOR14ATION -_ _ .__..._ ____-_ .._. APPLICATION FEES ---------- - Name : D LL' HAGIST 'ERMIT 30 ,00 Addy- 1749 SEMINCLE ROAD ATLANTI ° R FAQ"H , FLORIDA 32 `hone: f 904) 246-'179 1 CONT'FACTC'R INFORMATION --- .. game ' PROPER:TY OWNER Addr : Lia: >~ Tvpe! 1 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-99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION 88 OR VIOLATION OF APPLICABLE PROVISIONS OF LAW. �Inc jn17 124 n2+-- Rprpi pt 0083MR 14 CHECKS 3444 88188883221888 ATLANTIC BEACH BUILDING 4EPART ENT By: C ` CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address__ / ' "V I S F_M<NOo r � © Date q - c( - 9 Heated Square Footage .1@ $ per sq ft = S Garage/Shed@ $ per sq ft = S Carport/Porch $ per sq ft = S U11 Deck Cf @ $ per sq ft = $ Patio O�" _@ $ per sq ft = S m� TOTAL VALUATION : S 2�aO •fid ao00 �b Total Va13;Ation 1st $ oy S Remaining Value $ per thousana portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ i n. O'D ( ) Fireplaces @ $15 . 00 $ -- BUILDING PERMIT FEE WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP S ( ) RADON (HRS) . 0050 S SECTION H PAVING ( ) $ HYDRAULIC SHARES S CROSS CONNECTION S ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE S 3 O . y 0 ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS .MOVING,DEMOLITIONS Owner(s) p Address:— 71/7 Phone: ���p- a 9a Lot # 4-7 Block or Unit # Subdivision: 0C942/H) OA Contractor: State License # N/ Address: N l Phone No: City State Zip Code Describe work to be done: Present use of bui14 lding: . .� Valuation of Proposed Construction: / 2��'d -� Proposed use: sOn.�ti.Q/ Is this an addition? llo- If yes, what are the dimensions of the added space: ft. X /V//f ft. Will the added area be heated and cooled? P/14 New electrical (or increase) ? New plumbing fixtures?`�he' New f i replace?-770'New Heat/AC? -L 4r S TF. Yry- OE PLAt INCLUDING L CODE FORLrLS, -NO'1`LCE OF CDINh1�TG�NlENT, AND OWNER/CONTRACTOR IDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Da-_e:6 / � 7 /9 Signat Q*TRACTOR �o 0 A� P \, a �`ls r fore me this-qday of t 19V Qom' �G1,00 � !� Q` CEI Y ED NOTARY PUBLIC STATE OF FLORIDA AT LARGE 0� A.i l 2 7 1997 !( !MILDRED P.HINsoN iJ w r,OMMISSION N CC 520644 L.YPIRES:December 25,1999 City of Atlantic Beach �xM aorroru tr 0dThy B Building and Zoning CITY OF , tiC Beata 4 300 SEMINOLE ROAD --, —_ ___ _ ATLANTIC BEACH. FL0RIDA:3223:3-544: TELEPHONE 19041.347-5800 �`+► FAX,9041 247-5805 SUNCOINI 352-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,C00.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZCNING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES: OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER 'DIRECT SUPERVISION OF THE OWNER, WHO MUST SE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5.000 PENALTY UNDER FLORIDA STATUTE No. 455-228( 1 ). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY 'CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5626) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTY OWNER/BUI ER i N 9 ADDRESS TELEPHONE ` SWORN TO AND SUBSCRIBED BEFORE ME THIS 'I DAY OF N ARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE COMMISSION EXPIRES:/-/jam%- a ARE EMPHASIZED BY THE BUILDING DEPARTMENT. l MILDRED P.HINSON MY COMMISSION M CC 520644 Bonded IRES:December Thm Notuy 25,1999 ,•R,,�, PuDMc linderwrlEer9 " wiuvvw4u L3uulvvrtir.% t ,at-in v L- 1 %­,+, ALOT a 7 BLOCK - AS SHOWN ON MAP OF G 20 v/ CJk/i 7 AS RECORDED IN PLAT BOOK PAGE fU OF PUBLIC RECORDS OF DUVAL CO. FLA. FOR <' A- 00w 45 aT. 1 -.-s 0(f CotiC ll n ° / g77 q� v T Q Ct -3 7-OCC U �.ccx gun / t� RECEIV 0 AUG 2 7 1997 City of Atlantic Be 5 ae- Buildin Zoning �5 U . , BEARINGS BASED ON PLAT AS SHOWN I HEAESV C9^T1FV THAT THE / eG37_ SHOWIJ Hit AEON IE IN TME EPEOIAL/4000 HAI^AO API IIA XON L' Ai N40wN ON ILOOU ip-4$UAANCt RATE MAP �.Sc/� FOR THE CITY OF JACKSONVILLE, FLONIOA, DATED 41- ALL AMERICAN SURVEYORS, INC. LAND SURVEYORS—"It 8AYMEADOWS WAY— JACKSONVILLE. FLORIDA 32116 — OUV I I I -112 ►aEAE9Y CERTIFY THAT THE ABOVE LANDS WERE SURVEYED UNDER 1AY s PSR-3844 9 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION - - ------- - LOCATION INFORMATION -------- Permit Number : 9982 Address : 1749 SEMINOLE ROAD Permit Type: UTILITIES ATLANTIC BEACH . FLORIDA 3223-1 Class of Work : NEW ------- LEGAL DESCRIPTION --------- Constr . Type: WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellings : 1 Code: 0 c, brl i r,' s i on . ATLANTIC BEACH Estimated Value : S0 <00 Improv . Cost : 50 . 00 Total Fees : 51250 .00 Amount r. ' $1250 . 00 nF• �, n t `_ITY SEWER ---- -- --- OWNER INFORMATION - - _ . _ _ APPLICATION FEES ----- Name: DA.V I I° IIA;IST PERMIT 50 .00 Address : 1740 SEMINOLE ROAD WATER IMPACT FEE 50 .00 ATLANTIC BEACH . FLORIDA _ SEVER IMPIxC'T FEE $1250.00 Phone: "f,':4 ` _ 16-2790 WATER METER!TAP 50 .100 RADON GAS-H .R. S . S0 .00 ------- CONTRACTOR INFORMATION -- - RADON CAB 5% $0 . 00 Name : PUBLIC W,-�RKS DEPARTMENT CAPITAL IMPROVE . $0 .00 A,d(iress SEWER TAI' 50 .00 CROSS CONNECTION $0.00 L, : en"e mt„• SEC H IMPACT FEE SO . 00 CONST . SURCHARGE $0 ,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 PAYING TWICE FOR THE 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 '�'t0 *12%00 59 Date: 4/14/95 01 Rcpt: 0046431 EHWb%0W3435200 2231 By: PSR-3844 10000 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH Permit Number: 10000 Address : 1749 SEMINOLE ROAD Permit Type : PLUMBING ATLANTIC LEACH . FLORIDA 3223 Class of Work : ADDITION ---------- LEGAL DESCRIPTION --------- Con-ptr . Type: WOOD FRAME Lot : Block : Section: Proposed Use: UTILITY Township: RNG: ^ Dwellings : 1 Code: 0 Subdivision: ATLANTIC LEACH Estimated Value: $0 .00 Improv . Cost : $0 .00 Total Fees : 525 .00 Amount Paid: $25 . 00 Lute .Paid ` 4/14 /x5 FEEB DAVID HRGTST PERMIT $25 . 00 a 1749 SEMINOLE ROAD WATER IMPACT FEE SO . 00 .TLANTIC BEACH , FLOR , SEWER IMPACT FEE SO . 00� Pho � : i904 ' ?65-1380 WATER METER/'TAP $O . 00 RADON GAS�-1#.R. S . t °..C► ----- -- CONTRACTOR INFORMATION ---- - RADON CAB 5% $0 00 Name : JA°: PLUMBING & SEPTIC TANS? CAPITAL IMPROVE . $0 .00 Address : 1'762 BLAIR ROAr SEWER TAP 90 .00 JA:.'KSONVILLE FL CROSS CONNECTION 50 .40 Li cenE7e : C'F` 0215 4 r T vre ' SEC H IMPACT FEE $0 . 00 CONST. SURCHARGE $0 . 00 SCHARGE/ATL. BCH . 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 000000000 OW0000W `25.00 14 DDCaaytt�eeC�: 4/14/95 01 Rcpt: 0045435 By: AN03221000 8604 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : z 7 '-/ ( Sc o-7 `7y�c OWNER OF PROPERTY : PC, / J. /�a f i C G n PLUMBING CONTRACTOR J Q x /'O(/K mn T sc Znc� CONTRACTOR' S ADDRESS : 176 6 v G c k `Sfjl7to dc E(, 3-�2 2t STATE LICENSE NUMBER: Cr-CO 2 �-S y �� TELEPHONE: 7V(- /,390 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER 44f tiI c TOTAL FIXTURES : x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 .00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: .�Z 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 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 1 PSR-3844 + V, DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION -- -------- LOCATION INFORMATION --- Permit Number : 6508 Address : 1749 SEMINOLE ROAD Permit Type: RE-ROOF ATLANTIC BEA"H , FLORIDA 3: . -'lass of Work: NEW ---------- LEGAL DESCRIPTION-------- onstr . Type: WOOD FRAME '.got : Block : Section: ro ased se: SINGLE FAMILY Township: RNG: 0 Dwel ings : 1 Code : 0 subdivision: NORTH ATLANTIC BEACH Estimated Value: $O . Ou Improv , Cost : $0 . 00 Total Fees : 522 , 50 Amount Paid: S22 . 50 Date Paid : 4/12./93 J, ::PLA+ E OLD ROOF WITH NEW FIBERGLASS SHINGLES ---------- OWNER INFORMATION -------- ---- APPLICATION FEES ----- Name: DAVID HACIST PERMIT $22 . 50 Address : 1749 SEMINOLE ROAD WATER IMPACT FEE $0 .00 ATLANTIC BEA�''H FLORIDA 32233 SEWER IMPACT FEE 50 . 00 Phan : ( 90 4 ) 2 4 6--)'7 90, WATER METER 50 . 00 RADON OAS-H . R . S . $0 .00 --- CONTRACTOR INFORMATION ------ RADON GAS -- 5% SO - 00 Name : TWO M "?INSTRUCTION WATER TAP SO .00 Address : 1308 7TH STREET NORTH SEWER TAP $0 . 00 1ACKSONVILLE BEACH , FL 32250 HYDRAULIC SHARE $0 . 00 License : EB0001608 Type: 0 RE-INSPECT FEE $0 .00 SEC .H IMPACT FEE $0 . (� - OTHER $f, 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." • 04/12/93 TIME: 08: ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SU BJECTTff@�REVOCATION q' VIOLATION OF APPLICABLE PROVISIONS OF LAW. TENDERED $22.50 g,(t RECEIPT NUMR: 084885 ATLANTIC BEACH BUILDING DEPARTMENT By: 9 CITY OF ATLANTIC BEACiI t t PERMIT APPLICATION ROOFING Owner( s ) :_ 1 — J AZ�1_--S - -- -- --- --- - - Address: 12 Y Sem i h .0 Phone: Z Lot # Block or Unit # Subdivision _ l [ Contractor: / W D ill Address: /3og State License No.Rlj_- 6ao 1-6 ,6 Describe work to be done: ILOy Materials to be used: 7-6 Signature OWNER: _Date: Signature CONTRACTOR: •, ' I CITY OF 4&4a& 3441-4—99&U .A4 Office of Building Official REQUEST FOR INSPECTION Date Permit No. X1788 e Time Received -M. Job-A4dre is al'ty Own 1/ rrI ?/Wtk�q� Name `� Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out _- Heating Insulation ❑ Lintel ❑ Final ❑ Sewer Fire Place ❑ Pre Fab READY FOR INSPECTION A A.M. Mon. es /IWed. Thurs. Friday_ P.M. A Inspection Made -, spector Final Inspection ❑ Certificate of Occupancy ❑ (J'T Wit/ fin' Date 2- 011 CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029560 Date 1/20/05 Property Address . . . . . . 1749 SEMINOLE RD Tenant nbr, name . . . . . . REPLACE WATER SOFTENER Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------ ------------------ -------------------- --- HAGIST, DAVID CHRISTY FIRST COAST PLUMBING P.O. BOX 656 P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 -------------------------------------------------------- ---------------- ---- 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 WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. s BUILDING OFFICIAL /i9 wed 3'3o 4 r CITY OF ATLAN'T'IC BEACH J PLUMBING PERMIT APPLICATION Date: Property Address:L�7 a zt)"A — - Owner: C�`� 7� Telephoue#: Contractor•.( �h tf*�T C- 'L``1 /� �Telephone#: Contractor Address: "At JJ�Y 7�d J'�. 1 Fax#- %9—7 ZD zp D In consideration of permit given for doing the work as described in the above statement,we hereby agree to pertorm said work in accordance with the attached plans and specifications which arc a pad hereof and in accordance with rite City of Atiantic 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 Southam Standard Plumbing Code_ Plumbing Type: / If other construction is being done on this building or site, ® 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 Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 800 Serninole Road.Atlantic Beach,Florida 32233-5443 Phone:(904)247-5800. Fax: (904)247-5845• http:itwww.ei.atiantic-bear-h.fl.Revised 1/64 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptr?coab.us Application Number . . . . . 07-00001403 Date 10/10/07 Property Address . . . . . . 1749 SEMINOLE RD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------- ---- --------------------------- ---- --------------------------- Application desc 2 fixtures --------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- HAGIST, DAVID CHRISTY FIRST COAST PLUMBING P.O. BOX 656 P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 ---------------- ------------------------------- ---- ---------- Permit PLUMBING PERMIT Additional desc Permit Fee . . . . 60 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/07/08 -------------------------------------------------------- - ----- Fee summary Charged Paid Credited Due ----------------- ---------- -- -------- ---------- ---- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT.YS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. G9 07 11:25a Brian D. Christy 904-249-4660 p.1 , CITY OF ATLANTIC BEACH x PLUMBING PERMIT APPLICATION J�,�,=• TION / l Date: 10 q U 7 PmPerty Address: ! �`7 y m4P t Owner: Telephone#: Contractor. f- Tele p hone#: Contractor Address: )(o S l (), i.rte, -f- � � a`�t{` fQC) Contractor Signature: In consideration of permit given for doing the wodc as described in the abm a stetcmeat,we laer�eb accordance with the attached plans and specifications which are a pat bemof and in accordance with theYyagme tC AtoPcrkrm m Beachm ordina=and standards ofgood practice listed therein Installation of plumbiiag and fires must be in accordance with the most rtcgat edition of the Code Soutbarn Standard Plumbing Plumbing Type: If other construction is being dame on this banding or site, 0 New list the building permit ntnnber. t O Re-Pipe i Number of F-Edures: Bath Tubs Shaw Closets Shower Pans Dishwashers Sinks . Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other. Fees Permit Issuing Fee: $35.00 Total Futures: X$7.00 + $35.00= 800 Seminole Road•Atlaaft Beath,Florida 3223'3.5445 Phone: (904)247-6800. Fmc (904)247.6843. Mtpllwww.ci.atiantic-beach.fl.. Revised 1104 CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD ' ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept(&coab.us Application Number 07-00001393 Date 10/08/07 Property Address . . . . . . 1961 SEMINOLE RD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------- --------- - --------- Application desc INSTALL 13 FIXTURES Owner Contractor - - ----------------------- --------------------- -- MEHRLUST ATLANTIC COAST PLUMBING CORP. 1961 SEMINOLE ROAD 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 126 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/05/08 ------ --------------------------------------------------- ----- 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 PERMTP LS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t r,Tr CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION r _Date: FP-r operty Address: Owner: !,� IT 11-Z -12—L-U 5 1 Telephone #: Contractor: Telephone #: Contractor Address: J�� G5 uyvr-?),L� Z6�k) Fax #: Z`TX'3t —1J3 In oonsideration of permit given for doing the work as described in the above statement,we hereby agree to pertnrm said work in� accordance with the attached plans and specifications which are a pun hereuf and in a xordance with the Citi oi'Atlundc Beach ; ordinance and standards of good practice listed therein. n ��+ 6) 5C9 6116 Installation of plumbing and fixtures must be bi 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. ❑ N list the building permit number: Number of Fixtures: Bath Tubs Showers 3 Closets Shower Pans Dishwashers Sinks ' Disposals Urinals Floor Drains _r Washing Machine ^T Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 e0, Total Fixtures: _ X $7.00 + $35.00 / z L -- 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone: (904) 247800 - Fax: (904) 247-5845 - http:llwww.ci.atlantic-boach.fl.us CITY OF Office of Building Offici I REQUEST FOR INSPECTION Date J Permit No. / Time O GJ Received —/ P.M. D40 , ;�10 4b Job Addres —� Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL = Rough Wiring = Rough C Air Cond. & Framing Footing ❑ Re Roofing _ Slab Temp Pole Top Out L Heating Insulation Lintel _ Final Sewer Fire Place ❑ Pre Fab READ NSPECTION M Mon. Tues. Wed. Thurs. Friday A.M. Inspection.Made _ �7 —�3 -- P.M. Final Inspection Spector Certificate of Occupancy Date _