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1831 Seminole Rd (vault) PERMIT WORKSHEET dehce JOB ADDRESS 8 3( cS21M 1 n o�e " TYPE WORK ' ."I O�1 OWNER a+e 6C)O&rnC�ELEPHONE may/ - c9 PROPERTY 0 V CONTRACTOR �I ck �3e I ( TELEPHONE PERMIT NUMBER 3 - a s�9� DATE ISSUED INSPECTIONS: FOOTING -2-Z 1 z-- � SLAB 3 • I TIE BEAM LINTEL 3 NAILINGISHEATHING q FRAMINGICOVER UP 3 INSULATIONrq FINAL BUILDING CERTIFICATE OF OCCUPA C pER IT UMBER TREE PERMIT ISSUED? ELECTRICAL PERMIT NUMBEDATE COPY SENT TO JEA TEMPORARY POLE PERMIT NUMBER RECEIVED?d( Y S NO DATE COPY SENT TO JEA______— TEMPORARY POWER LETTER INSPECTIONS: ROUGH ELECTRICk J►u RELEASED TO JEA TEMP. POWER _ RELEASED TO JEA c J TEMP. POLE�41 - U RELEASED TO JEA_�2q-zZ FINAL MECHANICAL PERMIT NUMBER ' -''-' -7 INSPECTIONS: ROUGH �••lt�•C3 FINAL PLUMBING PERMIT NUMBER 03 - a5y9`7 TOPOUT INSPECTIONS: ROUGHIUNDERSLAB3•S-a a;rL• r o n3 FINAE WATERISEWER ��rpt•03 FINAL l T� DRAINAGE INSPECTION POOL PERMIT NUMBER FINAL INSPECTIONS: STEEL ROOFING PERMIT NUMBER FINAL INSPECTIONS: NAILING/SHEATHING FAILED INSPECTIONS: DATE PD. DATE PD. le lgdq Sea),p,7 o(e poP• CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000652 Date 7/09/08 Property Address . . . . . . 1831 SEMINOLE RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5946 ---------------------------------------------------------------------------- Application desc HURRICANE SHUTTERS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OSPREY BUILDERS 342 CRESANT LAKE SHORE DR CRESENT CITY FL 32112 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 5946 Expiration Date . . 1/05/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENOLMENT NAapw M.*14W Fa TW3 I Kelurn lo:teOCID3e coli-addressed lumped coveiope I ^7 r.mr I DOC iF 2thJ8t/451%.<JK' tc 14562 Page i 153, Address: Recorded Pages:1 Recorded 07%07,'2008 at 08:27 AM. Thit fastrument Prepared by: I JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 Add-- -_---- ----_----- Property Appraisars Parcel Ideatificathm I I SPACe ABOVE THIS LDM POR PROCESSING DATA i SPAM ABOVE TIRS UM POR RWO1MM DATA NOTICE OF CMVENCEMEN 1 Permit No. Tax Folio No. State of Fiodda ` I County of \1 Sx The undws*W hemby tib notice that ImprovarrMnts 11111111 be mads b-- 1101 red prOPWW,and IN apmMMM with d*PtK 713 of the Florida Statutes,the foiiowinp information is provided in this N0110E OF COMMENCEMENT. Legal description of property(include Street Add ff auditable) 0 2 S ZG General description of improvements 0y-tr U v" I ur►ner's Name O Address o IOwner's Interest In site of the improvement Fee Simple We holder(if other then owner) Address Phone: Fax: contractor Acijjclr4,S Address L h0fe Phone: 5-59 7 Z,/1 Fax: 3 6 (., n Sursty Phone: Fax: ( / Address Amount of bond s i Lender's Name I Address- Phone: Fax: Psnons within the Stab of Florida designabd by 00 W upon whom notices,or other documents may be served as pro- l vtded by Section 713.13(1)(a)7,t'torida Statutes. Name Address Phone: Fax: i In addition to himself,owner designates Of Phone: Fax: to receive a copy of the%.tenor's Notice as provided in Section 713.13(1)(b),Florida Statutes. x Expiration dafe of Notice of Commencement(the expiration date is 1 year from the date of retcnt ft unless a different date Is specified) a X14 J'Owe 6;9CIC"n n of OWW Primal mum or O"a I N ARY RURRRAST tit i- S&�1 l !hcrc MI-1 d aPwft:A.r+hlowiaj W6111iAeatioo of the AfriWL 07 d tub to m this _ 23 day of I 99 JACQUE11W L. HALES Notary Pubk-State of Florida 'e-S QMMWW Ems Jen 26,2010 Prfated Ns�e r CrOgI11r111im 0 W S11as ''°� .. Bonded By National Notary Assn. BUILDING PERMIT APPLICATION C CITY OF AT ,Y LANTIC BEACH ��R ��uc �;7��, . 800 Seminole Road,Atlantic Beach FL 3223 �'�LJf31)f> Office: (904)247-5826 Fax: (904)247-5845 Job Address: ��3 S�m i rl0 Xe ect= Permit NitinberAt: Legal Description Q c� 4 5 9 t= o � Valuation of Work(Replacement Cost) $ s q ■ Class of Work(Circle one): New Addition Alteration Repairpee� e ■ Use of existing/proposed structures) Circle one): Commercial ntIf an existing structure, is a fire spr er system installed?(Circle one): o N/A Is approval of homeowner's association or other private entity required? (Cn Yes o Describe in detail the type of work to be performed: v,,eoci C ai e_ oL�e Property Owner Information Name: '— (,v� Address: J l Pm « l 6 ' e o�cj Z-&? phone 96 S'State S Contractor Information: Name of Co p y: Qualifying Agent: �� 4 � Address:S city � 'C/Tate Zip —5a/1z, Office Phone Job Site/Contact Number qO4 State CertificationlRegistration# Office Fax# .3 Architect Name &Phone# Engineer's Name&Phone# 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 beerformed to meet the standards of all laws regulating construction to this jurisdiction. This permit becomes null and void i,f work is not commenced within six(6) months, or tf 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 and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT ULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE t hereby certt fy that I have read and examined this application and know the same to be ue and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specifte her in or not. The granting of a ov- re-ume t„ give authortti, to violate or cancel the provisions of an the f er l; .c ate, or local law permit uvea icvt pi w`ni.c� w `�•.� ....� r regulating construction or the performance of construction. )Signature of Property Owner: ^ Signature of Contractor: Sworn to and subscribed before me r ei d subsc ' e before me this of DayI E COPY y; � , RA6i(dhk M IANCE ur Notary Public: O$ER 4 BAFLEI� ..,, .,.�...., � R 11 tay MY OMMISSION V DD 488890 t PIRES:February 25.2010 i ITI S. 1_8003-NOTARY FL Notary Discount Awoc,Co. REVISED 03.05. REVIEWED BY: -- _0 Duval County Tax Collector Page 1 of 2 Legal Desc. __I { owre rr Name Details Last Update: 03/30/2008 Tax Record Shopping Cart Ad Valorem Taxes and Non-Ad Valorem Assessments The information contained herein does not constitute a title search and should not be relied on as such. Legal Desc. Account Number Tax Type Tax Year » Print View Payment History 169632-0100 REAL ESTATE 2007 Property Info. Legal Description 20-20 09-2S-29E .08 OCEAN GROVE UNIT NO 2 N1/2 LOT 39 Searches Account Number Owner Name Mailing Address Street Address Certificate Site Functions County Login Welcome Tax Search Local Business Tax Privacy & Usage Contact Us Home Printf <<First <Previous Next> Last>> Legal Disclaimer/ Privacy Statement http://governmax.com/collectmax/tab_collect mvplgl.asp?wait=done&t nm=collect%SFmvplgl&sid=107... 4/3/2008 Florida Building Code Online Page 1 of 4 :Community Affaira BCIS Home I Log In l Hot Topics I Submit Surcharge Stats& Facts Publications ; FBC Staff BCIS Site Map Lin Product Approval USER: Public User Product Aooroval..Menu > Prod t or ApQlication Search->.Application List > Application Detail FL # FL2249-R3 Application Type Revision Code Version 2004 Application Status Approved Comments OFFICE OF�HE Archived SECRETARY Product Manufacturer Town and Country Industries, Inc. Address/Phone/Email 400 West McNab Road Ft. Lauderdale, FL 33309 (954) 970-7700 tomj@tc-alum.com Authorized Signature Vladimir Knezevich KAEng@aol.com Technical Representative Thomas B. Johnston Address/Phone/Email 400 west McNab Rd. Ft. Lauderdale, FL 33309 (954) 970-9999 tomj@tc-alum.com Quality Assurance Representative Address/Phone/Email Category Shutters Subcategory Accordion Compliance Method Evaluation Report from a Florida Registered AI a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who John W. Knezevich Ihttp://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvL7WPh33iXNKw-nDjaznlkQ4... 4/4/2008 Florida Building Code Online Page 1 of 3 C OMMUMIGY Affairs. BCIS Home Log In Hot Topics Submit Surcharge Stats & Facts Publications i; FBC Staff BCIS Site Map ' Lin Product Approval USER: Public User SII Product Aooroval Menu > Produc or AWDlication Sear h > Appl.ic�tion List > Application Detail FL # FL419-R2 Application Type Revision Code Version 2004 Application Status Approved Comments Archived Product Manufacturer Eastern Metal Supply Address/Phone/Email 4268 Westroads Drive West Palm Beach, FL 33407 (561) 841-5480 bfeeley@easternmetal.com Authorized Signature Bill Feeley bfeeley@easternmetal.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Shutters Subcategory Storm Panels Compliance Method Evaluation Report from a Florida Registered AI a Licensed Florida Professional Engineer - Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who Walter A. Tillit, ]r. developed the Evaluation Report Florida License PE-44167 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvWbooiPWRHhtjLBeWTMGH... 4/3/2008 Page 1 of 4 Florida Building Code Online W. ,w Community Affairs BCIS Home Log In , Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Lin =y J Product Approval USER: Public User �• Product._Approval Menu. > Product_or Application Search. > Applcation...List.> Application Detail FL # FL2249-R3 ® Application Type Revision Code Version 2004 Application Status Approved Comments Archived Product Manufacturer Town and Country Industries, Inc. Address/Phone/Email 400 West McNab Road Ft. Lauderdale, FL 33309 (954) 970-7700 tomj@tc-alum.com Authorized Signature Vladimir Knezevich KAEng@aol.com Technical Representative Thomas B. Johnston Address/Phone/Email 400 west McNab Rd. Ft. Lauderdale, FL 33309 (954) 970-9999 tomj@tc-alum.com Quality Assurance Representative Address/Phone/Email Category Shutters Subcategory Accordion Compliance Method Evaluation Report from a Florida Registered AI a Licensed Florida Professional Engineer 11 Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who John W. Knezevich http://www.floridabuilding.org/pr/pr_app_dti.aspx?param=wGEVXQwtDgvL7 WPh3 3 iXNKwnDjazmkQ4... 4/4/2008 Florida Building Code Online Page 2 of 4 developed the Evaluation Report Florida License PE-41961 Quality Assurance Entity National Accreditation and Management Instit Quality Assurance Contract Expiration Date Validated By ORLANDO L. BLANCO, P.E. Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Standard Year ASTM E330 2002 SSTD 12 1999 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 12/31/2005 Date Validated 01/05/2006 Date Pending FBC Approval 01/09/2006 Date Approved 02/07/2006 (Summary of Products FL # Model, Number or Name Description 2249.1 6.8 and HR Accordion Aluminum Accordion Shutter Shutter Limits of Use (See Other) Installation Instructions Approved for use in HVHZ: Verified By: Approved for use outside HVHZ: Created by Independent Third Party: Impact Resistant: Evaluation Reports Design Pressure: +/- PTID 2249 R3 T 05-578 DWG 68-HF Other: Use of these product shall be in strict 12.pdf 1. conformance with the requirements of the PTID 2249 R3 T 05=578 Report_68 reference drawing prepared by TTG, Inc. These 12 R3.pdf products are NOT suitable for installation in the Created by Independent Third Party: High Velocity Hurricane Zone. These products may only be installed on concrete, hollow concrete block or wood substrates. For all other conditions site specific design shall be by this office or our delegated engineer. Shutter spans I http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvL7 WPh3 3 iXNKwnDj azmkQ4... 4/4/2008 Florida Building Code Online Page 3 of 4 less than 32" are not acceptable per the provisions of SSTD 12-99. 2249.2 6.8" Accordion Shutter Extruded Aluminum Folding Shutter Limits of Use (See Other) Installation Instructions Approved for use in HVHZ: Verified By: j Approved for use outside HVHZ: Created by Independent Third Party: Impact Resistant: Evaluation Reports Design Pressure: +/- Created by Independent Third Party: 3 Other: Use of these product shall be in strict conformance with the requirements of the LrAdn nce drawing prepared by TTG, Inc. and y with chapter 61G15-23 of the Florida iistrative Code. These products are NOT le for installation in the High Velocity ane Zone. These products may only be ed on concrete, hollow concrete block or substrates. For all other conditions site ic design shall be by this office or our ted engineer. Shutter spans less than 32" t acceptable per the provisions of SSTD . 2249.3 HR Accordion Shutter Extruded Aluminum High Rise Folding S Limits of Use (See Other) Installation Instructions Approved for use in HVHZ: Verified By: Approved for use outside HVHZ: Created by Independent Third Party: Impact Resistant: Evaluation Reports Design Pressure: +/- Created by Independent Third Party: Other: Use of these product shall be in strict conformance with the requirements of the reference drawing prepared by TTG, Inc. and comply with chapter 61G15-23 of the Florida Administrative Code. These products are NOT suitable for installation in the High Velocity Hurricane Zone. These products may only be installed on concrete, hollow concrete block or wood substrates. For all other conditions site specific design shall be by this office or our delegated engineer. Shutter spans less than 32" are not acceptable per the provisions of SSTD 12-99. Back Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850) 487-1824, Fax(850) 414-8436 © 2000-2005 The State of Florida. All rights reserved. Copyrioht and Disclaimer Product Approval Accepts: http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvL7 WPh3 3 iXNKwnDj azmkQ4... 4/4/2008 Flo ling Code Online Page 1 of 3 now 1 ommunityAffalrSl Mit Surcharge Stats Facts Publications FBC Staff SCIS Site Map BCIS Home j Log In Hot Topics SubLin fix. Product Approval USER: Public User Product Approv..al Mu.en > Product or A..pplication..Searc..h.> Application..List> Application Detail FL # FL419-R2 Application Type Revision Code Version 2004 Application Status Approved 1 Comments Archived Product Manufacturer Eastern Metal Supply Address/Phone/Email 4268 Westroads Drive West Palm Beach, FL 33407 (561) 841-5480 bfeeley@easternmetal.com Authorized Signature Bill Feeley bfeeley@easternmetal.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Shutters Subcategory Storm Panels Compliance Method Evaluation Report from a Florida Registered AI a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who Walter A. Tillit, Jr. developed the Evaluation Report Florida License PE-44167 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGE V XQwtD qv WbOoiP W F Hhtj LB e W TMGH... 4/3/2008 Flori ding Code Online Page 2 of 3 Quality Assurance Entity National Accreditation and Management Instit Quality Assurance Contract Expiration Date Validated By John Henry Kampmann Jr. Validation Checklist - Hardcopy Received Certificate of Independence FL419 R2 COI CERTIFICATION OF INDEPENC Referenced Standard and Year (of Standard) Standard Year ASTM E330 2002 SSTD 12-99 2001 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 09/12/2007 Date Validated 11/20/2007 Date Pending FBC Approval 11/23/2007 Date Approved 12/11/2007 Summary of Products FL # Model, Number or Name Description 419.1 05-270 050 Bertha Aluminum Storm Panel Limits of Use L ion Instructions Approved for use in HVHZ: No 2 II11 _Dwg_No.05-270.PD_F Approved for use outside HVHZ: Yes By: Walter A. Tillit Jr., P.E. PE- Impact Resistant Yes by Independent Third Party: Design Pressure: N/Aon Reports Other: Product to be installed only within NON 2 AE PRODUCT EVALUATION HIGH VELOITY HURRICANE ZONES as defined on PDFsection 1619.2 of the Florida Building Code. by Independent Third Party: 419.2 05-271 24ga. Galvanized Bertha Steel Panel Limits of Use [F4 llation Instructions Approved for use in HVHZ: No 9 R2 II Dwg No 05-271.PDF Approved for use outside HVHZ: Yes ed By: Walter A. Tillit Jr., P.E. PE_ Impact Resistant: Yes ted by Independent Third Party: Design Pressure: N/A ation Reports Other: Product to be installed only within NON _9_R2_AEPRODUCT_EVALUATLONHIGH VELOCITY HURRICANE ZONES as defined RT.PDFon section 1619.2 of the Florida Building Code. ted by Independent Third Party: http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvWbOoiPWRHhtjLBeWTMGH... 4/3/2008 Flom ilding Code Online Page 3 of 3 Back Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850)487-1824, Fax(850)414-8436 © 2000-2005 The State of Florida. All rights reserved. Copyright and Disclaimer Product Approval Accepts: 19 ® eCfreck Vsr151 liaturr+9 VE RAFY� http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvWbOoiP WRHhtj LBeWTMGH... 4/3/2008 's�p City of Atlantic Beach PERMIT APPLICATION NUMBER Al Building Department (To be assigned by the Building Department.) 800 Seminole Road a —2 Atlantic Beach, Florida 32233-5445 \\ Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us O City web-site: hftp://www.coab.us Date routed: �Z BUILDING PERMIT REVIEW AND TRACKING FORM Property Address: ,( jrj;/f�j� ( De ent review required Yes No ("'Building_,) 2 Applicant: � �G ritu " AU Lel.a 'ng &Zoning —� .�—F Pubbll ic Works � �/L � Public Utilities i Project: /"j/ E C2% Public Safety Fire Services / Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APP ICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: (=BUILDING— PLANNING &ZONING PUBLIC WORKS Reviewed by: kiC Date:S"/3�b� PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 11/10/03 Parcel Number . . . . . Property Address . . . 1831 SEMINOLE RD ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description • . TO BE UPDATED Property Zoning . . - Owner . . . . . . . . . WATERS,DESMOND/GOODMAN,RICHARD Contractor . . . . . . RICHARD BELL 904 249-0131 Application number 03-00025497 000 000 Description of Work TWO FAMILY RESIDENCE Construction type . Occupancy type . . . • Flood Zone . . . . . . Approved . . . . • . . Building Official VOID UNLESS SIGNED BY BUILDING OFFICIAL CITY OF ATLANTIC BEACH s� S 800 SEMINOLE ROAD ;r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . 03-00025497 Date 2/06/03 Property Address . . . . . . 1831 SEMINOLE RD Tenant nbr, name . . . . . . 2586SURCHG, 879RADON Application description . . . TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 229000 Owner Contractor - ------------------------ ----------------------- WATERS,DESMOND/GOODMAN,RICHARD RICHARD BELL 1952 BEACHSIDE COURT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-0131 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee 847 . 00 Plan Check Fee 423 . 50 Issue Date . . . . Valuation . . . . 229000 8/06/03 ------------------------------------------- ----- . . . . CITY RADON SURCHARGE . 21 CAPITAL IMPROVEMENT 325 . 00 ST CONSTRUCTION SURCHARGE 11 . 63 AB CONSTRUCTION SURCHARGE 1 . 29 Cityy��o�f AtlanticBeach STATE RADON SURCHARGE 4 . 17 tit �STOMER RECEIPT SEWER IMPACT FEES 1250 . 00 Open DSMITH Type: OC Drawer: 1 Date: 2/86/83 01 Receipt no: 32545 WATER IMPACT FEE 630 . 00 Descri tion Qty Amount WATER CONNECT/TAP & METER 525 . 00 2�3 25497 WATER CROSS CONNECTION 35 . 00 BP BUILDING PERMITS 1 $4852.88 Tender detail arged Paid Credited Due -------- ---------- ---------- ------- Total tendered 1881 $4052.88 847 . 00 847 . 00 . 00 . 00 Total payment $4852.80 423 . 50 423 . 50 . 00 . 00 30 . 00 . 0030 2782 2 . . Trans date: 2/06/83 Time: 18:19:17 278 . 00 . 0 0 4052 . 80 4052 . 80 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 WHIC"PART OF THIS PERrj AND UBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL i fJc� J L CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 .w= INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027141 Date 10/24/03 Property Address . . . . . . 1831 SEMINOLE RD Tenant nbr, name . . . . . . IRRIGATION Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - -- ---------------------- --- -------------------- GOODMAN, JOYCE SIMS HICKORY CREEK 12615 IVYLENA ROAD JACKSONVILLE FL 32204 (904) 241-2134 (904) 221-0605 ------------------------------------ ------- Permit . . . . . . PLUMBING PERMIT Additional desc . . . 00 Permit Fee . . . . 85 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date 4/30/03 Fee summary Charged Paid Credited ----Due--- ----- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 f Grand Total 85 . 00 85 . 00 . 00 . 00 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 OWNERRESULT IN THE PROPERTY REVOCATION IMPROVEMENTS" ISSUED ACCORDING TO PROVISIONS APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJEPAYING CT TO CE FOR FOR VIOLATION OF APPLICABLE F LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION s� Date: Property Address: , '�)o L'_ c� Owner: - - -e Telephone#: 2c4 i -2-I 3 kt Contractor: L4 < <<,j ,7 C'r `L "'mss '7 Telephone#: 22-t v 6 C/S Contractor Address: ( '2-CD 'S 1^�z �"^G � Fax#• 2 Z ( ea-7 C In consideration of permit given for doing the work as descfibed 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, ar" 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 X Other t,rri� 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.atlantic-beach.fl.us UNITED ELECTRIC CO. OF JACKSONVILLE 5716 ST. AUGUSTINE RD JACKSONVILLE, FL 32207 (904) 731-4210 September 24, 2003 2 Mr. Don Ford Inspection Department City of Atlantic Beach 800 Seminole Rd Atlantic Beach, FL 32233-5445 Project Name: Duplex Address: 1831 Seminole Rd Permit#: 03-00026021 Dear Sir: We respectfully request a temporary final inspection. We will be responsible for anything that may occur due to the energizing of the service prior to the certificate of occupancy, and the approval and completion of the job. Yo strut , t ohn E. Gri m, Jr. United Electric Co. of Jacksonville Sworn and subscribed before me this 24`x' Day of September 2003. � �;y.•, RONALD P.SHORT —� 0. t= MY COMMISSION#DD 189251 �• o EXPIRES:July 2,2007 •F dF cy Bonded Thru Notary Public underwriters (Notary Public) My Commission Expires: July 2, 2007 APPROVE-) CrgGNBEACH CN UILDINpFICE SEP 2 5 C3 �y_a ON ❑ so" pred saad joodsuj-am IJV ON ❑ sad [ gdd ujTni ,�anznS Teutd •1daQ 2implIng '1daQ 2utuuejd s3pooilgne ------- •idaQ a.I-IA Xg pano.zddV pano.zddv aleQ patjPoN aTeQ juami edaQ :Roumdnaao fo amat„J'IV93 6uznssl asofaq paxaldwoo aq ;snot 6ulmollof a"a jitng sy pazinbag l -_ :uotIenajg .zooid Isannoq jeta.zauTutoo ❑ aouaptsQm .Kjtuie3-aj2uis ❑ :se Kouedn000 .zoj �peaj oq of patjil zao ose pue Iluu;Dd Q qj jo suz.zal aul Llilm aouep.z000e ui palajduzoo uaaq anEtj Xjj3do zd pagt zosap-anoge ;Dql of sjuauzano.zduzj :uopdt.zosaQ Te2aZ co :ssa.zppd Kjzado.zd l.�- l��t� �l.✓ :# liui.zad :ouzeN Joloeiluog :pajsanboM aleQ ,L2[:Iuorio3ddsul HSMHOM ��1�I�dR��0 ,�O �.L��IdI,L2i�� luauru �T 7 H3V3g 3I.LAIVrI.LV 90 A113 2utuoz W $mid `�utpimg amjmuaswda�I watuLmdaQ Buipl nq (7 lumamdaQ Sutppng glznn papa XanmS S , Z uoilenalg.ioo13 isamo-I ipng sV �uotIEnalg ioo131sanno7 pa.gnbaX :asrl luau=daQ amiruSIS s,lu-eagddd -�L p al�Q • j j wauid anap pasodoid aqj Supoalp saoueutpao io snm�l iaglo Me pue I I-L-SZ •oN aouuuPi03o suotsinoid alq-uogdd-c 1p gjIm XIduioo of aaigE I pannbar se paptnozd aq Muis io uaaq anLIq MVP Butuoddns pup scold alp iEgi pun ioouoo Butaq uo'IMWOJCn anogE aqj uodn qua uPuoo si jruuad sigl jo aouensst aqj lop puejsiapun I :juauBpalmou3l3y iueogddd S.LN��U�IO� •juauijmdaQ Sutpl nq aqj gilm aIg uo si Xa,uns aqi Itjun ponssi aq Ilm Xouedn000 jo ajj!ogivao ou pue apmu aq Minn uopadsm luug oN •auoz jugs ioj pagsllgLIsa uotIPnala pooh asuq aqi anogv io of lunba si NOIIVAa-la-JOO I3 .LSgAc O I aql IMP $uL�J?uao `QgUnOd N339 SVH GWIS aluldgj,3V aPmu aq jsnui ,Ca uns `auoz p�zeq pooh E utgllm palrool si Butpli jI :uotIICnalg ioot3 JsannoZ pa.mbaZj :auoz pool, :�uauidolanaQ Jo QCUI 2 n ::uolieooq NOIIV-M 3NI IN3Id 'IgA3Q NIVUGOOIJ n cno -i -0wOz0CnU) z -4 m JC) a: o0 w Om m DO mmC) H C m Z O � 0 O S (n n r DDZ 40 °'- S0 Z D noN . �] O r �u 0 H mnm Orme N � y rrrl OS mU) d mm zm - rz � 0 C) 3 MO0 = � D rr0 m CDCj Z DOM ; N w O � 1 m -4 (n 2 ;0 D - CA "T n 1,21.30' �R) N; � .31 mow = mm � m < _ � � --I C) 0 121.47' (At) � In z n OCD DzDOm � D OCC�N S w Y s' �ti w MLnONimpmCOOm rCO -x „ .= v— o Amo � O O DZ C� Oz � Dzo �. covo o� G1^: £ mf � � o ZZ n r Z MOOD �rn o I I o rrj � 71 n r -I O -I -I Z D � z O S O 24.3' 100 .1 �� r a N -I � O m � � f CSO CDw OC, to 00m N0z0 z Y/ -LEV. , I Co r �o p �° z z O � w v J92 N I IO 00 n+ � G� = mOOCD wo � � -IpO � � O � W p o (n m � S O m T1 O 25.8' �`�O Cr � H d O m -I w D O� (n O A r �- ; r om zz r- _ v, o " r r, oD > � inn � m �U0 C o N b H a Z f- rr1 r -1 m O S - Z 123.14' (M)�� ornIll��ti nuc' -iOZ'� mC) 0 � mD DSO 123.00' (R) �ti �`�� ° O mD m � O D 0z Cb�,� z 0 —� m cn = m � R' I I��� _ bb = c7 m T-10 � m � Nm ODDN � D �IZ Z 0zzo Z � D 0D -< r- 0 0 � 124.70' (R) � � nd ZZ7 � Z � GiD � S OOD -I ZOU, mrOOU'_ (n - S + �I, r ZnZ O = m U' � O � 00 CA �lI o O ro + ZOwmoO � M C:) c co r`' z 00 � r- N � D Z 0x TCm Z mw D � � mr DZ7D C �a � O � S_ O � < Z Z -< D -M � n D (n -� O C? 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TO BE UPDATED Application valuation . . . . 229000 Owner Contractor - ------------------------ ----------------------- WATERS,DESMOND/GOODMAN,RICHARD RICHARD BELL 1952 BEACHSIDE COURT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-0131 --------------------------------------------- Permit MECHANICAL PERMIT Additional desc . . . 00 Permit Fee . . . . 107 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited _---Due--- ----- ---------- --------- Permit Fee Total 107 . 00 107 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 107 . 00 107 . 00 . 00 . 00 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 RDING TO RESULT ARE PART OF THIS PERMIT OWNER ND SUBJECT TO REVOCATION FOR VIOLATION TISIN THE PROPERTY PAYING SUED DCABLE OPROVISIONS F LAW. PLANS WHICH RIvII BUILDING OFFICIAL CITY OF ATLANTIC BEACH a S L1 J t MECHANICAL PERMIT APPLICATION Date: Owner of Property: , ) y cc: Job Address: Contractor: 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. III. GENERAL INFORMATION A. Type of heating fuel: B. tD/Efectric IS OTHER CONSTRUCTION BEING DONE ON THIS ❑ Gas: _LP _Natural _Central Utility BUILDING OR SITE? ❑ Oil ❑ Other—Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE NATURE OF WORK Residential or Commercial INSTALLED q New Building (Provide complete list of components on back of this form) ❑ Existing Building beat _Space _Recessed Central _Floor ❑ Replacement of existing system ❑ Air Conditioning: R m C1en f O New Installation(No system previously installed) O Duct System: Material . Thicknf ss ❑ Extension or add-on to existing system Maximum capaccfm ❑ Other-Specify O Refrigeration ❑ Cooling tower: Capacity Apm O Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: _ Manlift_Escalator (Number) (Received) O Gasoline pumps (Number) O Tanks (Number) Remarks ❑ LPG containers (Number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers O Other—Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving T s Agency _ Gr HEATING—FURNACES,BOILERS,FIREPLACES No r Units Description Model Number Manufacturer Capacity Approving BT en l/, s TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800•Fax:(904)247-5845• http://www.cLatlantic-beach.il.us 1/14/03 r � CITY OF ATLANTIC BEACH SS 800 SEMINOLE ROAD j r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r Application Number . . . . . 03-00025562 Date 2/20/03 Property Address . . . . . . 1831 SEMINOLE RD Tenant nbr, name . . . . . . TP24 TEMP POLE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ UNITED ELECTRIC CO. OF JAX 5716 ST.AUGUSTINE ROAD JACKSONVILLE FL 32207 (904) 731-4210 ---------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . . 00 Permit Fee . . . . 70 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ---------- ---- --- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 I Grand Total 70 . 00 70 . 00 . 00 . 00 ti 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. t BUILDING OFFICIAL CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR DATE: � ao 2003 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 ACC RDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: ST R ELECTRICIAN SIGNATURE: 7- OWNERS NAME: 1� C I(A 6 e II ADDRESS: 3 I Sz.r,n l RFD BOX_ BLDG. SIZE BETWEEN: RES.(,< APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW(vY OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.(�SIGNS( ) SQ.FT. SERVICE: NEW INCREASE REPAIR( CONDUCTOR SIZE 3 # U AMPS: O COPPER( ALUM.( FEES hyo SWITCH ORBREAKERJ bO AMPS ( PH 3 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 � ZOS 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V FIXED OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V7SI OVER 600V TRANSFORMERS: NO. N0. IKVA NO.NEON TRANSF. NO VA MZE SWITCH FLASHERS EACH SIGN Updated 5/20/2002 f ' CITY OF ATLANTIC BEACH S1 J 800 SEMINOLE ROAD r� ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025497 Date 2/19/03 Property Address . . . . . . 1831 SEMINOLE RD Tenant nbr, name . . . . . . 2586SURCHG, 879RADON Application description . . . TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 229000 Owner Contractor - ------------------------ ----------------------- WATERS,DESMOND/GOODMAN,RICHARD RICHARD BELL 1952 BEACHSIDE COURT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-0131 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Sub Contractor . . NELSON PLUMBING CO. , INC . Permit Fee . . . . 168 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 168 . 00 168 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 168 . 00 168 . 00 . 00 . 00 t 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 P YING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHI PART OF THIS PEP I4 T SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: ZI ` OF Job Address: Owner of Property: Telephone: 241 - 2/- Plumbing Contractor: I\kk o, rj/to r+,)o ,•o, Contractor's Address: 1 Telephone: qOLf - a a- 21$ t/ Fax: State License Number: How many of the following fixtures(re-piped ew _Sinks Showers Water S Lavatory Water Heaters Hose Bib Bathtubs Dishwashers __Sewer Urinals Disposals Other 3 Closets Washing Machine Shower Pans Floor Drains Re-Pipe(List fixtures being re-piped) Total Fixtures: I x $7. + $35.00 o o (Minimum Permit Fee: $35.00) Signature of Contractor: Installation of plumbing and ures must be in accordance with the most recent edition of the Southern Standard Plumbing ode. Call a day ahead to schedule inspections: (904) 247-5826 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- hupwwww.cLatlantic-beach-fLus Revised 1/14/03 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date: O 3 Address ILK 3 t SE "IAJO c. F ;WN (o()Jl Heated Square Footage .?/4/L @ $ per sq ft= $ Garage/ Shed y S/0 @ $ per sq ft= $ Carport/Porch @ $ V" Vp per sq ft = $ Deck $ 1 r per sq ft= $ tjO Patio @ $ per sq ft= $ TOTAL VALUATION: $ 0 0 c) Total Valuation 1st $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: 0i_ + '/z F' in FLOOD ZONE: ({) Fireplaces @$35.00 $ 3 3� IMPERVIOUS SURFACE: ij.<0/q o (: BUILDING PERMIT FEE $ WATER IMPACT FEE $ 635 SEWER IMPACT FEE $ / 2 SD WATER METER/TAP $ S1.i— �� � CAPITAL IMPROVEMENT$ 3 2,r SL��' SEWER TAP $ --�$' d t �o� C ("?) RADON HRS .0050 $ /? SECTION H PAVING ( ) $ 0 CROSS CONNECTION $ 3 or �,j U: ST(2 S86) SURCHARGE $ �S l pry OTHER $ GRAND TOTAL DUE: $ I/I3/03 WATER IMPACT FEE WORKSHEET ADDRESS: DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, 12— Bidet, ZBidet, and bathtub or shower 6 Bathtub (with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory E Dishwashing machine, domestic 2 2- Drinking fountain/Icemaker Y2Floor drains 2 Hose bib 1 � Z Kitchen sink, domestic 2 : :T— Kitchen sink, domestic with food waste grinder and/or 2- dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory 1 3 � 1 Z Shower compartment,domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or lessy 2 Wash sink (circular or multiple)each set of faucets 2 Water closet,flushometer tank, public or private 4 Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS= E� MULTIPLIED X 20 TOTAL$ D RIVE - _ J� Cl gL:E & ZOTICNINGF ATLANTIC �� l CITY OF ATLANTIC BEACH 3 2003 BUILDING PERMIT-APPLICATI N () � T1�C�"F" `T' ESTDEN'C Y: pprrl,�l ':MON) Date: Job Address: Owner of Property: �('i►r11 . 6n 0 C4 W1 -�'i '�S t h L r c� ►-� Address: (��S Se- ►'-•-��`c' �'--d Telephone: ,r i Legal Description: Block Number: � ��� Lot Number: `y Zoning District: �• Contractor: State License Number: Z- � C/1•. v►-�'� l`7�UL� Contractor's Address: Ig�i Z Telephone: '-)41 Ol 31 704- Fax: Describe proposed use and work to be done: ,2 S ty r Present use of land or building(s): V Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required? 6') If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? ❑ NO. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑ NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. A L Ke-4-l I 1-T 1110 V&_ c( Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.usRevised 1/14/03 Page 1 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all i ati rovided with this appli ion is rr Signature of owner: Date: o I hereby certify t I have rea and examined *sappicItion anknow the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true a 4 correct and th a lans and supporting data have been or shall be provided as required. Signature of Contractor: Date: / 0 7 Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this �' I day of ,20 fa. State of Florida,County of Duval Notary's Signature: 'W PATRICIA C."0BBITT MY COMMISSION# DD 108848 personally known far °`� ExPRES:June 7,2008 ❑ Produced identification r-Gooallotlwr Fl No[ansava.aeorahq,lne Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this 2 3day of V\, 2023 State of Florida,County of Duval Notary's Signature: LEO C.HARMON ❑ Personally known �� Notary Public.State of Florida Produced identification My�mmNo.DD86603 27.2006 Type of identification produced G 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Revised I/14/03 DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 g1 TELEPHONE:(904)247-5834 7 FAX:(904)247-5843 S) SUNCOM:852-5834 J VE v http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # Applicant: Address: Project: -2— u Your application is approved as noted by the Public Works Department. Final application-approval must come from the Building Department. Your permit application has been reviewed by the Public Works Department and the following items need attention: Please submit these requirements to the Public Works 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 Robert S. Kosoy, P.E., Director of Public Works Date Signature Contractor Notified Date ji A2 l e� i /9 6 ,7 CITY OF ATLANTIC BEACH S y1AJ j'jv� 800 SEMINOLE ROAD J$ ATLANTIC BEACH,FLORIDA 32233-5445 \ TELEPHONE: (904)247-5800 r y FAX:(904)247-5805 J SUNCOM:852-5800 J , http://ci.atlantic-beach.fl.us r% WIN.31� � �,Ac r PI I �E N� VIEW COMMENTS � Permit Application # Applicant: �1 L r� 13C' Address: V 31 �'� k— Project: 'e o Y r application is approved Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. o � id Reviewed by 7 d 2 Signed to Contractor Notified Date DEPARTMENT OF PUBLIC WORKS i1t�J f1f� 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 7 FAX:(904)247-5843 S) SUNCOM:852-5834 http://ci.atlantic-beach.fl.us oil PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # J'3 Applicant: GV) Gl f3C l ' Address: SCy) �,1 O (-k- Project: 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: ax,* ti IXa 09VA4 01= Of 40 A0 4;02.0Lx 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 Kaluzniak, Public Utilities Director > Date Ild 7lo ignature Contractor Notified Date th-Q, Ccaf i /z ? /v 3 1 L�� CITY OFATLANTIC BEACH I' 800 SEMINOLE ROAD J� ATLANTIC BEACH,FLORIDA 32233-5445 it1 TELEPHONE:(904)247-5800 + FAX:(904)247-5805 f SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us PLAN REVI� COMMENTS Permit Application Applicant: CCA-y- 3 Address: �C ! 11 0 Project: ' 4 V a Your application is approved a Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Gam'`— Date Contractor Notifie Date L o= a U W co J o I a sz 0 a o v � m 3 o Y U) O a� J J O Q a z W 3 J N 06 U) Q O a_ U O Cl) LL > W zcn zz W O Q 0z U) 0 I.L. a mZ 0 ~ O W w O Q Q Q Q D Z W m Q w W �— U) w w O O m �w CD Z V cn z w w U w O w O O 0 0 D > C � > � O Q Q Z � � � � cn z � � � � OU � s) O 0) NU-) p LoU') N ti LO LO ti O M M (M 00M (M N M 'd; 00 LO M 00 00 00 O ~ I` M p r �O CO N � � J � p M M M N M City of Jacksonville GIS Map Output Page 1 of 2 JAXGIS Property Information 1849 1850 '843 1700 1843 1844 1839 1701 183$ 1831 1538 I �I 1837 1535 1751 t82' 169632 0000 t93a tBZe I 111125 1813 yl 1n1 11763 1160 I 1820 yl f 1761 �i1761 1767 1810 jy 1751 !1759 Copppr�htiC]2=CilyofJacboavilkFly I 1166 11 http://maps.coj.net/website/Parcel/toolbar.asp 1/23/2003 City of Jacksonville GIS Map Output Page 2 of 2 ap It 1 Real Estate# 169632 0000 Last Name WATERS First Name JAMES D JR ET AL House# treet Name Type Dir ipCode 2233-5915 Total Value 144000 Acres .17 Plat Book 0 Legal 1 0-020 09-2S-29E Legal 2 CEAN GROVE UNIT NO 2 LEGAL 3 LOT 39 http://maps.coj.net/website/Parcel/toolbar.asp 1/23/2003 EXISTING CITY UTILITIES N {� v y m 0 D SATURIBA O w rT rT • Legend ditch_graphic water line xr_sanitary sewer pipes oWm Qww z xz to Vi MWL i� O 3FF Z gLj a m°' z `<U- �� `� Oz�' U N V �^ O O 0~ �� U 11 w �LLJ J < II= ��� II W 4 SU�Vtzm^� WII Z xlo z Z 2 uj DO b wD II II I II� W a NzQm Z �zw tz0 �"'� wUw W U J Z w � .0c: W��Ow r�w W a D^ p w�` >>Qv> >WIiU2 zw�c wU 20 D p 0 Z VIQ��Sa U�OW= O a ZUZ ...-• I�AJI v0 N OJ D Q Z ~paa �`'_ Ommom =JWtwa. y} Y ZJ W v.�i OJV) 0 zOOp aDWO 8 ��L 05wo OSLO v� U- 0O Op <a ISN L�tnz�� I Ws 3WWZw NN<w�0 Aaall II II II<31111U'i3 to �o o r to p to F-a Na,,to 8F�dw _Q II II titi ,Z 11 Il a=x3o m� o± c, N c� N O wawwr ��a� %®4'ol � rn rn c 0 0 o z ZaFQ4 <oro0 � aaaaUU< a Ix v J Lr Z'BZ 9 6 z�Jo� JU~ w Q a� N Q W wozzz zmtn, .... 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W O I g'0l o� m F' N Z H O-� I b) x l's `,. ....... D 3 O �o h= ssJ,S'l 4 h o z h ❑ U x a✓ Q z I x U Wp F- W I I I I xO Z Q Q , N I x ,D L a obi I❑ I x O - oV) CN 0a+ � Flo of ox w Q o 0 0 0 Z Ow tn D I a) (3) m Z ^�-- 3 3 � � U � -- Q m W mll B p rn / O (W) ,8i�'lZl ZS,OZ.88 5 v �• .� w o.9, er.gg S z F- oLi 03Wnssb' /r Ou m 0 0 30N301538 3Wba3 W 0 O J 000n15 JilO1S-Z�BI J L) 'J,11-118t/Ob'36 NIViNIbh NOLLVA313 30 lOdS 3H1 S>IadYV „X„ 3Hl „'133 uq Q 'J,-INO S3S0dbnd N0LLVIN2JO3N1 ?JOA 32id (INV(00'00 L) = N0LLVA313 '3n0d Ai nan DOOM j0 3 o 'J,3AbnS H Q 031SIX3 k3H1 SV SNOI110NOO 30 3A11' H 31` O 3H1 NO 031SIX3 0Hi SV SNOIl H N 'S311InLLn ONn, 11 lb 3NO '3NIHSNnS nn`d0 'NOL w U - 'S3LLInLLn ONnO80a30Nn 83H1C SVM 1dIN3iiV ON '031ON SV 1d3OX3 PREPARED 9/25/03, 8:27:31 INSPECTION TICKET PAGE 5 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 9/25/03 ------------ ------------------------------------ 110DRESS . : 1831 SEMINOLE RD SUBDIV: TENANT, NBR: 200AMP,1PH,3W,240V,3"RACE CONTRACTOR UNITED ELECTRIC CO. OF JAX PHONE (904) 731-4210 OWNER BELL, RICK PHONE PARCEL - APPL NUMBER: 03-00026021 ELECTRIC ONLY -------------------------------------------------------- PERMIT: ELEC 00 ELECTRICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS - -------------------------------- ------------------------------------------- - ----------------- 22 01 6/16/03 LJH EL ROUGH TIME: 13 :00 6/17/03 AP 24 01 9/25/03 LJH EL ELECTRIC TEMP SERVICE TIME: 08:00 � ARLY POWER HAVE LETTER -------------------------------------- COMMENTS AND NOTES -------------- N9/ CITY OF i T^ A&x4c BwcA- -TA Office of Building Official REQUEST FOR INSPECTION Date I � `-+' Permit No. r� Time A.M. Received' IPM Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. hurs. Friday P.M. .M Inspection Made �• Inspector Final Inspection ❑ Certificate of Occupancy 0 Date =� PREPARED 6/16/03, 8:52:08 INSPECTION TICKET PAGE 5 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 6/16/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 1831 SEMINOLE RD SUBDIV: TENANT, NBR: 2586SURCHG,879RADON CONTRACTOR RICHARD BELL PHONE (904) 249-0131 OWNER ; WATERS,DESMOND/GOODMAN,RICHARD PHONE PARCEL - - - APPL NUMBER: 03-00025497 TWO FAMILY RESIDENCE ------------------------------------------------------------------------------------------------ PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 10 01 2/21/03 LJH BD FOOTING TIME: 13:00 2/25/03 AP 11 01 3/11/03 LJH BD SLAB TIME: 13:00 3/12/03 AP AM OR PM 704-6805 12 01 3/24/03 LJH BD LINTEL TIME: 13:00 3/24/03 AP REINFORCED CONCRETE BLOCK WALL 12 02 4/11/03 LJH BD LINTEL TIME: 08:00 ---------- -------- 17 01 4/25/03 LJH BD SHEATHING TIME: 13:00 4/25/03 AP ROOF NAILING INSPECTION RICHARD BELL 704-6805 17 02 5/14/03 LJH BD SHEATHING TIME: 08:00 5/14/03 AP S ING NAIL OFF 704-6805 13 01 6/16/03 LJH FRAMING TIMH: 13:90 4 OVER UP 704-6805 PERMIT: MECH 00 NEC BAN ICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------- ------------------------------------------------------------- 32 11 /16/03 LJH \ ROUGH TIME: 13:00 - =f 2 -`- ------------------------------------------------------------------------------------------------ PERMIT: PLBG 00 PLUMBING PERMIT SUB: NELSON PLUMBING CO., INC. (904)262-4884 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULT$/COMMENTS -------------------------------=-----a=--------------------------------------------------------- 41 01 3/05/03 LJH PL U ERSLAB TIME: 13:00 3/06/03 AP 82 1533 42 01 6/16/03 LJH 4 ROUGH TIME: 13:00 PREPARED 6/16/03, 8:52:08 INSPECTION TICKET PAGE 11 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 6/16/03 ------- -- - ------------- - - -- ------- ADDRESS -----ADDRESS : 1831 SEMINOLE RD SUBDIV: TENANT, NBR: 200AMP,1PH,3W,240V,3"RACE �. CONTRACTOR UNITED ELECTRIC CO. OF JAX PHONE (904) 731-4210 OWNER BELL, RICK PHONE PARCEL . APPL NUMBER; 03-00026021 ELECTRIC ONLY / ------------------------------------------------------------------------------------------------ PERMIT: BLEC 00 ELECTRICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------- - ------------------------------------------------------------- 22 01 6/16/03 LJH ROUGH TIME: 13:00 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 5/14/03, 9:14:35 INSPECTION TICKET PAGE 2 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 5/14/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 1831 SEMINOLE RD SUBDIV: TENANT, NBR; 2586SURCHG,879RADON CONTRACTOR ; RICHARD BELL PHONE (904) 249-0131 OWNER WATERS,DESMOND/GOODMAN,RICHARD PHONE PARCEL - - - APPL NUMBER: 03-00025497 TWO FAMILY RESIDENCE ------------------------------------------------------------------------------------------------ PERNIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 10 01 2/21/03 LJH BD FOOTING TIME: 13:00 2/25/03 AP 11 01 3/11/03 LJH BD SLAB TIME: 13;00 3/12/03 AP AM OR PM 704-6805 12 01 3/24/03 LJH BD LINTEL TIME; 13:00 3/24/03 AP REINFORCED CONCRETE BLOCK WALL 12 02 4/11/03 LJH BD LINTEL TIME: 08:00 j ---------- -------- 17 01 4/25/03 LJH BD SHEATHING TIME: 13:00 4/25/03 AP ROOF NAILING INSPECTION RICHARD BELL 04-6805 17 02 5/14/03 LJH % ► , ---�`at --4-- -------------------------------------- --------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 4/24/03, 17;00:50 INSPECTION TICKET PAGE 5 CITY OF ATLANTIC BEACH INSPECTOR: DON C FORD DATE 4/25/03 ----------------------------------------------------------------- ADDRESS . : 1831 SEMINOLE RD SUBDIV: TENANT, NBR: 2586SURCHG,879RADON CONTRACTOR RICHARD BELL PHONE (904) 249-0131 OWNER WATERS,DESMOND/GOODMAN,RICHARD PHONE PARCEL - - - APPL NUMBER: 03-00025497 TWO FAMILY RESIDENCE ------------------------------------------------------------ PERIlIT: BLDG 00 BDILDIX PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------ 10 01 2/21/03 LJH BD FOOTING TIME: 13:00 2/25/03 AP 11 01 3/11/03 LJH BD SLAB TIME: 13:00 3/12/03 AP AM OR PM 704-6805 12 01 3/24/03 LJH BD LINTEL TIME: 13:00 3/24/03 AP REINFORCED CONCRETE BLOCK WALL 12 02 4/11/03 LJH BD LINTEL TIME: 08:00 XXXXXXXXXX XXXXXXXX 17 01 4 25/0 -DHEATHING TIMB: 13:00 OF NAILING INSPECTION RICHARD BELL 704-6805 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 4/11/03, 8:28:34 INSPECTION TICKET CITY OF ATLANTIC BEACH PAGE 6 INSPECTOR: LARRY J HIGGINS DATE 4/11/03 - --------------------------------------------------------------------- ADDRESS . : 1831 SEMINOLE RD SUBDIV: TENANT, NBR: 2586SURCHG,879RADON CONTRACTOR RICHARD BELL PHONE (904) 249-0131 OWNER WATERS,DESMOND/GOODMAN,RICHARD PHONE PARCEL - - - APPL NUMBER: 03-00025497 TWO FAMILY RESIDENCE -------------------------------- - - ----- --------- PBRlIIT: BLDG 00 BDILDIHG PERMIT ------------ ------ 1 , 1 �] REQUESTED INSP DESCRIPTION /n 1 r TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ` ------------------------- - ____________________ ----------------------- 10 01 2/21/03 LJH BD FOOTING TIME: :00 2/25/03 AP 11 01 3/11/03 LJH BD SLAB TIME: 13:00 3/12/03 AP AM OR PM 704-6805 12 01 3/24/03 LJH BD LINTEL TIME: 13:00 V24/01 AP REINFORCED CONCRETE BLOCK WALL PREPARED 3/21/03, 16:39:09 INSPECTION TICKET CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS PAGE 5 ------------------------------------- ADDRESS : 1831 SEMINOLE RD _____________ TE 3 24/03 TENANT, NBR: 2586SURCHG,879RADON SUBDIV: CONTRACTOR RICHARD BELL PHONE (904) 249-0131 OWNER WATRRS,DESMOND/GOODMAN,RICHARD PHONE PARCEL _ _ APPL NUMBER: 03-00025497 TWO FAMILY RESIDENCE -------------------------------------------------- ------ ------- ---- PRINIT: BLDG 00 BUILDIJIG PERMIT ---------- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------- ----------------- --------------------------- 10 O1 2/21/03 LJH BD FOOTING TIME: 13:00 2/25/03 AP 11 01 3/11/03 LJH BD SLAB TIME: 13:00 03 AP AM -6805 12 01 3/24/ LJ BD LINTEL 74 TIME: 13:00 REINFORCED CONCRETE BLOCK WALL --------------------- ---------------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/11/03, 8:22:07 INSPECTION TICKET PAGE 7 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 3/11/03 -------------------------------------------------------------- ADDRESS . : 1831 SEMINOLE RD SUBDIV: TENANT, NBR: 2586SURCHG,879RADON CONTRACTOR RICHARD BELL PHONE (904) 249-0131 OWNER WATERS,DESMOND/GOODMAN,RICHARD PHONE PARCEL - - - APPL NUMBER: 03-00025497 TWO FAMILY RESIDENCE ------------------------- ---------------------------------- PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------- --- ------------------------------------- 10 01 2/21/03 LJH BD FOOTING TIME: 13:00 2/25/03 AP 11 01 3/11/03 LJH BD SLAB TIME: 13:00 J__�\_-- � AM OR PM 704 6805 -------------------------------------- COMMENTS AND NOTES -------------------------------------- rnarhxtD 3/04/03, 16:50:11 CITY OF ATLANTIC BEACH INSPECTION TICKET ------------------------ INSPECTOR: LARRY J HIGGINS PAGE 5 ADDRESS 1831 SBMINOLE RD ----- ---- DATE 3/05/03 TENANT NBR: 2586SURCHG1879RADON --------- CONTRACTOR SUBDIV: ------__ RICHARD BELL OWNER WATERS,DESMOND/GOODMAN,RICHARD PHONE PARCEL 1904) 249 0131 APDL NUMBER: 03.00025497 TWO FAMILY RESIDENCE PHONE PBRAIT: PLBG 00 PLUNBIBG PBRAIT----------------------- _ ___ __ REQUESTED INSp SUB: NELSON PLUMBING CO., I TYP/SQ COMPLETED DESCRIPTION (904) --_--- RESULT RESULTS/COMMENTS 41 O1 3/05/03 LJH -- --------- ---- -- -- PL UNDERSLAB TIME; 13:00 - ------------------------- 825-1533 COMMENTS AND NOTES PREPARED 6/19/03, 8:31:51 INSPECTION TICKET CITY OF ATLANTIC BEACH INSPECTOR; LARRY J HIGPAGE 2 / - 03 ADDRESS1831 SEMINOLE RD ---------- ----- - ------- -----------------------GINS ATE 6/19 TENANT, NBR: 2586SURCHG,879RADON SUBDIV: CONTRACTOR RICHARD BELL OWNER WATERS,DESMOND/GOODMAN,RICHARD PHONE (904) 249 0131 PARCEL - PHONE APPL NUMBER: 03-00025497 TWO FAMILY RESIDENCE -------------- PER!lIT: BLDG 00 BDILDIAG P8RlIIT----------------------------------------------------------------- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------- ----- 10 01 2/21/03 LJH BD FOOTING TIME: 13:00---------------------------------------- 2/25/03 AP 11 01 3/11/03 LJH BD SLAB TIME: 13:00 3/12/03 AP AM OR PM 704-6805 12 01 3/24/03 LJH BD LINTEL TIME: 13:00 3/24/03 AP REINFORCED CONCRETE BLOCK WALL 12 02 4/11/03 LJH BD LINTEL TIME: 08:00 - -------- 17 01 4/25/03 LJH BD SHEATHING TIME: 13:00 4/25/03 AP ROOF NAILING INSPECTION RICHARD BELL 704-6805 17 02 5/14/03 LJH BD SHEATHING TIME; 08:00 5/14/03 AP SIDING NAIL OFF 704-6805 13 01 6/16/03 LJH BD FRAMING TIME: 13:00 6/17/03AP - CO UP 704-6805 15 01 6/19/03 LJH INSULATION TIME: 13:00 - --L � _L _t'' PREPARED 8/18/03, 8:15:10 INSPECTION TICKET PAGE 3 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 8/18/03 -------------------------------------------------------------------------------------- ADDRESS . : 1831 SEMINOLE RD SUBDIV: TENANT, NBR: 2586SURCHG, 879RADON CONTRACTOR RICHARD BELL PHONE (904) 249-0131 OWNER WATERS,DESMOND/GOODMAN,RICHARD PHONE PARCEL - - - APPL NUMBER: 03-00025497 TWO FAMILY RESIDENCE --------------------------------------------------------------------------------------- PERMIT: PLBG 00 PLUMBING PERMIT SUB: NELSON PLUMBING CO. , INC. (904) 262-4884 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------------------------------------- 41 01 3/05/03 LJH PL UNDE SLAB TIME: 13 :00 3/06/03 AP /825-1542 01 6/16/03 LJH TIME: 13 :00 6/17/03 AP 44 01 18/03 LJH INPECTION TIME: 08 :00 -E D SEWER 825-1533 -------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 2/21/03, 9:32:07 INSPECTION TICKET PAGE 1 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 2/21/03 --------------------------------------------------------------------------------- ADDRESS . : 1831 SEMINOLE RD SUBDIV: lP TENANT, NBR: TP24 TEMP POLE CONTRACTOR UNITED ELECTRIC CO. OF JAX PHONE (904) 731-4210 OWNER PHONE PARCEL APPL NUMBER: 03-00025562 ELECTRIC ONLY /�� --- ------------------------------- -------------------------------------------- --------- "V PERMIT: BLEC 00 ELECTRICAL PBRNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RE ULTS/COMMENTS 2 ----------------------------------------------------- 20 01 2 V LJ���/ EL TEMPORARY POLE TIME: 17:00 ____=._k_o ....___ 731-4210 -------------------------------------- COMMENTS AND NOTES --------------------------------------