1843 Seminole Rd (vault) TYPE WOM
J�
PROPERTY OWNERlad TELEPHONE 6
-- A- z 7,
TELEPHONE
CONTRA CTOX�?���
PERMIT NUWE-R 2Lf ........ DATE
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G
,roNs FOOT17V �-�
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TLE
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OVER UP
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CER TE OF OCCUPANCY
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NOTES: /,/- 717 0 ) /'z/ 7 3
4QA-c� 1 -3 7 2
C16TY OF
4&aa,&'c Bew4-
Office of Building Official
ial
10
REQUEST FOR INSPECTIO
Date--f,ZC12' Zff Permi1No. —Z1&-,1K1e&
Time A.M.
Received 82-L?n -P.M.
/s/-/j— A
Job Address Locality
Owner I s
Name C)� Contractor X4-006e�,-
' BUILDING ZONCRETE ELECTRICAL PWMBING MECHANICAL
IL
::!U.�ming 0 Footing 1-1 Rough Wiring Ej Rough 11 Air Cond.& El
Re Roofing 0 Slab Ei Temp Pole 0 Top Out El Heating
Insulation Lintel 0 Final F-1 Sewer 0 Fire Place 1-1
Pre Fab
READY FOR INSPECTION
Mon. Wed. Thurs. Friday
A.M.
Inspection Made C� c) P.M.
Inspector— C Final Inspection El
---------Gertificate of Occupancy E-i
Date
14NCITY OF_
4&6x4-c BeacA AMU442
Office of Building Official
REQUEST FOR INSPECTIO -3
Date— -q
Time A.M. Permi No.
Received P.M.
S 7
Address L cality
Owner's
Nam
BUIL I
C CRETE LECTRICAL PWMBING MECHANICAL
Frami oting El Roug inng Rough 0 Air Cond. &
Re R fing El Slab Ej Temp Pole El Top Out D Heating
Insulation Lintel D Final E Sewer El Fire Place
READY FOR INSPECTION Pre Fab
§111r—
Eo :D (aDw-- Wed.
Inspection Made P.M.
Inspector Final Inspection D
Certificate of Occupancy [i
Date
SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00027990 Date 3/26/04
Property Address . . . . . . 1843 SEMINOLE RD
Tenant nbr, name . . . . . . SEWER
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
JEFFERY, DAVID L. CERTIFIED ENVIRONMENTAL SVC.
1843 SEMINOLE ROAD 8892 NORMANDY BLVD.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32221
(904) 695-1911
---------------------- ------------------------------------------------------
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
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 PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
6�,, ( '. lmk
BUELDING OFFICLA1
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
Job Location: ) en \/I/o I-a.
2
afi;AM ,j DCW]kl Telephone: /56
Owner of Property:
Plumbing Contractor.
Contractor Address: . AlOLMMAIIA11
I
State License Number: 7 49 Telephone:
How many of the following fixtures: E] New or Re-Piped
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
JLOOR DRAINS SHOWER-PANS
SEWER WATER
RE-PIPE (LIST FIXTURES BEING REPIPED)
OTHER
Minimum Permit Fee: $35.00
Total Fixtures: X $7.00 + $35.00
Signature of Owner:
Signature of Contracto
es n
;g f ur
r*
Installation of plumbin an fixtures must be in accordance with the most recent edition of the
L
Southern Standard Pluji g Code.
Call a day ahead to schedule inspections: (904) 247-5826
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
ills)"
Application Number . . . . . 04-00027938 Date 3/19/04
Property Address . . . . . . 1843 SEMINOLE RD
Tenant nbr, name . . . . . . SEWER IMPACT FEE
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ --- ---------------------
JEFFERY, DAVID L. OWNER
1843 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
----------------- ----------------------------- ------------------------------
Permit PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 3/19/04 Valuation . . . . 0
Expiration Date 9/15/04
---------- ---- - - -------
Other Fees . . . . . . . . . SEWER IMPACT FEES 1250 . 00
Fee summary Charged Paid Credited Due
------------- ---- ---------- ------- --- - --------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 1250 . 00 1250 . 00 . 00 . 00
Grand Total 1250 . 00 1250 . 00 . 00 . 00
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.
�DIN � FFIC
CITY OF ATLANnC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE: (904)247-5800
FAX:(904)247-5805
SUNCOM; 852-5800
http://ci.atlantic-beach.fl.us
Date:
Name:
Address:
The cost to connect to the City sewer and/or water system are as follows:
Sewer Tap—Labor and Materials to tap into sewer main
(Estimate from Public Utilities) $
Water Tap —Labor and Materials to tap into water main
(From Ord. 22-28) $
Water Meter—Cost of Meter(85.00) $
Cross Connection Inspection —Inspection by Public Works
to insure backfiow prevention
(35.003/4"—Ord. 22-28(a)) $
Sewer Impact Fees—Funds future expansion of the sewer
plant
(1250.00 each living unit—Ord. 22-17-0) $
Water Impact Fee—Funds future expansion of the water
plant
(From Building Dept. —Ord. 22-29 FLA. Plumbing Code) $
Capital Improvement—Funds for improvements, expansion
or replacement to water system
(325.00—Ord. 22-28) $
TOTAL COSTS
DCF/js
PSR-3844 10337
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION -------- LOCATION INFORMATION --------
Permit Number : 10337 Address : 1843 SEMINOLE ROAD
Permit Type : PLUMBING ATLANTIC BEACH , FLORIDA 3223-3
Class of Work : ALTERATION ---------- LEGAL DESCRIPTION ---------
Constr . Type: WOOD FRAME Lot : Block: Section:
Proposed Use: SINGLE FAMILY Township : RNG: 0
Dwellings : 1 Code: 0 Subdivision:
Estimated Value: �0 .00
Improv . Cost : SO .00
Total Fees : $25 - 00
Amount Paid : $25 . 00
Date Paid: 6/21!95
Wcrk Desc . ' INSTALL DISHWASHER
----------- OWNER INFORMATION --------- ---- APPLICATION FEES -----
Name : JEFFERY PERMIT $25 .00
A,liress : 1843 SEMINOLE ROAD WATER IMPACT FEE SO .00
S0 , 00
ATLANTIC REACH , FLORIDA 32' SEWER IMPACT FEE
Ph,L,ne: � 904 )730 -3077 WATER METER!TAP S0 . 00
RADON GAS-H .R . S . SO - 00
------- CONTRACTOR INFORMATION RADON CAB 5% $0 .00
Name: FIRST -'LASS PLUMBING CAPITAL IMPROVE . $0 .00
Address : 6254 POWERS AVENUE SEWER TAP $0 . 00,
JACKSONVILLE , FL 32217 CROSS !CONNECTION SO .00
License: CF(7056672 Type: SEC H IMPACT FEE 50 . 00
CONST. SURCHARGE S0 �00
SCHARGE/ATL.BCH . 150 . 0r-1
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 IMPROVEMENTS59
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. —
000000(ft 000000000 $6.0014
ATLANTIC BEACH BUILDING DEPARTMENT Date: 6/21/95 01 Rept: 0063337
1571
A&3221000
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERHIT
JOB LOCATION:
OWNER OF PROPERTY:
BUILDING CONTRACTOR:
PLUMBING CONTRACTOR
AND ADDRESS:
TELEPHONE NUMBER:
STATE LICENSE NO:
TYPE OF BUILDING:
TYPE OF WORK: cx�
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS -DISHWASHERS
____.PRINALS DISPOSALS
CLOSFTS -----MASHING 14ACHINE
FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURE COUNT: x $3 . 50 + $15.00 $
----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC
WORKS FOR INSPECTION BEFORE COVERING UP - (904) 247-5834
PSR-3844 7170
DEPARTMENT OF BUILDING -
CITY OF ATLANTIC BEACH
---- PERMIT INFORMATION ------ LOCATION INFORMATION --------
-ermit Number ! 7170 1dress : 1843 SEMINOLE ROAD
Permit Type: RE-ROOF ATLANTIC BEACH , FLORIDA 32233
lass�. ot Work : NEW M4---------- LEGAL DESCRIPTION
Type : WOOD FRAME lot : Block- Section:
Ptopored Use : SINGLE FAMILY Township: RNG: 0
wellinas : 1 Code : 0
stimated Value: $2000 .00
improv , cost , $0 .00
Total Fees : $22 . 50
A 17 t P a i d
Date Paid: V12/93
OWNER !NFORMATION ---- APPLICATION FEES
Name7 LAVID 1-1EFFERY PERMIT
Address : __ 843 SEMING-LE. ROAD WATER 1MPACT FEE
REACP
T (-11-1 T T
ATLANTI; SEWER IMPAC*T FEE
Phone : : 9- 4 "4 WATER METER $0 .00
RADON GAS-H.R . S . $0 .00
------- CONTRACTOR 1NF0FjAAT1ON RADON GAS - _rf%
"I Name- CLAUr1E E , MERRITT & SONS WATER TAP so .00
ldress : 1930 FIVER OAKS ROAD SEWER TAP SO -00
HYDRAULIC SHARE 0 ,0 0
JACK "!.tiVILLE , FL 32207
-�"9 74 9
Type , CAPITAL IMPROVE. �50 .00
SEC .H IMPACT FEE $0 . 1ni)
OTHER
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.59
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ALANTIC BEACH
ROOFING PERMIT APPLICATION
owner(s) :
1j
Address : Phone:
Lot #_, Block or Unit Subdivision:
Contractor:
Address :
City, St-ate and Zip '32 -Phone
State License #
Describe work t be dnoe:
Valuation of Proposed Construction: S )000
Materials to be used:
Signature of Owner;
Signature of Contractor:
Liability Insurance Supplied
Workers ComDensation Insurance Supplied
License Information
r S 0 A
�������CITY OF
4&4a4c Bew.A-&V&u a
Office of Building Official
REQUEST FOR INSPECT -7/-3
Date 2-9 �' Perm'iV /00/ ef I?
Time A.M.
Received
1,F Z/
Address L I y
O-.e,'�s
QBUILDLINGJ�rFONCRE6/ Q—M�M—� PWMBING MECHANICAL
Framing El Footing El Rough Wiring E Rough El Air Cond. & El
Re Roofing El Slab 0 Temp Pole El Top Out [-1 Heating
Insulation El Lintel D Final LJ Sewer [:1 Fire Place D
Pre Fab
READY F CT 0
Mon. CIR INSPE I N Thurs. Friday P.M.
Inspection Made .Final Ins pection
Inspector— Certificate of Occupancy Ej
Date
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877
ELECTRICAL PERMIT
ATION
P 15;:OMIT 0 M TIC LOCATION INFORM
ERMIT INFORMA ION --Kddress'- 1843 SEMINOLE ROAD
Permit Number: 18713 ATLANTIC BEACH, FLORIDA 32233
Permit Type: ELECTRICAL Township: 0 Range: 0 Book: 20
Class of Work: ADDITION Lot(s):36 Block: Section: 0
Proposed Use: SINGLE FAMILY Subdivision: OCEAN GROVE UNIT 2
Square Feet: Parcel Number: OCEAN GROVE UNIT 2-
Est. Value: ---- OWNER INFORMATION
DA 32233
00 0
�B k 21
ctio
n. 0
N IT 2
NIT 2
Improv. Cost: --game. DAVID JEFFERY
Date Issued: 8/24/1999 Address: 1843 SEMINOLE ROAD
Total Fees: 25-00 ATLANTIC BEACH, FLORIDA 32233
Amount Paid: 25.00 Phone: (904)246-8154
Date Paid: 8/24/1999
Work Desc: ADC' 0-1 .11LI S, 11 RECEPTACLES, 6 INCANDESCENTS
1_7� ' ' , ; �APP�LICATIION FEES
:�:��CONTRACTOR
9�2 25.00
�E�CTORIIS PERMIT
DESTINY ELECTRIC
Inmpieeccti�qnsq Ruevouired
R C 0_G-HE CE-C—T Rl C FINAL ELECTRIC
rNOTICE - 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 CONTRAC_TOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"--
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR vIOLATION OF APPLICABLE PROVISIONS OF LAW. -
$25.00 14
Date: 8/24/99 02 Receipt: 0082378
n CHECKS 321
—ATL N�TIC_�BEACH BUIL ING��. 00100003221000
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-- 19 ctq
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: DUS--114 Y' L-16-C- MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
NAME-0�JAO----;37L--EEL---a'�ADDRESS:� 34('� 'SCM160(L RFD—BOX—
BLDG.SIZE BETWEEN:—
RES. APT. comm. ( I PUBLIC INDUS. NEW ( OLD ( I REW. (l<
ADDITION TRAILER TEMP. ( ) SIGNS ( I SQ. FT.
SERVICE: NEW ( INCREASE ( I REPAIR FEE
CONDUCTOR SIZE AMPS COPPER ALUM. ( ) /�– 0 6,
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE 'ZOD AMPS PH 3W 2-40VOLT RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED *2, OPEN TOTAL
0.30 AMPS. 31-100 AMPS.
SWITCHES
INCANDESCENT 6
FLUORESCENT &M. V.
FIXED 0.100 AMPS�. OVER
APPLIANCES I I I BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I Ii.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. 10 V.
CITY OF
,q&4a&a
Office of Building official
REQUEST FOR INSPECTIO
Date -7 Eer I NO. IkI c19
Time
Received RM.
- J b Address Locality
Owner' Contractor
Name L PLUMBING MECHANICAL
BUILDI CONCRETE ELECTRICA E, Rough E� Air Cond. &
Framing Di E Rough Wiring
Re Roofing 1:1 Slab Temp Pole E Top Out 0 Heating
Lintel Final E Sewer P� Fire Place E
insulation Pre Fab
READY FOR INSPECTION
Tues. Wed. Thurs. Friday-P.M.
(E) 'M.
Inspection
Final Inspection 06
Inspector Certificate of Occupancy E
Date
CITY OF
4&aa& Be=A-46
office of Building Off cial
REQUEST FOR INSPE CT N
C1
rm 0
-7 it N
Date rmit No.
Time A.M.
Received PM.
ress oc Ity
Owner' -'a'm
Name Contractor —
BUILDIN NCRETE ELECTRICAL PWMBING. MECHANICAL
F-- Rough E] Air Cond. &
Framing E Footing Rough Wiring El Top Out El Heating
Re Roofing E� Slab 7 Temp Pole El Fire Place
0'
Insulation g 1-1 V- Lintel Final Sewer Pre Fab
- � �-1 READY FOR INSPECT10%
C�,4_ k��
6x:-P. T Friday—J�D
Mon. Tu Wed:
9 A.M.
Inspection Made RM.
Final Inspection 11
Inspector ertificate of Occupancy E
Date
CITY OF
oq&4a& BeacA-A;&U-9&
Office of Building Official
REQUEST FOR INSPECTION
y— Permit No.
Date
Time A.M
Received PM.
owner' ddress Contractor ocality
Name N ELECTRICAL PLUMBING MECHANICAL
BUILDI Rough Wiring Ej Rough E Air Cond. & 0
Framin El E] Top Out E Heating
Re Roo' El Slab E Temp Pole El Sewer Fire Place E3
insulation El Lintel Final
Pre Fab
READY FOR INSPECTION
.M.
Wed. Thurs. Frii
Mon. Tues. A.M.
ZInspection Made P.M.
Final inspection F-1
Inspector Certificate of Occupancy El
Date
CITY OF
B,=4
office of Building Official
REQUEST FOR INSPE 10
-91 Permit No.
Date
Time /P.M.
Received
Lo My
dress
owner's Contractor
Name PLUMBING MECHANICAL
NCR E ELECTRICAL Air Cond. & 0
BUILDI Footing Rough Wiring D Rough Heating
mp Pole 11 Top Out Fire Place 0
Framing Te Sewer
Re Roofing Slab Final pre Fab
insulation Lintel R INSPECTION A.M.
READY-EQ— Thurs. Friday
Mon. A.M.
P 4� P.M.
Final TJpet1-11
Inspection Made
Certificate of occupancy
inspector------'
Date
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
LOCAT
PERMIT INFORMATION ION INFORMATION
-j5e—rm it7N—u j�be—r. 1 8 189 1 Address: 1843 SEMINOLE ROAD
Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233
Class of Work: REMODEL Township: 0 Range: 0 Book:20, P.20
Proposed Use: Lot(s): 3 6 Block: Section: 0
Square Feet: Subdivision:OCEAN GROVE UNIT 2
Est. Value: Parcel Number:
Improv. Cost: 30,000-00 — OWNER INFORMATION
Date Issued: 5/06/1999 Narne�DA�VID JJEFFE�RY
Total Fees: 240.00 Address: 1843 SEMINOLE ROAD
Amount Paid: 240.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 5/06/1999 Phone: (904)246-8154
Work Desc: RENOVATION OF SCR—EEN PORCH/KITCHEN ......
,QR( INITEES
AP
CONTRACT
HE r NDERSON, GEORGE RAYMOND PERMIT 240.00
��JmpWions "e uired
COVER UP FRAMING
FINAL BUILDING
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCAT!0N
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
PAID
MAY 7 1999
Cky of Ad"c 110.
ATLANTIC BEACH UILDING DEPT.
rLA ;047 LAWS nAMCO TOMM 409
FS 7 .13
Z 1
U-1-fit-cr
IrptaPARS IN OUrLICATUP
(U110111 it 11121V rVitralt:
The undersigned hereby informs all concerned 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.
Descriptionof property.............................................................................. ................................ ............................................................................
........................................../.�-..9....31....................5....eml..I, I............ .....................................................................
... ....................... .... ................
. ........ ...................................................................................................
.............I.............................................................................................................-..................................................................................i.............I..........
Generaldescription of improvements...................................................................................................................................................................
- C op
... .... ..................................................................................V.P........... .................................................................
...... ....... ................
.. .............................................I.........................................................................................................................................................................
NIJ -Te 74
Owner . ....... ...................... ......... ..................................................................................
Address .............................. .......... S�� B k 9270
...............................('�...........4;�.(.................................................Pji.....***3i0'7**--...***...
0 L-j It Do;# 99101514
Owner's interest in site of lhe improvement................................................................................................Eiled—&...Recar.d.ed..
04/26/99
11:06:39 A.M.
fee Simple Tills holder (if other than owner) HENRY W. COOK
CLERK CIRCUIT COURT
DUVAL COUNTY, FL
Name..............................................................................................................................................................................REC.......$--6,00..................
Address..............................................................................................................................................................................................................................
ontractor.....................................Pft........ ...........................I.......................................................................................
�*c
Address..........................................7W............ ............& &-.37,V- 7.3..............
Surely (if any)...............................................................................................................................................................................................................-
Address........................................................................................................................................................krno," olf bom $.......................I........
Name of person wiiNn the Stale of Florida designated by owner upon whom notices or other docuneros rnay
6a served:
Name ............
Address
In addition to himself, owner designates the following person to receive a copy of the Lienor"s Notice
as provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option).
Name................................................................................................................................................................................................................................
4-22-1999 S:33Pf,1 FROM STRAIT ARCHITECTS 904 261 602S P. 2
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION H 1 Q
FORM 60OC-97 Residential Limited Applications Prvscriptive method C NORT
I Smx Addilikme,RAnavaillons&Building Sywtemoa Department of Community Affairs =;=,I I
Cxrropfiancerilh Nooin�od C ofaivior l5otttoe nords En&V IFT-enty C�*maY tm demon3tralorl by1ho u"of Form 6=47$of additions ol OWWM fieeil Or im,si*.Asuka
of rriarovi4eknd homes,and rionovatc,"to singie 3M multif"y restdences. Altemetwe rnethodS I'D PtOvidM for 6`6660M bY USA of Form WOB-27 or 60DA-97.
PROJECT NAME: V0171bH gg�j�� BUILDER: 12
AND ADDRESS: EmiNdLs r_zz PERMITTING CLIMATE
1914-��2 f2 ZONE, I U2 0321
MATt-404TIc- Ey_�, H . -r-L OFFICE. -
OWNER.. -J�d I rT MO
SMALL AOorrloNS To EXISnpo;6 Flii!$10ENCES(IGOO Square lost or lesz of conditioned ama). PrISCIVIVC A1quhVftM IA T6010$5C-i.OC-2 ond GC-3 V91Y Pn1Y 110 the
campgrien:s of 11-*addition.not to 1"e o)dsbng building. spaco n4aling,=Rmq,and wcooe hsavn eq%ilprroent afficioancy levtls must be met only whW1 equomem is tratailled
gp,vi,caoyto areetme soorijan aria baoingintiaiiao in conjvnalonwl�hltiv addltiw cartstfuction, Componontissowirarq ur-Owwrijod"oe'll'Ifon'ond"Vortild$WOO rnv*l
han 30%Of the assomorwd w1va,of trio baxing).
irgoirt tMO j)Ye%GFtb8d FMMMUM IrVIU411911"'�. FtENOVATIONS;(RaostdivolUal buitaings undergoing romovadons tostiAg;A'
ProgemozWe folliclu'AlimaA16 in Tablows 6C-1"eC-2 9P*OnIV to thili C0`r100n4oM3 Ono Coulpment bemg ismovitto�v Dr mplmood, MANVFAj�yVgeD HOMES AND BoLVINGS OnVlllte-
jr"Wd wWwwe4 aN 1"AM We cmrea by ft&taore.SUsLOENG SYSTEMS Comoy*4"n otnoete ft9w uslorn is kasiled Please Print C K
1. Renovation,Addition,New System or Manufactured Home 1. V,010-z VA;110 N
2. Single family detached or Multifamily attached 2.
3. If Multifamily—No.of units covered by this submission 3.
4. Conditioned floor area(sq�ft) 4.
S. Predominant eave overhang 5.
6. Glass area and type: SinglA Pano Double Pang
a. Clear glass 6a� sq.ft —AL—sq.ft.
b. Tint,film or solar screen 6b. sq.ft, CD sq.ft,
7. Percentage of 9jass to floor area 7.
8. Floor type and insulation: sa- R= lin.ft.
a, Slab-on-grade(11-value)
b, Wood, raised (R-value) gb� R=
c. Wood,common(R-valuo) ac. R= sq.
d. Concrete, raised (R-value) 8CL R=
e. Concrete,common(R-value) Be. R= sq.
Wall type and Insulation,
a. F_xreftr: sa-1 R=
1. ma,%Qnry(insulation fi-value)
2. Wood frame(insulation H-value) 9a-2 R= ft,
b. Adjacent: 9b-I R. ft
I, Masonry(Insulation R-value)
Z. WQQd frame(insulation R-vallus) 9b-2 R= sq.ft.
c. Maala;e Walls of MuVe Units*(Ye�51NQ) 9C —
10. Coiling type and insulation: 1 Oa. R= sq.ft.
a. Under attic(insulation Il-value) 10b. R=
b- Single assembly(Ins"ion R-value)
11. Coofing system,
(Types;central.room unit,package tenninal A,C.,gas,exiorojg,none) 11. Type;
SEERIEER:
12, Hosting system*:(TyPeC h9at pump,elec.strip,natural!qn,LP.gas., 12. Type:
gas h.P.,rwrin gT PTAC.existing,mnv) HGPIFIGOPIAFUE:
13. Air Distribution System*'
a. Backflow damper or single package systems' (Ye-,/No) 13a.
b, Ducts on marriage walls adequately sealed' (Yes/No) 13t.
14. Type:
14. Hot water system; tr:
gypos:ajac;,,naituvw gas,otoor.e)(ating,none)
red r-A"tallon are In p*v,ewdtpumOnd*peoAcAom
rt, til i va g o cit a ns
d f I w1h Sad
1ATE'-
6.F,�
Win W Flan
DATE! jroi;�w for complan"ift
rRIE,MKIED llrf� OUILD04 OFF—-
corlity I V_ is on pj'anco*Ain Voin Flanda FoOV e,
QWNSR AGENT,
4-20-1999 S:39PM FROM STRAIT ARCHITECTS 904 261 602S P. 3
r,oml
and RENOVATIONS TO ExiSTimr,BUILDjI,4S AW STE-INSTAILI-10 COWOMENTS OF M&NUVAMRED Ill
TALEl PRESCRIPT 3VE REQUIREMENTS IFOR SMALL ADDITIONS ill Sq,Ft MINIMUM INSTALLEI)
MINIMVM INSUll 01jiPMENT EFFICIENCY EFFICIENCY
COMPONENT INSULATION INSTALLED -51l - .. -
Q-7 P
5,,�q Pk? SEER
9--iiq poorn�Injt or PTAC,
x, - P�11
C me
ANY
17,oml Masonry Li RI�51&tanize
Heat uUMV,Split HPF a 6 Id
,j) ,-iSFw . 6.5
Sll A33*,nbly,E-C)l Fl,9 I
Fral I HSPF I
l Pans Rq�-m ul or P7HF COP 2,7' cop
R-I a
S111 AT1191011
STALLE
Optir, Ft '0
Common Frame ;Fp-1 1 - - iral Or propane AFUE - 7"15 AFUE
1 0 Gat� -alu
No Minimum Poet AFUF = .717 AF:UE
N9,o F; 13 1 -- —
--I . — 58 EF
EF =
0 k% Ell-
R-11 �;JjtC
L P 54 E-F
J_ EF 54 Er
Ir uncondittorled sil R B g_4(,,
No minimum
in conditioned spal I � 0-�.0-7
-1 ABLE F.C-2; pRESCIRWTIVIE AFWREMI1l rOjj cl-AsS AREAS IN ADDITIONS ONLY
enj max,murrill a
litijoirigo is selected by t1pe overhang 41ylft.8nd Shadir)9(;0l
GLASS TYPIE,QVF;l AND$HADING GOEFFIVENTiRgijuAl FOR GLASS FF-FVZ;IENTA�tILLOW�ED
IJP TO 50v/,>
UP TO 201ry UP TO ll UP TO dD% Smigil; Double
5,11916 slf)l Doulole S.ngle Double H C
C)H-SC OH- OH-SIC OH-SC H --C 3,- go
2 - i 1' 90 21 9111, N07 2 70
1 - 1.0 NOT 1-10,
0- BF� .7Q ALLQWED 'Q - 50 so
65 AQ
nufaturor Stnqie clear$(;z 5C 9Q.and single tint 86, SHGC-,a7=SC
r—SHOC or SC may tw otolail from the ma
LPACKAGES CHECK
TABILE Z3 I MINIMUM KOUIRFAll FOR AL REQUIREMENTS
CQUIPIONIENTS 'SECTION
raCks 6061 To avik
Exterior Jo-till 4 bec ed
50M/�Wt l alga
Exterior Wind a Doors 61061 �Ml ,, weo
penetratpl ThrQv-q*Fi-,jP- —Wallslst to sealed
S(;W&Top Plates---- 0
(two pitri-natives allioYli
Recessed Lighlin 1-06i lyy7pl
1-606 1 1 Al r C41 tell
ri ......
Eli—�-, --ri- usi fan$�qrtlrij to V 4 - moors,except tar combust,or)
-�il Space shall Ilav*
oeyicl Witt'intteqfoi�eill CIVQI"*rk nbWoOn A,(
5y9twint;Tnvst be Pruvitl vIll oilsidil cor
�Ofnbv3lron SPKC and walill,heal, ,
�±Istl I vent appliances ell
in Table,6-12 S_l or Cloorly marked r
,,iz:u,t
Will Heabeirs 45,Z I Comply wk9h efficiency f0clull"I'merm
C
Or t qrPyllj_4nl Ira fil lllfril
(excq-pt Sol heated) Non-co(Amercal Pol Must have a
Swimming 612 1 SP414'&'"IlWO Poll must r%ave covers
I$ml nave mlMrrIUM Ithel lil"kNuncy of 75'�.
purnp J,mizr.Oias 5P8&POM hl
P"Is&Spas ----4--.- -.1-,- . -1-... 1-. - ", 1�eal rel
I I l rpcil fp,holl,ylater C11'COlatil Syt"M'
mot water Pipets 612 1 1��lj dIj- I---I-1 -.1.. Vw.m�t�-tharl,2 6-9,all, ;to.180 PSIG
- led OMS Per ml
ll 1 lill flow r-jsI be rostric il�u-
si;0.41 h4i" ihav be movlanil;Wly admall
All ducts.fittil m0cir"O"ll OqUIVIrrient Aind Plenum I DUOS-attics ell UP I
6101 1 ordonCe with The Critgna Of 5el;itll 610 1 UUC'"a
ConsIrvl sealed.Insulall and instalted;n al not be'nsta Lied in��zs"olloss'n 110cliamicil f;tasels
ImSvlajoa IQ a Minimum 91 R--Q, Air hanl!Shall --------
07 1 epmate road4jy 3c;ces-3,,t�10 manul or automilic Ithermuttat lot eelch system
HVAC C.Tir
jEwl DIFil aped All
6t q
Iviome, "Vill
cw"mT34ml Toul Om am3-,,or all l Ill 51"'t`9 91l ow".iir-O�4%
ACOTIONSONLY Detem,r,l Oil pilfccritti to inflo'Kned ft7l Arco,Piro goo 1*l"
er 94$3 10 till ill.Wl-*44 of tnrk%w ty rm aotol @n;jrr,ql w,1VIII Itc Zf W440 01 lr*5 7355 mar *6C ese pt
to thworevootow WM F�,jdri�il
IDot 9435 Md ad:It PE moflwA-t#hl ti;OK,I*o *Czval glal's
Ic
Mft4rlt8K"d5ll WIX 11111 ft l QW I All
14,PAW"Im a lilit"I I:WW
vq of l parte WIll Olt cttr�tiil il, 01,-3 JiM 5114o�;
am l oxwol or UW'"oim AaN I'm Irit r4lvt 0:re 9 ls$,�a oo�ol eitilt tire ojemsi Wr
-�tP�ee l�qwl*.Ill WOAt 0,Me ow,g Tw;l ill WVW
�f Mill mvkrfbillm,
Cjji AWA� ro"w,Tn"'t'Irw row t.W%f'llorjo il.11,4W
150l SY$Tll Comil"itP k.jyl;l rl,
".1l on rhT(Vil,W V P-W
emems for Srrl Aidlill and pil�nl 71",
Rod kki-VT on tl�;#I
t goo.�ql im wr lole o'll
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
z)
Address
Date
Heated Square Footage —@ $—Per sc-T
Garage/Shed P @ $_per sq S
CarportiPorch 7�" @ $_per sq t
Deck 7@ S_per sa ft
Patio @ $_per sq ft
S
TOTAL VALUATION :
.30 70 e7C7 $
— 4 t
1st
Total V_aluation S 6 7-':-,"v
Remaining Value $S-. per thousand
or portion thereof
TOTAL BUILDING FEE
+ Filing Fee
Fireplaces @ $15 - 00
0
BUILDING PERMIT FEE
WATER IMPACT FEE $
SEWER IMPACT FEE
WATER METER/TAP
CAPITAL IMPROVEMENT
SEWER TAP S
RADON (HRS) . 0050
SECTION H PAVING j
HYDRAULIC SHARES
CROSS CONNECTION
SURCHARGE . 0050
OTHER
GRAND TOTAL DUE
ADDITIONAL PERMITS OR FEES: Mechanical—; Plumbing
Electric/New Electric/Temp : swimmingPool Elevation
Septic Tank Well--; Sign_Finish Floor
Survey Other
CALCULATIONS and/or NOTES :
CITY OF ATLAZqTXC REACH
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTEPATXONS
MO=G.,DEMOL I TIONS
Owner(s) 1" )
job Address: 56-
Maio Phone:
Lot # Block or Unit # Subdivision:
Rq'
Contractor:-- 1-1"'(- - state License 4
Address: q&1 fLlwurtbbt) Av. Phone No: q
40v-
Cit"I State Zip Ccde ^3ZO'73
Describe work to be done: gaLd VAtWAI 64f -,�24&zA) fie)&4-il
Present use off buillding:_ '5�4�2(e
Valuation of prccosed Construction: --
Proposed use: POAJ n/77M a rIA4
13 this an addition? NO If yes, what are the dimensions of the added
space: ft. X ft., Will the added area be heated and
cooled? t" � New electrical (or increase) ?
New plumbing. fixtures? V--�New fireplace7AIJ New Heat/AC?
SUBN=T (1M3=1=ZALL) CCf4PrA= =�s or rz"s, ny vDx=
AND
SITZ P=N, 5VR7Zr' MrAWr CC= ZMadg, XCTZC= Or CCHMEyc1XWT,
o*NZX/CCNTXa=01t , zr owffim X5 CONTRAC!r0R.
Signature OWN7A: Date:
Date:
Signature CONTRACT?C�: A-- -
. 7 - - - - - f f
AS TO -OWNER:
Sworn to and subscribed before me this day 0
jT(-)TARY PUBLIC poichk Ameba EPIff
CWUS"0 CGHM,
AS To CONTRACTOR: am
M,
Sworn to and subscribed before me thi3CRjAJ-1_day of
OT Y PUB C
MARY S. SMITH
Notary Public, State of Florida
My Comm. expires June 2, 2001
Comm. No. CC651891
MAP SF�OWING SUF�/ EY OF
010 - . I -, k 2 0 P
Lot 36, as shown on the plat of Occan Grove Unit 2 . as recorde,.1 *11 P1,1t f`(-)o age
20 of the Current Public Rccords of Duval County , Floridti-
For: Al-Tore, Inc.
RECEIVEIN.")
APR 2 6 1999
City of Atlantic7RPaq
Building ing
46
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99' 0
VJ00
06C
j9 7'
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00f
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