The URL can be used to link to this page

1870 Seminole Rd (vault) CITY OF ATLANTIC BEACH ` l 800 SEMINOLE ROAD r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001230 Date 9/04/09 Property Address . . . . . . 1870 SEMINOLE RD Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------------------- Application desc replace 5 sections of 6ft fence/paver deck -------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- ARRINGTON, CLARENCE OWNER 1870 SEMINOLE ROAD ATLANTIC BEACH FL 32233 ------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 35 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/03/10 ------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. Roll off container company must be on City approved list and cannot be placed on City right-of-way. ----------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH - 7�r ~ 600 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- OFFICE: 9 OFFICE(904)247-5826•FAX NO.:(904)247-5845 BUILDING-D EPT@C OAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1:JOB"ADDRESS: ', - ;c:' - ' 2.VALUATION OF WORK. 1 SQ.FTS UNDER ROOF'• ;.. 4:LEGAI DESCRIPTION` 5 CLASS OF WORK 6.USE OF STRUCTURE` ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE U COMMERCIAL 7.DESCRIPTION OF WORK ALTERATION ❑ACCESSORY BLDG. 8i FIRE SPRINKLER:" / r, ` �C l �/�?` Pr VNO f ' ❑POOL/SPA ❑YES ❑WA C 1. G. VVao u OVE ❑OTHER ❑NO PROPERTY OWNER:' CONTRACTOR ARCHITECT/ENGINEER: " 9.NAME: e NY NAME 23.COMPANY NAME 4 . p-n 1I •c..n c.c 16.NAME: 24.LICENSEE NAME 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: l'uv rert y-,uvL19 IZit6 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE 12.FAX NO: 19.OFFICE PHONE 20.FAX NO.: 27.OFFICE PHONE 28.FAX NO.: 13.CELL PHONE 21.CELL PHONE: 29.CELL PHONE 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: pFOTrs�nuwow�z/ . BONDING COMPANY :' MORTGAGE LENDER 31.NAME 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: ** YOUR FAILURE TO RECORD A NOTICE OF COM ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOU PERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND EjKN THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FI PfAIC ONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU OF COMMENCEMENT. OWNER or7AGENT 1W YONTRACTOR (IfAgenLPowarafAttomeyorAgency Letter Required) p (Qualifier Only)ks ` ne Date: / Signed: Date: Before me this day of 2009 in the county of Before me this day of 2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by hi self/herself and affirms that all statements and declarations a 'n imself/herself and affirms that all statements and declarations are true and ccurate. a acc e. Notary Pu State of County o Nota Pu a State of ,County of ❑Personally Kn wn ❑Persona El Produced Iden i ❑Produced Iden' ton No Notary Signature: 111"L11 L 11 4�•, Notary Public.-Stat lorida r'My Commission Expires Feb 14,2010 '"'EOFr JP Commission#DD 518533 BLDG d j&tary Assn. icl�'Trim 1'--��r� City of Atlantic Beach APPLICATION NUMBER Building Department AUG 2 8 2009 (To be assigned by the Building Department.) r 800 Seminole Road J • " fir) Atlantic Beach, Florida 32233-5445 i -�_ Phone (904)247-5826 . Fax(904)2•,, e �e � E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �U J�InI.-77,0 D nt review required Yes No Applicant: D .l)-;J annina & Zo ZfZ 4;9f re inistrator Project: !v P AV4,25 -- II lic Utilities sec;l b ns (D�� /�('�� u e y r Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: APPLICATION STATUS Reviewing Department First Review: XApproved. ❑Denied. (Circle one.) Comments: BUILDING Q PLANNING & ZONING Reviewed b4g, Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBL WOR S Comments: PUB C I ES PUBL SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach =AUG2 APPLICATION NUMBER s� Building Department 9 (To be assigned by the Building Department.) 800 Seminole Road z 3Atlantic Beach, Florida 32233-5445Q Phone (904)247-5826 • Fax(904) :. �� ;t�r E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /jj� Jje�ln;-77,0 16- O nt review required Yes No p Y Applicant: , anninq &ZoaA ItZ �re �inis�trator Project: APAft -wom DIAE k lP AVIEe 5 lic Utilities u e 6 Fire Services Review fee $ Dept Signature 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: APPLICATION STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 4��r� — Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER r Building Department (To be assigned by the Building Department.) 800 Seminole Road J Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 - Fax (904) 247-5845 0�7 ' �U,if9r E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / J4tn1'22,0 /,5- / D nt review required Yes No Applicant: Q /L)-;�t 4 anning &Zo fr inistrator Project: ,��l�C� 2001b � t4 k> V, S —�-- lic Utilities u e y Fire!Services Review fee $ G ' Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified By 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: AP PLICATION STATUS Reviewing Department First Review: . ❑Denied. (Circle one.) Comments: BUILDING PANNING &ZONING' , Reviewed b G�;lJih. Date: g"Z TREE ADMIN. Second Review: ❑Approved as revised. Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH 09_ 800 OFFICEI(904)2407 5826 0 ATLANTIC 904)247-58453 I I I I I ...... BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY i.JOB ADDRESS: - 2.VALUATION OF WORK: 13.SQ.FT.UNDER ROOF I r?0 '5-cm 1 �� E 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT_BLOCK_SUB DIVISION El ADDITION ❑CONVERTING USE COMMERCIAL ^:/7.DESCRIPTION OF WORK:"' ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: I/? L G . YV y U o V1 v6�f 16MOVE ❑POOL/SPA ❑YES ❑N/A V .0 � (/t/�� ,/ ❑OTHER 1❑iJ0 PROPERTY OWNER: CONTRACTOR: ARCHITECT 1 ENGINEER`. 9.NAME: MANY NAME: 23.COMPANY NAME: 4 � p"{f� {h K CC _ 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 1'uv 1B.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: - � 9 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30,EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of Attorney or Agency Letter Required) (Qualifier Only) ne Date: d d9 Signed: Date: Before me this day of 2009 in the county of Before me this day of 2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by hi self/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and ccurate. true and accurate. Notary Pu ' ,State of County o Notary Public at Large,State of ,County of ❑Personally Kn wn ❑Personally Known ❑Produced Iden I i ❑Produced Identification- No M Notary Signature: =01'RY nt. UlKrMA�V `e(( Notary Public-Stat lorida My Commission Expires Feb 14,2010 Commission#DD 518533 BLDG d 0@tary Assn. City of Atlantic Beach A PPLICATION NUMBER assigned ned b the Buildin De artment. Building Department g y g p `i 800 Seminole Road 9 �Z 3Q ri Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 c E-mail: building-dept@coab.us ed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / c�G/I'I i�7 /� D nt review required Yes No Applicant: annincl &Zo oiDA i4Z.4;9r r inistrator Project: ,,C��1�3['�x(10 2)1/1- 9 k� PAY�4s /_ �4lic Utilities ��Q 1++C�. ,� Secy o n S O j ��7 /)&t u e f Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants _g Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: I-In Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑De ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 AF' 14f3ze MAP SHOWING SURVEY OF L ® T /O 5LOcA,' 5ELVA MAgZA/A Llmlr 9 Recorded in Plat Eools__3�-------Page.-_2a ---_---- Pubiic Records of Duval Co., Fla. for.. L i NIDASEMA �.----------•------...__ _• LZGR. L. CROASDELL & COMPANY NOT INC. o Denotes Iron a—=—z— Denotes Fenee CIVIL ENGINEERING 6r SURVEYING Date_____________•-.____.c_._______.-__._. P.R.M. Denotes Permanent Reference Monument 429 East Adams Street • Jacksonville, Fla, Scale 1"___30........_______- CERTIFICATION: This survey meets the minimum technical standards for a 4oundary -survey as set forth by the Florida Board of Land Surveyors, pursuant to Section 427.027, Florida Statutes and I further certify that the property shown hereon is within Zone B as delineated on the U. S. Department of Housing and Urban Development Boundary Map No. 120075, Panel 0001 C, effective December 15, 1983_ SIGNED: c-�7� 1IMpPTU1&-6 Surpoce, Cajc✓Ag445 .3 gas - 4 Tod( �( ),•�. �aus ' a5?S - cl:)8.3%� A' a i N, O V b v � ° _ V QV--6- •off' o.,t i Its; A� r 4a5G f Kl-r- t9 ar K tV ° Fra,me ;IN Z" Ca`'v_ ��.e 3b4' S.o" 09 41'E_ 5�0' ✓EMIAlOL , (MO-440 ROAD 000697 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMA4 , LOCATION INFORMATION Permit Number - 697 ddress: 1870 SEMINOLE ROAD Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ADDITTON LEGAL DESCRIPTION Constr. Type: WOOD FRAME ot- Block: Section: Proposed Use: SINGLE FAMILY Plat Book: Page: 0 wellings: 0 Code- 0 ubdivislon: ATLANTIC BEACH atimated Value: $800. 00 - - - -----— OWNER INFORMATION Improv. Cost : $0. 00 Name: CLARENCE ARRINGTON Total Feps; 00. 00 11dresia: 1870 SEMINOLE ROAD Amount Paid: $0. 00 ATLANTIC BEACH, FLORIDA 3223q- Date Paid : Phone: (904)241-8439 k Desk, A D D FENCE TO EXISTING R1 ' ENCE CQNTRACTOR(S? APPLICATION FEES 0*11PERTY OWNED: H IT $0. 00 ATER IMPACT FEE $0. 00 EWER IMPACT FEE $0. `ATER METER $C 'AS ADON GIi, R. S. -$G ADON GAS 5% $0. 00 iATER TAP 90. 00 EWER TAP $0. 00 IYDRAULIC SHARE $0. 00 E-INSPECT FEE $0. 00 ,:NGIHEERING $0. 00 ETHER $0. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.93 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: APPLICATION FOR FENCE PERMIT Owners name �� --_ �-� (� �� hone ail--�y3 Job address- Lot_______-_block and/or unit, *_____________subdivision -------------------- Contractor if different from owner ----------------------------------------- ----------------------------------------- Valuation of fence S__ LF0o,d� Corner or interior lot E��d --------- --y-�---- --- Type construction_- �vvcOc) ---------------------- Show location and height of fence as well as location of street(s) . s C- F 0 c � Owner signature Date _- -------- -- - ------------ -------- Contractor Contractor signature----------------------------------Date ----------------- CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030423 Date 6/07/05 Property Address . . . . . . 1870 SEMINOLE RD Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5170 Owner Contractor ------------------------ ------------------------ ARRINGTON, CLARENCE ARLINGTON BEACHES ROOFING 1870 SEMINOLE ROAD 1441 CESERY TERRACE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 744-8888 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5170 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH Cc: Frd— r St1 BUILDING / ZONING DEPARTMENT D. Hi in 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 __ .._ (904)247-5845 Fax R E C D EL y www.coab.us CITY OF ATLANTIC 3F-C;,-i BUILDING&7ON11 PLAN REVIEW COMMENTS MAY 2 6 2005 f i Permit Application # 30c4 Z-2> gY: - Property Address: C7 l F I`-1 1 K. Applicant: 1,-)c,i 81,i Project: R4�t- This permit application has been: Lam' Approved 0 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. / fec:> Reviewed By: LO- Date: b Date Contractor Notified: MAY-26-2005 07:55A FROM: TO:2475845 P:2/4 i i �4 ;ry CITY OF ATLANTIC BEACH \ ROOFING PERMIT APPLICATION i c)att:• ! 5S Job Address:_J2 7 r Owner of Property: / Address: Telephone: Contractor: _ARLINGTON BEACHES ROOFING StalcLiccnseNumbcr: CCC1325530 Contractor's AWross:_ 1 441 CESERY TERRACE JACKSONVILLE, FL 32211 i Telephone: 44-8888 Fa,c: 745-0000 Scope of Work. RE-ROOF M j OccR Slupc: �2-� Greater than 2:12 -- Less that•.2:12 - Valuation of work:_,J-J 70 06 Product Dame(Examp)e:Timberline): XFiQJTi�? i Manufacturer(Example:GAF): 7�/�( � •�'—� i ASTM Daigrtation(si: �A77PegLZ) --- Required lrupectiu Lthhng and Fina! $igrt:tturc of fawner• Date: 5/_/4A O DS Signature of Contractor: ata / I 44 TO OWNER. Sworn to and subsaibcd before me this day of 20� I State of Flort4i.County,or Ou val Notary's Siguatu I +o,�a•P�c BARBARA BOZEMANC3i t , P MY COMMISSIONIDO315193 trwnallyknuwn EXPIRES:May 17,2008 Produced idntstificatiun (�✓/4 &5-Z II /_eZ _1 /3 Bonded Thu Bud/et Not"Servkes Type of identifit�tie n produced � _ AS TO CONTRACTOR: Sworn to anJ subscribed before me this day of , State of Cloridr,County of Duval Notary's SignotUr i +OS,,RY Py�� MANA�l3AARBARA�� Per3mally known i (� Produced identiticadan * MY COMMISSION 100 315193i ^. EXPIRES:May 17,2008 YYpe of idet,tification produce) ��tor,oPP Bowed fru Bodget Notary Services 800 Seminole Road •Atlantic Beach,Florida 32233.5445 Telephone: (904)247.5800 Fax: (904)247-5845 httpJ/ww%7.ci.atlantic-brach.n.us Pakc t Itcn34,42raA3 1 I I 4i I! MAY-26-2005 07:56A FROM: TO:2475845 P:3/4 744-8888 ' BIOTICS OF COMM NCEMENT FREPA99Ha PurAm PERMIT 0 I, Ili Permit No. Tax folio No. Slate of F .D TDA Cmiy of To whom it may concern: The undersigned hereby Dorms you that Itopmernents will be made to Certain real property,and In accordance with Section T13 of the,Florida Ststutos,the tottowlnp lntonnation Is slated In this NOTICE OP COMMENCEMENT. Legal desaipdan of property ung improved: /00 i rf I Adores%of propeM being improved: Gwwal description of hnpMVSVANs RE-ROOF r Owner C L kA e-AC P. G .8 PREP :.duress O S E I E Z Y (, BY: 32233 Owners interest in site of the Irnprovemmert Fee Skopje Tdlaholder(if other than OWW) NIA Name MIA , Address Coniracbr ARLINGTON BEACHES ROOFING INC. Address 1441 CFSERY TERRACE JACKSONVILLE FLORIDA 32211 Phone No. 744x8888 _ Fax No. 745-0000 Surety(it any) N I Aii Address N/A ArnOunt of bored 4N A 11 Phone No. N/A Fax No.NJ A Name and address 01 any person making a ban for Ito construction of the improvements. I Name NIA 11 Address N/A Phone No. NLA Fax No. N/A Nam*of person within the State of Florida.other than himself,designated by owner upon whom notices or COW documents may be served: j Name NA Addrass Phone No, N/A Fax No• N/A in addition to himself,owner designams the following person to tussive a COPY Of the lienors Notice as provided in- Section 713.06(2)(b),Florida Statutes.(Fill in at Owners option). Name N/A I' A4&"s NJA Phone No. N/A Fax No. N/A i Expiration data of Notice at Coarrwloxneld(VW e*abofl data is acre(1)year(Mm the date of reaordinp unless a different data is spacibedx T1Ui SPACE F'OR RECORDER'S USE ONLY WNER _) � Oso 2005180_943,OR 8K 12490 Pse 374, Q✓ Signed: Oats: 2[ieS a Before rro this_,[�—day of 18Q005 at 11:13 AM, s F d6 eoorde0 I -14M FULLER CLERK CIRCUIT COURT DUVAL COUNTY I County Of Ovral.State of has Haul appeared RECORDING 510.00 i �p�J , Public ad large.State Ot � Ai)D0315t➢9 oomfa)ss)on wapiret~ X t y�� KM1 PersmaVy�Y�Ylwrt o5Z-" Produced Identihca�nn , i, MAY-26-2005 07:56A FROM: TO:2475845 P:4/4 I i I Florida BuNdkW Cala Ragrdremants for Asptutt S1do&Alts —fft ' Cuaplr tS Boal AmRffd&o ind Raarlvj SYransos of In 2WI Haim B,MV Rids(rC)saMarra two sagIbm add trasYrp saaderrsrd d ssplraa shY+p►i � Sedan 1S0r.7.r apybw left aqua Slaw of Umida aapl do HA rsbcil!lisrl WA Z0r fhrori0ada and 6owd OWAW aNy).b rrkrdlotea � blow 116 sMR 4 nota par dip ttdrrllo aro teaiaa&b arfrrdeorat tie 000 sad piaoisr,NO raatrI' d M&Gtr wstauaod b para Nhar ASTM W 161 (maAW b till w4p)OR M-DC PA IOT- 5c or o mWirad try to awkbrssv 101 odinthe tsbb tblaar.Twat be wad.Prod m b*iso a titian► 0wk NOA are mwfi0abb far u/a in tlr Q.1% aura. seats,*Star appia o*to via Hln ValoorV ti.den.m.(ttirti)ode and llowad caatras aab)and ebbs ntl rr shbglea serf ba boblad in ew l'-+ee wM Iw produ!easrW apptovaf f+AS 115 arra ro las hn 6 appraad roafig Aalt ar~opprwtd kfbrft dariow(M St cOm 1SIt1.r..0 MOTE in SMas60mb and&ar;•j oararttos Orly,6 a.b Per 9P shb9b MM ba uN d eaan 98 sN 0 ins passod A40C PA107 ran taws► n♦is et tmana s. This tabb utas praprrad by&M%b wm narfsa 6MM aorrdrebd M ARMI►anmbars sa stet prO"aid rlirtraws marI mum,d:qb ~WON 0300w d aw Ftsrirb MAN"Coda Go left MHA wabda- 9-etlr!on 1nwY io dbrwitad sn AFOIA&*W'Asphah 9*sow and M Nw Fw*b&Aft lode uua rw%t*f%Vw w%fbrldh f wo.a puWfto n oleo Fbrwa Roo&ia Streal taetrl and AY Candllatba Cw*m m Asaeddon PVtW Fac aftocom", I I 17 .a.r old r..w....w Am 1 ootn ` 843C PA ` Ifarriaada rot � trras � ' •trw�.rr.r.rt..wdrw al41 caumv low gina TL T 8 Y i Y 8 i _ P1 m6dw AM 8 T a 9 W Y 5 i i t— Y i s t7ialsa�M i Y I; • Y Y s M I tael.si k T a a ! s lir Lataart k T 4 Y a 1s k AR aasYfiraBLwAwwb2G&AJb Y a T 1 a Y i I. a{ Y 4 V 1 4 Te A • V 4 y8 »M Y a9 4 y s mbWE bzk= V T Y a a y a 4 T a s Y 1T 4 Y CMI&CnDAIQ4V 4spolemem i i ! T 4 Y a Ira aroues Y 4 f V 1 a a icor 4 9 ! 1 4 Y r 4 a - Pair a 4 Y i AtrVa Y Y 4 Y a of Y i • a ra/PiS 4 4 Y T` •. a 4 Y f Y 8 4 T 4 ya 4 T a ys tt.tfaNae • 4 T 4 ya • y 4 Ti T 4 Ta T s 4 4 6 T 4T a ftwoomm ! • a 4 s 4 • (: 1 Y 4 T s alt T a 4 a i, Y a ! 1 4 4T s Y i 4 4 Tr as a lis AMR 4 4 a IJ isa s]R T • 1 4 T a Ica 4 a T bre rAn Y 8 tire: - wina • �, 68 'Isae►OwtallobdAaaaptrrts(NW) ! MAY-26-2005 07:55A FROM: TO:2475845 P:1/4 { • i FAX COVER LETTER j i ARLINGTON BSACHM ROOFING j 1441 CES$RY TERRACE JACKSONVILLE, FLORIDA 32211 i i DATE: V ozCP v5-'" ?IME: TO: via(2-� FROM: PHONE: 9 ) 744-8888 4�//YO --A00-l.A FAX 1:004) 745-0000 RE: i II Comm ms I; i I i TOTAL NUMBER OF PAGES (INCLUDING COVER LETTER) : NOTE: IF YOU DO NOT RECEIVE ALL PAGES, PLEASE CONTACT US AS SOON AS POSSIBLE. i i c CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date �. Job Address: <i� 112M)A f n(E kd Owner of Property: Q AJC E HRfQI IG `./ &I Address: f 7D o.SEMJ6�0�k �2(4Telephone: _ Contractor: ARLINGTON BEACHES ROOFING State License Number: CCC1325530 Contractor's Address: 1 441 CESERY TERRACE JACKSONVILLE, FL 32211 Telephone: 744-8888 Fac. 745-0000 Scope of Work. RE—ROOF Deck SIUpe: r'2,� /Greater than 2:12 Less that,2:12 Valuation of work:_V l7lJ / 00 Product Name(Exumpic:Timberline): Manufacturer(Example:GAF): TAMko ASTM De.ignation(s): I77f��',y& Required lrtspcctio thing and Fina! _ Signature of Owner: ten-- Date: 2 0�S Signature of Contractor: d ate: / AS TO OWNER. Sworn to and subscribed before me this !' day of 20� State of Florida,County of Duval Notary's Sign= �O�pRY P�eY/c BARBARA BOZEMAN * * MY COMMISSION h DO 315193 0 Personally known Q Produced identification . EXPIRES:May Notary 2008 Services Type of identification produced ��Z '�0- vTFF, e bonded Thru 6udyet Nottary �•--•""'— AS TO CONTRACTOR: / Sworn to and subscribed before me this day of State of Florida,County of Duval Notary's Signator ro1PRr PG��o BARBARA BOZEMAN Personally known Q Produced idenriticadon * 01 , MY COMMISSION tDO315193 Type of identification produced EXPIRES:May 17,2008 0 j'rrFOF F��\ Bonded Thru Budget Notary Services 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (404)249-5800 Fax: (904)237-5845 -http://www.ci.atl3ntic-bt�ch.f.us Page 1 Rer,xvt7l2t,03 t CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 0 2 t� Date 'j (-z Heated Square Footage @ per sq ft= $ Garage/ Shed @ $ per sq ft= $ Carport/Porch �@$ per sq ft= $ Deck @$ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ st�Z-o $ 3S� Total Valuation 412a $ 2S Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ (-,o ZONING: + '/z Filing Fee $ 30 FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( )RADON .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 3613 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------ LOCATION INFORMATION --------- Permit Number: 3613 Address: 1870 SEMINOLE ROAD Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW --------- LEGAL DESCRIPTION ---------- Constr. Type: WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: I Code: 0 Subdivision: Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees ; $22. 50 Amount Paid : $22. 50 Date paid: 1:11 Wc))rk Desc. KEPLAUv, hL.1UP V11JH RMW '1111MOr-E-) -- ---- OWNER INFORMATION ---- APPLICATION FEES Name: MR. ARRINGTON PERMIT $22. 50) Addri.--ss: 1870 SEMINOLE ROAD WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORID SEWER IMPACT FEE $0. Oct Phone: (904 )249-23-4 WATER METER $0. 0(" RADON GAS-H. R. S. $0. 00 ------- CONTRACTOR INFORMATION RADON GAS - 5% $0. 00 Name: ROMANO BROTHERS ROOFING WATER TAP $0. 00 Address: 1601 MAIN STREET SEWER TAP $0. 00 ATLANTIC BEACH, FLORIDA 32 .3 HYDRAULIC SHARE $0. 00 License : RC0039983 Type: 7 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE so. 0� OTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. r . ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) : Address: d f� ., . n C� 17,0 Phone: Lot # Block or Unit # Subdivision Contractor: 0 Address: %/p / �,,Q �,j Phone: .2 State License No. /? C- Describe work to be done: /(� /f m c Materials to be used: ��.- �''✓ , c 4 Signature OWNER: ' Date: ` Signature CONTRACTOR: c xU CIV, pF 13100 p{�icia� i V'`6 f+ pttice EQVE$'C FQR`N Permri No R ocal\iY-. i M• pate VXOANN CAS C Gond.& Fie�e\ved ctor `uMg\NG O Negmg r J �jve ce dress EC R\CA` IR o $etli C Pre FaM. b EL a 1OP ger p. PM owner s CREME _ TemP poke O C = Fr\daY Name Fooirn9 F'%na\ E�\pN gV\LD\NG C, SO RE v ppR\NSP \nnrs. Frarn\n9. G Arnie\ ND Be\10 G Wed. PM' PM. \nsPecGon anO \ns\)\acro Frna\ of cc CerNtrcaie Mon pate ade \nsPe6on M \nsPecior DAT E: _Z !_ � PRF.-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 23`3 WEST DUVAL. STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSP. CTION '. S ) HAVE' BEEN :MADE AND Attar SATISFACTORY : -�Zam'-s--- ---------- -_---- _-- ---------------------- �� 9 -- -�----=--- -- --- ---------------------- ------ ------------- ------------------------------------ ------ ----------------------------------- -------------- Enclosed are the blue copies of the permits. SINCERELY, BUILDING INSPECTION DIVISION cc : FILE 1 CITY OF ATLANTIC BEACH, FLORIDA (� —W,...r..-- bov APPLICATION FOR BLICTRICAL PERMIT TO TME CHIEF ELECTRICAL INEPECTOII: OATS: jjj�oATANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING TILE WORKDESCRIBED IN THE FOLLOWING. WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE A" iACHED PLANS AND SPECIFICATIONS. WHICH ARE A PART HEREOF. AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIW, DINANCES. wulc1Jo9kJIwM techLF 32250 1ELECTAICALOURIJ: MAME �tIG.K-1 1.3�. -E tfl� ADOREIItt: � ,.3Q.�t�/(Fl�� RFQ -"X+� -um-was Air.11 COMM 11 t►usuc t 1 INOUti.l 1 wow l 1 OLD 1 1 . AEW.11 AOWTm I I MUL-911 I I TEMP.l 1 SIGNS I I �• IiE�iVlCts NEI i t INC119ASS 1 I REPAIR 1 I AMIM11— ERI 1 AL IWAY E-1 1sT.SERV.SIZE s CAMPS43 EWAY IiEEDERi NO. -- SIZE Nb. SIZE - NO. SIZE GGATING OU?LETS CONCEALED OPEN' TOTAL ..r SCSITACL� CON EAL O OPEN 0.&0 AMM. It VITCH[i INCANDESCENT FLUORESCENT FIX[DAMM. OVt11 Ai►Lu►NCIu BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS ._ .. 1/!.. 4— VOLTAGE ►Nr NO. 1 N.P. VE PHS –� MISCELLANEOUS IT O TRANSFOIIMERSs UNDER GW V.• OVER V. ----- PERMIT INFORMATION ------ ------- LOCATION INFORMATION -------- Permit Number: 16567 Address : 1870 SEMINOLE ROAD Permit Type:ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work:REPAIR --------- LEGAL DESCRIPTION ---------- Constr. Type:WOOD FRAME Block: Lot : Twp: 0 Proposed Use: Section: 0 Subd: O Rng: 0 Dwellings : 1 Subdivision: Est . Value: 0 . 00 Improv. Cost : 0 . 00 Total Fees : 25 .00 Amount Paid: 25 .00 Date Paid: 5/29/1998 Work Desc:ESS200AMPS1PH3W240V211RW - REPLACE/REPAIR METER CAN -------- OWNER INFORMATION --------- -------- APPLICATION FEES ---------- Name: MR. ARRINGTON PERMIT 25 .00 Addr: 1870 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 Phone: (904) 249-2374 ------ CONTRACTOR INFORMATION ------ Name: BIVINS ELECTRIC CO. Addr: 1004 SOUTH SECOND STREET JACKSONVILLE, FL. 32250 Lic: 0009159 Exp: Type. 1 l � 2 CSC/ /Vd ohs yo.ple ? uo 6 �Pss CITY OF 4&mastic Be4cA-A7&u-t& 3:15- Office SOffice of Building Official REQUEST FOR INSPECTION Date Permit No. Time Received (3 ( l -70 � Job Address Zw lit Owner's 1 CC) Name ( ' i� 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 I�I �� FZ tt� READY FOR INSPECTION A.M. Mon. s: - Wed. Friday P.M. T urs. Inspection Made J ((// Inspector ��Final Inspection El yertificatee of Occupancy Ce //0 - 3387 '/l 7 Date T s l CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT P 1]Rx i'T 1;0. _ DATE : 7 o —'Z 76 BLOCK NO. / S/D IV 111 ':.:. -ITMLEat�/f/I � w G% BLDG . CONTRACTOR �14mF_ PERMIT NO. ^E "' BCTI:DING ' / LAVATORY /—BATH TUBS URINALS �.LOST:TS� FLOOR DRAINS SHOWERS We-,TER HEATERS DISHWASHERS _DISPOSALS l�TfsE 'l)R't:'5 f O 11 . 00 MUST BE DONE UNITL A PERMIT HAS BEEM PROCURED AND SPF.CIFICT.TIONS must show a plan and description 'of the !_ � anQ' Ioce.tion of all the soil and vent pipes , and the : ., ai;d j.C)"a;:ion of all fixtures , (In accordance with .,anc.e ;\To . 138 of the City of Atlantic Beach, Florida) �� . shown on back of application and be approved by the inspector . ,` Aw7 :LAND SPECIFICATION OF ABOVE PLUMBING ON BACK Approved by Plumbing Inspector Date (FOR OFFICE USE ONLY) • 'oUqa-Tn Inspected REMARKS CERTIFICATE ISSUED : 1 t1TY OF ATLANTIC BUACH 716 OCEAN BOULEVARD At.laxnt � 8�.§a h, FLA ADDENDUM TO BUILDING PLAN Bu i ding locations J.. The att&Zhead Plan for th6 above build&1q is approved subject to mea t`;uq the followiug applicable construction require senna a ar roatiuga *hall be Cuntinuou* monolithic conurceto under oxte>r.ior walls, rcainforeod wlt~h two S/8" defoxweid rexnforvinq KT_)ds for one-story buil.din ge and: three S B" deformed re lnfGorck ag rods for two-story buildings. 8etlnforginq ,reds shall be pja(- d -1_n the lower one-third of the footings , proPeXlY placwd and fastened on metal saddles with W:o.tO l'OGtlugs salssall be six inches wider on each 3Ade than the vaa.il nboeee, shall be at ie astc eight inch#* this k and shall resat on firm wall air, least twe@]lvo inches below undisturbed soil. b. In hollow naso axy unit, von&tructian, each unit, call shall be reinforced with at least one No. 5-bar at ali co rtaars! laour0d and tamped with concratex Wuch reinforcing shall be ptoperlY tied into ts:hs footing and spandrel bsam. y All wood t.rusu rafters 4'xoof �,c�anwtorructi* n) sha3 i b4 6-ac-arely fastened to the exterior galls with approved hutriraca a,ncb*rrs ear 011p4. dl Cesystru+ :tion of nearby one-family dwelli t9s, which area dopli gat os or intensely ximtl.ar, shall be avoided. Such *j ailarity commiders the &A ernal configuration and appearance 1. .: . , roof, outer wall, Materials, window ,sizes Barad dowitgn, and ct,her like characteristics) of Structureels* in accord with the foregoing, similar or duplicate homes shall not: be . evonatta t.ed within close proximity of each other, and shall be at least 500 fe*t apart :if any one ,similar dwelling is . s brier Bora; any other similar dwelling. e8gW4"V' rarrvi.eco connections must be probed with clean-meat rods in the presence of 8 City inape t�thor. f. The final connections between the hoU00 plumbing drain aa►d the **war service connection tat the property 14,8e)i must be inspactessd by the City before being covered. City Manager The undersigned hereby certifies that he has read the above and understands that this addendum tikes precedences ver any contrary details to the plans and specific&tioee and a s to cox with th* intent of this addendum. out%aat4.e t/6wne: DEPARTMENT OF BUILDING PERMIT NO. 3 214 CITY OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 10112 7G Date 19 Valuation$ Plumbing Fee $ 10. 00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. f This is to certify that Able Plumbing E ltl*X X 2X 30110=1=X IX=bVIM);X to install 1 sink, 2 lavatories 1 bath has permission to buil CLDISHWASHER OSETS L SHOWER L WATER HEATER II i i Classification residence Zone i Owned by non Johnson Construction Co. Block 1 S/D S/M #9 Lot House No 1870 Seminole Road According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. f PERMIT VOID SIX MONTHS E AFTER DATE OF ISSUE f X 0 Building material, rubbish and debris ---� , Z from this work must not be placed in public space, and must be cleared up and hauled away by either contractor or owner. C. Vogel . y Building officul. I E FOR CONTRACTOR OFFICE PERMIT DATE E USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER i ""s;,rya-<• - _ Z '•i.�d.£r.o FOR OFFICE USE ONLY OR Date--- /....----....19 Permit #-----------------•------Fee $- . .................... e> OF ATLANTIC BEACH01n, Valuation $.-324;) -------------------................. 970 FLORIDA House #-------------------------------T................... .... .. ........................ ---------- . ------------ APPLICATION FOR BUILDING PERMIT q ................................. ---------------------------------------------------------------------------- Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date........................ --------------------------------1 19-7- ---- Owner.... I)P__X--------r....... .....e'_O_&,f _-Address--------2b3-----Sflr---•-----•`-Co __Telephone No..?3 ..... Architect.21 iv , ----Telephone No.7y - /112 -,? ----------------------------------------Address,_Z-��30...... y----------------- Contractor Builder--- No- ---- ------------------------------�n��Address---------------------------------------------- Telephone Lot No--------------------/V-------------------------Block No------J----------........... Sub Division..-- c/!>.l!--/,2-.4Y."--4-------- ----------Zone-----------_--- ----------------------------------------------------------Street---- -------.Side Between--------------------------------------------------.-and------------------------------------------------------Sts. Valuation s'f---..For what purpose will building be used. of construction./X.1-VAoz-c... Dimensions of Buildin ____,-,rY_/X ��je_ ------Dimensions of Lot .UP.._.--_.-_-_.._Size of Footings---- ---..---__--- gR,�Op A 5 1 7--A(7-7��- Size of Piers_._-------—----------------....Size of Sills-------------------'-- -...Greatest Sill Span in ft..._._.--------------.-Type Roof___S-h.�-,��_'-------------- How will Building be Heated?------ ---- ---------------Will Building be on Solid or Filled Ground?---------5s--'.12,�-d----------- Size of Ceiling Joists---------------—-------- -------I Distance on Centers-...___...._...._...._____..............._.. Greatest Span--_._---__._.____---__-__---------.----.--- Distance on Centers // _!<=....... Greatest Span.... ------ ......................... Size of Floor Joists------*----------KIA:------------------ ..........44� Size of Rafters -----------------2--h_.. --------------- Distance on Centers. ..... . ------- Greatest Span-------- ---------------- This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. E-11 E-4 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. G7 W 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT' In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the ttached,*7Zdecifications, which are a part hereof, and in accordance with the building a regulations of the City of c 41 _0� ...I............... Signature of Build -a- :4. .. ............ . .................. Address..................................... .. ...... ........ .. Signature of Owner----- - 1 Address---------------------------------------------------------------------------------------------------- 14-'j CITY OF ATLANTIC PEACH APPLIC:j7ION FOR SEWER CONNECTION PERMIT NO. 1� DATE / LOCATION 1 STREET LOT NO. --- _BLOCK`NO. SUV DIVISION OWNE ` yam TYPE OF E UILDING ASTER P INSPECTED r L.y FILLED ACCOUNT NO,-2�- -' r DATE: —Z PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 333' WEST DUVAL STREET JACKSONVILLE, FLORIDA : 2:.02 THE FOLLOWING FINAL INSPECTION t S ) HAVE BEEN MALE AMU iki-Z' SATISFACTORY : - -- 1Z - - -L---------- / q J ---/s11 r=�--- ��r_-- ---------------------- 6 X i C --- ---------------------- --------- --------------------------------------- ------ -------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, BUILDING INSPECTION DIVISION cc : FILE CITY OF Re r Office of Building Official• - 2( REQUEST FOR IN PE ION Permit No. Date .� Time M. Received ocality. J dress a- owner's ctor Name LUMBING MECHANICAL BUILDING C CRETE ELECTRICAL Rough G Air Cond. & C Framing C Footing ❑ Top Out ❑ Heating Slab _ Temp Pole r Fire Place 11 Re Roofing - Final ❑ Sewer pre Fab Insulation ❑ Lintel READY FOR INSPECTION A.M. Friday P.M. Tues. A.M. Mn Wed. Thurs. y (y S 7 P.M. Inspection Made Final Inspection Inspector Certificate of cc ancy ❑ Da'