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1948 W SEVILLA BLVD (VAULT) ADDRESS BUILDING PERMIT NUMBER oa�v INSPECTIONS: FOOTING _ (9-(- UNDER SLAB PLUMBING SLAB d-". D--J-9 FRAMING ,?-/6 - F) , COVER-UP S7-/0 - ?J— INSULATION 4J—INSULATION fir- /0 • 9 J _ i FINAL BUILDING moi- q- �i� CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT #_ lD 3 T /ooz -v INSPECTIONS ROUGH C7 fib_ FINAL 29-� J MECHANICAL PERMIT # �0�6 PLUMBING PERMIT # NOTES: /v 76 a 1'- � �,� /CITY OF ,,��ff''�-- ••,,-- ,q&6 I& BeacA-"tom ' Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P. PM. IYgdb �lL®� A' �WWO Job Address Locality Owner's �a2Q pf),I Contractor Name I J`� ff//v'1y BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL FramingFooting ❑ Rough Wiring ❑ Rough [I Air Cond. & El ❑ ❑ Temp Pole ❑ Top Out El Heating Re Roofing ❑ Slab n Final ❑ Sewer ❑ Fire Place El Insulation El Lintel Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday PM. ,C�-+tO� A.M. h'V P.M. Inspection Made Final Inspection ❑ Inspector Certificate of Occupancy ❑ r�W L Date Mar-19-98 12 :06P Harry McNally 904-247-5872 P_01 Mar-19-98 11 : 16 P . 01 PRICE QUOTE APPLICATION FOR WATER AND/OR SEWER TAP APPLiCAN r NAME MAILING ADDRESS L PHONE NUMBER ,—DATE SERVICE REQUESTED LA-- SERVICE SERVICE LOCATION DATE SET TO PUBLIC WORKS- DATE RETURNED TO BUILDING DEPARTMENT 3 .-( Q - q6 PUBLIC WORKS QEPARTMENY PRICE QUOTE RESPONSE t WATER: 11 'SCA l C C_ �l cJo- SEWER-_. UTNER: PRICE QUOTE PREPARED BY, -Signature - Title DATE NOTIFIED OWNER —3' / q-9 6 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address P q `1Y Sr_' u l - G.d+ U �J. (,J Date Heated Square Footage @ $ 00 per sq ft = $ 155, 960 __.. v arage hed 3 Z @ $ !a per sq ft = $ -77(. Carport-/,Porch 3 @ $ j Q� per sq ft = Decky @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ 6 Total Valuation 1st $ /00 dr Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ d + 1/2 Filing Fee ( (' ) Fireplaces @ $15 . 00 $ J.�.Ornrn BUILDING PERMIT FEE $ WATER IMPACT FEE $ X30.DO SEWER IMPACT FEE $ �l 0 SO.d 0 WATER METER/TAP $ I U ci CAPITAL IMPROVEMENT $ 2 U0 SEWER TAP $ RADON (HRS) . 0050 $ /0 513 S6 SECTION H PAVING ( ) $ "-0 HYDRAULIC SHARES $_ - _ CROSS CONNECTION $ 3 f SURCHARGE . 0050 $ ii OTHER $ GRAND TOTAL DUE $3�(� 73 ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: 1 CITY OF r�G!a.ct.cc �eacl - �Gyrida 100 SEIIINOLE ROAD - - - - --- ATLANTIC BEACH,FLORIDA 32233-5415 TELEPHONE(904)247-5100 FAX(904)2/7-5105 NOTICE TO: Water Department FROM: Building Department DATE: / 'o 0 - y �' Please be advised that the final building inspection has been completed on each of the following addresses and construction Water is no longer needed: Permit Number Address Sincerely, 1 / ) Building Department CITY OF Oca a - 1'.7&Ta4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 `-_- FAX(904) 247-5805 SUNCOM 852-5800 October 3, 2000 Mr. Larry Cattin Allstate Insurance Company 2294 Mayport Road #19 Atlantic Beach, F132233 Re: Edward R. Barbarito 1948 Sevilla Boulevard West Dfear Sir: The property known as 1948 Sevilla Boulevard West is considered by the Atlantic Beach Building Official to be in Flood Zone "X" according to-the Flood Insurance Rate Map as of April 17, 1989-Community Panel Number 120075-0001-D. This map has not been updated by FEMA since April 14, 1989. Sincerely, C. Don C. Ford, C.B.O. Building Official DCF/pah CC: City Manager y' r' I --1 Ip U 1 +wJ 1ii r x I Ir r- r. n c1> n 1 C z X �3 -4 to G I rn .« n I t1 x t'7 < n w r IA I m 1 ry w w I rn i l< b n TJ :t3 t G7 z n V) 0 1 O 0 Lon y I • Q) 1--� t-,Tr`T"1 D III w I N I M• r-r- 2 N N Cu Door" H Vt N N d �• C�tri y C W I- C7 Cj w \;)U LIM D z ZI 13t -irJH--I -4n N -axzm = -i-v rrk v) m N v, zwn n m .t o nNz 0 I-d 7U 7G y O I 1 u 1 G� TI D W I ti 1 r1 W b -C iJ y V'i 1 o z C -4 r+ M. I -4 o C H < i -¢ X 0 ►-� z LL r 1 n 71 Li S Y I C rn "TJ 171 cu i r� C S I s. H 'Ti x I v� r rrr 1 y � 1 O t/s y I •• 2 I m i m I -i w I + N I l► I a w�.m I LT, zFn D LT, z N(] C) V JO N Nr\3 W } W N p O A V N O W 3 O O f IN ncle- pRRY GATT / !re in g°od ha L you P,VST4T *O# insurance Company Allstate Ins �NOAQ 2294 MBYPOFR 32233 Atlantic Bch, 9p4_249-1600 CITY OF Dead - �'&ud4 800 SENIINOLE ROAD - - _--_-- -- ATLANTIC BEACH. FLORIDA 32233-5445 TELEPHONE(904)247-5800 �+^ FAX(904)247-5805 SUNCOM 352-5800 CEJ �E�/<�L�1��221Zti ��• �a '3-oma # c� �. �Q• �A-P-R Y ��4-mil/ �a�./�o:• � `� � � 3�1 b v ✓l -poAJ ic:'o210 ,:Gl�rsa�•� (�trttrtratr of (orrupury(fit of � ll Atlantic Nracll — +floriba Department of +6ni1bin0 Jnspertivn This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification Single Family Residence Bldg.Permit No. 10080 Group•frame Type Construction s/f Fire District Atlantic Beach Owner of Building Dewitt Hinds Address '1948 Sevilla Blvd. W. Z;dlressg 1948 Sev 1a B1vd.W.Locality Atlantic Beach, FL 32233 By. DON C. FORD ldinOfficial Date: /0 POST IN A CONSPICUOUS PLACE CITY OF QQ .4&4a4-c Bwc4-0;&uc/4 Office of Building Official U8� REQUEST FOR INSPECTION Date /O S6 L Time / r Permit No. �Q__.'O Received ` /'3r tit: Job Address Owner's 1,6salit O 's N ractor _ BUIL CONCRETE q.LECTRICAL PLUMBING ECHANICALRe Roofing ❑ Sab ng ❑ ugh Wiring Rough ❑ Air on ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs. P.M. Inspection Made 9 f A.M. / P.M, Inspector Certificate of Occupancy _. Date n CITY OF Office of Building Official `Q REQUEST FOR INSPECTION Date Time /'Ar Q Permit No. /cf?<� �O Received ,/ Q M 9 O M. Job Ad ress Owner's Locali Name Contractor4/// ---------- SUI CONCRETE ELECTRICAL PLUMBING MECHANICAL Framin Footing ❑ Re Roofing ❑ Slab Rough Wiring 11 Rough Insulation ❑ Li ❑ntel ❑ Temp Pole ❑ Top Out Air t & n Final ❑ Sewer ❑ Heating ting ❑ Fire Place READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs, A.M. I��/// c Friday P.M. Inspection Me ��6 '9 S j A.M. Inspector I,/_� PM. Final Inspection ❑ Certificate of Occupancy❑ Date OCT 02 Y95 12:25 H.F-1.jjl_IRDEf J 8, ►i�SOt. MAP SHOWING BOUNDARY SURVEY OF: �7,,VD77A Of- T;EGCUHfi'EN PUBLIC RECORDS OF DU✓ALIN PLAT60OK4S, e COUNPY, FL.OR1DA. J D ; p�T 2199 Building and Z ping 3 by ~\ <o \� 0 \ ^H� p + ce�ovr� �IJ ,y?3°jS5'52'E• . Choro% /5.62' O U Arc• /5.78 ~ roan!/r/rnn A. e De/ln•3G'09'41" /C 28�ood> J b � rNd Ourae�lA�YtY • �• ..��, (r \ Are• 59.5/' ..�� , �\ :+�, .� \, w 11,111r.12 1010-—0 yo/ 0; SEArO;c.;ARFdAS:L GN rr;c.vuR'lHEaSf£RLY LDT 36 LWE Cr LOT 37 A5dE/NG 5.48'03'332:dY1'LA1. SOUTHENN dc�L `ELttrtmle EASEMENT BY O.kV.J00J, +\ 11�1 `.0 �Y• PAG,;AND OR V. 3060,PAGE 306, THC NORTHEASTERLY o 1 ' 9Y „MD SOU'HEASTERLY UNE$ARE 210 FEET AND 190 FEET, RE-PECTFU4LY,FROM AND CONC(tJTRK WITH THC Q pL';:CIr:G RESTRICTION L1NC 8Y FLAT,BUT THERE MAY BE 1 �� \ ` OC A Ot/ 0511 pE5TF1CTrCN LrNES OR EASEMENTS THAT AFFECT TNI:? 1 N + 1 `?� P��G'%• �'�� l\ �; ,`P%� PROP£Rr/BYLONINF.CR RECORGtD 1N'1 Mt'PUBLIC NtGCl11.%5 �;3�` �` /1p CF T.ny COUriTY TrlAT ARE NOT LHOWN ON TNrS UlrVEY, 1 ;I+J PROPERTY LIES W FL ZONE i. BY FLOOD MAPS + 1,1+`cp5 RE',lI=+ED 4/17/1989. COMM'Jf1ITY PANEL W.!2007-`•00010 \ .� u t�\v �• � � ted✓✓+riaN i ror�P/Ti/ 3A3�o di✓ „�.A 90' d C4 J.t:�"i�rilG :��arxJir- rc7iC�+G +-�T�•�f t:,,r.,,•><,iedPfe/o�P�pe�J' ' �� Ape DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: i _ __ ---------- ------ �------------------------------------------------- ------ �------------------------------------------------- ------ ------------------------------------------------- ------ � ------------------------------------------------- Enclosed are the blue copies of the permits. 11 SIZER L BUILDING INSPECTION DIVISION cc:FILE 6CT 21995 Building and Zoning �n 0-1� CITY OF Office of Building Official 63z /t REQUEST FOR INSPECTION l of-62 Date Permit No. le C/,) Time J A.M. ` J Received P.M. Job Address Localit Owner's l/}�C�✓L Name � � Contractor p} CONCRETE LE IC UMBIN J:��HANICA r ming Footing ❑ oug Wiring _Roug Re Roofing a Slab ❑ Temp Pole ❑ Top Out �i Rreti Place n Insulation ❑ Lintel ❑ Final ❑ Sewer P ree F Ibce READY FQ� SPECTION Mon. Tues. Thurs. Friday P.M. i V _P.M. �( O R Inspection Made Final Inspection ❑ Inspector ' — Certificate of Occupancy o Date _ �� CITY OF 4[ 4dw B"-49&U ..Qa Office of Building Official 1 RE EST FOR INSPECTION Date Permit No. Timer..l A.M. Received jl P.M. Job Address //� Loc It(y Owner's /�L t/.J� (ZZZ=/�/ �'/ Q Name l(� Contractor �s�1"— CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing 11 Rough Wiring ❑ Rough Air Cond. & ❑ Re Roofing / Slab ❑ Temp Pole ❑ Top Out G Heating Insulation Lintel C Final ❑ Sewer Fire Place ❑ ` READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs. Friday P.M. .r I �, A.M. Inspection Made PM. Inspector Final Inspection Certificate of Occupancy E i Date CITY OF ATLANTIC BEACH, FLORIDA Approv*d by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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, BILL THOMPSON ELECTRIC CO., INC. P. 0. BOX 330150 ATLANTIC BEACH FL U233mQ150 -- ELECTRICAL FIRM: �./FIRM: 0 MASTER E ECTRRICIA IGNAT`URE JOUBNEYMAN NAME /44 �/l ADDRESS: V� dC'eyllAa /��l�f� RFD BOX BLDG.SIZE BETWEEN: RESD. APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( /---NEW OLD ( ) REW. ( 1 ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) / SQ. FT. SERVICE: NEW�q INCREASE ( 1 REPAIR ( ) G FEE CONDUCTOR SIZE AMPS ZOO COPPER ( ALUM. ) SWITCH OR BREAKER 200 AMPS PH W 70VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31•100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES 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 N.P. VOLTAGE PHS MISCELLANEOUS PSR-3844 - n �- DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ---- LOCATION INFORMATION ----- Permit Number : 10562 Address : 1948 SEVILLA BOULEVARD WEST Permit Type: MECHANICAL ATLANTIC BEACH , FLORIDA 3223" Class of Work: NEW - ---------- LEGAL DESCRIPTION --------- Constr . Type: WOOD FRAME Lot , Block : Section: Proposed Use : SINGLE FAMILY Township: RNG: 0 Dwellings : 1 Code: 0 Subdivision: SEVILLA GARDENS Estimated Value: $0 . 00 T_mprov . Cost : $0 .00 Total Fees : $51 .00 Amount ;,Paid: $51 .00 Date P , ; ! 3195 Wort.. "TRAL HEAT AND AIR IN NEW RESIDENCE ------ ----- OWNER INFORMATION --------- ---- APPLICATION FEES ----- Nam,- - HINnS PERMIT $51 .00 Address : 1946 SEVILLA BOULEVARD WEST WATER IMPACT FEE 50 .00 ATLANTIC BEACH . FLORIDA 32213 SEWER IMPACT FEE 50 . 00 Phone : ! 9041249 -3231 WATER METER TAP $0 .00 RADON GAS-H . R. S . $0 .00 ------- CONTRACTOR INFORMATION - RADON CAB 5% $0 . 00 Name : O"FAN STATE HEAT ALr CAPITAL, IMPROVE. $0 . 00 Address : 1.476 ATLkNTIC BLVD. SEWER TAP $0 .00 NEPTUNE BEACH , FLORIDA CROSS CONNECTION $0 . 00 .license : MHAR-196, Type: SEC H IMPACT FEE 50 .00 CONST . SURCHARGE 50..00 SCHARGE!ATL -BCH . 50 -00 NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. eeeowwe Date: 8/03/95 01 Rcpt: 0071701 ATLANTIC BEACH BUILDING DEPARTMENT DECKS 9766 00100003221000 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. 1. LOCATION Street Address: �I � � �_ OF Intersecting Streets: Between BUILDING And Sub•di.ision Ej �171. 11DENTIIFICATION — To be completed by all applicants . In consideration of permit given for doing the work as described in the ebcve statement we hereb a roe to with the ettech-pd plans and spec;f;cat;ons which are a it 9 perform rein work in accordance of good practice listed therein. Part hereof end in eccordence with the City of Jacksonville ordinances and standards Name of Mechanical Contractors n Contractor (Print) Master Nam* of Property Owner Signature of Owner ti� Signature of or Authorised Agent Architect or Engineer III. GENERAL INFOR ATION A. Type of heating fuel: B, Eiertnc IS OTHER CONSTRUCTION BEING DONE ON THIS BUILDING OR SITE? 'y�> ❑ Gas—❑ LP ❑ Natural ❑ Central Utility 0 Oy IF YES, GIVE NUMBER OF CONSTRUCTION ❑ OtMr — Specify PERMIT IV. MOCHANICAL MUIPMENT TO If INSTALLED NATURE OF WORK (provide complete list of Components on bock of Mir fern) 10111 Residential or ❑ Commercial Haat ❑ space ❑ Recessed Control O flow New Building Air Condr6oning: ❑ Room� Central D Existing Building Ducf System: Matoria '�\ – n,jck � ❑ Replacement of existing system Maximum capacity --_ �� c.f.m. New Installation(No system previously Installed) ❑ Refrigeration Extension or add-on to existing system ❑ Cooling twor: Capacity g ❑ Other — Specify ❑ Piro sprinkler: Number of heads- 0 ead❑ Ebvatoe ❑ Monlift ❑ EwAloto _(number) ❑ Gasoline pump. (number) THIS SPACE FOR O"4M USE ONLY ❑ Tank• (fid) (number) Remarks ❑ LPG containa,% (number) ❑ Unfired prouurr vessel ❑ swuns Pernik Approved by--. Deo ❑ Other — Specify Permit F.. LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number lUnita Descriptim Yodel Number Yanufac urer (Zbasaty t TRANSMITTAL DOCUMENT FOR JEA DATE: The following permits have passed "rough" inspection: Permit No. Address N=ex xxxxgtxku2*=9 dxmxcOfxxtrkexV8xx t*c. Please update your records accordingly. T / J/ kING /. L \ BCIILDC�RK CITY OF ATLANTIC BEACH /vcb 1 Br_N P'UBLTi= TEL No `4717C)4 Nu!j 21 t_ C,9 No , 1001 F . 01 CITE' 'HALLi E Pio :2475805 Aug 16i,9 8 .13 No .043 P ,01 1 f RPY . ► R 0k NAM SMER '!AP r_.,zf, APPLICANT NIUM ILIAV_ ADDRES8 /1"V S -_ PHONEfDSK y 9 5 SERVICE EQGESTEI_ �3`�t C-�' /U, 7- 172 LocM, SERVI I $ ASR f 1,j P UBI: RS LATE `P E-D TO �i I I-1 DEPART"PT R08LIC MORKS QEPARTMXNT PRICE QUOTE RESPONSE i RA , No charge to move meter only approx. 5' - Work will be completed after ra n at. wa er s•.: s e. PRICE Qucffx V --f, DY ! 8a4i ER C?TH signature - Title t i DATE 0"ZR NOTIFIED i 1 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ LOCATION INFORMATION ------- Pei.,-ii Number : 10757 Address : 1948 SEVILLA BOULEVARD WEST Permit Type : FENCE ATLANTIC BEACH . FLORIDA 32233 Class of Work: NEW ---------- LEGAL DESCRIPTION -------- Constr . Type : WOOD FRAME Lot : 37 Block : Section: Proposed Use : SINGLE FAMILY Township: RNG: 0 Dwellings : 1 Code: 0 Subdivision: SEVILLA GARDENS Estimated Value : $2000 .00 Improv . Cost : $0 . 00 Total Fees : 510 .00 Amount Paid: $10. 00 Dikta � .d1 9/14/95 r : _ _ - -Nam,;_,- : D . DEWITT & COLLEEN A. HlN PERMIT $10 .00 A,idress: 1948 SEVILLA BOULEVARD WE WATER IMPACT FEE SO .00 ATLANTIC REACH . FLORIDA SEWER IMPACT FEE Me 50 .00 1.137 WA's METERIVAP A0 0 RAB - - -- -- CONTRACTOR INFORMATION RADON CAB 5% � 50 .00 Nam,_ : FF. . [ ERTY OWNER CAPITAL IMPROVE . SO .00 Address SEWER TAP $0 .00 CROSS CONNECTION ;a ewe Lice:jtir Tz,-= SEC H IMPACT FEE $0 .00 CONST . SURCHARGE Q •0Q SCHARGE/ATL .BCH. 5� NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: APPLICATION FOR FENCE PERMIT Owners name__ ��-t.-c G�YId G �eerl 14_14_rl qS_ Phone 22 - 1131-) --------------- - ------------ Job Address--J-!C( ,�- S6V I LL q QL aig ------------------------------------------------- Lot-3 __Block and/or Unit a Subdivision-Y� V( L- to------------ Contractor if different from owner_V F�J) D W 6 I,L l S C aN Zt2At-tOIZS ---------------------------- ------------------------------------------------------- Valuation of fence _ L Corner or interior lot X Type construction -------------------------------- Show location and height of fence as veil as location of street<s). P ti Owner signature_____________________ ____Date Contractor signatureDate --------------------------------- -------- � r DUVAL FENCE, INC. SALESMAl1:Ny Ib � Q M n1l c ti"i)_ 11556-2 Phillips Hwy. INST. DATE 11 Jacksonville. FL 32256 KEY'S (904)260.4747 CROSS ST FAX(904)260-4256 LO DATE LO e XWOME"ORM NM -7 DAIE CHAIN LINK e V// . / 61 J HEIGHT f/ /`C• A' ��� ri T3 3 GAUGE QW. oesc�noN RICE AMOUNT TOP RAIL 71L r/ i / i G� �U - LINE POST C 10-teTs TERMINAL POST �L 6 .+ G- / t C� GATE POST tf— 7-0 GATE FRAME BARB WIRE V�-- z c! jQ TENSION WIRE r a O z . f INSTALLATION INSTRUCTIONS 0 TOP OF FENCE TO FOLLOW GROUND ❑ BE LEVEL WITH HIGHEST GRADE 0 FINISHED SIDE IN FINISHED SIDE OUT 0 CLEARING g a r TERMS rk nK- G DAYS t S 7j O G� ' S C Terms and conditions on this proposal stated on reverse side. Customer Signature Duval Fence, Inc. fi?`i'O F " ,� -99& Office of Building Official R REQUEST FOR INSPECTION //ll Date Permit Permit No. L11 Time ,� \ A.M. Received �j P.M. G Job Address J n / Locality Owner's C��J Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing - ,mg Rough Wiring = Rough - Air Cond. & - Re Roofing 7 Slab Temp Pole Top Out _ Heating Insulation Lintel /_ Final - Sewer - Fire Place G Pre Fab READY FOR INSPECTION A.M. Mon. Tues. hurs. Friday A.M. � -L AS Inspection: Made Final Inspection !nspector _ - Certificate of Occupancy Date _-- -- PSR-3844 10320 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - - - - LOCATION INFORMATION -------- rarmit Number: 14320 Address : 1948 SEVILLA BOULEVARD WEST Permit Type : PLUMBING ATLANTIC BEACH . FLORIDA 3223--- Class 2233Class of Work : NEW ---------- LEGAL DESCRIPTION --------- Constr . Type` WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellings : 1 Code: 0 Subdivision: SEVILLA GARDENS Estimated Value : $0 .0 ' Improv . Cost : 80 .00 Total Fees : $53 . 50 Amount Pain: 853 . 50 r; 714 a - 9 '15/95 'TMBINC= IN NEW Hi-Mi. - - 'OWNER INFORMATION ------- -- ---- APPLICATION FEES --- Name : HINDS PERMIT $53 . 50 194$ SEVILLA BOULEVARD WEET MATER IMPACT FEE 50 .00 ATLANTI`- BEACH . FLORIDA 32233 FEWER IMPACT FEE S�' . f10 WATER METER/TAP ? RADON GAS-H .R. S . SO . 00 ------- CONTRACTOR INFORMATION - - RADON CAB 5% SO .00 Name : JAMES '!-ILLY PLUMBING CAPITAL IMPROVE . $0 .00 Address : 11�-)S 1,10 TH 24TH STREET SEWER TAP S0 .00 7:tCKSONV?LLE BEACH , FL 32 CROSS CONNECTION 50 .00 ,;.cense : CFC-043420 Type: n SEC H IMPACT FEE 50 .04 CONST . SURCHARGE S0'.00 SCHARGE/ATL , BCH r0 !1 f' NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT Date: 06/ 5/95 01 006231 14 Date: 5/15/95 01 Rcpt: 0062314 L, M3221000 859 4 By: CLAUDE E. MERRITT & SON PLUMBING COMPANY | 3644 PHILLIPS HIGHWAY JACKSONVILLE, FLORIDA 32207 State Certificate #CFCO29749 PHONE (904) 398-1296 FAX (904) 399-4140 June 21 , 1995 To: City Of Atlantic Beach Department of Building To Whom it may concern, We will not be doing the plumbing for the Hinds Residence 1948 Sevilla Blvd. W Atlantic Beach, Fl . David Willis Const . is the contractor . My plumbing permit number is 10285. I would like you to cancel my permit . ` Thank You enna B UAIng and Zoning nm CITY OF ATLANTIC BEACH 1J `/ APPLICATION FOR PLUMBING PERMIT 9 q0 JOB LOCATION : Z072 � OWNER OF PROPERTY:.. G PLUMBING CONTRACTOR O r, /l c_ CONTRACTOR' S ADDRESS : � f STATE LICENSE NUMBER* Y�o7yU TELEPHONE : 11 yf,,�,`' �5 HOW MANY OF THE FOLLOWING FIXTUR/ES INSTALLED / SINKS / SHOWERS _LAVATORY I WATER HEATERS BATH TUBS DISHWASHERS URINALS - DISPOSALS .,1 CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: / ------------------ ------------------------------------------ INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 Fax sent by 3994140 MERRITT A4->A4 06/21/95 09:19 C'I ALIDE. .5, SON (AlMFIANY - ,3644 PHI I IAEJ' H11-M AWOY Jcel' -,','5UNV1LLA-4*,? F:*'L,.01,-ID(A 32 , 207 CJQ,1) FAX (".104) 1-1m QFax (if Atlantic I�LLad"l t Mel-It 0 f But i I d i nq Frvm: L,dwarcl 1A. 1Ioriedix 111 F"Ipa5f,? It-t mf.,-+ know if yoll rleo?d arlythino: elsio trom tu cancol my permit. Y o I t Fax sent bq 3994140 MERRITT A4--),A4 06/21/915 09:19 MPANY C ALID1'., F:::. tviLl'il. .";C III JILUMUlNE! CT '*A4 p[Al.1 HitiHWAY FI, OV,11)() ',81-207 ."'(: 2' 40:1- -0 J7 t 44 t PI i U N L 4 F-AX (9("j-4) 399-1140 Tone ;21v City Elf Atlarlti':' Ve,a ..ch To Wht,-lfn it (TICkY Ccj11CU?r"VIr We, will not bre doing the pjLAjnt.)ing for, thF;T Hind 1948 'Bvevilli.,k Blvd, W Atlantic Itear h, fA - J David WI) IIS iG thu My p It„ml-,i r Ig ppy-In I ILA nibpr- is 10k4'85- I L-W�;.LAJ(j ), j[, YOU tO I iL my permit . O�w CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBIING PERMIT JOB LOCATION : / 7 Z�,? J =_ �/ ; i ,/,, / /J�J 1-o OWNER OF PROPERTY: PLUMBING CONTRACTOR Q CONTRACTOR' S ADDRESS : C`/�/ r-Ill ,—,(;4 x STATE LICENSE NUMBER : C "C O �2 17 y cj TELEPHONE : C / goo HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS ( DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES : %,, x 53 . 50 + 515 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 PSR-3844 10285 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, _ T.nrATTON TNEORMATION -------- - PERMIT TNPORMATTON Permit Number : 10285 Address : 1948 SEVILLA BOULEVARD WEST Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA 3221- --------- --- Class of Work : NEW LEGAL DESCRIPTION ------- Constr . Type : WOOD FRAME Lot : Block, Section: Proposed Use; SINGLE FAMILY Township: RNG* DwellinaE : 1 Code: 0 Subdivision: SEVILLA GARDENS Estimated Value : 50 . 00 Improv . Cost : 50 .00 Total Fees ! $60 , 50 Amount Paid* 1.560 . 50 Pate F a-i d 9/ 95 T,T, T--T.TJMRTN(1, TN NF 5,T7 _�AFQRMATION APPLT'7ATION FEES N ame .VAX K; 4IS CONS-T _ PERMIT E�60 . Ir - - _jV,,,, , L,qIMPACT FEE 5njP r�!TLLA BOULEVAFr !JEST WATER L EA C H , FLORA'"- 1- 771 SEWER IMPACT FEE WATER METER/TAP S0 .0 ORS-H.R . S. 40.`_.0 0 CONTRACTOR INFORMATION RADON CAP Name: CLAUDE E. MERRITT & SONS CAPITAL IMPROVE. 1,930 RIVER OAKS ROAD SEWER TAP JACKSONVILLE . FL 3",,207 CROSS CONNECTION 4 �. ' ­` IMPACT"­ 1 ­_­I- ^-FCO297419 Type SEC H ACT FEE _*ONST . ,0URCHARGE $0 .00 53HARGE/ATL. Be`H 150 . 0 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 IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT 000000000 000(*M) $60.5014 Date: 6/09/75 01 Rept. 00598G4 906221000 2244 By: CITY OF Of Building Official u t ' e of B 'Id office REQUEST FOR INSPECTION /03a /` Permit No. -- Date_//// A.N Timet/ - P.Nk Received yry U - - L cality Jo Address Owner's Contractor - Name P BI MECHANICAL BUILDING CONCRETE ELECTRICAL Air Cond. & Rough Wiring Roug Heating Framing Footing Temp Pole Top Out � Fire Place Re Roofing Slab Final Sewer __ Insulation r. Lintel Pre Fab I READY FOR INSPECTION Thurs. Friday__-------P' Tues Wed' A.M. / _P.M.--- Inspection Made - - Final Inspection 1 1 E --- - - - -- __�_ - - - Ce ificate of Occupancy Lsp,>clor I Date ---- Office of Building Official REQUEST FOR INSPECTION QQO Permit No. Date A.M. Time p.M. Received L G L Locality d.,Address yr L % Contractor MECHANICAL I Owner's /u"� PLUMBING NameELECTRICAL r. Air Cond.& CONCRETE ❑ Rough Heating - BUILDING Rough Wiring ❑ Top Out Fire Place - - FootingC Temp pole Sewer pre Fab Framing L Slab O Final 1 Re Rooting ❑ Lintel Insulation p'M READY FOR INSPECTION Friday Thurs. Wed. ' Tues. A.M.— Final Inspection I Insp ection Made Certificate of Occupancy lnspector Date 4 i Official � of ®uiiding�, -f `�• Oftice OR 1NSj)FCTION — I', ►�'��' REOUEST Permit No. �- -� A.M. . ^ Date / t/O P.M. Time l` __� Locality I Received — fob Add s` or MECHANICAL ` LUMBING Air Cond•& _ owner's ELECTRi Rough Heating Name C CRETERough Wiring Top Out J Fire Place BUILDING Footing r Temp Pole C Sewer Pre Fab Final A,M FramingSlab Be Roofing '� Lintel FOR INSPECTION Friday=-� Insulation READY Thurs. Wed. A.M. f �_ I Tues. —P.M. l r� echo cup Mon. J Finallnsp canc - Certificate o ection Made lnsp pate I inspector I e DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 23i WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: ------ ------------------------------------------------- -------------------------------------------------- ------ I------------------------------------------------- Enclosed are the blue copies of the permits. CERELY, BUILD NG INSPECTION DIVISION cc : FILE 1 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 Q� 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. "f-X- ELECTRICAL FIRM: MASTER ELECTRICIAN SIQ ATURE MAN NAME - �02�1�/, ADDRESS:�S-S� BOX BLDG.SIZE BETWEEN: RES. 1 1 APT. ( 1 comm. ( 1 PUBLIC( 1 INDUS. ( 1 %� N---------------- EyyOLD ( 1 REW. ( ) ADDITION ( ) TRAILER ( ) TEMP SIGNS ( ) SO. FT. SERVICE: NE ( ► INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE 6 AMPS COPPER ) ALUM. SWITCH OR BREAKER �� AMPS PH �W � RACEWAY EXIST. )ERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN 0.8o AMPS, st-too HNPs. TOTAL SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT O-1 OVER MOTORS H.P. VOLTAGE PHS N0. 1 H.P. VOLTAGE PHS MISCELLANEOUS /SROPERTY DESCRIPTION I CITY OF � l'�l(virrkC FldCl7- T(d t,Wct --------Section 1 716 OCEAN BOULEVARD P.O.BOX 29 ATLAFMC BEAC11.FLORIDA 32233 ?vbdiviriont_ �11 --_- -------- ! TELEPNUNE1iioUtt9.2095 itreet Name jr Addreee1_1qyv 1 //�� 1�� ��1E DESCRIPTION OF WORK if in a PLOOD-HAZARD I 'load Zonal--------------area C!0mpletw page 30 Brief i , Deecriptions_Nza/ --- Clown of Works (NOW/Remodel/Addition)_ I ( :0111MG INFORMATION TYPO of • Constructiont :ening Proposed lietricts_+*-------Una! Estimated Vilu• e :xcaptione or Mwterialrs arinnewn Orantedl -------------------------- --------------------------------------+--- _ Solid or Pilled Grounds------ Roofs OWNER INFORMATION Method of Neatings-4?Property Owner Owners_ I�I�3� - •.••_ Phones "ailingAddrewm_-- - - .�1!�L�(l.�ld.l_ •l M_ r —.Tu "Vr _ � —r----r------------ Zips---------------- CONTRACTOR INFORMATION / Contractor t_•L4 - - ---------------------r Phonesr__-1 Mailing �� -- Add r ees t_ O}OMV-r IJ r..-l.:.r. ---------- Zipt • /y/� ENPirwlion--------- License Number tr ".ct�lda.lL13 -------------------------- Date t_ i I HtRRSr CRNTIPY TNA? I NATE READ AMD tRAMIMED THIN APPLICATION AND KNOW TMC SAHR TO SE TRUt AND CORNtCT. ALL PROVlSIOMe OF TNk LAWS AMD ORDIMANCt9 OOVERMINO TNIS TTPt OF WORK -ILL RE CONPLICO WITH, MNRTNRR wrec2rite MRRRIM ON NOT. TNS ORANTIMO OP A PC*"tT DOES MOT ►Rt5unr To .. (� �. OIYt AUTHORITY TO VIOLATE OR CANCRL TNC PROVISION/ Or ANY rEDERAL. STAT[ OR LOCAL RULES. 4 •M1� •r�• MROULATIONS. IMOIMANCRS, ON LAWS IN ANY MANNtM. INCLUDING THC ooYERNINO Or CONSTRUCTtON OR TOE P9RrORNANCC Or CONSTRUCTION O/ THE PROJECT. I UNDtRSTANO THAT TNC ISSUAMCE Of THIS PERRIT 12 CONTINOENT UPON TNS ASOVR INFORMATION DRINO TRU[ AND COMACCT AND THAT INC PLANS AND SUPPORTIMO >"' y,f�J• . DATA NAVE NECK OR 9NALL• NR PROVIDED AM RtOUIREO. Ovner Signatures Dote ,! l�ry ;'a 1;+•••� ._- __._ ._ Cohtrector _--------------------------Oeste------------ ti. - ... CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE -SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) _SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) CJ SHOWER STALL DOMESTIC (2) _LLAUNDRY TRAY (2) 2-- LAVATORY (1) COMBINATION SINK AND TRAY (3) _WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE _7) DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET ( ) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) S SHOP (2) t —t SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS �CO @ $20.00 EACH $ �3 ` JOB INFORMATION / / '7 cJ r lILLw N L ua W,r f r 1 a FL MrLAXN DcvxLOPMENT INFORMATION Types of Devalopmenttr� (� I��t/ . \, �.� rwYrMrwrrr-r�r�. r� �-�rr� �wr�-rr- Flood Zonal X Required Lowest Floor Elevation, —.-----.------.--- � If building is located within a flood hazard zone, a murvey aunt be made AFTER THE ALAE NAEO MERU POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established torr that zone. Ho final inopeotion will be cede and no oartifioate of occupancy will be isauad until the survey it oar 'Alae with the Ouilding Department. • COMMENTSs Applicant Acknowledgements t understand that the Ansumnce of thin permit to contingent upon the . above information being correct and that the plans and supporting data have been or shall be provided an required. x agree to comply with all applicable provisions of Ordinance No• 25-7-11 and ell other laws or ordinanawn affecting the proposed development. Date_- 1L - Applicant's Aignature.......................... —r-----------r---- ------------------------ r--rte.--- Department Use Required Lowest Floor Blevntlon _-r-„,_........... Ae Built Lowest Floor Elevation Survey Filed with Building bapartment .......... --------------------------- -------- Building DepartmentRepresentotive I Pau” 3 [Space Above This Line for Recording Data] PERMIT NO. TAX FOLIO NO. NOTICE OF COMMENCEMENT State of Florida County of Duval THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. DESCRIPTION OF PROPERTY (Street address, if available) 1948 Sevilla Blvd. , West Atlantic Beach, FL 32233 LEGAL DESCRIPTION OF PROPERTY Lot 37, SEVILLA GARDENS, UNIT TWO, according to the plat thereof recorded in Plat Book 45, pages 7 and 7A, of the current public records of Duval County, Florida. 2. GENERAL DESCRIPTION OF IMPROVEMENT Construct Single Family Dwelling 3(a). NAME/ADDRESS OF OWNER 3(b). OWNER'S INTEREST IN PROPERTY Delmas Dewitt Hinds Fee Simple Colleen A. Hinds 1810 Lawnview Point Mt. Juliet, TN 37122 3(c). NAME/ADDRESS OF FEE SIMPLE TITLEHOLDER(if other than Owner) 4. NAME/ADDRESS OF CONTRACTOR Willis Contractors, Inc. 220 14th Avenue South Jacksonville Beach, FL 32250 ©Copyright Great Lakes Business Forms,Inc. 1990 GREATLAND■ ITEM 71071-1 (9410)-FLORIDA Page 1 of 2 pages To Order Call: 1-800-530-93930 Fax 616-791-1131 5(a). NAME/ADDRESS OF SURETY 6. NAME/ADDRESS OF LENDER Peoples First Community Bank 110 AlA North Ponte Vedra Beach, FL 32082 5(b). AMOUNT OF BOND $7. Person(s) within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes are shown below: 7. NAME/ADDRESS 7. NAME/ADDRESS S. NAME/ADDRESS OF PERSON TO RECEIVE COPY OF LIENOR'S NOTICE 8. In addition to himself, Owner designates the person whose name and address appear in the box at the right to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration of date of Notice of Commencement 9• EXPIRATION DATE (the expiration date is 1 year from the date of recording unless a different date is specified) is shown in box at right. Signature /" �Xil/I of Owner X Delmas Dewitt Hinds NOTARIZATION STATE OF FLORIDA Colleen A. Hinds COUNTY OF Duval The foregoing instrument was acknowledged before me this 1st day of March, 1995 by Delmas Dewitt Hinds who is personally known to me or who has produced Tennessee Drivers License as identification. Julie DyeNotary Public my Commission expires: NOTARY PUBLIC STATE OF FLORIDA ; - My Commission Expires June 14,1995 (Seal) Commission No.CC116058 FWHEIN RECORDED RETURN TO: DRAFTED BY: W.S. Squires oples First Community Bank ADDRESS,CITY,STATE 0 AIA North AFC Title Services, Inc. nte Vedra Beach, FL 32082 2445-B South Third Street Jacksonville Beach, FL 32250 GREATLAND■ ©Copyright Great Lakes Business Forms,Inc. 1990 To Order Call: 1-800-530-93930 Fax 616-791-1131 ITEM 71071-2 (9410)-FLORIDA Page 2 of 2 pages State of Tennessee - County of Sworn to and subscribed before me this 2nd day of March, 1995, by Colleen A. Hinds who is personally known to me or who has produced as identification. My Commission expires: (( I'y�1�17 Notary bli i PSR 3844 j006ih£000 0 0 V V DEPARTMENT OF BUILDING RL Yom*$ 0000000(1!1 00010NX)0 65 00'rn�'T. 410�100t}'i CITY OF ATLANTIC BEACH PERMIT INFORMATION -- - - -- -- --- LOCATION INFORMATION ---- Permit Number , 10080 Address ' 1948 SEVILLA BOULEVARD WF. Permit Type: BUILDINC, ATLANTIC BEACH , FLORIDA 32233 'lass of Work ' NEW ------- -- LEGAL DESCRIPTION Constr . Type: WOOD FRAME: Lot , 3I-q Block : .9ectur Proposed Use: SINGLE FAM11, ` Township : RN= n Dwellings ! I Code : 0 7ubdivision: SEVILLA 07ARDENS Estimated Value: 516+341t; .00� Improv . Cost : SO . 00 Total !fees : $3262 , 78 d Amount Pa ,d. $3262 . 7P d �o C' OWNER INFORMATION I ON ---- APPLICATION FEES ---- - r�te ' LEWITT NTNDS PERMIT $1�'15 . 5�; ,iq- LAWivVzEW POINT NATER- IMPACT FEE $530 .00t, n TMi3� 9tUIaIE'1" ';, TN371 SEWER 114PI.T FEE g_ ,; 6 WATFR METER/TAP �... - . RADON GAS-H .R. S . Ln:. -_-- CONTRACTOR INFORMATION - RADON CAB 5% $0 56 �,, ;'arrfl : WLIAS INC. CAPITAL IMPRO E. m SEWER TAIL < } !4TH AVENUE SOU" NV .LLE BEA,'H . FL CROSS CONNECTION S35 "', rj max.. _ 19 Type : SEC H IMPACT FEE $0 . CONST . SURCHARGE S19 5tHARf-4E/ATI; .BC1' NOTES: 00ZOB0� LOTMW :Idea i0 96/60/9 :aled uSLn 2L PO'01$ 000000oo0 00001){1000 oa NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING Q 4- PERMIT PERMIT VOID SIX MONTHS AFTE #j OF ISSUE :e 5 O ` O BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK (W�E PLACED IN PUBLIC SPACE, AND MUST MUS CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWI�R n Ln ti. "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT 114 THE PROPERTY OWNER PAYINGTWICE FORTUE BUILDING IMPROVEMENTS 99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIRMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. .ANTIC BEACH BUILDING DEPAR MENT t € 100000 tK $100.58 71 03221000' Date 5/09/35 01 Rcpt: 0052100 ( � �:. �10000208m nn ncVuciro 1937 SEVILLA BOULEVARD WEST ATLANTIC BEACH, FLORIDA 32233 3 A 199 S H� wix REs� p� w iva 5 GahiTl�TOAh �T 91 - SL�1 • GA4- p�SE REv�w au, sacFr�� 00rnvt�9uTS . ToyoNa y%"\) 'Gd. 1