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77 Sherry Dr (vault) ADDRESS ✓ / ��'� �D/ BTJ I LD I NG PERMIT NUMBER C INSPECTIONS : FOOTING UNDER SLAB PLUMBING SLAB 7' / J_J 9L/ FRAMING - COVER-UP INSULATION �- aU `n�7 FINAL BUILDING 1- 3o 7 CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT # 9 - INSPECTIONS ROUGH FINAL MECHANICAL PERMIT # q q -7 PLUMBING PERMIT # ! NOTES : BRYAN LENDR Y rNc. July 13, 1994 City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, Florida 32233 Re: Early Power - Lot 14 Tiffany By The Sea Dear Mr. Ford, We are requesting early power at the above mentioned construction site. We are aware that Custom Homes By Bryan Lendry, Inc. will be responsible for anything that may result for the early power inspection of this property until the issuance of the C.O. Since , ry Len y President BL:jsc 4 Sawgrass Village Drive, Suite 220D, Ponte Vedra Beach,FL 32082 PH (904) 285-8986 FAX (904) 285-8660 V. Pager 393-8666 License CBC046784 DEPARTMENT OF BUILDING 8135 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 7s5(J T Date Nov. 20 . 19 ;942 1 A 11/20/19 3 , 100. 7 . 50 5135 onCAC Valuation$ Fee$ 6942 1 11 11 /20/1, 1 /20/x! 1Q0 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that RRX ALANTZ R000043059 has permission to build Rc'F.00 f j i i I Classification Res i dent i al---Zone Owned by James narr e3 1 Lot— Block SSD House No. 77 Sherry Drive According to approved plans which are part of this permit f NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 10. 4 01 O Building material, rubbish and debris j zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- ttractoorgy er. r Building Official. it FOR OFFICE PERMIT DATE CONVR CTOR USE ONLY NUMBER PLUMBING i ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH APPLICATION FOR ROOFING PERMIT BUILDING OWNS PHONE JOB ADDRESS LOTH BLOCK OR UNIT H SUBDIVISION CONTRACTOR PHONE, ADDRESS LICENSE NUMBER O O Q S EXPIRATION JOB VALUATION MA'T'ERIALS: f SIGNATURE OWNER DATE SIGNATURE CONTRACTOR DATE - R, OWNER BUILDER PERMIT AFFIDAVIT Stbte of Florida ) City of Atlantic Beech ) FORE MF./1 the undersigned authority, personally &PNvarvd —------------- who upon p . fi:.st b.rLnv duly sworn, depose andsayss - -- -� w_ -------- and the legal owner of the followinO propertys Subdivision Block AKA - -7 7" - I am applying for a building permit pursuant .o %tsv Owner Builder exemption not forth in Florida Statute, Section 489. 107. Florida law requires that I have been provided witty ttly following DISCLOSURE STATEMENT% DISCLOSURE STATEMENT ,State lav requires conutruction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, an the owner of your property* to ,act as: your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence car a farm outbuilding. You may also build or improve a commercial building at a cost of $25,000. 00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. It you sell or lease more than one building you have built yourself within one year after the construction is complete# the law will presume that you built it for sale or lease, which is a violation of this exemption. Your - construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that I hove read the above DISCLOSURE STATEMENT and that Y comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. Property Owner Sworn to sub cribrd Letor t is of -19 �y -e--- "fARY PUBLIC My Commission Expiress ATRIyIA AMONETTE fiATE QF FLORIDA 48127/96�'hl CC220017 ARCHITECT/ElIGHJI?IMS CERTIFICATION COASTAL COMSTRUCTION CODE FOR ALL UAJOR STRUCTURES TO BE LOCATHD HITXH CI CITY OF TLANTIC BEACH, FLORIDA APPLICAt�T ' S NAME 1" —A a��4 n 'tG�V'�fLQ HONE NO, T FwVDATE IT OWNER NAME: 0y r R. E. TAX NO. : I TYPE OF PROJECT: ( )New Home )Residential Addition ( )Garage ( )Pool ( )New Commercial ( )Commercial Addition ( )Other 911 STREET ADRESS: • ( ) We 'claim the structure to be exempt as follows : ( ) Garage with no provision for occupancy - detached one and two familyonly Y ( ) Pier Docl c, etc. ( ) other (specify) I also certify that no structure listed above may be remodeled or converted to a non-exempt use Without being upgraded to fully comply with the ordinance . Signed: Date : - CERTIFICATION This certified that the plans and specifications submitted acid sealed by the undersigned meet all criteria set forth by the city of Atlantic Beach Coastal Construction Code, Roof covering is exempt from the 1.10 mph requirements of the Coastal Construction Code, but meet all the other requirements of the City of Atlantic Beach Building Code. _ � ) The structure including foundation, frame roofe exterior walls and floors has been designed for wind loadsnof 110 mph, with all design complying with._the 19i # Chapter 12 , Standard Building Code. Windows , doors and all other exterior devices comply with the 110 mph wind load. ------__---------------------------------- _____________r--------- �) 'The structure is located outside the area affected b wave forces, OR y ( ) ,The structure in capable of withstanding wave forces resulting from a wave crest hoight of feet above MSL includinq uplift-forces ------------------.._____ ------------------_- ( ) The structure is located in FIA Zone A and the foundation design has considered possible exposure to water and erosion . OR �) The structure is located in FIA Zone X and the foundation wi 1 1 not be exposed to hydrodynamic, hydrostatic loads or wat(!t scour , OR ( ) Foundation design has been completed with floor e1evrtign above thn specified stillwater elevation, and to resist wave , hydrodynamic, hydrostatic and wind loads acting simultaneously with dead loads . Erosion computations for the foundation design have taken into account the projected 30-year erosion losses from a 100 year storm event and all vertical an,.l lateral erosion including scour caused by the structural components - - No excavation of dunes isincluded-in this projectl, OR - ( - )L-Dune_excavationpermitis attached. I day Certified this___ ` f-& - - ------ - ° 19 ---------------- - (SEAL) Florida Architect 's License No . Professional Engineer's License No, CITY OF ATLANTIC BEACH PERMIT CALCULATION GHEEET Addressf l i�,7 fl (T/e)03 Date Heated Square Footage O`�Q @ $ per sq ft = $ �_ge/)Shed a'C7 @ $ / CO per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ S c� per sq ft = $ TOTAL VALUATION : $ Total Valuation 1st $ $ Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $— C) SEWER IMPACT FEE $ i WATER METER/TAP $ CAPITAL IMPROVEMENT $ _� SEWER TAP $ (C!%,;20) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ (CdO) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: 1994 Buildi119 a,�� Z CITY OF ATLANTIC BEACH oniog PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : / �e Address : 7 �`1�� F —Phone : i' c Lf 24/2- 7� 6`7 Lot Block or Unit # Subdivision: Contractor : . �416-1 Address : / Phone No: Describe work to be done: ff6&1 bio Al Present use of building: 1 S Valuation of Proposed Construction: Ol O o 0 Cf Proposed use: Is this an addition? If yes, what are the dimensions of Se #'q c4ej the added space: ft . X ft . Will the added area be heated and cooled? New electrical ( or increase)? 64 w New plumbing fixtures?� New fireplace? WONew Heat/AC?�- SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY , ENERGY CODE FORMS , NOTICE OF COMMENCEMENT , AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER:_L1k6__kx& Date : Signature CONTRACTOR : Date : /CITY OF ` Office of Building Official `` REQUEST FOR INSPECTION 2 Date `/ Permit No. �" J—J--_ Time Received Job Address Locality 7-1 7r Name Owner's Contractor / Go'efs BUILDING CONCRETE ELECTRICAL PLUMBIN MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑. Final ❑ Sewer `SIE Fire Place El/ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thur Friday P.M. Inspection Made A.M.A.M Insp ector Final Inspection El Certificate of Occupancy ❑ Date CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: �' m / er BUILDING CONTRACTOR: PLUMBING CONTRACTOR Ai1/���' ��sf /r' AND ADDRESS: 1 �. 1, Ave TELEPHONE NUMBER: STATE LICENSE NO: TYPE OF BUILDING: TYPE OF WORK: 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 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 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address �7- S 1fF62R Date K - ( (" - el C/ Heated Square Footage @ per sq ft = q Garage/Shed �o @ $ /q•6 0 per sq ft = $ 3 / 2-Q Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: S O 113 j C,C) Ss ° ° $ Total Valuation 1st $ 00 O Remain ng Value $S-.or�per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ J / S782) ( ) Fireplaces @ $15 .00 $ - t� BUILDING PERMIT FEE $— WATER IMPACT FEE $ , x/0.00 SEWER IMPACT FEES , ;� S G -p0 WATER METER/TAP $—T - 0- CAPITAL IMPROVEMENT $� � O SEWER TAP $ QOaQ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ (/())Z) SURCHARGE . 0050 $ 4• , OTHER $ — GRAND TOTAL DUE $ a S S. O ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: CITY OF ATLANTIC BEACH 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) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF {� KITCHEN SINK (2) FAUCETS (2) f DENTAL LAVATORY (1) I KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) 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) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS - ` @ $20.00 EACH $ / JOB INFORMATION � n w _ avx N't t\--A Z 0 n co CD- N LD f-A Q � O -- t I'M 06060/SEM -- Buyline 9244 Southeastern Metals Technical Support (800) SE SPECS (737-7327) HURRICANE ANCHOR Design Features: These ties add increased resistance to wind uplift. • Precision preformed galvanized steel. • Eliminates toe nailing utilizing correctly located nail holes for fast, easy and strong attachment of rafters and trusses to plates and studs. m • Saves labor costs. Materials: 20-18 gauge galvanized steel Loads: 95-990 lbs. REGULAR 1 � DIMENSIONS FASTENER SCHEDULE ALLOWABLE A/LOADS PER DESCRIPTION PRODUCT CODE GAUGE LATERAL WIND CTN W H RAFTER PLATE STUD Al A2 UPLIFT —� 4-6d 4-6d 95 145 458 500 Regular HCPR&HCPL° 20 11/2 5 4-8d 4-8d 95 145 611 500 Regular HCPR18&HCPL18 18 11/2 1 5 4-8d 4-8d 95 145 611 500 Long Tie HCPLR&HCPLL 20 1 1/2 6 1/8 4 Bd 4 8d 180 60 611 100 A2 Long Tie HCPLR18&HCPLLI8 18 1 1/2 61/8 4-8d 4-8d 180 60 611 100 Dbl.Long Tie RT10 20 1 1/2 9 1/8 5-8d X1 1/2 8-8d 5-8d X1 1/2 115 95 764 100 HCPR/LAvailable in lett or right Reversible RT12 18 11/2 3 4.8d 4-8d 130 100 611 100 Truss Tie _—J HCPTA 18 21/2 20 8-1Od 4 tOd 8 10d ---- ---- 990 50 FOOTNOTE: Allowable loads are for one anchor.A minimum rafter thickness of 2 1/2"must be used when framing anchors are installed on each side of the joist and on the each o side of the plate. INSTALLATION: Use all specified fasteners in schedule to achieve values indicated. ° SEE GENERAL NOTES: 1, 2, 3, 5, 6, 10 CODE COMPLIANCE: S.B.C.C.I.#9166, "S.B.C.C.I.#9320 METRO DADE COUNTY REPORT#90-0420.2,#92-0830.6 Al *\ AREVERSIBLE 00 ° oTRUSS DOUBLE °�° TIE HCPTA A2 LONGTIE A2 LONGTIE A HCPLR/LL °° RT12 RT10 Available in left or right FLOOR TIE ANCHOR Design Features: • These ties are designed especially for use with floors constructed above grade, as a connection between first or second floor level to studs. • Nailed installation saves labor costs. HCPFA Materials: 16 gauge galvanized steel Loads: 1208 - 1312 lbs. FASTENERS ALLOWABLE CLEAR LOADS PER GAUGE LENGTH PRODUCT CTN DESCRIPTION CODE SPAN TO TO � WIND UPLIFT PLATE STUD 8-8d 8-8d 1208 50 Stud First Floor Tie HCPFA 16 20 — Stud Second Floor Tie * HCPSA 16 40 17 8-10d 1312 20 INSTALLATION: Use all specified fasteners in schedule to achieve values indicated. CODE COMPLIANCE: Engineers sealed approval available upon reques� HCPSA J 19 OCT 14 ' 94 7 : 36 PAGE . 005 rl> � m 5,9 13 $ I say ww• m R zs R33v �'q O } ' 4 M y9 C z � -j ` �A w x w v fl W uj fft � a x D 4J �_ y y�'m z�_ S 4 � \11 1(�I.Q•1�N.�1 GI O1 1 1 �I f6� ��8i =��T�� .a. ]t 1+ rnta • t, � r � �� i 7tQOCI..�Q ¢ 1��j11mpr nmao8 s�I a t O j d(a�dY�iOc'�il�.i r i Ta�. An $�$j mNm D S A� • • fel 1 ?MMhI'�1T 1 f/}1QQ >f C 1 �1 9•'0�_ a' 0 3 1 S O'1► N 97?fes: ' semi» Ap I z rn � n rn 'w � j_� �'•t Y I d5�i 9 1 Y'- cn w Q) m tIOr6Sei � - v f y4Oylc�p•r"�'+� 1 P�c�f i[7p0 dl f%IWrya 'YJ yC� O CJ c7 C7 C7 � � d " � 1 � y;1R•IpR�IRRY 1 �r r} � qrn til n C ,}t salnO�il�i �i i -r O ' m�UrP IDOGr art t '�'^y RT '�nR RtMtw�I t 'S 1 y iU W to V CJ '+ IQti�g'v�a�� i Ni ?f b Q N . `pNft p p W d O 0 0 C7 N 3q f UWWVW0tI M UM a rn m r m rn1 T-U oN Q m I � d b OCT 14 194 7 : 35 PAGE . 004 7 �< �—4 , S J• 13 �� 7. tJNM y w • QF� �.'.° }� * � � � his � ..r N �rn 717 -77 7- � RmW�� QrFco � a - x N Al2xi _ $ p CJt �m Q�1�1 Tia- s R ru ` N Q1 Q1 ul ARS _ x v it S���{ �G ,v�O1N1.7.1y}i/J�jR , ,•1tiC rd z a e m x } t ..ii2: TwaO:T fflftft�ft. r� p"p�� ru ..-.i-^t rT'; 1Aix wxSSS ar ;zj;y� _9 4.1 � = Q7 moi. irrr I v D1��YY♦+1.`1.+2i�Oo HY CD 47 n m ri i w�ftrrl ft fto It LAJ LU ll>s i i o C CDU N V U Lj - N }iamVbtltl i i p Ci100 000 r rt } } -� c oozy -t y tptn a m m r ' m "Q N C7 1 w r.b Uv U a a OCT 14 94 7 : 34 PAGE . 003 -b- a� M— low i ., ... p' 4 `• 1 13" r oD b yn � WNN 1-y mr xa W " - cl1 cool a � 77 A ;JIM . � Qi4a p W ul h.�nt x 3 h1 7B • a »Inoue i -� � - �,��xt:�S� � m Kp e � 'AZ e m leg m. ....3- i f�lS=SSS 1 1 Y � 2 R 7w 1 ■ t ■ ■ ■ ■:' �i CtA q$��= y n'v^� ... f11n1 i.r.►sW ni.'�.r i Cf i�Yn��� r� A l OIOf�`•IOO a l l ay��+ �5 tT5 p n fYY'"""'1 u1C6 c7�vvcn I r 1�I}f,T •T �/� �{ IA t��+.�.■�.��i r l f T A O s , ... a ZR I/�� C�b� 13 � LU tNN iv.�il.- .� 1 -u 47 of /:��m• bcl „•, •n r r r r � ..I f,l l � � Cyn .� 1�IaI"'+S�e� r I oK ••�' h LO O IV V Q �+ ;aa44aQa N w 11 pIy1�7 3 }Iq`07679 I •O � � •6 � Ip iKKKKKK� f i -1 7T -n Ecn Gzm 0 rn >o b t,T1 p Y OCT 14 ' 94 7: 34 PAGE . 002 4-1 $ N- N K I W W N � yy�Qj O ..♦ ul- � oo oc'f U" n W X l7� MN � m N Ada al 77 to b.,p, At x 01-H&W. ?` rmoR�14-,3 - c" ��wee�• a ,.�... � � �frY Ln aw v w wv�i —I (��• - � 39 ; Ri 2 j =s 2�,•7c R_ tp wa -�i.In..°V 1-yi V7N i i�� GI �! �r^N ^ W T M 9��9 0���� q�� rn 1 ■ 1 tt 1�tT���l �r••$ -ri 1 1 1`r r 1 1 cc t 1 Q 3 s pr Aaria vodbV i A i 0Z,+'��• 7•• •• ' =Q�Q I rb"mu�$our 1 1 do -1 o�aapa a n id������� �c'S�1..w•�.�+r Yt I N 1�oo �S yy��$� 1>T aNNN � pp��� �• a ,`��.1,I,rrr.� 1 7,ueo xi i r.0 i ! Q�®also s 1-'117nnn p r rXX� ly ►'~. �1 �7r—�' a i ayI �Y sQf OI� _. � Q �yl1p m m Q rhe O1D `S i d MUM =T" 0a -'z Q �• �r�y ai+ p Cal 0 CP rn 11 A rQ M � C37 O C7 C7 (7 C7 � 1.+1701U�Wf�■r v 1- � r- y y Ci 3'7 �1 1ryry�1.y1 r l l 1 4 1 ig t Ill G5 n 1�Of,+001QN3J i C'r -w Yr � �' •{ ttpp��ppppp�1W�1r 1 1 e • � i ppSpgo O�t 1 rr11 � 6••. fJi Q R1 1 ......,.■1 1 �� -� m 4 o m W o o o 0 m ul w 97 V) 9) 1 v v v v n n+ uwi -p b 227 m T cnm x r 2"D m � N Oru � N O I CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: ` PLUMBING CONTRACTOR: r l ��-(—� /17 �'�7 f�' PLP LICENSE NUMBER: �_J (� j OWNER: BUILDING CONTRACTOR: TYPE OF BUILDING: �S -i.TjF/✓T� 7[� SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS ' — DISHWASHERS URINALS DISPOSALS • CLOSETS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT: ¢ $15.00 e ---------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. F v K71c rr3 Qm c;..TI o NILT� ty CZ t G) aQ n ux m F r=m F1 B yl ne 9244 Southeastern Metals Technical Support (800) SE SPECS (737-7327) HURRICANE ANCHOR m Design Features: • These ties add increased resistance to wind uplift. m • Precision preformed galvanized steel. • Eliminates toe nailing utilizing correctly located nail holes for fast, easy and strong attachment of rafters and trusses to plates and studs. • Saves labor costs. Materials: 20-18 gauge galvanized steel Loads: 95-990 lbs. REGULAR DIMENSIONS FASTENER SCHEDULE ALLOWABLELOADS PER Al DESCRIPTION PRODUCT CODE GAUGE NLATERAL WIND CTN W H RAFTER PLATE STUD A2 UPLIFT 4 6d 4 6d 145 458 500Regular HCPR&HCPL' 20 11/2 54 Bd 4 8d 145 611 500 Regular HCPR18&HCPL18 18 11/2 5 4-8d 4-8d 95 145 611 500 Long Tie HCPLR&HCPLL 20 11/2 61/8 4-8d 4-8d 180 60 611 100 A2~ Long Tie HCPLRI8&HCPLL18 18 11/2 61/8 4.8d 4-8d 180 60 611 100 Dbl.Long Tie RT10 20 1 1/2 9 1/8 5-8d X1 1/2 8-8d 5-8d X1 1/2 115 95 764 J5O HCPR/L Available in left or right Reversible RT12 18 11/2 3 4-8d 4-8d 130 100 611 Truss Tie HCPTA 18 2 1/2 20 8-10d 4-10d 8-10d --- -••- 990 FOOTNOTE: Allowable loads are for one anchor.A minimum rafter thickness of 2 1/2"must be used when framing anchors are installed on each side of the joist and on the each m side of the plate. m m INSTALLATION: Use all specified fasteners in schedule to achieve values indicated. m SEE GENERAL NOTES: 1, 2, 3, 5, 6, 10 viw CODE COMPLIANCE: S.B.C.C.I.#9166, "S.B.C.C.I.#9320 METRO DADE COUNTY REPORT#90-0420.2,#92-0830.6 m All ;. � m m *A1REVERSIBLEAlo TRUSS A2 DOUBLE °oTIE HCPTA LONGTIELONGTIE A HCPLR/LL °° RT10 RT12 Available in left or right FLOOR TIE ANCHOR Design Features: • These ties are designed especially for use with floors constructed above grade, as a connection between first or second floor level to studs. • Nailed installation saves labor costs. Materials: 16 gauge galvanized steel HCPTA Loads: 1208- 1312 lbs. ALLOWABLE FASTENERS LOADS PRODUCT CLEAR PER DE CRIPTION GAUGE LENGTH CTN � CODE SPAN TO TO WIND UPLIFT � PLATE STUD ' Stud First Floor Tie HCPFA 16 20 8-8d 8-8d 1208 50 Stud Second Floor Tle HCPSA 1 16 1 40 1 17 8-10d 1312 20 INSTALLATION: Use all specified fasteners in schedule to achieve values indicated. CODE COMPLIANCE: Engineers sealed approval available upon request, HCPSA :.J 19 OCT 14 ' 94 7: 36 PAGE . 335 �Y 3� v �---5'9'133 14 m �! w � Z rU a� ru 49 ,=g am fn MA iR o 1Q'mamYwhZ� W Y Gdul n N a t-r » X W InR'1� r " �v �v� �` �i(�1�1-r"�Yt Yo1 1 1�Sm• v� 77 � Fr�rp RI 1��tir�►�1+��11 W;; p „Itlrr N] �t N 1 9f�fi O N1 1_2 7 `� ] ass U ga V —t}♦— � C GGG VV1I i 1 9 M�rnnss�'CrQNr iCC.+i�p aC 227 lf� =V700mO1 I V i w G) v „1 1 I t ■ n 1 1 1 7 1 �.to N n � �I�OaapYqr�ICU r y9 1 �"� Ly rr to C) N V Q t d CI 1 -xi r i D d, t q1 i o wCIO 000 w t,1N ►�iiG'O�y��VV i I \ A M rn > Ci rn m m to 1�, ry tfi c7 rw ru �y w m 1 � v d Lo OCT 14 ' 94 7 : 35 PAGE 004 js $ Im 4 ' 11" 13 }3 m N p3� llxge rva - G7 Ac qy CD M s 1 r�■�� s b r fn V Ln �N b o to m a;t, " A FNS a D � A ti {� -2 w� _� ��?,7Y� f 1�••fly-yiN.�. i i f S�G7�0 Ln -�g= �y 1.► 7 f 1 �I 1 f*1ITCpj C] ih X 0,Ailit, l r * 1 Ci 1 9OCCr'iWA M�f I yI .� . . . . SmallSgv.a „r, M I n 1fh m n=All= oOB -" r 'Z 1 C7 n Q% x z� - (� w a�ailf � ■ If i�xi o!T .-1 -.4 --I Dl�a a�yi♦7?tIAYI_{7a i}!7 �Q C'y C7 -� 1 yW CI•+'W r*i m 1 7Z m 1 1 1� B I W root....... ,c }ra o�nyy� �1 m ca• m 1 rr.�r+fafa�■1 1 _� N COU N V U `4 3 1 aa�'�anu 1 � � a � 4 m rK<�t�c•i•i•c i i t�7 to N -n V7 Yt m -rt Yt •+ O O O 33 i \ A fit Mtn r v-s m m rn Z cn a.- m rn •. � w U) ti a OCT 14 ' 94 7 : 34 PAGE . 003 r - TFV r Y ar 11 4 1 13 V r z rn W MAI y ru Q o 77 ~ � M sn 'Y ray v Z 3c (D W rg i Wcn 4x=12 fl fp s { X m yb ,!8_�i � m m e f-1 d 4 n_��W�m x� 4► Ohl s�s.as D n= Al [1 n 1 4m NN i i xwr+IKn-1 �' o�zrnrn }a r$�i m ;�� f� t f t s 1 1 •i i �i��m� �� 7 y��$� ... 1 Olp���v00♦may`1 }1�C7 rye-~---.rcpt ' 44 �f yr ti �r UGb tamry vw('t r ''I st/i•••• '�a ^� � tJi Y 1 OWCAwvOv•-r r r�nCi ul ^•c v�r: X IA I w n r� y r l•iO T A :m NNN L Yra Opp Z7 lQ � X r i n�rRgTrn �:r `j11.•rrrr rr f+ di „� R a r: :AiC�oO N Uj Lu Y a�yxS� 4� d i�f ilJrrr r�� i 1«.i+D} O l 31 Mar+IF 44+!!♦ 1 y 1�O0 b Qm m A n n n p ri1 3J -a i{A00010U�I f A i '1� b o "n r+ I1,ly�lyrtlpl r l�l Or m f+ m sQINQ tpNma r r Qm ¢b 1 i��\'•}�R 1 S I 7� ly w O N V O QQ 1 rnmorncfrno r r yy 26 '+� t.l 1 D6 U44a41 f N I V O { 000 C7O ri�`e �vv i T 1313 a m fp 1KKK•CKK.K... 7 1 � 1 1 TI m a 0 rn _ r a m to z 0 o b vi D OCT 14 ' 94 7 : :34 PAGE . 002 BE •'fir _ Y 7•it IW z W Nd y W+ a� r zZ n �� of7 19r ru m nq _ w SJ1 � Ql •R rn w IL t -7 LA x tAY �q t x rmvR �zppp9'P� cn ru M N Q7 nj NW r O x N m ay ya*X -A Gl S i �{¢ rt ♦ �Y �1 VJfnHHyHW , 1��~���y t�'�O$t �r.r•r O7N (p m -r 4 v i - n {o�U��+viu i o� rte+.• In°�cr ru sy t� ffJJ11�Q] Q 2 .•1 r��� T K �t7 =I Z 1 •w 1 fT fit Tl~�� �� O �4,�� F o^� �f� i ' I♦♦I.WN•+r ci Ai�rO �, �vJ � Q _� r � ?5 H � �r r Ut77 a..do0 a'C 1 b! O�� C.++•.•� 11Q��{�QQgg{ �f s yy. �r a Darr, r IC*} ••�i r} a a is+S' .� t�J r 1��1 m i O`wy�ryw71 i N i r�� �1 OypDSp par' 13 r�9ryNN `` 1 1< 3c WN: t 1 }� rino O=< r �I A•��i d �•1� b ,`anal• rrrr. c i ylaeo x: 1 a _Yj �U�aUo aM _�J'n n W i—.0 C SO _i NsO1 Cf a•• c �� pp1�o a �obmbl•,�SS u, � 000m -•� QI �W 1�� 1 R}I ar.•a Y '� Y' Aq o In m` b mnr / i,591 J1 f74i .+r'i s$T z� w N ., G. r � — •1•Ir lr aaaa .y} 1 2WWm , ;1 t Sar Ib y cn .ar .a i�i r r ■ r ■ r i �i rW �� r � 0700IDypp �n7 Ua Q '� "! As i.aaaaaaa�irZ 1tpl,. rfl •D C � � n {7 ('] *il t OfTU�WNa 1 c�1� 3 H ��w ;WOVIr1��aZ 1 S�1 tll••1 Z rL.J r a r 8 1�•,a T1 r r- r y 1.wli i\\\rr•�r t t�,1 C: 1' i OWWI r��+ppVdVOplft,7�1�1rfi i C i -I.n rr � � N i ftft P010080�af i r+1 i QCI C r-+' m y *1 __ . .-_�.....,.art R]r V ------ -4 I ZZZ! n LQ . o . V O . d 919$STSTO I m p fD m (� O Q Q Q Q � A 7r i Ci'b6Drit.7o i i a Q 'A '0 � '(1 � N 1 wC•tC•K+CK•t K i i m cn W to w cn -< a n mow b _1 r no = m r n 7�c ON n IUD cn w a 1cl o b CITY OF ATLANTIC BEACH AIPPLIC/ATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: Gf)n l d., /i/i Ile r PLUMBING CONTRACTOR: SCZ)77-- h1y/i `ta ro CONTRACTOR'S ADDRESS: l Jd> `44 fl-ell o STATE LICENSE NUMBER: 3 TELEPHONE: HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER (( q / 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 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. . ., DATE: FRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY : _-____-- ____________________ ------ ------------------------------------------------- ------ ------------------------------------------------- ------ ------------------------------------------------- ------ ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, BUILDING INSPECTION DIVISION cc:FILE CITY OF Office of Building Official REQUEST" FOR INSPECTION Date —3— 9 Permit No. Time Received 3 P.M. Job Addr Owner's Contract Name CONCRETE E RICAL PLUMBING MECHANICAL BUILDING ❑ Rough Wiring ❑ Rough Air Cond.& El Framing ❑ Footing C Heating F-1 Temp Pole ❑ Top Out r g Re Roofing ❑ Slab ❑ Final ❑ Sewer _ Fire Place ❑! Insulation ❑ Lintel Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday Q A.M. l / Inspection Made P.M. Final Inspection inspector Certificate of Occupancy ❑ Date CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS j� 1 owner(s) :?,t�,iq.yo t 1( r Address : , ._7 � 5�7� r-!t � % ,�� � Phone Lot Block or Unit # Subdivision: Contractor :_ Address : Phone No: Describe work to be done: _ C� /c e , N 0"c-� �-{' tN L4A�c^ inn p�.z?6vti sN un n �r,✓:,�� Present use of building:_ ,E S d ,v C, Valuation of Proposed Construction: Proposed use: ?F_ 5,'d i ,c Is this an addition?_ If yes , what are the dimensions of the added space : ft . X -- ft . Will the added area be heated and cooled? `' New electrical (or increase)? � New plumbing 11 fixtures?�_ New fireplace? _New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY , ENERGY CODE FORMS , NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOP. AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: a-Vv .a�,^ C� _ Date: Signature CONTRACTOR : Date;L10 NX 0 G 0 APR 7 1994 n,G Cuilding and Zoning W V 1 GAO F40 ctZO WMc+ N• Hb ,"� MM0 O 0' c+ m c+ 0 H I-' O� " C4 H co ;� F'c+ H O W F-, 0 W,XJ F,. H cF P H H f✓ c+ P 0 0. - O P S P P tG P, m m -;!-- H R ::5 M m 'd c+ o (n N (n F•(n o m F-ci- <6D i K/W J N d cn c+ N H c+ ct a n H pHN � t� C m0o C+0 FH'S m-+ P F-j C+ �3 CD H CD ct O m ct Y• d m .'3" 0 c+lltcpq c+ 0 0 00 - P' w -PGS �P [ndF'• N 0 ` ct�• P Pc+ N O F-N 0 �P Cn (D to cP+ F-' ~' 0 r- w m mm o m w 0 F• tip Ou O o O P F - P P C+' (CD d O c+ p yy/i LL ry m M 0 ca (0 F'• coP � FP, C+ c+ o p c+ H m () N 0 CJS 0 F'• Fj N H m m cC, M c+ tx- `d A- F-J co. 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R F• C o 00 tD r I-'• p+ r, P, <<i N CD co r✓ - a G `j a In D F'• C+ .. c+ C+ te, N• c+ Id Fl G �3 . 2l ' n ° v 1O P. O n O a N• + QD & (CD C O c-+ o ✓ PYA L L h-t CD M ::I (GI Co N• co a .'5 ►r r G c+ c+ O a c+ F _O V! w poRcH �' c•-- 11 ' r �"• �6.5 'n' n \ � 1171 Fj a � F-' H O o H M H It M N � n c+ C+ r o CD O C+ C+ z f- F2f1'Y/ N = - CD 0(D F'F' h (D N Fj O pENGE W 4f C+a `+ c+ H � CD (CD N0 - c+ 0 . CD rn c+ O vi c+ cC-+ p �°j -1 o (n �. O • c+ O O (D O N• G �-j Ai M C++ P, F M p al �- � O CD FJ cc O 0. O 6 (D O © O CO �j H F,. �:s C SG RE EN 1 ao — 0d (D P,o Q c N J ►d' ry O .. c+ O O �i o v Cf) a m 7 $• O 0 � +i O � Co a Fd c+ 7.7 g�icK LNi�r/EY c x f/ F'• CA fi a y ems. o F • F' `+ H. rn (D G n �+ �j ct ts' 0 0-3 ff. / 2 I trim o 0 C+ HU ¢ 00 CD +i c+ p,• (D (D C+ O f✓ •• Oc+ 0 CD ¢ C) M }� O Vl 0 1� F'• Fj a CD c+ (D M . CD Z G7 CA �y c+ :I t-:o . O 0 �y as F' FdID, +• a S✓ Co M (D (D O a a �:s F' Cn C+\,A n co �J CIQ O v� F c+ "y O J (D (n O CO G CD M • �' F-N M r✓ C 07 a �-D F-N CD CD 4 _ o H C+ F-' O • 0 pi. CD F•• a w a F' 0 m to rV p, pa r •• N C p C = N� -N !AIN N n�b 1�� �y y C/1) �' tz a Ti A rri N �Nh��'ayc����o \oZ�y y � 0 0 NN�ry�p� 4�� cn Z �a ro�0 hN c^�c y �� y a mr m o0, C) cD ilk HCl �v Z i� \ tD o < f!? o N n Z ? m �� MASES//�. Z p r S ��S l N s;cizA�E28.2 m _ 3 N > D > S CO co 4CoNec co Ul m UI N N m m mo ocm � < o N zm o ko D UI �1 3 qK0 5' S 0 b9 > D a W m �N�' . y h o m � � i3 �"� a3 V �) N -i m z 0 u O r-4 m r I m 0 3 R T D ca 2i < _ r m o Z 0 z � 4 Ln �_ J D T nZ > oM >� y D P R, N S,NN rrI c Op��o�o� ba aC) mrri .1C4 t-- Ca N�-c. N �b C m o o ti c > z � � o ° < o D n C n,0 is o A � � o cn NM 0 o , --- .ti �E M z N � rnZQo � O � N �- on LO 0�y� o �a IV,4 NA Cn D o Z 3 00 D D yLO z -iy) m O Z DD � 3 �= o C �� 11� y �j N y A QCoijc,"Q c � N -i U) D n a -� D D C y�� � A U) m m �$ 0 c m N A v1n � O p o N z -� � cnm Qy m0M � o m N V m I m � D C T D m V1 m rn m Z X10 rN N N �� N ° � 3 tie O V 0 co It a d� p Q m c0 o z p 2 �Z T m j > - T � W m D o > N. N oN, a, CITY OF ATLANTIC BEACH, FLORIDA ApDrowa py 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. ELECTRICAL FIRM: ER E NAME 3 Cf6 DDRESS: �7 tqti� 7'icl /fi 7 BLDG.SIZE BETWEEN: RES. ( ) APT. ( ) COMM. ( 1 PUBLIC( ) INDUS.( l NEW( ? OLD ( ) REW.( ) ADDITION ( ) TRAILER ( ) TEMP.( 1 SIGNS ( ) SO. FT. SERVICE: NEW( ) INCREASE( ► REPAIR ( ) FEE CONDUCTOR SIZE n 6 AMPS COPPER ALUM. SWITCH OR BREAKER c-S AM PH W EXIST.SERV.SIZE Lam' PH W _ �� '�d VOLT RACEWAY `- FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS ,CONCEALED OPEN TOTAL RECEPTACLES CONCEALED 0.30 AMPS. OPEN TOTAL SWITCHES 31.100 AMPS, INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVIrR APPLIANCES AIR H.P. ATIN13BELL TRANSF. CONDITIONING COMP MOTOR H.P.RATING OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 MOTORS H.P. VOLOVER TAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS ------------ TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE EACH SIGN SWITCH ASHE FORWARDED TOTAL FEES - CITY OF 4&ass w /geac.4-rMV4�4 Office of Building Official r REQUEST FOR INSPECTION Date S< Permit No. Time A.M. Received f 3 S�_ _PM. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing G Rough Wiring C Rough ❑ Air Cond. & C Re Roofing C Slab E Temp Pole Top Out Heating Insulation a Lintel ❑ Final Sewer ❑ Fire Place /���� TjpLlSS SYST�o% is READY FOR INSPECTION Pre Fab Mon. Tues. Wed. hur Friday A.M.P.M. r Inspection Made /`A.M 7 inspector___ Final Inspection 7- Certificate Certificate of Occupancy Date FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-93 Residential Limited Applications Prescriptive Method C NORTH 1 2 Small Additions and Renovations Department of Community Affairs Compliance with Method C of Chapter 6 of the Flonda Energy Efficiency Code maybe demonstrated by the use of Form 6000-93 for additions of 600 square feet or less,site-installed components of manufactured homes,and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 6008-93 or 600A-93. PROJECT NAME: BUILDER: AND ADDRESS: A . PERMITTING � CLIMATE A 2e.' OFFICE: st N 71< 6 C(`f ZONE: 1 ❑2 ❑3 OWNER: PERWNo. 8 fly 6 JURISDICTION NO.: G c' SMALL ADDITIONS TO EXISTING RESIDENC S(600 Square feel or less of conditioned area). Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only to the components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations Costing more than 30%of the assessed value of the building). Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site- installed components and features are covered by this form. Please Print CK 1. Renovation, Addition or Manufactured Home 1. f N _ 2. Single family detached or Multifamily attached 2. i�/,�-Li /!J. 3. if Multifamily-No. of units covered by this submission 3. Mu f 111�% FA,,.. (y �l ✓ 4. Conditioned floor area (sq. ft.) 4. /o ;Z b / 5. Predominant eave overhang (ft.) 5. 6. Porch overhang length (ft.) 6, 7. Glass area and type: Single Pane Double Pane a. Clear glass 7a. sq. ft. 6 7 sq. ft. b. Tint, film or solar screen 7b. sq. ft. sq. ft. 8. Percentage of glass to floor area S. . 07 9. Floor type and insulation: a. Slab on grade(R-value) 9a. R= O /010 sq. ft. b. Wood, raised (R-value) 9b. R= sq. ft. c. Wood, common (R-value) 9c. R= _sq. ft. d. Concrete, raised (R-value) 9d. R= sq. ft. e. Concrete, common (R-value) 9e. R= sq. ft. 10. Wall type and insulation: a. Exterior: 1. Masonry(Insulation R-value) 10a-1 R= d / sq. ft. 2. Wood frame (Insulation R-value) 10a-2 R=_3 9-2 O sq. ft. b. Adjacent: 1. Masonry(Insulation R-value) 10b-1 R= 0 .232- sq. ft. 2. Wood frame(Insulation R-value) 10b-2 R= /_3 _sq. ft. c. Marriage Walls of Multiple Units' (Yes/No) 10c 11. Ceiling type and insulation: a. Under attic Insulation R-value 11 a. R= ( ) -10 10-2.0 sq. ft. � b. Single assembly(Insulation R-value) 11b. R= sq. ft. 12. Cooling system* (Types: central, room unit,package terminal A.C., none) 12. Type: CNN SEERlEER: /O-S" 13. Heating system": 13. Type: �cc -k- 20(,-w. 1!0 -� (Types:heat pump,eiec.strip,natural gas,L.P.gas, room or PTAC,none) HSPF/COP/AFUE: 7- o O 14. Air Distribution System': a. Backflow damper or single package systems' (Yes/No) 14a. _T [° S b. Ducts on marriage walls adequately sealed' (Yes/No) 14b. 15. Hot water system: 15. Typo: 'E (Types:elec.,natural gas, other,none) EF: Pertains to manufactured homes with site installed components. I hereby certifythat the plans and specificatioryr covered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance compliance th Florida Energy with the Florida Energy Code. re construction is completed,this building will be tMiEPARED BY: inspected for comp6arlce in ord a with ion F.S. I hereby Ce W /n7t�th�is bu.kbng I$R'I I. Ia tt19 FlOnda Enefgy(,Ode. BUtLDINO OFFICIAL: OWNER AGENT:jl!"Y N��M t p OLA DATE: p aZ.1 'y� -- DATE:___ -1 - 4&4"'c YNR"'c /rI -991r Hk / Office of Building Official REQUEST FOR INSPECTION Date �i Permit No. Time � Received A.M.PM Job ss � Locality Owner's Name ���� O Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing C Footing Rough Wiring ❑ Rough _ Re Roofing L Slab g - Air Cond.& Insulation ❑ Lintel C Final Pole E To Out C Heating wer Fire Place READY FOR INSPECTION Pre Fab f Mon. Tues. Wed. Thurs. Friday j Inspection Made / J P.M. inspector inspection C � Certificate of Occupanc, Date CET 1' O1= 14 Office of Building Official REQUEST FOR INSPECTIO _ Date - / � Permit No. _ Time A.M. Received J_ P.M. R Job Addre s Locality Owner's Name _/_ Contractor BUILDING CONCRETE ELECTRICAL PIAMBING MECHANICAL Framing Footing L7 Rouob Wiring Air Cond. & Re Roofing Slab _ Temp Pole Top Out D Heating Insulation Lintel Final __ Sewer L, Fire Place Pre Fab READY FOR INSPECTION A Mon. Tues / W Thurs. Friday Inspection Made __ _/_ P.M. inspector _ ✓_ — Final Inspection Certificate of Occupancy -_ Date _—___— 1 CITY OF ATLANTIC BEACH, FLORIDA /lpprowdby APPLICATION FOR ELECTRICAL. PERMIT 9Y TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: WING IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DERIBED IN THE ACCORDANCE WITH T HE ATTACHED PLANS AND SPECT CATIONS, HEREBY AGREE TO PERFORM SAID WORK IN WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTI�,J�AJV cr-OttrrRi'ccDIINoANCES. 1004 South Second St JacksonvlBch FL32250 ELECTRICAL FIR ER ELECTRICIAN 1 bI EYMM NAME ADDRESS: _RFD BOX BETWEEN: BLDG.SIZE RES.( 1 APT•(� Comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW( ! OLD l 1 REW.I 1 ADDITION ( 1 TRAILER ( 1 TEMP.( 1 SIGNS 1 1 SO. FT. FEE SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 CONDUCTOR SIZE 4L AMPS COPPER ALUM. W Y SWITCH OR BREAKER AMPS PH W V LT EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE - LIGHTING OUTLETS CONCEALED OPEN TOTAL CONCEALED OPEN TOTAL RECEPTACLES D1-to0 AMPS. O-a0 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED G•�00 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP-MOTOR OTHER MOTORS AMPS CELL HEAT: KW HEAT 0.1OVER MOTORS H.P. VOLTAGE PNS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS r TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHE EACH SIGN FORWARDED S TOTAL FEES TRANSMITTAL DOCUMENT FOR JEA DATE: // - .29_ 95� The following permits have passed "rough" inspection: Permit No. Address k T4 _ -7-7 IRRKAK=e-&xxxex]O=xXixkuS*xm3pixmxccifxxbdkox4mzxubta. Please update your records accordingly. Than o UILDING C CITY OF ATLANTIC BEACH /vcb TRANSMITTAL DOCUMENT FOR JEA DATE: 9 9 The following permits have passed "rough" inspection: Permit No. Address Sxicxbc=e 'kN3xexxx=xXAxka a*xxap xmxea&xt&ex4mzz lam. Please update your records accordingly. Than o I �UILDNG C CITY OF ATLANTIC BEACH /vcb BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC ■[ACM. FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. �I V9 LOCATION Street Address: OF Intersecting Sfreets: Between_ /✓ / /�///v��r�i � l/�Ze 1 IMP AW V S WILDING r sub-division II. IDENTIFICATION — To be completed by all applicants. 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 attaclpd plans and specificefions which are a pert hereof and in accordance with the city of Jacksonville ordinances and standards of good practice listed/thore{n. Narwa of Mechanical SG a V16 � �/� (�/� �G rly � Cal ..#ors � r C.eatractor Print V Namo o/ Property Owner .4t. sigaatrro of Owner Signahsre of or Artlswised Agent Architect or Engineer III. 64EN1RAL INFORMATION A. Type of beating W. e• IS OTNKR CONSTWICTIO14 •KING DONC ON C 'qr eachic THIS BUILDING OR SITKf___ G ❑ Gas—❑ U ❑ Natural ❑ Con" Utility T 13 04 If VIES, GIVC NUMBIER OF CONSTOJCTION PIERMIT ❑ 04-or — specify IV. MBCNANICAL IiQUVMBNT TO U (NSTALUD NATURE OF WORK (hwide complete list of compoo"ts ea beef of this f6m) Residential or ❑ Commercial ❑ Heat ❑ Space ❑ Reea.d X Cenhd O Flew O New Building ❑ Air Condr6ow;ng: ❑ Room (K <:"W rr O Existing Building ❑ Dssct Sydem: M.%,6i 1V CG"T 0,40 Tmaese, �Z� O Riplacement of existing system WORirnww capacity 4&0 e.t�.. O New Installation(No system pfr4ousty Inetanedi ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower: Capacity O Other— Specify ❑ fine sprinklers: Number of h ❑ Ei~awr ❑ Mo4ft ❑ EvAlater (enwbu) THIS PACE PON OINCS US ONLT ❑ 64soliee prmpa (rwesber) (Ree.+.es11 ❑ Teak. (number) ROOM- s ❑ LPG conteiner�. (nunsber) ❑ Unfwod prwwre w9ow ❑ Mien ►errei► Appwmd by e.aa ❑ Other — Specify hrwat LIST ALL EQUIPMENT Aft CONDITIONING AND REFRIGERATION EQUIPMEM Number Uata Deer:rlVU06 No"NUMbW (N /r/ ' ` 77Y7 K V I2 Oat --p 77T BEATING • FURNACES, BOILERS, FIREPLACES NOW Number Unite Usacrtptsos me"311111041114111 fir / 7V TANKS Itlfew Many Nowbw capadIty twaumbdmw No. J1llJf`,,�A J,t�` CITY_, / OF + Office of Building Official REQUEST FOR INSPECTION l Permit No Date - -!-/� _!. y__ _ Time A.M. Received _ Job Address Locality NaOwner's Name / � G �L- _ Contractor ti ,s BUIL CONCRETE ELECTRICAL PLUMBING MECHANICAL C Footing ❑ Rough Wiring Rough Air Cond. & Re Roofing Slab ❑ Temp Pole Top Out Heating Insulation � _ Lintel D Final Sewer Fire Place Pre Fab jg READY FOR INSPECTION A.M. Mon. Tues Wed. Thurs. Friday Grl r�JA.M. Inspection Made // P.M. _ _ Final Inspection Inspector Certificate of Occupancy Date -- CITY OF _ fQ��WSKC Q�-�LO�K[rs Office of Building Official v� REQUEST FOR INSPECTION i3 Date _ rmit No. Time M. Received `7 J dress orality Owner's Na tractor BUILDING CONCRETE ELECTRICAL LUMBING MECHANICAL r Footing = Rough Wiring C Rough r Re Roofing r Slab = Temp Pole F-- Top Out — Heating Insulation Lintel = Final Sewer Fire Place G Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday CI A.M. Inspection Made PM. Inspector Final Inspections Certificate of Occupancy G Date �} �` �` yyC��ITY OF //�� �� �� �� f�/�+G'�K-&c !3 -"}�rs/?ifs Office of Building Official REQUEST FOR INSPECTION r Date—/ Permit No. Time A.M. Received P M. Jo Address Locality Owner's � � Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing 7 Footing - Rough Wiring C Rough C Air Cond. & -_ Re Roofing Slab = Temp Pole CC Top Out ❑ Heating Insulation Lintel - Final G Sewer ❑ Fire Place _ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. 44 _ A.M. Inspection.Made nspecier__ ____ al Inspection ; Certificate of Occupancy �- _ /o%/� 1 Date __ CITY OF /3/� e.=A—&V Office-of Building Official REQUEST FOR INSPECTION g O j 3 P t/ Date /�=ZF=77 ::�< Permit No. [/ Time !,/.. —� A.M. Received / �� P.M. Job Address Locality Owner's Name Contractor < <` ILDI ! 65WAL P MEZ`RA Framing -:K Footing ❑ ugh Wiring ,W Rough .®' Air Cond. & Al, Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Th Friday P.M. Inspection Made � M. Inspector Final Inspection ❑ Certificate of Occupancy❑ Date FLA. 1967 LAW3 FS 713.13 RAMCO FORM 40S of � rx�tn�t�ert �e �tt�ertt VII[►All{ IN DU►LICAT91 to fuh0m it tR2tJ7 CEY1` ' 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. Description of property................ . ..... ....................... ....:t'...�1 :. y ..................................................................................................... ».»...............................................................................................».......................................... ............»............................................................................................................... ..»..................................................... ..........................»...... ...»...............:........................... General description of improvements......42�� •`.... '%Y...... ......... .............».. ..�. t».:`:.`.:L:.`„ ..... .......... - ....... ...........».......»..................................... ....... owner... j.....� ��-..:...... ... .. ............................................................................................................................................ Address.......ZZ.�i~�1.&. ... • ..................................................................................»....»»....».......»..»..................................... Owner's interest in site of the improvement•...................... Fee Simple Title kidder (if other than owner) Name........................................ Address.................................................................................................................................................................»»............................................»........... Contractor......... u y1;....�1 ..........................................................................................................»............. . Surety (if any).......................................................................................................................................................»...».................................................» Address.......................................................................................................................................................Arnounit ddress......................................................................................................................................................Arnount of bond S.................I.............. Name of person within the State of Florida designated by owner upon whom notices or other doo nems may be served. Name.......... .. »4^ .....:.. .» ... .» ` ...................................... .....................».»»......».............I....................... S/ Address........zz ........ i? .................................................................................»................................................ 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...................,..........................................................................................................................................................»..»»........»................................... Address.................................................. THISeFACL FOR RRCO ....................................................... - 1..... .. ... ................................... RD�R'e US[ONLY Owner Sworn to and subscri before me this........................... ..dayo .y.. ..�..............................................1�••, a ...........................»...... .....»......«.....«...... PATRICIA A4 c� K STATE OF FLORIDA � ,PUKIC �Iy C4,� Exp p/2//(.�V CONINI N3R CC220017 13 Lwws FS �i2.0 it RAMGO FORM"qe rs 40 ft �e of T.Plainmearleumut WA6PARZ w OUrLICA7[I 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. Description of property............ .7..« tf..:...t ..............6z.a.Ac..�......... f. . �! .............. �. .,?P..., ..... c.1/ .�: ..� .� ..».».................................................................».......«....».......................................... ......................................................................«......................................................... « General desviption of improvements.... r41.:� .�...�'N.........1�.�t ..«..�.1/..t. f11 . ".... .... .: ....,r". .............. ?.t 1.�.,r:,�+ .fit....«... /-"* /`?.9W.--........................................................................................ Address_.. 1......5 +°j r....;1..�,..�.�x ..................... � �r ! .. ,cam. ., .»..... .......... Owner's interest in site of the improvement..........41,111.........................................................................«...........«..».............................. Fee Simple Title holder (if other than ower) Name.................................................................................................................................................................................................................................. Address.....................:.................................../...../.f...............................................................»...............................»«............«...........«......»........»............ Contrador.......��...(s,� ...... .�—..`( .a.Z.Y.1j..�..,�l��r..�:...�. �.��...1.'.'�..........................»...............................»...«...«........... Address..............................................................................«».................................................................................»............«...«......»««.....»...»..».........« Surety (d any)................. ............................................................................................................................... .»...»«».....« ............».«..........« Address............. ...-'....«...........^.......«..............................................«............»«............................Amowd of band s.......... ............ Name Of person within the State of Florida designated by owner upon whom notk= or cow docunw is nmy 6e served Name ......... .....................................................»....................................................................... .....«....»..................»..........».......».....................«. Address.......................................................................................................................................................................................................................... In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name . ......................................................................................................................................................................«..»..« ......»..«.......«...................... Address u THISSPACE FOR RtCORDER........................................................_.._... ;........« ..........._................ «...»..........................»»......... 'f uft ONLY YY « . .................................. Owner Sworn to and subscribed before me #6&................................. • )................de„o ,,.L ( �r ...z..�...................19...1.` .. KNFHR' -A tate of Florida, Commission # CC095880. My Commission Expires: April 3, 1995. Bonrinci thrU u,, Wo!-Anm; & A.SSOCf�t�$. owuER BUILDER PERnIr AFFIDAvIT of Florida t Caty of Atlantic Beach BEFORE NE, the undersigned authority. ---------- - -- firot -_... P ►.r ally iearvd &worn, deposes+and says& who upon duly - I owner of h --------- - . and the following property-& - ttje legal A Subdivision : Block --• -__•.-- - AKA r.----- Lots_- Z am applYing for w building permit pursuant so %toe Owner Builder exemption sot forth in Florida Statute, Section 489. 107. Florida law requires that I have been provided wittj the tollawiny DISCLOSURE STArEnEttr& DISCLOSURE surenvir State law requires construction to be done by licensed contractor=. You have applied for R Permit under an exemption to that law. The exemption allows you, as the owner of your property, to ,act 00 your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence cor a farm outbuilding, You may also build or imprc.ve a commercial building at • cost of 023,000.00 or leas. The building must be for your use and occupancy. It may not be built for sale or lease. If you 8011 or leabe more than one building you have built yourself within one year after the construction is complete, the lar will presume that you built it for sale or lease, which is a violation of this exemption. Your construction aunt be done according to building codes and zoning regulation's. It is your responsibility to wake sure that People employed by you have licenses required by state lav and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that 2 comply with ail the requirements for the issuance of an Ovner-builder permit. Further, affiant sayeth not. r.r--M -�.�� Pr;Party Owner - - Srorn to and subscribed before me this _;�3-� d y NOTARY PUBLIC My Commission Expires& OILIII-W ,31975 KATHRYN L FOX, NOTARY PUBLIC. State of Florida, Commission # CC095880. My Commission Expires: April 3, 1995. Bonder! thru Huckleberry& Associates. RRC11177( A'/EKIGheaFFTZc D C73RTIF'ICATION COASTAL CONSTRUCTION CODE FOP. ALL, V-AJOR STRUCTURE TO BE LOCATED WITHIN CITY OF ATLANTIC BEACH, FLORIDA APPLICANT ' S NAME�� �YW ly�OPIIONE NO 441%1QDATE m OWNER NAME:& A MI"1- R. E. TAX NO. : TYPE OF PROJECT: ( )New Home )Residential Addition ( , )Garage ( )Pool ( )New Commercial ( )Commercial Addition ( Other 911 STREET ADRESS: ( ) We 'claim the structure to be exempt as follows : ( ) Garage with no provision for occupancy - detached one and two family only ( } Pier, Dock, etc. ( ) Other (Specify), I also certify that no structure listed above may be remodeled or converted to a non-exempt use without being upgraded to fully comply with the ordinance. Signed: Date: ------------------------------------------------------------------ CERTIFICATION This certifies that the plans and specifications submitted and sealed by the undersigned meet all criteria set forth by the City of Atlantic Beach Coastal Construction Code. Roof covering is exempt from the 110 mph requirements of the Coastal Construction Code, but meet all the other requirements of the City of Atlantic Beach Building Code. N ) The structure including foundation, frame, roof decking , exterior walls and floors has been designed for wind loads of 110 mph, with all design complying with.-the 19 Chapter 12 , Standard Building Code. --------------------------------------------------------------- ( ) Windows , doors and all other exterior devices comply with the 110 mph wind load. --------------------------------------------------------?----------- The structures is located outside the area affected by wave forces, OR ( ) The structure is capable of withstanding wave forces resulting from a wave crest hoight of feet above MSL includiiia uplift forces . ( )- IThe- - - structure is located in FIA Zone A and the foundation design has considered possible exposure to water and erosion . OR �) The structure is located in FIA Zone X and the foundation wi 1 1 not be exposed to hydrodynamic, hydrostatic loads or water scour , OR ( ) Foundation design has been romrl eted with floor e 1 eve t i cin above tlin specified Stillwater elevation, and to resist wave , hydrodynamic, hydrostatic and wind loads acting simultaneously with dead loads. Erosion computations for the foundatiol'L design have taken into account the projected 30-year erosi011 losses from a 100 year storm event and all vertical and lateral erosion including scour caused by the structural .,� components tt) --No-eKcavffition-of du----- ------------ ---- ------------- ------- ((' ) Dune excavation permit is included in this projectl, OR _ P is attached. t� Certified this � day of�y�^ 19 ; - (SEAL- - 1 Florida Architect 's License No. Professional Engineer 's License No , PSR-3844 8255 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION ------ LOCATION INFORMATION ------- - Permit Numberi 9255 address : 77 SHERRY DRIVE �22 � � Permit Type: PLUMBING ATLANTIC BEACH .. FLORIDA lass of Work: ALTERATION ------ LEGAL DESCRIPTION -------- Constr . Type: WOOD FRAME ':ot : Block: Section: Propgosed Use: SINGLE FAMILY Township: RNG: 0 Dwellings : 1 Code: 0 Subdivision: ATLANTIC BEACH Estimated Value : $0 . 00 Improv . Cost : $0 . 00 Total Fees : $25 .00 Amount Faid - $25 . 00 Data Paid : _.-. rCI , 4 rk L'esc . : REPLACE SEWER igft INFORMATION ----- - -- APPLICATION FEES ----- Name , A. MILLER PERMIT $25 . 00 Address : 77 SHERRY DRIVE WATER IMPACT FEE 50 .00 ATLANTIC BEACH , FLORIDA 32:3 SEWER IMPACT FEE $0 .00 car, :, 191,14 2 4 9-5 1$3. WATER METER/TAP $0 .00 RADON GAS-H .R. S . $0 . 00 - -- - CONTRACTOR INFORMATION ----- - RADON CAB 5% $0 .00 Name : ATLANTIC COAST PLUMBING & T E CAPITAL IMPROVE . $0 .00 Address : 315 4TH AVENUE SOUTH SEWER TAP $0 . 00 ,3ACK_ONVILLE BEACH . FL 322E HYDRAULIC SHARE $0 .00 cense: ^FCA21529 Type: 0 CROSS CONNECTION $0.00 SEC .H IMPACT FEE Sn h0 CONST . SURCHARGE 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. 000000000 000000000 825.00 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 4/28/94 01 Rcpt: 0049475 CHECKS 136337 By: 47 PSR-3844 -.,j 'T DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------- ------ LOCATION INFORMATION --- Permit. Number : 9474 Address : 77 SHERRY DRIVE Permit Type: MECHANICAL ATLANTIC BEACH FLORIDA 32233 y' ass of Work : NEW - -----`--- LEGAL DESCRIPTION --------- Constr . Type : WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings : i Code: 0 Subdivision: E^.timated Value : $0 .00 Improv . Cost : SO .Ot, Total ,Fees : 541 .00 Amount aid Sa41 ,nn r te. iZ G /Q4 - -- OWNER INFORMATION _ m - - --- APPLICATION FEES ----- ,�a R1-1Y M (LLER PERMIT $41 DRIVE E WATER IMPACT FEE SO . S r ",TT,; ,NT BEACH , FLORTL SEWER IMPACT FEE 80 WATER METER/TAP 50 . 1211- RADON 0 . `21-RADON GAS-H .R . S . SO .00 - -- -- CONTRACTOR INFORMATION --- - RADON CAB 5% S0 .00 Name' SEF. ? -F ENG INEER P . N,- . CAPITAL IMPROVE . so OCA fid+ ress * T23 RTON STRE17 SEWER TAP S0 .00 .JAf'KS,__)NVILLE , FL S f CROSS CONNECTION 50 .00 Type: 5 SEC H IMPACT FEE S0 nn CONST . SUR CHARGE S+' S 3HARG'E/ATL . PCH. NOTES: PAID DEC 1 F 1994 NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE FM"F&glantic Bch., 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'R BILDING (IMPROV MENTS.LIEN LAW CAN RESULT iN THE PROPERTY OWNER PAYING TWICE ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 00000M p00000000 #41.00 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 12/16/94 00 Rcpt: 0019736 By: PSR-3844 12243 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- PERMIT INFORMATION --- ------ LOCATION INFORMATION ------- Permit Number : 12243 address : 77 SHERRY DRIVE Permit Type :UTILITIES ATLANTIC BEACH . FLORIDA 327)33 "lass of Work:NEW -------- LEGAL DESCRIPTION --- Constr . Type:WOOD FRAME Block: Lot : Twp : Proposed Use: Section: 0 Subd:O Rng ' Dwellings : 1 Subdivision:ATLANTIC BEACH Est . Value: 0 .00 Improv . Cost: 0 .00 Total FA 25 .00 Amount 25 . 00 F _'RST I ON APPLICATION FEES ------- Name' F MILLER T �VVI�.TTm 25 . 00 Addr "� SH 'R DRIVE ILF 411'1 F t T FLORIDA Phone 9 ,4 2 ;9 4� - FORMATIC.- Name: HULIHAN 0 ` WN & 1RRTqATICt pvfai4f--1-2 MA L�,4NTE VK- BEACH , FL Lii Exp: T 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" $25.00 14 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SIVIWKS T/109SEWOCAIRP11 SM85 `4 CHECVIOLATION OF APPLICABLE PROVISIONS OF LAW. am ATLANTIC BEACH BUILDING DEPARTMENT By: 3968 PSR3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION INFORMATION ---^� PERMIT INFORMATION - - ----- � r rerrnit Number : ,!.irk-SS SHERRY DRIVE Permit Type : BU1LDI�}C- ':TLANTIC F';~;c CH . FLORIDPs- a : ,.'lase of- Work : ADDIT10 ..------- LEGAL DESCRIPTION - � E Lot. B I o--_�k Section. �.~.,orrS t r . Type:: WOOD{SLI OD L' �R � � r Pr Iaovm� Use . F MILY T•�wn: hiP : RN13 - LwelIings ' I ode: 0 Subdivision : ATLANTIS BEACH Estimated ;Value : S437E30 . C` U, Improv :50 . (' `X � a F zl Total .',Fk� a2.aJry Amount k id $2255 . _ _ ION ____ APFLI^ATION FEES k �s orT'�Ir PERMIT WnT iN1FA�` FEE �qn �:✓ iiti�RY L)RI�1F m ,,�, FEE ;r,r) T a CH , F'LC`I SII P 114 P a'� . METER-, T�i F n ,e RAD+�1� GAS-H..R. . n T NFORM"'!" �° - RADON CAB 5% r 26 BIW. 83ti5 �n 'AFIThL I3�RPRa >`.la Mame , 'R^I TY �W iF.R SER ?:I?. $0 .00 At. dd rte. s; C R C,SS :NNEC I ON 5 0a7�/ SEC H IMF'CT FEE' J nC= Li cextsa: TyP`e 'S NST _ SURCHARGE � ✓ ATL BCH NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE t+. rt BUILDING MATERIAL,HAULED AWAY NBYDE EITHER CONTRACTOR OR OWNER BE PLACED IN PUBLIC SPACE,AND MUST B CLEARED UP AND I "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT I x THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OFAPPLICABLE PROVISIONS OF LA Date. 8/2519 01 Rcpt. 007 ATLANTIC BEACH BUILDING DEPARTMENT1 By: V PSR-3844 K 90Lb00 :038ta h6/91/b -:aleQ' DEPARTMENT OF BUILDING t 09'L6$ 000000000 00000(m CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION - -------- LOCATION INFORMATION -----�- - ermi„t Number: 8183 iddress : 77 SHERRY DRIVE Permit Type : BUILDING ATLANTIC BEACH , FLORIDA 32x5; *lass of Work: ALTERATION -------- LEGAL DESCRIPTION --------ff- Constr . ------ff- Constr . Type: WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE P!I.MILY Township : RNG: 0 a� Dwellings : 1 Code : 0 subdivision: ATLANTIC BEACH a Estimated Value : $10574 . 00 Improv . Cost : $0 . 00 Total Fees : $99 . 96 1-5 „ Amount Fain : $99 . 96¢ Date Paid: 4 , 13/94 i4oxk ^, -7-FT r-FF PLANS - HSF 245 --- -- OWNER INFORMATION -------` ---- APPLICATION FEES ----- IVare ' hMANDA MILLER PERMIT $97 . 50 Address : 71 SHERRY DRIVE WATER IMPACT FEE $0 .00 ATLANTI BEACH , FLORIDA 322 ' SEWEP IMPACT FEE $0 . 010 Phone - ' - WATER METER/TAP $0 .00 RADON GAS-H .R. S . t1 . 17 ------ CONTRACTOR INFORMATION - - RADON CAB 5% $0 .06 Name: PROPERTY )WNER CAPITAL IMPROVE . $0 .00 Address : SEWER TAP $0 .00 HYDRAULIC SHARE $0 .00 License : Type : i CROSS CONNECTION $0 . 00 SEC.H IMPACT FEE $0 .00 CONST SURCHARGE NOTES: CO r-b"i G r-- NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING G� PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE G.w cn G a Q BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST9v-' 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. ATLANTIC BEACH BUILDING D PARTMENT41.23 72 0000000 040000000 Rcpt: 0447059 By. ;f�iJ,<a,� �/ ,-�..���" CASH 4118194 41 PSR-3844 9053 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- PERMIT INFORMh. _ _: LOCATION INFORMATION ------ ermit Number : 9053 Address : 77 SHERRY DFIVE Permit Type: PLUMBING ATLANTIC BEACH . FLORIDA 32: . 'lass of Work: ADDITION -------- LEGAL DESCRIPTION ------ - Constr . Type: WOOD FRAME _aot : Block:. Section: Proposed Use : SINGLE FAMILY Township : RNG' 0 Dweilinar : 1 Code: n Subdivision: ATLANTIC BEACH Estimated value: 50 .00 I Improv . Cost : $0 .00 Total Fees : 532 . 50 Amount Paid: $32 . 50 Date Paid • 1�/ 9194 T LiJMBING r, ,1 h,."! RMATION ------- APPLICATION FEES ----- - PERMIT 532 . 50 77 ,SHERRY DRIVE WATER IMPACT FEE 50 .00 -„T -r4'rTC BEACH , FLORIDA SEWER IMPACT FEE 50 .0r" =rso r RATER METER/TAP 50 .4 , RADON C=AS-H.R . 810 .00 ---- -- CONTRACTOR INFORMATION - - - RADON CAB 5% 50 . 00 �1ame : STALES SMITH FLUMBI?�" 'APITAL IMPROVE. $fl - 00 T "r I.:'IA LANE SEWER TAP $0 .00 -TILE BEACH . FL CROSS CONNECTION $0 .00 Tvrw SEC H IMPACT FEE $0 .00 CONST . SURCHARGE S0 .oo 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 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. 000(** 000000000 $32.50 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 9/09/94 01 Rcpt: 0073964 CHECKS 1448 By: �k E� 1 t CITY OF PAID Office of Building Official Q� REQUEST FOR INSPECTION -2q 11 Date Permit No. Time Received City of Atlantic ah. Sffr=2R � �sZ Job Address Locality Owner's Name _ Contractor --C�=t L& BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing C noting ❑ Rough Wiring E Rough G Air Cond. & ❑ Re Roofing ❑ Slab' Temp Pole ❑ Top Out C Heating Insulation = Lintel ❑ Final C Sewer C Fire Place Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Frida '�tvt. Inspection Made ^ 3 — _ RM. Inspector Final Inspection Certificate of Occupancy Date _ PSR384 8384 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ -------- LOCATION INFORMATION Permit Number : 8384 Address : 77 SHERRY DRIVE Permit Type; PLUMBING ATLANTIC BEACH ., FLORIDA 3223" Class of Work! ADDITION --------- LEGAL DESCRIPTION Constr. Type: N/A Lot ' Block- Section: Proposed Use: SINGLE FAMILY Township: RNGY: Dwellings : 1 Code: 0 Subdivision: Estimated Value* lmpr,-)V , Cost ' Tota: $25 . 5f, S 2 5 5C, R OWNER INFORMATION APPLICATION FEES M 1 LLEIw PERMIT $25 . 50 EREY DRIVE WAT-JER IMPACT FEE $0 , "P U7rR_- �� -,%CT RTLI�NTI _ F �, "Ti IE , FLORIDA -TFEE $0. 'I'E R METER/T A P RADON GAS-H .R. S . $0 .00 CONTRACTCR INFORMATION RADON CAB 5% Sko .00 ST-IrLES _4NIITH PLUMBING, CAPITAL IMPROVE . $0 . 00 524 PATFTC- 1A LANE SEWER TAP 50 .00 1­vNVILLE BEACH , FL . 32 HYDRAULIC- SHARE SO .00 ger CROSS CONNECTION *F-,') - 47 Type: 4 to .00 SEC .H IMPACT FEE,- CONST . SURCHARGE 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. (KIO(K*W 0�kXq"' l ATLANTIC BEACH BUILDING DEP A RTMENT Date: 5/24/94 01 RLpt: 0056130 1184 By: JA CITY OF ATLANTIC BEACH JOATION : APPLICATION� FOR PLUMBING ,P�ERMIT B LOC / ----- - --- --------------------- OWNER OF PROPERTY:____,( ---- ---- - -- BUILDING CONTRACTOR: PLUMBING CONTRACTOR AND ADDRESS. ------ ---- 2 �.v ------------ =-C"' " ----e- PSR-3844 8357 357 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH _ ERMIT INFORMATION .Y ri'iION INFORMATION -•----•-_ .Fermi,t Numbe 35 ? �7 SHERRY DRIVE Permit Type : BUILDING ATLANTIC BEACH , FLORIDA 3223' i7lass of Work: ADDITION ---------- LEGAL DESCRIPTION --------_. Constu . Type , WOOD FRAME Lot , Block : Sect? nn:. Proposed Use• :SINGLE FAMILY Township : RNG* ' D:,relIinasI. CodeSubdivision : ATLANTIC LEAr•N rstmated Value: 50 . 0!w I alp r _.v C-! t , Total Fees ' S1O .e+ Amountt ai,d 516t? . pC t ~Pad : ;I .11 Av-i, r'EE: r_ r ' 1)DITIC'N OF $ATHRC�OOM ii ? P£ I.i c.R 1 PERMIT - 50 . 'C' .ti�DRIVE WATER IMPACT FEE $163 .00 ,T14ANTIC DEAC'H , FLORIT'. SEWER IMPACT FEE WATER METER/TAP S' RA '�JPx=GA a=fl, .R. . v^NT?<ACTDR INFORMATION _ RADON CAB 5% $0 . 00 OWNEF. CAPITAL IMPROVE . 80 . 01? SEWER TAP 50 . 00 HYDRAULIC" SHARE Tve CROSS CONNECTION $0 . 00 SE,'-' .H IMPACT FEE SO . On CON cm c-TTrI 17 7'«r 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-99 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 DEPARTMEN .f -- - Operator: WID Date: 5/18/94 10 Receipt: 0054816 Total Payment $160.00 BY: 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. c 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) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (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 DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) _ 1 BIDET (3) 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) SHOP (2) LAVATORY, SURGEONS (2) SURGEONS SINK (3) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS @ $20.00 EACH $ JOB INFORMATION - E (L rZ. � a Mx- O ---- - c- ral 10 Qj (14 ` O i o CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: VrLA n OWNER OF PROPERTY: e�) 000 uo PLUMBING CONTRACTOR: -parley's PI king Inc CONTRACTOR' S ADDRESS: 3552 St Augustine Road, Jax FL 32207 STATE LICENSE NUMBER: CFC056702 TELEPHONE: 448-2040 HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS _DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS _ SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: rad ---------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. i f'1 y�`l r✓r,' CITY OF ATLANTIC BEACH -J J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Ji319? Application Number . . . . . 08-00001745 Date 1/07/09 Property Address . . . . . . 77 SHERRY DR Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------- Application desc telephone cable -------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- O' CONNOR TRANSF. 11158 BELL SOUTH TELECOMMUNICATIONS 77 SHERRY DRIVE PER M GRIFFIN 5/15/08 NO ATLANTIC BEACH FL 32233 LIC INSURANCE REQUIRED ATLANTIC BEACH FL 32233 (904) 256-3182 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee 00 Issue Date . . . . 1/07/09 Valuation . . . . 0 Expiration Date . . 7/06/09 --------------------------------------------------- Special Notes and Comments Landscaping must be restored/enhanced to shield/obscure boxes . ------------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---------- ---- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1 J1 CITY OF ATLANTIC BEACH s) CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS �■ . �s 904-247-5800 -= 800 Seminole Road s Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 �o X53' Date � X� �`�XY����-� �� ~�-'� ffPERMIT �THE SUED C�ITY���.� Job Address Permitee: BELLSOUTH TELECOMMUNICATIONS Telephone# 904-777-9052 EXT 233 Permittee Address: 7666 BLANDING BLVD., JACKSONVILLE FL. 32244 ATTN: ANGELA LINDSEY Requesting Permission to Construct: TELEPHONE CABLE oin A* �-,:zc—cog Location: (Reference to Cross-Street) Between J ``}' 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes (X) No ( ) Date: 12J 2Jy� Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes (X) No ( ) Date: Comcast Yes (X) No ( ) Date: 1 ZI 22JU2 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of CLINT STRICKLAND (Contractor's Project Superintendent) located at Telephone#: 904-393-4958. 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit 7. This permittee shall commence actual construction in good faith with 60 days. If the. beginning date is _ more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: da of ' 7 in the County of Duval, ,•P�Y M.Alexandra So ano Before me this Y ,Q. State Of Florida,has personally appeared - L :Z. Commission#DD470953 Notary Public at Large,State of Florida,County o Duvall. Expires September 12,2009 My commission expires: - ^� ^�� X Bonded Tmy Fain•inwra e.l� WO-385-7W Personally Known: ' or Produced Identification: " 3-� City cf Atlantic Beach APPLICATION NUMBER t� Building Department �� (To be assigned by the Building 4.5 Department.) 800 Seminole Road ;'� O / 7 -- ' Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: Z� Q City web-site: http://www.coab.us / i APPLICATION REVIEW AND TRACKING FORM oFireServices ent review required Yes No Property Address: ` ( c<7���r %V� &Zoning inistrator Applicant: l� �4Apt r litiesProject: ��ccfetyes Review or Receipt Date Other Agency Review or Permit Required 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: Approved. ❑Denied. (Circle one.) Comments: \ ^ C 1��3 _ le �6.'n Rq� p li-4BUILDING � ��S /_�� 2 PLANNING &ZONING to S�1 ed Reviewed by: �( Date:/ TREE ADMIN. PUBLIC WORKS Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: MH 120 `\ RT11OBE 0 /AHERN PL z m a w w = C_) c o KEY MAP i ATLANTIC BLVD � I i � I i U i I I IZ i Cr I I w 10' -2' PVC I I I ALP248 I i i I i SLACK SPAN CABLE ! i CLETE CABLE 300 LBS TENSION I i�17' DOWN POLE i I 14 i 0 P#392 i I 15x36 W i I _ i I P#45 + � lo��p r G ) Q/ PLACE 1- Cl -----5 J 115 I -- A TTSE PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF --------------------------L----------------------- ATLANTIC BEACH SHERRY DR - SHERRY DR Exchange: JACKSONVILLE BCH Designer: PAT MCGRATH )TE TO CITY OF ATLANTIC BEACH: Phone: dI S JOB PLACES 600 FEET OF BURIED AND 904-727-1524 R I A L 24 FIBER OPTIC CABLE AND AN Authorization: &T CABINET t 2 :wg. rD SYMBOL LEGEND = = Existing Dwcaption B BURIED CABLE BJ BUR JOINT-TRENCH ENCLOSURE ZQ ENCLOSURE MANHOLE —1 I---I PIPE/CONDUIT CA-MKR CABLE MARKER — —e— — BURIED SVC WIRE JOINT-TRENCH SVC N/A BORE N/A CUT PAVEMENT N/A SPLICING PIT N/A TRENCH LENGDEPTH __________ R/W ---- AHERN PL 13' 7' 10' —2' PVC VRAD COND ALP248 A TTS E 4' X 6' PAD PROPOSED TELEPHONE FACILITIES LL.�JJ ON RIGHT OF WAY OF ATLANTIC BEACH C 2' SHERRY DR Exchange: 10' —2' PVC JACKSONVILLE BCH VRAD COND Designer: PAT MCGRATH L 0 T Phone: 904-727-1524 PLACE AT&T CABINET Authorization: 48' X 26' X 48' H 83E68135N Dwg. 2 of 2 AERIAL SYMBOL LEGEND BURIED SYMBOL LEGEND Proposed Existing Dmription Proposed Existing Description e-- B BURIED CABLE AERIAL CABLE ed-- -BJ— BUR JOINT-TRENCH BST POLE ENCLOSURE jF POWER POLE - i� to ZQ ENCLOSURE �-� ANCHOR & GUY MANHOLE —t-- PB ---E PB PUSH BRACE F------1 F PIPE/CONDUIT fir. i w� AERIAL SVC WIRE CA MKR CA-MKR _ CABLE MARKER -e - -13- - BURIED SVC WIRE —�--- ---�--' JOINT-TRENCH SVC I I ------- N/A BORE I I N/A CUT PAVEMENT I I N/A SPLICING PIT I I 200'0(M N/A TRENCH LENaDEPTH I I I � I I I I I I CAUTION: ALL BURIED FACILITIES MUST BE LOCATED PRIOR i I TO DIGGING, INCLUDING BST, FIBER, POWER, ELECTRIC, SEWER, CATV, WATER, AND GAS, i m i 460' AERIAL CABLE H=19 140' BURIED CABLE12 �- P#65 -- \------------------------- R/W--------- ----- ----,_--- -- ! H'19 2 2 PVC O p#29 75' 22' -2' PVBC C B e 10 C5 li I U B 13 0 ~ B 17 MH120 EDP - -—-—-L-—-—-—-—-—-—- -—-—-—-—-—-—-—-—-—-—-—- EOP — 10 CABLE 13' AT&T MANHOLE 25' SHERRY DR ---------------- R/W----C---- ------------------------- N 30' 14 CABLE A 17 CABLE A 12 CABLE 1 ILS1o1Zuuo Am BURI AERIAL SYMBOL LEGEND Proposed B PropaW Existing Description AERIAL CABLE 0 BST POLE POWER POLE tI...J ANCHOR & GUY --�-- PB ----E- PB PUSH BRACE AERIAL SVC WIRE CA- -Bj- 25' 200'0(2T I I I 3 I 3 I I I I I I I I I I a_ 0,. W W 391 AHERN ST v RETROFIT XBOX\ EOP II - -—-—-—-—-—- -C/L --------------------- W I = 1 I � i I JEA POLE NO. 392\ I I i I iI I � I I i I I I � , I I I I I I I I I , I I PARKING I I I I