1850 Sherry Dr (vault) CITY OF ATLANTIC BEACH
%y J 800 SEMINOLE ROAD
J
} ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
JF3! Building-dept(a,coab.us
Application Number . . . . . 07-00001312 Date 9/25/07
Property Address . . . . . . 1850 N SHERRY DR
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 29500
------------------------------------------------------------ - ----------
Application desc
BATHROOM REMODEL
----------- ---------------------- ----------------------------------------
Owner Contractor
------------------------
------------------------
PAULSON, STEVEN TOM TROUT, INC.
1850 N. SHERRY DRIVE 5569 BOWDEN ROAD #1
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 737-5412
--------------------- Structure Information 000 000 ------- ---------------
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
---------------- ------------------------------------------------
Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . 180 . 00 Plan Check Fee 90 . 00
Issue Date . . . . Valuation . . . . 29500
Expiration Date . . 3/23/08
-------------------------------------------------- ----------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ---
Permit Fee Total 180 . 00 180 . 00 . 00 . 00
Plan Check Total 90 . 00 90 . 00 . 00 . 00
Grand Total 270 . 00 270 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CI'T'Y OF A�'LAl®TTIC BEACH PERMIT
APPLICATION #
J
BUILDING / ZONING DEPARTMENT
800 Seminole Road
Atlantic Beach,Florida 32233— 3
(904)247-5800
(904)247-5845 Fax
www.coab.us
APPLICATION TRACKING FORM
REQUI D DEPT:
;� y Y PLANNING
Property Address: r ("J�U -r✓(/� z Y sv BUILDING
—� / , p = Y N PUBLIC WORKS
Applicant:
—TEO—)0 1 I K--V ull 0 Y PUBLIC UTILITIES
YN _ FIRE DEPT.
Project: ba7� O ►r(pyl t � `' I Y N ELIC SAFETY
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APPROVAL
REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE:
Z Cr Y N D.E.P HUFSTETLER
d V S.J.R.W.M. CARPER
_ Cr N ARMY CORPS of ENG CARPER
O Y N HOTELS&RESAURANTS HUFSTETLER
APPLICATION STATUS
CIRCLE ONE: SITE BUILDIN DA AP REVIEWED BY: INITIA ATE:
® 1 ST REV ®
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PLANNING
BUILDING
® ND REV
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PUBLIC WORKS
PUBLIC UTILITIES
FIRE DEPT.
PUBLIC SAFETY
® ® 3RD REV0 El
FIL
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Return this form to the Building Department once you have entered your comments into the AS400.
- - .
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rs>;1rJr,V �' E C E i
jt CITY OF ATLANTIC BEACH {
Bt1iLnIN A
CITY OF ATLANTIC BEACH SEP 9 ii
2007
OltBUILDING PERMIT APPLICATION
(ALTERATIONS/ADDITIONS) ' !
Date: `'l —1 Z- o "► -
Job Address: IStl�P-►z`( 2kocs-
Owner of Property: Sk e,3 it
Address: I SS-o Telephone: 9cq-Zy0- `R S
Legal Description: Block Number: Lot Number: Zoning District:
Contractor. Tom Trout, Inc. State License Number: C:ISC-c:ZG l S`l
Contractor's Address: 5569 Bowden Road Jacksonville, Florida 32216
Telephone: (904) 737-5412 Fax: (904) 737-1044
Describe proposed use and work to be done: �t
Present use of land or building(s):
w
Valuation of proposed construction: S4 Z't S-oo
What are the dimensions of the added space: Q feet x C-' feet pp
Will the added area be heated and cooled? Li New electrical or increase in service? I�
New plumbing fixtures? YE-S New fireplace? too New heating/air conditioning? o
Is approval of Homeowner's Association or other private entity required? t4o If yes,please submit with this application.
Will thy* project involve changes in elevation,site grade or any use of fill material or the removal of any trees?
NO. Applicant certifies that no change in site grade or fill material will be used on this project.
❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
❑ NO. Applicant certifies that no trees will be removed for this project.
❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (If not required, written verification must be provided with this application.)
The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic
Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atlantic-beach.fl.us
Pagel Revised 1/14/03
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1
OB DESCRIPTION & SPECIFICATIONS
September 12,2007
Steven Paulson
1850 N. Sherry Drive
Scope of Work—The scope of this proposal covers the master bathroom renovation as more
fully described below and per sketch drawn by Tom Trout, Inc. Dated 9-10-2007
Demolition—Contractor has provided for the removal of drywall, stud walls,tile, etc. as
necessary for the construction of the renovated area as indicated on the plans.Note: All
plumbing and electrical demolition is to be secured and properly disconnected to prevent any
damage to home or injury to individuals on the job site. Also included is cutting the opening in
the exterior wall in the existing bathroom for window installation.
Additional Notes: There is to be temporary filters installed in necessary return air vents prior to
commencement of construction and to be replaced as necessary throughout the construction
project.
Rough Carpentry—Provide framing as required per plans to construct new walls, shower curb,
necessary framing modifications to existing exterior wall for the window installation,framing
modifications to the existing locations noted on plans, etc. Provide necessary framing to
construct new door and window openings per plan locations. Provide new sub-floor.New sub-
floor system is to have 3/4"T&G decking fastened with glue and nails.New walls will be
constructed using wood studs. Tape seams and apply peel and seal tape product on the new
window opening.Note: All exposed exterior nails, screws,hardware,etc. will be hot dipped
galvanized. All framing is to be in accordance with the local building codes requirements.
Window—Contractor has provided a budget for the material,prep and installation of new
aluminum frame window per plan location and size. Window is to match existing style as best
possible. The new window shall meet wind load specifications per local building codes.
Plumbing—The owner has contracted W H Hearn Mechanical(plumbing contractor)to perform
a total re-pipe on there residence. The contractor will provide W H Hearn Mechanical with a set
of drawings in order for them to provide a direct contract change order price with the owner and
establish an additional budget towards the new plumbing fixtures and faucets as required
according to the drawings. The payment terms for all plumbing related items of this contract
shall be between the home owner and W H Hearn Mechanical.All of the scheduling for the
master bath area of the house shall be performed by the contractor(Tom Trout, Inc.)
Electrical—Contractor has provided new wiring as required for one ceiling exhaust fan and two
new ceiling fixtures. Security system wiring not included. Prior to commencement of electrical
wiring,homeowner agrees to meet with representatives from electrical/building contractors to
review and finalize wiring needs. All decorative and surface mount type fixtures are to be
selected and purchased by the homeowner. This contract price does include a$325.00 fixture
allowance.
Cornice/Trim—The new exterior window trim shall match the existing as close as possible.All
exposed exterior nails, screws,hardware,etc will be hot dipped galvanized.
Doors—Contractor has provided three interior doors at the new remodeled locations per plan
sizes and specifications. The doors anre associated trim shall match existing as best
possible:
r
TOM TROUT,INC.: OWNERS: c
Date• �,G. Date: C
See reverse side
for additional Terms,Conditions,Provisions
022050-2
2
JOB DESCRIPTION & SPECIFICATIONS
Door Hardware—Contractor has provided necessary door hardware for new interior doors.
Hardware is to match existing as best possible.
Sheetrock- Contractor has provided a sheetrock finish on the new interior walls. Provide
sheetrock patching as required for alterations in modified areas of the master bedroom and bath
only. The walls shall be a smooth finish. The existing ceiling popcorn texture shall be scraped
and finished as required for a smooth or Knockdown texture as selected by the home owner.
Finished Carpentry—Furnish and install paint grade wood trim in the remodeled areas to match
style of existing house trim as best possible(base trim,door casing,window sills and shoe
molding).
Closet Shelving—Contractor has provided necessary material,prep and installation for 28
Lineal feet of vinyl coated ventilated shelving for the master bedroom and linen closets. The
home owner shall select the desired pattern prior to the installation.
Painting—Prep,prime,caulk and apply two coats of paint to the interior walls and ceiling of the
total master bedroom,bathroom and two closets. The paint shall be a commercial grade of latex
paint. There shall be only one wall color and one trim/door color as selected by the home
owner. Paint the exterior new window trim to match the existing windows as close as possible.
Cabinetry-Contractor will provide and install one new 24-inch base cabinet vanity.Note:
Homeowner to make cabinetry selections and approve cabinet design.
Tile- Contractor has included an allowance of$2,025.00 for material,prep and installation of
tile in the following areas: The floor of the renovated bathroom and the shower. The walls of the
shower are to be tiled from floor to ceiling. Final cost is to be applied against this allowance.
Counter Tops—Provide and install cultured marble vanity top with one sink in the master
bedroom. The homeowner is to make the counter top selections. Final cost is to be applied
against this allowance.
Bath Accessories—The contractor has included an allowance of$625.00 for the bathroom
accessories in the renovated bath area. They are to include two towel holders,one hand towel
holder,one toilet paper holder, one medicine cabinet and one mirror. The contractor has also
included an allowance of$750.00 for the material,preparation and installation of one shower
door. All bath accessories and the shower enclosure is to be selected by homeowner. Final cost is
to be applied against this allowance.
Flooring- Install new carpet in the Master bedroom,and closet(28 Square yards). An allowance
of$28.00 per Sq. Yd. The final cost is to be applied against this allowance.
Additional Notes: The following items are not included in this proposal, specifications or scope
of work. Lot cost, loan closing cost,association dues, structural engineering, surveys,driveway,
impact fee,temporary power(by owner),temporary water(by owner),well, septic,lot clearing,
lot fill, concrete work, plumbing,plumbing fixtures, gas piping,termite treatment,brickwork,
stucco work,roofing, exterior doors, stairways, security system,air-conditioning,energy
calculations, fireplace,insulation, custom shelving,wall paper,hardwood flooring, gutters,
landscaping,appraisal,fence,pool or decking.
General Notes:
Due to numerous changes in material costs, the contractor reserves the right to with draw this
proposal if not accepted within fifteen days.
TOM TROUT, INC.: OWNERS: r
Date:
693290-1
3
JOB DESCRIPTION & SPECIFICATIONS
General Provisions
Plans—Provide all required additional plans for additions&remodeling of home as more fully
described above and as shown on conceptual plans by Tom Trout Inc. dated 09/10/07.
Permits—Apply for all required building permits as needed.
Equipment—Provide all needed equipment including tools, saw blades,scaffolding,tampers, etc.
Dumpster/Dump Fees—Provide dumpsters and pay transportation&disposal fees as needed for
removal of debris.
Trash/Cleaning—Provide site clean-up throughout the project as necessary. Provide final interior
and exterior clean-up.
Portable Toilet—Provide portable toilet service as needed for workers.
Property Protection—Provide and install dust barriers,filters and plywood protection for the
driveway at dumpster if applicable. Homeowner is to remove all necessary personal contents from
work areas and surrounding areas. In the event that any contents must be moved by contractor,
additional cost may be incurred and contractor assumes no responsibility for any damage that may
occur.
Project Manager/Supervision—All required supervision&project management personnel will be
assigned to the project as needed to manage scheduling, subcontractors, assist homeowner's with
decisions and changes,assure overall quality control,etc.
Contract Price—Contract price is based upon the coordination and scheduling of all work by trade
(not by area).
Access-Homeowner agrees to grant unrestricted access to work areas of home for contractor
and his representatives as needed on weekdays&occasionally on Saturdays from 7:00 AM to
7:00 PM and from commencement to completion of project.
Impact Fees—No governmental, service or utility impact fees have been included and if
required,these fees are the responsibility of homeowner.
LandscapinWIrri ag tion—No provision has been included for any new,relocation or
repair/replacement of existing landscaping&irrigation unless otherwise defined in this contract.
Any irrigation lines or equipment that may be discovered and cut during excavation will be
capped off and flagged beyond work area. Some impact or damage to landscaping should be
expected and no budget for repair or replacement is included. No provision is included for tree
or stump removal unless defined otherwise in this contract.
Ownership of Documents - All documents that are provided by Tom Trout, Inc. to homeowner
(plans, specifications, contracts, etc.) are the sole property of Tom Trout, Inc. and are not to be
shared, copied, rewritten or reproduced without the written consent of Tom Trout, Inc.
Homeowner agrees to keep such documents completely confidential until accepted & signed by
all concerned parties.
Work Scope — Contractor has made every effort to cover and include all work as requested and
discussed with homeowner throughout planning process. It is of extreme importance for
homeowner's to thoroughly review and understand the scope of these specifications and notify
contractor of any items desired that have not been covered. Total contract price is based upon
performing only the work items as specifically covered in these specifications.
TOM TROUT, INC.: OWNERS:
Date: Date:
693290-1
4
JOB DESCRIPTION & SPECIFICATIONS
Additional Work/Revisions/Allowance Overages— Charges for Additional Work, Revisions-and
Allowance Overages will include job cost plus contractors overhead and gross profit (15%
overhead& 14% gross profit=29%). In most cases or upon request from homeowner, additional
work and revisions will be documented on Change Order form # 092403-1. Charges for
additional work, revisions and allowance overages are due in full upon acceptance. An
administrative fee of$ 75.00 will be added to job cost for estimating/research for each additional
work item or revision as requested by homeowner(regardless of whether added work or revision
is accepted or denied). Credits for omitted items and/or allowance savings will reflect cost only
and will not include overhead/gross profit. Allowances are intended to cover the cost of all
related material,preparation&labor relating to the allowance item unless stated otherwise.
Matching of Existing Materials-Where existing materials are specified to be matched,
contractor can make no guarantees regarding the success of same(due to the age of existing
products). Research and reasonable efforts will be made in the attempt to match existing
materials.
TOM TROUT, INC.: OWNERS:
Date: Date: 7
693290-1
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: t
Address of property being improved: i s Sd02
EL -3ZZ3 3
General description of improvements: i �5►�.+ S.� �t�i�fL � 2� rY� N���+«
Owner saeJG7 �c -
Address i8s�o Aocz� ! i3Oea-,Lj
.Owners interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Na e
Address
C ontractor1 o r'\�'S Cov C-
Address �Scoci > ooc0 FL 3ZZiL
Phone No. Fax No. gCLA- 73-7- logy
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name , 11q
Address
Phone No. Fax No.
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other
documents may be served:
Name AM
Address
Phone No. Fax No.
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is ona(1) vaar frim tho rinto of rnnnr,1;- ...�..�� ..
01/01%2006 17:00 TEL 0002
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. 07`coGO /3 1_Z Tax Folio No.
State of _ County of
To whom It may concern.
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information Is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
Address of property being improved: I`z.So t4oxlw SYt�r�Ct•( �tZ.o�`
kyu-m, ,tet r� 32z3 A
Genaraldescription ofImprovements:
Owner 'zn.7c-,1�=
Address 112•So Nliom" -r,c?2k�
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
fns Na e
�C Address
ontractor
Address 55cra�l LlGupc`�1 \CctaO �1�C 4\tW�l�lcT r 1 Z Z'Ll
Phone No. -I K-7- StA Fax No. ctn4- 7'-%'7- loy4
Surety(It any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name ,!✓A ---
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name Ajlq
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address -
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date Is specified):
THIS SPACE FOR RECORDER'S USE ONLY N
Signed: Date:
Print Name: �-
poo a200730W95.OR BK 14199 Page 1159. Before me this_Zl "'day of In the
Number Pages 1 County of Duval,Slato of Florida
Filed 8 Recorded 0925r2007 at 01 59 PW _ y
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00 -n/
Notary Public at large,State Of Florida,County of Duval
My commission expires 3
Personally Known .1� or
i r, _Boar Pubk Stab of Florida
yjqon men"Produced Identification
iweppe
My com"itin D0651386
'a^0 L:e jrea 0311512011
CITY OF ATLANTIC BEACH
800 SE GNOLE ROAD
1 " r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . 06-00032882 Date 5/10/06
Property Address . . . . . 1850 N SHERRY DR
Tenant nbr, name . . . . . . REPLACE CEDAR BEAMS/ALUM
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4000
Owner Contractor
------------------------
------------------------
PAULSON, STEVEN MRL CONSTRUCTION
1850 N. SHERRY DRIVE 913 23RD STREET N.
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 285-9854
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . 50 . 00 Plan Check Fee 25 . 00
Issue Date . . . . Valuation . . . . 4000
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50 . 00 50 . 00 . 00 . 00
Plan Check Total 25 . 00 25 . 00 . 00 . 00
Grand Total 75 . 00 75 . 00 . 00 . 00
PERWr IS APPROVED ONLY IN ACCORDANCE WrM ALL CII'Y OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH Cc.
SS
BUILDING / ZONING DEPARTMENT D: F 9g,
ra 800 Seminole Road err
J Atlantic Beach,Florida 32233
-------------
Jli!>r (904)247-5800 R E C -- i v t.,
(904)247-5845 Fax CI-1`(Or ATLANTIC BEACH
www.coab.us Bpi ,!NG K, 7�,�!'r�G
APR 2 8 2006 �
PLAN REVIEW COMMENTS
Permit Application # DU� J0�bU 9-N BY ------ —
Property Address: Vy
Applicant: ka, a n-.,5zft Dn
Project: V
Thismit application has been:
r
tApproved
"v'*iew)d and the following items need attention:
Gf c9 c.c9�2�
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,l
G Y,— 1 LtzC- LA-P Gr tit S
1 itt lo
Please re-submit your application when these items have been completed. /
Reviewed By: Date:��._ �----f
Date Contractor Notified:
ECEiVED
CITY OF ATLANTIC BEACH
R
7B(JiJ)iNi(', x zntiNG �
CITY OF ATLANTIC BEACH
r APR 2 8 2006
I BUILDING PERMIT APPLICATION
to) . _ (Alterations&Additions) /
\ �Ur,lv. BY: ..._ Date: �� lO
Job Address: QJ V 1�J41 . lsgz=-*p—,R"!71 '�Ik I-?) L-->,,c
Owner of Property: uL 4:=) e�
Address: 1 ori , 5-1��Q 4 b1 LENT l t Tel one: T_
Legal Description: Block Number: Lot Number: Zoning District: I
Contractor: AY State License Number:
Contractor Address: I i J nZJ a X
Telephone: AfA. 4'D Fax:
Describe proposed use and work to be done: /C Y y 12- e A X 6,1 A; I Al A&:'01-
LA
Present use of land or building(s):
i..t i 4-h 3 " V As f Nt t f fit,✓d b&+4e_1Ct 1's
Valuation of proposed construction: rxo
Dimensions of the added space: feet x feet
Will this project involve: VU�o
❑ Heating&Air- ❑ Plumbing ❑ Electrical ❑ Fireplace
Conditioning
Is approval of Homeowner's Association or other private entity required? If yes, please submit with this
application.
Will this project involve changes in elevation, site grade or any use of rill material, or the addition of 5% or more to
t6n n_r_i_n_inaI i rip—in..Q area or the removal of any trees?
O. Applicant certifies that no change in site grade, impervious area or fill material will be used on this
project.
YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
Applicant certifies that no trees will be removed for this project.
YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (If not required, written verification must be provided with this application.)
The Department of Public Works is located at:1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic
Beach City Hall,Soo Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 •Fax: (904)247-5845 •http://Www.ei.atiantic-beaCh.flUS
Revised Rl04
page 2
.1, 'd S99S— I�,Z--1706 uewy0-1 IaeyotW d0Erb0 90 LZ .add
In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
1. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify
any existing structures and uses.
3. If required by the Department of Public Works,a pre-construction topographical survey.
4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
5. Impervious Surface area calculations: include driveways,sidewalks, patios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications.
Address and contact information of person to receive all correspondence regarding this application(please print).
Name:
Mailing Address:
Telephone: Fax: E-Mail:
I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All
provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a
permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws
in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this
permit is contingent upon the above information beinjeand rrect and that the plan,.s and supporting data have been or shall be provided as
required_ I
Signature of Owner: I V L Date:- I�� C, r 6
AS TO OWNER:
Sworn to and subscribed before me this Z14
w// ►► day of-J' ,20 b .
State of Florida,County of Duval
Notary's Signature:
ARDESHIR EBRAHIMI
Notary Public.State of Florida ❑ Personally known
kly comm expires June 2, 2007 E0,11roduced.identification y�
No.DD218819 Type of identification produced ie—L �EJ JD at, .
Z-
Signature of Contractor
AS TO CONTRACTOR:
Swom to and subscribed before me this day of
K.
CUNNINGHAM
UNNIHA i
E""' '
Notary Public-SWM d Florida Notary's Signature:
Commission Expire Feb 25,2010
Commission 5 DD 523635 [ e�rsonally known
rKW By National Notary AWL ❑ Produced identification
Type of identification produced
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl-us
Revised 8104
Page 3
S -d S99S- I bZ-1:06 uewyo-1 I aeyo r W d0E :b0 90 LZ Jclu
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z 800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
. INSPECTION PHONE LINE 247-5826
� Y
Application Number . . . . . 02-00025349 Date 1/06/03
Property Address . . . . . . 1850 N SHERRY DR
Tenant nbr, name . . . . . . INSTALL PLANK OVER EXIST
Application description . . . SIDING
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 12000
Owner Contractor
------------------------ ------------------------
PAULSON, STEVEN MARTIN HOME IMPROVEMENT INC
1850 N. SHERRY DRIVE 5732S SUMMERALL ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 247-4915 (904) 737-5009
--------- ----------------------------- --------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee 45 . 00
Issue Date . . . . Valuation . . . . 12000
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total 45 . 00 45 . 00 . 00 . 00
Grand Total 135 . 00 135 . 00 . 00 . 00
r
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER -FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AISDSUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
ec 23 02 10: 29a
5c4 p. 1
City of Atlantic Beach 500 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.:ttlantic-beach.fl.us
BUILDING PERMIT APPLICATION
(FOR NEW CONSTRUCTION,REMODEL, ADDITIONS
AND ALTERATIONS, MOVING OR DEMOLITION)
DATE
JOB ADDRESS t_3 S � t t\e rry 1b2"v �
OWNERS NAME S5 +C%/ - P&u 1 S a•�
ADDRESS t S d Al .V S bet f, DsL . PHONE:
IX,GA1,DESCRIPTION: BLOCK NUMBER LOT NUMBER ;CONING DISTRICT
CONTRACTOR fV\R(0t"%^- t6'%P%- -&%e-X STATE LICENSE NUMBER C11(057 b O
ADDRESS -73 Z &-yyv....i..r C2 10'
4Z 'HONE _-7% -7—S DO
CITY q L;k S-o r r
,,, 1 — STATE YL ZIP 3 Z'Z l 4A x
DESCRIBE PROPOSED USE AND WORK TO BE DONE [l 2� �(G (L o�rL k;
I �—l 1 — NJ 51 r r r 1 'W 0 A-"L—
PRESENT USE OIC LAND OR BUILDING(S) IL�f
VALUATION OF PROPOSED CONSTRUCTION p p J
Is this an addition? _ I• D -` If yes, what are.the dimensions of the added space: feet by feet
Will the added area be heated and cooled? New electrical or increase in service?
New plumbing;fixtures? _�-„ New fireplace? New heating/air conditioning?
Is approval or Homeowner's Association or other private entity rcquircd? - � if yes,please submit with this application.
NVIL , TIIIS PROJECT INVOLVE CHANCES IN ELEVATION, SITE GRADE OR ANY USE OF FILL
MARIAL?
NO. Applicant certifies that no change in site grade or fill material will be used on this,project.
❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit.
❑NO. Applicant certifies that no trees will he removed for this project.
❑YES. Removal of Protected Trees will be required for this project. "TREE REMOVAL PERMIT IS REQUIRED.
PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all
information as approp)'iat.e.)
STEP 1. Verify zoning designation and pn)per setbacks for the proposed construction. if you are unaurc of this information, please contact the
Planning and Zoning Department at 9(9-247-5520. In order to correctly verify Property Appraiser's
Real Pstate Numbcr available. oUAWRi
BUILDING OFFICE
11/27/02 LC 26 20 2
By:
Dec eJ 02 10: 29a p. 2
STL-1'2. Contact the City of Atlantic Bouch hepartment of Public Works to determine if a pre-construction or post-construction topographical
survey or grading plan is required. (If not required, wrinen verification must be provided with this application.) The Department of
Public Works is located at: 1200 Sandpiper Lanc,Atlantic Beach,FL 32233 Telephone:(904)247-5534
STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete
sols of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 500 Seminole Road,Atlantic
Beach,FL 32233 Telephune:(904)247.5526
In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the properly boundary with bc;aringN and distances and the legal description.
2 I,ocation of all structures,temporary and permanent, including setbacks,building height,number of stories and square footage. ldcntify any
existing structures and uses.
3. Lxisting and/oi proposed driveways.
4. If required by the Department of Public Works,a prc-construction topographical survey.
5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
6_ lmperviuu%Surface area calculations. (Swimming pools may be excluded from total lmpervious Surface.)
7_ Other information as may be appropriate for individual applications.
I HEREBY cLivriFY THAT ALL INFORMATION I'R VIL) WITH TIHI 'APPLICATION IS CO
SIC:NATURE OF OWNER DATE Z�4�
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT. ALL, PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL. BE COMPLIED
WITH, WHETHER SPEC.I IED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT 1111ESUME TO GIVE AUTHORITY
To VIOLATE OR CANCEL.THE PROVISIONS OF ANY FEDERAL„STATE OR LOCAL,RULES, REGULATIONS,ORDINANCES,OR
LAWS IN ANY MANNER,INCLUDING Tlir GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF
THE PROPERTY. 1 UNDERSTAND TIIAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION
BEING TRUE AND CORRECT AND THAT AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS
kEQU1RFD.
SIGNATURE OF CONTRACTOR DATE 6/03
ADDRESS ANO CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORIt SPONDENCE REGARDING
THIS APPLICATION ,( �
(PLEASE PRINT)
NAME -C el- I Y/ 2A `
MAILING ADDRESS 5 Z SV M w�< rtti l� �— I 0,LW-5 N `(�� ��— 3 2"t l
PHONE —737-5'- FAX 7 3 -7 E-MAIL C0""\
SWORN AND SUBSCRIBED BEFORE ME TWS DAY OF
STATE OF FLORIDA,COUNTY OF DUVAL
NOTARY'S SIGNATURE
AS TO OWNER: ❑ Personally known ::N�'""''+r MAGGIE MARTIN
QProduced identification = Notary Public-State of Florida
Type ofidcntification - MyComnin®onEVhsOct 24,2M5
' � ,.•' Commission 2 DD067414
ROvr � r
AS TO CONTRACTOR: of PIT ` Personally known
DU Produced identification
Type of identification produc J
11127A)2
�`� �` (� t✓ JENNIFER SCHLUETER
MY COMMISSION#DD 121301
to EXPIRES:May 27 2006
P,t, Sanded Thru Notary Public UndWwN 9"
CITY OF ATLANTIC BEACH
Jr 800 SEMINOLE ROAD
J� Jj ATLANTIC BEACH,FLORIDA 32233-5445
tt1 TELEPHONE:(904)247-5800
FAX:(904)247-5805
r� SUNCOM:852-5800
http://ci.atlantic-beach.fl.us
PLAN REVIEW OMMENTS
I'el-mit Application #
Applicant: Mayfiv,
Address: e`"Y r-
Project:
W Your application is approved
o Your permit application has been reviewed and the following items need
attention:
Please re-submit your application when these items have been completed.
Reviewed b )b rJ n
Signed
Date
Contractor Notified Date
• " � r _ ,��' CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
-� ATLANTIC BEACH,FL 32233
J v INSPECTION PHONE LINE 247-5826
J 131 r INSPECTION EMAIL REQUEST:
Building-dept(a,coab.us
Application Number . . . . . 07-00001369 Date 10/01/07
Property Address . . . . . . 1850 N SHERRY DR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
------------------------------------------
Application desc
INSTALL 14 FIXTURES
------------------------------------------
Owner Contractor
------------------------
----------------------
PAULSON, STEVEN OWNER
1850 N. SHERRY DRIVE
ATLANTIC BEACH FL 32233
-- -------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc 00
Permit Fee . . . . 133 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/29/08
-----------------------------------------------------
Fee summary Charged ed Paid Credited Due
___ ---------- ----------
. 00
Permit Fee Total 133 . 00 133 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 133 .00 133 . 00 .00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
_L9
CITY OF ATLANTIC BEACH
r r
PLUMBING PERMIT APPLICATION
I Date:
Property Address:��rJ� 1y• �Hr✓1Z��► �C, �.1:R�-F 1 Z �
Owner: Telephone#:
Contractor: W, 1 T L R) N 1 Cts L- Telephone#: V)%l
Contractor Address:
Contractor Signature:
In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in
accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed therein.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other construction is being done on this building or site,
❑ New list the building permit number:
X Re-Pipe
Number of Fixtures:
Bath Tubs Showers VALVE
—
3 Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Sprinkler System ' Other WRTC LJ�f T►���)
v � ►-o > 13►
Fees
Permit Issuing Fee: $35.00
Total Fixtures: —1 LA- X$7.00 + $35.00
800 Seminole Road •Atlantic Beach, Florida 32233-5445
Phone: (904)247-5800. Fax: (904) 247-5845. http://www.ci.atiantic-beach.fl.us
Revised 1/04
CITY OF ATLANTIC BEACH
>. s 800 SEMINOLE ROAD
J
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-dept(�coab.us
Application Number . . . . . 07-00001470 Date 10/19/07
Property Address . . . . . . 1850 N SHERRY DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
---------------------- ------------------------------------------------------
Application desc
rewire 200 amp
--------- ------------- ------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PAULSON, STEVEN G & G LLC
1850 N. SHERRY DRIVE Q/A PANKO, MICHAEL J.
ATLANTIC BEACH FL 32233 1805 HEARTH ST
MIDDLEBURG FL 32068
---- --------------- ---------------------------- ----- - --------- --------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/16/08
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- -- -------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
�$ V'fJ CITY OF ATLANTIC BEACH
SS
ELECTRICAL PERMIT APPLICATION
Date: &-2 y G
Property Address:
,� �G v, O/a ' ZGo
Owner: ��'1��1104 � '9 Telephone#:
Contractor: Telephone#: 5-Z ' 2-V 7z
Contractor Address: Z Fax#: 2 5;T
Contractor Signature: - -
In consideration of permit given f doing the work as described in the above statement, we hereby agree to perform said work in
accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed therein If other construction is
Building: B ilding Type: LiTrailer Service: being done on this building
❑ New Residence ❑ Temp. ❑ New Or site,list the building
❑ Old ❑ Commercial ❑ Signs LiIncrease permit number:
Re-wire L3Addition Sq.Ft. ❑ Repair 000,0' 3 Z
Conductor Size: AMPS: COPPER -UMIM RACE
Switch or
Breaker AMPS PH W VOLT WAY
Existing Service 'Z, I` RACE
Size AMPS '�V v PH W / VOLT Z 7 61 WAY
Meter
Number
Feeders: NO. SIZE NO SIZE NO SIZE
Lighting Outlets
CONCEALED OPEN
Rece tacles CONCEALED OPEN
Switches
Incandescent
Fluorescent &
M.V. BELL
Fixed 0.100 AMPS OVER
TRANSFER.
Appliances
Air H.P.RATING H.P.RATING CEILING KW-HEAT
Conditioning COMP. OR OTHER MOTORS AMPS HEAT
Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS
IJNDER600V OVER600V
Transformers
NO. KVA NO. KVA
No.Neon_Transf.
Ea._Sign
Miscellaneous
800 Seminole Road•Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800• Fax: (904)247-5845• http•//www ci atlantic-beach.fl.us Revised 1/04
Np Z 00:6
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APPROVED BY SPECIAL
ADVISORY PLAil;dING BOARD
DATE: MAR 3 I981 0 ..D
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APPROVED
CITY GFA NTIC BEACH
,3u,L G OFFICE
BUILDER'. MUST SET CORNER STAKES
21 1
LOCATING HOUSE IN RELATION TO
T4
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S GRADE PRIOR TO FINAL
FIAT APPROVAL BY SPECIAL
AD N BOARD
.� APR
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DEPARTMENT OF BUILDING 4 6 7 5
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD lubebU TL
THIS PERMIT MUST BE POSTED ON JOB 1CJS*5OCKT1
jO ly I A 4/e-7181
Date_April 22, 191 p ]Fj aQOCACr
tl0y
Valuation $ 76 1a 4/27/81
TQQQ Fee $ 12F 50
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.
I
This is to certify that—
1644 PARK TERR W. ATLANTIC BEACH FLA 32233
has permission to b
uild A ONE — FAMILEY DWELLIC. AS PLANS SUBMITTED.
Classification RESTDENTTAI
��+ne
Owned by WM MIKE ALLISON
Lot #19
Block tiNIT—�/D SELVA MARINA
House No- 1250 NORTH SREM TiiRTVFATLA**TT , REACH FLORIDA 92933
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIR MONTHS
n AFTER DATE OF ISSUE
�---► �— ► O Building material, rubbish and debris
from this work must not be placed in
I public space, and must be cleared up
and hauled away by either contractor
or owner.
BILL ii. DAVIS
Building Official.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACTOR
PLUMBING
t
ELECTRICAL
t
SEWER
E
f WATER
I
i
Date----
I
'
CITY OF ATLANTIC BEACH Permit /..Fee i..._.._......
....._.
s�
Valuation i..--. d?�.Q.. .Q. -..__......
FLORIDA House
_ ' ..�_........... ... ..........._.._...........
APPLICATION FOR BUILDING PERMt'*
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with th4 Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
`` Date......... -.. I.
CITY OF ATLANTIC BEACH
WATER CONNECTION CHARG E7?O ♦��
DATE v.�iZ
LOCATION
OWNER
PLUMBING FIRM
MASTER PLUMBER
BUILDER OR CONTRACTOR �j��.L�` Oet/ ��/ �� ����
TYPE OF BUILDING
BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC ( 2 UNITS)
WATER CLOSET,LAVATORY AND BATH
TUB OR SHOWER STALL.(6UNITS) SHOWERS GROUP PER HEAD ( 3 UNITS)
BATHTUB ( WITH OR WITHOUT OVER SURGEONS SINK ( 3 UNITS)
HEAD SHOWER) (2 UNITS)
FLUSHING RIM SINK ( 8 UNITS )
BIDET (3 UNITS)
SERVICE SINK TRAP STAND ( 3 UNITS )
COMBINATION SINK AND TRAY ( 3 UNITS)
POT,SCULLERY SINK ( 4 UNITS )
COMBINATION SINK AND TRAY W/FOOD DIS.
( 4 Units) URINAL, PEDESTAL,SYPHON JET
BLOWOUT. ( 8- UNITS )
DENTAL UNIT OR CUSPIDOR ( I UNIT)
URINAL, WALLL LIP ( 4 UNITS)
DENTAL LAVATORY ( 1 UNIT)
URINAL STALL, WASHOUT ( 4 UNITS)
DRINKING FOUNTAIN ('-4 UNIT)
URINAL TROUGH EACH 2'SECTION
DISHWASHER ( 2 UNITS) ( 2 UNITS)
FLOOR DRAINS ( 1 UNIT) WASHING MACHINE RES. ( 3 UNITS)
KITCHEN SINK ( 2 UNITS," WASH SINK EACH SET OF FAUCETS
( 2 UNITS
KITCHEN SINK W/WASTE GRINDER )
( 3 UNITS) WATER CLOSETS, TANK— OPERATED
( 4 UNITS )
LAVATORY ( 1 UNIT )
WATER CLOSETS, VALVE OPERATED
LAVATORY ,BARBER,BEAUTY PARLOR ( 8 UNITS )
( 2 UNITS )
" LAUNDRY TRAY ( 2 UNITS )
_ LAVATORY. SURGEONS ( 2 UNITS)
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DEPARTMENT OF BUILDING 4695
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date IiAY 11, 19 81
Valuation$ PTTIN1RTNG Fee $ 15-OO
15•JO TL
This permit not valid until above fee has been paid to City Treasurer, and is 1 5 a COCK T
subject to revocation for violation of applicable provisions of Lw.
This is to certify that IACOBS n VA G P ,
3 F : IN , Iric, a
1512 TIT . . COVE, ROAD JACKSONVILLE FLORIDA 32211
has permission to )iggi gi l 1 SINK, 4 1 AVATORYS 7 BATH =MS a CT neF
I SHOWER, 1 WATER HEATER, 1 DISHWASHER, 1 DISPOSAL, 1 WASHING MA
Classification S DWELLING gone RESIDENTIAL
Owned by C1111M, 11API)MAN Bi1IL32ERSTINC
Lot #19 Block UNIT 10C SSD SELVA MARINA
House No 1850 NORTH SHERRY DRIVE. ATLAPTTIC BEACH FLORIDA 32233
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIR MONTHS
,I AFTER DATE OF ISSUE
1 44 ► 0 Building material, rubbish and debris
ZI from this work must not be placed in
public space, and must be cleared up
and hauled away by either contractor
or owner.
ACPING CITY MANAGER,
CART F_ GTIICKT
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
I
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
DATE
LOCATION Ire v
PLUMBING FIRMMj�� S ,. � g`j�� ff��li,y�f�y .�i✓C
MASTER PLUMBER
CITY/COUNTY OCCUPATIONAL LICENSE NO.
STATE CERTIFICATE NO.
BUILDER OR CONTRACTOR
TYPE OF BUILDING
SINKS :SHOWERS
LAVATORY �_ WATER HEATERS
oZ BATH TUBS _�_ DISHWASHERS
URINALS DISPOSALS
3 CLOSETS WASHING MACHINE
FLOOR DRAINS
OTHER
/1) TOTAL FIXTURE COUNT,-vl/3 r Q 6
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE
MOST.. RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CITY OF
rQda., & /3e=4-q&U414
Office of Building Official
REQUEST FOR INSPECTION #3182
Date JULY 16,1981 Permit No.
TimeA.M. T T T T)TTVAT
Received
9:00 A P.M. District No.
T,,VA MARINA-
Locality
Job Address
owner's (AiTCK L RTjb Contractor
RTITINS El ECTWIG C4--
Name HEATING
BUILDING PLASTERING ELECTRICAL RoughPLUMBING ❑ Rough ❑
Foundation ....❑ Wire ..........❑ Rough Wiring C] Final .........Ll Final ....... .❑
Finish Wiring ..❑ ❑ Water Heater ..❑
Chimney ......El Lath h..........❑ Sewers
Framing .......El Scratch .......11 Fixtures ....C1 Ga .......❑
Final .. .....EBrown ........❑ Motors ❑ sspool ......❑
Footing .. .....❑ Finish ......❑ Temp-Pole ...�
Wallboard .....❑ Final Inspection. Top-
out ❑
Slab ..........❑ Water ...... .. .❑
Lintel Beam .. .❑ A.M.
READY FOR INSP P M
Tues. Wed. / hur
Man. A.M.
P.
Inspection Made
Inspector
.rr
CITY OF
of&mac /3e=4-1127&zip
Office of Building Official
REQUEST FOR INSPECTION
Permit No.
Date 111T Y 15 DUVAL
A.M. District No.
Time 9•00 AM P.M.
Received
Locality
Job Address
JACOBS & VAUGHN PLUIBIN
Owner's CHUCK HARDj�Aj�j -Contractor HEATING
Name ELECTRICAL PLUMBING
BUILDING PLASTERING Rough ........❑ Rough ..
Wire .....'.❑ Rough Wiring � � Final ........ Water
Final
Foundation •..0 Lath ❑ Finish Wiring .El Sewers ........� Water Heater ..❑
Chimney Scratch .......❑ Fixtures Gas ....
Framing •.• ..� Brown {] Motors •'•0 Cesspool ......❑
Final ...... ..� Temp-Pole .....1] Top
.......❑
Footing ..... ❑ Finish Final Inspection.❑
Slab Wallboard .....I] Water .....
A.M.
Lintel Beam ...❑ Y FOR INSPECTION P.M.
Thurs. Fri.
Mon. Tues. ed' M.
Inspection Made
Inspector
CITY of
Official
0jilce Boding
l INSPECTION
REQV permit No. III DtJVAL
pistrict No VA ,RINA
p.M•
pate P.M• Locality IC CO
BIVINS ELgCTR
RQ eived HEATING
lob Address Contractor PLUMBING ❑ Plough ❑
` Final ter ❑
RS ELECTRICA► .Rough ❑ Water Hea
0,wnee s PIASTERING.❑ Rugh Wiring .0 se
Nara BUILDING Wire ❑ ❑
Gas
❑ ❑ Fixtures 0 Cesspool ❑ p.M•
❑ Lath Motors top.out P M
Foundation ❑ Scratch Water
❑ TemT ns ection ❑
Chimney ' . Brown Fin FORS INSPECT ION Fri.
Framing " Finish
Final ❑ Wallboard REAOY Thurs.
Footing ❑
SLinbel
laBeam Wed•
t
Tues'
Mon•
Made
ection
inspector
y, CITY OF
Office of Building Official
REQUEST FOR INSPECTION
Permit No.
Date APRIL 3f' 1981 -- III DUVAL
A.M. District No.
Time
R _�n'edSELVA MARINA
1850 NORTH SHERRY DRIVE-
Locality
Job Address
CHUCK HARDMAN BIVINS ELECTRIC COME-
owner's BUILDERS Contractor
Name RICAL PLUMBING HEATING
BUILDING PLASTERING Rough...............❑ Rough ❑
Rough Wiring.❑ Final...............❑
Foundation.......❑ Wire..................❑ Final................. ❑
nish
Chimney...........❑ Lath...............:..❑ F'ixtur Wiring...❑ Sewers...............❑ water Heater.. Cl
Framing............❑ Scratch..............❑ motors............ Gas................... ❑
F inal................. ❑ Brown...............❑ Cesspool ...........❑
Finish................❑ TEMP—POLE
Wallboard ........❑ A.M.
READY EFNSPECTION Thurs. Fri --P.M.
.
Mon. Tues. �: :
Inspection Made
Inspector
B-1.2
Il"'SPECTION RECORD
BUILDING PERMIT 4675 ELECTRICAL P.Ef MIT #
C PLUMBING PERMIT#_.
JOB ADDRESS 1850 NORTH SHERRY DRIVE
CONTRACTOR CHUCK HARDMAN BUILDERS
OWER CHUCK HARDMAN BUILDERS
TYPE DATE 130 ARKS INSPECTOR
FOUNDATION f/� ��-
FOOTING
SLAB00,
PLUMBING (R)
SEVIE R
T 'P, ORARY POLE e
LINIEL/B.E-q4
COLUMN
PLUMBING (F) �►/`
FRAMING
ELECTRICAL (F) L fj �,��Ar
anim
FINAL
f
i
(-- I l Y OF
_ = 716 OCEAN SOLILEVArD—DRAWER 25
ATLANTIC FFACH, FLORIDA 32233
JULY 16, 1981
PRE-SERVICE SECTION
3RD FLOOR.
JACKSONVILLE ELECTRIC AUTHORITY BLDG.
233 WEST DUVAL STREET.
JACKSONVILLE,FLORIDA 32202
DEAR SIR:
THE FOLLOWING LISTED FINAL INSPECTIONS HAVE BEEN MADE AND ARE SATIFAC-
TORY:
PERMIT NO.# 3182 - 1850 NORTH SHERRY DRIVE. ATLANTIC BEACH FLORIDA 32233.
BIVINS ELECTRIC CO.
Sincerely,
GAE/REV G.A.EDWARDS
DIRECTOR OF PUBLIC WORKS
..iLLIA1.' S H01,YELL JAt;tES E. NIHOGN ALAN C. JENSEN L. �'J, h"ItvTON. JR. CATHERINE G. VAN NESS
aor - Co-:missioner Commissioner Commissioner Commissioner
P!L LMii. DAN.'IS OLIVER C. BALL :'RS ADELAIDE R 'UCKER CARL STUCKI
C ty Manager City Attorney City C'sir' of P^lice Director cf PL C o ks
ani Fce Depart:i:ent GLE'S+ ^
j
BUILDING AND ZONING INSPECTION DIVISION o N
u CITY OF ATLANTIC BEACH, FLORIDA Z
o
DO
0
U) ELECTRICAL PERMIT QCn
Z
Date Fee $ � Permit No. 3
_ 0 a
W i
m
Location _ _ _,. . . . - _ _ p •;�
6,
Between and Q
This is to certify that 0-
UJ
-
W m
(Efectric;1 ontractor) (Master Electrician) U-
E
has permission to install Electrical Construction as described herein in W a n
accordance with the provisions of the Electrical Code and regulations V c
of the City of Jacksonville, and subject to the information shown on the LU
application, drawings and specifications which are made a part of this 3 ;,
•
permit. �-
for � • • � •
- oc
W p
a
Type of work:
SERVICE:y�. Lam". 1. 3: �,1_ , u , *: 'i_L. . .: J! a
N V
Feeders: u'
Outlets: O
_ U
Receptacles: m
Switches:
Incandescent: _• _
Fluorescent:
Appliances:
Air Conditioning:
Motors:
Transformers:
FINAL INSPECTIONS 7-16-81 G.A. EDWARDS
Signs:
Miscellaneous:
ROUGH INSPECTION 6-•15-81 — G.A.EDWARDS
IF NO WORK IS DONE UNDER _ 1 `,•�
THIS PERMIT DURING ANY SIX ISSUED BY: -
MONTHS PERIOD, PERMIT Electrical Ir spection Supervisor
BECOMES VOID. '`