1860 Sherry Dr (vault) PREPARED 9/09/03, 8:16:30 INSPECTION TICKET PAGE 8
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 9/09/03
------------------------------------------------------------------------------------------------
ADDRESS . : 1860 N SHERRY DR SUBDIV:
TENANT, NBR: SCREEN ENCLOSE,EXISTCONCR
CONTRACTOR FLORIDA GEORGIA CONTRACTORS PHONE (904) 641-7010
OWNER BANKS, RICHARD PHONE
PARCEL 172020-0838- -
APPL NUMBER: 03-00026401 SCREENED ENCLOSURE
------------------------------------------------------------------------------------------------
PERMIT: BIDG 00 BUIIJ)ING PERMIT
REQUESTED INSP DESXII:TION
TYP/SQ COMPLETED RESULT RE 'T /COMMENTS
-------------------------------- -------------------------------------------------------------
16 01 9�109/03 LJ FINAL TIME: 08:00
.1�� �L\ ORDIA GEORGIA - MARYANN - 641-7010
-------------------------------------- COMMENTS AND NOTES --------------------------------------
Jul 15 03 05: 39p Florida Georgia Contract 904 642-9156 P. 1
�'Notjce of Commencement
County Of
The undersigned hereby informs all concerned that improvements will
be made to certain real property,and in accordance with Section 713-13
0 of the Florida Statutes(Revised 10-1-96),the following information is
in provided: Doc# 2003210610
M Book: I 11a6
CU ption of Property: 11A ;IL 0 C,-L. Ze Pave: 2350
Legal Descri Filed & RecqTded
�Oj 1 07/01/2003 12:20:48 PM
JIM FULLER
CLERK CIRCUIT COURT
General Description of improvements: DUYAL COUNTY
RECORDING $ 5.00
TRUST FUND $ 1.00,
OD
Owner's Name'. rd
0 AddresTr'
CA City: Zipcodc:
Owner's Interest in Property: ev-y:2�",—
Fee Simple Title holder(if other than-owner):
Name:—
I -
Address: Florida Georgia Contractors
Contractor: 1143 3 Saints Road x:(904)642-9156
Telephone:(904)641-7010 Fa
Surety: 'Not Applicable
Lender's Name and Address: Not Applicable
Persons within the State of Florida-designated by the Owtier upon whom notices or other documents may be served
as provided by Section 713.13(l)(a)7.,Florida Statutes:
Name:--I—e5�
Address:I F&K
Telepho6e:(_)
In addition to himself,owner designates the following Pffs0ri(s)to receive a copy of the Lienor's Notice as provided
in Section 71-3.13(i)(b),Florida Statutes:
Name-.
Addrcss�--
Telephone:(--j -Fax
Unless otherwise noted in this paragraph the expiration date of this Notice of Commencement shall be one(I.
calendar year from the date of recording'-
Owner's Name( ri
Signature:x,�,/-. &03
nd subscribed before me this day of
Wy ANNE CHRUM
y C;
M 7
-T Notary Public:
ON#CC 912984
my C"Issi 2004
EXPIRES'M&O 13,
jlj�hzrd lrdwd�ll AgoncV
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026401 Date 7/09/03
Property Address . . . . . . 1860 N SHERRY DR
Tenant nbr, name . . . . . . SCREEN ENCLOSE,EXISTCONCR
Application description . . . SCREENED ENCLOSURE
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6000
Owner Contractor
------------------------ ------------------------
BANKS, RICHARD FLORIDA GEORGIA CONTRACTORS
1860 NORTH SHERRY DR. 11433 SAINTS ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
(904) 641-7010
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 6000
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total 30. 00 30 . 00 . 00 . 00
Grand Total 90 . 00 90 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER- �FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS�ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICA13LE PROVISIONS OF LAW.
BUILDING OFFICIAL
C=FA-TLANTIC BEACH
0 (12 800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
-5800
TELEPHONE: (904)247
FAX:(904)247-5805
SUNCOM:852-5800
77 http://ci.atlantic-beach.fl.us
COMMENTS
PLAN REEVIEW
Permit Application #—CI) - Z e
Applicant: F-h--,rL r�r, 6 r\4rc, �c,,
Address: I D N k)Cr
Projecc.
Your application is approved
C3 Your permit application has been reviewed and the following items need
attention:
Please re-submit your application when these items have been completed-
Reviewed by
7':13 Dat
Signed
Contractor Notified Date
E 0
t:F CH
CITY OF ATLANTIC BEACH
oil 3 0 2003
ILDI G MIT APPLICATION
(ALTERATIONS/ADDITIONS)
Date.
Job Address: �cc "7' D11'
Owner of Property: i&OL.( —401-,
Address: 9.4~ 1 Telephone: 2-q 7 7,?
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: 6z;,,- t ou State License Number:C&$c O'e f 19 y C,
Fi,ZP1,0,C� oecfga/04 Vo"-rr-mc —4–>
r .. ,,4 we.
Contractor's Address: llq3j
Telephone: e W- 70/0 Fax:
Describe proposed use and work to be done: SCr-� li4,,1�5 C-A4
)C)c, f f,I 9!f"&A��-
Present use of land orbuilding(s):
Valuation of proposed construction:
What are the dimensions of the added space: feet x feet
Will the added area be heated and cooled? 'OV, New electrical or increase in service?
New plumbing fixtures? 4,'#, New fireplace? New heating/air conditioning?
Is approval of Homeowner's Association or other private entity required? 4,V. If yes,please submit with this application.
Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees?
r*`�I'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
Page 1 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atlantic-beach.fl.us Revised 1/14/03
CITY OF ATI=IC FIE=
=7--w-CfEL, ADDITIONS, OR A-Z--Lt�ZA r7fo
MC=G,
30 20 0 3
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CCEE 5-cm�, -vc== AND
T.A —RAc— R
717, C::N— -C
-a
m�jGI03
Swc= ta and me :'-is tay
ov E CHRISTIAN
M kRy C 7
P My COMMISSION#CC 912984
s EXPIRES:March J3,2004
Bo AgencY
Wd Thru pichard Insu
HONIEOWNER ENCLOSURE AFFIDAVIT
]'he purpose of ads document is to make you aware of ally limitations in the enclosure that is
being permitted.
Type_A: Ali C11CIOqUre with glass windows, insulated walls, with or without heat/air conditioning
is considered all addition by the code. This type enclosure has certain structural requirements,
requires footings and has certain electrical requirements.
EXCEPTION: In a retrofit of a type B enclosure, with glass/acrylic windows, footings will not be
required, provided both panes are ew,qily removable (XX sliders). Tile exterior must have at least
50% of it-, exposure made up of removable panels.
NOTE: Glass/Acryfic windows with ox of XO configuration niust meet all ofType A enclosure
standards.
Type : A screen enclosure or all enclosure with vinyl windows, is not considered an addition,
and has different structural and electrical requirements.
If you are installing aType B enclosure, it may be difficult to later retrofit toType A.
(,�CUA have read tile above, and am aware I am installing a Type
nderstand that according to tile current City
A--- B Ao� (check one) enclosure. I u
Building Code to have all enclosure with glass/acrylic windows consisting of one (1) fixed pane
and one (1) moving pane (OX or XCI) that tile enclosure is deterniined to be all addition and
needs to meet with all tile requirements of tile Type A enclosure. Ali enclosure that has windows
in which both panes operate (XX) and are easily removable is not considered an addition. The
addition of(X-X) sliders requires that tile enclosure meet tile electrical and footing standards of
the Type B enclosure while meeting tile structural requirements of the Type A enclosure.
If I chose glass or vinyl slider windows consisting of two (2) XX sliding panels, I understand that
tile City does not consider this room to be an addition, but a screen enclosure.
I understand that I am responsible for the removal of the glass/acrylic (XX) sliders or vinyl
windows ill tile event of severe weather. ]I, tile event of severe weather this enclosure (wridi XX
sliders or vinyl windows) is considered a screen enclosure and must have the panes removed to
meet that qualification.
Signature
(110meow" r)
Address: el
(D
(Notary)
My Commis on Expires: MARY ANNE CHRISTIAN
MY COMMISSION#CC 912984
EXPIRES'MarCh 13,2004
"I Bond�d Thoi P,chard Insurance Agency
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 60OC-97 Residential Limited Applications Prescriptive Method C NORTH 1 2 3
Small idditions,Renovations&Building Systems Department of Community-Af fairs :L1
Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated try the use of Form 60OC-97 for additions of 6W square feet cor less,site-installed componlinis
of manufactured homes,and renovations to single and mullifarnfly residences. Nlemative methods are provided for additions by use of Form 60013-97 or6OOA-97
PROJECT NAME: BUILDER: Florida Georqia Contractors
AND ADDRESS: PERMITTING CLIMATE
OFFICE: ZONE: 1 D 2 E 3
OWNER: A-P PERMIT NO.J JURISDIC11ON NO.: Lo
;MALL ADDITIONS TO EXISTING RESIDENCES(600 Square lost 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 heaUng 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 OC-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS,Only site.
Installed components&A features are covered by this form.BUILDING SYSTEMS Comply when complete Raw system is Installed. Please Print CK
1. Renovation, Addition, Now System or Manufactured Home 1.
2. Single family detached or Multifamily attached 2.
3. If Multifamily—No. of units covered by this submission 3.
4. Conditioned floor area (sq. ft.) 4.
5. Predominant eave overhang (ft.) 5.
6. Glass area and type: Single Pane Double Pane
a. Clear glass 6a. sq. ft. _sq. ft.
b. Tint, film or solar screen 6b. sq. ft. _sq. ft.
7. Percentage of glass to floor area 7. %
B. Floor type and insulation:
a. Slab-on-grade (R-value) Ba. R= lin. It.
b. Wood, ralsed (R-value) Bb. R= sq. ft.
c. Wood, common (R-value) 8c. R= sq. ft.
d. Concrete:raised (R-value) 8d. R= sq. ft.
e Concrete, common (R-value) Be. R= sq. ft.
9. Wall type and Insulation:
a. Exterior:
1. Masonry (Insulation R-value) 9a-1 R= sq. ft.
2. Wood frame (insulation R-value) 9a-2. R= sq. ft.
b. Adjacent:
1. Masonry (insulation R-value) 9b-1 R= sq. ft.
2. Wood frame (insulation R-value) 9b-2 R sq. ft.
c. Marriage Walls of Multiple Units* (Yes/No) 9C
10. Ceiling type and insulation:
a. Under attic (Insulation R-value) 1 Oa. R= sq. ft.
b. Single assembly (Insulation R-value) I Ob. R= sq. ft.
11. Cooling systern*
(Types: central, room unit,package terminal A.C., gas,existing, none) 11. Type:
SEER/EER:
12. Heating systerni"': (Types:heat pump,elec.strip,natural gas,L.P.gas, 12. Type:
q�s h.p.,room or PTAG,existing,none) HSPF/COP1AFUE:
13. Air Distribution Systern*: -
a. Backflow damper or single package systems* (Yes/No) 13a.
b, Ducts on marriage walls adequately sealed* (Yes/No) 13b.
14. Hot water system: 14. Type:
(Types:elec.,natural gas,other,exisiting,none) EF:
Pertains to manufactured homes with site Installed components.
I hereby cattily that the lans and specifications covered by the calculation ar�ln Review of plans and specifications covered by Ihis calcuialion Indicatits comolancq
compliance with It F Eneraifode. with the Florida Energy Code. Before construction Is complMad,this building w1l be
i� Y--� --,-/ Inspected for compliancis in accordance with Sedion 553.908,F�S.
PREPARED BY: 1- —' ——I-4� 0 A T F 1192
�F BUILDING OFFICIAL:*
I hereby certify lh=atTi In o=om I im F Ener��
-- :�4 "11-14 —
OWNER AGENT: DATE: DATE!
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-----------
Jul 03 03 11: 12a Florida Georgia uontract ZIU-t onc-01—
SECTION I SCREENED ENCLOSURES
rEIC N
:0
T
114"x 6"RAWL TAPPER ALUMINUM FRAME SCREEN
THROUGH 1"x 2*AND WALL
R R OWLor
K INI
5 01
OWLOCK INTO FIRST
COURSE OF BRICKS CAP BRICK
BRICK KNEEWALL TYPE'S'
MORTAR REQUIRED FOR
ALTERNATE CONNECTION OF LOAD BEARING BRICK WALL
SCREENED ENCLOSURE FOR
BRICK OR OTHER NOW 4-(NOMINAL)PATIO
STRUCTURAL KNEE WALL CONCRETE SLAB W1 6 x 6-
I'WIDE x 0.063"THICK STRAP 10 x 10 WELDED WIRE MESH
@ EACH POST FROM POST TO OR FIBER MESH CONCRETE
FOOTING W/(2)#10 x 314"
16
S.M.S. STRAP TO POST AND 4 (3)#30 BARS OR(1)
(1)1/4'x 1-314"CONCRETE #50 BAR W1 2-112"COVER
ANCHOR TO SLAB OR
FOOTING (TYP.)
BRICK KNEEWALL AND FOUNDATION FOR SCREEN WALLS
SCALE: 3/4'"= V-0' �3�#3 BAR CONT.OR
1 #5 BAR CONT.
#3 BAR CONT.OR
Z-0" N. 3-`112' P 1 9.5 BAR CONT. 14 —
ALL SLA
BEFO SLOPE
v-
TIR M11-111-11 III'
8
TYPE I TYPE 11 TYPE III
FLAT S E I NO FOOT MODERATE SLOPE FOOTING STEEP SLOPE FOOTING
> V-10"
2"112"-V-10"
NOT". , W, CE T WdQ..612DRESSING EROSION UNTIL T DT
TES: 1. NO FOOTING REQUIRED EX
1� DIRECTI T"P:PRIM FT.,THEN A TYPE it FOOTING IS
(4-NOMINAL)THICK.
;ING EROS'O NT L
_.THEN A PE "0
FT OMI " 0
Ty TING IS
DT
I
FIQUIRED. SLABS SHALL BE A MINIMUM OF 3-1/2 4-N IL NAL)T HICK U
M S
ATIONS SHOWN ARE BASE UN A MINIMUM SOIL BEARING PRESSURE OF 1.500
FIED I PRI R To PLACING THE SLAB,BY
PSF.BEARING CAPACITY OF SOIL SHALL.BE VERIFIED.PRIOR TO PLACING THE SLAB,BY
FIELD SOIL TEST OR A SOIL TESTING LAB.
D B IS OOTS COMP C 1)
3. THE SLAB I FOUNDATION SHALL BE CLEirkRED OF DEBRIS,ROOTS,AND COMPACTED
PRIOR TO PLACEMENT OF CONCRETE.
4. MONOLITHIC SLABS AND FOOTINGS SHALL BE MINIMUM 2,500 PSI CONCRETE WITH
6 x 6-10 x 10 WELDED WIRE MESH OR FIBER MESH MAY BE USED IN LIEU OF MESH.
c 5. IF LOCAL BUILDING CODES REQUIRE A MINIMUM FOOTING USE TYPE il FOOTING OR
FOOTING SECTIONS REQUIRED BY LOCAL CODE. LOCAL CODE GOVERNS.
A P P R 0 V E D
SLAB-FOOTING DETAILS CITY OF AT LAiq I IC �-3 EACH'
��,�LFL 314. V-0" BUILDING OFFICE
OUL 0 7 20113
Lawrence E. Bennett 39PY
CML ENGINEER-DEVELOFVENT CONSUL TANT'
P.O.BOX 4368.SOUTH DAYTONA,FL 32121
TE�EPHDNE(380)76TAT74
FAX(3M)767-6556
5EAL I I
PAGE 0c COPYRIGHT 2002 N pERMiSSION OF LAWRENCE E.BENNETT,P.E.
1-48 NOT'TO BE REPRODUCED IN Wi MEP�R+008py
AF 141320
MAP SHOI�WG SURVEY OF
A�49111,4 OUT A60. 10-C
Recarded in Flat Book--.3.7---Page......—40.......... /---------Publit Records"of Duval C
LEGEND 11N.6-B&ILDf R5,.INK.........................
r,.enotea Iron R. L. CROASDELL & COMPANY NOT INC. Date—dawsr-6,
_x—x— Denote& Yen" CIVIL ENGINEERING & SURVEYING
P.R M. DenoLx-s Permanent
Reference Monument 429 East Adams Street Jacksonyille. Fid. Scale 1
CERTIFICATE: This survey meets the minimum technical standards
for a boundary survey set forth by the Florida Board of Land.
Surveyors , pursuant to Section 427.07, Florida Statutes.
SlGt4ED:
17
0/5 '3
t, 77
9
115.68 '
Q)
r
V Cl<
x "44
Z�z..........
14-)
41.a
Atlantic Beach
Plaring:YsInd Zoning De4n,
114.64 ' This approval vermes emnorm Icable
0? zonFn—g, subdivision a othsiL logal land
tvelopment regulations,Voniodow-co titute
rovel for the Issuance of permits. Com lianoe
other a p licable
with Florida Building Code and 0"
111h
r to I
co
Com
/9 local, State and Fade I rrnitti
z- ittin=, r�eqLaTr nments
Yr pro,of the MY 01 lantic
must be verlfl d b ;s natu 0
0' 1 11
Beach BuIldin I I prior to the su of a
-4 11din P Ig '0
Bu g armnit.1 10
nrnwad
/CommunVPev-elopmen Irecil
t Date:
Job No -6'so 4 0 -561 57
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
FAX:(904)247-5805
SUNCOM:852-5800
http://ci.atlantic-beach.fl.us
PLAN REVIEW COMMENTS
Permit Application
Applicant: F-I�Y-t n4e-'
Address: OU o e C. r, IT
Projed:,<�(4#(eer\ C.
0 Your application is approved
0,–Your permit application has been reviewed and the following items need
attention:
AAA V477
�7
C45�> 0 C-D
Please re-submit your application when these items have been completed.
Reviewed by
Signed —Date
Contractor Notified Date
RECEIVED
C I TY 0 F�,AT LA�N T I C B�E A��C H
BUH DING & ZONING
CITY OF ATLANTIC BEACH
JUN 3 0 2003
BUILDING PERMIT APPLICATION
(ALTERATIONS/ADDITIONS)
BY:
Date:
a6d V
Job Address:
Owner of Property: Telephone: 2-q 7 M'
Address:
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: State License Number:5'& 0Vf
UcrJ7ZAC' 7V
1,LX I l�;to 'a 'ei"I
Contractor's Address: i q 2 1 -4
Telephone: 4 W- 7alo Fax:
Describe proposed use and work to be done: SCO.At A45, "C-5 e-AJ
Present use of land or building(s):
Valuation of proposed construction:
What are the dimensions of the added space: feet x feet
Will the added area be heated and cooled? /1-10 New electrical or increase in service?
New plumbing fixtures? *-@, New fireplace? olVel New heating/air conditioning?
is approval of Homeowner's Association or other private entity required? 4,,V- if yes,please submit with this application.
Will this project involve changes in elevation,site grade or any use of rill material or the removal of any trees?
NNO. Applicant certifies that no change in site grade or fill material will be used on this project.
ffYES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit. roject.
NO. Applicant certifies that no trees will be removed for this p S REQUIRED. Tree
YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT I
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 appy9priate.
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.ci.atiantic-beach.fl.us Revised 1/14/03
Page 1
in addition to construction and engineering detail,plans must contain the following information as appropriate for the t)W 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 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.
I hereby certify that all information provided with this application is correct.
Date:
Signature of owner:
I 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 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 marmer,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 being true and correct and that the plans and supporting data have been or shall be provided as required.
Date:
Signature of Contractor:
Address and contact information of person to receive all correspondence regarding this application (please print).
Name:
Mailing Address:
Telephone: Fax: E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this day of .20
State of Florida,County of Duval
Notary's Signature:
Ej Personally known
FI Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20-.
State of Florida,County of Duval
Notary's Signature:
Personally known
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 1/14/03
Page 2
NOTICE OF COMMENCEMENT
State of Tax Folio No.
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:
General description of improvements:
Owner:
Address:
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Address:
Contractor:
Address: Fax No:
Phone No:
Surety(if any): Amount of Bond$
Address: Fax No:
Phone No:
Name and address of any person making a loan for the construction of the improvements.
Name:
Address: Fax No:
Phone No: r other
Name of person within the State of Florida,other than himself, designated by owner upon whom notices o
documents may be served:
Name:
Address: Fax No:
Phone 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(2Xb),Florida Statues. (Fill in at Owner's option).
Name:
Address: Fax No:
Phone 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):
TI-HS SPACE FOR RECORDER'S USE ONLY Signed: OWNER Date:
Before me this day of in the County
of Duval, State of Florida,has personally appeared
Notary Public at Large, State of Florida,County of Duval.
My commission expires: or
Personally Known:
Produced Identification:
HP OfficeJet K Series K80 Log for
Personal Printer/Fax/Copier/Scanner Information Systems
247-5845
Jul 02 2003 12:30prn
Last Transaction
Date Time jype Identificatio Duration Pages Rmh
Jul 2 12:29pm Fax Sent 96429156 1:04 2 OK
CITY OF ATLANTIC FLEACH -------
, E D
P-T-MMTT APPLICATION RM,160DEL, ADDITIONS, OR ALT-HaZATIONS 6EACH
NIING
MOVING, DMVICLITIONS
JUN 3 0 2003
C w-. e s A.,
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WD PLANS, Z2fC—'rUr---VG
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S= PLAN, SURVE—f, zmp�—c ccrx yc== AND
ICONT—RACT= A:----Z-T'ZAT/--r7, LF CW2=- 15 C:�-N--RAC--CR-
a 7:-2
C- Date:
S I gn.a C'C IN R:
003
e s tav of Nil-
-,crn to and --er-.re m
ov E CHRISTIAN
M m 7
CC g12984
my COMMISSION#
13,2004
EXPIRES:March
Bo ded ThTu Pich8rd Insurer1co AgencY
i5l,"
HOMEOWNER ENCLOSURE AFFIDAVIT
Tile purpose of this document is to make you aware of any limitations in the enclosure that is
being permitted.
17ypq_A: Ali enclosure with glass windows, insulated walls, with or without heat/air conditioning
is considered all addition by the code. This type enclosure has certain structural requirements,
requires footings mid has certain electrical requirements.
EXCEPTION: In a retrofit of a type B enclosure, with glass/acrylic windows, footings will not be
required, provided both panes are easily removable (XX sliders). Tile exterior must have at least
50% of it-,exposure made up of removable panels.
NOTE: Glass/Acrylic windows with OX of XO configuration must niect all of Type A enclosure
standards.
Type : A screen enclosure or an enclosure with vinyl windows, is not considered an addition,
and has different structural and electrical requirements.
if you are installing a Type B enclosure, it !Iiay be difficult to later retrofit toTypc A.
I � I Aaeij Bcuo' have read the above, and am aware I am installing a Type
(honieownc!)o
A_-- B A,!!� (check one) enclosure. I understand that according to the current City
Building Code to have all enclosure will) glass/acrylic windows consisting of one (1) fixed pane
and one (1) moving pane (OX or XO) that the enclosure is detcniiiiicd to be all addition mid
needs to meet with all the requirements of the Type A enclosure. Ali enclosure that has windows
in which both panes operate (XX) and are easily removable is not considered an addition. The
addition of(XX)sliders requires that tile enclosure meet tile electrical and footing standards of
the Type B enclosure while meeting tile structural requirements of die Type A enclosure.
if I chose glass or vinyl slider windows consisting of two (2)XX sliding panels, I understand that
the City does not consider this room to be all addition, but a screen enclosure.
I understand that I am responsible for tile removal of tile glass/acrylic (XX) sliders or vinyl
windows ill the event of severe weather. In the event of severe weather this enclosure (with XX
sliders or vinyl windows) is considered a screen enclosure and must have the panes removed to
meet that qualification.
Signature (homeown r) ate)
Addres, e,
(Notaty)
My Colillilis Oil Expires: MARY ANNE CHRISTIAN
MY COMMISSION#CC912984
EXPIRES:March 13,2004
Bmd�d Thlu Pidtard Insurance Agency
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 60OC-97 Residential Limited Applications Prescriptive Method C NORTH 1 2 3
Small idditiorfs,Renovations&Building Systems Department of Community-Aff airs
Compliance with Method C o(chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-97 to(additions of 600 square feet or less,site-installed componons
of manufactured homes,and renovations to single and multifamily residences. AJIemative methods are provided for additions by use of Form 6"-97 or 6WA-97.
PROJECT NAME:1 BUILDER: Florida Georqia Contractors
FAND ADDRESS: PERMITTING ICLIMATE I []2
IZONE:
0 OW R. ThFIVIT NO. JURISDICTION NO.:
01
NE I A-Li LZJIIITP14-i[�]�
WNER:
SMALL ADDITIONS TO EXISTING RESIDENCES(600 Square feet or loss 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 hosting,cooling,and water heeling equipment efficiency levels must be met only when equipment Is Installed
specifically to servo the addition or Is being Installed In conjunction with the addition construction. components separating uncondItIoned spaces from conditioned spaces must
meet the proscribed 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 orgy to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site-
Insianed components and features are covered by Oft form.BURDING SYSTEMS Comply when complete naw system N ln';100d. Pleas* Print CK
1. Renovation,Addition, Now System or Manufactured Home 1.
2. Single family detached or Multifamily attached 2.
3. If Multifamily-No.of units covered by this submission 3.
4. Conditioned floor area (sq. ft.) 4.
5. Predominant eave overhang (It.) 5.
6. Glass area and type: Single Pane Double Pane
a. Clear glass 6a. sq. ft. _sq. ft.
b, Tint, film or solar screen 6b, sq, 11, _,5q* 11,
7. Percentage of glass to floor area 7. %
B. Floor type and Insulation: Ba. R= lin. it.
a. Slab-on-grade (R-value)
b. Wood, raised (R-value) 6b. R= sq. ft.
8C. R= sq. ft.
c. Wood,common (R-value) 8d. R= sq. ft.
d. Concrete:raised (R-value)
e.. Concrete, common (R-value) Be. R= sq. ft.
9. N�all type and Insulation:
a. Exterior: 9a-1 R= sq. It.
1. Masonry (insulation R-value)
2. Wood frame (insulation R-vaiue) 9a-2. R= sq. It.
b. Adjacent: 9b-1 R= sq. I I.
1. Masonry (insulation R-value)
2. Wood frame (Insulation R-value) 9b-2 R= sq. ft.
c. Marriage Walls of Multiple Units* (Yes[No) 9C
10. Ceiling type and Insulation:
a. Under attic (insulation R-value) 1 Oa. R= sq. ft.
b. Single assembly (Insulation R-value) I Ob. R= sq. ft.
11. Cooling system*
(Types:central, room unit,package terminal A.G.,gas,existing,none) 11. Type:
SEERIEER:
12. Heating systems: (Types:heat pump,Bloc.strip,natural gas,L.P.gas, 12. Type:
g�s h.p.,room or PTAG,existing,none) HSPF/COP/AFUE:
13. Air Distribution System*: -
a. Backf low damper or single package systems* (Yes/No) 13a.
b. Ducts on marriage walls adequately sealed* (Yes/No) 13b.
14. Hot water system: 14. Type:
(Types:elec.,natural gas,other,existing,none) EF:
Pertains to mandfactured homes with site installed components.
I Ehereby cerill that the plans and specifications covered by the calculation a( in pehrfew of4ens and specifications covered by this calcuiaiion Indicalfts compliancrf
VA the
F Ener fF da Energy Code. Before construction is completed.this building will be
compliance YN 45 Inspecied lor compliance In aocordancs with Section 553.908,F.S.
P'E , - ' DATE: -
REPAnED BY: F
I
E ly the
I hereby certi I Energy BUILDING OFFICIAL:*
DATE:
OWNETI AGENT DATE:
AF t41328
MAP SHOq7NG SURI.VEY OF
0-T--1
11 IT NO, /0-C
ge---------4-0.'
- --------Public Records of Duval Cc
Recorded in Plat Book---..3.7---—----Pa --------
for:_.f_,gfRL1
-N.6-.,ffUJL.DfR5,.1NK. ..........
LEGEND R. L. CROASDELL & COMPANY NOT INC. Date..-,441,6i1sr--,6-,
0 Denotes iron CIVIL ENGINEERING & SURVEYING I
Scale 1FF .-Zjo
X—s—z— Denotes Fence
F.R.M. Denotes Permanent 429 East Adams Street - Jack.sonville, Fla.
pwterence Monument /2
14
%A�
19
technical standards
CEPT.IFICATE: This survey meets the minimum
for a boundary survey set forth by the Florida Board of Land.
Surveyors , pursuant to Section 427-07, Florida statutes.
S I Gf4ED:
/-7
7-7-15 '34
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/9
Job No
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000074 Date 1/26/09
Property Address . . . . . . 1860 N SHERRY DR
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
driveway concrete to pavers
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BANKS, RICHARD CHARLES WILLIAMSON MASONRY, INC
1860 NORTH SHERRY DR. 814 N. 7TH AVENUE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-7466
----------------------------------------------------------------------------
Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/25/09
----------------------------------------------------------------------------
Special Notes and Comments
Roll off container company must be on City approved list
and cannot be placed on City right-of-way.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
?)H-3-4S a-0
CITY OF ATLANTIC BEACH
A-
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
800 Seminole Road 904-247-5800
Atlantic Beach,Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION.
Date / I
PERMIT
Job Address & ISSUED BY THE CITY
Permitee: 60�94C:!� 41(111;01n5&7 eV,4;g219
Telephone#
Permittee Address:
_2 -7
Requesting Permission to qonstruct. r:w le, 9054�11Z�Iec_ 115�oxlwa
P,6�
Location: (Reference to Cross-Street)
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( ) No ( ) Date:
Bell South Telephone Company Yes ) No ( ) Date:
Ferrell Gas Yes No Date:
Comcast Yes No Date:
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 Permlittee unless reimbursement is
authorized.
3. All work shall meet City of Atlantic Beach or Florida epartment of Transportation Standards and be
performed under the supervision of (Contractor's Project
Superintendent) located at 1;1eJY941, RJXV� -Telephone#:
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. Calculations showing any increase in impervious area on owner's lot or in the ci
Right of Way are to be included with this application.
7. This permittee shall commence actual construction in good faith with 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 "-711
Arvvlo �',�MAN
SUSAN S-
3669
necL- Date: C0'1i4Lo_
Before me this day of eld in the County of Duval, _XPIRFS-F( 2011
M N
�68
o' S�m Co
State Of Florida,has personally appeared ZE, 7) /V �l F1 Xr—, ssoc.Co,
Notary Public at Large,State of Florida,County of Duval.
My Co SSon eX ires: C)IL —Personally Known:,,
p
L4 J. Ll L, _It S Produced Identification:
FILE COPY
USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change
within thirty(30)days after the day of completion.
This permit shall inure to the benefit of, and be binding upon, the USER and their respective
successors and assigns.
USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY
laws and/or specifications, to include utilities locate requirements and use limitations/requirements of
public rights-of-way and other public land. USER further agrees that the CITY and its officers and
employees shall be saved harmless by the USER from any of the work herein under the terms of this
permit and that all of said liabilitieWe hereby assumed by the USER.
DATED and SIGNED this day of jo-n(A c.r L, 200
CITY OF ATLANTIC BEACH, FLORIDA, By:
a municipal corporation: 4Property/Owner
By:
Jim Hanso�,Cp
Manager
Rick C Public Wo Director
STATE OF FLORIDA
COUNTY OF DUVAL
ore me, a Notary
On this day of n Lj_C' 20 personally appeared bef
the property owner of
Public in and for said County guii'State, <' I
1'pi�) �" Ael Atlantic Beach, Florida, known to me to be the person(s)
described in and who executed the foregoing instrument; who acknowledged to me that he or she
executed the same freely and voluntarily and for the uses and purposes therein mentioned.
cs-�� By:�
Notary Public in f&said County and State Property Owner
(to be signed in presence of the Notary)
=* SUSAN SPEAKS GORMAN
c� SON 8 FLO)Z104
MY COMMISSION#DD643668
ry oil
WIRFS:=February25,2011
C
y FI.No'.a,71) ountAssoc.Co.
Page 2 of 2
R.O.W.Permit Attachment of for
R.O.W.Permit# issued -2005 Atlantic Beach,FL 32233
Owner's Name:
Property Address:
Subdivision:
Lot#/Block#:
R.E.#:
REVOCABLE ENCROACIRVIENT PERMIT
THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of
, 2005, by Atlantic Beach, Florida, a municipal corporation orgzqyzed and existing
under the laws of the State of Florida, hereinafter referred to as"CITY"and z
.10�ZA��01/v
of Atlantic Beach,Florida,hereinafter referred to as"USEW'.
WITNESSETH:
That the CITY does hereby grant the USER permission on a revocable basis as described herein the
right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of
Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached).
This work is generall described as: C-
Nvl/VTI�K. .. rAkzq_-L_
Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted
remains subject to relocation or removal on thirty (30) days notice by CITY to the USEI;� said notice to
USER shall be given by certified mail, return receipt requested to the following address:
.41-mazze
The depositing of said notice of cancellation in the United States mail shall constitute the notice of
cancellation and the burden is upon USER to keep the CITY informed of USER's proper address.
The USER shall promptly make any and all necessary repairs to any facility erected or maintained in
the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe
condition.
In the event it is necessary for the CITY or the City's approved representative or other franchised
utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's
sole expense, any and all material necessarily displaced during the action of maintaining, repairing,
operating,replacing,or adding to of the utilities and facilities of the CITY or franchise utility provider.
The facilities allowed by the permit shall meet the current requirements of the City Code, Building
Codes,Land Development Code,and all other land use and code requirements of the CITY.
The USER, prior to making any changes from the approved plans and/or method, must obtain
written approval from the City of Atlantic Beach, Public Works Department, for said change. The
Page I of 2
Fax:SO4-448-4363 Jan 14 2009 .1.19 P.01
Yd AURI
Yj
Rec�rded im Pbt'Re" -17
JIM0,4 q D.,w
for:
LXGZND
III-w—Ifth R- L- CROASDELL & CoMpAMV Nor INC
I-X-X� be"&"view CIVIL SHOINSMING SVJtvgr?NG j
PAM D"Otm POMMMU
R&SWenin NOWSWO 429 tat Adwu Stmet rackjanylik, FM
fA 5r.gtt I
/9
-,CEnZTlEj=- . ThIs survey meets the minimum technical stantc! rds
for a boundary survey set forth by the florid* Soard of Land.
Surveyoro, pursuant to Sectiom 427.Q7* Florida Stat4tes.
Post-Ir Fax Note 7671
Tc;r
&914-4-a4
PL,
Or.
Al
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40
public Works Plan Re'view C"Meuts
initiau. J
Date,
n Permit it. 09 -
project Name/Address: Applicatio
,,,Chedki'Box
M
W:
i mments
inca-ft nlIrae
omimept
0
Provide impervious surface calculations*
Provide er Sion and sediment control P ans with installation details and maintenance
schedule. Lowing site topographY (flow arrows' etc') 0
provide drainage 11 plans S Rigthit-of- ay Permit if using
Provide construction site manage PI including it/
_of 't parking.
ri _w for construc ion ey prepared by a Florida Licensed 0
n topographic
Provide a pre-constructi 1, contours-
ur, I on-site storage for
professional Land S 1 le or, s ment Regulations requires
Section 24-6 f the Land Develo calculations and on_site retention required
increased runoff. Provide Delta vO
er Section 24-66(b). (See attached info. Sheet) ographic survey documenting
If on-site storage is required, a p. st construction to
ICL
ro er construction will be Te uIre 0
A Right-Of-Way permit must be obtained for use 0
A Revocable Encroachment Permit must be obtained. from
Pool—W oint(if used)must discharge into vegetated are 10 0
street or dr e feature, (Swale, structure or I 0,1001a). 4000 psi,with fibermesh from
All driveway aprons must be concrete, 5 inches 0
operty line. Reinforcing rods or mesh are not
the edge of the Pavement to the P,ri driveways—6" thicV).
all d the ROW (COMmerr"all I ase X and
owe mustberepp edusing OjStandardD 1 0
An-V uWiq cuts in the ro in each direction from the center of the cut. Repair must be
must be overlaid 10 feet ed on
shown the plans. e on city approve list and cannot be plac
ROU off container company must b
City right-of-way. 0
0
0
0
PREPARED 1/23/09, 13 : 47 : 08 PAYMENTS DUE RECEIPT
CITY OF ATLANTIC BEACH PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER: 09-00000074 1860 N SHERRY DR
FEE DESCRIPTION AMOUNT DUE
-------------------------------------------------------
DRIVEWAY PERMIT 35 . 00
TOTAL DUE 35 . 00
Please present this receipt to the cashier with full payment .
City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Department.)
Building Department
800 Seminole Road
7'/
Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us LDate routed:
City web-site: hftp://www.coab.us <0
'9
APPLICATION REVIEW AND fRA/C' KING FORM
Department review required Yes 14—o
Building
Property Address: IP40 /I/ '�Awf 2�a M ing &Zoning
P;T�reeAdawustrator
r
Ic
Applicant: Vblic
Public Utilities
Project: o'qy ftnew 7-� J2 _P09V Public Safety
Fire Services
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
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: FlApproved. [-]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by: Date:22�__�
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:
2
p-4
IA-
77
�e Y
Z VA A��4 i�W,4 4��/7- le:2—
zor BUILDER MUST SET CORNER STAKES
LOCATING HOUSE IN RELATION TO
TREES AND RADE PRIOR TO FINAL
'EES AND E PRIOR To FIN
P"OT P ROVAL BY SPECIAL
JA
__S
._S
APPROVED AD'.-I G
CITY (IF ATLANTIC BEAM
BUILDING OFFICE
JUL 2 3
DATE:
Ry CWAJEP-
LAT- e)(G z
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PSR-38:4 13399
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION ------ ------- LOCATION INFORMATION
Permit Number : 13398 Address : 1860 SHERRY DRIVE NORTH
Permit Type:REMODELING ATLANTIC BEACH , FLORIDA 3223 -
,'-'lass of Work:REMODEL --------- LEGAL DESCRIPTION -------
Constr. Type:WOOD FRAME Block: 10C Lot : 18 Twp:
Proposed Use: PATIO,/DECK Section: 0 Subd: Rng*
Dwellings : 1 Subdivision: SELVA MARINA
Est . Value: 0 . 00
Improv. Cost : 7 , 000 .00
Total Fees : 67 . 50
Amount Paid: 67 , 50
T)a t e R-A 4 ri - 2 /23 11997
�R: 111TNC,' (1.ARA(",TP TNT ) STUT)TO PFR PLANS
-DWNER INFORMATION -------- APPLICATION FEES ------
Name : RICHARD A. & NANCY M. BANKS PERMIT 67 . 50
Addr : 1860 SHERRY DRIVE NORTH
ATLANTIC BEACH � FLC)RIDA
Phone: ,' 904)247-3678
----- CONTRACTOR INFORMATION
Name: PROPERTY OWNER
Addr :
Lic ' Exp*
TYpe: I
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.55
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. !67.50 14
Q 21 Rerpipt RR36906 ,
-fttn--&kUW
CHECKS
ATLANTIC BEACH BUILDING DEPARTMENT g@108003221060
By:
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHE T
Address— vt C7-- et a 0 Dec
Date
Heated Square Footage $ per sq ft = $
Garage/Shed @ $_per sq ft = $—
Carport/Porch �tUf% "I'01 @ $_per sq f t = $
Deck @ $_per sq ft = $—
@ $ per sq ft = $
Patio C'O
TOTAL VALUATION : '1600
Z0
0— s—z�
o'C-al Valuation 1st $ e,
s
Remaining Value per thousand
or portion thereof
TOTAL BUILDING FEE
+ 1/2- Filing Fee
( ) Fireplaces @ $15 - 00
BUILDING PERMIT FEE
WATER IMPACT FEE
SEWER IMPACT FEE
WATER METER/TAP
CAPITAL IMPROVEMENT
SEWER TAP
) RADON (HRS) . 0050
SECTION H PAVING (
HYDRAULIC SHARES
CROSS CONNECTION
) SURCHARGE . 0050
OTHER $
GRAND TOTAL DUE $- 7 -2
ADDITIONAL PERMITS OR FEES: Mechanical_; Plumbing
Electric/New Electric/Temp_; SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES :
RECEIVED
FFS 12 1997
CITY OF ATLANTIC BEACH CitY of Atlantic Beach
PERJ-ffT APPLICATION REMODEL, ADDITIONS OR ALTERM�949d Zoning
DEMOLITIONS
Owner(s)gichard A. and Nancy M. Banks
Address:]860 North Sherry Drive, Atlantic Beach Phone: (904) 247-3678
Lot # 18 Block or unit� # 10-C Subdivision: Selva Marina
Contractor: Owner
State License 14t
Address: Phone No:
Describe work to be donRemodel existing garage to include a heated/cooled studio above,
in accordance with attached plans. All construction will be within existing structure.
Electrical and roofing work(sky lights)to be performed by licensed contractors.
Present use of building:Single family home.
Valuation of Proposed construction: $7.000
Proposed use: Single family home - studio/recreation area.
Is this an addition? No If yes, what are the dimensions of the added
space: ft. X ft. Will the added area be heated and
cooled?y,, New electrical (or increase) ? Yes
New plumbing fixtures?N0 New fireplace? NoNew Heat/AC? Yes
SUB141T TIEU7 (CObO-1ERCIAL) TWO (RESI.DENTIA-L) COMPLETE SETS OF PLAYS, INCLUDING
VIS NOTICE OF COMMENCMdENT, AND
VCOVE& ,
OWNERIcoxTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR.
signature OWNER-J:� Date:-
Signature CONTRACTOR: Date:
License supplied:
Liability insurance: 96
Worker's compensation Insurance: V.,
BUILDING PERMIT APPLICATION
City of Atlantic Beach
Owners: Richard A. & Nancy M. Banks
Location: 1860 North Sheny Drive, Atlantic Beach, Florida 32233
Lot - 18, Unit- I OC, Selva Marina
Description: Remodel of existing garage to include heated/cooled
room above. Construction will be totally within existing
structure. Electrical and roof work (installation of sky
lights) to be conducted by licensed sub-contractors.
A new frame, load bearm' g wall will be built within the
existing frame walls. This will allow for support of 14"
Trussed Joist I-Beams to span parking area of garage.
This will also preclude placing additional stress on
existing frame walls.
Contents: Application
Notice of Commencement
Owner/Contractor Affadavit
Site Plan
Plans
ORIGINAL
CITY OF
Fead - 5&u�da 800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
CHAPTER 489, FLORIDA STATUTES, PART I �CONSTRUCTON CONTRACTING" REQUIRES OWNER/BUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 469. 1 03(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT
UNDER AN E:XEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS 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 OR 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. IF YOU SELL OR LEASE A 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 IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON As YOUR CONTRACTOR.
YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR
RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REOU RED BY STATE.LAW AND BY
COUNTY OR MUNICIPAL LICENSING ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY
USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,0(:)0) BE UNDER A BUILDING PERMIT AND PASS
ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIR
UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON
THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF
UNLICENSED CONTRACTORS.
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS
WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS
THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE: IRS WITHHOLDING TAX AND/OR
FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-226( 1). AN �OCCUPATIONAL LICENSE" IS NOT ADEQUATE.
THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTFZACTOR. TELEPHONE THE BUILDING DEPARTMENT (247-
5826) IF IN DOUBT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL
THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BuILDER PERMIT.
'14RIOPERTY OWNER�/ UILDER
ADDRESS TELEPHONE
ig,
0
SWORN TO AND SUBSCRIBED BEFORE ME THI!S F
NOTARY PUBLIC
NOTE: PHRASES UNDERLINED ABOVE my COMMISSION EXPIRES:
ARE EMPHASIZED BY THE BUILDING
DEPARTMENT. P&cia Amonette
My COMMISSION#cc553881 EXPIREF
August 27,20M
BONDED THRU TROY FAIN INSURANCE,INC.
FLA IS97 LAWS 911A.Mco FOR" AOO
FS 711.13
- ..1L6C-y4I
Zo fu�am if n= rcaturn:
The underslqned hereby informs all concerned that 'improvements will t>e made to certain real
property, and in accordance with section 713.13 of the Florida Statutes, the following information
is stated in this NOTICE OF COMMENCEMENT.
Descriptionof property.............................................................................. ......................................................................................................
LOT 18, UNIT 10-C, SELVA MARINA SUBDIVISION, ATLANTIC BEACH, FL
. -..............................................................—.—.................................................................................... .....:...... ........
1860 NORTH SHERRY DRIVE, ATLANTIC BEACH, FL 32233
..........I....................................................................................--............................................................................ ................
.................................................................................................................I.......................................................... .......
General of imq>royernen1s...............................................................................
REMODEL OF EXISTING GARAGE TO INCLUDE HEATED/COOLED ROOM ABOVE.
-. .................................................................................................................I...............................................
ALL CONSTRUCTION TO BE WITHIN EXISTING STRUCTURE.
.....................................................................I...........................................................................................................................................
RICHARD A. Cox NANCY M. BANKS
Owner ................................................................................................................................. ......................................................................................
1860 NORTH SHERRY DRIVE, ATLANTIC BEACH, FL 132233
Ajdress.........................................................................................................................................
PRESENT RESIDENCE
Owner's iNerest in s�ie of Ike improyem,*nt............................................................................ --—---------------------------
Fee Simp4o Tido h�!Jor (if c>tkar than ownor)
NONE
Name..............................................................................................................................................................................................................................
x6drez........................................................................................................................................................
. OWNER
Contra-dor..............................................................................................................................................................
................................................................................................................................................................ .......
NONE
&Lwery (if any)..................................................................................................................................................
A"&�u........................................................................I............................................................................Arno�x* of 6ond ..........................
Narno of "rion w�k�n tk4 Stjbi* of Flori& 8*s;qrai*,d Ly own*r upon wbom no6ces or o6w docunverts may
6* "rya&
NONE
Name ..................................................................................................................................................
A"*14..........................................................................................................................................................................—-------------------------
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 .....................................................................................................................................................................
...................................................................................................................................................
THIS SPACK FOR PIXCOPRIDIA'S USK ONLY
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MAP SHOWING SURVEY OF
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LEGEND R. L. CROASDELL & COMPANY NOT INC.
Denotes Fcnc* CIVIL ENGINEERING SURVEYING
Reltrenc* Monument 429 fast Adams Street Jacksonville, Fla*. Scale I"
CEP,TIFICATE: This survey meets the minimum technical standards
for a boundary survey set forth by the Florida Board of Land.
Surveyors , pursuant to Section 427.07, Florida Statutes .
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PSR-3844 11758
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION ------ LOCATION INFORMATION ---
Permi*1 Number*: 11758 Address : 1860 SHERRY DRIVE NORTH
Permit Type :BUILDING ATLANTIC BEACH . FLORIDA 3223-
Class of Work : DECK --------- LEGAL DESCRIPTION ---------
Constr . Type:WOOD FRAME Lot : 18 Block: 10C Section:
Proposed Use: PATIO/DECK Plat Book : Page:
Dwellings : 1 Subdivision: SELVA MARINA
Est . Value: 0 . 00 --------- OWNER INFORMATION ---------
improv . Cost : 1 , 000 �00 Name:RICHARD A. & NANCY M. BANKS
Total 74i�e— 30 .00 Address : 1860 SHERRY DRIVE NORTH
Arnoun� 30 . 00 ATLANTIC BEACH . FLORIDA 3223-
FiLarre- 9e 4 � 2 49- 5 67 8
F ffP-PSE PER Flni'�NS
APPLICATION FEES ---------
PERMIT 30
NOTES: IV,
-11rispections Required Inspections Required Inspections Require-,�
FOOTING FINAL BUILDING
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 IMPROVEMENTS53
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. j&te, -ijiL
oolo0003221000
ATLANTIC BEACH BUILDING DEPARTMENT
By:
R 9 1996
CITY OF ATLANTIC BEACH Building and Zoning
PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS
DEMOLITIONS
owner(s) : Richard A. and Nancy M. Banks
Address - 1860 North Sherry Drive Phone: (904) 247-3678
Lot # Is Block or Unit # I O-C Subdivision: Selva Marina
Richard A. Banks
Contractor :
State License #
Address : Phone No:
Describe work to be done: LV
11z6 -:,eL il, )z, ilium,
Present use of building :
Valuation of Proposed Construction:--
Proposed use :
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? AIC, New electrical (or increase)?
New plumbing fixtures?_4LNew fireplace? Ak- New Heat/AC?
SUBMIT Tji%Z COMPLETE SETS OF PLANS , INCLUDING SITE PLAN , SURVEY ,
ENERGY CODE FORMS , NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Date: 4/A;A
Signature OWNER
Signature CONTRACTOR: Date:
License Supplied:
Liability Insurance:
cx� oxv,
Worker ' s Compensation Insurance:
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address 7)/Z
Date i-1-
Heated Square Footage @ $ per sq ft = $
Garage/Shed @ $ per sq ft = $
Carport/Porch @ 'per sq f t =
Deck @ $ per sq ft = $ 0
Patio @
per sq ft =
TOTAL VALUATION: $
Total Valuation 1st $
Remaining Value $ per thousand
or portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $
(9 Fireplaces @ $15 .00 $
BUILDING PERMIT FEE $
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP
CAPITAL IMPROVEMENT
SEWER TAP $
) RADON (HRS) .0050 $
SECTION H PAVING ( $
HYDRAULIC SHARES $
CROSS CONNECTION $
) SURCHARGE . 0050 $
OTHER $ I
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:
A F 141 32B
MAP SHO)i7NG SURVEY OF
f z J1.4 M'4 MIT NO, 10-C
Recorded in Plat Book______?_7________Page --------4.0---------—--------------_.of -------- Public Recordi of Duval Cc
for:__L6fR11N6__.,5XZ_DfR5,_INC------------------------
LEGEND R. L. CROASDELL & COMPANY NOT INC.
0 Denotes Iron Date..-,4416 t/nr_.6
.—x—x— Denotes Fence CIVIL ENGINEERING & SURVEYING
P.R.M. Denot&s Permanent
Reference Monument 429 East Adams Street - Jacksonville, Fla. Scale I"
1-Z
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CERTIFICATE: This survey meets the minimum technical standards
for a boundary survey set forth by the Florida Board of Land
Surveyors , pursuant to Section 427.07, Florida Statutes.
SIGNED:
----—-------------
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CITY OF ATLANTIC BEACH Vo
BUILDING DEPARTMENT
INSPECTION REPORT
1860 N. SHERRY DRIVE PERMIT* 519
JOB LOCATION ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION SELVA MARINA
(lip OWNER NAME RICHARD A. BANKS PHONE (904)247-3676
is PERMIT TYPE BUILDING
LEGAL DESC: LOT BLOCK SECTION CLASS OF WORK ADDITION
w
1046 JAMES C. LAMOUREUX ROOM ADDITIONS
> PROPOSED USE
cr CONTRACTOR
z
CONSTRUCT SUN ROOM TO SINGLE FAMILY DWELLING
WORK DESCRIPTION
z
< 13 FINAL BUILDING INSPECTOR AM
INSPECTION REOUIRED
<
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y
OLL DATEINSPECTED_y /CLEL/B APPROVED PEf'
Z
40
COMMENTS
ADDRESS
CONTRACTOR
--------------
OWdER---
BUILDING-1151 MECHANICAL-------- PLUMBING
ELECTRICAL------- TEMP POLE misc
ELECTRICIAN
---------------------------
DATE FAILED DATE PASSED
TEMP POLE JEA
FOOTING
ROUGH PLUMBING
----------- -----------
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----------- -----
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----------- -----
FINAL ELECTRIC
----------- -----------
FINAL BUILDING
7------- -----------
ELEVATION SUBMITTED
CERTIFICATE OF�-OCCUPANCY
----------- -----------
DATE ORDERED
DATE ISSUED
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
INSPECTION REPORT
JOB LOCATION PERMIT#
SUBDIVISION
1860 N. SHERRY DRIVE
Lu 519
9 OWNERNAME ATLANTIC BEACH, FLORIDA 322t[INE
SELVA MARINA
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CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
INSPECTION REPORT
JOB LOCATION PERMIT#
I' SUBDIVISION
1860 N. SHERRY DRIVE 519
OWNERNAME ATLANTIC BEACH, FLORIDA 322QZNE SELVA MARINA
cf) LEPAL DESC: LOT FUGaARD A. slD&WKIS PERMIT TYPE (904)247-3678
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Z REJECTED F
COMMENTS
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
INSPECTION REPORT
JOB LOCATION 1860 N. SHERRY DRIVE
# PERMIT* 519
ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION SELVA RiRINA
OWNERNAME RICHARD A. BANKS
PHONE (904)247-3678
U) LEGAL DESC: LOT 18BLOCK SECTION
PERMIT TYPE BUILDING
> CLASS OF WORK ADDITION
m CONTRACTOR JAMES C. LAMOUREUX
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PROPOSED USE ROOM ADDITIONS
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RY- APPROVED ED--, REJECTED El
COMMENTS ....... ..
000629
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
LOCATION INFORMATION
Ft,�,iaoit Number : 6 2 r3 1dress: 1860 SHERRY DRIVE
Permit Type; F�LECTRTCAT. ATLANTIC BEACH, FLORIDA 32233
Class of Work- ADDITION LEGAL DESCRIPTION
Conati . Type. N/A -i L Block-. Section:
Proposed Use: SINGLE FAMILY Plat Buoki Page3 0
Dwellings: 0 Code: 0 .Abdivisioni SELVA MARINA
Estimated Value; $0. 00 OWNER INFORMATION
Tmprov. Cost : $0. 00 Name: J&H CONSTRUCTION
Total Fees: -4�10. 00 Address: 1860 SHERRY DRIVE
--430. 00 ATLANTIC BEACH, FLORIDA
Amount Pald- -
Phocic-i (90417-41 -4'>IQ
Worl" Piz— i PH, 3W. 2-10V(11 -ARI.R RACEWAY
CON 1'hAC t Ok k L�) � APPLICATION FEES
UNITED ELECTRIC COKPAH'� wRMIT $30. 00
,!iTER IMPACT FEE $0*00
�,.WER IMPACT FEE �,O.
ATER METER .90. 0�7
if. R. S.
ADON GAS $0- 097'�-
�%ADON GAS -- 5% $0. 00
WATER TAP $10. 00
EWER TAP $0. 00
YDRAULIC SHARE $0. 00
E-INSPECT FEE 1�io. 00
14GINEERING $0, on
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.55
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
onog,,)q
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
LUCATION 1RF1jRI1AT1(JN
permit Number 629 6 eaw: 186CI SHERRY DRIVE
Per-stwiL Typt�,: 9LECTRICAL ATLANTIY BEACH, FLORIDA 322�4
Class 4-if Work - ADDITION LEGAL DESCRIPTION
Constr. Tip&: H/A Lci t s 8 I-ock i Section:
Ptoposed Umet SINGLE FAMILY Plat sookt Paget (-i
Dwellings] 0 ("'ode; 0 Subdivieiovj: SELVA MARINA
Ek�;timated Value: $0 00 OWNER INFORMATION
Improv. Cust $8�.00 Name: J&H CONSTRUCTION
Total �?O. Of,-, fdreo*g: 1860 SHERRY DRIVE
Amuun�6w4o 00 ATLANTIC BEACH, FLORIDA
PH, ��LE RACEWAY
FS
_AkP.� x,'Ti APPLICATION FU
N,�
4-A�ili Of)
UNIT"� ow-
TEP IMPA�;T FEE $0.100
�WER IAP'ACT' FEE 100
.DON GAS-H. R. S. $0- 0974'<`
DON GAS 5% $0. 00
TER TAP $0. 00
WER TAP $0. 00
DRAULIC SHARE $0. 00
FEE $0. 0(f
iGINEERINU
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: \�10 19 3, cl
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ER ELECT AN a.IUA RE, )OURNFY
c-, AST
ELECTRICAL FIRM.
-RFD-BOX
NAME ADDRESS:_LL�c
BLDG.SIZE -BETWEEN:
RES.t� APT. comm. ( I PUBLIC INDUS. NEW ( OLD Vj REW.
ADDITION ($ TRAILER TEMP. ( ) SIGNS ( I SQ. FT. FEE
SERVICE: NEW( INCREASE ( I REPAIR (
CONDuc rOR SIZE AMPS COPPER ALUM.
SWITCH OR BREAKER AMPS PH W VOLT _ RACEWAY..
OLT �(,�,)k_RACEWAY
EXIST.SERV.SIZE AMPS P H ?) W Q
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. �31-100 AMPS
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMP5. OVER BELL TRANSF.
APPLIANCES
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS �CEIL HEAT:� I
- __6VER
0.1
MOTORS H.P. VOLTAGE __PHS NO. I H.P. VOLTAGE PHS
h�_JSCELLANEOUS 3. 0
TRANSFORMERS: UNDER 600 V. OVER 600 V.
N NO.-- KVA
�O. NEON TRANSF. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
s
TOTAL FEES �30, 0 0
000519
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT tNFORMATTON - - - ---- LOCATION INFORMATION
1860 N. SHERRY DRIVE
Per,mit Numberz 519,
Per,mit , Type: BUILDING ATLANTIC BEACH, FLORIDA 32233
less of Work: ADDITION LEGAL DESCRIPTION
Section:
Constr. Type: WOOD FRAME 18 Block:
pCoposed Use: SINGLE FAMILY plat Book: Page: 0
r,wellings: 0 Code: 0 jbdivision: SELVA MARINA
�-timated Value: $0. 00 OWNER INFORMATION
Improv. Cost : 4, 16072. 21 Name: RICHARD A. BANKS
Total Fees: $81. 81 Address- 1860 N. SHERRY DRIVE
Amount Polds $81. 81 ATLANTIC BEACH, FLORIDA -32233
Date -0� �-t- - :�_/17/89 Phone; (904 )247-,3678
t_'t)j4,'_-TRUCT SUN ROOM TO SIN i,: FAMILY DWELLING
o_)R(S , APPLICATION FEES ------
'UX i--.R M IT $81. OO ,;r-.
C . 1,AMOUPL !ITER IMPACT FEE $0. 00
!.'WER IMPACT FEE. so.00 C", I 1P
-,�TER METER $0. 00
"%L)ON GAS -H� R. S. $0. 77
ADON GAS - 5% $0. 04
ATER TAP $0. 00
EWER TAP lao. 00
,'IDRAULTC SHARE $0. 00
E-INSPECT FEE -10* 00
,NGINEERING $0� 00
_)THER $0, 00
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
EBUILDIN:G :MA:TERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CL
E:ARED 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 DEPARTMENT
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
Ownerp
L_dG�LD >�_Dk zip32Z�3_phone_a
Architect Address zip_ —__phone.......
------------------ -- ----------------- ---
C o n t r ac t or 1 -70ss
jC1 �-ft*l -SW
.,V,Pj:iVXAddres9 AN.Sr-A�L 17�z i P 3-?�Kq p h o n e.35-6-
Contractor's License number CaC CjjZ"j'_7_�tLC..ZCL_expirat ion------------
Lot-- 12)--Block or Section---------Subdivision 5,��bq NXW4�-IOC Zoning--------
Street between-- -----------and-----------------side-----------
Type Constructionqjj�i_�0(1164-No. Units-- No. Fireplaces_- (O
Purpose of Building-- -----Est. Valuation 9
Utility Method - Sewer
Dimensions - Building ------------- _j
AmaLot Size Footings
Sz. Piers Sz. Sills Greatest Span Sills ---
---------------
--- ------ ------- -- --
Sz. Ceiling-Joists-- ------Distance on Centers Greatest Span.......
Sz. Floor Joists ---------Distance on Centers---------Greatest Span.......
Sz. Rafters ---------Distance on Centers---------Greatest Span-------
Method of Heating---- ------Solid or Filled Ground-----------Roof----------
Flood Zone If located within a FLOOD HAZARD ZONE complete page 3
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 building regulations of
Atlantic Beach. The contractor agrees at its expense to provide
the necessary access to the properties being developed over
dedicated City rights-of-way and to clear, clean, grade, and
drain said right-of-way to City
specifications.
7
Signature Owner a
-Date---
c,2
Signature Contractor Date----r 39 ------
page 2
F El D I G
Building and Zoning
Address /,?6C)
f
. Heated Square Footage @ $ per sq ft = $
Garage/Shed 3 @ $ __per sq ft = $
Carport/Porch @ per sq ft = $
Deck @ per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION: $
Toeal Valuation ist $ 0—
Remainder Valuation �$,�-.q�per thousand or ,
--------------------------------portion ther I eof Total Building Fee $
------- ----
ADDITIONAL PERUTS and/or FEES REQUIRED + �2 Filing Fee $ -cc'
Fireplaces @ 15.00 $
Mechanical
BUILDTNG�PERMIT FEE $
Plunbing
Electric/New -------------------------------------------------
Electric/Temp BUILDING PERMIT $ �Z'\. 09-
Septic Tank WATER M�= aMCE $
Well SEWER IMPACIC FEE $
&dm-ning Pool WATER IMPACr FEE $
Sign MISCELLANEOUS $
Water Connection
Sewer Connection $
Water Meter $
Elevation Certificate
GRAND TOTAL DUE $
----------------------------------------------------------------------------------------------
CALCULATIONS and/or NOTES
PLANS REVIEW CHECK LIST
__)a_/L -__Owner---- k I)W__P_�
Contractor
Legal DescriptionA_
Zj,� IZ7 a�?
License Nu±2 -CA
- ---------
License on File YES NO
Section 24-101 Zoning Egg!jIgtions
t Proposed Use
Zoning Distric
Required Lot Size...49%117-- Actual Lot Size------
Setbacks Required Provided Section 24-17
front CORNER LOT INTERIOR LO
rear --- --- Flood
side ---
-1 Required Elevation--------
side-2 ---
Max. Height Allowed_ Proposed Height ----------
Section 24-82 * Minimum Lot Coveragg
Required Heated Area Proposed Area-------------
Section 24-161 * Offstreet Parking
Number Spaces Required Spaces Provided___----
gggtion 24Z@2 :t pgplicate Building@
Is there a similar building within 500' of -prop 1.osed building?YES.-,,UO
Utilities
Water and sewer service is to be provided by:
Buccaneer Utilities
City of Atlantic Beach Utilities
Private Source SEPTIC TANK WELL
Plans Reviewed by: ------------------------------Date----------------
Building Permit *---------- ISSUED DENIED
FLORIDA ENERGY EFFICIENCY CODE
r:ORM 100OC-86 FOR BUILDING CONSTRUCTION
SMALL ADDITIONS SECTION 10 — RESIDENTIAL PRESCRIPTIVE COMPLIANCE METHOD CLIMATE ZONES-
AND RENOVATIONS DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 r3
COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAY BE DEMONSTRATED BY USE OF FORM 100OC-86 FOR ADDITIONS OF 600 SQUARE FEET OR LES�,_AND
RENOVATIONS TO SINGLE AND MULTIFAMILY RESIDENCES,ALTERNATIVE METHODS ARE PROVIDED FOR ADDITIONS BY USE OF FORM 100OA-86 OR 90OA-86. 4-4-
f4 0 It4 k? I
, S fQ142 7-7
et�&tD gj4NX3 BUILDER: icjj Cer
PROJECT NAME 2�
AND ADDRESS. PERMITTING CLIMATE 2 3jE�
tq_T C 191,Tto gq,�H , f:( 3 2 2,5 OFFICE: Du'vp�. ZONE:
PERMIT JURISDICTION
OWNER: NO.: NO.:
RENOVATION IF MULTIFAMILY, NUMBER OF CONIDITIINII[:K�a SO NEW GLASS AREA AWTYPIF
UNITS COVERED BY FLOOR AREA FT CLEAR TINT.FILM,SOLAR SCREEN
ADDITION THIS SUBMITTAL. EAVE OVERHANG SINGLE- so SINGLE- so
MULTIFAMILY ATTACHED F-1 CHECK IF THIS SUBMITTAL LENGTH FT PANE = FT PANE FT
REPRESENTS A WORST QASE PORCH OVERHANG DOUBLE- [:J�Q DOUBLE- SO
SINGLE-FAMILY DETACHED E] CONDITION 9 1 LENGTH FT PANE FT I PANE FT
WALL TYPE AND INSULATION CEILING TYPE AND INSULATION FLOOR TYPE AND INSULATION
FOR ADDITIONS ONLY: WOOD FRAME MASONRY UNDER ATTIC: WOOD MASONRY
PERCENTAGE EXTERIOR EXTERIOR: R [I]-L1 RAISEU RAISED:
OF GLASS R = R = ITIE SINGLE ASSEMBLY: R 11 REEE
ADJACENT: ADJACENT: COMMON:
R R
TO FLOOR: R R- Ed 11 COMMON: R
—1 SLAB-ON-
COMMON: 'OMMON:
% COMMON:
R = ME [11.11 GRADE: R
DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM
IN CENTRAL �X NONE ELECTRIC STRIP F� HEATpump El ELECTRIC El SOLAR
UNCONDITIONED -1 HEAT RECOVERY
SPACE: R - 0 ROOM El NATURAL GAS El ROOM/PTHP El NATURAL GAS I
FFI 11 F-1 PTAC El OTHER FUELS NONE El OTHER FUELS El DIED. HEAT PUMP
IN COND17IONED F-1 NO NEW SYSTEM NO NEW SYSTEM E] NO NEW
SPACE: R - SEER/EER FFI-11 COP/AFUE SYSTEM EF SF/EF
I =.EI NUMBER OF BEDROOMS = 11:1
In accordance with Section 553.907 F.S., I hereby certify that the plans Review of the plans and specifications covered by this calculation indicates
and specifications coverep by this calculation are in compliance w'h the compliance with the Florida Energy Code.Before construction is completed,this
Florida Energy Cod�ea' building will be inspected for accordiece with Section 553.908 F.S.
OWNER/AGENT, BUILDING OFFICIAL:
DATE: DATE: 11 1
TABLE10A MINIMUM REOUIREMENTS FOR SMALL ADDITIONS AND RENOVATIONS
COMPONENTS SECTION REQUIREMENTS
WINDOWS 904.1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK.
EXTERIOR&ADJACENT DOORS 904.1 SOLID CORE,WOOD PANEL,INSULATED OR GLASS DOORS ONLY. MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA.
INCLUDES SLIDING GLASS DOORS.
EXTERIOR JOINTS/CRACKS 904.1 TO BE CAULKED,GASKETED,WEATHERSTRIPPED OR OTHERWISE SEALED.
SOLE&TOP PLATES 903.2 SOLE PLATES AND PENETRATIONS THROUGH TOP PLATES OF EXTERIOR WALLS MUST BE SEALED,
INFILTRATION BARRIER 903.2 INFILTRATION BARRIER MUST BE INSTALLED IN EXTERIOR WALLS&RAISED WOOD FLOORS.
INTERIOR JOINTS/CRACKS 903.2 ALL OPENINGS IN INTERIOR SURFACES OF CEILINGS AND EXTERIOR WALLS MUST BE SEALED.
FIREPLACES 9032 FIREPLACES MUST HAVE FLUE DAMPERS,GLASS DOORS AND OUTSIDE COMBUSTION AIR INTAKES,
EXHAUST FANS 903.2 EXHAUST FANS VENTED TO UNCONDITIONED SPACE SHALL HAVE DAMPERS,EXCEPT FOR COMBUSTION DEVICES WITH
:'PONENTS
DJACENT DOORS
N S/C C S
RA K
T
LATES
RAPFII r AR
INTEGRAL EXHAUST DUCTWORK.
COMBUSTION HEATING 9032 COMBUSTION SPACE AND WATER HEATING SYSTEMS MUST BE PROVIDED WITH OUTSIDE COMBUSTION AIR,EXCEPT FOR
DIRECT VENT APPLIANCES
MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND STANDBY
WATER HEATERS 904.2 LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF(GAS)VALVE MUST BE
PROVIDED. AN EXTERNAL OR BUILT-IN HEAT TRAP MUST BE PROVIDED.
SPAS AND HEATED 904.3 SPAS AND HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST HAVE A
SWIMMING POOLS PUMP TIMER. GAS SPA&POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75%.
INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS INCLUDING HEAT RECOVERY UNITS. IN SUCH
HOT WATER PIPES 904.4 CASES, PIPING HEAT LOSS SHALL BE LIMITED TO A MAXIMUM OF 17.5 BTUH PER LINEAR FOOT OF PIPE.
SHOWER HEADS 904.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE AT 20 to 80 PSIG.
HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHNICAL CODE,JOINTS IN UNCONDIT10NED
CONSTRUCTION 904.6 SPACE SHALL BE SEALED.DUCTS SHALL BE INSULATED TO A MINIMUM OF R-4.2.
HVAC CONTROLS 9047 A SEPARATE,READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM.
RENOVATIONS ONLY GLASS 1Z.0 MEETS THE REQUIREMENTS OF SEC 1003.0 SEE STEP 3 OF PAGE 2 OF THIS FORM.
AF 141328
MAP SHOWING SURVEY OF
Recolrded in plat Book------ ------Page.........40-----------------------------Of----CLlrrml....... Public Records of Duval C
for:...f gfRLIN.6---BL11L.9f 95,.INK�--------------------
LIMEND R. L. CROASDELI, & COMPANY NOT INC. D a t e.._A16 Lur...6,
rmnotes Iron CIVIL ENGINEERING & SURVEYING
It—x—x— X>enotez Fence Jacksonville, Fla Scale I" -2V......
F.R M. DenOtzs Perm"ent 429 East Adams Street
ytettrenm Monument 0era,5,-,r
19
CERTIFICATE: This survey meets the minimum technical stari'dards
for a boundary survey set forth by the Florida Board of Land
Surveyors , pursuant to Section 427.07, Florida Statutes.
fl/
SIGNED:
Lor P
7-IS '34
Ilk
Er
PPOPOSEUD 15'X6' L44
50LAP-1LIM
A'xrm
6-4-
to
41.0' Q<1
1/4.64
A 10.
ti L
JobNo
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING 7-5826 - Fax: 247-5877
800 Seminole Road - Atlantic Beach, FL 32233 -Tel: 24
PLUMBING PERMIT
L OCAT ON INFORMATION
PERMIT INFORMATION Add-ress: _1_�%_o SHERRY DRIVL—NORTH
Pe—rm–it—Num bij_r22_84_9 __ ATLANTIC BEACH, FLORIDA 32233
Permit Type: PLUMBING Township: 0 Range: 0 Book:
Class of Work: ALTERATION Lot(s):18 Block: 1 OC Section: 0
Proposed Use: PATIOIDECK Subdivision: SELVA MARINA
Square Feet: Parcel Number:
Est. Value:
OWNER INFORMATION �..............
Improv. Cost:
Date Issued: 10/16/2001 Name: & NANCY M. BANKS
Total Fees: 57.00 Address: 1860 SHERRY DRIVE NORTH
Amount Paid: 57.00 ATLANTIC BEACH, FLORIDA 32233
04 247-3678
10/16/2001
Date Paid:
Work Desc: REPIPE tj f
_F
S
67.00 1
UMBING CO.
.S,A�P. PE
..........
4
A,
r
x
V';
...........
it
FINAL
.............
'OR TO SPECTION
ST BE REQUESTED AT L
NOTICE- INS CTIONS .......
M4
CED IN PUBLIC
IF>-H AND_,SIJ�BRIS FROM TH`IS:-,VVO
BUILDING MATERIAL R Y, OR OR OWNER
SPACE, AND MUST B�E NCE B.1'RE0 AU LED AWAY
ESULT IN THE
"FAIL
URE TO COMPLY WI 14', LE_�
PROPERTY OWNER PAYING TS11
ISSUED ACCORDING TO APPROVED PLANS WHICH_.ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW
Dite: 18/16/91 81 Receipt: ON4282
ATLANTIC BEACH BUILDING _CHM____
HU-a-11-1'355 10;3-51; FR011'. 2-4--5, 5 T0:93460770 P:1/1
CXTY OF ATLANTXC BEACH
APPLXC.ATXON FOR PLUI-IBXNG PERMIT
JOB LOCATION:-
OWNER OF PROPERTY: 4iC6je,,tZ dqe2r,,.t, -f __TELEPHONE NO. 2,el7-
?LUMBING CONTRACTOR
CONTRACTOR' S ADDRESS:
-± -g
STATE LICENSE NUMBER. ;g TELEPHONE:
HOW KWX OF TSF. FOLLOWING FIXTURES INSTALL=
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLQ,SETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
sf>ER WATER
E P I P E OTHER
TOTAL FIXTURES: x $3. 50 $15 - 00 57.
MINIMUM PERMIT FEE $25. CO
SIGNATURE OF OWNZR:
SIGNATURE OF CONTRACTOR:
-----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANCARD PLUMEING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - 1904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR+ INSPECTIOO
PRIOR TO COVERING UP - (904) 247-5834
TA 000361
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PER111T INFORMi, , � 14 ------ -- LOCATION INFORMATION -- -
Permit Number: 361 Addresez 1860 NORTH SHERRY DRIVE
Permit Type: TREE REMOVAL ATLANTIC BEACH, FLORIDA 32233
------ LEGAL DESCRIPTION -----
Class of Work; N/A Lot . Block: Section%
Constr. Type: N/A plat Book: Page: 0
proposed Use: SINGLE FAMILY SELVA MARINA;
Dwellings: 0 Code: 0 OWNER INFORMAT16N_
Estimated Value: $0. 00
Improv. Cost ; $0. 00 Name: RICHARD AND NANCY BANKS
Total Feeo: $0. 00 Address: 1860 NORTH SHERRY DRIVE
Amount Paid; $0. 00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: Phone:
Deec_ : REMOVE ONE DISEASED WATi-, 13AK
CONTRAC1*OR(F, ) APPLICATION FEES
PERMIT $0. 00
14ATER IMPACT FEE $0. 00
SEWER IMPACT FEE $0. 00
WATER METER $0. 00
RADON GAS -H. R- �3 SO. 00
RADON GAS $0. 00
WATER TAP $0. 00
SEWER TAP $0. 00
HYDRAULIC SHARE $0. 00
RE-INSPECT FEE $0. 00
OTHER $0. 00
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
EBUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAUL ED AWAY BY EITHER CONTRACTOR OR OWNER.
IL C
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
T U To UILDING IMPROVEMENTS-39
P OP T�
THE PROPERTY OWNER PAYING TWICE FOR B
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
0003P)i
DEPARTMEAT OF BUILDING
CITY OF ATLANTIC BEACH
LOCATION INFORVIATION
PERMIT IHFOR"ATIOI) ddresaj 1860 NORTH SHERRY DRIVE
Permit Number-2 361
.Permit Types TREE REMOVAL An-ANTIC BEACH, FLORIDA 322- -
Class of Workt N/A LEGAL DESCRIPTION
Constr. Type: N/A .0t : Blockz Section:
Plat Buoki Paget 0 r1l :
proposed Use: SINGLE FAMILY
0 Code jubdivisioni SELVA MARTHA,,,. :-j,-
DwellinQ83 0 1 ,
Estimated Value: $0. 00 OWNER INFORMATIOW
Improv. Cost% $0. 00 Name: RICHARD AND NANCY BANKS
Totalfeea; $0. 00 ��ddress: 1860 NORTH SHERRY DRIVE
4 ATLANTIC BEACH, FLORIDA 3223,--,
$0. 00
k; Phono%
oATI
L I C A T I ON FEES
I R-
E $0. 00
WATER IMPACT FEE 1$0. 00
39WER IMIf4ortT FEE $0109
I k.�T of
RADON GAS 11�0. 00
WATER TAP $0. 00
$EWER TAP $0. O(�
HYDRAULIC SHARE $0. 00
RE-INSPECT FEE Ato. 0(�,
OT14ER $0. Oro
$Q�,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.
D NG A ERIA R11
UL
U I L I M T L
L EARED U P AND H
C
E"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
95
T P OP T) UILDING IMPROVEMENTS.
THE PROPERTY OWNER PAYING TWICE FOR B
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
N
tv
CITY OF
Building and Zag�j&BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
APPLICATION FOR TREE REMOVAL PERMIT
DATE
Applicant
ADDRESS zv��
Owner
ADDRESS
U
Location of tree if different from owner's address :
Reason for Removal :
ot Line
R ar L
indicate r4
possition of 1-4
tree on .1-i
0 0
lot
00
Front Lot Line
ZbZ,7 Building Official
CITY OF
ge
This Certificate issiled pursuant to the 7equirementj of Section 109 of the Southern Standard
t the ii?nc of Issuance this structure was in compliance with the
Building Code certifying that a
various ordinances regulating building construction or use. For the following:
Use Classification E�. Bldg.Permit No.—4-7J6L8--
FRAME—Firc District-AILANT-LC-BEA-C'3, F1 OR-TDA
Group�Type Construction� UNE BEACH
BUILDERS Add,,,, 12 THI—RD S-T---,-NE—PT-
EBERLING
Owner of Building
FT OFT D A
IsAn N,
BuildingAddress
nanwnnus at,
�T IN A CO-P'CUOUS P"CE
TE
CITY OF ATLANTIC BEACH FLORIDA
INSPECTIONS
BUILDING PERMIT NO.# ELECTRICAL PERMIT NO.#
PLUMBING PERMIT NO.# 4782
JOB ADDRESS 1860 NORTH SHERRY DRIVE. ATLANTIC BEACH FLORIDA 32233
CONTRACTOR EBERLING BUILDERS
OWNER EBERLING BUILDERS NEW S/F DWELLING, RESIDENTIAL
DATE REMARKS INSPECTOR
FOUNDATION
FOOTING
SLAB
PLUMBING (R)
TOP-OUT
SEWER
TENP-POLE
ELECTRICAL (R)
ELECTRICAL (F)
FRAMING
PLUMBING (F)
LINTEL/BEAM
COLUMN
STEEL
SHOOT GRADES
LOT CLEARING
OTHER --
FINAL INSPECTIONS
%W
CITY OF
jq
,&a&c 13sa4C4—&7&U 4
office of Building Official
REQUEST FOR INSPECTION
Date Permit No
T District No.
Riec:ived
Locality/,—,
i ddress
owner's Contractor
Name PLASTE, NG E RICAL PLUMBING HEATING
BUILDING Rou gh ........0 Rough ........0
Foundation ....0 Wire ...........0 R iring .0 9 0 Final 0
Final ......... , er
......0 Lath ..........0 F x is 11ring Sewer�. ........0 Water
Chimney re .... ..
Framing .......[j scratch ....... F u
tors 0 Gas
Final ..........0 Brown ........ ie, —0
Footing .......0 Finish .........13 nspection.6,.-!PqP2PU0to .......0
Slab *b''*''*0 wallboard .....0 Fi al Water .........C1
Lintel earn ...D A.M.
READY FOR INSPECTION Fri P.M.
Mon. Tues. Wed) T urs. A.M.
Inspection Made
lnspector�
CITY OF
13ea4CA q&U4&
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time 2;00 PM A.M. District No. III DUVAL
Received P.M. SELVA MARTNA
IS60 NoZIE SHERRY DRIVE. Locality
Job Address
owner's EBERLING BUILDERS -Contractor KENCO ELECTRIC COMP-
Name ELECTRICAL PLUMBING HEATING
BUILDING PLASTERING ing Qr"<ough ........E] Rough ........El
Foundation e .........*-11 Ro gh W�rr E] Final .........El Final El
Prh .....0
at Finysh ing
Chimney Sewers ........C] Water Heater
S
Sc ratck, 0 Fixtures 0
Framing ..... c .........0
Final .......F vn ........0 M oto rs ........0 Gas
] Brov Temp-Pole .... 0 Cesspool ......0
Footing .......E] Finish .........[] �_out .......
Wallboard .....(] Final Inspection,Fl Top
Slab ... ....E] Water .........0
Lintel Beam .- 0 READY FOR INS��8/ A.M.
Mon. Tuesq- 10181 Fri. P.M.
A.M.
P.M.
�nspe
:,j.cri� de
ns e t
CITY OF
jq&44t& eaclz- &7&U'z&
office of Building official
REQUEST FOR INSPECTION #4782
Date AjjGusT 31,19 81 — Permit W. —
Time A.M. District No. ITT DUVAI
Received I Q-00 _44- P.M.
SELVA MARINA
196d) NORTH SHERRY DRIVE. Locality
Job Address B & G PLUMBING
Owner's ING BUILDERS —Contractor
Name EBERL ELECTRICAL PLUMBING HEATIN
BUILDING PLASTERING gh ........ Rough ....... 0
Foundation ....ci Wire .......... Rough Wiring R o'
Chimney .� ...E] Lath .......... Finish Wiring Ej Final ......... Fin a I r H'e'a't e,... 0
Framing .......El Scratch ....... Fixtures ..I....11 Sewers ........0 Wate r
Final .. ...... C] Brown ........ Motors ........E] Gas ..........0
Footing .......0 Finish .........E] Temp-Po le .�- Cl Cesspool ''* El
Slab ..0 wallboard .... El Final Inspection [-] Top-out ....�::
,be'a'm'... Water .........
Lintel 0 READY FOR INSPECTION A.M.
P.M.
We Thurs. r,
Mon. (Tf.e.) Fri.
P.M.
Inspection Made
Inspector
-AW
CITY OF
4&4"14C Beacl,
Office of Building Official
Dale REQUEST FOR INSPECTION
Time, Permit No. #4768
Recei-ed 9:30 AM A.M.
.1860 NogTH SHERRY P.M. District No. III DUVAL-----
Job Address
Owner's L-ca
Name EBPRLTNG 11 r
Contractor
Foundation LASTERING ELECTRICAL G BUILDERS
BUILDING P
Chimney ....0 Wire ... PLUMBING
..... HEATING
Framing .......0 Lath ....... Rough Wiring
Fi �al scratch......... Finish Wiring Rough ........0 Rough ...... E3
in .......0 ..... Fixtures -0 Final
Footin Brown .......El Sewers...***** El Final .......
S!abj....... El —...... Motors ....0 Gas ' 0
1 ,6....... W_,,�n;sh .........El Temp-po E3 Water Heater
Linte eam a]board .....C1 Final le Cesspool ...
InsPec ion.0 Top-out
.....0
Water 0
Mon. Tues. READY FOR INSPECTION
Inspection Made W d. Thurs. A.M.
A.M. P.M.
P.M
Inspector
OF two
lgeac.4-
Date REQjOffice of Building Official
Rr.,rcn e, ESr FOR lt4SPEC-TIOM
e 'd 4:45 Tim
1860 A.M. Perrnit No.
P.M.
j 11�: #4782
:!;TH SHERRY DRI DiStriCt No.
0 wri.r's Job Address III D UVAL
.r
N ne EBERLIMG BUILDERS SELVA pfARINA
BUILDING L cality
Found
Chi,,:ytion PLASTERING Contractor B
Frarn Wire ELECTRICAL & C PLUMBING
F,n.,ing Lath Rou
Footi ** SC gh W- -
ng ratctli'*.......C1 F . trin PLUME3jNG
Sta Brow inish W- - g Rough
jD in Fixtu, iring .......
b Ej F- - res F
Lintet '6- Wa;sh ....... inat ........ . HEATING
P I.LDER'S 0
"'�- B U
t L S
�4
lbo rn rs S
Ej Tme-t- Fionu
a e R gh
_po, .......0 Ilers
C1 Fina Gas at ..... Ej
Mon. InsPecition''EJ C EJ Water jj' - - C3
.Ej TessPool eater
Tues. READ op-out
InsPection Made Wed. Y FOR INMSP - Water
Thurs.
InsPector
A.M.
P P.M.,
M.
CITY OF
4&4"4-c 12eac4
Office of Building Official
Date —JULY 28, 1981 REQUEST FOR INSPECTION
Tim e Permit No.
Received 9:00 AM A.M.
1860 NORTH SHER-P.M District No. DUVAL
RY DRIVE. SELVA MARINA
Job Address'
Owner's EBERLING BUILDERS
Name BUILDING Contractor EBERLING BUILDERS
,PLASTERING ELECTRICAL PLUMBING
Foundation M-I'm
Chimne _*... ire ......*,_0 Roygh Wiring HEATING
F ami.Y ....0 Lath -.0 Rough ........Q
F� g ... h.........0 Finish Wiring - Final .........Ej Fiough ...... Ej
F,na! .. ....bFaScriawtc .......El Fixtures .... Sewers nal 0
oot'n ... ....I...
Sl g ....... ........El Motors .......0 Water Heater Ej
ab in sh -Pol.e.......El Gas ..:.......h
Lintel Be...*El Wallboa'rd'... Temp .....Cj Cesspool ......
am ...Fj .....Cl Final Inspection [I Top-out .......0
Water .........C1
Mon. I READY FOR INSPECTION //4v x^
W.Z- A.M.
Inspection Made Thurs. A.M. Fri. P.M.
Inspector
FOR OFFICE USE ONLY
Date�2�/z-,-ZK:19
Permit #4-4e-l'
... ..d
.. ........Fee
CITY OF ATLANTIC BEACH Valuation $.46YI000--------------------------------
FLORIDA House #Z0610
APPLICATION FOR BUILDING PERMIT
................
----------------------------*--------------------------------**------
Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not. ing Permit is automatically responsible to ascertain that all sub-
The Contractor or Owner-Builder who has been issued a Build
contractors engaged by him are duly licensed in the City of Atlanfic 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 verihed. Date.......... ...................................
1112 Thir'd" S� 241-3153
Eberling Builders , Inc . ....................Address------------------------------------------------------------Telephone No............................
Owner-- - . .. . ................................. ......I.......... Telephone NJ-7M71M---
Plan Service Address.-----------------------------------------------------------
Architect....!;;!7FET......................................................................... 1112 ThirdSt-- -----------Telephone No.-241---3153.
Eberli��&..B.....u...i.lders ,....Inc---Address.................................. ...........
Contractor Builder....------ ................. ......... Selva Marina , Unit # 10C......Zone------------
... ..... ........
Lot No.-18.------------------- .....................Block No-------------------------------Sub Division........-------------------------------------------Live..Oak. lane ......sts.
Selva Marina d
Between... ....... .1....................................an --------------------------------------f-r-ame
.,r,4w------------Street--- --- - s ing 1 e f aMi 1)type of construction.Yq.............................
Valuation $------------- ----------------For what purpose will building be used--------------------------------------- lOx2O 1--
see site plan.................Size of Footings...................I...............-
see attache�imensions of Lot---------------------------------
Dimensions of Building-------------------------------------- truss
Size of Piers-- - - ----------- -----Size of Sills......... .. .. ..........GTeatest Sill Span in ft---------------------------Type Roof------S-o-1-i-d-----------------
Elec . Heat Pump ---Will Building be on Solid or Filled Ground?........................................
How will Building be Heated?.........I................I.................................
Truss 21 -011 ...........................
Size of Ceiling Joists---- --------------- ----------- ....... Distance on Centers----- ---- ----.......................... Greatest Span.................
Size of Floor Joists ---------------------------------- Distance on Centers...------- ..... --------------------------- Greatest Span--------------------------------------------
Size of Rafters. ... Distance on Centers ...... .... ............................, Greatest Span--------------------------------------------
AP'PROVED This rectangle is to represent the lot.
CITY DF ATLANTIG BEAG3 Locate the building oT buildings in the
SUILDIr4G OFFICE right position. Give distance in feet from
all lot-lines and existing buildings.
Two copies of plans and specifications shall JUL 2 8 1981 REAR LOT LINE
be submitted with application.
Inspections required. see attached site
1. When steel is in place and ready to pour footing. Z
Z
2. When steel is in place and ready to pour columns and/or lintel. plan.
3. When steel is in place and ready to pour beam. E-4
4. When framing is completed. 3
5. When rough plumbing is completed,and ready to cover up.
it is covered.
6. When septic tank drain field or sewer is laid but before
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made. FRONT OF LOT
In consideration of it ven for doing the work as described in the above statement, we hereby agree to perform said
t�n '
of if' tions which are a part hereof, and in accordance with the building
work in accordance VththN ttached plan an spec ica 1
i �.V
regulations of the C' Y A t' ch. 1112 3rd. St . , Neptune Bch. , Jax.
Address............................................................................................. .
r
Signature of Builder-._
....... Address------------------------------------------------------------------------ ------------------------
Signature of Owner. .... . ................... ....
CITY OF ATLANTIC BEACH
WATER CONNECTION CHA_RGE�$Z6(_). (:)0
DATE—
LOCATION
OWNER
PLUMBING FIRM
MASTER PLUMBER
BUILDER OR CONTRACTOR_,&�- �
TYPE OF BUILDING__%/�_
ZBATHROOM GROUP CONSISTING OF SHOWER STALL, DO�IESTIC ( 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. URINAL, PEDESTAL,SYPHON JET
( 4 Units) BLOWOUT. ( 8 UNITS
DENTAL UNIT OR CUSPIDOR ( 1 UNIT)
URINAL, WALLL LIP 4 UNITS)
DENTAL LAVATORY ( 1 UNIT) URINAL STALL, WASHOUT ( 4 UNITS)
DRINKING FOUNTAIN (!I UNIT)
URINAL TROUGH EACH 2'SECTION
DISHWASHER ( 2 UNITS) ( 2 UNITS)
FLOOR DR.AINS 1 UNIT) WASHING MACHINE RES. ( 3 UNITS)
KITCHEN SINK 2 UNITS,".' WASH SINK EACH SET OF FAUCETS
( 2 UNITS )
KITCHEN SINK W/WASTE GRINDER WATER CLOSETS, TANK- OPERATED
( 3 UNITS) ( 4 UNITS )
LAVATORY ( 1 UNIT WATER CLOSETS, VALVE OPERATED
LAVATORY ,BARBFR,BEAUT'Y PARLOR ( 8 UNITS )
2 UNITS LAUNDRY TRAY ( 2 UNITS
LAVATORY, SURGEONS ( 2 UNITS)
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11769
"awnt WSINUSS 61—so--t-o—
CITY OF
ATLANTIC BEACH No. 07865
FLORIDA
19
NAME EBERLING BUILDERS
ADDRESS 1860 NORTH SHERRY DRIVE.
CITY ATLANTIC BEACH FLORIDA 32233 $200-00
ACCOUNT No.#40-343-3700 — WATER CONNECTION CHARGE. . . . . . . . . . . .
V . . . . . . . . . . . . . . . . . . $700-00
ACCOUNT No.#41-343-5200 — SEWER CONNECTION CHARGE. . . . . . . . . . . . . . . . . . . $
$900.00
When Signed, Dafed and Numbered, This Becomes an official Receipt
Received Payment
MAKE CHECKS PAYABLE TO TREASURER
fe'NITY OF ATLANTIC BEACH, FLORIDA
cz;
LJ
Lu
.,u
u CV
ix
LU
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,LL 0,
63-4
BARNETT BANK 630
1112 3rd STREET, SUITE I NEPI UNE BEACH.F LORMA
BERLINGNEPTUNE BEACH, FL 32233
M. (904) 249-4840 Check No.
aill fi:�f,I
n5l. G�l
C_-- IM1161
gc=mx::� 1 , 161 50
I 1 161 .50
PAY TO THE ORDER OF:
... ...... jj) ry-q,
C'I'TN' OF ATLAN'TIC BCI-1
716 OCEAN BLVD-
A-FLANTIC RE�ACFI FL-3122"33 EBERLING BUILDERS, INC.
7.
1:0 C� 30000 L. ?1: 2 19 1000t-Ela
DEPARTMENT OF BUILDING PERMIT NO.4. 7 `1 2
CITY OF ATLANTIC BEACH,FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date ATTCTT';T 1;1 19 #40CK
41UI 1A ib/06/'
Valuation$PLU11BING PERMIT Fee$ 11-00 4782 00CA
41ul 1A 8/06/ 1
1 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 B. & G. PLUMBING
13997 BEACH BLVD. JACKSONVILLE FLORIDA 32216
has permission to##i1d instal 1 1 .2 1 RATE TURS,Z_LLQ=
I WATER HEATER,1 DISHWASHER,1 DIPOSAL,l WASHING MACHINE.
Classification INSTALL NEW PLUMBING Zone RESIDENTIAL
Owned by EBERLING BUILDERS 1112 3RD STRETT. ATLANTIC BEAg11 FLA
Lot 918 Block TTNTT 1(1--CS/D qF-T.VA MARTWA
House No. 1860 NOXTH SHERRY DRIVE- ATLANTIC 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 SIX MONTHS
AFTER DATE OF ISSUE
4--111" 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 con-
tractor or owner.
A. WILLIAM MOSS
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
Cl TY OF ATLANTI C BEACH
AP
?U.�AT
J ON FOR PLL14BI NG PERMIT
DATE
LOCATION
/D
PLLI.',BING FIRM
MASTER PLLI.-.3ER
CITY/COUNTY OCCUPATIONAL LICENSE NO.
STATE CERTIFICATE NO.
BUILDER OR CONTRACTOR
TYPE OF BUILDING��?�'d
-S I NKS -SHOWERS
-LAVATORY WATER HEATERS
-BATH TL13S DISHWASHERS
URI NALS DISPOSALS
-CLOSETS WASHI NG lAACHI NE
TLOOR DRAINS OTHER
TOTAL FIXTURE CaM
I NSTALLATI ON OF PLLt,',3I NG AND FI XTURES MUST BE I N ACCORDANCE WI TH THE MOST
RECENT EDITION OF THE SOUTHERN STANDARD PLL.��73ING CODE.
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.- 476
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date JULY 28, 19 81 172950
17295UCKT )
Valuation s 6 8.000 F,e$172.50 4214 1A 8/07/8
476U 9UOCAC 's
This permit not valid until above fee has been paid to City Treasurer,and is 4214 1A 8/07/6
subject to revocation for violation of applicable provisions of law. 1UL101
This is to certify that EBERLING BUILDERS
1112 THIRD STREET. NEPTUNE BEACH FLORIDA 32233
has permission to build A S/F DWELLING AS PLANS SUBMITTED.
Classification NEW S/F DWEELING —Zone RESIDENTIAL
Owned by EBERLING BUILDERS 1112 THIRD STREET. NEPTUNE BEACH FLA
Lot #18 BlockIINTT 110—C IS/D SFT.VA tIARTNA
House No. 1860 NORTH SHERRY DRIVE. ATLANTIC 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 SIX MONTHS
_n AFTER DATE OF ISSUE
;U
0 Building material, rubbish and debris
z
i from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tractor or owner.
A. WILLIAM, NOSS
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER