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1902 Sherry Dr (vault) PERMIT WORKSHEET Certificate of Occupancy Job Address: q N_S{-�� U Type Work: �Q.�'� _J ►�YYIr Property Owner: � � 1 Phone # ZL4 9 _ 2 Contractor: W�SI� s -I� �1�5 Phone # f02-(0 -�� Permit#: „ -2� G) Date Issued: 0 S Building Inspections: Footing 2-/0 -6 S LA4;,-/ Slab Tie Beam Lintel Nailing / Sheathing Framing / Cover Up Insulation Final Building Tree Permit# YES NO Electrical Permit# Date/Copy to JEA Temp, Pole Permit# Date/ Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# Inspections: Rough Final Plumbing Permit# Inspections: Rough / Underslab Topout Water/Sewer Final Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing / Sheathing Final (-- —� Fire Inspection: Failed Inspections: 2 U Date Paid: Date Paid: ti 1 \f CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 -` INSPECTION PHONE LINE 247-5826 r�Jr31�� Application Number . . . . . 05-00030061 Date 4/08/05 Property Address . . . . . . 1902 N SHERRY DR Tenant nbr, name . . . . . . SPRINKLER SYSTEM Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ----------- ------------- ------------------------ PETERS, DON & JEAN HULIHAN TERRITORY 1902 N. SHERRY DRIVE P.O. BOX 331268 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 285-8505 ------------------- ------------------- -------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . 1 FIXTURE Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 a PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH ) PLUMBING PERMIT APPLICATION SIM)' Date: 'g ' 0 S Property Address: 1 Owner: li_4c_ * Telephone#: of Contractor: _; Telephone#: a$S-$SOS" Contractor Address: 1l 1'� ; C� � 1 Fax#: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road .Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845. http://www.ci.atlantic-beach.fl.us Revised 1/04 SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD •j 3 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 r1,13 c Application Number . . . . . 05-00029597 Date2/04/05 Property Address . . . . . . 1902 N SHERRY DR Tenant nbr, name . . . . . . WOOD DECK & SCREEN ROOM Application description . . . SCREENED ENCLOSURE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 14780 Owner Contractor --------------------- --- ---- ------------ ------ -- PETERS, DON & JEAN WESLEYS PATIO ROOMS 1902 NORTH SHERRY DRIVE 3545-1 ST JOHNS BLUFF ROAD ATLANTIC BEACH FL 32233 SUITE 345 (904) 249-6424 JACKSONVILLE FL 32224 (904) 626-5850 -------------------------------------- -------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee 52 . 50 Issue Date . . . . Valuation . . . . 4780 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total 52 . 50 52 . 50 . 00 . 00 Grand Total 157 . 50 157 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL RECEiVEO CITY OF ATLANTIC SEACH r 1rBOLDING p 71' CITY OF ATLANTIC BEACH JM 2 6 2005 BUILDING PERMIT APPLICATION (Alterations & Additions) BY: late: �3jc Job Address: Owner of Property: f)CK l '6 3e °V #,-- Address: r iAddress: A 1514 ,&ay AD- Telephone: —� �:.z,tit nlaar�vwr j�ta-C_ Legal Description: Block Number: Lot Number: j5 Zoning District._�n Contractor: tAX 5 U-f S Pd'Ito PgQn yl S State License Number:5C-C-1 3 y Contractor Address: 35t5_-1 S j 2414 Telephone: Fax: J�j'g-9770 Describe proposed use and work to be done: /3v/Ln 4 wcZ)1S>0 IZC"t -,e wWiWVA1 156-A6vtJ Present use of land or building(s): R E51 O�,NT IA(- Valuation of proposed construction: /y, 7� What are the dimensions of the added space: %O feet xy/ feet Will the added area be heated and cooled? New electrical or increase in service? NU Add plumbing fixtures? A k-9 Add fireplace? PC> Add heating/air conditioning? ArCj Is approval of Homeowner's Association or other private entity required? lu'D If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? Q"O. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. [XNO. 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)•-Tall,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 Page 2 Revised 8/04 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all informatw n provided with this app. ation is correct. �f)Signature ofownez Uv� Date: F/ro 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 manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and corTq and that th ans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: Wt 51�-�r7 1-�j(0 popm5 /� Mailing Address: 3215-1 S 1 ,,af - 5 0,4V RD Sf�Oitl Telephone: �6 Fax: ��� 7 71C> E-Mail: AS TO OWNER: \ �1 r� Sworn to and subscribed before me this day ofI "`� 20 V .I . State of Florida,County of Duval /� I Not 's Si atur ary g MARIA A.KING Notary Public State of Florida n impersonally known My Comffftlon Expira Oct 19.2006 1L�1' ='' 'E cation 668 =;• ,I11j11„oc Commission#DD 155 Produced identifi Bonded By Notional Notary Assn. Type of identification produced AS TO CONTRACTOR: Swom to and subscribed before me this day of "V 120 State of Florida,County of Duval ; A , MARIA A.KING Notary's Signature: (J`' �� ' PUV Pv�� .`iPR 9i Notary Public-State of Florida * -s MyCmmissionExpires Oct 19.2006 Personally known +a� Commission#DD 156685 Produced identification :� a,• ❑ ��.,' ��yQ;• Bonded By National Notary Assn. Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 3 Revised 8/04 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: uJja A'lA1 AIA U ul 1 /0-C Address of property being improved: l £1L>Z 4-1 General description of improvements: SC/�A.) Gi Owner: i -1-Z&L5 Address:— j j&X P1 5 h4A.2_y t -25a� Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: t/ Address: Contractor: W�Z5 'I D AI --? Address: '© yp Phone No: O Fax No: Surety(if any): Address: jiJ.1A Amount of Bond $ Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. /I Name: Address: N Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents maybe served: Name: 114/4 Address: r"j r, Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: ,.�� Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): rt THIS SPACE FOR RECORDER'S USE ONLY Signed: Date:Op Nk o e e this day of Oq in the County of u I' S Wo ori as sonallyappeared Doc#2005031516, OR BK 12261 Page 1970, Number Pages 1 otary Public at Lar va . Filed&Recorded 01/26/2005 at 09:29 AM, ,,,, MARIAM,KING JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY My commission exp est y p RECORDING$10.00 Personally Known: 2°» ��= 19,2006 or Produced Identificat' ",s• "r; mmisslon#DD 156685 Bonded By NOW=NglulyI qn,n,N J CITY OF ATLANTIC BEACH �JFil�r FLOOD PLAIN DEVELOPMENT INFORMATION Location: Cni N C?( � Type of Development: �C/L s�1 f�NGLdSy Flood Zone: g Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances ffectin e proposed development. Applicant's Signature: ate: Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 CITY OF �ftecurtic �eacl - �Gvudcz 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904) 247-5800 ^� FAX(904) 247-5805 SUNCOM 852-5800 MEMORANDUM SUBJECT: Clarification for Screen/Vinyl Enclosure Permits and Inspections The following clarifications are effective for all referenced enclosures atter December 31, 1998: Type A: An enclosure with glass windows,insulated walls,with heat,is considered an addition by the Standard Housing Code. This type of enclosure has certain structural requirements,requires footings and has certain electrical and energy code requirements. Type B: A screen enclosure or an enclosure with vinyl window panes,is considered a porch addition,and has different structural requirements. 1. Type A enclosures must have a permanent heat source. 2. Type A enclosures with HVAC must have energy forms submitted with plans. 3. Type A enclosures must have footings under bearing walls(minimum twelve inches below grade,eight inches wide) and must include electrical outlets per code. 4. Type A enclosures must have light illuminating the outside entrance to the enclosure meeting the National Electric Code. 5. Type B enclosures with less than 16 foot roof span,do not require footings and will only require a final inspection. However,pictures of the header channel and base receiver channel connections must be provided at the final inspection where fasteners are not visable. 6. For Type B enclosures being converted to a Type A enclosure,documentation must be submitted for a plan review that verifies that all structural elements meet code. HOMEOWNER ENCLOSURE AFFIDAVIT The purpose of this document is to make you aware of any limitations in the enclosure that is being permitted. Type A An enclosure with glass windows,insulated walls,with or without heat/air conditioning is considered an addition by the code. This type enclosure has certain structural requirements,requires footings and has certain electrical requirements. Type B A screen enclosure or an enclosure with vinyl windows,is not considered an addition and has different structural and electrical requirements. p�jf you are iinstaalrlling a Type B enclosure it may be difficult to later retrofit to Type A. l�1 ry Cr, kE7E95have read the above,and am aware I am installing a Type A B check one) enclosure. ,,,,, Dl l o is Y"e ARIAA.Kilyrz TARP =` k` :" °ary u ate of Florida My Commission Expi so, o-� MVC Oct 19 26 Date '+ ov Commission#DD 156685 � .F F oa�`� ,,,,,,� Bonded By National Notary Assn, MAP SHOWING SURVEY OF IAT 15, SELVA MARINA UNIT NO. 10-C, AS RECORDED IN PLAT BOOK 379 PAGE 40 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. Sy O.Q/(/�c- IR0.0v lit/ FOuNO � /2 `Ur so s �FDUn/o c� wow o N V y 3.5' V � m � QpC111 Z5 J 96 AO[/Np %Z-/RO,v Q� �i L) O� (qcT) PLAT) 1 YZ"/QO.v \ 0 V1 svOOO FENCE TO /-/A/—'r x V L o T Z4 ; • 7'/7'/5 /5 A LAAO 5C/RVE Y. • /VD BU/GOin/G REST4/CTian/ I-AM6 5Y PLAT. T,�//S PROPERT y G/E 5 /N FL Doo _7-Al er "fS" !n/NiCf/ /5 BET�VEE/v 71,1E /DO yEAQ ANO 500 y,EiS•t FLCOJ AREAi. I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant H e AhSOCIATESMC,D U R D EN to 72.07 Florida Statutes. & LAND tun,twao euavaro�w .38(02, LA. SURVEYORS Poat Office Box 60670 SIGNED ✓UG Y / tf� 630 Beach Boulevard � -ZO• Jackaomille Beach,Florida 32250 SCALE: THIS SURVEY NOT VALID UNLESS THIS PRINT IS EM/OSSED WITH THE SEAL OF THE ABOVE SIGNED. 11077 I CITY OF ATLANTIC BEACH Cc: Sf BUILDING / ZONING DEPARTMENT Higgins 800 Seminole Road oerr J K� Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us RECEIVEI—) CITY OF ATtANTiC BEACH PLAN REVIEW COMMENTS BIJ'LniNr, Z 7,-)N ,r_ o� - 2q�9� JAN 2 6 2005 f Permit Application # BY: Property Address: 190-1 N. Applicant: *E';LEN 5 Y0\0 R 0 0 M C Project: bwt1 WOOD (k I NSZ NU ID a 14 SCRN Tkoom This pe it application has been: Approved Reviewe the owing items need attention: Please re-submit your application when these items have been completed. Reviewed By: _ Date: 1 f rb S CITY OF ATLANTIC BEACH Cc: J D. Ford r � s BUILDING / ZONING DEPARTMENT L. Higgins yr 800 Seminole Road Doerr Atlantic Beach,Florida 32233 LM19' (904)247-5800 (904)247-5845 Fax ,r.. --- www.coab.us R E ~0 CITY OF ATLANTIC ;3 ACH BU!LO!NG a. PLAN REVIEW COMMENTS JAN Z 6 2005 1 4 Permit Application # o 5 - 2 9 5 9 7 ` BY: C) 102 N. SHCRM 17RIY� Property Address: Applicant: \N F S LEY 5 PATIO 900 MS Project: 9UM mob bEw Bc IN5S�L1 10 ' A ly ` 5C'4 \I X00 M This permit application has been: Approved Reviewed and the following items need attention: Please re-submit yo application en these items have been completed. Reviewed By: Date: /'Z �y� RECEIVE CITY OF ATLANTIC 9EAC8 vYs��lrJyBUILDING CITY OF ATLANTIC BEACH JAN 20BUILDING PERMIT APPLICATION 2 6 - (Alterations & Additions) BY. -- -- —— Date: Job Address: //��� /tr S WSZL� n>� Owner of Property: r)CA" -6 Address: ZS12a AJ, /Zay At_ Telephone: Legal Description: Block Number: V Lot Number: Zoning District. Contractor: tkX,5I- -Y S & 1—0 Rcsa.Yn S State License Number:$CGI 3//449,'77. Contractor Address: 35'Vti J S7 0 5, 3 J4j!�L-- ?,,-z2a`>/ Telephone: Fax: z r'8--9776 Describe proposed use and work to be done: a, ILO 9 L4-,:D&fj lir; �` Sa�SisttL /c�X a_�f Present use of land or building(s): R 66I DENT IP Valuation of proposed construction: /X�780 What are the dimensions of the added space: /O 1 feet x feet Will the added area be heated and cooled? NCS New electrical or increase in service? Arp Add plumbing fixtures? A1Z9 Add fireplace? J/'C7 Add heating/air conditioning? Ain Is approval of Homeowner's Association or other private entity required? N O If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? Q"O. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. [ ,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 he provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.us Page 2 Revised 8/04 ,4-0--17�'--- f!p6wiiIng STRUCT� ONTM 241 Atlantic Blvd., Suite 5 Neptune Beach, FL 32266 tel ■ 904.246.1833 A DESIGN BUILD COMPANY fax ■ 904.247.3147 F L C B 0 0 6 8 3 4 March 14, 2005 City of Atlantic Beach Att: Larry Higgins, Building Inspector 800 Seminole Rd. Atlantic Beach, Florida 32233 RE: Remodeling for Capt and Mrs. Don Peters @ 1902 North Sherry Drive Mr. Higgins: The purpose of this letter is to confirm that the Kitchen Island cabinet recently installed under the above referenced remodeling contract was designed to be moveable. Accordingly, we never intended for an electric outlet, which may be required by the National Electrical Code, to be included in the island cabinet design and jointly hold the City of Atlantic Beach harmless from any problems resulting from our exclusion of the outlet. Please c act a er of us if there.are any questi E*6' NNIFER SCHLtfETEROMMISSION#DD 121301XPIRES:May 27,2006 Thru Notary Public Underwriters t A. Dow g, C actor r Don Peters, Owner S ;.2•, JENNIFER SCHLUET'ER ' MY COMMISSION#DD 121301 EXPIRES.May 27,2006 ";P.W . Bonded Tnru Notary Public Undel'041e CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 JIn s), Application Number . . . . . 04-00028551 Date 6/28/04 Property Address . . . . . . 1902 N SHERRY DR Tenant nbr, name . . . . . . REPAIR/KITCHEN Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2485 Owner Contractor PETERS, DON DOWLING CONSTRUCTION CO. 1902 N. SHERRY DRIVE PETE DOWLING ATLANTIC BEACH FL 32233 241 ATLANTIC BLVD - #5 (904) 356-3618 NEPTUNE BEACH FL 32266 (904) 246-1833 -------------- -------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 45 . 00 Plan Check Fee 22 . 50 Issue Date . . . . Valuation . . . . 2485 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 . 50 . 00 . 00 t PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING O ES. a I ( joit-K- BUILDING OFFICIAL Cc: CITY OF ATLANTIC BEACH D.Ford _ BUILDING / ZONING DEPARTMENT �Hi ins I� 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 D.Thompson (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # (::�)a - z I Property Address: 0 Applicant: �LJIJ LL PID Project: This per it application has been: Approved =view�ednd thefo atte Please re-submit your application when these items have been completed. Reviewed By:�� Date: (p �2 ■ F C E I V E CRY 'Z'X,AN�'IC BEACH APPyy,,��{�,CgOF DINTLAN'G A ZONING NNGCii q BUILTN B tIT APPLICATION JUN 2 5 2004 98 ?L (A1t tions Additions) Date: Job Address:����.••.�--�-' .- Owner of Property: /"5 _ g Address:��, �`�_._ –_— Telephone: �✓ .7� Legal Description: 11 Numbax Lot Number:_/ _ Zoning District Contractor: r a License Ntmrtber: Contractor Address; ,,,, = Telephone; "' Eyd.- r Fax: Dese .� sed un i Rnwork',.to o d ne: t A Present Be o laud vi luiltling(si): Valuation roposai; construction __ --–-- What are the dimtnsi i is o�`flta l�pncc e x feet Will the added area 1:i heated arlyd c oled? New electrical or increase in service? g ---- Add plumbing fixtur ?__Z3 _ Add fireplace? Q _, Add heating/air conditioning? Is approval of Homy! wner's Assc iatiion or other private entity regnued? & . If yes, please submit with this application. ;�Yx7xli roject I i volve change in elevation,site$rade or any use of 1 ill material or the removal of any trees? App]I ant cartiff49 ,kt oo change In site grade ar till m iterinl Trill be used ou this project. . gee I'' :p 2 beloar. a �proval of the Public Works Depar tn►ant to required prior to issusnee of a Building Peru i :. 2'9-0. Appl I ant eerMlies At no trees will be removed for thir project. []YES. Remi i at of Tress v .I be required for this project. TR EIE REMOVAL PERMIT IS REQUIR$D. Tree Remi I tal Permlils ti „ie reviewed by the Tree Conservat to a Board,which meets two times each month. Procedure: In order i expedite 4 ince of permits, please follow all Reps and provide 1 io[oxplatilQn aanrooriata. Incomplete appltcatlr, t roily ireviot delay in issuance of permit STEP t, Verify toq i lg dasignalion :,id proper setbacks for the proposed oa ne truction. If you are unsure of tbis information, plf-we contact Ili! Planning aitd ; sing Department at 904-247-5826. In oider to correctly verify zoning designat)on, please have Property!i praisves 14x1l ane Number available. STEP 2. Contact 1:i City of i)Ltlai is Beach Department of Public Works t7 determine if a pre-construction or post-construction topograplii hi survey oi!®' �Ag plan is requlrod. (If not required, written verification must be provided with ttiis ArPlication•) T1w Depq+' vmt of Pub 6c' :'irks is located at: 1200 Sandpiper 1-ane,•ktlnatic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Ti 1 Removal App inion if trees are to be removed or reloca:cl. STEP 4. please stiff 1 tit Ruildlnaij Pi ilii Application, Energy Code Portes, 'Jc tice of Commencement Owner/Contractor Affidavit if owner is t nraetor,an]fb (4)complete seta of constructtm plena I o the Building Department,which is located at the Atlantic Beach Ch l Rall,Boo S=1 'leflood,Atlantic Beach,FL 32233 Telephone:(904)247-5826 l u)Seminole Road -Atlantic Beach,p lorida 32233.5445 I elephori+:: t 114)247-3800 Psi,' (904)7A7-584!, •httptitwww.cLatlantle-boach.ft.us R bed 1/44 Page 2 Z 'd 9990, 011 WdP :; VOOZ 'til uo� In addition to construction A cttpl=ipg lit ail,plane must contain the fbllowing b Aram ion u epptoMate tot the type of work being perflonned, Scale of draw;19 should be'sul tient to depict all reyui ed hyanmation in a clear and legible tnanna. I, Current survey Showinli ie property bot: 9ary with bearings end distai and the .eltal description. 2• Lvcation of all smeturt temporary and otrmsnan4 Including setbacks,building b;i1 tht.number of stories and squwt footage. Identity any exisdng an'Uoturre and uses• 3• If inquired by the Dcpn: lent of Public' ;;,dcs,a pre-cottstruotlon top091172113hical su v',y, 4. Any significi enviro:y ental foatali i uludind any Judidictional wetlands,CCC LA natural wntar bodies. S. Impervious surfeee ill A cadcult iom Include driveways,sidewalks, patios s rul other impervious Surfaces. Swlmmint#vola may be excluded prey I total Impri ii iu Surface. 6. Other information as 07s i be appropriate ,r Individual spplica2ii I hereby=t*that tide rith this nppl correct r r� I ' Ile 9igttatura of owner;f.11— I hereby certify that I hay reed and exar iced this applicas m and ktiow the same t> be true and correct isi All provisions of the Ili and ordinances governing thin pe of work wil v complied with,whither spm&eld hi our not. The pvttnII of 4 permit does not presume to give authority to violate or MW the provi os of an federal,state or local rules,M u1iii ordinances,or laws in any manner,including the governing of constructiorA the I ate 1 of - I undere Quid ii the tseuano•of this pi Is contingent upon the above information beans ti i !and I e pl a tuppo data have b ee t1 or shall be provided u ulred, Z. Suture of Contractor. _ Date' Address and contact int' teatian per ,a to receive all c spondeace rep vi ng this appllcatioa(please print). j Name: Wiling Address: Telephone: ._ _ Fax: E-Mail: " •.�f,-. TO OWNER 444day ,I�r 20 0 L ,sworn to ri nkscribe,I aefore me�thil , o Notary's signature: �p � . ;5Personally known I i 2�OC 3Produced Identifice til m Type of idendficail m L produced A9 TO CONTRACT01 swom to and subscribe, Before me iWI _ ' ` Any of d rte' ,201 State of Florida,Cottnry .f D1rva1 l/V� Notary's Si - e4;a�ey� JE MY MY COMMISSION#DD 12*01 Personally lino - EXPIRES:May 27,2006 Produced identiif l i m %f MR-i- Bombed Thru Notary Pubic Un W wri!ers Type of idendfi atj 011 produced 81 Seminole Rood -Atlantic Beach,;+larida 32233-5445 Page 3 elephonei (5 i4)247-5800 -F11111'. (904)247.&845 -http:ltwww.ci.atlant►c-beach.fi.ae Arvd,1104lsa E ' d MC ION wdW g tooz 1z' i PERMIT WORKSHEET Certificate of Occupancy Job Address: ���Z. � j� Type Work:: - � l 2 Property Owner: Phone # Contractor: Phone # �u�Lt �C� �rJSZ-2uc`rt ZL4(1 - 1 8 3 3 Permit#: U _ 28 SSI Date Issued: (1:1 Z<S Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing Framing / Cover Up Insulation Final Building Tree Permit# YES NO JEA Electrical Permit# o4' ZS SS I Date / Cop to - Temp, Pole Permit# Date / Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric -7 Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# Inspections: Rough Final Plumbing Permit# Inspections: Rough / Underslab Top Water/ Sewer Finnalal Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# i Inspections: Nailing / Sheathing Final �— Fire Inspection: — Failed Inspections: Date Paid: Date Paid: CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Jjll 51 Application Number . . . . . 05-00030062 Date 4/08/05 Property Address . . . . . . 1902 N SHERRY DR Application description . . . WELL PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -- ---------------------- ------- ----------------- PETERS, DON & JEAN HULIHAN TERRITORY 1902 N. SHERRY DRIVE P .O. BOX 331268 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 285-8505 ---------------------------------------------------------------------------- Permit . . . . . . WELL PERMIT Additional desc Permit Fee . . . . 35 . 00 Plan Check Fee . 00' Issue Date . . . . Valuation . . . . 0 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 a PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ftl BUILDING OFFICIAL 10 CITY OF ATLANTIC BEACH WELL PERMIT APPLICATION Date: �4, cO) Job Address: �� N Owner of Property: Owner's Telephone: Contractor: +- j I1 �►� Contractor's Address: Telephone: �IV5 rr Fax: Is well to be used for drinking purposes? Nj ➢ Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. ➢ A reduced pressure zone backflow preventer must be installed on the City water service on the customer side of the meter. A certified tester must test the backflow preventer and a copy of the results sent to Public Utilities. Department Notes: I agree to comply with regulations stated herein: e Date 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800•Fax: (904)247-5845• httn.//www.ci.atiantic-beach.fl.us Revised 6/25/04 . -� • f!rL�1 rl CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD v ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5826 r Application Number . . . . . 05-00029746 Date 2/17/05 Property Address . . . . . . 1902 N SHERRY DR Tenant nbr, name . . . . . . WIRE FOR FAN/1 GFI REC Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ----------- - ------------ ------------------ ------ PETERS , DON COLONIAL ELECTRIC CORPORATION 1902 N. SHERRY DRIVE 523 ELLIS ROAD S ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254 (904) 783-0052 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING ODES. i7' * r BUILDING OFFICIAL �S�`lrr CITY OF ATLANTIC BEACH f ELECTRICAL PERMIT APPLICATION r� �r - - f+essae f. Date: q Property Address: 19001 _ /2 �J Owner: to'2 Iey' S Telephone #: Contractor: (f�/D,L� ��9-� E" ��C c�f'� Telephone #: fj-���5� Contractor Address: 5_�2S. C/L/S IU Fax #: (�, �j'S"- O Z 5-3 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 City of Atlantic Beach ordinance and standards of good practice listed therein. _ Building: Building Type: ❑ Trailer Service: I If other construction is ❑ New Residence ❑ Temp. ❑ New 5eing da is on this building Old ❑ Commercial C3Si ns ❑ Increase Pe site,list the building Signs Permit number: ❑ Re-wire ❑ Addition Sq. Ft. ❑ Repair OS -Gao�I gS97 Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0 30 AMPS 31 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 kmps OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904) 247-5845 • http://www.ci.atiantic-beach.fLus S CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028546 Date 6/25/04 Property Address . . . . . . 1902 N SHERRY DR Tenant nbr, name . . . . . . REPIPE 17 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ PETERS, DON CHRISTY FIRST COAST PLUMBING 1902 N. SHERRY DRIVE P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 219-8044 (904) 247-4419 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 154 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 154 . 00 154 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 154 . 00 154 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING COD � r BUILDING OFFICIAL CITY OF ATLANTIC BEACH t 800 SEMINOLE ROAD J s ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 �Jjilt Application Number . . . . . 04-00028551 Date 6/29/04 Property Address . . . . . . 1902 N SHERRY DR Tenant nbr, name . . . . . . REPAIR/KITCHEN - Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2485 Owner Contractor ------------------------ ------------------------ PETERS, DON DOWLING CONSTRUCTION CO. 1902 N. SHERRY DRIVE PETE DOWLING ATLANTIC BEACH FL 32233 241 ATLANTIC BLVD - 45 (904) 356-3618 NEPTUNE BEACH FL 32266 (904) 246-1833 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc 200AMP, 1PH, 3W, 240V Sub Contractor BROOKS & LIMBAUGH ELECTRIC Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING COD &16. • BUILDING OFFICIAL CITY OF ATLANTIC BEACH r ELECTRICAL PERMIT APPLICATION A� C/ `_� �` Date: 6 a -0 Property Address: Owner: tstn �tS Telephone #: Contractor: �oa�s �-����'�vGCf ,�� t'��77z(L Telephone Contractor Address: Fax#: '9`�� - 0 70J In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ NewResidence C3 Temp. L) New being done on this building Old L3 Commercial C3Si ns ❑ Increase or site,list the binding Signs Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair pc(— ;':YS"Sf Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS 2C.) PH � W 3 VOLT a YU WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0 10 AMPS 31 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances I TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sign Miscellaneous 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us PSR-3844 16456 8 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH i PEP-MIT INFORMFTFCill - -- ------ "1 Ce-_AT-1CDN INFORMATI .l ermit Number : 16456 'dress : 1902 SHERRY 'DRIVE NORTH Permit Type:RE-ROOF ATLANTIC BEACH . FLORIDA 322 aS3 of Work:NEW ______.__ LEGAL DESCRIPTION Dnstr .. TYFe:WOOD FRAME Block: Lot , P-7p: ;:oposed Use: SINC4LE FAMILY Section: 0 Subd: Rng : Dwellincs : 0 Snbdivision: Est . Value: :n�rnv . Cc+st ; 1 , 400 . 00 Total Fees : 25 , 00 F , !jEROOF ')WNER INFORMATION --------- - ------ APPLICATION FEES :me' DON PETERS DERMIT 'dr : 1902 SHERRY DRIVE NORTH ATLANTI'.". BE'ACOH - FLORIDA 322113 -- CONTRA`TI-7,F. INFORMATION --- --- �tp CLAUDE E . MERRITT & SONS .ir : 3644 PHILLIPS HIGHWAY JACKSONVILLE . FL 32207 CF(7029749 Exp , t (� 77,e I NOTES: I NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION t BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE j CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.00 14 CAS5"W96 01 Ree-eipto -0@56516H ATLANTIC BEACH BIJILD G DEPARTMENT 00100003221000 By: CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: r �1 O 2 /V �� OWNER OF PROPERTY: C \v) e,� 1 CONTRACTOR: �QCt.�Sl� YYl !� d-- C, CONTRACTOR'S ADDRESS: LI ��o� ZIP: 32- 2- Or? STATE LICENSE NUMBER: TELEPHONE: DESCRIBE WORK TO BE PERFORMED: VALUATION OF PROPOSED CONSTRU�CTIION ((�� I Y0 C� MATERIALS TO BE USED: ��'y""�5s�1- - SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: J !�/ SWORN TO AND SUBSCRIBED BEFORE ME THIS ! / Y OF 19-Z L NOTARY PUBLIC Ii- Liability Insurance Supplied "("',, Petrlda�GG5MjC(P►RES �AW�V.2000 INC. Workers Cempensatien Insuranca Supplied 'e: 1313"D ��>�;rim Contractor License Information Supplied Occupational License Information Supplied r DEPARTMENT OF BUILDING 4541 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 11./71 19' i valuation=4' ,00,2-48 Fee $ 218.68 This permit not valid until above fee has been paid to City Treasurer, and is E subject to revocation for violation of applicable provisions of law. This is to certify that Lerman Brame has permission to build a single family eiwelliug qtCr-.rriJng tnnla„c F submitted. 6 Classification P93Qidellt123- zone P1 Owned by Mr a& Mrs. T. Fore Lot 15 Block S/D4Pl3za Marina 1O . � i House No- Lc- -7`- � According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- Q SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE � ► Building material, rubbish and debris z from this work must not be placed in public space, and must he cleared up and hauled away by either contractor or owner. ` 21 a,titICK g Building Offi iq._: FOR OFFICE PERMIT DATE CONTRACTORU` 'i USE ONLY NUMBER i ��: PLUMBING ELECTRICAL i SEWER i WATER p I FOR OFFICE USE ONLY Date.._ -------------------19 Q p Permit #--'/ .....Fee CITY OF ATLANTIC BEACH ValuationYk.................. FLORIDA House .................................... 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. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date---------------- .........----------------------9 19--- Owner_. 9---- Owner_.> �. ----------------- ---------Address............................................................Telephone No.-----_------ Architect o------_------Architect------------/4i :gn.&,y.....;7�.: ' ---------_--Addres&..5?--7. .... ...Telephone No............ A Contractor Builder_.__/.Z- 2' - -----Address__. �4...Telephone No............ .... G�A_AOIYAI ��---�.? Z:h . . Lot No.---- -./ 57_ -----------Sub Division__.,_59.1V,4___..1V 1�1 1-----------------........Zone.... (A.10 •--------------------•---------.Block ....... ................................................---------Street----- --------------------Side Between......4.k= -SAL'eA-- _ ------- ---and...........I----------­-,, /............................Sts' Valuation $------- 0...For what purpose will building be us .....................Type of construction_ �.L.................... Dimensions of Building----------- .71� Size of Piers..___ __ _ ___.Dimensions of ...........-Size of Footings.../.&.X........_..I-.___.-__. L.................... --- In'911111 —---------size of sill's--------------------------------Greatest Sill Span in ft....-...._.-_--_---.____._Type--_------------------Type Roof.. How will Building be Heated? -----------�1�9------ _--Will Building be on Solid or Filled Ground?-....I................................ Size of Ceiling Joists...,;2--A.............................. Distance on Centers_.___..,4....0..`...:...' Greatest Span...........4............................. Size of Floor Joists-.....!�U/ Distance on Centers.. ..._.__. ...... Greatest Span----------------- --------------------- - Size of Rafters___..._.°Z ------------------ Distance on Centers .... .... .. ------ Greatest Span.-_._....________ ----------------------- This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from APPROVED all lot-lines and existing buildings. CITY ()c MFAC!I REAR LOT LINE BUIL NG O;rr-ICE Two copies of plans and specifications shall be submitted with application. 29 9 1 0 Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and Z 3. When steel is in place and ready to pour beam. 'i 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksor.ville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signatureof Builder................................................................................ Address------......... ........✓..........60�/--------------------------------------------- Signatureof Owner-------------------------------------------------------------------------------- Address..................--------------------------------------------------------------------------------- CITY OF ATLANTIC BEACM 716 OCEAN BOULEVARD ATLANTIC BEACH, FLORIDA ADDENDUM 70 BUILDING PLAN � Building locations lX� !. The attached plan for the above building is approved subject to meeting the following applicable construcitonrequirements: a. Footings shall be continuous monolithic concrete under exterior walls, reinforced with two 5/8" deformed reinforcing rods for one-story buildings and three 5/8"deformed reinforcing rods for two--story buildings. Reinforcing rods shall be placed in the lower one-third of the footings, properly placed and fastened on metal cables with wire. Footings shall be six inches wider on each side than the wall above, shall be at least eight inches thick and shall rest on firm soil at least twelve inches below undisturbed soil. b. In hollow masonry unit construction, each unit cell shall be reinforced with at least on No. 4 bar at all corners, poured and tangoed with concrete; such rein- forcing shall be properly tied into the footing and spandral beam. c. All wood truss rafters (roof construciton) , shall be securely fastened to the exterior walls with approved hurricane anchors or clips. d. Construction of nearby on—e family dwellings, which are duplicates or intensely similar, shall be avoided. Such similarity considers the external configuration and appearance (i.e., roof, outer wall materials, window size and design, and other like characteristics) of strictures. In accord with the foregoing, similar or duplicate homes shall not be constructed within close proximity of each other, and shall be at least 500 feet apart if any one similar dwelling is visible from any other similar dwelling. e. The final connection between the house plumbing and the sewer service connection (at the property line) must be by the Ci before being covered. - ger 'he undersigned hereby certifies that he has read the above and understands that this ►ddendum takes precedence over any contrary details to the plans and specifications ind agrees to ccnply with the intent of this addendum. Contractor/Owner - - Date a 4 CITY OF ATLANTIC BEACH GQ 0� WATER CONNECTION CHARGE DATE 7-8D LOCATION '/�' OWNER �/L . 9- -2-224,o PLUMBING FIRM MASTER PLUMBER BUILDER OR CONTRACTOR TYPE OF BUILDING BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC ( 2 UNITS) WATER CLOSET,LAVATORY AND BATH- TUB OR SHOWER STALL.(6UNITS) IM SHOWERS GROUP PER HEAD ( 3 UNITS) BATHTUB ( WITH OR WITHOUT OVER SURGEONS SINK ( 3 UNITS) HEAD SHOWER) (2 UNITS) FLUSHING RIM SINK ( 8 UNITS ) BIDET (3 UNITS) SERVICE SINK TRAP STAND ( 3 UNITS ) COMBINATION SINK AND TRAY ( 3 UNITS) POT,SCULLERY SINK ( 4 UNITS ) COMBINATION SINK AND TRAY W/FOOD DIS. ( 4 Units) URINAL, PEDESTAL,SYPHON JET BLOWOUT. ( 8 UNITS ) DENTAL UNIT OR CUSPIDOR ( 1 UNIT) URINAL, WALLL LIP ( 4 UNITS) DENTAL LAVATORY ( 1 UNIT) URINAL STALL, WASHOUT ( 4 UNITS) DRINKING FOUNTAIN (Z UNIT) URINAL TROUGH EACH 2'SECTION DISHWASHER ( 2 UNITS) ( 2 UNITS) FLOOR DRAINS ( 1 UNIT) WASHING MACHINE RES. ( 3 UNITS) KITCHEN SINK ( 2 UNITS) WASH SINK EACH SET OF FAUCETS ( 2 UNITS ) KITCHEN SINK W/WASTE GRINDER ( 3 UNITS) WATER CLOSETS, TANK- OPERATED ( 4 UNITS ) LAVATORY ( 1 UNIT ) WATER CLOSETS, VALVE OPERATED LAVATORY,BARBER,BEAUTY PARLOR ( 8 UNITS ) a ( 2 UNITS ) LAUNDRY TRAY ( 2 UNITS ) LAVATORY, SURGEONS ( 2 UNITS) , m 1 FORM 900- 123 FORM 900 AND 901 -123 pf'ZHFST1 Tt,O FLORIDA MODEL ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION ° -.: ►"�R" BOB GRAHAM SECTION 9 GOVERNORS ENERGY OFFICE ` GOVERNOR POINTS METHOD LEX HESTER,DIRECTOR ♦"OD.vF P.S PREPARED BY: BRABHAM KUHNS DEBAY - CONSULTING ENGINEERS PROJECT NAME JURISDICTION AND ADDRESS BUILDW PERMIT NO. BUILDER OWNER TO BE FILLED IN BY BLDG.OFFtC1Al ITO BE FILLED IN BY DESIGNER STATISTICAL DATA 004 ZONE A M G [ OF [P HEATING SYSTEM TYPErEll TWATER SYSTEM TYPE caN IME NuwER of uNITa STRIP PUMP GAS OIL SOLAR . GAS OIL SOLAR CSS FRAW SU M1 1 ❑ ❑ ❑ D D ❑ ❑ ❑ ❑ 0 ❑ D THIS DATA TO 99 SENT TO THE GOVERNOR'S [II[RGY OFFICE BY THE WILDING OFFICIAL UPON NEGIRIST SASE MIDGET COMMON WALLS COMMON ROOF MAXIMUM ALLOWED XB — Xil _ FROM APPENDIX E FEWER TOTAL POINTS MAW SNBATBN SAVWOS EPI CERTIFIED BY: DATE. EPI 9D DESIGN CREDIT POINTS(CP) 9E IDESIGN PENALTY POINTS(PP) CEILING FANS FIN COHO.SPACE) I PER FAN WASHER AND DRYER (INCOND SPACE) 3 BY MULTI ZONE A/C (OPERABLE SEPARATED boom 1 MAX.OPENING OF GLASS( 40% 5 OPERABLE WINDOWS I °M! OR YSM OF ROOM iORE) PER ROOM WHOLE HOUSE FAN (I.S CFri SF) 5 1 1 TOTAL 9G I PERSCRIPTIVE MEASURES CHECK FOR COMPLIANCE SECTION CHECK HEATING SYSTEM EFFICIENCY 503.4 ❑ AIR CONDITIONING CONTROLS 503.T ❑ A/C DUCT CONSTRUCTION 503.1 ❑ PIPING INSULATION (CIRCUTATINi) 503.10 ❑ SySTEIOS J WATER HEATER IASHAAE iO-TS LABEL 504.2 SW KING POOLS 504.t ❑ TOTAL SHOWER FLOW RESTRICTORS 504.5 Qj CITY OF ATLANTIC BEACH t APPLICATION FOR WATER CUT-IN APPLICATION IS HEREBY MADE FOR '� WATER CUT-IN AT THE FOLLOWING ADDRESS FOR UNITS (S) CUT- IN CHARGE OF g 7 91 STREET N 0. / J o 'Z /y. f• 4. dam" /s-" S /-n /D LOT -BLOCK SUBDIVISION 5h2 /OC, ACCOUNT NO. MASTER PLUMBER DATE METER NO. 30 L .S S 00� DATE INSTALLED 7 zWA6, r -a- ill7i i�,, i CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTIONS ACOOUNT NO. DAZE //- 7-,f&� LDCATION LOT NO. BLOCK NO. SUBDIVISION OAR ��/ - �-/ TYPE OF BUILDING MASTER PLUMBER DATE INSPECTED BY CITY OF Office of Building Official REQUEST FOR INSPECTION #3088 Permit No. Date--MAY �,,M. District No. ------- Time P.M E . A MAR Received S TX 1902 NORTH T—H a_IH�—ER DRIV Locality Job Add—! TBTC — ddress contractor BIVTNS ELEC Owner's HEPMAN BRAME PLUMBING HEATING Name RING ELECTRICAL 0 Rough............0 BUILDING PLASTERING Rough wiring.El Ftough...............C] Final I.....0 C3 wire..................13 El F inal................* Hie--a--ter-11 Foundation------- C] Finish wiring- 13 water Chimney ..........0 Lath..................E] Fixtures..........❑ Sewers...............0 ❑ Framing............. C1 scratch..............0 Motors.......-- Gas...I............... C3 . 0 Brown...............0 cesspool ........... Final..... Finish................E) FINAL INSPECTION A.M. Wallboard ........ P.M. READY FOR INSPECTION Thurs. M Fri. Wed. Mon. Tues. Inspection Made Impmecator—,�= W12 CITY OF -"-- &4- A"- O"km Of BaNding offieW EQUEST FOR INSPECTION Tiima 0 permit Distrkt No. Locality BUILOING contractor Foundwtion ❑ PLASTERING ELECTRICAL PLUMBING chirnnev 0 0 Rough Wiring.0 Rough HEATING Frwni%_. 13 Finish wiring.,13 Fini...""**"*.......13 no Final....... ❑ Scratch 13 Fixtures..........0 ............13 Fin 0 0*4" .............�0 Water Neater..Finish--..❑ Motor&............E3 Gas...................13 Wallboard .......8 Ceempoei...........0 Mon, TUOL READY FOR j#WECn0jM Impectibn v6st Thurs. Fri A.M. Insinow . f ft ------ P.M. B&IJ jlP7- :SICLL+ 60 - CITY OF A*h& &ad Office Of Building official Date REQUEST FOR INSPECTION Time Received P Permit No. Job Address District No. Owner's Name F ..................-...------� ...... ..­ Locality BUILDING PLASTERING ContractorFoundation ELECTRICAL wire•... PLUMBING...........0 EFramnhath..... 0 Rough Wiring-03(ug HEATING❑ G............ 'Scr Scratch....... Finish ...............❑Final...... -ring..0Final.... 0RDUgh.......... ❑ .. D Fixtures........ EBroWn... ........... Final...............0 Motor Sewers............. ...........EWater........ D Gas..00lHeater.- DE ... cessp ... ..... El Mon. Tues. READY FOR INSPECTION Inspection Made Wed. Thurs. T . Inspector "urs CITY OF A*fti& Office Of Building official Date REQUEST FOR INSPECTION Time Received A.M Permit No. P.M. �ee. Address Job Addres District No. C,)=wVnW$ 0 s Name Foijj-n _y Locality Contractor, d---tj PLASTERING Chimney .. Wire.......... ELECTRICAL Rough Wiring.E] ........... Lath.................. HEATING F ram ing............ 0 Scratch.... ........ Finish Wiring.. PL(JM131lyG Final....... 110 F-0 Rough............... ❑ Brown ..........D Fixture 0 F [j IXtures.... Final..................... ❑ Rough............❑ Finish. ... motors... El Sewers.... Final.............. .........0 ..........0 . Wallboar ❑ *�...*...... ❑El Gas Water Heater.-........Ej Cesspool ....... 0 READY FOR Tues. INSPECTION spool........... ❑ Inspection Made Wed. Thurs. Inspector_ Fri. 8 1.2A4 Pm CITY OF s*fti4 _ J Office of Building Official Date REQUEST FOR INSPECTION Time Received �Address P.M. Permit No. /'�� s�iDistrict No. Job Ci/,� v Owner's �/ / Name Locality - BUI LDING Contractor Foundation... PLA TERING ELECTRICAL Chimne p wire... PLUMBING J y...........❑ ........--"....p Framin Lath..... Rough Wiring.,❑ HEATING 9............❑ p Finish Rough............... Final........ Scratch..__ Wiring..❑ Rough............❑ ......... p Brown... ......p tures....... Final.... p Final...... ......... ❑ Motorz............p Sewers..... Finish.... ........❑ ❑ Wallboard a Gas................... ❑ Water Heater.. ❑ Cesspool ❑ Memory Tues. READY FOR INSPECTION ........... Inspection Made Wed' Thurs. Inspector q Fri, A.M - INSPECTION RECORD BUILDING PERMIT ys _ ELECTRICAL Pr-YYiIT # 30t PLUMBING PERMIT# t JOB ADDRESS CONTRACPOR �� A� OWNER �ti 9y TYPE DATE REMARKS INSPECTOR FOUNDATION r -7 FOOTING t SLAB PLUMBING (R) 4i AV i- ORARY POLE LIN EL/BEATr _ COLUMN ELECTRICAL(R) 3 / PLUMBING (F) ,S,� FRAMING ELFCTPJCAL (F) O7HEP, FINAL DEPARTM ENT OF BUILDING PERMIT NO 459 H, FLORIDA CITY OF ATLANTIC O C ��'�D E PERMIT T THIS PERMIT MUST BE POSTED ON JOB - F Date 3.,ui«ry 7_ — Fee$_1L._00 Valuation 't not valid until above tee has been paid to City Treasurer, sod is This perms violation of applicable proviaions of 1st+• subject to revocation for Unbin Homer Harris it This is to certify tha _ a10tories 2 bath tubs poaal has permission 1 water Heater, 1 Dishwashe , 1 T, r , 3 closets, ;shower, I tt h;,� Maching• ence ne Classy lea11 Owned by— , /. i. �J o -5--y /&F t c: I 4 Lot House No----- _ art of this permit Tans which are p ALL CONCRETE FORMS to approved p NOTICE— MUST BE IN I According AND FOOTINGS PEC BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE material, rubbish and debris C _ --► 0 B°mIthis work must not be placed in I ♦--� '� public space, and must be cleared UP and hauled away by either contractor —� or owner. I iii t i. pIAM S betibt�d" Buildin6 t j CON ACTOR l ' PERMIT DATE FOR OFFICE NUMBER ' USE ONLY I PLUMBING ELECTRICAL i I SEWER I WATER CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT I DATE �- C LOCATION '�^'l'7" U / D PLUMBING FIRM 7 AA R A4;3 (� / ��� v Ai kt i Ni MASTER PLUMBER A& A CITY/COUNTY OCCUPATIONAL LICENSE N0. STATE CERTIFICATE NO. 3 BUILDER OR CONTRACTOR TYPE OF BUILDING �� SINKS _-SHOWERS LAVATORY / WATER HEATERS Z BATH TUBS I DISHWASHERS URINALS I DISPOSALS CLOSETS j WASHING MACHINE FLOOR DRAINS OTHER / TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. 9 d r H O C H C O n ►-� tai , EnH H Cl NA, > O ro r� b z d x 9 -vr C Hcy , C'7 En H o tali H H G) > Iv Iv Z W n H [T] t l to H H 7o ro O H ¢, O (n H H Z 9 r a o A r U) ,2 0 ' 0 a a n � n o Oo � �z0 - Mm J � N J D C) 0 C C.n a o n Uj m � z � n n a c 0