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1915 Sherry Dr (vault) �f ti�QP ��--' j r� CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 J = v INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028278 Date 5/13/04 Property Address . . . . . . 1915 N SHERRY DR Tenant nbr, name . . . . . . TREE REMOVAL PERMIT Application description . . . TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - -- ----------- ----------- ------------------ ----- RUSSELL, KERRY & LEAH OWNER 1915 N. SHERRY DRIVE ATLANTIC BEACH FL 32233 (904) 241-2740 ----------------------- --------------- -------- - ----------------------------- Permit TREE PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 5/13/04 Valuation . . . 0 Expiration Date . . 11/09/04 ---------------------------------------------- -- --------------------------- Special Notes and Comments TO REMOVE A 12 " OAK AND A 12" PALM TO BE REPLACED WITH A 6" OAK AND A 6" OF ANY TREE . Fee summary Charged Paid Credited Due ----------------- ---------- ---- ------ ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 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 APPLICABLE PROVISIONS OF LAW. C - BUILDING OFFICIAL PERMIT WORKSHEET Certificate of Occupancy Job Address: Type Work: POOL. 1915 N. S�i�.RRy ORIJ� Property Owner: KLRRy RMc.5t V1- Phone # 2141 - 1-313 Contractor: UN Am t Pow) Phone # 2q I . 1313 Permit#: _ 2a1 -76 Date Issued: C> y o Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing Framing / Cover Up 5--2--a7 Insulation <tf - Final Building Iz Tree Permit# YES NO Electrical Permit# Date/ Copy to �, / ua Z2-o1/ 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. PoleReleased to JEA Final 6 Released to JEA Mechanical Permit# Inspections: Rough Final Plumbing Permit# Inspections: Rough / Underslab Topout Water/Sewer Final Drainage Inspection: Pool Permit# 1 Inspections: Steel Final Grounding Final 6 Roofing Permit# Inspections: Nailing /Sheathing Final Fire Inspection: Failed Inspections: Date Paid: 612, ^(—b k--3-vq k--3—vDate Paid: i PERMIT WORKSHEET vo , ,o"+-� JOB ADDRESS I I " S� STYPE WORK-92a�Yf""t�l r PROPERTY OWNER �e � � TELEPHONE -�2A CONTRACTOR �1 sem C SS"A TELEPHONE a a/2 �PERMITNUMBER �3"2�5 22 DATE ISSUED �t 9 i3 INSPECTIONS: FOOTING Z� SLAB TIE BEAM LINTEL v ` NAILINGISHEATHING re i n<,z f H �� •zg o3 FRAMINGICOVER UP S .t b3 INSULATION 1,-03 FINAL BUILDING CERTIFICATE OZCCUP NC TREE PERMIT ISSUED? PERMIT NUMBER ELECTRICAL PERMIT NUMBER � DATE COPY SENT TO JEA TEMPORARY POLE PERMIT NUMBER DATE COPY SENT TO JEA TEMPORARY POWER LETTER RECEIVED? YES NO INSPECTIONS: ROUGH ELECTRIC I oZ I RELEASED TO JEA TEMP. POWER RELEASED TO JEA TEMP. POLE RELEASED TO JEA FINAL__( II MECHANICAL PERMIT NUMBER INSPECTIONS: ROUGH FINAL PLUMBING PERMIT NUMBER INSPECTIONS: ROUGHIUNDERSLAB TOPOUT WATERISEWER FINAL DRAINAGE INSPECTION POOL PERMIT NUMBER INSPECTIONS: STEEL FINAL ROOFING PERMIT NUMBER INSPECTIONS: NAILINGISHEATHING FINAL FAILED INSPECTIONS: DATE PD. DATE PD. JOB ADDRESS ( t 5 l�1 r=PE WO" PROPE=OMVER 2N CONTRACTOR TE-EMoNE PE itI3'N7ER D 2,- 2 �J y O DATE INSPECTIONSFOOTING SLR lv2oZ. 0 TIE BEAM 3 a LINTEL NAILIN G Yoo� SI��'{Gi is f7 a2 FR-UdTvGXOVEx INSULATION FI:YAL Z�DILDlNG �� = © CATE OF OCCt7PANCY ELECTRIC'A L PMZh1I rm � �J INSPECTIONS ROUGH / zl (W p Z FINAL MECY"CA.L PERidM INSPECTIONS ROUGH FINAL PLDMBING PEU 'I'# INSPECTIONS ROUGHA7NDER SZAB TOPOIIT WA FINAL NOTES.- PREPARED 5/02/03, 8:33;48 INSPECTION TICKET PAGE 1 CITY OF ATLANTIC BEACH INSPECTOR; LARRY J HIGGINS DATE 5/02/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 1915 N SHERRY DR SUBDIV: TENANT, NBR: ROOM ADDITION CONTRACTOR ; FISETTE CONSTRUCTION & REMODEL PHONE (904) 992-4782 OWNER RUSSELL, KERRY PHONE (904) 241-2740 PARCEL 172020-0822- - APPL NUMBER; 03-00025522 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------------------------------------------ PHPMIT: BLDG 00 BVILDIHG PHHNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 10 01 2/24/03 LJH BD FOOTING TIME; 13:00 2/25/03 AP 11 01 3/11/03 LJH BD SLAB TIME: 08:00 3/11/03 AP 591-0606 17 01 4/23/03 LJH BD SHEATHING TIME; 08:00 4/24/03 DP 4/29/03 FISETTE 591-0606 17 02 4/29/03 LJH BD SHEATHING TIME: 08:00 4/29/03 AP R NSPECT FEB PAID 591-0606 RUSS FISETTE 13 01 V02/03 L J FRAMING TIME: 08:00 _ USTY 591 0606 PIRNIT: HLEC 00 HLHCIRICAL PH IT SUB; KNIGHT ELECTRIC LLC (904)273-6969 REQUESTED INSP /DESRIPTION TYP/SQ COMPLETED RESULT LTS/COMMENTS ------------------------------ ------------------------------------------------------------ 22 O1 5/02/03 LJH OOGH TIME: 08:00 ----------------------------- --------------------------------------------------------- - ------ PHYMIT: MHCH 00 MHCHAiICAL PHHMIT �� REQUESTED INSP DBSC PTION TYP/SQ COMPLETED RESULT RES LTS/COMMENTS ----- ----------------------------------------------- ---- 34 01 5/02/03 LJH FIMAL TIME: 08:00 -�=? -- It-- -------------------------------------- COMMENTS AND NOTES -------------------------------------- PRbPARED 1/22/03, 16:10:48 INSPECTION TICRBT PAGE 4 CITY OF ATLANTIC BEACH INSPECTOR: DON C FORD DATE 4/23/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 1915 N SHERRY DR SUBDIV: TENANT, NBR: ROOM ADDITION CONTRACTOR : FISETTE CONSTRUCTION & REMODEL PHONE (904) 992-4782 OWNER RUSSELL, KERRY PHONE (904) 241-2740 PARCEL 172020-0822- - APPL NUMBER: 03-00025522 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------------------------------------------ PBRNI?: BLDG 00 BUILDING PBRNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 10 01 2/24/03 LJH BD FOOTING TIME: 13:00 2/25/03 AP 7LG� 11 01 3/11/03 LJH BD SLAB TIME: 08:00 3/11/03 AP 591-0606 17 01 4/23/03 DCF BD SHEATHING TIME: 08:00 ---------- -------- RUSS FISETTE 591-0606 -------------------------------------- COMMENTS AND NOTES -------------------------------------- ?REPARED' 4/29/03, 8:16:24 INSPECTION TICKET CITY OF ATLANTIC BEACHINSPECTOR: LARRY J HIGGINS PAGE 3 DATE 4/29/03 ---------- ADDRESS 1915 N SHERRY DR------------------------------------------------------------------- TENANT, NBR: ROOM ADDITION SUBDIV: CONTRACTOR FISETTE CONSTRUCTION & REMODEL PHONE (904) 992-4782 OWNER RUSSELL, KERRY PHONE (904) 241-2740 PARCEL 172020-0822- - APPL NUMBER: 03-00025522 RESIDENTIAL ADD/RENOVATE/ALTER ----------- P8RllIT: BLDG 00 BOILDING PERMIT----------------------------------------------------------------- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------- ----- _____________________ 10 01 2/24/03 LJH BD FOOTING TIME: 13:00 2/25/03 AP 11 01 3/11/03 LJH BD SLAB TIME: 08:00 3/11/03 AP 591-0606 17 01 4/23/03 LJH BD SHEATHING TIME: 08:00 4/24/03 DP SS FISETTE 591-0606 17 02 4129/03 LJHBD SHEATHING TIME: 08:00 -- 'Ap5 _ REINSPECT FEE PAID 591-0606 RUSS FISETTE -------------------------------------- COMMENTS AND NOTES -------------------------------------- n1� /CITY OF rir& BewA-A;&'ifi(Sfi Office of Building Official REQUEST FOR INSPECTION s . 1 Date A" `-'� Permit No. Time A.M. Received P.M. 19r� k4a Piz- Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing " 1:1Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing L Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. W d. Thurs. Friday P.M. /l Inspection Made L�,2 " A.M. P.M. Inspector � Final Inspection ❑ �I G Certificate of Occupancy ❑ V I / Date PREPARED 5/05/03, 16:50:03 INSPECTION TICKET PAGE 4 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 5/06/03 -------------------------------------------------------------------- ADDRESS . : 1915 N SHERRY DR SUBDIV: TENANT, NBR: ROOM ADDITION CONTRACTOR FISETTE CONSTRUCTION & REMODEL PHONE (904) 992-4782 OWNER RUSSELL, KERRY PHONE (904) 241-2740 PARCEL : 172020-0822- - APPL NUMBER: 03-00025522 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------------ PBRNIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------------------- 10 01 2/24/03 LJH BD FOOTING TIME: 13:00 2/25/03 AP 11 O1 3/11/03 LJH BD SLAB TIME: 08:00 3/11/03 AP 591-0606 17 01 4/23/03 LJH BD SHEATHING TIME: 08:00 4/24/03 DP RUSS FISETTE 591-0606 17 02 4/29/03 LJH BD SHEATHING TIME: 08:00 4/29/03 AP REINSPECT FEE PAID 591-0606 SS FISETTE 13 01 5/02/03 LJH BD FRAMING TIME: 08:00 5/0203 AP RUSTY 591 0606 15 01 5/06/03 LJH BD INSULATION TIME: 3: _ _0� �i591-0606 -------------------------------------- COMMENTS AND NOTES -------------------------------------- MAP SHOWING OF - ' LOT 10, SLLVA MARINA UNIT NO. 10-C, AS RECORDED IN PLAT BOOK 37, PACE 40, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: "7 KERRY P. & LEAH M. RUSSELL ciso� COMMONWEALTH LAND TITLE INSURANCE CO. N GIBRALTAR TITLE SERVICES PEOPLES FIRST COMMUNITY BANK �3 CYJ SECTION 9. TOWNSHIP 2 SOUTH. RANGE 29 EAST N 89'08'46" E 163.79' (PLAT) FOUND 1/2" IRON PIPE 1.4' 163.79' (MEASURED) NO IDENTIFICATION FOUND 1/2- IRON PIPE N 89'06'41".E x NO IDENTIFICATION _ X LT FOUND 1/2"REHAR STAMPED"ACM LB 6%02' .7H + LOT 1 °� } 7 �6, *0 2a'RESMCnw UNE W y� 7 c ? CoQ�IvF ��J_ 5 ' P � N 4 n 19, R LOT 11 '1' W u W d' a 04 T 00 zZ 'Q .�`O LOT 9 S ;O�J7gM FOUND 1/2'IRON PIPE NO IDENOFICATION �— Ra50.00. FOUND NAIL AND DISC N s STAMPED "OURDEN 104B" 8(c �,� S.0 79- (C" 60� 0 9-(C"0 o)' ") NORTH SHERRY DRIVE jQ IS (VARIABLE WIDTH RIGHT OF WAY) NOTES ACCEPTED BY; LEGEND: R - RADIUS —X—X= FENCE L = LENGTH t - = CONCRETE NOTES: —_ 1. BEARINGS ARE BASED ON THE ---PLATBEARING OF __ N 0210'34•' E REVISIONS NORTHFRI Y BOUNDARY LINE OF SUBPARCEL. ------ ALONG THE JECT 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE _ ___X ___, AS SHOWN ON THE DATE DESCRIPTION NATIONAL FLOOD INSURANCE MAP DATED APRIL 17. 1989• COMMUNITY NUMBER 120075, PANEL ---QQQI_Q. S. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMIIMLNI IF SUPPLIED. UNLESS OTHERWISE STATED. NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED 4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. JOB b„11313 I DATE OF FIELD SURVEY: 05-03-00 DISK # CD-3 SCALE: I" = 30' CLRTIFICA rE . 2522 Oak Street I HEREBY CERTIFY TIIAT THIS SURVEY WAS MADi. UNDER MY RLSPONSIHLE CHARGE Jacksonville, Florida 32204 AND MEETS THE MINIMUM TECH/IICAL STANDARDS AS SET FORTH BY THE FLORIDA (Phone) 904-389-5989 BOARD OF PROFESSIONAL GITRVEYORS AND MAPPERS IN CHAPTER 61617-6, FIORIDA (Fax) 904-389-6175 ADMINIS E. PURSUANT TO SECTION 472.072, rORIDA STATUTES. . ACf IAI"I J. AII:1.1 0 LICENSED BUSINLSS N 6702 REGISTERED SURVEY 7 AND MAPPER y 4879 SKATE Of 1LORIDA LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS MAP SHOWING OF LOT 10, SIL MARINA UNIT NO. 10-C, AS RECORDED IN PLAT BOOK 37, PACE 40, , OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. IIA CERTIFIED TO: _7 KERRY P. & LEAH M. RUSSELL COMMONWEALTH LAND TITLE INSURANCE CO. GIBRALTAR TITLE SERVICES PEOPLES FIRST COMMUNITY BANK �=cb R�~ SECTION 9, TOWNSHIP 2 SOUTH. RANGE 29 LAST 163.79' (PLAT) FOUND 1/2- IRON PIPE 1-4• N 89'08'46' E 163.79' (MEASURED) NO IDENTIFICATION FOUND 1/2' IRON PIPE N 139'06'410..E X NO IDENTIFICATION -'-- X 1.2' FOUND 1/2" REBAR ' STAMPED.-ACM LB 6/02' t + LOT 1 201'RLsmx na+u / Q Q ►,. as. 000%tib- 's ati �P P ryI STFD # CN /9/S E /3.3' ry'0 b LOT 11 S - 0 W C O C � CD O F Z LOT 9 R 41 P ha City of Atlantic Beach —` Planning and Zoning Department rAlt This approval verifies Compliance with applicable zoning, subdivision .and other local land FOUND 1/2- IRON PIPE development regulations, but does not constitute NO IDEN11FI� approval for the issuance of permits. Compliance R 01.00, with Florida Building Code and all other applicable 4 local, State and Federal permitting requirements AI SSB' FOUND NAIL AND olsc must be verified by si ature of the City of Atlantic STAMPED 'DURDEN 1048• Beach Building Off. prior to the ' nce of a 4,8a• (4Z42- Building Building Pehil ro s(Cyo�oSVR� Approved BY 35 0 �g 26 ) u 1r ent Director ?' Date: � (C"11o9AT�w NORTH SHERRY DRIVE 1111-5 (VARIABLE WIDTH RIGHT OF WAY) NOTES: ACCEPTED BY. LEGEND: R = RADIUS —X—X= FENCE L = LENGTH O = CONCRETE NOTES. — — 1. BEARINGS ARE BASEDON THE _ PLAT_ BEARING OF ___N 0210'34" E _- ALONG THE REVISIONS NORTHFRI Y BOUNDARY LINE OF SUBJECT PARCEL. DATE DESCRIPTION 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE ____.X___, AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17. 1989, COMMUNITY NUMBER 120075, PANEL ---QQQ_Q. S. THIS SURVLY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PIAT &/OR TITLE COMMIIMLNI IF SUPPLIF_D. UNLFSS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. 4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. lOB 7. 11313 DATE OF FIELD SURVEY: 05-03-00 DISK # CD-3 _ SCALE: i" = 30' CERTIFICA fE Pam 2522 Oak Strent I HEREBY CERTIFY THAT THIS SURVEY WAS A:AM UNDrR UY RESPONSIRLE DIAR(A Jacksonville, Florida 32204 AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA (Phone) 904-389-5989 BOARD OF PROFESSIONAL CURVE'eORS AND MAPPERS IN CHAPTER 61617-6, FIORIDA (Fax) 904-389-6175 ADMINIS ,ODE, PURSUANT TO SECTION 472.072, F:.ORIDA STATUTES. ,1. All-110 LICFNSFD BIISINI-SS M 6702 REGISTERED SURVEY 2 AND MAPPER N 4679 SIAFE OI FLORIDA LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS —us FxzsT `"o � r ,10 WALLS (f 7-74 t FLOOR PSN sc-AL.�.; lk. l- TYPIChL f FOUMTION 5 S F r FICt Y A L Sc►aLC, l� --�� C C� J C(_ E t2' -z EXIST SIAL-EE I"—V 2 E `xlo'RacHoABOLYSca 24"oC. —� w� 2x2x/g`w�sHER RU-SSELL T[� #S V ERT:IoW ELS S 4E. E. CO N S aCr -- MIN. {2''HOOKA-FTCr 0SLAB AL 'r VAQTI=C, F©uNJ DATro N, z-# cotes FLOOR,4cEI-Lsn16- Pt-wa[\)5 — FOO N o Rzo" s ECT20 N S CLI wM►. E(-r A-35 PQR R n1EGT � e SYP RAFTERS IOA?.SYP RAl'TERSCa I Gbc.` ' I ROOF PLP\N sc-Aiz, ��-► LE F S LUAT10 MSC . ALS ! S L L FIS E o N,5T- F' ' =C M"ll g ROOF FRNm7t?JG PLAID LEFT ELEVATION 2�_th-35 ceps @� EA•�/++R��A, 'ioRS4GE i R-2.S P-EAS RAF-T-R►0 2xGco►.L�R ocr FA, PAT R of R R FTE S w�i a-12d ss:kwas Pr-t� \ fi2 �ti i GS S JAKO HUS-26 HAaGr=R& rA.TRvSS To ACAr Gon)►J�CT i i..., RUSSE BE-S. S'FF T7T E C-C)MT O L '= WN Qu=LD�NG G ROSSECTZoAJ CT�a� 2-2x¢57��S��R�SZDE OF EU ERY OPENXtjC, w TAP- oa CA, STUD 3? oC��r4 A4ER. 2x4 *l2at TSF 1600c ► P i PP-��3Z`oL_nnAn. OPENINGS SCALZ, i2= i a 2x4�X��F Ac TSE- L CON 5_T" DRTP ► 13 a AL V S i REAR FLEVA BION SEC71 TOPS C@r OPEN=�GS� GMLE END 156 r c\ 2o''x lo"4�r�aG FTG.o/ \ \ Cn0 I EM BIE G'`� Fx=ST 5 5„ 4F co C. SLAQ IMzAI•Z OQPS= W' \ I IQ-►O,GXraW.vJM OR F'S$ERMES1oye-A \ I GMS.Po4-Y VAPOR gARRYER ON r CLEAN,GOM*CT, POTSoWED FILL / 4 EXIST I 1 I � P4-�S00�►L4S�poxY w�ws.��r�n6�D@L'isST I - �- ---- 4- V-2- FOU N DATION PLANSCALE', C�I LZ N G P LA N SCALE', l 2-13[4--K►Q"LVL. i I sYR HEA4 QRS(T*) ( � l ALL 'Wxa0o-6 TS2 150 X Ii'/6 24° 2-2x4 POS-TS %' cox To srsp. w2$$ t3/MTT x32:' �A►n7oPcxSTS � . 1 f i "x 2SYP. OUTLOOek 24 o-L, u/H _N I -tom +�N I 6 SYS RAF�RS 2.x G oz �. •�- 1� �- vNil oHH I FY,TST. NEW STUCCO STu $TuCC..p �X=ST STS 30R MATCHIAJG FT.QERGLAS. SHINGLES QUER �0'�ASPHAL-7 C-0 Al E:0 E t,T ON c/2'C-0)( PLY oR /10'"OSB NAIL () 4''or-,W EupporTiO OG�Y. For— FL EL0 corv.,o j s oN Zx 8- YP A ERS f� 2x¢�2,oR�3E( PEAT 4'2SYP-De TbbPi a�- 2x`°�ZS�P�\ Mrs-12e c-A. HARDIF--LAP RAF�i�RTo�,�ra►�coa.��cj STcliN& oR STuu-o 00€R Y2I I)x PL.Y-oA �/i�'C1S8 NAs�- G o� ,Q 6PGFS ` IZQC.. FTFLO �gd co ?ISx4 2aMT 1 P TUM X OC Wtrpp-4.-Taf-> OlToo-�C.32 or- w/2x4 P.T Ho'rr'or\ RAS#Z-2x4 '42&Y .7aP Pi-RTES �. 1 I • I I I I ' RF- � RELL TION SFC . (2- GABLE END SCALE, �,2 TPP 4-�p 2YaG o. r H-2.�,C' GA Ou j LOOKER VSTRAPS YZ0C- 7yp PREPARED 2/24/03, 9:05:01 INSPECTION TICKET PAGE 1 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 2/24/03 ----------------------------------------------------------------------- ADDRESS . : 1915 N SHERRY DR SUBDIV: TENANT, NBR: 15'X12' SCREENED PORCH CONTRACTOR FISETTE CONSTRUCTION & REMODEL PHONE (904) 992-4782 OWNER RUSSELL, KERRY PHONE PARCEL 172020-0822- - APPL NUMBER: 02-00025140 SCREENED ENCLOSURE ------------------------------------------------------------------------- PBRMIT: BLDG 00 BUILDIBG PBRMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------------------------- 19 01 12/02/02 LJH BD FOUNDATION TIME: 13:00 12/05/02 AP LARRY, I'M NOT SURE WHAT THIS INSPECTION IS FOR. MY ERROR - I LEFT A MESSAGE FOR HIM TO CALL ME AND LET ME KNOW' fBDDFINAL Y! 13 01 12/17/02 LJHRAMING TIME; 13:00 12/18/02 APROOF SHEATHING 16 01 2/24/03 LJH TIME: 13:00 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 2/24/03, 9:05:01 INSPECTION TICKET PAGE 2 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 2/24/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 1915 N SHERRY DR SUBDIV: TENANT, NBR: ROOM ADDITION CONTRACTOR FISETTE CONSTRUCTION & REMODEL PHONE (904) 992-4782 OWNER RUSSELL, KERRY PHONE (904) 241-2740 PARCEL 112020-0822- - APPL NUMBER: 03-00025522 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------------------------------------------ PBFMIT: BLDG 00 BUILDING PBRMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 10 Ol 2 24/03 LJH BD FOOTING TIME: 13:00 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/11/03, 8:22:07 INSPECTION TICKET PAGE 8 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 3/11/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 1915 N SHERRY DR SUBDIV: TENANT, NBR: ROOM ADDITION CONTRACTOR FISETTE CONSTRUCTION & REMODEL PHONE (904) 992-4782 OWNER RUSSELL, KERRY PHONE (904) 241-2740 PARCEL 172020-0822- - APPL NUMBER: 03-00025522 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------------------------------------------ PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------------- ------------------------------------------------------- 10 01 2/24/03 LJH BD FOO NG TIME: 13:00 2/25/03 AP 11 01 3/11/03 LJH BDS AB TIME: 08:00 9 -0606 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 12/18/02, 14;04:38 INSPECTION TICKET PAGE 4 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 12/19/02 ------------------------------------------------------------------------------------------------ ADDRESS . : 1915 N SHERRY DR SUBDIV: TENANT, NBR; INSTALL OUTLET/RECEPTCLS CONTRACTOR KNIGHT ELECTRIC LLC PHONE (904) 273-6969 OWNER RUSSELL, KERRY PHONE (904) 571-5757 PARCEL 172020-0822- - APPL NUMBER: 02-00025328 ELECTRIC ONLY ------------------------------------------------------------------------------------------------ PERMIT: ELEC 00 ELECTRICAL PERMIT REQUESTED INSP /DESIPTION TYP/SQ COMPLETED RESULTTS/COMMENTS 22 01 12/19/02 LJHUGH TIME; 08:00 �, 636 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 12/02/02, 8:58:19 INSPECTION TICKET PAGE 5 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 12/02/02 ------------------------------------------------------------------------------------------------ ADDRESS . : 1915 N SHERRY DR SUBDIV: TENANT, NBR: 15'X12' SCREENED PORCH CONTRACTOR FISETTE CONSTRUCTION & REMODEL PHONE (904) 992-4782 OWNER RUSSELL, KERRY PHONE PARCEL 172020-0822- - APPL NUMBER: 02-00025140 SCREENED ENCLOSURE ------------------------------------------------------------- --------------------------------- PERNIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION 14 ,L,n'L'� TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 19 01 12/02/02 LJH BD FOUNDATION TIME: 13:00 __________ ________ LARRY, I'M NOT SURE WHAT THIS INSPECTION IS FOR. MY ERROR - I LEFT A MESSAGE FOR HIM TO CALL ME AND LET ME KNOW! SORRY! -------------------------------------- COMMENTS AND NOTES -------------------------------------- �ADE COMPLETE PEST CONTROL SERVICE aSentricon SERVICE TICKET LOCALLY OWNED&OPERATED E,m ,,�s..•m 11/2%PER MONTH(1C TICKET UM)SERVICE P.O.Box 3399,Ponte Vedra Beach,FL 32004-3399 HOUSEHOLD PEST CONTROL 10066 Sawgrass Dr.W.,Ponte Vedra Bch.,FL 32082 CHARGE ADDED TO ALL ITEMS 30 DAYS PAST DUE. j; (904)285-0091 (904)223-4255 LAWN&ORNAMENTAL Fax(904)273-0682 TERMITE CONTROL CURB. 31-60 61-90 OVER 90 $ 4193 E.State Rd.200-AIA,Femandina Bch.,FL 32034 ASST RAIDED Fernandina (904)277-0090 WE ACCEPT MAJOR www.naderspestraiders.com CREDIT CARDS =TEDAY ACCT.NO. 2 -2-02 PREVIOUS DUE SERV.TYPE 1L.�i ❑ SERVICELEDTHIS SERVICE NOTHOME O/S RENDEREDTECH.NO. 4„!, PEST ❑ ONE-TIME SERVICE LAW RESIDENTIAL ❑ COMMERCIAL ❑ OTHER ❑ CALLBACK PAYMENTS Bill: Fisette Wnskruc.•tic�l z TIME IN` TIME OUT // Lff'6' SALES TAX ❑ CASH CHECK NO. AMOUNT PAID ❑ CHECK • CREDIT CARD TYPE ACCT# EXP.DATE �¢ MA IALS USED/COMMENTS: Servic : 191 y Drives >> Atlantic Beach, FL 32233 S� h �� e. :.: 5 ,< _ P�� 4_,j«. << 210 srr ft row addition IF PAYMENT HAS BEEN SENT, PLEASE DISREGARD PREVIOUS BALANCE. CUSTOMER SIGNATURE TECHNICIAN SIGNATURE -� �, PREPARED 12/17/02, 11:28:55 INSPECTION TICKET PAGE 1 CITY OF ATLANTIC BEACH INSPECTOR; LARRY J HIGGINS DATE 12/17/02 ------------------------------------------------------------------------------------------------ ADDRESS . : 1915 N SHERRY DR SUBDIV: TENANT, NBR: 151X12' SCREENED PORCH CONTRACTOR FISETTE CONSTRUCTION & REMODEL PHONE (904) 992-4782 OWNER RUSSELL, KERRY PHONE PARCEL 172020-0822- - APPL NUMBER; 02-00025140 SCREENED ENCLOSURE ------------------------------------------------------------------------------------------------ PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 19 Ol 12/02/02 LJH /AND UNDATION TIME: 13;00 12/05/02 AP , I'M NOT SURE WHAT THIS INSPECTION IS FOR, MY ERROR EFT A MESSAGE FOR HIM TO CALL ME AND LET ME KNOW! ! 13 01 12/17/02 LJH AMING TIME: 13:00 _1L_I}_0z-_L/�-_ OOF SHEATHING -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/11/03, 9:03:15 INSPECTION TICKET PAGE 3 CITY OF ATLANTIC BRACH INSPECTOR: LARRY J HIGGINS DATE 6/11/03 ---------------------------------------------------------------------------------------- ADDRESS . : 1915 N SHERRY DR SUBDIV: TENANT, NBR: ROOM ADDITION CONTRACTOR FISETTE CONSTRUCTION & REMODEL PHONE : (904) 992-4782 OWNER RUSSELL, KERRY PHONE (904) 241-2740 PARCEL 172020-0822- - APPL NUMBER: 03-00025522 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------------------------------------------ PERNIT: BLDG 00 BDILDIIG PERNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 10 01 2/24/03 LJH BD FOOTING TIME: 13:00 2/25/03 AP 11 01 3/11/03 LJH BD SLAB TIME: 08:00 3/11/03 AP 591-0606 17 01 4/23/03 LJH BD SHEATHING TIME: 08:00 4/24/03 DP RUSS FISETTE 591-0606 17 02 4/29/03 LJH BD SHEATHING TIME: 08:00 4/29/03 AP REINSPECT FEE PAID 591-0606 RUSS FISETTE 13 01 5/02/03 LJH BD FRAMING TIME: 08:00 5/02/03 AP RUSTY 591 0606 15 01 5/06/03 LJH BD INSULATION TIME: 13:00 5/06/03 AP 591- 16 01 6/11/03 LJH ----------------------- -------------------------------------------------------------- PERNIT: BLE ECTRICAL PERMIT IKNIGHT"BLBCTR (904)273-6969 EQUESTED INSP DESCRIPTION- TYP/S COMPLETED , RESULT RESULTSJCOMMENTS --- ---------------------------------------------------------------------------- --------------- 22 01 5/02/03 LJH EL RQUGH TIME: 08:00 5/02/03 AP 2 01 6/11/03 LJH PERNIT: N 0 NlaHICAL PERNIT REQU INSP DESCRIPTION TYP/SQ COMPLETED R LTS COMMEN --------------------------------------`--------------------------------------------- F 34 01 5/02/03 LJH MB F AL TIME: 08:00 5/02/03 AP 34 02 /11/03 LJH -------------------------------------- COMMENTS AND NOTES -------------------------------------- MAP SHOWING OF LOT 10, SELVA MARINA UNIT NO. 10-C, AS RECORDED IN PLAT BOOK 37, PACE 40, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. LA CERTIFIED TO: J (-5 KERRY P. & LEAH M. RUSSELL COMMONWEALTH LAND TITLE INSURANCE CO. cn GIBRALTAR TITLE SERVICES 5 PEOPLES FIRST COMMUNITY BANK � �cb SECTION 9, TOWNSHIP 2 SOUTH. RANGE 29 EAST 163.79' (PLAT) FOUND 1/2" IRON PIPE 1.4' N 89.08'46" EMEASURED) NO IDENTIFICATION FOUND 1/2- IRON PIPE N 139.06.41'••E 163.79• ( -._ x NO IDENTIFICATION X 1.7 FOUND 1/2" REBAR STAMPED-ACM LH 6702- -'1- �I D&d + LOT 1 O ?` +oa 2°• slxcnoN U_ 0 W + Ir V)< . W 6, `c0Q?NF V 8, 4R) N C, D a F� # FRq s°• �� 01� M M �, ' 19 F /3.3 ryo ti M1 913 ^ \ LOT 11 14.7' \ W U_ ? Lu= a !7 f O C14 0 LOT 9 zz = 1 � P b m RFS /Cry t� FOUND 1/2- IRON PIPE NO IDENTIFICATION R_50.Oa. t aJs�B• FOUND NAIL AND DISC 34 Al e� STAMPED "DURDEN 1048" (C 4g11 * S o>-,g, D) Rte) (`�O(o4°'>w NORTH SHERRY DRIVE j915 (VARIABLE WIDTH RIGHT OF WAY) NOTES: ACCEPTED BY: LEGEND: R = RADIUS -X-X= FENCE L = LENGTH O = CONCRETE - NOTES: i. BEARINGS ARE.BASED ON THE ______PLAT____ BEARING OF N 02.10'34•• E_______________ ALONG THE REVISIONS NORTHFRI Y BOUNDARY LINE OF SUBJFCT PARCEL. DATE DESCRIPTION 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE ____.x__ AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL ___0011 1). J. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PIAT &/OR TITLE COMMI IMLN I IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. 4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. JOB # 11313 DATE OF FIELD SURVEY: 05-03-00 DISK # CD-3 _ SCALE: 1" = 30' CERTIFICA IE 2522 Oak Strent I HEREBY CERTIFY TIIAf THIS SURVEY WAS MAOI. UNDER MY RESPONSIBLE CHARGE Jacksonville, Florida 32204 AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA (Phone) 904-389-5989 BOARD OF PROFESSIONAL CURVEYORS AND MAPPERS IN CHAPTER 61(117-6, FLORIDA (Fax) 904--389-6175 ADMIN IS - ,ODE, PURSUANT TO SECTION 472072. rORIDA STATUTFS. am ( IN t ,). AlLIA0 LICENSFD HUSINLSS # 6702 REGISTERED SURV-Y 7 AND MAPPER N 4679 SIATF 01FLORIDA LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET �r G Date: Address //J o . �fff,�C� '� �fl_ '- i��D�T/0 N Heated Square Footage @ $ per sq ft = $ Garage/ Shed —@ $ per sq ft= $ (, Carport/Porch –@ $ per sq ft = $ Deck S –@ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ a2 S v G Total Valuation 1st $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: �S �- YTT + '/2 Filing Fee $ FLOOD ZONE: (0) Fireplaces @ $35.00 $ 0 IMPERVIOUS SURFACE: �� BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 �� R v�•-`��, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 ` INSPECTION PHONE LINE 247-5826 Application Number 04-00028176 Date 5/04/04 Property Address . . . . . . 1915 N SHERRY DR Tenant nbr, name . . . . . . POOL Application description . . . POOL Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 18000 Owner Contractor ------------- ----------- -- ---------------------- RUSSELL, KERRY BONAFIDE POOLS 1915 N. SHERRY DRIVE 2210 FLORIDA BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 247-1313 (904) 247-1313 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 120 . 00 Plan Check Fee 60 . 00 Issue Date . . . . Valuation . . . . 18000 Fee summary Charged Paid Credited Due -- --------------- ---------- ---------- ---------- ---------- Permit Fee Total 120 . 00 120 . 00 . 00 . 00 Plan Check Total 60 . 00 60 . 00 . 00 . 00 Grand Total 180 . 00 180 . 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 APPLICABLE PROVISIONS OF LAW. D BUILDING OFFICIAL Cc: i CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONING DEPARTMENT ' ;? 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax i APR 2 9 2004 PLAN REVIEW COMMENTS Permit Application # 04- Z81 7w Property Address: 1� 2 Applicant: €t 17� obLS Project: This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your a 1.cation when these items have been completed. Reviewed By: Date: A,pr 28 04 12:20p City of Atlantic Beach Bu 904-247-5845 P• 1 REGEIV VE CITY OF ATLAN IC n� CITY OF ATLANTIC BEACH J POOL PERMIT APPLICATION APR 2 9 2004 r Date: Job Address: 1 'S4C- ^ �I S ilk,✓ -r� - — �,Ce^ Owner. 1C P �'r.l ncx ��SSt Il —Phone: /� /yO 4ontractor: SSC Phone: o)a� I D �1�� , � �- 13�vd Fax: �� 1% - 9.3 Address: / City _State: ELZip Code: (Y Valuation of Proposed Construction: tJ Gallons: *Impervious Surface Calculation: Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rainwater, however, decking around a pool may be considered impervious depending upon materials used. /�/ Is approval of Homeowner's Association or other private entity required? /V () If yes, please submit with this application. 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. Procedure: In order to expedite issuance of permits,please follow all steps and provide all information as agar_____nriate. Incomplete applications may result in delay in issuance of permit. I. Recent Survey 2. Two(2)complete sets of plans. One(1)copy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement. 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247-5826. Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following workday;please specify a.m. or p.m. inspection. When calling in an inspection please have the permit number,job location and type of inspection needed. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of$35.00 is charged for all re-inspections. SW Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845• htipwwww.ci atlantic-beach.il.us Revised 3/04 Cc: �T ;yyCITY OF ATLANTIC BEACH D. F ,s, BUILDING / ZONING DEPARTMENT Dlo J 800 Seminole Road F s� j v Atlantic Beach,Florida 32233 CITY; _%TD!,,, ,CH (904)247-5800 BUILDING 4 ZONING (904)247-5845 Fax APR 2 9 2004 C PLAN REVIEW COMMENTS BY: Permit Application # — 2� Property Address: Applicant: L. 1 66 L Project: This permit application has been: Approved F-1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: �vibes IVo- r /A Dr :2 .30.3-1 4 oll -2 -3 Z ci E60L-Gire-t,06 an6saAa-I Rqqog e2T :60 bO OE JJU i ` N a Zy- An ca N o � IS co Z rte--;v ! O O-=I0. Imo) T C)m f -p m m Q Cb At -41 3 7 1, i. �J Q Op v Lt`p 4.1 ii ♦ ♦ a .. ji - to if th y I; N .t y b � r if O Qitt►i ?1 I; � Q b w �. �• �+` j Cb e to R vv is �• � o U Cb i 8 • Tfa �Ik �- •, '� e �3 + wCS �t ' O P �• 7 X °m 3 o n O a^ � Y O n f1 q O _ N � O ^ O IO � N i c:jwt n C rm ■ W j > �n n 971-0 V O °� q v_�z o p b v _m P 7� ..h Q 77 a c �f� rn O J q t0 .u.. c �� cmc ��_ o C m oe 3 s a: a = Y p q 0 H z ; m C Q 03 ,v on(1) °o b b c 2-1 01/17/09 06: 17 FAX 9049924782 FISETTE_CONST. MAP SHOW G OF 1.0 1.0. SI_LVA MARINA UNIT NU_ 10-•C. AS RECORDLE) 1N PLAY 1300k .37. PACE 40. OF INE CURRENT PUBLIC RECORDS CIF DUVAL COUNTY, FLORIDA, ' t-; ►n CERTIFIED To- -ate KERRY P & LEAH M. RUSSELL �ieo N'7 COMMONWEALTH LAND 'TITLE INSURANCE CO. GIBRALTAR 11ITLE SERVICES PFOPLFS FIRST COMMUNI'ry ()ANK a • SCCwOM 9, fO1M9TOP 44-TH_aANG[ 20[AST J fOUND %fA- IIlL4SUREA) No >,rcAnah " e9olT'41s' L 163.75' ( � (OUNO t I? w uw PTPrE 1+1 MO I0U/TIF1CA nC>y foubjTJ �. ��,... - sT•+�D'ecu u(a>m" LOT 1 ' n'sswcew as( AZ% N a I Seo ¢ Rr �- *~ •` /g JS 4- tiQ )T ii R10 b LOT 9 z x = meg b t y a� Kip 1/y' IRCfI Impr. MO�[NPf Q(� •. J��O fCM MO WAANG DISC •• TA0Kb 'aGQCM 104a' I , (y l?,. H �� w NORTH SHERRY DRIVE l4 +5 (WAR)ABLE VM V" NICHT Of WAV) n • et D: - AAOIVf lENG1N o r!W!`Cs a d 6TZZOLZb06 i i assns �.��a?I dBz : EO b0 6 [ CITY OF ATLANTIC BEACH ¢' ( Sl 800 SEMINOLE ROAD 1 ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . 04-00028176 Date 6/09/04 Property Address . . . . . . 1915 N SHERRY DR Tenant nbr, name . . . . . . POOL Application description . . . POOL Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 18000 Owner Contractor ------------------------ ------------------------ RUSSELL, KERRY BONAFIDE POOLS 1915 N. SHERRY DRIVE 2210 FLORIDA BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 247-1313 (904) 247-1313 ----------------------------------------------------------------------------, Permit . . . . . . ELECTRICAL PERMIT Additional desc Sub Contractor KNIGHT ELECTRIC LLC Permit Fee . . . . 75 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 ----------------------------------------------------------- Special Notes and Comments SWIMMING POOL PUMP AND LIGHT Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 r PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL + p1ens V'\v- A -h CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION W-7 - -�..--- -- - --- _ -- Date: ----- Property Address: 19175L r. 8JS _ Owner: _ ► UY��'I - -- Telephone#: Contractor: Tele hone t#: gay-�� Contractor Address: �� /� � Fax t#: 6t7nJideratian of permit even fix �kxng the work ds describe! In the ab(,,,_e MatenicuL -c h MON Agm to pt"Orril �wk,' ac:wrdance with the attached plaits " specitic4tions which am a p� hereof and in acxcxdancr with the i,t} .lt AtlxnuL f3raL:, _ i txdinanct and,tandards ntgocxi Practice listed therein tt nibR ✓.rt>7UGUOe -Building: -^�i T.. Building Type: ZI Trailer Service: ing y,,,�•.,n tMs budding ! R 'yew Residence J Temp 'Vtw ,>r�,tt.lt,t the t+wwtnt Old j Commercial Signs ; Incrcasc P� p�,$, b 1 Re-wire f J Addition Sq Ft. ^-_ Repair d--� Conditctor Size AMPS COPPE..RTj ALUMINUM n Switch or Breaker AMPS PH _-__ K��E Existing Serv,ce i ^ VOLT WAN Size i AMPS PH Feeders NO, SIZE NO SIZE T NO SIZE Lighting Outlets CONCEALED OPEN -___-+- , tY CUNCE:tLED OPEN - - - a 10 A-V z: tin AMES Swltchc� incandescent Fluorescent & M V. - - - Fixed v tao.�urs - Oi<�t� BELL TRANSFER _°_`P�itrtices :qtrKA 141-AT -_-H.P.R.kT1NG ti.P. RATi-1G (1:11 ING Cunditwntng COMP. MOTOR. i OTHER MOTORS AMPS HEAT fl-I Ff P VOLTAGE PH NO r0VER I H.P PHS Motors - - UNDtXbW NOv KVA v0. v KVA Transformers . -- — - No.-Nton Transf. Ea. Sign Wiscelfaneous J(c,�1►'vr►�lL.c � vm►P �- �t��t� -- — T 800 Seminole Road Atlantic Beach. Florida 32233-5445+ Phone: (904)247-5900* Fat. (904)247-5845 , isttp:;'www.ci.aLim atic-txich.tLus � y �� w ° , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J - ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028595 Date 7/20/04 Property Address. . . . . . . 1915 N SHERRY DR Tenant nbr, name . . . . . . SCREEN ENCLOSE FOR POOL Application description . . . SCREENED ENCLOSURE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8150 Owner Contractor ------------------------ ------------------------ RUSSELL, KERRY & LEAH SOUTHERN ENCLOSURES 1915 N. SHERRY DRIVE 69 COLLEGE DR ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065 (904) 241-2740 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50 Issue Date . . . . Valuation . . . . 8150 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total 37 . 50 37 . 50 . 00 . 00 Grand Total 112 . 50 112 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. lo'k BUILDING OFFICIAL 1 CITY OF ATLANTIC BEACH Cc. BUILDING / ZONING DEPARTMENT L Di i rr 800 Seminole Road s� Atlantic Beach,Florida 32233 D. Thompson (904)247-5800 'ri (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # -'�- Oy! - -28S9 S Property Address: cl , Jar- . Applicant: 6p u*PjWt t'n ctln c a l-e C Project: PM/ Pnr�Q cl,/r This permit application has been: ER Approved E:1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: LiL Date: ' t� ('pr 30, 04 11 . 01a City of Atlantic Beach Bu 904-247-5845 p.2 R EIDE- iV l� CITY OF ATLANTIC nEA.�H SS' �1r/J:jn CITY OF ATLANTIC BEACH BUILDING ZONING ' BUILDING PERMIT APPLICATION JUL 0 600 r - (ALTERATIONS/ADDITIONS) Date: 6r C LS Job Address:15- ��T /Z ec- Owner of property: !� n a�° A4 . 1' ,� J z Z, 7 Address: j / / ' "TG' �� Telephone: Legal Description: Block Number: Lot Number; 10 Zoning District: _ State License Number:4!!f Contractor*:j6rnls" ,Z Ute, iai-1 v_� Contractor Address: 6 el- CTe— O'er- - p jz A,)C--e- r'`►'� Telephone: 56,1 ;� S -! L ifi Fax: Describe proposed use and work to be done: �� ' t a., iOy e rL S `j •2 Present use of land or building(s): .t r �.�"Ti +,L- Valuation , -Valuation of proposed construction: �i�� What are the dimensions of the added space: c;2feet x feet A Will the added area be heated and cooled? New electrical or increase in service? /v /(,4 Add fire lace? /U t•✓ Add heating/air conditioning? Add plumbing fixtures. � P �f Is approval of Homeowner's Association or other private entity required? N 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? :g NO. Applicant certifies that no change in site grade or 511 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/Contactor 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:/Iwww.cLatlantic-beach.fl.as Reviscd U04 Page I 9pr 37 04 11 : 01a Citi of Atlantic Beach Hu 904-247-5845 p. 3 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 stores and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre construction l well topographical C 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. I Date: 3� 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 goveming 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 correct and that the plans and supporting data have been or shall be provided as required. 0 , D /v Signature-of Co r: s� ndDate: Address and co a ton of person to receive all correspoence regarding this application(please print). ,M a Name: Mailing Address: ro W L L e&e— Q 2 A,-"`'e— lqltk Ft- ° 3 C' Telephone: �JU�t '76`"1 L,% Fax: 30Y.rE-Mail: AS TO OW2v'ER: � Sworn to and subscribed before me this day of 20 State of Florida,County of Duval rte. .oul°'oD'Swpuog onuegy oedo3•, Notary's Signature: .' ar ara lane Sutton na41.PaPuog ;o....,,a- 9002`£0 S : �: _ ❑ Personally known 2. _ Commission €DD147162 Z91Lb1QQ#uo[ss[ulw03 nd.Aar;o?,' ❑ produced identification CoQ`Expires: Sep 03,2006 uollnS oulo Q ungng "` Type of identification produced -ice Bonded Thru Atlantic Bonding Co.,Inc. AS TO CONTRACTOR: Sworn to and subscribed before me this3676L day of 1 20 State of Florida,County of Duval Notary's Signature: r " ❑ 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:iiwww.ci.atlantic-beach.fl•us Revised 1/14103 Page 2 ,Rpr 3Q 04 11 : 01a Citi of Atlantic Beach Bu 904-247-5845 p. 4 Book_ 11847 Page 1998 NOTICE OF CO1b MENCENIENT State of �L Tax Folio No. County of V U Vj+�L- 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 CONENIENCEN�ENT. Legal description of property being improved: L0-r t 0 — S�� ✓A /Vf�¢,2i z�,9 �^� % - /CJ —C Address of propem being improved: C% iA z:t K - t' r a-•e-s4 C- r� General description of improvements: +'+-t C•t., t-(Do L ✓.'c Owner: l'L e A M S .S'-e-C-(_ Address: ICC iyS� ill:: S h-t ../ f— ' e-vT c-d Owner's interest in site of the improvement: fie- J", — O L-e- Fee Simple Titleholder(if other than owner): Name: —� Address: Contractor: ' Am fl —ie! +j ( r -erJ-.) - U✓?N -<— ,j Address: (-z!I G;,`Le c--e_ iss'2• -on- q.J tit )t .-k—; (-L -4 Phone No: p ,2 2L- L c(!1� Fax No: L4 Surety(if any): Address: Amount of Bond S Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself;designated by owner upon whom notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in -- Section 713.06(2)(b), Florida 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): THIS SPACE FOR RECORDER'S USE ONLY / OWNER ✓ 2 Signed: / Date: Before me this da of in the County r.-� �m oo Y tY m�mcm� �+a o� � a m m of Duval, Slate of Florida has personally appeared cnorz-*�ma•• •• a iz c� a c7 c-n r a 5;-Fy -,rQ o n.,onrs Notary Public at Large,State of Florida County of Duval, IZC7Z.'DTfVM o UM xpires; 0 n a( � Pe y Kno or a ratification: c:- na Michael T. Petty Ln Commission#DD217545 Expires: May 29,2007 j pq Bonded Thru Atlantic Bonding Co.,l i MAP SHOW G OF LOT 10, SELVA MARINA UNIT NO. 10-C, AS RECORDED IN PLAT BOOK 37, PACE 40, moo, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: J N KERRY P. & LEAH M. RUSSELL oo COMMONWEALTH LAND TITLE INSURANCE CO. to� GIBRALTAR TITLE SERVICES o PEOPLES FIRST COMMUNITY BANK :cl- SECTION 9, TOWNSI6P 2 SOUTII, RANGE 29 EAST "Q N 89'08'46" E 163.79' (PLAT) FOUND 1/2' IRON PIPE 1.4' 163.79' (MEASURED) NOIDF.NTIFlCATION FOUND 1/2' IRON PIPE N 8920 4 ,.,•E x NO IDENTIFICATION FOUND 1/2'REDAR -. STAMPED"ACM U1 6702' siRIGI LOT 10 ` 5 I1 d' ya AOA, 10'RExYI lmC 7 / 1 F- c°OOAlF ' /.0 N,, STO Y b a°. °ok a `� N7D 3.3' ryp1� ti A . LOT i I W Y n� C:) O z Z R TIPy`a LOT 9 FOUND 1/2" IRON PIPE. NO IDENTIFICATION R^50.0p. t,Js fie' FOUND NAIL AND DISC if. STAMPED 'BURDEN 1018 3 D erC rQR�'5147 s.Oz 9 26") ) (c"O o�4TH NORTH SHERRY DRIVE 1146 (VARIABLE WIDTH RIGHT OF WAY) NOTES: ACCEPTED BY, LEGEND: R e RADIUS —X—X= FENCE L - LENGTH O CONCRETE NOTES: 1. BEARINGS ARE BASED ON THE ...PLAT_ N 02'10'34" E REVISIONS JE NORTHFRI Y BOUNDARY LINE OF SUBCT P R BEOF ---_-_,__-___- ALONG THE 2. BY GRAPHIC PLOT71NG ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE _ _x AS SHOWN ON THE DATE DESCRIPTION NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL __ WN ON . THIS S ALL MENTS & RIGHTS OF J. IMLNI F SUPPLIED.UUNLESS TOTHERWISE ESTATEO NO OTHER TITLE VERIFICATION HAS BEEN AY AS PER RECORDED tPERFORMED BY THE OR TITLE I UNDERSIGNED. 4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. JOB N 11313 1 DATE OF FIELD SURVEY: 05-.03-00 DISK # CD-3 SCALE: 1" 30' CI:RTII-ICA IE 2522 Oak Street 1 HEREBY CERIFY VIM THIS SURVEY WAS VADt UNDER UY RISPONSIDLT. CJIARCI: Jacksonville, Florida 32204 AND MEETS 111E MINIMUM TECHtI1CAL STANDARDS AS SET FORTIf UV IHE FLORIDA (Phone) 904-389.-5989 BOARD OF PROFESSIONAL. CURVIYORS AND MAPPEP,S IN afAPtER 61G17-6, FIORIOA (Fax) 904-389-6175 ADMINIS .ODE, PURSUANT TO SECTION 472.072, n.ORIDA STATUIFS. IAFI ,1. AIIA.L O LICENSED IIUSINI-55 N 6702 REOISTERIO SURVEY 7 AND MAPPER A 4570 SIAIF Of ILOMIDA LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS BUILDER'S ,c�Ct. �> "� HOMEOWNER'S !`" WORK PHONE r PHONE 7C.�7 0� PHONE DATE ISSUED DATE MEASURED JOBNAME L__�z-9 /:� t � �c�f ct.' J't' (� JOB II DATE LAY-OUT jIL. �Lp r" DATE WANTED -- JOB ADDRESS C BEAMS COLOR ROOF CITY I C- f i�"�i✓ ��1„1�'�LOT BLOCK WALLS U /l'7 it 12 ('`J4 CHAIR RAIL SUBDIVISION FL.GLASS SIGNED CONTRACT OSUNTEX GPICKET ❑DIAMOND MESH PERCENTAGE FRAME COLOR DEPOSIT/CREDIT UWHITE 0BRONZE RATE SURVEY PERMIT APPLIED FOR ❑SM INSTALLED BY PAN ORDER !_ PANS COLOROSTUCCO DATE COMPLETED / 7-1/1 X-2 ,, It- j , I. a S N < I V . yi -a-u p rH O 5 w mUO m, 7y O Ul Z EE LA OIZ ��C E s m r MAP SHOW G OF l_Of 10, SELVA MARINA UNIT NO. 10-C, AS RECORDED IN PLAT BOOK 37, PAGE 40, -o, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. C—, L%4 CERTIFIED TO: J KERRY P. & LEAH M. RUSSELL Hca COMMONWEALTH LAND TITLE INSURANCE CO. �? GIBRALTAR TITLE SERVICES O PEOPLES FIRST COMMUNITY BANK � X Cl- SECTION SECTION 9. TOWNSIOP 2 SOUT14. RANGE 29 EAST N 89'OB'46" E 163.79' (PLAT) FOUND 1/1* PION PIPE 1.4' 163.79' (MEASURED) NO IDENTIFICATION FOUND 1/2" IRON PIPE N B9'O6'4 '%.E x NO IDENT8ICADONS ` ;� / 1.1. A FOUND 1/2'REOAR _ SIAMPED ACM lA 6701 4 LUT 1 o0 20•RESMICWN rNE J / 8PA gas, X01 s Q- d 4!�. .,COOONF '•Te �„" I \P� �OO �ccVq SOT0, 1- �4• �r�! - 1 n /9 S F 3.3 O'� �O to "De• ACity-of Atlantic Beach LOT 11 R'"?" e k� Mgand Zoning Department 14. approvo t Ofte a mpffenee with applicable W v zoning, subdiviiio and other local land development regulations, but does not constitute .1 rc approval for the issuance of permits. Compliance f with Florida Building Code and all other applicable 0 0 3► local, State and Federal permitting requirements 0 o must be verified b signature of the City of Atlantic N 0 `3~ O^ 3 uliding Icial prior to the issuance of a Z Z 'Q 'bb B4ir1�Permi Uri, .-P *IV Approved b r e7 urjpy 0 elo Ls Date: fi ,S""�qT#It FOUND 1/2- IRON PIPE NO IDENTIFICATION R-SO D0, <1 Js�B• rO11NO NAIL AND DISC BR ` STAMPED 'BURDEN 1048' A, src(4 URS 350,9?6+� ) (C"O o>AT�w NORTH SHERRY DRIVE (4 [S (VARIABLE WIDTH (TIGHT OF WAY) NOTES: ACCEPTED 6Y: LEGEND: R e RADIUS --X--X= FENCE L - LENGTH O - CONCRETE NOTES: — — 1. BEARINCS ARE BASED ON THE ---PLAT ___ BEARING OF ALONG THE N 02'10'34" E REVISIONS NOR THFRI V BOUNDARY LINE OF SUBJECT PARCEL. ------- 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE ----.X _, AS SHOWN ON THE DATE DESCRIPTION NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL -_-QQ01_Q. S. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMIIMLNI IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. 4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. JOB # 11313 DATE OF FIELD SURVEY: 05-03-00 DISK # CD-3 SCAT-.E: i" 30' CER IIFICA IE 2522 Oak Slrenl I HLRERY CERTIFY THAT 1}MS SURVEY WAS MADI UNDIR MY RLSPONSInLE CIIARCI: _ Jocksonville, Florido 32204 • AND MEETS 04E MINIMUM IECHIMCAL STANDARDS AS SET rORnI BY THE FLORIDA (Phone) 904-389--5989 DDARD OF PROFESSIONAL CIIRVEYORS AND MAPPFP.S IN GIIAPTER 61(117-6. FIORIOA (Far) 904-389-6175 ADMINIS ,ODE, PURSUANT TO SECTION 472.071, r,.ORIDA STATUIFS. IAI:I J. AILI.LO LICENSED RUSINLSS A Fi702 RECISTERT.D Sl1RVLY T AND MAPPER / 4979 SIAIF 01 F1.0121DA LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS R HUR UER'S <'`fir. HOMEOWNER'S ! : PHONE PHONE 70{ �%r- WORK �. PHONE _ DATE ISSUED DATE MEASURED JOB NAME - C��-1^�%� t /C--�i�!( �-� 1��`.JJ•C'L� - _ JOB# DATE LAY-OUT JOB ADDRESS -L� ; • �7 C i L/� t-. ` �� DATE WANTED BEAMS COLOR ROOF CITY �^ i'I C- / /'�'Ca`✓ �� f - --- ��LOT BLOCK WALLS !� �Z r CHAIR RAIL SUBDIVISION FL.GLASS SIGNED CONTRACT PERCENTAGE OSUNTEX O'PICKET ❑DIAMOND MESH DEPOSIT/CREDIT FRAME COLOR SURVEY RATE C1 WHITE 11 BRONZE -- PERMIT APPLIED FOR INSTALLED BY PAN ORDER [ISM -- PANS_____ COLOR ❑STUCCO DATE COMPLETED .t-j - — € .< t. s •�� 7 ,,3 t t , t i i # 1 / : / i .. .. • Y -x i } . : i.. ...a. 1.4 � t } , } E} _ .. i 30 04 11:01a CittJ of Atlantic Beach Bu 904-247-5845 P•2 RECEIVE D CITY OF ATLANTIC BEACH ` 't"L,fBUILDING &ZONING ,t CITY OF ATLANTIC BEACH r s, BUILDING PERMIT APPLICATION, JUL O 6 2004 't r (ALTERATIONS/ADDITIONS) Jri�r Date: bbye ' p Job Address:_��/J /v d� J /{ C ►�I2 -�3 Owner of Property: e ' // y7 'r s 15 r 4- ti� k c 0_n 117 K, /�rG,/f 71- p Address: hone: Legal Description: Block Number: Lot Number, t10 Zoning District: S�wR .�►+.'Q/�+�4 �'" �T ,r ee Lv /V Contractor: �+►� C/� f3' S-611.2u tAI 2 Zi: $u�State/License Number: Contractor Address: �i t.�-{��-� �4 U^�'`�G��'{" r� F� � � Telephone: 501 .215 t,...J 2-it Fax: Describe proposed use and work to be done: Poi; Present use of land or building(s): a jai tl c.4--rl ,+,c_ Valuation of proposed construction: What are the dimensions of the added space: r� feet x feet AA� Will the added area be heated and cooled? New electrical or increase in service? /v /� Add fireplace? A)ti Add heating/air conditioning? /J t; Add plumbing fixtures._�� .I Is approval of Homeowner's Association or other private entity required? /J 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 removal of any trees? C9 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 approRnU Incomplete applications nay 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 I. 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 Hail,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.fLw Revised 1/04 Page 1 t �t� (�ornirtt�✓ 7S '7-`7-C� Sy,,y;ly CITY OF ATLANTIC BEACH cc:D. F J�r BUILDING / ZONING DEPARTMENT in t J 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 D. ompson (904)247-5800 cc)ill ;> (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # gi --'� ©q-- .23 SCtS Property Address: L hp /-r74 -v�l _ Applicant: 'jc Project: d( E►�C 1c��i.� re T r plica ion has been: Approved I R ed and the fo wing items need attention: Please re-submit your ap lication when these items have been completed. Reviewed By: Date: �-7-��-�� IS CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 JJI1� Application Number . . . 04-00028278 Date 5/13/04 Property Address . . . . . . 1915 N SHERRY DR Tenant nbr, name . . . . . . TREE REMOVAL PERMIT Application description . . . TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- RUSSELL, KERRY & LEAH OWNER 1915 N. SHERRY DRIVE ATLANTIC BEACH FL 32233 (904) 241-2740 ---------------------------------------------- ---------------- Permit . . . . . . TREE PERMIT Additional desc . Permit Fee . . . . . 00 Plan Check Fee 00 Issue Date . . . . 5/13/04 Valuation . . . . 0 Expiration Date . . 11/09/04 -------------------- ---------------------------------- Special Notes and Comments TO REMOVE A 12" OAK AND A 12 " PALM TO BE REPLACED WITH A 6" OAK AND A 6" OF ANY TREE. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED Up AHAULED AWAY BY ND IN THE PROPERTY OIWNER PAYING TWICTHER CONTRACTORE FOR BUILDING IMPROVEMENTS"R OWNER. "FAILURE TO CISSUED WITH TAC CONSTRUCTION LIEN LAW CAN RESULT CORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL May 05 04 11 : 31a City or atlantic Beach Bu 904-24?-5845 P. 1 CITY OF ATLANTIC BEACH CITY OF AT i gNTi.^ _.�,; ,H TREE REMOVAL APPLICATION B�`I'-C NG MAY 1 1 2004 All applications must be submitted with seven (7) copies and received by 5:00 p.m. on the Friday ten (10) days prior to the schedu'ed meeting in order to be placed on the agenda. INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. 1. �,�vin .I9.MA 14X GAIPE� APPLICAN NAME ADDRESS TELEPHONE 2. _ i+2Z GA"E N LANE , &TuarSTic Vr_Ac_-1 ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE (IF LEGA. DESCRIPTION, LIST CLOSEST CROSS STREET) j ,1 3. REASON FOR PROPOSED TREE REMOVAL: DAM CA E P- �� F `b f tt- 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? YES NO NOT SURE 5. SITE PLAN/TREE SURVEY indicating: a. Existing and proposed structures. b. .ocation of utilites and easements as applicable. c. Location, species and size of ail trees with Diameter at Breast Height (D.B.H.) of six inches or more. d. Location, species and size of all trees to be removed should be clearly marked with an "X". e. Location, species and size of all trees to be perserved on-site for replacement must be marked with brackets "[ ]". f. Location, species and size of any proposed new replacement trees marked with a circle "0". g. Location, species and size of all trees to be preserved on-site with barrcading at tree drip line noted. 6. ON-SITE REQUIREMENTS. a. Barricading at tree drip line of all trees to be preserved. b. Address/legal description must be posted in a conspicuous manner on site. c. The property comers must be marked by stakes or paint indicating the lot. d. All trees identified for removal MUST by marked on-site by REDIORANGE flagging, pant, or tape. e. All trees to be preserved on-site for mitigation MUST be marked -Britt, BLUEtGREEN flagging, paint or tape. 300 Seminole Road,Atlantic Beach, Florida 32233 Telephone(904)247-5800 Fax(804)247-5845 1 of 4 Maa 05 04 11 : 31a Oitm of Atlantic Beach Bu 904-247-5845 p. 2 RESIDENTIAL PROPERTY 7A. TREES REQUIRING REPLACEMENT: a. Interior zone trees requiring replacement: Any tree with diameter at breast height (DBH) of 20' or more. b. Exterior Zone trees requiring replacement: Any tree with diameter at breast height (DBH) of 6" or more Champion Trees: Any tree so designated by the Florida Division of Forestry, Department of Agriculture d Exceptional Specimen trees: Any tree so des„grated by the City Council INTERIOR AND EXTERIOR ZONE DEFINITION RESIDENTIAL PROPERTY EXTERIOR ZONE 20.0' Rear Setback INTERIOR ZONE jSide Side Setba k k 20.0' Front I Setback SIDEWAir: �— PUBLIC RIGHT OF WAS' PUBLIC WORKS JURISDICTION PROTECTED TREES DBH 6”OR MORE PUBLIC STREET 2 of 4 May 05 04 11 : 31a City of Atlantic Beach Bu 904-247-5845 p. 3 COMMERCIAL PROPERTY 7A. TREES REQUIRING REPLACEMENT: a. Interior zone trees requiring replacement: Any tree with diameter at breast height (D8H) of 10" or more. b. Exterior Zone trees requiring replacement: Any tree with diameter at breast height (DBH) of 5" or more c, Champion Trees: Any tree so designated by the Florida Division of Forestry, Department of Agriculture d. Exceptional Specimen trees: Any tree so designated by the City Council INTERIOR AND EXTERIOR ZONE DEFINITION COMMERCIAL PROPERTY EXTERIOR ZONE 20.0' Rear Setback I i INTERIOR ZONE 7.5' 7.5' Side Side Setback Setha k 20.0' Front Setback SIDEWALK PUBLIC RIGHT OF WAY PUBLIC WORKS IURISDICTION PROTECTED TREES DBH 6"OR MORE PUBLIC STREET 3of4 Mas 05 04 11 : 31a Citi of Atlantic Beach Bu 504-247-5845 p. 4 8. LIST TREES PROPOSED FOR REMOVAL: DIAMETER(') OF TREES SPECIES INTERIOR ZONE`" EXTERICR ZONE" APPLICANT'S COMMENTS OFFICE USE ONLY W61 9. CHOICES FOR REPLACEMENT: Choose one or a combination of the following to compensate for trees removed. a. Rant new trees on site b. Pay money into the Tree Fund at the current rate. c. Protect (save) other trees that qualify and mark trees to be protected on site 10. LIST, BY INCHES, EACH TREE IN THE APPOPRIATE COLUMN IN THE FORM PROVIDED BELOW: SPECIES DIAMETER OF TREE PLANT NEW TREES PAY INTO TREE FUND PROTECT i I 1 I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE il, TREE PROTECTION, AND ALL OTHE APWQC ODES AN ORDINANCES OF ATLANTIC BEACH. &�O�GAp ' / d p ant's gn R Date Ji Owner's Signature Date Tree Conservation Board Chair Date *Dametor at Breast Height 118.1-1),is measured at 4.5 feet above grade.To accurately determine diameter,measure the trurk ,imurnference and divide by 3.14 04-peter of multi-trunked trees is determined by adding together the diametex of each trunk as measured rnmediatety above the forks. "Interior Zone: outside the 20 foot front/rear setbacks and the 7.5 feet side setbacks(see diagram on previous page) '•Exmnor Zone* wtthln the 26 foot frontirear setoacks and the 7.5 Leet side setcac:ks(see diagram on previous page). 4 Of 4 i �f t � � z � l ILA cr- M { to Z y i 1 N � a ICY C' �7-�t 40 V j A m dCL � �a QD ul O a O � 4 a � � .a -, $ . 44 o� Pk CL PC itns � a w . 21•� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 1/28/04 Parcel Number . . . . . 172020-0822- Property Address . . . 1915 N SHERRY DR FL 32233 ATLANTIC BEACH Subdivision Name . . Legal Description • • TO BE UPDATED Property Zoning . • . Owner . . . . . . . . . RUSSELL, KERRY Contractor . . . . . . FISETTE CONSTRUCTION & REMODEL 904 992-4782 Application number 03-00027282 000 000 Description of Work RESIDENTIAL ADD/RENOVATE/ALTER Construction type . . . Occupancy type . . • Flood Zone . . • • . Approved . . • . Building Official VOID UNLESS SIGNED BY BUILDING OFFICIAL BUIL )ING OFFICIAL j MIN. RETURN Et / /1��0 ool 1111+97 Page 41 pHONE# I (1 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of County of To whom it may concern: The undersigned hereby Informs you that Improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following Information Is stated In this NOTICE OF COMMENCEMENT. i 1 I Legal description of roperty being improved: L o 1 �t lo, Wla I ,yio, 1 Address of property being improved: � (0,4 Tviut II General description of improvements: (ry-0111,'1" Owner tri Se I Address „ e C Owner's interest in site of the improvement Fee Simple Titleholder (if other than owner) Name Address Contractor 00ry OL WTD ae t N Address 3ir c,2 Phone No. �� }� Fax No. Surety(if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the imprpvements. Name Address Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. Expiration dale of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): TNIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: �� Dale: /lJ 'd`5o Before me this ` day of co w 1 = on Wiz, �C\a2 Co, of Duval Sale of Florlda, has pers"APAJA00M Notary Public, State of Florida v�y C-5 ro Ij F-+ o4 Mr comm. exp. June 8,2007 n o a Notary Public at Large, State of Florida, County of Duval oCID �+ My commission expires: a Personally Known _ or N -Z��\ =" Produced Identification 6 Q C?p 1U/Z7/f;3 U8:40 FAX 90409 478'1. F15�:P1'r GU�S'1'. ." QuL MAP SHO OF - & 10, SELVA MARINA UNIT N0. 10-C, AS RECORDED IN PLAT 300K 37, FACE 40, �I i s OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. LA \ 4 r CERTIFIED TO: KERRY P. do LEAH M. RUSSELL COMMONWEALTH LAND TITLE INSURANCE CO. '7' GIBRALTAR TILE SERVICES I PEOPLES FIRST COMMUNITY BANK L_I } �i�-owl s �- 0. _� �- :� 3 in TOWNSHIP 7 gOOM RANGE 29 EAST iL OI TAC7gN f.T 1lI'J 163.79 (M.A-.) rcvmc I;Y AON-m 1.4 Ld N 89'08'48'E163.79' (WASUREDj NO Vu. EHnAAON TofRfD /2'Pow L>PL NO IN Qg p6"i1'.E 7• 1 DENIlflOA710N - XFo"NO ti 7 � /STAM /2-RERAR PED'RCN Lf 67 �. + + ! �� LOT ir, - - ki a +1 I APs/Nq l n. +`. L CIIi 1,9 LOT 1 t �"?•. + r tF ! 4� ,.7 O _ A o r o O fr 01 +� LOT 9 Y y Rk.� rOUNO 1/Y TION PPE RO IOEN OfKAIK]N FIMING k I.UA Aar 4&ma DISC TIAMPEO N'OUROEW 10A111" .gapes Ar 35 45;'7 g,26 } � {CAF o�4 NORTH SHERRY DRIVE 1111-5 (VAIOABLE *DIM NICHT OF WA`) NOELACCEPTED Ill'!, LEGEND: R - RADIUS —w—K. FLNCE L - LENGT., ED . CONCRE'.E NOTES —� I.BEARINGS ARE BASED ON T1'.E PLAT ARPIG OF—2t—o'20'-24' E _ALONG THE REA31ONS NORIHFRIY 90UNDARY UF S NE OUBdFfT PARCEL 2.BY GRAPHIC FLOTTINC ONLY THE CAPTIONED LANDS UE YATHIN FI-000 ZONE ____"x DA TF DEscidp 7" NA f,CINAI FLOOD INSURANCE MAP DATED APRIL 17, 1969,COMMUNITY NUMBER '20075, PANEL THE __QOAI_Q A. THIS SURWY REFLECTS ALL CA_[EME6ITS t RIGHTS OF WAY AS PER RECORDED PLAT IklW fI1LE COMMIIMLN. I' SUPPLIED. UNLESS OTHERNISE STATED. NO OTHER TITLE VERIFICATION NAS DEFN PERFORMED BY?HE UNDERSIGNED N. THIS SURVEY NOT VALID WITHOUT THE EWBOSSEO SEAL CF THE CERTIFYING SuR'WYoR. JOB M 11313 CATS OF FIELC SURVEY: 05-03-00 DISK ¢ CD-3 SCALE: = .30' CLRTIFICA ft. 2522 Oak Sirc.., L HEREBY CERTIFY'.SAI THIG SURVEY WAS NAM JNOFR•'r RLSP=wS c CIIARCE uadlfaTN11G,nwida 371.04 AND MEETS JK[WNIMLAI T(CEPf^.AL STANDARDS AS SEI FORTH 11-THE FLORIDA (Phan*)901-789-5969 BOARD OF W fIWONAL"VC'rCRS AND MAMPS IN CHAP7ER 51&17-6,FLORIDA (fe.j 9'11-389-6175 ADMW9 PLiF-:JAHT TO SEGIAH 472.072,CLOMOA S,ATUIES. �M'1 .I. Af 1.1 O LICENSED RUSINLS5 0 6702 RCOISTEREO liURW ANU MAPPER f nk:4 SLATE Ll rLORIOA LAND SURVEYS 0 CONSTRUC-96N SURVEYS 0 SU6CIVISIONS 6° 30'- tri 9 E CK#�---- ------- RECEIVED CITY OF ATLANTIC BEACH BUILDING &ZONING zNG NOV 20 2003 t BY: -- — �/ C FENCE w/ GATE I - ---- -- ----� �°. q t `1 OV 21 O (� 12"z f2°K$co.)c.FS& L.1/2-iiS REAR EA.wny QV f I _4 J 2"conk. F7GS f'/ RR ER.WAY � U55LLL ' ES. FISE7E CONSTRUCTION ' C t _E- '4= 660 RAW N BVATRICK ROAD LL PQ BOX 5113aPC-K&aM\)TLLL �— -- -� EACH FL.32-250 I PH.504 I 56 FAx.9o4-24{-37� F LOO t[� FOuNDRTzoN �r PLRNS Go o� 2-2xG P.r. 6�aMS-� A-rfAC O So2S v w/L US--24 �o 1PUSSELL FISETE CONSTRUCTION 0 E', I l 2 F t_ .'/4 ' U oN AWN - IC B • AOWEEL-L- P X SllKK'-0QQ!rLLv- R D P - 9'I M, 004- AE Cl Roo F FLOOR FRAMING PLf)NSPG 3 i 12 JDcF TpIJ, 2sto PT 'TcT-ST I-H-2SEv-P9EA.RERn-roPos'f 4x4P,Pos'f�YP.) -I- RQA-4-4 PcS-T WF—Eq, PO'-T TD Pf C�-. y p W� L LL E i c 2x6�EaGR w _.--- .� Flc) E- Col -Nee -1 uoN FULLDING o o S E-C.TIa NS _ i f {I (I i w - RUSS E LLR ES. 15 UFF E CO 0 vJ N AT Rzc l ALL Po x 51i _ pcKSoNur� Ali FI.3 250 P - G Ax; og4l- G7 ELEVATIONS BOOR PL� N T-- 4c; 'LK Co PT DECk C" F-I So" 2:9" FOUNDATION PLAN 24*x 214'x I wi 3-`5 RRE 3'0- ROOF FRAMING Pl-�,N i E 2x G 42 SY RRFTE r I 2-2x )Z 25 P DEP t,^,S (p`_ E ti i i DECK FRA/'\ING PLAN 2x6 PT l.E06ERW)2-Y¢X23/�-Apco�j 240c. A-r-rAfI So=STS w/LUS-26 HAK)IIF EA. ENCS 2x(a PT 3 o1ST S 2 1 Noc. i , 2-2xSPT 5F-RfnSCTYA) f HAaGF-RS i i I icN!, G 25II %IllU1G� 3Nzn1GLE5 iW ( EC-C CN1t3x l Y oRi.`pSC NAiLEfJ pwF- EDGES G"o,c., 10 E F-Z ELpN�/2 f2 x.131 wZRE NAL�S oN 2x 2 SSP RPS 15Rse 24 o.C-, MTS- CLZpC ERE i�i�FTERs EQG�S12oc-zt� ,NE FIELO8d 2.5/�u x7` A-30-7 HA Gov,[30L-(S ALT, 2-CS-►6X24"wIf6-Iy2xIO06ALU Y W/ LL SEE . CBQGC,-SDS2 POST BASE @ EA PoSj oTS I i , LUS-� FT- FRONT ELEVP\7ION RIGH7 F- LE) CITY OF ATLANTIC BEACH J3 PERMIT CALCULATION SHEET = f s) Date: Address q/ 3� SrrFA•e01,L- Heated Heated Square Footage @ $ per sq ft = $ Garage/ Shed r� @ $ per sq ft= $ VON Carport/PorchAOL @ $ per sq ft = $ Deck S @ $ per sq ft= $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ O b Total Valuation 1st $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: ig$- z + %Z Filing Fee $ FLOOD ZONE: ( ) Fireplaces @$35.00 $ IMPERVIOUS SURFACE: '-7 ,5-0 BUILDING PERMIT FEE $ WATER IMPACT FEE $ O SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 SyLy,i�� CITY OF ATLANTIC BEACH Cc: Fora BUILDING / ZONING DEPARTMENT L 'oerr s J 800 Seminole Road s� Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 03 - 7--778Z- Property 3 - Z-778ZProperty Address: (� rj :s4aa(—q tZ . Applicant: CokJ nT Qu C--n O t'd Project: (�k�0 17 F 201�1T This permit permit application has been: Approved ❑ Reviewed and the following items need attention: Please re-submit yoapplication when hese items have been completed. Reviewed By: '"- Date: T//fir- RECEIVE. ) CITY OF ATLANTIC BEACH BUILDING &ZONING - NOV 2 0 2003 BY: City of Atlantic Beach 800 Seminole Road •Atlantic Beach, Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) l_ D E JOB ADDRESS -(1((��ii-5 r1E'✓►' a''� APPLICANT ADDRESS ��/ -! t'(� PHONE: LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER_ZONING DISTRICT CONTRACTOR f6STATE LICENSt�E NUMBER p�� ADDRESS A3 s PHONE CITY J G►—)(• STATE ZIP ZZ FAX 9q &13 2' DESCRIBE PROPOSED USE AND WORK TO BE DONE U)DnA ✓�T PRESENT USE OF LAND OR BUILDING(S) ! 2 f VALUATION OF PROPOSED CONSTRUCTION �J��(� O0! Is this an addition? CIS If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? /J0 New electrical or increase in service? S New plumbing fixtures? &O New fireplace? 40 New heating/air conditioning? IJD Is approval or Homeowner's Association or other private entity required? If yes,please sul: it with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? '&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. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) 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 904-247-5817. 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 6/18/02 STEP 3. Please submit 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 01 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER . DATE 16 '6�- 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 CORRECT AND T T THE PLANS 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 r t MAILING ADDRES6. S / U s /V 4l#, 5rer-t3r• �. 4,�, �L 1. 19— 2,2&33 Zi PHONE �� a'7 Y 0 FAX -L 7 O 'd-:;� i�/ E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL RONALD D. BROOM NOTARY'S SIGNATURE-----1L,01) Notary Public, Statkof Florida AS TO OWNER: Personally known My comm.exp. June 8,200TLJ Produced identification Comm. No. DD 218289 Type of identification produced AS TO CONTRACTOR: Personally known �i FLveir Q Produced identification / V�u 11/f-c___ Type of identification pro c .SppY P••, JEANE7 M.D AN := MY COMMISSION#DD 082018 a EXPIRES:January 23,2006 6/18/02 cFR Hmdad Thru Notary Public underwriters CITY OF ATLANTIC BEACH c�. For ins J � BUILDING / ZONING DEPARTMENT . poem } 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 03 - 7--778Z- Property 3 - Z-72SZ- Property Address: Applicant: t— S ETT �o►J��TfZU C-T1 O Project: ( x-�UO L7 V--2 r.3T" Thhis pernaft application has been: la-ZPP A roved Reviewed and the following items need attention: Please re-submit ur application en these items have been completed. nom) Reviewed By, Date: RECEIVE ; CITY OF ATLANTIC BEACH BUILDING 8 ZONING Nov 2 0 2003 BY: City of Atlantic Beach • 800 Seminole Road •Atlantic Beach, Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) D E . �-63 JOB ADDRESS ✓►' d ari [rL� f APPLICANT r ,✓�!! ADDRESS S �v -! _ ((— PHONE: �IJQ �r��0. I�►�'�10-G LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER�O _ZONING DISTRICT PL4.PiK 0 CONTRACTOR STATE LICENSE NUMBER (1 ?-0—QS`�I M ADDRESS A3 i g t�PHONE `99- � /V�L- CITY STATE ZIP ZZ FAX 59 2-Q`73 2 DESCRIBE PROPOSED USE AND WORK TO BE DONE Wx-A ✓�T �►��''` PRESENT USE OF LAND OR BUILDING(S) ! 2 VALUATION OF PROPOSED CONSTRUCTION �J� (� Is this an addition? S If yes,what are the dimensions of the added space: feet by n feet Will the added area be heated and cooled? 90 New electrical or increase in service? 2.S New plumbing fixtures? NO New fireplace? 140 New heating/air conditioning? 110 Is approval or Homeowner's Association or other private entity required? lb If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? 'KNO. 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. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP I. 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 904-247-5817. 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 6118/02 :`�' STEP 3. Please submit 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 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Current survey showing the 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. 1 SIGNATURE OF OWNER 9/� DATE 16 -?` 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 CORRECT AND T T THE PLANS 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 / p MAILING ADDRESS / 916 A101-1A 5 e� �•"� .� � � �- 3 �'� If PHONE O� ><� 0)"7 y O FAX. �- ]O ' a";� J Ir E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF 6( 7�Z'O STATE OF FLORIDA,COUNTY OF DUVAL . RONALD D.BROOM NOTARY'S SIGNATURE 11 L'td Notary Public Statt,of Florida AS TO OWNER: My comm.exp. June 8, 2007' Personally known Comm. No. DD 218289 Produced identification Type of identification produced AS TO CONTRACTOR: Personally known C�FLv�[S El Produced identification / G'ZG&7� V�-f.-C-0�1 Type of identification pro c JEANETTE M.D AN =.; MY COMMISSION#DD 062018 6/18/02 , `,,= EXPIRES:January 23,2006 oF;;t 901"Ided Thru Notary Public underwriters CITY OF ATLANTIC BEACH SS J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025522 Date 4/29/03 Property Address . . . . . . 1915 N SHERRY DR Tenant nbr, name . . . . . . ROOM ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 28500 Owner Contractor ------------------------ ------------------------ RUSSELL, KERRY FISETTE CONSTRUCTION & REMODEL 1915 N. SHERRY DRIVE 2336 PINE ISLAND COURT ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 241-2740 (904) 992-4782 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc WIRE FOR ROOM ADDITION Sub Contractor KNIGHT ELECTRIC LLC 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 A 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 APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL �fo�� - �� r s CITY OF ATLANTIC BEACH, FLORIDA x ELECTRICAL PERMIT APPLICATION rL j;31�� TO THE CHIEF ELECTRICAL INSPECTOR: DATE: `� 29 209j 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 SPECIFICATIOARE C A PART HEROF, AND INACCRDANCE WITH THE ELECTRICAL REGULATIONN,CODE AND TY OF ATLANTIC BEACHELECTRICAL CONTRACTOR: rm �T- LLM LLC- MASTER LGMASTER ELECTRICIANS SIGNATURE: ))v OWNER OF PROPERTY: Kam CUSS—I I JOB ADDRESS: 11( 5, (V .5`Tri RES.( ) APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) Q.FT. SERVICE: NEW( ) INCREASE( ) REPAIR( ) FEES CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL Ib CONCEALED OPEN TOTAL RECEPTACLES 31.100 AMPS 0.30AMPS SWITCHES INCANDESCENT FLOURESCI &M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS ofp6opu'. 104 UNDER 600V OVER 600V TRANSFORMERS: NO. KVA NO. KVA NO.NEON TRANSF. NO VA MA MOTOR SIZE SWITCH I FLASHERS EACH SIGN 800 Seminole Road • Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us i ?t rL`1 flf� CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD 1 �} ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 03-00025522 Date 5/01/03 Application Number � 1915 N SHERRY DR Property Address • • • • ' ROOM ADDITION Tenant nbr, name . . • • . - Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 28500 Owner Contractor -------------- ------------------------ ---------- RUSSELL, KERRY FISETTE CONSTRUCTION & REMODEL 2336 PINE ISLAND COURT 1915 N.SHERRY DRIVE ATLANTIC BEACH FL 32233 JACKSONVILLE ILL4E82 FL 32224 (904) 241-2740 ---------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . 00 Permit Fee 55 . 00 Plan Check Fee 0 Issue Date . . . Valuation Fee summary Charged Paid Credited ----Due--- _ ---------- --- ------------ ---------- Permit Fee Total 55 .00 55 . 00 .00 . 00 Plan Check Total .00 .00 . 00 . 00 Grand Total 55 . 00 55. 00 . 00 . 00 f BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PACED 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 WHICH ARE PART OFPERT THIS POWNERERMIT A PAYING INNG TWIC IECT TO REVOCATION FOR VIOLATION E FOR BUILDING ON OF APPLICABLE ISSUED E PROVIS ON OF LAW. PLANS BUILDING OFFICIAL BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATIANTICB.^—,FLORIDA 3..8APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. ��F ' Sd. -rl� clu TION Stra. � — IaterraeNmq Street$[ let.... J lf"/—' y Sf. And 141a'Nj IUILDIN6 Suh division II. IDENTIFICATION —To be completed by all applicants. I.consideration of permit given foe dol.q the work At described In the.bow del•naont we h.r.6y.qru to p.rfam said roil In " d.aea 1. its the ottaclusd plans •rad rp.cl0c.tions which sae . pert hereof ..d im .ccordemc. .Bh the City of J.ck—ill.adineacn rl end ..d.rd. of goodpractice listed therein. Name of Mo.haakal Gnlr•eto'$ , e GekNIN IIrI.fI ^uu�U A4 Merler Name of N C V Uti Mpedy Ow SlVnshwe of Owner Sign•tun .f . N Ae1hN6od Agent Ar.hil.•1 « Engineer MRAL INFOWAT1ON A. Type of hoeflnq fuels B. IS OTHER CONSTRUCTION BEING DONE ON ❑. sechia THIS NU1LDING OR SITE T. ❑ cea—❑. LI ❑ Natural ❑ Gnfrol Utility ❑ (/�/yn/ `1 IF YES. GIVE NUMBER OF CONSTRUCTION Z 7/ // PERMIT VOtAN—Spec* / IV. MISCH LAICAL 3QUIPM3NT TO if 0WALli11) NAT E OF WORK (/nviM esmplete Ile/of eompomesh on hest of this"1 I7Rssldenllal or ❑ Commercial ❑• Neat ❑ Spoil ❑ Raton" O Central D Fkeer ❑ Now Building ❑ Ak C""Ienings ❑ Room ❑. Con" ❑ Existing Building ❑ Duct systems Me I flick.... ❑ Replacement of existing system Mademsen capacity Cf^ ❑ Now Installation(No eyetem previously Installed) ❑ ❑ Re(rigomNass bndon or add-on to existing system . O1hN—Speary Q ❑ Fin sprinhleras NumMr e! hoods ❑ FlovetN Q MengN ❑ faraletur (sumbor) THIS SLAC!FOR OFFIC&USA ONLY ❑.Gesell";m—pL (sumbr) (Ree.kved) ❑ LPG conte me,e (wmLN) ❑ Uafbod pnuwo vossot ❑ � Permit Approved hl' Dao. —'Specify 2- 7 ✓/ 1� Permit Gee . ;arr ALL NQU1PMEW AOL CONDITIOMNG AND REFRIGERATION EQUIPMENT IfR»aber Ualta Deeerlptloo Model Number %r..Uf atur•r t 1 )r Anew DATING FURNACES, 3011]IRS FIREPLACES Gtr Ay�swis� 2hald 0 abwuakts Deb-1pti— MoNumber 1aufaatusor (3YIV) Aiomo> YANKS 3so.r MaaU NmrJaDsd leemdoaa Coa='r Type I Iqu, Nasse 011 Serial Ap sad tabeea Icanzdaet— No. ;l- C, _�� CITY OF ATLANTIC BEACH s f 800 SEMINOLE ROAD + r} ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025522 Date 2/19/03 Property Address . . . . . . 1915 N SHERRY DR Tenant nbr, name . . . . . . ROOM ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 28500 Owner Contractor _ ------- --------- ---- - --- RUSSELL, KERRY FISETTE CONSTRUCTION & REMODEL 1915 N. SHERRY DRIVE 2336 PINE ISLAND COURT ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 241-2740 (904) 992-4782 --------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 175 . 00 Plan Check Fee 87 . 50 Issue Date . . . . Valuation . . . . 28500 Fee summary Charged Paid Credited - -Due--- ----------------- ---------- ---------- ---- Permit Fee Total 175 . 00 175 . 00 . 00 . 00 Plan Check Total 87 . 50 87 . 50 . 00 . 00 Grand Total 262 . 50 262 . 50 . 00 . 00 _f 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 APPLICABLE PROVISIONS OF LAW. BUIL ING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ;) ATLANTIC BEACH,FLORIDA 32233-5445 �yAll TELEPHONE:(904)247-5800 J FAX: (904)247-5805 J _ SUNCOM:852-5800 http://ci.atlantic-beach.fl.us � r ! PLAN TREVIEW COMMENTS Permit Application Applicant: GCvs Se// F s 'e74c Address: 1115 /V . 2<�r Project: ©0'-Y v, o Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date Contractor Notified Date CITY OF ATLANTIC BEACH j rL�J�lr� 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 r f ��✓✓✓ FAX:(904)247-5805 SUNCOM:852-5800 J _ http://ci.atlantic-beach.fl.us r PLAN T REVIEW C01 ME v J131� Permit Application # Applicant: v\ US Sel 'e Address: /yI/S A-" Project �Of'Yl Your application is approved ❑ Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. ReviewAbySigned Date 4Contraate RECE1Vir iV J s1 CITY OF ATLANTIC BEACH BUILDING & ZONING _ CITY OF ATLANTIC BEACH FEB 11 2003 BUILDING PERMIT APPLICA ION , (ALTERATIONS/ADDITIONS) BY. n ' ate: - Job Address: l r 'V "� Owner of Property: 4 r6i �J 5 1 Address: 10 l5 1,4Ay- DrZ u, o�vtk &L A-_Telephone: a'lql- 97740 Legal Description: Block Number: Lot Number: Zoning District: Contractor: A . w State License Number: C&- oslz8) Contractor's Address: wC �QM� d-C.K ,��'4IZ �� 2ZZ Telephone: qq�—L1189 -0p0 6 Fax: 'gq2" r Describe proposed use and wor to a ne:— do ��; � � f'r V,` Q✓PL' Present use of land or building(s): ; 0 - + Valuation of proposed construction:4,}T OD7 O D What are the dimensions of the added space: /!5 feet x feet Will the added area be heated and cooled? �.e5 New electrical or increase in service? y�S New plumbing fixtures? t4O New fireplace? ,ia New heating/air conditioning? Is approval of Homeowner's Association or other private entity required? 140 If yes,please submit with this application. Will t4A project involve changes in elevation,site grade or any use of fill material or the removal of any trees? © NO. Applicant certifies that no change in site grade or rill 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. [ENO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. - Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/14/03 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 information provided with this application is correct. Signature of owner: Date: r�� 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 correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of iZIA_S�t erson to receive all correspondence regarding this application(please print). Name: ✓r f 1 j Mailing Address: S LR r-�, �f�'J�2 � �?'l�.• t-L P�..�� - 32Z3� Telephone: _5L,4 r 0--) Fax: E-Mail: AS TO OWNER: c�i Sworn to and subscribed before me this I 0 day ofZ�blva ry 20 . State of Florida,County of Duval AR 1:AC Notary's Signatu;e_.,4,y /W KEVIN L WOLFE NOTARY PUBLIC STATE OF FLORIDA Personally kno COMMISSION NO.DD134816 produced identification MY COMMISSION EXP. LY 17,2006 Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20j�)5. State of Florida,County of Duval Notary's Signature: 1 ' FE�W. . JESSICA R.PUTNAM Personally knoMY COMMISSION M DD 112195 produced identification EXPIRES:April 25,2006 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 Page 2 Revised 1/14/03 Book 10915 Page 1190 ] NOTICE OF COMMENCEMENT State ofd . Tax Folio No. County of A1 VCS 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 NOTICEOFCOMMENCEMENT. Legal description of property being improved: , ✓t, rt r Y j D_ 'k Address of property bein i roved: Q y ✓v 0e, Aawl �C General description of improvements: Owner: Address: 'rLh et-r > -,41) Owner's interest in site of the improvemen . A Fee Simple Titleholder(if other than owner): B 0`'e Name: Page: 119 Address: Filed & Recorded— Contractor: r ITH Fill I ER ' :21 PM Address: r' , CLERK-MCUIT COURT Phone No: Fax No: DUVAL COUNTY Surety(if any): Nb 5.00 Address: Amount of Bond S F TRU TUI'�D 1.00 Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida 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): THIS SPACE FOR RECORDER'S USE ONLY OWNS Signed: Date: r -'�"tJ Before me th' 5+h day of rVilrV in the County OFFICIALNOTARYSEAL of Duval, St a "f F1 lih�r r onally appea ed KEVIN L WOLFS , NOTARY PUBLIC STATE OF FLORIDA COMMISSION No.D0134816 Notary Publi at Large, tate of Fiorida,County of Duval. MY COMMiSS10NEXP. Ly 17 Mycommiss,onexpires: Personally Known: o or Produced Identification: CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: �� e 1✓ r v G?' �� a�`I Type of Development: rW Flood Zone: 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. COMNIENTS: 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 ord' es affecting the proposed development. - Applicant's Signature: Date: --)41-o 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 ATLANTIC BEACH TREE REMOVAL APPLICATION All applications must be submitted with seven (7) copies and received by 5 PM on the Fridav ten f0) days prior to the scheduled meeting in order to be placed on the agenda *INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. APPLICANT NAME AD S TELEPHONE 2. C, ADDRE OR L AL ON F TREE SITE ASON FO PRO E REMO 4. HAS THIS S BEE V EE BOARD B��YFs NO NOT SURE 5. PROPER G: RESIDENTIAL COMMERCIAL 6. ST TREES ROPOSED FOR REMOVAL: C S DIAMETER MITIGATION OFFICE USE ONLY INT.. EXT. `Diameter at Breast Height(D.B.H.)is measured at 4.5 feet above grade. To accurately determine diameter,,measure the trunk circumference and divide by 3.14. Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. 2556 RECEIVE_ U CITY OF ATLANTIC BEACH BUILDING & ZONING CITY OF ATLANTIC BEACH FEB 11 2003 BUILDING PERMIT APPLICATION (ALTERATIONS/ADDITIONS) Y. ate: Job Address: I 'V Owner of Property: 4 mf- ��5 I Address: 1a 1S �,,`eI"[A r.I D(� VZ &iit, (L.Telephone: g1lo Legal Description: Block Number: Lot Number: Zoning District: Contractor: State License Number: �-!` _ DJ�"�1351 Contractor's Address: Z2 Telephone: 1�5'91-0(oo(o6 Fax: I t qq2-'M Describe proposed use and workto a done• y i Li V;v1L' ama Present use of land or building(s): SJ Valuation of proposed construction: 4,<DD D t7 What are the dimensions of the added space: P� feet x feet Will the added area be heated and cooled? �25 New electrical or increase in service? yQS New plumbing fixtures? t4O New fireplace? Ai8 New heating/air conditioning? ka Is approval of Homeowner's Association or other private entity required? AC/4 If yes,please submit with this application. Will thA project involve changes in elevation,site grade or any use of fill material or the removal of any trees? © NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. [ (NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at:1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page I Revised 1/14/03 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 information provided with this application is correct. Signature of owner: Date: ,D5 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,ay correct and that the plans and supporting data have been or shall be provided as required. C?� Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: V4(I ,`er5C�,,e t Mailing Address:`< <� - irk p f��J-2 ��h. L �� U 3 2 2- Telephone: I'iL l'dLJ 4 0 Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this 50day of �C� ,20S State of Florida,County of Duval 'Cl'ARYSEAL Notary's Signatu KEVIN L WOLFE NOTARY PUBLIC STATE OF FLORIDA Personally know COMMISSION NO.DD134816 MY COMMISSION EXP.JULY 17,2006 ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me thisLq\tS,---day of ,20_Ca. State of Florida,County of Duval Notary's Signature: 1 JESSICA R.PUTNAM Personally kno '= MY COMMISSION M DD 112195 • dpi` EXPIRES:April 25,2006 Produced identification Type of identification produced '- 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 1/14/03 ' Book 10915 Rage 1190 ,n,� (�- -� q)-0&6,(0 NOTICE OF COMMENCEMENT State of Tax Folio No. County of � i1 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 de cription of property being im roved: r,� fi. . ID--(!J91 , Address of property bein i roved: WVi=q bria- 0„4' r , , General description of improvements: Owner: Address: i- e Owner's interest in site of the improvement. Fee Simple Titleholder(if other than owner): . y n , 5 02 Name: Pale: 11 0 Address: Med a XecofiW— Contractor: nz-Fll :21 PM #N Address: *' e✓1✓0/ 3 Z' CLERK CIRCUIT COURT Phone No: Fax No: W4W COWTY Surety(if any): RECORDING 5 5,00 Address: Amount of Bond$ 1.00 Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida 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): THIS SPACE FOR RECORDER'S USE ONLY OWNS Signed: Date: '�'0 Before me th'F +h day of pv4rilin the County OFFIQ6, NOTARYSEAL jv&L WOLFS of Duval, Sta f Fl Fillh p r ovally appea ed NO`rARY PUBLIC STATE OF FLORIDA COMMISSION NO.DD134816 Notary Pu liat Large, tate of Florida,County of Duval. MY COMMISSION EXP. LY 17 My comm iss on expires: Personally Known: or Produced Identification: y ss� CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: /9/6— - Q Y Type of Development: Aa2 f" 11-n Flood Zone: 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 ordina es affecting the proposed development. Applicant's Signature: Date: 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 ATLANTIC BEACH TREE REMOVAL APPLICATION All applications must be submitted with seven (7) copies and received by 5 PM on the Friday ten 10) days pnor to the scheduled meeting in order to be placed on the agenda *INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. 1. APPLICANT NAME AD S TELEPHONE 2. ADJDRER L AL ON F TREE SITE ASRO E REMO 4. HAS THIS S BEE TREE BOARD B YES NO NOT SURE 5. PROPER G: RESIDENTIAL COMMERCIAL 6. ST TREES ROPOSED FOR REMOVAL: C S DIAMETER MITIGATION OFFICE USE ONLY INT.. EXT. *Diameter at Breast Height(D.B.H.)is measured at 4.5 feet above grade. To accurately determine diameter,measure the trunk circumference and divide by 3.14. Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 ` INSPECTION PHONE LINE 247-5826 02-00025328 Date 12/18/02 Application Number 1915 N SHERRY DR Property Address • • . • ' . INSTALL OUTLET/RECEPTCLS Tenant nbr, name - ELECTRIC ONLY Application description • • ' TO BE UPDATED Property Zoning . • • • • • • 0 Application valuation . . . Contractor Owner -------- ---------------- -------- ---------------- RUSSELL, KERRY KNIGHT ELECTRIC LLC 172 CANAL BOULEVARD 1915 N.SHERRY DRIVE FL 32082 FL 32233 PONTE VEDRA ATLANTIC BEACH (904) 273-6969 (904) 571-5757 ------------------- ----- ---- Permit - ELECTRICAL PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 36 . 80 0 Valuation Issue Date Charge --- Paid - Credited Due Fee summary g ---------- ----------------- -80 36 . 80 - 00 . 00 Permit Fee Total 36 . 80 00 00 . 00 Plan Check Total 36 . 80 . 00 . 00 Grand Total 36 . 80 r i MUST BE BUILDING MICRI RUBBISH FROM THIS - PLACED MUST NOT BE CT yETHON ACTOR OR OWNERFAILURE TO COMPLWITIN H THE CONSTRC SPACE. UCTION ON LIN LAW CLEARED LP AND HAIRESULT IN HE PROPERTY OF THIS OWNER ERM PAYING TWICE E REVOC ON FOR VIOFOR BUILDING LAISSUED TION OFR APPLICCABLE O S ON OF LAW. PLA, WHICH RT ITT T1Tmr,O- FI(IAL CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: / M U-2- IMPORTANT IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE: LLC OWNERS NAME: fi'' SSe ADDRESS: N SkceP( (� RFD BOX_ BLDG. SIZE Surra T1vC oSL- BETWEEN: RES.pt ' APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION("T ILER( ) TEMP.( ) SIGNS( ) SQ.FT. SERVICE: NEW( ) INCREASE REP ) CONDUCTOR SIZE AMPS: COPPER ) ALUM.( FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL n » RECEPTACLES 2 CONCEALED OPEN TOTAL 0.30AMI'S 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. IKVA NO. IKVA NO.NEON TRANSF. NO I VA I MA I MOTOR SIZE I SWITCH FLASHERS EACH SIGN s CITY OF ATLANTIC BEACH r;. 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025140 Date 11/27/02 Property Address . . . . . . 1915 N SHERRY DR Tenant nbr, name . . . . . . 151X12 ' SCREENED PORCH Application description . . . SCREENED ENCLOSURE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7000 Owner Contractor ------- ----------------- ------------------------ RUSSELL, KERRY FISETTE CONSTRUCTION & REMODEL 1915 N. SHERRY DRIVE 2336 PINE ISLAND COURT ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 992-4782 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 7000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Grand Total 97 . 50 97 . 50 . 00 . 00 I 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 APPLICABLE PROVISIONS OF LAW. G1- ( - 1,�, BUILDING OFFICIAL 5 MIN, RETURN PHONE# Book 10752 Page 582 4.5969 Tax Folio number Pig: 582 Permit number A 452 11/06/2002--03.14-.16 PM JIM FIA IF" NOTICE OF COMMENCEMENT CLERK CIRCUIT COURT YAW COUNTY RECORDING $ 5,00 STATE OF FLORIDA TRUST FUND $ 1.00 COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Dessc�ription of property: /V6, /n4l— �1 «i�, /Il0 /d-LT E�C O-Zed n �/4 2. General description of improvements: 3. Owner information: a. Nand AdCss: �Fr,� 1<Lr SSP/// �7/S /1JUr{�SAF,.., ��,�P1 A�� L.. 32133 b. Interest inproperty:( A/ /.!AWl 1 c. Name and address of fee simple titleholder(other than owner): 4. Contractors name and address: a. Phone number: 6 �- b. Fax number: -• -i a- 5. Surety information: a. Name and address: b. Phone number: c. Fax number: d. Amount of bond: 0 6. Lender's name and address: a. Phone number: b. Fax number: 7. Person within the State of Florida designed by owner upon whom notices or other documents maybe served as provi#by 713.1 )N, Florida Statu s. Name and Address: t( � tj, J a. Phone number: a-LO e7' b. Fax number. ?- 8,)-- 8. I clition t �lf/herself, owner de ' es n t fl� of Qe� �� o receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of Recording unless a different date is specified) Signature of Owner: Sworn to and su ribed before me this -Zf day of a5 / 20 0-:2— Notary: ZNotary: Y own Mo.. shown: RONALD D.BROOM Notary Public,state o My commission expires: v.�.� �5 1 =a� MY comm. expires June 8, 2003 398fr— CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET � SC/t�-.�7 e IZCn Address � q l� /�"o R Ttf r7`�2.� / � 2 _ � .Date Heated Square Footage @ $ per sq ft= $ Garage/ Shed @ $ per sq ft= $ Carport/Porch @ $ per sq ft= $ 0� Deck -@ $ per sq ft= $ Patio F@$ per sq ft= $ JS C TOTAL VALUATION: $ ©C,0 C� ora 3 s © 0 $ s Total Valuation 1St $ 1 0 0 0 3 Rem Hing Value 5' per thousand or portion thereof CONSTRUCTION TYPE:'_;_!—, TOTAL BUILDING FEE $ �s ZONING: X S• Z + %2 Filing Fee $ FLOOD ZONE: X, O Fireplaces @ $15.00 $ C IMPERVIOUS SURFACE: �o BUILDING PERMIT FEE $ Z03 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON [AP50050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ / - RFrFTVF_D NOV 0 6 2002 City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ei.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) c� pATE JOB ADDRESS APPLICANT ADDRESSyr'ffr'-�' PHONE: � ' �' 7 V LEGAL DESCRIPTIO : BLOCK ER LOT NUMBER /0•-L ZONING DISTRICT dv Ar;ild� CONTRACTOR (' STATE LICENSE NUMBER / ADDRESS ,✓1 ' PHONE �-`7 S�/D�� cell CITY��r Sb�.v�dl STATE /"L . ZIP FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE D✓ ✓ OP i"lOmel I PRESENT USE OF LAND OR BUILDING(S) ' VALUATION OF PROPOSED CONSTRUCTION p7i D00 Is this an addition? JAS If yes,what are the dimensions of the added space: hS feet by J.7- feet —r Will the added area be heated and cooled? Mo_ New electrical or increase in service? New plumbing fixtures? /Vo New fireplace? /VO New heating/air conditioning? No Is approval or Homeowner's Association or other private entity required? /40 If yes,please sul}mit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL T RIAL? 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. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) 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 904-247-5817. 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 6/18/02 w� STEP 3. Please submit 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 J 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALLINFORMATIONPROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER ` 1' °/ DATE 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 CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE ip,u ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME l MAILING //ADDRESS ) Q 1, 3Z PHONE '7`t 7�I FAX �?" E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS Z DAY OF STATE OF FLORIDA,COUNTY OF DUVAL `n NOTARY'S SIGNATURE f� RONALD D. ROOM AS TO OWNER: Personally known Notary Public, State of fl0rlda ❑ Produced identification My Comm. expires June 8, 2003 Type of identification produced Comm. No.CC 843986 AS TO CONTRACTOR: Personally known _ - roduced identification Type of identification produ A/ov JEANE17E M.DEAN MY COMMISSION#DD 082018 'a€ EXPIRES:January 23,2006 6/19/02 Bonded Thru Notary Public Underwriters MAP SHOWING OF LOT 10, SELVA MARINA UNIT NO. 10-C, AS RECORDED IN PLAT BOOK 37, PAGE 40, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. Cl LA CERTIFIED TO: 1 -J rrl KERRY P. & LEAH M. RUSSELL COMMONWEALTH LAND TITLE INSURANCE CO. Ln GIBRALTAR TITLE SERVICES PEOPLES FIRST COMMUNITY BANK CYJ_ yam' SECTION 9, TOWNSHIP 2 SOUT14, RANGE 29 EAST 163.79' (PLAT) FOUND I/2" IRON PIPE 1.4' 16379• N 89"08'46' F (MEASURED) NO IDENTIFICATION FOUND 1/2- IRON PIPE N 89.0641~•E -- X NO IDENTIFlCATION X 1.2• FOUND 1/2." REHAR �Ayy STAMPED.-ACM LH 6702" LOT 10 . ?, +.00 } 20'RESTRICTION LINE 0id27. W I Q 4. � ti ��a• � �� X01 LLJ J a, `coo, NF ; �JJ Q 5 �P � pp /�yy STp 0 + L ST Q L N �' o FO # FRq /9, F 3.3" ryo,' ti h'9 LOT 11 - O W v � Cn O o O o x `� LOT 9 Z z � eP SOV T J G� e City of Atlantic Beach / Planning and Zoning Department m RCS�M7 This approval verWas oomphnes with spplicable zoning, subdivision and other local land FOUND 1/2' IRON PIPE development regulations, but does not constitute NO IDENTIFICATION approval for the issuance of permits. Compliance R>50'o with Florida Building Code and all other applicable local, State and Federal peftwng rliquirements J5�8' FOUND NAIL AND DISC must be veriNed .r.k*of the*of Atlantic N STAMPED 'OURDEN 1048' Beach Building I p'^^ b on i ranee of a `34986��?• BuUding PerarM. % F 5 6CCy0Ro)URS) �' welWment Director' .ti�(P4,41 6'- k -Dow., (c NORTH SHERRY DRIVE !q 15 (VARIABLE WIDTH RIGHT OF WAY) NOTES: ACCEPTED BY: LEGEND: R = RADIUS —X—X= FENCE L = LENGTH O = CONCRETE _ NOTES: - 1. BEARINGS ARE BASED ON THE ___PLAT____ BEARING OF _____N 02'10'34" E__________ ALONG THE REVISIONS NORTHERLY BOUNDARY LINE OF SUBJECT PARCEL.. 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE ____.x___, AS SHOWN ON THE GATE DESCRIPTION NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL ---QQQ1-Q. 3. 1NIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &./OR TITLE COMMIIMI NI IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. 4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. ,JOB b 11313 DATF OF FIELD SURVEY: 05-03-00 DISK y CD-3 _ SCALE: 1" - 30' CER-IWICA fE 2522 Oak Strert I HEREBY CERTIFY THAT THIS SURVEY WAS M ADi UNDER LAY RLSPONSIBLE CHARGE: Jacksonville, Florida 32204 AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY 1HE FLORIDA CM (Phone) 904-389-5989 BOARD OF PROFESSIONAL SURVEYORS AND MAPPF.P•S IN CHAPTER 61617-6, FIORIDA (Fax) 904-389-6175 ADMINIS ,ODE, PURSUANT TO SECTION 472.072. r,.ORIDA STATUTFS. H 1 HOW 11 111 k C IAI-1 J. AILLI.0 LICENBFD HUSINLSS p 6-02 REGISTERED SURVEY14 AND MAPPER M 4679 SIATE OI FLORIDA LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS i ; { / A +e:+..w�».v�r�+�+..+w-.n-..�rvm..d........rev...+ww..-..�..�+n ...n..u�...+.......v.....n+....rr n....v:.w:a+...w..w Nib Sir, {. -'OD f Nq7d 9N i�1 f p i f f f f 4 3 F R .v.....<^r.+�n+.,..�>...-...n....a.n:m..r.anrnarn..�-.ww..<o,....+.n...�s�.u.,�.-.,r .:.>r.w.....-...++..+.,....x.............°x.+»..>+�...w.e....•r..... ��M \t i\ i Y t 1- 411 i I S-1 e a E€ t � NOIlqCINno-� , t 4 - IT All 1l vo 1 1 Ny7d �00�-4 R N-3-44 5 q F 1 1 Cos 6 � 7 � d fi x t e S N : ��S i s 3 s � i y 7vm iN a Cl y -Luo V'3(%v 1010Y t� r f,1'7�,�• 1 � F f i F fi£{ 5 i a t s 4 o-i Is ori wV3 OINt �,{ �y'�j �^ � bI60 :1.7133 rB—J(' AOOoJ CI-11-4 xQOW Ald -D ©n PLAN REVIEW COMMENTS Permit Application # { Q Applicant: FI s e Address: I q/ N Project: P 4Y' o Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date Contractor Notified Date PLAN REVIEW COMMENTS Permit Application # Applicant: F-15 6+t OonstYUC-�I oz:q Address: 5 X . Project: e&Y-e r' Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed b Signed lei Date �- Contractor Notified Date RF�FTVFD ' NOV 0 6 2002 City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) ATE _C7 JOB ADDRESS APPLICANT ADDRESS �5 PHONE: !a2I' �! 7 V 0 LEGAL DESCRIPT7,,:vl(—A BLOCK ER LOT NUMBER /0•-L ZONING DISTRICT J\1 MAr,'eV, CONTRACTOR STATE LICENSE NUMBER/ ADDRESS !✓► PHONE �-`� 2 &06 C2d CITY� ( t�V�I'{�i STATE ZIP Z FAX -//792 DESCRIBE PROPOSED USE AND WORK TO BE DONE ?.2 D✓ r of/31 f % v PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTIOJA N DCS Is this an addition? N]iS If yes,what are the dimensions of the added space: /s feet by feet Will the added area be heated and cooled?� New electrical or increase in service? do New plumbing fixtures? /f0 New fireplace? NO New heating/air conditioning? AJO Is approval or Homeowner's Association or other private entity required? 140 If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL T RIAL? 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. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP I. 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 904-247-5817. 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 6/18/02 STEP 3. Please submit 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 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMDATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER { 1- DATE 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 CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE /�5 s sem- Fi s E� ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME 1(( MAILING ADDRESS1 a �Z, PHONE "7�� `f�Z FAX �' �f` l S �- E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS Z DAY OF Ja z STATE OF FLORIDA,COUNTY OF DUVAL n NOTARY'S SIGNATURE ��JJ RONALD Di ROOM. AS TO OWNER: �rsonally known Notary Public, State of Florida ❑ Produced identification My Comm. expires lune 8, 2003 Type of identification produced Comm. No.CC 843986 AS TO CONTRACTOR: Personally known _ roduced identification Type of identification produc JEANETTE M.DEAN MY COMMISSION#DD 082018 6/18/02 'aF EXPIRES:January 23,2006 %'f of ryd Balled Thru Notary Public Underwrters 3 7 P � CITY Or ALFTIC BBIICH ROOFING PBRMIT APPLICATION owner(s) : f{R Address: �tls /V, ��li'�/ �/Q Phone: / may°l Lot #A, Block or Unit # subdivision: �� 1^'O� Contractor• L1glelZY Address:. /J City, State, and Zip�11C'C 4Pe,4�?y1—; • 3-2-U6-3 Phone.'YY 87zz State License # v G X911 Describe work to be performed: l �a✓ �� y�� <'a��YS1`A//��w Valuation of Proposed Construction: �. Materials to be used: Signature of Owner; Signature of Contractor: z4z:&,l- Liability Insurance Suppliedes Workers Compensation Insurance Supplied��s License Information CCCayGJ57 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FI 32233 - Tel. (904) 247-5826 ROOFING PERMIT PERMIT-INFORMATrON LOCATION INFORMATION. _ Permit Number: 19367 Address: 1915 SHERRY DRIVE NORTH Permit Type: RE-ROOF ATLANTIC BEACH, FL 32233 Class of Work: REPAIR Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMS ION Date Issued: 12/15/1999 Name: TROTTER, AL Total Fees: 80.00 Address: 1915 SHERRY DRIVE NORTH Amount Paid: 80.00 ATLANTIC BEACH, FL 32233 Date Paid: 12/15/1999 Phone: (904)923-0409 Work Desc: DOUBLE PERMIT FEE/ ROOF REPLACEMENT COMPLETED W/O PERMIT NTRA R - ° 'APPI hhFEES. ,_ LARRY WESTFALL CORP. PERMIT 80.00 �}' s'�ic.fr" .. j-'TM �> .6 { A7 J:..i _ _ £.AL - `-^, '^"•�r i ...E- I _ NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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 APPLICABLE PROVISIONS OF LAW. ;80.88 14 CITY OF5626 CH Date: 1/15/99 81 ATLA TIC B Ke�eipt: 881976' cHEc;<s ••Em.Mure DEPARTMENT OF BUILDING /� '7 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. 4 / 1 5 PERMIT TO BUILD 77 THIS PERMIT MUST BE POSTED ON JOB 214*5QCK T {473 IA 6/19/8 Date JUNE 11 4715CA 19 1 1473 I A 6/1�9/f� Valuatio 89,000 Fee$ 214,50 NOL pOn 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 1112 3RD STREET. NEPTUNE BEACH FLORIDA 32233 i has permission to build SIF DWELLING AS PLANS SUBMITTED. i i Classification__S/F Da TIM Zone RE&IiIENTTAT Owned byNORTI-I SHERRY Hpt� 1 j 12 3RD STREET. NEPTUNTE BEA Lot �r`10 rIj 32233 Block UNIT—C S/D SELVA hIARINA House No. 1915 P�nRTT: cucnL�Y T)RTV� ATT ATTTTn nr 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 —♦ 0 Building material, rubbish and debris -q from this work must not be placed in public space, and must be cleared = up and hauled away by either con- tractor or owner. ACTING CITY MANAGER, !�A T)T T [TIT/q r - v+v Building Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER I I i i FOR OFFICE USE ONLY Date----��1... 19 . 1 Permit # 7/5....Fee$-dzy'srd. CITY OF ATLANTIC BEACH Valuation $...Y -OQ- ----•--•-- FLORIDA House --- APPLICATION FOR BUILDING PERMIT ....................................... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date....................�.__ ......... 19..t> Owner U` �- 1�71��1�r'�_ N112 -3P°� 24-1 3i.! 3 1� F - 1 h� Address - -...CL_. telephone No... Architect....`�J_Q.g1�4----•-..Fc-W-lg -----------Address--------------•--i-` --------Telephone No....... _-_- - -(�4� ISYIAddress--------•----------------------------------------------- -Telephone No.-------------------------- --- --- -- Contractor Builder_..........e.....g Lot No--------------k ------ O �' S ELBA a l_ ...............------Zone----------------- --•--•--------------Block No.-------�--•------------ -..Sub Division---------------•--•--•-----------�-- �' -----_StR- (�j �• 5�� Q�' �.---'Side-$et*�en----------------------••----•-----••----••----------and------------•----•-•-----•----•----...--•-----.. -�--------------------•-•------- -•------•---------.Street-..-�—�-- Valuation $...7474-9.0_&--------For what purpose will building be used.- !.'N.( -,I-E- ----------- L_" • Type of construction-..4�?_Q:.._. Dimensions of Buildin X1_ ...!4 -./�Ct}�j).Dimensions of Lot.-. � _.._.Q. .....................Size of Footings._�� __X�--2�?.---.----•--- g - Size of Piers--.. -o .L------------Size of Sills-------------------------------Greatest Sill Span in ft.......-•---•--------------Type Roof-------------------------------------- How will Building be Heateed?... l ------Will Building be on Solid or Filled Ground?...�_ L�n---------------- Size of Ceiling Joists-- V. ----------------- Distance on Centers_-..-.._.2i+_� d.r :t---, Greatest Span-------------------------------------------- " Size of Floor Joists............ Distance on Centers_....... --�`....___......- Greatest Span. Span._._.. --_-.--.__-_-_____-___-.-_---- � © Greatest Span........................................... Size of Rafters. ---- ` --------------------- .. 0 . � APPROVED This rectangle is to represent the lot. CITY OF ATLANTIC BEAM Locate the building or buildings in the BUILDING OFFICE right position. Give distance in feet from all lot-lines and existing buildings. ,V`l 11 1981 REAR LOT LINE Two copies of plans and specifications shall be submitted with application. _ Inspections required. B.1 LJ X- j ar<0 C0 1. When steel is in place and ready to pour footing. W 2. When steel is in place and ready to pour columns and/or lintel. Z" PLO-1 � 2a 3. When steel is in place and ready to pour beam. E- F 4. When framing is completed. $ 5. When rough plumbing is completed,and ready to cover up. G] W 6. When septic tank drain field or sewer is laid but before it is covered. A A 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 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 CitFof;A t, Bach. al 0> N 654A Signatureof Builder ... .. -rAddressSignature of Owner. ... . -------=--------------_ Address....... � � 7 M Cn cn M x x N W W N Q r.7 H [. 0 Cf) O LLJ00 N W xt Q n x w ca w # w M zCN U w CL Q w0 z Z cn Q N N G � r � i ,r �D 1 Q C �q i M M N w � 'i q A H C7 W � x U x W cn W q Z Q W Q w H H tr) O Q a p •--� Cq Q 51 H 00 1 ~ t.-4Z x N LLJ ' z :J w Q I n z II � I w . > 00 + > < m Zm I °� i f a m -mow in �z 00 -- Ui II 3 f C> I - I mi > O� i N o am N> j y A I I H O mz0 m n T D _ ....� S m n m N Z A C I > ro n A 9 > m am Ci > Nrn 41 N D m n o - a O > < 0 n = m m O a > N 0 1 > 0 00 z SSZ i (D i Co + : z * I mD z o I r I 00 I > m 0 t - • I m i � O m m O � a n c� v> >i —I z f > rr, cn o ` i z =' O m o -n A 0 n > D m n n r m m ? A p O —� A -�G on > Au) r m N m > N W m n I o 1 I S m A I co 1 � � p 00 C) C-i m> I W cd CW D N CD 0 CD H CD O O O O o 0 N n a\ � W �D� m z .0 • •U C p r. C d cy� R' O v O Q Q U m o z z s 0 o f-- Y H H [� U U a z z s' 0 0 E i U U Z 0 C- E-4 :3: o O Nom. x� Q p I I o ce W O O p ` V O C:) O H � N m V LL cn ce) Ln q Cl) I I � I M V) W ul N c7 c7 Cl) M M c m I t w x o zonto ° z° Z O H H H Q " z F z J z Lr) o o a Q LL O W w U Q o Y U Q Z Q U Q — � l! CITY OF ATLANTIC BEACH WATER CONNECTION CHARGAP26-0. O 0 DATE LOCATION /9/S� /t/0.�7 s�/.8�.�S/ .!P0&;e C OWNER PLUMBING FIRM MASTER PLUMBER BUILDER OR CONTRACTOR TYPE OF BUILDING SX ,pal—� BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC ( 2 UNITS) WATER CLOSET,LAVATORY AND BATF TUB OR SHOWER STALL.(6UNITS) /Z 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 (!�i 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 ( 3 UNITS) WATER CLOSETS, TANK- OPERATED ( 4 UNITS ) LAVATORY ( 1 UNIT ) WATER CLOSETS, VALVE OPERATED LAVATORY,BARBER,BEAUTY PARLOR ( 8 UNITS ) ` ( 2 UNITS ) LAUNDRY TRAY ( 2 UNITS ) LAVATORY, SURGEONS ( 2 UNITS) CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT DATE JA)CAT ION� PLUMBING IFXRM� MASTER PLUMBER CITY/`'CO'UNITY OCCUPATIONAL LICENSE NTOo�_ STATE CERTIFICATE NO,__f��ysb -��_a----x BUILDER OR CONTRACTOR TYPE OF BU VI D ING l U Edi J��®c J S'9::v:7- Sums SHOUTERS LAVATORY Z UMTER TIE F►TERS URY-4ALS _1 DISPOSALS CIeOSETS � WiASHING MACHINE FLOOR DRAINS OTHER JI`DOTAL PIAT IRE COQ` INTSTALIATION OF PWNBING AND FIX'T'URES MUS' HE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODF DEPARTMENT OF BUILDING /� CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. `t PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date JUNE 12, 1981. Valuation$VLIVA1jIXC Fee$ 11.00 I I UU T II .UUCKT This permit not valid until above fee has been paid to City Treasurer,and is I J76 I A 6/12/8 subject to revocation for violation of applicable provisions of law. 47JiC .UUCAC This is to certify that I 13997 BEACH BLVD. JACKSONVILLE FLORIDA 32216 has permission to bald install 1 SINK 2 LAVATORY 2 BATH TUBS 2 CLOSETS. 1 WATER HFATFR� I U SP(1SAT 1 DTSTT[dASNFR t WASHING - Classification S I P DWPI T TNT s Zone RFCTnENTIAL Owned by EBERLING BUILDERS 1112 3RD STREET NEPTUNE BCH FLA 3223 Lot #10 Block UNIT 10—C S/D SELVA MARINA House No. 1915 NORTH SHpRRY1111MF ATT A rTTr R=Art, TIT()PII?A_32? T� 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 ♦ O Building material, rubbish and debris 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. ACTING CITY IIANAGER, CARL F. STUCKI Building Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER I a, t .,a�»s �'=.tzc�►.s�w�z+i`s .[�t^c9..�.c!ciar_ ...s.::, �> .�o�m�a�.' - / +r i Carr#ifiratr of CITY OF Mantic Meads f BPpcartnirnt of -Tlltlbt ing 3myrditllt This Certificate issued pursuant to the requirements o/Section 109 o/ the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the f, various ordinances regulating building construction or use. For the following: , SINGLE FAMILY Bldg.Permit No. 4709 Use Classification — - Group Type Construction FRAME Fire District.. ATLANTIC BEACH, FLORIDA Owner of Building----EBERLING--BUILDERE_Address_1112 THIRD ST_.. , NEPTUNE BEACH Building Address 1915 N. SHERRY DR. t.«aI;ty IC B_EAC _, FLORIDA JOHN M. WIDDOWS By. ' --- Building Official4-15-82– — % --- _ I T IN A CONSPICUOUS ►LACE li�.t 3ra+Y Rtt CITY OF ATLANTIC BEACH FLORIDA INSPECTIONS BUILDING PERMIT NO.# 47+5 ELECTRICAL PERMIT NO.# 3,2af � I J PLUMBING PERMIT N0.#t il7m JOB ADDRESS 1915 NORTH SHERRY DRIVE. I CONTRACTOR EBERLING BUILDERS OWNER EBERLING BUILDERS � DATE REMARKS INSPECTOR FOUNDATION jam/ b� -a'/-✓es�� i FOOTING SLAB / -�i✓ --� I PLUMBING (R) /Z Y w 4wTOP-OUTI SEWER _ -- TEMP-POLE ELECTRICAL (R) 9�?f/8l ELECTRICAL (F) FRAMING PLUMBING (F) LINTEL/BEAM COLUMN STEEL SHOOT GRADES LOT CLEARING OTHER -- (W FINAL INSPECTIONS ..d CITY OF 4&,4, &44r,i-&7,CC Ut Office of Building Official REQUEST FOR INSPECTION Permit No. 4709 Date October 1 1981 III DUVAL A.M. District No. Time P.M. Received SE VA MARINA 1315 QR1 Locality Job Address Owner's EBERLING BUILDERS EBERLING BUILDERS Contractor HEATING Name ELECTRICAL PLUMBING BUILDING PLASTERING Rough .... . ❑ Rough ........El Foundation ....C] Wire ..........❑ Rough Wiring ❑ Final ❑ Final ❑ Finish Wiring ❑ Sewers ........❑ Water Heater ..❑ Chimney •.••..� Scratch .......El Fixtures .. .... ❑ Framing Motors ❑ Gas Final ........❑ Brown .••••."❑ Motors ole .....❑ Cesspool ......❑ Footing .......❑ Finish .........❑ Top-out ❑ Final Inspection.❑ .. ..•• Wallboard .....❑ Water .........❑ Slab ........❑ A.M. Lintel Beam ...El READY FOR INSPECTION Wed. Thurs. -' P.M. Mon. Tues. A.M. Fri. Inspection Made f Inspector C/-ry OF Date IPP Office f rime RvQUE Te°f Building offictai_ �K ` Received S 1 P.M. FSR INSPECTION Al Permit No. Jwner•s Job Addr NaT gUILDBE�ING $USS district No.III DUV FOU 'AL NG p R FraT fey •� WireLASTERIN(i Con locality Final g lath ELECT tractor RI slab Q Bro,r, '-L:1 Plough WiR'CAL Lintel Be Fin ..0 Fixtuh Wiring '' Ro LUM81 ar^ � Wallboard-' Motors s g Final NG II O EATING Mon, Q 7�a1P Pole' ❑ Gas ers Raagh /nsPectio Tues. R 1^sPection.4 Cesspool •. 'j EADY O To - O Water Fteaier O ^ Made Wate ut � InsPector -•, FOR INSpE,, '••O Thu l a Fri. M. A•M: P.M. CITY OF Date JULY R Office of 13 Time 1 0 198, EQUES-r ding Official Received 1915 N O R T P:M OR 1 NSPECT 1 pW H SHERR M. errnit No. #3218 Owner' Job Address Y DR Name s EB district No. D I AL BU►�D►GRLING BUILDERS cnim�ation S E L VA MAR j NA g PLASTERING Contra BMinj q �Ocality Wire ELECT ctor INS Fid ng•• ., ❑ lath ROUSh RI L E CT Slab ❑ scratch* O F( WiringA E R j C CO Tinel •..Q Finish ::a FixturegWirin9 ..Q ROuShUMB1NG Beam Wallboard" .❑ Tern ❑ Fenal ❑ Ro HEATING Mon. ❑ Fina P Pole ::. ❑ Gas ers ❑ Final 'rues. Inspection.Cesspool. "....� Water Heater' ❑ °P-0 t ❑ Inspection MadeWed. Y FOR I NSP Water AD Inspector ECTION El C- Th urs. A.M, Fri. P.M. 4•M. a p•M. C/7-y OF Yq&ao�z4c Date Office of 2" Timeal J REQUEST FORdjNspECT Received 'Os 1915 IVURTH P.M: Permit No. OW n �sb A aRY DRIVE District No. Narver s BUILDNGEBERLING B UILDgRS Chlmnetion PLASTERIryG �ocalitySEtV`9 L INA Framin y Wire ELECTRICtractor EBERLING Final g ❑ hath AL BLT Footine,. ❑ Scratch '' ...Q Finish Wirin PLU BUILD Slab .: ❑ Sr wn g MBIryG Fixtur Wirin "❑ Ro HE Lintel Beam ❑ Wallboa� Motors g ❑ Fina�h ❑ ATING d ❑ Tern ❑ Sewefs .. Rough Mon. ..❑ Fina P Pole ❑ Gas .. ❑ Final .. ..❑ Ins Pection.❑ Cesspool' ...� Water Heater ❑ Tues. READY E. Top out ❑ Ins Tues. Made Water ed. FOR IrySPECT1ON Inspector Thurs. A M Fri. A.M. P. M. P.M. C1'ry OF 411a�- Date Office of JrnvE�2, 9 ," YE EST FpR jNSPECT rime Received 'ppv 1915 NORTH SHER P.M, Per No. RY DRIVE• Amer s EBE �Ob Address District No. III D RLING BUI Ili BU►11 l I, LDERS SEL VA MARINA F i ring n ►'LASTER►IVG locality Framin y "� Lath ELECT Contractor B. & �' PL Final g RICgL Slatting � Scratch"' Finish Wiring PLUMBING ING G0. Brown Fixtur Wiring "® Rough / Lintel Beam•..,Q Finish ,: ❑ .. . ., HEgTING Wallboard .� Moto Final Rough ..� ernp-Pole .... 0 Ej Gewefs Final Mon. ..0 Final .. as ... ...❑ -rues. InsPection 0 ro sspool ..'•' 0 Water Heater 0 es. READY FOR ►NSP op-out 0 � l nsPection Made ❑ ECTION InsPeCtor �/ Thurs. A.M• A.M. P.M. P.M. CITY OF Date Office of ri'neREQUEST Fpl?l ivs EC Recti ved 12:45 �M TI p 0 1915obSEA GATS DRIVE, Permit No. ,Y Wner s Address District No Name EBERLING III DUVAL BU10ING BUILDERS Chirnnetion focality SEL VA IIARIN Pi►'LASTERING Contractor EBEBZI A Framing ❑ lath ELECTRIC NG Final F,ing :' �pO�RS'-c�ra�"trch" ...Q F,nugh WiringAL PLUMBING BUILDERS Lintelge'• — ash •❑ Fixture Wiring "® Rough am Wallb "❑ Motors s "❑ Final :• f►EATI Mon. oard F^a P'Pole ❑ Gas ers ❑ Rouugh NG ❑ Fin ..❑ Inspection.� o sspool'....... Water Heater''.❑ 'Tues. Pout ..❑ •❑ Inspection Made REApy FOR 1 Water ❑ Wed. NSPECTION Inspector ❑ Thurs. A. Fri. A. M. P.M. c►ry OF 4&4014-c Date_ _ REn1�rcZ Office op Building Offic al"�� Time �L rCIJGJ FOR INSPECTIpN 'l S Received AM Permit No. nl ' ob Ad ss / District No. Owner's ` /f Name BUILDING I-Oc ty Chi nneyon •••❑ yyiPA ERING ELE Contractor Framing .....❑ Lath ❑ Rough CTRICAL PL Final ❑ Scratch ❑ Fi Wiring �1MBING Footin' ❑ Brown ..❑ FixturesWiring ..� FOagh HEATING Slab g .. ❑ Finish . ❑ Rou Lintel Bearr�'. ..� Wailboard.......❑ Te moors ❑ Se gh ❑ veers .... "❑ Final Mon. Finap PoSPection.� (�6ol •. Water Heater ,, Cl Tues. READY FOR ►NSP Waterut •....:.O Inspection Made —+� ^Wed• /t7 .... Inspector OJ/ Thurs. A.M. Fri. A.M. /� P.M. P. , CITY OF (� 716 OCEAN BOULEVARD P.O.BOX 26 �- ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 APPLICATION FOR TREE REMOVAL PERMIT DATE Applicant \ NAME ADDRESS 1 IL . �`� ��►�� G� Owner NAME (r ADDRESS Location of tree if different from owner' s address : Reason for Removal : l�PPROVC ��J. Rear Lot Line ��E O��,NG pFF;cE 3 `� '• indicate a H possition of tree on 0 0 0 0 1 o t ►-� '� GY Q) _. b b .r Front Lot Line Building Official DEPARTMENT OF BUILDING n^^^ CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. `9' L b G PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date November 13, 19 87 no fee 9110CA Valuation$ Fee$ I A 11 13/87 1nnn 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 CDR and "drs. Robert 0'Donne 1 l 1915 North Sherry Drive has permission to bt�Ci;!�( _ RPmove one deatj t,-t�a I Classification Residential Zone Owned by O'Donnell Lot Block S/D House No. 1915 NORTH SHERRY DRIVE 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 10. O 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 con- ("" or owner. 1 B 'ng Official. FOR OFFICE PERMIT DATE COi USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER