1918 Sherry Dr (vault) 1j:r
CITY OF ATLANTIC BEACH
S
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
9 INSPECTION EMAIL REQUEST:
Bui1ding-dept@coqb.us
Application Number . . . . . 07-00001028 Date 7/20/07
Property Address . . . . . . 1918 N SHERRY DR
Application type description MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
--------------------------------- ---------------- ---------------------------
Application desc
INSTALL CU & AHU
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
OCEAN STATE HEAT & AIR, INC.
1476 ATLANTIC BLVD.
NEPTUNE BEACH FL 32266
(904) 249-8251
-------------------------------- --------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 79 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/16/08
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
-IC
MECHkN --k-LPERTMIT APPLICATION
r Bir Date: Y/p
Property-kddiress:
Telephone 9: 02
OwDer:
QIC Telephone
Con't-r-ac r: QCean IZ rr
_a%LLnb_
-Contraztor.-A-ddress:-147(p ernal-L
Dove staTemerm�we hereby agree 10 perform said work in accordanct
in consideranon of permir jz:iven for doing tile work as descdoed in the a city , es and gtandards of
�no oe ' " hereof and in accordance with the . of Atlantic Beach ordinanc
with tht atitached.plans and specificatimis which are a part
o
Rood cticr listr-' consmiadon is being done on this bUilri-im Or
if Other
f3 ,in
Type of Heatjn5of'uei: permh ntmabor.
0
or site,list the building
-di4ectric
Ea Gas: LP Nanu-dl —L0412tral Ufflity
0 Oil
0 Other-Specify ATURE OF W OR&
.jVj-ECEANIC.LL EQUIPKENT TO BE INSTALLED N
at space _Recessed Floor d/�2sidential.
Y'He
- V'�AirCo��ditiomnl- —ROOM . —Central zi Commercial
0" Du&S'IsTem: jvjatmjal.Thic'=es8-1
Ivia:ximum capac#.v.cIm Q New Builffing
from din
zi Cooling Towen. Capacity !r-'E-dstinga Buildmg
• Fire Sprinklers:Number of Heads----.
• Elevator: N11mlift Escalator (Number) of E-diSTMES Syn=
(Number)
• Gasoline Pumps---�-- zi New hoLalladon
• Tanks (Number)- Cgo Mem pre-,riously installed)
• LPG Container- (Number) U Sys[=
-an to R�dsting
ca Unfired Pressure Vessel Eaciendon or Add
13 Boilers Pe
0 Gas Piping
0 Other-
�- Pe
LIST ALL EQUIPTyIENT
A-Pproving
AIR CONDITIONING,RUWGERATION FIQUIPMKNT&CONDENSOR'S Ton's -Agency
Descripon Model Ivianubcturer
Number Units
s&AIR HANDLER'S Approving
ATING FUMACE
S,BoaXRS,FULL Manufacturer BTUs Agency
Model
Number Units Desmptlon
34
7k
�Ppr-g
A ency
Serial
Apprortag
pe-Liquid
y
TANM" Noinii W- CaP&c1LY .1VIL&cturer -No. Azencv
Ho-%v Many Lvz Dimensions Contained �11U
300 Seminole Road . ,Atlantic BeaciL Florida 32233-5445
Phone: (904)247-5800 - Fam: (904)-1471-5845- http:!/Www.ci-atiantic-beach-fl-us
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00032458 Date 3/10/06
Property Address . . . . . . 1918 N SHERRY DR
Tenant nbr, name . . . . . . REPLACE DECK
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 29000
Owner Contractor
------------------------ ------------------------
HAUSER, TED OWNER
1918 NORTH SHERRY DR.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 175 . 00 Plan Check Fee 87. 50
Issue Date . . . . Valuation . . . . 29000
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL MY OF ATIANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING OFFtbAt
-I – I I
CITY OF ATLANTIC BEACH Cc:
D.-F-ord
BUILDING / ZONING DEPARTMENT <LLH'—i i�ns
800 Seminole Road S. Doerr
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application #
—04f 5 b
Property Address: oA
J
Applicant: w5cr-
Project: are Eyi-5+na
This permit application has been:
Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
-2
Reviewed By: Date: 2�
Date Contractor Notified:
CITY OF ATLANTIC BEACH
BUILDING PERMIT APPLICATION
MAR 0 / 2006
(Alterations &Additions)
Date:
Job Address: 11rAe P- dl)
Owner of Property:
Address: Ifl fA A/- Telephone: �10
Legal Description: Block Number: Lot Number: Zoning Wistn'lct:
Contractor: 46K State License Number:
Contractor Address: 1'�I' e A.
Telephone: p 5/nw
�- 7Q 3a Fax:
Describe proposed use and work to be done: Jg,.'�et-,A -e�oe,-zt (a 10 er -C)(1,51i
J�
Present use of land or building(s): e�lel Z26k,- I�
Valuation of proposed construction: lvve_> feet
Dimensions of the added space: 2 feet x
Will this project involve:
u Heating&Air- Li Plumbing Li Electrical u Fireplace
Conditioning
Is approval of Homeowner's Association or other private entity required? If yes, please submit with this
application.
Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to
thp aricyinsal impervinlic a rp-A or the removal of any trees?
'�kNo. Applicant certifies that no change in site grade, impervious area or fill material will be used on this
project.
F-1 YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
"*I&qo. Applicant certifies that no trees will be removed for this project.
F]YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate
Incomplete applications may result in delay in issuance of permit.
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (If not required, written verification must be provided with this application.)
The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic
Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Page 2 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Revised 8/04
in addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify
any existing structures and uses.
3. If required by the Department of Public Works,a pre-construction topographical survey.
4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications.
Address and contact information of person to receive all correspondence regarding this application(please print).
Name:
MailingAddress: /!f/X
e,e�/T zk -Mail: L4
Fax: xes-
4WISocA
Telephone: 2D 3 0 - ee 1/-3 0 E
I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All
provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a
permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws
in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this
permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as
required.
Date:
Signature of Owner:
AS TO OWNER:
Sworn to and subscribed before me this —?q� —dayof 20L&C.
State of Florida,County of Duval
Notary's Signatur
I. DUNUGHAM
Wary puM.Sm of FW*
kn,
Conwrimion E*m Fab U. Personally known
Commmm I DD 52MU LI—Produced identification
Bodo By National Notary Asm. ,-19 F)19 te9l.—
Type of identification produced
Signature of Contractor: Date:
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20_.
State of Florida,County of Duval
Notary's Signature:
Fj Personally known
F-1 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.atlantic-beach.fl.us Revised 8/04
Page 3
CITY OF ATLANTIC BEACH
OWNERIBUILDER AFFIDAVIT
Date: 2z2k
Job Address: A7.7 A/�& A
CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCUON CONTRACTING,REQUIRES OWNER/BUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE
APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. TEE EXEMPTION ALLOWS YOU, AS THE'
OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE. YOU MUST SUPERVISE TIE CONSTRUCTION YOURSELF- YOU MAY BUILD OR IMPROVE A ONE-
OR TWO FAMILY RESIDENCE. OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR INDROVE A
CONIMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND
OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE
BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME
XEMPTION- YOU MAY NOT HIRE
THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS E
AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO
TEE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONS113ELITY TO MAKE SURE THAT
PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL .
LICENSING ORDINANCES.
ORDINANCES ALSO ALLOW AN.OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL
OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A
BUILDING PERMIT AND PASS ALL NORMAL INSPECTION& THE ORDINANCE STATES OWNE R. S MAY
PHYSICALLY DQWORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WOV KERS BE
'40RK IS IN
UNDER-DIRECI`.UpERvISION OF THE OWNER, WHO MUST BE.ON THE JOB AT ALL TBES—WHILE
PROGRESS By U11,11LICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CON"'RlkCTORS-
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT
SUGGESTS-WORKER'S CONDENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE
POLICY TO CLEARLY PROTECT THE OWNER- OWNERS HIRING WORKERS BECOME EMPLOYERS AND
SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS
THEY ENn�Loy ON THEIR IMPROVEME1,1T TRADES.
UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING
SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN "OCCUPATIONAL LICENSE- IS
NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE TIE COUNTY"CERTIFICATE OF CONDETENCY"OR
THE FLORIDA "CONTRACTORS CERTIFICATE7 TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR�
TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT 1
CONDLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
PROPERTY O-WNER/BUILDER
C?4,1-0
THI -7**
S DAY OF ff)aCC4� 20
# 52M
AN*.
EXPIRES:
NOTE: PHRASFS I TNnRRLTWT) AROVF-
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of
To Whom It May Concern:
Ile 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 infiarmation is stated in this NOTICE OF COMMENCEMENT.
Legal description of property being improved:
Address of property being improved: d4jft4:�� oC�IoL. 7z- r, 1,
General description of improvements:
Owner:-2��d; Z-
/-7Address: ,Z!!? Ic ACV.
0wner's*interest in site of the improveffient:
Fee Simple Titleholder(if other than owner):
Name:
Address:
Contractor-
Address:
A Phone No:L-!0-2�1�- Ia-2a2ly Fax No:
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:
- P klt-.ie No: Fax No:
Nairi,q4. )f person within the State of Florida,other than himself, designated by owner upon iw��m notices or other
doc-uments 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: me-
ear-
Expiration date of Notice of Commence t.(the expiration yjm the date of recording unless a
different date is specified): .,y Public-StaleHoIfFbr4a
F,
�unmji=n E)"
Commission#DD 5236M
BY N8111MI NotBry Am
Zv:�� w�
TIES SPACE FOR RECORDER'S USE ONLY OWNER
Date,�5. 0(10
dayof mcq-c,�n in the County
Befbra��is�4�
Doc#2006078719,OR 13K 13112 Page 239, of Duval, State of Florida,has personally appeared
Number Pages:I
Filed&Recorded 03/07/2006 at 11:46 AM, Notary Public at Large, State of Florida,County of Duval.
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Wy commission expires: a
RECORDING Personally Known: or
?roduced Identification:-'r��( #4 f-j,2(pC>-f3l OA-g—D
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
F 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
LOCATION INFORMATION
P RMIT INFORMATION
-P—ermit Number: 20575 Address: 1918 SHERRY DRIVE NORTH
Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0 Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:0
Square Feet: Subdivision:
Est.Value: Parcel Number:
Improv. Cost:
OWNER INFORMATION
Date Issued: 8/31/2000 ----Wa—me-—TOM FORD—
Total Fees: 37.00 Address: 1918 NORTH SHERRY DRIVE
Amount Paid: 37.00
ATLANTIC BEACH, FLORIDA 32233
Date Paid: 8/31/2000 Phone: _(904)241-8842
Work Desc: REP—LACE AR HANDLER AND HE PUMP
CONTRACTOR APPLICATION FEES
-6C—EA-N STATE HEAT&AIR PE OM—IT
FINAL IngIxections Rqquired
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.
$37.00 14
Date: 9/01/00 01 Receipt: 0@65183
CHECKS 15730
TIC BEACH UILDINld�—T.
BUILDING AND ZONING INSPECTION DIYISION
CITY OF ATLANTIC BEACH
ATLANTIC SFACH.FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT—Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address: 19 (1z 5
LOCATION
OF c And "7eLVF _'jAgjVA 09-,
BUILDING Intersecting St...Is: 110—r— L 9
ssila-di'ili..
10
11. IDENTIFICATION —To be completed by all applicants
In cons;dor.fio,
I Of permit given for doing the work as described in the above statement.0 hereby agree to perform said work in acc rdan
w;I h the attaclusd plant and IP06ficalions which ofir a part hereof and ;n acco,d ance w;Ih the City of Jacksonville ordinances and stoandardi
of good.practice listed tkire;n.
N me Mach. , Co
C:nfir&:".r ( -nf) M.nf,a,f.r,
At tZ 't r
Nam:a CdCC)'4`43jo
I owner
of C..:r, of
or A01lihitirifiet!Ag n Architect or Engineer
I 14CA
Ill. GE4R.AL INFOR4TION
A. Type of heatingfosisti,. IS OTHER CONSTRUCTION BEING DOME ON
9 qct'i. THIS BUILDING OR 5 1 TE 7 Aj 0
C3 Gas LP [3 Natural 0 Central Utility
C] Oil IF YES, GIVE NUMBER OF CONSTRUCTION
PERMIT
13 Other SpeciFy
IV. MWM;64W---L MUIPMINT TO 111111 INSTAU.60 NATURE OF WORK
(Provide complete list of comismsimh on beck of this fwml Y' Residential or 0 Commercial
af 1`1411111 ID SPecris C Recessed M/Carntral (3 PAw C New Building
131 Air Conditioning: [3 Room Et' Central Existing Building
0 Duct, System: Material Thickness— Replacement of existing system
Maximum capacity cf.m. C1 Now installation(No system previously installed)
13 ReGiveratior, 0 Extension or add-on to existing system
0 Cooling towssr: Capacity g.pm. Other—Specify
C3 Fless slarri.1ders: Number of h"d-
0 Swater [3 Menlift [I Escalotor—(numbarl
THIS SPACE POR OFFICE US&ONLY
13 Gasoline Pumps (number) (Roes'"d I
CI T&nkL_(nu.b*r) Remarks
[3 LPG csant@lnssm_(nvmb*,)
C3 Wired ismoure sIssset
Boils" Permit Approved by—
b Otheur—specify Perimit Fese-
1,119T ALL EQUIPMENT
AM CONDITIONING AND REFRIGERATION EQUIPMENT
Ca y Al�
xUrrilbor Unita Description Model Number Manufacturer
14?AT- PUMP TLkj 0;�Iae T'Ktqv e
HEATING -FURNACES, BOILERS, FIREPLACES
Capacity A"re"too
Number Units Deasorliption Model Number Manufacturer (=U) ACOMy
A HAPJbI Pit T-WED31 9 TV,Aw e_
TANKS
Raw Many Nowtissal cxposclty Type Liquid NAM41 at Serial A win
end Dimensions Contafttesd Mmul!"tux'1101, No. P='Y"
.0)
04
CITY OF
DrIpartinnif af ITitill)jI19 Amprainn
z
This Certificate isstied Pursuant to the re quiremcnis of Section 109 of the Southern Standard
Ir
Building Code certifying that at the time of issuance this structure was in compliance with the
4,
various ordinances regulating buildino construction or ujc. For the followin,,:
Use Classification SINGLE FAMILY
Bldg.Permit No. 4729
Group-----Type Construction--_FRA1vM_Fire District —ATLANTIEL-BEAC-14,—FLORIDA
Owner of Building___EBER�LING-BUILDERS 1112 THIRD STREET9 NEPTUNE BE
Build.ngAddress_1918 NORTH SHERRY DRL,,.l,XAT_LANTIC BEACH FLORIDA
Ely;
JOHN—M._WIDD WS
Building Official 2-8-82
POST IN A CONSPICUOUS PLACE
CITY OF ATLANTIC BEACH FLORIDA
INSPECTIONS
ELECTRICAL PERMIT NOA1_117
BUILDING PERMIT NO.#. 4799 Aj_
PLUMBING PERMIT NO.#
JOV
JOB ADDRESS 1918 NORTH SHERRY DRIVE. ATLANTIC BEACH 32233
CONTRACTOR EBERLING BUILDERS
OWNER EBERLING BUILDERS
DATE REMARKS INSPECTOR
FOUNDATION
V-71kl
FOOTING
SLAB
000,
PLUMBING (R) Alnldw�
TOP-OUT
SEWER
TEMP-POLE
ELECTRICAL (R)
ELECTRICAL (F) C-7)Af
FRAMING 9// A f/
PLUMBING (F)
LINTEL/BEAM
COLUMN
STEEL
SHOOT GRADES
LOT CLEARING
OTHER
FINAL INSPECTIONS
G�KT
DEPARTMENT OF BUILDING
PERMIT NO_�V=
CITY O�ATLANTIC BEACH,FLORIDA f t, oUOCAC
PERMIT TO BUILD 1 470 1 A 6/19/U
THIS PERMIT MUST BE POSTED ON JOB 000
Date-1111L-12.,--19
_88 ()00 F e e$--2-1-2---5�O
Valuation$
This pernut 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 'FLORIDA 32233
1IL12 3RD STREET NEBTUNE BEACH
has permission to build a S/F DWF A P
IF DwELLING
Classification— S
�RD STREET NEPTUNE BCH FLA 3223,
owned by EBE tLING BUILDERS 1112 ' I
Block 1Z11Z_1Q--r-S/D--SELV1-1UR1NA__
L,ot
House No.
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
z
from this work must not be placed
in public space, and must be cleared
up and hauled away by either con
tractor or owner.
CARL F. STUCKI
Building Official.
CONTRACTOR
FOR OFFICE PERMIT DATE
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
FOR OFFICE USE ONLY
'"W Date...........40/pl----------19 SY
AZI 2�---Fee $21441P
PeTmit #................
CITY OF ATLANTIC BEACH &6 ...........................
Valuation $...C741-
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 Atlanfic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified. Date--_------------(10 -------------------------------P 19-----------
Eberling Builders , Inc . 1112 Third S...V / 241-3153
Owner-------------------------------------------------------------------------------------.............Address........................................... __*_---------Telephone No.............................
Architect......� .--,I P.9._�-0..M&?........................................Address,..........................................................Telephone No..............................
Eberlinz Builders , Inc. 1112 Third St . ...Telephone No-241....3.3,53.
ContractorBuilder.......................... ........I........-.......................:-Address.......................................................
Selva Marina
Lo .(o ......................................Block No..V Division--- ....................Zone.................
iow .N_r(__10.4.....Sub -------------_-----------........................... to
Street... ------ .... ..........Side Between..............................................I....and_....---------------------------------------------9 -
Valuation $...9PfYPV..........For what purpose will building be used.s.ingle f ami')type of con_stru,tion.,K,� fr-ame....
.. ...... ...I......................
see attacheA. ...................
Dimensions of Building..----_--------------- ----- ------ mensions of Lot........................................................Size of Footings---
Size of Piers... ----------------------Size of Sills.........____.. ..........Greatest Sill Span in ft.-.-......................Type Roof--------------------------------------
Elec . Heat Pump Solid
How will Building be Heated?---------------------------------------------------------------Will Building be on Solid or Filled Ground?........................................
Truss 21 -0" .....
Size of Ceiling Joists-------- ..... ......... Distance on Centers...........I------ ---if............I Greatest Span.........i-------*---------------------
Size of Floor Joists......lxt�_.................. Distance on Centers...... .............. Greatest Spa......1.1...................................
Size of Rafters ........ Distance on Centers...... ..... . ........................... Greatest Span............................................
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required. see attached site
1. When steel is in place and ready to pour footing. P� APPROVED rA
Z Z
2. When steel is in place and ready to pour columns and/or lintel. plfkffl OF ATI 1,NTIC BEACII
3. When steel is in place and ready to pour beam. [WILDING 0;;";7?CE
E-4
4. When framing is completed. 3
5. When rough plumbing is completed,-and ready to cover up. JUN 12 1981
6. When septic tank drain field or sewer is laid but before it is covered.
V2
7. Electrical inspection by City of Jacksorville, M B'.'t
8. Final inspection. 4?.a
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 d g the work as described in,the above statement, we hereby agree to perform said
work in accordance % with the building
,t�ith th the specifications, which are a part hereof, and in accordance
regulations of the C . of I icB I e R'i...11-1.2....3r.d........St . , Nept.un.e. B.ch. , Jax.
Signatureof Builder- ... ......................... A-'d- - ...... .. ........................... .............. ...................
I ..
AO t .................................................................................................
Signature of Owner ....... ....... .... ........
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CITY OF ATLANTIC BEACH
WATER CONNECTION CHARGE
DATE
of
LOCATION
OWNER -14?"lllk�e5
PLUMBING FIRM
MASTER PLUMBER
BUILDER OR CONTRACTOR
TYPE OF BUILDING tS,4�-
,7= BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC ( 2 UNITS)
WATER CLOSET,LAVATORY AND BATH
TUB OR SHOWER STALL.(6UNITS) 1A 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. U.NITS
DENTAL UNIT OR CUSPIDOR ( 1 UNIT)
URINAL, WALLL LIP 4 UNITS)
DENTAL LAVATORY 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) 3
KITCHEN SINK 2 UNITS,".' WASH SINK EACH SET OF FAUCETS
2 UNITS
KITCHEN SINK W/WASTE GRINDER 3
( 3 UNITS) WATER CLOSETS, TANK- OPERATED-ot/
.2 LAVATORY (_1 UNIT ( 4 UNITS )
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 PLU1BING PERMIT
Date letl
Iiocation�� d")EC-6fe,
Plumbing Firm
Master Plumber
city/County Occupational License No.
State Certificate No. ev-
Builder or Contractor
Type of Building
-L-SINKS SHOWERS
__�VATORY __4_YiATER HEAMEM
_4Z__�ATH TUBS DISIMASHERS
Upi2vils DISPOSALS
,3 cLosETs TOMSHING MACHINE
FLOOR DRAINS
OTHER
FIXTURE COUNT
INSTALLATION OF PIUMBING AND FDMJRES MUST BE IN ACCORDANCE WITH THE MOST
RIXMNT EDITION OF THE SOLITHERN STANDARD PLUMBING CODE.
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
JOB LOCATION: S�(-AfLk/ N,9& ��
OWNER OF PROPERTY:
CONTRACTOR: S//vfL,(— a-oo
COINTRACTOR'S ADDRESS: 9/�
4r"L, ZIP: Ly ) 21�O
STATE LICENSE NUMBER: OS"W1 TELEPHONE.-
DESCRIBE WORK TO BE PERFORMED: kc�-
VALUATION OF PROPOSED CONSTRUCTION4�,51)
MATERIALS TO BE USED: Slff.%4
SIGNATURE OF OWNER:
-!( 2SIGNATURE OF CONTRACTOR:_
SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF
NOTARY PUBLIC PaWdaAmette
MY COMMON#00553881 EXPIREq
Aqua 27,2WO
Liability Insurance Supplied
BOMM TIM TIV FM NLR4NM,INC
Workers Compensation Insurance Supplied
Contractor License Information Supplied
Occupational License Information Supplied
PSR-3844
155P
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ---- -- LOCATION 1NFQRMA,rI0N ------- -
Permit Number : 15584 Address : 1918 SHERRY DRIVE NORTH
Permit Type :RE-RCOF ATLANTIC BEACH . FLORIDA 32233
,-lass of Work:NEW LEGAL DESCRIPTION
Con'str . Tvve :WOOD FRAME Block: Lot : Twl,.
Proposed Use: SINGLE FAMILY Section: 0 Subd: Rnq �
Dwellings : Subdivision:
., Est . Value: 0 .00
Tmprov , Cost : 2 �, 250 . 00
Total Fees : 25 �00
Amount Paid: 25 , 00
T11 D-3 4 fl,
�,%WNER !NFORMATT,'�N APPLICATION FEES
Name: TOM FORD PERM i T 2 R f)r.
Addr * 119,118 NORTH SHERRY DRIVE
ATLANI'IC BEACH , FLORIDA -4,22,,
Phone-. ,' ')04 )241-R842
CONTRACTOR INFORMATION
Name, SHORE ROOFINf3
Addr: 914 7TH AVENUE SOUTH
JACKSON%rTLLE BEACH . FL 3225i'l
L CCCC 15 4?I I Exp:
Ty p
NOTES:
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 MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By: _ ( - ,
CITY OF
7Q4.4dw 13e=4- q"C&
Office of Building Official
REQUEST FOR INSPECTION
Permit No. 7
Date —45�2
T'me A.M.
Rece i".d 06 — Id 1-1 / District No-
1E Ae-A,111
Owner' �� Addr I L litX
_1� 4�z
Name zs, Contractor
BUI PI AS-r-kING ELECTRICAL PLUMBING HEATING
Foundation ....0 Wire .......... Rough Wiring C] Rough ........0 Rough ........E]
Chimney ......E] Lath ..........F] Finish Wiring E] Final .........0 Final .........C]
Framing .......E] Scratch .......[3 Fixtures ....... Sewers ........0 Water Heater
Fina I ..........[] Brown ........ Motors .�.....* Gas ..........El
Footing .......E] Finish ......... Temp-Pole .... Iss pool ......0
Slab ..........(-] Wallboard .....C] Final Inspection 5-121op-out - ....El
Lintel Beam ...E) Water ... . 0
READY FOR INSPECTION A.M.
Tues We Thurs. Fri. — P.M.
Inspection Made /Z
(—�M:-D- :�,— f A P.M.
I n s p e cto r G:� & k I
CITY OF
4&ao& 13ea4CA- t;&UC&
Office of Building Official
REQUEST FOR INSPECI.ION #3272
Date SEPT 8, 1981 Permit No.
Time District Nc
.00 pM_A.M. III DUVAL
Received P.M.
191k NnRTB SRERRY DRIVE- qFT,VA X4ADTNIA
Job Address Locality
Owner's ELECTRIC COMP-
Name EREELING BUILDERS Contractor BIVINS
BUILDING PLASTERING ELECTRICAL ** PLUMBING HEATING
Foundation ... e ..........[-] Rough ng Y'-*R,,u g h ........El Rough ........0
Chimney .......�0�path =r�n g
El Finish W nal .........El Final ........ 0
S
S,r, s .... ........El Water Heater . E1
Framing ....... cratcW .0 Fixture Sewers
Fin a I .... .....(-] Brown ........0 motors ........ Gas ..........El
Footing _....Fj Finish .........E] Temp-Pole ..... Cesspool ......0
Slab ..........C] Wallboard .... Final Inspection.[] Top-out .......0
Lintel Beam ...E] Water .........0
READY FOR INSPES;1-1ON A.M.
Mon. Tues Wed. (Lurs) 9/10/81 Fri. P.M.
A.M.
Inspection Made P.M.
Inspector
V
_77_1�� 1 IV, f I AlL,0�3
CITY OF
4&"� BeaIC4- Q4UC&
Office of Building Official
AUGUST 31, 1981 REQUEST FOR INSPECTION #4742
Date Permit No.
Time A.M. III DUVAL
Received 10:00 AM P.M. District No.
1918 NORTH SHERRY DRIVE. SELVA MARINA
Job Address Locality
Owner's
Name F._RF.RT.TNC, RTITT.T)RES Contractor B & G PLUMING
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation ....Ej Wire ..........0 Rough Wiring . C] Rough ........C] Rough ........El
Chimney ......E] Lath ..........E] Finish Wiring ..E] Final .........El Final .........Cl
Framing .......[:] Scratch .......[] Fixtures .......Cl Sewers ........El Water Heater
Final ..........E] Brown ........[I Motors ........E] Gas ..........0
Footing .......0 Finish .........E] Temp-Pole .... .E] Cesspool ......
Slab ..........C] Wallboard .....E] Final Inspection.E] Top-out .......
Lintel Beam ...F� Water .........El
READY FOR INSPECTION A.M.
Wed
Mon. CD 4��_ _—/ - Jhurs. Fri.
Inspection Made 7 . CY & _<;.2
Inspector—
"No
CITY OF
4&aa4'c Beac/t-494vuda
Office of Building Official
REQUEST FOR INSPECTION
Date 7-7-81 Permit No.
Time A.M. III DUVAL
Received 9:55 AM P.M. District No.
1918 NORTH SHERRY DRIVE. SELVA MARINA
Job Address Locality
Owne"s EBERLING BUILDERS EBERLING BUILDERS
Name Contractor
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Fo u ndation ....0 Wire ...........0 Rough Wiring ..0 Rough ........El Rough ........El
Chimney ......[] Lath ..........0 Finish Wiring ..0 Final .........Ej Final . ........0
Framing . ......C]�Sc ch E] Fixtures .......C] Sewers ........El Water Heater
r
ro
ow
wn
Final .......... n E] Motors ........C] Gas ..........M
Finish -] Temp-Pole .....(:] Cesspool ......I-
Footing .. . ... Finish .........E_ -1
Slab ...... ...C] Wallboard .... .Cj Final Inspection.[] Top-out .......El
Lintel Beam .. .F� Water .........M
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. Fri. P.M.
A.I.
Inspection Made P U
Inspector.,/—
v
CITY OF
4&aa4-c Beac.4-&7&Uk&
Office of Building Official
REQUEST FOR INSPECTION
Date JUNE 25, 1981 Permit No. #4729
T,rne A.M.
Received 1:00 AM —P.M. District No. III DUVAL
1918 NnRTE SHERRY DRIVE SET—VA MARiNA
Job Address Locality
Owner's
Name ERFELING, BUILDERS Contractor ERERI INC. BUILDER-S
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation .... Wire .......... Rough Wiring C] Rough ........C] Rough ........
Chimney .... Lath .......... Finish Wiring .Ej Final .........E] Final .........E]
Framing ....... Scratch .......E] Fixtures .......[] Sewers ........C1 Water Heater . E1
Fina I -- --- .0 B n ........E-1 M oto rs .....I. E] Gas ..........1-1
Footing .......�E],�inish .........E] Temp-Pole .....El Cesspool ......0
Is
W
Slab ........ Wallt oard .... Final Inspection.E] Top-out .......El
Linte earn Water .........F1
READY FOR INSPECDON A.M.
Mon. Tues. Wed. Fri.
A.M.
Inspection Made P Lr
Inspector �61�1
*40W '"aw
CITY OF
4&a#dw BeaIC4-14VUCL
Office of Building Official
JUNE 24, 198�REQUEST FOR INSPECTION
Date Permit No.
Time pM A.M.
Received 2: 15 P.M. District No. III DUVAL
1918 NORTH SHERRY DRIVE. SELVA MARINA
Job Address Locality
Owner's
Name EBERLING BUILDERS-contractor B. & G. PLUMBING
BUILDING PLASTERING ELECTRICAL PLUMBING ""'HEATING
Foundation ....0 Wire ...........E] Rough Wiring ..E] Rough .........j;e-R..,h ........11
Chimney ......0 Lath ..........E] Finish Wiring ..Ej Final .........0 Final �.......C]
Framing .......E] Scratch .......E] Fixtures .. . ...0 Sewers ........C] Water Heater ..F-1
Final ..........E] Brown ........E] M oto rs ..... ...E] Gas ..........1-1
Footing .......[-] Finish .........E] Temp-Pole .....D Cesspool ......F-1
Slab ..........El Wallboard .....0 Final Inspection.E] Top-out .......D
Lintel Beam ...0 Water .........0
FOR INSPECTION A.M.
Mon. Tues. u r s. Fri. P.M.
Inspection Made
Inspector-
,*AW
CITY OF
4&6a&c 13e447,4- &7"C&
Office of Building Official
REQUEST FOR INSPECTION
Date JUNE 16,1981 Permit No. #
Time A.M.
Received - P.M. District No. TTT DUVAT.
1918 NORTH SHERRY DRIVE. ATLANTIC BEACH
Job Address Locality
Owner's
Name PEERLING RUTI DERS Contractor EBEFJ�T_Ng BUILDERS
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation ....N__�i re ...........C] Rough Wiring ..E3 Rough ........0 Rough ........
Chimney .....[] a� ..........Ej Finish Wiring . L] Final .........0 Final ........ Cl
Framing .......E] Scratch .......E] Fixtures ....... Sewers ........[-] Water Heater
Fina I -� - - .[:] ,Ofbown ........0 Motors ........ Gas ..........El
Footing ... ...V Finish ........L] Temp-Pole ..... Cesspool ......E]
Slab ..........E] Wallboard .....[-] Final Inspection.E] Top-out .......Ej
Lintel Beam ...L] Water ........C1
READY FOR INSPECTION A.M.
Mon. Wed. Thurs. A.M. Fri. P.M.
Inspection Made
Inspector