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15 Simmons Rd (vault) CITY OF ATLANTIC BEACH D.Fob 1 BUILDING /ZONING DEPARTMENT . i99ins f 800 SEMINOLE ROAD s-vceR f ' r ATLANTIC BEACH,FLORIDA 32233-5445 J ^ TELEPHONE:(904)247-5800 FAX:(904)247-5845 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application# O`j ' ",?-9 (-,el 9 Property Address: 16 S I INA NL O N S Applicant: 7'j Project: &- S This permit application has been: ❑Approved U?6eviewed and the following items need attention: 1 �eSGCLt �-�w�L E r r _ a low � �Kd �1�'!DC7 • (eve-c! Please re-submit your application when th e items have en completed. Reviewed by: � � Date: 4 a !«(bs s RECEMVED CITY OF ATLANTIr!3EACH j B111i, IN ? 7^N'r�IC CITY OF ATLANTIC BEACH FEB 0 8 2005 �v``'3 SIGN PERMIT APPLICATIO BY: J_-- --- D Job Address: S/h'1 M O h C Kci Al oul t C TDrcc=r, FL- ZZ-3 ::3 Owner's Name: C-7 CC[-c1e- 10 -- UC to n w L, A V t 6 1 Address: 1 � 51 VYZ V-"<n J 5 Rc Phone: 2 L12-O 3�f Legal Description: Block Number: Lot Number: Zoning District: Contractor: State License Number: Address: Phone: City: State: Zip: Fax: Electric Permit Required? ❑ Yes* G/No *Electrical Contractor: n Dimensions and total square footage of sign: (O �� nlgo , ck x �g � A -) 6(ans a - jb-c� 4-0 F-CY1Ge Please provide two(2)copies of application and the fbrylowing required information: 1. For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions including height and distance from property lines or right-of-ways. For Wall, Fascia and other types of Signs, include elevation drawing showing location in relation to adjacent signs, mounting detail and type of illumination, if any. 2. Provide linear frontage of office, business or storefront, or entire building, as appropriate. 3. Provide completed owner's authorization form if applicant is other than property owner. 4. Other information as may be required by Chapter 17 of the City of Atlantic Beach Municipal Code. I hereby certify that nform i provided with this a lication is correct. Signature of O Date:� - -� I hereby certify that I e a and examined this application an ow 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: 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/30/03 SECTION 31Ud SIGNS §3108.1 General §3108.1.1 Outdoor advertising displays. Outdoor advertising display means any letter, figure, character, mark, plane, point, marquee sign, design, poster, pictorial, picture, stroke, stripe, line, trademark, reading matter or illuminated service which shall be so constructed, placed, attached, painted, erected, fastened or manufactured in any manner whatsoever so that the same shall be used for the attraction of the public to any place, subject, person, firm, corporation, public performance, article, machine or merchandise whatsoever which is displayed in any manner whatsoever outdoors. Every outdoor display shall be classified and conform to the requirements of that classification as set forth in this chapter. §3108.1.2 Classifications. For the purpose of this chapter and the regulations and provisions thereof, outdoor advertising displays shall be classified as a ground, marquee, projection, roof, shingle, spectacular or wall sign as defined in §202. §3108.1.3 Permits required §3108.1.3.1 An outdoor advertising display sign shall not hereafter be erected, constructed, altered or maintained except as provided in this code, until after permit for the same has been issued by the building official as required in §104 and the applicable fee paid. §3108.1.4 Identification of signs. Every outdoor advertising display sign hereafter erected, constructed or maintained, for which a permit is required, shall be plainly marked with the name of the person, firm or corporation erecting and maintaining such sign and shall have affixed on the front thereof the permit number issued for said sign by the building official. §3108.1.5 Sign inspection. Every ground sign, roof sign, wall sign and projection sign may be inspected by the building official or his authorized representative at intervals as required by the building official. §3108.1.6 Unsafe signs. Should any sign become insecure or in danger of falling or otherwise unsafe in the opinion of the building official, the owner thereof, or the person or firm maintaining the same, shall upon written notice from the building official, forthwith in the case of immediate danger and in any case within 10 days, remove such sign or secure the same in a manner to be approved by the building official, in conformity with the provisions of this code. If such order is not complied with within 10 days, the building official shall remove such sign at the expense of the owner or lessee thereof. §3108.1.7 Maintenance. All signs for which a permit is required, together with all their supports, braces, guys and anchors shall be kept in repair and unless of galvanized or noncorroding metal shall be thoroughly painted at least once every 2 years. The building official may order the removal of any sign that is not maintained in accordance with the provisions of this section. Such removal shall be at the expense of the owner or lessee. §3108.1.8 Unlawful signs. In case any sign shall be installed, erected or constructed in violation of any of the terms of this code, the building official shall notify, by registered mail or written notice served personally, the owner or lessee thereof to alter such sign so as to comply with this code or the zoning regulations and to secure the necessary permit therefor, or to remove the sign. If such order is not complied with within 10 days, the building official shall remove such sign at the expense of the owner or lessee thereof. §3108.1.9 Location restrictions. An outdoor advertising display sign shall not be erected, constructed or maintaineu Sv a5 w vjot_lU . a fire escape or any window or door or opening used as a means of egress or so as to prevent free passage from one part of a roof to any other part thereof. A sign shall not be attached in any form, shape or manner to a fire escape, nor be placed in such manner as to interfere with any opening required for legal ventilation. §3108.2 Definitions. For definitions, see Chapter 2. §3108.3 Structural requirements §3108.3.1 Design required. Before a permit shall be granted, the erector of every outdoor advertising sign, with the exception of shingle signs and light cloth temporary signs, shall submit to the building official a design and stress diagram or plan containing the necessary information to enable the building official to determine that such sign complies with all the regulations of this code. §3108.3.2 Wind pressure. In the design and erection of all outdoor advertising display signs, the effect of wind shall be carefully considered. All signs shall be constructed to withstand the wind pressure as specified in §1606. §3108.3.3 Working stresses. In all outdoor advertising display signs, the allowable working stresses shall conform with the requirements of §1609. EXCEPTIONS: 1. The allowable working stresses for steel and wood shall be in accordance with the provisions of Chapter 22 and Chapter 23. 2. The working strength of chains, cables, guys or steel rods shall not exceed one-fifth of the ultimate strength of such chains, cables, guys or steel rods. §3108.4 Construction §3108.4.1 Ground signs §3108.4.1.1 Lighting reflectors may project beyond the face of the sign. §3108.4.1.2.Every ground sign shall provide rigid construction to withstand wind action from any direction. §3108.4.1.3 Any person or persons, partnership, firm or corporation occupying any vacant lot or premises by means of a ground sign shall be subject to the same duties and responsibilities as the owner of the lot or premises, with respect to keeping the same clean, sanitary, inoffensive, free and clear of all obnoxious substances and unsightly conditions on the ground in the vicinity of such ground sign on said premises for which they may be responsible. §3108.4.1.4 Wherever anchors or supports consist of wood embedded in the soil, the wood shall be pressure treated with an approved preservative. §3108.4.2 Wall signs §3108.4.2.1 Wall signs attached to exterior walls of solid masonry, concrete or stone shall be safely and securely attached by means of metal anchors, bolts or expansion screws of not less than 3/8-inch (9.5 mm) diameter and shall be embedded at least 5 inches (127 mm) . Wood blocks shall not be used for anchorage, except in the case of wall signs attached to buildings with walls of wood. A wall sign shall not be supported by anchorages secured to an unbraced parapet wall. §3108.4.3 Marquee signs. Marquee signs shall be constructed entirely PSC 2000 Series 2410 Log for Personal Printer/Fax/Copier/Scanner City of Atlantic Beach Bui 904-247-5845 Feb 09 2005 3:02PM Last Transaction Date Time Type Identification Duration Pages Result Feb 9 3:01 PM Fax Sent 92428006 1:03 2 OK Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: 115 �ecgl]A PL 82238 Phone: 2 -12- C)a:2 Fax: -24 2- Cn E-Mail: AS TO OWNER: ��jj Sworn to and subscribed before me this day of �vY� ,200-9 State oQIIj1QI .o.....� r JENNIFER SCHLUETER MY COMMISSION#DD 1?1Y: Notary's Signature: • = EXPIRES:May 27,2006 Bonded Tft Notary Public UndenMdter �`- =' ❑ Personally known [9-Produced identification Type of identification produced l L/ 3- -31 3"C-)l Z -0 AS TO CONTRACTOR: Sworn to and subscribed before me this day of 120 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/30/03 j yL1J_ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J� 1 ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 FAX: (904)247-5805 �r SUNCOM: 852-5800 www.coab.us December 9, 2004 Mr. George Wesly Avritt C/O All Points Military Supply, Inc 15 Simmons Rd Atlantic Beach, FL 32233 Subject: City Code: Chapter 17, Signs and Advertising Structures Dear Mr. Avritt, Tax records have identified you as the owner of the following business in Atlantic Beach, Florida: All Points Military Supply, Inc 15 Simmons Rd Atlantic Beach, FL 32233 Consider is an Official Notification of Violation. Investigation by the Code Enforcement Office has revealed that there is no record of your company receiving a sign permit for your business, which is a violation of City Code, Chapter 17, Sec. 17-61: NO SIGN PERMIT You can comply with City Code by either procuring or providing this office with proof of a previously issued sign permit. We are asking for compliance within 30 days from receipt of this letter. Failure to comply can result in fines of up to $500.00 per day per violation from the Code Enforcement Board A Copy of the Sign Ordinance and an application has been enclosed\fpr your edification and convenience. Should you have any questions, comments, or concerns, you can contact the following Departments at these numbers: Code Enforcement (904) 2 --5855, Zoning (904) 247-5817, Permits (904) 247-5826. *� X��_� ALEXANDER J. SHERRER Code Enforcement Officer C: Public Safety Director of metal or noncombustible material ana may pe aLLac:iieu uu, Vi dully from, a marquee. Such signs when hung from a marquee shall be at least ' 8 ft (2438 mm) at its lowest level above the sidewalk or ground level, and further, such signs shall not extend outside the line of such marquee. Marquee signs may be attached to the sides and front of a marquee, and such signs may extend the entire length and width of said marquee, provided such signs do not extend more than 6 ft (1829 mm) above, nor 1 ft (305 mm) below such marquee, but under no circumstances, shall the sign or signs have a vertical dimension greater than 8 ft (2438 mm) . §3108.5 Use of plastic materials §3108.5.1 Notwithstanding any other provisions of this code, plastic materials which burn at a rate no faster than 2-1/2 inches per minute (1.06 mm/s) when tested in accordance with ASTM D 635 shall be deemed approved plastics and may be used as the display surface material and for the letters, decorations and facings on signs and outdoor display structures. §3108.5.2 Individual plastic facings of electric signs shall not exceed 200 sq ft (18. 6m^2) in area. ' §3108.5.3 If the area of a display surface exceeds 200 sq ft (18. 6 m^2) , the area occupied or covered by approved plastics shall be limited to 200 sq ft (18.6 m^2) plus 50% of the difference between 200 sq ft (18.6 m^2) and the area of display surface. The area of plastic on a display surface shall not in any case exceed 1, 100 sq ft (102 m^2) . §3108.5.4 Letters and decorations mounted upon an approved plastic facing or display surface may be made of approved plastics. rS!�LyJv� CITY OF ATLANTIC BEACH cc: w ' BUILDING / ZONING DEPARTMENT D. Ford L.J r Higgins 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax ?Oft% �b.us todry PLAN REVIEW COMMENTS Permit Application # 05 _ -�Lq (01 Property Address: 15S - Applicant: Ay r2-t "r Project: 2 S l This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: CITY OF ATLANTIC BEACH D.Ford tip BUILDING/ZONING DEPARTMENT s. gins 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 � FAX:(904)247-5845 ! http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application# 05 — 9 Property Address: 5 S 1 " M(O t S RID Applicant: A 7 J2I T ) Project: --2, SJ C-111`\J S This permit application has been: 9-Approved * S uAll-e ❑ Reviewed and the following items need attention: 01 Please re-submit your application when these items have been completed. Reviewed by: Date: RECEIVED CITY OF ATLA�ITIr 9FACH 3 � V CITY OF ATLANTIC BEACH FEB 0 8 2045 SIGN PERMIT APPLICATIO BY: //11 D Job Address: J Sl l71 � O h kci Ad ow 1 fkc' P .Lr''/ltiFL- -522-3.5 Owner's Name: C-�tr(•-q 10 ---+ �c (Q,n 1 _ A l l t t`t + Address: 15 `D1 IN1 VY1b(aS RA Phone: 2-LA 2-(D 33D Legal Description: Block Number: Lot Number: Zoning District: Contractor: State License Number: Address: Phone: City: � / State: Zip: Fax: Electric Permit Required? ❑ Yes* [] No *Electrical Contractor: Dimensions and total square footage of sign: (D Cslq n i , R to X. 4 a tgr1s a+- Odd -4-0 Fenn& Please provide two (2)copies of application and the Blowing required information: 1. For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions including height and distance from property lines or right-of-ways. For Wall, Fascia and other types of Signs, include elevation drawing showing location in relation to adjacent signs, mounting detail and type of illumination, if any. 2. Provide linear frontage of office, business or storefront, or entire building, as appropriate. 3. Provide completed owner's authorization form if applicant is other than property owner. 4. Other information as may be required by Chapter 17 of the City of Atlantic Beach Municipal Code. I hereby certify,thZnformprovided with this a lication is correct. Signature of O Date: � -J -5 Z I hereby certify thexamined this application an ow 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: 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/30/03 Address and contact information of person to receive all correspondence regarding this application (please print). Name: e0 P__o,e- LC - ky r, Mailing Address: 15 n,�, PL 322• 8 Phone: 2L12- D✓:;(- Fax: 2.42-- 0(-) p E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of 20 QS State of JENNIFERSCHLUETER�t .., .: MY COMMISSION 9 UC 12130; Notary's Signature: %:• 'a= EXPIRES:May 27,2006 I •... Q'•` �;or F.°••' Bonded 7hru Notary PUbIle UnCer*rllxrs 't ,nus _..._.. ... Personally known [L]—Produced identification Type of identification produced l L/ 3— 31 -3,012- -( _ AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/30/03 FROM :All Points Military Supplies I FAX N0. :904 242 8006 Feb. 16 2005 11:32AM P4 A ��U1n� �va 11* Z�1..1. -`P11f S1 MnC;,i 619 ns QY'e, a+4-o ch J 4o l n S 1 c� e-, o `t- er1c,� . bots 0-ro- Sheri the, slgns 7-1 Sign • • �.,... C k)a.l n FRCM :All 'PointS Military Supplies I FAX NO. :904 242 80e6 Feb. 16 2005 11:32AM P3 Fob 09 05 03: 01P City of Atlantic Beach Bu 904-247-5645 F.2 Cl,rf C)F- ATIAR!"r!'r.- CITY OF ATLANTIC BEACH FEB 0 8 2005 SIGN PERMIT APPLICATION' D Job Address: Owner's Name:- Address-- .�l 0JMelA--, Rd Phone: Z�z-0 33fp Legal Description: Block Number: Lot Number: Zoning District Contractor: Y LL-V" State License Number: Address: r Phone: City: State: Zip:-Fax: Electric Permit Required? n_ Yes' [Yko *]Electrical Contractor: Dimensions and total square footage of sign: ,A 6 Please provide two(2)copies of application and the following ion: I )For all Freestanding Signs, include survey or site plan showing location of proposed sign(s� and all dimensions including height and distance from property lines or right-of-ways. For Wall, Fascia and other types of Signs, include elevation drawing showing location inrelation to adjacent signs,mounting detail and type of illumination, if any. 2. Provide linear frontage of office, busiricss,or storefront, or entire building,as appropriate. 3. Provide completed owner's ikuthotimtio)i form if applicant is(Ahur than property owner. 4. Other information as may be required by Chapter 17 of the City of Atlantic Beachlylunicipal Code. I hcrehy certify that*<nf'orrn.*�iq provided with this application is correct, Signaturo of 0 ate: y that I e and mod this I hereby certify exam t application an w the same to be true and correct. All pruvisions of the laws and ordinances governing this type of wort will be complied with,whether specified herein or not- Tie granting of A Permit docs not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances, or laws in any mamer,including the governing of construction cw the perfomiance of conaructim of the property. lundorstand 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 Contract"; ..-Datc; goo Seminole Read -Atlantic Reach,Florida 32233-5445 Phone: (904)247-S809 - Fax: (904)247-5845 - http.,Ilwww.ei-alivintir-beitch.fLus Revised 1/30M3 Page I FOR OFFICE SE ONLY 1 — Date.---_-----._.. ...� �---...19 j l e � Permit .#:�G.�-� •--•---...Fee$.A.............. CITY'Oi ATLANTIC BEACH t Valuation $... - = 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 , io_AddressTelephone No. -----------•.......Owner-- ....----• -- -•----.... 19 Architect.----- .. -----------Address.-----------------------------------------------------------Telephone No. S- Contractouilder----------------------------------------------------------------•----------Address---------------.. --............Telephone No------------------ LotNo---------" _" ....----•----•-------------Block No.----- -y-----------Sub Division--- -------------------------------------Zone----------------- ...............................----Street--------------- -------Side Between-- -----------------------------•------------------and------------------------------------------------------Sts.� Valuation $_._ __ __For what purpose will building be used........................................Type of construction---------.*,-------------- __..-___... �/ Y ) l Dimensions of Building1 /� �6- - 1` Dimensions of Lot---._/_ •S "__L.1�3..- .. ----Size of Footings-.. /--( ----------- -•- Size of Piers---------------------------------Size of Sills_.- - - - _ -----Greatest Sill Span in ft...........-------------_-Type Roof-- -- . --------------- -------- How will Building be Heated?---------------------------------------------_--.--_---_---....Will Buildi g be on Solid or Filled Ground?---- ___ .................... Size of Ceiling Joists - /, Distance on Centers-------"----"- •-•• r Greatest Span-------------------------------------------- Size ---------- Greatest Span-------------•--------•-------"-----------•• „ Size of Floor Joists_______________ _ _ ________________Distance on Centers...... ._..___._._..._ , Size of Rafters.--•-------r• ---------------------------------•---, Distance on Centers __ -- ---"------•---•-------------- Greatest Span-------------------------------------------- -- This 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. 1. When steel is in place and ready to pour footing. z z 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. H E., 4. When framing is completed. S 3 5. When rough plumbing is completed,and ready to cover up. G7 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 a attached plan spe ifications, which are a part hereof, and in accordance with the bu'ding regulations of the Cit lantic Beach. /+ ._. Address.... .S .-------.................. .......... Signature of Builder____ __ "" ' "" "" Signature of Owner-- - .-- Address_-- --------------- -•--- ---- -- - .--- - - ."--- --- ------------- CITY OF ALANT I C BEACH ROOFING PERMIT APPLICATION owner(s) : 0 jl, C'k So oaf Address: I S i m m n Cl S POCL- n Phone: Lot # Block or Unit # Subdivision: Contractor: Ct. Address • City, State and Zip Mcacr�e n_n LOQ d/c� �O`Phone D - �7�6 State License # 16 19 Describe work to be performed: r oo r, Valuation of Proposed Construction: �99o. oa Materials to be used: i I h �e 1 � J 1 a d r S `(Yl `6OQ Signature of Owner; Signature of Contractor: • � Liability Insurance Supplied Workers Compensation Insurance Supplied License Information CITY GF MANTIC EZACM jJN f�-;LWBU Q RccoulqT NO. D,KTE LUCATION SO- TYPE. OF WxylDiNG PIAIMBER DkrE 314SPEC"rED BY PSR-3844 12496 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION ----- LOCATION INFORMATION ------ - ^Armit Number: 12496 address : 15 SIMMONS ROAD ='ermit Type:RE-ROOF ATLANTIC BEACH , FLORIDA 32233 .lass of Work :NEW -------- - LEGAL DESCRIPTION -------- -- - Constr . Type:WOOD FRAME Block: Lot : Twp : Proposed Use : SINGLE FAMILY Section: 0 Subd: Rna: Dwellings : 0 Subdivision: Est . Value: 0 .00 Improv . Cost : 4 , 990 . 00 Total Fees : 0 .00 Amount,_, 6 nn Pate ------ ;g TION -- -- APPLICATION FEES --------- Name sa:p: FAIT 0 0{' -Addi. le 'AD BSA FLORIDA Phon 0 DR -NFORMATION - Name : LARRY ' 'FAI; CORP yddr; -ROUTE ,1 3x-' MCCLENN' � a FLORIDA 33\,20s_ Lic 'CG046197 . ' Ex_p: / T v.p 13 NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR THE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $.00vate. 816,96 01 14 CASH ATLANTIC BEACH BUILDING DEPARTMENT 80180©03221008 By: PSR-3844 �' 12499 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION -- ---- -- LOCATION INFORMATION --- Permit Number : 12499 Address : 15 SIMMONS ROAD Permit Type:REMODELING ATLANTIC BEACH , FLORIDA 3223_ Class of Work:REMODEL --------- LEGAL DESCRIPTION ------- Constr . Type:WOOD FRAME Block : Lot : Twp: Proposed Use : SINGLE FAMILY Section: 0 Subd : Rng : Dwellings : 0 Subdivision: Est , Value: 0 , 00 Improv . Cost : 16 , 105 . 00 Total Fees : 0 . 00 Amount r-�' x . 00 j ids - n 'IEHAB _ OWNER INFORMATION -- --.__-. _ _.,. APPLICATION FEES --------- Name : URPAH JA(7K5C',N PERMIT 0 . 00 Addr. 1 SIMM 14S F-)AD ATLANTIC B Al FLORIDA Phone �n4) E _ 0 Ak ------ C `RA ' t}F: IFORMATI Name., AL ANDER W . BALFE INC-.,," ROAD,- UNIT-" 4+ ` JACKSOMNVILLE , FL 32211 Lic3C0537Exp: J T y 1 NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: 1�.U G 2 6 1996 CITY OF ATLANTIC BEACH Building and Zoning PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DE�MOL�ITIONS Owner(s) : Address : _ 5, s -Phone: Lot # Block � or Unit # Subdivision: � Contractor :�c�- / i::7r - t,./. Kc-, State License #S—} c- QC "? __7 2- Address : 260 O 4L (`c,. o G�O /C) Phone No: Lf ? Describe work to be done: rs . .etii .l_ /Zy2,,� d ).A4 , Present use of building: /L ,` 4AA- L U, Valuation of Proposed Construction: U, r S^ Proposed use: Is this an addition? If yes , what are the dimensions of the added space: ft . X ft . Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT a COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: '7 41 -- Signature CONTRACTOR: Date: v y __� 6 License Supplied: Liability Insurance: Worker' s Compensation Insurance: _I FL* 1047 LAwf rs 713.13 T RAMCO Post"4" iNerr rrf (9jaminenrenwnt WOUPAA■ W DUKICATtI to fuhom it nap cmme t: _ The undersigned hereby informs all concerned that improvements will be made to certairy real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description ofproperty............. kt.;5-7 / t.............. � f.. ...� .Fe c� L r F S_ . ............................................. :t.C..........j..? ......_.......».........................._........... ..................... ,� _......................................................................................»... General description of ireprovo nents..... ,;;;16*--. ....... ...... ../l �!c b,f rr 1...... .................�. ..`- ............................................................. Owner.............: ..t ....►..!...................� r-�S:F�.,..............................................................:_......_........_.................... ,��. ».............. ........................ 4 Owners interest in site of the improvwrod.......................................................................................»....»»..». ..._._...»»».................. Fee Simple Tito holder (if other than owner) Name....................................................................................................................................................................................»..»............._...»..................... Address......»»......_................................................................................................................».............»................... ._._»............».. ......_.........» coMr.clo....... ». .f•.1__.-. ...... ... ........ ./ .'P.,, .. ,^..�........................ _ ._»».._....._ Address............. .................�.�p . ......... � `�/�.»............ � --/ { SSS..__. Surety (if any)..».».......»».»...».................»........................................................................................................ »».».»» . ..............» ».._...._ Addres&......_...__.._.....___._.»....»..............»......................_.....................................».........._.................Amount of bald ..................._.......... Name of person within the Stele of fro" designated by owner upon whoa nodal or oder docur"nk may be served Name .......... .........................».............».........................».»»..........................................................._...._............. ._ » .». ..».»»............_. Address................_......»...........................................................................................................................................................»................................_..... In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided iro Section 713:13 (1) (F), Florida Statutes. (Fill In at Owner's option), Na+ne ...................._........._.................................."..............._............................................»........................._........._. ___._._._......._..................... Address........................................ ..................................................................... TNIe a/ACs FOR "CON094-e uaa ONLY � ................»»......... ....�• l J. 4.... _.............I.............. Swam to Tadd subscribed before(nievifMs............................./... �0FROFIVO &0 1`0- es dq A01), �CFt. ��.�D� rp Ca3.zr ..........................y�.•/.......'f,2..� "ql...... x::�•.., ...new......._............ Notary PUWC i��-1111 CITY OF ATLANTIC BEACH OFFICE OF THE CITY CLERK 800 SEMINOLE ROAD J I ATLANTIC BEACH,FLORIDA 32233-5445 J TELEPHONE: (904)247-5810 SUNCOM: 852-5810 FAX: (904)247-5846 http://ci.atlantic-beach.fl.us I-J131�'' STATE OF FLORIDA COUNTY OF DUVAL CITY OF ATLANTIC BEACH I, Maureen King, the undersigned City Clerk for the City of Atlantic Beach, Duval County, Florida, DO HEREBY certify there are no unpaid liens, special assessments or water/sewer bills due the City of Atlantic Beach against: RE#172162 -0000 Donners R/P Undivided Block 8, Lot 4 Block 9, Lots 1, 3 Block 22, Pt. Government Lot 2 Shown on P BK 19-16 as Lot 2 Block 22 Not Included in this Plat, Pt Block 23 As Recorded in OR Book 07534, Page 1793 , Duval County Public Records . IN WITNESS WHEREOF I have hereunto set my hand and affixed the official seal of the City of Atlantic Beach, Duval County, Florida, at the City Hall this 13th day of February 2003 . Q,tcJc,t,Ls�� - (SEAL) Mau een King, M City Clerk . Paid this 13th day of February 2003 , the sum of $10 . 00 (ten dollars) for the above lien letter. Your Reference Response: 03A4024 6z:g�:gwjjj�r & eaeVueai 369 M IN$ 155923 9N.73H3 H3 90066920000100 00'01$ I R3ll31 N3I1 9+ 655i1£ :ou Idta3aa 10 £0/hi/9 :a M 1 :aamtja 30 :adAi H1IWK :aadp CITY OF ATLANTIC BEACH J 800 SEM HOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027722 Date 2/17/04 Property Address . . . . . . 15 SIMMONS RD Tenant nbr, name . . . . . . REPLACE EXISTING HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ---- ------- ------------- ---------------- ------- HOEY, JERRY OCEAN STATE HEAT & AIR 15 SIMMONS ROAD 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-0785 (904) 249-8251 ---------------------------- -- -- ---- - --- - --- --- - --- - ---- Permit . . . . . . MECHANICAL PERMIT Additional desc . Permit Fee . . . . 79 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 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 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. r 00 � B DING OFFICIAL '`` r � CITY OF ATLANTIC BEACH ac MECHANICAL PERMIT APPLICATION SJi31�`� Pro Date: Property Address: � p (� rngon.. ' Owner: TTelephone#: '2tq Q— 0-785 Contractor �` ��,�� Telephone#• Contractor Address: Fax#: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building > Electric or site,list the building permit number: u� Gas: _LP Natural Central Utility 13Oil — NO ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space —Recessed Central Floor Air Conditioning: —Room —Central Residential ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfin C3 Refrigeration ❑ New Building ❑ Cooling Tower:Capacity -pm ❑ Fire Sprinklers:Number of Heads Existing Building ❑ Elevator: __ Manlift Escalator (Number) Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Boilers ❑ Extension or Add-on to Existing System ❑ Gas Piping ❑ Other-Specify E3 Other-Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer on's Agency CThl -5 L HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer Awus Agency PF I ovd _LA TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845• http://www.ci.atiantic-beach.fl.us l CITY OF �tea.�ctic �eac.� - ��vuda 800 SEMINOLE ROAD _ ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 ,�(�� FAX(904)247-5805 i. SUNCOM 852-5800 MEMORANDUM July 1, 1999 TO: Finance Department / FROM: Don C. Ford �C J� RE: Connection to Sewer for 15 Simmons Road According to information we have received, the address is on City water and sewer and has been receiving City water and sewer services over ten years. Please contact Mrs. Jackson at 246-2856 to facilitate this billing change. DF.ph cc: File ' CITY OF 800 SEMINOLE ROAD -- - --- - --- -- - --_-- ----- ATLANTIC BEACH. FLORIDA 3-1233-5445 TELEPHONE (904) 247-5800 FAX (904) 247-5805 SUNCOM 852-5800 June 16, 1999 '02 moi' VIA CERTIFIED MAIL Orpah L. Jackson 15 Simmons Rd Atlantic Beach, Fl 32233 Reference: 15 Simmons Rd. Dear Orpah: The City has recently reviewed the State Statutes and City Codes relative to utilities, and we have recognized that there are properties in Atlantic Beach that are not connected to the City sanitary sewer system. The City is obligated to notify property owners when the City central sewerage system is available, and we have not been able to confirm that any notification has been made to you in the past. The purpose of this correspondence is to provide notification of the availability of the sewerage system for your property referenced above, and to provide information about the connection requirements and the necessary steps to connect to the system. Florida Law requires connection to City sewer service where it exists. These regulations were enacted to protect the environment and the public health. Florida Statutes Section 381.00655 requires connection to the City sewer system within 365 days from the date of notice of sewer availability. Atlantic Beach City Code Section 22-175 requires the City to commence billing for sewer service within 90 days from this date of notice, whether or not connection has been made to the sewer. The connection to the City sewer system must be performed by a licensed plumber selected and paid by the property owner. Your septic tank must be properly abandoned after connection to the sewer system, and your plumber can perform this function and obtain the necessary permits from the Duval County Health Department and the Atlantic Beach Building Department. City impact fees, and possibly tap fees, will be assessed at the time the plumbing permit is issued by the Atlantic Beach Building Department. These fees are calculated by the Building Department based on several factors regarding your specific property. For this reason, we are unable to provide you with a specific dollar amount until your application is reviewed. However, the"typical" Sewer Impact Fee for a single family, residential connection is $1,250. The City will offer a payment plan for those people who need to finance this expense. CITY OF . rrtic �eac�-���ida Office of Building Official REQUEST FOR INSPECTION / Date ` `� �' Permit No. Time A.M. //// Received P, i/Z/ District No. S Job Address Locality Neter s Contractor—` :��,, BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring r Rough ❑ Air.Cond.& Re Roofing ❑ Slab Temp Pole Top Out ❑ Heating Lintel - Final Sewer ❑ Fire Place Pre Fab Y FOR INSPECTION A.M. Mon. Tues ` Wed. Thurs. Friday P.M. Inspection Made Inspector Final Inspection Certificate of Occupancy Date A CITY OF ATLANTIC BEACH, FLORIDA Approvod by APPLICATION FOR ELECTRICAL PERMIT 4 �-n TO THE CHIEF ELECTRICAL INSPECTOR: DATE: C L �19_� 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 OF ATLANTIC BEACH ORDINANCES. BILL THOMPSON ELECTRIC CO., INC. P. 0. BOX 50398 �jeDa 7 JACKSONVILLE BEACH, FL 32 ' ELECTRICAL FIRM: MASTER ELECTRICIA IGNATURE JOURNEYMAN NAME 1_cro� � � ADDRESS:f 0 YYICl�'�� F�C� RFD BOX BLDG.SIZE BETWEEN: RES.(t_ APT. ( 1 COMM. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ( 1 ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 SQ. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR t,,r FEE CONDUCTOR SIZE Z- AMPS/1 C COPPER 1 1 ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE (j AMPS PH W Z VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS, 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. __] FIXED 0-100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 1 TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES 5. DEPARTMENT OF BUILDING FOR OFFICE USE 4rLY Date__—_ k 91-- TOWN OF ATLANTIC BEACH, FLORIDA Permit No.-j6--Q—Q-7--- Fee -�u Valuation $--tkrZM--!0 Application for Permit for House No. V*AW Miscellaneous Alterations, and Repairs J To the Supervisor of Building: The undersigned hereby applies for permit- ----------------------- (state sign, etc.; Install boiler, elevator, etc.) Building on------ ——---------Lot N(. r Y-C/Block —--—----------— (state fractional ps�� At-------Side No------ Between-------------------and------------ Sts. Valuation (state cost of improvement) BUILDINGS AND WUPANCY What is present use of building—Residential or Business?-------t�— ——-—------- 7 - If residential, what type—Dwelling, Garage Apartment, Apartments or Rooming House?-- .A How many families accommodated now?—d7-f_--------------How many When altered?—<2,91jCf-------- If business, what type?--.—.------- food be prepared for sale on premises?. What plumbing work to be done?.....72E............................. Size of present building--------------Size of extension---------—----------Size of lot----. Number of stories now................................................after altered..... of Material of present of extension--—---- NECESSARY PLANS IN DUPLICATE TO BE SUBMITTED HEREWITH OEL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline Pump.............................................. or ModeL-----.---- Name and Address of In connection herewith, application is also made tocapacity tank (s) (How many) made by--, -W f urer) (Under or above) of building. ------------- ---------------------------------- --- ------------- r (Name of Purchaser) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS Size---------------- proj-ectIng,-­b&nner,-special. —-----11aterial of —--—-------------—------------- Illuminated?---------—-—---------------- Type illumination------ ----------------- ----------- (State whether Lamps or Noon) Will sign be over public propHqrty?-------------- -------- SUBMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDMONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reverse side) --------------------- —------------ IMPORTANT NOTICE: In consideration of permit given for doing the rk as described in the above statement, we hereby agree to perform said work in accordance with the jatt hed P->Rf'an specifications, which are a part hereof, and in accordance with the t I building regulations of the Town of A anti each. Signature of Builder Address------------- Phone No.----- Phone No.----- Signature of Owner- ji NORTH BEACH ENGINEERING INC. 3611-14 St. Johns Bluff Road South, Jacksonville, FL 32224 • 904-493-6500• FAX 904-493-6501 November 12, 2002 1 Ms. Sonya Doerr I City of Atlantic Beach Building and Zoning Departmen 800 Seminole Road Atlantic Beach, FL 32233 Subject: Beaches Woodcr, NBE Project 0811 rvti� Ms. Doerr: Please find attached 4 sets of site engineering plans for the above referenced project. A tree clearing application will be submitted separately. We trust this will be sufficient. Should you have any questions or require additional information, please do not hesitate to contact me. Sincerely, North Beach Engineering, Inc. Kevin M. Davenport, P.E. President KMD/l s/ttr0402 sDoerr 11/14/2002 13:23 9042700111 NBE PAGE 02 gF.CEIVED Nov 1 8 2002 City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 - http://www/ei.2tlantic-beach.fl.us .BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL,ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) JOB ADDRESSe J J r'*JI%�/�S /Q al DATE APPLICANT 7�r e- - — _ ADDRESS 10-L 5ter,r4r7t S�� 7/ af1J6 grab t�`�- 322-7fHONE• �Dy�z-YQ^p2Bs RE N o J`72t 6Z 0000 G 46LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER 11 � ZONING DISTRICT CONTRACTOR K`ChL,4. t.b - ,� STATE LICENSE NUMBER 66-1o03 ADDRESS _ /3�-9/ —/OF l�ifn!r - PHONE 905 - 241-(900� -ITx_ c//9�, STATE 22P 3Z2� FAx FoS/— 7�/— 6zlp 33 DESCRIBE PROPOSED USE WORK TO BE DONE CEJ rl/Gp ,.�T O 1 S/a ,r &14 r PnSENT USE OF LAND OR BMDING(S) r/GGf VALUATION OF PROPOSED CONSTRUTI CON tl, 6-7-Ly ` Is this an addition? l� If yes,what are the dimensions of the added apace: -- feet by — feet Will the added area be heated and cooled? New electrical or increase in srnvice?' New plumbing fixtures? a-f New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? If yes,please subot with this application. WILL THIS ,PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERL4L? NO. Applicant certifies that no change In site grade or till 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: (Ila 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,toning 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 '1 t1i02 11/14/2002 13:23 9042700111 NBE PAGE 03 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plums to the Building Departrnent, which is located at the Atlantic Reach 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. Curte,t survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building heiglit,number of stories and square footage. Identify any existing structures and uses. 3. Lxisting and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. S. 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 informtion as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL RMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER2un-=11DATE '"14/ I HEREBY CERTIFY THATVB READ AND EXAMINED THIS APPLICATION AND KNOW THE SAMI TO BE TRUE AND CORRECT. ALL PROVISIO 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 CONS'T'RUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF TIM PERMIT 1S CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS -EQUIRED. SIGNATURE OF CONTRACTOR DATE ADDRESS AND CONTACT INFORMATION OF PTRSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APP/LIICCATION (PLEASE PRINT) NAME J�e V r MAILING ADDRESS 31�f1--/V S �4,r ,,lIkK l X'� o�/ssa�t 1"l/lee P 32,L2_ Y PHONE l `�SD�FAX 9O `�g����� I-MA1L �'fJL1,�& /yorAi( r® .Goy SWORN AND SUBSCRIBED BEFORE ME THIS ' DAY OF I (lllllllp�. STATE OF FLORIDA,COUNTY OF DUVAL 9�h NOTARY'S SIGNATURE AS TO OWNER: 1 J - I _.0 _)1 p%rsonavy known ❑ Produced identification y: #CC865188 :o Type of identification produced %���• Qo amN •o tel.,v_•_ �`--_Od8 fsQ� �.� AS TO CONTRACTOR:) Zonally know, [] Produced identification Type of identification produced 'i g/02 CITY OF ATLANTIC BEACH *Yj%JL��lfJ� 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-544 SS1 TELEPHONE:(904)247-5800 r FAX:(904)247-5805 SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us N PLAN VIEW COMMENTS Permit Application # Z5 2-1 (.p C Applicant:�1 / )a-r a SKS Address:^_ 5i t—r-) K) 5 Project: l/J J �►'��.� Sly��G1'Y1 o Your application is approved a 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 L ,_..._ !'Yeo `✓ � _ y r xrstt PC'\ � t3 EXIST/r1 G.. pra nct. v V t L 11 � COVED cirY .- B f ATLA'JTID LD SNC OFFI �t t r,L , .t -M i ��s X �' �n►TF.� t WLT R i A"Ie*yq; 1 -4 i SAND y11.3. t ! 1 i N0. AoDS� tOhTt�luo r5 E)CTER t Obi Mk S OW`fit WALL- o • i.