323 Skate Rd (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Dill, "
Application Number . . . . . 09-00000944 Date 6/30/09
Property Address . . . . . . 323 SKATE RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3800
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Application desc
reroof fl 1956 . 3
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Owner Contractor
------------------------
------------------------
MCDANIEL, JENETTE ROMANO ROOFING SERVICES
323 SKATE ROAD P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-5649
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Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 50 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3800
Expiration Date . . 12/27/09
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50 . 00 50 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 50 . 00 50 . 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
09-
V7 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
-5826 0 FAX NO.:(904)247-5845
OFFICE:(904)247
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION
DUVAL COUNTY
1.JOB ADDRESS: 2.VALUATION OF WDRK� 13.SQ.Fr.UNDER ROOF
—�2> 1 '1 ��,P c, -c)4�--
4.LEGAL DESCRIPTION: 5 CLASt OF WORK. 6.USE OF STRUCTURE:
El NEW BUILDING 11 DEMOLITION El RESIDENTIAL
LOT_BLOCK—SUB DIVISION El ADDITION 11 CONVERTING USE El COMMERCIAL
7.DESCRiP-nON�K,,.--. El ALTERATION 0 ACCESSORY BLDG. 8.FIRE SPRINKLER:
0 REPAIR 0 POOL/SPA El YES 0 N/A
I EJ MOVE El 01HER ONO
CONTRACTOR: ARCHITECT I ENGINEER:
PROPERTY OWNER:
9.NAME: 15.COOANY NAME: 23.COMPANY NAME:
16.NAME�� 24.LICENSEE NAME:
01a I
10.ADDRESS: 5KqH g d 17 STAT�OFF ;�41CTJ NO 25.STATE OF FLORIDA LICENSE NO.:
)12� ezi, UX(9-3
kg18.ADDRESS: 26.ADDRESS:
1-23 z4to 0
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 0120..FAX IND.." 27.OFFICE PHONE: 28.FAX NO.:
'I
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE:
��6
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER:
(IF OTHER THAN OWNER)
31.NAME' 33.NAME 35 NAME:
32.ADDRESS: ADDRESS: --F=�ESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I Certify that no work or installation has
Commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not Commenced within six(6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, qONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT CPVNTRACTOR
J (IfAgent,Power f ome44rAp?4cy Letter Required) (Qu.fifierOnly)
Date:
g e
n V
d htll
9 ))j - Signed:
fore e is day of_ 2009 in the county of Before me t s dayof— 2009 in the county of
n
f.ra e d
kD 1,State r1orida,has personally appeared Duval,State�o �®ridda,has personally appeared
herin by himself herse1nd
r- atl,'51 W6d@traW7jjtbasar herin by himself I herself and affirms that all statements and declarations are
%0
P U e Romano true and accurate.
M= DDI�132935
My�Co� D
127
true and accurate. COMMISSion DD83293
Notary Publi t d" Expire3d&;,V2 5 Notary Public rge,State County,of j
c at Large, 912 OU
[]-Person y Known
El Personally Known
0 Produced Identification-
JR
G
Notary Signature: -tur : - e
ommiss ion Expires Fe 14,20
M y C
-,s C ission#DD 5 11533
omm
Bonded By Natioral Notary As
'W
BLDG01 Pennit APPlication Bldg:REVISED:12/1812003
NOTICE OF COMMENCEMENT
state of Tax Folio No.
County of
To Whom it may Concern: roperty, and in accordance with Section 713 of
The undersigned hereby informs you that improvements will be made to certain real p
the Florida Statutes,the following information is stated in this NOTICE OF COMNMNCEMENT.
Legal Description of property being improved:
Address of property being irnproved�-�—
General descnription of�jm rovements'
L
Address:
Owner: --"Ir,A-
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
e Co tracto
Address: L
Telephone No.: CIL4 Z�)4, Fax No: U4 D4 L
Surety(if any) Amount of Bond
Address:
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No: wner upon whom notices or other documents may be
Name of person within the State of Florida, other than himself, designated by o
served: Name:
Address:
Telephone No: Fax No: of the Lienor's Notice as provided in Section
In addition to himself, owner designates the following person to receive a copy
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(I)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY 0 Date:
Si ed: t u Duval,State
Be r e
0 lorida, as r p QdPubfic State of Fkxida
lic r of Duva
to y ommission 32935
Doc#2009154850,OR BK 14923 Page 1206, 4y commissiO r or
Number Page& i 'ersonally Kno - OF
Recorded 0&3012009 at 11:37 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL reduced Identification:
COUNTY
RECORDING$10.00
PSR-3844 13120
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------ ------- LOCATION INFORMATION ---
Permit Number : 13120 Address : 323 SKATE ROAD
Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA
--------- LEGAL DESCRIPTION ---------
-.lass of Work:ALTERATION
Constr . Type:WOO-D FRAME Block: Lot : Twp :
Proposed Use: Section: 0 Subd-O Rng:
Dwellinas : 1 Subdivision:ROYAL PALMS
Est . Value* 0 . 00
Improv . Cost : 0 .00
T-t a 1 F-�e�-, 25 . 0(�
�-It 25 .0�
Date _Paid : i/06!1997
Work , - , �: - , _-�' TUE
-------- OWNER INFORMATION --------- APPLICATION FEES ------
Name, jE.ziNETTE MCDANIEL PERMIT 25 . 00
.Addr - 323 SKATE ROAD
t A
-,TLANTIC BEACH FLORIDA 3223-33
Phone - "�00)01)0-000_0
----- - CONTRACTCR INFORMATION ----
Name: ATLANTIC COAST PLUMBING & TILF
11�,idr : 323 9TH AVENUE NORTH
JACKSONVILLE BEACH , FL 32250
C-FCA21520- Exp :
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION F,�R
VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.00
pA - 11P(,/97 01 Receipt: 0024060
CHECKS
00100003221000
ATLANTIC BEACH BUILDING DEPARTMENT
By--
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
OB LOCATION:—
"OWNER OF PROPERTY: �_f-CA A/
LUMBING CONTRACTOR 41,
r4l
4.
' S ADDRESS:
ON TRACTOR
TELEPHONE:
R :
"STATE LICENSE NUMBE LO 0
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SHOWERS
SINKS
WATER HEATERS
LAVATORY
DISHWASHERS
BATH TUBS
DISPOSALS
URINALS
WASHING MACHINE
CLOSETS
FLOOR DRAINS SHOWER PANS
OTHER
$3 . 50 $15 - 00
OTAL FIXTURES: x
NIMUM PERMIT FEE $25 .00
IGNATURE OF OWNER:
fia �SIGNATURE OF CONTRACTOR
---------------------------------------
----—--------------------
ACCORDANCE WITH
F PLUMBING AND FIXTURES MUST BE IN
STALLATION 0
PLUMBING CODE.
E MOST RECENT EDITION OF THE SOUTHERN STANDARD
IONS ( 904) 247-5826
L -A DAY AHEAD TO SCHEDULE INSPECT
INSPECTION
ER' CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR
( 904) 247-5834
IOR TO COVERING UP
PSR-3844 10286
DEPARTMENT OF BUILDING
PERMIT 1NFORMATI CITY OF ATLANTIC BEACH LOCATION INFORMATION ------- -
t 15 2�O t,
1 7 ! SFAIM F-jav
i,e�, -, t Type : MECHANICAL ATLANTIC BEACH, FLORIDA 3222 '
Class of Work : ALTERATION ---------- LEGAL DESCRIPTION
C'onstr. Type : WOOD FRAME Block . Section-.
Proposed Use7 SINGLE FAMILY Township : RNG: 0
Dwellings : 1 Code: 0 Subdivision: ROYAL PALMS
Estimated Value - MOO
Improv - Cost :
Total Fees :
Amount Paid:
Date Paid: 6/ 9/95
)tL?PLA-F HEAT PUMP
_,,WNER INFORMATION ---- APPLICATION FEES
PERMIT
WATER IMPACT FEE so 00
kTt-"XWTT-C ,"9XACH, FLORIDA SEWER IMPACT FEE �0 .00
WATER METER/TAP 80 ,00
RADON (3ASH..R. S - t,0 0,01
("IDNTRACTOR INFORMATION
Name , ITEATING & AIR CAPITAL IMPROVE . S0 . 00
Address : 1043EI LEM TURNER ROAD SEWER TAP 80 . 00
i
JA('_KS1_',NV1LT,E , FL 32211 CROSS CONNECTION $0 . 00
License : !--A!--'0-13 E 9
SEC ,H IMPACT -FE K
CONST. SURCHARGE �0 .00
SCHARGE./ATL .B(-'H . 0, , 0 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 IMPROVEMENTSY5
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 00000(00 (K*000000 $23.0014
Date: 6/09/95 01 Rept: 0059BLI
By: MM3221000 P87
'71'7��
—————————————---———--- --
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC NEACH. FLORIDA 31132
APPLICATION FOR MECHANICAL PERMIT CALL-IN NU�BER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV.
Street Addraw 3,;� _L� -S-)KA Tf
LIOCATION
OF Ifitarsect;ng Street$: 114twoom And---
WILDING
Sub.divis;on
11. IDENTIFICATION — To be completed by all applicants
In cons,d*rat,on of parmit q;von for doing the work as described in the above statement we hereby agree to perform said work in accordance
--th the attac�pd plant and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of gocd p,&ct;co listed th*,S;M.
Name 04 M*cNAA;Cal Contractors
C-000r*cfor (PriAt) At(fA-T il-�EAT,�- I'A_ Matter C14 C-0-.9
koane 64
Property OWAG? j&Ati e f�F )lk4 C 4P
sigoature of 0 signature of
aw A&+11swrzad :9m:n, ArchifecIll or Engineer
11111. GENERAL INFOU"TION
A. Type orf Iseeting fwel; B.
IS OTHER CONSTRUCTION BEING DONE ON
THIS BUILDING OR SITE I t-)
C3 Got—0 LP 0 Natural 0 Control Utility
C3 09 IF YES. GIVE NUMBER OF CONSTRUCTION
PERMIT
C Other — Specify
IV. IMMXMICAL IQUWMINT TO 81 INSTALLMD NATURE OF WORK
(P ow complarte jist of c*Mpoes"ft ofk boa*(Ais f0m) -TY-, Residential or 0 Commercial
C) most 0 SP&M 0 R000100111 13 COAtftl 0 Flow C3 Now Building
-d Air Coneirt;csoial: 0 Room 4 C#AftW Ci Existing Building
0 D*01 Sylteen: Motati-4— TWcjnm_ 0- I'llipluement of exist1mg system
Maxiimum call cf.m. 0 NOW Installation(No system previously Inst&IleM
0 C) Extension or add-on to existing system
0 Other —
C] C-00449 00wat- Capacity 9.P^.
C3 Fire sprinklers: Nwmileor ol 6"
C Elevator 0 M44lt
THIS SPACE 11110ft OFF#" UN ONLy
0 64-4,4 pe-PL—Iftu-64
[3 T -(Mvmborj Romoris
0 L% ca*%;*On_(ftVmb*r)
0 Wired fifte"re
C3 loilon Pormh Apprevod
0 Other — SPWih
LINT ALL EQUIPMENT
AIR COMXTIONING AND REFRIGERATION EQUIPMENT
NUMber Uafts C*Pae"
NO"Numbev Manufactunr (TOM)
HEATING FL-RNACES, BOILERS, FIREPLACES
NUOLbar Uafts C*PbdtY AIPMvft
Ducepuan Madd NU=bsr (STui
TANKS
now Many Nowbw capswelty Type LAqtdd X""at serw Ap Ving
No.
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
5ff
Date Permit No.
Time A.M.
Received P M. District No.
Localiy
Job Address
Owner's
Name Contract-or
BUILDING CONCRETE I-EfTRICAO PLUMBING MECHANICAL
1ring 0 Air.Cond.& El
Footing
Framing Roug Rough
Re Roofing Slab Temp Pole 0 Top Out Heating
Lintel E 1, Final 7-� Sewer E Fire Place
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues Wed. 7 Thurs. A.M. Friday-P.M.
Inspection Made PM.
Inspector Final Inspection
Certificate of Occupancy
Date
CITY OF ATLANTIC BEACH, FLORIDA
Approved by - APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:�� 19 Z41
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GlYLUJOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM S'5LD4T
i _� ACCORDANC' ITH j-4E ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND KACCORDANCE WIT TUE R LATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
jo '- EymmKP30
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE URN
N A A D D R E SS 11, QQ(k RFD BOX
AM(
BLDG.SIZE BETWEEN:
RES. (10 APT. ( comm. ( PUBLIC INDUS. NEW ( OLD U'r/ REW.
ADDITION ( TRAILER ( TEMPA SIGNS SO. FT.
SERVICE: NEW( INCREASE (t,4 REPAIR FEE
CONDUCTOR SIZE - AMPS COPPER— ALUM.
SWITCH OR BREAKER AMPS PH3W 13& VOLT eXtb& RACEWAY
EXIST.SERV.SIZE IQ r,, AM PH VOLT RACEWAY
FEEDERS NO. S!IZE LNO. S tlZ E 7TN 0. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS 31-100 AMPS�
SWITCHES PS
INCANDESCENT
M.
FLUORESCENT&M.V.
0.100 AMPS. OVER
FIXED
A P BELL TRA�NSF.
PEP L I A NEC E S
AIR H.P. RATING H.P. RATING
CONDITION I NffGCOMP.MOTOR OTHER MOTOR_S AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. lKVA
NO.NEON TRANSF. NO. A. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEES