Loading...
448 Skate Rd (vault) CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Dill � Application Number . . . . . 03-00027109 Date 10/21/03 Property Address . . . . . . 448 SKATE RD Tenant nbr, name . . . . . . RE-ROOF 21 SQUARES Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5125 Owner Contractor - - ----- -- -- -- - - -- --- ---- -------- --------------- - MINCEY, WILLIESIM JACK C. WILSON ROOFING CO. 448 SKATE ROAD 4522 ST. AUGUSTINE RD . ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 396-1546 -------------- - --- --- - ----- --- -------- - - - -- ------- ------------- - ---- -------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5125 Fee summary Charged Paid Credited Due ---- --- -- - --- --- - - -- - - - - --- --- - - - ---- --- ------- - - -- - - - --- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 ti BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH cc: \Js � BUILDING / ZONING DEPARTMENT Higgins I 1 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS L Permit Application # c,1'7I O 9 Property Address: Applicant: Q ho k ('_ 11)1 ISnn hGH C-(,na Project: f e- -('G C, This permit application has been: E�/ Approved 9��Reviewed and the following items need attention: Ce)D Please re-submit your application when these items have been completed. Reviewed By: L-4 Date: lC-+1;Q C �J CITY OF ATL20T I C BEACH PERXI T ..CALCUL.AT I ON Sr?F -Address Date Heated Square Foot age @ $ per sq ft .._ $ -Garage/Shed $ ner .sq ft = .S Carport/Porch @ S ner sq ft ._ $ Deck C� S mer sa ft Patio @ S mer : se ft = $ TOTAL VALUATION : 5 .Total Valiiati�on 1st $ I o� :Remaining Value $,,—cper thousand .or ,portion :thereof TOTAL BUILDING FEE :i +..1/2 Fil.ing , Fee Firep la.ces . BUILDING . PERMIT FEE WATER IMP-ACT :FEE $ 'SEWER 'IMPACT' .FEE $ `: ..::.WATER' METER-/TAP $ " 'CAPITAL .IMPROVEMENT• $ . SEWER .TAP. $ RADON . (IRS) 005x. $ SECTIONH PAVING ( } $ HYDRAUL.IC .SHARES $ CROSS CONNECTION. $ ( ) SURCHARGE .0050 $ OTHER $ GRAND .TOTAL DUE $ QC. ADDITIONAL PERMITS OR . FEES :,Mec.hani•ca1 Plumbing Electric/New Electric/Temp ;Swimmirigpool Septic Tank_; Well Sign Finish Floor Elevation_ Survey Other CALCULATIONS and/or MOTES : -5"7 Ll CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION OCT ? 0 2003 Date: Job Address: Owner of Property: Address: 44P` STelephone: Moo ?-4(10 - U Z 1 Contractor: _ 1r1�Qr C WNS Sa�V1 A1&bt SC State License Number: CC - C o `A q 3S:b � Contractor's Address: L4S�Z A �1/��V.S�� Q-C�Gm Telephone: (6 VV �l w - �S LAL Fax: (el bA (a �-10 `0_, Scope of Work: - Q�� -6r - [3- A-64axivs n �o V�0(�1 Ct V6 I1'UYN�1 222De2 _U0222- Deck ck Slope: 2'. 12- Greater than 2:12 Less than 2:1-2 .� Valuation of work: V-0OG- .•�J� Product Name(Example: Timberline): A1C- Ut Manufacturer(Example: GAF): y\ Ef-2,01 Designation(s): IAD22 Q7 Required Inspections: S .eathing and Final Signature of Owner: Date: 03 Signature Signature of Contractor: Date: /0�� e J AS TO OWNER: Sworn to and subscribed before me this day of_ _�20-Ql_. State of Florida,County of Duval � Notary's Signature: CMT:AW.9%*,�M1101i ❑ Personally known 09031 Produced identification ft*w1a' Type of identification produced • AS TO CONTRACTOR: �j Sworn to and subscribed before me this , day of ,20 4D5. State of Florida,County of Duval Notary's Signature: KTMAw. )—!13Personally Wiff known „�,JW 4n= Produced identification No 90A1>flDGt Type of identification produced N�iw tl0rrt1.0► 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 1 Revised 2/21/03 Kook 11428 Page 890 5 W.N. RETI: N PHONE # 3"1,4— lSq� notice of Commencement To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of Florida Statues, the following information is stated in this NOTICE OF COMMENCEMENT. Description of Property: I a n - 1—Dt to 3S y Z3 e E US163 12 i� Q ciP ct ,ms 1 l 2 to iq PSI k � fl 2 3u 333 -�3�} General description�Vf � } �of improvements: Re-Roof Owner: `t 1 ' l� n c a6 ��t� 1 ) Address: 4q V aYM6 Ve& AAkojn C Owner's interest in site of improvement: �2233 Fee Simple Title holder(if other than owner): Name: n Address: � Contractor: Jack C. Wilson Roofing Company Address: 4522 St. AujZustine Road Jacksonville, Florida 32207 Surety(if any): Address: Name and address of any person making a loan for the construction of improvements. Name: Address: Name of person within the State of Florida, other than himself,designated by owner upon whom notices or other documents may be served. Name: Address: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 [2] [b], Florida Statutes. (Fill in at Owner's option). Name: Address: � pp 1wner04'755 Gage: 890 Filed 8 Recorded Sworn to and sub ribed before me this 10/20/2003 11:13:07 AM �4 day of JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY 1_ RECORDING t 5.00 TRUST FUND $ 1.00 Notary Public CMyvv-;.TA ComDQO0 ne.ny Few LUL 10/20/2003 13: 25 FAX 9040967700 Jack C Wilson Roofing Co 002 Jack C. Wilson i Roofing Co . -= Since 1946 --- $r:ur C01111-1 CC-C'049.15S '--- City of Atlantic Beach 10/20/2003 Atm: Mr.L.Higgins 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 Phone (904)247-5845 Fax RE:Adjustments to Permit Application for 448 Skate Road Please be advised that our company,Jack C. Wilson Roofing, will be installing DynaWeld modified bitumen, manufactured by Johns Manville, with an ASTM approval 9f D6163 INSTEAD of Flintlastic modified bitumen, manufactured by Certainteel with an ASTM approval of D6222. It is our sincere apology for any inconvenience this may have caused. If there axe any fiirther questions, please feel free to call or office. Profession 4 old K. Voss Owner—President Jack C. Wilson Roofing Company APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE OCT 2 1 2003 By: — LA 4522 ST.AuFustinr Rd. Jacksunville.FL 32207 • 904-396.1 46 FAX 904-596.7700 10/20/2003 14: 25 FAX 9043967700 Jack C Wilson Roofing Co 003 Oct 20 03 12: 37p Information Systems 247-5845 P• 2 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: j 2z? Job Address: 44 , IV?. ( Owner of Property: toceti c Address: �5 SkCf tt. ad Telephone: (�fCu Z (c ' b 7_3 Contractor: _-\el& L, State LieenseNu 'Number-_C( 1 L) Cl 35(J Contractor's Address. L4S, 221 S&A A,,L�v,Si 3V-0__ 1�j Telephone: ( a�4> �q 1, - ti `-t•tc Fax: (Gi O'-•1) ��(o " `�1C0 Scope of Work: 9 2c-� - zx - 0.nck- *.:rS 21 s- u5 A� -Not 3 Deck Slope: ' t Greater than 2:12 Less than 2:12 Valuation of work: -44 Product Dame(Example:Timberline): 11 t�ynq ` 1 Manufacturer(Example:GAF)- ASTM Designation(s): 1) Required Inspections, S eathin and Final / Signature of Owner uAICILt Signature of Contractor. Date: AS TO OWNER: � I Sworn to and subscribed before me this day of� State of Florida,County ofDuval Notary's Signature: ��Ll ot1ri►w soar womma bv.4 a ❑ Personally known trs OOoft 'OPProduced identification tfrwrrrrMiwe u' I Type of identification produced • AS TO CONTRACTOR: Sworn to and subscribed before me this— A-- day of 1,20 p3 i State of Florida,County of Duval j Notary Si"ture: WOMEM'"TAw,ttwir �iPersonally known ir.�fir,NA6 ❑ Produced identification Ha Do MM Type of identification produced ter tt T r 800 Seminole Road Athntic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fac_ (904)247-5845 -http.iiwww.ci.stiantic-beae -R-us Page 1 Rev�sa!2R7rt?3 10/20/2003 14:25 FAX 9043967700 Jack C Wilson Roofing Co 004 i I 1637 Johns Manville Dynaweldr" Cap FR 1 Description Dyna Weld Cap FR Is a lire reslsinnt modified bitumen sheet incor- porating The features of a strong fiber glass mat with a blend of SEiS (Styrene-Butadiene-Styrene)rubber,high quality asphalt and fire retardant additives. The elbscomc ria asphah blend has full recovery properties after 100%elongation and lends elasticity and flexiblilTy to the sheet The inorganic fiberglass reinforcement provides ensile strength, stability and toughness to the product and resists moisture absorp- tion.These properties also afford the product better resistance to the other factors which affect roof performance.The covering layer gf ceramic-coated roofing granules provides durability along with superior resisunce w damage from weather and foot traffic. - '= The hack of the shoot had o polyolefin burn-off film for ease of heat welding. p'ri DynaWcld Cep FR is designed for use as a quol'rty mudificd bitumen sheet in UL fire rand,multiple pry roofing systems.DyneWeld Cap FR Advanta9e3 unlike many modified bitumen products,enjoys UL Class A Ratings in •The heavy fiber glass nat provides exceptional tensile strength numerous congmietions,both new and reroof,withqutthe use of and puncture resistance edditianal surfacing.It is ideal for low slope application:linclines up -The elongation and recovery properties gf the SSS blend allow to 3 inches).Because of Its superiorweatherability,durability,and the product to easily accommodate the contink al expansion and handling characteristics.DynaWeld Cap FR may be used both for a contraction strains experienced on all roofs finished cap sheet and as a flushing materiel.This product may only -The products flexibility and dimensional=biryy provide case of be installed using heat-weiding application techniques. handling,resulting in quick installahion.7 •Fre-retardant formulation Typical Physical Properties Sizes Material meets of exceeds the criteria for ASTM d 5153,Type I, Roll r¢c... .................__._. 1 sq re(9,29 H)Grade G. _.....__..... Roll weight......_._...._......»....._..................._it 1163(49.6 kg) Thickness................._..................................... 1ti0 mlis(4.0 mm) Roll length............ ....._..._. .. ...... .,.., .....�_....... 2' ml (lD Tensile Strength&o•F(-18"C) Roll width._.---- 10'_._._....., .390' (1 m) Machina Direction.............................M lbs.force/in.width _.....,.....-•_--.._ 0.5 kN/mJ Cross Machine Direction...., .._.......,,95 lbs,force/in,width (16.5 kN/m) Clonggriun CV-0'F 1-18"C) MZichinc Direction..........._..........................__.................---4% Cross Machine Direction...................._..................... 4y, Tensile-Tear Fwu P=i m Machine Direction 125 lbs./m-(21.4 kN/m) wa�r�Gi1'• Cross Machine Direction ....._....._..., 100 Ibsfn.(17.5 kN/m) h3um�rt�— Low Temperature Flexibility.,.._........._._......._. . •10°F(-23•c) Firm Dimensional Stability Machine Direction .......___...........................023%change Cross Machine Direction......._._._....................0.2D%change - I I Refer to the Material Satety Data Sheet and Prod0ct Lahel Prior �- to using this product For an identical copy of thisld=sheet ask for FS-4387. 3-40 10/20!2003 14:28 FAX 9043967700 Jack C Wilson Roofing Co 21005 i Johns Manville DynaWeld' Base I I I DynaWcld Base is a modified biwmcn sheet incorporating the features of a fiber plass mat wish u blend of 38S(Styrene- SutOdienc-Styrene)rubber and high quality asphult The elastometric asphalt blend has full recovery properties after 100%elongation and Icnds elasticity and flexibility to the sheet rye The inorganic fiberglass reinforcement provides tensile srengh, ` .• '•• .,.••�.-<'•••.�•_�!-'.�;;;•S. stability and tau hness to the product and resists :. '"•'''.�_-s<��r 9 p sts moisture aboorp- . •�e. -.i;: �� tion.These ro crties also r h P P afford the product better resisrsnco to '.4.,. '"` '-. r� rY':,'r :�.�r�"�' '■ the other factors which affect roof perform8nce.The back of the sheet has o polyolefin burn-off film for case of heat welding. Use ; DynaWeld Bate is designed for use as a base ar ply in multiple ply ;. mnd'ified bitumen roofing systems.it is ideal tar low slope apptica• tions(inclines up to 3 inches).This product mi,y anis be installed t >; using heat-welding application techniques. Advaaibiijes -The fiber glass may provides excellent tensile strength and puncture resistance j -The elongation and racevery properties allow the productta easily accommodate the continual expansioniund contraction strains experienced on all roots •The produce flexibility and dimensional stability provide case of handlin8,resulting in quick installations Typical physical Properties- Sizes Memrial meets or exceeds the criteria for ASTM 0 6163,Type I, Roll size......._............ _.._...._._.»,_.,»,.ll actuate(13.9 fi') Grade S. Raht. ) weight.. ......._.,.»,........»......_...................,. lbs(40.8 kg Thickncss ..................._........................................120 mils(3 mm) Roll length,,._._....:»..«................_....... _732'10•(10 m) Tensiic Strength a o"F(-18•C) Roil width._......._. .._..................._...., ..... — ..asY'(i m) Machine Direction ............................95 lbs.toren.width (15.3 kN/m) Cross Muehine Direction..............._..»85 lbs,forcchn.width (12.3 kN/m) Non-Stacking SLeaclnp Elongation 29 0`F I.18'C) ISBS Modified Machine Direction ..............._.........................................3.0% I Aeohak Cross Machine Direction................ 3.0% fibs.Corsa root Tensile-Tear &8S Modlfirb •phart Machine Direction..._................-........105 lbsJin,(17.5 kNtm) —Non-Blocking Surfece Crow Machine Oiroctien..,, ,...._..»45 Ihs./in.(1S,B kN/rn) Low Temperature Flexibility,.•.................._....._......-10-F(•21°C) Dimensional Stability Machine Direction ........................................0.20%change Cross Machine Direction........................._.-- 0.20%change Refer to the Material SafPty Data Sheet and Product Label prior to using this product.For an identical copy of this data sheet ask for RS-4383. 3-39 CITY OF VUl:�c , 4&asr4c /3ear,�-�lo�itida 4q( _�p&5Office Of Building OfficialUZ,4-4107— REQUEST FOR INSPECTI N1666 >6c Date_ Time Permit No. Received A.M. RM. LV Job Address Owner's Locality Name BUILDING CONCRETE ��Contra�ctor FramingPLUMBING MECHANICAL Re Roofing Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & Slab ❑ Temp Pole ❑ To Out ❑ Insulation ❑ Lintel ❑ Final p ❑ Heating ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab . Mon. Tues Wed. Thurs. Friday PM. ��ti Inspection Made A.M. P.M. Inspector Final Inspection ❑ (a Certificate of Occupancy❑ r, Date { t AA -PLA?' BOOK t 26 "le I rh � � h � B-o✓ - l f PSR-3844 17433 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LUCATION INFORMATION .. rmit Number : 17433 Address - 448 SKATE ROAD Permit Type:MECHANICAL ATLANTIC BEACH , FLORIDA 32233 lass of Work:NEW --- LEGAL DESCRIPTION --------- Constr. Type:WOOD Block: 1 Lot : 19 Twp: 0 Proposed Use: Section: 0 Subd:O Rng , Dwellings : 0 Subdivision:ROYAL PALM Est . Value: 0 . 00 Improv . Cost : 0100 Total Fees : 49 .00 Amount Paid : 49 . 00 Date Paid:li/12/1998 -rk CENTRAL HETA AND AIR OWNER INFr'°RMATIQN APPLICATION FEES Name* WILLIE MIN(7EY IT 49, 00 Addr: 448 SKATE ROAD ATLANTIC BEr�CH , FLORIDA 32233 1 hone, f 904 ` 246-r ,2 CONTRA(--Tr)R INFORMATION tame: OCEAN STATE HEAT � AIR ddr, 1.476 ATLANTIC BLVD. NEPTUNE BEACH , FLORIDA 32233 Lic, MHAR- 786 Exp* I ype: 3 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." 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: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC •RACII. FLOMInA s1270 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant tO compl©to all items in sections I, II, III, and IV. LOCATION slra.t Addr.lc Of Werfatf;n9 s,raalrl (lalraan And WILDING ;2 111. II. IDENTIFICATION — To be completed by all applicants In conr�de,sv,on of pnrm;f r);.en for do;nr) iha work ar da{CJ;hed in fha shove tt""nl we harab "'1"" to .;rh rhe arrecfvd plan, and rpec;f;caGont which era a part hereof and in accordance with the C;ry of Jecktonvlllamordi�aw - endcllenderdt If gocd p•acr;ca kotc! the's;n. Har 0 of MOCNan; 41it C*.4actor (Pr;nl) ( V C�nheeferr M•.lar C D ►tae.. •! t✓ N*"rty O.•ner s4aaNfe of O.rner S19n4furs of rfA•r er Aiied Aqe Architect or Engine•► 111• Cf�JE�lAL INFOR ON _ p A. Type of k"fln9 fuel: N, g•ctric IS OTHER CONSTRUCTION BEING DON[,Op THIS BUILDING OR SITE 1• Q Gal —❑ LP Q Netural C) C•nfrel Utility 0 Oj IF YES, GIVE NUMBER OF CONSTRUCTION (y ! (,� �� PERMIT IV- NOCHANIC•AL pUItMI NT TO it INSTALLAD NATURE OF WOnK I►r"49 e*-Mptele Jiff of ceo,pen.•h.e 6c1 of this "I � flesidentlal or ❑ Commercial ( •most ❑ SMce ❑ R•cea•d O Cental O r{o« ❑ New BUllding 0 A:rl ❑ Roon, (j CMIr.I Existing BUliding Riplscemenl of existing system AfaalfawM eeP40ty...�._.,l�JI ` f.M—. ❑ NOW In"11e110n 010 syaten prsviousiy inalaiiefi) ❑ R•fc:9enf:w ❑ Extenslon or add-on to existing @yet" ❑ Cooling toot: COP46ty ❑ Other — Specify Q Cn epdnklef*: Nvrn`e► eN Asad. Q Devefer ❑ AA4411 ❑ bul•ter (M,�bert Q GA"4*0 pvrnea THIS SPACIl Fort 0"" US# ONLY 1R...1ti•.I) ❑ T&At (nvrnber) Retne►kf ❑ lK ­06; IAV tn6w Q Vefired terwevre waw Cl is iennii Approved by Def+ ❑ OA- — specify ►erinif R•. 1_18T ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EgUIrMENTcapaci - NumMr UnIti UwcrfpfJaR uo"Number Ltsu+ufaoturer jr ArrwvyAgency14 4— Ca - sorL HEATING • FURNACES, BOILERS, rIP"LACES Number UalLe Ueecriptka X*4W Ntfmberr )K cP*dtI► AVm Ing Ate Y; r it hNyv Ir/C f-' Al am) 3 t�- ,v T AN[S now Leann Noortnal cap&city . d Name of Seryl Apl+tovint sad Dtasensiooa Yon talfwd ][atstthotatBt No. Ate Mr DATE PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL. STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION( S ) HAVE BEEN MADE AND ARE SATISFACTORY : 17�1� � � �' ------------------- X-2�------------------------- I ------ ------------------------------------------------- I ------ -------------------------------------------------- i ------ ------------------------------------------------- i ------ ------------------------------------------------- Enclosed are the blue copies of the permits. SI RELY, BUILDING INSPECTION DIVISION cc: FILE i CITY OF Office of Building Official REQUEST FOR INSPECTION I [ Date /�_ / �/ 6 L / // Permit No. / 7 Time y ' r SA M Received PM. !zy 8 Rd �3S 2 3 3 3 Job Address Locality Owner's �n Name / ctor ��/ �/ [n �Q C7 /',-1 S (J BUILDING CON RETE LECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough Air Cond. & ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel Final 7 Sewer ❑ Fire Place ❑ READY FOR INSPTION Pre Fab Mon. Tues. Wed. Vt C'l may( CSL M. hurs. Friday u A.M. Inspection Made — P.M. Inspector Final Inspection Certificate of Occupancy ❑ Date CITY OF _ 4&a& /pecCA-&;&U4& s Office of Building Official REQUEST FOR INSPECTION v f Date �` Permit No. Time A.M. Received M, District No. or Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. yWad�— hurs) Friday P.M. Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy !l /vo 7FA Date f,� CITY OF Office of Building Official "-- REQUEST F`JR INSPECTION ,2Date Permit No. Time A.M. Received "�PjM. y District Na. ob Address Locality Owner" , Nam C'� Contractor BUILDING CON RETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring _ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. Inspection Mace /6?" I� P.M. Inspector Final Inspection❑ Certificate of Occupancy Date 4 r Hot) n �XlST! { s���b��• � 1 ,. � t,r r✓C r r i a s 1 • /0 TAWF p :: pz�f 0b3+ b h �- ' ,-r�+%>,�3`!3` ;�'F`"•:"'.di�, m��e,+�r 5"s`*'���v:'�' "'%�.:� «aa`.tR�;�+�F,� -�:o-j.�€�:i. "v.�c;,, �3L�: ,�.s'��' DEPARTMENT OF BUILDING PERMIT NO. 6464 CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date October 26, 19 84 Valuation 5;-92 $96 25--Fee$ 51 Q L This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that WILLIE S . MINCEY 443 SKATE ROAD ATLANTIC B1 •0 7 ENCLOSE EXISTING CAR POR has permission to)gA& • in accordance with Section III ,H9 of 41M L Classification Residential Zone RS 1000 Owned by Willie S . 1 Lot 1 4 Block?Q Royal S/D Palm House No. 843 SKATE ROAD According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS and * AND FOOTINGS MUST BE IN + SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE rZBuilding material, rubbish and debris Z from this work must not be placed in public space, and must be cleared up and auled away by either con- 0 wne� Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF Fe4d 9&V4& 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 nC- ,certify that our/my residence at '4qX S1CQ-� ? d will have two paved parking spaces behind the required building setback line, as required by Section III , H. 9 . of the Land Development Code of the City of Atlantic Beach, after the existing carport/garage is enclosed. Witnesses : 1 Pate_1� '��" DEPA�"TMENT OF BUILDING City of Atlantic Beach , Florida Office- Application for Permit for Permit No .B E _ Use Miscellaneous Alterations M p Only and Repairs ' Contractor m P Address PhoneS�L�l�2 ddress '{�� SjcQt� Fa Phone 70 Owner �; �e, L �� !v`. e' - The undersigned hereby applies for a permit to � ���y°4.11E� Building on ____part of Lot No . - � Block _Subd. At _ side between Q and �� Streets . Valuation $ tlb 4�w _Present use for building__G If residential , what type dwelling (single-family , duplex. . ) Slob It- VA m How many families accomodated now?_ j_ When altered?__ If business , what type?_ J. ' l --- Will food be prepared for sale on premises? �1i ACU What plumbing/mechanical work to be done? �le G2/ Si ze of present building _ Size of extension /,I Size of lot Number of stories now When altered .iL ko,4) OP MateiJal ;Qf =misting building_ zc"C� ion ----- - --------------------------- -- ------------ �J CESSARY PLANS IN DUPLICATE TO BE SUBMITTED HEREWITH nI—consideration of permit given for doing the work described in the bove statement , we hereby agree to perform said work in accordance with the attached plans and specifications , which are a part hereof , and in accordance with the building regulations of the City of Atlantic Beach. Signature Contractor Date Signature Owner Date OC N-,. 7:9- its \ !`Ce \ `` Q cn e Fir . t i s t t s 1 IAl _ y 10, } ujI t ON L a t d , IT PA # I , �, tj J ^l i / r f "' r� •"�" �� ry � 3 f � - . i i 'FRjPY C T RT FY '%st lbe of-n a ,y eu 'r ADDRESS MECHANICAL PERMIT# PLUMBING PERMIT # BUILDING PERMIT WORKSHEET ELECTRIC PERMIT # TEMPORARY ELECT. # Heated Square Footage 3� @ $ �f�, ` per sq ft = $ Garage/Shed � 6-11-� @ $ per sq ft = $ Carport t@ $ er sq ft = $ a� Porches $ per sq ft = $ c Deck @ $ per sq ft = $ Patio ' @ $ per sq ft = $ TOTAL VALUATION $ Total Valuation Data lst $ $ 2-1 Remainder Valuation @ $ 0 per thousand or portion thereof TOTAL BUILDING FEE $ + 2 FILING FEE $ FIREPLACE @15 . 00 $ (21 TOTAL BUILDING PERMIT $ aa' ---------------------------------------------------------------------------------- PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ELECT. TEMPORARY $ ELECTRICAL PERMIT $ WATER METER SIZE $ ACCOUNT NUMBER SEWER IMPACT FEE $ WATER CONNECTION $ (@10 . 00 per fixture unit) APPROVED BY: TOTAL BUILDING/PLAN FILING FEE $ TOTAL WATER METER CHARGE $ _ O v LTOTAL SEWER IMPACT FEES $ BEACH _DING OFFICE TOTAL WATER CONNECTION CHARGE $ MISCELLANEOUS CHARGES $ Z 6.t GRAND TOTAL DUE: $ �yj /• �� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 � Ff!>r' Application Number . . . . . 09-00001247 Date 9/01/09 Property Address . . . . . . 448 SKATE RD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------------------ Application desc 10 FIXTURES ------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MINCEY, WILLIESIM ALL PHASES PLUMBING 448 SKATE ROAD 865 SAILFISH DR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 449-8116 ---------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/28/10 -------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 5. 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 CITY OF ATLANTIC BEACH 09 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS IS A SUB PERMIT: 3.DATE: NO C OYES PERMIT#: PROPERTY OWNER: 4.NAME; 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: PLUMBING CONTRACTOR: 7 NAM F COMPANY: 8.ADDRESS.:, S6534111p, W& 9.STATE OFFLORIDA LICENSE NO: *1E�L PHONE: 11.FAX NO&f �FZ t , 13-12.EMAIL ADDRESS: E PHONE: 14. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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. CONTRACTORS SIGNATURE: 15.NATURE OF WORK: 16. 17. 18.CURRENT CODE: ❑ NEW ❑ '06 FLORIDA BUILDING CODE- 0 RE-PIPE PLUMBING ❑ OTHER: 19.NUMBER OF FIXTURES: BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER d� SHOWERS PANS DISPOSAL J^ SINK DRINKING FOUNTAIN G- WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE 4— HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): ROOF DRAIN 20.PLUMBING PERMIT FEES: PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: `0 x $7.00 (PER FIXTURE) + $35.00 = BLDG03 Permit Applicatiion Plumb:12/18/2008 CITY OF ATLANTIC BEACH, FLORIDA App—d by APPLICATION FOR ELECTRICAL_ PERMIT I 1 / � b -7TO TIIE CHIEF ELECTRICAL INSPECTOR: DATE:- �_ 19�( ry IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED 01 TIIE FOLLOWING, WE ; HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITII TIIE AT ACI D P D SPECIFICATIONS, WIIICH AREA PART IIEREOF,AND IN ACCORDANCE WITII TIIE ELEC I L GU CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELE //R////AS�N SIGN&GUE D JQURNLYMA NAME- Ski ADDRESS:�T`fI� C /� RFD BOX � BLDG.SIZE hoc) 54 7q BETWEEN: 8- FLEE RES.N� APT.1 1 COMM.( 1 PUBLIC f 1 INDUS.( I NEW( ) OLD 1 REW.( 1 ADDITION( 1 TRAILER( 1 TEMP.1 1 SIGNS 1 1 SO.FT. Al SERVICE: NEW( 1 INCREASE( ! REPAIR FEE CONDUCTOR SIZE G J AMPS 7L�U COPPER ALUM. SWITCH OR BREAKER AMPS _ I _PH r%W --LC VOLT. _ ��nACEWAY_ EXIST.SERV.SIZEAMPS Pit W VOLT RACEWAY FEEbERS NO. SIZE NO. SIZE NO. S12E - - LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN _ TOTAL O]O AMPS. 31 100 AMPS.I SWITCHES (— INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER —" - APPLIANCES 18ELL TRANSF._� - - AIR H.P.RATING II.P.RATING CONDITIONING COMP.MOTOR OTIIER MOTORS AMPS EIL IIEAT: KW-IIEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO, 1 N.P. VOLTAGE PNS MISCELLANEOUS ,y TRANSFORMERS: UNDER 600 V. OVER 600 V- NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR 512E SWITCH FLASHEll EACH SIGN -- FORWARDED TOTAL FEES PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION ---- -- -- -- LOCATION INFORMATION ------ Permit Number : 22106 Address : 448 SKATE ROAD Permit Type: FENCE ATLANTIC BEACH . FLORIDA 32233 --lass of Work:NEW --------- LEGAL DESCRIPTION --------- r"onstr. Type :WOOD FRAME Block : Lot : Twp: Proposed Use: Section: 0 Subd: O Encs, Dwellinas : 0 Subdivision: Est _ Valuer 0 . 00 improv . Cost : 300 .00 Total Fees : 10 .00 Amount. Pay 10 .00 We ___- _ ~G1L hid " TION -------- APPLICATION FEES ------- Name: WII�L Mf N EYPERMIT 10 , 00 Addr :4�, SK ,TE---ROAD r:=mx E" - H FLORIDA - Pho..e DR I14FORMATTCSN - ----- Name: PROPERTY, OWNEit Addy: ; e, L i c rVr , , Tvpe . 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: APPLICATION FOR FENCE PERMIT Ownersname`II _ ---_Phone_ �_��� Job Address i�9__!�Ugl,�_ � Lot_ U Block and/or Unit # __Subdivision __T_'---- Contractor if different from owner_______________________________ Valuation of fence S_ _ _ Corner or interior lot Lr' �_- .5- o L Type construction_� �]_ ___--- Show location and height of fence as well as location of street(s) . Owner signature -----------1 -M Date�R��7 / Contractor signature __-Date_----___ ------------------------------ PSR-3844 10229 DEPARTMENT OF BUILDING CITY OF AT LANTIC BEACH ----- PERMIT INFORMATION -------- LOCATION INFORMATION -------- Permit Number: 10229 Address : 448 SKATE ROAD Permit Type: BUILDING ATLANTIC BEACH , FLORIDA 32233 Class of Work: ADDITION --- LEGAL DESCRIPTION --------- Constr . Type: WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township: RNG : 0 Dwellings : 0 Code: 0 Subdivision: Estimated Value: $2520 . 00 Improv . Cost : $0 . 00 Total Fees : $37 . 50 Amount Paid: $37 . 50 nn 4- ai /95 1 cion ------ -- OWNER INFORMATION ---- -- ---- APPLICATION FEES ----- Name : WILLIE MUNCEY PERMIT $37 . 50 Address : 448 SKATE ROAD WATER IMPACT FEE $0 .00 ATLANTIC BEACH , FLORIDA 31' 31 SEWER IMPACT FEE $0 . 00 Phone: { ) - WATER METER/TAP $0 .00 RADON GAS-H.R. S . $0 . 00 ------- CONTRACTOR INFORMATION ------- RADON CAB 5% $0 . 00 Name: CAPITAL IMPROVE. $0 .00 Address : SEWER TAP $0 . 00 CROSS CONNECTION $0 .00 License: Type : 0 SEC H IMPACT FEE $0 .00 CONST. SURCHARGE $0 . 00 SOHARGE/ATL . BCH . $0 .00 NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANT EACH BUILDIN DEPARTMENT a$� �1 3Rrpt: ? � c14 By: t fr�t' oirmo CONTRACTOR COPY PSR-3844 10 2 9 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION LOCATION INFORMATION -------- , ermit Number : 10229 Address ! 448 SKATE ROAr Permit Type: BUILDING ATLANTIC BEACH , FLORIDA 32233 Class of Work: ADDITION LEGAL DESCRIPTION ---------- Constr . Type : WOOD FRAME LvL : Block - Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings : 0 code: 0 vision: Estimated Value: $2520 .00 Imp"r'ov . 4--*O-qt : $0 .00 Total Fees : 537 . 50 Amounlwd: X37 . 50 OWNER INFORMATION APPLICATION FEES WILLIE MONCEY PERMIT + 44P SKATE ROAD WATER IMPACT FEE ATLANTIC REACH , FLOF -SEWEF IMPACT FEE WATER METER/TAP RADON GAS-H .R. S . ------- CONTRACTOR INFORMATInN RADON CAB 5% 110 . 00 Name : CAPITAL IMPROVE . 50 .00 Address: SEWER TAP 0o CROSS CONNECTION $0 ,00 T,4 ,-sllzn'�-m: Tvrrz—, SEC H IMPACT FEE 90 00 CONST. SURCHARGE 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 Raq"3ffr Rpt: %F,2" By: 00000121000 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address y� d S l-S�fi TF e< 'D cf14 0P Date S - 3 � - Heated Square Footage @ $ U per sq ft = $ v Garage/Shed @ $ G per sq ft = $ e Carport/Porch @ $ .00 per sq ft = $ 0 Deck @ $ 0 per sq ft = $ ° Patio 6 @ $ per sq ft = $ n TOTAL VALUATION : $ fS ,Oo Total Valuation 1st $ / oo o ��0 /o .C.)a $ t6. 00 Remaining Value $, per thousand A portion thereof TOTAL BUILDING FEE $ a + 1/2 Filing Fee $ /.2 s'o ( ) Fireplaces @ $15 . 00 $ a BUILDING PERMIT FEE $ 3 • F0 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES S CROSS CONNECTION S ( ) SURCHARGE . 0050 $ OTHER $ 11 GRAND TOTAL DUE $ SrU ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : MAY 1 aCr1995 Building and Zoning CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS Owner( S ) j Address : "t'`i'V e. f`c�. C,�n _Phone : U _ n Lot # �F'. Block or Unit # tt61r Subdivision: 1T0.._�G1��ir,�l Contractor : CC' State License # Address : Phone No: Describe work to be done: _i��(IZC .1� t �?(�j 1�� � /2ELcc-/.r Present use of building: n1� Valuation of Proposed Construction: 1 r_ P1 t r Proposed use : ._6r(' Ct nci WG K1:&� f _Y��l �!> r fnewro[14Th 5 je� Is this an addition? If yes, what are the dimensions of 5 4 ' side the added space: 6_�r xC -ft . X _ /Zr 6 -ft . Will the added area be heated and cooled?g_ New electrical (or increase)? N6 New plumbing fixtures? Mh New fireplace? !,%New Heat/AC? ktD SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT , IF OWNER IS CONTRACTOR. Signature OWNER: -3 Date: Signature CONTRACTOR: Date: R 0 ur License Supplied: {f►'P p (1.P`�'�Je oocs G��� ,N q P4 L� Liability Insurance: Worker ' s Compensation Insurance : r 17, .'AC f i j I f J:: ''� � •ice C7') c, 4"481 4 i, 14, � ' 3 t i�. I� _ I fi �- II I t i , , I I I ' VOl Lo ! CD • rAL Ii- i— I —• 1 I i - , �i s. •r. t�' Ilk Lc') �w t �r� pp w cQ C�n-a v.J Y I � ' � i' � �._._._ ___ -___ -----__. ._____._. ___�_�:..___...:*'"-- ,- -----•--._,. - _.oma. V ' t i J � i I I I : i t i fs: •z: T' h: - s � to ID%.,O _ r �w f i •6. � s r:,; t CL N � d_ � I i tyi l ( n 1 3 TA 3,. CL r y � K oc CL CD N cLn n OIQ 5 P,, ,f r 3 G S t Ab I ' 1s! F .ls T'. ,. V c y Its lr. � A Y ' f r l fJJ i 1 1 .rte----�•---- MAY 191995 $ti}t#tng-and-204..._.. _ 5 r OWNER BUILDER PERMIT AFFIDAVIT ��-' Stbtr of Florida 1 City of Atlantic Keech > BEFORE ME, the undersigned authority, personally •ppvarvd --------------------- Who upon fis.st boir,W duly &worn, deposes and waysi I• `;U��LI�.. imJ11C __ -L'� - �c_ �.� • and the legal owner of the tollovino propertys Subdivision _ _lC� _.__�C1.1�1'Yl_-- -_-_-_ Block _-_-.��----___-- Lots__ AKA I am applying for a building permit pursuant to %too Owner Builder exemption not forth in Florida Statute, Section 469. 100. Florida lav requires that I rhave been provided witty tto& following DISCLOSURE STATEMEISTs DISCLOSURE STATEMENT .State lav requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that lav, The 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 the construction yourself. You may build or improve a one - or two family residence c,r a farm outbuilding, You may also build or improve a commercial building at a cost of 025,000. 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 more than one building you have built yourself within one year after the construction is complete, the lav will presume that you built it for sale or lease, , which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It to your responsibility to make sure that people employed by you have licenses required by state lav and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant rayeth not. Property Own.tc -4 Sworn to and subscribed before me this d" 191_. ...,ems/ NOTARY PUBLIC My Commission Expires& PAMCIA A,ti1u�V f'P srArE F'ul�t,�C �tily 1:;onE 0111 - C;( 's' OF ✓ Office Of Building Official REQUEST FOR INSPECTION Date -- Permit No. — � Time ( A.M. M. Received --� "=-- —P y 4 S� S (°�a�� I�/�E„lK) _ Job Address Locality Owner's (�(, N Contactor ` BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL E Rough _ Air Cond. & - Footing C Rough Wiring g - Heating To Out — 9 Re Roofing C Stab C Temp Pole p _ Fire Place t Insulation Lintel C Final u Sewer Pre Fab READY FOR INSPECTION s. ,� A.M. Mon. Tues. Wed. Thur )qr l/�` Friday P.M. Inspection Made Final Inspection inspector_ Certificate of Occupancy Date -- { DEPARTMENT OF BUILDING 0002496 CITY OF ATLANTIC BEACH PERMIT INFORMATION -- _ LOCATION INFORMATION - -- Permit Number: 2496 Address: 448 SKATE ROAD Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ADDITION - -- - LEGAL DESCRIPTION ------- Constr. Type: WOOD Lot: 19 Block: 19 Section% Proposed Use: SINGLE FAMILY Township: RNG: O Dwellings: O Code: O Subdivision: ROYAL PALM Estimated Value% $500. 00 Improv. Cost: $0. 00 Total Fees: 910. 00 Amount Paid: 910. 00 OWNER INFORMATION --___ _ _ - - APPLICATION FEES ----- Name: WILLIE MINCEY PERMIT 910. 00 Address: 448 SKATE ROAD WATER IMPACT FEE; 930. 00 ATLANTIC BEACH, FLORIDA 3223' SEWER IMPACT FEE *0. 00 Phone: (904)246-0276 WATER METER 90. 00 RADON GAS--H. R. S. 90. 00 --- ---- CONTRACTOR INFORMATION RADON GAS - 5% 50. 00 N®me: WATER TAP 90. 00 Address: SEWER TAP $0. 00 HYDRAULIC SHARE $0. 00 License: Type: O RE-INSPECT FEE $0. 00 ENGINEERING $0. 00 OTHER $-0. 00 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 EI CER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: 0002496 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION Permit- Number . 2496 -'address: 448 SKATE ROAD FLORIDA 32233 Permit Type: BUILDING ATLANTIC BEACH, class of Work: ADDITION LEGAL DESCRIPTION Constr. Type: WOOD _ot ; 19 Block: 119 Section: Proposed Use: SINGLE FAMILY Township% RNG- 0 Dwellings: 0 Code- 0 4ubdIvisiont ROYAL PALM Estimated Value% $500. 00 Improv. Cost : $0. 00 Total Fees: 1$10.00 Amount, Pa1d 1 1010. 00 Date FaIdl 67 47 1-717 APPLICATION FEES wNER INFORMATION PERMIT $10. 00 WILLIE "INCEY WATER IMPACT FEE 100. 00 Addrees. 448 3FATE ROAD SEWER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORIDA WATER METER $0. 00 phone: t9041246-0278 RADON GAS --H. R. S. $0. 00 CONTRACTOR THrORMATION RADON GAS 5% 9U. Oco WATER TAP $0.00 Name: SEWER TAP $0. 00 Addresw-r. HYDRAULIC SHARE $0. 00 Type RE--INSPECT FEE $0. 00 L i,cera E.c�, ENGINEERING $0. 00 o*rHER *0. 00 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.91 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. J �q IM ATLANTIC BEACH BUILDING DEPARTMENT By: APPLICATION FOR FENCE PERMIT Owners name �'V �!'�� 4' ��t (C( / `•'< < rlC _____phone_ 6� Job address_�� c�t � • -- �1�? -C -----`� -- ------ -- -------- f------------------------ Lot_ block and/or unit #_ / / __ ________subdivision____ Contractor if different from owner- ----------------------------------------- ----------------------------------------- � UD Valuation of fence S ���' ✓ - Corner or interior lot lf/-IDC --------- ------- ------------- Type construction__ nee ________________ Show location and height of fence as well as location of street(s) . oAN(gNTjC F p 0.4, 1989 89 .l''.` 11990 Building and Zoning Owner signature 4J,"t- -Date � � ----------------------------------�-cam Contractor signature /_____Date_________________ -------------------------- ___ FOR OFFICE USE ONLY Date--t ---19 ...... Permit # - ..1.....Fee CITY OF ATLANTIC BEACH Valuation $.__t ................a...................... FLORIDA House #.....110....-. ,t-A ...................................................................... APPLICATION FOR BUILDING PERMIT ............................................................................ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date ---------------------- --------------------------------------------------- e)W, ✓r e r --------------------_----- Owner- -------- ----------------- -----------------_----------------Address-- ---­-----------------------................Telephone No, Architect-------------.......................... ------ -------------------------_Address------------------------------------------------------------Telephone No.---------------------------- -t*/' /5:T. 5(-� _$y-f#,g 9 Contractor Builder/_._k�z-------- ----- --- .. .......Addressxg;�' T 1 )hone No.5---- A------- ------------------------------------- e el Lot No..--./.-?---------------------------------------Block No.-L._9. ol_�..-------------------Sub Division4" ------- -------- Zone--- �lt� _T-P------------- -41------------Street---- '!;T...Side Between-- ----------------and.__, ----------------------------------------------Sts. Valuation -For what purpose--------------------J-4 rpose will building be u __._-.-__-.._.___ .._._Type. ... of construction.-__-.._____________________________ Dimensions of Building-- __ - .7 ------------------- ---------------Size of Footings...__--------------------------------- --------------- _-_-__--......Dimensions of Lot Y_')( I Size of Piers- ----------------------------Size of Sills---------- --------- - -----Greatest Sill Span in ft.--------------------------Type Roof_---------------------------------- How will Building be Heated?--- -------I-------------------------------------------------.-Will Building be on Solid or Filled Ground?..".A--—------------------ Size of Ceiling Joists---- ------------------------ Distance on Centers........ ........................I Greatest Span Span........__..._.............................. it Size of Floor Joists----------------------------------------------- Distance on Centers--.--.----- - .......................... Greatest Span----------------.-----.-------.--.--__------ -- Size of Rafters-----------1—)(4---------------------------, Distance on Centers ...W-------- ------ Greatest Span..._11.1........................... py 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. tt Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. 0.4 4. When framing is completed. H E-4 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. LIN Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT I�,n In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach 11 Signatureof Builder .......... ---- ---------- ----- --------- Address-- ------------------------------- .... Signature of Owner.. ............... Ar .......­­................ Address....................................... ---------...........................................