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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00032049 Date 1/19/06
Property Address . . . . . . 443 SKATE RD
Tenant nbr, name . . . . . . REPLACE RANGE, DRYER, FANS
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
--------------- -- -- ----- ------------------------
BENNETT, CHRIS/MARIE ELECTRICAL SERVICE CONTRACTOR,
443 SKATE ROAD INC.
ATLANTIC BEACH FL 32233 540 MILL ST W.
JACKSONVILLE FL 32234
----------------------------------- -----------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING OFFICIAL
Jan 18 06 12: 45p Electrical Service Contra 9042663002 P. 1
CITY OF ATLANTIC BEACH, FLORIDA
,�Z 04j�
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR:
DATE: 20
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,NVE HEREBY AGREE TO
PERFORM SAID WOPLK IN ACCORDANCE WITH THE ATTACI-IED PLANS AND SPECIFICATIONS,WHICH ARE A PART HEREOF,
AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE:
OWNERS NAME: ADDRESS. 17-IL7131 �Wg: RFD-BOX-
BLDG.SIZE Z�_OOMTWEEN:
RES-P� APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( OLD( RE'A'.(
ADDITION( ) TRAILER( ) TENIP-( ) SIGNS( ) Sq FT.
SERVICE: NEW( INCREASE(Z REPAMI
CONDUCTOR SIZE V
AMPS:
COPPER( ) ALI -(L,� FEES
SWITCHORBREAKER AMPS PH VW gV O"LOT RACEWAY
EXIST.SERV. SIZE AMTS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
SWITCHES 0.30AMPS 1 3 1.100 AWS
INCANDESCENT
FLOURESCENT&M.V.
FIXED 0.)00 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR -RATDqG H-P.RATING I CEIL. KW-HEAT
CONDITIONrNG CONP.MOTOR OTHER MOTORS AMPS HEAT
0-1 OVER
MOTORS H-P. IVOLTAGE PHS NO. I H.P. VOLTAGE PHS
NOSCELLANEOUS
UNDER 600V OVER 600V
TRANSFORNiERS: NO. IKVA NO. IKVA
NO.NEON TRANSF. VA IFLASHERS —j
EACH SIGN
Updated 5/20/2002
LOT -PLA,Q
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CITY OF
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4
Offi
REQUEST FOR INSPECTION
permit No-23—co
Date
Time
Received Locality
Job Address Contractor MECHANICAL
owner s � �m iCAL pLUMBIN Air Cond. &
Nam- — CONCRETE ELECTR Rou
BUILDING El Rough Wiring TOP Ut 0 Heating
0 Footing Temp Pole er E] Fire place
Framing [D] S Pre Fab
Re Roofing Li 1 0 Final
insulation OR DY FOR INSPECTION Friday
��Lo�caftWy ��
MECHANICAL
P M�IN Air Cond &
ug
Temp
Final
oo""�' nDy F'
0 02 Wed.
Mon. A.M.
P.M.
Inspection,Mal Final inspection
Certijicate oi occupancy
inspector Date
illillillillillllllllIIIIIIIIIIIIIIIIIIIIIIillowo--NOW— v
cl-T-Y Of
04
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REQUE 7A
It No.
A.M.
oate co: J11 P.M. CV1#
'im' --- LocalitY
FWc.j,.d A 'a
U/) , 40-0-C,--
JOE) contractor
--- (PC D ��C�AL
owner's - d�� Air Cond.&
sough 0 Heating
Name cot4cFtETE D
0 RoUgh Wiring C3 -TOP out 0 Fire place
BIJILDMG TeMP Pole Sei�pr pre Fab
Footing
Framing Stab Final
Be Rooting C3 jjntel t4sprCrION FridaY
insulation READY F:OR 1 �p
UVIS.�
Mon. Tues. P.M.Final inspection
Certificate Of occupancY
Inspection Made
Inspector IPP [)ate �7u/)
Keq
RECEIVED
FEB 2 5 A002
city of Atlantic Beach
sullding and Zoning
City of Atlantic Beach- 800 Seminole Road - Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 - FAX (904)247-5805- http://www/ci.atiantic-beach.fl.us
PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS,
MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION
'7k
DATE
APPLICANT JAUV& et A i 'e—�
ADDRESS qLfV '5)CCC-tC PHONE: 2 4
ADDRESS WHERE WORK IS TO BE PERFORMED I-GIC
LEGAL DESCRIPTION: BLOCKNUMBER LOT NUMBEI�_J_q_ZONING DISTRICT
CONTRACTOR 9,6 ) � STATE LICENSE NUMBER
ADDRESS 4 L46 OL-t e- A PHONE
CITY Afl , STATE ZIP FAX
DESCRIBE PROPOSED USE AND WORK TO BE DONE
LQ b tv),C45 "i2f piace VetLA tt� _JV\ (3& 4 � (00^ R&tck P rq Wa
-�c � --co'c-lost, ic oa IVO IV%_t_tV, lov, "I- e _�,�_tt\ev
PRESENT USE OF LAND OR BUILDING(S) k,2:;,)
VALUATION OF PROPOSED CONSTRUCTION
Is this an addition? 0 - If yes,what are the dimensions of the added space: feet by feet
Will the added area be heated and cooled? New electrical or increase in service? LI-19
New plumbing fixtures? New fireplace? �11 New heating/air conditioning?
Is approval or Homeowner's Association or other private entity required? �J C) If yes,please submit with this application.
PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all
information as appropriate.)
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please
contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation,please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey is required. (If not required, written verification must be provided with this application.) The
Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)247-5834
STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and
four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall,
800 Seminole Road,Atlantic Beach,FL 32233 Telephone: (904)247-5826
102/02
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 infon-nation in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and
square footage. Identify any existing structures and uses.
3. Existing and/or proposed driveways.
4. If required by the Department of Public Works, a pre-construction topographical survey.
5. Any significant environmental features, including any jurisdictional wetlands, CCCL,natural water bodies.
6. Impervious Surface area calculations. (Swinuning pools may be excluded from total Impervious Surface.)
7. Other information as may be appropriate for individual applications.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT.
SIGNATURE OF OWNER DATE
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY
TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR
LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF
THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION
BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS
REQUIRED.
SIGNATURE OF CONTRACTOR DATE
ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING
THIS APPLICATION (PLEASE PRINT)
NAME
MAILING ADDRESS
PHONE FAX E-MAIL
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF C�
STATE OF FLORIDA,COUNTY OF DUVAL
NOTARY'S SIGNATURE
AS .0.�:ORGIA k HORN �<�eorsonally known
r uc
d ed identification
rlo�m'i'SSION#DD 030526
IN
EXPAES:June 3,2005 Type of identification produced
amdw 1'hm Notm Pubk UrAwwftm
AS TO CONTRACTOR: F_� Personally known
F] Produced identification
Type of identification produced
01/02/02
CITY OF
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800
A.TL-rNZrnC BEACH,FLORMA 3=23-5-"S
TELE—PHOINE(9041247-5-300
FAX(904) 247-5805
S-L-ofCONif 852-5300
CHAR-r--jR 4aQ. Fi nRtoA S-rAT�j-T--s. PAi<7 I 'C0NZTFU=CN C0HTRAC71NG- Rzoumi= ClmmfflVSuiLmmR To
ACXNCW' -ZGZ: T)le LAW:
CISCLOSURE :57ATEMENT FOR SF-=CM 489. 1 03(7), FLaRicA STATuTes:
STATE LAW RECUIRES COMSTT;CUCnCH TO 5E ocme ay uc&--�Eo ccKrRA4=-,-cFztS. YOU HAvt A.-PT-1EM FOR A F-SRMIT
UNCER AN E�MF-nCN TO THAT LAW. THE: ExEAF�no(-4 ALL.OWS YOU, AS THE OWNER (01, YOUR FIRCPSR�. . TO XZT AS 'rCUR
OVOM C0NTPAA=TOR Cv-MN Tj--CUGH YOU 00 NOT HAvE: A Li(=E�Nsz. YOU 4us-r supo!:.-r4ise THE: gcms7'Ru=c" YOURSEL�r.
YOU MAY BUILD OR IMPROVE A ONE: - OR TWO FAMILY RESICENCZ OR A FARm CLrrsUILzIr-+G- You MAY AL--a 21UIL-� OR
A BUIL-004G AT A CO�-, Of' $Z5,CC(3.CC OR Lr-m--s. Tw� nsuii--oomG mus-r E31E FOR YOUR usif AJ40
OCCLjP^14(-- . IT MAY NOT Be BUILT rOR SALE OR LZAZF. IF' YOU S,--l' OR LMASE A 51-JILDING YOU HAVE BUft-w-1 YOUR:5ZELr
WITHIN ONE YZAR AP-r---R THE CONS774U=ON IS COMPT—c-,"E, THE LAW Ant 1 PRE-SUME, 71-tA7 YOU BUILT rr FOR OR
L��Z, WHICH 15 IN '41OLA770M OF THIS E)ff--rIo-ncr4. YOU MAY m<rr HIRE AN UNILICF-SSED F'r-'RSON AS YOUR C0147RACTOR,
YOUR CON---.-RUC7.ON MUST BE COME A(Z-!=CRCjNG -,a -Ije mUjL-.�ING -rONS. tT 15 YOUR
a;=or-S AMC ZCNING RF-t:;ULA
RCSP�CN5115ILITY To MAAE SURFE TT�AT P--ORL-e EMR�_OyFo Egy YOU H^vr� UCFMSr-S REC31_11REM SY S-rAT7E L-AW AMID a--r
COU97-l' OR MUNICIPAL ORIDINANCES.
Cf;?1:IHANCF-S ALSO ALI-10W AN GWHF-R TO lmppo-z� qwM pRppeR7-r vvHEN rr Is roR i-Ep.ScMAj- OR iAMILY
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UMIJCI�NSEM WORKERS PROVICCZ) SUC.'-1 NCRKERS 5C UNCER -CIRf-r--T SUP!�RVISJON Ofr 7Hr OWNE-R. WHO MUS-7 31!� 014
THE-'Ctl ArU-L 'nMf�!S W?-fjLZ WORK IS IN FFIOGRess .9y uNuce --7 mc;-r ALLow us-- Or
�Ns= TRAors T)-its COP
UNUCXNS= CIONTRACTORS.
ANCE: OWME-RS MAY 51E LIAML-- FOR 174JURI!M TO WORKERS THEY HIRE. THEE SUIL-=ING OFPARTMe-Ny SUGCES'
WCSKMR'S (=OIMFM!LNSATION INSURAJ4CE Be: PURCHASaD UMOER THr- HClMlEOWNmss IKSUFL.Ncm FIOUCY CL�xRLY PROTECTS
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FORIM I OGG RE=UIRMME:?CI`S ON THE WORKE.R.S THEY E>4PI-C)"Y ON TI-iFlR IIHPROVE--AC:NT TFL*ZES-
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-10 $5,(ZC40 F--KALTY umcA-,q Fi-apioA 5`TAT%rM No, .455-??_g(1]� AM �S M!Qr ACe:CUAim.
THr- OWNER selcuLo R"YsicA"y sF= THe ccUNTy -CFFmpICA-r-- OF CCmF---77NCY- OR 71HE: FL.CRICA 'CONTRAZ70FIS
CEIRTIFICATZ' TO ASCrj�rrAAN IF,A PE.-zmcm is A L_Ic=r_-4s= c:cmTRA(=R. Tm--p"cmr-THr- EBUILIZIP,40 0IEPARTmr-N"T (?-47
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EXPIRES:June 3,M
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CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
ATION
PERMTIN
23547 Address: . 440 SKATE ROAD
Permit Type: REMODELING ATLANTIC BEACH, FL 32233
Class of Work: REMODEL Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: ROYALPALMS
Est. Value: Parcel Number:
1,400.00 0ORINUOT10—y—
Improv. Cost: OWNF.-R IN
MCDANIEL, JOE
Date Issued: 3/05/2002 Name:
Total Fees: 30.00 Address: 440 SKATE.ROAD
Amount Paid: 30.00 ATLANTIC BEACH, FL 32233
Date Paid:' 3/05/2002 . Phone: (000)000-0000
Work Desc: KITCHEN REMODEL
ICATION FEES
GONTRAQ-tQNS)
30.00
-WOVERTY OWNER
Zz
P�-
�.9-: -X
�XIT
2,
n.
gg
...........
U
§F
. .........
NOTI T-F
LIC SPACE, AND
BUILDING MATER 01110=1-0-003.41'rl
MUST BE CLEARE
"FAILURE TO C%01 N 4.AW N TIHE
PROPERTY OWNER
ISSUED ACCORDING TO A SUBJECT To REVOCATION
FOR VIOLATION OF APPLICAB
Oper: DSMITH Type: OC Drawer: I
Date: 3/12/02 @1 Receipt no: 40886
14 PERMITS BUILDING 1 $38.611
Trans number: 794959
A A IC BEACH B ILDIN ''HE
cr, C CKS - lug $30.W—
Trans date: 3/12/92 Time: 13.14:84
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address— Ll r r-- RP 77 HC,,J 6<CeORfc)
Date 3 - �2-
Heated Square Footage @ $_per sq f t =
Garage/Shed @ $_per sq f t =
Carport/Porch @ $—per sq ft = $
Deck @ $_per sq f t = $
Patio @ $_per sq ft = $
TOTAL VALUATION : s
K6 0 / r — $
Total Valuation 1st $
0 0 C
L
Remaining Value $ per thousand
04 portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $ 0
( ) Fireplaces @ $15 . 00 $ 0
BUILDING PERMIT FEE $
WATER IMPACT FEE s
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
) RADON (HRS) . 0050 $
SECTION H PAVING $
HYDRAULIC SHARES s
CROSS CONNECTION $
) SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE $
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing
Electric/New Electric/Temp_ ; Swimmingpool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES :
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877
ELECTRICAL PERMIT
PERMIT INFORMATION----------.----.--=---- LOCATION INFORMATION ---
Address: 440 SkVTE ROAD
Permit Number: 23518 ATLANTIC BEACH, FL 32233
Permit Type: ELECTRICAL Township: Range: Book:
Class of Work: INCREASE Block: Section:
Proposed Use: SINGLE FAMILY Lot(s):
I Subdivision: ROYALPALMS
Square Feet: Parcel Number:
Est. Value:
ER INFORMATION..
Improv. Cost:
Date Issued: 2/22/2002 Name: MCDANIEL, JOE
Total Fees: 45.00 Address: 440 SKATE ROAD
Amount Paid: 45.00 ATLANTIC BEACH, FL 32233
Date Paid: 2/22/2002 Ph-one: (OPP)090-0000
- 8EERVIOE INCREASE ANUHVAC
2,OOAMPS -----------
Work Desc: ES 100AMPS
45-00
-&A—Rkb`SKI ELECTRIC SERVIL;
_.'47
R".
&
i ;A
A— =0
2M�
..............n.
rz
SPECTION
NOTICE
LIC SPACE, AND
BUILDING M,
MUST BE CLEARE U BY EITHEW QVI
_77
L �WN LI_.. T IN THE
"FAILURE TO C MPL
PROPERTY 0 NER PA
-REVOCATION
ISSUED ACCORDING TO APPROVE1"I'll, IT AND SUBJECT TO
FOR VIOLATION OF APPLICABLE PROVRIZ! �1
1"IF
Oper: DSMITH Type: OC Drawer: I
Date: 2/26'W 01 Receipt no: 37554
14 PERMITS—BUILDING 1 $45.00
Trans number: 791391
CK CHECKS 11176 $45.00
T-rans date: 23/26/02 Time: 8:05:33
CITY OF ATLANTIC BEACH, FLORIDA
ApPro%vd by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
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 IWACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
5-/L--/e
ELECTRICAL FIRM: CTRICIAN SIGNATURE JOURNSYMAN
4�4e
NAME ADDRESS:
F D
OLDO.SIZE BETWEEN:
RES. APT. ( comm. ( PUBLIC INDUS. NEW( OLD ( REW.
ADDITION ( TRAILER ( TEMP.I SIGNS ( -SCL FT.
SERVICE: NEW( I INCREASE REPAIR FEE
CONDUCTOR SIZE 114/0 AMPS COPPERf ALYM. bd
-7 4
SWITCH OR BREAKER 'Z W 7-��V'LT
92 AMPS PH 0
EXIST.SERV.SIZE___ _ AMPS IN VOLT RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALEDI OPEN TOTAL
RECEPTACLES CONCEALED1 OPEN TOTAL
Mrs. $1.100 AMPC
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0-100 AMP ova*
APPLIANCES BELL TRANSF�
AIR H.P.RATING H.P.RATING
CONDITIONING I COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT:, KW-HEAT
7,
0-1 OVER
MOTORS H.P. VOLTAGE PHS No. I N.P. VOLTAGE PHS
MISCELIANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. K VA IND. lKVA
NO. NEON TRANSF. IND. VA. MA. MOTOR SIZE FLASHER
EACH SIGN
SWITCH
FORWARDED
TOTAL FEES
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX 247-5877
NFORMATION
L04 T dw
E ROD
Address: —44470 EACH, FL 32233
I'� ATLANTIC B
umber: Range: Book:
Permit Type- MECHANICAL Township- k: Section.,
Class of Work: ALTERATION Bloc
Lot(s):
Proposed Use: SINGLE FAMILY Subdivision: ROYALPALMS
iber: ........ .............
Square Feet: Parcel Num
Est. Value: OWNERjN�F(Jt�T
-–--------- 'V&—DONALD, JOE
Improv. Cost: i� Name:
ed: 2/21/2002 Address- 440 SKATE ROAD
Date Issu 37.00 ATLANTIC BEACH, FL 32233
Total Fees: 37.00
Amount Paid: phone: (900)000-0000
Date Paid: 2/21/2002
C
R. APP INNO.-
LORD
IR OF N.E. FLOR
N
4-A
f77
q'fA
CTION
NOTIC LIC SPACE AND
TOR--o�L
BUILDING MATERIA1
MUST BE CLEA my -
05
IN THE
1E
"FAILURE TO COM
PROPERTY OWNER P
AND SUBJECT To REVOCATION
ISSUED ACCORDING To APPRU
FOR VIOLATION OF APPLICABLE PR
T
Oper: D ITH 6923
D'ate: 22 1 ec pt
7.00
14 P Ki -BulAyG
A TIC BEACH B ILDI- G DEPT. Prans Limb . 1 7.00
H K 2 62002
Travis ate-
01T i me: L
City of Affantia- Beach
Uechanical Pern-�t
ApNicant to corricilete numbered spaces on1v
Job Address: Lj H k) PU
1 Lot No. Block: Tract se attached sheet
2 Owner(Mailing Address): k4, Phone#
3 Contractor(Mailing Addraw). 0 SQ'AU 44 Registration#:
4 Architect or Designer(Mailing Address); Registration
6 Engineer(Mailing Address); Registration M.
7 Lender(Mailing Address): Branch
8 Use of Building:
9 Class of work: Adclition Afteration - Repair
10 Describe Work: fq PLh"
Permit Fees;
.......... -----
Equwmmt Fee
Special Conditions: )4r,Con&dorA4tkft-KP.Each
Accepted I Plans CrIeCKeo-7-Approvea ReffWrafion Unites-H.P.EaO
NOTICE DDfier—sKP-Each
This permit becomes null and void if work or construction Gas Fired AC.Unfts-Tmnaigie EaO
authiorized is not commenced within 6 mixths,or if construction or Forced Air System-B-T.U. M Ea,
work is suspended or abandoned for a period of 6 months at any
time after work is commenced.
GraVity Systerns-B.T.U. MEa.
I hereby certify that I have read mid examined this application and Floor Furnaces-8,T.U. M
know the same to be Inje and correct. All provisionS of taws of
taws and ordinances governing this type of work will be complied
r W8'HeaWs 'T�U' M
with whether specified herein or not,the granting of a permit does
riot presume to give authority to violate or cancel the prmovision of �*K Heaters-8. U, M
any other state or local law regulating construction of the
performance of construction. coolers
-064i6ii DW
Verdafion Far,
rizea Agynt Date
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Air Hancling Unit- C.FM-
Incinerator
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Signature of owner(it LFwner Builder) Date
Permit$
CITY OF �2-4j-GZRG
4&aakz Be4wA-OM"'Ja dc)E
office of Building Off;Igeal
REQUEST FOR IN CTION 9:3 (a Ll
Permit No.
REQUEST FOR INS
Date (-Z I / -
M
A.M.
Time P M
Received P.M.
S( _T Locality
Job Address
owner's Contractor
Name M ING MECHANICAL
BUILDING CONCRETE ELECTRICAL
El Rough Wiring Air Cond. & El
Framing 1:1 Footing El Temp Pole E] Top ut [I Heating
Re Roofing 7 Slab [I Fire Place El
insulation 11 Lintel 0 Final [i Sewer Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. Friday_-qp
A.M.
Inspection Made P.M.Final Inspection El
Inspector- Certificate of occupancy 0
Date
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877
PLUMBING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 23645 Address: 440 SKATE ROAD
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: ROYALPALMS
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued:. 3/14/2002 . Name: MCDANIEL, JOE
Total Fees: 46.50 Address: 440 SKATE ROAD
Amount Paid: 46.50 ATLANTIC BEACH,' FL 32233'�
Date Paid:. 3/14/2002 Phone: (000)000-0000
Work Desc: RE-PIPE
CONTRACTOR(S) APPLICATION FEES
�TEEG PLUMBING PERMIT .46.50
. . ............
VMS-
M
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r
eg All
1ZW
A
MMY;a
CTION
NOTICE
-------------------------- 54
11A
j PUBLIC
BUILDING MAI
'OWNER
-SPACE, AND.MU
mt:
"FAILURE.TO.Co
OR
PROPERTY OWNE IL
ISSUED ACCORDING TO.�A --��-I J.ECT TO R8VOCATJON.'.-
LICWFOR VIOLATION Of APP' '
7q
CHERYLE . Type: 0C DraveT:
Open -01 Receipt Tw".- . 41649
Date: 3/14/92
PERMITS-MILDING I A46.58
795812
obeT'
TTans nu 4908 . $46.50
U CHECKS
N .10 BEACH BUILDiN0--DEPI
irans date: 3/14M
CITY OF ATLANTIC BEACH
APPLICATION FOR PLU14SING PERMIT
JOB LOCATION:-
OWNER OF PROPERTY: TELEPHONE NO.
PLUMBING CONTRACTOR
CONTRACTOR' S ADDRESS : A�e
STATE - LICENSE NUMBER: TELEPHONE:
HOW MANY OF THE FOLLOWING FIXTURES
RE-PIPED OR NEW
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DIS20SALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER __/_WATER
- RE-PIPE (LIST FIXTURES BEING REPIPED)
OTHER
TOTAL FIXTURES: x $3 . 50 + $15. 00
MINIMUM PERMIT FEE - $25 . 00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
--------------------------- -----------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
PSR-3844 8806
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
�`ERM I T I N li,7-,I�Mhl"o�:,N
I - -1 - INFORMATI��-N
Permit Number , 8806 Address ,, 440 SKATE ROAD
Permit Type : F,E--R O�'.)F ATLANTIC BEACH , FLORIDA 3422-
�`Iass of Work! NEW ---------- LEGAL DESCRIPTION --------
enstr . Type : WOOD FRAME Lot : El ack Secti -n,
Fvopos,�?d Use: FINGILE FAMILY Township : RN;--!
Dw�e I I i ngs d e. 0 Subdivision :
F -m a t e d Value,
.Improv . _`ost :
Total Fees , �,22 , lo'
$22 . 5f;
Amoulat
W N ER INFORMATION --- APPLICATTON FEES
MAN PERMIT
SFATE ROAD WAT R IMPACT FEE
1W Ch F LO R 1 LA
�'S P _IMr111(It FEE n
TAP $'0 A],
RADON GAS-H.R. S. $0 .0c,
"0 TOR',-4 N FORMAT tON ---- RADON CAB 5% �0 . 00
TR'P*C
-'RU -�N CAPTTAL IMPROVE . S)0
ame : J LDNG CONS T CT11-
Address—
,"SAT -AVEN-TJE SNER TRP $0 .
2
RnSS �'ONNECTICN so
JA C K$
, �014VI L L E . F L
L i c ew! 0 44 -,?
Type: SEC H IMPACT FEE
.�ONST . SURCHRRGE
f4E - b-
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
PAID
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN R#�&f
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVE T A
City a! Rd
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ALANTIC BEACH
ROOFING ERMIT APPLICATION
Owner(s) :
A d d r e s s Phone:
Lot #_, Block or Unit # Subdivision:
Contractor :
Address :
City , State and Z i p Phone Anl'
State License
Describe work to be performed:
Valuation of Proposed Construction:
M a t e r i a 1 s t o b e u s e d: IV11,0111,5- zt:�4-
Signature of Owner;
Signature of Contractor:
Liability Insurance Supplied
Workers Compensation Insurance Supplied
License Information
FOR OFFICE USE ONLY
Date---------?J-k------------192/
Permit
CITY OF ATLANTIC BEACH Valuation $....... ..................
FLORIDA House #.......
..$4 .7
.0..............
............................................................................
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.... .......7__---------------------------------- -----------
-------------------
_7
-----------------
Owner4!:�:'X, ---------------*----------------Address-,-...................Wf../ ........Telephone Nof
Architect................... ..... -------------------------Addres&--------------------------------------------------........Telephone No---------------- ------
40 ---------------- ---- -------- _7�- ------------I----Address9? - ---------------
*'Z to W1 15 r. !� 18 Telephone
------ -----------
Contractor Builder ----------------- -----------Zone-------------
Lot No.-J-9-----------------------------------------Block Nolf...... ----------Sub Divisio'14------------------------ -----
-----------------------------------Street' _,_v------------- ------------------------
PZ'O-� Side Betwee,i;�,_,45��. __. and. 7-------------------------Sts.
-- ------------
14 A
-------------
Valuation ---------------For what purpose will building be used-P-M -- - -------Type of construction- /F y
Dimensions of Building_Pi_;�._42q.-----------Dimensions of Lot---. -------------------------Size of Footings--- ---- ------------
Size of Piers- ---- - -------------- -----Size of Sills----- .....Greatest Sill Span in ft--------------------------Type Roof)��/
.................1-1--------
How will Building be Heated?---- ................Will Building be on Solid or Filled Ground?.5p A1.40..................
- ------------------------ - 1 9�
Size of Ceiling Joists...;�_ )k /' Is--- -------------_------------ Greatest Span............................................
-----------------------------------I Distance on Cente
Size of Floor Joists-----------------------------------------------Distance on Centers- -- --- - ---------------------------- Greatest Span---------..................................
/
Size of Rafters---------- ------------------------ Distance on Centers ---------- ----------, Greatest Span-----1_�4----------------------------
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
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.
E- 4�
4. When framing is completed. 3 N1
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. 9�
7. Electrical inspection by City of Jacksonville. 6i
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached pt and specifications, which are a part hereof, and in accordance with the building
. qLw
regulations of the City of Atlan ReatbK 'I
. . ..........
C . . ....... . -1----- -- 771—4
le, Address -'s---kv,--
Signature of Buil' 4-�
Signatureof Own( -7 ---------------- Addrese......................................................------------------------------------------
MY OF AnAM C 1EAGi
CODE VIOIATION FOR4
Date 10/20/87
Address and/or Location of Violation 440 Skate Road
M�M Junk cars and trash in yard and carport
Owner and/or Tenant of Property
SIMA� OF MVLAUM Q�VaZ�el Phme# 249-0834
ADDRESS 371 Skate lbad
--------------------------------------------------------------------------------
Date of Investigation 10/20/87 Investigatory. A,. K rb �r �.
Conditions Found Children's gym set in yard, ,and bar-b-que grill with
lawnmower
Action Taken Everything in yard appear�d to normal for family residing
at this address.
Coupliance
NOTES:
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
A INSPECTION EMAIL REQUEST:
Bui1dingz-dej2t@coqb.us
Application Number . . . . . 07-00001017 Date 7/16/07
Property Address . . . . . . 440 SKATE RD
Application type description ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4900
----------------------------------------------------------------------------
Application desc
REROOF
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
MCDANIEL WHITES ROOFING COMPANY INC
440 SKATE ROAD 14262 PLEASANT POINT LANE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
(904) 220-5546
----------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 54 . 50 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4900
Expiration Date . . 1/12/08
-- --------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- -- -------- ----------
Permit Fee Total 54 . 50 54 . 50 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 54 . 50 54 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BuILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach Fl,32233
Office: (904)247-5826 9 Fax: (904)247-5845
Job Address: 440 Skate Rd Atlantic Bch, Fl Permit Number:
Legal Description 440 Skate Rd. Atlantic Bch, Fl.
Valuation of Work(Replacement Cost) $ 4, 900-00
• Class of Work(Circle one): New Addition Alteration Repair Move
• Use of existing/proposed structure(s Circle one): Commercial Residential
N W I
If an existing structure, is a fire sp i er system installed? (Circle one): Yes No N/A
Is approval of homeowner's association or other private entity required?(Circle one): Yes No
Describe in detail the type of work to be performed:
Remove existing roof, install new roof.
Property Owner Information
44 Skate Rd
Joe McDaniel Address- 0
N r
CZe�xt _�hone
1c
�n c
p
Contractor Information:
Name of Company:White' s Roofing Co. Inc. Qualif�ing Agent: Tim White
Address:14262 Pleasant Pt Ln city jax State 17 3 Zip 32225
Office Phone 220-5546 Job Site/Contact Number
State Certification/Registration# UCCU 5 8 U I I Office Fax 14-1--lb-11
Architect Name&Phone#
Engineer's Name &Phone#.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or
installation has commencedprior to the issuance qfapermit and that all work will be ?rformed to meet the standards ofall
if e
laws regulating construction in thisjurisdiction, This permit becomes null and void work is not commenced within six(6)
months, or jf construction or work is suspended or abandonedfor a period of six;V6) months at any.time after work is
0
commenced. I understand that separate permits must be securedfor Electrical ork, Plumbing, Signs, Wells,Pools,
Furnaces,Boilers,Heaters, Tan"andAir Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
i hereby cert��that I have read and examined this application and know the same to be true and correct. Allprovisions9f
laws and ordinances governing this type ofwork will be complied with whether specified herein or not. The granting ofa
permit does not presume to give authority to violate or cancel the provisions bf any other federal, state, or local law
regulating construction or the performance of construction.
Signature of Property Owner: Signature of Contractor_* _��
P_ � <_
Swom to and subscribed before me Sworn to and subscrAed before me
this,/.a Day of , 2 00 -7 thiy=:j_Day of
,&
xlld�
Notary Public: col _-.01 P4& DFRRI F J.R1 R Notary Public:
Ar
MMI C(t,,ImISSION DD498W
My=!1RES!j
My COMMISSION*DD49SM4 M
EXPIRES: Dec.12.2009 occ.12.2009
r 11-14 OF
t.w?)321h-01 53 Flarlda Notoy Swyloo.corn
REVISED 03.05.07 �,_, t! R Ida NovVY S-i--
NOTICE OF COMMENCEMENT
state of Florida Tax Folio No.
County of Duval
To Whom It may concern:
'fhe undersigned here.by informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMNIENCENIENT.
Legal Description of property being improved:
440 Skate Rd Atlantic Bch, Fl.
Address of property being improved: 440 Skate Rd. Atlantic Bch,, Fl.
General description of improvements:
Remove existing roof, install new roof.
Owner: Joe. McDaniel Address: 440 Skate Rd Atlantic Bch, Fl
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
qqmlgto��r White' s Roofing Co. Inc. (Tim White)
Address: 14262 ,Pleasant Point Ln. Jax. Fl. 32225�
Telephone No.: 2 2 0—5 5 4 6 Fax No:
Surety(if any)
Amount of Bond$
Address:
Telephone No: Fax No:
Name and address of any person maldniz a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served- Name:
Ad,4—SS:
Telephone No: Fax.No:
In addition to himself� owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDEWS USE ONLY OWNER
Signed: Date:
Before Of in the county of Duval,ftate
Of Florida,has personally f 12
Doc#2007228522,OR 13K 14086 PaV 640, Notary Public at Large,Stal U191-
Number Pages:I my commission expires:
or
Filed&Recorded o7/16/2007 at 10:19 AM, personally Known:
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Produced Identiffli on: Uri
RECORDING$10-00 (4M 39"153 Flcq,.,--'z a-Aw�Sevvioaom
L-1�--