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426 Skate Rd (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027744 'Date 2/20/04 Property Address . . . . . . 426 SKATE RD Tenant nbr, name . . . . . . RE-ROOF/RUBBER Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 Owner Contractor -------------- - - -- -- - --- -- - ---- - -- -- ---------- - - MCDANIEL, JOE WHITE ' S ROOFING CO . 533 MYRA ST 181 PRINDLE DRIVE EAST NEPTUNE BEACH FL 32266 JACKSONVILLE FL 32225 (904) 241-2518 (904) 220-5546 ------------- -- -- ----- - ----- -- - --- - - - - - - - - - - - - - - - - --- -- - - ---- -- - --- - -- - ----- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5000 Fee summary Charged Paid Credited Due ---------------- - - ---- ---- - - - - - - -- - -- -------- -------- - Permit Fee Total 83 . 00 83 . 00 . 00 ' Plan Check Total . 00 . 00 . 00 'Grand Total 83 . 00 83 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTIWCTIOf,4 LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORD j.0 A] 1140 ffROVED PLANS WHICH ARE PART OF TIUS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROT FLAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT .CALCULATION SHEET Address Date dN .1c, -0 Heated Sauare Footage $ per sq ft = $ Garage/Shed $ er sq ft = $ Car�)ort/Porch @ per sq ft = $ Deck @ $_per sq ft = $ Patio $_per scr ft = $ TOTAL VALUATION : $ 3 $ Total Valuation 1st $ Wc- 56 C),-) $ Remaining Value per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee- $ 91 Fireplaces @ $15 .,00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ) RADON (HRS) . 0050 $ SECTION H PAVING ( $ HYDRAULIC SHARES $ CROSS CONNECTION $ SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ i�, -3 - ADDITIONAL PERMITS OR FEES : 4echanical Plumbing Electric/New Electric/Temp_; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : Cc: CITY OF ATLANTIC BEACH D. Ford ,C- �iggms�, BUILDING / ZONING DEPARTMENT 800 Seminole Road Atlantic Beach,Florida 32233 --- (904)247-5800 R E C E I V E D (904)247-5845 Fax CITY COF ATLANTIC BEACH C B B'J I'_ JILDING &ZONlNG PLAN REVIEW COMMENTS FEB 19 2004 Permit Application Cq- 2--7-7L4 BY Property Address: 4'Zto Applicant: C Project: RC-C-F / iR0e'-6Cfz— This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Lt+- Date: Q I a It I i Rug 25 03 10: 24a Information Stistems 247-5845 P. 1 R E C E I V E D CITY OF ATLANTIC BEACH L 7BUILDING & ZONING CITY OF ATLANTIC BEACH FEEB 19 2004 V.r.[I, ROOFING PERMIT APPLICATION Date: Job Address: Owner of Property: vw Address: Telephone k', Contractor: '\.A% LicenseNumber- Contractor's Address: L 0,�Vn 1 Telephone: Fax: Scopg Of Work:Ze—mok."e C)rr"VP—k 1�lj 41,0,VV\ Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work: Product Name(Example:Timberline): t\ le Manufacturer(Example:GAF): c-,C, ASTM Designation(s): 0 co ORL Required Inspections: Sheathing and Final Signature of Owner: /w-e4— /I- )k_Q� Date: Signature ofContractor_� —Date: AS TO OWNER: Sworn to and subscribed before me this da of y ------ 20_04 State of Florida,County of Duval Notary's Signature: eor BWbwa Kaye Kwwmft 15-'Personally known El Produced identification My Cornrrwision CC97SM1 Type of identification produc ExplraaOdober22,2004 AS TO CONTRACTOR: 196K Sworn to and subscribed before me this day of State of Florida,County of Duval Notary's Signature: 4_:!�A botr, r we LLL_(_� ,,,N Barbara 2-11p,ersonally known MY Cornrniuion CCU78MI 0 Produced identification %V1W Expirea Oclober 2Z 2004 Type of identification produced 800 Seminole Road -Adaetic Beach,Florida 32233-5445 Page I Telephone: (904)247-SSOO -Fe I x: (904)247-5845 -http://www.cLatlantic-be2ch.n.w Rcvised 2121/03 .5 MIN. RETUM Book 11641 Page 2106 PHONE #- Doc# 2004055363 BooP: 11641 Permit Number Tax Folio Number Page: 21.06 - 7-11-e" Recorded 02/19/2004 09:39:25 AM NOTICE OF COMMENCEMENT JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $ 5.00 STATE OF FLORIDA TRUST FUND $ 1.00 COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be mad to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. . 1. Description of property: L 0 c- 2. General description of improvement: 3. Owner information: Address: 1. Name and 2. Interest in property: cm P�e[: I 3. Name and address of fee simple titleholder(other than owner): 4. Contactor's name and address: a. Phonenumber: t=- ��Ao b. Fax number: 'M 5. Surety Information: a. Name and address: b. Phone Number: c. Fax Number: d. Amount of Bond: 6. :Lender's name and address: a. Name and address: b. Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents maybe served as provided by 713.12(l)(a), Florida Statutes. a. Name and address: b. Phone number: c. Fax number: 8. In addition to lifinself/herself, owner designates of to receive a copy of the Lienor's Notice as provided in Section 713,12(l)(b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of Recording unless a different date is specified) Signature of Owner: �/ Sworn to d subscribed before nie this day of 20_Q.(4 Not Kn wn personall shown: KerAW ;Kmy=CCO76MI my commission expires: 19 W &*res Gdobei 2t 2W4 CITY OF 4&4a4-c Be=4-P;Am*A Office of Building Official REQUEST FOR INSPECTION Date J\A Permit No. Time-�* A.M. Received RM. 2-14 Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing El Footing 11 Rough Wiring Ej Rough 0 Air Cond. & Re Roofing El Slab 1-1 Temp Pole D Top Out El Heating Insulation El Lintel L7 Final D Sewer 0 Fire Place Pre Fab READY FOR INSPECTION A.M. Wed. Thurs. Friday-P M- Mon. Tues. A.M. Inspection Made PM. Inspector Final Inspection 7 Date Certificate of Occupancy Ej CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025806 Date 4/03/03 Property Address . . . . . . 426 SKATE RD Tenant nbr, name . . . . . . HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ GRANDISON, HEADLEY ARCTIC AIR OF NE FL 426 SKATE ROAD P.O. BOX 50496 ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-1816 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. �FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS�ISSUED ACCORDING TO"PROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CI BUILDING OFFICIAL CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: 2Y- Owner of Property:_ Job Address: �/ Contractor: )�/-Z-c' In consideration of permit given for doing the work as described in the above statement,we hereby agree to performsAid work in accordance with the attached plans and ipecifications which are a pan hemf and in accordance with the City of Atlantic Beach ordinances and standards of good practice I isted therein. III. GENERAL INFORMATION A. Type of heating fuel: B, Pf�- Electric IS OTHER CONSTRUCTION "ONE ON THIS U Gas: —LP —Natural —Central Utility BUILDING OR SITE? CI oil 0 Other-Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE _UTURE OF WORK Er Residential or Commercial INSTALLED 0____blcw Building (bovide complete list of components on_ c of this form) iS Existing Building ty,ticut _Space _Recessed Central Floor U Roacement of existing system Aa---Air Conditioning: Room �Ce;iial Gr- New Installation(No system previously instatled) • Duct System: Materiial /Z- 4)' Thicknewl-2L2-- (3 Extension or add-on to extifing,system' • Refrigeration MINXimum caP6citY---S-CL0—cfrn 0 Other-S peel f� 0 Cooling tower: Capacity _______gprn 0 Fire sprinklers: Number of beads THIS SPACE FOR OFFICE USE ONLY 13 Ele-mtor: _ Mainfift_Escalitor_(Number) (Received) • Gasoline pumps _(Number) • Tanks _(Number) Remarks • LPG conamers (Nuffba) 0 Unfired pressure vessel Permit Approved by_ Djtte�_ 0 Boilers 0 Other-Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving (Torls) Ageo,:�v c t> o Z' HEATING-FURNACES,BOILERS,FIREPLACES Number Unks Description Model Number Manufacturer Capacity Approving (BTU) Ancacy H7A 792A112,222--- zcc-ioazynn -zLw4je, aXloan 0/— TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimmsions Contained I�Unu&cturcr No, Agency M Seminole Road a Aflastie Beach,Florida 32233-SU5 Pbunc:("4)247-5900*Fax:(964)247-5845* http:llww-w.cLadwnic-beachfl.us 1/14/03 1.st CITY.OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025781 Date 3/31/03 Property Address . . . . . . 426 SKATE RD Tenant nbr, name . . . . . . UPGRADE Application description . . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ MCDANIEL AMERICAN ELECTRICAL CTR 426 SKATE ROAD 5065 ST.AUGUSTINE RD #3 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 737-7770 ---------------------------------------------------------------------------- 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 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 ACCORDM To"PROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBIECT To REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL Building Department 904-247-5805 P. 1 CITY OF ATLANTIC BEACK FLORIDA 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 SPSCIFICATIONS, WHICH ARE A PART HEREOF, AND IN-ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC REACH ORDINANCES. AyrE�I�AA_ ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOUSNEYMAN NAMEA-4 DA 0 L ADDRESS, 41a i A", It isv-)4 v-x-f"v77-Le H&ws af-V S BLDG.SIZE BETWEEN:- A'1*11_��T' - 0 RI APT.I COMM.( PUBLIC INDUS.( NEW OLD REW. ADDITION TRAILER( TEMP.( SIGNS ( _SCL FT. SFRVICF-- NEW INCREASE 10-111- REPAIR FEE ,,, e"-, CONDUCTOR SIZE AMPS.-n_C_,/ COPPER ALUM.I AMPS P14 Wj'q1 VOLT Vk� RACEWAY SMTC14 OR BREAKER 41 EXIST.SERV.SIZE t AMPS PH W VOLT Coa RACEWAY FEEDERS NO. SIZE NO. size No. SIZE LIGHTING OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED OPEN j TOTAL.., a-so Am". I at-100 AMPS. I SWITCHES INCANDESCENT FLUORESCENT M.V. FIXED 0-7043 AMM. APPLIANCES ISELL TRANSF. AIR H.P.RATING M.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT-1 XW-HEAT I I No. OVER MOTORS M.P. VOLTAGE PHS I VOLTAGE PHS E____f J MISCELLANEOUS TRANSFORMERS. UNDER 600 V. OVER 600 V. KVA NO. 1KVA VA. MA. MOTOR SIZE I SWITCH L FLASHER EACH SIGN NO.NEON TRANSF. No. FORWARDED L��T�AL FEES CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026772 Date 9/02/03 Property Address . . . . . . 426 SKATE RD Tenant nbr, name . . . . . . RE-PIPE 6 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ MCDANIEL, JOE STEEG PLUMBING 426 SKATE ROAD P .O. BOX 330536 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 ---------------------------- --------- --------- --------------- --------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 77 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 77 . 00 77 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 77 . 00 77 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF TIES PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 800 Seminole Road Atlantic Beach,Florida 32233 oil 9' (904)247-5800 Job Location: Owner of Property: S6 C 0A vi(le- Telephone: Plumbing Contractor: Contractor Address: State License Number: Cy"�6 0 3 71 1� Telephone: C�q�- How many of the following fixtures: El New or Re-Piped SINKS SHOWERS LAVATORY WATERHEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER-PANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPfPED) OTHER Minimum Permit Fee: $3 5.00 Total Fixtures: X $7.00 + $35.00 Signature of Owner: Signature of Contractor: Installation of plumbing and ffixtures 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 .1 \I- � 1 '55 Ms CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 09-00001076 Date 7/28/09 Property Address . . . . . . 426 SKATE RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc foundation repair ---------------------------------------------------------------------- ----- Owner Contractor ------------------------ ------------------------ GRANDISON, HEADLEY FOUNDATION SYSTEMS & EQUIPMENT 426 SKATE ROAD Q/A:MULLINS, HARRY WALLACE ATLANTIC BEACH FL 32233 PO BOX 50545 JAX BEACH FL 32240 (904) 241-4425 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . 25 . 00 Permit Fee . . . . 50 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 3750 Expiration Date . . 1/24/10 ------ ---------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total 25 . 00 25 . 00 . 00 . 00 Grand Total 75 . 00 75 . 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- r7777 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 9 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US DUVAL COUNTY BUILDING PERMIT APPLICATION 1.JOB ADDRESS: 2.VALUATION OF WORK 13.SO.FT.UNDER ROOF -1116 '591dirg . -') I /e�) 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE: El NEW BUILDING El DEMOLITION ZPFS'IDENTIAL LOT A(-BLOCK/ SUB DIVISION /,.7 -o�f -5� 11 ADDITION El CONVERTING USE 0 COMMERCIAL 7,DESCRIPTION OF WORK: 0 ALTERA-nON 11 ACCESSORY BLDG. 8.FIRE SPRINKLER: JAI, �j 0,-,<PAIR 1-1 POOL/SPA D YES 11 N/A 44'-j I El MOVE 0 OTHER- 0 NO-- PROPERTY OWNER: CONTRACTOR: ARCHITECT aNGlNEER-.,,' 9.NAME:"7 C JAJ 115,COMIPANY NAME: 23.COMPANY NAME: 0"q Cf _ .4L f "J.'('d'/7 I'll 5�Z-s4m� �q 41 Z 6 /z-',4r 16.NA E' 24.LICENSEE NAME: 'j, A7/'� ; e--,F- /-?,I-j j 1.1 - P. 10 ADDRESS: 17.STATE Or FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSF NO.: C-13 C- 0-:5 2-7 0 6) 4-17,;,/�4 18.ADDRESS: 26.ADDRESS: 'S 7ZC) / 2_4 -3 zz-3 3 �j A X Se I- ,,Cl. :5 -a-iQ �- /-- / 3 2 2- j(, 11.OFFICE PHONE 12.FAX NO. 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 128.FAX NO.: - I - 2L11- 4fq2--5 5-c/� --7006& 1 - 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 4�13 - 2-2c4( 12 1?1-1-7-ed S L-1 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: A d 41-7. a-�, 11-sew,I//- All/- FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (iF OTHER THAN OMER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: 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 j urisdiction. 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. icable OWNEWS AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all appl 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, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of Attorney orAgency Letter Required) (Qualifier Only) Signed: Date:7- g7 Sio--.d-:: Date: V Before rn this day of 2009 in the county of Before me this 3 day of--jF%4./ 2009 in the county of A Duval,State of Florida,has personally apLred Duval,State of Florida,Ihas personallylp--n� A Aj herin by himself herself and affirms that all statements and declarations are herin by himsk I lerse r onspre orl-."y PO, i otary ub Ic true and accurate. true and accurate. -3illy C ts McMahan .rge A Notary Public at Large,State of County of &/'o Notary Public at L 'one OTre'r's Ily Known 011-6�onally Known 0 r--xpires 05111/2011 0 Produced Identifica 0 Produced Identificatio ti on.- X'3� �t! Notary Signat;e- Notary Signat TI-IS146 JILA�dyvAr"E' X A-) JE eofw CE ,�xl pv,, �4otary Public State of Florida CITY OF ATLANTIC BEACH SEE PERMITS FOR ADDITIONAL Hary W Mullins My Commission DD4288J26 REQUIREMENTS AND BLDG01 Permit Appli ...... CONDITIONS. REVMVED BY: DATE: NOTICE OF COMMENCEMENT State of )CI-017—A�4 Tax Folio No. -7-00 County of L)it 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 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: 4,>4— Address o'Lproper-ty being improved: 37 2-3 General description of improvements: Aw" 2 /�V A Address: Owner: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor Address: AD-0,:w -.5rdsit-5 Fax No: ';,P Le y 7 Telephone No.. Surety(if any) /L/ Address: Amount of Bond$ 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: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: la Address: Telephone No: Fax No: In addition to himselt 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: /V/Y Address: Telephone No: Fax No: fF Expiration date of Notice of Commencement(the expiration date -is one(1)year from the datte of reccurdi-ug unless a dl specified): TIUS SPACKFOR RECORDER'S USE ONLY OWNER Signed: 4"L., Doc#2009,I76802,ORBK14951 Page604, Date- Before me this day of V , '2 a P in the County of Duval,State Number Pages: I Recorded 07/271;2009 at 11:11 9 AM, Of Florida,has personally appeared JIM FULLER CLERK CIRCUIT COURT DUVAL Notary Public at Large,State of Florida,County of Duval. C'O U NTY My comn-dssion expires: RECORDING$10.00 Personally Known: or M-nsz- opq Produced Identification: �-�. a ��xpi08 0 b "P res 0&30/2009 w z z Z 0 0 o 0 > 0 5' 6. 0) V 0 O'Q FA CL 3 co CA 9A 3 m 0 < 0 ID ID aQ M 3. C CA 41 he 9A m a) 3 Ln R cr 0 (D 0) < 13 0 0 m 0) 5: cu n CL 13 0 m cu C. ('D' CL -+ (D aq (D 0 (A. z 0 0 (A 0 3 0. m V > < (D 0 z Lq In 0 c a Qz z < a 00 cri n > vA, (A A > -q z Aq M > 0 c 0 Z > z z z m G) m ;a < - F. r, V z rp m Z m M > = w I z Z Q &) m 0 n m Z Z 0 > n Cj) < Z M (A C n raz P 0 z 0 z > > City of Atlantic Beach APPLICATION NUMBER st Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 I rd,I Is)' E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM ��2 6 0 Ll Property Address: J 4 09 711 Depaftmpnt review required Y No Applicant: 15-1anning &Zoning Tree Administrator Project: 10'5)&,a A-,A, tn Public Works Public Utilities Public Safety Fire Services Review fee $ bept Signature' Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida D Eept. of Environmental Protection ir Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: DAPProved. DDenied. (Circle one.) Comments: 6� PLANNING &ZONING Date: Reviewed by: -14 oe TREE ADMIN. Second Review: FlApproved as revised. oVenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:— Date:— FIRE SERVICES Third Review: F-]Approved as revised. oDenied. Comments: Reviewed by: Date: Revised 05/14109 FOR OFFICE USE ONLY Date---------;�b-/_7_/----19 ...... Permit # 4...Fee$.,? .0dr ............. CITY OF ATLANTIC BEACH Valuation $ FLORIDA House #......V. (e...... ............................................................................ 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-------------_-------------------------------------------------------- 19...... Owner...... ------------------------------------1-------------------------------_-Address-----------------------------!----------------------------Telephone No------ ------------ Architect-------------------------------------------------------------_---------------------......Address,------- ---------------------------------...-Telephone No----------------------------- Contractor Builder--------------------i ---- -------------------------------------------------Address-----------------------------------------------------------Telephone No------------------ ----- LotNo------ ------------------------------------------Block No—L'I--_-_--------_----Sub Division-..---------------------------------------------------------------------------Zone----------------- --------- ---------------------.-Street----- 4- P T t A Side Between-.T---A "'. ---------------and---(__ � ;F' .............................. ---------------------------------------------------Sts. 4_�� - -� y .............For what purpose will building be u kw J/ ^4 ,.,A /) Valuation $----- sed-- - ----- ----- -----Type of construction-A----------I........................ Dimensions of Building-- -------------Dimensions of Lot- '4�Al C --------.......---------------Size of Footings.------------------------------------- 1� ' " '�41 )';� Size of Piers-------------------------------.--Size of Sills---------- -------- ----------Greatest Sill Span in ft.-- ------ Type Roof_ /--------------------- How will Building be Heated? 4 --- --------------------- -- ---------------Will Building be on Solid or Filled Ground 9------" ................................... ;�_ Size of Ceiling Joists-----V..A-6------------------_-------- Distance on Centers-.-----b�-------------------------------- Greatest Span............................................ Size of Floor Joists-.---------------------------------------------Distance on Centers----------- -- ------------------------- Greatest Span............................................ Size of Rafters..__ __ A i� ------------- I 1.i�. --- ---------------------- ......Distance on Centers....1 4- -------- ............, Greatest Span-........................................... This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 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. E-4 E-4 4. When framing is completed. 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. 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 plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signature of Builder-.-------- ......I-------------------_------I.................................... Address--- ------------------- --- e---- ------ Signatureof Owner........... ......:...........-------------------------------------------------- Address............................................................................................. CITY OF '4&4a&r, BewA-&7&u'da Office of Building Official RE61JEST FOR INSPECTI N Date Permit No. Time A.M. Received P.M. Locality Owner's Job Address Name Contractor BUILDING CONCRETE PLUMBING MECHANICAL El Footing Framing Ro.g ir�,ngRough E Air Cond. & Top Out El Heating Re Roofing [1 Slab TeTp�� E Fire Place E Insulation 17 Lintel Sewer Pre Fab READY FOR INSPECTION Th 6-0 Tues. Wed. A.M.urs. Inspection Made RM.Final Inspection E. Ins ctor Certificate of Occupancy j Date 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 : --- ------- ---- -------------- /.ez)-1 -------------- ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY , BUILDING INSPECTION DIVISION cc : FILE CITY OF Ir P& Ve4d - 57&zed4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 A��Z 1997 FAX(904)247-5805 SUNCOM 852-5800 Jerry Richey 2280 Four Winds Drive Jacksonville, FL 32224-1148 Dear Sir: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: Re: 426 Skate Road alkla Lot 16, Block 19, Royal Palms RE#171559-0000 Investigation of this property discloses that I have found and determined that you are in violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-3, high weeds and grass. You are hereby notified that unless the conditions above described are remedied within seven (7) days from the date of your receipt hereof this case will be turned over tothe Code Enforcement Board. Under Florida Statutes 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violabon. Sincerely, U Cr Karl W. Grune Id Code Enforcement Officer KWG/pah cc: Public Safety Director VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED #6598 CITY OF ATLANTIC BEACH, FLORIDA Approvod by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 9& IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 4 v JOURNEYMAN ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE NAME ADDRESS: 444 -SXe"tf AV RFD—BOX— BLDG.SIZE BETWEEN: RES. K) APTA COMM. PUBLIC INDUS. NEW ( I OLD ( REW. ADDITION ( I TRAILER TEMPA SIGNS ( ) SQ. FT. SERVICE: NEW ( INCREASE ( REPAIR 04 FEE CONDUCTOR SIZE AMPS COPPER f I ALUMJ I SWITCH OR BREAKER AMPS PH W VOLT RACEWAY .— EXIST.SERV.SIZE AMPS PH .3 w ' IVOLT RACEWAY FEEDERS NO. SIZE IND. SIZE SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL SWITCHES 0.30 AMPS INCANDESCENT FLUORESCENT&M.V. FIXED 0�100 AMPS. OVER --TBELL TRA APPLIANCES __NSF.=-- AIR H.P. RATING H.P. RATING VUU-Wr-AT CONDITIONING COMP.MOTOR OTHER MOTORS I AMPS ICEIL HEAT] 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGjE PHS MISCELLANEOUS 'Le've.-C., If / TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA IKVA 7H FLASHER NO.NEON TRANSF. NO. VA. MOTOR SIZE SWITCH EACH SIGN FORWARDED TOTAL EES —1 CITY OF /*4ut� Fend - 57&,ri� 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 Au 12, 1997 FAX(904)247-5805 SUNCOM 852-5800 Jerry Richey 2280 Four Winds Drive Jacksonville, FL 32224-1148 Dear Sir: Our records indicate that you are the owner of the follovAng property in the City of Atlantic Beach, Florida: Re: 426 Skate Road alkla Lot 16, Block 19, Royal Palms RE#171559-0000 Investigation of this property discloses that I have found and determined that you are in violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-3, high weeds and grass. You are hereby notified that unless the conditions above described are remedied within seven (7) days from the date of your receipt hereof this case will be turned over tothe Code Enforcement Board. Under Florida Statutes 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely, Karl W. Grune Code Enforcement Officer KWG/pah cc: Public Safety Director VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED #6598 -P L OT I::""-A -z5cALr- ; A LOT r,F-:- 164 OF 7�-\S L)It,L I 5\VA '000, 7 ;1 .4 6 C- 10 Tt 7 '40 Z:�elVe 4;4PA610 A