451 Skate Rd (vault) CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
I
PERMIT INFORMATION _ _ LOCATION INFORMATION
Permit Number: 20430 Address: 451 SKATE ROAD
Permit Type: PORCH ATLANTIC BEACH, FL 32233
Class of Work: ADDITION I Township: Range: Book: 31
Proposed Use: SINGLE FAMILY Lot(s):5 Block: 18 Section:
Square Feet: Subdivision: ROYAL PALMS UNIT 2A
Est. Value: Parcel_Number:
Improv. Cost: 2,052.00 OWNER INFORMATION
Date Issued: 8/01/2000 Name: VOLAZQUEZ, LUIS C.
Total Fees: 37.50 Address: 451 SKATE ROAD
Amount Paid: 37.50 ATLANTIC BEACH, FL 32233
Date Paid: 8/01/20_00 Phone: (904)270-0606
Work D_esc: PORCIi ADDITION
CONTRACTORS f APPLICATION FEES
PROPERTY OWNER PERMIT 37.50
_
Inspections Required
j FOOTING FINAL BUILDING
i
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 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.
$37.5014
Date: 8/04100 01 Receipt: 0078 34
ATLANTIC BEACH BUILDING DEPT. CHECKS 12375 7493
00100003221000 1
C TY OF ATLANTIC BEACH PERMIT C CULATION SHEET
Address ISM SeAftry e�2p 0 /LC(-( PfD0(7-f0
Date 1 na
Heated Square Footage @ $ per s� ft =
Garaae%Shed @ $ Per six ;t = S
Carpo %PorCt 2 o 9, 0 6per sQ
DeC �@ per sq ft = :�
Patio @ per sq ft = •��
TOTAL VALUATION :
Total Vai}zation 1st�D n
OJ Z _ /CD S b --
Remaining Value $� per thousand
or portion thereof
TOTAL BUILDING FEE
+ 1/2 Filing Fee $
t ) Fireplaces @ $15 . 00 S
BUILDING PERMIT FEE $_
WATER IMPACT FEE $l
SEWER IMPACT FEE $
WATER METER/TAP
C_ P arz TMPROVEMEN i
SEWER TAP S
! 1 RADON (HRS) G05-0
SECTION H PAVING
HYDRAULIC SHARES
CROSS CONNECTION $
( ) SURCHARGE . 0050 5
OTHER $._..
GRAND TOTAL DUE $ ��j
ADDITIONAL PERMITS OR FEES : Mechanical Pluming
Eiectric/New Electric/Temp : Swimminapoo:i
Septic TankV �; Well Sign. --Finish Floor Elevation
Survey ether
CALCULATIONS anti/or NOTES :
RECE71,
I 2 1 2000
City or Atlantic Beach
Building anal Zoning
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REM®DEZ, ADDITIONS, OR ALTERATIONS
G, DEMOLITION 7 e2,12;' /-v/
Owners)
3�t3 3
Job Address:I a .�-�/{�il'if �*Oei Phone:
Lot # Block or Unit # _ Subdivision:
Contractor: ow/o�'/� State License #
Address: Phone No:
City State Zip Cade
Describe work to be done: 2 O R CIA
Present use of building:
Valuation of Proposed Construction: `j 00doo
Proposed use: E09- a p a Re In
Is this an addition? \,]eS If yes, what are the dimensions of the added
space: kcA _ft. x I ft. Will the added area be heated and
cooled?_Q 0 New electrical (or increase) ? &30
New plumbing fixtures? `�0 New fireplace? _New Heat/AC? (V 0
SUBMIT 77D= (CD�RCIAL) Two M.TSIDENTIAL) COWLETE SETS OF PLANS, INCLUDING
SITE PLAN, SURVEY, Com FORMS, NOTICE OF COD��NCF �iT, AND
OW1�R/CONTRACTOR AFE'IDAV T, IF IS CDNTRiACTOR.
f
Signature OWNER: Date:
Signature CONTRACTOR: Date:
AS TO OWNER:
Sworn to and ;! day of ���✓ 2000.
FRED BUTLER
MY COMMISSION#CC
804817
dTotaryP003
Bondehru aaicUderiters
OTARY PUBLIC
AS TO CONTRA E*
Sworn to and subscribed before me this day of ,2000.
NOTARY PUBLIC
CITY OF ATLANTIC BEACH
OWNER BUILDER PERMIT AFFIDAVIT
STATE OF FLORIDA
COUNTY OF DUVAL
BEFORE ME, THE UNDERSIGNED AUTHORITY, PERSONALLY APPEARED BEFORE
ME )/S / _� S(/P�, WHO BEING BY,ME/FIRST DULY SWO/F��—NfJ E1PQSES
/AAt4DD�SAYS: C
I AM THE LEGAL OWNER OF THE OLLOWING PROPERTY: '�f�K�j C. ( / �17 c
CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR
A PERMIT UNDER AN EXEMPTION TO THAT LAW. 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 OR A FARM
OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 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 A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE
LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION, YOU MAY
NOT HIRE AN UNLICENCED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO
THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED
BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR
FAMILY USE,AND LIKEWISE REQUIREALL WORK(EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT
AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR
MAY HIRE UNLICENCED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO
MUST BE ON THE.JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENCED TRADES PEOPLE. " THIS DOES
NOT ALLOW USE OF UNLICENCED CONTRACTORS.
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT
SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY
CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS
WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT
TRADES.
UNLICENCED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228( 1 ). AN "OCCUPATIONAL LICENSE" IS NOT
ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA
"CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON 15 A LICENSED CONTRACTOR. TELEPHONE THE BUILDING
DEPARTMENT (247-5826) IF IN DOUBT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE AB VE DISCLOSURE STATEMENT AND THAT I COMPLY WITH
ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER- UILI? P"'RI IT.
PROpE -50WN t I Q�C���' CC'�I� �-7 0 0 (,0
ADDRESS TELEPHONE
SWORN TO AND SUBSCRIBED BEFORE ME THIS _DAY OF 2000.
NOTE: PHRASES UNDERLINED ABOVE FRED BUTLER
ARE EMPHASIZED BY THE BUILDING NOTARY PUBLIC ., My COMMISSION#CC 804817
DEPARTMENT. MY l..i;Ji iiy_,SS10N ckPIRE3i EXPIRES:A Iii 8 2003
ru o ary ubGc Underwriters
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AS RECORDED /N PUT BOOK &I PAGES /(, -4,1) OF THE cugMralr pu25/&_ tg--romo, n '0 VAL
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KNT E �0A 0 City of Atlantic Beach
Cao' /Vw Building and Zoning
PE
RRET 14NI� 14 SAS'OCI14T�'S; INC.
1710 SHADOWOOD LANE, SUITE 240, JACKSONVILLE, FLORIDA 32207 PHONE: (904) 398-4777 FAX: (904) 346-3851
GENERAL NOTES : LEGEND
P.C. POINT OF CURVATURE R RADIUS
(I)BEARINGS SHOWN HEREON ARE BASED ON P.T. POINT OF TANGENCY i�, DELTA (INTERIOR ANGLE)
,(/7°I(c'oz"'j OEIAq THE 'IF46'r A)'l P.R.C. POINT OF REVERSE CURVE A ARC LENGTH
GrdE or TH6 A,Qe,o P.C.C. POINT OF COMPOUND CURVE C CHORD
P.O.C. POINT ON CURVE Co CHORD BEARING
(2)THIS PROPERTY HAS NOT BEEN ABSTRACTED B.R.L. BUILDING RESTRICTION LINE A/C AIR CONDITIONER
FOR EASEMENTS, COVENANTS, RESTRICTIONS CENTER LINE CONC. CONCRETE
I.P. IRON PIPE R/W RIGHT-OF-W
(3)UNDERGROUND UTILITIES SERVING THIS FD. FOUND
PROPERTY HAVE NOT BEEN LOCATED OR
SHOWN
SCALE Zo
(4)THE PROPERTY SHOWN HEREON UES WITHIN
�,r= '
FLOOD ZONE "x" AS SCALED FROM 4 - z7-oo NATHAN E. PERRET, FLA. CERT. NO. 5732
F.E.M.A. FLOOD INSURANCE RATE MAP, PANEL
/Z 0075-o0o 10 , DATED 4-I-7- Sq DATE OF f7ELD SURVEY CARL S. COURSON, FLA. CERT. NO. 3129
LB 6715
F.B. 10/ PG. 32 NOT VALE *ITW! yW SKNunAPE & THE ORXM4L "SM SEAL OFA FLORIAI MENSED SURWMR r YAI�PER ORDER NO. Z000
�1 ��`` TY OF
A /����LO�
A J /3�-07 �lLIG(s
Office of Building Official
9REQUEST FOR INSPECTION
Date / / Permit No.
Time
Received
Job Address `UA
ity
Owner's
Name actor
BUILDING CONCRETE �CAP BING ECHANICAL
Framing ❑ Footing ❑ Rough ❑ Air Cond. & ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑
Pre Fab
READY FOR INSPECTION
A.M
Mon. Tues. Wed. Thurs. Friday
�� Llj A.M.
Inspection Made L
Inspector Final InJr spectio
er i ica e o ccupancy C
A,�- ;at:a) Date
DATE
PRE-:SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
733 WEST DUVAL STREET
.,Al. S NVILL.., rLv:iiDa 3220-2
THE FOLLOWING FINAL INSPECTION(S) iiAVZI NEEM MAL",_: AND At: .:
SATISFACTORY :
7�
- -- : --�----- --------- ---------- ----- ----- y- -�;
------ -------------------------------------------------
-------------------------------------------------
------ -------------------------------------------------
Enclosed are the blue copies of the permits.
SINCERELY;
BUILDING INSPECTION DIVISION
cc : FILE
t
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A. .
Received P
Job Address ality
Owner's
Name Contract
BUILDING CONCRETE ELEC_TRICALC PLUMBING ME HANICAL
Framing Footing C Wing Rough ❑ Air Cond. & 7-
Re
Re Roofing Slab C Temp Pole Top Out C Heating
Insulation Lintel C Final E Sewer C Fire Place C
Pre Fab
READY FOR INSPECTION
A.M.
Mon. Tues. Wed. Thurs. Friday
A.M.
Inspection Made P.M.
Inspecto Final Inspectio
Certificate orlolccuancy C.
Date
DATE: 9, Z E / - -
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION ( S ) HAVE BEEN `LADE AND ARE
SATISFACTORY :
------ -------------------------------------------------
-------------------------------------------------
------ -------------------------------------------------
------ -------------------------------------------------
Enclosed are the blue copies of the permits.
SIN� LY, ^
BUILDING INSPECTION DIVISION
cc : FILE
CITY OF
Beac-4 4
Office of Building Official Y/
$ REQUEST FOR INSPECTION
qPermit
Date "
A.M.
Time P.M.
Received
Locality r
Job Addr s
Owner's Contra
NamePLUMBINGMECHANICAL
BUILDING CONCRETE ELECTRI AL
g Rough C Air Cond. & ❑
Framing ❑ Footing RoughPolI n ❑ Top Out Heating ❑
❑ Slab _ Temp Fire Place
Re Roofing Final Sewer
Insulation C Lintel — Pre Fab
READY FOR INSPECTION A.M.
Thurs.
Friday P.M.
a
Tues. Wed.
A.M. G
: ' 4- P.M.
Inspection Made Final Inspection C
Inspector Certificate of Occupancy
r�
\Date
DATE: -------------
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTIONcS ) HAVE BEEN :LADE AND ARE
SATISFACTORY :
lS� i -- ----- -----------------------
------ -------------------------------------------------
------ -------------------------------------------------
------------------
------ ---------------- ----------
-----
------ -----------------------------------
--------------
Enclosed are the blue copies of the permits.
SINCERELY, ,
BUILDING INSPECTION DIVISION
cc: FILE
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:- � _ 19 '
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ECTRICIAN SIGNATURE JOURNEYMAN
NAME l
ADDRESS:_; RFD BOX
BLDG.SIZE BETWEEN:
RPT. ( 1 COMM. ( ) PUBLIC ( ► INDUS. ( ► NEW ( I OLD ( ► REV
ADDITION ( 1 TRAILER ( 1 TEMP. ( ) SIGNS 1 1 SO. FT.
SERVICE: NEW( ► INCREASE ( ) REPAIR 1 1 FEE
CONDUCTOR SIZE AMPS COPPER ( ALUM.
SWITCH OR BREAKER AMPS PH W { VOLT c RACEWAY
Zo
EXIST.SERV.SIZE AMPS PH W G'-'TkWLT U RACEWAY
FEEDERS NO. SIZE IND. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0-90 AMPB.
31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0-100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
O-1 OVER
MOTORS N.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS 777707A7 7- c I
i
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. IKVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEES � [✓�
CITY OF
Awc.4-INWda
I Office of Building Official
'REQUEST FOR INSPECTION
Date
g Permit No. /
Time '3 M.
Received P
Job Address o ty
Owners
Name —� for
BUILDING CONCRETE ELECTRIC PLUMBING MECHANICAL
Framing ^ Footing Rough 7 Air Cond.&
Re Roofing C Slab Temp Pole n Top Out G Heating
Insulation ❑ Li Pre Fab
Final r Sewer F- FirePlace
�oo
/ READY FOR INSPECTION
t/ m aim Wed. urs. _ Friday
A.M.
Inspection Made
P.
Final Inspection
Inspector —_
Certificate of cup ncy
Date -
i
�-� % %
DATE:j
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY :
i ---1 -------------------
I
------ -------------------------------------------------
I
------ -------------------------------------------------
------ ------------------------------
-------------------
------ I -------------------------------------------------
Enclosed are the blue copies of the permits.
BUILDING INSPECTION DIVISION
cc: FILE
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
OfF-0',i -e ckc-
ELECTRICAL FIRM: 1 ASTER ELECTF IICIA/N SIGNATURE JOURNEYMAN
NAME�zz��&o), ` --i ADDRESS: �� RFD BOX
BLDG.SIZE BETWEEN:
RESJ,,� APT. ( 1 COMM. 1 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD ( 1 REW. ( 1
ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS 1 ) SQ. FT.
SERVICE: NEW( 1 INCREASEII 1 REPAIR ( ► FEE
CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( 1
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE l"_Z:l AMPS PH SW VOLTS ' RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TR NSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP. MOTOR OTHER MOTORS I AMPS ICEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS '?'c
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. IKVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN _
FORWARDED
TOTAL FEES
17TS
C.� � , JF ATLAI�lTlC Ur - : �(ZiDA
nn[„o�*1-by - APPLICATION ft3:� !ELECT HCAI- ,,ZR IT
f
TO IIIE C1I11-F 1:1 ECTHICAL tNSf E.C1Ult: LATE _ .. I� — 1 14 �v
INIPOTI TAN 1 N011CF
III CONNSIULIWIONJ (;1' {'ERNY11) GIVEN 1-01? DOING THE WORK PIS DESC11113F:T) INJ 111E FOLLOWING, WF.
INERL-iTY” AGREE lO i)uum?m SAID WORK IN ACCORDANCE W1111 THE ATTA( I _ PLANS t} 51'E.CIFICAT1t1NS,
1^JI?! 11 ARE A PARI 11EREUF, AND UJ ACCORDANCE tiYl(11 THE E!_ " '1I11t:At.. It _G ILA 11
, CU{?f`; AND CITY OF
ATLANTTACIIOR01NJANCFS.
�( P¢.5
FkeTaleot _('owrl2Ae»k rNc•--- -- --- _.. _----- ,
ELEG 110. :AL FIRM: ----_—,-- MASTER ELECTRICIANSIGNAT RE_
NAME - _ S7z.;t.. kimp�5_ --- , —ADDRESS:_ /s�l S�c'RS�._. RoA __ ..RFD_ . __ _ Fo.).^
BLDG. SIZE _ ._-_------_--- --- __.------------._—._----------_— -- --.BETYvEEN: PLAZf; 041-4 vA_4.Cvrios5 pR
RES. 1 APT , { ) CO(YiM. ( ) PUBLIC { 1 INDUS. { I NEW { 1 ULD 11 FW 4
AUDITION { ) 1 RAILER 1 TEMP. { ) SIGNS
FEE
SEFiVECE:
INCREASE { T REPAIR -
�dE4Y 11j
CONDUCTOR SIZE _ . ._ I AMPS f _ _. CUPPEii I__� _ALUM. } ._.f_
SWITCH UR BIAEAKEf;_ AMPS -- _PII YJI . .. _ YOLT _ TIACEP,'AY
EXIST. SEFTV. SIZE Af'y1PS ' t'�� 3 W I a�vUtT Cj*it ITACFWAY
--
FEEDERS NU. SIZE —lNU 51ZE -[ NO. S17E
LIGHTING OUTLETS CONCEALED OPEN 10 FAL
------ ---------- -
- — — - -- _
RECEPTACLES j CONCEALED OPEN TOTAL
U JD AMI'S I 31-IOU Aid i'F
SV,'ITC.IIE.4
INCANDESCENT }}
FLUORESCENT & M.
U loo n
FIXED Mrs. I cvfln
APPI_IAHCE9 i [TFt.I_ THAN
AIR H P RATINGH.P. RAZING
CONDITIONING C0I'll P. h10TUR OTHER MOTORS AR4PS CEIL IIFAT: KVV ItEnT
L T A G ------'---- i- 0 4 F P.— -------- - c
MOTOFTS � 11.P. VOLTAGE I ItS VOL�Tnt�C
i.0. {I
r T II.P.
I
MISCEI-LANE_0US
-- LSCC- AAe_l'c-R. 7 —
IRANSFORh1ERS: ( UNDER 600 V. UVEB 600 V, ii
--- -
NU. KVA NO. KVA
NO. NEON TRANSF. _�NO. I VA. MA, MOTOR SIZE SWITCH f FLAS11EtT - -
EACH SIGN ,L___. - - �.�-_ - - - --- - - --- -- �- -
OFFS J
FOR OFFICE USE
1ONLY
Date_......./'Z. ..31.....19 7U
Permit #..1a�/.�3.._Fee$.........................
CITY OF ATLANTIC BEACH ,�
Valuation $.
FLORIDA House #......
:_r..... 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. _
aDate-------•-----•-•--•------------------- --•------------------------ ----, 19------.......
Owne;sAf.� - r� _1 -66-----------------•-_--._Address_.v� _ �.(..`���. `� �= Telephone No. g..g '�./_
Architect ------................................... ------------••---...----•-......-•-------•----Address_-----------------------------------------------.........Telephone No-----------------------------
Contractor Builder------------------------------------------------------------_--•-----------Address........--------------- - ------------Telephone No.--------------------------
Lot No. / -----------------•---••--•-----------•-Block No._1_9 - Sub Div-ision_ --------�--p-�---
------------Zone.----------------
------.. ------------------------------------------------Street_4� .......Side Between4ore� -----and-;1
"----------••--------•--_----Sts.
Valuation ` v -For what purpose will building be used-.d � __________Typ
a of construction_/ �"� .____
_ ------
<00
Dimensions
bf u-ild __ '_ .x_ -----------Dimensions of Lot-----TOA-11.............................:Size of Footings.-_-_
Size of Piers.__.___..'______________________Size of Sills----___- _.-..._..__..___.Greatest Sill Span in ft------... Type Roo --`.f-d.'__..__--.._
g '► -p ______Will Building be on Solid or Filled Ground? ��
How will Building be Heated?--- " - ..................
Size of Ceiling Joists_._._. x-G_______________________ Distance on Centers---------- --------------------------------G_.--_---_-..-_.__-._..--.__-_--, Greatest Span_____..--_._____.-____------_.-..----_..__. "
Size of Floor Joists------------ ------------------------------Distance on Centers--...... ----------------------- Greatest Span-----------------------------------------
Size
----.--._ -_.--.__--_-.--_-----__._.Size of Rafters- X-G---------- --------, Distance on Centers ......G. ----------------- Greatest Span---------
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.
n
1. When steel is in place and ready to pour footing. W W
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. a '�
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up. W W
6. When septic tank drain field or sewer is laid but before it is covered. q A
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached ns and specifications, which are a part hereof, and in accordance with the building
regulations of the City of Atlanti �¢
Signature of Builder ... = , ......----- Address. --
Signatureof Owner. --' -- - ------•-•--------------....... Addre ---••��---------•-••-•-•--•---/--•----------�-------•-•-----................----------
CrTr CF A T LLz N 7 tC EEACH
FCCFiNG FLEFRIMl i APPLICATION
JCE LOCATICN: f/=
CWNF-R OF FRGFE7Y: Tr k it S g
CONTRACTOR r a >2P-A 2 od f,'0J c
CONTRACTCR-S AOORESS. y/,/68 �i1 ��t/✓�►n rL=
J I A T E LICENSE NUMEER �! CYC 5R d 7C_==!-CNE.73 �1-`76 It
CESCRIEE WGRK T O SE FEcF`RMED: !ki¢ Awd
0
VALUnT1CN CF FRCFCSED CCNS T RUC T ICN / �� OGO, Uf ,
MATEFIALS TO ?E USED: /�dd.'�,�0 -Rix I��=le F
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SIGNATURE CF CWNE.:
StGNA.T URE CF CONT:RAC T 0R:
S*vVCRN TO ANC SUESCRIEED'=-E=CRE :VIE THIS CAY CF 0-00
2,-
NCTARY F lEL:C
I zcciity Insurance SupcliedZ I S u p a b (�R,, qt
RITA P. BUTNER
VVcr�ers Ccmcensaacn Insurarca Suppiiec XY MmeMY Comm Exp. 6/18/00
Bonded BY Service Ins
Ccntrac;or Lcense Infcrmadcn Suoptled e)t7 o,;80 S No. CC547055
�nally Know„ t j Other�.o
Ccc;:paticnal License Infcrmadcn Supplied
JULIA BR.INSON FAX NO. : 5047579260 Apr. 12 2000 09:20AM P1
_;e..<��o �-:aa 9G•1'3':P.l1___1a_ _ v^Jd?iRG3
C,TY CF A7 ANT!C EEAC
RCCFiNC- FERM)T APFPi-:CAT;CN
L:.CdInc N s t�,- fia - ---
:�vVNE;R �L.C�r< f-: s��y
T--,4TRAC7C R:, _&FzkAQ d
CIESCRIZE`'VC.RK ay.se4FCP,titE7 �-1%t
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37t'sNA�'R=:F CCN:+cAC�Cfi; ,� _
S:vcar C.ANS 5;j85CAIa a 1F_ RE X1.4 �� �Ay^C -;Wo
NC"' Y'FLEL,C
_acany ns:uare.s�uac
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Oer—ofte-W_een■a inno�enatier S�palMtl
-- CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FI 32233 - Tel. (904) 247-5826
ROOFING PERMIT
`PERMIT INFORMATION -
L
Permit Number: 19896 Address: 451 SKATE ROAD
Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0
Square Feet: Subdivision: ROYAL PALMS
Est. Value: Parcel Number:
Improv. Cost: 2,000.00Not
..
Date Issued: 4/18/2000 Name: BILL NEWTON
Total Fees: 30.00 Address: 451 SKATE ROAD
Amount Paid: 30.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 4/18/2000 Phone: (904)241-5591
Work Desc: REROOF
GARRARD ROOFING PERMIT 30.00
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 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.
430.00 14
Date: 4/18/00 01 Receipt: 0050557
CITY OF AT NTI H ICHECKS 2052
3@100003221000
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LLJ P{°P°s`d c°ns#roc#'°" - DESCRIPTION OF MATERIALS N°. •
L; Under Constlucf c°n aTo be ins.•rtcrl by FHA or VA)
14
Properfy address
Sfatc -
\ tA;.re•s,
Contractor or Builder 1-4
T
INSTRUCTIONS
-•=-F, For additional nforrnot,o, on how this form is to be submitted, number
of copies, a+c., see the instructions applicable to the FHA Application for minimum requirements cannot be considered unless spec ficolly described.
Mortgage lnsuronce or VA Request for Determination of Reasonable Value, 4. Include no alterna+es, "or equal'• phrases, or contradictory items. (Con- '
as the cast may bc. sideration of a request for or_ceptance of subs+itafe materials or equipment 1
' 2. Describe all materials and equipment to be used, whether of r.a+ shown is not thereby precluded.)
on the drawings. by marking an X ,n each appropr,o+e check box and entering S. Include signatures requ;red at the end of this form.
+he information co!!rd for in eorh space. if space is inadequate, enter 'See
mise. and describe umie+ i:rr :i or on an at'ach�d sheet. 6. The constructor. :hall be eomptefc� 'in compiicnce with the telote•1
3. Work not specifically described or shown wilt not be considered unless dr oda this Donessing- Te
s and spec,f:' lof sMaje min and dfhe'Pplicabie Minimumspec,fi uacj,ons
required, whenm
the minimum acceptable will be assumed. Work exceeding Requirements.
I. EXCAVATION: /
r
2. FOUNDA(IONS.
P.f/ l:rinfrtrc,n 2 �6 ��'J S/EFc APIP
Foundat!c,c \r., �,vt, N1�e.vt y �Scr OrS
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