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402 E Snapping Turtle Ct (vault) JOB ADDRESS 41d �tiyr� — ' TYPE WORK. PROPERTY O W1VEg:�j� o�_•�r=.4=14-,deck- TELEPHONE e CONTRACTOR , a99s TF7.FPAONE PERMIT NU3d0?ER -21 SS7 DATE INSPECTIONS: FOOTEVG SLAB HE BEAM LINTEL NAlLJ7VG/SUEAT'H12VG FRAMWGXOYER UP - `/-o INSULATION FINAL BUILDING CER MCATE OF OCCUPANCY ELECTRICAL PERMIT# 3 'Z EVSPFC77ONS ROUGH_ FINAL MECUANICAL PERMIT# a 3 ,S 3 INSPECT[ONS ROUGH_ '7- - o l FINAL PLUMBING PERSiM 3-S.7 INSPECTIONS ROUGHMNDER SLAB TOPOUT 7 -a4-0 l WATERJSEWER FINAL NOTES: ADDRESS BUILDING PERMIT NUMBER INSPECTIONS: FOOTING UNDER SLAB PLUMBING SLAB FRAMING COVER-UP INSULATION FINAL BUILDING CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT # -Y, TF' I z INSPECTIONS ROUGH -Qz FINAL MECHANICAL PERMIT # PLUMBING PERMIT # NOTES: t It , CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ±� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001101 Date 8/11/08 Property Address . . . . . . 402 SNAPPING TURTLE CT Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc ADD ADDITIONAL WIRING FOR SUMMER KITCHEN ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LEIBECKI IMPULSE ELECTRIC 4271 YVONNE TERRACE ATLANTIC BEACH FL 32233 MIDDLEBURG FL 32068 (904) 214-4225 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/07/09 ---------------------------------------------------------------------------- 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. CITY OF ATLANTIC BEACH _ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08 i-II! OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: tl 2.IS THIS A SUB PERMIT: 3.DATE Q, O ❑YES PERMIT#: PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS. 6.PHONE: ELECTRICAL CONTRACTOR: 7.NAME OF COMPANY: 8.ADDRESS.: tl Y I M I l^-• -4277 i `,'1!Q►`�-'� -� 1 9.STAT�FLORIDLICENSE NO: 10.CELL PHONE: �l�r A 11.FAX NO.: 12.EMAIL ADDRESS: 22 13.OFFICE PHONE: T 14. M Pu--C-1 �-= z. 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit beco=COM t commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)mmenced. CONTRACTORS SIGNATURE: 16.CLA S OF WORK: 17.SERVICE: 18.METER NUMBER: ❑MULTI FAMILY-#OF UNITS: PTRESIDENTIAL K SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING: 19.CURRENT CODE: ALTERATION ❑SIGN ❑OLD ❑NEW ❑'05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑ POOL/SPA ❑ REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: ❑ OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: i 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS:_ 3 31-100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0-30 AMPS:�� 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33.MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: ?kbbl L0 L NCsCap -S�Vel COAB FORM BLDG02:REVISED:1/10/2008 2008-2009 BUSINESS TAX RECEIPT CITY OF JACKSONVILLEIDUVAL COUNTY MIKE HOGAN,TAX COLLECTOR • 231 E FORSYTH STREET ROOM 130 JACKSONVILLE,FL 32202-3370 PHONE:(904)630.2080 FAX:(904)830-1432 WEBSITE:www.coj.neVtc Note—A penalty is imposed for failure to keep this receipt exhibited conspicuously at your place of business. This receipt Is furnished pursuance of chapter 770-772 City ordinance codes. BROKA, RUSS TYLER IMPULSE ELECTRIC INC 4271 YVONNE TE MIDDLEBURG, FL 32068 ACCOUNT NUMBER: 1000005602 LOCATION ADDRESS: 4271 YVONNE TE MIDDLEBURG FL 32068 DESCRIPTION: QUALIFYING AGENT, CONTRACTORS COUNTY RECEIPT DESC: QUALIFYING AGENT, CONTRACTORS COUNTY TAX: 0.00 MUNICIPAL RECEIPT DESC: MC 772.325 MUNICIPAL TAX: 100.00 TOTAL TAX PAID: 100.00 VALID FROM September 1, 2008 TO September 30,2009 ***ATTENTION*** THIS RECEIPT IS FOR BUSINESS TAX RECEIPT ONLY. CERTAIN BUSINESS MAY REQUIRE ADDITIONAL STATE LICENSING. This is a business tax receipt only. It does not permit the receipthokfer to violate any existing regulatory or zoning laws of the County or City. Nor does it exempt the receiptholder from any other license or permit required by law. This is not a certification of the licensee's qualifications. 11-1�� "r-) TAX COLLECTOR THIS BECOMES A RECEIPT AFTER VALIDATION. PAID-3305288.0001 -0001 M01 07/23/2008 100.00 LA d SbBS LbZ b06 << E1,11, IL-80-800Z ff��•'-L)1 r�� CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001106 Date 8/12/08 Property Address . . . . . . 402 SNAPPING TURTLE CT Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc ADDING SUMMER KITCHEN ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LEIBECKI SEAN WILLIAMS PLUMBING 7011 MC NEIL RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32244 (904) 772-8377 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 56 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/08/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56 . 00 56 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 56 . 00 56 . 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 08- - �' 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 7 I/ ..�` OFFICE:(904)247-5826•FAX NO.:(904)247-5845 i l' BUI LDI NG-DEPT@COAB.US = PLUMBING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE: l 11 NO 41v/ 'Q YES PERMIT#: PROPERTY OWNER: 4.NAME: . 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: PLUMBING CONTRACTOR: ,,7.NAME OF COMP . 1 8.ADDRESS-: 11161,11 j1 9.STATE OF FLORIDA LICENSE NO: 10.CE �P ON 9 `r .F" 12.EMAIL ADDRESS: 13.0 FICE 14. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)monthsata y time after work is commenced. CONTRACTORS SIGNATU 15.NATURE OF WORK: 116. 17. 118.CURRENT CODE: 't3 NEW _ ❑'06 FLORIDA BUILDING CODE- DRE-PIPE KM PLUMBING ❑OTHER: 19.NUMBER OF FIXTURES: BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): ROOF DRAIN 20.PLUMBING PERMIT FEES: PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: _ x $7.00 (PER FIXTURE) + $35.00 = COAB FORM BLDG03:REVISED:1/10/2008 BACKFLOW PREVENTER REQUIRMENTS: TYPE OF FACILITY MINIMUM TYPE OF PROTECTION Breweries, Distilleries, Bottling Plants D.C.V. A. Car Wash with recycling system and/or Wax Eductor R.P. Chemical Plants R.P. Dentist Office R.P. Film Laboratory or Processing Plant R.P. Food or Beverage Plant D.C.V.A. Hospitals, Clinics, Medical Buildings R.P. (Parallel) Irrigation Systems D.C.V.A. or R.P. Laboratories R.P. Laundries & Dry Cleaning Plants D.C.V.A Machine Tool Plants (Health or System Hazard) ** R.P. Machine Tool Plants (Pollutional Hazard) ** D.C.V.A. Metal Processing Plant (Health or System Hazard) ** R.P. Metal Processing Plant (Pollutional Hazard) ** D.C.V.A. Nursing Homes R.P. Packing Houses or Rendering Plants R.P. Pesticides (Exterminating Companies) ** P.V.B. Overhead fill Petroleum Processing Plant R.P. Petroleum Storage Yard (Health or System Hazard) ** R.P. Petroleum Storage Yard (Pollutional Hazard) ** D.C.V.A. Piers, Docks or Waterfront Facilities R.P. Power Plants R.P. Radioactive Material Plants R.P. Restaurants with Soap Eductors and/or Industrial Type Disposal R.P. Sand and Gravel Plants D.C.V.A. Schools with Laboratories A.V.B. Swimming Pools with Piped Fill Line A.G. at pool Sewage Treatment Plants R.P. Sewage Pumping Stations D.C.V.A. Tall Buildings over three stories R.P. Veterinary Establishments R.P. Commercial facilities: Due to frequent occupancy change all commercial facilities require a minimum RPZ on the service.In addition to and including those types of facilities listed above, an approved backflow prevention device of the type designated shall be installed on each domestic water service connection to any premises containing the following real or potential hazards. MINIMUM TYPE OF PROTECTION Premises having an auxiliary water system not connected to public water system RP Premises having a water storage tank, reservoir, pond, or similar appurtenance RP Premises having a steam boiler, cooling system, or hot water heating system where chemical water conditioners are used RP Premises having submerged inlets to equipment R.P. CITY OF ATLANTIC BEACH i1 } 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000969 Date 9/09/08 Property Address . . . . . . 402 SNAPPING TURTLE CT Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 28500 ---------------------------------------------------------------------------- Application desc new pool ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LEIBECKI POOLS BY JOHN CLARKSON, INC. 13997-4 BEACH BLVD. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 223-4050 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/08/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE . REQUIRED INSPECTIONS : *POOL STEEL *ELECTRICAL GROUNDING AND BONDING *FINAL (PUMPS MUST BE RUNNING FOR FINAL) Roll off container company must be on City approved list and cannot be placed on City right-of-way. Construction site management and erosion control plans must be available on site . ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 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 08_ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)2475826•FAX NO.:(904)247-5845 �!! BUILDING-DEPT@COAB.US =/ ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: p l 2.IS THIS A SUB P/ER�MIT:��J�/�/�/�(� 3..DATE J�[� EqYEES PERMIT#%--'LV� L��1 PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS 6 PHONE Le,-(( b,ec kA Atc ELECTRICAL CONTRACTOR: 7.NAME OF COMPANY: p 8.AD ESS.: ccs aL C-e-t , 0 Cl 9.STAT, E OF FLOI ID�LIC NOSE NO: 10.CELL PHONE: 12.EMAIL ADDRESS: )1 13. FICE HONE:, ��rr // � �'� 14. t/aJ1"I► S'/ �� 1060 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nulled 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)mo/ntt'pg/at a time after work is commenced. CONTRACTORS SIGNATURE: 16.CLASS OF WORK. 17, ERVICE, 18.NIER NUMBER: ❑ MULTI FAMILY-#OF UNITS: SIDENTIAL j ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19. UILDING: 19.CURRENT CODE: ❑ALTERATION ❑ IGN D ❑ NEW 2205 NATIONAL ELECTRICAL CODE ❑REPAIR OOL/SPA ❑ REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: ❑ OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: I ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33,MOTORS: NUMBER: VOLTAGE: HP. KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA. 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: COAB FORM BLDG02:REVISED:1/10/2 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j e ti ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000970 Date 9/22/08 Property Address . . . . . . 402 SNAPPING TURTLE CT Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 48 IN FENCE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LEIBECKI POOLS BY JOHN CLARKSON, INC. 13997-4 BEACH BLVD. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 223-4050 ---------------------------------------------------------------------------- Permit FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/21/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING-DEPT@COAB.US ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 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 FENCE PERMIT APPLICATION •r M vY Date: --- PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Job Address: L102_/7tJACQItjU T'ya1T'1 4;1_ 6 Owner's Name: lA-5 Ie��u Address: q0-7- Phone: Legal Description: B4eslFNumbe-r: Lot Number: 2� Zoning District: Fence Contractor: (00L,07 V WO_V_76od Address: 10W':VT_PVOS7 '1�W r* 0'�/p efPoC• F Phone: City: f ►,N�t.i� _ State: Zip:�._?•��_ Fax: L ZZ?j 0�3'S> d Type of fence and materials to be used: AWMlnl VW1_fIR40 J�- Valuation Of Fence: XInterior Lot ❑Corner Lot ❑Dumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required?� If yes,please submit with this application. See Ab3 Tree Protection: NO. Applicant certifies that no trees will be removed for the installation of this fence. �YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets t%vo times each month. Procedure: In order to expedite issIiance of permits, please follow all steps and provide all information as aonrooriate. Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works;departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application(please print). r ` Name: [ .e.L✓Ct /l-C 'e Mailing Address: 100 S it 5 ��e"f� ,��1 /� ✓"'� r`° 3 � Phone: Fax: %r7Y= 3-0735' E-Mail: t✓.�c,t�eL� GG;Gc.n REVEWED FOR CODE COMPLIANCE 800 Seminole Road •Atlantic B ` ch,Flo - TRW • 9014)247-5800 Fax: (904)247-5 45 • http�:d`�/ >�iLBEACH ( FOR ADDITIONAd3/04/04 REQUIREMENTS AND CONDITIONS. ft E C OP)y ., x: REVIEWED BY: DA-T E:7—�a-v I hereby certify that 1 have read and examined shim application and attached documentation 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 specitled herein or not. The granting of■ permitdoes 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. 1 understand that the issuance of this permitis contingent upon the above information bei"true and correct and that the plans and supporting data have been or shall be provided as required. Signature of O r: Date:1% a' AS TO OWNER: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of •20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Senainole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Revised 3/04/04 Page 2 DISCLOSURE AND RECEIPT OF PUBLICATIONS Residential Swimming Pool, Spa, and Hot Tub Safety Act Chapter 515,Florida Statues,effective October 1,2000 sets forth certain pool,spa,and hot tub safety features and disclosure requirements regarding drowning prevention and pool ownership. In order to pass final inspection and receive a certificate of completion,all new residential swimming pools,spas, and hot tubs must be equipped with at least one pool safety feature as specified in the chapter and disclosed below,designed to deny,delay,or detect unsupervised entry to a swimming pool,spa,or hot tub,in order to reduce drowning and near-drowning incidents. The State of Florida Department of Health(the Department)shall be responsible for producing its own or adopting a nationally recognized publication that provides the public with information on drowning prevention and the responsibilities of pool ownership and also for developing its own or adopting a nationally recognized drowning prevention education program for the public and for persons violating the pool safety requirements of the chapter.As of the date hereof,no publication has been prepared or adopted by the Department of Health.Additionally,in connection with the Chapter,a licensed pool contractor,on entering into an agreement with a buyer to build a residential swimming pool,or a licensed home builder or developer,on entering into an agreement with a buyer to build a house that includes a residential swimming pool,must give the buyer a document containing the requirements of the chapter and a copy of the publication produced by the Department that provides information on drowning prevention and the responsibilities of pool ownership.To meet this requirement of the Chapter,Pools by John Clarkson is providing you with this Disclosure and Receipt of Publications together with the following pool safety publication which is attached hereto): 1)Consumer Product Safety Commission,CPSC Document#362.YOUR SIGNATURE BELOW CONFIRMS RECEIPT OF THE ABOVE REFERENCED PUBLICATION DEFINITIONS: The Term: *Approved safety pool cover means a manually or power-operated safety pool cover that meets all of the performance standards of the American Society for Testing and Materials(ASTM)in compliance with Standard F1346-91 *Barrier means a fence,dwelling wall,or non-dwelling wall,or any combination thereof,which completely surrounds the swimming pool and obstructs access to the swimming pool,especially access from the residence or from the yard outside the barrier. *Exit alarm means a device that makes audible,continuous alarm sounds when any door or window which permits access from the residence to any pool area that is without an intervening enclosure is opened or left ajar 515.27 RESIDENTIAL SWIMMING POOL SAFETY FEATURE OPTIONS; PENALTIES In order to pass final inspection and receive a certificate of completion,a residential swimming pool must meet at least one of the following requirements relating to pool safety features: (1) The pool must be isolated from access to a home by an enclosure that meets the pool barrier requirements of Section 515.29; (2) The pool must be equipped with an approved safety cover (3) All doors and windows providing direct access from the home to the pool must be equipped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; or (4) All doors providing direct access from the home to the pool must be equipped with a self-closing, self-latching device with a release mechanism placed no lower than 54 inches above the floor. 515.29 RESIDENTIAL SWIMMING POOL BARRIER REQUIREMENTS A residential swimming pool barrier must have all of the following characteristics: (1) The barrier must be at least 4 feet high on the outside. (2) The barrier may not have any gaps, openings, indentations,protrusions, or structural components that could allow a young child to crawl under, squeeze through, or climb over. (3) The barrier must be placed around the perimeter of the pool and must be separate from any fence,wall,or other enclosure surrounding the yard unless the fence,wall, or other enclosure or portion thereof is situated on the perimeter of the pool, is being used as part of the barrier,and meets the barrier requirements of Section 515329 Florida Statutes. (4) The barrier must be placed sufficiently away from the waters edge to prevent a young child or medically frail elderly person who may have managed to penetrate the barrier from immediately falling into the water. * Gates that provide access to swimming pools must open outward away from the pool and be self-closing and equipped with a self-latching locking device,the release mechanism of which must be located on the pool side of the gate and so placed that it cannot be reached by a young child over the top or through any opening or gap. * A wall of dwelling may serve as part of the barrier if it does not contain any door or window that opens to provide access to the swimming pool. 515.31 DROWNING PREVENTION EDUCATION PROGRAM; PUBLIC INFORMATION PUBLICATION (1)The department shall develop a drowning prevention education program,which shall be made available to the public at the state and local levels and which shall be required as set forth in s. 515.27 (2) for persons in violation of the pool safety requirements of this chapter.The department may charge a fee,not to exceed$100, for attendance at such a program.The drowning prevention education program shall be funded using fee proceeds, state funds appropriated for such purpose,and grants.The department, lieu of developing its own program,may adopt a nationally recognized drowning prevention education program to be approved for use in local safety education programs, as provided in rule of the department. (2)The department shall also produce, for distribution to the public at no charge, a publication that provides information on drowning prevention and the responsibilities of pool ownership.The department, in lieu of developing its own publication,may adopt a nationally recognized drowning prevention and responsibilities of pool ownership publication. THE UNDERSIGNED BUYER(S)ACKNOWLEDGES THAT THIS DISCLOSURE AND RECEIPT OF PUBLICATIONS AS PROVIDED TO BUYER(S)PRIOR TO THE BUYER(S) ENTERING INTO AN AGREEMENT WITH POOLS BY JOHN CLARKSON TO PURCHASE A RESIDENTIAL SWIMMING POOL. DATE: BUYER z o0 v v -+ v ;oz0 z c cC/) v —_ D n tt. m _ z D ' M :Jo i btu a rn �s tt 2 R 0 i 2 ft.0 in. 1 cn X C) n n 1 _ O m p 1 - _ o m p m I 0 o ' M C G) �, .o 71 I _ z m G m zm I �_� J D NO via z = m _ _ � A 1 _ . x n Z i z D 1 c 47 m m_ o m � I � m 1 4 ft.0 in. I ic rn v z ('D a v n z CD CD x nL CD r J Pia� O r iI(IU411CCII"' Pools by John Clarkson fo 0 V MG`S � l Mtn FF 1� �Vij6 2�,�"''� �0. 0D 4AI, . y1f (/Vwe�A ytv' eirlwt" %l (rte-r o►.3 G mkx- st pE _fOTcow rj 1 .4 'T-O ,,y/'/ T6�� mAi3 600 St. Johns Bluff Road North • Jacksonville, Florida 32225 • l904) 223-4050 • FAX 1904) 223-0735 –t—PA CPC 009595 C) To: Lee and Deb Leibecki From: Theo K. Mitchelson Jr. Re: Architectural Review Submission - 402 Snapping Turtle Ct. East Ili Vall, I am pleased to share with you that your request regarding the construction of an outdoor summer kitchen, deck changes, and pool installation, have been approved as submitted (6/24/08), with the caveat that the proposed fence be moved as discussed to the edge cif the cool deck. 1 know you are eager to proceed. Please feel free to do so. If you have any questions, please do not hesitate to give me a holler. Sincerely r Oceanwalk Association, Inc. l'.0- 13t)x 3 311 RR, ;t Hari tir Brach, F/, .3223.3-11 SS DE PREMIER ALUM 1 N U M FENCING QUICK SHIP PROGRAM Delgard's Quick Ship program offers the most popular products including styles that are ideal for swimming pool enclosures and perimeter fencing. All products in the Quick Ship program will ship within 5 business days upon receipt of order. Residential. . . Avalon Doria Elba Guardian Doria Guardian Elba Sizes: Sizes: Sizes: Sizes: Sizes: 48". 60". 72" 4811, 6011 48", 60" 54" 54" Colors: Black Colors: Black, Colors: Black Colors: Black, Colors: Black Bronze (48"only) White, Bronze Aero . . . Avalon Doria Guardian Doria Sentry Sizes: 48". 60" Sizes: 60" Sizes: 54" Sizes: 48" Colors: Black Colors: Black Colors: Black Colors: Black Gates. . . Straight ht Arched g Quick Ship Straight Gates are available for all the styles listed Quick Ship Arched Gates are available for all the styles listed above. Straight Gates are offered in the following widths:36", above.Arched Gates are offered in the following widths: 36" 48",60",6' Double Drive,8' Double Drive,and 10' Double Drive Single Arch,48"Single Arch,and 60" Single Arch 1 to LL W � 1 0 n ^� 0 • N to ZLU Z Z X I o [0 W W J m 0-C Z l �Z 3�3 - V1 �+ --_ - w QW! N O ` 1 � S :r Z 1 3 � Z d ar } o c N O 1 w N 0 .. r ~I � 0 3 � < \ 1� o oo '\\\ r s r ►- SCD Cl LL. \� 1 cr) 1 U Ncr �/J �. 08 vs 5coA. Z r f' '° ► 1 N 11 I 1 aCL. w w a z < o o (7 0 0 ~ _ `1 0. Z',-4 �w 1 1 N cn LL) 0 � 1 L 0 < < 0 >- OO U._-ZL r d w Z C� N � v t _ a °- aa � caw 1 'o a. N °dvzmw oa �p a LU C�iJWOZ00 �a IL >: W W Q w J uj =1 LJ Z Cc W P azxLLJ � o- moo a n CK in LLJ Cr- _ _ �' a► 0 mZ L`. Z J 0 W 0 �Cc CL m -� CD y" o L7 w a m N pwLa 0 W o w � ~ awl a� 2 �_- z CO F-- ? 02OfQ z� � G J f.. o _ - -` ` — p Z61 14- �- � f W V Q >; cn -1 - a. � I I ,Z C 0 A. 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O Ufa •0 v ':'fps,-•- t\ Q . 4A. to / W a U to 0F�-/ o Z)NW CLO o d a Z �s 'by;�� City of Atlantic Beach APPLICATION NUMBER r� Building Department (To be assigned by the Building Department)= `J 800 Seminole Road - r Atlantic Beach, Florida 32233-5445 Q Phone 904 247-5826 • Fax 904 247-5845 !u,��r E-mail: building-dept@coab.us Date roofed: City web-site: http://www.coab.us Ilk :: 1ilCCeoG A ;Ll i i T0 AL i4vig ikfflkn c:n0R6i P�LF- V I-IV/`0 1 IVIM 1\L.v IL V V rZI®V I r�Ta�rroro�� r o.or�rrr � Property Address: Z �Depaent review required Yes No udin � I Zone Applicant: r OGts b ..._ : : ,;.�... ub ic. tilities.. _ Project: /1 Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection 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: FlApproved. [-]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING PUBLIC OR Reviewed y: Date: P BL U I ITI Second Review: ❑Approved as revised. []Denied. Comments: PUBLI SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: ri y1,y f,� City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Q Phone(904)247-5826 • Fax(904)247-5845 1 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us MrrIrM evh"i iv1M� ®`V 1L_WV� AAvv T®^vWii�:v Cn�?RA Department review required Yes No Property Address: Z ildin oni Applicant: o SnblirWorks Public tilities Project: /1 Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection 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: ❑Denied. (Circle one.) Comments: le"W'" BUILDING 14t440 PLANNING &ZONING PUBLIC WORKS Reviewed by: to of " Date: PUBLIC UTILITIES Second Review: Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: 7 "Z Z'0 Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: City of Atlantic Beach APPLICATION NUMBER o be asci ned b the Build' De artment. Building Department R 9. Y g P s 800 Seminole Road r' Atlantic Beach, Florida 32233-5445 Q Phone(904)247-5826 . Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us r%r i- L-Ivr% i IWIV 1X - V IL-MV rea®v r ® %ol"Wa Department review required Yes No Property Address: ZSzMPjAQ� kdk ildin _ �� rTfiiS Zont Applicant: o( sq c Works .Public Uti sties - Project: Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B Florida Dept.of Environmental Protection 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: QApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&Z PUBLIC WORKS Reviewed by: G�/�-- Dater 142�1 PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH G FENCE PERMIT APPLICATION 3 urt Vis- Date: Z-%.s-D S� --- PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Job Address: *f -/7tJ0914 V T-ye-T14 41 j. C Owner's Name: L.6 1k6, Lz G � �,,L ✓ Address: PPI J&- i-vrP.Tli !T-. C _ Phone: t°l 'S Legal Description: Bleck Number: Lot Number: 2 Zoning District: Fence Contractor: G1` oy-zpo� Address: 10W 47-r-PA 7 4/WW- kAP N) TO�X► he Phone: 61!>4 ZZs L40e7-0 City: jel.J�\tam State: Zip:7790 Fax: IP14 ZZ?�D"k3S �l Type of fence and materials to be used: At_VP^IIJ1 A f1@k;0rj(r_ Valuation Of Fence: X Interior Lot ❑Corner Lot ❑Dumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required?Y� If yes,please submit with this application. 5M 4 QD Tree Protection: NO. Applicant certifies that no trees will be removed for the installation of this fence. 9YES. Remov:ai of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets t+.vo times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application(please print). Name: c .} i,1 cr-tic' tom-- / Lk/1"t- Mailing k/1"t -Mailing Address: 6 4,90 S ,,f L-5 zSz4z/. - /�/ 3 � Phone: %��`_ �r ,�� Fax: E-Mail: ✓�,u 7800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - bttp://www.ci.atlantic-beach.fl.us Page 1 Revised 3/04/04 I hereby certify that I have read and examined tida application and attached documentation and know the tame 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 permitdoes not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws In anymanner,including the governing of construction or the performance of construction of the property. 1 understand that the Issuance of this permitis contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signatarc of Owner: _ Date:L _ p AS TO OWNER: Sworn to and subscribed before me this day of .20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of +20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 2 Revised 3/04/04 OCF-AN W eK To: Lee and Deb Leibecki From: 'Theo K. Mitchelson Jr. Rc: Architectural Review Submission -- 402 Snapping Turtle Ct. 1?asl Ili Vall, I am pleased to share with you that your request regarding the construction of an outdoor summer kitchen, deck changes, and pool installation, have been approved as submitted (6/24/08), with the caveat that the proposed fence be moved as discussed to the edge of the cool deck. 1 know you are eager to proceed. Please feel free to do so. If you have any questions, please do not hesitate to give me a holler. Sincerely r Oceanwalk. Association, Inc. 1'.0. Box .3 31188, AIlantir Brach, F1, )22-3-?-1188 PREMIER ALUMINUM FENCING QUICK SHIP PROGRAM Delgard's Quick Ship program offers the most popular products including styles that are ideal for swimming pool enclosures and perimeter fencing. All products in the Quick Ship program will ship within 5 business days upon receipt of order. Residential. . . Avalon Doria Elba Guardian Doria Guardian Elba Sizes: Sizes: Sizes: Sizes: Sizes: 48", 60", 77" 4811, 6011 4811, 6011 54" 54" Colors: Black Colors: Black, Colors: Black Colors: Black, Colors: Black Bronze (48"only) white, Bronze Aero . . . 11thitithl f1thitititl Avalon Doria Guardian Doria Sentry Sizes: 48", 60" Sizes: 60" Sizes: 54" Sizes: 48" Colors: Black Colors: Black Colors: Black Colors: Black Gates. . . Straight Straight Arched Quick Ship Straight Gates are available for all the styles listed Quick Ship Arched Gates are available for all the styles listed above. Straight Gates are offered in the following widths:36", above.Arched Gates are offered in the following widths:36" 48",60",6'Double Drive,8' Double Drive,and 10'Double Drive Single Arch,48"Single Arch,and 60"Single Arch rte' CITY OF ATLANTIC BEACH "N FENCE PERMIT APPLICATION •r ua �� Date: 7-1.5— Sr/ --- PLEASE SUBMIT(3)COMPLETE NETS OF PLANS WITH APPLICATION. Job Address: L�2_4'2'00910* "[�t/�'r1� !i1. C, Owner's Name: 1�e GAA CA k Address: LTC Phone: li.t,t Legal Description: 13184 Numbe-r: Lot Number: ?i Zoning District: Fence Contractor: 151 `0 40 oy-50� Address: ` 1��D1�Y•17 P;WC* kAP fO�X• he I!Z,� Phone: %> Z-ZS LADr7 0-- City: � e►.J�f\wE State: Zip: 277.2-0� Fax: 0194 !Z? 4;%35 U Type of fence and materials to be used: A111/P^I0sl WA f1RJf6r1I(r_ Valuation Of Fence: 4Interior Lot ❑Corner Lot ❑Dumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? Ye/:;� If yes,please submit with this application. Tree Protection: NO. Applicant certifies that no trees will be removed for the installation of this fence. YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets t A o times each month. Procedure: In order to expedite issI3ance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result iru delay in issuance of permit. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application(please print). Name: ( x t,/ce tic e ,A�//I z/'-I_ Mailing Address: "41"n0 S xi5rz, Phone: Fax: zt,7 3.�; E-Mail: 1800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 1 Revised 3/04/04 I hereby certify that 1 have read and examined lhiw application and attached documentation 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 o1's permiitdoes not presume to give authority to violate or cancel the provisions of any foderal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of constructiain or the perfonnanee of construction of the property. I understand that the issuance of this permitis contingent upon the above information beis7,g true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: Date: AS TO OWNER: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fag: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 2 Revised 3/04/04 City of Atlantic Beach APPLICATION NUMBER S,+ Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 9�� Phone(904)247-5826 • Fax(904)247-5845 IJ L 2 1 IJ L,;,»r E-mail: building-dept@coab.us � City web-site: http://www.coab.us !.; , r Date routed: Aon``ivM"i ivKI ®`wiL_ww �1®�v T vaCofxv v C�QAA Department review required Ye No Property Address: V Building .11 ' Planning &Zoning Applicant: Public Works Public Utilities Project: Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection 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: ❑Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: PUBLIC UTILITIES Second Review: [-]Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: [-]Approved as revised. ❑Denied. Comments: Reviewed by: Date: i!' CITY OF ATLANTIC BEACH 08-F7 I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1,JOB ADDRESS 2JVALATION OF WORK 3,SQ FT.UNDER ROOF sr~A��, -s 3 �o -� Jtzr�� 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ` ❑NEW BUILDING ❑DEMOLITION ESIDENTIAL LOT% '?BLOCK_SUB DIVISION '�% G 'a b=��/7 i+'��C � UlADDITION ❑CONVERTING USE El COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLERo- 0 REPAIR ❑POOL/SPA 133YES N/A (7D1>.zlor4 riF' Cjr•tr� ❑MOVE ❑OTHER LT NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME. 15.COMPANY NAME: 23.COMPANY NAMEE. G ` 16.NAME: 24.LICENSEE NAME: ` A Sr-A �aM `f rvr_2 0 - � A ^- -rt 5p 10.ADDRESS: 17 STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE LA0 Z SNA�13iv5 -Tv rc7le- C ? i` 7 ja J C-4- 18.ADDRESS: 26.ADDRESS: fast ScczlQ Av A-7 _ SjF4eq �1 Z�%I `t =o /"� ' '� � =,rt,r_ Gr�ilc4 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20,FAX NO.'. / 27.OFFICE PHONE: 28.FAX NO.: `r +' •i%'�[. -{` %y ` 'Z`i Z-09 r✓S Z 9 -c,!;7 p vWV 1� 13.CELL PHONE: 21.CELL PHONE: -77 29.CELL PHONE 1r . ' e' - t 14 EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: .;;, -< A 5 L�4T- HfaSi�u�,c"oto Gyc,". - A--Gvd-� FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME. 35.NAME: 32.ADDRESS. 34.ADDRES 36.ADD Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces, Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR If Agent,Power of Attorney or Agency Letter Required) 4Qualifier Only) • Signed: Dated �q � Signed: �/� ate: 1 Before me this C Iday of G( 200�in the county of Before me this day of 1 200$in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared A70,km b 34lf T)f@LS herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. 1 true and accurate. 'D Notary Public at Large,State of © County of O V6( Notary Public at Large,State of _,County of 'Dili Personally Known ❑P sonally Known L� ❑Produced Identification duced Identification- 6i��Notary Signature: Notary Signature: TINA B.SHORTRIDGE MICHAELHAYSE =o� a Nota Public State of Florida ''u Smy Commission Expires May 12,2009 0 �� Notary Pubic,State of Florida _ = Commission#DDS291731 COAB FO D 1/10amission#DD 402512 ivly comm,expires den.15,2011 9`"``'`• Bonded by National Notary Assn. t :aT�, To: Lee and Deb Leibecki From: Theo K.Mitchelson Jr. Re: Architectural Review Submission—402 Snapping Turtle Ct.East Hi V all, I am pleased to share with you that your request regarding the construction of an outdoor summer kitchen,deck changes,and pool fec allation,have been approved as submitted 6/24/08),with the caveat that the proposed nce be moved as discussed to the edge of the cool deck. I know you are eager to proceed. please feel free to do so. If you have any questions,please do not hesitate to give me a holler. Sincerely 4r r Oceanwalk Association, Inc. P.0. Box 331188, Atlantic, Beach, FL 32233-1188 MAP OF LOT 28, OCEANWALK UNIT THREE, AS RECORDED IN PLAT BOOK 42, PAGES 74, 74A, 74B AND 74C OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FL SCAL RADIUS = 45.00' L4 U Z ARC = 41 .45' LOT 29 SNAPPING TURTLE CHORD - N35°46'25"E - 40.00' COURT EAST N35'54'24"E - 40.04' (FIELD) CUL—DE—SAC (PAVED) FOUND 20' DRAINAGE, UTILITY & SEWER EASEMENT 1/2" IRON PIPE LB1084 o o EDGE OF S8 0 3 7'E ° „I 10'O3' IRON TO BRICK o 8 E IRON/ DRIVEWAY p p) �'� S�•8' o 99. 12, FOUND FOUND ```v' C6 1/2" IRO 1/2" IRON ?==-=1`=_ PIPE LB 848 PIPE LB3672 LOT 28 zo CONCRETE ad /�' [ '.x`• :.11. �s PAD k ..1. a 7' 1.2 7 �. ONE STORY. `ry 6. COQUINA �� 8 6 RESIDENCE #402 V 9 �6 BRICK PAVER s- LOT 27 0�G ��- STEPS '00 4.0' O—M ST cT,p rA A P 0 FOUND 1/2" IRON PIPE LB3672 10.0' City of Atlantic Beach ' �� APPLICATION NUMBER Building Department (To be assigned by the Building Department) 800 Seminole Road ' ,g =� Atlantic Beach, Florida 32233-5445 �r �. Phone(904)247-5826 • Fax(904)247-58 .� E-mail: building-dept@coab.us d� Date routedr' L1 City web-site: hfp://www.coab.us . A MBI Iff" ATIf1A1 ®C\/IC\A/ A AIn TO A f'`1lIAIf_% C:nDRA r'%&_v 1`rr FNIN" o . v.XI.. Property Address: C Department review required Yes No Building ` r 9 Applicant: � A Public Works ceP� . Project: �� Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection 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: proved. [Denied. (Circle one.) Comments: BUILDING �e•� PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: PUBLIC UTILITIES Second Review: WApproved as revised. ❑Denied. Comments: PUBLIC SAFETY t�2— CeL S�- tom. 51)'_1 r►,ar �r w� &4 FIRE SERVICES �( ,L my�,�- � A�1 "/t 01— S, rL. Reviewed by: Date: .2 Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Public Works Plan Review Comments 2 / iqg Initials: Date: �� i✓/t�'l'//�� lu�T� Cl T�. Project Name/Address: E �� Application Permit Che&Zoz Comments to Add Application Tracking :Comment Provide impervious surface calculations Provide erosion and sediment control plans with mstallatioetails and maintenance X schedule. M NS i 4&4-ar C9-5rt P tel'" o 0 Provide drainage plans showing site topography (flow arrows, etc.) Provide construction site management plan, including Right-of--Way Permit if using ri t-of-wa for construction armg. b a Florida Licensed Provide a pre-construction topographic survey prepared y ❑ Professional Land Surveyor, showing 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for calculations and on-site retention required ❑ increased runoff. Provide Delta volume er Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting ❑ ro er construction will be re wired. ❑ A Right-of-Way Permit must be obtained for use A Revocable Encroachment Permit must be obtained. Pool—Wellpoint(if used)must discharge into vegetated area 10minimum-from street or drain a a feature (swale, structure or lagoon). All driveway aprons must be concrete, 5 inches thick,4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW (Commercial driveways—6 thick). Any utility cuts in the road must berepaire omthe ceOi Standard nter of the utetail Case X and Repair must be ❑ must be overlaid 10 feet in each direction from shown on the plans. Roll off container company must be on City approved list and cannot be placed on City right-of-way. _V1 ate( SSS Jul 28 08 04: 52p ACTS 904. 333. 1111 P. 1 A-r-r. ef-A R I'E. g a-c- '2-3 4' 6 MAP OF BOOK A-2, PACE, I-irHT THREE, AS RECORDED IN PLAT --'FF CURRENT PUBLIC RECORDS OF DUVAL COUNTY, sci 02 LOT 29 40-00' �0.04- (FIELD) \I G TU EASEMENT T A 1'� U7.LIT', ,;k SE"E S –J , PIPE 1_C 17 Sgo.- 03- IR Ci ccc:: 80 ' 8"E IRON OlV smw� 99-12) FOUND —1/2" IRO E M 48 *'Om mm PIPE LK67 L 2 111 �.Z.CRETE AD "aliff `\;• J• is lzll ONE STORY- COOUINA RESIDENCE 1402 �\I' \ �:Y � 1 1 LOT 27 c:5 c in F c/) .0 Ile J-imo. 10.0 Aiao03'04 .w LOT 17 r o LO J H 0 J C) O O J ao Jill 00 M LLdL` v " lL t0 � Q � N ` aZ N O � U _ Y J O > mo o� -10 o - �6 a N Z � z w o 00 N a0 ° ~ k LLJ I W O � o 00 OJ O W O nN "b O U O^ = L/ z, WD CL 'tea, Ery•rs g� LLJ M 12 = F-- wS .s0 QCL 5 M O a [ t W Q:: p W 1�6 OZZN 2 L O 00 NO�0 4.0, ~ U NW �,i WOcn c Ld O QD N Z !` , •Y o •� ;n m Y L- Ln LnM *'6( < zz 0,01 0' N Q( O 0, �— t < � 8' QZ �� qp O LLI r / Q ZOa ONk o O g N q- ma � QU oma ~o Li d' F-- N D< J Lv fL N U�� Zto O n z�W o-� �D� Z= W QOa oda z LL- ^I O M cr) J 0] iL- O O co Z O o CV W z Z x F- m V) x W W w LjH V) W EL ZW _a_ 7) ~ O Q g m Q ¢ cn � U -0 Z C LS WCL OV) C < Q W F-)- Ad O N O � Ln > O Z 00 0 ons z 0 W Q N N > > OU cr- U m = j U� Q (n O Q =' o U � Q N (/7 z p 0 0 3 H m 0 0 p LL. z o LL.Ld W 0 w > v C:) c Q Q 0 W V / Lj O 0 3 _1 co V) J Z D > z0 Q � Q u CL Q Li 0 UJ o ~ N z a W L � _ > oCD o z < a 0 0 ppm Z. o ~ W OLL. Q pNwN Q� (nWU � O0 oma LLJo QmQ0 � 0 w wzC):� N -J m CL Qom — Q � i-- m U Co U W Cl. (f) Q z � wr 0 po 0 w = ZQ0mF=- Z Ln Q0 O CL �" O J O : m w-�_ Ln V) _1W JOm0O cr- 0 Qf W J Z U ¢w w w CL 1r z_ w = �` W rn Q zoa > J Z Q W Z � > F-) J Z Z = Q .- D Qp L=) o O o- C)C �vwiQ o m � Z � zJU 0Q� a � Lijw w ryO mew �� o W N 0 W m w m J o m Z Q Q M Z Q LLJ Q U p z N 0 m N cri ¢ o O � U0w ~ Q�pw Y z � N m W O W� (n QZ >OZ u N a W � �a > J i-ww W Q L 0z z m = ?7 i a CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 jilt Application Number . . . . . 08-00000969 Date 7/30/08 Property Address . . . . . . 402 SNAPPING TURTLE CT Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 28500 ---------------------------------------------------------------------------- Application desc new pool ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LEIBECKI POOLS BY JOHN CLARKSON, INC. 13997-4 BEACH BLVD. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 223-4050 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 175 . 00 Plan Check Fee 87 . 50 Issue Date . . . . Valuation . . . . 28500 Expiration Date . . 1/26/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. REQUIRED INSPECTIONS : *POOL STEEL *ELECTRICAL GROUNDING AND BONDING *FINAL (PUMPS MUST BE RUNNING FOR FINAL) Roll off container company must be on City approved list and cannot be placed on City right-of-way. Construction site management and erosion control plans must be available on site . ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 175 . 00 175 . 00 . 00 . 00 Plan Check Total 87 . 50 87 . 50 . 00 . 00 Grand Total 262 . 50 262 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. J CITY OF ATLANTIC BEACH POOL PERMIT APPLICATION Date: Job Address: 42- Sr'ArPi J(,. iva-iii, l atNL`T F S-T- Owner: FAa►,t ty Ge.e A-110Phone: Contractor: {oo&5 2!3 -rb ib;i Phone: qEq 22-3 40'5c.> Address: (ovo 'yr-lbL-5 OLVO� to r-3 Fax: lei '",'-3 04:45 City State:NP-�- Zip Code: 3't-Z-7-5- Valuation of Proposed Construction: �j D O ' Gallons: *Impervious Surface Calculation: f O.S6 • Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rainwater, however, ,decking around a pool may be considered impervious depending upon materials used. 7hiv valc elation should reflect the total urea of imperviems ,surf ic•e to be added under this yermil such yv sidr►talk 'C'ooldeck' ncmer% (,I( Is approval of Homeowner's Association or other private entity required? if yes, please submit with this application. 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 pari hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Procedure: In order to expedite issuance of permits,please follow all steps and provide IH information as annropriate. Incomplete applications may result in delay in issuance of permit. 1. Recent Survey-including all existing impervious areas, �%ith calculations shoNsinL percent of lot coverage. 2. Two(2)complete sets of plans. One(l)copy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement. 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m.. to 5:00 p.m. Monday through Friday at 247-5826. Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following workday; please specify a.m. or p.m. inspection. When calling in an inspection please have the permit number,job location and type of inspection needed. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of$35.00 is charged for all re-inspections. REVIEWED OR CODE COMPLIANCE - ...«.• 800 Seminole Road•Atlantic Beach orlda -- hone: (904)247-5800• Fax: (904)24' -5845• :// 1ARJ&AMC BEACH SEE PERMITS FOR A00VW0J l"_ FILECREQUIREMENTS AND CONDITIONS. _ F: REVIEWED BY: DrKCE: I hereby certify i rmati n rovid with this applicraion is correct. Signature of Ow Date: 2- [ hereby certify that I have read and examined this ap%ulication 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 prrmit does not presume to give authority to violate or cancel the provisions of any federal, state or Iancal rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand the issuance this perindt is contingent upon the above Information being true and correct, nd tat the pla an uppo ng data have been or shall be provided as required. 1 Signature of Contractor: 1 Date: r AS TO OWNER: 1 Sworn to and subscribd bef " me this ,day of % .20 . State of Florida,County of Duval NIC[)(F��//ifs Notary's Signaturc-.10L �_�` •'��COMMis�,9�i�i F1Personall.,,known ��•• Novemba�sio� o an x:u, Produced Identification Type of Identification Produced 02 AS TO CONTRt�/ : Sworn to and subscribed before me this _day of_. 20 . State of Florida,County of Duval ' Notary's Signature:41 l L� Personally known \NNN�`'' •�,C• j',9j., ❑ Produced Identification / Type of Identification Produced .v , ® wa�v:M= ot 800 Seminole Road-Atkantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904) 247-5845 a http://www.ci.atiantic-beach.fl.us Revised 8/04 Doc # 2008185931, OR BK 14577 Page 1159, Number Pages: 1 , Recorded 07/'i7/2008 at 12:44 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: The undersigned hereby infosarrs you that improvements will be made to certain real properly, and in accordance with Section 713 of the Florida Satutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being inoproved: Lo .�2 9- Address Address of property being improved: qOZ SnI P�..rL`wm-fle t71S General description of improvements: 1-1 C�..�. Owner: t,610I !ij Ze.. .�',� on 6riAddress: '{oma ✓iIP_P• 7L,�rl.E��1w 6 Owner's interest in site of the improvement: Fee Simple Titleholder(if otter than o•wner): Naune: 4 Contractor: + (itaQ�b,,� KV L", O.� J�h-) N Address:�o o S ✓e�i n s f3 1, ,t��/t/ �/ ,� f, �� Telephone No.: fo Y= �j-yv.ro Fax No: fp y-tea 3-a7 i Surety(if any) Address: Amount of Bond$ Tek,.,o.tone No: Fax No: Name ani Ldr7tess 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: Address: Telephone No: Fax No: In addition to himself, owrum desigmtes 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: L� Telephone No: Fax No: Expiration date of Notice of Commetwement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNE Si Date:'7 Before me this f� day of ina ,VFA to erson Of Florida,has pally appeared •` �.•••••••,•. ✓i Notary Public at Large,State of Florida,Coun Yuo 9 ° •. 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Z T I D 0 2.ox 1 o 1 1 A I ~1 1 I 1 o 1 4 j � )o wool / pooujogbieu •NOSiIaV O NHor !le of joafgns si pue Aa Slood AS a3ZRIOH1nV SS31Nn uo!}epunol pa!J!:PaO 10 a3IISIHONd SI 1d33NO3 SIHI WONA An }ua6ui}uo0 s! ue�d NOIlOn211SNOO 210 NOI1on002Id321 I+aIZI01:A '3TIIANOSX7Vr 3.10N •2NI •NOSMV'1.7 NHor AS S'IOOd :10 A1213dOHd 31-11 SI 1d3ONOO SIHI 331ION MNV3O0'H;DV3EI DLLNV'ILV I'IOMIO TL MfLL L)NIddVNS LOB ureA r�OagYaZ au.L Od aOuapisQN ANON y y?-VCYO -7v'�� woo S-W7"�,�J -d31S .19 OrSd AS 011Vd 3N11LH3AV211 M3N SS300V HOtiOd 0183AOO NRHOlIN N3wwns ❑ _ I Orad AB AVM)41VM 9NI1213AVLI1301M.E (Z) a I 9A331S I i I ui 01 M d33a ..8 0 A 13HS NnS I I ----------"r-_ ---� i i SH31-110 AS JNIdVOSONVI � `3d'bS 06 :AVMN-IVM i 3d ,bS 91•Z :V3NV OI1Vd MEIN -;d •bS OVV :HONOd a3213AO3 'ld 'bS 9Z9 'V3HV H03a �d L1.6 :N313011213d-100d id'bS 9£5 :V3HV'IOOd City of Atlantic Beach APPLICATION NUMBER. Building Department (To be assigned by the Building Department.) ` 800 Seminole Road Atlantic Beach, Florida 32233-5445 904 Fax • 247-5845 Phone(904)247-5826 ( ) E-mail: building-dept@coab.us City web-site: http://www.coab.us Date routed' I d(/ �FVi_evh"i Ivi�N �`V1L-Vr �i��v T®nvVii�1v CvQR� Property Address: CT� De actMent review required Ye No ��ina k Build' Plan &Zoni Applicant: n k Public Work Pu is Utilities Project: Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection 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: APPLI TION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: =BUILDIN� PLANNING &ZONING PUBLIC WORKS Reviewed by: � Date: 7 22'L5� PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: rS'"EJ'irj,:_, City of Atlantic Beach APPLICATION.NUMBER ;;f' _` Building Department _.(To be assigned by the Building Department 800 Seminole Road - ' Atlantic Beach, Florida 32233-5445 g 47- Phone(904)247-5826 • Fax(904)247-5845 L,;,��r E-mail: building-dept@coab.us Date roofed: City web-site: http://www.coab.us A M0so C: A'1 1^KIII MC!11MwAl A moth■ TD A i ie 1 k I=i-1D afi r%F- r L.IV/'1 I IVIV 1\1— V 1L.YV r11'%1J 1 I v1k1V1 Property Address: �� JpjnQ /k r�,cg C7_E De aent review required Yes No Buildi JZon Applicant: n K Plan i & i Public Work :.0 .,.r:,--�: .._._ .,.. .. ...... ... ::.:.... ,Pu is Utilities Pro'ect�; _ . . 1 � b0 Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection 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: ❑APer vo ed. ❑Denied. (Circle one.) Comments: BUILDING QP�LAN�NG&ZONING PUBLIC WORKS Reviewed by: Date: PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: II CITY OF ATLANTIC BEACH !� POOL PERMIT APPLICATION Date: Job Address: Owner: Phone: Contractor: f ec.5 t', ,;p r�,l ,yan�f,�,� Phone: qc r?3 L::`75C, Address: �-o 'Y—k .55 Q;_.C�Yeo ry Fax: 4101 2-z3 c P-S City : .J-/t I State: 4:-�— Zip Code: 1�LZzS Valuation of Proposed Construction: . e 5f0 O Gallons: *Impervious Surface Calculation: • Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rainwater, however, ,decking around a pool may be considered impervious depending upon materials us--ed. phi.% c alculation should reflect the rota/arca ol'imperriore% sur%ace to be added under this permit, such as sidelvalk, 'Cooldeck', paver"., etc, Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. 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 City of Atlantic Beach ordinance and standards of good practice listed therein. Procedure: In order to expedite issuance of permits,please follow all steps and provide AD information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Recent Survey— including all existing impervious areas, with calculations showinL percent of lot coverage. 2. Two(2)complete sets of plans. One(1)copy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement. 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247-5826. Requests can be scheduled after hours by leaving an message on the voice mail system. Inspections are made the following workday; please specify a.m. or p.m. inspection. When calling in an inspection please have the permit number,job location and type of inspection needed. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final BUILDING CARD MUST BE POSTED OR NO ]INSPECTIONS WILL BE MADE. A fee of$35.00 is charged for all re-inspections. 800 Seminole Roaxd•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us Revised 8/04 t lereby certify i rmati n rovid with this appiicelion Is correct. Signature of Ow Date: 2' F 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 pormit 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 the issuance tihis pernslt is contingent upon the above information being true and correctand tat the pla an uppo g data have been or shall be provided as required. Signature of Contractor: 41k, Date: , 7-0 Si,� AS TO OWNER: r Sworn to and subscrib d bef me this ,day of 20 . State of Florida,County of Duval O ` s Notary's Signature:"I 'MY COMMiss.;9 �� ❑ Personally known e >4.Cnz Produced ldentificati+Dn z=m LI Q�/ G'Type of ielentificatios+Produced^� � 'i:e, i`�C�•:�452 � Wi j�OF�FLO��OP��\\ AS TO CONT/lt�l ��\ Sworn to and subscribed before me this 1 day of20 . State of Florida,County of Duval Notary's Signature: `��ti{{ililtfl{fIN Personally known NQ Type ��+C��;r��jii�� ❑ Produced Identification .: vambo,�4y2 Type of Identificatiom Produced CZ M bB 2 MOM.0m•e�(dmN Q •��K 1z,��/ OF F\ 1111o�\O 1 \\\\\\` 800 Seminole Road•Ad)Eaantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845• http://www.ci.adantic-beach.fl.us Revised 8/04 Doc # 2008185931, OR BK 14577 Page 1159, Number Pages: 1 , Recorded 07/17/2008 at 12: 44 PM, JIM FULLER CLERK CIRCUIT CCURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: The undersigned herebyir,�va'.au you tat improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the follovving information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: d ,,2 j- �Jc_ rz 3 Address of property being improved: `f OZ 5nitPr.J(� "te: t General description of improvements: xLe ou / C.— Owner: L W R -f F4,1l✓/ ike->lx±!�w G�, Owner's interest in site of the improvement: Fee Simple Titleholder(if other than orwner): Name: Contractor: 1yl P U P/wL17 JratN(f�2/�l,cJ 4v� Address: 00 Sf ✓c�.t s ,��f f 1�d IV/ J -x', Telephone No.: fp j-, 3-yv;o Fax No: %/��3-C17-3.5- Surety f3,iSurety(if any) Address: Amount of Bond$ Toko,we No: Fax No: Name amyl dd$m of any perenon 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: Address: 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 RECOIRDER'S USE ONLY OWNE Si Date: 7 Before me this I—day of in the date Of Florida,has personally appeared Notary Public at Large,State of Florida,Coun t My commission expires: N. Personally Known: _ �•� :o- Produced Identification: L _ 24 ///��ellll s+�V1rCity of Atlantic Beach APPLICATION NUMBER Y 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 -- �;,��% E-mail: building-dept@coab.us City web-site: http://www.coab.us Date raged /Aur1—Mri-�i19 k■K■ s =eiGMeO noGi T : A�o sikia �. s eFfi I 1%J111 1�L- V1LYV r1a®v i � v.%IV. Property Address: Z, �pjnQ /k/r�� ,E� De ardent review required Yes No Buildi Applicant: h k PubliMo PlanrkZoni Pu is Utilities - Pro)ect: �/�,1,� �D 1 Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection 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: ❑Approved. []Denied. (Circle one.) Comments: BUILDING . PLANNING &ZONING Reviewed by: Date: PUBLIC WORKS PUBLIC UTILITIES Second Review: qApproved as revised. ODenied. Comments: £X,.laroJ CVu?�L p�S Ph vSr PUBLIC SAFETY � �� FIRE SERVICES Reviewed by: Date: .2/14�69_ Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Public Works Plan Review Comments n 4 Initials: Date: Project Name/Address: Application Permit#: Check Boa _:Application Tracking Comments to Add ;Co went Provide impervious surface calculations. Provide erosion and sediment control plans with installation details and maintenance schedule. Provide drainage plans showing site topography (flow arrows, etc.) Provide construction site management plan, including Right-of-Way Permit if using ri ht-of-wa for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed Professional Land Surve or, showina 1' contours. v o e t Re qu' es -site st ag e o r c a ' o - i n - e e s e , a o c c n o c e s i e A Right-of-Way Permit must be obtained for use ❑ A Revocable Encroachment Permit must be obtained. ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from street or drainage feature (swale, structure or lagoon). All driveway aprons must be concrete, 5 inches thick,4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW (Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. Roll off container any must be on City approved list and cannot be placed on City right-of-way. I NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: The undersigned hereby infomms you ttlrat 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 iaspr+oved: Z n f --2 S" Oc Address of property being improved: 40L $n►<#'fv4-17W-TL6 General description of itr ou Owner: til kf I Z'd c_ Z&,-Z cd✓Le :4e,,, Xddness: 4d Z 'ivA-AP—t- tla• �+4g Owner's interest in site of the improverment: Fee Simple Titleholder(if other than owner): Nature: nContractor: lb&P lith r1 f✓�� Pcr�L1, n� /Tri6�► C4,-V-Nc Address: o o s y` ,),%s f3/.r�F N J-•-.r �f �3 5' Telephone No.: Zg f". Z�3" �s� Fax No: %D S/ .3 3-07-35- Surety(if any) Address: Amount of Bond S Te] one No: Fax No: Name and' 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: Address: 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: L� 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 RECORD13 'S DISE ONLY O SiW14 Date: of Before�t�u appeared e-( �1y in the Doc#2008185931,OR SK 14577.Paye 1159, Jotary Public at Large,State of Florida,Coon 9 9%; Number Pages:1 Ay commission Recorded 07/17/2008 at 12:44 PM,JIM FULLER CLERK CIRCUIT COURT DUVAL personalty ~° 4 :o COUNTY 'rodaced Identification: C- RECORDING$10.00 OJ9.• O\ ii/9y•.BPubra•�•.OQ�� ''U►iitiiitili�``�\\ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j s) ATLANTIC BEACH, FL 32233 t� v INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000975 Date 7/30/08 Property Address . . . . . . 402 SNAPPING TURTLE CT Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 41300 ---------------------------------------------------------------------------- Application desc rear open porch ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LEIBECKI ADS BUILDERS, LLC 2849 IONIC AVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 240 . 00 Plan Check Fee 120 . 00 Issue Date . . . . Valuation . . . . 41300 Expiration Date . . 1/26/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. Construction site management and erosion control plans must be available on site . ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 10 ST CONSTRUCTION SURCHARGE 1 . 83 AB CONSTRUCTION SURCHARGE .20 DEV REVIEW-SINGLE & 2-FAM 50 . 00 STATE RADON SURCHARGE 1 . 93 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 240 . 00 240 . 00 . 00 . 00 Plan Check Total 120 . 00 120 . 00 . 00 . 00 Other Fee Total 54 . 06 54 . 06 . 00 . 00 Grand Total 414 . 06 414 . 06 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rS+ b1ir�J. City of Atlantic Beach APPLICATION NUMBER-- , Building Department (ro tie b,.the 84"M artment.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 gr =' Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: hftpJlwww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: n� Department review required Y No Building " Planning &Zoning : Applicant ' x,1,1 t GG/?'' Public works PPublicUtilities roject: : r Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection 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: proved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING �,/ PUBLI OR Reviewed - Date: ��/-C�� BLI U Second Review: QApproved as revised. ❑Denied. Comments: PUBLI AFETY FIRE SERVICES Reviewed by: Date: Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: City of Atlantic Beach -Water Impact Fee Worksheet Address: Permit App. No. Date: 402 Snapping Turtle Ct. 08-975 7/21/2008 No. Total Fixture Fixture Type Value as Load Fixtures Units Automatic Clothes Washer, Commercial 3 0 Automatic Clothes Washer, Residential 2 0 Bathroom Group-consisting of water closet, lavratory, bidet,and bathtub or shower 6 0 Bathtub(with or without overhead shower or whirlpool attachments) 2 0 Bidet 2 0 Combination Sink&Tray 2 0 Dental Lavratory 1 0 Dishwashing machine,domestic 2 0 Drinking fountain/Icemaker 0.5 0 Floor Drains 2 0 Hose Bib 1 0 Kitchen Sink,domestic 2 1 2 Kitchen Sink,domestic with food waste grinder and/or dishwasher 2 0 Laundry Tray 1 or 2 compartment) 2 0 Lavratory 1 0 Shower Compartment, Domestic 2 0 Sink 2 0 Urinal 4 0 Urinal, 1 gallon per flush or less 2 0 Wash Sink circular or multiple), each set of faucets 2 0 Water Closet,flushometer tank, public or private 4 0 Water Closet, Private Installation 4 0 Water Closet, Public Installation 6 0 Total Number of Units 2 Multiplied by$20/Unit $40.00 Total Impact Fee $40.00 I CITY OF ATLANTIC BEACH Ovpp I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 -. i OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2 AL A(TION OF WORK 3.SQ.FT.UNDER ROOF Ct r-407- 5rti��,1_+s� -s� iLrt- LT FNS 11-j1DO c� V 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE: / 11 NEW BUILDING ❑DEMOLITION ESIDENTIAL LOT ¢BLOCK_SUB DIVISION c=d t YY f� .'� 53 3 E?ADDRION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK 10 ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLE + ❑REPAIR ❑POOL/SPA ❑I YCES N/A G11 017Gi1 (Ctrl JaDD+TIpFt r+N S\LY$ ❑MOVE ❑OTHER Ig PROPERTY OWNER: CONTRACTOR: ARCHITECT r ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NTE: a i % G G Y 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE L4,0 Z S N R1 t Q i Y� v rt Y(z c G _ 5-3, , ~J G 4- C s 18.ADDRESS: 26.ADDRESS: L, •! - CjF4cA4 r-- 7-:m'-;c -o ri • �- r�>r4o scrala Av � �EQ-4 ZZs9 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: •L3 - 600v fs"i - G� +7� S4Z-o9v5s 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 41b,4 - 44-A 91k I - t -7Z19� 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: 1, G 1c.1'C1 \5 i!S .V��tl� A $ H 1,25�`{.1�uo,Cof1 G 54- VA n �i �� J � �o o,, (P-- fl. - cvr-� FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRES 36.ADD . Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Fumaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. r 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 K Agent,Power of Attorney or Agency Letter Required) Qualifier Orly) Signed: Dated �q Signed: te: Before me this )Iday of -Z- a 200fin the county of Before me this �l day of 200%in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared A-a&m D SA,y-riims herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. ,� A true and accurate. Notary Public at Large,State of ('r 1(f ,County of DO vd Notary Public at Large,State of _,County of Div P6� Per Known ❑P sonally Known ,,ll ❑Produced Identifi ca /1 Ioduced Identification- Notary Signature: - L t' Notary Signature: 2 2- TINA B.SHORTRIDGE ,`titer nyB.,, =o� �, Notary Public State of Florida v1y Commission Expires May 12,2009 „ c Notary Public,State of Florida COAB FO t D:moomission#DD 402512 z Commission#DD6291731 °`",•P'` My comm expires J?n.15,2011 Bonded by National Notary Assn. City of Atlantic Beach 1 APPUf.�►TIN NUMBER '. r Building Department (Tope assed b►ttie BWdmg.Department) 800 Seminole Road - � Atlantic Beach, Florida 3223 5 Phone(904)247-5826 Fax 904)247-5845 E-mail: building-dept@coab.0 Date routed City web-site: http://www.coab. APPLICATION REVIEW AND TRACKING FORM —F Department review required Y No Property Address: V I + Building " Planning &Zoning Applicant: /� ,U, �� Public works ��..:..._s,...r..,�, _.. . �'} f .Public ti ibes Project: Rf�r-D'Xvk� Y d 1 / D - Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection 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: roved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING PUBLIC WORKS Reviewed by: _ Date: 7 a3'o$' PUBLIC UTILITIES Second Review: QApproved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: NOTICE OF COMMENCEMENT State of Tax Folio No. County of 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: L 2 (b b E7-0 Address of property being improved: n Z- "i' -YL.7t e GT AST- General description of improvements: 2 a 2 0 PEN k�a W-,4 �>t-, S 14- Owner: L 1;6- D -r-(�., a) L- t= k l<< k Address: 4 d 'L- c-T F,45t" Owner's interest in site of the improvement: P I F Fee Simple Titleholder(if other than owner): '-- Name: Contractor: }"D 5 '� v ' Address: Z�� o N► L ,✓ ` No.:Telephone - b p9O Fax No: r L3 Surety(if any) Address: Amount of Bond S 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: ,r ' Address: t 1 Z.Z-} L. e,N.p i<` G�._ 32.2 S Telephone No:-I 9Z cV1 'I S 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),Florio Sta es. (Fill at Own is option) Name: G�f�Y� Address: j 1 ZZ-� C A...,P�+ 'e '�-I 3 2 L Telephone No: 2�Z q 1 -S . 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): di THIS SPACE FOR RECORDER'S USE ONLY OWNER G Signed: +o Date: 'Before me this day of in the County of Duval,State Doc g 2006186159,OR 6K 14577 Page 2184; XFlorida,has personally appeared Number Pages:1 lakiry.PuhlicatLaarize.State EFI ri tyr f Duval. Recorded 07,117,2008 at 02:28 PM, 4nily,� ssion exj►i►r� JIM FULLER CLERK CIRCUIT COURT DUVAL or COUNTY t RECORDING$10.00 Commission#DD 402512 Bonded by National Notary Assn. 11 ' City of Atlantic Beach APPLjj*TION NUMBER: _. _ Building Department (To be assigned by the Building Departrr>ent, 800 Seminole Road Atlantic Beach, Florida 32233-5445 - U - Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@coab.usTDate routed. ` City web-site: http:/Iw".coab.us APPLICATION REIVIEW AND TRACMING FORM i Ti u, Department review required Ye No Property Address' J Building ' Planning &Zoning Applicant: kyn)— ,U '�1� � Public Works Project: M� ��j�> Public Utilities V Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection 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: APPLIC N STATUS Reviewing Department First Review: ❑Approved. ❑Denied. (Circle one.) Comments: BUJLDING CANNING &ZONING Reviewed by: Date: PUBLIC WORKS PUBLIC UTILITIES Second Review: []Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH I l I F7 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OVRQ_ I i OFFICE:(904)247-5826•FAX NO.:(904)247-5x45 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2 AL ATION OF WORK: 3.SQ.FT.UNDER ROOF /-'1� 0GSNA 1?11cFa -s0tzr <--r- I:Hs7 ` 1300 L/VB 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE: ` _! ❑�,,�NEW BUILDING ❑DEMOLITION ESIDENTIAL LOT'/-?BLOCK_SUB DIVISIONG IQ A=te 1`Y h=�� -�3 E?ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK 10 ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLE I ❑REPAIR ❑POOL f SPA ❑Y S NIA �(=4Cf7 017Ei-t- ti�ZcK IabD -TICS'. C N �j1L1~� ❑MOVE ❑OTHER 9 PROPERTY OWNER: CONTRACTOR: ARCHITECT 1 ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAp k. LtcE �� f3orA1� r. L ::> v {'v N"f�� • a + A-5S0_ 16.NAME: 24.LICENSEE NAME: c,gi,t^ L . " i>- A' +1 -.,-I> 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE . C ` -7- c--4-- $ 3 0 18 ADDRESS: 26.ADDRESS: ��fp O SGC�.,Q aV 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: G 27.OFiFICE PHONE: 28.FAX `NO. : al0 �o9V�K Z> {oAoTJ �-( ��D a7 1-4Z.-��iV� �i`t� CRSS 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: '1o`4 - 144 3. - f.�� 8 FSt � - t ?Z SC 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: 1, GSyIe-IS1(?-"I"S+�S ]N�Ltl A S0,4 rH tLS��:1�ua-Col-+, GS��r, -,A ✓ ��- � -evC'� FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRE 36.ADD . Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: * YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR M Agent,Power of Attorney or Agency Letter Required) r� Qualifier Only) Signed: /• Dated q Signed:_ _ te: 17 ore Before me this _jday of GC / 2001`in the county of Before me this_M day of Ly 200$in the county of Duval,State of Florida,has personalty appeared Duval,State of Florida,has personally appeared A-Mm D da(Tkmi herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. 1 Notary Public at Large,State of i i (I ,County of o va _ Notary Public at Large,State of _,County of Lif Perry Known ❑P sonalty Known II'' ❑Produced Identification ff f Wr1Pr0 ced Identification Notary Signature: l t Notary Signature: TINA B.SHORTRIDGEliCHr�EL°' YSE o '- Nota Public-State of Florida Fti - Commission Expires May 12,2009 7i ! tary Public,State of Florida Y y ommissiart#DD6291731 'DAB FO D:1/iCoMission#DD 402512 ,�mm,a.mires Jin.15,2011; °Fi`O� Bonded by National Notary Assn. CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ±a ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001924 Date 11/23/09 Property Address . . . . . . 402 E SNAPPING TURTLE CT Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc UPGRADE 200AMPS TO 400AMPS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LEIBECKI OWNER ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 135 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/22/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 135 . 00 135 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 135 . 00 135 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. -f> CITY OF ATLANTIC BEACH _ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 13.13ATE yOZ 6%%V? .r►L TVWU IT : N� ❑YES PERMIT#: PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: ELECTRICAL CONTRACTOR: 7.NAME OF COMPANY: 8.ADDRESS.: 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS SIGNATURE: 16.CLASS OF WORK: 17.SERVICE: 18.METER NUMBER: ❑MULTI FAMILY-#OF UNITS: FET RESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING: 19.CURRENT CODE: 0 ALTERATION ❑SIGN ❑OLD ❑NEW ❑'08 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA 10 REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: ❑ OVERHEAD ,CJ UNDERGROUND ❑ UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: t POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: b O PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: % 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: 1J`YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33.MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 60OV: NUMBER: KVA OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: BLDG02 Permit Application Elec:REVISED:0720/2009 -,� CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(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 UNLICENSED 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. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED 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 IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ADDRESS PHONE NUMBER PRINT N v� SIGNA RE DATE Before me this day of 20 O l in the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of County of 7D�Ila ❑Pe Wally Known duced Identification- A SHIRLEY L. GRAHAM Notary Public-State of Florida 1--S, y '=My Commission Expires Feb 14,2010 Notary Signature: III/IAL L ;o- Commission#DD 518533 ' Bonded Sy National F:BLDG/Owner-Builda Affadavit;REVISED: 4/16/009 Notary Assn. CITY OF lk4&4046 AMCA-&;&U a -�135 Office of Building Official EQUEST FOR INSPECTIO . 23 7< e Permit N a 6 Ti , A.M. Rec ed ob,ZJ s _ VV A�cafity Owner's Name Contractor BUILDING CONCRETE < ELECTRI LUMBING MEL`HANICAL raming ❑ Footing ❑ Rough Wiring ❑ oug ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ ❑ Sewer ❑ Fire Place ❑ Pre Fab READ OR INSPECTION eL-cA.M. Mo . Tues. Wed. Thurs. Friday M. A.M. Inspection Made L ` P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date M #I P SHUMNU SURVEY #'F LOT Z8 OCE• ,t.,l,4l_K C-/k.)/T- AS -/•l)/T-AS RECORDED IN PLAT BOOK 4Z PAGES 74.74A.740.74G OF THE CURRENT PUBLIC RECORDS OF Duva L COUNTY, FLORIDA. CERTIFIED TO 6E6 11nrrl"OA1V '6� H LE/BEClel -5l it/ 7W FLORIDA A,,. A. OCD 1t?EPU,5Z1C 1VAT/0/v.9L Ti TLE /NS. Co. r SA 4 PP/k�5— W 7`uRrL E L.O •T. a COURr C_Q ST Ca,CU caa,o ep (50'Q/w� -rov-tzoa) Z�J v 40-co' d 5" 2.464. ice. �La�eys P � I /S�o.x.cv.b �4 tL. � 10•P. � 7.¢ �Z _ o 14 0 10 /, 9 5- \ .� •!5"Wo. L Zai / � •14�f,�� ' � � gymm/ leer 0 1z"I'll I IV '� (7•1) ' h O (;pd qa,Y A-bora/ i / 6 i 9) I / d L O T FACE ox iS"Pot i_r (� o / 1/ 42-Woe IV •//'P. ` I • "o;P. •K•P •,O'v , .V T / O C57)/10- k �. � ��. p 1 0 ` ` LOT \, . 80e P PA LM O T- 0A11- OAK /7 LEGEND DATE AUG.Z3.X973 NOTES: 6 DENOTES CONCRETE MONUMENT SCALE 40' • X DENOTES FENCE JOB N0. Z//o3 O DENOTES IRON PIPE SET r.uuler) 1.Bearings are based on CECOA22 PL.A7— 0 DENOTES IRON PIPE FOU'0 2.This isa _/-3�•"O4 4>' • 7"OPOG2.eAa4IC4 C. 4, -r---E� K DENOTES CROSSCUT survey. 3. Elevations shown thus (15 0) refer to N.G.V.D. of 1929. Richard A. Miller & Associates, Inc. 4.Subject property lie within Zone "X" as shown on F.I.A.Flood Hazard Boundary Professional Lan4 Surveyors Map -7, . Community No /Zoo75 1133D-5 St.Johns Industrial Parkway North dated vr. � igD9 Jacksonville.Florida 37216 5.Unless otherwise noted.any portion of the subject parcel that may be deerned as Wetlands (904)642-IT337 by State or Governmental Agencies, has not been determined and any liability resultingI IIF .I CERII[V !HAI THE SURVEY SHOWN HEREON MEETS THE MINIMUM therefrom is not the responsibility of the undersigned. Ir ' N .AL sl NII-ARDS SET FORTH RY THE FLORIDA BOARD OF LAND 6.There may be Restrictions or Easements of Record evidenced by title examination thal have s Iv ORS SUANT TO SECn,•h•tit 027 FI ORIOA 51ATUTES not been shown hereon. //'� NOT VALID UNLESS EMBOSSED WITH A SURVEYORS SEAL !CHARD A. MILLER, P.L.S. CERT. NO. ChK By _n E _ 4/2 PG 2,3.4- D cn = 3 r CO _cwi+ w r m O Cn 0 CD CA 0 r m :.� 19 0 O ODD O C C1 N• O OD n � a a n vZ a° 0 NNcnOD � -4A0) 0rnrncD o? oO o,o oio;0m r v c w O V C: v 9 IOD O N w O I 00 Z A N_ — C N O �= n cn N ACJ1 0 OD OD'-4 Q) �' w;0'w co -' .06i 0) OO O'o o! Iv cc -� a -- - n cn a rQ O O w N O— O (D cn = D = 2 � n N 3 Ln cn c n^c o o T_ � n^ O (D 70 -0 NwTn --% -0 = as� �= (o� C cn G) p 0 !r r r i D:N _ . r 0 to Or lfl O cn N OD r riWl� 2 r O N wo - Da �J � :(7 O -0 :D7 �7 00 Q o cn O � cfl m C ISI D O n cn o cn SOD m Z) V� CD v w'�� O (� (D 0 cn (OD cl) ,c v =3 C I � fD a ED oZ'Z o 0 v (n �D DDDDIDDDD CD (D rl �r'r'r r r r CD O I O cD ncr S CDD w PL Q I � ACl) �!�i-0 �o � 00010!5 DDD � O D 'D D;D�-D CC) r irrrp Un) rrr- O U) co JI. 3 o //1'L4� /3/CITY OF 4 e4wA- Office of Building Official REQUEST FOR INSPECTION Date `b ' Permit No. Time (9` 0 A.M. Received PM. 0-1 oa M. �n u " Job Addres — Locality Owner's N;L� Contractor DING S; CONCRETE ELECTRICAL PLUMBING MECHANICAL raming Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs Friday P.M. Inspection Made — P.M. `� Final Inspection ❑ Inspector— _ � Certificate of Occupancy ❑ Date /�CITY OF �� ,Gf�ilC /3 -�/ __� Office of Building Official REQUEST FOR INSPECTION �njm a35 �//7✓ Date --Permit No. TimeA Received Iy ✓ ' 1(7 WI Job Ad ess _ cality Owner's b for SFraming CONCRETE ELECTRIC P MBI MECHANICAL ❑ Footing ❑ R gh Wirin ❑ ❑ Air Cond. & ❑g ❑ Slab ❑ emp o e ❑ o ut ❑ Heating re Insulation ❑ Lintel ❑ Final [I Sewer ❑ p e Fabce 1:1 READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday . c�� A.M. Inspection Made 7 P.M. Final Inspection ❑ Inspector Certificate of Occupancy ❑ a�_/3 1f(0ga Date CITY OF Office of Building Official REQUEST FOR INSPECTION Permit No. ate p A.M. me P.M. eceived � Z//� / v� �.' Locality Job Address owner's ame PLUMBING ECHANICAL UILDING CONCRETE Rough ❑ Air Cond.& aming - Footing Pole Top Out C Heating e Roofing Slab Sewer ❑ Fire Place sulation Lintel ina Pre Fab READY FOR INSPECTION �M Wed. Thurs. Friday_---PM. on. Tues. 30 ` A.M. spection Made Final inspection 17 Spector - Certificate of Occupancy f 1 Date __ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21887 Address: 402 SNAPPING TURTLE COURT EAS Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): 28 Block: Section: 3 Square Feet: Subdivision: OCEANWALK UNIT 3 Est. Value: Parcel Number: Improv. Cost: 25,000.00 OWNER IN Date Issued: 5/03/2001 Name: LEE & DEBORAH LEIBECK Total Fees: 203.00 Address: 2161 MAPLE LEAF DIRVE EAST Amount Paid: 203.00 JACKSONVILLE, FLORIDA 32211 Date Paid: 5/03/2001 Phone: 904)223-6076 Work Desc: INTERIOR REMODEL CONTRACTORS `APPLICATION FEES 203.00 BOGGS CONSTRUCTION CO. PERMIT ., .F § � x ' 7777 77M777 ions-Required UNDER SLAB PLUMBING ROUGH ELECTRIC ROUGH MECHANICAL TOPOUT FINAL- NOTICE INALNOTICE -`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 QVqNER "FAILURE TO COMPLY WITH TN E-CdNSTRUCTION_LaIE*dkW-CAN RE$ULT IN THE PROPERTY OWNER PAYING TWICE`FORBULDLNG IMPROV MINTS''' ISSUED ACCORDING TO APPROVED ptANS*WH4Cl;ARE-P&F3,T.6F' r4iS.PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS--©F LAW. PAID �—^— Date: 5/Q pf Ad g3!�1.�€iD 6 114 ft"ATLANTIC BEACH 8UILDI-NG DEPT. CHECKS 2022 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEE Address --S/V G ' L IF-11�e�2 12�dio0�� Date -:L " 3 — © I Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck 1 @ $ per sq ft = $ Patio J5 A� @ $ per sq ft = $ TOTAL VALUATION: $ f-/ 06 0 / s' $ � } Total Valuation 1st $ /00 v _0y _ I/ 2 n S i 2 O Remain ng Value $ per thousand or portion thereof TOTAL BUILDING FEE $ ! + 1/2 Filing Fee $_rn 8 ( ) Fireplaces @ $15 . 00 $ r6 BUILDING PERMIT FEE S 2O ? 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 S � Q 3 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 N v ED PERMIT APPLICATION REMODEL, ADDITIONS, OR Al;, .IO MOVING, DEMOLITIONS AFT, 3 0 POW Owner(s) Lee- A- DAI-ei �LC�I - Phone PS�Gtlantic �sacl� Job Address if0 L Sv\ct��i c.�v`he �-��i5�- � Lot# �,8 Block or Unit# 1 [ Subdivision Contractor '( VC-(-,s CG,V&T C-0 Pve- State License# RCDL i y� Address k� a Q a X l5 o Phone 3 -4t6 , L City 6 fir,Vie- State t- Zip 3-1-6b,7 Describe work to be done ),A-(ev Ir �Z�iv�a d, e Present use of building,_ S F 2 Valuation of Proposed Construction 2S Q U c Proposed use i Gesy"/"w, U t^rQ 1 tea.��` Is this an addition? Nb If yes, what are the dimensions of the added space: ft. x ft. Will the added area be heated and cooled? °> New electrical (or increase) l �S New plumbing fixtures?�d� New fireplace? iv, New Heat/AC? AIc� SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING SITE PLAN, SURVEY, ENE Y CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTORFI OWN IS NTRACTOR. Signature of OWN -- Date: � Signature of CONTRACTOR 2L Date `f/(j - STATE OF FLORIDA COUNTY OF )uUAL - 1h � Sworn to (or affirmed) and subscribed before me this day of A�t , 200 F.S TO C'�j►�'�ER:C�yU7/��}C7?1�2 Notary's Signature 4&,�i -- Personally known John o Pauik Iv Produced Identification *&*My Commission CC858820 �►,aK 'Expires duly 27,2003 Type of identification produced , Sworn to (or affirmed) and subscribed before me this�� day of—4 200( ryg ,�� ` Notary's Signature Q1 AS TO CONTRACTOR: 04-,q r Personally known Produced Identification Ps' Janet K.Williams =�•'"'��: Type of identification produced MY COMMISSION#CC833247 EXPIRES ' May 5,2003 of F;dA BONDED THRU TROY FAIN NSURANC�INC April 6, 2001 Lee and Deborah Leibeki 402 Snapping Turtle Court East Atlantic Beach, FL 32233 RE: Lot 28 Unit III Request for Approval of Bonus Area Remodeling Received April 2, 2001 The Architectural Review Committee (ARC) met on April 4, 2001 to consider your request to remodel your Bonus Area. Since this remodeling effort is confined to the interior of your home, it does not fall within the purview of the ARC and no ARC approval is required. As such, I am returning all three sets of plans to you. Good luck with your project. Please call if there are any other questions or problems . Sincere and ARC Cha ma Copy to: Boggs Construction Company Oceanwalk Association, Inc. P.O. Box 331188, Atlantic Beach, FL 32233-1188 MAP SHOWIHG,SURVEY OF Lo-r Z8 E O C E q 1-4-�.4 L•,Acf U kJ AS RECORDED IN PLAT BOOK 4Z PAGES ,�a�.�4e.�4c OF THE CURRENT PUBLIC RECORDS Of Suva L COUNTY, FLORIpA CERTIFIED TO GEEUl�7-EOA-)A A � LEi�E'C/r/ DANK 0,- FUR/O4 OGD KEf�Ul�'tiC N.lriviv.IL Ti TLE IAIS-. C.O. A,,-►Eal",v F/R57' COAST TITLE SERV/GES /ti/G . Si JA Pp/,(,r r (50'4/w� QL7•�� •. �� S. �e ttt� 4.3'5g E . °' • h •'.� 3 d 32 a6 Z2•' rv.o..7.�.�. /Gurrct �j> 9. �^� 7 10•P U .4 9✓ . ,•-•moi • y t .e) ��?—�l 'Q 4�, / ate)• ,., co �S � �, o e��w�til �A q o ,fl .'. 04 . off• ._ e. ( '5) r :. / --------------- FACE of i3'PALS C \ Le-V.•/ \ ' \ LOT ds ZTW {7•G) J O ,9 0 • d3�y6 411It PROVES A F' a� CITY OF ATLANTIC BEACH ` off °r, 4 �'0+ & 20NING OFFICE PLANfdING IA Ay U'S401 � �.� t.a) � � :" C� LOT tiJBY h. V 8c). 03 , P_ PAS O T' (/� w N Q I � L � 1 I S m - -74- C^C^ ,b f0 �� O. 4b N o v � -- C, ti T-- - Si 1 n� � ro � � N 713 5 C/) I � r% \ O c . o � � n pPPRO VE`�' n1 CITY OF ATLANTIC bEACC i • laUILDING OFFICE �-, V+IAY 0 3 2001 _... - ..._.. C Fla r p it OD „ -- - ion r� In m zo A z - ;, t -+ c ITI@m � c m C � � n in U 0 I � I � II /j I ' i �- ' ' w — — — 'SNV'N-: IPJ£ a -- — — — — — — — — — — — rn - - - - - _ D �N1N1 '01� 1. 00 '1 LO -]L�Nla^O - t!t � w► . �_ . .. (� laid 0 L vI 1 i7htb' -.. 3111 0 m B N O f- i v� ID 7D .6 ZiX 8 �I \�dam, I o ON L400 Ti NE—Nnoo m.91 .Lb j u' /--�8Z11►N lei. I j � ►� j ti'M 11 ' � I s A —'-- .�{•BX � fie► ! I0 � � I 1 IV: w r+6 2l�P6 -i- i ---- car. � N ep a "�► v � G B ' I �aLK- ti ► i' • I �, � i I � � a i� --4— ' :1 - � 1 /�c4 1 - I Lu _ Ana at(sr a II tu i fl' I ✓ayl l MTTZP3 CARPE- I c \ ' �� DC) +.I r ------------- ; - -- — — _ T– 4040 G 3 E ° I 73 ,j r I � I I LjL "' Co wl 'AAE SUPPORTT S EDGES 8uND I I I f J A 7' OC. ON EDGCS AND ATE SUPPORTS `dlrH gq I W; i= LI o p r h CL . DRA BY: Bic I DESIGNED BY: a BJC SCALE: � 1/4 DATE: I NOV. 20. 1995 + r ,roe N0. �' 94116 SHEET N0. }1 ■ 41 of 5 - - --- 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_ PPermit Number: 22378 Address: 402 SNAPPING TURTLE COURT E ' Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: OCEAN WALK Est. Value: _Parcel Number:_ Improv. Cost: QVVINER INFORMATION__ _ —11 Date Issued: 7/23/2001 Name: LEIBECKI Total Fees: 63.00 Address: 402 SNAPPING TURTLE COURT E. Amount Paid: 63.00 ATLANTIC BEACH, FL 32233 Date Paid: 7/23/2001 I _Phone: (000)000-0000 Work Desc: ADDITION_200AMP/1 PH/120V/SER-RCWAY CONTRACTORS) _ "'' APPLICATION FEES-----------.--- ALPHA ELECTRIC OF PONTE VEDRA PERMIT . 63.00 ' r a +z , S.• -_...— — .- —__ -_ .. <_: .std .' -63 N s y. NOTICE - INSPECTIONS M TBE AEON AT LEAST 24 HQURS lOR TO INSPECTION S BUILDING MATERIAL,RUBBISH D DEBRIS FROM THIS WORK MUST NOT BE CEQ INP 18LIC SPACE, AND MUST BE CLEARED UP_AND HAUL AWAY BY EITHER,CONTRACTOR OR 01�VNER 'NZ, "FAILURE TO COMPLY-iMTH T STRUCTION LIEN RESULT RESULT IN THE <.. .- PROPERTY OWNER PAYlty. 'f0 laNt 'f11I1IOIEAENTS++ _ ISSUED ACCORDING TO APP RO �CJ�NS'WHICH AFFM PARTt F�OF�i�JIfT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISI_ NS'0F vv,p $63.6814 ILD{NG DEPT. t _ 7/23/81 81 Receipt: 6875597 ATLA TIC B1 ACH BU CHECKS I ----- --- - HAW3221888 CITY OF ATLANTIC BEACH, FLORIDA F7= APPLICATION FOR ELECTRICAL PERMIT SCG TO THE CHIEF ELECTRICAL INSPECTOR: DATE: /D3� IMPORTANT NOTICE: gut (&C IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE K AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WI H HE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELICTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME L��c1L r� ADDRESS: -+vim �� RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES, ( ) APT. ( ) comm.( ) PUBLIC ( ) INDUS.( I NEW( 1 OLD ( 1 REW.( ) ADDITION ( ) TRAILER ( ) TEMP. ( 1 SIGNS ( 1 SO- FT. SERVICE: NEW( ) INCREASE( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( I SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE I LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 161) / 0.30 AMPS. 31.100 AMPS. V SWITCHES INCANDESCENT 6J�/ FLUORESCENT&M.V. FIXED o.Loo AMPS. OV EA / APPLIANCES BELL TRANSF. AIR H.P. RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V;SWIT;CH NO. KVA NO.NO,NEON TRANSF. NO. VA. MA. MOTOR SIZE TFLASHER EACH SIGN FORWARDED S TOTAL FEES CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 ---- — -- --_ _ LOCATION INFORMATION _ PERMIT INFORMATION __—_ - Permit Number: 22353 i� Address. 402 SNAPPING TURTLE COURT EAS ATLANTIC BEACH, FLORIDA 32233 Permit Type: MECHANICAL � Class of Work: ADDITION Township: 0 Range: 0 Book: Proposed Use: I Lot(s): 28 Block: Section:3 Square Feet: Subdivision: OCEANWALK UNIT 3 Est. Value: Parcel Number:OW ----- Improv. Cost: NER INFORMATm _ N_ _.__ Date Issued: 7/19/2001 Name: LEE & DEBORAH LEIBECK Total Fees: 25.00 Address: 2161 MAPLE LEAF DIRVE EAST Amount Paid: 25.00 JACKSONVILLE, FLORIDA 32211 Date Paid: 7/19/2001 Phone: 904 223-6076 _ Work Desc: DUCT WORK ---- C1TR�4CTOR 5APPLICATION FEES _ LSOMS SERVICE, INC. ,rte PERMIT 25.00 NE _ m , 47 �� Y "legStd f .' � ova k, �.,L��a*�.S -� � ��" �t��y.D •a.. r �� ,,� � � NOTICE. INSPEC-iONS" STE 1 5� AT� T 4 HOURS PR1� TO INSE�CTION BUILDING MATERIALS RUBBISFf ID DEBRIS Mom THIS WORK MUST NOT BE e6CED IN PJBLIC SPACE,AND MUST BE CLEARED UP AND HA .AWAY BY EITHER"CONTRACTOR-OR O�IER 0' "FAILURE TO COMPS W1T�!T A". ,M,C11ON LIEN SCAN R,ES .T IN THE F # OVEIA't TS —. PROPERTY OWNER P G ' ISSUED ACCORDING TO APPROVEQ P SH` .R C74�R F AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PR i f $25.8814 AT TIC B H BUIL ING DEPT. Date: 7/19/81 91 Receipt: 9874482 CHECKS_ --- - 991189RM21898 BUILDING AND ZONING fNSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC MUCH, FLORIDA 3.X3. APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT —Applicant to Complete ail items in sections I, II, III, and IV. I, LOC-ATION Str..t Addr..0 j2b 4 C Z G N"P 'T OF IMI.n•ctfnq slr.•lu R.1r..n BUILDING A.a II. IDENTIFICATION —To be completed by all applicants In <o�,:d...Han ^! p•nnil q:vn (o. o!'IIhv ds'e .th.c .r. d•c:6•dhoth. .11. lud pl n ..d p.l h.—Ii..r.hd. .i rhh.. '•C6av y.qor•Je ctokapn.ral.l•mwodllnd _c-- aInndgod.p <H . I:,I.d <do.rndd..^r d. Me .0 M.cis I I C.ek..l.r (Irfnll GI.y G/, 5 SC�U+�I Lf-• M.r 1.r<}on Ir. 1 6 1 C 1 f I'll IYre .1 0...r /� I w AYlhxlnd Aq.n1 J / `— S:gn.l Yr• o! f' Arc6:1•c/ .r Engln.•r III• Q INFOR ON A. Trw. h.etlnq lYsl: 6 y—*ic IS OTHER CON]TRUCTION aCING COME ON THIS aUILCIMG OR SITE? S 5 ❑ 6.s—C1. LI ❑ N.IYnI ❑ Gn}r.l Utility ❑ Oq IF TES, GIVE MUM. OFC�q STRUCTION OMer — Sp.cl(y PERMIT Z f`� l ❑ IV. MOCHAN?CAL oQUIlLtM TO Rfi INSTALLED NATURE OF WORK (Irovi"complel.If.#.(<ernpo^eah..6.d.(this 6-1 ❑ Residential Or ❑ COmmerclsl ❑' Neat ❑ SP.a ❑ Reces..d ❑ C.nhel ❑ Flow C3 Now Building ❑ Ale C..drtlenlaq: ❑ It— 13 C.atr.l C3Fx1■1ing Building . JO.ct Syvt rn: Msfen.l • L'�'� Thfcia. 1 i 2' ❑ Replacement of existing eyelem -7 r M..i-- c.P.Clty !(�J cLrs, ❑ New Installation(No system previously Installed) ❑ Re61q.r.Haw ❑ Exlanslon or add-on to existing system . ❑ C ealleq to.rer: GP.dty O Other—9p.Ufy 9-pJ•• ❑ Fire .*d.11..., NYn•6.r .( )s«J.- ❑ M.nllft ❑ lyul.ler InYiwb.r) ❑ THIS PRACt FOR OMCI US& ONLT ❑. T..ia Iit.�t I . . (aYreb.rl ❑ LFrG oewlal.er>_ (aY,nb.rl Cl UelHed pro.sen—sasei ❑ Seiler• r.—ilt Approved by 0.1- ❑ 0—specl(y, I.nssil F.. MUSTALL SQ(TIPUENT ONDIIIOMIVC AND RE IGERATION EQUIPMENT mtber vale. Dsmsedptioe Yodel Number t7 Y.autastacrar ( l HEATLNG • FURNACES, BOIIER9, FIRHpLACES ( t)7 - V=Number Vlt. Deecrl tlm Yodel NumDer YaauSaaturer TANKS Saw Yan7 Nossy-1 Capeaiv Type Llquld Nams of S.rw Apgror{n� and Dttaieoetane Contained lCa=faatuxeer No. Ai�7 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT INFORMATION _LOCATION INFORMATIQN PERMITlNF - --- Address: 402 SNAPPING TURTLE COURT E Permit Number: 22337 Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: OCEAN WALK Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATIC,N . Date Issued: 7/17/2001 Name: LEIBECKI Total Fees: 25.00 Address: 402 SNAPPING TURTLE COURT E. Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 7/17/2001 Phone: 000)000-0000 Work Desc: _TUB, LAV—& CLOSET _ --- - - — .PPLICATION FEES CONTRACTOR S STEEG PLUMBING R ` -- 25.00 T a ' 71 E- -- K. 4U IRA mi 1H NOTICE- INSPECTIONS IsST BE REQUESTED AT LEAST 24 HOURS PtIOR TONSPECTION - -- - . BUILDING MATERIALTUBBISH AND DEBRIS:FROM THIS.WORK MUST'NOT BE PLACED IN PUBLIC SPACE, AND MUST BE EARED PVD HHAULWAWAY BY EI�R CONTRACTOR OR OWNER "FAILURE TO COMPLY vvtTtttH GIONSTRUCTION LIED LWCAN.RESULT IN THE PROPERTY OWNER PAYING-rMCE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS V1"C,j+AREPART-oF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATI:ANTICt : EACH BUILDING DEPT. f2�14 Dates 7/17/81 ii Receipt: 4886 r ,1, f OF ATLANTIC, BEACH � El , '+ . APPLIC,�ITloN T'OR pi,u1 ,f:1:),I'NG PErwIRE&r.- ' )J y 01 a n ctc Beachr, W .PROPERTY ': :�r,'R l;, Le ec TELEPF�iWIMpnd zor�lN G �CONT.RAC TOR;;, I �cc `Jc �J7L ICON ICTOR' S ADDRCSS --- wh T;ZCENSE NUMBEt 01 P'D. 7/9'G.— TELEPHONE '.O.W r q r�n'M:F? if HOW MANX 05f'THE FOLLOWING FIXTURES INSTALLED t' a jv� 5 SINKS SHOWERS . fig, r' WATER HEATERS *• fir..'. +* LAVATOR;�fY�4 AT 1.1 TUB5,ti' _D1S!�VJASI1rR r �{s��'` URINALS;; DISPOSALS WASHING HAC;{IItvL CLOSETS��'j — fr E'LOOR ` D SHOWER PANS M`Al s- ',�?�' 1f. WATER, SEWER �. _.... _ c. Al. e tti OTHER 14. `FIXTURES ;t 3 . 50 1 � .l f) ! 0n__r-->�� is ! ; MIN ' UM PERMIT ef✓C $2 . 00 w �ToRE, OF ,OWNER�t�+ rr y „1 SIGN rTURC OF COWill N T INSTALLATION UL' PLUM x;NG 'AND-!,X'IXTURES MUST F3E IN ACCORDANCl; : 1` r RIE SOUTHL•:RN STANDARD PLUMB- ING CODC " THE,.;M'OS'S'�'. RECE,N't' EDx'TyZON OE' �'�• �, ii `CAXt r AY ` AHEAD •' O� ftDULC ;INSPECTIONS - ( 904 ) 24� �542.6 "� ,k NCC'i PONS 'SE CnLIL1�D INTO P0811AC WORKS F T.NSPECTI�`^ sr, ICON mat 1 NOTICE Or COMMENCEMENT Boone 10059 Rage 733 Permit No. Tax Folio No. *OR 5 MIN.. RETURN score ojhlorida County of- ,,,s D(ku' -y PHONE#a2 '-±W� Tlie undersigned hereby informs all concerned that improvements will be made 00 t6�24 to certain real property,and in accordance with Section 713-13 of the Florida : 00 $ Statutes(revised 10-1-96), the following information is stated: Pate: 733 Filed 8 Recorded Owner's name(print_"MY-1'VK14 I-J,C, L.�(�0�Gk1 1�7F//0�1 01:06:49 PM CLERK CIRCUIT COURT Address 0 2 `j b1 !' C�-• �,q S'( DIAIAL COIRITY 4414tn"h.G PI.• TRIREt�I 1 f 5.00 O00 wner interest in property_t•C� Sialblrz General description of improvement &U;ntns R.t1Gym Legal description of property-_1•-Ut Z-S� �tZG4(nWc�(� U(tnC'��t"2�2 inAs7Y 7 4fG Fce simple title holder(if other than owner): Name(print)_ -- �� _ -.__-- - -- -- — PAddress -- —-- =--—---- ---- 2mtractorin -_�G�IA --- '-- Address 6 0 V-1 h C Y 1'cicphone(KU�� )_ 7 ?i l-ax(�(I`{ )- a7'3 ��( Y ----- Surety(if any)(print) (\Jr />�- ------ --Amount of Bond$ Address 'relephone( ) Fax(—_) L'crsounrAcwl r-i:eakiy; loan for coiistruc!ion-of improvements: _ Name(print)_ Address —.._ Persons within the stale of P'lorlda designa!ed by owner upon whom notices or other documents may be served as provided by Statutes: Name(print)_ V\// -- -- — Address Telephone(_ ) — Fax( ) In addition to himself, owner designates the following person to receive a copy of (lie lienor's notice as provided in Section 713.13(1)(6),Florida Sh,totes(fill in At owner's option): Name(print) W (1' ) A rltlrrcc PSR-3844 11589 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION ---- -------- LOCATION INFORMATION - ------- Permit Number : 11539 Address : 402 SNAPPING TURTLE COURT E Permit Type: MECHANICAL ATLANTIC BEACH , FLORIDA 3223` Class of Work : NEW --------- LEGAL DESCRIPTION ---------- Constr. Type: WOOD FRAME Lot , Block : Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellings : 1 Code: 0 uLdivision: OCEANWALK Estimated Value* 50 . 00 Improv . Cost : 50 . 00 Total Fees : $25 . 00 Amount egad 525 .00 Dam ` 3!13/95 14rTF s""°� IIF'JhhiiiTlOiV ----- APPLICATION FEES --- -- IF IiAL PERMIT $25 . 00 `-NAPPTNG TURTLtSr7C, WATER IMPACT FEE $0 . 00 ^ BEACH . FLORIDA KSEWS IMPACTeFEE $0 .00 Ehe 71 4340 WA's -,ivlS;l' `AP . : �& RADON=-t-,iA Ak . S . C --- TOR INFORMATION RADON CAB 5% $0 .00 Name" I S Com r-1 r* CAPITAL IMPROVE . $0 . 00 Addy esu : 554T� 3RD STREF SEWER TAP $O . 00 �. m — O .Ob Type . SEC H IMPACT FEE $0 . 00 CONST . SURCHARGE D . ^^ QCHARGE I ATL . BCH . .w. NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AN[�a�S�16.} �r91FiEVC�➢ fICI VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECItS ,�� ATLANTIC BEACH BUILDING DEPARTMENT By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC •"CM, FLORIDA s111"a APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT— Applicant to complete all items in sections 1, II, III, and IV. . { o a. S tJ�t P I a T V(2--T t_C— LOCATION Street Address- OF iston"Neg $*Wu 16twaae n— And 5 IA le 9-- WILDING Sr►di.iuioe C�C ---0W/4 L C- II. IDENTIFICATION — To be completed by aA applicants. 18t of pore%;# given for doing the work as described in the above staternont Pro hereby agree to perforrn said work in accordance ..A the anactvd ,less 0044 specifice6ons which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of 1004 prac►;ce listed there;^. c . t .. .+ G 1 F F S fl s Meow " 060=0 of hover" a»r G L S:gaatnro of Oweea ugMw» 61 or A akso►iad A "t Architect N Eagieeor tlt. i�ii�AL A1110f� I► Tyg»of iwtiag Istat: O. Is 6""C"IST11t1t:TION nitre not on 0 THIS BUILDING OQ SITE? O w—O Lr O NNltnl O C "-A Ulftr II Yes, GIVt NUMatR OF CONSTWCTION O 04 rttlwtT I ( ;1, 9 3 O oetw — see 4 IV. 6mCK4#uCAL pllryflr TO M OWALUM NATUM OF Wom Ihe+40 68006.id of ea.pwets 00 book of Mds lens% tlal or ❑ Commercial tr 0 treat C) $pose O R"onw O Cewttd O now �a< •�+�. O Air Ce6ddN.isg: O ROM O C010011 O E www swirling 0 011,9� ��: --- ••_�� O of existing systern "*sheen s0pedty a.lin. New Installation INo system previously InstaNeO O its'me-+s« D Lxtenelon or add-on to exist"eystenl O Cwrr.g tsar..: C"eaMy s++tL O der«—sp.aty 0 %Ste *Ammon: Naia► a# �--� O Ue.ew 0 Medlt O - - le•"'b«t TINS WAC! PON OMW UN ONLY 0 s.r.a.. Ie••+«t Ill...tr.rlt lmmbwl D t.� 'elterbwf Aa.Iatla O u94PW www ww" O alba. Son* pow" I. Ulrr ALL RQMPMVNT An CDNDCTX*4 MG AND RUS1113ERATION [QlJl1tM Ntm6Mr 1;7rlh DanubU a 3111111"Numlbw I r I ATU4G • /URNACM AOU.i11111. FEU91P .ACU ptoo y VSMS DaMeyllOa 3814d Wmdm r N&I&WOW So Yo &-Yt_ (To TAS am XW 111101111" 3%M of SWW o S._4 E- 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. ER_0008471 Munwm and Bryan Electric Co. 14 2 3 M E 2 5 7 ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN `" NAME 'IOlY\CY��: , e!'S `otisT� ADDRESS: I14Ca SNAPP�1nPy 1uc}�2 CRFD BOX BLDG.SIZE S�n1 •��' M�t./ `�Q•.m�No� �-ea-c�. BETWEEN: S,6kycsit,r) RES. ( ) APT. ( ► COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( 4 OLD ( ► REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. = ) SWITCH OR BREAKER C,- AMPS PH W OLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. 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 i BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS �CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. �KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED pj $ ER-0008471 TOTAL FEES _ 1423IME257 CITY OF r &a,nt C /3 e44CA-t1 Office of Building Official REQUEST FOR INSPECTIO �y Date �/ �� — Permit No. Time A.M. Received P.M. Job Address Locality Owner's — Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & El ae-Roufrng Slab ❑ Temp Pole F. Top Out ❑ Heating Insulation _ intel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made r PM. r T Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date 1 t mom C��rttftcttt� of (�cru�tt�t�� (situ of Atlantic ikac4 — +f loriba Department of +,wilding Jnopettion I This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Single Family Residence Bldg.Permit Not 1293 Use Classification g g Group.frame Type Construction S/Are District Atlantic Beach Owner of Building Lee & Deborah Leibe"fess 402 Snapping Turtle Ct.E. Building Address 402 Slapping Turtlg,ality Michael Hall,Contractor By. DON C. FORD Building Off cial Date: 5 - 31 POST IN A CONSPICUOUS PLACE t CITY OF �7/_ 3�O 4&6,aio 13wc,4- Office of Building Official REQUEST FOR INSPECTI _ / 7 Date /� Pe it No. el Time M. Received Job ss oc ity Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUM MECHANICAL Rough Wiring ❑ Rough ❑ it ❑ Framing L, Footing LEg g Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Final ❑ Sewer ❑ Fire Place ❑ Insulation E, Lintel Final Fab READY FOR INSPECTION A.M. nTues. Wed. Thurs. Friday P.M. Mo . p / A.M. P.M. nspection Made / �b CCCJJJ Fi al Inspection C Inspector Certificate of Occupancy❑ Date r1l. oa ,4e" i ` CITY OF 9Uda Office of Building Official /REQUEST FOR INSPECTION )ate___ !—S r Permit No. Time _ A.M. geceived A' 3 P.M. Job Address Locality Dwner's Vame Contractor BUILDING CONCRETE ELECTRICAL LUMBING MECHANICAL =raming _ Footing 17, Rough Wiring C Rough Air Cond.& le Roofing C Slab C Temp Pole C, Top Out ❑ Heating nsulation ❑ Lintel C Final Sewer Fire Place C Pre Fab READY FOR INSPECTION A.M. vlon. Tues. Wed. Thurs. Friday P.M nspection Made _ -- Final Inspection C r.;pertor -- Certificate of Occupancy C Date _-- - — �//ee,,^��,_��JJ� CIITaY,.O/F //////w_'d^ ` *4da 7ti c /r -49W fes' Office of Building Official REQUEST FOR INSPECTION )ate u ( Permit No. I "ime A.M. deceived PM. qDZ _�n1�PPrfnl TU2TL� CT Job Address //�� C Locality D / owner's ��C (� i✓!/� C Q ( / ^/lJ �i- 4ame Contractor 3UILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL =raming Footing Rough Wiring Rough Air Cond. & ie Roofing Slab J Temp Pole Top Out G Heating nsulation C. Lintel Final C Sewer ❑ Fire Place Pre Fab READY FOR INSPECTION 3 Aon. Tues. Wed. Thurs. Friday A.M. ispection Made Final Inspection Certificate of Occupancy C Date --- V �/{`,,-.,I f�ti.` CITY OF , �9 4f.LI At4C Bwzlt-q&Zda Office of Building Official REQUEST FOR INSPECTION �� g3 13 S 12 --9L / /l0 0 U /n Date Permit No. q Time /�l A.M. Received V P.M. a 4C4 Z C&&6 Job dre Locality Owner's Name Contractor ILDI CONCRETE LECTRICAL Lwfmtgl IVIECHA L Framin ❑ Footing ❑ Rough Wiring C o Air Cond. ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Insulation ❑ Lintel ❑ Final E Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. riday A.M. F Inspection Made P.M. 1-+spector Certificate of Occupanc Date _ /��;// CITY OF YQa4 L� ll _B —q4t ' Office of Building Official QREQUEST FOR INSPECTION Date ��— / Permit N.D. Time Received P.M. Job L cal'y Owner's Contractor BUILDING CO CRETE ELECTRICAL PLUMBING MECHANICAL Ing ❑ Footing ❑ Rough Wiring ❑ Rough Air Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel i Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab A.rn Mon. Tues. Wed. Thurs. Friday P.M Inspection M Inspector _ R ec Ion Certifi o ccupanc 4 - r Date CITY OF 4&tic BeccA-Iia _ P Office of Building Official 9 REQUEST FOR INSPECTION Date 2—�y (O Permit No. / / 913 F Time Received IIJJ PM. � Job Addr cality Owner's Name Contractor BUILDING ONCRETE ELECTRICAL PLUMBING MECHANICAL Framing - Footing C Rough Wiring Rough - Air Cond. & ❑ lit Tem Pole _ Top Out _ Heating Re Roofing - Slab p Fire Place ❑ Insulation - Lintel Final Sewer Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday — PM-A.M. Inspection Made /� � e P.M. Final Inspection Inspector Certificate of Occupancy ❑ Date jj�`_ pC�ITY OF JI&MAC !3 44n" Office of Building Official REQUEST FOR INSPECTION )ate 1-31- 941, Permit No. / 93 rime A. deceived lz� D P Job Addr L ca'y 121 lamer s Contractor 3UILDING CONCRETE—"— ELECTRICAL PLUMBING MECHANICAL =raming _ Footing Rough Wiring C Rough C Air Cond. & El 3e Roofing _ Slab C Temp Pole C Top Out C Heating nsulation — Lintel ❑ Final r_ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Aon. Tues. Wed. Thurs. Friday / A.M. 1f11 nspection Made P.M. Aw nspectcr _ Final Ins ction :- I Certificate of Occupancy E i Date MAP SHOWING.,SURVEY OF Q CELL��.tJLI L K (.1 A-)/-r TN 2 AS RECORDED IN PLAT BOOK 42 PAGES 7`/-74A,74B.74G OF THE CURRENT PUBLIC RECORDS OF Duva L COUNTY, FLORIDA. CERTIFIED TO GEE f Al2'2N Y '5�_ / fec"'? !N BECll"H' /yj Z_E/f3EC K/ F/RST UA_)10 J /Us47-10AJA -. OAA-Ir— OF- FLORIOA 660 REPuljz/c AMT/O/VAL T/-'GE /NS• CO. AMS1cA" F/957- GUAS_r TfTLE 5ERV/GE5 , 0 W 51vAPP/kJ,- 7`uRTL E C_o-r- 2 9 j996 C'ou Rr BAST caTCN 7.0 ) s 700-"a3' z� Zoning Buildinve A).350 4-'5'58 5 d°52^x6'22'• r. h I R Gu,-reR � ��, �- � >- • O Sr6 14 45' q IG Z •' ev 97 d,7a:L /., .uO,FTEI �.�4 19 e�• / I LOT GO <>. c / FACE of /5"PALA,( �e �� nt°• tr• I ZT'Wo. (7•�� / jD 11 A t o+• ep V 0 �I e � o All, E.0 � pQ_ __ IV I LOT o /(o V �tJ. g0, T'1QE�5 P- PALM O 7- WC)- WArE,P OAK 0- 5A ,- 17 �EGHEGlCE17 MAY 9, 1996 TO S//Ow F/AvAL 430'00) ,Q�GNECKEp GELS. 9, /99.0 To 5A,10K__� 40020—o/� iPC4_leC � : ),4k/ . 3o, / 6 To show /-lousE EA�v�LofE �-4-0020-00 E .�E LEGEND DATE AL16.23.19-33 ■ DENOTES CONCRETE MONUMENT SCALE - 40' FNOTES: x-x DENOTES FENCE (( JOBN0. 27/03- 4306 • DENOTES DENOTESIRON PIPE FORONPP UNDu i��r�based on t?ECo4o LAT x DENOTES CROSS CUT . 30�.uoa e>' TOPOGe•4p'//cQL T� Survey. Richard A. Miller & Associates, Inc. 3. Elevations shown thus (15.0) refer to N.G.V.D. of 1929. Professional Land Surveyors 4.Subject property lieg �hion Zone— as shown on F.I.A.Flood Hazard Boundary Map . Community No. 120075 11330-5 St.Johns Industrial Parkway North /989 Jacksonville.Florida 32216 dated App• /7 5.Unless otherwise noted,any portion of the subject parcel that may be deemed as Wetlands (904)642-8337 RTIFY THAT EON by State or Governmental Agencies, has not been determined and any liability resulting [esv ALETANDARDS THE SETSURVEY FORTHSHOWN HEEFLORIDAMEETS BOARD OFLAND MINIMUM therefrom is not the responsibility of the undersigned. 4-POSUA4NT TO SECTION 472.027.FLORIDA TATUTES 6.There may be Restrictions or Easements of Record evidenced by title examination that have not been shown hereon. NOT VALID UNLESS EMBOSSED WITH A SURVEYOR'S SEAL (CHAR . CERT. N0. 3 48 CHK, By F.B. 412 PG CITY OF 1*41 4e Feat! - 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5444: TELEPHONE(904)247-cW FAX(904)24x-W NOTICE TO: Water Department FROM: Building Department DATE: ' 5 1 6- Please Please be advised that the final building inspection has been completed on each of the following addresses and construction Water is no longer needed: Permit Number Address r-JI sincerely, �zI'�� Building Department 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 : 119o3 , _ / S- -- od-D __T� ---------------------------- �1 Enclosed are the blue copies of the permits. j. SI CER Y, LDING INSPECTION DIVISION cc: FILE L CITY OF nn �•�� 4&4#d4C B�-0;&u-d4 Office of Building Official REQUEST FOR INSPECTION Date 1, Permit No. ' Time Received 4 : ^� as M. `f D 5 not n E Job Addressr Locality Owner's / nn li e r7 Ll A L L Name e •F bbl P tie-be-C-kContractor / I l/ It _- BUILDING CONCRETE LECTRICAL PLUMBING MECHANICAL Framing 11Footing 11ring ❑ Rough ❑ Air Cond. & Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Fi 1 El Sewer ❑ Fire Place ❑ E92Ly f{��r- Pre Fab READY FOR INSPECTION <r ZD Mon. Tues. Wed. Thurs. Friday P.M. S 17 �� A.M. Inspection Made -, PM. Inspector ] Firal Inspection ❑ Certificate of Occupancy ❑ Date CITY OF Office of Building Official REQUEST FOR INSPECTION / 3 9—�� Permit No. Date Time :06t,7 Received ((JJP.M. D 2- Job L lily Job Addr Owner's ContractorName MECFIA LILDING CONPLUMBINou ❑ r Cond. &FootiHeatin Pole SlabOut g Re Roofing ❑ - Final Sewer ire Place Insulation ❑ Lintel Pre Fab READ RINSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. Inspection Made _. Final Inspection ❑ Inspector Certificate of Occupancy❑ Date TRANSMITTAL DOCUMENT FOR JEA DATE: -(26 The following permits have passed "rough" inspection: Permit No. Address End`sexk'3mexxx=x f'xkuxx3}Dgesxca5cxtghex4eaxmL-ta. Please update your records accordingly. Th n y UI LD NG CLLR CITY OF ATLANTIC BEACH /vcb PSR-3844 1129 3 10061�20000100 DEPARTMENT OF BUILDING HSt1J L"£96c01r :1d�d CITY OF ATLANTIC BEAC 620 �3d4d 10 96/62/1 :aae0 L' 0000000 t i INFORMATION ------ ? -------- LOCATION INFORMATION Permit Number : 11293 Address : 402 SNAPPING TURTLE COq Permit Type: BUILDING ATLANTIC BEACH . FLORIDA g3 = class of Work : NEW ------ LEGAL DESCRIPTION �----- Constr . Type : WOOD FRAME 28 Block : Section= Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellinas : 1 code : 0 4uL,division: OCEANWALK UNIT 3 _ Estimated Value : 5175566 . 00 improv Cost : SQ . 00 Total Fees : 53405 . 52 Amount Paid 53405 . 52 T Date a6 1/11/96 Baa a ro 71 PEP - HSF 2853 w .- o " -vsOWNER INFORMATION ---- APPLICATION FEES L E`E �, DEBORAH LEIBECI PERMIT 51032 . 00 - - _- F- '� � 4 : I. 1API�E LEAF DIRVE' ` WATER IMPACT FEE 5650 .Q�Y ,IAC ;.",DNV 1,LE . FLORIDA SEW IMPACT, FEE 50 .00 v. e: A f'904) 22 -6076 WA RADON Sa-� R . S C ACTOR. INFORMATION RADON CAB 5 SO : 71 ;?Tae- JEC _L FALL CAPITAL IMPROVE . 5325 .00 " - w � : 141 '9 `PINE ISLAND DRIVE, .SE EN. a `" mt.. , ,� L'1 ; '�FLi�RIDA 3� CROSS CONNECTION 535 .00 License: RG(' Type : SEC H IMPACT FEE SO .00� CONST . SURCHARGE $4 SCHARCIF. /ATL .PCH, NOTES: �,V 00�080ctX 7100 I N q IF HSU3 Ljt%300 .3dad I0 %/6c/i :a1ea Clay 0i ktl%12 �h ()OW)0000 00(yx0000 U Cr NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING 0 PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE o BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUSThO PLACED IN PUBLIC SPACE, AND Ml `f B CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNW3 j vCti G7 �G O O' C? "FAILURE TO COMPLY WITH THE MECHANICV'- LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE-BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS g MIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. `S,S_n GJCt oatp: 1/29/% 01 Rcpt: 00,09635 L„ ATLANTIC BEACI EP/ARTMENT -� By: CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address t l) %Z-- c,"dPP1 Date fad -02 IF-9 -� Heated Square Footage '2_ ,00 per sq ft Garage hed @ S / .00 per sq ft Carport orc ---��'�� .@ $-12.GQ_per sq ft Deck 2 L@ $ j per sq f t = $ Patio @ $. ® per sq ft = $ 6 TOTAL VALUATION: 6 � S , ,S-C ©.0o Total Valuat ' on 1st $ Gd, OO® 00 Remaining Value $3 ocper thousand Or portion thereof TOTAL BUILDING FEE + 1/2 Filing Fee $ 0 0 (0 ) Fireplaces @ $15 . 00 BUILDING PERMIT FEE $— WATER IMPACT FEE $ SEWER IMPACT FEE $_ , D.00 WATER METER/TAP $ (0O CAPITAL IMPROVEMENT $ 3 2-d---00 SEWER TAP $ 9-n3) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION SURCHARGE . 0050 OTHER $ GRAND TOTAL DUE $ i ADDITIONAL PERMITS OR FEES: Mechanical New Electric Plumbing / Electric/Temp ; SwimmingPool Septic Tank Well Sign Survey Other Finish Floor Elevation CALCULATIONS and/or NOTES : CITY OF �ztic Ve4d - 9&vu a 800 SEMINOLE ROAD PROPERTY DESCRIPTION ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 .� rJ'' IT _. FAX(904)247-5805 Lot # — Block # Section # Subdivision: oeC--7�JcK Street Name DESCRIPTION OF WORK or Address : q02--_75Af/}pp j^/G T-Vp -Lc- GT f in a FLOOD HAZARD Flood Zone : area complete page 3 . Brief Description SIN6L.F F4m,t_ NEW ( tiSIL�"c Toa` Y` Lk Class of Work : (New/ Remodel/Addition: Lyt/ ZONING INFORMATION EG 15 1995 .,,.Type of Construction:�pa� F2r�ntC/ ZoningStuGGo Distrct : UseposedJ,uildln and Zoning Estimated Value $ J FrZ 000, Exceptions or Variances Materials : Granted: Solid or Filled Ground: Roof : T1ZuSSES 5F}iNCrLE�D OWNER INFORMATION Method of Heating: ElEc`p-IL CENTi2�� Property Owner:LEtk l F-Bo jj LE/13fGWe-'-- Mailing K Phone:_tm 7Yq - 0099 Address LE D)Z/VE4$ - Zip:_ 3i7_ I CONTRACTOR INFORMATION Contractor : R r�t71_ 14 �FOMEB u/CDF�2.s- C70MST ,ucyy Mailing Phofie• � ra 6 ? (�, Address :—/ PlAfE nfSW,0 FLA 27-2 N zip : 3 �� 001 g3zo Expiration License Number : -Date :_ AUG, "3/ , /9'97 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. 'Owner Signature Date Contractor Signature Date 1 • FLOODPLAIN DEVELOPMENT 1NFORMATlOt1 Type of DevWlopwcnt s----i 1 N (a c F Flood Zones Required Lowest Floor 6levation� It building is located within a flood hazard zone, a survu ' .0 be made AFTER THE SLAB HAS BEEN POURED y s.t LOWEST FLOOR ELEVATION i• Certifying that the elevation established for thatQzone. or above the bane flood willNo final inspection will be wade and no certificate of occupancy epa be Issued until the survey in on file with the 6uildinq Department. COMMENTS: Applicant Aeknovledgewenti I understand that the issuance of this permit is contingent u correct and that the plana ate/ P0A the above information being be provided as reauirad. Y agree t�'pp1YttiLhvalleea or shad provisions of Ordinance No. 23-7-11 and all other plowsabur ordinances affecting the proposed devdlopment. Date__ _1 -lek_-_Applicant's Signature -------------------------------- Department Use Required Lowest Floor Clevation An Built Lowest Floor with Building Depaslew "�---- --_--- Survey Filed w alipe ---------------- Doper_tment Suildinp Department R� -+-------- epresentativa page 3 1 CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE -SINK TRAP STAND WATER CLOSET, LAVATORY 6 BATH (8) TUB OR SHOWER STALL (6) Q WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) 1 SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) C� SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) I LAVATORY (1) COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (2) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS 72, $20.00 EACH $ JOB INFORMATION S� Ppi/�F,�L9 ��S 1INANCIAtPRIN7;NC,-NVANN 110tice ofommeneement (MVAN[IM oUrucwTn) To whom it may concern: The undersigned hereby informs you that imprgvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. GG 1 , Description of property ___LET _2.11 N/ T_aI r _L—LLIT._-6-k,_-}? -___7-Y-�_IY�,,__7. 13�__7_y _QF eU zENT Pig u _AECa S UF__ Uv/�4__�vv�v t_fLoQ/D/ ------------ General description of improvements �� ------------ --------------------------------------- Owner ---� ---------- Addreu --- __-----------------------------------J v-- / >�--- Owner's interest in site of the imp:rovement __-_.Q&LUL 1 __ 1`E�/OEit/CE - -- ---------------------------------------- Fee Simple Title holder (if other than owner) -------------------------------------------------------------- Name --------------------------- ----------------------- ---------------- ------------------------------- Address ------------------------------------- - Contractor ----t*-1ZK A4�L -f7_4U---__-80-N&dLlLLDE Address ----- �l z__ � -- sN --- X _ -L' --- z�z ------- Surety (if any) -------------------------------------------------------------------------------------------- Address ---------------------------------•------------•--It-----------------Amount of bond $-------------- Name and address of any person making a loan for the construction of the improvements. Name -------Q WjJ-EA- --------- Address --- -•-------------- Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: NameAddress In Z ------ In addition to himself, owner designates the following person to receive a copy of the Lienoes Notice as provided in Section 713.06 [2] [b;l, Florida Statutes. (Fill in at Owner's option). Name Addresso?Q,2. ------------------------------------- THIS . ---------------------- ---- THIS SPACE FOR RECORDER'S USE ONLY . --- --... _--- -- -------------------------- Sworn to and subscribed before me this -_/1__-____-_ ' -------- day of ,&&A��------- - 111Y I -- -- --- - -------- iNo Public iKc EDITH KAY SMITH MY COMMISSION k CC 475914 EXPIRES:October 20,19% Bon0d Tlsu Notary PubNc Undelwftn CITY OF ATLANTIC BEACH, FLORIDA / Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �� '` 7 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. Munson and Bryan Electric Co. ELECTRICAL FIRM: / �LMASTER ELEC ICIAN SIG ATURE JOURNEYMAN NAME42::2 L) Gd'. Z ADDRESS: �� 7�v FD O BLDG.SIZE BETWEEN: RES. ( 1 APT. ( ) COMM. ( 1 PUBLIC ( ) INDUS. ( 1 NEW ( ) OLD ( ) REW. ( 1 ADDITION ( ) TRAILER ( ) TEMP. ( SIGNS ( ) SQ. FT. SERVICE: NEW ( +l INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS SZfD COPPER i- ALUM. SWITCH OR BREAKER `mac/ AMPS PH W ' VOLT -RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 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 ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA I NO. IKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ TOTAL FEES �� t 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 : 44'11- --------------- --=--- ------------------------------------------------- i ------ ------------------------------------------------- i ------ --------------------------------------- --------- Enclosed are the blue copies of the permits. SINCERELY, BU1-212NSPECTION DIVISION cc:FILE � /CITY OF 4&c,��& !3eac.4-"9 99&U -da of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received RM. / Job Address Locality Owners Contractor Nam BUILDING CONCRETEELECTRICAL PLUMBING ME ANICAL Framing ❑ Footing ❑ ❑ Rough ❑ Air Cond. & ❑ Re Roofing El Slab ❑ p Pole Top Out ❑ Heating Insulation ❑ Lintel I in ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday r �✓, / A.M. Inspection Made _. J }� P'M' Final Inspection ElInspector --------Certificate of Occupancy ❑ Date PSR-3844 11438 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION ----- ------ LOCATION INFORMATION -- Permit Number: 11438 Address : 402 SNAPPING TURTLE CT. E1,S1 Permit Type: PLUMBIN ATLANTIC BEACH .. FLORIDA 3223_ Class of Work: NEW ---------- LEGAL DESCRIPTION --------- Constr. Type: WOOD FRAME Lot ; 28 Block: 3 Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellinas : 1 Code: 0 Subdivision: Oceanwalk Estimated Value: 50 .00 Improv . Cost : S0 . 00 Total '« es S74 . 50 Amou dna 574 . 50 L T-. .� 4.,, _ } P t f/ A-7r 77M7 OWNER INFORMATION ---- APPLICATION FEES ----- L } _m�ORAH LEIBEC11 PERMIT $74 . 50 Address � ,PING TURTLE 'T T WATR IMPACT, FEE $0 .00 TCH - FLOR I D 8$ SE FFEEFfn �-81:�7 WAR M` 'I'`�ft�TAP RADON GAS-H .R. S . $0 .00 ------ fiiT TOR .�NFORMP.TT'-)N -- RADON CAB 5% $0 . 00 !Name: JERI ' PLjIMBINf- AFTAL•.vIMPE Addrvssr 3STREET SEWER TAP MIDIr� RG . FLORID CROSS CONNECTION 50 . 00 Li cr> s 'FC'' ' ^' Ty}ae : 4 SEC H IMPACT FEE '` .00 CONST . SURCHARGE . fillVia. $0 . 0 NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT i --� By: CITY OF ATLANTIC BEACH 2 L 3 APPLICATION FOR PLUMBING PERMMIT O JOB LOCATIONC .� L - J !� r` OWNER OF PROPERTY : k-y---moi /fO p,G/� PLUMBING CONTRACTOR eL r- 1 9k:L -,/ CONTRACTOR' S ADDRESS: STATE LICENSE NUMBER: (-- E-GD Z-ZLS1 '/ TELEPHONE: zS , LI HOW MANY OF THE FOLLOWING FIXTURES INSTALLED 2 SINKS SHOWERS _LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS 3 CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS *- /e7 OTHER u TOTAL FIXTURES: x $3 . 50 + $15 .00 MINIMUM PERMIT FEE - $25 .00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: -------------------------a------ -------------------------- 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 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 PSR-3844 11600 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ---- ------ LOCATION INFORMATION ------ Permit Number : 11500 Address : 40& SNAPPING TURTLE COURT E Permit Type : MECHANICAL ATLANTIC BEACH . FLORIDA 321'- Class 2:Class of Work : NEW ---------- LEGAL DESCRIPTION ----~ Constr . Type: WOOD FRAME Lot : 28 Block : Section: Proposed Use : SINGLE FAMILY Township : RNG: 0 Dwellings : 1 Code: 0 Subdivision: OCEANWALK Estimated Value : $0 .00 Improv . Cost : 50 . 00 Total Fees : 559 .00 Amounteh 569. 00 Da �� . 3/14/96 Woz:. -MITRAL H7„ TN NEW H,--IME -------- INFORMATION --- APPLICATION FEES ----- Naz;, MT-7 VTI I I PFP> PERMIT S69 .00 Addr°5ss 40-Ix° APPING TURTLE. _ _ WATER IMPACT FEE SO .00 ATI��' `9�-JEACH . FLORTPA 3 SEW" IMPACT.>FEE SO .On P h h 2 dU 2 WA's` a A �, RADON GAS-H .R . S . SO . Of) T rnINFORMAri°.�UN RADON CAB 5% S0 . 00 Name, ,KAN1 IN 't AT & AT n CAPITAL IMPROVE . $0 . 00 T °-ldress : 5.1°4, � -UNBEAM RCA' SEWER JACK VILLE . F;. CROSS CONNECTION 50 , 00 License: CACA 3 Type : SEC H IMPACT FEE 50 . 00 CONST . SURCHARGE 00 NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCAT6f-11WIFOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 3/14/95 01 Rcpt: 0041481 00100003,021000 ATLANTIC BEACH BUILDING DEPARTMENT By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC-EACH,FLONIOA 72x33 APPLICATION FOR MECHANICAL- PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I. 11. 111. and IV, LOCATION sl,•.l Addu u: OF WILDING 1414,10.6.9 Slr.•It: I•Ir•u And /` -- _—_— f ------- nk sub.d;.it;en II. IDENTIFICATION —To be completed by all applicants h co"ridv•fion of p•,m;l qb.n to, do;nq the -or% al dncr;b•d i the•bell 141.m.nl r. he,.by•q,ee to p.•Ic•� .nh the all•ciyd plant end tpe<iGcaCont .rA;ch are • ,•'d .o•, •• e::c•�o•:r of ood p.,l hereof and ;n •cco,d."ce .;In 1h. C�ry of J.cl,o—l'o .,d--c., .•j ,•o-.e _, 9 P,•cf;c• Gt1•d fha.in. Wm..d 11•cl.mic•I - Contr•cfort Ce•M•cler I/rimf) S Mulu (//,,d(r�1/ Nem(. e( Mr.rty O.ner S:g..N,o of Omar S;gnelwe of r A.Kwi..d Aq.nl A,ch;l.ct er Emgtn..r 1111. GENERAL INFORI.IATION A. Type o♦le•timq fuel: 8, dy/ Mc 13 OTHER GOH STRUCTION gC W 0 THIS ILDING OR SITE 1 Q G•t—Q V ❑ N•fur•I emt Utility T_ ❑ Di IF YES, GIVE NUTAI[R D/C HSTRUCTION r PERMIT IZG•� ❑ Otfar '�$peaty IV. 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Infiltration barrier I Floors installed . Sole plate/floor joint caulked or sealed . ------------------------------------------------------------------------------- Exterior Walls 606 . 1 Penetrations , ,joints and cracks on interior surface 0 Ceilings caulked , sealed or gasketed . --------------------------------------------------------------------------------- ?uctWork 606 . 1 Ductwork in unconditioned space must be sealed . ------------------------------------------------------------------------------__ =fireplaces 606 . 1 Equipped with outside combustion air _, doors and flue dampers . ___------------------------------------------------------------------------------- Exhaust Fans 606 . 1 Equipped with dampers . Combustion devices see 606 . 1 .A .2 . -----------------------------------------------__--------------------------------- lombustion 606 . 1 Be in unconditioned space ( except direct vent ) , draw Appliances air from unconditioned space , exhaust to outside . Cooking appliances shall be dampened and use intermittent ignition . __..----------------------------------------------------------------------------- K* OTHER PRESCRIPTIVE MEASURES ( must be met or exceeded by all residences . ) ** ----------------_..-------------------------------------------------------------- Jater Heaters 612 . 1 Comply with efficiency requirements in Table 6-12 . Switch or clearly marked circuit breaker ( electric ) or cutoff ( gas ) must be provided . External or built.- in heat trap required . -------------------------------------------------------------------------------- 3wimming Pools 612 . 1 Spas and heated pools must have covers ( except solar I Spas heated ) . Non-commercial pools must have a pump timer . Gas spa & pool heaters must have a minimum thermal efficiency of 78 percent . -------------------------------------------------------------------------------- Vower Heads 612 . 1 Water flow must be restricted to no more than 3 gal- lons per minute at 80 PSIG . ---_..----._.-------------------_--_..-..._ ---------..._.-------_.-....,------------------------ AVAC Duct 610 . 1 All ducts , fittings , mechanical equipment and plenum Donst.ruction chambers shall be mechanically attached , sealed , ins- [nsulation & ulated and installed in accordance with the criteria installation of Section 610 . 1 .ABC .2 & 610 . 1 .ABC .3 . Duct in attics must be insulated to a minimum of R--6 . Air handlers shall not be installed in attics unless in mechanical closet . --_----------------------------------------------------------------------------- AVAC Controls 607 . 1 Separate readily accessible manual or automatic thermostat for each system . ------------------------------------------------------------------------------- Insulation 604 . 1 Ceilings minimum R-19 . Common Walls - Frame R-11 or 602 . 1 CBS R-3 both sides . Common ceiling & floors R-11 . ------------------------------ SUMMER .---- _ ------ -- ---- - .SUMMER CALCULATIONS _-= BASE _-- -_- AS-BUILT 3LASS---------------- DRIEN AREA x BSPM = POINTS ; TYPE SC ORIEN AREA x SPM x SOF = POINTS _------------------------------------------------------------------------------ N 130 .00 65 .8 8554 .0 ; DBL CLR N 39 .0 38 .3 .90 1346 .0 DBL CLR N 36 .0 38 .3 .72 997 .0 DBL CLR N 39 .0 38 .3 .90 1346 .0 DBL CLR N 16 .0 38 .3 .88 538 .6 E 158 .00 65 .8 10396 .4 ; DBL CLR E 45 .0 79 .7 .89 3178 .2 DBL CLR E 21 .0 79 .7 .91 1517 .5 DBL CLR E 42 .0 79 .7 .91 3035 .0 DBL CLR E 50 .0 79 .7 .57 2271 .4 �E 38 .00 65 .8 2500 .4 ; DBL CLR SE 21 .0 79 .1 .88 1465 .5 DBL CLR SE 17 .0 79 . 1 .88 1186 .3 S 261 .00 65 .8 17173 .8 ; DBL CLR S 30 .0 66 .2 .81 1607 .1 DBL CLR S 21 .0 66 .2 .84 1167 .8 DBL CLR S 88 .0 66 .2 .92 5357 .5 DBL CLR S 74 .0 66 .2 .45 2204 .5 DBL CLR S 14 .0 66 .2 .45 417 .1 DBL CLR S 34 .0 66 .2 .84 1890 .7 5W 38 .00 65 .8 2500 .4 ; DBL CLR SW 21 .0 79 .1 .37 617 .0 DBL CLR SW 17 .0 79 .1 .88 1186 .3 W 135 .00 65 .8 8883 .0 ; DBL CLR W 42 .0 79 .7 .91 3035 .0 DBL CLR W 50 .0 79 .7 .57 2271 .4 DBL CLR W 21 .0 79 .7 .91 1517 .5 DBL CLR W 6 .0 79 .7 .82 391 .1 DBL CLR W 16 .0 79 .7 .87 1113 .7 ------------------------------------------------------------------------------- . 15 x COND . FLOOR / TOTAL GLASS = ADJ . x GLASS - ADJ GLASS ; GLASS AREA AREA FACTOR POINTS POINTS ; POINTS ------------------------------------------------------------------------------- .15 2 ,853 .00 760 .00 .563 50 ,008 .00 28 ,159 . 11 ; 39 ,657 .93 NON GLASS------------ AREA x BSPM = POINTS ; TYPE R-VALUE AREA x SPM = POINTS ------------------------------------------------------------------------------- WALLS---------------- Ext 1521 .0 .9 1368 .9 ; Ext. Wood Frame 11 .0 1521 .0 1 .70 2585 .7 Adi 198 .0 .7 138 .6 Adi Wood Frame 11 .0 198 .0 .70 138 .6 DOORS---------------- AdJ 18 .0 2 .4 43 .2 ; Adi Insulated 18 .0 1 .60 28 .8 EILINGS------------- UA 2853 .0 .6 1711 .8 ; Under Attic 30 .0 2216 .0 .60 1329 .6 Under Attic 30 .0 721 .0 .60 432 .6 LOORS--------------- Slb 266 .0 -37 .0 -9842 .0 ; Slab-on-Grade .0 266 .0 -41 .20 -10959 .2 INFILTRATION------------ 2853 .0 8 .0 22824 .0 ; Practice #2 2853 .0 8 .00 22824 .0 TOTAL SUMMER POINTS 44 ,403 .61 ; 56 ,038 .03 TOTAL- x -SYSTEM _--~COOLING ; -TOTAL -x CAP x DUCT x SYSTEM x CREDIT = COOLING UM PTS MULT POINTS ; COMPON RATIO MULT MULT MOLT POINTS -------------------------------------------------------------------------------- 44,,403 .61 .37 16 ,429 .34 ; 56 ,038 .03 1 .00 1 .100 .310 .950 18 ,153 .52 -- -_-_ _ ---- WINTER CALCULATIONS _-= BASE _-- i --= AS-BUILT =-- ___________ iLASS---------------- DRIEN AREA x BWPM = POINTS ; TYPE SC ORIEN AREA x WPM x WOF = POINTS -------------------------------------------------------------------------------- N 130 .00 -10 .6 -1378 .0 ; DBL CLR N 39 .0 7 .3 1 .14 325 .5 DBL CLR N 36 .0 7 .3 1 .42 372 .2 DBL CLR N 39 .0 7 .3 1 .14 325 .5 PBL CLR N 16 .0 7 .3 1 . 18 137 .4 E 158 .00 -10 .6 -1674 .8 ; DBL CLR E 45 .0 ---9 .2 .69 -283 .7 DBL CLR E 21 .0 -9 .2 .74 -142 .3 DBL CLR E 42 .0 -9 .2 .74 -284 .6 DBL CLR E 50 .0 -9 .2 - .24 110 .4 5E 38 .00 -10 .6 -402 .8 DBL CLR SE 21 .0 -22 .7 .88 -420 .6 DBL CLR SE 17 .0 -22 .7 .88 -340 .4 S 261 .00 -10 .6 -2766 .6 ; DBL CLR S 30 .0 -28 .4 .90 -767 .2 DBL CLR 5 21 .0 --28 .4 .92 --551 .3 DBL CLR S 88 .0 --28 .4 .96 -2409 .9 DBL CLR S 74 .0 -28 .4 .27 --567 .4 DBL CLR S 14 .0 -28 .4 .27 -107 .4 DBL CLR S 34 .0 -28 .4 .92 -892 .6 SW 38 .00 -10 .6 -402 .8 ; DBL CLR SW 21 .0 -22 .7 - .03 13 .5 DBL CLR SW 17 .0 -22 .7 .88 -340 .4 W 135 .00 -10 .6 -1431 .0 ; DBL CLR W 42 .0 -9 .2 .74 -284 .6 DBL CLR W 50 .0 -9 .2 - .24 110 .4 DBL CLR W 21 .0 -9 .2 .74 -142 .3 DBL CLR W 6 .0 -9 .2 .51 -28 .0 DBL CLR W 16 .0 --9 .2 .65 -96 .2 ------------------------------------------------------------------------------- .15 x GOND . FLOOR / TOTAL GLASS = ADJ . x GLASS - ADJ GLASS ; GLASS AREA AREA FACTOR POINTS POINTS ; POINTS ------------------------------------------------------------------------------- . 15 2 ,853 .00 760 .00 .563 -8 ,056 .00 -4 ,536 .27 ; -6 ,264 .32 NON GLASS------------ AREA x BWPM = POINTS ; TYPE R-VALUE AREA x WPM = POINTS ------------------------------------------------------------------------------- WALLS---------------- Ext. 1521 .0 2 .2 3346 .2 ; Ext. Wood Frame 11 .0 1521 .0 3 .70 5627 .7 Adi 198 .0 3 .6 712 .8 ; Adi Wood Frame 11 .0 198 .0 3 .60 712 .8 DOORS---------------- Adj 18 .0 11 .5 207 .0 Ad.j Insulated 18 .0 8 .00 144 .0 i _EILINGS------------- UA 2853 .0 1 .2 3423 .6 ; Under Attic 30 .0 2216 .0 1 .20 2659 .2 Under Attic 30 .0 721 .0 1 .20 865 .2 LOORS--------------- Slb 266 .0 8 .9 2367 .4 ; Slab-on-Grade .0 266 .0 18 .80 5000 .8 INFILTRATION---------- 2853 .0 7 .4 21112 .2 ; Practice #2 2853 .0 7 .40 21112 .2 TOTAL WINTER POINTS 26 ,632 .93 ; 29 ,8.57 .58 TOTAL -x SYSTEM HEATING ; TOTAL x CAP x DUCT x SYSTEM x CREDIT = HEATING IN PTS MULT POINTS ; COMPON RATIO MULT MULT MULT POINTS ------------------------------------------------------------------------------- 26,632 .93 .55 14 ,648 . 11 ; 29 ,857 .58 1 .00 1 .100 .433 .950 13 ,510 .11 =--- - ---___ _.._____ ---_ _ _--- -- • P WATER HEATING BASE AS-BUILT =_ qUM OF x MOLT TOTAL. ; TANK VOLUME EF TANK, x MOLT x CREDIT = TOTAL 3EDRMS ; RATIO MULT ----------------------------------------------------•----------------------------- 3 3803 .0 11 ,409 .00 ; 50 .93 1 .000 3599 .3 1 .00 10 ,798 .00 C UMMAPY --= BASE _-- ; --= AS-BUILT =-- _'DOLING HEATING; HOT WATER TOTAL ; COOLING HEATING; HOT WATER TOTAL JOINTS + POINTS + POINTS = POINTS ; POINTS + POINTS + POINTS = POINTS ---------------------------------------------------------------------___---------_-- 16429 .3 14648 . 1 11409 .0 42 ,486 .45 ; 18153 .5 13510 . 1 10798 .0 42 .461 .63 * EPI = 99 .94 * L O A D C A L C U L A T I O N TYPE Inside Shade Sc Area Loss/Btuh Gain/Bt.uh a L A S S Borth Double Clr Roller Shade 1 39 .00 6396 .00 780 .00 Borth Double Clr Roller Shade 1 36 .00 5904 .00 720 .00 forth Double Clr Roller Shade 1 39 .00 6396 .00 780 .00 forth Double Clr Roller Shade 1 16 .00 2624 .00 320 .00 :ast Double Clr Roller Shade 1 45 .00 7380 .00 2655 .00 ast Double Clr Roller Shade 1 21 .00 3444 .00 1239 .00 -ast Double Clr Roller Shade 1 42 .00 6888 .00 2478 .00 -ast Double Clr Roller Shade 1 50 .00 8200 .00 2950 .00 Test Double Clr Roller Shade 1 42 .00 6888 .00 2478 .00 Jest Double Clr Roller Shade 1 50 .00 8200 .00 2950 .00 Test Double Clr Roller Shade 1 21 .00 3444 .00 1239 .00 Jest Double Clr Roller Shade 1 6 .00 984 .00 354 .00 Jest Double Clr Roller Shade 1 16 .00 2624 .00 944 .00 South Double Clr Roller Shade 1 30 .00 4920 .00 930 .00 South Double Clr Roller Shade 1 21 .00 3444 .00 651 .00 South Double Clr Roller Shade 1 88 .00 14432 .00 2728 .00 South Double Clr Roller Shade 1 74 .00 12136 .00 2294 .00 South Double Clr Roller Shade 1 14 .00 2296 .00 434 .00 South Double Clr Roller Shade 1 34 .00 5576 .00 1054 .00 Southwest Double Clr Roller Shade 1 21 .00 3444 .00 1071 .00 Southwest. Double Clr Roller Shade 1 17 .00 2788 .00 867 .00 Southeast Double Clr Roller Shade 1 21 .00 3444 .00 1071 .00 Southeast. Double Clr Roller Shade 1 17 .00 2788 .00 867 .00 Infiltration : Winter Htm ( 15 .76 ) x. 760 .00 11977 .60 Infiltration : Summer Htm ( 3 .64 ) x 760 .00 2766 .40 R-Value Area Loss/Btuh Gain/Btuh AA L L S---------------------------------------------------------------------- 400d Stud - Ext . 11 1521 .00 5475 .60 3802 .50 Wood Stud - Ad.j . 11 198 .00 712 .80 336 .60 --------- --------- --------- SUBTOTALS= 1719 .00 6188 .40 4139 .10 D0 0 R S---------------------------------------------------------------------- Insulated Core/Metal - Adj . 0 18 .00 250 .20 30 .60 Infiltration Winter Htm( 15 .76 ) x 18 .00 283 .68 Infiltration =Summer Htm( 3 .64 ) x 18 .00 65 .52 --------- --------- --------- SUBTOTALS 18 .00 533 .88 96 .12 CE I L I N G S---------------------------------------------------------------- Under Attic 30 2216 .00 2880 .80 3545 .60 Under Attic 30 721 .00 937 .30 1153 .60 SUBTOTALS 2937 .00 3818 . 10 4699 .20 L0 0 R S-------------------------------------------------------------------- lab on Grade 0 266 .00 Lin .Ft . 8618 .40 000 .00 * TOTAL STRUCTURE SENSIBLE * ------------------------------------------------------------------------------ 155776 .40 43554 .82 ------------------------------------------------------------------------------ L ENERGY GUIDE =or detailed information )f the EPI rating number >r for any ITEM listed , isk your Builder for EPI= 99 .9 )CA Form 600A-93 )r Form 6006-93 0 10 20 30 40 50 60 70 80 90 100 --------------------------------------X- i rhe maximum allowable EPI is 100 . The lower the EPI the more efficient the home RESIDENTIAL ENERGY PERFORMANCE RATING SHEET ITEM HOME VALUE Low Efficiency High Efficiency SINGL CLR DBL TINT 4INDOWS . . . . . . . . . . . . . . . . . . . . .Double Clear -------------X------- INSULATION . . . . . . . . . . . . . . . . . . R-10 R-30 Ceiling R-Value . . . . . . . . . 30 .0 ; --------------------X R-0 R-7 Wall R-Value . . . . . . . . . 11 .0 ; --------------------X R-O R-19 Floor R-Value . . . . . . . . . 0 .0 ; X-------------------- 4IR CONDITIONER . . . . . . . . . . . . . 10 .0 SEER 17 .0 SEER/EER . . . . . . . . . . . . . . . . . . 10 .5 : _X------------------- 9 .7 EER 16 .0 BEATING SYSTEM . . . . . . . . . . . . . . 6 .8 HSPF 12 .0 Electric COP/HSPF . . . . . . . . 7 .4 ; --X------------------ 0 .78 AFUE 0 .90 Gas AFUE . . . . . . . . . . . . 0 .00 ---------------------- WATER HEATER . . . . . . . . . . . . . . . . 0 .88 0 .96 Electric EF . . . . . . . . . . . . . . 0 .93 ; ------------X--------- 0 .54 0 .90 GasEF . . . . . . . . . . . . . . 0 .00 : --------------------- 0 .40 0 .80 SolarEF . . . . . . . . . . . . . . --------------------- OTHER FEATURES . . . . . . . . . . . . . . I certify that. these energy saving features required for the Florida nergy Code have been installed in this house 82.. PiAX J7SSL+V0 D-0— Builder ddress : Signature : Date : 9 Si .ity/Zip Z4n- JLA• 2Z2 lorida Energy Code for Building Construction 1993 lorida Department of Community Affairs FL-EPL CARD93 SERIAL_ # 5481 * RESMANUJ( c ) 12-04-1995 WHOLE HOUSE HEAT GAIN / HEAT LOSS CALCULATION USING FLA/RES( c ) DATA FILES ( BASED ON A .C .C .A . MANUAL J - SEVENTH EDITION ( c ) 1986, by A .C .C .A . ) _---------- - --------------------------------------------------------- --------- )ROJECTLEIBCeKIRESIDENCE ....................................._....................................................................................................................................................................................................... ......._ _ _ ...................._.................................... aDRESS :LOT2? OCEANWALK . ...................................._......... ..............................................._ 1 ....._ _ ...._ .................................................................._..........................................................................................................._................................... _I T Y........=................................................._.............................._..............................................................................._..........._......._......__....._.......................................---_............................._............................................................................................_.........................._.._... )WNER....._._........ &- DE-BBIE...._.....LEZ8EC4—'T ...._..__................._......................__....................... ....._.._....._.. ..................__-_....................................__...._................................................_.......... 3 L DG....._CCN T R._.._._M_I_KE....._HALL.._._....................................................._... ............._..............._..__..._................._.._.__....._...__..._._........._......._............-_-....__..........................................._...._....__..._....................--.--._...._._....... iVAC...._CONTR._...._:._MANDAR_I_N....._HEAT_I_NG....._&....._AIR...........INC . Conditioned Floor Area 2853 SF GLASS/SF RATIO = 27% * Climatic Conditions & Design Conditions _----------------------------------------------------------------------------- Geographical Location : Florida .Jacksonville ------------------------------------------------------------------------------- North Latitude / Elevation 30 Den . / 24 Ft . Above Sea Level Outdoor Winter Dry Bulb 32 Deg . F Indoor Winter Dry Bulb 70 Deg . F Winter ( Actual ) Temp .Diff . ; 38 Deg . F Winter- Temp . Diff . ( wTd ) ; 40 Deg . F Outdoor Summer Dry Bulb ; 94 Deg . F Outdoor Summer Wet Bulb ; 77 Den . F Outdoor Summer Hum . Ratio Gr/Lb 114 Indoor Summer Relaltive Hum . ; 50% Indoor Summer Design Gr/Lb . ; 49 Indoor Summer Dry Bulb ; 75 Deg . F Indoor Skimmer Wet Bulb ; 62 .3 Deg . F @ 64 Gr/Lb Summer Daily Range ; 19 Deg . F - L Summe.r ( Actual ) Temp .Diff . ; 19 Deg . F Summer ( User Se 1 ) Temp .Diff . ( sTd ) 20 Deg . F ----------------------------------------------------------------------------- * HEATING SUMMARY * MH2853 DAT * COOLING S1IMMARY * SUBTOTAL : 155776 .40 ; STRUCTURE SENSIBLE 435.54 .82 MECH .VENT- 0 Cfm 0 .00 SENS . + MECH .VENT 435.54 .82 TEMP .SWING @ 3 DEG, . : 1 .00 ; OCCUPANT/APPLIANCE 1200 .00 DUCT LOSS 7788 .82 ; DUCT GAIN 4475 .48 TOTAL LOSS/BTUH 163565 .20 ; TOTAL SENSIBLE 4920 .30 ; TOTAL LATENT 4286 .34 ; SENSIBLE + LATENT 53.516 .64 20% OVERSIZE FACTOR 3271:3 .04 ; 20% SENS .OVRSZE FTR : 9846 .06 ACTUAL + 20% OVERSIZE: 196278 .20 ; SENS . + 20% OVERSIZE: 59076 .36 EQUIPMENT SELECTION * i EQT MANUF CU MOD # AHU MOD # HTG INPUT HTG OUTPUT HTG CFM AFUE/HSPF SENSIBLE CLG LATENT CLG TOTAL TONAGE ( S )EER CI_._G CFM TYPE NOTES: i, rs y,J\f rf J� �• �� CITY OF ATLANTIC BEACH r Ss1 J 800 SEMINOLE ROAD 1 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032132 Date 2/06/06 Property Address . . . . . . 405 SNAPPING TURTLE CT Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 12000 Owner Contractor - ------------------------ ----------------------- WILLIAMS, JON SCHULTZ ROOFING 405 SNAPPING TURTLE CT 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-2315 ------------------------------------------- --------------------------------- Permit . . . . . . ROOF PERMIT Additional desc Permit Fee 135 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 12000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 135 . 00 135 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 135 . 00 135 . 00 . 00 . 00 p PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address C - Date D Heated Square Footage @ $ per sq ft= $ Garage/ Shed _� -@ $ per sq ft= $ Carport/Porch per sq ft= $ Deck @$ per sq ft= S Patio @ $ per sq ft= $ TOTAL VALUATION: $ Total Valuation V, $ Inco ( o00 Remaining Value $Sper thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: _ + %2 Filing Fee FLOOD ZONE: ( )Fireplaces @$35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE S WATER METER TAP $ CAPITAL IMPROVEMENT S SEWER TAP $ C ( ) RADON .0050 $ SECTION L PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ /S3, �� Cc: CITY OF ATLANTIC BEACH r S BUILDING / ZONING DEPARTMENT D.H°fd� 800 Seminole Road —7-UO-err Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # �� . .9,01-52- Property 9z/3ZProperty Address: �/✓p�f��i✓q Z a, r Applicant: w 7-7— Project: ZProject: f'I `00�l This permit application has been: �-U' Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. f (� Reviewed By: L Date: Date Contractor Notified: l CITY OF ATLANTIC BEACH I E` AT,-AN-!-� r r� GITY 0 thl♦rl I R r n -7 . ROOFING PERMIT APPLICATION FEB 0 2006 Date: 1/31/2006 Job Address: 405 Snapping Turtle C� i Owner of Property: J Christopher Williams Address: 405 Snapping Turtle Telephone: Contractor: Douglas A Schultz State License Number: CCC036989 Contractor's Address: 216 N 20th Street Jacksonville Beach, F1. 32250 Telephone: 246-2315 Fax: 247-3808 Scope of Work: 2Ep1 ce Zn / r10r, l3 n- 1,7 j /r �5-r D316F`-7Zd, 3�1 Deck Slope: /Q 2 _Greater than 2:12 Less than 2:12 Valuation of work: 12-1006 Product Name(Example: Timberline): Rres- IdVer Manufacturer (Example: GAF): ASTM Designation(s): 103161 Required Inspections: She hing and Final Signature of Owner: Date: Jan 3f , 2006 Signature of Contractor: Date: / -31-0,6 AS TO OWNER: Sworn to and subscribed before me this 31 day of January '20 6 State of Florida,County of Duval Notary's Signature: •�;n�':y'-•- ROSALINDCU►RK Qrpersonally known MY COMMISSION#DD 137721 El•. EXPIRES:August 25,2006 Produced identification . .... •• Bonded ThruNotary Public UndenvrHen Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this 31 day of January 20 06 State of Florida,County of Duval Notary's Signature: -ROSAUND CLARK s ��ersonally known MY COMMISSION#DD 137721 ., EXPIRES:August 25,2006 Produced identification gc,y�TtwNaary Pub NcUndeiwdters Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 1 Revised 2/21/03 Doc # 2006039199, OR BK 13048 Page 826, Number Pages: 1, Filed & Recorded 01/02/2006 at 08:53 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 11-5 'rl I! .,,• ".,.�• •..•�� Return to Inr lair r:; �JJresseJ stamped rncel�pr Schultz Roofing Co. , Inc. a`td" 216 N 20th Street Jacksonville Bch rhi.. Inarnnzrlit 1>rrparrJ h,: Fl 32250 Na Rosalind Clark Schultz Roofing Co. , Inc. Address: 216 N 20th St. k':Ip;rl„\D I�(4�:I�cQ1YJ[ 3liott'each, F1. 3221-:, 169463-1058 �I SPA,..F.>HOVI_THIS LINE FOR PROCESSING DATA - ---SPACE ABOVETHIS LINE FOR RECORDING DATA II NOTJCE OF COMMENCEMENT 169463-1058 ' it Permit No. _.-_ Tax Folio No.__ ! Sate of Florida County of_—__ Duval I 1 I The undersigned hereby gives notice that Improvements will be made to certain real property,and in accordance with chapter 713 of the Florida Statutes, the following Information is provided In this NOTICE OF COMMENCEMENT. Legal description of property(include Street Address, if available) 405 Snapping Turtle 169463-1058 41-074037 2 S 29E Oceanwa n o OR 6731-327 General description of improvements Shingle Re-roof Owner's Name J. Christopher Williams Address 405 Snapping Turtle Atlan c eac -- Owner's Interest in site of the improvement Fee Simple Title holder(if other than owner)_ Address _ Phone: Fax: I Contractor Douglas A. Schultz Schultz Roofing Co. , Inc. C .Address 216 N 20th St Jsnvllle Beach, F 904-246-2315 904-247-3808 TIfione: Fax: _ I Phone: Fax: "`y"s' -- Amount of bond $ ` S Name I� Addn3ss:_ Phone: Fax: _ Persons within the State of Florida designated by owner upon whom notices or other documents may be served as pro- vided by Section 713.13(1)(a)7, Florida Statutes. Name Address Phone: Fax: In addition to himself, owner designates I Of Phone: Fax: to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expirali date of Notice of mmencernent(the expiration date is 1 year from the date of recording unless a different date is specified) j Frank L. Gamel , Owner Agent en:ume of Uwner Printed Name of Owner t'RUBBER s7 AMP SEAL -� 1 have relied upon the 1'oll�wintification f the Affiem _. ROSALIND CLARK3 --��------.- 0f My COMMISSION H DD 137721 µ F5 Io and subs,'r fifd his __-_ day ofY7- ' :o' EXPIRES.August 25,2006 - 'M1 BBnrrxfeo Tnru Notary P,lolic U^.Damn?ens Il Noury Signature ""-- PnmrJ Nume -"----