800 Stocks St (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00027952 Date 3/23/04
Property Address . . . . . . 800 STOCKS ST
Tenant nbr, name . . . . . . HOME DEMO
Application description . . . DEMOLITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
---------------- -------- ---- --------------------
ESTEBANEZ, KURTIS M. OMNI DEMOLITION
800 STOCKS STREET 10334 MACON ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32218
(904) 764-5009
----------------------------------------------------------------------------
Permit DEMOLITION PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 100 . 00 100 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 100 . 00 100 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
.AUILDRNI OtFFICIAL
CITY OF ATLANTIC BEACH
2i
IT APPLICATION
--Y DEMOLITION PERM
Date
Job Address: n3�CXA-- "
Owner of Property: VSIA'it�g M- - - i
Address: ail ts�� s�Ee-t soc Telephone-'-Oq4ty- 1(40a
Legal Description: Block Number X A Lot Number: Zoning District:
b be VVDr)Cnn
Contractor: 0'(\-\,\%- . ...... State License Num
Contractor's Address: 9pq
Telephone:. qf)q, r7 4 Fax: J*�
Describe proposed use and work to be done: --- IL
Present use of land or building(s): case submit with this
Is approval of Homeowner's Association or other private entity required? f yes,PI
application.
Will this project involve changes in elevation,site grade or tiny use of fill material or the removal of any trees?
* NO. Applicant certifies that no change in-site grade or rill material will be used on this project.
* YES. See Step 2 below. Approval or the Public Works Department is required prior to issuance of a Building
Permit.
El NO. Applicant certifies that no trees will be removed for this project.
YES. Removal of Trees will be required for this project TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and llrAwide all information as appropriate.
incomplete applications may result in dtla.v in issuance of permit.
STEP 1. Attach Tree Removal Application iftrees are to be removed or relocated.
I hereby certify that all inforination provided with this application is correct.
Date:
Signature ofO"er
I hereby certify that I have read and examined this application and k1low tile 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,sGate or local rules,regulations,ordinancesl or laws in any manner,including the
governing ofconstruction or the performance ofconstruction ofthe property. I understand that the Lssuance ofthis permit is contingent upon the
above inibrination being trueand correct and that the plans and supporting data have been orshall be provided as required.
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: ("4)247-5845 -http:/Iwww.el.atiantic-beach.fl.us Revised VW03
Page I
Si mature of Contator: Date: i�),3
L V
Address and contact informatiotof pperson to receive all correspondence regarding this application(please print).
Name: nnc�,
Mailing Address:—�0.23 Lk Dcacl2y,
Telephone: ToLk— 1,r-,W!1 Fax:
FMail:
AS TO OWNER:
Sworn to and subscribed before ine this day of 6i,%C*t— ?0
L
State of Florida,County of Duval
Notary's Signature:
10MBERLY W.ADAMS
MY COMMISSION#DO 028004
C1 Personally known
EXPIRES:May 22,2005
Borided Thru Notary Public Underwriters
Produced identification
Type of identification produced -�W
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of rYY1 204Lt_
State of Florida,County of Duval
V/rg in i a Mametz
Notary's Signature:
IVOMM;Ssion#1)1)161393-
Xpires:Oct 28,2006
Bonded Thru
ER"'Personally known 11 gAtlantic BondinS Co.,br.,
0 Produced identification
Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax- (904)247-5845 -http://www.ci.stiantic-beach.fl.us
Page 2 Revised 1114/03
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING -5877
800 Seminole Road - Atlantic Beach, FL 32233 -Tel'. 247-5826 - Fax. 247
PLUMBING PERMIT
MAT!
�R
PERMIT INFORMATION LOd
;,-P—ermit Num—ber: 22020 Address: 800 STU(;;(S STREET
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
R INFORMATION__-
Improv. Cost: Name: NATHAN AUM=,)
Date Issued: 5/24/2001 Address: 800 STOCKS STREET
Total Fees: 1,335.00 ATLANTIC BEACH, FL 32233
Amount Paid: 1,335.00 Phone: (904)247-3999
Date Paid: 5/24/2001
Wol'111, 15e_�sIM�PACI
W
F E
CON WAAC—TORM, -SEWER IMPA FEE, 1',250.00
PROPER NER 85.00
TER--METER[TAP
WA
AO'
Al
ie
-- ------......
L
IOR TO INSPECTION
NOTICE - IN�PECTIONS.WST BE REQUESttD;AT LEAST-24+0UR
X_
4r
BUILDING MATERIAL,-'RUBBISH AND DEBRIS FROM THIS WORK MU,STfNOT BE PtACED IN PUBLIC
CLEARED UP-A.ND HAULED AWAY BY El CONTRAGT- bR OR OWNER
SPACE, AND MUST BE
R6"'ULT IN THE
4NSTRUCTION LW_
"FAILURE TO COMPLY WftH-fHF_ C 1, - 1 1. Sfo
PROPERTY OWNER PAYING'T"Ct,EO1*Bt$L I P
M.—
ART-ief" HIS PERMIT AND SUBJECT To REVOCATION
ISS ORDING To APPROVED PLANS WHIORARSp
A
FOR _ TION OF APPLICABLE PROVISIONS OF LAW
W
co
Date: 5/24/81 01 Receipt. 0668318
ING DEPT. CHECKS 1278136.
ATLA,N'TJVP B�P, CH BUIL 435W
CITY OF
4&,t&l 13e44CA-
office of Building official
REOUEST FOR INSPECTION S-ce
Date Permit No.
AM.
Time P.M.
Rece ved -------
VT Locality
Job Address
owner's Contractor MECHANICAL
Name PLUMEONG
CONCRETE ELECTRICAL I r Cond. &
eRo
BUILDING Rough Wiring out �-�H�ler.,ing
Footing U op out c
Fralring Slab Temp Pole F, Sewer 0 Fire Pla e
Re Roofing Final Pre Fab
insulation Lintel
READY FOR INSPECTION Thurs. Friday
Wed.
Mon. U e. A.M.
�,P.M.
inspecti Made Final inspection
Certiticate of occupancy
inspector
Date
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, FL 32233 -Tel: 247-5826- Fax: 247-5877
PLUMBING PERMIT
PERMIT INFORMATION LOCATION IN )RMATION
Permit Number: 22050 Address: 800 STOCKS STREET
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233
Class of Work: REMOVAL Township: Range: Book:
Proposed Use: SINGLE FAMILY Lol Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 5/29/2001 --Wame-.—NATHAN ACRES
Total Fees: 25-00 Address- 800 STOCKS STREET
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 5/29/2001 (904)247-3999
Wo sc: SEWER
APPLIC =-S
ATION VEI
CONTRACTOR S 25.00
JAX PLUMBING & SE R I
TIC TANK.,
X
..... .....
01. Ite uIre
4
ECTION
NOTICE- INSPECTIONS BE kEoulE-STED AT iiii 2�4.,,,OURS IOR TO INSP
BUILDING PtUBBISH AND DEBRIS FROM THIS WORK muSAOT BE PLACED IN PUBLIC
MATERIAL, L ", 11,H —E AWAY BY Effli& CONTRAQfOR OR OWNER
SPACE, AND MUST BE bLEARED ,LP-AtJQ, AUL D
ULT IN THE
"FAILURE TO COMPLY W HE CONSTRUCTION LIEN tAW CM�RES
PROPERTY OWNER PAYING p�(ICE-F�OR BUILCgING IIjPRPVEMJiNTS
ISSUED ACCORDING TO APPROVED PLANS*WpffeH-AR&pWT--CV THIS PERMIT AND SUBJECT To REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
NTIC CH BUILDING DEPT. Date: 5/29/61 01 Receipt: 6%1377
09188103221W
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PEMdIT
JOB LOCA'l"lON- ?00 s-lock ic_rrcc �- .20
OWNER OF PROPERTY: q'i C r-c 's TELEPHONE No . 2
PLUMBING CONTRACTOR Ta r f 44 m c C""ILZAL
CONTRACTOR' S A_')DRESS : 7 Z-LV_
=C rj J Jy y
STATE LICENSE NUMBER:_CF _V_TELEPHONE :
How MANY OF THE FoLL40WING FIXTURES INSTALLED
_SINKS SHOWERS
LAVATORY WATER HEAirERS
---BATH T�TBS DISHWASHERS
___URINA_LS DISPOSALS
CLOSETS WASHING MACHINE
SHOWER PANS
FLOOR DRAIN'S
SEWER - WATER
-REPIPE OTHER
TOTAL FIXTURES : x $3 . 50 + $15 - 00
MINIm. It:
�3M PERMIT FEE -
S:GNATURE OF OWNER:
SI�G-NATLTRE OF CCNTRACTOR: wp:6�r. r_
-------------------------------------------- ------------- -----
INSTALLATION OF PLUMBING AND FIXTURES MUST SE IN ACCORD 'I;,,WI T H
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBIN;� 'CODE.
'6 _X�
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 24
CALTED INTO PUBLIC WORKS FOR I N E C
SEWER CONNECTIONS MUST BE
PRIOR TO COVERING UP - ( 904 ) 247-5834 &A
tzo rr%)
CITY OF ATLANTIC BEACH JoQX
SPECIAL INVESTIGATION
95,-,o 00 S, e.
TO BE FILLED OUT BY COKPLAINTANT
DATE,
ADDRESS a06 _5Td (j1-< T.
LOCATION
COMPLAINTXe 'al
-e_ -1a a 6 4ail -6 014 o�7 6oarolS /"l -5-,V In 76
Ay, t7,cL,.l A�5 e:?17 ede& la-eiei- oale fl/ le-*Mg 5. 0 u a Ag
Wd/,4 -eveo,^ 2, A45 �Aae,4,Ar 'allel--a -IA--
/5 15Voe,l 155erwl JA- �'db 014' t,4,e 7-141C
OWNE OF PROPERTY
SIGNATURE OF COMPLAINTANT PHONE' #
--------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
DATE OF INVESTIGATION ell 0, i INVESTIGATOR
CONDITIONS FOUND
ACTION TAKEN
COMPLIANCE-
NOTES:
000926
W
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
INFORMATION LOCATION INFORMATION
Permit Humbert 926 A,+iress- 800 STOCK STREET
Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 3;,12Li
Class of Work; ADDITION LEGAL DESCRIPTION
Constr. Typei CHAINLINK Lott 456 Block- 150 Section-.
Proposed Uset SINGLE FAMILY Plat Bookz Page: (-I
Dwellingst 0 Code-. 0 SubdIvisioni SECTION H
Estimated Valuei $550, 00 OWNER INFORMATION
Tinprov. Cost , $0. 00 Hume% NATHAN ACRES
Total Fees: $0. 00 Address- 800 STOCK STREET
Amourit Paidl $0. 00 ATLANTIC BEACH, FLORIDA 322--i
P h (904) 246-1q'46
-1 `�,i
4 ' FENCE IN FRONT UP Exl' TINk- hL
COUTRACTOP(ES) APPLICATION FEES --- -- 9
Pf)(IPFRTY iliwt4r�.V, PERMIT $0. 00
WATER IMPACT FEE $0.00
SEWER IMPACT FFE 1$0. 0C)
WATER METER 14�0. 00
RADON GAS-H- k $0. 00
RADON GAS so. 00
WATER TAP $0. 00
SEWER TAP $0. 00
HYDRAULIC SHARE $0. 00
RE-INSPECT FEE $0. 00
ENGINEERING ��'o. 00
OTHEP *0100
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
APPLICATION FOR FENCE PERMIT
1 -2---phone,,2.,,------
Owners name --4L-
--------------------------------
Job address
Lot //-51:�L__block and/or unit, #-------------subdivision--------------------
Contractor if different from owner--- g-_�------ -------
-----------------------------------------
Valuation of fence $------- -�7. Co�ner or -------------
Type constructi8n
----------------------
Show location and height of fence as well as location of street(s) .
Owner signature---------------------------------------Date-----------------
Contractor signature----------------------------------Date-----------------