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278 1St St (vault) JOB ADDRESS 8 � O PROP=OWNER G�iC � � M-EPHONE -2V Q 9 coNTRAc�oR M F HONE 1,Q-9�o G PERI RT ArUMBER 9C-233 DATE INSPECTIONS.- EOOTLVG SLAB TIE BEAM SIT EL NAILINGISHHP-A?'�VG I FRAMING/CD VER INSULATION RIVAL BUILDING 1 CU=C4Tg ISE UCL;DPA�VCY E'CTRIGIL PE'R1 fn �O E LVSPECTIONS ROUGH 3� � EBVAL r a 31ECHAAM L PES INSPECTIONS ROUGE FINAL PLUMBLVGPEWI-4 INSPECTIONS ROUGH/UNDER SL-14 TOPOUT WAIER/SEWER SAL 3 NOTES• CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD 1 == ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033527 Date 7/19/06 Property Address . . . . . . 278 1ST ST Tenant nbr, name . . . . INSTALL 1 FIXTURE Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- BERGERON CHRISTY FIRST COAST PLUMBING P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . 42 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 .00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CTTY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: ZI G f% Property Address: �27d D Omer: h `� 7 Telephone#: Contractor: i Telephone#: ��' Contractor Address: I Fax#: I �_ 7&60 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. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, O New list the building permit number: C3 Re-Pipe Number of Fixtures: Bath Tubs Showers Closets_ Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Wa-t-n-leaters Other Fees I Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road•Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845• http:llwww.ci.atlantic-beach.fl.us Revised VO4 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 ..Jair Application Number . . . . . 05-00029623 Date 2/03/05 Property Address . . . . . . 278 1ST ST Tenant nbr, name . . . . . . REPAIR SHINGLES Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1950 Owner Contractor ------------------------ ------------------------ BERGERON, DAVID WHITES ROOFING COMPANY INC 278 1ST STREET 14262 PLEASANT POINT LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 220-5546 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1950 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. C, 1LOJ,40. BUILDING OFFICIAL Yj1 LIrIJ CITY OF ATLANTIC BEACH Cc: r ' J BUILDING / ZONING DEPARTMENT D. For 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS BuOr� " N�P- ,IAN 31200 Permit Application # 0 5 - 19 G 2 3 27� 151 �T(�Eh i BY: Property Address: Applicant: W141TV5 ROOFING C4NlppN� )WC. Project: 9N1NG�.:; Orl OCEAhI SIDJ This ,permit application has been: 1 Approved Reviewed and thefolloin items need attention. Please re-submit your application when these items have been completed. 1 i Reviewed By: �4k Date: I- 3 l Aug 25 03 10: 24a Information Systems 247-5845 p. l RECEIVED CITY OF ATLANTIC BEACH BUILDING &ZONING J� 31 2005 �r CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION / B Date: Job Address: Owner of Property: C-1 v el— v Address: 1- Telephone: Contractor: < r\ CC 0!N O State License Number- Contractor's Address: r^' 7, ,n Telephone: Fax: J AScef Work: C�\`r ��/� � ' JY� irv� r� Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work: G S Product Name(Example:Timberline): U� Manufacturer(Example: GAF): ASTM Designation(s): Required Inspections: Sheathing and F' 'i Signature of Own t Date: f —77'"`C-� Signature of,Contractor: Date: AS TO OWNER: ff Sworn to and subscribed before me this day of ��uk u`Y 200S S _ State of Florida,County of Duval Notary's Signa ersonallY known ❑ Produced identification t..• Paula Drake Dean Type of identification produced RA II r n ^„^D01802Z AS TO CONTRACTOR: off. Expires April 08,2005 Sworn to and subscribed before me this day of t��l� Y 120" s State of Florida,County of Duval Geld Notary's ' ature: G � Da" Personally known ❑ Produced identification Type of identification produced ► Paula Drake Dean My Commission DD018022 900 Seminole Road •Adaatis Beach,Florida 32233-5445 'to,M1 Expires Apni 08 2005 Page 1 Telephone: (904)247-5800 Fax: (904)247-5845 -httP://www.cLatlantic-be2ch.fl.US Revised 2/21/03 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET ktJlf ��� Date ( • 3� � �1 Address pj S l 12rG Permit fee based on dollar evaluation as indicated on permit application. -Heated Square Footage @ 5 per sq ft= S Garage /Shed @ S per sq ft= S Carport/ Porch @ 5 per sq ft= S Deck @ 5 per sq ft = S Patio @ S per sq ft= S TOTAL VALUATION: 5 w S "��• 535.00 IS` 51000.00 S 535.00 Total Valuation $ Q�D• 5 S °C� S •©t7 Remaining Value Per thousand or portion thereof: CONSTRUCTION TYPE: TOTAL BUILDLNG FEE S ZONING: + YZ Filing Fee S a� FLOOD ZONE: ( ) Fireplaces @ S35.00 S . INIPERVIOUS SURFACE: BUILDING PERIUT FEE S 6E) WATER RVIPACT FEE S SEWER LYIPACT FEE S WATER 1YIETER/TAP S CAPITAL IMPROVEMENT S SEWER TAP S C ( ) RADON HRS .0050 S SECTION H PAVING S CROSS CONNECTION S ST ( ) SURCHARGE S OTHER S 6 CITY OF ATLANTIC B ACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 0. "' INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000384 Date 3/25/08 Property Address . . . . . . 278 1ST ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2560 --------------- -------------- -------- -------- -------- ------- ---------------- Application desc REROOF ---------------------------- ---------- Owner Contractor --------- -- ------ BERGERON ROMANO ROOFING S � ICES P .O. BOX 33037 � M ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32 3 (904) 246-5649 ----------------------------------- ----------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2560 Expiration Date . . 9/21/08 -------7--------------------------------------------- - ------ ---------------- Fee summary Charged Paid Credited Due Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 40 . 00 40 . 00 . 00 . 00 y i PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 08- r- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 7 I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCT RE: ❑NEW BUILDING ❑DEMOLITION ESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL Z_QESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A vcct ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 1 MPANY NAME: 23.COMPANY NAME: �(J�v� ✓�f� 16. AME: n v� 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: � c 26.ADDRESS: Ct �C 3,033 1 3 .OFFICE PHONE: _ 12.FAX NO.: a QFFICE PHONE: 24MYNO.: ,^ 27.OFFICE PHONE: 28,FAX NO.: `113_176 IC7ELL PHONE: �J (21AEELL P ON '`I/ V 29.CELL PHONE: o�•X5S5 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this 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 NO E OF COMMENCEMENT. O NERorAGENT CONTRACTOR —,4f.Agent,PqWef Attorney or Agency Letter Required) (Qualifier O y) Signe Signed: 1_ Date: O3 .25'CO Bef a is day of ���te: 20o�in the county of Before me this day of �LV\ 2007 in the county of Duval,State of Florida,has personally appeared Duval,State o rida,has personally appeared 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. / I true and accurate. Notary Public at Large,State of F(()(C(A,County of D%V a"l Notary Public at Large,State of � County of D/ V ❑Personally Known ❑Personally Known ❑Produced Identifc ❑Produced Identifica n- !!� Notary Signature: Notary Signature: oo P'k,c EL I A ROMAN0 OMANO MY COMMISSION 0 DD357191 <a"�u 'PI AIN R COAB FORM BLDG01:REVISED:1/101Q 23; MY COMMISSION#DD357393 o E?�IRE5: R, EXp ;Sep,,r be,23,2008 FT Notary'6i e,,9 kii6t '6$ o t Assoc•Co. I-xW-3-NOTARY ��FoPe Ft.Notary Cisco' v)-3-NOTAR , CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD +J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000803 Date 6/20/08 Property Address . . . . . . 278 1ST ST Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4000 ---------------------------------------------------------------------------- Application desc INSTALL SIDING ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BERGERON A TO Z REMODELING & HOME REPAIR INC. ATLANTIC BEACH FL 32233 230 VISTA GRANDE DRIVE PONTE VEDRA BCH FL 32082 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 50 . 00 Plan Check Fee 25 . 00 Issue Date . . . . Valuation . . . . 4000 Expiration Date . . 12/17/08 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total 25 . 00 25 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Sy�yfl City of Atlantic Beach APPLICATION NUMBER �S Building Department (To be assigned by the Building Department.) 3 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax (904) 247-5845 E-mail: building-dept@coab.us Date routed: CJ! tw City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM �pL Department review required Y� No PropertyAddress: c C 7 Building /Yt Planning &Zoning Applicant: b I n Public Works Public Utilities J� - Project: + r ` Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Dateof 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: APPLICATION STATUS Reviewing Department First Review: Approved. DDenied. (Circle one.) Comments: =BUILDING PLANNING & ZONING Reviewed by: Date: & OA- 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 _ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O OFFICE:(9G4)247-5826•FAX NO.:(904)247-5845 BU ILD I NG-DEPT@COAB.U S BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2:VALUATION OF WORK: 3.SQ.FT_UNDER ROOF 2-79 Atlantic Beach, FL 32233 w �Q O� Sq SQL FI 4:LEGAL DESCRIPTION:. 5.CLASS OF WORK: 6.USE OF STRUCTURE: Is -,IH - 2S 19 ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT IL BLOCK_SUBDIVISION i LRN r=C B EAGit 1"ARK ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7 DESCRIPTION OF WORK: - ❑ALTERATION ❑ACCESSORY BLDG. 8 FIRESPRINKLER: f / ❑REPAIR ❑POOL/SPA El YES XN/A r 1—rr S=0-Z N6- 1❑MOVE IROTHER ❑NO PRORERTY OWNER: COMIRACTIM: ARCHITECT/ENGINEER: 9.NAME: 15,COMPANY NAME 23.COMPANY NAME: 0/1-%J3:0 BE(216f2oQ v z YZE 00EL=wG- 16.NAME: 24.LICENSEE NAME: malkl.01,/ D E A)v —7�-OMAS4K) 10.ADDRESSC 17.STATE OF FLORIDA LICENSE NO. 25.STATE OF FLORIDA LICENSE NO.: a72 r I /ZE E 1 18.ADD ESc c a s a y26,ADDRESS: /a r r,AtJ =C 8 Cti/ FL 3a233 23 0 V=srvIr Po -ORA t3ur- Fc v 11.OFFICE PHONE: FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 12. 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: L/74- oC) 'YoLl- 913 - 60a 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31,NAME: 33.NAME: 35.NAME. 32.ADDRESS: 34,ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this 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. OWNFJjZ or AGENT CONTRACTOR (If Agent,PqWroFNKorney or Agency Letter Required) (Qualifier Only) Signed: ate: Signed: Date: to V a: Before me this� ay of 200 unty of Before me this day of 20(9-n the county of Duval,State of Florida,has persona ly appeared Duval,State of Florida,has erson ly appear 7. herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and clarations are true and accurate. true and accurate. Notary Public at Large,State of_ ( County of_Ot". Q Notary Public at Large,State of _ County of t 11Personally Known r S/Z 2/� ersonally Known Produced Identification--0-*W ! !F_ z ❑Produced Identification- __ - o ary I Notary Signature: CE DIANE E PISANI CITY OF ATLANTIC BEACH _ —Dtr:{ Notary Public-State of Flork ?4�'"PUB°E';Notary Public Jiu_ laa :=o. SEE PERMITS FOR ADDITIONAL _NNCarrr►tbeionFIles luf2I,20 RE�UIR� 1 tS CONDITIONS. ' 'MyCorturYssonE es 1u r 1 2008 '= Commmillori#�pp331182 COAG FORM LDGO 1 --? Commission DD33 i 182 ';;� d:•' d� cF••' Bonded By Nallorld Notary M REVIEWED BY: 6�l—�j It�'"�•• Bonded By National Notary Assr. DATE: L)oc m:fUUbi:531tirz,OR 6K 14536 Page 14i9. Number Pages: 1 I'Pec&Recorded 0612'2008 at 0212 PM. Mil FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 Z- `W (UaIa-f-R-o A./- A-c-r- Nr A-r&A--frx(- ac* Ft Ira J. _._::L!i.};iC�. �. ��:i�:- . -.. '.--- " '- "---• . ,.. M.._.. L...•--�:� ._--•..__._ -�--—.-•mak-�...—.c.:r-.`____.-J --x,�fj-jtk fi: w DIANE it risMI Notary Public-State of Florkla CaM**nBPiftAIn2).2009 Commkitn OD331182 Baxled ByNalks NoklryAwn -cl uosclwoL4.L ueaa c192 :20 B0 2T unr CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD j s) J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001131 Date 8/18/08 Property Address . . . . . . 278 1ST ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc REPLACE WATER HEATER WITH INSTA HOT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BERGERON CHRISTY FIRST COAST PLUMBING P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/14/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 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 PLUMBING PERMIT APPLICATION Q l Date: (� ` Property Address: Owner: Telephone#: q U Contractor: � N elephone#: Contractor Address l Fax.. 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. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other a Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + S35.00= 800 Seminole Road.Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800. Fax: (904) 247-5845. http:llwww.ci.atiantic-beach.fl.us Revised 1104 Aug 18 08 10:00a Brian D. Christy 9042494660 p.1 1j CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION C Date: Property Address: ' _ c Owner: YomTelephone#: Contractor. N1 elephooe#: Contractor Address:��S� f �{3c _ ,aog 1 Fax#: In consideration of pera:it given for doing the work as described in the above statcmenr,we hereby agree to perforra said work in accordance with die attached pians and spt rificadom which are a part hereof and in accordance with ttp City of Atiantic Beacb ordinance and standards of good practice fisted thercia. Uumilatica of plumbing and 5xtures mast be in amordance with the most recent edition of the Southam Standard Phunbing Code. Plumbing Type:- If other comm-action is being done as this building or site, ❑ Now list the building permit number. ❑ pm-pipe Number of Fixtures: Bath Tubs Showers Closets. Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: 535.00 Total Fixtures: X$7.00 + S35.00= 800 Seminole Road.Atlantic Beach,Florida 32233-S445 Phone:(904)247-SOOD• Fax: (904)247.-5845. http.ilwww.ci.atlantic-beach.fl.us Revised 3/04 1 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: 22963 Address: 278 FIRST STREET Permit Type: DRIVEWAY ATLANTIC BEACH, FL32233 Class of Work: NEW Township: Range: Book: Proposed Use: DRIVEWAY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH, FL 32233 Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 11-/01/2001 Name: BERGERON, DAVID Total Fees: 25.00 Address: 278 FIRST STREET Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 11/01/2001 Phone: (904)246-9989 Work Desc: WIDEN DRIVEWAY ON NORTH SIDE OF EXISTING DRIVEWAY CONTRACTORS APPLICATION FEES PROPERTY OWNER 25.00 .-. � yh � _���-,•r�� �,?��. ,..- rid. * -, � r .+. I WIN Ali MR: _ s iS _ y Cax�3iI3s fir' r� Yyrmg pi 4�n - u a .,�'t txl'a e 1 i s;' 4{v jam,. ,.edY c.•d�r-_ +:f,,.yssyt* .a r ""� "ice NOTICE`.. T1 T ' O .` TION BUILDING MATER ` AtP LIC SPACE, AND MUST BE CLEAREDOn J.. r � "FAILURE TO COMPt � _:` IN THE PROPERTY OWNER P _ � ::.: - .: ,• C?�LVG ISSUED ACCORDING TO APPRO N 11 ND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PR ATU TIC BEACH UIL NG DEPT. CITY OF ATLANTIC BEACH CONSTRUCTION PERMff WfTHIN CITY RIGHTS OF WAY AND EASEMENTS DATE 10 f lott PERMIT NO. � ; r ISSUED BY THE CITY T JOB ADDRESS �� i'54 'f �Ve T VALUATION $ s� PERMFTTEE ,1J*v1 � PERM17TEE ADDRESS i TELEPHONE NO. REQUESTING PERMISSION FROM THE CITY OF ATLANTIC BEACH TO CONSTRUCT sk blvf C.ur, .. Alin e 7vz LOCATIONS: (REFERENCE TO CROSS-STREET) I . APPLICANT DECLARES THAT PRIOR TO FILING THIS APPLICATION HE HAS ASCERTAINED THE LOCATION OF ALL ISTING UTILITIES, BOTH AERIAL AND UNDERGROUND AND THE ACCURATE LOCATIONS ARE SHOWN ON THE A LL ER OF NOTIFICATION WAS MAILED TO THE FOLLOWING UTILITIES/MUNICIPALITIES: JA ONVIE ELECTRIC AUTHORITY YES ( ) NO ( ) DATE: 20 BEL SOUTH TELEPHONE COMPANY YES ( NO DATE: OC� FER LL GAS YES ( ) NO ( ) DATE: DIA ONE CABLE TV YES ( ) NO ( ) DATE: 2. WHENEVER NECESSARY FOR THE CONSTRUCTION, REPAIR, IMPROVEMENT, MAINTENANCE, SAFE AND EFFICIENT OPERATION, ALTERATION OR RELOCATION OF ALL„ OR ANY PORTION OF SAID STREET OR EASEMENT AS DETERMINED BY THE DIRECTOR OF PUBLIC WORKS, ANY OR ALL OF SAID POLES, WIRES, PIPES, CABLES OR OTHER FACILITIES AND APPURTENANCES AUTHORIZED HEREUNDER, SHALL BE IMMEDIATELY REMOVED FROM SAID STREET OR EASEMENT OR RESET OR RELOCATED HEREON AS REQUIRED BY THE DIRECTOR OF PUBLIC WORKS, AND AT THE EXPENSE OF THE PERMITTEE UNLESS REIMBURSEMENT IS AUTHORIZED. 3. ALL WORK SHALL MEET CITY OF ATLANTIC BEACH OR FLORIDA DEPARTMENT OF TRANSPIRATION STANDARDS AND BE PERFORMED UNDER THE SUPERVISION OF (CONTRACTOR'S PROJECT SUPERINTENDENT) LOCATED AT TELEPHONE NO. 4, ALL MATERIALS AND EQUIPMENT SHALL BE SUBJECT TO INSPECTION BY THE DIRECTOR OF PUBLIC WORKS OR HIS DESIGNEE. S. ALL CITY PROPERTY SHALL BE RESTORED TO ITS ORIGINAL CONDITION AS FAR AS PRACTICAL, IN KEEPING WITH CITY SPECIFICATIONS AND THE MANNER SATISFACTORY TO THE CITY. 6. A SKETCH OR PLANS COVERING DETAILS OF THIS INSTALLATION SHALL BE MADE A PART OF THIS PERMIT. 7. THIS PERMITTEE SHALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN DAYS FROM THE DAY OF SAID PERMIT APPROVAL AND SHALL BE COMPLETED WITHIN DAYS. IF THE BEGINNING DATE IS MORE THAN 60 DAYS FROM DATE OF PERMIT APPROVAL, THEN PERMITTEE MUST REVIEW THE PERMIT WITH THE DIRECTOR OF PUBLIC WORKS TO MAKE SURE NO CHANGES HAVE OCCURRED IN THE AREA THAT WOULD AFFECT THE PERMITTED CONSTRUCTION. 8. IT IS UNDERSTOOD AND AGREED THAT THE RIGHTS AND PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TO � THE EXTENT OF THE CITY'S RIGHT, TITLE AND INTEREST IN THE LAND TO BE ENTERED UPON AND USED BY THEEy�(} HOLDER, AND THE HOLDER WILL, AT ALL TIMES, ASSUME ALL RISK OF AND INDEMNIFY, DEFEND, AND SAVE (�f�A HARMLESS THE CITY OF ATLANTIC BEACH FROM AND AGAINST ANY AND ALL LOSS, DAMAGE, AND COST OF "oC06 EXPENSES ARISING IN ANY MANNER OF THE EXERCISE OR ATTEMPTED EXERCISES BY THE HOLDER OF THE rVll AFORESAID RIGHTS AND PRIVILEGES. �in l6A4) 9. THE DIRECTOR OF PUBLIC WORKS SHALL BE NOTIFIED TWENTY-FOUR (24) HOURS PRIOR TO STARTING WORK AND AGAIN IMMEDIATELY UPON COMPLETION. f© SUBMITTED BY: �_4CE CORPORATE S L IF APPLICABLE) �flV, ILA Ina SW T U SC I D BEFORE ME THISr�_ DA OF v ////// GEORGIA A. HORNv i T% r; r_ MY COMMISSION N DD 030526 NOTARY IC a EXPIRES:June 3,2005 (Q Bonded Thru Notary Public UnderwrNsrs !'?'jl CITY OF X41. BwICA-'9 2 3 3 Office of Building Official REQUEST FOR INSPECTIOK, 0 30 / Q y � Permit No. Date — Time A.M. P.M. Received . Q i a ocality Job Ad s Owner'sContractor o p 1 u/� Name — t � MECHANICAL U LDING CONCRETE ECTRICAL Rough Air & Framing ❑ Footing ❑ Rough Wiring r g Heating ❑ Temp Pole Top Out Re Roofing Slab Sewer Fire Place Insulation _ Lintel C, Final Pre Fab READY FOR INSPECTION A.M v�le�niJ Thurs. Friday Mon. Tues. -- A.M. Inspectioz4; Made 2 J spectio Inspector � Certificate Occ Date AA1� CITY OF ,'_—:i,,/, Office of Building Official REQUEST FOR INSPECTION ^/ Date 6 Permit No. O2 0 3 Time A.M. IL Received P Job ress o ality Owner's Contractor Nam B UILDING.) CONCRETE ELECTRICAL PLUMBING MECHANICAL ❑ Footing ❑ Rough Wiring ❑ Rough E) Air Cond. & El Re Roofin ❑ Slab 1-1TempPole ❑ Top Out ❑ Heating in- I ti ❑ Lint ❑ Final ElSewer ❑ Fire Place El Pre Fab INSPECTION A.M.. M TUe Wed. Thurs. Friday A.M. Inspection Made 4:7 P.M. Final Inspection ❑ Inspector7 Certificate of Occupancy❑ Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20288 Address: 278 FIRST STREET Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est.value. Parcel Number: Improv. Cost: � OWNER INFORMATION Date Issued: 6/27/2000 Name: CORNELIUS, MARGARET J. Total Fees: 39.50 Address: 71 19TH STREET Amount Paid: 39.50 ATLANTIC BEACH, FL 32233 Date Paid: 6/27/2000 Phone: (904)249-9706 _ Work Desc: INSTALL PLUMBING CONTRACTORS APPLICATION FEES B & G PLUMBING PERMIT 39.50 Inspqctions..Rqqu1red TOPOUT FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $39.5014 4ATATN EACH BUIL G DEPT. Date: E/27/00 01 Receipt: 00687 98 CHECKS 1@101 98 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMING PERMIT JOB LOCATION: lvr OWNER OF PROPERTY: TELEPHONE NO. PLUMBING CONTRACTOR Q d G Nvm4l N , co CONTRACTOR' S ADDRESS : /-399-7 Q&C,j Q L✓o STATE LICENSE NUMBER: cOCC s22,5113 TELEPHONE: .. ti3-36,Ps HOW MANY OF THE FOLLOWING FIXTURES INSTALLED r SINKS SHOWERS (Ou-rSloe) 3 LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS I DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES : 7 x $3 . 50 + $15 . 00 39. 50 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904 ) 247-5834 I 2- go OF $ A Q� VNO of .`Ge � Qe`�\` W pq p\Near Q acg "`eFar �P`Gp O 5e fG o J0r Qo�e �`p r�'• o�O aye �eR`Q� yQ�G Q0�i� orr-" O Ps°e\,ea o a e s P�q� QOO F�y�OP�� Q� `ra�wca`e of G � GO o\�g P�pO mea. Ge �e O�cee gv e� Oa aR` r1 O PeQ.\a��or Q Oor' aae ��aQ roc CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 -Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION i LOCATION INFORMATION _ Permit Number: 20301 Address: 278 FIRST STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est.Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date issued: 6/29/2000 Name: CORNELIUS, MARGARET J. Total Fees: 25.00 1 Address: 71 19TH STREET Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 6/29/2000 I Phone: (PPA)249-9706 _ Work Desc: WIRE FOR REMODELING/FORMERLY 81 EAST_ COAST DRIVE CONTRACTOR S i APPLICATION FEES BROOKS & LIMBAUGH PERMIT 25.00 Inspections_Required ROUGH ELECTRIC FINAL ELECTRIC NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION I 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" - - -- -------- IS-- ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION SUEDFOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. - _ —- - ---- $25.0814 Date: 6129!98 91 Receipt: 0069277 9 99166693221696 ATLANTI r BEACH B IL DEPT. CHECKS CITY OF ATLANTIC BEACH, FLORIDA AOProv*d by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. proo ELECTRICAL FIRM: t ' MASTER EL CTRICIA SIGNATURE JOURNEYMAN Q NAME _ Iry s_ ADDRESS: ( g NKA FD-8OX 2 78 F�r�S-/,97-BLDG. SIZE BETWEEN: RES. ( APT. ( ) COMM. ( 1 PUBLIC ( ) INDUS. ( ) NEW ( ! OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( ) INCREASE ( ► REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( SWITCH OR BREAKER AMPS / PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS ( PH 3 W 9LACILT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS �? CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.9 AMPS, 3 1.100 AMPS. SWITCHES ' INCANDESCENT FLUORESCENT & M. V. FIXED 0_100 AMPS _OVER APPLIANCES _ _ _ — BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0 OVER MOTORS H.P. VOLTAGE PHS NO. 1 II.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN — FORWARDED TOTAL FEES n CITY O 4&� mac Be"- Office of Building Official REQUEST FOR INSPECTION Date -7 —6713 p a 33 Time Permit No. Received A.M. J Ad tress ` Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING Framing' MECHANICAL Fr Rog' ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ 11 Slab ❑ Temp Pole L, Top Out ElHeatin In atio��❑ Lintel ❑ Sewer 11Final g Fire Place ❑ EADY FOR INSPECTION Pre Fab tfTues. We Thurs. Friday M' Insp 'on Mad — A.M Inspector Final Inspection ❑ Certificate of Occupancy❑ 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 �ermit Number: 20233 Address: 278 FIRST STREET Permit Type: REMODELING ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est.Value: Parcel Number: Improv. Cost: 55,000.00 OWNER INFORMATION _ Date Issued: 6/49/2000 Name:-COR MEL)US, )1l)ARGARET J. Total Fees: 420.00 Address: 71 19TH STREET Amount Paid: 420.00 ATLANTIC BEACH, FL 32233 Date Paid: 6/19/2000 Phone: (904)249-9706 _ __ Work Desc: RENOVATION PER PLANS/CLOSE IN CARPORT CONTRACTOR(SY_.____ _ ___APPLICATION FEES CORNELIUS CONSTRUCTION COMPANY PERMIT 420.00 V _ Inspections Required FRAMING7 COVER UP FINAL BUILDING _NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN TIjE PROPERtTYv 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_—____ _--.-------- $429.88 14 Date: 6102199 81 Receipt: 9967940 A NT1C BEACH UILDING DEPT. CHECKS 2362 nttByc�l r' 1�03 - �T Y OF ATLANTIC BEACH PERMIT CA CULATION SHEET � � F Rsr Sr P Address 2 0�1�-f�o�J �I�CL2lSklal�t?'Ir Date (o -4 ',OU Heated Square Footage @ per sq it = 8 Garage/Sheri A� $ per sq f t = 5 Carport/Porch AIU' J _ta S _„_„per sq f t = \�I _ Dec= � � C $ ver sq ft. - w TOTAL VALUATION: �, �•� ���i S Dov 9/-p .� T o t al f V a l• a t i o n ~ 1 s t�15uc 0 0 Remaining Value per thousand 07 portion thereof TOTAL BUILDING FEE S d + 1/2" Filing Fee ( ) Fireplaces @ $15 . 00 BUILDING PERMIT FEE $ WATER IMPACT FEE SEWER IMPACT FEE $ WATER ;DETER/TAP CAPITAL IMPROVEMENT SEWER TAF RADON ( HRS) .0050 SECTION H PAVING is j $ r_ HYDRAULIC SHARES CROSS CONNECTION $� l i SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temr, : SwimmingPoo1 Septic Tank Wel- ]L Sign.___Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : Eir Acc MAY S." 2000 CITY OF ATLANTIC BEACH City OfAtla PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTEM�TZ� Beach Zoning MOVING, DEMOLITION Owner(s) - OL� Job Address: 81 54,51- 6C)R3T Phone: [j 9 .9,000 Lot # Block or Unit # Subdivision: Contractor: State License #4tr;e6 gkg6!1 Address: -sem- laO L Fio • Phone No: 2 c} g c170� City A-T- BCff- State FL Zip Code 3223x3 Describe work to be done: BJj/yJ'Tl�},P��� K A/ C9&AzE1r5 54'Z) TU G11AIM11JS lfff AI&E .:5 li(/l.(!/O U S -M LW PS - 0,01E ZAJ i t � Present use of building: :561- Valuation 6LValuation of Proposed Construction:4VY) —' Proposed use: f>&L Is this an addition? 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) ? New plumbing fixtures?-/—�o New fireplace*'o New Heat/AC. SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL,) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: _4e A-6 Signature CONTRACTOR: Date: AS TO OWNER: Sworn to and subscribed before me this ay of 2000. PUBLIC " `°ieAFAOR �G°-- NOTARY s+n my cOMMIS810N N CC553881 EXPIRES AS TO CONTRACTOR: ? August 27,2000 DMD THRU TMY FAIN INSURANCE,INC. Sworn to and subscribed before me this �2�c')ay of , 2000. NOTARY PUBLIC e Patch Amonette {. # MY COMMISSION M CC663081 EXPIRES August 27,2000 SONDID THRU TROY FAIN INSURANCE,INC, CITY OF r�;ti°z�tia �eae� - �Q�vrida . 800 SEMINOLE ROAD - -- - --- - -- ---- -- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904) 247-5800 \ FAX(904)247-5805 SUNCOM 852-5800 June 19, 2000 TO: UNITED STATES POSTAL SERVICE JACKSONVILLE ELECTRIC AUTHORITY PROPERTY APPRAISER'S OFFICE ATLANTIC BEACH WATER DEPARTMENT PLEASE BE ADVISED THAT THE FOLLOWING ADDRESS HAS BEEN CHANGED: Old Address New Address 81 EAST COAST DRIVE 278 FIRST STREET Sincerely, Don C. Ford, C.B.O. Building Oficial - 7-L49- a'7Q4 - MAY s z000 "tY of Atlantic B ch T ng 09 1 RAC o 00 REF j o o KI TCN F o L N6, ROM - - ----, N I FAMILY R8W E T I lel 11IL(i o q I� i ENI RY EXISTI INC-t FIK-S-' FLMF v�° N o vi P p R�NZ�G BE.� 0 FOIL A 0 LI) } I MAST EPS p N > � ( � o I=CS 'r CPA Rd©1�/1 0 7. V � } i E �IS�IuG S�Cfl�1S� FIO�. c` 1 EAS-T CLAS-r I)FJUz. A ILMT IC f5CR FECGY /-nQL !EUUn - 7-09 970�, - UN'�2YJAtt [H/A ki N1 KY is ��rob s�t1 p p 0 0 o KI TCNti � o To NEQJ 5ML/pelt-/Micz1D; 1 LII 1 N RDD M r(a x - PAT)0 21 IlKIIvl.(I - IE. I2 IV AD F56P -D `i'4' I t-�.F,'—'0711 F-.1 r-, 1+NJ' RK-S-1 FMK- T — - �—r NEW CQ N ST F t SCL w. 9Sl Nub 1-5 ILaI 7VML L � Yp MAST CN CP \ EDFLO � BE 'R B�>ZCD1\/1 O o l3 I'7 i`LQ X 43 0 I5 ISI j L RErl�wE SSD ' Olt, j�'E/170 vE-569 YE 54D ____...,___._. IA611JDoV.1 ____,_ --- �---._.____.._... Mlt►JDo1N =t,�NEW SEMN#D FIOOR- NEA ADDIZ .S5 ffj_FIRST -5T. �- ML, :WI AW ltli�tiia�-''!!i: Nada '-" at Cm"n Lt7 Bask �o`eie �rtb rate Vedra Beach. FL 32082 BARED By: Book 9658 Page 2040 rwrence R. Patterson 3tterson, Bond 6 Latshsw, P.A. 010 South Third Street Doc# 20013$E,HB acksonville Beach. FL 32250 book: t, a µa e5: 2040 — 2041 Filed & Recorded RESU RN 06/21/00 11:44:22 AM 5 MIN HENRY W COOK _ O CLERK CIRCUIT COURT PHONE DUVAL COUNTY TRUST FUND f 1.50 RECORDING f 9.00 [Sty Aba"TW ties for R=0129 tssl TAX FOLIO NO. 172537-0005 PERMIT NO. NOTICE OF COMMENCEMENT Stat,:of Florida _ Coum of Duval will be made to caurty ia real prope • " 11° THE UERSIGNED he NDreby gives mdcx that impcove � information is provided in this Notice of scc�tdance with Chapter 713. Florida Statutrs. the following Commencemcm 1. DESCRIP'T'ION OF PROPERTY (Sczee address, if available) 81 East Coast Drive, Atlantic Beach, Florida 32233 LEGAL DF SCRIPtION OF PROPERTY ng to the plat thereof as recorded Lot 11, ATLANTIC BEACH TERRACE, accordiFlorida. Plat Book 15, page 34, of the Current Public Records of Duval County, 2. GENERAL-DESCRIPTION OF IMPROVEMENT SINGLE FAIIILY DWELLING c�vNa->t ttrsrRrsr n+ranesart 7 W. NAME/ADOR1tTf OM OMY1�1 Margaret S. Cornelius FEE SIJTLE 1854 SEMIINOLE ROAD Atlantic Beach, FL 32233 tDOLIV~•"a..rl L NMB/ADORM Op COKMAL-WIL 3(a). NAME/ADORM OP FES Moj UnX° Margaret S. Cornelius 1854 SEMINOLE ROAD Atlantic Beach, FL 32233 r,OATiAND• t.a+.ct i.wds�oaa tO�t�r�t•tut O 092AnAND WS .t.ti o•t• (r>A17twnA (f�tl)•FLORIDA hl SOOKq�AGE 2 `�� 6. NAME/ADDRESS OP r}MER S Ul• NAME!ADDRESS OF SURETY Peoples First Conmunity Bank 110 AlA North YL 32082 Ponte Vedra Beach, S N1• AMOUXT OF SONO encs may be 7. person(s) within the State of Florida designated by Owudcr upon whom notices or other documents rovided by Section 713.13(1)(x)(7). Florida Statutes are shown below: S, p 1. NAME/ADDRW rved7. NAME/ADDRESS R NAME/ADDR£S3 OF tE1t3ON TO 1lECElvE Cory OP[1FNOR'S NOTWE ownerdesignatesthe person Peoples First CoPmn<�eivedBan$each. FL 320 2 8. In addition to address appear . the box at the 110 AIA North whoseof the Lienor's Notice as P.A. right to receive a copy Florida Statutes. Patterson, Bond 5 Latshaw, �, 3 250 provided in Section 713.13(1)@), 3010 S-3rd St. , Jacksonville Beach, iradon of date of Notice of Commencement (the 9• plt(RATION DATE 9. Exp car from the date of recording expiration date is 1 Y specified) is shown in box at unless a different date is right. signature X of Owncr CORNELIU S G ET S. NOTARIZATION STATE OF FLORIDA l b COUNTY OF 20TH day of June, 2000 Y was acknowledged before me this The foregoing instrument ' Margaret S. Cornelius wh rson�Y known tolme or who has produced 1s pe Ep,WREPnCE R.t ATTERSO as identification. ,,,1YP CC 6170 r4otary Public �'"• ` "° (v►y Commission# 0' 19,2001 R. PATTERSON *° Expires:February t~';GRENCE lic Underwriters My Commission expire s�.��a� Bonded thri Notary Pub (Seal) D"AF= Patterson WHEN� w roon RSTURN Lawrence R. t Community Bank P.A. Peoples FirsADDRPsa.cmr.STAT13 $Ord 6 Latshaw, 110 AlA North FL 32082 Patterson, Street Ponte Vedra Beach, 3010 South Third 32250 Jacksonville Beach, FL ORPJAnXM■ T,Odrvt 1.00-530•6363 )[761a791•i1S1 ®OREATT.AND 1993 i 2 0[2 P240rre•+TIM-2 (9311)-FLORIDA ht EXISTING ENCLOSURE SHEATH AND NAIL EACH SIDE--\ LlAS SHEARWALL STRAP HEADER TO CRIPPLES Wl(1) SEMCO RTPGA836 STRAPS AT EACH END. 2-2x12 PF 7US2713-�� MTS27B' SHEARWALLS NAILED AT Foc.ON EDGES AND 12"oc. IN INTERMEDIATE SUPPORTS WITH 8d COMMON NAILS. SHEARWALLS NAILED AT 3"oc.ON EDGES AND 12"oc. IN INTERMEDIATE SUPPORTS SHEARWALL FRAMING WITH 8d COMMON NAILS. 'CONVENTIONAL FRAME ROOF AREAS - SHINGLE ROOFS Span Tables for No. 2 SYP Rafters No Ceiling Load - 20 psf LL, 10psf DL SIZE 12" o.c. 16" o.c. 24" o.c. 2X4 10'-10" 9'-10" 81-3" 2x6 16'-5" 14'-2" 11'-7" 2x8 21'-2" 18'-3" 15'-0" 2x10 25'-2" 21'-10" 17'-10" Span Tables for No. 2 SYP Rafters - No Ceiling Joist- with Drywall Ceiling - 20 psf LL, 15 psf DL SIZE 12" o.c. 16" o.c. 24" o.c. 2x8 20'-5" 18'-0" 14'-8" 2x10 22'-3" 19'-3" 15'-9" 2x12 26'-0" 22'-7" 18'-5" Span Tables for No. 2 SYP Ceiling Joist 20 psf LL, 10 psf DL SIZE 12" o.c. 16" o.c. 24" o.c. 2x4 9'-10" 8'-11" 7'-8" 2x6 15'-6" 13'-6" 11'-0" 2x8 20'-1" 17'-5" 14'-2" 2x10 24'-0" 20'-9" 17'-0" 2xl 2-1 26'-0" 24'-4" 19'-10" Span Tables for No. 2 SYP Floor Joist 40 psf LL, 10 psf DL SIZE 12" o.c. 16" o.c. 724" o.c.2x6 10'-9" 9'-9"2x8 14'-2" 12'-10"2x10 18'-0" 16'-1"2x12 21'-9" 18'-10" Roof Framing Notes: 1. Clip rafters to each bearing point with Semco HCPLL clips up to 10' span. For greater than 10' span use Simpson LTS12. 2. All ridges and valleys shall be one (1) nominal size larger than adjoining rafters. 3. Nail rafters to ceiling joists with 4 - 16d common nails. 4. Nail rafters to plates with 3 -16d common nails. 5. All rafters and ceiling joist shall be No. 2 or Bt. SYP. ��/ (o�/Z U Jeffrey . Hulsberg, P. E. 3015 Hartley Rd., Suite 10, Jax., FL 32257 (904) 886-2401 FSIMPSON MTS12 2x—RAFTER SEE PLAN FOR SIZE AND SPACING \ 7116"OSB SHEATHING NAILED AS PER NAILING SCHEDULE x 4 STUD ALIGN w/ RAFTER ROOF SHINGLES OVER 15#FELT SIMPSON MTS12 CLIP STRAP STUD TO DOUBLE AT EACH RAFTER PLATE w/ SIMPSON MTS12 NAIL RAFTER TO CEILING �r JOIST w/ 4 - 12D com. (MIN) HURRICANE ANCHOR AT EACH TRUSS (SEE SCHEDULE) CLIP STUDS TO DBL. PLATE w/ SEMCO TPP4 p 3 o.c. (2)2x_SYP DOUBLE TOP PLATE w/ 2 x _ STUDS 0 16" o.C. SEMCO TPP416 AT 32"OC. CORNICE DETAIL AS � BEARING WALL PER BUILDER'S SPECS 2x SPF#2 STUDS AT 16"OC. (SEE STUD TABLE FOR SIZES AND SPACING AT VARIOUS HEIGHTS) 7/16"OSB SHEATHING NAILED AS NOTED 2x PT SILL w/SEMCO TPP4/6 AT 32"OC. 4"CONC.SLAB 2500psi w/ FIBERMESH OR 6x6-10110 WWM 112"x 10"A.B.AT 32"OC. w/2"x 2"x 118"WASHER 8"CMU STEMWALL wl 1#4 VERTICAL AT 48"OC.AND ALL CORNERS,w/ 2-STORY FOOTING — 12"HOOK AT SLAB AND 6"HOOK - AT FOOTING. °•' �� 20"x 10"CONC. 20"x 10"CONC. FOOTING w/3#5's CONT. -8 I FOOTING w/2#5's CONT. FJEFFREY TIONAL FRAMED WALL �V- 1 K. HULSBERG, P.E. / HARTLEY ROAD, Ste.10 (BOX 25) Z�il/GJACKSONVILLE, FL 32257 SCALE: NTS v4) 886-2401 FAX (904) 260-4387 DJM II