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365 1st St. (vault) (2) CITY OF ATLANTIC BEACH 6 r1��F Y ROOFING PERMIT APPLICATION C 'ity ty Of of Atl- r ,, Ch a nr+ JOB LOCATION: OWNER OF PROPERTY: yoro/& /l e �ex TELEPHONE:: Z 77 CONTRACTOR: I g'?'� �DO S�s +•�s jie CONTRACTOR'S ADDRESS: R/ev 44, �.�C,kev it/ v tI L le f�-y ZIP: STATE LICENSE NUMBER: CC - r - a S �.Io3 �J TELEPHONE. DESCRIBE WORK TO BE PERFORMED: /[ e 1L nerf VALUATION OF PROPOSED CONSTRUCTION D MATERIALS TO BE USED: ZS _ Ye ,y tA, 3 ej x/ /t/ x SIGNATURE OF OWNER: Li SIGNATURE OF CONTRACTOR: SWORN TO AND SUBSCRIBED BEFORE ME THIS .� DAY OF 19r—a0 ©�C LINDA P KILIS Notary Public, State of Florida AS TO OWNER: 2 ' M y Gomm. emp. A g. 30, P003 NOTARY PUBLIC Comm No, OC849677 SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF AS TO CONT A C NOTARY PUBLIC LINDA P KILIS Liability Insurance Supplied Notary Public, State of Florida , Workers Compensation Insurance Supplied My comm. exp. Aug. 30 Comm. No. CC84g87j Contractor License Information Supplied Occupational License Information Supplied DEPARTMENT OF BUILDING C� CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. v PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB . (I 12 A 6/A A � t Date February 26 19 HR 6/8 Valuation $ Fee $ nn fAe This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. I This is to certify that _ Dorothy Kerber has permission to ]{>Xt rPmnIlp d oa k trapq dire to nuprrroWding and dicPa _cP Classification Residd Zone Owned by Dorothy KPrher Lot Block S/D House No. 365 First S rPPt According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE L —� 0 O Building material, rubbish and debris i from this work must not be placed in public space, and must be cleared up ano hauled away by either con - trac r r owned, 1 --ing Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER .�R 1 CITY OF 716 OCEAN BOULEVARD -- P. O. BOX 26 ATLANTIC BEACH, FLORIDA 32233 TELEPHONE (904) 249 -2396 APPLICATION FOR TREE REMOVAL PERMIT DAT Applicant /f NAME ADDRESS S s Owner NAME ADDRESS Location of tree if different from owner's address: Reason for Removal: / e See ar Rear Lot Line indicate •� ° `�K � E S •� pos s ition of '� 14 CITY OFA T�LA�NT C tree on �' 4J BUILDING OFFICE lot o ,4 a FEB 2 6 1? 0 3 2 Front Lot Line Building Official -- T c) 1.* �:77►ti �>c iY1'1 G,Lq 1� . i��C.e l �V�. a b v` av,OQ- I n ,(�� -CQ 1, cwt. .(`_.c�►�•�2.��t_ �-cQ �t�, -��, ��� -c.p.� c��.�� -r� o� J� /U--14n cvve- Q . �( d-w JuLL-e ii W. s,lI TELEPHONE: 1 . OFFICE: (804) 781.1434 LARRY FIGART DUVAL URBAN FORESTER STATE OF FLORIDA DEPT. OF AGRICULTURE DIVISION OF F AND CONSUMER SERVICES JACKSONVILLE D IS DOYLE CONNER. Comm. 871 1 WEST BEAVER ST. JAC KSONVILLE. FL 32 PSR -3844 1 1 0 7 0 DEPARTMENT OF BUILDING 1111 LLt "`JJJ I CITY OF ATLANTIC BEACH - - -- PERMIT INFORMATION - - -- -- --- - --- -- LOCATION INFORMATION - - - - -- Perm't Number: 11970 Address: 365 FIRST STREET Permit Type:TREE REMOVAL ATLANTIC BEACH, FLORIDA 3223' C'las of Work :N /A --- - - -- -- LEGAL DESCRIPTION - - - - -- Con tr. Type:WOOD FRAME Block: Lot: Twp: Pro i wellings: used Use: Section: 0 Subd *0 Rng: 1 Subdivision:ATLANTIC BEACH Eft. Value: 0.00 'mpt#ov. Cost: 0.00 Tgtal Fe 604,!, 25.00 Am un" 25.00 - - -- -_ -TION - - - - -- APPLICATION FEES ---- - - - - -- Nam 1� 1i nL P ERMIT 25.00 ??1ri rR EET C FLORIDA � F'lio ( 4 A me �h C R R FORMATION Name � pR 'PERT NER ` Acid L1 t `I Abe Exr, Tvf 1 , ;. 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" $2'5.80 14 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANDDaIE3J&Q - I/V6)HEVO % VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS 1796 Bull agge-1ppi Bill ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION' nd _L3�0% All must be received by 5 P.M. on the MONDAY prior to the scheduled meeting in order to be placed on the agenda for consideration INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED APPLICANT NAME ADDRESS TELEPHONE 2. � ADDRESS OR LEGAL DESCRIPTION OF PROPOSED TREE REMOVAL 3. DESCRIBE PURPOSE OF TREE REMOVAL: 4. SPECIFY TREES PROPOSED FOR REMOVAL AS FOLLOWS: NUMBER SPECIES DIAMETER (DBH) CONDITION s 5. TOTAL NUMBER OF TREES TO BE REMOVED: 6. TOTAL NUMBER OF INCHES OF TREES TO BE REMOVED: 7. SPECIFY PROPOSED REPLACEMENT TREES AS FOLLOWS: NUMBER SPECIES DIAMETER (DBH) 8. ATTACH SITE PLAN INDICATING THE FOLLOWING: a) Site topography, including proposed grade changes b) Existing and proposed buildings and other improvements with dimensions and required setbacks c) Tree protection zones as applicable d) Location, DBH and species of all trees with a DBH of six inches or greater e) Location, DBH and species of all trees with DBH of less than six inches proposed to be used for mitigation f) Specify trees of unique or special character g) Each tree proposed for removal clearly marked with a "X" h) All existing and new trees proposed to be used for mitigation clearly marked with brackets "[ ]" 1) Location of utilities, easements and material storage areas 9. ALL TREES PROPOSED FOR REMOVAL MUST BE CLEARLY MARKED ON SITE BY RED SURVEYORS RIBBON. 10. ALL EXISTING TREES PROPOSED TO BE USED FOR MITIGATION MUST BE CLEARLY MARKED ON SITE BY BLUE SURVEYORS RIBBON. 11. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CITY OF ATLANTIC BEACH: APPLICANTS SIGNATURE DATE OWNERS,. GNATURE DATE A R 0 P P 10 1 OFFICE APPROVED: & ZON�NO P�p,NOS�N� 2 3199 � TREE CONSERVATION BQ MAN DATE " i i i h I i � i ` /CHIT Y _.O /F 74 !3 PAL — "f Office of Building Official REQUEST FOR INSPECTION y^ ' 973 6 Date__ � ` � Permit No. __._ .— Time Received Job Address Locality Owner's Name k e r e Contractor �A - O�' 4- BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing Ci Rough Wiring C Rough ❑ Air Cond. & ❑ Re Roofing Slab ❑ Temp Pole I , Top Out ❑ Heating Insulation E Lintel ❑ Final E Sewer E, Fire Place Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday. P.M. �1 A.M. nspectior, Made __ "`__ _ - P.M. — nal Inspecti 1 Certificate of O cC upancy Date _ -- —_ 1 DATE • PRE - SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: 5 q q / 0 Tti -- S reel' . ---------------------------------- ( _ t ``-- -- �- -- -- ����T -- - - -- ------------------------------------------------- - - - - -- ------------------------------------------------- - - - - -- ------------------------------------------------- Enclosed are the blue copies of the permits. SII�I�ERELY,) f BUILDING INSPECTION DIVISION cc: F ILE CITY OF ATLANTIC BEACH, FLORIDA APPrOVO 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 HERE ARE A PART HEREOF, AND IN ACCORDANCE WITH THE I ELECTRICAL A R REGULATIONS, CODES AND CITY WHICH ARE OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTE ELEC // ICIAN SI J TURE NAME ADDRESS: / RFD BOX BLDG. SIZE BETWEEN: RES. ( 'f f APT.( 1 comm.( 1 PUBLIC ( 1 INDUS. ( 1 NEW( ! OLD (,-T' REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP.( 1 SIGNS ( ) SQ. FT. F SERVICE: NEW( 1 INCREASE( 1 REPAIR ( CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE / `' AMPS PH -� W . 'w' VOLT t� RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT 0.1 OVER MOTORS H.P. IVOLTAGE PHS NO. 1 H.P. VOLTAGE PHS M ISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. l KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES 26054 F Q UALITY i i . 4sk (eoa)'A'a A% ' Al� C) r O O > 0 O m O O W m m 71 m r m O cn C) z 11 O m O 4 z 0 0 O y f1 ° M 7C z UI m �t z Ca w r co n °�a M m 0 �1 �1 X -q m a n 0 H H O> C < NU -i N mzD C w �v� W 0 m m H m >-1 M Z 'O -jn ro m = mM M z z a v m �n m v c- v cn v r 0 —a m _ y y - o rrlb m # a� v z O m z ° �D > 1 � V a r~ C > to v z oo y LD H d H H p rHr n ' - 3 HH tyi O z a ° C F H r v H z Gl 001890 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH COCATIOU THFORMATTON llex*mit Humber- 1890 365 FIRST STREET Permit Type: BUILDING ATLANTIC BEACH, FLORIDA -122 Class of Work: ADDITION LEGAL DESCHIPTXON Cans r. Types WOOD FRAME 1,ot: Block -. 3 Section: Proposed Use: UTILITY BUILDING Towrtship; RNGI 0 Owe'll ngs C d E 0 ode: 0 �"wtt. ATLANTIC BACH Estim t•d V al ue z $5180.00 Im ro"". ccyat2 $0.00 otal Fees; ,, $33.00 A ours .04 4 t 433.00 UTI! �'Y BUTI-DING P 11 THFORMATION - APPLICATION FF-Efl' tzERBER PERMIT .T STREET WATER IMPACT FEE 90. ATL.Afill '�rACH, FLORII.j,• SEWER' IMPACT, FEE $0. O (4.04)249 ." WATERt METER RADON GAS H. R. IS,. so. 00 CONTRACTOR INFORMATION RADO" GAS - 5% 4 $0.00 PFAIPERTY OWNER WATER TAP $0.00 SEWER TAP $0100 HYDRAULIC SHARE 7 " - 40. od T RE - THSPECT FEE IV. f 1n OTHEf 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. 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: OWNER BUILDER PERMIT AFFIDAVIT State of Florida City of Atlantic Beach BEFORE ME, the undersigned authority, personally appeared who upon first being duly sworn, deposes and says: and the legal owner L) e following 4 L f �lizl il Subdivision --------- Block J3 ........ Lots ------ 7 AKA --------------- ------ - ------------ - I am applying for a building permit pursuant to the Owner Builder exemption set forth in Florida Statute, Section 489.103. Florida law requires that I have been provided with the following DISCLOSURE STATEMENT: DISCLOSURE STATEME14T 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 more than one 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 a violation of this exemption. Your construction must be done according to 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.. 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. Further, affiant sayeth not. L -let ---------- Proper Owner Sworn to and subscribed before me - this day of - 11, ' U NOTARY PUBLIC "y Commission Expires: Notary 'PL'blic, State of Florida My Commission Expires Feb. 21, 1993 U t- PROPERTY DESCRIPTION /Z(afrriC Z eaelt - v(107tdCL 716 OCEAN BOULEVARD Lot 02_0_ _L___Block N_3__ — _ -- Section * -------- 1'.0. BOX 25 Easterly 28 Lot 22 ATLANTIC BEACH, FLORIDA 32233 Subdivision: Atlantic Beach TELEPHONE (904) 249 -2395 --------------------------------- Street flame DESCRIPTION OF WORK or Address:___ _______________________________ If in a FLOOD HAZARD Flood Zones -------------- Brea complete page 3. Brief Description: Storage_Shed Class of Work: (New /Remodel /Addition) ZONING INFORMATION Type of Construction: ��� _eyt A F_ Zoning Proposed - - - - -- Districts J Use:___ __ Estimated Value 9 Exceptions or Materialss -------------------------- Vwrinncan drorstnds ------------------------- Solid or ----------------------------------- -------- Filled Grounds Roofs OWNER INFORMATION SH1A) L.r= Method of 11rating s Property owners Franklin A. & Dorothy G. Kerber Ptsonet 24 2771 --- - - - -- ------------� = -- - - Moiling -------- - - - - -- - , Add r'ess_ _ 355_F.ixs1-5.ts.QEZ------------------------------- A lantic Beac Florida —_ Zips 32233 - - -- ---------h -- '------------------------ - - - - -- Zi -- - - - - -- CONTRACTOR INFORMATION Contractors _____ . . a. �_ ab _Qyp.......................... Phones __ Same - - - - -- Mailing n n n Address: ------------------------------------------=----- ----------------------------------------- ------ Zi ---- - - - - -- Expiration License Number: ------------------- ------ ---- - - - - -- ----- -- -- Detet I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND K11OW THE SAME TO Inc TRUE AND CORRECT. ALL PROVISIONS OF THE LAMS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER, SPECIFIED IIEREIII OR NOT. THE GRA14TINO OF A PERMIT DOES NOT PRESUME. TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, I rT �. RF.OULATIONS, ORDINANCES, OR LAWS IH ANY MANNER, INCLUDING THE GOVERNI!!O OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS Nt,,�f.iJ,7� COIITIt10E11T UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING I •� J; , DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. N Owner Signaturse 1/8/90 — — ----------- Date ------ - - - - -- Contractor Signature— __. — ----------- - - - - -- Date------ - - - - -- FLOODPLAIN DEVELOPMENT INFORMATION Type of Development:-------------------------------------------- Flood Zone: -------------- ---- -- Required Lowest Floor Elevation: --------- - - - - -- If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for. that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COHHENTS: Applicant Acknowledgements I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25 -7 -11 and all other laws or ordinances affecting the proposed development. Date------ - - - - -- -- Applicant's Signature -------------------------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation --------------- -- Survey Filed with Building Department ----- - - - - -- ------------ ---------- 2 ------------ Building Department Representative page 3 i Addre s(�� Heated Square Footage _ @ $ _ p er sq ft = $ n Garage,�Shed @ $ �8. �/ p er sq ft = — Carpor /Porch @ $ p er sq ft = $ Deck _ @$ p er sgft =$ Patio @ $ p er sq ft = $ I TOTAL VALUATION: $ j / go. To al Valuation is $ A . $ T y °Y $ ,C;� Rena n r Valuation 5. cuper thousand or portion thereof --------------- ---------------------------- Total Building Fee $ - o?o"? o ADDITIO AL PERMI and /or FE REQUIRED -- + 2 Filing Fee $ Meechan_i al Fireplaces @ 15.00 $ _ Plumbin ; BUILDING!PERMIT FEE Electri /New ------------------------------------------------- Electri /Temp Septic anll� BUILDING PERMIT $ °' Well WATER METER CHARGE $_ Swinudn Pool SEWER IMPACT FEE $ Sign WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter — $ Elevation Certificate - - -- GRAND TOTAL DUE $ - - - - - -- -------------------------------------------------------------------------------------- CALCULA IONS and /or NOTES i PLANS REVIEW CHECK LIST -- --------------- Address a t L !� s Legal Description_ -Z- Contractor- -------------------- -- License Humber ------------------ - - - - -- - ............... License on File YES NO Section Zoning Proposed UseJ��- V� -��� Required Lot Actual Lot Size -_____ - Setbacks Required Provided Section 24-17 front ---- - ------ CORNER LOT INTERIOR LOT rear --- --- Flood-Zone ---------------- side-1 --E Required Elevation_-___ side-2 -------- -------- Max. Height Allowed__-/- Proposed Height___zo_- Section Minimum Lot Coverage Required Heated Area ---- Proposed Area_��t ------- 771-V V-0 Reza Section 24-161 * Offstreet Parking Number Spaces Required Spaces Provided___-,--- Section 24Z92 ± QMPjj9%t9 991141099 Is there a similar building within 500' of proposed building?YES NO Utilities Water and sewer service is to be provided by: Buccaneer Utilities City of Atlantic Beach Utilities Private Source SEPTIC TANK WELL Plan Reviewed by: ------------------------------ Date ----- ---------- Building Permit #________ -_ ISSUED 'DENIED { I � l � _ , _ X r _ !I }. _ � 1 I L � 1 I ' � 1 i.00 10 # #. .........� / L f ... _ 1 +i j pUGE /,', oAlR NN Mds; /�I�� ory17" p) 42 Oh : } � ! FRA/ }1 D' w /T H t!! Kook' S#)NGLE i f _ — - gU l'LdINC' - — { 1. ... AN J _ , 72 92 1 ng ;and Zo ing .. I �f IT 1 t �._ rf'PM 1 f.1�In A'o Rl_O WIDE ��"TI.�M) PRE 95.;CHIC RGn I I 1 MAP SHOWING [ SURVEY O T /lam i yc .J/ ev ` 4 - L0T.. ....................... Recorded in Plat Book....... page.. of Current Public Records of Duval Co., Fla. For .......... 1.17 ........................ z I �J v I 1 HEREBY CERTIFY that the above survey was made by me and there .......... ./7Q........... - encroachments. Dafed:...4c.-_. .1956. C. H. Baker Jr., Reg S rve r, Cert. 16 0 ....Indicates iron corner found, Reg. Engineer, Cert. 3266 Florida. set, and or verified. �j AN Building and Zoning , 4'11;t 14,`V Z)or,, G' 11'�r CITY OF AT71,RUC DFACli :+ .00UL VIOLATION IORP'I D ate Address and /or Location of Violation OOMPLAI r fx-� Owner of Property ro S I( VATURE OF 0014PLAINAN Phonell ADDIES S' Date of Investigation Investigator Conditions Found Action Taken — 4� , 4 Compliance NqI' - } CITY OF ATLANTIC BEACH .00DE VIOLATION FORM Date '• ' Address and /or Location of Violation 3(,5 Owner an or Tenant of Property . SIGNATURE OF OOMPLAINAN Phone# ADDRES -------------------------------------------------------------------------------- Date of Investigation Investigator Conditions Found Action Taken Copliance NC(TES : PSR-3844 6261, DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION -------- LOCATION INFORMATION ------ Per4t Number: 6263 Address: 365 FIRST STREET Pei-mit Type: PLUMBING ATLANTIC BEACH, FLORIDA 322j-i Clas of Work: REPAIR LEGAL DESCRIPTION ------- Con tr. Type: WOOD FRAME ot: Block-. Section: Pro used Use: SINGLE FAMILY Township: RNG: 0 Dwel ings: I Code: 0 iubdivision: ATLANTIC BEACH Esti ated Value: $0.00 I prow. Cost: $0.00 Total Fees: $18.50 Imount Pai , $18.50 t.iWNER INFORMATION APPLICATION FEES ---- . ... .. 0�.,iR(ITHY KERPER PERMIT $18.50 1 f­­:T STREET WATER IMPACT FEE $0.00 ATLAPIf 11C BEACH,, FLORIDA SEWER IMPACT FEE $0.00 Ph , 0� 04 ,_ 1 31 WA T RADO -it. R. S. $0. of ---- -- CONTRACTOR .114FORMATIUN RADON GAS - 5% $0.00 N me: STYLES SMITH PLUMBING WATER TAP $0.00 Addr ss: 524 PATRICIA LANE SEWER TAP $0.00 JACK80NVILLE BEACH, FL. J HYDRAULIC SHARE $0.00 Lime -Lae: CFCO21547 Type: 4 RE-INSPECT FEE $0.00 SEG.H IMPACT FEE $0.00 $0-00 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 CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER TIME' I TOTAL NUEREn $18.50 "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAW- Weautr 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. ATLANTIC BEACH BUILDIN(t,DEPARTMENT By CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: I - / __________ ______ =------------------------------- OWNER OF PROPERTY: -------------------------- BUILDING CbNTRACTOR:__ PLUMBING CONTRACTOR AND ADDRESS.- -=•---------------------------- TELEPHONE NUMBER: ---- ----------------------------------------- STATE LICENSE NO: TYPE OF BUILDING: ----- , - - - - -- - SINKS ____ ______ __ _SHOWERS _LAVATORY ._____________WATER HEATERS _BATH TUBS __ ___________DISHWASHERS - _ - - ___ - __URINALS ___- _DISPOSALS - __ __ - ____ - CLOSETS ____WASHING MACHINE - _______ ___FLOOR DRAINS _ __ ___ __ _____SHOWER PANS OTHER TOTAL FIXTURE COUNT: --- x 83. 50 t $15. 00 ---------------------------------------------------------------- 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 - t904) 247-5826 PSR-3844 6473 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PE1011T INFORMAiTION LOCATION INFORMATION ------- Per it Numb* r 4 140 SFC�, STREET Pei t Type; RE --Ri OF ATLANTI BEA FLORILIA '1 2 'lase of Work* NEW LEGAL DESCRIPTION Cowtr, Type: WOOD FRAME I,x t E 1 o c h. se-tion7 PLo'posed Use SINOLE FAM114 T k.) w ns, hi r �iwe I I i rigs I Code: bd i. v; -'- i , -)n: ATLANT!" BEACH Estimated V a I ur- f', Improv. co!�t; Total -Fees �-2 2 . ------- OWNL INFORMATION APPLT FEES FEJ�MJT W A Tv, 1MFP.z 'T id W , F' PE 74 W1 A, 2 RAD-N `6EA7 0 F 1 N W ATE R T A F A-dd ne.-!TS -",,1I 0,(`jS1 "LANZ #110 SEWS R TAP Ors ATLAi% BEACH. FL 32, HYDRAULIC 13 H A R E - � 0 0 Type RE-INSFE"T FEE S E H TMPA�-T FEE MMR Z� w - n 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. VALIDATION DATE: 03/05/93 11ME: 99:119 AM ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJJ REVOCATI V"':%R VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHANGE C68 RSG61P; NbMER, 08t241 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF' ATLAN`I'iC BEACH PERMIT APPLICA`1 TON ROOFING Owner(s): Address: _ � - 2 ric Phone: Lot # Block or Unit # Subdivision Contractor: Address: `��1 � p - [�St� \ L r\ Vz�o4 Phone: 2 - 4 r i State License No e )5 - 7- Describe work to be done:, Materials to be used: - - -- Signature OWNER: Date: 46 Signature CONTRACTOR: FOR OFFICE USE ONLY ---- - 195 . 7 �/�0p Permit #0--11 -0- - -- -Fee $----- f TOWN OF ATLANTIC BEACH Valuation - - - - - -- FLORIDA House # ---- ----------- APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner - Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the Town of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub - contractors be submitted to this office so that licenses can be verified. may, _ Date--------- - - - - -- 2P --- ....... 9.. _ Owner ............ AddresslO = ephone Architect - - - - -- ----------- - - - - -- --------- - - - - -- _---- •--------------- - - - - -- Address ............ --- - - - - -- -- -------------------------- Telephone No.-- - - - - -- --------------- - - -- Contractor Buil n._,Address-- - - - --- -- °'!`ems one No ---------- - Lot N _ - -- - --- . - - - -- -Block Nor r-- ---------- --- - - - --- -Sub Division--- - - - - -- ------ -•- •-- -- ------ --- -- -- - -- - - - ..Zone.-- -- -- -- - - - ---- -------- - -• - -- - ��' --- - - - - -- Street - -- ----------------------- ------------- - - - - -- -Side Between. -- C _ __ and .- !Sts. Q7 �i Valuation $_____ __________ ___ __ C_ -_ a will building be used...__ --- . --- ______._._Type of cons ction__._fl.KQi+ 'r . / Dimensions of Building For what purpose of Lot---------- ,,7___ y_ ___� o._ �._. -:Size of Footings.....'�0 -_ --- ! v( Size of Piers-------- - - - - -- --- --- - -- - _--- - -- Size of Sills - -- -- --- - - ---- --- _-- - -- -----Greatest Sill Span in ft.----- - - - - -- --- -Type Roof :---------/ How will Building 4Heed __._._.__ '"Will Building be on Solid or Filled Ground ?__ - -- - - - - -- o-c -� t -- -- --- -- - -- -- ------- Size of Ceiling Joi __.__._- •- _----- -• - --, Distance on Centers--- - -- -•- /- - - - - -- ------------ . -__, Greatest Span-------.-.------- _------- ...._._-- ._.- - - - - -_ " Size of Floor Joists______________ _________- Distance on Centers_....._... - __. -_ -._. - _._._, Greatest Span_.______ ___- __- .-- _______..___.____.___ Size of Rafters --- -- - - •--- ------ ------ -- - -- - -, Distance on Centers ....... - -- ------------------- - - -- ., Greatest Span-- ---------------------------------- •+� This rectangle is to represent the lot. ' W Locate the building or buildings in the right position. Give distance in feet from C` ! ^4& 2— '2„ all lot -lines and existing buildings. REAR LOT L Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and /or lintel. 3. When steel is in place and ready to pour beam. a a 4. When framing is completed. a 5. When rough plumbing is completed, and ready to cover up. W W 6. When septic tank drain field is laid but before it is covered. A A 7. Electrical inspection by !City of Jacksonville. 8. Final inspection. Note: In case of any rejection, re- inspection MUST be called for after corrections are made. y � FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the Town of tlantle B Signature of Builder -•- -- - -..., Address.tQ 3 ��-l� Signatureof Owner - -- - --- ---- - - - - -- --------- - - - ---- - - - - - -- - - --- -- Address - -- ------- --- --------- --- ----- - - - - -- -----------•----------------- --------- ----------- --- - -- - -- r I P_. TIlstructions to Builders and Contractors building or working in the Town of Atlantic Beach 1. No work on any building shall be started without obtaining the necessary perr^it. 2. No changes in the approved plan shall be trade without the approval of the building inspector. 3. Inspections: The following inspections shall be called for: A. Foundation, when steel s in place. B. Plumbing, rough. C. Lintle, when steel is in place. D. Framing, before any wall covering is placed. E. Electrical, City of Jacksonville. F. Septic tank or sewer, before covering. G. Plumbing, final,; F. Final, when all work.is complete. Any concrete poured or work covered without the necessary inspection shall be removed or uncovered at the request of the Building Inspector. 4. After the final inspection and aeon submission of a drawing showing the size and location of corpleted building on lot to the Building Inspector a Certificate of Cccupar?cy shall be issued. No building shall be occunied before said certificate is issued. 5. Plumbing per-it does not cover sewer connetion permit. 6. All 8ontractors and sub - contractors shall have occupational license issued by Town of Atlantic Beach before doing any work within the Town Limits. Contractors shall furnish certificate of liability insurance when obtaining license. 7. The penalty for violation of any provision of the Building Code of of Crdinance X186 shall upon conviction thereof be punished by fine not exceeding x500.00 or imprisor_rrent for not exceeding 90 days, or by both such fine and imprisonment. 8. Copies of The Southern Standard Building Code ar.d Crdinance :';186 are available at the Town Tall for reference. 9� When a sidewalk exists across front of building lot, said sidewalk shall be placed in first class condition before final inspection is requested. I have read and been furnished a copy of the above instructions in connection with Building Permit No.O e�� / Dat Signed