Loading...
368-370-1st St. (vault) 1i►s.Fi1 OA 4 �YI BUUNDARY r WRVEY OF ,'NE W6S7 /Z OF LU 19, 7 - ,? U1 17-11 GoT [ / 8e-pcK Z A 7 .4 AJT /C BEAC-A/ AS X,- CO&Pe J /,c! PLAT Book S pAcCE G 9 0,' 7',W E' CURREA/T " POSue QEGORDS OF Duv.4e CO41A17 , XZOA"IV Q CER) lF /E D FOR: KEN.VE TN J , 8C/,S� ,G/ A,Q Q',a ,e E T e. N.4 YE S AIO W 6 - S T "OX 77 GO,e 1_ co. 1 fe, EE SM /;W, J° A. S 40' R/u1 STA'EE T 7:5. 0 0' 13 earAje f. T 17 YP /!.4 ( — �. 0.7' t0A)c'. 0 `� dlo[K WrICC • e o V / /.o• 314' k�0 ouE Sro,ey Nj co�tlC. H .VO. 34 8 Ale 13 S' o '• 0 O PUMPNOUSE O O } I M LO Z3 4 ewdIA/ RART OF [ iNK LoT /y N � 0 O , v v 4' /FOOD 7 5.00' Lor ZZ L� ERECEIVED FEB 2 1 1991 N01 VAUD UNLESS EMBOSSED wl>}I SEAL OF THE UNOERSIGNEO, B @ach jilleiing d Zonin I HEREBY CERTIFY ITlAr THE Do T -SHOWN HEREON IS IN 7744 SPECIAL FLOOD NAZARO ZONE___ X AS .S110KV ON FLOOD INSURANCE RATE "AP • -0001 FOR q r[AA/ r /l, s6 - ,gr_ ,cl, n ORIOA, DA , __. �0 � 7 - _..__.,._ fj TRI- -STATE LAND SURVEYORS INC. 8411 BA YMEADOWS WAY SUI TF p, JA FLORIDA 32256 (904) 731 - 7735 awrr Nrw I HFRf71Y CFRIIFY MAT 11 /f" A110VT I ANV.S 147 M Rf l.UR14,'1? l! f/NI)fle Y /l1 'PIM 114111 AUl'1.Iftf d(W AN11 L) / /f1 f; IIUN, MA 1 MI/el Ahl: NO LNCIMAf:IlAIf.NIS 1XcLpI A,5 •57/I0W1V AN() IIIA, II/f. 5U /rVt Y $IlOWN Ia r rnr ra~ `° a •.1 HERf.ON Mf E 15 Mr MINIMUM UXIINICAI. S MNOAHOU 1 W 1 f Mill 411' Y ,I Wow ow l.w I014wn1 Il 1p / l 0fell bi 110AM? 01 I ANII y'f /IN �'F 1 r 1/i',q r11K g l IAN I fl) ,ot f; ll f)N 4 1,000/, tLf)h'IIIA .glAlillt�a EMI InHN IU) Iql 00141flW11 Ip11111gm1w Iwo R/1 M: F-Or W ,� t,AC�'r►; c• 11vY, !'(.,5 Na 414-4 • rov r"WOU ARIA iCAI f•' I.INIIMw1 AN f'fW00"t me P.111 IA! N41+u M111MMr♦ l!A It k / �L . F r r ) l p! /R I K 1f1H, 1V r.)F t ORIN J fcwlwin (., FLA. LAWS ►s 7I 3. a. 13 p IN ION" 4" -Naft-re Of (9jaMMrnrr=nt SMIS ►ASS IM DU►LICAYS► To fahm it tmttem The undersigned hereby informs all concerned that improvements 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. / Description of property ... CK .. ...°?./. .,. ,. ., ✓. l.. C .... ;.. , ..... ..........>....... ,r. ..... .. z.?. 1.9. !...... ......... «�C.:.1.. » 9 .... ............. «. s ...1��.. .....» »�... ..... General desui..... ....... » ................. «........................ ��rt�, c��.............................» ...... »....«.»......_...»»» . »......«. «.. ». » »............._ pti on of improvements... ....... ......... .......��............ ... a :......................»..........................................« ........ «... « « «................ . .. .. ......... . .. .... . ..... . .... .. . ... . .. . . .. . . . . . . . ... . . .. . . .. . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . ... . .. . . . . . . . . .. . . .. ....... . ... . . . . . . . ... . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . .. ._ . , ,. . . ......... « . . . . . .. . . . . . . . .. .. . . Add ress........... (11...1.......... .. . r »..,. 3 «.... 3.3...... Owner's interest in site of the improvement ••...... ::....:.... ...... ...... Fee Simple Title kidder (if other than owner) Name ........ . .............. t .. Address ..... ............................................................................................................................»...............................».........»...»«... .......... « . »« ................ » C o nt ractor ...... ...........................................................................................................................................................»......«...... » . » ............ » ... » ........... r Address ....... .........................................................................»........................................................«.............. ........ « ...... »» .. » .........._ Surety(if any) .. » ................ » ....... . ....................................................................... » «. ».» ... » » ».»»«................ » .«. Address ............................... »................A of bond = .............................. Name of person within the State of Florida designated by owner upon whom notion or other doaurner,ts Roy be served: Name............... 1 ... 1 ...................»...........»......».........»................................................... . «..... «......... « ............. » ....... » »». .... ......... 1 «. Adds ..............................................................«............................................. ............................... In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided l in 1 Sec t io n 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name..... .!�4�J» ,.1......... ... ».C»...« .......»« ..........................................»...... ..............................» ».... w.» .. » «......«.................... A66re3i .............................. _.._ ......... ...... . . ....... ..._.«............ ......«.« ........ ........... ...»..»..... THIS /TAGS FOR NSCONDSN•e u /S ONLY Ownw Sworn to and subscribed before me O is -1.3 ............. daYol •..... r � ...... .............................�• •. Notary..» . ...... ».. »........_...„....... Notary P State of Florida bSy cam;niss.on Expir.s Ut. 19, 1992 CITY OF ATLANTIC BEACH • PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner (s) : I� / o Address: F- � RS7 - 57` Phone: g 9. Lot #0A or Unit # Subdivision: Contractor: r>L /I/NF %T7 V - 145d T Lt1J✓,F l� State License # / ,,// Address: `I�STS'► A7 - x �;E Phone No: %' � o?4 3 ©y 9 Describe work to be done.: /6 X �lp `�' o �= X,�'sr.�.�✓G -r ffoc�.�� P�1r � C'�aref?�7� �'.t ©�k' � /�,r� Present use of building: Valuation of Proposed Construction: L9 Proposed use: .z'r�2 r �1,C Q(,�/�Jf /��• S�i�L Is this an addition? v S If yes, what are the dimensions of the added space: ft. X _ ft. Will t e added area be heated and cooled? N w electrical (or incrt� %19 8t 6 c260,*gP. XJV 41VIX4 (16 Ix l6 New plumbing fixtures ?16�0 New fireplace ) WNew Heat /AC? jMt � tlGT' SUBMIT TM2EE (COb RCZAL) (RESIDENTIAL) C0WZXTE SETS or PLAIDS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE 1r o)vdg, moTIGz or coNmmmorT AIM OWNER /CONTRACTOR I IT, IF 0vNER 'TS C NTRACTOR. ZL44 q Signature OWNER: A4 P Date: d Signature CONTRACTOR: Date R , License Supplied: � �r'�ff C1SA PT &A�N� PEACE RECEIV �® p �pNP�1N� Liability Insurance: A1,4 r p "� Worker's Compensation Insurance: 411 u� FEB C 1 1997 City of Atlantic Beach Building and Zoning CITY OF Excel - � 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5445 TELEPHONE (904) 247 -5800 FAX (904) 247 -5805 SUNCOM 852 -5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING REQUIRES OWNER /BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.1 03(7) FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN V10LATION 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. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455 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. 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 ERMIT. PROrERTY OWNER/ DER LCDDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS AY OF 19 OTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING __,,mow DEPARTMENT. PWda AMonette ? ` ` •` 5 ';. 0 00863881 EXPIRES �rw COMMISSION August 27, 2000 of INSUFNNCE, INC, FA Q BONDED 1NRU TROY FAIN NOV -2S - 96 04:231' ARCHITECT /ENGINEERS CERTIFICATION COASTAL CONSTRUCTION CODE FOR ALL MAJOR STRUCTURES TO HE LOCATED WITHIN CITY OF ATLANTIC BEACH, FLORIDA APPLICANT'S NAME IL� ',r� # ` ,U �I� PHONE NO . -'� � DATE J OWNER NAME: 1� / "����� 7g J�'�J- `("� - / R.E. TAX NO. I4 TYPE OF PROJECT: ( )New Home ( Residential Addition ( )Garage ( )Pool ( )New Commercial ( )Commercial Addition ( )Other 911 STREET ADRESS: ( ) We claim the structure to be exempt as follows: ( ) Garage with no provision for occupancy - detached one and two family only ( ) Pier, Dock, etc. ( ) Other (Specify) I also certify that no structure listed above may be remodeled or converted to a non - exempt use without being upgraded to fully comply with the ordinance. Signed: Date: -----------------------•----------------------------------------- CERTIFICATION This certifies that the plans and specifications submitted and sealed by the undersigned meet all criteria set forth by the City of Atlantic Beach Coastal Construction Code. Roof covering is exempt from the 110 mph requirements of the Coastal Construction Code, but meet all the other requirements of the City of Atlantic Beach Building Code. (/) The structure including foundation, frame, roof decking, J/ exterior walls and floors has been designed for wind loads of 110 mph, with all design complying with the 19 Chapter 12, Standard Building Code. ----------------------------------------------------------------- windows, doors and all other exterior devices comply with the 110 mph wind load. ----------------------------------------------------------------- The structure is located outside the area affected by wave forces, OR ( ) The structure is capable of withstanding wave forces resulting from a wave crest height of feet above MSL including uplift forces. The structure is located in FIA Zone - A and the - foundation design has considered possible exposure to water and erosion, OR The structure is located in FIA Zone X and the foundation will not be exposed to hydrodynamic, hydrostatic loads or water scour, OR 1 ( ) Foundation design has been completed with floor elevation above the specified stillwater elevation, and to resist wave, hydrodynamic, hydrostatic and wind loads acting simultaneously with dead loads. Erosion computations for the foundation design have taken into account the projected 30 -year erosion losses from a 100 year storm event and all vertical and lateral erosion including scour caused by the structural components. - -- -----.--------------------------------------- No excavation of dunes is included in this project, OR ( ) Dun. excavatiq`n permit is attached. �� da of Ati�Jr7T Certified this ' , Y 19 -a-_/ (SEAL) F)o,tida Arichitect's License No. P oif Engineer's License No. DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - -- , i:.EMIT INFORMATION -- ___.___.__ LOCATION INFORMATION _- Permit Number: 5077 Address: 368 FIRST STREET Permit Type: BUILDING ATLANTIC.. BEACH, FLORIDA Class; of Work: REMODEL LEGAL DESCRIPTION --------- Cons r. Type: WOOD FRAME Lot: Block: Section: Prop iotal sed Use: GARAGE/CARPORT Township: RNG: 0 Dwellngs: 1 Code: O Subdivision: Estim ted Value: $1580.00 Im rov. Cast: $0.00 Fees: $30.00 $30.00 GARAGE PER _ OWNER .tNF(URMAT'ION - _ _. _ _ APPLICATION FEES AND MAYh:.� c F PERMIT $30.0c Addr s : 363 FIRST STREET WATER IMPACT FEE $G. 00 ATLANTIC BEACH, FLORIi ;SEWER IMPACT " FEE $0. , Pha'e tom# > 68 -50 9 WAT_ 02 _ NEIER., fl. tJCi RADON GAS-H.R.S. $0. OC: G 'BRA .'FOR , - iFORMA'CTnN - RADON GAS - 5% $0.00 Name: k0pait"It OWNER WATER TAP $0.00 Addr4s: SEWER TAP $0.00 HYDRAULIC SHARE $0.00 I icervor Type: I RE- INSPECT FEE $0.00 SEC. H IMPACT FEE $0.00 OTHER . $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 MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMP LI OVEIIJ , NTQ TINW 05.00 PM TOTRL #30.00 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJQMgQREVOCATIC JWR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHANIK S.GQ ATLANTIC BEACH BUILDING DEPARTMENT By: PSR -3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ - - - - - -- LOCATION INFORMATION ------ Permit Number: 13346 Address: 368 FIRST STREET Permit Type :FOUNDATION ONLY ATLANTIC BEACH, FLORIDA 32233 Class of Work :ALTERATION - --- - --- -- LEGAL DESCRIPTION ---- - - ---- Constr. Type:WOOD FRAME Block: Lot: M ''1/2/19 Twp: Proposed Use:SINGLE FAMILY Section: 0 Subd Rng: Dwellings: 0 Subdivision :ATLANTIC BEACH EA't. Value: 0.00 ImprfOV. Cost.: 0.00 Total "Fees' 25.00 Amdunt P -. .00 iiik �i�14'�`TION - - - - - _ - ..___ APPLICATION FEES - - - - -- Name=' FF:NNETH AND 1,1 %RRAINE BUSH PERMIT 25.nn T�Ctdl '.t 8 FIRST STREET ',TLANTIC BEACH, FLORIDA 3 Phone 1 904'246 -3049 _ -- ,- - , NTRACTOR INFORMATION -- Name: PROPERTY OWNER Addr: Lic '. Typ e. , 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. $25.00 n2tzp- ;3111437 Q1 Racs�at- 4 23. 1 4& CHECKS 153' >i ATLANTIC BEACH BUILDING D PARTMENT 66163683621686 By: �\ r PSR-3844 14110 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LUCATION !NF;_)hl-lATION Permit Number 1411CI Address 368 FIRST STREET Pexmit Type:MECHANICAL ATLANTIC BEACH. FLORIDA 3223' Clas! of Work:ALTERATION --------- LEGAL DESCRIPTION Con.ctr. Type:Wr.'/OD FRAME Block Lot* Twp Proposed Use: Section: 0 Subd:0 Rnq buiellinas: I Subdivision:ATLANTIC BEACH 1 31 V alue: M - . V 1 0.00 Improv. Cost 0.00 Tqtal Fe*� 25,00 An, ()o jjRRT v r"llt 4-­ -, WNEr , !NFbRMATT.r)N -------- APPLICATION FEES Namej YEN B9,SH "EFMIT 25,00 Addr! .3f;8 FIRST STREET All'LANTI EEIIC'H, FLORIDA Phon :f904)246-3049 l CONTRACTOR INFORMATION Name Addri Li— Typel 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. $25-09 6/12/97 Weil'to Date; 11980 ATLANTIC EACH BUILDING DEPARTMENT CHECKS ggjgg903221080 By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC 111ACt 1. eL0"IDA 18111 APPLICATION FOR MECHANICAL PERMIT cAIL IN NUMBER IMPORTANT -- Applicant to complete all items in sections I, II, III, and IV. AACATION Addr.w: OF Ie1,rA «liel siv ealar 161r090 A.d itlu ( LDWro sa ►JI.I.4a II. MENTIFICATION — To be completed by all applicants. I. c0.144r60l0. of pr.rlr 9I.en fa doing the .erg q Ietc in the Above I1414monl re loreby agree to perform #old .oA In occordence .t1r M. Artochod P4.6 Ant Ipeaifit•lio.l rhlcI. a • port Aer.of And a •ccerdonce rills the City of Jacksonville ordinonc.I and Itamdardl d e «d $0ract listed tAe gel.. N..w..l 1.A«lu.y.r Cee►r o.►era (f,i.I( C.EVgN T(V E A L mother LACO493io ►..,.. o..e. 9 v , h a s11 «1w..d r Ant4r..1 / AreAlled a Iw11.ea 111. A ' Tyke a ►ae r"1 11rela. �. to oTNorrt O000straUcTloN e[INe CON[ OM , O si'selt - TNI1 eUILO1Ne On 11 TR O C« — O V O me" O c../t.1 Umlwf OF y[e e1V2 NVM OF 00"$TRUCT10N \ O tS P[IIMIT i i O Oft- — soeol* IV. tdeC>M OCAL OQUrbMW TO N OWAUAR "ATUIN Of WORK (►. —;Aks, .ayd.N 4 a/ eer.+masemeo ova"os Mlle 111miam 1 O Meldentllf or ❑ Commlrclel O ""1 O M•« O Raa.neti O eeMtd O nee. O Herr W ilda ng O n;. L•s O n.«, O C *W O axistlno mutidlav O D,rd ty—: " - flleMea.. �.,— O Nosownem or existing $veto" v+ei+w •a«Nr 104111111141001141140 1ylt.tn pttvleUlly 1net." O 0 Ealonllon OF add-on to exist" Meta" O othe. — ee.efry O roe .4wi .: war *" a 6006 O sf...»t O M-d* O Ile•ehosso I flee{ PAC* IM OWWX un II fly O i...a•e (e..mbal O T ar` le-4-I Ilaw►e t3 LPG O ueRr.all peeew .est" O sea... Allan Mr»•d �r ata LeT ALL twirmaNT All CONDMOMM AM RLPRWAMATM" [Ql WWM )f%ob W Meeks D-W rtion mismild MeoM K Capito ( � ) Alpetwileg ASMV t 1 t Ie1ATTNG • FUItNACM eO11JIM& IIRIMAC7S 010d Nvembet j ANT.3 Near K"y mmilloglwanpmft wb 6 of saw diatnlliN 1tR Na Apseq RECEIVED CITY OF ATLANTIC BEACH . 1111 2 4 1998 PERMIT APPLICATION REMODEL, ADDITIONS, OMA/ ��N &ch MOVING, DEMOLITIONS Building and Zoning Owner (a) 0.VOw A W0005 Address: 3 a �5� S} Phone: Lot 4 b'D - "'Biock or Unit Subdivision: Contractor: 1�1 State License # Address: Phone No: itY State - Describe work to be done: ZA�ov �( ¢.1�Ytoclel , iJ�� I� clu P d k i a a°kb, Present use of building: Ke-S ( ,CIJK ,\ J Valuation of Proposed Construction: �a�j� 00C) Proposed use: I � Q, 1 Is this an addition? yyD If yes, what are Q w space: ft . x ft. Will the adc -� %; -(( -/ cooled? New electrical (or increase) ?] New plumbing fixtures? `A 1p New fireplace? Ne c((�Y SUBMIT TIRUZ (COM4MCIA.L) TWO (RESIDENTIAL) COX C-2 SITE PLAN, SURVEY, ENERGY CODE FORMS, Nt OWNER /CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACT Signature OWNER: 12A Date: 7 - Signature CONTRACTOR Date: Sworn to and subscribed before me this 02 day of J( � i./ 19 NOTARY PUBLIC STATE OF FLORIDA AT LARGE Sandra Dee Martincic .: My COMMISSION# CC686386 a October 6, EXPIRES ••�e;. 2001 Pf ,r4 • BONDED THRU TROY FAIN INSURANCE CI TY OF geaelt �I)1) �EFMI OLL: ROAD - - - -- - -- -- \iL:AA71(' 13E ACH. `DI)RID:1 Ff FAX �)I)4, 2 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER /BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW, THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS Y UR OWN CONTRACTOR EVEN THOUGH YOU 00 NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,COO, OO 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. !T IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR USE, AND LIKEWISE REQUIRE ALL PERSONAL OR FAMILY WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER 'DIRECT SUPERVISION OF THE OWNER, WHO THE JOB MUST BE ON AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. " THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX ANO /OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE cM ?LOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 4 53 - 228( 1). AN ° OCCUPATIONAL LICENSE�� IS NOT ADE UATE. 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. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN CWNER PERMIT. PROPERTY OW ER� /BUILDER 303 (.9 OA s+ IiKcA, 2L{I A9D� /DRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS / DAY OF �JG�L �� 19 FS NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING DEPARTMENT. . Sandra Dee Martincic MY COMMISSION # CC686386 EXPIRES October 6, 1001 BONDED THRU TROY FAIN INSURANCE, INC juju ,�1`� J �Y11V Cr LV u1VDAKY r WRV OF ?fJE K/ES7 1Z OF 1 - 0 19, 7 7W C e W17 l o 7• BEACl1 AS /pECOZOe � /AJ PLAT BOOK S 1�AdE G 9 L ow B`ocK Z I i4 TC.d,t/7 - /C �U /CRECORDS OF OUVi7C COf/.V7y FC dR7Lj� TI'�E Cf/RR6AJT CER )!PIED FOR: V, 1ETf/ J. 8ur,l/ .N. 4,Q .a — �• G' ,Q ye 5 L - ST "O k 1p,e 1— cNic.� 4' 7"i /.US. Co. 1 E SM / Till A . sr ,elW S7 REAR T 7S. 0 0' cOA)('. h Iff or.,r al,AC c o G o v �►�� it aka O,vE SToR y q . a Q ti .VO. 3 G 8 a o . ii4 10.x' O , 1 A/C I P[I,t,,PNOUS'E 0 LOT Z3 ci/AIN PART OF 1 LOT i9 IAJ N � 0 0 v v ' 5 75, 00' Go7 Z4 toT 2t , o r •zRECE1VED FEB 2 1 1991 N 01 VALID UMESS EMBOSSED W1M SEAL OF� THE UNOERSIGNEO. Cit Beach l Ir£RrOY CER7IFY 771AT THE F co d Zonin ON FL DUD INSURANCE RA IE MA SHOWN HEREON !S IN IHE SPECIAL FLOOD HAZARD ZONE_ -__X - f� • oov/ FUR q � � _.__ _. AS .SHOWN -- BeSAC A /, n ORIDA, DA 1FI) • _ 4 _ i 7 - � 9 TRI- -STATE LAND SURVL'YO S I 8411 BA YMEADOWS WAY SUITF_ p, I JAI I�/ CKSONL(_E FLORIDA ?.256 (•gp4 • 7 7235 1rfNn — raver• urw I HFRF.IIY Cflril IIIAT /1/F' A170K. 1ANI) 6{rlu )1 1) I / • Wiwi r , n Irl f�! '(!Nilrlli 1, ,',l /l I 1 1` 1 4,51(W N ANTI L1/lfl (; IIUN, IIlA I 11 N lrl Alit: NO 1, Ill 1' (p t , n , ,.A„ OP Ar A,) t NCHUAC1 M?t N 1 S f. X�'F P I A,5 SHOWN AND 111A I II/f.. SU/rVr Y 51,0 WN Y I ►NrT HERE. UN ME f. 1 S h K MINIMUM II:CIINICAI. S f"ANIIAHI) S ;/ I / r)R 11l 111 lllr /1(Nrll1.4 MIAMI 01 I ANO '11 IIYLY 111 /Y'1 /iI //f 11 /,qN I1) ,DhCIIfIN .wrnr ��n 410 01, f 1 OIYIIIA .41A11111+4 �NI M +Inwri MAI RPOMW I w o tW I 1A.ItIMNI 'T/" AIWIf -tr WAY r I.APP)l (;,�ft/UY, t' l., .S. No. All N rov COWS01 4MA S AI V- :Vin ' ,/ A,$ AIt rINIIflIYNNq r,1p �,,� ICI N1N11 IM It l' yL f. ',oR�f�lSlfryf /lit /,,>� or r1 f)RMA (v wil ' CITY OF 5; 0 /a :2 P , - 7 /,-, � ( D lo- cz 0 del z"',ocz r c Off 6e f Building Official 1:1 REQU, FOR INSPECTION 4 13 7 Permit No. Date Time M Received P.M. Job Local' Owner's Name. CONCRETE PLUMBING M Footing Rough I Q� ". r,'', 11 Heating Re Roofing 7 Slab Fire Placr; Insulation -- Lintel J 7 P, e F,- RE t4 6 Mon. Inspection Made Inspector- CITY OF 4&rwi4c Beac.4 - 9 9& Office of Building Official REQUEST FOR INSPECTION Date Permit No. ✓ 1 4z , Time ,rte Received P.M. o Address Locality Owner's Name zzul Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing Rough Wiring Rough Air Cond. & Re Roofing Slab C_ Temp Pole Top Out Heating Insulation Lintel Final Sewer Fire Place Pre Fab READY FOR INSPECTION Mon. Tue= Wed. Thurs. Friday _ Q A.M. Inspection Made -. _ /_/ _- _ __ - -- -. RM. Final Inspection Certificate of Occupancy Date _ —__ -- — CITY OF YQa4dWC AwcA - 47 Office of Building Offici f +— REQUEST FOR INSPECTION �! Date _ _SQ =! �_ ! / 7 / , / / Permit No. 7 "T Time A.M Received P.M. Job Addres o lity Owner's Name BUILDI CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing Ing Rough - Cond. & Re Roofing Slab E Temp Pole _ Top Out I I Heating Insulation Lintel Final Sewer ❑ Fire Place C; �. READY FOR INSPECTION Pre Fab [��/�`^`,r�`} A.M. Mon. Tues. Wed. rs. P.M. �✓ A!M�) Inspc;ctior. Made _ M. :; peeler -- - - - -- -- - - - -- - -- Final Inspection Certificate of Occupancy i_ Date � � // CITY OF //�� ` _ I � A 4u1�LC Be44c, L - "9&u -d6 / Office of Building Official REQUEST FOR INSPECT O Date J Perm No. Time A.M. Received p � �� Job Addres L lity Owner's Name Contractor BUILDING ONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ 0 ing ❑ Rough Wiring Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab �❑ Temp Pole Top Out El Heating Insulation ❑ Lintel i Final ❑ Sewer ❑ Fire Place ❑ ` Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday Inspection Made A.M. _ PM Inspector _ Final Inspection ❑ Certificate of Occupancy C Date CITY OF 4 &4# lC 13e4C,4- g9&"' Office of Building Official REQUEST FOR INSPECTION Date ` — L Permit No. Time A.M. Received _ P.M. �� n ISM" � / /� / ,Q / �_ Job Address Locality Owner's Name Contractor BUILDING ; - ELECTRICAL PLUMBING MECHANICAL Framing ❑ ooting Rough Wiring ❑ Rough — Air Cond. & Re Roofing Slab Temp Pole ❑ Top Out El Heating Insulation ❑ Lintel C Final ❑ Sewer Fire Place Pre Fab READY FOR INSPECTION A. r Mon. Tues. �ed Thurs. Friday 9 A.M. Inspection Made ` v P.M. Inspector • • Final Inspection ❑ Certificate of Occupancy [-_ Date CITY OF 12 F� b Office of Building Official REQUEST FOR INSPECTION Date No. Time � � A. M. -- Received Job AddreW Locality Owner's Name Contractor BUILDING ONCRETE ELECTRICAL PLUMBING MECHANICAL Framing r, Rough Wiring ;- Rough Air Cond. & Re Roofing r Slab Temp Pole c Top Out I Heating Insulation ❑ Lintel Final r Sewer Fire Place Pre Fab READY FOR INSPECTION � Mon. Wed. Thurs. Friday — ,. , _ — A.M. Inspection Made _ PM. Inspector________ _ Final Inspection Certificate of Occupancy L-' Date __ -_ PSR 3844 14121 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION ------- Perm t Number: 14121 FIRST STREET Pe mit Type:ELECTRICAL ATLANTIC BEACH. FLC)RirA CIasi of Work:REMODEL LEGAL DESCRIPTION ---------- Conktr, Type:WOOD FRAME Block Lot: TwP: 0 Proposed Use: Section: 0 Subd:O Dwellings: 1 Subdivision:ATLANTIC BEACH E t. Value: IJ Imp ov. Cost: 0.00 TI FeS2­ 25.00 Rlnr„.int Pa 2_00 V T r-, r Ir r r T A ELING/CETT FANS OWNER INFORMATION --- ­ -- ----- APPLICATION FEES ------ Name KEN H , . _'ERMIT 25.00 Addr: �STREET ATLANTIC BEAM FLORIDA 32'4- CONTRACTOR INFORMATION Namet ERICKSON r'ONTRAcTOR Add2: 122 PHEON STREET JACKSONVILLE, FL 32216 "i'-: ED coo1320 Exr 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 D SUBJ % Y207 2-9-18 4 �010 e�aaz 6/99 11 VIOLATION OF APPLICABLE PROVISIONS OF LAW. A Da PO4 ATLANTI EACH BUILDING DEP RTMENT CITY OF ATLANTIC BEACH, FLORIDA 33y- � — �PPowd by APPLICATION Volt ELECTRICAL PERMIT - I TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIV OR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HLREBY AGREE TO PERFORM SAID W CCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN AG WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF _ , i�TLAn JC BEAC�I ORDINANCES. �f l<,'KS�Q t18CT(1(:dt i Cw>f in E TRI A FIRM; A T 1 JOURNEYMM NAME F— `'� ADDRESS: �l� l RFO BOX BLDG. SIZE — — •-- raETWECN: f RES. (/ APT. t ) comm,( I PUBLIC ( 1 INDUS. ( ) NEW ( } OLD (�1 REW. i 1 ADDITION l TRAILER O TEMP, I I SIGNS I I Sn. FT. FEE SERVICE, NEW i 1 INCREASE( l REPAIR t l COND4ICTOR SIZE _ AMPS PP ALUM, '� RCwY SWITCH OR BRI�AK AMPS W -_ VAT EXIST. SERV SIZE AMPS' PH W VOLT RACFWA FEEDER NO SIZE NO SI NO. S IZE . _._.. L IGHTING OUTL ETS CONCEALED -^ Y OPEN - �. TOTAL ,_.. _ CONCEALED OPEN RECEPTACLES _ a+ •1oo AMPS 0.�0 AMP l SWITCHES INC ANDESCEN T •- • r - -- — `�" FL UORE S CENT &M V. �_ -- -- --- ------ 0100 A MPS PIXEe BELL TRANSF. GVEF ` APPLIANCES _ AIR H.P. RATING H,P, RATING CON DITIO N ING C OMP. MOTOR _ - CE1L BEAT: KW HEAT OTHE MOT ORS AMPS OVER MOTORS H.P i VLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCEL bU� _ TRANSFORMERS: ' UNDER 600 V. OVER 600 V. NO KVA NO, KVA N0, NEON TRANSF ^� NO. VA. MA. MOTOR SIZE SWITCH FLASHER EAC H SIGN f - -- FOIRWARDED TOTAL FEES PSR -3844 k DEPARTMENT OF BUILDING 13453 CITY OF ATLANTIC BEACH PERMIT INFORMATION - - - - -- -- - - - - -- LOCATION INFORMATION - - -_ Permit Number: 13453 Address: 368 FIRST STREET Permit Type: �� ROOM ADDITIU,' ATLANTIC BEACH, FLORIDA 3223- Class of Work :ADDITION --- - - - - -- LEGAL DESCRIPTION - - - - - -- - Constr. Type:WOOD FRAME Block: Lot: T n Proposed Use: Section: 0 Subd:O Rna: Dwellings :(' 1 Subdivision:ATLANTIC BEACH Est. Value: 0.00 Improv. Cost: 15.000.00 T tal Fees: 127.50 Am cunt P� n , 1WN ER I N FC�FAAT I ON - _ _ _ _ _._.�_.___ AFPLICATION FEES --- - - - - -- Name • F FN BUSH PERMIT 127.50 Addr 3 FTRST STREET ATL,.ANTT:" 3EA , FLORIDA 322 Phon : ( 904 ) - 246-3049 -- -- - CONTRACTOR INFORMATION Name: PROPERTY OWNER Addr Lic: Exp: Typ , 1 4 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 JIOLATION OF APPLICABLE PROVISIONS OF LAW. Dates $127-50 CASH NTIC BEACH BUILDING DEPARTMENT 00100003221000 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 3 � ), J( Date � ' ? / 1 t�!1 J Heated Sauare Footage s @ $ , per sq ft = $ Garage /Shed @ $ If t� per sq Lt = $ Carpor 2 @� w per sq ft = S Deck c� �" R� per sq ft = $ { Patio 0 @ $ per sq ft = S TOTAL VALUATION: S /� ` )- (0 0 C'D (1? v T 1 Valuation 1st $ / ot b 0 "n -1 � $ _ 70 Remaining Value $j per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ 2 15 J ( ) Fireplaces @ $15.00 BUILDING PERMIT FEE $ WATER IMPACT FEE $ p SEWER IMPACT FEE $ WATER METER /TAP $ _ CAPITAL IMPROVEMENT $ SEWER TAP $ (/MVP) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ (//Vp) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ 4 7 1 5 o ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric /New Electric /Temp ;Swimmingpool Septic Tank Well Sign Finish Floor Elevation Survey Other eALCULATIONS and /or NOTES: Y FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC -93 Residential Limited Applications Prescriptive Method C NORTH 1 2%3 Small Additions and Renovations Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC -93 for additions of 600 square feet or less, site- installed components of manufactured homes, and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 6008 -93 or 600A -93. PROJECT NAME: BUILDER: AND ADDRESS: ;,9 s `r PERMITTI CLIMATE OFFICE: •', a;" •v H, t ZONE: 1 F 2 [13 OWNER: / PERMIT NO. JURISDICTION SMALL ADDITIONS TO EXISTING RESIDENCES (600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C -1, 6C -2 and 6C -3 apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS (Residential buildings undergoing renovations costing more than 30% of the assessed value of the building). Prescriptive requirements in Tables 6C -1 and 6C -2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS. Only site - installed components and features are covered by this form. Please Print CK 1. Renovation, Addition or Manufactured Home 2. Single family detached or Multifamily attached 2. 3. If Multifamily -No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. ,? 5. Predominant eave overhang (ft.) 5. I 6. Porch overhang length (ft.) 6. 7. Glass area and type Single Pane Double Pane a. Clear glass 7a. sq. ft. sq. ft. b. Tint, film or solar screen 7b. sq. ft. sq. ft. 8. Percentage of glass to floor area 8. / % 9. Floor type and insulation: a. Slab on grade (R- value) 9a. R= `f , sq. ft. b. Wood, raised (R- value) 9b. R= sq. ft. c. Wood, common (R- value) 9c. R= sq. ft. d. Concrete, raised (R- value) 9d. R= sq. ft. e. Concrete, common (R- value) 9e. R= sq. ft. 10. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R- value) 10a -1 R= sq. ft. 2. Wood frame (Insulation R- value) 10a -2 R= sq. ft. b. Adjacent: 1. Masonry (Insulation R- value) 10b -1 R= sq. ft. 2. Wood frame (Insulation R- value) 10b -2 R= sq. ft. c. Marriage Walls of Multiple Units` (Yes /No) 10c 11. Ceiling type and insulation: a. Under attic (Insulation R- value) 1la. R= sq. ft. b. Single assembly (Insulation R- value) 11 b. R= % ? <= sq. ft. 12. Cooling system* (Types: central, room unit, package terminal A.C., none) 12. Type SEER/EER: J 13. Heating system *: 13. Type: /- ;- _ (Types: heat pump, elec. strip, natural gas, L.P. gas, room or PTAC, none) HSPF /COP /AFUE: 14. Air Distribution System *: a. Backflow damper or single package systems* (Yes /No) 14a. b. Ducts on marriage walls adequately sealed* (Yes /No) 14b. 15. Hot water system: 15. Type !� (Types: elec., natural gas, other, none) EF: ' Pertains to manufactured homes with site installed components. I hereby certify that the plans and speci ations covered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance compliance with the �y � � with the Florida Energy Code. ,Before constructi n is co eted, this uilding will be PREPARED BV: - �� '�i DATE: ./� ' /_Z G i G inspected for compliance in accord nce with ction 553. 08, F.S. I hereby certi is buildiQQ i omp with the Florida Energy Code. BUILDING OFFICIAL: OWNER AGENT: DATE: DATE: -1- PSR-3844 16969 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH 1ERMIT INFORMATION LOCATION INFORMATION 'ermiti,Number- 16969 m ss: 368 FIRST STREET Permit Type: PLUMBING ATLANTIC BEACH. FLORIDA - 'lass f Work:ALTERATION LEGAL DESCRIPTION "onst . Type:WOOD FRAME lock:n Lot :W11219 &2? Twp 0 Propo$ed Use :DUPLEX .-ti can : 0 Sub: :69 Rnq- fl Dw.l.lings - 'abdivision:ATLANTIC BEACH Est ValLle: 0.00 impro . cost, 0.00 Tot Fees: 50.00 Amount Paid: 50.00 D: e Paid* .)rk Desc7 NSTALL PLUMBING l"WNER I NFORMAT I APPLICATION FEES ;'me CAROLYN AKV JEFF' WOODS 50.00 - ldr: 3 FIRST STREET ATLANT1C BEACH, FLORIDA 32277 none (904'7241-9973 ---- CONTRACTOR INFORMATION ime: PLUMBIN BY jr, idr: 2,602 ROGERO ROAD JACKSONVILrE, FL 32211 Lic: C 004305 Exp: ,, r, r , • 4 NOTES: 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 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 D PARTMENT �X 1 N3803P2 I B y: R-3844 �. �, 1 6 902 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT I NFORMATION - -- - .. --- LOCATION x �I ORMAT I nth ermit ',Number: 16902 ?dress: 368glRST STREET Permit Type:REMODELING ATLANTIC BEECH, FLORIDA 3223 Lass of Work:REMQDEL LEGAL DESCRIPTION ________ -- .°onstr. Type:WOOD FRAME Block :2 Lot :W1'./2I9 &2l. Twp :''rop©sed Use:DUPLEX Section: O Subd:69 Rna: Dw alue V - i. 2 5ubdivison:ATLANTIC BEACH r Est . , V alue - eJdti . mprov,. (lost : 25,000.00 Total Fees: 2,647.50 Amcunl Paid: 2#647.50 �rk. he. ' T? TERIOR REMODEL,; DIVIDE 1Ttm", nFJPLEX AND ADD KITCHEN x m° wJNER _TNF?:sRMATION ------ APPLICATION FEES aide: C ROLYN AND JEFF WOODS ±.RMIT - 4202.50 'dr: 3(P FIRST STREET ATER IMPACT FEE 310.00 A ,LANTIC BEACH. FLORIDA 3?? �' EWER IMPACT FEE 1 .250.0:' ' 'hone:( Cc4)241_99 3 ATER METER /TAP 525..0 ADON GAS- H.R.S. 0.00 n�tTRAC'TOR INFORMATION ADON CAB 5% 0.00 ail e P .':'PERTY OWNER 4PITAL IMPROVE. 325.00 ddr: EWER TAP 000 .ROSS CONNECTION 35.00 SEC H IMPACT FEE I'ONST . SURCHARGE 0. 00 "HARGE /ATL . BCH r NOTES: 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 I 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. 3 rr Total E'ayuerrt ATLANTIC BEACH BUILDING DEPARTMENT $2647.5® CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 3 (0 8 '� S �� /_ 0 O ,� F Date v� Heated Square Footage - -@ $ per sq ft = $ Garage /Shed �� / $ per sq ft = $ Carport /Porch @ $ per sq ft = $ Deck Shy @ $ per sq ft = $ Patio $ _ @ per sq ft $ TOTAL VALUATION: n � - 2s ^O�Ca `S � pp4 / S o $ /J7 o 0 Total Valua©i.on 1st $ /6)0-0 Remai ing Value — per thousand portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ 7_S-O ( ) Fireplaces @ $15.00 $ -o BUILDING PERMIT FEE $ WATER IMPACT FEE $ / CJ. 0 b SEWER IMPACT FEE J _, _0 ' WATER METER /TAP S=�00 CAPITAL IMPROVEMENT $ (5 SEWER TAP $ -- p ( ) RADON (HRS) .0050 $ •--a� SECTION H PAVING ( ) $ Tj — HYDRAULIC SHARES $ . p -- CROSS CONNECTION $ 3S `f CE) ( ) SURCHARGE .0050 $ .- -d OTHER $ GRAND TOTAL DUE $ — .2-6 y ;ZIJ O 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 Office of Building Official REQUEST FOR INSPECTIO 6 Date l" 9 Per t No. llf�/ _� Time A. M. Received P 3 Job Ad ress Loc lily Owner's Y10 �_� Name V ��/J Contractor BUILDING CONCRETE ELECTRICAL MECHANICAL Framing E Footing ❑ Rough Wiring Rou h Re Roofing ❑ Slab g Air Cond. & C Insulation Lintel u Temp Pole c Top Out ❑ Heating C ❑ Final a Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs. Friday A M. Inspection Made A. M. P.M. Inspector Final Inspection f7 Certificate of Occupancy F Date CITY OF ATLANTIC BEACH, FLORIDA APProwd by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: % 2�- 9 � 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. I LL IHUMPSON ELECT P. 0. BOX 330150 ATLANTIC BEACH, FL 32233.0150 ELECTRICAL FIRM: TER EL EL E - Z5 9 MAS CT I I1 NAME ADDRESS: �(/ J - — ' RFD BOX BLDG. SIZE BETWEEN: • APT• ( comm.( ) PUBLIC ( ) INDUS.( ) / t OLD) 1 REW}_ ADDITION ( ) TRAILER 1 ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: CONDUCTOR ( INCREASE( ) REPAIR ( ► �y �yyl FEE CONDUCTOR SIZE AMPS / O COPPER - -� ALUM. SWITCH OR BREAKER �OAMPS PH W ��� VO T RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO, SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES Z- CONCEALED OPEN 0.30 AMPS. TOTAL 1.100 AMP6. SWITCHES � INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMP6. OVER APPLIANCES �/ GV: , BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT � � y 0-1 OVER MOTORS H.P. 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 EACH SIGN SWITCH FLASHER FORWARDED s TOTAL FEES CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: D DD TELEPHONE NO. PLUMBING CONTRACTOR CONTRACTOR'S ADDRESS: SJ 7(f i/lAtfA.J F l 0 STATE LICENSE NUMBER: C"LU'1}��(�� TELEPHONE: 7 -� HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS a SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS p SHOWER PANS I SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3.50 + $15.00 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 16993 FISR 38 1 1 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOC AT I ON I 68- FIR TL NT I C P EMIT INFORMATION LOC'ATION INFORMATIO 368 FIRST STREET umber: 169931 ATLANTIC BEACH, FLOR I IDA 322s_ Permi Type:MECHANICAL LEGAL D ESCRIPTION - 35rs o Work:ALTERATION LEGAL D -- - ------ Block:2 Lot Twp onstr. Type:WOOD FRAME Section 0 Siabr- Rnq* � Use*DUPLEX Dwellings 2 Snbdivision:ATLANTIC BEACH Est. Value* (1 ;mprov. Cost: 0 00 Tota' Fees' 33•00 Amou P ai d: D a te Pai , d, 1 8 1 9 9 Aork AND AIR HANDLER OWNER INFORMAT ION APPLICATION FEES 3 3, ;.'JAROL�CN AND JEFF WOODS *'9 FIRST STREET ATLANTIC BEACH, FLORIDA 322"' 9r 4 24.1 e, 9 CONTRACTc)R 'INFORMATION ame JTJXHAM HEATINg & AIR -tdr* 1.078 NINTH STREET SOUTH IRCYSONVILLE BEACH. FL 321 T U i c A0024352 Exp , ype: NOTES: 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 MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPRO%r PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR 0 V - IF 'Ir7;' LICABLE PROVISIONS OF LAW. CTI-RA 1A Vate: 8/18/98 01 Receipt: 0079144 CHECKS 2275 ATLANTIC BEACH BUILDING DEPARTMENT 90100093221000 By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH AILANTIC FIFACII, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to Con"IPIP 811 lheIT15i In Sections 1, II, 111, and IV. I. Street Address 36 - ----- LOCATION O F Inferiecl;nq SIrrell: VO—en BUILDING 11. IDENTIFICATION — To be completed by all applicants In Co.s;dA,af;on o f ro,­il vr I a we hereby agree in rerfortv qi—n for doing lite wort Is described in lite Alto- I ler-0 said work in accordancn w ilk the altAcIled plans And sCecificalions -h;0 are A rAo hp and in accordance will, the City of 18,1,S01"ille ordinances And standards of good prac6cnt listed 111"r Name of Mechani a I - Contractors > Contractor ( Print) P(1-"-48 Matter Nome of Property Owner Signature of Owner 5ignafu a or Authorized Agent 1"' Arc1h;Iecf of E 111. GENE"L INFORMATION A' Typo of hoofing fuel: Is oltiEn CONSTRUCTION BEING -VONE ON r Electric Till S BUILDING On SITE 7 ❑ Goo — ❑ LP ❑ Natural Central Utility IF YES, GIVE }{uynEn or C NSTnucTION ❑ oil PERMIT q ❑ Other — Specif IV. MIPCHANICAL EQUIPMENT TO IF INSTALLED NATILIFIF Or WORK (Ir complete list of cornponontz on back of this form) Flesidenllal or 1.1 Cornntotcial Heal ❑ Space ❑ Recessed y Central LI Mow flow BuIldlog Air Conditioning: ❑ Room Control EXIIII-10 BuIldInq ❑ Duct I System: Mafor;al. Thickness 1`101)13COME10 Of (3XISIjIlq System Maximum capacity --- c.f.m. flow Inslillallon (No syslorn previously Ins(PtIled) ❑ Refrigeration Exterislot, of add on to OxIst1riq SYSIOM ❑ Cooling }ewer. Capacit-y 011ipr SI)eclfy ❑ Fire vpr;nklori: Number of koadt ❑ Ehs�afor ❑ Monl;lt ❑ [%calm for-- (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps .(number) (Itectool"04) ❑ Tanks (number) Remarks ❑ LPG containers ) ❑ Unfitted pressure ,ossoj ❑ tollorl Permit Approved by Date, ❑ 06or — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REI ION EQUIPNIENI Capacity N I umber UnJtx De-scription Model Number 34tti-nufacturer (Tons) A proving HEATING • FURNACES, BOILERS, FIREPLACES N umber U nI tA 1)"Cription Modell .Number Manufacturer Capacity Approving (Erru) Agooncy TANKS How Many No"InaJ Capacity Type ljqwd Name of Serial App r oving and Dimensions Contained Manufacturer No. A gency DATE:IQ PRE - SERVICE DIVISION JACKSONVILLE ELECTRIC: AUTHORITY 33 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32302 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN `LADE ANO ARE SATISFACTORY: 7 43__ q qq -- ----------------- A23 7 I�__- _ -_ ___ __ ___ __ ____ ____________ - -- - -------------------------- 70 ' - -- -------------------------------- ' --------------- -- ---------------------------------- ------ Enclosed are the blue copies of the permits. SINCERELY, BUILDI G INSPECTION DIVISION cc:FILE 4° O Od a 0 O QI�Q Pie i Q a ce � F ��e eFa b V P °J9 PSG O '(�e�e� Pt`aa`I � O Oa� e a� yQ� ect` cc �Q a � °t ed, es � O F�� O �AC� sQ e O P, � °e GOaG 0 O PQy F a P G e aye 01 �� O � O P ° °tog �Jes. ev O ^ G` �� ' ;�G% x pf l oll O of g SQ�� � e � PeC m�N ° ' �• F-O F e 9 o \3 G Oa ke v ( a�GP�. C> PoP c Cam . \jea O c Fc �aay Pe b PadCess + 1 o PocoP Po ke N GGNGas�� 0 � I \w a\ SPEC \O �rucs �� s o° v FpA \N PM e °"oo C uPaucy C e < <�9 N ame F dab PE ed P M. \oaf Ur of Oo c Fla Po PGeC Gaye P °� Cues ( O� pT LANT, a ORIDW MIM — • OF • •�� 9• • • JO.8 AODR� • DATE THIS DDB S The win HAS folio g additions o N co T rr .BEE1V CpMpbE7 the job ections s ED will be accept 11 be made before 11 1 �b 7 5.00 REINSPECT FEE � � �� ` 0 (� It is 1 unlawful for an Persons, to y Car F wi th cover Pester, Coor, flooring, lath a ntract cause to be cov Builder, or 0 � "81 I°' inspector has earth °r O ther covered any other ,�" •�§d gQ �, had r material Part r the work Sao p. (��~ 00 �G�P a O after additions am p l e time until the P r o per o O ,ad or come me of approve the installation. Go call 247 - coons have been allation. 'C ° °a P�eaeean ent f sPeiso Building Depart_ Q� or an fn � e Fa in the n. Fiel PLUMBING e` °»ce from g:00 d InsPectors O n. Monday thr a.m. to EIEC Q� ° ugh Friday S:QO 'Skoc � �c`O � o1`O o °Q S ° J0 Q �GV e y00 o 00 0 � �O Geoa�e F Pe c J ° o G O a " fig( 0 C 40 / �a O FP °� am ��SP � c ��eQe TRANSMITTAL DCCUME�N FOR JEA DATE: The following permits have passed "rough" inspection: Permit No. Address Ex c�ec: a�ec: cam: {:�:�c3s�eC:�aess:cc:v�xsaa: Please update your records accordingly. han 70 u /,. BUILDING CLERK CITY OF ATLANTIC BEACH /vcb f CITY OF ATLANTIC BEACH, FLORIDA AOProvod 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. I L THO MPSON C O., IN P. 0. BOX 3 ATLANTIC BEACH, FL 32233.0150 ��pn�p E -;?69 ELECTRICAL FIRM: MASTER ELECTRICIAN IG NAME 0cob ADDRESS: RFD BOX BLDG. SIZE BETWEEN: RES. APT. (,C) comm.( ► PUBLIC ( ) INDUS. ( ) NEW ( ) OLD CREW. ADDITION( 1 TRAILER( 1 TEMP.( ) SIGNS ( 1 S0. FT. SERVICE: NEW ( 1 INCREASE( ) REPAIR 1 1 FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE © AMPS O VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES /Z-- CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCH 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 . VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. JKVA NO. NEON TRANSF. NO. VA. MA. [ MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S TOTAL FEES 3 Address l►� Co C, at D D E Heated Square Footage @ $ p er sq t = $ Garage /Shed @ $ / e. OD per sq ft = $ Carport /Porch C1t 5 i N� 3 ��o @ $ O C7 er sq ft = /off — Deck @$ D er sgft =$ Patio (d$ D er sgft =$ TOTAL VALUATION: $ � 6 7 c) Total a cation 1st $ Remainder Valuation per thousand or ortion thereof --------------- - --------------- ------ - - - - - , Total Building Fee $ ADDITIONAL PERMITS and /or FEES REQUI + 2 Filing Fee $ l - Fireplaces @ 15.00 $ '4echanical BUILDING PERMIT FEE $ Plumbing Electric /Neva ---------------------------------- �--------- - - - - -- Electric /Temp Septic Tank BUILDING PERMIT $ WATER METER CHARGE $ C7 Well SEWER FEE $ S�,rimning Pool WATER IMPACT FEE $ Sign MISCELLANEOUS $ Water Connection ©�. Sewer Connection /1,90 � � $ $ Water Meter Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and /or NOTES CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner(s) -- Phone: Address: - - lock or Subdivision: e Lot B Unit Contractor Describe work o be done: ---------------------------------------- C -;;-zty - --------------------------- --------------------------- --------- C� ------------ Present use o building Valuat ion; -7-& --------------------------------- ,Proposed use:_ - - -------------------- Is this an addition?4k- t"If yes, what are the dimensions of I ft. Will the added area the added space.- W/-:� __f t. - ft. X be heated and cooled._ -_ - New electrical (or increase)?-Xo- New plumbing fixtures ?, -L New fireplace?Aj-_New Heat/AC?_,&_ SUBMIT THREE 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 :�a /_� -- Date: Signature CONTRACTOR: --------- MAR 319 92 Building and Zoning MAP SHOWING BOUNDARY SURVEY OF TWE WEST 12 OF LOT 19, TOQ'ETNE,e W 17 LOT 21, BeOGK 2 147 $EAeN AS ,QEOORDED IAJ PLAT 800k S PA -CE 69 OF Tt/E ee-1le C610J7 Pc/BC /e",R EOORDS OF Duv.4G OoU.VTS FCOR CERTIFIED FOR. k,-, AJE7 - W J. BuS, ; MA,P('.4,eE7 Z. N•4YES , ,vOR MART e aRP. cN/c'A 4'0 7' 17'Z E /SUS. CO. ,e. [ EE SM/ TN, P A . 40' Xllw STAOfE T 7:5. 00' 7o cnRNfZ . 0.7 eOAJe s• BLOCK N/A /C r� o V i�v0 4' Q O V OAIC -5 7_04C y e A/O. 36 8 ,3 S' o 0 � 4' �c.-7 Q 3'x 3.4' O PumoolloosE O x PART oF 4 ' C NA /A/ zoT 23 c /vim CoT /9 - cv a O f � QQ \NGOFE o , •P F P tioN P � 0 roil �C, v CNA /A/ t /A1,t o !.' 9/001) 7 S. O OT 914 `oT 27 MAR 31992 Building and Zoning NOT VALID LMESS EMBOSSED WITH SEAL OF THE UNDERSIGNED. I HEREBY CERTIFY THAT T74E._.- SHOWN HEREON IS IN THE .SPECIAL FLOOD HAZARD ZONE_ X AS SHOWN ON FL 000 INSURANCE RATE MAP -00 FOR 4 7 BEA[Al, FLORIDA, DATED __ 4 TRI —STATE LAND SURVEYORS, INC. 8411 BA YMEADO WS WAY SUITE • #2, JACKSONVILLE, FLORIDA ORIDA 32256 (904) 7,31-72,35 LEGEND I HEREBY CERTIFY THAT TH£ 4BOVF LANDS WERE SURVEYED UNDER MY • coNc Nov RESPONSIBILE SUPERVISION At�L) DIRECTION, THAT THERE ARE NO • IRON COK ENCROACHMENTS EXCEPT AS ,SHOWN AND THAT THE SURVEY SHOWN (Art WIN MP OF 1.8 41+4) HF'ftrC)N MF - rT'S ?Hr M /NIA404 ' lUCNNICAl -CrANO ARDS _141 rOMr)l WY fENOi THE FLORIDA BOARD OF LAND .SURVEYORS PURSUANT TD SECTION 0 NPON COVE (ENO) 472.027, FLORIDA STATUTE . `' Y clews wr AR.L KRLUINC WSMIC77ON UNE f3W'T CASO"T LARRY P.L.S. No. 4144 9/v AyQ1i f car- wA x , �cp r « ^ Co✓ CaW*)tfv AREA SCALC: - f CENTERL►VE A/'C AM CONO"OWN6 MAD e,: ;t; IS*rj l+f' Y , X - ref IG(lvitiA (R) RAPf4t OMAN(k DA 1 : _ 2 7 • 1 ` Q rcwaRC� F.B. 190 PG. 7S ORDER NO. 374-394 OWNER BUILDER PERMIT AFFIDAVIT' --;— State of Florida City of Atlantic Beach ) 1 BEFORE ME, -the undersigned authority, personally appearwd _IL gDJLJ`h _ i �.. _ 1sTS lY_et fil a who upor, first beiny duly sworn, deposes and' says s and the legal owner of the following propeitys Subdivision Slack Lots' Al 4N� t_ 6&,�f � 0 2 9� �OT AKA (� ...L:�r�s1__ T_tt7 ,41V <C_rlf�f� I am applying for a building permit pursuant Lo Ltse Owner Builder exemption set forth in Florida Statute, Section 489.103. Florida law requires that I have been provided with the following DISCLOSURE STATEMENTS DISCLOSURE STATEMENT ,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 925, 000.00 or less. The building must be tar 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 licences required by state law and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMEHT and that I comply with all the requirements for the issuance of an Owner - Builder permit. Further, affiant sayeth not. P •operty Owner Sworn to and subscr,i d before this ,� -� - da y of 'A0 40z._.L_ -._• 19Ra . %V'. > -- HOTAR UBLIC My Commission Expires: public state of norl 997 pofarq 19, My c ilp ires Oct. 1 I A PSR-3844 7186 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ----- LOCATION INFORMATION ------- ermit Number: 7186 idress: 368 FIRST STREET Permit Type: WELL ATLANTIC BEACH, FLORIDA 32233 lass of Work NEW ---------- LEGAL DESCRIPTION --------- ,�onst , Type: WOOD FRAME - -"t* Block Section: Props ed Use: UTILITY Township: RNG: C- -felli gs 1 Code: 0 jbdi ATLANTIC BEACH ' .,�,tima ed Value: -SO.00 Imp ov, ' Cost 50.00 T tal Fees 5 10 .00 A; $10.00 PlIppaggg nNTVT. DWNER. INFORMATION APPLICATION FEES ---- Na KEN BUSli PERMIT 810.00 .ddres 3168 FIRST STREET WATER ,4MPACT FEE $0.v 4tLANTIC 1 FLORIT'' PhoTa (104) 46 - 30 4 9 WATEP `'METER RADON GAS-H.R.S. SO.00 CONTRACTOR INFORMATION RADON GAS 5 SO.00 Name: L.N. WILL LIAMS WATER TAP tMo Adress B16 , 5 SEWER TAP SO.00 ATLANTT,0,-',,-,8,EACH HYDRAULIC SHARE so. --ense Tvre- CAPITAL IMPROVE SEC .H IMPACT FEE Zo. ot OTHER 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. VM 11JAHUM Mtn 08111116 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUMET TO RBYfjC I V VIOLATION OF APPLICABLE PROVISIONS OF LAW. TENDERED $10.00 EIVINOE RECEIPT NUMBER- 101455 ATLANTIC BEACH BUILDING DEPARTMENT By: A- TLICATION 1'OR WEI, PER11T l CITY OF ATf,AN'r7C trAQI PROPERTY aZE name:_ _A- . 3D AW Address �7`' �� APPLICMr, Ir GMER THAN OWNER Name: -- /t/' Day Phone �- c — 4 Address ;_'P JOB Address or I -GL �� Legal Description - Is well to be used for drinking purposes? Any person, individual, corporation or other entity receiving a perndt as provided in Section 22 -40 of the Atlantic Beech Code, and who nlaris to u-se water from the perTnitted well for dung purposes, mist first: obtain a bacteriological test report from the State of Florida Health Departmrnt, fimLishing a certified copy thereof to the building departmexit of the (,it:,,, o Atlantic Beach, A certificate of occupancy will not be issur-,(j until said report is on file with the building departtwnt. Department Notes: I agree to ccmnly with regii.lations stated herein: i e EE I CITY OF ATLANTIC BEACH BUILDING DEPARTMENT I INSPECTION REPORT JOB LOCATION PERMIT # SUBDIVISION OWNER NAME 36£3 FIRST STREET PHONE 20 74 ATLANTIC BEACH, FLORIDA 3233 LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE SARAH VINES CLASSOI4v7Ac3241 -9051 CONTRACTOR PROPOSED USE ELECTRICAL "" ADDITION } WORK DESCRIPTION BROOKS AND LIMBAUGH SINGLE FAMILY INSPECTION REQUIRED INSPECTOR EXST 1 P VOLT CABLE RACEWAY — WIRE HVAC INA L DATE INSPECTED �BY- ` L E 'T IC APPROVED REJECTED ❑ COMMENTS CITY OF ATLANTIC BEACH, FLORIDA 2Q Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ' /��� 19 5 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. � Z�f ELECTRICAL FIRM: MASTER ELECTRICIA SI ATUR NAME ADDRESS: �� RFD BOX BLDG. SIZE BETWEEN: RES. ( ) APT.( 1 comm.( 1 PUBLIC ( 1 INDUS. 1 1 NEW( ! OLD( 1 REW. ( 1 ADDITION( ) TRAILER ( 1 TEMP. ( 1 SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE( 1 REPAIR ( 1 FEE -- CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH n W OLT (^ RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPLIANCES BELL T RANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS I CEIL 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 I NO. l KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES ®c d O nn1' - �-��,,�- CITY OF n - ' Office of Building Official REQUEST FOR INSPECTION / 3 Date f Permit No. Time A.M. �� P Received Locality ddress _ Owner's S � � Name ContractaT CONCRETE ELECTRICAL PLUMBING MECHANICAL BUILDING ❑ Air Cond. & ❑ Framing El Footing El ough Wiring ❑ Rough ❑ Heating Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Fire Place ❑ Lintel ❑ Final [] Sewer Insulation ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. T urs. Friday P. *P.-WJ Inspection Made l Final Inspection inspector tor . `�- Certificate of ccu ncy - ❑� f 1 Date \ 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�6 3 , 368 /sue �Lc -- - - -- --------------- - - ------------------------- 7�s� -Co.L - -- - - - - -- ------------------------------------------------- - - - - -- ------------------------------------------------- - - - - -- ------------------------------------------------- Enclosed are the blue copies of the permits. LY, BUILDING INSPECTION DIVISION cc:FILE 002063 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION INFORMATION ­�68 FIRST SIREET '. t Number : ATLANTIC BEACH,. FLORIDA 322?_� t. Type - MEGNANICAL LEGAL VEsCRIFTION t, Works REPAIR 0 1 ic3rck - Section*, ro rt T N/A Tovnstilpll R 14 C? z 0 'LE FAMICN' f 0 use: SING ';-clhd i vision A 'well A 9 4 C (- e 4 0 I-:att ed vtAlue-. :0.00 I Coatt -Sio. Of) tal $20.00 VD, *20.-00 APPLICATION VEES >O. 00 pERmlT WATER IMPACT FEC STREET n C T� FEE _*O CH, FLOR4 TMPA I�A 4t. 0014 CIAS TRW -INFORMATION RADON GAS 5% WATER TAP $0. 00 Nuatei SEWER TAP Addreva*­ NYDRAULIC SHARE LLE BEArH, I RE-INSPECT FFE $O.OQ 3 EmaI NEE RING *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 Bk 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. _IC BEACH BUILDING DEPARTMENT BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CA! L -IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. f / 5 T 7 w LOCATION Street Address: D & J OF Intersecting Streets: Between And BUILDING Sub - division II. IDENTIFICATION — To be completed by all applicants. 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 attacF�ed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical // Contractors ' Contractor ( Print) rl "!r✓) P/� s^ ' r •/J Master Name of Property Owner Signature of Owner Signature of or Authorised Agent Architect or Engineer i III. GENERAL INFORMATION A, Type of heating fuel: 6. 15 OTHER CONSTRUCTION BEING DONE ON �Efettric THIS BUILDING OR SITE? ❑ Gas — [3 LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT Q Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on beck of this form) ©'' Residential or L] Commercial D' eat ❑ Space ❑ Recessed O Centel O Floor ❑ New Building �'`Cwntrel � Existing Building �'�Air Conditioning: E3 Room IG � ❑ Duct System: Materie Thickn ieplacement of existing system ❑ New installation (No system previously installed) Maximum capacity r S � "' c.f.m. El or add -on to existing system E3 Refrigeration ❑ Other — Specify 0 Cooling tower: Capacity 9-P.M. ❑ Fire sprinklers: Number of head 0 Hevetor ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pum - (number) II ❑ Tank (number) Remarks ❑ LPG contains K (number) ❑ Unfired pressure vessel Permit Approved by Da Q Boilers ❑ Other -- Specify Permit Fe LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity AsevittR Number Unite Description Model Number ]Manufacturer ( ns) cY A Tr HEATING - FURNACES, BOILERS, FIREPLACES Capacity Apps Number Units Description Hostel Number Manufactum (BTU) Apooy - l., TANKS Now Many Nom(aal Capacity Type Liquid Name of Serial Approving and Dimanions Contained Manufacturer No. Agency DEPARTMENT OF BUILDING (, CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. l? PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 3 -19- 19 aft Valuation $ RE – ROOF Fee $ 7.50 This permit not valid until above fee has been paid to City Treasurer, and is T subject to revocation for violation of applicable provisions of law. 7. 50 1 JOE BROOKS &SSONS ` This is to certify that ltrtr'�}r 10621 Noemandy Blvd 1A 3; 00 � has permission to KU Re -roof as per plans W Classification residential zone Owned by Ve Lot Block S/D House No. 368 First Street According to approved plans which are part of this permit t NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS _ AFTER DATE OF ISSUE 4� 4 � O Building material, rubbish and debris __4 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. John M. Widdows Building Official. FOR OFFICE PERMIT DATE CON CTOR USE ONLY NUMBER PLUMBING ELECTRICAL I SEWER WATER CITY OF ATLANTIC BEACH FLORIDA APPLICATION FOR BUILDING PERMIT Date i�� l4' i^�� l % 19 — a�L — Owner / y� Address Z Telep h one- yG Telephone Architect Address - -- r- ' Address �r�/n� -1 Horw`etu,°� /LAA Telephone7fS: Contractor.s0� (5 rc7c �� � �a��3 'r , Expiration Date e l Y 7 License Number i _ Zone — Lot # Block # SubDivision Street /�—/ S j Between and Side Valuation $ �10C'� Purpose of Building Const. Dimensions -Lot Size Foot. Dimensions - Building Sz. Piers Sz.SillsGreatest Sill span ft. erfsli Heating Solid or Filled Ground Roo � in Joists Distance on Centers Greatest Sz.Ceil g span Sz.Floor Joists Dist. on Centers Greatest span Sz. Rafters Dist. on Centers Greatest span Two copies of plans and specifications shall be submitted with application. Inspections required: 1. When steel is in place and ready to pour footing. 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. 4. When framing is completed. 5. When rough plumbing is completed and ready to cover up. 6. When septic tand drain field or sewer is laid but before covered. 7. Electrical inspection. 8. Final inspection. SETBACKS In case of any rejection, reinspection MUST be rear lot line called for after corrections are made. 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 rA in accordance with the building regulations o ' of the City of Atlantic Beach. a� Signature O.-.NE Address /d 6 �I /7orK Y� G'�( Vol SiEnatare JUIL•DER_ Address _ FOR OFFICE USE ONLY Date ------ - -f_ -T ------ 195--- # d a Permit - -- - - - -- -Fee $- -- ---- �`- •-- �- - -""�' TOWN OF ATLANTIC BEACH Valuation $ ........ House # -- ---- -- -- - - - - -- - ------------- ��O ------ /-, FLORIDA -��---��-� -� �- -- 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 verified. //`` / �"'� Date ---------- '_4l A,C�- -- ----- - - - - -- `:? ------------ - - - - -- 19 -- - - - - -- - c� ✓�i1�°•f, �� - -- - - - -- Address-------- - - - - -- ------------- - - - - -- ------------------ - - - - -- Telephone No ----------------------- Architect----------- ------ ---- - - - - jam - - - - - -- -- -- ------------------------------------------ . Address__ ----------------------------------------------------- Telephone No_ -------------------------- ContractorBuil r - -- / --- -- ---------- ---- -- - - -- -------- -------- •-- - -- Address --- - - -- - - - -- ------- - -- - -- - - - -- --------- ------- ---- - - - - -- Telephone No.-------- - - - - -- - - - -- - - �� t NJ/ --- . -- -Sub Division---- --- - - - - - -- ------------------------ ----- -- ---------- -------- - - - - -- -------- Zone- .------------- - Lot No d � _ -Block No--- ------- - -- - j S ' -- - - - - -- Street - -- -- - - - - -- -- - -- -- -Side Between.. - -- ----------------------------- -------- -- - - - - --- an -- - - Sts. Valuation $___�� � -,. ­For what purpose will building be used _--- _-- _- _---- -- -- -- --- -- ---_Type of construction .----_--_--______-_____-----__- Dimensions of Buildin g �U X -3 �!�-.---- - - - - -- Dimensions of Lot - - - - ,f V_ �_ X_____ � ----------------- Size of Footings -_ - ___- Size of Piers--- - - - - -- ------------ - - - - -- - - -- -Size of Sills --- . ------- - - - - -- -- - - - - -- Greatest Sill Span in ft ------- ------------- ... --- Type Raof'oe.?u / / ---- u ----- *- How will Building be Heated? --- -�C"- l-��l Nr - -- •___Will Building be on Solid or Filled Ground ? - -_ - -_ �?�[- •---------------- » Size of Ceiling Joists--- -. -��- -- --------- - - - - -- Distance on Centers ---------- . - - -- --- ------- ---- -------- . - ---, Greatest Span-----------------------.------------------ Size of Floor Joists ---- ---------------- - --------------- --- Distance on Centers- .- -- - - -- ---------------- ------- -- - - ---- Greatest Span------------- -- ------ ---------------- - - ---- " Size of Rafters - -- ---- - - - - -- X--------- - - - - - -- ----- - - - - -, Distance on Centers __- .- ..4?.--- ------ ---------- - - - - -, Greatest Span - - - -- ------------- ------------- --- -- - - -- „ This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot -lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and /or lintel. Z a 3. When steel is in place and ready to pour beam. 4. When framing is completed. F s 5. When rough plumbing is completed, and ready to cover up. W A 6. When septic tank drain field is laid but before it is covered. A 7. Electrical inspection by City of Jacksonville. S. Final inspection. Note: In case of any rejection, re- inspection MUST be called for after corrections are made. 00b► FRONT OF LOT In c nsideration 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 Atlantic Beach. Signatureof Builder - --- •------ •--- ---- ------ - - - - - -� s - - -- Address- - - -- -- --- •--- ----- - - - - -- -- - - - - -- -- ----- - - - - -- ----- --- - - - - -- - ----------- - - - - -- - -- - - - - -- Signature Owner- '4 -�.y- Address----------- ---- -- - -- - -- ------------------ --------------------------- ----- - -- - -- - Instructions 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 permit. 2. No changes in the approved plan shall be made without the approval of the building inspector. 3. Inspections: The following inspections shall be called for: A. Foundation, when steel is 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. H. 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 upon submission of a drawing showing the size and location of completed building on lot to the building Inspector a Certificate of Occupancy shall be issued. No building shall be occupied before said certificate is issued. 5. Plumbing permit does not cover sewer connection permit. 6. All contractors 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 oi- of Ordinance #186, shall upon conviction thereof be punished by fine not exceeding $500-0 or imprisonment for not exceeding 90 days, or by both such fine and imprisonment. 8. Copies of The Southern Standard Building Code and Ordinance #186 are available at the Town Hall 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. Date Signed