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375-379 3rd St (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 - INSPECTION PHONE LINE 247-5826 Jif S Application Number . . . . . 05-00030183 Date 4/27/05 Property Address . . . . . . 375 3RD ST Tenant nbr, name . . . . . . INTERIOR KITCHEN REMODEL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 Owner Contractor ------------------------ ------------------------ MILLS, DANNY EDWARD D. WINTERS JR R/E HOME INVESTORS ATLANTIC BEACH FL 32233 5151 SUNBEAM ROAD, SUITE 3 JACKSONVILLE FL 32257 ------------------ ---------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 49 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 49 . 00 49 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 49 . 00 49 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL r CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: �}rt(�,�rrG ,�c4 rz -7 y 3� 55 '5-5 O Owner: AniN /LL I l.L. S Telephone#: 73U-Ov Contractor: Coq 5 S i c (tel v �,�w�y 4 Telephone#• -7.3 D 20,6,3 � r S �I SUN SeAm 1Cnn '.d Contractor Address: Fax#: Contractor Signature: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: Re-Pipe Number of Fixtures: Bath Tubs Showers Closets 1 Shower Pans Dishwashers I Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 = 800 Seminole Road.Atlantic Beach, Florida 32233445 Phone: (904) 247-5800• Fax: (904) 247-5845. http://www.ci.atlantic-beach.fl.us Revised 1/04 ( WATER IMPACT FEE WORKSHEET ADDRESS: i DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower 6 Bathtub(with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 Drinking fountainAcemaker yz Floor drains 2 Hose bib 1 Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory 1 Shower compartment, domestic 2 �- Sink ( 2 Z Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple) each set of faucets 2 Water closet, flushometer tank, public or private 4 Water closet, private instailadon 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS= MULTIPLIED X 20 TOTALS go � J `r CD ft W '17 C C:)> �^ �7 o n 73 N zriX e G)Z0 cst 0=J< r N =nm Cil "'�� Z c., T CITY OF ATLANTIC BEACH I 1 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 q- INSPECTION PHONE LINE 247-5826 'V X J1111 Application Number . . . . . 05-00030183 Date 4/27/05 Property Address . . . . . . 375 3RD ST Tenant nbr, name . . . . . . INTERIOR KITCHEN REMODEL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 Owner Contractor ------------------------ ------------------------ MILLS, DANNY EDWARD D. WINTERS JR R/E HOME INVESTORS ATLANTIC BEACH FL 32233 5151 SUNBEAM ROAD, SUITE 3 JACKSONVILLE FL 32257 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 2000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. / BUILDING OFFICIAL t1:�1r'si CITY OF ATLANTIC BEACH Cc: BUILDING / ZONING DEPARTMENT D Hi rtlns em 800 Seminole Road 99 S. Doerr Atlantic Beach,Florida 32233 f JF31� (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 09-30) 9 3 Property Address: ��] 5 3 ra ST- Applicant: TApplicant: Project: This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: !u�(9 Date Contractor Notified: RE: cF. ivK 0 CITY OF ATLANTIC BEACH s CITY OF ATLANTIC', MAN BUILDING PERMIT APPLICATION > BU f piNG (Interior Remodel) J r AN 2 5 2000 BY, Date: :3' �r .4 r-�-rlc 6a, FG Job Address: 7,� Owner of Property: Vd�N�Y rn r G L S '711 Address: Telephone: 73o -Oo 61V Legal Description: Block Number: Lot Number: Zoning District: Contractor: 9 4CD h't t✓ I N I/eS%dpR�5 LtC-State License Number: CUC 1-50,6 172 Contractor's Address: Sre # 3 -F4)c FL 3;25-7 Telephone: Fax: 4 0 ti " -7?o -/lS 4;-9 Describe prTlelerRock- osed use and work to be done: i 1 c,✓ b/.,e' /2e S� t-14 Present use of land or building(s): rAyu r L y Valuation of proposed construction: D d New electrical or increase in service? fJo Add plumbing fixtures? Alo Add fireplace? /Q0 Add heating/air conditioning? A/0 Is approval of Homeowner's Association or other private entity required? ttV If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor, and two(2)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/04 ' r �j yL'JrJt� p1 r J s' CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: Job Address: 37S- 2'�' 97- &j, CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE- OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT rr FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. 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-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. 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. �LER OP ��Pit ERTY R/BUILDER SWORN TO AND SUBSCRIBED BEFO ME THIS _DAY OF 20 0> :, MY COMMISSIGN i)C 3991y? \jb_7NOTARY �= iRE5 R ¢,, Ba�dThruNoMNP�'.i�lauxw�ep MY CO NOTE: PHRASES UNDERLINED ABOVE. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 ��Jii1J� Application Number . . . . . 05-00030184 Date 4/27/05 Property Address . . . . . . 379 3RD ST Tenant nbr, name . . . . . . INTERIOR KITCHEN REMODEL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 Owner Contractor ------------------------ ------------------------ MILLS, DANNY EDWARD D. WINTERS JR R/E HOME INVESTORS ATLANTIC BEACH FL 32233 5151 SUNBEAM ROAD, SUITE 3 JACKSONVILLE FL 32257 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 49 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 49 . 00 49 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 49 . 00 49 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDI 'OFFICIAL s1� CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION ��•Jii ,f' Date: Property Address: 7� Owner: Dl � N L` S- Telephone Contractor: A�SSk C_ v,/Yl be N ` Telephone Contractor Address: 5��1 �J Ngo ��`� � � ax#: 736 Contractor Signature: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 = 800 Seminole Road.Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800• Fax: (904) 247-5845• http://www.ci.atlantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030184 Date 4/27/05 Property Address . . . . . . 379 3RD ST Tenant nbr, name . . . . . . INTERIOR KITCHEN REMODEL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 Owner Contractor ------------------------ ------------------------ MILLS, DANNY EDWARD D. WINTERS JR R/E HOME INVESTORS ATLANTIC BEACH FL 32233 5151 SUNBEAM ROAD, SUITE 3 JACKSONVILLE FL 32257 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 2000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES IN �� BUILDING OFFICIAL I V F. D CITY OF ATLANTIC BEACH ar�r ppF�Tiar�Tic BacH BUILDING PERMIT APPLICATION BUILi11N & ZON,NG (Interior Remodel) AM 9 - 2005 C-Co� q 3_205 BY. Date: l� Fess: 3 3Rd ST 0}'t(Ayr/c P t✓�.. Owner of Property: Dww Aly U Z 6CSS�S� Address: o Ge/2o Telephone: Legal Description: Block Number: Lot Number: Zoning District: Contractor: 9 Lf' #c7m e /N✓QSToRS L//L�� ,,c State License Number: (3 Cfi: I Contractor's Address: 5Z S Pj S/ �Ui✓�P jh a X orL :32 2-5-7 Telephone: q o ti-73D -26 -5--3 Fax: Q oN' -7 3 o- qg5- Describe proposed use and work to be done: I TGAe„/ C d e-e l l g1,4 Present use of land or building(s): R e S l V eR/T/1►(, /e FA Ac/4- Valuation Valuation of proposed construction: foo New electrical or increase in service? Add plumbing fixtures? Add fireplace? /(f o Add heating/air conditioning? (� Is approval of Homeowner's Association or other private entity required? NO If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor, and two (2)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail,plans'must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 2 Revised 1104 irjr1�J1�� f CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: Job Address: 7 ! 5T &U4,-vr-I C �ck CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. 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-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. 1 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. ED WINTERS PROPERTY WNE UILDER _.: r MY COMMISSION#DD 399192 C • a.' EXPIRES:April 19,2009 'f pfd Bonded Thru Notary Publ c Underwriters S SWORNIHIS �� DAY OF .L 200.3 NOT Y P LIC MY COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. j yLy�/ CITY OF ATLANTIC BEACH cc. Ford BUILDING / ZONING DEPARTMENT D Hi ins r� 800 Seminole Road S. Doerr J Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # dS - 3 06 L Property Address: Applicant: ed W`r&c P S Hor?rx� fny-c*oys Project: This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: �62 Date: Date Contractor Notified: d � md U r � n ^ V amu _O >�0 N Z � OQ O a=z a`t� Q� } CL- CO Q SSL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028684 Date 7/19/04 Property Address . . . . . . 375 379 3RD ST Tenant nbr, name . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 Owner Contractor ------------------------ ------------------------ MILLS, DANIEL ALL AROUND ROOFING, INC. 1785 ROGERO RDOVE 8540 WEST BEAVER ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32220 (904) 743-5588 (904) 388-7576 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 68 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2400 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68 . 00 68 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 68 . 00 68 . 00 . 00 . 00 t PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUIt G IAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date 'f l C( ' O C- Address XPermit fee based on dollar evaluation as indicated on permit application. Heated Square Footage @ $ per sq ft= $ Garage/Shed @ $ per sq ft= $ Carport/Porch @ $ per sq ft= $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ $ a14 Go. $35.00 1st $1000.00 $ $35.00 Total Valuation $ 1400 $ 5.0z� $ 1p 06 Remaining Value Per thousand or portion thereof: CONSTRUCTION TYPE: TOTAL BUILDING FEE $ GIS ZONING: + 'h Filing Fee $ _ FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE S SEWER IMPACT FEE $ WATER METERITAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ C ( )RADON HRS.0050 $ SECTION H PAVING S CROSS CONNECTION $ ST ( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE $ Cc: ri ,,,1 fJJ CITY OF ATLANTIC BEACH o BUILDING / ZONING DEPARTMENT S. Doerr J 800 Seminole Road Vr Atlantic Beach,Florida 32233 - (904)247-5800 RP C E I V E- r�Jj31�; (904)247-5845 Fax CITY OF ATLANTIC BEACH BUILDING &ZONING JUL 16 2004 PLAN REVIEW COMMENTS I Permit Application # LL4 , Z s�(r. F3 BY: Property Address: :SZ 5/0 a W S i Applicant: AL-J— fAlQ.C>lr&-*�ID ��I►uC-� Project: �C' This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By:ukk Date: I vid Jun .28 04 10 : 21a City of Atlantic Beach Bu 904-247- 584 C v !; y OF ATLANTIC f��4�1� JUL 16 2904 S�� CITY OF ATLANTIC BEAC I ROOFING PERMIT' APPLICAT a*- Date: l --- r� Job Address: 3 J� _ --- Owner Owner of Property: 7",12,1 _ rY-� ---- Address: O t) 321..x . Telephone: �� _ . . Contractor: -A yo _11' q _ State License Number: QQjCV4(3_CL:1___ Contractor's Address: � Q__�}.7 � lAQ YJk ----- Telephone: 1 l.P - ---- Fax: -- -- Scope of Work: -- �°��y_t9-- -- --- -- - Deck Slope: Greater than 2:12 _ t Z. Less than _:1 Valuation of work: 2' '.X2..l ------ Product Name(Example: Timberline): Manufacturer (Example: GAF):-- ' I << —_ __ ------_--___-- -----_----- ASTM Designation(s): —� ___. ------ --- -- Required Inspections: Sh g and F1 I Signature of Owner: --Date: / _off Signature of Contractor: __ Date: ��4__-_______ AS TO OWNER: J Sworn to and subscribed before me this _ �(� day of J 1 20 C>¢ . I State of Florida,County of Duval / Notary's Signature: .,. „,,,�,,, rn��Y's r YNNMCLENCYo Personally known z My St❑teofF ❑ Produced identification Wires Gammir.. �D0;2n7, Type of identification produced AS TO CONT Sworn to and subscribed before me this - .- �Q _ day of l.)i to - -20 State of Florida,County of Duval Notary's Signature: as !»tl�Yrl� Lynn '-Le�njot) Personally known ` tr+t`per - KiM;;"rRI Y LYNN MCLENDON n Produced identification No;a.y Public-State of Florida My Commission Expires Jun 7,2005 Type of identification produced ',;AOFd ' Commission#DD012349 [EP w-w MOM Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.stiantic-b each.n.us Nage I 'ST, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 r0000 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028690 Date 7/19/04 Property Address . . . . . . 375 379 3RD ST Tenant nbr, name . . . . . . ADD ADDTL 3/4" H2O METER Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ MILLS, DANNY CITY OF ATLANTIC BEACH 375/379 3RD ST. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 743-5588 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 7/19/04 Valuation . . . . 0 Expiration Date . . 1/16/05 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . WATER CONNECT/METER ONLY 85 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 85 . 00 85 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 d r PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. dL. � • B ILDING OFFICIAL R.1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX: (904)247-5805 gin.. SUNCOM: 852-5800 _ . http://ci.atlantic-beach.fl.us Date:. r1 12, Name: � � ✓� �1 t S 3— � -7/ ) ��2 Address: The cost to connect to the City sewer and/or water system are as follows: Sewer Tap–Labor and Materials to tap into sewer main (Estimate from Public Utilities) $ Water Tap –Labor and Materials to tap into water main (From Ord. 22-28) $ Water Meter–Cost of Meter (85.00) $ Cross Connection Inspection –Inspection by Public Works to insure backflow prevention (35.003/4"–Ord. 22-28(a)) $ Sewer Impact Fees–Funds future expansion of the sewer plant (1250.00 each living unit–Ord. 22-17-0) $ Water Impact Fee–Funds future expansion of the water plant (From Building Dept. –Ord. 22-29 FLA. Plumbing Code) $ Capital Improvement–Funds for improvements, expansion or replacement to water system (325.00–Ord. 22-28) $ TOTAL COSTS $ DCF/js N i r i ! 4 T 1 1 FF 15' lool } N4 L �3 1 L l OLD ALL of LCT ?-G E-. I/?- LD T Zb , 3L< 5 ATLA,NlT ! C, BEACH F LP� . PLAN '. J off tV SC)Q PSR-3844 6 ` DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION ---- ------ LOCATION INFORMATION -- ermit Number : 14166 Address : 375 THIRD STREET Permit Type: RE-ROOF ATLANTIC BEACH . FLORIDA .32233 !Class of Work:ALTERATION ------ -- LEGAL DESCRIPTION --------- Constr. Type:WOOD FRAME Block: Lot : Twp: Proposed 13se : SINGLE FAMILY Section: 0 Subd : Rna : Dwellings : 0 Subdivision: Est . Value : 0 . 00 Improv . Cost : 21000 .00 Total Fees ' 25 . 00 Amount. Paz. : 25 .0" _OWNER INFORMATION - - - _ _ . . _ _ _ ---_- _ _ APPLICATION FEES - --------- Name, D°CROTHY DISTLER PERMIT 25 .0^ A1dr THIRD STREET ATLANTIC BEA, H . FLORIDA 32233 Phone , ` ?''4 ; 396—:x761 ----- - CI-DNTRAC`TOR INFORMATION -- - Name * MILLER PAINTING Addr : 2138 WRIGHT AVE JACKSONVILLE . FL RC053663 Exp : / PPjT 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 14 Lr eeeip CASH ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000 i By i� \% /,- - � ��. lq ' j; CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS r Owner (s) Address:,22 7� _�J hone: Lot # Block or Unit # Subdivision: Contractor: ,+ State License 3� e N Address �� T Phone o: �� Describe work to beone: Present use of building: Valuation of Proposed Construction: Proposed use: ic)e- Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMEENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CO CTOR. Signature OWNER: Date: / Signature CONTRACTO t�� Date: License Supplied: Liability Insurance: Worker's Compensation Insurance: /CITY OF >Nitl /�P�/ "99 Office of Building Official REQUEST FOR INSPECTION Permit No. Date A.M. Time P. Received � � � ality Job rens Owner's Contractor Name MECHANICAL CON TE ELECTRICAL PLUMBING BUILDING ❑ Air Cond.& ❑ Framing ❑ oo ing Rough Wiring ❑ Rough ❑ Heating Slab ❑ Temp Pole ❑ Top Out Re Roofing ❑ ❑ Final ❑ Sewer ❑ Fire Place ❑ Insulation ❑ Lintel Pre Fab READY FOR INSPECTION A.M. J Mon. Tues. Wed. Thurs. Friday a C� A.M. P.M. Inspection Made / Final Inspection ❑ inspector Certificate of Occupancy ❑ / �� Date PSR-3844 11722 ,I DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ---- ---- LOCATION INFORMATION --- Permit Number : 11722 Address : 379 THIRD STREET Permit Type: FOUNDATION ONLY ATLANTIC BEACH , FLORIDA _« Class of Work: REPAIR ------ LEGAL DESCRIPTION Constr . Type: WOOD FRAME t.„t . 26+ Block: 5 Section: Proposed Use : SINGLE FAMILY Township : RNG: 0 Dwellings : 1 Code: 0 Subdivision : ATLANTIC BEACH Estimated Value : 57995 . 00 Improv. Cost : $0 .00 Total Fees : 575 .00 Amount ,-Paid 575 . 00 Date rte4A _ ' 4/ $/9F 'CEPA 'FR. PLANS ----- `rIVER INFORMATION --- APPLICATION FEES Name- ` IRC7 ? MCLAUGHLIN PERMIT 575 . 00 THIRD STREET WATER IMPACT FEE $0 .00 ATLAFTIC� , EACH , FLORTPA 32 SEWER IMPACT FEE $0 .00 41()41 211 1425 tAT -RZTER pTAP m ow RA60N' C-i$" _f"'R . S .0" CONTRACTOR INFORMATION RADON CAB 5% $0 . 00 Name SYSTEMS ;AND EQU ' CAPITAL IMPROVE . 90 .00 Address , 205- 2 EDGP;R STREET SEWER TAP 50 .00 ATLANTI,7,BEACH ; Ft 31232 CROSS ~ONNECTION 50 .00 CBC054-CP- Type: 1 SEC H IMPACT FEE $0 . 00 CONST . SURCHARGES .00 SrHP.RGF/AT?. . BCH . ma�a6e,;w fin'�{tn NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION F.OR4 VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 4/09196 01 kpt: 00471L0U SNE696 5000 00100003221000 ATLANTIC BEACH BUILDING DEPARTMENT 7— By: �` 1 r✓� CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET e, 2 v Address 3 7 / 3 S Date �z - r -96 Heated Square Footage A $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch I 1K( @ $ per sq ft = $ Deck <�S y @ $ per sq ft = $ Patio V @ $ per sq ft = $ TOTAL VALUATION: $ ` L? i�=oU $ Total action 1st $ /d 0 � 9 ) -? s 3r Remaining Value $r per thousand or portion thereof TOTAL BUILDING FEE $ so + 1/2 Filing Fee $ (0) Fireplaces @ $15 . 00 $ � BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ 1 �<o d ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS Own er(sc,�IC Address :-- 379 /d�-��,Jhc �,,,, Ec Phone : , Lot # Block or Unit # 5 Subdivision: Contractor jodmo A- (Q,.,/ &- i F _ c n di f-") 6,/r- /IjC State License #_(2Z CU ��6RZ Address : Phone No : r�3zz�o Describe work to be done: Present use of building : 's ,/cc� �i „ �,� /��r� s�,c 37S /3'75 Valuation of Proposed Construction: '�( 7, 99.E O0 Proposed use : -?—F-& , p tz c-.,- Is this an addition? /'// If yes , what are the dimensions of the added space : /+//n ft . X W/A ft . Will the added area be heated and cooled? A✓//9 New electrical ( or increase)? New plumbing fixtures? A///� New fireplace? New Heat/AC?� SUBMIT T COMPLETE SETS OF PLANS , INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS , NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: A Date : Signature CONTRACTOR : D y License Supplied: fa.rf< 1996 APPROVED Liability Insurance : CITY OF ATLANTIC BEACH Building and Zoning Worker' s Compensation Insuranc,,e' � r r Mar-04-96 05 : 31P P . 01 -� M44P SHOWING BOUNDARY SURVEY ~OF LOT Zc BLOCK 5 AS SHOWN ON MAP OF 'lz. �- AS RECORDED IN PLAT BOOK PAGES GE-7 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED FOR: r-�-n Aum 5--� 42T i P:I' Ji.-c- L. 4 o • � o APR 81996 Building and Zoning 4,7 -'—� ul o � � QOL—:14�.Z• - o � •.,. � Gig .. J' �� Q � . g71A TVM,EpH J{ Q 9 BUI'I_DfNG (�frFfL` �4 Q.D . : p, Vl I 5 PR - jg d IV - lrwf GLIA A(MO;EO I(ERtON IS 4 cup•rCSY.>A r AM-)DOES Nor A ,'.[A nJ.Gt n0ty.Y flg SAME _ID UNLESS EMBOSSED WITH SEAL OF THE UNDERSIGNED, THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE_—_, __ AS SCALED I-ROhf FLOOD INSURANCE RATE MAP rtes?1 FOR THE CITY OF ATL -, E;, r i, FLORIDA, DATED -, L-7: TRI--STATE LAND SURVEYORS, INC. 8411 BAYMEADOWS WAY SUITE #2, JACKSONVII.LE, FLORIDA 32256 (904) 7,31-72.35 i£C£k0 I HEREBY CERTIFY THAT THE ABOVE LANDS WERE SURVEYED UNDER MY f "CN RESPONSIBILE SUPERWSION AND DIRECTION, THAT THERE ARE NO ENCROACHMENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN M^+ =A' /is 4144) HEREON METS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE x FLORIDA STATE' BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS Dom+ lsarc; PURSUANT TO SECTION 472.027, Fl•ORIDA STATUTES. CJ ots�rlcw 1#.E 4 tAst,r�,r LARRY G. EDDY, P.L.S. No, 4144E WA Yro.oh�ARrA SCALE.• I"•y Z,o' �' _ r� vv 1km - -�f2 va cao.Ip+wc vAc -CISTF/�E (JRVMAPPER, 'Aa,; ;:S'ANCr DATE.• Z- Z-o-�G, STATE P FLORIDAa+�E C3 oveN \9 ZI • -- �' Ira J • . t 06 • eR NTC NT ' .'? g 1996 eg G i ATLM GFWTBC4* �1 t @MRGtAf):TI1 5F3tVIG?5 L c 5onvIlIG, Florid ill . McMaran Jr. P.E. PIN LOCATION PLAN Registered Florida No. 42677 McLaughlin Residence No. 375 & 379 3rd. St., Atlantic Beach, FL DRAM: BCH DATE: 3/30/96 5CALE' N/A z CHECKED: BCH JOB NO: STUCCO - 3' THICK SOIL SUPPORTED FLOCK 51 A8 -CY)►-FINISH FLDCR ELEV. PN PILE = BL=ULL PIT -TOP OF FOOTING ELE1f (writ) ---- 1C NIDE x D'DEEP CONTINUOUS MALL FDOTINCS W/3 JS CONTUMS PIN PILE NOTCH FOOTING So BRACKET FACIE ACCESS PIT IS CO—LINEM N'/OUTER FACE of BLDCX WALL PN PLATFORM ASSWLY PIPE SECTION COUPLING 2-7/B'O.D. CALVAN® STEM PNS mm" caLkR FRICTION COLLAR BEARING LAYER B�vrrNG LAYER PIN PILE PROFILE PIN PILE - FRONT VIEW p►'P'p Ft�V Eu � BEACH eU, OF ATLANTIC 13EA APR _ 8 1996 8 1996 N v E AIU AC CEOTEDW1CAL r ENMONUENTAL SERNCES eg( Bill C. McMahan Jr. P.E. Jacksonville, Florida Registered Florida No. 42677 PIN PILE DETAILS McLaughlin Residence o. 375 & 379. 3rd. St. , Atlantic Beach, FL Z DRAWN: BCM DATE: 3/30/96 SCALE: CHECKED: BCM JOB NO: < NA U P r • ' � 7 ' CITY OF ATLANTIC BEACH APPLICATION FOR ROOFING PERMIT BUILDING OWNER� , 1 4- PHONE JOB ADDRESS_3�5 �►- ��q LOTIf BLOCK Olt UNIT # SUBDIVISION CONTRACTOR R, (' 1�► PHONE ADDREss��S� LICGNSC NUh1BER EXPIRATION JOB VALUATION MA'TE'RIALS: SIGNATURE 0{VNER DATE SIGNATURE CON'I'RAC'1'OR DATE DEPARTMENT OF BUILDING 9592 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date March 17 19 89 Valuation$ 2,678.00 Fee$ 7.50 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. This is to certify that DUVAL ROOFING CO>`IPANY, INC. 7.r!G T RCA030047 1858 St Johns Bluff Road Jonvi e7.5�CT , /,�.Iy� 9592 000EACr has permission to build Re Roof ' 1 1/17/0 i Classification t2A S i rlpnt i a 1 _Zone Owned by Lot Block S/D I House No. 375-379 THIRD STREFT 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 --� --01 O Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- tracto- owner, yJ Bu' g Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER i FOR OFFICE USE ONLY Date------ ..1--- ...............19 2.k Permit #_11-1.7......Fee$----7-S.. ...... CITY OF ATLANTIC BEACH -� Valuation $---t.�.0.�170_-p•-•-•-•.................. FLORIDA House �#...`5.7.._x....:...:J.71......._ 5 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 City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City 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 City 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. / Date................ .LO-----....-_----------------------------- 197......... Owner.....;.lard..... ----------------------------------------.--Address.... 1?17.Y `.?��_ ...l_-As-------Telephone No._Z-?- .: Y_! Architect........................•---•-----•-----...........--•------------------------/•---•-••------....Address.----------.....------......------------.................._.Telephone No............................. ContractorBuilder__11N. -.---------Address_.: V Z...!1,0t!4ZImAkts__•-__Telephone No2.4_u_-..Z.Y.1_S' L Lot No...�ot.z`. _E7t! ��_Block No.. 5— Sub Division.. r1T�ieNfic_ ae.o --------- Zone ----------------- 1 - -------Street--- - -- - ------'Side Between ..................................................and-•---•-•---------•--•-••............----••---------...Sts. Valuation $..... .S�y. off.........For what purpose will building be used...A�t?_f� _______________Type of construction.!7/Ar_s.�A--•• ___Dimensions of Lot._..---7 _,1_.G....._.__..._ _.__._Size of Footin X . Dimensions of Building._ Z_X 6 _ G------------- 1 Size of Piers-_-----.-. _ ------------------Size of Sills_ ...... __Greatest Sill Span m ft.--- -- .._ _.____ _ _Type Roof _L,�S ._..,.5 - ----- How will Building be Heated?__G,..L._..l L!2 5 S__------__-- ..........Will Building be on Solid or Filled Ground?___ ................... ii / Size of Ceiling Joists....744.6......._------------------ Distance on Centers_._......i..b. __.____-__.____...._.._, Greatest Span.........1-_3- ---__________-..__-__. " Size of Floor Joists...............................................Distance on Centers........... .............-------.------...... Greatest Span............................................ " Size of Rafters.------------Z e.4----------------------------- Distance on Centers ----- 16.........-----._ ----..._-, Greatest Span......... ._".�1..__.....__..___._ " 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 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 tank drain field or sewer 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. 7 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 City of At ntic Beach _ �S_� Signature of Builder........ .... .... ..�. . �� --•--••------•-- Address--- f�.!��,�----�pkt-�-••- Signature of Owner.. - ` --------• Address.=�ty.-=....1? •-•-_-------------- CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT NO. Date : LOCATION 31�" — 31 g 3 Inc+, S T. Street LOT NO .24.,t VOL ZS- BLOCK NO. S S/D OWNER D1D!S) M kVS1rO MASTER PLTT4BERneie tgpoLp E% t �. BUILDER OR CONTRACTOR npN �0�1at� N Permit- ?o,, TYPE OF BUILDING_ '�)U z J E Z SINKSLAVATORY ?iBATH TUBS URINALS CLOSETS FLOOR D4RAAINS 1--SHOWERS 1,-i(ATER HEATERS DDISH4ASHERS DISPOSALS_ 7, OTHER f jYJ TOTAL FIXTURES 4 1@ 51 .00 fg NO WORK. MUST BE DONE UNTIL. A PERMIT HAS BEEN PROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size .ar_d location of all the soil and vent pipes, and the number and location of all fixtures, (in accordance with Ordnance no. 188 of the City of Atlantic Beach, Florida) must be shown on back of appli- cation and be approved by the Plumbing Inspector. DRA4 PLAN AND SPECIFICATION OF ABOVE PLUMBING ON B.LCK. Approved by Plumbing Inspector Date (FOR OFFICE USE ONLY) ROUGH-IN INSPECTED_- REVARKS FINAL INSPECTION: �G".�,-YL' CERTIFICATE ISSUED: CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD J =" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001029 Date 7/23/09 Property Address . . . . . . 375 3RD ST Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------- Application desc patio extension and fence 6ft ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HANBURY/DOWNS OWNER 375 3RD STREET ATLANTIC BEACH FL 32233 -------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT k Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/19/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 f PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Jul 14 09 05: 32p The Hanburys 2175447494 p• 2 ¢r CITY OF ATLAWM BEACH 09-71 I _ �- SW SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE(W4)A7—•FAX N0.:(WCA47.5945 BUILD W C-0—GIC•OAa.US BUILDING PERMIT APPLICATION DUVAL COUNTY ' � A v tt x i' _s FF+I Rea_ :. MAI EM 3yS' 3Ro ST ,� c '300o C4-sr - . �usE�F�Q R F31t1Tt _ - aw>:a3�* rie,aSs- - -• Q NEW 91lIL.DaJk' ❑DEMOLITION F9'TFE616EM1AL LOT BLOCK SUB WASION 5',t1w i A mt,tLL'a 13ADDITION ❑CoNVERTING USE ❑COMMERCIAL Q ALTERATION [3ACCESSORY BLDG .�..J'.:.. .. r3 IR POOLI SPA Q YES L�'AfA i LTT D G l}FAJ S/F+✓ /�F�C Tr-J !C F.4?_ I MOVE [94MER NO Tri t P$QPFR?1CaWNEFt 9 '$R ANYtt: 11 COMPANY twhE 23-COMPANY NAME 1/ 16.NAME 24.LICENSEE MAIME: s r f 7.STATE OF FLORIDA LICENSE N6- Z5.STA7E OF FLOPoDA LICENSE NO-'10.ADDRESS � �s m ADDRESS 2a.ADDRESS it.OFFlCEPHONE 12,FAX NO. 19.OFFICE PHONE 2(L FAX NO.: 2T.OFFICE PHONE: 12&FAX IVO.' 19.CELL pF1pNE: 1.CELL PHONE 2B.CELL PHONE 4'D�3� �i7 �S 7 3D.E6TA0.ADDRESS_ :14. ILADDRE55: 22,i3dA1L ADDRESS: .SI GAGE ,,.g 35.NAME 31.NAME 33.NAME: 92 ADDRESS: sd-ADDRESS: 95.ADORESS: that no work or iffstaletion has =WwtP"—hk— hereby made to obtain a permit to do the work and installations as indicated. I i�Y � Or MS Utt in this ior to the issuance of a permit and that all work vAl be Performed to meat the standards of all laws ^B or his permit becomes null and void if work is not commenced within sic(6)months,or if construction or work is suspended a peftcl of sbc(6)months at arty tiara after wu*is commencrEd_ I understand that separate penins must be secured for rk Plumbing,Signs. ers,Tanks. Air Conditioners.ate.oln irtforrTtatiatisaoaaateandthata9 work wifl be done in compliance withallappiicab'e OWNERS AFROAVFr-I Cer*that all lite foregoing art iherof,until all inspections arefinaled and laws regulating constnKZon and zoning.1 roll not occupy or use the referenced building ora ny P prior to obtaining a certificate of occupancy or completion Issued by ft building official,as required by taw. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. gg LENDER OR AN.0 _GE � L F° ,° "X: � . �' `-- afA�onalr arn9rni::. -ac. - �.. Date.-71,q/d signed: Dala Sped:S2009 In the county of �1 day of�1LL L 20091n the county of Before me this day of �O1B u the Duvd,State of f7w-da,has personally appeared Duvet.Stats of Florida,has PBrsorta0y appeared herin by hintsatF/herself and atfimss(hat aN sfdvnertts and declarations are harin by himself I herself and affrma that all stets—nfs and ded817260113 ars Into and accusa". 1 true and accurate. S Nr AM l County ofO� Notary Public at Large,state or�_—� Notary Pubric at Lerae�Stats of_,� ❑P NM Kr~ '�[Pers0rv31b Krnrn 0 PM*Md wwwlc ^- El Prodwad W-1116-9W / Notary Sigrtawrw Notary Signaturs: .1 M"MYM WTMY KOX-STATE OF U-00S 6LDGI1 Pinna A S W fir r� CITY OF ATLANTIC BEACH 09- - -=? 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 ` BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION Duva,L COUNTY 37.J� 3R-D STA��ai✓�lc £l�C�, �3LJOD (LST . -- F" 7_ ,..z Y'^ n _ ._ l X"34 EGALDESGRIPTION.„. CLASSOFWORKE�,._.,m ,. 3- �:.;: 6 USEQF;STRUGTUR vg,4 ❑NEW BUILDING ❑DEMOLITION &T� ESIDENTIAL LOT_BLOCK SUB DIVISION SC//��7 /r V ^4t) ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL „rZ.DESCRIFTJONOF WORK *"T ..`-'�?_, _4}4+._%.+t�z�rt' :S-= .--r'-=?�rxw 3t - _ �'`i El ALTERATION El ACCESSORY BLDG. S.FIRE SPRINI4_E♦ ❑REPAIR ❑POOL/SPA ❑YES Lt*A t-1 j,E1t)(7,S ❑MOVE LTfa'niER ❑NO '-:PROPERTY OWNER CONTR/l�CTOR tea:" r :;:;� .. :_ r ;.'.ARCHITECT'YENGINEER:' 9.NAME:•--0 p,\j1-0 (1 _ g u 15-COMPANY NAME: /. 23.COMPANY NAME i 15.NAME: ' ( � 24.LICENSEE NAME: 10.ADDRESS: 7 _ 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: nh 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE 21.CELL PHONE: 29.CELL PHONE 7 44 -003 s- fir? 3 5791 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: lf5l ol•t FEE SIMPLE TITLE HOLDER v `i FBONDING COMPANY: " 4, MORTGAGE LENDER n 4 Ago-, h 5t.u,. :v&�1„�.yb 31.NAME N 33.NAME 35.NAME 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER&AGENT' = CONTRACTOR ,?w (if Agent,Power ofAttorney orAgency-Letter Required) '.: (OualfierOnly) 'i; ';.4�v -.-",'Ts'a' '��' Signed: Date: Signed: Date: Before me this day of 2009 in the county of Before me this day of 2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of ,County of Notary Public at Large,State of ,County of ❑Personally Known ❑Personally Known ❑Produced Identfcation- ❑Produced Identificafion- Notary Signature: Notary Signature: BLDG01 Permit Application Bldg:REVISED:12/1812008 06/26/2009 00:37 9043792578 PAGE 01 MAP SHOWING BOUNDARY SURVEY OF THE EAST 38.00 FEET OF LOT 26, BLOCK 5, ATLANTIC BEACH, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 0' 15' 30' 60' GRAPHIC SCALE; SCALE NOTES; 1. ALL ANGLES ESTABLISHED IN THE FIELD. 2. FIELD WORK D9-12-06, L C T 2 9 L C T 2 7 L C T 2 L O T 2 3 m 38.00' PLAT FOUND 1/2" I,P SET 38.00 COMPUTED D61H 2975 12.00' 41) J-yA to f ;6' REMAINDER 9 OF LOT 26 L 0 T2 B a Q J O PARTY WALL, ONLINE 00 ♦O o tr� O � $ 12.70 H e.20 °, D L 0 C K L 0 T ,2 B L 0 T 3 0 LOT 24 O o q U PARTY WALL ONLIN£- t0 s v CONCRE �e 38.00' COMPUTED 0 SET 1/2' I,P 38,00' PLAT FOUND NO CAP 3rd. (4 0"R/W) STREET 080426 03 08 REVISE SURVEY TO SHOW PARTY WALL, ON LINE 04-29-09 SYMBOLS; SONS 32221 NORMANDY BOULEVARD. JACKSONVILLE. FLORIDA, CFI;7N\IN LINK ROONEY '\.Jl �Iwl 32221-P.0. 80X 6957, JACKSONVILLE, FLORIDA 32236-6957 F;=NCE .-.-n—WOOD FENCE PHONE (904)-695--1010 FAX. (904)-695--3356 �.w-1,OO FEN C —E—ELECTI,IC UNE I HEREBY CERTIFY TO cjz, UTILITY POLE ® WELL THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN ASPNA0 CHAPTER BIG17-6 FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472,027 FLORIDA STATUTES, FEMA FLOOD INSURANCE RATE INFORMATION PERTAINING TO LANDS SHOWN HEREON; OVERHEAO X I,Z,0075 OOOID DgTE OB-15-e0 DUVAL COUNTY FLORIDA, CONCRETE ZONE PANEL P,O.C.-POINT OF COMMENCEMENT Al-S.-REGISTERED LAND SURVEYOR -NORTH 5-SOUTH E. EAST W-WI�ST P.O.B.-POINT OF BEGINNING PROP.-PROPOSEO CA-CENTER LINE EX.-EYCEPTION TW.-TYPICAL P,C,-POINT OF CURVATURE l.B.-LICENSE BUSINESS F.F.-FINISH FLOOR EL.-ELEVATION P.S.M.-PROFESSIONAL SUR VE VOR/MAPPER FNO.-FOUND J.E.A.-JACKSONVILLE ELECTRIC AUTHORITY p T-poiNT OF TANGENT O.R.v.-OFFICIAL RECORDS VOLUME BLK.-^BLOCK P.P.M.-PERMANENT REFERENCE MONUuENT I� P.R,C•-'POINT OF REVERSE CURVATURE O,R,B.-OFFICIAL RECORDS BOOK I.P,-IRON PIPE �• GEAR BAR CONDITIONER ft0.�-ROAD NO EVAR() SA LA-LANE P.C.C.-POINT OF COMPOUND CURVATURE P.O.-PLED e� PC.-PACE M.S.MAP BOOK ESMT.-EASEMENT T A/C -ELECTRIC TW.-TOWNSHIP RNG.-RANGE P.I.-POINT IF INTERSECTION P,L.5.-PROFESSIONAL LAND SURVEYOR P.C.P.-PERMANENT CONTROL POINT CO.-COUNTY FL.-FLORIDA F_Z,6.l�IlD0100 ZO E BOU OARYEUNE NO UNDERGROUND lOCA11pN5 P.R.P.-PERMANENT REFERENCE POINT AVE.-AVENUE ST.-sTREET R/W-RIGHT—OF—WAY CI.—COURT C.B.O.—CHORD BEARING AND OISTANCE APPROX.— AvvRONIuwTE FxIST.—EXISTING V LOCATED INIy SURVEY I-ARC LENGTH R-RADIUS COMP, COMPUTED RAO.-RADIAL A.K.A.-ALSO KNOWN AS N/F-NOW OR FORMERL — Q -DELTA ANGLE T-TANGENT P-PLAT C-COMP. D-DEED N.G.V.D.-NATIONAL GEODETIC VERTICAL DATUM 09-12-0151. JURISDICTIONAL WETLANDS WERE NOT LOCATED THIS SURVEY. O DATE SIGNED DENOTES CONCRETE MONUMENT 11 � EASEMENTS OF RECORD WERE NOT PROVIDED FOR THIS SURVEY, SETDUENoTSEsR ET PIPE 1 e'x to, NTHONY PAUL O NEIL PSM 5684 THIS SURVEY DOES NOT DETERMINE OWNERSHIP. REBAR LB,6085 P` THIS SURVEY NOT VALID WITHOUT EMBOSSED SEAL 06/26/2009 00:37 9043792578 PAGE 01 MAP SHO WING BOUNDARY SURVEY OF THE EAST 38.00 FEET OF LOT 26, BLOCK 5, ATLANTIC BEACH, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 0' 15' 30' 60' GRAPHIC SCALE SCALE 1'-30. NOTES: 1. ALL ANGLES ESTABLISHED IN THE FIELD. 2, FIELD WORK D9-12-06, L O T 2 9 L O T 2 7 L O T 2 L 0 T 2 3 38.00' PLAT FOUND 1/2" I,P SET 38.00 COMPUTED D&H 2975 12.00' t uA Z 1 �� S70n ft � F 11 � REMAINDER o 9 0 t 1 50 5700 Z OF LOT 26 L O T�2 6 x 3$ f a I a J ` a f� 0 CvIJ`EII�� I tV\oos (�aCF, PARTY WALL ONLINE 00 O jr O .2 $ r 12.70 �G ZL lb f Jtw� { 8.20 'o 13 L 0 C K p' x 3y i _ 3yo f L o T e T 3 0 ►5''�' c� tL o LOT 24 x t t _ ft MC �J\ CAo qq 00 l I o _ L PARTY WALL ON4NE I p cv CJ111�,^� rv,�ejd.uv5 � s cl� � rn •i "J CONCRE �A SET 38.00' COMPUTED FOUND 1/2' I,P 38.00' PLAT NO CAP (4 0"R/W) STREET I REVISE SURVEY TO SHOW PARTY WALL ON LINE 04-28-09 — 7�ZI�oFLORIDA. 080426 03/08 —> —CFI,IN LINK 7� S 9501-1 NORMANDY BOULEVARD. JACKSONVILLE. 32231 A• F;..Nce Q� SON 32221—P.O. BOX 6957, JACKSONVILLE, FLORIDA 32236-6957 T ^—�)o FENCE ROONEY C.X• 1,� PHONE (904)-695--1010 FAX. (904)-695-3356 —w--WRL FENCE —E—ELECII,IC LINE HEREBY CERTIFY TO �n' UTILITY POLE ® WELL THIS SURVEY MEETS THE MINIMUM TECHNICAL STANOAROS AS SET FORTH BY THE FLORIDA BOARD Df PROFESSIONAL LAND SURVEYORS IN ASPNAO CHAPTER 611317-6 FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027 FLORIDA STATUTES. pr`s OVERHEAD FEMA FLOOD INSURANCE RATE INFORMATION PERTAINING TO LANDS aSHOWN HC LINTY FLORIDA. lG� CONCRETE X PANEL 'zoo7s o0010 OATS zONE ANO SURVEYOR 11-NORTH S-SOUTH p. EAST 1Ah111f$T P,O,C.-POINT OF COMMENCEMENT R.L.S.-REGISTERED l TYp,_TYPICAL P,O.B.-POINT OF BEGINNING PROP.-PROPOSED CA-CENTER LINE EX.-ELI ISH FN AUTHORITY L.B,-LICENSE BUSINE55 F.F.-FINISH FLOOR EL.-ELEVATION PE.�'_ACKSONVIILELELECTRC, R MHOR R P.C,-POINT OF CURVATURE O,R.v.-OFFICIAL RECORDS VOLUME BLK.-BLOCK FNO.-FOUND p R M.-PERMANENT REFERENCE MoNUuENT .h P.T.-POINT OF TANGENT O.R.B.-OFFICIAL RECORDS BOOK I.P.-IRON PIPE R6--REB AR BLVD,-BWIEVARP LA.--LANE P,R,C-POINT OF REVERSE GuR VATURE p0._p AGE CONIC.-CONCRETE A/C-AIR CONDITIONER RD.^ROAD No,-NUMBER SEC,-SECTION P.C.C.-POINT OF COMPOUND CURVATURE D.B.-DEED BOOK _ 7yyp,-TOWNSHIP RNG.-RANGE IF INTERSECTION P.B.-PLAT BOOK M.B.-MAP BOOK S.R�._BUILDINGTRESTR RESTRICTION LINE p L 5-PROFESSIONAL LAND SURVEYOR P.I.-POINT POINT C0.-COUNTY FL.-FLORIDA P.C.P.-PERMANENT CONTROL AVENUE ST--STREET F.2,8,L.-FLOOD ZONE BOUNDARY UNE NO UNDERGROUND LOCA SONS P.R.P.-PERMANENT REFERENCE POINT AVE- NOyy OR FORMERLY LOCATED THIS SURVEY R/W-RIGHT- -WAY C I.-COURT C.B.D,-CHORD BEARING AND DISTANCE APPROx.- Av�oXw•TE F%IST.-EXISTIN. -- L-ARC LENGTH R-RADIUS coMP.-COMPUTED RAD.-RADIAL A-K.A.-ALSO KNOWN AS N/F- L --DELTA ANGLE T- TANGENT P-PLAT C-COMP. D-DEED N.G.V,D.�-NATONAL GEODETIC VERTICAL DATUM 09_12-06. DENOTES CONCRETE MONUMENT DATE SIGNED ILIRISDICTIONAL yyETLANOS WERE NOT LOCATED THIS SURVEY. PI5PE ��. EASEMENTS OF RECORD WERE NOT PROVIDED FOR THIS SURVEY, SETDDENOTESRENOTES SET 5/ B'x Ia ANTHONY PAUL- U NEIL. PSM 568 THIS SURVEY DOES NOT DETERMINE OWNERSHIP. REBAR L..8,6085 THIS SURVEY NOT VALID WITHOUT EMBOSSED SEAL rS-L>>;y�: City of Atlantic Beach APPLICATION NUMBER Building Department OUL 10 2009 (To be assigned by the Building Department.) SS 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)2 "�Uil9r E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7 srd S7- f t-,� ent review required Yes No Buil Applicant: dPI ing &Zoning Tree istrator Project: �%/11iyri-n ?rPu i ks Public iliti Public Safety �D d Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: *proved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. APUBWORK Comments: PAF�ETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach "'' D APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road �u� s 20,19p Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7 Tie f f� ent review required Yes No Buil Applicant: o 1U/7 tic PI Rjri n inng8,Zoning Tree istrator Project: �AT/Q .XT��fsi� 3'�.� �f�'JL'� _ Pu ks Public iliti Public Safety �D Q Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: gApproved. ❑Denied. (Circle one.) Comments:� G BUILDING � ��o � Ip�rS I ESS fl�_o .0v PLANNING &ZONING Reviewed by: Date: _71ZA 10 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER SSS Building Department (To be assigned by the Building Department.) 800 Seminole Road /) //j� Atlantic Beach, Florida 32233-5445 v ((// Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7� ,Tie f�� ent review required Y No Buil ' Applicant: Q �/? tie PI ing &Zoning Tree ' istrator Project: �%/� ,XT�� N.� �� Pu ks Public iliti Public Safety Fire Services .. s—^�a.•r»vr �, ixr w Avk 5"'"�A Y .�..— +.s.^�'•-Xs+rr ,�� s,+a .r«e^""S"'Tt _ Z Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept.of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: BApproved. ❑Denied. (Circle one.) Comments: -BUILDIN � 9 PLANNING &ZONING Reviewed by: Date: 9-/6-0 41 TREE ADMIN. Second Review: ❑Approved as revised. ❑ enied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 Sua,yCity of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 Emitr E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �743r� ✓Q�� ent review required Yes No Buil Applicant: Q &M tlePI rining &Zoning Tree istrator Project: �A-fi'Q YT�'n�d-Y� �"N.� �fj')L'� Pu ks Public iliti Public Safety �D d Fire Services Reyiew_fee rRoirida Agency Review or Permit Required Review or Receipt Date of Permit Verified B Dept. of Environmental Protection Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: QApproved. ❑Denied. (Circle one.) Comments: W' +L Vt-f A, BUILDIN �'s p nn p CANNING &ZONI Reviewed by: S L }Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 A r`J �S 's S CITY OF ATLANTIC BEACH r. r� 800 SEMINOLE ROAD J » ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 c`r Application Number . . . . . 09-00000705 Date 5/21/09 Property Address . . . . . . 375 3RD ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc new shower pan ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Mills, Danny SUPERIOR CONTRACTORS LLC 105 DUCK BILL COVE EDWARD WINTERS JR PONTE VEDRA BEACH 4040 SUNBEAM RD JACKSONVILLE FL 32257 (904) 886-4444 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc NEW SHOWER PAN Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/17/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach *ti (SIM R.RKE M *** Doer: ORM-0 fvue: E)C Drawer: 1 Date: 5/21/09 Btu Receiot no: 529W Descrin2*9tion Quuantity Arount 95 Bp BUILDING.KtZ M t42.8N tender detail CC 2.x+ 44;2.08 CRfD942 II CARD Total tendered 942.W Total Daysent trans date: 5/21/09 tine: 12:36:18 s, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD y, ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000705 Date 5/21/09 Property Address . . . . . . 375 3RD ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc new shower pan ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Mills, Danny SUPERIOR CONTRACTORS LLC 105 DUCK BILL COVE EDWARD WINTERS JR PONTE VEDRA BEACH 4040 SUNBEAM RD JACKSONVILLE FL 32257 (904) 886-4444 ---------------------------------------------------------------------------- Permit . . . . PLUMBING PERMIT Additional desc NEW SHOWER PAN Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/17/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. cI,,,oF ATLANTIC BEAcm 09- 1 1 1 1 1 am mulmotE ROAD.A'RANnC BEACH.FL 32237 OFnCt leo4wUTM2e•FAX NO.:(9041247-6646 BUILallo-DEPTOCOAMUa PLUMBING PERMIT APPLICATION DUVAL COUNTY Ora O O PERMIT a: ..�t:G'�• :I. ,.s,ir+� . NA �, + t L 8.AOORr;ss IF d4PFEREENTT FROM JCB AOOREW ' fl PN4 5 Dif) 7.NAME OF a COMPANY B. Y D > IA M,ciL t,.FAX NO.. 0r � 5O ' p nm 12 EMAILADDREBa'� 13.OFFICE PHONE. 14. Appilratlon la hereby"mde to obtain a Pemdt to do the work and Watallatlons as Indicated. I cerify that all work wUl be performed to most the etandafds of ON IawB reyullOnp ooll61111m On in this)ursdlcoom This permit becomes nub and void if Wort is not comwrrenoed wR M sbr(6) morMhs,or it construction or wort is Suspended or abandoned for a period of ahs(6)months at any time after worts Is aomrnanoad. W WRACTORS SIGNATURE - - 19101m, all ❑NEW 0 W FLORIDA BUILDING CCMX- O RE-PIPE PLUMBING q OTHER: r.. BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER ' SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER(SPECIFY): ROOF DRAIN Zj PERMIT ISSUING FEE: $35.00 a v� TOTAL. FIXTURES: � x $7.00 (PER FIXTURE) + $35.00 BLD=PermitAPPNMIpnPalma IV/&#2= z d BSBb0ELb06T sJoz0eu*luo0 uotuadng dE0 :01 60 12 Reid HP Officejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information SystemsCITY O 904-247-5845 May 21 2009 12:50PM Last Transaction Date Time Type Identification Duration Pages Result May 21 12:50PM Fax Sent 97304858 0:39 2 OK