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73-75 4th St West (vault) .z y JOB ADD-ATM �` TYPE(FORK G 9 PROPERTY ow1vER�°I , � �C- 73MFTHoNE CONTRACTOR a4er TEF PHONE PERMIT NUMBER DATE INSPECTTONS• FOOTING SLAB ri tie/� TTE BEAM JLLVM NAILING/SHF.AT�VG FRAMI1V"OM ITP INSULATION 1 FINAL BUILDING 3 CERTIFICATE OF OC LEcTBICAL PERMIT# x,09 t5 ,� 7 m• -�-� I IZVSPECITONS ROUGH MBCEUMCAL PERMIT# c cs U P INSPECTIONS ROU FINAL I r PLUMBINGPERMIT# INSPECTIONS ROU01,0WER SLAB TOPOUT WATERISEWER FINAL t o Z y o r NOTES: _ CITY OF J, 4& ate- Office of Building Offic I Irl REQUEST FOR INSPE ON� �, S(?r79 Date 8 © z Permit NF-2a Time A.M. Received P.M. Job Address Locality Owner' NAMP �-C�,�-R� tEBUIC61NG CONCRETE CTRICAL PLUMBING MECHANICAL � El Footing Roug it ng Rough ❑ Air Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY R INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. �+1 A.M. Inspection Made PM. PM. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date P�LANrjc F�0R10p OF ADDITIONS or CORRECTIONS D• NOT REMOVE JOB ADDRESSDATE 45 cU 4y"E5 ll ( zl (C) THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted V�CL 04 ti l &i3c I Vi $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors EIEC tare in the office from 8:00 a.m. to 5:00 Bloc -moi. Monday through Friday. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT PERWIN Permit Number: 23020 Address: 73 FOURTH STREET WEST Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: DUPLEX Lot(s):3 Block: 76 Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: A' N Date Issued: 11/14/2001 Name: SERGIO OUTEIRAC Total Fees: 45.00 Address: 73 FOURTH STREET WEST Amount Paid: 45.00 ATLANTIC BEACH, FL 32233 Date Paid: 11/13/2001 Phone: (904)379-8093 Work Desc: NEW 150AMPS SERVICE C APPLICATtWIFEES, BARKOSKIE ELECTRIC SERVICE PERMIT 45.00 C) 0-- ROUGH ROUGH ELECTRIC FINAL ELECTRIC i NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPT. CITY OF ATLANTIC BEACH $ DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax:247-5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCAN INFORMATION Permit Number: 22091 Address: ATLANTIC BEACH, FLK32233 EST permit Type: ELECTRICAL Township: Range: Book: Class of Work: COURTESY INSPECTION Lo ns Block: Section: proposed Use: SINGLE FAMILY Subdivision: Square Feet: Parcel Number: Est. Value: OWNER INFORMATION Improv. Cost: Name: SERGIO OUTEIRAC Date Issued: 6/05/2001 Address: 75 FOURTH STREET WEST Total Fees: 25.00 ATLANTIC BEACH, FL 32233 Amount Paid: 25.00 Phone, (904)249-0002 Date Paid: 6/05/2001 ' Work Desc: SAFETY INSPECTION —- APPLICATION FEES CONTRACTOR S pERM�T 25.00 BARKOSKIE ELECTRIC SERVI E s 4Z k a .. XT i nt FINAL NOTICE- INSPECTIONS,: BE REQUESTED AT LEAST 24 HOURS PRIOR TO It? PECTION BUILDING MATERIAL,*UBBISH A DEBRIS FROM THIS WORK MUST NOT RCED IN P LIC SPACE,AND MUST BE CLEARED UP ND HAUL , AWAY BY EITHER CONTRACTOR . GOMPLY. NITH T STRUCTION LIEN ,AN RES1�T IN THE I FAILURE TO EIkNTS". ' PROPERTY OWNER PANG . CH R . T FH AND SUBJECT TO REVOCATION ISSUED ACCORDING TO APPROV LAfii; r FOR VIOLATION OF APPLICABLE PR �I:3{ta'NS ��,f/ 1;��1.• �� AT IC CH BUILDING DEPT. Bates 6/86/11 91 12$.89 lti 81198113221889 16442 CITY OF ATLANTIC BEACH, FLORIDA AoOrewd by APPLICATION FOR ILICTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTORt DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED!-�` `rNE •F 1.��6-l HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLAN ANb$I�?A0WHICH ARE A PART HEREOF, AND IN•ACCORDANCE WITH THE ELECTRICAL REGULATION$1 �lOb�g ANN ATLANTIC BEACH ORDINANCES. 7 3/ BARKOSKIE ELECTRIC SERVICE INC L ILECTRIGaL FORM: MWER ELECTRICIAN RE AQUIlklikid NAME sex' /o GuT�i/PRL ADDREBSt._._,.ZS�'r/es �- BLDG.BITE BSTW RES. APT.( 1 COMM.11 1 PUBLIC i 1 INDUS.( ) NEW( j ';OLD'O REW.1 I ADDITION ( 1 TRAILER ( I TEMP.( ) SIGNS ( ') 0"Tv city Ot SERVICE: NEW 1 INCREASE 1 1 REPAIR ( �i Aunt"'r +� rh. PEE... CONDUCTOR SIZE AMPS COPPER —' n SWITCH OR BREAKER PH W VOLT nAdsWAV_ EXIST.SERV.SIZE AMPS PH P W VOLT RACgWAY FEEDERS NO. SIZE No. SIZE• NO. SIZE LIGHTING OUTLETS .CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL , 00 AMPS. til.109 AM"s SWITCHES INCANDESCENT FLUORESCENT d M.V. FIXED APPLIANCE• BELL TRANS& CHT TRATING OONDITIONING COMP MOR OTHER AMPS COIL HEAT: KWHEAT at yy • MOTORS H.P. VOLTAGE PHS NO. 1 H. . VOLTAOO MH8 MIICILCAN TRANSFORMERS: UNDER 800 V OVER€:1X1 vi N0. KVA N0. lKVA CITY OF `4� Coo Z. c,(644&-t- Bim-AM, � Office of Building Official� REQUEST FOR INSPECTION Date t�G /nI L �/ 2,7,CC) — Permit No. Time /� 19Y►'I A.M. Received `V P.M. X75 57 Job Address _Locality Owner's (C►- /T7Gc5�Gl Name ctor BUILDING CONCRETE LECTRICAL /PLUMBING MECHANICAL Framing El Footing Rough El Cond. & ❑ Re Roofing EJSlab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY 508 INSPECTION Pre Fab Mon. Tues. Wed. / 1/� Thurs. FridayP.M. A.M. Inspection Made PM Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF 4&4#%4C Bem-4-I& L & Office of Build'n Official REQUEST FOR SPECTION Date 0� � � — Permit No. `�'4 Time /U ( A.M. Received l / PM, Job Address Locality ,�I Owner's ' /� r Name _ Contractor � ,,,(((��u, BUILDING CONIC FCSi1CA�iw� PLUMBf VP� L� ECHANICAL Framing ❑i FootingNe o hPc f Rough 11 Air Cond. & ❑ Re Roofing Ci Slab ❑ ❑ ra ❑ Top Out I Heating Insulation ❑ Lintel ina ❑ Sewer I] Fire Place ❑ 1@� E PE ION Pre Fab A.M. Mon. 1C V Tues. Wed. Thurs. Friday PM. A.M. Inspection Made `� PM. Inspector fY�i Final Inspection ❑ CD Certificate of Occupanc7E] ?-� / 6 C T ti Date CITY OF �4 sic /3e4404-A;". Office of Building Official REQUEST FOR INSPECTION Date D Permit No. 2 Time A.M. Received 6M. 7 3 Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBI MECHANICAL Framing ❑ Footing g firing ❑ ❑ Air Cond. & ❑ Re Roofing ❑ ❑ "P CI Top Out ❑ Heating Insulation ❑ ntel � ❑ Sewer ❑ Fire Place ❑ P Pre Fab �I10n' n R OR I SPECTION�E '�� pCI G A.M. T S. Thurs. Friday P.M. Inspection Made :;A�. , Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date PZLANT��, F�ORIOP 110M OF 1.1 oil i I I Lei I",MARRO-W-1 do full, �=LU DATE y� 5-r- t e i w THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted Ob ns( $15.00 REINSPE ,It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been PLUMBIN made, call 247-5826, Building Depart- ment for an inspection. Field Inspectors EHEC are in the office from 8:00 a.m. to 5:00 BLDG p.m. Monday through Friday. P�`ANT�c F�ORIOQ► OF ADDITIONS or CORRECTIONS D• NOT REMOVE JOB ADDRESS DATE LJ _tLcl THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted 6X64-11a D60 $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been P��MBN made, call 247-5826, Building Depart- W� ment for an inspection. Field Inspectors ELEc are in the office from 8:00 a.m. to 5:00 BLDG p.m. Monday through Friday. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 � PLUMBING PERMIT _-. - P)*RM#T INFORIIATIt?iV _ �CJ�ATI }N INFORMATION _ Permit NuM-6er: 22817 Permit Type; PLUMBING Address: 73 FOURTH STREET WEST y Class of Work: ALTERATION ATLANTIC BEACH, FL 32233 Proposed Use: DUPLEX ' Township: Range: Book: I Square Feet: i Lot(s):3 Block: 76 Section: Est. Value: Subdivision: Improv. Cost: Parcel Number: Date Issued: 10/09/2001 - N OY1f111ER# FORNtAT#�3N Total Fees: 32.50 Name: SERG10 OU I EIRAC Amount Paid: 3Address: 73 FOURTH STREET WEST Date Paid: 10/09/200101 ATLANTIC BEACH, FL 32233 Work Desch INSTALL PLUMg1NG P�?°ne_ (904)379-8093 4 tOR(S� 'RIVER CITY PLUMBING INC. PLICATION F ES --- t,P � 1T dn i 4,(p�Ai=s t�iyj. X5 4 i ` �eok i M ; FINAL k 1 NOTICE - INSPECTION ' T - BEOSTED``AT LAST4 Hpt1RS P: IORTOVSPECTION I BUILDING MATERIAL, ,1UBBISH A 'es �r * SPACE, AND MUST BE EARED DEBRIS FROM THIS WORK MU NOT BE CED IN PUBLIC --- - -- HAULED AWAY BY ECONTRAR OR OWNER TF_._.. .- "FAILURE TO COMPLYW#�' SHE C4NSTIO( LtN .ASULT IN THE PR_OWNER PAYING ni6f 24 I KWW S" ISSUED ACCORDING TO APPROVED PLANS WHI FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. THiS PERMIT-AND SUBJECT TO REVOCATION I ATLANTIC B A H BUILDING DEPT. UN i314 D�t�: ii/18/81 91 Rtceipts i1�8b5 -- CHECKS 1439 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : '� �S y+� �y pOH-}' OWNER OF PROPERTY: 5�'1'<'1 ��"} © ���y TELEPHONE NO. PLUMBING CONTRACTOR �v"�� L;�y �Iv( �!s��l�� f\c , CONTRACTOR' S ADDRESS : , STATE LICENSE NUMBER: C .fc Cn e_Alo TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS _ CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) 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 CITY OFOffice Of Building Official /REQUEST FOR INSPECTION Date ` 7 6( Time, _ A.M. Permit No. PM Job Address Owner's Name �— ��`l Locality BUILDING CONCRETE ctor Framing ELECTRICAL 1 Re Roofing Footing PLUMBING Insulation Slab MECHANICAL ❑ Lintel ❑ Rough ❑ ❑ Top Out ❑ Air Cond. & "ewer r= Heating Mon. READY FOR INSPECTION L� Fi Pre Fab 171 Tues. ❑ Wed. Inspection Made Thurs. J, f ' �! Friday A.M. Inspector f A.M. Final Inspection ❑ Avs /s Certificate of Occupancy E7 CITY OF Office of Building Official Date Q REQUEST FOR INSPECTION � -,5 ` /� Received q Permit No. !--,�q, �M Job Address — — - ? � Owner's j --' Name Locality BUILDING TE Framing CONCRE ❑ _ ELECTRIC Re Roofing ED PLUMBIN Insulation Slab r ou9 Wiring 1-i MECHANICAL Lintel Temp Pole Rough � Final Top Out Air Cond. & El ❑ Sewer Heating READY FO Fire Place Mon. R INSPECTION Pre Fab Tues. vl/ y� � d Inspection e / Wer Thurs. r. � �. FridayA.M./'"�� Inspector A.M. — `/J°'•r .� C3,— -----— Final Inspection ❑ Certificate of Occupancy❑ _ Date >ITY OF Office of Building Official REQUEST FOR INSPECTION Date '�- / Permit No. Time A.M. Received 'G� 1 Job Add 1 .- Loca ity� Owner's 7 Name —Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air on Cl Re Hoofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place 17 Pre Fab READY FOR INSPECTION A.M. Mon. Tues. A Wed. Thurs. Friday e_ A.M. Inspection Made P.M. I Final Inspection El Certificate of Occupancy ❑ ��� Date S2yx�. 4&4 CITY OF Office of Building Official REQUEST FOR INSPECTION Date Permit No. 1 Time A Received .M. Job Address Locality Owner's Na m% Contractor LDk�� CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION ' Mon. (;Tus. Wed. Thurs. Friday A:M: A.M. Inspection Made y� � P.M. Inspector ty� Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF Beacik Office of Building Official REQUEST FOR INSPECTION Permit No. —---- Date A.M. Time /:So P.M. Received f, { ;7� 7 —Ae& W Locality Job Address L Owner's L�t�ice,)(', Contractor �ualif El�c�-rir�� J�rV'fc'e� Name CONCRETE PLUMBING MECHANICAL CONCRETE ❑ Air Cond. & BUILDING i; Rough Wiring C Rough C Heating Framing ❑ Footing C Temp Pole Top Out ❑ Fire Place Re Roofing C Slab F� Final Sewer Pre Fab Insulation ❑ Lintel READY FOR INSPECTION Wed. Thurs. Friday_-----P. ues. Mon. ,t�, A.M. V P.M. Inspection Made Final Inspection ❑ Inspector ^� Certificate of Occupancy ❑ Date Q�%,AN t/c F�OR��P OF • • DATE JOB ADDRESS �`G THIS JOB HAS NOT BEEN COMPLETED lowing additions or corrections shall be made before The folthe job will be ted gill",111111, ji— Oif $15.00 REINSPECT FEE for any Carpenter, Contractoa y part oofrtheher work It is unlawful propel persons,to cover or cause to be covere , til the with flooring,lath, earth or other material, un un installation.ll inspector has had ample time to app After additions or corrections have been PLUMBING call 247-5B26, Building Depart" made, ection. Field Inspectors EHEC meet for an insp to 5:00 BLDG are in Monday office p. m. through Friday. —� CITY OF ATLANTIC BEACH (� i` DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-582 247-5877 �I ELECTRICAL PERMIT ON INFORMATION ;PERMIT INFORMATION -- _ Permit Number: 2INFO Address, 5 FOURTH STREET WEST Permit T ELECTRICAL AT NTIC BEACH, FL 32233 Type: Township: Range: Book: I Class of Work: NEW FAMILY Lot(s): Block: Section: Proposed-Use: SINGLE Subdivision: i Square Feet: Parcel Nuber: _�.__. - Est. Value: -------'OWNER INFORMATION:: Improv. Cost: N SERGIO OUTEIRAC l Date issued: 11/14/2001 Address: 75 FOURTH STREET WEST Total Fees: 45.00 ATLANTIC BEACH, FL 32233 Amount Paid: 45.00 - _ Date Paid: 11/13/2001 y� _ Phone (904)249-0002 Work Desc: NEW 150AMPS SERVIC pLICATION FEES _ CONTRACTORS 45.00 `BARK—klE ELECTRIC SERVIC pp x..t '. .14 - Wj17`i 1 k 4�xy'i ,. ILI kr x A y mac' 42, �.. rs ROUGH ELECT ICg ' �'. it �• rh*t ��� a 3`^ E�, t e 3iy,�`�" k'..��+R -x" Fr' i�t _� Y ,�ac(^ti kt s r' � m gr ' `'w` K -wit 1' 5 x TCS i {SPECTION NOTICE IN EOTt T ATLEAS" 4 _ BUILDING MATERIAL, UBBISH A � I iS FRO1 I Tt�l WO�R4�-i OIJ N RT$ Of O BLiC SPACE, AND MUST BE CLEARED UFS I lA 1AY BY EITHI ROCTOR O ArT IN THE j "FAILURE TO COMPLYV` T#-I fi GT)ON PROPERTY OWNER PAY E P J1 ISSUED ACCORDING TO APPROVED IT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISI L._ I I j bate: 11/16181 Ri Receipt: 0811a28 l ATLANTIC BEACH BUILDING DEPT. CHECKS i69�4__J --- $�i1I0118'12218 it CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ILECTRICAL PIRMIT 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. ELECTRICAL FIRM; NAME CI Tek(Cc" ADDRESSI ,� v'� /,z BLDG..SIZE BETWEEN: RES. AFT.1 1 COMM.( 1 PUBLIC( 1 INDUS.( 1 NEW( ) OLD( 1 REW.( 1 ADDITION ( ) TRAILERII I TEMP.( 1 SIGNS ( I Sa FT: SERVICE: NEW INCREASES REPAIR ( 1 FEE _ CONDUCTOR SIZE AMPS COPPER SWITCH OR BREAKER r� YQLT RACEWAY XIST.SERV.SIZE AMPS PH W VOLT RACEWAY AAff FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 1—ilao AMps. -100 AM��. SWITCHES INCANDESCENT FLUORESCENT d M.V. FIXED 9.100 AMP I. I ova* APPLIANCES BELL TRANSF: AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT v D 0'1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS ISCEL ANEOUS TRANSFORMERS: UNDER 600 V OVER 600 V. un I UWA .... CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 1 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5825-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22052 Address: 75 FOURTH STREET WEST Permit Type: DRIVEWAY ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 350.00OWNER INFORMATION — Date Issued: 5/30/2001 Name: . SERGIO OUTEIRAC Total Fees: 25.00 Address: 75 FOURTH STREET WEST Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 5/30/2001 Rhone: 904 249-0002 Work Desc: DRIVEWAY ADDITION _ --- CONTRACTORS APPLICATION FEES PROPERTY OWNER-PERMI � 25.00 „r A S b qpl: x`. -, ( K h r E. NOTICE j,INSPECTI ST BE REQUESTED AT LEAST 24'H©URS PR RTO INSPECTION BUILDING MATERIAL RUBBISH ANP DEBRIS FROM THIS WORK MUST NOT B CED IN F(IBLIC SPACE,AND MUST BE CLEARED UFS AND HAULEb AWAY BY EITHER CONTRACTOR OR ER "FAILURE TO COMPLl�iNITH T�� RUCTION LI CAN RE1..71N THE PROPERTY OWNER PAYING A OR r IPI 01tE T IT AND SUBJECT TO REVOCATION ISSUED ACCORDING TO APPROVEDNB11VI-�1CR�PART ?FPSA FOR VIOLATION OF APPLICABLE PROVIS „ -, M1 r f } { . •� - \Lyj•'^\� /.... ATLA IC BEA H BUILDING DEPT. D=}�= 5139/9191 Receipt: 9661618 661666632E1A66 or i oxlay" 70 r0 h7=4 z ) rn-0 zc lwH 7M7 M �1 � O� y Nfr pCHO z N"o N77 h0 OO Z HM :07yy M0Mt"M "0L � ,Q � O r W r SC C -0 Ann �- OMz • WHtnH 0 0 0 -4 0 H td z I e Tp � ".1 NiC w 0z M M T O 77 M N U1 `A H M y —x--x —•—s—x _ OM O 0zEn `^ (50.00 C N M 10Q y 1 \\ -' COX �G O 4-0 opo �Lnn yH�� o � V.!' co FRAME .16 40 cty� 0�til t- 3 10 C? ! T AVE 1fIRY m y N I N ICA'IFN w i�. p N oQi QieFEtENAY s No ® 19!CD Z 2A w •n'^ NA it z th ,f i,• I ^yt�� _ ton N^ 3rk.,r 0 qy � �AG� .li2.[!vr �m p 2 /�Yfs7' FOU,Q �4fh� 50 RJdh oo a � A m oA Z0 p. A •0 6 , n N�t [--V4 514 I APPROVE '" CITY OF ATLANTIC BEACH BUILDING OFFICE MAY 3 0 2001 KANNU KILL NU,A-0/o MAP SHLJWIN6 BIJUNI)AHY SUf VL Y Uh l ` LO', 2 AND 3, BLOCK 77, SECTION, "H", ATLANTI, kCH, AS RBCURDED iN PLAT BOOn �8, PAGE 34 OF THE PUBLIC RECORDS OF DUVAL "JNTY, FLORIDA. MA rPORT ROAD JTAT£R0A0 A•/•A /t0',P/6NT•0F'ti/,4Y Lor 7 BLOCK 3/ 10AW N ON^/E LOT 7 SLOI,�j0 viio/. /02.00 dET (Ge 4(,4s) I � o LOTLOT / BLOCK 76 I h k vo� Lor z tI t BOCK 74 LOT 2 .re oc FO�NO /.fON P/PE 0 �lo.� 0.1v 'EAfrf/ CONCRlTf !✓A4C h °f,fro Y NX /1, k REI/DENce (� BLOekl 76 ,: :' ��: NuuBER 7f t�� o p0 GONfRETE NrfLK tia . LOT 3 �'aaio FOu,�o "'ifONP/PE t N FINCE '�.. Ism /t y W/TFR METOq �,VD/.0•) II t � � Da�wl/.0� IET%'%PONP/PE is'WWiWu r �L6 G6�f) r `G!A/N UNK fENIE /02.00 t,�' LOT¢ f3LOC,C' 74 ■ wiTNj JTRA,VDJOi IIS AA45 A/d/,CE AM TOP L07-¢ BLOCK 77 I L INTERIOR BOUNDARY ANGLES ARE 90°00100" BUILDING RESTRICTION LINE SHOWN ON PLAT, THERE RESTRICTION LINES BY ZONING AND THERE MAY BE )EMENTS THAT AFFECT THIS PROPERTY THAT ARE RECORDED THE PUBLIC RECORDS OF THIS COUNTY THAT ARE NOT )WN ON THIS SURVEY. :S PROPERTY LIES IN FLOOD ZONE "X" WHICH IS THE iA DETERMINED TO BE OUTSIDE THE 500 YEAR FLOOD 'ORDING TO FEMA FLOOD MAP REVISED 4/17/89, 44UNITY PANEL NO. 120075 0001 D. I I°REOARED ft7R THF 6ENEf/T Of: ATTe N rYr T NS �.444"'w I'Yit.ciiM�.�•(ot,✓,t. ''C�Ncefi�.vo,.wc.; ID RUEN ND �1% � A CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TELL 247-5828-FAX:247-5877 L pON FORMATION PERiWT INFORMATION Address: 73 FOURTH STREET WEST Permit Number: 22579 NTIC BEACH, FL 32 ATLA233 permit Type: REMODELING Township: Range: Book: Class of Work: NEW Lc�t(s):3 Block: 76 Section: Proposed Use: DUPLEX Subdivision: Square Feet: Parcel Number: Est.Value: OWNER INFORMATION Improv. Cost: 5,000.00 ry SERGIO OUTEIRAC Date Issued: 8f29/2i 93 00 Address: 73 FOURTH STREET WEST Total Fees: ATLANTIC BEACH, FL 32233 Amount Paid: 93.00 Date Paid: 8/292001 Phone: �4 379-8093 Work Disc: INTERIOR REMODEL AppLICATION FEES Ct)NTRACtCIR S 93.00 . ` . PROPERTY OWNER ,. ER , a r s « a € +s _ ; X . .3 .r .r 110 h„ �L a t '� .c Y" K Pll 5" NOTICE- INSPE T ST'- 4 HOU I 'TO INS CTION ED 1N LIC SPACE,AND BUILDING MATERIA -RUBBLJ` CP. MUST BE CLEARED : AND- AY BY EI'T'HER EON`fRAGTOR ORO R "FAILURE TO COM w1'FL '1 1QG7 ON- JEN AN RES IN THE PROPERTY OWNER P N IDIN -s AND SUBJECT TO REVOCATION ISSUED ACCORDING TO APPR P. S. CH: R FOR VIOLATION OF APPLICABLE P $93.88 14 ATLANTIC BEAC BUIL DEPT. Date: 8/38/81 81 Race; t: 88851 CKS 881888831888 152 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET AN"—, Address 3 7- � � 'T` Date -er )-9 Heated Square Footage@ $ per sq ft = $ Ga rage/Shed @ $ per sq ftNJ - $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ �U $ l �' Total 0 V6luation 1st $ 1t�82� $ 2 Remaining Value S�: per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ / ( ) Fireplaces @ $15 . 00 $ G BUILDING PERMIT FEE S WATER IMPACT FEE $ L'!� 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 $ Q ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : WATER IMPACT FEE WORK SHEET ADDRESS: 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 fountain 1/2 Floor drains 2 Kitchen sink, domestic 2 I Kitchen sink, domestic with food waste grinder and/or dishwasher 2 .Laundry tray 1 or compartments) 2 Lavatory 1 Shower compartment, domestic 2 Sink 2 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 installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS = �2 — MULTIPLIED x 20 TOTAL$ O,0 0 RECEIVED CITY OF ATLANTIC BEACH �`'' 6 ?gU! PERMIT APPLICATION REMODEL, ADDITIONS, OR AL T,�RA� IC N�Santic BeachPz MOVING, DEMOLITIONS �2 and Zoning Owner(s) - CJ G i � /��- Job Address 73 j.U. Phone -, Lot# 't> Block or Unit Subdivision Contractor State License# Address Phone City t`L- / State ���� Zip Describe work to be done Present use of building Valuation of Proposed Construction 0 irk Proposed use Is this an addition? r2 If yes, what are the dimensions of the added space: ft. x1 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,S INCLUDING SITE PLAN, SURVEY, ENE GY CUQE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVITIE OWNER IS CONTRAC - Signature of O ERDate: Signature of CONT CT R Date STATE OF FLOR COUNTY OF Sworn to (or affirmed)and subscribed before me this c b day of 200 AS TO OWNER: Notary's Signature '.► GEORGIA A.HORN ersonally kno �;7 U MY COMMISSION#DD 030526 I`•c a EXPIRES:June 3,2W5 Produced Identification ��Rf vyR` bonded Thru Notary Public underwriters Type of identification produced Sworn to (or affirmed)and subscribed before me this day of . 200 AS TO CONTRACTOR: Notary's Signature ❑ Personally known ❑ Produced Identification Type of identification produced Page 1 of 1 Harris, Patricia From: Ford, Don Sent: Wednesday,August 29, 2001 9:49 To: Matthews, Carlene Cc: Horn, Georgia; Harris, Patricia Subject: 73-75 West 4th St. Wednesday,August 29, 2001 To: Carlene Mathews From: Don C. Ford Subject: 73 —75 West 4t` St. 75 West 4th St. is a single family home being converted to a duplex. I have added the address of 73 West 4d' for the new unit. This address is on one water meter and needs to be billed as a duplex upon final inspection. Cc:File 8/29/01 MIN. RETURN Book. 10077 Plage 1447 PHONE' Book:00077 8821 Page: 1447 Filed & Recorded NOTICE OF COMMENCEMENT 07/20/2001 19:14:57 AN JIM FULLER CLERK CIRCUIT CUT DLVIX COUNTY TO WHOM IT MAY CONCERN: RECORDINNG UND $ 5.00 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 General Description of imQrovements � t Owner Address: Owner's interest in site of improvements: Fee Simple Title Holder (if other than owner) Name Address Contractor ' 12'" A-- 6 � K ice' Address n ' Surety (if any) Address Amount of Bond $ Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name Address ' In addition to himself, owner designates the following person to receive a copy of the Leinor' Notice as provided in Section 713.13(1)(F), Florida Statutes. (Fill in at Owner's option). Name ;.: MY COMMiSSioN#DD EXPIRES:June 3,2005 w d ••.• Bonded Thru NotaN Public undetwn<e ....�'" Rf k'a O, r Sworn to and subs ed.bef_om-fr���h S :;° ,d- y of x f. • v 4� �vv.r4' 2/G MAP 77 SHU WI , FU(,'f IDAR Y SURVEY OF: BOOK 18, PAGE 34 OF THE LOTS i, 2 AND 3, BLOCK 77, SECTION "H", ATLANTIC BEACH, AS RECORDED IN PLAT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, ti/AYP4RT RMU ITArROAO .t`/•A`p',e16HT sF A 4—Y -----�� L Or 840ec h RSHv�ve I jl R�/~��riiv c4fr LOT 7 BLOte jQ o' •.a• ����SJ vE � toz.00• M r ter k'lfON v//f (48 44',15) 1 LOT &Vele 74 LOT t o W 0� 7i„ Y`Z BLOCX TGIn LOT Z •Z, oho 14<+ FIdN1LpN PVfE a� ��p ceNutETF i✓AtK