332 4th St (vault) ./OB,4DDlU:V nTE WORK On
TELEPHONE 3 OD3
PROPMTOWNER
A-D -D�77-LEPHOME�- 0 Ll
CONTR,4CTO,R �)C- RCkg r+ C
PMaflTNUMBER DATE
BYSPECT[ONS FOOn2VG
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INSPECTIONS RO
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TOPOUT
WA
FINAL
NOTES:
ADDRESS 715 15
BTJTT-nTNG PERMIT NUMBER
106
INSPECTIONS : FOOTING
UNDER SLAB PLUMBING
SLAB
FRAMING
COVER-UP
TNSULATICN
FINAL BUILDING
CERTIFICATE OF OCCUPANCY
A
ELECT'PTCAL PERMIT
7NSPECT-ONS ROUGH
T p>4
FINA_
MECHAN7-CAT" PERMIT
PTUMBTN,7 PERMIT Cq�2_J/
NOTES :
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BIVINS ELECTRIC COMPINY INC
1004 SOUTH 2ND ST. — JACKSONVILLE BEACH, FF 32250
Phone (904)249-4308/249-2911 — Fax (904)249-0336
October 18, 2002
City of Atlantic Beach
RE: PERMIT # 23987
332 FOURTH ST.
ATLANTIC BEACH, FL
Bivins Electric is requesting early power be released on 332 Fourth St.. Bivins Electric Co Inc
understands that we are responsible for electrical work done, and for any problems that we may
have when releasing power early. If you have any questions please call our office. Thank you.
Sinc
n7c
7
Raymond Bivins
P 13, i'I,
resident
EC-0002917
APPROVED
CITy OF ATLANTIC BEACH
ISUII.DING oFrfricr.
-62002
C IFF,I'VER D
OcT 1 8 2002
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX (904) 247-5805
SUNCOM 852-5800
DATE
JEA Construction & Maintenance
2325 Emerson Street
Jacksonville, FL 32207
Attention: Go""ie
Re: Rough Electrical Inspections
Dear Connie:
Rough Inspections on the following locations have been completed and
approved:
PERMIT NO. ADDRESS
23 3
Please call me at 904-247-5826 if you have any questions.
Sincereiy,
ATLANTIC BEACH BUILDING DEPARTMENT
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877
ELECTRICAL PERMIT
A N I�NFR A 'ON
T
T'O OU 0 M T
LOC ST
PERMIT INFORMATION LOCATION INFORMATION
Permit Numb`er-23-9-87 Address: 332 FOURTH STREET
Tj �jTjr' i:�r:A
TA
Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 5/01/2002 Name: MIDDLETON, PATRICK & HOLLY
Total Fees: 25.00 Address: 332 FOURTH STREET
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 5/01/2002 Phone: (904)249-3003
Work Desc: ADDITION UPGRADE TO 200 AMPS
CONTRACTOR(S) APPLICATION FEES —
BI-VIN-S E L:E-GT-R—1C C 0 PERMIT 25.
r—A
C52-
Inspqctions Required
ROUGWELECMC
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
MECHANICAL PERMIT
8W SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-58T7
PERMIT INFORMATION LOCATION-INFORMATION
Permit Number: 24444 Address: 332 FOURTH STREET
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233.
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivisiow,
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
'MIDDLETON,-PATRICK & ROLE
Date Issued: 7115/2002 �Name:
Address: 332 FOURTH STREET
Total Fees: 47.00
Amount Paid: 47.00 ATLANTIC BEACH, FL 32233
Date Paid: 7/15/2002 . - Phone: . (904)249-3003
Work Desc: INSTALL NEW HVAC
CONTRACTOR(S) -APPLICATION FEES
1 ARCTI AIR OF N.E.--FLORIDA �000— -.4700 ' .
Ai
4- tw
'40 - �x
OL
. 4
NOT
W
BUILDINGMATE AND
MUST BE CLEAR
"FAILURE -TO C
PROPERTY OWN
IS-SUED ACCORDIN JECT TO REVOCATION
FOR-VIOLATION OF
Type: 0C Drnw: I
I" 7/16M $I Rjb&jpL ND: 73M
A ftXNTIC B 14 PEMMIKILDING 1 $47.06
T EAC UILDINC'���..
332 471 St
C1 Mw 147.0
ditt: 7116M Tim- 15:14:02
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT
IMPORTANT-Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address: �� 3 2.-- Z71-4—3, 7
LOCATION OF Intersecting Streets:Between o A�11,w And S,---2 1-1 i
BUILDING S ub-division
II. INDENTIFICATION-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 attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinances and standards of good practice I isted therein.
Name of Mechanical I Contractors
Contractor(Print) f-It Master
Name of Property
Owner
Signature of Owner Signature of
Or Authorized Agent I Architect or Engineer
III. GENERAL INFORMATION
A- -Type of heating fuel: B.
)0— Electric IS OTHER CONSTRUCTION BEING DONE ON TI-HS,
Q Gas: —LP —Natural —Central Utility BUILDING OR SITE?
0 Oil
C3 Other-Specify IF YES,GIVE NUMB, OF CONITRUCTION
PERMIT
IV.
MECHANICAL EQUIPMENT TO BE NATURE OF WORK IS —
INSTALLED Residential or Commercial
New Building
(Provide complete list of components oSXck of this form) Q Existing Building
Heat _Space _Recessed i-`Central _,,- Floor C1 Replacement of existing system
Air Conditioning: Room t- Central _ eCL�, New Installation(No system previously installed) f 0
-�r,Duct System: Material F-��)L- Thickness J Y C1 Extension or add-on to existing system
0 Refrigeration Maximum capacity--42,-�,cfm C3 Other- Specify
C3 Cooling tower Capacity in
0 Fire sprinklery Number of heads
0 Elevator: — Manlift—Escaiator_(Number) THIS SPACE FOR OFFICE USE ONLY
C1 Gasoline pumps _(Number) (Received)
CI Tanks _(Number)
C3 LPG containers (Number) Remarks
0 Unfired pressure vessel
0 Boilers Permit Approved by Date
C3 Other-Specify
LIST AET �i� �NT Permit Fee
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Units Description Model Number Manufacturer Capacity Approving
(Tons) Agency
C al)4-1 I-It 0 Z 31Z iLl' ) Z?-'C)
HEATING-FURNACES,BOILERS,FIREPLACES
Number Units Description Model Number Manufacturer Capacity Approving
(BTU) Agency
A I//j A Ire, f
TANKS
How Many Nominal Capacity Type Liquid Nameof Serial Approving
imensions Contained Manufacturer No. Agency
-3 -2-
C!tY--Qf Atlantic Bead
oper: DZI UOTUW RECEIPT ***
t : OC Drawer: I
yW
�eCel# OD: 23799
DesmV 211 oty Am"t
1P BUILDING PEIMITS I M.00
Tender detai I
CK am= 2390 M.90
Total tende"W
Total payment $35.00
$35.00
Trans date: 1/09/93 Tim: 8:54:24
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CITY OF
A
,4rlaoZec VeazX ;7e0j,6da,
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-5445
TELEPHONE (904)247-5800
FAX (904)247-5805
SUNCOM 852-5800
DATE
JEA Construction & Maintenance
2325 Emerson Street
Jacksonville, FL 32207
Attention- Connie
Re: Rough Electrical Inspections
Dear Connie:
Rough Inspections on the following locations have been completed and
approved.-
PERMIT NO. ADDRESS
Jc
.c-1
-U z_&Lc
332-
Please call me at 904-247-5826 if you have any questions.
S incerely,
ATLANTIC BEACH BUILDING DEPARTMENT
joloodsul
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CITY OF
office of Building official
REOUEST FOR INSPECTION 3
Date Permit No.
Time P
Received
L calitY
Job Address
owner's Contractor pLUM G HANICAL 11
Name RET ELECTRICAL Rough 0 Air Cond. 8,
BUILDING Co Rough Wiring Top Out Heating
0 Footing Sewer Fire Place
�emp Pole j Pre Fab
Framing 0 Slab Final
Re Rooting 0 Lintel
insulation REPY—EOR INSPECTION Thurs Friday
Tues. (—Wed A-M
Mon. --Pm
Final inspection
inspection Made Certificate of Occupancy
Inspector Date
CITY OF
Bew,4-0;&TA-&
office of Building Off ici
REQUEST FOR INSPECTIO
a
'TIO
Date Permit No.
Time
Received
3 -2
Locality
Job Address
Owner's &AAA C)n Contractor
Nam.
BUILDING CONCRETE ELECTRICAL PLUM�aG( MECHANICAL
Framing 11 Footing Rough Wiring [i Rough 0 Air Cond.&
Re Roofing 11 Slab F-1 Temp Pole 0 Top Out 0 Heating
Insulation 11 Lintel El Final 0 Sewer E Fire Place D
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. (��Thurs. Friday
A. .
A.
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Inspection Made -6,W.
Final Inspection El
Inspector certificate of occupancy E
No r I Date
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MAP SHOWING BOUNDARY SURVEY OF
LEGAL DESCRIPTION
(PAGE TWO OF TWO)
LOT 11, BLOCK 5, AS SHOWN ON PLAT OF ATLANTIC BEACH DIVISION A, AS
RECORDED IN PLAT BOOK 5, PACE 69, OF THE CURRENT PUBLIC RECORDS OF
DUVAL COUNTY, FLORIDA, TOGETHER WITH A PART OF LOT 13, BLOCK 5; MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
BEGIN AT THE SOUTHEAST CORNER OF L OT 13, BLOCK 5, ATLANTIC BEACH,
DIVISION A, AS RECORDED IN PLAT SHOWN IN PLAT BOOK 5, PAGE 69, OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA; THENCE WEST 2.2
FEET; THENCE NORTH PARALLEL TO THE EASTERLY LINE OF LOT 13, BLOCK 5,
ATLANTIC BEACH, DIVISION A, A DISTANCE OF 60 FEET; THENCE EAST 2.2 FEET
TO THE EASTERLY LINE OF LOT 13, BLOCK 5, ATLANTIC BEACH, DIVISION A
(BEING THE WESTERLY LINE OF LOT 11, BLOCK 5, ATLANTIC BEACH, DIVISION A);
THENCE SOUTH 60 FEET TO THE POINT OF BEGINNING.
TOGETHER WITH AN EASEMENT FOR INGRESS AND EGRESS OVER THE
FOLLOWING DESCRIBED PROPERTY:
COMMENCE AT THE SOUTHEAST CORNER OF LOT 13, BLOCK 5, ATLANTIC BEACH,
DIVISION A, AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC
RECORDS OF DUVAL COUNTY, FLORIDA; THENCE A DISTANCE OF 2.2 FEET WEST
ALONG THE SOUTHERLY LINE OF SAID LOT 13 TO THE POINT OF BEGINNING;
THENCE NORTH 20 FEET ALONG A LINE PARALLEL TO THE EASTERLY LINE OF
SAID LOT 13; THENCE WEST 10 FEET ALONG A LINE PARALLEL TO THE
SOUTHERLY LINE OF SAID LOT 13; THENCE NORTH 15 FEET ALONG A LINE
PARALLEL TO THE EASTERLY LINE OF SAID LOT 13; THENCE EAST 8 FEET ALONG
A LINE PARALLEL TO THE SOUTHERLY LINE OF SAID LOT 13; THENCE NORTH 25
FEET ALONG A LINE PARALLEL TO THE EASTERLY LINE OF SAID LOT 13; THENCE
EAST 4.2 FEET ALONG A LINE PARALLEL TO THE SOUTHERLY LINE OF SAID LOT 13;
THENCE SOUTH 60 FEET ALONG A LINE PARALLEL TO THE EASTERLY LINE OF
SAID LOT 13 TO THE POINT OF BEGINNING
JOB # 14520 DATE OF FIELD SURVEY: 05-15-01 ISSUE DATE: 05-17-01 SCALE: V=30'
CERTIFICAIE
2522 Oak Street I HERE" 'RTIFY TKAT THIS SURVEY WAS WADE UNDER MY RESPONSIBLE CHARGE
Jacksonville. Florida 32204 AND MEETS THE MINIMUM TECHNICAL SfANDARDS AS SET FORTH BY THE FLORIDA
) go 9 E19 BOARD OF PROFESSIONAL SURVEYORS ANP MAPPERS IN CHAPTER 61G17-6 FLORIDA
(Phone) 904-31839-5989 ADMINISTRATIVER- PURSUANT TO SECTION 472.072. FLORIDA STATUTES:
7
jC11 (Fox) 904-389-6175
MICHAEL J. AIv/1O
LIU P V # 4879 STATE OF FLORIDA
REGISTERED SURVEYOR AND MA P
LICENSED BUSINESS # 6702
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5B26-FAX: 247-5877
YFOR?A-
-A
TI011 V,MW
'Wj4_T_7k_STR
_A_dd__re_SS_: 33_2 FOURT EET
perij.t�Num�ber. 23854 ATLANTIC BEACH, FL 32233
r
Permit Type: ROOM ADDITION Book:
0 Township: Range:
Class of Work: ADDITION Lot(s): Block: Section:
Proposed Use: SINGLE FAMILY Subdivision:
Square Feet: Parcel Number:
Est. Value:
INIFOIF�A-`17IW
Improv. Cost: 81,383.00 HOLLY
Date issued: Name: IDDLETON, PATRICK
787.52 Address-. 332 FOURTH STREET
Total Fees: ATLANTIC BEACH, FL 32233
Amount Paid: 787.52 Phone: (904)249-3003
Date Paid: 4/1Z2002
Work Desc: A [ON DON:745; SC;HFZl(`3!1:1358
C -682.00
160.00
3.54
0.19
35.00
6.11
0.68
74
10
W,
IN
...................
17
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ION
NOTICE
. ............
IC SPACE, AND
MUST NQT
BUILDING MATERIALi.,
mU�T BE CLEARED U
N IHE
"FAILURE TO COMP
PROPERTY OWNER P
SUBJECT TO REVOCATION I
G TO APPR K,
.ISSUED ACCORDING TO APPR P
FOR VIOLATIOR OF APPLICAB
oper: CHERYLE Type: OC Drawer:
Date: 4i15/02 01 Rkeipt no: 50168
14 flIERMITS-BUILDING 1
Trans number.: 804893
AT N C BEAC B LDING-DEPT. I
1332A I
CK CHECK5
Trans date: 4/15/02 Time: 16:51:13
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
233-Tel: 247-5826- Fax: 247-5877
800 Seminole Road-Atlantic Beach, FL 32
ELECTRICAL PERMIT
PERMIT I FOR ATION LOCAT16N INFORMATION--
332 FOUR I H b I mr-t I
Permit Number. ATLANTIC BEACH, FL 32233
permit Type: ELECTRICAL Township: Range: Book:
Class of Work: ALTERATION Lot(s): Block: Section:
Proposed Use: SINGLE FAMILY Subdivision:
Square Feet: Parcel Number:
Est Value: ._�����ORMATLON
Improv. Cost: Name: MIDDLE-1 UN, PATRICK& HOLLY
Date issued: 5/01/2002- - Address: . 332 FOURTH STREET
Total Fees: .25.00 ATLANTIC B I EACH, FL 32233
Amount Paid: 25.00 Phone: (904)249-3003
5/01/2002
Date Paid:FKD-DITION UPGRAD�, AMPS
;1 1
Work Demc�� ApPUCATION.FEES
25.00
TOR S
CONT
BIVINS LECTRI(; W.
-ME
-...0
VE
ECTION
NOTICE- I N -
IC SPACE, AND
BUILDING MATE R_
MUST BE CLEARED
I-Aw THE
"FAILURE TO COMM
PROPERTY OWNER
SUBJECT TO REVOCATION
ISSUED ACCORDING TO APPR
FOR VIOLATION OF APPLICABL
..........
Type: OC -Draver:
CHERYLE 54324
Zatre: 5/01/02 ft Receipt W:
14 pERNITS-BuILDING I
1900MIM
NTIC BEACH B ILDING DEPT.
332 4TH ST
CK CHECKS 7138
fflng dgt.@,. 51@1/@2 Tiae: 17:05:41
VRKMIT
TO THE CHIEF ELECTRICAL INSPE=Fl: DATE:
MWORTANT NCTICF-
CONSIDERATION OF PERMIT G;VEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLoymin., WE
'S'
B AGREE TO PERFORM SAID WOR ORDANCEWITH THE A 77ACHED PLANS AND SPECIFICATION�,
HI B E
P IN- CORDAN E YVITH HE TRICAL R
l!H RE A F ART HEREOF, AND=T; E ZEGULATION ODES AND Cm
ATLA C BEACH OR
'ttECTRICAL FIRM: miirE4 Ei ECTRICIAihiGNA'PURF
ic
NAMEOLA -�AC�RESS:
r 7 A
RFD-BOX_
BLDG.SIZE BE'MEEN:
RE&(-� APT. KJ13LIC INDUS. NEW CLO REW.
ACCITICN TRAILE'R UAP. SI GNS SCL F-1.
SERVI'M-: NEW INCREASE(4-�REPAIR ( F==
=NCUC'.QR SIZE Amn ALUM.
I 'N
SMTCH CR 3REAKER AMPS VOL7 RA 7WAY
oflbo AMPS 2- xq
EXIST.SERV.SIZE P4 0 VcLT RACTIVAY 1
No. SIZE NC. SIZE - NC.
SIZE
UGHTING CUTL=1 =NCEAL-an CPEN TOTAL
RECL-- TA4--ES
=NCZALED 0 p SN 70TAL I
sw =4 E-5
INC-'-%NlDESCa.W
FLUCRE-SCENT&M.V.
API'L-IANCZS
SELL TRANSF.
AIR H-P.RATING H.?.FIATING
=NDITICNING (=mp.'%QTQR 07HERMOTURS AMPS �CZIL HEATJ rN-HEAT
Q.-I ov
MOTORS H.P. VCLTAGE PHS I I W.
NC. Eit VCL7'AGE pHs
MISCZ-LLANECUS
r
S55 01%'lVu4-
TRANSFORMERS- UNDER 6W V. cvrzR son V.
MG. KV A NC. �KVA
NO.NEON TRANSF. NO, VA. MA. MCTOR SIZE T%NITC:l FLASHERi
EAC-4 SIGN
11WARDE0
'DT_4L FE
5 MIN. PIETURF, Book 10376 Page 574
�Q-k�k "Co FORM 409
-j
r-l-k 1977 L�Vk
�1 713.13 N of C
(prepare in Duplicate),
rro WAOM if Maj concern. Y.
informs all concerned that improventents will be made to cerWn real property'
The undersigned hereby the Florida Statutes,the following information is stated in this NOTICE
and in accordance with section 713.13 of
OF CONWENCEMENT. V
)f property
Description c U1 . . . . . . .
–+IV V r-- . . . . . . .
. . .4TL
. . . . . . . . . . . . . . . . . . . . . . . .
General description of improvements . . . . . . 4' . . . . . . . .
. . . . . . . . . . . . . . . . . . P.DjUTION.
. . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . .
. . . . . . . . . . . .
-�41jk
. . . . . . . . . . . . .
Owner . . ... . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . .t' . . . . . . . . . . . . .
Owner's interest in site of the itilproveinent . . . . . .7t;--�S " . . . . . . .
Fee Simple Title holder(if other than owner) . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . .
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
to(... . . . . . . . . . . . . .. . . . . . . . . . . . . .
. k.1.
Contractor , 11�r:,-, . . . 1*
-.1+4.4 A&w 0"(. J4, .LT-t . . . . . b.C'MD.W1
ss
S ty(if an)) . . . . . . . . . . . . . . . . . . Amount of Bond$. . . . . . . . . . . .
ess . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . I
ruking a loan for the construction improvements . . . . . . . . . . . . . . . . . . . . . .. . . .
A
dd
ee
N�m
Ane'
Si
e
Cont]
e
ddr
Nant'170n. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . .
da de , Led by owner upon whom notices or other documents maY be served,
Person within the State of F n signa . . . . . . . . . . . — . . . . . . . . . . . . . . . . .
. . . . . . . . . . .
. . . . . . . . . . . . . . .
Name . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . .
. . . . . . . . . .
Address ive a copy of the Lienor's Notice as provided
In addition to himself,owner designates the following person to rece
in Section 713.13 (1)(h),Florida Statues. (Fill in at owner's option).
. . . . . . . . . . . . . . — . . . . . . . . . . . . . .
Name . . . . . . . . . . . . I . . . . . . .
Address . . . . . . .Z- . .
Tj-�s space for recorder's use only
e
sworn to and subscribed before me thisA
at,.c/6 ru 20 ox.
V.RENM
0 ry 8,2004
Th,,iv"
5740M
Fi ed & ft"
&"/M 11t1414 0
in FWD
MM CMIT cow
WA CW" S
7W F" 6
WOW
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address 'I'S 2- L_1 0
Date_,Y- 0- - 0 `2L,
Heated Square Footage q 5 per sq f t 5-3.
(a 8 3.F. per sq f t
Shed ( � I
Carport @ per sq ft
____2:L_@ 0
Deck per sq ft 0
Patio @ per sq ft
TOTAL VALUATION :
Y / $
Total /Valuation ist 00
$
per thousand
Remain�ingV�lue 0� portion thereof
TOTAL BUILDING FEE
+ 1/2 Filing Fee $
( ) Fireplaces @ $15 .00 $--
BUILDING PERMIT FEE
WATER IMPACT FEE leon
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
(-JqS-) RADON (HRS) . 0050 $,
SECTION H PAVING
HYDRAULIC SHARES
CROSS CONNECTION
Q35f) SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE $__L;7_y
ADDITIONAL PERMITS OR FEES: Mechanical-; Plumbing
Electric/New Electric/Temp-; swimmingPool
Septic Tank Well_; Sign- Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES:
4
REcE1Vj,_r
FEB 2 8 9nno
C't�/.,Of Aflantic B e,:,
4
4tCof Atlantic Beach- 800 Seminole Road - Atlantic Beach,Florida 322�� 544�f �J,,jj
one: (904)247-5800 - FAX (904)247-5805- http://www/ci.atiantic-beach.fl.us
PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS,
MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION
DATE O-z-
APPLICANT T41,F-tWc i -ro&A
ADDRESS si u 8.::dA &r,' 4aL PHONE:
ADDRESS WHERE WORK IS TO BE PERFORMED Soi m c
LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER ZONING DISTRICT
CONTRACTOR -fWC- 6JAc COHeNQ� , IA)C,, STATE LICENSE NUMBER C-(:l(_ 0 1 qjrej
ADDRESS ,3?,qj QUIt)a-e O .Cr- JA4 ri- J-ZZ14 PHONE 9D I Z Z j-11014
CITY STATE ZIP FAX zZi - (C)+4
DESCRIBE PROPOSED USE AND WORK TO BE DONE b Lct:�&A-)
PRESENT USE OF LAND OR BUILDING(S)
VALUATION OF PROPOSED CONSTRUCTION ta4o t9ffi-00
Is this an addition? — y CS - If yes, what are the dimensions of the added space: 7-3 feet by feet
Will the added area be heated and cooled? N 0 New electrical or increase in service? Ajo
New plumbing fixtures? I kes New fireplace? 0 New heating/air conditioning? A)0
Is approval or Homeowner's Association or other private entity required? N 0 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.)
STEP 1. Verify zoning designation and I proper setbacks for the proposed construction. If you are unsure of this information,please
contact the Planning and Zoning Department at 904-247-5817. In.order to correctly verify zoning designation,please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey is required. (If not required, written verification must be provided with this application.) The
Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)247-5834
STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and
four (4) 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
01/02/02
FROM. : U.J.HAGERTY PHONE NO. : 904 223 1044 Apr. 02 2002 10:55AM P1
RECEIVED
The Hagerq Companyq Inc* 0 1
Certified General and Roofing Contractor AN 0
CGC 019551 -CCC 057779 C
3749 Quiriby Island Court C��' Atlan4ic Beach
':d:99Vhd Zoning
u.
Jacksonville,Florida 32224 z
1-904-223-1044
April 2,2002
Ms.Sonya B.Doerr,AICF P I D
City of Atlantic Beach
800 Seminole Road 6 P 0 2002
Atlantic Beach,Florida 32233-5445
re- proposed addition-332 Fourth Street 6 P-E
Dear Ms.Doerr,
b response to your letter dated March 8,2002,copy attached.
tem#1 The impervious surface area of the proposed new construction,
added to the existing residence is approximately 21.89 percent
of be total land area.
tem#2 All exterior decks will not exceed 30" in total deck height. In
tbc event that the decks do exceed this height a railing will be
installed as per S.B.C.C.I. regulations.
if you have any questions or if you require any additional information please feel
free to contact me at 1-904-591-4354
Respectfully submitted,
ident
Qui agert P
The# rty Co ny,Inc,
FRM Q.J.HAGERTY PHONE NO. 904 223 1044 Apr. 02 2002 10:55AM P2
CrrY DFA BEACH
TLANIMC
a BU
m 91 1 M,fS RQAD
ATLAxnc BEACK it6m*32233-5445
TgL2MKH-w"),-247-59W
FAX:
'f152-SW
huplid. tkc4machAux
Oil
March 08, 2002
PatriCk Middleton
332 Fourth Street
Atlantic Beach, Florida 32233
Re: Proposed ad4itign to singlei-faM&[2side"eq at 332 Fouqh
Dear Mr. Middleton:
Enclosed are commentB generated by the review of construction plans for the above
referenced project. If you hMM My c1gWigne relittod-La zR2404 5:0171MOnts. d1j2pft
contoot the PPPEgwW—ft rGASE-10a DOPArtmR Plea6e respond to all comments so
nt. inal review and
may be forwarded to the Building Department for f
that your.application
permitting. If revised plan5 are required, please submit sc�ir-(4T-!iRs-6f pla filong
appropriate permit a0piication forms to the Community Development Department.
Sincerely
Sonya S. Doerr, AICP
Community Development Director
Enclosures
FRO� Q.J.HAGERTY PHONE NO. : 904 223 1044 Apr. 02 2002 10:56AM P3
SF-2 -2 Fourth StreeLIM14dieton addition)
=--Q-8 � -33
Utility DeRartment JR94) 241-583
March 07, 2002
Pre-Application Number SF-2002-08
COMMENTS:
Reviewed. No comments-
Pub4c Work$- 00partment (W)247-5833
March 07, 2002
PwApplication Number: SF-2002-08
COMMENTS:
Reviewed. No comments.
P111nning andZqn1ng-QgRgrtmeUt(90411AL-a?J7
March 04, 2W2
fi�iow zoning regulations
i provide Impervious Surface Area calculation
(t) Building restricdons. The Sudding restrictions in the RS-2 Zoning D18070(8
shall be as fomws-
(1) Maximum Impervious Surface: PRY(50)Percent.
(2) Maximum Building Height: Thirly-five (35) feet.
Impef vious surfaco shaft mean those sudaces (hot prevent the entry of watftr
i,7(o the soil. Common imp@1vious Surfac*s Mcioda, but am not limited to,
rootiops, sidewalks, patio areas, driveways, parking Lots, and other surfaces
made of concrete, asphalt, brfck, plastic, or any surfacing rW(ed8l with a base or
fining of an imp&rvious material. Wood docking elevated two of m0t0 Jnch@$
above grade shall not be considered impervious provided that the ground surface
beneath the decking is not impervious, peMoua areas beneath roof or balcony
overhangs that are subject to ;nundation by smmywater and which allow the
porcolation of 1hat stormwater shaft not be considerod impervious areas.
Swimming pools shall not be considerad as Imperviove Surfaces because of their
awity to retain additional rain water, however, docking around a pool may be
considered imporvious depending upon materivis ,Psad.
Verity that the new dock is fully within property line and that it does not exceed 30
Inches in height. Structures above 30 inches in height, including docks MUSI COmPlY
with setbacks.
Z0014MOT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE: (904)247-5800
FAX:(904)247-5805
SUNCOM: 852-5800
http://ci.atlantic-beach.fl.us
March 08, 2002
Patrick Middleton
332 Fourth Street
Atlantic Beach, Florida 32233
Re: Proposed addition to single-family residence at 332 Fourth Street
Dear Mr. Middleton:
Enclosed are comments generated by the review of construction plans for the above
referenced project, If you have any guestions; related to specific comments, directIV
contact the appropriate reviewing Department. Please respond to all comments so
that your application may be forwarded to the Building Department for final review and
permitting. If revised plans are required, please submit four (4) sets of plans along with
appropriate permit application forms to the Community Development Department.
Sincerely,
4
Sonya'B. Doerr, AICP
Community Development Director
Enclosures
SF-2002-08 332 Fourth Street (Middleton addition)
Utility Department (904) 247-5834
March 07, 2002
Pre-Application Number SF-2002-08
COMMENTS.-
Reviewed. No comments.
Public Works Department (904) 247-5833
March 07, 2002
Pre-Application Number SF-2002-08
COMMENTS:
Reviewed. No comments.
Planning and Zoning Department (904) 247-5817
March 04, 2002
1. Provide Impervious Surface Area calculation per below zoning regulations.
(0 Building restrictions. The Building restrictions in the RS-2 Zoning Districts
shall be as follows.
(1) Maximum Impervious Surface: Fifty (50) percent.
(2) Maximum Building Height: Thirty-five (35) feet.
Impervious Surface shall mean those surfaces that prevent the entry of water
into the soil. Common Impervious Surfaces include, but are not limited to,
rooftops, sidewalks, patio areas, driveways, parking Lots, and other surfaces
made of concrete, asphalt, brick, plastic, or any surfacing material with a base or
lining of an impervious material. Wood decking elevated two or more inches
above grade shall not be considered impervious provided that the ground surface
beneath the decking is not impervious. Pervious areas beneath roof or balcony
overhangs that are subject to inundation by stormwater and which allow the
percolation of that stormwater shall not be considered impervious areas.
Swimming pools shall not be considered as Impervious Surfaces because of their
ability to retain additional rain water, however, decking around a pool may be
considered impervious depending upon materials used.
2. Verify that the new deck is fully within property line and that it does not exceed 30
inches in height. Structures above 30 inches in height, including decks must comply
with setbacks.
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LEGAL DESCRIPTION
(PAGE TWO OF TWO)
LOT 11, BLOCK 5, AS SHOWN ON PLAT OF ATLANTIC BEACH DIVISION A, AS
RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF
DUVAL COUNTY, FLORIDA, TOGETHER WITH A PART OF LOT 13, BLOCK 5; MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
BEGIN AT THE SOUTHEAST CORNER OF LOT 13, BLOCK 5, ATLANTIC BEACH,
DIVISION A, AS RECORDED IN PLAT SHOWN IN PLAT BOOK 5, PAGE 69, OF THE
CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA; THENCE WEST 2.2
FEET; THENCE NORTH PARALLEL TO THE EASTERLY LINE OF LOT 13, BLOCK 5,
ATLANTIC BEACH, DIVISION A, A DISTANCE OF 60 FEET; THENCE EAST 2.2 FEET
TO THE EASTERLY LINE OF LOT 13, BLOCK 5, ATLANTIC BEACH, DIVISION A
(BEING THE WESTERLY LINE OF LOT 11, BLOCK 5, ATLANTIC BEACH, DIVISION A);
THENCE SOUTH 60 FEET TO THE POINT OF BEGINNING.
TOGETHER WITH AN EASEMENT FOR INGRESS AND EGRESS OVER THE
FOLLOWING DESCRIBED PROPERTY:
COMMENCE AT THE SOUTHEAST CORNER OF LOT 13, BLOCK 5, ATLANTIC BEACH,
DIVISION A, AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC
RECORDS OF DUVAL COUNTY, FLORIDA; THENCE A DISTANCE OF 2.2 FEET WEST
ALONG THE SOUTHERLY LINE OF SAID LOT 13 TO THE POINT OF BEGINNING;
THENCE NORTH 20 FEET ALONG A LINE PARALLEL TO THE EASTERLY LINE OF
SAID LOT 13; THENCE WEST 10 FEET ALONG A LINE PARALLEL TO THE
SOUTHERLY LINE OF SAID LOT 13; THENCE NORTH 15 FEET ALONG A LINE
PARALLEL TO THE EASTERLY LINE OF SAID LOT 13; THENCE EAST 8 FEET ALONG
A LINE PARALLEL TO THE SOUTHERLY LINE OF SAID LOT 13; THENCE NORTH 25
FEET ALONG A LINE PARALLEL TO THE EASTERLY LINE OF SAID LOT 13; THENCE
EAST 4.2 FEET ALONG A LINE PARALLEL TO THE SOUTHERLY LINE OF SAID LOT 13;
THENCE SOUTH 60 FEET ALONG A LINE PARALLEL TO THE EASTERLY LINE OF
SAID LOT 13 TO THE POINT OF BEGINNING
JOB # 14520 DATE OF FIELD SURVEY: 05-15-01 ISSUE DATE: 05-17-01 T- SCALE: V=30'
CERTIFICATE
2522 Oak Street I HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE
Jacksonville. Florida 32204 AND MEETS THE M:NIMUM TECHNICAL SfANDARDS AS SET FORTH BY THE FLORIDA
(Phone) 904-389-5989 BOARD OF PROFESSIONAL SURVEYORS ANP It MAPPERS IN CHAPTER 61G17-6. FLORIDA
(Fox) 904-389-6175 ADMINISTRATIVE PURSUANT TO SECI N 472.072, FLORIDA STATUTES.
AIT
0
LICENSED BUSINESS # 6702 REGISTERED SURVEYOR AND MAPP # 4879 STATE OF-FL-ORIDA
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS
PRE-APPLICATION REVIEW SUBMITTAL
City of Atlantic Beach- 800 Seminole Road- Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 - FAX (904)247-5805- http://www/ci.atlantic-beach.fl.us
Pre-Application Number: SF-2002-08 Date Routed: 03/01/02
Project Name: 332 Fourth Street (Middleton addition) S bmittal No. 1
F_� Commercial Multi-Family Z Single-Family E] Other
Departments Routed:
Building (Don Ford 247-5813)
Planning and Zoning (Sonya Doerr 247-5817) 410
Z Public Works (Bob Kosoy 247-5878)
F-1 Public Utilities (Donna Kaluzniak 247-5834)
F� Other
Date Review Comments Due: Thursday, March 06, 2002
Additional Information: Please enter any comments in the appropriate department
folder. (F:\Development Review Comments\)
If your department has no comment on this submittal, please enter "reviewed, no
comment" by the date comments are due, or it will be assumed your department has no
comment.
March 7, 2002
Pre-Application Number: SF-2002-08
Date Due- 3/6/02
Plan Review for
332 Fourth Street (Middleton addition)
COMMENTS:
Reviewed. No comments.
*K9
PRE-APPLICATION REVIEW SUBMITTAL
City of Atlantic Beach- 800 Seminole Road- Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 - FAX (904)247-5805- http://www/ci.atiantic-beach.fl.us
Pre-Application Number: SF-2002-08 Date Routed: 03/01/02
Project Name: 332 Fourth Street (Middleton additiop) Submittal No. 1
F] Commercial F-1 Multi-Family Single-Family Other
Departments Routed:
Z Building (Don Ford 247-5813)
Z Planning and Zoning (Sonya Doerr 247-5817)
Z Public Works (Bob Kosoy 247-5878)
F-1 Public Utilities (Donna Kaluzniak 247-5834)
F-1 Other
Date Review Comments Due: Thursday,March 06, 2002
Additional Information: Please enter any comments in the appropriate department
folder. (F:\Development Review Comments\)
If your department has no comment on this submittal, please enter-'a' mdmued no
"�tlffent ias no�
comment" by the date comments are due, or it will be assumed your dep
commen .
Lm--r
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: 3 3,D *A
OWNER OF PROPERTY:__T�,--,
PLUMBING CONTRACTOR:
CONTRACTOR'S ADDRESS:
C)
_57(o TELEPHONE:
STATE LICENSE NUMBER: c'Fco. z/oo oc/_ 7-
HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED
-SINKS SHOWERS
-LAVATORIES WATER HEATERS
-BATH TUBS DISHWASHERS
YRINALS DISPOSALS
-CLOSETS WASHING MACHINES
-FLOOR DRAINS I/ SHOWER PANS
OTHER
TOTAL FIXTURES: X 3.50 + $15.00
MINIMUM PERMIT FEE = $25.00
SIGNATURE OF OWNER:
eRA:
o
SIGNATURE OF CONTRACTOR:
-----------------------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834.
PSR
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
mERMIT INFORMATION LOCATION INFORMATION
Permif Number : 15782 Address : _ _332 FOURTH STREET
Permit Type : PLUMBING ATLANTIC BEACH . FLORIDA
-'lass of Work :ALTERATION ------- --- LEGAL DESCRIPTION ---------
Y-
-onstr . T ve:WOCD FRAME _-Zlock- Lot : Twp:
ProDosed Use : Section : 0 Subd : O Fria :
Dwellinas : 1 Subdivisi-on :ATLANTIC BEACH
Est . Valu-e : 0 . 00
improv . Cost : 0 . 00
Total Fees : 25 . 00
25 . 00
lf� 'iloop I
TER PAN
OWNER INFORMATION ----- --- APPLICATION FEES ------- - ----
i4ame ' �JJIMMY JARBCE PERMIT 25.01)
1132 FOURTH STREET
ATLANTI�_' BEACH, FLORIDA 32),
Phone:
CCNTRACTOR !NFORMATI,-,N
�Jame : CHRISTY FIRST COAST PLUMBING
�-�ddr , P. C1. BOX 5044E,
JACKSONVILLE BEACH . FL 32240
Lic: CFC0 5 E,4 Exr ,
,:7 n e
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.99
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
Date: 1/15/98 81 Receipt: 0925865
CHECKS 3005
ATLANTIC BEACH BUILDING DEPARTMENT 00108003221000
By:
APPLICATION FOR FENCE PERMIT
Owners Name Phone
Job Address
Lot Block and/or Unit # Subdivision
Contractor if different from owner
Valuation of fence $ �'5-0 Corner or Interior Lot
Type of Construction �,Oozao
Show location and height of fence as well as location of street(s).
Owner Signature Date
U
Contractor Signature Date
10WING 8011AVEY _)F,
(-1,0T )J, AND A PAIN' ()F I.(.)T I "A" A'(T.AN'I'JC. IJ1;1'ACI1 AS I?I--X'0I?1JI1--D
PI.Al' 1,30CM 5, PA(A-, 69 ()1-' :TIII': POLILIC RE-COUDS OF DUVAIJI, COUrT17, FLORIDA. (SM
M'FACIIED
I I 1003Y FY. 'I IIVL': J-'i IU: 1S)IIGWN IM10--a4 jr
I;*j,C)0I) V,()N F" "X" (AIW-,Ac; D151'URMINIED
'M 01",
-,At? 5IIjVN ..()N 11111;; HAZARD WUNDARY MAI) FOR
.:.['J'Y QI' ATIAN-11( 131::A('Il, H,Ql?.I�)A.
FOURTH STRE ET
,10 n/w
0
A 250.0
r uu.V7"i.
0 1
110 CAP 1 41 Cr—t A P
4
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0 >
0
0,
L
-1
!ij
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0 1
L 0 T 9
7.6
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FRAME
r 111).I/p.I r!
110 CArn
13 1-
ropir r
1.A I 11)111 r No* 332
.4 0.z
.71,
.0, in J. J1. -
r P i i-0—
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S'
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G A I?A G-E
I I v10
rim. i/p."ir
C
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_0
0.Zl� --0.4'
I-ON LINE
P 01 NT OF I N'J* OF
M i� G__E E N I L3 F G I N N I N Gy
r_AS[.MLN r S,E. CU111,101 LOT 13
L01 IG L 0 1 14 LOT 12 LOT 10
1) NO 9.11.L. AS PER I'LA I
Z) ANGLES AS PEfl rlEL0 SURVEY. .....M_ 'PROP160 (A 001)TT Wr— 14>_�i
3) THIS 19 A UOUNDAilY SURVEY.
4) NOnTIl PROTRACTED FROM PLAT-.
I IIISRUDY CU'J?'1'JFY 'K) JAMI1;'.S it. -r-;13EccA JAR13OF,,, Du"CNIIJ11 I'll-'DERAL, SAVINGS LOAN AND IV]
'11INI' I IIAVI;: IS(MVEIMI) 'MF. 1,�,NDS AS) 51104N IN '111C A13OVE CAVIJON AND '111NI' '1111S MAP
A Atli) ('0106,F'r 0V '11IM' "URVEY AND 'I'IIA'I' '1111" SURVEY I(I;*PI?I:'SEN`1'ED 11EI
I'il-T:'I*S '1111;: 1111\1111(fl-I ]EC111,11CM, :)'TAI,l[)ARD.; OF TIII.:; 1-1,01UM ADMIN-15'I'MI'lVE, CODE' CHAPIT-M 21-
6 A14D '11 It:" I I I j
,,(.)1?11)A I..AND
THIS SUMEY NOT VALID UNLESS
SEALED WITH AN EMBOSSED SEAL
or surivEyon SIGNED IIEnEON DONN W. BOATWRIGHT, L.S
FLORIDA FIEG. LAND SURVEYOR No. 34'
SCALE: 30' 1130AIMIGHT LAND SUMEYons, INC. DATE SIGNED:
1-MAYM BY: Y1.A. 1401 PENMAN r1QAD SUITE 1) 1 .19 n!)
F.11. N:- -__ 6 1) - JACKSONVIIA r-- DFAM 1. r-I nI1II)A 7A I.nt;rn SHEET I--OF I
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL� 247-5826-FAk 247-5877
PERMIT INFORMATION LOCATION INFORMATION
--Pjj jjjjj-bj-r�— 18627 Address: 332 FDORTHSTREET
Permit Type: FENCE 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:
OWNER INFORMATION-----
Improv. Cost: 1,274.00
Date Issued: 7/30/1999 Name: JURNI AN, JEANETTE
Total Fees: 10.00 Address: 332 4TH STREET
Amount Paid: 10.00 ATLANTIC BEACH, FIL 32233
Date Paid: 7/30/1999 Phone: (904)249-7497
--E:REC-T CYPk5S8 ST6CKADE FENCE PER ISIS
Work Desc:
APPI-119A
CONTRACTOR(S) nQ—NFM-S— 10.-00
E—N-C——E
ARL NGTON F PERMIT
InsL)ec -�RSW�FA4—
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"
Ir-r-7 Tr) PPVOCATION
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUB—
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
Date: 9/01/99 01 Receipt: 0083846
ILDI E CHECKS 18936
ATLANTIC BEACH B ILDI DEPT.
RECOVED
jUL 16 1999
APPLICATION FOR FENCE PERMIT City ot Atlantic Beach
Building and Zoning
Owners Name JEANETTE JERNIGAN Phone 249-7497
_�32 4 th ST ATLANTIC BEACH FLA
Job Address
Lot Block and/or Unit #_ Subdivision
Contractor if different from owner ARLINGTON FENCE CO, . INC.
Valuation of fence $ 1274. 00 Comer or Interior Lot INTERIOR
Type of Construction 55 ' 61 cypress stockade
Show location and height of fence as well as location of street(s).
t141 5�IL- N S
P, V:N 10"
to
,�&16
Owner Signature
Contractor Signature ate
7L._?9"t2� -Date 7-1(,
ARLINGTON FFNCE CO., INC.
262-9341 904-262-1760
12677 Phillips Highway 904-262-9341
JAX FLA 32256 904-262-1382 FAX
AVAILABLE CONTRACT #
CUSTOMER JEANETTE JERNIGAN
ADDRESS 332 4 th ST DATE 7-7-99
INSTALLAT ATLANTIC BEACH PHONE NUMBER 242-8236
CONTACT FAX
Af
(7
WHEN SIGNED BY THE PURCHASER AND ACCEPTED BY THIS COMPANY THIS PROPOSAL BECOMES A
CONTRACT — BINDING BOTH PURCHASER AND COMPANY.
TOTAL ji�F HIGH TOTAL COST
TOTAL FEET HIGH DOWN PAYMENT
TOTAL FEET HIGH BALANCE DUE UPON COMPLETION
MATERIALS APPROXIMATE STARTING DATE
GATE POSTS O.D. PAYMENTS NOT RECEIVED AS AGREED
ARE SUBJECT TO 1 1/2% INTEREST PER MONTH.
END POSTS O.D. ANY ADDITIONAL MATERIAL OR LABOR USED WILL
CORNER POSTS Ll O.D. BE AT THE COST OF THE BUYER.
LINE POSTS O.D.
TOP RAIL O.D.
FABRIC
MESH GAUGE
GATE SIZES
NOT RESPONSIBLE FOR DAMAGES TO UNDER-
GROUND CABLES, PIPES OR ANY OTHER UN- 3 ,5
MARKED OBJECTS.
DO NOT SIGN BEFORE READING CONTRACT. THE PROPOSAL PRICE IS GIVEN WITH THE AGREEMENT THAT
THE PURCHASER WILL CLEAR ALL LINES FOR CONSTRUCTION
DATE ACCEPTED OF FENCE AND PROPERLY MARK WITH STAKES OR OTHERWISE.
CUSTOMER AGREES TO PAY ALL COURT COSTS AND
S FEES IF SUIT AND/OR COLLECTION
SIGNED SALESMAN
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,4&4a,x&
office of Building Official
REQUEST FOR INSPECTION
-6, -9
Date Permit No.
Time
Received Z74 4�)
i r's
i's
0 ner's
w Contractor
Name —S�/ CO MECHANICAL
BUILDING CONCRETE ELECTRICAL
Framing F] Footing Rough Wiring E, Rough I,] Air Cond. &
Top Out Li Heating
Re Rooting F- Slab Temp Pole
[-_] Fire Place
insulation t- Lintel Final Sewer Pre Fab
READY FOR INSPECTION
A.M.
PM
Mon. Tues Wed. (:F�riid�ay P.M,
Inspection Made na lInspecti
:r sp.-ctof Certificate of K.cuncy I
Date
CITY OF
4&aal4c Aeac4-Qvu-k
Office of Building Official
REQUEST FOR INSPECTION
Date ;q Permit No.
TI me A.M.
Received
-2-
--4g�
Job Address Locality
Owner's
Name Contractor
- -h-j —
BUILDING 4V C—0 C—R---
Framing ETE ELECTRICAL C--P—��Bl N MECHANICAL
Footing �:7 Rough Wiring E Rough
Re Roofing 17 Air Cond. &
Slab — Temp Pole E Top Out E Heating
Insulation Lintel Final [-I Sewer E Fire Place F--.
Pre Fab
READY FOR INSPECTION
(nn
Tues Wed. Thurs. Friday (7FP M`�
Inspection Made A.M.
RM.
Final Inspection [7
l,-,spqctoF.—_._
Certificate of Occupancy
Date
I cill) OF
4&ao4c lge"4-99An,,&&
Office of Building Official
REQUEST FOR INSPECTION
Date--- /0 Permit No.
Time (0 A.M.
Remived PW
(Iob rdress Locality
Owner's- Contracto r
Name
BUILDING CONCRETE ELECTRICAL :PPW!Bf�NG - MECHANICAL
Framing F� Footing E Rough Wiring Air Cond. & Ej
Re RoofiZ/ El Stab 0 Temp Pole F01 Top Out ating
Insulation 0 Lintel D Final L7' Sewer 0 Fire Place 0
Pre Fab
READY FOR INSPECTION
A.M.
Mon. Tues. Thurs. Friday__C
P.M.
Inspection Made P'M.
Inspector--- Final Inspection 7
Certificate of Occupancy
Date
M. -P SHOWING SURVE1 DF
101' LL AND A PARP OP LU.1' .11, BLOCK 5, SUBDIVISION "A" 1V.I'L-AN`V1C. B1*-;ACII AS IN
VL-A'1' BOOK 5. I'A(-',I:: 69 OF CUR101,"Ifl' PUBLIC RE-CORDS OF DUVAI COUN'17, 1'-'I,01?11)A. (SEE
NI7rACIIE1.) LEGAL DESCRIIYHON) .
311CWN I(ERUM IS IN FLOOD ZONE. "X- (AIZE&S DUIERMINED
1110 BE OUISIDE 500.-Yi:Al? r-*[-O('X.)l 'P.Al[N) AS SlICUN .-ON '111E HkOD IIAZARD LXYJNDAI(Y MAV FUR
111I.;*. CUT 01;' ATI.A111'.1C 131-ACII, V 4in't) )A.
FOURTH-- STREET
40' f11W WAVED)
0.0 250.0
rNo. i/z"i.p. /-0.9' 10. 7' rnp.V2 P
tin CAP
r. M Cr--'C A P L
Joi I 11�1; :,
0
0 t
W- 0;
01
t1L
to
LOT 15 LOT 13 LOT 9
2.20
2.6' 17
q
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r- m .-r X
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r NO.1/2`1.P. 0 FRAME
RES. cl
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oil .12
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J— 2.4'
0.4!---
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NO CAP (52.00'rIEL 14.4'(1 2 O-C A
0.4'
I- ON LINE
POINT OF POIN'r OF
-0-m- -c E:N I t3 1-4 W1 4(T
S.E. COHNEH LOT 13
EASEMENT
LOT 16 LOT 14 LOT 12 LOT MTW?
Ly
J
NOTES 1995
1) NO sm.L. AS PEn PLAT.
2) ANGLES AS PEn rIELD SUnVEY.
3) TIIIS 19 A BOUNDAnY SURVEY. Building and Zoning
41 Noutl PROTRACTED Fnom PLAT.
I IIEVEBY CEIrrIFY iu JAMES 11. & "EBECCA JAIME, DLCN11JR FEDEHAL SAVINGS & LOAN AND T'
1111,13 '111NV I HAVE SURVEYED '111P. LiVDS AS SIMN IN '111E ABOVE CAIYJrION AND '111AT '1111S �IAI
A '11WE AND COPPVX71' Ol., 'IIIA'I' ,;UI?V)-"Y AND TIIN1' SURVEY UE31RESEVIED Itu-1
kll:,*1.--,7'S MINIMUM 51'ANDARDS OF 'I'IIF; [LORIDA ADMINISTH/V1,1VE CODE CHAtyri-I'll 21-
6 AND FLORIDA LAND ASSOCIA'HON.
ims su nvF-Y NOT VALID UNLESS Lw)
SEALED WITI-I AN EMBOSSED SEAL
OF SUnVEYOn SIGNED IfEnEON DONN W. BOATWRIGHT, L.S
FLORIDA REG. LAND SURVEYOR No. 3
SCALE: 1 30' DOATW"IGI-IT LANU SUIWEYons, INC. DATE SIGNED!
DFIAWN BY: Y1.A.13. 1401 PENMAN nOAt) SUITE 1) NQY. 1 ,1202
11. SHEET I OF
F.D. 0: JACKSONVILLE DEACII, rLOI1!. 0-0550
PSR-3844 12941
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION
Permit Number , 12941 �ddress : 332 FOURTH STREET
Permit Type : PLUMBING ATLANTIC BEACH � FLORIDA 32233
-'lass of Work*.ALTERATION --------- LEGAL DESCRIPTION ----------
Constr . Type :WOOD FRAME Block: Lot : Twp:
Proposed Use, Section: 0 Subd:O Rna*
DwellingsT 1 Subdivision:ATLANTIC BEACH
Est . Value : 0 . 00
Improv . Cost ' 0 . 00
T o t a I F#"t
25 . 00
_25 . 00
.-,TL-_ SERVICF
ATION APPLICATION FEES -------- -
14 am6: �JARBOE PERMIT
7nddr
-r-r -T
H`�` FLORIDA 322_�'�
P h o n�e�`
A
----- C6*TRA ORMATIO -------
lame-.—B, ��4_ G�
;kddr : 13997 B BLVE
A: FL 32224
'T A C
Lie, CF-- 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 MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS51
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
PSR-3844 12969
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
--- PERMIT INFORMATION ---- ------ LOCATION INFORMATION ----
Permit Number : 12969 -iddress : 332 FOURTH STREET
Permit Type : DEMOLITION ATLANTIC BEACH , FLORIDA 32233
Class of Work :GARAGE --------- LEGAL DESCRIPTION ---- -----
Constr . Type :WOOD FRAME Block : Lot : Twp :
Proposed Use: Section: 0 Subd:O Rng:
Dwellings , I Subdivision :ATLANTIC BEACH
Est . Value: 0 . 00
Improv. Cost : 0 , 00
Total Fe— , 50 .00
t-m. oun* " . 00
r)
.A(-)L REMOVE DETACHF- GIAF.L�
OWNER INFORMATION -------- APPLICATION FEES
Name' .'-ITM & RECKY JARBOE PERMIT 50 .
�ddr - 332 FOURTH STREET
ATLANTIC BEACH . FLORIDA 31"l-,
Phone! (904 ) 249-9R39 f
------ CONTRACTOR INFORMATIONe ---
Name : KENNETH GASKILL
mridr : 610 SEVENTH AVENUE NORTH
JAX BEACH . FLORIDA 32250
Lic: CRCO219273 Exp *
NOTES:
NOTICE —ALLCONCRETE FORMSAND 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.95
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATIRN F
VIOLATION OF APPLICABLE PROVISIONS OF LAW. bAtes 11/25/96 01 Receipt: 0014632
CHECKS
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
PERI= APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
C,w!,,e r (s) �-a me-S
Address: Phone:
1X-
Lot Bloc or Unit # Subdivision:_-_______
Contractor:
State License # (n2-q 2-*'TS
Address:LO-IQ Phone No: -2-4 LO-�0
Describe work to be done:
Ircr
:�resent use of building:
Valuation of Proposed Construction: F-1,-)
Proposed use:
Is this an addition? if yes, what are the dimensions of the added
space: ft. X ft. Will the added area be heated and
-:ooled? New electrical (or increase) ?
New plumbing fixtures? New fireplace?-New Heat/AC?
SUB141T T7nUZ (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE or co)41,�CZW_XT, AND
OWNL-RICON7.RACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER: Date:
Signature CONTRACTOR: Date:
License Supplied:
Liability Insurance:---- --
0
Worker's Compensatiorr Insurance:_______
PSR-3844 10846
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------ - - ---- LOCATION INFORMATION ------
Permit Number : 10846 Address * 332 FOURTH STREET
Permit Type: PLUMBING ATLANTIC BEACH . FLORIDA 3223`,
'-lass of Work : ADDITION - --------- LEGAL DESCRIPTION -------
Constr . Type : WOOD FRAME lot : Block, Section:
Proposed Use : SINGLE FAMILY Township : RNG: 0
�,wellings : I Code- 0
bdivis-ion : ATLANTIC BEACH
Estimated Value: 80 .00
Improv . Cost : $0 . 00
Total Fees,. $25 , 50
Amount P $25 . 50
a
o r1l 1ING IN %MOD*�
----- - - OWNER INFORMATION APPLICATION FEES -----
Name: JIM JARFnE PERMIT S25 . 50
middress 332 F")URTH STREET WATER .'IMPACT FEE 0�.00
W
E
ATLANT14 BF- 11CH FLORID! SEWER � i
4z
TER"_=
Phone 4): 2-, 3 5 Wk
RADON GAS-H.R. S . $0 .00
------- CONTRI'Mt,"TOR INFORMATION ------- RADON CAB 5% $0 .00
Name ' B I G PLUMBI'� ' CAPITAL IMPROVE. $0 . 00
-Idresz; 13994 BEACH- BIJVK''- SEWER 'TAT
JACKSONVULE . FL 32224 CROSS CONNECTION $0 . 00
40T40
Type: 0 SEC H IMPACT FEE
�j�`S 0 . ob,
CONST. SURCHARGE
3e-.H
SCHARGEJ�ATL
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�y
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. ""AAAAA AAAAAAPM 14
Date: '9/27`/`95'-6j__ Rept. 6W
ATLANTIC BEACH BUILDING DEPARTMENT CHECKS 29620
00100003221000
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION : 3.'�' Ll S-re6:6 T-
OWNER OF PROPERTY: -Ti m 7A.9 13 Is k5
BUILDING CONTRACTOR: pr 9 N�1�TT rz
PLUMBING CONTRACTOR Bc <.' PLuv%jc,,j/,
AND ADDRESS: 139017 iR-AcO 6tvQ
TELEPHONE NUMBER: 223 - 9ses
STATE LICENSE NO: 012 !5113
TYPE OF BUILDING: ri 6 IL IS FA-M,,L
TYPE OF WORK: F-m 6 6 e 4-
HOW 14ANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING 14ACHINE
FLOOR DRAINS -SHOWER PANS
OTHER
TOTAL FIXTURE COUNT: x $3 . 50 + $15 .00 $ 16,Scl
----------------------------------------------------------------
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
PSR-3844 10647
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ---- LOCATION INFORMATION ---------
Permit Number: 10647 Address : 332 FOURTH STREET
Permit Type: BUILDING ATLANTIC BEACH , FLORIDA 32232
Class of Work : REMODEL ---- LEGAL DESCRIPTION ---------
Constr . Type : WOOD FRAME Lot : Block - Section:
Proposed Use : SINGLE FAMILY Township: RNG* 0
Dwellings : 1 Code: 0 Subdivision: ATLANTIC BEACH
Estimated Value: $17000 .00
Improv . Cost : $0 .00
Total Fees : S142 . 50
Amount Paid : S142 , 50
T' P 95
PT.ANS Ann n .��K WTNDOWI; PRN('P ROOF VENT!q FT�-
-------- --- OWNER INFORMATION ---- APPLICATION FEES -----
Name, JIM & BECKv JARBOE PERMIT 8142 . 50
d;0 . 00
A,�,ire!7E : 33" FOURTH STREET WATER IMPACT FEE I
ATLANTIC BEACH . FLORIDA 32% _ SEWER IMPACT FEE $0. 00
Phone: q(14 ) _- 49- 9839 WATER METER/TAP $0 .00
RADON GAS-H .R . S . $0 .00
------- CONTRACTOR INFORMATION RADON CAB 5% 0 , 00
Name* BARNETTE '_'0_NSTRU(.'TION !N�_' CAPITAL IMPROVE . $0 . 00
Address ! 441--3 ATLANTIC BOULEVARr SEWER TAP ��0 .00
ATLANTIC BEACH , FL 32233 CROSS CONNECTION SO . 00
L-1--ense .- -B,705-271 Type : SEC H IMPACT FEE lto .00
CONST. SURCHARGE S�o 00
SCHARGE/ATL . BCH . 50 .00
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DA`r1E OF ISSUE
MNA M ERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
ro
kz 6
"FA113 IRE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE%OPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTSM
ISSUIlt ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOL)gON OF APPLICABLE PROVISIONS OF LAW.
Ln
ATLANTI(XIBEACH BUILDING DEPARTMENT
By: :2z
I loc
T;l
C::
C-n
r-4
0
cc
0
14-
(A
AQ
Ilk
tz.
ol—
8'2
zo
BATH
Lo
0
ZY)
3'5
4'9
EXISTING BATHROOM
NEW VANITY
CABINET AND
SINK
8'2
000
0 $
NEW TILE FLOOR
bo
FAN /
LIGHT
0
NEW SHOWER ENCLOSER
NEW TOILET AND PLUMBING
NEW BATHROOM
8^1*Co V0111164 A"
FL^ 1947 LI^W*
IRS 7 13.13
0%5
VQ ire of C=MrnjCrnWnt
"GrAna W DUPUCAT61
fuhm it niq cmuem
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..........��e.e.....A.tlac.h.e.d................................................................................................................................
.....................
....................................... .......................................................................................................................
................................................................... ............................................................................... ................
....... ...........................................................................I................................................................................. .................
General description of improvemints....-Add...a.... .......w.Qo.d....dpack......neiao.die-1--t-hp.............
downstairs ..bathroom, ..rep . .... :W.j.P0Q:Wq.......jn5j'al.1....a.. -jaj--ja... .............
..I . .................... ................................. ....... jAq.q -Paj.L
light doors, install a fence, install roof vents, and install
.. .............. ..............I......................................................................I...............................................................
. ..................I......................................................
3 ceiling fans. Jim & Becky Jarboe
Owner....................................................................I................................................................................................................................................
Ad&ass...........................................13Z....4111.... ......
Owner's irdersa in site of the improvWWO.......ERg....qiMPAR....................................... ......................
Fee Sirriple Title hokier (if othw t6n ownw)
Name.........................................................................................................................................................................................................................
Ad&n&..... .......................................................................................................................................... ....... ..........
Confrodor...... .......P ...........
lagt.io ....Inc.,.............................................................
AJ&e........ 447-3 Atlantic Blvd......-A t.l.a.n.t..i.c....B.e.a.c h., ..F.1 o r i d a
............-- ...-
Swety (J any�.............................. ................................................................................
Addr*s& ........................................................................ of
Ham of Person W" #6 State of Pwkk designated by ownw qw w6m natim or o*m idociiiiiisift nwy
be serve&
Nam............:..................—........ .......................
.......................... ....................................................... ......................
In addition to himself, owner designates this following petaot to receive a copy of the Lisnoes Notice
as provided In Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option).
map*.............. ..................................................................................
Address.................................................................................................................... ....... ....... .........
111'"IS SPA"Foe "GONDUAIG Una 0"Y
..................................
Owner
eSworn to and siAmcribed before me lhis.....Z-.S .................
.......................... . .. ......................
.............................................................................
Not PATRICIA AMONETTE
(OT STATE OF FLORIDA
"T I
PUSLI. My Gorrim Exp8/27/96
C
COW rIER C('990017
LOT 11, BLOCK 5, AS SHOWN ON THE PLAT OF ATLANTIC BEACH DIVISION -'A-- AS
RECORDED IN PLAT BOOK 5 , PAGE 69- OF THE CURRENT PUBLIC RECORDS OF DUVAL
COUNTY, FLORIDA, TOGETHER WITH A PART OF LOT 13 , BLOCK 5, MORE
..PARTICULARLY DESCRIBED AS FOLLOWS :
BEGIN AT THE SOUTHEAST CORNER OF LOT 13, BLOCK 5, ATLANTIC BEACH DIVISION
"A" AS RECORDED IN PLAT SHOWN IN- PLAT BOOK 5, PAGE 69 OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA: THENCE WEST 2-2/10 FEET; THENCE
NORTH PARALLEL TO THE EASTERLY LINE OF LOT 13, BLOCK 5, ATLANTIC BEACH
DIVISION "A" , A DISTANCE OF 60 FEET, THENC&'EAST 2-2/10 FEET TO THE
EASTERLY LINE OF LOT 13, BLOCK 5, ATLANTIC BEACH DIVISION "A-- (BEING THE
WESTERLY LINE OF LOT 11, BLOCK 5, ATLANTIC BEACH DIVISION "A") ; THENCE
SOUTH 60 FEET TO THE POINT OF BEGINNING. TOGETHER WITH AN, EASEMENT FOR
INGRESS AND EGRESS OVER THE FOLLOWING DESCRIBED PROPERTY: ': COMMENCE AT
THE SOUTHEAST CORNER OF LOT 13 , BLOCK 5, ATLANTIC BEACH DIVISION "A" , AS
RECORDED IN PLAT BOOK 5 , PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL
COUNTY, FLORIDA; THENCE A DISTANCE OF 2 . 2 FEET WEST ALONG THE SOUTHERLY
LINE OF SAID LOT 13 ; Tlll-:NCE NORTH 20 FEET ALONG A LINE PARALLEL TO THE
EASTERLY LINE OF SAID LOT 13 ; THENCE WEST 10 FEET ALONG A LINE PARALLEL
TO THE SOUTHERLY LINE OF SAID LOT 13 ; THENCE NORTH 15 FEET ALONG A LINE
PARALLEL TO THE EASTERLY LINE OF SAID LOT 13 ; THENCE EAST 8 FEET ALONG A
, LINE PARALLEL TO THE SOUTHERLY LINE OF SAID LOT 13; THENCEINORTH 25 FEET
ALONG A LINE PARALLEL TO THE EASTERLY LINE OF SAID LOT 13 ; : THENCE EAST 2
FEET ALONG A LINE PARALLEL TO THE SOUTHERLY LINE OF SAID LOT 13 ; THENCE
SOUTH 60 FEET ALONG A LINE PARALLEL TO THE EASTERLY LINE OF SAID LOT 13 ,
TO A POINT ON THE SOUTHERLY LINE OF SAID LOT 13, THENCE EAST 2 . 2 FEET TO
THE POINT OF COMMENCEMENT.
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address
Date
Heated Square Footage @ $—per sq f t = $
Garage/Shed A @ $_per sq f t = $
Carport/Porch tA @ $_per sq f t = $
Deck $
_per sq ft = $
Patio 613
$_per sq ft = $
TOTAL VALUATION: S z 1,000.00
/,�-,-o :� - s
T t f valuation 1st $ 141 g2620
OILOOO , R/).to — s t9 0-
Remaining Value $5- per thousand
or portion thereof
TOTAL BUILDING FEE $ Y5-0�
+ 1/2 Filing Fee $ -7
( ) Fireplaces @ $15 - 00 $ 0
BUILDING PERMIT FEE $—
WATER IMPACT FEE $ 0
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 -1260
ADDITIONAL PERMITS OR FEES: Mechanical Plumbing
Electric/New Electric/TemP- ; SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES:
17, 1995
CITY OF ATLANTIC BEACH Building and Zoning
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
Owner(s) : Jim & Becky Jarboe
Address: 332 4th Street Phone: 241 -5326
Lot #_ Block or Unit # Subdivision:
Contractor : Barnette Construction Inc.
State License # CBC 057271
Address : 447-3 Atlantic Blvd. Phone No:249-9839
Describe work to be done: Add a 8 ' X16 ' wood deck, remodel the
downstairs bathroom, replace 26 windows, install a pair of 15
light doors, install a fence, install roof vents, and install
3 ceiling fans
Present use of building: Residental
Valuation of Proposed Construction: $17, 000. 00
Proposed use: Residental
Is this an addition? no 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?yps New fireplace? 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.
1� 41, ', u V /5-"
Signature OWNER:_���V_ I Date: o
Date: c -1,5 _3
Signature CONTRACT
License Supplied:
Liability Insurance:
Worker's Compensation Insurance:
CITY OF
9WXA-&7&"I
office of Building Official
REQUEST FOR INSPECTION S7V 6)
C) I
Date -7 Permit No. SY93
Time A.M.
Received RM
Address Locality
Owne C 7- r6ff
Name ontrac-tor
BUIL NG —CONCRETE CE..�RICAL PLUMBING MECHANICAL
'irin,
�oug Wiring F_, Rough Ej Air Cond. &
Framing Footing
Re Roofing E Slab C Temp Pole Top Out
Heating
D Final Ei Sewer El Fire Place
Insulation E Lintel Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Q�!� Friday PM.
A.M.
Inspection Made —P.M.Fina! lnspection�<
inspector Certificate of Occupancy E,
Date
-,!�0 eP4-y
office ol Building official
REQUEST FOR INSPECTION
Permit No.
Date--
Time 42 0 PM
Received ---
0 a Localk
SS
owner's Contract CH NIC
Name CONCRETE ELECTRICAL pLuMBING
r— Rough Air
13UILDING Rough Wiring Heating
Footing �i" Top Out
Framing Temp Pole Fire Place
Sewer
Re Roofing E Slab Final Pre Fab
insulation Lintel
READY FOR INSPECTION A.
--RM
ss ntra-t Thurs. Friday-0
C
RICAL
CON CRETE
It'
Footing
Mon. Tues
A.M.
P.M.
inspection Made Final Inspectio)<1
!nSpector Certificate of occupancy —
Date
CITY OF
4
Ottice of Building Official
ON
RFQUEST FOR INSPECTION
PerM 0.
9
Date
Time
Received Lo lit
Job ddres
owner's ------- Contractor MECHANICAL
Name ETE ::�PLUMBING Lj ,, —ond. &
CONCR �Rough Heating
BUILDI E. TOP Out
11 Footing D Temp Pole Sewer 0 Fire Place
Re Rooting 11 Slab 0 Final Pre Fab
Lintel
insulation
READY FOR INSPECTION Thurs. Friday
Mon. Tues.
P.M.
inspection 11
inspection Made
Cerilicate 0,occupancy 1]
inspector— r D ate
CITY OF
uilding official
Office Of B 9
L
g 0
REQUEST FOR INSPECTION
erm' 10.
Date A.M
RM.
Received
Time
Locali
Owner's Job Ad Contractor
Na pLu ING MECHANICAL
:A
�,ELE: CAL PLU
CT R�1
ONCRETE Air Cond. &
Rough
Ro—u7rr-� A— Li Heating
ra Footing 17 Temp Pole Top Out r_� Fire Place
Slab Final Sewer Pre Fab
insulation Lintel
READY FOR INSPECTION A.M.
Tues Wed Thurs. Friday
C.nt
Pre Fab
�AM
Mon. A.M. CF,,Dday _IZ_W
Irkspection Made Final inspeection
.fcate of
Certificate of occupancy
ins !or--
"'e
0 Date
PSR-3844 8621
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT ;P1FGR?1AT-!9N beeftTfeti ftipeRmftTf5N
Permit Type: MECHANICAL ATLANTIC BEACH , FLORIDA 3223--,
Class of Work: NEW ---- ------- LEGAL DESCRIPTION ---------
Constr . Type: WOOD FRAME Lot : Block : Section:
Proposed Use: SINGLE FAMILY Township : RNG: 0
Dwellings : 1 Code: 0 Subdivision:
Estimated Value: $0 .00
Improv . Cost : SO . 00
Total Fees : S39 . 00
Amount Paid: �39 . 00
Dat,:--� Paid : 7/12/94
TJ 17 T) T;4&t- I p a Yj h�
WW7R TMPQRHATION -------- - ---- APPT, Tt-AjTr)N PrLrs -----
Name : JAMES JAREI^�E PERMIT S39 .00
Address : 322 FOURTH STREET WATER IMPACT FEE SO .00
ATLANTTC BEACH . FLORIDA 322 SEWER IMPACT FEE $0 . 00
Phone : WATER METER/TAP $0 . 00
RADON GAS-H.R . S . �0 .00
------- CONTRACTOR INFORMATION RADON CAB 5% 90 .00
Name : AIF CCNTROLL SYSTEMS INC CAPITAL IMPROVE . SO .00
Address � 111,13 DISTRIBUTION AVE WEST SEWER TAP SO . 00
JACKSONVILLE FL 32256, CROSS CONNECTION SO .00
License7 CAC(� 3367r, Type: 0 SEC H IMPACT FEE $0 .00
CONST . SURCHARGE $0 . 00
SCHARGE/ATL . BCH , SO .00
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST 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.
(Kot~
ATLANTIC BEACH BUILDING DEPARTMENT Date-. 7112/94 01 Rept; 036�-
DFCKS
By:
PSR-3844 8636
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION LdCATION INFORMATION
Permit Number * Address - 332 FOURTH STREET
Permit Type : BUILDIN-ff RTLz'�jiTT� BER-11 FLORIDA 3223--
tass of Work : REM"IDEL - --------- LECIAL DESCRIPTION
Constr . Type: WOOD FRAME Lrt , Block : Section:
Proposed Use : SINCILE FAIMILY Township : RNG 02
7�M r 7�74T"I'r V r 7k
7 7
RADON GAS-H .R. 5 � SO .00
CONTRACTOR INFORMATTON RADON CAB 5% $0 � 00
NNtTRUCTIq-P CAPITAL IMPROVE . S0 .00
Na* JtUCK gx�,CO
SEWER TAP $0 .00
BRACH , FLORIDA CROSS CONNECTION SO .00
Type' SEC H IMPACT FEE S-0 .00
fl.ONST.SURCHARGE
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.99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
LA'. OP67 LAWS
RAMCO FORM 4as
0%A
A q&-4
OPALPARM UA OUPLICATZO
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 Statute,, the following Information
is stated in this NOTICE OF COMMENCEMENT.
Description of property...................23A.1............Z/
..........................................................................................
I................................
.......................................................................................................................................................I............................ ...............................
.. .............I--........................................................................................................................I.............................................................................
..............* ...... ...... ......
General description or jinprov(smorils............. 4�rz.z.��
.... . ... ........
.............................................I.................-..................................................I....................................................................
.. ......................................................................................................................................................................................................................................
Owner....................... An4 I
Address.................. 4,-,�h l,� zz
........................................................ ...................................................................................................
Owner's interest in sitc Of the imProviament.................
Fco Simple Title holder (if other than OWAGO
Name
Address.............................................................................
....................
Contractor.. ................... 4WT
...........
............................... ...................... ....................................
Address......................C21 LL'
..................................... .........
Surety (if any)...........................................................................................*
Address......................................
........................................... _j j;
wed by-owner ilipon whom
Name Of Person vMlin 1110 State of Florida diiiisiv t" -�;
be served: Ok ru 7'May
Name...........................................
....... .........
Address..........
...............—.—.......................................................................................................................................................................
In addition to himself, owner designates the following person to receive a COPY of the Lienor's Notice
as provided in Section 713.13 (1) (F), Florida Statute& (Fill in at Owner's option).
Name
Address.................................
................................................................. ....... ......................... .. .... ........... .............. ..........
'rH18 8FAC6 FOR RCCORDXR'& U89 ONLY
0WIM
Sworn to and subscribed Wore me this.
.....................
yof.- -.19....
MAUREEN KING
Notary Public, State of Florida
my Comm. Exp. mar. 311, 1998
Comm, No. CC 359683
J.
CITY OF' ATLANTIC BEACH
PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS
DEMOLITIONS
r
pf
Owner(s) : .,,4
Address : 92o? 4*A -.-u Phone : 11<0'e
Lot Block or Unit Subdivision:
Contractor :-— 'a - -!:&�
-, Z—Cb/) e�z )s
Address : ON1 44111�whef-- 9/&d
--v4�Xone No:
Describe work to be done: Z�A-hm /I A
Present use of building :__
Valuation of Proposed Construction: Oe5
Proposed use:
Is this I Rn 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 fireplac6?— New Heat/AC?__---
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY ,
ENERGY CODE F ORMS , NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOF
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature- OWNER: 4 Date :
Signature CONTRACTOR: D a t e
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address Vt 0 Z)
Date
Heated Square Foot age @ $_per sq ft = $
Garage/Shed @ $_per sq f t = $
Carport/Porch @ $—per sq ft = $
$_per sq f t =
Deck
Patio D $_per sq ft = $
$
TOTAL VALUATION:
0 0 0 $
Tot Valuation 1st $ /� 42/24)
t �, 00 D '? �- — $
Remaining Value $S- per thousand
or portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $
(6) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE s
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $4
) RADON (HRS) .0050 $
SECTION H PAVING $
HYDRAULIC SHARES $
CROSS CONNECTION $
) SURCHARGE . 0050 $
OTHER 8
GRAND TOTAL DUE $
ADDITIONAL PERMITS OR FEES: Mechanical_; Plumbing
Electric/New Electric/Temp_; SwimmingPool
Septic Tank_; Well Sign Finish Floor Elevation
Survey ; Other
CALCULATIONS and/or NOTES:
PSR-3844 8823
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
FEKMIT I114F;JRMAT1'-r,N -------- LOCATION INFORMATION
Permit Number: 8823 Address : 331. FOURTH STREET
Permit Type : ELECTRICAL ATLANTIC BEACH , FLCRIDA
"lass of Work , ADDTTIi`�N ---------- LEGAL DESCRIPTION --- ---- --
.-onstr . Type: WOC11 FRAME L;�,t B 1 o C.1: Section *
Proposed Use: STN,?.LE FAMILY Township ; RNG: 0
Dwellings : 1 C ode: 0 Subdivision - ATLANTIC BEACH
Estimated Value , $0 01,
Improv . Cost : so . o(
Total Fees ,,, $25 � 00
Amourk"t...
n,1
—,OW'NER IN?0RMATI1-")N APPLICATION FEES
111W "OAKS-OZ PERMiT �25 �00
EF, TMPACT FEE
�Tli �7TREET WAT
Ai, TT-C� ftACH , FLC-I- SEVEF IMPACT FEE $0
4)3?,9 5,7� WATER 40 /TAP
-H.R. S .
RADON GAS
------- TR-4i�T01t,jN FORMAT ION �0 . 00
RADON CAB 5%
Tp�T fln
Name ,� 1, 19f.-P V 1-1 ELEC CAPITAL IMPROVE , $0 ,
1&69-4- SEWER TAP so .0c,
VI LLE , F L CR 0 S S CONNECTION 1po .00
Type - 0 SEC H IMPACT FEE $0 .00
CONST . SURCHARGE
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.59
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH, FLORIDA
Approved=by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
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.
41( Servi(_-f
'f rIIj
ELECTRICAL FIRM: MA StErt r=tEr-TRICIANSIGNATURE JQUBNEYMAN
NAME _J,)�rRvc 4� ___6�DDRESS: q-r" srre_le;r —RFD_BOX
BLDG.SIZE BETWEEN: sr� srrecr
RES. AFrT. COMM. ( PUBLIC INDUS. NEW OLD REW.
ADDITION TRAILER ( TEMP. SIGNS .SO. FT.
SERVICE: NEW( INCREASE ( REPAIR FEE
CONDUCTOR SIZE AMPS COPPER ALUMJ
SWITCH OR BREAKER A M PS PH W VOLT RACEWAY
EXIST.SERV.SIZE AMPS V 0 L T SE RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. S I ZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0-30 AMP13.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMP6.
APPLIANCES i I � BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS I CEIL HEAT
0-1 OVER
MOTORS H.P. I VOLTAGE PHS -No. I II.P. VOLTAGE PHS
MISCELLANEOUS Au, Lt,jZc.,,,c( t=��17- cL—i e-z-1-ety A1e&4) __j4&o+-r
.TRANSFORMERS�: UNDER 600 V. OVER 600 V.
I
NO.' KVA HNO. KVA
_WI.T
NO. NEON TRANSF. No. jv���NIA. OR SIZE SWITCH FLASHER
EACHSIGN
FORWARDED
TOTAL FEES
PSR-3844 8909
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMAii -'iq ilOCATION INFORMATION
.Permit Number ,. 8 90 9 '�ddress : 32 FOURTH STREET
Permit Type: ELECTRICAL ATLANTIC BEACH . FLr-,F,!DT-,
-las- -Df Work: ADDITION --------- LEGAL DESCRIPTION ------ -
..onstr - Tvr,e7 WOOD FRAME Lot : B I ock. ,
Froposed Ure: SINGLE FAMILY Township: RN�31,*
Dwellings ', I Code� 0- "71,1-Aivision: ATLANTIC BEACH
o+--�i m a t e d Val Lie : .11,0 0
. . Improv . Cost : S 0 . ()
Pctal Fees : 2 5 0
Amount
RMATION APPLICATION FEES
PERMIT-
-4a.
WATER IMPRCT FEE
H STREET
IMPACT FEE '
T CH , FL�,T SS EW"
T -P
Arl � A
N G'A' S
NFORMAT 10N RADON CAB 5k :>ij tj
117-11. ELE;-'TRI CAPITAL IMPROVE.
SEWER TAP
CROSS CONNECTION
SEC H IMPRCT FEE
CONST , SURCHARGE 0
CHU
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.95
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ow000000 0(�)(*(1000 $25.00 14
Date: 8/10/94 02 Rcpt: 0073426
ATLANTIC BEACH BUILDING DEPARTMENT CHECKS 13344
By:
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19
IMP013TANT 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.
At�
ELECTRICAL FIRM: MASTER,�LECTr-IICIAN SIGNATURE IQURNEYMAN
NAME Y4-Q-6 ot- A6�/RESS RFD—BOX
OLD G.SIZE BETWEEN: 'S�-rree7 T !aT" S-rrf-e--r
nES.(V) APT. COMM. PUBLIC INDUSJ NEW OLD (-� REW.
ADDITION ( TRAILER TEMP. ( SIGNS SQ. FT.
SERVICE: NEW INCREASE ( REPAIR FEE
CONDUCTOR SIZE AMPS COPPER ALUMJ
SWITCH OR BREAKER AMPS PH wl VOLT RACEWAY
EXIST.SERV.SIZE ;ZQ() AMPS W12L(oVOLT RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
,RECEPTACLES CONCEALED OPEN TOTAL
SWITCHES 0.30 AMP9.
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPO. ovt:n
.APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. I VOLTAGE ----PHS NO. I II.P. VOLTAGE PHS
MISCELLANEOUS (-0 c-C-1 T1 el"E7'i 0-r/ers
vtct-�( !2 "1
TRANSFORMER�- UNDER 600 V. OVER 600 V.
NO.' KVA NO. --- IKVA
NO.NEON TRANSF. NO.- — IVA. DTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEES
PSR-3844
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION -------- LOCATION INFORMATION -------
Permit Number : 90,41-9 Address - 332 FOURTH STREET
Permit Tvpe� PLUMBIW3 ATLANTIC BEACH . FLORIDA 3223
,�- tass ADDITION LEGAL DESCRIPTION
Constr . Type: WOOD FRAM�: sectiorc
Block :
Prc,vosed Use: SINGLE FAMILY Township : RNG �- 9
Dwellings : I Code- 0 Stxbdivision: ATLANTIC BEACH
Estimated Value '.
Improv . 'Cost :
T o 3 0
TV JPO APP L I CAT I ON FEES
RMATION
�U-
iioE 'MIT
P E R
�ff'R IMPACT FEE
STREET W TV
FEE
CH , FLOF T1
B
METER/TAP
WA:
RADON GAS-R.R. S .
------ - CQNTRAG!TCjR J NFORMAT I Q,N Rt,DC'N CAB 5% ri 1�1
CIAPITAL IMPROVE� 0 .0 C
-� IN STREET SEWER TAP 0 0".
BEACH FLORIDA c1ROSS -0O3NNECTI0-N SO
Tvpe: SEC H IMPACT FEE d;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 IMPROVEMENTS-59
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
000000000 000000000 $36.0014
ATLANTIC BEACH BUILDING DEPARTMENT Date; 9/01/94 01 Rept: (H)779L:17
DECKS 10442
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION :
OWNER OF PROPERTY :
BUILDING CONTRACTOR: 4,
PLUMBING CONTRACTOR
AND ADDRESS:
At A-
TELEPHONE NUMBER:
STATE LICENSE NO:
TYPE OF BUILDING: f D
TYPE OF WORK: Wem6deL
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
----J—SINKS SHOWERS
—LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
_CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER------
TOTAL FIXTURE COUNT: x $3 . 50 + $15 . 00 $
------------------------------------------------- ---------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS ( 904) 247-5826-
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECT'nICAL PEDIASIT
E=
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19
IMPORTANT NOTICE:
3
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, VIE
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.
41� -se-z-vice- E1e_c_'TJ-lc_ Le4�0_
S NAT
ELECTRICAL FIRM: _�i-AsTin r-LIfCTnICIAN'_'IG_ _URF JOURNEYMAN
NAME Al K A Ct: (A DRESS: '33Z rree- RFD-BOX
BLDG.SIZE BETWEEN: (�T"' STr-c-(?-T 9L- Fr" 37,-fer
RES. APT. comm. ( PUBLIC INDUS. NEW OLD (,T' REW.
ADDITION ( TRAILER TEMP. SIGNS SO. FT.
SERVICE: NEW INCREASE ( REPAIR ( FEE
CONDUCTOR SIZE AMPS - COPPER ( ALUMJ ) I
SWITCH OR BREAKER AMPS PH W VOLT � RACEWAY
EXIST.SERV.S17-E AM PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE -
TTOTAL
LIGHTING OUTLETS CONCEALED OPEN
IOTAL
RECEPTACLES CONCEA LED OPEN TOTAL
.30 AMP0. 11.100 A M P9.
SWITCHES
INCANDESCENT
FLUORESCENT &M.V.
FIXED 0.100 AM F-13. rn DELLT ANS
APPLIANCES
AIR H.P. RATING H.P. RATING
CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEILHEAT: KIN-HEAT
0-1 OVER
MOTORS H.P. I VOLTAGE PHS NO. I Ii.p. VOLTAGE PHS
MISCELLANEOUS- �e
-11.4
TRANSFORMIRS�: UNDER 600 V. OVER 600 V.
NO., KVA NO. �KVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE ITCH FLASHER
EACH SIGN
_&W
FORWjARDED
$ -4- .
TOTAL FEES
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address:
LOCATION And
OF Intersecting Street$: Between
BUILDING Sub-di�ision
Ill. IDENTIFICATION — To be completed by-all applicants
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
.ith the attaclhed plans a n d specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Contractors
Name of Mechanical ZZ� _/r - - 7--L
C.6"Itractor (Print) M aster
Nome of
Property Owner 0
Signature of 0 Signature of
of AmAorized ;9n;a���-' /'� Architect of Engineer
III. GENERAL INFOIWATION
A. Type of 64tiM9 fu0l: IS OTHER CONSTRUCTION BEING DO
"If
(3/ Bscmc THIS BUILDING OR SITE? /T
C] Gas—CI LP 0 Natural 0 Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION
13 0-1 PERMIT
0 CHhor — Specify
IV. MIIICHMICAL EQUIpMWT TO SE INSTAI 1 NATURE OF WORK
(Prov,We complete list of COMPO"Onts On back of A;$form) Ea Residential or El Commercial
0 B Ilding
M/ Most 0 Spece 0 Recessed 11211_11�.ntnsl 0 Roor ew
��E*Stinug Building
0/�;r Condrtioning: 0 Room [3 Control
0 Duct SYs%m: M14t9fid" -- Thickness— R placement of existing system
Maximum capacity Cf.m. El Now installation(No system previously Installed)
Extension or add-on to existing system
0 R*f6"t;On Other — Specify
0 Cooling tower- Capacity 9-p-M.
0 Fire sprinklers: Number of hasods,-----------
[3 Elevotor 0 Monlift [3 Escolofe THIS SPACIE FOR OFRCS USE ONLY
0 Gasoline pumps —(number) (Ro- I
o Took (number) Remarks
E3 Lpra COnt,;"&M_(numb@r)
(3 Unfirod pressure v*" P*rmit Approved Data-
0 Permit Fe-
0 Othw — Specify
LIST ALL EQUIPMENT
f
Alit CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approvtor
N=ber UnitA Description Model Number Manufacturer (TO") A961111CY
za�1"�5 P_
2�yz�O
EATING - FURNACES, BOILERS, FIREPLACES Capheity AW910111111111111116
Number Units Description Model Nuntber Manufactw1w (NTU) ASIEW
cc
TANKS ly" TAMAA of serial Ap ving
Elow Many Nowbw Capacity No. =T
Contained M1111111111111ftetwer,