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358-360 4th St (vault) LANTIC BEACH CITY OF AT 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001071 Date 7/24/09 Property Address . . . . . . 360 4TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc repipe and 10 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FULFORD, DAVID R. PLUMB-PAL, INC. 358 4TH STREET 1728 SABLE PALM LANE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-8856 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . RE PIPE AND 10 FIXTURES Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/20/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 09-i -T-F 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-6826 0 FAX NO,:(904)247-5845 BUILDING-DEPT@C0AB-US PLUMBING PERMIT APPLICATION DUVAL COUNTY eNO OYES PERMIT#: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 7.NAME OF COMPANY: ADDRESS.: vl�I %I— A C fq 3 z z 231—(Z�l 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: 5— y 14, 12.EMAIL ADDRESS' 13.OFFICE PHONE: C, V11 A Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS SIGNATURE: 0 NEW 13'06 FLORIDA BUILDING GQDF-- D3"R' E-PIPE PLUMBING 0 OTHER: V BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): ROOF DRAIN ,7 PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: /0 x $7.00 (PER FIXTURE) + $35.00 BLDG03 Permit Applicattion Plumb:12/18/2008 ATLANTIC BEACH CITY OF 800 SEWNOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSpECTION pHONE LINE 247-5826 Application Number 03-00026728 Date 8/22/03 Property Address . . . . . . 358 4TH ST INSTALL 1 FIXTURE Tenant nbr, name PLUMBING ONLY Application description . . . Property Zoning . . . . . . . TO BE UPDATED Application valuation 0 Contractor Owner ------------------- -------------- --------- ATLANTIC COAST PLUMBING & TILE FULFORD, DAVID R. 323 9TH AVENUE NORTH 358 4TH STREET FL 32233 JAX BEACH FL 32250 ATLANTIC BEACH (904) 249-5381 ------ ---------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc 42 . 00 Plan check Fee . 00 Permit Fee Valuation 0 Issue Date Fee summary Charged Paid -- Credited- Due--- ------------- --- --- ------ -------- -------- . 00 Permit Fee Total 42 . 00 42 . 00 .00 . 00 Plan Check Total . 00 * 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 IN PUBLIC SPACE,AND MUST BE CLEARED BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TFUS WORK MUST NOT BE PLACED CONS U ION LI LAW CAN "FAILURE To COMPLY WITH THE TR CT EN Up AND HAULED AWAY BY EITHER CONTRACTOR OR OWNEP- ISSUED ACCORDING TO APPROVED PLANS PAYING TWICE FOR BUILDING IMPROVEMENTS" RESULT IN THE PROPERTY OWNER REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. WHICH ARE PART OF THIS PERMT AND SUBJECT TO BUILDING OFFICIAL SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001070 Date 7/24/09 Property Address . . . . . . 358 4TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -----------------------------------------L---------------------------------- Application desc repipe and 15 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FULFORD, DAVID R. PLUMB-PAL, INC. 358 4TH STREET 1728 SABLE PALM LANE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-8856 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . RE PIPE AND 15 FIXTURES Permit Fee . . . . 140 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/20/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 140 . 00 140 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 140 . 00 140 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ) D7 D CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FIL 32233 OFFICE:(904)247-5826 9 FAX NO.i(904)247-5845 BUILDING-DEPT@COAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY D40 7 OYES PERMIT#: Folow= 1� 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 710BAN 7.NAME OF COMPANY: &ADDRESS P C-C) 4 a - to /?? F -S'9 9.STATE OF FLORIDA LICENSE NO 10.CELL PHONE 11.FAX NO.: -7 14. 12.EMAIL ADDRESS: 13.OFFICE PHONE: t14-M19 1 -2 94 - 's, Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS SIGNATURE: ::�:� 0 NEW [3'06 FLORIDA BUILDING CODE- 9-K&PIPE PLUMBING 0 OTHER: -2- BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER(SPECIFY): ROOF DRAIN -7 77777i1777 P W- R,W- 5 wrrv- vk,770 �771717, PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 BLDG03 Permit Applicabion Plumb:12/18/2008 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH:FL.32233-TEL- 247-5826-FAX. 247-5877 INFORMATION --------- _.kQPATION INFORMATION I Permit Number: 20766 I Address: 358-- -FOWRT4 STWI��T_ 1 Permit Type: SIDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW i Township: 0 Range: 0 Book: Proposed Use: OTHER Lot(s): Block: Section:0 Square Feet: Est. Value: Subdivision: ATLANTIC BEACH Parcel Number: Improv. Cost: 19,022�00 .-OWNER INFORMATION Date Issued: 1011012000 Name: DAVID R7F`ULp6AD- Total Fees: 157.50 Address: 358 FOURTH STREET Amount Paid- 157.50 Date Paid: 10/10/2000 ATLANTIC BEACH, FLORIDA 32233 Phone: f904)246-0968 E�RWTAMEWiol CONTRACTOR(S�) APPLICATION FEES PERMIT— Inspections Required 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 BUILD 1;:��G -f_ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 77 (0 4,!Vmpd�� OR Permit Number: 20768 Address: 358 FOURTH STREET Permit Type: SIDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 19,022.00 Date Issued: 10/10/2000 Name: FULFORD Total Fees: 157.50 Address: 370 TWELFTH STRET Amount Paid: 157.50 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 10/10/2000 Phone: (904)399-5050 Work Desc: VINYL SIDING FRANK WISNISKI PERMIT 157.50 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. $157.5014 Date: 10/11/00 01 Receipt: 0002592 CHECKS 4253 00100003221000 ATI ANTIC BEACH E(I ILDING D CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 T IL �4110141,jlwbkv "P, -1--relf W—T-11 Permit Number: 20768 Address: 358 FOURTH STREET Permit Type: SIDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 19,022.00 Date Issued: 10/10/2000 Name: fMXjXfflZU FRANK WISNISKY Total Fees: 157.50 Address: 3RQXTWMETMSIMT358 FOURTH STREET Amount Paid: 157.50 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 10/10/2000 Phone: (904)22MSO 2 4 6-0 9 6 8 Work Desc: VINYL SIDING 7T 19 00� 7 ------ 157.50 -rWK—KWISNISKI PERMIT 77-7-7 004 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. ATLANTI�BEACH JI T. This instrument Prepared by: Name: SEARS SIDING&WINDOWS P.O.Box 522290 895 Longwood,FL 32752-2290 Book 9766 PaLge 1-407-767-8011 NOTICE OF COMMENCEMENT State: 14— 3? Doc# 2000234187 County: y Book: 9 7 6 6 Pa e: 8135 THE UNDERSIGNED hereby gives notice that improvement will Fi?ed & Recorded 10/10/2000 09:40:11 AN be made to certain real property, and in accordance with HENRY W COOK Chapter 713, Florida Statutes, the following information is CLERK CIRCUIT COURT DUVAL COUNTY provided in this Notice of Commencement. TRUST FUND $ 1.00 Oc;� — �?,5`2- 3 RECORDING S 5.00 1 Description of property: (legal description of property,and street addre availab 2. General description of improvements: 3. Owner information a. Name and address: yj b. Interest in property: C. Name and address of fee simple titleholder(if other than owner): 4. Contractor: (name& address) SEARS SIDING&WINDOWS P.O.BOX 522290,LONGWOOD,FL 32752-2290 1-407-767-8011 5. Surety NA a. Name and address: b. Amount of bond $ 6. Ltnder: (name& address) NA 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(l)(a)7,Florida Statutes: (name mid address) NA 8. In addition to himself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(i)(b),Florida Statutes: (name mid address) ABOVE NAMED CONTRACTOR 9. Expiration date of Notice of Commencement(the expiration date is I year from the date of recording unless a different date is specified) (Signature oFOwner- Drivers License#: r- ,L/)6 -,17(o-3 0- 33� - Owner's Narne: p-n�,-,-A Fct,174r,��l Owner's Address: Sy R&t r,— C�e�� CITY OF ATLANTIC BEACH PEPI= APPLXCATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DEMOLITIONS Owner(s) V, J C Phone: Address : L4 '-)w-, Lot 4 BI or Unit 4 Subdivision: Contractor: V /-)!�] '�� f? r State License #Lk3oc Address-Q6 JA61 5 2-7-2- 9 0 Phone No?C 9 9- Ciz:y 00 J:F� state Zic Coae, 57,25-2 Describe work to be done: L,/V 'Y7 0- Present use of building: Vaivation of 2rocosed Construction: 02 ;; ProQosed use: Is this an addition? If yes, what are- the dimensions of the added 11 the ad ft* Wi 11 space: rt. Wi the added area be heated and ------ ? cooled? New electrical (or rease) ? Ix ew f1reDl ? New plumbing fixtures? New fireplace? ew Heat/AC? SUBMIT TMREE (COM&MCIA.L) TWO (RESIDENTIAL) CCWrZTE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORKS, NOTICE OF COMaNC=4ENT, AND OWNERICONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. S i g n a t u r e 0 W N E R Date: o� Signature CONTRACTOR: Date: Sworn to and subscribed before me this—(D4-- day of C)C'i 'k T �3-F-1 A�RYMPU�BLM TATE OF FLORI AT LAa� PSR.3844 1.5 DEPARTMENT OF OUtILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------- LOCATION INFORMATION 360 FOURTH STREET Address : erMi- Numbert: 13915 32233j pfirtni t Type:RE-VOIC�F ATLANTIC 5ZACH . FLORIDA -------- LEGAL DESCRIPTION --------- NEW all", of Work' C 0 ns'�r . Type.WOOD FRAME Block-, 1.6t: Twr: 0, flrot4used Use Section: 0, subd-.0 Subdivision: —Est . Value: 0 00 Cost 2 , 400 . 0-0 ij Dwo 0 4 va, g L wpt I ON APPLICATION FEES PERMIT 25.00 , 0 19 Add r T g Wit C�C P B, FLORIDA o";b k, R Addr 470 SAL COURT JACKSON FL, 32225 Exp; �MKI T NOTE NOTICE AILLCONCRETE FORMS AND FOOTINGS MUST BE INSPECTED 69FORE POURtING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE MATERIAL,RUBBISH AND DEBRI&FROM THIS WORK MUST NOT BE,PLACED IN PUBLIC SPACEA NDMUtTSE� - "C UP AND HAULED'AWAY BY EITHER CONTRACTOR OR OWNER - A IN E TO COMPLYWITH THE MECHANICS' LIEN N,P FAILUR w 1K PROPERTY 0'W ER PAYING TWICE.FOR BUILD�iNG-,:t,MPROVEM"ENTS-09� , "'Issue6 ACCORDING TO APPROVED PLANS ART OF THIS'PERMIT AND $USA& TO REVO 'FOR WHICH ARE P 30 OVISION$OF LAW. ',)nO,,Af N OF APPLICABLE PR 51 �fjjiq7 #I, ATLANTIC BMH BUILDINJG DEPARTMENT T BY-, CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION owner(s) : fy)6"S ' Address: 'A S Phone: C) Lot #_ Block or Unit # Subdivision: Contractor: fY)QQ(,A�-Q, V=0 0 Address : r, C '-A C� 9 e, City, State and Zip Q J2 Phone 2- Lj 2 State License # C- Describe work to be performed: F Valuation of Proposed Construction: I t--to (�) ' Materials to be used: Signature of Owner; Signature of Contractor:- Liability Insurance Supplied Workers Compensation Insurance Supplied License Information 71 DEPARTIIAENT OF BUILDING CITY OF ATLANTIC BEACH ------ INFORMATION -71 PERMIT INFPRMATION --- --- LOCATION Perrni,,,,t Number, 136 Address : 358 FOURTH STR-EET , pe rii t Type:RE-ROOF ATLANTIC BEACH, , FLOR,I DA 3,2"213 3, f" of Work-NEW ---------- LEGAL DESCRIPTAON� T6Ee B I o-ck,- Lot : Twp*. 0 f r ffi-ALERMILY secti0h: 0 subd: R d e lings . 0 Subdivision-, e�i E;t . Value; 'Imptov. �-'ostl. 11575.0f) T6tal Fees: 25 -0 0' 7 te : a 4/199 7- I n7i, g 41 W05 rk ogggm �v� TION APPLICATIO14 FLEES2 Nam kAIT Add 2 FLORIDA V.- full Pho Vom A R PORMAT16k ------ .4 AR, (3T affEs R 00, ACE Add-r i---14-4� C JACX50N FL `32211 Li Exp: T, *Awt%,4 g�4 NOT NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 0QILDtNG MATERIAL,RUBBISWANDL DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTORIOR OWNER kILURE �'Tj TO COMPLY'WITH TH E M ECHAN ICS,' LIE,N LAW CAN RESULT, 4 THE�PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMEN*S.�,!�.`,, ACdORDING,TO APPROVED PLANS WHICHARE PART OF THIS PERMIT AND SUBJECT TOPEVOCATION,FOR VIO NPF APPLICABLE PROVISIONS OF LAW. k:� CHECKS Iwo ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ALANTIC BRACH ROOFING PERMIT APPLICATION Own e r(8 --)10/?-/0 Address: Phone: Lot #_, Block or Unit # Subdivision: Contractor: AgLINGToN BEACHES ROOFING, INC. Address: 1441 CESERY TERRACE City, State and Zip JACKSONVILLEj FL. 32211 Phone 744-8888 State License # RC0023962 Describe work to be performed: RE-ROOF: Valuation of Proposed Construction: Materials to be used: signature of owner;-'� (�41'r 'q 11/1 , Signature of Contractor. Liability Insurance Supplied Wqrkers Compensation insurance Supplied L*cense Information DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH 'PERMIT 114PORMATION ------ LOCA' 'nom INFORMATION 6-806 FOURTH,'STR,EET Pe,rmi t Nurhber: Address :,, 358 ' Pe ATLANTIC- BEACK, FLORIDA 32233 r�i t Type-. VELL, ---------- LEOAL pZ#0RIPTION of Oork: NEW glookp-: Section, constr . Type: N/A Lot . Proposed Use: UTILITY To'wnshliv: RNG 0 Subdivis4on: ATLANTIC BEACH Dwel I*ngs: 'i Code ' 0 �:`titamited Valu'46: $0 .00 14rov. , cost,., $0 ,00 $10.00 ' 'Tot "ouht ,- LIZ 4 3 A, IN, IF- BIGAMY dN, --- APPUCAVION FEES T 1014 RD, PERMIT , $10.010 $0 .00 d 'OURTH STREET" W T im ACT fet A a 1, &V P�403 o 4 , A I = f P 00 H, ��FLORI ' Ph 968 R AD6N OAS-H.R S, $0 .00 31 FORMAT1611 RADOX OAS - 5% $0,00 L WATER, TAP 40 ,00 - Na0e. OP Adal 's"l-,"l-l—, SEWER TAP $0 00 $0 .00 HYDRAULIC� SHARE� X ' Type. J RE-1NSPECT �?Zlll IN SEC-H !MPACT, PM40 0 04" ' A �'am '��wan kv 7, UR7, A, NO 'N E S1.1 �V NOTICE ALL CONCRETEFORMS AND FOOTING&MUST BE INSPECTED BEFORE POURING SIX MONTHS AFTER DATE Of ISWE� PERMITVOID BUILDING MATERIAL,R I USSISH AND DEBRIS FROM THISVORK MUST'I�at BE P,LACED,IN PUBLIC SPACE,AND MUST BE CL9 RED URAND-HAULED AWAY BY EITHER CONTRACTOR OR OWNER A 4 ��,,Ofk LU OMPLY-WITH 'THE. MECHANICS" IJEN LAW CAN RESULTIN : RE TO,'C 1E PROPER PAYING TWI EME TY OW Ct FOR"BUILDINGiM006V NT&�: 16SUE0 ACCORD4NG,T APPROVED PLAN,$ WHICH ARE PART OF THIS PERMIT AND SUBJE1418 'ION�O "VIOL -EPROVI 04S Of LAW. A FAPPLICASL Nv.w 'ATLANTIC BEACH BUILDING DEPARTMENT 51i By. E (10 A-T7-IarION I"OR �UL PEUZUT CITY OF A:IIAUIC pEACH PROPERTY (XMR I N a.Jj'/jj, M P4, L _-Day Phone L-;,7�1610 196 Addressc zip,,3�2,2- 3 3 APPI,Lq��, IF aj.UM nMN %W 'R Nam: Address: Phone__ zip-.-- JOB Address or Location: L�gal Description: Is well to be used for drinkin8 purposes?-- Any Person, individual, corr)orati on or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Departmnt funlishing "a certified copy thereof to the building deparur�_nt of the City of Atlantic Beach. A certificate Of Occupancy will not be issued until said report is on file with the building department. Department Notes: agree to c0M. lY with regulation-, stated herein: J i tur"e , 9,;)9 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ------- LOCATION' INFORMATION --- ----- __I____� PERMIT INFORMATION ------ ber ; 6959 Address.- 3, 60 FOURTH STREET Permit Num Pe r*ti.t Type, PLUMBING ATLANTIC BEACHt FLORIDA 32233 ass i'of Work-, N EV -------- -LEGAL DESCRIPTION ,, ---------- - Type: W06D FRAME Lot,, Block.* Section; DUPLEX Township*, RNO,.* '0 ed Use pde: 0 subdivision: value: $0.00 I rov . Cost : $0 .00 $25 .00 W/ xr,�N TION APPLICATION FEES 41", 'PERMIT $25.00 'TREET WAT� m C FEE $0.00 T� of FLOR Add, V'A M ph e RAN) GIAS A.R 8 $0 .00 R $0.,00 RkATIsbN RADON, GAS Natne XTLA' Co TI E WATER -TAP 04) $0.0() SOUTH SEWER TAP' , JA,-'K 'LLE BEACH , FL 3,2 2 0 HYDRAULIC ' SHARE . 0 ,00 . 05 2 Type* 0: CAPITAL :NPROVE. jP e7- -,A g j- mg,g po gr ",jj*� OT HER -14OTt$�A el� - NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST 13E I NSPECY150,BEFORE POURING PERMIT,VOID SIX MONTHS AFTER DATE OF,ISSUE JLQI, G M om a ATERIAL,RLfSBJSH AND DEBRIS FROM THIS WORK MUST NOTBE,PLACED IN PUBLIC SPACE,AN U TB F `EARED UP AND HAULED AWAY BY EITHER CONTRACTOR OROWNER FAI,LUREITO COMPLY WITH THE, MECHANics, LIEN LAW,'CAIN, RESULTIN T HE PROPERTY OWNER,PAYING TWICE,FOR 13UILDING IMP OVEMENTS. ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION-fOR VIOLATION OFAPPOcABLE PROVISIONS OF LAW. Vm Im ON �jd k` 7� 7 TOTAL , 2:15 PN ATLANTIC BEACH BUILDING DEPARTMENT T DDEPED $25.00 $25.00 too WCEIPT By M7,V CITY OF ATLANTIC BE'ACH APPLICATIO14 FOR PLUT,',PINC, PER-MIT JOB LOCATION , 96 _�z- PLUMBING CONTRACTOR ,*� LICENSE NUMBERS �/Q OWNER Z*z BUILDING CONTRACTOR TYPE OF BUILDING _-STINKS HOWE RS LAVATORY WATER HEATERS __BA'l'H TUBS SHWASHERS URI NALS DISPOSALS CLOSETS WASHING MACHINE --FLOOR DRAINS OTHER --TOTAL FIXTURE COUNT INSTAT.L.,",TTON OF PLUTI�JBING AND FIXTURES llll'�T BIE IN ACCORDANCE WITH THE NOS'� f�"HCENT OF 'J'HE SOUTHERN ��TANDAI��D Pj,UN'BIN' CODE . 6935 !,�2"71 00, DEPARTMENT OF.SUILDING CITY OF ATLANTIC BEACH. PERM I T INFORMATION --- -------- LOCATION INFORMATION --------- Pe r m i it Number* Add,ress : 360 FOURTH STREET Peri I nit Type, UTILITIES ATLiNTIC BEACH,,� FLORIDA 32233 'Class� of work: ADDITION ---------- LZOAL'. DESCarPTION ---------- "Constr., Type. WOOD FRAME Lot B I oek.i Section: Ptoppsed Use: DUPLEX � Township. RNG,.* 0 I coat: 0 Subdivision: Estim*ted Value- : $0 .00 liqProv., Cost: $5251,00 otal Fe $525.00 Dato 6 3 A 9 WATER SERVICE �'W,6rk 6?o ax)7 , &S TIP ----- TION APPLICATION FEES Zk $0.00 P tT RD ERM WATER IMPA Add' CT FEE $0 ,00 H LORIDA 4422-l' 'a , F Ph A 2414 N RADON GAS-H�R.S. $0.00 0 FORMATION ------ - RADON QAS --; 5% $0.00 On, 0 P -WATER TAP: $440 �00 DE AR Addre., s"i SEWER" TAP HYDRAULIC SHARE $0�00 Type: 0 , CAPITAL,.. IMPROVE. Lice 'T FEE $0 IXPAC OTHER� 5 .77,m,,,�. 'No TES, NOTICE—ALL CONCRETE,FORMS AN6 FOOTINGS MUST 13E INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 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 LURE TO COMPLYVITH THE MECHANICS' LIEN LA E N' WCANA SULTI ' PROPERTY OWNER PAYINQTWl C- El-FOR BUILDING IMPROVEMENTS." THE T 5 1* Tim. ISSUED ACCORDINOTO APPROVED PLANS WHICH ARE PART OF THIS AND SUBJECT T %y&EVOCA '00 -VIOLATION OF APPLICABLE PROVISIONS OF LAW. TmfB tlil 00 I 1E, ATLANTIC B,9 CH BUILDING DEPARTMENT FOR OFFICE USE ONLY Date.-,.--X------- Permit #--,.V-/"-.Fee $--------11--- TOWN OFATLANTIc BEACH Valuation $ -------- ----------- FLORIDA House #--------------------------------------------- 1 -41----- $3-k'a------------K-0-------4 .� APPLICATION FOR BUILDING PERMIT ------------------------------------------------------------------------ ---------------------------------------------------------------....... Application is herebymade for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the Town of Atlantic Beach, Florida, and-all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the Town of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date------------------�5nr---------4:�---------------------- ----------D 1? Owner..-/ --- --------Address--- --------Telephone NZ-ht��---.'�.11;�'? I/ Architect..---- --------!/----------------I---------;-/--------------------------Address----------------------Ji------------------- ------Telephone No------------------------ ContractorBuilder--------P----------------------------1".i�----------------------.--Address------I------I---------/0'---------------------------------Telephone No.---..- -------- Lot ---Block No.----!;;$7-----------------Sub Division-/ -3 ------------------Street-S,0,V--21//----.;Side Between-44-f-7------ ----------and-----------n911Yk-AX!"R --------------�Sts. F V Valuation ---Yor what purpose will building be usedo�A MU...Type of construction----C-O)VC-,--45�4X. Dimensions of Building---;?6t.7 t--------Y S'f---Dimensions of Lot--- C-------------.:Size of Footings---P-2�p----------- V/ Type Roofd:�71AZ& 4 --- --Y T------..-.-Greatest Sill Span in ft..--- Size of Piers----J------ -------------Size Of Sills -t How will Building be Heated? ---.-Will Building be on Solid or Filled Ground?-----S--,V-A*,-JJQk----- Size of Ceiling Joists-----:R.-X-4--------- --------, Distance on Centers.......... -------------------- Greatest Span---------/A --------------------- Size of Floor Joists-------X�"�v Distance an Centers......... ---------------- Greatest Span-.------ ------ ------- ---------------- Size of Rafters-------------- -----------------, Distance on Centers........ ----------------------------- Greatest Span-------i.-,Z----------------------- This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines -and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. Z Z 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 14 F4 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field is laid but before it is covered. 7. Electrical inspectionby City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called forafter corrections are made. FRONT OF LOT In consideration of permit given for doing the work as descri'be4 in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the Town of Atlantic Beach. Signature of Builder-,/-- --- ------- ..... -----7 --- -------- Signatureof Ow4-/--- -------- ----------------------- -------------- Address.----------------------------------------------------- FOR OFFICPSE 0 Y Date--------4_�, Z9547 Permit k'_'_JFee $---------------------- TOWN OF ATLANTIC BEACH' 17 0 V-) Valuation $------ ---00_11------------ FLORIDAHouse #.------------ --------------------------------------- -------------------------------------------------------------------- APPLICATION FOR BUILDING PERMIT --------------------------------------------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Buildinw Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the Town of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date--.. e; ...... 19.Ty Owner------ -----Addre.s_3'rt---4-----------------------------Telephone No---_---------- ------ ----------- ----------------- ------Address-_.......---------_------------- --------Telephone No_---------------------- Architect....6eb-A....... -- ----- ---------------------- Contractor Builde - � _;- & -__----------- -- "W-1------------------------------------------------------------Address-----------_------------------------ ----------------.-Telephone No.-.--.- LotNo..-YI----- ---------Block No.---.----- ----------------Sub Division-------------------------------------------------------_--------------------Zone--------------- ---------------a... ------Street------------------ Between---------- ------------- ------and-----------------------------___----------_------Sts. Valuation ..C,-4,For what ose will building be used-.--- 4!�----Type of construction--------------------------- ------ Dimensions of Building__'Y0_.A____V yur-----Dimensions of Lot__7 --------.--..-Size of Footings._J_07X_��C_ ------ Size of Piers..---------------------------------Size of Sills--------------------------..-..Greatest Sill Span in ft_---------------------.-.Type Roof.--.--------_---------------__- How will Building be Heated?.----_.-------------------------------------------------..-.-Will Building be on Solid or Filled,Ground?-----------------------------_-------- Size of Ceiling Joists_...----------------------------------- Distance on Centers-- ------- -------------------------------- Greatest Span------------------------------------------- ---------- --------- Size of Floor Joists_-----------------0--------------------- Distance on Centers......---- -----------------------------.-, Greatest Span... /--------- Size of Rafters-------- A __ ---------------------- Distance on Centers ----- -- -------------_, Greatest Span----- ------ ------- This rectangle is to represent the lot. ,Locate the building or buildings in the right position. Give distance in feet from ,all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. �4 E-4 4. When framing is completed. 0 5. When rough plumbing is completed,and ready to cover up. 4 6. When septic tank drain field is laid but before it is covered. 7. Electrical inspection by)City of Jacksonville. U2 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called forafter corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the Town of Atlantic Beach. ................ Address--------------------------------------------------------------------------------------------------- Signature of Builder ------------------------------------- Signature of Owner-'. ------------------------------------------------------------------------- --------...... Address---------------------- SE ONLY DEPARTMENT OF BUnDING Ace TOWN OF ATLANTIC BEACM FIORIDA Permit NO.. Fee$ I , "F 1 1, 1 60 Valuation s_�Z_:V_Q_CL— House IT*. Appficc&on for Pennit for miscellcmeous Alterationst and Repaus TO Sup*rvisor of BuBding: ed her*by applies for (st*ta if to r, alter 'to ve bu ns; r"t awitintyign, ote.; uwall botior,iklovi&tor.oto.) Buildin Lot N Div. (st&t* fmetlona4l rt) AtSt. Between___.______aZid_ Sts, ---,_Side No Valuation $-,/- (state C"t of improvement) B=INGS AM-00=ANCY What Is present use of building-Resident4al or Busimu"_A� if residential, what VpL-�Dwelling, Garage Apartments orRoorning Housc.- How many families accommodated n0w?_� -----..How many when altered?- If busbum, what type?- _-__Will foodbe prepared for sale on premises?_ What plumbing work to be done?. ........................... Size ot present-bui1ding_-------Sim Of*Xten� of 10t_____ Number of stories now...............................................after altered.....___-Material of, roof-- Material of present building--- ___-Material of NECESSARY PLANS IN DUPLICATE TO BE SUBMITTED HEFMWITH OILIBURPER OR GASOLME EQUIFUENT J^ Af 7 WV ess in connection herewith, application IsV6 made to install:_ --gallon capacity tank (a) (How VMrW) made by Arar Tabovo) (Nome of NoAufattur9r) --of building. For- (in or oultilds) FURNISH DRAWWO ISHOWMG ENTME LAYouT oN BzMSE SIDE OF TWS BLANK SIGNS Size-.4- Clanific-ation- ibw ground.root,wial. PrO406ting. Wfn9r. NPOdul, Otc-) Wei6t__ -Material of IUun-Anated?_____ Type illumination---- ------ at#whother L&TnPx ormon) will sign be over pu)Ilic prop,qrW?----- OF SIGN.AND METHOD OF HANGING ,'SUBMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION WRITE'ADDITIONIAL WOP24ATION BELOW (For canvas awnings provide dimensioned drawing on reverse side). REftTANT NOUCE! !on of permit von for doinj the work as descril;e(I in the above statement, we hereby agree to perfovin In eonsiderat I I I I I h I %sai ,work in accordance with gle attached ans and specifications, which are a,P it , and in ,accordance with the d -ar Oreof -Town o Atlantic each, buildifig regulations of the, f phone NO.— Sigalature of Builder Address— Signature of CITY OF ATLANTIC BEACH WN PLUMBING PERMIT APPLICATION Job Addres." 44 Owner of ProNrty. 11� Plumbing Contractor: Contractor's v7 Telephone: )3 Fax: State License Numbor: Row many of the following fixtures (re-piped or new): —Sinks —Showcrs _4--Waver- ___Lavatory .—Water Heaters Hose Bib Bathtulki Dishwashers __.SC-.vC1- Is Other Urinals —Disposais —.—Closew _—Wa4hing Machinc Pam, Floor Mims —Pc-P* (List tixturci h6tig re-plpcd) Total Fixtures: x S7.00 + $35.0 Signature of Contractor: Installution of plumbing and fixtures must be inaLccirdaneeNith the mst ce�;L:nt -.ditionoftlit; Southern Standwd Plumbing Code. Call a day ahead to schedule inspections' (904) 247-5826 goo Seminole Road- Afin nfic Seuch, Flurida 32".11-5449 phone: (904)247-$800. Fax: (904)241-584,go http:/1www.*;.M11:1n11C-hcavlk.n,tic,