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363 4th St (vault) 1 4125A tIFSPARTlY[ENT AF 9UIl.DINti CITY Of ATLANTIC BEACH PERNd .' I> PNAT O t -- -_-- L0 CAT ION IroR>! 4TI4N .h 4, 2 Add r e ; E FOURTH STRUT,, 46, t 00r, 1� `I ANTI BR1 CR., 1 `&t R1I3A of,Workt -__.. R ' I?RSCIPTIP 1 - ---------- R C� naltr. Type:1'`L��tll� ��lOck; � I.c►�c � Twos; 0 P 's 4d u e; E�ectiari; Q 1 ; I Rn I el 1 i ; O SubdivI$ion E vlu s� 3. ► : . K 00 hint ' x`5.40 , PPL ICAT I } t FZzs 25-00 ~j - C OMT I OX .. . I X111@ SHV. ' OUT d ��4 7� . . „ JACX-SON, BACI , IM 32250 4 IO Nt�T�SE f j i a NongI A1.L CQF0141414"AND FOOTINGS MUST BE IN1FR PERMIT Vom SIX MONTHS Af=TER DATE t)F. SS UE � a I UILQ'I, MATERIAL,RUSOISH At�10 t7EBRIS FROM THtS WORK MUST NOT BE PLACEp IN PUBLIC SPACE,ANL?MUST BE CLEA UP ANC 4AUE Eta AWAY$Y EI'THCR CONTRACTOR OR OWNER 9 ! � # UR :,TCF CCFM L WITH THE MECHANICS LIEN: LAW, �, RN THE �CiP T �A�I MG TWICE llI�U I�tC�I IMF OV,- FORS'' "1`' ." �r 1SSUEt .ACCQAt�tNQ.TO APPFtC N), ;6 PLANS WHICii ARE PART OF`TNtS PERMIT At4D, 4,V.,S F—Ct.TO flLtVOt ATION Chi. V�t3LAt1" OF APf�:lGABL>`PR ISIO, OF LAW. } r I . ATS !BU ttN CE NIENTato CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION owner(s) : /Y)C Address • 36 y sfi Phone• -2 yy "yS�g Lot # , Block or Unit # Subdivision: Contractor: -1 Address : 'ilq ? 1 " Amit Soh� A City, State and Zip_ 1-:_1 32Z-ro Phone State License # ccc�s��►1 Describe work to be performed: 4,,,Y� Valuation of Proposed Construction: Ile) Materials to be used: fS01- GltisS �- 114 YL Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information PSR-3844 10237 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION ------ ----- LOCATION INFORMATION -------- Permit Number: 10237 Address 353 4TH STREET Permit Type: RE-ROOF ATLANTIC BEACH , FLORIDA 32233 Class of Work: ALTERATION ---------- LEGAL DESCRIPTION -------- Constr . Type: NIA Lot : Block Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings 0 Code: 0 Subdivision: Estimated Value: $0 .00 Improv . Cost : $0 . 00 Total Fees : $22 . 50 Amount Paid... $22 .50 Date Paid:: 5/31/95 Work Desc. : ' RE-ROOF WITH 25 YR FIBERGLASS SHINGLES -- - -- - OWNER INFORMATION -- ---- APPLICATION FEES ----- Name: BILL MCHILLAN PERMIT $22 . 50 Address : 363 4TH STREET WATER IMPACT FEE $0 .00 ATLANTIC BEACH, FLORIDA '32233 SEWER IMPACT FEE $0, 00 Phone: I ) WATER METER/TAP $0 .00 RADON GAS-H.R. S. $0 .00 ---- CONTRACTOR, INFORMATION ---- - RADON CAB 5% $0 . 00 Name: 'DANIEL: R. GRASTON CAPITAL IMPROVE. $0 . 00 Address: 2580 FOXHUNT TRAIL SEWER TAP $0 . 00 JACKSONVILLE, FL 32259 CROSS CONNECTION $0 .00 License: RC0031854 Type: 0 SEC H IMPACT FEE $0 .00 CONST . SURCHARGE $0 .,00 SCHARGE/ATL.BCH. $0.00 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 MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING EPARTMENT ��0 } '� � 111 Date: 5/31/9501 Rept: 005RA9 By; TRACTORX11 COPY 10 ` �^ iYEPARTMENT OF BI ILUING CITY C F ATLANTIC BEACH P C110%T OB .I« G ' ICloA ' Ci . . . .w . Per Address 363 OR S"RIFT .kRl Poor,- A�fi N�'IC BXCI~t, PLORIDA t AI.�"I� "����i _,.,._�__ :�. LI�AL l�� R�PTt�I� ' osed fi W . t PA I� TOA hip« RNC _ �? Estl a � CC # .Tat $2 . 5 I ISAr i j APPLICATION ION, o...r a..a `I B :. PST . D o t r .. WAT IMPACT f9t _$0.00 ss ot, S 5 3 r a s " w A W4 lkxpQN ow; P KA3 014 -- RADON CAS 4,A LL Iw�- ?L ,'32259 ' ' ."x , > T`Ype: SECH IMPACT "�I Iw e-t4 .w 00 . �� GCNt.uBRC� OR 4 .. ol NOTES: j NOTICE �=AtIK Ct31�CR 'f FClRMS AND FoUTINGS MUST BE JNSIP ER BEfoFt1��1JRiCVG F'1=KNIT Vf)kty SIX MONTHS AFTER©ATE.O ISSN« x BUILD MATERIAL,,FiUBB1SH AIVD DEBFIiS rFI t7M THIS WORK MUST NOT BE PLACE©IN PUBLIC STAGS,AND MUST BE. .C1:EAt E. , UP AND HAULED At�IAIt'>B�I�I'1`liEt�GC}{�TRACTOR OR OWNER RE'Y£ �� T fiHE MMA1 'S 1. EN1fV �# 1 Fi.T1 ,. OPEPTY � J"NG IVI FORTH Q 1� AJT _ tSSlir D�CC©RDING TO,APPR6fEo kANSs WHICH ARE PART OF THIS'PERMIT AND SUBJECT TD REVC)CAT�C?N t=G I I N OF APPLICABLE Poli §K?NS OF,I AW, ATLAi�TI BEACH BUILDIN , PATr(ENT ." ", t 3r 01 ,: 9 CITY OF ALANTIC BEACH ROOFING PZRMIT APPLICATION Owner(s) : fd>r.e_ MCA114ZX^J Address:_ 3(,3 c- .�Phone:--A_y9 - 41196 Lot #_, Block or Unit # Subdivision: Contractor: fj.4njr,e4R_ Address: 91-$0 6PXki4r,,7 7R . City, State and Zip _Ac*scy,i1 .E y cc ,?js-, Phone a8?-a g�)? State License #_ Rc- croAigrY Describe work to be performed: PA7cly �� ��.{� , �,� r�G„R s�az Valuation of Proposed Construction: ! & Materials to be used: A .K� Gr6 Gz�ss s/a�� Lis Signature of Owner; Signature of Contractor: � Liability Insurance Supplied Workers Compensation Insurance Supplied License Information CITY OF ATLANTIC BEACH i DEPARTMENT OF BUILDING WO SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATIORI IAIFORMATION Permit Number: 18339 Address: 363 FOURTH STREET Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REPAIR Township: 0 Range: 0 Book: Pro osed Use: P Lot(s): Block: Section: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 2,300.00 OWNER:INFORMATION Date Issued: 6/08/1999 Name; BILL MCMILLIAN Total Fees-:** 25.00 Address: 363 FOURTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/08/1999 Phone: (904)241-8487 Work Desc: REPAIR FR PORCH POSTS & ROOF SHEATHING WHERE ROTTED CONTRAC70R S APPLICATION FEES LUCKIN CONSTRUCTION PERMIT 25.00 I I Ins ctions<Re uired FINAL i i NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.00 1 Date: 6/16/99 81 Receipt: 88648 178 CHECKS krb�NTIC BEACH BUILDING DE 88188083221888 CITY OF ATLANTIC BEACH ,PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS Owner(s) : Job Address Lot # Block or Unit # Subdivision: Contractor: 00VIVW ch0 �(��,State License # Address: 0-7 is* Aix6. Phone No: dol - 13� City (acyl State I`Z- Zip Code ?2-esD Describe work to be done: A 00sh a0 d S r h 11J eve a - Present use of building: S)Otty+ Valuation of Proposed Construction: Proposed use: (� (n/T f Is this an addition? N16 If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT TZOM (CCMffRCIAL) TWO (RESIDENTIAL) CCMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE 70M1S, NOTICE OF CCMMWCEd ENT, AND OWNER/CONTPj=OR ArrXDAVIT, IS om= IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR: Date: AS TO OWNER: Sworn to and subscribed before me this— !n1gday of _ 19A, NOTARY PUBLIC AS TO CONTRACTOR: ]��� f Sworn to and subscribed before me this ! '�'�' da ' 19 N� L�1.�ARY NOTARY PUBLIC Ublic, State of Florida UIm. expires Dec. 26, 2000 Rimm.No, GG 610356 " DEPARTMENT OF,BUILDING F CITE'OFATLANTIC"BEACH:. f , T1 ON ♦ fh . wu r+ ii Q Q4� Iftess FOVATH STREET WA aD1C BEACH FLORIDA, 322i�ATLANT tTPS OD e �a + : � "r-Q,poked Ags, �� A:: k .. ,� RP r� T RN 0 vd v i si on: ATLANTIC SEA 't fed value.. $6,358.00 I a 0v- C I«: " ty ��w ' , +p? Fsl r un d '674 d T J i r. � Q � � A ► '. ' Q 'CRS Na y�.TE T EST T $67 . 50 REWAT ACT P &71 $ 0"60 FLORIDA rg ?,ADN OAB_H . fit? ? %ATION RADON GAS so liooVE SEWER TA 0.00 .� HY.DRAU.L I C $R ARE, $6.00 CCS CO iNEC`IO SSC TATE a? . 4 � "�aII�TESc "t 8 .NOTICE' ALL.CONCRETE FORMS AND FOOTINGS MUST BE 1N81?ECTE0BEFtJRE POURING PERMIT VOID SIX MONTHS AFTER'DATE"OF ISSUE ,BUILDII! G MATERIAL,,RUSBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE [ ." CLEAROD UP AND HAULED AWAY aY,1wITHER CONTRACTOR OR OWNER �F�►1 )RE TCS GC mot,Y WITH, THE MECHANICS' LI {`SLAW CQ,�t��i/ R9 ULT IN THE` A0 E1�TY. WISER PrA 'NO TWIG FOR YUILDI■ G I PROVE #� TVr}' i SUEF3 ACCORDINO TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REV OCATION'FOR VIt LA7 N OF APPLICABLE PROVISIONS OF LAW. 77, ivm Al ANtl B CH BUILDING '[ _ NTMENT :i, W i Ir; III « zipt: IIIJII� CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : I+ MC I ` I L-U t� Address : :5(o � � S Phone: 241 ' `f ;:Yg Z2 ANn Lot # 2j Block or Uni # (o Subdivision: 4n,4 ric be-AcK Contractor: A I L.L1 t'J Address : b ` ` S Phone No Describe work to be done: Aoc '2-! � " 1-7�- o" C+AQ_eca, i Present use of building: Tz`S IQ,kf Nc_ = Valuation of Proposed Construction: 41(go— Proposed use: Ct-N (Z?c, 2'i" '2.. c(o_ 5 Is this an addition? If yes, what are the dimensions of the added space: ZZl-���- ft . X 17 ft . Will the added area be heated and cooled? New electrical (or increase)? No New plumbing fixtures? New fireplace? ti(a 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. I Signature OWNER: c � ,� Date: Signature CONTRACTOR: Date : p P P R 0 CIZ� QF 1 PoNING OFF1 r , 21993 wilding and Zoning CIT7 OF ATT,,7111,TIC D�'ACFI PERMIT CALCULIIT1011 SKEET -F L. Address ( 3 L SrC t'�(Z PCZ OQ T Date_ -2 3 Heated Square Footage S—,_„p e r sq ft = $ Garage/Shed @ $�.�tier sq ft = $ .3 Carport/Porch @ $ per sq ft = $ i Deck @ $ per sq ft = $ Patio �@ $ or sq ft = $ TOTAL VALUATION: $__3 rf, O d �. 3 3 ? , o (o .� . as $ T al Valuation ist 2503 S$. O0 �O , ®o $ 3d.. C'J Remaining Value $'00 per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ 2 . — ( ) Fireplaces @ $15.00 S� . BUILDING PERMIT FEE $- l .,5 WATER IMPACT FEE $ SEWER IMPACT FEE $N WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0045 $ ( ) RADON (CAB) .0005 $ SECTION H PAVING ( ) $ HYDRAULIC SNARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $—Z11- Sys ADDITIONAL PERMITS OR FEES: Mechanical; Plumbing Electric/New Electric/Temp____�,;SwimmingPool Septic Tank Well Sign_____Finish Floor Elevation Survey Other . CALCULATIONS and/or NOTES: OWNER BUILDER PERMIT AFFIDAVIT Stbt& ut Florida ) City of Atlantic Beach ) BEFORE ME, the undersigned authority, M� (� rV personally ipVrarvd --------------0 who upon tisst b.►tr�V duly sworn, deposes and saysi I► ----- ------ -. and the legal owner-of the following propertyt Subdivision Block _ Lots ^ z AKA ----- - - -- - ..,. I am applying for w building permit pursuant Owner Builder exemption net forth in Florida Statute, Section 489. 103. Florida low requires that I have been provided witty thr following DISCLOSURE STATEHEHTi DISCLOSURE STATEMENT estate law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to ,act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of 025,000. 00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. It you sell or leabe more than one building you have built yourself within one year atter the construction is complete, the lav will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to building codes and xcning regulations. It is your responsibility to make sure that people *mployed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant cayeth not. Property Own*r Svorn• to and subscribed before me thida 961 FS FLA. ,.02 LAWS 2) MAMCO Vona 400 of Camingnretttettt WRA►AAi IN OY►MJQAtQ b�hom it =4 = 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............. c� 5 I t���h1�<s.......-.......���..�........�» -14........S..'...........»..»...»..»..»..._ .......»............ � 5 .......:�».Z`f .......... . T ....».... . c l Co .......... .............»..7L...NT t t.........'1�Ct..............._......... ........»..........._.»...»....................»........».......................»................»......._.............. .........»................... ................................» .............................................. Gernrel derviptiora of imProvernerNs. �?.n........0.4:2.P..y2...1.....»»».2;` r� 7'` i 7 `I'�� ...............».......................1+V G„ ....»......»...».......,,_...,. » .................. .............................................................................»......».....»......................................... 1-4 .��............».»`�..'.» »..»....»ST...............»...................».......................»».............»...........»..................»»................... Owners inlereel in site of the kWoveVard.....».....1.0 0.;........................................................... .......».».»......»....»....»»... ............... I" Simple Tide holder (if other dun owt»r) Name.............../.' rC......... c�.: .............. ...........................................................................................».............................. Addr«s......................»........ ...............».....................................................................»».............................._»»...»... ............................._......... » C.errreder.. c?�� .....................»...»........».......................................................................».....»..........»...._»..._.......»............_.... � /yd�►«a .»...............»...»............. .......»»»...........................»..........................._....»....... ..»....M..»...._».»»»»....»....... ._...._ /�ddi►eia..»...�..._................._...._ .... .....................».............._................... .»......... ..................Mro,rw of bond S............................ Nene of P wom widrin the State of fieride desioneted by Owner myon whore r4sces or other docunurrts mar be served Name I►die a.....„.. .�.............. .»....w......».........»...........»..................................................................................».............................................. In addition to himself,Owner desionga the following person to receive a copy of the Lisnoes Notice as provided in Section 713.13(1) (F), Florida Statutes. (Fill In at Owner's option). ..» ....................... .......................................................................»_.»....»..»....»._.................... Addr . s � ..1» ..»...»»...........».......».........._.._.................�.. .»....._.._............... »..._................................«:..Ass .......... �� aoare Was eewv I T U �wcc W m U lil LL � Q ` QZ IL 4 ix A Cl IL LL, p aim r V C f � � M 7 j ;i ^^tell v f � •ate C?o y G! i -t ,�8 rr f1 X,9 L i I I `/}. v x c 1 xr __ _ n r k- S'- .... a IN t� 1 - r - C� x `- i� a CQ d os X �I _ QN ) 1 ,v ;n 1� �v t I tt I e � A s <` a' a j C17-y OF DateOffice of B Tune n u11din9 Official v�— Rece1yed REQUEST FOR INSPE CT CN Owner, Job Address PermltNo Name s Distrijj� ct IV BUIL.DING C' Framing Re Roofing O CONCRETE D Footing Oontractor Locality Slab p ELEC?.RIC Mon. J � Cinte1 a Rough Zing AL pLUMBI i p Rough NG n MadeDL I�Eq py FO Top Out p MECMgN/C �►j Jp( R llysp p tAjir'Intl $ qL Inspector ! LJ ECTIpN eating p sr7 Fir T Thurs. Pro F dace p A.A4. Friday P.M. q M PM Final Inspection CertificateofoccuPancv f .OSA�P44 l v r CITY OF 7 IIT i NFC rm�t U� Office of Building Official "`ype* WE REQUEST FOR INSPECTION C,fiia of work • NE / Type: Date ! 6 ! Permit No. Proposed 0,80: STT Time ann District No. Received SEttiioated Value: � Job Address lily i 'pr 4 . Cd�t5t : Owner's + Name Contractor T61�?1Tb BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL r Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating �:. Fire Place ❑ Lintel ❑ Pre Fab SVo IR READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made P.M. N ON 0% RMILK Add Inspector Final In se p _r Certificate of Occupancy 4 I �CnJ Date MNi N. Lt' S .. j'WATER TAP $0,v 0 0 0.00 AT .A AOR RYDRAU'L + $ S Type 7 P 'TAL 'IMPROVE. 00 S ' .NP SEE C 1 i ° � +, w .95t1+'SS�'?a�,yg,n r,n�e�„ `',�.Aea w •,� mW ti7� ��:�d+cwP�' mr�.a+.e sww'w�",,,.m yep,e. ,� �"� t � t� 1 } qI ; F � J NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSP;ECTIAo BEFORE POURING PERMIT VOID$1X MOtVTHS"AFTER DATE OF ISSUE" Ito Q MATERIAL;,RUSSISH AICD DEEIRIS;FROM THOS"W{)RK,MUST NOT BE PLACED 1N PUBLIC-SPACE,AND MUST 8E .'" CI:EA b)LIP AND HAULED,AWA,YSY EITH.ER'CONtRACTOR OR OWNER k � :d E TCS COOKY WITH THE MECHANICS' LIEN:LAWCAN RESULT IN '! P OPERTY !V'NEWDAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUE ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT.TO FIEVOP AR VIQLA NOF'APPLICABLE PROVISION S OF LAW. �T t ATLAINTI. SEACH B UILDING DEPARTMENT City of Atlantic Bch, By: .r I'I'`E $10.oo APaic TION Fujj V7} I,T., PUMT CITY" OF ATLANTIC PEACE PROPERa,Y OWNER Name: L �, e s� Address:-�� ____Pay vay Phon14 zip APPLICANT, IF OTHER THAN aMR, Pay PhoneZ- �5r Address; C> JOB — Address or Location; Legal Description: Is well to be used for drinking Purposes? Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic 'Beach Code, and who plans to use water from the permitted well for drinking t first Obtain a bacteriological test report form,the Stag opffFloridaHealtth Department furnishing a certified copy thereof to the building d of oc an eparimt of the City of Atlantic Beach. A certificate report is an file with the building Occupancy ill not be issued until said Department Notes: 4 I agree to cotrroly with regulations stated herein: DEPARTMENT OF BUILDING 9 5 J C e CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB r n�JCA A 3t 1719 Date_ March 17 19 88 1 Ono Valuation$ Fee$ n0 fee I This permit not valid until above fee has been paid to City Treasurer,and is (, subject to revocation for violation of applicable provisions of law. iThis is to certify that 11,W. MCMI I I in has permission to build 41 fence tohouse i'ne Sf fence on side to 4' fence Classification_ Residehbial Zone Owned by H.W. McMillin Lot Block S/D House No. 363 Fourth Street According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ,I AFTER DATE OF ISSUE 4 10 4 10 O Building material,rubbish and debris -zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor'` r owner ~ Bui g fficial. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER I 'Allf:. Y 4t'���3 APPLICATION FOR FENCE PERMIT �a Owners name H•(1S. ��'��(�-Mc IM1 ��� 11 --- --------phone �� `f ------ ------------------ 2 Job address k S-1 ----------------------- Loty L 2, Z _block axad ef- subdivision A <�4NTtc Contractor if different from owner 6LLr t00 FL-t�j<,E� a� JAcu, Sor,�,II(-LL PC7 (.13`(t -S�tKSc�c.iJ(�.C.e 3ZZ3<o Valuation of fence $ ------------------ Corner or nterior lot V Type construction-C �+Pr( -i t-. t *.jl4 Show location and height of fence as well as location of street(s). C%)((5T V 5" 3L.3 ' r If Owner signature ---------------------------------------Date----------------- Contractor signature Date amof JACKSONVILLE On Site Residential &Commercial PROPOSAL. P.O.Box 6891 Phone Jacksonville,Florida 32236 FENCE CO. (904)786.2011 Walk - In PROPOSAL SUBMITTED TO: DESCRIPTION OF JOB: Job BILL MCMILLAN Address 363 4th St. Atlantic to Sherry TL to 4th Atlantic Bch. ,FL. 32233 Phone Fe 249-4558 March 15, 1988 P aerebg �*Ubrdi# specifications and estimates for **Customer to get Permit. 60 Install 147 ' - 60" Chainlink llhga.' 1 5/8" Lineposts 1 3/81- Toprail 5 - 22" Terminals 1 - 12 ' Drive Gate LL \V Install 36 ' - 48" Chainlink 112ga. 1 ,5/8" Lineposts 1 3/8" Toprail 4 - 22— Terminals Minor trinuning V// 6 L M1 * Ad'ustments will be made at the rate of t' ._._.1._._-- -_ $._ per foot if dimensions vary. Extra T. P= $ b �, Ne Xerebg JJropose to furnish labor and materials complete-in accordance with the above specifications, for the sum of $ 724.00 Seven hundred Twenty-four dollars and no/100 Dollars Discount PAYMENT, IN FULL, UPON COMPLETION OF WORK, OR IN Adjustments ACCORDANCE WITH THE TERMS OUTLINED ON THE BACK. FI Sales Tax TOM Cost $ Locate # Sold by: i Fittings CHARLES E MCKINNEY #-,�.�-+�.--.. 01 DE RARtMENT OF BUILDING CITY OF ATLANTIC BEACH «. INFO t�QCATITIH YNF"ORmATZON x R *it .,Y,u 2f Adc Ireos s 363 FOURTH STREET er t '1" ► it: BUIL.fl2N0ATLANTIC REACH, FLORIDA 32233 C1 p� W ank x At?DITICtN - LEGAL DESCRIPTION 111t. .' Types ALUMINUM i.ts s 22, Block% 6 soation 3 Ur. e s OTHER Too ns hips RUG-. 0 I tirxg II C3 "Cod x O Su division z Improv ov. �g ,w 00.GO ,s , 07 � dr a S A1CeUa1'xt Paax � ' y ai .' Ci 'A V"•��" a . 13 � w ¢ k Vc At3E fH1 �Iyl a II } H. W, 1'!4 � H PERMIT 015. 00 A (dr ea� a � ��rRl�l�� M/ATEi�i IMPACT FEE � T►b . 00 , 5 , RADON GASH. ft S. *0. 84 CONTRACTOR INFORMATION - RADON GAS - 5% *0. 06 E ]�III7atMte t WATER TAP $0.00 AA idreast SEWER TAP *0. 00 NYURAULIC SHARE , '9x0. 00 L of-reale x; NOTICE ALL CONCRETTV"XIS AMID FOOTINGS MU§f Bi WA&TE6WORE POUR 1 �.000. PERMIT VOID SIX MONTHS AFT 'f OF ISSUE aR{�tC90 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULER AWAY BY EITHER CONTRACTOR OR OWNER. ' "FAI .URE T4 CO PL.Y WITH THE MECHANICS' LIEN LAW CAN RESULT'.IN THE. PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.y' VALIDATION ISSUED{ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUB REVOCATI*'VOR V[OLATI NOF APPLICABLE PROVISIONS OF LAW, 115 I ATLANTI A:CH BUILDING DEPARTMENT By: Q �i Lx--q� � , .. . 77 777t'7777rt 14 Address 3 (c leated Square Footage @ $ per.,sq ft = $ Garag Shed) c@ $ )per sq ft - $— Carport/Porch @ $ per sq ft - $ Wick @ $ � per,sq ft - $ $ Patio @ $ per sq ft MIAL VALUATION i $ it S 1'otaY Valuation '. Ist $ Rembider Valuation per Eliousand or portion thereof, . -------------------------------------------- Total Building Fee $ /C ADDITIONAL. PEIUi'i'S and/or PMS REQUIRED t + Fee $ `j Mechanical ,Fireplaces @ 15.00 $ P1uJi�ing ; BUILDING(PERMIT - Electric/New - ---------- ---- -- ------------------------------ ; Electric/,1aij) ''' '! C Septic Tatilc BUILDING PERMIT $ 1s Well . • WATER MCiFR CI IARC $ St4hii Ing Pool SEWER IMPACT FEE $ $ Sigh WATER IMPACT , ,g 1ISCEUANCOUS4Wk $ Water Comectirni .R� Sower Comiection t • Water H--ter I:lev;�L•i.o►� CertlLlc;ite ; • � .: GRAND TOTAL DUE $ ���• 9� -------------------------- ----- - - -------- ---------------------------- (ALCULA'iiONS acid/or NUIES T'r # ;. ; i is : - , 1 vJ�� • ' i; 1. :•,' `y. ;1+:. '! PROPERTY DESCRIPTION CITY OF a� Lot #�' lZ!_Block #__ 'Y�+ Section # 716 OCEAN BOULEVARD- P.O.BOX 25 .ATLANTIC BEACH,FLORIDA 32233 Subdivision:-_ -�� E t* TELEPHONE(904)249-2395 Street Name ( -��4 DESCRIPTION OF WORK or Address: -------------------------------- If in a FLOOD HAZARD `/�S7�A �-L-• ^lood Zone: _-__--area complete page 3. Brief Description:_________ lei, •,,� �-� , Class of Work: (New/Remodel/Addition) ZONING INFORMATION C,9E_e A r'A_y�:T Type of V tT Construction: K Zoning Proposed District: Use: _ Estimated Value S Exceptions or Materials: Jariances Granted: ------------------------- Solid or ------------------------------------------- Filled ��� Ground: ---Roof:-____--:-- OWNER INFORMATION Z Z— 9� Method of Heating, r- -- Cs P-SG ------ Property Owner:----.4- s_MG- -( t(J------ -_ y Phone. - STT mailing ---- - - Address_________ 'C.far 047L-- t=�'�lLl+ .._�C a►C .( �t --- - zip: CONTRACTOR INFORMATION Contractor: __ Phone: Mailing ------------------------------------------- - -------------- Address: ------------------------------- ----------------------------------------------- Zip' ---------- License Number: Expiration . ----------------------------------------- Date: I HEREBY CERTIFY THAT X-HAVE READ AND"EXANINED-TNIS`APP:.ICATION A"'KNOW THE SAME TO-BE TRUE " AND CORRECT. ALL PROVISIONS OF THE LAWS AMD ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AHD THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. \}`k �1 Ovner Signature Date tR -------------------------------- ------------ Contractor Signature_____ Date c e,0 S,r&U C."r I�o r-� ?L..A tvJ co: C.- 2-Z -9o (G 3 -41 5-r -- A"TC-A -r, C- a E-A c t!- , F t-0 23 N S7ii L L- 5'4 e�> f N- tJ=vJ C o 2,N 4\% o V L-OT !i S I+L P S�.7` 3 pt S N.�� co2hk R SKt=T7 �-��T, a� o N LAT -------------------- i i A Q F+AR TIC BEACRI _DING BUl1 r LU r,\ I tJ cf A-t-� 4 9 r Tc�<C w A FL U M O ( rJ G- rC'.C=C��.J /< c�D �n(c H� QTS cJSe)> -PJ -->Ce(J(Z.Q5U)(,p f iJ6- 70 P 5180168 0RIGIVALe C D P Y THE ART B DECLARATION PAGE m SEIBELS BRUCE INSURANCE OFFSP TO " F'`JE4 HP 5187163 COMPANIES I'-IG'1E0WI`,*`RS POLICY PAYMENT OF PREMIUM 6Y 07/09/89 C-NTINUES CGVFrl„GE AS SHOWN, IF NOT, ALL C"IVERAGF ExPInES EFFECTIVE 07/08/39 POLICY PERIOD COVERAGE IS PROVIDED IN THE AGENCY P HP 5180168 07/03/39 07/01)/90 SJUTH CAROLINA INSURANCE CO O00054 O NAMED INSURED AND ADDRESSAGENT FERE-ERT I Li 11LLT A c � J1y LL AGENCY f, DF_VA .A L. MCMI LL It" 364 4TH STREET f;c?Tll^' _ '.!,F;,CH FL ATLANTIC ecACH FL 3223-i 32233 TEL !J``' 04-2 49--,65 1 r�r 5 � _ !.,I` � r:..-!1 J, J: v:-. �y� ;t._- ��� _iY T:1� Q ✓_. iCY LS Ci- F:'�� 364 4Td S1 ATLAATIC r>cACH t-L. EIRE i)ISTRICT: ATL4NTIC ? EACHI RATING INFDR`,'AT ICt - AUTCj --TIC VALUF-;!v3 AT C 1,'ST 0ICT'_� 1A 19531 PRIMARY kF_-)' I )'_N'CE, Pk'" TECTIICi TEP,i'I rr RY + L , FCET f ;.: A' ?iYDRANT 100'1, $250 SECTIO(,. I LOSS GFOUCTIFLc, 1 F,AMILYt P c'' IUA i,Q\U.JP '+51, Ci)VERAGE AT THE L3CATIO'a IS P: 7'VT , E � JN LY tI IF - A LIr;IT OF LIABILITY IS SHJWN `)R A f''1RE(11U`*, IS STAT SEC TIUN I CGu ERACE L1`"1T 0+ LTA'.3IL. ITY PRE MTUMtS A* DWELLING $531500 5361.00 6. OTNER STRUC + URFS $5v3r0 C. PERSONAL PROPER TY �:_ ;) 15U Do LOSS OF USE 3,101, 700 SECTION II COVERAGE E. PERSONAL LIABILITY $1009000 EACH OCCURRENCE- F. MEDICAL PAY. TO OTHERS — $Is0OO EACH PERSON TOTAL BASIC PREMIUM — — — — — — — - — — — — $361.00 IN CASE OF A LOSS UNDER SECTION I, WE COVER ONLY THAT PART OF THE LOSS OVER THE DEDUCTIBLE STATED TOTAL ANNUAL PREMIUM — — — — — — — — — — — - — — $361.00 **AT 12:01 AM STANDARD TIME AT THE RESIDENCE PREMISES. POLICY TERM 12 MOS FORMS AND ENDORSEMENTS H03 04/841 H0300FL 08/88v1 BJP1776 11/841 UND762A 08/85• H0322 09/871 1-10325 12/851 14;'0350 09/879 UNDF50 07/6-7. 05/20/89 AUTHORIZED SIGNATURE DATE Proof 'of mailing will'be sufficient proof or - notice. All other pr P 5180168 1105 D I.ZE CT B I LL IN HERBERT N MCMILLIN (1) When you have not paid the premium, we j E DEVARA L MCMILLIA may cancel atanytime by letting you ; AMOUNT DUE 07/08/39 $361.00 know at least 10 days before the date PLEASE MAKE C4 7--CK OR MJNEY ORDS cancellation takes effect.- , � PAYABLE TO AND MAIL TO — --* SOUTH CAROLINA INSURANCE CO j PO BOX 574064 0q LA NDS FL 32857-4064 Copyright, Insurance Services APITE YOUR POLICY ,UMBER ON YOU I CHECK AND RETU_NN '.KITH THIS STU3 USS- 77f/S CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Required Submittals: i,1a n.�L 1. Two complete sets of construction plans 2. Detailed site plan including setbacks, tilities & parking 3. Recent survey - 4. Florida Energy Efficiency Code forms 5. Copy of contractor 's license and proof of insurance /v ft- REMOVE NO TREE OUTSIDE THE BUILDING LINE THAT IS LARGER THAN NG SIX INCHES IN DIAMETER UNLESS A TREE REMOVAL PERMIT HAS ,14-7— BEEN ISSUED. Inspection Schedule: 1. Footing , CALL-IN WITH PERMIT 2. Rough Plumbing/Sever NUMBER FOR EACH 3. Slab TRADE 4. Framing, rough electric, mechanical, top out plumbing 5. Insulation 6. Final inspection/Issuance of CERTIFICATE OF OCCUPANCY ------------------------------------ Requests for inspections will be accepted from 8:00 am until 4:30 pm. All inspections will be made the following working day. In case of rejection, re-inspection must be called for after ' corrections are made. There will be a +10. 00 charge for all re-inspections, paid prior to the request for re-inspection. Pour no concrete or cover up any work until the building card is signed by the inspector. You will be required to uncover any work that has not been inspected. BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE Building Department 716 Ocean Boulevard Atlantic Beach, Florida 32233 249-2395 page 1 CITY OF ?ROPERTY DESCRIPTION 716 OCEAN BOULEVARD Lot # "l� _Block J�__ X?___Section #________ P.O.BOX 2b .ATLANTIC BEACH,FLORIDA 32233 ,,�t.�`F't �Gc' TELEPHONE(904)249-2395 Subdivision:--------------------------------- Street Name /-( �('13 �. DESCRIPTION OF WORK or Address:--_ `t -------------------------- If in a FLOOD HAZARD wlood Zone: area complete page 3. Brief Description: tjp L L,E„c-r'Cz.tc i PLovv1v%, I Class of Work: (New/Remodel/Addition) ZONING INFORMATION APPROVED Type of CITY OF ATLANTIC BEAGa Construction:_-K t� _________ FFIGE rt?�;�cla rZc-i P j5ey' \j-,L-/ Zoning Proposed BUILDING O District: Use: Estimated Value S --- ------------------ -" ---------J ��Rn "Nn Zxceptions or Materials:-------------------------- Variances Granted: __ 4` Solid or Filled n J� - Ground:------------Root --------`--- OWNER INFORMATION �,— L Z Method of Heating: Property Owner:------ T - � Mailing - _ Address ------------------ ------t - _ zip: CONTRACTOR INFORMATION Contractor:--------------------------------------------- Phone:-------------- Hailing Address:---------------------------- - - ---- ----- ----------------------------------------- ---- Zip' ---------- Expiration_ License Number:-------------------------- -------------- Date: -------------- I HEREBY CERTIFY THAT I KA'VE READ AND EXAMINED-THIS"APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISTOKs OF THE LAMS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, i�.•r REGULATIONS, ORDINANCES, OR LAMS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING .�v'►'+•'� DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. {` 0 01 Owner Signature ------- -------------------------Date ------------ Contractor Signature----------------------------Date------------ C-t*f-A t-f&u C.-"!'-') w-, ?C..<,--� t-) (I- 2-2. -<)O 3G 3 - sT A?t-A—1-ri G a E-3 G 14- R- 3 1 Z 3 3 S(+L D S L T- 1$ psGKS �•�� co2r�C R 5 T7 Loc 1 i o N LoT L. c (-•- Ov SD i t pP'P R P�yTIC BEIING '-Ct1 i � LUTAItlQ STa2AG(Z. c�L1 tiJ7 As-Cra ►`1�'. W ccs i� FLU 5 A N c d qte i< tTS �acorZ TA r.1 � oF U �[..C:G�7'�' i G,Pr C... �L c1 M �'> I n.1 �,-• IE' C=C�`.l /r2; �`�l� �,uc QTS Osej> -Tv C—Cc/2c: t3(j)c.or+�J6- 7 ��ur..tnRr� �►J �lT• P 180168 ORIGINAL D 0 Y ® THE TART B DECLARATION PAGE SEIBEL.S BRUCE INSURANCE OFFER TO ? Fri EW QIP 5180168 COMPANIES HO`1EOWN;L17S POLICY ?AY+v,ENT CF PRE"1IU.4 6 Y 07/08/£39 L-t NTINUES COVERAGE AS SHONIN9 IF NOT► ALL C:IVERA,;' EXPIRES EFFECTIVE 07/08/39 POLICY NUMBER POLICY PERIOD COVERAGE 1S PROVIDED IN THE AGENCY P FROM TO AT .: HP 5180168 07/03/39 07/08/90 SJUTH CAROLINA INSURANCE CO 000054 n NAMED INSURED AND ADDRESS AGENT FERBERT x 'i MILLIAJM S HJiv -I L AGENCY I)EVA!4 A L t-ICMI L1 Ita 2,41 �T`I �\J IC '?LVJ ST _ T 364 4TH STREET NERTLPIIE 6EACH FL TEL N 904-249-9651_ 3273� rit J 5 air i r -'i� j- S . ''r'r K t. 6Y THT- �jCy S 364 4f-i S1 ATLANTIC 1=,EACH t L. FIRE OIST41LT: ATLA:J1C ?EACH- RAT INS AUT{'^°AT IC VALUE-UP AT ? ENE 11 -,l 9 F`-�,`" � .'OST t�1( T _'' 1N 19.53 PRIMAtiY kc-' ID- CE. Pk"-'TECTILs� CLASS * TI_RRITCRY 41v FC-FT F-P,,-JP HY-DRANT 10009 X25.0 SLCTIOI.: I LOSS LFOUCTIPLE9 1 FAMILY ] "PEP'iUA GROUP 45.1 C')V!r Ar,E AT TH} JbE Lc3CL:I;E-0 LOCATI0'�; 1S Pt VTDEU ONLY 4• HEI;F A LIr,IIT OF LIAI,ILITY IS SHJ�'N OR A PREMIUv. IS STAT`; SEC TION I COVEflaCE LI" IT OF LIA31LITY PREMIUMS A. 04ELLING $53,500 3351.0) E. OTPER ST UCTURFS $5v3:0 C. PERSO^JAL PROPEP TY _,25175U 0. LOSS OF USE I.109 700 SECTION II COVEkAGE E. PERSONAL LIABILITY $100,000 EACH OCCURRENCE F. +MEDICAL PAY. TO OTHERS $IvOOO EACH PERSON TOTAL BASIC P�,EN,IUM $361.00 IN CASE OF A LOSS UINDER SECTION I9 WE COVER ONLY THAT ,PART OF THE LOSS OVER THE DEDUCTIBLE STATED TOTAL ANNUAL PREMIUM - - - - - - - - $361.00 --AT 12 :01 AMI STA!V+3ARu TIME AT THE 3.ESIDENCE PI2E USES. POLICY TERM 12 MOS FORMS ARID ENDORSEMENTS H03 04/841 H3300FL 08/88-, BJP1776 11/84• UND762A 06/351 H0322 09/879 H0325 12/851 hc7350 09/37, UND850 07/x;7. AUTHORIZED SIGNATUR E 05 DATE Proof of mailing will'be sufficient -proot or -- notice. All other pr P. 518 0168 1105 D I iZE CT BILL IN' (1) When you have not paid the premium, we HERBERT W MMCMILIN may cancel at an time b letting � DE VARA L htCMILLIiJ Y Y Y g You i AMOUNT DUE 07/08/39 $361.00 know at least 10 days before the date PLEASE MAKE+ PAYABLE TO AND-MAIL TO OR (MONEY ORDER - 1`-- cancellation takes effect, , SOUTH CAROLINA INSURANCE CO PO BOX 574064 OLS"+ NDO FL 32857-4064 Copyright, Insurance Service WRITE YOUR POLICY iJUI�!BER Ql�i YOU CHECK ANN RETURN 'W ITH T#-IIS STUB (/Sc-" _7_t CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Required Submittals: 1. Two complete sets of construction plans 2. Detailed site plan including setbacks,�`ilities & parkin -�-�r-- ? 3. Recent survey /Q1 /1 , a�� 4. Florida Energy Efficiency Code forms N- 6, 5. Copy of contractor 's license and proof of insurance REMOVE NO TREE OUTSIDE THE BUILDING LINE THAT IS LARGER THAN /J< SIX INCHES IN DIAMETER UNLESS A TREE REMOVAL PERMIT HAS fZ( E `7 BEEN ISSUED. Inspection Schedule: 1. Footing 1 CALL-IN WITH PERMIT 2. Rough Plumbing/Sewer NUMBER FOR EACH 3. Slab TRADE 4. Framing, rough electric, mechanical, top out plumbing 5. Insulation 6. Final inspection/Issuance of CERTIFICATE OF OCCUPANCY t ------------------------------------ Requests for inspections will be accepted from 8:00 am until 4:30 pm. All inspections will be made the following working day. In case of rejection, re-inspection must be called for after , corrections are made. There will be a $10. 00 charge for all re-inspections, paid prior to the request for re-inspection. Pour no concrete or cover up any work until the building card is signed by the inspector. You will be required to uncover any work that has not been inspected. BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE Building Department 716 Ocean Boulevard Atlantic Beach, Florida 32233 249-2395 page 1 1 BUILDING AND ZONING INSPECTION DIVISION c LID 0�., CITY OF ATLANTIC BEACH, FLORIDA ? � �- ELECTRICAL PERMIT Q z Date 6/2!;/74 Fee $ —Permit No.1 " 30 J W cc Location p Between and Q This is to certify that a p c �;' �-- Lu m le to a on ractor) (Master" uectnc+afi) a: E r has permission to install Electrical Construction as described herein in W a accordance with the provisions of the Electrical Code and regulations Z °eF of the City of Jacksonville, and subject to the information shown on the = application, drawings and specifications which are made a part of this 3: Y permit. ~ for M . :+ of ® l 0. Type of work , 444 t p : SERVICE: 12!i s alvo. rxixtinj 125 arps JPH 3W 240 V1 Q u LuLu Feeders: Outlets: V Receptacles: 6 cc Switches: w Incandescent: I — Fluorescent: j Appliances: Air Conditioning: Motors: Trans ormers: Signs: Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: MONTHS PERIOD, PERMIT Electrical Inspection Supervisor BECOMES VOID. I i BUILDING AND ZONING INSPECTION DIVISION c ;I CITY OF ATLANTIC BEACH, FLORIDA Z CD 2 ELECTRICAL PERMIT a Date14120 Fee $ Permit No. O J 1 W � Location 343 4tb &t***t; Between and Q This is to certify that CL O c Nab W_ m e r o scion) E, has permission to install Electrical Construction as described herein in W a accordance with the provisions of the Electrical Code and regulations u $ 1 of the City of Jacksonville, and subject to the information shown on the = c application, drawings and specifications which are made a part of this 3 Y permit. �= for o ..� at 1 a ro Type of work: SERVICE:CqndUCtor 1/0 U5 -# A Switch 12 230 Volt Ca blo Q N ee ers: - amp* Ak &xn 3w 230 vatt Cable UJ :E Outlets: 0 Receptacles: m Switches: `^ j Incandescent: x iJ Fluorescent: Appliances: Air Conditioning: Motors: 9 Transformers: j 1 Signs: Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: MONTHS PERIOD, PERMIT ct I^ perviaor BECOMES VOID. i I ! J { BUJLDING AND ZONINGVINSPECTION DIVISION c CITY OF ATLANTIC BEACH, FLORIDA l 0 CDco_ ELECTRICAL RERMIT Q j Date- Fee $ Permit No. Q UA __n.;.__ .. . ! Location 363 m � �. ._ �, d. . Between and This is to certify-that a MCIUM (Electrical conrractor) (Master Electrician) �E„ has permission to install Electrical Construction as described herein in W `accordance with the provisionsofthe Electrical`Codeandregulations of the City of Jacksonville, and subject to the information shown on the = j application,'drawings and 'specifications which are made a part of this permit. t ;a for g 3 1 UJ z Type of work: SERVICE: 1Wtor switch IN3W2 ' 41t + abs a sws Feeder's: .. _. _ . _ . - X Outlets: V...- I Receptacles: u+ - m Switches: N Incandescent: r � .Fluorescent. Appliance*: Air Conditioning: Motors:.. {Transformers: n .T 71 Signs: , Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: aC 1 MONTH$-PWOD, PERMIT _ E ectrica Inspect Supervisor ; BECOMES VOID: r . . { BUILDING AND ZONING INSPECTION DIVISION z e-4 j O CITY OF ATLANTIC BEACH, FLORIDA c M IL Ln ELECTRICAL PERMIT a �' z i Dategt'*.► Fee $ —Permit No. � _ 30 I — -Wm Location Between and a a This is to certify that 2I E Master Electrician}fte ,e pa has permission to install Electrical Construction as described herein in W accordance with the provisions of the Electrical Code and regulations Z of the City of Jacksonville, and subject to the information shown on the = fications which are made a part of this application, drawings and speciY permit. 9x V ; for W o a p m j Type of work: Y SERVICE: Q s � V LU G i Feeders: p Outlets: m a Receptacles: #A Switches: _ t- Incandescent: Fluorescent: a Appliances: j Air Conditioning: I Motors: a Transformers: 1 Signs: Miscellaneous: IF NO WORK IS DONE UNDER eel* Of 11110 THIS PERMIT DURING ANY SIX ISSUED BY: Electrical Inspection �Perv�s r MONTHS PERIOD, PERMIT BECOMES VOID. CITY OF ATLANTIC BEACH, FLORIDA pprg4d by LIGATION FOR ELECTRICAL PERMIT -- � ?TOE CHIEF ELECTRICAL INSPECTOR: DATE:\-/&C.��L: �� 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. ZVI ELECTRICAL FIRM: MASTER ELECTRICIANS GNATURE JOURNEYMAN NAME 9�u, ,llr�. v?Lc'' Cc s�1� ADDRESS:— Y �� C/ RFD—BOX— BLDG. FDBOXBLDG.SIZE-�Z` E' ' BETWEEN: RES.1 1 APT. comm.( 1 PUBLIC ( ) INDUS. ( 1 NEW( 1 OLD ( ) REW. ( 1 ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE (X REPAIR ( ) FEE CONDUCTOR SIZE AMPS/, U COPPER 1 1 ALUM. ) SWITCH OR BREAKER AMPS PH 3 W -'-`--'-4'VOLT C'� � ' RACEWAY EXIST.SERV.SIZE AMPS PH 5W GA `VOLT C G RACEWAY FEEDERS NO. SIZE I NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. FOR OFFIC)Z USIC ONLY Date---...0i .19 ------ Permit CITY OF ATLANTIC BEACH Permit #....................*...Fee$./.,,)............ Valuation $......S� ........................... FLORIDA House ...... ........................................................................... APPLICATION FOR BUILDING PERMIT ...........*.........................*...................... ....... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. ---1 � ------------------------------------._ Date _. ,­�..0..b�- i..._ L....................•-•--•....._...1..9..2......a......... W1iLk� E Address_. -. .- iA­ OwnerA% A - Telephone No. . Architect....W_I-, ......: .z`:--� - - 7 .-Address, ...... Telephone Nor.- Contractor Bullder_(_._/vzlz, a---- :7:.. 'L.L'Address..4_cuz2_.L.-o-Ki _c.i-�_ 11" i Telephone Lot No---- --------------------Block No.--- ,' -------------------Sub Divisian..AIL.A.-,-. -�.c_..... ------------- ----------zone...A--------- _14C3......A. L------- .--------Street--- .....Side Between-FA' ------and...),ACS; ....................8w- 'Zir Valuation ---------- For what purpose will building be used .1:U.!_V.0.40t., -1 of construction..E.1_'_,d/'\j_E------------- Dimensions of Building-A-0--- ----Dimensions of L .............-----..Size of Footingsltli Size of Piers-----f-.?jL-h_,,a Size of r�—----- e i----Greatest Sill Span in ft____________________--_------------------Type Roof/��........................... How will Building beHeated?)!�`,,)AAxi._l✓ Building be on Solid or Filled Ground?-_':-2 '................ Size of Ceiling Joists---._--- _---2�__:_. _.__._.__... Distance on Centers---------- - -------------------­------, Greatest Span----Lb.... .......................... Size of Floor Joists.__ ------- Distance on Centers...... -------­-----------, Greatest Span----.-- -= ................... --- Size of Rafters.-.-- - ---- --------------------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 7o all lot-lines and existing buildings. REAR LOT LINE Two copies of plans ane specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. r4 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. it 3, 7. Electrical inspection by City of Jacksonville. to 8. Final inspection. H -1 Note: In case of any rejection,re-inspection MUST be called for after )J 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 wit# the attached plans and specifications, which are a part hereof, and In "0 rdance with the building tlantic B"Cly, regulations of the City' 7 Signature of Builder .&._. .L.....L----- .... I........ Address t !_ ­­......... ...xt" ----------- Signatureof Owner----------------------------------------------------------- --------_----- Address---_------------------------ . ................................ ............................. FOR OFFICV US)@ ONLY Date-...----A.11'T1W112-'K19 _ , Permit #--••-.•................Fee CITY OF ATLANTIC BEACH 'S�100 ............ FLORIDA Valuation $............................ ........ *....**---* House #_ j��.............-.1.......17.... ............................................................................ APPLICATION FOR BUILDING PERMIT ........................................................................... ........................................................................... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- con-tractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date-­1U..Q. .......................... S_ C.- '_i,' -, 19-7,.... Owner--- --------------------------------------Address__3_L.�_4 -----�)=----------•--------Telephone No............................. 44.AZ_j2 0- /_L...... • J ......�2.1> Telephone Architect Contractor -------Telephone No..ZAA.-C..Z...3­0 Lot -.z.. .,4---------------------Block No.-..-(.,2.....---_----------Sub ---------------_------Zone----A-------- - ----�,T-----------Street---4,)-0Z 1-4-_-Side Between_L7A.:T.-Co.4,L -T----OA.,V_,:.....and... ................istw Valuation $ ---For what purpose will building be 'A /JAJp e of construction.-EK _/_11L............. ----Dimensions of Lot__1.()4a---- Dimensions of Building--- Et _---_-----_------Size of Size of Piers------ ---- --Size of ,_i:,-_._Greatest Sill Span in ft---------------------------Type Roof_Z'/.,�?7......................... How will Building be .-Will Building be on Solid or Filled Ground?.... ................ Size of Ceiling Joists--------- Distance on Centers.......Z to ........................... Greatest Span----- ...................... Size of Floor -------------------- Distance on Centers........LLn_* ----------------- Greatest Span........L__ .....I................ to Size of Rafters.-----___-- ....... ----------- Distance on Centers....._.. ice.0-_�_-C---------------- Greatest Span--------- ............... to 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 /400 be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. J 6AT4 E. When steel is in place and ready to pour columns and/or lintel. 8. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. P9 � 433 7. Electrical inspection by City of Jacksonville. vs 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after e_(00-0 I corrections are made. 146' 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 wit)qthe attached plans and specifications, which are a part hereof, and.Trd e with the building regulations of the Cit Beach /7 Signature of Builder, 17" ........................ Signatureof Owner------.......-------------------------------------- ----------- Address.................................-----------------------------------