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372-374 4th St (vault) w PERMIT WORKSHEET Certificate of Occupancyl. Job Address: Type Work: 3`1�I- Q`t-�-t- �i Property Owner: Phone # Contractor: =' 6 r Phone # c�hp. 1 �r-�� 249 - 013 1 Permit#: v4- 2 84 S Date Issued: Building Inspections: Footing — Slab Tie Beam Lintel Nailing / Sheathing Framing / Cover Up Insulation Final Building 12-21-o Tree Permit# YES NO Electrical Permit# if/S6 Date /Copy to lr� JEA Temp, Pole Permit# Date /Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA c) Temp. Power Released to JEA Temp. Pole Released to JEA Final j Z---Z:?c Released to JEA Mechanical Permit# Inspections: Rough Final Plumbing Permit# Inspections: Rough / Underslab Topout Water/ Sewer Final Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final RoofingPermit# _ Inspections: Nailing /Sheathing Final �— Fire Inspection: Failed Inspections: Date Paid: Date Paid: f r-'N , JJiS� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 �r INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031238 Date 9/20/05 Property Address . . . . . . 374 4TH ST Tenant nbr, name . . . RE REOOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 12710 Owner Contractor ------------------------ ------------------------ RICHARDS, R. S . SCHULTZ ROOFING 374 4TH STREET 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-2315 ---------------------------------------------------------------------------- Permit . . . . . . KOOF PERMIT Additional desc . . Permit Fee . . . . 143 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 12710 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 143 . 00 143 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 143 . 00 143 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BU pUFFI JAL - CITY OF ATLANTIC BEACH cc: Ns; BUILDING /ZONING DEPARTMENT i ins r 800 Seminole Road s.uoerr Atlantic Beach,Florida 32233 L , (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # d 3/ 7-38 Property Address: 7' �77t J7- Applicant: a /7-2- Project: Z.Project: rf red This permit application has been: ❑ Approved ❑ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: J *� CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION RE: 169824-0050 Date: Job Address: 374 4th Street Owner of Property: Robert S. Richards Address: 374 4th St Atlantic Beach, F1 32233 Telephone: Contractor: Douglas A Schultz State License Number: CCCO36989 Contractor's Address: 216 N 20th Street Jackbonville Beach, F1. 32250 Telephone: 246-2315 Fax: 247-3800 Scope of Work: Ve.cco-- - (3P,,F _��yrn �I�C1�ty�tiS Deck Slope: S Z Greater than 2:12 ✓ Less than 2:12 Valuation of work: 1 Z,-1,%O Product Name(Example: Timberline): CiM�e (l fT Manufacturer(Example: GAF): a„fr F ASTM Designation(s): L b Required Inspections: Sheathin and Final ,� l cZ Signature of Owner: �„i " Date: S Signature of Contractor: Date: -7 -20 -aS� AS TO OWNER: � Sworn to and subscribed before me this 9 day of 20 • If State of Florida,County of Duval , Notary's Signature: ROSALINDCtARK n personally known * ' ;= MY COMMISSION#DD 137721 dna/ EXPIRES:August 25,2006 Produced identification produced %;f'••••oc BowedThruNOWYPublicundenvritm Type of identification .. � AS TO CONTRACTOR: Sworn to and subscribed before me this �—day of �d1/sZ State of Florida,County of Duval Notary's Signature: �e''• ROSALINDCLARK E Personally known MY COMMISSION#DD 137721 ❑ Produced identification EXPIRES:August 25,2006 Type of identification produced 'Hq'o" Bonded Thru Notary Pudic Unde wr tere 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.us Page 1 Revised 2/21/03 Fs 713.13 Return to: (enclose self-addressed stamped envelope "1D1e Schultz Roofing Co. , Inc. Doc#2005281710, OR BK 12652 Page 1304, Address: Number Pages: 1 216 N 20th Street Jacksonville Bch Filed&Recorded 08/02/2005 at 08:48 AM, This instrument Prepared by: Fl 32250 JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 Name: Rosalind Clark Schultz Roofing Co. , Inc. Address: 2167,�N 20th St. Property AARt�]K!FpAyA,I.&Pmiort'each, Fl - 32250 169824-0050 SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DATA NOTICE OF COMMENCEMENT 169824-0050 Permit No. Tax Folio No. _ State of Florida County of Duval The undersigned hereby gives notice that Improvements will be made to certain real property, and In accordance with chapter 713 of the Florida Statutes,the following information is provided In this NOTICE OF COMMENCEMENT. Legal description of property (include Street Address, if available) 364 4th Street 5-69-2S29 Atlantic Beach W 1/2 Lot 27 Blk 50 Catherine A OR 6698-1267 — I General description of improvements Shingle Re—roof — Owner's Name Robert S. Richards — Address 374 4th Street Atlantic Beach, F1 32233 Owner's Interest in site of the improvement Fee Simple Title holder(if other than owner) Address Phone: Fax: Contractor Douglas A. Schultz Schultz Roofing Co. , Inc. C — Address 216 N 20th St Jsnvllle Beath, F�'fione:904-246-2315 Fax: 904-247-3808 Surety — Phone: Fax: _ Addrsss Amount of bond $ Lender's Name — Address:_ Phone: Fax: Persons within the State of Florida designated by owner upon whom notices or other documents may be served as pro- vided by Section 713.13(1)(a)7, Florida Statutes. Name Address Phone: Fax: In addition to himself, owner designates -- Of Phone: Fax: to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement(the expiration date is 1 year from the date of recording unless a different date is specified) F Signature of Owner Printed Nome of Owner NOTARY RUBBER STAMP SEAL [have relied up the following identification of the Affiant I S*Ir end subscrib d efor thisyb ,� Y;!�, ROSALINDCLARKday ofMY COMMISSION#DD 137721 EXPIRES:August 25,2006Signamre — -- . Pf BordedThru Notary Public Underwriters Printed Name � September 19, 2005 Mcinday 10:00 AM - 10:30 AM 6 0 INSPECTION: 200 BELVEDERE ST., 05-31228, FOOTING, �C(► EASTERN SHORES CONST. ROBERT, 545.7878 10:30 AM - 11:00 AM INSPECTION: 582 AQUATIC DR,05-31087,REPIPE FINAL,DONAVAN,449 2515 3 11:00 AM - 11:30 AM D � NSPECTION: 1684$LINKSIDE CT. N.,BLDG FINAL,ELEC FINAL, 05 31072, 05 30991,3AMES W/SUNTASTIC 996 1616. 2:00 PM - 3:00 PM Jim Hanson _ Update - i Hall 3:00 PM - 3:30 PM INSPECTION: 1863 TIERRA VERDE DR,05-30169,FOOTER, MICHELLE, 4481918 3:30 PM - 4:00 PM INSPECTION: 1305 SEMINOLE RD,05-30179,FINAL BLDG, MECH, ELEC, PLBG, DAVE KILLIAN1509 8470 L Uff 4:00 PM - 4:30 PM INSPECTION: 941 PARADISE IR, 04-92352, CO FINAL, 3EREMY W/ BESTCON 509.0159 Higgins,Lang 1. 1 9/19/2005 8:55 AM a�LANr% '��ORIOP OF JOB ADDRESS DATE l ra�c C'Z THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted covt::!Qo sem® I�A4f LS� $+%60 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 P.M. Monday through Friday, BLDG r k P�LANrj�, o ;0 00R10V, Co Oil 8 OF ADDITIONS or CORRECTIONS- DO NOT REMOVE JOB ADDRESS DATE 130s- 'Se„... Iao 7k 'o Ci-((1 I THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted 1 'V� t�Z- �-St- DEQ , e — RkDw ■ i 5s „� eNc� eL ew 2- 5) V_• %LQ 1e2 JCk t2QQ�O ©2 Wt4Z kQS 1 1.-A4 t2D $--W 0 REINSPECT FEE tm�Nv Z-VA'' A,( c It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the officefrom 8:00 a.m. to 5:00 BLDGp.m. Monday through Friday. g� V o'2 %07 e� seems. .^ a CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD, ATLANTIC BEACH,FL 32233 Section 1 -�-' APPLICATION FOR-Please circle one: New License Transfer of Owners ' Transfer to New Location (If Transfering to new location, what wasyour previous business location?) BUSINESS NAME 4)&6v e LOCATION ADDRESS A:n ncea l 6 A - AM wnh MAILING ADDRESS 5 a/vIv, .qZ CELL !� �✓� BUSINESS PHONE q0 �� ' `q FAX NATURE OF THE BUSINESS (Please Be Specific) r�' tTal &4'r"l U e, S 0 11; o - SQUARE FOO AGE OF BUSINESS PREMISES "/ C2- (Include both buildings and outside areas used in conjunction with the business,but not patron parking areas) NUMBER&TYPE OF VENDING MACHINES (if any) AlIA Section 2 S 40� �. APPLICANT/LOCAL MANAGER/PRINCIPAL OFFICER I" 1 HOME ADDRESS '2-- P14-C Z HOME PHONE L 40 5VZ,,5 SS#or Fed Employer ID# !i 0 ' %0 ) 141`a DATE OF BIRTH I Z - X70 ' J+ DRIVER'S LICENSE# M I kQ J&?i 142 TQ 0 (Attach copy) STATE LICENSE/CERTIFICATION/REGISTRATION#(if applicable,attach copy) Section 3 i,the undersigned,swear that the above statements are true and correct and I agree to notify the City Clerk if there is any change in the above information. I further under d that issuance of an occuoational license by the City Clerk in no way relieves me of the responsibility of compliance with all provisio the Code of Or ' ning to conducting a business in the City of Atlantic Beach. S' at e Title Ami lvlab!R 05 PRINT NAME Date No person,firm or corporation shall engage in or manage any trade,business,profession,or occupation in Atlantic Beach without first obtaining a license and paying an annual fee. Application and/or payment does not constitute approval or issuance of a license. Section 4(For Office Use Only) FEE PAID FULL/HALF YR CODE#&CLASSIFICATION LICENSE# FICTITIOUS NAME REG. CORPORATION REG. STATE REG./CERT HEALTH CERT OTHER REQUIRES COMMISSION APP VAL?Yes/No ATE APPROVED/DENIED BY COMMISSION ZONING APPROVED BY64 D-r - DATE 0'i-- S BUILDING DEPT APPROVED BY :!:!i DATE FIRE DEPT APPROVED BY DATE CITY CLERK APPROVED BY DATE f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028456 Date 8/16/04 Property Address . . . . . . 374 4TH ST Tenant nbr, name . . . . . . ADDITION/SCREEN PORCH Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 30000 Owner Contractor ------------------------ ------------------------ RICHARDS, R. S . RICHARD BELL BLDG CONTRACTOR 374 4TH STREET 1952 BEACHSIDE COURT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-0131 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc WIRE FOR ROOM ADDITION Sub Contractor UNITED ELECTRIC CO. OF JAX Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �0 C. OF IAL CITY OF ATLANTIC BEACH ' ELECTRICAL PERMIT APPLICATION ,rrrs Date: Property Address: 31 Ll Owner: & t✓L�'rh JZ e S Telephone#: ?L7q- 0/3 / Contractor: U n k �t j El c t n CIO Telephone #: `73J-ya71(�7 Contractor Address: 5_�)L V• L�S�111_ Fax#: _-]3 I -53 / In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: B ilding Type: ❑ Trailer Service: if other construction is ❑ New Residence ❑ Temp. ❑ New being done on this building Or site,list the building Old ❑ Commercial ❑ Signs ❑ Increase Permit numb ❑ Re-wire X Addition Sq. Ft. ❑ Repair -5 �a Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS 'o) 0 0 PH W .3 VOLT��/d WAY C' Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED -7 OPEN Receptacles CONCEALED OPEN Q 10 AMPS 31 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS N ER600V VER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sin n Miscellaneous �!ti ��^1 �",�� ✓" 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us � Ju3 CITY OF ATLANTIC BEACH I s 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028456 Date 7/01/04 Property Address . . . . . . 374 4TH ST Tenant nbr, name . . . . . . ADDITION/SCREEN PORCH Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . 30000 Owner Contractor ------------------------ ----- ----- -------------- RICHARDS, R. S . RICHARD BELL BLDG CONTRACTOR 374 4TH STREET 1952 BEACHSIDE COURT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-0131 -------------------------------- -------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 180 . 00 Plan Check Fee 90 . 00 Issue Date . . . . Valuation . . . . 30000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 180 . 00 180 . 00 . 00 . 00 Plan Check Total 90 . 00 90 . 00 . 00 . 00 Grand Total 270 . 00 270 . 00 . 00 . 00 e P IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING BUILDING OFFICIAL Cc: CITY OF ATLANTIC BEACH Ford BUILDING / ZONING DEPARTMENT L. Higgins J 'f� oerr y 800 Seminole Road Atlantic Beach,Florida 32233 Ji (904)247-5800 Ji31�f, (904)247-5845 Fax 4 PLAN REVIEW COMMENTS Permit Application # 04- Z8 4 S� �>r Property Address: Ll7-11 l . Applicant: �'' .�Q �Ev.. EL-DG- Project: Calzzz�" &Di) m,"L T;7AA it application has been: ed �Reviewe and a fotloii4niWeins need attention: 14.0" cw-i i N, W aiv b e t e- t e i(,�►.q i s 1 ��( t>z - be W-L oLt 11 :7 ? ? Please re-submit your application when these items have been completed. Reviewed By: � Date: 6 �� Cc: CITY OF ATLANTIC BEACH Ford \ � BUILDING / ZONING DEPARTMENT L.L. Higgins S►� oerr J 800 Seminole Road J ) Atlantic Beach,Florida 32233 (904)247-5800 ��`�i3 �•,� (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 04 - ZS 4 �.�� Property Address: ��] -T I Applicant: C*kn&( D— (")EU, RL-[)<&. Project: cJCAZEl,� PbR" An l-r(nd This permit application has been: 0 Approved Reviewed and the following items need attention: ? C'A t.cu, s. 130'sr"v " 3 e�- �-e — ` `fin�-� �v(,P S qQ CA-TSO to W v*jv b rate t W�&4 i tS G6 1xtM iC l StpukD be SIT o �AAWE 31 ? ? ? Please re-submit your application when these items have been completed. Reviewed By: Date: `� Z` Cc- CITY OF ATLANTIC BEACH BUILDING / ZONING DEPARTMENT L. Higgins fl 800 Seminole Road sl Atlantic Beach,Florida 32233 J (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # o4- Ze4 S Ccv Property Address: 4Tt7k .,T Applicant: l t Project: �.J T6►2-Ck� �Dl"Cl Lek This permit application has been: Ird Approved F7 Reviewed and the following items need attention: Please re-submit your a plication when these items have been completed. Reviewed By: CJ �i�.- Date: 4&- //-0 ` I i 's Ys; li1fJ CITY OF ATLANTIC BEACH �"�` 1 s, BUILDING PERMIT APPLICATIO -� A. (ALTERATIONS/ADDITIONS) .u__ M' Date: III -10 - Job I,-f0 -Job Address: _�_�4- ,i"0U P`I'N T Owner of Property: 1;7,-0 P5 it R..Y S 6A'7(14 E�-2) a 6 A-NN Address: 3-74 �U12_;ri f s (• ft ri A74AC. 13�� Telephone: meq-i �4� 1% W4��f /Z- OF Legal Description: Block Number: 5 Lot Number: 2.7 Zoning District: Contractor: Rl c wy--tLD 6 e-L.t- State License Number: G e:_a -3;i /Z Contractor Address: 1!I S-Z 1aF} 5r 17 c t' AAPA l c. 3Lfl 5LZ'; ?> Telephone: 2" 01'31 J -7(-, 4- O bvS Fax: Describe proposed use and work to be done: 5"c=r-.6r*d Fd e_4" ' ft 1 i'7t'V rJ Present use of land or building(s): OU PLlEr� Valuation of proposed construction: -7-jo 1v 0 What are the dimensions of the added space: I . 225 feet x i"I �'l 5 feet Will the added area be heated and cooled? N New electrical or increase in service? `feS Add plumbing fixtures? N O Add fireplace? Q0 Add heating/air conditioning? MC Is approval of Homeowner's Association or other private entity required? tJ If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? NNO. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. JKr10. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. 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 or grading plan 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. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, 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 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/04 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information vided with this application is correct. t Signature of owner: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws 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,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and co ect d that the plans and suppo g data have been or shall be provided as required Signature of Contractor: Date: C© Address and contact information of person to rece a all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this l day of ,20 0A State of Florida,County of Duval �+ GRANT GARRETSON Notary's Signature: Notary Public,State of Florida My comm.expires Mar.31,2008 ❑ Personally known No.DD 305964 �roduced identification p Type of identification produced �fv. 92(.5-12-1 'S 8'Stij AS TO CONTRACTOR: Sworn to and subscribed before me this day of r ,200(—,( State of Florida,County of Duval 4 Notary's Signature: /'l I C2�Personally known + ppm JENNIFER GUTHRIE ❑ Produced identification 9 Notary Public,State of Florida Type of identification produced My comm.expires Oct. 27, 2007 No.DD 262421 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/14/03 CONSTRUCTION MANAGEMENT PLAN FOR 374 FOURTH ST. 1. Demolition shall consist of removing the existing rear wood deck as per plans plus some siding on house rear wall. Z. Existing grading shall remain. 3. Parking shall be in driveway or in garage (4 spaces) since owners work all day. There is additional parking in front of Atlantic Beach Elementary on Sherry Drive between the main entrance to the school and the drive leading to the rear parking lot along the fence. Anyone using this public parking shall be cautioned about littering. 4. Existing 6' wood fencing around entire back yard. Trees across back screen site from view of rear neighbors. 5. No trailer, and material shall be off loaded into driveway and stored in garage or carried immediately to rear yard. Delivery truck shall park in front of drive as close to curb as possible keeping one traffic lane open. 6. No chemical toilet. Downstairs bathroom is available for use. 7. Dumpster shall be on drive in front of garage as close to house as possible. Demo material and off-cuts will be neatly stacked in rear yard out of view of neighbors and dumpster brought in on an as needed basis and carried away and dumped A.S.A.P. S. Access to project shall be thru driveway and gate to side yard. 9. Concrete truck and pump to park in street for slab pour keeping one lane clear for passing traffic. Arrangements shall be made with adjacent neighbors if partial driveway blockage is necessary. Additional temporary parking has been arranged with adjacent neighbor in their drive while they are away at work. ..CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION �' �' (ALTERATIONS/ADDI ) f {�R I ( ,r Date: III —to -0�t Job Address: ,7+" -F(; a PZfN S- Owner of Property: c'(,:5 6-_A2T CA--("C—R..i N 6 ANN Address: 1-74 'Ti-I `y (• �h�t C- /'>cr`f -1 Telephone: ,,7-+l 7+1 t� s.,•r°�J;yr��nt +� W.:�t `��` �"� Legal Description: Block Number: 5 Lot Number: 2 Zoning District: Contractor: R l c t+y- �o 66-a- State License Number: C-{ c_c 5 3i 3 1 Z Contractor Address: 1!15Z r—% �t Si C* c t 4AA(,1i 6 t%--bi 5 ' Telephone: 20 011 -7C 4- `S, Fax: Describe proposed use and work to be done: Present use of land or building(s): DQ ei_E- Valuation of proposed construction: ' What are the dimensions of the added space: f 4, ZS feet x !'I �'l 5 feet Will the added area be heated and cooled? New electrical or increase in service? Add plumbing fixtures? ti 0 Add fireplace? ti3D Add heating/air conditioning? MC Is approval of Homeowner's Association or other private entity required? NJ&— If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? NNO. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. �1 O. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. 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 or grading plan 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. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, 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 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information vided with this application is correct. Signature of owner: Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws 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,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and co ect d that the ps and supporklag data have been or shall be provided as required. Signature of Contractor: Date: �© Address and contact information of person to rece a all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this l day of ,20 0LA State of Florida,County of Duval GRANT GARRETSON Notary's Signature: Notary Public,State of Florida My comm.expires Mar.31,2008 ❑ Personally known No.DD 305%4 [9produced identification n _ Type of identification produced. L AS TO CONTRACTOR: Sworn to and subscribed before me this day of T \ '" ,200(—( State of Florida,County of Duval r Notary's Signature:"��' /1 t TC CQ Personally known 8vs+ °°m JENNIFER GUTHRIE F-1Producedidentification Notary Public,State of Florida Type of identification produced My comm.expires Oct.27,2007 No.DD 262421 800 Seminole Road - Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 2 Revised 1114/03 PAUL S. LI, P.E. DESIGN & CONSULTING ENGINEER 9218 CYPRESS GREEN DRIVE, SUITE- 8 & 10 JACKSONVILLE, FL 32256 Ph/Fax: (904) 737-6876/737-2385 V&QC TW►s {star., 15 //4. C---c 6vic"r� -tl4e vrxec�q'c�*'(Wo-- ro.fa-014r C 5�-a 4 = ( a . . o -Tf Vis_ IP , �lc�C�r Gt - -}a). ` t;;,- L L � 4 CITY VkAlF'17-1'/i,, BUILDING i QN 1 204 � r w � Z i I � o 45.T,2-,x 12 : ! : t, i E• 5 tib 1!i 1. t ; i -rHT-=-L •74�'�' -31 I • 7/ g � �- IZ- 8 T + 47 , CONSTRUCTION MANAGEMENT PLAN FOR 374 FOURTH ST. 1. Demolition shall consist of removing the existing rear wood deck as per plans plus some siding on house rear wall. 2. Existing grading shall remain. I Parking shall be in driveway or in garage(4 spaces) since owners work all day. There is additional parking in front of Atlantic Beach Elementary on Sherry Drive between the main entrance to the school and the drive leading to the rear parking lot along the fence as long as school is not in session. Anyone using this public parking shall be cautioned about littering. 4. Existing 6' wood fencing around entire back yard. Trees across back screen site from view of rear neighbors. 5. No trailer, and material shall be off loaded into driveway and stored in garage or carried immediately to rear yard. Delivery truck shall park in front of drive as close to curb as possible keeping one traffic lane open. 6. No chemical toilet. Downstairs bathroom is available for use. 7. Dumpster shall be on drive in front of garage as close to house as possible. Demo material and off-cuts will be neatly stacked in rear yard out of view of neighbors and dumpster brought in on an as needed basis and carried away and dumped A.S.A.P. 8. Access to project shall be thru driveway and gate to side yard. 9. Concrete truck and pump to park in street for slab pour with flagman keeping one lane clear for passing traffic. Arrangements shall be made with adjacent neighbors if partial driveway blockage is necessary. Additional temporary parking has been arranged with adjacent neighbor in their drive while they are away at work. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 2475826-FAX: 247-5877 PERMIT IN1;OIMATION LOCATION:INFORMATI101�1 Permit Number: 18094 Address: 372 FOURTH STREET Permit Type: SWIMMING POOL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: POOUSPA Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH "A" Est. Value: 20,000.00 Parcel Number: Improv. Cost: 20,000.00 Q1iNNF >INFORMAT�€'?N Date Issued: 4/16/1999 Name: WILLIAMS, DONALD L. Total Fees: 30.00 Address: Amount Paid: 30.00 Date Paid: 4/16/1999 Phone: (000)000-0000 Work Desc: CONSTRUCT SWIMMING POOL ._... _.._._ . ... .. .........__.. ....... ..._.... C4NTRACTa . S SURFSIDE POOLS SWIMMING POOL FEE 30.00 _ __ _ els wild. STEEL FINAL 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. f' $38.88 14 Date: 4/19/99 81 Receipt: 09%659 A NTIC BEACH UILDING DEPT. CHECKS 083221888 5618 4 CITY OF ATLANTIC BEACH i APPLICATION FOR POOL PERMIT Job Address- ?7� 0 Y'Pef Lot # 97 Block # S Subdivision —� ✓ � Owner p�u�IcQ L IN►/�i ��YIS Ger l�i��'1'I /`�• 0"I'P��!Q Address j7oZ r � lit '4G#It /:_L Contractor /1/ Address C,"4 �A 3Z,2SC1 License Number O L) ` qo 9c) , Valuation' $ DtD® � Gallons, 414 19 SITE PLAN front APR , c/t 919 N �. . y 01 99 -an�ti� Beoc zoning h rear 9 Signature Owner tl� Date Signature Contrac to C i SoO cz \�° YEN" lj�,ro MLA. '/67 LAWS • Fs 713.1 3 QAMCO ROAM 40* Natirr of CVMWrUrrMrnt 'PREPARB IN OUPLICAT98 �T�jDltt � calm= iBook 9257 PU 1077 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............`'"'.•F »,7 ��d c � .... .................... .................. ...»f!'.'f ........... ........................... QUCP . . .................. .......................................... ........................................................................»........................................................ r r 51-VDWtxl.General description of improvements........... ......,�0.a o:................................. .....•.................... ............. ..................................................................»....»..................»................................................ Owner........./�'I;�;W1„•/�//I/J�._'.Y2�,.r.. ...� f .�.�...p. y{.. . ........................................................................................................................................ 4 Address .....37R......... ........... rPe {..... f ...1- c... r�Z 3�a33 ..................».....».».......................................................... Owner's interest in site of the improvement........................................................ Foe Simple Title holder (if other than owner) Name...........................................................................................................................................................................................,........................................ Address......................................... ....................... . . ................. ......»......»................................................ ...... ...�r '...r. � Contractor .....Q ...... 0. j" J e to .... .........r.. .. ...................... ............................. 3!..7............ ! c ...�f�� ... N��N ` .. .............................. . ................................✓.....1/�.......1.�...��c . 3aasc� Surety (if any)................................................... ... �. .»....................................... Address.....................,..,................................ .............................................................................................................».............»»............................... ........ ...........................................................Amount of bond s.....................: . .......... Name of person within the State of Florida designated by owner upon whom nakq or aher dovwnents may be served: y Name............................. ....................................................... Address.......................................................................... ........................................................ ' In addition to himself, owner designates the following as provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option).n to receive a he Lienor's Notice Name..................................... Address...................................................... ................»............»»................................................. MAP SHOWING RO,.UNDARY SURVEY OF THE EAST 1/2 OF LOT 27, BLOCK '�. SUBDIVISION "A" ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: DONALD L. WILLIAMS AND WILLIAM A. GRESHAM FOURTH STREET HOMESIDE LENDING, INC. (40.0' RIGHT OF WAY) STEWART TITLE GUARANTY COMPANY RICHARD T. MOREHEAD, P.A. N 80'11'59" E 25.00' SPLAT) FOUND 1/2'IRON PIPE 200.00'(PLAT) N 80'11 59" E CAP DESTROYED 204.67 (MEASURED) FOUND 1/2' IRON PIPE 25,07 (MEASURED) STAMPED 'LB 3857' 25.00' (PLAT) •�,�..: FOUND 1/2IRON PIPE . .�.••;;' CAP DESTROYED ,y. LJ o > < °' •' a 18.8' 8.5• 0.0' O UJ N _ < Q 04 `v >- 0 jr r7 n V) 0.3 LLJ Of J� O3 Z A J F 0 vW Qa r Wv p� + 0 O tc;A Of 8.0' r OA -- -H a Ca W r Y4.4' i.) 8 3.6' LOT BLOCK 95 R a LOT 25 BLOCK 5 m to ! iia o K) S p 00 Qo zv- 00 Z N to 18.11. 6. WEST HALF---- > LOT 27 0` BLOCK 5 �4 25.00' (PLAT) o. 4-1.5N4' FOUND 1/2' IRON PIPE 0.2' 0.1' FOUND 1/2'IRON PIPE NO tD TiFlCAT1UN S §0'45-34- W NO MnRCAnOV LEGEND: LOT 28 24 .83 (MEASURED) R = RADIUS —X—X= FENCE BLOCK 5 S 80'11'59" W L - LENGTH rnurprlr 1 25.00' (PLAT) 7 0 a y o � 80 -0 a� —Property Line- - - - - — - - — - - — - - w p � c 'Q ;um g NX. 13 ft.6 in. _ w n _ v N N C; ..a ft.6 in. CD O 0 m0 m m a = - 5 ft.5 in. cc c 3' ' C_ m Property Line - - — - - -- - - — - — - - - —i_ w N cu 'n co 0 .n c CL � A ? 2 G N 0 x N ci o -n. Ca nnCI�TYYrOFF nn ri a Bq Office of Building Official REQUEST FOR INSPECTION 9 Date �1 ( Permit No. — r� � A.M. Time P.M. . Received ✓ 7 � Locality t Job Addre s Owner's t Gert+',_. Name PLUMBING MECHANICAL CONCRETE ELECTRICAL BUILDING Rough C, Air Cond. & Rough Wiring i; Heating FramingF Temp Footing Pole C, Top Out C Fire Place _I Cl n-I Sewer Roofing Slab F'n I Pre Fab in Insulation Ci Lintel � FOR INS CTI Wed. Thurs. Friday__----P.M. Mon. Tues. / A.M. /= P.M. Inspection Made —1 Final Inspection C_] r Inspector_ t-- --- Certificate of Occupancy Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233- Tel: 247-5826 - Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION(INFORMATION Permit Number: 18297 Address: 372 FOURTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: POOL Township: Range: Book: Proposed Use: POOL/SPA Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH "A" Est. Value: 20,000,00 - Parcel Number: Improv. Cost: OWNER!INFORMATION j Date Issued: 5/28/1999 Name: WILLIAMS, DONALD L. Total Fees: 35.00 Address: Amount Paid: 35.00 Date Paid: 5/28/1999 Phone: (000)000-0000 Work Desc: WIRE FOR SWIMMING POOL CONTRACTORS APPLICATION FEES ALLIANCE ELECTRIC PERMIT 35.00 I I I I I Inspections Required FINAL ELECTRIC GROUNDING POOL I NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION I 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. A TIC BEACH BUILDIN T. CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:____. -� �19V IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE WHICH ARE A PART HEREOF, ANDDIN ACCORDANCE WITH THEANCEITH E ECTRICALTHEA PLANS AND SPECIFICATIONS, WCHED REGULATIONS, CODES AND CITY OF WHICH ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICI N S GNATURE r NAME -- ES�{Etm ADDRESS: ` � RFD BOX BLDG.SIZE BETWEEN: RES. APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ) OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) S0. FT. SERVICE: NEW( ) INCREASE ( ) FEE REPAIR ( ) CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. SWITCH OR BREAKER AMPS PH W - VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. :SIZE NO . SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT:::::::T — FLUORESCENT&M.V. FIXED P.IOO AMPS. OVER 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. 1 H.P. VOLTAGE PHS MISCELLANEOUS nn11'� /nCITY OF _ -43L Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received Job Addre s 2ocality � Owner' Name .� rn tn ^t^r BUILDING CONCRETE ELECTRICAL PLUMBIN MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation. ❑ int ❑ Final ❑ Sewer ❑ Fire Place ❑ fPre Fab READY FOR INSPECTION Mon. Tuffs. ( Wel, ThuFriday M A . 49' Inspection Mad P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date r 000311 DEPARTMENT OF BUILDING 'OITY OE.ATLANTIC BEACH LOCATION INFORMATION -----_--- -.71 PERMIT INFORMATION IP r n II t baa r 3t 1 oAddreft I�l 374; 4TH STREET l F it TV f sulLD,�NG - ATLANTIC BEACH, 'FLORIDA X2233 Cl>�t a work-, M fiNO ». --__ 'L�EGALr DESCRIPTION Co i .. TV + z 'WOOD FRA.NZ tart 27 I�lt k: 5 ctlons: Pr` d TWO FAMILY ( '"'" ' Flat �9 4s F�B�a O Dwol n94ss Cc�d ray # Subdal.�a'it��.t�Aa A Ett . t:od Vialue2, �I102,599. 40 . �� fl1��tER INFORMATION i aF►r 4 " Ca nt s ."' .. H�► s MARK KREI+EL.L, Tc al _', 8� S5 Add�~oas a 7 4TH STREET *204a,-- !' A' `LA�t,' `TC REACH, FLORIDA ." 3+3 P 6004)241-3752 F .. TWO, FAMILY, DWELr-LING WATER ACCT` �F 080124 vxF146.75c,"LIGATION FEES -_-M P � �x.1" ` 1' *3*75. 37 a jek� d 'CATER II"PA+CT" F'EE *530. 71 4 11p;i diF. � r t E�,fP++�1C to T FELL r. ori" l tit Eek 1 `gp "° o- j k ra !i al. c , z �' i@ '*7 4: .!. aF°r ,r 1AY i1 1+ it w7�igr k;*'" " r �h� "� '� #" u t r..,.�, .'"uv,,r , "., a° . RADON G �• 1F.r r iSr6n;s ^w3 4RADON OAS `� 5% 0-1. 17 WATER TAF *0.00 r ; r � R, SEWSR TAS' 0" HYDRAULIC SHARE a� RE r IItiI611�9CT' FEE dsCt GO 'iCk p :. 40 �`�, & NOTE3� � � [�+Jq E k gyp' q j, „.."J�0 ! r v ¢ r t fi 1 NOTICE-ALL CONCRETE.FOR MS,AND FOOTINGS MUST BE INSPECTED BEFORE POURING Y PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE z BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE ` CLEAR D UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. FAIIXRE TO COMPLY WITHTHE MECHANICS' LIEN LAW CAN RESULT IN TIDE 'ROPOT'Y'OWNE- PAY[NG TWICE FOR BUIOING IMPROVEMIENTS.” ISiACCORDING TO APPROVED,PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOFt VIOILAT N O RPLICAB E PRO tISIONS OF LAW. 'ATLANTI , EA H BUILDING DEPART'MENT el By. E !q t CITY OF ATLANTIC BEACH � V APPLICATION FOR BUILDING PERMIT U � J C�1 Owner _L/_/9rI -�-------ff1 A --- ddress ' h- - e -------------------- iP------ Pone alfr - - Architect ---- S� / Cess TY. , z3�phone� �1 �SZ� N. - s�-------- Contractor �a�++� ►'Vcj�er�_Address 62 �� -5 � zi 3__225pphone '2�/-�75�. Contractor's License number ( � ��__� _ �y____expiration__�__,3O Lot_� 7__Block or Section f ___r____Subdivision --Zoning........_ Street____- -----between-y ierr and ECA34 Cotis'1 .VY",eide Lt Type Construction-l" wl C_ Unita ---No. Firepla e 2— Purpose of Building, __�__ ! ,cC� LIK .....Est. Valuation 8 � � 0 ,706 Utility Method - Water l4 Sewer C+�- e t, Dimensions - Buildin rJ X __ _______ - / � 9_ __ _Lot Jc"0 �( /,�D Size Footings__a X ZO Sz. Piere — Sz. Sills ____-Greatest'Span Sills z. Ceiling Joists--- X /U Distance on Centers __L�O�-__ Greatest Span_t�� Sz. Floor Joists __ /U___Distance on Centers Greatest S an_/ T Sz. Rafters -_1�"--- P �--- 4h _ CAKs, __Distance on Centers... !____Greatest Span....... Method of Heat ing_(�P,C_JU„a _Solid or Filled Ground„' j RoofE,_herr14 s , Flood Zone__;__If located within a FLOOD HAZARD ZONE complete page 3 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 Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner ��/�_ Date Signature Contractor_ Ilco-? 1 � - ----- ---_------- -------------------Date__ / page 2 3 t Address w Heand Square Footage @ $ 40.`',-' per sq ft = $ q. 611) Garage/Shed 315 U @ $ / • 570 per sq ft = $ `�' lot)Carport/Porch @ $ per sq ft = $�� t ! J o Deck @ $ per sq ft = $ Patio / / @ $ Ct dt) per sq ft = $ / Lir.�U. TOTAL VALUATION: $ ' � Total Valtiation lst $ �, 3 Remainder Valuation I .. ,per thousand or portion thereof -------------------------------- l ---------� Total Building Fee ADDITIONAL PERMITS and/or FEES REQUIRED i + a Filing Fee $ Fireplaces @ 15.00 $ Mechanical BUILDING'PERMIT FEE $ PluThing is Electric/New 1 ------------------------------------------------- Electric/Temp Septic Tank BUILDING PERMIT $ W[VilM M1,1ER CHARGE $ Well &dmning Pool SEWER IMPACT FEE $ c)3S Sign WATER IMPACT FEE $ �j �,Cx) Water Connection MISCELLANEOUS $ Sewer Connection Water Meter $ Elevation Certificate GRAND TOTAL DUE ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES 000365 { DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION �- --------- Ia�A`I`TOM II4F"t3RI4ATIQ�I I ar Number s 5 Addre�r,�s 314 4TH STREET P SR yn t . T.YI' s PLtl�I8Zt4G ATLANTIC BEACHo FLORIDA 32233 Ci Works NEW M ------ LEGAL DESCRIPTION Contr. T z M/A Lott Block: Swetton I� x c U � TWO EAI�ILIt� (ATT) Plat Book.- P�g�� p Owe inga« O Code* 0 Rubdivi iolo t Ea'��:"tod Values O 00 �,.,��.,�--- -- OWNER INFORMATION --------- . I Pr°c cv. . Cost *O OO Names BArN 11ARCO PROPERTIES $66- 00 Addrevat 374 .4TH STREET A v BaE 6. DO• ATLANTIC BEACHt FLORIDA 32233 .' 744-7255 < R t ,e. IAa INC. PE S 1" 066.00 D 000 P WATER, IMPACT FEE V00 �. 00 .� `�`'i�4 t , � >§ k § �.,* ��'t� �d I -6 tk,§. U v�` Y § w+t,» ,.;} RADON (;ASH. R. S. pm �� RADON GAS 5% 00. 00 { ` I , !", ��. WATER TAF' $0. 00 w. .. .... EWER TAP }, 00 Q, 14YDRAULIC SHARD:' R -INSPE+C'T F`EE t � § 0 OTHER NOTES:• a r i NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. `FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THEPROPE'RTY OWNER PAYING TWICE FOR BUILDING tMPROVEIVENTS." ISSUE ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION F VIOLAT N OF APPLICABLE PROVISIONS OF LAW. i 1 ATL NTIO BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION PLUMBING CONTRACTOR bAV!D �,2 �( Pc.ua�c�i►•16 LICENSE NUMBERS �_s g to 6A00 "o. 4'2(. OWNERAM M Afwc P2o Pte(ez 1 N�. BUILDING CONTRACTOR J)A Mp(j?eZ TYPE OF BUILDING _SINKS Z SHOWERS _LAVATORY WATER HEATERS Z. BATH TUBS I DISHWASHERS -$- URINALS - DISPOSALS 3 CLOSETS I WASHING MACHINE $ FLOOR DRAINS OTHER NOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. t 00, 0364 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH r "ERMTT INFORIIA`t SON - LOCATION I~i II'IFt RI�A"I"ICON P rw t, Humbert Adclrea s 372; ' 9TH STREET Perm Ir Type: PLUMBING f3 ATLANTIC BEACH. FLORIDA 32233 Classof `Work; NEW -- -_ - LEGAL DESCRIPTION •w Grit Types H/A Lot s Blocks Sections Propood Uses TWO FAMILY '(ATT) t'L ► Books s t' G s O Dvel lat ingo s O Casae s, 0 Subdivision s evtimaat d 'Values *0.00 ---------- OWNER INFORMATION �. i Imp civ» ret $q. do Elwes BAN MARCO PROPERTIES C Adcares STH STREET " 00 ATLANTIC BEACH[, FLORIDA 32233 , . . rl 'ILTCITi3I FEES 4. UAVI' A �$ IHC. PERMIT �$4si�1R OG► ��sl�l� L WATER SNP FEE iSOt. t '` '"'� t'�,; xr Cj 0,011"m RADON GAS-fit. R. E. 00. 0RADON GA 7 G1i. I WATER ' ? r � � ' FEWER TAP, $0. 00 ` NX HYDRAULIC SHARE $0. 00 RE-IM P>»CT FEE $0. OOF" j OTHER p NOTES`: C s s e ? w f NOTICE-ALL,CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING e` PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 BUILDIf G MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE I'LACED'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 THEPROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." E 186UEd ACCORDING TO APPROVED PLANS WHICH.ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR ' VIOLATJoNbF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT � F ' ,00 CITY OF ATLANTIC BEACH ,L APPLICATION FOR PLUMBING PERMIT ' ? JOB LOCATION , - 4;!� PLUMBING CONTRACTOR bMl I b LICENSE .NUMBERS efC ►tel OWNER 6IMV M Awa P120j@ Ztl a5 BUILDING CONTRACTOR 5AN MIA060 P20PQ2T1�3 i� . TYPE OF BUILDING t1JU P(x . SINKS SHOWERS 4 LAVATORY WATER HEATERS BATH TUBS DISHWASHERS $ URINALS - DISPOSALS 3 CLOSETS WASHING MACHINE A)- FLOOR DRAINS OTHER NOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. 000482 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PI:EMIT INFORMATION LOCATION THFORMATION Permit Humber: 482 _ ddi i`I I! STREET Porm�t Tyes.��iili�� . 'C`E1�t :TLAHTIC ;BEACH, FLORIDA 32233 Class ($f Works, NEW � � L.EGAL. DESCRIPTION Ca xar t3 . Typ'e's N/A Ott Block i -tiot3s Prep ed Uset TWO FAMILY ((,ATT) Plat Books Page. 0 Dwel.li"001 C3 Code t 0 alar vi a s cat1mated value*. , 40. 00 _ _Mr �.a, � OWNER INFORMATION I"piov. Cost z $0.'00 Name; KIREDEL,I.. PROPERTIES Total, 4TH STREET Am un ��"��' x .00 � ATLANTIC BEACH[, FLORIDA 3.2233 Phone: (90�I 2+I' -B 51 Ar 11 xlh n , . HEAT , AIR SYSTEM CG _ ICATION FEES HCFA , C ND. CO s 2. 00 ZP, #ATER IMPACT, FEE *0 0 EWER �..::.Y�M +{�$ w f?T�N '.! TO' x ` y �p�m� <YE '� `L� JN1 � ..� 35' r G&^ ak ``r*.tel �°y#�t T RADON 1"aA �l . .R� t3. O } y F t'a . R u". � " � ADON GAw 00. 0 7 7 I I /09 00 i ATI�I� '�`AP" � $0. G CC 00 .__,_ EWER` TAP, 0. 0 I 1 /? ! I HYDRAULIC_ SHARE 0. I .z# ' RE-INSPECT F *0. 00 ` 0 Oa, < � I �yNtCdyrL1EEILtG /y r� aa:�p *t6�a% e i�lnrre. a, �§ :s i°+.atE46ta A.,i'i n , m "pr i V o- 16 !VOTES•. F NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUI.LDIN+G MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAYBY EITHER CONTRACTOR OR OWNER. I "FAI .URE TO COMPLY WITH THE MECHANICS' LIEN LAW, CAN RESULT IN ` THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUEQ ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANT ;EACH BUILDING DEPARTMENT By: ! BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32239 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER_ IMPORTANT — Applicant to complete all items in sections I, 11, 111, and IV. 1. LOCATION Street Address; OF Intersecting Streets: Between And BUILDING' Sub-division Ii. 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 with the attac4pd plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good-.practice listed therein. Nasse of,Mschanical Contractors Contractor (Print) Master Name of Property Owner Signature of Owner Signature of or Authorised Agent Architect or Engineer III. S*MAL IM06CMATM A' Type of beating fuel: B. IS OTHER CONSTRUCTION BEING NONE ON C- _ c THIS BUILDING OR SITE? G /❑ Gas-❑ LP ❑ Natural ❑ Central Utility IF YES. GIVE NUMBER OF CONSTRUCTION ❑ on PERMIT Q Other.— Specify IV.;MICHANICAL NQUIPMINT TO N INSTALLED NATURE OF WORK (Provide complete fist of components on back of this form) >:c Residential or ❑ Commercial NNeat ❑ Span ❑ ResoledCentr.) O fba X New Building )1"r Conditioning: 13Room_ Control }} I ❑ Existing,Building Duct Systems Material 1=68 ` Wcknesa..� Replacement of existing system Maximum capacity ` � _e.f.nl. New Installation(No system previously installed) El Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower Capacity 9-pin. Q fire sprinklers: Number of lards 0 Elevator Q Monlift ❑ Escalator (number) THIS SPACE POR OPFICE USE ONLY E3Gasoline pumper --(number) (Resolved) rQ 'Tam (number) Remarks .{alai Im containers (number) Q Unfired prossure vow Permit Approved by Data 014W ... t7 O — S ifi Permit Fee LIST-ALL EQUIPMENT ADt CONDITIONING AND REFRIGERATION EQUIPMENT qty wIvls NvatWr Vntb flercdptiaa Model Number manufacturer (71008) Me 000481 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH f PERMIT INFORMATION LOCATION INFORMATION Pe ilt Numbers, 481 Address: 372 4TH STREET P r10J,L Types MECHANICAt,, ATLANTIC BEACH.,, FLORIDA 3223 j Close 6 Work 3 NEW Mw .LF-1:3A1; DESCRIP 'IO14 Ct r a°. Types N/A , Lot I Section: PropClused Uses TWO. PA"I L 4 A+T D Plat Book: : Pget 0 Oat ll''jjj i 'a 0 Cedes 0 Subdivisions Cetited Val u +o ^I�O.`430 OWNER INFORMATION a v4 . Gust v $0.00 Name; KREI>ELL: PROPERTIES I' rLal fi $42.00 Addres72 4TH STREET ` Aloin b r $42. 00 ATLANTIC BEACH FLORIDA 32233 D r � � 2/ 9/8% Phone: 4904)249-8251 'Work Irl HEAD` AIR SYSTEM Nl f LICATtON FEES WATER IMP".ACt PEE *0- 00 * SEWER :INIk#,qT PEE s�0 � w,�,G,Y 61"', W A I a + ,4� �.a _ �y {`.� dye�� a 't.�c�y g,¢h t '�"-ids ,IdW �.7lwY '} i • K✓c ` s- " �+eXi3 c,fr x A , w RADON GAS 4, 5% *O. � 12- 1091 �`� 'WATER TAF' *0 00 . . SEWER TAP #O . HYDRAULIC SHARE *0.00 fi RE-INSPECT PEE $0.00 ENGINEERINGRftm ,w zz WIN, E �a e � . NOTES:; .y . t , ' NOTICE-.-ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE i CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. r i s "FAILURE TU COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED,ACCORDING TO APPROVED .PLANS WHICH ARE FART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLAN SEACH BUILDING DEPARTME T ' f Y. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH , ATLANTIC BEACH, FLORIDA SYES$ APPLICATION FOR ` MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, 111, and IV. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division 11. 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 with,the attac4d plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. None of Mechanical Contractors Contractor (Print) "—E�_ Master -'t Name of Property Owner Siynaiun of Owner Signature of or Authorisied Agent Architect or Engineer Ill. 6111HERAL t MATION A. type of hating fuels B. IS OTHER CONSTRUCTION BEING DONE ON C/ eCtric THIS BUILDING OR SITE? r Q Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ 00 PERMIT 1 Other- Specify IV. MOCMAsNICAL EQUIPMENT TO K INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Most ❑ Space ❑ Recessed X Control O Roe New Building Air Conditioning: ❑ Room XCe4trai q ❑ Existing Building Duct System: Material r �� Thichnew L ❑ Replacement of existing system Maximum capacity e.f:nL New Installation(No system previously instotled) ❑ Rofri9eretlon ❑ Extension or add-on to existing system Cooling tower: Capacity q.p.ni. 1:1 Other-- Specify' ❑ Flre'sprinklen: Number of head' 13 Ehwator ❑ :Menliff Q Escalefor (numbpr) THIS SPACE POR OFFICE USE ONLY Q Gasoline pumps (numbed +jlleeaiwd� Q,' To•� (number) Remark: Q'.:. LOS containers (number) . ... 0 Unfiined pressure-vessel Q Ioihm+I Permit Approved by Des Other- Specify " ..Permit a LIST ALL EQUIPMENT Atm CONDITIONING AND REFRIGERATION EQUIPMENT q Number Unit• Dweriptiat 11 *W Number Kanufacbmw (Topsy Afew tC��er tratr of rrupaurg CITY OF f �p�tt�mptt# of �ixildtng �ri��pr#tntt dard This Certificate issued pursuant to the requirements of Section 109 of the Southern S: ttalth the Building Code certifying that at the time of issuance this structure zeas in comp la various ordinances regulating building construction or use. For the f ollowiilg• — --- — Bldg.permit No — — Use Classification ' Fire District. Type Construction_ _, ._. Group __ Address_ ____-- a3 Owner of Building----- f' rt '�— '+ ��_Locality_-- Building Address __-- POST IN A CONSPICUOUS PLACE BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Daae Requested: Building Contractor: Building Permit Number: 3 � � Address: 3� LT 44t Legal Description: 5 / R)9, J Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as ---------- Lowest -------- Lowest Floor Elevation: required as built n/a Sales Tax Certificate: date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief Public Works Planning Director T --------- --------------- --------- Building Inspector ADDRESS - -------------------------- - CONTRACTOR OWNER_ ------------------------------ BUILDING_ ,3� _ MECHANICAL ___ PLUMBING ELECTRICAL_______ TEMP POLE ELECTRICIAN--------------------------- -- DATE FAILED DATE PASSED TEMP POLE JEA FOOTING 4z ROUGH PLUMBING SLAB ------ FRAMING MEC ANICAL/FIREPLACE v ----------- 14�aA1 Z 31C TOP OUT PLUMBING ROUGH ELECTRIC _- -- - ------- ---1/ FINAL ELECTRIC tjl� FINAL BUILDING ELEVATION SUBMITTED CERTIFICATE OF "OCCUPANCY DATE ORDERED DATE ISSUED a a Ok Alk z .-I H 3 sp 0 L w 'l w w ¢ ,y tM "J o � � T Y w •• ¢ LJ z a 3 � X O o # m F LLLU w > r U) O � o 3 w 2 a m a v m O m V w CLa WzF O a W = m � cc 0 aj HML J ZWZ 7 `� goo Q Q z w ~ LL IL O s a r � � z n d V W x w tk 3 :A 3 3 z 4 J m -j V o � t- w O z ¢ J O 5 O o za w w O w ¢ ¢ ¢ F- CJ O U z V U z w v m O a o a o 1= z 0 CCm O z O 3: 0 p p m —� O J 0 3 ? p O0 aM► Alk AM Aft- S30IA83S1N3W9VN`V4 N0IIM80:IN1'— F E-� Aft � o w H Q w al Lx, W (fl In W 3 N C� 3 et+ W Oa- ; O # in LLI C ~ O (1) Z 0 0 UUi (L o mm ¢ > a O = a vi o v a. ir O m ¢ V w O as z a W W F 0 w 00 dm 0 a a. U) to _) Hp, Lu Q w Zaz goo Q Z W z W O CL M (A {J W O -jz z rte — oM ff r m H P. `I u; L) a �\ U o w U)z 4 M wx a :D F < a ra oI Y En 14 W a O x O m rtfi t0 0° E- C i tJ +) v z X: o a fi m .7 z F 9 W Q U 0 j P- O z �v ` a Ww w W _ ¢O 0 U z wU UQ wzo cn za O � z w J W Y m � (5 z ui OO O O U 3: rttf $�OIA83S1N3V49VNVN NOIIVINl1O INIa Aft ow z � [:. w w w "I f4 w ra O C4 coCr, Q TV N U C) ¢ w U = 71 w O Z a 3 0 O > LL w # Fn O (/) t,] w CL o� > w a ¢ Q Q CD = ww a v a ¢ a CL O a U Q 1- Z 00 mw CL ~ 0 W I— Q cc cq Q G O C! u JJQ Z 44 u! G CLU. , � V O0�? o o _m om`' C) 3 E- f^ L3 W v co z > � H -j %N, Itf z H � w o z ¢_ p a_ r Ow w ¢¢ Z w Z cr w O (D p a z a z w o wo z pCr w y a w a Z m r O ED � w O 3 U ? Op U Afta *,? AW +SIR iVOIA83S 1N3W`JVNVIN N011VWdQAW r' :._ INFORMATION MANAGMENT SERVICES r Aft AW ANk AIF, A111kAft C) O Z C) m O O m v m � ; 4 co m Z cn - m D r0 � O ai m O cn --i m D C) Z n 30 m O m m Z o O i C O i Z O m 0 U) a '1 CPU r (0) W O r N S�C y En X V M n -4 �1 y M bd -i tU) ur 0 :0 n 0 � tn O -1 z - M M O CA o y C zr0 c 0 Nom b H mz > ►-a C 0 G) -1 K a oms z tv N maZ.q 0 ;n ca ° mzm m -1 v m m O m r- m c cn m = m aE -0 C/) K o K o a O O < "1 m „ # M 0 O :U c O m Z t7 m p OD fn 0 y � a � �+ NM c LA NM mm iA O $ H N ❑ M x ( � H G1 AW Ak 4"k r �c Aw "` -.,,teeAW CITY OF �' ' '� V 41&e& Ve4d Office of Building Official REQUEST FOR INSPECTION 5 Permit No. Dpte b � S Time A . District No. — R8C81Ved Locality Job Address Owner's Contractor Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing El Footing El Rough g Rou h Wirin ❑ Rough ❑ Air.Cond.& ❑Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out 11Heating Lintel ❑ Final ❑ Sewer �/�� Fire Place 11re Fab READY FOR INSPECTION A.M. on. Tues. Wed. Thurs. Friday PM. A.M. P.M. Inspection Made — Inspector Final Inspection 11 Certificate of Occupancy Date p 4 UT'ILI'TY SIiRV1C13 AGRE13MENT (Nater and Sewer) � nay '1II1S AGREEMENT entered into this ,. day o£ �Y�J P coo, , 198X, between the City of Atlantic Beach a Munic' )al corporation, here'tiafter called "City", an a corporation, its successors and assigns, hereinafter called "Developer". W I T N E S S E T II : WHEREAS, Developer owns land ill Duval , County, Florida, more particularly described as eff acreage, plat engineering drawings, or legal description as Exhibit n and WHEREAS, Developer plans to develop said land by constructing buildings,' residences and/or other improvements thereon consisting of �() . . . . . . . . and IVIIEREAS, City is the owner of water and sewage treatment plants and water distribution and sewage collection systems in the vicinity of the property described above; and MINT-AS, Developer desires that City provide water and sewage collection service to said property and City desires to furnish same; and to tliem and to their occupants water and sewer service subject to all terms and conditions of this Agreement; and WHEREAS, in order to provide water and sewer services to Developer it has been or will be necessary for City -to enlarge and expand its offsite water and sewer plants and facilities and it is the desire and intent of Developer to contribute financially to the costs of building such additional offsite water and sewer plalits and facilities and to reserve capacity in City's water and sewage treatment plants .so that City can provide service to .the Development without imposing a burden on its existing customers; NOW, THEREFORE, in consideration of the premises and other good and valuable considerations and in consideration of the mutual covenants and conditions hereinafter contained, subject to any necessary approval by other governmental agencies having jurisdiction, it is .agreed by the parties hereto as follows: 1. Developer agrees that City shall have the exclusive right to furnish water and sewer service to the real property described above and Hereby grants to City . this exclusive right..tof provide water and sewer service for all uses within all structures now or hereafter constructed on the real property described-.-above. 2. City agrees that after Developer has connected to the systems r of City, City will provide at its own cost and expense, water and sewer service to Developer's property in a manner conforming to the reasonable requirements of public or governmental agencies or parties leaving jurisdiction over City's water and sewer operations; provided, however, that such service shall be in accordance with other provisions of this Agreement, including City's rules and regulations and rate schedules. 3. In the event that Developer or assigns fails to complete Agreement under this provXsion, City reserves the right to Negotiate With Developer a new agreement for any additional sums to be Maid by Developer to City as plant capacity and service availability charges, fees or other charges based upon increases in the cost of living and/or such other factors as relate to the cost of supplying water and sewer service. 4 . All taxes or charges imposed upon the property described above by any govermiental entity or agency shall be paid - by Developer except such part thereof that has been deeded to the City in accordance with tho terms of this agreement. 5. The rates charged by City for water and sewer service shall be In uccui-dance with Its rate schedule which shall be subject to change . from time to time. City shall have tile right to determine reasonable meter size and location. G. Developer will grant to the City, at Developer's expense, adequate easements for water and sewer lines, for access to lift stations and water stations and related appurtenances. Said easements shall be transferable. Developer will also furttisil. title evidence satisfactory to the City that said easements are superior to mortgages or other interest in the land, and Developer shall cause any such mortgages to be released or subordinated to said easements. Easements will also be furnished to provide for onsite water distribution lines, including meters and sewage collection lines. Sites for lift stations and water stations and related appurtenances shall be conveyed by warranty deed ill fee simple by Developer • to City. Developer will furnisli City a warranty deed, title evidence satisfactory to City and any releases fro", lien Molders for am, SP.IJ9on tvnnnie�n �f.,F,, .. ► to said state road right-of-way. Developer shall further gra►►t to the City, its successors and assigns, the exclusive, perpetual right, privilege and easement to construct, reconstruct, operate, ►uail►taln, repair, replace, improve, alter, remove, relocate and inspect water transn►issiol►s and distribution mains, sewer collection mains, sewer lift stations, pipe lines, lateral lines, valves, connections and appurtenant ealuipment over, across and under the Developer's property, including the right to ingress and egress to each of the building sites on Developer's property which are served' by City. All such easements shall have a .width which is acceptable to the City. 7. City does not guarantee an uninterrupted supply of water, or water at ally particular pressure, and reserves the, right to slut off the water ill its main at any time for the purpose of making repairs or extensio►►s of for Providing temporary or emergency water supply. City Will not be x'esponsible for any damage caused by low pressure or interruption Of service. Neither Developer noir any o£. its successors or purchasers shall discharge into the sanitary sewer system water from "non-domestic" drains including without limitation swinuning pools air conditioning condensation lines, cooling lines or other discharge from A1ly type of equipment. City shall. clot be obligated to furnish any water or sewer service to any building wllicll is built on Developer's property to which the City does not )lave access. The Developer hereby agrees and warrants that the City will not be held responsible for flooding problems Which may result frons the failure of sewer lisle back flow preventor valves On Developer's ' i property. The hereby agrees to hold harmless and indeuulify City for all costs and damages resultil► g from flooding due to .back flow preventor valve failure. 8. the construction and design of all faciliriPzz r., ►.., Developer or its contractor. Developer will pay the cost of all such construction. The Developer's engineer shall incorporate into the Developer's engineering design, flans and specifications the applicable standards and specifications of the City. 9. A. If the Developer modifies his development plans for Doveloper's property which would require greater water usage, greater fire flows, additional water facilities, greater sewage flows, or additional sewage facilities, that the water and sewer demand, previously approved by the City, then the Developer must obtain approval by the City for the collstructioll of such additional water or sewer facilities which shall meet all City and governmental design requirements. 'lite Developer slhall pay all additional contributions . and fees as may be authorized by the City's* service availability policy wlhicll is in effect on the date said new agreement is executed. B. In addition to paragraplh 9A above, any other change order 1 between Developer and its utility contractor issued after City approval of original plans must be approved by the City. before the change order is put into effect. C. City shall have the right to review the systems design drawing and specifications to ensure that they meet the requirements of the City. The systems design drawing a►zd specifications are to be in accordance with the City of Atlantic Beach requirelllellts Unless otherwise specified by City or its engineer. D. The City also reserves the right to approve tile utility contractors to wl►icll construction bids are sent by Developer as well as the contractor to Which the award is made. ►;. A repz•esent.htve of City or its engineers will be the absolute and exclusive owner of the facilities of said water and sewer systems whether located on, under, above or outside of the property described and regardless of who may have installed or constructed same to the extent- described below: A. All water mains, pipes, valves and fittings and appurtenances up to and including all meters shall be dedicated to and will be owned, operated and maintained by City,. All water pipes on the customer's side of the meter shall be owned, operated and maintained by the customer or its assigns. , B. All sewer (mains, manholes, pumping.. stations, force mains and appurtenances, including service pipes in public right of ways and dedicated easements, shall be owned, operated and maintained by the City. Except as provided in paragraph 9C, all sewer limes on the customer's side of the property line shall be owned, operated and maintained by the customer or its assigns. C. Iyith reference to any blanket ea►sements for multi.-fumlly projects such as apartments, motile home developments, condominiums and I'UD's or for commercial developme►►ts, all water mains to and including the water meter, all sewer mains, force mains and manholes in such blanket easements over private- -property allowing utility operations shall be dedicated to and shall be owned, operated and maintained by the City except that the full length of sewer services from the sewer main or manhole shall be owned and maintained by the customer. 1111 such City lines shall terminate with a manhole. D. By these presents, Developer Hereby transfers to tl►e City, tl►e title to the water distribution and sewer collection systems to be installed pursua►►t to this Agreement, such . conveyance to take effect without further action upon the completion and accentanrp hv r; F., 11. Developer shall pay the City upon, execution of this Agreement the sum of 10 per water connection per equivalent residential connection (ERC) as an advanced deposit to cover engineering, plan review, inspection, test, legal and administrative expenses of City in connection with this Agreement. Developer shall also pay to City upon execution of this Agreement the sum of per sewer connection per ERC as an advanced deposit to cover engineering, plan review, inspection, tests, legal and administrative expenses of City in connection wit]► this Agreement. The charges for engineering and legal expenses and for engineer's inspection and plait review. fee for non-residential units shall be based upon estimated cost to City: Actual cost will be determined and a refund or additional charge will be made for the difference between the advanced deposit as calculated above and actual costs. R City agrees to .provide water and sewer service to the Developer's property in consideration for plant capacity charges, fees and other charges to be paid by Developer as follows: A. A water plant capacity charge at the rate of $20,00 per fixture unit. Such charges shall be due and payable as provided in paragraph 12. B. A sewer plant capacity charge at, the rate of onethousand thirty .rive dollars (� 1,035.00 per single family unit. Such charges shall be due and payable as provided in paragraph 12. C. A sewer plant capacity charge for any commercial customers on the land as described above at, the rate of I �• A meter installation fee to. cover meter cost and meter Installation (but not including curb stop or meter box) according to the City's service availability policy at the time of installation which currently is $85.00 per 3/4" x 5/8" meter L'. if available, construction .water will' be charged to building based oil metered usage in accordance with current rates. F. Hydraulic share of main extensions - payment or refund. 1. Developer recognizes that water or sewer utility service to the Developer's property, is prgvided by the use of a mein extension and other improvements constructed by a prior developer and , that Developer is obligated to refund a said prior developer ADeveloper Is share of the cost of said main extension o.r other improvements. Accordingly, Developer shall pay its pro rata share of the cost of said' main extension or oilier improvements to City, Said pro• rata share shall be based on Developer's percentage of the hydraulic capacity of said extension or other improvements, For the purpose of this Agreement, the cost of Developer's said hydraulic share shall be $ payable upon execution' of this Agreement. Z. IVitil respect to utility facilities installed by Develc,per t which fUtUI'e developers coiuiect directly, and in consideration for monies expended by Developer toward said facilities, City shall refund to Developer, or Developer's 'Successors or assigns, solely from monies collected from said .future developers, said future developer's pro rata share of the cost of said facilities. Said re . funds shall be calculated on the basis of the hydraulic capacity and demand of said future developer whenever feasible. The refund obligation of City hereunder and the at a cost of $ 12. All charges to Developer shall be paid by Developer to the City in accordance with the following formula and procedures: A. The ,(Ivrinco (lppos,l,t 01101100rI118, M1111111.1-SLU11LIVe nu(t legal fees and Lite inspection and plan review fee upon the execution of this /Agreement, a total of and B. {Yater plant capacity charge upon the ex eculioll of tills Agreeme►►t, a total of � (�0 00.. and C. Sewer plant capacity charge upon the execution of tills Agreemeltt, a total of and D. Dieter installation .fee according to the City's service availability policy at time of installation w11ic]t currently is _ upon application for 11ook-up of individual lots, apartments, multi-family lots or tutits; and - 1;. Construction water based oil meter readings in accordance With City's rate schedule; and 1'. Hydraulic share payment, in accordance with paragraph ll1'-1 of this Agreement upon execution of this /agreement, in a total amount of'$ . . . . . . . . . . . . . . . and G. Service availability charges and other additional aids in construction a.n accor(I;>-11ce with pnzagz't►l11i 11G of tl►ls /Agreement in a total amount of $ 13. City agrees to cotulect individual Buildings and structures on the developed property upon application By tl►e Builders, plumbers or Individual owners subject to the operating rules and regulations of the City and payment o£. all fees and cliarges . in effect on date of application and compli.;•Ince by Developer with. all provisions of tl►is /Agreement. 14. The cliarges. •.costs and fees for any separate emergency fire protection water systems, for subject project will be subject to negotiations between City and Developer. if btiildings of more than two stories are a part of: the project, Developer shall furnish at its expense water pumps and other appurtenances as necessary for pumping water above. 15. /111 plant capacity and service availability charges, fees and other charges as OUtliIleCl above are based Oil norinal domestic sewage defined herein as containiir►g not more than .three hundred (300) partsP er millio►1 biochemical oxygen demand or three hundred (300) parts per Million suspended solids. lVllerlgver water which contains more 'than these amounts is to be admitted to tile sewers', both tine City and the pollution control agencies must specifically agree to the connection. An additional charge will be calculated ill.direct proportion to strength at seventy-five cents ($U.75) for each part per million of either biochemical oxygen demand or suspended.' solids over three hundred (3UU) parts per million. 1111 such co►nlectiolis shall provide fora suitable point for C11e wast% e to*' o be sampled by the City or the regulatory agencies. !1n additional charge equal to the pro rata share of any additional sewage treatment pla!lt costs above ninety percent (90% treatment, and of the Cos t. of any additional required outfall pipes to subordinated to the terms of the Agreenrellt and easements required herein prior to any acceptance of the facilities by the City. . 17. Upoll application by owners, builders or their authorized representatives, the City agrees to connect .tile requested dwellings or structures on tre said property at ►t0. l ddittatal connection fee (i.e. , In additioll to those provided for above irt .allis Agreement) , but subject to the contilruirrg operating rules and regulations o£ Lire City including, without limitation, Lire periodic' pai.yulent of .tile water usage and sewer r usage charges ill effect on the date of such. application or thereafter reflected in the City's rate schedule. 1n• This Agreement shall be bindi►rg ,upo►t a►rd'..shall inure to the benefit of the Developer, City and their ::successors gird assigns. however, in the event the 1levelopex has to paid and delivered to tiro City the plant capacity and service availability charges, fees and other charges provided to be paid to. tiro City by Developer under the terms of .tills Agreement, and all easenieNt and 'conveyances required b 1 y tills Agreement 1 then tills Agreement shall clot Inure to the benefit of the successors or assigns of the Developez, 19• It Shall be .�tlle responsibility of .Develo Developer to builders any water and sewer taps�or lines nec.essa Y locate for ry ill conjunction with residential Or commercial construction. 20• Unless the damage to arty onsite inlprovemellts are the result of the Negligence or willful act Of the city". its 'Officers or employees or authorized agents, the owner or Developer of such Property u o Y p n wilicil tJlo damage occurs shall .bo responsible foir CJIv `:payment to tie City of such danlago to City's property 111cluding, all llecessar d Y and repairs whicll must be. made by the -City, ox" illdener,rlp�,f prior hereto, for tile. payment of sucil liecessaxy and reasonable costs and expenses for effecting such repairs and restorative to such onsite facilities located upon the ow►►ex's or Developer's property. Notice of sucil lien or claim on lien describing , the real property and the amount owed may be filed within nil►ety (gq) days of .the date from the last date upon which any such repairs or, restoration were made by the City or its authorized representatives. ]'hereafter, tl.►e :City .shall be entitled to bring an action for the foreclosed under tl►e 'laws of I'lorida. 21. Prior to final acceptance of the'.utility and other public lic facilities improve►nel►ts by tl►e City the fvlioWi.,iig requirements must be met at Developer's expense; A. if tl►e property is platted, one copy of tl►e recorded >lat Shall be furnlshed to tile City. ' 1 U' "As built" drawings o£ utility illiroveme furrrlshed one week prior to final inn speetlo , . r► p . nt shall be r . l1s builtI' drawings shall be certified by a registered engineer with tits cost beill Developer'. 7'rry mylar and titres .printed co g borne by the Copie o£ said drawing shall be furlrl sled to Ci Ly. C• All lot corners . shall be properly, marked so t company or its englneer can, upolt receipt v£ ►'ar i that utility tile marked water and/or sewer sere' built" drawings, verify services .as t0. location and depth. In addition, for purposes of locating and protectilr lines and valves Developer or his 'cont g installed service tactor shall mark each service Line and all valves with all eight (8) 'foot ,pressure trea Ill the man►rer as ted wooden post shown olr the design drawings and s �eci£ica Developer's contractor is required to install cox i tions. valve box on each water service valve a al;d b stop, meter box and s shOW0 on deshn drawinat: Irrevocable ,letter of credit, tl►e terms o£ trhicl► will ir►denu►if d • 1 Y a►► save harmless tl►e City from ally loss, damages, costs, claims, sults, debts or demands by xeasor► of defects in tl►e ►rorkmanship or materials used in the facilities discovered within a period Of one year from and after the date of acceptance by t1►e City of the facilities, I' A Bill of Sale for facilities fxotn the Developer to City, , G. Conveyance of easements as required under tills Agreement. II• A decd for .any a►►c� all land on which lift stations or ►rater statior►s or other improvemenCs if required by City. l The title evidence, mortgage releases and mortgage subordinatior►s as required in tills Agreement. g J. For vr►sito and offsite corist•ructivrt provide City all accour►ting v£ tl►e actual costs (Schedule Of values) and releases of I.lens ;From utility contractors in such detail as the City rec Bir 1 es, K. City sl►all have the right to! refuse to acce rt t' Developer's construction corrs ur►til Develo ex's tru �` the to certain tests, itrcludin witl►octiorr has passed g, ut lintitation,� closed circuit television ir►sjrectio►► o£ tl►e gravity sewer lines witnessed by a City representative, to determine.`rv1►etiler the Developer's cor►stru constructed ctzor► is i►► accordance with tl►e approved engineering plans and specifications. Said tests may be per at -least three (3) times: tl►e first- test upon completion of the SYS Y em; the second test upon completivrr of all building, roads, . lravin d cor►structiori tvitl►in the third test shall rig]►t-of-rva g' drainage, and all y easement area of adjacent areas. A be required if file City deems it . irecessary Within a or►e (l) Year period after acceptar►ce. L. Letters of acceptance frorn' tl►e appr:ouriate i 22. All notices that may or must be given under this Agreement shall be in writing and shall be valid it mailed by United States registered or certified mail, postage and charges prepaid from addressed as follows: 1'o Developer: To City of Atlantic Beach City Manager 716 Ocean Boulevard Post Office Box•25 Atlantic Beach, Florida 32233 IN WITNESS MIERCOF, the parties hereto have executed this Utility Agreement the day and year first written above. Signed, sealed and delivered in the presence of: I eve r }Yitness City Of Atlantic Beach 1 / Witness APPLICATION FOR WATER METER DATE:-- CONTRACTOR:, ATE:__CONTRACTOR: BILLING ADDRESS:__\�� _ �� =�--�1 ---- ----- -----t--- ---------------- -U----- - - 3 3------ SERVICE ADDRESS: LOT:C-L_BLOCK: --S UNIT: ___SUBDIVISION: ____,A_---------- ACCOUNT NUMBER:_b��) \_s�t_ METER SIZE: 1 I HEREBY REQUEST THAT A WATER METER BE SET AT THE ABOVE SERVICE ADDRESS. I UNDERSTAND THAT I WILL BE BILLED FOR TEMPORARY CONSTRUCTION WATER UPON SETTING OF THE METER. I FURTHER UNDERSTAND THAT I AM RESPONSIBLE FOR ANY AND ALL DAMAGES TO THE METER, BOXES, VALVES, LINES, AND ANY PARTS THEREOF, UNTIL PERMANENT WATER SERVICE HAS BEEN ESTABLISHED BY THE CUSTOMER. --- --- R- -------- C RA ----------- ---------------------- CITY OF ATLANTIC BEACH-------------- FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 9MA-86 SECTION 9 —RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES REVISED: 1/87 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 This form may be used to demonstrate compliance with the Energy Code for new single-family detached or multifamily attached dwellings under Section 9.An alternative to this method for single-family detached dwellings,and multifamily attachdd dwellings of three stories or less,is provided in Section 10.Multifamily attached dwellings greater than three stories must comply under Section 9 or 5.Additions to existing residential buildings must comply under Section 9 or 10.Additional information may be obtained from your local building department or the Department of Community Affairs,Energy Code Program,2571 Executive Center Circle East,Tallahassee,Florida 32399. PROJECT NAME BUILDER: AND ADDRESS: PERMITTING CLIMATE 1 ❑ 2 30 OFFICE: ZONE: OWNER: A� ( PERMIT JURISDICTION Mar k I I V�ejE II NO.: NEW CONSTRUCTION IF MULTIFAMILY,NUMBER OF CONDITIONED SQ. GLASS AREA AND TYPE UNITS COVERED BY FLOOR AREA FT. CLEAR TINT,FILM,SOLAR SCREEN ADDITION ❑ THIS SUBMITTAL: SAVE OVERHANG1 SINGLE- SQ: SINGLE- SD. MULTIFAMILY ATTACHED ❑J CHECK IF THIS SUBMITTAL LENGTH -3 FT. PANE �]FT. PANE ❑� FT. REPRESENTS A WORST CA PORCH OVERHANG [ DOUBLE-�SQ, DOUBLE- SQ. SINGLE-FAMILY DETACHED❑ CONDITION: LENGTH ,� FT. PANEFT PANE �� FT NET WALL AREA AND INSULATION MASONRY R = } CFRAME R = STEEL STUD R= LOG R = SQ' FT. FT FT' 1121111 3S"T is, CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTIC R = SGL ASSEMBLY R = SLAB PERIMETER R= RAISED:WD[I CON❑ R = FF. N 1M SQ-1 ❑ El� 5 FT. M �SQ. DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS IN CENTRAL D ELECTRIC STRIP HEAT CEILING FANS ELECTRIC ❑ SOLAR UNCONDITIONED PUMP SPACE R = ElROOM ❑ NATURAL GAS ❑ CROSS VENTILATION ❑ NATURAL GAS ❑ HEAT RECOVERY ��j ❑ PACKAGE TERMINAL ElROOMROOM UNIT OR ❑OTHER WHOLE HOUSE FAN ❑ OTHER FUELS ❑ DEDICATED HEAT PUMP �.LJ IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL ATTIC RADIANT El NONE [ HEAT PUMP. ❑.NONE BARRIER SF/EF = �.❑ SPACE R = ❑NONE NUMBER OF m.❑ SEER/EER = ®.� COP/AFUE'_ ❑ MULTIZONE EF = ,® BEDROOMS - INFILTRATIONn t _ 45R��" X 100 = D ❑ PRACTICE ED '�j ! TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I. ❑ #1 #2 ❑ #3 CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. FRorida dance with Section 553.907 F.S., I hereby certify that the plans Review of the plans and specifications covered by this calculation indicates this cifications cover y this ca lation are in complia ce 'h the compliance with the Florida Energy Codde.BeffooredcoCsstrructione with i ion 553.ted FS: Energy Code. �jr building will be inspected for ��paneL /AGENT: BUILDING OFFICIAL: �} DATE: DATE: /Z �7 INiE IPTIVE MEA ORES Must be met or exceededbV all residences.)REQUIREMENTS CHECK M NEN E TION WIN 904.1 MAXIM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK: EXTERIOR& 904.1 MAXIMUM OF 0.5 CFM PER SO.FT.OF DOOR AREA. INCLUDES SLIDING GLASS DOORS,SOLID CORE, ADJACENT WOOD PANEL IN ULATED OR GLASS DOORS ONLY. 904.1 TO BE CAULKED,GASKETED,WEATHERSTRIPPED OR OTHERWISE SEALED. EXT:JOINTS& RACKD 90 OR C MUST BEAR LABEL INDICATING SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC),MFILY WITH OR CUT-OFCIENCY F WATER HEATERS 904.2 STANDBY LOSS Lim GA MUT E PROVIDED AN EXTERN L R BUILT IN HEAT TRAP M ). NON-COMMERCIAL PROVIDED. SPA&POOL HEATERS MUST HAVE MINIMUM THERMAN SUCHIC SES,PI I G HEAT LOSS SWIMMING POOLS 904.3 SPAS&HEATEDIMPOOL�AS ST HAVE COVERS(EXCEPT SOLAR H INIMU ERYU RMALIEICY OF 75%1. POOLS MUST &SPAS HAVE A PUMP HOT WATER 904.4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS INCLUDING HEAT REC SHALL BE LIMITED T017:5 BTUIHILINEAR FOOT OF PIPE. WATER FL W MUST BE RESTRICTED T NO M R PIPES 904.5 STANIt A DARDS&LOCAL MECHANICAL CODES. DUCTS IN � W HEADTBE SEA H�AC QUCT T T MINIMUM R• 4.2&J I g03,2 CONSTRUCTED 1N ACCORDANCE WITH INDU TION .6 N ONDITIONED A E MU T BE INN AL R A 7 MATIC THERMO TAT.FOR EACH YSTEM. CON �A PARATE READILY ACE _ ISLE ___,� 01107 _ ..,., �,o rnMMON WALLS-FAAMEP-1108 CBS R•3. FRAME COMMON CEILINGS&FLOORS R-X11._---------— — 000512 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT 1tIFORPIATION LOCATION INFO13HAT101I Pecmi.t. Number- 512 Address 1 374 4141 STRiix,r Permit ELECTRICAL. ATLA14TIC BEACH, FLORIDA 3223:3 Class of Work : NEW -___-- -- LEGAL DESGRiPTT.011 Cormtr. Type— N/A Luti Blocks Fru}:108ced Use- 4TIIGL.E FAIY'.II—V Plat Book; 0 Dwiellings: 0 Cc)clet: C subdivision : Eta t.1 ma Lf-? i Value-: 1;0. 00 ---- ------- OWNER '.I14FORMAT IO1: Im1.ir'ov. Cars t. : 1;0. 00 Name: MARK RREDELL, Total. Fe"a s Is4':3. U0 Address; 374 4TH STREET Amount Pai<.I: q45. 00 0 ATLANTIC BEACH, FLORIDA 32233 Date paid: 2 '_t6/89 Phc)rYe: (904 ),384- 8995 Wcwk DLsc:, x co, 4/0, 200'111F)S, Filum, st), 2003MPr3, 1ph, 3w, 240volt CONTRACTOR(S), _. .__. ._ _ .APPLIC:A'T'IUN FEES" O€.IUINH ELECTRIC PERMIT � 17. t)SL e 1A "/I rl WATER IMPACT FEE $0. C)O SEWER IMPACT FEE WATER ' HETF. 00, 00 I#ADOu I3AS li. fi. s. 150. 00 RADON GAS $0. 00 i WATER TAF' 1140. 00 SEWER TAP s(). 00) HYDRAULIC: SHARE. 90. 00 0E-1r1S1'LcT PEE 90. 00 ENC3INEE RING $0. 00 OTHER $0. 00 NOTES: i I { I 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. i "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. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH, FLORIDA ,,, Approved by APPLICATION FOR ELECTRICAL, PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19':2 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. V►'h ELECTflICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN 07c- NAME ADDRESS: RFD - BOX BLDG.S. IZE � � �� BETWEEN: RES.'tA APT.( COMM.1 1 PUBLIC 1 1 INDUS.( I NEW OLD ( ! REW.I 1 ADDITION{ 1 TRAILER ( I TEMP.( ) SIGNS ( 1 SO. FT. SERVICE: NEW K INCREASE I 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS O COPPER l ALUM. SWITCH OR BREAKER OD AMPS PH W OLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O-SO AMPS. 91.100 AMPS, SW ITCHES 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-t OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS I . Lass... .. 000310 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH � . RIT � ° �A�"� �,� � � �� .'uOCATION INFORMATION II it'y► 1l►r 3 # RI AT"WrIC BRACY, FLORIDA 32233 LtGAI xcv" "iyI i►t::" d5 P SoB+atlonmOT4A8 plot. tooks M .�_ � .. � E � V ► ups ��• ► INf INFORMATION :� R � MAR ARS694L i43 **' * 'I' C BRACH, I�'L;.QRIDA 32233 904)2,41^-3152 ki t4 . ow"L No *1 reas S ` Ikt *375. 39 ATUR IMPACT i PRR 30it AW— F A f1H. 'S *2+ R 31 SIC19 13 91 TAIL 00*00 A A a . t Y A;ULIC W PELT Fitt �rOs .Q io , ° f NOTICE' ALL.rMNCRETE FiORM3 AND FOOTINGS,"ST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDI =MATERIAL,RUBBISH AND-DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE HAUL CLEARE 'UP AND AULE,0 AWAY BY EITHER CONTRACTOR OR OWNER. F ;FAI URE TO COMPLY WITHRTHE MECHANICS' LIEN .LAW CAN RESULT IN THE I QPERTY IEF PA1l TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING-TO APPR©VE6 PLANS'`WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLAT ISI of APPOCABLE PROVISION ..OF LAW ATLANTt A" H BUILDtN DEPARTMENT 4 J,,fjtt _ -7 Adc�zess - - / 1 Healed d Square Footage e j 4Y @ $ q0. per sq ft = $ Garage/Shed :}t° per sq ft = .J ` Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio / / @ $ C; per sq ft = $ TOTAL VALUATION: $ Total VAluation 1st $ Cj(-" Vit; o6 _ 3 $ � " Remainder Valuation f .2�per thousand or portion thereof --------------------------------P-----------, Total Building Fee ADDITIONAL PERMCTS and/or FEES REQUIRED � + 2 Filing Fee Mechanical ; Fireplaces @ 15.00 $ Plumbing ; BUILDING'PERMIT FEES Electric/New ------------------------------------------------- Electric/Temp _ Septic Tank BUILDING PERMIT $ 3 3 / WATER METER CHARGE Well _ $ Swimning Pool SEWER IMPACT FEE $ 10 Sign WATER EvTACT FEE $ ( Water Connection SCELLANEOUS $ Gs�il I c� S Sewer Connection $ �- -- as i Water Meter $ Elevation Certificate GRAND TOTAL DUE $ J --------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES Address4&!4 7 — f (% Heated S uare Footage ,/ a � C I � q g 7�C/a► @ $ per sq ft = $ JQ Garage Shed 17M per sq ft = Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio < @ $ �)O_per sq ft = $ TOTAL VALUATION: $ (, j Total Valuation lst $ / ,0(,�) Y 30 Remainder Valuation Zpmr thousand or portion thereof ---- ---- Total Total Building Fee $ coADDITIONAL PERMITS and/or FEES REQUIRED -} 2 Filing Fee $ / d-il, 5-v i ,Mechanical ; Fireplaces @ 15.00 $ 3C). � Plumbing ; BUILDING PERMIT FEE $ e :( ,Electric/New ------------------ ------------------------------- iKectric/Temp Septic Tank BUILDING PERMIT $ ..5- Y • Sz) Well WATER METER CHARGE $ f -7 •cam Skimni.ng Pool SEWER IMPACT FEE $ ,26 70. c� Sign WATER IMPAcr FEE $ /p(0 C, ,Water Connection MISCELLANEOUS $ r�.C.G�cull... �`�� $ Sewer Connection LWater Meter $ Elevation Certificate GRAND TOTAL DUE $_ z ' ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES CITY OF ATLANTIC BEACH � ;;► APPLICATION FOR BUILDING PERMIT ' . rung Owner_ -A- IS-- e- �,uilc�in an$0 1 _Address ____-- -zip------phone le Architect 1 _ Address 2170f4J Cass T Pr. ,_ __zi __�C_33 hone 21/9 X152 Contractor ,�nr►l�e�MCIPr, _Address OZ Ni2�S�S �'�_ _ zi 32250 2y13;j� --- ---- phone_------ Contractor's License number CgL , � ��,�__--expiration__ __ O_ � Lot_� ---Block or Section �_ Subdivision-__ q-_________Zoning........ _ �_ Street----L-------between_.a ktce --X------and Ea4 Ca�sf_j9Y•,✓aide_�oa_T��--- Type Construction_ r r't wi No. Unite__ No. Firepla s 2, Purpose of Building S � P g _ _____f� _ _______Est. Valuation 9 0 Utility Method - Water. C� ----- ewSer --C,�" --- --- -x------ Dimensions - Building_3 51(�58_/___ --Lot-60 �_(_4_s_D_/--Size Footings Sz. Piers — Sz. Sills Greatest Span Sills — ------------ ------------- Sz. Ceilin Joists _ " ------------r-- 9 Xlv Distance on Centers_ 1L__-__Greatest Span-L-2- on Floor Joists /Upistance on Centers__1 (_____Greatest Span 12-- ----- Method Rafters - �h �as5 Distance on Centers__! Greatest Span______ rr II I Method of lien ting_d-L-L_ 12! Solid or Filled Grounds�1`�1 _____Roofri Flood ZoneC_-If located within a FLOOD HAZARD ZONE complete page 3 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 Atlantic . Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner Date Signature Contractor ;�GLrrJ5�•�--- Date - --- ------- ----------------- page 2 City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee I i FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXEDAT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. _BATHROOM GROUP CONSISTING OF WATER CLOSET, LAVATORY & BATH -----SERVICE SINK TRAP STAND TUB OR SHOWER STALL (6) (8) I WATER CLOSET, TANTS OPERATED (4) -----WATER CLOSET VALVE ; VALVE OPERATED (8) -----BATHTUB/SHOWER (2) -----URINALI WALL LIP (4) ____SHOWER GROUP PER HEAD (3) _____FLOOR DRAIN ( 1 ) _____SHOWER STALL DOMESTIC (2) � __--_LAUNDRY TRAY (2) _____LAVATORY ( 1 ) I COf1BINl�TION SINK AND TRAY (3) __e2_,WASHING MACHINE (3) � _____POT, SCULLERY SINK (4) ___A_DISHWASHER (2) _____WASH SINK EACH SET OF -____KITCHEN SINK (2) ! FAUCET (2) __A_KITC}}EN SINK WITH WASTE _____DENTAL (LAVATORY ( 1 ) GRINDER (3) DENTAL UNIT OR CUSPIDOR ( 1 ) _____BIDGET (3) _____URINAL STALL, WASHOUT (4) _____FLUSHING RIM SINK (8) _____COMBINATION SINK AND TRAY WITH _____URINAL, PEDESTAL, SYPHON JET FOOD DISPOS. (4) BLOWOUT (8) _____DRINKINiG FOUNTAIN ( 1/2) _____LAVATORY, BARBER/BEAUTY SHOP (2) LAVATORIY, SURGEONS (2) __-_-SURGEONS SINK (3) ICE MAKER ( 1/2) -----fWE'I' BART (2) i TOTAL FIXTURE UNITS @ $20. 00 EACH $_-_''Q�pL i JOB INFORMATION I , i j 3 7� + 3 ^ PLANS REVIEW CHECK LIST ------- -- - Legal De cription,�_t_ _L-2-7Conti-actor_ v`^ 1 _ License Number-o License on File YES NO Section 24_101 ± Zoning Regulations Zoning District___ M'�_/ Proposed Us::a)-% Required Lot Size __ C�/� __ Actual Lot Size `fin Setbacks Required Provided Section 24_17 front �t� � ___ CORNER LOTTERIOR LOT__, rear ---�- -✓��--_ Flood Zone side-1 --1�--- --L�-- -- �____ -7� aide-2 i Required Elevation S -- ----- Max. Height Allowed 3T Proposed Height__p-) -7----- Section 24_82 * Minimum Lot Coverage Required Heated Area _1� 'Z''l _ Proposed Area Section 24_161 * Offstreet Parking Number Spaces Required____ Spaces Provided Section 24_82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YE N0� Utilities Water and sewer service is to be provided by: ----- Buccaneer Utilities _ V_ City of Atlantic Beach Utilities ----- Private Source SEPTIC TANK WELL / Plans Reviewed by:l�Q/_ 2 __ _21-IJ /p�AL/b--- Building Permit 'V _ C � ISSUED DENIED APPLICATION FOR WATER METER DATE:__1�=QL� CONTRACTOR: , ---- BILLING ADDRESS:_1�6� �l --------- SERVICE ADDRESS: LOT:l�L-BLOCK:___UNIT: ___SUBDIVISION: ACCOUNT NUMBER:S- �0 U a q- ---- METER SIZE: I HEREBY REQUEST THAT A WATER METER BE SET AT THE ABOVE SERVICE ADDRESS. I UNDERSTAND THAT I WILL BE BILLED FOR TEMPORARY CONSTRUCTION WATER UPON SETTING OF THE METER. I FURTHER UNDERSTAND THAT I AM RESPONSIBLE FOR ANY AND ALL DAMAGES TO THE METER, BOXES, VALVES, LINES, AND ANY PARTS THEREOF, UNTIL PERMANENT WATER SERVICE HAS BEEN ESTABLISHED BY THE CUSTOMER. t T ---------- C ------------- C NTT ---------------------- CITY OF ATLANTIC BEACH--------- m _ CITY OP 4&r.,a& Be=A-&7 Office of Building Official REQUEST FOR INSPECTION 3i (�f-� Permit No. Date JA/97A.M. District No. Time p Received�--- E: y Job Address Owner's Contractor Name PLUMBING MECHANICAL BUILDING CONCRETE ELECTRICAL ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Framing ❑ Footing Out ❑ Heating Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Fire Place 0 Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Thurs Tues. Wed. . Friday P.M. Mon. p A.M. Inspection Made P.M. Final Inspection Inspector ( //r Certificate of Occupancyl, Date = INF_ORMATION MANAGMENT SERVICES - ow A a a A►. +AMA AOW Aft D Z O m O O I v m z O z m m m 71 m r"- m O n m �_ � O cn cmi) D n Z n m O m m v En � :0. z Q -1 C orW Z m a to Z V 'rU H rP u, :s: M n -1 y a v x b+ C M h�7 U7 < n w a � to z D1 -i o o to H r a N 0 :1 m H n r o a _c W zr0 x S tj yG �1 mz > r w 0G) 5 H om z c � aZ o -4mm Z v m 0 v �t mp c m-0oom: f O w < Oim m = # v * O °D � ° z � a O m O W lE? H z UD Ln W X [1] C FJ N O 3E H O r* 'n v � a H x m H O m l< v ❑ a a 4ft Ask Ate, Awa AOW ADDRESS_ - ----- ---- ------------------------ • CUN'I'RACTUR OWNER `-- � BUILDING-34---- UILDING34-__- MECHANICAL_____-__ PLUMBING ELECTRICAL_____-- TEMP POLE ELECTRICIAN--------------------------- _ DATE FAILED DATE PASSED TEMP POLE JEA FOOTING ----------- ROUGH PLUMBING -----`-_--- SLAB ----------- - ' FRAMING MECHANICAL/FIREPLACE D`- •9 TOP OUT PLUMBING ROUGH ELECTRIC --- ------- -------- - FINAL ELECTRIC ---- ----------- FINAL BUILDING ELEVATION SUBMITTED CERTIFICATE OF"OCCUPANCY DATE ORDERED DATE ISSUED Q Alk AW AW, � o ;0 y30 j ! M Zr TLU w m tC N � 0 U 7'I Y d w U wO 4 LU z LU3o x O # in H 0 L- p m a w ¢ m ¢ a O 3 = wa m a v a a V F Z ZF- a WW F- Oz _a m 0 a Vow N a F" Q oC N Z II. Z „7 , gam° Q F a Q 00 Zw Q a LL. p N tc. 1�` m tra w V x ) A S, E- w ,"zz x� N o } N Q 4-1 r � � rn o ^cp I- w Ir ° o � 0 F- a- Cw w zw ¢ ¢ ¢ U O2 U) OF- U) O aIL LLI F- Z w ti w F U) z CJ O, Q 0 Z w U O Z ¢ Z ¢ d r m 3 w O O z a O o o U 3 o v AW 4k 'Oft Aft AW S301AH38IN3W°JVNVW NOIIVWdOHNI. AMR Am Aft Alk Aw Aft I9e f^ Q 0 � � F C4 G n w try U7 A. Z E^ N Y CC w Z a 3 7 O0 LL LU y o F- > O p 6 p CL uj = a o� a U a cc 0 Q ~ w O a Z zL) a UJ mW ¢ a ccn Vow 20 Z NQoc Z tr, 5 p: Qau Z WCL C7 M ca LL to U Q z � 0 =? C4 oM V M LU z (n M �# U f-• ti." C4 � � Q W O o Q m t7+ M C� mU ra z M H Q LLJ Q o Ca o Cc � IL LU LUO O w ¢ ¢ cr ~ F- a coO- c i p a F U cr C] 3 p U z WLU o w ¢ Y w w z a �z ¢ d co w O O z c O n O -1 U 0 U Via+ Am A AMg 9301A!l3SIN3V4DVNVW NOIIVWHOANh �. 40. Lo LLI o MSG w w C7 (D I c, CJ E-• 0) ¢ C0 U ;E: z u, 3 _ a # fn } LL 0 O w a IaJ o _ ¢ m ¢ a O > LU U) a U a x O LU W CL z O O a mWo~c = Q 2r a O cJ Ham Z CL J C O CJ Q z W A _t h-! IL U. p CO) I:t: � 0 =' z G Z � -4 O m E„ U V [s3 x U) U"J Ol W r" V W 4 V o h aC d°0 m w \ Ow J z ¢ � O � F O o z w d w w O Cl pr ¢ 2 U O U z U c z w C) W O a U ¢ D a p F= cn z ¢ Y W z w m z D z Cl a Fw OJ O 3 0 z ao O U Mk a!A S30lAd3S IN3W°JVNVV4NOIIVV4HOdNJ .rte 40* 1ak AkN rn� N30 0 o ` Oq E3, LLI W w q OLLJ "+ O N p o E- m U w v .� o w O CL 3 cn >- U. w W t � 0U) W _O F ¢ co O E' w � ¢ p CL p a a uj m W Z0o (L 0 H~ a F- �Ix W Na Wz zW2 Cl) A O g0� A Q_ZW LL G X O Az a. IC Z O_ 2 -j Fes}- m E" W o N O W W f 3 � U a V w F O E- V Q � W tl� N CC n 3 N N Z xY N .� U O to a O W V C] F W 00 X m 4 En F- p O w Z ir Z O p O w _a O p tt w LLI cp O ct cr U Z to F- U Z U O ¢ p a Q) O a CO JLU Ql Z < U) Z O (7 Z X w w cr O J p O a g AW -&Ppmia3 z - o S3�1/1tl3SiN3W� t4NVn N0 IIVWN03Nf n.,; R %krrfifiratr of (�rru rttnr CITY OF l�h-&4 NOA- Rai& Ervartmpnt of Nuilbing Jnsppr#inn This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following Use Classification }' Bldg.Permit No. Group----Type Construction _Fire District_ Owner of Building Building Address _Locality — Building Official Date:. POST IN A CONSPICUOUS PLACE BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA F�I CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: Building Contractor: Building Permit Number: 3 �� Address: 8'7a 4fi� Legal Description: V 1°` 7 Z k-6 Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Lowest Floor Elevation: ✓� required as built Sales Tax Certificate: Ll ' --------------------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief Public Works --------------- --_-- Planning Director --------- Building Inspector E- �. Q a o H dw, Aft Aft oft AW, Jowl H Q C) .-� �• LLJ¢ O P• p tYl �q p Q �-1 *r ir W z aw. 0 O o E� O O U) u U o o Q� a Q Q w CL CL ai s v d +k O V cc Cc w W WZ o Q (.) a CL UJ a a. O z H 4 � L7 ZaZ 1Z+ gam° N 3 LO � ? a N A x 0 Q Z a s O H H m H V I" V O co W Ga a p w 3 w Ix u N W .4 L) U (1r) CO W O W Ex- U W m r j m E-• N a O v z W U ,y M -CCO z ¢ LLI J z W a O w U U O U Z V z w U LU � O a O ¢ U Z w Z Q CIO c7 z ¢ a O O -j OU z o O AftM Aft AW AW SBOIA83S1N3WEJVNVW NOI1VV48QANl E-� oft 40k AONA a o Lo L x U H Q w Q (i. W acr H H30 aN � W3 N rr t� O I � a �+ w c 142 z ' w 0 5 .+ a 3 O y , LLJ o u 0 VI O m a O w = ui a m a v a 0 Q H z E. O a. CL Z .4 � a m � f� a 3 � O z HIL aw x Z gam ° Oct Za N A 0. = Z a z U _ O m H F a V a f c. 47 O F- E4 W U W U U7 E- N 14t j p Ed 09 _j E� U W m 3 (fa 0 o n d x j U N t� a WF- x ° H 0 a z Ir a x In o � a o z a_ w w O ¢m FO m¢ w m m z LU O a t- OJ W ¢ w w m Z 0 z Ir a F O 30 J O z ao p folk dkR #IA Alk �IIR S30lAH3S'lN3V49VNVV4NOIIVW!lOdNI µ- CITY OF 1040,40 Be4CA-99411U,44 a Office of Building Official C1, REQUEST FOR INSPECTION Date J Permit No. Time —_.. District No. Received Locality Job Address ///' ,(�� / n Owner's %a �G11 L�� i ContractorJC� ��'��sn"✓ Name —� BUILDING CONCRETE L TRI PLUMBING MECHANICAL Framing ❑ Footing ❑ ou !ring Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab REAnY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday P• A.M. Inspection Made —� P.M. Inspector Final Inspection❑ Certificate.off Occupancy Q/�(� Date—,S— 4; i CITY OF /A&4atic Beat( - �7&v:dk 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY : --_ --------------- ------ --------- ---------- ------ ) ------------- ------ ( ------------------------------ =-------------- SINC ELY, UI NG INSPLG ION DIVISION cc- F' LEV/ CITY OF _ t'¢tQa,crtic �eacl - �Qvuda 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 DATE: s PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY : ----- - - ------- ------------------- ------ ------------------------------------------------- ------ ------------------------------------------ ------ _ ------------------------------ - ---------------- SINCERELY, BUILDING INSPECTION DIVISION cc:FILE 2 ON 630HO L_- -b- 31 ro 1no SSOHO VOIYlQ`7.3 30 31 V.15 't1Q.f 3A Hl7S 03H31 SI93H ✓1 _ Y r. 02 ._T _37VOS HOONNOW ♦♦ 3ON3.3_X� if3/� .�i LY9d 'ON S 7 d Hl %VOSIHHVH O S31YV/' �ir7I4W � (LSe& 670 .� S31n1VLS 'VOIH07-4 dVO H1 IN 13S) V LZO,ezp, NOI1,73S OL 1Nvnsbfnd SHO.t3 tyi7S ONd7 30 CHV06 VGIH07d HOO NOHI S 3H1 AG H1803 13S SOHV0NVIS 7VOINHO31 HnHrNIH 3H1 5133H NO3H3H NNOHS A3AHI75 3H1 1 VH1 CNV NNONS SV 1d3OX3 S1N3NHOVOHON3 NON `ONOO ON 3HV 3H3H1 1 VHl NOI1.73HIC 0NV NOISIAH3dnS 376I5NOdS3H AX H30Nn C3AJAHOS 3H-4N SON V7 3A09V 3H-1 1 VNl .1dI1H30 AS-9H3H I ON3937 y5'LC 89�� rOF - c9228 VOIHO U 31?oINUSxOVP 5HCA3IHi-lS ONV7 • oNI "sb(oA iii dns N VOIH3H d 7 7 d 031 VO 'VCIHO73 2 -Lr4 V''11b' j0 A1IO 3H1 HO_i l!;�ldVW 31 VH 3ONVHnSNI 0007.3 NO NNOHS SV 7 3NOZ OHVZVH 00073 7VI33dS 3H1 NI SI NO3H3H NNOHS—IoTI 3H1 1 VHl 4 3I1d3O .163H3H I NMOHS SV 1 V7d NO C3SV9 S9NIdV-39 D L 10'1 ff)2 lon 0$ Lal -------------- no ----- — t — �.a x i t l I f � 4 S2 l0"1 Q 0 b2 Lo"1 0 � i! I COON On ..� ..__J x 7 A 1 ON d3Cd0 vc,eo'7.1 30 -4V15 oA3Adl1S 03431SI9-:w 310'0 1 1x10 sso&o (CN1103) d0.7 NOW O t �S3.9N3j—X LC'9e 'ON 'S '7 'd ''d/ NOSlddVH 'G S3MV/' IA#vfvor&3mv «SaE 970 y S31171V1S 'VOId073 dVO HI 114 13S) 7` GZO ezp, NOI1.73S Ol 1Nv17sH ld SdOA3�t yns ONV7 d0 OdVOB VOIH07d d07 NOdI i 3H1 A9 HldOd 13S SOdVONV1S 7V0INH.931 HnHiNIM 3H1 S133H NO3d3H y NNOHS A3AHns 3H1 1 VH1 ON NNOHS SV 1d3OX3 S1N3HH.7VGH3N3 'NON JN03 Q ON 3HV 3d3H1 1VHl NOI-LJ31YI0 CNV NOISIAd3d/7S 379ISNOdS36( AN d3CNn C3A3AIY17S 3b'-:7N SOvV7 3AOHV 3H1 1VHl Asllld30 A93d3H I ©N3937 99Lt7-89c'./b06 ` C9L30CVOtH074 3171/INOSNOVC OVOHfl0OH00et, - SHOA311Ht7S0NV7 •SNI 'SHOA 3A HnS NVOIH3HV 7 7 V H->d.s-e 031 VO 'VOIHO73 '7►.Lhl w.I.L V _f0 (-IIJ 3H1 H03 15-1�dVN 31VU 33NVdnSNI 00073 NO NNOHS SV 3NOZ OdVZVH 00073 7VI33dS 3H.L NI SI NO3d3H NN0HS-j0--j-3H1 1VHl A-:+Ild3a A93d3H I NNOHS SV 1V7& NO C3SV9 S9NI6(ty38 I g4j41/21 •'<�1�11�3?��J �2 l01 oS l01 moo Gr7 cj lti�� no , x` I I i I SZ LQ'1 O 62 OI V V 11 8 •I 0 N � W !bt 000511 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH rf-c-d PFRHIT INF'ORHATtOt.1 - - LOCATION INF'ORKATION Number : `:s l t Addl`ese: 372 4TH STREE f111. L TYPe: EL.I::GTI?ICA I.. ATLANTIC BEACH, FLORIDA 32233 C4 Worki rILW 'x . Tyt,L�: r{ rA -.-�..___... .. LEGAL DESCIIIPTIF.)tdsers Ursa 1 TWl3 FAftTLY tATT> !'itst L�uo(tsit9a: 0 Cud(-_ : 0 Pag : O ubdiviRion: t�sci Va.1:xc : �rCl. t5!l ___.._ ---_ OWNER INFORMATIONrov. Coat : 150. 00 tdani 3 MARK KREDELl� ___..__ Total Fees: 545. 00 Alda^ess: :372 4TH STREET Amount Pa.ld: $45. 00 ATLANTIC ]BEACH, FLORIDA 32233 Date Paid 1 2.11_ir/a9 I'tl�ane: (9O4) 3f34_t3Sr33 f0QU cra, 4;Ll, 200"'Pr•, IIuIn, rely, 200ampa, Ipit, 3w, 7.40 volt CONTRAt;TORt > AE'PL:IGAT.[ON FEESN ELECTRIC WATER IMPACT; FEE 00. 00 L �.n"?F_! (i? aE:WER :IMPACT FEE „ o. OUB"!J'♦ l i, WATER J%Ter? 90. 0:3_ .'�^�;' [ar r�nnt�N L"�A'a-FI I ..,. O, qf� � . ► 1 WATER TAF' 150. 00 "iEWER TAP - 10. 00 HYDRAUI-1C SHARE SO. oo RE-INSPECT FEE $0. 00 ENGINEERINU _ITHER *0 00 NOTES: I I NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE FBLDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE ARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. i i "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. i ATLANTIC BEACH BUILDING DEPARTMENT i i By: _. CITY OF ATLANTIC BEACH, FLORIDA App►cwd 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. ecr". U7;, fi �. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN k NAME .,`-! P. ADDRESS: _ /wZ -RFD-BOX- SLOG. FDBOXY.,,_BLDG.SIZE �c BETWEEN: RES. APT.( ) COMM. ( ) PUBLIC( ) INDUS. ( 1 NEW OLD ( 1 REW. ( ) ADDITION( ) TRAILER ( 1 TEMP. t 1 SIGNS ( 1 SO. FT. t; SERVICE: NEW( ► INCREASE ( ► REPAIR ( i FEE CONDUCTOR SIZEAMPSCOPPER ALUM. e TCH OR BREAKER aoQ AMPS PH W _ OLT RACEWAY EXIST4SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALEDOPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 91.100 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 MOTORSI -AMPS ICEIL HEAT: KW-HEAT E'I OVER MOTORS H.P. _ VOLTAGE PHS NO. 1-N.P. VOLTAGE F.kIS.. 1-1 MISCELLANEOUS