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375,377,379,381 4th St (vault) r JOB ADDRESS 5 7 7 Yn4�� Ile, PROPERTY OWNER AV* PERMIT NUMBER /-7 DATE 9- INSPECTIONS: FOOTING SLAB TIE BEAM LINTEL `t NAILINGISHEA THING FRAMING/COVER UP /,S- Cl INSULATION /2-r Ll FINAL BUILDING -q-5 ' CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT# / 7�)q� �/::� 1715-0 - �-a 3-0 INSPECTIONS ROUGH FINAL MECHANICAL PERMIT# / 7-353 INSPECTIONS ROUGH FINAL PL UMBING PERMIT# / -7 z INSPECTIONS ROUGH/UNDER SLAB TOPOUT / WATER/SEWER FINAL NOTES: //CITY OF fYI�L4if�C /3�- Office of Building Official REQUEST FOR INSPECTION Date I Permit No. Time A.M. yJ Received P.M. \V 39 Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING M CHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. `\j A.M. Inspection Made �/'� n�� P.M. Inspector \ Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF ATLANTIC BEACH s , } 800 SEMINOLE ROAD !} ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept(a- coab.us Application Number . . . . . 07-00000603 Date 5/03/07 Property Address . . . . . . 379 4TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 11 FIXTURES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PLUMB-PAL, INC. 1728 SABLE PALM LANE JAX BEACH FL 32250 (904) 246-8856 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 112 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/30/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 112 . 00 112 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 112 . 00 112 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH „r PLUMBING PERMIT APPLICATION Date: Property Address: -S4 _ Owner: i liTelephone#: Contractor: tom`jVVI -1�' Telephone#: 2-YL 8 SSC Contractor Address: /7 Z S S 43(.-L-F" pf4C v--\ Fax#: Z4 Z - o r- Contractor Signature: 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. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: 5K'Re-Pipe Number of Fixtures: Z Bath Tubs Showers Z Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains �_ Washing Machine - Lavatory Water Sewer Water Heaters Spri-tikler System Other *See attached sheet see For Backflow and Irrigation procedures Fees Permit Issuing Fee: $35.00 Total Fixtures: I� X$7.00 + $35.00 = 800 Seminole Road .Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 a Fax: (904)247-5845. http://www.ci.atlantic-boach.fl.us Revised 9/06 CITY OF ATLANTIC BEACH S J 800 SEMINOLE ROAD 'f } ATLANTIC BEACH,FL 32233 Vr INSPECTION PHONE LINE 247-5826 s� INSPECTION EMAIL REQUEST: Building-depya�caab.us Application Number . . . . . 07-00000634 Date 5/10/07 Property Address . . . . . . 379 4TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------- -------------- ---------------------------------------- Application desc miscl relocate ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- BEAUDREAU, KATHLEEN BARKOSKIE ELECTRICAL SERVICE, 379 4TH ST INC. ATLANTIC BEACH FL 32233 48 S . PENMAN ROAD (904) 210-5436 JAX BEACH FL 32250 (904) 246-4731 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/06/07 ---------------------------------------------------------------------------- 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. May 10 07 08:13a BARKOSKIE ELECTRIC (904)249-8017 p.1 CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: 5Z,140 .b 7 Property Address: .37q �T- Owner. C61Z�� Jkj iZA-Z 1 Et6 Telephone fit: Contractor. Kosf1lt_= eLL-.0 TW_1 C,� Telephonek Z�'41731 Contractor Address: '?� /'�� Fax 4: Z#g-Sol 7 In consideration of permit given for doing the work as described in the above statement, we hereby ague to perform said work in accordance with the artached plans and specifications which are a pan hereof and in accordance with the City of Atlantic Beach ordinance and standard of good practice listed therein. Building: Bail ucr ng Type: t7 Trailer Service. if other consaion is ❑ New t? Residence ❑ Temp. ❑ New being done oa this building W"Old ❑ Commercial cl Signs O Increase Or it 1�Q� � ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: 1 5D COPPER ALUNGNUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED L O OPEN n in AMPS 11 1 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 I H.P. PHS iJKD R600V VER V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sign Miscellaneous K.-V- t: *4(5171 L- =-t.pCAr Me L4 I-rs &rLF75 800 Seminole Road-Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http:1/www.cLadzntic-beach.tl.us To: JEA Electric Order Ful lhnant, (Fax No.: 665-7372) Attention:. Carol Schweizer/Loric Craven,21 West Church St T-4 (665-6521) Subject: City oil-Atlantic Beaeh Permit# �� 6t&� Date: Jr 1ylb Service Address: Owner: ,�1�Lt Owner Phone: &L)A� &6j id 5VC Electrician Phone: nit Type ofWork: New Service M-Home Subfeed L_J Increase Service Li Heat & AC L Repair Service Other Rewire [_] Other Description: Temp Pole &rvu-17 Service Type: [Overhead e airfRe lace) Under ound(New Services) Bldin� Use: ]Residential Church Environmental L—JM-Home "Con mercial LJOther Other Use Description: Service Size: New Service: Arps:_ Volts: Phase: Existing Service.-Amps: M `halts:_ Phase: E-mail.cravliOioa.com or sfhvrctn tr,iea.com or reso_u((@,}ea_com j l.rL�.1rl J� CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 °= INSPECTION PHONE LINE 247-5826 r�JI34�* Application Number . . . . . 04-00028353 Date 5/24/04 Property Address . . . . . . 379 4TH ST Tenant nbr, name . . . . . . METAL REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 Owner Contractor ------------------------ - ----------------------- BEAUDREAU, KATHLEEN HICKMAN CONSTRUCTION 379 4TH STREET P.O. BOX 5515 ATLANTIC BEACH FL 32233 GAINESVILLE FL 32627 (904) 210-5436 (904) 377-2101 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 00 . 00 . 00 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. BU LbING OFFICIAL CITY OF ATLANTIC BEACH PERMIT ..CALCULATION SHEET Address3 c( u'k S1 Date Ideated Square Footage @ $ Per sq .ft = $ Garage/Shed @ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ Per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $ Total Valuation 1st $ iEs£o u00o $ �a Remaining Value per thousand or portion thereof TOTAL BUILDING FEE $ � + 1/2 Filing Fee $ g ( ) Fireplaces @ $15 :00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Iyechanical ; _.Plumbing Electric/New Electric/Temp ; Swimmingpool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : cc: �trLT", CITY OF ATLANTIC BEACH D._Ford BUILDING / ZONING DEPARTMENT iggins S. DM 800 Seminole Road s� Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 0 ai35 3 Property Address: Applicant: W CK-�'n6w1 S+V'J C�l Project: This ermit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: 61 Date: May 24 04 10: 44a HICKMRN CNSTR CO 3523774656 P.2 r• • RE0EIVE* D CITY OF ATLANTIC BEACH BUILDING &ZON'NG - ' MAY 2 4 2004 9` BY: City of Atlantic Beach S00 Seninolc Road•Atlantic Beach,Florid 32233-5 Phone:(904)247-5800 • AX(904)247-5805•http:/lwwwlci.atlantic-bwch.P.us F pERMIT APPLICATION FOR ROOFING o JOB LOCATION �7 I !Sh OWNER OF PROPERTY PHONE# ql6 CONTRACTOR -27 CONTRACTOR ADDRESS a G &y CONTRACTORS LICENSE NO, CG- C'4 7 PHONE u �� 77q _ 578(0 SCOPE OF WORK ;:12 I,>;SS THAN 2 : 12 �- ACTUAL DECK SLOPE tc•ILGREATER THAN 2: 12 VALUATION OF WORK S Jr/ L'G PRODUCT NAME&MATERIALa� �, ASTM DESIGNATIQN(S) !i 7 q,,? 0'- ��'5 3 TO BE USED ` �� / REQUIRED INS PSCTIUN S SHEATHING FINAL LWILITY INSURANCE POLICY SUPPLIED � YES NO WORKERS COMP.POLICY SUPPLIED � YES NO CONTRACTOR LICENSE SUPPLIED YES NO J YES NO OCCUPATIONAL LICENS ' UP LIED / SIGNATURE OF OWNER SIGNATURE OF CONTRACT £D BEFORE ME THIS�.�DAY OF 200 SWORN Ti SUBSC$1, -- Y MY COMMISS ON�TknothY DD1 1765 EXPIRES r 3.Viens April z5,2Ry PU l AS TO OWNER pr(1.•' eo�n+eumorFAN BLIC AS TO CONTRACTOR NOTARY PUBLIC � ' r MYGomistsum DD 976 fXRIR My 26,2007 '�jp•::1�� BGNDFDiNRU rROVFNNINSW.PNCF.�lC "AL�• May 24 04 01 : 34p HICKMAN CNSTR CO 3523774656 p• 1 Hickman Metal Roofin Phone: 904-779-5786 Fax: 352-377-4656 Phone: 352-377-2101 Fax Coversheet Date: 05/24/04 To: City of Atlantic Beach Building Dept. From: Bob &Nancy Stoneberger Re: Beaudreau Re-Roofing Permit (3 pgs. including coversheet) Hey Folks — We're heading up your way to pull the following permit. We thought we'd fax it over so we can get the ball rolling early. Thanks a bunch & GO GATORS!! -Bob S. �� 416 P.O. Box 5515 Gainesville, FL 32627 May 24 04 10: 44a HICKMRN CMSTR CO 3523774656 p• 1 Hickman Metal Roofing Phone: 904-779-5786 Fax: 352-377-4656 Phone: 352-377-2101 Fax Coversheet Date: 05/24/04 To: City of Atlantic Beach Building Dept. From: Bob & Nancy Stoneberger Re: Beaudreau Re-Roofing Permit (3 pgs. including coversheet) Hey Folks — We're heading up your way to pull the following permit. We thought we'd fax it over so we can get the ball rolling early. Thanks a bunch & GO GATORS!! -Bob S. P.O. Box 5515 Gainesville, FL 32627 P. i r City of Atlantic Beach•800 Seminole Road•Atlantic Beach, Florida 32233-5445 Phone:(904)247-5800• FAX(904)247-5805 •httpi/www/ci.atiantic-beach-fl-us PERMIT APPLICATION FOR ROOFING JOB LOCATION ,37a f� PI-16,1tlflvr�7f rG B �1� �� 3aa OWNER OF PROPERTY EafIIAEF�� PJER '�L' PHONE CON'T'RACTOR CONTRACTOR ADDRESS P G ADX SSI Gra c �' s c L/L�, F"L- 32L---2-7— ZIP- a L--27ZIP 310-')7- CONTRACTORS LICENSE NO. C'C— 207 PHONE# g0-'777q — 5780 SCOPE OF WORK d-lelAJ DECK SLOPES"" 1o.1LGREATE.R THAN 2 : 12 LESS THAN 2 : 12 ACTUAL VALUATION OF WORK S PRODUCT NAME& MATERIAL C✓ ASTM DESIGNATIQN(S) TO BE USED / - ,�G�ire/ -� a� a� /yZC l REQUIRED INSPECTIONS SHEATHING FINAL LIBILITY INSURANCE POLICY SUPPLIED YES NO WORKERS COMP.POLICY SUPPLIED YES NO CONTRACTOR LICENSE SUPPLIED YES NO OCCUPATIONAL LICENS ' UP LIED / YES NO SIGNATURE OF OWNER SIGNATURE OF CONTRACT SWORN TO&SUBSCI&IPED BEFORE ME THIS 1'7 DAY OF 200 Timothy 1.Ylens MYCOMMISSION# DD111766 EXPIRES April 25, n20 AS TO OWNER BONDEDniRUTROYFAIN �6 _AR Y PUBLIC AS TO CONTRACTOR NOTARY PUBLICz s•• _ MY COMMISSION# DD234976 EXRI July 28,2007 %JF°ftp BONDED nftTROY FAIN INSUBAW:4He 5 MIN. RETURN Book 11820 Page 2473 Doc# 2004163712 P1,40jgE '$� Book: 11820 Page: 2473 Filed & Recorded 85/24/2884 12:51:38 PM NOTICE OF COMMENCEMENT JIM FULLER PERMIT# CLERK CIRCUIT COURT Tax Folio/Parcel ID /&9Y4410 /,�)/O DUVAL COUNTY 5.00 State: TRUSTDING FUND 3 1.88 County: GLliGi;/ The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statues,the following Information is provided in the notice of commencement. 1. Description of property(legal description of property,lot, block and street address if available): G ��/GZ r7f7 /77- D FCO e 2 -3/ -L-S /379 411'117S�� f Af/�nf7c. Rea�Gr , �L 3aa 33 2. General description of improvement:^/✓/��A� R��D� a. Owner Name:—'ea-f1-71e6-7 Owner Address: 7? Ll tel- �a 33 b. Interest in property: wee im /C c. Name and address of fee simple title holder(if other than owner): 3. Contractor.(Qualifier name&address) lGy7GL le5/ G • ACkL-4-7Q i7 F0 Pix 5375- Gr ,1y�� ii r, �� 30,27,07 4. Surety: Name and address: Amount of bond $ 5. Lender: (name&address) 6. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by section 713.13(1)(a)7, Florida Statutes: (name&address): 7. In addition to himself, Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: (name&address) 8. Expiration date of Notice of Commencement(the expiration date is 1 year from the date of recording unless a different date is specified) ZA Signature of owner STATE OF FLORIDA I COUNTY OF UVA,L- The foregoing instrument was acknowledged before me this day of ��J by who is personally know to me or has produced as identification. (SEAL) No ry Public •"'PV."P'kl Timothy J.Viens -;° ( _= MYCOMMISSIGN# DD111766 EXPIRES April 25,2006 BONDED THRUTROY FAIN INSURANCE,INC. P-1203 PAR('.'.].?jL- INFORMATION [Owner's Name: BEAUDREAU , KATHLEEN S Real Estate Number: 169846 0010 Property Address: 379 4TH ST Mailing Address:379 4TH ST City: ATLANTIC BEACH ATLANTIC BEACH , FL Zip: 32233 Zip: Unit Number: 32233-5343 2004 Exempt Value: $25,000.00 PARCEL DESCRIPTION Property Use: 0100 SINGLE FAMILY Sale Date: 4/21/1998 Legal Description: 5-69 16-2S-29E 0.083 ATLANTIC BEACH PT LOT 30 RECD 0/R Sale Price: $122,000.00 8931-1589 BLK 6 - Neighborhood: 941602 ATLANTIC BEACH TOWNHOMES Section/Township/Range: 16-2S-29E No. Buildings: 1 Official Record Book and Page: Heated Area: 1547 08931-1589 Map Panel: 559 4 Exterior Wall: TILE/WD STUCCO VALUES AND TAXES FROM 2003 CERTIFIED TAX ROLL Land Value: $96,563.00 Taxing Authority: USD3 Class Value: $0.00 County Tax: $650.81 Improvements: $85,656.00 School Tax: $848.66 Market Value: $182,219.00 District Tax: $302.04 Assessed Value: $124,374.00 Other Tax: $49.74 Exempt Value: $25,000.00 Voted Tax: $50.78 Taxable Value: $99,374.00 Sr. Exempt: $0.00 Sr. Taxable: $0.00 Total Tax: $1,902.03 BY: N�'�-�1 y71,�4t�dr.�h-k DATE: 3 � �r [TLE: Sr7cl ��, �p -z10- 543 . r� ;L- -7/ - - � r oo 11'D --� I� �.- i CONDENSED TECHNICAL REFERENCE '013 :07', A 1014MIN M C911 11r- Anti-Siphon Groove "T' 3'/e" �— 2314" 36"Coverage COMMERCIAL DIRECT 36" MINIMUM APPLY OVER OPEN ARCHITECTURAL FASTEN COVERAGE 3:12 SLOPE FRAMING OR PANEL SOLID SUBSTRATE HIGHLIGHTS ► Finishes: Kynar 500(PVDF),MS Colorfast306,and Acrylic Coated Galvalumel ► Gauges: 26ga standard,24ga optional ► 36"panel coverage,5/s"rib height ► Trapezoidal ribs on 9"centers APPROVED ► Applies over open framing or solid substrate CITY Or ATLANTIC BEACH ► Exposed fastened,low profile panel BUILDING OFFICE ► 3:12 slope minimum MAY 2 4 2004 00 .00 ► Texas Windstorm.Approved Pro-Panel 11 metal sales ► UL 2218,Class 4 Impact Resistance manufacturing corporation ► UL 790,Class A Fire Resistance Rating Approval #: 1391.2 ► Dade County,FL Approved(Wall Application) ASTM#: A792 or A653 ' C(INDENSKD TECHNICAL RE EREN ,F SM-71 GENERAL • - • #V,14 x'14"Stitch Screw ►Slope The minimum recommended slope for Pro-Panel IIID roofing IL panel is 3:12. ► Substructure Pro-Panel 110is designed tote utilized over open structural Panel #12-14 x 1'A" framing,or a solid substrate. To avoid panel distortion,use a Self Driller properly aligned and uniform substructure. ►Coverage Pro-Panel IF'panels are available in a 14"rib height with a coverage width of 36". 1 - Anti-Siphon ► Length Groove Minimum factory cut length is 5-0". Maximum recommended �I panel length is 45-0". Longer panels require additional consideration in packaging,shipping,and erection. Please consult Metal Sales for recommendations. ► Fasteners The fastener selection guide should be consulted for choos- ing the proper fastener for specific applications. Quantity and type of fastener must meet necessary loading and code FASTENING PA17ERNS requirements. NOTE.All panel are subject to surface distortion due to improperly applied fasteners. Overdriven fasteners will #'/4-14 x'/e"Stitch Screw #12-14 x 1'A"Self Driller cause stress and induce oil canning across the face of the panel at or near the point of attachment. ►Availability — Finishes:Acrylic Coated Galvalume,MS Colortast30®, or various Kynar 500(PVDF)colors. Gauges:26ga and 24ga standard WABLE •' • � • SECTION PROPERTIES ALLO S PSF'2 (3 or More Equal Spans) Top in Compression' Bottom in Compression' Inward(Gravity/Deflection) Outward Uplift(Stress) GA. Width]KS Weight —.__ Loads` Load' (In.) PSF IxX Sxx IxX SXxIn'/ft In3/ft In"fft In'/ft 2' 2.5' 3' 3.5' 4' S' 2' 2.5' 3' 3.5' 4' 5' 29 36` 0.71 0.0067 0.0134 0.0053 0.0137 93 60 42 26 18 9 121 78 55 40 31 20 26 36' 0.87 0.0087 0.0179 0.0067 0.0173 117 76 53 34 23 12 161 104 73 54 41 27 1. Theoretical section properties have been calculated per AISI 1996. "Specifications for the design of cold formed steel members." Ixx and Sxx are effective section properties for deflection and bending. 2. Tabulated loads are allowable loads calculated in accordance with good engineering practices and with ATST 1996 specifications for bending stresses.Panel weight has not been subt.acted from allowable gravity loads. Allowable load does not address web crippling requirement, or fasteners/support connection. 3. Allowable loads are calculated in accordance with ATST 1996 specifications,and have been increased by 33'13%for wind uplift. Contact Metal Sales Technical Services Department for more.information. 4. Deflection consideration is limited by a maximum deflection ratio of U180 of span. metal sales Kent,WA(800)431-3470 Spokane,WA(800)572-6565 Independence,MO(800)747-0012 manufacturing corporation Temple,TX(800)543-4415 Jefferson,OH(800)321-5833 Fontana,CA(800)782-7953 Longmont,CO(800)289-7663 Rock Island,IL(800)747-1206 Anchorage,AK(866)640-7663 Antioch,TN(800)251-8508 Sellersburg, IN(800)999-7777 Bay City,MI(888)777-7640 Woodland,CA(800)759-6019 Jacksonville,FL(800)394-4419 Rogers,MN(800)328-9316 Orwigsburg,PA(800)544-2577 ©MS1280PP/2002 G,tY OF � �N '`/" AG�' o/f'Buildin9 �1ON QUEST Foa 1NSpE etm`t rl0• RE P pc;-t Locality pate S, MECNppl1CA� Tune Received Conttactot P`UMg1NG A�ea,n9•& C fob p�dtess FpCA�- Rough Fite Place LEGA O TOP pet O pte Fab owners NCRETE Q Ftou9hPo en9' se et pM• Name C� -Temp ' ��NG Footm9 Final 100 Fday ti %3%A. O slab Y Fort 1N Thus. Ftatnin9. lintel REpD Fe Ftoofm9 W p.M lnsulabon P.M• eO Tues Final lnspcCkonof occupancy O ( Cetiificate Mon- action Made 1 ` 1 _n r l,,nspectot �` ^�` CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD r' ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 02-00025264 Date 12/04/02 Application Number 381 4TH ST Property Address • • • • • ' 61 CONCRETE FENCE Tenant nbr, name FENCE PERMIT Application description . • . TO BE UPDATED Property Zoning . . . . ' ' . 5400 Application valuation . . • - Contractor Owner ------------------- R.S . RHODES CONST. INC. ATLANTIC BEACH FL 32233 (904) 247-7886 ----- ---- Permit . - FENCE PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 35 . 00 0 Issue Date . . . Valuation Fee summary Charged Paid Credited Due _______ ------- 35. 00 35 . 00 . 00 . 00 Permit Fee Total _ 00 . 00 . 00 Plan Check Total . 00 . 00 Grand Total 35. 00 35 .00 . 00 l i WORK NOT BE PLACED IN PUBLIC SPACE.AND BE ED BAND G MATERIAL, WAY RUBBISH AND DEBRIS FROM CONTRACTOR OR OWNER FAITLURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN UP OWNERING IMPROVEMENTS— ACCORDING TO ANS RESULT CH ARE THEPART O THIS P RMIT AND SUBJECT TWICE OR BUILD DION FOR VIOLATION OFIAPP CABLE PROVISIONS F LAW.OVED PL ,G s q RT TTT.T1INCi(7FFICIAL j yLTr CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J� ATLANTIC BEACH,FLORIDA 32233-5445 r tt1 TELEPHONE: (904)247-5800 J C FAX:(904)247-5805 �) f _ v � SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us J131�`� PLAN REVI. 'V r'tJ►1V MENTS Permit Application # "o2,5 �;2-(-// �-] Applicant: )ons -_ nc' Address: 5 Project: Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. f' Reviewed by Date /Z Signed Contractor Notified Date ':DEC CITY OF ATLANTIC BEACH 0 3 2002 APPLICATION FOR FENCE PERMI� Y: Owners J�i Tl Phone W y- � Address Lot Block and/or Unit# Subdivision s Contractor if Different From Owner yes 4,6r Cs 6 c' Oln2Co�9 oZN 7- 7 g?-e,- Valuation of Fence $ S�oo . Corner or Interior Lot 1111-7 ore Type of Construction Attach Survey Showing location and height of fence as well as location of street(s). Owners Signature Contractors Signature ✓� YR:f®lrGtST'LJ!•ZD. G, n:s�a�•�•dM• .�T:1lC•3�•R.�Sf1i1i4 dfNeYSY�_.__.-��a..law's.'.Vs-L-L_:fD.J�>•�CrJL>.R�.11.R.f�'.1�:3Z:llaLiC.Y _4 MAP SHOWING SURVEY OF LOT 3 , BLOCK 6, A'1'1 IV1,11C BEACH AS RECORDED IV PIAT BOOK 5, 1 ACE 69 OF THECUtRLl:'r PUB;,i0 RJC;'"RPS OF DUML I200TY, FLORIDA. it i�'c�, :� ��G yt�/C ✓:a/��/-/CJ�/L�_' /��U„'•-� L.�i 7 7— - - -- - L0 ' Q IE-� II I �• SDS I - - - .. .---•-- V! vJ L x :? C iJ` L O L i 3 Z 7 0 1 >• U �^ i V N Vin) • , . \ d .5 Y 6 3ch �\ %and Jep. ^hent 1,' L "� ti'�tY n .Is s compliance vrith anplicabie �! ,g s• 9i � and other local land + •lpr .. ,., egifh• r,r, but dues not constitute X IJ �• •nF i� ,,a ca of permits. Compliance T;�I Flo nuoding G de and all other applicable j St d -ind Feder I permitting requirements 1e �enfied by signature of the City of Atlantic 3e h E itdfLig Off i p t0 tt1!!Meuence oto •�,�, �., ;u , • �_ Bur ing Peq►It. ,n {.i (/69.3 -y : /4,1 sVN n.• f'�J .+/ 'T/ON. � f�,/�• ✓� .e > > / � - RECf,•'r--C,t-.�,O ..its/_ Y :._' i ';'.�; To ' /✓'!Jj c'-,. h! i4, /�l/�/��:�^,/ � � •__�-�fir-. � /NC'. I I-Il r 'ER- Y Ci-:.1X-1 I I-' Y THAT I HAVE rsUnVEYLD THE: LANDS AS SHOWN IN THE A13OVE CAPTION ' 4h'D THEE ARE NO FNl.iZOACHM[_NTS• ��'/, CUi�Df�1J, SNYDF�R & ASSOCIATES i� I_ClItd SurVCYOPS 38 East 17tH 'Street Jacksonville, Florida 1, S53-6476--'�' --.-.--- Phone: 353-6476 -..+...•0:1-'�kr__• •.: .... 6a!'.. =..-.s+us�ay....c+saam a�_aa•..:..:�w.�@a ramo-•----- a*st.rows9aiaamfieu•asn.mtaw.�ecc_a�0!•a6,Za•.ucba.in'�•^;:..A:.:_:_ia�TJ-�_' �:,,nca r:r,pca.•_t ,na -, JJ • .�t'1 J a _ i �G SO — �i t �C OP.DER No— CITY OF ATLANTIC BEACH t �J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001904 Date 12/03/09 Property Address . . . . . . 377 4TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 26500 ---------------------------------------------------------------------------- Application desc SUNROOM ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- PATTERSON HOME IMPROVEMENTS 6967 PHILIPS HIGHWAY JACKSONVILLE FL 32216 (904) 296-0045 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 185 . 00 Plan Check Fee 92 . 50 Issue Date . . . . Valuation . . . . 26500 Expiration Date . . 6/01/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 185 . 00 185 . 00 . 00 . 00 Plan Check Total 92 . 50 92 . 50 . 00 . 00 Grand Total 277 . 50 277 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r j 7-r!Ji S CITY OF ATLANTIC BEACH SS ` l 800 SEMINOLE ROAD j r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001987 Date 12/09/09 Property Address . . . . . . 174 15TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc MISCL REPAIRS ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MARSHALL LIMBAUGH ELECTRICAL CONTRAC 174 15TH STREET Q/A LIMBAUGH,ALEX ATLANTIC BEACH FL 32233 42 WEST 8TH ST. ATLANTIC BEACH FL 32233 (904) 241-9051 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/07/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH �9– 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE ° I 0o I ❑YES PERMIT#: — PROPERTY OWNER: 4 ME' 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS. 6.PHOONE.(/_(;n ELECTRICAL CONTRACTOR: 7.NA E OF COMPAN 8,ADDRESS.. r'CG +r f' 42- STATE 9. OF FI O- 10. LL P a `7 1 AQD®S / _�/_L � - 13.OF PON � Ib/, 14. t�d 15.Application is hereby made ttoo�obtain 9a permit to do the work and inst ilations as indicated. I Atthat all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becom II an void f work s not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)mo the tan time fter w is commenced. I- AIA CONTRACTORS SIGNATUR 16.CLASS OF WORK: 117,SERVICE. 18JMETER N BER: ❑MULTI FAMILY-#OF UNITS: ESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE COMMERCIAL ❑ADDITION ❑TRAILOR 11.BUILDING: 1 :CURRENT CODE: ❑ALTERATION ❑SIGN OLD ❑NEW '08 NATIONAL ELECTRICAL CODE REPAIR ❑POOL/SPA '❑REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: ❑OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33.MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 60OV: NUMBER: KVA: OVER 600V NUMBER: KVA: 36.M NEOUS REPAIRS: DESCRIBE IN DETAIL: j'>`Q l Q4j(e� /� ( L' �� Celll,17 q BLDG02 Permit ApplicationEle :REVISED:0720200f9 /'�I � j��('W"4 p(. GSJ '1/d/�4?� (/� /V � L s BUILDING PERMIT APPLICATION yr CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach Fl,32233 Office: (904)247-5826 a Fax: (904)247-5845 Job Address: 3 / / 5j (`,-e f Permit Number: Legal Description Lh-� ;ag Mock 6 s 4 -AI V I S 1011 A Aficf, 2ctc h Valuation of Work(Replacement Cost) $ 916,S©O • Class of Work(Circle one): New ddition Alteration Repair ■ Use of existing/proposed structure(s CErc e one : Commercial ■ If an existing structure, is a fire spr' er system installed?(Circle one): Yes No ® Is approval of homeowner's association or other private entity required? (Circle one): es No Describe in detail the type of work to be performed: 7/v 41 Son Room Property Owner Information Nam Citye D�1 o qN0 Address: �7? z� h Sfree� t G c State FL,Zip ,3 3 Phone q t�y-01 y - rj S% Contractor Information: Name of Comaney: Ri Sc*1 10 1 e- T-14 r ve.�+�vt' Qualig Agent: 2 x Pa +t2 rso d1 Address: O s w City c7c sovly /I e- State Zip 32216 Office Phone 30 q aq --00 LiS' Job Site/Contact Number 0 - I V- 1 2_6cf State Certification/Registration# C 0 0 U Office Fax# O cl 99ts9fto Architect Name & Phone # 2- --6,27 70 Engineer's Name &Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance qf a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction, This permit becomes null and void i work is not commenced within six(6) months, or •i construction or work is suspended or abandoned for a period of six (6) months at any time after work is commencedI understand that separate permits must be secured for Electrical Fork, Plumbing, Signs, bells,Pools, Furnaces,.Boilers,Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMNIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. t hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Paws and ordinances governing this tyre of work will be complied with whether specified herein or not. The grantin o a .f a"n" t "" f^ „"' aii..orifiy vi 1/7 or can-el the provisions of any other federal, state, or local law ler/%Lit d-- %Lvc —resume •o give t regulating construction or the performance of construction. signature of Property Owner: / % Signature of Contractor: >wo�n o and subs rib before me Swo to and subsc i ed befoFe me his i� Day of VC �r this�Day of Di M"(' Jotary Public: - WARREN No Public; q'I °�a,. IAN S.WARREN T., . .. ...... . Notary Public-State of Florida _ Notary Public-State of Florid ' 'c My Comm.Expires Nov 25,2012 o; 1EVISED 03.05.07 =�•' Po, My Comm.Expires Nov 25,201 ;;F ,a'' ., COPY of F°,•' Commission DD 841452 •.,;of"�,. Commission 4E DD 841452 p AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUCTURE TO: Building Inspection Department,City of Atlantic Beach, 800 Seminole Road Home Owner: Name Street Address / City. State and Zip Code Contractor: Permit Number - As the Contractor for the proposed new structure located at the above address,I have personally viewed with the above named home owner those portions of the existing structure on which portions of the proposed new structure are to be attached for structural support.I am confident that the drawings and details included with this permit application depict the existing conditions of the host structure,and the members of the existing structure upon which the new structure are to be attached are sound with no rot or deterioration. The home owner has been advised by me that, in my best judgment based on experience and knowledge of structural adequacy,the members of the existing structure upon which the new structure are to be attached are sound with no rot or deterioration and will support all structural loads and forces imposed on them.By signing below,I hereby declare that I will hold the City of Atlantic Beach harmless and release it from any responsibility and liability for any adverse consequences or failures resulting from this work, and further that I will not initiate,execute or enjoin any legal action against the City of Atlantic Beach for such consequences or failures. A copy of this document will be recorded as an official record with the Building Inspection Department permit history so that any and all future buyers/owners of this property may be made aware of the status of work performed on this structure. i Signed Date Before me this 6 day of / oV c°M b t"- f In the County of Duval, State of Florida,has personally appeared Re-x N ++e(-50 n herein by himself/herself and Affirms a statements and declarations herem are true and accurate. Notary Public at Large State of _,County of [( Vc Personally Known 7 or Produced Identification ID Type ,'0'aY°�s�,; IAN S.WARREN Notary Public-State o1 Florida 7/21/09 F:building/affidavi o7r• a €b4tf�l�rF1�39U �WQt e.doa ;;FOF o Commission# DO 841452 HOMEOWNER SUNROOM ENCLOSURE AFFIDAVIT The purpose of this document is to make you aware of any limitations in the enclosure that is being permitted at your residence. The table below, Sunroom and Screen Enclosure Requirements provides a brief description of the various sunroom category requirements. There may be restrictions on the use of your present home depending on the category of sunroom you are installing. The property owner is hereby notified that should they make changes to the sunroom which could include, but not be limited to,addition of any form of temperature control system or removal of the doorstwindows separating the sunroom from the host structure,the room may become non-compliant with the r ulrements as mandated b the Florida BuildingCode,the Florida Model Ener Code and State Statutes. OWNER _ I have read this complete form and understand I am receiving a Category�_Sunroom.(I-V Printed Nam ��,A�o Address3Z2 e - , Date: signed. Before me this �Y of o l e-',��r in the County of Duval,State of Florida,has personally appy �_ D,M �t3 i sV c7 herein by himself/herself and affirms all o b-; S WARREN statements and declaralffohs herein are true and accurate. _�'�' Notary Public State of Florida F�� County of 4✓ uV`� I My Comm. ExoiresNov 25,2012 Notary Public at Large State of ,FOF F o•,• Commission # DD 841452 Personally Known Large Produced Identification❑ " .... ID Type Sunroom and Screen Enclosure Requirements Category 1 11 ill IV V Habitable Space No No No Yes Yes Foundation Walls<200plf Walls<200ptf Walls<200plf can Walls<200plf Walls<200pif can can have 8"W can have 8"W have 8"W x12"D can have have 8"1Nxl2"D x1 2"D ftg or 3- x12"D ftg or 3- ftg or 3-1/2"slab if &Wx12"D ftg ftg OR have site 112"slab if no 1/2"slab if no no concentrated OR have site specific concentrated concentrated load>7501b OR specific engineering load>7501b OR load>7501b OR have site specific engineering have site specific have site specific engineering en ineerin engineering Existing exterior GFCl outlet Relocate or add additional outlet to exterior if enclosed Exit Lighting Not Required Required Required Required Required Interior Electric Not Required Not Required Required Required Required Outlets Egress and Exit Egress and Egress and Exit Emergency Egress from Egress and Exit Escape exist structure must meet code must meet code. Exit must meet must meet code. Openings allowed if open to atmosphere and has screen door leading away from residence. Misc.Window FHoststructure Windows must Windows may be FHostruture Host structureand Door wsidoors be removable fixed or removable. windows&doorsRequirements not be Host structure Host structure ll not may be removed. ved. windows/doors windows and ed. Forced entry, air shall not be doors shall not be try, leakage and water removed. removed. Forced air leakage penetration entry, air leakage and water requirements and water penetration apply- penetration requirements requirements apply. apply- !� `ind Borne Required, can be on host structure, if built under existing Debris Opening Not Required Not Required roof Protection Energy Sheets Not Required Not Required Not Required Required Required �■� OCT-27-2009 TUE 09: 16 AN . P, 01/01 i■ ' MAP :SHOWING BOUNDARY SURVEY OF FTHEWEST /2 OF LOT 2B, BLOCK 6, SUBDIVISION "A" ATLANTIC BEACH. AS RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, CERTIFIED TO: THOMAS AND DANA FOPPIANO ALLIANCE MORTGAGE COMPANY STEWART TITLE GUARANTY COMPANY RICHARD T. MOREHEAD, P.A. LOT 27. BLOCK 6 N 84'54'55' E l 50.00 (PLAT) N 84'52'52 E 24.99' (MEASURED) FOUND 1/2' IRON PIPE SET 1 2' REBAR FOUND 1 2' IRON PIPE NO IDENTIFI ATION •4' ED `A 6702' 0.1 NO @�NTq•ICATION 0.1' LOT 28 BLOCK 8 J 17.2' LLJ .Q LLJ O :..F J o 375 L Ych Q1 ��rrrfff LOT 30, BLOCK 6 TWO STORY s fA FRAME „ �` L07 26, BLOCK 8 # 377 CoDRF , WOOD p CK $ S b w g o X �� ,,r o a Z `rte y u N .tit - •ii o0 IA PLAT d I..I FOUND I/2- IRON PIPE SET 112-REDAR FOUND X CUT NO ID TIFICATION STAUPED ACM Ep 6702' S 84'54'55" W 25.00' (MEASURED) S 84'54'55' W 50,00' (PLAT) 4TH STREET (40.0' RIGHT OF WAY) O s CC TEO B [21 LEGEND: R . RADIUS —X—X A FENCE L LENGTH CONCRETE NOTES; '00REVISIONS ASSUµED N 0600 ` W 1. 13EARINGS ARE BASED ON 111E _ __ BEARING OF � ALONG THE WESTERLY BOUNDARY UNE OF SUBJECT PARCEL. 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE x AS SHOWN ON THE DATE DESCRIPTION NATIONAL FLOOD INSURANCE MAP DATED APRIL 17. 1989, COMMUNITY NUMBER 120078, PANEL 0002 p- 2•�"C fD�•�rrinit 3. THIS SURVEY REFLECTS ALI. EASEMETITS k RIGHTS OF WAY AS PER RECORDED PLAT do/OR TITLE COMMITMENT IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITIN VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNE 4. THIS SURVEY NOT VALID WATHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR, JOB 9196 DATE OF FIELD SURVEY: 08-19--99 DISK ZIP 26 SCALE: 1" 30' CERTIFICATE 2522 Oak Street I HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER TAY RESPONSIBLE CHARGE Jacksonville, Florida 32204 AND MEETS THE MINIMU4 TECHNICAL STANOAROS AS SET FORTH BY THE FLORIDA (Phone) 904-389-5080 BOARD OF PR ON L SURVERS AND MAPPERS IN CHAPTER 61017-6. FLORIDA (Fox) 904-]89-6175 ADMINISI' I RSUANTYOTO SE TT 472.072. OA :TATUTES. MICHAEL J. AIEV,6 LICENSED BUSINESS y 6702 REGISTERED SURVEYOR AND WAPPf 4879 STATE OF FLORIDA ■m GCT-27-2009 TUE 09: 16 AN. P. 01/01 ■i■ ■ ■ man MAP SHOWING BOUNDARY SURVEY OF THE WEST 1/2 OF LOT 2B, DLOCK 6, SUBDImSIOIJ "A" ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 3-7 +11 stt feet l ( ,• CERTIFIED TO: THOMAS AND DANA FOPPIANO FC ALLIANCE MORTGAGE COMPANY i- 3 33 STEWART TITLE GUARANTY COMPANY RICHARD T. MOREHEAD, P.A. LOT 27. BLOCK 6 N 84*54*55' E 50.00 (PLAT) N 84.52'52' E 24.99' (MEASURED) FOND ,/Y IRON PIPE SET 1 2 flEDAR fOUHD 1/Y IROry P,P£ NO IOENIIFS ATION ' t PED `A LB 6702' 0.1L., NO Vp RFICATION LOT 28 BLOCK 6 J �5' �� x rid - 37 f oGSe 1 tf" x ' '71 - D r 1 V e w4 r' L� X 3` 6 (� 4 Q ld �� w W 4 l en'l SQ vi i�bP.�, hl� = LI ,�.r 375 0 S►�I�wG x 'x TWO s_� poi TWO STORY FRAME LOT 26, BLOCK 6 7.5 y co�ReD # 377 wooD Deck A 9'X 5` I ?y W IJ o zP COVEREDWOOD �y IA H �C � � X r r, _ Vii :? f, u ou. I ,' J;LT L)3 /� L •� 2.5 < (' V� ��ct'/ (i/J X L - a , SY Ci� SET V,2'RFB�R FOUND X cut I / STA4PCO ACM 4B 670v �. cl eV iq �,, X j ; L.) % S 84'54'55" W 25.00' (Wf7ASURED) ! S 84'54'55" W y ' 50,00' (PLAT) ,x Y 471H STREET (40.0' RIGHT OF WAY) gr.. ;7 ACC TEO 8 . -2-'- LEGEND: 2]LEGEND: I— __ D m j =' p D7A 0 0 C n N CD O // 0 o r*i cn r O Z =10L �� DOWDDpO m � —n � z�z�'� � cno� � �— zcn r[")C� N m :mo N�CD �ZmWmp � Vln W mrn i � � OC pD rnO� :'i'•: �n'Djr VI W m 2:- 0 OP oz m Z,;0KL4 Zr NC�mZ fVm� M o o� o m '000co8zom p0 W� c� � m -q Ln DEALER: PATTRSON 09W10606 PH• ) TEMO SUNROOMS, INC. FOPPIANO, TOM 20400 HALL RD 377 4TH STREET CLINTON TWP' MI 48038 ATLANTIC, 32233 PHONE: (586) 286-0410 DRAWN BY:MICHAEL RANG DATE:11/02/09 SCALE:NONE FAX: (586) 286-0985 Z O � z � o-) Cyl a 7) �o ;;o n z r�1 c D D 0 0 0 o x F- F- 000 Z Z En N N NN N -D O 0 0 — 00000 O Z cn m m m m m Z D C _ X cn +� UI ry FTIF -0 r Z FTI O Z c + + + + + wCA , � ooCAcjCA D Cf) D -u -0 -0 -0 _0 Z (/) FT-1 (� FTJ W (f) C/) Ln cn cn Oti 'i -,l i � -1-1 FTl o onND0-4 m r— D FSI D oy uJiu�ic�nc�nW D C) O O O —I _0 -u _0 -0cn 0 Fl D O � u U) c/) U) (n �, — uj FTIZ rz z cn F- O O o C u cf) o 0 c DEALER:PATTRSON 09W10606 PH. c TEMO SUNROOMS, INC. FOPPIANO, TOM 20400 HALL RD 377 4TH STREET CLINTON TWP, MI 48038 ATLANTIC, 32233 PHONE: (586) 286-0410 DRAWN BY:MICHAEL RANG DATE:11/02/09 1 SCALE:. FAX: (586) 286-0985 m � mm � � z) n mo + ;o D M = _ -I 0 z D cn 2 cn cn cn U) m mzzzz = � 0000 0 cn cn in cn X - -i -i -i 0000 z z z z m m m m m x_ Z N o � o Z f C) x O r- m U 0 D I- N Z CID D r - O m c X ;u K m D � Z Z O I o Z o r O z 0 c D N X y 44.5" WINDOW 44.5" WINDOW 44.5" WINDOW D vm-1--j Z om0= D �aoAxm cm0L fl ON0 .. n Z n m zcnZ<nn I ADZ mm-> � O nxT.[IZD O m p O Z C O Z Z D N�. 1 0 O= _ O Z N D m p 0 Z m 1 N DEALER:PATTRSON 09W10606 PH. ) TEMO SUNROOMS, INC. FOPPIANO, TOM 20400 HALL RD 377 4TH STREET CLINTON TWP, MI 48038 ATLANTIC, 32233 PHONE: (586) 286-0410 DRAWN BY: MICHAEL RANG DATE:11/02/09 SCALE:NONE FAX: (586) 286-0985 Ln c/) K: z cn O D D —I 0) _ 1 D oz mr \ _ CD \ �o � cn rr-- z � -9 =x � D —I Tl D Z CA O m ---I _0 _ D D O x G-) z D D z z m\ D cn Z77 C-) z m Z < Iv r Dcn � z co 17- ;;uD n z > mm 0 � G) D m C O . ,. (n CD cm -j N) O z + n0 m cl)U) D � Oo -1 v O m D � � (n (n m n mm mr zm r N0 z � o � D r nm oo c _0 v C K: m co m DEALER:PA17RSON 09Wl0606 PH- > TEMO SUNROOMS, INC. FOPPIANO, TOM 20400 HALL RD 377 4TH STREET CLINTON TWP, MI 48038 ATLANTIC, 32233 PHONE: (586) 286-0410 DRAWN BY: MICHAEL RANG DATE:11/02/09 SCALE:1/4"=l' FAX: (586) 286-0985 City of Atlantic Beach APPLICATION NUMBER v BuildingDepartment.s.€1 P (To be assigned by theBuildin4 Department:) r 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 / 037 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM rroperty Address: 371 ent review required Ye leo kpp{dcant: 4/7)rr' tannin & sting TreeAdm istrator )roject: orks uis isties e Fire Services -- Other Agency Review or Permit Required Review or Receipt Date of Permit`verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Zeviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING _p Reviewed by: Date: �.1 TREE ADMIN. Second Review: DApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: ReviekFvled by _ evised 0511,V09 NOTICE OF COMMENCEMENT State of Flori a County of: 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(Revised 10-1-96),the following information is stated: Legal Description of Property: ,i✓�IC a eQ�y General Description of Improvements: Sty Owner Name:(Printed) Address: 377 y?h S-tr.4 Owner's Interest in Property: FEE ; Fee Simple Title Holder(If other than owner)_ 4 Name:(Printed) L I / — Address: 1 �� Contractor(Printed) Patterson Hon Address: 6967 Philips Hi Telephone: 90A1 296-0045 Surety(if any)(Printed): Address: Telephone:( ) Person or Lender making a loan for construction of improv Name(Printed): Address: Telephone:( ) Fax( ) Pprcnnc �� Cowun:3wo *pD 8t�t?5 OVA rnWW Ellbeis yet r 5? SO:C !� '� '1r._.�•';•+ - .��rirA bnpt,t 2t�ls rpt Epa.we Q� i City of Atlantic Beach r� APPLICATION NUMBER z Building Department /IIQV '� (To be assigned by the Building Departmer>xj' t� — } Ts 800 Seminole Road Atlantic Beach, Florida 32233-544 BY. zoos Phone(904)247-5826 • Fax(904)2 - s>� E-mail: building-dept@coab.us DateroUted:. City web-site: http:/Jwww.coab.us APPLICATION REVIEW AND TRACKING FOS. roperty Address: �� YJr ent review required fifes No 4i�i�{�Eant: tannin & r�Ing Tree Ad Istrator royect: 0orks u tc t sties _ e Fire Services —.-etx..��_. y.E...ze..-�_e--✓��'s_�.a�.t�"..Y—��q�r._ ____ __ � __ _ -_ _ _ Other agency Review or Permit Required Review or Receipt Date of Perm t Verified B Florida Dept.of Environmental Protection Florida Dept of Transportation St Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APE?LICATi ION STATUS eviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING 'LANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review, DApproved as revised. ❑Denied. PUBLICWA Comments: UBLIC PUB Reviewed by: Date: FIRE SERVICES Third;review: ❑Approved as revised. ❑Denied. Comments: Reviekevred by: a=: wised 051141,09 Public Utilities Plan Review Comments Date: �I D� Initials• Project Name/Address: Z (4TH ST Application Permit#: :Check Boa Application Tracking Comments to Add Comment Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call ❑ 247-5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and ❑ visible. A sewer cleanout must be installed at the property line. Cleanout must be covered ❑ with an RTl concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be ❑ tested by a certified tester and a co y of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an ❑ appropriate backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247-5 83 9 for backflow requirements. At a minimum,will require double check backflow ❑ reventer. Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" ❑ must be installed in a vault as noted in JEA specifications. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned b the Build'inct Depatnent)' 800 Seminole Road // D 3 � Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 Date routed:•' x ?� '' E-mail: building-dept@coab.us 1Y d- City web-site: http://www.coab.us ' ®PLICATION REVIEW AND TRACKING FORM r®peri Address: _321 L� ent review required Yes leo .pplicant: / I �Plarnin & aing Tree Ad istrator roject: u is i Sties Public- safe-Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPLICATION STATUS eviewing Department First Review: �Pproved. ❑Denied. (Circle one.) Comments: ' iNG )4NTNG &ZON Reviewed by: Date: TREE ADMIN. Second Review: DApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: EApproved as revised. ❑Denied. Comments: Re's€evv;ed by. Dere. I Msed 05114ic?g BUILDING PERMIT APPLICATION f, s CITY OF ATLANTIC BEACH yr 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 Fax: (904)247-5845 Job Address: 3 7 7 g J_ Permit Number: Legal Description Lo-' ;a? Block 6 Su b U I VIS 10 A A At Ict vtic- 6 enc-h Valuation of Work(Replacement Cost) $ r;�6,S©O ® Class of Work(Circle one): New ddition Alteration Repair • Use of existing/proposed structure(s�Cire e®are : Commercial tial • If an existing structure, is a fire spr er system installed? (Circle one): Yes No ® Is approval of homeowner's association or other private entity required?(Circle one): es No Describe in detail the type of work to be performed: 1.ivs I S ci n Property Owner Information Nam Citye DM o qN4 Address: �-]� yfh St�ee�' ►G e�► State�L,Zip 3 Phone 0 —01 y —$'$i S Contractor Information: Name of Com any:P(Q' Mo:) Hort e- Z p royeMtvt' Qualtyi g Agent: e X pcqf�le_r_500 Address:�� 7 Ph I I 1�s I-I _R wv Cii7e 5-C State kL Zip 3ZZ/6 Office Phone 10 —J�qM0p S Job Site/Contact Number State Certifcation/Registration# CBC 6 pv Office Fax #'10'-/^ 551 -'tSr110 Architect Name &Phone# Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of{a permit and that all workwill be erformed to meet the standards of all laws regulating construction.in this jurisdiction, This permit becomes null and void ifwork is not commenced within six(6) months, or •i Construction or work is suspended or abandoned for a period of six (6) months at any time after work is commencedI understand that separate permits must be secured for Electrical Work, Plumbing, Signs, ells,Pools Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc. ' WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. t hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this t ee of work will be complied with whether specified herein or not. The granting of a permit �" " f �� t� isr,fn aoit Writ„ t� :'Mato /IN �l77?!PZ the p N ViC1 ns Of ris2y nt .Pr federal; ,State, or lOCal ra Gr mi db loo, preJ1AIILG 4V give umo regulating construction or the performance of construction. o o. h Signature of Property Owner: Signature of Contractor: Swo�n o and subscrib before me Swo to and subsc ed befo e me his i] Bay of P>c bar this i Day A pt M 2l' Votary Public: Notary Public: IAN S. WARREN WARREN °�P �B�°• _' '" Notary Public-State of Florida Notary Public-State of Florida 'oe My Comm.Expires Nov 25,2012 2EVISED 03.05.07 '"* gyp= My Comm.Expires Nov 25,2012 ,. '% Commission DD 841452 o-�'� Commission�DO 841452 °F °o-,,, City of Atlantic Beach APPLICATION NUMBER BuildingDepartment (To be assigned b the Buildina Department:)' 800 Semiole Road 3 Atlantic Beach, Florida 32233-5445 — ' �_� Phone(904)247-5826 • Fax(904)2 7 8 -�-au. E-mail: building-dept@coab.us NOV ZQR7 j Date routed: NOV City web-site: http://Www.coab.us PPLIC TI ON REVIEW AND TRACKING FORM roperty Address: perpar"ent review required Yes No pplicant: Ce, IM lannin & ming Tree Ad ' istrator roject: �'ll ,�A l l G!�!`Q6u is Mies Eire Services MIEN- Other Other Agency Review or Permit Required Review or Receipt Date of Permit Verified 13- Florida Florida Dept.of Environmental Protection Florida Dept of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS '.eviewing Department First Review: 7Approved. Denied. (Circle one.) Comments: �XCe- vl BUILDING 'LANNING &ZONING Reviewed by: Date: /> TREE ADMIN. Second Review: DApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETYReviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: wised GsfW03 Dec. 1. 20091 1:32PM6 AM No. 7120 P. ,2 01/01 IIII f MAP SHOWING BOUNDARY SURVEY OF THE WEST 1/2 OF LOT 2B, BLOCK 6, SUBDIVISION "A' ATLANTIC BEACH, AS RECORDED IN PLAT BOOK S. PACO 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. .CERTIFIED TO: THOMAS AND DANA FOPPIANO ALLIANCE MORTGAGE COMPANY STEWART TITLE GUARANTY COMPANY RICHARD T. MOREHEAD, P.A, LOT 27, BLOCK 6 N 84'54'55' E 50.00 (PLAT) N 84"52'52' E Pwra /2,MOH nre 24.99' (MEASURED) NO IDEM ATION +, SET 1�1" I FOUND l 7'mom POPE A LV702' 0,1 n0 p ry1i1CA710N I.S• � 01, New I I lav/oG LOT 28 BLOCK 8 1 /A rias -7ci c)Nver�cd C,�- 4 P(`1c�r Cr-'ef'v el 9/130 a. 569'0 �, 17.1 375'11 � o If M *7 0 TWO STORY ] M U.$ A reg I ac) A FRAME y LOT 28, BLOCK 6. New, To�G E I,8�?- 5 a #� ' # 377 DOWN?, , g g Toon PK 5090 b w do 1.r DECK z B O ' y W1T00 L �•' 850.00' c�3 z5' PUT i FOUND 1/7'IRON PIPE , W QI SCY 1 7 RE9Ap F*JNO X CUT NO 10 TOLCA ON STAMPCO/AC11 lB 4702' S 8454'55" W 25,00' (MEASURED) S 84'54'55" W 50,00' (PLAT) 4TH STREET (40.0'RIGHT DF WAY) .. .. NOTES; TEO a-& 121- LEGEND: 2]LEGEND: R - RADIUS --X—xA FENCE LENGTH Q CONCRETE NOTES; I. BEARINGS ARE BASED ON THE ASSUMED BEARING OF H D6uD'02�w REVISIONS WE$11:RLY BOUNDARY LINE OF SUBJECT PARCEL ALONG THE 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LAND$LIE WITHIN FLO°O'ZONC K AS SHOWN ON THE 1969,COMMUNITY NUMBER 120OATS DESCRIPTION NATIONAL FLOOD INSURANCE MAP OATEO APRIL 17, 078, PANEL oon2 D. -27•� P4AY 7y InK J. THIS SURVEY REFLECTS ALL EASEMENTS h RIGHTS OF WAY AS PER RECORDED PLAT k/OR TITLE COMMITMENT IF SUPPLIED, UNLESS OTHERWISE STATED, NO OTHER TITLE VMFICA'RON HAS BEEN PERFORMED BY THE UNDERSIGNS a. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR, JOB # 9196 DATE Of FIELD SURVEY: 08-19-99 DISK ZIP 26 SCALE: T" c 3D' CERTIFICATE 2522 Ovk St 1 HEREBY CERTIFY THAT THIS SURVEY MAS NE UNOEAI MY RF.SPONSBLE CHAROC .lacksoDvplet,F Flo OAdO 3220d A7AND 1/CETS THE IAOODU1y LECWCil Sf MOAROS AS SET FORTH BY THE"Io,, (PNonn)°04-389-6003 BOARD OF PR ON gURVCYOgS AND UAppEPi W CHAPTER i10i7-9,FLdTIOA M (FO*) 004-3p9-8170 AONMIISTR,11{�RAIANTto SICA7LOM. A S'ATUlE' MICHAEL A AIE '6" LICENSED BUSINESS ,0 6702 REGISTERED SURVEYOR AND MAPPF, 4679 STATE OF FLORIDA .,, " 8 11© -.� 9 Public 'Works Plan Review Comments Date: Initials: Project Name/Address: 3 y s j Application Permit#: 09' App il; tO cafon'�'rac�ung=�o�nen�s �amn�ent Provide impervious surface calculations. eV-ems �Z;' Provide erosion and sediment control plans with installation details and maintenance schedule. ❑ Provide drainage plans showing site topography(flow arrows, etc.) Provide construction site management plan,including Right-of-Way Permit if-usmg right-of-way for construction Parlcin . Provide a pre-construction topographic survey prepared by a Florida Licensed Professional Land Surveyor, showing 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ per Section 24-66(b). (See attached info. Sheet) If on-site storage is required, apost construction topographic survey documenting ❑ proper construction will be required. A Right-of-Way Permit must be obtained for use A Revocable Encroachment Permit must be obtained. Pool—Wellpoirit(if used)must discharge into vegetated area 10' minimum from ❑ street or drainage feature (swale, structure or lagoon). All concrete driveway aprons must be 5 inches thick,4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW (Commercial driveways �� OJ Standard Detail Case X and Any utility cuts in the road must be repair g must be overlaid 10 feet in each direction.from the center of the cut. Repair must be ❑ shown on the plans. P -Roll off container company must be on City approved list and cannot be placed on City right-of-way. ❑ BUILDING PERMIT APPLICATION _r CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 • Fax: (904)247-5845 Job Address: 3 7 / y �' �' (� o��1' Permit Number: Legal Description Lo ' a? Boc-R 6 Sub A I V 1 ,i 0 n � 4+1c v�fc U enc_h Valuation of Work(Replacement Cost) $_L�6,.7©O ® Class of Work(Circle one): New ddition AIteratiou Repair ■ Use of existing/proposed structures) (Circ a one : Commercial If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No ® Is approval of homeowner's association or other private entity required? (Circle one): es No Describe in detail the type of work to be performed: A"S q I SW n Roots Property Cerner Information Name- OM 0 qA/0 Address: 37-7 yfh Streef City ►G 4Gi. StateF�,Zip 3 33 Phone 50y-01y Contractor Informnation: Name of Company: Pq fte-mo.l H OA e- to ro VeA f- '�Quali g Agent: 2 X Peciffersop) Address:_6y(v 7 ph i I is_� s Hwy City qc sohv 1 State Zi 322 Office Phone D ^�q 4--00 S` Job Site/Contact Number p r� State Certification/Registration# C C'� 00 Office Fax# O�� ^ 5'$j-•�q /0 Architect Name &Phone# Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all workwill be erformed to meet the standards ofall laws regulating construction in this jurisdiction. This permit becomes null and void ifwork is not commenced within six(6) months, or a construction or work is suspended or abandoned for a period of six (6) months at anytime �affter work as commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Furnaces,Boilers,Heaters, T'alnks and Air Conditioners, etc. g, g � Wells, Pools, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Ihereby certify thatl have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this ty�e of work will be complied with whether specified herein or not. The granting o a permit uve i not pr c' isiie to give a'.`t ^rity to ;�rnlnto or cnr?rol the »r^ vrsio s of aszv other federal, ,state; or local ra regulating construction or the performance of construction. r o Signature of Property Ownei: Signature of Contractor: Swo to and subscrib before me hist Day of 0e e r Swo to and subsc i ed befo e me this L Day of D M er Votary Public: 00 4,4 CM Notary Public: t" WARREN IAN S. WARREN • 5 Notary Public-State of Florida ;,* Notary Public-State of Florida ' y• oe; My Comm.Expires Nov 25,2012 ZEVISED 03.05.07 =��• op My Comm.Expires Nov 25,2012 %rFor ; `� Commission#DO 841452 a; °`' Commission#DD 841452 ^^d /nCITY OF I ..&/' eazA Office of Buildin Off icyAl REQUEST FOR I SP CTION Date D Permit No. / q Y Time A.M. Received P.M. Locality Job Address Owner's Name 6-r2 I �►fRr-ES O/O Contractor F-4 BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing F7_ Footing ❑ Rough Wiring ❑ ❑ Air Cond. & ❑ Re Roofing __ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation Lintel ❑ Final Sewer ❑ Fire Place ❑ AEL „/tG�`0W,v Pre Fab READY FOR INSPECTIO G� �{ A.M. Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made D ! � O PM Final Inspection ❑ Inspector Certificate of Occupancy C Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT-INFORMATION I - LOCATION INFORMATION Permit Number: 19413 Address: 391 FOURTH STREET Permit Type: UTILITIES ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: . Im rovCost: P � OWNER INFORAICION Date Issued: 1/04/2000 Name: BARTLESON, PATRICIA Total Fees: 525.00 Address: 1 CHRISTOPHER STREET 11-C Amount Paid: 525.00 NY, NY 10014 Date Paid: 1/04/2000 Phone: (212)633-0697 Work Desc: INSTALL 3/4" WATER TAP ��-_ CONTRa►G ' 3RLSj .. .. APPON F_EES� PUBLIC WORKS DEPARTMENT WATER METER/TAP i=CE_ITE— 525.00 _ Trspectior Required: 77 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. b5M36 80 - Date: 1/04/00 01 Receipt: 0023796 CHECKS 1473 ATLANTIC BEACH BUILDING DEPT. 40000003433300- i CITY OF —i 800 SEMINOLE ROAD - -- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 Date: Q,P T1 SON Od Dear Property Owner: The costs to connect your building to the City sewer and/or ows : 7 � nd Materials to tap into NoT- 7 O h�Y►z.ru�'�/ �� is i n% o nd Materials to tap into Iain Gt r 7L-( of Meter ( � ' _ pection - inspection by ty V`�'� Works to ensure backflow �o ion $ C� Funds future expansion sewer plant Funds future expansion o= t water plant $ Capital improvement - Funds for improvements , expansion or replacement to water system $ i TOTAL COSTS $ /i /tf you have any questions concerning these charges please call the uilding department at 247-5826 . p Sincerely, C- /t; Don C. Ford Building Official /pah Nov- 0-99 01 : 34P Harry McNally 904-247-5872 P_01 N0Q-c3-1999 02=04P FROM: 247-584 TO i 5872 P:1'1 )WICE Q UG TE APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAM' MAILING ADDRESS ' N PHONE NUMBER (9-4 .3� 9 GATE 4D�o/ln F �oS S' _ �V �-�l�l z Q cc e ss SERVICE REQUESTED C<JQ & SERVICE LOCATION g 1 /17CCC4- DATE SET TO PUBLIC WORKS—,/ t — DATE RETURNED TO BUILDING DEPARTMENT PUBLIC WORKS DEPARTMENT PR)CE QUOTE RESPONSE 60 WATER:SAE NrFDw -m 2 v SEWER: vl� OTHER; PRICE QUOTE PREPARED 8,,/t �gna re - Title DATE NOTIFIED OWNER CITY OF 800 SEMINOLE ROAD -- - ---- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904) 247-5800 FAX(904)247-5805 Date : 1-2 -%Z J'F Dear Property Owner : The costs to connect your building to the City sewer and/or water system are as follows : Sewer Tap - Labor and Materials to tap into sewer main $ Water Tap - Labor and Materials to tap into water main OO Water Meter .- Cost of Meter $ Cross Connection Inspection - Inspection by Public Works to ensure backflow prevention $ Sewer Impact Fees - Funds future expansion of the sewer plant $ Water Impact Fee - Funds future expansion of the water plant $ Capital Improvement - Funds for improvements , expansion or replacement to water system $ TOTAL COSTS $ If you have any questions concerning these charges please call the building department at 247-5826 . Sincerely , C0 c� ( ' Don C. Ford Building Official DCF/pah t�-- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION _ LOCATION INFORMATION Permit Number: 19477 Address: 381 FOURTH STREET Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: _ Improv. Cost: OWNER INFORMATION" Date Issued: 1/18/2000 Name: BARTLESON, PATRICIA Total Fees: 25.00 Address: 1 CHRISTOPHER STREET 11-C Amount Paid: 25.00 NY, NY 10014 Date Paid: 1/18/2000 Phone: (212)633-0697 Work Desc: NEW WATER SERVICE CONTRACTOR S .. Pt? ICA°[ION FEES F.W. FAIR PLUMBING CO. PERMIT 25.00 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. $►25.68 14 Date: 1/18/86 61 Receipt: 66277w CHECKS 13176 ATLANTIC BEACH BUILDING DE 66166063221686 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : OWNER OF PROPERTY : f PLUMBING CONTRACTOR CONTRACTOR ' S ADDRESS: 10 STATE LICENSE NUMBER: TELEPHONE : HOW MANY OF THE FOLLOWING FIXTURES INSTALLED 1 SINKS SHOWERS LAVATORY I WATER HEATERS l BATH TUBS I DISHWASHERS URINALS DISPOSALS 2 CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER " TOTAL FIXTURES : x $3 . 50 + $15 . 00 �� MINIMUM PERMIT FEE — $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: -------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP — ( 904) 247-5834 a 1 180 W3630 W3618 W4230 CWS2430L W3612X24DPj DB12 I DISH. 24" S 36 B15R/05 D615 4 BS 6L 4DWR DWR 1 58 I ---- W33 B21 U 30 05 B21 SS W21 :1U05 30L 2 I 0 W30 0 18 757 11321 SS W21 �R/05 30R j CITY VO ATL NTIC BEACH13NL MAR 14 2002 2270D357 Scale:maximum Design: 02/27/02 Dwg no. All dimensions&size designations THE This is an original design and must Newport Cherry Date 02/27/02 given are subject to verification on not be released or copied unless Patti Bartleson job site and adjustment to fit job HOME DEPOT applicable fee has been paid or job conditions. order placed. Steve Rhodes Designer Claudia 180 Ai'- 36 36 - 36 42 24 TT 15 15 129 3612X24DP JEW3618 y g W3630 W4230 CWS2430L M17 F VA36C 49� 7:1r Ilu 99 L84 36" REF-3D FE]L 531 I7 DB12 B15R/0 DB15 342 4DWS DISH. 24" SB36 5 DWRJ BSS36L IF R /20- 3517 12 24 36 15 -74- 15 f 36 2270D357 Scale:maximum Dwg no. All dimensions&size designations THE This is an original design and must Newport Cherry given are subject to verification on not be released or copied unless esigner job site and adjustment to fit job HOME DEPOT PP P j Patti Bartleson j j j a licable fee has been aid or ob Claudia order laced. I Steve Rhodes Wall/C Line# 1 P conditions. 58 �— 24 33 TT 15 15 301 CWS2430 W3330 49i J � La 99 84 539 342' BSS36L B21 U05 ILU J L Lw, 36 21 ' All dimensions&size designations THE This is an original design and must 2270D357 Scale:maximum Dwg no. given are subject to verification on not be released or copied unless Newport Cherry esi ner g ' HOME DEPOT p Patti Rhodes g job site and adjustment to fit job applicable fee has been paid or job Steve Rhodes Cla is conditions. order placed. Wall/C Line# 2 757 x 21 30 21 —moi TT 15 15 18111 NI W301� W2130L W213OR 491712 L.J I' 99 aD aD 0(ID(ID 84 531 344 B21 SS1 U B21 SUR/ 05 05 IL IJ — 21 30 21 All dimensions&size designations THE This is an original design and must 2270D357 Scale:maximum Dwg no. Newport Cherry given are subject to verification on not be released or copied unless -Designer g j HOME DEPOT p Patti Bartleson job site and adjustment to fit job applicable fee has been paid or job Steve Rhodes Cla is conditions. order placed. Wall/C Line# 4 , r i CITY OF ATLLA�NTIC BEACH BUILDING OFFICE MAR 1 A 200 I < C. 40 jv . , .mss... a....•-,z,.._.._I ..� _..__—.� yrs � ,�. s •� I I ; ��I • j Q f I , vb I I t ZOO � e(a - (2-AX, STDOP ,,(Pirsorr ' F/KE GG, ASID�OOOQ - WV oVIS 'At N I91 70# Amp w.w y49 Aw.000, Cl,6,o wRc1s A 9 i ! WP D 'f � 2b" .. 3' !o •Ola t Q G/V IN G RAI ex&Apxt s4eos SM8'ET,P0 Ok Cl-G �.. 0.At gel rim —— /rIYF b Cl,RSD POOZ ov 2',r je W4, wp,# CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 "m PERNIIT'[NF0RNiA N �e ";, '" f' ''COCATION'[NF(3RNfATFO L ermit Niambe�:"�' 23b5� Address 38i_- FOURTH STREE Permit Type: BUILDING ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER°INFORMATIO Date Issued: 3/15/2002 ' -"Name _ BARTLES`ONATRi Total Fees: 165.00 Address: 1 CHRISTOPHER STREET 11-C Amount Paid: 165.00 NY, NY 10014 Date Paid: 3/15/2002 Phone: (212)633-0697 or esc: HEN-REPLACE TfLIE s CONTRACTORS) �� T APPLFCATfQN-FE, K.b. CONSTRCUJ PERNIT� ns ect�oris�Re_uired 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. Oper: DSMITH Type: OC Drawer: 1 Date: 3/19/82 81 Receipt no: 43568 —.v 14 PERMITS-BUILDING 1 $165.88 Trans number: 797823 ATLANTI BEACH BUILDING D T. CK CHECKS 1133 $165.88 Trans date: 3/19/82 Time: 16:48:42 1 CITY OF ATL�AINTIC BEACH PERMIT CALCULATION SHEET AddressN F/�C�f S (�F j- ��-�'f '-6rfCAI v'90VCL Date_ t� – 0 2-- Heated Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Lv, Carport/Porch AP, @ $ per sq ft = $ Deck r @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $� 6 S Total aluation 1st $ / 06 c ° ri 0 61 S r $ 9.5� Remain' ng Value $g: per thousand or portion thereof TOTAL BUILDING FEE $ / + 1/2 Filing Fee $ �� ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ 6 J� WATER IMPACT FEE $—� SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) S HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ �s ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: RECEIVED n, FED 2 3 { AF City of Atlantic 8999h Building and Zoning City of Atlantic Beach 800 Seminole Road• Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805• http://www/ci.atlantic-beach-fl-us PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY MINS LY DUPLE CONSTRUCTION MOVING OR DEMOLITION O DATE 2/ Z,57 2�Z IfiPJF(PS�N A PZ TES d� APPLICANT ADDRESS llte`i LttS'lr RTr-�Tz'� aGk� R- PHONE: ADDRESS WHERE WORK IS TO BE PERFORMED 3-61 �TM ST Anikt-IT[� LEGAL DESCRIPTION: BLOCK NUMBER (e LOT NUMBER 3o ZONING DISTRICT CONTRACTOR �.S,� '�`'S C-v�S'f2u>�C`o �' - ' - STATE LICENSE NUMBER (,G -CO(o2Co Cl ADDRESS k%,A PHONE 2�l-?"1 CITY �It-KkrlL -rCIt STATE L _ ZIP FAX DESCRIBE PROPOSED USE AND WORK TO BE DONEnf: C t't� ` C.�tC�l Qc t�►4GE w� htT T A g > ELoc> PRESENT USE OF LAND OR BUILDING(S) K tlC wlr VALUATION OF PROPOSED CONSTRUCTION 2,d as Is this an addition? 00 If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? �Aa I'(E d4§bC�1 New electrical or increase in service? kZi New plumbing fixtures? f��D;Tio.totL New fireplace? tea New heating/air conditioning? �o Is approval or Homeowner's Association or other private entity required? _ If yes,please submit with this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP I. Verify zoning designation and proper setbacks for the proposed construction. If you are nsure of thiinformation, contact the Planning and Zoning Department at 904-247-5817. In order to correctly verifyzoningdesignation,pease have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach,FL 32233 Telephone: (904)247-5834 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone: (904)247-5826 01/02/02 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works, a pre-construction topographical survey. 5. Any significant environmental features, including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY T AT ALL INF RMA N PRO DED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNS DATE D 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 CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR �� DATE 2 ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS AP``P��LICATIION (PLEASE PRINT) NAME He- _ MAILING ADDRESS tCl W-( L ��{c rx S i i�C C i 1�I t ti l` t H L PHONE (Ct't--2-1-t:Z -`I FAX y E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF _ STATE OF FLORIDA,COUNTY OF DUVAL �- NOTARY'S SIGNATURF:.v11 �YadPOW My'Cwm*96wD00WW ?a n Expires"W 16.2006 AS TO OWNER: ❑ Personally known Aroduced identification ` Type of identification produced AS TO CONTRACTOR: Per nally known roduced identification Type of identification produced R6 01/02/02 i ' $ook 10369 Page 1202 5 MIN. RETURN Bo IP1000��329s p / - Pared i : 1202 PHONE# I- �I O IX Find' a Ieo"W oe/2!VM 12122:26 PN JIN FULLER IkIVAt. CIRCUIT COURT TWAT FUW t 1.00 "MCORDIN 5.00 NOTICE OF CONIMENCENIENT TO VVHONf IT MAY CONCERN.- The undersigned hereby informs all concemed that improvements +Nilf 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 CONIMENCENIENT. 0e,scriptian of Froperty TN 17 General Description of Improvements •TG tic�� - , Owner �Ait2�c.ira8 AfzTLE Sba Address -fig I HT`S E .Alt.,Amh L -,t+ . ►- 22:3 Owner's interest in site of improvements: ►�qo Fee Simple Title Haider(if other than owner) Name (Address Con�ctar Address l �S tit ST'C,��T►-a � t�,.��, ��y �cLtSrl�c �T -12, ? _ Surety (if any) { Address Amount of Hand Name of person within the State of Florida designated by owner upon wham notices or other documents may be served: Name Address In addition to himself, owner designates the following person to receive a copy of the Leincr's Notice as provided in Section 713.13(1)(F), Florida Statutes. (Fill in at Owners option). Name Address 00060052 Nap Exj*WAugW1S,2M Owner Swam to and subscrtbed befam me this J day of '� � 2_ _ ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE(MMIDD/YY) RHO-1 08/22/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McNeill, Garrison & Fletcher ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1211 North Third Street HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. 0. Box 50069 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Jacksonville Beach FL 32240-0069 Phone: 904-249-2345 Fax:904-246-7986 INSURERS AFFORDING COVERAGE INSURED INSURER A: Zurich US Small Business INSURER B: R S Rhodes Construction, Inc. INSURER C: 1964 Beachside Ct INSURER D: Atlantic Beach FL 32233 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE MM/DD/YY DATE MM/DD/YY GENERAL LIABILITYEACH OCCURRENCE $ 300,000 A X COMMERCIAL GENERAL LIABILITY TBD 08/17/01 08/17/0 2 FIRE DAMAGE(Any one fire) $ 300,000 CLAIMS MADE FX_1 OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 300,000 _ GENERAL AGGREGATE $ 600,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 600,000 POLICY J_CT PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTOEA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER N I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SAMPL-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _1D_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Sample Copy Only IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REFRESENTATIV AUTHORIZED R PRESENTATIVE McNeill, ar ACORD 25-S(7/97) ©ACORD CORPORATION 1988 10-23-2001 STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION FROM FLORIDA WORKERS' COMPENSATION LAW This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation Law. EFFECTIVE DATE 10/10/2001 EXPIRATION DATE 10/10/2003 EXEMPTED INDIVIDUAL NAME RHODES RICHARD S S.S. 263-31-0401 BUSINESS NAME RHODES R S CONSTRUCTION INC FEIN 593720004 BUSINESS ADDRESS 1964 BEACHSIDE COURT ATLANTIC BEACH FL 32233 NOTE: Pursuant to Chapter 440.10(1),.(g),2 F.S., a sole proprietor, partner, or an officer of a corporation who elects exemption from the Florida Workers' Compensation Law may not recover benefits or compensation under Chapter 440. PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY _ DIVISION OF WORKERS' COMPENSATION _ CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION c F NOTE: Pursuant to chapter 440.10(1),(9).2, F.S., a sole FROM FLORIDA WORKERS" COMPENSATION LAW a proprietor, partner, or officer of a corporation who EFFECTIVE DATEIn/1II1200l .ti _= c 0 elects exemption from the Florida Workers' Compensation _ c�w�t� L Law may not recover benefits or compensation under EXPIRATION DATE_ 10�I n/2Qf13 D Chapter 440. EXEMPTED PERSON LAST NAME RHODES FIRST NAME RICHARD S SOCIAL SECURITY NUMBER 26T31—Q401 H BUSINESS NAME RHODES R S CONSTRUCTION INC E R FEDERAL IDENTIFICATION NUMBER 593720004 E BUSINESS ADDRESS 1964CHSIDE COURT All-ANTIC BEACH El 3223-3 C U T H E R E * Carry bottom portion on the job, keep upper portion for your records. 2001 -2002 OCCUPATIONAL LICENSE TAX LYNWOOD ROBERTS OFFICE OF THE TAX COLLECTOR CITY OF JACKSONVILLE and/or COUNTY OF DUVAL, FLORIDA 231 EAST FORSYTH STREET ROOM 130, JACKSONVILLE, FL 32202 PHONE: (904)630-2080 FAX: (904)630-1432 Note - A penalty is imposed for failure to keep this license exhibited conspicuously at your establishment or place of business. This license is furnished in pursuance of chapter 770-772 City ordinance codes. x i Sx°f'Y1. E.. ; `• 3 #ig,.,],,r .�' .,"mow ` _ .. 16 JR M. b P4 4 R.S. RHODES CONSTRUCTION, INC Gp -15 REHM f � r }' i r RICHARD STEVEN RHODES iitI i „ 3 s 1964 BEACHSIDE CT ., ^e x )fit x 5E� �5`xl x tU R L ix x �d:(�a n r ATLANTIC BEACH, FL 32233 l 51 I"zto��Y3 , Sr;q�:'Tib t � lJ ACCOUNT NUMBER: 168445-0000-3 ,, ) � __ �x3It Zm, LOCATION ADDRESS: 1964 BEACHS I DE CT �� - ` '��°; y � ' sx t s 32233 + ; #� � rttRIF ` u f x .rx ,Fr c }_,.- z , r � t t ti R xa �} .. L a1-�n�r"��s.; DESCRIPTION CONTRACTOR, ALLETYPES Count License Code: 770-307 y -001 ? .,° 6 . County Tax: $11 .25 Municipal License Code: N/A Municipal Tax: N/A Total Tax Paid: $11 .25 d 2 r3 w�t VALID FROM OCTOBER 1 , 2001 TO SEPTEMBER 30, 2002 RCPT# 001/26/9280/0029/10022001 DATE: 9/28/2001 AMT: $11 .25 CITY OF LICENSE NUMBER .4d4otG . 02-05174 OCCU A�T!Q NAL LIC NS E MISC. SER ICE ESEAB 15liMENT, 140T LISTh[]� 200'1-2002 n=� TYPE LICENSE: �II�ENSE YEAR oo Z 3 t ��m 64 BEACHSIDE CT CLASS NO. 10/� 2/01 ooz 3USINESS LOCATION DATE ISSUED 9/3L1/Q2 m oo m DATE EXPIRES v m v R-S. RHODES CONSTRUCTION: INC. 4'9-00 >mm FIRM NAME: LICENSE FEE RICHARD RHODES INVESTIGATIVE FEE m00 TRANSFER FEE OWNER/MGR: rn DEL.PENALTY 3 O 1964 B E A C H S I D E CT TOTALate: 18/82/81 81 Recut 9 0� ADDRESS: ECKS 6331 _n ATI- 7 I BEACH FL 32233 NOTE ��C1017�LliOCfv LIDf2TED BELOW <m = Maukea4x CITY CLE K HIS LICENSE MUST BE CONSPICUOUSLY POSTED IN PLACE OF BUSINESS TAX COLLECTOR THIS BECOMES A RECEIPT AFTER VALIDATION 2001 -2002 OCCUPATIONAL LICENSE TAX LYNWOOD ROBERTS OFFICE OF THE TAX COLLECTOR CITY OF JACKSONVILLE and/or COUNTY OF DUVAL, FLORIDA 231 EAST FORSYTH STREET ROOM 130, JACKSONVILLE, FL 32202 PHONE: (904)630-2080 FAX: (904)630-1432 Note A penalty is imposed for failure to keep this license exhibited conspicuously at your establishment or place of business. This license is furnished in pursuance of chapter 770-772 City ordinance codes. t�vlrRik ENE 1'-1- RHODES, RICHARD STEVENa, NO Ix 3� ,� R.S. RHODES CONSTRUCTION, INC " �xiutt� FMP#''trf'F^fi t 3`WtX�3 1964 BEACHSIDE CT1+4<` �rr ��1ii`i' ATLANTIC BEACH, FL 32233 : rc .4€ k`,t t'Y...IT 2. - a„ u , ,... '0M 1#aY Kcraj F ACCOUNT NUMBER: 168446-0000-9l>� ,= Slag O LOCATION ADDRESS: 1964 BEACHSIDE CTff- s�ra 4 32233 tf e v 2Kaza F f`r r,A Mv r IT } � R DESCRIPTION QUALIFYING AGENT, CONTRACTORS County License Code: 770.000-005 Nrt County Tax: N/A Municipal License Code: 772.325 Municipal Tax: $100.00 �1 Total Tax Paid: $100.00 air V?; _ .%i VALID FROM OCTOBER 1 , 2001 TO SEPTEMBER 30, 2002 RCPT# 001/26/9280/0030/10022001 DATE: 9/28/2001 AMT: $100.00 AC# 018 4 5 81 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONST INDUSTRY LICENSING BOARD SEQ#01092100030, - LICENSE NBR 70921/2001101007596_ CG -CO62689 The GENERAL CONTRACTOR y Named below IS CERTIFIED Under the provisions of Chapter 489 FS. µ Expiration date: AUG 31, 2002 ; —'j, ; RHODES, RICHARD STEVEN R S RHODES CONSTRUCTION INC }' `, 1964 BEACHSIDE CT ATLANTIC BEACH FL 32233 JEB BUSH KIM BINKLEY-SEYER GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY AC# 0187214 o STATE OF FLORIDA ESS DEPARTMENT PROFESS PROFESSIONAL REGULATION QB -0019571 09/24/2001 01007682 QUASRHODES LBUSINESS CONSTROCTION TION INC R R (NOT A LICENSE TO PERFORM WK. TO ALLOWS COMPANY OBUS BUSINESS IF IT HAS A LICENSED QUALIFIER.) IS QUALIFIED under the provisions of Ch.489 Fs- Expiration date: S.5xpirationdate: AUG 31, 2003 SSQ #0109240o094 1 l/ Returned Permit Application Applicant: �, �. O V E Address: 13 F—"fc r D/. (C 7` Project: f{ i i'c rf E N c-- Your permit application is being returned due the following: !- 2E rA-rc- Fe-oo.2 o0'4-*,-J SHO L,) iaJ G I-oc m-Tial o r A PP I- (I&A2 C F S ,!1 rfNCc E p-j CL TF T= . 2 - 'Z r M r til S,t o NS in L it i 7z ff r--,4,J yi.0�L�,D i t1 re ZP .E c --- - f TW F_EA3 r'AAt)y6-TS Please re-submit your application when these items have been completed. ,G " C. ?S,- Don C. Ford Building Official Date: 3 2 -o 2--- �r 2 1999 City of Atlantic Beach Building and Zoning �xx 2`!? - S$7 SEV-03-98 THU 11:41 LEBOEUF LAMB P.02 .M -APS SHv WING 130 UNDARY ►`��J,RVEY OF LOT --13LOCliAS SMO WN ON MMP OF 14r1_/1N7'/c BC c!/ AS RECORDED IN FLAT 000K S' G 9 _--_, rf' YR.'!'UOUC RECORDS' OF DUVAL COUNTY, F10RI(jA ccrnF�Co Fvrt:.vi/�c�r p:�iv�c��_�EKR/.�L4Y,u�N C�£Dir ca,eP._, 29 T � 22 '- -- zt •.�' Sd.C)o e.r' r WOOD _ t0 N TtvaS7bKY FRAti1F 177 O K1 O - !v0.710 r�<a,(NtK t..• _ A•PIP R O V E D CITY .OF ATLANTIC BEACH l0'OU' BUPLDING OFFICE F&IRT M S T. SEP 16 1998 NOT VALID UNLESS £Und.SSED WM .SEiAL OF 7NE UNDERSICNFD "Flt iAr7fR/Ul AAIStEt,IrRf f0'DO'00" DIL' P/7(ri''Rry SHOW IIER£ON APPEARS TO 11E INRMN FCO()o JJA7.AR0 YOrvE X AS SCALED i'ROA4 fLOOD INSURANCE RAlCMA/' Owl FORRiiiruTi[ BF/rC�I• FLORIDA, DATED — 4- 7-69 TRI—STA TIl LAND SIN VE, YORS, INC. Bdli 8A)i4fL'A90W_. WAY SUTC 12, JACKSON011E, FLORIDA J2256 (904) 7-11-7235 I I/EREu)' C£RDFY r1lAT WE ADOVE L.AN0.5 NtIiE URVVVD UNDER MY RESPONSIBILE SUPERVISIcw AND DIRECAco. Puy ?H£ItE wr NO r.QL fNCROAQlAfENEXCEPT AS SlION7v N"0 7MT ATHLE Sl1RVLrY SNOWN Ix+wm,•..•r cs.1,.I T.;I'tFREON +MEETS AIE MINIA/UM )ECNNlCA-, STANDARDS SET 1Ql,'7II 17Y-4c-rorcr 771F, hLDRIDA BOARD cY LAND 5U)?VE- .3RT PURSUANT TU SEC110N 472.U?7, FLORIDA STA7VIFS O a%s NI C.4L rt%&-t"lWh;alw UyC • CARRY C. ELDY, P.L.S. Nc. 4144 OW cowls AREA SCALE. / s O ' �•),� r a+lauK i i 7 �f.�s9/� 0 N �xisr(�►G F�AEwAu. *"'RevLA c.s DaY wALL W M4 DOVgLE S/j�ft FRE Rano sofxll G;k ESC�S f7 A ALL SEca Nv Ft.a,R APPROV90 VN IT Z CITY OF ATLOTO DxVwALL 8670--its ONLY BUIMU§OFFaC9 SEP 16 IM C� EXISTtN& LAAr> WALL s ° TINGLE- - Fie-s-r Fl.mtx, UNIT i 1-1/3.11 0 N i t � 3 Rs?Lj,c.ff DRYWALL _ Wilt DoveL REMOVE AND RCRACE s/8'' FRS Ram �yw4 2, g RpFrGes 2y,l ON C—W-F(2 ©VCR 5 [x iST(NC- 2"iC4 " lCAt F3FP+�f NG- FR ASF WAL RE-MOVC- AND REW t Vz " RooF S N EAJN + t ! 1-7I 3 f SECOND RL OOR PLAN � E Lli f � L � 1l 3// f � N i r r Z CD r l 7 to ' � S � r „ Z L.P.HUFFINGHAM, INC. RESIDENTIAL—RESTORATION—RENOVATION 11111-2A San Jose BLVD.#226 JACKSONVILLE,FL 32223 OFFICE:262-4775—FAX:262-4776 CITY OF ATLANTIC BEACH BUILDING DEPARTMENT TO WHOM IT MAY CONCERN, I PHILLIP TINGLE, THE OWNER OF THE PROPERTY AT 375 AND 377 4TH STREET ATLANTIC BEACH, FLORIDA, HAVE BEEN MADE AWARE OF THE WATERHEATERS NOT HAVING DRAIN LINES TO THE EXTERIOR I UNDERSTAND THAT THIS DOES NOT MEET CURRENT BUILDING CODES AND WILL ACCEPT THE RESPONSIBILTY OF ANY FUTURE PROBLEMS THAT MIGHT OCCUR IN RELATION TO THE WATER HEATER. ACCEPTED PHILLIP TINGLE pair - / 7/5-9 RECEIVED JUN e 1999 City of Atlantic Beach Building and Zoning %430 c CITY OF ATLANTIC BEACH, FLORIDA �h APproAPPLICATION FOR ELECTRICALPERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 2k IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE NAME / n/A ADDRESS: 3 / S��-e�� RFD BOX BLDG.SIZE BETWEEN: RES. ( 1 APT.V COMM. ( 1 PUBLIC 1 1 INDUS. ( 1 NEW ( ! OLD ( 1 REW. ( 1 ADDITION ( ► TRAILER ( ) TEMP.) SIGNS ( 1 SO. FT. SERVICE: NEW( ► INCREASE ( 1 REPAIR ( ► FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. SWITCH OR BREAKER E7 AMPSPH 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.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF, AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES -__41 G Xl 17356 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION iN ORMATION pERMIT INFOR14ATION tdress : 375 FOURTH STREET AND 377 ermit Number: 17353 ATLANTIC BEACH , FLORIDA-3223 .. + Permit Type!MECHANICAL --------- LEGAL DESCRIPTION Twp: ':ass of Work:ALTERATION Block, 6 Lot - 28 Type:WOOD FRAME Subd: 69 Rnc!: :onstr . TYp Section: 4 Proposed Use: SINGLE FAMILY ,abdivisian:ATLA?VTIC BEACH A Dwellings : n 00 Est . Value: O .00, 0 Chat : Improv . 35 .00 Total 'Fees : 35 >�� Amount Paid: Date Paii1: 10 21/19`e, T Pr ;N pLERS erk Desc:R--TA ,EF _ _ ..- ---------- APPLICATION FEES . 35 .00 ;WNER l NFoRMATI ON _ _ -__ T T ame: PHILIP TTINa;LE ddr ' ?5 i 7 E'r)URTH STREET FLORIDA 3223 ane ` ;;;� 22 CONTF AICT`-i-- INropMATIn me' AIR SYS'T'EMS Cdr: 2815 ST. 30jjS BLUFF �AIKSNC1` L FLORIDA - ic: CACAO8032 ,,p p• �. NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW C IMPROVEMAN ENTS." IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING 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: J CITY OF 4&4rOs& Office of Building Official R UEST FOR INSPECTION Date Permit No. Time A.M. Received P.M.- Job Address ocalit Owner's Name Contractor BUILDING CONCRETE ��F UMBING MECHANICAL I Framing C Footing nugh C Air Cond. & C Re Roofing C Slab C Temp Pole Out C Heating Insulation ❑ Lintel C Finalwer ❑ Fire Place ❑ Pre Fab READ OR INSP A.M. Mon. Tues. Wed. Thurs. Friday p� A.M. Inspection Made '' a P.M. Final Inspection ❑ Inspector Certificate of Occupancy ❑ Date DATE : 9-- PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY x:3- WEST DUVAL STREET JACKSONVILLE, FLORIDA : «O2) THE FOLLOWING FINAL INSPECTION ( S ) HAVE BEEN MADE AND ARE SATISFACTORY : /71 S-0 c3-7 --- __ -�----------------------- ------------------------------------------------- ------ -------------------------------------------------- ------------------------------------------------- ------ -------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, BUILDING INSPECTION DIVISION cc : FILE CITY OF 41 Office of Building Official REQUEST FOR INSPECTI N —5 (,Q Per t o ' Date A.M. -73 P.M. Time ��,.�1 Received � t Locality Job Address \ Contractor MECHANICAL Owner's S� PLUMBIN ❑ Name ELECTRICAL ❑ Air Cond. & CONCRETE ❑ ugh ❑ Heating ❑ BUILDING C Rough Wiring Top Out ❑ Fire Place ❑ Footing ❑ Temp Pole ❑, Sewer J Pre Fab Framing ❑ Slab ❑ Final ,•�a�`p Re Roofing ❑ Lintel A.M. Insulation READ R INSPECTION F Thurs. riday Wed. Tues. A.M. Mon. O -i P.M. t� Final Inspection y� Inspection Made , Certificate of Occupancy Inspector Date BUILDIN53 AND ZONING INSPECTIOt',1 DIVISION CITY OF ATLANTIC BEACH g � iYl AILAN11C mP.ACH,,@i�F�L�r;+Rtbk !~9195 g APPLICATION FOR MECHANICAL PERMIT `�-cALI iN NlitdlOER WIPORTANTApplicrnt Io cornpieie al; i^erns ir! sections 1, Is 111, 5fid IV. w lt}ClttTfUN Strt+t ..�._-- OF Infrltsc 11q Strrrrs; BVILDING IL IDENTIFICATION To ba completed by a!l applicants. fr.. contidoration of pormit q'�rn f6' doitry tEw .ort. as das:riLed it fhn er:c.a tta�P+r?eM re herebj `B'ea to porfprm to:d York in ottt'da(re with The oltaalld p!cns en:f 1po:if;cet:ers W{=i;h err a part he jc1 cnd in arcwfh'r:v .i'i' !!,e C'+y of Jarksr;nvilis oro'inanrnr en.t ityrdardl l of a:�,d n'act':o listed therein _,..A ._ T7: r:print) p f- F I �1 k T_f1 A o�rr ��M __ _Name of -,_ Fi F- . MEADF_ frop4riy o»nar CAC057553 _._ Slyrta ro of O■istr i � Arcl hurt of or Avfka0trd Agent I — �.retiifrtl or En�inrir � MWAL INFORMATION A. lyp4 of titatinq fuel: Is CATIJMR CON;7AUr:T1oN ot:l 0 ��triC Ttllf BUtLCIKt30R f+7TE4 — ..�.,�........,— Q Gat--13 V O N.rvrel d 00,0141 Ufi{itY IF Yee, GIVE ti UFAi+ER OF CONSTRUCTION d Oil PER)AIT IV. mwvilmw.AL KuIr wy TO at INL'"SD NAl'11 i_OF WORK (Irvrido complofe list of t:ompoot"tt on!rock of this form) P.a,0derittal or a.-'mrnetClel wl"N*611 0 Space 0 ltwssoj Fk"-, 0 Now Building Q Air C4#Arfienln9: 0 Raam 0 GOntnl � �� u cxta. rap t3a+tidin� mit} `� Fivoiac�ment of Hrlailnp mystom Q Duel Syrltm: M0t4r;41 L—Ly �-•�----a._ ��yy�� ❑ New inet0ligtiC+(NI: systern prevl::ueiy ir+ataued) ►Aa><imum t•.apatitY _.��S� t.f.m. E iJ Extension or add-an L-o 6xlelinp Bysle'l) R4fri ♦ration Q Cooliq towrr: capacity }~] Rts rprinkiw c Numbtr of h4+ndr_ - ._---.-------• . -- -. --_—._.-___- ._ ® B"*tw Q Rd4e11ft C] THIS "AICE POIL C MOS USA ONLY Q . AB6ot{nB pum (nurob4rl ( I [+�. Tt�ey�.k -�.�...(numbot� R4rnor4s .-..,►_---�_--_ �.c�..- �._.....-e--.-...- Q UnftraJ pmturb r24i4l POrcnit <r1F�rorOJ by.._.w_._..._.....�..�...•—. (3 Beller I) O*w — ip44ify Permit Fra—a.._..-._-....,_._ L1wr.ALL EQUIPMEN'1 ----- A1R C4tiiD1110NING AND REFRtGER.A.TION EQUIPMENT Cj�ty Approving Nvmbor VxCa rlptim modal Number ]�+►tt1 ,�.tuxcr ) HEATING - FURNACE$, BOILERS, FIREPLACES 01�ty A .15 Number Urdu "a3 Dription 3�Ssr +1 Nwxaber W"ttdantlusr _— (m Affmay �_. TANKS liaw 7aG►ny xw1aa1 Cel city 'Y°76 ugwd NIX%* 9[ :Saxi:l Approving alai � nts,It►�cI_... �taiactts+er _.---_..No.�...._.�.._.....— r"'�T Rer 3 RECEIVED CITY OF ATLANTIC EEACH r,t; 1 q 1998 PERMIT APPLICATION Ft CEEL, ADDITIONS, OR ALTERATIp�S MOVING, D�IOLITIONS City of At►antic Beach Building and Zoning Owner(s) : I?N'ILIP TtA)(,t-E Address: 335-.?? 77-h' ST. Phone: Lot # Block or Unit # Subdivision: Contractor: State License 4 CBC 04564 3 Address: ( I i - Zp s40 T096* 7-2-6 Phone No: 2,,6Z- `f7 75' City l;E 37,z73 Describe work to be done: ?,jE1AAc6 FL2E DpMv�-GCD FoF1"S, &) Apo,-11—ada" SMUCTWLP', C-HA.IJGCS . DR-ViWAU, .1 RN-JI-AC, . 1QR!xLl04 r,-11:5 0 63 ETC. E LG-r-T2l CA L (344y G H-T Tb i65 6tiJ 7- Co 4c� _esent use of building: DvPLGY Valuation of Proposed Constrscticn ffd1 OOO. Od Pr000sed use: TGSkQJONI A',- DvPLEX _. Is this an addition? A1)O If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? �✓E_"� / New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE (CCMMERCIA.L) TWO (RESI=TIAL) C--?-IPLETE SETS OF PLANS, =CL=ING SITE PLAN, SURVEY, ENERGY COTE FORMS, NC==. OF CONA4E.'`l `7T, AND OWNER/CCNTRACTCR AFFIDAVIT, IF OWNER IS CON _ TOR. Sianature OWNER: r Date: S-`I- 9Q8 Signature CONTRACTO Date: Sworn to and subscribed before me this day of NOT RY PUBLIC STATE OE ORIDA AT LAJc 5 0 M.E.McCullough MY COMMISSION#CC684713 EXPIRES November 1,2001 E M1d;•' BONDED TM TROY FAIN INSURANCE INC QEF PSR-3844 17214 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION - ----- LOCATION INFORMATION rmit Number : 172114 iress * 375 FOURTH STREET AND 377 ermit Type: PLUMBING ATLANTIC BEACH ., FLORIDA 32233 ass of Work:REMODEL LEGAL DESCRIPTION onstr . Type :WOOD FRAME Block : 6 Let , 28 Twp ,. coposed Use: SINGLE FAMILY Section: 0 Subd: 60- Rng: Dwellings : 0 subdivision:ATLANTIC BEACH A Est . Value: 0 .00 )nProv, Cost : 0 .00 Total Fees : 50 . 00 Amount Paid: 50 - 00 Date Paid. `V1998 Ls DATION FEES ----------- OWN ER, INFORK& 10 14 APPL_ V, T PHILIP TINOLE V T r 10 .or, I r '?� 11 -17 V16tMTH ,STREET r iTXC-,'#RACH, FLORIDA 3"11 .one*, CONI`,,7ACT0R- !NFOFMATTON tide BIG j -40 PLUMBING INC . Ar: P.O. BOX 48384 �, -rL '3224r -----,JAr7FS0NV ur 2 i c,- CFC050595 k Exp : pe, NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 9/25/98 @1 Receipt: 0089600 ATLANTIC BEACH BUILDING DEPARTMENT CHECKS 6668 By: I CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 3?S- * �� / 1-i" V r-ee 4 OWNER OF PROPERTY: M(- -T PLUMBING CONTRACTOR: �j�Jl �''►'� 1 �^rn�,"`1 CONTRACTOR'S ADDRESS: 625-( Pc),,, STATE LICENSE NUMBER: CFC-0 5'05 /r TELEPHONE: 72-3�6 HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. CITY OF ATLANTIC BEACH PERMIT CAL ULATION SH T �L Address ' 3 Lf S7- r- -6urc-A Date 9 ' l� +� 0 Heated Square Footage IMP@ $ per sq 'It S Garage/Shed —a�� @ $ per sq = _ = S A.V Carport/Porch 1` to S per sq ft = S Deck S(� �_@ $ per sq fr = S Patio @ $ per sq ft = S 0,11TOTAL VALUATION : S 30,0(00 S01 0 0 6 Total Valuation 1st $/bd v Nr Remaining Value $6- per thousand or portion thereof TOTAL BUILDING FEE S 6 0 , + 1;2 Filing Fee $ ( ) Fireplaces @ $15 . 00 S BUILDING PERMIT FEE S_ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP S CAPITAL IMPROVEMENT S SEWER TA- RADON (HRS ) 0050 SECTION H PAVING i r $ HYDRAULIC SHARES CROSS CONNECTION $ ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE S qo ' ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimminaPool Septic Tank ; well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : Book 9474 P'g 1829 �S s rn I `� "� - Bk-. 9474 Pg: 1829 Doc# 98229130 Filed & Recorded 09/18/98 12:01.13 P-11- NOTICE OF COMMENCEMENT HENRY W. COOP. CLERK CIRCUIT COURT DUVAL COUNTY, FL. REC. $ 6.00 To whom it may concern: The undersigned hereby informs you 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 LOT A A;t o4d/-/C ft-ACy - A--agap s OaC.�- 69 General description of improvements riff AWVAGE" XMw4s Owner Allay //A/IsLL Address -377 -/ 7# SSr eltl "dT[.A.✓rc . cam C`1 lF42SI40 Owners interest in sight of improvement 6�✓�✓ Fee Simple/ Title holder ( if other than owner ) N/ Name N/e Address 6Z'g7lContractor L P HUFFINGH INC Z Address 11111-2A SAN JOSE BLVD #226 JACKSONVILLE, FL--3a223-- Surety L32223Surety ( if any) N/ Address Amount of bond $ Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address Owner Sworn to and sx, bsribed be ore me this Y° M. E.McCullough �qday of 19 i?' «: «: Ml'COMMISSION#CC684713 EXPIRES o= November 1,2001 BONDED THRU TROY FAIN INSURANCE,INC LOT 30;; $LOCK. f, A'I'I.M+`1'IC BF:ACHr AS RECORDED :i`. PI.A1' BOOK 5, I•AGE 650 or' 'Vllr cu:tlirrlr pLM':Z(tR:)C' ,SDS OF L`UVAL WLGiTY, FLORIDA* 'I - +�,� -ice i✓i! t��v�i�: 'U�' - iZ;' >r 1-.Xi 7' 7- ky -- - - fu SO. U 0 V ".+ L; Of ve fAj �•,A 5C). r ' 1-4 5 4l'/,Q%"E ' ft J! �•r FLORIDA November 4 19_87 NAME. Roy Deese Realty.1ne. 119.25 TL. ADDRESS081 South 3rd Street Irl I I /D4/R7 Jacksonville Beach 32250 CITY ----- RAID F$149.25Nd� 0 4 Water Tap Fee #40-343-3700 377 Fourth Street CITY OF ATLANTIC BEACH ATLANTICLEPHONE: 249,2895 IDA 2239 TELEPHONE: P_ A I_ D UTILITY BILL NOV o 4 1981 DATE WATER ETERS WATER SEWER GARBAGE I OTHER TOTAL DUE METERS Receipt MAKE CH 1/l yl v� 13/11 " ORDER. TAKE REC IPT TO PUaLIC g s'o� — - TREASURER CITY a WORKS DPT. TO SCHEDU E WORK I 1200 SANDPIPER LML ' RETAIN THIS STUB PAYABLE IN ADVANCE SERVICE DISCONTINUED NO REFUNDS IF NOT PAID WITHIN 80 DAYS OF DATE SHOWN USE THIS FORM FOR ESTIMATES ONLY Roy H. 'Deese Re-Pipe to provide for Roy Deese Realty, Inc. two separate water meters 375-377 4th St. eck requ firemen �10�r Ph: 241-5060 separate sewer laDUPLEX g October 1987 .<::::::� DESCRIPTION QTY. MATERIALS LABOR TOTAL 1 X 4 Cast Iron Saddle 1 2g 00 3/4 CORP STOP 3/4 CURB STOP 1 8 00 3/4 METER 1 85 00 POLY BUSHING 3/4 2 6 40 INSERTS 3 4 2 10% O. H. • 13 98 Total Material ' 153 78 — Two men hand di ($12:9 /HR $38 82 FOR 3 HRS) 11 65 30% O. H. _— $50 47 ' Total Labor MATERIALS I ASOR TOTAL TOTAL $153 78 $50 47 $204 25 AMOUNT OTHER JOB EXPENSES 30 00 MISC. JOB EXPENSES $234 25 n 10.00/HR) F0 $3 COST 1 Truck ($ $3 0 TOTAL SELLING PRICE 3 HRS LESS TOTAL COST V Gnoss PROFIT LESS Ov ERHEAO COST Of SELLING PRICE ` TOTAL NET PROFIT • I . ` f CITY OF ATLANTIC BEACH SPECIAL INVESTIGATION TO BE FILLED OUT BY COMPLAINTANT DATE ADDRESS/ LOCATION4 COMPLAINT ��1 c=� �•9iZi�G� //✓ (.t7' OWNER OF PROPERTY Z .A.)MQ SIGNATURE OF COMPLAINTA3PHONE # ----'42V6 X lD jQ --------------------------------------------------------------------------------------- FOR OFFICE USE ONLY DATE OF INVESTIGATION ( - l V INVESTIGATOR CONDITIONS FOUND ACTION TAKEN .& h O 1 COMPLIANCE___& NOTES: r CITY OF ATLANTIC BEACH SPECIAL INVESTIGATION TO BE FILLED OUT BY COMPLAINTANT DATE ADDRESS LOCATION% FOR OFFICE USE ONLY Date------ ....19 Z.V Permit #-----1-Z .��.••-..Fee$.--•-� ---n-... CITY OF ATLANTIC BEACH Valuation $..... ............................ FLORIDA house # 3.7..�� !;�-....................................... APPLICATION FOR BUILDING PERMIT ---------------------------------------------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. ✓ _ 'A Date----------------- ----------------�-, 19? ---- Owner....Av ( ------------------•-------... Address - Telephone No..-- ------- Architect -��..d{11�._... /4✓C--- 3XK ..... (V C /�fJ C...C, �l/f...y--L-#•-- Address J �Ff Telephone No------------------ Contractor Builder_.Q<� ----------------------------------------Address...A---------------------------------------------------Telephone No.-•-----_------------------ Q •--------•-•----------Block No..--- ----•-------------------Sub Division V ------------- Lot No. ---��?�Q (Q •----Zone- - -----=----- Vit! i' ---- ------------------•-------- Street---- - --- 00, - - Side Between ! : and.C Sr._ C1f� r tai Sts. Valuation $--- -.For what purpose will building be used-_______-_--_. ---------------------Type of construction...-y .!G.-----M-�---- Dimensions of Building------.----------_-.-----... ___._.--Dimensions of Lot_--t;' �._W_ -6'C7---Size of Footings._-.f- _ ._._... Size of Piers.----------------------------------Size of Sills------ --------- -_.--------Greatest Sill Span in ft...-—--------............Type Roo --t D---•--------.•--- How will Building be Heated?____ -- ------------------Will Building be on Solid or Filled Ground?._______.--_.-.--..-_.__-----.-.---._--_ pp Size of Ceiling Joists---_4 A-8----------------_........ Distance on Centers....t_�t2..__�r_r. +�.__...__..._. Greatest Span_---- ............. Size of Floor Joists------ X.1-Q-----------------------_ Distance on Centers...... .h- - .......... Greatest Span.------- ----------- " Size of Rafters.._------- ZX--i6------------------------- Distance on Centers ...1. _.... - C'._.__--, Greatest Span.._._.._C.-- ---.--.........----.------- " This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall :U C, be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W $ 17 -0 o ► ~ M (� 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. .a re 11 M a N 17 E 4. When framing is completed. p Ip ) p 5. When rough plumbing is completed,and ready to cover up. a o P 1 C a 6. When septic tank drain field or sewer is laid but before it is covered. q \ ivil \ A 7. Electrical inspection by City of Jacksonville. N 8. Final inspection. h Note: In case of any rejection,re-inspection MUST be called for after corrections are made. 5c' FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with a attached p ns and s cifications, which are a part hereof, and in accordance with the building regulations of the City Atl t' ea n a�� Signature of Builder- ---•. ------.--- ---• ----- ---•--. .• a -- Signature of Owner.. - - --- h----- --------- -- --------------- Address...s _sr--� -------Aer..--. ------ A ----�. Av4A 4.ej, CITY OF ATLANTIC BEACH APPLICATION FOR FLU`kTBING PERMIT PERMIT NO . Date : LOCATION 3��! d- � d'1 �/fti S7- ,- Street LOT NO . 0-y BLOCK NO . (a _ S./D- OVIVER14r. -- R,-,Jetor MASTER FLU"OBER A4,y- 6. Bldg. BUILDER OR CONTRACTOR Eal<e TYPE OF BUILDINGA.)0L eX 2SIE KS `t LAVATORY�BATH TUBS URINALS�CLO SET S FLOOR DRAIDS SH014ERS2WATER HEATERS DISH4ASHERS DISPOSALS OTHER TOTAL FIXTURES__-_ 1.1 .00 NO WORK MUST BE DONE UNTIL A PERMIT HAS BEEN FROCURED PLANS AND SF.ECIFICATIONS must show a plan and description of the size -.and location of all the soil and vent pipes, and the number ana location of all fixtures , (in accordanae with Ordinance no'. 188 of the City •S Atlantic Beach, Florida) must be shown on back of appli- cation and be approved by the Plumbing Inspectoor. DRA9 PLAi� AND SIECIFICATION OF ABOVE PLUMBING ON Br CK. hpproved by Plumbing; Inspector Date (FOR OFFICE USE ONLY) ROUGH-IN INSPECTED ARKS_�21�_ FINAL INSPECTION: lf- V7 CERTIFICATE ISSUED: CITY OF ATLANTIC BEACH APPLICATION FOR FLUMBING PERMIT PERMIT 1,0. Date :- f,-0r 0 )91)2 LOCATION 375' 4377 Strbet LOT NO. �2 r4 BLOCK NO ,i l!7 /� S/L OWNER- MASTER WNERMASTER FLU"OBER .� . Bldg. BUILDER OR CONTRACTOR &,_Aer" Permit,- o.. TYPE OF BUILDING DU 2L X ,$I1 r_S LLAVATORYBATH TUBS URINALS CLOSETS i FLOOR DRAIDS SHOWERS__s9d_WATER HEATERSDISHdASHERS DISPOSALS OTHER - 1., sb/&)Q r cl i�S ------ TOTAL FIXTURES /9, '*1 , 00 NO WORT MUST BE DOME UNTIL A PERMIT HAS BEEN FROCURED PLANS AND SPECIFICATIONS must show a plan and. description of the size .-.and location of all the soil and vent pipes, and the number and location of all fixtures , (in accordance with Ordinance. no. 188 of the City of Atlantic Beach, Florida) must be shown on back of appli- cation and be' approved by the Plumbing Inspector. DRA4 ELAN AND SIECIFICATION OF ABOVE FLUMBIEG ON BACK. approved by Flumbing Inspector Date (FOR OFFICE USE ONLY) ROUGH-IN INSPECTED y-zG 7 Z- REIfQARYS �'lr FINAL INSPECTION: CERTIFICATE ISSUED: CITY OF y4�sstic /3ec�,�i-� f3-/ 7 Office Building Offic' -�/7)- LO REQUEST FOR INS P CTION / -73.x3 Date 6 -3 -99 Permit No. / 7 zl Time A.M. Received PM. 3 7 5— 3 7 7 Job Address \ � Locality ' Owner's Contractor ILD ONCRETE ELECTRICAL PL NG MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Air Con ❑ Re Roofing ❑ Slab — Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel _ Final ❑ Sewer i-: Fire Place ❑ Pre Fab READY FOR INSPECTION M. Mon. Tues. Wed. Thurs. Friday P. A.M. Inspection Made Inspector Final Inspectio e i a e o ccupancy ❑ Date Q CITY OF Office of Building Official o�:- -7j 5 V Date REQUEST FOR INSPECTION q Time C Received AM PM. Permit N Jo ddress + Owner's Name UILD Locality Framing CONCRETE Contractor ns Roofing G Footing ECTRICALof Ir 11'eloo Insulation Slab Lintel ❑ Rough wiring MBIN Temp Pole C' RoughMECHgNIC Final Top Out Air Sewer 13 Heating g Mon. READY F C ❑ � atin9 Tues. OR INSPECTION Fire Place InspectionMade wed. Pre Fab 0 Inspector urs A.M. M. Final inspection Certificate° Date cy G DEPARTMENT OF BUILDING 4 017 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date-----3/21 19 7 9 Valuation$ 800.00 Fee $ 5.00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisiow of law. This is to certify that Robert C. Longuil I has permission to build a screen porch addition Classification residential 7,nne Owned by Robert C. Longuil Oi 5 ; A 3/ 1/7 4 .. Lot Block S JI)._J IL 3/21/i House No 377 Sth. Street i Lit;; According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS +l AFTER DATE OF ISSUE ---► �– ► O Building material, rubbish and debris ?I from this work must not be placed in I public space, and must be cleared up ! and hauled away by either contractor or owner. Bill M. Davis Building Official. FOR OFFICE PERMIT D USE ONLY NUMBER ATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER #TAILdRE TO COMPLY WITH THE MECHANICS FOR OFFICE USE ONLY LIEN LAW C_� � RESULT IN THE PROPERTY Date.._- .�/a2-------------19 ------ OWN. R PAYANG TWICE FOR BUILDING Permit 6_11--Yee .....19 IMPROYEMENTS.'CITY OF ATLANTIC BEACH Valuation $-.-----5 �_...................... FLORIDAHouse #----------------------------------------------------------- .••------------•----•-----••----•------•----------------•-•-••-•-----------. APPLICATION FOR BUILDING PERMIT ---------------------------------------------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. 2 y ( ( z Date. o - .2 V- , 19. . Owner---.\ fl-�3-4`r`-�• �-!.4 xL �1- Address ✓ 7 7 —S Telephone Architect--.....-----•.................................................................................Address-.-----------------------------------------------.--......Telephone No.----..--------------------.. Contractor Builder...........................................................-----------------.Address-----------------------------.........--------------------Telephone No..-------------------------- LotNo...................................................Block No------------------------------..Sub Division--------------------------------------------------------------------------------Zone-•----------- Valuation $-------------------�--------Forswhat purpose will building Between. -----••-----•-----------•--...--+------•--------and..---•-•--•---••-•-------..-.....-•--•------------.--- ------------- Ste;. ---------•-----•------ 1. uilding be used------ t Type O 0 0 1 � -•-.------ T e of construction---�-----------------•--.... Dimensions of Building----------------------------------------Dimensions of Lot---....................................--------------Size of Footings-------------------------------------- Size of Piers------------•-----------------------Size of Sills----- --------------------------Greatest Sill Span in ft...........................Type Roof.......--.....--.T.................... �/ .......................Will Building be on Solid or Filled Ground. S n I 1 � How will Building be Heated?------------�-`�•--�----------------- g �---••..................------......---- Size of Ceiling Joists-----x- /-__---.------�--------------------- Distance on Centers--...........------...............-..--.. Greatest Span-----..---......-..----.-------.------------ " Size of Floor Joists..--z XJ&.....!"..✓V..S-------- Distance on Centers--.--...... ................................. Greatest Span............................................ " Size of Rafters. ------------------------------------------------ Distance on Centers.......................................... Greatest Span. --------•------------------------------ „ This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from APPROVED all lot-lines and existing buildings. CITY OF ATLANTIC BEACH REAR LOT LINE Two copies of plans and specifications shall BUIL I DIVG OFFICE be submitted with application. Inspections required. O 1. When steel is in place and ready to pour footing. W 2. When steel is in place and ready to pour columns or tb1. 3. When steel is in place and ready to pour beam. 4. When framing is completed. O s 5. When rough plumbing is completed,and ready to cover up. ~l 6. When septic tank drain field or sewer is laid but before it is covered. q A 7. Electrical inspection by City of Jacksorville. V 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signature of Builde ••• ..................._....__... Address-------------•--•--••--•-------......---------------------------- .............. .....-•----. j6C� xAddress.... ............. .- -- •Signature of Owne � _ CITY Of A ANTIC BENCH r - BUIL G OFFICE -- --- -- - - - M 20 d .�O. DEPARTMENT OF BUILDING 318 6 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 9/2 3/?6 is Valuation$ 1.000 Fee $ 3.00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that Belton N. Wall has permission to build prefab fireplace and clliyt ney Classification Residence gone Owned by pat Bartelson, 381 - 4th St- Lot Block S/D House No. 381 - 4th St. , Atlantic Beach, Fla. According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS I AFTER DATE OF ISSUE ♦--� ► O Building material, rubbish and debris I Zi from this work must not be placed in public space, and must be cleared up and hauled away by either contractor or owner. I i Building OffieW FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR I I PLUMBING ELECTRICAL I SEWER WATER BUILDING PERMIT APPLICATION JURISDICTION OFA' APPLICANT TO COMPLETE SECTION A ONLY SECTION A JOB ADDRESS LEGAL LOT NO. BLK. TRACT DESCR. (❑SEE ATTACHED SHEET) 2 OWNE MAIL ADDRESS ZIP PHONE AV. e�zow 36( 4-04 3223 6 -ZI40 3 CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. ARCHITECT OR DESIGNER MAIL ADDRESS 4'--' rpx� �`, PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 6 CLASS OF WORK: F-] NEW ADDITION ALTERATION REPAIR EIMOVE REMOVE 7 BUILDING CHARACTERISTICS C.PRINCIPAL TYPE OF FRAME G.DIMENSIONS A. PROPOSED USE GROUP _/MASONRY L/ NUMBER OF STORIE .__ RESIDENTIAL NON-RESIDENTIAL _ l OOD FRAME TOTAL SQUARE FEET-OF FLOOR _STRUCTURAL STEEL AREA,ALL FLOORS.BASED ❑ONE FAMILY DWELLING RASSEMBLY -REINFORCED CONCRETE EXTERIOR DIMENSIONS _ _OTHER -SPECIFY TOTAL LAND A A,SQ. FT. TWO OR MORE FAMILY DWELLING; 0 BUSINESS (OFFICE) IS� a NO.OF UNITS__ D.TYPE OF HEATING FUEL H PARK NGOFOFEFS STREET EDUCATIONAL nHOTEL,MOTEL, DORMITORY, ENCLOSED NO.OF UNITS F-]FACTORY -INDUSTRIAL -GAS OUTDOORS 2 GARAGE HAZARDOUS _ LECTRICITY I. RESIDENTIAL BUILDINGS ONLY _COAL CARPORT INSTITUTIONAL -OTHER -SPECIFY NUMBER OF BEDROOMS O E - SPE fY - MERCANTILE E.TYPE OF SEWAGE DISPOSAL NUMBER OF BATHROOMS 1 Al STORAGE _PUBLIC OR PRIVATE COMPANY � FULL OTHER -SPECIFY --'PRIVATE (SEPTIC TANK,ETC.) PARTIAL F.TYPE OF WATER SUPPLY -.46BLIC OR PRIVATE COMPANY _PRIVATE (WELL,CISTERN) B. NON-RESIDENTIAL - DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING. 8 VALUATION OF WORK A. BUILDINGS I OOG7 B. PLUMBING$ C. MECHANICAL$ D. ELECTRICAL$ E. OTHER$ F. TOTAL VALUATION 10010- I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF 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 OTHER STATE OR LOCAL LAW REGULAT- ING CONS RUCTION OR THE PERFORM =RUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 2(/(DATE)�� SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BUILDING PERMIT APPLICATION JURISDICTION OF �� APPLICANT TO COMPLETE SECTION A ONLY SECTION A JO(3 ADDRESS -W 1 . Le_�:'�- �f I LEGAL LO i NO. BLK. T RA( T 1 DLSCR. ([:]SEE ATTACHED SHEET) 2 OWNE MAIL ADDRESS ZIP PHONE PA. Irv- e�*�w 36 4 223 G -Z14 CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. 3 _ARCHITECT OR DESIGNER MAIL ADDRESS �K� �,. PHONE LICENSE NO. a j 155'0 4- L V�//Sl►1... 3 4 1C'> C /S�I�JL N4 r -2'1 p - ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 6 CLASS OF WORK ❑NEW ADDITION ffrALTERATION OREPAIR MOVE REMOVE 7 BUILDING CHARACTERISTICS C.PRINCIPAL TYPE OF FRAME G.DIMENSIONS A. PROPOSED USE GROUP _MASONRY NUMBER OF STORIES_ RESIDENTIAL NON-RESIDENTIAL -�OOD FRAME TOTAL SQUARE FEET OF FLOOR _STRUCTURAL STEEL AREA.ALL FLOORS.BASED [PONE FAMILY DWELLING ASSEMBLY —REINFORCEDCONCRETE EXTERIOR DIMENSIONS _OTHER -SPECIFY TO AL LANDD,A A,SQ. FT. TWO OR MORE FAMILY DWELLING; ❑BUSINESS (OFFICE) NO.OF UNITS k H,NUMBER OF OFF-STREET EDUCATIONAL D.TYPE OF HEATING FUEL PAR KING SPACES [ HOTEL,MOTEL, DORMITORY, ENCLOSED NO.OF UNITS �FACTORY -INDUSTRIAL _GAS OUTDOORS OI FIGARAGE HAZARDOUS LECTRICITY J. RESIDENTIAL BUILDINGS ONLY _COAL F-ICARPORT INSTITUTIONAL —OTHER -SPECIFY NUMBER OF BEDROOMS JAOVE SPE Y MERCANTILE E.TYPE OF SEWAGE DISPOSAL NUMBER OF BATHROOMS 1:]STORAGE FULL Z� _PUBLIC OR PRIVATE COMPANY OTHER -SPECIFY -PRIVATE (SEPTIC TANK,ETC.) PARTIAL F,TYPE OF WATER SUPPLY _ZfUBLIC OR PRIVATE COMPANY _PRIVATE (WELL,CISTERN) B. NON-RESIDENTIAL - DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING. 8 VALUATION OF WORK A. BUILDINGS IOdU B. PLUMBING$ C. MECHANICAL$ D. ELECTRICAL$ E. OTHER$ F TOTAL VALUATION 10010- I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF 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 OTHER STATE OR LOCAL LAW REGULAT ING CON RUCTION OR THE PERFORMA CE CONSTRUCTION. - S• _w_ ___ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) i SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BUILDING PERMIT APPLICATION JURISDICTION OF � �[,c�1��c APPLICANT TO COMPLETE SECTION A ONLY SECTION A JOEi ADDRF SS LEGAL- I I NO. BLK- TRA(,I 1 DESC R. ([]SEE ATTACHED SHEET) 2 OWNE MAIL ADDRESS ZIP PHONE &v e�zo� 3w st• s2233 24G -Zi 4 3 CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. ARCHITECT OR DESIGNER MAIL ADDRESS (oxo �� PHONE LICENSE NO. L G_ Wh1._L 341c,> G� AD/sut �+yr� ?`j ENGINEER 4 5 MAIL ADDRESS PHONE LICENSE NO. 6 CLASS OF WORK: ❑NEW ❑ADDITION ALTERATION ❑REPAIR ❑MOVE [-]REMOVE 7 BUILDING CHARACTERISTICS C.PRINCIPAL TYPE OF FRAME G.DIMENSIONS A. PROPOSED USE GROUP _MASONRY NUMBER OF STORIES_ RESIDENTIAL NON-RESIDENTIAL -.'-<OODFRAME TOTAL SQUARE FEET OF FLOOR _STRUCTURAL STEEL AREA,ALL FLOORS.BASED LONE FAMILY DWELLING F-]ASSEMBLY —REINFORCEDCONCRETE EXTERIOR DIMENSIONS _OTHER -SPECIFY TOTAL LAND A A,SQ. FT. TWO OR MORE FAMILY DWELLING; [:]BUSINESS (OFFICE) �, �s; - NO.OF UNITS_kH.NUMBER OF OFF-STREET ❑EDUCATIONAL D.TYPE OF HEATING FUEL PARKING SPACES ❑HOTEL,MOTEL,DORMITORY, ENCLOSED NO.OF UNITS ❑FACTORY -INDUSTRIAL —GAS OUTDOORS 2, ❑GARAGE ❑HAZARDOUS _ LECTRICITY I. RESIDENTIAL BUILDINGS ONLY _COAL ❑CARPORT ❑INSTITUTIONAL —OTHER -SPECIFY NUMBER OF BEDROOMS O qE SPE Y _ ❑MERCANTILE E.TYPE OF SEWAGE DISPOSAL NUMBER OF BATHROOMS � ❑STORAGE _PUBLIC OR PRIVATE COMPANY � FULLGOTHER -SPECIFY PRIVATE (SEPTIC TANK,ETC.) PARTIAL F.TYPE OF WATER SUPPLY _ZrUBLIC OR PRIVATE COMPANY _PRIVATE (WELL,CISTERN) B. NON-RESIDENTIAL — DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING. 8 VALUATION OF WORK A. BUILDING$ I000 B. PLUMBING$ C. MECHANICAL$ D. ELECTRICAL$ E. OTHER$ F. TOTAL VALUATION 10010 I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF 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 OTHER STATE OR LOCAL LAW REGULAT- ING CON RUCTION OR THE PERFORMA CE CONSTRUCTION. Z.-1 STS _ -7 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BUILDING PERMIT APPLICATION JURISDICTION OF APPLICANT TO COMPLETE SECTION A ONLY SECTION A JOB ADDRESS LEGAL LOT NO. BLK. TRACT 1DESC R. ([:]SEE ATTACHED SHEET) 2 OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 6 CLASS OF WORK: ❑NEW [-]ADDITION ❑ALTERATION ❑REPAIR ❑MOVE []REMOVE 7 BUILDING CHARACTERISTICS C.PRINCIPAL TYPE OF FRAME G.DIMENSIONS A. PROPOSED USE GROUP -MASONRY NUMBER OF STORIES RESIDENTIAL NON-RESIDENTIAL -WOOD FRAME TOTAL SQUARE FEET OF FLOOR _STRUCTURAL STEEL AREA,ALL FLOORS.BASED ON ❑ONE FAMILY DWELLING ❑ASSEMBLY -.REINFORCED CONCRETE EXTERIOR DIMENSIONS -OTHER -SPECIFY TOTAL LAND AREA,SQ. FT. ❑TWO OR MORE FAMILY DWELLING; F-1 BUSINESS (OFFICE) NO.OF UNITS H.NUMBER OF OFF-STREET F-]EDUCATIONAL D.TYPE OF HEATING FUEL PARKING SPACES ❑HOTEL,MOTEL,DORMITORY, ENCLOSED NO.OF UNITS ❑FACTORY-INDUSTRIAL -GAS OUTDOORS -01 L ❑GARAGE ❑HAZARDOUS _ELECTRICITY I. RESIDENTIAL BUILDINGS ONLY _COAL ❑CARPORT ❑ INSTITUTIONAL -OTHER -SPECIFY NUMBER OF BEDROOMS ❑OTHER-SPECIFY ❑MERCANTILE E.TYPE OF SEWAGE DISPOSAL NUMBER OF BATHROOMS- []STORAGE ATHROOMS❑STORAGE FULL _PUBLIC OR PRIVATE COMPANY ❑OTHER-SPECIFY _PRIVATE (SEPTIC TANK,ETC.) PARTIAL F.TYPE OF WATER SUPPLY _PUBLIC OR PRIVATE COMPANY -PRIVATE (WELL,CISTERN) B. NON-RESIDENTIAL- DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING. 8 VALUATION OF WORK A. BUILDING$ B. PLUMBING$ C. MECHANICAL$ D. ELECTRICAL$ E. OTHER$ F. TOTAL VALUATION I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF 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 OTHER STATE OR LOCAL LAW REGULAT- ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BUILDING PERMIT APPLICATION JURISDICTION OF APPLICANT TO COMPLETE SECTION A ONLY SECTION A JOB ADDRESS LEGAL LOT NO. BLK. TRACT DESC R. ([]SEE ATTACHED SHEET) 2 OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 5 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 6 CLASS OF WORK: ❑NEW [-]ADDITION ❑ALTERATION []REPAIR ❑MOVE ❑REMOVE 7 BUILDING CHARACTERISTICS C.PRINCIPAL TYPE OF FRAME G.DIMENSIONS A. PROPOSED USE GROUP _MASONRY NUMBER OF STORIES RESIDENTIAL NON-RESIDENTIAL -WOOD FRAME TOTAL SQUARE FEET OF FLOOR _STRUCTURAL STEEL AREA,ALL FLOORS.BASED ON []ONE FAMILY DWELLING ❑ASSEMBLY -REINFORCED CONCRETE EXTERIOR DIMENSIONS- -OTHER -SPECI FY IMENSIONS_OTHER -SPECIFY TOTAL LAND AREA,SQ. FT. ❑TWO OR MORE FAMILY DWELLING; []BUSINESS (OFFICE) NO.OF UNITS H.NUMBER OF OFF-STREET ❑EDUCATIONAL D.TYPE OF HEATING FUEL PAR KING SPACES []HOTEL,MOTEL, DORMITORY, ENCLOSED NO.OF UNITS []FACTORY -INDUSTRIAL -GAS OUTDOORS _OI L ❑GARAGE ❑HAZARDOUS _ELECTRICITY I. RESIDENTIAL BUILDINGS ONLY _COAL []CARPORT ❑ INSTITUTIONAL _OTHER -SPECIFY NUMBER OF BEDROOMS - OTHER -SPECIFY ❑MERCANTILE E.TYPE OF SEWAGE DISPOSAL NUMBER OF BATHROOMS - [:]STORAGE _PUBLIC OR PRIVATE COMPANY FULL _ ❑OTHER -SPECIFY _PRIVATE (SEPTIC TANK,ETC.) {PARTIAL F,TYPE OF WATER SUPPLY _PUBLIC OR PRIVATE COMPANY _PRIVATE (WELL,CISTERN) B. NON-RESIDENTIAL - DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING. 8 VALUATION OF WORK A. BUILDING$ B. PLUMBING$ C. MECHANICAL$ D. ELECTRICAL$ E. OTHER$ F. TOTAL VALUATION I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF 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 OTHER STATE OR LOCAL LAW REGULAT- ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) 0002493 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH :MIT INF'ORliATIOfi -___.._. . --- LOCATION INFORMATIOtd t f7uA�ber: 2433 dt ti ess: 37x3 381 FOURTH 'ez~snit type: PLUMBING -_ATLANTIC BEACHvpl._._ LEGAL DESCRIClass of Mork: REPAIR Block: Constr• Type: N/ATownship! Proposed Use : DUPLEX Township! Dwellings: O Code: 0 , Estimated Value: 90. 00 Improv. Cost: 90. 00 Total Fees: 910. 00 Amount Paid: 910. 00 iL AL v is at d SEWER or es -•._ - - APPLICATION FEES -- -• `_ --_- OWNER INFORMATION - ____ _ - _ PERMIT 910. 00 Name: F`• W• FAIR WATER IMPACT FEE 90. 00 Address: 379 381 FOURTH STREET STREET 90. OCl ATLANTIC BEACH, FLORIDA 33^3:: RATER METER SEWER T FEE 90. 00 Phone; (904)241 -7191 RADON GAS-H. R. S. $0. 00 RADON GAS ��: $0. 00 ----- CON'T'RACTOR INFORMATION '' WATER TAP 90. 00 Name: F. W. FAIR PLUMBING COMPANY SEWER TAP 90. 00 Address: P. O. BOX 51558 �i250 HYDRAULIC SHARE 90. 00 JACKSONVILLE BEACH, FL RE-INSPECT FEE 90. 00 Liceuee: RF0037503 Type' 9 ENGINEERING 90' 00 OTHER $0. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ')ILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE -AIRED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. '1RE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN 1PERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTlI `1G TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUB4F6TTQ REVOCATION FOR 'CABLE PROVISIONS OF LAW. 69P RTMENT /CITY OF r4 /3.,CA-07&1 d- 4 Office of Building Official r REQUEST FOR INSPECTION Permit No. Date / A.M. Time P M Received _ �) S Locality Job Address �f Owner's ntractor PLUMBING MECHANICAL BUILDING CONCRETE ❑ Air Cond. & ❑ ❑ Roug inng ❑ Rough Footing ❑ Heating Framing Slab ❑ Temp Pole ❑ Top Out ❑ Re Roofing ❑ Final ❑ Sewer ❑ Fire Place Insulation Lintel Pre Fab READY FOR INSPECTION A.M. P.M. Tues. Wed. Thurs. Frida Mon. q9 A.M. P.M. Inspection Made Final Inspection ❑ Inspector Certificate of Occupancy ❑ Date //CITY OF /3 �} fY�KNLLLG �-T Office of Building Official REQUEST FOR INSPECTION Permit No. � Date Time A.M. Received P. `� M. �g`/ Locality Job Add Owner's Contract Name CONCRETE ELECTRICAL PLUMBING CHANT BUILDING ❑ Air Con . Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Heating Re Roofing 11 Slab ❑ Temp Pole E] Top Out ❑ Fire Place ❑ Lintel ❑ Final E] Sewer Insulation 11 Lintel Fab READY FOR INSPECTION A.M. Wed. Friday Mon. ./ A.M. \ J P.M. Inspection Made Final Inspection Inspector Certificate of cupancy ❑ Date May-13-98 08: 57A Harry McNally 904-247-5872 P-03 May-12-98 11 : 37A P.01 k PRICE QUOTE APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME MAILING ADDRESS PHONE NUMBERX71— 0 DATE SERVICE REOUESTED SERVICE LOCATION DATE SET TO PUBLIC WORKS—5--- — T _ _ ., 3� 0 DATE RETURNED TO BUILDING DEPARTMENT_-: PUBLIC WORKS DEPARTMENT PRICE QUOTE RESPONSE WATER -&CL 0 f f QP7 . 0-;? 7,-4p ��t,'D 5��72c/�Ct- •�!l/¢OC SEWER. OTHER: PRICE QUOTE PREPARED BY. 13 Sign t re - Tale DATE NOTIFIED OWNER JOHN McE. MILLER ATTORNEY AT LAA TELEPHONE (901) 285-5685 7301"L.C:VA' D, SUITE 1 F.AUSI:VHLE (90-1) 240-15-51 BEAC'1-1, FLORID.\ 52233 May 29 , 1998 VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED Ms . Donna Ross Ross Real Estates 1112 Third Street Neptune Beach, FL 32266 Re : Kathleen Beaudreau Water Meter - 379 4th Street, Atlantic Beach Dear Ms . Ross : Please be advised that I have the privilege of representing Kathleen Beaudreau. After having made inquiry with the City of Atlantic Beach Public Works Department, we have learned that it has been determined that the water meter located on the real property We he owner. referenced above is the property of my client, tlocated 381 hereby advise the owner of the adjacent property, 4th Street, Atlantic Beach, Florida, that the water service, via Ms . Beaudreau' s meter, will be discontinued as of June 30 , 1998 . As the property manager, please inform your client of this situation, and instruct them to make appropriate arrangements . I am, r er d myr f 1 Joh ICE . Miller JMM/sam CC : Ms . Julie Frye Ms . Kathleen Beaudreau Frye.sr Dear CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION _ Permit Number: 24273 - Address: 381 FOURTH STREET Permit Type: ,MECHANICAL. . ATLANTIC.BEACH, FL 32233 . I Township: Range: Book: Class of Work: ALTERATION Lot(s): Block: Section: Proposed Use: SINGLE FAMILY Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date issued: 6/14/2002 Name: BARTLESON, PATRICIA Total,Fees: 37.00 Address: 1 CHRISTOPHER STREET 11-C Amount Paid: 37.00 NY, NY 10014 . , Date Paid: . 6/1412002 Phone (212)633-0697 i Work Desc: REPLACE CONDENSE 1 HAl °'"' (CATION FEES CONTRACTORS 37.00 DONOVAN HEATING AND AIR tnz dired h. 1 ~` A 4 � amu. - NOTICk-INSPECT)QNSj$JS T BE REQUESTED AT LEAST 24 HOURS r Ric: fTO (NSF' ti TION BUILDING MATERIA„ RUBBISH` D DEBRIS FROM €HIS WORK ,E PI�£CE, PU .LIC SPACE, AND MUST BE CLEARED CIP AND HAULED? AWAY By 1 R "FAILURE TO COMPLY WITH T �'�t�l,�C�'6N LYN R"iESU ,f IN THE PROPERTY OWNER P aNG 1l,EItIII�ITS �r �' mow.. ISSUED ACCORDINGTO APPRO PL S , 1-�CH fiE.E'tTFIQEI ND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PR O j 0 r• JLANIER Type: OC DrareZ� DaI o p MI4[S� pt ILDING l A TIC BEACH UILDINno: 937.88 C '. 8818888372 G DEPT. I FbIJRT[C STREET-- — 937.86 CK CHECKS Trans date; 6114112 Tile1 15159113 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC 91ACH,FLORIDA 32133 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Add,: S y� OF (afersac9ng Street,: lief.•.. ! And BUILDING sub-dl.ldan Ii. IDENTIFICATION —To be completed by all applicants. In consider.floss of permit given for doing the work as described In the abo.e statement we hereby agr.e to perform said work In accordance ifIs the attedUd plans and specifications which ere a pert hereof and in accordance wfth the City of Jecksonrill• ordinances and danJ.rd, of good.practic. listed therein. Name el Mlll"101 l jam, �� I I (� f� Mostre<fers `-t t^� Cen6aafer lrinf A I Made IJV 4+ Nerve of Property �-� 3 7�Propertyner Property o. Slgnaf—of Own.. Signelureof w Aethwhad Ageef Archif.el or Engl...r TIL GENERAL INFORMATION A. Type of hoofing fuel: B. 15 OTHER CONSTRUCTION BEING DONE ON l aQ Electric THIS BUILDING OR SITE 1 ❑ Ges—❑ U ❑ Natural ❑ Cenfrel Utility IF Y£S, GIVE NUMBER OF CONSTRUCTION / ❑ Oil PERMIT ❑ Other—specify �— IV. MOCH/kNICAI.OQUIFM!(T TO It INSTALLW NATURE OF WORK (trst.ide complete BIN of ccsmponenh on bed of thil ❑ Residential or ❑ Commercial ❑' Hut ❑ Specs ❑ Recessed QSCenhel 0 Flo. ❑ New Building �Q Nr CendsHoning: ❑ 11 kir Central ❑ Existing Building ❑ D*cf System: Malarial Thlckns ❑ Replacement of existing system Ma.lmum capacity afun. ❑ New Inataliatlon(No system previously Installed) [3 Refrigeration ❑ Extension or add-on to existing system - ❑ Cooling towr: Capacity "in ❑ Other—Specify - ❑ Fire sprinklers: Number of heads . ❑ Elevator ❑ Manliff ❑ 6uletor Inumber( THIS SPACE POR OFFICE USA ONLY ❑ 6*6011.0 pump$ (number) (Ros.ired) ❑. Teaks_. (number) Remarks ❑ Ll6 cenlalnar+ (number) ❑ Unfired pressure rarer Q Boners Permit Approved by Data ❑ Other—SWcify Permit Fes LIBT ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Gpac! N Ter UBdta 008criptlon Model Number Manufacturer lbnetY �►yps�+d+i .! 7 HEATING • FURNACES, BOILERS, FIREPLACES C�pedt7 Number Unita IHMopes Number MoNumTer �taautaowrer (C,= TANKS now Many Nowlsal Capacity Type Uquid Nem*ad Serial APp�Yin SMod and meona Contained MLanufaottaer No. Y W13,RIM 11MIMMAW-W x_ INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-de us Application Number . . . . . 08-00000330 Date 3/20/08 Property Address . . . . . . 381 4TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . TO BE UPDATED Application valuation . . . . 2124 -------- ----- -------------------- ------------- - - - ------------- - t Application desc vinyl sliding door ---- Owner Contractor ---- ------------- ------- ------------- - ------ BARTLESON, PATRICIA LOWE' S HOME CENTERS INC PETER CAFARO/CONTRACTOR ATLANTIC BEACH FL 32233 4948 TELSON PL ORLANDO FL 32812 (904) 486-4701 --------------------- Structure Information 000 000 -- ------------------ Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ----------- ------------- ---- -------- ----- Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee 45 . 00 Plan Check Fee 22 •`- Issue Date . . . Valuation 212 Expiration Date 9/16/08 -i[ �.11- _ __ _ ------ -------------------- - -------- ---- - ----- ------ -- ---- - Special ___ _ - -- ---- - - - ---- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS - ----------------- -------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE .38 ST CONSTRUCTION SURCHARGE 6 . 88 AB CONSTRUCTION SURCHARGE • 76 Y STATE RADON SURCHARGE 7 . 26 -------- --- ---- - ---------- ------ - --------------- Fee summary Charged Paid Credited Due ----------- ------ __ __ --- ------ - - ------ --- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 PERMIT 1SP4P1dbV9&(69iN Nq&*6RDANCE WnW AI10 CITY OF ATQA 1ffkOaEACH ORDINANCE AND THE FLORIDaO BUILDING CODES. M CITY OF ATLANTIC BEACH f - ` t J 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 r) OFFICE:(904)247-5826•FAX NO.:(904)247-5845 a BUILDING-DEPT@COAB.US �rtty}' BUILDING PERMIT APPLICATION DUVAL COUNTY :;>F 3'SQ.jf �JiNDERR00F 3g�. �ouQtli� ;::�rp'WW Atlantic Beach, FL 32233 44:LEGALDESCRIPTION2' 5.CLASS WORK OF STRUCTURE r ❑NEW BUILDING ❑DEMOLITION ESIDENTIAL ( OT BLOCK SUB DIVISION '5 JV(Q- I(P El ADDITION /� [I CONVERTING USE ❑COMMERCIAL 3 e i p(1 C�p�QGE❑ACCESSORY BLDG 8:FIRE SPRINKLER I �i,.7 DESCRIPTION OFrWORK. x•:y,��&# »= I�ALTERATIO / ^^ ❑REPAIR "�� ❑POOL/SPA ❑YES /A ❑MOVE ❑OTH R ❑NO � ROP.ERTY:OWNER of•-.; �a � s t„r„ y'",:,i.CONTRAGTOR:�'t "`�r.4* .. ,W N Rr ARCHITECT-[ENGINEER. 9.NAME: 15 CO :ANY NAME: m� 23.COMPANY NAME: 16.NAME: ' 24.LIC AME'., ?fie 6;kf�o 10.ADDRESS' 17.STATE OF LOA LICENSE NO�.j:�, 25.STATE OF FLORI LICENSE NO.. 18.ADDRESS: I�(E S a��Z r3w ;27. .ADDRESS: J(h I�SonLI. i!e- rt 3 Z Z2� 11.OFFI E P O E: 12.FAX NO.: ^ 1�v FFICE P ON�:wl 20.FAX NO: `' �'v OFFICE PHONE: 28.FAX NO.: ✓�• / dl `F `t 29.CELL PHONE: 13.CE L PHO' 21.CELL PHONE: 14,EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: BONDING COMPANY: L' FE ESIMPLETkTLE HOLDER. y � , MORwTGAGE EIDER . ,y .arSy`,,.,�. (IF QTtjEii'fNAtVOWNER) "'•i ..::. .,.. ?�: .�,r.�araP... r 31.NAME: ��. 33.NAME. 35.NAME 32.ADDRESS. 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing, Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT CO CTOR �,,-OWNER or GENTIV � , Dov{,,, t -" �`�i•k r* s+ti,�! �,�'�f- ,• -r ) " f Agent,P0w6'f of" ymey,or gency Lettet:squired) ?f15 Off - .. - "•^x " uali r On Si ned -� l /� its: C3 Signed: �e& ,2007 in the county of Before me this_�(�day of�/7 OL'-�- 2008in the county Of Before me this day of Duval,State of Florida,ha onally appear Duval,State of Florida,has personally appeared , " herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms tha all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of—1—=--'County of(D"e—eti Notary lic at Large,S o .Coun of l� ❑Personally Known ((//��''��)) ��j��J� Produce[Versonalld Know Produced Identification- ✓��L�"� �+`= r ❑Produced Identifca - Notary Signa Notary Signature: PT.IANCE CITY O 7" ' ~ RE*Eft• ,, B, SHIRLEY L. GRAHAM =°. _ Notary Public-Slate "" a.s' . ": •"••' •r..,, SFE PE MI""S '7I AL'CIPW - �FiG�411k>; rk�•�57 >s?< z r+ coAa F01711SLtfGO�l.'' b ltpof Fbrida s' _MY Commission Expires Feb 11,2010 P= Commission#Dp S ' to D� 80 2 "�`°; °' My , REVIEWED BY _ expires( Bonded By National, E I _- .. _ - - - - - -,_•.,, I f�«r sr.:x�r+:iw�'�&3Tc3....'T.,.x:::mwRB;,ii`. 1 Improving Home improvement 8529 South Park Cr. Suite 430 Orlando,Florida 32819 Bus. 407/370-2872 Fax. 407/352-6309 Limited Power of Attorney Date: To: Building Department From: Peter Anthony Cafaro III I hereby name and appoint Maria O'Reilly,of Lowe's Home Centers,Inc.to be my lawful attorney in fact to act for me to register my license �and �apply to for ar ermit for work to be performed at a location described as: (Address of Job) (Owner of Property) And to sign my name and do all things necessary to this appointment. Thank you for your assistance. Sincerely, 11121 Peter Anthonafar III Area Installed Sales ager Primary State Qualifier CGC 1508417 CCC 1326824 State of Florida County of Orange The forgoing instrument was acknowledged before me as Peter Anthony Cafaro III,who is personally known to me and who did not take an oath. Sworn to and subscribed before me this Z 1J day of�✓,2006. No.public Notary public State of Florida My commission expires ,p`''��`' Geoftery u Hollis • �< my commesion DD3871c; y "tig�' Expires 0111812009 Flon'da Building Code Online Pagel of 3 CFLOrI10A OE�PARTNlk�Nr OF ommuniiu-Y Af f ai r s 09- BCIS Home Log In I Hot Topics Submit Surcharge Stats &Facts Publications I FBC Staff I BCIS Site Map Lin Product Approval I 74� USER: Public User CcrnmUnity Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail II _ FL # FL1824-R2 Application Type Revision Code Version 2004 Application Status Approved Comments Archived F Product Manufacturer Pella Corporation Address/Phone/Email 102 Main St. Pella, IA 50219 (641) 621-1000 jahayden@pella.com Authorized Signature Joseph Hayden jahayden@pella.com Technical Representative Joseph Hayden Address/Phone/Email 102 Main Street Pella, IA 50219 (641) 621-6096 jahayden@pelia.com Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Sliding Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association CI'T'Y OF ATLANTIC BEACH PERMIT J`5.$t\ BUILDING/ZONING DEP I AA-t'�l R�l APPLICATION -- �,. 000 Seminole Road - x= Afanfic Beach,Florida 32233 .. 3 o;ala1 (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQUIRED DEPT: Y N PLANNING Property Address: $ ��` y � BUILDING Sr� Y N PUBLIC WORKS Applicant: zd.��FS' 0 Y N . PUBLIC UTILITIES / ILQ Y N FIRE DEPT. y� Project: �I/ )V L. l�� aolle— Y N PUBLIC SAFETY `• cn -APPROVAL w v REQUIRED AGENCY: RECEIVED BY: INITIAL DATE Y N D.E.P HUFSTETLER Y N S.J.R.W.M. CARPER _ Y N ARMY CORPS of ENG CAPPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS _ CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: ® ® 1 ST REV ® ff LnP l 71 3 3 PLANNING BUILDING ® ® 2ND REV PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV . .v k t�AAlle Sec.6-26. Schedule of Building Permit Fees. (1) Building and construction permit fees.For the purposes of determining fees,floor area of a building shall be determined at each story including all portions under roofs. Separate fees shall be paid for electrical, plumbing, mechanical, zoning,fire, miscellaneous and other plan reviews and or permits shown elsewhere in this section or in other applicable sections of this code. e krit-Nina hermit fees Total Valuation Permit Fee $1,000 or less $35.00 $1,000 to$50,000 $35.00 for the first$1,000.00 plus$5.00 for each additional$1,000.00 or fraction thereof,to and including$50,000.00 lus $50,001 to$100,000 $260.00 for the first .00 for each additional$1,000.00 0orfrac.00 tion the eof,to and including$100,000.00 or $100,001 to 500,000 eac0.00 for h l additional$1,000 00 o®fractio0.00 n thereof, cto and including$500,000.00 $500,001 and up $1,660.00 for the first$500,000.00 plus$2.00 for each additional$1,000.00 or fraction thereof. 2. Moving fee:For the moving of any building or structure,the fee shall be $100.00. 3. Demolition fee: For the demolition of any building or structure, the fee shall be$100.00. 4. Plan check fees:A plan-checking fee shall be paid to the Building Department at the time of submitting plans and specifications for checking. Said plan checking fee shall be equal to one—half of the building permit fee. Such plan-checking fee is in addition to the building permit fee. Additional plan-checking fees are required for planning & zoning and fire department plan reviews. 5. Reinspection fee:Thirty-five Dollars ($35.00) per reinspection. b. Sign Erections: Total Sq. Ft.of Sign Permit Fee Up to 32 Sq. Ft. $65.00 Greater than 32 Sq. Ft. $65.00 plus$10.00 for ea additional sq.ft. CITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINT 247-5826 N F INSPECTION EMAIL REQ ST: Building t(-koab.us Application Number . . . . . 08-00000330 Date 3/21/08 Property Address . . . . . . 381 4TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2124 ----------------------- -------------- - ----- ----- ---- - - ---- -- - -- Application desc vinyl sliding door -------------- ---- ---- ---- ----- - ---- - --- - - --- - - --- - - - --- - - - - Owner Contractor - -- ------------ - -- --- - --- ----------------------- BARTLESON, PATRICIA LOWE ' S HOME CENTERS INC PETER CAFARO/CONTRACTOR ATLANTIC BEACH FL 32233 4948 TELSON PL ORLANDO r, FL 32 1 (904) 486-4701 Structure Information 000 000 ------- ------ '' --'- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------- ----------- ---- - - ---- ------ Permit . . BUILDING PERMITSeo fr��r FEE Additional desc J'al"6ts In /Sr � p Permit Fee . . . . 45 . 00 Plan Check Fee . . / 22 . 50 Issue Date . . . 3/20/08 Valuation . . . . !/ 2124 Expiration Date 9/16/08 Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE . *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS _ -- IN - Other Fees . • CITY RADON SURCHARGE ST CONSTRUCTION SURCHARG 6 . AB CONSTRUCTION SURCHARGE? * 6 STATE RADON SURCHARGE 7 . 26 _______ _ __ _ _ _ !- --- ---- Fee summary Charged Paid Credited Due ----------------- -- ------ -- - --------- ------ - Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ±} ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 iJc ' INSPECTION EMAIL REQUEST: � lf1� Building-dept(d,coab.us Page 2 Application Number . . . . . 08-00000330 Date 3/21/08 Other Fee Total 15 . 28 15 . 28 . 00 . 00 Grand Total 82 . 78 82 . 78 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. HP Officejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 Jan 26 2008 7:27AM Last Transaction Date Time Type Identification Duration Pages Result Jan 26 7:26AM Fax Sent 94864710 0:54 3 OK CITY OF ATLANTIC BEACH S� J 800 SEMINOLE ROAD =� r ATLANTIC BEACH,FL 32233 v INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001988 Date 12/10/09 Property Address 377 4TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------- Application desc RELOCATE SUB PANEL/ AC CIRCUIT ----------------------------------------------- Owner Contractor - ------------------------ ----------------------- NATIONWIDE ELECTRIC 5627-1 VERNA BLVD. JACKSONVILLE FL 32205 (904) 695-1588 -------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . 00 Permit Fee 90 . 00 Plan Check Fee . Issue Date . . . Valuation 0 Expiration Date . . 6/08/10 -------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. "'�%i, CITY OF ATLANTIC BEACH 4_ // / // 1 F7 ��, 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09 ( I 11 `1 I C, I L.i I OFFICE:(904)247-5826•FAX NO.:(904)2475845 .�.% BUILDING-DEPT@COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE f; ❑N [I YES PERMIT#: PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6 PHONE E ECTRICAL CONTRACTOR: 7.NAME OF COMPANYtUY`w�(_.\F' Zit L{r�IC 8.ADDRESS.: c 1pir Viei v'Ile 5 9.STATE OF FLORIDA LICENSE NO: 10. ELL PHONE: 11. AX NO.: a * -G� -L-1 12. AIL AD RE S. 13.PFFICE PHONE: 14. P5P r iJ(1 U 15.Application is hereby made to obtain a p4mit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit bebomks null and v id if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)month fter work is commenced. CONTRACTORS SIGNATURE:' 16.CLASS OF WORK: 17.SERVICE: 18.METER NUMBER: ❑MULTI FAMILY-#OF UNITS: D PESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING: 19.CURRENT CODE: ❑ALTERATION ❑SIGN I-)OLD ❑NEW ❑'08 NATIONAL ELECTRICAL CODE ❑ REPAIR ❑POOL/SPA ❑ REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: ❑ OVERHEAD ❑UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: DCOPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS:J_(DPH: W: r{ VOLT:, RACEWAY SIZE: 25. FEEDERS: #of AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: 1 ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: G 31-100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33.MOTORS: NUMBER: VOLTAGE: HP. KVA: NUMBER: VOLTAGE: HP KVA: 34.TRANSFORMERS: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: r BLDG02 Permit Application Dec:REVISED:07202009 TRANSMITTAL DOCUMENT FOR JEA DATE : The following permits have passed "rough" inspection: Permit No. Address 17� - 7s ��. es?c:aseY:c :c:�ix�� c:�g�a:e�:c�c:�a �cssuas_ Please update your records accordingly. T h y l &W4 BUILDING CLERK CITY OF ATLANTIC BEACH /vcb TRANSFORMtHS: urvurn ow V. %VTUU NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES CITY OF ATLANTIC BEACH J j 800 SEMINOLE ROAD ►� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 IDA � INSPECTION EMAIL REQUEST: Buildin�dept&gab.us Application Number . . . . . 07-00001182 Date 8/24/07 Property Address . . . . . . 379 4TH ST Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 ------------------------------------------------------------------------ ---- Application desc INSTALL SMALL PRIVACY ENCLOSURE ----------------------------------------------------------- ----------------- Owner Contractor - ------------------------ ----------------------- BEAUDREAU, KATHLEEN OWNER 379 4TH ST ATLANTIC BEACH FL 32233 (904) 210-5436 ------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/20/08 ----------------------------------------------------------------------- Special Notes and Comments *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING-DEPT@COAB.US ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 FILE Copy PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PERMIT BUILDING / ZONING DEPARTMENT APPLICATION # �= v� A Seminole Road Atlantic Beach,Florida 32233 f (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM RE UIRED DEPT: Y N PLANNING .' Property Address: L/� Z Y N BUILDING P: —Y N PUBLIC WORKS Applicant: S l W' f Yl. vt �,� 0 Y PUBLIC UTILITIES Y N FIRE DEPT. Project: Y N PUBLIC SAFETY F% ( � 2 �' APPROVAL REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: UJ U Y N D.E.P HUFSTETLER w Y N SA.R.W.M.D. CARPER 00 Y N ARMY ORPS of ENG CARPER Y N �HOTELSCRESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP INITIAL: DATE: ❑ ❑ IST REV ❑ �Uld" FILE COPY NTNG BUILDING ❑ ❑ 2ND REV ❑ ❑ PUBLIC WORKS PUBLIC UTILITIES FILE Copy FIRE DEPT. ""7 ❑ ❑ 3RD REV ❑ ❑ PUBLIC SAFETY FILE COPY- Return this form to the Building Department once you have entered your comments into the AS400. CITY OF ATLANTIC BEACH 07-1711 l �,it 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 1 ='1%�, OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US " JJt1 BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2 ALUATION OF WORK: 3.SO.FT.UNDER ROOF '1 � ( s em , 00 a 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION M1A LOT�IBLOCK_6SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑PO /SPA pp [01 YE ❑WA (1 �G `^^'�• ❑MOVE THER r)C C i ❑NO PROPER VVNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.CO ANY NAME: 23.COMPANY NAME: O4 1/ NAb,E: 24.LICENSEE NAME:kk JL 10.ADDRESS: Com/ . ATE O ORID 17LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 3 '� / 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FX NO.: 19.OFFICE PHONE: 20.fAX NO.: 27.OFFICE PHONE: T- A .FAX NO.: 13.CELLHONE 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: .. 3.6 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: )tt t 44vt 64t a4-Ldr-P •rr% FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work Will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced Within six(6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I Will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. r WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR- (it Agent,Power of Attorney or Agency Letter Required) (Qualifier Only) Sign Signed: Date: Before a this day of 2007 in the county of Before me this day of 2007 in the county of Duval,State of Florida,has personally as eared Duval,State of Florida,has personally appeared KNAA L-e-cn -k�. -��vt herin by himself I herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of�_.County of �l a( Notary Public at Large,State of County of ❑Personalty Known ❑Personalty Known Q_RKMced Identification- ❑Produced Identification- Notary Signature -- Notary Signature: K. CUNNINGHAM Notary Pubic-State of Fbft •EMy CommissiorL Exom Feb 25,2010 Conlfoi m 0 DD 523635 COAB FORM BLDG01:REVISED:8/2/2007 + r Bonded Nift"Noir Ays,,, rt''�LyrJ+, CITY OF ATLANTIC BEACH PERMIT S;N BUILDING / ZONING DEPARTMENT APPLICATION # r� 800 Seminole Road , Vr Atlantic Beach,Florida 32233 cn,l (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQUIRED DEPT: Ai N PLANNING Property Address: Z BUILDING PUBLIC WORKS Applicant: Q''T Y�,��Y l '�//► V l�� ! Y PUBLIC UTILITIES FIRE DEPT. Project: b IVt.� I 1 —' l-VC/ Y N PUBLIC SAFETY .41 APPROVAL U) REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w Y N D.E.P HUFSTETLER UJ U OUJ Y N S.J.R.W.M.D. CARPER Y N ARMY CORPS of ENG CARPER Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP INITIAL: DATE: -T-071 ST REV Z PLANNING BUILDING 2ND REV PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. 3RD REV PUBLIC SAFETY Return this form to the Building Department once you have entered your comments into the AS400. I I I 116 J/ 1, CITY OF ATLANTIC BEACH O■7_ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2. ALUATION OF WORK: 3.SQ.FT.UNDER ROOF S c' , 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: 11NEW BUILDING 11DEMOLITION ENTIAL LOT�[7�r /BLOCK_L SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER � ❑REPAIR 11 PO /SPA �/1/�o 11 YES El N/A i q El MOVE THER 1 rl.v ❑NO PROPER WNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.CO ANY NAS: - 23.COMPANY NAME: II�L/Y e N �Ikk( �✓J0 NAME: 1`Cwr// n 24.LICENSEE NAME: 11 1 �l 10.ADDRESS: �� " (��/ 17. ATE O LORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 3 // A - " 18.ADDRESS: 26.ADDRESS: 11.OFFICEPHO/NE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 'Std 13.CELL HONE: 21.CELL PHONE: 29.CELL PHONE: U 14 -$Y:?A 1 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: r- FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME. 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of Attorney or Agency Letter Required) (Qualifier Only) Signe Q Signed: Date: Before a thi day of 2007 in the county of Before me this day of 2007 in the county of Duval,State of Florida,has personally ap eared Duval,State of Florida,has personally appeared �.� herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of F-,County of A.� Notary Public at Large,State of ,County of ❑Personally Known 11 Personally Known 1p.P d ced Identification- L/ ❑Produced Identification- Notary Signature. Notary Signature: K. CUNNINGHAM Notary Public- State of Florid EMy Commission Expires Feb 28,2010 Commission;1 DD 523638 COAB FORM BLDG01:REVISED:8/2/2007 '•��Ifi,:� � Bq Nagonal Notary Assn. r3 rf CITY OF ATLANTIC BEACH (OWNER / BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCT CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR INIPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT ME AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ADDRESS PHONE NUMBER PRINT NAM t SIGN E DATE Before me this day of J 2007 in the county of Duval,State of Florida,has persona y app d herin by himself/herself and affirms that all statements and declarations are true and accurate. —Dm D �/ Notary Public at Large,State of �/ County of V�y 0 Personally Known / o��aY Pie K. CUNNINGHAMD�28,20MV�oduced Identification- �l :+r Notary PUb6C SfBb -34 Comrnission Expires Conwmssion A DDNotary Signat SOMW Naf *N COAB FORM BIDG07; SED: 8/1 � a vt o A Ck- ss �U, LA � a 65 lS � rT➢n d MAP SHDVING BDU^•IDARY SURVEY ❑F LOT 30, BLOCK 6, ATLANTIC BEACH, AS RECORDED IN PLAT BOOK`5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, EXCEPTING THEREFROM THE NORTHERLY 60.90 FEET OF THE WESTERLY 25.10 FEET OF SAID LOT 30 AND EXCEPTING THE NORTHERLY 33.20 FEET OF THE SOUTHERL, 89.10 FEET OF THE WESTERLY 25.00 FEET OF SAID LOT 30, AND ALSO EXCEPTING THE SOUTHERLY 55.90 FEET OF THE WESTERLY 24.90 FEET OF SAID LOT 30. BEING THE SAME LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 7424, PAGES 804 THROUGH 806 OF THE AFORESAID CURRENT PUBLIC RECORDS. LOT 3/ I COT 29OLOCKG I jLOT 2G ,r�REC, EIVECD 13ZocK� CITYO F AT faurad%z"/ran Piet (o p ood Fenn e / Found%2"/pan P�� . LAI4T�G BEACH APP (NO/0) OX / (�( A'P3 " 200` -- (25.10) - I Tr X24. 9 oo d BY: _ I o $ �x Ia °sN q,, NOTES NO BUILDING RESTRICTION LINE BY PLAT, BUT THERE MAY BE RESTRICTION LINES OR EASEMENTS THAT AFFECT THIS PROPERTY BY ZONING OR RECORDED IN THE PUBLIC RECORDS OF THIS COUNTY THAT ARE NOT SHOWN ON THIS SURVEY. THIS PROPERTY APPEARS TO LIE IN FLOOD ZONE "X" I BY FLOOD MAPS REVISED 4/19,1989, COMMUNITY W \ p PANEL NO. 120075 0001 D. 0 M� VN W 7 9 0 a �r N x City of Atlantic Beach Planning and Zoning Department ° �� ov' o W N N :: oa oo �, a p m m � o � This approval verifies compliance with applicable I �o�` k j zoning, subdivision and other local land 3 development regulations, but does not constitute approval for the issuance of permits. Compliance with Florida Building Code and all other applicable local, State and Federal permitting requirements p R must be verified by si ture of the City of Atlantic Beach Building Off prior to the ' once of a I o O h Building P tt. G APProveac'rY i ve opmentire I N� ----—-- �ecrC73 � c er o Date: —n --j 7 J N k C P�rn �— I sQrk� 3.5 .., '.'ete,.. � � � I � X66\\M /;��.:.;:,, g ..'.'Or�'•::'• I \ Al 3 found y'/ranP,oe �,o •;.': ooa' —i (29.90) � �- 2, .�Q. .'� • _ ---/� /5'4.2---9------ �oz"/�onPipe /✓orT�Sc.4�c 0UpTH '(4 ih) STREET 40'R/GHT-OF- WAY CERT/,c-IED TO: ��lTN�Efj✓ter. fjE-��o��'a�/� OGO/PEpv�G/C N�71e N4L 7/T� LDULSU V L A VLA�E�O�S frac. LB 6645 PROFESSIONAL LAND SURVEYOR NO.1674 FLORIDA H. BRUCE DURDEN, SR. 1103 SOUTH THIRD STREET DATE: 4 rd 6 /998 JACKSONVILLE BEACH, FLORIDA 32250 SCALE: ' 20 (904) 249-7261 FAX (904) 241-1252 THIS MAP OF SURVEY IS NOT VALID UNLESS IT IS SIGNED AND HAS THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR.