321 5th St (vault) (2) City of Atlantic Beach
Building Department
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the
Florida Building Code certifying that at the time of issuance this structure
was in compliance with the various ordinances of the City regulating
building construction or use. For the following:
Date: February 23, 2007
Owner: Jackson Allen/Watson Custom Homes
Address: 321 5th St., Atlantic Beach, Fl 32233
�onstruction Type: Wood
r-u's'e, Claissification: /�MIJY
ja
0033496
DAVID HUFSTETLER
BUILDING OFFICIAL
MATTHEW F KILCULLEN AND MARY JO KILCULLEN
5111 Street
AlLurtic Beach, F1 3223",
(H) 904-223-6976
(%1)904-874-1',38
September 1,2004
Via regular maid and certified mail,receipt requested.
Mir.Fred Allen
321 51h Street
Atlantic Beach,Fl 32233
Dear Mr.Allen,
This letter is to make you aware of the dead trees in your yard especially the ones on the west side of your
property.I am very concerned about them fidling on the children who play basketall in my driveway.We
also cannot park are cars there.
Please hire a qualified professional to inspect the trees and perform any necessary trimming and removal.
IV
Mary 04
CC:City of Atlantic Beach,Building Department
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00027228 Date 11/13/03
Property Address . . . . . . 321 STH ST
Tenant nbr, name . . . . . . NEW KIT COUNTER/BASES
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2200
Owner Contractor
- - - - -- - --- - -- --- --------
-- - ------ ----- ----------
ALLEN, JR. , FRED C . DOUGLASS CONSTRUCTION
321 5TH STREET 835 8TH AVE N.
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(9 0 4) 24 9-4 7 0 1
------------------------- ------------------ ---------- ------- ----------------
Permit . . . . . . BUILDING PERMIT
Additional desc . . STARTED WITHOUT PERMIT
Permit Fee . . . . 156 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2200
Fee summary Charged Paid Credited Due
----------------- ---------- ------ - - -- ---- ----- - ------ ----
Permit Fee Total 156 . 00 156 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 156 . 00 156 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TIES WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLYWITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF TIES PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
PERMIT CALCULATION SHEET
Date: —3
Address Hi Rx
Heated Square Footage @ $—persqft= $ _—
Garage Shed L) @$ per sq R $
Carport Porch ,dr @ $ per sq ft $
v
Deck @ $ per sq ft $
Patio @$ per sq ft $
TOTAL VALUATION: $
33 $
Total Valuation
ist $
$
Remaining Value $5-perthousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $ t-1-f
ZONING: + 1/2 Filing Fee $
FLOOD ZONE: ) Fireplaces@ $35.00 $
IMPERVIOUS SURFACE:
E $ )c /J-9
,�BUILDING PERMIT FE 6
,To#6 .5rf Arr,,O ta/0 46",rl WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT$
SEWER TAP $
C ( ) RADON HRS .0050 $
SECTION H PAVING ( ) $
CROSS CONNECTION $
ST( ) SURCHARGE $
OTHER $
GRAND TOTAL DUE: $
1/13/03
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CITY OF ATLANTIC BEACH rord
iggins
BUILDING / ZONING DEPARTMENT S. Doerr
800 Seminole Road
Atlantic Beach,Florida 32233
-5800
(904)247
(904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application # C) 7 z ZB
5'
Property Address: 7- 1 5 11� - 'S-T-
Applicant:
Project: (fou-onzg
This permit application has been:
El Approved
Reviewed and the following items need attention:
grK W I P(d
r;�- F—,L-T-n(c- qor�-,Ers 1- et 2;X 5
14 rs C 4--kA 14 1 r* VA it 110 9 0 10#0,1- \1 S
f
E&ot>et L*oj op -F et e tJ r- c-3 t14 a t H944 10 A34 7-b
Please re-submit your application when these items have been completed..
ReviewedBy:--- Date:
CITY OF ATLANTIC BEACH
rill" BUILDING PERMIT APPLICATION
(FOR INTERIOR REMODEL)
Date:
Job Address: (kin.
Owner of Property:
Address: 3)2 )QH, 13ok� Telephone:
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: ��A52 CDt54njj.rAt�A State License Number: nge oswc-?�
Contractor's Address: %3(; - �g-yt Ave—, fy. 5*-K
Telephone: ;Z� A�-1 6� Fax: 'S A YVIC
Describe proposed use and work to be done: WC IN 60KwfM T-02 )34:5CS
Present use of land or building(s): IT
Valuation of proposed construction: -,J�do
New electrical or increase in service? Add plumbing fixtures? /%/D
Add fireplace? /1/0 Add heating/air conditioning? A/a
Is approval of Homeowner's Association or other private entity required?k6e�f yes, please submit with this
application.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate
Incomplete applications may result in delay in issuance of permit.
Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor AfEdavit if owner is contractor,
and two(2) 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
In addition to construction and engineerringdetail,plans must contain the following infio ation as appropriate for the type of work being
I a required 0
ff c '!Pic i�
'�to
performed. Scale of drawings should be sufficient to depict all required informati a lear egible manner.
provi wit ic io
ded h this appl at n is correct
I hereby certify that all information provided with this application is correct.
ASignature of Property OwneX- Date: 11Z91163
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
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us
Page I Revised 1115103
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.
Am hl_yk A)
Signature of Contractor: lvv�? Date:
/ T_ - _F
Address and contact information of person to receive all correspondence regarding this application (please print).
Name: 5LOA S�ileJ'J
MailingAddress: 31:�l - <-T-05-b 5A
Telephone:;A2 47�-Ti —Fax: E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval
J-ENNIFER SCHLUETER Notary's Signature
M tAMISSION#OD 121301 Ily
Y CO F-1 Persona kno
Oro 0 Produced identification
Type of identification producedEL- 8V60— 1-0 -act-"
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of NO 20 0
State of Florida,County of Duval Notary's Signature:
Personally known
roduced identification
V
Type of identification produced
CATWY WILSON
�10 Notary Public,State of Flodda
Is odda
JX5
My comm.expires Feb.15,2W5
No.CC716824 2]
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us
Page 2 Revised 1/15/03
AN
rID
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00027228 Date 11/13/03
Property Address . . . . . . 321 5TH ST
Tenant nbr, name . . . . . . NEW KIT COUNTER/BASES
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2200
Owner Contractor
--------- -------- --- - --- - ---- --- - --- --- - - - --- ---
ALLEN, JR. , FRED C. DOUGLASS CONSTRUCTION
321 5TH STREET 835 8TH AVE N.
ATLANTIC BEACH FL 32233 JAX 13EACH FL 32250
(904) 249-4701
------------ - ---- ---- ---- --------- ----------- - - ---- -- -----------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Sub Contractor . . STYLES SMITH PLUMBING
Permit Fee . . . . 49 . 00 Plan Check Fee . 00
Issue Date . . . . 11/10/03 Valuation . . . . 0
Expiration Date 5/09/04
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ----- ---- - ----------
Permit Fee Total 49 . 00 49 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 49 . 00 49 . 00 . 00 . 00
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 TIES PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICA13LE PROVISIONS OF LAW.
BUILDING OFFICIAL
Z�7 2?- <?
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: -s 2- ) sijov- SkEj
OWNER OF PROPERTY:—M Lzr� TEL.
PLUMBING CONTRACTOR: - -5� S4 y/,-s Zm -i t,
CONTRACTOR'S ADDRESS:
S.TATE LICENSE NUMBER: C- Q �—TEL. -Cf/
HOW MANY OF THE FOLLOWING FIXTURES
SINKS RE-PIPED OR NEW SHOWERS
LAVATORY WATERHEATERS
BATH TUBS —]_DISHWASHERS
URINALS DISPOSALS
-CLOSETS WASHING MACHINE
FLOOR DRAINS
SEWER WATER
RE-PIPE (LIST FIXTURES BEING REPIPED)
OTHER
TOTAL FIXTURES: 0.6 X$7.00 +$35.0
MINIMUM PERMIT FEE: $35.00
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.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00027226 Date 11/07/03
Property Address . . . . . . 321 5TH ST
Tenant nbr, name . . . . . . REPL OUTLETS/SWITCHES
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------ ----- --- ---- ---- --------------------
ALLEN, JR. , FRED C . BROOKS & LIMBAUGH ELECTRIC
321 5TH STREET 41 2ND STREET WEST
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-9051
---------------------------------- --- ------------- --------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----- -----
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TI-IIS 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 TI-IIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
'93 TO THE CfflEF ELECTRJCAL INSPECTOR: DATE: Iv- 7 20 L
IMPORTANT NOTICE:
IN CONSIDERATION OF PERNUT 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, WfUCH ARE A PART HEREOF,
AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES.
— - /--*,\ I
ELECTRICAL FIRM: S R CT C N SIGNATURE:
'Floo k5 qnd �4,tq� 6Lrr1c_
_V ADDRES
OWNERS NA&M:&&m S: 5ej5WRFD BOX—
BLDG. SIZE BETWEEN:
Rq) APT.( COMM.( PUBLIC( INDUS.( NEW( OLD( REW.(
ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQFT.
SERVICE: ..NEW( INCREASEL ) -REPAIR(
I CONDUCTOR SIZE AMPS: COPPE FEES
SWITCH OR BREAKER ANTS PH W VOLT RACEWAY
EXIST. SERV. SIZE — AMPS PH W VOLT R-ACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN
TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
7— 0.30AWS E31.100 4AWS
SWITCHES
LNCAN-DESCENT
i FLOURESCENT& M.V.
FIXED 100 AMPS, OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATIN I CEEL. KW-HEAT__
CONDITIONING COW. MOTOR OTHER MOTORS AMPS I HEAT
_0_1 0
MOTORS H.P. -VOLTAGE PHS NO. I H.P. VOLTAGE PHS
S
E 600 OVER 600V
TR.ANSFORMERS:
NO. KVA NO. KVA
NO N-E 0 N T RA N S F. NO VA MA MOTOR SIZE SWI
EACH SIGN
Updatod 5/720/2002
C11 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
jj 1
Application Number . . . . . 03-00027125 Date 10/23/03
Property Address . . . . . . 390 STH ST
Tenant nbr, name . . . . . . GAS PIPING
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
HALL, ALYSSON FIRST CHOICE SUPPLY INC.
1041 FOX MEADOW TRAIL
MIDDLEBURG FL 32068
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
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.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
Date:
Owner of Property:.
Job Address:
Contractor: cx'jl� ckoir-c-
'P
In consideration of permit given for doing the work as described in the above statement we heTeby agree to perform said work in
accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinances and standards of good practice listed therein.
III. GENERAL INFORMATION
A. Type of heating fuel: B.
Q Electric IS OTHER CONSTRUCTION BEING DONE ON THIS
Ur Gas: 'ACtP _Natural —Central Utility BUILDINGOR SITE? M-0
Q Oil
0 Other-Specify_ IF YES,GIVE NUMBER OF CONSTRUCTION
PERMIT
IV.
MECHANICAL EQUIPMENT TO BE NATURE OF WORK
Residential or Commercial
INSTALLED New Building
(Provide complete list of components on back of this form) L] Existing Building
C] Heat _Space —Recessed —Central —Floor [3 Replacement of existing system
• Air Conditioning: Room Central El New Installation(No system previously installed)
• Duct System: Material Thickness El Extension or add-on to existing system
Maximum capacity —Pfm El Other-Specify_
0 Refrigeration
L3 Cooling tower: Capacity _______gpm
• Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY
• Elevator: — Manlift—Escalator_(Number) (Received)
• Gasoline pumps _(Number)
• Tanks umber) Remarks
• LPG containers (Number)
0 Unfired pressure vessel Permit Approved by Date—
U Boilers
W-Other—Specify (3-A,5
Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Units Description Model Number Manufacturer Capacity Approving
(Tons) Agency
HEATING—FURNACES,BOILERS,FIREPLACES
Number Units Description Model Number Manufacturer Capacity Approving
(BTU) Agency
TANKS
How Many Nominal Capacity Type Liquid Nameof Serial Approving
And Dimensions Contained Manufacturer No. Agency
800 Seminole Road e Atlantic Beach,Florida 32233-5445
Phone:(904)247-5800*Fax:(904)247-5845* http://www.cLatlantic-beac".us 1/14/03
70
WAP SHOWING SURVEY OF
LOTS 10 AIM 120 BLOCK 7s PLAT 1,10 . 1, SUBDIVISION "Afto ATLANTIC BEACHt AS
RECORDED IN PLAT BOOK 5. PAG,wo 69 OF TIZ CUPRENT PUBLIC RECORDS OF DUVAL
COUNTYl FLORIDA.
AO,-; Al?eO CO.,VSY oo,41.4,6A'
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MAP SHOWING SURVEY OF
LOTS 10 A-IM 129 BLOCK 7s PLAT DTO. 1, SUBDIVISION "Allo ATLANTIC BEACHp AS
RECORDED IN MAT BOOK 5v PAG.w. 69 OF TIM, CURRENT PUBLIC RECORDS OF DUVAL
COUNTY, rLORIDA.
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CfTY OF ATI LANTIC BEACH
ROOFiNG PERMIT APPLICATi()N
JOB LOCATION: 3A1 X--t-A-wy.
OWNER CF PROPERTY:- Al.Lf=IJ
CCNTRACTOR: 10,4,viL4. A. r-,SAS7-o,-J
CCNTRACTCR'S ACCRESS: A(P�fO J'*XHUA17 7&.41L.
STATE LICEiNSE NUMBER: KC--0-v3/Sj-q TELEPHONE.
DESCRIBE WORK TO BE PERFORMED: A 19 g"jr- &0 1 1W 3 0 Y�t 14 A C4(l I&C-7 4.fK,4 4
A)igfA64-415
VALUATION OF PROPOSED CONSTRUCTION
MATERIALS TO BE USED: g-gk ogz4s7iz2wg 1 c.4ASS A
SIGNATURE OF CWNER:_
SIGNATURE OF CONTRACTOR:
SWORN TO AND SUBSCRIBED BEFORE ME THis 3 ) DAY OF
-0
NOTARY PUBLIC
Liabfl4 Insurance Supplied -- - - - -
MICHELE E.JO�NSON
WcrKers Ccmpensabcn Insuranca Suppliec 'OMMISSION#CC 827512
EXPIHES-July 5,2003
Contractor License Information Supplied Bonded Thru Notary Pubk underwritate
Occupational License Information Supplied
6,4 e-,e
PaM*Amonetto
MY COMMISSION 0 CC%W1 WVO
Atost 27,2000
LA)
jq
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FI 32233 -Tel. (904) 247-5826
ROOFING PERMIT
Permit Number: 19861 Address: 321 FIFTH STREET
ATLANTIC BEACH, FL 32233
Permit Type: RE-ROOF
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: ATLANTIC BEACH
Est. Value: Parcel Number:
Improv. Cost: 16,355.00
Date Issued: 4/10/2000 Name: ALLEN, FRED
Total Fees: 142.50 Address: 321 FIFTH STREET
Amount Paid: 142.50 ATLANTIC BEACH, FL 32233
Date Paid: 4/10/2000 Phone: (000)000-0000
Work Desc: REROOF WITH 30 YEAR ARCHITECTURAL FIBERGLASS SHINGLES
DANIEL R. GRASTON PERMIT 142.50
1 611111111111
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH ANDI�IDEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND
MUST BE CLEARED UP AND H, AULED,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.
$142.5014
Date: 4/10/H 01 Receipt. 004-19r3?
CHECKS 2018
—CITY OF ATLANTIC BEAC–Pr--- 00100003221000
RETURN TO:
DANIEL L GRASTON
2W FOXHUNT TRAEL
JACKSONVILLY,FL 322."
NOTICE OF COMMENCEMENT
PERbUT NO.
STATE OF FLORIDA
COUNTY OF 0,.4VA L
The undersigned hereby gives notice that improvements wiD be nude to
certain real property,and in accordance with section 713.13 of the
Florida Statutes,the foHowing information is provided in this NOTICE
OFCOMNMCEMENT.
TIES SPACE FOR RECORIYER-18 DATA
14sa description of,property(include Street Address,if ax-milable)
51A-&7. h�tc- sahrA
General description of improvements
AL1593ne-4 wl"KM - Ac ;144A A#tc4it-rAc-7qjt,#4 sgig-jg
Owner Fjq9h AL.LA.4
Address .3al 47Z�W Jc- -96A-A49
Owner'*Interest in site of the Improvement
Fee Simple Title holder(if other than owner)
Name
Address
Contractor f3AMOL A— GAAMAJ
Address -Q&ft AOX14MA/7 ZdA14 Zr4ckSoWILLE Ft.
Sm,ety
Address -Amount of bond$
Any person making a loan for the construction of the improvementst
Name
Address
Person within the State of Florida designated by owner upon whom notices or other documents may he served
as provided by Section 713.13(1)(afl,Florida Statutes.
Name
Address
In addition to himselt,owner designates
Of
to receive a copy of the Lienor's Notice as provided In Section 713.13(l)(b),Florida Statutes.
Expiration date of Notice of Commencement(the expiration date is I year from the date of recording unless a
different date is specified.)
3101*�OFOWNER
I
PRINTED NANIE OF OWNER
SWORN TO AND SUBSCRIBED BEFORE N[E TMS OF
1999
V CH LFF.inutja
#
its
MY CONMISSION W(PIRES &nd0d'M,,Wg,
44uly
FOR OPPICE 'USE ONLY
kmw OF �BUIIADJIiw A
CITY 'W"A Date
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BUILDING AND ZONING INSPECTION DIVISION
0
0
CITY OF ATLANTIC BEACH, FLORIDA z V-11
CD
(n ELECTRICAL PERMIT
Date Fee $ Permit No.
0
LU
Location
Between and
This is to certify that
-C
tclecirical contractor) 0
Waster Electrician) E
has permission to install Electrical Construction as described herein in of 0
a.
accordance with the provisions of the Electrical Code and regulations U
of the City of Jacksonville, and subject to the information shown on the Uzi
application, drawings and specifications which are made a part of this
permit.
for
LU 0
Type of work:
Lo
SERVICE: CA*ftd
%wtor 500 mCt-1 p�l�w Switoh 400 a U
1P11 W 230 Volt C^bie 21
X
Feeders: Q)
2
Outlets: *
0
U
Receptacles: 4 U4
Switches:- cc
V1
incandescent:
Fluorescent:
Appliances:
Air Conditioning:
Motors-
Transformers:
Signs:
Miscellaneous:
IF NO WORK IS DONE UNDER
THIS PERMIT DURING ANY SIX ISSUED BY:
MONTHS PERIOD, PERMIT —'Re�ctric- in�.pecf(bn�upe-ia�r
BECOMES VOID.
FOR OFFICE 1VSE JDNLY
Date..
----------- ------
Permit *........................Fee$ 1141t_1
77.......
CITY OF ATLANTIC BEACH Valuation $
....Y..... .. ...... .................
FLORIDA House .........6��n'.........;5T
..........................................................................
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 Atlaniic 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 verihed.
Date...a------*------------------------------------------------*......... 19............
......5_;.................Telephone No.............................
Owner..��4_1&--- -- 4--e-------- -----------------------------------------Address-3,;P
.......................
Architect.......................................... ... ---_-----------------...........Address...........................................................Telephone No---------------_-----------
Contractor Builder� -------i..............L-- - -----_--------------Address.....__......._&----------/---_------------------Telephone No--------_-------_--------
Lot No.-/ ...t_/;�---------_---....Block No..--..7-----------_--_-Sub Division...."'o
.1------–-'-k a--------------------------------_------Zone------_-----
.............................. ------------------------Street..................-....-Side Between.......... .....................................and------------------------------------------------------Sts.
Valuation $_'1Z2_./_aV-------For what purpose will building be ---------Type of construction--- --- -------
Dimensions of Building.---/_0/1 -f------41-0-------Dimensions of Lot--- ..............Size of Footings......................................
Size of Piers-------__-----------------------Size of Sills ---------------Greatest Sill Span in ft.............----------_Type Roof.....................................
........................................
How will Building be Heated?_--- --- .............................Will Building be on Solid or Filled Ground?
Size of Ceiling Joists._,-,L. .....--------------- Distance on Centers........10�........................... Greatest Span............................................
Size of Floor Joists.-_-------_--- ------------------------Distance on Centers.......... ................................. Greatest Span--------------------------------------------
Size of Rafters..- 6/ ---.................... Greatest Span..........---------------------------------
------------------------------- Distance on Centers
This rectangle is to represent the lot
Locate the building or buildings in the
FLORIDA STATE REGISTRATION right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans ane specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. Z
3. When steel is in place and ready to pour beam.
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called forafter
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached and specifications, which are a part hereof, and in accordance with the building
yJand ap.�1 ,c
regulations of the Ci tic Be
Signature of Builde ....... .. .............. ........................ Address.............................__..........................................................
Ity ?Of
; X
Signatureof Owner............. -------------------------------- _----_------ Address.............................. -___----------------------.................................
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
PER-MIT NO. Date : '4atg'�"
4-
LOCATION Street
LOT NO. BLOCK NO .
OWNER
MASTER PLUMBER
BUILDER OR CONTUCTOR Bldg.
L —Permit_1N.o,.
TYPE OF BUILDING
j6_.5IL'KS_,j LAVATORY__Z_BATH TUBS URINALS _Z- CLOSETS
FLOOR DRAINS SHOWERS / WATER HEATERS DISHWASHERS
DISPOSALS OTHER
TOTAL FIXTURES 00
NO WORK MUST BE DONE UNTII A PERMIT HAS BEEN IROCURED
PLANS AND SPECIFICATIONS must show a plan and. description of the
sizef-And - looation of all the soil and vent pipes, and the numbar and
100atiot of all fixtures, (in acoordanae with Ordinanoe no. 198 of
the City of Atlantic Beash, Flurida) must be shown on baak of appli-
cation and be approved by the Plumbing Inspeotor.
DRAW PLAN .11ED- SIECIFICATION OF ABOVE PLUMBING ON BACK.
Approved by
P177bing Inspeotor
Date
ROUGH-IN INSPECTED (FOR OFFICE USE ONLY) RE.VARKS
FINAL INSPECTION: CERTIFICATE ISSUED: