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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 C-1. �r LLI W W LDLL S2> LL jj 0 JN 0 z - i-Z v '30 IL :c— , LA. C) 04) ta, - 4- lz� -MMMM6 zp fir C-') LLJ Ld ca z IL 72- a.L- <CD:3 it m ts Z- SON% 14D Ape 72- CC lie i0k Cc: 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' P1 P1060 1v lkj 0 Ci -Z 4.4. Is. FIZA",5 I-l'TA L_ odic lx7c -AAr10 Jq 'kA zoo* o'cr Oz Ileam /e/w) 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. AArXV #V460 C.1A n"4 7 0 /-1,-- c 041 Is% Ala 64"WP AfAf4f ZA 11,10 zoo$ /c/w) 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 erm$ 'Lou,, V444 i -,for -P Mou-S e4mit, Iterations, IVS7-� SCMR Id ' bui in-%, . e 'if, rVair, alter -add� to br; a*wings, , �,,'Blk �Jqo B ildin 044 140 *77!"�kt7,, .0 er s "Asullb. WIS AND'OddV"�`� Building,Uaw -�,,Ao ­ "d Site of-sxte ze of, 641401, Lot size�.� of stor altered.' 'at lia 01 eriJal o SAW TANOS 10; BE of �� 'Sut �'Oaso ine- P Oil, Ifter Ot �O�bdl' os dft a to' U7 W I 1''111 conriect Ovi Ioo taa t ihotal e metal bX ta vw" (Same, of Mane or f �'building- P MIRE,, VT- 0 IM OF :).T SIAM LG.NS', s4ze , �,Cialsotfitation :,A �, PO Otate OtA AWC 3u-m Pofr, 103"ecti, Birmer) ic Lterial: of Coh4truttion, on rw or NeonY ty 11 siqU Over 'u jj�Lqb,.iiO, proper -r. 0)N OY S, T. apt MEVIN Ow IVE, TION" INFOW.IltioN BEL -nq :4 everae side) (-For :,ta P- ide,, e x IAPORT MINANM n -cc , -T 414i4eiitio,n: ,�`O,,t�,p oiVenlor doing,,th ttmbt _we _her Per f Orm Hl� ij tha :,above el�y ayree toA lliol, b'WI ja i lans', and he - -A.f i64t, %*cokdaho' e, tt4c 4, 77� ; "L , , , , ce wi in 'h An, th the build, qr"Mte y ain ''0 At, c-, i* (Southern Stind t e r 14 't 9 c or TAYO �(jn - of Buill Ature pn r one - At Z ZIO -.-L 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: