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346 5th St (vault) (2) M A P S H O W I N G S U R V E Y O F Lot 19, Block 6, ATLANTIC BEACH, according to the plat thereof recorded in Plat Book 5, Page 69 of the Current Public Records of Duval County, Florida. CERTIFIED TO: ROBERTO ARIAS, DONNA M. ARIAS, DUVAL FEDERAL CREDIT UNION and BARKER TITLE & ABSTRACT AGENCY, INC. C, TH cjT Rae.T C7• Cn FO. R:-- TlA2 N p•Z,d y O` 1 U l />S 1 C-04,ST 1-->q- 014 01 F'>. 2.0 q,,A CL •9a• e. CN o n7 r' o� N N N ZS.y' ° ¢ o0 9.l 0` p ` 0 2-S TO5LI( Ill Feta Nit �. A N_34tD N II} . d r 3 Z.4-' DI Ilk / 0 2.y. V - Q d � � 4 N X ` Iz.S• ii++ik ,�C-T'F .0 FENc.0 a. P'o S'T' o U � •V % Z' Ge 2U Cn V- I•o'. 8 �� X )r X- 0\ia o> L • i Z"L L o i Zo 1. o T I $ IC BEACH CITY OF ATLANT t 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 CC}} INSPECTION PHONE LINE 247-5826 �J DRIT � Application Number . . . . . 09-00000360 Date 3/27/09 Property Address . . . . . . 346 5TH ST Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc replce drvwy w/pavers & rima pavers; add 9x9 pad ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- ARIAS, DONNA OWNER 346 5TH STREET ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/23/09 ---------------------------------------------------------------------------- Special Notes and Comments 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 RT1 BOX WITH METAL LID. CLEANOUT TO BE SET TO GRADE AND VISIBLE. Roll off container company must be on City approved list and cannot be placed on City right-of-way. City sidewalk must remain plain concrete. SF-Rima - must be installed with wide gaps (1" or better) for 50% impervious credit . ---------------------------------------------------------------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. DATE: 3/20/09 PLAN REVIEW CORRECTIONS REPORT PAGE 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 --------------------------------------------- ---------------------------- APPLICATION NBR . . . - ADDRESS . . . . . . 346 5TH ST APPLICATION DATE 3'L18,�8 APPLICATION TYPE RIGHT-OF-WAY PERMIT ------------------------------------------------------------------------------ OWNER . . . . . . . ARIAS, DONNA 346 5TH STREET ATLANTIC BEACH FL 32233 CONTRACTOR . . . . . ------------------------------------------------------------------------------ AGENCY NAME: PUBLIC WORKS DATE ACTION ACTION BY ------------------------------------------------------------------------------ 3/19/09 DISSAPPROVED - 1ST REVIEW LISA SHOWMAN Provide impervious surface calculations (existing and proposed) . Provide erosion and sediment control plans with installation details and maintenance schedule . Provide construction site management plan, including Right-of-Way Permit if using right-of-way for construction parking. Roll off container company must be on City approved list and cannot be placed on City right-of-way. City sidewalk must remain plain concrete. SF-Rima - must be installed with wide gaps (1" or better) for 50a impervious credit . �l 7 City of Atlantic Beach APPLICATION NUMBER MAR 1.Uf11 Building Department (To be assigned by the Building Department.) 800 Seminole Road r Atlantic Beach, Florida 32233-544 : k _ C)9 — 360 Phone(904)247-5826 • Fax(904)247-5845 -I Jii1�a' E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Property Address: 3q& 5*�k S f ' Building Planning &Zoning Tree Administrator Applicant: D L..,) to e- orkO ublic Utilities Project: P A V-.e,r" �-+� Y Q. ��` R Public Safety 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 Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING TREE ADMIN. Reviewed by: 9z Date: PUBLIC WORKS Second ReviApproved as revised. ❑Denied. Comments: eve PUB TIL TIES PU Ll F TY FIR ERVICES Reviewed by: Date: Z Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH 8�. CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date ? PERMIT# O (1 — -J 0 ISSUED BY THE CITY Job Address Permitee: o�e �R \� S Telephone# )q I- 7,q hq Permittee Address: Requesting Permission to Construct: ��', o, d r I re2. f OLVC.r", C�-o�a� �C 4k, Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertainedthe location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) No (Y) Date: Bell South Telephone Company Yes( ) No (>4 Date: Ferrell Gas Yes ( ) No (w) Date: Comcast Yes ( ) No (7w-) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida D,ebrtment of Transportation Standards and be performed under the supervision of ' 01000? t I"Ire P (Contractor's Pro] ct Superintendent) located at 14 6 _VP, 51- Telephone* Z 41=tit'b 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. Na in are-0-6'e- 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. S. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon co ti ol . C OWNER � �cr r& Notary PubNc State of Fbrlda a4 3� Nancy E Bailey Signed: Date:3J7-0Mycommis' DD745522 7 Before me this / day of►Ngrcy 2,90`1 in the County�°f Duval, %cv�/ Expires 0?loel2o12 State Of Florida,has personally appeared Pobg oto Anr/ON/O f f f rR 5 Notary Public at Large,St e f Florida,C� of D val. Mycommin ssion expires: Personally Known: F L p L 19 L2 o -7 ?'� I S& O Produced Identification: r R.O.W. Permit Attachment of for R.O.W. Permit# issued , 200_ Atlantic Beach, FL 32233 Owner's Name: 0hW7 41-,¢S Property Address: If 1W Sub 'sion: Lot#/,i�lock#: R.E!g' REVOCABLE ENCROACHMENT PERMIT MIIA/ VOCABLE ENCROACHMENT PERMIT, issued on this I �" day of 7 , 200*'by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and WD Lw?_ib AZ, A—� of Atlantic Beach,Florida, hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached). This work is generally described as: «,S Pay P I?,S YV\.!t Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating,replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY, including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." Page 1 of 2 The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty (30) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and S D this_ day of , 20f#. Prop caner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this day of �'► 20(6, personall appeared before me, a Notary Public in and for said County and State, e(Z � A 3, the property owner of 3 L(10 5 _k �� , , Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she exe ,,,,Te freel d voluntarily and for the uses and purposes therein mentioned. otary ublic for said eYnty and St t ,'IIRLEY L. GRAHAM �`S�Y PUb y CITY OF ATLANTIC BEACH, FLO , ;��_ N '''Y Public-state of Florida i nmission Expires Feb 14,2010 municipal corporation: =;�, Commission#DD 518533 ionded By National Notary Assn, Approved: Ricky L. Carper, Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 of 2 M A P S H O W I N G S U R V E-Y O F Lot 19, Block 6, ATLANTIC BEACH, according to the plat thereof recorded in Plat Book 5, Page 69 of the Current Public Records of Duval County, Florida. CERTIFIED TO: ROBERTO ARIAS, DONNA M. ARIAS, DUVAL FEDERAL CREDIT UNION and BARKER TITLE & ABSTRACT AGENCY, INC. 5 -1-14 ST lZ i= E'..T /a, L,L' F9. 2V' 1'iA2 4.a0TO GOAS'S I:>Z. •N Cj / C1 r/ pe,i-1 ay p Q&le-r 5) � 4 - H � Z TO R.Y FeArv�E i0 � re-o ri 117 0 �r �� K 1S 1� J -INJ I fj N P.C&I- GU G-- °2U t: a 1. r ,.o or !" T` V$• X o `-4-9-4- 3 x— L a l Z2 L o ? Z O l o T I Z, ELLIS, CURTIS do KOOKER, INC. p CONCRETE MoNuMENT LAND SURVEYORS AND PLANNERS 0 IRON PIPE OR ROD 1660 EMERSON STREET (LB # 3080) JACKSONVILLE, FLORIDA 32207 ,r LLA BRANDIES AVENUE 0/E OVERHEAD ELECTRIC _ CALLAHAN, FLORIDA 32011 O/T OVERHEAD TELEPHONE FAX (904)396-6334 396 39997 (90 )879-91616-99 FAX (904) 396-9997 M A P S H O W I N G S U R V E-Y O F Lot 19, Block 6, ATLANTIC BEACH, according to the plat thereof recorded in Plat Book 5, Page 69 of the Current Public Records of Duval COunty, Florida. CERTIFIED TO: ROBERTO ARIAS, DONNA M. ARIAS, DUVAL FEDERAL CREDIT UNION and BARKER TITLE & ABSTRACT AGENCY, INC. `7 C7- - e.1' 4' Fry. Rte T'jA2 Q YOB cOAS'f D2, (Uu I.D� � •ZF A. 21=t3AQ �9Qe d' '•a. (No I cps N b N q) N N co 2-STORE( FeAN�E Na34-Lo ig . � 2.9 •7 0' soft ° ve-'� x IS p IT cam 'L V . 4 r d � v 4 N x Iz.s. 1 Pe ST e U •:� 9Q C.2 X— rj G7 � F'o..YZ'• �R o u La Z2 o T Zo ELLIS, CURTIS & KOOKER, INC. FO/EOVERHEAD ETE MONUMENT LAND SURVEYORS AND PLANNERS IPE OR ROD 1660 EMERSON STREET (LB # 3080) JACKSONVILLE, FLORIDA 32207 ,Y 5531 BRANDIES AVENUE ELECTRIC (904) 396-6334 CALLAHAN, FLORIDA 32011AD TELEPHONE FAX (904) 396-9997 FAX9(9 1 )879-9161 396 9997 ,r City of Atlantic Beach ' APPLICATION NUMBER JBuilding Department BAR ?If1 (To be assigned by the Building Department.) 800 Seminole Road r Atlantic Beach, Florida 32233-5445 `{ D9 — 36c) Phone(904)247-5826 • Fax(904) E-mail: building-dept@coab.us City web-site: http://www.coab.us Date routed: APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Property Address: 3q& 5*A` Building's Planning &Zoning Tree Administrator Applicant: or )Public Utilities Project: aM-e,� V e. � lc�� j T— Public Safety 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 Reviewing Department First Review: ❑Approved. *Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by. Date: TREE ADMIN. PUBLIC WORKS Second Review: VVIApproved as revised. ❑Denied. ,� PUBLIC UTILITIES Comments: fio , C'"J, ,L PUBLIC SAFETY / FIRE SERVICES Reviewed by: Dates Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: M A P S H O W I N G S U R V E-Y O F Lot 19, Block 6, ATLANTIC BEACH, according to the plat thereof recorded in Plat Book 5, Page 69 of the. Current Public Records of Duval County, Florida. CERTIFIED TO: ROBERTO ARIAS, DONNA M. ARIAS, DUVAL FEDERAL CREDIT UNION and BARKER TITLE & ABSTRACT AGENCY, INC. '7 C7- C7 Fq. RG3 yNR 4-b0, -ro l it 1 GC�AST �2, u f A N N o N CO N N N is.c vo 9."I C-`R_.r re— o it N13¢to � 7 0' F � •F � fir.. 0 IS v e ti, x IS . � eN x POST 0 . e• 90 Ge 2UwQ Ji-- �J' L• Z2 L o 1 L O L o T 1b ELLIS. CURTIS do KOOKER, INC. ❑ CONCRETE MONUMENT LAND SURVEYORS AND PLANNERS (LB # 3080) IRON PIPE OR ROD 1660 EMERSON STREET 5531 BRANDIES AVENUE JACKSONVILLE, FLORIDA 32207 k o/E OVERHEAD ELECTRIC _ CALLAHAN, FLORIDA 32011 o/T OVERHEAD TELEPHONE FAX (904)396-6334 396 39997 (9(90 )04) 879-91616-99 FAX (904) 396-9997 r CITY OF ATLANTIC BEACH j CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date( ( 7 !/0 1 PERMIT# O q — 3 O ISSUED BY THE CITY Job Address r�,L-� (o �kh /� Permitee: q� -R+o R \ S Telephone# Qq I- "71Q 6q Permittee Address: an �e Requesting Permission to Construct: Yh a d r l rew o f 0uVC_-1- Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) No (S9 Date: Bell South Telephone Company Yes ( ) No (>4) Date: Ferrell Gas Yes ( ) No Date: Comcast Yes ( ) No ( Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Floridae rtment of Transportation Standards and be performed under the supervision of D x�C 2it e P (Contractor's Prol ct Superintendent) located at 14 b s"(Z. Telephone#: Z 41 -!tet'b 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. No in GrecL - 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon co do < OWNER ,s'rNotary PubUc State of Florida iley Signed: Date:3'/7- My Nancy ommission DD745822 Before me this [� day of r ?DO in the County f Duval, j Expires 02/08!2012 State Of Florida,has personally appeared pbarfo AnylaNio Pf IG 5 Notary Public at Large,Ste f Florida,C�n of D val. M commission expires: Personally Known: L $b D Produced Identification: R.O.W. Permit Attachment of for R.O.W. Permit# issued , 200_ Atlantic Beach, FL 32233 Owner's Name: 41" Property Address: Sub 'sion: Lot#/,-9'1ock#: R.E<l' REVOCABLE ENCROACHMENT PERMIT 7 VOCABLE ENCROACHMENT PERMIT, issued on this 1 8" day of I200�f'by Atlantic Beach, Florida, a municipal corporation or anized and existing rKA I-_ under the laws of the State of Florida, hereinafter referred to as "CITY" and -u ?,.jb Ae, A—.> of Atlantic Beach, Florida,hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached). This work is generally described as: INPCSy P .&ot WGIM Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY, including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." Page 1 of 2 The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED andS D this��day of , 20(#. Prop y caner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this day of 20(6, personallv appeared before me, a Notary Public in and for said County and State, e(2 ltJ3, the property owner of 3 L(b STY. :fes • , Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she eqa same freel voluntarily and for the uses and purposes therein mentioned. otary ublic M for said&nty and St t S,,RLEY L. GRAHAM CITY OF ATLANTIC BEACH, FLOy public-State of Florida i emission Expires Feb 14,2010 municipal corporation: Commission#DD 518533 aqF loaded By National Notary Assn. Approved: Ricky L. Carper, Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 of 2 r Impervious Surface Calculations % Formula Find square footage of the following: House footprint Driveway All sidewalks/walkways A/C pads Detached garage/sheds Pool Decking Patios,terraces and/or decks Add the total.square footage of the areas listed above then, divide the sum by the total lot area of the property. 5/142007 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J C ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000470 Date 4/07/09 Property Address . . . . . . 346 5TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc installing gfi circuit for spa -------------------------------------------------- -------------------------- Owner Contractor ------------------------ ------------------------ ARIAS, DONNA JACK' S ELECTRIC 346 5TH STREET 12750 AGATITE RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258 (904) 813-6069 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . INSTALL GFI CIRCUIT FOR SPA Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/04/09 ---------------------------------------------------------------------------- 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. CITY OF ATLANTIC BEACH 09� I L ( I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-D E PTOC OAB.U S �y ELECTRICAL PERMIT APPLICATION DUVAL COUNTY a 1.JOB ADDRESS: 2.ISiTHIS°A SUS PERMIT:' 3.DATE 46 ❑YES PERMIT#: PROPERTY OWNER: 4.NAM 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: aS ELECTRICAL CONTRACTOR: F C PAN 8.ADDRESS.��r t 9.STATE O A LICEUSE NT:_ 10.CELL PHO 11.FAX NO.: 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. 15.Application is hereby made to obtain a permit 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 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. CONTRACTORS SIGNATURE: 96 CLASS OF WORK: 17.SERV : 18.METER NUMBER: ❑MULTI FAMILY-#OF UNITS: SIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUIL 19.CURRENT CODE. ❑ALTERATION ❑SIGN' D ❑NEW ❑'05 NATIONAL ELECTRICAL CODE ❑REPAIR OOL/SPA 10 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: 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: 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 Foo BLDG02 Permit Application Elec:REVISED:12/18/200 i DEPARTMENT OF BUILDING 8216 i CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. PERMIT TO BUILD 2%5171 T THIS PERMIT MUST BE POSTED ON JOB Pf"OCINT Date JFnZt=y' h 19 87 { { At {/06/8 — tlC jorAcl i Valuation$ Fee$ 20.59 { ' { A {/06/19 I Dont 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 SLOT Phrbing Co CFC 037196 I has permission to 1 Add P1talbi= Fi=xes Classification Sk FaMi1Y Zone i Owned by Stott Lewis Lot Block S/D House No. W 5th Street According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE / -► �L---� O Building material,rubbish and debris z from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. i Building Official. FOR OFFICE PERMIT DATECONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER i CITY OF ATLANTIC BEACH , 1 APPLICATION. FOR PLUMBING PERMIT f :JOB LOCATION y ' c s� PLUMBING CONTRACTOR fcr'• /ycx: a r! > {'. t ; ,.n1!;LICENSE NUMBERS ��L' ,D�- )'ct La. I,r OWNER �i9f i BUILDING CONTRACTOR s ,t 't? ' TYPE OF BUILDINGi SINKS J SHOWERS r at LAVATORY 1 t, WATER IIEATERS BATH TUBS DISHWASHERS f' ! ta4 URINALS : ,' DISPOSALS � CLOSETS ?+ ! , I WASHING MACHINE � J FLOOR DRAINS 1 OTHER TOTAL FIXTURE COUNT tl ` } + 'fit��j,�1�F ./.+• + rte �'.1 F, ` '� .ii ; ;n!INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCEWITIi '';' r�� ', a , THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE :1•,•; I' + • L: it ::'sr t , �t 'I 1. it 1 •i 1 i 'I�1. � ��,, ►tk :.s a, "t Via. i _ DEPARTMENT OF BUILDING 8115. 5 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 89.75 1�''i Date Nov, 6, 19 86 i9.TaCR 21 290.50 99. 75 StS I 1 I Valuation$ Fee$ P'1 15 , 00r.AThis permit not valid until above fee has been paid to City Treasurer,and is6085 1 A 1 E 156/subject to revocation for violation of applicable provisions of law. This is to certify thatSCOTT LEWIS. has permission to build TWO STORY ADDITION AS PER PLANS RESTDENTIAL RSZ Classification Zone Owned by SCOTT LEWIS Lot 29 Block 6 S/D A House No. 346 FIFTH STREET According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. j PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE --� 4---i 0 Building material, rubbish and debris -Zi from this work must not be placed in public space, and must be cleared up and ha ed away by either con- j tractor ner. r Bu' g Official. rj FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER are. Mdress / i :; Heated Square Footage @ $ per.sq ft $ �1 Garage/Shed —' @ $ per sq ft = $ sq t - $ • Carpor or �� @ $ per f . Deck:' 0 @ $ per sq ft = $ Patio CIS @ $ per sq ft = $ -- TOTAL VALUATION: $ TO uat1o21' i 1st $ ( S UU O tz Remainder Valuationer thousand or �;• $Rortion thereof s -----� Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED + k Filing Fee . ' $ 3 Fireplaces @ 15.00 $_ Mechanical BUILDING PERMIT FEE $ °� Plumbing ✓ Electric/New i----------- ----------------------------------- Electric/Temp BUILDING PERMIT $ r Septic Tank WAm NEA=R aiA a $ Well Swimdng Pool SEWER IMPACT FEE $ a WATER IMPACT FEE $ D �. Sign ' MISCELLAMUS $ Water Cotmection Sewer Cormection `' $ Water.Meter b; ' Elevation Certificate ' r •. GRAND TOTAL DUE • $ �/ "/'��0 +r —r---r-----------------------------------------------------------I---------------------7rr—ir CALCULATIONS and/or NOTES ' r + i, ( •�f� +1 l ' 1. i ,; " {,� j�I;`tri I y•'. .{a 110{IS�..� '� W: „ . i{ F 1. •j II {' '; CITY OF ATLANTIC BEACH APPLICATION TO MAKE ADDITIONS OR ALTERATIONS Owner 1,1,16,11,15 Address 3yl Phoned l�yi�cf' Architect /C Yleu ,tn Address Gci1 Si phone Contractor Address Phone Contractors License/Certification Numbers Expiration Date Property Address f` -S 7 1' AD Zoning Lot # Blcok or Unit # Subdivision Valuation of Construction $ c7W, Type of Construction " Describe Work to be Perfor/�med j �� Materials to be Used ao'la,-, � s: n Present Use of Building 7�1-,-nu Proposed Use of Building 16rW Flood Zone Dimensions of New Area: �X.�-r,r✓�. HEATED /3 X 3.S— _� GARAGE OR STORAGE CARPORT 0 PORQi DECK PATIO 'YES NO NUMBER Will there be an increase in number ,of units? Will there be a decrease in number of units? t/ Any additional plumbing fixtures? Any new fireplaces? SUBMIT TWO COMPLETE SETSPLANSi,UDING SITE PLAN Signature OWNER Date lJ d fG Signature CONTRACTOR Date PLUMBING WORKSHEET . V , SINKS SHOWERS 6 DISHWASHERS i� r CLOSETS BATH TUBS FLOOR DRAINS _ WASHING MACHINE WATER HEATERS b DISPOSALS LAVATORY URINALS OTHER TOTAL FIX'T'URE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF NATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM, BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL u SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN ( UNIT ) URINAL, WALL LIP FLOOR DRAIN (1 UNIT) (4 UNITS) WASHING IIACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) v ti'ATER CLOSETS, .VALVE OPERATED _ 14ATER CLOSETS; TANTK-OPERATED (8 UNITS) (4UNITS) SHOWER STALL, D0MESTIC _ BATHTUB (W/OR W/O OVERHEAD (2 UNITS) ` SHOWER) (2UNITS) V LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS _ DISHI.'ASHER (•2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/1;'ASTE GRINDER (3 UNITS) Do 60 � TOTAL FIXTURE UNITS @ $10.,00 EACH 0 �� �D� may✓ l Y ' N N O 1'7,T 70 U CR til -� N A b cJ hFAP SHOWING SURVEY OF LOT 19, BOCK 6 , ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5 , PAGE 69 F CURRENT PUBLIC RECORDS OF DUVAL COUNTY , FLORIDA . 0 THE .57 TN EE T 50.0 i/r i A; Al i3 B S 02, a '7.'G' /7 In .sy'cttcy \ � , M r V � X 1,9 4NA er, � TO SBT Out V` ro s ,c co.--vac 0.3 s''Hw.F �ftio ./z•�o 1 HEREBY CERTT.FY THAT THE PROPERTY ',Hnt,.w "PD� nh, TC .! __ CITY OF ATLANTIC BEACH --� DEPARTMENT OF BUILDING I y800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION_-!_—__— Permit Number: 20009 _ __-_Address: 346 9=1FTH STREET Permit Type: FENCE. ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW i Township: 0 Range: 0 Book: { Proposed Use: SINGLE FAMILY i Lot(s): Block: Section:0 Proposed { Square Feet: Subdivision: Est.Value: Parcel Number: � -- Improv. Cost: 500.00 � OWNER INFORMATION Date Issued; 5,041?000 — —_—_-- i r ~ -� Name_; ARIAS Total Fees: 10.00 Address: 346 FIFTH STREET ` Amount Paid: 10.00 ATLANTIC BEACH, FLORIDA 32233 i Date Paid: _5/04/2000— _ _� — Phone: (904)241-7969 Work Desc: ERECT FENCE PER PLANS— CONTRACTOR(S) LANS CONTRACTOR(S) --- --- APPL11CATION FEES AAA FENCE COMPANY OF NORTH FLOR! PERMIT - 1000 1 i f i I � Inspections Required __—.— p 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 I "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, { 4 I I t d A NTIC BEAC=HU I�IN T. ate: 5J85/88 81 Receipt: 8854729 j CASH I CITY OF ATLANTIC BEACH APPLICATION FOR FENCE PERMIT Owners 9Q)0-r L � /)D h n C" A, r o� 5 Phone Address 34�. `>iw Lot Block and/or Unit# Subdivision Contractor if Different From Owner ,,rh h Valuation of Fence $ � 0 Corner or Interior Lot Type of Construction 4AI Attach Survey Showing location and height of fence as well as location of street(s). A M !/Y A /1-1 t' Owners Signature A A Contractors Signature t✓ ' � M A P S H O W I N G S U R V E-Y O F Lot 19, Block 6, ATLANTIC BEACH, according to the plat thereof recorded in Plat Book 5, Page 69 of the. Current Public Records of Duval County, Florida. CERTIFIED TO: ROBERTO ARIAS, DONNA M. ARIAS, DUVAL FEDERAL CREDIT UNION and BARKER TITLE & ABSTRACT AGENCY, INC. (40. o' R1Cs�-li -of-v�A Y) '7 C7• c7 Fo. Ra Sia¢ 4-yo' To ly./>S 1 G0/-a ST r->Ia. � Ga a. CN o � C>� N o NW N N v Zs.4• Po 9.7 o Q H � 0 2-STOV- F eesmIR +o ll D iv 3 4-In 4 3z.4 Orlt o IJ` D'e 4 J r 4 ri 0� iz s' T- cis WC-1 I � 9C7 X— Y i oX_ 8 C, �• F-0. Y-L•. %W—J L • \ Z.Z• L.. O V Z 0 O 1 lb r\ go. At ,/�•rA •iA A.iAA •..A CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5828-Fax:247-5877 ELECTRICAL PERMIT PERMIT INF R'MATI N' LOCATION!NF MATION Permit Number: 21470 Address: 346 FIFTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: t�WN ijit INFORMATION Date Issued: 2/15/2001 Name: ARIAS Total Fees: 25.00 Address: 346 FIFTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/15/2001 Phone: (904)241-7969 Work Desc: INSTALL OUTLETS, RECEPTACLES AND SWITCHES CNION FEES QUALITY ELECTRICAL SERVICES PERMIT 25.00 nspections Rei ROUGH ELECTRIC FINAL ELECTRIC 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. $25.0814 AT IC EACH BUILDING DEPT. DS 2/15/81 81 Receipt: U34365 CHECK ,,..,.neu 11 A CITY OF ATLANTIC BEACH, FLORIDA � ro Approved er APPLICATION FOR ELECTRICAL PERMIT S TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_ IMPORTANT NOTICE: �O r IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING. WE r 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 JOURNEYMAN NAME �?' 1JI`1 a S ADDRESS:- 3e/6 I 4 A St RFD BOX BLDG.SIZE BETWEEN: 3fj F r RES.YC) APT.( 1 COMM.( I PUBLIC( I INDUS.11 ) NEW( ) OLD( ) REW.( 1 ADDITION( 1 TRAILER( ) TEMP.( j SIGNS ( ► SO.FT. --1- SERVICE: NEW( ) INCREASE( 1 REPAIR( 1 FEE CONDUCTOR SIZE AMPS COPPER ( I ALUM. o U SWITCH OR BREAKER AMPS PH W VOLT RACEWAY ro EXIST.SERV.SIZE 2-00 AMPS PH 3 W -41) VOLT 5t! RACEWAY "b FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES /D CONCEALED OPEN TOTAL u- m O.JO AMM. 3t.300 AMPS.IF' C `♦ SWITCHES 1 / (^� INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVtR APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING ' CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. i VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDE 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S TOTAL FEES CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT PERMIT I FORWION LOCATION INFORMATION Permit Number: 21445 Address: 346 FIFTH STREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 2/09/2001 Name: ARIAS Total Fees: 25.50 Address: 346 FIFTH STREET Amount Paid: 25.50 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/09/2001 Phone: (904)241-7969 Work Desc: KITCHEN REMODEL CONTRAC ;t. AQP A FEES WILLIAM GOODLING PERMIT 25.50 ,. I s `orns-Re hired TOPOUT 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. $25.56 14 66 ATLANTIC BEACH BUILDING DEPT. Date: V12/081 Receipt: N 721 CHECKS �12/ 881889M32216K1 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: (p OWNER OF PROPERTY:- MA, [ cc 5 TELEPHONE N0. PLUMBING CONTRACTOR W �L( dQ c.�-� lam'C` Go f VAL CONTRACTOR' S ADDRESS : 5-1 co -TA^F STATE LICENSE NUMBER:9P0dCe(274_ TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES I RE-PIPED OR NEW L SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS _DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LI9,T.-4LI- 2--BE--I-NG..REPIPED) OTmt, e-, TOTAL FIXTURE 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 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233 -Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT PERAAiT"INI ORM 't'IQI ., QI 1 O .I 1 ` TIO[V Permit Number: 19331 Address: 346 FIFTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ADDITION i Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: l .iIFQRIII 'CtN ,.' Date Issued: 12/09/1999 Name: ARIAS Total Fees: 25.00 Address: 346 FIFTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 12/09/1999 Phone: 904)241-7969 Work Desc: WIRE FOR ADDITION Karl QUALITY ELECTRICAL SERVICES PERMIT 25.00 I ROUGH ELECTRIC FINAL. IN AL ELECTRICI I NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER,CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. C525.88 14 Date: 12f89199 81 Receipt: 881729b98 ATLANTIC BEACH .UILDING PT88100083221888 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:—_ _ /2 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME. �b_�F`r �O 1� IGS ADDRESS:_; 3�I�o E-4-it, S RFD BOX BLDG.SIZE Q� X �'r X S BETWEEN: RES. ( ) APT. ( ) comm. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ! OLD ( ) REW. ( ) ADDITION ( 4 TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER I ALUM. SWITCH OR BREAKER 0 AMPS PH _3 W 2—`D VOLT )C— RACEWAY EXIST.SERV.SIZE C> AMPS PH -3W Z Yc3 VOLT SC- RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS ,5 CONCEALED G- OPEN TOTAL RECEPTACLES (0 CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES -57 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. MN y C v _ _ _ FSO R1�P OF � . 1 • • . . • JOB A&RESS �T DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been PLUMBING made, call 247-5826, Building Depart- ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 BLDG p.m. Monday through Friday. P.vLANr�c v F[OR�OP OF . . • • WE JOB ADORESS 7' !n ; / '2- ? V& 3 - CotAPLETED S ' THIS JOS HAS NOT Bions shall be made before The following additions or corrections the job will be accepted — � o f/j to) .r _ M Fc1C —rrEfj I 15.00 REINSPECT FEE I for ' Carpenter, Contractors, Builder oofrtother It is un s to proper pehe work rsons,to cover earth ore other material, until the pl rope with flooring, lath, rove the inspector has had ample time to app After additions or corrections have been PLUMBING made,call 247-5826, Building Depart" action. FieE`Ec ment for an insp Field Inspectors are in the office from 8:00 a.m.to 5:00 BLDG P.M. Monday through Friday. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMITINFORMATION _ � LOCATION INFORMATION Permit Number: 18834 Address: 346 FIFTH STREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: j Proposed Use: SINGLE FAMILY Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: _ OWNER INFORMATION Date Issued: 9/13/1999 Name: ARIAS Total Fees: 25.00 Address: 346 FIFTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 _ Date Paid: 9/13/1999 _ _ Phone: (904)241-7969 Work Desc: INSTALL PLUMBING CONTRAOTOR .,.. . APPLICATION --- - �WILLIAM GOODLING PERMIT fEES 25.00 I it .. _ }fictions Required.:. .. 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. I I I i $25.0014 C� CHECKS /13/99 81 Receipt: 0886590 ATLANTIC BEACH B ILDIN DEPT. 88180883221880 CITY OF ATLANTIC BEACH APPLICATION FOR PLUPMING PERMIT JOB LOCATION: jif(o ` L OWNER OF PROPERTY: TELEPHONE NO. PLUMBING CONTRACTOR ��9c.��I�t��� � "j Id.1r CONTRACTOR' S ADDRESS : STATE LICENSE NUMBER: 101 C13 TELEPHONE: —2—Li If b-�-o HOW MANY OF THE FOLLOWING FIXTURES INSTALLED p SINKS SHOWERS l LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE 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 Book 9857 Page 2003 5 MIN. RETURN PHONE �o I, 750 ROW of Commencement (PRVAR[IN DUPUCAM 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 CO)AWZNCEW7-NT. Description of property 3 y -F�)------------------ ----------------------------------------------------------------------------------------------------------- General description of improvements11 _______—------ --_____________• Owner ------ -------------------------------------------------------- Z 2 3ZZ33 Address _-3 ------ -------=-1-t=--=--------------------------------- Owner's interest in site of the improvement __-- W N e -- I_e e ----------------------_- Fee Simple Title holder (if other than owner) N O N ------------ ---------------------------------------------- Name ---------•------------------------------------------...------------------------------------------------- Address ---------------------------------------------------------------------------------------------- Contractor --_ ---------—------------------- ------------------------------------------------ Address ---------------------------------------------------------------------------------------------- Swety (if any) ---------------N N C--------------------------------------------------------------- Address ---------------------------------------------------------------Amount of bond $-------------- Name and address of any person making a loan for the construction of the improvements. Name ------------- Q NE- --------------------------------------------------------------------- Address -------------------------------------------------------•----------------------------------- Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be saved: Name ----- ��N N���'-�S-------------------------------------------------------------------- Address --- 2-2-3 3-----------------------------. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.36 [2] [b], Florida Statutes. (Fill in at Owner's option). Name ----------- -O N C--------- ------------------------------------------------—------------- ItiJtZ s "CITY OF � u =�°t�b ' P- ' Office of Building Official t` EOUEST FOR INSPECTIO 19 1 Date < ! P mit o. Time A.M. Received & Job Addr L cality 0 Z2 Owner's Nam WING CONCRETE ELECTRICAL G' MECHANICAL Framin Footing ❑ inng Rough Air Cond.& Elofing Slab ❑ Temp POle Top Out - Hire Insulation Lintel F1 Final F1 Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTIONC�:�5 Tues. Wed. Thurs. Friday A.M. Inspection Made PM. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date l� CITY OF Office f Buildi icial REQUEST FO NS E ION --/ 9 33 71 Date 3-30 Time A.M. Received / P.M. Job less Lo Iii Owner's e _ r BUILDING CONCRETE ELECTR CAL PLUMBING MECHANICAL E-1Footing ❑ ❑ Roug ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel Ll Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. Inspec' Made L;J d d A.M. In ector - Final Inspectio er i icate of ccupancy ❑ Date CITY OF �al'/g0 Office Of Building Official Date REQUEST FOR INSPECTION ? /�� ,c Time Received �' j i Permit No.pi ob Address Owner's Name pL Locality BUILDING Contractor Cif Framing CONCRETE Re Roofing ❑ Footing ELECTRICAL UMBING w Insulation ❑ Slab ❑ Rough Wiring ❑ MECHA ❑ Lintel ❑ ICAL Temp Pole ❑ Final Top Out AirCond. & ❑ Sewer ❑ Heating ❑ Fire Place READY FOR INSPECTION Pre Fab ❑ Tues. Wed. Inspection MadeThurs. Friday % Inspector T A.M. --PM. f � Final Inspection ❑ "' Certificate of Occupancy❑ Date CITY OF ATLANTIC BEACH i DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION ----{ __ — LOCATION INFORMATION _ { Permit Number: 18726 Address: 346 FIFTH STREET -- Permit Type: ROOM ADDITION ATLANTIC BEACH, FLORIDA 32233 Class of Work: ADDITION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): 19 Block: 6 Section: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: PB 5, PG 69 Improv. Cost: 17,000.00OWNER INFORMATION - __ MATION Date Issued: 8/25/1999 Name: ARIAS Total Fees: 262.50 Address: 346 FIFTH STREET Amount Paid: 262.50 ATLANTIC EACH, FLORIDA 32233 Date Paid: 8/25/1999 Phone: X4)241-7969 Nork Disc: ADD WORKSHOP TO EXISTING GARAGE _ CONTRACTOR(S) T, APPLICATION FEES HAFTCO PERMIT 142.50 WATER IMPACT FEE 120.00 i 'FOOTING �- --- SLAB- inspections Recluired____ COVER UP FRAMING INSULATION FINAL BUILDING 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 OWL4913 PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSI 'ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOF /I-- ATION OF APPLICABLE PROVISIONS OF LAW. -- -- ---------- -------------------- n ro N. Ce"1A' • a' $142.5014 m Date: 9!22/99 81 Receipt: 898946 CHECKS 113 ATCIC BEAC BUILDIN DEPT. 99199993221999 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET t � Address Date— Heated Scuare Footage @ $ per sq rt = c Garage/Shed Aij @ S per sq = S Carport/Perch pe . s - _ q _t DeCK p e r sq f� _ rat_o v �� i ;7 e zj = S a TOTAL VALUATION * 5 �`���)0r`" 1 ?, v Tc-al V luation 1st $ fUL� A k d,� Remaining Va i,ie $ . pe'-- thousan ' or portion thereon TOTAL BUILDING FEE S � - + Filing Fee Fireplaces @ $15 . 00 $ �� BUILDING PERMIT FEE �_ f Y 2- 4' O N /.3 r4Tff coo,� —WATER IMPACT FEE $_ =m7d -- S - _ E -$ /ry � Q0 WATER :METER/TA? CAPITAL IMPROVEMENT SERER TRIP ! 1 RADON (HRS ) C050 S _ SECTION H PAVING c' $ HYDRAULIC SHARES CROSS CONNECTION S ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ -6--b ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well ; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : f X dj p9 CITY OF ATLANTIC BEACHUi;u`� r 7 rc PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERAT'Ipn�C/7 DEMOLITIONS Owner(s) : Mr . & Mrs . Roberto Arias Address : 346 5th St . Phone: 241-7969 Lot #_,_ Block or Unit # Subdivision: Contractor: HAFT CONSTRUCTION, INC C State License # CG-c026002 Address : 370 4th A-ve . S . ` Phone No: 241-0028 Describe work to be done: Addition c Present use of building: 'L f Valuation of Proposed Construction: $f 7 or C� Proposed use: Is this an addition?__ If yes, what are the dimensions of the- added space: 2 .- ft . X ft . Will the added area be heated and cooled? New electrical (o incre ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, A OWNER/CONTRACTOR AFFIDAVIT, IF OWNER I XfRAfTOR. Signature OWNER: Date: Signature CONTRACTOR: Date: License Supplied: #01►�LaTwyWLPkxmw * r*my COM"bai ,CC82M Liability Insurance: X..�''.EXVPft$AM12003 Worker's Compensation Insurance: NAP SHOWING SURVEY OF LOT 19 , BLOCK 6 , ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5 , PAGE 69 OF CURRENT PUBLIC RECORDS OF DUVAL COUNTY , FLORIDA . w —AAP. - .Sro�rr...� •. oar .35. 2' ` �g�•r r � /7 M r, ,mss'• r' x m c�uluJ d tk� or-Olt f 4�VAisc.e ro sir t�u� N o3 L.G�T 2Z GOA" z0 GOT /f3 IT LJCI7r-fly CITY OF 4&40140 B1113112404-0;/*U-d4 Office of Building Official REQUEST FOR INSPECTION1-2 Date Permit No. �) Time A.M. Received pM Job Address L ality Owner's * uQ—lv 3'? 19 Name z / Q 9 _Contractor � UILDIN CONCRETE ELECTC#FC PL MECHANICAL Footing Rou h Ro ❑ Air Cond. & ❑ Re Roofing Slab ❑ Temp Pole ❑ Top Out eating Insulation ❑ Lintel El Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs. riday� _p �. Inspection Made A. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date -2—/4 7?;?/_—___ `r26- /-r . CITY OF17 Office of Building Official REQUEST FOR INSPECTION V Date -07 Time 115 A.M. Permit No. Received PM. Job Address Locality Owner's /T74 Sj Name Contractor r BUILDING CONCRETE ELECTRICAL PL BING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough Re Roofing El ❑ Temp Pole ❑ To Out 11 Air Cond. & ❑ Insulation ❑ Lintel 1-1Final El Sewer El Heating ❑ Fire Place ❑ READ�INSPECTION Pre Fab Mon. Tues. Thurs. Friday A.M.. Inspection Made 1 A' P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ �� Date o�c p�LANr,C' ,.,A..._ - - _ ORIOa OF EJ;08DRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted �s tt�i` Ca�rrL r.l/ S �JtIE�'.y 0u5z $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors EHEC are in the office from 8:00 a.m. to 5:00 B` P.m. Monday through Friday. �� HZ i ' MAP SHOWING BOUN ARY SURVEY OF `y LOT �Q ., AS SHOWN ON MAP OF SEL'.V 1 LAKES lNIT THREE 0: COW ,TED IN PLAT 900K 44. PAGES Ub fMOUfJN GM OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA. FOR: SHAFFER AND SONS ENTfRPR15ES BEARRJG REFERENCE SEMMIC SIiOWN ON RIGHT-OF-WAY UNE HEREON t$ THE SAME ON THE ABOVE PLA . N016: faiw1/aVf 4h'E fN0/ V JLut_(_/�_�lQ_I_AAVO Af,%fjwjN!/1d v]!s Bi00�rr r<RIf'CSII_04ft1A/0/i96! Rri /gip ro Pe re R A. Jl it A ✓/c A. ©ARA/,�'rr 43AAlfr vi'' (1A I<SON Itr` JV M&rRORmo r,01 r/rL E I cf"4'e-4 Al Y+ CO. *o B P` 85 5�N1t LOT 4�KE Vol ga 6j is NN S87*1 l'i 3"E � 1° M �5.g8� I�+21.5 ".».. P.C. J.`� -�1.561 O6 •o.�,, Z - G� ��T 1 ry AIO✓!�uAo �� /-C, /yam l 11 M (Ps � O r o lb n � 110, P PZL tioa��' ss. I � P.T. I 9 r --_Narc Fnyyo_L� cve.r� ------ FO!/ND�Ir/OA/ SUR✓EY /7 ZO_9S NVT_E:FO[�ND A4 /fioNS HEREBY CERTIFY THAT TN1S SURVEY, PERFORMER UNDER MY RESPONSIBLE DIRECTION MEETS 'HE- yyGENU: 41NRIUM TECHNICAL STANDARDS FOR LAND SURVEYORS IN ACCORDANCE A1Th CHAPTER 61617-6, FLORIDA ' ADLONiSTRATIVE CODE (PURSUANT TO SECTICN 472.027, FLORIDA STATUTES), AND FURRIER CERTIFY THAT j; • ��'- -,Tv:si+T r:+..wsw. MERE ARE NO V1SBL£ ENCROACHMENTS uPON THE SUB„ECT PROPERTY EXCEPT AS SHOVM. i;�'.1.NO p.A. Y•oom D F r..JN.G NLS TRrI PiYr.M FLOOD CERTIFICATE: x> C.ARSONAND ASSOCIATES, INC.' .: ur. t FN:: .:r1(;Ir. w" ,AAIA.N:� 0%NE-, NO 12rv;75 - x,•,I", r, JAR: °i ?-./N' A • ,/ 10141 y 'ANJFNr. SURv£YED APR 1995. �j/'//- rA •4%f OF AE EPSE :VnA SCALE: 1' 2� i 7E'NC Y:e.�.:R VC ' /_HIDA �r �.^N` Nr.�NT_.7/-NAr .I ,I7 MIAs RECOROS 00—W FIE:. E3WK—`HJT ___ PACE�F6-_— ,JOSE A. HILL SSa 71 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 6008-97 Residential Component Prescriptive Method B NORTH 1 2 3 Department of Community Affairs Compliance with Method B Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OB-97 for single and multifamily residences of 3 stories or less in height,and additions to existing residential buildings.To comply,a building must meet or exceed all of the energy efficiency prescriptives in any one of the prescriptive component packages and comply with the prescriptive measures listed in Table 6B-1 of this form.An altemalive method is provided for additions of 600 square feet or less by use of Form 600C-97.If a building does not comply with this method, it may still comply under other sections in Chapter 6 of the Code. PROJECT NAME: -• - -F!� [PERATTIUILDER:,? �j.� (�� P �� AND ADDRESS: f � % u� 13G CLIMATE 1aFFICE: ZONE: 12 F3 OWNER:� '-- 1 RMIT NO. JURISDICTION NO.: GENERAL DIRECTIONS 1. New construction including additions which incorporates any of the following features cannot comply using this method:steel stud walls,single assembly roof/ceiling construction,or skylights or other non-vertical roof glass. 2. Choose one u11he component packages"A"through"E"from Table 68-1 by which you intend to comply with the Code. Circle the column of the package you have chosen. 3. Fill in all the applicable spaces of the"To Be Installed"column on Table 6B-1 with the information requested. All"To Be Installed"values must be equal to or more efficient than the required levels. 4. Complete page 1 based on the"To Be Installed"column information. 5. Read"Minimum Requirements for All Packages",Table 68-2 and check each box to indicate your intent to comply with all applicable items. 6. Read,sign and date the"Prepared By"certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the form. Please Print CK 1. Compliance package chosen(A-E) 1. 2. New construction or addition 2 'ev 3. Single family detached or Multifamily attached 3. �,' ` x^, 4. If Multifamily-No.of units covered by this submission 4. 5. Is this a worst case? (yes/no) 5. 6. Conditioned floor area(sq. ft.) 6. s- 7. Predominant eave overhang (ft.) 7. 8.. Glass type and area : Single Pane Double Pane a. Clear glass 8a, - sq. ft. _- sq. ft. b. Tint, film or solar screen 8b. sq. ft. sq. ft. 9. Percentage of glass to floor area 9. % 10. Floor type,area or perimeter,and insulation: a. Slab-on-grade (R-value) 10a. R= lin, ft. b. Wood, raised (R-value) 10b. R= sq. ft. c. Wood,common (R-value) 10c. R= sq. ft. d. Concrete, raised (R-value) 10d. R= sq. ft. e. Concrete, common (R-value) 10e. R= sq. ft. 11 Wali type,area and insulation: a. Exterior: 1. Masonry (Insulation R-value) 11a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 11a-2 R= 5Z sq. ft. b. Adjacent: 1. Masonry (Insulation R-value) 11b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 11b-2 R= _ sq. ft. 12. Ceiling type, area and insulation: a. Under attic(Insulation R-value) 12a. R= 3C 3d sq.ft. b. Single assembly (Insulation R-value) 12b. R= sq. ft. 13. Air Distribution System: Duct insulation, location 13. R= 14. Cooling system 14a. Type: (Types:central,room unit,package terminal A.C.,gas,none) 14b. SEER/EER: 14c. Capacity: 15. Heating system: 15a. Type: _ (Types:heat pump,elec.strip,nat.gas,L.P.gas,gas h.p.,room or PTAC,none) 15b. HSPF/COP/AFUE: 15c. Capacity: 16. Hot water system: 16a. Type: (Types:elec.,nat.gas,L.P.gas,solar,heat rec.,ded.heat pump,other,none) 16b. EF: 1 hereby certify that the plans and sp5gificalions covered by the calculation are in corrrpliance with the Review of plans and specifications covered by this calculation indicates compliance with Florida Energy Code. the Florida Energy Code. Beto(holfs" nuction is c mplete his building will be inspected Q� C �+ for compliance in accordanceclion 553.9 ,F. {�tV� PREPARED 13Y: DATFa/_: j___` I hereby certify lh, this u it s des red,isin i{liance with the Florida Energy C e. BUILDING OFFICIAL: �-� OWNER AGENT:_. _ DATE: -" DATE: _i - ' MAP SHOWING BOON 'ARY SURVEY OF LOT , AS SHOWN ON MAP OF SEI, ONIT THREE �'1�'!I► LAKES Mg;RE�7ED IN PLAT 90CM 44, PAGES E6 11Yl000H 608 Of THE.CVRREI4T PUBLIC RECORDS Of OVVAE COUNTY. FLORIDA. FOR: SHAFFYR AND SONS ENTERPRISES :'. ': y BEARRIG REFERENCE BEARk/C 5710WN ON RIGHT-Of-WAY UNE HEREON THE SAYE AS 2NM ON TK ABOVE 0 PLAt. A/016 LYE!47/oNf �R_b 1kd/S(LV l�r/f:(/��O_I�A�VO REfdf-� AWMARIt, Bioorr.E' R7YTC.11 04A/Al o�441 4r." To• Pe reR A. JuL/A RA z N✓oc 40 N,4. �,v/eA/e rr 18An/K o lb, K56 a' MtvrR oA v,"TAA/ r/r,4E � 6�io,e'A�v,rIW•c'o. pLP� 9 i 5 uN(� 1 HO LOT 85 t a- A�McE ga c V Vol e5 Ie N4, S87*1 1'13"E ` `°l 5,g8' n+21.5 At.AW ,t P.G. 1.56 0 'V rosy,! 7 '`;> Z, G/°1�. rw ry d w ►l� o� �p :� li_� n a 4b � AID✓!b�EY/no 't� � �/.0, � /v,NOpN � L ''a lv ryAr) OPti : p-1. i J ------ FewNv.trr�aN suR✓E_Y /Z-Za-95 wore:FOWVo ACLlXoN5 HEREBY CERTIFY THAT THIS SURVEY, PERFORMED UNDER MY RESPONSIBLE DIRECTION MEETS 'Ht HINSAUY TECHNICAL SIANOARDS FOR FANO SURVTYORS IN ACCORDANCE MT), CHAPTER 61617-6. FLORIDA ADYINISTRARVE CODE (PURSUANT TO SE(W.A4 472.027, FLORIDA STATUTES). AND FURTHER CERTIFY THAT THERE ARE NO NS18LE ENCROACHMENTS uPGFI THE SUBJECT PROPERTY EXCEPT AS SHOYM. "�'� ?i +��..�INI:RES TRIC Ik1w .Nt. FLOOO CERTIFICATE: •• "INnI. N :,' CLARSON AND ASSOCIATES, INC. T, YAf !HAUS:h;'r .1,;E: NO. 121,,75 .. JAR. 1 f -- �0'. INC- pA SUR vFYED A-R 1995 •Q NI ,O 4lEPh QAA _�' IL_-4___._—_-. y'a %INT ar zvc:.�No l N h SCALE: ,TI•<_ x�: <R vc :'e+ !_iMIC• I -r•, ^I7KIK IIfCOROt A71:N4 FIE. D BO(N(�J7 _ PAGE-E16 JOSE A. HILL SSo 79 ` �DEPAR'TM047.OF BUILDING C O ' CITY OF A`:iLANTIC BE CH,FLORIDA PERMIT NO. J PERMIT T BUILD i THIS PERMIT MUST, POSTED ON JOB i Date 7/13 __ 19--83- 26,207.20 9--83-26 207 20 118.50 Valuation$ Fee$ i This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. 1 0.5 0 T This is to certify that SCOTT LEWIS 346 5th Street J i� .JiJL'lI" AS PER PLANS I ;l 7/14/8 has permission to build ADDITION �UIIU Classification SINGLE FAMILY Zone RS2 Owned by SCOTT LEWIS i Lot 19 Block A S/D AR House No. 346 5th Street According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE --� 4 i O Building material,rubbish and debris -z-I from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER I WATER f 1 NG: 1.EC 11% 1 CAL: BUILDING 1'1-"R'-IIT 1,ORF:SHEET 12- HEATED SQUARE FOOTAGE: _ / @ $ ,z'_ _ _ per sq. ft. - --- CARAGE (PRIVATE/SHED) : -- -- ---- @ $ -- ---__ _-- -- ---- Per sq. ft. CARPORT: — per sq. ft. PORCHES: per sq. ft. _ $ ------ ---___ DECK: @ $ per sq. ft. _ $ PAT 10: — per sq. ft. _ $ TOTAL VALUATION: PERMIT FEES r�i v TOTAL VALUATION DATA Ist 0 30 $ RL:]A NDER VALUATION @ $ �; per thousand or portion thereof TOTAL BUILDING PEi=NIT FEE. . . . . . . . . . . . . . . . . . . . . . $ - PLUS 2 THE BUILDING PERMIT FOR PLAN FILING FEE. . . . . . . . . . . $ , ' TOTAL FEE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ---------------------------------------------------------------- ------------------------------ PI,L:,`BING PERMIT FEE: $_ 111 CHANICAL PERMIT FEE: $ ELECTRICAL RESIDENTIAL: $ ELECTRICAL TE?IPORARY: WATER METER SIZE: FEE: $ SEWER CONNECTION CHARGE: SQUARE FOOTAGE: FEE $ WATER CONNECTION CHARGE: FIXTURE UNITS @ $10.00 PER UNIT: $ ACCOLNT NO. : APPROVED BY: TOTAL BUILDI':G/PLAN FILING FEES: A P P R O V i5' 'TOTAL WATER :•,ETER CHARGE: $ _ `^ EEACH' TOTAL 1•,ATER CO'aECTION CIyARGE: $ TOTAL SEWER CO'':`;ECTION CHARGE: $ GPA-ND TOTAL DUE: FOR OFFICE USE ONLY Date.............................•-...19 CITY OF ATLANTIC BEACH Permit #........................Fee$........................ Valuation $.-................................................... FLORIDA House #. .......................................................... APPLICATION FOR BUILDING PERMIT ---------------------------------------------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Dat --....-------------• �- -------------------------------- 19........Le Owner..-.....�9�---------��Gt •------- ..-.W is Address-ft------------------------------------------------� Telephone No.�.....�..fr............ Architectn....................................................................Address..................... e .....---•-----•.............•----......Telephone No........�'1.�":!k P� ContractorBuilder--...... .................................................Address.....---••----•-----......--....------....--.....------...Telephone No............................� Lot No. -- ------ ------------ --------- Block No. Sub Division_... Zone .�y� •�.� "S ---•---Street-•--------------------Side Between.-----•-•-------..... ..-----•-••--••................•---•-----.. .. --------and....--•-----•-•--•-•-----•-----------•--......----...-Sts. Valuation$--1?t°B0.............For what purpose will building be used... . .�`'�'ri"! ...Type of construction.....__--------.---------------... • Dimensions of Building.3.�X�RQ�..y1'`�_.....Dimensions of Lot......-- .....j�l.. -•--- Size of Footings-.................................... Size of Piers --------_--_-_------._..Size of Sills......---------..1.. ........ Greatest Sill Span in ft...........................Type Roof..:�'41:2 .............. How will Building be Heated?......��': � .. �1<<�?a` .... -... .....Will Building be on Solid or Filled Ground?---411'......................... Size of Ceiling Joists................................---------, Distance on Centers........... ._.............................. Greatest Span............................................ it Size of Floor Joists....................... .......... Distance on Centers.. ... ------_----•---........... Greatest Span............................................ it Size of Rafters.------ .............--- .-. . .. --- Distance on fie�ters , Greatest Span....................................... CITY OF A R NTICBD This rectangle is to represent the lot. CUILDI dG c�h,CACFj' Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. 1a93 REAR LOT LINE Two copies of plans and specifications shall be submitted with application. ' Inspections required. 1. When steel is in place and ready to pour foots 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. "a a 4. When framing is completed. o 5. When rough plumbing is completed,and ready to cover up. W 6. When septic tank drain field or sewer is laid but before it is covered. q 7. Electrical inspection by City of Jacksorville. r~n 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. Signatureof Builder................................................................................ Address...---------------------------- ............... ....------------------------- Signature of Owner.---•--------------------------------------------------------------------------- Address...--.............. C I TY OF .r,TL i I ' ' : 1•CH hTL;,t4TIC 1 Ft1CH, f tc, IDI, t,GD ��DU`; 70 1?UILDING PLAID Eui )ding 1_ocatiun: The attached plan for the a?,ove bui Idin is ate, roved sn --- - - - 9 ,-P bject to rjeet ing the fol lowing :-; p1 ic .:,b1e construct ion requi rements a. Footines shall be continuous ,monolithic concrete under exterior .ails, reinforced with two 5/8" deforrr,ed reinforcing rads for cne-story buildings and three 5/8" d for �.,ed reinforcing rods for tt•:o-story buildines. Reinforcing rods shall be placed in the lc..er one- third of t11e foot Ines , praper)y placed and fastened on r.,etal cables with wire. Footirles shall he six ;1'c"-,es �.:ider on each side t`.an ;: all alJcve, shall be at least eight illch�-s .hick; and s`,all rest on f; [a,, soil at ( cast t "elve Inch�-s bE10ta undistur'L"ed soil . b. In 1,0110r;asonry unit construction_ each unit cel ] shall be r l < ,s: On ''0. 4 Lar at aJ ll cOnr`ers, c)uIed and ta' pcd t:'Ith cuncrEteisuch rein- ced t•:Ith at fUrc ing Sial l be properly tied into the foot ins and sp Andra) team C. All od truss rofters (Fc)Of canstruct ;on) , s�.all be s- r , - - . _ __ __ _ curEly , �_stenc-d to tf,e e 1 o r t:al ] s w t approved hurriCarle_ anchors or clips. d. CoPstruction of ;,earby c,,;`-rami 1y c,-:el ] Ines similar, shall be avoided. S ':bleb are c--,p licates or into se)y Such s l:ni lar i ty ccns l Gers the e;:t ernal canf icurat ion and aY;icaronce ( i . E- , roof, outer `.:all i'oierlals, Indoi•; SIZE oJld t'ESI �n, nd otr.er 11 . E Cf.�rr,CicrIStICS) Of s r_uCiures . In accord .• ith tnEOr�oOlnS, SI ;;,Ilar and shall r 5 bE at 1 <_ st 00 feet impart i ; any cne similar c:.elline, is tisi6lE frc7: any other similar d::el l irng. e. The i i r.aI connect l On Jc -Enth` Ila _,sE l -.D l n Grain orld the 9 s`. -2r=s-r. ice CUrinect Ion (at the pro"-;erty line) i�u'st be Inspected by the City ''�E) ore (%ein covered- 9 C i t oyer ur,dersiSned Hereby certifies that he has read the move and understands that this nc±um takes precedence over any contrary details to the plans and specifications and es to cc-:lp)y with the intent of this addendum. Cont r actor/0 ---- :mer nate -- ..�r