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325 6th St (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 09-00000222 Date 2/13/09 Property Address . . . . . . 325 6TH ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cndsr 2 . 5 ton 1 ah 10kw ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DOUGHTIE, JERRY W. OCEAN STATE HEAT & AIR, INC. 325 6TH STREET 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . 1 CNDSR 1 AH Permit Fee . . . . 59 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/12/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 59 . 00 59 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total S9 . 00 59 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 02/13/2009 08:55 FAX 9042498949 OCEAN-STATE-A/C ATLANTIC-BEACH 001/001 d* CITY OF AT4ANTIC BEACH VEMNCU ftW,ATLMDe rir..%Cm.FL"n3 07- OFFVA.f01Hp4?-60X 0 MX N0.:(XM)2,17-XM� 'Lo*'6'M"6w".us MECHANZAL PERMIT APPLICATION DUVALCOUNTY 1177 , 3 'T 0 YES PERMIT 0: 2.113107 F 3221" [A..W.Mv L AOORM V OMPENr FROM joa AOoAess: a PMONL 7-- I.Mwir.OFCOMMul, AOORM_ AjA *& Y, lv7r. a VATE Of FL UCINSS NO: %J 1ccQW.PHow-, I F O.t -x NO vv 310 =-A 11'.EMAIL A00MBS. li.O"ICE PHONE, 'gay- ZLtp Application is hereby rtude to obtain a permit to do the work end Installuticm as lWartod, I car*Ow all work wig be perrormed to ro"I the standards of all Iews regulating construallon In ft judadlotion. This permit bacomes rvull and void If woork is not cOrMAnced vvithin six(6) monft.or N construction or work It SUspenclad or abandoned for a Period of six(6)ftKnft at any thm Asr*ark is commarlmd, COWrAAC?aft$ I'd =NEW INSTALIATRION 13 NEW "ON FLORIDA BUILDING CODE, )KREPLACEMENT OF EXISTING SYSTEM 9MIS No E COMMI! IAL MECHANICAL 0 ALTERATION/ADDITION TO EXIST SYSTEM 13 REPAIR 0 OTHER 12.HEAT: 0 SPACE 0 RECESSED ArCENTRAL In FLOOR SURNERS- 20.AIR CONDITIONING: 0 ROOM PrCENTRAL 21.DUCT SYSTEM- MATERIAL: THICKNESS:- MAX CAPACITY,. cfm 22.REFRIGERATION: MAX CAPACITY- dm 23.COOLING TOWER- CAPACITY:_gpm 24.FIRE SPRINKLER. NUMBER OF HEADS! 25.UFT SYSTEM; ELEVATOR: MANLIFT: ESCALATOP, AUTOLIFr: 26.COMMERCIAL HOOD NUMBER:_ 1 27.FIREPLACE: PREFABRICATED. MASONRY: 25.IRPJQATION: r3 PUMP 0 WELL 0 PIPING 20.a"PIPING: 0 OF OUTLETS: 0 GAS AHU: 0 GAS WAIIER HEATEIRL 36.OTHER-SPIEr,11IFY. MM HEATO^sou".uwM Pusan vmk NEff exc%NM OR COL*gum EM VNM FOR OTHER ITEMS: NUMBER OF MSCRIPTION MAWJFACTUM TONS AGENCY 7UM*7 S Mxqwu. OF UwT8 DOCRIPTION MODEL$ 7 @QR CALLON* ryl MANUFACTUARR ;WRIAL;4 '=,=NCV CONTAANM MCY COA8 FORM BL0004:REVISED:SM290M CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 07- - OFFICE:(904)247-5826 e FAX NO.:I904)247-58,15 �:ra BUILDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS- 'SUI3:PERWT. JS�THIS;A )CN 0 (9 Vk 0YES PERMIT-#: 2_11Z10 A-_'Ian-Lic Beach, --L 3_"-�` -PROPERWAGWNER., -777 4.NAME: ADDRESS IF DIFFERENT FROI,/JOB ADDRESS: 6.P ONE: -3a 78 -1132 7.NAME OFCOMPANY E.ADDRESS-: S-" &*:1 /(/7(, 44f.-,Ac, alucO 441, &4.4 t:j, 3z2(.4 9.STATE OF FLORIDA LICENSE NO 10.CELL PHONE: CAC,6`413 31 C) Y-5;- 357r-f 12.EMAIL ADDRESS. 13.OFFICE PHONE: 14. q6y— ?-'a— '8e 5-111 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 OF abandoned for a period of six(6)months at any time after work is commenced. G CONTRACTORS 'F` f5.CLASS OF WORK BUILDING. T&# _Q _WE 11 NEW INSTALLATION El NEW rR -E�'D6 FLORIDA BUILDING CODE- ;KREPLACEMENT OF EXISTING SYSTEM XEXIS(G 111 C AL MECHANICAL El ALTERATION /ADDITION TO EXIST SYSTEM El REPAIR D OTHER -MECHANICAL D'IBE INSTALLED: 19. HEAT: 0 SPACE 0 RECESSED CENTRAL D FLOOR BURNERS: 20.AIR CONDITIONING: El ROOM X-CENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MA.X CAPACITY: C;fM 22. REFRIGERATION: MAX CAPACITY: Cfnn 23.COOLING TOWER: CAPACITY: 9PM 24. FIRE SPRINKLER: NUMBER OF HEADS: 25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: 0 PUMP 0 WELL 0 PIPING 29.GAS PIPING: #OF OUTLETS: 0 GAS AHU: 0 GAS WATER HEATER: 36.OTHER-SPECIIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER DR COIL IN DUCTS ETC. IVALUE FOR OTHER ITEMS: _Q ENT PIRIM '�W_ . V_ '+T p�nm� A1111004 REFi*ieE�m bus I P)a R NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY _-,32.�MEEATING -PUIRM ENT. Z -Tr& �R' "BOILERS HAND116 RIA _'CES.: NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY L/ —rV&,4,r, /0 3 T-, TYPE LIQUID NUMBER GALLONS CONTAINED MANUFACTURER SERIAL 4 AGENCY U CDAB FORM BLDG04:REVISED:9/1 3/2007 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD . ...... ATLANTIC BEACH,FL 3,2233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 06-00032713 Date 5/02/06 Property Address . . . . . . 325 6TH ST Tenant nbr, name . . . . . . RE ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3000 Owner Contractor ------------------------ ------------------------ DOUGHTIE, JERRY W. ROMANO ROOFING SERVICES 325 6TH STREET P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5649 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 68 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3000 Expiration Date 11/02/06 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68 . 00 68 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 68 . 00 68 . 00 . 00 . 00 PERmrr IS "PROVED ONLy IN ACCORDANCE wrm ALL Crff OF ATLANTIC REACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date Heated Square Footage' @ S . per sq ft Garage Shed per sq ft $ Carport Porch �_A persqft= Deck- per sq ft S Patio persqft= S -TOTAL VALUATION: Total Valuation Is'.$ A9V(2 . ID Remaining Value $&-per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE S t4 ZONING:' + 1/2 Filing Fee $ FLOOD ZONE: )Fireplaces@$35.00 $ RVTERVIOUS SURFACE: BL11LDING PERMIT FEE S WATER RvIPACT FEE S SEWER IMPACT FES S WATERMETERJAP $ CAPITAL IMPROVEMENT$ SEWER TAP C RADON .0050 $ SECTION H PAVING S HYDRAULIC SHARES CROSS CONNECTION ST( SURCHARGE OTHER C6 GRAND TOTAL DUE: CITY OF ATLANTIC BEACH Cc: D. BUILDING / ZONING DEPARTMENT �;L 4Hi irns:�> L r 800 Seminole Road oerr Atlantic Beach,Florida 32233 (904)247-5800 —Vill, (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 4 & - 3.-� 7 / 3 Property Address: _5x;z 5, -rq ;r Applicant: I-A I" f)0 *__R-6 0 9 U Project: 'HE: Roe This permit application has been: 25" Approved ED Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: FROM :116mano Service FAX NO. :9042461692 Apr. 06 2006 03:02PM PI It$ �-,b V CITY OF ATLANTIC BEACH 'ROOFING PERMIT APPLICATION Date: Job Address: Owner of Pro Addresq: Telovhone: Contractor: State License Number:(-2r-Q� COntractor's Address: P�+k - - 32 2—, Telephone: Fax: -Scope of Work: rty -0�cck Slope: Grea than 2:12 Less t1tan 2:12 Valuation of work: Im F rl oduc Name(FTEx- rliine� --M=4&WMwiEMh-p1e-'GAF): AFL ASTM Desipation(s):-- -;S(-] Required Inspections: Sheathin an im X Signature of Owner Nte. Date: Sigriature of Cartractor: Mo (e AS TO OWNER: Sworn to and subscribed before is 0 dayof boe Stift of Florida,County of Duval Notary's Signature: 'AINA Ito My CWMAS10 EN Personally known Q� Produced idaitification Type of idendficadon produced AS TO CONTRAcTOp,: Sworn to and sulucribed before me this day of —*2 SL,Ue of Florida,Cnun ty of Duval Notary's Signature:. 0t4;z-1-=0 ew-MQ0W-%�RI-AINVIZITYM RtA - - nj)-.07191 Wi 1%MM1f4S%C)r4 0 ili�% El POMOnafly known j.yjqRVN!r14*0Lbk1 Produced idoutification TYPO of identification produced SM Seminole Road Atlantic Beach,Florida 3-2233-5445 TelePhone-* (904)247-SM Fax: ("4)247-3845 -hapalwww.cLatlantic-beach-Lus Page I Rovbcd 2021)03 FROM :Romano Service FAX NO. :9042461692 Mag. 02 2006 11:15AM P2 DOc 0 2='150192.OR SK 13230 ftp j970, Nunvw Pagn;I FN@d 8.R-wded 0Wr4%at 03:3D pM, v JAI FULLER CLERK CIRCUIT COURT DUVAL COU" RECORDING$io.00 Penaiit number Tax Folio,nurnber NOTICE OF COM-MENCEIMENT STATE OF FLORMA COUNTY OF DUVAL THE UNDERSIDED heraby gives notice go mpmemm,W1,be made to certain reW ,perty, and iO Bcmdw"with Chapter 713,Florida Statutes,the fWkiwing infonrwficgi is provided in this Notice of Conunu)cerr=t �om f 2=11 2. G�' nof,' yovemegits, 9p 3. Owner inforniation- 9 N Mt11z:&SC- b. InterestinpropaVi W2-3--21 c. Name and addmss of feesimple titleholder(odw than owm)., 4. Contrack id�k 01".411# Roof ,e�tr reej,1 e a. Phone number: --S-4 41 b.Fox number Ywk- 94/1. -/i?;L 5. Surety kffunnation: a. Name and address: b. Phone number—c.Fax nunimsr.—d.Arnount of bond: 6. Lender's mune and addrw3.- a. Phone number b,Fax number; 7. Person within the State of Florida designed by owner upon whoni notices or otber docuitents maybe served as provided by 713,12(lXa),Florida Statues. Name and Address: a.Phone number: b,Fox muriber 8. in addition to bimsell7berself,owns denigoates of to receive a copy of the Lienor Is Notice as provided in Section 713.12(l Xb),Florida Statutes. 9. Expiration date of Nod ce of Cwomcatnent (the expnlvbon date is. one (1) yen from the date of Reconfing unless a 4Lff grerit is specified), Sipature of Owner his dayof Sworn to and subscribed bdore-me this day of 20 Nota,yf" Known person"y/lb.shown- _____My cornmission expires: e-* n...,AINA ROMANO Jun 04 03 01:20p BR07PCil (904)777-5061 P. 1 HE~D INOLWRES,INC. bdf!663177211 6MROOBEV&TOLVD. had: JL:X128 a#VAqormjZ F632244 F111:0, xsc-5 aftecolded 1 wwma U151 JIN FULLU CLM CUDIT COT XF&collin ow .4 10HU Of fS WRMUMM *I cpwx�In DUPLmms COPY FEE I vi To whoss It Raw coswarm ri TM UndernApod hadw 7010 that ln*rwc�tl will be nude to cortain real propwv, and in &*Wdm"with Section U313 cd tba WissidR glaftfies,lbs ft1lowing labrsnation I.autsd In this NOT= cir commorcium. 9,1 1— A, owbor x/aA �WAuc- Addna AW--- Ad.. i/j, 7 --!Z—(ozQ2 owows Wettest In as of am impm"WIFInt----------------- Ves 1111=00 Tide holder(if other tbn owner) A Adre Addrom Surew(if-W) Address of bood --------- NAW W"&W ef my pmon miki�g low ler dto cogevocdon of the lTorov@mgftM KUM Addr4n rb.d.".2 Vvithift cbe$tug of Fka'16 oth"'d"'W-01L dWPKW bY A-W WOO whm I i or orb,dommo Addmm 10 a"t'= 'A bhn"A MW dselln"Se dw f0110willill Perm to rwWo a con 6f The Ulomoji Notke irovIdod in Xectim 113.00 ES] lbj.yjc"patut@L (VM in a,bwners optf.). Name Address Y"W SPACE MW soco"ER's MR ok6y Sw—to and suboribed betwie me tht, 7day at gee 1 -7 Fk"C Nolso 0aic an't moms Ito CITY OF B14CA off ice of Building official REQUEST FOR INSPECTION Permit No. Date A.M Time p.m. Received Locality Job Address 00 r 4012,� CHANICAL Owner7-7),olt tor PLUMBING MECHANICAL Name ECT BUILDING CONCRETE Rough Wiring Rough Heating Footing Temp Pole Top Out Fire Place Framing Sewer Stab Final Pre Fab Re Roofing Lintel insulation READY FOR INSPECTION M. P. Thurs. Friday Wed. Tues. Mon. A.M. P.M. 3 spection>�, Final In Inspection Made Certificate of occupancy inspector— Date DATE. PRE-SERVICE DIVISION JACK,73ONVILLE ELECTRIC AUTHORITY WEST DUVAL STREET 'T ACKSONVILLE, FLORIDA 12202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY : 'Z &ZA ---------------------------------------- -- ---------------------------------------------- I-------------------- ------------------------------------- ------------------------------------------ Enclosed are the blue copies of the permits. SINCERELY, BUILDING INSPECTION- DIVISION cc:FILE CITY OF ATLANTIC BEACH, FLORIDA Approv"bV APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19-13 IMP013TANT 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. BILL TPOMPSON ELECTRIC CO., INC. A571 qlt� P. 0. BOX 3301 50 AT'44111�Af'.141 F 199,11-01,90 ELECTRICAL FIRM: MAftiR`ELirCTjfjCIAtjJ*bNATU8E JQURNEYMA NAMEZ� ADDRESS: 6 , RF�—BOX_ BLDG.SIZE BETWEEN: R ES.D4-- APT.( C�M�.i PU13LIC INDUS. NEW( OLD^L REW. ADDITION TRAILER ( TEMP.( SIGNS ( —SO. FT. SERVICE: NEW( ) INCREASE!�f– REPAIR ( FEE CONDUCTOR SIZE AMPS /-f o!59 COPPER I ALUM. DAI:!' x SWITCH OR BREAKER /17244MPS /PH .-,.,-RACEWAY_ EXIST.SERV.SIZE AMPS PH 7 7�VVOLT RACEWAY d7� FEEDERS NO. SIZE NO. SIZE NO. SIZE 4t, LIGHTING OUTLETS CONCEALEDI OPEN TOTAL RECEPTACLES zil—f CONCEALEDI OPEN TOTAL 0-30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT M.V. FIXED 0.100 AMMA OVER APPLIANCES 1— 1 --- I BELL TRANSF.-- AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT OVER MOTORS H.P. VOLTAGE PHS No. I N.P. VOLTAGE PHS M14CELLANEOLIS TRANSFORMERS: UNDER 600 V. OVER 600 V. 1 —4111 1 F S LwATI-M., --------- IT; 11NFORK&I Address: 325 SIXTH: OTRZZT' � L-f;'Oumbor � ATLANTMNBZACR PLORIDA 32233 t, Tyjpe,: ' 10",At L ----------- Work,, Lot: ock :B1 ction, WOOD F fro&4od Use:, SINGLEVAKILY :RNO 0 , C Subdivi-siow odC 0 tiled, Val Us: $0.00 mprov $0.00, Cott: $47.09 �,Amo $47 -00 Dat 93�, ItAL RZAT, ARb- AIR. IN EXISTING RSSIDENCE: APPLICATION IFUS TION rpxRxjT: $47�.Oo MPACT 0 tiff WATER 0.0 FLORI . :2, 0 -00 40 06 MON 'GAS St . RA -ER- TAP .00 _0 40� 0 ON T 0 JECA FLORIW%32,211 LIC. SHARE_ TYP6� 3 : APITAL ,I",ROV-,Z.:;- 6i-T-BIE,INSPECT66 BEFORIE'Pou"I"O A:DAIV OFISSUE 'BE CS E,AND MUST 4UST NOTSE F"CEDIN PU160. �WNER: -LIP IN o sumbimmi ft, -7, 10,PERMIT-AND Stu) �o i-, �Vl 19 -is BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BlEACH ATLANTIC 89ACH. FLoRICA 3XS33 APPLICATION FOR MECHANICAL- PERMIT — 61.1.4'"UM'eElll IMPORTANT — Applicant to complete all iferns ;n sections 1, 11. 111. and IV. LOCATION Street Address: I OF - Intersecting street$: letwoon And WILDING 11. IDENTIFICATION — To be completed by all applicants In cons;dorot;on of permit given for doing the wool as described in the obeve statement we hereby ogres to vo,fc-," said -o-s w,fh the offachpd plans and specifications which are a part hereof and in accordance with Ohs City of Jacisonv.l'o ordinances a-a of good practice listed Aeroin. Not" of Mechanical Contractors Cookottor (Fria#) oce^^/ k(�ZA_v Master CA60 Name of Property Owner Q sivaefurs of ownek:— signature of nor Authorized Agent Architect or Engineer Ill. CPEN2KINFO!!�� A. Tn,.,4 has s fuel: 15 OTHER CONSTRUCTION 591MG DONE 0 XEiloctric��j THIS BUILDING OR SITIC? i7b (3 G"—O V El Nefier-I E3 Control Utility IF YES. GIVE NUMB 901 Of USTRUCTION 0 09 PERMIT 0 oth" — spwfr IV. m@CNANCAL IQUIPMWT TO U INSfA11,10 TURII OF WORK to Xg Residential or Commercial Irre ;&complete No of"opowaft*it back of this 10m) Host 0 $Pat* 0 Re""W X Central a F%w Now Building Ak Coadoliksaing: 0 Aseen &Ico*ftl I Existing Building h4m: M,1e&LadJSQ31 Thicklm Replacement of existing system Mallmsom capacity Now Installation(No system previously Installed) 0 Extension or add-on to existlng system 93 Cm&g ftwer: C006401 0 Other— Specify 13 fine WAA": Member of has I D Slevow D Mealiff C3 ImIsto' THIS 111FAC111 PDX OFF=U14 ONLY ,C) GONERe pumps _(namber) lit"dowl D –L. __ -__ (sumborl ROMA$ 13 LPry cents - - 13 U*&W Pressure v~ Permif Appreved by 00W — Sw* permit U9rr ALL EQUIPMENT AM CONDITIONING AND REFRIGERATION EQUIPMENT caftamt Aj= NU0*erU0ffA Daum= Modd NumWir C1 I-Orco CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026123 Date 5/28/03 Property Address . . . . . . 325 6TH ST Tenant nbr, name . . . . . . 12X12 STORAGE BLDG Application description . . . SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2769 Owner Contractor ------------------------ ------------------------ DOUGHTIE, JERRY W. HEARTLAND INDUSTRIES 325 6TH STREET 6203 ROOSEVELT BLVD. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32244 (904) 777-4042 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 45 . 00 Plan Check Fee 22 . 50 Issue Date . . . . Valuation . . . . 2769 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 . 50 . 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 APPLICA13LE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH N 800 SEMINOLE ROAD -5445 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE:(904)247-5800 FAX: (904)247-5805 SUNCOM:852-5800 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # 05 - ;2-cat.2 Applicant: IrIt FA Cli Address: (s=' �:af Proi ect: Q y i J, il-a ccz 6 e J-31 J ez. �.j W/Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed b 0 ,-5 F-C>et 0 Date 3 Signed Contractor Notified Date RE C E IV I:' D ATLAN�!" BEACH 4 C1 L IL 7 L �,�7 J B�i1LD1NG &70RVNG M Ay 2 1 2003 Jqy City of Atlantic Beach 800 Seminole Road -Atlantic Bea* ofida 32233-5445— Phone: (904)247-5800 FAX (904)247-5805 http://Www�-cl.a�antle-�ea--CE--ff-us— BUILDING PERMIT APPLICATION FOR SINGLE-FANHLY OR TWO-FAMILY(DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION,REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE ;�,-,7-z- JORADDRESS AT LA,V7 C ,K 926�—A- 1 A"LICANT A7 :Qou 6Z H 7/ L PHONE: Lg AWMESS A K)4 �i L,-) \J I LT t �3-2—CO LT- - 2 2-et-i LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMER ZONING DISTRICT ,—TO T%,�, ,,— n. i Uno-W vl.� LAd STATE LICENSE NUM[BERCgU5(pq(0'4 CONTRACTOW N,,,F p, 1�m I ADDRESS 23 Red Wry PHONE - 904 9-7 7 "VIV3 CITY STATE ZIP 3gd-qq FAX 9by �?3? 50401 DESCRIBE PROPOSED USE AND WORK TO BE DONE PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION S40 00 Is this an addition? If yes,what are the dimensions of the added space: ;feet by fe7et Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air condition ing? Is approval or Homeowner's Association or other private entity required? If yes,please sul�iinit with this application. WILL THIS PROJECT INVOLVE CHANG ES IN ELEVATION, SITE GRADE OR ANY USE OFc FILL MA3;ERIAL. MNO._,Applicant certifies that no change in site grade or fill material will be used on this project. 0 YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP P. Verify zoning designation and proper setbacks for the proposed construction. if you are unsure of this information,please contact the Planning and Zoning Degiartment at 904-247-5817. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available., STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If n6t required, written verification must be provided with this application.) 'Me Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 6118/02 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict 0 required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and penTment,including setbacks,building height�number of stories and square footage. -Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant chvironmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL T1 PROVIDED W1 APPLICATION IS CORRECT. UGNAB=OF OWNER 7 UAM, z V U 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 COMPLEE-D WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON T13E ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR Aylo�� DATE D_U t)3 ADDRESS AND CONTACT INFOILTION OF//PERS/ON TO RECEIVE ALL CORRESPONDENCE REGARDING TIIIS APPLICATION (PLEASE PRINT) NAME1.11e. QaAln lt�a bourl"k— MAILING ADDRESS 0a Nbu gaiwiul'ot a PHONEQ,351 3�� 1 ) FAX E-NIAM SWORN AND SUBSCRIBED BEFORE ME TE[IS DAY OF lq6&J 3P STATE OF,fLORIDA,COUNTY OF DUVAL Diane 3.Randall MYCOMMISSION# CC93ol6o EXpIpEq NOTARY'S SIGNATURE APrIl 20,2004 4 BON�IDNPUTROYFAIM INSURANCE INC AS TO OWNM EJ PersonaDy known Produced identification Type of identification produced wyp Dkme 3.Randall AS TO W&AlillibNf CC930160 EXPIRES Personally known C. April 20,2004 Produced identification BONDED THRU TROY FAIN INSURANCE INC Type of identification produced 6/1W2 (-Do r)� oc CITIf OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # 0 ;2-cei.2 Applicant: b-le,"4-ICA^C'J Address: -:;?� S -(,a C' c-'-)4 Project: Q y ti, r-,-,ce J.--)I rJ C, 01:.�Our application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date �2 2,1 Contractor Notified Date R E C !L::-- 14 V D, r: 7,�,!,! MAY 2 1 2003 City of Atlantic Beach 800 Seminole Road -Atlantic Beac4, orida-3-2233-5445- Phone: (904)247-5800 FAX (904)247-5805 -- http://,wwwtc—i.-a-ffan—tic--be—a-cl-.ff.'ii— BUILDING PERMIT APPLICATION FOR SINGLE-FANULY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION,REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE Zoo? JOB ADDRESS APPLICANT A) A7 Cs., H 7/ d- PHONE: ADDRESS �7 T- q0 0) L -9a'd, LEGAL DESCRIPTION: BLOCK NUM13ER LOT NUMBER ZONING DISTRICT 0 TI\.- U.,,,,AJA UkCI STATE LICENSE NUMBER (04 CONTRACTOk\,,.f 1-. — - - -- 9 ott 94 7 -Ic�113 ADDRESS '9� )41)w PHONE 39,;�-qll FAX 90Y 93? 564P/ CITY STATE ZIP D ESCRIBE PROPOSED USE AND WORK TO BE DONE 12-Y 12, PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION S-710 00 Is this an addition? If yes,what are the dimensions of the added space: a feet by fe7et Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? If yes,please su4tnit with this application. WILL THIS PROJECT INVOLVE CHANG ES IN ELEVATION, SITE GRADE OR ANY USE OFFILL M,kTERIAL? MNO. *pplicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit PROCEDURE: (In order to expedite issuance of permits, please follow an steps and provide all information as al)propriate.) STEP P. Verify zoning designation and proper setbacks for the proposed construction. if you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available., STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical Survey Or grading plan is required. (If n6t required, written verification must be provided with this application.) 'Me Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,Fl. 32233 Telephone:(904)247-5834 611=2 STEP.3. Please submit Energy Code Forms,Notice of Commencement,owner/Contador Af5davit if owner is contractor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible marmer. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,nurnber of stories and square footage. -Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pTe-construction topographical survey. S. Any significant chvironmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (swimming pools may be excluded from total Impervious Surface.) 7. other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL TI PROVIDED WI APPLICATION IS CORRECT. SIGNATURE OF OWNER J 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 B.E COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION. BEING TRUE AND CORRECT AND I THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR /Ya,�,��....DATE ADDRESS AND CONTACT "OTION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING TEUS APPLICATION (PLEASE PRINT) NAME MAILING ADDRESS .46-- PHONE FAX E-MAEL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF STATE OF,f�,LORIDA,COUNTY OF DUVAL Diane 1.Randall MYCOMMISSION# CC93cig FXpIRES NOTARY'S SIGNATURE Aprll 20,2004 80N�ID THRU TROY FAIN INSURANCE IN( AS TO OVVNER� Personally known Produced identification Type of identification produced Dians 3.Randall Personally known AS TO C W&WWON# CC930160 EXRRES Produced identification April 20,1004 SONMD THRU TROY FAIN INSURANCE INC Type of identification produced 6119/02 Fli 41 >26� Cj '71 '71 71 Nu om 'A, 14 M I ;§IRST z :E tA Z--- RAH A 999 --0 8 8 -r.- 36 a c: m 40 P z < Z- m 0 a cc.'i A lo x sc -n m 0 C)m In CD'a Xap -4 > 4�4�4� 04 '4 m I�� o bF , m 98 0 c ;om 0)99 0 . A A r, ic ic vi;to c m R0;0 A Z Fizz :—*2 a c) W00,061 ;a 0 > lot v x� an 8 0 0 m Tm z o z rn m r, -4 10 m c Lo 3p. m r-z > m CA 0 m 4 E cio 0 K p -n M- z -1 c" m a m -q z SU!o 0- m 9 !R sum.m Z —L Co) rc a 0 M' I q-:1;*=- !A -4 A '0 W f g zi579%:w > > rr- m m'> owmgglZ-4 -4 , m ram a-r, mqmo N 0-)w x > c"o 10 ol -4 , 'X co z rn > -< 52 000 -9 0.00A I--.* mr-s;- r m m m:Q -010 1 0 -j CA m r" ij m ,,r, < Im -4 C,9c, 10.p. rp oz offic.I :E m m zq > 0 -4 0 -4ao CA Z X 0 P., 1-5 cm, z T. C (A -4 8 -n op m"t 3 t, 0 > < 0 - 0 pn m m r--4 z zmc rl CA m rn IT! 25 m > 0 m 0 m z q U) M -4 z ;a > 0 0 c rr-- c CA com -4 Z M (A W96 ==N- m m z v"7- M m 'Ac - or"'-- m E Q win PRIX m zogg cn n m m 1;,c PR a"m Hag T --j 0 0-s it MR o ;a z r ic :1 m i5 > E5 Z' 0 -< pzg I P 0 mvpw (A --i z q.,. > fA ID ��ov c 9 1 R A 0 > m,§mms g cc — 9 z 0 fp ji?!P." )p 0 fj) 0 ol�g r p M I Z. 0 0 0 m rn a .c m C) ja > 3p. m li 77 -it) mg cl > < rn z 0 0 C-) 0 z m DRAWN 08, DATE 10-23-01 HEARTLAND INDUSTRIES INC. NED SHAH,P.E. LYNN'S DRAFTING SERVICE m i PHONE(863)SW-2120 4215 THOMAS WOOD LN 4 CNECKM I APPROVeD FLOORM DETAIL WINTER HAVEN,FL SCALE NTS STATESMAN (M)2U-3302 mmm� T,�LA/V 771C OZ7,4 /tl�4- ir 41 40 0 7- All. 117 fit Ar" 4 —rorre- Ale or, 112 11C 4rC t xj t4 if If 1�1 JT W—,' _.F A; We,7. 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