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341 6th St (vault) e. S f JOB ADDRESS 3�'1 ��1 . TYPE WORK e PROPERTY OWNER ��rn H Cl rn m i l TELF.MONS COIVTRACTOR �'1 l��vel�'Gt` TELEPH'ONE PERMIT NUMBER Z3 J I DATE Li i I 0-7-- �INSPECITDNS. --- GLAB urldO,h'c n 'TJE TIE BEAM K-eTOJC5 LLVTEL � 23 342 N,gIyIIVG/S�,ATXBVG --! �-c� 2 G, CLQ 2-1(Li/J Z FRAMTNG/COVER UP INSULATION d 2-' .OVAL BUH-DING _ I _ o Z_.. CERTIMATE OF OCCUPANCY ELECTRICAL PE UMV - �--� 0255 IZVSPECTLONS ROUGEf FINAL "/v�e ria Q_�,-o z MEG YANICAL PERMIT# -�13C Z0, INSPECTIONS ROUGE FP"L - I L-0 PLUA017VG PMtll n INSPECTIONS ROUGWUNDER MAB�y TOPOUT WAMMOVER FD 1voM.' �� ►�at r7 l 10 ®2- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247828-FAX: 247-5877 �i PERMIT INFORMATION LUCATION INFORMATION Permit Number: 23851 Address: 341 SIXTH STREET Permit Type: REMODELING ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): 20 Block: 8 Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: PB 5, Page 69 f Improv. Cost: 105,000.00 OWNER INFORMATION Date Issued: 4/12/2002_ Name: HAMMlLL, TIM Total Fees: 988.00 Address: 341 6TH STREET Amount Paid: 988.00 ATLANTIC BEACH, FL 32233 Date Paid: 4/12/2002 Phone: 000 000-0000 Work Desc: REMODEURENOVATIONS PER PLANS CONTRACTOR S - r:=:� - : APPLICATION FEES LAVARIAS, RUBEN 713.00 i ., 240.00 ' }- _ f- 35.00 r` NOTICE �. V 01 BUILDING MATERIA` MUST BE CLEARED SPACE,AND "FAILURE TO COMP-L '` ` PROPERTY OWNER PA .- µ IN THE ISSUED ACCORDING TO APPRO FOR VIOLATION OF APPLICABLE PR -"{ - a: _ D SUBJECT TO REVOCATION ORer: CHERYLE Type: OC Drawer: 1 Date: 4/15/82 81 Receipt no: 4.9984 ATLA TIC BEACH B DING DEPT. 14' PERMITS-TS1 6713.88 Trans number: 984784 341 6TH Trans date: 4/15/82 Time: 16:13:29 MAP SNOWMG BOUNDARY SURVEY OF LOT ZD BLOCK B AS SHOWN ON IAP OF T A Tic- 13,5-14cy AS RECORDED IN PLAT BOOK_PAGES (,!yOF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CER77F/ED FOR. T/,n? n. J �, Dinq r/a,✓,a e i 6 ro 5 T 3ygo 0,00 ' /MPS Mous A�Er/s SQ•FT. �`I ,�i � M I GpeiaGE 474 F,ez. ,avec/� t4 3 <9 i S Taops, PAos, .4 PRO•v S 5/��Ew,wcKS l39 01, 70TgL 2373 M TNIS /wGcur>E !�/v��7 � / • STY O STEPS ve 6uov,, h✓// O v/7 GY�RcHES ~ /V O. -3 / `4 X s./ 1 '�D 1 N RECE.1 o . 3 MR 2 „^ of Atlantic Coach '" cI S Z � oo, /9 ) °.1 � a r /7 /g U THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE r AS SCALED FROM FLOOD INSURANCE RATE MAP OOO/ FOR THE CITY OF /,ITC.. /iC f FLORIDA, DATED ¢ - /7.6!q AND IS SHOWN AS A COURTESY ONLY AND DOES NOT CONSTITUTE A CER71FCA77ON OF SAME. CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 3 c1/ �1Q6Mo-cyF-C. P,(L(7" ) Date r Heated Square Footage @ $ per sq ft = $_ Garage/Shed IN ` @ $ per sq ft = $ v Carport/Porch t @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ 16� 4 6 d a fo moo �r� o $ y6o Total /Valuation 1st $ O 06 o _ O P $ S— Remai ing Value � oelper thousand o`Y.portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $_� ( ) Fireplaces @ $15 . 00 $ a .- BUILDING PERMIT FEE $ 3 WATER IMPACT FEE-- V r34-7),,J $ yQ SEWER IMPACT FEE $_ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ � S ( ) SURCHARGE . 0050 $ b OTHER $ GRAND TOTAL DUE $�S ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: r 5 MIN. RETURN Book 10396 Page 2099 PHONE# �`�- q"4 ��. Bool:2iop39672aoo Rage: 2099 Filed & Recorded 03/14/2002 10:56:30 AM !IM FULLER CLERK CIRCUIT CUT ` WAL COUNTY NOTICE OF COMMENCEMENJINT FUND s 1.00 COPY RECORDIINNG f 5 .0000 TO WHOM IT MAY CONCERN: The undersigned hereby informs all concamed that improvements e to Certain real property, and in accorcance with Section 713ill be mad .13 of the Florida=! Statutes, the following information is stated in this NOTICE OF COMNIENCENIENT. Oescription of ,PropeprlE - sq( Co'16*^ General Description of Improvements�p OF s -LTJ/TN .9,c/ AAA)T/o Omer LL. Address: 3 / ( 5_T ATLAI r/c ) Owner's interest in site of improvements: �Z / )eer/d am /MP,Co✓�T 1 >, Fee Simple Title Holder(if other than owner) V) Z Name Address Contractor_ Address /3/7' � �'�'-• ? .,may _ �. Surety (if any Q Address Amount of Bond $ 4' Name of person within the State of Fier da designated g d by owner upon whom-notices or other documents may be served: Name Address NIn addition to himself, owner designates the following to Notice as provided in Section 713.13(i)(F), Florida Statutes.( Fill 6 at Owne¢s Option)Le1nors Name Address: Owner ' Sworn to and subscribed t;efore me this 13 day ofDU3M A.COMBS MY COMMISSION l DD043552 EXPIRE&A i� s Notary Public ? 4 •Y'.y!]' f.Y:l £NC£,k r 7 ".j- w Al� .1.�:C"Sl<I Ya f�'PaPE?�h'i 3•YY£'1t�rYflc ik'rt"%swjt �.•,YN f,1rAl Yh�lva.�a ye�k.� i"v_�.,h Y inTi,'Rfir, t i+. 7 h ,, �: r -,4i a 3'a }¢s: r3°ftdj§�v;a7` 1d21P'k5'r s ;�f'�T&�s�r£s��a�t�'t r tFi P'f 3 ? t th 3iN".Jr.7o.}€:s!tr'. rY'6€ To: Atlantic Beach Building Department Fax: 247-5845 From: Ben Lavarias Date; 04/15/02 Re: Info for Builder Qualification Pages: 5 cc: ❑Urgent D For Review 13 PkM&Comment 17 Please Reply 13 Pfeame Racyele �Yx >N k i rr� tr;�samf€�Y ",:IFk4hs.�»s!:t�l�#4��i�"i?t��•. �/� r P�jr3 #ilifi h`4 *Pa 3�£1� - May Concern. V '�[� �'s�$.. #.. gikC££€€i9£$3id'tH3•;:€.Y:?tEs -^ "�@eY4,dh.��::4�t3$> �` ?;''Yb ri' -#�:SS•szY:r>, , q.,Ao':�e kformaIion requested by your office for release of a building permit that I have ,yis�r�nK3tr3 P�Yi: � .;�;,'k.Yki£cogssr7l?r. ay3E%1dsE;'�S for. If there is anything else needed you can call meat 591-1926. Thanks for your time. Ben Lavarias Td WtiTO:OT Z00Z ST 'add PLP6 Z66 V06 'ON Xtid S3WOH SUIMM-1 N39 WOdJ FROM FLORIDA WORKERS' COMPENSATION LAW This certifies that the individual listed below has elected to be exempt from .Florida Workers'. Compensation Law. EFFECTIVE DATE 11/14/2000 EXPIRATION DATE 11/14/2002 EXEMPTED INDIVIDUAL NAME LAVARIAS RUBEN D S.S. 589-28-9103 BUSINESS NAME LAVAR I AS BEN CUSTOM HOMES INC FEIN 593677755 BUSINESS ADDRESS .13129 HARBORTON DR JACKSONVILLE NOTE: Pursuant to Chapter 440.10(1),(8),2 F.S., a sole proprietor, partner, or an officer of a corporation who elects exemption from the Florida Workers' Compensation Law may not recover benefits or compensation under Chapter 440. PLEASE CUT OUT THE CARO BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION0"Co' 'On NOTE Pursuant to chapter 440.1011),19),1, F.S., a sale FROM FLORIDA WORKERS' COMPENSATION LAW F proprietor, partner, or officer of a corporation who EFFECTIVE DATE O elects exemption from the Florida Workers' Compensation EXPIRATION DATE 11�1d1.20DZ L Law may not recover benefits or compensation under ��__ p EXEMPTED PERSON LAST NAME LAYARIAS. Chapter 440. FIRST NAME_RUgEN. n SOCIAL SECURITY NUMBER H BUSINESS NAME E R FEDERAL IDENTIFICATION NUMBER 58367225i E BUSINESS ADDRESS 13125 HARBO�TON DB JACKSONVUE— CUT HERE w Carry bottom portion on the job, keep upper portion for your records. Ed WUTO:OT 200E SI ' +dti VLV6 C66 V06 : 'ON XUJ S3WOH Stil2ltnUl N39 W06J ims license ,s turtnenea in pursuance at enapter i10-112 Gity oromance cooes- BEN LAVAR=AS CU,STOW-NOIMES,. INC 08' RUBEN D LAVARIAS 13129 HARBORT011+;111t JACKSONVILLE FL 32$74;; ACCOUNT NUMBER:; '157637-0000-3 ------- t0CAT 1-01"1 fjN—B _--._.._. .._ -7"-"-'7-' A F 0,1! 11RB@RT ft 32224 t DESCRIPTf'ON: ':`CONTRACTOR. ALL TYPES County License Codes 770.307-001 County Tax: $11 .25 Municipal License Code: 772:.309 Municipal Tax: S31 .25 Total ,Tax Paid: $42.50 VALID FROM OCTOBER 1 , 2001 TO SEPTEMBER 30. 2002 RCPT# 001/30/9073/0277/08102001 DATE: 8/09/2001 AMT: $42.50 ATTENTION ***The Following Construction Contractors Require Additional Licensure' ALARM POOL ALUMINUM/VINYL RESIDENTIAL _ .__...__ -BUIL-DiN"' _. .-. _—fcuvr-ING — --�--- _ ELECTRICAL SHEET METAL SOLAR MECHANICAL PLUMBING IRRIGATION GENERAL CARPENTRY WATER TREATMENT UNDERGROUND UTILITY HEATING AIR CONDITIONING REFRIGERATION This is an occupational license tax only. It does not permit the licoasee to violate any existing regplatory or toning laws of the County or City. Nor does it exempt the licensee from any other license or permit reouired by law- This is not a certification o4 the licensee's quetitication. TAX COLLECTOR THIS BECOMES A RECEIPT AFTER VALIDATION 06-27-2001 SPATE Of FLORIDA C`nARTDMENT OF IVISION OF WORK RS E CURITY OM ENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION 2001-2002 OCCUPATIONAL LICENSE TAX LYNWOOD ROBERTS OFFICE OF THE TAX COLLECTOR CITY OF JACKSONVILLE.and/or COUNTY OF DUVAL, FLORIDA 231 EAST FORSYTH STREET ROOM 190, JACKSONVILLE, FL 32202 PHONE; 1904163 0-2 0 8 0 FAX; 1904)830-1432 Note - A penalty is imposed for failure to keep this license exhibited conspicuously at your establishment or Placa of business. m - rVI M (a]►re m � re�} N $ !E. ry £d WUZO:OT Z00Z ST 'add N-P6 Z66 P06 'ON Xdd S340H SldI8U(tn N38 WOad QSHEA.C0 FAX N0. 90 110 Dec. 11 2001 11:34AM P2 Lio . , i { � •� 1. 'T••_. .,L __.+_ �— ._•_-_._...,. tel,/V�1�17L.L,�j;� •.._ _...... ......._., j,,, i ..I ice...,.•!, , / e ' ._,......i�.... .rw�r�. : . .... ...,.....1,44 ' ..+.Q......_ t .._- ...... . ._...._ � ..,•. � � X100 -'moi•- .,r .;...; TL . , I rum-- t,LAJ to1 . tctc.low .E�tt?LS DEC-11-01 09:57 TUE TEL)9047140110 ID)CIT CPU PAGE:OW R=i00- ESjDENTIAL_ZHEc"_KLIST FOR ONE & TWO FAMILY DWELLINGS NOTE: DRAWINGS REQUIRED TO BE DRAWN TO SCALE WITH •SUPFICIENT CLARITY AND DETAIL - [FBC 104 .2.11 PLANS EXAMINER: `TL-r- L �A I 11 t�L..� - DATE: OWNER: A AA'd JA i PERMIT NUMBER: CONTRACTOR: 6/� PHONE NUMBER: M. `102 ( CIRCLE ) I. Survey: No N/A 1, Is a specific purpose survey submitted? g No N/A 2. is correct Flood Zone shown? 3. Are existing grade elevations shown for structures located Yes No in an "A" or "V" zone? 4. On lots in multiple flood zones, are flood zone linea indicated? Yes No 1 5. Is property in a flood way? Yes No N/A ti 6. Is flood way line shown? Yes No N/A II. Site Plan: {FBC 104.2.{) a No N/A 1. Is Site Plan submitted? sD No N/A 2. Is North arrow shown? No N/A 3. is lot width and length shown? 4. Is structure shown on site plan with all setback dimensions? No N/A 9. Does structure layout match the floor plan? No N/ 6. Are drainage/storm water run-off requirements noted? Yes (21_53� 7. Are all easements shown? Yea ,No g • In proposed driveway shown? Yes 9. Is landscape and irrigation layout shown? Yea 10. is septic tank and drain field location shown? Yee 11. Is L.P. gas tank k size shown? structure Code Compliance: Ye N/A 1. Are plans sealed by architect or enginner7 Yea N/A A. Are structural calculations submitted? 2. Is correct wind speed shown? (FBC Figure 16061 Yes N/A 3. Is exposure category shown? [FBC 1606.1.81 Yes N/A 4 Is Importance Factor shown per FBC Table 16061 Yes <!D N/A 5. Are pressures for wind loading on components and cladding Yee <jL0 N/A shown per FBC 1606.2.57 6. Does structure meet requirements of FBC Table 500 for number of yCa) No N/A stories and allowable area? 7. Does structure meet Fire Resistance Ratings of FBC Table 600 Yes No for structural elements? Are plane designed per SSTD 10-99? Yes No N/A A. Are all appropriate charts and tables shown? Yes No N/A B. Are all appropriate requirements circled or highlighted? Yes . No N/A 1 -'�✓C�(Iry 0Ai(A�i�f�ptJo.... j(�ot!'h,R[)6.!' R CHECKLIST (Continued) III. Structure Code Compliance. (continued) 9, Are plans designed per "Guide to Concrete Masonry Residential Yes No Construction in High wind Areas"? 00a -er'.- A. Are all appropriate charts and tables shown? Yea No S. Are all appropriate requirements circled or highlighted? Yes No 10. Are plans designed per "wPPC Guide to Wood Construction in Yes No N/A High wind Areae"? A. Are all appropriate charts and tables shown?UP) f CsKaeo, ' &Jea No N/A B. Are all appropriate requirements circled or highlighted? Yea � N/A 11. Are plans designed per "AF & PA wood Frame Construction Manual for One- and Two-Family Dwellings, High Wind Edition"7 Yes No N/A A. Are all appropriate charts and tables shown? Yes No N/A B, Are all appropriate requirements circled or highlighted? Yes No N/A . �, Energy Code Information: 1. Is the current energy code form completed properly and signed; correct climate zone and correct jurisdiction? [FBC 13-6001 4Cgj) allo N/A 2. Does conditioned square feet area on plans match square feet a No N/A shown on energy forms? Vok.�1oa11o� 3. Is the "R" value between common�walls shown? Yes No [FBC 13-602.1-ABC.1.11 4. Is the "R" value for added insulation on exterior walls shown? Xg=>No N/A 5, Is the "R" value for ceilings shown? [FBC 13-604.i.ABC.11 C%037-) No N/A 6, is the "R" value for raised floors shown? [FBC 13-60a)�t Yes CW N/A a-'7. Are Energy Credits Claimed? i0l � (& XA(, JZdaoJNna Yes (10) N/A A. Attic Radiant Barrier Credit (FBC 13-607.1.A.41 Yea N/A B. white Roof Credit IF9C 13-607.1.A.5) Yes N/A � C. Programmable Thermostat Credit [FBC 13-600.2.A.3.51 Yea N/A V. Foundation Plan: 1. Are all footings shown, including interior bearing walls, es No N/A column pads and concentrated loads? 2. Are all locations of vertical reinforcement and anchor <WD No N/A bolts shown? No 3. Are all elevation changes in slab shown? cnlp "� No N/A 4, Is minimum concrete PSI shown?300o4s► Yes No •X 5. Is slab reinforcement shown? yes No A. wire mesh size and gauge? Yes No B. Fibermesh reinforcement? 6. is vapor barrier, minimum 6 mil. shown? (FBC 1909.23 Yea No fcx 7. Is minimum slab on grade thickness shown? [FBC 1909.11 Yea No 8. Is type of soil treatment for termites shown? [FBC 19161 Yes <kg:�)N/A 9, is perimeter slab reinforcement shown? [SSTD 10-993 Yes No dOD �Q. Do plans show bottom of foundation minimum of 12" below Yes No ([1 finish grade? [FBC 1804.1.3) ��. 11. Do plans show concrete footings have a specified compressive IN+mss e" strength of not lees than 2500 PSI at 28 days? (FSC 1804.5.11 es No N/A 12. If pile foundation shown, is Sealed Soils Report.submitted? [FBG 1805.11 Yea No lop 13. Does plan indicate "No Wood Grade stakes Permitted"? Yea N/A 2 4ERTnRNTiAL CHECKLIST (Continued) a vI. Typical Nall Section: 1. Is finished grade shown? es No N/A 2. I8 minimum floor elevation shown? AT GA9&CC: rtcr+oVA-R.►...+ a„n,.[ a No N/A A. Minimum 8" above adjacent grade? It Y`e 5:) No NIA �►oTE 1. E. Minimum.l.&L_.abgve crown of road or drainage plan submitted?At G�ARft6e 2dN°VA' LJ "N'"h• _Ser t4eTl <J� No N/A C. Flood protection elevation? Yes ViD N/A D. Base flood elevation? Yes dq�5 N/A 3, Is minimum footing depth beneath finished grade shown? [FBC 1804.1•.3) Yes N/A 4. Are all footing sizes shown? a No N/A 51 Are all horizontal reinforcements shown? No N/A A. Number and size of reinforcement? No N/A B. Minimum lap? Yes (JW N/A 6. Is vertical reinforcement shown? o,J T-t(r.' bCI-A«- ?� NO N/A 7. Are minimum 3" X 4" clean-out and inspection openings shown? Yes <o N/A 8. Masonry construction. A. Is exterior wall finish shown? Yes NoCN/A B. Is interior furring shown? Yes No C. Is exterior wall insulation shown? Yes No D. Is interior wall finish shown? Yes No 9. wood Frame Construction A. Is stud size, spacing, grade and lumber species shown? No N/A B. Is exterior sheathing (type and thickness) shown?onaEAea No N/A C. Are nailing requirements (size and spacing) shown? [FBC Table 2306.11 <0p No N/A D. Is exterior wall finish shown? No N/A E. Is interior wall finish shown? <Gb No N/A F. Is wall insulation shown? c1cip No N/A G. Is minimum clearance between wood siding and finished grade shown? [FBC 2304.2.51 �& C,�jpJ N/A H. Are shear wall segments ehown7 0,.r G�6Z �Q�NavgZ1 w oma")c o N/A A. Type of hold-downs shown? erF& No N/A 30. Are ceiling heights shown? [FBC No N/A 11. Are all hurricane anchorage and hold-downs specified and labeled? <rap No N/A 12. Is ceiling type shown, drywall thickness? Yes 1I N/A Yes N/A 13. Are insulation baffles shown? 14. goof Framing A. Are engineered trusses shown7 jj:�jsT'(m c a✓_, Yes0 N/A B. Are conventional frame rafters used? Iii) o N/A I. Rafter size shown? VED No N/A 2. species of lumber shown? _ No N/A 3: Grade of lumber shown? e-yea> No N/A C. Type of roof sheeting shown? No N/A 1. Thickness of roof sheeting shown? a No N/A 2. Grade of roof sheeting shown? No N/A 3. Nailing pattern of roof sheeting shown? [FBC Table 2306.11 54D No N/A D. weight of Dry-In felt shown? 4iD No N/A E. Type of roof cover shown? ?_TV No N/A 1. Attachment asphalt/fiberglass shingles shown? [FSC 1507,3.7) Yes 4 N A 2. Attachment of tile roof shown? [FBC 1507.4.51 Yes No 3. Other roof covering and attachments shown? Yes No dtip F. Length of roof overhea . shown? dXjj:) No N/A G. Type of soffit and--fascia shown? Yes tio N/A H. Attic ventilation shown? OwT —i JvX. �� No N/A X. Location, type and thickness of flashing shown? (FBC 1503.2.1 and FBC 1507.3 ��� .9) r na` Yes � N/A Yea JW NIA.J. Type and gau a of eave metal shown? 15. Is anchorage of veneer shown? [FBC 14031 Yes No 3 '1. bi A&VaTaa 'Tti Resj pe.,�� Fr.v. P". is 4r 1o.8;(4001ilo,J C(LU'% J e"k�iT''�� , RESIDENTIAL CHECKLIST (Continued) VII. Floor Plan. 1. Does square footage on plan match square footage shown on Application? 'Ye No N/A If "No", measure all areas under roof from exterior wall to exterior wail and'adjust square footage accordingly. Add/Subtract To/From living or habitable area. Add/Subtract To/From non-living or non-habitable area. 2. Are all room dimensions shown? 1lNo N/A 3. Are all door and window sizes shown? Yes <SP N/A 4. Are all emergency egress openings shown? Yee No dvkj S. Is required tempered glass shown at all hazardous locations? [FSC 2405.21 Yes No K2 6. Are all vertical-reinforcements shown? o ij pEj&qu 4ab No N/A 7. Are all shear wall segments shown? .a,+ bA2Act►Q djjD No N/A e. Are all hold-downs and hurricane anchorages shown? (COV No N/A 9. Is required attic access shown? Yes No N/A 10. Are all plumbing fixtures shown? �Mp No N/A A. Is water heater size ahown7 Yes QjjL_:)N/A 11. Are all electrical fixtures shown? Q%� �,No N/A A. Is arc fault circuit interrupter shown for bedrooms? [NSC 210-121 Yes <M N/A 12. Are all mechanical fixtures shown? Yes N/A A. Is air handler and condensor location shown? Yes OL N/A B. Are exhaust fans shown? Yes 4W N/A 13. Are all smoke detectors shown? [FRC 905.23 Yes <2j) N/A 14. Does one (1) bathroom on the first habitable floor level have a 29" net clear door opening and handicap accessible route? (FBC 11-111 Yes 4W N/A 15. Does bedroom open directly into garage? Yes (IN) N/A 16. Does the number of bedrooms shown on plans match the number of bedrooms shown on the Application? 46;;�) No N/A 17. Is Designer's name and address shown on plana? <11P No N/A 18. Do egress doors and landings comply with FRC 1012.1.3 and F8C 1012.1.5? Yes No 19. Are habitable rooms shown.with the minimum light and ventilation requirements of FBC 1203•.1? -? No N/A 20. Are garage doors, windows and other openings shown as meeting wind load requirements for components and cladding per FBC 16067 Yes (jFjo? N/A 21. Does floor plan show fireplace? � No N/A A. Does masonry fireplace have a detailed cross-sectional -"+ detail? -Jcnh on— -74RX �P F* 44:P-A Yes t,`N� N/A B. Does pre-fabricated fireplace have copy of the manufacturer's specifications? Yes CWD N/A C. Is hearth size and detai shown? Yea , N/A D. Is mantel e�ze, 106a on and detail shown? Yea 42M N A 22. Are stair details shown? Yea No A. Is minimum stair width shown? [FSC Table 10041 Yes No A H. Are tread and riser sizes shown? (FDC 1007.31 Yee No N/A C. Do spiral stairways comply with FBC 1007.8.27 Yes No N/A D. Are required landings shown? (FBC 1007,41 Yes No N/A E. Are handrail height, spacing and graspability details shown? [FSC 1007.51 Yes No N/A F. is required headroom clearance shown? [FBC 1007,71 Yea No N/ C. Are guardrail height, spacing and details shown? ` [PBC 1026.51 Yes No [� 23. If floor plan shows mixed construction, are mixed construction details shown? [May require engineering.) Yes No 24. If required, are tenant separations shown? Yes No 40) A. Duplex [FBC Table 704.11 H. Townhouse [FBC 704.41 4 R sIDENTIAL CHECKLIST (Continued) VIZ. Floor Plan. (Continued) 25. Are all columna and beams shown for porches and lanais? �s�gs� No N/A A. Are column type, size and anchorage shown? No N/A B. Are beam type, size, span and anchorage shown? s No N/A 26. Are all lintel an-3'bdam details shown? No N/A 27. Are engineering details provided for butt glass? Yes MOD VIII. Truss/Rafter Plan. 1. Are engineered truss plans provided showing loads, uplifts and required connections? Yes No 2. Are all headers, beams, girders and interior bearing walls shown? No N/A 3. Framed Roof. A. in rafter plan shown, including size, spacing, species, grade of lumber, span and connections? Cee No N/A B. I$ ceiling joist plan shown, including size, spacing, species, grade of lumber, span and-connectiorns? e22;? No N/A C. Are collar ties shown, including size, spacing, species, grade of lumber and connections? Yes 'No <10? D. Is ridge beam shown, including size, species and grade `f of lumber? ,07 PO4-Oft AOjv+'n•^i � No 4. Is roof sheeting indicated, showing type, thickness and nailing pattern? No N/A IX. Floor Framing, 1. Is engineered floor truss plan provided, showing loads, uplifts and connections? Yes No K-ZD 2. Is joist plan provided, showing size, spacing, , span, species, grade of lumber and connections? � No N/A 3. Is floor sheeting indicated, showing type, thickness and nailing pattern? es No N/A X. Elevations. 1. Does plan show four (4) elevations?/.►r &4414 &&X 6QOtW�► o,—b. No N/A 2. Are attic ventilation requirements shown? Yes CC;) N/A 3. Are roof pitch and overhang shown? kM No N/A 4. Is chimney height and location shown? Yes ® N/A S. Is cricket shown? JFBC 1507.3.9.41 Yes d4a N/A 6. Are all lanai/porch details shown? 7&P No N/A 7. Does plan show solid blocking required for ridge vents? Yes W N/A B. Are condensate lines and roof downspouts shown to discharge minimum 1 foot away from structure for protection against decay and termites? (FSC 1503.4.41 Yes � N/A 9. Are gutter, downspouts and splash blocks .shown? Yes o N/A 5 iESIDENTIAkA KC M (Continued) XI. structural Details. Yes jig:> N/A i. Is basic wind speed shown? [FBC Fig. 16061 <a-a> No N/A 2. Are gable end bracing details shown? 3• Are roof sheeting nailing zones shown? No N A 4, Are protection ot'opening details shown? [FUC 1606.1.41 Yes No 0— 5, Is importance factor shown? [FBC Table 1606) Ye- No N A 6. Is structure designed to withstand interior pressurea7[4o Iwc�ca'foti. Yes No N/A Is exposure category shown? [FBC. 1606 .1.8) Yes <gFj) N/A e, Are wind pressures for components and cladding shown? Yes N/A FBC Table 1606.2E FBC Table 16D6.2C Yes N/A 9. Are exterior windows and glass doors shown as approved by 2 independent testing laboratory and do they bear a label by AAMA or WDMA or other approved label? [FEC 1707.4.21 Yea No N/A NIA 10. Are window and door installation and buck details shown?p/5.2 YAI��[tes No Yes No 445k-,11. Are mullion installation details and design criteria shown? 12. Are garage door positive and negative wind pressures shown as meeting requirements of 1.5 X pressure? [FBC 1707.4.3] Yes �No 13. Are garage door manufacturer's installation details provided? Yes <:j�+6> N/A (J 1p 6 APR-15-02 09 :50 AM P. 01 0 8 DATEIMMIDDIYY) =' CERTIFICATE OF LIABILITY INSURANCE 04/W02 02 R NIS CERTIFICATE IS ISS ASA TTE F I ORMATION s'; ONLY AND CONFER8 NO RIGHTS U' N ERTIFICATE I - ALL INSURANCE AGENCY HOLDER.THIS CERTIFICATE DOES N T A E D,EXTEND OR x 0 UNIVERSITY SLVp. 90VTH ALTER THE COVERAGE AFFORDED TH POLICIES BELOW. i' KSONVILLS FL 32216 INSURERS AFFORDI O C ERAGE oBfB 4-725-0933 rax:904-7250406 INSURER ATHE MARYLAND C ERmc AL I INSURER B. .—,—�-- I1 RUCKN JkVARI&S CONSTRUCTION CO. INpUaERC: 129 HARBOR TON DR. INSURERDONVILLE FL 32224 INSURER 6: t RACES POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURECI NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWIT 4STAMIND REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RFSPECT TO WHICH THIS CERTIFICAI E MAY BE ISSU D OR y, Y PERTAIN,THE EIBURANCE AFFORDED BY THE POLICIES DESCRIBED HERFIN IS SUBJECT TO ALL 1 HF TERMS,LXCI USIONS AND CONDITION OF SI •M I! ICIES.p00f+EGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS Foo-icY EFOEI'M- POLICPETiPIRATfr7F1' - •- _ .._. ..- NU .__.—..... _)i lM .. _.. _ TYPE OFIN9URANCE POLICY NUMBER � DATE(MMIDDIW TE MM/DDMI LIMITt i Qi. CENlRI►L LIABR ITT I EACH OC URRE CE s300,0100 X COMMERCIAL GENERALLIABILITY ! SCP31509875 01/16/01 01/16/02 FIRE DAM kOf am(w 650100 a. CLAIMS MAOE I X�.00CUR I MED EXP Y p!KonlOQ,�.., �I. X 500 DED 'rT— PEn0001 AAD IN)IIBY. •t inn,nnQ I,. R GATE 7 600,O 0 , .. .. .. IIj CEM AOOREGATE LIMIT APPLIES PER: PRODUC CD PADP ACC i 6001 „• i' POLICY QCT -.. LOC AUTOMOBILE LUIBILITY {',OMBINE 81 LMT LT 6 ANYAUTO IEE• U•;_ .— I.—._ l ALL OWNED AUTOS ! BODILY JURY t f SCHEDULED AUTOS (Per pe 1 HIRED AUTOS 80DILY 1 RV 6 NON•OWNED AUTOS I(PEr atxi U tt ?IH PROPER D 0� 6 -- ... ......__........... (Par M) GARAGE LIABILITY AUTO O Y• CCIDENT 't ' AM AUTO OTHER EA ACC i .._. ._ AUTO D r, ...AGG 6...,—... _- +! EXOEEB WIBIUTV CH O URR cE i �, OCCUR I S CLAIMMADE ADORE TE nFIN imlk F —- RETENTION, t t ' I I :,'.'MRi"uRScofppENSATIONAND ! 10 Lim ER SI. SMIPLOYERS'LIABILITY ( E.L.EAC ACC ENT i kk I. E.L.DIS 8E• EMPLOYEE't- 4 - -� E.L.013 9E- LiCYIwIT t i DTBER, i I I Of TIONfILOCATION$NEIBCLES?FXCLUS10N$ADDED BY ENODRSEMENTfSPECIAL PROVISIONS $ibUTIAx. 5UILDtNG CONTRKCTOR aZ47-5845 '. 1 1992-94;74 Y: 1 , TIFICATE HOLDER N I ADDITIONAL INSURED:INSURER LETTER: CANCELLATION CIT4001 SHOULD ANY OF THE ABOVE DESCRIBED PO ES CANCELLED BEFORE THe EXPIRATION DATITKERGOP,TMIBSUI"401MBURERMLLRIIDLAVIMTOMML �._DAY MINITTlN ANOTICE TO THE CERTIFICATE HOLDER NAMED O TH LOFT,BUT FAILURE TO 60 6MALL ' -I IMPOSE NO OBLIGATION OR LIABILITY OF ANY OND U 0&THE INSURER,IT$AoNTS OR CITY 08 i LANTIC BEACH 000 ggmrNOLE RD. REPRESENTATIVES. ATLANTIC BEACH FL 32233 AUTHORIZEDREP NAT ORD 26-g(7197) o CORD CO PORAT 199E f -- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233- Tet: 247-5826 - Fax: 247-5877 PLUMBING PERMIT _-- ---I:?ERi44f�INFOR4lAATI®N_ _ _ C1CATtt7N 1IIfFt?RMATION Permit Number. 23899 Address: 341 SIXT—H STREET Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township- Range: Book: 5 Proposed Use: SINGLE FAMILY ! Lot(s):20 Block: 8 Section: Square Feet: J Subdivision: ATLANTIC BEACH Est. Value: Improv. Costa _ _Parcel Number:OWNER INFORMATION - _ Date Issued: 4/19/2002 Name: HAMMILL, TIM J Total Fees: 29.00 Address: 341 6TH STRF-ET Amount Paid: 29.00 ATLANTIC BEACH, FL 32233 Date Paid: 4119/2002 Phone: {000}000-0000 !__-- Work Ijesc: INSTALL PLUMBING ------ _ CONTRACTOR(S) APPLICATION FEES — LEARN,W. H. MECHANICAL � x -- 29.00- -I F a iva. �,� -� * ,� •1�'"v'�'x fir. _..,q.,_ 'a _` >� ...,,�,� .r���, �' ----- �"� - a-�",,,._ ; � �,�. r 2an....:b�� t.��x a` :. ^'k.�.t �'�r'"'�'�' i�n �✓'S'�w �,��-,-, NOTICE IN HEATECTION nM BUILDING MTERIA 4 - SPACE, ANDA AMUST BE � > f WORN -R��35�"?` � � D IN PUBLIC --,: P �� ,�Y$ EtTHE _OR OWNER "FAILURE TO COMPLY � NN THE PROPERTY OWNER PAYIN ISSUED ACCORDING TO APPROVED P � 1 MIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS` i Oper: DSHITHtype: OC Drag: 1 '3 Dates 4/23/82 81 Receipt w: 52736 14' PERMITS-BUILD 1 X29.88 f - — 341 6TH ST ATLANTIC BEACH 6"-U' —ILDEPT. CK CHECKS 6686 $78.88 Trans date: 4/23/82 Ti#e: 16:29:29 CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 j _ PERMIT INFORMATION ----_----_-------LOCATION INFORMATION `Permit Number: 23920 Addres : 341 SIXTH STREET Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Runge: Book: 5 f Proposed Use: SINGLE FAMILY Lot(s):20 Block: 8 Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: _ Improv. Cost: - - OWNER INFORMATION ---- Date Issued: 4/23/2002_ Name: HAMMILL, TIM Total Fees: 41.00 Address: 341 6TH STREET Amount Paid: 41.00 ATLANTIC BEACH, FL 32233 Date Paid: 4/23/_2002 Phone: (000)000-0000 Work Desc: REPLACE HVAC --- - CONTRACTOR(S)S �_ - --- —--- --- __ _ APPLICATIQN FEES HEARN, W. H. MECHANICAL 41.00 h c yam, 1 ..110 5 w M t _ yji a+ '' +'7'.c +tis. " ` ti ,ts . �`'is .•,...q�J +' sF��ti�Sfhr'�r�K-' at„�"'° M e xf �` I b lk NOTICCESTEf?&TLEAS43C� ti TION - - _ BUILDING MATERIA� ,t � _� IC SPACE, AND MUST BE CLEARED .FAILURE TO COM 9 <: N C [ i kjAW TM THE PROPERTY OWNER -j" 7.7 ISSUED ACCORDING TO APP SUBJECT TO REVOCATION _ FOR VIOLATION OF APPLICABLE Type; OC Draver: 1. a Dene: 4/23/@24/ 91 Receipt ra: 52736 - 1341 RERMITS-*1ILDING 1 ATLANTIC BEACH UILDI DEPT. 6 7N ST A.08 6696--- --------' $761 Trans date: 4/23/82 Time: 16:29:28 04/19/2002 08:07 9047818387 WH HEARN PAGE 01 P. 1 13 CITY OF ATLANTXC E,'F.,ACH AP;PLSCATZON FOR PZU,t'MXNG PERMIT JOE' LOCATION: 3,41 owr.IcR GE" PROPERTY:��Il�'► LkMMt� _� TELEPHONE N0. PLUMBING CONTRACTOR �•�• � � � z' CONTRACTOR'S ADDRESS: STATE LICENSE NUMffER: C,k.o6q;h TELEPHONE: sp01 M?'= Or TRE FOLLOWING rlXM=S RL--PIPED Oxt mw SINKER SHOWERS - LAVAT.f)RY WATER HEATERS BATH 'PUSS DISHWASHERS URINALS DISPOSALS CLO5rTS WASHING MACHINE ,..�.1L FLOW DRAINS SHOWER PANS WATER SEWER. RE-Pt.PE (LIST .FIXTURES BEING REPIPSD) OTHER, -~^- TC',TAL FIXTURES: x $3.50 + $15.00 O0 MINIMUM PERMIT FE,:E - S25.00 SIGNATURE OF OWNER' S:I:GNATURE: Or CONTRACTOR: j1�i3TALLATION OF- N pt,UMBING AND FIXTURES M 5BE RD P C ZINGC_ODE- T'AE MOST RECENT II:DITION OF THE SOUTHERN T CALL A DAY AREAE) TO SCHEDULE INSE?ECTIONS - (904) 247-5826 "I T Y OF ATLANTIC BEACH A F.EE REMOVAL APPLICATION All applications must be submitted vdth seven (7) copies and received by 5 PM on the Fridav tern ( I U) cia}-s prior to the scheduled mcefing in order to beplaced on the agenda. *INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES ' WILL NOT BE PROCESSED. APPLICANT NAME ADDRESS TELEPHONE 2. ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: r r'► �%�- % °t i 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? ❑ YES NOT SURE 5. PROPERTY ZONING: O RESIDENTIAL 0 COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL: DIAMETER DIAMETE- MITIGATION lr ,r. G — Q Q rr s lz :; - � k i * Diameter at Breast Height (D.B.H.) is measured at 4.5 feet above grade. To accurately determine diameter, measure the tr+!nk c rclwiference and divide by 3.14. Diameter of multi-trunked trees is determined by adding togewwr �C;ie u.«rneter of each trunk as measured immediately above the forks. ** See attached diagram for determination of interior and exterior zones. I 7. SITE PL_A UTREE SURVEY indicating: a) Location of7topography features such as hills and low areas. �)� i:.Al:i`11118 all �1U�UJG:Ci `J 11 l.lt�li.i1 C.J. C) Location of all trees with Diameter at Breast Height of six inches or more. 1 d) Tree species and sizes. e) Trees to be removed should be clearly marked with an "X". f) Trees to be preserved on-site for mitigation must be marked with brackets g) Location, size and species of any proposed new replacement trees marked with a circle "O". h) Location of utilities and easements as applicable. I) Location of trees to be preserved on-site with barricading noted. c? j 1.1pT n!•rT Tt 7:'f-�i/Tv�1`. a) All trees identified for removal MUST be marked on-site by RED flagging, paint or tape. b) All trees to be preserved on-site for mitigation MUST be marked withBLUE flagging, paint or tape. C) The front property corners must be marked by stakes or paint indicating the Lot 9. INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES Al _A- u' kl w- A i I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE R, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THF MDT OF ORT)TNn.",,rFC nF ATT,ANTIr RFACT4. k Applicant's Signature Date C_-:>C i O er's Signatur Date CITY USS ONLY: '2'3 ° 2 T4NC`6`_nservJVjon B and ttlperkn Date MAP ST iYl. TG B01: DAR711 SUR E'Y LOT— Zo _ BLC= K f� OF , b _ AS 3HOWN ON 21AP 'OF r is AS RECORDED IN PLAT BOO/; . _;-AGES (oq THE PUE''_lC RECORDS OF DU ML COUNTY FLORID 4 CER 7TFlED FOR:T ? Z ' :��n rJ/3 i G <go fwd 0.7 � ,ate ."^ . ► /� /' rlp ;�Y'o_ ii C'� ► �G,vc,1l 2.�i� c - `. 341 vl e L__) rcc 41 b �E P,' - free may f ved Z c BY Date a Lal ox THE PROPERTY SHOW HEREON A-'PEARS TO LIE Wl7NIN FLOOD ZONE.. XT r,S SCAL=D FROM FLOOD INSURANCE RATE MAP E�c"7 FOR T-riE Cl TY OF 4 T C. C y Z OR/DA, DA TED_� �� S L' AND IS SHOWN AS A COURTESY ONLY `'ND DOES NOT CONSTITLITE CERTIFCATION OF SAA-'r rpzDT CrrA rT7TT T A ATTN e–i TTT rr-7-rT/1 T'1— V-% r_ 04/19/2602 08:07 9047818387 WH HEARN PAGE 02 I 'BUILDING AND ZONING INSPECTION DIVISION CALL.IN•NUMBER CRY OF ATLANTIC BEACIFLORIDA PERMIT NUMBER APPLICATION FOR MECHANICAL PERMIT (o Onlyl► e) OAPOIRTANT—Applicant to complete all items in section I, II, 111,and IV. I, Slreet'Addreils: 341 sit Ate . 3223 LOCATION Intersercling i'atreets: Between 4'llf 6TXezr- ---And OF BUILDING Sub-Mvlslon 11.IDENTIFICATION TO be Co I leted bY all applicants In corolderailon of pernill given Nor doing the work an Aewribed N the above staternere we hereby agree to perform said work In accordance whh the attached plans v0 sW Awdans which ere a part hereol and kr accatlanca with lite 01tr of Jocksonviaa ordleances and standards of goad praseoe Meted tMreln. Mechark" M State Certification or y Contractor Name ��.N. Registration Number G 3 Qualifying AgentsID Signature r-.-�r Number ropertyrit � Signature of Name M L Architect or Engineer III.GENERAL INFORMATION A.Type of tMting futA being installed on this permit: B.IS OTHER BUILDING CONSTRUCTION BEING DONE AT Electric THIS ADDRESS? YES NO) ❑ LP Gas ❑ Natural Gas IF YES,GIVE 0jjQWG CONSTRUCTION PERMIT M ❑ Oil O flolar I ❑ Wood poZ3$6( YEAR ❑ Other-Specttly.— IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete gat dA components on back of this fort) A,)(Residen8al O Condo ❑ Apt ❑ Duplex ❑ Heat: A.❑ Spao�, B.D Receea3d C.❑ Central B.0 Commercial D.❑ Floor' ❑ Fire Place ❑ Wood Stove C.���❑,///New Building )(Air Cond rdoniigW: A Air-to-Air Heat Pump D.11p Axisting Building B.❑ Wster-to-Alr Heat:Pump C.13mraight Water Cool E. Replacement of existing system D.O Straight Ali-Cool F.❑ New instalation(No system previoualy installed) ❑ Duct System:Total Capacity dm G.❑ Extension or add-on to existing system ❑ Ruf igcratlon, H.❑ Mobile Home ❑ Cooling towed: Calmf.* g'p•m- I.❑ Other ❑ Fire spdnkler4% Number of heads. ❑ Elevator ❑ Mantlft ❑ Escalatoi (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline punpps_ (number) ❑ Tanks , (number) SUPERSEDE PERMIT x YEAR ❑ LPG conlain0s---� (number) ❑ Unfired pressure vdsseN ❑ Vern:Woad REFUND ON PERMIT M YEAR ❑ Boilers ❑ Control Wiring ❑ Rangehood PERMIT APPROVED BY ❑ Cooking Equlpmem ❑ Water Heater` PERMIT PERMIT FEE $ EXEMPT $ • Gas Piping LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approving Sear Number Units, Dlrscrlption Model Number Manufacturer (Tons) Agency &HSPF j?`r HEATING.FURNAC08,BOILERS,FIREPLACES Capacity Approving Number Unitt; Dincription Modal Number Manufacturer (Tons) Agency TANKS Now Many Nominal Capaclij, type Liquid Name of Serial Approving and Dimensions, Contained Manufacturer No. Agency - __ --- -"--— - _ LATE FEE CHARGED$ ��'' aa.428 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 8W SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX. 247-5677 --- ---- PERMIT INFORMATION LOCATION INFORMATION Permit Number: 23302 Address: 341 SIXTH STREET Permit Type: REMODELING ATLANTIC BEACH, FL 32233 CTownship: Range: Book: Class of Work: REPAIR tBlock: Section: Lo Proposed Use: SINGLE FAMILY Subs :division: ATLANTIC BEACH Square Feet: _ P Est. Value: Parcel Number: OWNER INFORMATION Improv. Cost: 7,000.00 — Date Issued: 1/10/2002 Name: HAMMILL, TIM 341 6TH STREET Total Fees: 78.00 Address: Amount Paid: 78.00 ATLANTIC BEACH, FL 32233 Date Paid: 1/10/2002 000 000-0000 Work Desc: FOUNDATION REP A CONTRACTORS 3 TION FEES oa 0SHEA CONSTRUCTION 78. y _ J NOTICE ` ECTION BUILDING MATERIAL, RIS FRO - MUST NISTUBLIC SPACE,AND _ MUST BE CLEARED LT IN THE "FAILURE TO COMPLY PIfOPERTY OWNER PAYIN _ �. ..: x` ERMIT AND SUBJECT TO REVOCATION _. r._.. ISSUED ACCORDING TO APPROVED PLAFOR VIOLATION OF APPLICABLE PROVISIONS O I k ATLA IC BEA H B ILDIN EPT. Date: 1%16/@2 81 Receipt: 00207K:j 08188883221888 :,853 Tl RECEIVED JAN 2W City of Atlantic Beast City of Atlantic Beach• 800 Seminole Road- Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• FAX (904)247-5805• http://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION DATE APPLICANT =m 1A 92 rm r•n��� ADDRESS - (nom � S�4j ,±Zc, Cieze,C. PHONE: ADDRESS WHERE WORK IS TO BE PERFORMED 3(41 6n_ GS1 eliaj r'E' l 9'e0j2f1 PROPERTY APPRAISER'S REAL ESTATE NUMBER ZONING DISTRICT CONTRACTOR r-i5.ra cacmf ,[*s�;Rn M. TATE LICENSE NUMBERS'.6r 0'5']04'02. ADDRESS 1;)C20 c r- -{ (.4 . PHONE nZY—MI Q CITY ' jje jg6•�+�,/lLt STATE ZIP 309,a(e FAX 5:g�Tsf_ GI 10 DESCRIBE PROPOSED USE AND WORK TO BE DONE PRESENT USE OF LAND OR BUILDING(S) - VALUATION OF PROPOSED CONSTRUCTION '"I O 6e3. - Is this an addition? If yes,what are the dimensions of the added space: feet by feet 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? Wy If yes,please submit with this application. PROCEDURE: (In order to expedite issuance of permits,please follow all steps and provide all information as appropriate.) STEP 1. 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 is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone: (904)247-5826 01/02/02 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks,building height, number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works, a pre-construction topographical survey. 5. Any significant environmental features, including any jurisdictional wetlands, CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE SIGNATURE OF CONTRACTOR ee DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME �[�hQ.� ,, C7-YShea (Ci) n `SbeaL damb-c, r%in MAILING ADDRESS Qdqno�yd-E} (p PHONE g(t.j�6(1 2 FAX__,5 Y E-MAIL ML_ SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF J ltl\t . -2- 0 C) 2-- STATE OF FLORIDA,COUNTY OF DUVAL �^ vada weer l.oetls III MY Commission D OMM NOTARY'S SIGNATURE (Got E.xOM August 15,2005 AS TO OWNER: ❑ Personally known 191"Produced identification Type of identification produced �- AS TO CONTRACTOR: ❑ Personally known ®-11'roduced identification _0 .�. Type of identification produced 01/02/02 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address `-f t & ` moo UtJOA7"j oC'eA r� Date f " 10 -- 0 / Heated Square Footage @ $ per sq ft = $ Garage/Shed `1�� @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck w @ $ per sq ft = $ Patio @ $ per sq ft = TOTAL VALUATION: $ b D() �/ S` Total Valuation 1st $ Remaining Value $f;" per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ;2 .3 ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $__ SEWER IMPACT FEE $_ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ Z. X,o o ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: I I ' : : . I CiTY: OF AR©� d AR ATLANTIC BEACH- .. - -- BUILDING OFFiGEAWA _ - I i i I 14 JAIL 10 2H2 I ,L� I I I i L i - - f L 4�f ou -sic _ - - -- -- --- -37 --_ - - lJ t i I � - I I eo.n► - ��c L -- P - - - - I _ 1 14 __T �lQlypp mcc `o M. 7 CN Q .. d —r-- - - - S�C 4 - r► 'er o. -- �gW i CL term M W. , 1SS_n 6 I n Fit14 ,o 3 I , L it-4 - a - x _ , I � n AA I � �'`� 'fir� Y, t '�{.��i--- .,L.1 •�► ___ _ _.-__._ �� __._ ._ ______. _-__ _ I , I Book 10302 Foga 1815 Doc# 2002006165 Book: 10302 F,ae: 1815 Filed & Recorded NOTICE OF COQ IMENCE1MENT=II� FULLERDFULLECUU2 01:01:33 RN TR CLERK CIRCUIT COURT DUVAL COUNTY TRUST FUND TO WHOM IT MAY CONCERN: RECORDING 5.00 The undersigned hereby informs all concemed that improvements will be made to certain real property, and in accordanc-a with Section 713.13 of the Florida Statutes, the iollowina information is stated in this NOTICE OF COMMENCEMENT.Oescnption of property " General Oescription of Improvements_ r Owner Address:_ 3u1 ( �` SclCa ltd„-N 8sae�� Owner's interest in site of improvements: Fee Simple Title Haider(if other than owner) Name Address AZA 1 Contractor Address —200 Surety (if any) i Address Amount of Hand $ Name of person within the State of Florida designated by owner upon whom notices or other documents m y be served: Name Address N l� In addition to himself; owner designates the following person to receive a copy, of the Leinar's Notice as provided in Section 713.13(1)(F). Florida Statutes. (Fill in at Owner's option). Name Addre*/ ,p Vade POW Loft III _ r r �, Owner Swam to and subsch5ed before e thi vcj day of jd,. �f # ny�p4 ,� A � C ��y .4 1 a.'Sey ^'#P ,i.,� " ii`st a ti� r° .' '�'!a'klaw ii s t00�I; �> ,CB..,-Cb5,-'042„ {c s St J i V LL FL 32206 JEB BUSH CYNTHIA 'ala HENDERSON GOVERNOR DISPLAY AS REQUIRED BYLAW x, S CRE TA RP 03- -2000 STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY DIVISION Or WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION FROM FLORIDA WORKERS' COMPENSATION LAW This certifies that the individual listed below has elected to be exempt from Fior i a Workers' Compensation Law. EFFECTIVE DATE 03/24/2000 EXPIRATION DATE 03/24/2002 EXEMPTED INDIVIDUAL NAME 0 SHEA MICHAEL ;' S.S. 023-58-6968 BUSINESS NAME 0 SHEA MICHAEL J BUILDING CONTRACTOR FEIN 023586968 BUSINESS ADDRESS 1139 N LAURA ST JACKSONVILLE FL 32206 NOTE: Pursuant to Chapter 440.1051),(8),2 F.S., a sole proprietor, partner, or an -cvi floor of a corporation who elects exemption from the Florida Workers' Compensation Law may i lot recover benefits or compensation under Chapter 1440. CITY OF Office of Building Official REQUEST FOR INSPECTION Date r �� Permit No. Time A.M. Received P District No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE /ELECTRICAL PLUMBING MECHANICAL Framing 11 Footing __O Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed A.M. ,Q \`Th�u_r (Yl', c�i" Friday _.___P.M. Inspection Made Inspector _ Final Inspection❑ Certificate of Occupancy Date i DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB • Date Novmber 22, 19 85 14 13 ii I I?/1712 J «0CCAC Valuation$ 8,424.00 Fee$ 4.50 41 3� I s"" W11716 T/fit C C"1 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. i This is to certify that I"d71ntIAM S. BALGIM 341 6th. Street has permission to build Qwage as per plans sdmitted i see rotes Classification resldmtlal. Zone Owned by Edward S_ F;a►>I�}1an Lot 20 Block 8 S/D Subd.A House No. 341 SIM SUM According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- I SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 10 4 01 O Building material, rubbish and debris I from this work must not be placed in public space, and must be cleared up and hauled away by either con- I traeto owner.� I t g Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING i ELECTRICAL SEWER WATER I lb Z �- X iD � LJ t`i laoec9 cogz A NJN CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax:247-5877 ELECTRICAL PERMIT. PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24004 Address: - 341 SIXTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of.Work: ALTERATION Township: Range: Book: 5 Proposed Use: SINGLE FAMILY Lot(s):20 Block: 8 Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 5/03/2002_ . Name: HAMMILL, TIM Total Fees: 25.00 Amount Paid: 25.00 Address: 341 6TH STREET ATLANTIC BEACH, FL 32233 Date Paid: 5/0312002 . Phone.. (000)000-0000 Work Desc: REDO SERVICE, 200 AMPS, ALUM. CONTRACTORS APPLICATION FEES - BRYAN ELECTRIC OF NORTH FLORIDA �- 25.00 .G ri'1 - ..t,'±• r_.y,;,s- ^-•,,., ;Y'':s. .:.yds'• R NOTICE-'I � - ECTION BUILDING MATERI MUST BE CLEARED _ _ IC SPACE,AND `0 •'•�z �5.. �.,,.� - ;t.'S%'sS+A�.-�v.yam.•-' r .. _. _ -� "FAILURE TO COM r I,�IAW PROPERTY OWNER THE ISSUED ACCORDING TO APPR FOR VIOLATION OF APPLICABLE M - SUBJECT TO REVOCATION or: CRERYLE Type: OC Drawer: 1 Date: 5/83/82 01 Receipt no: 54852 AT IC.BEACH UILDI EPT. 14 . PERIIITS-BUILDING 1 .•� 88188883221888 CK CIIECES 1176 . f Hj 95}9: g/N/12 Tine: 15:58:58 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-.Tel: 247-5826- Fax:247-5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24005 Address: - 341 SIXTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FL.32233 Class of.Work: TEMPORARY POLE Township: Range: Book: 5 Proposed Use: SINGLE FAMILY Lots):20 Block: 8 Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: -Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 5/03/2002_ . -Name: HAMMILL, TIM Total Fees: 25.00 Address: . 341 6TH STREET Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 5/03/2002 . Phone: 000 000-0000 Work Desc: TEMPORARY POLE CONTRACTORS APPLICATION FEES BRYAN ELECTRIC OF NORTH FLORIDA _.,-; _ `"""' 25.00 �-.i -?ley.: - �'F : �.r" •••-. .ilk ^•+ ' �y NOTICE- 1 - ECTION BUILDING MATERI IC SPACE, AND MUST BE CLEARED "FAILURE TO CORA � aAW THE PROPERTY OWNER " ISSUED ACCORDING TO APPR. : _; _ SUBJECT TO REVOCATION FOR VIOLATION O_ F APPLICABLE �' b s- ~-y tines ..Y i-.}....+•.�— Oper: CHWLE Type: OC Drawer: 1 Date:- 5/93/02 81 Receipt no: 54851 AT TIC BEACH BUIL 14 -PSMITS-BUILDING 1 825.00 00190003221900 341611, I1CK CHECKS 1176 825.09 Tian 449; V10112 Time: 15:49:54 CITY OF ATLANTIC BEACH, FLORIDA Apolay APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE. T9 OvL IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCOROANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CETY OOF-�( ATLANTIC BEACH ORDINANCES. .•��� V�� £lec a��;`c. Q�4I1 r"%r^;�/�..,L //�'ss �'�� ��r S f .s u��r �� �>� F/-�'2z i ELF RICAL FIRM: MASTER ELECl�TRICIAN SIGNATURE ,}O RNFYRMAV NAME_1._f]► 84 i.a m AODRESS-JZ RFD BOX BLDG.SIZE BETWEEN:GttST �'d4t°� RES•(I AFT.( ) COMM.I ) PUBLIC( 1 INDUS.( ) NEW ( 1 0L (-'1' REW.( ) ADDITION (✓f TRAI-LER i ) TEMP.i 1 SIGNS i ) SCL FT. SERVICE. NEW(,r INCREASE( ) REPAIR ( ? FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( SWITCH OR BREAKER JOOAMPS PH I W VOLT ,/ RACEWAY EXIST.SERV,SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O.]O AMP4. ]t.i00 AMP9. S W ITCH ES INCANDESCENT FLUORESCENT&M.V. 1 FIXED o.tao Arms, ovrn APPLIANCES BELL TRANSF. AIR H.P. RATING H.P.RATING ' CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CE1L HEAT: KW-HEAT al ovER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS A� TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHE EACH SIGN FORWARDED S - CITY OF ATLANTIC BEACH, FLORIDA Aoo APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: T9 � - 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 ELECTJRIC/IAN/SIGNATURE JOURNEYMAN NAME��/YI 1/GLfv7yH//� ADDRESS:�7 I/ ` �' LL � RFD BOx BLDG,SIZE BETWEEN: L `•�� RES.( 1 AFT.( I COMM.( ) PUBLIC ( ) INDUS.( ) NEW ( ) OLD ( 1 REW,( ) ADDITION ( ) TRAILER ( ) TEMP.( SIGNS f ) SCL FT. SERVICE: NEW( ) INCREASE( ) REPAIR ( ) FEE CONDUCTOR SIZE / S�AMPS COPPER (LT ALUM. ( ) SWITCH OR BREAKER SO AMPS J PH W - VVOLT I ,( RACEWAY EXIST,SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O-]O AMl3. ]1.IOD AMP9. S W ITCH ES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 �r+ra, ovrn APPLI nNCE9 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. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF, NO, VA. MA. MOTOR SIZE SWITCH FLASHE EACH SIGN FORWARDED S CERTIFICATE OF LIABILITY INSURANC � • 04415.1 ONLY AND CONFERS,N RIGHTS u 1� CIRTIFICATE DILL1f19UA1114C= k0ZMCY i HOLDER.THIS CtRTIFICATE COEB TAMEND."MOOR 1. 0 p11I1/9ASITY BLVD.. SOUTH THIP COVEPAGE AFFORtb"$YT'NM POLI098 8ELOW.' FL 37516 INSURERSAFFOR01 I G 0YERABE me:904-725-0933 PJax:904-725-0406 _._ D — _IRIWAtRA._TFIIs MbRY2+11BiD AL W-84- TOti CTION CO,n 31124 .INbUREP G• I MiGEst I PCLICItI OF IN• `LISTED BELOW 1+AYC QCGV ISSUEC M ME lWWWO NWC;A04tit FOR TN!NOUCy PER�,0 PdGA- NO HM�OINA REOUIRGMUNT.TWA OR C04D!T.Ow OF Avr CotgI TACT QR OTneN,'xlcul•ex-W iN RERPCC'10 VAICA Tr.s M-AT'1mwtATE MAY 3E I 4 OR. 11 PEATAIk TMr,INSURAMMAFF DP.MP UY 71V POLIi:kS-ASCRIBED NEREw f2 auaa[-�;f r(:4,t TW rENM6.c=LL;S,ON4 Awtl CONDIT19d�OF$JCN AGGNepATC Lw1Te$IWWN MAY Mve.pi►N RG0'"D BV P,YD CLANK .,.. —� .��.,... .. Pt IC'C-T-q-11 E'�1C4 ExP0i0TiCK -� Uy.TB _ L �IYM,W 1N9LjIWyC! FOUCV KUIIBER _ nate(MIWDO�. Ae—) •',_ _. nweRAL MV i EACN RE f 1 i 300,040 x :ivRlmimG5K6FALL;ACILlVY SCI737509875 C1%115/OL i 03;16/02 Fs1G --) '850,00_O�, oL;.;uR i X�soc caa_. __ `'PER .A R�xxiv 19 acv,oha GENE 700 rr! ,:600,0 0 { _ aao07CTS.fO�F_,OPA*Q a$00 000 -K WREOAT_E LIWoIT APPLILS PER.; -- -�+•� ' r—POLICY I.... i J!C" LOC �AUTOMONAU7A81LIn i - •,••__..._.._ t COIMO r eMK LiMi; I I !;6a amiC ANY ALK'- = i_ ALLpWVROA4TOi I ;BMLVI JURY 1 � �iCl1BDULSD AaTOL t I `(P.r. � _ .=--_»•.�—_•. ' �1"REDA005 i I 000f1V JuAY' (Par } ( I r IrG-- lwMLT' j ;ALMD 04LY-AAMCM?V i `�_� i I ANY J4uTC i cl"MV ..—. 1 _. i t "'1 I AtlTOO Y: AOS I L%CE/fLNMUTY N {JRR NCE OCf.UR �.._. CLAIMS WADE t K36(1F iT,, .r. 0ltl4CTWE -- �— AETOJTfON _8 1 __ •i �.....�wrw... 'I WORRW COWENGAV AND •• ice^f 10. .. .t _-- i j I RMli0YJ7lY L1A41UN i..L. ACO14[NT_ 1•_... --- .. . i•, E.t.CI! owe• iMPLOYGk+ I E L Mi CY LMT f I NOM OF TRanar=A •IbCLl1:i%CLUSCN9 ADDEO FT ENOORSEMENTgPEGAI SXI)*w2A& bunD1TIG CONTRACTOR `�.•, , :zap-se4s i A71:MO1DeF7 ri I ADpT10NA INauRID:fNeuRli 4LRTER: CANCF_LLATION i CZr40ol SNOAC ANY OF TNG Abow Dt.Smota Pol ES C"VELLSO 80I0RETNEERPI rAh: aATiThERCCrTh[IESUIN6W1.641O WL6 Y R+ONAL .10—DATIYOBTM S 0"109 T. T«.=nvlCATE MOLSER NM�i L6fl.lw VAILUAG%D6 W NM1L tLTY Q1F A�'idlllT2C y!1".11CA I DaPos;ND DaLaATCAk OR uA19l�T of Afr. .o -ne IhiuRell ori►ewr+eR 000 909rML.E RD. 1 RErk:09NTAT2s ? _.. ATLANTIC *t ACX rL 32233 AuNot TA , RD 3197] CpICORb CORP09ATI ON 1988 � l � t bd Wki2....................._ 0:09 Z00z ST 'adti hLb6 Z66 h06 'ON Xtid Sal-lOH StiI?JtinkJl N38 W083 drew Norfolkl 31 -7"' Street Atlantic Beach. F1 (904) 246 4780 32233 Cell (904) 568 1320 March 5, 2002 Estimated Job cost for Hammill residence Demolition Front patio and roof Interior between bedrooms Wall at kitchen Waste removal Re-roof using architectural shingles Replace fascia boards using 1x8 Alter two window openings as required Install replacement windows as supplied Make good exterior as required Drywall Refinish interior walls as required Finish ceilings using knock down Install windows as supplied Alter openings as required Make good exterior as required Fix floor joist at existing addition transition Install cedar shingles Make good front and side elevations at addition Make good rear wall Install shingles to front and side garage walls REc ktia aia R e; �Ir.( r City of ntic 1? Q and _70"liiIg New Front Porch Install foundation columns Build off grade sub floor using pressure treated wood Tie in new roofline as required Install new cosmetic columns New Rear Porch Install foundation columns Build off grade sub floor using pressure treated wood Tie in new roofline as required Install new cosmetic columns Install screen enclosure Install Isokern fireplace on rear porch Front Addition Install foundation columns Build off grade sub floor Tie in new roofline as required Install windows as supplied Install cabinets, fixtures and floor as supplied Garage Conversion Raise slab elevation Build sub-floor in living area Alter truss system to raise headroom Finish interior walls in living space materials, garage Plumbing and Electrical fixtures to be supplied Rear Pergola Self standing pergola. _ . CITY OF ATL•,�NTiC BEACH REut P MIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS, MOVING, DEMOLITIONS ✓ City of Atlant Owners) r/M >y AMM/L is and Job Address .34// �o IN Sr. A7L_,g(�/. FG Phone 2�� 83Z Lot# Block or Unit# Subdivision Contractor CNBE1V b, "V9& 4S State License Address /3/Z 9 � �jQ/LYlJ/l/�IZ. -- _ Phone .5q l /qZ 6 City ./AG,CSON✓l L-Lg State FG- Zip 3Z22� Describe work to be done -_GI10SEr RAIL) Fi7-14jP1) tM .n-��/TIOA/ R&Wj ODF G/A1 T /CAL rH/Po Y C'g�Ai,LE ld�ZrH Present use of building leES/,l 17-A17-1,41- 6. Valuation of Proposed Construction_/s 0 Proposed use x7tr-zM& /r/,q1 Is this an addition?Y&-3 If yes, what are the dimensions of the added space: �ft. X ft, Will the added area be heated and cooled? Y4s New electrical (or increase) Y6-S New plumbing fixtures? Yee New fireplace? Y53 New Heat/AC? yr-_3 SUBMIT I.l:iF3E[1C_Qty1MERCIAL)Tw)tRF-,;iDr-NT1AL) �rDMP ET �>=TS OF P atiS INCLUDING , 9USYZY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, IF OWN IS CO RACTOR. Signature of OWNER �✓ Date: 3111 /021 Signature of CONTRACTORDate -51 1l C a STATE OF FLORIDA COUNTY OF _'�U L4L- h Sworn to (or affirmed) arid subscribed before me this day of 2009 AS TO OWNER: Notary's Signature_j�%� G+• � u 0 Personally known DEBORAA.COMBS M,—Produced Identification MY COMMISSION N-0D 043552 . . = Thru�ryPUM 9 UrWerh"O1 Type of identification produced Sworn to (or affirmed) and subscribed before me this—L—day of N kZC N 200 b•e\ 1{ illll���/` AS TO CONTRACTOR: Notary's Signature � ��. Personally known Produced Identification Type of identification produced Fl.02,nq �.C ��a L,�J -6 —_� 'IN CITY OF MIANTIC BF.A(2i APPLICATION TO MAKE ADDITIONS OR ALTERATIONS Owner L H �,, Address-- 4, Phone `�= �� "--____ �� Architect i1'S Address- �� fJ�9 ��d'��,�,? Phonec� .$�� Contractor. Address 'i /fj Phone Contractors License/Certification Nu ubers re 0,0 Expiration Date --Q�d Property Address 344/ S��'��' f�� /, Z, �ti Zoning Lot # ,,2, 0, Blcok or Unit # _ _ Subdivision ,e ` �j �/ Valuation of Construction __Type of Construction .�; ,� Describe Work to be Performed & 5,f�0L,Q Materials to be Used ,'jj/j/C _f�' �%,�Ddr;r� �- �l' ;y► Present Use of Building Proposed Use of Building 6ffJ�jg � j9,'/�y' Flood Zone__ Dimensions of New Area: HEATED GARAGE OR STORAGE — CARPORT OR PORCH DECK PATIO YES NO NUMBER Will there be an increase in number of twits? Will there be a decrease in nunber of units? Any additional plumbing fixtures? _ Any new fireplaces? SUBMIT TWO COMPLETE SETS OF PVNS INCLUDING SITE PLAN Signature Oki f1 -- Date_ _— Signature COINI'RACFOR Date BUILDING 'IE'R,j 0RARE' EI.FCT. ! •. ; cd Soi are Footage@ $ mer sq ft = $ _ Garage;Shed _'er sq ft = Carport --_--- —@ $ mer sq ft = $ Porches ----------—@ $-------- -per sq ft = $--- ----- Deck ------ —@ $-- — _P e r sq ft = $ Patio — ----@ $ ---------per s q ft = $ TOTAL VALUATION $ C; ---- ---- -- Total Valuation Data 1st $- --C-7 21 ---- $ `--------- --- Remainder Valuation @ $ . Qv per thousand or portion thereof TOTAL BUILDING FEE + 2 FILING FEE FIREPLACE @15 . 00 $ �' TOTAL BUILDING PERI-11T - - - - --- -- - -- - -- - ------ -- --- ----- ----- - --- --- --- ---------- ---- -- --- -- -- - -- - - - -- -- PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ELECT. TEi•PORARY $ ELECTRICAL PERI.IIT $ I,'_?TER METER SIZE $ ACCOUNT NU?— ',BER-SEWER IIPACT FEE $ WATER CONNECTION $ _ _ — _—(@10 . 00 per fixture unit) APPROVED BY: TOTAL BUIL DING/PLAN FILING FEE $ ' -----. TOTAL WATER i tETER CHARGE $ TOTAL SEI.IER I?•iPACT FEES $ TOTAL INIATER CONNECTION CHARGE $ MI SCELT 4NEOUS CY.ARGES $ GRAND TOTAL DUE: $ t F lr I c.y1 S cly0 cD o::!4 o fi0 s �A Ez kA rt' O q' N (,� ' -rte•� ' 'gyp• t ( B F� r� w�► oIr _ -77 e.. w . i D y � L\ D �i 4 Ig3 ( �.; � •, to E _ r f 1'1 ., LA a i STOP WORK CITY OF ATLANTIC BEACH JURISDICTION OFFICE OF BUILDING OFFICIAL NOTICE This building has been inspected and ❑ General Construction ❑ Concrete, Masonry and Finish Cement Work ❑ Lathing ❑ Plastering ❑ Elevators ❑ Plumbing ❑ Mechanical Work ® Electric Wiring No PEm nT ❑ Gas Piping . Is NOT ACCEPTED Please correct as noted below before any further work is done. - NOTE - December 30, 1985 Dan C. Ford Date Inspector Do Not Romovo This Notico DETACH and Bring this Portion of Card With You. Location: 341 SIXTH STREET Atlantic Beach Date December 30, 1985 CITY OF ATLANTIC MACH JURISDICTION FORM 400.7 Dan C. Ford as INSPECTOR cy _ I 10 -24 M j i f i Y I 1 j a i I S -CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT Yom' TO THE:CHIEF ELECTRICAL INSPECTOR: DATE: 1J 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: ERE ECTRI AN 1 kTURE JOURNEYMAN NAME f - ADDRESS: � " - - RFD BOX 'BLDG.SIZE BETWEEN: RES. APT.( ) COMM.1 ) PUBLIC( ) INDUS. ( ) NEW( ) OLD( REW.{ ) ADDITION ( ) TRAILER ( ) TEMP.{ ) SIGNS ( 1 SQ. FT. SERVICE: NEW( ) INCREASE ( ) REPAIR ( ) FEE COND CTOR SIZE AMPS COPPER { ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST,SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING'OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS, 31.100 AMPS. SWITCHES � INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS, OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: 'KW-HEAT Q-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISC LLANEOUS rowc,etnofueQmm. 11mrion AM V OVFR RnO V DATE: / PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION('--' ) HAVE: BEEN MAIM. AN1) AkE: SATISFACTORY: _f y - d_� ---------------- -------------------------- --------------------------------- - ------------------ SIN ELY, BUILDING INSPECTION DIVISION cc: FILE !�� /, Oiiiclal 011ice of Oft SPECTION REQUEST FOR permitNo. 5 District No M � p.M. tpcality � pates Tim ; —cmaved - M cond. & ❑ Race �� ctor ING Alr.co pLUNIB Job Address ELI � 13 iteatln9 13EOao ❑ ire moreRC Top cut pre Fab p'M Owner's CRETE iNg ❑ 11 Name C,ON ❑ Temp pole BUILDING ❑ Footing 13N pridaY Slab ❑ INSpEc Framing ❑ Lintel REppY GOA Thurs. Re Roofing PJA- Wed• p•M' T ues. proal Inspectlon f OcouPaY Mon, certificate o Inspection Made ^/ pate Inspector 0 �a� 5680 13 PAR'tMENT OF 13UILDING CITY OF ATLANTIC BEACH PERMIT' INFORMATION LOCATION INFORMATION ' 'Permit Number; 168{3 Address s 341 SIXTH STREET Permit Types MECHANICAL 'LEGAL BEACH, FLORIDA 32233 Class, of Works ALTERATION --_-- - LE1�AL DESCRIPTION __ ._ constr. Types WOOD FRAME Lots Rlook,t Section:' PrQppeed Uses SINGLE FAMILY Tow reship s RNCx a O Dwell ngs s 1 Code: 0 Subdividio0 s ATLANTIC BEACH Esti weted Value s $0. 00 Imipr v.1 Coati $0. 00 �T'Tot z $37.00 AiMou $37. 00AT AMn ATR NATION ; - APPLICATION FEES _.. �. .,, .. PERMIT $37. 00 STREET htA' IMPAC FEES 00 $0.. Q0 Addr`er: s ; g es P r w 1 SIA RADON GAS-H. R.S. $0.00 T O NFORMAT�ON _ RADON LEAS _. 5% $CI.C3t� _� __ _ H e tl '1`IHO & � 4.:. . WATER;.�AP- �. _ t .t Cf . A`d'I7ri lE3 i` C .H. tUL A SEWER TAP ?.t ,?ACK ILLE BEACH, FL 3225 HYDR,AI ULIC SHARE $0. 00 Lie ; ' Q Type: 3 'RE -IRSPECT FEIN r `"4C.CIO : C. H IMPACT FE �� V NOTES: r 3 � . 1 NOTICE-AI.LCONGREtE FARMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID 61X MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AaNDHAULED AWAY BY EITHER CONTRACTOR OR OWNER. "i=A LUR TG COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN, , THS PROP -7 PAYING TWICE FOR BUILDING IPVI§QyIi ISBUE� ACCdI�DING 7t3 APPFtC)VEa PLANS 1NHICH ARE PART OF THIS PERMIT AND`SU REVOCA#37. R PROVISIONS OF LAW, #• ' 4k t, OF APPLICABLE R ? ATLANTIC BEACH BUILDING DEPARTMENT BUILDING AND z6NING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH. FLORIDA 3=233 APPLICATION FOR MECHANICAL- PERMIT --"CALL-IN NUMBEA IMPORTANT --- Applicant to complete all items in sections I, II, 111, and IV. PMENTIF11 SfnefAddress:Intersecting Streets: letween And Sub•t{ivisionATION -- To be completed by all applicants , In consideration of permit given for doing the work at described in the abcve statement we hereby agree to pe,to•m said ..o•i with the atteclLpd Plans and specifications which are a part hereof and in accordance with the Cit of Jacisonvil'e ordinances era s•a��e as of good practice listed therein, Y Nance of Mechanical l ! Confeaefon �( Contractor (Print) L/ r ` �1 �1 �~ `� r� "� Mader Name of hehrty Owner Sigestur0 of Owner- w Aufherised Agent signature of Architect or Engineor J/ Iu. GENERAL INFORMATION _ ) A. Typevf heating fed: p• IS OTHER CONSTRUCTION •SING OONE ON 0 Et>•tf^c THIS BUILDING OR SITE f_ 0 Gas—O V ❑ NNurel ❑ CenNel Utility ❑ 09 IF YES, GIVE NUMBER OF CONSTRUCTION r PERMIT O Other — Specify IV- 1111CM1►NIGAL EOUW~TO M INSTALLED NATURE OF WORK eemill"lief Of eOMPoeeab oa back of this forml Residential or (.) Commercial �+ deal ❑ SPK" O Recessed g Centred D Fboe O NOW Building ® Arr Candstsa ling: O Rom O COMreI �d1 Existing Building O Deet System: uoteriet Iwchoew ,� O Replacement of existing system mashmm capacity- ' 'C �f 8 NOW Installation(No system previously installed) O Rafrigenfiee ❑ Extension or add-on to existing system ❑ Cooti"q town: Capacity ❑ Other— Specify_ +q.p.rls. ❑ Are spe;nNers: Number of (, Umfer O Maaliift O Escalator (Rabat) O Gsor"pump —(number) THIS SPACE POR OFFICE USE ONLY IR""dr"d) Q Task Remarks O LPG extwMi Iaumberl (D U*Amd posmo v~ 0 Boom hnnif Approved by pas• O Otfter — Specify Permit lR.�� LIST ALL EQUIPMENT AM CONWTIONM AND REFRIGERATION EQUIPMENT 1FmsDOr Vslts DMcslptlotlYodN Number 1"Aultaehwr jY Atp`'Agmey ENt' C �i � ry r. C CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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 E ECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 0 ELECTRICAL FI M: MASTER EL C RICIAN S RE JOURNEYMAN NAM ADDRESS:-- S` w I � RFD BOX BLDG.SIZE BETWEEN: RES.( ) APT. ( 1 comm.( 1 PUBLIC ( 1 INDUS. ( ► NEW( ) OLD(V( REW.l 1 ADDITION ( ) TRAILER ( 1 TEMP.( 1 SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE (✓1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS Od COPPER ( 1 ALUM. SWITCH OR BREAKER A, 'li AMPS PH W d VOLT RACEWAY �- EXIST.SERV.SIZE Idd AMPS PHW VOLT " G RACEWAY l 3 FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-80 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 10•100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT v O.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFARMFRCc IINnFR RAA V AVFR RAA V a BUILDING AND ZONING INSPECTION DIVISION c CITY OF ATLANTIC BEACH, FLORIDA u. o ELECTRICAL. PERIVIff a Date Fee$ 20. Permit No. 47M 03 J Location 341 MXM STMIC m D Between and This is to certify thh^"at��yy a C (Electrical Contractor)" (Master Electrician) E r has permission to install Electrical Construction as described herein in o~t a accordance with the provisions of the Electrical Code and regulations u °c of the City of Jacksonville, and subject to the information shown on the = P application, drawings and specifications which are made a part of this 3 Y poermit. t a M fr aura FEW 9 W Type of work: . 1 '• o SERVICE: . AW 4 M > Y a s H U Feeders: � Outlets: p Receptacles: m Switches: Incandescent: _ Fluorescent: Appliances: Air Conditioning: Motors: Transformers: Signs: Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY:' J,° }` MONTHS PERIOD, PERMIT electrical InspectioP 4pervisor BECOMES VOID. CITY OF Office of Building Official !y. REQUEST FOR INSPECTION Date Permit No. � `�v Time District No. Received( / Y j If 1 Locality h ' Job Address hg '',I Owner's it /1(J C A/6 JY Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. .,I ry", Tues. Wed._--_-. Thur`` Friday pection Made j M Inspector-& Final Inspection❑ Certificate of Occupancy Date STOP WORK CITY OF ATLANTIC BEACH JURISDICTION OFFICE OF BUILDING OFFICIAL NOTICE This building has been inspected and ❑ General Construction ❑ Concrete, Masonry and Finish Cement Work ❑ Lathing ❑ Plastering ❑ Elevators ❑ Plumbing ❑ Mechanical Work ® Electric Wiring NO PERMIT ❑ Gas Piping IS NOT ACCEPTED Please correct as noted below before any further work is done. — NOTE — Decenber-30;IDon C. Ford ' Date Inspector Do Not Romovo This Notico — — — DETACH and Bring this Portion of Card With You. Location: 341 Sixi'H STREET Atlantic Beach Date December 30, 1985 CITY OF ATLANTIC BEACH JURISDICTION FORM 400.7 Don C. Ford B-9 INSPECTOR ., U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT HOUSING- FEDERAL HOUSING COMMISSIONER TERMITE SOIL TREATMENT GUARANTEE PURPOSE': Fort)) 111ID-92052/VA 26-8375 is submitted fur purposed construction cases when soil treatment is specified by the builder or required by the HUD or the VA. 11 provides a uniform guarantee of termite soil treatment and assures the homeowner that the chemicals used, their concentration, and method and rate ol'application comply with all applicable Federal slandards. PRI-TARATION: The builder completes this form. An original and two copies ale prep;nrd and senl Io the nxnlgagee upon cola- pletual of file soil poisoning work.The mortgagee sends one copy 10 the local HUD of VA olTiLc prior to final inspectu,n,where it Is filed in the case hinder. The original and one copy are retained by the mortgagee who plovldes the mortgagor with the original at closing. Form HUD-92052/VA-268375 is "headed in" by the builder with the Il1JD/VA case number,strut address of Ihr properly,legal description of the property, n;une of the city and state. The lower portion of the loin is filled in with the date of Ireatntenl;ap- plicator's firm name, signature, title and date; license number of the applicator, when ;I license is required by state legulatrt,ns, builder's firm name. signature, title of person signing and .late of signing;chemical used, percent of concentration ul fire chemical Ill solution;and melhod used --soil mixed,rodded,pressure sprayed,etc. LOCATION OF PROPERTY (Street Address, City and State) HUD/VA CASE NUMBER 26X18 GARAGE AT 341 6TH ST. ATLANTIC BEACH 32233 LEGAL DESCRIPTION OF PROPERTY The undersigned builder, guarantees to the mortgagor, that the soil has been treated on this property and Ilial the chemical used in the treatment,its concentration,rate,method,and location complies in every respect with the current standards of the lkpartment of Nousing and Urban Development as contained in its Minimum Property Standards fur One and Two Family Dwellings. 1'he builder hereby agrees that, if termite infestation should occur within five years from lite date of treatment in this building,the builder will retreat the soil using either the slandards of Hill) in effect of the tittle ul'miginal treatment,or at the btlildel'%opilun the standards in el'l'cct at the lime of retiealment. 'fhc builder further agars to trpan all construction damage by icrnutes withal the one year builder's warranty period.'['his retreatment will be without cost to the norigagot.This agreement that the property he retreated is not to be considered as a waiver of legal remedies the mortgagor may have against the builder. It'within the guarantee period the builder questions the validity of a claim by the mortgagor, the claim will be invrslig;.ted by a recognized entomologist agreeable to the mortgagor and builder. The entomolugisl's certification will be accepted as file basis lot disposition of the case. The builder will pay the Cost of inspections made to test the claim,it the claim is determined to he valid.or by the mortgagor if the Claim is invalid. II', during the terns of(his guarantee,additions or alterations are matte which affect the struCtwe and Create new ternute hazards,or interfere with the chemical protective barrier,this guarantee will become null and void. DATE OF TREATMENT NAME OF BUILDER 12/30/85 RALPH PAINT AND GENFRAL RFPATR CHEMICAL USED BY (S ynaturel TERMIDE CONCENTRATION DATE 1111-1- 0.5 ITLE0.5 % METHOD OF APPLICATION (Rodded,Soil SOIL TREATMENT APPLICATOR LICENSE NUMBER (When,license is mixed,etc.) requited by state requlat,ons) SOIL RODDED AND SATURA ED C.W. OWENS PEST CONTROL 1109 DATE BY (Signature) rll LL 12/31/85 FIRES. Replaces Form FNA-2052, VA FORM NO 26-8375 HUD.92052 12-801 which May be Used until Supply is Exhausted i cam" a�,,C TY OF ",)(, :2 - 4 �Sy� � Office of Building Official REQUEST FOR INSPECTION n-7 Permit No. Date v– G Time A.M. Received / /P.M. Job Address Locality2 8$ J�f f 'fib Owner's Contractor Name BUILDING CONCRETE ELECTRICAL �PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ ❑ Air Cond. & ❑ ❑ Temp Pole ❑ Tem(alit —n Heating Re Roofing ❑ Slab ❑ Final ❑ �S`ewer €� Fire Place ❑ Insulation ❑ Lintel Pre Fab READY FOR INSPECTION _�-- Wed. Thurs. Friday Mon. _– Inspection Made Final Inspection ❑ Inspector Certificate of Occupancy ❑ Date Yr p�LANrj`, F�ORIOa OF ADDITIONS or CORRECTIONS D• NOT REMOVE JOB ADDRESS DATE _,nL/ �A_' s /2- 2-V- `7� THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the jop will be accepted 1 A $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 EHEC are in the office from 8:00 a.m. to 5:00 BLDG p.m. Monday through Friday. 1 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT Permit Number: 19383 Address: 341 SIXTH STREET Permit Type: PLUMBING j ATLANTIC BEACH, FLORIDA 32233 Class of Work: REPAIR Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: u a. M 014 .sr'tk t Date Issued: 12/27/1999 Name: TOMMY HINES Total Fees: Address: 341 SIXTH STREET Amount Paid: ATLANTIC BEACH, FLORIDA 32233 Date Paid: Phone: 904)241-9051 Work Desc: Replace sewer connection IMM-0,WENTIRC. NELSON PLUMBING CO. INC. PERMIT FEE $25.00 i i 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. $25.05 14 Date: 12/28/99 81 Receipt: 8822362 CHECKS 32751 AT TIC BEACH UILDING 081e8H032211i8a w CITY OF ATLANTIC BEACH APPLICATION FOR PLUMING PERMIT JOB LOCATION: ,3ql - zotl' (,4- OWNER OF PROPERTY: TELEPHONE NO. PLUMBING CONTRACTOR Acl� � 14 LA CONTRACTOR' S ADDRESS : Imqe-, o n i,6 �� 4'. STATE LICENSE NUMBER: C /'`'zo% ? 9 TELEPHONE: g HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER lZ !/eie 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 MAP SHOWING BOUNDARY SURVEY OF LOT Z0 BLOCK AS �(, SHOWN ON MAP OF LEA / C. C-4 G AS RECORDED IN PLAT BOOK_PAGES 4;!F _OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED FOR. Tiny n. .� m z- pLn Pr//3 /G T/o,✓Q L 1 T (40 L• � -c �9�� �9•Z) 0.3 �- � rlM GaeiaGE 474 4PRO.uS j /S Z 30.z ¢G 70 7A 2373 M T1415 DOES /`/UT O / • STY /we(-U0C WOOr> p O 16M-R5 ae Ile zz ti dfJ Zo.z• h/0®n nEck a N 3RECr� v D N _ / t • lic� gSZ� ���cl !C Leaco and Z�rs#r�� O o /9 zr THE PROPERTY SHOWN HEREON APPEARS TO LIE WHIN FLOOD HAZARD ZONE x AS SCALED FROM FLOOD INSURANCE RA TE MAP 000/ FOR THE CITY OF Q 7-e— /SC I( FLORIDA, DA TED ¢ • 1'2 8 q AND IS SHOWN AS A COURTESY ONLY AND DOES NOT CONS77TWE" A CER77FCA77ON OF SAAIF CITY OF ATLANTIC BEACH g 800 SEMINOLE ROAD 'X111 ATLANTIC BEACH, FLORIDA 32233 1 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025206 Date 11/19/02 Property Address . . . . . . 341 6TH ST Tenant nbr, name . . . . . . RIBBON DRIVEWAY & WALKWAY Application description . . . RIGHT OF WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ --------------- HAMMILL, TIM & JEANNE OWNER 341 6TH STREET ATLANTIC BEACH FL 32233 (904) 246-8328 --------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . RIBBON DRIVEWAY & WALKWAY 00 Permit Fee . . . . 35 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 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 a 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 OWINER. "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. RI TTI.DING OFFICIAL CITY OFATLANTIC BEACH } Ju 800 SEMINOLE ROAD . ATLANTIC BEACH,FLORIDA 32233-5445 ,N,� ice, TELEPHONE:(904)247-5800 s FAX:(904)247-5805 � SUNCOM:852-5800 1\ http://ci.atlantic-beach.fl.us l PLAN REVIEW COMMENTS Permit Application # 0 2-- 2 2 d(,o Applicant: H arna) 1 I Address: Project: -F2-,\100 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 b Signe Date Contractor Notified D RECF11 CITY OF ATLANTIC BEACH CONSTRUCTION PERMfT WfTHIN CITY RIGHTS OF WAY AN EAMt'ENTS" M02 DATE , PERMIT NO. BY.- ISSUED Y.ISSUED BY THE CITY JOB ADDRESS ✓? I VALUATION $ PERM17TEEL�I A \ j PERMfTTEE ADDRESS \ I\ TELEPHONE NO. Cl C) L! , REQUESTING PERMISSION FROM THE CITY OF ATLANTIC BEACH TO CONSTRUCT LOCATIONS: (REFERENCE TO CROS -STREEP) I . 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 T E SKETCHES. T A LETTER OF NOTIFICATION WAS MAILED TO THE FOLLOWING UTILI71E5/MUNICIPALITIES: �� JACKSONVILLE ELECTRIC AUTHORITY YES ( ) NO ( ) DATE: BELL SOUTH TELEPHONE COMPANY YES ( ) NO ( ) DATE: j FERRELL GAS YES ( ) NO ( ) DATE: � MEDIA ONE CABLE TV 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_fLORIDA DE RTMENT F TRANSPIRATION STANDARDS AND BE PERFORMED UNDER THE SUPERVISION OF , 0 r � S ,� (CONTRACTOR'S PROJECT SUPERINTENDENT) LOCATED AT TELEPHONE NO. 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 OR PLANS COVERING DETAILS OF THIS INSTALLATION SHALL BE MADE A PART OF THIS PERMIT. 7. THIS PERMITTEE SHALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN I DAYS FROM THE DAY OF SAID PERMIT APPROVAL AND SHALL BE COMPLETED WITHIN I C DAYS. IF THE BEGINNING DATE IS MORE THAN 50 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 COMPLETION.. SUBMITTED BY: r 1T fsvN A//)v��Yl/L Q- (PLACE CORPORATE SEAL IF APPLICABLE) SWORN TO AND SUBSCRIBED BEFORE ME THIS{ DAY Or . Noy. 02- Y P • JENNIFER SCHLUETER VAA ,•i :. N A PUBLI MY COMMISSION#DD 121301 EXPIRES:May 27,2006 %,+)Af hd;•' BondedThru Notary Public Underwriters MAP SHOWING BOUNDARY SURA OF � LOT ZD BLOCK 8 AS(" SHOWN ON MAP OF r / r- c-, c AS RECORDED IN PLAT BOOK_PAGES _OF THE PUBLIC RECORDS OF DUVAL COUNTY, F7.OR/DA CER 17FlED FOR. � (j!:� r (4o , - O, 00 a.z �9 z). r ml 11517 G.aeraGE 474 5700Ps, PAYS, .4 PROAJ S 510eA ,4L/lS 135P 0:1- 70 7A ti707A L Z 3 73 ` M Plenntnp and Zw*V DellmomM TN15 DUES /`/UT O / SN verlAas 000111111110"000111111110""a/�LJCL/J/oE k/vvr� • TY. an 9, s division and oEher least land pmeregulations, but does not conetit rta STEPS Ole IU0011) / al far issuantas of pennks. Cempffance IoridaC�uAding Cade and all etfw applicable �RC,hJES ce Stab Federal pennftdng requirements 8 us v fled s nature of the City of Atlantic ea BuN 1 prior to7nm of s ea Permit. 1 (� PPd mmun eve a m n ��j at - i e t D rector Z,o L• z k/oon nEc% RECEIVED 0 N 3 MAR 2 7 ptlg12 NGity of Atlantic Beach Building and Zoning N .� FE 40' /8. . 9 5z) a U ti '?- ;.. 5-'` 0 00 , kb r �� /q zr THE PROPERTY SHOWN HEREON APPEARS TO LIE Wf77y/N FLOOD HAZARD ZONE x AS SCALED FROM FLOOD INSURANCE RA TE MAP 000/ FOR THE CITY OF 4 7-(-. /ic.1r; FLORIDA, DA TED _ 4 T 7•S� _ -- AND IS SHOWN AS A COURTESY ONLY AND DOES NOT C0NS777U7E A CER77FCA77ON OF SAME. J7 /,7,2� , CITY OF Office Of Building Official Date A, • T q, REQUEST FOR INSPECTIO A 3 / Z � Time cP 3 U Received q M Permit No. Jobb AddLess Owner's Name Oij� 4ality BUILDING CONCRETE tractor l ❑ Footing ELECTRICAL PLUMBIN Re Roofing ❑ Slab ❑ MECHANICgL Insulation oug IF ❑ Rou ' ❑ Lintel Temp Pole ❑ To ❑ Air Final ❑ p Out Heatin ❑ Sewer g READY FOR INSPEFire Place INSPECTION Mon. Pre Fab Tues. Wed. Inspection Made V Thurs. Friday A.M. Inspector M. Final Inspection cupancy ❑ Date CITY OF ��i°curt�c �eac� - ��aruda 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904) 247-5800 FAX (904) 247-5805 SUNCOM 852-5800 —q DATE JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: + rie ,`' . ` . Re: Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved: PERMIT NO. ADDRESS .._ f t Vis.r r n / d { a I h Please call me at 904-247-5826 if you have any questions. Sincerely, ATLANTIC BEACH BUILDING DEPARTMENT P A 0 . CITY OF 'L SFP �� C /�eac•,!s_6�larsc�a J a-q' ice f Building Official Date CK# S FOR INSP CTI N 1 I Time P rmit No. Received A.M. PIVI +4, t- Job Address Owner's Locality Name ' A //; ` BUILDING rrtrdctb� `-""t y S CONCRETE E Framing 11 Footing ❑ PLUMBING MECHANICAL Re Roofing ❑ Slab❑ Rough Wiring ❑ Rough ElAir❑ 11Temp Pole Top Out Air Cond. &Lintel ❑ Final ❑ Heating ❑ Sewer ❑ Fire Place ❑ READ R INSPECTIO Pre Fab Mon. Tues. Thurs Friday L Inspection Made Inspector !0 —PM. Final Inspection ❑ Certificate of Occupancy❑ Date p�I.ANrc �.. t- C") � s loom��ORI�a OF W.111!! • • - - • 1�4777�; S; C3,SDA©z --�] THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted t - fz 5ikk 15 C'dv>�Q, 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- fPLUEMBIN-G ment for an inspection. Field Inspectors are in the office from 8:00 a.m. to 5:00 p.m. Monday through Friday. DG CITY OF ��is t� �eacl - ��lnida 300 SEMINOLE ROAD ���— ------ ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX (904)247-5805 '�'4eiti to. SUNCOM 852-5800 DATE JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Rough Electrical Inspections Dear Connie: Rough Inspections on the following locations have been completed and approved: PERMIT NO. ADDRESS 1p7 "+ Please call me at.904-247-5826 if you have any questions. Sincerely, ATLANTIC BEACH BUILDING DEPARTMENT /�11��� //CITY OF fY,LLIGa& /SeacA-T 16 Office of Building Official Q1 ISQT RGA 11 SPEC rION Date ' P D Permit No. Time P .n fMM) Received W * 13 ITJ_X` Job Address C Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation /�❑ Lintel ❑ Final El Sewer ❑ Fire Place ❑ Wali �i� READY FOR INSPECTION Pre Fab � �^+ Mon MOW Wed. Thurs. Friday( L--�t OZ A.M. Inspection Made P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date p�LANr,C' 'c�OR10a OF � � • • - -4 11. • JOB ADDRESS � /-114 DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted VI w6ev Com' 'FaSTEKi �4 6-7 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 ELEC are in the Office from 8:00 a.m. to 5:00 P.M. Monday through Friday, BLoc CITY OF Office of Building Official REQUEST FOR INSPECTION Date_ G—_�)i✓ Permit No. Time A.M. Received PM. , lam }-- Job Address Owner's /�� r� Locality Cts /r� [ ot Name Contractorf-k-Y L,j BUILDING CONCRETE ELECTRICAL PLUMBING ----.'/MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough Re Roofing ❑ Slab LlTemp Pole ❑ To ❑ Air Cond. & ❑ Insulation Lintel 1] Final p Out ❑ Heating ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab ues. ` Friday Wed. Thurs. A.M. qq Inspection Made �t� v A.M. P.M. Inspector_ f I Final Inspection ❑ Certificate of Occupancy ❑ �"', �tLCL f-icr) Date --_._--. _--- .-----__..-----_--_— --DEPARTMENT NT BUILDING - • CITY OF ATLANTIC BEACH i x ' �! 800 Seminole Road-Atlantic Beach, FL 32233- Tel: 247-5826- Fax: 247-5877 } ELECTRICAL PERMIT PERMIT INFORMATION __ _ LOCATION INFORMATION Permit Number: 24405 Address: 341 SIXTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: ,ALTERATION. yy Township: Range: Book; 5 Proposed Use: SINGLE FAMILY 1Lot(s):20 Block: 8 Section: - Square Feet: Subdivision: ATLANTIC BEACH Est. Value: - -=-Parcel Number:. -- --_— -_ -- Improv. Cost: _ _ _OWNER INFORMATION Date Issued: 7/09/2002 -- -Name: HAMMILL, TIM —. - - j Total Fees: 40.00 Address: 341 6TH STREET- Amount Paid: 40.00 ATLANTIC BEACH, FL 32233 Date Paid: 7/09/2002 Phone: 00-0000 Work Desc ESS1 OAMPS-200AMPS 7 PH 3W 240V PlPERW ALl1M� S INCREASE AND REWIRE -I ___--- --__--.CONTRACTOR(S)_ APPLICATION_FEES_-_ -- 40 � .00 ip gr­ gig VP tA � YCI� :ter s-� ry h F yy��'�4i. ,r- yp. Y 4 Mill x y ,ay t yt r ,. n+ 1^k�°* d'�x.•�..y 3 } i, d „hy .j Y�-!5 r'rY� _ — — : ate-' . 1.24 NOTICE TION I ,µms --r �---F--• -.� ,,, �• .>,.�.a --� --- --1 BUILDING`MATEE r0 � ., I SPACE, AND I MUST BE CLEAR 'r-.—� _.-..-.__ ��� a'S'_ �3"c-d. '�'�`��3�at+3 Y�° dh� y��� �.},•� ry,N,.��� �.itn� � -ivG�i' ..,L k:Y � ._....__ _...______� "FAILURE TO CO k THE PROPERTY OWNER` t , .Fb•� tiu„� �Y 1: .>A , L j4.. '%e��H tTT �-s�T,"'—„'. j ISSUED ACCORDING TO AP �I � � ,t SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABL _ i i B e: 7/10/02 it ` Receipt. w. 14 111 MITS-1RlILDING 1 $0.00 i ATLANTIC BEAC BUIL NG DEPT. 0a1i0110221aN 3411-fin -—-- -- ---- ---` M CSS 20% 965.0 Tans date: 7/10/02 tine: 0:33:23 Cl`1 Y OF .ATLAHT-KI ' BEACH, FLORIDA P �t4C.A r • ( ^"."...'4y C>L')�,lC,1YE`41t�9 .90R t`C�CTRIC/ll, ti'&FtM17 ,� �'" ,. 7O .I •TtTYIII'C1tif{'1'.Lr.C7rI1CAL IN;P(;(;7U11: •• D,1TE;�� (./•� 3"- . :' J 6N Ci)NGlnr.tlAr1OrJ Ol' 1`r(It,11r CIVfN I':)tI pDItJC TII1: WOII!( AS DBC(11DCD IN TIIE:rOLLOWING, WE WI IILtIY ll'. LL 10 1'I.I11'UItRi SAID WOIN( IIJ ACC01MANCC Will[Till AnACIIED PLANS AND SPECIFICA11ONS, v✓Inril n{t;; n PAN[ MAlf'Of, AND I ACC0Hj)/,rJ(:r W11,11 IIIL C:t ."TICAL 111_(:ULATtpNs,CODES AND CITY Or A)I.ANYIC'.II:A(:I I OIII)IFIANCIiS., !;)_t. :.. .... r1nr:I� !1!:1':r>;!f r1,r•.rTllli;!�N,_;!�NA7!IfII 1r t:. /_A'l _Cf'` in+it •__ 1.t)tlllF. �: q] . �� jj OFD nox A � 0« bit itI PUMA(' Pr .' ,. IrJDU.^.,( 1 NEW f 1 OLD("f nrw.(•'tom ' YCLS:•.I I 'I,NG ( ) /• sn.FT. rrrlv.r.:: nCt'✓! ) 1,u:ItrACr NII I)r.rnrn I I rrr cn:rnur,;c.ai slzc -_ nh1P.^,•_ /'.nPr,r•1!.f_1 nt un_t_ / ' �•✓�rrrl�,or.rn)s�h,«!!_—_— _.__"r:)r•:;, PI1 w .• ; __.. .._. ._vet r. t-WAY_ e)cI rr :r., v. arr. r:r.us rtl w L. rrL'n:;n; Nn. reit: Nn, r.lrr. .- ._...._._......... .... I NO. _._..-.. -_... 417[ t.tCItY11Jn;.;UYI_CY,:�_ - CUNCI:AI.Cf) - OPEN TOTAL tU r 1 PTAC,.IiYT _ C 0N( I OPEN TOTAL I.IOtt A .. �'i:�.:•''I.:��;._-- ----__-- — �.� nt_LLTIIAN:r: IIA —...� nYINf; ILI'.unTiWU - r.cu!YnY,c)1<,n'n� rn).)r•taOTOlt— oYllEnrnOYun nhtrs C)PIt.NRA7: KIVIIEnT • U•1 (Will r_tC)1"r)Il':� It.P.— vn}.Ynclr: ttlr: NO. 111.P. -- VUt.7AOr: 1'119 UNDI'll alto V. �- - UVfll Poo V. -- ---�.— 1 - -�— NO. KVA 1 J0• IKVA 7O'— VA. �h,n. 1_l rnnYnit.117c:�s^wt FAC�I:ICN I I j l 7c1l FLnsllen ---- • r•c)nwnnc)EN TOTAL FEE', L1 1 Ok ATLik1l BEA04 L %J" REMOVAL APPLICATION X A-d All applications must be submitted with seven (7) copies and received by 5 PM on the Friday tez ( j u) dqys,pri or to the scheduled Meeting in order to be placed on the agenda. *INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SUES WILL NOT BE PROCESSED. /q/f 11771'-7 /Lil— —2 APPLICANT NAME ADDRESS TELEPHONE ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: 0'-e 1'7 0 Ll C:),(-t 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? El YES D NO 9?"NOT SURE 5. PROPERTY ZONING: 2kESIDENTLkl, 0 COMMERCIAL I T 7 17 7 SPECIES DIAMETER *. DIXMETER MITIGATION INTERIO-TREXTERIOR /2 lb kc V, Diameter at Breast Height (D.B.H.) is measured at 4.5 feet above grade. To accurately determine diameter, measure the trunk circumference and divide by 3.14. Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. ** See attached diagram for determination of interior and exterior zones. 7. SITE PLAN/TREE SURVEY indicating: a) Location of topography features such as hills and low areas. C) Location of all trees with Diameter at Breast Height of six inches—or-more. d) Tree species and sizes. e) 'frees to be removed should be clearly marked with an "X". f) Trees to be preserved on-site for mitigation must be marked with brackets I nr tic. F-ize tmd sp :_ o!'-mn 1_,jt,posF� circle "O". h) Location of utilities and easements as applicable. I) Location of trees to be preserved on-site with barricading noted. a) All trees identified for removal MUST be marked on-site by RED flagging, paint or tape. jl b) All trees to be preserved on-site for mitigation MUST be marked with LUE flagging, paint or tape. C) The front property corners must be marked by stakes or paint indicating the Lot 9. INCO'1.TPLETE A x'LIv�ITIQ?',?S OR INACCURATELY M.," MI CED SITES WILL NOT BE PROCESSED. I HEREBY AGREE TO COMPLY WITH AI_.L PROVISIONS OF CHAPTER 2.3. ARTICLE 11, "I kEE PROTECTION, AND ALL 0-1 i-iL✓k APPLICABLE COi)hS Am) 01WINANCES OF THE CODE OF ORDINANCES OF ATLANTIC BEACH. Applicant's Signature Date L-C.1L�. C�./�h '��-•cif cJ' / Z U C� L O er's Signatur� Date CITY US ONLY: Tree Conservation Board Chairperson Date IIAP SHO�f'��1VG BOU. DAR-� SURVEY OF LOP Zd BLOCK - AS :31HOWN ON .IAP #F 47, -L,4,./T/ AS RECOF '..D IN PLAT BOC; _PAGES THE PUI '_IC RECORDS OF DU''AL COUP' FLORICA CERTIFIED FC T.va I7. y' /1! . L� ?Zn �v /3; i G /A r�o,✓a L 7"r T -/A/5, � ? 4. (40 Of sc `' o �R_ a j. L �. 0 � •rte� JL � M •Z 7D3• ¢G 1 r c..N., 1 , 7--Y. 4� 4 ` Ilz S s� D.b 0L �' �•L L> O.¢ THE PROPERTr SHOWN HEREON ;APPEARS TO LIE W77,'N F/707 �AZ�RD ;'ONE_._.� ,fiS SCti V��7 FRc.T LOOD INSURANCE RA !,a,4P FG TriE CITY OF 47—L. /r'C y _LORIDA, '7A TEDD_/7 g` AND IS SHOWN AS COU/TR�TESY ONLY AND DOES NOT COtYSTITUTE CERPFC;'.T10N OF SAYE.?7T J T C Y.TT I MM T I % ,T•1 /Y' TT1 T TT ^T W_-iv B n1'-a& /�CITY OF 4&4 - 0;&' ••,,-- Office of Building Official REQUEST FOR INSPECTION /J Date 3o —0 0 Permit No. y Time A.M. Received P Jobg7dss "?Locality Owner'sLA Name / Contractor BUILDING NCRETE `C ELECTRICAL PLUMBING MECHANICAL Framing ❑ oo ing Rough Wiring ❑ Rough ❑ Air tingCon & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final [I Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION } . Mon. Tues. Wed. Thur.. Friday J t A.M. Inspection Made 22 / _ P.M. { Final Inspection ❑ Inspector �— Certificate of Occupancy ❑ Date CITY OF 4&4a& BeacA-0;&u*Jk (-of Office of Building Official REQUEST FOR INSPECTIO 6 Date Permit No. �"� !O � -- Time A.M. Received PM- Job Address Locality M Owner's -'-+ /L� (� Contractor ���\0-O 5 Name ( i� BUILDING C CRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ ootin El Rough Wiring ❑ Rough ❑ Air Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire pre Fab Place 11 READY FOR INSPECTION � A.M. Mon. Tues. Wed. Thurs. Friday P.M. f` A.M. Inspection Made \\`� �� P p r d � Final Inspection 1:1Ins actor Certs of Occupancy❑ Date CITY OF Office of Building Official PC;? 73 REQUEST FOR INSPECTI N Date V �-2 Permit No. Time A.M. Recei P Job Address Locality, Owner's RCk Name Contractor BUILDING ELECTRICAL PLUMBING MECHANICAL Framing ❑ oo mg Rough Wiring D xi--] Air tingCon & ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Insulation 1-1Lintel El Final El Sewer ❑ Fire Place ❑ (yam, Pre Fab o 0 A", READY F �VC/W INSPECTION �`J�"l/ A.M. Mon. Tues. ��/ Wed. Thurs. Friday—P.M. —� A.M. Inspection Made P.M. Final Inspection ❑ Inspector Certificate of Occupancy ❑ Date CITY OF �C - �/ S 6v Office of Building icial REQUEST FOR I PECTION Date 2- 0 Permit No. Time A.M. Received P.M. Job Addres Locality Owner's Name Contractor �--- BUILDING CONCRETE ELECTRICAL PLUM ING MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Air Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab A. READY OR INSPECTION _ M. Mon. Tues. Wed.)' Thurs. Friday P.M. c� A.M. Inspection Made P.M. Inspector Final Inspection ❑ Certificate of Occupancy❑ P0,07—, `./1% Date X13 y �,Z CITYOF (4,,,, ,�,, 4&4aa& /3�-0;&wda Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P.M. Job Address Owner I< �m/ ► 1 ' Contractor Name BUILDING CONCRETEELECTRICAL PLUMBING MECHANICAL Framing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab LI Temp Pole ❑ Top Out ❑ Heating Insulation 11 Lintel ❑ Final Ll Sewer [I Fire re FabPlace ❑ READY FOR INSPECTION CV Mon. Tues. Wed. Thurs. Friday © A.M. Inspection Made P.M. final Inspection ElInspector Certificate of Occupancy El Date nCITY OF o45 0 Office of Building Official REQUEST FOR INSPECTION Date 1L �— Time A.M. Permit No. Received Job Address Owner'sr� Locality Name o `I e �y Ha I Contractor Zrw 0 BUILDING CONCRETE ELECTRICAL — l Framing El Footing PLUMBING MECHANICAL Re Roofing 11 Slab g ❑ Rough Wiring ❑ Rough 11 Air Cond. & ❑ Temp Pole ❑ To Out ❑ ❑ Lintel ❑ Final p ❑ Heating Insulation ❑ Sewer ❑ Fire Place ❑ RE A INSPECTION Pre Fab Mon. Tues. Wed. Thurs. Friday Inspection Made �`iA.M. PM. Inspector Final Inspection Certificate of Occupancy❑ Date 1 CITY OF -! � ate- ice of Building Official REQ EST FOR INSPECTION Date Permit No. 4. Time A.M. Received P.M. 3L1 I I&,�X St— Job Address Locality OwneNamers � ,1F 04 Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY-EW INSPECTION �../ Tues. hurs. Friday qT7 V A.M. Inspection Made P.M. Inspector �� Final Inspection ❑ i i�D+JV Certificate of Occupancy ❑ Ji \ Date 1;l3 � - cd � r P1LANr��, y v 40R OF ADDITIONS or CORRECTIONS D• NOT REMOVE JOB ADDRESS DATE f THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted i FiZ`lC -� 5.00 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. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tei: 247-5826- Fax: 247-5877 I ELECTRICAL PERMIT — _LO_CATION INFORMATION _ PERMIT INFORMATION _._ _� -- --- — Permit Number, 24404 I Address: 341 SIXTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 j Class of Work: TEMPORARY.POLE Township: Range: Book: 5 Proposed Use: SINGLE FAMILY Lot(s):20 Block: 8. Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value:" Parcel Number: Improv. Cost: _..__.. -OWNER INFORMATION Date Issued: 7/0912002 Name: HAMMILL, TIM Total Fees: 25.00 Address: 341 6TH STREET i Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 7109I2bQ2 Phone: 000 Date L Vllark Desc: CS%#2 10AMP-TEMPORARY POLE _T APPLICATION FEES CONTRACT _ f — -- OR{SZ -- --- ENCONIPLASS 00 � pr�� I v �.. vis a.a " .,+'s.;�'•3q�0 7 �F�.�tiw �K•,�r��,.��} I ��` . `f' � `'�•_ -�' ,� �.�.i &.�+"3'G'�'� � '' Ft. `�`E.n,r�tS ��:,',� �L`� "�`�'n€1�'i �'' •x `'^'"'� �'..•,• aic-� Fx�-. +"da,,""r^fY�'�'`'i.s`���'=���Y-s�ar,� .�^''. 5�Y-'r .� .mac. 1 ,moi ,, ;� �,�l ..a"' ti,ur a+s,rq"" r .. N,,,.y �,��;�,�•�.� �€iF�������`� � *�'" '�"�,�,��7�����} �... -_-.._:. . —_ �•;-+^,, •.+. .,. � _._• Y, 7. �� �� 4`+°cam`."'.mss.r��}'��..2�y-�`,�r�" �F'��- i t°` ,d r " 'it x f '. ^�a.'' 4 '+I s�'.' t ..•e w,��cw I'3-c'Sr�.+rrx.y-a` �Y` YyT"�' ` ""rs'stiw`'c�',.z- •Yp�.� '�s y i +F,V�'+n't F.Fa' �����."n 3 S'ar3'�'^-�. �:C"`E e. 'K d ++, I IN l �' u't +'`�""•M"+ r. �cc."J" `&,�x r ti �✓i"x 1xsti ,N dn.. � ,^. "J +7' t� iave t Tt' �.R21 4'"-*^� Vii -- — .: � s�N z.:,sL -i.�•-_~ w i+du 1.i� f g.T c. t ` .,,..'c 4 'W NOTICE f T CTION -tT'"sA —itr '..i ,"`s Y. _.. BUILRING'{tiIATEF � SPACE, AND MUST BE CLEARIrtk�j xj--- ----- -.x ��1�� a.�_..c^.�,a .?� ,.:: �,t Fir ��`"• N. :•t�r..::r j .r'FF y FAILURE TO CO HE PROPERTY OWNED- —_ _-- -- - ISSUED ACCORDING TO AP } EJECT TO REVOCATION FOR VIOLATION OF AP.PLICABL :, 6' 00W,OWN Tree: 0C D nw: l Bete:. 7/16M,61 Receipt no: 71925 1 14 . PEMTS-BrILDIIIG 1 525.11 ATLANTIC BEACH UILDIN DEPT: 80111810221018 3!1 GTI ST M CSS20% Sfi5.A8 Trane date: 7/10/82 Time: 8:33:23 C11'Y,a� ATLANTIC BEACH, FLORIDA 11C>l')EIGUlQM VOR �-effCTRICAL. r6 MIT TO YI(V C7li(i`I'.Lf.CTI1ICA(.INgPr,CTOI: D AYf:: V •.')!IYAN;NO1'lC1:: T Ys ' IN Cl'1Nnit)C(tATIUN O!' I'7:fID,11r CIVCN "")ll i)OINC TNI: WMIK AS DrSCMDCD IN TIIr.F0L1.0WINi;, wr AIlfltllitY ;,,a(t l 1U "011'Uf1M SA10)4vOtll( IN ACCOl1DANCli WITII TIIC'Af7ACI1rU PLANS AND 5PECIFICATIOtJS, TLA N Alli ,1 I•A(tf UI:Jt f.l)f. ANU IN AccgIIw,IgLt_W11,11 T11(:lilf.ClllICA1.1t 1:GU(ATIONS,CUDt;&AND Cf(Y OF ATLnIQ71C;IY.A(:I f UIIOII4ANCI`.:;. �Az*^ S Jae tu,..:r• //!�'► �Z�l.i*'hrH, �"fill r" ,// / !!llI�LLtdAf1 . u1.Dc.r:t:r. �f � � -' - --r(FD D0-x - Itf.:.(� nl•7.f 1 cOr'.tr.,.I 1 Pllat.il:f� IrlOU':.( 1 NEW( ) OCD(v� nr:W , ,1rtU)TIO(.; 1 Yfinil.f.11 W.l . I ! Yet.,:•,( 1 ;I(;NG ( 1 /! SO.rT. r.CIIV:c:?: nCty f I 1ta:IlEASIi(� �/ Ilrrnllt ( 1 Fr:E CO:JUl1r:YC::1 CIYr 7/'CI TOO _._.— til — . rv�rfr.rr or. ,rr.isl�J<rn (� • 13 VYJL_ �' �. I1R�f:WAY_ e)urrY:scr.v !:I7r rrcn:'tts NO. cl:rl: _ INrt• rizt! _._ NO. SIZC [TOIAL 77-77 h - orrN nr(.LTnnN.^r Ton 6Tl1Cll rlIOYOItS• __....._...._._...—_ Arar;_ CE11.IMA7: KWIILAT _HA 1 r•,U)r)il_:— _ILP._ VOL7Aflf: uVw �_....._._... NO. TAOr 1 il.l'. VUt_ - ._ r_Ils _ .. UNDI'll Clio V, __—.. __..._....__.. OVrIl no V_KVA -�Kyn :n.NEON t uAW;1! ri0. VA. r.A. --- ..— (-nl:l1 LION I rd(I TOIL:J171i S.wity I --LAS ' _T /�UItWAnDEf) 1 YOYAL FEES CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD—ATLANTIC BEACH,FL 32233-TEL: 247-5826—FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION . Permit Number: 24391 Address: 341 - SIXTH STREET Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class o€.Work: ALTERATION Township: Range: Book:. 5 Proposed Use: SINGLE FAMILY Lots):20 Block: 8 Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number• - - Improv. Cost: OWNER INFORMATION Date Issued: - 7/03/2002- Name: -AMMILL, TIM ' Total Fees: 51.00 Address: 341 6TH'STREET- Amount Paid: 51.00 ATLANTIC BEACH, FL 32233 Date Paid:. 7/03/2002 Phone: (900)000-6000 Work Desc: REPLACE HVAC _ CONCTOR S APPLICATION FEES SHAW HEATING AND AIR CONDITI r az 51.00 NOTI , f s` BUILDING MATE x . MUST BE CLEARS logli SPACE,AND FAILURE TOC ; , = PROPERTY OWNER: -- THE ISSUED ACCORDING TO AP FOR VIOLATION-OF APPLICABL UBJECT TO REVOCATION flow: 11 " Type. OC IlraYn 1 • �1 �-3-' 16W 7/r6fIM4'01 Wmipt w: ATLANTIC BEACH"BUILDING DEPT. 10i11111p1�21i10�L9I>1G 1 >161 N Q am 3176 $102.0 Tnn date: 7116/0? Tile: 11:39:21 �Q BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT IMPORTANT—Applicant to complete all items in sections I, 11,111, and IV. I. Street Address: ` Z c' 3 LOCATION OF Intersecting Streets:Between And BUILDING Sub-division II. INDENTIFICATION—To be completed by all applicants. In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic BARch ordinances and standards of good practice listed therein. Name of MechanicalContractors Contractor(Print) Ct 4 m /' Master Name of Property Owner Signature of Owner Signature of Or Authorized Agent Architect or Engineer III. GENERAL INFORMATION A Type of heating fuel: B. % Electric IS OTHER CONSTRUCTION BEING DONE ON THIS ❑ Gas: _LP Natural _Central Utility BUILDING OR SITE? C �/// ❑ Other–Specify ❑ Oil T7�4/ Ll(> IF YES,GIVE NUMBS IiONSTRUCTION IV. PERMIT MECHANICAL EQUIPMENT TO BE NATURE Off'WORK I INSTALLED W Residential or Commercial New Building (Provide complete list of components on back of this form) per/' Existing Building 0111Heat _Space _Recessed '/Central —Floor 6, Replacement of existing system J / [A'' Air Conditioning: RoomCentral El New Installation Duct System: Material�e k d f� ckness Q"lo (No system previously installed) ❑ Extension or add-on to existing system Maximum capacity 116 cfm ❑ Other- Specify ❑ Refrigeration Cl Cooling tower. Capacity fpm Cl Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY Cl Elevator: _ Manlift_Escalator (Number) C3 Gasoline pumps (Number) (Received) ❑ Tanks (Number) Remarks ❑ LPG containers (Number) ❑ Unfired pressure vessel C] Boilers Permit Approved by Date ❑ Other–Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving Ton Agency /. v� o f2 m 3 4 f/L LP HEATING–FURNACES,BOILERS,FIREPLACES ' Number Units Descrip ion Model Number Manufacturer Capacity Approving ` /4 � ?✓ / 2 P BT Agency TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency