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378 6th St (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025344 Date 5/24/04 Property Address . . . . . . 378 6TH ST Tenant nbr, name REPAIR ROTTED FLOORS/WALL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 600 Owner Contractor - ----------------------- ------------------------ ROTH, DARWIN OWNER 378 6TH STREET ATLANTIC BEACH FL 32233 (904) 241-2821 --------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . STEEG PLUMBING Permit Fee . . . . 98 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 --------------------------------------------------------- Special Notes and Comments RE-ISSUE OUT OF DATE PERMIT Fee summary Charged Paid Credited Due ------- ---------- ---------- ---------- ---------- Permit Fee Total 98 . 00 98 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 98 . 00 98 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. )*C. ( - BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: Owner: 4Lcr,,. o , Telephone#: Contractor. Telephone Contractor Address: ��„4 Fax In eonsiderasion of permit&NZ floc doing the work as described is the obove stamen,we hereby agree to perform said work io &Qwdanoe with the attached plans and speei,fiati*W which are a part hereof and in accordance with the City of Atlantic Bc*Lh ordinance end standards of pod practice listed therein. Installation of plumbing and fixturt:s must be in accordance with the most recent edition of the Southern Standard Plumbing Coda. Plumbing Type: if other construction is being done on this building or site, New list the building permit number: Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans 1 Dishwashers _____Z.- Sinks f Disposals Urinals Floor Drains Washing Machine Lavatory Water I Sewer Water Heaters i Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X 37.00 + $35.00 800 9amin4:9r Road• Atlantic Beach,Florida 32233-5445 Phone: (904)2474MM a Fax: (904)24746845• http:llwww.cl.atlantic4mach.N.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r jn F) Application Number . . . . . 04-00028315 Date 5/18/04 Property Address . . . . . . 378 6TH ST Tenant nbr, name . . . . . . INSTALL 9 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner for - ----------------------- ------ ---------------- ROTH, DARWIN �ontr EEG P UMBING 378 6TH STREET 1 1 IN ST ATLANTIC BEACH FL 322 3 AT TIC BEACH FL 32233 (90 ) 249-5191 - ---------------- ------- ------- ------ ----- ------------------------------- F L BI G PER T Additional desc Permit Fee . . . . 98 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------------- ---------- ---------- ---------- ---------- Permit Fee Total 98 . 00 98 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 98 . 00 98 . 00 . 00 . 00 �A 1 cj\ 1�0 01A AA 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. 0 IC CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: 6' Property Address: Owner: A-010f.]m Z'o Telephone #: Contractor: '� �z� / C �nar Telephone Contractor Address: Lia C� /'��'%�- �ii7` Fax#: lam Q 5r 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 Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, New list the building�e lit.ou_ Re-Pipe k�P Number of Fixtures: Bath Tubs Showers f Closets Shower Pans Dishwashers Sinks i Disposals Urinals Floor Drains tl Washing Machine Lavatory Water Sewer � Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: _ X $7.00 + $35.00 = 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 - Fax: (904) 247-5845• http:/twww.ci.atiantic-beach.fl.us s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD . ., ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . 02-00025344 Date 5/10/04 Property Address . . . . 378 6TH ST Tenant nbr, name . . . . REPAIR ROTTED FLOORS/WALL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 600 Owner Contractor -- ---------- - ----------- -- ---------------------- ROTH, DARWIN OWNER 378 6TH STREET ATLANTIC BEACH FL 32233 (904) 241-2821 ------------------------------------------ Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date Valuation . . 600 Expiration Date . . 10/10/04 ----------------------------------------- Special Notes and Comments RE-ISSUE OUT OF DATE PERMIT 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 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. � *�- ( - � %k. BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 J .I=I''' Application Number . . . . . 02-00025344 Date 12/23/02 Property Address . . . . . . 378 6TH ST Tenant nbr, name REPAIR ROTTED FLOORS/WALL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 600 Owner Contractor ------------------------ ------------------------ ROTH, DARWIN OWNER 378 6TH STREET ATLANTIC BEACH FL 32233 (904) 241-2821 ------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 600 Fee summary Charged Paid Credited Due ------ ---- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL •rti"t . �jJ'f CITY OFATLANTIC BEACH 800 SEMINOLE ROAD •. * ' a�, ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 S FAX:(904)247-5805 SUNCOM:852-5800 JDhttp://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # Applicant: ay t o 1 "")C44,, Address: 'Ki - Project: V" ' _ `� c _" �v� ►�' t,UGe CV/Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by L"1 Signed Date Contractor Notified Date y J .� RFCF1VFD DEC 2 0 2002 BY. City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida + C>T E D Phone: (904)247-5800 FAX (904)247-5805 • htt //www/ci.atlantic��-beg iVTiC BELCH p' 8f�ll•BNUt� OFFICE BUILDING PERMIT APPLICATION DEC 21, 2002 (FOR NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITIOlg�: �-- 3 DATE JOB ADDRESS OWNERS NAME :ez , I _ �✓ ADDRESS 39P PHONE: LEGAL DESCRIPTION: BLOCKNUJ R LOT NUMBER �/ ZONING DISTRICT -5i< , ,�,,,ftr� ry CONTRACTOR STATE LICENSE NUMBER ADDRESS PHONE CITY STATE ZIP FAX r DESCRIBE P OPO ED USE AND W IRK T BE DONE t =r•c_ P ENT USE OF LAND OR BUILDING(S) VALUATION OF PROh'OSED CONSTRUCTION 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 hating/air conditioning? Is approval or Homeowner's Association or other private entity required? please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? ;(NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑ NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Protected Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. 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 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. 11/27/02 STEP 2. ' Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If 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 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 jurisdicti a etlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools ay b excl ed from total Impervious Surface.) 7. Other information as may be appropriate for in dual app natio 1 HEREBY CERTIFY THAT ALL INFORMA I PR D T THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE G� 0�.� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS P I SC TINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLAN ND SU O ING A A HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME , MAILING ADDRESS i 6-1 PHONE FAX E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF —]>< !� STATE OF FLORIDA,COUNTY OF DUVAL ` NOTARY'S SIGNATURE AST JENNIFER SCHLUETER ❑., Personally known :Y MY COMMISSION#DD 121301Troduced identification EXPIRES:May 27,2006 I� f? /'>rl ! 51% _2_6� a BondedThruNotary Public UnderwrAers Type of identification produce J`—✓t/�^11 V' AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced 11/27/02 NEW IMPERVIOUS SURFACE REGULATIONS On January 01, 2002, the City of Atlantic Beach enacted new regulations limiting the amount of Impervious Surface that can be developed on property. Within all residential Zoning Districts, the maximum amount of Impervious Surface area allowed is fifty percent (50%). Within all commercial and industrial Zoning Districts, the maximum amount of Impervious Surface area allowed is seventy percent (70%o). The Zoning regulations define Impervious Surface as follows: Impervious Surface shall mean those surfaces that prevent the entry of water into the soil. Common Impervious Surfaces include, but are not limited to, rooftops, sidewalks, patio areas, driveways, parking Lots, and other surfaces made of concrete, asphalt, brick, plastic, or any surfacing material with a base or lining of an impervious material. Wood decking elevated two or more inches above grade shall not be considered impervious provided that the ground surface beneath the decking is not impervious. Pervious areas beneath roof or balcony overhangs that are subject to inundation by stormwater and which allow the percolation of that stormwater shall not be considered impervious areas. Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rain water, however, decking around a pool may be considered .impervious depending upon materials used. Information verifyinQ Impervious Surface must be provided prior to issuance of Buildm Permits whenever new construction, including building renovations or additions new drivewa s decks or porches involves any increase in Impervious Surface area FLOODPLAIN DEVELOP NT INFORMATION Location:: Type of Development: Flood Zone: Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMNMNTS: Applicant Acknowledgment: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Date Applicant's Signature Department Use: Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed with Building Department Building Department Representative CITY OF �4��ayctc'c 'ecu — '�Ccru'da 800 SEDMkTOLE ROAD ATLANTIC BEACI-L FLORIDA 32233-5445 TELEPHONE(904-.1247-5800 F9.Y(904)247-5805 SUNCOM 852-5800 C)IAPTER489, FLORIDA SYATu-r=. PART I 'CON.S'MUCTICH CONTRACTING' REQUIRES OWNER/Bu1LDER To ACXNOWLSDGE THE LAW: DISCLOSURE STATEMENT FOR SEcnoN 4851. 1 03(7), FLORIDA STATUTES: SPATE LAW REQUIRES CONSTRUCTION To BE DONE BY US's"«"CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPnON ALIAws YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF 25,000.00 OR i—. THC BUILDING MUST BE FOR YOUR USE AND OCCUPANCY, tT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFtiR THE CONSTRUCTION IS COMPLLTTE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SAI- OR LEASE. WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING ReautATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REOUIRED BY STATE LAW AND BY COUNTf OR MUNICIPAL LICENSING ORDINANCES - - ORDINANCES ALSO ALLOW AN OWNER TO IMPROYE THEIR 4VY14 PROPE?QTY WHEN !T 15 FOR PERSONAL OR FAMILY USX. AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $Z,OCC) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS, THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES: OR MAY HIRE UNUCENSCD WORKERS PROVIDED SUCH WORKERS BE UNDER 'DIRECT SUPERVISION OF THr OWNER, WHO MUST HE ON THE'.0015 AT ALL TIMES WHILE WORK 15 1N PROGRESS BY UNLICI=NSED TRADES PEOPLE.' THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE. THE BUILDING DEPARTMENT SUGGFSr3 WORKER'S COMPENSATION INSURANCE: BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PRCTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND 3HCUL0 ALSO OBSERVE IRIS wrrmHOLDINO TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRACES, UNUCENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA !TrATUTC No, 455-Z2B(I). AN 'OCCUPATONAL LICENS'L�' t5 NOT ADEQUATE. THE OWNER SHOULD pHyzICALLY SEL THE COUNTY -CERTFICATE OF COMPETENCY' OR THE FLORIDA 'CONTRACTORS CEF nnCATE' TO ASCERTAIN IF A PERSON 15 A LICENSED CONTRACTOR. Tm.EPHONE THE ING DEPART rxr (Z47- 5826) IF IN DousT. I HERemy ACXNOVAJMGE THAT I HAVE READ THE ABOVE D0CL R STA .• T I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER'$UILDER PERI4 PROP UI 7 5C ,�//-- ADDRESS TELEPHONE BEFORE'ME THIS DAY OF D4, JENNIFER SCHLL ETER A ,N; MY COMMISSION#DD 121301 1- . EXPIRES:May 27,2006 N T PUBO of Banded Thru Nota Public U d tw i b VU� MMISSION EXPIRES: ARE EMP"ASLZED BY THE BUILDING j DEPARTMENT. i Cit 1 7 �r Sf a �� � — T .� �-� � �. � r tom. . r� � .u,�,�..�� M �� � �� ��� 1 11 ' 1 .,,� �_ �� �� l 0 n .� .� �,-, ,S�- .� �-�-+' � v� 1.,�v/� � 1� � �� '� � �. -�,� � � '� 1 � � �.. � � 4 �, C� �(� �^ �. �i � � � �' �� �J �, �^ � � � � J�X �k/ l y `r ` 1 � / F 20 �C 1 tll-� -6/7- 60e, Q 0 l✓e 5 s r 1 �7 I e iof ®� �t /) (' x I 'ems►' �'� F(, a . rl �� . vA CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 Permit Number: 20074 Address: 378 SIXTH STREET Permit Type: FENCE ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: 5 Proposed Use: SINGLE FAMILY Lot(s):33/PT31 Block: 7 Section: Square Feet: Subdivision: ATLANTIC BEACH "A" Est. Value: Parcel Number: Improv. Cost: 500.00 Date Issued: 5/16/2000 Name: DARWIN ROTH/BARBARA O'REILLY Total Fees: 10.00 Address: 378 6TH STREET Amount Paid: 10.00.,; ATLANTIC BEACH, FL 32233 Date Paid: 5/16/2000' Phone: (000)000-0000 Work Desc: ERECT FWE PER PLANS . 0,Will PROPERTY OWNER PERMIT 10.00 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 UPAND 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. 00 14 Date: 5/26/80 81 Receiat: e065s5"A -- CHECKS ATLANTIC BE- BUILD EPT. 08180003221600 I MAP SNOWING BOUNDARY SURVEY OF -- LOT 33 706ETh4EXZ WITH 7-HE WE'S'T YZ CP LOT 3 / , 5LOCi< 7 A5 SHOO)A-) C,VT'HE h-4AP OP SUOC/Vl6to7 j 'A_ AJ7"!G o 'ACN AS RECORDED IN PLAT BOOK PACES 6`� OF THE Or Ov ti d L, �CA curl tro T0; OAR�yW P-, ROTI-{ 8Aaf:MJZA O' REILL y, Cvn��� ss B�+•�,,r _____ LAs.l0a4 -'ITLe CSF` FTyP-IO4 5'r F- a? C,Lm'eAUT 7-H -rpEff-r r` r /UOr.p� r°r,as a�i � a 77'� V k GOAJG. we c°17 M I 4, i- S'Tp GZ'-f FRA �E I I u w/ AsO+rs''t.>5 5Nt L[. _ 9 e 5' kJ 2 978 Aje y� I 9-3 6TSP5 H>'ir0 a 13 x I r�OPC� I y 1 I 'Ne . n , �•��a-�� �o.Gp` l_ '25 oa {rl. � z:; oc°'_ nn /1 //CITY OF /3eA-11ou'da Office of Building Official REQUEST FOR INSPECTION Srr Date F`VO_ __ Permit No. _ Time A.M. Received �4- r ��P�� Job Address Locality Owner's Nam ,--Contract orBUING CONCRETE ELECTRICAL PLUMBING MECHANICAL r g ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel Ci Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION rM.n:) A.MTues. Wed. Thurs. Friday P.M.A.M. Inspection Made P.M. In ctor r- Final Inspection ❑ Certificate of Occupancy El Q rm Date 0� pT LANA 1 ` m ORIDW • OF' � 0 JOS ADOREgs 7y 7el SATE The follow nlS JOB HAS NOT BEEN P QQ 9 additions or con-echo COMPLETED the job will be acCepted shall be made before $15.00 RE/NSP ECT FEE Itis unlawful for Persons, to coverany Carpenter, Contractor with floorin or cause to be , Builder inspector has had, earth or other material, any part or other After ample time al, until the °f the work additions or corrections me to approve proper made, call ctions the installation meat for 247-5826 have been an inspeCtio Building Depart_ ��Ma,Nc are in the office from n. Field Ins pectors P-m. Monday through F�daym. to 5:00 ELEC BLDG ` CITY OF C Office of Building Official REQUEST FOR INSPECTION Permit No. Time Received vrC----- PM. Jct: Acdress Locality "— ----- - Owner's Na -e - - �f/i''4 LL c�� Contractor BUILDING CONCRETE ELECTRICAL PLUMBINt� MECHANICAL Frammo, Footing Rough`.Viring Roug Air Cond. & roofing Slab Temp Pole Top Out Heating Jo;, Lintel Final Sewer _= Fire Place Fab READY FOR INSPECTION Wed. Thurs. Friday --_------TM - r 1L P.M. Final Inspection :- l rt ficate of Occupancy - f" PSA-3844 ; DEPARTMENT OF BUILDING f. K CITY OF ATLANTIC BEACH t PERMIT t4POMA'T 1ON -- - LQGAT,Io mroRMATIOX _- Per o. Number, 141,12 Addre$S; 1$ SIXTH TkEt i P #a t T pti PLUi!�B I"IxtG ,ATLANTIC REACH, ]x°11 2 of Work:ADblt'10 Twp Block d FPILX Sect CuRrq.ed wrI l"a bd ivfiar". tv Val e* t�.�€� tmvri ►v, cosi 0 .00 t�tii '15.00 . . . 25.00' tm r 2 00 Name Addlw x PLO ET RI 16 VWI A „ 4,Pik e Q . " � 1 a RAT I O .. . .. "i IACKsc� BEACH PL 32240 Ap, k �y w T ; rl.., ±"t , NO7I=S F ( " NOTICE--ALL CONCII TE FE�RMS'AND FOOTtNGB MltI�3T Be INSPECTED BEFORE P�lUAtN0 PERMIT VOID SIXMONTHS AFTER[)ATF OF I$SUE BUILDING MAT&i4L,RI 64ISH AND DEBRIS FROM THIS WORK MUST NO7 QP PLACED 1N PUSLIC SPACE,AND MUST Be, CLEA E0 UP AND HA0L.ED AWAY sY EITHER CONTRACTOR OR OWNER' p S' 1CF401 LURE COMPLY V If H THE ME�NANt#+ ' �.t�N Lr�►�` CAN aESULT IN' T � SPR � � ►�►�rtt�tG �r�wtcE t=Ott W�t.LOWO ���c► ���"T's. ju,.;, ACCOPP RDING TO ARQIIOD PLANS WHICH ARE PART OF TIMI$ PERMIT AND SUBJECT Tt)"FI�VGCAT�I FQR O> :t FF 4PPLICASLB�FROVIStC�NS OF LAW. 777 - ATLANTIC GHBUIL ING. PAS. ENT Y. I '` CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 3 O b I Jl__ , OWNER OF PROPERTY: PLUMBING CONTRACTOR: ,ri rST l .ZCS uw\(O n CONTRACTOR'S ADDRESS: `), `O. py- SC)L)'4 ( ­:�G1C, IRC�l '!E(fits 3aaS� STATE LICENSE NUMBER: �rCO S iC4,? _ TELEPHONE: �j'D`�-a� 7 "yql cJ HOW MA11Y OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS r� ++ OTHER 6U . TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: -214 SIGNATURE OF CONTRACTOR: r )OA , ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. r CITY OF f4 � Qwc4-49 Office of Building Official REQUEST FOR INSPECTION 1, Permit No. Date v Time A.M. P.M. n Received L t --,Job Addrgss 4� Owner' - ZL�-/✓L--j� Contractor i Name MECHANICAL BUILDING CONCRETE ELECT{ ICAL PLUMBING D i ng-- - ❑j Rough ❑ Air Cond.& Framing El Footing C-, Top Out ElHeating Re Roofing ❑ Slab ❑ Temp Pole ❑ Sewer ❑ Fire Place Insulation ❑ Lintel ❑ Final Pre Fab READY FOR INSPECTION A.M. Thurs. ) Friday P.M. Mon. Tues. Wed. ` P.M. Inspection Made —A. Final Inspection`b Inspector } Certificate of Occupancy Ei t /A/ 7-Cl E!v S&(-)l TC 14 S Date -- �_ ----- QEPAkATMENT OF SUILWNG CITY OF ATLANTIC BEACH '.. PERMIT INFO RMATION �„� _„� _ ��,�� w_ ' LOCAT IDN INroRxAT,TON Perms Nuvibea : -11049: Address : ��rp* t�'373 ,3yS y lN�ypBTR FLORIDA +y l� Fs�+ JSrLs #w4L ATL Type "ii�i�AWwf C,fiJ611E 7ML . 5ub8d', PII,0N. _ .---4. -1-�. of ALT9PATION �_----_ -- LEGAL VErRAMr Block, Lot: 'Twp- constr #NC Rn�:Prpsed Use:SIO L �AILY section* . I� ellinis 1, Imlar6v. cost . 0 .00 Total Fe Amo At asubDxz- ON APPLICATION FEES Nsm MIT25;'00" B C ' 'ORI D& . RAd .» Vit:' 'OT I 3 a Y,I � *!' +F"'IrAY- {y�y. ..'9+a¢enrd rkaWMCMw+.oauOY;i'#+km T7Fg3tr3 im9 !ab a'''te AX. B *32250 KITE'S i i NOME,I"' ALI.CON""%Ft RV$AND FOOTINGS MUST DE INSPFgMO"BEFORE POURINQ' PERMIT VOID SIX MONTHS AFTER DATE OFISSUE �3UILI 1 4L.,Rt3 1 I}ESRIS FROM THIS W©RK MUST NOT BE PLACED IN PUBLIC SPACE Q MATERIAAND ,AND MUST BE CL.E, t�D UP AND HAULS 3 AWAY 13`�,EITMER CONTRACTOR 4R OWNER 1 i 'UTO rCONIKY WIT HE E H NICI * .... # IN TK ROO ON,4 E FOR TFC t "IMPROVt1141 "I"W-0 AI Ct RDttIG TQ,APPROVEI�"PLANS WHICH ARE PART OF THIS PERMIT�ti � ' �REVflCAt6��. N, 60 LAW. AT BEACH 1 UILDINGDEPARTIVIENT, t CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT r6 19- __ 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 ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. G Co /V G ELECTRICAL FIRM: MASTER E TRICIAN SIGN/A�TU -BOX- NAME ADJOURNEYMAN Lri RFD BOX BLDG.SIZE BETWEEN: / RES. APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD ( REW. ( 1 ADDITION ( ) TRAILER ( ► TEMP. ( 1 SIGNS ( ) SQ. FT. SERVICE: NEW( ► INCREASE ( ) REPAIR ( 1 FEE _ CONDUCTOR SIZE AMPS COPPER ( ALUM. ( 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE /9 AMPS PH W VOLT t� RACEWAY FEEDERS NO. SIZE IND. 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 BELL TRAN5F. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS G kr 7 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT iNFORNA" IOU � _ LOCATION INF'flI�P1ATION ----- -. Peir,miti Numbers Addreas s 379, GTN STREET P sri Typos ,I 'CHER ATL AI�TI BEACH, FLORIDA 32233 CIti+ s, ATi61"TTGN _ r LEGAL DESCRIPTION ---------- 00t!:-. T Ids- i, A Lot s ; Block x: Sections Prop eco U e,s SINC3L v FAMILY P l s�t S+�ac�k a Fa ��a 0 Dv li EubdivisI rss tatimiated Values *0. - OWNER INFORMATION imp,qv. Cast s *625. 00 N s D. F"ULF'ORD Total C?.GO Addx°em s 378 6TH 'STREET A�tsAt a 00. 00 ATLANTIC BEACH, PLORXDA w32 �''_ Phon a t904) -3708 ;Is AS I` 0 to ;x ear sof �r op rty APPLICATION FEES w� � 1 IA 3/06/3-9 t 9l� t 'y vy r I L I ` 'WATER 1"PACT FEE 00.k F SEWER TNF ME 06 pr � S fid`N"Kf ,a"``r r. y � �. RADON �IA3 ~ � Lfir ' 's RADON OAS O.00 WATER TAP *O: GO � EM1 13 TAS 06100 c �� HYDRAULIC IrI ►UI.IC B #ARIA $O,1 00 .x RE-INSPECT .FRE $0. 00 ENCxTHEEFllldO 0. . yyy 2 mi6M1*?tea NOTES: NOTICE ALL CONCRETE FORMS AND FOOTINf3S MUST BE INSPECTED BEFORE POURING PERMt7 VOID SIX 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 AND'HAULED AWAY BY EITHER CONTRACTOR;OR OWNER. J # FA LURE ToCOMPLY WITH THE MECHANICS' LIEN LAW. CAN'. RESULT IN "I"M`EuPR RTY.0 WP E.R PAYING TWICE FORBUILDI IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WH1CH`ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FE}R`,;' VIOLAT-*,N OF APPLICABLE PROVISIt7NS OF LAW.. '_ATLANTIC BEACH BUILDING DEPARTMENT By. 400558 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH 3 s � l 's[�. _ h F F�kY # �,. '�Y f� "S;, It, Cii. i `� S A i" rtt "! t y' T,.a �+:;� ��:ie?. s�_��T[�, i.!: �"�1 .�_�.'C �'_�. .Iti rr.�� � ti5'. s � �a+.k•:,, . 3.s I �..,.ii'd'J''_. FSI'-,,Ar. #i; F1-41l--",.I,.t _ 0,04 tV,uc C Ir s ` ! N, i '. Vie'AI.'','yIH # x r -`„vt3 PPS tj NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX 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 AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. '"FAILURE TO COMPLY WITH THE MECHANICS' 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. ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERIIIIT fi0wner �c%° �vG�2� Address * 3 -78 G,A S Architect Z1P. PhonL�7,_V370� Address V6rMtractorSu Zip_phone n s P /Cfc1 Ce Address L,,&tractor's License Number zip Phone Z,20161a Expiration Date Copy on File t # Block or Section # Subdivision V6tree t 373 G vL fi S � Zoning -- 1,Waluation $ &d S .au _Between and side '' e of Construction /P,,� Purpose of Building Cc Number of Units Fireplaces Utility Service: Water Sewer If the City if providing water or sewer service, do we need to make taps? Dimensions: BuildingL_. Lot Size St. Piers FootingsSt.; Sills Greatest Span Sills St. Ceiling Joists Distance on Centers St. Floor Joists Greatest Span Distance on Centers Greatest Span St. Rafters Distance on Centers " Method of Heatin -- Greatest Span g Solid-Filled Ground Roof Flood Zone If located within aFLOOD — conmlete page 2 SUBMIT: Two complete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required: 1• When steel is in place and ready to pour footings. 2. When steel is in place and ready to pour coltmms/litntel. 3. Mien steel is in place and ready to pour beam. 4. When framing, mechanical, pltunb' to cover up. electrical, .fireplace, is completed and ready 5. Final inspection. NO INSPECTION WILL, BE MADE IF BUILDINGSETBACKS CARD IS NOT POSTED ON JOB. corrections are made. ReIn case of rejection, reinspection MUST be called for after ar Lot Line In consideration of permit given for doing the Cn work as described in the above statement, we ,hereby agree to perform said work in accordance ' ~ `with the attached plans and specifications, a ~ R �a. which are a part hereof, and in accordance with the building regulations of Atlantic Beach. rt r Signature Owner (D Signature Contractor E - ine – I