354 6th St (vault) CITY OF
4&44t&
office of Building Official
REQUEST FOR INSPECTION
Date F2, Permit No.—
Time District No.
Received
Job Aiddress "y
Owner's
Name —Contractor
CONCRETE ELECTRICAL PLUMBING MECHANICAL
B Rough El Air.Cond.& 0
C:F r Footing El RoughWiring El
:U
Re Roofing Slab Temp Pole 01 Top Out El Heating
Fire Place 0
Lintel El Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed., Th�� Friday—P-M-
Inspection Made P.M.
Inspector e Final Inspection 0
Certificate of Occupancy
r.D0 e C Date
00"173,
DEPARTIMENIT 011,BUIL61ING
I -`C Of ATLANTIC BEACH
TY
1,0CArtom --------
------ ------- INFORNATIXON
'INFORMATION
61,7 Address; sl xTH �,STRZET
ATLANTIC BEACH, I PLOR16A '3223a
LDI
-Por* t TypL6t �001
LEGAL, DESCRIPTION
A
*010-1 of WO'r)tlt ALTER TTION,
r00V' FR-AK Lotz 25-: �01,00 7
Typ W
U� 0
SINGLE ANILY
REACH'
oo t�, ATLA
0 Subdivisi NTIC:
04000.00 .
V'save-4-
00.00
Af
To vil,
41
t 15.00
di
*45.00 , 11
�ZiW
RCH' PER PLANS
99 D 0
045.
IT,,
'A
-T FE
TIRZVT,� W.ATER' 'ItIP,''C E.' $0.60
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inp
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INOPECTED sapo"g,1*0i
ICE, ALLCO40ostriFoAms Ato FOOT11408 MUST BE
t
T
PERMIT VOID SIX MONTHS AFTER DA E.6f,ISSUE
)SBtiH ANb-DEBR IS FROM THIS W RKMUST NOT BE PLACED IN PUBLIC S ANOVUOT BE .
ATERIAL,Rt 0- 'PACE
ILO GM
LEA
PANo HAULtt)AWA,"�rsy:EIT4P.'Fk.CONTRACTOROROWNV-R
tut
WITH THE MECHANICS,,1,19 W,
'LY;
t;TO, COMO A
-CAINAE
Y loWs
PROPERT, 0"ERPAYING TWICE ONE:
ND S TO REVOCATION FOR
,ACCORDING TO 4`006�Elb PLANS WHICH ARE PART OF THIS.PtRMIT A UEUECT
ION OF APPLICABLE o0ow. kS OF�LAW.
sto
ATLANIC EAC;H-8U,4JDl.NGq0ARTMEN
a
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITION
Owner(s) :
C7
hone:
Address:
11-11 Block or Unit # SubdivisionAILE��-��""tokj
Lot #
Contractor:.
d2 /I
Describe work to be done:
Present use of building: /Z
Proposed use:___/**kZf-5
Is this an addition?A6- If yes, what are the dimensions of
the added space: ft. X ft. Will the added area be
heated and cooled? New electrical (or increase)?
New plumbing fixtures? New fireplace?_A New Heat/AC?
SUBMIT-;#� COMPLETE SETS OF PLANS, INCLUDING SITE PLAN AND SURVEY
IF THERE WILL BE AD ION TO ,TKE- TING STRUCTURE.
Date:
Signature OWNER: ,,�
Signature CONTRAP�OR: -Date: D
BEV
Of
199Z
Ad�ress T/
Heated Square Footage (a $ _,____per sq ft = $
Gaza-elShed I ID $ yer sq ft =
Carport/Porch $ -Der sq ft =
Deck, AW
sq ft =
Patio er sq ft = $
TOTAL VALUNrION: $
(10
45. 0
$
Total Valuation Ist $ /j 006
06 0 $
Y-5. 19
Rffmii�der Valuation $3�. �er thousand or
portion thereof
--------------------------------------------- Total Building Fee $
ADDITIONAL PM'IffTS and/or FEES RFQU= + k Filing, Fee $
Fireplaces @ 15.00 $
Mechanical
BUIIDTN(, PERMIT FEE $
PluThing
Electric/No,7 L/ -------------------------------------------------
Electric/Tmp BUILDING PER4IT $
Septic Tank 14ATER �FIER CHARCE $
Well SEMER I�ff)ACr FEE $
S,Amning Pool WATER Uff'ACf FEE $
Sign MISCEIIANEOUS $
Water Connection
Sewer Connection
Water Meter
Elevation Certificate 0
GRAND TOTAL DUE
---------------------------------------------------------------------------------------------
CALCULATIONS and/or NOTES
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1,17
Re
OW14ER BUILDER PERMIT AFFIDAVIT
Stut* of Florlds
City of Atlantic Beach
REFORE ME, he undersigned authority, personally &ppvorvd
1�\/ �� e — who uporo fixtat beir#W duly
...........
&worn. depoa*m and sayss
JOHA) A/. M ------------ and the legal
owner of Z�;' Xollowlno prope ys
Subdivision A-74-4 i3eAct-4
7 _ktxJT-_1.C__ ..-.
Block ------
AMA
I so applying for a building permit pursuant .a t1so Owner
Builder exemption met forth In Florida Statute, Section 489. 103.
Florida law requires that Xthavo been providvd witts tts& Solloving
DISCLOSURE STATEMENT%
oxscLosuRE STATEMENT
.State lev requires construction to be done by licensed
contractors. You have applied for a permit under an
exemption to that low. The exemption allows 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
form outbuildingo You may also build or imprcovo a
commorciaL building at a coot of 025,000- 00 or less.
The building must be for your use and occupancy@ it
may not be built for sale or lease. If you moll or
look& more then one building you have built yourself
within one your after the construction in complatep the
low will presume that you built It for sale or lease,
which In a violation of this exemption. Your
construction must be don* according to building codes
and zoning regulations. It In your responsibility to
make sure that people employed by you have licenses
required by state low and by county or municipaL
licensing ordinances.
I hereby acknowledge that I have read the above DISCLOSURE
STATEMENT and that 2 comply with all the requirements for the
issuance of an Owner-Builder permit
Further, affiant sayeth not.
f -up y Owner
Sworn. ta and sub rib*d
or this
of
FLA. t*67 LAWS XAMCO FORM 400
FS 7 13.13 T
d 41,
Of (9VMntrttjrrMrj1t
WAKPARG Its PUPLICAT41
go tww"M
The undersigned hereby informs all concerned that improvements will be made to certain real
property, and in accordance with section 713.13 of the Florida Statutes, the following information
is stated in this NOTICE OF COMMENCEMENT.
e.4
7
Description of property..................................4................................ /. ..... .................................
...................................................................I.................................I...............................
..........I................................................................. ............................................................................................................................................
.............................. .........................................................................................................................................t..........................
Z:Allf/-0 S E AfCJ4
Coenoral description of knprovements.. ...............................I...........I.............................................. ...................................
...............................................................................................................................................................................................
...................................................................-r............................................I.........I....................................................................................................
C)Wntf�.DAZJ......A/ ...........................................................................................................................................................
C
.............
Owner's Wered in site of the knprovanent.......F. E.......-5,/In 19z-,!�i-
...............................................................................................................
Fee SWW6 T*6 holder (if other than owner)
Name...... ................................I................................I.............................................................................................................I...........
..........
............................................. .........................................................—...............................................
...........................................................................................I..................................................... ..........
SirelyOf any�--6L2............ ...............................................................................................—....................................-
................................................................................4wrootw 44 hNW $...............................
Nam of Parsim within do State of AorWe designated 6y owner upon whm notices or other downents my
60 servo&
tun".........6:��.....—.—..........................................................................................................................................................
Addrm........ .............................................................................................................................................................
In addition to himself.owner designates the following person'to receive a copy of the Lienor's Notice
as provided In Section 713.13 (1) (F), F lorida Statutes. (Fill in at Owner's option).
.......... .............................................................................................................. ........................
..................................................................................... I... ...I.................
VM1B ep"n Fee MWORDSM's USK 614LV
CITY OF
4&aa& Be=A-44"
office of Building Official
REQUEST FOR INSPECTION
Date Z—. 4�1— w Permit No. t;/9
Time A.M. District No.
Received
t2 Locality
Job Address C_
0 w 3
ner L Contractor
Name, PLUM_j MECHANICAL
B U I L46 CONdRETE ELECTRICAL B,
Framing 0 Footing 0 RoughWiring Rough 0 Air.Cond.& 0
Re Roofing 0 Slab 0 Temp Pole L1. Top Out 0 Heating
Lintel 0 Final Fire Piece 0
Pre Fab
READY FOR INSPECTION A.M.
Friday—P-M-
Tues. Wed. Thurs.
OQ;0-
,spection Made —-P.M.
,ictor Final inspection 0
Certificate of occupancy
Date
J
CW-ATLANT1G_b1:AUH, I-LURIUA-_
Approv"bV 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 ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
I L _fzzC �co M & -,I'le JOURNEYMAN
ELECTRIR&L FIRM: MASTFJ�,CLECTRICIAN SIGNATUR
NAM 1� e��/&�..ADDRESS: -RFD_BOX
BLDG.SIZE BETWEEN:
RES.11 W/ APT.I COMM.( PUBLIC ( INDUS. NEW( OLD(Ot-' REW.
ADDITION 11 1 TRAILER ( TEMP.11 SIGNS ( I SO. FT.
SERVICE: NEW( INCREASE( REPAIR ( FEE
CONDUCTOR SIZE AMPS /5:�) COPPER ALUM. ( -
SINITCH OR 13REAKER ZC RACE
AMPS____Z_PH JWe?f—PVOLT 11
EXIE.SERV.SIZE AMPS __j PH 3 Wo?Yd VOLT SZC RACEWAY
FEED I ERS NO. SIZE INO. SIZELIOLNO. SIZE
LIG14TING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED 1OPEN TOTAL
I nt_ie%e% AUDC I
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 3 5 3
PERMIT TO BUILD
T TWI�
HIS PERMIT MUST BE POSTED ON JOB 7o5o T1
2/11 37 7.51EVIT)
Date _19— 1162 r2
Valuation$ Fee$_7.5Q
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that J()I-U MUM
has permission to build FL-_-Roof
Classification RiesidMtial Zone
Owned by Jotm M 1
Lot
Block
House No. 354 Sixth Street
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
A�D FOOTINGS MUST BE IN-
STPEC
CTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
F" Building material,rubbish and debris
1z from this work must not be placed
in public:�space, and must be cleared
up ,and 14auled away by either con-
c or w
iding Official.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE
CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF IVFLANTIC BEACH
APPLICATION FOR ROOFING PERMIT
BUILDING OIVNE-11 PHONn
JOB ADDRESS
LOTI/ BLOCK Olt UNIT ff SUBDIVISION
CONTRACTO R PHONE
ADDRESS
LICENSE NUMBER rlxplRIVFIQN
JOB VALU/VHON
M'ERIALS:
SIGNATURE OW
NER DaE.
SIGN/VI'UIT. CONTRACI' R
_DATE-
87
mo0IKPARTMENT0F,8UILDINQ
CITY OF ATLAINTIC'BEACH
------- LOCATION INFORMATION --------
PERMITINPORMAtION
.,Pe I Mi t,L 'Number: 140817 Address : 354 SIXTH STREET
Poz mit Type-:rZNCR PLORIDA 32'133� :
ATLANTIC, BEACHj I
Cl ass of Work:NEW LZOAL ,I)ESCRIPTION
0
Con tr- Type,,.*WOOD FRAME Block:, Lot Twp,
'0 Subd:O
Pro osed Use. Section; Rn4: 0
v
ellings: 1� ' Subdi ision:ATLANTIC BEACH
E t . Value: 0 .00
IMP lov. cost;
V I tal F e 10-00,
'AM un 10.00
TNK EENOR
APJ�L ICATION FEE$ ----------
ION
IT 10,00
W
419T
3
' 'Pho fo-
ION,
R, ORMAT ------
'Name, PR EAT - 13
Li ' Exp.
_451
"'A
...........
7
NOTES:
NOTICE,—ALL CONCIRSTE FORMS AND FOOTINGS MUST BE,INSPECTED SEFORIE.POURINIG I
PERMIT VO, ID SIX MONTHS AFTER DATE 0 Issut
''BUILD NG,MAT!I ERIALRUOSISH.�ANDbERR FROM THISWORK MUST NOT B,I E PLACED,IN PUBLIC SPACF_AND MUST BE
CLEAF I ED UP AND HAULED,AWAY-6Y EITHER CONTRACTOR OR OWNER
LIEN ESULT IN
FA ILURE, TO COMPt Y WITH TH E M EC HAN ICS LAW CAN-A
T E OROPERTY 6v
H OWNI.E'RVAYING TWICE FORSUILIDING IMPRI ,,EMENTS.
ISSUE.) ACCORDING TO APP"ED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO e
LA-ION OF APPLICABLEtPROVISIONS OF LAW.
Pt
0
LAW
ATLANT EACH BUILDIN EPA MENT
By:
J
APPLICATION FOR FENCE PERMIT
Owners Name--) Phone
JobAddress
2
Lot 7 Block and/or Unit # Subdivision
Contractor if different from owner
Valuation offences -3 (, Corner Interior Lot VL� Vv-
Type of Construction C*' �AAI#" "�,L
Show location and height of fence as well as location of street(s).
Owner Signature DateQ L
Contractor Signature 0 ate
MAP SHOWING SURVEY OF
LOT 13 LO C K -- JI
Pl-A r AIR1,1 Ar-e-AA17-1c
ACCORDING TO MAP RECORDED IN PLAT BOOK F;'2- PAGE---(,-,�OF THE PUBLIC RECORDS OF-EU-�/-�COUNTY. FLA.
SCALE: I" FOR 1AILL18- DATE Z-o_-
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