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373 6th St (vault) AROMA EMPORIUM Bakery & Cafe' former Gain With The Wind Kite Shop ` � f r � iub Y' ` ,{mak• .4 x KIT F n , a 4 a, role BAK teaCAFE + f L } • � A ��1�1 •� r � f -PA 2KlA.)v R NIU( �t F r Roan A o EmPoR1uM j3,11 '8►�,,�11 leader roof Reb�o11V� Co ReuuET MOM r ��OM�Nrbt �Smo& ReP.AtiL f t- Q p ' Q ; Ff�►c� E� y AROMA EMPORIUM The finest and freshest ingredents will make the baked goods, teas and coffees a pleasure to enjoy both within the tea room and later at home. Smell is a very strong instict and bread will be baking or rising the entire time that the store is open; coffee and tea will also be brewing. Inside seating will be limited as space allows, but I can add as many tables ( three concrete tables with unbrellas to start) as customers dictate. I may also be able to work with Bennett Motel and the city to put in a driveway along the side of the building and parking in back; at a later date. The store will feature imported coffee and tea, fresh baked bread, croissants, sweet breads, cakes, iced tea, hot cider and hot chocolate, gifts, spices, toys and a section of frozen baked goods and sandwiches. Although I anticipate good in store sales, I expect 60% to 70% of the business within a year to be outside sales; ie. sales to restaurants ( I have one at present) , canvas souvenir bags ( $4.50 to $16.50 @ at 20 - 400 per order) for conventions within the Jacksonville area, wail order sales, dessert and hors d'oeuvres catering and route sales. I will operate six days a week and have six employees within a year. I have sixteen years experience in the food business in all aspects of food handling, serving, preparation, manangement ( restaurant & bar) , three years in route sales, and two years in cold call sales. I am therefore qualified to pursue the above projections with the knowledge of personal past experience and success ( references upfln request ) . The business will upgrade the existing structure, while following the local trend for more "unique" shops. The exposure is excellent, street and foot traffic very heavy, the market exists ( see attached report) , and the last business was well known. Mr. Geo. Bull, owner of the bldg. , expects the build. to be available to me for an indefinate Ppgriodt �My only competitors are Dip N Sip Donuts and ulnottz s Bakery, who are both doing well, but carrying that I will not have and visa versa; they will also show less uniquiness by comparison, what with my seating provisions. MARKET RESEARCH Delicacies 89 So. Market St. ; Charleston, S.C. 803-722-8520 Jerome and Mildred Garriety have imported for nearly twenty years and have passed on invaluable information to me; along with product supply. Purity Ice Cream 4221 Rivers Dr. ; Charleston Heights, S.C. 803-744-6296 The last family owned ice cream business in S.C. they were a wealth of information to myself and Gray. Bakere ' Cafe' King St. , Charleston, S.C. a French bakery and coffee shop; highly successful and done with impecable taste. Condaxis Coffee and Tea Co. 1805 W, Beaver St. ; Jacksonville 904-356-5330 I received invaluable information and product availability from them; also they will supply equiptment, N/C. Bill Wheeler Oar House, 215 4th Ave. Jaz Beach 904-246-9842 Mr. Wheeler was a wealth of information regarding marketing, importing and business location choices. RTW 186 King St. Charleston, S.C. 803-577-9748 Original designed clothes displayed with imported toys; advice and ideas. Beignets ( french dougnuts) University Blvd, Jacksonville 904-731-1788 A new business, they spent quite a while with me discussing all aspects fo their business. Cinotti's Bakery & Deli 133 N. lst, Jax Beach 904-246-6414 Large, nice and prosperus with few unique items and no nice smells. Tory's 9842 Baymeadows Rd. Jacksonville 904-641-4890 Open about a year owners Tory Jackson and Leslie Danson were very free with advice and enthusiam; they also offered additional help and suppliers. Kaldi's 4201 St, Johns Jacksonville 904-387-2270 Starting out in a space half of the size of mine and none outdoors; they are now extreemly successful and highly praised by Jacksonville Monthly magazine. Bill Bonneau Ice Cream & Sandwich Shop K- Mart Mall and Publix. Mall; Neptune Beach & Jax Beach Bill and his friend who owns two Hallmark stores gave me much advice regarding this area for businesses. DeNoel French Bakery & Cafe The Spanish Bake Ice Cream Shoppe Scarlet O 'Hara The Circus Cafe' The above five shops are in St. Augustine and although I was atilt to talk to the owners and get some information, they were so much like Charleston where I visited tree years that they were like a rerun of former information. The Wine Cellar Costs Verde Mall, Jaz Beach An obvious indication that fine French foods are appreciated in this area. I have talked with numerous local people, observed the foot traffice at the shop location and examined the kite shops records. I'm satisfied that I can meet me projections. " Just Desserts ", Lennox Square, Atlanta Georgia serves 800 people per day after b months in business; possibly a trend toward eating out only a section of the meal; a small eligence. REMODELING New plumbing, new electrical outlets and liting, painting, plaster repair,exterior landscaping, floor repairs, replace water heater,install counters, repair roof, remove window & install exterior door, remove door install exterior window, install new bathroom - water closet, urinal, two lavratories, remodel kitchen-three part sink, oven, refrig. , stove, three fans, move air conditioner, new hallway wall, outside ramp, outside lighting, exterior mop closet= remove old plumb- ing. See attached drawings. Install awning, tables, freezer, coffee service, display cases, paint bill board, shelving, CONTRACTOR'S BIDDING Beaches Plumbing Nelson Plumbing Fair Plumbing Specialities Inc. Randy Heinen McClure Electric PERMANANT TOOLS & DECOR Shelving Mirrors baking pans cooling racks cups, saucers, glasses chairs tables fabric-awning,umbrella,drapes concrete tables coquina EQUIPTMENT Bread Slicer $800 used Glass Door Freezer 800 used Ice Cream Freezer 1100 new $25 lease mo. Coffee Grinder & service 1600 new N/C from supplier Refrigerator 250 used Dough Hook 600 new Oven 800 new stove 150 used 3 part sink 150 used Microwave 400 new Toaster 40 new mixer' 30 repair ice tea server 24 new 2-6' Display cases 75 used scale 100 new Having searched for new and used equiptment, I 've listed those prices, but I plan to lease all that I can, SUPPLIES Paper coffee bags tea bags cups Styrofoam plates shopping bags food SALES INVENTORY Coffee Tea Spices Toy & Gifts Bags, aprons, place mats Prints UNIFORMS Smocks & white shoes START-UP COSTS Rent $ 150 Remodeling 4_.000 Power Deposit 80 Phone Deposit none Licenses 100 Inital Advertizing, Printing, Postage 1200 Equiptment 6000 Supplies 2900 Permanant Tools and Decor 4700 Salaries for Labor 900 Sales Inventory Coffee, teal spices,candy 3000 Bags, toys, aprons,prints, placemats 3200 $ 26,230.00 MONTHLY COSTS Rent $ 150 Phone 40 Power 700 Salaries 1620 Supplies 300 Loan repayment 2000 $ 4810 Another part time helper will be hired in Nov. & Dec. , but I will out back to two employees(myself & one) Jan. - March when I will concentrate on outside sales for the coming summer months. By April I'll have four on the payr&ll and six June thru Aug. After start-up,advertizing will be minimual as 60% to 70% of my business will be thru sales outside of the establish- ment. Sales where I have contacted motel and restaurant owners to buy directly from me. SALES PROJECTION 2 Wks Sept Oct Nov Dec J-M April May in store food service $ 300 $700 $ 850 $ 950 $ 850 $1200 $1300 non-food items 200 400 550 600 400 400 600 take out food items 600 11004 1200 1400 1200 1400 1500 outside sales 600 900 1400 1600 1700 2900 4000 $1700 $3100 $4000 $4550 $41.50 $5900 $7400 Jacque Gross Whaley 266 Magnolia St. Atlantic Beach, Fla. 32233 9o4-246-8823 business 323 Atlantic Blvd, Atlantic Beach, Fla. 32233 904-246-1566 Howard E Whitehead Assistant Vice President PO Box 507 Garden City SC 29576 Tel 803 651 2141 South Carolina National Bank 22 July 1982 Jacque Gross 266 Magnolia Street - - Atlantic Beach, Florida 32233 Dear Jacque: Received your letter today, and I was very sorry to hear that your mother is not doing well. We hope that she will get well soon. In reference to your loan, the balance remaining is $372.54, and has paid as agreed. If we were to give a credit rating at this time, it would look as follows: Opening Date: 10 February 1981 High Credit: 1,277.28 36 @ 53.22 with balance of $372.54 with 0 x 30, 0 x 60, and 0 x 90. All of this means that no payments have been more than 30, 60, or 90 days late. I am sure things will work out in Florida for you, and I know it is always difficult starting again in a new area. Give your folks our best. Sincerely, rt Howard E. Whitehead HEW:ss FRITO-LAY, INC. To: Jack DeMarco CoPEES: Frank Mulligan Gary Cooper Jacque Gross. FROM: Bob Walsh ' DATE: March 9, 1976 SUBJECT: Success Story I'm enclosing a success story from Jacque Gross, who operates out of our Silvis Distribution Center. The facts, figures, and pictures speak for themselves. This type of aggres- sive selling and innovation is the key to FRITO-LAY'S continuing growth and progress. For your information, the entire package was reproduced and sent to all sales personnel throughout the Division. i BW/J! 3/9/76 Enc. leaders Twelfth was JACK BERGMAN of California. He'll be 17U-NE 19$I celebrating his fifth anniversary with American Income Seventh was JACQUELINE GROSSof South Carolina. shortly. He's a great swimmer. He went to the University She went to the University of Illinois. She has a lot of of Maryland. He's about my age and has the enthusiasm responsibilities. She has three wonderful young children of a teenager. He really doesn't have to work. Lenny who depend on her ability to sell, and it looks like they Lennard said it best,and I think Jack and I share that sen- are in for a might affluent life with the kind.of talent Jac- timent. Lenny's quotation was "I don't have to work. Of queline has exhibited since joining American Income. course, I won't eat."No, that's not quite right. People like She's one of these people who are real doers. Her hob- Jack Bergman have to work because their respect for bies in order of preference are sewing, cooking, crafts, themselves is such that that's exactly what they have to gardening, horseback riding, swimming, fishing, boating, do — to work, to accomplish, to utilize to the fullest their bike riding, outdoor sports. Here's a young lady with natural endowments. That's why Jack Bergman is on my brains, talent and a willingness to work. It's an unbeatable most admired list. combination. Thirteenth was PAM STELLY of Texas. You will notice Eighth was PETER PAFFEN of North Carolina. He's a Pennsylvanian by birth and a North Carolinian b choice. that she has over $41,000 of ALP in force. What ambi- tion she has. She possesses great desire. She wants to be He, too, has never been in the insurance business before, but he has had a lot of responsible positions. Wherever a stellar performer. That's why she is. Watch her during the My Month Production Period. She's going to be a he has been, they want him back. I just want to saythis to You, Peter. It's not going to do them any good. We're not winner, I'll guarantee it. letting go of you. You are exhibiting some really exciting Fourteenth was DAVID CATES of Delaware. He was leadership qualities. We're glad to have you aboard. formerly with Chrvsler. He war innlein, r,,. :... .: O�hA e13 BEFORE BEFORE 'a aoR rn r StN� Re�r�9, o co C A 'Poo 2 �� 1 fr. AFTER A F TER w poor OVIN oUCEHEAD 1 wNrEtKATfQ 0 43 coukmg �� SIa�K FAN c—� �Av y,Nk 0 � Coin W J� +F�^J + 'FAQ JAC KGONVI LLE MAP SHOWiNG SURVEY OF AS RECORDED IN PLAT BOOK PAGE <�r>c1 OF PUBLIC RECORDSOF DUVAL CO., FLAFOR . C vin r N o o ola r �� X x I . I � NIO I -d IN I �Ir MSN tv R2 Lp niY I � "L'� ti [0 i4f i I 0 l f, I MTwrTf e CNS I HFFIEW CERTIFY THAT THE4=_ SHOWN HERi ON IS IN THE:SPECIAL FLOOD HA7ARD AREA ZONE AS SHOWN ON FLOOD a IN`APIANCE HATE MAP FOR THF CITY OF .IAC,I(�.nNVI, I r- F-I nalr)A nATF-n CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD !� ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00025830 Date 4 Property Address . . 373 6TH ST /10/03 Tenant nbr, name REPAIR SILLS & PIERS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9000 Owner Contractor --------------- --------- ------------------------ BLUNT, LAURA & NEMCEK, DENNIS OWNER 373 6TH STREET ATLANTIC BEACH FL 32233 (904) 219-1963 -------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50 Issue Date . . . . Valuation . . . 9000 Fee summary Charged Paid Credited Due ---- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total 37 . 50 37 . 50 . 00 . 00 Grand Total 112 . 50 112 . 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. tJ r' BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 ' sy TELEPHONE: (904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 7 http://ci.atlantic-beach.fl.us LT r 3 PLAN REVIEW COMMENTS Permit Application Applicant: - �l,�`'?- d' Dc4` o 1 Address: t VN Project: Your application is approved Your permit cation has been re ' ed and the Boll tem s- need a Please re-submit your application when these items have been completed. Reviewed by Signed Lit Date` pq Contractor Notified Date CITY OF ATLANTIC BEACH' BUILDING PERMIT APPLICATION (ALTERATIONS/ADDITIONS) r Date: 4111 JP� Job Address: J tsP �l7rQG+ ,t Owner of Property: �NtJ a l� n Address: Arai- �- Zt3 Telephone: q�• ZIq .��If! Legal Description: Block Number: �,,/I Lot Number: L1#'1T Zoning District. X Contractor: N N State License Number: OU-So Contractor's Address: qli , c�p L szot Telephone: jy • 2. I• �J j Fax: a d 1,4 Y- �DO d Describe proposed use and work to be done: � a X411 J-&A � It pI 'IU` MII 1 i . Present use of land or building(s): p�;t Valuation of proposed construction: q Poo :�w , What are the dimensions of the added space: feet x feet Will the added area be heated and cooled? )4 New electrical or increase in service? a�n New plumbing fixtures?�_ New fireplace? _ New heating/air conditioning? IUD Is approval of Homeowner's Association or other private entity required?_A(Q_If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? XNO. 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. APPROVED NO. Applicant certifies that no trees will be removed for this project.PITY��OFuuppATLANTIC BEACH YES. Removal of Trees will be required for this project. TREE REMbVAI�N9L%W T IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,v //ils$ffmes each month. Procedure: In order to expedite issuance of permits, please follow all stepsd provide all i formation as appropriate. Incomplete applications may result in delay in issuance of permit. 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. 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. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)com#tete 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 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/14/03 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. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. [� [PI Signature of owner: Date: -f 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 permit is contingent upon the above information being true and correct and that the plans and supporting data 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: Loym fie Mailing Address: I fh '<<_i �/ Q 3z?-3'; Telephone: 101,Z11. 14�/ Fax: 4n�//•Z7 i• q 0 06 E-Mail: �4��(/u� /1 l •�ip AS TO OWNER: Sworn to and subscribed before me this day of Apr t ,200• State of Florida,County of Duval DA"OTTO Notary's Signature: MY COMMISSION#CC 913653 'i : a EXPIRES:Ft3bntary24,2004 ® Personally k n ?,'p.Y-0"' BOWWPINNotaryPUbkUndenmters r_1produced id tification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of , 20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/14/03 Book 11016 Page 230 � k:2110116 734F2 NOTICE OF COMMENCEMENT Pae: 230 Filed N Recorded State of Tax Folio No. 04/07/2003, MsINIP DN County of JIN FULLER CLERK CIRCUIT COURT DOW COUNTY To Whom It May Concern: RECORDING S 5.00 TRUST FUND t 1.00 The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: 860 , K/ V H-3 0 k & YP#LD 4 32 Address of property being improved: General descri ion im ovemepts: 1 / • Owner: / Address: wner's interest in site of the improvement: ZeMba ee Simple Titleholder(if other than owner): Name: Address: Contractor: Address: Phone No: Fax o: Surety(if any): G Address: mount of Bond$ 0 Phone No: - Fax No: Name and address of any person� ing a loan for the construction of the improvements. T Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2xb),Florida Statues. ill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencem nt ex iration date is one(1)year from the date of recording unless a different date is specified): / THIS SPACE FOR RECORDER'S USE ONLY OWNER Sty Signed: •�Before me this f`' day of c in the C ` of Duval, State of Flo ' has I appeared L�,Umk- i�nvt-61 WA- q �J l'IIJJ�Q1 �A1TA eA RNARDOTTIR Notary P ' at L , State o lorida,County of Duval. NOTARY PUBLIC-STATE OF FLORIDA n ,In�� e �� r My mis expires: f� fih EXP11RE �obi2NOsrARY� Person Known: ✓ or P uced Identification: ss1 r CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: 373 64� �Y&t A+1 clexA 3 Z Z 33 Type of Development: �jWk 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. COMMENTS: W 0"1 Applicant Acknowledgement: 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. Applicant's Signature: Date: It to Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 R{pr 01 04 12: 10p Bradley Price 904 284 6892 p. l ACORD,. CERTIFICATE OF LIABILITY INSURANCE OP ID P DATE(MMIDDIYYYY) CLARK-2 04/02/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF 1NFORMATIO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bradley-Price Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 203 South Orange Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Green Cove Springs FL 32043 Phone: 904-269-1356 Fax:904-284-6892 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A' Old Dominion Insurance Co. INSURER 8: Clark Foundation Repairs DSA INSURER C: Dann Clark 540 Hi Highway 16 East INSURER D: Green Cove Springs FL 32043 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, IN LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY DATE MMIDDlYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 300,000 AGE,A X COMMERCIAL GENERAL LIABILITY MPG10565 10/14/02 10/14/03 PREMISES Eaoccurence $ 500,000 CLAIMS MADE OCCUR MED EXP(Any one person) $ 10,000 _. PERSONAL&ADV INJURY $300,000 GENERAL AGGREGATE s600,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ 600,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN _ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR E CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND JS ATU EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNERfEXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOY $ If yes describe under SPEdAL PROVISIONS below El,DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Fax 241-4006 CERTIFICATE HOLDER CANCELLATION LAURABL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Laura Blund IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 373 6th Street Atlantic Beach FL 32256 REPRESENTATIVES. IF AUTHED R SE ATIVE 0.- ACORD 25(2001/08) 0 ACORD CORPORATION 1 .3s�i•� r ry { ss CITY OF ATLANTIC BEACH p OWNER/BUILDER AFFIDAVIT 3 Date: Lp� Job Address: 3 7 j (p��'1 J7�'�-�� 7� •C geA(A G 31233 CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. 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 FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS-COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE 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 REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. G-k'V,' W/V% k PROPERTY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS q'jDAY OF } _2011S NOTARY PUBLIC , ro MY COMMISSION EXPIRES: �'�'� DHM ON#C NOTE: PHRASES UNDERLINED ABOVE. : ._ MY COMMISSION 4 CC 913653 bj EXPIRES:February 24,2004 'I,pY�d 9ondad 7Aru Notary Public Underwriters MAP SHOWING BOUNDARY SURVEY OF (LEGAL DESCRIPTION AS PROVIDED BY CLIENT) THE WEST 25 FEET OF LOT 30 AND THE EAST 40 FEET OF LOT 32, BLOCK 8, ATLANTIC BEACH, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFlED TO: DENNIS NEMCEK FIRST AMERICAN TITLE INSURANCE COMPANY ZENITH FINANCIAL / AMERICA'S WHOLESALE LENDER WATSON & OSBORNE, P.A. LOT 31 LOT 29 BLOCK 8 BLOCK 8 65.00' (PLAT) SET 1/2"REBAR I N 80'02'45' E STAMPED"ACM LB 67w 65,07' (MEASURED FOUND 1/2'IRON PIPE FOUND 1/2'IRON PIPE 0.5'WEST 5'NO IDENTIFICATION 40.00'(PLAT) r 25.00'(PLAT)vi 25.00'(PLAT) I FRAME SHED 5.5' LOT 327--��LOT 30 c BLOCK 8 I BLOCK 8 C a� a W I' W a c'vO ' � „ :. LOT 34 p 0 LOT 28 BLOCK 8 BLOCK 8 ^of :: c d. 6Ript ! b 12.6' k ONE STORY FRAME m• POSTED # 373 "' S7 6' W S' 7. � O o= 3 I P 24.4 A o 2.. o_ o COKRED a Z in " I D ._. 278.74'(PLAT) 270.74'(MEASURED) 10.00' 40.00'(PLAT) 25. '(PL/h 25.00'(PLAT) FOUND 4.4 NO CONCRETE MONUMENT FOON UND IDENTIFICATION IRON PIPE S 80'00'00- W FOUND IDENTIFICATION1/2- RONPIPE 65.07' (MEASURED) SIXTH STREET 65.00' (PLAT) (40.0' RIGHT OF WAY) N AC Y: LEGEND: R = RADIUS —X—X= FENCE L - LENGTH O = CONCRETE NOTES: -- ' REVISIONS 1. BEARINGS ARE BASED ON THE _ASSUMED--BEARING OF N 10'0000'_W-__ALONG THE WESTERLY BOUNDARY LINE OF SUBJECT PARCEL. DATE DESCRIPTION 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE ----- AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17. 1989, COMMUNITY NUMBER 120075, PANEL __Q( _Z_ 3. THIS SURVEY REFLECTS ALL EASEMENTS& RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED 4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. _ JOB # 19588 1 DATE OF FIELD SURVEY: 01-08-03 ISSUE DATE: 01-09-03 SCALE: 1" = 30' CERTIFICATE 2522 Oak Street I HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE Jacksonville, Florido 32204 AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA Pam(Phone) 904-389-5989 BOARD OF PROFES AI,SURVEYORS AND MAPPERS IN CHAPTER 61G17-6.FLORIDA (Fax) 904-389-6175 ADMINISTRATIVE ANT TO SECTION 472.01,FLORIDA STATUTES. MICHAEL J. AIELLO REGISTERED SURVEYOR AND MAPPE 4879 STATE OF FLORIDA LICENSED BUSINESS 8 6702 LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS ` -7JrZ6/2003 05:37 9042842333 CLARK FOUNDATION PAGE 01 Clark Foundation Repairs 540 Hwy 16 East Green Cove Springs, FL 32043 (904) 284-2333 (telephone) (904) 284-8088 (facsimile) March 26, 2003 Ms_ Laura Bulnd Via Facsimile: 904-241-4006 Dear Ms. Blund' Clark Foundation Repairs agrees to perform the following work on the house located on 373 6'hStreet, Atlantic Beach, FL for a cost of$ 9800.00: 1. Remove the existing sills and piers that were improperly installed 2. Install approximately 120' of 4"x 61, pressure-treated sills, as needed. 3. Install 30 ea. precast piers on 6' centers to support the new sill systems. All piers will have at least one cell poured with concrete with truss-anchor added and nailed to new sill. All new piers will have termite caps. Some piers will be installed under the existing sills to provide additional support. All shimming will be cedar or pressure4reated wood. 4. Some areas of the house may have to be elevated and some areas may need to be lowered. We will attempt to level the house as well as possible without causing structural damage. Some hairline cracks may appear due to this leveling process. We will not be responsible for cracks, plumbing or electrical problems that may occur during this procedure. (Plumbing and electrical problems are rare.) Please let me know if you have any questions or require additional information. Sincerely, r Da G. Clark DGC/mc '93726/2003 05:37 9042842333 CLARK FOUNDATION PAGE 01 Clark Foundation Repairs 540 Hwy 16 East Gruen Cove Springs, FL 32043 (904) 284-2333 (telephone) (904) 284-$088 (facsimile) March 26, 2003 Ms_ Laura Bulnd Via Facsimile: 904-241-4006 Dear Ms. Blund'. Clark Foundation Repairs agrees to perform the following work on the house located on 373 60 Street, Atlantic Beach, FL for a cost of$ 9800.00: 1. Remove the existing sills and piers that were improperly installed 2. Install approximately 120' of 4" x 6" pressure-treated sills, as needed. 3. Install 30 ea. precast piers on 6' centers to support the new sill systems. All piers will have at least one cell poured with concrete with truss-anchor added and nailed to new sill. All new piers will have termite caps. Some piers will be installed under the existing sills to provide additional support. All shimming will be cedar or pressure-treated wood. 4. Some areas of the house may have to be elevated and some areas may need to be lowered. We will attempt to level the house as well as possible without causing structural damage. Some hairline cracks may appear due to this leveling process. We will not be responsible for cracks, plumbing or electrical problems that may occur during this procedure. (Plumbing and electrical problems are rare.) Blease let me know if you have any questions or require additional information. Sincerely, Da G. Clark ' DGC/mc 2T26/2003 05:37 9042842333 CLARK FOUNDATION PAGE 01 Clark Foundation Repairs 540 Hwy 16 East Green Cove Springs, FL 32043 (904) 284-2333 (telephone) (904) 284"8088 (facsimile) March 26, 2003 Ms_ Laura Bulnd Via Facsimile: 904-241-4006 Dear Ms. Blund: Clark Foundation Repairs agrees to perform the following work on the house located on 373 60 Street, Atlantic Beach, FL for a cost of$ 9600.00: 1. Remove the existing sills and piers that were improperly installed 2. Install approximately 120' of 4"x 6" pressure-treated sills, as needed. 3. Install 30 ea. precast piers on 6' centers to support the new sill systems. All piers will have at least one cell poured with concrete with truss-anchor added and nailed to new sill. All new piers will have termite caps. Some piers will be installed under the existing sills to provide additional support. All shimming will be cedar or pressure-treated wood. 4. Some areas of the house may have to be elevated and some areas may need to be lowered. We will attempt to levet the house as well as possible without causing structural damage. Some hairline cracks may appear due to this leveling process. We will not be responsible for cracks, plumbing or electrical problems that may occur during this procedure. (Plumbing and electrical problems are rare.) Blease let me know if you have any questions or require additional information. Sincerely, j' Iia G. Clark V r D LA;"i 6 _ e pGC/mc U11 DING OWIC `__UM 6/2003 05:37 9042842333 CLARK FOUNDATION PAGE 01 Clark Foundation Repairs 540 Hwy 16 East Green Cove Springs, FL 32043 (904) 284-2333 (telephone) (904) 284-8088 (facsimile) March 26, 2003 Ms. Laura Bulnd Via Facsimile- 904-241-4006 Dear Ms. Blund- Clark Foundation Repairs agrees to perform the following work on the house located on 373 6'h Street, Atlantic Beach, FL for a cost of$ 9800.00: 1. Remove the existing sills and piers that were improperly installed 2. Install approximately 120' of 4"x 60 pressure4reated sills, as needed. 3. Install 30 ea, precast piers on 6' centers to support the new sill systems. All piers will have at least one cell poured with concrete with truss-anchor added and nailed to new sill. All new piers will have termite caps. Some piers will be installed under the existing sills to provide additional support. All shimming will be cedar or pressure4reated wood. 4. Some areas of the house may have to be elevated and some areas may need to be lowered. We will attempt to level the house as well as possible without causing structural damage. Some hairline cracks may appear due to this leveling process. We will not be responsible for cracks, plumbing or electrical problems that may occur during this procedure. (Plumbing and electrical problems are rare.) Please let me know if you have any questions or require additional information. Sincerely, Da G. Clark APPk :; DCC/mc CITY OF ATLAi,i�. BUILDING OF F`CE a jam' or DN # a F48 USE Y 19, T©V OF AT 1 t �C S C ORIDA pert it ? cafth ' or '7777 777� To tho o $ dow // y TMe2ndersig2led 8L6FtiF i#�P�' �� 1����t�tilt movA 1Ntidd3H6:eiti�SSt WfttalS,sl�a,�,rda, tt1+14E tib�l4N'� � �� $tile 0. 021 ' NQS a �IOCI[ {saute of impivaetsi GS ,--- It rtentlsl, typ '+ d # , dpatnts'or Rmiag How �y faurillless :si � Lln it bu�ness what tYplt � • „...., ? iIlr S ,Matt lu2nbi2ig Ailo Sim Numb#r of oto Materal of pret btll � .. Ads4texiMl of # t+�t»s �. IN DUPWATE`TCO EE IE UP mune UZ.OU sM Nati and Adds X11 neCt1021i8 matde to Ws J � �- madeby .. YMy ��• rot, 44 . -. f2n�d # or isrtt( ide1 #����" 7, ? SfC"'arNS' Size. — • — — `"t a'�vli ea rou +3� 1►t1; if t nay; ot%, .. } ht mur axed? � '- f Will.. be ores � BMI`1`.2JR�~"4 �tiCA'PE" QWI23G CAN.SRLTCTit3 ' 5 � �` �U # ` RANGIl� � 0 "Vide dim ensmed w WDiIG 6�Cltlit > 4k*#1 ��• �� �� � � � � ���� �����an� v�ha aha � b � d ,� � � ul Mia , 0� n r a r w Ki214! 4 f , Instructions to Builders and Contractors building or working in t:h Town of Atlantic Beach 1. No work on any building shall be started without obtaining the necessary permit. 2. No changes in the approved plan shall be made without the approval of the building inspector. 3. Inspections: The following inspections shall be called for: A. Foundation, when steel is in place. B. Plumbing, rough. C. Lintle, when steel is in place. D. Framing, before any wall covering is placed. E. Electrical, City of Jacksonville. F. Septic tank or sewer, before covering. G. Plumbing, final. H. Final, when all work is complete. Any concrete poured or work covered without the necessary inspection shall be removed or uncovered at the request of the Building Inspector. 4. After the final inspection and upon submission of a drawing showing the size and location of completed building on lot to the Building Inspector a Certificate of Occupancy shall be issued. No building shall be occupied before said certificate is issued. 5. Plumbing permit does not cover sewer connection permit. 6. All contractors and sub-contractors shall have occupational license issued by Town of Atlantic Beach before doing any work within the Town Limits. Contractors shall furnish certificate of liability insurance when obtaining license. 7. The penalty for violation of any provision of the Building Code or of Ordinance #186, shall upon conviction thereof be punished by fine not exceeding $500.00 or imprisonment for not exceeding 90 days, or by both such fine and imprisonment. 8. Copies of The Southern Standard Building Code and Ordinance ##186 are available at the Town Hall for reference. 9. When a sidewalk exists across front of building lot, said sidewalk shall be placed in first class condition before final inspection is requested. I have read and been furnished a copy of the above instructions in connection with Building Permit No. Z0_'3 . Date =—�� Signed AW, e 0002778 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- 0ER"IT INF'ORHATION - - LOCATION IN!'•''OR'!'i'ATION Permit numbers 2778 Addresses 373 SIXTH STREET Permit Types SUXLDINOATLANTIC BEACH, FLORIDAI" 32233 Cla ' of Work w ADDITION TION -_-~ - LEGAL DESCRIPTION __-- Covistr. Typo s Lots Block* Sect ar,s Prcpozod Use's SINGLE FAMILY Townships RHOS 0 Ov113nege7 I Cordes # Brub+d3wlmcans Estimated Values *5000.00 T oprov. Cost t $0.00 Tc+t l `e 073. 50 Absa►u► r �' t '` 9 .Sty ITT 4 Y Addr`er�ap x "p k 77 ' APCATNA!TOt ttN FEEa „ PERMIT 3$73. 50 7� i 7, , . ►O.04*_,PTH STREET WATE N I I CI3« F"L.#91Ft IDro O S10"IL, X41 `, "X' PEE t n ► RADON GAS-H. R.S. �[3.00 TO NR C);Jitl4a�►Ic' Q# RADON GAS % $0.00 _. .._ Nit r s 8] A�I� I#ONE RE»OII >I' LIna WATER TAP so.00, Ad� ri-eiws SEWER TAMP B10.00 HYDRAULIC SNARE *10.00 Ll c s'xx r Types 1 RE-INSPECT FEE B0.00 _ > SEC. it I tFAGI` PEE d 00 NOTES: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 BUILt ,ING IMPROVEMENTS.VALIDATION, DATE, " # 1 9j TIME: 11:32 AN ISSUE ACCORDING TO APPROVEQ PLANS WHICH ARE PART OF THIS PERMIT AND Sl1BJ3# T�O REVOCAT16R VIOL"A 10h OF APPLICABLE PROVISIONS OF LAW. ATLAN H"BUILDING DEPAR" NT By: °r 0002778 4(. DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFRIMATI'ON LOCATION I NFORIIAT IO" Pser mi,t. Number : 2778 Addre x� s x 373 SIXTH STREET piarwit. Type. BUILDING ATLANTIC BEACH, FLORIDA 32-233 Clans of Work: ADDITION LEGAL DESCRIPTION oyrt,x . Type; L, block -z Sect ion t Prot-,a -zed I)se-: '-IFINGL,.E Ffbl`llt..Y Towriahip: RftdG Estimated value: 00 Impr-ov. Cost: 011P Total Fe-evi 1;173. t10 Work [evc. PORCH ADDITION OWNER INFORMATION APPLICATION FEE 1 amoi RICHARD WHITE PERMIT 373, SXXTH STREET WA'T'ER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORIDA J22233 SEWER j"PAC'T' FEE, $00 00 Trt� a� s p 3 WATER METER $0.00 RADON 0 A -Fi. R. $0. 00 CONTRACTOR INFORMATION RAL)O" GAS !!4% 1)0. ot-3 Hemet BEAC"VS HOME REMOD LL.IN6 WATER TAF" *0— X10 Address; SEWER TAP 1:0. 00 HYDRAULIC $NARE 1401. 00 L,Ice"aet Type z L RE INSPECT FEF: lilcl. 00 JTfie NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR'BUILDING IMPROVEMENTS." 44 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJftT REVOCATI f R VIOLATION OF APPLICABLE PROVISIONS OF LAW. 111 9 t ATLAUT4G-$E,A4-'H BUILDING DEPARTMENT w y f f Address 3 3 — Heated Square Footage @ $ /_der sq ft = $ Garage/Shed --'— @ $ er sq ft = $ Carport/Porch er sq ft = $ Deck i--- 4PV ersq ft = $ Patio rper sq ft = $ TOTAL ALUATION; $ Total VAluation 1st $ Remainder Valuation —. per thousand or portion thereof --------------------------------------------I Total Building Fee $ 00 ADDITIONAL PERMITS and/or FEES REQUIRED + k Filing Fee $_ � 60 Mechanical Fireplaces @ 15.00 $ BUILDING IPERMIT FEE $ Plumbing Electric/New Electric/Test BUILDING PERMIT $ Septic Tank WATER METER CHARGE $ Well .,-- SEWER IMPACT FEE $ Swl m ng Pool WATER IMPACT FEE $ Sign Water Coimection MISCELLANFAUS $ Sewer Cormection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ !75 ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NO'T'ES CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING 'PERMIT Required Submittals: 1. Two complete sets of construction plans 2. Detailed site plan including setbacks, utilities & parking 3. Recent survey 4. Florida Energy Efficiency Code forms 5. Copy of contractor's license and proof of insurance REMOVE NO TREE OUTSIDE THE BUILDING LINE THAT IS LARGER THAN SIX INCHES IN DIAMETER UNLESS A TREE REMOVAL PERMIT HAS BEEN ISSUED. Inspection Schedule: 1. Footing CALL-IN WITH PERMIT 2. Rough Plumbing/Sever NUMBER FOR EACH 3. Slab TRADE 4. Framing, rough electric, mechanical, top out plumbing 5. Insulation 6. Final inspection/Issuance of CERTIFICATE OF OCCUPANCY ------------------------------------ Requests for inspections will be accepted from 8:00 am until 4:30 pm. All inspections will be made the following working day. In case of rejection, re-inspection must be called for after corrections are made. There will be a $10. 00 charge for all re-inspections, paid prior to the request for re-inspection. Pour no concrete or cover up any work until the building card is signed by the inspector. You will be required to uncover any work that has not been inspected. BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE Building Department 716 Ocean Boulevard Atlantic Beach, Florida 32233 249-2395 I paye �. CITY OF T _ _/ �J ?ROPERTY DESCRIPTION L &ld C'W-' LVA" i �1, �.oF/oi .SCJ /61/�q f"! HCS r f / 918 OCEAN BOULEVARD ,.ot # Block # Section # � "f� P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 Subdivision: Street Name DESCRIPTION OF WORK -3r Address:-32-3 ---Z------ � C --.1--- If in a FLOOD HAZARD 7lood Zone:---------_____area complete page 3. Brief O/K Description: ------ ------------ /� I a"1 Class of Work: Hew/Remodel/Addition) ?OHING INFORMATION Type 9�1 Construction zoning Proposed -ed- l - Estimated Value: � dddlA)(A e_ )istrict ------Use c-�--- - ?xceptions or Materials:___W c2.i,j�_____________ lariances Granted: Solid or Filled _ ,� ^ -------- Ground:� ra f:__.S' OWNER INFORMATION f7`i^ Method of Heatings.,----------------- Property Owners --- »---- C .:�;.. ------------ Phones-------------- Hailing //�� Address 7-1 ------------------------------- - ------ --_.-_ Zips---------------- CONTRACTOR ------ ------CONTRACTOR INFORMATION each 7r- Re�mojp-(( I VL �rContractor: Phone: Mailing Addressjo rX-- �, -----------------------�-1---- ZjP= Expiration Licensee Number:---L1.i1_= X. ----------------------- IIt= s-------------- I HEREBY CBRTIFT THAT 2 RAVE READ AND XXkRIRED'TH1S'AuP/q.7tCATIOM ARW SHOW TMS SAME TO ENE TRUE AND CORRECT. ALL PRQV;$IONM OF TRE LAWS AMD ORb2RABC$S GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED WITH. WHETHER SPECIFIED H NOT . THS GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANC THE ROW SIGNS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDIHANCE9, OR LAWS IN NY MAN R, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE P JECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATI BEING RUE AND CORRECT AND THAT THE PLANS AND SUPPORTING 1'sy DATA HAVE BEEN OR SHALL BE PROVIDED S REQU ED. Owner Signature __ ______Date ---�J�"1` Contractor Signatur _ _r Date . e FLOODPLAIN DEVELOPMENT INFORMATION Typeof Development:-------------------------------------------- Flood Zone:------------------- Required Lowest Floor Elevations_______________ 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. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the pians 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 page 3 s6ee4 F QUA.Illy .Awe Aak 4W,9c4i 396 3652 A ok AW n O Z C m O O O D cn O O G) 03m m x m O m 2 O D 0Z D U) m Z n O n T 5 0 m m O Z m —moo o O O r- 55 z M w+ nW C) x a► a C? W t�! d (n .W"". " C� m n Lti 1-4O C C) Z m Z D U om z � Z Z ownov � � m m" �mm 2 'o o m n p m r m C m = m -0(n K^ o K o > O N :� < M Om C 20 m " Z M rJ ►a� > z C W m Ct W r m I W Mt n m "7zC) v > W f" ,ate, F ?6054 F UAl"y -.AW AM '.90413963652 Am r n p z o m � o 3 m m � -i m r0 m z p D p Z n Z D ccn nOz m o 0 m O 0 Z m D O c O FJ m Z O0 p a co10 in r Q cl co 0 0 H to x '` tf w u ti h! d a "! tq cn a n m C z 0 _ � tq a zr0 r N .0v_- n 0 zz � aZ z � OSA a m � R m m O Z 'v p m n m v n v m = O -0 � K CO r p o Cl) < -+ m T { cn # p 2 -0 .� O c O m Z M x 1 M m � ' O M m C rl C3 N r w A. K F UALIIY l. 19001396-366 " m O Z W r^ m Z cn _i v m D D -i m OZ p n m Z m m _0 v O O r0 Z4 C1 r' W o > Tf f�� r r) `� C7 r, o ' _C Zr � Z m 0 G) O D w ZZ m� � -0 -4n O cn v = �m�m n i m -1 n j O m m -v 0 v a m S o M D M c Co v m 0 U) v v ON O Cl) # v T � O c: O m , Z U) M M til 1-4 v c zc ► v r V-4 !^ m r" �3 C m m tw ;-� 1.4 m G v '► h. r� A!► Aft 1( � - CITY OF ,6 Office of Building Official c (A- REQUEST c REQUEST' FOR INSPECTIO Y Date _ r .t No. Time V Q V Received ((11P.M. osy L ality Job Addr �-�--"�- Owner's Contractor Name _ ECHA BUILDING CONCRETE ELECTRICAL PLUMB NG NICAL Framing ❑ Footing E Rough Wiring Ci Rough Heating Re Roofing ❑ Slab i-j Temp Pole Ci Top Oui Fire Pace ❑ Insulation ❑ Lintel Cl Final CI Sewer C Pre Fab READY FOR INSPECTION A.M. Wed Y Thurs. Friday P.M. Mon. Tues. A.M. " G7 NV' P.M. Inspection Made Final Inspection� Inspector — Certificate of Occupancy '. Date f DL6781 PARTMENTOF BUILDINGS CITY OF ATLANTIC BEACH LOCATION'ERMIT INPORMATtON er: 5�t1P Permit Num Address * 373 SIXTH STREET Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 l a c4 Nark: ALTERATION LEOAL DESCRIPTION Coi t Type: WOOD FRAME Lot R},pt:k! ':Se ti on- Pro �os�, C S e: SLINOLE FAMILY Too Oihi RNO: vilEst t Value. Trzkprov.i Cost . 100 Notal Fees. $2,3100 Amount $23.00 Datg,, )kPPLi ATIOI EE .. ....,. M � �.: f `�, RERT T } WATZRIMPACT FEE, $0 60 Aq t, FLORIDA 3223, �5'�w T''EF" 0,00 E w KPOA TION RADON OA �3 3.�J13 N H If Neil At, ATER `TrA A ow C, C flEVA . `L 2250 HYDRAULIC, SHARE $0 .00 L +ar� RAt TVA RE-INSPECT FEE 0 ' '. 0 TkTER „ 6 6 NOT NCITICE'--ALL'CONCRETI:FORM$AND FOOTINGS MUST BE JNSPECTEO EiEFORE POURING kPERMIT VOID SIX MONTHS AFTER HATE OF ISSUE BI„irLDQMATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE RLCEO IN PUBLIC SPACE,AND MUST BE FLEA l7 t'P AND`�HAULED,AWAY BY EITH Eg CONTRACTOR OR OWNER LURE TO, COMPLY WITH THE MECNAIVICS°.L:IN. LAWI CAN RESULT 1N PRO t R"�"1�' Qi�'N�R` PAYING TWICE FOR S�IILt�1NG ��`pRt'PRO" E , NTS. ' '104004 NOTO APP 1ED PLANS WHICH ARE PART OF THIS PERMIT B«►ECt',, � ION FOR OF'A#IA@1.g PkVtSxNS 01<LAW, ,`/4TLANT BEACH BUILDING DEPARTMENT BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH. FLORIDA 32233 APPLICATION FOR MECHANICAL- PERMIT CALL-IN NUMBER IMPORTANT --- Applicant to complete all items in sections I, 11. III, and IV. I. LOCATION Street Address: OF Intersecting Streels: Between BUILDING - Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the obcve statement we hereby agree to pe4c,'" said wo•% with the atteclLed plans and specilicetions which are a pert hereof and in accordance with the City of Jacisonvll's ord;morces a-o s e e ac of good practice listed therein. Name of Mechanical Contractors Ceatractw (Mims) Master Name of property Owns► 1 Signature of Owner Signature of w Aethorisel Agent -1-e i Architect or Engineer 111. GENERAL IN TION A. Type of boating fuel: 8. IS OTHER CONSTRUCTION •EtNG DON[ON $I a-c^c THIS WILDING OR SITE O Gat--O V ❑ Natural ❑ Central Utility IF VES, GIVE NUT44ER OF CONSTRUCTION O Oi PERMIT O Otftw — Spetify r IV. MMC/ANICAL IWOMINT TO M INSTALLED NATURE OF WORK IFIRL ads centploto SW of components on bad of this fent) ❑ Residential or () Commercial ❑ most ❑ Space O Reeeaed O Centra) O Fleur CO New Building O Air Condttiomimg: ❑ Room Pf Cen#rel ❑ Existing Building O " Syeisen: MAateriatMCI ❑ Replacement of existing system Mosinsurn capacity chis ❑ New Installation(No System previously installed) O Rofrigeatien ❑ Extension or add-on to existing system ❑ Other — Specify ❑ Gaoling #o.rar: Capecfty g,p,m, -- O Fire tprinUon: Nvasbor of W& . O t�eveter O fttanlih O Erea�~r--�•�I ) THIS SPACE pOR OFFfC! USR ONLY O TGA, (mumbor) Remarks O LNG centaine+w (twtmber) O US&I I Pwwo vetW O boom hrmit /Approved by Do O C1Me► — SPOCRY Fermi#Fee W8T ALL EQUIPMENT AIR CONW170NING AND REFRIGERATION EQUIPMENT Jl�bee Visits Deeeription MOM Number manufacturer jy Arr°"fte MAP SHOWING SURVEY OF F'r—E'7' C� L-,=;,--r ";a a.A.t V' ."'y 40. U F'►E.E.—t o� l..a--r' 32, Fl,>t-vG1C OF" J=>vesC7►v►SiO1J `�A A"r1.,a.�•1"r'1G.. '6EdGN AS RECORpED IN PLAT GOOK S PAGE OF PUBLIC RECORDS OF OUVAL CO-. FLA- FOR O.. FLA•FOR .,6-t4 t M%%-%_ER Cry t4 0 0 � r r r J;J I JIJ I Ji� K x i x w 0 5 NO I r r x010 y 00 JJ ��. s r w a 2 �' Q O1 14' L O .. i 1 cxt.r i N U �; ►do. 3'13 � I � o.z ' t• Q J �s.ry > i s N � u I d I HEREBY CERTIFY THAT THE SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD AREA ZONE G" AS SHOWN ON FLOOD IN`,LJHANCF RAIL MAP fL 1 FnA THF rITV ,'lL IArb(Qn.1V11 i r n Noir\A n.Yrn .r' c, i DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 9955 97Q5 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date July 21, 19 $Et Valuation$ -goo ()a Fee$ 1 foo na Is T �.U��1CitT 1301 1A 7/26/0 This permit not valid until above fee has been paid to City Treasurer,and is h subject to revocation for violation of applicable provisions of law. M P 4 This is to certify that Ridurd White 1000 _323 Pith Street has permission to build storage shed as per eland ClassificationRes.i :.., ZoneRS2 Owned by R4-*-h2rd Kh4te Lot 30/32 Block 8 S/D A Ho&73Jo. 373 fish Sheet According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ,I AFTER DATE OF ISSUE ---0. 4 , O Building material, rubbish and debris -zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor,or owner.. u' ing Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER A Address Heated Square Footage @ $ _per sq ft = $ Garage/Shed @ �G So_p q $ Z >$ {�_ ens. ft = Carport/Porch @ $ _mer sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ 4% �, TOTAL VALUATION: $ Total ValuationTSt $ Remainder Valuation $ per thousand or portion thereof -------------------------- Total Building Fee $ r� ADDITIONAL PERMITS and/or FEES REQUIRED + 2 Filing Fee $ Mechanical ; * Fireplaces @ 15.00 $ Plumbing ; BUII.DING!PERMIT FEE $_ Electric/New UNDER-ROOF FLOOR SPACE @101000sq.ft .__________________ Electric/Temp ------ Septic Tank BUILDING PERMIT $ Well WATER METER CHARGE $ S,dm—ring Pool SEWER IMPACT FEE $ Sign WATER Il TACT FEE $ Water Connection MISCELLANEOUS $ Sewer Connection $ _ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ -------------------------------- CALCULATIONS and/or NOTES - A, u PLANS REVIEW CHECK LIST Address - / -- --------- ---------Owner__� Legal Description______________ Contractor _________License Number License on File YES NO Section 24_101 * Zoning Regulations Zoning District-----k-sle---- Proposed Use_� ' _na ae Required Lot Size____________ Actual Lot Size Setbacks Required Provided Section 24_17 front _ CORNER LOT INTERIOR LOT rear __ side-1 57 Flood Zone ---------------- -------- -------- side-2 Required Elevation -------- -------- -------- Max. Height Allowed__________ Proposed Height__________` Section 24_82 * Min mum Lot Coverage Required Heated A a Proposed Ar Section 24_161 * Offstreet arking ------------ Number Spaces Required_____ Spaces Provided Section 24_82 * Duplicate Buildings Is there a similar building within 0' of proposed building?YES NO Utilities Water and sewer service is to be provided by: ____ Buccaneer Utilities ____ Ci of Atlantic Beach Utilities Private rce SEPTIC TANK -- `, �j v Plans Reviewed by -- Date (� 0 ------ ------- ----- ----- ----- ---- ----- Building Permit #__`� _ ISSUED DENIED \ate 4t CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT 1 t14 a /OwnerAddres. 64k; JT zi 33 - 5 � -------------------- p......phon�------ Architect Address ----zip------phone P -70 -Contractor�PAQ 1NpJ I Nj Address JAk, Flit, zip hone --41 p------p --- ------- -------------------- ....... Contractor's License number.................expiration............ . Lot !��'Block or Section____ Subdivision -- ---------------Zoning-------- Street-------------between --------------and.................side ----------- -Type Construction CV00 No. Units / No. Fireplaces -- ----------- Purpose of BuildingS70e-AC'E- ___________Est. valuation S Utility Method - Water Sewer Dimensions - Building--------------Lot---__-atest Span Sills -------Size Footings ------------ -------------Gre ----------- Sz. Piers Sz. Sills --------------- Sz. Ceiling Joists Distance on Centers ____Greatest Span_______ Sz. Floor Joists Distance on Centers---------Greatest Span_______ Sz. Rafters Distance on Centers __Greatest Span______ Method of Heating_________,_ Solid or Filled Ground Roof Flood Zone__�__If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City r -of-way and to clear, clean, grade, and drain said right of-wa to City specifications. Signature Owner_ ___Date Signature Contractor __Date v page 2 JUL 2 0 1988 Building and Zoning r , FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: -------------------------------------------- Flood Zone: Required Lowest Floor Elevation: --------------- If building is located within a flood hazard zone (Zone A), 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. COMMENTS: Applicant Acknowledgement : 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 effecting the proposed development. Date--------------Applicant's Signature ---------------------------------------------------- Department Use Required Lowest Floor Elevation ------------- As Built Lowest Floor Elevation ---- ' _____________ Survey Filed with Building Department ----------- ----------------------------------- Building DepartmR.nt Representative page 3 (,� s� y 12' �ok� S N s' i41 10 x 12. x ICS S-fio��� S1� ( wood COA3'+