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366 6th St (vault) PERMIT WORKSHEET Certificate of Occupancy Job Address: 3UU 01tt- 6+ Type Work: Property Owner: Georc Phone # C'ar e r ail/ o,y3 Contractor: Phone # r- d e 61 C)Af b l Permit#: Date Issued: 5 '� Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing Framing / Cover Up -a Insulation Final Building Tree Permit# [— YES NO Electrical Permit# O - -ZT5 C.4 Date/Copy to 01.4 - 2Sd.S Z. JEA 5-Z5-O4 Temp, Pole Permit# Date/ Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA 'f -y9_o Temp. Power - Released to JEA q Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# Zg9 Inspections: Rough Final Plumbing Permit# S--')- _ Inspections: Rough / Underslab 'I -0,0f -o4 Topout Water/Sewer Final Drainage Inspection: r Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing / Sheathing Final �— Fire Inspection: Failed Inspections: Date Paid: Date Paid: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . 09-00000399 Date 5/26/09 Property Address . . . . . . 366 6TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 25000 --------------------------------------------------------------------------- Application desc bed/bath remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CARTER, GEORGE B. OWNER 366 6TH ST. ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 155 . 00 Plan Check Fee 77 . 50 Issue Date . . . . 4/09/09 Valuation . . . . 25000 Expiration Date . . 11/07/09 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit -Fee Total 155 . 00 155 . 00 . 00 . 00 Plan Check Total 77 . 50 77 . 50 . 00 . 00 ., Grand Total 232 . 50 232 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE NVITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BP200I03 CITY OF ATLANTIC BEACH 5/27/09 Application Inquiry - Fees 08 : 24 :24 Application number: 09 00000399 Property . . . . : 366 6TH ST Fee Class/Type/Description Trans amt Amt due Struct Permit Insp A C4 ST CONSTRUCTION SURCHARGE 7 . 53 . 00 A C5 AB CONSTRUCTION SURCHARGE . 83 . 00 K PC PLAN CHECK FEES 77 . 50 . 00 000000 BLDG00 P PF PERMIT FEES 155. 00 . 00 000000 BLDG00 Bottom Credit fees due: . 00 Revenue fees due: . 00 Total due: . 00 Press Enter to continue. F3=Exit Fll=Change view F12=Cancel F10 Amt billed s� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 R' Application Number . . . . . 08-00000501 Date 4/16/08 Property Address . . . . . . 366 6TH ST Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5501 ---------------------- ------------------------------------------------------ Application desc REPLACE SIDING ----------------------------------------------------------------- ----------- Owner Contractor ------------------------ ------------------------ CARTER, GEORGE B. S M M SOFFIT & SIDING INC 366 6TH ST. RICHARDSON, DANNY L ATLANTIC BEACH FL 32233 11251 BUSINESS PARK BLVD JACKSONVILLE FL 32256 (904) 262-6655 ------------------- --------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 5501 Expiration Date . . 10/13/08 ---------------------------------------------------------------------------- Special Notes and Comments needs an in progress inspection for nailing pattern *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. * CONTRACTOR, PLEASE CALL FOR AN IN PROGRESS INSPECTION TO VERIFY FASTENING SCHEDULE. * ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Doc # 2008095675, OR EIK 14461 Page 1809, Number Pages: 1, Filed S Recorded 04/15/2008 at 11:29 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. State of Tax Folio No. County of To whom it may concern: The undersigned hereby informs you that Improvements will be made to certain real property,and in _ gccordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved:-5:—&9 /(� Address of property being improved: (e (o 11, t S T �t (� � Sim., 32233 General description of improvements: Owner r Address_Z� T Au Owner's interest in site of the improvement_rALAk*,*r Fee Simple Titleholder(it other than owner) Name Address Contractors MM S17 f- gArt� S�Gte'l } n t C�niAir/ Z li1'.r�ClLer�.S�Cnw7 1Q� Address �� -- Phone No.f Fax No. Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whore 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(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the dale of recording unless a different date is specified): THIS SPACE FOR RECOROER'a t/SE ONLY w R' s m nA E fore e day of Before C ty of Oka of ori0e,,has rsone Sp Brod "m the Ur herein by d affirms that alI statements and declarations herein 147ARY1tRJB MY OtV i X811 "A e of County of MY mrNiNasion expires: P xy Known CITY OF ATLANTIC BEACH r N y BUILDING PERMIT APPLICATION (Alterations&Additions) O Date: D Job Address: 3�//P +1 J 44-f aA4,-c- Req-c.h F) 3 2Z-33 ` Owner of Property: &or 5�Q�`�r �s ` ► �) QN+i E ea �t/ Telephone: � 93 Address: 3�(e t0 Legal Description: Block Number: 7 Lot Number: Q7 - ming p;�fit: Contractors fi M S fir} Ck Vd si��'N �• State License Number: i 63 COS�S7�O7 Contract ess: 22 Tele o Fax: Describe d worEbe : S ` 4 6 Lhc� Present use of land or building(s): r't Si dlm l a-t — 51'N6l-e M, IS/ Valuation of proposed construction: S O8 cost � 97,Sol,0 U Dimensions of the added space: feet x feet Will this project involve: ❑ Heating&Air- ❑ Plumbing ❑ Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? /10 If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? pir". Applicant certifies that no change in site grade, impervious area 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 Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information 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 st be provided with this application.) The Department of Public REVIEWED FO CODE COMPLIANCE CITY OF.ATLANTIC BE N �° - SEE PERMITS FOR ADDITION lT eminole oad -Atlantic Beach,Florida y „ 5 , REQUIREMENTS ANYQ�gst )247-580 -Fax: (904)247-5845 -http:/ .ci.atlantic-beach.tl.us ILE th ied 8/04 e 2 F REVIEWED BY: Copt DATE: S CO�j 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) 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. 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. Address and contact information of person to receive all correspondence regarding this application(please print). Name: �cW� ntl .S 41 YYl SO'�•F��- an,r✓C Jt�l'NA ..� �. Mailing Address: 22$ mV,-H'k he- �1' TA-Y- F1 3 ZOV Telephone: Gid? Fax: "�� E-Mail: d do h4 rd f041 G'Sd 1 � � •COh� I hereby certify that I have read and examined this application and attached documentation 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 Owne '` Date: AS TO OWNER:`_ Sworn to and subscribed before me this day of 1L 1200 0 . State of Florida,County of Duval Notary's Signatur2� Fj Personally known A!W W.BRA WISH �~Produced identificationSSION a DMI19R94 Type of identification produced �? )°tlt�S Apr.11,2010Notiq SwvIce,00m 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl-us Revised 8/04 Page 3 `f Signature of Contractor: h � � Date: AS TO CONTRACTOR: Sworn to and subscribed before me this {j i` day of ,20 O �. State of Florida,County of Duval Notary's Signature &7777 : Personally known Produced identification ROBERT w, RRA r)WISH Type of identification produced Aq'/�'(�3MfvliSS(i,;, a y139894 uf:r Olrl�+ t;aP) - _ (�tl3)s>atr.or�a � ' 1 ,X010 Flwide Notary swvice.com 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 4 Revised 8/04 C'I'A' OF ATLANTIC BEACH PERMIT sG/ZONING DEPARTMENT APPLICATION =� 000 Seminole Road •"•x Atlantio Beach,Florida 32233 (904)247-5-000 (904)247-5845 Fax vim.coab.us APPLICATION TRACKING FORM REQUIRED DEPT: Y N PLANNING Property Address. Q a� L - � BUILDING Y PUBLIC WORKS Applicant: M� b Y N . PUBLIC UTILITIES Y N FIRE DEPT. Project- 'r � Y N PUBLIC SAFETY w APPROVAL C-)o REQUIRED AGENCY: RECEIVED BY: INITIAL• DATE: Z Y N D.E.P HU SZ < Y N S.J.R.W.M. CARPER _ Y N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS _ CIRCLE ONE SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: ® IST REV PLANNING ® BUILDING 2ND REV PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY CITY OF ATLANTIC BEACH J CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date PERMIT# (� ISSUED BY THE CITY Job Address - 7t?fi _ E�^+ ;tet. (' 1-11 Permitee: �4�u+E. 1�b,.ne.5 -w �E�cl-T-! Telephone# Ce1 �_714—47y-y- Permittee Address: 73 I ��.'i/.�I r G I1�'�n ��., Ju�fc 117 IN-7 Requesting Permission to Construct: Dr i ae>UL:,v G("V Cf-i Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes( ) No ( ) Date: Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes ( ) No ( ) Date: Comcast Yes ( ) No ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of , Jr1t�4 Wo,r-C (Contractor's Project Superintendent) located at 300 Go, Telephone#: 4-T3-051 Y 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with 171 0 days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: i `C ate: Ltel Before me this day of i ounty of Duval, KELLIE S,WILLIAMS State Of Florida, has pe ally appeare ->' 4?40 ) MY AOMMlS810N#DD744960 NotaryPubl' at Large tate of Florida,Co 6y of D ral.My com n. PerdXPIRE8 December 27,2011 Produced Identi �o�s3 Fiondallou ry3ervice.com R.O.W. Permit Attachment of for R.O.W.Permit# issued , 2005 Atlantic Beach,FL 32233 Owner's Name: Property Address: Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT TIS REVOCABLE ENCROACHMENT PERMIT, issued on this 1* day of ADF7 , 20018, by Atlantic Beach, Florida, a municipal corporation organized and existing udder the laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach,Florida,hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached). l This work is generally described as: '�,tG X s ig., rJn✓e-tocy w��. I e.r-3 Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall b given by certified m il, return recei t requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes,Land Development Code, and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page 1 of 2 USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this day of , 2005. CITY OF ATLANTIC BEACH, FLORIDA, By: a municipal corporation: Property Owner By: Jim Hanson, City Manager Attest: Rick Carper, Public Works Director STATE OF FLORIDA COUNTY OF DUVAL On this _� day of0'0ri t 5, personally appeared before me, a Notary Public in and for said Co ty and State, Y\,� the property owner of 130) C. " c.(w Atlantic B ach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. By:Y ------- tary Public in for said County and State Property O , er (to be signed in presence of the Notary) KELUE G. MY COMMISSION#OD744960 EXPIRES December 27,2011 i' .. -Nrea 3ervlce.com Page 2 of 2 t t 4- Impervious Surface Calculations % Formula Find square footage of the following: House footprint Driveway All sidewalks/walkways A/C pads Detached garage/sheds Pool Decking Patios,terraces and/or decks Add the total square footage of the areas listed above then, divide the sum by the total lot area of the property. 5/148007 rS U f✓y' CITY OF ATLANTIC BEACH R PLAN REVIEW SHEET fll V . Building Department Public Works&Public Utilities Departments oe 800 Seminole Road 1200 Sandpiper Lane R.Ca er Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 a uzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application# Property Address ry— Applicant: �'i C f t�2 ,0 �� %Z olizS Project: /le W e This permit application has been: El" Approved as noted by the ��fJG' Department. Final application approval must come from the Building Department. r7 Reviewed and the following items need attention: Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department re uestin them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from bein issued. Reviewed By: Date: Date Contractor Notified: BP250U01 CITY OF ATLANTIC BEACH 11/08/06 Application Tracking Step Selection by Revision 13:25: 42 Application number . . . . : 06 00034205 Address . . . . . . . . . . . 366 6TH ST RE number . . . . . . . . . . - - - Application type . . . . . : RESIDENTIAL ADD/RENOVATE/ALTER NCR OLD ACCOUNT NUMBERS . . : AB07096 Tenant name, number . . . . . Type options, press Enter. 2=Change 4=Delete 5 View 6=Fast log 8=Action log maintenance 9=In/out maint Path ---- Rey Dates --- - Action Summary - Opt Agency description Rev Step Req In Est Cmpl Last Type By _ PUBLIC WORKS A 01 N 11/02/06 11/07/06 BUILDING A 02 Y Bottom F3=Exit F5=Land inquiry F6=Add F7=Revisions FS=Kisc info inquiry F10 View 3 Fll=Sort by agency F12=Cancel F14=Action log inq F24=More keys Frrk IN CITY OF ATLANTIC BEACH rY BUILDING PERMIT APPLICATION (Alterations &Additions) Date: IV Job Address: G at Owner of PPr_operty: �7E -D (Z--(,15- Address: R01-30t, aL16 W!✓ � �{�% ZZUTelephone: ©+J'3 Legal Description: Block Number: 7 Lot Number: Z Zoning District: Contractor: �jiJ'(� tate icense Number: G&c -52'73 I Z_ tAJC- Contractor Address: LQ.�',j� Qj�l plc GT JWL*,%J7tC. ibVge,f- 37Z214 Telephone: —204- 6%-255 Fax: Describe proposed use and work to be done: AJt W -Pb 1&44 <j g_;,7- 4M 17�y q Present use of land or building(s): P614 C_E Valuation of proposed construction: �G� , arOO Dimensions of the added space: feet x Zf feet Will this project involve: I 'e /" E3 Heating&Air- ❑ Plumbing �( Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? _�� If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? NO. Applicant certifies that no change in site grade, impervious area 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. O. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information 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. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 2 Revised 8/04 STEP 4. Please submit Building Permit Application, 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. 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. Product Approvals for all exterior windows,doors shutters etc..(FBC 2004) Address and contact information of person to receive all correspondence regarding this application(please print). 1,,, Name: Mailing Address: Z" b&644i Telephone: bs 0!� Fax: E-Mail: hlf�4iP ll,el[�r�Yl�jo4e f I hereby certify that I have read and examined this application and attached documentation 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 Owner: Date: ��/�•3/L� AS TO OWNER::;;•''1 Sworn to and subscribed before me this G n/r day of State of Florida,County of Duval .w ARDESHIR EBRAHIMI Notary's Signature: c Notary Public,State of Florida Commission#DD218819 F-1 Personally known My comm.expires June 02,2007 1�Produced identification Type of identification produced Signature of Contractor: wy Date: 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 3 Revised 8/04 AS TO CONTRACTOR: Sworn to and subscribed before me this s� day of t7 76 kin ,20 . State of Florida,County of Duval Notary's Signature: a0 :,FN RD$IREBRAHIMI ❑ Personally known y Public,State of Florida [QProduced identification mmission#DD218819 Type of identification producedm.expires June 02,2007 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 4 Revised 8/04 w NOTICE OF COMMENCEMENT State of FLORIDA Tax Folio No. County of DUVAL To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF CONIlAENCEMENT. Legal description of property being improved:Lot 27 and the east 5.00 feet of lot 29,block 7,Atlantic Beach Address of property being improved: 366 Sixth Street,Atlantic Beach,Fl.32233 General description of improvements:Addition of front porch and expand c*WrL Owner:George B.Carter Address:366 Sixth Street,Atlantic Beach,FI.3223 Owner's interest in site of the improvement:Fee simple Fee Simple Titleholder(if other than owner): Name: �+ Address: Contractor:Richard Bell Building Contractor,Inc. � Address: 1952 Beachside Ct.,Atlantic Beach,Florida 32233 y) Phone No:249-0131 Fax No: Surety(if any): Address: Amount of Bond$ Phone No: Fax No: Name and address of any person malting a loan for the constriction of the improvements. 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 Lienors Notice as provided in Section 713.06(2)(b),Florida Statues.(Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year From the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNS" Signed- Date: Before - ay of th th County l,) of S�to Florida has personally appeared �qa A� =EBRAHIMIHIMI�� Noof FloridaNotary lic at large,State o on tyof 18819DAv ce 02,2007 Duval. My commission expires: n 0'7- Personally 'ZPersonally Known: or Produced Identification: Doc 0 2006382846,OR BK 13618 Page 979, Number Pages:1 Filed 8 Recorded 11/02/2006 at 01:42 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 .j ylJIJ CITY OF ATLANTIC BEACH ' PLAN REVIEW SHEET Building Department Public works&Public Utilities Departments 800 Seminole Road 1200 Sandpiper LaneR.Car Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 uzniak -(904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application# 0 Z 0 Property Address 7N S Applicant: '�Wi C hn2 D -Sj// —Z&1 Z 01j e S Project: Ale "This permit application has been: Approved as noted by the Department.Final application approval must'comi from the Building Department. Reviewed and the following items need attention: Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department.requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued, _ Reviewed By: Date: y- 1 Date Contractor N2-X-. J 1 l 1 \�JJ>61, r CITY OF ATLANTIC BEACH `� BUILDING PERMIT APPLICATION ,r (Alterations &Additions) Date: 1 &f oy a(p Job Address: Owner of Property: C_-y6� a (Z-G Address: ox3d1 AIAA gwa n*6 , Z Telephone: Legal Description: Block Number: -7 Lot Number: Zoning District: a i,,fc Contractor: J�Z cam.}tKAN:� Wi-� 1 6DO"(9 tate icense Number: G{C/O 25Z 7 312- Contractor Address: Lq,!�7 be;K�i It� "�LA*j7cc tri 372.2 Telephone: "710 -= (o VO 5 Fax: Describe proposed use and work to be done: Cc3�jy ,pG NJE? -pb(ZC4 440)OZJ" Oh fly A Present use of land or building(s):__5 tXt&L-C— 7 l u-1 1 DLA C E Valuation of proposed construction: Lj , 'Woo Dimensions of the added space: 2!7: 'f5 feet x 6 feet Will this project involve: �r/� Li Heating&Air- ❑ Plumbing e Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? ko. Applicant certifies that no change in site grade, impervious area 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. �t0. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information 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. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantie-beach.fl.us Page 2 Revised 8/04 STEP 4. Please submit Building Permit Application, 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. 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. Product Approvals for all exterior windows,doors shutters etc..(FBC 2004) Address and contact information of person to receive all correspondence regarding this application(please pent). /17 Name: Mailing Address: b&64-4 f� / �,1 e// Telephone: �Q ' ' bg 0!! Fax: E-Mail: _J?fGlLk P `fi"L1 if I hereby certify that I have read and examined this application and attached documentation 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 Owner: ` d' Date: AS TO OWNER:,,., Sworn to and subscribed before me this G Jr day of 6' a aizr_ ,20,0 State of Florida,County of Duval Qqt N� ARDESHIREBRAHIJ207 Notary's Signature: _ °� Notary P�ihlic,State of F Cornmission#DD2188Fj Personally known My COMM.expires June 0 7k— Produced identification Type of identification produced 'l�/ Signature of Contractor: AW Date: 800 Seminole Load -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 3 Revised 8/04 AS TO CONTRACTOR: Sworn to and subscribed before me this nrc� day of r:`7— State of Florida,County of Duval Notary's Signature: -- `> 0 A ARDESHIR ESRAHIMI ❑ Personally known Notary Public,State of Florida Produced identification COWission#DD218819 Type of identification produced My ccmm.expires June 02,2007 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 ,http://www.ci.atlantic-beach.fl.us Wage 4 Revised 8/04 NOTICE OF COMIVIENCEM ENT State of FLORIDA Tax Folio No. County of DUVAL To Whom It May Concern: 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:Lot 27 and the east 5.00 feet of lot 29,block 7,Atlantic Beach Address of property being improved: 366 Sixth Street,Atlantic Beach,Fl.32233 General description of improvements:Addition of front porch and expand carport Owner:George B.Carter Address:366 Sixth Street,Atlantic Beach,FL 3223 Owner's interest in site of the improvement:Fee simple Fee Simple Titleholder(if other than owner): Name: Address: - ' Contractor:Richard Bell Building Contractor,Inc. Address: 1952 Beachside Ct.,Atlantic Beach,Florida 32233 Phone No:249-0131 Fax No: Surety(if any): Address: Amount of Bond$ Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. 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(2)(b),Florida Statues.(Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year From the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNET. !' Signed:` Date: Before raelffiirday of th th County of DW , S too Florida has personally appeared a p� =PuAHIMI N92 oof Florida Notary lic at Large,State o on ounty of 18619I•AV ce 02,2007Duval. My commission expires: n �- Personally Known: or Produced Identification: EL— 'o Doc#2006382846,OR BK 13618 Page 979, Number Pages:1 Filed&Recorded 11/02/2006 at 01:42 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORr)wr ain nn M[A M MI414II DADS COUNTY,FLORIDA _ WTRO-DADE FLAOL ER BUILDING S M 6711"CODE'COMPLIANCB OFFICE(BCCO) 140 WM N AGLER suzzT,-sura im PRODUCT CONTROL D"10N LvIIAK FLORIDA 33130-1563 (305)375-2901 FAX(305)3752908 NOTICE OF ACCEPTANCE (NOA) Fames Hardie Building Product,Inc. 10901'Elm Avenue Fontana,CA 92337 SCOPE:. This NOA is being issued under the applicable rules and regulations governing the use of construction rnaadah..The dacutr ttatiosn submitted has been reviewed by Msami Dade County Product Control Division and ac oqp ed by elle Board of Rules and Appeals.(BORA)to be used in Miami Dade County and other areas where allowed•by the Authority Having Jurisdictkn(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami Dade C6=ty Product Control Division''(In Miami Dade County).andlor the AHI (in areas,other than Nhami Dade County) reserve the right to have this product or material tested for quality assurance purposes.H this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and tin; AM may immediately. i�evoke,'modi , or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance,,if it is determined by Mian-A;-Dade County Tioduct Control Division;that this product or- material fails to meet the mquirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the Nigh Velocity Hurricane Zone. DESCRIPTION:Hardipiank,Cemplank,Hardipanel,Cempanel,Hardisotfit•and'Ce msoffitt APPROVAL DOCUMENT: Drawing No.HPNL-8X,HPLK-4X8-&_HSOFFIT-8X,titled"Hardipmel& Cetnpanel;Hardiplank&Cemplank;Hardisoffit&Cemsoffit Installation Details",sheets 1 through 3 with no revisipas,prepared,signed and sealed'by Ronald Ogawa,P.E.,dated04/02/04,bearing the Miami Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the'Miami-Dada County Product Control Division. MISSILE IMPACT RATING:Large and Small Masile Impact LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami Jade County Product Control Approved",unless otherwise noted hereon. RENEWAL of this NOA shall be considered after a renewal application has been filed ami there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse ofthis,NOA as an endorsement of any prgduct,for sales,advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and-removal of NOA. ADVERTISEMENT; The NOA number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed;then it shall be done in its-entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building.Official. This NOA revises NOA 0 02-0318:08 and,consists of this page,evidence page as well as approval document mentioned above. The submitted documentation was reviewed by Candigaflont PE. FIN COPS' V0 4- NOA No 02-0729.02 f Expiration Date: May i,2007 Approval Date:April 8,2004 A . . Page I ,des Hardie]jui_lding Products.Inc. NOTICE 03 AC .pTANCE: EVIDEMZ PAGE A DRAWING 1. Drawing prepared by James Hardie Building Products,.Inc.'titled"Hardipanel& Cempanel;Hardiplank&Cemplank;Hardisoffit&Cemsoffit Installation Details! drawing No HPNLrBX,HPLKAX8&HSOFFIT-8X; dated 04/02 /04,with no revisions, signed and sealed by R.L. Ogana,PE. B TEST Laboratory Report Test Date Signature 1. ATI-16423-1 PA 202&203 03/18/96 A.N.Reeveg PE. 2. ATI 16423-2. PA 202&203 03/18/96 A N.Reeves PE. 3. ATI'16423-3 PA 202&203 .03/18/96 . A.N. Reeves PE. C QUALITY ASSURANCE 1. Building Code Compliance Office. D MATERIAL CERTIFICATION - 1 Standard Compliance(ASTM C-1185)issued by ETL Testing Laboratories on 05/09/95 signed by D.K. Tucker,PE. 2 Evaluation Report NER-405 issued by National Evaluation Service,Inc:on 01/01/93, with no signature. E STATEMENT 1. No change letter issued by James Hardie Building Products, Inc. issued on 02116/99, signed and by J.L Mulder. 2. Power of Attorney and Appointment of Domestic Representative, signed by P. Shafron on 04/17/02,Assignment and Memorandum of Assignment signed by T.P.Dolmans on 04/16/02 and Assignment for the.trade marks of Cemplank,Cempanel and Cemsoffit to the Assistant Commissioner for Trademarks.signed by V.Lester and P.-Shafron on 04/18/02 D4 o a4 Can 'Font P.E- Sr.Proftct Control Examiner NOA No 02-0729.02 Expiration Dutc: May 1,2007 Approval Date:April 8,2004 E-1 a • .�•� ,'�-."fir--y ��Q ��` G�V� h 1 �� alp �,. . z .� CH s W dc mvQ Lo z w z z^- a. z aLLI U F- pi Z � = CL a,Li N� G O X0-C3 I `0 3 I I 0 o. ~ VJ I a r LLQ IIv W 6 $.W a- .! 41 .q 1d) VM d1L 'tl L Ow CMFA rL �a Y�• Ids* waL L m_ a X - --- - - - " Janp sw V y 3 w liq a.211 • J Psuj gillll'' -51111 L,w � p �wr4Q YY tea_ �' Z Z a.H a N tr O eC Q i ¢w JJ j �YQWls -j UJ rar= W 1!)fn3ao Z(A aV44 Gi 2a6N O A g ER q A O Cs • Z I I� � � J s�' $1nYa4 �soi y Q11; 41 B �A a$ x �• i> g rNZ h- x= . as u � pq vx . � �. La — - - — 4r a. dtl �� ass. d� W g4L w y • 3 '� a�r�rTinaM�W� ��4 4u- all w Oil V6 �W :� � oily 2M MIN ! P ' Z •' �- �� '$o R I• I C� fes..Q =V _.. ...� — —•— y0 W i I W X22 " • d=1 - ub y I I yea*Zu " I I a 4- V1 I - �tlx01 tlN pa IA is —. - - - - = - --- Cd t ,� El Ei cbdup d VA R 'Y M I A M I•DADE3 M IA N11-DAD E COUNTY.F l..)1t(U:\ iI\11,711 (7-DADE?CLACr1.F'A BUILDIIX(P SUILDINC CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLACLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION ti.- MEAtvII,IrI.O[tlt)r\X313(1-15�u (305)375.2901 IrA.X(303)375.2908 NOTICE OF ACCEPTANCE (NOA) _ GAF Materials Corp. 1361 Alps Rd. Wayne:, NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use;of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code:uld Product Review Commitux to be used in kliami Dade County and other are:aa wlwre allov:ed by the authority Having Jurisdiction(AHJ). This NOA shall not be valid after the:expiration date stated below. The BCCO (in Miami Dade County)and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fnils to perform in the accepted manner, the nmAufacturer.will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the:South Florida Building Code, 1994 Edition for Miami-Dade County or Florida Building Code. DESCRIPTION:Timberline 30 RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change:in the applicable building code negatively affecting tie performance of this product. TERMINATION of this NOA will occur after the expiration date:or if there has been a revision or change in the; nhatcrials, use,and/or manufacture of the product or process. Misusc of this NOA ds'aa duiddrsenicht of any product, for sales, advertising or any otter purposes shall automatically te:rminatc tris NOA. Failure to comply with any section,of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preccded by die words Miami-Dade County. Florida, and followed by die expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by tic manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. Tliis NOA consists of pages I through 3. The submitted documentation was reviewed by Frank Zuloaga, RRC FILE COPY NOA No.:01-1203.07.. " .. Expiration Date:02/21/07 Approval Date: 02121/02 ..� ROOFING SYSTEm APPROVAL at r : Roofing Sub-Category: 07310 Asphalt Shingles Mnterinl: Laininate; 1. SCOt'E: This rcnc%vs a rooting system using Timberline 30,asphalt shingles manufacturated by GAF Materials Corporation as described in this Notice of Acceptance, designed to comply with the;South Florida Building Code, 19941 clition for lkliami-Dade County. 2. PROoucr L18SC12IP'1'ION: Product Dimensions Test Product Descrjntion Specifications Timberline 30. 13 %+ " x.39 3/s PA 110 Fiberglas reinforced heavy weight asphalt roof shingle,with a laminate profile. 3. LIMITATION: 3.1 Fire Classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 3.2 Shall not be installed on roof mean heights in excess of 33 ft. J 3.3 System shall not be installed at slopes less than 2":l2". 4. INSTALLATION: 4.1 Shingles shall be installed in compliance with Miami-Dade County Product Control Shingles -installation Procedure No.115 4.2 Flashing shall be in accordance with Section 9.3 Option"B"(step-flashings)of Miami-Dade County Product Control Shingle Installation Procedure;No.I 15. 4.3 Tlic manufacturer shall provide clearly writtcn application instruction. 4.4 Exposure and course layout shall be in aiatpliancc with Detail"A",attached. 4.5 Nailing shall be in compliance with Detail "B", attached. 5. LABELING: 5.1 Shingles shall be labeled with the Miami-Dade Logo or the wording "Miami-Dade County Product Control Approved" 6. BUILDING PERMIT REQUIREMENTS: 6.1 Application for building 1wrniit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance 6.1.2 Any other document required by Building Official or the Applicable Code in order to Properly evaluate the installation of this system. ` r NOA No.:01-1203.07 Expiration Ditto:02/21/07 Approval Date:02/21/02 DETAIL "A" Tested Laminating Adhesive Contiguridiun 3-stripes BackerJ 6-1116 1 16 DETAIL "B" Back of Shingle relief tape MIX 82 Bu ker �SOf Seal Adhesive _ Face of Shingle Release Tape END OF THIS ACCEPTANCE NOA No,:01-1203.07 Expiration Date: 02/21/07 Approval Date: 02/21/02 M I A M hDADE MIAMI•DADE COUNTY,FLORIDA _ METRO-DADE FL.AGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIMION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 _NOTICE OF ACCEPTANCE (NOA) GAF Materials Corp. 1361 Alps Rd. Wayne,NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The BCCOI (In Miami D or material, s ted for the AHJ (in areas other than Miami Dade County) reserve therightproduct quality assurance purposes. N this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify, or suspend the use of such product or material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code.. This product is approved as described herein,and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION:Timberline 30 RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami Dade County,Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA#01-1203.07 and consists of pages 1 through 4. The submitted documentation was reviewed by Frank Zuloaga,RRC FILE COPY NOA No.:04-0305.03 Expiration Date:02/21/07 Approval Date:04/22/04 Page 1 of 4 ROOFING SYSTEM APPROVAL Ca o Roofing c.jb-Category: 07310 Asphalt Shingles Dimensional mma—h& Deck Tvae: Wood 1. SCOPEGAP Materials Corp described in Section 2 of this This revises GAF Timberline 30 as manufactured by Notice of Acceptance. 2. PRODUCT DESCRIPTION Product Desc pilon Product EMMA= Ted Spedncati2nns asphalt Timberline 30 13'/;x 393/s TAS 110 Fiberglass reinforced heavy wei t gh sP roof shingle,with a laminate profile 3. EVIDENCE 5iJBMTTTED: Date Test,_,A� Test Identifier Test NamelReport Underwriters Laboratories,Inc. TAS 107 O1NK45803 04/13/94 TAS 100 257989 04/01/97 Center for Applied Engineering ASTM D3462 257989 05/13/97 Center for Applied Engineering • TAS 100 GAF-044-02-01 01/13/04 PRI Asphalt Technologies,Inc Underwriters Laboratories,Inc. TAS 107 04NK04273 02120/04 4. LIMITATIONS 4.1 Fire classification is not part of this acceptance;refer to a current Approved Roofing Materials Directory for fire ratings of this product. 4.2 Shall not be installed on roof mean heights in excess assurance of 3 audit in accordance with the Florida 4.3 All products listed herein shall have a quality Building Code and Rule 9B-72 of the Florida Administrative Code. S. INSTALLATION Application Standard.RAS 115. 5.1 Shingles shall be installed in with Roofingtion Standard RAS 115 5.2 Flashing shall be in accordance with Roofing APP 53 The manufacturer shall provide clearly written application instructions. 5.4 Exposure and course layout shall wbe in ith Detail compliance with De� 'A',attached. 5.5 Nailing shall be in compliance 6. LABELING o or the wording "Miami Dade County 6.1 Shingles shall be labeled with the Miami-Dade Log Product Control Approved". 7. BUILDING PERMIT REQUIREMENTSe accompanied by copies of the following: 7.1 Application for building Permitshall 7.1.1 This Notice of Acceptance. 7.1.2 Any other,documents required by the Building Official or the applicable code in order NOA No.:04-0305.03 Exph adon Date:0212VW Approval Date:04/22/04 page 2 of 4 to properly evaluate the installation of this system 8. MANUFACTURING PLANTS 8.1 Tampa,FL DETAIL A DECK FULL 5th 17" OFF 4th 11"OFF 3rd 6" OFF 2nd FULL 1 st NOA No.:044305.03 Expiration-Date:02/21/07 © { Approval Date:04/22/04 Page 3 of 4 DETAIL B 39-318" Release Tape 6 fasteners 7-' 7 134" 1 p 82" 74" 5-518" Front Side(Maximum Slope 12:12) 39-318" Release Tape 1p 1p 6 fasteners � 72 2 1" 131" 4 F 6" 5-518" Front Side (Maximum Slope 21:12) Tab Sealant 1" 2" -� 3/8" 1/2' Back Side END OF THIS ACCEPTANCE NOA No.:044305.03 a Expiration Date:02/21/07 Approval Date:OV22/04 page 4 of 4 Construction Site Management Plan 366 Sixth St. 1. Demolition as per plans. 2. Silt fence both sides front yard with returns to existing structure 5' behind construction. Existing lawn&grade to remain. 3. Parking for workers on R.O.W. between front fence and pavement. One space available in driveway. 4. Existing front yard fencing to remain. Hedge on W. side of front yard to remain and backed by silt fence(see#2 above). 5. Deliveries to front driveway. 6. Bathrooms available in residence. 7. Front fence section to be opened and dumpster placed on front yard between driveway and brick walk. Fence section to be temporarily replaced during construction and opened as needed to empty dumpster. Removed section to be reinstalled at end of construction. 8. Access to site thru driveway. 9. N.A. FIL E Cap y „ .11�''a CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD v,1 ATLANTIC BEACH,FL 32233 1 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00031955 Date 1/10/06 Property Address . . . . . . 366 6TH ST Tenant nbr, name . . . . . . CATHEDRAL CEILING/FIRPLC Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 Owner Contractor --------------------- ------------------------ CARTER, GEORGE B . RICHARD BELL BLDG CONTRACTOR 366 6TH ST. 1952 BEACHSIDE COURT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-0131 -------------------------------------- ------------------------ Permit BUILDING PERMIT Additional desc . . Permit Fee 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ----- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAiL CITY OF ATLANTIC BEACH Cc. BUILDING / ZONING DEPARTMENT D. Ford s 800 Seminole Road .Doerr J Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS � Permit Application # No ---15055 Property Address: s- )10(P, Applicant: kfehar& Project: n 1 Elly e This pe it application has been: Approved . Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: L1L Date: b � 1/ 6 Date Contractor Notified: CITY OF ATLANTIC BEACH s, BUILDING PERMIT APPLICATION j (Interior Remodel) j'Jia �Y Date: `J k4, Job Address: 1�C� �✓ Owner of Property: GCVX�6 6 lbG/A76S, Address: jfZ l G � . .32 3 Telephone: 2,4-/ C¢ -2-7 �F-. S r Legal Description: Block Number: '7 Lot Number: ear z* Zoning District: Contractor: �ui4-f9i1V6 6.44.-11&1--, /V4-, State License Number: C-&-D 3��1L Contractor's Address: "Wf/ A/ //G 4�6 322 Telephone: 141 p/ `w s�=L J e Fax: Describe proposed use and wuto /n��`ri/z2 �t ht�'� / i�ih� �i/ ��¢�� <✓! Present use of land or building(s): I&V Ae- Valuation of proposed construction: ��O dv Will this project involve: }� Heating&Air- ❑ Plumbing Electrical Fireplace ( Conditioning Is approval of Homeowner's Association or other private entity required? AAO If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor, and two(2)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. 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 2 Revised 1104 Andress and contact information of person to receive all correspondence regarding this application(please print). Name: 1�'C Mailing Address: C` t✓ 22 33 Telephone: 041 0 7O Or, c F E-Mail: belrac�eey- Ale V14,ec, I hereby certify that I have rea is application and attached documentation 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 Owner: Date: AS TO OWNER: " .,�Clif'1 G(GC Sworn to and subscribed before me this t` day of r 20 040 . State of Florida,County of Duval _ - --- Notary's Signature: _006414V ViDONNA L.BUSSEY i, MY COMMiSS10N#DD 412624 F� roidentification known ;`,•:..; :;; EXPIRES:March 30,2009 pduced identifiion _ Bonded Thru Notary Pubk undemotens Type of identification produced h�- �r 1 V�+' L I e, 30 x-19 32I - 0 Signature of Contractor: Date: �+ _ AS TO CONTRACTOR: i44) Sworn to and subscribed before me this day of /'t �� _,20 00. State of Florida,County of Duval ,� ._.++�+++■ Notary's Signature: a DONNA L BUSSEY MY CAMMISSION#DD 412624 t EXPIRES:March 30,2009 ersonally known " R egad nw„NaruyPva�unaO^ rg [Produced identification ' Type of identification produced I—L D Y r Ver L 1 Pe,) 6606 7qI q7- 003- 0 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 3 Revised 1/04 NOTICE OF COMhIENCEMENT State of FLORIDA Tax Folio No. Countty of DUVAL To Whom It May Concern: , per The undersigned hereby infarms you that improvements will be made to certain realPp operty,and in eacordenm with Section 713 of the Florida Statutes,the fallowing information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved:Lot 27 and the eaN 100 gest of lot 29,block 7,Atlantic Beach Address of property being improved:366 Sixth Street,Atlantic Beach,F!.32233 General description of improvements:hwtall cathedral ceiling and fireplace in living room, Owner:George B.Carter Address:366 Skth Street,Atlantic Beach,Fl.3223 Owner's interest in site of the improvement:Fee Fee Simple Titleholder(if other than owner): Name: Address: Contractor:Rkhsrd Bell Baildbe Coatract+or,hw, Address:1952 Beacbdde Ct.,Atlantic Beach,Florida 32233 Phone No:2494131 Fax No: Surety(if any): Address: Amount of Bond$ Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida,outer than himself,designated by owner upon wham notices or other documents may be served: Name: Adds: Phone No: Fax No: In addition to himself owner designates the following person to receive a copy of the Liences Notice as provided in Section 713.06(2)(b),Florida Statues.(Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year From the elate of recording unless a diffirent date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNL Sign Be6ore I y in the County ofa of 'da ally appeared #� / Dot 2008005498,OR BK 12991 Page 1292. (/ S�d Number Payee:1 Notary Public at Large,State of Florida County of l Filed&Recorded 01/05/2006 at 02:45 PM. Duval. JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY My commission expires: RECORDING$10.00 Personally Known: _ y&5' or Produced Identification— — AJ 10 Na"f�wc SIM aF� � 1 ! Vette polar Loft IIIWcomm"iOn1 ++�' Expires 08/151J00o� APPENDD(13-D FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 6000.04 Reeldmrilal Umlted App6catbns Prescriptive Metiwd C NORTH 12 3 Small Addltions,RODWAdiOne A Compbme wa l- IC of Su)-CA G d t1m Ftdlda FwW 90dow Cob may be dawmNand by No mn d Farm 6000-04 for aWans d 600 sgmm INt Or bw e6 4nsWM Odapmrdc d mwAdalaed home:,crud mowdbn to dnpit and me01ple4m*rmidm m AAmOn m1" ' am prom bradd s m by me of Form SM-04 or 600A C PROJECT NAME: 6,* * dirt M BtA MFM lei 1.1 /3e:5!f,- c .,t- AND ADDRESS: PERMRTING C AWE jkUAjZzr- &A OFFICE: ZONE: 1 [:] 2 [:] 3 El OYYNER: PERMR NO. dURISmenoN NO.: SMALLADDnWt M EXIPM RMDBEBi(600 sww Art a ks d woMomd amO.ProwWw rngdmwAb k Tide G(4.60-2,and 6G3 appy ay btlw coarpdsek d the eddlan,eotb for o*"buldinp.Spa Amlpp,woiq,wAmbr ku"@W*-d dkbmN kora mud bmmat mk wbm egWpn W k kdolnd spndNahr b sam the-a%Nm a k kdabd k coo(uedbrr wb the add0on oomdadke.Compoeme /0sweimmo spam hoe,comMonnd spaow mud meW no wwwrilad mkkmm kwAdba kvW&RBIOWI (RmWwM eorelmd or npkrsdg memalbstamft am Van 3D%of 110 wasuadvAm d No Mi11stIICI ED FDMBS A!D WWW.&0*ab-ambled l a d f dden as emmal by�form-BUILDING Ssod W-2�Ouap whn wmpkb raw sywbm�k bsYbd. Pbese Print CK 1. Rwwvatton,Additk^Now System or Manufachned Homs v't6A0% 2. Slnpkgandly delaehed or Multipla4i mile attached 2. S,E, 3. N MuldpMafamily-No.of units covered by this submfesion 4. 4. 4. Conditioned Soar area(sq.1L) S. Predominant maw overhang(ft) a j 7 6. Glass type and ane-: Single Pane Double Pane a.Clear glass Ga. sq.ft. sq.ft. b.Tint,flrn or soler screen 6b. eq.ft. sq.ft. 7. PercerMaps of glass to floor area 7. % S. Floor type and humdafion: a.Slab-onirade(R-value) Be R= In.ft. b.Wood.raised(R-value) 8b. R--- k- 14-6 sq.ft. c.Wood.common(R-value) 8e. R= sq.ft. d.Concrete,raised(R-value) Sd. R: sq.ft. e.Concrete,common(R-vako) So. R= sq.ft. 9. Wall type and Insulation: a. Euterior: 1. Masonry Gelation R-value) 9a-1 R= sq.ft. 2. Wood frame(hmulation R-value) 9&2 R=- �Gls'' sq.ft. b. A4acenl: 1. Masonry(Insulation R-value) Wl R= sq.ft. 2. Wood frame(lmulation R-vakue) W2 R sq.ft. c. Marriaps Walls of Multiple UnW(Yes1No) 90 10. Ceiling type and Insulation: a.Under attic(Insulation R-value) 10a. R= sq.ft. b.Single assembly(IrmAstion R•value) 10b. R sq.ft. 11. coo**system. 11. Type: (Types:central,room unlit,package terminal A.C..gas,excreting.none) SEERIEER: 12. Fisatltg system• 12. Type:_ (Types:hem perp.alae.strip,natural gas.LP-gas,gas hp.,room or PTHC ICOP/AFUE: exdeti .norm) 13. Air dltribul on system• a.BwMbw damper or single package systems'(Yes/No) 13s. y�'y b.Duds on marriage vials adequately sealed"(Yeaft) 13b. 14. Hot water system: 14. Type: Lz 1 (Types:else-.natural ges,other existing.yore) EF: Pertains to manufactured hones with site-installed Components. I WaW caft V011m pkm a d spedlwI sacred by the c*dA n ae a aOmpbea w1h RNkwd para ad 91111"N' toad by thk aknlaion kdiat c oomptkaa wM 1M Ftorib the Fh EmtW M& ® yI// Emrglt Coda.Blom arnwadbn k ampkad ark hnldla/w1f ten kepeatd ter comDWroe k 641, l) /7G' '�4'� amordnnOnw6b8edion563606 F.S. pReARED i17: im- DhTE: ti1NLD119 OfHC1AL I m Wy OK"Art Irk k a the florlb Eealy cob: 0 0110191 ABEIIr: 1NfE FLORIDA BUILDING CODE-BUILDING 13-0.33 4 APPENDD(13-D Climate Zones 1,2,3 TIRE IC-1:FIIt;BCMFM RMU EMM F011 SKU ADOIm0118 PM 4 Pt ani Less,NMO MMO TO fOOBTKI9 BtALMn M Bm6NB7It t.W MVG1MM OF MfNIFACmI W MM COMPONENT SBI um INSULATION EOUIPMERT f/IIBNM! NBTALLED BaSULATIDN INSTALLED EFFICEMCY ENCY Concrete Block R-7 Frame.7 x C R-11 Geula!A/C -Spa SEER.10.0 SEER- t` Fauna.7 x 8 R 19 Single ice. SEER.9.7 SEER- Frame. 3 Common.Frame R-11 Room unit w PTHC EEA .8.5• EER common.Mucor ry R-3 Witter Attic R-3D Electric Resistance ANY Neat Pump-Spit HSpF-8.8 HSPF. w Si Frame AseerMy:Enclosed g Shoe Plq. HSPF-6.6 HSPF. g Muni Pana R-13 Room ad or PTHP COP-pr HSPFIC OP. O Common,,I-Open R-11 < Gas natural or praperae AFUE..78 AFUE. Fuel Oil AFUE-.78 AFUE. CD Sleimm-gr b No Minimum cr cr Raised Wood R-19 Raised Conte R-7 Cannan.Frame R-11M EiadrfcRaafeeuroa EF .02 EF- Ga.; abw i:LIP EF-.59 EF. In hwaord$orsd space R-6 3 Fuel 00 EF-.54 EF- in condtiorsd space No minknum WALE Wt PStBCWtK BEOUBEMMRB FOR GLM AM N AONTIDIM ORT 'Sea Table 13-M7.1.ABC.32 and 13.808.1 ABC.92 MoKknum to floor area atowaid Is selected by I7pe,overhang brok and coir Cheat gain aoasiolera-assaremn%-_Umisted%-_ OLASS TYPE,OVERHAM,AND SOLAR HEAT QAN COEFFICIENT FMUNED FOR GLASS PERCENTAGE ALLOWED UP TO 20% UP TO 30% UP TO 40% UP TO 50% Slagle Double Skgis Double Studds Double Sime Double O"kM OH-SHGC OH-SHGC OH-"C OH-SHQC OH-SHQCC OH-SHOC OH-SHGC V-.87 Or-78 7--87 T-.78 NOT 778 NOTALLOWED T-.78 Or-.75 V-35 0-.61 ALLOWED 1'-.81 r-.61 0-.57 0-.44 1•-.44 Or .35 Get owdred SHGC from is mrhutedurar or use,defaults Single der SHOC-.75.double doer SWIC-.06,and single tint SHW-.64 TABLE SC1 i*NMNUM RFQUV&V W B FOR ALL PACKAGES COMPONENTS SECTION REOUrA7AENTS CHECK Exhorter Joanna A Crooks 806.1 To be cauW gndtehod,westher siMped or Otherwise sealed. Esderbr MRradoars al Door 606.1 Mmt.0.3 dmlau ft willow aroe:.S dmlacFIL do«area. Sole t Top Plaice 605.1 Sole pkdaa and perhetneaces Vralgh tap planes d exlerbr wins must is"O d. Renowned LOO" 806.1 •type tC rind wash no penstrallone ftwo aMamadvos showed). MuMstory Heusse 608.1 Air banter on perimeter of floor canny belwwen 11001a. EhdmM Fans 606.1 Exhaust teras vented to aaadfioned apeoe*0 have dumpers,except for combustion d wkms vdlh Yaepel set hsud dudwork. Combus"on Hedkag 606.1 Combustion vine and water healing syalans must be provided with outside combustion air.exoW for dead vera WPUG - VIkAer ttwshons 6121 Coney with sociamy req uierrsras it"Table 6121.ABC.32 Switch or cls"marked death breaker electric;or cubA(g"must be provided.Extend or buil[-h hod trop required for vertical Pee rem Swkamahg Poole i Spes 6121 Spas d hushed pools mull have Gomm(maept solar hosted).Noncommercial Po*must have a pump tither Gas ape an pod hustana must few mtefmum themnl 69WW y of 78%. Not""Phew 6121 Insulation required for ha water draraaeg yrmerhea(Including hast recovery unks). Shower Heeds 6121 VMW flow mud be restricted to no more then 2S pollen per mkatfe at 80 PMW HVAC Duct Construction, 610.1 All Ards tMinga macheraeel equOment and plenum do am Shan be n%KhWdC ry saachK ass"tewsdnd bhmdemsn al htaaNatlorh amt ineenaed in aoanduao a n h the craerle d Seddon 810.1.Dress In auras must be kwAsOd b a mntemm of R-8. HVAC Controls 007.1 1 Sepsrete realty eccesetife metal Or automatic OmmOSM for each syssm. BEtERAL DIRB:fIM: 1. oar lkbfe 6Gi indicde But R SMR dthe khahYBan being added toaeb cas6seut and tM a b=W lawk d But egdpnod being netaW AE R-vAm and etidufds added must mO«mesad the minimum aMds Mated.Compoeente hod equ evens[neither being added nor renovated may he kA blL 2. ADDITIONS ONLY.Determine the paternalist of uses glass 10 mndtianae-fbm aha n theaddfbn as bfoera.Tod m the as of all pias whudors,sliding piss doors ad glees door path.Double ill aux d d nondaread tool ylaea tad add f hoffie prehlerd 1ohaL YRsn gigs n aadstag merlon was k tutting remaeed«eeraOred by th ad68oa.8161 ' 'squab the VM ase of this Qaves may be subbum item 1h tam om area OMN Os adJded glass amtadi Was mndtioned flooras 0120 amen.MAW by 1100to gal the penxaL Ind 1M Wgnt On pacmft a snhtuwlacb Your c*vh1ed Daowdla0e ieb on ltmle 6f>2 Praaiptwe are gMaa by typed 9ps(dupla«doubt Dade)tad th oarbmhp(OIQ poked elle a wkr ierlpan osellGad(SH6C)-fora B Arps anduq the mnmu kn solar hest gain coOkiN allowed k spectad.Actual glass wkadad p dws and dam In But aderbrwae dthesso laaq bMV middled n 1M adMm ds net haw to odne pywEb the oarhap add solar hat phe cosign"nqukemena as Tgha erGj M nw glass b the addtlon mud mea Out Rgeasm ld across d1he oplim In the glass perantege alegay you ndieded.lbg owdwV(ON)dkamoe k me v"papgMko ly from the aced But pias lo a pokti dkv*acerb*owmat edged the ondoW 3. RBaOVI►1TMB ONLY.Replaamat glees seeds to meet the acam g requkemaak.Any flauss dupe and solar hod gate oneMded may be head for ubre area;which we undo at hall a 24MA overhang and whose lowest wipe does mat adand further#an 8 and tram IN arahag.Gass area being mnovded that do not mod this afar mud be aMw single-pane bMK double-pane Goa or do lab-peas timed. 4. M"NS SYS7M Comply when new syslam k hdaedtor system Ydlaled. S. Complaint the kaomalna regsapd ON the top MI of pope 1. 6 Real h0amum Rpuiremads for Small Addition and Re satlons.Table 6C-3.and chedr all applicable Man. 7. Real,Op all dde the TwndApent'certification statement on pope 1. 13.0,34 FLORIDA BUILDING CODE-BUILDING UL O S318YA HA i M AYM-30-IH91 b 3AI80 1Stl00 1Sd3 6' S .100 *091 4J •V v�ztti �'•;,,,'oa-,per B'IF $ t'or w� a Q 'O ew >o � � f sz u� tj� as C a W Y o ¢ ca e 3 W % owm t En a . L_J •M c Q We WU-O �}1 g FsJ� 0Z O Z 4. V 1 } LL J � �- 0 z�' Oo 0g/ �L - O n X °c °^ �o �Q G O �o M Q ok 1 �r°i u w� (D SON 60 X07 JO �v ai.�r�o 00,ml w 0� 1 m ]C U �O O J o J ED 1 . CITY OF ATLANTIC BEACH ISL 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001552 Date 11/17/08 Property Address . . . . . . 366 6TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1800 ---------------------------------------------------------------------------- Application desc siding ------------------------- --------------------------------------------------- Owner Contractor ------------------------ ------------------------ CARTER, GEORGE B. OWNER 366 6TH ST. ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 1800 Expiration Date . . 5/16/09 --------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. a > CITY OF ATLANTIC BEACH _ `S t O 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I I I I n OFFICE:(904)247-5626 a FAX NO.:(904)2475845 4 BUILDING-DEPTOCOAB.US sut" BUILDING PERMIT APPLICATION DUVAL COUNTY _FT UNDER ROOFY 4 :a CO s Co�•Z3 s� n v -7 06 a ° LEO 5CRIPTION ;TM?. s,r " tr, t` 1 0�3.C��. .. .. , 4 ::.,"i ,. 5,CLASS;O WOMn76�U$EQF UCTURE. [3NEW BUILDING ❑DEMOLITION [?RESIDENTIAL LO;�B LOCK SUB DIVISION L if Q Q ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL ❑ALTERATION EI ACCESSORY BLDG. a+fliZE':$PRINKtER UKEPAIR ❑POOL/SPA ❑YES ❑NIA S �1, (�.. `'� \ r� [I MOVE ❑OTHER 11KO - :CO .RACTOR .• �' ° { a,ARCHITECTIENGINEER.s;'}w,._. y,;• 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLO DA 7E NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: J 26.ADDRESS: - T JL �/►� 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE ONE: 2 FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: N 14t—d4Z �y —G (,3q 1131441A— !S7 13.CELL PHiNE: 21.CE PPHHONLE:: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.�MAIL ADDRESS: �� 30.EMAIL ADDRESS: �' ? frs 1s PEE�$IMRLE TITLEHOLDER Ir, ryUr�K BONDING COMPANY,; i a: g" �3 �yK ° r y MORTGAGE LENDER+ t ,. .,� 31.NAME: 33.NAME: 35.NAME: G c C.a 6 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT OWNER or AGENT �� f v t k CONTRACTOR, a+;�'.i s.t >.;' ge wer of,4ttomey or Agency Letter Required) ,. ., °:r,,., ,;. _•:.,. ? ,v... .. .`;� .:. ign '/ Date: 1, G Signed: Date: fff��Before me s y of 1 2007 in county of Before me this day of 2007 in the county of Duval of Florida,has perso ally ap Peargo Duval,State of Florida,has personally appeared herin himself/1.relf and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and deGarations are true and accurate. / true and accurate. Notary Public at Large,State ofCounty of Notary Public at Large,State of ,County of ❑Personally Known ❑Personally Known ❑Produced Identifica' _ I r z ❑Produced Identific Notary Signature: Notary Signature: TY 10117 il y, y IRLEYPublic L.GRAHAM CITY OF AT1�,A!7] Notary Public-State Of Florida ; MY Commission Expires Feb 14,2010 SEE PERMITS FOCommission#DD 518533 REQUIREMENTS AF '�iiil� �M a n¢/ 6 Bonded By National Notary Assn. REVIEWEDBY: Y t CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; 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. 11. INJURY LIABILITY; 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. Ill. IRS WITHHOLDING; 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. IV. PENALTY; 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. V.ACKNOWLEDGEMENT; 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. 3L� G O �S3 ADDRESS PHONE NUMBER PRINT NAME &A�,3l SIGNATURE DATE B e me this day of ,r Pay vis 'DRIR��EY L. GRA��fHfAM uval,State of Florida,has persona �?' No�ary�I ic�oMe of Florida My Commission Expires Feb 14,2010 herin by himself/herself and affirms2t;+ ants a e 533 true and accurate. I Bonded By National Notary Assn. Notary Public at Large,State of ❑Personally Known ElProduced Ident�catio - Notary Signa COAB FORM BLDG07;REVISED: 8/14/2007 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road r s� Atlantic Beach, Florida 32233-5445 'f �.�-• Phone(904)247-5826 • Fax(904)247-5845 �l jilt E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM ent review required Yes o Property Address: 1P �� f Buildln Planning &Zoning Applicant: (J_ h��f.IG Public Works may,,• .,,.,., , ,_ , .Public Utilities Project: Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH PLAN REVIEW SHEET � D. to Building Department Public Works&Public Utilities Departments oerr �LJ;31%�r 800 Seminole Road 1200 Sandpiper Lane R. Carper Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 ` �� Public Safety (904)247-5845 Fax (904)247-5843 Fax Jax Fire dept. r PLAN REVIEW COMME -TS / 0 Z 20 `� Permit Application# / Property Address �[( `n Applicant: Project: Review Result (Circle one): Approved Disapproved Approved w/Conditions Review Initials/Date Development Size: Habitable Space Non-Habitable Impervious area Total Area Miscellaneous Information : Occupancy Group Type of Construction Number Of Stories Zoning District # Parking Spaces Max. Occupancy Load Fire Sprinklers Required Flood Zone Conditions or Comments: APPROVED CITY OF ATLANTIC BEACH 1 � BUILDING OFFICE ati� 3 0� MAR 2 2007 � By; Building Dept, Public Works and Utility information at top of pa e, failure to notify the correct department of your revisions may delay your permit from being issued. HARLESTON PARKES, R.A. ARCHITECT ATLANTIC BEACH, FLORIDA 904-962-6369 FAX 904-241-7377 February 14, 2007 Addendum No. 1 Carter Residence 366 Sixth Street Atlantic Beach, Florida 1. Sheets A-2 and A-3 are revised and reissued to reflect new location for one column at the Porch, Carport junction and to make other minor modifications 2. The Architect has reviewed on site the modifications and additions to the Simpson hold down devises and approves the on-site changes in style, nailing and quantity. End of Addendum O� FILE COPY ARCHITECTUREh� c�,omcast.net INSPECTION JS ` Sr, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 DI Application Number . . . . . 09-00000445 Date 4/02/09 Property Address . . . . . . 366 6TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 3 FIXTURES ---------------------------------------------------- ------------------------ Owner Contractor ------------------------ ------------------------ CARTER, GEORGE B. WILLIAM' S BIG BOY PLUMBING INC 366 6TH ST. Q/A:GOODLING, WILLIAM ATLANTIC BEACH FL 32233 516 SOUTH 11TH AVE. JAX BEACH FL 32250 (904) 241-1880 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 56 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/29/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56 . 00 56 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 56 . 00 56 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH _ ry gym I I ( I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 0 v 4. OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US � v PLUMBING PERMIT APPLICATION DUVAL COUNTY 1`JOB`ADDRE5S' THIS'A'::SUB PERMIT.. 3,DATE: El NO GY(SES PERMIT#: PROPERTY;OWNER 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 777777, PLUMBING CONTRACTOR. 7.NAME OF COMPANY: 8.ADDRESS.: G✓�l/l�F�u't �`J� �G 1��iI�vGJt 516 !/V/}dc 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: 12 I`_ (,It o 3 ZC-( I — ( s5- S.- 0 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. 11 6,• b" e4o-1 cow e1 - reE- o Ik/Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS SIGNATURE: 15 NATURE OF WORK 16: 7 18G.CURRENT..C.ODEE ❑ NEW r ❑'06 FLORIDA BUILDING CODE ❑ RE-PIPE PLUMBING ❑OTHER: 19.NUMBER OF,FIXTURES , BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN I WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER Y LAVATORY URINALS LAUNDRY TRAY OTHER(SPECIFY): ROOF DRAIN 20:PLUMBING PERMIT FEES: ; PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: _ x $7.00 (PER FIXTURE) + $35.00 BLDG03 Permft Appficatiion Piumb:12M812008 `SS, CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD . ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 � r19 Application Number . . . . . 09-00000399 Date 4/09/09 Property Address . . . . . . 366 6TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 25000 ---------------------------------------------------------------------------- Application desc bed/bath remodel ---------------------- ------------------------------------------------------ Owner Contractor ------------------------ ------------------------ CARTER, GEORGE B . OWNER 366 6TH ST. ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 155 . 00 Plan Check Fee 77 . 50 Issue Date . . . . Valuation . . . . 25000 Expiration Date . . 10/06/09 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 155 . 00 155 . 00 . 00 . 00 Plan Check Total 77 . 50 77 . 50 . 00 . 00 Grand Total 232 . 50 232 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rt �,,;, CITY OF ATLANTIC BEACH oA- I I I I I s 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 +` j sr OFFICE:(904)247-5626•FAX NO.:(904)247-5645 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1`.JOB ADDRESS: 2.VAL TION OF WORK 3.SQ.FT.UNDER ROOF t to L ) . 14,7 4.LEGAL DESCRIPTION: 5.CLASS OF W K: 6.US OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ES DDENTIAL LOT7nBLOCK SUB DIVISION ❑AD511TION ❑CONVERTING USE ❑COMMERCIAL 7,DESCRIPTION OF WORK: GrALTERATION ❑ACCESSORY BLDG. B.FIRE SPRINKLER: 11 REPAIR ❑POOL/SPA 11 YES 13 N/A �[�jJ�� l�� ❑MOVE ❑OTHER IVO PROPERTYOWNER: CONTRACTOR: ARCHITECT I ENGINEER: 9.NAME: 15.COMPANY NA 23.COMPANY NAME: ) V-0_Z<-' ' --"� 16.NAME: 24.LICENSEE NAME: 1<0.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: ✓ Y� "'� �� 18.ADDRESS: 26.ADDRESS: 11 O IFICE P ONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 2B.FAX NO.: , � r3-_QELL PHONE �� 21.CELL PHONE: 29.CELL PHONE: 25 14 EMAIL ADDRESS: 2.EMAIL AD,D S: 30.EMAIL ADDRESS: )R<01 s •. h FEE SIMPLE TITLEHOLDER:, BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.tyQM CJ� _ ��•33.NAME: 35.NAME: -eDC hjA: 32.((A�VDDDDRESS: \ 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of Attorney or Agency Letter Required) (Qualifier Only) Signed: Date: � Signed: Date: Before me this day of 2009 in t e county of Before me this day of 2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. No Public at Large,Sta ,County of �- Notary Public at Large,State of ,County of Personally Known ❑Personally Known ❑Produced Ident'fiication- ❑Produced Identification- Notary Signature: Notary Signature: y REVIEWED FOR CODE COMP _ No a. Public- to of Florida C,E f-My Commission x as Feb 14,2010 'fes»,q�N„r. CITY OF ATLANTIC BEACH 0o D�SEEE PPE�RWI S FOR ADDITIONAL BLDG01 Permit Appli REQUIREMENTS AND CONDMONS. FF 111L F C Py REVIEWED W- DATE: o Doc # 2009070657, OR BK 14821 Page 1712, Number Pages: 1, Recorded 03/25/2009 at 03:10 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT State of Tax Folio No. County of—t-w-Us) To Whom It May Concern The undersigned liemby nt unna you do imptovema�will be made to certain reel properly,and in accordance with Section 713 of the Florida Statutes,the fopowing hrhruiahm is stated in this NOTICE OF C0MM1111ENP. Legal Dosrr4Wn of properly being mproved: 1 i 0 Address ofpropertybeing ;mproved: !� �a Geo-d description of improve newts: r A c '� Cin_ems_Addrea- owner's inte eat in site ofthe improvement �Simple Tifficholthan der(if other 0—):1111��'' Nares: Contrsaw. C Address: C f,�� o�3& C}q s c, Teh hone No: r7��"a " ��1 3 Fal No Surety(imy) Amount of Bond$ Addrass: Telephone No: Fax No: Name and address of any paraw maWn8 a loan for the construction Of ft improvements Name: Address: Phone No: Fax No: Name of Person within the State of Florida,other than himaelf,designated by owner upon whom no*w or other doeumenta may be served: Nam: Address: Telephone No: Fax No: In addition to himself~ e owdesipates the following Peron to�eWe a copy of the Liewes Notice IN provided in Sedan 713.06(2)(bl Florids Sues, til in at Owaer's oPdm) New. GIS/ Address: Telephone No: Fax No: Expiration date of Notice of Commencetnent(the expiration date is one(1)year from the date of recording mloss a dif—A date is speci5eft TffiS SPACEFOR RECORDER'S USE ONLY OWNER Lam, Date: S d Signed: Before me tb day o in the 6fDI Stets r .SHIRLEY L GRAHAM Of Florida, tY $ Notary PI-Stele et FlI Notary Public at eae of Florid of Duval. pN Co wA$im Fxpkw Feb 14.2010 MY Commission f or COMMISSM a DD 5188533 parlwaft Knoaa. Bonded B1 Nadonal Ann. produccod Idea0 CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT fit ( I. FLORIDA STATUTES; 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. II. INJURY LIABILITY; 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. III. IRS WITHHOLDING; 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. IV. PENALTY; 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. V.ACKNOWLEDGEMENT; 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. ADDRESS PHONE yUMBER t) PRINT NAME,c-_� 4 f —� � SI GNATU RFS-- DATE Before me this 42—W day of /4 2007 in the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate' V Notary Public at Large,S f _,County of ersonally Known ❑Produced Identific on- Y PVA' SHIRLEY L. Notary Signature: _ No tate of Florida x •- omm I xplres Feb 14,2010 ;` ComVy sion#DD 518533 COAB FORM BLDG07:REVISED: 8/14/2007 BondedNational Notary Assn. MAR-25-2009 02:55P FROM:HASKINS MAP COMPANY 9042410493 TO:2475845 P.1 Pagel of 1 111111��IIIII INS NIII ILII 111111111 IN to rx Print Date: •t, , ' 3/25/2009 3:10:36 PM Transaction#: 1357092 `b"""' Receipt#: 1305486 Cashier Date:3/25/2009 Jim Fuller 3.10:32 PM Clerk Circuit Court (KPEARSON) Duval County 330 E. Bay Street Rm 103 Jacksonville,FL 32202 (904) 630-2044 Customer Information Transaction Information Payment Summary DateReceived: 03/25/2009 Source Code: BEACH O GEORGE B. CARTER Q Code: BEACH 366 6TH ST Return Code: Over the Total Fees $10.00 ATLANTIC BEACH,FL 32233 Counter Total Payments $10.00 Trans Type: Recording Agent Ref Num: 1 Payments $10.00 CASH 1 Recorded Items BKIPG: 1482111712 CFN.-2009070657 Vj _(N/C_NOTIC$COMMENCEMENT Date:3/25/2009 3:10:30 PM From: CARTER GEORGE B To: COMMENCEMENT INDEXING 2 $0.00 RECORDING 1 $10.00 0 Search Items 77771 0 Miscellaneous Items —71 file://C:\Program Files\RecordingModule\default.htm 3/-25/2009 Rome Depot Store 6365 12721 ATLANTIC BLVD JACKSONVILLE.FL 32225 DATE: 04/06/2009 (904)220-0622 CUSTOMER: CARTERAEORGE SALES ASSOCIATE: 366 6TH STREET P.O.III: ATLANTIC BEACH.FL-32233 (904}2410493 Thank you for shopping The Nome Depotl We value your buslosssl F r 4 aq 07 To AC: '`• , 3 t1 (;IPTl!RfpRtCE. 0002 MANUFACTURER- HR Windows 1 Unit Slze=471/2"W x 35 1t2"H product Category:Windows Product Type:Single Hung Tilt scop: 1H" w+mo 4' DP Rating.OP 50 Non Impact Material:Aluminum Sodas:2500 11 Product Configuration:Standard Exterior Fifth:White Frame Type;Fin Frame Size Width(Tip to Tip):471/2" From Size Height(Tip to Tip):35 112" Sash Orientation:Standard(Equal) Egress:No tow Glazing:t.-Lowed Glace Tint.- Tempered.,No l Glass Thickness;DSS Grille Style:Insulated Muntin Grille Pattern;Colonial Top Lite Pattern:3W2H Bottom Lite Pattern.3W2H Screen:With Screen SKU.720513/HRW S/O WINDOWS 2500 47112"X 35 1/2"INS $ 133.47 $ 133.47 $ 133.47 Page: 1 Of 4 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r ` 800 Seminole Road 2 Atlantic Beach, Florida 32233-5445 0 J'� Phone(904)247-5826 • Fax(904)247-5845 "1 ,t»r E-mail: building-dept@coab.us �f/ p Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM De rtment review required Yes o Building Property Address: anning &Zoning Tree Administrator Applicant: �� ' Public Works ��.Gd� � Public Utilities Project: �� Public Safety AM Ac�L S8 �31_1 Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLlr,ATION STATUS Reviewing Department First Review: RAepproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING G / Reviewed by: Date: TREE ADMIN. PUBLIC WORKS Second Review: []Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD +J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000492 Date 4/09/09 Property Address . . . . . . 366 6TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc BED/BATH REWIRE --------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CARTER, GEORGE B. E-4 ELECTRIC, INC. 366 6TH ST. Q/A: BEHNCKE, JAMES ATLANTIC BEACH FL 32233 1247 BOCA GRANDE AVE. ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/06/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �. CITY OF ATLANTIC BEACH g OnI I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 7 V OFFICE:(904)247-5826•FAX NO.:(904)247-5845 J BUILDING-DEPTGCOAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: I_ 2.IS THIS A SUB PERMIT: 3 DATE 366 �"l ❑NO ES PERMIT#: PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 8 ELECTRICAL CONTRACTOR: [7'.NAME OF COMPANY: 8.ADDRESS.: G - 44 61ec-fr;c„ : c. 5a sa, 3-2A STATE OF FLORIDA LICENSE NO: 10.CELL PHONE- 11.FAX NO.: 30 133 3 12.EMAIL ADDRESS: q 3 C(-7q7� a`�6 393 13.OFFICE PHONE: 14. I ct,"L (r-/V�AIG ,conn def fg 393b 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS SIGNATURE: 16.CLASS OF WORK: 17:SERVICE: 18.METER NUMBER: E3MULTI FAMILY-#OF UNITS: iQ RESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING: 19.CURRENT CODE: grALTERATION ❑SIGN 49OLD ❑NEW 0'05 NATIONAL ELECTRICAL CODE .BkREPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: OVERHEAD ❑UNDERGROUND ❑UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: @POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: /�/ W: VOLT: RACEWAY SIZE: I 24.EXISTING SERVICE SIZE: AMPS: ; U PH: $2 W: VOLT:_2_k5 RACEWAY SIZE: 2 f a 25.FEEDERS: #of I AMPS:�- #OF_L AMPS: .2 O #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT:_ '- FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: q 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33.MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: /8a W1,`f lam. kc (Z BLDG02 Permit Application Elec:REVISED:12/182008 Hack t0 0-pote LOWE'S HOME CENTERS,INC.#16999 12945 ATLANTIC BLVD. 9IM3 JACKSONVILLE,FL 32225 USA , Datc:04/07/2009 (904)486-4701 Project#: 258269758 Description: sliding windows (Ifl) Customer Name: GEORGE CARTER Customer Phone: (904)241-0493 Customer Address: 366 6TH STREET SOUTH ATLANTIC BCH, EL 32233 USA Live Item Product Code Unit Price Quantity Total Price Frame Size Description YM.WWAMWM.WM+M+n+.wvsMyNM+Al tYM4WWNMMNMM.MMMVMM4WM.NMM.vArMr.M.N4NNWNMVMN.VIN 1 Manufacturer:JELD-WEN Windows&Patio Frame Size=3S 1/2" W x Doors-Venice $141/2" H IDivision: Millwork Product-, Windows IType: Sliding manufacturer:JELD-WEN Windows&Patio ODoors-Venice Configuration:Roller rime Size Width:351/2" Frame Size Height: 141/2" Exterior Finish: Premium Atlantic Vinyl Product Type:Roller ;Impact Unit:No Frame Type: Nail Fin 11'rame Color:White Blanding:OX Dade NOA: No 5 Florida Approval Number:8425.1 Glass Rating:R-50 Glazing: insulated IInner Glass Thickness:3/16" Outer Glass Thickness:3/16" ;Glass Tint:Clear Obscure Glass: No It'L owE Glass:LowE em Glass:No {Grid Pattern,. bone Screen: With Fiberglam Screen IScreen Calor:Charcoal 18116 i ;Screen Installation: Installed lCoastal Hardware Package:Coastal Hardware Harare:Cam-Lock $147.44 2 $294 CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028252 Date 5/12/04 Property Address . . . . . . 366 6TH ST Tenant nbr, name . . . . . . REMODEL BATH & KITCHEN Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 Owner Contractor ------------------------ ------------------------ CARTER, GEORGE B . RICHARD BELL 366 6TH STREET 1952 BEACHSIDE COURT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (9 04) 249-0131 ------------------------------------------ ---------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 130 . 00 Plan Check Fee 65 . 00 Issue Date . . . Valuation . . . . 20000 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . WATER IMPACT FEE 40 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ------ ---------- ---------- ---------- ---------- Permit Fee Total 130 . 00 130 . 00 . 00 . 00 Plan Check Total 65 . 00 65 . 00 . 00 . 00 Other Fee Total 75 . 00 75 . 00 . 00 . 00 Grand Total 270 . 00 270 . 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. Q, ( " !,,,k BUILDING OFFICIAL b � C Cc: ai,;,,,f��f� CITY OF ATLANTIC BEACH or J� BUILDING / ZONING DEPARTMENT .�. Higgins l 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 Cc)it (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # Property Address: ;i r ( E Lt ' Applicant: fi t kc-c r--J 6t• t I -A�� c Project: Cr n-, C"161 k c - k tcL >c-x kl This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: 4 Date: ( t �De- WATER IMPACT FEE WORKSHEET ADDRESS: DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers,commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower 6 Bathtub(with or without overhead shower or whirlpool 2 attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine,domestic 2 Drinking fountainAcemaker Floor drains 2 Hose bib 1 Kitchen sink, domestic 2 Kitchen sink,domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory1 Shower compartment domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple)each set of faucets 2 Water closet,flushometer tank, public or private 4 Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS= MUL11PUED X 20 �p TOTAL$ /j,*6 s` CITY OF ATLANTIC BEACH a BUILDING PERMIT APPLICATION (ALTERATIONS/ADDITIONS) !•E1i3 3� ��.��-z, Date: `7 (Y7 A-( C 4- Jab Address: ��b G Owner of Property: Address: 3 LG L� Telephone: Legal Description: Block Number: -7 °f Zoning District: �]_ Lot Number: Contractor: ` E? n�1>_p0JG (Wf( i7(l. State License Number: 6-660 :55-31-7, Contractor Address: lase A-4-4{in3IK, 6C.AR -tZ 32L9>'5 Telephone: 9 04 -)-4A 01'b `l.o 4- 6$Q.S Fax: Describe proposed use and work to be done: con m -rub y11oy3�P Ma�^�, R PAemovc Wt 1k , W91s i o Present use of land or building(s): 1 u CaL •Pf1`f►'1 1�1 Valuation of proposed construction: ' What are the dimensions of the added space: hi�- feet x feet Will the added area be heated and cooled? N New electrical or increase in service? 1'ltsS Add plumbing fixtures? YE-4 Add fireplace. NIS- Add heating/air conditioning? AM Is approval of Homeowner's Association or other private entity required? too 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? ON 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. O. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information 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)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 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 1/04 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. Signature of owner: Date: 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 tbA the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: &69 /0 Address and contact information of person to receive a correspondence regarding this application (p(ase print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of Al cx ,20 0e . State of Florida,County of Duval f Notary's Signature: /1/-e-(1Z� lie, Personally known Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this C) day of State of Florida,County of Duval Notary's Signature: JENNIFER GUTHRIE Personally known Z Notary Public State Florida Produced identification Myycomm.expires Oct.t.27,2007 No.DD 262421 Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/14/03 5 MIN. RETURN Boot. 11794 Page 423 PHONE# l3 NOTICE OF COMMENCEMENT State of Fz oxi N4 Tax Folio No. County of Rj\,1ft1 ._ To Whom It May Concern: 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: L01 2-7 1-q* tr"7 S 1 6 F LO-1 2A yr7GK ce— (6 0AT4 Address of property being improved: General description of improvements: 6 +2At9lrl VS15 g " YVeoq� . mo o fl C w 5 i M 'v ftt4 aAC-Z, YG Owner: Address: Owner's interest in site of the improvement: �ir+npi,f� Fee Simple Titleholder(if other than owner): Name: Address: Contractor: RtcrN� ee-1 — fbcSLLX. DW6 Com-rfAft-*,104, IiOC , Address: j95—j— P.r&9t f5IDS e'Y, Phone No: Z+q 01"b i Fax No: urety(if any): Address: Amount of Bond$ Phone No: Fax No- Name and address of any person making a loan for the construction of the improvements. 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 maybe 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(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY .A -'' t' Signed. ,-' Date: '47537 Before me this e ay of thCou ty DoC2M..– - Jof Duval, S e of Florida,has ersonally ppeared Pa e: 423 Filed & Recorded Gj�c,vQ,rL ,� . C ez 05/10/2004 01:59:01 PM Notary Pub('ic at Large, State of Florid County of Duval. JIM FULLER CLERK CIRCUIT COURT My commission expires: 2C�CYfo DUVAL COUNTY 5.00 Personally Known: or RECORDING ; Produced Identification: v�' Helen R WAson TRUST FUND S 1.00 •• My Commission=42431 'Dor a Expires August 15,2006 /�'� CONSTRUCTION MANAGEMENT PLAN FOR 366 6TH ST. 1. Demolition shall be inside the house as per plans. 2. No exterior site work. I Parking shall be in driveway or in R/W in front of house. 4. N/a 5. No trailer, and material shall be off loaded into driveway. 6. No chemical toilet. 7. Dumpster shall be in drive in front of car port as close to house as possible. 8. Access to project shall be thru driveway. 9. N/a CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028901 Date 8/20/04 Property Address . . . . . . 366 6TH ST Tenant nbr, name . . . . . . REPL AIR HANDLER Application description . . . MECHANICAL ONLY Property Zoning . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ CARTER, GEORGE B . OCEAN STATE HEAT & AIR 366 6TH ST. 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ------------------- ------------------------ --------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------ -------- --- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. B IC CITY OF ATLANTIC BEACH '6? MECHANICAL PERMIT APPLICATION J Date. Q Property Address: r�Ckn�c,4 uil Owner: —Car( Telephone #:241-04 Contractor: Ocean 6-raLTejam£ Q jC Telephone #: Eqa-$E5 1 Contractor Address: 14��p l.4 S'LL rqj C, �� _ Fax#:EqQ-CJ' yp 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 ordinances and standards of -good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: Electric IV. ❑ Gas: LP Natural _Central Utility EDOil ho ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _ Space _Recessed �4 Central _Floor Residential Air Conditioning: _Room ?4 Central b Duct System: Material Thickness ❑ Commercial Maximum capacity cfin ❑ Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm Z) Fire Sprinklers:Number of Heads Existing Building ❑ Elevator: __ Manlift Escalator (Number) Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency { 1co LA L, TANKS Norninal Capacity Type Liquid Serial Approving How Manv &Dimensions Contained Manufacturer No. Agency 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ei.atiantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 �l Jlis�r` Application Number . . . . . 04-00028564 Date 6/30/04 Property Address . . . . . . 366 6TH ST Tenant nbr, name . . . . . . 200AMP, 1PH, 3W, 220V Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ CARTER, GEORGE B . KNIGHT ELECTRIC LLC 366 6TH ST. 908 11TH AVE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 247-9884 ------------------------------------------------- --------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 4 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING COD _ BUILDING OFFICIAL C CITY OF ATLANTIC BEACH F ELECTRICAL PERMIT APPLICATION Date: Property Address: 6 & �-� Owner: " Telephone#• Contractor: Telephone #: Contractor Address: Fax#: 2117`99'C3 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. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New a Residence ❑ Temp. ❑ New being done on this building Or site,list the building B''Old ❑ Commercial ❑ Signs ❑ Increase Per�4nu E3 Re-wire ❑ Addition Sq.Ft. E3 Repair �1 - �2$ra Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE , Size AMPS 200 PH W VOLT !i0 WAY 2 Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets G CONCEALED OPEN D Receptacles CONCEALED OPEN 0 30 AMPS 31 100 AMPS Switches fo Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER6o0V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf Ea._Sign Miscellaneous 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH Isl 800 SEMINOLE ROAD j x t ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028252 Date 5/25/04 Property Address . . . . . . 366 6TH ST Tenant nbr, name . . . . . . REMODEL BATH & KITCHEN Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 Owner Contractor ------------------------ ------------------------ CARTER, GEORGE B. RICHARD BELL 366 6TH STREET 1952 BEACHSIDE COURT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-0131 --------------------------------------------------- ----------- -- ------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . UNITED ELECTRIC CO. OF JAX Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments RELOCATE PANEL, DEMO OUTLETS IN WASS TO BE MOVED (SVC SAME SIZE) 150AMP Fee summary Charged Paid Credited Due ---------------- - - --------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 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. I"&.- BL7SbRG7tTFF1ff1AL q Lj t, CITY OF ATLANTIC BEACH ' ELECTRICAL PERMIT APPLICATION V s1 �. Date: S- / - o c/ Property Address: 3(,b S T Owner: G e o r,!j c:.L '_ r+,,r Telephone#: -]oy- to Yo 5 Contractor: U n; e,L-4 r, Telephone #:—7 3) " Lld /O Contractor Address: 5`71 Lr 5+ tq S /Z X Sok Fax#: `7 .3 5 3 1 l 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 2ractice listed therein. Building: B ilding Type: ❑ Trailer Service: If other on Ih�ba(dings ❑ New Residence ❑ Temp. L) New being Old ❑ Commercial ❑ Signs ❑ Increase Or site,list the building numb - LIPermRe-wire Li Addition Sq.Ft. ❑ Repair v4,tOOner`a 02 5-Z Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS S D PH W 3 VOLT WAY ` Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0 10 AMPS 31 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V VER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sin Miscellaneous !0 Com, c-1 lid D e M-o -,4- °�S /A' L►/4 �� (1`-,OVf d . CSVC_ 5�� 800 Seminole Road• Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://www.ci.atiantic-beach.f.us t SIL x ` , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . 04-00028252 Date 5/20/04 Property Address . . . . . . 366 6TH ST Tenant nbr, name REMODEL BATH & KITCHEN Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 Owner Contractor --- ------------- -------- ------------------------ CARTER, GEORGE B . RICHARD BELL 366 6TH STREET 1952 BEACHSIDE COURT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (9 04) 249-0131 ----------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . WILLIAMS BIG BOY PLUMBING INC Permit Fee . . . . 56 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ---------- ---------- ------- Permit Fee Total 56 . 00 56 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 56 . 00 56 . 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 PART OF THIS PERMIT S CT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 6 . . BUILDING OFFICIAL CITY OF ATLANTIC BEACH Y PLUMBING PERMIT APPLICATION Date: Property Address: 36 G 6 Owner: &-eo Telephone#: Contractor: t�V t (, ciA �'� 'I`,• . , _ l :i , 1 Telephone#: en Contractor Address: 5-16 ( ( f-1'' �}U L Fax#• 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 permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine _ Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: e^ X $7.00 + $35.00 = 800 Seminole Road -Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 - Fax: (904) 247-5845- http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION — -I LOCATION INFORMATION Number: 18247 Address: 366 SIXTH STREET — Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION - Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 5/20/1999 Name: CARTER, GEORGE AND ALICE Total Fees: 25.30 Address: 366 SIXTH STREET Amount Paid: 25.30 ATLANTIC BEACH, FL 32233 Date Paid: 5/20/1999 ! Phone: (904)241-0493 Work Desc: ESS150AMPS 1 PH 3W 240V GROUND METER CAN/REPLACE CAN CONTRACTOR _ ---- BARKOSKIE ELECTRIC SERVICE APPLICATION �—PERMIT 25.30 i i I I I I j Inspections Required ROUGH ELECTRIC I FINAL ELECTRIC NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER ! FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. jl II �' $25.3814 L Date: 5/28/99 81 Receipt: 9858698 A LANTICC BUILDIN T. CHECKS 8278 __-- -- 88188883221888 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 n: PERMIT INFORINATION ,:. z Permit Number: 19671 .00iAT�t)It Ott Address: 366 SIXTH STREET Permit Type: FENCE ATLANTIC BEACH, FL 32233 Class of Work: NEW ! Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number Improv. Cost: 1,000.00 Date Issued: 3/06/2000 M- OWNE}f#JY�, Name: CARTER, GEORGE AND ALICE Total Fees: 10.00 j Address: 366 SIXTH STREET Amount Paid: 10.00 ATLANTIC BEACH, FL 32233 Date Paid: 3/06/2000 Phone: (904)241-0493 Work Desc: ERET SIX-FOOT WOOD FENCE PER PLANS PROPERTY OWNER = � PERMIT � 10.00 i I i NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER , FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. .80 14 �— Date; 3/87/88 81 Receipt!. ATLANTIC BEACH UILDING DEPT. CHECKS 1288 88188883221888 APPLICATION FOR FENCE PERMIT Owners Name L( hone o`Z 3 Joh."dross Lot block anWor Unit # Subdivi i sen C� Contractor if different..from owner. Valuation_of fence.. 4d P Corner or Interior.Lot Type of Construction Show location and height of fence as well as location of street(s). Ca s 6 2000 �i.tiy fiilantic Beach � ildini3 and Zoning Owner Signature (k4,1� 'Ce — DU �i Date_ Contractor Signature Date CITY OF .tic Ve4d . 57&ud4 800 SEMINOLE ROAD "-- -- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE (904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(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. T)-IE 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 WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 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(l). 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. PROPERTY OWNER/BUILDER �? SSC/ d y�13 ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIq6 L4A DAY)OF NOTARY PUBLIC ,,,,, poWa AnWdft NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: S ti �y&F': MY COMWSSIoN N cam,�(pIRES ARE EMPHASIZED BY THE BUILDING - • - August 27,2000 DEPARTMENT. Q, gpNDEDTNR(1T7�YF AIN INSl1HAl1�' ' ap� SS[fl[fl a aC o OLoaDaEflW g�Lo[fl dCE)l Oo [p LOT 27 AND THE EAST 5.00 FEET OF LOT 29,BLOCK 7,ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA. -p �. wao c e 6th ( SIXTH) STREET 40' RIGHT-OF-WAY fo Nv/'1•'R.� O,, 0. AT `() METER ,~ 42. car LJ c.�eerc Ln w.. P I crw wa >> I 3 COVERER ` �~ — CONC. efooP ze.3 10.0•- Yh-- I Q> 0.3 I 0 3 Io.o I N? ao LL wl e.e� od ONE STORY Ol F FRAME Y P — N ; NO. 366 �y cc I v 39.34JIaB 0 B L O C K 7 O l y Q I Need Dl0 k I� c LL N—d SYeps I L� O Q, ILI e b, A' CHAIN LINK FENCE �00 3 N 10 0.9 F«A.o ".,1-) 10) atiPvr_/ 5.DO ''— Fcuuoy—a 1e. Iva .I./D) L O T 2 6 L O T 3 2 L O T 3 0 L O T 2 8 B L O C K 7 B L O C K 7 B L 0 C K 7 I B L O C K 7 I Q I J E Wo NOTE: E .CP A� �1 NO BUILDING RESTRICTION LINE BY PLAT,BUT THERE MAY BE r.P Ol06 �00� RESTRICTION LINES OR EASEMENTS THAT AFFECT THIS W'� PROPERTY BYZONINGOR RECORDED IN THE PUBLIC RECORDS O A OF THIS COUNTY THAT ARE NOT SHOWN ON THIS SURVEY. PREPARED FOR THE BENEFIT OF: l! GEORGE S.B ALICE E.CARTER FIRST UNION MORTGAGE CORPORATQN OLD REPUtll1C NATIONAL TITLE INSURANCE CO.: THIS PROPERTYLIES IN FLOOD ZONE •%• PATTERSON,BOND 8LATSHAW,PA. BY FLOOD MAPS REVISED Ah7/1989. COMMUNTIY PANEL N0. 120070 CDO1 0. DMIFpIE�I[0ITM IiZMMP /J U TLl ®k G^J INC. fL I A H. BRUCE O N. BRUCE OI7NBEN,SR. 1POST103 OFFICE SOX SOe7B MAY 6, 1999 1103 SN7N THIRD H, ICT JACNBONYILLF.BEAN, FLORIDA 72250 OATF- 19011 219-7261 SCALE: i" - 20' THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. �- 1588 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, F132233-Tel. (904) 247-5826 ROOFING PERMIT PR''MI~7".IFRil+ll L CA I77N tNI=O>I t A ION Permit Number: 22195 Address: 366 SIXTH STREET Permit Type: RE-ROOF ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 2,460.00jffif �� Date Issued: 6/19/2001 Name: CARTER, GEORGE AND ALICE Total Fees: 30.00 Address: 366 SIXTH STREET I Amount Paid: 30.00 ATLANTIC BEACH, FL 32233 _ Date Paid: 6/19/2001 _ _ Phone: (904)241-0493 _ _1I Work Desc RE ROOF , ti APi ,1C ► +31 Ftp " i 30.00 HAROLD HAROLD PLEMMONS ROOFING PERMIT. , k �k*CNK —� ".cam` �, 'S">.' a R A gg w NOTICE- INSPECTIO14S NO' BE REGtUIsSTED___ AT LEAST 24.HOUI�S Pr�OR TO INSPECTION_ BUILDING MATERIAL, RUBBISH ANDDEBRIS FROM THIS WORK MUST NOT B -ACED IN JBLIC SPACE,AND MUST BE CLEARED UP AND HAULEIWAY BY EITHER CONTRACTOR OR NER ; "FAILURE TO COMPLY WITH <s RESULT IN THE PROPERTY OWNER PAYIi `I�W)C F0"t4LD I . IIP 1 E ISSUED ACCORDING TO APPROVED PN� F :P PTflF1 MIT AND'SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIO fJ SA'�N_T 330.0014 TY OF IC B CH Date: 6/13/bi 61 Receipt: H66546 CHECKS-- 0010000322212,00 HECKS "-001000032'12,00 CITY OF ATLANTIC BEACH Ci:y cr A'L!an;i;:. Bea--ti Buildin,g and Zoning ROOFING PERMIT APPLICATION JOB LOCATION: > �< �= OWNER OF PROPERTY:_ TELEPHONE:: ,` /—y Y93 CONTRACTOR: CONTRACTOR'S ADDRESS: ZIP: - z 2- STATE STATE LICENSE NUMBER: Z L L z�) 5'"2,Y z� TELEPHONE: ,.-2--/-�-,-cz DESCRIBE WORK TO BE PERFORMED: / /'v o VALUATION OF PROPOSED CONSTRUCTION .2 d MATERIALS TO BE USED: SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: �G�l SWORN TO AND SUBS RIBED BEFORE ME THIS =`'�1Y'� dMArs� 0.c +eaeN3e62s- 19_ /� �(�' •. �'a EXPIRES:June 3,2005 C f"''— %Ilf��dl Bonded Thru Notary Public Underwriters AS TO OWNER: �I - i NOTARY PUBLIC SWOR 44 --- SUBSCRIBED BEFORE ME THIS l DAY O 1/-/,-1L, AST CONTRACTOR ' '�- ` NOTARY UBLI Liability Insurance Supplied Workers Compensation Insurance Supplied Contractor License Information Supplied Occupational License Information Supplied CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMI i E I V.�5 � { M 11V 1 9 1999 19 C1 City , ; l�tlantic Beach TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ��`"�rTT�� Si_iilding and Zoning IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE HO HE ATTACHED PLANS AND K AS DESCRIBED IN THE FOLLOF C NG,WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MAST EL CTR IAN SIGNATURE NAME _C ADDRESS:�rr6 /i_0 � - RFD BOX BLDG.SIZE BETWEEN: RES. l 1 APT. ( ) COMM. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD ( 1 REW. l 1 ADDITION ( 1 TRAILER ( ) TEMP. ( 1 SIGNS ( ) SQ. FT. FEE SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. SWITCH OR BREAKER AMPS PH W VOLT yACEWAY EXIST.SERV.SIZE AMPS PH �W Z- G VOLT RACEWAY , v FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 81.100 AMPS. SWITCHES INCANDESCENT - FLUORESCENT &M.V. FIXED ()•100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL NEAT: KW HEAT O-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS r PSA-384415149' f DEPARTMENT OF BUILDING I CITY OF ATLANTIC"BEACH Y .... PERMIT I NFORMAT I ON - ------- LOCATION INFORMATION PeIrd; t Number: 15149 Address 366 SIXTH STREET Permit 'I'ype:ELECTR CAFo: ATLANTIC BEACH, 'PLO1R`IDA 32233 Cla ii of Work-ALTERATION - LEGALDESCRIPTION - f e:N'OOD FRAME Block,:' Lot : 27 Twp-Twp- �- Con�tr. T ir ! Praosoaed Use: Section: C Subdlo Rn4. { �vre 1znc 1 Subdivisibn:SlUBDIVSION A E t . Value: 0 .00 I4noV Ccsst ; Q . �Ct Total F'e+ 1 25 .00 Amours �, 25.00 in 17I _-. If 'ION APPLICATION FEES Name,;f MIT 25 .00 Addy "REET "+ `CI FLORIDA w * awhAB � 4, ye' ak w i4 p §, C IR x*6RMAT1 I QN i Mame ' ALL SERE ELECTRIC JACXSONVI ; E, FL 32245-6694 t Lac Tly v Y NOTES. E 7 4 1 i NOTICE'-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 4r� k k t i Y i BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEAR9t UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER < "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICEFOR BUILDING 'IMPROVEMENTS," ' r ISSUED i"ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. g } 41 t pp m i4$NE"u iii 4`iX�" h ATLANTI " EACH BUILDI DE ARTMENT i 3 By: --.- SZ r CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: _ 8_ _I j" 9 9�- 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 ArD CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECT AN SIGNATURE ath �� t2..� NAME K ADDRESS: BLDG.SIZE BETWEEN: �� CEj.4S7 f✓12rve_ � S(�crry ikwe (-/)RES. ( APT. ( 1 COMM.( I PUBLIC ( ) INDUS. ( ) NEW R ! OLD ( w REW. ! 1 ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS ( ) _� SQ. FT. SERVICE: NEW( 1 INCREASE ( ) REPAIR ( } FEE CONDUCTOR SIZE AMPS _ _ COPPER ( ) `ALUM. ) SWTCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS ! PH IiW Zyv VOLT RACEWAY FEEDERS_ NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O_XO AMM. 91.10b AMPS. SWITCHES �---__ INCANDESCENT FLUORESCENT&M.V. - FIXED 0.100 AMPS. ovcw APPLIANCES BELL TRANSF. l AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT OVER MOTORS HP. VOLTAGE PHS NO, 1 H.P. VOLTAGE PHS M I SCE L L AN E OUS c� C(2 Cu fy •z Alen u-r �r$ coo'l ec7 vn ��ciS7 �i4�G G./2 c.,Y TRANSFORMERS: UNDER 600 V. OVER 600 V. - - -- y PSR-3844 p DEPARTMENT OF BUILDING i CITY OF ATLANTIC BEACH INFORMATION PERMIT INFORM -. ... .» ------- LOCATION INFORMATION- -------- Permit -_-_-_- 1Permit Number: 10C 89 Address : 366 SIXTH STREET E errvi.t Type:MECHANICAL ATLANTIC BEACii; FLORIDA 32233 Class of Work:ALTERATION � - . �- -- LEGAL DESCRIPTION Constr. Type:WOOD FRAME BI ock q Lot ., 2? Tag; � Pr osed 3 e: Section: 4 Subd:O Rnq; 0 , Lwe11 iTlg 1 Subdivision:SUBDIV'SIONA Est . - Valuee 0 .00 Improv . Cost : 0 .06 f Tdta l Fe 37 .00 Amount D0 Date Work .T ,. t, :. ENSER AN AIR HANDLER d APPLICATION FEEa st71 1 �37�00 Addy A ` �� OFIEETFLORIDA IT Phort �� d4 C R � ORMA T I Oj; i Addr 19 f}. UPI I S•I'"I'" �ROULEv'19 T N ' JACKSON FL 32211 E Lig RME01569 ', Exp: 1 s I'T t � � NOTES: i i y NOTICE INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TQ INSPECTION BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE_. CLEARED UP AND HAULED AWAYBY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT 1N THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMP R01fEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOTI}�'fOR VIOLATION OPAPPLICABLE PROVISIONS OF LAW. „ t • W7719 MRS ATLANTI EACH BUILDING EP TMENT i381132':1�@ By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT -CALL-IN NUMBER-- ffe.1 MPORTANT — Applicant to complete all items in sections I, II, III, and IV. ddress:OF ng $tracts: BetweenAnd. on II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abr,ve statement we hereby agree to perform said work in accorcild, with the attached plans and specifications which are a part hereof and in accordance "i, the City of Jacksonville ordinances and sfanda ace of good practice listed therein. rd Name of Mechanical Contractors Contractor (Print) O Z Master Name of 112 Property Owner — 1 Signature of-0wner V Signature of or Authorized Agent Architect or Engineer 111. GENERAL INFO TION A. Type of heating fuel: B. (_+-"I:lectric IS OTHER CONSTRUCTION BEING DONE ON THIS BUILDING OR SITE?_ ❑ Gas—❑ LP ❑ Natural C1 Contra[ Utility ❑ Oil IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO /E INSTALLED NATURE OF WORK (provide complete list of componenh on beck of this form) P TUResidential or El Commercial Heat 11 Space ❑ Recessed 13 Cantral 0 Roo, L] New Building Air Conditioning: ❑ Room Or'—Control W Exlsting Bullding ❑ Duct, System: Material Thickno L4—Replacement of existing system Maximum capacity c.f.m. U New installation(No system previously Installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower: Capacity q.p.m. FJOther — Specify ❑ Fire sprinklers: Number of heads _---- ❑ Elevator ❑ Manlift ❑ Escalator (number( ❑ Gasoline pumps (number) THIS SPACE FOR OFFICE USE ONLY (Reeeiwd) ❑ Tanks (number) Remarks ❑ LPG container (number) ❑ Unfired pressure vessel ❑ We" Permit Approved by Detss ❑ Other — Specify Permit Fe. LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Unit. Deacrlption Model Number Manufacturer �r�IM)Y A=trvY /j CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT PEI M11 '11111 ORMATi.o 1. TiQN INF RMA'D I Permit Number: 18210 Address: 366 SIXTH STREET Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWN. ]NFORMATIJO Date Issued: 5/12/1999 Name: CARTER, GEORGE AND ALICE Total Fees: 25.00 Address: 366 SIXTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 5/12/1999 Phone: 1904)241-0493 Work Desc: REPIPE C( TRAT S . . A,PPGATiON FEES LARRY TEAGUE AND SONS PERMIT 25.00 s tons.R aired.. FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. \rte C ATLANTIC BEACH 9UILDING DEPT. CITY 01' A.T11, `TT7C rPPLKATION OR PLG2�.3IR'G ?:' ?T 1 Eli EPHC_-NEE NO• �0 �7 �T�'�t_Trr� CONTP CTO LARRY T AGUE & SONS CONTRACT—ORIS FCDR-SS: v T'_.'E LICENSE �TLn"_BE^ W_ _ T^cLC?HOiiE — 5 0 IT a 6 F.OI KZLNTY OF THE FOLLOWING FIXTURES INSTALLED S ID7KS _ SHOWERS _ LAVATORY _ WATER HEATERS SATEDiSH'-iA :-iEF:S RINALS DISPOSA :S CLOSETS WAS IN- Kk,C 1:I�v'E FLOCK DPF1iivS SHOWER— D R DFLV S SEWER WATER _RE'T PE OTHrk F TOTP.L FIXTURES: MINIMUM FEE - 525. OC SIGNATURE 0_ OWNER.: SIGNATURE Oc CONT 'r INSTALLP_mION SOF PLL ING FIND FIXTURES MUST BE IN ACCORDANCE. WITH THE MOST RECENT EDITION OF THE SOUTHERN STP.iDARD PLU1,I3ING CODE. C..AL7 A DAY AHEAD TO SCHEDULE INSPECTIONS - (9041 247-582c SEWER CONNECTIONS t-r ST BE CALLED INTO P''BLIC WORKS FOR INSPECT?'GP: PRIOR TO COVERING UP - (904) 247-5834 12601 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH � PERMIT INFORMATION ------ -------- LOCATION INFORMATION FORMATION -------- I? rt ' t Number, 12601 Adds ; 366 SIXTH STREET Per` it Type-.FENCE AT LANTIC BEACH, FLORIDA 32233 1at5 cif Work;NEN --- I EGAL DESCRIPTION - Can Type:WOOD FRAME Black; 1 Lot ; ---------- Con, I'rc " ped tl e: IN LSE FAMILY Section: 0 Subd: N��: a Ming ; a Subdivisi'on;ATLANTIC BEACH E . Value; 0 .00 Imp v Cost ; 199.00 Tr.al Fe 10 .00j Amoint 10 .00 0,06 i T TIO N A PLICATION FEES"Na ` ER =,IT � �1Q�aa Addy: , 3 ST B FLORIDA P3 R R FORMAT I Name; FRU ER NER - . Li « . Exp; / `: a s � I I . i NOME--ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE I§UILD1W, MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PL�CED IN PUBLI SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER 1 ` 1 . TO COMPLY WITH THE MECHANIC'S LIE.* N L.A CACI" RESULT IN ERty{ �VNR PAYINGTWICE FORTHE Bt ILDIN IMPR VEMENTSi' ISSUED A CCORDING TO APPROVED PLANS WHICH ARE PART OF THIS FERMI AND JUBJECT TO REVOCATION FOR NIOLAT40 OF APPLICABLE gOVISIONS OF LAW, 111#. 14 - -ATLANTICI PEACH BUILDING 13 T 11 BY. APPLICATION FOR FENCE PERMIT Owners namep_& �i --- �.��J�� '_✓fir-------- -------Phone _ Job Address �� '°`Yl --_ _ __ `= _____ L�- --------�-- ------------ Lot-------Block and/or Unit #------------Subdivision Contractor if different from owner ------------------------------- ------------------- ---------- <20 Valuation of fence $ 0 ' _-_ Corner or interior lot Type construction Vv P> Show location and height of fence as well as location of street(s). Owner signature__ ' 'Q( � Date_n-_-, - 11'� Contractor sign atu a Date_____ n 48 .7 DEPARTMENT OF BUILDING " CITY OF ATLANTIC BEACH 1 � PERMfT INFORMATION . ' -------- 40CATION INFORMATION Perot Number: ' 481-7 Address i P66 SIXTH STREET Peirsit Type: UTILITIES ATLANTIC BEACH, FLORIDA 32233 Cl o Work: ADDITION ----------- LEGAL DESCRIPTION Con tr. Typer: WOOD FRAME Lot: ? Black: Section: -_ Pra eaeae�d Use: SINGLE FAMILY TgrrnsIzip: Dw*ll inges: 1 Gard : 0 Subdivisi an,: EOU at d Value: $0.00 I prow. Cost $0.00 ATotal S100. 00 mok, $100.00 RMI ftT .,D, PRIOR NATION � APPLICATION FEES 5S PERMT0.Clq Addr+ :s STREET aq w IMPAC ' FEEpow x:00.00 T CH, FLO] FS 5 T FEE �1 O, RA6(*,`GAS--H. R. S. $0.00 T * { NFORMATION - RADON-,UTAS, - SX 00. 00 N e: RO Y WNERa t !�P $0.00 A-dd i"z .. SE'I°S: 'TAP O. 00 HYDRAULIC SHARE $0. 00 Lids a Type: 1 RE-INSPECT FEE .00 BEC. IMPACT T E� C► .., jE` .t0 � C b NOTES: 3 i v i NOTICE--ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTgo BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF 1 SUE BUiLDIN1 MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BEP ACED IN PUBLIC SPACE,AND MUST BE CLEAREO UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER `SRA! URE TCS°CO, laP Y WITH THE MECHANICS' EN., LAW, CAN RESULT 1N THE ROPERTY Q1 N It PAYING TWICE FOR B,WIL 1k, MPRO EMENTS " QED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT *0 T TO REVt 'I }N FOR . -,VIOLATIC 1 OF�APPLICABLE PROVISIONS OF LAW. too ' ATLANTIC IIEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS s PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. Q BATHROOM GROUP CONSISTING OF WATER CLOSET, LAVATORY & BATH SERVICE SINK TRAP STAND TUB OR SHOWER STALL (6) (8) WATER CLOSET, TANK OPERATED 4 WATER CLOSET ( ) VALVE OPERATED (8) d BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) • SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) . ' LAVATORY (1)WASHING MACHINE (3) 3 COMBINATION SINK AND TRAY ( ) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF KITCHEN SINK (2) FAUCETS (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) Z) JACUZZI ( URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS @ $20.00 EACH $ JOB INFORMATION ' . a n - � f1lil, �JL -711 ett..c�11i e< �.Q,� ,�.��c,f�µ � 4 1 4to a 010 1 p'J 1 /� : .urric B CH • � 1„_ gUl'LDING 01 'ryq ®®V �� ®®OITY AUTYMOM HUI INGOF,,AGE .� ►: E--� of 7 • r Duiln andonino J. a �, It 3, j � 1 � A p�p�SRN%C 8 0 CI �u 1N Olt r .. - pp vv QITY OF ALA TIC Qb BUIi_DI G O FIGS EC 6 fl LI-7 l f r i J A N 131992 CITY OF ATLANTIC BEACH L l ding and Zopi; PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner(s) : L -- _----- ------------- Address: 134 T 4 ---Phone:- `t'� --------------------- - Lot ------- Block- or Unit # Subdivision:__ -----1 - ______ ___________ Contractor ----- C)Uj �-� -------- -------- Describe work to be done: ---- -------- --- ------------- -- -------------------------- ----------------------------------------------------------------- Present use of building:____ Valuation Proposed use:_________________ ----------------------------------- Is' this an addition?_________ If yes, what are the dimensions of the added space:---------ft. X ---------ft. Will the added area be heated and cooled?________ New electrical for increase) ? New plumbing fixturesi2:_ New fireplace?....New Heat/AC? SUBMIT THREE COMPLETE SETS PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Q, Signature OWNER: Date. Signature CONTRACTOR: Date: s 48'.1.6 U DEPARTMENT OF BUILDING CITY OF ATLANTIC'13EACH PERMIT INFORMATION - -- LOCATION INFORMATION - Per ► Number s 4816 Addreset 366 SIXTH STREET Pe it Type t PLUMBING ATLANTIC BEACH, FLORIDA 32233 C1 SS' of Work: ADDITION ---------- L96AL DESCRIPTION . Con r. Typo,; WOOD FRAME Lot: �R3 ca lx x 'Section: . Para ed Uee: SINGLE -FAMILY To #ns p: RUG-. {t Dv011 non z. 1 Coc[4 r 0 Subdivlsioz rt ` ted Ya 1 e a *O. O0 I arov, Cost: *O.00 1 ctrl e . $22. 00 A esu . *2ZOO 00 yk x i r. ,n.9c,,�v W dc!Mm �{ _ r"7! CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: PLUMBING CONTRACTOR: ' LICENSE NUMBER: C�F� 4 2 S`y 1 OWNER: BUILDING CONTRACTOR: ' TYPE OF BUILDING: SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT: v2 + s15.00 ------------------------------------------------------------------------------ INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. ' 4855 DEPARTMENTOF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION I3 Per" t Numbers 4855 --------- LOCATION INFORMATION Address: 86 SIXTH STREET _-� -_� Pe mit Types ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 + C1 e ' Work: ADDITION ---------- LEGAL. DESCRIPTION - on t c� r. Types WOOD ;FR'AME Lott � H1 1�s Sections Pr Pr ,ped Use t SINGLE FAMILY Township: 9MG s 0 Diel Inge; 1 Code: OSubdivi sic n r Esti at,6d Value: $0. 00 Iprov. Coat 00. 00 *20. 70 a< ti $20.76 DDA a, ✓9 Work aV, tITL.ETS RECEPTACLES AND SWS CHEF IN ADDITION ` N' "'� *` * ,( At'PLICATTEIN FEES nATIt3 �, . _.. PERMIT $20. 70 Ad sb H STREET' 'WA R IMPACT FE �z BIT.4C1 T CH FLO 2 � 3 S FE dkb 6 R. a. $. RAD(O GAS–H. R. S. $0.00 RADC1 C3A5 - S C}. Ofl N ;tees LA I;I `RICAL VICES IHC WATE y TAP ` t��:. Alc E- 532 .~,,. ..a S WE2 TAPO. Cap ORA ARK, F`L 32067-0692 HY'DP LILIC SHARE O«Cao L.Ia + :r. "' TYpes O RE–I SPECT F'EE SEC. # IMPACT FE .51, I ,.. HE e�a 40 I NOTES: t I s' NOTICE —ALL CONCRETIr FORMS AND FOOTINGS MUST BE 1NSPE TED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF 14SUE BUILDIN MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE P ACED IN PUBLIC SPACE,AND MUST BE :,CLEAR8q UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER ""FAILURE TO COMPLY WITH THE MECHANICSLEN LAW CAN RESULT IN THE' FOOPERTY OWNER PAYING TWICE FOR 13'UIL TNG IWIPROVEMENTS " 4tRi.IDATION DATE: 01/24/92 � 4 ISSUED 4CCORDING TO APPROVED PIANS WHICH ARE PART OF THIS PERMIT ANDS T TO REVOC $d FOR VWLATIO OF APPLICABLE PROVISIONS OF TAW, , , GIS I WARI ATLANTIC LEACH BUILDING QEPARTMENT By: r CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNA NAME -F'il�G1; �� A�DRESS: D BOX BLDG.SIZE BETWEEN: RES.LA APT.( 1 COMM.( ► PUBLIC( I INDUS.( 1 NEW( ! OLD( 1 REW.( ) ADDITION(,/) TRAILER ( ! TEMP.( ► SIGNS ( ► SQ.FT. SERVICE: NEW( 1 INCREASE( 1 REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER f ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT 'RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE UGHTING OUTLETS CONCEALED OPEN TOTAL c RECEPTACLES CONCEALED OPEN TOTAL "J C 0.90 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT 3 FLUORESCENT&M.V. FIXED 0.100 AMM I OVER APPLIANCES I I I I BELL TRANSF. AIR H.P.RATING H.P.,RATING , CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 N•P VOLTAGE PHS MISCELLANEOUS �..--.w�ww �wn_ ..�.w�w IwM\I A\/CD L•M\/ wsA eaa 7366 DEPARTMENT OF BUILDING r CITY OF ATLANTIC BEACH PERMIT INFORMATION -------- 'LO ATION I NFQRAAT I ON - ------- Number,, . 23+ 6dress 36 SIXTH STREET P+ ii t Type: FENCE ATLANTIC B'EACH, PLORIDA 32233 kS' 4 car : NEW ----- .-- _ i�EGAL �3ESCRIk�TO1+F __-. _, _- '+eras r Type. WOOD FRAME Lot : 27� $1 7 Section- A' drt seal LTA: SINGLEFAMILY Tyra hip: R.NO. 0 1 ra ft : Cod J; ubdivisionj SUBDIVSION A E �tL d Vallue; 304 oo Im rov F Cras,t k 'fatal T' $10 ,00 � �UAt a /?1/93 PER,, PLAN .r ; ,"_ APPLICATION FEES ----- T I ON R Na COD FEDI` .00 ddr STREET WATER 'IMPACT PEE X10 10.00 C` FLORIDA 35 T S � P EE ASO 00 r Phi` 1 SS :a5 , orbs I, . RADON IGAS-H.R.S. $0.00 P R RMAI{N RADON OIS �� $0.00 x CAPITAL IMPROVE. 90.00 SEWER- "TAP-0. 06 a. HYORAUIL 1 C SHARE $0 .00 � 1 Typ6« 1 CROSS CONNECTION x_.00 SEC.H 'IMPACT FEE $0-.06, NOTES, � fl I 4. NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF I6SOE UILD( MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE lf-'�CLEAR UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAI URE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN TNS° RCIPERTY OWNER i AYING TWICE FOR BUILDING'IMPROVEMENTS. ISSUED kCCORDING,TO APPROVED PLANS WHICH ARE PART OF THIS PER IT AND SUBJ �TO REVC747�T R " IOL�1:t N ESP APPLICABLE PROVISIONS OF LAW. eimm I 21l. t *IT s 109930 ,ATLANTIC BEACH BUILDING DE)JARTMENT ! s C k t .I APPLICA'T'ION FOR FENCE PERMIT Owners name__ _ C�� (�1�4PhonE_aq I-a Job V � Address_____��-�� f� •-�-- Lot -Block and/or Unit # -- --------- ---------- Contractor if different from owner ] --------------------- -- - ----------- Valuation of fence $_SCG ---- Corner interi lot Type construction ----------------------- Show location and height of fence as well as location of street(s) . { Owner signature r -- -- - __ _ ------ - ---� _ Date -� Contractor signature ---- -- ------- Date Keith«attinn Watson.� Oshot ne I %Pat,on&Oshurm, 6825 Lillian I,o.nd 6825 Lillian Rvast Jartlsr,nailte,Florida 32111 JaA—w,ille,l�lorid.a 32211 RE PAR(1:1,II)#: 164871-0000 BUYER'S IIN:595-01-6837 WARRANTY DEED 'ITIS WARRANTY DEED made this 7th day of July, 1993 by COLETTE MARY CORLISS, a single person, hereinafter called Grantor, and whose address is , to KATHERINE A. COONROD, a single person, hereinafter called Grantee and whose address is 366 6th Street,Atlantic Beach,Florida 32233. (Wherever used herein the term "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals,�anndr�the successors and assigns of corporations.) WITNESSETH: THAT the Grantor, for and in consideration of the sum of Ten and N01100 Dollars and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the Grantee, all that certain land situate, lying and being in Duval County, Florida, � J: PARCEL 1: LOT 27, BLOCK 7, PLAT NO. 1, SUBDIVISION 'A, ATLANTIC BEACH, according to the plat thereof as recorded in Plat Book 5, page 69, of the current public records of Duval County,Florida. PARCEL 2: The East 5 feet of LOT 29, BLOCK 7, PLAT NO. 1, SUBDIVISION 'A', ATLANTIC BEACH, according to the plat thereof as recorded in Plat Book 5, page 69, of the current public records of Duval County,Florida. Jocu D tnent y lax Pd.F.S. 201.02 ; - ocu - . mentary Tax Pd F.S. 201.08 $ IIIJJJ \� �; ct' lntanible P•.Tax J ` 1`w.. J F.S. 1,;9 Rocoipt/f } Henry C: W,'_.,'_ Cook, t.,.., By+ r f i uif urt Duval Count C) y _Daputy Clerk SUBJECT TO taxes accruing subsequent to December 31, 1992. SUBJECT TO covenants, restrictions and casements of record, if any; however, this reference thereto shall not operate to reimpose same. TOGE'T'HER with all the tenements, hereditaments and appurtenances thereunto belonging or in an}-,vise appc;taining. TO HAVE AND TO HOLD the same in fee simple forever. AND the Grantor hereby covenants with said Grantee Ihat the Grantor is lawfully seized of said land in fee simple; C\j mm the Grantor has good right and lawful authority to sell and convey said land; that the Grantor hereby full, �.varrant: the-lillc to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land isfrce C") h(all encumbrances. on.IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day and year first above -;. � ltt ; Si 'd, sealed and delivered in our presence: eC, Wit ;ss. gn reKCOLE rrE MARY CORITS,,s Ci .la1a ;V�a1Jo Witnclsl� nte , Ignature Witness:, Ignature , I GPIIlicssTTitlte:d titfr'"-11att rc A STATE, OF FLORIDA COUNTY OF DUVAL iivc`co rcgoiing i,-strum nt was acknowledged before merthis 7th1d�ay,q �uly, 1993 by COLETTE MARY CORLISS, a single FOR OFFICE USE ONLY Date_...... /- , 7- ITY OF ATLANTIC BEACH Permit #._ _a_ ......Fee$.2/---00..... FLORIDA Valuation $..__ ®/f1�. House #...3 APP KATION FOR BUILDING PERMIT .....__..................•------......._......._.....•-•-•--•--•............ .........................................................••••-- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date........ . LOwner___. ... -- •--•--•-------------••--•--••-----••-•...................................Address-..' .._- ---- - Telephone Architect No...-_..•-•............. �/ --••--•-•••- Address,.........................•-----•------•--•---•--•-•---...._Telephone No............ Contractor Builder. ur_�_ -___..._____Address--------------------------- Telephone No.- .............. Lot No.__•-•---••--7j` 7 -----Sub Division------Id/A --a Block No. - Zone................. - •.........................•------ ----•--•---•--•------•-Street.------------ ------'Side Between..............-.......----- --•................•-_.and.--•---------•----•---•-------•--------_._.._._._..._.Sts. Valuation $ 7--l�? -•••••-For what purpose will building be used................. -----•--------•-•---T3'Pe of construction-------••-•-•-----••----- -Dimensions of of Building ... _- ___ _- -•-D� -..-_---Dimensions Size of Piers..----- of Lot.........:.....�:.5. ------Size of Footings--___ fix •------• -•--•....... ............ -•--••--------•---:Size of Sills---------------------------•__.Greatest Sill Span in ft...........................T 3'Pe Roof.................................. How will Building be Heated?.-....._ --- ./---•------_------------------------------------------Will Building be on Solid or Filled Ground?.__.._-_-_.../.-_----rte_...._...__. Size of Ceiling Joists-____.__.Z •.b----------•--_•-_-, Distance on Centers............ :/---1�- ..........................., Greatest Span.._..._.... e Z ., Size of Floor Joists................4- 1...............Distance on Centers.,----- ------- // -f •--�'---_---- - -,r-•••------------- Greatest Span........ '-..4 ., Size of Rafters--------- ---•- X --------------- ------ ,Distance on Centers...-.... .-f ---------------------•., Greatest Span........44--46� - » This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. Two copies of plans and specifications shall REAR LOT LINE be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. W Z 8. When steel is in place and ready to pour beam. ,'j Z 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. W 7. Electrical inspection by City of Jacksonville. SF N 8. Final inspection. Ca Note: In case of any rejection,re-inspection MUST be called for after corrections are made. In consideration of permitworFRONT OF LOT work in accordance with he attachedplans and specifications,bwhich are a part ed in the above $hereof,and i naccorrdancce with pthe building regulations of the City of Atlantic Beach. Signature of Builder,-••l�(/� C !4 -4---- ._.-__ ..-_ Address........ ��.................. Signatureof Owner.................................................................:................ Address.............................. .. •...............................................................