342 7th St (vault) J
PERMIT WORKSHEET Certificate of Occupancy[
Job Address: 7 Type Work: /?jq R
Khler, de-mvide
Property Owner: In Phone #
Contractor: Phone #
c)S 6,
Permit#: ?—U42-9 Date Issued:
Building Inspections: Footing
Slab
cvn-s4-vuc+-s"4 Trzttler Tie Beam
7 ?>Z( Lintel
Nailing Sheathing
Framing Cover Up
C)-3- 2 CP q As Insulation
Final Building N , ob
Tree Permit# YES NO
Electrical Permit# Date/ Copy to
I JEA
Temp, Pole Permit# Date/ Copy to
JEA
Temp. Power Letter Received: YES NO
Inspections: Rough Electric 1'.4jq-o3 Released to JEA
Temp. Power Released to JEA
Temp. Pole Released to JEA
Final 7,1 t?3 Released to JEA
Mechanical Permit#
-) - ?
Inspections: Rough Final C)
Plumbing Permit# 03 - ?-�Cz4q-�
Inspections: Rough Underslab Topout 11 A4�0
Water Sewer Final 01 -Z-1 03
Drainage Inspection:
Pool Permit# steel Final
Inspections:
Grounding Final
Roofing Permit# F-
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
j It
Application Number . . . . . 05-00029677 Date 2/11/05
Property Address . . . . . . 342 7TH ST
Tenant nbr, name . . . . . . 8 X 10 SHED
Application description . . . SHED PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1796
Owner Contractor
---------- - - -- --- ---- --- ----------- ----------- --
GHELERTER, VANESSA HEARTLAND INDUSTRIES
6203 ROOSEVELT BLVD.
ATLANTIC BEACH FL 32233 JACKSONVILLE VL 32244
(904) 246-1464 (904) 777-4042
----------------------------------------------------------- -----------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00
Issue Date . . . . Valuation . . . . 1796
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
pFRWr IS AppRovED oNLy IN ACCORDANCE WITH ALL MY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
41,
4t
BUILDING OFFICIAL
Page 21? q
q5
--* SHOW so 0
..........
y1t CWSKUT PUOLC
tO
re
;j;F A,
f7rw
AW
ORIV
SIP
164
Al
4
PF
4Ar
, -qs,�
Apo
e
3
iLu
Tb .1COAe2L9j
Page 2/2 av,�, ig 7,tt.
EY olp
AS M;WLt-I*I AAr goo&
Comm to
.00
0juc,
lip
fie
gk.
..0.
44044M,*
c4oc
/*
"Z.
094, u,.
CC:
CITY OF ATLANTIC BEACH D.F
rHiggins
i
BUILDING/ZONING DEPARTMENT oerr
0 800 SEMINOLE ROAD
-5445
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE:(904)247-5800
FAX:(904)247-5945
C http://ci.atiantic-beach.fl.us
PLAN REVEEW CONMENTS
Permit Application# ()15 — *�2—� --)
Property Address: :3 4 -2- "'1
Applicant:
Project:
This permit application has been:
Q�AXpproved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed by: Date: Ick's
R� E �,3 i___
TIC, P�F-
Y',
CITY OF ATLANTIC'REACH
FEB 0 8 2005
JU UILDING PERMIT APPLICATION
(Alterations& Additions)
3"', Date:
Job Address: 7
Owner of Propertv:
Address: -?,VZ 7 V6V,4(,(" Telephone: �oy ZY6
Legal Description: Block Number: Lot Number: Zoning District:
4 - o -o - - , - A
Contractor, r_ f ex 4 1 Es- t-bVt tWd State License Numb r--4
0 5
�Tac, Contracto Address: dAX f& flLyy
Ck Telephone: 5'0 Y 7 7 7 1-2- YY Fax:
Describe proposed use and work to be done: 1,41.rJ'19 I t- /�/00 t�,t"Al -CIJ 1-:V X C)
Present use of land or building(s):
Valuation of proposed construction:
feet
What are the dimensions of the added space: /0 feet x
Will the added area be heated and cooled? New electrical or increase in service? 0
Add plumbing fixtures? t�J 0 Add fireplace? t�j 0 Add h t. g/air conditioning? t\J().. ...
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?
fA NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this
project.
M 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 wiff 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 iprovide all information as auvrovriate
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 Teleplione:(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
i
800.Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atlantic-beach.fl.us
Revised 8/04
Page 2
ui
LL
ill 1 r U.
Till iT111,11 0 Lij
7t—
I'm WZ
0 20
0 C-1
0 ujzj
MM i
cr. MY
J!" 0 Lu
CL
z
0
11��
Lu
'0
L
CL
C�
41
-;d- C-4
ab c) 6
41
C-4
C-4
oil -0- cc A
C-
7
i kl�i
M I�h!71!1!li�
z I
czs- LauL lliil�lljl
LU
1!111!11, - — I
w
b
Z
01
0
Z%
CD 0
LL
E'�77A b 0 1
LU
0
0
cr) 0 z
Z74 Z" I
z
0
w. F--
LU
uj
m
c.1 >6 ID
> b
6 :9
0
04 tu-
EFJ
LLI U, LL
z
< U-
IL
0
cr z
b co —
0
8
'a
Hem
ii I o
�s I IR 0
CN
E 3,
0 .
cc
w
ca
Lj-
02
8
I LLI :!
i lj�
LL 81
LLJ
w
>
m N uj
X
—41- ui
�- i ;
z
C=
ui
C=)
ul C-
8. C-4
z
LLI
cn
x
w
u
z
k 9
CD
-M
�
0
E US
ma
ui
w
Ir LU
w
z
w
0
0
C/)
LL
LL
4- fl
0,
8 BA 0
JLF-z
U)
0
LL
0
�9 z
m
—J, <
CC
r=
C4 IC CL
w
Zl
LLI
LLJ
0
U)
�u
T)
3: u J 23
-zc
'N V) CL CC 0: 0 :r En
-0 VO
0 UJ 0 LU -j
WE III LL
Uj L w 0 z K
co r C� , 9
Q 0 E,
— 0
CC z
Z — cn Z -0%m
uj(D CL 0 < 0
m <z 0 cm :5 c6 z
�- (L 0 w >- lb.
0 LU C!3
ci z z
U) Z;ir-V,
Z _3 -j Ll
U)rL,W z LU < LEL'
3: 0 < m 2: 0 L.L
a: C)
F- z a)L) 0 EL
:3 a LL LU F-
LU w
0 CL cc cc z — ILI
a: cr cL LIJ 0 00 M
OW w<
0 *
LL 0 z 1--
UU Oc w F=
Z CC UU LL uj
C3 LL UJ
0 Lu uj w Ln .0
LJL'CO cwX N
C� Oi ui -,Y;
w
at
6 1191
z
1 1 CO,
1 1 F. lZD
P-4
CO-4
0 CQ-4
LL
0 On cc 0-
R 0 LU
con
uj
a0 13
lz 2 -, 9
w E5 LLJ
z
w
z LU
0
Cl M
q
P
t 6 CL
cc
x 0
LL
CL IV ;L
F4-C
17,
co
v
S>13018 V SHOHONV HUBW N33MU38 NVAS WN jA9
w
2 0
0 (j) z
0 w -j j=
w 0
LLJ cr�o
w
WE iE cc
CC cr 0 2:
<'CC
WC, WE 'wo CLL) uai Zo
W w =0 z
LO S2 Q iA
OW< cr z cf) Z "j, v
w on- C)
M <Z CCI L) ClJ w
(L 5 ci ::0
ci z a- G) CO,
0 Ul
U) z-j Cl < w
jm'—
z m < EL
cn ru z m m 2! 20 q: LL W
0 0 < < =) g M 0 0 C) X L3 uj,
0 Z 00
LL. z cr u
z 0 LU U- UJ C) D- U) Z
OM :5 a- EC A
2
cr cc 2 F= >-
z g ccuj a: 5, uj. 0 C) < u) w
0
'-%'
CO —j
2 LL 8Z �- Cl M
Z r -1 UJ < uj U. uj
C. LL CD 2 W _3 cc
W 0 ui 4.
lb Z 0
0 z w
CD
- UW < < 2 C,
U- U) fL
CA tn
Cr
0 1 &III
z >
C=)
LU C-4
0. C-4
C-4
L.Li
cj OL, rr w <w
bOR Lu
8�
x lag R
20 1. >
0
Z
ul
z
z x bo>-
E P
x z cm ca -+a
z ul
Ed
0
p-
n w CD
'
Ir L)
LL
'RO
:3
z cr 'Lu C
9 cc
Ed tr. 0
2 —j
9 cc LL
80 IT
0 0
0
0
-7
0 Ci ]N-
z
LL
2 Eel x 10L)
U, I i5ple ;t I
U) 'L X it
0
0
too
LU
0
uj LLJ
CD Ul
a: CC co
0 UJ 0
,"J
0. C:
D OL.. T
cn
T
ui
Lwu cal
cc uj
C6 o I.- z
uj 0 cc z
W LLI
Fn LU 0
LU cc
Cl) :3 UJ C/)0
Lu m
C3 't 0 o
U)-=uj < o 0 Lu 0 cli U) Z
(L m LIJ
0 <z IUL) OL) (L (n ci
F-
0 IL o 0 :5
0 0 Lu V",
_j 0 UJ
;t z U
co
u co §
z
00 cc
cr < 0
LLJ CC UJ CL
a: z L) Z a: 411 lv"�
0 0
Ju
0 z
< u CC 0 LU F% IL
0 C
U-
0 Z < M: aj Id
z o uj C, Fn
CL CL U) >- CC
0
uj Z
Z LIJ Lu <0 5 �3 F P
0 w U3
U)
U)U) C� owl
C=
C=
C-4
C-4
-Z C-4
2
0 to.
r CD
t5i .9 U')
0
UJ 0 Z E
0
17 g w
rt E
5- R 'cl i I ` c
20 'm cc,,� 2
0
qw 0 =
oz C3
Ld Ow U'J c
0 0
'L U,
t-- rw
uj LU
X x
-C
U) a
co E
c
m
A 5
Cl)
cli
w
4
LU 0 IL
6 So. 0
Z rn 8 a
D . I
ids
0
20
CL
w
U� CL
g8 Q R :z 0 m
z �68 ? -1 0
t-L 9 LLI
W1
cc
Z
I i b, RM
92, <
8 3 IM QU@
-1 0 a: u
M z H.. w 0 ILL ILL 0 cl
g 1/3 1 a: (a (1) 9 1
0, a. :)9 v d b
x x '93 x x
5a ) 00 -6 N At
'15' z
Ew
cog
OR? qkz
�iAl
rn
CL
cl) 00
C-4
C-4
w LLJ
to P
w
0 c
o0ow 8
M z � w w
W 0 m
8
0
------UF—
.0
14
IL
60
':L''o LL
x ui Ix
a:0 cs
ci
us a 2;'
O .W
UIZ Fee
U-
z 0
z
(D
In
L———---—————————— ————————— <
w
LU,
m <
<
cc
?07
-7,ZD
,iz.y,
z
RO —0
rDT W. w C 'i
12-1
U) E
ot�co
U)
ui
cc
w 0
Lk=)O RZE:
LLJ
a:LLJ
tog
0 2 Z
rb :3 0 0 1�
La
C
COD
E-
(D
C-A
ra
r'a C14
< 102:� rl
CL c'!vi L.Lj
3:
CL Z
m 0
R�1 0 IC
w
LU
M tLu
Z�m LOU)
w 0 C)�C4
a:z(:i 00
8
?o
d
LU ILZ�
uj b
UJ U)
�0:
uj
§ LL
z LL
L 0
'C 0
Ow
8 Llud,
o 2 v)
z
60
—Al
C6 LU
LU
0 LU
0
zw
0 U'j
'A
P:
m
9: :3
z L) CL U)
<i LLI
-1 o
LL
9.
0 (D LLI 0 1 0
'Z
<
Z LL
0?Z <
Lo
0 N W w --At
F-<z
LL
LLJ LL 0 LU U) CC C=
CC 0 0 M w C=
C-4
Q z cl
w or-) 0 C-4
CC L) <
Z 0 LL
LU Fn -j C-4
0 Z Lu < z A �uf
0 -co)
WZ CC UJ CC Z
=0 -W a: Izzo,§o . LLJ
P w 0- LU GO
cr z oz co < uj cq d
0 Ui L-L FD z m CL z
LL ,Z CL U) 5 t
E)w m U) rr z
Ul w Ft t =1 0 0 0
Wn LL L)Lij CD a
0 U. 00 0- Co (L w
7: �! C2 - 0
F-0�- R z< z � <
ul z >- ED 0 m CC
V) M U,Z M '4
ul C'J C) Cl) <
0 It W �.-
F- :j�j 0 �: w w w a-U)
0 1'u 5 L>u 0 ui LL z CC — 2 U) Nil
z =1 m Zo 0 0 co
cn -Oj 2 4 2 <
w C/)CL = 0 � ou a
'D um, Z< z < LU — m
z LL- 0 rr co . . . . . . . . . . . . .
0 Z w w z o 5 0-
z oco 0 M = = < <
0 LL 1-- 0 owo IL LU z
=j a:cn w t.- a �- l m CC
=)LU Q U) m 8 OW w
MLUM < LU . . . . . . . . . . .
m m Z MUV5 W wr
z P LU — CC z
ED CL
z 0 10 :3 < &D
CL m 0 U)
C6 z
0 wl (L IL
=)0 w L4
cr�, . . . . . . . . . . . LL
=1 0 < < < <0 m <
Cn F-0 (9 m 0 <
W z
�:�w Z q: LU 0 z
ri) U) F- cn
wo w 0 w
m 2:
J,z I:c ou . . . . . . . .
E3
0
10
c') Z
C) . . . . . . . . . . . . .
lo <
EL z
cn CC
10 LU -i w
w
Z
LU CL n,
_j
0 Z
LU -j
-j LL
z Q)
07 z
U)
0—
w 3;cq U)
5 M— LLJ CC
0
Z Z'k cn
C6 U- LLJ
q: cz,
7. W cn So 0. F- 8 im 0
sm
0 . . . . . . . . . . . . . . . . . .
Z CD IL
z ul 'w CL
9 w Ir CL w D z
0 003— wx LU 0 Z 0 ui CC m X
0 F= z = w W
(n < 0 F- F- 8 . . . . . . . . . . .CL
Z
w
U, c)
U) CD (D 0 =Z' CC an w IL z
OW w :5 cm': 0 0 < LU co cn co < n,
z w co IL
w 'o 'o . . . . . . . .
z L-I� '�-
IL 0 -j I--
0 (n U LU
D z W -J <
0 w .6 ui z <Z
0 Z a !3 :c z
0 C.) a) C.) 0
< x w L) CD . . . . . . . . . . . .
LL LU CC
:' uj
IL C/) 0) CL 0
m
Cl)
U- CD
LL -j
LU
m z
2 0
4GL
0 u4si b > It
7-
< z
0 co 0
HI 11 1 1
'41
Lp
LU
i S.4
LU
CD
C-4
'a C-4
Af,
0
cc
T, CL
co
J
w
w
LU c-LL
—j LL ism
Lij �o
i
0
LU
-j
m 0
z z
/ Z z
—j 6 CD
m
N , t-u
r Cf)
C/)
w M LL
z
9 LL
IOU 0
Z
a: C3
C.,
8
0 0 9
Lq 6q,� .
ALI Clq C?
LL
w
;it c CD
z
LL
LLJ
<
U- w MR
w
> N
411
W
h-W
z .,j
C=
Ul
C-4
uj C-4
8�jl, il C14
z
ago E cp,
t H
ME
0 M LLJ
T. a
Z-Z
z
NZ5
6no
E Lff
45
ur U-
1w io
w
=
w w
z
w
0 tu—
LL
cl)
LL
W,
CL Is 0
i r
Lq
m
(00'y 133
-Z
LU LIJ
2
rc 0 A
0 uj CO
ru
LU
CMC z
w
U) CL o
CC CC
u LUU) 0 LU -j
Lo
uj LL CO
to cc LLJ 1 0
0(D U) 0 0 Lj ol V LL
U LLI Cc -j 2
0 LU
uj 0 uj Z A�.
"i; a
cr <z 0 cy 5,6 Z
Lu >-
CL '00
0-o 0
z
0
z
LLJ
2 V) z co m> R o LL LLJ
F - 00 < < a: C) d
0
Z L) �C 0 rL L)
:3 Z CID-j :3 Lu LL w �- Lo z
0 CL cc a: �; z ES ui
ZO ao:w Ell 00
M U- z 0, M:
0 La M cr
ZX JLU ul :3 a: U- >- uj FE :3
tit
LL W
w 0 w Ln F- 0
0, 0
ww -i < A
uj w z "I q , i
U.U3 93 :c =a
C� oi -It Lf)
ear
0
z F3
z
Z 0
Z C=
z (D
z
I Rl 1� CIO C14
p=1 - In Fr
ui R 9 0 C-4
z rn tu- R 0
o U- C�4
d
Do 0 g. Lj
0, x 8 cj ci cc
0 LLJ
z 0
'c U t N-
0 0
z 0 j
R R3 2 1 o [j, a: LL
z w Fj R W m i2 8
0 uj
0 CC eL
F�. pi 8 Cl)
CL CL (J)
x
0 1? ED
&D
LL
x 0
U-
CL
-Ircli
SMOOIS'DUS V SUOHONV HAV3 N33ML38 NVdS XVW X-S
w
2
0
0 U) z
LLJ —i P: —,
ru LL, i-U 0 W C)
LLI D a:
2 . a:
F- 0) a-
U) cc cr 0 a:
Lo
u cl)
w 0 LLI Z cr
Lu LL M 0
U) Lr Lu
Ln
WIA.
'9"
LLI< cc JL I
W OIL 0 z U) z
Cr <z co L) cm cd z
(L P 0 ui
00-0 d WZ 0 () 0 M L)
� -j . 11
(j) U) z Ei z
Z :RH D M
;� go <
LLJ n
U)Li z M
—00 < < m> 0 LL UJ
Q z co u 05
a,: 0 0 a:
Z z cc 00
0 Z I—LJ LLI LL LU 0 CL �—CO Z
z
z cr 4,
0 1 0'w 'w M,0 00 < 2
LL q1t !i um .
it 'I, A
Z LLJ
w Cl U.0 m uw, :3 a: U- cc Er
L) w 0
m 0 WLLJ z
ILJ U)uw) < <i—L <T <2 MEL
&i C%l C0
w 01
0
z
C=
ui C�4
C-4
U) C-4
Ed n
i t R LLJ
Q 0 tr F U-)
20 OLL OIL j
�3: 'y��8
cm, IN P, 2 z
Z.,Q >
)-<- RM
LU Li
U, Ir
z U� 4 �:�Cj
ir a: It 201'
Uj 'L @ 3--4 (9
uj U) ca 05 0 f= + LU
'Z- -t N
a
R x x
U) z @ 14 C11
Z
z
z U,'
LL
ui ui
Co- 15 3:Ed
z LU
0
0
co
CC aD 0 U-
X.
0
0
eL
0
u
w .069 QU
0 06W ORO
10D N :5 1§1 2 m
A a
OU 9 L-L.E H
m UJ8 —M �-:.-J i a Hi !<cj
U)cc w IL R!3z w d
z X;j,
Ok 1� 99)ep K.L-: ci XMR IDS
0
uj LU z
CD
a: cc
W 0
0
cc
T,g j,,;,,;i q:
trj cc
ui
Ir uj �4
cn N
= W 0 �4
cc w
z
LU C6 0
Lu 0
Lli 0 LU Fn w 0
U):3 LIJ C/) 0 U LU M
-UJ
:3 C3 -t (D cr 0 b Do
w 0 LLI cli
LU < 0
CC 0(L M 0 Llj
F- < Z 0 CL 0
u) L) a. an
0 CL o 0 0 w
Z-1 0 -1 W
ji I
co 0
cc ........
C/);z ul z I
LL 0 U) (0) CO3 a mm
M
Tw- 12 w r- cc o
a: z CC M
0
0 iq`_,
_j z - o z
ow 0 0 z z wm 0 '
a:LU (00 f-)2 00
LL Y
0 z Cf,
2 M
ZL Q 0 w LLI 5- (ML CR (D >-
o
-_Jj wuj 'w
z w LU 0
02 uw)U) 'O�j
0
z
(joi
C-4
> C-4
C-4
oz. 9
CL-
-0 0 c
0 z E
= 0
E t5
-C) LU o
-ci
ox 0
0
!�u
LBU a U)
o t <
It
z Ll
CD x x
uj
12
co E
E
A
W
Z,
tu a.
6 2 R 0
z
w
12
z z
0 z 0
z
0
Ui
U)
2 MOZ
0
w
IL
:3
'L
m
2�'Z-
LL ao a:
w z ui a.
it to ce)
'L 06 w
� 4 LL Lei v
0 IL
9) x IUL 0
LU tu 9 1 W x x
ZD N CY cm �)w 0 w CL-6 cm M
x
68 N
Tm
LL
0"
ij Co
UJ
Ml
T.'ts,
CL R Cc L,
P�WCLEROZW
0:3 0
C-4
C-4
LLJ
Do
z
6.0 U,
OU m
0 0 LU
m z .2 w
yj 0 0 w
I C)0 B*q
cm %,m
) d 0 Mu
0 u
0 CL ;r
CM11
z
0 CL
ri 0
tr
"I I g I
LIU,
CUD,
0-0
Z. H 1
EL
x
N oaoqm
Lo to 20
0 w
L
Ir
0
�a w
WEB
U. 6
0
LU 4)
z
:3
———————————
25 :9
a cs b
CD
w
U)
U)
m <
'Pi
<
CYn
LO
2
ED ol�
kg�
LU
14
0
0
Lu z 6-
LLI z ao I I "4.
-.L i 09 (D
at (ji , I
�J
IL w a:LZU
X:0 Lo
c
M
CD
0)
's
CL CrL;6 W
CL
CL EN M LU
w
r
S
co woo
C, w
w
m o t
0 *9
z a
0
a:m cj
0 CD
Ed
w
U, �2
z
LL
U-
z
Zg 0 0
CY ;r
.5 1 CY
>:�-,CD
Lo�w
w
C,
so
13
C6 LLI
LU
0
ul,'
z
0 W v
-j
La
M co
IL
z U (L
<
U. W, z 0
u 0 co w 0
z -cr P:
0�LL 8 D
P z
IL 0 cli W U- LU
LL) U- Er 0 (J) CC C=
cc o Lu C=
�as 0 Z 0 C14 LU
U) w 0 0
U- L) 0 C-4
Z 0
D LL LL
0 co LU p 'T, _j 5 C14
z LU z
L)7� U)
LU Z jr LU EL Q 0< z CL-
m LIJ a) 0 UJ
TO -W
P ED IL W C.0
cc z 2z a w U2 d 06
0 w F5 z jr 0-
u-2 Z fL U)
a w CD U) C) -ZJ
w w o for o
U- L)W 16i
m m D
0 U- w o 0 IL M CL w
0 z IL D (.9
to Z Z < < z >:
a3 0 m
C, 0 Cl) Ir- C)
D-C,) CL
0 cr er LIU
0 <1 9> 0 w LL z jr - 2 U)
z X _j C) mz 0- 0
U)�0= C) W Lu L)
(n co CL L) U) � C.)
(9 Z W CL Z Z -1 < uj -
z cr< < w LU . . . . . . . . . . .
(9 CC w z m 0
Z o m 0 owo .. a- W � z
0 LL F- Cl
M-j w Cl) W 129 ca
-j CC 00 15 52 -j Ui
5 w Lu 0 w cc
§co w 2 Fn In w
WZ m
CD 0 z cr CL z
—CO z LL,
z 10 0
D <
z z C) -j CL 0 M 0 <
0 W- - (n CL n,
�: w z
0 w u, J, LL -J
Cc bi < . . . . . . . . . . .
co z m 0 <
W uj z w 0 z
CO U) 8 U)
wo w uj CC
m 7:8:c 0
�7(1)z LL . . . . . . . . . . .
cj vi
10
Z;� z
10 < IL
CL z
U) � M
10 uj J LLJ
LU r
z <
Li <
CL n
rr -J
0<
0 Z
uj -j
-1 U-
Z 1? 0
L)
0 z
0 p Cl)
w
� Cl) 0 W
0 CL z LL w 0
ow
cr- �o
UJ coc . . . . . . . . . . . . . . . . .
0 s o Z SO :3 IL
mo Z (n L) Z M a.
w!FT L . p 8 2 U Ww w n
— < co
0 83- wy -zi " LU cc m
IL LU 0 = 11-1
P z F- F- . . . . . . . . . . .. LL,
0 Co < 0 w
LWO C-) z
0 —= co IOL z
Cl) co 0 cc a F.
0 0 0 — x w M, 0 o <
z LU CL m U. w CL Q,
z K CL j CL
0 01 . . . . . . . . .
—A-
0 0 0 ;;-c _j -J
('L U- -j :;�
., I R z z In 0
0 w .6 k 5; C, U, <Z
0 w (9 a 8 z
o 0 Z W 0
x w
LL
LML, ai IL m 0 n 0 m
(M
CC:
CITY OF ATLANTIC BEACH D.Ford
BUILDING/ZONING DEPARTMENT L.Him in s
�' .�'Drr
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
FAX:(904)247-5845
http://ci.atiantic-beach.fl.us
PLAN REVIEW COMMENTS
Permit Application# (Oc t-- 1
5 — ') Ci
Property Address: 113� 1-T-+-�
Applicant: f-��TL-POIJJD alJ D-
Project: I�00 )C [ 0 �7-�ID
This permit application has been:
040��oved
E] Reviewed and the following items need attention:
Please re-submit on when these items have been completed.
Reviewed by: Y7 Date: 4 2-
R E 0 E I V E 0
CITY OF ATLANTIC BEACH
E U I L D I 14 G & ZC)N i N G-)
CITY OF ATLANTIC'13kACH
FEB 0 8 2005 BUILDING PERMIT APPLICATION
r it (Alterations &Additions)
BY: Date:
Job Address:
Owner of Property:
Address: Y�IZ, Telephone: 1,101V ZV�
Legal Description: Block Number: Lot Number: Zoning District:
Contractor—,' 444=��� Htavt tw� TAC, State License Number--4-4-6=04E��
Contractor Address: VIZ03 A'00ft�'Vi--Cl' a FZ Lyy Qkc�05�q2-4
X f
Telephone:-�O tV 7 7 7 2-1 YY Fax: 14�70' 7 7,7 -�-o 6
Describe proposed use and work to be done: /Alr�rI91L Aloott-W
X
Present use of land or building(s):' JQW�
Valuation of proposed construction:
What are the dimensions of the added space: /0 feet x feet
Will the added area be heated and cooled? 0 New el.ectrical or increase in service? 0
Add plumbing fixtures? t*,J 0 Add fireplace? t'j 0 Add he ting/air 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 flll material, or the addition of 5% or more to
the original impervious area or the removal of any trees9
%NO. Applicant certifies that no change in site fill us
I grade, impervious area or material wi be ed 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 permlts,�please follow all steps and provide all information as appropriate
Incomplete applications inay 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 Telep�one:�?04)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/Contrilaictor 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
8ft Seminole'Road, -Atlantic Beach,Florida 32233-5445
Page 2 Telephone: (904)247-5800 -Fax: (904)247-5845 -hftp://www.ci.atlantic-beach.fl.us Revised 8/04
Fr
C9
V
gN
:-E�N
61 . Z
�s 0
51 0 Alp
A m u,
0
-n
ca
1- 0
to
till' 11" 1
Ij finn
if.IA 1.1 A
le
5
LO 0 p C) x
rn A
0 z
lil 16� I, " i I P
P-3 im C- r
7:5
-110
9 m
Rol co - A
—.6
01
z >
10 .4. 4- 1 ,0
Fn
z a)
m
cr,—, cn,
E)o
go
m
-n E�
z >
Fn
-n
0.C2,
00
M
F.
9 !
n Fn
-n IN a
0
0
0
M
E 3 0
m
m Z-,
m
m
m
-n
6MM
40 2
0 F.
FA P
_M4
m
MX
am
E ro M
-n
m
-n
M
z
2140
=r
all M
cn
0 MR,M
rfj
71
w M
M
q(n
6
6-0"MAX SPAN BETWEEN EARTH ANCHORS BRG.BLOCKS
>
co
r
E D
-n
0 x
:10
tug
z
x
--7 1
CD
m
m
n
(f) 'g,
m 0 0 0
p 0 m
0 cp
03
0 33
0 z
P..), 1 LA
z
M—
z
0
ic
z" L rn
1", 0 ,Uo K u> com-n
mmr- *
q t�ti A, r: o mmoa:
o ;A -1 U3 2m
m 0 m
m n. z
> m
M. Rm -n
m --i zO -n K
To- co
0 C13 M M
2 :13 mo� oz
mm
c/) --i m-n
m
Z
- 0 0 a)
E > > 0
m <(33 C3
AQ�i An
>
6 FA>
2 Pm F,, o
-0 z P E)E qrcl �
Z a 1c: 0 m (n V)
0
:< mz o C) Z> m
z cA
0 Ln 22 0 -m
>m
d zo p Fn 00 om MG)L', -C: C
-n to
> a) m
m 0 oD
r- m 0 M C)
(n M 0-
>0
z m
m
m
0
m
0 m
m m
M Z
X c
H 0 x
L2
z
Ct q-,"
IP 8 ig 6
0
)>
-n
m
m
0 Z
TM
-x 6 p
+
Z-
F,,
Z.
0 x r 94
-, I g 0. 0.
0 m P. 'o co'
rn> m
m
33
ni
C=
z
0
i
m
mn CMD 'n
zm F 9 F mmo !
mm r o
0 m :c C' -n -n .0 mz
c m m > ,
zo
>
'0 0 o am; m.0 o
03 4'.
Z, zo
0 z
co -01
10 0 0 > >
0-1
> o
z 'z4
7, > W z P T F,1 V) En
z
Qm --I a)
R M ) 0 z-P E3 5- 0,
-Z 6m-
0
N"K."
8 rn
0 z z mo
n
3 m
z
z
r0
0
0
cn
,)3
n cn
o rn 0( c
n C) c
"S" 0 c
z
m
m
m 0 Mn 0
0 co m M
zmo
M
X 0 MM
4-1
m m c m
0 Eq
m
(n
0
Fn m
Ol Li
C;
ZO 0
03 0
E)>
z
0
z 0
0 ,TTT-- or
M 00
m
z m
w
m
v
co
N
-TM4F
E
3
=rr "x x ZZ!
rn J,
w A Om
0
0
CL =r
CD 0 0 go 13
C 0
I po
00
m
0 m go 0,
R 3 0
0 c �R
-D B 0 z m
(D
0 M
m U3
r-.3
pla
C=
rn >
cn cn 7-
c 0 > M,mm 0 :�
z M -n Z
, 0
On Fn m,k m o r- z
m cn -u
-r-u c a >
0 0 CA
=0 KO A 0 3: -n
K Z 20 0 -a mm
CD 0
A.14 MZ M, OC: �3 A Fn rz
0 m M
Mm Fn
00 00 Fn >z
cn C/)
--I C C/) A
OA MOO > m 0 0 r
Z.
""A 0 c
0 n cl, z'>O
11 ul 0 03 "0 IM
0
>
Fn L-)
4;�, m
JO
00 2 MW =n- 0
M
0 Sn m c 0)
Fn
cn 0 ffl D 9 P 0 CO yu M
wain z w G) > m m
m m
m CD
m
m c
MT
r- m
0 m
i M U)
cn m
I Z m
G) 0
Fn 9
L >
94 ------
-----------
C.0
W
a
CD
E)>
r..0
g igb tO
zRoo
Ung
P
p
>
-5z
Ci
6- 06 K c
o
0 ig 0,
g,
06 L*
m N al
Fa
Ail,
M:D
to
If
C3
03
q o,p
'30:
80
Ir To
am>
M;
co Z rn
, 9�c .-i
'n m
lsMf m 0 31 18
U3 in
3
zz� m in
Fn
9
I m m 9 Tq 6
ti
FA
cr
0-4
z
ai
zm;
n
-n
C2
_0
9q
m Fn zo
53 m
0.
Fa:*E z
.1 S3
p
C-n w N3 m Fj)
M 9 7�1
v —�r
n—
H :3 A,
IT
CD
0 CZ, CO 01 Imn
S,
CL Z
2s,k 0. m
0-4
2CZoa
k m
W2 m
4 cn
m F,
z
7,ji- 2
0
71
71
'M
0 cp c >
.. . . . . . . . . . . . . . . m X zi I r, . m
0 m > m C', x
0 o 30: 5 0
m c U MO
z Z' o" �i -n c-
>> m > 3! >
m o w .3—
0 0 20 2 z
'o o 61i , 0
m z
> 0 r> n o
> > q 0 Z -M-1 > 0 CMI) CD >)
Co 52 3)
A z m 2 :� 0 C)
0 co
m . . . . . . . . . . . 0 >
5; V 8 -=q -04 zz mm 0
m r- m ,
m P3 z 0 m
m ffl m mm > (on
a M M
z C: cn 9 --4 C- G) C: 2 cc a
:1 5 4 m m 0 0 m CD pa-
. . . . . . . . . . . . . . . . .. A E 0 0 m
8 5-1 s - w � m z
0 , 0 z
o >
0 0 c/) Zr-> 0
0 7- M >MO z
go C
z Z
-n F... . I . . . . . . . . A-
r- - m
zo z
>0 J, >
m
> C4
A
z G)
m
m m
:13 C/)
z -v
> 0
L . . . . . . . . . . . 0 1
z .1
ol
-.N
. . . . . . . . -4 on Z n
0:r
_.i 0 m-4 0 m
:33 m
C/) m ::! 0) cD
z 0 m 7) z m
- 0 1 M.
CD
> 0 >m wo> > p p om �mm-4
-n
z -< in F F F r-
C,) r- - �2 *mo,
0 a, o z 2:�-2,
c cl 0 , G)
> > U)2 m
Z m 9�mC) zz � UK; zm
m . . . . . . . . . . .
m r- 25 5m; mo 00 m >UM) rc.mmm Ms Z-3
zo Fn M-4 a
M a .- cn 0
z > 0> M = M 0 w 0—Z:*
T Cco 9 33 CZ) $2 p m Z MM P z
. . . . . . . . m MFn > r- z >z >mm 2 G)
V �� 9 cp C) 'K > 'o�'.
M 0 ;1 Oz Co FO: rc-m z
cp K 0 33 Z -n M
n M x
-a M w :* m=1
C) 00 m
-"a An > Cl) > m
z 03Z ZOD Cl)
> K C3 < --,m
z - Fri -.10,o c:
m -u 03 -0 0 0 0 to mo-n En
o O:v 0 r- :q m
mz
C', o m
z
M
cn -n -n
m 0
p > c 6) zrs z M
M. 0:c
0 m m�4 0-4
Crn -0
CD m
Z
m o b mkzm
0 ?3 Z 9 0 M 2 :!�P-8
--i C, r- C=n 2 m
a z
-n
a 800 Ql 51 U05
a �,e a Z C)
0
C= 9 MM c
C=
C: M F- 0
m m -
P- m Z>
0 0
-n�Z
-4
0 m cn 0 0
n
z in
m Z,
C m m
co 0
"M;
M 0
z
0
0
ti m
I m 9)
page 411"'? J06 075
mucy
As fttl�wftv,I N4 VL.,%T BOOK
--(W YHE r
Pukoc RECORDS
CEATIMb to
Grow.,
.0"'W
44,
yit�
'AM
vt,
If C
It
it.t"r
Ir
I V
ape
4 g4 w4*
City of Atiant ach
tanning and Zoning Department
T a approval verifies complirm wM sppVw6W
z ng, subdivision and other local land
d lopment regulations, but don not constitute
a C-4AAsuance of Pennits. Compliance
114tauilding Code and all Otfw applicable
State and Federal permitting fwMraments
be veriffedInsture of ft Cky of Atlantic
B Building I prior to"Is of a
ding Permit.
ved By
.0416
0 ev
")q4 ObOw I 'aLia"",,
5 MIN. RETURN
PHONE# OPS:;?� Book 11413 Page 2310
NOTICE OF COMMENCEMENT
Stateof 60V�A9,. Tax Folio No.
County of e'�,Ivoj
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
-354 9 4c�-,
Address of property being improved:
General description of improvements: i�w-k V it 0 Le,C e-ofe It'14-
Owner: Address: 3 q 9 KY/- 2 AVD
Owner's interest in site of the improvement: all;We-Vj
Fee Simple Titleholder(if other than owner):
Name:
Contractor:
Address: C-q1 -2,12-
Telephone No.: & 05)" Fax No: 94(0 - o,;Ip
Surety(if any) A 4
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: on 1 4
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: SZ& / M�
_#7
Address: 21 /
Telephone No: 2�q q s,& Fax No: 919WI
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: d,
Telephone 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): IV 16yaq
. I - (
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Doc# 2003337068 S1gned-Ae4,4,e-C- &'��Date: 01
Book: 11413
Pa e: 2310 Before me this dayof Qc,,koer-,o3 in the Count�of Ouval,State
Filed & Recorded Of Florida,has�-e—rsonally apt A )n e-I R-r
10/10/2003 09:43:52 AN Notary Public at Large,State of Florida,County of Duval.
JIM FULLER My commission expires: 6-1g-pq
CLERK CIRCUIT COURT Personally Known: V�— *Lft4- Unda NWMM, or
DUIA cum Produced Identification:
RECORDING $ 5.00 A*r'—wo-Im
TRUST FWD $ 1.00 EWk.A�6'jjl 2004
r
CITY OF ATLANTIC BEACH
S
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026425 Date 7/02/03
Property Address . . . . . . 342 7TH ST
Tenant nbr, name . . . . . . DEMO FOR KITCHEN RENOV
Application description . . . DEMOLITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
GHELERTER, RICHARD EASTERN SHORES CONSTRUCTION
342 7TH ST. 1015 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-1764 (904) 246-6056
----------------------------------------------------------------------------
Permit . . . . . . DEMOLITION PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
------ ----------- ---------- ---------- ---------- ----------
Permit Fee Total 100 . 00 100 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 100 . 00 100 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TIES WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
DEMOLITION PERMIT APPLICATION
will
Date:
/—Cp//
Job Address: 3 qA A 44 . . oe�# 32 Z J? 9-
Owner of Property: 67 e) e)_JC
Address: 3-L'L?'A Telephone: a Y4-
MA !7 ea 8
Legal Description: Block Number: Lot Number: ZoningDistrict: G- &J Ilk], &,h
Contractor:
66�e�,-d 'Shpa-� (fo,,,f Ws,*L k'go S tat e L i c ens e N u mb er: C t9 C- Q!a 3 3
Contractor's Address: 09 1- A�dj% k-
A JYZ�5 5 4,j k C- 2�V
A 3-2
Telephone: Fax: A04- ),Iy
Describe prop ed use and work to be done: Pe nop 'Zo
-it�. 10 AUe 0 A I
Present use of land or building(s): A#)e- z"AcLi lee-Vo0a. wr=
Is approval of Homeowner's Association or other private entity required? &C71f yes, please submit with this
application.
Will this pMect involve changes in elevation,site grade or any use of fill material or the removal of any trees?
[!J`90. 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.
ff-N 0. Applicant certifies that no trees will be removed for this project.
R 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 twovide all information as appropriate
Incomplete applications may result in delay in issuance of permit.
STEP 1. Attach Tree Removal Application if trees are to be removed or relocated.
I hereby certify that=d with this application is correct.
Signature of Owner: a��K Date:-74alh-
1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and
ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the plans and supporting data have been or shall be provided as required.
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -htt,p://www.ci.atlantic-beach.fl.us
Page 1 Revised 1/14/03
Signature of Contractor: Date: 2 3,
Address and contact information of person to receive all correspondence regarding this application (please print).
Name: Se tp,—
A W. JI&
MailingAddress: /0/0 OL 21 �, - A c�h,,
Telephone: _ ;9� 41- 1-1 e6o Fax: 9 3, E-Mail: J5p&4. ,4 e�-
AS TO OWNER:
Sworn to and subscribed before me this 16r day of A 200 -3
State of Florida,County of Duval
Notary's Signature: OA aAk–)
Linda MOC
My Commission CC93M9 EKPersonally known
Expires june J8,2004 F1 Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 2060 3
State of Florida,County of Duval
Notary's Signature: y4a_
Linda McCraw
*19*my Commission cc== RIPersonally known
N7,0� Expires Jum 18,2004 El Produced identification
Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us
Page 2 Revised 1/14103
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
wz,
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026459 Date 7/08/03
Property Address . . . . . . 342 7TH ST
Tenant nbr, name . . . . . . 200AMP, lPH, 3W, 240VOLT, SEU
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
GHELERTER, RICHARD BROOKS & LIMBAUGH ELECTRIC
3390 ISABELLA ROAD 41 2ND STREET WEST
JACKSONVILLE BEACH, FL ATLANTIC BEACH FL 32233
JAX 13EACH FL 32250 (904) 241-9051
----------------------------------------------------------------------------
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
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TIES WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 200'3
IMPORTANT NOTICE:
IN CONSIDERATION OF PERNUT 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 ORDI-NANCES.
ELECTRICAL FIRM: r\ . /) (-,\—- a
MA TE C, I ATURE:
_�rook and Lim Q5�nl__ s--i*x:T
OWNERS NAMTA,664WZrhd4�� -7 Y�6 8V�-��. B
BLDG. SIZE ADDRESS: Z5W ox—
BETWEEN:
RES APT.( COMM.( PUBLIC( INDUS.( NEW( OLD( REW.(
ADDITIONX) TRAILER( ) TEMP.( ) SIGNS( ) SQ. FT.
SERVICE: NEW( ) INCREASE( ) REPAIR(
CONDUCTOR SIZE AMPS: COP FEES
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST. SERV. SIZE '�00 AMPS PH -3 W 9-YZ 5�9_u
VOLT RACEWAY
FEEDERS NO. I SIZE66A- NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
OPEN
RECEPTACLES (4� CONCEALED 40PEN TOTAL
0.30AMPS 31.100AMPS
SWITCHES
INCANDESCENT 0
FLOURESCENT& M.V.
FIXED 0.100 OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING CEIL. KW-HEAT__
CONDITIONING COMf. MOTOR OTHER AMPS AT
ot
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. -VOLTAGE PHS
MISCE4LANEOU OeIZ��_n7Z- - Z
9 - - I --- I /")Z'_'-L*5-/ - -
TRANSFORMERS: UNDER 600V OVER 600V
NO. KVA jN&j KVA
NO.NEON fia—NSF. NO VA MA MOTOR SIZE SWITCH FLASHERS
EACH SIGN
Updated 5/20/2002
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026429 Date 8/04/03
Property Address . . . . . . 342 7TH ST
Tenant nbr, name . . . . . . INTERIOR REMODEL KITCHEN
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 45000
Owner Contractor
-- ----- ------------ ----- ------------------------
GHELERTER, RICHARD EASTERN SHORES CONSTRUCTION
342 7TH ST. 1015 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-1464 (904) 246-6056
------------------------------------------------------- --------------- ------
Permit MECHANICAL PERMIT
Additional desc . .
Sub Contractor . . SAWYER GAS COMPANY
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
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.
BUILDfNG OFFICLA1
Z-U Z4 2-11
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATIO
R
Date: <i 7z'/
Owner of Property--Ri' �A-eh
- - --�" S�
Job Address: Zvi
Contractor:
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.
III. GENERAL INFORMATION
A- Type of heating fuel: B.
Q Electric IS OTHER CONSTRUCTION BEING DONE ON THIS
Q Gas: —LP —Natural —Central Utility BUILDINGORSITE? \Pj
E3 Oil 8
U Other–Specify_ IF YES,GIVE NUMBER.OF CONSTRUCTION
PERMITQ2–ALY 7AC�j
IV.
MECHANICAL EQUIPMENT TO BE NATURE OF WORK
INSTALLED W, Residential or Commercial
0 New Building
(Provide complete list of components on back of this form) 4 Existing Building
Q Heat _Space _Recessed —Central —Floor El Replacement of existing system
Q Air Conditioning: Room Central *X New Installation(No system previously installed)
0 Duct System: Material Thickness 0 Extension or add-on to existing system
Q Refrigeration Maximum capacity_____________cfin 0 Other-Specify_
El Cooling tower: Capacity Rpm
El Fire sprinklers: Number of heads THIS S
El Elevator: — Manlift—Escalator— (Number) PACE FOR OFFICE USE ONLY
Q Gasoline pumps------ - _(Number) (Received)
Ll Tanks _(Number)
El LPG containers (Number) Remarks
Cl Unfired pressure vessel
Ll Boilers Permit Approved by Date
Ll Other–Specify Permit Fee
LIST ALL EQUIPMENT
AIR CON,DITIONING AND RE FRIGERATION EQUIPMENT
Number Units Description Model Number ManufiLcturer Capacity Approving
(Tons) Agency
HEATING–FURNACES,BOILERS,FIREPLACES
Number Units Description Model Number Manufacturer Capacity Approving
(BTU) Agency
TANKS
How Many Nominal Capacity Type Liquid Nameof Serial Approving
And Dimensions J�ontained Manufacturer No. I Agency
Awk e.AM23 Yf[6?BNL Wkfti 19
1,14n
800 Seminole Road*Atlantic Beach,Florida 32233-5445
Phone:(904)247-5800 e Fax:(904)247-5845 e http://www.cLatlautic-beac".us 1/14/03
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
..... ......... ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026738 Date 8/28/03
Property Address . . . . . . 342 7TH ST
Tenant nbr, name . . . . . . CONSTRUCTION TRAILER
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
ALBERT VALDES EASTERN SHORES CONSTRUCTION
1015 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-4801 (904) 246-6056
-------------- --------------------------------------------------------------
Permit . . . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
--------- --- ----- ---------- ---------- ---------- ----------
Permit Fee Total 100 . 00 100 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 100 . 00 100 . 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.
BUILDING OFFICIAL
cc ro
City of Atlantic Beach 800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 FAX (904)247-5805 - http://www/ci.atlantic-beach.fl.us
REGISTRATION FORM
FOR TEMPORARY STORAGE STRUCTURES
Portable storage structures may be used within the City of Atlantic Beach following submittal of this completed
form to the Building and Zoning Department. Within all residential Zoning Districts, these may be used only for
the temporary storage of personal household belongings of occupants of the property and may be placed on the
property for a period not to exceed four (4) days or ninety-six (96) hours. Registration is required each time that a
temporary storage structure is placed on the property. In the event of damage to a residence by fire, storm, flood, or
other such property loss, this period of time may be extended to ten (10) days upon request to and written approval
of the City Manager. Within all non-residential Zoning Districts, enclosed portable storage structures may be used
for temporary storage of items related to the business located on the property, for a period not to exceed thirty (30)
days. Such structures cannot be located within front yard setbacks and shall not be used to store any chemical,
hazardous, flammable or combustible materials.
DATE Zt'
APPLICANTNAME:
MAILING ADDRESS: a 2 2_?
ADDRESS WHERE TEMPORARY STORAGE STRUCTUR7W L BE PLACED (If different from
mailing address.) &41 t
:�22.3 3—
SUBDIVISION-A�1,,,// b-C 6 C k., BLOCK# 9 LOT#
DATES THAT THE TENJPORARY STORAGE STRUCTURE WWL BE LOCATED ON THE
PROPERTY: - 2Y4111e:1 through
P-1 residential property
F-1 Commercial (Provide survey or site plan showing location where structure will be placed.)
F� Other
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT.
Signature of property owner or authorized agent.
SIGNATURE PRINT NAME 'erl ya
CONTACT INFORMATION OF PERSON SUBMITTING THIS REGISTRATION FORM (PLEASE PRINT)
NAME tor
MAILING ADDRESS
PHONE_jj t- __FAX a q� - -3- _E-MAIL Ilk
6e.1(t q3'tr-Ie;-A
CITY OF ATLANTIC BEACH
rAcsnnxr.x TRAnsmmsron To roiLlov
To- FAX#-
e---�7
FROM
A'PAGES- - DATE.
(TO FOLLOW)
MESSAGE:
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX("4)247-5805
.. . . . . . . . . . ..
. . . . . . . . . . . . . . .
of
of
Athintir ifforiba
of 111tijbing
This Certificate issuedPursuant to the requIrernents of Section
103*8 of the Southern Sta
ndard
Building Code certifying that at the time of issuance this structure wa in complianc w
uarious s e ith the
ordinances regulating building construction or use. For the following.
use classification J",r-,i le
Group 707f frame Bldg. Permit No.
7
Type Construction Fire District
Owner of Buii4,'ncg' (Al
Buildtng Address 34if t j, Address 3'�!
-----------
Locality
BY: 0 R�'(
Building Officia I
Date: q
POST IN A CONSPICUOUS PLAC
E
3/4" IRRIGATION METER FOR ESTIMATE ONLY SHELDON GOLDSMITH
1439 FOREST AVENUE
NEPTUNE BtACH
i
JOB COST RECORD 249-2702 i
DESCRIPTION QTY. MATERIALS LABOR TOT L 34 1 2 SEVENTH STREE
6" X I" TAPPING SADDLE 1 $1 .25
1" CORP STOP 1 $22 .36
I" STREET L PVC I $C .80
3/4" GLAV. PIPE 20' $1 .60
I" X 3/4" REDUCER PVC 1 $ _a
3/4" S-T COUPLING PVC 2 901.34
3/4" CURB STOP - I --$11 .601
3/4" MALE ADAPTER PVC 1 .12
3/411 METER ENDS 2 r$6,60
3/4" RUBBER WASHERS 2 $01.16
3/4" x 5/8" METER 1 $85.00
CONCRETE METER BOX/LID 1 $21.00
SUB TOTAL $1751.10
10% O.H. $17.51
TOTAL $192.61
3 MEN ($27.45/HR) FOR 5 HRS. $164 70
30% O.H. $49 41
TOTAL $214 11
MATERIALS LAVU --IuIAL-
TOTAL $192[6lh2l4[11 $406[72
MISC. JOB EXPENSES AMOUNT OTHER JOB EXPENSES $60 00
I TRUCK ($10.00/HR) FOI 6 JU TOTAL COST $466 721
$60.00 TOTAL SELLING PRICE
LESS TOTAL COST
GROSS PROFIT
LESS OVERHEAD COST
OF SELLING PRICE
TOTAL .00, NET PROFIT
APPROVED
MAY to 1990 -04
CITY OF �TLANTIC BEACH
OUBLIC WORKS DEPARTWNT
PRICE QU07�e
APPLICATION FOR WATER AND/OR SEWER TAP
APPLICANT NAME
7-----------------
'le
MAILING ADDRESS_,�� ----Ae7 -zKi�� 5 O'e
Sy
PHONE NUMBER.�/ DATE
fa,2 Z, --------- --- - - - ----------
D
SERVICE REQUESTE
-----------------------------------------------
SERVICE LOCATION__ -------------
------------------------------------------------
DATE SENT TO DATE RETURNED
PUBLIC WORKS X/n 41f TO BUILD. DPT.
DATE OWNER
NOTIFIED
R F-7
Pt-17 1131 LIC" VJr
APPROVED
MRY 1.0 1990 �0/�
CITY OF ATLANTIC BEACH
PUBLIC WORK$ DEPARTklf:!""
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Date:
Job Address: V -7
Owner of Property: _/re Telephone:
Plumbing Contractor:
Contractor's Address:
Telephone: j Fax:
State License Number: (-' 7 q�p
How many of the following fixtures (re-piped or ne wy:
T- Sinks Showers Water
Lavatory -Water Heaters Hose Bib
Bathtubs Dishwashers Sewer
Urinals Disposals Other
Closets ashing Machine —Shower Pans
Floor Drains –Re-Pipe (List fixtures being re-piped)
Total Fixtures: x $7.00 + $35.00 (Minimian Permit Fee: $35.00)
C
Signature of Contractor:
( 'T Jo
Installation of plumbing and fi s must be in ac rdance with the most recent edition of the
Southern Standard Plumbing C 04
Call a day ahead to,schedule inspections: (904) 247-5826
800 Seminole Road Atlantic Beach,Florida 32233-5445
CITY OF ATLANTIC BEACH
800 SENHNOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03 -00026429 Date 10/20/03
Property Address . . . . . . 342 7TH ST
Tenant nbr, name . . . . . . INTERIOR REMODEL KITCHEN
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 45000
Owner Contractor
-- - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - ---- --- -- - - -
GHELERTER, RICHARD EASTERN SHORES CONSTRUCTION
342 7TH ST. 1015 ATLANTIC BLVD .
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-1464 (904) 246-6056
- - - - --- - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - -- -- - - - - --
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 255 . 00 Plan Check Fee 127 . 50
Issue Date . . . . 7/15/03 Valuation . . . . 45000
Expiration Date 3/17/04
Fee summary Charged Paid Credited Due
-- - ---- ---- -- - - -- - - -- - - - - - - - - - --- - - -- - - - -- - - --- ---- - - -- - -
Permit Fee Total 255 . 00 255 . 00 . 00 . 00
Plan Check Total 127 . 50 127 . 50 . 00 . 00
Grand Total 382 . 50 382 . 50 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026443 Date 7/07/03
Property Address . . . . . . 342 7TH ST
Tenant nbr, name . . . . . . WASHING MACHINE
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ - -----------------------
GHELERTER STEEG PLUMBING
3390 ISABELLA ROAD P.O. BOX 330536
JACKSONVILLE BEACH, FL ATLANTIC BEACH FL 32233
JAX BEACH FL 32250 (904) 249-5191
------------------------------ ----------------------- -----------------------
Permit . . . . . .* PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
------------- ---- ---------- ---------- ---- ------ ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00 42 . 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.
BUILDING OFFICIAL
Tertifiratt of Mrrupanq
Titu laf
Atlantic leac4 — Nlariba
Bepartment of Nuilbing Inopection
This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use For the following.
Use Classification Sj-rg1(,, Famil.-y, Rcsid(--tice Bldg. Permit No. 7331
Group Wifrapic, Type Construction -� FireDistrict Atlantic Beach
4 ch;-ird & vauW
Owner of BA,cting — , P ur*.�,r Address 342 7th Street
B 'IdInpAddress 34") 'Ith Street Locality Aclaiit-1c Beach, FL 32233
By: DON C. FORD
Buiidind-Officihl Date: z
POST IN A CONSPICUOUS PLACE
JAN-05-94 WED 01 ;51 RICHARD A MILLER & A$:50C 904 721 5756
MAPS-H-OWING SURVEY- OF
AS RECORDED IN PLAT BOOK PAGES.e-9 OF THE CUBRENT PUBLIC RECORDS OF —COUNTY.FLORIDA,
CERTIrIED TO- AIIA-4,'v
SUA.i�04AJKIAJOR-rH
6,14HAR-c� 0,AIE�.6R7&CR
647 0_6
�k- 'CIA/
C)R'l vr",
N
IrA
�_7 A( rg-04
z.sry FRAM9 w%
if.cq
1047
r)
cova"r,
e'VC' $7W
4PV A
JAN 0 5 1994
Building and Zoning
C CITY OF
800 SEMD 40LE ROAD
ATLANTIC BEACH,FLORIDA32233-544-5
TELEPHONE(904)247-5800
FAX(904)247-5805
NOTICE
To: Water Department
.City of Atlantic Beach
Date:
Please be advised that the f*inal building inspection has
been completed on each of the following addresses and
construction water is no longer required:
Permit Number Address
-77-A
- -----------------
-------------- -------------------------------------------
-------------- -------------------------------------------
-------------- -------------------------------------------
-------------- -------------------------------------------
-------------- -------------------------------------------
S� ely
Don C. Ford
Building Official
DCF/pah
cc: City Manager
CITY OF
All 4&4#94'c BeacA-
Office of Building Official
REQUEST FOR INSPECTION
Time Permit No.
Received
--- P -7 3G j-r-
-777,6
Job Md,.—,,,, ---
Owner's Locality
Nam
'm
C tractor
El DIN CONCRETE ELE RIGA
g
(�Faming F, <:�l N� M
Re Roofing Ll Footing Rough Wiring J Rough
In Slab
sulation Lintel TemP Pole FJ Air���
Final Top out L-� Heating
11 Sewer F-1 Fire Place F
Mon. READY FOR INSPECTION Pre Fab
s Wed. Th u rs. Friday A.M,
Inspection Made Z/— —PM.
AM"')
Inspector
Final Inspectio
n>
Certificate of Occu<pncy
Date
DATE-.
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY:
3 " /' 7rl)
- 71.11 X_�------- ----------------------------
-------------------------------------------------
------ -------------------------------------------------
-------------------------------------------------
-------------------------------------------------
Enclosed are the blue copies of the permits.
SINCERELY
BUILDING INSPECTION DIVISION
oc:FILE
P, CITY OF
4&4a,&*c Be=4-49"-
Office of Building Official
REQUEST FOR INSPECTION
Date �?-93 Permit No.
Time A_U
Received RM. -7 3 6,3-P
Ziob ,d&e
a ity,
Owner's
-contractor
BUILDING CONCRETE ELECTRICAL P UMBIN rM_E C H A N I`CA
Footting iring El
Sla El Temp Pole E Top Out 1-1 Heating
Lintel F1 Final El Sewer El Fire Place
Pre Fab
READY FOR INSPECTION
A.M.
Mon. Tues. Wed. Thurs. Friday_RM.
Inspection Made PM.,
Inspector inal Inspection Ej
Certificate of Occupancy E
Date
NMI I=
OF
W900011'42�� A bw: -W
ilm kle � _
BADDRESS S7- 3
_1 y Z
=;72-
THIS JOB HAS NOT BEEN COMPLETED
The following additions or corrections shall be
made before the job will be accepted
ro j5S iS/AJ
IDA,
U Z g 4 r_j#J 6,
Contractor, Builder, or other persons, 10
Tt is unlawful for any carpenter, loth, earth
cover or cause to be covered, on y part of the work with flooring,
or other material, until the proper inspector has had ample time to approve
the installation. Building
After additions or corrections have been made, call --
Department for an inspection. Field Inspectors are in the office from-
to-Monday through Friday. PLUMBING
ELEC
BLDG
B-4
PRESS HARD-USE SALL POINT PEN
CITY OF
I - Ir
Office of Building Official
REQUEST FOR INSPECTION 7 31�
Date— Permit No.
Time (AM.��)
Received P.'A
z4,,-)- 7Z4 ;U4� 73-63 ,-
J bA L cMity
Owner's
Name or
BUILD G CONCRETE LE A PLUMBING M�ECHANI L�.
M
Rough Wiring r Co
raming Footing F,1 11 Air Con
Re Roofing -1 Slab El Temp Pole Out Heating
Insulation El Lintel El Final 1j er 1-1—<1
El Fire Place 1:1
Pre Fab
READY FOR INSPECTION
A.M.
�M.n Tues. Wed. Thurs. Friday—PM.
A.M--
Inspection Made ---rl—p�-
Inspector ---Hnffr Inspection El
Certificate of Occupancy El
Date
7�0-6�4*44
DEPARTMENT OF BUILDING
CITY'OF ATLANTIC,BEACH
P ERM I T I NFORMAT I Off:
------ ----- LOCATION IRFORKATION ----------
PerM�t Number: 7499 Address�.-' �3421' SEVENTH STREET
PetMit Type,�: UTILITIES ATLANTIC BEACH, FLORIDA 32233
C I ass,!�6 f :Work: New
---------- LEGAL DESCRIPTION ----------
r- Type: N/A Lot , 19 Block - Sectio
e n:
Pro�oied US : S'l-NOLE FAMILY, To�nshi RNG:
Dwell1i,ngs I Code:
Subdivisian:� ATLANTIC BEACH "A"
ti,
ated Value:
Improv. Cost .-, $0.00
Total
$362 .10
S36 l6
Arfiou 2
-40 k
A ---
PPLICATION FEES
RTER
PERMIT $0.00
Addr s - if
STREET, Ft
00f
H, rLOgTw 'R I' P4C Z.
I a
AS
4 " v
AP $,0 .ja(r
RADON GAS-H-'R. S-.,I $0.00
RADON GAS - 5% $0 -00
FORMAT14p
Na e* PUBL QRKS DEPAR$�" CIAPITAL, IMPROVE -77- ---$0 00,
I T
A44r,"
PWZR TAP
HYDRAULIC SHARE
$0.00 ,
Type: 0� , CROSS CONNECTION P0
W
C-H IXPAgT_.F"
CO - SC�--OTH
Pu,6111,c-Works it tapping this lot and the one next to
it, Total cost is $724-19
Amdtii it this tap is 1/2 $342,40
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE,INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
�-:,BUILQIP G MATE RiAL,,RUSSISH AND,DEBRIS FROM THIS WORK MUST NOT BE LACED IN PUS
LIC SPACE,AND MUST BE
CLEAAE D UP AND'HAULED AWAY BY 51TH ER,CONTRACTOR OR OWNER
F
Al URE TO COMPLY�WITH THE MECHANICS' LIEN LAW CAN RESULT IN
E ROPERTY OWNER"PAYING TWICE. FOR SUILD'ING IMPROVEMENTS.
THE,
1 '4$15 U D
ED ORDINa TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION'FOR
ivio T N OF APPLICABLE PROVISIONS OF LAW.
'04�i
ATLANT LD
I GDSAAA ENT
N
M,
BY. Total PAYA"t $w.to
�7
BUILDING AND ZONING NSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233 70 (
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV.
\r 1Ffq
LOCA ION Street Address: S_177
into
r
TT
OF Intersecting Streets: Between
BUI I And
BUILDIN
I Sub-division
L7!11!1:�.�I�DENTI�Fl CATION To be completed bY all applicants .
In consideration of permit given for doing the work as described in the above statement a hereby agree to perform said work in accordance
with the attachpd plans and specifications which are 8 part hereof and in accordance wiwth the City Of Jacksonville ordinances and standa ds
of good-practice listed therein. r
Name of Mechanical
L�_*_nhacfor (Print) Contractors
Master
Namis of
Property Owner 614 e12
Signefuro, of Owner dir, 1-_.
or Authorized Ago 71111i��� Signature of
Architect or Engineer
IIL MERAL RMA
g
A, Type of heatin B.
Eloctric IS OTHER CONSTRUCTION BEING DONE ON
THIS 13UILOING OR SITE?_\A11-p<:�
0 LP 0 Natural C3 Central Utility
C3 Oil IF YES, GIVE NUM87 OF CONSTRUCTION
PERMIT
0 Other — Specify
IV- MICH�N)CAL EQUIPMENT TO BE INSTALLED �ATURE OF WORK
(Provide COMP101's list Of ComPorionh on back of this form) kr Residential or 0 Commercial
Most E3 Space 13 Rocessed -I!, Central 0 Floor New Building
Air Conditioning: C3 Room It Cent 11 Existing Building
Duct Systorn: Materia Replacement of existing system
Thickn*'_�
Maximum capacity C.f.m. )Q/New Installation(No system previously installed) to
0 Refrigeration Extension or add-on to existing system
0 Cooling lower: capacity 0 Other — Specify
C3 Fire Sprinklers: Number of head,
(3 Elevator C] Monlift 13 Escalator (number) THIS SPA4CE- FOR 0111 USE ONLY
0 Gasoline pumps (number)
0 Tanks_ (number) (Ille"Gohred) I
Remarks
13 LPG containeirs —(number)
0 Unfired pressure vessel
C3 toilers Permit Appraysid by------
b Othor — specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONI14G AND REFRIGERATION EQUIPMENT
CiLft"Ity A
Number Units Description Model Number Manufacturer R�)
7491 '
DEPART1111111INT OF BUILDING
CITY OF ATLANTIC MEACH
�6, pe_ IT INFORMATION ------ LOCATION INFORMATION --------- -
RM
t� Nu, mber: 7491 Pddress: 342
SEVENTH STREET
� ,Peri� 4t Type*, MECHANICAL
ATLA1NtIC BEACH, FLORIDA 32233
I a0s f Work* NEW
LZOALDESCRIPTION
-'s Type, WOOD .FRAME lot : : Section,.,
Biock:
viop�, d Use:, SINGLE FAMILY Township:
RNG: 0
gs :, Code 0 Eubdivisiow .
1 ma ed va I ue $0 . 00
I
MP ost , $0.00
Tital F il S51 .00
k1m, �un $51 .00
A _gAt mim!; %N;) im R_ IN N=4 S 11401 se RAM I 1.2
Ig
ION ---- Yf AP�LICATION FEES
ER $51.00
�ddiesl STREET' ' E 110 00
AI WATE PACT
FLORIDA,
P rv,
P
RADON AS-H.R.S. $0 .00
ORMATI -------
RADQN1 0A - 5%
$0 .00
.'Nam AN E HEAT 1 1
CAP'Lm IMPROVk
A
ddr EWER � 1AP
J:::- $0.00
HYDRAV 10, UARE 0.�, 0
NEPTUN FLORIDA_'32233
:C o'n 7 Type*
3 ROSS' 6jigtdifloti
SEC�H MPACT FEE 0.oo
HE
SC',
0
:NOTICE, ALL CONCRETE FORMS AND FL OTINGS,MUST BE INSPECTEDBEPORE POURING
PERMIT VOID SIX MONTHS AFTER DATE SSUE
OFII
-BUILD!4G,MATERIAL,RUBBISH AND DEBRIS'FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
�,ttEik.-D UP AND AULED'AWAY BY EITHER CONTRACTOR OR OWNER
RE:TO COMPLY WITHTHE MECHANIC '9 IEN, LAW CAN RESULT .M.
OPERTY OWNER PAYING TWICE FOR Sul DINGIMPOOVEMENTS."
wtimtm Wei, t
-46uei ACC THIS PERMIT AND SUBJ CATIN
ORDING.TOAPPROVED PLANS WHICH ARE PART OF ECT vo
,�,"VIOLkl 0 N,OF APPLICABLE PROVISIONS'Of LAW.
TEmm
w*vv
F77
0
fEmIpt 1,11
070
ATLAN
Tli ACH BUILDING DEPARTMENT,
-Y.
PSR-3844 7499
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFOR14ATION ------ -------- LOCATION INFORMATION ---------
Permit Number: 7499 Address: 342 SEVENTH STREET
Permit Type: UTILITIES ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW ---------- LEGAL DESCRIPTION ----------
Constr. Type: N/A Lot: 19 Block: 8 Section:
Proposed Use: SINGLE FAMILY Township: RNG: 0
Dwellings : 1 Code: 0 Subdivision: ATLANTIC BEACH "A"
Estimated Value: $0 .00
Improv. Cost : $0 .00
Total Fe,es: 1 $362 .10
Amount ftid: $362 . 10
Date
Wnrk 4
-----------' ORM� '-,ITNY"ORMATION APPLICATION FEES -----
PERMIT $0 .00
Address: , 4, 1" SEVENTH STREET WATER IMPACT FEE $0 .00
BEA ,I
CH, FLORIDA' 32233 ,Sl-n4z*_ IMF �CT $0 .00
FEE
f 5' $0 .00
Ph 11 t WATER�Mkiftk/`TAP
249:-;�,82 1
RADON GAS-H.R.S. $0 .00
------- 6ONTR*0TOR`,',tNFORMATION ------- RADON GAS - 5% $0 .00
Name: PUBLIC WORKS DEPARTMENT CAPITAL IMPROVE. $0.00
Address-
SEWER TAP $362. 10
HYDRAULIC SHARE $0 .00
License: Type: 0 CROSS CONNECTION $0 .00
SEC.H IMPACT FEE $0 .00
NOTES:
Public Works is tapping this lot and the one next to it. Total cost is $724.19
Amount this tap is 1/2 $362.10
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' �iLIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC qfACH BUILDING DEPARTMENT 1periitov- TP)W
It/05/93 01 Receipt. 0007131
By: Total Payment Aw-dopy -
CITY OF ATLANTIC BEACH, FLORIDA
kL;,L-LLC�,VLCN" VC�_ ELECTRICAL PERMIT
A ppr%��Ly—_ ]
TO THE CHIEF ELECTRICAL INSKX�Top�
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
P. 0. BOX 330150
ATUNTIC BEACH,FL 32233-0150
ELECTRICAL FIRM:
M-ASTEk EUCIR1216buiclumum— JO U
NAME ADDRESS: 7 —RFD_soX_
BLDG.SIZE BETWEEN:
RES,k_L_. AFT. ( I CO". PUBLIC ( INDUS. N E W C_Nf_ OLD REW.
ADDITION I I TRAILER ( I TIEMP. ( SIGNS SO. FT.
SERVICE: NEK/��_ INCREASE I REPAIR t FEE
CONDUCTOR SIZE AMPS 'Z 6"(9 C6PPE ALUM,
VWITCHORBREAKER 2i�'W PH W L?2fv
RACEWA
A 7 PH'2
PSE
EXIST.SERV.SIZE P
5!AM PH W VOLT ! RACEWAY
FEEDERS NO. SIZE NO.
SIZE
NO. SIZE----
LIGHTING OUTLETS OP
CONCEALED OPEN TOTAL
.........
RECEPTACLES 0.30 AMPS. CONCEALED OPEN TOTAL
�PE
�31-100 AMPS, I
SWITCHES '3
INCANDESCENT'
FLUORE SCENT&M.V.
FIXED mpo. ovip9pt
APPOANCES
AIR ATING H.P.RATING BELL TRANSF.
CONDITIONIN(I �COMP-MOTOR
OTHER MOTORS AMPS CEIL HEAT: KWHEAT
MOTORS
OVER
VOLTAGE PHS No. I VOLTAGE PHS
MISCELLANEO-Ut
--------------
WILLIS CONTRACTORS,INC.
008861
CITY OF ATLANTIC BCH BLD DP 09/30/93 CHECK # 8861
ACCT JOBCODE AMOUNT ACCT JOBCODE AMOUNT
1210 GHELERTER $325 . 00
CHECK TOTAL ------>>> $325 . 00
WILLIS CONTRACTORS,INC. 7
009046
CITY OF ATLANTIC BCH BLD DP 10/28/93 CHECK # 9046
ACCT JOBCODE AMOUNT ACCT JOBCODE AMOUNT
1209 GHELERTER $37 . 10
CHECK TOTAL ------>>> $37 . 10
------------- -
77 7331
biPARTM
ENTOFOUILDING
c ITY 6#
ATLAtme SEAcH,
MIT INFORMATrON,
Pa
------�:- , LOCATION INFORMATION ---------
r r4i t: N,uv�b,e r 7331
kddress 342 SEVENTH STREET
i t Type�, , BUIL�INO
Peril
'ATLANTIC BEACH, FLORIDA 32233
c 'Work: NEW
,I L LEGAL 'DRSORI'PTION ---------- -
Type
WOOD FRAME
19 Bi o0k.* 8 , Secti-on:
ed Use A
I * ' SINGLE FAMILY Township: RNO, 0
0
Dve: 1!
�gs Code ubdivision-
�ed Val,�te,- $129845 .00 ATLANTIC BEACH "A"
I'M"
OV. C,,b t $0 .00
$35017 � 24
$3507 � 24
A N a,1,V PAM T T.
-P-,q T nENO
FL-rEZE PLANS- HSE-2225
p
APPLICATION FEES
TrON
'N
PERMIT
$A GHELERt
$790 .00
AAd'rev
OCKS DRIVE R ACT BE -000", �70 00
WAT
%4
FLORIDAA Ap.
Aw
P
Fho'
RADON: AS-HI.R.S.
R ORMATION --------
RADON GA 5%� $07'i
L 1, NT CTO S
Nam C*A P 0 0
IZ&
_jM,p
..........
L SEW� R "APL
T, 10,4-0,0
5HARE woo
j(NFL ,32250
Type*. , ' O CROSss 'ONNZCTION
0
E "I
SEC-H MPACT FE 0
0 0
0
"NOTICE ALL C014CRETlE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURINO
PERMIT VOID SIX M
ONTHS AFTER DATE OF ISSUE
ulwi MATERIAL,RUBBISH AND,DEBRIS FROM I THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
J,`,'��-CLEAAE :UP AND HAULED,AWAY BY EITHER CONTRACTOR OR OWNEA
f
tj
FA'.11 : URE TO COMPLY WITH THE MECHANICS L EN JAW CAN RIESULT� IN
0OPERTYOWNSR'PAYING TWICE FOR
N IMPROVEMENTS.
WTjr*,! v fl
UBJE Ali
mot
-PROING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AW
T109
PROV
OF APPLICABLE
1SIONS'OF LAW. CN
-Pj
ja�
0
IECEIPT WKR:,I Mo
Ii,P!JILDfNG DEPARTMENT
��io Jr
CITY OF
D5:51-M I PT ION
goo 144 1%
V 11.AN I IC t"411"
Dinck auction S.. I'mA) 2-41-F84141
;ubdiviR I On I ------------
DEt;CRIPTIU11 OF Wd'l AUG 1 iol 1993
Afjaitd-�e . O'�
-,trt?j?t 1q _ L
)r AddfCvl1'-d-J-, If- in a FLO I 01D HAZARD Buildin and Zoning
Compisstp pliga 3,
Deist"'r
L----------
Clagjg Of Works
INFORHATION type of (�ij,45
atruotion.-
Con
Propoewd r U9
--------------
xcqptionp or or
Grounds-------------
OWNER HetAod of "Rating'------------ ------
property
ZLPI
CONTRACTOR 111FORMATIO11
PhonL
Contr
----------------
mailing
'j'
2 Zips
Number
Y1111; APPLICATIO14 AM) "OV TMC :;A"S
r IIAVg ItCht) AND CXANIM0 rjjj4jH0 T14IN TYPE 'r)v 'w"":
CCRTZrY TWA' CV191000 OF tHe LAW$ AND 01MINAN"ej Cov A PtRMIT
Comptry, ALL PA, 11119 43RAHTINI IF
wtvi, WHR7111M ilegwird "019111 OR Nist- ago or AjjV FrOVIIAL, OTAIC Oil
COMPLICO VZOLATIC 911 CAPjCA:L THW PROVI 51 w
Glyz AUT110111TY TO Ims-liftilln tloc GOVI'AlltmO OF
willm. ylqE t:;,.4UAN1:E Ur Tow; rks—,
ON LAWI IN Ally "A T11AT
A140 TH Tilt
ZUH 00 THE Plinjitet. A
pCouLATION9, I U111 01-Aw;
pfRFORAMICIC Ul" "J"STAUCT RItATION mgIll(l 11,UIC
T"9 AMOV% 1gra
LO AS R91JU2R1;P#
N VATA HAVC
DELI# OR NHALI. 69 PP
oe
A
ownOC Sign
r 193
Ft.00DPLAXH DEVELOPnCnT JUVOROATION
Type of DvVelopments---------------------
Flood I zones----------
Required Lowest Floor Clevationi..,._
Xf building ip located w*thin a iflood hazard movie, a survey must
be "de AFtER THE St.AB, HAS BEEN POURSD# certifying that thO
L.OWEST FLOOR ELEVATION *. in equal to or above the bane Ilood
elevation e(;toblinhed for.;that Zon0s
ficate 01 Qr-cuPancY
No iinal inapection will be mado and no corti.
will be janued until the ourv&Y ju 00 jj.le with the Building
Department,
COMMENTS%
Applicant AoRnowledge"Onts I underatnnd that the ivauence of
thig parmAt A= aontirwgont, upon the nbove injormation beinu
correct and that the plans and supporting date have been or nhalt
appliduble
be provided an required* �,i ,1' 86rea to complY with all
provisiona of Ordinance �i No, 25-7-11 and all other Iowa or
ordi,nances stlecting the propooed development.
Date--------------Applicant'a
------------------------ ---------
Department Us*
Required Lowest Flbbr ElevaiioA ----------------
. I i
An Built Lowent Floor EIOV*ti0h ------------------
Survey Filed with Su.j1ding Pepalrtment
--6o--par-Zm-e--nZ--Re-p-------------
au ding
CITY OF ATLANTIC BEACH
BUILDING FqRKIT CALCULATION SHEET
Address
Date— 07
Heated Square Footage @ $ per sq ft = $
Garage/Shed $_LY-,-C_0per sq f t = $
Carport/Parch
$ 13 -00per sq ft = $
Deck $ per sq ft = $
Patio $ Oper sq f t = $
TOTAL ,VALUATION: $
Total Valuation 1st
Remaining Value per thousa�-d
or portion thereof
TOTAL BUILDING FEE
+ 1/2 Filing Fee -1) K- U&
( 1 ) Fireplaces @ $15 .00 $__1S,00
BUILDING PERMIT FEE
$
BUILDING PERMIT
WATER CONNECTION 6�
SEWER CONNECTION 1.2 ro.C) 'D
WATER METER/TAP $ 37557 60-
CAPITAL IMPROVEMENT 0 0
(1-1-13) RADON (HRS) .0045 <:j
(0-23) RADON (CAB) . 0005
SECTION H PAVING
HYBftftUt-1e--5fhh-RES
OTHER
GRAND TOTAL DUE
ADDITIONAL PERMITS OR FEES: Mechanical
Electric/New Electric/Temp_; �wimmingPoo`l
Septic Tank Wel 1___. 'inish Floor Elevati'-0-11--'
Survey Other
CALCULATIONS and/or
TRANSMITTAL DOCUMENT FOR JEA
DATE: 92
The following permits have passed "rough" inspection:
Permit No. Address
7503
RRcb=exlxxxxexxx=xgAxkun*xmpdxmxcafxxtgkaxpe=uL,ta. Please update
your records accordingly.
hank Ot�L K
ILD NG
CITY OF ATLANTIC BEACH
/vcb
CITY OF
4&4a4-c Be44M4-V;&U-d4
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time.
Received
Job Add e
Locality_
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing F&aflng Rough Wiring Ej Rough E] Air Cond. &
Re Roofing Slab Temp Pole El Top Out
Insulation El Heating
Lintel Final El Sewer D Fire Place
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. Thurs. Friday A.M.
Inspection Made -P.M.
Inspector Final Inspection P
Certificate Of Occupancy El
Date
Record and Peturn To: VGL7 6,4 3 PGO 1.4 0, G C)C
11-ican First Coast Title
2445 '13 S. Third Street
Jacksonvil le 9ch, FL 32250 OFF[CIA1. RECORDS
PA 8J5
PERMIT NO. TRX FOLIO NO.
NOTICE OF COMMENCEMENT
STATE OF FLORIDA COUNTY OF DUVAL
The undersigned hereby gives notice that improvement will be made to
certain real property, and in accordance with chapter 713 , Florida Statutes ,
the following information is provided in this NOTICE OF COMMENCEMENT.
1. )escription of property (1eqal description of the property) : -
Lot 19, Block 8, Subdivision "A", Atlantic Beach, according to plat
thereof recorded in Plat Book 5, page 69, of the current public records
of Duval County, Florida.
2 . Street Address- (if hvdilable)
342 Seventh Street, Atlantic Beach, FL 32233
3 . General description of improvements:
Construction of detached, single-family dwelling .
4 . Owner information:
(a) Name and Address: �ICHARD GHELERTER
irk12819 Mandarin Ro
Jacksonville, FL
(b) Interest in Pro*perty.* FEE SIM'
Lr
(c) Name and address of fee simy
owner) : n/a
IN,
_\�S)E3 Contractor (name and address) W!
C\j
U_ 2
C.0 (JI
CC:
Uj
M
6. Surety:
(a) Name and address: n/a
(b) Amount of Bond: $n/a
c\j 7 .* Lender (name and address) :
C:) Sun Bank/North Florida, Nat
C-),C)
C-)U
co L_j tAj
(1:= Persons within the State r i whc�-,,
CD c.)
M_113Y ces or other documents may hapter
13 (1) (a) 7 . , Florida Statutes:
W
co __LL_
1� (- In addition to himself S u r
. .3 9 .
BankLj�qrth Florida National Assc
nor s
Notice as provided in Section 717
10 . Expiration date of nof C�l date is
one yea.- from the date of reco7
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
Qn
TO THE CHIEF ELECTRICAL INSPECTOR; DATE: ��14
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK Ac. 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.
/_3J JOURNEYMAN
ELE RICAL FIRM:- -MASTER ELECTRICIAN SIGNATURE I L
N 77k RFD—BOX—
A 1A=�n'—l—VADDRESS:
BL".SIZE BETWEEN:-
RES. APT- ( COMM- PUBLIC INDUS. NEWK) OLD( I REW.
ADDITION TRAILER TEMPA SIGNS ( I SQ. FT.
i SERVICE: NEW( INCREASE ( REPAIR FEE
CONDUCTOR SIZE AMPS COPPER LUM r.46—
VOLT RACEWAY
SwIjo: H OR BREAKER AMPS- PH
EXIgi.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIG!�ING OUTLETS CONCEALED OPEN- TOTAL
RECtPTACLES CONCEALED OPEN TOTAL
1 0.30 AMPS, 31.100�MPS
swi rCHES
INCA NOESCENT
FLUORESCENT&M.V.
PP�JANCES BELL TRANSF.
01XED 0.100 AMPS. OVER
A
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT] KW-HEAT
I -A I
0
0.1 V R
MOTORS H.P. VOLTAGE PHS NO. 1 VIP- VOLTAGE PHS
�EELLAN ous
-Of BUILDING
DEPARTMENT
CITY OF ATLANTIC BEACH
nion I,NPORMAT1
-------- LOC
ERM T INPORMATION TH STREET
Address , 342 SEVEN
�P' rmi, Number. 7705 ,1, J
e, ATLANTIC tRACHi .FLORIDA 321231
P e, it Type: PENCE ----------
---------- LEGAL DISCRIPTION
NEW 11 11 �� 11
tlasz:, lof work Section:
Lot : , Block;
.�V.'.CosiiIr# Typet WOOD PRAME
RNG: 0
ed Use; SINOLE PAMILY Township
c o d e': 0 subdivision,
%n ed value*
$2165 .00
$0 .00
Imirov. Cost :
$10 .00
0, 1� V
$10.00
1-9-3
'j,yv%
ON TEES -----
TION A PLICATI
N SA GH
L PERMI1 I
IV $0 .00,
Addre s . 0 STREET of,
iw W119111
V`.M' T
71
Ph AT
RADON GAS-R.R.S. $0 .00
$0.00
ADON G S
C R ]PORMATI- ------- R
N 6 VA CE, INC. A
CAP, T ,I; IMPROVE
$0.00
SEWER TAP
LIC SHARE �$0 .00
JACKkS ILLE, 'FL. 32256 HYDRKU
4coo
0 CROSS CONNECTION 'Aik
I Ce '4 Type:
SEC.H IMPACT FBI- 0 .06,_
COX.ga"
GS MUST BE INSPECTED -POURING
ALL CONCRETE FORMS AND FOOTIN BEFORE
NOTICE
PERMIT VOID SIX MONTHS AFTER DATE O� ISSUE
LAtED IN PUBLIC SPACE,AND MUST BE
BUILD t4G,MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NQTBE P
CLEAI ED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
C, 11 MPLY WITH THE MECHANICS' LIEA, LAW CAN RESU.LT '!,,N
a 4LURE TO CO
T OPERTY,OWNER PAYING TWICE FOR SU, LDING IMPROVEMENTS.
'PR
VOCATION
ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PE IMIT AND SUBJECTIO RE
OF APPLICABLE PROVISIONS OF LAW,
V
'IC-BEACH BUILDING DEPARTMENT bmiptl 00"m
00
$1&00
4/
APPLICATION FOR FENCE PERMIT
ID. i I
Owners name 4,&A + U, PhoneAA3---7241117,10
PLL
Job Address-.j
Lot Block and/or Unit #
Contractor if different from ovner-bWAt��- WUWS---
---------------------------------------------------------------------
Valuation of fence Corner or interior
Type
Show location and height of fence as well as location of
street(s) .
Iry
2 9 1993
Building and Zoning
-7
Owner
Contractor signature--A-aw-A40 U Date
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
------ t TION INFORAATION - ---------
oc�
fl�RMIT INFORMATION
Uui4ber�i � - 7161 dress : 3.42 SEVENTH STREET
Permit Typet WILDING A-ri�A;TIC 'BEACH,, FLORIDA 32233
-T-I ass,� of work*., REMOVE LEGAL DESCRIPTION,.,----------
Const� . Type: WOOD, PRAME Lot: 19 Block: 8 Section:
Propo ed Use*� GARAGE/CARPORT ' Township . RNG1 0
gs : 1 . , Code*. 0 Subdivision: A
el,11
Z t ima ed Value: $0.00
-Imp ,-,ov. Cost: $0 .00
I Fe $100.00
$100 .00
3
jgQH vEnId RRysplim LACATTON 0=9 1 r1st Qzatg
g
AP LICATION FEES -----
ION
Na PERMIT $100 .00
PACT F
W A T E PACT F E 74000
STREET
E E,
FLORIDA
Phon 9 T Z
RADON ;AS-H.R. S. $0 .00
$0.00
CO T I OX ------ RADON' G%- Ill
WAT
$0,00
ZR
NaM4 HY
9 VERS
B SEWER "AP $0 .00
JACKSO E FLORIDA 32202 HYDRAULIC SHARE $0 .00
2- ' Type: CAPITAI, IMPROVE. '
SEC.H 'MPACT FE .00
t
us.
NOTICE,—ALL CONCRETE FORMS AND FOOTINGS m r BE INSPECTED BEFORE'POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
DE SRI S FROM TH IS WO R K M U ST N OT BE: PLAC E D IN PUBL IC SPAC E.AND MUST BE
SUILD , G MATERIAL,RUBBISH AND
CLEAJ ED UP A?4b HAULED AWAY BY EITHER CONTRACTOR OR OWNER -
4 FAILURE TO COMPLY WITH THE MECHANICS9 LIEN LAW CAN RESULT IN
6
TH11 PROPERTY OWNER PAYING TWICE FOR BUILDING411PROVEMENTS."
U RE R
CORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND IfffaTO VB&T19.0
OF APPLICABLE PROVISIONS OF LAW TWEID $100.00
VOW
A
RECEIOT AlIff'R. OWM
T
C BEACH BUILD[ '
i,ATLAN, G EPARTMEN
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
owner(s) :
Address : L�4 Phone:
t
Lot # Block or Unit # Subdivision: '/4=
or: A4�� -
Contract 2i�
Address : J rg�*�P hZ3-e N o
Describe work t:o:,;b�e�do �e�-
Present use of building:
Valuation of Proposed Construction: 0
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 (or increase)?
New plumbing fixtures? New fireplace? New Heat/AC?
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER: Date:
1'7
Signature CONTRACTOR: Zy Date: Y '- /i:��
CITY OF
tq&,40 13C444-07&1 d- 4
office of Building official
REQUEST FOR INSPECTION
Permit No.
Date z -
A.M.
Time PM.
Received
Locality
Job Address
Owner's Contractor -e- hi
Name ELECTRICAL MBING MECHANICAL
BUILDING CONCRETE t�j --Rough Air Cond. &
Framing 0 Footing LJ Rough Wiring TOP Out El Heating
Re Rooting El Slab El Temp Pole D Fire Place 11
Insulation 11 Lintel 1-1 Final Sewer Pre Fab
READY FOR INSPECTION
Clu Thurs. Friday-P.M.
s Wed
Mon.
A.M.
Inspection Made P.M.Final inspection 11
Inspector- Certificate of occupancy
Date
CITY OF
Bmr.A-v7&W*J4
office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
A.M.
Time P.M.
Received
2-
Locality
Job Address
Owner's Contractor
Name ELECTRICAL PLUMBING MECHANICAL
BUILDING ONCRETE &
`�obr, Rough Wiring El Rough El Air Cond.
Framing El q_— E Heating
Re Roofing 1-1 Slab Temp Pole Top Out [:1 Fire Place
Insulation El Lintel ri Final F1 Sewer Pre Fab
READY—E?F"NSPECTION A.M.
Tues. rW.d. Thurs. Friday/—P.M.
Mon. _— * j, I
A.M. 1K
Inspection Made Final Inspection El
Inspector— Certificate of occupancy E,
Date
7/ 7
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
BILL THOMPSON ELECTRIC CO., INC.
P. 0. BOX 3,'�20150
-ATLANTIC BEACH,FL 32233-0150
ELECTRICAL FIRM: MASTER 9LECTRIC4
N SIGNATURE JOURNEYMAN
E� 7PI t40 RFD_BOX_
N AM E ADDRESS-,,
BLDG.SIZE BETWEEN:
RES. APT. COM�. PUBLIC INDUS. NEW OLD( REW.
ADDITION ( TRAILERII TEMP._":- SIGNS ( �SQ. FT.
SERVICE: NEW4"1-. INCREASE REPAIR FEE
CONDUCTOR SIZE J,/�; AMPS COPPER ALUM.
SWITCH OR BREAKER AMPS PH '-W OLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALEDI OPEN TOTAL
RECEPTACLES CON OPEN TOTAL
SWITCHES 0.30 AMP8. 31,100AMPO.J.
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0-100 AMPII. OVER
APPLIANCES I --- I BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHERMOTORS CEILHEAT: KW-HEAT
v OVER
MOTORS EH.P OLTAGE PHS NO. -1 M.P. VOLTAGE1 PHS
MISCELLANEOUS
TRANS FO RME RS.-�� UNDER 600 V. ER 600 V.
A, CITY OF -Ja
k__r 13eacA AJ&u
office of Building official ION
REQUEST FOR INSPECT
-7190
Permit No.
Date A.M
Time P.W
Received Y/ e r
Locality
�bAdd or
owner's Z C ntract MECHANICAL
Name PLUMBING Air Cond. &
CONCR TE C—E—L—ECTRICAL _,)
Ll Rough
BUILDING TOP Out Heating
E-i Fooling Temp Pole Sewer Fire Place
Framing F, Slab F Final pre Fab
Re Rooting Lintel
insulation
19
0
E
READY FOR INSPECTION
Thurs. d
Wed.
Mon. Tues A.M.
inspection><
Final
inspection Made Certificate of occupancy
inspector--- Date
D AT E'
-------------
FRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY :
------------------
-------- --- --- --------
A7190 3YO 7-z7- 7-P Ag
--------------------------------------------------
--------------------------------------------------------
Enclosed are the blue copies of the permits.
SINCERELY
r
BUILDING. INSPECTION DIVISION
cr-- : FILE
7300
DEPARTMENT 0
OF ATLANTIC BEACH
77 F 8,UILDING
CITY
-, ; PERMIT INFORMATION ------ ------ LOCATION INFOR14ATION
7300 Address, 338 SEVENT
rmi t Number : FLORIDA 32233
ATLANTIC BEACH,
P erii i t Type: UTILITIES
DESCRIPTION ----------
,,Iass of Work*, NEW
Lot : , sl ock Section:
Type N/A,
C. onstr
Prop '�sed U I s e. SINGLE :FA141LY TowOship: RNG; 0
Drwel 11 in I Code: 0
gs : Subdivlsion�
Eitird ted Value, 00
I- 'rov . Cost
lotal Fees*
Amount
14 9,3
T611
:�w IRRIGATION METER
ATION APPLICATION FEES
Na e: % "'T ERM I
Addr STREET WATER IMPACT FEE
A's
FLORIDA 1
-00
'41 P
Ph ,
FORMA
T I ON ------- RADON GAS 5% $0,00 ,
4a,ne', L 0 DEPARTK N T WATER TAP $440 .00
S -TAP
re 5!51
HYDRAtiLIC SHARE $0 .00,
to .00
N"
FEE
SEC�H IMPACT
c Type: 0 CAPTT&L IMPROVE.
70
$35 and Inspectio'n $35�
; SS."
T
No
NOTICE—,,�kLL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE 01:ISSUE
PLACED IN PUBLIC SPACE,AND MUST BE
SUILC I�NGMATERIAL,RUBBISH AND.DEBRIS FROM THIS WORK MUST NOT B
R
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR 0 OWNER
IEN LAW CAN RESULT IN
LURE TO COMPLY'WITH THE MECHANICS' L
SFOR BUILDING IMPROVEMENTS..,
TH PROPERTY OWNER PAVINGTWIC
TO OR
$81,11 D ACCORDING TO:APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUWT R
��-',,410U TION OF APPLICABLE PROVISIONS OF LAW.
VM 00
TENM
m
WMIPT MMSER: '106897
BEACH BU, ILDikG,P�EPAATMENT
PREPARED 9/12/03, 7 :49:39 INSPECTION TICKET PAGE 6
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 9/12/03
------------------------------------------------------------------------------ -----------------
ADDRESS . : 342 7TH ST SUBDIV:
TENANT, NBR: INTERIOR REMODEL KITCHEN
CONTRACTOR EASTERN SHORES CONSTRUCTION PHONE (904) 246-6056
OWNER GHELERTER, RICHARD PHONE (904) 246-1464
PARCEL 169896-0000- -
APPL NUMBER: 03-00026429 RESIDENTIAL ADD/RENOVATE/ALTER
-------------------------------------------------------------------------------------------------
PERMIT: BLDG 00 BUILDING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
13 01 7/24/03 LJH B FRAMING TIME: 08 :00
B
7/24/03 AP OVER UP 838-1524
16 01 9/ / BD FINAL TIME: 13 :00
�.2U3 ��r
1 8 -1524
-01 �g 838
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 7/23/03, 17:29:50 INSPECTION TICKET PAGE 11
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 7/24/03
------------------------------------------------------------------------------------------------
ADDRESS . : 342 7TH ST 'SU8DIV:
TENANT, NBR: INTERIOR REMODEL KITCHEN
CONTRACTOR EASTERN SHORES CONSTRUCTION PHONE (904) 246-6056
OWNER GHELERTER, RICHARD PHONE (904) 246-1464
PARCEL 169896-0000- - L
APPL NUMBER: 03-00026429 RESIDENTIAL ADD/RENOVATE/ALTER _.a I kl��
---------------------------------------------------------------------------- -
-%W
PERMIT: BLDG 00 BUILDING PERMIT t1i 0
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------ --------- ------ ---------------------------------------- ------ ----
13 01 J/24/03 LJH CD ING TIME: 08:00
12q 444 ER UP 838-1524
-------------------------------------- COMMENTS AND NOTES ----------------- -- - --- -----------
PREPARED 7/23/03, 17:29:50 INSPECTION TICKET PAGE 13
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 7/24/03
------------------------------------------------------------------------------------------------
ADDRESS . : 342 7TH ST SUBDIV:
TENANT, NBR: 200AMP,lPH,3W,240VOLT,SEU
CONTRACTOR BROOKS & LIMBAUGH ELECTRIC PHONE (904) 241-9051
OWNER GHELERTER, RICHARD PHONE
PARCEL 169896-0000- -
APPL NUMBER: 03-00026459 ELECTRIC ONLY
------------------------------------------------------------------------------------------------
PERMIT: ELEC 00 ELECTRICAL PERMIT I
REQUESTED INSP DESC�PTION
' .7
TYPISO COMPLETED RESULT RES T TS/COMMENTS
---------------------------------- -------------------------------------------------------------
22 01 �,/24/03 LJH /EROUGH TIME: 08:00
8 1
8-1524
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 7/23/03, 17:29:50 INSPECTION TICKET PAGE 12
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 7/24/03
------------------------------------------------------------------------------------------------
ADDRESS . : 342 7TH ST SUBDIV:
TENANT, NBR: WASHING MACHINE
CONTRACTOR STEEG PLUMBING PHONE (904) 249-5191
OWNER GHELERTER PHONE
PARCEL 169896-0000- -
APPL NUMBER: 03-00026443 PLUMBING ONLY
------------------------------------------------------------------------------------------------
PERMIT: PLBG 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
43 02 -1/24/03 LJH P OUT TIME: 08:00
-4 -114 (XT'o
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 8/05/03, 8:08:38 INSPECTION TICKET PAGE 6
INSPECTOR: LARRY J HIGGINS DATE 8/05/03
CITY OF ATLANTIC 13EACH -------------------------------------
----------------------------------------------------------
SUBDIV:
ADDRESS 342 7TH ST
TENANT, NBR: INTERIOR REMODEL KITCHEN PHONE (904) 246-6056
CONTRACTOR EASTERN SHORES CONSTRUCTION PHONE (904) 246-1464
OWNER GHELERTER, RICHARD
PARCEL 169896-0000- - D/RENOVATE/ALTER
APPL NUMBER: 03-00026429 RESIDENTIAL AD --------------------------------- -----------
------------------------------------- ---------
PERMIT: BIDG 00 BUILDING PERMIT DESCRIPTION �7
REQUESTED INSP
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------- -----------
----------------------------------------------------------
13 01 7/24/03 LJH BD FRAMING TIME: 08:00
7/24/03 AP COVER UP 838-1524
16 01 8/05/03 LJH BD FINAL TIME: 17 :00
AM OR- PM 237-3289 MIKE -------------
- --- --- -------
--------------------------------T--------------S-- : S WYER GAS COMPANY (904)246-6471
PERMIT: MECH 00 MECHANICAL PERM,DES IPTION
REQUESTED INSP TS/COMMENTS
TYP/SQ COMPLETED RESULT RES L - --- ------------------------
---------------- --------- ------- ---------------- -------------
34 01 8/OS/03 LJ ' E FINAL TIME,: 17:
14
----- COMMENTS AND NOTES ----------------------------- --------
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:-
PLUMBING CONTRACTOR:
LICENSE NUMBER:
OWNER:
BUILDING CONTRACTOR: V15,
TYPE OF BUILDING:
SINKS SHOWERS
:�/--LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
�3 CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT: + $15.00 5-
--------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.