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367 7th St (vault) ADDRESS� 3 & 7 Co-- / 7� ,,D_.LSS BUILDING PERMIT NUMBER /&0 / 2 - -16 r7 6 INSPECTIONS: FOOTING 3 9 ,, , �,, ^ UNDER SLAB PLUMBING y iy 9 SLAB 3 /3 FRAMING COVER-UP INSULATION FINAL BUILDING CERTIFICATE OF O':CUPANC`% ELECTRICAL PERMIT # /" 3 41 1T ^ INSPECT_��t�:. ROUGH �5 1 L� -4� FINAL 7 MECHANTCAL PERMIT # FLUMBI'_ ,": PERMIT # 14OTES : 3�aJ�1f CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Jjilt Application Number . . . . . 08-00000546 Date 4/28/08 Property Address . . . . . . 367 7TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 15500 ---------------------------------------------------------------------------- Application desc roof over frame ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SMITH, LINDA REGISTER BARNES HENDERSON CONSTRUCTION 367 7TH STREET 3317 ROYAL PALM DRIVE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 424-9678 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 15500 Expiration Date . . 10/25/08 ---------------------------------------------------------------------------- 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 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA dG CODES. C Off+ C BEACH FFALP MIT =J B INC/ ZONING DEPARTME ATION r� 800 Seminole Road Ailantio Beach,Florida 32233 (904)247-5800 (004)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQUIRED DEPT: Y N PLANNING ��r y BUILDING Property Address: (Q N PUBLIC WORKS �R /� 0 y N , PUBLIC IITILMES Applicant: 'Al f 5 /`tfh/ FIRE DEPT. Project: a0 D V Y N Pusuc SAFETY N -APPROVAL DAT w REQUIRED AGENCY: RECEIVED 8Y: INITIAL' E w y N D.E.P 1IUFSTETLER a y N S.J.R.W.M. CARPER Er- z y N ARMY CORPS of ENG CARPER o y N HOTELS&RESAURANTS FiUFSTG fLER APPLICATION STATUS CIRCLE ONE: SITE BUILDI DA AP RE1/IEWED BY' INITIAL: DATE ® Is REV ® �' nCS Zl'O PLANNING ® ® 2ND REV BUILDING � PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV Is CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 t Application Number . . . . . 08-00000717 Date 5/29/08 Property Address . . . . . . 41 6TH ST Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 600 -------------------------------------------------------------------------- Application desc INSTALL HURRICANE CLIPS --------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MARGOL MRL CONSTRUCTION 41 6TH STREET 913 23RD STREET N. ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 285-9854 --------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 600 Expiration Date . . 11/25/08 ---------------------------------------------------------- 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. * 1) Contractor: Please do not cover up any hurricane tie-down or strapping before it is inspected by the building inspector. 2) This project will need a roof sheathing inspecton after the tie-downs or strapping inspection; prior to the dry-in inspection. 3) Dry- in inspection including all flashing; drip edge, valley flashing etc . . . 4) Final roof & project completion, same day. Thanks, Mike Jones, Build. Inspector. ------------------------------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. -S City of Atlantic Beach APPLICATION NUMBER S Building Department (To be assigned b the Building Department.) 9 Y 9 p ) 800 Seminole Road 77. r� Atlantic Beach, Florida 32233-5445 Og Phone (904)247-5826 Fax(904)247-5845 ruPi19 E-mail: building-dept@coab.us City web-site: http://vvww.coab.us Date routed:11 APPLICATION REVIEW AND TRACKING FORM Property Address: `-T � �'� Department review required Yes No Building m K L C>Dnru c Planning &Zoning Applicant: Public Works Public Utilities PrOJ@Ct: 1 1. n�� !I I/ Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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: APPLI ATION STATUS Reviewing Department First Review: [Z/Approved. ❑Denied. 1 (Circle one.) Comments: Ieg5e mggte Coy?Trarlor- awQY,-e 0 f C}Ppo)-4ynen"►s BUILDING` c'.,�rvrrP,�i S ph PLANNING &ZONING PUBLIC WORKS Reviewed by: rn 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 08- I I I I I ::• 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 �;� „�•� I OFFICE:(904')247-5826 0 FAX NO.:(904)247-5645 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF ov Atlantic Beach, FL 32233 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.US F STRUCTURE:' ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: la ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: . ` // / ❑REPAIR ❑POOL/SPA ❑YES N/A 1 IU( S ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: Au5.COMPANY NAME: 23.COMPANY NAME: r7 9.NAME: p , 16A r l.sZ�/Q�/ �, 16.NAME: 24.LICENSEE AME: G` iJ I't ,,` , r 145. L. �D 'z. . C. 17STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: . 10.ADDRESS: _ 69-1+1 �4h C-6c 8 ADDRESS: T)%�K 1 L 26.ADDRESS: `T� ef 13 .?3�S1 I L- Ot LA)",.. YNcJao/ Pit. 11.OFFICE PHONE: 12.FAX NO.: 19 OFFICE PHONE: Q 20.AXi 0.: ' 27,OFFICE PHONE: 28.FAX NO.: ' Q 29.CELL PHONE: 13.CELL PHONE: _ 21�C`EiLLL PHONE / ,,'Y/TL_ 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30,EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33,NAME: 35.NAME. 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 NOTICE OF COMMENSULT NTH YOUR CEMENT. LENDER OR AN ATTORNEY BEFORE RECORDING YOURCONTRACTOR OWNE (Qualifier only) (If Agent,Power of Attom quired) Dj a� g L..�.-s��- Date. nye Simi ate: I ned: 2,3' da of /`'1� ,201t county of Before me this �� ay of 2007Ot'ecountyof Before m tis Y Duval,St a of Florida,has personally peared Duval,State of Florida,has personally app red 01z6LhcA 1345k- r5el N'tr'WW R un nnaA herin by himself/herself and affirms that all stat9nents and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of Ft)f fdQ County of �� , V A-/ Notary Public at Large,State of County of XtU ElPersonally Known ❑Personal) nown r Produced Identiflcati FL or, LiCtns� uced Identification- r Notary Signature: r►,6L�-2 COMPL K. CUNNING I M e of Florida DONNA OF LANUC BEACH ;?o,�Y° ��: Notary�+� p 2010 Y COMMISSIO=UI S FOR ADDITIONAL _ My Commission Expires Feb 28, : o EXPIRES: SAND CONDITIONS. Commission tk DD 523638 COAB FORM BLD GQ I i f16 0` 7hru Notary '�;;or Bonded 8y National Notary Assn. .'-- EWED BY: DATES' CITY OF ATLANTIC BEACH 800 SEMNOLE ROAD ATLANTIC BEACH,FLORIDA 32233 } INSPECTION PHONE LINE 247-5826 l'�,i31�r 04-00027472 Date 1/07/04 Application Number 367 7TH ST Property Address RE-ROOF Tenant nbr, name ROOF Application description TO BE UPDATED Property Zoning 2125 Application valuation Contractor Owner _______ ---------- ---- ---- - ----- _ _ INC. ----"---- INTgACOASTAL ROOFING CO. , SMITH, LINDA SAYRE P.O. BOX 10816 FL 32224 367 7TH STREET FL 32233 JACKSONVILLE ATLANTIC BEACH (904) 398-6675 ---- (904) 246-8957 --------------------- ----- -- Permit . . . . . . ROOF PERMIT Additional desc Plan Check Fee 00 68 00 2125 Permit Fee Valuation Issue Date ed ChargPaid Credited Due - ----- Fee summary . 00 . 00 68 . 00 _ --------- 68 - 00 Permit Fee Total 00 .00 . 00 Plan Check Total 00 . 00 . 00 Grand Total 68 . 00 68 . 00 M NOT BE IN LIC AND BE CLEARED BUILDING MATERIAL,RUBBISH AND CONTRACTOR FROM THIS WORK OR OWNER. MUST E TO COMPLY WITH THE CONSTRUCTIO SL EN LAW CAN UP AND HAULED AWAY BY EITHERISSUED ACCORDING TO APPROVED PLANS RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS- WHICH ARE PART O E THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. J.-Z ' urm T\ymn OFFICIAL Cc: �S1.Zs,�-ifs CITY OF ATLANTIC BEACH D i ain ns BUILDING / ZONING DEPARTMENT - Hi9 - ss1 S. Doerr J 800 Seminole Road s� Atlantic Beach,Florida 32233 Jhi (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C'`J - Property Address: 2) L( '7 f-`' Applicant: ��-ti�rR r^ccs1/ l�Do �c rZ c Project: G r This permit application has been: LO Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: L14 Date: CITY OF ATLANLTIC BEACE 'PE�`{IT ..CPiLCIILATiON SREET '.•A.ddress ��- � � s l .. . Date_ Heated Square Fact age @ S /Aim e_ sq -Garage/S.ned aer .sc ft = .S Carport/Porch a S zer sq ft .= S Deck S cer sc ft = . $ Patio @ 5 cer s ft = S �. TOTAL VALUATION: ..S 2 i 25 3 $ 3_s .Tatal Valuatioa. 1st $ fes-0111 . Remai ming Value $ per thousand .or .portion .thereof .-TOTAL BUILDING FEE S +..1/2 FiLing , Yee $ ). Fir.epla.ces_. :.BUILDING..PERMIT FLEE $ ... WATER IMPACT ;FEE $ SEWER :IMPACT' .FEE $ T •. WATER' ME.TER/TAP $ CAPITAL IMPROVEMENT. S -SEWER .TAS.. : S ( ) ..RADON (HRS) .005x. , s SECTION H PAVING ( ) $ HYDR.AUL.IC .SHARES 5 CROSS CONNECTION $ ( ) SURCHARGE .0050. $ GR.. 10 .TOTAL DU ADDITIONAL PE-P-14-ITS OR .-FEES :,Mechani•ca1 PLumhing Electric/New Electric/Temp ;SwimmingPool Septic Tank well Sign Finish Floor Elevation Survey .Other CALCULATIONS and/or NOTES : RECEIVED CITY OF ATLANTIC BEACH BUILDING 8 ZONING CITY OF ATLANTIC BEACH, JAN 0 6 2004 ROOFING PERMIT APPLICATIONY: C � JOB LOCATION: J3 6 -7 7A SO4le o / OWNER OF PROPERTY:-4)-Ade_ J5 Lyr e -TELEPHONE:: CONTRACTOR: / {4��i4`i A , J5119of —, ��. 4�S�a-r,�/(�C•GJ/ LCL, CONTRACTOR'S ADDRESS: /�D� LD x zip: STATE LICENSE NUMBER: ��` �/ / TE EPH0NE: -395-46 75-" a�J3a '. / y/ DESCRIBE WORK TO BE PERFORMED: Jj P. [ve- r/ —s�l�hs�e 44-1 dj 30 y at/ .PI n, AE VALUATION OF PROPOSED CONSTRUCTION - o7. fd�s�DO MATERIALS TO BE USED: QA ez ev I,- n6Lkd SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: Z00Cr/ SWORN TO gno F HIS DAY F X04 EIN State of FloridaAS TO OWNs Jan.23'20059�53 OTARY PU IC DAY OF A01-1Zoo SWORN TO AND SUBSCRIBED BEFORE ME THIS — AS TO CONTRACTOR N4 ARY BLIC Liability Insurance Supplied tPaY PG O LIIOIALNOrARYSEAL 1-0; e<�� ELIZABETH A WILSON Workers Compensation Insurance Supplied * COMMISSION NUMBER O CC963102 �0F Fl�� MY COMMISSION EXPIRES Contractor License Information Supplied sEPT22,2004 Occupational License Information Supplied CITY OF ATLANTIC BEACH r l 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 V INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000670 Date 5/14/09 Property Address . . . . . . 367 7TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------------------- Application desc 1 water heater -------------------------------------------- Owner Contractor - ------------------------ ----------------------- SMITH, LINDA REGISTER BILL FENWICK PLUMBING 367 7TH STREET 8245 BEACH BLVD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 724-7022 -------------------------------------------- Permit . . . . . PLUMBING PERMIT Additional desc . 00 Permit Fee . . . . 42 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/10/09 ----------------------------------------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 05/14/2009 06:31 9047248869 FENWICK PLBG PAGE 01 I CITY OF ATLANTIC BEACH eEMINOLE ROAD.ATLANTIC BEACH.FL 32233 OFFICE:(BW)2/7•SM a FAX NO.:(g"PA7MAIS BU ILOING-O6PTCOAB.US PL MBING PERMIT APPLICATION DUVAL COUNTY ❑YES PERMIT 0: Y: l 4.N.A 7MME: ADDRESS IF 04FFERFNT FROM JOB ADORESS: �.NAME: - I •7 r. AD 7. I a ea 10.G&U 11.FAX 9.STA OF 86 NI 1 13.OFFICE PHONE' 1A. 12 EMAk ADDRESS: _ a 1 ' i APOW110111 is hereby mad*to dbWn a permit to dolths or,and instaSaoww as indica 1-0 Idrtvotl ff work rly that an s rnDt comwAR be hmanced w4ud to�f 0(6) standards of ail hwa regulating oorn,trudion i0 th )u sdidion. Thi,pe.mit boocr*1eb months,or it Construction or work is suspended of i andoned for a period of six(6)months at any time ager wort is oommenoed. i CONTRACTORS Sx,NATURE 111111 i 11111dii 11 11 O 06 FLORIDA BUILDING GODE- O NEW PLumBiNG O RE-PIPE ❑OTHER: 1 BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS i DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE WASHING MACHINES HOSE BIB ICE MAKER WATER CONNECTION �— WATER HEATER INTERCEPTOR LAVATORY r URINALS LAUNDRY TRAY OTHER(SPECIFY)'. I ROOF DRAIN r PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: x 17.00 (PER FIXTURE) + $35.00 = �_ COAe FORK eto0o3:REwSED:1/10000" I 11�� CITY OF 4�i-,4'c hS?e44r.4- Office of Building Ofeial REQUEST FOR INSP Date f O (9 �� 1 //.�► Time / Permit No. A.M. Received t PM Job Address Locality Owner's ctor BUILDING ONCRETE (ZTRICAL PL MBING MECHANICAL Framing ❑ Footing ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ op Out ❑ Heattiingd. & El Insulation ❑ Lintel ❑ Final ❑ Sewer Fire Place ❑ READY FOR INSPECTION Pre Fab 0on. Tues. Wed. A.M. np Thurs. Friday Made � � p � A.M. ror Final Inspection ' n � Ce i ancy ❑ �/ Date ti CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT INFORMATIO PEtfl1'F N LOCATION INFORMATION_T Permit Number: 22576 �� Address: 367 SEVENTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Township: 0 Range: 0 Book: Class of Work: REPAIR Proposed Use: SINGLE FAMILY Lot(s):28 Block: 9 Section:0 Subdivision: ATLANTIC BEACH "A" Square Feet: Parcel Number: — Est. Value: tIiNFORMATION Improv. Cost: Name: LINDA SMITH AND MARIANNE BOSS Date Issued: 8/28/2001 Total Fees: 25.00 Address: 367 SEVENTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 8/28/2001 Phone: 904)246-8957 Work Desc: REPAIR WIRES DUE TO FI v ON FEES_ _ CONTRAS 25.00 CRAW ORD ELECT_ = lk 70 1p !7 A Y ,fie Ric� -'�'ti`� 'Sxi ';F7^` •k .n ;_. t _yfi .,,p,`'s.Z 3 �•��'� Q `�'�" ��r,�a- #OR TO INSPECTION NOTICE- INSPECT $E REQUEST>=f�►AT -- ;:: UILDING MATERIA RUBBIS. IS t=ROM THtS WORK MUST NOT BE ; CEQ IN BL IC SPACE, AND B WAY BY&rHE(�CONTRACTOR OR ER MUST BE CLEARED AN{J., w L 'J 1'10N LIEN AN`iS T IN THE "FAILURE TO COMPL -T �s : � — PROPERTY OWNER T AND SUBJECT TO REVOCATION ISSUED ACCORDING TO APPRO R�WFICH R R F •t FOR VIOLATION OF APPLICABLE PRO 'i NSA -- ----------- j operator: CHERYLE Date: 8/28/81 01 Receipt: 0084736 AT NTIC CH BUILDING DEPT. Total Payment _ $25.00 CITY OF ATLANTIC BEACH, FLORIDA Appr-d CV APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE- G' m 2`J L t IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. v� r- J ele c ELECTRICAL FIRM: MAST EL CTRICIAN7SIGNATURE �� JOURNEYMAN NAME ADDRESS; / Al RFD BOX BLDG.SIZE BETWEEN: RES.( ) APT. ( ) COMM.( I PUBLIC ( ) INDUS.( ) NEW( I OLD( 1 REW. ( 1 ADDITION ( ) TRAILER ( I TEMP.( I SIGNS ( ) SD. FT. SERVICE: NEW( I INCREASE( 1 REPAIR FEE CONDUCTOR SIZE AMPS COPPER ( I ALUM. ( I SWITCH OR BREAKER AMPS / PH 2 W VOLT RACEWAY EXIST.SERV.SIZE << AMPS ( PH J W Il�VOLT ��f6RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES .i BELL 7RAN$F. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT Q1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS �►..�,� MISCELLANEOUS 7 ��fl TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITEFORWARDED FLASHER EACH SIGN CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 - --� FERMlT INFORMATION __ _ LOCATION IN>"t7RMAt ---- - pf--ermit Number: 22435 — Address. 367 SEVENTON H STREET Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233 Township: 0 Range: 0 Book: Class of Work: REPAIR Lot(s):28 Block: 9 Section:0 j Proposed Use: SINGLE FAMILY Subdivision: ATLANTIC BEACH "A" Square Feet: Parcel Number:___ --------— Est. Value: pWNER INFORMATION_ Improv. Cost: 8,851.00 NamILe NDA SMITH AND MARIANNE BOSS Date Issued: 8/01/2001 LAddress: 367 SEVENTH STREET Total Fees: 83.00 ATLANTIC BEACH, FLORIDA 32233 Amount Paid: 83.00 Date Paid: 8/01/2001 Phone: (904)246-8957 Work Desc: REAPIR - FIRE DAMAGE TO GARAGE �CTOR�S1_ . 83.00 G..L. MACIAS ENTERPRISE s �RER T �' . cq L y _ � ��, ka�6.y+'s _ .'T .-x.LyE..k..;a�'t•v^5._Qr"L" 'c . S 94k 1. ALL 1}a Y 1 „ t 4 34 H JRS.f? TO EC 4t J a Au _N TION NOTIG - INSPECtONS:, UST BE „_ *. -.. BUILDING MATERIAL, RUBBiSP DEBRIS FROIUt THIS WORK Mt R O ERCED 1N p-11BLIC SPACE, AND BUILD p AWAY BY EITHER CONTRA MUST BE CLEARED Up AND. TO COMP VIRTti T $t-RUCInON LIEN CAN-RES,I>�-T IN THE "FAILURE VIb ENTS",, PROPERTY OWNER PEF G C ik R . F�7F�fT AND SUBJECT TO REVOCATION ISSUED ACCORDING TO APPROVEq.PtANONSFOR VIOLATION OF APPLICABLE PRCV . � 983.88 14 --- — Date: 8/0/81 81 Receipt: 88774 91 A TIC BEAC BUILDING EPT. Book 1Oa@8 Page 125 MtN, RETURN PHQNE page• f 25 Filed 8 Recorded 07/30/2001 11:40:02 AM - 3IM FWD CIRCUIT CST NOTICE OF COMMENCEMENTWK CMATY T FANO Loo RE MIW3 5.00 TO WHOM IT ,vIAy CONC`ftN: F]ohda Statutes, the ;ollowing d hereby info The understignes all concerned that imp�e ements will be made to Call' n 713,13 Of real property, and in accordancevOT]CE OF C�i�l1ENCEME11T. information is stated in this i ara l]escription of Proper`/ General t?escription of lm provements____ Gen F? r e damage Repairs , owner Linda Smith Beach, Fl Address: 67 7th. Street Atlantic Owner`s interest in site of improvements: Fee Simple Title Holder(if other than owner) Name ,Address _ � i KAL S `` o w Contractor Address Surety (if any) Amount of Bond 5 Address Name of person within the State of Florida designated by owner upon whom notices or other documents may be served- Name Address of the t_ Zr+s les the following person to receive a copY . j Florida Statutes. (Fill ' at Owner's Option)- In ptioN In addition to himself, owner de Notice as provided in Section 713.13( )(F), Name Address: 1 f er _- , .dad of I { , b fore me this_:____--/T ►N!•NRNCNtUfaM[vincsc RECEIVED �Ia 3 0 2001 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR 6gEy-RgaN fic Beach MOVING, DEMOLITIONS Building and Zoning Owner(s) Linda Smith Job Address 367 7th . Street , Atl . Bch . F1 . Phone (904 ) 246-8957 Lot# Block or Unit# Subdivision Contractor G i l Macias Enterprises State License# RR 0 0 4 6 0 9 3 Address 965 11th . Ave . South Jax .Bch .FRtwne (904 ) 241-4620 - ' City Jacksonville Beach State Fla , . Zip 32250 Describe work to be done Fire Damage repairs to the attached garage Present use of building Stora e Valuation of Proposed Construction $8 , 851 . 50 Proposed use N o If yes, what are the dimensions of the added space: ft.X Is this an addition? r S; New electrical (or increase) Will the added area be heated and cooled? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE (COMMERCIAL)TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ ( 1 CONTRACTOR AFFIDAVIT, I WNER•1 CO RACT R. QQ Date: /'R v BEACI�� Signature of OWNER CIA g�J1LDING 0FF�(js Date 10 r r Signature of IRAC-1 O STATE OF A' COUNTY O �jU da of _ ", 2001'\' Sworn to (or affirmed) and subscribed before me this y Notary's Signatur AS TO OWNER: v rsonally kno EWGEORGIAA.HORN Produced Identif tion . M!COMMISSION#DD 030526EXPIRES:June 3,2005 I?)nd-Th,NotaryPubllcUnderoiilers Type of identification produded da of 200 Sworn to (or affirmed) and subscribed before me this 3d y - AS TO CONTRACTOR: /Personally ry's Signature known GEORGIA A.HORN Produced IdentificatioMy COMMISSION#DD 030526 NPIRES:June3,2oo5 e of identification produced ' nu• Thru Notary Public UndeWltm �asYa�rs P.0. BOX#50T28 Jacksonville Beach, Florida Linda Smith 32240- 726 3677 V1.Sweet Atlantic Beach,Florida 32233 RE'.FIRE DAMAGE TG ATTACIJEQ GARAGE work will meed to be done to restore the attached garage to its originrtl a,utdition The loall t trf thegaraw. Removeve all the det�rts trorn the kteriof Remove the sheet rock from the 0e-40q' Remove and.replace etre bumf road hers h side of the garage. ra e (will lr a v t r; .'J Remove and replace the rafter hits to the Soul Remove arui replace th2.4rclWj3=veatrhearh to the east Side at ibe P 9 Remove and replace 4x�i dame header beam to the front of the gaffe Remove artr5 replace the txurtk� side of the gc�rag' tarxi t�tt':e lion" Remove and replace the facia and soy,to the northeast and south dlnln¢room, r head doorjambs. ftrcrrtove ano replace the garav ave Remove and replace all sheiuirgin gaffe. l era door ot i wash the complete Interior rrrd-extmmr of the 1 aMe to remove arty ;mr�m tt Rec was Removeare and replace the tnm to the overtteac a . � or e pra-C-Wre tworing. 102)0 cei,rt4_Spee and tape sheet rq�• Irtstatl new sheet tuck arage door with hardware. Ir>;.;teil new 8' ov0eaW 9 Kitz walls and C;6kV In m`'9' door. Paint all walls,ceiling,too,and overhead garage Paint all naw wood to itte,Amar-a Wage' noor and walls from smoke damage. Paint front dining room Paint room with firepta from smote T ae. varantetd to be as specified,and the above work OWI be perfonntd In I materials rue b the bove work and completed in a accordance with the dowing urd speci5Cation submitted r sLbstarrtial workmanlike riunrtcr fbr the sum of _�-- o o" J 3/a W,rh payments to be melt is follows. c '`I ',/,� 5 7S Down Sv. ,c � ; , 7S� Uponcotrtf>letion rises unrest be held resportsiblc for any hidden dsrnages, all hidden dan�acycs will tit ar, talra Vit tvtr+cias EoterP risible for►oya, das�}ie caused by f,rc_ theft, tt,u.i or any chxt�e for the above said customcr,We will not be respo other causes beyond our control. My additi9ns or akerations made by the customer"l be in additional cost. submitted Ju1y---I11�31 Rcspcctful}y its t:1t•il'111T19 ' per Gil_M.�c j hereby accepte3,you Prices. specifications and conditions are $atisfauory c /J the about p ecified payments will be made are authorized to d worts u sP C _ $t�'r1 Date D/ grtature S &/0 FOR YOUR BUSINESS Gil THANKS YOU ( dCuoL s(16E-r w DATE : 94L-9e? PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION ! Si HAVE; BEEN MADE AND ARE SATISFACTORY : 3 y-? �'J b 7 7x , c - r�� h-�------------------------- ------ -------------------------------------------------- ------ ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, DIN T, N DIVISION cc : FILE �4tlw c'/3 Teach-��CvticrP�a P 1 -5 7� e q7 Office of Building Official � 31 REQUEST FOR INSPECTION /y.7 uA �s Date Permit o. Time A.M. ReceivedPM Job Addres t L ty Owner's Name BUILDI CONCRETE ECHANI Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Framing 11 Footing 11g - To Out Re Roofing 11 Slab 1:1 Temp p ❑ Heating Pole �- ❑ Fire Place El El Lintel E71 Final [I Sewer Pre Fab READY R INSPECTION A.M: Tues. Wed. Thur Fri Mon. .*D — A. . Inspection Made ` RM Final Inspectio Inspector upancy ❑ Date D 03--77 20:43 P-01 CITY Or AT LANTIC BEACH, FLORIDA VOU EL@CTRICAL PUMIT TO THE ClUEF ELECTRICAL INSPCCTOR: DATE:_ IP.i:-JfITANi NOTICE: IN CONSIDERATION OF PERMIT CIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HERE:IIY A3REE TO PERFORM SAID WOIIK IN ACCORDANCE WIT14 THE ATTACHED PLANS AND SPECIFICATIONS, WHICII ARE A PART HEREOF,AND IN ACCORDANCE WITH T11E E ECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC 3EAC11 ORDINANCES. 1"A4K, ku LcF2vS 5- ELYgYRIC;.L FIRM: iifAnTim 4LEcTAICIAN, G l IIF; JOURNEYMAN E, Sm; AD ess:_; 367 �_ ST RFD BOX n_ BLDG_.Siz:�_---. �_ BETWEEN: f1ES.M APPT,I I COMM.i I I'UBLIC l/ INDUS.l 1 NEW( 1 OLD REW.1 1 AODITIOU i✓1 TRf..ILEn 1 I TEMP.I 1 SIGNS ( 1 SO.FT.___ ccIIv :E: NEW(( 1 11JCREASE� REPAIR I 1 e _FFG COUDUCTC:.1 SIZE 7/0" _ AMPS a00 COPPER ALUM.9L-- rvJ _T. YYCH 01"nnFAKER c,100 ;um s PH -+ w_ �/" VOLT R f1 MWAY- ex!iq.Sgr%J.SIZE ��Q_1LAtP3 PH W d VO T G LI' ACEWAY FECpVRS NO. CIZE NO. _ _ SIZE NO. SIZE LICILTINIJ 3UTLETS — CONCEALED OPEN 1 TOTAL RECLPTAC;_t5 f'O CONCf:ALED OPEN TOTAL _�__-.-.-- ---_._ _.-..�_._..... -. 31.10 AMP*. BWITCHCs: —�—' INCANDESCENT FLUOi7E 8� N7 fU bf.V. AI)tl•b ..._ _._.O_�o_U ANY•r. uV[w APNLIANC::.0 BELL TRANSP. AIH -- 11.1'.RATING H.P.RATING -- COP,IDITIOf:ING COMP.MOTOR_ OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOYORS fi.P. VOLTAGE PHS NO. I R.P. VOLTAGE PIIS MI�CIiL1.AN,'OUS TRANSFOi.Mr..R£: FN NDER 000 V. _OVER 00 V. . KVA NO. KVA —" NO.NEON YRANSF•. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES � CITY OF ^ � e�- i`, Office of Building Official3� (gyp REQUEST FOR INSPECTION Permit Date s A.M. Time P.M. 7 Received Locality / Zyl Job Address / �� Contractor MECHANICAL Owner's PLUM ING Name LECTRIC ❑ Air Cond. & ONCRETERough ❑ Heating ❑ NG 0 Rough Wiring Top out ❑ Fire Place Footing 0 Temp Pole C Sewer pre Fab Framing Slab ❑ Final Re Rooting C Lintel Insulation FOR P.M. READY INSPECTION Thurs. Friday— Wed. Tues. A.M. Mon. _ P.M. Final inspection❑ Inspection Made Certificate of occupancy❑ Inspector �y Date All" L~ Q J C'TY OF 3 Be"A- ficial• /, w Office of Buildi ON / �j `f F r/ REQUEST FOR IN EC � n = Permit No. oC Date A.M. Time P.M. Received Loc Job ddress Owner's Co actor MECHA A Nam RICAL LUMBING ONCRETE Roug it on . BUILDING TRougemp Heating Temp To Out ootin Pole p ❑ Fire Place Framing Slab g F' Sewer Pre Fab 0o i ❑ ❑ Final Insulati Lintel e.. READY F R INSPECTION WdThurs. eFriday -- Mon. Tues. ZLVA Inspection Made final Inspection C Certificate of Occupancy C Inspector Date TRANSMITTAL DOCUMENT FOR JEA DATE : I The following permits have passed "rough" inspection: Permit `N�o.. Address aes�c-a��c:Dazs:c. :bck� =csc��ae�:c :_yeXgs� ?lease update vour records accordingly. :Thank ou/ B ILDING CLERK CITY OF ATLANTIC BEACH /vcb CITY OF N2 24450 ATLANTIC BEACH FLORIDA t NAME ADDRESS CITY $15.88 74 Date. 5/12/98 81 R eipt: 8854428 t When Signed, Dated and Numbered, ThisReceivedoTes aPayme MAKE CHECKS PAYABLE TO TREASURER CITY OF ATLANTIC BEACH, FLORIDA w 16379 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION __- Td LOC'ATI`N INFORMATIONRrmit Number ; 16379 367 SE`JENTH STREET ATLANTIC' BEA�2H . FLORIDA 32Permit TyPe: PLUMBI!�rLEGAL. DESCRIP'T'IOI`t`lass of Wo�:k:ALTERRTION ?RT4'py"onstr Type:WOOD FRAME ; OLo Surd- Rn6'= Proposed Ise: SIN�3LE FAMILYsion.; A'"LSuh, C BEACH "A" Dwellings ' Est . Value ' improv . Cost : Total Fees - 2n - 5n Amount Paid 25 . 53 �. PLi�MBI^tG r, IO APt'LI; A1ICtt FEES _ C�I�+? EF IIIF`. RiulAT .�N _-7EO __ __....__._.__. 2FS �r Name , LINDA SMITH AND MARIANNSS PERMIT Addr - 'c-7 SEVENTH STREET ATLANTIC EEA_C;H . FLORIDA 3223' Ph_,ne (1 904,246-8957 r-ONTFR(--*TOR I NFORMAT I nN Name: STEE` PLUMBINt-21 A-A.dr : 1601 MAIN STREET ATLANTIC BEACH FLORID-A 3223 Tic , (,,FCC,71 q6 Ex..p . Type. # NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION r1R RIAL, RUBBISH YNB DEBRIS FROM THIS WORK HER CONTRACTOR OR MUSTOWNNOT BE PLACED IN PUBLIC SPACE,AND MUST BE D HAULED AWA TO COMPLY WITH THE MECHANICS' LIEN IMPROVEMEN S W CAN RESULT !N PERTY OWNER PAYING TWICE FOR BUILDING RDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR APPLICABLE PROVISIONS OF LAW. J J Ecelp : 0053374 CHECKS 1442 00100003221000 ATLANT - E EACH BUILDIN EPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 3� OWNER OF PROPERTY: L � PLUMBING CONTRACTOR: JJ U CONTRACTOR'S ADDRESS: «Dim STATE LICENSE NUMBER: (2 FC05 1 U TELEPHONE: HOW M"Y OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS AVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS ' CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: I l SIGNATURE OF CONTRACTOR: i I -------------------------- ------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. i n /CITY OF �` ri�0/3�-113ZlL�Ci V Building Official l/ �REQUEST FOR INSPECTION Date_ Permit No. Time A.M. Received — PM v Job Address Lo ` .►-- Owner's Name Contractor BUILDIN CONCRETE ELECTRICAL PL MBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough Re Roofing Slab ElTem Pole C To Air Cond. & ❑ Insulation - Lint , El Final Se Out C Heating Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. as. \ Wed. ThA.M.M . urs. Friday Inspection Ma e < 7 `V A.M. P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date /n/ �c. /CITY OF /n� --__ ••AA 7q&a#z c /3�-t13'tlQ� Office of Building Official / REQUEST FOR INSPECTION / Date —9N 2 Permit No. Time A M Received PM, Job Address Loc y, Owner's Name Contractor BUILDING CONCRETE ELECTRICAL LUM NG MECHANICAL Framing C ooUn9 Rough Wiring Rough Re Roofing C Slab Tem Pole - g ❑ Air ting & ❑ Insulation L _ P Top Out ❑ Heating I Lintel _ Final E Sewer ❑ Fire Pace READY FOR INSPECTION Pre Fab Mon. Tues. Wed. s. Frida Inspection Made A. P.M. Inspector Final Inspection C Certificate of Occupancy Date CITY OF fY `IWULC A -"¢LdLK�C Office of Building Official R QUEST FOR INSPECTION Date Permit No. Time A.M. Received M. ------5== 4.� ` Job Address Locali Owner's Name _ Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing - I - / Rough Wiring Rough C Air Cond. & Re Roofing _ Slab S Temp Pole L Top Out Heating Insulation - Linte! /_` Final G Sewer Fire Place _ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made P.M. L�/�/� �• Inspector Final Inspection Certificate of Occupancy r Date PSA 384- 16 314 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ... PERMIT INFORMATION _._ . __ _ __ CICATICIN INFORMATION eimit +Number : 1E,314 dress ' 'r'' SEVENTH STREET Permit Tyne MECHANICAL ATLANTIC BEACH , FLORIDA 3223 -lass of Wcrk:ALTERATIO^t _ __._____ LEGAL DESCRIPTION ---------- - Constr . -- --._- __onstr . Tvpe:WOOD FRAME Bl cck: 9 Lot , 9 Twr , Proposed Use : SINGLE FAMILY Section: n fiubd: Rnq Dwellings : 0 z,07,division:ATLANTIC BEACH "A" Est _ value : n nn Im;r r.^v . Cor t . 0 . ;,;; Total Fees ` nn Amount w! n(l �r H E amA N n ')PNER INFORMATION ---- --- - ------- - APPLI^A'TICIN FEES ------- -- ?, LINDA SMITH ANMARIANNE C cr,. PERMIT `�7ren SEVENTH STREET �#TLANTI BE: CSI . FLORIDA 3 "`NIRA:'TCR i NFORMAT I ON :lame: HUXHAM HEA`fIN°= & AIR ?ddri 3019- NINTH STREET SOUTH JACKSONVILLE BEACH . FL 3225(-' F ci RA0.Q24'-zr-0 FX i pe.;. NOTES: 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 MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOC/TION Street Address'•3LL/� OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abeve slatemenf we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance witi, the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) v Master Name of v Property Owner Signature of Owner Signature of or Authorized Agent 6 / Architect or Engineer III. GENERAL INFORMATION A. Type of heating fuel: e IS OTHER CONSTRUCTION BEING DON O 0--14ectric THIS BUILDING OR SITE 7 ❑ Gas—❑ LP ❑ Natural [4-'Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO tE INSTALLED NATURE OF WORK (ProvideETU complete list of components on back of this form) [� Residenlial or 1_7 Commercial 0.1- Heat ❑ Space ❑ Recessed 0�`Central O Floor I New Building Air Conditioning: ❑ Room Ea-ICentral )/ ❑ Existing Building [Duct System: Materia Thickness ( �-- I 1 Replacement of existing system Maximum capacity ///� &1---New Installation(No system previously Installed) �/:2 c.f.m. C) Refrigeration [IExtension or add-on to existing system C) Other — Specify ❑ Cooling lower: Capacity q.p.m. ❑ Fire sprinklers: Number of heeds ❑ Elevator ❑ Menlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Received) ❑ Tank■ (number) Remarks ❑ LPG container (numbar) ❑ Unfired pressure vessel Permit Approved by Data ❑ tloilen ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approving Number Unita Description Model Number Manufacturer (Toru) Alli PSR-3844 a0^ef li7 H8I8�8?8888I88 DEP'AkfTMENT OF BUILDING 6VSI SV33H3 Cln1 OF ATLANTIC BEACH V6VZf88 :jdta3a :a a PERMIT INFORMATION Z, -- LOCATION INFORMATION -ermit Number : 15021 W L.ddress : ?57 SEVENTH STREET ,x Permit Type:ROOM ADDITION ATLANTIC BEACH . FLORIDA 322-33 lass of Work:NEW ---------- LEGAL DESCRIPTION ------ Constr . Tvve:WOOD FRAME Block : 9 Lot : 28 Proposed Use: SINGLE FAMILY erection: 0 Subd: 8n f0 Dwellings : 0 Subdivisicn:ATLANTIC BEACH °'AM Est . Value' Improv. Cost : 43 . 550 . 00 '' Total Fees : 470 . 50 A ""M Amount Paid_: 470 . 50 rate P?' �. 2l?5!].gag ADDITION PER PLANS HSF 550 - -�- - WNEw: ?NFORMATION _.-___---- _____.__ APPLICATION FEES ---------- ^lair,e , LIN&IA SMITH AND MARIANNE BOSS PERMIT 345 .0- .iddr' 367' SEVENTH STREET ATER. IMPACT FEE 120 .0(` ATLANTA SEAC'H FLORIDA 32233 )-q!'EWER IMPACT FEE 'hone: ' QC"4 t 246- x,957 -:z-WATER METER,!TAP n it RADON GA-I'---H . R - S. -- -- CONTR:hrTr`R INFORMATION sRADON CAE 5`k i lame : LUCKIN CONSTRUC'TION CAPITAL IMPROVE . 0 . 00 °�ddr : 637 1ST AVENUE NORTH SEWER TAP 0 .00 JACKSONVILLE BEACH FL 32250 CROSS CONNECTION 0 .00 Lic ` . C'RC04482' Exp ' ! / GEC H IMPACT FEE 0 .00 Type 7 IV CONST . SURCHARGE 2 . 47 1'eSCHARGE/ATL,,BCI3 r c. NOTES: NOTICE— INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION ®mcr BUIN'G MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLWRkD UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER w m w w V "FAtLURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." m ISSUE44,CCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLA'n(I OF APPLICABLE PROVISIONS OF LAW.$2.47 72 $345.86 14 m• _ CHECKS 1549 CHECKS ATLA EACH BUILDW411490044,��'v1ENT 881888832218E8 By: FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-93 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions and Renovations Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-93 for additions of 600 square feet or less,site-installed components of manufactured homes,and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 6008-93 or 600A-93. PROJECT NAME: S BUILDER: C-K-I d1 y (I 'm)C- C 4 AND ADDRESS: PERMITTING CLIMATE �j G �L- OFFICE: ZONE: 1 2 [:13 El OWNER: LL PERMIT N0. JURISDICTION NO.: SMALL ADDITIONS TO EXISTING RESIDENCES(600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only to the components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30°0 of the assessed value of the building). Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site- installed components and features are covered by this form. JJ Please Print CK 1. Renovation, Addition or Manufactured Home 1• 2. Single family detached or Multifamily attached 2. 3. If Multifamily-No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. S O 5. Predominant eave overhang (ft.) 5 6. Porch overhang length (ft.) 6 7. Glass area and type: Single Pane Double Pane a. Clear glass 7a. sq. ft. 1 1 5 sq. ft. b. Tint, film or solar screen 7b. sq. ft. sq. ft. 8. Percentage of glass to floor area 8• )-I 9. Floor type and insulation: _ a. Slab on grade (R-value) 9a. R= I sq. ft. b. Wood, raised (R-value) 9b. R= sq. ft. c. Wood, common (R-value) 9c. R= I I '5 sq. ft. d. Concrete, raised (R-value) 9d. R= sq. ft. e. Concrete, common (R-value) 9e. R= sq. ft. 10. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 10a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 10a-2 R= _ I j sq. ft. b. Adjacent: 1. Masonry (Insulation R-value) 10b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 10b-2 R= sq. ft. c. Marriage Walls of Multiple Units' (Yes/No) 10c 11. Ceiling type and insulation: a. Under attic (Insulation R-value) 11a. R= 3 D S�._sq. ft. b. Single assembly (Insulation R-value) 11 b. R= sq. ft. 12. Cooling system' (Types: central, room unit, package terminal A.C., none) 12. Type: I i1P a S 1v n -t' SEER/EER: I D• 05 R'r H T- . 13. Heating system': 13. Type:1�N 3 s +-r�AA-to A w' HSPF/COP/AFUE: (Types: heat pump, elec. strip, natural gas,L.P.gas, room or PTAC, none) Co c y� 14. Air Distribution System`: a. Backflow damper or single package systems' (Yes/No) 14a. b. Ducts on marriage walls adequately sealed' (Yes/No) 14b. 15. Hot water system: 15. Type: (Types:elec.,natural gas, other, none) EF: `Pertains to manufactured homes with site installed components. I hereby certify that the lans and pecifications covered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance with the Flo an rg ode. with the Florida Energy Code. Before construction is c mpleted,this buil /L. I� Cl inspected for compliance ordance h Sec i n 3.908,F.S. PREPARED BY: DATE: I hereby certify that this b Il rig i1�ir�c mpliance with the Florida Energy CoderBUILDING OFFICIAL: OWNER AGENT: �/ DATE. C DATE: -1 - Climate Zones 1 2 3 TABLE 6C-1: PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS(600 Sq.Ft.and Less),RENOVATIONS TO EXISTING BUILDINGS AND SITE-INSTALLED COMPONENTS OF MANUFACTURED HOMES. MINIMUM INSULATION MINIMUM INSTALLED COMPONENT INSULATION INSTALLED EQUIPMENT EFFICIENCY EFFICIENCY Concrete R-7 0 Central A/C-Split SEER = 10.0 SEER = Cl)J Frame,2"x 4" R-11 -i I z -Single Pkg. SEER = 9.7 SEER = _J Frame,2"x 6" R-19 Common, Frame R-11 o Room unit or PTAC EER = 8.5' EER = Common, Masonry R-3 Electric Resistance ANY c7 Under Attic R-30 - C z Heat pump-Split HSPF = 6.8 HSPF = Single Assembly;enclosed R-19 a Single Pkg. HSPF = 6.6 HSPF = w Single Assembly;Opened R-10 = Room unit or PTHP COP = 2.7' HSPF/ _ v Common, Frame R-11 -I l LU COP V) Slab-on-grade No Minimum _4;�_ Ir Raised Wood R-19 "' Gas, natural or propane AFUE _ .78 AFUE _ O Raised Concrete R-7 Fuel Oil AFUE _ .78 AFUE _ LL Common, Frame R-11 ~o Cr Electric Resistance EF = .88 EF = U In unconditioned space R-6 I-(" = a Gas; Natural or L.P. EF = .54 EF = p I In conditioned space No minimum Fuel Oil EF = .54 EF = `See Table 6-3,6-7 TABLE 6C-2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY Maximum percentage glass to floor area allowed is selected by type,overhang length,and shading coefficient. Maximum%_ .t✓ Installed GLASS TYPE,OVERHANG,AND SHADING COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 20% UP TO 3096 UP TO 40% UP TO 50% Single Double Single Double Single Double Single Double OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC 1'-1.0 0'-.90 2% 1.0 1"-.90 3"-1.0 2 .90 4'- 1.0 3 .90 0'-86 l'-.86 0 .70 2 .86 l'-.70 3'-.86 2 .70 0 .65 1%.65 O'_.50 2 .65 1 .50 0 .45 1--.45 0'-.40 0'-.35 Shading coefficients(SC)may be obtained from the manufacturer. Single clear SC= 1.0,double clear SC= .90,and single tint SC=.86. TABLE 6C-3 I MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints&Cracks 606.1 To be caulked,gasketed,weather-stripped or otherwise sealed. Interior Joints&Cracks 606.1 All openings in interior surfaces of ceilings and exterior walls must be sealed. Sole&Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. Infiltration Barrier 606.1 Infiltration barrier must be installed in exterior walls&raised wood floors. Fireplaces 606.1 Fireplaces must have flue dampers,glass doors and outside combustion air intakes. Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers,except for combustion devices with integral exhaust ductwork. Combustion 606.1 Combustion space and water heating systems must be provided with outside combustion air, Heating except for direct vent appliances. Water Heaters 612.1 Comply with efficiency requirements in Table 6-11. Switch or clearly marked circuit breaker(electric) or cutoff(gas)must be provided. External or built-in heat trap required. -� Swimming 612.1 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a Pools&Spas pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78910. -� Hot Water Pipes 612.1 Insulation is required for hot water circulating systems, (including heat recovery units)and the first 8"of piping from the water heater(or until piping enters an insulated wall or slab). Shower Heads 612.1 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. i HVAC Duct 610.1 All ducts,fittings, mechanical equipment and plenum chambers shall be mechanically attached, Construction, sealed,insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be Insulation&Installation insulated to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closets. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. GENERAL DIRECTIONS: 1. On Table 6C-1 indicate the R-value of the insulation being added to each component and the efficiency levels of the equipment beingrinstalled.All R-values and efficiencies installed must meet or exceed the minimum values listed. Components and equipment neither being added nor renovated may be left blank. 2. ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows. Total the areas of all glass windows,sliding glass doors and glass door panels. Double the area of all non- vertical roof glass and add it to the previous total. When glass in existing exterior walls is being removed or enclosed by the addition,an amount equal to the total area of this glass may be subtracted from the total glass area. Divide the adjusted glass area total by the conditioned floor area of the addition. Multiply by 100 to get the percent. Find the largest glass percentage under which your calculated percentage falls on Table 6C-2. Prescnptives are given by the type of glass(Single or Double pane)and the overhang(OH)paired with a shading coefficient(SC). For a given glass type and overhang,the minimum shading coefficient allowed is specified. Actual glass windows and doors previously in the exterior walls of the house and being reinstalled in the addition,do not have to comply with the overhang and shading coefficient requirements on Table 6C-2. All new glass in the addition must meet the requirement for one of the options in the glass percentage category you indicated.The overhang(OH)distance is measured perpendicularly from the face of the glass to a point directly under tf - of the overhang. 3. RENOVATIONS ONLY. Replacement glass needs to meet the following requirements. Any glass type and shading coefficient may be used for glass areas which are under at least a two foot overhang edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this criteria must be either single-pane tinted,double-pane clear or double-pane tinted. 4. Complete the information requested on the top half of page 1. 5. Read"Minimum Requirements for Small Additions and Renovations",Table 6C-3,and check all applicable items. 6. Read,sign and date the"Owner/Agent'certification statement on page 1. -2- CIT`_' OF ATLA:tT_C BEACH PERMIT CALCULATION SHEET Address .- - S 7 D Heated Square Footage „1 rd S. -er sR z Garaae/Shed ^,araortj Pori ��,� `` f- V f/ - 00 T C TAL. VALUAT1CN3�� Total V a_uao8� 1..t 2 S7Oc) Remaini a Value c 6Z�aer thousand Tpartion thereo' TOTAL BUILDING FEE $ c7 + _; L rF i 1 ina Fee ( 1 Fireplaces @ S15 . 00 Sy BUILDING PERMIT FEE S 41S, �y WATER IMPACT FEF. $ / ;)L O, O D SEWER IMPACT FEE S WATER METER-TAP S CAPITAL IMPROVEMENT S SEWER T-: a — RADON ( HRSX",► Y SECTION H PAVING i $ HYDRAULIC SHARES S CROSS CONNECTION S issp) SURCHARGE )Ou U 2. 0 T H E R GRAND TOTAL DUE S� ADDITIONAL PERMITS OR FEES : Mechanical P1. Electric/New Electric/Temr, ; SwimminaPocl Septic Tank 'Well S1Uil Finish F1oCr Eleva_.iOn Survev Other CALCULATIONS and/ or NOTES : r-- i CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS Owner(s) :. L—A n da 3 sS Address: �1 e?-Uh 5*. 4`Iii &'c Ch Phone: o�24-6o-gq5_7 Lot # -�243 Block or Unit Subdivision: "A" Contractor: LU 6_V_ka ,,C0tf)S+ fZ)C7h00 State License # c lec 0�-t-�-t�6 Z 3 Address: 1031 12j- Ave NPhone No: 2,41 - I �o 39 sitz 1acaunv711e ,P ooh State F(- Zip C�od�e L�2S-0 Describe work to be done: 5 2M,�,f� S� �C/�G�lT Present use of building: -G-):7-- S4-o ,2i Valuation of Proposed Construction: C34;Q30 w"a,4 Oer.Alit O` Ol"PO Proposed use: ►/ne Is this an addition? If yes, what are the dimensions of the added space: 3 ft. X � Igii ft. Will the added area be heated and cooled? New electrical (or increase) ? �S New plumbing fixtures? S New fireplace? NO New Heat/AC? 5 SUBMIT Tz= (CO> CIA . TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING S= PLAN, SURVEY, EATERGY CODE FORCES, NOTICE OF AND OWNER/CONTRACTOR AFFIDAVIT; `IF OWIMR IS CONTRACTOR. Signature-OWNER: Date: p Signature CONTRACTOR: Dater Iq U Sworn to and subscribed before me thisday of ,_E' Y 191y O a �v G Notar ANNE�EAR� F Q�� cGO0�FNOT Y LIC STATE OF FLORID T LARGE Y Public, State MY COMM. expires Dec. lorida- _Q P, i� Comm. 26, 2000 No. CC 610356 F NOTICE OF COMMENCEMENT RECORDERS USE ONLY 5 MIN. RETURN PHONE# State of Florida The undersigned hereby informs all concerned that improvements will be made to certain real property,and in accordance with section 713-13 of the Florida 0 Statutes(Revised 10-1-96),the following information is stated: Description of Pro �� 6(Q Gk C� �l•'✓��( �'l S l �1 ' I Legal �� rr ��GtCG� General Description of Improvements: J -7U S (A T 4n � 6 OSS co OName(printed): .:4 Address: 0 Owner's interest in Pro Fee Simple Title holder(if other than Owner) Name(printed): Address: Contractor(printed): Luchul ` Q r 1 ' , l�I"G Address: Telephone: DSI 7 i4 11 U YI Fax: 1 i Surety(if any)(printed): Amount of bond$ Address: Fax:( ) Bk: 8849 Telephone:, ) --�`g'.--fs Doc# 98031025 Filed g Recorded Person or Lender making a loan for construction of improvements: 10/:08/2 7 A.M. HENRY W. COOK Name(printed): DUVAL COUNTY, FL Address: . Telephone:( ) Fax: 1 Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Statutes: Name: Address: Telephone:( 1 Fax:{- ) In addition to himself,Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1 xb), Florida Statutes(fill in at Owner's option). Name(printed): Ad&esb: Telephone: Fax:{ ) va r frnm tKe recording date unless otherwise stated. / 6374 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------- LOCATION INFORMATION Permit Number: 6374 Address : 367 SEVENTH STREET Permit Type: RE-ROOF ATLANTIC BEACH , FLORIDA 322' "lass of Work: NEW ---------- LEGAL DESCRIPTION ----- Constr . Type: WOOD FRAME Lot : Block: Section: F :ciposed Use : SINGLE FAMILY Township: , RNG: 0 Dwe.Ilings : 1 Code : 0 Fi;hdivision: ATLANTIC BEACH Estimated Value : $5500 .00 Improv . Cost : $0 .00 Total Fees : $22 . 50 Amount Paid : $22 . 50 2/ 5!93 Work DF ''E OLD ROOF WITH NEW I APPLICATION FEES ----- ! - _. - �uFWNER INFORMATION --- --�� !� Name . ?ALTER SMITH PERMIT $22 . 5(' 36' SEVENTH STREET WATER IMPACT FEE $0 . 00 i ATLANTIC- BEACH , FLORILi _ SEWER IMPR`T FEE $0 = r) t,-hone: 9f04) 246-99557 WATER MET-ER $0 RADON GAS--H .R . S . $0 .00 --- --- CONTRACTOR INFORMATION - RADON GAS - 5% $0 . 00 Name : CORNAIF ROOFING WATER TAP $0 .00 Address.: ROUTE 3 , BOX 1584 SEWER TAP $0 . 00 CALLAHAN , FL 32011 HYDRAULIC SHARE $0 .00 .License : Type : RE-INSPECT FEE SEC .H IMPACT FEE $0 .00 OTHER $0 .00 NOTES: PAID Pair; by Miscellaneous Receipt #7776 -Validation 2/4/9TEB 5 1993 Receipt x'078253 pity of Atlantic Bch:, 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 ME FORBUILDING (IMPROVEMENTS LIEN LAW CAN RESULT I11 N HE PROPERTY OWNER PAYING TWICE ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 13EACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) . C4,)cv—L % -----------------'=- ----------------------------------n- Address•_ �, __'_� _ � -----------Phone:_Jq_ro Lot # Block or Unit # Subdivision: ------ ------ ----------------- Contractor :- - Y Vis. ------------------------- Address: ------------------------Address: al(� z CQ _Phone No: R_2_ / oc _ aZa ri / Describe work to be done:___ ----------------------------------------------------------------- ------------------------------------------------ ------- -- ----- Present use of building: Valuation of Proposed Construction :_ CJ (7 -- -------------------- 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: ! --- --- Signature CONTRACTOR:�;Iw�-----__----------- -- Date: Z - C - T -� 5764 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION Permit Number: 5764 Address: 367 SEVENTH STREET Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32232: :lass of Work: NEW -------- LEGAL DESCRIPTION -- - Constr. Type: WOOD FRAME Lot: Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 Subdivision: ATLANTIC BEACH Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees : $22. 50 Amount. Paid : $22. 50 Date Paid ; 8/ 5/92 Work Des:sc. RE;P1._,.CE U1,L) ROOF WITH :'y FIBERGLASS SHINGLES ,,gNER IN1=`ORMATION ---- APPLICATION FEES --- Name: WALTER SMITH PERMIT $22. 5U Addre-s s: 367 SEVENTH STREET WATER IMPACT FEE $0. 00 ATLAN'F ;-C BEACH, FLORID: SEWER J MP'ACT FEE $0. 00 Ptwun: ( 004 )879- 1714: ` WATER METER $CI. 00 RADON GAS;--H. R. S. S0. 00 -_-- C;ON":'RA Tt;R INFORMATION --- RADON GAS - 5% $0. 00 Name: ;SELCO RoOF'TNG WATER TAP $0. 00 Address: ROUTE 4, P---X 706 SEWER TAP $0. 00 CALLAHAN, FLORIDA 3201.: HYDRAULIC SHARE $0. 00 License: CCC,036995 Type: n RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. '.ANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING owner(s) : (�/�L ��/� /17 7-,f Address: clo Phone: Lot # Block or Unit # Subdivision Contractor: �� koo��,✓(- Address: ¢ 7 Ax 7,4 e7, ,� � phone: State License No. C L' C 036 Describe work to be done: Materials to be used: C Signature OWNER: ' Date: Signature CONTRACTOR: FOR OFFICE USE ONLY Date- /00 Permit ---Vf_-Fe TOWN OF ATLANTrCBEACH Valuation $----90-0--o----------------- FLORIDA House # ------------------- --------- APPLICATION ---------------------------APPLICATION 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 Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town 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 Town 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---------------------------------------------------------------------_1 19------------ Owner.—I.PAl"V 6-- x----- I CF ----------------------------------Address--igapg------!rM..2194106-------%X_.-Telephone No._------------------------- ----- ---------- ---------------------- Architect----- Sic= /? Address------- 13e,09 1`6/ ----Telephone No.----------------—---------- ---------- ------------ .... Contractor Builder---JAr A Ir -------------------------------------------Address------------------------------------------------------------Telephone No--------------------------- - ------------- LotNo. ----------------------------------------------Block No.--------9--------------------Sub Division--------------------------------------------------------------------------------Zone---------------- ------------------------Side Between-' --------and--- C.019.r7, ...St'. -- ------------------- 7-----------------------------Street .. --------A?e Valuation $__A,_!?100---------------For what purpose will building be used-__ --___Type of construction-----(n-(A T-0-_rV-0 r2Y . to 0. ,S'O' * 13 0' 1-------------- Dimensions of Building----------------------------------------Dimensions of Lot-_-- I------------------------------------------------Size of Footings----1--lo---X_ %W Size of Piers____---_- --------------------Size of Sills_____-_---- _---_-_-______Greatest Sill Span in ft.______----______________Type Roof------o-- J-utk---r-----------uio--------- How will Building be Heated?----------q-41-S---------------------------------------------Will Building be on Solid or Filled Ground?-------- ---------_---- Size of Ceiling Joists----�'F.X 8 it 0 -----------------------_- Pf ------------------------------ Distance on Centers------------1_4---------------------------- Greatest Span--------I-------- 0 Size of Floor Joists-----------—-----------------------------.Distance on Centers---------- ------------------------------- Greatest Span----------------------------------------- 22 ,V a Greatest Span----------12C.0-_--.0 Size of Rafters---------- ------------------------------------, Distance on Centers------ --------------------------2 - -- ------------------- 12 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. REAR LOT LINE Two copies of plans and specifications shall 4 be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. Z Z 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Iq 2 Note: In case of any rejection,re-inspection MUST be called for after 2 k- corrections are made. FRONT OF LOT VAw In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications; which are a part hereof, and in accordance with the building regulations of the Town of Atlantic Beach. Signature of Builde ------------- AP15 ............... Address__ ----- --------------------47------------ - -- Signature of Owner.- -- ------------------- ---------------- Address_igq�j?-----_X--- - --/QY ----------- ;.Si�.E'Cf �=r �' ♦� ,T /D .vS /=u/c' �'� .S/.rte/��.,�'�_ C it: ,7/✓ ;7e C �'"r/.c� ;=e1 r� T.,��/�` v f-i f 7 < C /;1.c" �"�r✓C r 2 •6-� T�t ! ,-/� „ r � „ � ,r-..v r=arc' C .r',p l,•�i s r�/ ,T t.�r v cS///9A A civ•ti'/ ,�'J"v/ ' r,,��G�/.� e,j�♦.s. . /=�v v/2 ::Si ��: �Trir•7.c � /:�•�-" /jc y' /`r//vC`/2c-��-_ /Vic% /=/•C iC Ci/vl,,J,4�[ a%a 00-7 C.t �-s f✓ /9.,i 4p /Z/ as . 7 CSC-N i/V hV/.s: .:i /2,7' Tic- ac oov 40 �"/-/i'�1, t� �.�•�'- /'moi / / .. a C/t�-7 /OOv =i2�/�.T a /a2AO i/s,c'r2.3' .7"1-/,O'-7 A t r,.i/r/� s s✓v s/� /�°'.t�/,,,,/s r�/cam C/r✓ � �c�v /,�Jr, .t7 r.✓/ate A.c S .00 �/� r"c1 .v C/2�• �'� �cl /tir .� J1.00 y Ale . r. 191A,OL U T/-/•�i� i 2•yi-i�=.� ,S je //•c.c %'.moi=li-% o;-/70,//L/ J aw J el !-7 ,y ,OCI.A � �s #, �.•'° /` .C'�rrer� /"lJ<< C' .c�/.� ,G,e♦ i♦',i� �Gov C.� Xe —7 rJ ,t .c !l't'd !e�tJ "`.�''� i�•'�-'�i�.►r= c:•/c''�" # /,/ � I` �' /„r.S. t- jf Owl 0140 or 91 .��....• ow 17A A GK pjr V f' { �r t✓♦ i ✓ I / I .00o p o .01 go ''C G. � r -' �'•t/ r` ..�"f/r�'� '� I';"t'� �` ''fi''r'� F9s* ! it/,J CITY OF ATLANTIC BEACH PERMIT APPLICATION RE.40DEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS Owner(s) : ( n da Srn1�-L, `1' r I t� IGU'1V1� SS Address:- gPc��l Phone: Lot # �23 Block or unit #_� Subdivision: of A Contractor: LU C V-in ConS- f Lc+on '(e ' State License # C 0e 0 6 Z 3 Address: (4:�)3-7 S1' Ave N, Phone No:. Cit,r UCy-sonville &,o,)L-h State F(- Zip Code 22ZJo Describe work to be done: 5 2M o� (3$2- I 1 i kj I SST-rl nG Pc o✓r, Present use of building: �� f'S)de�C� 51nGIP S+-o,�c,, Valuation of Proposed Construction: 3(o5d �3L�g3a wr!-hayl iEl Ali °�Pl�rr Proposed use: zx nl�e Is this an addition?_ _ If yes, what are the dimensions of the added space: 3 ft. X ��g�i ft. Will the added area be heated and cooled?—Ne-�S New electrical (or increastte) ?�S New plumbing fixtures?� New fireplace? 'y0 New Heat/AC?-4S SUBMIT MUZ= (COM&RCIAL) TWO (RESIDENTSAL) COD�LETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORCES, NOTICE OF CCNbENCEb9NT, AND OWNER/CONTRACTOR AFFIDAVIT> X OWHER IS CONTRACTOR. Signature-•OWNER: Date: p Signature CONTRACTOR: Date: Sworn to and subscribed before me this ay of /t�.U�/� 1919Wi t O �a Notary pu7�bNNF � NOT Y LIC STATE OF FLORID T LARGE State of Florida- My Comm. expires Dec. 26, 200 \103 Co 0' Comm. No. CC 610356 DEPARTMENT OF BUILDING �` (] CITY OF ATLANTIC BEACH,FLORIDA PERMIT No. 6090 0 9 0 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 201 UO T Date JULY 3� Ig $d r,1n 00CKT P! CHANICAL Fee$ 20. 00 6,1390 ( A 7/05/U Valuation$ 900CAC i 3660 1 A 7/05/8 This permit not valid until above fee has been paid to City Treasurer,and is 1 000 subject to revocation for violation of applicable provisions of law. i This is to certify that SAWYER AIR CONDITIONIN I I has permission td%& INSTALL MECHANICAL WORK i i i Classification_ RESIDETITTTAT Zone Owned by REGISTER Lot Block S/D House No. 367 7th Strutt According to approved plans which are part of this permit = NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE —� 0 Building material, rubbish and debris —Zl from this work must not be placed in public space, and must be cleared = u� haled away by either con- fE tra r /owner. ael, Building Official FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER 71 �l✓d MECHANICALP MIT APPLICATION Jurisdiction of A 00 N Applicant to complete numbered spaces only. M Boa AooREs. jfl-.4 A-1 T/4134e 4 L(.Al LOT NO. (LA TRACT C—J(E[ ATTACNLO SHLETI _— OWN[R MAIL ADORLf3 • PNON[ z %ha A5 r o lsTeQ - 3lf- �? If/Zh 2- .S CONTRACTOR _—MAIL ADORLSS .� •NOM( LIG LN.L NO• �_ Al-_ a �. O ! 2. ARCNITILT OR DLSIGN totMAIL ADDRESS PHONE LICENSE NO. 4 Ac�'/� l oWA120 (NGIN(CR MAIL AOORES• PHON( LICLN.E NO. c LENOLA - MAIL ADORES& .RANCH 9 us" Or SUILDING 7 8 Class of work: ❑NEW ❑ADDITION ❑ALTERATION ❑ REPAIR 9 Describe work: � � L AGS W I Type of Fuel Oil C3 Nat.Gas El LPG. ❑ PERMIT FEES SPECIAL CONDITIONS. No. Type of Equipment Fee Air Cond. Units-H.P.Ea. i Refrigeration Units-HSPS Ea. Boilers- H.P. Ea. _ Gas Fired A.C.Units-Tonnage Ea. Forced Air Systems-B.T.U. M Ea. APPLICATION ACCEPTED BY PLANS ECKED APPRUVEU TON IaSUANCE BY Gravity Systems-B.T.U. M Ea. Floor Furnaces-B.T.U. M Wall Heaters-B.T.U. M Vw O T I C E Unit Heaters B.T.U. M THIS PERMIT-)BE! S NULL AND VOID IF WORK OR CON- Evaporative Coolers STRUCTION k11TH IZED IS NOT COMMENCED WITHIN 6 Clothes Dryers MONTHS, OR IF CO TRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR PERIOD OF 1 YEAR AT ANY TIME AFTER Ventilation Fan WORK IS COMMENC D. Range Hood I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE T RUC ANt7 CORkECT. Air Handling Unit— C.F.M. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS — TYPE. OF WORK WILL BE COMPLIED WITH WHL IHER SPECIFIED Incinerator HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT -- PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTkUCTION. S, rURt 1;i� � TRACTOR OR AU TI' RIZE AGENT ILI" .r 111111 PERMIT $ eiG.�iuRc of OWNER {s oWNI a lioiR __— i:ArLI TOTAL FEE $ 1 1 _ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH