125 8TH ST ( VAULT) CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
.,r
Application Number . . . . . 08-00001009 Date 7/25/08
Property Address . . . . . . 125 8TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5500
----------------------------------------------------------------------------
Application desc
REROOF FL5444 . 7
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BRINSON, SUE EBERSOLE ROOFING, INC.
125 8TH STREET 5044 COLONIAL AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210
(904) 349-5172
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5500
Expiration Date . . 1/21/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 60 . 00 60 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
�LJr CITY OF ATLANTIC BEACH 0$- ~�
.,?�• BDO SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
s} OFFICE:(904)247.5826•FAX NO.:(904)247-5645
c; BUILDING-DEPT@COAB.US DUVAL COUNTY
>>r BUILDING PERMIT APPLICATION
1'JOBADDRESS... ?; :r 2.VALUAfION;OF:
WORK 3:.5
O.F.T_UNDER ROOF'; '
SrX
ZS Atlantic Beach FL 32233 UO 6.1) EOF.MUCTURE'
53 CLASS OF'1NORK.....
4�TEGAL;DESCRIPTION ❑NEW BUILDING ❑DEMOLITION ESIDENTIAL
�.� ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
LOT BLOCK_SUB DIVISION 1 ❑ALTERATION ❑ACCESSORY BLDG. a:FIRE SPRINKLER#�
-7-DESCRIPTIONVI.1 ORK *> % "
❑REPAIR y ,,
HEnR,h yr
❑YES
C ❑ OOL/SP -or"' 0N
4Q ...... MOTACHITECT 1 ENG
INEER»j�CeOF }AlT CONTRCTO
PROPERTY'OWNR
23.COMPANY NAME:
9 NAME. 15.COMPANY NAME: f
���Llr�✓ aie J /✓SG A/ -R t C /C o OF,A/ N
24.LICENSEE NAME:
16. E:
25.STATE OF FLORIDA LICENSE NO.:
17.STATE OF FLORIDA LICENSE NO.:
10.ADDRESS: ec.C ` L b
ZS �TN J 26.ADDRESS:
18.ADDRESS:
13
J 27.OFFICE PHONE: 28.FAX NO.:
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.:
13.CELL PHONE: 21.CELL PHONE:
29.CELL PHONE:
Pa 3
RESS:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS:
30.EMAIL ADD
L
BONDIN.77
G COMPANY ; s _ MORTGAGE ENDER
FEE SIMPLETIjLE,HOLDER
..
>' ., z :.;(IF OTHER THAN OWNERj: 35.NAME:
33.NAME:
31.NAME:
36.ADDRESS:
32.ADDRESS: 34.ADDRESS:
no work or
lation has
Application is hereby made
ssuanoce of obtain prmit and thatdinstallation' ll
all work will be performed to meet the standards of all regulating construction n this
commenced prior to the
ix
) months, or
ion or work
jurisdiction. This permit suspended or
od of s zm 6 months at any time after wok is commenced.is
I and stand thatseparatetpermits must sbe secured for
abandoned for a per ( )
Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
Electrical Work,Plumbing, applicable
OWNER'S AFFIDAVIT- oneald that
Ihwill notoccupy or se the referenced building or any part t e ofnuntil all inspections la ellfina ed and
ion is accurate and that all work will be
laws regulating construct
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
A NOTICE OF
IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
CONSULT E BE DOUR HE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
," 4� CONTRACTOR
r F OWNER Of-AA (Qualifief..Only) .. '
LeUer Regmred) ,./
p
c•< ,.....(RAO gt,PoweF ofAttorney orA9enFY
Date:
Signed:
Date: / Signed: 1/
Signed: ,L crk L �0 2007 in the county of
Z 4� �YuL �01 ,2007 in the county of Before is T da of
Before me this- • day of /
Hall a ea Duval tate Florida perso Ilya p are
Duval, tate lorida, pe Y PP y
self I herseland affirms that all statements and declarations are
herin y self/herself and affirms that all statements and declarations are herin y f
true accurate. rti,»� JkkMES P CROFT JR.
true accurate. Ttdu No"Public UndeiwAlee IuN�10�1
,�. NoZt er Public at Large, f
Notary _
Public at Large MY EXPIRES:C-CM-MISSION M D February Q Personally Known a? EXPIRES:February 12,2011
T f�•' and
Personally Known g* 12,2011 11 Produced Identification
Bed
❑Produced Identificati IRf Notary Signature:
Notary Signature:
COAB FORM BLDGOI:REVISED:11/6/2007
Legal description of property being improved: .2-S' ` 0 16 2-
CL u d 1WArVe z2 ,- 7
Address of property being improved: 1 Z5 F f4 J77' 14re 19 4/ r» 13(:!W
7 Z 7-TA
General description of improvements: 11�� eo F
Owner Wjee eAl 3</tiso•✓ --
Address -F,4^ -
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor J/,-J c,
Address 1-0�Y �L o,v��.v c !�✓ �.�J� 3 �Z a
W'1 Phone No. Fax No. ,
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided in
Section 713.06 (2) (b), Florida Statutes. (Fill in at Owners option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date:
Before me this-2q day of TuL-V L669 in the
Doc#208193007,OR BK 14588 rage 3i 9, COU Of al,S Of IOrida„h personally appeared
Number Pages:1
Recorded 07i25i2008 at 12:13 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY No Public at Large,State of FI -ty CROFT '
RECORDING$10.00 IOPI OD604327
My commission expires: EXPIRES:February 12,2011
a.
Personally Known °r„1
Produced Identification
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FOR OFFICE USE ONLY
2/27/67
Date------------------------------------19 ......
Permit #_44 Fee A.5...00......
CITY OF ATLANTIC BEACH Valuation $15, ..................
125 — 8th Street,
FLORIDAHouse #...........................................................
Atlantic Beach, Fla.
APPLICATION FOR BUILDING PERMIT ..........................................................
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
Date..�JEL'3----.._2.4"....................----------......., 19A3-----
-------_-------------------
Owner-A.145 2.rr'_.._..�.-r�__.._�?r�---------------Telephone No.
.�'LfL`7-----���ZN-q21-hl.�-•----��1.1�LL/4------------------ Address---
LA A)•r L &19-4 CA Telephone No------------------- ------
Architect VCLM-..MCz(.�..�1.�1.-�V---------------------•-----•----••--•-------------- ress---- ---•--------•------------
n Address.�A AGt- ---------- Telephone No. - -
Contractor Builder-_21)r's---c?l!l$rT�---e-o---------_---------•----
--------------------------------------------Street - ---- ---------------------------Sub Division_.
4.11 '1- 1 tit C.� __ Zone
Lot No. -- - Block N-- -- ----•----Side Between.--------------- ---------------- -and. Sts.
_..T e of construction...r�'M�-------........
Valuation $... ---�---For what purpose will building be used._ ._!No - YP
Dimensions of Building.----------.---------------------------Dimensions of Lot_...10--- Q---------------------------Size of Footings -------------
Roof
------------
Rof__.. %--..______--•-------
Size of Piers- ---------------------------------Size of Sills------ Greatest Sill Span in ft.------•------------------Type
�(4 __..............Will Building be on Solid or Filled Ground?._5 !�*/................
How will Building be Heated?__CC.�-!---- - --+----------- _ p
bb Greatest Span � '. ---•--------•--......... �.
Size of Ceiling Joists------ F---------------------- Distance on Centers..T� 10__.------------_.---_-_-------,
Size of Floor Joists-_--_------------------•-----•------------- Distance on Centers.......... ..........................I Greatest Span--------------•-----•---------------- it
it
Size of Rafters -----------------------------------
Distance on Centers --------- --------•------------•-•-•--, Greatest Span--------------------------------------------
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
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing. W W
Z , z
2. When steel is in place and ready to pour columns and/or lintel. a 7�a„ 8 F
3. When steel is in place and ready to pour beam. E, o
4. When framing is completed. �7 _ 10 «]
5. When rough plumbing is completed,and ready to cover up. W W
6. When septic tank drain field or sewer is laid but before it is covered. A
A
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
u ,J-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 City of!_Atlontic Bea
...: ------ Address----------------- - -- - -- -
Signature of Buil ___._ --- -•••--••-"---'-'
Signatureof Owner ---�-------------------_----------.---------------------------------------- Address-------------------------------- .
Off- 1 J j FOR OFFICE USE ONLY
Date.------ ......19 ......
Permit #------- ($
CITY OF ATLANTIC BEACH
Valuation $......7=7- .... ----------
'
.. ..J'_
FLORIDA House #------/...._.............
....../................... A....................
............................................................................
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 City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified. Date Jg
t.................................1 19_
OwneJo P0 Lo 'p— e
.............................Address----1. --------- ......Telephon
------------------------
Architect---------------------------------------------------------- ............ Address,................... Telephone No.-----•-•-- --•-•-
.r'q :.Telephone ................
No..
44
---------- . ........r
Contractor Builder__B_kr! .:75.k� . ........�A---
LotNo----------------------•---------------------------.Block No------_----------------------Sub Division.................................................................____-------Zone.................
............................................................Street------------------------Side Between...................................................and------------------------------------------------------Sts-
00
Valuation $_qJ.;9qq__._....____For!�� what purpose will building be usedI V LQ of construction--------------------------------------
Dimensions of Building----------------------------------------Dimensions of Lot......... ........................................Size of Footings--------------------------------------
Size of Piers-----------------------------------Size of Sills-------- ------ -- -----Greatest Sill Span in ft---------------------------Type Roof--------------------------------------
How will Building be Heated?._._-._.._-_...............__.. --.....----.---...-------Will Building be on Solid or Filled Ground?__.-_--_----.__-------------------_-_-..
Size
round?---------------------------------------
Size of Ceiling Joists----------------------------------------, Distance on Centers__.._........___....__......._..........__.., Greatest Span..................-----_-----------------
Size of Floor Joists---------------------------------- ....... Distance on Centers__.._...... ................................. Greatest Span---•-••-----------•-------•----•--•-_------ .�
Size
-----------------------------------------
Size of Rafters----------------------------------------------------- Distance on Centers.....- ----- -----------------_--------- Greatest Span-------------------------------------------
ENCL05 W C4 E-YO Q>-T' &J G A--T(Z' ufA - This rectangle is to represent the lot.
O C,0 11 S-r Z U C'7 1 a k) RG Yo 1i D (—::7 X ,ST I J Locate the building or buildings in the
right position. Give distance in feet from
Lb I AJ L 1AJ e all lot-lines and existing buildings.
APPROVED REAR LOT LINE
CITY OF ATLANTIC BEACH
Two copies of plans and specifications shall BUILDING OFFICZ:
be submitted with application.
Inspections required. JUN 1197iZ EX "DV)FL'L I A)
z
1. When steel is in place and ready to pour footing. N
Z Z
)r 41te4l .4 ( -
2. When steel is in place and ready to pour columns and/or lintel. 'N - — 1
By 0 Q
3. When steel is in place and ready to pour beam. 5-T
0"C
Ho
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made. 4T(Z
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance ' h the 'tt h d lana and specifications, which Ar a part hereof, and in accordance with the building
�t7 if e ac e -4-50i�6>c/U
y
1 tic Bea
regulations of the Ci f3 I!
.2.13 e...... .......
Signature of Builde ...... 0 k)S'T(Z Ur .Cry
C7 dress ....................... .......... .....
V 42 .......!�ac
41 .:.-4
Signature of Owner... ----- ----- .... ... ........ ....... Address...........:tf....... ....... ................
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DEPARTMENT OF BUILDING 3744
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 6/13/7A 19
i
Valuation$ r„ Fee $ 17 -82
This permit not valid until above fee has been paid to City Treasurer, and is
■-jbject to revocation for violation of applicable provisions of law.
This is to certify that Birch—Sugden
has permission to build to enclose existing atrium. No construct
neyGnd existing bldg. lines.
Classification residential done
Owned by Tnhn f` T40WP1 1
Lot Block S/D
House No 175 - 8th Avenue
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
Z from this work must not be plated in
� public space, and must be cleared up
and hauled away by either contractor
or owner.
Bill _ %avi.S
Building Official.
FOR OFFICE PERMIT
F USE ONLY NUMBER DATE CONTRACTOR
Y
PLUMBING
C 4P-
ELECTRICAL V
E rt'_ pt
SEWER
WATER
mar
5653
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
- iM: . INFORMATION - ----- LOCATION INFORMATION ---
Permit Number: 5653 Address: 125 EIGHTH STREET
Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 3223':
Class of Work : NEW ---------- LEGAL DESCRIPTION ----- - -
Constr. Type: WOOD FRAME Lot : Block: Section:
Proposed Use: SINGLE FAMILY Township: RNG: 0
Dwellings: 1 Code: O Subdivision: ATLANTIC BEACH
Estimated Value: $0. 00
Improv. Cost: $0. 00
Total Fees: $22. 50
Amount Paid: $22. 50
Date • : _ 7/16/92
ROOF WITH N11 PPCR LASS 20 YEAR SHINGLES
OWNER INFORMATION - -- APPLICATION FEES -----
Name: SUE BRINSON PERMIT $22. 50
Address, 125 EIGHTH STREET WATER IMPACT FEE $0. 00
ATLANTIC BEACH, FLORTrIA, "+' SEWER IMPACT FEE $0, 00
Phone: (904)355-2566 WATER METER $
RADON GAS-'N R. S. $0, 0'.J1
------ CONTRACTO INFORMATION -- - RADON GAS - 5% $0. 00
Name: F. (-,. NICHOLES ROOFING CO. WATER TAP $0. 00
Address: 1716 MARKET STREET SEWER TAP $0. 00
JACKSONVILLE, FLORIDA 322(' HYDRAULIC SHARE $0. 00
I.tcens e: RC003014cj.'• Type: C' RE-INSPECT FEE $0. 00
SEC. H IMPACT FEE $0. 00
nT14F0 Vin, 0(!
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 IMPROVEME,N,�' ."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJEGT:_TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHA&GE
-- ;
ATLANTIC BEACH BUILDING DEPARTMENT
By:
s'r,.
r
CITY OF ATLANTIC BEACH
PERMIT APPLICATION ROOFING
A
Owner(s):_ . ) !tet 2 1� S D '✓
Address:_ l Si-�-
one.
Lot # Block or Unit # Subdivision
7 �
lie
Contractor: C
Address:-/ 7/� `'�/I ��-8'L Phone:
State License No. /C e '10 V f
Describe work to be done:Of
Materials to be used: p
l ,
Signature OWN : ' ) Date:
Signature CONTRACTOR:
i
I'
I
OWNER BUILDER PERMIT AFFIDAVIT
State of Florida
City of Atlantic Beach >
BEFORE ME, the undersigned authority, personally appeared
-=s --- � -- ----- upon first being dulywho
sworn, deposes and says:
I, -_-------1--------------------' and the legal
owner of the following property:
Subdivision ---------- ---_ _-- -- -- ------
Block --------------- Lots
AKA ---�-1-- -- - -
I am applying for a building permit pursuant �Io Lhe Owner
Builder exemption set forth in Florida Statute, Section 489. 103.
Florida law requires that I have been provided with the following
DISCLOSURE STATEMENT:
DISCLOSURE STATEMENT
'State law requires construction to be done by licensed
contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as
the owner of your property, to act a& your own
contractor even though you do not have a license. You
must supervise the construction yourself. You may
build or improve a one - or two family residence or a
farm outbuilding. You may also build or improve a
commercial building at a cost of 925, 000. 00 or less.
The building must be for your use and occupancy. It
may not be built for sale or lease. If you sell or
lease more than one building you have built yourself
within one year after the construction is complete, the
law will presume that you built it for sale or lease,
which is a violation of this exemption. Your
construction must be done according to building codes
and zoning regulations. It is your responsibility to
make sure that people employed by you have licenses
required by state law and by county or municipal
licensing ordinances.
I hereby acknowledge that I have read the above DISCLOSURE
STATEMENT and that I comply with all the requirements for the
issuance of an Owner-Builder permit.
Further, affiant sayeth not.
Property Owner
Sworn to and subscribed
before me this _. ___ day
DEPARTMENT OF BUILDING FOR OFFICE USE ONLY
CITY OF ATLANTIC BEACH, ?LORIDA Date �_197-1--
-----------
97-1------------- Permit # ,L-5J Fee $ J-0-e
Application for Permit Valuation $ 7-U "�
for Misc. Alterations House # —Y-TZ
and Repairs
DESCRIBE; c/
(state
(state if to repair, alter, zfdd o or move buildi g, erect a ings
or signs, etc. )
Building one Lot No. 7 Blk No. Sub.Div.
Address 1��, / Valuation $ � c�
Owner' s Name
BUILDINGS & OCCUPANCY
Buildina Use - Residential or Business
What Plumbing work to be done?
Size of Present Bldg, Size of Extension
Lot size Material of Roof
No. of stories now after altered
Material of Present Building Material of Extension
PLANS MUST BE SUBMITTED HEREWITH
SIGNS
Size Classification
(state whether ground, roof, wall, projecting
banner)
Material of Construction
Illuminated? Type of illumination
(State whether lamps or neon)
Will sign be over public property?
SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING
WRITE ADDITIONAL INFORMATION BELOW
(For canvas awnings provide dimensioned drawing on reserve 1
., 11-TZ.iN'T NOTICE
In consideration of permit given for doing the work as described
in the above statement, we hereby agree to perform said work in
;..eco:-(lance with the attached plans and specifications, which are a
part ereof, and in accordance with the building regulations of the
City of Atlantic Beach. $outhe n St ndard Building Code
Signature of Builder o Owner ' vt
Address Jek. C Phone Z2 ( i'�