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378 8th St (vault) SS, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD -r ATLANTIC BEACH,FL 32233 J v INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001317 Date 9/21/09 Property Address . . . . . . 378 8TH ST Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9000 ---------------------------------------------------------------------------- Application desc ADDITIONAL WORK FOR 09 1268 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MICKLER, BRYAN ALL WEATHER CONTRACTORS, INC. 378 8TH STREET 5151 SUNBEAM ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 343-9872 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50 Issue Date . . . . Valuation . . . . 9000 Expiration Date . . 3/20/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total 37 . 50 37 . 50 . 00 . 00 Grand Total 112 . 50 112 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. � F'•�yP �/+� 3 CITY OF ATLANTIC BEACH z f 800 SENOLE ROAD MI r ATLANTIC BEACH,FL 32233 = INSPECTION PHONE LINE 247-5825 Application Number . . . . . 09-00001268 Date 9/10/09 Property Address . . . . . . 378 8TH ST Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 26000 --------------------------------------------------- Application desc replace siding --------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MICKLER, BRYAN ALL WEATHER CONTRACTORS, INC. 378 8TH STREET 5151 SUNBEAM ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 343-9872 -----Permit . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 160 . 00 Plan Check Fee 80. 00 Issue Date Valuation . . . . 26000 Expiration Date . . 3/09/10 ------------------------------------------------ Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. -------------------------------------------------------------- -------- Fee summary Charged Paid Credited ----Due--- --------- ---------- ---------- Permit Fee Total 160 . 00 160 . 00 . 00 . 00 Plan Check Total 80 . 00 80,,.;00 .,,09 . 00 Grand Total 240 . 00 . 240"-$0 . 00 REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS. I REVIEWED BY: DATE: "FLORIDA PERWT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLAN I, BUILDING CODES. �* FILE COP Y WO 068 ADTAT �/] - 7 a L irk s y1ri. CITY OF ATLANTIC BEACH 09e B00 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5645 BUILD ING-DEPT@COAB.US ter, BUILDING PERMIT APPLICATION DUVAL COUNTY JOB-ADDRESS: : 2'.:VALUATION OF WORK.,7,;, ' - 3..-50.FT UNDER ROOF 78 7-0 r DDD •DD 5 CLASS OF WORI4 - fi:USEOF STRUGJORE: 4.LEGAL%DESCRIPTION_ s rad,i;: vi; ,e.,. ..k.., a_r_,.. s.. ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL >- -,� w } � *? ❑ALTERATION ❑ACCESSORY BLDG. B FIRE-SPRINKLER: Z,iDESCRIPTIONOF.WORK "' I POOL f_ REPAIR ❑POOL/SPA ❑YES ❑WA I !/ Y•'O�� ❑MOVE ❑OTHER ❑N0 " PROP RTYO,. ERx,,?,A_.t;'.. CONTRACTOR:- - ARCHITECT/ENGINEER: 9.NA :O k'/•• !� 15.COMPANY NAME 23.COMPANY NAME: ✓ 16.NA E: 24.LICENSEE NAME: .ADDRESS: 17.STATE OF FLIDRIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.. 19.OFFICE PHONE 20.FAX NO.: 27 OF I PHO 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: C L HONE 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.ENTAIL ADDRESS: .> FEE SIMPLE TITLE HOLDER; d $� BONDING Y, RTGAGE LENDER «r (IF OTHER THAN OWNEW .,_:::. !!tf 31.NAME: 33. E: 32.ADDRESS: ADDRESS: Application is hereby made to obtain a permit to dot rk and installations a Indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all ork will be performed to et the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void is not commenced wit ' 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 comme ed. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,He ars,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that ail the foregoing information is curate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use th eferenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued the building official,as required by law. r WA ING TO OWNER: *** YOUR FAILURE TO RECORD A NOTI OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEME S TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RE RDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU I ND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or A NT CONTRACTOR (If Agent,Power of Attorney or envy Letter Required) _ (Qualifier Only) Signed: Date: Signed: Date: Before me this day of 2009 in the county of Before me this day of ,2009 in the county of Duval,State of Florida,has pers ally appeared Duval,State of Florida,has personally appeared herin by himself/herself nd affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at L e,State of ,County of Notary Public at Large,State of County of ❑Personally Kn ❑Personally Known ❑Produced I ntlfication- ❑Produced Identification- Notary Signature: Notary Signature: BLDG01 Permit Application Bldg:REVISED:12/18/2008 2009-09-16 05:33 904828-5173 1842-C0KM.SALES P 577 /T10ECOINC. TILLIT TESTiNC & ENGINEERING COMPANY WALTER A. TiLLIT,JR,, P.T., tiltec:o(u aoltom F1,P.E.LiCenac No.44167 !'L EB.1.iQnse 34a.fl0(16719 PRODUCT EVALUATION REPORT REPORT NO.: 08-0521.03 DATE: May 21, 2008 PRODUCT CATEGORY: Hurricane Shutters PRODUCT SiTB-CATEGORY: Storm Panels PRODUCT NAME: 0.040" Burtha.Aluminum Storm Panel (2.25"Deep) MANUFACTURER: Eastern Metal Supply, Inc. 4268 Westroads Drive West Palm Beach,Florida 33407 1. PURPOSE OF EVALUAFrION: This is a Product Evaluation Report issued by Walter A. Tillit, Jr., Y.E. (System 1D # 1906) to Eastern Metal Supply, Inc., manufacturer, based on Rule Chapter No, 913- 72.070, Method ld of the State of Florida Product Approval, Department of Community Affairs-Florida,Building Commission, This product ib being issued an Evaluation Report as described hc;rein, and has been verified for compliance in accordance with the 2007 edition of the Florida Building Code, and to verify that the product is for the purpose intended at least equivalent to that required by the Code. This Product Evaluation Report shall be subject to review and revision in case of a Building Code Change that may affect its limitations and conditious. 2. EVIDENCE SUBMITTED: 2.1. PRODUCT EVALUATION DOCUMENT (P.E D ): Drawing No. 08-145, titled "0.040" BERT14A ALUMTNUM STORM PANEL. (2.25" DEEP)", sheets 1, IA thru 15 of 15 prepared by Tilteco, Inc.; signed and sealed by Walter A. Tillit, Jr., P.E.; dated 05/12/08. This drawing is an integral part of this Evaluation Report. 2.2- TFNT REPORTS: Large missile impact load tests were performed under S,,S, a 1L2,4. illi&rndard as per section 1609.1.2 of the Florida Building Code_ Unifomi->.ii i ,aper section 1714.5.3, per ASTM F,-330. Test.reports prepared by riF.a "1�esti�'I�aFr. if South A s G a T'`w ✓e i 6355 NX 36th Street, Suite 305, Miami,Florida 33166 - Phone.*(3050,3711,,�'S30 ='Fax: (:305) 871-1531 %J.j. -T-Tr t%ev l r" Lora IdU4. -}U6. bJ 3U P. 1 5Cr'-LO-GYJ✓J7 YJ`i YJ71"' t•KfJI'1: I U•GOC t 1J0 r.J CERTIFIED ESTING ABORATORiES Architectural Division i7252 Narcoossee Rd. - Orlando,FL 32822 4 (407)384-7744 - Fax(407)384-7751 Web Site: www.ctiarch.com l E-mail:ctiarch.com I l Report Number: CTLA 1408W-6 Report Date: September 7,2005 STRUCTURAL PERFORMANCE TEST REPORT Client: Hell-View,Inc. 150 Industrial Blvd. Wrightsville, GA 31096 Model and Product Type: Blue Cliip Series Aluminum112" Masonry Flange Frame Single Hung H-055 (52" X 72") *Reference: NCTL-210 2883-10 for Gateway sue �Rcference: CTLA 1408W for Gateway test results Test Specifications: AAMA I NWDA 101l1.S_2-97 "Voluntary Specifi.catiensforAluminum, ".011 (PVC) and Wood Windows and.Glass Doors" Frame:. The extruded aluminum flange frame measured 52"vide x 72"high buck opening overall. The Frame head measures 2.982"wide by 1.656" high (Drawing#0032) the frame sill measures 2.938" wide by 2.531" high. (Drawing#0005) The frame Jambs measure 2.920"wide by 2.468"high (Drawing#002 1)The frame corners employed a Coped and butted construction. Each corner secured with two (2)#8 x 0.75" PPH,SMS. The Fixed meeting rail measures 1.467" wide by 1.750"high(Drawing#00 15) secured to the frame jambs with two (2)#8 x 0.75"PPH SMS. Configuration: 4 One(1) Fixed lite top with One (1) operable sash in bottom. X Vent: One (1) Operable sash measured 50" wide by 36.25"high. One(1) Fixed sash measured 52"wide by 36" wide. Sash members were constructed of extruded aluminum and utilized Coped and butted corner construction. The sash head measures 1:843"deep by 1.5"'high (Drawing#0008)The sash sill measures 2.250"deep by 2.203"high(Drawing# 0003)The sash jambs measure 1.468"wide by 0.895"high(Drawing#.0017). Each corner secured with two (2) #$ x .75" P.P.H., S.M.S., fastener. Day lite opening: Fixed top lite measuring 48"wide x 33"high. Sash measuring 48"wide x 33"high. AT aJ!$7- City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned b the Building Department.) 9 De p �� J •� 800 Seminole Road -ter Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 - Fax (904) 247-5845 Date routed: r),; �r E-mail: building-dept@coab.us ; / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1,f ��'Q�� ent review required Yes o l Applicant: &Zoning O ,fPl,anning e Administrator Project: DYj � Q�t� blic Works Public Utilities Public Safety F I Fire Services Review=fee p ig_ � r De t Si nature�� Review or Receipt Date Other Agency Review or Permit Required 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: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one. Comments: BUILDING / PLANNING & ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 moRRAY �a�Eem��eanu� 4.1738 4.7963 September 23,2009 Ile r -e C All Weather Contractors,Inc. I / S C,Cajre SS . RE: 378 8`s Street Atlantic Beach,FL 32233 ( la S Job#J2289 To Whom It May Concern, U This office has been contracted to conduct a str 1 structure located at the aforementioned address / r 15, 2009,and structural damage was found to have �'1l 1/C9 ing as the result of water infiltration. Due to the natur athing (lateral-force-resisting system)and damage to tl____....��.a.u�ai,oau-carrying components)has been deemed less than substantial as defined by the Florida Building Code. Provisions of the Florida Building Code—Existing(Section 506.2.4)were used to make repair recommendations to the damaged portions of the residence. Rafter Damage: A portion of the existing 4x6#2 SYP pitched rafters were found to have varying levels of wood rot damage along the length of the rafter. Recommendations were made to remove the damaged rafter and replace with a 4x6#2 SYP member. The rafter to foundation connection was un-damaged allowing for continued use when reconnected to the new rafter. The pitched rafter to flat rafter connection originally consisted of(1) row of(3)5/8"through bolts. Recommendations were made to reinstall the same quantity and size of through bolts to the replaced rafter. Lumber Sheathing Damage: Portions of the existing 2x6#2 SYP wall sheathing was damaged in areas surrounding the damaged rafters. It is our recommendation that the wall sheathing be reinstalled making breaks on existing or new rafters. Fasten each 2x6 to each intersecting rafter with(3) 12d nails. A 2°d site visit was performed on September 22 to view the replacement of the damaged roof rafters. At this time,the wall sheathing had not been replaced. Provided that the wall sheathing is replaced as mentioned above,the damaged portions of the structure will fully comply with FBC-Existing Section 506.2.4. Due to the cause of the damage,it is our recommendation that the applicable portions of the Florida Building Code—Residential,Chapter 7 be followed to greatly reduce the potential for future water damage. If additional clarification is required,feel free to contact this office. Signed, Bryan A.Murray,PE Professional Engineer FL License No.64010 417 Walnut Street * Green Cove Springs, FL 32043 CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001852 Date 11/05/09 Property Address . . . . . . 378 8TH ST Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 CU 1 AHU ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MICKLER, BRYAN ALL WEATHER CONTRACTORS, INC. 378 8TH STREET 5151 SUNBEAM ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 343-9872 ---------------------------------------------------------------------------- Permit MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 103 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/04/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 103 . 00 103 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 103 . 00 103 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH _ P7 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09 I I I I I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 '�-- BUILDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE: & o ❑YES PERMIT#: 11-5-0 PROPERTY OWNER: 4.NAME: AAA 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 16.PHONE: 5�sz AIZ44��p'4y ,��3zzi/ �tvs 80 y MECHANICAL CONTRACTOR: r 7.NAME OF COMPANY: 8.ADDRESS.: ea. c44 Rs 615/ S[, mh eanl. 7d. _T4 3 Z Z.5 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.. CAC F1S/01 4U� rl'�► `7051 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. pTCA1IWC^ThCX Q0Airt#CTO S.C&N IGf �t1 �vU Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction I1. 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. ARI# 6 ,303i,5 9 CONTRACTORS SIGNATURE: ��r j l ti 15.CLASS OF WORK: 16.BUILDING: 17.SERVICE: 18.CURRENT CODE: ❑NEW INSTALLATION ❑ NEW RESIDENTIAL ❑'07 FLORIDA BUILDING CODE- rEPLACEMENT OF EXISTING SYSTEM L�£XISTI NG ❑COMMERCIAL MECHANICAL ALTERATION/ADDITION TO EXIST SYSTEM ❑REPAIR ❑OTHER MECHANICAL EQUIPMENT TO BE INSTALLED: 19. HEAT: ❑ SPACE ❑ RECESSED CENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ROOM CENTRAL 21. DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm 22. REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY: gpm 24.FIRE SPRINKLER: NUMBER OF HEADS: 25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27. FIREPLACE: PREFABRICATED. MASONRY: 28.IRRIGATION: ❑ PUMP ❑WELL ❑ PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: 31.COOLING EQUIPMENT: AIR CONDITIONING REFRIGERATION EQUIPMENT CONDENSORS ETC. NUMBER APPROVING OF UNITS DESCRIPTION MODEL# . MANUFACTURER TONS AGENCY 32,HEATING EQUIPMENT: FURNACES BOILERS FIREPLACES.AIR HANDLERS ETC_ NU ER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY 33.TANKS: TYPE LIQUID APPROVING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permit Applicaton Mech:REVISED:12/18/2008 �S r �� CITY OF ATLANTIC BEACH =tt_sJ 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001946 Date 11/30/09 Property Address 378 8TH ST Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------- Application desc 1 cu 1 ahu -------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MICKLER, BRYAN ALL WEATHER CONTRACTORS, INC. 378 8TH STREET 5151 SUNBEAM ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 343-9872 -------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . Permit Fee 87 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 0 Expiration Date . . 5/29/10 ------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------ Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH I I I I I -� SW SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- OFFICE:(904)247-5826 s_ OFFICE:(904)247-5826•FAX NO.:(904)247-5845 J BUILDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY r4. .JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE: J 1 O ti �^�✓L'e [�r Q NO Z-2 s' ❑YES PERMIT#: PROPERTY OWNER: NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: MECHANICAL CONTRACTOR: 7.NAME OF COMPANY: 8.ADDRESS.: ns �- �. n&4,,nl J� FL 3zz -7 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: 014G 5/61/ J 4tL/ -781 'los/ 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. `Z 0,-I Qc 7e to v Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after worts is commenced. ARI# 3 �� 0 l �✓� CONTRACTORS SIGNATURE:,/ 1$.CLASS OF WORK: 16.BUILDING: 17.SERVICE: 16.CURRENT CODE: ❑NEW INSTALLATION ❑NEW e RESIDENTIAL ❑'07 FLORIDA BUILDING CODE- REPLACEMENT REPLACEMENT OF EXISTING SYSTEM E3 EXISTING 0 COMMERCIAL MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑REPAIR ❑OTHER MECHANICAL EQUIPMENT TO BE INSTALLED: 19.HEAT: ❑SPACE ❑ RECESSED ❑CENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM ❑CENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm 22.REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY: gpm 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: ❑ PUMP ❑WELL ❑ PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: 31.COOLING EQUIPMENT: AIR CONDITIONING REFRIGERATION EQUIPMENT CONDENSORS ETC. APPROVING NUMBER OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY S M V7a tbndleviS e1L 32.NEATINt;EQUIPMENT: FURNACES BOILERS FIREPLACES.AIR HANDLERS ETC. APPROVING NUMBER OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY 3 rikeieTYPE LIQUID 2 33.TANKS: APPROVING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permit Applicaton Mech:REVISED:1211812008 CITY OF 3S (0 3 3 3 4& BI�-0;&S , Office of Building Official Date REQUEST FOR INSPECTIO � � � �� Time Permit No. Received A.M. P.M. 3-1 fig, s+ Job Address Owner's Locality f n ) Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING Framing MECHANICAL Re Roofing ❑ Slab ooting ❑ Rough Wiring El Rough n E:1 Insulation ❑ Temp Pole ❑ Top Out El Heating ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs. Friday PM Inspection Made �i�► 'VZ A. PM. Inspector Final Inspecti2c<.pancy Certificate of ❑ Date CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 F. Application Number . . . . . 09-00001268 Date 9/10/09 Property Address . . . . . . 378 8TH ST Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 26000 ------------------------------------------------ Application desc replace siding ----------------------------------------------- Owner Contractor _ ------------------------ MICKLER, BRYAN ALL WEATHER CONTRACTORS, INC. 378 8TH STREET 5151 SUNBEAM ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 343-9872 ------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 160 . 00 Plan Check Fee 80 . 00 Issue Date . . . . Valuation . . . . 26000 Expiration Date . . 3/09/10 --------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. -------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 160 . 00 160 . 00 . 00 . 00 Plan Check Total 80 . 00 80 . 00 . 00 . 00 Grand Total 240 . 00 240 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. RENEWED FOR CODE CO rS�`L'''�r+ CITYOFAT MPLIAN TY OF ATLANTIC BEACH �s LANT'IC B SEE PEFOR G PERMIT APPLICATION REQUIREMENTS ADDITION RE AND CONDITIONS. (Alterations & Additions) SEWED BY: DATE; - Date: 2 Job Address: 3 �h 51. l k l�h a c c EL 2 2 J 111 C= `� �wner of Property: A t 1` /1 L7 Address: S s 1 iQ r-Z L l^� 0 u .t ,.� Telephone: G - 7 -xS- o k Q W egal Description: Block Number: Lot Number. 3 7 Zoning District: !U5r2 „contractor: A kl 1nla.c,,}hP r Coat W�t,76 & J N C. State License Number: �° 17-5`1303 err. 2 r { LJ.. contractor Address: 5 6 51 ;;,,F .�,, 5u,.�P P- 4 ._.. - elephone: (9 G N ) 781- 76 SPO Fax: 0 C-)LO 7 51 - 70 5 � Describe proposed use and work to be done: R e ma w et vt d J�e p(c_ce -5 0 t ►'1 G ReQlc e C61-errorSh.PIIc,ik"nti L h, ye Kle�r/�d Present use of land or building(s): W�e Side ri� a ` \�C,CC,A_ Valuation of proposed construction: 4 2 +rhoo , W Dimensions of the added space: ,� feet x feet Will this project involve: ❑ Heating&Air- ❑ Plumbing ❑ Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? NO 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-riginal impervious area or the removal of any trees? (�NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. EP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 l /+ f,. EP 3. Submit Tree Removal Application if trees are to be removed or relocated. Sw EP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if L LJ owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic .� Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 �.i.. 1 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.cLatiantic-beacb.fl.us age 2 Revised 8/04 1 , . In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application(please print). Name: CO 7 `J R K�t j C.,e —T Mailing Address: T7 ' & vrtbectm R-A `�t�e 2► fit% 11�/ �1�� Cl 'i Zai Telephone: (170q `lT)t- ?Dfol> Fax: (QON)761``?D 5 E-Mail: e0�@ ctljweg'fAUcnaf1cu1o(s I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. L Signature of Owner: Date: g AS TO OWNER: f Sworn to and subscribed before me this / Aday of— 1 20 0 `�• State of Florida,County of Duval Notary's Signature: 7A '10o,,11'f:q,/, BARBARA J.TRIPP Personally known MY COMMISSION b DD 797231 Produced identification * * EXPIRES:Jury 10.2012 Sovim Type of identification produced N'''r�F F�� n'"'B" N0W Signature of ContractoAOR: Die' Ar AS TO CONTRAC Sworn to and subscribed before me this day of ,20 0 State of Florida,County of Duval of�,�lt p�gL1C STAGussnlal► ppTAIt�Y Sandra P P. �nousston#>�D2g20 No�ersonaUy igna W 7W Talc AVXp�T1•AN 1C B0r' 13 i CQ.,CSG - known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fag: (904)247-5845 •http://www.ci.atlantic-beach.H.us Revised 8/04 Page 3 NOTICE OF COMMENCEMENT State of L. Tax Folio No. County of 11i stAL 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: 1(C " Z+5 "2q-E L A k I ct A i C Ject p4 N.� 6 35 FT L-O`f 3 L Address of property being improved: g} 5 V. A ,c Z 3 3 General description of improvements:_ ;n;Nc, wlry w l Qhs Rr a t �e w►r' H Owner: L -A%C 1 Address: 5 H 5i Art., c F L j I Owner's interest in site of the improvem t: Fee Simple Titleholder(if other than owner): Name: Address: Contractor. erCn r,-rr-At Address: 2 IiCsa � r` 3225 Phone No: (Q a 4 IT(- I Q 6 O Fax No: o S 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: kaj,aress: ]I-;- No: Fax No: Nar's ,of person within the State of Florida,other than himself, designated by owner upon tra m notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option). Nam e: 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 (I TE R Signed: ' AD tc:d 9 G D Before me t da of in the County ofDuval, State ofFloda, persona appeared e 0, � � Notary Public at Large, State of Flori Coun f Du NWMJ.WP My commission expires: * * MY COMMISSION i DD 797231 Personally Known: or r EXPIRES.July 10,2012 Produced Identification: 80114!4 PNU W N"SvA= . CITY OF ATLANTIC BEACH 1" ELECTRICAL PERMIT APPLICATION �r Date: Property Address: 3 0"JiL 6e4c� �� bNQ3 Owner: " Telephone #: 726--Og)A Contractor: f I Telephone #: 744 S0 Contractor ddress: V�` CCL Fax#: In consideratiokof permitgiven for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: b other construction is being done on this building ❑ New Residence ❑ Temp. ❑ New Or site,list the building Old ❑ Commercial ❑ Signs ❑ Increase Permit number: ❑ Re-wire ❑ Addition Sq. Ft. Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE i Size AMPS '_o PH W VOLT Z" WAY Y Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0 30 AMPS 31 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT ConditioningCOMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH INO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sign Miscellaneous 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ei.atlantic-beach.fl.us a CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 £ - INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025016 Date 10/16/02 Property Address . . . . . . 378 8TH ST Application description . . . IRRIGATION/SPRINKLER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ MICKLER, BRYAN MILLER BROS . IRRIGATION INC. 378 8TH STREET 861 TENTH ST. SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-5214 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc INSTALL IRRIGATION SPRINKLER Permit Fee . . . . 50 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 00 . 00 L t BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ,Q -,. ( - qjs-,� BUILDING OFFICIAL CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 3 Z �� - h� , )R,,-k OWNER OF PROPERTY: M K�-e (Z TEL. PLUMBING CONTRACTOR: +yl�l� e� Q�,� _lr Ry-, CONTRACTOR'S ADDRESS: STATE LICENSE NUMBER: _ TEL. HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: X $7.00 + $35.00= MINIMUM PERMIT FEE: $35.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS -(904) 247-5826. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FLORIDA 32233 F ; INSPECTION PHONE LINE 247-5826 c,lf Application Number . . . . . 02-00025022 Date 10/16/02 Property Address . . . . . . 378 8TH ST Tenant nbr, name . . . . . . INSTALL WELL Application description . . . WELL PERMIT Property Zoning . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - --------------- --------- -------- --------------- MICKLER, BRYAN L.N. WILLIAMS 378 8TH STREET P.O. BOX 567 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 -------------------------------------------------------------- -------------- Permit . . . . . . WELL PERMIT Additional desc . . INSTALL WELL Permit Fee . . . 35 . 00 Plan Check Fee .00 Issue Date . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 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 Z,,ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL APPLICATION FOR WELL PERMIT CITY OF ATLANTIC BEACH PROPERTY OWNER L Name:-4 - �� G41 � Day Phone: '-'-y Address: �4,V L Zip .APPLICANT, IF OTHER THAN OWNER Name: . &&114 . �Z- Day Phone Address: a ip 3K JOB Address or Location: Legal Description: Is well to be used for drinking purposes? A0 Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: I agree to mply with regulations stated herein: / gnature Date CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024871 Date 9/25/02 Property Address . . . . . . 378 8TH ST Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ MICKLER, BRYAN AMERICAN ELECTRICAL CTR 378 8TH STREET 5065 ST.AUGUSTINE RD #3 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 737-7770 ----- -------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . WIRE FOR HVAC Permit Fee . . . . 25 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 25 .00 25 . 00 .00 .00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 25 .00 25 .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 Building Department SO4-247-5805 P• 1 CITY OF ATLANTIC BEACH, FLORIDA [--= ArPLICATtON FOR ELECT1tICA1. PERMIT 10 THE CHIEF ELECTRICAL INSPECTOR: DATE:3(,k-- -��-—� ,}/PORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRISED 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 ELLUI*HICAL REGULATIONS,CODG3 AND CRY OF ATLANTIC BEACH ORDINANCES. �7YlER►/�l� F(E£�f►CEY( z— '41 ELEC'TRIGAL FIRM: (( MASTER ELECTRIC) SI N��AjTUIR I NAME ADDRESS: `�� . L RFO BOX BLDG.SIZE BETWEEN: REs.V1 APT.I 1 COMM-( I PUBLIC( 1 INDUS.i 1 NEW( 1 OLD( 1 new,( 1 ADDITION I i TRAILIA( I TEMP.( ! 5iGNS t 1 -3"FT. FEE SERVICE: NEW( i INCREASE( I REPAIR( 1 WNDUCT R SIZE AMPS COPPER( AL 51AlITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH 3 W LT / Yv' RACEWAY FtLobfts NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS ^ CONCEALED OPEN TOTAL vtEcEPTACLES CONCEALED OPEN TOTAL a.70 AMPS. 71•toQ AYYi •. SWITCHES ._—...___ ..._—......... . i i• INCANDESCENT FLUOREWI!NY&M.V. FIXEC o.lae A.— ever tPPL1ANCCS BELL—TRA-NS-F. AIR H.P,NATINC tt.P_RATING CONDIT10NING COMP,MOTOR OTHER MOTORS AMPS CELL HEAT' KTI-HEAT 1 a� BH�P MOTORS H.P. G VOLTAE PHi NO. 1Vt?L'fAGt ?MS 919CIi LLANG4U2 TRANSFORMERS UNDER 600 V. OYER 600 V_ No. KVA NO. KVA tUO.NEQN iKANSF. NO. VA. MA_ MOTOR SIFE SWITCH FLLSHE EACH SIGN ! FORWARDED 19 TOTALFEES - t� CITY OF ATLANTIC BEACH �. BUILDING AND ZONING 800 SEMINOLE ROAD ATLANTIC BEACH FLORIDA 32233 INSPECTION PHONE LINE 904-247-5826 Application Number . . . . . 02-00024827 Date 9/17/02 Property Address . . . . . . 378 8TH ST Application description . . HANICAL ONLY Property Zoning . 0 TED Application valua 0 Owner 0 ac r ---- ---- - - M - --- - ---------- MICKLER, � s ^�°' '" C IR COND. 378 8TH LE S EET ATLANTI BETA. 2233 CKS0 LE FL 32204 (904) 38"1 3-3 Perm' RMIT Addi -ional GE UNIT Pe i ';Fee 0 Plan Check .00 Issoe Valuation -� 0 Fee momma id Credited e--- P�it F ,. 3 .00 Pl n 00 Grp.n Tt 1 _ .00 > y w. 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. BUILUIN(o ANU GVNIIVW ��v�r��. �vl• �+•••••••••• ` Jk CITY OF ATLANTIC BEACH ATLANTIC BEACH.FLORIDA SIUS APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—App,lcant to complete all it ms in sections I. II, 111, and IV. (. LOCATION Sheer Address: OF Infonecting Sheets: Ietreer BUILDING Sub-di+inion II. IDENTIFICATION —To be completed by all applicants in consideration of permit g;+en for doing the work as deuribed in the .bow sfalemanl we hereby agree J to perform sa;d work os in fa Bence with the attechpd plani and specifications which are a pert hereof and in accordance with the city of Jeckwn+ills ordinances end ste nderds of good practice listed Cher ontrac}ars Name of Meehaniul Made Contractor (Print) Nome of Property Owner Signe}un el Signature of Owner Arohiteci or En gineer or Authoriod Agent III. C'WHIL kl INFORMJwTION — A.FC] Of NotingB.fuel: IS OTHER CONSTRUCTION REIMG DON[01 Electric THIS BUILDING OR SITE Got—❑ V ❑ Natural ❑ Central Utility IF VES, GIVE NUMBER OF CONSTRUCTION ❑ OJ PERMIT ❑ Other — Specify IV, MgCNINNICAL EQUIPMENT TO It INSTALIFD ,NATURE OF WORK \❑1\j ❑ (► rvide eGet of of campoff wenon beck of n form) Residential or Commercial Heat ❑ Space Receaed Central O Floc. New Building Existing Building Condrfioninq: ❑ Room �ceninl Replacement of existing system ❑ Duct System: Material Th ckeem New Inslalletlon(No system previously Installed) Ma.imum capacity - c.f.nw ❑ Extension or add-on to existing system ❑ Rofrigonton ❑ Other—Specify ❑ Coolinq tower: capacity Cl Fro sprinkler+: Number of head ❑ Elevator ❑ Monliff ❑ EwA"tor (number) THIS SPACE POR OFFICE USE ONLY ❑ G4601iM pumps ( number) ❑ Teak --(number) Remarks .. ❑ LPG conMinas —(numbor) ❑ Uof6*d proude vocal Paan;* Approved by D.I• - ❑ I«1.r+ Iermit�. p 0#-r — Specify LIST ALL EQUIPMENT AIA CONDI'ITONLNG AND REFRIGERATION EQUIPMENT V Number Vnity Deacrtytlon ][oriel N Bae Mamstactwer r Jt IF,ATIPIG PURNACES, BOILERS, FIREPLACES C ABIYW Number VntL DrcrlDtfoa No"Number >1Last�aabR� (�lSJ) ]Brq Now Yaa7 CITY OF Office of Building Official REQUEST FOR INSPECTION (- --3(3 _Oz. l l 3 Permit No. Date A.M. Time pM Received 7 ✓�' Locality Job Address �- _ l Owner's Contractor Na MECHANICAL ELECTRICAL PLUMBING BUILDIN CONCRETE Rou h ❑ Air Cond. & 11 Footing 11 Rough Wiring ❑ g ❑ Heating ❑ Temp Pole ❑ Top Out ❑ Fire Place Re Roofing 11 Slab ❑ Sewer Insulation ❑ Lintel 11 Final Pre Fab READY FOR INSPECTION M S r Thurs. Friday P. Tues. ! Wed. Mon. / O � 1 A. �— Qr— P.M. Inspection Made Final Inspection ❑ Inspector Certificate of Occupancy Date ,1 CITY OF nn Office of Building Officia REQUEST FOR INSP TION Permit N�O// L Date A.M. Time P Received \ Locality 1 Job ddress / ✓/J 1 t 1`71 Owner's '—'` Contractor Name PLUMBING MECHANICAL BUILDING gooing ET ELECTRICAL ❑ Air Cond. & ❑ ❑ Rough Wiring ❑i Rough ❑ HeatingFraming ❑ Temp Pole ❑ Top Out Re Roofing ❑ Slab ❑ Sewer ❑ Fire Place Insulation ❑ Lintel ❑ Final Pre Fab READY FOR INSPECTION Wed. Thurs. Friday P.M. Mon. Tues. A.M. P.M. Inspection Made ' \� _ Final Inspection ❑ Inspector Certificate of Occupancy ❑ Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5825- Fax: 247-5877 PLUMBING PERMIT r -- _---- -- LOCATION INFO - -- PIMI :� 3RM ►` Address_ : 378 EIGHTH STREET Permit Number: 23081 ATLANTIC BEACH, FLORIDA 32233 Permit Type: PLUMBING Township: 0 Range: 0 Book: Class of Work: NEW Block: Section:0 Proposed Use: Lot(s): Square Feet: Subdivision: - Est. Value: Parcel Number: Improv. Cost: OWNER' FITION Date Issued: 11/30/2001 Name: CAROLYN MICKLER Total Fees: 001 Address: 378 EIGHTH STREET Amount Paid: 72.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 11130/2001 e; 904)249-8251 Work Desc: NEW PLUMBING FI IC ON FEES CO _ 72.00 KELLOW S RAPID RESPONSE y` NOTICE - INS ECTION REQUE SPECTION BUILDING MATERIAL, 8B1S1-#A _ z tS ?ROR OR OWNER 1!_ILA #`s CED IN PUBLIC SPACE, AND MUST BE LAY BY _`:_ 64 "FAILURE TO COMPLY Wh _ L� SULT IN THE TS" PROPERTY OWNER PAYING ISSUED ACCORDING TO APPROVED PLANS WHICH OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. AT TIC BOACH BUILDING DEPT. - $72.00 14 1 01 Receipt: 00151t*g CITY OF ATLANTIC BEACH APPLICATION FOR PLUMING PERMIT JOB LOCATION: 4-Y" jt " -� G y� l C. LJl __L OWNER OF PROPERTY: Al tod-ev' TELEPHONE NO. PLUMBING CONTRACTOR Vv�e U-O" S 'PAO;t7 12� g CONTRACTOR' S ADDRESS : 1D15 64 -L 2q O STATE LICENSE NUMBER: T, C)(, (O-7139 TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES -77-00 RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS aCLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER _1 -) TOTAL FIXTURES : x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 0 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION i Permit Number: 23066 ------ --- _�-OCATION INFORMATION { Address 378 EIGHTH STREET Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: L Parcel Number: Improv. Cost: L— .:-` t`)INNEIIV#rflRMATKN ^--_ Date Issued: 11127/2001 Name: CAROLYN MICKLER Total Fees: 25.00 Address: 378 EIGHTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 11/27/2001 ne: 904)249-8251 Work Desc: REPAIR ._ CONTRACTOR S PIERSON HT,AC & ELECTRIC 25.00 .54 TOPOUT ---- NOTICE S'1'ECTtb_ t1ESTEl R TO IN QECTION BUILDING MATERIAL 1 z 15 PROlilrt''THIS Wow'WiS'T,NClrt' QED IN, BLIC SPACE, AND MUST BE CLEARED UP ANQ1 BY_I�1�'C.GiTt ► 70R "FAILURE TO COMPLY�TH _ LT IN THE PROPERTY OWNER PAYI ISSUED ACCORDING TO APPROVED P t MIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROW IO s f25.88 14 ATLANTIC BEACH BUILDING EPT. Date: 11/27/01 01 Receipt: M14615 CHECKS 126J5 00i 0322io0oI BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH .•TC.ANTIC.aACN, rt ORlt]A]la]] APPLICATION FOR MECHANICAL PERMIT CALL•INNUMBEA IMPORTANT—Applicant to ccmplete all items in sactians 1, II, III, and IY. I. LOCATION Sb..l Add...., 51 Lu .0 1 OF (wl.r..•rlwq Si...h, s.1.. w�ct5�-cY,.-•,1•''' k-�•s6L)/, C. "c. I V .•LYS, WILING Awd sr6al.ld.w ! 11. IDENTIFICATION —To be completed by all applicants. p•.,.d/ g:... f., d.:.9 rh• --4 •..d-A6.J :. rh. .6... .'Ih th..d •rr.ch,4 pl.n •wd .p.cill<•rtem -h:<h a ..1 6.r.a1 .,d I •e••• 1. p..lor.w .wld.e.i 4.ward.ne• o! gaod.pndle•lid.d,Ih•r • p • •ccard..c. -:Ih r6.Cly !J.cS.en.:g. ..diwewe.. ud .l.,d.rd. C.w L../.r (M1lwll rY L N..r• .! I ire ..G L U 7 S/7 2- .1 .1 p.,.. w Ar16.r(ud Aq•wl r Sigw•Irr. .! Arch:l•.1 .• iwglw.•r 111. GENERAL INFORM Ti N A. //^l7Tp��I..f h..Xwq h..L• g• M. i! OT H CM CANS Tl111 CTIQM aCIXd QONC ON THIS BUILQIMC CIA SIT£1 • (3c..—❑. Lr Q N.Irr.( C3c—"utility Q ON If T£S, a1VC MUMS"Qf C.OXSTHUCTIOX P CMMIT ❑ Otfi.r- Sp.dly IV. MEC}i/4MrAk SQUIP%AWT TO It INSTA.LLM - NATURE of WORK (rr.r.ide a..wpl.l.IIA a(ce.epowe..h.e 6..k.(thl.f..e.l w R.ald.ntl.{or Q N..t Q Commercial Q Speu Q X--.•d 0 C.whe{ 0 Rw ❑ N..Building ❑ Air C.wdAl.wlwq: Q Ra,e a C.w" w- F-J.ting Building ❑ arct STch..., M.hd..L ❑ R.pl.c.m.n(of.haling.y.l..n M•.i.wr.w up.dly �� ❑ New;In.lall.tlon(No ay.l..n pra.iau.ly Indall.dl T ❑ Rdrlge dee ❑ Fw.n.lon or.ddon to.n11.Iing.yat.m ❑ C-ilnq I....c C+p.dty ❑ other..sp.clly I—QR r v Q R.. Q 13- iw Q M•nl{N ❑ f.ed.l.. (wrwLrl . :3-PACI FO ti OTRC:i UU 014L7 Q.• re6� (wr.w6.r( ❑ LPQ o-I.i (wre.b.rl pnmm- Q LwS.n rwara Apl. 6y a.,, Q 0Mr.-Sp.alty r.r..dl Irr ;=Ir:rA;LLITIQU;Ip�� FPRIGERATIOIYGQUD'SENTL?raritlXodel Numbr CQ IDIATItvG FURMACE., BOILER.. PM27LACE3 I'haot..r Valla rieeartPlbe Xo¢.1:1hmb.r Xaautaaturer TAKX3 V-ev H.u.y ao nl t�lty TYI- LIRUL4 'ca-e of �•+ Ap¢ JnE Caatalaed 3[aanfaatta.r Na Asm�7, DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233- Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT LOCAIM INF€ RIIIIIATION - - Permit Number: 23065 Address: 378 EIGHTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: RMATIt41!+I Date Issued: 11/27/2001 Name: CAROLYN MICKLER Total Fees: 25.00 Address: 378 EIGHTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 11/27/2001 (904)249-8251 Work Desc: WIRE FOR REMOD -x , ,. CONT CTO ..; CAT b.^.. Y PIERSON HT,AC & ELECTRICt t 25.00 X F y. .-t - - - ROUGH ELECT , ,r SK k NOTICE - WS T BE REQUMID AT-L_ T 24 HOURS. RIOR TO tJSPECTION --- -- --- BUILDING MATERIAL, 114N #3RtS FROM THIS WC MUST NOT a^-A f?1 UBLIC SPACE, AND MUST BE CLEARED UP �I '3 .E3; F Y EITF#El `COtCTOR O _ WN "FAILURE TO COMPLYLT IN THE PROPERTY OWNER PAYIN ISSUED ACCORDING TO APPROVED PLASAVt ER AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS O f 25- 0 14 Date: 11/27/81 01 Receipt: 0014615 ATLANTIC BEACH BUILDING DEPT. CHECKS 12r45 CITY OF ATLANTIC BEACH, FLORIDA F7= APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE. , 7 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 CfTY OF ATLANTIC BEACH ORDINANCES. aWc £�� /� aLL-��- z7L yoo 1115 7 0 ELECTRICAL FIRM MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME A t' A,,;, (L-Q, —ADDRESS- 7J �•� v 5T RFD—BOX— BLDG. FDBOXBLDG.SIZE BETWEEN: RES.''(. ) APT. ( ) COMM.( 1 PUBLIC ( I INDUS.( 1 NEW ( 1 OLD (A REW. ( ) ADDITION (") TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 SQ. FT. SERVICE. NEW( I INCREASE( I REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( I ALUM. ( I SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE — AMPS PH W t �JOLT .t RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS lrt-5 CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 91-100 AMPS. SWITCHES / INCANDESCENT r e FLUORESCENT&M.V. V FIXED 0 10 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT O-1 OVER MOTORS H.P. VOLTAGE F PHS I NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. INC. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S TOTAL FEES CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERIVl1T INFORM : jz _.---- _N _ LOCATION' ORMATION_ Permit Number: 23113 Permit Type: PORCH K�Address: 378 EIGHTH STREET Class of Work: NEW ATLANTIC BEACH, FLORIDA 32233 Proposed Use: I Township: 0 Range: 0 Book: Square Feet: ! Lot(s): Block: Section:0 Est. Value: I Subdivision: Improv. Cost: 9,690.00 Parcel Number: Date Issued: 12/04/2001 -- OWNER LYN MICKLER Total Fees: 90.00 Name: CARO Address: 378 EIGHTH STREET Date Paid: 12/04/20011 Amount Paid: 90ATLANTIC BEACH, FLORIDA 32233 Work De sc: NEW PORCH Phone: (904)249-8251 — CONT µ PR—OPERTY OWNER LICAT[ON FEES - - 90.00 AP FOOTINGTIMM - � - — FINAL BUILDIN �"--- ' 3 NOTICE.-,. CTION 3UILDING MATERIAL,'. - VUST BE CLEARED UFS Ill 1 38`T B>v ELIC SPACE,AND BY EITHER p_ CTOR OR - a_ x 'FAILURE TO COMPL 'ROPERTY OWNER PA LI T IN THE 3SUED ACCORDING TO APPROVED OR VIOLATION OF APPLICABLE PROVIS E IT AND SUBJECT TO REVOCATION G� ATLA IC BEACH BUILDING DEPT. (98.08 1 -- Date: 12/85/81 81 Receipt: 0816 ------- -- —--- CKS1435 N 3221888 - _- CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET LL, Address 3 -7K 0 S T I/L'ry Date /; - L/_ 61 Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carpo Porch s @ $ per sq ft = Deck @ $ per sq ft = $ Patio @ $ per sq ft = S TOTAL VALUATION : $_� Total Valuation 1st � 0 4 1 $ 4Kf Remaining Value $_S-.cc per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ 3 ( ) Fireplaces @ $15 . 00 $ O BUILDING PERMIT FEE $ O WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 S SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ 0 ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : RECEIVED CITY OF ATLANTIC BEACHS;;* PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATION MOVING, DEMOLITIONS CIty Of Atlantic Beach Owner (s) cyter f3u3tid,ng, €fid Z'5riir Job Address d C -� 8+ Phone 7A S_C*-Z2 Lot# 71 Block or Unit# Subdivision ►•t+qG11-ice ger, Ch Contractor Otee✓ State License# Address Phone City State Zip Describe work to be done Acc-j 12)rr Present use of building�� t �w� lY ocwQ j kab�_ Valuation of Proposed Construction 5� U 7�6 – — Proposed use RC,•rCV Is this an addition?pS If yes, what are the dimensions of the ; _ft• Will the added area be heated and cooled? V10 New electrical (or increase) �/rS New plumbing fixtures? 0a New fireplace? 0,1 New Heat/AC? ►1a SUBMIT THREE (COMMERCIAL)TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING SITE PLAN, SURVEY, ENERG CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, IF INER IS C TRA let –. Signature of OWNER P–L Date: r D/ Signature of CONTRACTOR Date STATE OF FLORIDA COUNTY OF r Sworn to (or affirmed) and subscribed before me this 1 G day of 200 t AS TO OWNER: Notary's Signature Personally known BARBARA J.TRIPP ❑ Produced Identification MY COMMISSION#CC 944W4 EXPIRES:Jul 10,zoos Type of identification produced .. 1.8-0 OTARY FL Notary S—k-&Bontling,Inc. Sworn to (or affirmed) and subscribed before me this day of ' 200 AS TO CONTRACTOR: Notary's Signature ❑ Personally known ❑ Produced Identification Type of identification produced MAP 51-IOWI NG SURVEY OF Lot 37, together with the North 3 .0 feet of the East 35.0 feet of Lot 38, Block 9, as shown on the Plat of ATLANTIC BEACH, as recorded in Plat Book 5-, Page 69 of the Current Public Records of Duval County , Florida . For : Albert H. Mickler IV o-e' 2 y N N N N 20, .. � .� 2- ✓7DlZY WOOO U U -2o/IVO V �V 0 O 01(0y 8.2 :C o /v v. 5' a- n � a88 ��om mp C It > Noa rr '�><Eesicc QO H�✓'OF LOT 3g m c E -'s L 20 8 w$v-aan c 08 � � G O 7- 38 oM m-2C c0 Of m �� c aE— moo cit )a o�N t C > nc0.0 > c� 31) 2. a « 1 H 0 0 Ecom O L EGE/VO ` RAY, SNYOER A 350CIATES o 0E/VOTE5 METAL 5TAkE �E7- P9OFE55/01V,4L LAEVO 5URVEYOR5 ® 0E/V07-E5 METAL STAKE FOUA/O 38 EAST /7'x' 57-aFE7- O OE/VOTE5 PERA-f,4NENT REFERENCE MON. J�C/� AVZ-E .LLE, FL 0 X7/01 NONX53 6476 x x x- x 49EN07-E5 FENCE A^ PATE SG 4L E OB NO _ ._ IOY p air>Mv v cr/Ec/CEO BY 4EG/STE C , 7070W O�P76 G /A�VEO 51JEYO C /FCA N MA' s 5HUVv//VC7 Vt� Y OF Lot 37, together with the North 3.0 feet of the East 35 . 0 feet of Lot 3$, Block 91 as shown on the Plat of ATLANTIC BEACH, as recorded in Plat Book 5, Page 69 of the Current Public Records of Duval County, Florida . For : Albert H. Mickler h' rl o.B" 50 , 7 y �•�- •� CO,rG'-RFT.✓/N/NO W,000 o' n60 V N N N N IV ' J P o iQ o N°•378 • v � V p 0.1 o L 9 0� viptt- :Co „/ 'c . NOR T// 3'G�E 107" 0F Z- Z- 38 I 1 0 � L O T 38 V � --LEGE/VO R4 V, SNYOER � 45SOCIATES o 0,,5-NO7-E5 METAL 57-4/tE SET PR0FE55/01V,41 LAI'VO 561RVEYOg5 ® OENOTE5 METAL STAKE FOUND 3e EAST /7 ra 5TRF_ET O OEV07E5 ✓'EQA4ANE1V7- T1EFE�7En/CE MON. 1,4Cl,'-50/✓V/L/E7, )(-x-><---x OE VOTE5 FENCE } ONE 353 6476 GATE SCALE OB NO• G / �Qa�rSMOn/ CHEC-CEO BY C •11-IC 707 FLO4/OQ _-. �8 _.____ _ QEG/5T EO SUQvEYO CEQT/F/CA /?76GE0,9614 CITY OF 800 SEiv LM TOLE ROAD ATL.AINMC BEACH,FLORIDA 32233-5445 TELEPHONE(9041)247-5800 ' FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING' REQUIRES OWNER/SUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SEcnoN 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN MPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROV?;A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. lT MAY NOT BE BUILT FOR SALE OR LASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPIL—TE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION_ YOU MAY NOT HIRE AN UNUCENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND 2flNIsG REGULATIONS, ,i iS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE: EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINAXCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEF-r MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. 7}iE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY MIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER `DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE.LOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE.' TFils DOES NOT ALLOW USE OF UNLICENSED CONTRA['TORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE CWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVH IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT '.'O $S,CCO PENALTY UNDER FLORIDA STATUTE NO, 455-225(l). AN 'OCCUPATIONAL LICENSE' IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY 'CERTIFICATE OF COMPETENCY' OR.THE FLORIDA 'CONTRACTORS CERTIFICATE' TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING OEPARTMENT (247- 5826) IF IN Douerr. I HEREBY ACEWOWLEDGZ THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE= OF AN OWNER-BUILDER PC3jM / I1 PROP OWNER/SUILDER ADDRESS TELEPHONE .Zao / SWORN TO AND SUBSCRIBED BEFORE ME THIS AY OF vy Y Igo NOTARY PUSUC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING BARBARA J.TRIPP DEPARTMENT_ MY COMMISSION#00 944934 EXPIRES:Jul 10,2004 1-8W-3-NOTARY FL Notary Sorvlela A Y6nd!rig,Int. PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ ------- LOCATION INFORMATION Permit Number : 15661 .,idress : 378 EIGHTH STREET Permit Type : RE-ROOF ATLANTIC BEACH , FLORIDA Class of Work:NEW -------- LEGAL DESCRIPTION -- -------- Constr . Type:WOOD FRAME Block: Lot , Twp, 0 Proposed Use: Section: 0 Subd:O Rna. * Dwellings : 1 Subdivision: Est . Value: 01 . 00 Improv . Cost : 1 , 400 .00 Total Fe-s ! 25 . 00 Amount 1 25 , 00 Vat e ea.: ------- OWNER INFORMATION -------- - -------- APPLICATION FEES ---------- Name7 CAROLYN MICKLEF PERMIT 25 . 00 Addr - 379 EIGHTH STREET ATLANTIC BEACH . FLORIDA 32237 Phonei ( 9041249-?251 CONTRACTOR INFORMATION Name : WILLIAMS Rr"OFING OF JACKSONVILLE Addr* 6041 LIANA LEE DRIVE JACKSONVILLE . FLORIDA 322343 Lic: RIC-005099-1 Exp* MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 'ROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE NTRACTOR OR OWNER MECHANICS' LIEN LAW CAN RESULT IN 4'WICE FOR BUILDING IMPROVEMENTS." CH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR N. $25.0014 Ilatp- IP/10/97 811 Receipt% 601422 CHECKS 5175 00108003221000 CITY OF AT LANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: 371 1 5 OWNER OF PROPERTY: 19 Z�� ' /` ` CONTRACTOR: 11)tA�� &At4:�� CC-NTRACTOR'S ADDRESS:�I D�( j:E- t7j" pc F ,4- ZIP: 73 2 STATE LICENSE NUMBER: j �� -TELEPHONE. DESCRIBE WORK TO BE PERFORMED: �iC �yD � / � � T 12Ay T VALUATION OF PROPOSED CONSTRUCTION LI(1C/ MATERIALS TO BE USED: Dir 9' Pi r / GI IIIl AA L SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF NOTARY PUBLIC Liabiiity Insurance Supplied CKLER e C�ItOL�NN NSI Wcrkers Ccmpensatcn Insurance Supp.liec 1vt comrgExp• 12/17/99 Botided By Ser4ce Ins No.CC518851 Contractor License Information Supplied (]pej=onRUy Known t]Other L D. Occupational License Information Supplied ti 0003341 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH pass: -=.-rte tsra»rrt �TR��r mii TYps: MEk ftAftrt`AL ATLANTrL• rEAC.", ri-IONXLIA L KOAL DL'::SrmrrTI0" -�t.r. Type: e`OUP rKAME t.,c 3 "IOCR: :lectlon: Posed Use: `I-11" LE rAMXLT TovnShlp: ft"U, L+ar 1ing�s: 3 k7octesion: Esl lmatec 'value: 9%V. "0 rmprcvv. 1ccfat 2 1*0• LIU Total rees: 10.41. t1C1 AmOUVIX rald : 341. t)tJ Date rald: L 112'Ll a+Z. W --17 . !lame: k;`AR0L_TN f'!I►:`.tSLEFt i'E"rixT "341. C}Kl Ad reg3e: —T 3 MIMIT" t5T"KCT WATE" InPAk:T rEL ATLAHT tC BEAC'", F1-10 X VA is a _�.:i �;L"NL t{ I"rAk7T rEE txonE? fir,s:l >'.?i!"►-k�<"41 WATE" n TE" Tiij► '`qty KALA M UWZ3--11. P. Ccs. 9�ti.). 00 - --- t t�3tTf"AUTCtr r N!"'t1Fs►?A7'rtrH _ _ _ _ _._ "Anklfl UlA` "N"Y' lfDvv. OIL) Nafne : OCEAN '-fT'T'ATF »rA"T A IC, WATE" "rA!' 1540. 00 Aci ress: 14?LI, A'TLAHT]C PAL.VP SLEW IS ft TAr 5n.00 HErTUHlr- eMAt" rt- 3223'3 HTVNAUL.rr nHAfiE 1!"n. 00 t , -_ f YP� ►;� RE-rft' rZrT rEE 930. 0" Lt H 1"PACT rME! 150. 00 OTHE" "3KJ, Ctit� 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. ATLANTIC BEACH BUILDING DEPARTMENT By: yGis (C f t r BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH 531-11 ATLANTIC EACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: 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 abcve 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 Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) S Master C� �Q Name of f Property Owner s f Signature of Owner _ Signature of or Authorized Agen Architect or Engineer Ill. GENERAL IN TION B. c� A' Type of heating fu - IS OTHER CONSTRUCTION BEING DONE ON ElectricTHIS BUILDING OR SITE? ❑ Got r_1 LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION Cl Oil PERMIT ❑ Other — Specify IV- MECHANICAL EQUIPMENT TO SE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed i Central O Floor ❑ New Building Air Conditioning: ❑ Room G Control Existing Building " Thickness Replacement of existing system Duct System: Materia Maximum capacity c.f.m. ❑ New installation(No system previously installed) ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9-P.M. ❑ Fin sprinklers: Number of head` ❑ Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps —(number) (ReC1Wd) ❑ Tanks (number) Remarks ❑ LPG container (number) ❑ Unfired pressure vessel Permit Approved by Dety ❑ Soilers ❑ Other — Specify Permit Fye LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approving Number Units Description Model Number Manufacturer (Tose) � CY DATING - FURNACES, BOILERS, FIREPLACES Capacity Approving Dumber Unita Description Model Number Manufacturer (BTIJ) Agcy U c'• 11F,2 . �7 r TANKS How Many Nominal Capacity Type Liquid Name at Serial Approving and Dimensions Contained Manufacturer No. Agency 000302 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- -- --- Lijk;ATIUN INFUhilATION RMI7 iRMAI - fl kjaress: 378 8TH STREET rffiit Number : 3U2 ATLANTIC BEACH, FLORIDA 32233 Per"lit Type; BUILDING LEGAL DESCRIPTEON t,aas of Work: ALTERATION Lot : Black Section% -OnBtir. Type: N/A Iroposed Uses SINGLE FAMILY plat Book: page: ."ellings: 0 C a d 4- 0 nubdivisioll; ,timated Value; 1$0. 00 OWNER INFORMATION Improv. Co&t: $1500. 00 Name: CAROLYN MICKLER Total Fees: 47. 50 Address; 378 8TH STREET Amount Paid' $7. 9-0 ATLANTIC BEACH, FLORIDA 3223:.) Datfi? PeAdt 12/19/88 phone: (904)1183-.0710 CONTRACTOE?(S ' APPLICATION FEES ER M I T $7. 50 :'ITER IMPACT FEE $0. 00 r,.,WER IMPA(,-T FEE $0. 00 rTER METER $0. 00 7, ADON GAS -H. R. S. so— ADON GAS $0— % ATE R TAP $0. 001 .EWER TAP $0. 00 YDRAULIC SHARE $0. 00 :E-INSPECT FEE $(L OO THER $01-UO 150, 001 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. ATLANTIC BEACH BUILDING DEPARTMENT By:� t �'- C( to X11 1 i BUILDING AND ZONING INSPECTION DIVISION c rx z c� CITY OF ATLANTIC BEACH, FLORIDA 0. ELECTRICAL PERMIT a z - _ i , . f Date_ Fee $ Permit No. OJ �I W m Location Q Between and a This is to certify that p c W 01 (Efe 'a' ort e ffor) (Mtl'sfer c �T it has permission to install Electrical Construction as described herein in at o. accordance with the provisions of the Electrical Code and regulations Z °c_ of the City of Jacksonville, and subject to the information shown on the = application, drawings and specifications which are made a part of this � I permit. M for °C -0 a o p � CC Type of work: 75 V SERVICE::.'_ow1 uCtor 04/0 lulmt :" t+C;'i ry? t �!F^ S 1PIA 311 230 V01t CAblo racew" a N W Feeders: 0 O Outlets: V co Receptacles: Switches: _ Incandescent: Fluorescent: ~ Appliances: Air Conditioning: � Motors: g g� Transformers: Signs: Miscellaneous: i IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: Electrical Inspection Supervisor MONTHS PERIOD, PERMIT BECOMES VOID. FOR OFF19E UEON -v7 —.........._5- .......19 ------ Date- --- ----- Permit # __Fee ............ CITY OF ATLANTIC BEACH Valuation ..... .............. FLORIDA House ......... ................. ............. .......I ......................... 4- APPLICATION FOR BUILDING PERMIT ................... .........!"4&...............I ............. ...... ......... ... .............. .... ...... 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. om 44Y 119 19_71r Date-------------------------I- ------- ----------------------------- OwnerR_49k ----L........ ...A---sto.14--------------------------Address-4101....-'11#---No tN4elephone No.*#f!-- Architect--_T%(..v...........lam. 1-Sea----------------------------Address--------_-_----------_----------------------------_Telephone No-----------_-------------- C-00.5------------Address_9 fff ._01M ephke No. Contractor Builder---Wok6ah" ---- A -8-mch--------------Zone LS.-/4 Lot No.----3-7---------- ---------------------Block No.---------9_--------------Sub Division_ WRIL----- ---------- -P . .9 -----------------Street-- - ---- ----------Side Between ltq L)t V---------------------and--- Valuation -------For what purpose will building be used-W ----------Type of construction- . -# ---- ---------- Dimensions of Buildingd2_0 .. --)t _J0 36------------Dimensions of Lot #4 f ----------Size of Footings _0............ Size of Piers------------------------------------Size of Sills--------------------------------Greatest Sill Span in ft-11......-------Type Roof-4060.410.0-.Ap---- # - 17...Will Building be on Solid or Filled Ground?-__--5.0-1jeo------------ How will Building be Heated?-C*Aff A969 0 ------------- Greatest Span-------1.6---------------------------- Size of Ceiling Joists---02A.-la---------------, Distance on Centers - ------ 40 d .......... Greatest Span.-__._-___ --------------------- Size of Floor Joists-------12444AL--------------- Distance on Centers- Greatest Span......... ---------------------- Size of Rafters------------oft Distance on Centers........ ... ........ This rectangle is to represent the lot. A-CA 12- 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 ane specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. E-4 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. 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 with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signature of Builder ------ ...... Address------------------------ .... ......-.............I.............................. ------- ...... ............ Signature of Owner...-------4 . .... Address. ...... .Rk CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT NO . Date : 2 5 LOCATIOl �' �"' S-* Street LOT N0. 3 BLOCK NO.— S/D_� OWNER MASTER FLUMBER Bldg. BUILDER OR CONTRA OR Fermit-No,. TYPE OF BUILDING &;�o ^ SIIIKS LAVATORY BATH TUBS URINALS 2,0LOSETS FLOOR DRAINS SHOWERS_WATER HEATERS+�DISH4ASHERS DISPOSALS OTHER rG_ - ._�� -� TOTAL FIXTURES 9 x:1 . 00 NO WORK MUST BE DONE UNTII A PERMIT HAS BEEN PROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size -.and location of all the soil and vent pipes, and the number and location of all fixtures, (in acaordanee with Ordinanae no. 188 of the Citv of Atlantic Beaoh, Florida ) must be shown on bank of appli- cation and be approved by the Plumbing Inspector. DRA',T FLAK AND SPECIFICATION OF ABOVE PLUMBING ON BACK. Approved by Plumbing Inspecstor Date (FOR OFFICE USE ONLY ) ROUGH-IN INSPECTED REYARYS FINAL INSPECTION: CERTIFICATE ISSUED: CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001006 Date 7/13/09 Property Address . . . . . . 378 8TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4500 ------------------------------------------------------------------ Application desc reroof ---------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MICKLER, BRYAN DUBO ROOFING 378 8TH STREET 5300 EMERSON ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 ------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . 52 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4500 Expiration Date . . 1/09/10 ------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---- Permit Fee Total 52 . 00 52 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 52 . 00 52 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 'rly11)jfJ, ti CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION �r=sir Date: Job Address: 3 7 5" g 7 . ,ATL. e-11- , fL 312 3 Owner of Property: e: 4?0 /k/C t L t- l� Address: $��/j� GG-tLr��• / .3221/Telephone: %j0 f 7 y,3-T3 Contractor: JX/1.3 d ,>G of Ale . State License Number: C6 f 0 S$2./(� Contractor's Address: -5'30 D e S T. A� Telephone: 90 y - 3 9(, - /S$ 5 Fax: Scope of Work: APFle (/Fla FLA T )'00 f Deck Slope: 1 / Z Greater than 2:12 Less than 2:12 Valuation of work: 00 Florida Product Approval#(or NOA#from Miami-Dade) 0 5ff 2 — el Product Name(Example: Timberline): A,1?6 Manufacturer(Example: GAF): DIV JVD - LAST ASTM Designation(s): Required Inspections: Sheathing and Final Signature of Owner: CywQ Date: 74A4 AS TO OWNER: Sworn to and subscribed before me this day of ,20 RO6ERT EA 'L NOOVE ,JR. / .� Notary's Signature: Notary pubMc-sate of FbrW& :. my CornnN w E*m Nov 13,2011 Cgn�pn/ DO 734M F-1TW* known „ Bw4edTW*NabonWNd""yAs Produced identification Type of identification produced Signature of Contractor: AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ouw, ROBERT EARL HOOVER,JR. Nowy public-Sto d FWWPersonally known MrCor onEz�NwU.2011 ❑ Produced identification commb oe 0 00 7342 3 Type of identification produced lerrd10TharrrNd"NOrryAtr 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.us Page 1 Revised 11/06 DH 70:92475845 P:1/1 NOV-24-2000 03:55 FROM:CLERK OF COURTS 904 270 1512 _ NOTICE OF CO ENCFMBNT (PREPARE IN OMICUAM aorrrttt No,_01 — 10 0(o Stets of Tax Fotfo No. co+^h'vf_ Ju va � To 11111100r,,It may concern: ni°""a"rs+Y'�d tn0orme YOU MW anp►otrse OM WM be mauls to oortain Me paotasalp,aha M saeoraenp wlgh SOCbm Tis of OW Ftw W StialtRes,tfN t'ollow"IMornwtion le COMMsalsa in sae ROME OF &'fsUBREN T, Legal deecrt to of property Wng Impmved: Address of pnoperty deme"Mvsd: General deswpffon of Improvemmft: R e C o J v' FL,o f k c o r owner a o /►'1 • .c K 1 e r Addretio;�S Li 5 Fjpr(ss� y Owners Interest In site of the Improvement_ Fe C 5.%KA -f Fee simple TMehoiQer(rf eater dean owner) Name i Address V.hh COnifaCtOr 44 n q r 3 r. Address 7 5 0t✓ C", _ EL 0 2 07 ` Phone No_ 04 9 L lqj Fax No.(_� 314 !g`/�. I Surety(11 arty) Andreas A-r+�unt of Hontl S Phone No. Fax No. Nems and address of any person maiong a ban for the constriew of the Improvements. Nerve Addrew I Phone No. Fox No, 1 , Name of person within the State of Florida,other then himself,desireted Dy owner upon whom nonose of other 1 dowrnerKe may be served: i Name `! Address i Phone No, Fox No. In addMM to hhnaelf,owner Oeslenates the following Penton to MWhre a Copy of the Lienors Noboe as provided in ! Section 713.08(2)(b),Florida 9tatutea.(Fin in at Owners opwri). Nerve t Address Phone No. Fax No, EXMmftn date of NCtICe of Comrnenow, nt l dttfarent date is specified)' wcplration deft i3 ate(1)year from the date of,ow Ing unless a ! THIS SPACE FOR RECORDER'S USE ONLY i7trVN�R r_ ,�� Signed: W�~ oArE / Be"me ItNe Cay d n th _ Cvunry of DuvetState of FlvrWa,has pOrsatatty eppearod I h7neeN trF+rtelr end efrlrme that eN atabmettb ani declo-trona n"In S Doe#;gOgt 64563,OR t3K.14936 Pepe 1738. are oro and aocvrete NuMMRecord Fngea:t IL Recorded 07r13P20f)S at 11:25 AM. � t JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 Notary PubLISt uqe,State of Cotrnty of I My voem"lon"MS: Pemmnany Known of