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2446 Seminole Rd (vault) J CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001217 Date 9/16/09 Property Address . . . . . . 2446 SEMINOLE RD Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc GRAVEL DRIVEWAY ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PUOPOLO, JOSEPH M & PAULA A SIGNATURE HOMES & DEVELOPMENT 2446 SEMINOLE RD 731 DUVAL STATION RD ATLANTIC BEACH FL 32233 STE 107-417 JACKSONVILLE FL 32218 (904) 646-3967 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/15/10 ---------------------------------------------------------------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ;C CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00101153 Date 9/16/09 Property Address . . . . . . 2446 SEMINOLE RD Application type description TREE PERMIT Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc tree removal for driveway expansion ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PUOPOLO, JOSEPH M & PAULA A OWNER 2446 SEMINOLE RD ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit TREE PERMIT Additional desc TR FOR DRIVEWAY RECONFIG Permit Fee . . . . 125 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/16/10 ---------------------------------------------------------------------------- Special Notes and Comments ATTACHED CHECK MEMO "DRIVEWAY" ; INCORRECT AMOUNT ($150 . 00) , SHOULD BE $125 . 00 . THERE WILL BE NO FURTHER REVIEW OF APPLICATION UNTIL CHECK IN APPROPRIATE AMOUNT IS RECEIVED. EXHIBIT B, TREE & VEGETATION INVENTORY (REQUIRED) : EITHER (1) scaled sketch using grid attached to application OR (2) certified tree survey ==> Submitted diagram is not to scale and does not meet the minimum requirements per the "TREE & VEGETATION INVENTORY PREPARATION CHECKLIST" , attached to the application packet . EXHIBIT C, TREE VEGETATION MITIGATION WORKSHEET (REQUIRED) : Per instructions from the TREE & VEGETATION INVENTORY PREPARATION CHECKLIST - "Number all trees, whether to be removed, preserved, or used for relocation or replacement, and list each on EXHIBIT C, Mitigation Worksheet" ==> submitted application includes blank copy of EXHIBIT C, and needs to be completed per above instructions . T/S : 08/26/2009 10 :40 AM EHALL ------------------------- All previous issues from first sufficiency review have been addressed by resubmittal . Approved to remove six (6) 7" cabbage palms for the purpose of reconfiguration of shared driveway, with three (3) being located in the interior zone of the property and three (3) being �llooccahtPedpyi�n the �Stemiinole Road public r/w. The interior PERMIT IS APPROVED UNLY"I1�fCC C;OKGA5ki* &RLL 149 OPR�LAVRftL4X "�I IPV ion THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . . . 09-00101153 Date 9/16/09 ---------------------------------------------------------------------------- Special Notes and Comments However r/w trees must be mitigated at the rate of 1 : 1, or 21" in the r/w immediately adjacent to the subject property, per Section 23-23 . Please submit a mitigation plan within 90 days . ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 125 . 00 125 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 125 . 00 125 . 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 APPLICATION NUMBER �S r Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 al- -7 Phone(904)247-5826 • Fax(904)247-5845 ar E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: C,?W7 e1 c� I-n° 1A _zd Department review required Yes No Building Applicant: e1A)W`R— /AXAeF AIS Planning &Zoning T rator Project: ✓, L Public Works u is Utilities Public Safety Fire Services Review fee $ Dept Signature " . =s Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING 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 CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS t x 800 Seminole Road 904-247-5800 st Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(33)COMPLETE SETS OF PLANS WITH APPLICATION. Date /I2, �01 PERMIT# Job Address )A+6 InA f clt ISSUED BY THE CITY Permitee: J0 PL)000IJ Telephone# Permittee Address: _;LY t Requesting Permission to Construct: (-aVet yj,V Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes,(X) No ( ) Date: Bell South Telephone Company Yes ( ) No (x) Date: Ferrell Gas Yes ( ) No (7Q Date: Comcast Yes ( ) No ( Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Flori a Department of Transportation Standards and be performed under the supervision of IQrx (Contractor's Project Superintendent) located at e �Prne Telephone#: -75 1 i I 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Rictht of Way are to be included with this application 7. This permittee shall commence actual construction in good faith with 1 c� days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER i Signed: Date: Before me his day of the Co my of Duval, State Qf Iori a,has personally appeared Notary Public at Large,State of Florida,C t of D-641. My=expires: Personally Known: >. Produced Identi i f/ �''Y^•Q: KELLIE' G. WILLIAMS PAY COt:'Pgl "'^N;, DD744960 EXPIRES DeCor;,"3Cr 27,2011 407 398-0153 P';^ "'-^r^ rico com Le low fit I-J moil 6Y ItAY cog Ila; c 1261Y (PtAll� 4� 'XMINLOE ROAM (TRIC P WRVEY, 05-" El ur- IOU $'�owtl &I 6k*-.c tot t*4 I *^*Oft ru-00#O.A.'t I �oft XWW'wrlicis#At WOW 9 *okfvto 0.1** 117% '4SAIt CW fitAku "�f.wi�'cO wo. 0 DATE: 8/26/09 PLAN REVIEW CORRECTIONS REPORT PAGE 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 ------------------------------------------------------------Jlf- I,APPLICATION NBR 09-0010115 ADDRESS . . . . . . 2446 SEMINOLE RD APPLICATION DATE 8/24/09 APPLICATION TYPE . . TREE PERMIT ------------------------------------------------------------------------------ OWNER . . . . . . . PUOPOLO, JOSEPH M & PAULA A 2446 SEMINOLE RD ATLANTIC BEACH FL 32233 CONTRACTOR . . . . . ------------------------------------------------------------------------------ AGENCY NAME: PLANNING & ZONING DATE ACTION ACTION BY ------------------------------------------------------------------------------ 8/24/09 DISSAPPROVED - 1ST REVIEW ERIKA HALL I.ATTACHED CHECK MEMO "DRIVEWAY"; INCORRECT AMOUNT ($150 . 00) , SHOULD BE $125 . 00 . THERE WILL BE NO FURTHER REVIEW OF APPLICATION UNTIL CHECK IN APPROPRIATE AMOUNT IS RECEIVED. 2,EXHIBIT B, TREE & VEGETATION INVENTORY (REQUIRED) : EITHER (1) scaled sketch using grid attached to application OR (2) certified tree survey =_> Submitted diagram is not to scale and does not meet the minimum requirements per the "TREE & VEGETATION INVENTORY PREPARATION CHECKLIST", attached to the application packet. 3 EXHIBIT C, TREE VEGETATION MITIGATION WORKSHEET (REQUIRED) : Per instructions from the TREE & VEGETATION INVENTORY PREPARATION CHECKLIST - "Number all trees, whether to be removed, preserved, or used for relocation or replacement, and list each on EXHIBIT C, Mitigation Worksheet" __> submitted application includes blank copy of EXHIBIT C, and needs to be completed per above instructions . 8/26/09 APPROVED ERIKA HALL T/S : 08/26/2009 10 : 40 AM EHALL ------------------------- /,All previous issues from first sufficiency review have been addressed by resubmittal . 2 Approved to remove six ( 6) 7" cabbage palms for the purpose of reconfiguration of shared driveway, with three (3) being located in the interior zone of the property and three (3) being located in the Seminole Road public r/w. The interior trees are below regulation & do not require mitigation. However r/w trees must be mitigated at the rate of 1 : 1, or 21" in the r/w immediately adjacent to the subject property, per Section 23-23 . Please submit a mitigation plan within 90 days . Rcwo gC--mluok.I- coo'ww) ROAD -�_ CL,OSEv X- FNp • �/C+.coliGESE fyZ 1 gENT� GO i mow. x , LL v I w— Q r2.4 4, y Z. f( Z Y ;'- Mm woOD L44— Fu0 00241 Gequl N.Iq • '� tY "Te r--k;. Mows i 14ATHRYIJ Ae7BPE-Y I �u;, ,,4 3t -1 O HAUUO PARK OI ✓ 0 }` SEC 5-1,T Z S {r_ t9 E t�J y =o _O x JUL 13 �y�J Building and Zoning r A'ppR CITY O' Pte^'VI"G&ZON roe Cy 171989 yy !CF x 1989 FNo. 12 Goqu INAX-- MON. 1,1.0025'40 W. W'LY uu�- OF- d.13. 7471 o6.6, � FNO Lo - MOwAI- REV15E1J AUC- ZZ, t9BLo To 5"c-v4 It1PeovEMErlTS W o.-4 CHARLES BASSETT & ASSOCIATES, INC. SURVEYORS, ENGINEERS AND LAND PLANNERS (904) 724-9433 215 CENTURY 21 DRIVE ► JACKSONVILLE, FLORIDA 32216 THE SOURCE OF INFORMATION USED IN MAKING THIS SURVEY WAS D.B- 4'7 PC,. C✓ BEARING DATUM BASED ON D.6 - 4"7 PC-- � FLOOD ZONE A AS BEST ASCERTAINED FROM THE FLOOD INSURANCE RATE MAP, COMMUNITY PANEL NO. 12oo-1-1- Zc.SD _. , DATED iZ I-, 83 I HEREBY CERTIFY THAT THE ABOVE PA2cr.Lr VIAS SURVEYED BY LEGEND: ME AND THAT THE IMP2oVEMEIVTS AQ.E 2 SET MONUMENT LOCATED UPON SAME AS SHOWN AND THAT THERE ARE NO ENCROACHMENTS UPON SAID PA2G EL_ ' * FD. MONUMENT THIS B0QNDAV--j SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET VORTH BY Q SET IRON PIPE THE FLORIDA BOARD OF LAND SURVEYORS PURSUANT TO SECTION 472.027 FL 1 A TA TUiEeA 0 FD. IRON PIPE RLF_. ASN 7CIAT CROSS CU7 -x FENCE SIGNED MACH 23 18 A CHARLES R. BASSETT SCALE: REGISTERED SURVEYOR NO. 1576, FLA. FIELD BOOK NO. 144 454 PAGE 14 "48' 49 ORDER NO. 3-75 - 1S t 11 { a z � I y X C-)4 �n v i itz C oU N O T I C E T O C O N T R A C T O R S S C H E D U L E O F I N S P E C T I O N S Requests for inspections will be accepted from 8:00 AM until 4 : 00 PM. All inspections will be made the following day between. 8100 AM and 4 :00 PM. SCHEDULE OF INSPECTIONS( I. Footing 2. Rough Plumbing 3. Slab 4. Framing, (tough Electrical, Meohanical, Top Out Plumbing, Fireplace , Insulation 5. Final Inspection 6. Certificate of Occupancy Other inspections may be required in certain situations. Building Card MUST be posted or no inspection will be made. Pour no concrete or cover-up any work until building card is SIGNED by the inspector. You will be required to uncover any work that has not been inspected. In case of failed inspection, X10. 00 re-inspection fee must be paid prior to calling for re-inspection. BUILDING DEPARTMENT CITY OF ATLANTIC BEACH 249-2395 PROPRfcTY DESCRIPTION - l`� i�ic '�cacl - �Cazcda 716 OCEAN BOULEVARD Lot #--------Block #--------Section #-------- P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 Subdivision: --------------------------------- Street }lame DESCRIPTION OF WORK or Address: ---------------------------------- If in a FLOOD HAZARD Flood Zone:..............area complete page 3. Brief Descripti�'v �/�. 3_ 9911aw Class of Work: <New/Remodel/Addition ZONING INFORMATION 21' JUL 13 1989 ype of Building and Zoning Construction: Zoning Proposed District:_______--Use:_____________________ Estimated Value S-_______ t_________ Exceptions or Materials:__________________________ Variances Granted: ------------------------- Solid or ------------------------------------------- Filled Ground: Roof ------------- ----------- OWNER INFORMATION Method of Ila-sting:__________________ Property Owner:_ _ � ��5_________________ Phone: „ f1�7/�5��_ Mailing ____________ ----------- Zip ------ CONTRACTOR INFORMATION Contractor:_�cc..✓�l2_. ________ Phone: '�_ Mailing ------------------------- -- '- -- - Address:------------------------------------------=----- ------------------------------------------------ Zip:--------------- Expiration License Number: Date: -------------- In consideration of permit given for doing the work as described the above statement, we hereby agree to perform said work in i7J.'t ! accordance with the attached plans and specifications which are r• �' `j. - a part hereof, and in accordance with all rules and regulations of the City of Atlantic Beach. Owner Signature � ����_ Date,"-/-,f--- Contractor Signature____________________________Date____________ FLOODPLAIN DEVELOPMENT INFORMATION Type og Development :' New',':Buildin. gr:�'' ""'!"'Alterations-to- Existing Building j Flood Zone Required Floor Elevation "' •" •�y Actual (as bui,lL)LowesL J 1oo•r El.evatioii. , ii i� I:.islr;I '•}ri ,:,;,,;,!t.v. '{ '' I ,I r If located. within a flood hazard zone.,(zone 'A)� a• survey must be made after the slab has been oured, certifying that- the "lowest floor elevation" i s equa to or a .ove *the base. 'flood' elevation esta is e or that zone. No Final Inspection will be made and No Certificate ' of Occupancy will be issued until the survey . is ' on 'file'wi,th'•the.;`Building Department COMMENTS J. r ,-f; Applicant acknowledgement : ' i understand that' the•'issuance of this permit is contingent upon the above"information'being'-correct and that the plans and supporting data have 'beeti or• shall be provided as required. I agree to comply with 'all applicable provisions of Ordinance No , 25-7-11 and all other laws or ordinances effecting the proposed developemnt. J. Date ,Applicantis Signature A.. A' ' ------------------------..----------- ------ --------------------------- Department Use , 14 Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation— Building Department Representative ' rf, Address %y�� o�,z /t 01' Heated Square Footage /,A ,:;; @ $ 6— er sq ft = $ Garage/Shed @ $ per sq ft = $X& Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ Z2</$7. $ �9 Total Valuation 1st $_/�,�� y876% $ Remaifider Valuation ' U.mer thousand or portion thereof -------------------------------- --- Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED + 2 Filing Fee $ Mechanical ; Fireplaces @ 15.00 $ Plumbing i BUILDING'PERMIT FEE $ 17-� — dtlectric/New ----------------- ------------------------------ Electric/Temp Septic Tank BUILDING PERMIT $ �— Well WATER METER CHARGE $ S.vimning Pool SEWER IMPACT FEE $ '— Sign WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ Sewer Connection Water Meter $ Iaevnti_on Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES /� PLANS REVIEW CHECK LIST Addressgy��__ Y�Q,J _Owner ----- -f- ------- -- ----------- Legal Description �Contractor_ I ` ------- � � /1 _�sC► ri__ � C1 _ icense Number License on File YES NO Section 24_101 * Zoning Regulations Aoc Zoning District_ I _ ------ Proposed Proposed Use Required Lot Size Actual Lot Size_ h� Setbacks Required Provided Section24-17 ------- ----- front ------ -------- CORNER LOT INTERIOR LOT rear Flood Zone side-1 ----- ------ --- --- -- --- --- �J Required Elevation side-2 / -- ----- Max. Height Allowed ,51�--o _ Proposed Height_ -6 Section 24_82 * Minimum Lot Co erage Required Heated Area -_ _ - Proposed Area Section 24-161 * Offstreet Park ng Number Spaces Required__ _K Spaces Provided Section 24-82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES(. IND Utilities Water and sewer service is to be provided by: Buccaneer Utilities City of Atlantic Beach Utilities Private Source SEPTIC TANK WELL Plans Reviewed by:------------------------------Date---------------- Building Permit #---------- ISSUED DENIED 001063 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION INFORMATION Permit Numberi 1063 Ldressx 2446 SEMINOLE ROAD Permit Type. BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ADDITION - -------- LEGAL DESCRIPTION ---- -- - -- - - Constr. Type: WOOD FRAME xtx Block: Section: 3- Proposed Use: SINGLE FAMILY Plat Book: Page: 0 Dwellings: 0 Code. 0 ubdivision; Estimated Value: $0. 00 OWNER INFORMATION Improv. Coati $17487. 50 Name: EUGENE WELLS Total Fees: $93. 13 ddresst 2446 SEMINOLE ROAD Amount Paid: $0. 00 ATLANTIC BEACH, F"I.FIRTPA 121711 Paid: Phone: (904 )249-7107 ESSING ROOM TO EXISTING nLOIL)Lh�,Inl Work CONE:TPOCT NEW GARAGE AND i,_L1WijACTOR(S) ­­ ­ ­ _ ­ APPLTCATION FEES PROPERTY OWNER 'ERMIT $84. 75 'ATER IMPACT FEE $0. 00 EWER IMPACT FEE so. „'ATER METER $0. 00- ADON GAS--H. R. S. $7. 99E_ 1%:ADON GAS $0. 39 WATER TAP $0. 00 SEWER TAP *0. 00 HYDRAULIC SHARE *0. 00 RE-INSPECT FEE $0. 00 ENGINEERING $0. 00 OTHER $0. 00 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: CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: / 1� 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 WIT:TLECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 77,7 7 ELECTRICAL FIRM: N SI N w—of MASTER ELECTRICIAURE JOURNEYMANNAME �-5 ADDRESS: 2 �( u� ���" ��C� ��" RFD BOX BLDG.SIZE BETWEEN: RES. k_ APT. ( ) comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD F REW. ( ) ADDITION 0 TRAILER ( 1 TEMP. ( ► SIGNS ( ) —.—SQ. FT. SERVICE: NEW ( ► INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. 1 ) SWITCH OR BREAKER �l AMPS / PH W VOLT RACEWAY -�► EXIST.SERV.SIZE AMPS / PH 3 W OLT RACEWAY FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA NO. IKVA NO. NEON TRANSF. NO. VA. I MA._J� MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ TOTAL FEES 001.564 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFOFhATION LULATION INFORMATION Permit Number . 1564 AddreeBi 2446 SEMINOLE ROAD Permit Type; ELECTRICAL ATLANTIC BEACH, FLORIDA 3222 Class of Work; ADDTTIO14 LEGAL DESCRIPTION Constr. Type: N/A L t-.y t Block: Section: Proposed Use; SINGLE FAMILY Plat Book: Page- f Dwellings; 0 Code-. 0 _ubdiviaion: Estimated Value: $0. Of) OWNER INFORMATION Improv. Cost % $0. 00 Name: EUGENE WELLS Total' Feest 120. 00 Address: 2446 SEMINOLE ROAD Amount P'*J-da $20. 00 ATLANTIC BEACH, FLORIDA 322-,' Phr-ine; � 904 )A41 -7777 APPLICATION FEES - -- - PERMIT $20. 00 WATER IMPACT FEE $0�'n0 5EWER IMPACT FEE �O.00 WATER METER *01 406 RADON GAS-H. R. S. $0. 00 PrOC, RADON GAS - 5% $W*04 1 A 0/1 WATER TAP $0. 00 SEWER TAP '90.9664 1 A HYDRAULIC SHARE $0. 00 RE-INSPECT FEE $0. 00 ENGTNEERIIIG $0. 00 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.91 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 i CITY OF ATLANTIC BEACH BUILDING AND PLANNING 800 SEMINOLE ROAD J ATLANTIC BEACH,FLORIDA 32233-5445 1 TELEPHONE:(904)247-5800 , r FAX:(904)247-5845 http://ci.atlantic-beach.fl.us r *� January 12, 2004 Partridge Well Drilling Company Inc. 3233 Highway 17 S Orange Park, Florida 32003-7115 To Whom It May Concern: Enclosed please find a copy of your well permit application for a well at 2446 Seminole Road, Atlantic Beach, for Joe Puppolo, dated September 24, 2003. Also, find a copy of the items we have requested from you in order to approve this well for drinking water. We notified you of these items on October 8, 2003. As of todays date we have not heard back from you, nor been supplied this information. I am returning your two checks with this letter. When you have all information together, please reapply for this well permit by turning in a new application with all required information and a new check for$35.00. We trust this well has not been installed. Thank you for your prompt attention to this matter, Sincerely, rAf J nifer Schlueter Building Permits Clerk Cc: Public Utilities File DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE J ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 S FAX:(904)247-5843 SUNCOM: 852-5834 http://ci.atlantic-beach.R.us PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # -- � Applicant: Com✓ Lti� Address: �-�� �l'n o Project: , ►�' (�F� G4 ,e o Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. �( Your permit application has been reviewed by the Public Utilities Department and the following items need attention: vD e Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewed by Donn Kaluzniak Public Utilities Director Date l 7 ignature Contractor Notified Date ; )a1 l ed r ol0o 3 C �r .ice H A-pPLICATICN FOR WELL Pal-CT CITY OF AT LAtM c Bpi PRDPEIZIy C4,ER name: () Address c APPLICANT IF pmm n AN I ZiP 32-2-33 �R Name: Address: �Y Phone JOBP______ Address or Location: ` Legal Description; �(o g 3 Ca/� a a 3 3 Is well to be used for drinking Purposes? ' Person, individual, co Oration or other anti provided in Section 22-40 of the Atlantic Beach Codereceivu�g a pet as water from the permitted well for , and � P to use bacteriological test report from. thee S o Ptmpoorida filth st obtain a fLu�nishing a certified copy thereof to DePaz'tnent, Atlantic Beach. A certificate of oc the building department of the City of report is on file with the building ��cY will not be issued until said P�jent. DePartmmt Notes: I agree to caml th regulations stated herein; 1 e 03 . trate p Street Atlas USA®2003 NAVAL STA1)ON 5T 95 EL DORgDD V m O o Wanderwood m � I PIONEE D �x .10-h.tin B—h Atlantic Ocean D S7 EST FST 1 i NAA 1 1 �Pt O A 2 ou73Jr7�� A�g�� 446 Seminole Iuf QQ'2 OCEANFORES �R N '� M o SEM NOLEE HDR I ERICAS CUP CIRN S DR E D w � m e ti 4 I( KIMBERLY CT � f Z s ' 1 F JA US OT c wjVELA NQRTE CIR y w G�EANSIDIjE DR \ CT L p�5 FLEET LAUDING BLVD C "t+ 10TF1 S \ w 1 D � �BEACn SIDE N m m g y 1N 19TH s z 1 p03 p n BEACHSIDE DR � Q z Sq 440 f ,$ z 0.� 02002 De Lorme.Street Atlas USA®2003. TN Scale 1 12,800 MN 15.2'.) i 0 100 2110 000 __-..�Op SW li 1"a 1070 ft ♦ C r` W ti 3 FT Schlueter, Jennifer From: Showman, Lisa Sent: Wednesday, December 03, 2003 3:55 PM To: Schlueter, Jennifer Cc: Kaluzniak, Donna Subject: RE: 2446 Seminole Rd. Jenny-- Donna has not received any of the information she requested. (See comments in AS4OO). -- Lisa -----Original Message----- From: Schlueter,Jennifer Sent: Wednesday,December 03, 2003 2:04 PM To: Showman,Lisa Subject: 2446 Seminole Rd. Have we heard anymore from Partridge Well regarding the well they wanted to install at the above address for drinking? I have their checks held here waiting for approval. Its application#27022. Thanks, Jenny 1 BP250UO2 CITY OF ATLANTIC BEACH 12/03/03 Application Tracking Individual Step Review 16: 09: 29 Application number . . . . : 03 00027022 Application type . . . . . : WELL PERMIT Revision number . . . . . . . Agency/path/step/seq . . . : PUBLIC UTILITIES 1 01 00 Date submitted, resulted . : 100703 Approval code . . . . . . . . Reviewed by . . . . . . . . . Revised est cpl date . . . : 101003 Copies of plans . . . . . . . Seq Comments Prt Date 1 . 00 Please provide depth and diameter of well . 100803 2 . 00 Please provide copies of permits from Duval County. 100803 3. 00 If well is 6-inches or more in diameter, provide copoy of 100803 permit from the St. Johns River Water Management District. 4 . 00 Well must be constructed/drilled by a licensed Florida 100803 Water Well Contractor. (Contractor should obtain the More. . . F3=Exit F12=Cancel BP250UO2 CITY OF ATLANTIC BEACH 12/03/03 Application Tracking Individual Step Review 16: 09:29 Application number . . . . : 03 00027022 Application type . . . . . : WELL PERMIT Revision number . . . . . . . Agency/path/step/seq . . . : PUBLIC UTILITIES 1 01 00 Date submitted, resulted . : 100703 Approval code . . . . . . . . Reviewed by . . . . . . . . . Revised est cpl date . . . : 101003 Copies of plans . . . . . . . Seq Conments Prt Date permits from Duval and SJRWMD) . 5. 00 6. 00 7 . 00 8 . 00 9. 00 Bottom F3=Exit F12=Cancel A•DPLICATIC N FOR WELL PM-9T CITY OF AMAWIC BEACH PRDPERTy C7II�ER ` Mame: l Address t1Jgp �Y Phone, l-`J��j, • �.., J l zip 3a 3 APPLICANT IF 011jER THAN 3 owr�z Address: ' Phone JOB Address or Location: � Le � `I gal Description: )(0% 354 p 1C� 3D,D3 3 Is well to be used for drinking purposes � ? pvAny ieraon, individual_ ,.__�s : esti crater fr �� � 1 .ach Coder and�� a Pezmit as bacterin S"r�+�C �"� �� � who P� to use r _ =Poses, must first obtain a a=iishii �l f Florida Health Department Atlantic gilding depart of the City of report 19 Oill not be issued until said Denartmen � FOY- I agree to cava th reguiatiOOs stated herein: e O3 • Uate PREPARED 10/06/03 , 11 :47 : 09 PAYMENTS DUE RECEIPT CITY OF ATLANTIC BEACH PROGRAM BP820L -----.------------ ---- ------- ------------------ - - ----- ---------------------- AFPLICATION NUMBER: 03-00027022 2446 SEMINOLE RD FEE DESCRIPTION AMOUNT DUE ---------------------- ------- ----------------- -- ---- ----------------------- WELL PERMIT 35 . 00 TOTAL DUE 35 . 00 Please present this receipt to the cashier with full payment . CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT .r PERMIT# 1564 JOB LOCATION 2446 SEMINOLE ROAD SUBDIVISION .. .r ATLANTIC BEACH, FLORIDA 32233 PHONE (904)641-7777 OWNER NAME > EUGENE WELLS cc�wrSECTION PERMIT TYPE ELECTRICAL c LEGAL DESC: LOT BLOCK CLASS OF WORK ADDITION w PROPOSED USE SINGLE FAMILY a w CONTRACTOR z a f z P`r WORK DESCRIPTION }� 3w 230va1t I exist 200 amps ip INSPECTOR AM D. INSPECTION REQUIRED 12 FINAL ELECTRIC . w APPROVED ©� REJECTED DATE INSPECTED �3 f BY / COMMENTS nrr. CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT rl► JOB LOCATION 2446 SEMINOLE ROAD PERMIT# ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION 1063 w. OWNER NAME EUGENE WELLS PHONE (904)249-7107 LEGAL DESC: LOT BLOCK SECTION cwi,M► 37 PERMIT TYPE CLASS OF WORK BUILDING w CONTRACTOR PROPERTY OWNER ADDITION PROPOSED USE Ww. SINGLE FAMILY f a WORK DESCRIPTION z CONSTRUCT NEW GARAGE AND DRESSING ROOM TO EXISTING RESIDENCE Q o INSPECTION REQUIRED 1 FOOTING INSPECTOR AM Q 1 Al Z DATE INSPECTED Z ' BY1/ ��� APPROVED REJECTED COMMENTS CITY OF ATLANTIC BEACH VVV BUILDING DEPARTMENT INSPECTION REPORT // 10 JOB LOCATION PERMIT# -<� SUBDIVISION > L�^G� OWNER NAME PHONE cr>tip w r LEGAL DESC: LOT BLOCK SECTION PERMITTYPE z 40 w CLASS OF WORK O� CONTRACTOR z PROPOSED USE f z O a#Ao WORK DESCRIPTION ' INSPECTION REQUIRED 11NSPECTOR DATE INSPECTED �d /_ BY APPROVED REJECTED 40 COMMENTS 40 CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION 2446 SEMINOLE ROAD PERMIT# .r ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION 1063 _uj OWNER NAME EUGENE WELLS ` � PHONE Lu�. (904)249-7107 F LEGAL DESC: LOT BLOCK w SECTION 37 PERMIT TYPE BUILDING CLASS OF WORK g z CONTRACTOR PROPERTY OWNER ADDITION PROPOSED USE SINGLE FAMILY z O a WORK DESCRIPTION CONSTRUCT NEW GARAGE AND DRESSING ROOM TO EXISTING RESIDENCE f Z INSPECTION REQUIRED - 13 FINAL BUILDING INSPECTOR AM I DATE INSPECTED_ZZL2 f' BY� i '"`''�� APPROVED REJECTED �7r COMMENTS PS�-3844 IL 15729 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION I N FORMAT IC)N Permit Number : 157729 Address , 2446 SEMINOLE ROAD Permit Type:MEC-HANICAL ATLANTIC BEACH . FLORIDA 3221-_ --lass of Work ; ALTERATION - - ------ LEGAL DESCRIPTION ----- --- - Type:1TONCRETE Block :-oriztr . LotTw * Proposed Use: Section: 0 Subd - 0 Rri. Dwellings : 0 Subdivision: Est . Value: 0 . 00 Improv . Cost .V- 0 .00 Total Fees * 41 - 00 Amount Pai,l : 41 . 00 Date Paid - 1-1/31 /1997 """l-ER RNT-' AIF HALNi—, L-R OWNEP INFORMATION APPLICATION FEES Name : EU-GENE WELLS PERMIT 41 00 Addr7 244,. EMIN--LF ROAD ATLANTI," EEA''' , FLORIDA ('(--NTFACT(,'R INFORMATION Name: HUXHAM HEATINI= & AIR Addr: 10?8 NINTH STREET SOUTH JACKSONVILLE BEACH . FL 32250 Lic: RA0024351- NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION ICOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: ��L�(12 _ i 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 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 Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) xyy Master Name of Property Owner Lu lz_ Is, Signature of Owner Signature of or Authorized Agent Architect or Engineer III. GENERAL INFORMATION A' Type of heating fuel: e' IS OTHER CONSTRUCTION BEING DONE ON E11c}ric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) 44 Residential or ❑ Commercial 0 Heat ❑ Space ❑ Recessed __q Central ❑ Roof ❑ New Building tu Air Conditioning: ❑ Room I��� Central El Existing Building [3 Duct, System: Material 11 Thickness F Replacement of existing system 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 heads_ ❑ Elevator ❑ Manlift ❑ Escalator Inumber) TV' ❑ Gasoline pumps (number) ❑ Tanks (number) ❑ LPG containis (number) ❑ Unfired pressure vessel ❑ bfian 0 Other — Specify rLISTEQUIPMM'_ CITY OF Office of Building Official REQUEST FOR INSPECTION Date y� Time-$�/A Permit No. I Received A.M. p �d P.M. trict No. 1 b dress Owner's G' Locality Name (� BUILDING Contractor CONCRETE ELECTRICAL Framing Footing EJ Rough MECHANICAL Re Roofing Rough Wiring ❑ Rough 8� E]Slab TTT,,,���nnn Pole ❑ g Air.Cond. Lintel ❑ Top Out n Heating Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues Wed. Thurs. A.M. Friday P.P M Inspection Made ��.�— A.M. P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF Office of Building Official Date REOVEST FOR INSPECTION — Time Received t Permit No. Owner's ODIO.J b A dress Name BUILDING ocaiity CONCRETE Contractor Re Roofing Footing Framing p ELECTRICAL p Slab 0 Rough Wiring p P U1 WING Lintei Temp PD1e Rough MECHANICAL ❑ ❑ Top Out ❑ Air.Cond.$ p ❑ Heating Mon. READYFOR INSPECTION Fire Place Tues. ECTION ❑ inspection Made Wed. Thurs. Pre Fab Q Friday A.M. Inspector A.M. -------,P.M. 1Inspection❑ Certificate of Occupancy Date CITY OF 4&4ot c Oltice of BuildingO REQVES itic►a► Date T FQR INSPECTION► rime Received Permit No. P.M. Job Add r District No. Owners NFra .._ Fra•BUILDI Locality RETE r Re Roofing Footing Slab 0Q ❑ PLUMBING Lintel O Temp pole L, Rough MECHANICAL Mon. Top Out Air.Cond.8& Heating InspectionTues. RE�gDY FOR INSP Fire Place Made f Th Pre Fab Inspector Friday A.M. P.M. ��P.M. Final Inspection C1 Certificate of OccU 1 Panty Date Cl rY OF rF , 4& 5'c /3pac� Ilk, o p Office of Building Official Date 3 .- REQUEST FOR INSPECTION Time — EcrioN Received M P.M. Permit No. </ P. OwnerJob Address — /`r �� District No. L Name 's BUILDING Locality Framing El CONCRETE ntractor Re Roofing Footing ❑ ELECTRIC Slab ❑ ug firing ❑ PLUMBING Lintel Temp Pole ❑ Rough MECHANICAL Mon. TOP Out ❑ Air.Cond. Tues. RE Y F ❑ Heating $ ❑ OR INSPECTION Fire Place Inspection Made Pre Fab ❑ / Thurs. Inspector Friday A.M. A.M. P.M. ��P.M. Final Inspection Certificate of Occupancy Date CITY OF 4&4ftis Bpi Office of Building Official / Date REQUEST FOR INSPECTION l/ � Time Permit No. 3 Received U ` P.M. Dlstr N -------------------------------------------- . eas Owner's Name Locality BUILDING Contractor. _ CONCRETE ELECTRICA Framing ❑ Footing ❑ PLUMBING MECHANICAL Re Roofing ❑ Slab ging ❑ ❑ ❑ Temp Pole Air.Cond.& ❑ oo Lintel ❑ Top Out ❑ Heating Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wim' Thurs. A.M. Inspection Made �� �7� �J A. M. ridgy P.M. Inspector Final Inspection Q Certificate of Occupa C� Date CITY OF ATLANTIC BEACH, FLORIDA F__ Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: / 19 r j IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME OC O lam✓ ��� ADDRESS: 22y� Skl"II�VO« /9'*V -RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES.( ) APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. 1 1 NEW ( 1 OLD ( 1 REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEWX INCREASE ( ) REPAIR ( 1 t:E FEE CONDUCTOR SIZE ;7-(, AMPS 6 o COPPER ( 1 ALUM. SWITCH OR BREAKER AMPS PH -,' W - ".: VOLT � RACEWAY O EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZEE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL TAMPS 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. _ FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RAAG CONDITIONING COMP.MOTOR OTHER MPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. IKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ TOTAL FEES CITY OF ATLANTIC BEACH FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: a_ 19� IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. (- &�) IAIC- _ d.t ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME 1(44�2 Al0rW� 4�2 7 ADDRESS:--7 W6 SE�1/�/OC c= i&gd RFD BOX BLDG.SIZE BETWEEN: RES.X APT. ( 1 COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( 1 OLD>q REW.p< ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW( ) INCREASE ( 1 REPAIR FEE CONDUCTOR SIZE y0 5(:EE v AMPS o?OO COPPER ( 1 ALUM. r 40C-) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE o200 AMPS PH W VOLT S�� RACEWAY ,may FEEDERS ! NO. 21e(p SIZE 404V NO. SIZE NO. SIZE y LIGHTING OUTLETS ,Z CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-30 AMPS. 31-100 AMPS. SWITCHES 0 INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISC LLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA HIND. IKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES 0003348 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH .1 fly-ORSIA 1-:r"M t-_tot -j'3 Al 1_% Address: 244e nEnXHULE ROAD rermlit Type: "UXLDX"13 ATLANTIC' BEACH, rLXJRIVA 322-3'3 C-1800 OX WOrk: RZPAXR ---------- LEDAL VK*-'TCRXrT1ON constr.. 'Types Wular rRAITE Lot Blocx . zectiont rT-P'f4CtAW0 US&t 151HULE rAnTLT Townships D DW4EIl I lAgS 1 1 Cocel o 'Subaivision: cat1matec Value% 152k,10*0. ov Improv. Cost - %*. Lila Total rees: '3I fan.no Amount read !*I f5n.as Date ralcyl Work DeSc. : rl"E VAnAtMv R1SPAtR'--1 t3WHER 1Nr'ORMATX1lH --------- ArrLlCAT1UN rE" rCft"XT 'P JL r.1 Name: RXTA Wmt-f-'B ltia WATER xnr^c.,Y refs 130. AcfdreS& -,44t5 BrnjmUj-K ROAD "jEwEn xnrAv--T FEE 'Po. 00 ATLANTI'C ]BEAU'Ho, rLORZDA WATrp- n nr,1E R rhtryrie: RADON OAt3-H- "- %3- nADO11 UAV %0. - --- --- COMYNACTON XNrUft"AT'" WATEn TAY ".0. OIL' Name: RICHARD R- HU"MAN, INC- SEWER Thr ?,!0. 00 AddresB% 4224 nT. 10""V AVENUE 3L1. C>C1 1-2102 JACKnONVII-LE, rL- .3221t "YORAULXC Licensel crCO28*2"�l Ty pe RE-J"MrECT lmvri, " XVIrAIPT OTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT Au�4 JECT TO REVPCATION FOR 1 VIOLATION OF APPLICABLE PROVISIONS O'F LAW. CHWE ATLANTIC BEACH BUILDING DEPARTMENT r 4 Address J /'? /c�0 L r YY �©a Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch - @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ Per sq ft = $ TOTAL VALUATION: $ I 00 Total Valuation lst $ r 0 1 9 � $ 9j Remainder Valuation - per thousand or tion thereof / -------------------------------------------- Total Building Fee $ ADDITIONAL PFRM7'T:S and/or FEES REQUIRED -{ z ding Fee $ `,. Fireplaces @ 15.00 $ Mechanical i BUILDING PEFMT FEE $ _S Plumbing Electric/New - t------------------------------------------- Electric/Temp FZMLT © C� BUILDING PE $ %� ,S Septic Tank WATER M= GMT, $ Well SEWER IMPACT FEE $ adnming Pool WATER DIPAGT FEE $ Sign MISCELLANEOUS $ Water Connection $ Sewer Connection $ Water Meter Elevation Certificate GRAND TOTAL DUE $ - ---------------------------------------------------------- CALCLUMONS and/or NOTES k � CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner s : Address: -5"-1,-1y k Rd/ Phone: G�� �y 3 3/ 60 Lot # Block or Unit # Subdivision dam, '�y►'�� Contractor: Describe work to be done: } 3 Present use of building: . ,7. �— , '� /4) e5-+GL- Proposed use• r¢/`1 & -- '�'z O 000 Is this an addition? A410 If yes, what are the dimensions of Y the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? We New fireplace? 'U�'New Heat/AC? SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDING SITE PLAN AND SURVEY IF THERE WILL BE ITION TD.THE EXIST G STRUCTURE. Signature OWNER: Date: C Signature CONTRACTOR: - - Date: .i/ S