934 Stocks St ( vault) PSR-3844
j
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION - ------ LO TION INFORMATION --
Permit Number : 11447 Address : STOCKS STREET
Permit Type : PLUMBING ATLANTIC BEACH . FLORIDA 322-
::lass of Work : NEW ---------- LEGAL DESCRIPTION --------- -
Constr. Type : WOOD FRAME Lot : Block : Section :
Proposed Use: SINGLE FAMILY Township : RNG: 0
Dwellinas : 1 Code : 0 Subdivision: SECTION H
Estimated Value : 50 .00
Improv . Cost : $0 .00
Total ,, Fees: $50 . 00
2,412/96
05
'I' r. ''r-,T-7MBING T r.rEV' _ -.tE
- :YWNER INFORMATION ---- APPLICATION FEES ---
_.;: lil"l-NK J . P PANNI PERMIT $50 . 00
ii�li 1 ' KS STREET WATER IMPACT FEE $Q .00
T' ACH . FLOP SE $RI ' 1 �" FEE 0n
rhe , WA " AP
d
RADON GAS-H .R > S . $0 . 00
---- ;INFORMAT`ION - - RADON CAB 5% $0 . 00
Nairity L.i,,AWti�1..la > SONS PL.U"ING CAPITAL IMPROVE . 80 . 00
Add
. .. . ..,tiA .
y,ess. SEWER.. TA.P
JACIK# VILLE . FL 32205 CROSS CONNECTION $0 .00
License Type : 0 SEC H IMPACT FEE0 . 00
.. CONST . SU//RCHARGE _ $ 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 MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date. cticPa6 ti kcp : 00-3::3uG,
00100003221000
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: ,/ f �CK sr-
OWNER
OF PROPERTY: dA rt//t/ QQ atJNl
PLUMBING CONTRACTOR:
CONTRACTOR'S ADDRESS: KJnI/
STATE LICENSE NUMBER: (f A? 6V y�� TELEPHONE:
HOW MOY OF THE FOLLOWING FIXTURES INSTALLED
/ SINKS SHOWERS
02 LAVATORIES _WATER HEATERS
_BATH TUBS _DISHWASHERS
�J URINALS DISPOSALS
�{ CLOSETS l WASHING MACHINES
FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURES: 16 X 3.50 + $15.00
MINIMUM PERMIT FEE _ $25.00
SIGNATURE OF OWNER: /
SIGNATURE OF CONTRACTOR: -
i
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834.
t �r
CITY OF
SWCA� �
Office of Buiir//t Official -i
REQUEST FORIINSPECTION
DatePermit No. 7s3?-
77f�
Time `� A.M.
Received P M Y
Job Addr ality
Owner's
BUNG/ ONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ ��„ ti Jnr
Re Roofing
g-� ❑ 'Ai�ond. & \❑
Slab ❑ Tem Pole
Insulation ❑ Lintel Finap - wer
❑ Heating
❑ Fire Place ❑
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. Thurs. Friday_ PW
�
Inspection Made r- A.M.
-PM.
Insper.?er Final Inspectio
Certificate of 6dappa7o
Date __
11// /CITY OF
4& Qe44CA-dV&U*d4
Office of Building Official
9 REQUEST FOR INSPECTION
Date _ ` Permit No. L !
Time A.M.
Received P.M.
Job d ess ality
Owner's OC
Contractor
BUILDING CONCR E ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. &
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Insulation —yam, Lintel ❑ Final ❑. Sewer ❑ Fire Place ❑
Pre Fab
READY FO SPECTION
Mon. Wed. Thurs. Friday P.M.
�
Inspection Made T s. A.M.yf P.M.
Inspector Final Inspection Cl
Certificate of Occupancy I
Date _
DATE: 7--' -1,6----
PRE-:SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHUR1TY
`33 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION( L; ) HAVE BEEN MADE AND AkE-
SATISFACTORY :
------
-----------------
CL, / l
------ --- ------------ 1
o b co
pit.
sed are r the blue c pit
E:E2 E L /
BUILDING INSPECTION DIVISION
cc: FILE
PSR-3844
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH 1006TH 0000100
�r,• ;; 26S£b00 .}dpi! t0 %/Od/E :alea
---- P'El�I�iIT INFORMATION -- - ---8L-6c-4 LOCATION INFORMATION
Permit Number-. 11535 Address : 934 STOCKS STREET
Permit Tape: BUILDIN^ ATLANTIC BEACH , FLORIDA 3223.
Class of Work : NEW ----------- LEGAL DESCRIPTION.-- ------_
Constr . Type: WOOD FRAME Lot : 5 Block : 160 Sectiofi—
Proposed Use : SINGLE FAMILY Township: RNG: rC
Dwellings : 1 r7ode: 0 Subdivision: SECTION H 4=
Estimated Value: $48433 .00
Improv. Cost : SO . 00
Total Fees $3243 . 44
Amolznt _ 3243 . 44
^dEW HOME PF' ANS - HSF-1094
r14NERINFORMATION --- APPLICATION FEES ----- ///
E 'ANNI PERMIT :'397 . 50
ct ; ' hn art` E"Y OAKS DRI',, -' �-�.w WATER IMPACT FEE $390 . 00
" J -a.:iL : I` E . FLORID" �" SEW ° IMPACT-,,'- FEE �� 50 .0
Phbne�' 0',x;)7 - '� WA's 'As 6
RADON GAS -H .R . S .
t" To T( j NFORMAT. ON -- --- RADON CA n 5u 78
.. CA' :l201% 01 Reptf 0043598
? .H �CO�NNI CAPr" rrCA�,Fix�n X325
c o '4 �,_. F.E,Y_9 m m, .�. .. T .,.. �,� aE - ,QQ}E *03419001
w ".'TLLE . FLORIDA 32277 CROSS CONNECTION $35 . 00
Type : 0 SEC H IMPACT FEE 0 . 00
CONST . SURCHARGE 5 92
CiiA 1 1 T.L.E CH b..,
NOTES:
r~
fel
t 0L€Ebs0+h3000§ ��?,
HSti9 t�
b6SEh00 :Idz)a 10 %102/E :81ea
gr, 00 luta
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
0
PERMIT VOID SIX MONTHS AFTER DATE 9f.miSSUE a
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOTE FACED IN PUBLIC SPACE, AND MST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER o
0
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR THE BU'LDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED _L ,,{{ WHICH ARE PART OF THIS PER@k!AND SUBJECT TO REVOCATION FOR
VIOLATIOf a(t A���*�W' �E PF�Q �SY LAW. u ->
co
00100002080100
ATLANTIC BEACH BUILDING DEPARTMENT
By:
ADDRESS
BUILDING PERMIT NUMBER II
INSPECTIONS: FOOTING
UNDER SLAB PLUMBING �r
r
SLAB lf//
FRAMING `7`l`� -
COVER-UP `t- / _9
-
INSULATION `
( '/ _ F
FINAL BUILDING 7- :�L"9
CERTIFICATE OF OCCUPANCY a _9 e_
ELECTRICAL PERMIT # // c, 9 S, /1,5_30
INSPECTIONS ROUGH `
FINAL
MECHANICAL PERMIT # //7,32_
PLUMBING PERMIT #
NOTES:
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH.FLORIDA 32233-Su5
TELEPHONE("4)U7--Wo
FAX(90/)2,a-',W-
NOTICE
[ -',W-NOTICE
TO: Water Department
FROM: Building Department
DATE:
Please be advised that the final building inspection has been
completed on each of the following addresses and construction water
is no longer needed:
Permit Number Address
Sincerely,
19 ��
Building Department
CITY OF
nn
f` &1440 130164r'k
Office of Building Official
REQUEST FOR INSPECTION %l -�73
Permit No.
Date M
r
Time �
Received
p ity
Owner' G UL Contract
NamePLUMBING MECHANICAL
NCRETE ELECTRICAL - Air Cond. &
BUILDINGh; Rough Wiring :7 Rough
Footing
Heating
Framing Slab g Temp Pole i Sewer Fire- Fire Place -
in Roofing Final Pre Fab
Insulation
READY FOR INSPECTION A.M.
Wed. Thurs.
Friday—.----PM-
Mon. Tues.
7-1„_ �i
Inspection Made Asp -
Inspector Certificate of Occupa
Date (E[Rt
gall
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4—t \ Office of Building Official
REQUEST FOR INSPECTIOEN
Date / Permit No.
Time q M
Received � PM
Job Ad r _ cality
Owner's
N Contractor
BUILDING CONCRETE LECTRICAL PLUMBING MECM ICAL
FootiRe Roofing ❑ Slab ng ❑ Rou Wmng— Air Con ,
❑ Tem Pole
Insulation ❑ Lintel ❑ Final ❑ S Top Heating
etPace ❑
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. Thurs. / Friday pM,
`�Inspection Made A.M.PM
Inspector Final Inspection ❑
/ % Certificate of Occupancy ElC Date
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TRANSMITTAL DOCUMENT FOR JEA
DATE:
The following permits have passed "rough" inspection:
Permit No. Address
RRrAxx3esk exxx=xXAxk e*mx3p"mxcc!5cxbkexap= Please update
your records accordingly.
Tha�k yo ,
BUILDI CL�F2K
CITY OF ATLANTIC BEACH
/vcb
PSR-3844 11336
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION ------- -------- LOCATION INFORMATION --------
Permit Number : 11336 Address : 934 STOCK STREET
Permit Type: FOUNDATION ONLY ATLANTIC BEACH . FLORIDA 32233
Class of Work: NEW ------- LEGAL DESCRIPTION ---------
Constr . Type: WOOD FRAME 5 Block: 150 Section: H
Proposed Use: SINGLE FAMILY Township: RNG: 0
Dwellings : 1 Code: 0 Subdivision: SECTION H
Estimated Value : $0 . 00
Improv , Cost : 50 . 00
Total Fees ; S25 . 00
Amount Paid: �� nn
Date Paid: 1/19/9x.
FOUNDATION PERMIT FOR ABOVE PROPERTY
----- - -- - OWNER INFORMATION --------- ---- APPLICATION FEES -----
N : HANK J . POCOPANNI PERMIT $25 . 00
Address ' 34.110 TUhi.EY OAKS DRIVE WS' WATER IMPACT FEE 50 .00
rr t `�I+IV1�E, FLORIr' � , - SEWER IM,P `f' FSE . nn
WA'I E"hi 'MEQ /TAP
RADON GAS-H .R. S . $0 .00
--- CONTRACTOR INFORMATON - RADON CAB 5% $0 . 00
Name : PRf-PERTv OWNER CAPITAL IMPROVE . $0
Add,;esu,: SEWER TAP
CROSS CONNECTION 50 .00
Li cen# e: Terre ' SEC H IMPACT FEE m Q .00
CONST . SURCHARGE 50400
SCHARGR=f AT°L . BCH-.
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 MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
Date: 1/19/96 01 Rcpt: 003644
ATLANTIC BEACH BUILDING DEPARTMENT 000110000322010tiW 2093
By
pX1 ter QLU alv�e
APPLICATION FOR WATER AND/OR SEWER TAP
APPLICANT NAME
h
MAILING ADDRESS
PHONE NUMBER DATE /
SERVICE REQUESTED
SERVICE LOCATION
DATE SENT TO PUBLIC WORKS
DATE RETURNED TO BUILDING DEPARTMENT
PUBLIC WORKS DEPARTMENT
PRICE QUOTE RESPONSE
WATER:— r"K 15 G TA P
SEWER: EXISTIn�G -T;Prp
OTHER
PRICE QUOTE PREPARED BY:
i ure - Title
DATE OWNER NOTIFIED
• I t 1
6 I 51 !
t
V I�m
-
1 -
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i
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11 •� x � x
r 4 /61
I 1
1 -77
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1 I 60
I
PSR-3844 11732
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
-- -- PERMIT INFORMATION - - ------- LOCATION INFORMATION ----
Permit Number : 11732 iddress : 934 STOCKS STREET
Permit Type:MECHANICAL ATLANTIC BEACH , FLORIDA 3223
Class of Work: NEW --------- LEGAL DESCRIPTION ---------
Constr . Type:WOOD FRAME Lot : 5 Block: 16 Section:
Proposed Use: P.1 ate�: Page : 0
Dwellings : 1 Subdivisioh: SECTION H
Est . Value: 0 .00 --------- OWNER INFORMATION -----
Improv. Cost : 0 .00 Name:HANK J . POCOPANNI
Total Fes : 37 .00 Address : 3440 TURKEY OAKS DRIVE WEST
Amount Pa--,`d- 37 . 00 JACKSONVILLE , FLORIDA 32277
Pa,
f
Phene ; ( 9944; 44 51;;
'ONTRAC'TOR( S) ------- -------- APPLICATION FEES ------
PERMIT
NOTES:
_..:._sections Required Inspections Required Inspections Required
ROUGH MECHANICAL FINAL
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 MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: i''1015b iii kPL; 0� 763
00100003L-t000
ATLANTIC BEACH BUILDING DEPARTMENT
�.
" BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC■.ABN, 1D
APPLICATION FOR MECHANICAL PERMIT CALI:IN NUMBER
r
IMPORTANT—Applicant to complete all items in sections I, II, III, and IV.
r .` I' Shuf Addr•ts: �7 �S CC/� S/ -
i IT LOCATION /.
ff:'
�F Intersecting Stn•b: Fetwaen And
1 NUILDING
s•b•div lien
� f
II. IDENTIFICATION—To be'completed by all applicants r
' In consideration of pe—R givon for d.inq the wort as described in the ebove statemenf w•hereby ages to perform said wort in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
`01 goed.practtce listed Ih.rain.
+� .Nameof M•ehanieal Centraetoa
1• `Cenbacta(hint) r Muter
Name of
r 'hgorly Owner
ti �aeMro of Owner Signature of
thakaJ Agent fj/�/ 0 dw a Architect er Engineer
�l III f:�lR/►L INFORMATION
I.
•i
'�.`�•
A. Type Of heating fuel: _ B.
16 OTHER CONSTRUCTION SUING DONE ON
Q Elr
K acfrie TM15 BUILDING DR SITE
Q Eve w_Q LF 13 NNvrol Q Central Utility
IF YES,GIVE NUMBER OF CONSTRUCTION
' Cl 00 PERMIT
I O Other—specify
f IV.MRCNANMAL NQUl►MINT TO IE INSTALLED N�ATURE OF WORK
kfa vide tomphN raeee
t of ciompsM on bed of M �r
Mk IeNel 40 Residential or ❑ Commercial c
t'C 0. Neat Q Space Q Roamed O Cenfml O Flaw ❑ New Building
l >' Air GndalenM
91-6--sting Bulldlin
.0 9t Q Rom Q Centrsl'. 6Yc g
R Splem; Matsr4I Thkk ❑ Replacement of existing system i
Masimem apathy — e Let ew Installation(No system previously Installed)
I� [] Refrigeration
G Extension or add-on to existing system
U Otna—Bpeclly
IQ.Caolia0 fewer: Capacity 94b•m•
14" r}rinNent HamMr M beam ..
O f sanflor . Q Manllff Q Escalator mamba) THIS SFACI FOR OFF=USI ONLY
U.:Gasoline pumps (armMr) (b«boI)
r`
' Q_ TMlI Iaumberl Remelt
t 13 LM tmtslltert Isemborl I
a`t O Utdnd pressure veva^..� fwn.n o ►.rmit Appear-" by ODoleC
t
0 00"—Specify, Permit
LifST ALL EQUIPMENT
'_ a AIR_ CONDMOMNG AND REFRIGERATION FQUIFMENT Capanf
xmnber Visite rweliptton Meatal Number mainufaeturer (lbes)r A
Agmwy
'PUINAtZ9,BOILERS,FIREPLACES
r a
+•�,�,�! ]twitter VNtB ftedei Number ![snot ( >
aMa _
-
r
sAN!<S
Now KW xttwAem%WWty Ty"Uaula xamB of �� �t Ap `rtrl
Dtmendone ponlahsod useaEsetttrse No. 1
_;_- - == - ----- ------------ -------- ------------------\ _---:.------------------------------
CITYTIC BEACH FLORIDAOF ATLANTIC O
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ! j 19 c t
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
c •t.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
( � f
NAME 1,rr '�"1` ADDRESS: ( 1 '' t ' t RFD-BOX-
BLDG.
FDBOXBLDG.SIZE _ IU [�
BETWEEN:
RES. { 1 APT. ( ) COMM. ( 1 PUBLIC ( ) INDUS. l ) NEW (-) OLD ( ► REW.
ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT.
SERVICE: NEW INCREASE ( 1 REPAIR ( I FEE
CONDUCTOR SIZE cfh) AMPS Z� 0 COPPER ( ) ALUM. ) d
SWITCH OR BREAKER �L9'0 AMPS !, PH W L�+'L VOLT �' %% < RACEWAY _ dC�
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE N0. SIZE 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 N.P. RATING H.P. RATING
CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
f �L
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. �KVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEES � ��
J
DATE•
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE
SATISFACTORY:
------- ?0-/
--C'�------------------------
7 , �� / �,�'
---- - -- - ------------------
--------- -------------------------------------------------
------ -------------------------------------------------
------ ------=------------------------------------------
Enclosed are the blue copies of the permits.
SINCERELY,
r
BUILD NG INSPECTION DIVISION
cc:FILE
i
CITY OFATL ANTIC BEACH FLORIDA 1
----]Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 1 z c� 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.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
NAME_[�I`<<L �•'Db �*- ADDRESS:_ \ 1��' �� RFD BOX
BLDG.SIZE BETWEEN:
RES. (" APT. ( ) comm. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ? OLD ( 1 REW. ( 1
ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SQ. FT.
SERVICE: NEW ( ) INCREASE ( 1 REPAIR ( 1 FEE
CONDUCTOR SIZE ) AMPS L� COPPER ( ) ALUM. )
SWITCH OR BREAKER `> AMPS PH 3 W VOLT L RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE 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. KVA NO. �KVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
S
TOTAL FEES
jj��"',_�"-���` CITY OF "_
ida
Office of Building Official
REQUEST FOR INSPECTION
Date
Permit No.
Time A.M.
Received
Jo ddr ss ocality
Owner's O CD
Name
—. Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing Footing D Rough Wiring C Rough Air Cond. &
Re Roofing = Slab D Temp Pole Top Out _ Heating
Insulation - Lintel D Final G Sewer _ Fire Place ❑
Pre Fab
READ OR INSPECTION
Mon. Tues C 1°'
Wed. Thurs. Friday PCG/
l� _
Inspection Made A.M.
_ �u _ PM
:ncpertor _ Final Inspection ❑
Certificate of Occupancy -
Date
z:
�Vz, <76- 2 Po<<cE c r Comerr✓t
CITY OF
( Office of Building Official
REQUEST FOR INSPECTION
Date
Time / A�3 Permit No.
Received ` 0
rAi
ocality
Owner'sName 40 Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing _ Footing - Rough — Air Cond. & C
Re Roofing - Slab Temp Pole. Top Out Heating
Insulation - Lintel - Final Sewer Fire Place C
Pre Fab
READY FOR INSPECTION
A.M.
MTun- Tues. Wed. Thurs. Friday
A.M.
InE-pection Made _ P.M.
Inspector r Final Inspectio
Certificate of ccupancy -
Date
I
x CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
s r,
Addre - % GG &,('\,S
Date
Heated Square Footage �5�-�—@ $
per sq ft = $ i
Garage/Shed 3�3 @ $ i y,Z� per sq ft =
Carport/Porch ',S/ @ $ per sq ft = $
Deck @ $
per sq ft = $
Patio per sq ft = $
TOTAL VALUATION : $ 4q, 433
�3 $ ��a
T�talValuation t1st $ / 000
<16 d0 $ SCp,o�
Remaining Value $S� per thousand
or portion thereof
TOTAL BUILDING FEE $ SS.o
+ 1/2 Filing Fee $ i ��•��
( ( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $ �Q/7. Sb
WATER IMPACT FEE $ .P T
SEWER IMPACT FEE $
WATER METER/TAP $ ,6
CAPITAL IMPROVEMENT S
SEWER TAP $
(10f) RADON (HRS) .0050 $ 5 . J ::� -7_
SECTION H PAVING ( 5v ' ) $ 715T_C b
HYDRAULIC SHARES $
CROSS CONNECTION $ ?. Q
SURCHARGE . 0050 $
OTH R $ Z
GRAND TOTAL DUE $ ?p Z 4 SL
ADDITIONAL PERMITS OR FEES: Mechanical Plumbing
Electric/New Electric/Temp ;SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES:
L'
CITY OF
JAIN
17 1996 r rtic Veac� - 57&u d4
R I 800 SEMINOLE ROAD
PROPERTY DESCRIPA&ng and Zoning ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(9(W)247-5800
FAX(904)247-5805
Lot # Block #//Q , Section #/y
Subdivision:
Street Name DESCRIPTION OF WORK
or Address :
If in a FLOOD HAZARD
Flood Zone : area complete page 3 . rief Description
S 4fl 9F
Class of Work: (New/
Remodel/Addition: I) /,S
ZONING INFORMATION Type of Construction:Ce/1
Zoning Proposed
District : Use : ,5 n Estimated Value
Exceptions or Variances Materials : f
Granted:_ yy
solid or Fill�e�d�/�1�G�Co/��/zxT,�
Ground: 41JA Roof : �11/AGLt
OWNER INFORMATION Method of Heating : 23' Taa jjfh r &Y%p
Property Owner :_1r�/3A/(. �/ /pt)t?t 'X/lj1/ Phone:
Mailing _ _ _
Add r es s - 6 75"E 1 6 /1�Y 6))ES/ �,E � �'�' j�-6 ik
lei 0-fi jja Zip:
CONTRACTOR INFORMATION
Contractor :. �d, �D('np//J11Z`� =�5{l,f /) A loel Phone:
Mailing _
Address : u I t)&6 Akoyf
Zip _3227
License Number : QExpiration
j? Date : nL'(g',57 /SSS
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW
THE SAME TO BE TRUE AND CORRECT . ALL PROVISIONS OF THE LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH , WHETHER SPECIFIED HEREIN
OR NOT . THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL , STATE OR LOCAL RULES ,
REGULATIONS , ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY . I
UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE
INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA
HAVE BEEN OR SHALL BE PROVIDED AS QUIRED.
Owner Signature --Date-
Contractor
Contractor Signat r _ DateZ__
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 60OB-93 Residential Component Prescriptive Method B NORTH 1 2 3
Department of Community Affairs
Compliance with Method B Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 6008-93 for single and multifamily residences of 3 stones or fess in height,and
additions to existing residential buildings.To comply,a building must meet or exceed all of the energy efficiency prescriptives in any one of the prescripbve component packages and compty wrth the
prescriptive measures listed in Table 6B-1 of this form.Compliance by this method will be,in most cases,equivalent to an EPI of 100 points or less.An aftematrve method 5 provided for add tions of
600
square feet or less by use of Form 600C-93.If a building does not comply with this method,it may still com I under other sections in Cha ter 6 of the Code.
PROJECT NAME: Jilm P I Ell AFS DY, P'n
AND ADDRESS: LT5' / /to j ) PERMITTING _ CLIMATE
i f ,Q/ OFFICE: f}T(/;ylf 1C AF-fiC# ZONE: 1 ❑2 ❑3 Z
OWNER: ) j �f-- P� ////// PERMIT N0. JURISDICTION NO.: r '
GENERAL DIRECTIONS
1. New construction including additions which incorporates any of the following features cannot comply using this method: raised wood floors without continuous stem walls,
steel stud walls,single assembly roof/ceiling construction,or skylights or other non-vertical roof glass.
2. Choose one of the component packages"A"through"E"from Table 613-1 by which you intend to comply with the Code. Circle the column of the package you have chosen.
3. Fill in all the applicable spaces of the"To Be Installed"column on Table 68-1 with the information requested. All'To Be Installed"values must be equal to or more efficient
than the required levels.
4. Complete page 1 based on the"To Be Installed"column information.
5. Read"Minimum Requirements for All Packages",Table 613-2 and check each box to indicate your intent to comply with all applicable items.
6. Read,sign and date the"Prepared By"certification statement at the bottom of page 1. The owner or owners agent must also sign and date the form.
Please Print CK
1. Compliance package chosen (A-E)
2. New construction or addition 2. PF2J Cn/t�21 f Lel t// 4-
3. Single family detached or Multifamily attached 3.
4. If Multifamily-No. of units covered by this submission 4. �R
5. If Multifamily, is this a worst case (yes/no) 5. 1/}'
6. Conditioned floor area (sq. ft.) 6.
7. Predominant eave overhang (ft.) 7.
8. Porch overhang length (ft.) 8• 3 S
9. Glass area and type: Single Pane oublee Pane?
Clear glass 9a. sq. ft. 1? .26�_sq. ft. y'
b. Tint, film or solar screen 9b. sq. ft. sq. ft.
10. Percentage of glass to floor area 10. _% Y
11. Floor type and insulation:
a. Slab on grade (R-value) 11a. R= _ !G �l sq. ft.
b. Wood, raised (R-value) 11b. R= sq. ft.
c. Wood, common (R-value) 11c. R= sq. ft.
d. Concrete, raised (R-value) 11d. R= sq. ft.
e. Concrete, common (R-value) 11e. R= sq. ft.
12. Wall type and insulation:
a. Exterior:
1. Masonry (Insulation R-value) 12a-1 R= sq. ft.
2. Wood frame (Insulation R-value) 12a-2 R= sq. ft. r
b. Adjacent:
1. Masonry (Insulation R-value) 12b-1 R= sq. ft.
2. Wood frame (Insulation R-value) 12b-2 R= sq. ft.
13. Ceiling type and insulation: G u
a. Under attic (Insulation R-value) 13a. R= �6 !t�!! sq. ft.
b. Single assembly (Insulation R-value) 13b. R= sq. ft.
14. Cooling system /�
(Types:central,room unit,package terminal A.C.,none) 14. Type: au) rail,
SEER/EER: 0 ✓
15. Heating system: 15. Type: P0 A
(Types:heat pump,elec.strip,nat.gas,L.P.gas,room or PTAC,none) HSPF/COP/AFUE: 1i f
16. Hot water system: 16. Type: ! C.I/'G C
(Types:elec.,nat.gas,L.P.gas,solar,heat rec.,pled.heat pump,other,none) EF:
I hereby certify that the plans nd s ifio7s cov7d by the calculation are in compliance with the Review of plans and specifications covered by this calc%Aabon rxscates compliance wah
Florida Energy Code. /l _ CC the Florida Energy Code. Bel egtsttuctbn is oprtWleted�is building will be inspected
L for compliance accordance Sf`U°"553 F.S. /
PREPARED BY: ' DATE: !.,
1 hereby conity that 10 buildiAQ ia' rice the Florida Energy Code. BUILDING OFFICIAL: l ///
OWNER DATE;O DATE:_._..---
AGENT:
TABLE 6B-1 MINIMUM REQUIREMENTS Climate Zones 1 2 3
COMPONENTS PACKAGES FOR NEW CONSTRUCTION TO BE INSTALLED
A B C D E
Max.%kof glass to Floor Area15% 15% 20% 20% 25% %
gType ouble Clear(DC) Double Clear(DC) Double Clear(DC) Double Clear(DC) Double Tint(DT) DC: IJ DT: ❑
(3 Overhang 1'/2" 2" 2" 2" 2' FEET
Mason EXT: A=
Masonry EXTERIOR AND ADJACENT MASONRY WALLS R-7 ADJ: R=
J COMMON MASONRY WALLS R-3 EACH SIDE COM: R=
Q
W EXTERIOR,ADJACENT,_AND C
OMM
ON WOOD FRAME EXT: R= //
Frame �IIALLS R 11 j ADJ. R /1
- _
COM: R=
CEILINGS CEILINGS UNDER ATTIC_R-30�FRAME COMMON CEILINGS R-11. UNDER ATTIC: R= • G
(NO SINGLE ASSEMBLY CEILINGS ALLOWED) COMMOM: R=
¢C Slab-On-Grade R-0 R=�._-.
00 Raised Wood R-19(ONLY STEM WALL CONSTRUCTION ALLOWED) R=
LL Raised Concrete R-7
R=
DUCTS R-6 R-6 R-6 COND. R-6 R= b COND
SPACE COOLING(SEER) 10.8 10.5 10.5 10.5 10.0' SEER=
c Elect.(HSPF) 7.1 7.1 6.8` 6.8' 6.8' HSPF= 2 . 1
= Gas/Oil(AFUE) MINIMUM OF.73(Direct heating)or.78(Central) AFUE=
Q Electric -EF.90 EF.90 NOT ALLOWED EF.90 NOT ALLOWED EF=
w 2 Resistance"H ce (SEE BELOW) (SEE BELOW)
Gas&Oil MINIMUM EF OF.54 NATURAL GAS ONLY EF=
H >- (SEE BELOW)
0 DHP. EF=
_
Other Any of the following are allowed: dedicated heat pump, HRU El
heat recovery unit or solar system. SOLAR: 0 EF=
Single package units minimum SEER=9.7,HSPF=6.6.
" Minimum efficiencies for gas and electric hot water systems apply to to 40 gallon water heaters Refer to Table 6-11 for minimum Code efficiencies for oil water heaters and other sizes.
DESCRIPTION OF BUILDING COMPONENTS LISTED
Percent of Glass to Floor Area: This percentage is calculated by dividing the total of all glass areas by the total conditioned floor area.
Overhang: The overhang is the distance the roof or soffit projects out horizontally from the face of the glass. All glass areas shall be under an overhang of at least the prescribed length with the following exceptions
1)glass on the gabled ends of a house and 2)the glass in the lower stones of a multi-story house.
Wall,Ceiling and Floor Insulation Values: The R-values indicated represent the minimum acceptable insulation level added to the structural components of the wag,ceiling or Noor.The R-value of the structural N king
materials shall not be included in this calculation. "Common"components are those separating conditioned tenancies in a multifamily building. "Adjacent"components separate conditioned space from uncondamed but
enclosed space. `Exterior"components separate conditioned space from unconditioned and unenclosed space.
Floor: Slab-on-grade floors without edge insulation are acceptable. Raised wood floors shall have continuous stem walls with insulation placed on the stem wall or under the floor.
Ducts: "COND"indicates that the ducts must be installed within the conditioned space;that is,the ductwork shall be located on the conditioned side of the insulation. Ducts in conditioned space are acceptabie for any
prescriptive package.
Space Cooling System: Cooling systems shall have a Seasonal Energy Efficiency Ratio(SEER)for central units or Energy Efficiency Ratio(EER)for room units or PTAC's equal to or greater than the prescribed value
Electric Space Heating Option:Heat pump systems shall be rated with a Heating Seasonal Performance Factor(HSPF)equal to or greater than the prescribed HSPF.Heat pump systems may contain electric strip backups
meeting the cntena of section 608.1.ABC.3.2.2. No electric resistance space heat is allowed for these packages.
Electric Resistance Hot Water Option: For packages designated"Not Allowed",an electric resistance hot water system maybe installed only in conjunction with one of the"Other Hot Water System Options". See below.
Other Hot Water System Options: Any dedicated heat pump,heat recovery unit,or solar hot water system with an EF of 1.5 or higher may be installed. Electric resistance systems having an EF of.88 or greater,or naLrral
gas systems with EF.54 or greater may be used in conjunction with these systems.
TABLE 6B- MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHE
Exterior Joints&Cracks 606.1 To be caulked,gasketed,weather-stripped or otherwise sealed.
Interior Joints&Cracks 606.1 All openings in interior surfaces of ceilings and exterior walls must be sealed.
Sole&Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must a sealed.
Infiltration Barrier 606.1 Infiltration barrier must be installed in exterior walls&raised wood floors.
Fireplaces 606.1 Fireplaces must have flue dampers,glass doors and outside combustion air intakes.
Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers,except for combustion
_ devices with integral exhaust ductwork.
Combustion 606.1 Combustion space and water heating systems must be provided with outside combustion air, ^
Heating except for direct vent appliances. r,
Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker(electric)
or cutoff(gas)must be provided. External or built-in heat trap required.
Swimming 612.1 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a n
Pools&Spas pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%.
Hot Water Pipes 612.1 Insulation is required for hot water circulating systems,(including heat recovery units)and the first
8"of piping from the water heater(or until piping enters an insulated wall or slab).
Shower Heads 612.1 lWater flow must be restricted to no more than 3 gallons per minute at 80 PSIG.
HVAC Duct 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,
Construction, sealed,insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be
Insulation&Installation insulated to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closets.
HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. 1A
-2-
CITY OF ATLANTIC BEACH
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR
EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF SERVICE .SINK TRAP STAND
WATER CLOSET, LAVATORY 6 BATH —'—(8)
TUB OR SHOWER STALL (6) l -,
WATER CLOSET
WATER CLOSET, TANK OPERATED (4) VALVEOPERATED (8)
-BATHTUB/SHOWER (2) ! URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) _FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (1) COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3) `` POT, SCULLERY SINK (4)
DISHWASHER (2) WASH SINK EACH SET OF
KITCHEN SINK (2) FAUCETS (2)
DENTAL LAVATORY (1)
_KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
BIDET (2) 1 URINAL STALL, WASHOUT (4)
FLUSHING RIM SINK (8) L_COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET '1 DRINKING FOUNTAIN (1/2)
BLOWOUT (2)
LAVATORY. BARBER/BEAUTY
SHOP (2) , _ICE MAKER (1/2)
SURGEONS SINK (3) LAVATORY, SURGEONS (2)
JACUZZI (2) URINAL STALL, WASHOUT (4)
TOTAL FIXTURE UNITS_ j @ $20.00 EACH $ 'J CI } C C
JOB INFORMATION J 0 C Gds S�
SECTION B - (All other Apptlicants)
1 . Property Zoning:
2 . submit the following:
SITE PLAN/TREE SURYST indicating:
a) Site topography, existing and proposed grades
b) Existing and proposed structures
c) Location of all trees w/D&H of six inches or more
d) Tree species and sizes
e) Trees to be removed should be clearly marked
f 1 1'rees to be relocated should be clearly marked
9) Location of any proposed replacement trees
h) Identify trees of special or unique characteristic
i ) Iaenify trees within 10 feet Of construction areas
7) Show location and type of tree protective barriers
k) Location of utilities, accesses and easements
1 ) Location of vehicle travel corridors
M) Location of commercial sprinkler/irrigation systems
n) Landscape maintenance plan (commercial only)
Q) Staging areas for equipment and material storage
3 . All trees identified for removal must be marked on site by red
fiagging or tape.
SECTION C
I agree to comply with the rules and practices established in
Chapter 23, Arti ie II of the Code of Orainanees of Atlantic Beach.
Owners` ignature Date
MY USE OILLI
Applicant has complied with all provisions of Chapter 23 and
requirements of the Tree Conservation Board.
C '
Tree onirleiva ion soar s-19 n I Date
NOTE: "Tree Protection for luilders and Developers" is available
at City Hall or from the Division of forestry, •719 Most Beaver
Street, Jacksonville, !L 32320. (701-1434)
1
TREE REMOVAL APPLICATION
SECTION A - APPLICATIONS MUST BE RECEIVED BY CLOSE OF BUSINESS TUESDAY
SEhORE THE MEETING!
1yb v _
eroperty Owner 's Name Adar ss
Telephone
Location of Tree Removal/Site Alteration
SECTION B - ( To be completed by applicants whose property is zoned
residential , includes an existing dwelling, and which
is not presently owner-occupied)
1 . what changes are proposed to the above specified site?
94 1211
z . what is the purpose of these proposed changes?
3 Specify trees proposed for removal as follows:
r-Iree Count Species 4Sise(DBH x HOT) ondition
191 (AIM W
f
4 . will these trees be relocated on the same property? �1C
5 . If not , Will replacement trees be planted? 1)b
t . Specify proposed replacement trees as follows :
Tree Count Species Size(DBH x HOT)
Attacn site pian. (Note: All trees proposed for removal must
be marked on site by red tape or flagging) .
I
r
W
f d 2 PAT16
/b 2
J AN 17
Building and ,Zoning T ���Q•�" �a�
fi
I
I 1Z I
I I
So'
i
FLOODPLAZN DEVELOp"EXT SNFORMATZO//
TYPO of Devvlopmentt
��
Flood Zone: � -
--
Requlred Lowest Floor Elevation,
Zf building is located within • flood
be made AFTER THg SLAB 1lA8 PEEN hazard Zone,
• • survvy .uuc
LOWEST FLOOR THE
is eertitying that the
Olevation established for thatQsone� or above the bane Slood
No final inspection will be made and no eortillcot• of occupancy
will be Issued until the survey is on til• with the BuildinU
Department.
COMMENTS:
Applicant Acknowledgements
thinPermit I understand that the issuance of
this is 000tinpent u
correct and that the plans and pon the above information being
be Provided as requited. f agreePPevting date have been or shall
-to comply with all applicable
provisions of Ordinance No,
ordinances affecting the proposed d 7 11 and •11 other lava or
evelopment.
1 ,
Date4 /)
- ---------Applicant's Signature ----
------------------------------------------- ---------
Department
------ -Department use
Required Lowest Floor Elevation
An Built Lowest Floor Elevation _-_-_-_-_-`--�
Survey Filed with Building 00partment -----------
-----------
------------
Building Depart;;nt R` resp tative
•pres�ntalive
Pauct 3
i
l
Prepared by and
Rep5rd and return to:
Tahnya Strickland
Gibraltar Title Services, Inc. Book 8294 pg 1935
4655 Salisbury Road, Suite 350
Jacksonville, Florida 32256
File Number: 96-1410-A2
[Space Above This Line for Recording Data]
TAX FO1}10 NO.
PERMIT No. NOTICE OF COMMENCEMENT
State of Florida
County of Duval
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in
accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of
Commencement.
1. DESCRIPTION OF PROPERTY (Street address, if available)
934 Stock Street, Atlantic Beach, Florida 32233 ��y
LEGAL DESCRIPTION OF PROPERTY
Lot 5, Block 160, Section H, ATLANTIC BEACH, as recorded in Plat Book 18, page 34,
of the current public records of Duval County , Florida.
8294
Pg: 1935 — 1936
Doc## 96047443
Filed & Recorded
03/06/96
2. GENERAL DESCRIPTION OF IMPROVEMENT 03:19:13 P.M.HENRY W. COOP.
CLERK. CIRCUIT COURT
Single family dwelling DU0L COUNTY, FL
REC. $ 10.50
3(a). NAME/ADDRESS OF OWNER 3(h). OWNER'S INTEREST IN PROPERTY
Hank J. Pocopanni Fee Simple Title
3440 Turkey Oak Drive West
Jacksonville, Florida 32277
3(c). NAME/ADDRESS OF FEE SIMPLE TITLEHOLDER(if other than Owner) 4. Hank I ADDRESS
OF CONTRACTOR
O nR 1 TOR
3440 Turkey Oak Drive West
Jacksonville, Florida 32277
GREATLAND■
`j Copyright Great Lakes Business Forms.Inc. 1990 To Ordsr Call: I-E00-530-93930 Fax 616-191.1131
ITEM 7107L1 (9410)-FLORIDA Page I of 2 pages
Book 8294 Pg 1936
5(a). NAME!ADDRESS OF SURETY 6. NAME/ADDRESS OF LENDER
Peoples First Community Bank
110 A1A North
Ponte Vedra Beach, Florida 32082
5(b). AMOUNT OF BOND
7. Person(s) within the State of Florida designated by Owner upon whom notices or other documents
may be served as provided by Section 713.13(1)(a)(7), Florida Statutes are shown below:
7. NAME/ADDRESS 7. NAME/ADDRESS
Peoples First Community Bank
110 A1A North
Ponte Vedra Beach, Florida 32082
g' NAME/ADDRESS OF PERSON TO RECEIVE COPY OF LIENOR'S NOTICE
8. In addition to himself, Owner designates the
person whose name and address appear in the
box at the right to receive a copy of the Lienor's
Notice as provided in Section 713.13(1)(b),
Florida Statutes.
9. Expiration of date of Notice of Commencement 9. EXPIRATION DATE
(the expiration date is 1 year from the date of
recording unless a different date is specified) is
shown in box at right.
Signature
at Owner X
nk J. Poco nni
NOTARIZATION
STATE OF FLORIDA
COUNTY OF Duval
The foregoing instrument was acknowledged before me this 4th day of March, 1996 by
Hank J. Pocopanni
who is personally known to me or who has produced his driv,¢rs 1 icens
(
as identification. ,
�i
My Commission expires: IL NI H L IiUGIIE'-j-
Notary Public
(Seal)
WHEN RECORDED RETURN TO: DRAFTED BY:
Gibraltar Title Services, Inc. ADDREas ya SSAtEickland
4655 Salisbury Road, SUite 350 4655 Salisbury Road, Suite 350
Jacksonville, Florida 32256 Jacksonville, Florida 12256
(1 Copynghl Great Lakes Business Forms,Inc. 1990 GREATLAND■
ITEM 71071-2 (9a 10)-FLORIDA Page 2 of 2 pages To Order Clll'. 1.600.530.93930 Fix 616.791-1131
CITY OF
_;,A ' 171996
�((�1 800 SEMINOLE ROAD
PROPERTY DESCRIPTIng and Zoning ATLA TELEPHONE(904C BEACH,FLORIDA 5800 3-5445
FAX(904)247-5805
Lot #,-_, Block #lk, Section #
Subdivision: QtA all-pha&. Eoo.y _
Street Name DESCRIPTION OF WORK
or Address :-
If
ddress : If in a FLOOD HAZARD
Flood Zone : area complete page 3 . rief Description &
4fi 19F
Class of Work: (New/
Remodel/Addition: )E/,5 ('�I15T/1�,/!TlIDI
ZONING INFORMATION Type of Construction:
Zoning Proposed
District : Use: Sjfi6tE FEstimated Value $4y, h6t
Exceptions or Variances Materials :•[. l�j,L/%-/il(S'c hh/�q�
Granted:
✓l'*A "�/&/1!r/(%/1
Solid or Filled
Ground: 404 Roof : �Il/AGU
OWNER INFORMATION
Method of Heating: P.J7 Tb-17
c c�
Property Owner :lt�A/ . �/ , �D�.� IgAhI Phone:_ 6 - X,3-,51/�i
Y
Mailing
Address 6 /_u/zxE Y 6W k))I 6v)E5/ 6WEl-' 6a1-6 k
Ie,5 ZZLI, FZ12 zip
CONTRACTOR INFORMATION
Contractor :,_ �d �D�'�P/l/l/Z`' {�,EJI/1A/��,h/ phone :
Mailing _
Address : -SM ugz- 0Y
.-Al'X,s2 ✓//l /=/,a Z i p : 3 Z Z 711,
Expiration
License Number :_�/Z n_O/y�sy Date :- 3/0 iffz
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW
THE SAME TO BE TRUE AND CORRECT . ALL PROVISIONS OF THE LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH , WHETHER SPECIFIED HEREIN
OR NOT . THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL , STATE OR LOCAL RULES ,
REGULATIONS , ORDINANCES , OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I
UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE
INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA
HAVE BEEN OR SHALL BE PROVIDED ASQUI .
Owner Signature (1REDDate
Contractor Signa t rIlk 0404 K __ Date
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 60OB-93 Residential Component Prescriptive Method B NORTH 1 2 f 3
Department of Community Affairs
Compliance with Method B Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 6008-93 for single and multifamily residences of 3 stories or less in height,and
additions to existing residential buildings.To comply,a building must meet or exceed all of the energy efficiency prescriptives in any gng of the prescriptive component packages aAn comply with the
prescriptive measures listed in Table 66.1 of this form.Compliance by this method will be,in most cases,equivalent to an EPI of 100 points or less.An alternative method rs provided for additans of
600
square feet or less by use of Form 600C-93.It a building does not comply with this method,h may still comply under other sections in Chapter 6 of the Code.
PROJECT NAME: ) /� 1 BUILDER:
AND ADDRESS: -L&FA / (' /(, J ) PERMITTING _ CLIMATE
F kJ OFFICE: IiTWIf iC AERO ZONE: 1 ❑2 ❑3
OWNER: Ai1i,-'-T. a & fi/),q PERMIT N0. JURISDICTION NO.: _
/
GENERAL DIRECTIONS
1. New construction including additions which incorporates any of the following features cannot comply using this method: raised wood floors without continuous stem walls,
steel stud walls,single assembly roof/ceiling construction,or skylights or other non-vertical roof glass.
2. Choose one of the component packages"A"through"E"from Table 613-1 by which you intend to comply with the Code. Circle the column of the package you have chosen.
3. Fill in all the applicable spaces of the"To Be Installed'column on Table 6B-1 with the information requested. All'To Be Installed"values must be equal to or more efficient
than the required levels.
4. Complete page 1 based on the"To Be Installed"column information.
5. Read"Minimum Requirements for All Packages",Table 613-2 and check each box to indicate your intent to comply with all applicable items.
6. Read,sign and date the"Prepared By"certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the form.
Please Print CJC
1. Compliance package chosen (A-E) 1• 8 _
2. New construction or addition 2. h F-20 L/t-2 J Qv G rl b// , 4-
3. Single family detached or Multifamily attached 3. -)1[:61-M121 iLy OF1-17)`Lt )Flo
4. If Multifamily-No. of units covered by this submission 4.
5. If Multifamily, is this a worst case (yes/no) 5. 1/1'
6. Conditioned floor area (sq. ft.) 6•7. Predominant Predominant eave overhang (ft.) 7•
8. Porch overhang length (ft.) 8. -
9. Glass area and type: Single Pane ouble Pane
Clear glass 9a. sq. ft. �sq. ft. y'
b. Tint, film or solar screen 9b. sq. ft. sq. ft.
10. Percentage of glass to floor area 10. f/ % Y
11. Floor type and insulation:
a. Slab on grade (R-value) 11a. R= )-sq. ft 1
b. Wood, raised (R-value) 11b. R= sq. ft.
c. Wood, common (R-value) 11c. R= sq. ft.
d. Concrete, raised (R-value) 11d. R= sq. ft.
e. Concrete, common (R-value) 11e. R= sq. ft.
12. Wall type and insulation:
a. Exterior:
1. Masonry (Insulation R-value) 12a-1 R= _sq. ft.
2. Wood frame (Insulation R-value) 12a-2 R= '1 7 sq. ft. t
b. Adjacent:
1. Masonry (Insulation R-value) 12b-1 R= sq. ft
2. Wood frame (Insulation R-value) 12b-2 R= sq. ft.
13. Ceiling type and insulation: ��,,� c,yy
a. Under attic (Insulation R-value) 13a. R= �d ly/ 1 _sq. ft.
b. Single assembly (Insulation R-value) 13b. R= sq. ft.
14. Cooling system /1
(Types:central,room unit,package terminal A.C.,none) 14. Type:SEER/EER::l �` r/FL.
� • ��
15. Heating system: 15. Type: U Y
(Types:heat pump,elec.strip,nat.gas,L.P.gas,room or PTAC,none) HSPF/COP/AF f/ 1 ✓
16. Hot water system: 16. Type: ) 1/_ C 0,i/ �. �
(Types:elec.,nat.gas,L.P.gas,solar,heat rec.,ded.heat pump,other,none) EF: - `1 - ,
I hereby certify that the plans nd s it cove d by the calculation are in compliance with the Review of plans and specifications covered by this calaAatbn ndicates compliance wim
Florida Energy Code. /l - the Florida Energy Code. Belor oorwruction is opmpletedfiis building`MIl be inspected
„ ) /--/�_ S/ for compliance In accordance Spcbon 553 F.S.•/
PREPARED BY: n_. IL_ �,(�V DATE: ` I(J _ `---
I hereby cenify that t r build i pia• rice the Florida Energy Code. BUILDING OFFICIAL: t /
.1 Y �/ _(�
OWNER AGENT:
DATE/ 7 DATE:_._..--- •f 1
TABLE 6B-1 MINIMUM REQUIREMENTS Climate Zones 1 2 3
COMPONENTS PACKAGES FOR NEW CONSTRUCTION TO BE INSTALLED
A B C D E
Max.%of glass to Floor Area 15% 15% 20% 20% 25% ��
U)
Type utile Clear(DC) Double Clear(DC) Double Clear(DC) Double Clear(DC) Double Tint(DT) DC: DT:
c7 Overhang 1'/2' 2" 2' 2' 2' FEET
Mason EXT: R=
ry EXTERIOR AND ADJACENT MASONRY WALLS R-7 ADJ: R=
J COMMON MASONRY WALLS R-3 EACH SIDE COM: R=
Q
Wood EXTERIOR,ADJACENT,AND COMMON WOOD FRAME EXT: R=
Frame LLS R 11 j ADJ: R=
_ _`----- COM: R=
CEILINGS CEILINGS UNDER ATTIC_R-3_O�FRAME COMMON CEILINGS R-11. UNDER ATTIC: R= G
(NO SINGLE ASSEMBLY CEILINGS ALLOWED) COMMOM: R
(n cr C Slab On-Grade r`R-0 R=
OO Raised Wood R-19(ONLY STEM WALL CONSTRUCTION ALLOWED) R=
LL Raised Concrete R-7
R=
DUCTS R-6 R-6 R-6 COND. R-6 R= COND
SPACE COOLING(SEER) 10.8 10.5 10.5 10.5 10.0' SEER=
wElect.(HSPF) 7.1 7.1 6.8` 6.8• 6.8• HSPF=
z Gas/Oil(AFUE) MINIMUM OF.73(Direct heating)or.78(Central) AFUE=
¢ Electric EF.90 EF.90 NOT ALLOWED EF.90 NOT ALLOWED
Fw w Resistance" (SEE BELOW) (SEE BELO EF=
w)
Gas&Oil MINIMUM EF OF.54 NATURAL GAS ONLY EF=
O~ (SEE BELOW)
DHP: 1:1 EF=
Other
Any of the following are allowed: dedicated heat pump, HRU
heat recovery unit or solar system. SOLAR: EJ EF=
Single package units minimum SEER=9.7,HSPF=6.6.
Minimum efficiencies for gas and electric hot water systems apply to to 40 gallon water heaters. Refer to Table 6-11 for minimum Code efficiencies for oil water heaters and other sizes.
DESCRIPTION OF BUILDING COMPONENTS LISTED
Percent of Glass to Floor Area: This percentage is calculated by dividing the total of all glass areas by the total conditioned floor area.
Overhang: The overhang is the distance the roof or soffit projects out horizontally from the face of the glass. All glass areas shall be under an overhang of at least the prescribed length wim the following exceptions
1)glass on the gabled ends of a house and 2)the glass in the lower stones of a multi-story house.
Wall,Ceiling and Floor Insulation Values: The R-values indicated represent the minimum acceptable insulation level added to the structural components of the wap,ceiling or floor.The Fl-value of the structural builffirg
materials shall not be included in this calculation. "Common"components are those separating conditioned tenancies in a multifamily building. "Adjacent"components separate conditioned space from uncondrooned but
enclosed space. "Extenor"components separate conditioned space from unconditioned and unenclosed space.
Floor: Slab-on-grade floors without edge insulation are acceptable. Raised wood floors shall have continuous stem walls with insulation placed on the stem wall or under the floor.
Ducts: "GOND"indicates that the duds must be installed within the conditioned space;that is,the ductwork shall be located on the conditioned side of the insulation. Ducts in conditioned space are acceptabie for arty
prescriptive package.
Space Cooling System: Cooling systems shall have a Seasonal Energy Efficiency Ratio(SEER)for central units or Energy Efficiency Ratio(EER)for room units or PTAC's equal to or greater than the prescribed value
Electric Space Heating Option:Heat pump systems shall be rated with a Heating Seasonal Performance Factor(HSPF)equal to or greater than the prescribed HSPF.Heat pump systems may contain electric strip backups
meeting the criteria of section 608.1.ABC 3.2.2. No electric resistance space heat is allowed for these packages.
Electric Resistance Hot Water Option: For packages designated"Not Allowed",an electric resistance hot water system maybe installed only in conjunction with one of the'Other Hot Water System Options".See below
Other Hot Water System Options:Any dedicated heat pump,heat recovery unit,or solar hot water system with an EF of 1.5 or higher may be installed. Electric resistance systems having an EF of.88 or greater,or ratira
gas systems with EF.54 or greater may be used in conjunction with these systems.
TABLE 6EI-T MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHE
Exterior Joints&Cracks 606.1 To be caulked,gasketed,weather-stripped or otherwise sealed.
Interior Joints&Cracks 606.1 All openings in interior surfaces of ceilings and exterior walls must be sealed.
Sole&Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed.
Infiltration Barrier 606.1 Infiltration barrier must be installed in exterior walls&raised wood floors.
Fireplaces 606.1 Fireplaces must have flue dampers,glass doors and outside combustion air intakes.
Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers,except for combustion
_ devices with integral exhaust ductwork.
Combustion 606.1 Combustion space and water heating systems must be provided with outside combustion air,
Heating except for direct vent appliances. /J p
Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker(electric)
or cutoff(gas)must be provided. External or built-in heat trap required.
Swimming 612.1 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a n
Pools&Spas pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%.
Hot Water Pipes 612.1 Insulation is required for hot water circulating systems,(including he recovery units)and the first
8"of piping from the water heater(or until piping enters an insulated wall or slab).
Shower Heads 612.1 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG.
HVAC Duct 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,
Construction, sealed,insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be
Insulation&Installation insulated to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closets.
HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system.
CITY OF ATLANTIC BEACH
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR
EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF __SERVICE .SINK TRAP STAND
WATER CLOSET, LAVATORY & BATH (8)
TUB OR SHOWER STALL (6) ( -
WATER CLOSET
WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
BATHTUB/SHOWER (2) URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) __FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (1) COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3) `' POT, SCULLERY SINK (4)
DISHWASHER (2) WASH SINK EACH SET OF
KITCHEN SINK (2) FAUCETS (2)
DENTAL LAVATORY (1)
KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
BIDET URINAL STALL, WASHOUT (4)
FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2)
BLOWOUT (2)
LAVATORY, BARBER/BEAUTY
SHOP (2) , ,ICE MAKER (1/2)
SURGEONS SINK (3) LAVATORY, SURGEONS (2)
JACUZZI (2) URINAL STALL, WASHOUT (4)
C
TOTAL FIXTURE UNITS j, 5LB $20.00 EACH $ � f
JOB INFORMATION__Z l 3 S 4 Cvs S�
SECTION B - (All other Apptlicants)
Property Zoning:
2 . Submit the following:
SITE PLAN/TREE SURVEY indicating:
a) Site topography, existing and proposed grades
b) Existing and proposed structures
c) Location of all trees w/DDH of six inches or more
d) Tree species and sizes
e) Trees to be removed should be clearly marked
f ) Trees to be relocated should be clearly marked
9) Location of any proposed replacement trees
h) Identify trees of special or unique characteristic
i ) Idenify trees within 10 feet of construction areas
j) Show location and type of tree protective barriers
k) Location of utilities, accesses and easements
1 ) Location of vehicle travel corridors
M) Location of commercial sprinkler/irrigation systems
n) Landscape maintenance plan (cowaaercial only)
o) Staging areas for equipment and material storage
s . All trees identified for removal must be marked on site by red
flagging or tape.
SECTION C
I agree to comply with the rules and practices established in
Ch40wnerg. Signatur*
3, Arti ie Ii of the Code of Orainances of Atlantic Beach.
Date
My TY USE OB—L1
Applicant has complied with all provisions of Chapter 23 and
requirements of the Tree Conservation Board.
Tree onservation Board Designee
Date
NOTE: "Tree Protection for luilders MW Developers" is mailable
At City Nall or from the Division of Forestry, •719 Hest Beaver
Street, Jacksonville, FL 32320. (701.1434)
i
TREE REMOVAL APPLICATION
SECTION A - APPLICATIONS MUST BE RECEIVED BY CLOSE OF BUSINESS TUESDAY
F'EI'OEE TliE MEETING I
6
eroperty Owner ' s Name Adar ss .
_ Telephone
Location of Tree Removal/Site Alteration
SECTION B - (To be completed by applicants whose property is zoned
residential , includes an existing dwelling, and which
is not presently owner-occupied)
1 . What changes are proposed to the above specified site?
T,�,cE�s/��h U�1 e13 5,d 70
L . what is the purpose of these proposed changes? /
3 . Specify trees proposed for removal as follows:
r--Tree Count Species Size(DBH x HOT) ondition
/G „x
4 . will these trees be relocated on the same property? �1C
5 . If not , will replacement trees be planted?
t . Specify proposed replacement trees as follows :
Tree Count Species Size(DBH x HOT)
Attacr, site pian. (dote: All trees proposed for removal must
be marked on site by lre�i tape or flagging) .
I
sa '
w
s - -- N 27 ,
d6 `
f D2 PATl6
/6 2 '
�d
J AN 17 1996 ��
Q Q ��Peti
Building and .Zoning T
DI
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FLOODPLAZK DEVELOPMENT INFORMATZOft
Type of Development
Flood
Required Lowest Floor 6levationt_ _ __
Zt building is located within a flood hazard zone, a •urvoy ouut
be wade AFTER THE SLAB HAS BEEN POURED y
LOWEST FLOOR ELEVATION i■ certifying that the
elevation establi equal to or above the bane Slooc!
shed for that sone.
No finsl inspection will be made and no certificate of occupancy
will be issued until the survey is on file with the BulldinU
Department.
COMMENTS%
Applicant Acknowledgements s understand that the issuance of
this permit is coAtinpent u
POA the above information boinfl
correct and that the plana and
be provided as roquir4►d. been
provisions Z agree �aplr�tthval a or =hall
of Ordinano* No. le
?'.i' -7-11 and all other Plawsabur
ordinances affecting the proposed dev*lop,ent.
Date_! _�2_S� Applsaant•sp _
8i nature
. L J/ �
-----------------------------------------------------
Department Use
Required Lowest Floor Elevation
As Built Lowest Floor Elevation
Survey Filed with Building Department --+-------
8uildinfl OoPartment R ____+-----`-`
epresentativa
Pule 3
1
a:
Prepared by and
Record and return to:
Tahnya Strickland
Gibraltar Title Services , Inc.
4655 Salisbury Road, Suite 350 Book 8294 Pg 1935
Jacksonville, Florida 32256
File Number: 96-1410-A2
[Space Above This Line for Recording Data]
PERMIT NO. TAX FOl�lO NO.
NOTICE OF COMMENCEMENT
State of Florida
County of Duval
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in
accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of
Commencement.
1. DESCRIPTION OF PROPERTY (Street address, if available)
934 Stock Street, Atlantic Beach, Florida 32233
LEGAL DESCRIPTION OF PROPERTY
Lot 5, Block 160, Section H, ATLANTIC BEACH, as recorded in Plat Book 18, page 34,
of the current public records of Duval County , Florida.
Pk.: 8294
Pg: 1935 — 1936
Doc# 96047443
Filed & Recorded
03/06/96
2. GENERAL DESCRIPTION OF IMPROVEMENT 03:19:13 P.M.
HENRY W. COOP.
Single family dwelling DUVAL COUNTY, COURT
REC. $ 10.50
3(a). NAME/ADDRESS OF OWNER 3(b). OWNER'S INTEREST IN PROPERTY
Hank J. Pocopanni Fee Simple Title
3440 Turkey Oak Drive West
Jacksonville, Florida 32277
3(c). NAME/ADDRESS OF FEE SIMPLE TITLEHOLDER(i!othetrhan Ownet) 4. NAME/ADDRESS OF CONTRACTOR
Hank J. Pocopanni
3440 Turkey Oak Drive West
Jacksonville, Florida 32277
CF)Copyright Great Lakes Business Forms,Inc. 1990 GREATLAND■
ITEM 7107L 1 (9410)-FLORIDA Page 1 at 2 pages To Ordar Call: 1.000-590-93930 Fax 616-791.1131
Book 8294 Pg 1936
5(a). NAME/ADDRESS OF SURETY 6. NAME/ADDRESS OF LENDER
Peoples First Community Bank
110 A1A North
Ponte Vedra Beach, Florida 32082
5(b). AMOUNT OF BOND
7. Person(s) within the State of Florida designated by Owner upon whom notices or other documents
may be served as provided by Section 713.13(1)(a)(7), Florida Statutes are shown below:
7. NAME/ADDRESS 7. NAME/ADDRESS
Peoples First Community Bank
110 A1A North
Ponte Vedra Beach, Florida 32082
8. In addition to himself, Owner designates the 8' NAME/ADDRESS OF PERSON TO RECEIVE COPY OF LIENOR'S NOTICE
person whose name and address appear in the
box at the right to receive a copy of the Lienor's
Notice as provided in Section 713.13(1)(b),
Florida Statutes.
9. Expiration of date of Notice of Commencement 9• EXPIRATION DATE
(the expiration date is 1 year from the date of
recording unless a different date is specified) is
shown in box at right.
Signature
of Owner X
nk J. Poco�fnni
NOTARIZATION
STATE OF FLORIDA
COUNTY OF Duval
The foregoing instrument was acknowledged before me this 4th day of March, 1996 by
Hank J. Pocopanni
who is personally known to me or who has produced his driv,;�rs 1 icens
/
as identification. ��; 1
My Commission expires: 11 L HUGHE:� Notary Public
QII�I H
(Seal)
WHEN RECORDED RETURN TO: DRAFTED BY:
Gibraltar Title Services , Inc. ADDRESS.CITa•gnySAtEickland
4655 Salisbury Road, SUite 350 4655 Salisbury Road, Suite 350
Jacksonville, Florida 32256 Jacksonville, Florida 82256
C1 Copyright Great Lakes Business Forms,Inc. 1990 GREATLAND■
ITEM 71071-2 (9a 10)-FLORIDA Page 2 of 2 pages To Order C+II: 1.800.530.93930 Fax 616-7911131
17 1996
Building and Zoning
f1,_
MAP SHOWING BOUNDARY SURVEY OF
LOT 5 BLOCK 160 ACCORDING TO T14E PLAT OF
SECTION,, `EC's` ATLANTIC BEACH
AS RECORDED IN PLAT BOOK 18 , PAGE(S) 34 OF THE CURRENT
PUBCERTIFIED TO: HANK J. POCO ANNI, GIBRIATARORDS TITLE SERVICES, INC.,OF DUVAL OLD REPUBLIC FLORIDA.
TITLE INSURANCE
COMPANY AND PEOPLES FIRST COMMUNITY BANK.
LOT 6 LOT 6
BLOCK 185 ;i BLOCK 186
�l 1/2" 112"
oxCAP CAP
— UNREADABLE UNREADABLE
x'`17. ap E E
LOT 1 $ LOT 1 �
BLOCK 161 IR BLOCK 160 A
3/4" �.
o z
LCT 2 LOT 2 R
9LOCK 161 BLOCK 160 � L
1 2" ! lU
LOT 3
LOT 3 I I•
'� $�
BLOCK i 61 9. KOC'K 160
I
< N
U
LOT 4 $ LOT 4 / A0
BLOCK 161 �R BLOCK 160 L
r
e 101.70' (M) N
-- ----- 102.00' (R 4' i 3/4.,
ASSOC.SUR VE•
b ^R
LOT 5 2J. es' LCT 5
BLOCK 161 0 BLOCK 160 o x
LA O 12.6' FLOM
01 O O d
J.�
z a.. 102.00 (R) ASSOC.SUR Y
V14 LB 54M
Ni
ASSOC SURVEY 101.7
1e s•ee LOT 5 $i
LCT 6 R Ir
BLOCK 161 :RT BLOCK 160
w x
I is c
3/4" so
I
GRAPHIC 30.
WEST 9th STREET
5Q' R;W
E Y p OINOtAL MOTUI
1.AN0U3 HERE 1EAKM FOM THIS%W-".
.) % AS BEST OETETBiRIIEO
/ ' i AV,OPFJITY FL HEREON UES L MI.11.000 20NE
ASSOCIATED SURVEYORS INC. FROM f.EMA rtDoo MMS PANEL N0.1700130001 DAT) t/1T 1880
' }.THIS IS A SURFACE SURVEY ONLY. THE E%TENT OF UNOEROROUNO F00TNGS
LAND A ENGINEERING SURVEYS o1PEs AND UMUTES.F ANY•NOT DErDWAED.
". _ • 50,C710NAL ANDIOR ENVRON jeNTAILY fENmnYE iAREAS IF ANY.NOT LOCATE;
GB^% 38201 I,Y
5915 CEDAR HILLS BOULEVARD y —S SURVEY WAS BASED ON LEGAL DESCRIPTI rURWSHED AND THE PUBUC
d \ .AACKSONV' E. FLORIDA 322'C RECOW3 WM NOT SEARCHED Br MS SURWYEII FDR EASEMENT_'.T1TLY3.00YE1.ANTS
904-771-6468 OR RESWTXMS TAAT MAY AFFEOT THIS PMIM-
/J J S.UNLESS OTHERWSE STATED ALL IRON PIPES FOUND HAVE NO IOENTFlCA'IOH.
D S S Y ) 'NIS SURVEY M NOT VAUD!AKESS SURVEYOR'S OFFIOAL SEAL IS EY0099CD HEREON
HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY LEaMIAYIIEIIIATION■
URVE
DIRECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL •,JSSOC.SSLSET�Y.•ORE�� PT_ POINTT'PC)DF TANOF GENCY
STANDARDS FOR LAND SURVEYING PURSUANT TO CHAPTER FOUND fRON PIN OR PIPE P.R.C.- POINT OF REVERSE CURVE
6161/7�-6, FLORIDA ADMINIS�TnnRATION CODE• CHAPTER 472, F.S. ■ FOUND CONCRETE MONUMENT P.C.C.- POM OF COMPOUND
'i�-n--� �S 1'[i Lr - % CROSS CUT OR DRAL NOL.E C/L'
BY: • CENTRAL ANDY C PON PCE OR PRI
CHARLES L STARLNG R . RADIUS B.R.L. EUILDINC RESTRICTION UNE
FLORIDA CERTIFICATE NO. 4579 • - ARC LENGTH R/W - RIW OF AT
moX-X.w. WIRE FENCE (R)) RECORD
,;OB NO. 12462 — DATE '2 / 22 / 199° -__. CHAIN LMR rc%CE (M) MEASURID
SCALE: +" - 30' DRAFTER — _.
D-0 Roo(' FEN-F roNC - coNcRt_
Ff=l/.8 �'�Ft •�' Y . � 1 =/l� �
AIN
VIM
---=-- - =-- ------- --------------- --=-------------
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5-7161
" 3 2 _
4
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