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1285 Stocks St (vault) S rL`1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: B uildinde- -� oab.us Application Number . . . 07-00000669 Date 5/22/07 Property Address . . . . . . 1285 STOCKS ST Application type description WELL PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------ Application desc drill 3 " well @ 240 ft . /irrigation ------------------------------------------------- Owner Contractor ------------------------ ------------------------ MILLNER, RANDY PARTRIDGE WELL DRILLING CO. 1285 STOCKS STREET Q/A:DONAL PARTRIDGE JR. ATLANTIC BEACH FL 32233 4744 COLLINS RD. JACKSONVILLE FL 32244 (904) 269-1333 --------------------------------------------- Permit . . . . . . WELL PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date Valuation . . 0 Expiration Date . . 11/18/07 --------------------------- ------------------ 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. r CITY OF ATLANTIC BEACH PERMIT ' s f BUILDING / ZONING DEPARTMENT APPLICATION # 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax C www.coab.us MqY 1 -� By. �ZDp� APPLICATION TRACKING FORM REQUIRED DEPT: / � n� ^�. Y N PLANNING PropertyAddress: J' �`.L' Z Y N BUILDING rII = Y N PUBLIC WORKS Applicant: JI U N UBLIC UTILITI Wd lb� Y N FIRE DEPT. Project: Y N PUBLIC SAFETY w APPROVAL RECEIVED REQUIRED AGENCY: BY: INITIAL: DATE: Z o Y N D.E.P HUFSTETLER Q Y N S.J.R.W.M. CARPER LU UJ Y N ARMY CORPS of ENG CARPER Y N -T- HOTELS& HUFSTETLER RESAURANTS APPLICATION STATUS DEPT: SITE BUILDING AP REVIEWED BY: INITIAL: DATE: 1ST REV ❑ PLANNING& ❑ DOERR/HALL ZONING ❑ ❑ 2ND REV El 3RD REV ❑ ❑ 1 ST REV ❑ ❑ BUILDING DEPT. ❑ ❑ 2ND REV ❑ ❑ HUFSTETLER 3RD REV ❑ ❑ 1 ST REV ❑ ❑ PUBLIC WORKS ❑ ❑ 2ND REV ❑ ❑ CARPER 3RD REV ❑ ❑ 1ST REV ❑ .5-17-v7 PUBLIC UTILITIES ❑ 2ND REV ❑ KALUZNIAK 3RD REV ❑ ❑ 1 ST REV ❑ ❑ FIRE DEPT. ❑ ❑ 2ND REV ❑ ❑ FIRE DEPT.COMMENTS ENTERED INTO AS4 0 3RD REV ❑ ❑ Return this form to the Building Department once you have entered your comments into the AS400. Public Works Plan Review Comments Date: Initials: Project Name/Address: o�85 ��_�sr Application/Permit#: 01 ''(O(�A Check Box Application Tracking Comments To Add Comment Provide impervious surface calculations. ❑ Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. Provide drainage plans showing site topography (flow arrows, etc.) ❑ Provide construction site management plan, including Right-of-Way Permit if using ❑ right-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required per ❑ Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting proper ❑ construction will be required. A Right-of-Way Permit must be obtained. A Revocable Encroachment Permit must be obtained for ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from street ❑ or drainage feature (swale or structure) All driveway aprons must be concrete, 5 inches thick,4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not allowed in ❑ the ROW (Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be shown on ❑ the plans. = ' Mtp 13 F:\P1anReviewComments-PW.doc S r i SSS -Jsilt CITY OF ATLANTIC BEACH WELL PERMIT APPLICATION Date Owner's Name: Address: Well Address (if different than above):. Well Location on Property (i.e. northeast corner, etc.) Well Installation Contractor: Contractor License No.: Phone: FAX: Contractor Address: Check Use of Well: Domestic Irrigation Other Estimated- Well Depth: Casing Depth: Screen Interval from to Well Diameter: Casing Material I Is address currently connected to the City water system? Is address currently connected to the City sewer system? Has a Well Permit been obtained from the City of Jacksonville? Permit# Does the well require a permit from the St. Johns River Water Management District? (Not required for wells under 2-inches diameter installed by resident or wells under 6- inches diameter if installed by licensed well contractor). If permit is required,note Permit Number and attach a copy. NOTE. WHENA WELL IS INSTALLED ON YOUR PROPERTY, YOU MUST INSTALL A REDUCED PRESSURE ZONE TYPE BAC%FLOW PRE VENTER ON THE CITY WATER SERVICE, ON THE CUSTOMER'S SIDE OF THE METER. THE BAC%FLOW PRE VENTER MUST BE TESTED B Y A CERTIFIED TESTER AND A COPY OF THE RESULTS SENT TO THE PUBLIC UTILITIES DEPARTMENT. 05/15/2007 21:59 9042698747 PARTRIDGE WELL PAGE 05 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 • Fax: (904)247-5845 Job Address: 1�? .. k 'mac a ro 1� 1uoi A41ji nt &QCIti Permit Number: Legal Description 18-M 33-A S-2q E rkrTb ' ten Ch Se 0 5FT LO-L I k �� 3 8Lt ,�R jq IrI1055 otov Valuation of Work (.Replacer lent Cost) S-0 • Class of Work(Circle one): , Addition Alteration Repair Move ■ Use of existing/proposed structure s)) (Circle one): Commercial es—id entia • If an existing structure, is a fire:sprinkller system installed? Circle one : es o N/�A • is approval of homeowner's as;ociation or other private entity required)? (Circic one): Yes lob Describe in detail the type of work to be performed: b'ILL La Q Property Owner Information Name: i anif tj` nQr Address:-J,2-35 � XS kStb City _ State Zip zZ�3.�Phone .Ot( .,-, G(c Contractor Information: Name of Company: - jQ1LI)rt • n Quali ing Agent: {�-teini 4J Address: -Rd City Q 0!!Qc,, jldrLState�_Zip ? Office Phone I _cP(A-L3323 Job Site/Contact Number 64M - �,Q(,q-165 State Certi.fication/Registration# _1!342 Office Fax #A-Qt - Q*_Y t_ 874 7 Architect Name& Phone# N Engineer's Name& Phone # Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards ofal laws regulating construction to this)'urisdiction. This•permit becomes null and void it work is not commenced within.six(6, months, ori construction or work is suspended or abandoned for a period of six*(6) months at any time after work r commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT TN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOL INTEND TO OBTAIN .FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. i hereby certify that I have read and examined this application and know the;same to be true and correct. All provisions o laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting ofbi permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local lan regulating construction or the per/b,-mance of construction. Signature of Property Owner: i CQ h dal �' ••--- Signature ofContrtctor. Sworn to and subscribed before me this pay of _ 0%t1A Sl fi/yQA and>J Y o f i ed before M \�•utss�ot, ••oy'% W 4 Notary Public: Nt �u ROD 344580 REVISED 03.05.07 +[ q�„a,,�, 05/15/2007 21:59 9042698747 PARTRIDGE WELL PAGE 06 City of Atlantic Beach 800 Seminole Rd. Atlantic Beach, FL 3:233 Re: Permit Application Site: 1285 Stocks St. To Whom It May Concern: Please find this corr.!spondence as authorization for Donal M. "Pat" Partridge,Jr. of Partridge Well Drilling Company, Inc_, to act as agent on my behalf with regard to obtaining the permit/permits for the above referenced property. For any questions regarding the permit application, please contact Partridge Well P (904) 269.1333. Should you require any additional information or assistance, please contact me at the phone number lister.below. Slncerel i- X U Owner or AutZineT zc:d Agent of Site Signature X-----Randy --- -------- ------------- Print Name 1285 Stocks St______�__ Address for Copy of permit to be mailed Atlantic Bch., FL 32233 ---------------------------------------- City State ZipX-----904-246-2060 _ Phone number of owner or authorized agent (Please provide all information requested-this will expedite the permitting process.) 05/21/2007 03:18 9042698747 PARTRIDGE WELL PAGE 02 CITY OF ATLANTIC grACH WELL PERMIT APPLICATION Date Owner's Name]Eg-Njne_r Address: Well Address (if different than above):_cALr,6jqa�. (iV o r �I L (moi 11 fry /0' -t'F� rC2r ��{ pm�r� Well Location on Property (i.e, orthe st corner. etc.)+ �.�! G X100 -F•r Well Installation Contractor:-Ib L Contractor License 1J0.:_ 9�9 7 _Phone:!Qj-d0-13, 3 FAX:, 66 -97,q,1 J Contractor Address:,- i 7 -q apLLnL Check Use of Well: Domestic irrigation vr**" Other Estimated- Well Depth,;,2 40 Casing Depth+r- $' Screen Interval fromO told Well Diameter:_3 _ Casing Material—PV2,_ Is address currently connected to the City water system? uQ,S —4 Ts address currently connected to the City sewer system? N o Has a Well Permit been obtained from the City of Jacksonville? Permit # to I red, Does the well require:a permit from the St. Johns River Water Management District? (Not required for wells under 2-inches diameter installed by resident or wells under 6- inches diameter if installed by licensed well contractor). L(o �F��{ If permit is required, note Permit Number anattach � d� a copy. VOTE: WHENA WELL IS INSTALLED ON YOUR PROPERTY, YOUMUST INSTALL A REDUCED PRESSURE ZONE TYPE gACICF.LOW"PRE VENTER ON THE CITY WATER SERVICE ON THE CUSTOMER'S SIDE OF THE METER. THE.BACKFL OW 1,REVE,NTER AlUST BE TESTED 13Y A CER TIFIFD TESTF_R AND A COPY OF T1TE RESULTS SENT TO THE PUBLIC UTI, DEPARTMENT. CITY OF ATLANTIC BEACH PERMIT '+ tJ BUILDING / ZONING DEPARTMENT APPLICATION # 800 Seminole Road Atlantic Beach,Florida 32233 (/ JJr�j; (904)247-5800 (904)247-5845 Fax C�l www.coab.us k4 y 1 B�. ,ZOQ J APPLICATION TRACKING FORM REQUIRED DEPT: (� Y N PLANNING Property Address: � � U�I.K�J ��• Z Y N BUILDING Y N PUBLIC WORKS Applicant: N UBLIC UTILITI Y N FIRE DEPT. Project: Y N PUBLIC SAFETY w APPROVAL RECEIVED REQUIRED AGENCY: BY: INITIAL: DATE: Z w Y N D.E.P HUFSTETLER o: Q Y N S.J.R.W.M. CARPER LU UJ Y N ARMY CORPS of ENG CARPER O Y N HOTELS& HUFSTETLER RESAURANTS APPLICATION STATUS DEPT: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: 1 ST REV ❑ ❑ PLANNING ZONING & ❑ ❑ 2ND REV ❑ ElDOERR/HALL 3RD REV ❑ ❑ 1 ST REV ❑ ❑ BUILDING DEPT. ❑ ❑ 2ND REV ❑ ❑ HUFSTETLER 3RD REV ❑ ❑ 1 ST REV ❑ ❑ PUBLIC WORKS ❑ ❑ 2ND REV ❑ ❑ CARPER 3RD REV ❑ ❑ _ 1 ST REV ❑ '17-07 PUBLIC UTILITIES ❑ 2ND REV ❑ ❑ KALUZNIAK 3RD REV ❑ ❑ 1ST REV ❑ ❑ FIRE DEPT. FIRE EPT.COMMENTS ❑ ❑ 2ND REV ❑ ❑ ENTEDRED INTO AS4 0 3RD REV ❑ ❑ Return this form to the Building Department once you have entered your comments into the AS400. Public Works Plan Review Comments Date: Initials: Project Name/Address: Application/Permit#: dI —(O(oFA Check Box Application Tracking Comments To Add Comment Provide impervious surface calculations. ❑ Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. Provide drainage plans showing site topography (flow arrows, etc.) ❑ Provide construction site management plan, including Right-of-Way Permit if using ❑ right-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required per ❑ Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting proper ❑ construction will be required. A Right-of-Way Permit must be obtained. ❑ A Revocable Encroachment Permit must be obtained for ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from street ❑ or drainage feature(swale or structure) All driveway aprons must be concrete, 5 inches thick, 4000 psi, with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not allowed in ❑ the ROW(Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be shown on ❑ the plans. 401 VIK "V_T�4 FAP 1anReviewC omments-P W.doc •j yL`I j. J is1 Dill, CITY OF ATLANTIC BEACH WELL PERMIT APPLICATION Date Owner's Name: Address: Well Address (if different than above): Well Location on Property(i.e. northeast corner, etc.) Well Installation Contractor: Contractor License No.: Phone: FAX: Contractor Address: Check Use of Well: Domestic Irrigation Other Estimated- Well Depth: Casing Depth: Screen Interval from to Well Diameter: Casing Material Is address currently connected to the City water system? Is address currently connected to the City sewer system? Has a Well Permit been obtained from the City of Jacksonville? Permit# Does the well require a permit from the St. Johns River Water Management District? (Not required for wells under 2-inches diameter installed by resident or wells under 6- inches diameter if installed by licensed well contractor). If permit is required, note Permit Number and attach a copy. NOTE: WHEN WELL IS INSTALLED ON YOUR PROPERTY, YOUMUS T INSTALL A REDUCED PRESSURE ZONE TYPE BAC%FLOW PREVENTER ON THE CITY WATER SERVICE. ON THE CUSTOMER'S SIDE OF THE METER. THE BAC%FLOW PREVENTER MUST BE TESTED BYA CERTIFIED TESTER AND A COPY OF THE RESULTS SENT TO THE PUBLIC UTILITIES DEPARTMENT. `SS, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 .,.-, INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030492 Date 6/20/05 Property Address . . . . . . 1285 STOCKS ST Tenant nbr, name . . . . . . INSTALL DRIVEWAY Application description . . . RIGHT OF WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ MILLNER, RANDY OWNER 1285 STOCKS STREET f ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH cc: BUILDING / ZONING DEPARTMENT D, Hi rans r� 800 Seminole Road Doerr Atlantic Beach,Florida 32233 vilir (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # LL-�b4q Property Address: JOU 7 -0iV C t 5` Applicant: Project: _l_�11-�ItC I I U This permit application has been: 2a----Approved F-� Reviewed and the following items need attention: .O� Please re-submit yo applicatio w en these items have been completed. Reviewed By: oma--- Date: 06r4(O "D Date Contractor Notified: 1 CITY OF ATLANTIC BEACH a sJ PUBLIC WORKS DEPARTMENT 1200 Sandpiper Lane Atlantic Beach,Florida 32233 (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 05-�;� q Property Address: I OQ bs Applicant: � n d o e-r Project: 1 V Your application is approved as noted by the Public Works Department. I Final application approval must come from the Building Department. / Your permit application has been reviewed by the Public Works Department and the following items need attention: Maximum driveway width at property/right-of-way line is 20 feet . May have 3 foot flare on each side at edge of pavement . City standard driveway thickness is 5" . 6/20/05 -- v � THAT PORTION OF DRIVEWAY IN THE CITY RIGHT-OF-WAY MUST ALL BE THICK. CAN BUILD 4"T-THICK ON OWNER S LOT IF DESIRED. Please submit these requirements to the Public Works 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 k arper, P.E., Public Works Director �}-� Date 61/ G v�� Signature / Contractor Notified Date /►ta.�lid 6�w s=-Leri,; CITY OF ATLANTIC BEACH Y rf PUBLIC WORKS DEPARTMENT 1200 Sandpiper Lane Atlantic Beach,Florida 32233 (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # ";�(�q Property Address: J Cq bJ 7;�-fU Applicant: I n cL r Project: Vl I �r V ❑ Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. Your permit application has been reviewed by the Public Works Department and the following items need attention: Maximum driveway width at property/right-of-way line is 20 feet . May have 3 foot flare on each side at edge of pavement. City standard driveway thickness is 5" . 6/20/05 -- THAT PORTION OF DRIVEWAY IN THE CITY RIGHT-OF-WAY MUST ALL BE THICK. CAN BUILD 4' THICK ON OWNER' S LOT IF DESIRED. Please submit these requirements to the Public Works 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. Reviewedby k arper, P.E., Public Works Director Date d' ^ Signature / Contractor Notified Date _ /leOf (� /d R E C E I V E 0 I CITY OF ATL,;NTIC BEACH CITY OF ATLANTIC BEACH II CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY S 800 Seminole Road I 904-247-5800 Atlantic Beach, Florida 32233-5445 ; /' Fax 904-247-5845 Date Lp - 05 - -[-- 3aJ33 ERRMMITT## SS I UED BY THE CITY Job Address_ ��nn�5 S'f-oel -5t AIcntl c &41 • Permitee: n d M1►1 t1 Telephone# Oy 'oZ`1 G-ao to 0 Permittee Address Stbe-L 5t A'�-��n�'; c IJc.� , 1-'1 3aa3 3 Requesting Permission to Construct: r-1 y e Way 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 ( ) No ( ) Date: Bell South Telephone Company Yes ( ) No ( } Date: Ferrell Gas Yes ( ) No ( ) Date: Comcast Yes ( ) No ( ) Date: CLS did (oc„tes X) -05 r e_veryAJh"„s over kf--j qnd no 5 r. s 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 Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone#: 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 7. This permittee shall commence actual construction in good faith with 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. OWNE Signed: Date: �f1— —O '%y'•'= •; DONNA LBUSSEY Before me this (� day of %- Lrne in the County of Duval, MY COMMISSION#DD 412624 State Of Florida,has personally appeared Ii' I-e-a- ro n a EXPIRES:March 30,2009 Notary Public at Large,State of Floridtr,Cy of Duval. ' p:; ' Bwded Thru Nmry PutAic Undewftn My commission expires: MG( c L�� 2-009 Personally Known: Produced Identification: r, Q rI vier fn q56 7 4 2-13V , -09-4, -0 Unite ` --� Rental m w =TM — �r ma �M �m A-Ai � N , *800-UR-RENTS unitedrentals.com ' :tip.• r NIAIP SHOWING SURVEY OF South three jC3) feet af. Lot nne (7.) ; Lots Two (2) through and i-ncluc'innix (6) Block '229, ' Section` "H" , Atlantic peach according to Plat thereof recor"'ec? in Plat Rook 18 page '34 of the current ouhlic records of Duval County , ^10 - i0a' Randy&Crystal Millner FOR: 1285 Sty St. Atlantic Bch.,FL 32233-2631 �. 102. 0 �r 0 �L T "2 m 0 Pstz,r. N W 0 3�Sv Iy. V\ m Rr `mcn 3 ,. U) L O 7- 4 a� t; tV C2-ti1e14/ Sr��• shee/s) 0 — �eT p?r{i3sC Ma+v } � Z 07 L O T C 90 /00. 01 L B 40 C !t 197 Bz OCA t96 I NOT VALID UNLESS EMBOSSED WITH A SURVEYORS SEAL NOTE: ELEVATIONS SHOWN THUS-(10.0) BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929. I HEREBY CERTIFY THAT THE ABOVE LANDS WERE PURVEYED UNDER MY RESFONSIBI_E SUPERVISION LEGEND AND DIRECTION, THAT THERE ARE NO ENCROACHMENTS EXCEPT AS SHOWN AND THAT THE SURVEY ' SHOWN HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF ■ .CONCRETE MONUMENT LAND SURVEYORS,PURSUANT TO SECTION 472 07,FLORIDA STATJTES. CLARY, MILLER a ASSOCIAT ES, '.1C. x-x FENCE PROFESSIONAL LAND SURVEYORS PEG �— 3110 vo F40AD J ILIE.FLCIHIDA3221ti �., /j O IRON PIPE FOUND SIGNED 5Fvr.'S 19 g3 I �J SCALE 1" 40" _ x CROSS CUT GREGORY PL.S CERT NO REO.No. 399 CHK.ByX1`1 .`— F.B. --- P.G. FryR ECEIVED OF ATLANTIC BEACH CITY OF ATLANTIC BEACH ulLr�iNG ,� zani N� ` CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY EASEMENTS 800 Seminole Road 904-247-5800 Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 Date Job Address b �� J S-foel 5f Allcntc F1 IS UES D BYTHE CITY Permitee: �0 eV- Telephone# 9 -do (" 0 Permittee Address (0115 S tb-L 51 (3J, � �1. 32,23 3 Requesting Permission to Construct: Location: (Reference to Cross-Street) �� `y ' -5 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 ( ) No ( ) Date: Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes ( ) No ( ) Date: Comcast Yes ( ) No ( ) Date: CLS d;d IocJ,tes �a� 'a5 ,every�4,;n5 over kc-ad qnd no gs s 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 Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone#: 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 7. This permittee shall commence actual construction in good faith with 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. OWNE Signed: Date: lel _O �Yei'; DONNA L.BUSSEY ?' : Before me this V day of J[ti✓i in the County of Duval, _�; ,: MY COMMISSION#DD 412624 State Of Florida,has personally appeared ��.� (r),/1 n e r %`• EXPIRES:March 30,2009 Notary Public at Large' arire,State of Florida� C99� t of Duval. BondedThruNotaryPublicUndenwrften My c mmission expires: MGI. C/' ✓�y 2009 Personally Known: Produced Identification: -L D ri t-er Z � '� 1 0 Unite Rentals w N �^ 800-UR-RENTS - J unitedrentals.com MAP SHOWING SURVEY OF :mouth three (2) feet. of Lot One (1.) ; Lots Two (2) throuch and .i.ncluclinn (G) Block 229, Section "H" , Atlantic Reach accorOing to Plat thereof recor-led in Plat Rook 18 page 34 of the current nuhlic records of Duval county , "1orid, Randy&Crystal Millner r OR: 1285 Stocks St. Atlantic Bch.,FL 32233-2631 DESC,Pi�T/e9�t/ 45 WEST /47m STITEET LOT / � h /02. 0 v N p ,Z C T 2 v ti m -- - cr (�► lU °� w o P v o fie LOT This approval of iss rM�lanMr t�1 4 N zoning, su Ivislon a N t►d othN beat land a\ / deve�loQpme uiatioM,bw doss of�qmute CZ l�lefa/ 5lf�r• sfie�s apprellal fo imanaa of P"gitt. Compft" with EIprida 6 IdIng Code Geld aN other applic" local, tate a Federal pennWag repuiremeMs — m signature of the City of Atlantio se-r i. 5 each Buildip I prim to the Issuance of a Buil jAg Fern t. At.orover 9y: �-- 1communib Developmelm"EW-W v L O 7- , g 1)0 SET /P /0?. 0 L O 7- l L O 7- 1 B L O G'!K 197 BLOC/( !96 - I - NOT VAL In UNLESS EMBOSSED WITH A SURVEYORS SEAL niOTE: ELEVATIONS SHOWN THUS-(10.0) BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929. I HEREBY CERTIFY THAT THE ABOVE IANDS WERE SURVEYED UNDER MY RESPONSIBLE SUPERVISION LEGEND AND DIRECTION, THAT THERE ARE NO ENCROACHNiENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF ■ CONCRETE MONUMENT LAND SURVEYORS.PURSUANT TO SECTION 472.07•FLORIDA STATJTES. CLARY, MILLER 3 ASSOCIATES, '^;r. K-x FENCE PROFESSIONAL LAND SURVEYORS PEG 3110 VO ROAD i J ILLS.FLORIDAJ711;i i d IRON PIPE FOUND ItM SEPT.i5 83 SIGNED 19 x CROSSCUT SCALE 1" .40" ---- �• � GREGORY ,P L.S CERT NO REO.No. 399 CHK.By 1 --- F.B. --- P.G. �'''i�� CITY OF ATLANTIC BEACH rkJ , ISPUBLIC UTILITIES DEPARTMENT 1200 Sandpiper Lane J ', Atlantic Beach,Florida 32233 '!J!tit (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: 19 ] Applicant: Project: V4 1 V xYour application is approved as noted by the Public Works 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: 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. Revie/wIed by Donna Kaluzniak, Public Utilities Director Date Signature Contractor Notified Date RECEIVE ®_.._ CITY OF ATLANTIC BE,'CH trc_LJ CITY OF ATLANTIC BEACH B'a'li=iNG 7`;ry �C. ' `` CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY Apel IE�SEM TS �. � 800 Seminole Road I 904-247-5800 Atlantic Beach, Florida 32233-5445 ; ,, r Fax 904-247-5845 Date 3a� PERMIT# /� 3 IS'�UED BY THE CITY Job Address Q q5 5-f DC- -5t ADVIant; �'1 3 Permitee: bn I >> l Ines Telephone# ��y 'o�`1�",)o 0 Permittee Address 1a4 S S I cL 5r . A'�"��n�i c �J� , �I. 32a3 3 T Requesting Permission to Construct: r i V e way Location: (Reference to Cross-Street) W ly Sfi 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 ( ) No ( ) Date: Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes ( ) No ( ) Date: i Comcast Yes ( ) No ( ) Date: CLS did loc„tes 5�a ) -05 ,ever1{i,in5 dver I LVLJ a.,al no 9° s 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 Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone#: 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 7. This permittee shall commence actual construction in good faith with 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. OWNE Signed: �� Date: �r1 —O ;�rri'. DONNA L.Bt1SSEY :? �€ Before me this (� day of Jct rn 2 in the County of Duval, _.: ,: MY COMMISSION#DD 412624 State Of Florida,has personally appeared I Lf_2 rot/I rt e EXPIRES:March 30,2009 Notary Public at Large,State of Florida,Cqunty of Duval. g., BwdedThruNotary Public Undlarmters My commission expires: MGl C yl 0O 2-009 Personally Known: �O Produced Identification: --C_ 0 ri meer 7n E7 5 6 7 3 2,— 0 Unite Rentals V) (�v N Boo-UR-RENTS J unitedrentals.com ' :tit.• MAP SHOWING SURVEY URVEY CSF ;mouth three {� ' • feet of Lot cine ( 1.) ; Lots Two (2_ ) th rouc_h and i.nc luc'i je (6) Block 229;"1Section "H" , Atlantic Reach accordinn to Plat thereof recor"ec li.n Plat Root 18 page 34 of the current ouhl.ic records of Duval county , ^].uric?ai I Randy&Crystal Millner POR: 1286 Stoas St. ^ Atlantic Bch.,FL 32233-26.41 /E5 7 /4"`I° STl�EET Ls} LOT / ,tb ?hill r /02. 0 or 0 — ir.ry ,d Alii �, JZ T �2 , 01 v m W VN F� m v m ccm l (�O-Mefa/ 5s�r• 3hco/s} 2 1 v 1 YA!' SSI 4�• ,f., S. h �r L O 7 S LOT Ci SET i.P L O T l L O T 1 B 40 CK 197 Bl-0c/'1' 196 NOT VALID UNLESS EMBOSSED WITH A SURVEYORS SEAL NOTE: ELEVATIONS SHOWN THUS-(10.0) BASED ON NATIONAL (GEODETIC VERTICAL DATUM OF 1929. I HEREBY CERTIFY THAT THE ABOVE LANDS WERE FURVEYED UNDER MY RESPONS-161-E SUPc9VISION LEGEND AND DIRECTION, THAT THERE ARE NO ENCROACHPfENTS EXCEPT AS SHOWN AND THAT THE SURVEY ' SHOWN HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE r i-ORIDA BOARD OF ■ CONCRETE MONUMENT LAND SURVEYORS,PURSUANT TO SECTION 472.07•FLORIDA STATJTES. CLARY, MILLER a ASSOCIATES, '�-lC. x-x FENCE PROFESSIONAL LAND SURVEYORS PEG �'- 3110 'vo ROAD J iLLE.FLORgA)Y114 //777 /7 Q, IRON PIPE FOUND 1141 SIGNED rr.i519 83 x CROSSCUT SCALE �.., 4O'� — --- �. _ GREGORY P L S CERT No REO.No. 399 CHK.By P c-1 -- F.B. --- P.G. //11�� /CITY OF /n 4& B�-&7& Office of Building Official REQUEST FOR INSPECTION J Date S Y' Permit No. Time A.M. Received P.M J ,S' Tz)C S 7-- Job Address Locality Owner's /-f / ` /lJ �(2 Name Contractor BUILDING CONCRETE ��LECTRICAL PLUMBING MECHANICAL Fra ng Footing [7,1n Min Rough ❑ Air Cond. & ❑ Re offing Slab ElTemp o e ❑ Top Out ❑ Heating Insulation Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday P. A.M. Inspection Made �p P.M. Inspector a Inspectio /I Certificate o Occupancy ❑ V "Tl / �. Date CITY OF 4 1a4,c /3�_ / -"t r 'r Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M Received Job Addr ss cal i Owner's Name Contractor BUILDING ELECTRICAL PLUMBING MECHANICAL Framing Footing Rough Wiring C Rough __ Air Cond. & Re Roofing - Slab Temp Pole _ Top Out _ Heating insulation 7 Lintel ❑ Final _ Sewer Fire Place Pre Fab READY FOR INSPECTION Mon. Tues Wed. Thurs. Friday " Q A.M. Inspection Made ( P.M. nsp=cto Final Inspection -- ---- — a ' sate of Occupancy ._. Date -- PSR-3844 14325 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH F Irl i t Ntutibc- �; .� ?� �:NF f.!Ii''3/1F4 F� r,rl a k Tyrex . . 'TLANTIC RFA•.'if LE:;Ai, VES'__-R;rTl.DN c t t o I't ::1�1i3_r d tR ? V 'TIV:.LF F'�iliTl, ,. xs 4 U. S Ubd ' k Ert tal3r:' . r` :ir l.I tjt J1 .. ! Ii j.'TIr~tJ I1 1./; L. F, � � •� t:s � •!' ry :�:i`i - ti-... - APPLI'-ATION FEF:, - _ PQ M I T Of y Y4 NOTES: Ju` city Atlantic gcB01.of 4 _ 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. CHECKS 7/18/97 81 Receipt: 8872 14 ATLANTIC ACH BUILPING D" PART ENT 9 � - ,� X188883221888 By: _ t f CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date — ! Heated Square rootage (91 Der Sa it = S r n arage Shed S 2 S r per sq Carport/Porct_ �' �a S per sq ft = S Deco @ S per sq ft = Patio V @ Sper sq ft = S C 99 TOTAL VALU:.T I ON : S O 9� /r-0a Tom 1 Valuation 1st $ /000 k, 17y tj 100 0 Remaining Value S — ner thousand o� portion thereof TOTAL BUILDING FEE S 0 0 + Filing Fee $ 3 d - �o ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE S `7 Q • d WATER IMPACT FEE $ SEWER IMPACT FEE S WATER METER/TAP S CAPITAL IMPROVEMENT S SEWER TAF S ( 1 RADON (HRS ) . 0050 S SECTION H PAVING ( j $ HYDRAULIC SHARES S CROSS CONNECTION $ ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES : Mechanical Plumbina_ Electric/New Electric/Temp ; SwimminaPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) ��I��UT �• CylikkNE9 Address: Z g S 0@ Phone: Lot # 7-41 Block or Unit #�Z � Subdivision: Contractor• 0„(�-7�Q�i State License # a Address: Phone No: Describe work to be done: ate! Present use of building: , valuation of Proposed Construction. Proposed use: Gt r--C Is this an addition? If yes, what are the dimensions of the added space: g ft. X �� ft. Will the added area be heated and cooled? /W New electrical (or increase) ?"-At_ New plumbing fixtures? & New fireplace?,-A New Heat/AC? TT+'O ($EzIDEKZI'.I�-_COMPLEZE_S� _OF PLANS INCLUDING SITE_ PLAN . _ SURVEY PXODE FORMS, NOTICE""i7F JCOMI� NCEMEIPT, OWNER/CONTRACT AFFIDAYTT, IF OWNER IS CONTRACTOR. Signature OWNER: � Date: J` Signature CONTRACTOR: An F Date: License Supplied: Liability Insurance: VED Worker's Compensation Insurance: ti Q NN�NG 6�Q' ti .1111. 15 1997 Cit of Atlantic Beach Building and Zoning 1 C'IT'Y OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 �\ FAX(904)247-5805 6 �. SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY, IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER 2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-226( 1). AN "OCCUPATIONAL LICENSE 11 IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY 'CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PR PERTY OW ER/BUILDER ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS_�DfA`f'�CIE_.__ � NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING V patticlBAmon m DEPARTMENT. -' MY COMMISSION k CC553881 EXPIRES August 27,2000 ° OP BUNGED THRU TROY FAIN INSURANCE,INC, �lilAP �I�C�11VIiV�o �iU�$VEY OF South th'r.ee (1.-3)' feet of Lot One (1) ; Lots Two (2) throur_h and .i.nc 1 uc'i nr7 ix (G) Block 22.9..;= `5ectivn "H" , Atlantic Reach accor�?inn to Plat thereof recor,lec' in Plat Boot :l8 page X34 of the current ouhlic records of Duval County , -1 1or10 L Randy&Crystal Millner FOR: 1286 Stocks St. +++JJJ Atlmtic Bch.,FL 32233-2631 �ESC,P/�J'/mit/ :45 WEST "`f 57WEET L.O T / o /02. 0 r v s N L O S L O T x O �fi.... � 2-�efn/ 5��• She�y1 OJ gO EPC� TZ'pO O Q�PN �9 t ® - — 1 � _ L O T l L O T 1 51- 0c < 197 196 i' NOT VALID UNLESS EMBOSSED WITH A SURVEYORS SEAL NOTE: ELEVATIONS SHOWN THUS-(10.0) BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929. I 1 HEREBY CERTIFY THAT THE ABOVE LANDS WERE SURVEYED UNDER MY RESPONSIBLE SUPERVISION LEGEND AND DIRECTION, THAT THERE ARE NO ENCROACHI`�ENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD CF H CONCRETE MONUMENT LAND SURVEYORS.PURSUANTTO SECTION 472.07,FLORIDA STATJTES. CLARY, MILLER a ASSOCIATES, -iC. x-x FENCE PROFESSIONAL LAND SURVEYORS PEG �'- 31+0 LVO FIORD j „u E.FLoanA32z,R 0 IRON PIPE FOUND SIGNED 15-207-/'919 82 x CROSS CUT SCALE "" 40" --- -- _ GREGORY ,P.L.S.CERT NO REO.No. 399 CHK.By Ae .All __ F.B. �34 -- — P.G. C? - PSR-3844 4 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ LOCATION INFORMATION ---- =ermit Number : 15714 idress : 1185 STOCKS STREET ATLANTIC BEACH , FLORIDA 322_,_. Permit Type: FENCE Rnq : ____._ ____ :'lass of Work-NEW -- -- LEGAL DESCRIPTION - Constr . Type: CHAINLINK. Block: 197 Lat ; 3 Tt�g, proposed Use : SINGLE FAMILY Section: n Subd: Dwellings : n Subdivision; SECTION H Est . Value: 0 .0c Improv, Cost : 1 , 000 . 00 Total Fees : 14 .00 Amount Paid 10 . 40 D-0- Pa12 91 -jork _'HAINLINK FF." BEHIND FRONT YARD SETBACK LINE ` ?FdEp: INFnRF1AT?�N _____-_-- __,__ .____ APPLICATION FEES ZE EDGAR PERMIT 1, `lam¢ . Lv %ddr : 13-15- TALBOT 11VENUE ?r<"K ONVILLE . .FLORIDA 3'"1"` Phone: � 909 38s?-- 3741 ry ONTRA 7T ',F: INFORMATION Name : PF-,_�PERTY O�INEF Addr : y.; Exp,, , Type : 1 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' IMPROVEMENTS.LIEN LAW CAN RESULT 99 THE PROPERTY OWNER PAYING TWICE FOR BUILDING ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION OR VIOLATION OF APPLICABLE PROVISIONS OF LAW. @I Receipt. 02"r CASH 88188993ZZ1068 ATLANTIC BEACH BUILDING DEPARTMENT APPLICATION FOR FENCE PERMIT Owners Name 1 XPhone 49 6 7� Joh Address Lot Block and/or Unit # 19 Subdivision Contractor if different from owner Valuation of fence-$ 1,0 Corner or interior Lot. Type of Construction \ Show location and height of fence as well as location of street(s). s Owner Signature Dates 3- j Contractor Signature Date RECEIVED 2 3 1997 city of Atlantic Beach Building and Zoning i i I z0a ¢ W C IC) x 1 + Q) z E4 r l� Oxa NJ M VZ Zto 4 C6 Lq O v V\ � �Y, 91oON ox J Q x z o o z �' > � 3 w 9 ~ toa L mw V Z t: c oFU, 3 o L s ° z O -1 p L QE- ¢ Q P� ^,~� �� I c z > v 11 Ci x lZ H �� x U w - � U) o x C � Z M , g/oON � � fn F- E-4 a r j >4 �-+ ¢ ��N h E+ W V ~ 2 w 4 F- xco 0 to C 44 Cl E n. W � _ azo 3 S/1 0 J— 5 E-4 V x = cn E-4 W E- F. x c ¢ V V X: C. z [,' UZ= = Z W ^ac ZC� cc Qo � ¢ IVa ¢ ell E' � NQ 3 ¢ xo a w G z F+ Y � x � � x v: F Q I N oozy LL H Q - r Wz _ f } yr` C Rpt' Cr E-4 Z � . o a O p � H ^ a- 12x0 � = E o - Z xx �+ J Cs. rr_ CITY OF .� %— oav��` Official Of Building CTION 6 REQUEST FOFt JNSPE /g 7 G�- // Pe It No. A.M. Date P.M. Time ll Locality Received MECHAN►CAL Contractor Job Address PLUMBINGAirC1 and & is ELECTRICAL Rough Heating OWne ❑ Place ❑ Name CONCRETE Rough Wiring ❑ ToP a�t ❑ pre Fab t ING ❑ Temp Pole Sew ❑ Footing ❑ Final P.M. Slab ❑ CTION Framing. Lintel FOR IPISPE Friday Re Rooting ❑ READy Thurs. Insulation - { Wed. Tues. P.M. 1 [ Delon. Q ccupanOy❑ -' Certificate of O Inspection Made Date Inspector \ PSR-3844 12466 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - --- PERMIT INFORMATION ---- -. ------- LOCATION INFORMATION hermit Number: 12466 address : 1285 STOCKS STREET Permit Type : PATIO ATLANTIC BEACH , FLORIDA32233 "lass of Wark:ALTERATION --- LEGAL DESCRIPTION - Constr . Type:W00D FRAME Black: 229 Lot : 2b3 Twp: � Proposed Use: SINGLE FAMILY Section: 0 Subd: Rna: Dwellings : 0 Subdivisian: SECTION H Est . Value: 0 .00 Improv . Cost : 2 , 106 . 00 Total Fed 37 . 50 Amount 37 . 50 ti INET INFORt f ION -- -- - APPLICATION FEES ---- Name;: RPS; MILLNER Addr - S'rO ` S GREET ATL.ANTI Bj FLORIDA 3". Phone 9,4 44 26n -----_ r:Dj.TRPti R INFORMAT" ' Name: PROVER C�wNER Exp ' 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 REVOCATICf;FgFt4 VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 8/20146 01 Receipt: 0982057 00100003221000 ATLANTIC BEACH BUILDING DEPARTMENT BY: CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address a F Date R Heated Square Footage per sq f t Garage/Shed L� —(� $ © _per s(1 O Carprt/Porch d ,3 I/ _per sq f.t. = $ a 0 6--- _.. Dec; -@ $--� per sq ft = i ----- S 0 per sq f t = $ --� TOTAL VALUAT 1 014 : S 10 c� s Total Valuation 1st S Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ _ + 1;� Filing Fee $ _ (C ) Fireplaces @ $15 . 00 BUILDING PERMIT FEE WATER IMPACT FEE S _ SEWER IMPACT FEF: WATER METER/TAP CAPITAL IMPROVEMENT SEWER TAP $~-_-_--_ ( ) RADON (HRS ) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES CROSS CONNECTION ( ) SURCHARGE . 0050 S OTHER S GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES : Mechanical Plumbing_____ Electric/New Electric/Temp _; SwimmingPool Septic Tank Well ___ ; Sign—_Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : r � 2 : 1996 CITY OF ATLANTIC BEACHRRllll {{��nn�� d Zoning PERMIT APPLICATION REMODEL , ADDITIONS OR ALT'`�IA44 DEMOLITIONS Owner(s) : '�-1 �—� ��1► � )nel— A 'K, 6A Address : 1d155 �.-�t3r'k- � IFiovAA xi.;-I Phone: Lot # cW) lock or Unit # did C1 Subdivision: Contractor: d WK) State License # Address : Phone No: Describe work to be done: d? Z) Present use of building: vrX'ee-tFA I n )ck i 1 Valuation of Proposed Construction - Proposed use• Is this an addition? les If yes , what are the dimensions of the added space: 13 ft . X ft . Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? NO New fireplace? h)G New Heat/AC? Ivy SUBMIT4� COMPL TE SETS OF PLANS, INCLUDING ITE PLAN, 4MACTOR EY E ,NOTICE OF COMMENCEMENT, AND 0 AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: " a Signature CONTRACTOR: yI1 � Date: License Supplied: Liability Insurance: Worker's Compensation Insurance: CITY OF 1*&4a c Fend - 9&v&& 800 SEMINOLE ROAD _ ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 Chapter 489, Florida Statutes,Part I 'CON=UCTION CONTRACTIN4'requires OwnerBuilder to acknowledge the law: ` MCLOSURE STATENENT for Section 489.103(7),Florida Statutes: State law requires construction to be done by licensed contractors. You have applied for a permit under the exemption to hat law. The exemption allows you as the owner of your property,to act as your own contractor even though you do not have a 'license. You�... s�ipervise he construction yourself. You may build or improve a one-family or two-faily residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building_mu_a+be for your own .g and occupence. It,may not be built for sale or lease. If you sell or lease more than one building you have built yourself within 1 year after the construction is complete,the law will presume that you built it for sale or lease,which is a violatioin of this exemption You may not hire an unlicensed person as you contractor, Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people cmployed by you have licenses re sir d by_state law and by _0 or municipal licensing ordinances. Ordinances also allow an Owner to improve thei r own property when it is for personal or family use,and likewise requi re all work(except maintenance under$2,000)be under a building permit and pass all normal inspections. The ordinance states owners may physically do work themselves;or=v hire unlicensed workers provided such workers be under "directn"ryision of the owner,who must be on the iob site at all times while work is in progress by unlicensed trades people." Thus does not allow use ofunlicensed contractors. Since om moors may be Liable for i xes to workers they hire,the Building Department suggests Worker's Compensation insurance ;,e purchased unless the homeowners insurance policy clearly protects the Owner. Owners hiring workers become employers and should also observe IRS withholding tax and/or Form 1099 requirements on the workers they employ on their improvement work. ".tir�,apri rnrrtrartnra r of be emnloyed mdgr any rirruumatanres. Owners being subject to$5,000 penalty under Florida Statute 11o.455.228(1). An'OccWa ional Licerac'is not adequ&. The owner should physically see the county'Certificate of ^_ompetency'or the Florida'Contract.ors Certificate'to ascertain if a person is a licensed contractor. Telephone the Building ,epartment(247-5826) if in doubt. I hereby acknowledge that I have read d understand all the above on this U day ofu 199 (Witneizs�,Build' Employee Own Builder Addr�s &4, � ;CTE: Phrases underlined above u-e emphasized by the Building Phone )epartment. S �z, yx� PT" / /L C� 3/� 677 , 13' � S, y UvLL i S + z BULD IN F«E " UG 2 99 3' ri L4 tN 2 € 1996 Building and Zoning ►S w 713.13 .1 3 LAWS FS it AAMCo root" 400 4b � Irle of (��amrrt�elt MOR►AR• IM DUPUcAT61 fizhtmc t! ngag t:w1<tYm ' The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property.................:3........ ........o.. ....... ,. ........ (� .. !. ....».„ ±5.. ...............J.. _C� �.........c..:.�: �......... :`� � . ..........»�ltx... .......... ........0............... .... .. General description of improvements.................. J.n .......... ...........»�. ......». ... _».» _ .»»»»».._.-.......... ........ .� ...........................................................................».. .» _»..._»»..»............ ............................................ Owner .......................�.... :�, L I n l.... ... ..... ................................................_.............................................................»............».»..................................... Address....................� ...............r ........... .............. �,°K1 Z,....._ .�» ..»»3z. ..3 3 Owners interest in site of the improvement..........................................................................................»..»_.».»»... ..... »................... Fee Simple Tide holder (if other than owner) Name ................................................................... , ............................................................................................................. ........»»»..».........._........... Address......»»......................................................................................................................._............................ .. ....... ...........».. ......_........... contractor..... . w ?.» -»....................................................................................................._.......»....»». ...... ....».. .........» Addreat..........._...............»................................................_........................................................».......»..............»..»...... ...... ..._. .. » Surety (if«+y)i� ...�. l .»............»».......................................................................................................... »....._... »»...»». ....» ».»......».....».....».».............................................................»............................Amowr of boed ..»».......»............... Name of person within the State of Poride doegnated by owner upon whom nalmm or Gown doomm& Noy be served 1 I Nan* ..........�`J... ......».............»...........»........................................................................»..........»...».».... ..._ Address...................................................................................................................................................................................................................... ddress.........................»..................................................................................................................................................»».....»................................»..... In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided i Section 713:13 (1) (F), Florida Statutes. (Fill In at Owner's option). Name ........ .�'.»..................................................._.................................................................................. Address HIS SPA"FOR anconoat•s eras.. _.._.. ,... .� . ....._.._.. .......»» _..__.......»........ .. ._..... ONLY ...... ......_.... ._.........w ............................ Owner Sworn to and subscribed before me *is.....X20.............. ....................................19......... ................................................ .' eG................ ..........»».»..._..» ..» ».. ...... Notary Public PATRICIA ANIONETTE 'IT STATE OF FLORIDA PU3LIC fly Cornm Exp$/27/� coMNI rIBR CC220017 ..EVATION CERTIFICATr' °PIKES:JUN EXPIRES:JUNE 30 1900 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD ►. JRANCE PROGRAM n u tam-a to be used for. q Poet-FIRM construction onty when the ba"flood Information is MilebN for the building site,and 2)Pre-FIRM buildings rated using Post-FIRM rules. Instructions for completing this form can be found on the rover"side. BUILDING STREET ADDRESS Apt-Alune-U rte- / N • I Sevilla I1 Condominium .ia Z,K _ OTHER DESCRIPTION(sock and lot numbom.,etc.) T I Atlantic Beach Florida 32233 t� Cl This form is to be completed by a land surveyor, engineer, or architect who Is authorlsation I information for zones A 1,430, AE,AH, A(with BFE), VI-V30, VE, and V(with BFE)Is re lriy owner, or the owner's representative should complete the information In Section I and are authorized by local law or ordinance to rovlde floodplain management information me SECTION I BUILDING ELEVATII 1. Using the Flood Insurance Manual or the NFIP Flood Insurance Application- r_ 2. FIRM Zones Ai-A30�jAE, AH, and A(with BFE). The top of the reference i elevation o�feet NGVD. (or other datum-see #5) 3. FIRM Zones V1430, VE, and V (with BFE). The bottom of the lowest hori2 the selected diagram is at an elevation of feet NGVD (or other datum-see N5). a. FIRM Zone'AO. The floor used as the reference level from the selected diagram is wfeet above highest natural grade next to the building (also enter In line 8). This value must be equal to or greater than the AO Zone flood depth number listed below. If no flood depth number Is available, is the building's lowest floor (or reference level) elevated in accordance with the community's floodplain management ordinances? ❑Yes ❑No ❑Unknown 5. Indicate th4 elevation datum system used In determining the above reference level el at' NGVD ❑Other (describe on back) 6. Indicate the elevation datum system used on the FIRM for base flood elevations: NGVD ❑Other(describe on back) (ATTENTION:N the elevation datum used in"reasuring the elevations is different than that used on the FIRM, then the elevations provided must be converted to the datum system used on the FIR ) M. 7. is the reference level based on actual construction? es ❑No' j A "No" answer is only valid if the building does not have the reference level floor in place. Fill in the elevation based on construc- tion drawings and do not complete question N8. If "No" is checked, this certification will be valid only for buildings in the course of construction. After construction of the reference level floor is completed, a post-construction elevation certificate will be required for I j continued flood Insurance coverage. 8. Provide the following measurements using the natural grade next to the building (round to the nearest foot). a. The reference el is: b. The garage floor(if applicable) is: �/0 Lfeet � El Wow(check one) the highest grade. w feet ❑above ❑below(check one) the highest grade. feet above ❑below (check one) the lowest grade. II feet ❑above ❑below(check one) the lowest grade. SECTION 11 FLOOD INSURANCE RATE MAP INFORMATION Provide the following from the proper FIRM (see Instructions on back-Date of FIRM) end accompanying !nsurance application: I COMMUNITY SUFFIX (In AO Zone,use depth) ELEVATION ESTABLISHED FOR ZONE A 120075 0001 D 04/17/89 'A/X" C OR ZONE V.IF AVAILABLE A Elevation reference mark used appears on FIRM ❑Yes ❑No (See reverse side for details) SECTION III CERTIFICATION Ms cerci iurron is to `Sig y a a surveyor, engineer, or architect w o is authorized y state law to cert) elevation information when t s elevation information for zones Al-A30,AE,AH,A(with BFE), Vi-V30, VE, and V(with BFE)is required. In the case of zone AD, the building ofNci the property owner, or the owner's representative can sign the certification. Community officials who are authorized by local law or ordinance to provide floodplain manasggeement information, may also sign the certification. I certify that the Information on this certificate represents my beat efforts to Interpret the data availaWo. I understand that any false statement may be punishable b line or Imprisonment under 18 U.S. Code, Section 1001. Philip M. Ghiotto 4195 i A I I U (or la ) Registered Land Surveyor H. A. Durden & Associates, Inc. TITLE i' COMPANY NAME 1103 South "Phird-Street Jacksonville Beach, Florida 32250 i ADNA E CITY STATEI 1-8-90 (904) 249-7261 SIGNA RE DATE PHONE I The kwu,srfoe spent should attadt the copy of thecompWW form to the flood kaurenoa policy apiptIcetn.loThe mom copy should be supplied to the ol yhol poW sew the V*d copy ntah+sdby the peert The fourth copy is for the local ooawswnfty per"oMos,N i q-AA Is THIS FORM MAY BE RE . ;:OR OPTIONAL COMMUNITY USE: Is tete reference level also the lowest floor under the community's fk)odplaln management ordinances? YES ❑NO It NO the elevation of the k>weat floor Is feet NGVD. %LLVAI IUN GF.HTIFIC:ATE EXP�N SIJUNE3016,.. VLDERAL EMERG. Y MANAGEMENT AGENCY NATIONAL FLOO iURANCE PROGRAM This torr.:#to be used for 1) Post-FIRM construction only when the base flood Information It available for the building site, and 2) Pre-FIRM buildings rated using Pott-FIRM rules. Instructions for completing this form can b*found on the reverse side. I BUILDING POLICY STREET ADDRESS Apt.•/VUnd-V I / N . ROUTE BOX NUMBER Sevilla Recreation Area ,f'�+r t7-6 OTHER DESCRIPTION(Block and lot numbers..etc.) Atlantic Beach Florida 32233 CITY STATE ZIP E This form is to be completed by a land surveyor, engineer, or architect who is authorized by state law to certify elevation information when the elevation information for zones Al-A30,AE.AH, A(with BFE), V1-V30, VE, and V(with BFE)is required. In the case of zone AO, the building official, the property owner, or the owner's representative should complete the information in Section I and me y also complete the certification. Community officials who ere authorized by local law or ordinance to provide floodplain management information may also complete this form. SECTION I BUILDING ELEVATION INFORMATION t Using the Flood Insurance Manual or the NFIP Flood Insurance Application—Part 2 Worksheet, indicate the proper diagram number_ 2 FIRM Zones Al-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of /?, _feet NGVD. (or other datum-see N5) 3. FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level floor from the selected diagram is at an elevation of feet NGVD (or other datum-see N5). 4. FIRM Zone AO. The floor used as the reference level from the selected diagram is W feet above highest natural grade next to the building (also enter In line 8). This value must be equal to or greater than the AO Zone flood depth number listed below. If no flood depth number is available, is the building's lowest floor (or reference level) elevated in accordance with the community's floodplain management ordinances? []Yes ❑No ❑Unknown � /' 5. Indicate the elevation datum system used in determining the above reference level elev 'onsEL..,'hGVD ❑Other (describe on back) 6. Indicate the elevation datum system used on the FIRM for base flood elevations: GVD ❑Other (describe on back) (ATTENTION:11 the elevation datum used In measuringg the elevations Is different than that used on the FIRM, then the elevations provided must be converted to the datum system used on the FfRM.) 7. Is the reference level based on actual construction? 52 s ❑No' A "No" answer is only valid if the building does not have the reference level floor in place. Fill in the elevation based on construc- tion drawings and do not complete question M8. If "No" is checked, this certification will be valid only for buildings in the course of construction. After construction of the reference level floor is completed, a post-construction elevation certificate will be required for continued flood insurance coverage. 8. Provide the following measurements using the natural grade next to the building (round to the nearest foot). a. The referenc el is: b. The garage floor (if applicable) is: /V/W L 9 feet 0 ❑below (check one) the highest grade. (�feet F]ow El below (check one) the highest grade. L..,1 feet ❑below(check one) the lowest grade. (�feet ❑above ❑below (check one) the lowest grade. SECTION 11 FLOOD INSURANCE RATE MAP INFORMATION Provide the following from the proper FIRM (see Instructions on back-Date of FIRM) and accompanying insurance application: M U t i-LOOD ELEV. COMMUNITYIFLOO (in AO Zone,use depth) ELEVATION ESTABLISHED FOR ZONE A 120075 0001 D 04/17/89 "A/X" C OR ZONE V.IF AVAILABLE Elevation reference mark used appears on FIRM (-]Yes ❑No (See reverse side for details) SECTION III CERTIFICATION This certi fCalion is foif signed by 1 land surveyor, engineer, or architect W o is authorized y state law to certify elevation fn Ormation when the elevation information Iw zones Al-A30,AE, AH,A(with BFE), V1-V30, VE, and V(wlth BFE)is required. In the case of zone AO, the building official, the property owner, or the owner's representative can sign the certification. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. I certify that the information on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. j Philip M. Ghiotto 4195 CEATIFIER S NAME LICENSE NUMBER(dr Affix el) Registered Land Surveyor H. A. Durden & Associates, Inc. TITLE COMPANY NAME 1103 South Zhird Street Jacksonville Beach, Florida 32250 ADOA!XS.S, CITYA IP A,/� w 1-8-90 (904) 249-7261 IG NATURE DATE PHONE The Irruranoe egant should attach the orional eopy of the completed form to the flood Meurnwe polley appllas"on.The second copy should be supplied to the polkyholda and the th&d copy Weir"by thel*pent.The fourth copYOs for the �commilir y permit office,1/rpufrsd. THIS FORM MAY BE RE -OR OPTIONAL COMMUNITY USE: Is the reference level also the lowest floor under the community's floodplain management ordinances? YES ❑NO If NO the elevation o1 the lowest floor is feet NGVD. 593-117 (6/87) IEVATION CERTIFICATA °EXPIRES:JUNE b 1M FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOW. URANCE PROGRAM T^,s loan,s to be used for. 1) Post-FIRM construction only when the base flood Information is available for the budding site,and 2) Pre-FIRM buildings rated using Post-FIRM rules. Instructions for completing this form can be found on the reverse side. BUILDING STREET ADDRESS Sevilla 02 Condominum Apt AJUnd-U d ROUTE BOX NUMBER Atlantic Beach, Florida 32233 OTHER DESCRIPTION(Block and 101 numbers..etc.) CITY STATE zip This form is to be completed by a land surveyor, engineer, or architect who is authorized by state law to certify elevation information when the elevation Information for zones A 1-A30,AE, AH,A(with BFE), VI-V30, VE, and V(with BFE)Is required. In the case of zone AO, the building official, the property owner, or the owner's representative should complete the information In Section 1 and may also complete the certification. Community officials who are authorized by local law or ordinance to provide floodplain management information may also complete this form. SECTION I BUILDING ELEVATION INFORMATION 1. Using the Flood Insurance Manual or the NFIP Flood Insurance Application—Part 2 Worksheet, indicate the proper diagram number_ 2. FIRM Zones At• 0 E. AH, and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation of feet NGVD. (or other datum-see M5) 3. FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level floor from the selected diagram is at an elevation of feet NGVD (or other datum-see M5). 4. FIRM Zone AO. The floor used as the reference level from the selected diagram is W feet above highest natural grade next to the building (also enter in Zine 8). This value must be equal to or greater than the AO Zone flood depth number listed below. It no flood depth number is available, is the building's lowest floor (or reference level) elevated in accordance with the community's floodplain management ordinances? ❑Yes [:]No ❑Unknown ��.,,-,� 5. Indicate the elevation datum system used in determining the above reference level elev ionsf&1t1GVD ❑Other (describe on back) 6. Indicate the elevation datum system used on the FIRM for base flood elevations: GVD ❑Other(describe on back) (ATTENT70N:If the elevation datum used in measuring the elevations Is different than that used on the FIRM, then the elevations provided must be converted to the datum system used on the FIRM.) 7. Is the reference level based on actual construction? Ejj.. ❑No' A "No" answer is only valid if the building does not have the reference level floor in place. Fill In the elevation based on construc- tion drawings and do not complete question #8. If "No" Is checked, this certification will be valid only for buildings in the course of . construction. After construction of the reference level floor is completed, a post-construction elevation certificate will be required for continued flood insurance coverage. 8 Provide the following measurements using the natural grade next to the building (round to the nearest foot). a. The reference el is: b.The garage floor (if applicable) is: Imo/I feet e ❑below(check one) the highest grade. W feet ❑above Elbelow (check one) the highest grade. LTJ feet e ❑below (check one) the lowest grade. W feet ❑above ❑below(check one) the lowest grade. SECTION II FLOOD INSURANCE RATE MAP INFORMATION Provide the following from the proper FIRM (see Instructions on back-Date of FIRM) and accompanying insurance application: on AO Zone,use depth) ELEVATION ESTABLISHED FOR ZONE A OR ZONE V.IF AVAILABLE 120075 0001 D 04/17/89 "A/AE" 9' Elevation reference mark used appears on FIRM [:]Yes ❑No (See reverse side for details) SECTION III CERTIFICATION This certification is to be`signed by a land surveyor, engineer, or architect w o is authorized y state law to certify elevation information when the elevation Information bit zones A1-A30,AE,AH,A(with BFE), VI-V30, VE, and V(with BFE)is required. In the case of zone AO, the building official, the property owner, or the owner's representative can sign the certllication. Community officials who are authorized by local law or ordinance to provide floodplain management Information, may also sign the certification. I certify that the Information on this certificate represents my best efforts to Interpret the data available. I understand that any false statement may be punisheb/e bt fine or imprisonment under 18 U.S. Code, Section 1001. Philip M. Ghiotto 4195 CERTIFIER S NAML (or Affix al) Registered Land Surveyor H. A. Durden & Associates, Inc. I TITLE - COMPANY NAME 1103 South Third Street Jacksonville Beach, Florida 32250 STATECITY IP i 1-8-90 (904) 249-7261 DATE PHONE 1 S1f3NATURE I The Mnanance para should sataeh theorf sl copy of the completed form to the flood Inwrsnce policy oppllcotlon.The second copy should be suppuW to the a i poftvt and the p+hd copy retained by the spent The fourth copy Is Mr the local oonwmxNty Permit office,H nqulnd. THIS FORM MAY BE REPRODUCED. cOR OPTIONAL COMMUNITY USE: Is the reference level also the lowest floor under the community's floodplain management ordinances? J YES ❑NO if NO the elevation of the lowest floor la feet NGVD. �7 1 LEVAnUN CERTIFIVAF, EXIRESJUNE 301YY0 )< FEDERAL EMERG( f MANAGEMENT AGENCY NATIONAL FL00 URANCE PROGRAM • e Tn,s lorn;';Cso W used for 1) Post-FIRM construction only wren the base flood Information Is available for the budding site;and 2) Pre-FIRM buildings rated using Post-FIRM rules. Instructions for completing this form can be found on the reverse side. BUILDING ONNAME8 STREET ADDRESS Apt-A/Und-U aide / pg.• NO. ROUTE BOX NUMBER Sevilla 43 Condominium S: 7 OTHER DESCRIPTION(Block and lot numbers..etc.) 1 Atlantic Beach, Florida 32233 STATE zip E CITY i rh/s form is to be Completed by a land surveyor, engineer, or architect who is authorized by state law to certify elevation information when the elevation information for zones Al-A30,AE,AH,A(with 8FE), VI-V30, VE, and V(with SFE)is required. In the case of zone AO, the building official, the property I owner, or the owner's representative should complete the information in Section I and may also complete the certification. Community officials who are j authorized by lout law or ordinance to provide floodplain management information may also complete this form. SECTION I BUILDING ELEVATION INFORMATION 1. Using the Flood Insurance Manual or the NFIP Flood Insurance Application—Part 2 Worksheet, Indicate the proper diagram number_ i 2. FIRM Zones Al-A30 AE. AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of 1/, feet NGVD. (or other datum-see M5) 3 FIRM Zones V1430, VE, and V (with SFE). The bottom of 'he lowest horizontal structural member of the reference level floor from the ,elected diagram is at an elevation of feet NGVD (or other datum-see M5). 4. FIRM Zone AO. The floor used as the reference level from the selected diagram is W feet above highest natural grade next to the building (also enter in line 8). This value must be equal to or greater than the AO Zone flood depth number listed below. If no flood depth number is available, is the building's lowest floor (or reference level) elevated in accordance with the community's floodplain management ordinances? ❑Yes ❑No ❑Unknown 5 Indicate the elevation datum system used in determining the above reference level elevations: NGVD ❑Other (describe on back) 6. Indicate the elevation datum system used on the FIRM for base flood elevations: NGVD ❑Other(describe on back) (ATTENTION:If the elevation datum used in measuring the elevations is different than that used on the FIRM, then the elevations provided must be convened to the datum System used on the FIRM.) 7. Is the reference level based on actual construction? es ❑No' A "No" answer is only valid if the building does not have the reference level floor in place. Fill in the elevation based on construc- tion drawings and do not complete question N8. If "No" is checked, this certification will be valid only for buildings in the course of construction. After construction of the reference level floor is completed, a post-construction elevation certificate will be required for continued flood insurance coverage. I 8 Provide the following measurements using the natural grade next to the building (round to the nearest foot). a. The reference lev is: b. The garage floor (if applicable) is: A / (�teat Elbelow (check one) the highest grade. (�feet Elabove ❑below (chec one) the highest grade. LZ fee( Wbove ❑below (check one) the lowest grade. w feet ❑above ❑below (check one) the lowest grade. SECTION II FLOOD INSURANCE RATE MAP INFORMATION Provide the following from the proper FIRM (see Instructions on back-Date of FIRM) and accompanying insurance application: i COMMUNITY N F -UXT " ESTWATED BASE (In AO Zone•use depth) ELEVATION ESTABLISHED FOR ZONE A OR ZONE V,IF AVAILABLE 120075 0001 D 04/17/89 "AE" 9' Elevation reference mark used appears on FIRM ❑Yes ❑No (See reverse side for details) SECTION III CERTIFICATION This cart/ration is to signed by a land surveyor, engineer, or architect w o rs authorized y state law to certify elevation information when the elevation information for zones AI-A30, AE,AH,A(with BFE), V1-V30, VE, and V(with BFE)is required. In the case of zone AO, the building official, the property owner, or the owner's representative can sign the certification. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. I certify that the information on this certificate represents my best efforts to interpret the data available. f understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Philip M. Ghiotto 4195 CERTIFIE NAME LICENSE UN (or Affix at) Registered Land Surveyor H. A. Durden & Associates, Inc. TITLE COMPANY NAME 1103 South 'Third Street Jacksonville Beach, Florida 32250 _ CITY STATE - 1-8-90 (904) 249-7261 SIGNATURE DATE PHONE The knurame egeM should attach tie orlpinW copy of the completed form to the flood insurance P01"application.The Second copy should be supplied to tie polkyholdeand HtG r d the eopy retained by the agent.The fourth copy to for the local commurifty permit office.M wquked• THIS FORM MAY BE REPRODUCED. FOR OPTIONAL COMMUNITY USE: Is the reference level also the lowest floor under the community's floodplain management ordinances? YES ❑NO it NO the elevation of the lowest floor is feet NGVD. cnn ..v rr_rn 1%rk1:rt:1t J. PAIII(S. JR. CONSULTING ENGINEER T[L[/NOM[ 396.6696 2014 ARCADIA PLACE AREA COOL 904 POST OFFICE BOX 5210 JACKSONVILLE. FLA. 32207.0210 Auguat 21, 1982 Mr. A. William MossCity Manager City Hall Atlantic Reach, Florida 32233 SUBJECT: Flood Insurance • Dear Mr. Moss: Reference is made to your memorandum to the writer dated June 28, 1982 titled "Flood Insurance Study and Flood Insurance Rate flap" with attachnents described therein, and to your memorandum of August 6, 1982 subject Flood Map. After reviewing the attachments made available to us with the first memot'andum, it appears that the 90-day appeal period will be up about October 1, 1982, and we have the following observations to make: I (a) Until such time as larger culverts are installed under Seminole Road, The Plaza and 11th Street, Zone A in that drainage area west of Sherry Drive and north of Atlantic Boulevard should extend all the way down to Sturdivant Street, and the Base Flood Elevation should be 91 The elevation of the C/L of Seminole Road over the existing culverts is 8.61' , and I have seen the water spill over the road within the past few years. There should be a Zone A west of the Police & Fire Station (between Seminole Read and The Plaza, and the Base Flood Elevation should be 8.51 . The C/L of paving elevation on the Plaza is 8.21' , and I have seen the water over it. I believe that the Zone A on the south side of the" Plaza at the east end of Clipper Ship Lane (near where Seaspray S/D and Jack Russell Park join.) had been relieved with the provision of a new storm sewer when the sub- division was developed. The last "low" lots tributary to that area were filled and developed along the south side of The Plaza this year. The A Zone. west of Seminole Road, and between The Plaza and 11th Street, should have a Base Flood Elevation cf 8.01 . The C/L of paving elevation on 11th Street over the culverts is 7.3019 and water has been up to that elevation. 41 015 n� ">� .. • the''�as� s..+6.4 Fir. A. Willinm Moss August 21, 1982 Page 2 (b) The Zone B on the north tide of Atlantic Boulevard and in the Beaches . Aquatic Club is in a•different drainage area which is also tributary to Pablo Creek (Inter Coastal Waterway) via Neptune Beach. That Base Flood Elevation should be 8.09 . (c) That Zone A north of Country Club Lane and generally between Park Terrace East and Park Terrace West (in the Selva Marina area) should have a Base Flood Elevation of 9.0' . The planned C/L of paving elevation over the culy- . . ert on the principal drainage under Saturibe Drive is 8.131 , and I suspect ' the actual elevation is very close. • The Base Flood Elevations that I have suggested in this letter for the different A Zones are based on information that I have available in this office. In order to justify the proposed elevations, I know of no more basic information than to establish floor elevations in existing houses. But, since such information will be of principal value to the property owners, I believe that they should pay a large part of the cost. If such a surveyis attempted, I would suggest H.A. Durden & Associates. This office is not staffed to do such work. With the new subdivision ordinance, we will hopefully have better control'of the construction of streets and drainage. Now that flood insurance is to be a part of property development, when an application is filed for a building permit (residental) , the principal floor elevation of the structure can be stipulated, and the builder can determine the elevation from the paving elevation in front of the lot. In other words, the structure should be located on the lot both horizontally and vertically. Very truly y irs, VIAL11'LR J Af S P.S. All attachments received with your first m orandum are returned herewith. i CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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. ti l ck Y Rf JOURNEYMAN ELECTRICAL FIRM: MA► R ELECTRICIAN-SIGNATU NAME ADDRESS:1f�d s RFD BOX BLDG.SIZE ®O C _T- BETWEEN: RES. 1 APT. 1 1 comm. ( 1 PUBLIC ( 1 INDUS. 1 1 NEW (C) OLD ( 1 REW. ( 1 ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS 1 1 SO. FT. SERVICE: NEW �6 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE >" AMPS C''O//P,,PER ( 1 ALUM. 1 SWITCH OR BREAKER AMPS PH _3 Wt�1/OLT 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 O-SO 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 CEIL HEAT: KW-HEAT - - v 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 t CITY OF Vead - 9e 716 OCEAN BOULEVARD P.0.BOX 25 - -_ -- ATLANTIC BEACH.FLORIDA 32233 TELEPHONE(904)249-2395 Date 2/3/86 TO WHOM IT MAY CONCERN: This is to advise all interested parties that the nearest Water/Sewer Main (delete one) to Lots 2 &3 Blk 229 Section "H" is located at Levy Rd. Btwn Rose & Orchid Sts. which is approximately 1,270' linear feet from the above listed property. THE MANHOLE INVERT ELEVATION IS APPROXIMATELY 6.56 Verified by: Public Services Director Title NOTE: Section 22-90 of the CODE OF ORDINANCES of the City of Atlantic Beach states in part, " At such time as a public sewer becomes available to a property served by a private wastewater disposal system,----------- -------a direct connection shall be made to the public sewer within ninety (90) days in compliance with this article ------------------- W4 66' 3 25e47 REORDER FROM a UAL TYbUSINE5S FOAMS INC (904)3%3652 CITY OF ATLANTIC BEACH No. 1366 FLORIDA February 27 Iq 86 NAME Randy Millner ADDRESS 1270 Hibiscus Street Service Address: 1285 Stock Street CITY Atlantic Beach, FL 32233 i , 0 l Water Impact Fee 40-34 n 1 i J I jCl I MAY BFin When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER P �n k + �' 7 i rte, CITY OF ATLANTIC BEACH t� ATLANTIC BEACH, FLORIDA r r, w i F i TELEPHONE: 249,2995 c. UTILITY BILL � = TOTAL i 1 DATE =-A WATER SEWER GARBAGE OTHER r a f DUE .� { r r'3' +.^• z Y HIS RECE PT SER Swu J— F Y� it RDER. TAE RECE PT TO PUBLIC l J 4 k FE y •.5 WORKS DE T. TO CHEDUL WORK. 200 SAM PIPER L kNL 3 h RETAIN THIS STUB �~•' �,- SERVICE DISCONTINUED s Thai ..lZ u : PAYABLE IN ADVANCE IF NOT PAID WITHIN nti 3 R ,' r��s NO REFUNDS 30 DAYS OF DATE SHOWN k 's UrIL TFC WORK ORDER Owner/Contractor yyLnr` art l� -b Street Address I S o Lot# 3 BlocWP o?a R Subdivision -- Type of Building � - WATER M6'IER INS"rAL=ON Address Size Account Meter Meter (if m-llti-family) Meter Number Nt m h r ceding - ._�_ Date Ins talled: By: 'YES NO Locate Water Locate Sewer Make Water Tap Make Sewer.Tap NO ES: UTILITY AGREEI`'IENT (Water and Sewer) THIS AGREEM=, made and entered into this 27th day of February 1986 , by and between the City of Atlantic Beach, Florida, a municipal corporation, hereinafter referred to as "City", and Randy Millner, 1270 Hibiscus Street, Atlantic Beach, FL 32233 and its successors and assigns herein referred to as "User". TAMEREAS, User owns land in Duval County, Florida, described as follows: 1285 Stock Street, Lot 2 4 3, Block 229, Sect. H and WHEREAS, User plans to develop said land by constructing 1 buildings, 1 residences and/or other improvements thereon Consisting of a single family home and WHEREAS, The City is the owner of a water plant, water distribution system, sewage treatment system and sewaUe collection plant in the vicinity of the above described property; and 1,1HEREAS, User will need water and sewer service, and User desires City to furnish same; and WHEREAS, City is willing to operate such water and sewage treatment system so that all buildings constructed on User's property by User may have furnished to them water and sewer service, subject to all terms i and conditions of this Agreement, NOW, THEREFORE, in consideration of the premises and other good and valuable considerations and in consideration of the mutual covenants and conditions hereinafter contained, the parties hereto agree as follows: (2) 1. Upon the terms and conditions herein contained, the City agrees to provide potable water and domestic sewer services to the User's Property. The term "domestic sewage" used in this paragraph and referred to throughout this Agreement is defined as follows: Human waste including liquids and solid matter carried from plumbing fixtures normally carried off by drains and sewers, and except where specifically excluded bath and toilet wastes, laundry wastes, kitchen wastes and other similar wastes. It does not include commercial or industrial waste. 2. City agrees that after User has connected to the system, thereafter City will provide, at its costs and expense, but in accordance with other provisions of this Agreement, including rules and regulations and rate schedules, sewer service and water service to User's Property in a manner conforming to reasonable requirements of public governmental agencies having jurisdiction over City's water and sewer operations. 3. User shall, at its costs and expense, install all of the potable water distribution and domestic sewage collection lines which may be required on User's property, including engineering cost, to connect City's plant to the User's property, and all other facilities necessary to make it possible for the City to provide adequate potable water and domestic sewage service. If buildings more than two stories in height are constructed on the User's property, the User, at its own expense, agrees to furnish to the City any equipment which may be necessary for pumping potable water to the additional height with associated back-flow preventers, (3) At all times during the construction of the potable water and domestic sewer lines and related equipment, the City shall have access to the construction and the right to inspect the construction to insure that the lines and related equipment are being installed in accordance with the plans and specifications approved by the City. User shall construct the domestic sewage disposal lines in such a manner as to insure that no water from air conditioning systems, ice machines, swinming pools or any other form of condensate water shall flaw into the domestic sewage disposal lines of the City and nothing other than sewage in its strictest sense shall be discharged into the domestic sewage disposal system of the City. City shall inspect all connections made by contractors, plumbers, builders, etc. to any portion of the sewer system that discharges into the sewage collection system owned or operated by City or contemplated to be owned and operated by City under the terms and conditions of this Agreement prior to being covered up. City shall only be obligated and will only provide water and sewer service to User's property upon 100% completion of all terms and conditions of this Agreement. 4. User shall pay a planning and inspection fee in order to defray all actual costs to City of preparing and executing this Agreement, including any attorney's fees; and conducting the inspection and testing of the installation of the User's Extension; and all other administrative costs incident to accepting the User's extension, Said fee shall be equal to one half of building permit fee. 5. User shall pay City a "Sewer Rnpact Fee" of $1,035.00 per residential unit and a water impact fee of $10.00 per fixture unit/or as otherwise (4) provided in the City's Code of Ordinances, 6. The City shall provide water and sewer service to User's property upon payment to City of the standard meter charges as provided in the City's Code of Ordinances ($85.00/ 5/8 x 3/4 inch meter) , 7. Payment of the Sewer In-pact Fee, Water Impact Fee, Plarming/ Inspection Fee and Water 1,11-ter Charges, shall be made in full at the time City approves the plans. 8. In the event, at a future date, City's charges, rate schedules or fees are revised, subject to the operating rules and regulations and approval of governmental authorities having jurisdiction, then in that event, User and/or assigns shall pay the charges, rates or fees then in effect on date of payment, 9. Hydraulic share of main extensions-payment or refund: User recognizes that water or sewer utility service to th User's property is provided by the use of a main extension and other improvements constructed by a prior developer and that User is obligated to refund to said prior developer User's share of the cost of said main extension or other improvements, Accordingly, User shall pay its pro rata share of the cost of said main extension or other improvements to City. Said pro rata share shall be based on Developer's percentage of the hydraulic capacity of said extension or other improvements. For the purpose of this Agreement, the cost of Developer's said hydraulic share shall be $ N/A With respect to utility facilities installed by User to which future developers connect directly, and in consideration for marries expended by User toward said facilites, City shall refund to User, or User's successors or assigns, solely from monies collected from said future developers, said future developer's pro rata share of the cost of said facilities, Said refunds shall be calculated on the basis of the hydraulic capacity and demand of said future developer whenever feasible, The refund obligation of City hereunder and the benefits to User related thereto shall expire five (5) years from the date of execution of this Agreement, Said refund shall be made to User within sixty (60) days of the receipt of payment by City from a future developer, ' 10, If any damage is done by User, its agentsor employees, to the existing potab14 water lines or domestic sewer lines of City or other utilities CATV, electric, phone, or the potable water lines or domestic sewer lines installed pursuant to this Agreement, during or after the installation thereof and by reason of construction work, User shall at his expense, make such repairs as are required to restore said potable water or domestic sewer lines to the condition which existed before such damage occurred, but in the event User does not restore said potable water or domestic sewer lines (but this clause shall not be construed as to require the City to make such reparis or restoration) , User shall provide the City and its agents adequate access and facilities for the making of said repairs. All costs incurred by the City in making such repairs shall become immediately due and payable and shall be considered in all respects the same as if said charge had arisen in connection with the rendition of the regular services of the City, 11. Notwithstanding any provision of this Agreement, the City shall have no obligation to provide sewer services to any customer producing sewage which is unusually burdensome, unusually costly to process or substantially detrimental to the sewage system. 12. This Agreement shall be beinding upon the parties hereto, their successors in interest, grantees, transferees and assigns. In the event User transfers any part of the User's property, it will cause its transferee to comply (6) in all respects with the provisions of this Agreement. 13. In the event the City sells either its sewer treatment plant or collection system or its water treatment plant or water distribution system to any governmental body or any other purchaser, then, in such events, this Agreement shall terminate as to the City on any protion sold and all of its obligations or liabilities hereunder shall cease and determine for that portion sold. 14. The City may shut off the water to the User or any other person and refuse to accept sewage from the User or any other person if the User or any other persons shall fail to pay any sums due hereunder when the same becaue due and payable. Nothing herein contained, however, not any action taken by the City in pursuance hereof shall impair any other remedy which the City might have, at law or equity, for breach of this Agreement by Owner or any other person. 15. City does not guarantee an uninterrupted supply of water for any purpose or water at any particular pressure for any purpose and reserves and shall have the right to shut off the water in its main at any time for the purpose of making repairs or extensions or for other purposes incidental to its water supply and will not be responsible for any damage caused by low pressure. City shall have the right to turn off water service at the main where the User has been found to be useing water illegally, and to assess a fee for restoration of service. 16. The City shall have the right to assign and transfer this Agreement at any time provided, however, that no such assignment or transfer shall impair the rights or increase the obligations to the User or any other person pursuant to this Agreement. (7) 17. Unless sooner terminated as provided herein, the initial term of this Agreement shall be 15 years. After the initial term of 15 years from the date of the execution of this Agreement, the terms of this Agreement shall automatically be renewed for successive terms of five (5) years each, unless written notice of termination of this Agreement is provided by either party hereto, not less than ninety (90) days prior to the commencement of any such renewal period. 18. It is expressly agreed and understood between User and City that there are no other written or verbal agreements applicable herein between User and City. 19. This Agreement may be amended and modified from time to time as necessary by mutual written agreement of the parties hereto. IN WITNESS WHEREOF, the User and the City have caused these presents to be executed the day and year first above written. Signed, sealed and delivered in the presence of: User Witness � r 01 1 ity o Math a to ss CITY OF &awziz Bead 716 OCEAN BOULEVARD ^^^�� --- --- -- ---- - - - _ P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 October 30, 1986 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #4727 - 1285 Stock Street Permit issued to Barkoskie Electric Company Permit #4934 - 1980 Mipaula Court Permit issued to Munson and Bryan Electric Company Sincereo y, 6ne' Angers ommunity Development Director cc:building file i Otto (�4IvIffi Of ��n� Yoo heTn Sta„lard e c S°ut u7ith th Section l09 °fah�L°U,nc� uiTe ents°i ''s st7ucture ollowL�t' t to the te9 issua'ticc th ror the f 390 to issued p'tirsuat at the tt e ofist7uctiolc of use 8�asQ`��is Bet et t 'rills Ceftiitca cettifiyinb th 'buildiiti�' c INX� � 1gaU,5 S T ode latjnb g«�c.. 0 alb Buijdin8 C a+tires regu est 1al e F�r� v 1�� on tl�/ '• va'�°us otain *Zew egidCor ' Sti-see e9 e S G �,otsn',�n8 ,2$5 Jam•ins ” BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested : August 5, 1987 Building Contractor: Jim Walter Homes Building Permit Number: 7390 Address : 1285 Stocks Street Legal Description: Lot 2 & 3 Block 229 Section H Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as Single Family ----------------------- Lowest Floor Elevation : ---------- ---------- ---- required as built n/a Sales Tax Certificate: _ "?6_ -0-QY2LD �-_ 9(7 �BrS= 7 date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: ZBY:,Fire Chief __ 8/5/87_ __ �,---- ---- -- Public Works 8/5I87 n - Planning Director 8/5/87 --------------- Building Inspector __8/4/87- 8145 Dr TMENT OF BUILDING pB,RMIT NO...! CITY OF ATLANTIC BEACH,FL ORIDA -' PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB }19 ' Date I'ee i 110 I Fee$ Valuation$ and is li til above fee has been paid[o City Treasurer. I This permit not valid un rovisions of law. subject to revocation for vil oatio on f applicable p I nary and Joann dale II This is to certify that i fence in back ar r®vac d has p ermission to build I Zone I Classification fIal e Sro Owned by Block----- I Lot House No• art of this permit FORMS I rovepwhich are p NOTICE—ALL CONCRETE BE MIN- According to appd plans AND FOOTINGS UST POURING. 1 Z SPECTED BEFORE PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE " g rubbish and debris pBuilding material, be laced � from this work must n t be placed st in public space, an'd either con- i i up and haule away by tr or o r' II / Building Official. i CONTRACTOR I PERMIT DATE I FOR OFFICE NUMBER I USE ONLY I PLUMBING I ELECTRICAL I i SEWER �� I iI WATER FEE $1 0 APPLICATION FOR FENCE PERMIT CITY OF ATLANTIC BEACH PROPERTY OWNER Name: hd x/ Day Phone Address: Zip Code APPLICANT,, IF OTHER THAN OWNER Name: Day Phone Address: Zip Code JOB INFORMATION Address or Location: Lot Block Subdivision APPLICATION MUST INCLUDE SITE PLAN SHOWING PLACEMENT OFFENCE I CITY OF ATLANTIC BEACH APPLICATIO14 FOR PLUMBING PERMIT JOB LOCATION PLUMBING CONTRACTOR LICENSE NUMBERS OWNER BUILDING CONT TOR SaP - TYPE OF BUILDING 14&aA� It -S INKS �iSHOWERS .;�, LAVATORY _WATER HEATERS _BATH TUBS DISHWASHERS URINALS _DISPOSALS CLOSETS _WASHING MACHINE FLOOR DRAINS OTHER �TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . cn 'T1 r• C) 9 C7 r a z C7 rot" o cCO ra 8 U GQ ) v p n cn 1-4 n w n (D w r• a (D �l n n — n rt a a cn �1 10 r• (D o0 0 wcn „n 1-'•d a• v ° ((DD p r°t, P. n O H H H n a z b rt a s (D 0 0 0 r- a w w r- FA 0 n rt rt rt rt a n w El a 0 rt ro w w w 1-4 n (D rt F-' b cn M P. n r-' F� F (D �4 F n (D M r" 0 c) Cl) Q) FFb 0 14Q- ti ro � ((D 0 0 rt rt n (D n 0 rt C) rrt rrt:jPIn 0 � a ° ((DD w 0 n n (D r• M b ro 0 n rt p - w w - 5 F' n (D rt rt n n (D 7d (D o n 1-4 rt n rt rt N (D rt b n t" A3 C (D (D P. (D n CD •b 0 � a rt � CD . .Ly rt �° v rt i 1-4 0 CDD n (( 0 D CY 0 9 n n w a. U) a b ro 0 r• n r• m ro 0 FF- 0 : �( a rt H hi `D cn rt o 9 0 z (D w ((DD (� o ti9 w G� PICD �, O o 0 tzi aq (D z ro pn w w r• (D O oo (n a. Fl y rt v � n (D CD H H CD v a (D N y � h ro .- C rC/3o P_ L,\ 111GQ0 txj w { � n rxj rt r• cnHroH 0 n 0 En m I 'd (D (D n n o _ w 10 (n a w w C) M ` CDD w H . P. o• rt ^ rt K (n k �03 0 O H ( 1 v1 w pa v w d Mo (n rt oo rt n M (D n IC a 5 rt C r- Fi7 w 1--' (D r- n r. y rt Ip P) :j M `� w F- itW FE BIW Mrt Fl- •4. m r- Cy 00 Imo CD ::r I�0 n CITY OF >*&aae beat.( - 57&u�& 716 OCEAN BOULEVARD _, ._•._ _ _. ______ _ __._.-----.- ---_ P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 August 5, 1987 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #4727----1285 Stocks Street Permit issued to Barkoskie Electric Company. Permit #5493--�"1929 Seminole Road Permit issued to Bill Thompson Electric Company. S' erel Y, Rene' An rs Community Development cc: building file RA/te f MAP SHOWING SURVEY OF Fii(.nPlatt hree ( 3) feet of L,ot nne ( 1) ; Lots iwo (2) throuch and incluoinn S'ix ck 229 , Section "H" , Atlantic Reach according to Plat thereof recorded Book 18 page 34 of the current public records of Duval County , Floric-L FOR: Halter R. Millner DESC,ei�T/oAl 45 WEST 1474 $TAEET 707 / O 0 /02. 0 IT P. � � tV - 0 Ct1 L O 7-' O OT 3 � O v O a � O m Kc N � 7- 07- OT S tj) O v _ J LOT 069 v 90 s�r�o 5--7 i P X02. 0 ' L O T 1 Z- ,5 B z-O Cfl 197 BG OCd( 196 I NOT VALID UNLESS EMBOSSED WITH A SURVEYORS SEAL NOTE: ELEVATIONS SHOWN THUS-(10.0) BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929. rl HEREBY CERTIFY THAT THE ABOVE LANDS WERE PURVEYED UNDER MY RESPONSIBLE SUPERVISION ILEGEND AND DIRECTION, THAT THERE ARE NO ENCROACHhENTS EXCEFI AS SHOWN AND THAT THE SURVEY SHOWN HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE F:.ORIDA BOARD CF ■ CONCRETE MONUMENT LAND SURVEYORS,PURSUANT TO SECTION 472.07,FLORIDA STAT_ITES x-x FENCE CLARY, MILLER & ASSOCIATES,p`4C. PROFESSIONAL LAND SURVEYORS i PEG 3„o LVO ROAD IRON PIPE FOUND J $O/ ILLE.FLORIDA 32218 SIGNED SPT 15 19 83 6, x CROSSCUT tzoSCALE � : 4p'� - --- _ _ - - — GREGORY . P L S CERT NO mmkwmmmm� -aa REO.No. 399 CHK.By rA-7. — F.B. P.G. 63 S INSPECTION LOG JOB ADDRESS CONTRACTOR OWNER ` BUILDING PERMIT / OECTRICAL PERMIT PLUMBING PERMIT TEMPORARY POLE PERMIT MECHANICAL PERMIT MISCELLANEOUS PERMIT FLOOD ZONE DATE SURVEY FILED Called-In Approved J .F .A. Temp Pole Footing 3 -3 3 - Slab Framing �_ d Plumbing (R) —� - Electrical (R) 4P)l V Mechanical Fireplace Top out b Other L ►AD-F EL ��a-7 X7 Electrical (F) FINAL INSPECTION Certificate of Occupancy Issued C011MENTS : CITY QF - _ - i Office of Building Official /I p/ REQUEST FOR INSPECTION Date_ ' -�/ O / TIM n� Permit No. Received ac/ P.M. District No. Job Address Owner's Locality Name_ � Contractor BUILDING NCRETE ELECTRICALPLUMBING Framing ❑ Footing Rough Wiring ❑ Rough MECHANICAL ❑ Air.Cond.& ❑ Re Roofing ❑ Slab Temp Pole r ❑ Top Out ED Lintel Fire Place ❑ READY FOR INSPECTION Pre Fab on. Tues. Wed. A.M. Thurs. Friday_P.M. Inspection Made P.M. Inspector Final inspection❑ Certificate of Occupancy Date CITY OF 4tl a c &4-�lozu Office of Building Official REQUEST FOR INSPECTION 2 �_ Permit No. Date , Time V pn District No. �'t�A/ Received 7Locality Job Adddroes Owner's /`�.> > �� M l L/��Lt �—Contractor MECHANICAL Name CONCRETE ELECTRICAL PLUMBING BUILDING COEl Air.cond.R ❑ p Rough Wiring ❑ Rough 0 Heating Framing ❑ Footing Top Out S ❑ Temp Pole ❑ Fire Place ❑ Slab Re Roofing ❑ Pre Fab Lintel READY FOR INSPECTION Friday Wed Thuro. Friday_------P.M. Mon. Tues. 7- InspectionMaoe tion C Finallnspec Inspector Certificate of Occupancy Date CITY OF ' Office of Building Official REOLIEST FOR INSPECTIO i, Permit No. 2- Date A.M. District No. Time P.M. Received Locality Job Address Owner's— ��/ i' Contractor Name PLUMBING MECHANICAL CONCRETE ELECTRICAL ❑ Air.Cond.l£ 0 BUILDING 11❑ Rough Wiring Rough Heating Framing Footing 13 Temp Pole ❑ Top Out Cl Fire Place Lintel ❑ Final Re Roofing Slab Cl Fab READY FOR INSPECTION A.M. h Friday--- --P.M. Mon. Tues. Wed P.M. InspectionMade Final Inspection C3Inspector Certificate of Occupancy Date CITY OF ri /� /� �J /3P. -"t&U4& Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time P.M. District No. Received I VSs rS Locality Job Address Owner's Contractor R� Name ANICAL BUILDING CONCRETE ELECTRICAL PLUM ING Air.MEConHN ❑ Framing ❑ Footing ❑ Rough Wiring 'El Heating Re Roofing El Slab ❑ Temp Pole ❑ Top Out C Fire Place ❑Lintel ❑ Final ❑ Pre Fab READY FOR INSPECTION A.M. Thuro Friday P.M. Mon. Tues. A.M. Inspection Made f Final Inspection❑ Inspector Certificate of Occupancy Date CITY-OF n . A �4&,,&, /nn3�- & UL U—2, Office of Building Official REQUEST FOR INSPECTION Permit No. Date A.M. District No. Time P.M. Received e/ Locality Job Address owner's Contractor Name_--- PLUMBING MECHANICAL CONCRETE ELECTRICAL ❑ Air.Cond.& ❑ Footing BUILDING Rough Wiring G Rough Top Out Heating ❑ Framing L' Temp Pole �' Fire Place Be Roofing ❑ Slab y Final Pre Fab Lintel A.M. READY FOR INSPECTION Friday P.M. Wed urs. Mon. Tues. .M Inspection Made Final inspection❑ Inspector Certiticate of Occupancy Date 44'.nTt1 MKT pERM��[d °. ��pGAC T of gVjL.DjNG , 3 t IN .J DEpART�/IEN Ic BEACH.FLORIDA CITY OF ATLA BUILD pfVk BE POSTED T� ON JOB THIS PERMIT MUST � 27 19� Date 44.00 Fee$ fee Treasurer,and is Valuation$ e has been paid aw until above fu subj able City provisions of l ercnit not valid for violation of apo 'j'bis P ect to revocation This is to certify that fission to 1d� has perm Zone Res idem lal SID � Classification Block- Owned by TE FORMS Lot art of this Permit ALL CONCU$T BE IN 1 which are P NOTICE o[1NGS M House No. laps AND FO BEFORE POURING. to approved P MONTHS According SPECTER IT VOID SIX I PERApTER DATE OF IS dna debris a Balding rnater�al, ustb no, 'be be placeed from this work m e, aftust be cleat Con- in pnblic s led away by either con -� dna � uP tractor or owner. Z $wilding �1 CONTRACT OR DATE � PERMI FOR OFFICE NUMBSR USE ONLY PLUMBING ELECTRICAL SEWER WATER T BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: AA 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) trL Master Name of Property Owner Signature of Owner Signature of or Authorized Agent _ Archifect or Engineer 111. GENERAL INFORMATION A' Type of heating fuel: E3. IS OTHER CONSTRUCTION BEING DONE O)1 '(a- Electric THIS BUILDING OR SITE ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV, MICHANWAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed G Central ❑ Floor New Building Air Conditioning: ❑ Room ❑ Central ❑ Existing Building r ❑ Replacement of existing system Duct System: Materia Thickessa New installation(No system previously Instatled) Maxim / capacity c.f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9-pin. ❑ fire sprinklers: Number of heads ❑ Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pump• (number) 0 Tank (number) Remarks ❑ LPG contain*r+ (number) ❑ Unfired pressure Vessel Permit Approved by Date ❑ Boilers ❑ Permit few Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT ty weMNumber Unite Description Model Number 11[anufacturer (Tons) Ag s (.(ri P HEATING - FURNACES, BOILERS, FIREPLACES Capadty Number Units veslcrlpttan Model Number IICLUutactow, MM) ASIOCY i - TANKS Haw many No ubw Capsidlir Type Liquid Name o[ad Serial APA�°"u'6 eDlmeodoa oContained Mew t=W No. 7 DEPARTMENT OF BUILDING PERMIT NO.7 3 9 2 CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD 52900 T THIS PERMIT MUST BE POSTED ON JOB 52.00CKt ` X391 1 A 8/07/r Date 2/ _19 A6 7393 onAr 9391 1A 8M/r" Valuation$ Fee$ con This permit not valid until above fee has been paid to City Treasurer,and is i subject to revocation for violation of applicable provisions of law. This is to certify that RMIdDY 14 I has permission tOtW I Classification Residential Zone Owned by BlockS/D _-- Lot li House No.— 112ilS According to approved plans which are part of this permit NOTICE ALL CONCRETE FORMS * AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS _, AFTI'R DATE OF ISSUE � r---�. 0 Building material, rubbish and debris �� zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- t tractor"or owner. I Q� uilding Official. PERMIT DATE CONTRACTOR FOR OFFICE USE ONLY NUMBER PLUMBING ELECTRICAL II SEWER I WATER DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD 25?.75 T THIS PERMIT MUST BE POSTED ON JOB P52975CKT I 9286 1A 2/27/13 Date January 9,_19 86 7390 00CA 70,417.35 252.75 9286 IA 2/27/8 Valuation$ Fee$ l QQo This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that JLM tiMTERS HCINFS, I14C PO Box 16965 Jacksanville has permission to build Single Far_1i.ly Home Classification ResictMal Zone R01a" Owned by H mi*DTillner Lot 2 & 3 Block 229 S/D Section H ,House No. 1255 S`IYX'rtC S= According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 0 Building material, rubbish and debris i from this work must not be placed in public space, and must be cleared = up and hauled away by either con- ac or owner. B lding Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER Date------------------------------------19 ...... , Permit #.......................yes j...-..-...... CITY OF ATLANTIC BEACH Valuation $...................................................... FLORIDAHouse #---•-•.......................•-----.....-...__.._. ..........................................................-..-........... APPLICATION FOR BUILDING PERM Application Is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it L suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date................. = . 19....- Q ) ..--- bJn..er....._...---•--._....---•....................Address........ /! /1SC(dS....Y:..Tel honeNo. OwnerAY1Lu�. �.l-Jl I o� H_41 eP \ Architect.........................................................----.---• ...........................Address,...........................................................Telephone 170.......-.............. .. Contractor Builder-----. n l.._... .�T__ ..... . ................Address__..Pl a:.Jc-..1�.4�.f_.�.=7`t .._Telephone Lot No--------�-/I-, 3--------•--••-------•----•----Block No......... ............Sub Division.......Sec 10►.).....I ------------------------------------------Zone 71. K S Side Between.....'......-- ... ...............and...............i,J.'-.-L-----------------------_Sto. ------------- - a�----------------------------......Street------------�---(.--.. I�-.-------- Valuation $.....33,9:3 ..........For what purpose will building be used..........STA).................Type of construction--.-)11Q��...�.'ca-w.c_ Dimensions of B '1 ' �.4�X_`- -XSD---_-----Dimensions of Lot------.-fG�a..X..IC. .....................Sire of Footings..... ----x/��'............... Size of Piers.... of Sills...s�X g.........---------Gzeatest Sill Span in ft.....1.`..............Type Roof-..01.S How will Building be Heated?......keeL�-----P.10 .p...........................Will Building be on Solid or Filled Ground?.......512.1! .._..._. Size of Ceiling Joists.-_- . .................. Distance on Centers.........a�._.........____...._.._..., Greatest Spam........,v........................ -.. " Sine of Floor Joists--------4?..__..X.��....................Distance on Centers.......... ............................ Greatest Span......... ............................ " Size of Rafters------------- ------------.-------., Distance on Centers........aV....._....._.....-.---•_-._, Greatest Span........I.................................. This rectangle is to represent the lot Locate the building or buildings in the Zht position. Give distance in feet from �lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W 2. When steel is in place and ready to pour columns and/or lintel. z , 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. W 6. When septic tank drain field or sewer is laid but before it is covered. .� 7. Electrical inspection by City of Jacksonville 00 8. Final inspection. ' � I Note: In case of any rejection,re-inspection MUST be called for after z5 corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance,with the building regulations of the City of/�ktlanU; each. Address :.. ?�...1�.Q ...,.......—��X.................. signature of Builder---_.._ ._ .. _.. ..------_......_..___.__. .............. Signatureof Owner................................................................................- Address.................................................................................................... PLUMBING WORKSHEET SINKS SHOWERS DISHWASHERS CLOSETS _ BATH TUBS FLOOR DRAINS WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN 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 $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (11 UNITZ URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (1 UNIT) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (8 UNITS) OUNITS) SHOWER STALL, DOTESTIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DI SHII.ASHER (.2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN ST.\K/t•]ASTE GRIND �� I ------ (3 UNITS) ® /� a TOTAL FIXTURE ITS @ $10.-00 EACH RESIDENTIAL CALCULATION FORM 900-A-84 CLIMATE ZONES 1 2 3 COMPONENT WINTER GROSS SUMMER GROSS -� WINTER SUMMER AREA is WPM = POINTS AREA x SPM = POINTS R 0-2.6 31.4 16.2 R 2.7-3.9 19.-3 11.5 CONCRETE R 4.0-5.9 15.6 9.9 N R6.0&UP 13.1 9.2 JR 0-10.9 26.1 20.0 Q FRAME 9.2 3 OR R 11.0-18.9 7.8 Z. j BRICK R 19-25.9 4.9 5.64.2 VENEER R 26 b UP 3.6 COMMON 7.8 2.5 WOOD OR METAL j 247.7 3: 37, 36.4 14.5 CC INSULATED 235.5 O STORM DOOR 124.4 29.0 p COMMON 61.9 4.5 R 19-21.9 /Woo,() 5.0 Q C 5.5 G UNDER R 22-29.9 4.1 5.0 ATTIC R 30&UP 3.3 3.7 Z R 6-7.9 14.2 14.9 11.3 J R 8-9.9 10.9 ILI SINGLE R 10-11.9 9.2 9.5 U ASSEMBLY R 12-18.9 6.7 7.0 NO ATTIC 5.0 5.5 R 19-21.9 COMMON 4.8 1.5 Lu R 0-6.9 Z9 CO.LL 15.5 7 9CC C, 4.8 aR 7-10.9 6.5 2.1 N WOOD R 11-18.9 5.6 1.8 w R19&UP 4.0 1.3 z O QCR 0-2.9 19.4 6.0 Oz 12.4 3.7 R 3-5.9 2.6 U-0 R 6-10.9 9.3 2.2 z CONCRETE R 11-18.9 6.2 w R19&UP 4.4 1.6 O COMMON 4.8 1.5 WrPERIMEITER DGE INSULATION PERIMETER WPM m G R 0-2.9 92.7 Q R 3-5.9 69.5 J ZR 6&UP 46.4 O 2 CLIMATE ZONES 1 2 3 FORM 900-1184 WINTER SUMMER OR AREA SGL DBL WOF GROSS OR AREA SINGLE DOUBLE SOF GROSS (9F) WINTER CLR TINT CLR TINT (9F) SUMMER POINTS POINTS N 157.4 120.8 N ,4 146 123 120 101 .60 GQ NE 157.4 120.8 NE 221 186 190 159 E 3 157.4 120.8 /a.3 E 289 242 251 209 l 2 = SE 157.4 120.8 SE 261 219 226 189 a g 157.4 120.8 i ,L S 3 190 160 160 134 / oZ N SW 157.4 120.8 SW 261 219 226 189 C W 157.4 120.8 , W 289 242 251 209 N W NW 157.4 120.8 NW 221 186 1,90 159 �A Z H 46.4 79.3 H 489 408 432 360 W J V 2 H O z O D H=HORIZONTAL GLASS(SKYLIGHTS). FOR SC OTHER THAN 0.83 SEE SEC.902.2(a)5.TINT MOLT.MAY BE USED FOR GLASS WITH SOLAR SCREENS FILM OR TINT. TOTAL GROSS WINTER POINTS ` TOTAL GROSS SUMMER POINTS 1 72,2 R=4.2-4.9 1.14 3 R=4.2-4.9 G i �' 1.14 HJ R=5.0-6.6 1.12 R=5.0-6.6 1.12 j� R=6.78 UP 1.09 R=6.7&UP 1.09 DUCTS IN CONDI- DUCTS IN CONDI- TIONED SPACE 1.00 TIONED SPACE 1.00 HSM FROM 9G .3 X ? -3/r J CSM FROM 9H 131,0X 71 DIVIDE BY DIVIDE BY // q p CONDITIONED 3pS jb,s /�C C, C' �, CONDITIONED 1D3�� / - /goo•o FLOOR AREA WINTER POINTS FLOOR AREA SUMMER POINTS CALC ULATE ENERGY PERF RMAN E INDEX WINTER SUMMER HOT WATER E.P.I. ADJUSTMENT ADJUSTED CREDIT PTS. PENALTY CALCULATED POINTS POINTS PTS. 91 SUBTOTAL MULTI. 9B E.P.I. 9C+9D PTS. 9E E.P.I. RID. q THE CALCULATED E.P.I.MUST BE EQUAL TO OR LESS THAN 100 POINTS. B AD TM NT M LTIPLI R CONDITIONED 901- 1101- 1301- 1501- 1701- 1901- 2101- 2301- LFLOOR AREA(SQ.FT) 0-900 1100 1300 1500 1700 1900 2100 2300 ABOVE ADJUSTMENT 1.21 1.25 1.31 1.36 1.42 .49 1.57 1.65 1.74 MULTIPLIER 3 voFTxEAT�oSTATE OF FLORIDA DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES E >' ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT Authority: Chapter 381, FS �D aE 26 Chapter 10D-6, FAC Applicant Randy Millner Permit Number 1285 stock St- ---------------PART t.---------------PART I - SYSTEM CONSTRUCTION SPECIFICATIONS AND CONSTRUCTION APPROVAL--------------- Treatment Tank Minimum Draintrench OR Minimum Absorption Size Size Septic tank or Grease aerobic unit 900 gallons interceptor gallons Square Feet Square Feet Septic tank or aerobic unit gallons Dosing tank gallons Square Feet Square Feet Graywater tank gallons Square Feet Square Feet Laundry Square Feet waste tank gallons Square Feet Other Requirements: (a) Installation must be in accord with requirements of chapter 10D-6, FAC. (b) A system construction permit is valid for a period of one calendar year from date of issue. ; (c) Final installation inspection and approval is required before bthe system O is cve overedlg rade benchmark. (d) Invert of stub-out for 30as Invert of stub-out for to be benchmark. Invert of stub-out for to be benchmark. Invert of stub-out for to be benchmark. (e) Fill quality and quantity: Excavate to a depth of 20" removing all orgauc material and. hardpan in area 30 X 58 ( to be verified by this office) and backfill to grade using good clean sand. Provide 26" elevation ( suitable oakridge type sand) in area X30 X 58. Cover with 9-12" of sand and sod or seed over mound within i days of final inspection. Public water required. (f) Other: System design and specifications by: J. Sliv Title EhS Date 2/26/86 Construction authorized by: s E iso County Public Health Unit Note: Completed copies of this form will be provided to the applicant, installer and the building department. AUDIT CONTROL NO. -2678 - HRS-H Form 4016,Feb 85(Obsoletes previous editions which may not be used) Page 1 Of 2 (Stock Number.5744-001.4016.0) .•...v..�r,�w ..a. e. �,.�... ,. ✓sd:�..�..:.�''.z....,.w. '��w.riailesc .w.dm,. _._...,:s:,.,. '"a- b f 3 to , q • STATUT00• wAss.Mty Oslo—WAG y;i fj`!�•J Pi; Tared inserumant prepared byt Randy L. Millner UMC1At. k�CORDS 1270 Hibiscus Street Atlantic Beach, Fl. 32233 10arranty feed t 4 THIS INDENTURE. Made this 30th day of November A.D. Io 85 BETWEEN a Walter R. Millner And Angie Millner, Husband 6 wife of the County of Duval State of Florida part ies of the first part, and Randy L. Millner - a single man whose mailing address is: 1270 Hibiscus Street ` Atlantic Beach, Florida 32233 of the County of Duval State of Florida party of the second part, WITNESSETH: That the said part les of the first part, for and in consideration of the sum of ' Tan and 00/100-------------------------------------------------------Dollars, to thea In hand paid by the said part y of the second part, the receipt whereof is hereby acknow- ledged, they have granted, bargained and sold to the said part y of the second part, his heirs and assigns forever, the following described land, situate, lying and being in the County of Duval State of Florida, to wit: South Three (3) feet of Lot One (1); Lots Two (2) and Three (3), Block 229 Section "H" Atlantic Beach according to plat thereof recorded in Plat Book 18, page 34, of the current public records of Duval County, Florida. } � r N ure, � t A.t3f EYt:!'IR WS Dfcty" I . 3�f- a� And the said part is* of the first part do hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever. 3 i IN WIITNE85 WHEREOF, the said part ies of the first part have hereunto set their hands and seal the day and year first above written. 8IQNED AND SEALED IN OUR FREBENCE: )ass-)�A- -- - --- --- - ----- ✓��l1L�L- �1_ �.E °---c ) :. r... SEAL J� -----__-"___'--------------• jz -:n j__ J__ (SEAL) ' ----------------------------------------------------- ---------------------------------------------(SEAL) - --------------------------- (SEAL) a : z f, STATE OF FLORIDA r � ss. 1 x COUNTY OF ---Duval___.--------------------- t 1 Before me personally appeared WA1 ter_R._Millner___._.._..___ _ . 1 i <, and -------An81a__Millner-----------------•-------------------------______- his wife, to me well known and known to me to be the individuals- d 1d and who executed the foregoing instrument, and acknowledged to and before me that __shay the same for the purposes therein expressed. y ,________ day of November WITNESS m hand and official seal this -_ ---____ <s.. s ---------- ----------------- ,, to 8A at __Jackgonv-_illa --------- ahtd stat iKo eitaid. s5119 ' ------------------ 4 4Ec Z3 2 j l `uun NpCa;y Public In and for the ounty and State Aforesaid. Pr"°lttq,eammiuion expires: May 22, 1987 X1.:1 ....i .;r. r•�l.'�. RON oil i ' Address AW d 65- J/2,t1L Heated Square Footage f C @ $_ �DD Per sq ft = $ Via, G'G' Garage/Shed @ $ per sq ft = $ 11 Carport/Porch �° @ $ OJ ner sq ft = $ (,2 7. 3 S Deck (a $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ �C ZI Total Valuation �� a 07 v V/ -,) 3 a 6 $ Remainder Valuation ,.Qoper thousand or portion thereof f S$ / � .� --------------- -----------------------------, Total Building Fee ADDITIONAL PERMITS and/or FEES REQUIRED i + 2 Filing Fee Fireplaces @ 15.00 $ Mechanical --7— BUILDING PERMIT FEE $ 5 a S Plumbingy Electric/New Electric/Temp v BUILDING PER41T $ .75-,7. ? S- Septic Tank WATER METER CHARGE $ WellS�'R U-TACT FEE $ I u Swinndng Pool WATER UTACT FEE $ 0 00 Sign MISCELLANEOUS $ Water Cormection $ Sewer Cormection $ Water Meter GRAND TOTAL DUE $ -------------------------------------------------------------------------------------- ------- CALCULATIONS and/or NOTES C�� CITY OF fQ&0d4c Beaclz- &W*A�12 Office of Building Official REQUEST FOR INSPECTION 2 Date Permit No. Time A.M. ReCeiDistrict No. v P.M Job Address y Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing E Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab Temp Pole Top Out ❑ Heating Lintel ❑ Final Ej Fire Place ❑ Pre Fab p/"/�� READY FOR INSPECTION A.M. Tues. /' Mon. Wed. Thurs. Friday-P.M. Inspection Maae M C w F Inspector Final inspection Certificate of Occupancy Date