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1833 Tierra Verde Dr (vault) CITY OF 11a4:c Fead - �kv_! a 716 OCEAN BOULEVARD P.O.BOX 25 r- ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 October 14, 1983 Pre-Service Section Jacksonville Electric Authority 3rd Floor 233 West Duval Street Jacksonville, FL 32202 Dear Sirs : The following final inspection has been made and is satisfactory : Permit # 3664 - 1833 Tierra Verde Drive , Atlantic Beach Permit issued to Adkins Electric Company. Sincerely, John M. Widdows Building Inspection Supervisor JMW/ra I:LEC IRICAL: BUILDING PEMI T WORKSHEET HEATED SQUARE F00TAGE: _ ZO 7 @ $ ��• _ - — per sq. ft. _ g CARAGE (PRIVATE/SHED) : d �` O @ $ `�� e�- per sq. ft. _ $— /Z_U(�. CARPORT: --- --- @ $ ------ ---- Per sq. ft. PORCHES: — —_ @ $ C-,, -- -------- Per sq. ft. _ $ - - -- - DECK: 3�0 _J -- -- @ $ ---C _ - _ Per sq. ft. _ $-- �� PATIO: ---- - — @ $ - ----------- Per sq. ft. _ $- ---- — 3,9 TOTAL VALUATION: $_/0,/— PERMIT FEES G; —` -' ? RJVED $ �d O 3- / _ / Sib — BEACH -S-Z - TOTAL N7ALUATION DATA 1st $— 501to CI 10 9 04 3 RITIAI.� ER VALUATION @ $ o2•-4v Per thousand or portion thereof __.. TOTAL BUILDING PERMIT FEE. . . . . . . . . . . , • . • • • • • • • • - • • •$1 70 �-�`�-— PLUS i THE BUILDING P R*SI FOR PLAN FILING FEE. . . . . ... . . . .$, �•�� �7/' c-L l TOTAL FEE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . •$ _�� --------------- -------------------------------------------- PLUMBING PEMIT FEE: $ I•.IECHANICAL PERMIT FEE: $ `/.ctai _ _ _— ELECTRICAL RESIDENTIAL: $ _ ELECTRICAL MTORARY: $ 31� Q EATER I`fETER SIZE: FEE: $ O SEVER CONNECTIO CHARGE: SQUARE FOOTAGE: &UUU SF FEE $ �J WATER CONNECTIO @ $10.00 PER UNIT: $,2[ 0 CIiARGE: FIXTURE UNITS ---- ACCOUNT NO. : APPROVED BY: TOTAL BUILDING/PLAN FILING FEES: $ oZp�Z. 7S TOTAL WATER :•,ETFR CHARGE: $ 0 S•0_ TOTAL WATER CONNECTION CHARGE; $ ac'h0 TOTAL SEWER CON::ECTION CHARGE: $ GRAND TOTAL DUE: $��0 Z•_ 7S Date..........._.._.--...._-.._-1>i .._.. R Permit #•......................Fee$------••-....._. CITY OF ATLANTIC BEACH Valuation $.........................................._....... FLORIDA Noose *--------_._ APPLICATION FOR BUILDING PERMIT Application els hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Data........................... .�...=�.... ..... : Owner.... .f� p.Nf--------------f".!-...---•-.....................••--------Address.-f�12.....�vff,#X•-•-•-5-�--------.....Telephone Architect.. .,;.. ,�?/ .........4 /�..LL •• -----••----Address,.... . 1....... ....... Telephone No... �,/'• g-�tS/ f�... /rc.s� icE /3(- RN Ry . Contractor Builder.. E . �.,�.............. ,.,,,. .......................Address... Telephone Lot No. -Ylfii.g. ......Block No..... ---Sub Division........ ... ...�.. � (x�- ! Zone T �� Street.. , �9c Bias Between-----... ............and........................_..............-...........Sts. Valuation $.... ,� A_9.4?.....Yor what purpose will building be used........................................Type of construction..................................... Dimensions of Building........................................Dimensions of Lot.........:....................................-.---.....Size of Footings......... Size of Piers....................................Size of Sills......................-.........Greatest Sill Span in ft...........................Type Roof..............................._..... How will Building be Heated?................................................................Will Building be on Solid or Filled Ground T......................._.. _.-- Size of Ceiling Joists........................................... Distance on Centers............................................. Greatest Span--------------_.............._... _ . . " Size of Floor Joists...............................................Distance on Centers.......... , Greatest Span................................. Size of Rafters....................................................... Distance on Centers.......................................... Greatest Span....------•---•---..-.....- This rectangle L to represent the lot. Locate the building or buildings in the A ht position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. S. When steel is in place and ready to pour columns and/or lintel. 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 W 6. When septic tank drain field or sewer is laid but before it is covered. q 7. Electrical inspection by City of Jacksonville. y� m S. Final inspection. Note: In case of any rejection,re-inspection MUST be called for wafter 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 A tic Beach. Signature of Builder.. ......#...y..................... � 4 .. -� . Signature of Owner. .........`�,.... tf Address..... t4.....Z,-ljt, ....S.f.... ... ...................... / vlUrut Boe•Rlty FL o/1�/» ?22� - - - - - -- - -- - - - - - - ADN T]01% - --- - — C{rt}-R0 AL /APPROVED - PI eas print---- BUILDING OFFICE UCCL-Pn7 ]O:: L NO. 0 �- -- - - -- - Op CO:-:Tr_LCTOP. ---- --- - -- - - -- --,. ;-OR' BATH 7 UBS ( Sl'.}:5--- -�- - - - - - -- ------t- --- --- liRl?:SLS -_ FLOOF DrL1;:S ?_ SETS _ �- SHG ..RS _1- WAIEP. H=S1 EP.S i D1 S?= SA RS - Di Si':'c ALS jA S:-;II:G .'_.'C'rilNE - OT'iER TOTAL-F-).YUT:E COJ)iT ALS c13oj, OT P1j::-:BI :G r?:D FIXTuP.ES :•fUST CC: =•.CE i�1 T-F, �r.t ';vST -EC NT TD1TI01: ___ _ —___-- ------------ -- --- 1J ,.. E SS3G:.'aT .f ;'L=- CODE. OF "=.51 EiYL�'SFR t!X URE UNIT AS TAE O "ATER h`_-J:D FOR E--tC'r. 'A EP. S----,D CC::' =C7L 10 Ti'E C11Y 1:r.TFP. TSI�':. +Ii£ ::rrFR SUPPLY C':'.P.GE 1S - r�r•_ }_).=D r7 �, .-'=-PS ?ER :1XTu r UNIT CO`�:.:£CTED TO irE Cl.1 �TLr S~ SI~':_ SEC_ 27-3 (c) �, .��rTL>F ("/OR 1:10 OVER Gvou-P CONSISTING OF _--— - -- - _ EF, C'_rISET, U',VA70P.I b BA_P, :;,,.R) (2 LT1TS) �T)C (^ 1 i UB OR S C`,:ER STA-IL (6 UNITS) £i DCiT (3 UMTS) _ CC'=�INAT ION SIMM, S iP'kT -)El:.TAL LAVATORY (2 SNI TS) (3 UNITS) (I UNIT) -- KITCHEN SINF. CG::BI':AT701: SINT, b !RAY W/ (2 UMTS) D�?:TAI. UNIT OR CL'SPI- -- FOOD DIS_ (4 WITS) DOR (I -N'lT) - 1:17ChEN SIN, - DRIINKING FOUNTAIN (11 UNIT) : WASTE CRI NDEF DlSL,•, ?: FLOOR DRAINS 1 UNIT) --- I -- — L,:'.ti7ORT, r L.�ATORY (I UNIT) F. L=.�:TORI', SLUR EONS (2 UNITS) - E __'•lid ]'r=?OF --__ SHO'."--,:RSG::OiJP PER P-AD (2 ;,;:1 TS) SURGEONS SINK (3 UNITS) (3 UNITS) n _ - POT, SCI _L_R1 t-1.L'SaI'`G R1": I1'}; (E U1.1TS) - S= VICE SI2�}: '1 p;�v ---- SI'�X (4 1-1 T_' "ITS) STAND (3 L UPI;:AL, PEDESTAL, SYiiiION JET iR'•;:AL STALL, -- -- - -- n_ ;AL, ' -.SHp� ( G C' -LC::OUT (S UNITS) ; :`L . Ln1 :A7Ts:OJG? EACH 2 (4 UNITS) ::=SLSI;:} EA SHING _?C?1; y RES_ f-iCTION (2 UNITS) (3 UN-1 TS) Or AIIC}TS ..-! P. CLC`SEiS, i=_.i: - - ::A (2 UN 1EP. CIG'SETS, :'-=?�'E (4 U; 3 TS) OY-rte:.D (5 L^:] aS) C ITY OF ATL%•';I IC r•'` %,CH 716 OC EAI; BUUL E:ARD ATLANT I C BEACH, FL ORI DA ADDENDUP 10 BUILDING PLA14 Bui1d1ng Location The attached plan for the above building is approved subject to meeting the fol10,�Ing applicable construction reouirer,ents : a. Footings shall be continuous monolithic concrete under exterior %:alts , reinforced with two 5/8" deformed reinforcing rods for one-story buildings and three 5/81' deformed reinforcing rods for two-story buildings_ Reinforcing rods shall be placed in t e lower one-third of the footines , properly placed and fastened on metal cable with wire. Footings shall be six inches wider on each side t`•an the ti:all :bove,'! shaII be at least eight inches thick and shall rest on firm soil at least t�,elve inches below undisturbed soil _ b. In hollow- m. so_n_ry unit construction, each unit cell shall be reinforced %:i th at least on No 4 bar at all conrners , poured and to-Ded with concrete; such rein- forcing shall be properly tied into the footing and s.arndral beam. C. A_ll wood truss rafters (roof cons_t_ruction) , shall be securely fastened to the exterior %•.alts with approved hurricane anchors or clips. d. corstructioi of nearby one-family d,•.el l ings , v.h; ch are duplicates or intensely similar, shall be avoided_ Such similarity considers the external conficuration and a;:;pea ra ►ce ( i . e. , roof , outer v;a 1 1 r,at er i a 1 s , window size and dcs i on, and other likecharacteristics) of structures. In accord with the foregoing, sirdar and shall be at least 500 feet apart if any one similar dr:elling Is -visiblefrom any other similar d,.elling. e. The final connection bets.,een the house plumbing drain and the sc_:er=service connection (at the property line) rust be inspected by the City before being covered_ City Ya.aper undersigned hereb certifies that he has read the above and understands that this endum takes oreced nce over any contrary details to the plans and specifications and lees to co:rlply with the intent of this addendum_ Contractor/O:m er Date ---- — -- �� The Energy Performonce index (EPI)rating can help you judge howl energy efficient a new home ;s. This card states both the EPI ALLOWED by the Model Energy Efficiency Code for this new home and its EPI rating at this !ocation and orientation. The lower the EPI is, the more energy efficient the house will be and the less it should cost to operate. Different homes can be compared by their EPI ratings if they are approximately the same size EPI THIS HOUSE:___&& S. MAXIMUM EPI ALLOWED: DOUSE SIZE RANGE: EPI is unknown; Code compliance calculated under Secticx) ____ ____. EPI might be higher than tyle maximum cllowable for a home this size. Compliance by Secticr) Prescriptive Approach fSoc. 903.11). EPI represents the maximum a.lowed for Compliance: the calculated EPI r-pay be lower than shown. EPl Was calcu!atad u.-)der -worst case" cond;fi,ns to Include several un;is and rncry 1_-9 lower then me number posted. Location of house: - Builder/Owner. _ -- - - - Date: - (Signature) Building Official: - Date: -- (Signature) - i DEPARTMENT OF BUILDING 5366 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 19 282*75 T1. Valuation$_ 70.103.95 Fee$ 282.75 282*75CKT 3359 IA 5/13/8 This permit not valid until above fee has been paid to City Treasurer,and is 5366 •UUCA subject to revocation for violation of applicable provisions of law. 3jb9 11 5/13/9 1 1710 This is to certify that %9X* REYHM41EGrISTUGFIO 1112 THIRD STREET. NB has permission to build SINGLE FAMILY EQUE, AS PFR PLANS SUBMITTED Classification SITt�FA)4TTy Zone gIM Owned by R_ PAN! GONSrRUGTIGN Lot 43 Block ------ S/Dsplva Tierra House No. 1813 Ti Arra Vprrlp Dri vp 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 4- 1 i O 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 ei r con- tractor or owner. ) (ding Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER FORM 902 CLIMATE ZONES 12'3` 9 F WINTER OVERHANG FACTOR (WOF) 9 f SUMMER OVERHANG FACTOR (SOF) FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW ------- ---- ---- ---- ---- ---- ---- ---- ---- ------- ---- ---- ---- ---- ---- ---- ---- ---- 0-0.9 0.98 0.99 0.74t� 0.82 0.93 1.00 0-0.9 1.00 1.00 1.00 1�.00�--.00 i.00 1.00 1-1.9 1. 0.98 ,0..999- 0.75 0..-7-3 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0,.97 0.98 0.99 1 .00 O. 3-3.9 1.00 0.98 0.999 0.81 0.79 0 94 1.00 3-3.9 1.00 0.95 0 .86 8 0.86 0.89 0.95 4-4.9 1.00 0.9810.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91 5-5.9 1.00 0.991, 1.00 0.87 0.87 0. 92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0.76 0.79 0.88 6-6.9 1.00 0.9911.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0. 75 0.85 7-7.9 1.00 0.99'11.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0.72 0.70 0.77 0.70 0. 72 0.83 8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.68 0. 77 0.68 0. 70 0.81 9-9.9 1 .00 1.00' 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0. 79 0.68 0.67 0.76 0.67 0.68 0. 79 10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.66 0.77 11-11 .9 1.00 1.00'11.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97 0.76 0.64 0.64 0.76 0.64 0.64 0.76 12 UP 1 .00 1.001 1.00 1.00 1.00 1.00 1.00 1.00 12 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75 9G HEATING SYSTEM MULTIPLIER (HSM) COP k.2-2.3 .4-2.5 2.6-2.7 2.8-2.9 3.0-3.1 3.2-3.3 3.4 & UP HEAT PUMP HSM 0.45 1 0.42 0.38 0.36 0.33 0.31 0.29 SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTION) x (BACKUP SYSTEM HSM) ELECTRIC STRIP HEAT 1'-.00 NATURAL GAS / PROPANE 1.0 (SEE TABLE 9D FOR CREDITS) OIL 1.0 (SEE TABLE 9D FOR CREDITS) 9H COOLING SYSTEM MULTIPLIER (CSM) EER/ 6.8-6.9 -7. 5-7.9 8.0-8.4 8.5-8.9 9.0-9.4 9.5-9.9 10A-104 105-10.9110-11.9 12.0-UP ELEC. SEER CSM 1.00 _O.93 - 0.87 1 0.81 0.76 0.72 1 0.68 0.65 0.62 0.59 1 0.54- COP 0.40-0.44 0.45-0.49 0.50-0.54 0.55-0.59 0.60-0.64 0.65-0.69 0.70 & UP GAS - CSM 1 11.50 1.25 1.20 1.09 1.00 0.92 0.89 *ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH MINIMUM AIR CONDITIONER EFFICIENCY LEVEL 8.0 SEER/EER FOR STRAIGHT COOL OR 7.5 FOR HEAT PUMPS. NOTE: EER = COOLING MODE COP x 3.413= ARI RATED COOLING OUTPUT IN BTUH _ TOTAL WATTS CONSUMED 9 ' HOT WATER CREDIT POINTS (HWCP) ELECTRIC RESISTANCE WATER HEATER 0 GAS WATER HEATER 10 INSTANTANEOUS WATER ELECTRIC _ 4.5 HEATER GAS 12.6 ELECTRIC BACKUP 6.7 HRU (A/C) WATER HEATER - - 13.9 GAS BACKUP ELECTRIC BACKUP 9.7 HRU (HP) WATER HEATER GAS BACKUP 114.5 HEAT PUMP WATER HEATER COP 1.60 - 1.89 1.90 - 2.19 2.20 - 2.49 2.50 - 2.79 2.80 - 3.00 (DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4 OVERALL SOLAR FRACTION 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 SOLAR F v. ELECTRIC BACKUP 2.44.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24.0 HOT WATER o z o GAS BACKUP 11.4 12.8 14.2 15.6 17.0 18.8 19.8 21.2 22.6 24.0 U a *PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM _ 100 = OVERALL SOLAR FRACTION 4 of H•=;,TF FLORIDA MODEL ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 902 BOB GRAHAM SECTION 9 9H POINTS METHOD CLIMATE ZONE GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 3 PROJECT NAME �--C t 43 1 1 - C = JURISDICTION 4TL N - ZONE AND ADDRESS _ ZIP 5 BUILDER J2 =IQ e PERMIT NO. OWNER JURISDICTION NO. STATISTICS IF MULTI-FAMILY, NO. OF UNITS GLASS AREA AND TYPE RENOVATIONI COVERED BY THIS CALCULATION: CLEAR TINT OR FILM ADDITION (SEPARATE CALCULATIONS REQUIRED ��SGLD GL� El MULTI-FAMILFOR EACH WORST CASE UNIT ❑ TYPE.) SEC. H901.1 �, DBL© DBL GROSS WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS R= FRAME r� R= FLOOR AREA UNDER ATTIC SGL. ASSEMBLY © El 11-2 R REE W❑ COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM 1� CENTRAL NONE F-1 STRIP F� GAS NONE RESISTANCE (� SOLAR UNITARY El OIL E] SOLAR [❑'CHEAT RECOVERY LH GAS EER-SEER = 7 ,© {.tel HEAT PUMP: COP = �.a ❑DED. HEAT PUMP: COPEl =❑,� OTHER: =OTHER: MAX. E.P.I. ALLOWED (from 9A)° [ I T:!OS 1• 6 1 CALCULATED E.P.I.: CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11)* DATE FORM COMPLETION DATE CERTIFIED BY: CHECKED BY: (building official (owner/agent) THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILDING DEPARTMENT. 9A MAX. E.i'.I. ALLOWED (CALCULATED E.P.I. MUST NOT EXCEED VALUE SHOWN BELOW) CONDITIONED 901- 1101- 1301--+11501- 1901- 2101- 2301- FLOOR AREA 0-900 1100 1300 15001700 1900 2100 2300 ABOVE BASE E P 1 120 1 115 110 105 100 90 85 j 80 A/C EFFICIENCY LESS THAN 8.0 EER/SEER (7.5 HEAT PUMP) las of October 1, 1982) -10.0 IF MULTI-FAMILY: COMMON WALLS (maximum of 5 points) - 2.5 DEDUCTIONS IF MULTI-FAMILY: COMMON CEILING and/or FLOOR (maximum of 12 points) - 6.0 TOTAL DEDUCTIONS BASE E.P.I. DEDUCTIONS MAX. E.P.I. ALLOWED COMPUTE MAX. S E.P.I. ALLOWED 9 *RESIDENCElS WHICH COMPLY WITHTHIS CODE BY THE "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11) ARE REQUIRED TO MEET OR EXCEED ALL MINIMUM PRESCRIPTIVE LEVELS INDICATED BY SHADED BLOCKS ON THIS FORM, AND ALL OTHER APPLICABLE PRESCRIPTIVE REQUIREMENTS LISTED IN TABLE 9B. THE E.P.I. FOR A HOUSE COMPLYING UNDER THIS METHOD IS NOT CALCULATED BUT WILL BE THE MAXIMUM E.P.I. ALLOWED FOR THAT HOUSE SIZE AS SHOWN ON TABLE 9A. THE STATISTICS SECTION ABOVE SHALL BE COMPLETED'AND SUBMITTED TO THE LOCAL BUILDING DEPARTMENT. Er E WAS INFILTRATION: windows/doors 903.1 HVAC DUCT CONSTRUCTION 903.5 WATER HEATER - ASHRAE LABEL 903.2 PIPING INSULATION 903.6 SWIMMING POOLS 903.3 HVAC CONTROLS 903.7 SHOWER FLOW RESTRICTORS 903.4 HVAC SYSTEM EFFICIENCY SECTION 903.8 CEILING INSULATION 903.10 1 CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTIONS ACOOUNT NO. yy DAA v -,U TION VA L'JCA �Dc 3 LOT NO. BLOCK NO. SUBDIVISION Lc1�Gc., OWNER TYPE OF BUILDING DATE INSPECTED BY CITY OF ATLANTIC BEACH APPLICATION FOR WATER CUT-INS. . . . APPLICATION IS HEREBY MADE FOR C/1-3// / u WATER CUT-IN AT THE FOLLOWING ADDRESS FOR ell UNITS. CUT-IN CHARGE OF t,. 210 STREET NO. `�>� c� LOT y BLOCK SUBDIVISION ACCOUNT NUMBER cV3 �U " 1 2K- LG MAILING ADDRESS DATE METER NO. DATE INSTALLED Y BUILDING AND ZONING INSPECTION DIVISION CITY OF krLANTIC BEACH, FLORIDA APPLICATION FOR MECHANICAL PERMIT IMPORTANT-/Wlioant to cornpleto all items in scrctiom I. II, 111, and IV. I. On � E2R� Q+w.n Sid• of - St. 8"d-- =it St. LOCATION (Nora, S.A, East.W*,t) (Addrtts) (Intesattiw9 StrNtt) OF Lot No " No - Sub-diwisiow (State portion of Iot if lea than fug lot. tt►cW h bgal dorcription r deed in duplicate if nocosaary) - rA- OF pROPOSED MECHANICAL WORK - All epplicents cornplrte Parts A - D US OF WILDING H. OWNE"141111, RESIDENTIAL 15. Private (ind;7;dual, corperetion. nonprofit inttitutiOr:, rtc.) 1. One family 11. ❑ Ufility 16. ❑ Pubrc (Federal. State or local po+arww.Mt) 2. O Two or more family- 12. ❑ School, fib-s V, Enter num6or of rooms other educational C, NATURE OF WORK 3. ❑ Transionl, hotel, motel, 17. New lluild;nq rooming house - 13. ❑ Store. "Wcantila Enter number of unit- Otlw I[. ❑ Existing dv�diwq. 4. ❑ Other residential 14. ❑ OTHER-SPECIFY -- 19. ❑ ReFlacerreat of euttiwg system 20. New installation (No.eystom Ff*-4;0rsly kwdsw) NON-RESIDENTIAL 21. ❑ Estaws;on Of add-on to esis!inq systan. S. ❑ Amusament, recreational 22. ❑ Other-Specify 6. ❑ C$urch, oMor religious 7. ❑ industrial - a� 8. ❑ Garage. service station l (V7 E. TYrc OF QUILDiidi. 9. ❑ Hospital, institutipnol 36. ❑ Number of ttori41 10. ❑ Office, bank, prollossional 37. )�Wcod frame 0. MECHANICAL EQUIPMENT TO tE INSTALLED 38. ❑ Meson y and wood (Provide complete list of'',eomponents on back of this form) 39. ❑ Reinforced concrete 23. Furnace: ❑ Space ❑ Recessed X Central O Boor 40, r] Structural steel 24. Air Conditioning: ❑ Room 4 Central R 41. C3Other 25. kDuct System: atorial V1k TT+icknest_� Maximum capacity c.f.rn. 26. ❑ Refrigeration _" THIS SPACE FOR OFFICF USE ONLY 27. ❑ Cooling tower: Capacity 9-pin- 29. ❑ Fin sprinklers: Number of $Wada 29. ❑ Elevator ❑' Monlift ❑ Escalator (number) 30. ❑ Gasoline pumps 31. ❑ Tanks--(number) Rwnarks 32. ❑ LPG containers (numbs►) 33. ❑ Unfired pressure Vessel permit Approved by Data_ 34. ❑ Boilers Permit F** - 35. ❑ OMar - Specify 111. GENERAL INFORMATION A. Type oof heating fuel: f3 IS OTHER CONSTRUCTION BEING DOME ON C- 42 Yl Uactric THIS BUILDING OR SITE'f 43. ❑ Gas-❑ LP ❑ Natural ❑ Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION 44 ❑ Oil PERMIT 4S. ❑ OMer - Specify IV. IDENTIFICATION - To be completed by all applicants In consideration of permit yovan for doia9 t$e work as described in As above statement we hereby *gree to perform said work in accordance with Ma attached Dptans and specifications which ore a part hereof and in eccordanu with th• City of Jacksonville ordinances and standards of good practice l;stod therein. Noma of Mechanical S gnaturt o7Agent Co9!r 1 r (Print) Contactor Name of Address Oxnor (Print) I - Signature of -- S,gr.atwro of Owner w or AuMor::ed Agent Architect or Engineer Form EI-SI-I 42.QU TL K X13 1 IJ/17/1 DEPARTMENT OF BUILDING ���� 4- 5 384AC PER1�V111 IVO. CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD 1ri ' THIS PERMIT MUST BE POSTED ON JOB i Date 10/17 19 83 Valuation$ MECI3ANICAL 42.00 Fee$ 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 OCEAN STATE HEATING AilD I has permission to Classification SINGLE FAMILY Zone PUD a Owned by Block S/D Selva Tierra Lot House No. 1833 Tierra Verde Drive 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 ter---� O Building material, rubbish and debris —' i from this work must not be placed in public space, and must be cleared hauled away by either con- ttrac o owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER ���#tfir�tte of (�rrn��nr� CITY OF l0Qltac - Drpartmrnt of Vnilding ,�nsjrprtion This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating/building construction or use. For the following: Bldg Permit No. Use Classification - r Group T� ,. nstructionfp Fire Distric[/19 Owner ofBuildin f-�'t t�LJL7t-4 C,G1t- ' Address—_ - -- Building Address -2 t p C6&t. B' —.-- L Building Official Dare y d POST IN A CONtrICUOUw PU CK CITY OF f4f�ttic /3ecc.�i-�f�Drlu� Office of Building Official 4j Permit FOR INSPECTION Date (/ -13 4/ Permit No. Time , "" District No. Received Job Add _ Locality ` Owner's Name Contractor BUILDING CONCRETE ELECTRIC MBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ ugh ❑ Air.Cond.8 ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wedd.� urs. Friday P.M. A.M. Inspection Made V P.M. Inspector Finallnspectionv Certificate of Occupancy Date CITY OF ATLANTIC BEACH FLORIDA INSPECTIONS BUILDING PERMIT NO. # ELECTRICAL PERMIT N0.11 __ PLUMBING PERMIT MECHANICAL PERMIT # QQ 4 JOB ADDR SS --_- - /O� CONTRACTOR O.ti"NIER --- - -- - -- CALLED IN INSPECTED REINSPECTED JEA APPROVED REJECTED FOLTNDATION -- - ---- -- -- ------- FOOTING - ------- SLAB PLICIBING (R) TOP-OUT S Et.ER - ---- Tr.--_P-POLE - _ -- ELECTRI6AL (R) - Z 6I3 ELECTRICAL (F) FRAMING U �� PLLXBING (F) LINTEL/BEAM COLUMN --_ _-- - - - STEEL --- --- - --- - --- - - ----- SU OOT GRADES ---- - -- - -- ------ - -- ------ LOT CLEARING -------- - -- OTHER -- FINAL INSPECTIONS - CITY OF • 4&tic Be 4:4- MU& Office of Building Official i REQUEST FOR INSPECTION G Date W t) �s 3 Permit No. o Time Received /• P.M. District No /i-3 3 Job Address Locality / Owner's Name Contractor "•WtWwWW BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. 4 Wed. Thurs. Friday P.M. A.M. Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy Date . CITY �� O����F�� �� a ✓ Office of Building Official REQUEST FOR INSPECTION U ' Z � Permit No. Time /? ! A.M. Received P.M. District No. �p,c e Job Address Locality Owner's Name 1 Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing _ Footing ❑ Rough Wiring ❑ Rough L Air.Cond.& Z? Re Roofing = Slab ❑ Temp Pole - Top Out O Heating Lintel ❑ Fire Place Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made P.M. Inspector ' Final Inspection❑ Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA ?TOTHE pprowabAPPLICATION FOR ELECTRICAL PERMIT HIEF 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. ✓ / JOURNEYMAN ELECTRICAL FIRM MASTER EL CTRICIAN SIGNATURE NAME ADDRESS: 4�-3� ��' — L� RFD BOX BLDG.SIZE BETWEEN: RES. (.4 APT. ( 1 COMM. ( 1 PUBLIC 1 1 INDUS. ( 1 NEW (tel OLD ( 1 REW. ( 1 ADDITION ( ) TRAILER I 1 TEMP. ( 1 SIGNS ( ) SO. FT. FEE SERVICE: NEW(� INCREASE ( 1 REPAIR ( 1 CIO CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. (1 SWITCH OR BREAKER (w AMPS PH ..3 W /VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL CONCEALED OPEN TOTAL RECEPTACLES 31-100 AMPS. 0.30 AMPS. SWITCHES INCANDESCENT - FLUORESCENT&M.V. _ FIXED 0.100 AMPS. OVER F. APPLIANCES BELL TRANS I=__ AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. =± NO. KVA NO. - - - KVA NO.NEON TRANSF. N0. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN - FORWARDED CI,L l TOTAL FEES CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT ELECTRICAL INSPECTOR: DATE: TO THE CHIEF IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SI TURE 1 NAME ti �-- � ADDRESS:/ L '� / �D BOX BLDG.SIZE BETWEEN: RES. ( I---- APT. ( 1 comm. ( 1 PUBLIC 1 1 INDUS. ( 1 NEW ( -r--- OLD ( 1 REW. ( 1 ADDITION ( 1 TRAILER ( ) TEMP. ( 1 SIGNS ( ) SQ. FT. SERVICE: NEW( INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS v COPPER ( 1 ALUM. ( '1 SWITCH OR BREAKER o AMPS IPH3 W �OLT i RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS 17 CONCEALED OPEN TOTAL RECEPTACLES _� CONCEALED OPEN TOTAL 0.3 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT -- -- FLUORESCENT&M.V. FIXED 0.100 AIVA PS. OVER / APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW AT 0-1 OVER MOTORS H.P. I 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 _ C1 7l' G 7 A,t'.'�i I C ,c- L-J rh'rJ 0't L�`'l E- -- - - -- --- --- PL11�:311:� r 1 :��J _. _ ,__�'E/ �� �•✓ {�twlU�'1� _-- - - - --- -----� I:'.Sl LR PI_U :-'U3 Cl LI CEl;SE 44O.. srf.-rt CL-k►1F► C;TE G0-77 X03 -- ----- cJ11_J-r CG':7r,% IOR ;'E OF i.0 IIA ER VEATEP5 _ 1 S r.SH,D: -URI, KALS / Dl SPOSALS � / -- _ —cj-oJt I S __L 1.:bc- NVS I I •-•• Its --l1 C =: --.I NS U I R l ,'S-j AL LATI C:i CF PI U-:31 IG AND FI X-TURES ;-*.UST BE 1 /, hw��=.t:CE III Tri tri= MOST EDI TI ON C; THE STAND%ARD PLL.r'S1 N G--.D=, iw DEPARTMENT OF BUILDING 5 3 8 5 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 5/20 19 52.00 T524OCKT ) PLUMBING 52.00 3214 1A 5/10/$ Valuation$ Fee$ 5:385 •OOCAC This permit not valid until above fee has been paid to City Treasurer,and is 3214 1 A 5/10/83 subject to revocation for violation of applicable provisions of law. 1 vlJ 1 This is to certify that FAIR PLUhBING CO. has permission to T'7STAT T 1 sink, 3 lav, 1 tub 2 closets 1 shower. 1 wh 1 dw, 1 disp, 1 wm Classification SINGLE FAMILY Zone_ FUD Owned by REYHANT CONSTRuCTTON Lot_ 43 Block._____ _S/D.. Selva Tiprrn House No. 1833 Tierra Verde Driyp According to approved plans which are part of this permit t NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE O Building material, rubbish and debris -q from this work must not be placed in public space, and must be cleared = ug_,,�nd hauled away by either con- Aracto owner. ,� Building Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL I SEWER i I WATER CITY OF, f4&moi; Office of Building Official _ REQUEST FOR INSPECTION Date Permit No. 3 Time A.M. Receiv P.M. District No. JojpoAddress Locality c Owner's /I2 Name Ld [( Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing ❑ Rough Wiring ❑ Rough Cl Air.Cond.& ❑ Re Roofing Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. //Wed.l Thurs. Friday P.M. �� A.M. Inspection Made —1Yt-v1� Inspector Final Inspection❑ Certificate of Occupancy Date d'O 80,00• $•o o �o ti 10 10 OL N V GovU y 2z �.I• / /E2/z .9 1/G1LDE L- npR. pV(�E C)n�+u j.A!V I l C E.EM4R EUILI�II'LG, OF"�iC1: REYHANI CONST.; INC. ad 1112 3rd ST. SUITE #9 NEPTUNE BCH.; FL 32233 (904) 241-4922 S C.q G6 =20 �� 9N do 1;7v-j- 7 I�9 3 P 106 2 8 q //' Z 3- 12- /1&Y R q.vi , �N CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 LOCATION IN PERMIT INFORMATION FORMATION Permit Number: 21492 Address: 1833 TIERRA VERDE DRIVE ATLANTIC BEACH, FL 32233 Permit Type: WELL Township: Range: Book: Class of Work: NEW Lot(s)- Block: Section: Proposed Use: SINGLE FAMILY Subdivision: SELVA TIERRA Square Feet: Parcel Number: Est. Value: OWNER INFORMATION Improv. Cost: Name: MCCLURE, JIM Date Issued: 2/22/2001 Address: 1833 TIERRA VERDE DRIVE Tota{ Fees: 10.00 ATLANTIC BEACH, FL 32233 Amount Paid: 10.00 phone: (000)000-0000 Date Paid: 2/21/2001 Work Desc: imi ation Well AppL{CATION FEES 10.00 CONTRACTOR S PERMIT L.N. WILLIAMS In coons Re uired NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WOK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER ER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN IMPROVEMENTS"RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING ISSUED ACCORDING TO APPROVED PLANS WHICH RE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LA W. 510.813 14 FATILANTICBEA Date: 2/22/01 blReceipt: 003b6`�4 ING PT- CASH FI- $10.nO APPLICATION FDR WELL PER-UT CITY OF ATLAMIC PEACH FFDPEFTY aQER Day Phcne Address f APPLICANT, IF OTHER THAN MUM Name: �(� �� ��lT �� Day Phone 2 Address, �5� � 1� i f/C /� Zip. � JOB Address or Location: Legal Description: Is well to be used for drinking purposes? >� Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Decartment Notes: I agree to cc=ly with regulations stated herein: S g riaare Date v CITY OF ATLANTIC BEACH ROOFING FERMIT'AQELICATION JOB LOCATION: ID :3 3 ► ` Y e4 OWNER OF PROPERTY: J7 vy) ure- CONTRACTOR: r fe--Ypr 5 CONTRACTOR'S ADDRESS:�4' it I ��n / STATE LICENSE NUMBER: 0� q// TELEPHONE:�`�' DESCRIBE WORK TO BE PERFORMED: VALUATION OF PROPOSED CONSTRUCTION 73,;15-, 00 MATERIALS TO BE USED: dL 'ge 3L SIGNATURE OF OWNER: Gly z SIGNATURE OF CONTRACT R: 7-24Z� 1< { SWORN TO AND SUBSCRIBED BEFORE ME THIS_. 3 DAY OF /), O 4, ke e Y PU 4T#Z BLICC �'4 Joy L Reed MY COMMISSION#CC778W EXPIRES Lability Insurance Supplied October 3,2002 VVerr<ers Ccmpensaecn Insurance Sup;lied BONDED TIiRU TROY FAIN INSURANCE INC. Contractor License Information Supplied Occupational License Information Supplied t S/ 3� ��a -- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, Fl 32233 - Tel. (904) 247-5826 ROOFING PERMIT Permit Number. 19801 Address: 1833 TIERRA VERDE DRIVE Permit Type: RE-ROOF ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: SELVA TIERRA Est. Value: Parcel Number: Improv. Cost: 7,325.00 Date Issued: 3/27/2000 Name. MCCLURE, JIM Total Fees: 50.00 �I Address: ATLANTIC BEACHDFLD32233 RIVE Amount Paid: 50.00 Date Paid: 3/27/2000 Phone: (000)000-0000 - - - Work Desc: REROOF >CI x WILLIS ENTERPRISES OF JAX, INC PERMIT 50.00 NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUISDIBE MATERIAL, RUBBISH AND DEBRIS UP AND HAULED AWAY BY EOITHER CONTRACTOR OR OWNER THIS WORK MUST NOT BE IN PUBLIC SPACE, AND MU "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. f5B.88 14 Date: 3/28/88 81 Receipt: M45662 CHECKS - 88188883221888 CITY OF AT NTIC BEA MAR-27-00 SAT 13 :02 WILLIS ROOFING CO. 904 721 3544 r vA - RIMANC{A<oRtN'�IJIr'•�1AM' Doc# P-00005P501 Souk: 9563 Rage: 247 Filed & Rerorded Rotice of Commencement03708100 12:27:37 PK HENRY W COOP, CLERK CIRCUIT COURT (rR[►ARL IN OU►L1CAT[) DUVAL COUNTY 1FUST FUND $ 1.00 RECORDING i 5.00 N ci To whom it may concern: 1n r5 The undersigned hereby informs you that improvements will be made to certain real properly, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. M - LD t N Description of property / �.� --- � Z__ _tl_ --- '--- Y ------------------- 0 _ - 4_-an_ i ---- E'_cc-�! --- L=-- 3 ------------------- -------- ° ---- ------ ---------------------------------------- --- ---- ---- General description of improvements __ _ _�,i:'_r��---�--j�� ----------------------- --------------- VVVV e ------------------� -�--- - =--- = �_ j-- ----- -- ,$------- ------------------ M� ' ________ _____._---------------- --------------- ---_-__-_- Owner --- �-- --------- j� 3 - �- s--------------------- ------ -----5 ----_ Address � --1�= ----------- -----------�x o �� ---- Owner's interest in site of the improvement ______` ------------------------------------------" Fee Simple Title holder (if other than owner) -------------------------------------------------. Name ---------------------------------- ------------ Address _ ------------------ Contractor -t1- ------ Jqx- 3= =&2----------- - ----------- Address - C�r ! i r1 11_ �------- - - `------- -- ------- _ ___ _______ _ _ _ - Surety (if any) -------------- ----------------------------------- -------------------------------- Address ----------- ------------------------------------Amount of bond $-------------- ------------------ Name and address of any person making a loan for the construction o'-he improvements- Name ------------------------------------------- -------- •------------------------------------------------- Address - -- -------- -------- Name of person within the State of Florida, other than himself. designated by owner upon whom notices or other documents may be served: Name ----------------------------------------------------------------------------------------------------- Address ----------------------------------- --------------------------------------------------------------- In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.08 (2) [b], Florida Statutes. (Fill in at Owner's option). f k PSR-3644 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH k— =- PERMIT INFORMATION -- - ------ LOCATION INFORMATION ---- 2erfrtit Number - 9444 Address : 1833 TIERRA VERDE Permit Type . PLUMBING ATLANTIS' BEACH , FLORIDA-3223' ~lass of Wor!. REPAIR - --------- LEGAL DESCRIPTION - constr. Type : WOOD FRAME r 't ' Block: Section: Township : RNC•: n Proposed CJs", „ SINGLE FAMILY , ubdivision: Dwellings : '_. Code : Estimated Value : Improv .. Total " S25 . QQ * $25 : 00 OWNER INFORMATION ---- APPLICATION FEES ' PERMIT $25 . 0^ L"RE �IERA VERDE �r1AT'F.R IMPACT FEE SO r�ddres ." -, -EWER IMPACT FEE $Q . I B _ iCH FLOR I P..n WATER METER,/TAF $Q � 4-' 191 RADON GAS-H .R . S . SQ Qn --- RADON CAB 5% $0 .00 ,�ni�Tr�Al�"I'c.�R .;INFORMATION {CAPITAL IMPROVE . 80 .00 SEWER TAP SQ •QQ r AWER 51558 CONNECTION SQ •QQ rcrj7,j`r?LLE BCH .FL 32240 38 CROS. r SEC H IMPACT FEE Type' Sf' Qn {"ONST.SURCHARGE, SCHARGEIATL.BCH. f 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 E AILURE TO COMPLY WITH THE MECHANICS' IL EN W CANE ESULT INE PROPERTY OWNER PAYING TWICE FOR BU ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: a. OWNER OF PROPERTY: BUILDING CONTRACTOR: PLUMBING CONTRACTOR AND ADDRESS: v V-V I TELEPHONE NUMBER: STATE LICENSE NO: TYPE OF BUILDING: J TYPE OF WORK: yv .)"j HOW MANY OF THE FOLLOWING FI TURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: x $3.50 + $15.00 = $ ---------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION BEFORE COVERING UP - (904) 247-5834 DEPARTMENT OF BUILDING 750 ` CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. PERMIT TO BUILD 1 a•«0 T 1�.nr�C►ct THIS PERMIT MUST BE POSTED ON JOB 342 1 A 2/26/5 I Feb. 26 86 7505 *00CAC Date 19 9242 1 A. 2/26/N Valuation$ 2,000.t�0 Fee$ 15.00 1 i�fJC i 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 JIM AICD PAT MCCU M" 1333 Tierra Verde Drive has permission to build Arbor/type deck as per p1 is; sLbject to restrictions per Macri! admrs Association Residential FM Classification Zone Owned by Jim and Pat ',,.Klure Lot_ Block S/D House No. 1g ez& T�Y1 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 110. O Building material, rubbish and debris Z from this work must not be placed in public space, and must be cleared up,ggd_hauled away by either con- tractor 'owner./ M B ' in Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER I ' I WATER I i Address Keated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ �ck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ Total Valuation lst $ 7 GfU h Reminder Valuation per thousand or portion thereof --------------------------------------------, Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED + 2 Filing Fee $ Mechanical ; Fireplaces @ 15.00 $ Plumbing i BUILDING PEtu',,aT FEE $ Electric/New ------------------------------------------------- Electric/Tem Septic Tank BUILDING PERMIT $ Well WATER METER CHARGE $ Sc�riunnixig Pool SEWER IMPACT FEE $ WATER IMPACT FEE $ Sign MISCELLANEOUS $ Water Connection Sewer Cormection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner,TiVj Aga &Address ( Q'J' 3 T/6seeA Vl��t. rw ZiP-321 Phone-Z---S--[-7 Architect — Address zip Contractor Address zi Contractor's License Nunber Expiration Date Copy on File Lpt # Block or Section # Subdivision Zorllng Street Between and side Valuation $ &oo Type of Construction ,�� .9�2[3�2 Purpose of Building Q 2040 F�Ft�e�'�isoti'N er of Units Fireplaces — Utility Service: Water Sewer If the City if providing water or sewer service, do we need to make taps? Dimensions: Buildint Size Footings Sz. Piers l2 x/ -2-11 Sz. Sills 2 �, A P Greatest Span Sills f �--a " Sz. Ceiling Joists -- Distance on Centers — Greatest Span — Sz. Floor Joists 2,Z CP Distance on Centers 2�f Greatest Span Sz. Rafters Distance on Centers Greatest Span Method of Heating Solid-Filled Ground Roof Flood Zone If located within a FLOOD HAZARD complete page 2 SUBMIT: Two complete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required: 1. When steel is in place and ready to pour footings. 2. When steel is in place and ready to pour colunzs/lintel. 3. When steel is in place and ready to pour beam. 4 When framing, mechanical, plunbing, electrical, fireplace, is completed and ready to cover up. 5. Final inspection. SETBACKS NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB. Rear Lot Line In case of rejection, reinspection MUST be called for after 'aa t ,(jovv corrections are made. �E't�3f DE�,r�ivG In consideration of permit given for doing the �s=Y r. oEc'w, r work as described in the above statement, we A. hereby agree to perform said work in accordance m with the attached plans and specifications, which are a part hereof, and in accordance �* with the building regulations of Atlantic Beach. r �^ Signature Owner Signature Contract ft*"f ront Lot Line