777 Vecuna Rd (vault) ADDRESS- 77-7
BUILDING PERMIT NUMBER
INSPECTIONS: FOOTING
UNDER SLAB PLUMBING
SLAB
FRAMING
COVER-UP
INSULATION
FINAL BUILDING
CERTIFICATE OF OCCUPANCY
ELECTRICAL PERMIT #
INSPECTIONS ROUGH
FINAL
MECHANICAL PERMIT #
PLUMBING PERMIT
NOTES:
Ott
.2
A&PRO v-E
PiT
MY UN-nc O&H
13UILDING OFMCF.
APR - 5 1996
gjg
APR 2
1996
Building and Zoning
je
r"N t r
V-7
0
VPROVED
BUILDING OFVICS
OF AWkM MACH
PR 5 96
t rx
go
ROVED
^'Pfp,'T'tA"TIC BEWA
ING 0FF'CS
APR . 5
F-
R OV E 0
MY OF ATLAW MM"
,,Ulto,MG ofrvrlcz
1996
-e
CM
ji�G
IR - 1991
000071
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
LOCATION INFORMATION
PERMIT INFORMA i
777 VECUNA ROAD
Permit Number . ATLANTIC BEACH, FLORIDA 3223-",
permit Type' MECHANICAL
Claas of Work ; ALTERATION LEGAL, DESCRIPTION -- --- -
Constr. Typei MASONRY/BRICK Block : Section:
Propoi3ed Uae: SINGLE FAMILY pla-t Book: Page:
wellings: 0 codet 0
Value: $0. 00 OWNER INFORMATION
Improv. CoBt -. $0. 00 Name: EUGENIO CRUZ
Total Feea: $15. 00 lid-resS2 777 VECUNA ROAD
Amount -Pald: $15. 00 ATLANTIC BEACH, FLORIDA 322-33
rf pa I d 1.0 phone: (904 )246-r.1662
all .1ble f irep
APPLICATION FEES
,ERMIT $15. 00
IMPACT FEE $0. 00
EWER IMPACT FEE $G. 00
ATER METER $0.00
A DON G A 143 $0. 00
�ADON GAS 5% $0. 00
TAP $0. 00
�,EWER TAP $0. 0A
�(YDRAULIC SHARE $0. 00
-E-INSPECT FEE so. an�-,I I
jTHER $0. 00
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTEC 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 IMPROVEPIENTS.39
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO RE" OCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANT44&BEACH BUILDING DEPARTMENT
By:
CITY OF AILANXIC BEAUL
APPLICATION TO MAM ADDITIONS OR ALTERATIONS
Owner D
------?kddress-9 0
Architect -------------P Phone 'Y9
-----------------_.,Address L
Q)ntractor dress one--------
Contractors License/Certification Nuwbers ----------
Expiration Date
Property Address
L'L #L-.Blcok or Unit # Subdivision
Valuation of Construction �------------.1)7pe of construction
Describe Work to be Performe
11aterials to be Used C, 11
Present: Use of Building
D
L7�
Proposed Use of Buiidin8____,
Flood Zone—C,
Dbriansions Of New Area:
MATED
GUAGE OR STORAGE- -----------------
WTORT OR PORM
DECK
PATIO
'YES No NUMM,R
Will there be an increase in numbei-of;,�" tS7
Will there be a decrease in nuiber of units?
Any.additional'pluu-bi.ng fixtures?
Any new fireplaces?
�MIU 11AU C(lTLEIE SETS OF PLANS INCLUDI'NG SITE PLAN
'ignature OWNER
AmnD
'gnature CONIRAC11OR te
MAP SHOWING SURVEY OF-
LOT 9, BLOCK 14 , ROYAL PALM UNIT TWO A AS RECORDED IN PLAT BOOK 31 PAGES IA,
IB, ',(-.* AND ID OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
LOT 13
LOT 14' LOT 15
FND 1/2"
0.9. S FN
8 5 0 372 7 E.8 0.65' 0.3, 1/2"1.P
IO' EASEMENT for
DRAINAGE, UTILITIES
a SEWERS
0
0 2aO, ul x
24.7'
C)
LOT 10
w
LOT 8
1* ALUM.OVERHANO 3i
cr ta
0
0 11.7' M I STORY
cli
10.5 BLOCK
7 e4
UJI RES.No.777
> 0
WOOD l%t
FRAME 0
cn 28, ui
25 24.7'
B.R.L. 3-5
CONC.WALK
J
OD
0
cm co
cy
170.65' -CONC.DRIVE
L
0 4' 0 2'
,FND 1/2"1.p
N.85037 27 'W. 80.65' FND I
1.p
�-.0--VECUNA ROAD ( PAVED )
�WTE —CO rR /W
I. BEARINGS AS PER PLAT.
2.8.R. L. AS PER PLAT.
I HEREBY CERTIFY THAT THE PROPERTY SHOWN HEREON LIES IN FLOOD ZONE
3HOWN ON THE FLOOD HAZARD BOUNDARY MAP FOR THE CITY OF ATLANTIC BEACH, "C" A
rLORIDA.
HEREBY CERTIFY TO EUGENIO CRUZ & CAROL L. CRUZ THAT I HAVE SURVEYED TH
,ANDS AS SHOWN IN THE ABOVE CAPTION AND THAT
�EPRESSNTATION 0 THIS MAP IS A TRUE AND CORREC
.1 F THAT SURVEY AND THAT THE SURVEY REPRESENTED HEREON MEET
HE MINIMUM STANDARD REQUIREMENTS ADOPTED BY THE FLORIDA STATE BOARD OF PRO
'ESSIONAL LAND SURVEYORS CHAPTER 21-HI-I AND THE 'FLORIDA LAND Tl'rLE ASSOCIATION.
THIS SURVEY NOT VALID UNLES3
SEALED WITH AN EMBOSSED SEAL
OF SURVEYOR SIGNED HEREON.
DONN W--BOATWRIGHT Y7::O�x
'ALE: FLORIDA REG. LAND SURVEYOR o. 32-9-5-
BOATWRIGHT LAN6—S
!AWN BY:—.4,-c URVEYORS,
1301 PENMAN R
F-Y--
FOR OFFICE USE ONLY
Date-------3__1+-------------19
I &40
Permit #_i�.Z�Z_Fee$__/_0---------
CITY OF ATLANTIC BEACH Valuation
.. ....................................
FLORIDA House #-7,77....- - ., ..- ,
....... ------------------- ----------------------------
APPLICATION FOR BUILDING PERMIT
----------------------------------------------------------------------------
............................................................................
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 Atlaniie Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspection"i is suggested that a IjA of sub-contractors be submitted to this office so that licenses can
be verified. 3
Date-/7 - - -----------------------------------------f 19---6/----
jz&�
-----------------------------------------------------------Telephone No-----------------------------
Ovmer- &------------------------Address
Architect_-------------------------------------------- ----------------------------------------Address-----------------------------------------------------------Telephone No..--.---_------------------
ContractorBuilder------------------------------------------------------------------------------Address------------------------------------------------------------Telephone No----- ----------------------
Lot No----------------y-----------------------------Block No........./4ZZ---------------Sub DivisionAr/---42,Z...J------V_--a---A-------Zone_--------------
mz2Z Street-------------------------Side Between..........-----------------------------------------and------------------------------------------------------Sts-
Valuation ----------------F,-o--r what purpose will building be used-_------------------------------------Type of construction----- ------_-----------------
Dimensions of Building__�-L�f---iV__X.___;�Y__'_Dimensions of Lot----V -------------
X ------Size of Footings---
Size of Piers-------------__-------------------Size of Sills-------------------------------Greatest Sill Span in ft------- ---------------Type Roof,&Ze"_Z�41---
How will Building be Heated? Building be on Solid or Filled Ground. -----------
------------ Pt
Size of Ceiling Joists_,��, ----------------------- Distance on Centers- -----------------I Greatest Span--------------------------------
Size of Floor Joists----------------------------------------------Distance on Centers.......... --------------------------------- Greatest Span-------------------------------------------- op
Size of Rafters--------_-------- -------------------------------_, Distance on Centers ---- ---------------------------------, Greatest Span...--------------------_------------------ 09
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
Z Z
2. When steel is in place and ready to pour columns and/or lintel.
3. When steel is in place and ready to pour beam. E-4 E-4
4. When framing is completed. 3
5. When rough plumbing is completed,and ready to cover up. P4
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City of AtlanAticeach._ ------------_----------------------------_-----_--------------------------
Address--------------------
Signature of Buildea..... .4..... . .................11�"/------
Signatureof Owner---------------------------------------------------------------------------------- Address--------------------------------------------------------------- --------------------------------
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
301 c)
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
01CD&WAl"-s
'-' �IGNAT JOURNEYMAN
ELECTRICAL FIRM: MASTER ELERRICIAN SIGNATURE
NAME ADDRESS: 777 RFD BOX—
BLDG.SIZE BETWEEN:
RES APT. ( comm. ( PUBLIC INDUS. NEW* OLD ( REW.
ADDITION ( TRAILER TEMP. ( SIGNS SQ. FT.
SERVICE: NEW( INCREASE ( REPAIR FEE
CONDUCTOR SIZE AMPS COPPER ALUM.
SWITCH OR BREAKER �-V AMPS PH -3 w 2-3u VOLT RACEWAY
EXIST.SERV.SIZE AMPS I PH-_3 w '-130 VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE SIZE
E
0.
TS OPEN TOTAL
LIGHTING OUTLETS CONCEALED
RECEPTACLES CONCEALED — OPEN TOTAL
0-30 AMPS. 31.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER BELL TRANSF.
APPLIANCES
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CE-11- HEAT: KW-HEAT
:2!5— /0
0-1 OVER I —HIT—
MOTORS H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA-- NO. ---- - lKVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER
EACH SIGN
FORWARDED
$
LTOTFAL EFEES
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
INSPECTION REPORT PERMlT#
3 LOCATION'
SUBDIVISION
OWNERNAME 777 VECUMA PHONE 2392
ATLANTIC BEACH, FLORIDA 32233 ROYAL PALM
LEGAL DESC: ILOCIUZ SECTION PERMIT TYPE
HGEHEIL CR CLA9004vb203-7777
CONTRACTOR PROPOSED USE
ELECTRICAL
INCREASE
WORK DESCRIPTIRPNI S ELE. HEATING & AIR INC. SINGLE FAMILY
INSPECTION REQUIRED INSPECTOR
EXIST 125 AMPS C 4/0 ALUM SB 200A MPS IPH W 240V SEV
f, A. KERA
12 FINAL ELECTRIC APPROVEA,�" REJECTEDF-1
DATE INSPtCTE*D BY
COMMENTS
,4 CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
INSPECTION REPORT
JOB LOCATION
PERMIT#
777 VECURA SUBDIVISION
OWNERNAME ATLANTIC BEACH, FLORIDA 32233 2393
PHONE
ROYAL PLAM
LEGAL DESC: ElMEMIL CRUZ SECTION PEV416TYPE
1�
CONTRACTOR CLASS( F�Z3P-7777
PROPOSED USE
DENNIS ELE. HEATING & AIR Inc. MECHANICAL
WORK DESCRIPTION REPAIR
SINGLE FAMILY
INSPECTION REQUIREDREPLACE EXISTING HVAC INSPECTOR
DArE INSPF',44-2 .5 19 -� BY 7 ROUGH MECHANICAL APPRAPTr-
REJECTEDE-1
COMMENTS
0002393
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION
Permit Numberl 2393 Address: 777 VECUNA
Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233
Class of Worki REPAIR LEGAL DESCRIPTION
Constr. Type- N/A Lotz Block: Sectioni
Proposed Use: SINGLE FAMILY Township: RNG- 0
Dwellings: 0 Code: 0 Subdivisiont ROYAL PLAN
Estimated Value! $0. 00
Improv. Cost : $0. 00
Total Fees: $20. 00
Amount Paid: $20. 00
n_+0 12a j 44. 4 "n/can-
wri v k Us REPI ACE WjZjr_j:TjjQ RVAC
OWNER INFORMATION APPLICATION FEES
Name: EUGENIL CRUZ PERMIT $20. 00
AddreatE� . 777 VECUNA WATER IMPACT FEE 490. 00
ATLANTIC BEACH, FLORIDA 32233 SEWER IMPACT FEE $0. 0c
Phone: �904)223-7777 WATER METER .90. 0c,
RADON GAS-H. R. S. $0. OQ
--- CONTRACTOR INFORMATION ----- -- RADON GAS -- 5% $0. 00
Name: DENNIS ELE. HEATING & AIR IN ". WATER TAP $0. 00
Address: 1880 ST. JOHNS BLUFF' ROAD S SEWER TAP $0100
JACKSONVILLE, FLORIDA 3221�- HYDRAULIC SHARE $0. 00
LiceDsei RA0015181 Typez. I RE-INSPECT FEE $0. 00
ENGINEERING 1110 1 00
OTHER $0. 00
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.55
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC B��,' BUILDING DEPA t MENT
�1'
C I
By:
MAP SHOWiNG SURVEY OF
LOT 9, BLOCK 14 , ROYAL PALM UNIT
PWO A AS RECORDED IN PLAT BOOK 31 PAGE,13 1A,
IC AND ID OF THE CURRENT PUBLIC' RECORDS O.'.�' DUVAL COUNTY, FLORIDA .
LOT
13
LOT 14 LOT 16
ND 1/2"
1,P -- 09' S- 85037 27 E.80.65' FN 1/2"1.P
10
for
DRAINAGE, UTILITIES
8 SEWERS
0 2 8,0'
2 41
0
LOT 10
Ui
P1 ALUM-OVEMANG 3i OT 8
FND
0.,
STORY
L. BLOCK ICU
w RES.No.777 17.8 e4
> 0
WOKM
cv
(n 25' 2 8. 24.T*
J
B-R-L.
CONC-WALK
J
OD
0 QD
x
'CONC.DRIVE I
L 17 0.6 5'
190' 0 2'
--1L- -K
,,FNO 1/2' 1.P N.85037'27"W. 60.65' FND 1/2.1 p
ROAD ( P�AVE
VECUNA--r� - - _"
60 R /W
I. BEARINGS AS PER PLAT. 21996
2-B.P.L. AS PER PLAT. Building and zoning
HEREBY CERTIFY THAT THE PROPERTY SHOWN HEREON LIES IN FLOOD ZONE 'C', jA�
HOWN ON THE FLOOD HAZARD BOUNDARY MAP FOR TH17 CITY OF ATLANTIC BEACH, FLORIDA
HEREBY CERTIFY To EUGENIO CRUZ & CAROL !�- CRUZ THAT I HAVE SURVEYED TH
ANDS AS SHOWN IN THE ABOVE CAPTION AND THAT THIS MAP IS A TPUE AND CORREC
EPRESENTATION OF THAT SURVF-,Y AND THAT THE SURVEY REPRESENTED HEREON mETjTr,-
'JE MTNI�4UM STANDARD REQUIREMENTS ADOPTED bY THE FLORIDA STATE BOARD OF P'�Oj
75SIONAL LAND SURVEYORS CHAPTER 21-HH AND THE FLORIDA LAND TITLE ,&SSOCIATION.
v
v
ob, A\
THIS SURVEY NOT VALID UNLES5
SEALED WITH AN EMBOSSED SEAL
)F SURVEYOR SIGNED HEREON. N 11
DO 4 W F30AfWRIGHT, L.S.
kLE: FLORiDA REG. LAND SURVEYOR o�3295
kWN BY: BOA T LAND SU
RVEYORS,
- -------- 1301 PENMAN ROAD SUITE D
N
JACKSONVILLE BEACH, FLORIDA 241—eI56()
Ht.�/
OF -.Z--
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233 ;�3 1�3
APPLICATION FOR MECHANICAL PERMIT CAI_L-IN NUMBER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address: -7 7 7 AJ A f2t�(
LOCATION And 2�7��
OF Intersecting Streets: Between
BUILDING
Sub-division
11. IDENTIFICATION — To be completed by all applicants .
In consideration ermit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance
of p I cl clards
a
with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonvi le or in 71_��
of good practice listed therein.
Contractors f
Nama, of M h nical r Master 'f_�
c�t De -ell Z(& Ze
Contractor e(Prin t,/e 5
Nome of I "� ?/ A e o ,7
Property Owner tj 6
Signature of Owner Signature of
or Authorized Agent Architect or Engineer
Ill. MERAL INFORMATION
A, Type of heating fuel. IS OTHER CONSTRUCTION BEING DONE ON
_11:1�'Ellodric THIS BUILDING OR SITE 7
0 Gas—E3 LP 0 Natural 0 Contra[ Utility IF YES, GIVE NUMBER OF CONSTRUCTION
n. oil PERMIT
C3 Other — Specify
IV. MICHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(provide complete list of components on back of this form) 71�' Residential or 1-1 Commercial
Most E] Space 0 Recessed *Central 0 Floor Ll New Building
Air Conditioning: E3 Room/tr Control /141 Existing Building
Duct System: Mato6s' "0 A_6479� Thicknitu-L-L— Replacement of existing system
Maximum capacity c.f.m. New installation(No system previously installed)
Extension or add-on to existing system
(3 Refrigeration El Other — Specify
0 Cooling tower: Capacity g.p-rn.
0 Fire sprinklers: Number of head--
13 Elevator 0 Manlift 0 EwAlato (number) THIS SPACE FOR OFFICE USE ONLY
0 Gasoline pum --(number) (Received)
0 Tanks (number) Remarks
(3 LPG containers (number)
C) Unfirvid pressure vessel Permit Approved by— Do
0 Boilers
0 Other — specify Permit Fee
LIST ALL EQUIPMENT
AI3t CONDITIONING AND REFRIGERATION EQUIPMENT Capacity A roving
Number Units Description Model Number Manufacturer (Tons) =CY
HEATING, FURNACES, BOILERS, FIREPLACES Capacity Approving
Number Units Description Model Number Manuf (9m) Agway
-4 gtf-A 6
TANKS Type JAquid Name at Serial Approving
'low Many Nominial Capacity No. Agency
and DIMMALMS Contained Manufacturer
PJIN 2 7 1995
CITY OF ATLANTIC BEACH Building and Zoning
PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS
DEMOLITIONS
owner(s ) : elw e)
Address : fCk- f4 /k —Phone:
Lot # Block or unit # 9190) Subdivision: 9A/A7
Contractor :
State License #
Address : Phone No :
Describe work to be done:
�� I-, R b-0 "-..k
Present use of building :
Valuation of Proposed Construction:
Proposed use :
is this an addition? If yes , what are the dimensions of
the added space: ft . X 35 3 ' 'ft . Will the added area
be heated and cooled? New electrical (or increase)?
New plumbing fixtures? New fireplace? " 2 New Heat/AC?_ k' L,
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY ,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT , IF OWNER IS CONTRACTOR .
Signature OWNER: Ce,— C,_1 Date: � 57
Signature CONTRACTOR: Date:
v 0 NZ
License Supplied:
Liability Insurance:
Worker ' s Compensation Insurance:
CITY OF
ATLANTIC BEACH N2 15938
FLORIDA
NAME--.- I 9,?j
ADDRESS -7
CITY--
J�2-
When Signed, Dated and Numbered. This Becomes an O"K&%WK1000 $25.00 14
kKE CHECKS PAYABLE TO Receiyed Pay.Wd 6/28/95 01 Rept: 0063979
TY OF ATLANTIC BEACH, FLORIDA Ea"-322iew TREASURER
PSR-3844 10381
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION --------
Permit Number : 10381 ONTV Address : 777 VECUNA ROAD 3223?
Permit Type : FOUNDATION ATLANTIC BEACH , FLORIDA
lass of Work: ADDITION - --------- LEGAL DESCRIPTION ---------
Constr . Type: WOOD FRAME Lot : 14 Block : Section:
: Proposed Use: SINGLE -FAMILY Township : RNG: 0
ADwellinas : 1 Code : 0 Subdivision: ROYAL PALMS
stimated Value: S0 , 00
Improv . Cost : 80 . 00
Total Fees ,; S� 25 .00.
Amount Paid : S25 .00*
Date Paid: 6/29/95
W... - PERMIT F
----- --- - OWNER INFORMATION APPLICATION FEES -----
Name : EUGENIO CRUZ PERMIT S25 .00
Address ! 777 VFCTjNA ROAD WATER IMPACT FEE to .00
ATLANTIC BEACH - FLORTrl� SEWER IMPACT FEE $0 . 00
Phone - 0041�241 -1963 WATER METER/TAP S01 .00
RADON GAS-H .R . S , 50 . 00
CONTRACTOR INFORMATION RADON CAB 5% 90 . 00
Name * PRf-,:PERT7 OWNER CAPITAL IMPROVE . 90 . 00,
SEWER TAP $0 .00
CROSS CONNECTION SO- 00
Li-ense : SEC H IMPACT FEE 80 .00
CONST . SURCHARGE SO .00
S(7HARC.F!ATL B("H �n .00
NOTES:
Paid under Receipt No. 15938 - $25.00
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 IMPROVEMENTS55
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. —
000000000 000000000 $.00 14
ATLANTIC BEACH BUILDING DEPARTMENT Date: 6/29/95 01 Rept: 0064019
W6322i000
By: -
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904) 247-5800
FAX(904)247-5805
Chapter 489, Florida Statutes,Part I ICONMUCTION CONTRACTIN&requires OwneHBuilder to acknowledge the law:
DISCLOSURE STATEMENT 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
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 yoursel . 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����
1=and occupance. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within I
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 contracto . Your construction must be done according to building codes
and zoning regulations. It is your responsibility to make sure that people mployed by you have licenses reglired by state law and by-
count ormuniapal licensing ordinances.
Ordinances also allow an Owner to improve their own property when it isfor personal orfamily use,and likewfSe
require all work(except maintenance under$2,000)be under a building permit andpass all normal inspections. The
ordinance states owners may physically do work themselves; or=X&re urdfaensed workers provided such workers be under
"direct zypgryisi on ofthe owner,who must be on the-iob site at all times while work is in progress by unlicensed trades
people." 7his does not allow use ofunlicensed contractors.
Since owners=X be liable for stj=es to workers they hire,the Building Department suggests Worker's Compensation insurance
be purchased tiriless 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.
Unlicensed contractors cumot be=ployed under any circums=ces. Owners being subject to$5,000 penalty under Florida Statute
No.455,228(l). An'OccWational License'is not adeq=e. The owner should physically see the county'Certificate of
Competency4 or the Florida'Contractors Certificate"to ascertain if a person is a licensed contractor. Telephone the Building
Department(247-5826)if in doubt
I hereby acknowledge that I have read and understand
all the above on this ___)_ day of 199_�,
Witness,1?pdil"g Dept.Employee Owner/Builder
0 0 /1 U e C
Address
NOTE: Phrases underlined above )jy� - - p;
are emphasized by the Building Phone
Department
FOR OFFICE USE ONLY
Date...... .........19
Permit #
.F3.,Z.Fee$........
CITY OF ATLANTIC BEACH Valuation $......... . ..........................
FLORIDA House #_721-----
.................................................._........................
APPLICATION FOR BUILDING PERMIT
............................................................................
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
berein 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. Date...M:n.f-- ----------------_---------------------
Owner)i ---------Xd-G-C--X ------------------------------Address-----Z-7 :7___-111'A6-r�-__-Tel�phone No.............................
dd ...........Telephone No.............................
Architect----------------------------------------------- --------------------------- --------------- res&_.(:��...
Contractor Builder._02,c'�.__ ------ -- ------ ddress.....9.-�.Lan....JAL�.....................Telephone No.__'_?.Y.6......ns. -O/
LotNo-----------------------------(—)-----------------Block No-------------------------------Sub Division................................................................................Zone-_-------------
------............................Street---- --- -------__---Side Between.....................................................and..............----------------- .............W.
.......For what purpose will building be us 11- --- ----- ction...........
Valuation e,0_4:44)----- - --- -------Type of constru
Dimensions of Building-------------------------_------------Dimensions of Lot......... ......................................Size of Footings--------------------------------------
Size of Piers.--------_------------------------Size of Sill's-------------------------------GTeatest Sill Span in ft...........................Type Roof-----................................
How will Building be Heated?-------------------------------------------------_----------Will Building be on Solid or Filled Ground?----------------------------------------
Size of Ceiling Joists----------------------------------------- Distance on Centers........... ................................. Greatest Span............................................
Size of Floor Joists---------------------------------------------- Distance on Centers........... ................................. Greatest Span............................................
S' f Rafters------------------------------------------------------.Distance on Centers .............�Greatest Span--------------------------------------------
;j ; '�k r 7,' A,'� , /, � This rectangle is to represent the lot.
Locate the building Or buildings in the
'_k right position. Give distance in feet from
-all lot-lines and existing buildings.
A REAR LOT LINE
cay ikTLAR.ft 9- 90.
Two copies of plans and specifications shall OFFIGS
be submitted with application.
Inspections required. DEC 0 g 1978
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. Z Z
41�,
3. When steel is in place and ready to pour beam.
E- E-4
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and 'in acprdance with the building
regulations of the City of Atlantic Beach��7 . 01 .Z'
Signature of Builder.,, --- .... ........................................
................................. Address._'/C__.�. --------
/ ................................................
Signature of Owner...F77..7............................................I.............. Address---9.......................................
PSR-3844 11710
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
- -- PERMIT INFORMATION ---- -------- LOCATION INFORMATION
Permit Number : 11710 Address : 777 VECUNA ROAD
Permit Type: BUILDING ATLANTIC BEACH � FLORIDA 3223-'
Class of Work : ADDITION ---------- LEGAL DESCRIPTION -------
Constr . Type: WOOD FRAME Lot : 9 Block: 14 Section:
Proposed Use: SINGLE FAMILY Township : RNG, 0
Dwellings : I Code: 0 Subdivision: ROYAL PALMS UNIT 21
Estimated Value: 88820 .00
Improv , Cost : SO . 00
Total Fees : $82 . 50
Amount Pa i,-1 $82 . 50
Date 4/ 5/96
Worl-, -r--AGE AFF7 P, PLANS
--------- - i`DWNER INFORMATION ---- APPLICATION FEES -----
Name : EUGENE CFUZ PERMIT 882 . 50
Addr,:�Ts - -7,73 -,,-VECUNA ROAD WATER IMPACT FEE 90 .00
A TtAN,� -I - -
Tl�* IBEACH , FLORiri� SEWEP IMPACT FEE SO - 0 0
��r;�c
Phone: WATER METE+X/TAP
RADON GAS' -H.R. S . $0 .00
------- CONTRACTOR ' INFORMATION RADON CAB 5% SO . 00
Name: PROPERTY OWNER CAPITAL IMPROVE. SO .00
Address : SEWER TAP
CROSS CONNECTION SO .00
Tvpe -. SEC H IMPACT FEE $0 .00
So,0o
CONST . SURCHAAGE
SIC HAF-7 T7 T T T-
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 IMPROVEMENTS19
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION- FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. 4 j O'D
661-00003K-1000
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH Build i'A and Zoning
PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERAT NS
EMOLITIONS
xn-
Owner(s) : dX U f:-
Address :-77-/ L42C.'all),4 eo Phone :
Lot # Block or Unit # IV Subdivision
Contractor : 0 W A-)
State License #
Address : Phone No:
Describe work to be done:
k=UXT- e�- -7-�f--/t4b
Present use of building :
Valuation of Propased Constructign:
Proposed use : --_5/A)C/--C- 12:74-'nole-
Is this an addition?��k?___v If yes , what are the dimensions of
the added space : -ft . X ft . Will the added area
be heated and cooled? AJ New electrical (or increase)?
New plumbing fixtures? New fireplace? New Heat/AC?
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY ,
ENERGY CODE FORMS , NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT , IF OWNER IS CONTRACTOR.
Signature OWNER: Date:
Signature CONTRACTOR Date :
License Supplied:
Liability Insurance: CO Nlk
Worker ' s Compensation Insurance:
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address_ V\-
Date
Heated Scruare Footage —@ $—per sq ft = $
Garage/Shed/5—,,0AKC: (d p e r sq ft = $
Carport/Porch @ $_per sq f t =
Deck @ $_per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION : s FIT)C)
$
To" ga�uation ist $ / OOC)
I C)-u
Remaining Value $
per thousand
or portion thereof
TOTAL BUILDING FEE
+ 1/2 Filing Fee
( ) Fireplaces @ $15 . 00
BUILDING PERMIT FEE
WATER IMPACT FEE
SEWER IMPACT FEE
WATER METER/TAP $
CAPITAL IMPROVEMENT
SEWER TAP
) RADON (HRS) .0050
SECTION H PAVING $
HYDRAULIC SHARES
CROSS CONNECTION $
SURCHARGE . 0050
OTHER $
GRAND TOTAL DUE $
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing___
Eiectric/New Electric/Temp_; SwimmingPool
Septic Tank Well--; Sign_Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES:
CITY OF
4&44dw BeacA-99&uk
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received
Owner's Job Add4ress Locality
Name Contractor
BUILDING NCRE ELECTRICAL PLUMBING MECHANICAL
C
Framing
0 Rough Wiring E Rough E Air Cond. & P
Re Roofing E Slab X_ Temp Pole Top Out 2 Heating
Insulation L Lintel E, Final E Sewer —
Fire Place 17i
Pre Fab
READY FOR INSPECTION
A.M.
Mon. Tues. Wed. Thurs. Friday
A.M.
Inspection Made PM.
Inspector_ Final Inspection
Certificate of Occupancy
Date