319 10th St (vault) CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMA I LOCATION INFORMATION
Address: 3f9 TENTH STREET
Per
rmit Number: 23848
C TLANTIC BEACH, FL 32233
Permit Type: MECHANICAL A
C or LT Township: Range: Book:
Class of Work: ALTERATION
P Propos s S1 L Lot(s)-. Block: Section:
roposed Use: SINGLE FAMILY Subdivision:
Square Feet: Parcel Number:
Est. Value:
Improv. Cost: OWNER INFORMATION
Date Issued: 4/12/2002- Name. 6ECKMAN, BARBARA
Total Fees: 47.00 FAddress: 319 TENTH STREET
Amount Paid: 41.00 ATLANTIC BEACH, FL 32233
Date Paid: 4/12/2002 —Phone: (000)000-0000—
Work Desc: I STALL HVA AND DUCT SYSTEM
APPLICATION FEES
CON RACTOR S)
47.00
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lic Beach
City of Atlant.
z" ing- and Zoning
BUILDING AND ZONING rNSPF-CTION DIVISJrO4
CITY OF ATLANTIC BEACH
""'"''"ORID"'2.x3'
APPLICATION FOR MECHANICAL PERMIT
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CITY OF
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800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
June 1 , 1995
Ms . Barbara Deckman
319 10th Street
Atlantic Beach, FL 32233
Dear Ms . Deckman:
our records indicate that you are the owner of the following
property in the City of Atlantic Beach, Florida:
RE: 319 10th Street
a/k/a Lot 10 , Block 13 , Atlantic Beach
RE# 170068-0000
Please be advised that Atlantic Beach Code of ordinances
requires all garbage and yard trash to be placed in front of your
residence for pick up . Dumping on vacant lots or placing refuse
other than in front of your home is prohibited. We appreciate your
assistance in this matter .
Sincerely ,
d
Code Enforcement officer
KWG/wil
cc: City Manager
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
June 1 , 1995
Paul & Sheila T. Dennis
327 10th Street
Atlantic Beach, FL 32233
Dear Mr . Dennis :
Our records indicate that you are the owner of the following
property in the City of Atlantic Beach, Florida:
RE: 327 10th Street
a/k/a Lot 14 , Block 13 , Atlantic Beach
RE# 170071-0000
Please be advised that Atlantic Beach Code of Ordinances
requires all garbage and yard trash to be placed in front of your
residence for pick up . Dumping on vacant lots or placing refuse
other than in front of your home is prohibited. We appreciate your
assistance in this matter .
Sincerely,
Znewald
Karl W .
Code Enforcement officer
KWG/wjl
cc : City Manager
SOLID WASTE § 16-7
(c) Inspection and approval. All garbage and trash containers shall be subject to inspec-
tion and approval or condemnation by the director of public works. Appeals of his decisions
may be made to the city manager.
(d) Dumpsters required. All commercial A and residence C type units shall be required to
have a commercial dumpster for disposal of garbage and trash. It shall be the duty of the
director of public works to determine the size dumpster required.Appeals of his decisions may
be made to the city manager.
(Ord. No. 55-92-26, § 1, 4-13-92)
Sec. 16-4. Alternate disposal of recyclable items.
Any person may donate or sell their own recyclable items referred to herein to any person,
partnership or corporation, whether operating for profit or not for profit.
(Ord. No. 55-92-26, § 1, 4-13-92)
See. 16-5. Leaves and grass clippings; tree trunks.
Leaves and grass clippings shall be placed for collection at the curb in either a receptacle
meeting the standard for garbage collection or a disposable plastic or waterproof paper bag
securely fastened at the opening. Tree trunks, stumps, limbs, trimmings or waste-building
materials shall be collected; these items shall not exceed five (5) feet in length nor shall any
single item exceed a weight of fifty (50) pounds,
(Ord. No. 55-92-26, § 1, 4-13-92)
Sec. 16-6. Burial of solid waste.
No solid waste shall be buried upon the premises of the person by whom the solid waste
is accumulated. No solid waste shall be buried elsewhere in the city except upon written
permission of the city manager. Composting shall not be considered burial or disposal.
(Ord. No. 55-92-26, § 1, 4-13-92)
Sec. 16-7. Depositing on vacant lots, streets, parks, etc., prohibited; compost piles.
(a) It shall be unlawful to deposit garbage,trash,recyclable items or any other solid waste
including old furniture, appliances, bedsprings, tires, building materials or auto parts upon
any vacant or unoccupied premises of the city, or upon any street, alley or park.
(b) It shall be unlawful for any person to deposit garden trash upon any adjoining lot or
premises, whether vacant or improved, occupied or unoccupied, or upon any other lot or
premises, or a street, plaza, alley or park, or in any canal, waterway, lake or pool within the
city. Garden trash containing no combustible matter or matter which will, during decay, give
off offensive odors, may be accumulated by the owner as a mulch or compost pile in the rear
of the premises upon which accumulated.
(Ord. No. .55-92-26, § 1, 4-13-92)
State law reference—Florida Litter Law, F.S. § 403.413
Supp. No. 13 945
CITY OF
off ice of Building Official
REQUEST FOR INSPECTION
Date Permit No. 14
Time A.M.
Received P.M. District No.
Job Address
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAl
Framing Footing Rough Wiring Rough Air.Cond.& El
Re Roofing Slab Temp Pole Top Out Heating
Lintel Final Sewer Fire Place
Pre Fab
READY FOR INSPECTION A.M.
Mon. (��e Wed. Thurs. Friday-P M
inspection Made
Inspector Final Inspection El
Certificate of Occupancy
Date
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO9160
PERMIT TO BUILD 99*00 T1,
THIS PEPWIT MUST BE POSTED ON JOB 69*1lnCKT
Date Oct. 719 87 6917 1 A 10/07/6:
9160 onocAct
Valuation$ 13,746.00 Fee$ 69.00 6917 1 A 10/07/E
1000
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 Charles Anderson CGCO07235
1A17 PiyPr_P1ar-_t- Dr- . hen
has permission to build new K §Ak and room-re"gate plumbing
fixtures as per plans.
Classification ___Residuntial -Zone IS-2
Owned by Deckman, Barbara
Lot 8 Block 13 s/D A.B.
House No. 319 TenthXIOEKH Street
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
_n AFTER DATE OF ISSUE
M
4 10 0 Building material, rubbish and debris
ZA from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tractpr-pr owner.
Building Ofn�
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL I
SEWER
WATER
PLANS REVIEW CHECK LIST
Owner
Address--Ezy---/-�V-� -- ---------
Legal Description ��g_&kj,�__Contractor42
a.-6-- License Number C
------ ----- -------
License on File No
Section 24-101 * Zoning Rggulgtions
Zoning District... Proposed Use
Required Lot Size-- Actual Lot Size-----------
Setbacks Required Provided Section 24-17
front -�k Aj±--- CORNER LOT
rear
---aL
side-1 Flood Zone_
Required Elevation--,Q117
side-2
Max. Height Ailowed__35 Proposed Height_-c;�/ ------
Section 24-82 * Minimum Lot Coveragg
Required Heated Area Proposed Area
7
Section 24-161 * Offstreet Parking
Number Spaces Required_ 00- Spaces Provided
Section 24-82 * Dupjjqqtf.! P9jjqAngg
Is there a similar building within 500' of proposed building?YES NO
Utilities
Water and sewer service is to be provided by:
Buccaneer Utilities
City of Atlantic Beach Utilities
----- Private Source SEPTIC I TANK WELL Datee)(�—/
Plans Reviewed ------ ---- ------- -------
Building Permit *-J1/Z9-0---- SUED DENIED
Address-
$
116ated Square rootage Jt�er sq ft.
t
Garage/Stied @ L------L-Per sq f.
Carport/Pordi @,$ ___per sq ft
Deck s________yer sq ft
Patio @ $ Ver. sq ft
1,oTAL vALUATION.,
7U6, 00
To t a] a-luation s 0 0. 0 0
8 N6,
Renkain,der Valuation 3x6per thousand or
------------------------------ portion thereof . Total Building Fee
--------------
I
ADDITIONAL PEIULLTS and/or FUS Mq= . I -
+ Filing Fee
Mechanical 11 O-Tireplac.es @. 15.00
Pluibing BUILDING,12EMLT
Electric/Neq -----------------,----------------------------------
Electric/Tail)
BUILDOG-PERRIT $
Septic TanIc WATER ME.1111 CIIARGE
Well SEWER 11FAcr HE
Stqintning Pool
WATER IMPACT FEE
Sign miscalimous
Water Comection
Sewer Camection
Water Meter
Elevation Certificate' GRAND TIJEAL DUE,
-----------------------------------------------------------------------------------------------
CALC=TIONS and/or NCTIT,-S
rQ)
,Q)
CI1Y OF AUAWIC BEACH
APPLICATION TO WE ADDITIONS OR ALTERATIONS
Owner 0 0"ju,"Address 3 ) 9 Pl=e
Architect Address Phone
Contractor A\ Address Phone
Contractors License/Certification Numbers
Expiration Date
Property Address Zoning
Lot it --T-Blcok or Unit # Subdivision py-
Valuation. of Construction $ 9 1 Type of Cons truction
Describe Work to be Perforu)ed h
Materials to be Used
Present Use of Building
Proposed Use of Building_(�N -(X
y,,c
Fl"Ood Zone
Dimensions of New Area:
HEATED oo
GARAGE OR STORAGE %J
CARPORT OR PORCH
DECK
PATIO 'YES NO NLHBER
Will there be an increase in number of units?
Will there be a decrease in number of units?
Any additional plumbing fixtures?
Any new fireplaces?
SUB14IT M COMPLEIE SETS OF PLANS INCLUDING SITE PLAN
Signature WIER-J�Wo-� Date
Signature CIDUMCMR
Date.5 g 0
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO.— "L JATL
PO*5OCKTr
PERMIT TO BUILD _9067 n 7/11/K
THIS PERMIT MUST BE POSTED ON JOB 9914 400CACE.
Date 7/11 19 88 9 00-r�7 A 7/11/BE
Valuation$ Fee$
This permit not valid until above fm has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that B & G Plumbing CFCO22533
has permission toXMIX inStall pIUMbin'
q
Classification Residential Zone
Owned by Barbara Deckman
Lot Block S/D
House No. 319 1-0th.
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
1111 0 Building material, rubbish and debris
z
--i from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tractor or owner.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION fc.-i i0 -F14
PLUMBING CONTRACTOR
LICENSE NUMBERS
OWNER 13ou ba-�a-, D e c,klm aln
BUILDING CONTRACTOR /Uot�)Z-Sov�l -
TYPE OF BUILDING SIWLE FAM PC,/
SINKS SHOWERS
1AVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
__L_CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
__,�i-_TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CITY OF ATLANTIC BEACH, FLORIDA
AL PERMIT
Approwd by APPLICATION FOR ELECTRIC
615- 19
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.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE 'z'6 126.9' JOURNEYMAN
NAME ADDRESS: R F D BOX
BLDG.SIZE BETWEEN:
RES.Cl APT. ( COMMA PUBLIC INDUS. NEW ( I OLD ( W/ REW.
ADDITION ( ) TRAILER ( TEMP. ( ) SIGNS I ) SQ. FT.
SERVICE: NEW INCREASE ( I REPAIR FEE
CONDUCTOR SIZE - AMPS COPPER ALUMA )
SWITCH OR BREAKER AMPS PH W —VOLT RACEWAY
VOLT, ?/Y4,4-, RACEWAY
EXIST.SERV.SIZE /,5-0 AMPS PH W
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCFALED OPEN TOTAL
AMPS. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
0 100 AMPS, OVER
FIXED
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING ICOMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. I VOLTAGE PHS No. 1 H.P. VOLTAGE PHS
L - - - —
6-- .00.00."
MISCELLANEOUS
-TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. lKVA
NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FO=RWARDED
TOTAL FEES
BUILDING AND ZONING INSPECTION DIVISION
6
z CITY OF ATLANTIC BEACH, FLORIDA Z
LL .0
LO
ELECTRICAL PERMIT
D
Date 2/12/8S Fee $ 2 0.00 Permit No. S993
0
LU
Location �19 Tenth Street co
Between and
This is to certify that 0.
C
givins Electric Co. Raymnd Bivins
(Electrical Contractor) (Master Electrician)
has permission to install Electrical Construction as described herein in at
La
accordance with the provisions of the Electrical Code and regulations U
z
of the City of Jacksonville, and subject to the information shown on the LU 0
application, drawings and specifications which are made a part of this
permit. t:
for Charles Anderson
UJ
Type of work: Old Residential
SERVICE: existing 150a"S 1ph 3w 230'volt Cable race%
>
U
LU
Feeders: :E
Outlets: 0
U
LU
Receptacles: cc
Switches: 4A
Incandescent:
Fluorescent:
Appliances:
Air Conditioning:
Motors:
Transformers:
Signs:
Miscellaneous: Hisc. Niring
IF NO WORK IS DONE UNDER
THIS PERMIT DURING ANY SIX ISSUED BY: Electrical inspection Supervisor
MONTHS PERIOD, PERMIT
BECOMES VOID.__
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
fill
Application Number . . . . . 05-00029811 Date 3/02/05
Property Address . . . . . . 319 10TH ST
Tenant nbr, name . . . . . . REPIPE 11 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
DECKMAN, BARBARA DOUG' S DRAINS & MORE, INC.
319 10TH STREET 2453 BAYWAY CT
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 71-0172
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 112 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 112 . 00 112 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 112 . 00 112 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
_51 PLUMBING PERMIT APPLICATION
oil
Date: TO-02S
Property Address:
Owner: Telephone
Contractor: _I,-r-/_ al�7
�Q-S V�' 114, t'? Telephone#:
Contractor Address: _z�7S3 Azd_- tz e'�T I Fax#: 3 2
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 Atlantic Beach
ordinance and standards of good practice listed therein.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other construction is being done on this building or site,
El New list the building permit number:
064 Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Other
Fees
Permit Issuing Fee: $35-00
Total Fixtures: // X$7.00 + $35.00
800 Seminole Road .Atlantic Beach, Florida 32233-WS
Phone: (904) 247-5800 - Fax: (904) 247-5845- http://www.ci.atiantic-beach.fl.us
Revised 1/04
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00029302 Date 11/22/04
Property Address . . . . . . 319 10TH ST
Tenant nbr, name . . . . . . ROOF & NEW DECK COVERED
Application description . . . DECK/PATIO
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 20000
Owner Contractor
---- -------------------- ------------------------
DECKMAN, BARBARA FERGUSON BUILDERS
319 10TH STREET 317 THIRD STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-0067 (904) 993-1315
-------- --------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 130 . 00 Plan Check Fee 65 . 00
Issue Date . . . . Valuation . . . . 20000
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 130 . 00 130 . 00 . 00 . 00
Plan Check Total 65 . 00 65 . 00 . 00 . 00
Grand Total 195 . 00 195 . 00 . 00 . 00
PERMrf IS"PROVED ONLY IN ACCORDANCE W171711 ALL CrrY OF ATIANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
Ah
KlhHaw I 10Ah16
131311DING 017ntRL
FR E IC E I iD
CITY OF ATLA�171r-7 CITY OF ATLANTIC BEACH
Ki I N G BUILDING PERMIT APPLICATION
N 0�
OV 1 2004 (Alterations & Additions)
Date:
Job Address:
OwDer of Property: tc*-f, 4t)
Address: '3101 3?t 04 . _�5 - Telephone: (;7
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: _S0(J_1P%_A_S State License Number: (�eCZ.:Zil 1Z
Contractor Address: 7 -3 An- 4w-r&_-
Telephone: OT93 - 1%31cS- Fax: -Z4j(,
Describe proposed use and work to be done:
Present use of land or building(s): IF C,
Valuation of proposed construction: 4�e Z>_
What are the dimensions of the added space: feet x -7,3 .6 feet
Will the added area be heated and cooled? A/6 New electrical or increase in service? YIL:5
Add plumbing fixtures? lVt> Add fireplace? - Add heating/air conditioning? AD
Is approval of Homeowner's Association or other private entity required? If yes, please submit with this
application.
Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to
the original impervious area or the removal of any trees?
10 NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this
project.
F-1 YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
NO. Applicant certifies that no trees will be removed for this project.
YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (If not required, written verification must be provided with this application.)
The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic
Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us
Page 2 Revised 8/04
In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
1. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures,temporary and permanent,including setbacks,building height number of stories and square footage. Identify
any existing structures and uses.
3. If required by the Department of Public Works,a pre-construction topographical survey.
4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications.
I hereby certify that all information provided with this application is correct.
Signature of owner: Date:
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and
ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the plans and supporting data have been or shall be provided as required.
Signature of Contractor: I�K__!��:_5-,�,� Date: ""s— W
Address and contact information of person to receive all correspondence regarding this application(please print).
Name: flu Jtw J,4t
Mailing Address:
Telephone: Fax: E-Mail: bow—__1
AS TO OWNER:
Sworn to and subscribed before me this day of 204—
State of Florida,County of Duval
Notary's Signature YL-j,
DONNA NEIL
Notary PubliC,State of Florida
My Comm.Expires May 29,2007 Erpersonally known
No.DD217248 F� Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day o f &_P�m 20
State of Florida,County of Duval
Notary's Signature:
Lisa Harmon
MYCOMMISSION# DD294572 EXPIRES
ersonally known
February 26, 2008
BONDED THRU TROY FAIN INSURANCE,INC
Vproduced identification
Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us
Page 3 Revised 8/04
SHOwNG BOUNDARY SURVEY OF
MAP CK_Z.2 R AP OF
__ AS SHO W ON Y
LOT BLO (f --
/,I rL - THE PUBLIC RECORDS OF DUVAL COU Y, FLORIDA
AS RECORDED IN PLAT BOOK. J'AGES OF le a
cER T7FIED FOR: '2
51
o.4'
FILE COPY
6,o'y lo-3
x
Q�
4 41
.)
In
0)
0
,1� FILE COPY
R E C E I V E ID
CITY OF AT LANTIC,
Bull—) ,
NOV 1 2004 cr,
Qy,
BY'
8-il
0-
'8 J1
NOT VALID UNLESS EMBOSSED Enq SEAL OF TH E UNDERSIGNED
FLOOD HAZ.1ARD ZONE___M_AS SCALED FROM FLOOD
HEREON APPEARS TO LIE MMIN FLORIDA, DATED
THE PROPERTY SHOWN Cx/7
INSURANCE RATE MApj222-1FOJ?.47-Z�dlV7-1C- F,:F4 INC.
IT— TE LAND SURVEYORS, 7-31-7235
T IVWLLE, FLORIDA 32256 (904)
8411 BAYME��5WS WAY SUITE #2, JACKSO ANDS WERE SURVEYM UNDER M Y
LE(;EJVD HEREBY CER77FY THAT THE ABOVE L
AND DIRECTION, THAT THERE ARE NO
RESpONS1,91LE sUPERV7510,N AT THE SURVEY SHOWN
EXCEPT AS SHOWN AND TH
WON CO& ENCROACHMENTS FOR 774 B Y'
ON MEETS THE A41NIMUM TECHNICAL STANDARDS SET
(,CT W7H CAp I LS 4144) HERE URSUANT TO SECT70S
-x-FINCE THE FLORIDA BOARD OF LAND SURVEYORS P
0 MW CO&(fWNP) 472.027, FLORIDA STATUTES-
& cx= CUT LARRY G. EDDY, P.L.S. No. 4144
&RL 9UXDINC RES77=770N VNE
ESW7 rA-qVW
)?/)v RJGK—,oF—WAY SCALE.'
cov, CDVMD MEA R VEYOR, TE OF FLORIDA
f CIEN TVUl'k GIS
AIC AIR CONDITIotiING PAD
/.I 1,AlAj nicrANCF rl A Tr"-
'�I �' CC:
CITY OF ATLANTIC BEACH D.Ford
&� r L.Higgn�
BUILDING /ZONING DEPARTMENT -e
_:r:r:>
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
FAX:(904)247-5845 C.
http://ci.atlantic-beach.fl.us
NOV 1 2004
PLAN REVIEW COMMENTS
Permit Application# 04 - 29 �c�Z
Property Address: 319 )OT� 51 R�Ej
Applicant: FERGU519N BIAW)tRc)
Project: ?QV 1 4)v��' SC NL\N Dscle, C0\rF—JzF'r).
This permit application has been:
E!�Approved
Reviewed and the following items need attention-.
Please re-submit your application when these items have been completed.
Reviewed by: L4 Date: I I//
cc�
CITY OF ATLANTIC BEACH D.Ford
iggins
BUILDING /ZONING DEPARTMENT ::�oeff�
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
FAX:(904)247-5845
http://ci.atiantic-beach.fl.us
PLAN REVIEW COMMENTS
Permit Application () � - .2 9 �0 1z
Property Address: 3 ) 9 19T�) 5 1?1 -T
Applicant: F�-?,GU 15�V bUi L�U'5
Project: ? Oo� oNap' �K-r4�-'N mq� mEgD .
application has been:
d
F-1 Reviewed and the following items need attention:
Please re-submit yo plication when these items have been completed.
Reviewed by: Date:
7�
CITY OF ATLANTIC BEACH
BUILDING PERMIT APPLICATION
NOV 1 2004 (Alterations & Additions)
19' Date:
Job Address: —
Owner of Property: 4!!t)
Address: 04 _95 Telephone: .2 6 0
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: State License Number:
Contractor Address: 3
Telephone: (:�T9 :5 - Fax:
Describe proposed use and work to be done:
Present use of land or building(s):
Valuation of proposed construction: -0�zzo ba
What are the dimensions of the added space- /A S_ feet x feet
Will the added area be heated and cooled? A/6. . New electrical or increase in service? Yru,-�,
Add plumbing fixtures? lyc� ... Add fireplace? /0 - Add heating/air conditioning? AO
Is approval of Homeowner's Association or other private entity required? If yes, please submit with this
application.
Will this project involve changes in elevation, site grade or any use of rill material, or the addition of 5% or more to
the original impervious area or the removal of any trees?
NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this
project.
YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
No. Applicant certifies that no trees will be removed for this project.
YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provi e all information as appropriate.
incomplete applications may result in delay in issuance of permit
STEP I. Verify zoning designation and proper setbacks for the proposed construction. if you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (If not required, written verification must be provided with this application.)
The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic
Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826
800 Seminole Road - Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 - http://www.ci.atiantic-beach-fl-us Revised 8/(A
Page 2
DEPARTMENT OF BUILDING PERMIT NO. 3717
CITY OF ATLANTIC BEACH, FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date-5/19/78 _19-
800.00 F,, $ 5.00
Valuation
Tbi- pemit not valid until above fee has been paid to CitY Treasurer, and is
bject to revocation for violation of applicable provision. of law-
rtifytha'L__Char_10_s_N_- _11aq -e—
This is to ce
existin _s_t0_rac1e r00111
has permission to build a bathroom Out Of
nt ia�1 .�ne
__rr�eide�
Classificatio
owned by Charles E- lia—e
Block--!!---S/D-
8
Lot 43281 9/7'
q±t r #00CAC
iDta-, me�� 3717
House No. rt of this permit
According to approved plans which are pa NOTICE—ALL CONCRETE FORMS, i
AND FOOTINGS MUST BE IN- I
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
X rubbish and debris
0 Building material,
z from this 'wvork must not he placed in
public space, and must be cleared up
and haxiled away by either cOntractor
or owner.
A
Bill M. Dayl-s
Building Offi-iAl-
CONTRACTOR
FOR OFFICE PERMIT DATE
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WAT R
FOR OFFICE USE ONLY
Date------ .......19 .....
Permit #3 ----Fee $........................
CITY OF ATLANTIC BEACH
Valuation $ .......................
FLORIDA House #_3_1...
W(2---C...-�_ -------A-6-0.a.a.......-.--.-.-..-.-.- I
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 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 14M.�F............../__.?-------------------- 19---7.2..
Ownen-CiYaRct .........E,---IM6
....I- ....................----------Address---��19.........JJO ..........Telephone No2y�615�(?L.
Architect..........................................................................................-----Address............................................................Telephone No--_----------_----------
ContractorBuilder............................................................................Address............................................................Telephone No....-----_-----------------
Lot No........................a------------------------Block No........ 3...........---Sub Division-----h.:d----e.../3C—H!----------------------------------------Zone.................
...........................................................Street--- - ---------Side Between_..................................................and------------------------------------------------------StO.
00 'h'^
Valuation $ what purpose will building be usedZV._-M.....1?.MA4-------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?----------------------------------------
Size of Ceiling Joists----- -------------------- ----------, Distance on Centers............................................. Greatest Span.................-_----------------------
Size of Floor Joists----------_-------------------------------- Distance on Centers_... ... ................................I Greatest Span--------------------------------------------
Size of Rafters------------------------------------------------------ Distance on Centers... .... .................................. Greatest Span-------------------------------------------
U)6 A* hr—So &01A)C— TO ?)147 )4 1000)p- f7-�oAi 7-#& This rectangle is to represent the lot.
wic-t- a;Locate the building or buildings in the
e,%AJ7- Z36_Z)7?,9aA4 /eV7_Z;' 7_,'V6 1�3rj 7-/�, -TH 6 right position. Give distance in feet from
_R _77y
-all lot-lines and existing buildings.
REAR-LOT—LINE
A)C)-r --1-Ak_-' 6,Y1 577V 6— /J�00,vf 0 il
Two copies of plans and specifications shall k),4 S ?To/�,4B( 4
be submitted with application.
Inspections required. T C?)
1. When steel is in place and ready to pour footing.
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.
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 Jacksor.ville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF I OT
In consideration of permit given for doing the work as described in the above statemerytp 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 Atlantic Beach.
Signatureof Builder-------- .............. ...... ..... .. ............................ Address---------------------------------------------------------------------------------------- ----- -
Signatureof Owner..... ... -- - - ----------- Address----------------------------------------------------------------------------------------------------
FDEPARTMENT OF BUILDING PERMIT NO. 3716
CITY OF ATLANTIC BEACH, FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Da 5/18/78 19—
Valuation$?LUY1B1_M__ Fee $ 3 .00 —
This pemit not valid until above fee has been paid to City Treasurer, and is
a-abject to revocation for violation of applicable provisions Of law.
This is to certify that P
b4th tub, and
has permission to build to install 1 lavato �L_-LES
I water closet.
classification residenti 1
Owned by Charles Hagge
Block---S 3oUUCKT7
LO
nag – 1 -et
House No- =h-15-t—"e
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE VOR]kS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
NTHS
PERMIT VOID SIX NO
AFTER DATE OF ISSUE
o Building material, rubbish and debris
Z from this work must not be placed in
FL___J public space, and must be cleared up
and hatiled away by either contractor
or owner.
L-----------
Building Official.
CONTRACTOR
PERMIT
FOR OFFICE DATE
NLY NUMBER
USE 0
PLUMBING
ELECTRICAL
BEWER
WATEJR
C11Y OF At-I.ARFIC IlDsEAtH
AP,*,:','ICA TIPP, RM f-IlVMfj,?WG pt-.R.j4lr
"A"'E
rzon 01-
�,4 V;4 Torf Y
4ASIOWN' MCIIIID�F
PRAITAYS' TPER
;'#d77ftt./,TTGS OF PLIMIN& AND F'SWURES MUST Ff Th' MY'OR*A.lfF-`.,'r Wrrm -..W� Mtvlir
RECEN7 EVITION vl%� TIM- SIAMOARD Allim-31zlvv Nn"IlE.
CITY OT
WATER CONNECTION Cq;�RGE
DATT E_
LOCATION
01,%i NLER
PLUMBING FIRM__
MASTER PLU143ER—
FUILDER OR CONTPIXTCR
OF BU.MDING
BATHROOM GROUP, CONSY-STING OF STIOVUSPR STALI�, DO.N-X.STIC (2 unit.,
_f__VJAT_ER CLOSET, LAVIVrORY A BATHTUB
Op. SHOWER STALL (6 units) SHTOWERS J,GROUR) .PER HEAD
units)
BM-1flTUB (W1'.PH OR WITHOUT OVER 1 "(3 1
HEY�,D ST IER) k'2 units) SURGEONS SYNK
iOT
-----BIDET (3 unjitS) FLUSHING RXM SIM (6 units)
COMBINATION SINE TRAY Snivim. SINY-TRAP STAND
3 units) (3 Units)
CopABINATiON SINX TRAY W/FOOD SINX-P TRAl"', C�,'t Units)
-7 -Y
]DIESPOSAL. b 1T t4 m-lit"a)
POT, SCULLERY SINK (A
UNIT OR CUSPIDOR (I Unit'l SET
PEDESTAY,, SYPHON
DENTAL LWVATORY U Units) _'_BlbN-OUT 0 units),
DRINXING FOUNTAVM (1/2 unit) Mcf, (4 umits�
A
DISHWASHER (2 units) URINAL STALL, WASUCUT ((4 wwits�
SECT-
FLOOR DRAINS (I anit4), URINAL TROUGH .(EACH 21-FT.
10-N (2 units)
_K11171CHEN SINK (2 mxits)
WM11X157G 1EACHINE (PY.S. (3 mii
FITCHEN Sjwy W/FOOD WASTE
(3 u-nits) wp�SH SINK, EACH SET OF FAUCETS
unit-s)
4 —L-AVATORY (I Unit) W.&TER CLOSET TA��.-M 0PL_%- %TED
1,AVNn ts)
.I.ORy, ;aA
_p.BEnz , TMUTY PAXLOR, (4 m.1 i
(2 units) WATER CLOSET, VALiJE.-0 P E RiL T E D
ORI,.,, �_,uRcEcmS (2 un-its) (8 units)
L_11,UNDRY FIIPK�i (2 ux.dts)