330 10th St (vault) F fr.
CITY OF ATLANTIC BEACH
"~ 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
B uildinptna,coab.us
Application Number . . . . . 07-00000541 Date 4/25/07
Property Address . . . . . . 330 10TH ST
Application type description WELL PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 400
----------------------------------------------------------------------------
Application desc
1 1/41IX30 ' WELL FOR HEAT PUMP+IRRIGATION
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RYAN, MIKE WILLIAMS WELL DRILLING INC
330 10TH STREET P. O. BOX 330567
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-8489
----------------------------------------------------------------------------
Permit . . . . . . WELL PERMIT
Additional desc . .
Permit Fee . . . . 50 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/22/07
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50 . 00 50 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 50 . 00 50 . 00 . 00 . 00
UILDING CO S
Y IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
Building Dept, Public Works and Utility information at top of page, failure to
notify the correct department of your revisions may delay your permit from
being issued.
LV
rev vvl■ W B- 0 %011%p111v. 5. IF115 15A SURFACL SURVEY ONLY. THE EXTENT OF UNDERGROUND FOOTINGS,
LAND & ENGINEERING SURVEYS PIPES AND UTILITIES, IF ANY, NOL DETERMINED.
4. JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT
3846 BIANDING BOULEVARD LOCATED BY THIS SURVEY.
JACKSONVILLE, FLORIDA 32210 5.THIS SURVEY BASED ON LEGAL DESCRIPTIONS FURNISHED. THE PUBLIC
904-771-6468 RECORDS WERE N01 SEARCHED BY THIS SURVEYOR FOR EASEMENTS,
TITLE, COVENANTS, RESTRICTIONS, CLOSURES, TAKINGS OR ORDINANCES, ETC.
SVCERTIFICATE OF AUTHORIZATION NO. LB 0005488 THERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT THIS PARCEL.
6.UNLESS OTHERWISE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION.
I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY �I�G�P6®�A�L�Lfif�MlAS�IOPd�
DIRECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL ® SET IRON PIPE OR REBAR P.C. = POINT OF CURVE BTN. = BETWEEN
STANDARDS FOR LAND SURVEYING PURSUANT TO CHAPTER --ASSOC-SURVEY' OR L 8.5488 P.T. = POINT OF TANGENCY (CHD) = CHORD
61G17-6 FLORIDAADMINISTRATIONCODE.,
CH T 472, F.S. 0 FOUND IRON PIN OR PIPE (IP P.R.C. = POINT OF REVERSE CURVE
- ■ FOUND CONCRETE MONUMENT (C.M. P.C.C. = POINT OF COMPOUND CURVE
BY: � _ � X CROSS CUT OR DRILL HOLE C/L = CENTER LINE R/W= RIGHT OF WAY
(R) = RFr.nRF) i = Acis i FKIrTW rnmr. = CnNCRFTF R T = RHII FIINr TIF
CITY OF ATLANTIC BEACH
S 800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
�JFfl��
Application Number . . . . . 08-00000668 Date 5/15/08
Property Address . . . . . . 330 10TH ST
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
15 fixtures
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BURNETTE TURNER PLUMBING CO.
330 10TH STREET 1903 HENDRICKS AVE.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 396-7044
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 140 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/11/08
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 140 . 00 140 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 140 . 00 140 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i
fjfi. CITY OF ATLANTIC BEACH
07-[ I I
1
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
-..1= OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
_ PLUMBING PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: / 2.IS THIS A SUB PERMIT: 3.DATE
a<h ❑NO
)dYES PERMIT#: __
✓C/ Atlantic Beach, FL 32233
PROPERTY OWNER:
4.NAME. 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS. 6.PHONE.
PLUMBING CONTRACTOR:
7.NAME OF COMPANY: / /' 8.ADDRESS.:
9.STATE OF FLORIDA LICENSE NO: 0.CELL E: 11 FAX
D / � �1S7 � //`3A� 7
�-
12.
EMAIL ADDRESS: 13.OFFICE P ONE: 14.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6)
months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced.
CONTRACTORS SIGNATURE-
15,
IGNATURE15.NUMBER OF FIXTURES:
❑ NEW RE-PIPE
BATH TUB SEWER CONNECTION
BIDET SHOWERS
DISH WASHER SHOWERS PANS
DISPOSAL SINK
DRINKING FOUNTAIN 1° WATER CLOSET TANK
FLOOR DRAIN WATER CLOSET VALVE
1° HOSE BIB / WASHING MACHINES
ICE MAKER WATER CONNECTION
INTERCEPTOR WATER HEATER
LAVATORY URINALS
LAUNDRY TRAY OTHER (SPECIFY):
SEE BACKFLOW AND IRRIGATION PROCEDURE SHEET
ROOF DRAIN
16,PLUMBING PERMIT FEES:
PERMIT ISSUING FEE: $35.00
TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 =
COAB FORM BLDG03:REVISED:8/13/2007
4
CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
J V INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001333 Date 9/30/09
Property Address . . . . . . 330 10TH ST
Application type description WELL PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
------------------------------------------------------------------------
Application desc
NEW WELL
------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
BURNETTE WILLIAMS WELL DRILLING INC
330 10TH STREET P. O. BOX 330567
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-8489
---------------------------------------------------------------------
Permit . . . . . . WELL PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/29/10
----------------------------------------------------------------
Special Notes and Comments
A reduced pressure zone backflow preventer must be
installed on customer' s side of City water service if
irrigation will be provided or if there is a private well
on the property. Backflow preventer must be tested by a
certified tester and a copy of the results sent to Public
Utilities .
---------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 55 . 00 55 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach SEP . 4 2009 APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
r 800 Seminole Road
Atlantic Beach, Florida 32233-5445 ----- if
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: I
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
�, - Department review Yes No re
Property Address: � Q �/J � �/ �-�it� p
Building
Applicant: -S j Planning &Zoning
Tree Administrator
Project: IV W )a(, Publi
ublic Utilitie
is afety
Fire Services
sir .;` "�¢ .f'�'- �`"'"'c'r
Revie fee$ ,..: �.Y. ...� Dept Sigflatsare _ _ r
�? a M._ .�, ._. .. .. _
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ]Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed b Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [—]Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
J V~
rt J1333� • (�" V�
CITY OF ATLANTIC BEACH
WELL PERMIT APPLICATION U
Date
Owner's Name: (� Address: ?7 -:2-70
Well Address(if different than above):
Well Location on Property (i.e. northeast comer, etc.)ZQ
Well Installation Contractor:
Contractor License No.: Phone: `/-g/WR FAX:
Contractor Address:/- Pt
Check Use of Well: Domestic Irrigation Other
Estimated-Well Depth: s Casing Depth:,_ Screen Interval fromt03-�-
Well Diameter: Casing Material_
Is address currently connected to the City water system?
Is address currently connected to the City sewer system? �
Has a Well Permit been obtained from the City of Jacksonville? /)K,Permit#
Does the well require a permit from the St. Johns River Water Management District?
(Not required for wells under 2-inches diameter installed by resident or wells under 6-
inches diameter if installed by licensed well contractor). J�
If permit is required, note Permit Number and attach a copy.
NOTE. WHENA WELL IS INSTALLED ON YOUR PROPERTY, YOUMUST
INSTALL A REDUCED PRESSURE ZONE TYPE BACKFLOW PREVENTER ON
THE CITY WATER SERVICE ON THE CUSTOMER'S SIDE OF THE METER.
THE BACKFLOW PREVENTER MUST BE TESTED BYA CERTIFIED TESTER
AND A COPY OF THE RESULTS SENT TO THE PUBLIC UTILITIES
DEPARTMENT.
I
C9TY OF AW4ffIC BEAM
71WVL0 BLVD.
A_LAMrM > IFLWd DA
41 rq Locati an
2. 5 ett ,Sd p C am frxr it. abvw 6011 di eg i s d subject to a»etl rs the
fo Y i owl Rg &Pp i l eabt a +rssresf"Actl aan regia€se's:
a- -fM-tJM. she€ i 1 nes MW m9tthit +cartemte eta €ar w€s,
ral AfeC. rei t ttio 518" deform# retaft t rg, rimb for + s to-Y
bu€ Q A W C-M6 ttw'ac Ve" a rel Mfor e-1 rrg•toin fay ivo-s ry
W9 f di n9s, 1 1 aafa m-i nq zast shy i F be p Oveod i n the low. am-ifl rd of than
footingsi, r6y p1wed and fss-�eamd an eaftl swittigas with a€tv. Fooflnp
Ota R f ba si x u rchea, si der on each sl do t fns we P i a bon, she€i be at !OW
eight Inch" th l ok and -A-at S rest m f i au sot i at least to i vo inch" be l ata
each, unit €i be reirefCPV41)d With
T uVagi CAV No. 5 bw rot a1 t =vrs. POUTVd and W1tta Cat 1`®t
ch reWorring s;c`m.N t be tam t y tied Into ilft f i n p and spw4rsl baw
V. 12j-, $ ..: it +f a are a°tt l cite). shag € � i y fastened to
;Ki an i; uW SME oS: apprmad huml cans w&hors or c iPry.
4. sim-ttcoa of ttan V one-fa W iia dop1:1ta4s, rh I cil we dW Ci cafts or iahmsiy
sirrA tar, ahW C bis t vai ded. Such $io1;18rity o dor's "0 aae#w,"I «fi guration
WW r4p t-M,* bi.t°>. , rte, +rs~ W ai;l i9slaoaos., ariredW size and 40@819aa
erW olftv, E i kea c . €sti ems) or 91 Vet rW. R n scowd wi tip tft for igci rig,
SERI 1W i ems'* NMW it i not be Cons-tru°tead wi#taisof vlove pr+ linty
Of awh Attar- amd shbt' p be at last fWt apart If MW cm similar
ftOiirg Rs vigabFv frw my ate` Similar d"111rrg.
SVWVr° swvlcio rorx,,cfla m fes' be pry with risen-wt mds tri "is presence
of a Cit f e
f. 1-ft f 1 mu i minwf'i a rc belvew the mss pi Ing a t re an saw service
ccwnett Bat tm pnvwiy i i O2 must Ci macre
bel nq cmwaad> r
C
The obi gsed havby a f ti as f'lest he has Is
addenda tafce pretoftwe eve' mW a=vtrmV d tal Is to Its p i anna a * speci f i cati ons
znd Was 1-i cmpOy vlilh the i sled of th i ss a ddon4m.
/limner
Addre"
f
f
I
PSR-3844 12577
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
- ---- PERMIT INFORMATION - _ _____ LOCATION INFORMATION
Permit Number : 12577 =,ddress : 330 TENTH STREET
Permit Type:RE-ROOF ATLANTIC BEACH , FLORIDA 32233
'lass of Work:NEW -------- LEGAL DESCRIPTION --------
Constr . Type:WOOD FRAME Block : Lot : Twp:
Proposed Use: Section: 0 Subd: O Rng :
Dwellings : 1 Subdivision:
Est . Value: 0 . 00
Improv . Cost : 2 . 485 .00
Total Fe 25 . 00
Amount 4' 25 , 00
r j' A I',-
-t+gNEP INFORMATION -_ -------- APPLICATION FEES
!flame:: E7RA 1-FARi---LD STOW nERMIT n nn
adrlr • -3r' TE TTH STREET
Tc ANT1 " EA*, FLORIDA 322;
bane 4 ` 2 , 9 19
iNTRIL"^ - IN ORMATI0ty
'_Mame* J P CON71'�,i.'TING, COMPAL
Adft-; 30-2154 Fr�N`PRN7i `r-tUPT -NOR"
JACKSONTT LE . FL 32225
- -
RrloorlPo' "1, Exp:
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATWAqC
VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 9/@5;90 �1 Receipt: 00855051
fl81198t�✓33��it�136
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ALANTIC BEACH
' / ROOFING PERMIT APPLICATION
Owner(s) :__ h' 0_r6 S ]_oW
�� Th
Address• 33 0 5 l- Phone
Lot # , Block
� or Unit # Subdivision:
Contractor• (/ `� trcc
Address • 1 0
City, State and 3 Z-2 ZJphone 6 Y2 - a 9oC-5
State License # �< �` no --5-0 2
Describe work to be performed: �9 1-e -vy
Valuation of Proposed Construction: I/d � '
Materials to be used:
Signature of Owner;
Signature of Contractor:
Liability Insurance Supplied
Workers Compensation Insurance Supplied
License Information
AA11'' CITY OF ,,__
fYdani a B -�&it••s
Office of Building Official
Q REQUEST FOR INSPECTION 108
O8 g
Date J — • —0 Permit No.
Time A.M.
Received P.M.
3,331 sf.
Job Address Locality
Owner's F r"be►/` Contractor
�BUILDI CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Pre Fab
lace ❑
Arc READY FOR INSPECTION A.M.
M .
Tues. Wed. Thurs. Friday PM.
on
Inspection Made P.M.
Final Inspection
Inspector CertificatY I
Oc7. cy ❑ _
Date /L►�__ �
,C//1�
PSR-3844 7796
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION ------
ddre_� QAEN�N,HINgORMATION ---
Permit Number : 7796 _ REEEET
Permit Type: RE-ROOF ATLANTIC BEACH .- FLORIDA 322333
"lass of Work : REPAIR ---------- LEGAL DESCRIPTION ------- - -
,-onstr . Type : WOOD FRAME x1ot : Block : Section:
Froposed Use: SINGLE FAMILY Township : RNG: 0
�wellinas : 1 Code : 0 subdivision:
Estimated Value: $0 .ctt,,
Improv. Cost : $0 . 00 PAID
Total Few 522 . 50
Am--u-. 522 . 50 JAN 251994
City of Atlantic Bch,
SHINGLE REPAIR
NNgR INFORMATION -------• ---- APPLICATION FEES -----
Na-me : L-F.PA HTROLD STIDW. PERMIT $22 . 50,
A:ddre�7 s -4130 TENTH .STREET WATER LMPACT FEE SO .00
ATLANTIC EEACH , FLORII"-, '' SEWED: IMPAC' FEE MOO
F,1. qr; -19-9fi'1c? ?FjTER METER.a'TAF $O .
RADON GAS-H .R. S . $0 . 00
- - - '3ONTRACTOR INFORMATION RADON CAB 5% $0 . 00
Name : PA -,F-PRTY ;WNER CAPITAL IMPROVE . $0 . 00
SEWER TAP SO . 00
HYDRAULIC SHARE $0 .00
Type : 1 CROSS CONNECTION $0 -00
SEC .H IMPACT FEE S0 .00
CONST . SURCHARGE
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."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
PAID
ATLANTIC BEACH BUILDING DEPARTMENT
JAN 2 5 1994
By:
City ot Atlantic Ott
CITY OF ALANTIC BEACH
ROOFING PERMIT APPLICATION
Owner(s) : l-EAKI-cid `:10
Address : 330 10'' 5-t-. Phone: aN9-509 5
Lot # , Block or Unit # Subdivision:
Contractor: O„Jnc-✓L
Address :
City, State and Zip Phone
State License #
Describe work to be performed:
Valuation of Proposed Construction: SOc7 .oa
Materials to be used: ct�—� 5�.� ��c-s
Signature of owner; -
Signature
wner; sSignature of Contractor:
Liability Insurance Supplied
Workers Compensation Insurance Supplied
License Information
DEPARTMENT OF BUILDING 3877
CITY OF ATLANTIC BEACH. FLORIDA
PERMIT NO. i
PERMIT TO BUILD _'AILURR? TO Co_MPLY
THIS PERMIT MUST BE POSTED ON JOB '-MH THE MECHANICS
Date_ 10/331 19_ 78 LIEN LAW CAN RESULI I
IN THE PROPERTY
Valuation $ 06 780 Fee $ 170.00 OWNER PAYING TWICE
�
T
This permit not valid until above fee has been paid to City Treasurer, and is FOR BUILDING
subject to revocation for violation of applicable provisionsof Lw. IMPROVEMEWS
•
This is to certify that_SQhn
has permission to build a reaQ;ria 4.s
t
E Classification c,f d n
Owned by__ John D Gearhard
Lot-1 15 ' Lot 13 & E 40' Lot 3Aock_ 12 S/D AB
House No 3"1n 1� _� eek
r Accordingto
approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
' AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
f
PERMIT VOID SIR MONTHS
a AFTER DATE OF ISSUE
♦---� �— 0 Building material, rubbish and debris
I Z from this work must not be placed in
i
Public space, and must he cleared up
and hauled away by either contractor
' * or owner.
Bili 1,'. Bavis
Building Official.
FOR OFFICE PERMIT i
USE ONLY NUMBER DATE CONTRACTOR
PLUMBING
ELECTRICAL LS
SEWER C
WATER
w
FOR OFFICE USE ONLY
T Date.-----&Z3..............19 9
D
� �rp Permit #A//--f-•------Fee a--p..._.......:.....
OF ATLANTIC BEACH Valuation $-----C�.. �.-._..J-.-O.. ............
1978
FLORIDA
House #_ ... _.. ...-..__' _._.
CITY OF ATLA.NTAPKMATION 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. rr-�� LL
'`` + Date.V C�TS?b� f' ---------------------------
(4
. 19_�. ..
Ownerlh a....b....�Eft.aa �--...._ �(p�/3._ �t7 On--- rC ---Tele ! 9-T X21
-------------------------Address-------•-- •----..1-C -,��_LL. �y phone No. q ..n......._.....
Architect-_ -1_i�l•tq---..._ - --- ----------------------•--------•------------...Address_I.J0....E s5 i_.�! I I--•-41!___----Telephone No...�S `2.' �/
Cont,,�� tor Builder J -0L).!1•FQ.. ---------------•--......----Address-------------.........� "UT--------...--------Telephone No........v----...........
LotTTo. 1 ! ....
d Block No. 1.2----------.--Sub Division--------- -'Ln -------------•.---------Zone-----------•-----
. -•-•-- //�� ....!�1---------------Street--------1 --.-Side Between.... :05 ._r nti .1._-------_----and_. is !�!lw�Q_..-- .._.. 3't�ts.-,,I
Valuation $------(09. �S)O.-For what purpose will building be used.-* x ES C'Q ---.......Type of construction.Slnq-e.__l-�m.�_.! <<rn
� � it 1 1
Dimensions of Building._Y(Q__�.!-Q................Dimensions of Lot-------Jr_.�_.__k...1 ..................Size of Footings.._ .......
Size of Piers-------------.......'-.-_..._.....:Size of(-Sills...-._.---_-. ..............Greatest Sill Span in ft............................Type Roof--- ..�(Q..........
How will Building be Heated?...!AeCJ4 1X0
._� ./.fbepC.._.........Will Building be on Solid or Filled Ground?----
Size of Ceiling Joists-__---- . .S? .......V;........`YDistance on Centers.......... ............................ Greatest Span....... .._.�............--..----- to( 1
Size of Floor Joists.___-•-_- .a.x[4-,Distance on Centers.......... ........................... Greatest Span.................................--..._..._. ItSize of Rafters---------------------------....................... Distance on Centers...---... ................ Greatest Span...........................................
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
APPROVED all lot-lines and existing buildings.
CITY OF ATLANTIC BEACH REAR LOT LINE
BU�1-O G OFFICE
Two copies of plans and specifications shall '
be submitted with application. S
Inspections required.
1. When steel is in place and ready to pour footing. W W
2. When steel is in place and ready to pour columns o f
3. When steel is in place and ready to pour beam. atoo E4
! a
4. When framing is completed. E -7:
s
5. When rough plumbing is completed,and ready to cover up. W rt) W
6. When septic tank drain field or sewer is laid but before it is covered. A "l jrj� A
7. Electrical inspection by City of Jacksonville. rn
Clr
8. Final inspection. O
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 sp cations, which are a part hereof, and in accordance with the building
regulations of the Cit o tlant' ea
Signature of Builder.__.. _. .1 J1 Address-------' W~ --•CG G....!ll-...-{-..-.-..._. C_.` �'1 1
Signature of Owner.......... .. .. Address..... .. �•1
3883
PERMC(NO.
G
OF BUIL-�►N
pEpp,RTMENT G BEACH.FLORIDA
t pTLANTI % I%,V
GITY OF V
PERMIT STO POSTED ON ,O$ i s
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4INE.-Cle? -,imz 330 10th Street
I- --;"------'—'---' "
W. 15 Lot 13 &
John D. Gearhard
1643 Coconut Rd. , Jax FL
&I TIE
A-J;AlT' 066
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W'. 15 ' Lot 13 & 12 3QeQflit'B
14T WO. � T,e�. ..'�`. .. MOM RO
61M woLott' Residential
6 sxc[evrMlflb:Y}s'leNr
i'iPZ�t-0:.n Rvh!Rrl-m,1�a:x'�{(��•rrrfi�'t:vASC'Q.��le `� .os.�wi'Y's+aaxne+JCCsnSYiVrs
F3�;T���'I�;"Ss=nrr�cu+aow�,+r.+s.c=s�x.ceesw.r-vw�aa�s-e�ermw y��.�yy
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John Gearhard
1643 Coconut Road
Atlantic Beach Fla.
July 9, 19�G-?
City of Atlantic Beach
€ City Hall
To Whom It May Concern
I release Southern Electric from all responsibilites
of completing the electrical work at 330 Tenth St.building
permit,t. 3877 electrical permit number 2287 at this time .
I now have obtaine the services of Dave Williams Electric
Company to complete my electrical work.
i
Thank
o
0-0�'t
Qo',�
hn Gearhard
VJ
JUL 18 1980
O �
CITY OF ATLANTIC BEACH
ilk'\\
�s s; CITY OF ATLAP-,TIC BEACH
A> PLAN REVIEW SHEET Routed to:
D.H ufstetler
r� Building Department Public Works&Public Utilities Departments S. Doerr
Ji31�r 800 Seminole Road 1200 Sandpiper Lane er
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233
(904)247-5800 (904)247-5834 Public Safety
(904)247-5845 Fax (904)247-5843 Fax Jax Fire dept.
PLAN REVIEW COMMENTS CIL FRECEIVED
Permit Application# G�' — Q� ' PR 2 3 2007
Property Address 'JJ� l
Applicant: 1 S
Project: (,r to
Review Result (Circle onve Disapproved Approved w/Conditions
Review Initials/Date
Development Size: Habitable Space Non-Habitable
Impervious area Total Area
Miscellaneous Information :
Occupancy Group Type of Construction Number Of Stories
Zoning District # Parking Spaces Max. Occupancy Load
Fire Sprinklers Required Flood Zone
ri(�
Conditions or Comments:
Building Dept, Public Works and Utility information at top of page, failure to
notify the correct department of your revisions may delay your permit from
being issued.
BUILDING PERMIT APPLICATION
s
S�
CITY OF ATLANTIC BEACH R EC E I 'VE D
800 Seminole Road,Atlantic Beach FL 32233 CITY OF ATLANTIC BEACH
BUILDING � 7.ONING
Office: (904)247-5826 • Fax: (904)247-5845'
Job Address: �✓ /&19�� -� ` Permit Number:
Legal Description
Valuation of Work(Replacement Cost) $ ` o o
■ Class of Work(Circle one): New Addition Alteration Repair Move
■ Use of existing/proposed structures) Circle one): Commercial Residential
■ If an existing structure, is a fire sprier system installed? (Circle one): Yes No N/A
■ Is approval of homeowner's association or other private entity required?(Circle one): Yes No
Describe in detail the type of work to be performed:
Z4 50" k)ell -5-"Ot-
Property Owner Information
Name: Address:
City State Zip_ ��Whone 2!�k— 0?0
Contractor Information:
Name of Company: k4llea W > / ve Qualifying Agent: /'k y wiCl scams
Address:zz� 3a S6 City,,.!f/�'•ci7`�G- s� State 0 Zip 3-,
Office Phone Job Site/Contact Number 7. v3�a
State Certification/Registration# Office Fax# 9 V j1'9 23 _
Architect Name&Phone#
Engineer's Name &Phone#
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or
installation has commenced prior to the issuance of a permit and that all work will be wformed to meet the standards of all
laws regulating construction in this jurisdiction. This permit becomes null and void work is not commenced within six(6)
months, or,ifconstruction or work is suspended or abandoned for a period of six_(6) months at anytime after work is
commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools,
Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
thereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work wi71 be complied with whether specified herein or not. The granting of a
permit does not presume to give author to violate or cancel the provisions of any other federal, state, or local my
regulating construction or the perfo e of construction.
Signature of Property Owne : — Signature of Contractor:
Sworn to and subsc 'bed>e ore me Sworn to and subs bed before me
this Zd Day of f this�Day of r 1 2,00-7
i
Notary Public:ANotary Public:
•
NANCY NANCY E BAILEY ,�,'�••"'�, E BAR.EY
' -Y s � �C0"rridoni002T1740
REVISED 03.05.07 ::
f yCoi,N*s n#DD2TTM40 an
? IR � Evlt Fdftl"a 2008
Y 8.2008
MAP SHOWING BOUNDARY SURVEY OF
TETE EAST FORTY (40) FEET OF LOT FIFTEEN (15) AND THE UIEST FIFTEEN (15) FEET OF LOT
THIRTEEN (1.3) , BLOCK TWELVE (12) , SUBDIVISION A, ATLANTIC BEACH, ACCORDING TO PLAT
THEREOF RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY,
FLORIDA.
CERTIFIED TO: MICHAEL RYAN, CHRISTINE RYAN, STEWART TITLE. GUARANTY COMPANY,
HALL MORTGAGE. AND WATSON & OSBORNE TTITLE SERVICES, INC.
J
,SY PGA
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1. iJVG�rs eek Sr�vcvvFce.NsSu¢✓E✓
2.STRUCTURE NO. 33p SHOWN HEREON LIES WITHIN FLOOD ZONE x AS BEST
DETERMINED FROM F.EM.A. FLOOD MAPS PANEL NO. / DATED o4'i7-89
ASSOCIATED SURVEYORS INC, 3.THIS IS A SURFACE SURVEY ONLY. THE EXTENT OF UNDERGROUND FOOTINGS,
Lu LAND & ENGINEERING SURVEYS PIPES AND UTILITIES, IF ANY, NOr DETERMINED.
3846 BLANDING BOULEVARD 4.JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT
`- LOCATED BY THIS SUR Y.
SJACKSONVILLE, FLORIDA 32210 5.THIS SURVEY BASED ON LEGAL. DESCRIPTIONS FURNISHED. THE PUBLIC
904-771-6468 RECORDS WERE NOT SEARCHED BY THIS SURVEYOR FOR EASEMENTS,
`)pCERTIFICATE OTITLE, COVENANTS, RESTRICTIONS, CLOSURES, TAKINGS OR ORDINANCES, ETC.
S S V F AUTHORIZATION N0. LB 0005488 THERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT THIS PARCEL.
I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY
6.UNLESS OTHERWISE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION.
-
DIRECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL LEGEND/ABORIEVIAY10Na
STANDARDS FOR LAND SURVEYING PURSUANT TO CHAPTER SET IRON PIPE OR REBAR P.C. = POINT OF CURVE BTN. = BETWEEN
61G17-6 FLORIDA ADMINISTRATION CODE. H T 472, F.S" ASSOC.SURVEY" OR L.B.5488 P.T. = POINT OF TANGENCY (CHD) = CHORD
• FOUND IRON PIN OR PIPE (IP) P.R.C. = POINT OF REVERSE CURVE
■ FOUND CONCRETE MONUMENT (C.M-) P.C.C. = POINT OF COMPOUND CURVE
BY: X CROSS CUT OR DRILL HOLE C/L = CENTER LINE R/W= RIGHT OF WAY
CHARLES B. HATCHER FLORIDA TIFICAT� N0. 771 (R) = RECORD L = ARC LENGTH CONC. = CONCRETE B.T.= BUILDING TIE
R =RADIUS (M) = MEASURED A\C =AIR CONDITIONER (E.T.) = SAVE TIE
CHARLES L. STARLING FLORIDA C R T IFICATE NO. 4579 C & R =COVENANTS & RESTRECTIONS WM =WATER METER UP= UTILITY POLE
RAYMOND J. SCHAEFER FLORIDA CERTIF!CATE NO. 6132 D-R.V- =OFFICIAL RECORD VOLUME P.EQ. =POOL EQUIPMENT �= GUY ANCHOR
JOB N0. .4755/ F P.R.M.=PERMANENT REFERENCE MONUMENT -O.U.- =OVER HEAD UTILITIES
SATE 1( �c�5 B.R.L = BUILDING RESTRICTION LINE X—X FENCE N & D= NAIL & DISK
SCALE: / 20' DRAFTER J?a FF E.T. =ELECTRIC TRANSFORMER & PAD W—W WIRE FENCE E.B.= ELECTRIC BOX
-- -- J.EA. =JACKSONVILLE ELECTRIC AUTHORITY REF.COR.= REFERENCE CORNER
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER
CITY OF ATLANTIC BEACH
PLAN REVIEW SHEET Routed to:
D.Hufstetler
-� Building Department Public Works&Public Utilities Departments S. Doerr
800 Seminole Road 1200 Sandpiper Lane qLp
wer>
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233
(904)247-5800 (904)247-5834 Public Safety
(904)247-5845 Fax (904)247-5843=BY-
Property
Jax Fire dept.
PLAN REVIEW COMMENTS
Permit Application # P- - � 'Address ���. I t� •
Applicant: ( S
Project: I (J (,E- ftp
Review Result(Circle one)-/,ai,NrovPJ Disapproved Approved w/Conditions
Review Initials/Date B
Development Size: Habitable Space Non-Habitable
Impervious area Total Area
Miscellaneous Information
Occupancy Group Type of Construction Number Of Stories
Zoning District # Parking Spaces Max. Occupancy Load
Fire Sprinklers Required Flood Zone
Conditions or Comments:
(
Building Dept, Public Works and Utility information af top of page, failure to
notify the correct department of your revisions may delay your permit from
being issued.
BUILDING PERMIT APPLICATION
r J .
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 • Fax: (904)247-5845
Job Address: /69 � ` Permit Number:
Legal Description
Valuation of Work(Replacement Cost) $ zO O �•�
■ Class of Work(Circle one): New Addition Alteration Repair Move
■ Use of existing/proposed structure(ss Circle one): Commercial Residential
■ If an existing structure, is a fire spr er system installed? (Circle one): Yes No N/A
■ Is approval of homeowner's association or other private entity required? (Circle one): Yes No
Describe in detail the type ofworkto be performed:
Property Owner Information
Name: e Address: �-� e271-14
City State Zip ? 3Phonel� O
Contractor Information:
Name of Company: r W > Qualifying Agent:
Address:
4Zd f -'4 3Z7 561City, /�,ei7`� - State d Zip 3-
Office Phone – ' Job Site/Contact Number 7, 3�a
State Certification/Registration# Office Fax# s '1'9 3
Architect Name &Phone#
Engineer's Name&Phone#
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or
installation has commenced prior to the issuance o�fa permit and that all workwill be erformed to meetthe standards ofall
laws regulating construction.tn this jurisdiction. This permit becomes null and void if work is not commenced within six(6)
months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is
commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells,Pools,
Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Thereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
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 author' to violate or cancel the provisions of any other federal, state, or local law
regulating construction or the per fo e of construction.
Signature of Property Owne : Signature of Contractor:
Swom to and subsc 'bed before me Sworn to and subs bed before me
this Zd Dayof ' f f I kQO-7
Notary Public: Notary Public:
tll
i NANCY�iD/11LC�
NANCY E.BAILEY ! �=t
REVISED 03.05.07 =�; a _ My Commission#DD 277740
,� My Commission#DD 277740 •� "�
Expires:February 8,2008 ExP February 8,2008
MAP SHOWII*G BOUNDARY SURVEY OF
THE EAST FORTY (40) FEET OF LOT FIFTEEN (1.5) AND THE WEST FIFTEEN (15) FEET OF LOT
THIRTEEN (13) , BLOCK TWELVE (12) , SUBDIVISION A, ATLANTIC BEACH, ACCORDING TO PLAT
THEREOF RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY,
FLORIDA.
CERTIFIED TO: MICHAEL RYAN, CHRISTINE RYAN, STEWART TITLE GUARANTY COMPANY,
HALL MORTGAGE. AND WATSON & OSBORNE �TITLE SERV/ICES, INC.
/ �L_ I ( Ti�nI7�I STCfF_T
Cao'¢/,�.� Fes- ✓ PG N;
?59.98 C�-+� a.c' .m �c'o,:c''.S:oE��<<c. •'.'�--- •.- .'.. �.' w�o� a�/�
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2.STRUCTURE NO. 33o SHOWN HEREON LIES WITHIN FLOOD ZONE x AS BEST
A DETERMINED FROM F.E.M.A. FLOOD MAPS PANEL N0. / OAT89
SSOCIATED SURVEYORS INC, 3.
0 THIS IS A SURFACE SURVEY ONLY. THE EXTENT OF UNDERGROUNDOUND FOOTINGS,
LAND do ENGINEERING SURVEYS PIPES AND UTILITIES, IF ANY, NOT DETERMINED.
w 4.JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT
r 3846 BLANDING BOULEVARD LOCATED BY THIS SURVEY.
6 JACKSONVILLE, FLORIDA 32210 5.THIS SURVEY BASED ON LEGAL. DESCRIPTIONS FURNISHED. THE PUBLIC
904-771-6468 RECORDS WERE N01 SEARCHED BY THIS SURVEYOR FOR EASEMENTS,
TITLE, COVENANTS, RESTRICTIONS, CLOSURES, TAKINGS OR ORDINANCES, ETC.
0 S S V CERTIFICATE OF AUTHORIZATION NO. LB 0005488 THERE COULD BE OTHER MATTERS OF RECORDTHAT AFFECT THIS PARCEL.
6.UNLESS OTHERWISE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION
1 HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY LEGEND/ASSREVIAY10NO
DIRECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL O SET IRON PIPE OR REBAR P.C. = POINT OF CURVE BTN. = BETWEEP
STANDARDS FOR LAND SURVEYING PURSUANT TO CHAPTER -ASSOC.SURVEY' OR L.B.5488 P.T. = POINT OF TANGENCY (CHD) = CHOR'
61G17-6 FLORIDA ADMINISTRATION CODE, CH T 472, F.S. 0 FOUND IRON PIN OR PIPE (IP) P.R.C. = POINT OF REVERSE CURVE
- ■ FOUND CONCRETE MONUMENT (C.M.) P.C.C. = POINT OF COMPOUND CURVE
X CROSS CUT OR DRILL HOLE C/L = CENTER LINE R/W= RIGHT OF WA
BY: _.. (R) = RECORD L = ARC LENGTH CONC. = CONCRETE B.T.= BUILDING TII
CHARLES B. HATCHER FLORIDA T19CATE NO. 771 A C =AIR CONDITIONER (E.T.) = EAVE TII
R =RADIUS (M) = MEASURED
CHARLES L. STARLING FLORIDA C R T IFICATE NO. 4579 C & R =COVENANTS do RESTRECTIONS WM =WATER METER UP= UTILITY POL
RAYMOND J. SCHAEFER FLORIDA CERTIFICATE N0. 6132 O.R.V. =OFFICIAL RECORD VOLUME P.EQ. =POOL EQUIPMENT �= GUY ANCHOI
P.R.M.=PERMANENT REFERENCE MONUMENT -O.U.- =OVER HEAD UTILITIES
SI
JOB NO. 4755/ DATE i'( � 2cA 5 B.R.L = BUILELECIICGTRAN TRICTIRNkLPAD W—W WIRE INE X—X FENCE N BD= ELECTRNAIL O BIO
SCALE / r ZD DnAFf F_R JTaFF _ J.E.A. =JACKSONVILLE ELECTRIC AUTHOR
REF.COR.= REFERENCE CORNER
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER