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390 10th St (vault) F7:�� PERMIT WORKSHEET Certificate of Occupancy Job Address: �� O-P-� Type Work: �Phone # L��-. Property Owner: �"Q�� Contractor: Phone # _ 9 4� �U �� ` �Q 5 ��.��-nom; Date Issued: Z _ --OS Permit#: O S _ 2g (.,:5 n Tree P5Permit# # FoundPermit# Demol BUILDING ;ee MECHANICAL PLUMBING # Footing e ter Underslab Slab .Tie Beam Lintel F lease Gas Piping Date — Water/ Nailing/ Sewer Sheathing Rough/ Framing Rough Rough Topout IJEA Release Insulation i Date Electric Mechanical Plumbing _ Building .vs Final Final .1 Final ? Final JEA Release Date Drainage Inspection: Pool Permit# Final Inspections: Steel Final EEEEEE Elec./Grounding RoofingPermit# Inspect: Nailing/Sheathing Final Fire Inspection: Date Paid: Failed Inspe°ctians: \"Vi rf CITY OF ATLANTIC BEACH f� Ise 800 SENIINOLE ROAD r ATLANTIC BEACH,FL 32233 ' INSPECTION PHONE LINE 247-5826 jo 06-00034473 Date 12/20/06 Application Number 390 10TH ST Property Address . • • . Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . 2200 ---------------------------------------------- Application desc REROOF --- ---------------------------- Contractor Owner ---- ------- -------------- - DOMESTIC DESIGNS SUMMER 438 B FLETCHER AVE 390 10TH STREET FL 32233 FERNANDINA BEACH FL 32034 ATLANTIC BEACH (904) 321-0626 -_--- ---- Permit • ROOF PERMIT Additional desc Plan Check Fee . 00 Permit Fee 45 . 00 2200 Valuation Issue Date • • • ' 6/18/07 Expiration Date • __ --------------------- __ ------------------------------- Charged Paid Credited Fee summary Due--- ----------------- - ---------- ---------- _ ----------- 45 . 00 45 . 00 . 00 . 00 Permit Fee Total 00 00 00 . 00 Plan Check Total 45 . 00 . 00 . 00 Grand Total 45 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH J ROOFING PERMIT APPLICATION Date: PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WIITH APPLICATION. Job Address: e5 Owner of Property: � G •�y JJ �En Address: � 1�.� l Telephone: ,�,�� , jfj6yti� State License Number: Contractor: Contractor's Address: Telephone: Fax: Scope of Work: Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work: b� `r Product Name(Example: Timberline): �x Manufacturer(Example: GAF): —� ASTM Designation(s): Required Inspections:77! l Signature of Owner: Date:gAS TO OWNER: � C4��41Z 20 Sworn to and subscribed before me this C day of State of Florida,County of Duval Notary's Signature: Of SHIRLEY L ORAl1AM ••� ❑ P nally known ¢ Notary PubNc-Sfale d Flpide ' W Commisssion Expire Fab 14,2010 Produced identification P Commission N DO 51 5533 ype of identification produced '� Bonded By National Notary Assn. Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of �f d�f`A - ,20_' State of Florida,County of Duval Notary's Signature: SH EY L GRAHAM E] Personally known tom`°w�c,, Notwy Pubk-Slak d FWft [Produced identification Ay Corton Expke:Feb 14'2010 Type of identification produced �L 0 O 163 (e Q 41/ Commission M DD 510533 5onded By National Notary Asan. Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.usRevised 2/21/03 Page 1 . _ 1 5 S If k - ;m PRESTIUE OOO0 )W1.twat build-uP savings on your tt -�Jhe shingle that's a shade better. than white. Meets initial 53 rAR M ENNERGY perform r shingles with Stain 1` 0 Cool Colo treatment proide one more wAv Ell' shingles a and long-temil31Y�t .• `± - Antique Slate n •0'4Aq check for prod ct ava� o The Complete Elk Roof System dwComplete Elk Roof System using any Elk premium shingle and products 1-5 as listed below,and you can receive a 7-year non-prorated limited w-arranty Cori kcGwd— tilt-Adherin_.Underlayment protects against wind driven rain and ice damming' r„P 1Ri*,Seal-A-Ridge`or RidgeCrest"Hip and Ridge Shingles help create unique roofline profiles while pro�riding extra protection against leaks and wind t�'w fi tt3s_dw fim step for a lasting root that can withstand severe winds.Elk Starter Strip- helps protect your home from the elements and completes your mtat. 7.2" lie a&. d asphalt,granular surfaced,fiberglass-reinforced with WindGuar&sealant. 7.2"KwikStart Roll-self-adhering SBS-modified asphalt,mineral-qui-3coi ed. veiAmxed with WittdCu ird sealant. 9"Starter Roll-standard asphalt,granular surfaced and fiberglass-reinforc fflit at RidgeCrest'with Formula FLX Ridge Vents provide filtedess ventilation,reducing moisture accumulation that can damage roof decks. titidtrAlrd".TG-2r" or VersaShield'Underlayments-ShieldGard is a self-adhering membrane which protects against wind-driven rain,while TG-- . -rvrior protection against moisture penetration.VersaShield has the added benefit of aiding in the prevention of flame spread. •, STIvI D6l jprv 790/ASTM Class t AT` D3161 Class F Winc 23901A ridaBud ng Ccule AppPiqe Grrandcand Domain 33i&D3462 and CSAA123.5 Miami-Dade County xlut(onn1 Approved; .+_';k{D3*2 with special exclusions for sections 4.2 and 4.4,which relate to their non-asphalt interpty,and ICC-ES ESR-1 Limited Warranty Comparison PRESTIQUE GRANDE, PRESTIQUE PLUS PRESTIQUE I PRESTIQUE HIGH DEFINITION CAPSTONE HIGH DEFINTFION HIGH DEFINi-noN RAISED PROFILE AND AND GAUERY COILE'nON PRESTIQL E COOL COWR Sg�s LacrEDWAIRRANTY50 years 40 years i0)'ears 30 year, 30 year,, s 5-7*years non-prorated 5-7'years non-prorated 10 years non-prorated 5.7*)Fars non-p ulrawd 5.i years rxm-Pr rated coverage for shingles coverage for shingles coverage for shingles coverage for shingles coverage for shingles and application latex and application labor and application latex and application lalva and application latex with plated coveraw with prorated coverage with prorated coverage with prorated coverage with prorated average M for for remainder of limited for rernwrider o limited rcn><nirxler of limitai tor mnainder,>t Iinuted fix remtit><1er,d lintiad rill warrmty period warranty'period warranty period warranty pc warranty�ri,>d Standard:80 moi Snnxhtrd:&y mph Standard:80 mph Standard:80 mph Standard:70 mp:. WLNE,CovEx.AGeExtended:90 mph t Extended:I l0 mph t Extended:110 mph t atwte s rc : c -= :"'.'j wwranpes can be obtained ban the distrib"a ww w elkwrp.com.Limited warranties may he registered onfre^ = - 9ts#ilt¢i�adttter++es(u del k The Cel Chert = ;;.act on•the useful Irfe of a given,&ma:be more or less than the length of the lanited warra^ ' �a�rzr�ief�Yatsorti.astsneaitsostdoata.a-- :�_ ��dtwJ�lL�lriesll�e•►f��iiir.Gs��ferit .Sr/"hasY$tafspas sWin"wig' !I�/�rIlitillmal ttra�ta$�iai��71tmWadi� ��ec W0600d golf#7d atm_ 11�it$Ia>�Ei.liitW9ftlit�tFii�t.tsteerrddw8teallesertatedssdtetedwadwAtdtiteaitpsdYkiCkY0.KStjug slinvNeitfwler��t aets x#filly it r4own Grit!E�et�lAMM ltlw s COerrt ie ft e9i�t i a Pteoee fzOE.at iesu rst l Wood �Elk SOW SNO� . �t��nttsletln/ems#eriraifllteett�eetez �tstett>rl�eer►tt�e »> twaeffs96a8din! z 7et�C aoer a�!s ses 7®t a�OOt'des utmt°s xre atos'c=-R�rsz•ca as�a r t� � tea _rEltlt�/t=it tttr 1 tale a atr>.eei�a�Am VOW- sr-' W mw r,}4l= me�a+r s.:ac. rr�sy >� , CITY OF ATLANTIC BLE CH i� 800 SEMINOROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 05-00029945 Date 3/24/05 Application Number 390 10TH ST Property Address MISC Tenant nbr, name RIC ONLY Application description ELECTUPDATED Property Zoning 0 Application valuation Contractor owner ------------------ --------------- - - KNIGHT ELECTRIC LLC SUMNER/ROLLINS 13997-4 BEACH BLVD 390 10TH STREET JACKSONVILLE FL 32246 ATLANTIC BEACH FL 32233 (904) 247-9884 ------------- ---- (904) 241-9049 - ---------------------- ------------- ---- ELECTRICAL PERMIT Additional desc 70 . 00 Plan Check Fee 0 00 Permit Fee Valuation Issue Date Charged Paid Credited Fee summary Due--- Fee ---------- -----7 . 00 _ --------- 70 . 00 70 . 00 . 00 Permit Fee Total 00 00 . 00 Plan Check Total . 00 . 00 Grand Total 70 . 00 70 . 00 P ERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TILE FLORIDA BUILDING CODES. BUILDING OFFICIAL 02/13/2005 09:49 9042491042 ROLLINGS CONSTRUCTIN NOTICE OF COMMENCEMENT State of /' Tax Folio No. County of V✓b • To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accadantx with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: S� �� - Address of property being impr �� O General description of improvements: /✓ Owner. r Address: CA 14 t Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner) Name: n Address. ( ConwActor. N 41. d✓ Address: tmaw gb~ Fax No: "p Phone No: Surety(if any): Amount Address: of Bond$ Phone No: Fax No' Name and address of any person making a loan for the construction of the improvements. Name: Address: — Doc g 2005a379p3.OR 6K 12270 POW 1937, Phone No: t pow pages.1 Name of person within the State of Florida.other than himself,de: Fled d Recordea 0�r31R00s at 02:05 W documents may be served: � JIM FULLER CLERK CIRCUIT COURT tx1VAL COUNTY Name- no RECORDING 510.00 Address: Phone No: In addition to himself,owner designates the following person to receive a copy of the Lielor's Notice as provided in Section 713.06(2xb),Florida Statues. (F.ill in at Owner's option). Name: _ N1-4 Address: w Phone No: Fax No: Expiration date of Notice of Commencement(the expiration dace is one(1)year from the date of recording unless a different dale is specified);_ -- TICS SPACE FOR RECORDER'S USE ONLY Date: —# / D5 Signe Before is t day of JIRru e C unry of Duval,State of Florida,has personally appeared_A4�h J04Eo1i B.gOSS6lL0 r•s 1 tI� r s%Nokry pwk_ft"of now Notary Public at Large,State of Florida,County of Duval. 192&31'zfl!► My commission expires:_�1a5/04' '�?� Cvrnrnis.tinn!tj0�19s03 Personally Known. Of '�'' tloruJed By Nolrww,'a?Iory assn Produced Identification;r%L. W&QQ: S K�BOG a 02/13/2005 09:49 9042491042 ROLLINGS CONSTRUCTIN PAGE 01 2445 South 3"Street 5u(te E,Jackso+rvlle Beach.FL 32250 Roffings phone: (904)249-9453 tax: (904)249-1042 • a n Inc. ftx 1b: Jennifer Schlueter From: Larry Rollings Fax. 247-5845 Pages, 2 Plwna: 247-5826 Data 2/1312005 we; 390—1 01h Street Notice of Comm. CC: ❑w9ent ❑ For Review D Please Cgmmw t ❑Please Reply 0 Please Recycle Jennifer: Attached is the Notice of Comme+hoement for the above referenced residentiel remodel project. The permit is onsite;therefore, I do not have the permit number handy. Call regarding questions. Larry CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 w, INSPECTION PHONE LINE 247-582 INSPECTION EMAIL REQUEST: J 3 Building-dept9 oab.us Application Number . . . . . 08-00000315 Date 3/06 08 Property Address . . . . . . 390 10TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------- ----- -------- - ------- Application desc 9 fixtures ---- ---------------------------------- ---- Owner Contractor - --------------- - --- - - - -- ---------------------- - PRIDEAUX, MARK STEEG PLUMBING 390 10TH STREET Q/A: STEEG, JAMES ATLANTIC BEACH FL 32233 1601 MAIN ST ATLANTIC BEACH FL 32233 (904) 249-5191 ---------------- ----- --- ---------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Plan Check Fee . 00 Permit Fee 98 . 00 . Issue Date . . . Valuation 0 Expiration Date . . 9/02/08 ------------------------------- ----------------------- --- -- ------------ Fee summary Charged Paid Credited Due ---- -- ---- -- ----- - - - -- - - - --- -- Permit Fee Total 98 . 00 98 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 98 . 00 98 . 00 . 00 . 00 I PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA I BUILDING CODES. CITY OF ATLANTIC BEACH ► j PLUMBING PERMIT APPLICATION Date: 3 Property Address: �_ 2 Owner:& P A I X Telephone#: Contractor: �fl' I �' ("D Telephone#• Contractor Address: A Fax#: Contractor Signature: In consideration of permit given for d ' g 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, ❑ New list the building permit number: Re-Pipe Number of Fixtures: Bath Tubs Showers Z Closets Shower Pans Dishwashers -L -- Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other*See attached sheet see For Backflow and Irrigation procedures Fees Permit Issuing Fee: $35.00 Total Fixtures: ___ IL X$7.00 + $35.00 = 800 Seminole Road •Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 a Fax: (904) 247-5845• http://www.ci.atlantic-beach.fl•Revised 9/06 CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD J r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: �1BIT Building-dept@coab.us Application Number . . . . . 08-00000115 Date 1/25/08 Property Address . . . . . . 390 10TH ST Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --- --------- ---------------- - - ----- -- Application desc INSTALL PAVER DRIVEWAY ---------------- -------------------- Owner Contractor - ----------- -- ----- - ----- ----------------------- PRIDEAUX, MARK OWNER 390 10TH STREET ATLANTIC BEACH FL 32233 -- ---------- ------------------------------- - - ------------------------------ Permit . . . . . . DRIVEWAY PERMIT Additional desc . Plan Check Fee . 00 Permit Fee 35 . 00 . Valuation . . . . 0 Issue Date . . . . Expiration Date . - 7/23/08 ------------------- --------------- Special Notes and Comments Maximum 3 ' flare on either side of driveway. --------------------------------------------- - ---- - - ----------- - ------ Fee summary Charged PaidCredited Due ---------- . ......... ---- . 00 Permit Fee Total 35 . 00 35 . 00 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �is CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD _ ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 rItI� INSPECTION EMAIL REQUEST: Building-deptgcoab.us Application Number . . . . . 08-00000115 Date 1/28/08 Property Address . . . . . . 390 10TH ST Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------------------- ------- Application desc INSTALL PAVER DRIVEWAY ----------------------------------- ------------------------- Owner Contractor - ------------------------ ----------------------- PRIDEAUX, MARK OWNER 390 10TH STREET ATLANTIC BEACH FL 32233 ---------------------------------------- ---- -- ----------- Permit DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . 1/25/08 Valuation . . . . 0 Expiration Date . . 7/23/08 ---------------------------------------- ------ ---------- Special Notes and Comments Maximum 3 ' flare on either side of driveway. ----------------------------- ------------------- ------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. crry OF ATLANTIC BEACH PERMIT BUMDI G / ZONING DE�A.l1 i V.t APPL(CATIOIV# r 3 CITY OF.ATLAN.TIC BEAC►- ? :.: 800 Seminole Road .4 �' •.: Atlantic Beach,Florida 32233 � /► n n (904)247-5800 1 JAN 2 ^'4 2008 �!,i,1 of (904)247-5845 Fax 9 www.coab.us BY: APPLICATION TRACKING FORM ____ REQU DEPT: j /' Y PLANNING V V Z Y H BUILDING Property Address: _ P IC WORKS a.r 0 UBLIC UTILITIES A�p�plicaut= � Y FIRE DEPT. 'r f ( P V I t �� Y id PUBLIC SAFE T`C Project- ✓ 1 t cn RDATE: v REQUIRED GENCY: RE I ED BY: INITIAL: LER w w Y NCD HU 5 Y S.J.R.W.M. ARPER s Y N Y CORPS of CARPER O Y N HOT LS&RE S HUFSTETLER APPLICATION STATUS __ CIRCLE ONE. SITE BUILDING DA AP . REVIEWED BY: INITIAL: DA ® 15T REV PLANNING ® ® 2PJD REV BUILDING �Uauw--o PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV R�G„a-rm tF➢uaa Fanew�n#�e$baa?11$wi$iriian�l�G"xa2ir aasle6e�dn1�AC�vnU have entered your comments into the AS4ft rt,A,y_ CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 904-247-5800 800 Seminole Road Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 Date `� PERMIT# G ISSUED BY THE CITY Job Address 6� Permitee: MV_ c �- a,tf Telephone# �Q l I � Permittee Address: Requesting Permission to Construct: \c�C 2 II lr Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) No ✓ Date:No (� Bell South Telephone Company Yes ( ) Date: Yes ( ) No (V , Date: Comcast Ferrell Gas Yes ( ) No (t� Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. b, A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction In good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completi n. w OWNE N -_R V t i� Signe Date: CITY OF ATLANTIC BEACH } Before me is day of n the County of Duval, BI III.DINP Q, 7nN;N(; State Of Florida,h onally appeared M 0-r f I LQ eQ�l i Nota P bli at ar e, to Qf Florida,County of Duval. +� !, no�� ..y.....,, Pe sMRE D� O I � or �J ` [ (_—V L— Y Commission Expires Feb 28, Commission 8 DD 523638 Bonded By National Notary Asan. R.O.W.Permit Attachment of for R.O.W.Permit# issued , 2005 Atlantic Beach,FL 32233 Owner's Name: TAo.sV-, � -, d("- Property Address: 3�d St MV. .. ;t- ��. F� 3�z33 Subdivision: Lot#1 Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT ,{ THIS REVOCABLE ENCROACHMENT PERMIT, issued on this p%"t� day of 20*by Atlantic Beach, Florida, a municipal corporation organized and existing under the lawo of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach,Florida,hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). This work is generally described as: �SWA b,) m rcAc Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall herrland use and code requirements of the CITeet the current requirements of the City Y. Building Codes,Land Development Code,and all The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page 1 of 2 USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty (30)days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilit(ie�s_,are hereby assumed by the USER. DATED and SIGNED this 67 I -_day of UAL 20dd CITY OF ATLANTIC BEACH,FLORIDA, By: `tea a municipal corporation: Property Owner K. CUNNINGHAM By: Notary Public-State of Florida tm anso , tty Manager ,My Commission Expires Feb 28,2010 Commission#DD 523638 Bonded By National Notary Assn. Attest: Rick C er,Public Works Director STATE OF FLORIDA COUNTY OF DUVAL On this�4'day of J 200'�, ersonally appeared before me, a Notary Public in and for said County and Otate, P[ or i ALAv the property owner of 9 ( 0+4- ms , Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. By: No aid County and State Property Owner (to be signed in presence of the Notary) K.CUNNINGHAM Notary Public-State of F"a .•ply Commission Expires Feb 28,2010 Commission#DD 523638 Bonded By National Notary Assn. Page 2 of 2 TaTiic G R Q U P �ro 0 JAN Baa Real Estate Tax & Investment Strategies The TaxTic Group,LLC•420 Bell Street•Chagrin Falls,Ohio 44022.440.547.2850 Cell•440.247.3848 Ph/Fax•mp@taxtic.net•www.taxdc.net 1 06713 M44P SHOWING BOUNDARY SURVEY OF k/ -3S 1 ar- 1I &- 35 BLOCK /Z AS SHOWN ON MAP OF Lo r 4-3 Q rL.4 nI z-1 C /3 E,0 cg AS RECORDED IN PLATBOOK S —PAGES Gq OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED FOR: /Yla2./� �. P {'F Loa S / �i — V4 _r AJQLTi l0 ria `377 (¢0 2/,✓) _ (�o o�e� MIA) 70.DO \� a/ M ' ZT ZI.Z• /1-0' a k,Ia 0 n `A /, Ty. G,I/�. N p .� �r 1�37.3' Q L7 NID d , �D.O -3Q � O Q fy� T N O IL 4 0 d � o J O -j a � r N J / V `Ai w o.i 70. o , a� 4a 4z THF PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE— X _AS SCALED FROM FLOOD i //CITY OF &;&Uda Office of Building Official REQUEST FOR INSPECTION Date l — 3 9 �— Permit No. Time A.M. Received — P.M. /Q Job Address Locality p Owner's --��` Contractor Name Vly�— BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL EiD r Framing - Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & g Re Roofing Slab ElTemp Pole 7, Top Out Heating El Insulation a Lintel ❑ Final G Sewer Fire Place Pre Fab READY FOR INSPECTION A.M Mon. Tues. Wed. Thurs. Frida A.M. —P.M. Inspection Made i Final Inspection ❑ Inspector —_ — Certificate of Occupancy C i Date R CITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029630 Date 2/07/05 Property Address . . . . . . 390 10TH ST Tenant nbr, name . . . . . . INT RMDL TO DEN, BR, & BATH Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 Owner Contractor ----------- ---- --------- -- - ------- -------- ------ WALKER, MARY S . ROLLINGS CONSTRUCTION INC 390 10TH STREET 2445 SOUTH 3RD STREET SUITE E ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-0460 (904) 249-9453 ---------- ------------------------------------------------------------------ Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00 Issue Date . . . . Valuation . . . . 10000 Fee summary Charged Paid Credited Due ----------------- --- ------- -------- -- - --------- ---------- Permit Fee Total 80 . 00 80 . 00 . 00 . 00 Plan Check Total 40 . 00 40 . 00 . 00 . 00 Grand Total 120 . 00 120 . 00 . 00 . 00 t PERmrr IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL a rj�L1'1�� CITY OF ATLANTIC BEACH Cc: r BUILDING / ZONING DEPARTMENT D.Ford 800 Seminole Road L. Higgins Atlantic Beach,Florida 32233 iJF31�� (904)247-5800 (904)247-5845 Fax www.coab.us RECEIVED _._. CITY OF ATLANTIC BEACH PLAN REVIEW COMMENTS BUILDING ZONING JAN 31 2005 Permit Application # DS - 2.9630 BY: Property Address: 3 q O 1019 S 1)1 E t T Applicant: RO LU N C7� CO N;I PN C T I O N I N C Project: INTVRI'0R REM0tt TO PEN , MASTER BEgROOM _ k SAV This permit application has been: Approved El Reviewed and the following items need attention: Please re-submit your application when these items have been completed. �'Reviewed By: �— Date: I �� E v DCITY OF ATLANTIC BEACH PRE ITY OF ATLANTIC BEACH ( BUILDING PERMIT APPLICATION BUILDING 8 ZONING I (Interior Remodel) JAN 31 2005 BY: Date: JW ZA'02005 Job Address: 390 /,p 1014 SM27 . #&AV77-0 Bs*eol Owner of Property: / W'1 Address: 3gp /D A` S Telephone: ZW-G Nbo Legal Description: Block Number- — Lot Number: Zoning District: Contractor: Xi► moms 4*IsrX✓w ry-/ /AiL State License Number: Cei415n S/8S Contractor's Address: 2t/45 Sod T+/ 3100 SrVw7- I*"AV . .41:L A&SO Telephone: Z49- 9w,S77S9-qioo Fax: Z'19'/0412- Describe proposed use and work to be done: A00 A404e Ta WTl9Z,#A.L Aye' W N Rc t'pH6' /c AM Wi., owners e i S~S Present use of land or building(s): S,NfLE i2-- CS)IOW7A;Pt Valuation of proposed construction: /O 000 New electrical or increase in service? A10 Add plumbing fixtures? NO Add fireplace? No Add heating/air conditioning? Nd Is approval of Homeowner's Association or other private entity required? NO If yes, please submit with this application. 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. Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor, and two (2) 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 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. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Revised 1/04 Page 2 I hereby certify that all information rovided with this application is/cJorrrect. <Z4Signature of Property Owner: U X�f 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. L25 />_Date:Signature of Contractor: Address and contact information of person to receive all correspondence regarding this application(please print). Name: L I�WAOW� �• ?d tt At .) ea S �"40J6S c.o y S 77�JL.TiOa� �.�7 L , Mailing Address: Ny.S Sbyl4s 3Y"'0 J6f131E 3t�So Telephone: ZY l- 94153 Fax: ZV9—/D A/Z E-Mail: ROA.f_40AA C*A4 7 59- AS TO OWNER: Sworn to and subscribed before me this 3 3F day of J4 20 65' State of Florida,County of Duval Notary's Signature: i+••�— +�'� JOSEPH B.ROSSELLO `B Notary ❑ Personally known r0— slytyCommissionbpkesAug252008State Y Produced identification Commission#DD 349893 �F` l3otxieciBVNaflon0lNotaryAssn. Type of identification produced >nl W uaA S57 4? 506 6 AS TO CONTRACTOR: Sworn to and subscribed before me this �84`" day of __j__AP1La♦y 2005 . State of Florida,County of Duval Notary's Signature: ELLEN LAVAKE := MY COMMISSION#DD 342487 ❑ Personally known : P;a EXPIRES:August 1,2008 [] Produced identification L r)L R1-4 5_j , 5iq_(o q_d(2-O ''• oFr�°.C`° Bonded Thru Notary Public Underwriters 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.Il.us Revised 1/04 Page 3 OWNER'S AUTHORIZATION FOR AGENT J4e.y-_ 5yowJe9- is hereby authorized to act on behalf of A414W S. /..'AA-gar- the owner(s) of those lands described with the attached application, and as described in the attached deed or other such proof of ownership as may be required, in applying to the City of Atlantic Beach, Florida, for an application related to a Development Permit or other action pursuant to a: ❑ Zoning Variance ❑ Appeal ❑ Use-by-Exception ❑ Fence or Pool Permit ❑ Rezoning ❑ Sign Permit ❑ Plat or Replat E� Other 8##jkV1Nb /aTouo iC AUTHORIZED BY: M 0-� Sign tur f Ow r /4^"?9-1( 15. W'4'LALL�. Print Name Signaturefo Owner Print Nam 39a /o 706% 7A- Address 2d/-o N6o Telephone Number THIS SPACE FOR RECORDER'S OWN R USE ONLY Signe Date: AVyof4Juval,JOSEPH B.ROSSELLOBefore me is S day of .�in the Cou State Of Florida, has personally appeared M4.44 5. We'IKcr Notary Public-State of Flodda WCorrr)issionl5p esAug28.20M Notary Public at Large, State of Florida, County o Duval. Commission#DD 349893 My commission expires: j a SjoX By ,y Personal) Known: Bonded B National Nota Assn. Y or Produced Identification: orTc ed ZAjtjmA *ca+i o w4ar,Sy7 41soc 0 PSR-3844 1 09874 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION - ----- ------- LOCATION INFORMATION ------- Permit Number! 9974 Address : 39^ TENTH STREET Permit Type : BUILDING ATLANTIC BEA-CH . F1,,--4-,1DA 3223- lass of Work: REMODEL - ------I--.- LEGAL DESCRIPTION ------_ Constr . Type: WOOD FRAME Lcvt * Block , Section: Proposed Use: PATIO I'DECK Township: RNG: 0 Dwelli'n9s : I code : 0 Subdivision: ATLANTIC BEACH Estimated Value : S 3 600 .Oi", Improv . Cost : �4) . ct r Total Fees : S45 .0C, Amount $45, 00 3/ 21 / 95 WEST SIDE OF HOUSE PER PLANS A -14ER INFORMATION PPLICATION FEES , -,,-'OD-,ttARY WALKE- PERMIT S91 d d r Ii STREET WATER TMrACT FEE $0 . oi, SEWM� 1MPACT FEE 'TT V1,11TT CH , FLOP 0 -/TAP" RADON GAS -H . R. S . $0 .00 CdOTWTOR :..INFORMATION --- RADON CAB 5% $0 . 00 Name : f3ARNETTE � ONSTRUCVON I�f CAPITAL IMPROVE. A — I A ATLhNT -1 N BEACH , FL 3223 1SS CONNEICTIn $0 .00 Type , SEC H IMPACT FEE A0 00 ,0 CONST . SURCHARGE TH GE/2%T14 , F-'-7 14- 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 REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT J1--Y)000000 O(KKK10000 $45.00 14 Da,'P: 3/27/95 01 Rept: 0041940 W&3221000 1325 By: - ----------------------- CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 2 (6 C t2 It rl f Date " � �' S Heated Square Footage @ $ per sq ft = $ �Il Garage/Shed ^lam-@ $ per sq ft = $ Carport/Porch `� � � ;� @ $ per sq ft = $ U Deck r� @ S per sq ft = $ Patio NP @ $ per sq ft = $ Q TOTAL VALUATION: $ =ba /S.aa $ 141v <2 Total Valuation 1st $ /066 o;?�C-,-)<:�) / �o $ 1IT- 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 S ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTEM N DEMOLITIONS Owner(s) : Carl Walker Address: 390 Tenth Street Phone: 241 -0460 Lot Block or Unit # Subdivision: Contractor: Barnette Construction Incorporated State License # CB C057271 Address: _447-3 Atlantic Blvd Phone No: 249-983 Describe work to be done: Replacp thePxis ing wood dpck nn _the west sidp of the house Present use of building: ResicjPntal Valuation of Proposed Construction: $3, 600 . 00 Proposed use: Is this an addition? No If yes, what are the dimensions of the added space: ft . X ft . Will the added area be heated and cooled? 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: (14,CZ( {..— Date: C� - vZ - Signature CONTRACTOR: Oaate: 5)5–" License Supplied: Liability Insurance: 1995 Worker's Compensation Insurance: Building and Zoning f I f r�( xf l 19 i Building and oning { i ;r i � � S vC him 0 7 U 0,-o •� � i. �gz C\? 404 ' 4 Qo + 4 80; Qr v pi i 4 MAP SHOWING SURVEY OF AS RECORDED IN PLAT BOOK. PAGE__(o Q_____ - _OF PUBLIC RECORDS OF DUVAL CO., FLA. FOR tZAME'5 CARS. l I I �w; I i qj ,� � I y I•I I I ^••i ,,l I vl 1 i I Z16• N �� I ��•� I:i '11 (1 I Q C QI I a � Q v •� I 1 70' .i'�- 4�. .Sr..'r'�it'c'�C'c''�ailc7,4,'•%>,�:�rc, fvu.:��9�ion /Y�TF.' �J::9./�4� ✓�:'. L S, '9 SG, .gz?�llP_C.�'4d "Ji./b., i.'!�� 1.968 A0 ( .brie _Ti/�'YeU iia f� dale. 4. i R,•t'II,•, ked - No Coriwrs Set,June ,14MI q^ _ RAY, DURDEN, SN S �IATES - Y UL R AS `. Reg. Surveyor Cert. 1879 14 I HEREBY CERTIFY THAT 1 HAVE SURVEYED THE LANDS AS SHOW. I THEABOVE CAPTION AND THERE ARE NO ENCROACHMENTS. SIGNED- `. . :L_ 19,'7 ,., /• ` t- SCALE:_-- ._ .._ .._. - . . __._ REGISTERED SURVE40R NO.J520 ILA ' ORDER NO.. BOZ 3', - -- -- - - CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233- Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT -- -- LOCATION INFORMATION PERMIT INFORMATION - Address: _ 390 TENTH STREET Permit Number: 23985 ATLANTIC BEACH, FLORIDA 32233 Permit Type: ELECTRICAL Township: 0 Range: 0 Book: Class of.Work: ALTERATION Lot(s): Block; Section:0 Proposed Use: Subdivision: ATLANTIC BEACH Square Feet: Parcel Number: Est. Value: OWNER INFORMATION Improv. Cost: Name: CARL AND MARY WALKER Date Issued: 5/01/2002_ Address: ' 390 TENTH STREET Total Fees: 25.00 ATLANTIC BEACH, FLORIDA 32233 Amount Paid: 25.00 Date Paid: 5/01/2002 - Phone: 904 241-0460 Work pest; CIRCUITS FOR Moo! AND DISHWASHER APPLICATION FEES CONTRACTORS $,. 25.00 EARLY ELECTRIC COMPANY ME ECTION - M� n� _ 4Z _ NOTICE- I 4 < 1C SPACE,AND BUILDING MATERI MUST BE CLEARED _ - __��_OR _ THE "FAILURE TO COM _ . . PROPERTY OWNER - - SUBJECT TO REVOCATION ISSUED ACCORDING TO APPR -� FOR VIOLATION OF APPLICABLE _ Oper: CHERYLE Type: OC Drawer: 1 Date: 5/01/02 01 Receipt no: 54326 14 @ERNITS-BUILDING 1 $25.60 ATLANTIC.BEACH B ILDI EPT. 00100003221000- - 390 18TH ST TCK CHECKS 3533 525.00 1�:1M:36 CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR. DATE: A/— IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR GOING THE WORK AS OESCRISED IN THE FOLLOWING. WE HERESY AGREE TO PERFORM SATO 'NARK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN'ACCORDANCE 'NITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. G ! G ELECTRICAL FIRM .M �, ,� AST=R E £CTRICIAv SIGNATURE NAME / �d',�- r AND 7Cr1.%1jN 7 it L:L.UILDIN1IC�1 DII�iSIOhI CITY OF iaLANTIC BEACH, FLORIDA APPLICATION r-OR MECHANICAL PERMIT - IMrORTANT--/-,f-sPlic+ont to cornploto all items in socivx+s 1. Il, 111, and W. St. a"d on t:d. of 390 10th ST. sN+ (►n+.r..�r;,w s+�•+,1 1. �.ddreu) LOQ ATION (IlorA.South, East.wast) OF 6:ock N Sv►Jd;;pi;n - � FlJ1LDi'�fs lD+ No al dssc^Pt ion per d.•`d ;n d4pl;ute i{ nec•s+ry) -- - ®/d (State porton of to+ if I.0 thin fug lot-�ttad I!. Tl"rE OF FRO?O5� k� ,��1�lICJ•l. tt1Op.K - x,11 apprcarh corn;+lo-t• Pct`s A - L gWSEASHlr A. USE OF SUILDINe IS. p rrna+. (indi�;dwl. •_or,»rot:s,e, RESiC:_NTI/1L r,,.r,p:ofit irrst;tufix.e'tc-) /) 11. ❑ Ufility 16 ❑ rublic (Fa"erol. State w local pw�t) 1. 10 Orr* laml-y 2. ❑ Two or more Lmuly- ofker s.d.wtonal C. KATURE OF WORK Enter rumb•r o{ rc•✓ns 17. ❑ New GS+ n4 3. ❑ Trant;enY, kotel, rr.otel. 13. ❑ Shrs. rFar-+rttilf r-oom:ng f.0uta - Ofiw it. 6 E.;sf*-n Entw nurn'oar of un;t: 14. ❑ OTHER-SPECIFYIt. [� ReF=+-a"•e'^t of aus+i..q sttte". 4. ❑ Other res;dant;a{ er+s F,�, 7y i;c1a"sd) 20. ❑ Na. ;nttal'afio++ (No.*rst 21. ❑ Ez!•nion or add-on to-'Siinq rYtarw tlONRESIDENTiAL 5. ❑ M..uymant, rscraa+;onal 22. ❑ Ot4+cr-specify b. ❑ Clurcl+. other reS;g;oust 7, ❑ t. ❑ Garaga, sarv;ce stat;on L TYPc OF :UIL_-NRQ 9_ ❑ Hosp;tal, ;nst;tut:unal 3b. ❑ Number of 10. ❑ Office. bent, professional 37. ❑ Wood frame p. MrCHfNICAL !:?Ulrl+tW, TO CE tNSTAISFD 32. ❑ Nssonry and r"+Od (rroy;de complate I;st of comp-.,*nhs on I+acE of this form) 34. ❑ to;nforced concrete 23. ❑ Furnace: ❑ Spece ❑ Retess+d ❑ Central ❑ F~ 40. 0 Structural sta91 ❑24. ( Air Cond;t;on;ng: Room ® Central 41. ❑ Other 25. ❑ Duct System: Material Iota■;mug* upacity PPR VAO'rtLY 7t,. C3Refr;gerat;on T}:IS SrArt / ,v. ^ CH 27. ❑ Cool;ng tour: Capacity 2t. ❑ Fire sprinllers: Number of k.a 1 2 1083 29. ❑ Elarator ❑ I.(anl;ft ❑ (n u,+bed 30. C1 Gesafine p:rm+ Rsena 31. ❑ (number) 32. ❑ LPG cont•;n (nur+ber) 33. ❑ Unf rid prouure "Ise, Permit Apr-�fl'ad by oas+ 34. ❑ 90;lays permit r. - 3S. ❑ 04.er - Spacrfy Ill. GENEZAL INFORM-kT'ON B. IS OTHER CC4STFtvCTICN BEING GONE OM A Typo of hsa!'" THIS BUILD14G OR 41, (Z E'actrit - Natural ❑ C�rMal Ut;rty IF YES, GIVE NUµ6ER OF CONSTRUCTION 43. ❑ Gat C3 LF ❑ PERMIT 44. ❑ Oil 4S. ❑ Cthw - -- - To be complated by req eFp'icents ' W. IDENTIFiCATION � perform sa'd .to *cc pe tM wort at d scritad in t+e a`r�e stt,fement .• bare sof aJaci ;'i• �d"' ce' ' d s' In cons;derat:on of ( ns�s q'.!'`ci g�}i� are • part herrof and ;• •cco 3snce -4 the C;ty - - -'-- vi!i the eriectiad r• d ,. of _. act;u I:sic3 ti.anie. od pr -- rint)►/t:F•� I ARLINGTON FUEL OIL CO. INC. _-----i y- �, (P ) AR :---- .c�o� (rri,t) MR._ C. WALKER. ---- -- S;g•at:n of I - - - ,� S ;.-Aty re :-r fit.:•r,J'.;O.J. �.y.nt _-_... Fc•-- P1 51-1 E`SPARTMENT OF BUILDING PERMIT NO.-Id v " CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 10/12 19 b2�00 T EC ' NICAL Fee$ 42.00 1�2.DOCKT Valuation$ eJ74 1 A 10/12/8 This permit not valid until above fee has been paid to City Treasurer,and is b59 oUDCAC subject to revocation for violation of applicable provisions of law. �j7 y iAJILLM A LSIGTON FUEL OIL CO. 1000 This is to certify that 32239 JACKSONVILLE , V T14 T ANDR 01DITZ0�`lIi1G has permission to b AS PER PLAT`+S Classificatio 7r7.•T �d*TZT Y _Zone Owned by Block_ S/D Lot House No. 390 10111 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 --------01 O Building material, rubbish and debris i ��♦ z from this work must not be placed i in publ' Ace, and must be cleared a ule away by either con- tra o n eer . Building Official. PERMIT DATE CONTRACTOR USE ONLY OFFICE NUMBER US PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH, FLORIDA ppro by APPLICATION FOR ELECTRICAL, PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ( CJ - 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. Ses ELECTRICAL FIRM MASTER ELECTRICIAN SIGNAT RE URNEYMAN NAME C��L ��((<e ADDRESS: r ` (� K f-t. RFD BOX BLDG.SIZE BETWEEN: RES.0-) APT. ( 1 comm. ( 1 PUBLIC ( ) INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 SO. FT. FEE SERVICE: NEW ( ) INCREASE REPAIR ( 1 CONDUCTOR SIZE AMPS Z UG COPPER ( 1 ALUM. SWITCH OR BREAKER 206 AMPS PH 3 W 21l0 VOLT S C 0 RACEWAY EXIST.SERV.SIZE UO AMPS PH 3 W 2yo VOLT S_r RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL 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 CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. -- - lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES 3 � S � f DEPARTMENT OF BUILDING 4157 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. I I PERMIT TO BUILD i THIS PERMIT MUST BE POSTED ON JOB Date 19 7 Valuation$ 5000-00 Fee $ I9 00 Tbis permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify that Overton Const. Co. 15.G0 TL, r Pnrin�p rarvnradd i �1e d off Atr ®UI jJ79 has permission to build a1�j7 .LLGUCb 4140 1 1, 9/15779 Classification residential 7.one Owned by ker Lot Block S/D House No., 990 Wth 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 SIR MONTHS AFTER DATE OF ISSUE 01. O Building material, rubbish and debris --� z from this work must not be placed in E public space, and must be cleared up and hauled away by either contractor or owner. Bill i11. Davis Buildins Official. E _ FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER f E PLUMBING � ELECTRICAL f SEWER WATER C Date--------.. Permit #--�./..�:z...F« CITY OF ATLANTIC BEACH Valuation $... ......._..._ ._. FLORIDA House J'...�.. �.. APPLICATION FOR BUILDING PERM17 �D Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Owner, Data..$/„�-rjl./.,�7�•........................................ 19............ �'— Q.� J'. --•--...---•--••-•-•••-•-----•---•..........Address- q Q.--�Q. T..........Telephone No.Z.*s.'aV-60 Architect...............................................................................................Address........._.......----•-•....---....-••-..........--•-.......Telephone No........•-................... I Contractor Builder.Ql JZRta.l�....-Ca��i'- f,,, �IIAJ_.Address �(��,1,�1j11, -,5 ...............Telephone No.3S_y3-5..f1 Lot No---------------------------------------------------Block No......1!2-----------------Sub Division..!Q.f/_,...� n .PAcA............................................. one--R.e.Si-"-- .......................................................----Street.------.--------------.- ,Side Between.....................................................and..................._...__...........................ft. Valuation $...%:rL L42O.-For what purpose will building be used........................................Type of construction.'Ff.L&VAE................. Dimensions of Building-1.2.-X_2.1....................Dimensions of Lot...............:........................................Sin 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 Spam................................ .. Size of Floor Joists....................................-- -----, Distance on Centers.......... ................................. Greatest Span........................................... . Sire of Rafters........................................... .., Distance on Centers........ ........................----...... Greatest Span...................................._...... M G V,P c)(tfi F_NC E u S'41 AC This rectangle is to represent the lot Locate the building or buildings in the Zht position. Give distance in feet from �lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. APPROVED Inspections required. CITY OFANTIC BEACH 1. When steel is in place and ready to pour footing. B U 14D G O F F i C E 2. When steel is in place and ready to pour columns and/or lin z S. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready tocp�er 6. When septic tank drain field or sewer is laid but bef 7. Electrical inspection by City of Jacksonville. L Final inspection. Note: In case of any rejection,re-inspection MUST be called for wafter corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans ications, which are a part hereof, and in accordance_with the building regulations of the CityAf4tlantic Beach. gatnre of Builder.......... ......... Address........... ................................... Signatureof Owner................................................................................— Address.................................................................................................... r. CITY OF ATLANTIC BEACH 716 OCEAN BOULEVARD ATLANTIC BF.,}iCH, FLORIDA ADDENDUM TO BUILDING FLAN 1. Bug ildin location: 2. The attached plan for the above building is approved subject to SMSting the following applicable construction requirements: a. Footin s shall be continuous monolithic co-story built exterior wales reinforced formed with g for one-story buildings and those / two 5/8'° deformed reinforcing rods laced in the reinforcing rods for two-story buildings. Reinforcing rods shall be p lower one-third of the footings, properly placed and fastened on metal sables with wire. Footings shall besi�ck and shainches ll rest on first snon each side ail atwall leastabove, shall be at least eight inches inches below undisturbed soil. b. In h411ow masonry unit construction, each unit cell shaleb eoreintfc®rcedcw th at least one No. 4 bar at all corners, poured and tamped reinforcing shall be properly tied into the footing and spandral beam. C. All wood trIIAU rafters (roof construction) , shall be securely fastened to the exterior walls with approved hurricane anchors or clips. d. Construction of nearby one-family dwellings, which are duplicates or intensely similar, shall be avoided. such similarity considers the external configuration and appearance (i.e., roof, outer wall materials, window size and design,h the foregoing, similar other like characteristics) of structures. In accord tJthin close proximity of each or duplicate homes shall not be constructed �f any one similar dwelling is other, and shall be at least 500 feet apart visible from any other similar dwelling. the house plumbing drain and the sewer service e. The final c(at the property r between line) must be inspected by the City before being connection tat the p ops y covered. City Manager The undersigned hereby certifies that he has read a�eePand nderstands and that this addendt,m takes precedence over any contrary details to and agrees to comply with the intent of this addendum. ;rContra:tor `- MAP SHOWING SURVEY OF 0_ (rl I• �'.1� .e:.' i5.(,, r AS RECORDED IN PLAT BOOK C PAGE_ �r 9. OF PUBLIC RECORDS OF DUVAL CO.. FLA. FOR Z I ` i j I . 2/(0 f 3 8. . _`_��-.�I•�'i �-bKlylbH�1 Saab�S J V r•'' ` JVD d h`q� l2 p Q ;APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE 1 '� 0 1 79 N By 70 ti Al)rf, .'E' _ . .ti �h�.:ri ��: ''.,r.�c• ,; :',1::. ., �.:u��w�rio�� c L / Ree-l►ecked - No Curne vs Set,June 2A/97g �,:.•'r'; RAY, DUR EN, SNYDE.R & ASS IATES Reg. �urvcyor Cert. No. 1879 � � FOR: F1L E W+4 L FCER HEREBY CERTIFY THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION AND THERE ARE NO ENCROACHMENTS. SIGNED 9r _ 19 .`'-= L - 7. ^ ,, SCALE:__ r - -- - - -- - REGISTEREE D 6URV *OR NO.;620 FLA. ORDER NO -- - • 80235 �o CITY OF ATLANTIC BEACH, FLORIDA pro„ �Y APPLICATION FOR ELECTRICAL. PERMIT � 3 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING E WO HE ATTACHED PLANS AND K AS DESCRIBED IN THE FOLLOF WING, SE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER EL CTRICIAN SIGNATUR,E1� NAME ADDRESS: 2 Z? T" RFD BOX BLDG.SIZE BETWEEN: i RES. APT. l 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD 01 REW. ( 1 ADDITION ( 4 TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 l 7 C� G SO. FT. FEE SERVICE: NEW ( 1 INCREASE ( 1 REPAIR ( ) CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W Z,2'�VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL CONCEALED OPEN TOTAL RECEPTACLES 31.100 AMPS, 0.30 AMPS. SWITCHES - INCANDESCENT -- FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA _ NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED �}�? TOTAL FEES v ` —