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386 10th st (vault) ap CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD s) ATLANTIC BEACH, FLORIDA 32233 yr - INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026186 Date 6/12/03 Property Address . . . . . . 386 10TH ST Tenant nbr, name . . . . . . POOL Application description . . . POOL Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 885 Owner Contractor ------------- _ --- GERVAIS, DENNIS C . CLIFT & CO POOLS & SPAS 9340 ARLINGTON EXPRESSWAY 386 10TH STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 855-0019 ---------------------------------------- Permit BUILDING PERMIT Additional desc . . 17 . 50 Permit Fee . . . . 35 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 885 Fee summary Charged Paid Credited Due--- ----------------- ---------- -- ---- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 1 r 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 CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE,PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH .r,j r�►��If J� 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 J� 1 TELEPHONE: (904)247-5800 FAX:(904)247-5805 f �) SUNCOM:852-5800 ?) �; http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application Applicant:_ -PLCI 4 SPA-5 Address: Project: Poo Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by T� -^--�- - -M !1 91 Date eG�lJZ 7J� N F r�TLAN 1- BE,"UH Signed BUILDING 8 ZONING Contractor Notified Date MAY 3 0 2003 BY: ..a. « uo .,c: cap outiaing Department 247-5845 p. 1 .s�.sL`!• i r CITY OF ATLANTIC BEACH �ON POOL PERMIT APPLICATION �^ Date: ! _ Joh Address: V`-� v ) Sh Owner oi'Property: 1 S e VcII�phone: V ,� C tJL4- pz)z � sic Pool Contractor: Contractor's Address: �Y _- C ( � Telephone: - 6)D 19 Pax: 0 � State License Number: _O�P C()SC, C, � pp " i� 700Valuation of Proposed construction: E0��— Gallons: � SITE,PIAN front rear Signature of Owner: Signature of Contractor: 800 Seminole Road•Atlantic Beach.Florida 32233-.S445 Phone:(9.04)247-5800• Faa: (904)247-5345. http:tfwww.ci.atlantic-beach.tl.ua Revised 1!14103 OWNER'S AUTHORIZATION FOR AGENT Lis hereby authorized to act on behalf of �11'� 5 G S, the owner(s) of those lands described within 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 ❑ Appe ❑ Use-by-Exceptionence or i ool P ❑ Rezoning H____FSign Permit ❑ Plat or Replat ❑ Other BY: Sig�iature of Owner . hn," e'-Var s Print Name Signature of Owner Print Name Q K2 f U � elephone Number - ;*. .. MY COMM .p �uv �•. � EXPIR " .•"•'c i' undid Thn1 N11 OWY FU014 Und"r" R 1h Signed and sworn before me on this day of,2002. By'j,� n n Ua Identification verified: Oath sworn: Yes /. No Notary igna 0.7..y JOHN S.HULL iV " My Commiss jk:.e ;MY COMMISSION#CC 929594 7 �' ,.p yondid ThN Newry Pubno Unde�w"ters r rr r MAP SHOWING SURVEY OF LOT 3 T"s __BLOCK 12 __ , Su �w1�1ot� " A' ar�Atrr>c CSEAc� _, EAST 1S• OF l.oT AS RECORDED IN PLAT BOOK � , PACE c09 - OF THE CURRENT PUBLIC RECORDS OF pvv caL COUNTY, FLORIDA City of Atlantic Beach t©T W ST R.E ET Planning and Zoning DepartmeM LSC• R1C.NT of wAY This approval verifies tomptlanoe wlthR;ppNsabls • Fovuo tla Zppn��qq �bdivision and other Idr'f! 40 tao�r PIPE dL9efd�m�`ennl regulations, but does not constitute fiance I o o' 35.0 55 -- with Flo �Uildi ' n Ao'Code nd all of r applicable o local, State and F(deral rmittg equirements must be verified b i n to e o }fie i of Atlantic Y 9 8 b0't' tY Beach Building Off ial ln r to the s e of a Building Permit. a d J Approved , Riunity 3@4elop trector N M Date: cou M a ' I 4 1. 1.0 f- 53.t' a.o•.'M U1. 8.4 x Q 7'i T 8.3 ' 235 ' " �Z' .• r v 1 •3'V � v Z' p M O N to C3 1 V. , i s rtes * F 38c�� N ' Apil T X x v 21•s LOT 3 1 Lo43 � I . ary STePs 4- .N COfJG. � M r o 0 J J U Tx 9.4 0 r p to y j - �4' W _ S1 Pya I r t- ;jib lot o a 3 LZ, w Q J ' 3 w I TtGTa S x SWs N 9Q. IS.ca So.o --' 14 . T o�LEIIE -'�• ��� - `r-05.OC7' 0.4 FovwC 'IT-- t¢ou PIPE x IRou PIPE 77f LOT 44 LOT 4Z 1hp 44-10 LOT 4C> t_aT 3 8 NOTES: 1. This is a boundary survey. 2. Flood zone X as best ascertained from Flood Insurance Rate Map, community panel no.►zornB•000l dated 4•Il 84 NOTE! 1 This survey is not a determination of ownership THERE MAY BE ADDITIONAL RESTRICTIONS THAT APPLY 4. Business license #6470 THAT ARE NOT SHOWN ON THIS SURVEY BUT MAY 8£ MUND IN THE PUBLIC RECORDS OR FACILITIES OF THIS COUNTY: I HEREBY CERTIFY TO: UEQ%.ats c . 'I LovtsE L,. t_.r r-V Ats UE W fAl1E RICA GItd4►J6.tA 1. 11.lC• , >71 T31 A N@w A'"r ve G A 1-70 • LAR.¢Y PATTEYSou , P•A- THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT Marvin BAsTO SECTION 472.027 FLORIDA STATUTES AND CHAPTER 61G17-6 SnC. FLORIDA ADMINISTRATION CODE. 2866 MANGROVE AVE. FLORIDA REGISTERED SURVEYOR No 4470 JACKSONVILLE, FLORIDA 32246 Marvin R. Banks I (904) 641-2520 DATE ot7otSE a 2c. 19 98 SCALE: l = z o THIS SURVEY NOT VAUD UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE A&OVE SIGNED CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 J� TELEPHONE: (904)247-5800 l FAX: (904)247-5805 :) SUNCOM: 852-5800 Jhttp://ci.atlantic-beach.fl.us A RFV COMMENTS Permit Application # Applicant: �L,l fi ��`'L S�fl Address: > TIS ST Project: moo �— Your application is approved ourpe i a ication e reviewed a ng items need on: �l 1 Please re-submit your application when these items have been completed. Revie db RECEIVES _k5- 0J ,F ATLANTIC ssEr�Ci 1 Signed 1��- Date LDiNG &ZONING Contractor Notified Date L. MQ� � s CITY OF ATLANTIC BEACH SSS 800 SEMINOLE ROAD -,� ATLANTIC BEACH, FLORIDA 32233 V INSPECTION PHONE LINE 247-5826 r�pJS31�`' Application Number . . . . . 03-00026261 Date 6/10/03 Property Address . . . . . . 386 10TH ST Tenant nbr, name . . . . . . WIRING FOR POOL PUMP Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ GERVAIS, DENNIS C. EARLY ELECTRIC CO. INC. 386 10TH STREET P.O. BOX 50678 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 ------------------------------------------- Permit ELECTRICAL PERMIT Additional desc WIRING FOR POOL PUMP . 00 Permit Fee . . . . 75 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited ----Due--- ----- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST BE UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTIONUST NOT BE PLACED IN PUBLIC SPACE, DLI N LAWACAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WI H ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. r BUILDING OFFICIAL 4 � CITY OF ATLANTIC BEACH, FLORIDA ELECTRICAL PERMIT APPLICATION TO THE CHIEF ELECTRICAL INSPECT(-eft: DATE: 6, 20'"._ IMPORTANT N(JTICE: 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 CONTRACTOR: GAG C MASTER ELECTRICIANS SIGNATURE: O&j OWNER OF PROPERTY: 11,4LSr_ ]OB ADDRESS: )O RES.( /APT.( ) COMM.( ) PUBLIC( } INDUS.( } NEW( } OLD(,,�REW,( } ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) Std. FT._ SERVICE: NEW I INCREASE( ) RFP:AIR( CONDUCTOR SIZE A vI.P5: COPPER( ) ALU,u FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH E W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE 1 NO. SIZE F LIGHTING OUTLETS CONCEALED OPEN TOTAL { RECEPTACLES CONCEALED OPEN TOTAL 0.30AMPS I,2tNl.•i�1F' SWITCHES INCANDESCENT FLOURESCENT& 4f-V. FIXED 10100.Ampsk I OVER APPLIANCES I I HELL TRINSF. I AIR 1 H.P. RATING H.P. RATING I CEIL. KW-HEAT CONDITIONLNG (, Caw. 100TOR OTHER MOTORS AMPS I HEAT I r I}.I OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOL T":1GE ! PHS { i MISCELLANEOUS � UNDER 600V I OVER 600V TRANSFORMERS: NO. 1KVA NO. KVA NO.NEON TRANS' NO VA 14 A I MOTOR SIZE I SWITCH FLASHERS EACH SIGN ) I 800 Seminole Road - _atlantic Beach. Florida 32233-5445 Phone: (904)247-5800- Fax: (904) 24'--AS4; - http:r'www.cLAtiunt c-beuch.fI.ux CITY OF ATLANTIC BEACH I J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 a r�Jlil�� Application Number . . . . . 04-00028419 Date 6/07/04 Property Address . . . . . . 386 10TH ST Tenant nbr, name . . . . . . DRIVEWAY/SIDEWALK EXTEND Application description . . . RIGHT OF WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ GERVAIS, DENNIS C. OWNER 386 10TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 -------------------------------------------- -------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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. DING OFFICIAL Cc: CITY OF ATLANTIC BEACH D. Ford IHwo ns BUILDING / ZONING DEPARTMENT Do rrr 800 Seminole Road ' Atlantic Beach,Florida 32233 E C (904)247-5800 CITY OF ATLANTIC BEACH (904)247-5845 Fax BUILD!NG 8 7 7NING JUN 0 3 2004 PLAN REVIEW COMMENTS Permit Application # 04- 2 F 4 (9 BY: Property Address: J8(o Applicant: C;GRt/ICA i ► ��Nf��S Project: 'D .l V i- wiP LI SI Int ���-lL CSC 1 7�5(ah� This permit application has been: (1 Approved ❑ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. s� Reviewed By: ZY71,P74 �eM Date: RECEIVED OF ATLANTIC BEACH CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS �v 800 Seminole Road 904-247-5800 tlantic Beach, Florida 32233-5445 Fax 904-247-5845 D f Date 4---) I [PERMIT# �� �� SUED BY THE CITY Job Address_ l `( �l Permitee: ��y� s � l�/�l5 Telephone# qe� 7-1 2 Permittee Address16 Requesting Permission to Construct: 1 Location: (Reference to Cross-Street) •� ),(V(9 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: ,fir5 Jacksonville Electric Authority All �(/ Yes ( ) No Date:Bell South Telephone Company / Yes ( ) No ( Date: Ferrell Gas je, eYes ( ) No Date: Comcast Yes ( ) No 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 Beachr FI ida epgrtment of Transportation Standards and be performed under the supervision of �— (Contractor's Project Superintendent) located at elephone#: 3?,3 i a 4. All materials and equipment shall be subject to nspection 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. 6. 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 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 completion. OWNER Signed: QZfC, Date: �� Before me this ay of t the ount of uval, _ State Of Florida,has personally appeared JENNIFEHSCHLUETER NotaryPublic at Large State of Florida, ou f uval. � g�'= �� pt g y :. MY COMMISSION>�C t_ My commission expires: C �. EXPIRES:May 27,2 00 Personally Known: or "; o, GandedThuNotary Pthrirdorwnt2,- Produced Identification: MAI' S110WING SLIRVEY O LOT -39` T-NE_ _BLOCK _ 12 S�QUi�tSto►.t A a T� p.�.i�.tc_ ('�EA� �1 EAST IS' OV LoT 41 lr9 OF I H( ( RLN I' ll I1S1 1( RU( ()RW; UI C)u'j dNL AS RECORDED IN PLAT BOOK �___ _ PAGE (1It _ COUNTY, FLORIDA 10T14 STREET 4o* pct c.4+T ov wA i 1) Cov�o'It'' Fovuc '1t \lou PIPE laou PIvE loS,oc� 3S.o 9 c� 0 N N tout. u n M oswt a 1 4 n 'L Q U) - 1 J 0 L 2 J J r N V C � ' 1. %-t oR � FtANE ry � 0 1 � Q _k 23 S Lof 31 Lor 4� 1 ---K-� 1 5-TIPS N ca,-It o . M '7 / 0 u r'K g'4 z 5 City of Atlantic Beach o r Planning and Zoning Depa ent J`C N �,�I ThlsAap� a�Hiee e�mpliance applicable Zoning, 1s " Y3rtlon and other ocat land development regulations, but does constitute L& r r approval for the Issuance of permits. Compliance ° with Florida Building Code and all o r applicable J w , local, State and Federal permitting uirements 3 must be Building verified by alpodsignature to the C of Atlantic Beach Building Otflcial prior 10 tht is ante of a X w N E Pudding Pe n y e op t -N Dste: �� Cn IS.O LP --- ----- �\ucE �� LoS.00 Fovuo I: . . SET +t' 0.4 \!ow PIPE To L%US tabu PIPE Lo-t 44 LOT -10 42 W44dor 40 LOT 38 14 i NOTES: I 1. This is a boundary survey. 2. Flood zone X as best ascertained from Flood Insurance Rate Map, community panel no.IZootB•oe'oI dated 4 0.81 NurFc 3. This survey is not a determination of ownership T11FRF 'MY RF. M)PITrONA1, PF.ST17,1("rT0tIS TI!AT APPLY rt1Ar Ar•.F Nor gjjnWrl ()r+ THTS SUPVFY 11111' MAY SF Fn(_mu 4. Business license #5470 TN 'I'fIF. Fi'PLr(' RFCORL)s UR F-)WT1,17ICs ('F '11115; ( )UNTY: I HEREBY CERTIFY TO: v>c-Qu\c c . ; Lovtse I_.. L.ewcvAts ur:w A"EQ%CA rj"r' lC\At_ \%If- OIQ1A NQw AH@cC\GA L1[] LAR¢-( CATTEe3cw D.A THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT Marvin Banks TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER 61617-6 FLORIDA ADMINISTRATION CODE. Surveyors, IlC. 2866 M A N G R O V f AV L. (lORIDA REGIA RED SURVEYOR N ) 6,470 )ACKSONVII.I I:, I LORIDA 12146 Marvin R. Bank (404) 0,11-2520 DATE 4 (0586 SCALE: 1 z 4 THIS SURVEY NOT VAUD UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIrNED RECEIVED c CITY OF ATLANTIC BEACH BUILDING R ZONING ` DEPARTMENT OF PUBLIC WORKS JUN U 3 2004 1200 SANDPIPER LANE ;ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 FAX: (904)247-5843 BY: SUNCOM: 852-5834 _ _ { http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # Applicant: Address: 107-1-1 . Proj ect: LQk—U--)—"[ / �St Your application is approved as must come from the Building y the Pubc Works DDepartment. Final application approval ❑ Your permit application has been reviewed by the Public Works Department and the following items need attention: LLvv(Cs elle Z Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call (904) 247-5834. Review ck Carper,P.E.,Public Works Director Date Signature Contractor Notified Date RECEIVED CITY 1p p NC GHzIC BEC JUN 0 3 2004 DEPARTMENT OF PUBLIC WORKS �i rL�1 f 1200 SANDPIPER LANE JAZ ATLANTIC BEACH,FLORIDA 32233-4318 J �.`s l TELEPHONE: (904)247-5834 BYFAX: (904)247-5843 SUNCOM: 852-5834 http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # n4 - Z8 4 L9 Applicant: �E12—U F" ��.) L S Address: 3 8(., 107H 'SF Project: E" In11F.WPIQ C;7'X.�m�AS xYour application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: �n Su re. C-f 0'J-1-S Aw _� 4 Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewed by Donna Kaluzniak,Public Utilities Director - Date 4SiatPZ Contractor Notified Date CITY OF ATLANTIC BEACH r CONSTRUCTION PERMIT WITHIN C!(i� IR.IGMT�S,,OF WAY AND EASEMENTS 800 Seminole Road _ 904-247- 04-247 5800 „,. Fax 904-247-5845 tlantic Beach, Florida 32233-5445 , Date �rJ IXI F?Y' . _._.,_..___.. . PERMIT# ISSUED BY THE CITY Job Address � �� �� �( �� �_ •-" .. .._. - Permitee: Telephone # 4 �/�i�%S ��� l S p Permittee Address Requesting Permission to Construct: Location: (Reference to Cross-Street) �C/1 J lVr?le 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 e, Yes ( ) No Date:/�Bell South Telephone Company A10 Yes ( ) No Date: ( Ferrell Gas �G Yes ( ) No Date: Comcast Yes ( ) No 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 r Flafida p�rtment of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at C elephone#: ? 4. All materials and equipment shall be subject to nspection 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. 6. 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 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 completion. OWNER Signed: Date: Q Before me this ay of /i the ount of puval, — State Of Florida,has personally appeared ��- JENNIFER SCHLUETER Notary Public at Large,State of Florida, ou y 'f uval. .q• ., ;- MY COMMISSION 00121301 My commission expires: cJ �; •`;: EXPIRES:May 27,2006 '•',;e••• �' 6oacierl Thru Notary Public Underwriter Personally Known: or „oF ., Produced Identification: MAI' SHOWING SURVEY OI" LOT 39-_`•-TNS-----BLOCK __ 12 —__ 5�ao1� �51oti A [a[_�;A ;i_�c E AST IS 0;: Lo-T 4% AS RECORDED IN PLAT BOOK �2____ PAGE ..Q-o9_- OI "I IIF ( URRI N I' Pl Iftl Il RE(.()RDS OF Dv�cel COUNTY, FLORIDA X0711 STVCEET QO- R1C,NTFovUp��t'- Fovuo �Ii• 12ou PAPE taov PIPE Cos•�� 7-7 9 dNr O Coll(•. V n M pR�vC o 4 • dl v Q 1 w r i .4 i• O f� 0a F a A N E N 0 � o r Q 2 S ! 8 L o1 31 0 LOT 4� g14Ds ~ _ ry Couc . �1S M PAllO . to rx 5.5 y M1 ba ooq 1 q rl HovsE u r .- � s o 0 . 1 J� CITY OF ATLANTIC BEACH } 800 SENHNOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 0,3-00027121 Date 10/22/03 Property Address . . . . . . 3.86 10TH ST Tenant nbr, name . . . . . . 6 ' CYPRESS PRIVACY FENCE Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 500 Owner Contractor ----------------------- - GERVAIS, DENNIS C . OWNER 386 10TH STREET ATLANTIC BEACH FL 32233 -------------- ------ ---- ----------- ---- --- - -- ---------------------- --------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 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 CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH FENCE PERMIT APPLICATION OCT 21 2003 i i Date: 0 2� Job Address: �nD �i� 1 U Owner's Name: 0 U( ' Address: (a / Phone: Legal Description: Block Number: Lot Number: 3�701-i�*7/ifrn99FDis r ct: ;/ Z Fence Contractor: W 2T � Q ZAddress: City: '04 77, State:)or;:/— zip: Fax: Type of fence and materials to be used: 206 4�;q,_ C/� V r 1?e5: 5 Valuation of fence: ADD. e Is approval of Homeowner's Association or other private entity required?/110 If yes,please submit with this application. ❑ Interior Lot ❑ Corner Lot ❑Dumpster or storage tank enclosure Tree Protection: JFVO. Applicant certifies that no trees will be removed for the installation of this fence. YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. PLEASE PROVIDE TWO(2)COPIES OF APPLICATION AND THE FOLLOWING REQUIRED INFORMATION: 1. Attach copy of property survey showing location,height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) 2. Provide completed Owner's Authorization Form if applicant is other than property owner. I hereby certify that all information provided with this application is correct. / Signature of Owner: Date: ` O Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print): Name: Mailing Address: Phone: Fax: E-Mail: 800 Seminole Road • Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atiantic-beach.H.us Page 1 Revised 1/14/03 6 � 4 City of Atlantic Beach Planning and Zoning DeparteiS+fM This approval verifies aomPliance wlth SPP zoning, subdivision and other local I development Agulations, but does not y approval for the issuance Of psrm�•n� . with Florida Building Cods and SN rMSr local, State and F*d '/M � must be ► `M Beach 8 ' fiuildlM Ontll¢ 1 p c � i Cc: f, CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONING DEPARTMENT s. Doerrs 800 Seminole Road sJ Atlantic Beach,Florida 32233 (904)247-5800 ��131 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # Q-3 - ca? '71a 1 Property Address: -SRO Applicant: Z)e r, n, <� Get Vat S Project: This p rmit application has been: Approved Reviewed and the following items need attention: Please re-submit you pplication whe ise 't ms have been completed. Reviewed By: Date: /&I � '. �O3 1 CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026479 Date 7/14/03 Property Address . . . . . . 386 10TH ST Tenant nbr, name . . . . . . DECK & WALKWAY Application description . . . DECK/PATIO Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2157 Owner Contractor ------------------------ ------------------------ GERVAIS, DENNIS C. OWNER 386 10TH STREET ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 45 . 00 Plan Check Fee 22 . 50 Issue Date . . . . Valuation . . . . 2157 Fee summary Charged Paid Credited Due ----------------- - --------- ---------- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 . 50 . 00 . 00 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 CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. r,R f.. � �ia IDIDID BUILDING OFFICIAL CITY OFATLANTIC BEACH %LTJ 800 SEMINOLE ROAD J, ATLANTIC BEACH,FLORIDA 32233-5445 1 TELEPHONE: (904)247-5800 FAX: (904)247-5805 SUNCOM:852-5800 —r http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # cam :QL� Applicant: I � rU� Address: � Project: a- our application is approved q/Your permit application has been reviewed and the following items need attention: 4s� � Co L 2 t w Please re-submit your application when these items have been completed. Reviewed by Signed �- ` 1�( `U Date Contractor Notified Date RE CEIVE D CITY OF ATLANTIC BEACH 1 BUILDING PERMIT APPLICATION JUL 1 2003 (ALTERATIONS/ADDITIONS) 1 ^�,,. Date: Job Address: t0 / fJ / V! M4ffE Owner of Property: DtOA,N L s 410 V/ 5 P G �7'F'9 VA/ S Address: /r T1 !/� E Telephone: Legal Description: Block Number: 2. Lot Number: �G nin�)5tsfri � Contractor: &, e State License Number: Contractor's Address: /V4 lye Telephone: &p Ne Fax: ��P Describe proposed use and work to be done: D eek + st: ci-A &kA , d, o A v Present use of land or building(s): Valuation of proposed construction: What are the dimensions of the added space: DNP feet x /(/,^,nF feet Will the added area be heated and cooled? /UO/✓e New electrical or increase in service? NOI ►P— New plumbing fixtures? J✓t'Al p New fireplace? G'14'e New heating/air conditioning? 41,p,41LO Is approval of Homeowner's Association or other private entity required? /V� If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? 10 NO. Applicant certifies that no change in site grade 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 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 1 Revised 1/14/03 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 info ation provided?,, s correct. Signature of owner: . r Date: /// (fi) 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: )VA-_ Date: IV /4 Address and contact information of person to receive all correspondence regarding this application (please print). Name: �c�NN/ 5 r7eA VA S Mailing Address: ` 10% 57 Telephone: 6 044 Fax: NA E-Mail: AS TO OWNER: Sworn to and subscribed before me this ' day of �� '2003. State of Florida,County of Duval Notary's Signature. �, Y siamuspun otpd kelON Nql POPuo9 900a'ca AEw US381dx3 N.lil tOCVd 00#NOISSIWW00 AW '' Personally know H313f13H3S UHNNY N.- Produced identification Type of identification produced � �Z 1p 3 r AS TO CONTRACTOR: y ) - 1-11 o Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced 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 2 Revised 1/14/03 �i ABU46 Maximum Allowable Uplift Load: 2320 Anchor Diameter: 5/s" Installation: Use all specified fasteners. Refer to the current Wood Construction Connectors o catalog for General Notes. o a 0 End Distance .\ - o Edge Distance Installation A—Minimum End Distance and Minimum Edge Distance Anchor Application 2000 psi concrete 3000 psi concrete 4000 psi concrete End Distance 23/4 23/4 23/4 Edge Distance 13/4 13/4 13/4 Adhesive Anchor—SET 5/8 ATR—5 embed 5/8 ATR—5 embed 5/s ATR—41/4 embed Adhesive Anchor—ET Not Applicable Not Applicable Not Applicable Adhesive Anchor—AT Not Applicable Not Applicable Not Applicable Mechanical Anchor Not Applicable Not Applicable Not Applicable Cast-In-Place Anchor Not Applicable Not Applicable Not Applicable Installation B—Minimum Edge Distance Only z Anchor Application 2000 psi concrete 3000 psi concrete 4000 psi concrete S End Distance 71/2 71/2 71/2 Z Edge Distance 13/4 13/4 13/4 0 Adhesive Anchor—SET 5/8 ATR—31/2 embed 5/8 ATR—31/2 embed 5/8 ATR—31/2 embed o Adhesive Anchor—ET 5/8 ATR—5 embed 5/E ATR—5 embed 5/8 ATR—5 embed Adhesive Anchor—AT 5/9 ATR—51/2 embed 5/8 ATR—51/2 embed 5/e ATR—51/2 embed 0 Mechanical Anchor Not Applicable Not Applicable Not Applicable Cast-In-Place Anchor LBolt 62800-41/2 embed LBolt 62800-41/2 embed LBolt 62800-41/2 embed a U ° Installation C—No Minimum End Distance and No Minimum Edge Distance w a w s Z Anchor Application 2000 psi concrete 3000 psi concrete 4000 psi concrete End Distance 71/2 71/2 71/2 Edge Distance 71/2 71/2 71/2 Adhesive Anchor—SET 5/8 ATR—31/2 embed 5/e ATR—31/2 embed 5/e ATR—31/2 embed Adhesive Anchor—ET 5/e ATR—5 embed 5/8 ATR—5 embed 5/8 ATR—5 embed Adhesive Anchor—AT 5/8 ATR—51/2 embed 5/8 ATR—51/2 embed 5/8 ATR—51/2 embed Mechanical Anchor WA62600-41/2 embed WA62600-41/2 embed WA62600-41/2 embed Cast-In-Place Anchor LBolt 62800-41/2 embed LBolt 62800-41/2 embed LBolt 62800-41/2 embed 11 10 > • • � \ Ayr< x119 I ► �� - X �0xA- "i _.5 to ! �.lY 4,e ;,� LQ�-.�. ..c : :�. ':,: �: P•t �.� . .. ��•,. C�1�� w r. tti.t,-� (�,E�6r v V APPROVED CITI Ur ATLANTIC BEACH BUILDING OFFICE JUL 14 1003 By: 1 .11 o U _ 1 � I I� � i l I I pF UT I jqp]i , I i z J , I ; i I ( ► 1 I fi .. t CITY OF ,gt�� b�eac� - ��zziala 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX(904)247-5805 November 18, 1992 Mr. Roy Love 386 10th Street Atlantic Beach, FL 32233 Re: 386 10th Street Dear Mr. Love: Please be advised that you are in violation of City Ordinance #i24-159 - Operating a business at a residential address. We are allowing you thirty (30) days in which to relocate your business. If at the end of that time you have not complied you will be subpoenaed before the Code Enforcement Board and as a result may be imposed a fine of up to $500. 00 per day. Also be advised that a business within the City of Atlantic Beach is required to have a business license. This can be obtained from the City Clerk's Office at 800 Seminole Road. Please notify the undersigned of your intent to relocate. Sincerely, ������ ✓�.L.C%Yc•LtG Karl W. drunewald Code Enforcement Officer KWG/pah cc: City Manager PSR-3844 8637 DEPARTMENT OF BUILDING M ` CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ -------- LOCATION INFORMATION ----- -- -- Permit Number : 8537 Address : 385 TENTH STREET Permit Type: BUILDING ATLANTIC BEACH , FLORIDA 32233 Class of Work: SHED ------- LEGAL DESCRIPTION ---------- Constr . Type : WOOD FRAME Lot : Block: Section: Proposed Use: SHED Township : RNG: 0 Dwellings : 1 Code : 0 Subdivision: ATLANTIC BEACH Estimated Value: 5900 .00 Improv . Cost : 50 .00 Total Fees : $22 . 50 Amo S22 . 50 - OWNER INFORMATION ---- APPLICATION FEES ----- = - : LOUTSE & DENNIS GERVAIS PERMIT $22 . 50 3q6 TENTH STREET WATER IMPACT FEE $0 .00 ATLANTIC BEACH , FLORIDA 322- SEWER IMPACT FEE $0 . 00 phone : ( 904 )145-0402 WATER METER/TAP 50 . 00 RADON GAS-H.R. S . 50 .00 ------ CONTRACTOR INFORMATION ----- RADON CAB 5% $0 . 00 Name , -F -'rERTY � WNER CAPITAL IMPROVE . SO .00 Address ' SEWER TAP 50 . 00 CROSS CONNECTION $0 .00 ce-nFe : Type ' 1 SEC H IMPACT FEE $0 . 00 CONST . SUR`-- ' SCHARGE/ATL . B 'h - NOTES: PAID JUL 131994 City of Atlan 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' IMPROVEMENTS-99 LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING 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 000000000 000000000 $22.5014 Date: 7/13/94 01 Rcpt: 0057098 CASH By: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : -- LA r; i c ed� Address : Phone : Lot � B1 ock or Un±t _ S<urbbddi�vision: Contractor : Address : Z..2 /,T �,�4 .S� i Phone No: a44v --3 9 Describe work to be done: r J✓ Present use of building: Z,4 W� - Valuation of Proposed Co//nstruction: Proposed use: GtiiAl� „- ' "q Is this an addition? ) tt- If yes , what are the dimensions of the added space: }'� ft . X �/ "` ft . Will the added area be heated and cooled? A-i ; New electrical (or increase) ?�.r New plumbing fixtures? New fireplace? t New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS , INCLUDING SITE PLAN , SURVEY , h' ENERGY CODE FORMS , NOTICE OF COMMENCEMENT , AND OWNER/CONTRACTrF. I� AFFIDAVIT, IF OWNER IS CONTRACTOR . Signature OWNER: 1y �� Date : ! 3 `7 Signature CONTRACTOR C sc Date : ,a U! 131994 Building and Zoning •� MAP SHOWING SURVEY OP LC T!3 7? , • i �'.Ivi; -iE FAST 3:;' F FvT 1,07' . , 'BLOCK 12, •A'!'Lg'TIC BEAC?i, �N PLAT BOOK 5 , PAC,X b� i):', ".".t3:1; +IIPI-T,:TrP RMLIC• P COR",S QF ' L• I. COU':TY, {'IARYLk. 7' 4. t Eel 4!, k � -.;,' '�- i``` }c�` f.,�asM[+ , f=��/hL '•P..' Jn � .. /ILOJr, sem. Q i "13 t �' r• CRA A4 � I � � i1 a.z• .Z`r tt 8.4 t r \ ,rEvs Ii .� � e.z6. � w t I in ;. i n} a . . r 1411.5 r7 7 -FN+CE -0SA SF ON Ct.W&,C4- ' a•Z`: .-0•7 , n / i ✓� j 1✓G � I l!L. 131994 !',,wilding and Zoning I HEREBY CERTIFY--THAT 1 HAVt SURVEYED THR LANDS AS SHOWN IN THE ABOVE CAPTION AND THERE ARE NO ENCROACHMENTS. A N. A. DURDEN & ASSOCIATES, 928 — 7TN AVE. SOUTH INC,. JACKSONVILLE BRACH. FLA. SIGNED AAIAX 19-z42-_ SCALE: fn2? -- - _ REGISTERED SURVEYOR N0. 1674 FLA. MVTNlIn� A •' ? PSR-3844 09977 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION -- - -- - ----- - LOCATION INFORMATION --- - --- - Permit Number : 9977 Address : 386 TENTH STREET Permit Type: RE-ROOF ATLANTIC BEACH , FLORIDA 32233 ,"lass of Work: NEW --------- LEGAL DESCRIPTION ---------- Type: WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellings : 1 Code: 0 Subdivision: ATLANTIC BEACH Estimated Value : 52900 .00 Improv. Cost : 54 .00 Total Fees : $22 , 50 Amount Pte ; ,, . 522 . 50 Wor, ROOF WITH NEW �� TSERGLASS SHINGLES ----- ---------- OWNER INFORMATION - _ _ _ - APPLICATION FEES $22 . 50 Name , DERV?I,i PERMIT cl c 38r TENTH STREET WATER IMPACT FEE 90 .00 ATLANTIC ?EACH , FLORIDA s SEWER IMPACT FEE T,;e 904 •, F:.h1--0330 WATER METER/TAP S0-010 RADON GAS-H .R . S. $0 .00 CONTRACTOR INFORMATION - RADON CAB 5% $0 .00 dame : [;;'.JAL ROOFING COMPAN CAPITAL IMPROVE. $O .O^ Rddress I;Nr BUCKRIDDE ROAD' SEWER TAP $0 .0 Tn,j'E � "NVILLE. FL 3222 CROSS CONNECTION 50 .000 T. F=ns e <<.'� 4 4053 Type, SEC H IMPACT FEE SO -00 CONST . SURCHARGE SrHARGE l TTL . BCH . ,543:. '0 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 000000(** OOOOO(K*O $2c.50 14 Date; 2 By: gg 4/10/95 O1 Rcpt. 044480 WI00003221QO0 4029 CITY OF ALANTIC BEACH ROOFING; PERMIT APPLICATION owner(s) : up' �S Address: / b , Phone: Lot # , Block or Unit # Subdivision: Contractor• SVYI U v Address: -71, -' City, State and Zip L 3 � Phone y ! o3 State License # �-CD S _ Describe work to be performed: tF Valuation of Proposed Construction: � " o a Materials to be used: �( !3 � S/-A 1 '(3 6ce -� Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information 1 �� o 0 9 7 9 r S A T C S O 11 o m 1 w w o c p N `^° )F BUILDING CD 0 � ' 1J TIC BEACH -- z a I1 y' a ~ ---- LOCATION INFORMATION ------ \11'� --_-------3-85 TENTH STREET �; 3 223 ,ireBEACH , FLORIDA ATLANTIC Y LEGA - ----- SCRIPT 12BIack . Section: -,ot : RNr; OD o hipTownsBEACH ATLANT I \G; t,' ,ubdivisicn: cM N 9 I 9- 0 1 v r s 1 — 1 1. ° o 0 ---- APPLICATION FEES --- .- ID-0 C r- 1 PERMIT $0 .00 N o 1 I EE F S� .OQWATER SMPP. SEWER rT FEE SQ. 0 r WATER METER/TAP 50 .Q0 a D ' 1 RADON GAS-H .R. S - n� o ° CAB 5* $0 RADON IMPROVE . $O .OQ b roT=➢. s `� CAPITAL I m n 1 SEWER 50 .00)TAP -Ci „ o° s 1 i\ ` q CrJNNEC'T I'`N SEC IMPACT FEE 54.00 n CONST . SURCHARGE �y SCHARGE/ATL.BCH . I zs NOTES: NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBL BUILDING MATERIAL, RUBIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER ULT '� THE MECHANIC'S LIEN LAW CAN "FAILURE TO COMPLY PAYINGTWICE FORT BUILDING IMPROVEMENTS” THE PROPERTY OWNER PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR ISSUED ACCORDING TO APPROVED VIOLATION OF APPLICABLE PROVISIONS OF LAW. 000000000 04000m $45.00 pate., 3i0a/�dl l�pt; 003669 ATLANTIC BEACH BUILDING DEPARTMENT ----- / CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date c*' Heated Square Footage @ $ per sq ft = $ Garage/Shedd @ $ per sq ft = S Carport/Porch ��� @ $ per sq ft = $ l Deck �S� ( @ $ per sq ft = $ Patio e� @ $ per sq ft = $ TOTAL VALUATION: /S-,00 $ �Sd6 Tota Valuation 1st $ O Remaining Value $j per thousand or portion thereof TOTAL BUILDING FEE $ 0. 0 CD + 1/2 Filing Fee $ - (�) Fireplaces @ $15 .00 $ BUILDING PERMIT FEE WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP S CAPITAL IMPROVEMENT $ SEWER TAP S ( ) RADON (HRS) .0050 S SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION S ( ) SURCHARGE . 0050 $ OTHER S 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: art,&% MAR 11995 CITY OF ATLANTIC BEACH RR and Zoning PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERA�P & g DEMOLITIONS owner(s): X e.4j/1V1s Ci 1oL4i.5-e Gage R alms" Address : _ �, � ���5.�� Phone : — 6 o Z. Lot # Block or Unit # 14 Subdivision: Contractor : State License # Address : Phone No: b Q- (DZ Describe work to be done: n triy C�1.A/ C DSL- 0" (w.L, f Present use of building: Valuation of Proposed Construction: 1 -7oo co Proposed use: Is this an addition? v If yes , what are the dimensions of the added space: ft . X 7/1/6 ft . Will the added area be heated and cooled? New electrical (or increase)?_ New plumbing fixtures? -New fireplace? New Heat/AC? h C'_ 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: tirLl �� - ��`� Date: -:2- Signature CONTRACTOR C,� t� Date: '0 License Supplied: Liability Insurance: l G\Q����� Worker' s Compensation Insurance: OWNER BUILDER PERMIT AFFIDAVIT tuty of Florida ) City of Atlantic Beach ) BEFORE ME, the undersigned authority, personally bpp&arvd _ --------------------- who upon tis.st twiny duly worn, ifeposes and says s I, - ====•• �r�t=-=---------• and the legal owner of the following property s Subdivision ---• - Block ---«---�.----- Lot.�y -..3. _-;.�=F/)h" A K A I am applying for w building permit pursuant so ohe Owner Builder exemption set forth in Florida Statute, Section 469. 103. Florida lav requires that Irhave been provided witto the following DISCLOSURC STATEMENTs DISCLOSURE STATEMENT .State lav requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that lay. The exemption allows you, as the owner of your property, to ,act as your own contractor even though you do not have a licence. You must supervise the construction yourself. You may build or improve a one - or two family residence ar a farm outbuilding. You may also build or improve a commercial building at a cost of 025,000. 00 or less. The building must be for your use and occupancy. It may not be built for sale or less•. It you well or leak• more than one building you have built yourself within one your atter the construction is complete, the lar will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure tlsst people employed by you have licenses required by state lav and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. 1 P perty Owner Sworn to and subscr bed t, s t efor ,hia _ °_.` or_ OTA-ii PUBLIC - My Commission Expires PA7ROA AV. 'rtfr fAR �Tp►7E OF � h1y Corrra.F:'i a,, • Nt�7AR PA TRIC"A AM(JNTT€ 18/ %t Ajak CG�20�fi Vl3 ►191 'ON bOA3Aans O3v ist93a '"A 440"B 3-mmosx:)vr ;7N, Hlnos -3AV N14 — 8ae S3.LVIDOSSY 9 N30zina v 'H " AUN3"43W0tl3N3 ON 3VV 3bi3Hl t N011dv:) 3Ao®V 3HI NI NMONG ev (13A3AUng LAVH t XV043A63bl3N - - --- -- -,MAIII 411 1.0 - 4 i i I :G•0_, 7/Ni1 J J ' %0 4 14 de � _ '��E •ate � �, � � `'� � 1' � as � ..7 J"+P_a►�°�+x-•f''.fie:N �� ; 1 i .. ?. . . +S', NG"*✓. 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V� M ` r XCi •T III 1 .s M i :i W I I M ✓ o _ -z . 11 � � IDs v � z b I v b31 -1dll 1 sN11170 � � �i 1 INS,� AH1 n JrM _ N 5 91 o N d ' 'J 7 Y 7 lu in ut '7 1Ul -r t© �,y :l �t :t J � en n.. �) n_ = ' d QwtL COQ Z \ d J f I 1 — I ' I I I � I 1 I I I77 1 i _ I I 1 I 1 I -------------------t - I L------------------------�� -T1 0 - x i C, rl o O n s' 71 CP D y � r � 1 £ 0 -ov i , aua :�aaanp'xs?f+ehlitusrotTa :z�v.+� SkA--'P SHOWING SURVEY OP LC TS 'z7, 7 )'�'D '=ins UST 1,` ' w` • „ ;t'1' 41 12, NMAIT T.IC BEACH AS s 'R M 0P.- E"D ENT P'LA B 0010 c , PAP P �;'��': .�":I:°, 7,171;�.;v P.sC OR??S f?F DUVAL ':OU*QTY, .�'ZAR�I�A. 77 CRA 10 V. A �• .� /� yam. .... ,-, ,,�,,�,r d _ v. • ��4 L,��ia,Cr'�y� ,+iQa�Y�. • ,,wry�C f �1..., �! 7 ! +.h w7 __._. �..�,._.x:__..:_*aw�w;:a�a.m.+.w.,,-.�._•y 'a.�.x+ewkaw_.....+wew>.nxe,o-.* swrc...ew:-swau.+Mww•.m,.c�lv.=:e,:_,Fv✓�Y_..::�.... - .. /- r/- I � � ,ta iJ � (1rCx' ���'P � O • i .w • - M• � 1C.,i M ._1Y�[/14Y•Pt¢1N \ /t 1 �1► ��1� � ' r Pig } d °,1 4, 0• 71— -- 77 {i I�ENs6 co G` 1 �� �� : Fi Ost\Ci�F6\C+�•� - Q >,r Y" HEREBY CERTIFY THAT I HAVk SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION 3 THERE ARE NO ENCROACHMENTS. H. A. DURDEN & ASSOCIATES 926 — 7TN AVE, SOUTH lNG' JACKSONVILLE BEACH, FLA. SIGNED___r�'�E1�'f.f�, SCALE: Lzr REGISTERED SURVEYOR N0. 1674 FLA. CITY OF � C ,3�"�" I _ fs Office Of Building Official REQUEST FOR INSPECTION Date Time Received �• �� A.M. Permit No. 3 P.M. Job A r Owner's L lity I N B IN — Contractor Ming CONCRETE ELECTRICAL r Footing PLUMBING Re Roofing Slab - Rough Wiring MECHANICAL Insulation �� Temp Pole Top Out Rough ❑ Air Cond. & ) jam` Lintel ���•��`� Final Sewer C Heating C Fire Place READY FOR INSPECTION ❑ Mon. Tues. Pre Fab e Thurs. _ Friday M. Inspection,Made -- A.M. ',,-Rector_,__ ---_P.M. Final Inspection Certificate of Occupancy❑ I I Date _ CITY OF 4&4ailk B Office of Building Official REQUEST FOR INSPECTION Date �� f' Time ) Permit No. Received o� r3O A. ` F Owner' Job Ad ss r Lo 'y Name CLDING CONCRETE Contractor ^ _ ELECTRICAL PLUMBING MECHANICAL Footing = Rough Wiring ❑ h Rou Re Roofing ❑ Slab Tem Pole g E7 Air Cond. & ❑ Insulation F- Lintel Final ❑ Top Out E7Heating ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues, Wed. 7 Thurs. Friday p Inspection Made J , A.M. _P.M. Inspector - — -k—„�--- _ Final Inspection ❑ Certificate of Occupancy C Date PSR 3844 16742 1 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - - PERMIT INFORMATION --- --_- LOCATION INFORMATION -___ ..._.. ,:mit Number : 15742 386 TENTH STREET Permit Type:MECHANICAL ATLANTIC BEACH . FLORIDA 32233 ass of Work :ALTERATION --_------ LEGAL DESCRIPTION -__---__--. ,nstr. Type:WOOD FRAME Block: 1 Lot : 37 , Twp: C' oposed Use: Section: 0 Subd:n Rna, Dwellings : 1 Subdivision:ATLANTIC BEACH Est . Value: 0 .00 :tprov. Coat : 0 .00 Total Fees : 41 . 00 _mount Paid: 41. . 00 fate Pam: 7/02/19PS '_'k n, ­EPLAOE AIR HANDLER AND CONDENSER _.._._.- - OWNER INFORMATION ---------- - - _- - APPLICATION FEES ne : DENNIS & LOUISE GERVAIS ERMIT 41 4r : 385 TENTH STREET ATLANTIC BEACH . FLORIDA 32233 t 9C,4t246-.301.8 uONTRACTOR !NFORMAT I ON - - - :;e: HUXHAM HEATING & AIR lr : 1078 NINTH STREET SOUTH .JACKSONVILLE REACH . FL 32250 RA0024352 Exp : j ! NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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. ATLANTIC BEACH BUILDING DEPARTMENT By: BUILDING AND ZONING INSPECTION DIVISION MY OF A LA I IC BEACH ATLANTIC BEACII, t-LOnIDA 32233 APPLICATI(Al FOR MECHANICAL PERMIT - �-iN-NUMBEn- ll,4PORTANIF - - Applicant to complete all itefTIS in sections I, II, III, and IV. I. I►` LOCATION Sheol Address - g - - _ ------ S - ------- -------------------------- OF Inlerseclinq Sfreefs: P�t,ren ----- ---- - - -------And---------- BUILDING - Sub-division II. IDENTIFICATION — To be completed by all applicants In rvn6derefion of p—nif gi,en for doinq the wort as dnscribed in the above state nrnnl we hereby agree In perform said wort in accordnncn with the aflectLed plans and srerilicativns which are a pars hereof and in ercordance wilb the COY Of Jacksonville ordinances and standards of good practice listed Therein. Name of Mechanical Contractors Contractor (Print) (�' Master q 3S Name of /l 1 Property Owner Signature of Owner 519n1 or o1 or Avthorited Agent ( S A,chilecf or Engineer III. GENERAL INFORMATION A. Type of heating fuel: 13. IS OTIIER CONSTRUCTION BEING GONE Uocfric THIS BUILDING OR SITE 7 ❑ Gas —❑ LP ❑ Natural f' Central Ulihly ❑ Oil Ir YES, GIVE NUMBER OF CONSTRUCTION i'EnMI T ❑ Olher — Specify IV. MECHANICAL EQUIPMENT TO IF INSTALLED NATURE OF WORK (Provide complel• list of components on bets of this form) nesitlenUal or L_I Contsttercial t"I float ❑ Space [jRecessed Ff Control D Flow Now Building P Air Conditioning: ❑ Room 19 Central Existing Building ❑ NO System: Material Thickneu fleplacernenl of existing system Maximum capacity c f m LI New Inslallallon(No syslem previously Installed) ❑ Refrigeration t, Extension or add-on Io existing system ❑ Cooling tower. Capacity 9 P m U 01her - specify --- ---- F-ira sprin •n: Number of heeds __- ---------- ----- - — - --- ❑ Elwator ❑ Menlift ❑ EsCAIafOr -_(number) C] Gasoline pumps 1141S SPACE FOR OFFICE USE ONLY (number) ❑ Tanks (number) Remerls ❑ LPG confsinert (nurn6er) --- ❑ Unfirad pressure vessel -- — — ❑ Rotten Permit Approved by bete._-- ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT — AIR CONDITIONING AND REFRIGERATION F.QUIPAtENr Number UnIG Description Model Number )tanutacturer Cap Appros tnj Atenc:y HEATING - FURNACES, BUILERS, FIREPLACES — — _- — C( II)Y ArgNumber Unita DescHptlon Model Number manufacturer B A9fter TANKS How Many Nominal Capacity Type Ldquld Name of Serial Approving and Dtmensloty Contained Manufacturer No. Agency CITY OF >*emit Feacl - 9&u�& 716 OCEAN BOULEVARD P.O.BOX 26 �- ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 APPLICATION FOR TREE REMOVAL PERMIT DATE Applicant , NAME ADDRE S S Owner (� NAME ADDRESS Location of tree if different from owner's address : Reason for Removal: r — � Rear Lot Line - W a� indicate possition of __ a tree on o '`---. o lot a 'A v� a� Front Lot Line ; B ' ldin Official 000089 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION INFORMATION jflFUkI1A'1 IU14 386 TENTH STREET Number : 89 ATLANTIC BEACH, FLORIDA 32231-1 permit Type: TREE REMOVAL LEGAL DESCRIPTION lass of Work: REMOVE Block- Section: Type. ots plat Book: Paget 0 proposed Use: SINGLE FAMILi ubdivisiOnz 7wellings: 0 C(:Jde-. 0 SO, 00 OWNER INFORMATION :atimated Value: X0, 00 Name: DENNIS C. GERVAIS Improv. Cost.: $0. 00 Address: 386 TENTH STREET Total Fees: $0. 00 ATLANTIC BEACH, FLORIDA 32233 Amount Puld- phone: (904)246,-040.-,- to APPLICATION FEES 4ATER IMPACT FEE $0.,Ou -;EWER IMPACT FEE !S(-), (In WATER METER iii- , RADON GA:� H. R- S- VU. tio RADON GAS $0. 00 WATER TAP $0. 00 SEWER TAP $U. 00 i.IYDRAULIC SHARE 90. 00 RE-INSPECT FEE $0. 00 OTHER %'-0. f NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE BUILDING:MATERIAL, RUBBISH AND DEBRIS CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. E ' LIEN LAW CAN RESULT "FAILURE TO COMPLY WITH THE MECHANICSVEMENTS-I99N THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPRO ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: 000089 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION INFORHATION -f mit Number : 89 I-Ireaai 386 TENTH STREET Permit Typei TREE REMOVAL ATLANTIC REACH, FLORIDA--J,*-,:,,�-j Lass of Woo k: RE"UVFLEGAL DESCRIPTION Type; Plat 1300ki i--,vopoued Use: SINGLE FAMILY 4elling"I Cedes 0 OWNER INFORHAI 1UH :Itifflated valu*i': $0. 00 Name: DENNIS C. GERVAIS Improv. cost : $0. 00 386 TENTH STREET Total Proal $0. 00 Ad r ee"& Amoun't $0. 00 ATLANTIC BEACIII. Ft-.11PIDA (904 1?4r-,-..040 , APPLICATION FEES $0. 00 'ATER IMPACT FEE *0 I'WER IHPAj0,T FEE $0. - ADUN GA $6. 06 ADON GAS $0. 00 ATER TAP $0. 00 . ,EWER TAP $000 iYDRAULIC SHARE $0. 00 ,E-INSPECT FEE 00 ITHER 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-95 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: PSR-3844• - --- DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- -- PERMIT INFORMATION - Permit Number: - ------- 6593 LOCATION INFORMATION - Permit Type: MECHANICAL Address : 3$6 TENTH STREET ."lass of Work : ALTERATION ATLANTIC BEACH Constr. _ - LEGAL DESCRIPTIONRI-- ----- Type : WOOD32233 Use: OD FRAME --- SINGLE FAMILY Lot ; Block ; ----- Dwellings : 1 Code: 0 Township ; Section: Estimated Value: Subdivision: ATLANTIC BEACH G. 0 Improv. Cost : $0 . 00 Total Fees : $0 • 00 Amount Paid ; $37 .00 r.a - 93$37 . 00 T ` T'-TING AC SYSTEM OWNER INFORMATION - Name: GER'VAIS ------ ---- APPLICATION FEES - Address - 386 TENTH STREET PERMIT ATLANTI�� BEACH : WATER IMPACT FEE $3? < 00 Phone : 90 FLORIDA 3� = SEWEF. IMPACT FEE $0 . 00 ( _ 4 )? q_g��l WATER METER $0 . 00 CONTRACTOR INFORMATION -- RADON GAS-H. R. S . $0 . 00 Name: OCAIR EAN :NATE HEAT & RADON GAS - 5$ $0 . 00 7yddress : 1.476 ATLANTIC BLVD=. WATER TAP $0 . 00 NEPT11NE BEACH . FLORIDA .3?.23 , SEWER TAP $0 , 00 1Cense: MHAR-'796 HYDRAULIC SHARE $0 .00 Type : RE-INSPECT $0 . 00 FEE $0 . 00 SEC .H IMPACT FEE OTHER... $0 . 00 NOTES: $0 . 00 NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN THE PROPERTY OWNER PAYING TWICE FOR BUILDING W CAN RESULT IN IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ�TACrO RE VIOlAS1ON OF APPLICABLE FnDVISIONS OF LAW. VOCATION FOR TEM" TLANTIC BEACH BUILDING DEPARTMENT RELc.