383 10TH sT (VAULT) ADDRESS Y3 at7
BUILDING PERMIT NUMBER
INSPECTIONS: FOOTING
UNDER SLAB PLUMBING
SLAB
FRAMING 2
COVER-UP
6 - 16
INSULATION
FINAL BUILDING 7- -2 6
CERTIFICATE OF OCCUPANCY
ELECTRICAL PERMIT # 9 7
INSPECTIONS ROUGH -6- -- !�, J`
FINAL Zk�7
MECHANICAL PERMIT
PLUMBING PERMIT #
NOTES:
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026006 Date 5/07/03
Property Address . . . . . . 383 10TH ST
Tenant nbr, name . . . . . . RE-SIDE OVER T1-11
Application description . . . SIDING
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8000
Owner Contractor
------------------------
------------------------
SABIC, BARRY EASTERN SHORES CONSTRUCTION
383 10TH STREET 1015 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 281-1118 (904) 545-7878
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . . Plan Check Fee 35 . 00
Permit Fee . . . . 70 . 00 Valuation . . . . 8000
Issue Date . . . .
Fee summary Charged Paid Credited Due
I
----- ----------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
Grand Total 105 . 00 105 . 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.
J1,
BUELDING OFFICIAL
Uk rri) I
CITY OF ATLANTIC BEACH
INOLE ROAD
800 SEM
H,FLORIDA 32233-5445
ATLANTIC BEAC
TELEPHONE:(904)247-5800
FAX:(904)247-5805
SUNCOM:852-5800
http://ci.atlantic-beach.fl.us
E
PLAN REVIEW COMMENTS
Permit Application
Applicant: i
Address:
Project: rcsirle na
&.-,'Your application is approved
tu e it�appli�n�has bee�-�nd tl�,o ' �g items need
l Pent�ion
Lk
LO V Va
Please re-submit your application when these items have been completed.
Reviewed by
Signe Date
Contractor Notified Date
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 20
IMPORTANT NOTICE:
IN CONSIDERATION OF PERNUT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO
PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF,
AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ELEC IG T
'PB 0 X
OWNERS NAME: ADDRES B X
S. 0
BLDG. SIZE XTW E E-N:
RE APT.( COMM.( PUBLIC( INDUS.( NEW( OLD( REW.(
ADqDlT N( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ. FT.
SERVICE: NEW( ) INCREASE( ) REPAIR(
CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( ) FEES
SWITCH OR BREAKER ANTS PH W VOLT RACEWAY
EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
SWITCHES 0.30AWS 3 1.100 AMPS
INCANDESCENT
FLOURESCENT& M.V-
FIXED 0.100 AMPS. OVER
APPLIANCES I BELL TRANSF.
AIR H.P. RATING H.P. RATING I CEEL. KW-HEAT
CONDITIONING COM?. MOTOR OTHER MOTORS AMPS HEAT
OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
I/')- 'f - i /. L - - '!� . 4, "o
MISCELLANE,qUSI, /<&V W& ®reQML
'4
I [LNDE13 MDV- V OVER 600V
TRANSFORMERS: NO. � KVA NO. IKVA
NO.NEON TRANS F. WITCH I FLASHERS
EACH SIGN ..INO I VA I MA I MOTOR
Updatod 5120f2002
NJ
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
r
Application Number . . . . . 03-00026381 Date 6/26/03
Property Address . . . . . . 383 1OTM ST
Tenant nbr, name . . . . . . REPLACE OUTSIDE BOXES
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------
------------------------
FABIA BROOKS & LIMBAUGH ELECTRIC
383 10TH STREET 41 2ND STREET WEST
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-9051
------------------ ----------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 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
RECEIVED
CITY OF ATLANTIC BEACH
BUILDING & ZONING
MAY 0 6 2003
CITY OF ATLANTIC BEACH
SIDING PERMIT APPLICATION BY:
Date:
Job Address:
Owner of Property: &,rr!�j V-AS-
Telephone: Q pj
Address: '56'5 10*2 Zoning District:
Legal Description: Block Number: Lot Number:
Siding Contractor: O&Or-1-4A -) %�,
dress: 5->
Contractor's Ad
Telephone: Otoll -lb-1 ft-, Fax:
Describe proposed use and work to be done:
Present use of land or building(s): t
Valuation of proposed construction: It t,CC 4,
yes, please submit with th
Is approval of Homeowner's Association or ot.her private entity requed? ubmit 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.
Step 1. Attach detailed information on product to be used.
Step 2. Attach details concerning attachment of product,i.e.,fasteners,etc.
I hereby certify that all information provide i this application is correct.
iAAVA 4�- )3
Signature of Owner: Date:
1 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: Date:
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Revised 1/17/03
Page I
Address and contact information of person to receive all correspondence regarding this application (please print).
Name: -L
MailingAddress:
Telephone: Fax: E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this day of '2003
State of Florida,County of Duval
MlAI.V ALTERI Notary's Signature:
�jy COMMISsION#CC 992325
-S:May?,2005
EXPIRE
�Personally known
Thru Notary Public Underwriters
El Produced identification
Type of identification produced
AS TO CONTRACTOR:
e this day of 20 52)
Sworn to and subscribed before in
State of Florida,County of Duval
Notary's S-i ature:0Q�a,_1
Personally known
Produced identification
Type of identification produced
ALLAI,*.ALTERI
ilt.)MMISSION#CC 992325
OkES:May 2,2005
M.
l.Ifu 4otary Public underwr�ers
800 Seminole Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach-n-usRevised 1/17/03
Page 2
James Hardie North America- 1-888-jhardie
Home >> Siding Products >> Builder >> Products&HorneStyles >> Hardishifl.gle— Siding >> Installation >>
Straight Edge Notched Panels
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Hardishingle TM Straight Edge Notched Panel Installation Instructions
August 2002
JOBSITE COPY
Installation Instructions also available in PDF format
INGLETm STRAIGHT EDGE
IMPORTANT: FAILURE TO INSTALL AND FINISH HARDISH
PANELS FOR SIDEWALL APPLICATIONS IN ACCORDANCE WITH APPLICABLE BUILDING
CODE COMPLIANCE REPORTS AND JAMES HARDIE'S WRITTEN APPLICATION
INSTRUCTIONS, MAY AFFECT SYSTEM PERFORMANCE, VIOLATE LOCAL BUILDING
CODES REQUIREMENTS, AND VOID THE PRODUCT ONLY WARRANTY.
P Pi oducts Ei Horne S�ytes
-Hardiplank@ Lap Siding HANDLING &STORAGE:
-HardishingleTI Siding
Warranty APPROVED
Caulking Tips GITY OF ATLANTIC BEACH
Painting Tips BUILDING OFFICE
Technical Information
Tools
Hardipanel@ Vertical Store notchedpanels flat on a smooth level surface,WAAe?.4janels become saturated,.
Siding allow to dry prior to installation. Protect edges and cor rs fr m breakage
Harditrim@ Planks
Hardisoffit@ Panels BY:
ColorPlusTm Collection CUTTING OPTIONS:
Product Comparisops
i�Advantages Ei Accolades
t�Advertising Fi 13-�
Ca-branding Support
i,Dealer Locator
t---11 J41P
o Factory Suitt Construction
o�InstalLation Circular saw*0 CircWar saw blade EkW of pimmaW Carbide scDre&-A
v�Lite4-ature Request dust collector with carbide-fipped teedi haMOW snap knife
FAQ
#5044KB 4" or #5057KB 7-1/4" saw with dust
r 1X JH recognizes Makita@
collection. Call 800-4MAKITA.
Call Hitachi@ at
Hitachi@ HARDIBLADEr" w/4 PCID Diamond Teeth
JOBSITE COP)�,,�,,,�,Otl F1111joryttf 800-546-1666 for nearest dealer.
Tm electric or pneumatic hand shear. Call 800-297-
S NAPPER SHEAR
7487 for tool informatiom
Always wear safety glasses and dust protection when operating power tools. For more
information on avoiding inhalation refer to the MATERIAL SAFETy DATA SHEET.
FRAMING REQUIREMENTS
Install Hardishingle Straight Edge Notched Panels on exterior walls braced in accordance with:
The BOCA National Building Cocle/1999, Section 2305.7; 1997 Standard Building Code, Section
2308.2; 1997 Uniform Building Code, Sections 2320.11.3 and 2320.11.4; 2000 International
g Code, Section 2308.9.3; and 2000 International Residential Code for One- and Two-
JOBSITE CORYwellings, Section R602.10.
Use a weather-resistive barrier in accordance with: The BOCA National Building Cocle/1999'
Section 1403.3; SBCCI 1997 Standard Building Code, Section 1303.3; ICBO 1997 Uniform
Building Code, Section 1402.1; ICC 2000 International Building Code, Section 1403.2; and ICC
2000 International Residential imtTHOM ily dwellings, Section R703.2.
http://wwwjameshardie.comjbuilder/prodhome/hardishingle—straightedge_installation.php 5/6/2003
James Hardie North America- 1-888-jhardie
Figure 1-Double Wall ConstrUctiDn
weather-tesisuve 7116,IhZt
tflM D"M barm mwwrn C*di�
I(V pa 0$ she;9MM
rau*
DO NOT NAILTHROUG
I THIS AREA
shin Vies
r malL
expesure
"a"tio lecure MrdMM
Pmocus owses, 114,wo of
not ab" s"r SIM
(VNOTE SeWM 13-301-G.0 anty itim first panel
wr,cn MpWgijon*to ffmawir t0hawnestswo
7116'tr"ck tated OSS Va*np-
ocnV
A Immedge
Figure 2.Single WaM wdh Let-in Bracing
"""'bered,cxm
ruld" M-0 Won
Munbw mraw
------------
fim—shed Pride
HARDISHINGLE NOTCHED PANEL SPACING
Fasteners are a minimum 0.083" shank x 0.187" HD x 1 1/2" long corrosion-resistant siding nail.
Install Hardishingle notched panels with joints butted in moderate contact. Due to the
overlapping of the joints, caulk is not required except where panels abut trim boards.
1. Secure a 1/4" lath strip or other approved starter strip, and a minimum 9 1/4" wide plank
starter course.
2. Trim the first panel to hit furthest stud. Allow trimmed panel 1/8" from the trim board for
caulk and secure above the keyways on 16" or 24" centerso.
3. Work across the wall allowing 1/8" gap from trim. (see Figure 1)
4. Start the second course, and every following even number course (i.e. fourth, sixth) by
removing equivalent of one full stud cavity from the straight edge end (the left side).
Save this piece for the other end of the wall. Secure the beginning panel leaving 1/8"
clearance from the trim board for caulking. Position nails to penetrate through the
previous course. (see Figure 2)
When a course is broken by a window or doorway, continue the application as if the wall was
complete. Trimming for the opening and using the resulting piece may throw off the spacing
above the break.
WARNING: AVOID BREATHING SILICA DUST
Product contains Silica. Inhalation of respirable silica dust can cause silicosis a potentially
disabling lung disease, and is known to the State of California to cause lung cancer. When
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James Hardie North America- 1-888-jhardie
drilling, cutting, or abrading product during installation or handling. (1) Work outdoors where
feasible, otherwise use mechanical ventilation, (2) Wear a dust mask or, if dust may exceed
PEL, use NIOSH/MSHA approved respirator, (3) Warn others in area. For further
information, refer to material safety data sheet or consult employer.
FAILURE TO ADHERE TO WARNINGS, MSDS, AND INSTALLATION INSTRUCTIONS MAY LEAD
TO SERIOUS PERSONAL INJURY.
CORNER DETAILS Figure 3
M,
41k
minirn,um I thick — t N
trim boafds A D
1. Panels butted against corner boards.
2. Panels butted against square wood strip on inside corner, flashing behind.
3. Laced outside corner.
4. Laced inside corner.
ROOF CLEARANCE
—trim
trim
1-2'
Cashing
At the juncture of the roof and vertical surfaces, flashing and counterflashing shall be provided
per the roofing manufacturer's instructions. Provide a 1" - 2" clearance between the roofing
and bottom edge of siding or as recommended by the roofing manufacturer.
GRADE CLEARANCE
stud
sheaMing
weather-resistive
barrier
plate
concrete
toundawn
Install Hardishingle Straight Edge Notched Panels in compliance with local Building Code
requirements for clearance between the bottom edge of panel/framing and the adjacent
finished grade.
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James Hardie North America- 1-888-jhardie
WINDOWS, DOORS, AND VENTS
Installation of building wall components such as windows, doors, vents, water pipes and other
exterior wall penetrations shall be in accordance with the component manufacturer's written
installation instructions and the Code. It is the responsibility of the component installer to
ensure that penetration areas are properly prepared and that all required sheathing
membranes, flashing, caulking, and sealants are installed in accordance with the Code and the
published installation details provided by the component manufacturer.
PNEUMATIC FASTENING:
Hardishingle Straight Edge Notched Panels can be hand nailed or fastened with the use of a
pneumatic tool, Set your air pressure so that the fastener is driven snug with the panel
surface.
RECOMMENDED:
Use a flush mount attachment on pneumatic tool. This will help control the depth tic
that the nail is driven. This will be especially helpful when more than one pneuma
tool is driven off the same compressor. DO NOT
STAPLE
(-V�S U3 Countefsunk. /q�h
/T�,Snug Flush lk&
add nail "IV
QV k,.v MCqu
ESS do not und&
figure A figure B figure C drive nails
FASTENER REQUIREMENTS:
• Drive fasteners perpendicular to siding and framing.
• Fastener heads should fit snug against siding (no air space), (Fig. A& B)
• Do not over-drive nail heads or drive nails at an angle.
• If nail is countersunk, caulk nail hole and add a nail. (Fig. C)
FINISHING HARDISHINGLE NOTCHED PANELS:
Patching:
Dents, chips and cracks can be filled with a cementitious patching compound.
Caulking:
A high quality, paintable caulk is recommended, For best results use caulks that comply with
either ASTM C 834 or ASTM C 920. Caulking should be applied in accordance with caulking
manufacturers written instructions. (Leave 1/8" gap at trim for caulk. Caulking at butt joints is
optional.)
Painting:
James Hardie products must be painted. Hardie recommends the application of an alkali-
resistant primer along with a minimum of one topcoat of 100% acrylic paint.*
*Note: Please refer to paint manufacturers' specifications (JH..Technica,l Bulletin No.,.S-100) for
application rates and the number of required topcoats.
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James Hardie North America- 1-888-jhardie
HARDISHINGLE STRAIGHT EDGE NOTCHED PANEL COVERAGE
Panels for sidewall applications are available in 48" lengths. Allow 7" for the straight cut
pattern, Pieces needed for one square (100 sq. ft.) of product coverage=43 pieces with 7"
exposure.
James Hardie's seal indicates products recognized for use by James Hardie
Building Products.
APPROVALS: Hardishingle Straight Edge Notched Panels are recognized as an exterior wall
cladding in National Evaluation Report No. NER-405 (BOCA, ICBO, ICC, and SBCCI); U.S.
Dept. of HUD Materials Release 1263b; California DSA PA-019; Texas Department of Insurance
Evaluation Report EC-23; and City of New York MEA 223-93M. These documents should also be
consulted for additional information concerning the suitability of this product for specific
applications.
About James Hardie I Contact Us I Site Map I Search I Disclaimer I Privacy Policy
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bill-
CITY OF ATLANTIC BEACH
IS
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000079 Date 1/23/09
Property Address . . . . . . 383 10TH ST
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 18000
----------------------------------------------------------------------------
Application desc
interior remodel - master bedrm / bath
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
SABIA, BARRY EASTERN SHORES CONSTRUCTION
383 10TH STREET 1015 ATLANTIC BOULEVARD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 545-7878
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 120 . 00 Plan Check Fee 60 . 00
Issue Date . . . . Valuation . . . . 18000
Expiration Date . . 7/22/09
----------------------------------------------------------------------------
Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2004 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120 . 00 120 . 00 . 00 . 00
Plan Check Total 60 . 00 60 . 00 . 00 . 00
Grand Total 180 . 00 180 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH 09-
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
F7 904)247-5826 0 FAX NO.�(904)247-51345
OFFICE:(
Q�'g BUILDING-DEPT@COAB-US
DUVAL COUNTY
APPLICATION
SQ.FF.UNDER ROOF
BUILDING PERMIT —
2,VALUA ION OF WUKK: J.
1.JOB ADDRESS:
B ADDRESS
S
OF
5 CLA
0 NEW'ULDI
N
ADD
0
6-USE OF STRUCTURE:
P T]
ON
5.CLASS OF WORK:
4 L
.i EGAL DESCRIP ON� 11 NEW BUILDING 0 DEMOLITION RESIDENTIAL
IT'D 0 CONVERTING USE 0 COMMERCIAL
S DIVISION LTERA_no,
A
0 'JE P I
LOT�0 BLOCK SUB DIVISION El ADDITION a.FIRE SPRINKLER:
W,
U"ALTERATION El ACCESSORY BLDG-
7.EDESCRIPTION OF WORK: �OREPAIR 0 POOL/SPA 11 YES Er-N/A
C1 07HER NO
J\A L i`1-u V�?64 V" 1<t_r W6-�- MOVE EER:
RE":7. , '' ::: :�NTR�CT
Y K 23.COMPANY NAMt�:
15.Go kNY NAME: - L�Y\.A L
1�fp
9.NAME.,b 4 P ka"T E�) 44)-ivr-
16.NAME: 24.LICENSEE NAME:
STATE OF FLORIDA LIUtNbL INV
10,ADDRESS: 17.STATE OF FLORIDA LIULINSE NO.:
q4l 03 c,u .-> c.;11 -
ilk 26.ADDRESS: LL
3 18.ADDRESS: j �'ii�' _')
16 0-1 tA"�-Jjs— &,,L C4- 1,-71,1.
mi C bo. 6. 13 L-tV 27.OFFICE PHONE. NO.:
11.OFFICE PHONE: 9 OFFICI:111 1o,11: 20.FAX NO.: ',A
jjl�
61 -1111 21.CELL PHONE: 29.CELL PHONE:
0 -
13.CELL PHONE:
22,EMAIL A------- 30.EMAIL ADDRESS:
)4.EMAIL ADDRESS:
Oe" MORTGAGE LENDER:
Fi:t SIMPLE TITLE HOLDER: BrNDING COMPANY:
(IF OTHER THAN OWNER) 35 NAME:
33-NAME:
31.NAAE:
32-ADDRESS� 34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I Certify that no work or installation has
Commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
11 and void if work is not Commenced within six (6) months, or if construction or work is suspended or
jurisdiction. This permit becomes nu its must be se red r
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate perm cu fO
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFI "IT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER.
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YO'IR NOTICE OF COMMENCEMENT.
CONTKAUIUK
rAGENT 11—fifi—F)HvI
(If Agent,Power of Attorney or Agency Letter Required)
Date: Signed: te:
S ned: AaL;�— "'20 day of
B f methis 017-1yof 2009 in the county of Before me this— 2009 in the county of
Duval,State of Florida,has personally appeared wa" Duval,State of Florida,has personally appeared
+
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate 1�k)k -L true and accurate. rge,State of County of L—tv e I-
N t Public at Large,State of County Of Notary Public at La
EJ/Personally Known
;7pem.n.11y Known 0 Produced Identification
0 Produced Identffication
I l 4 " " i "I (
No Ign re 11 —%DREP
...... il-ELNI 1.
'*('ammiss *. MliCHE
-k 1. - 740
MM on DD 688
-4; Iss . 10"
TLANTIC BEACH 1'e 25,14
pit
CITY OF A
SEE PERMITS FOR ADDITIONAL OA U) 'ded
D CONDITIONS. M.
C�:
,B&gPIREMENTS ANI 0406 It
.rmit Application Bldg:REVISED:1211812008
DATE:— e
REVIEWED BY: 6.
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OF ATLANTIC BEACH
CITY
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 04-00029194 Date 11/02/04
Property Address . . . . . . 383 10TH ST
Tenant nbr, name . . . . . . REPLACE EXISTING CONCRETE
Application description . . . RIGHT OF WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------
------------------------
POPP, JEFFREY W. OWNER
383 10TH STREET
ATLANTIC BEACH FL 32233
----- - - --- -----------------------------------------------------------------
Permit . . . . . . DRIVEWAY PERMIT
Additional desc - - 35 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
---------- ------- ----------------------------------------------------------
Special Notes and Comments
PROVIDE EROSION AND SEDIMENT CONTROL
PLANS WITH DETAILS PER PUBLIC WORKS .
ALL METER BOXES, VALVE BOXES, AND SEWER
CLEAN OUTS MUST BE SET TO GRADE PER
PUBLIC UTILITIES .
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
pERWy is APPROVED ONLY IN ACCORDANCE WffH ALL CTff OF ATLAN`nC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,Q),
BLTILDING OFFICIAL
t"< t- L_J C_ I
CITY OF ATLAN71��ErCH
BIJT�PIW-- A 7C"\
2 2004
CITY OF ATLANTIC BEACH OCT 2
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
— 904-247-5800
800 Seminole Road go
Atlantic Beach, Florida 32233-5445 py, 77F Fax 904-247-5845
Date— _90 -1? 1-4- PERMIT#
I ISSU
SSUED BY THE CITY
Job Address o F-L
Cc
Permitee'. Telephone #
'39 /OYIA sy" 4 6
Permittee Address
Requesting Permission to Construct".
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:
Bell South Telephone Company Yes ( ) No Date:
Ferrell Gas 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. r Florida Department of Transportation Standards and be
3. All work shall meet City of Atlantic Beach ci
performed under the supervision of (Contractor's Project
Superintendent) located at '31V� Xojco� C31io p 13,L�,jE�= 3 W,z—Telephone#:
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his desi6nee.
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. f a recent survey shall be made a
6. A sketch of plans covering details of this installation, as well as, a Copy 0
part of this permit ction in good faith with days. If the beginning date is
7. This permittee shall commence actual constru
more than 60 days from date of permit approval, then permittee must review the permit with the Director of
PublicWorks to make sure no changes have occurred in the area thatwould 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.
OWNEF�-) aAA"
Signed: U — Date-/Ob 2) _04
Before me this -day of -1 Loc,, Wlge'iCounty of Duval,
State Of Florida,has personally appeared C-0 Dee D. Refter
Notary Public at Large,State of Florida,County of Duval.
my commission expiresi commission#DD347975
Personally Known: Expires October 17,2008
Produced Identificationi Bor4ad TMY FVIM-Inswance,Inc.60"W7019
FAAP SHOWING BOUNDARY SURVEY OF
LOT 40 , 13 LOCV— )�3
A� ;it'.00ADED IN PLAT BOOK PAGES —OF THE CURRENT PUBLIC RECORDS OF COUNTY,FLORIDA.
'5,Ai5L4,. 1--iorld (<fZ_I'57e�J
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CITY OF ATLANTIC BEACH D. Ford
L. Higgins
BUILDING / ZONING DEPARTMENT
800 Seminole Road
Atlantic Beach,Florida 32233 ------
-7 (904)247-5800 E D
(904)247-5845 Fax EACH
cl-Tv F �!,7 ANTiC B
_7
)A� & ZON;NG
PLAN REVIEW COMMENTS OCT 2 2 2004
Permit Application # 04 - 9-91Q4 BY:
Property Address:
Applicant: T STWET
Project:
mit applica tion 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:
R F— CE IV ED
CITY OF A7 LANTIC EEAD
DEPARTIMENT OF PUBLIC WORKS
OCT 2 2 2004
1200 SAINDPTER LANE
A -,MC BEACH, FLORIDA 32233-4313
TLA.2
-5834
TELEPHONE:(904)247
FAX:(904)247-5843
By.. SUNCOM: 852-5834
http://ci.atiantic-beach-fl-us
LAN REVIEW COMMENTS FROM THE
PUBLIC UTILITIES DEPARTMENT
Permit Application # 64 - 290 4
Applicant:
Address: 3G3 I D T� FIRlEf I
�roject: Kftha rCx1C'711V& CONCWE
Your application is approved as noted by the Public Utilities Department. Final
application approval must come from the Building Department.
c2 Your permit application has been reviewed by the Public Utilities Department and the
followuil'a items need attention:
04-
4-io 6=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.
Rev* d by Donna Kaluzniak,Public Utilities Director
"Y'Jonn�i I
Date
Signature
Contractor Notified Date
C ITIT, (I P �VF' 1
OCT 2 2 2004
TY OF ATLANTIC BEACH
"J
CI
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 9�
904-247-5800
800 Seminole Road "D Fax 904-247-5845
Atlantic Beach, Florida 32233-5445
COM I
Date V PERMIT#
IS
Job Address 5T, F�SUED-BY�THE CITY_�����
ADO
Telephone#
Permitee: Boa-"
Permittee Address
Requesting Permission to Construct:
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:
Bell South Telephone Company Yes ( ) No Date:
Ferrell Gas 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 ail 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. t City of Atlantic Beach or Florida Department of Transportation Standards and be
3. All work shall mee Coll OeO 14,11AI, ( on kractor I s Project
performed under the supervis�ion of
#: 3-3331
Superintendent) located at 03 IV Roxo� 31vo V, Bck !���Telephone#: r is
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his Zesislnee.
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. ell as, a copy of a recent survey shall be made a
6. A sketch of plans covering details of this installation, as w
part of this permit actual construction in good faith with days. If the beginning date is
7. This permittee shall commence
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 aregranted 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.
OWN Py-)
D ate,
Signed f nrk3��-AWCounty ot uuval
Before me—this day 0
State of Florida,has personally ap eared
p Dee D. R~
Notary Public at Large,State of Florida,County of Duval. 975
CommissW#"7 8]
my commission expires:
�F Expires 0dobw 17,
Personally Known: kv- me,kc 80"W709
r.1% Bwd Twy ftin-Vw-
Produced Identification:
MAP SHOWING BOUNDARY SURVEY OF
.LOT 40 , 5 LC)CV- 1`3
ATL-A�-J-nc_ i3e:ACH —
;6'.0.ORDED IN PLAT BOOK PAGES OF THE CURRENT PUBLIC RECORDS OF f-Ul-JAL— COUNTY,FLORIDA.
CERTIFIED TO p—I c-44A P-o -r P-teD iz-e7 H F.A -
5-relu�iz-r TFT�
L-c>-r- -4-1 L— 0 -r 39
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P
R E 0 E I V E D
CITY OF ATLAN71C BEACH
B U 1 L D'N G DEPARTMENT OF PUBLIC WORKS
J" OCT 2 2 2004 1200 SANDPIPER LANE -4318
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE: (904)247-5834
FAX: (904)247-5843
SUNCOM:852-5834
E BY: http://ci.atiantic-beach.fl-us
PLAN REVIEW COMMENTS FROM THE
PUBLIC WORKS DEPARTMENT
Permit Application # 04- 291,94
ALbEp.1- WMAGA
Applicant. —
Address: 3n S1 WEE T ----------
Project: RMAC-E McOT 'Nco
Your application is approved as noted by the public Works Department
Final application approval Must come from the Building Department.
1 ion has been reviewed by the Public Works Department and the
Your permit apPlicat
following items need attention:
Ut g2'r erC6� �� �
t ,�601 r-
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.
Reviewed y arper,PF.E., public Works Director
ruLl"',
Date
§71—gn4ature
Contractor Notified Date ---
OCT 2 2 2004
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
9 -247-5800
04
800 Seminole Road Fax 904-247-5845
Atlantic Beach, Florida 32233-5445
Date �PIERIVIIT#
ISSUED BY�THE C�ITY-�-���
.5T
Job Address i A , 6.
Permitee: Telephone#
Permittee Address
_AJ
Requesting Permission to Cons
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:
Yes No Date:
Bell South Telephone Company Yes ( No Date:
Ferrell Gas Yes No Date:
Comcast
for the construction, repair, improvement, maintenance, safe and efficient operation,
2. Whenever necessary ny portion of said street or easement as determined by the Director of Public
alteration or relocation of all, or a other facilities and appurtenances authorized
Works, any or all of said poles, wires, pipes, cables or
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. t City of Atlantic Beach or Florida Department of Transportation Standards and be
3. All work shall mee � C0,1 5�tt4cZaAl, (Contractors Project
performed under the supervision of OkL-1131- 11 0RU(I 7-
k�F,,— .3 2A,;_,zT e I e p h o n e#: q#3-333�1 05-1
sl
"�denree.
Superintendent) located at r hi's
4. All materials and equipment shall be subject to inspection by the 6ire;tor of Public Works o
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. ell as, a copy of a recent survey shall be made a
6. A sketch of plans covering details of this ;Installation, as w
part of this permit actual construction in good faith with days. If the beginning date is
7. This permittee shall commence
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.
rein set out are_granted only to the extent of the
8. it is understood and agreed that the rights and privileges he
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 ur (24) hours prior to starting work and again
9. The Director of Public Works shall be notified twenty-fo
immediately upon completion.
OWNER-)
Date-10 k -0q
Sioned: ArRR"lCounty of Duval
Before me this day of e
state Of Florida,has personally appeared W/ 1 p
Dee 0. Reftr
ounty of u al. com "7975
Notary Public at Large,State of Florida,county of mission
my commission expires: Expires October 17,M
Personally Known: Z. ,Tmy ftirt. utr�800-38&70"
Produced Identification: ---------
MAP SHOWING BOUNDARY SURVEY OF
Lo-r 40 , o L�oc_v_ 1�3 **A "
A_T_L_A�j_Ftc_ e5e:ACF� — 5ubc)l j--lok_,lAL-
;i,'C,'DRDED IN PLAT SOOK__f�_PAGES &9 — OF THE CURRENT PUBLIC RECORDS OF -COUNTY.FLORIDA.
fz_ls-Tra�,j tit,,ddm,
PA -
CERTIFIED TO c__HA i:�j�_r �
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t--7-. 199�9
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A"
CITY OF ATLANTIC BEACH
11 S1 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00029221 Date 11/02/04
Property Address . . . . . . 383 10TH ST
REPLACE EXISTING CONCRETE
Tenant nbr, name . . . . . .
Application description - . . DEMOLITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation 0
Contractor
Owner ------------------------
----- --- --------------- OWNER
SABIA, BARRY
383 JOTH STREET
ATLANTIC BEACH FL 32233
(904) 270-2677 ----------------------------------------
---------- ---- ---- - ----------------
Permit . . . . . . DEMOLITION PERMIT
Additional desc REPLACE EXISTING CONCRETE . 00
100 . 00 Plan Check Fee 0
Permit Fee Valuation . . . .
Issue Date
Fee summary Charged Paid Credited ----Due---
--------------- -- -- ------- ---------- ------- - 00 . 00
Permit Fee Total 100 . 00 100 . 00 . 00
Plan Check Total . 00 . 00 . 00
Grand Total 100 . 00 100 . 00 . 00 . 00
PERmrf IS APPROVED ONLY IN ACCORDANCE WfM ALL Crff OF ATLANnC BEACH ORDINANCES AND THE FLORIDA
BUILDING CCAVES.
C
B G OFFICIAL
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000149 Date 1/29/09
Property Address . . . . . . 383 10TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
rewire 200 amp no change
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SABIA, BARRY BROOKS & LIMBAUGH ELECTRIC CO
383 10TH STREET Q/A BROOKS, CHRISTY
ATLANTIC BEACH FL 32233 42 WEST 8TH ST.
ATLANTIC BEACH FL 32233
(904) 241-9051
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/28/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
Soo SEMINOLE ROAD,ATLANTIC BEACH,F,32233 08-
OFFICE--(904)247-5826 e FAX NO.:(904)247-SM5
SUIL0ING�DEPTQCOAB.US
ELECTRICAL PERMIT APPLICATION DUVAL COUNTY
—8-ADDRESS. PEI! 1ERMMzQ,
10J-h Sree-t-
PROPERTY OWNER.
7777 ONE:
EtECTRICAL CPNTRAGTOR�
�Essi4 2—
nnd L -
9.ZTAI-=OF
E 1100 2 2 9 6
'2.E-MAIL AD-_PESS: `24V` q051" -4,
15,Application is hereby made to obtain a permit to do the work and installations as indicated. 1 Gee I!,ikhat alli work will be per'lormed to meet
, _ t
the standards of all laws regulating construction in this jurisdiction. This permit become an I A S not commenced within six(6)
s f n v
th _\
months,or if construction or work is suspended or abandoned for a period of six.(6)mon rk is commenced.
CONTRACTORS SIGNATURE: of
, e er o
16.CLASS OF,WORK: 17.SEIR ICE: R NIMSEW
0 MULTI FAMILY-#OF UNITS: RESIDENTIAL I v
0 SINGLE FAMILY [3 TEMP SERVICE 0 COMMERCIAL
0 ADDITION 0 TRAILOR 119.CURRENT CODE:
LTERATION 0 SIGN CODE
'ArOLD 0 NEW 05 NATIONAL EL*r_
v(4 Y,,
D F,0 0 L S P,A OTHER:
LIST ALL ELECTRICAL WORK:
20.TYPE OF SERVICE: 0 OVERHEAD D E R:G R C";_1 —' UNDERGROUND UP POLE
21. NEW SERVICE: CONDUCTORS PER PHASEE: 0 POWER IS ON 0 POWER IS OFF
22.SIZE OF CONDUCTOR: AMPACITY: OCOPPER 0 ALUMINUM
AM P S: PH: vv: VOLT: RACEWAY SIZE:
21 SWITCH OR BREAKER SIZE. _Iu_w ___C_ _q_ 9040— D
24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT RACEWAY SIZE:
#OF AMPS:
25.FEEDERS: #OF WIPS: 0OF_ AMPS:-
26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.:
27.FIXED APPLIANCES: 0-30 AMPS: 3 1-100 AMPS: OVER 100 AMPS:
28. FIRE ALARM: 0 YES 0 NO
25-311 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS
29.SMOKE DETECTORS: NUMBER:
30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
31.SWITCHES: 0-30 AMPS: 31-100 AMPS:____ OVER 100 AMPS:
32.AIR CONDITIONING:- --a
#OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW:
#OF UNITS: COMP.MOTOR HP RATING:
33.MOTORS:
NUMBER: VOL7AGE: HP:
N U M B E R: VOLTAGE: HP:
34.TRANSFORMERS:
UNDER 60OV: NUMBER: KVA:
OVER 60OV: NUMBER: KVA:
EP6RS-_
35.MISCELANEOUS P
DESCRIBE 1N DETAILC/W 41? /ndr4q
_*7
F
COAS-06 BL:3Gz2:REVISED:11101008 (Vol-e /A
az,eA &'A� &.'d'2r 'e�V-&J/n MA"'�"W 4
CITY OF ATLANTIC BEACH
is
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
19
Application Number . . . . . 09-00000147 Date 1/29/09
Property Address . . . . . . 383 10TH ST
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
5 fixtures repipe
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SABIA, BARRY TDG PLUMBING
383 10TH STREET 4426 LOYS DRIVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
(904) 545-7341
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . . I
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/28/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 07-
OFFICE:(904)247-5826 6 FAX NO.:(904)247-5845
BU I LD:NG-DEPT@COAB.U S
PLUMB NG PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE
ONO
0 YES PERMIT#:
t1antic Beach, FL 32233
PROPERTY OWNER:
4.NAME 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6 PHONE
PLUMBING CONTRACTOR:
7.NAME OF COMPANY: 8.rRESS.:
V"(
9.STAe 0 ORIDA LICENSE NQ:. I ll.FSNO.:
,F_FL 10.C N'E:
W6 -1 *� Ll
I—C I Ll 0 G F�_ t LT
12,EMAIL ADDRESS: 13.OFFICE PHONE: 114.
e (N-41&-y-J,V\C� :574 S--
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6)
months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced.
CONTRACTORS SIGNATURE:
15.NUMBER OF FIXTURES:
0 NEW 0 RE-PIPE
BATH TUB SEWER CONNECTION
BIDET SHOWERS
DISH WASHER SHOWERS PANS
DISPOSAL SINK
DRINKING FOUNTAIN WATER CLOSET TANK
FLOOR DRAIN WATER CLOSET VALVE
HOSE BIB WASHING MACHINES
ICE MAKER WATER CONNECTION
INTERCEPTOR WATER HEATER
IV LAVATORY URINALS
LAUNDRY TRAY OTHER (SPECIFY):
SEE BACKFLOW AND IRRIGATION PROCEDURE SHEET
ROOF DRAIN
16.PLUMBING PERMIT FEES:
PERMIT ISSUING FEVE: 13 10
TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00
COAB FORM BLDG03:REVISED:all 3/2007
b1i-
f,js� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 09-00000358 Date 4/30/09
Property Address . . . . . . 383 10TH ST
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3772
----------------------------------------------------------------------------
Application desc
replace garage door
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SABIA, BARRY COMPETITION DOOR SALES INC
383 10TH STREET P 0 BOX 5279
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32247
(904) 358-1350
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 50 . 00 Plan Check Fee 25 . 00
Issue Date . . . . Valuation . . . . 3772
Expiration Date . . 10/27/09
----------------------------------------------------------------------------
Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2004 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50 . 00 50 . 00 . 00 . 00
Plan Check Total 25 . 00 25 . 00 . 00 . 00
Grand Total 75 . 00 75 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
I�JOBADDRESS*
i!, 2�.VALUATION QF.w SQ.FT.LIND
c �tlantic Beach, FL 32233 377 2.
R�4.LEGAL DESCRIPTION',
5.CLASS 0 6;USE OF STRUCTURE.,
El NEW BUILDING 11 DEMOLITION 12--R7SIDENTIAL
LOT BLOCK SUB DIVISION 11 ADDITION [I CONVERTING USE 0 COMMERCIAL
ii*7�DESCRIP,T-10N OF WORK, N 11 ACCESSORY BLDG. 8.1 FIRE SPRINKLER:
11 ALTERATIO
0 REPAIR 0 POOL/SPA E]YES El N/A
El MOVE U16-THER CINO
PROPERTY OWNER ARCHITECT I ENGINEER:
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:
/6
16.NAME 24.LICENSEE NAME:
1)1,.e/I,-e /' A /fe'l/
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
/0 -5 7- 18.ADDRESS 26.ADDRESS:
7e
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE p��AX INO.:
13,CELL PHONE: 29.CELL PHONE:
14,EMAIL ADDRESS: 22—EMA�L-ADDRESS-- 30.EMAIL ADDRESS:
)-21111011:1
FEE SIMPLE TITLE H DER�
OL I C
(IF OTHER TW� NER IN
31 NAME: 33.NAME 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
or installatiorti a
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work i
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction i0hi
,e
jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspe
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be sec
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER*S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all appli ble
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspection! 2re finaled awand
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. W
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YQUO Ck'
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF —J Z
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFO Z
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH Yo R� Mr.
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTJCE OF COMMENC MENT4
C(
OWNER or AGENT )NTRAG:
"(Q
(If Agent,Power of Attompy or Agency Letter R
jr,
200,fi LLI
Signed: Date, C' T Signed. Date:
Before rneth�sday of o'i avc 20077,n thZo.nty of Before me this /Y� dayof
Duval,State of Florida,has personally appeared Duval,State�WFI.nd.,has personally appeared ;iw
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and aff4ns that all statements and di la
true and accurate. true and accurate.
A Notary Public at Large,State of q vi"k County of_
Notary Public at Large,State of County of D�N
11 Personally Known 0 Personally Known
C::;, L 4Pr.ducsc1 Id.ntific C—L'
91<rocluced dentifi ti L 12
- 11 c
NotarySign.ture nature:
Notary Sig 1L. 0-
its
APRIL RILEY WILLIAMSON
myCOMkJlSS(ON#0D713237 MY
COAB FORM BLDGO September 9,20111 0
Bonded Th,u Notary Public UnderW�IeT$
E — I
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Doc # 2009101305, OR SK 14858 Page 1441, Number Pages: 1, Recorded
04/30/2009 at 10:35 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
NOTICE OF COMMENCENIENT
State of F L Tax Folio No.
County of —AwNt,
To Whom It May Con= to certun real to efty,and In accordaijoe w1th Section 713 of
The undersigned hereby informs you that improvements will be made P p
the Florida Statutes,the following information is stated in this NOTICE OF CONSIEN
L,egal Description ofproperty being improved: ��s Ldo—(d
[4AjAr*jC 'BCbEL 32-2:�3
Address of property being improve&- 3,0 3 j
General description of improvements: )C O'n
Owner- Address:
. R, S 7 54-41'f
Ow=,s interest in site of the improvement
Fee Simple Titleholder(if Other than Owner):
Narn
*-, , +it j oAl A)00�- -5—le—S
Contartor. C-,�y C
S8. r v a,< a? / 3 2 2,4,?
P'rWT�I:haneNo.: FaxNo:
Surety(if any) Amount OfBOnd$
Address:
T e Fax No:
,lephime N o:
Name and address of any person lnllkiO alOBnfOrthOcOu=uctionoft7ae'mProvements
Name:
Address:
Phone No: Fax No:
Name If person-within the State Of Florida,other than h'--el&designated by owner upon whorn.noti— other documents may be
servect Name:
Address:
Telephone No: Fax No:
in , on to hjrnsel� Owner designates the following person to receive a copy of the Li—'s Notice as provided in Section
713.06(2)(b),Florida Statues. CFi1l in at owner's option)
Name:—
Address:
Telephone No: Fax No:
Cornmericernent(the expiration date Is one(1)year f__the date
Expiration date of Notice of of recording unless a differerit date is
specifl
T RD ISUSEONLY OWNER
.: & ne Date'.
Comm Win the County ofDuvaL State
B,�?Ore me this day of
erZQ0LWFIrid.,bas perso.cyppeamd Co
%% Sk Notery i>ublic at Large�St�te ofFlorida,, —ty uval.
PJVJ%�� 'Ay commission--xpires:---WL
rE of Personally Knov�u:
P,,d,,,,d1da,t:ft116o�—V�-LLDS-�
L16--A-)I I
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
6 ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000234 Date 2/18/09
Property Address . . . . . . 383 10TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7000
----------------------------------------------------------------------------
Application desc
reroof
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SABIA, BARRY HARRISON CONSTRUCTION
383 10TH STREET REMODELING, INC.
ATLANTIC BEACH FL 32233 917 1ST AVE.
NEW SMYRNA BEACH FL 32169
(386) 689-0689
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 7000
Expiration Date . . 8/17/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 60 . 00 60 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH 09-
800 SEMINOLE ROAD,ATLANTIC BEACH,FIL 32233
F7 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5645
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: 2.VALUATION F WORK 13.SQ.Fr.UNDER ROOF
,M3 6fl 41-,4 aua, r--2 7, '0'0t>' 3
4.LEGAL DESCRIPMN: 5.CLASS OF WORK: 6.USV2F STRUCTURE:
El NEW BUILDING El DEMOLITION &KESIDENTIAL
L OT9 ELI A71TION
J,-BLOCK13 SUBDIVISION 0 CONVERTING USE 11 COMMERCIAL
LTI
7.DESCRIPTION OF WORK: LTERAT10N 11 ACCESSORY BLDG. 8.FIRE SPRINKLER:
REPAIR EIPOOLISPA D YES VN
MOVE 1-1 OTHFR I U FAU
4�4 ia)5`4,740 5-), t e 604> ARCHITECT I ENGINEER:
PROPERTY OWNER: CONTRACTOR:
9.NAME: 15.CqMPANY NAME: 23.COMPANY NAME
16.NAM5 24 LICENSEE NAME:
LA
10 ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
18.ADDRESS: 26.ADDRESS:
11.OFFICE PHO��NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
,�Vow--aff 1 1
11 CELL PHON� el 60 6 21.CELL PHONE: 29.CELL PHONE:
14.EMAIL ADDRESS: 117-EmArL ADDRESS: 30.EMAIL ADDRESS:
FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER:
(IF OTHER THAN OVVNER)
31.NAME 33.NAME: 35.NAME:
32,ADDRESS: 34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT CONTRACTOR
(If Agent,Power of Attorney or Agency Letter Required) <ullifier Only)
Signed: A/)AA h J- D.,J--1)Tj Signed:- Date-T- /-77EI 7
Before me this -.11 of. 2009 in the county Of Before me this/ day of 2009 in the county of
Duval,State of Florida,has personally appeare. Duval,S nda has personally appeared
Te of IF[
henn by himself 4erself and affirms that Ustatements and declarations a herin by himself/herself and affirms that all statements and declarations are,
true and accurate. true and aGCUrate-
Notary Public at Large,State of Coul Notary Public at Large,State qf -,County of
Personally Known M NN� El Personally Known G,�0 0 N��NA
Produced Identification G 35 D Produced Identification-
�(jr -S . Notary Signature:
6V/'jP ! I I, f)I U f
Notary Signature:
NOWY
BLDG01 Permit Application Bldg:REVISED:12/18/2008
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NOTICE OF COVDAENCEMENT
Tax Folio No.
State of
County of T-)U a,,
To Whom It may concern:
The undersigned hereby informs you that improvements will be made to certam real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF CO 110T q RU-1/3
1--gal Description of property being improved:
Address of property being improved. Ala
General description of improvementr.
Addres: 3
Owner
i
Owner's interest in site of the improvement. Koma 0L-,)AaP-r
Fee Simple Titleholder(if other dum owner):
Name:
"'Critractor (,I �4
Address: LAP 41 -��,'AtA
Telephone No. FaxNo:
Surety(if any) Amount of Bond$
Address:
Telephone No: FaxNo:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No: upon whom notices or other documents may be
Name of person within the State of Florida, Other than himself,designated by owner
served. Name:
Address: FaxNo:
Telephone No:
Secti
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in on.,
713.06(2)(b),Florida Statues- (Fill in at owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
TMS SpACE-FOR RECoRDJ�WS USE ONLY OWNER
Signek Date:
in the County of Duval,State
Before this day
Doc#2009038771,OR SK 14783 Page 2430, Of Florida,has ap
Number Pages:I Notary Public at Large,State of nfT)i-ival-
Recorded 02/1812009 at 11:19 AM, my commission expires- or
-
Personally Known:
JIM FULLER CLERK CIRCUIT COURT DUVAL �y COMMISSION 0 D05368354,1
COUNTY produced Identification: c'':�'. 1 :
UME Z �20110
RECORDING$10.00 Fl.Not�-,- ASM CO3
I 0-j-NOTAXY
CITY OF ATLANTIC BEACH
"P, 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000160 Date 2/02/09
Property Address . . . . . . 383 10TH ST
Application type description MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
------------------------------------------ ---------------------------------
Application desc
duct work
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SABIA, BARRY DONOVAN HEATING & AIR
383 10TH STREET 315 SIXTH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-3785
-----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/01/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 55 . 00 55 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
=S8M2WMRl3AD.ATLM=8EACKFLM= 07—
A 5. 1
0ffMJNWW7-5M 0 FAX N(XVNP47-91"
WWAL PERMIT APPUCATION DUVALCOUNTY
T is—THvsA suo PEmrr.-
.JOB ADDRESS,.- 7
El NO
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Appgcaftn is hereby - to 1 I�I a pem*to do Ote work aW uguunom as I cedffy But at wmk vA be perkwood to ffleet the
sbnftpft&all has ug*&g axmbucbm in On MmkbmL This pem*bemnes MA OW void iF vmk is'wt cw�� Ni sbc(6)
,.Imd orffcmgMKS=arvmk is wnpended Or d=Kloned Rw a period of six(6)monft at any fim ahwvKxk is coma*mce&
I&CLASSOEW04ft I&BUILDING: I&CMUNW03M
_fTNEW INSTALLATION 13 NEW 1M IRESIDENTML P-W R"tM BUILDING COM-
[3 FaNqACEK*W OF E)asTm SYSTEM XlEXISTING 13 COWA*fftClAlL MECHANICAL
13 ALTEIRATION I A[wwnm*TO EXIST SYSTEM 0 OTHER
E3 REPA*t W.7 1 1
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A&AIRcompoomm (3 ROOM 13 CENUML
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21.Dt=SVSTM THMNEW i� L�
22.RB MOERATWN: CAPACtM- dkn
23.COOUNG TCPAElt: gpin
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25.LIFT SYSTEM: MANLIFT- ESCAIAT01t: ALrFOLWP
_2L HOOD
27.FIREPLACE: MASONRY-
28.UUWATM: 0 PLW OWELL 0 PIPING
29.GAS PM411W. #01F OUTLEM 0 GAS AMk_ 0 GAS VIIATM HEIXIBt
30.OTHER-SPECIFY:
SOLAR HENTRAG6 BOILERS.UNFMED
PRESSUREVESSEL.WENTEM"JXER
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NUMBER APPROVING
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AIR HANDLERS
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uuutu
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NUMBER
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MAP
YOWING SUA . "EY OF
Lot 0, B�',ock 13 , as ShOW11 Oil the Plat of ATLANTIC kl-'ACII , iis rccorded In
,--'ook 5, Page 69 of the Current Public Records 01 DLIV'91 ("'Irl ( I' lof i'da .
For : Gail A . Gottardo-Consolidat-ed mtg.
File No. 7250-D
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CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, FL 32233 - Tel- 247-5826 - Fax 247-5877
PLUMBING PERMIT
PERMIT INFORMATION LOC"10N]INIFORMATION
Permit Number: 18083 Address: 383 TENTH STREET
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: ATLANTIC BEACH
Est. Value: Parcel Number:
...........
Improv. Cost: OWNER INFORMATION
Date Issued: 4/14/1999 Name: NIXA, KIRSTEN
Total Fees: 25.00 Address: 383 10TH STREET
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 4/14/1999 Phone: (000)000-0000 -------
Work Desc: IRRIGATION SYSTEM
CONTRACTOR(SL -APPLICATION FEES
GREEN FROG LANDSCAPE AND IRRIG. PERMIT 25.00
. .... ........
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 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.
Date: 4/14/99 61 Receipt: 8848791
DIECKS 1397
ATLANTIC BEACH BUILDING DEPT.
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax- 247-5877
PLUMBING PERMIT
PERMIT INFORMATION LOCATIONINFORMATION
Permit Number: 18083 Address: 383 TENTH STREET
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: ATLANTIC BEACH
Est. Value: Parcel Number:
Improv. Cost: OWNER�INFORMATION.
Date Issued: 4/14/1999 Name: NIXA, KIRSTEN
Total Fees: 25.00 Address: 383 10TH STREET
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 4/14/1999 Phone: (000)000-0000
Work Desc: IRRIGATION SYSTEM
............. ......
COf APPL[QAMOkFEES :..
TOR(S)
GREEN FROG LANDSCAPE AND IRRIG. PERMIT 25.00
1nspecfions:R"u1md
..........
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 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.
C.— ,
C-
ATLANTI( H BUILDING DEPT.
CITY OF ATLAYTIC BEACH
APPLICATION FOR PLZ71-�SING PERMIT
r
JOB LOCAT ION: —?>,
OWNER OF PROPERTY: TELEPHONE NO.
PLUMBING CONTRACTOR
CONTRACTOR' S ADDRESS :
CA
STATE LICENSE NUMBER: sp=2cDl TELEPHONE :�� Y ,5�
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WAT EIR
REPIPE C4:jZo�C T H ER
TOTAL FIXTURES : x $3 . 50 + $15 . 00
MINIMUM PERMIT FEE - $25 . 00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTO
-----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUM-BING CODE .
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP - (904 ) 247-5834
CITY OF
4&aa14C 13113441%
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time
Received RM
Job Address cali
Owner's
Name Contractor
/ AV c a Ali -
n�6�4
BUILDING CONCRETE ELECTRICAL PLUMB MECHANICAL
Framing E Footing 2 Rough Wiring E� Air Cond. &
Re Roofing 0 Slab C. Temp Pole 0 Top Out El Heating
Insulation E Lintel E., Final E Sewer El Fire Place
READ—X-EQR NSPECT,ON_:5H70C,,�� --Pr—eFab
Mon. Tues. CW
_LdD Thurs. Friday
2- 3 A.M.
Inspection Made 0 P.M.Final lnspection>�
Inspector— V \ .
Certificate of Occupancy Lj
Date
PSR-3844 12745
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------- LOCATION INFORMATION ----
Permit Number : 12745 .'Iddress : 383 TENTH STREET
Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA 32233
,7lass of Work :ADDITION --------- LEGAL DESCRIPTION ---------
Constr . Type:WOOD FRAME Block: Lot : Twp: r
Proposed Use: Section: 0 Subd:O Rng: r
Dwellings : 1 Subdivision:ATLANTIC BEACH
Est . Value: 0 . 00
Improv . Cost : 0 . 00
Total Fe , 4 , 25 . 00
25 . 00
Amount 05,
a
F C;!ROWFR
'ATION APPLICATION FEES
Namf- tRMIT -)f� nn
i REET
LC, 1%, FLORIDA M
Ph oae: 9%,
xp
R&`ih' F !NFORMA Ir T r1Tj
Name : ST8kG RW
, BING
ATLANT T `1 t"FACH FLORIDA 32233
-1 Cn
Va 7 Exp '
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS99
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:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:- 3 K3 74
PLUMBING CONTRACTOR:
C7
LICENSE NUMBER:
OWNER., c )0-0 Po
BUILDING CONTRACTOR: Ai n 5,o
TYPE OF BUILDING: FO
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WAShING MACHINE
FLOOR DRAINS MER
TOTAL FIXTURE COUNT: + $15.00
----------------------------------------------------------------------- -------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST .
RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
PSR-3844 12366
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------- LOCATION INFORMATION ------
Permit Number : 12366 Address : 3#3 TENTH STREET
Permit Tvpe:FENCE ATLANTIC BEACH , FLORIDA 32233
Class of Work :ALTERATION - -------- LEGAL DESCRIPTION ----------
ConstV . Type:WOOD FRAME Block- Lot : Twp: 0
Proposed Use: Section: 0 Subd-O Rng: 0
Dwellings : 1 Subdivision:ATLANTIC BEACH
Est . Value: 0 .00
improv . Cost : 800 .00
Total Fe",. 10 . 00
Am o u n t, 0 , ()0
7E 4 ' REPL' AND ADD PER PLAN
`�WNEF INFI:,RMATION -- -------- APPLICATION FEES
Name�-,,�JEFF POP! PtRMIT 10 .00
)�ddr, TETITHIfT
-4 REET
A.TLA.NTI,-- I:EA�*` FLORIDA 3,22-
J,
14TT '�"Tl. --�RMATT '
I N.-
4ame : DUVAL FF�,'C'E
Add-r-t- PHIL�LUPS-ffl -W
JAX . , F4A 322,56
Lic", Exp *
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AN4Pyf3JWVV*1EAAW'6N FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. CAS"
ATLANTIC BEACH BUILDING DEPARTMENT
By: p"
--------------------------------
FROM : DUVAL FENCE, INC. PHONE NO. : 904 260 4747 Aug. 07 1996 07:43AM P2
APPLICATION FOR FENCE PERMIT
Owners ---------------Phone-
Job Address--
Lot Block and/or Unit *------------Subdivision-------------
Contractor if different from owner a)-\j
IIS-"--2- j
-?- h L P
oe->
Valuation of fence $__Oro 0 Corner or interior lot----------
Type constructlon_eH-*�,---.3
Show location and height of fence an well as location of
street(s).
Owner signature.... --------------------------
Contractor aignature.]UZtAraplt�-
v.
ITR-
0.11
0cp
01
00
0,1
1pko�,Ov
Ile
0-0.. 06 CP
Ov-
WOO-,
J4-
,b4
.\,Stv\q
PAO 0'
0
\3,e
\00-
Ck
e6
se'Ne,
?O\e
lemp C;�\O\A
w)ts.
09,
V09
\,,qe,�\O�\
\Ned- ms\ ok O,r,\390,
VNS
O,ds
ekot
cl-f Y OF
1-je&CA-
Ottice ot Building Of"C'al
RFQUEST FOR INSPECT ION
v
Permit No.
Date AM
P.m
Time
Received o�? ------Locality
job Address MECHANICAL
ovvner's LUM:ING -8,
___'Oe�— ELECTRICAL C, Air Cond
Name sough U Heating
CONCRETE Rough%ring fop out Fire place
13UILDI Fooling Temp pole Sewer pre Fab
min 7e, Stab Final AM
ing — M.
I L 010)0,t"91 Lintel PFC�fJON Friday
insulation 7 <IRIEADY Thurs.
Wed,
Tues.
%4on. Final lnspecli0l'
Ger-,ijicate 01 Occupancy
,nspe6on Nlade
Dale
CITY OF
Otjice 01 j3uilding Oftrilcial
VIEGUEST FOR INSPECTION
permit No.
Date A.M
P.M.
Time.
Receiv Locality
Z>
b
V63 A
ne Z� Contractor P MECH NICAL
LWABIN
Air cond.&
ow m r's L 4,
Na e —�--aeo RETE "-�ECT��,, , Rough Heating
vmnff =51t?, —Top Out
13UILDING C, F-1 Fire Flare
Footi 9 n Temp Pole F�, Sewer pre Fab
Framing Slab -1
Re Rooting I Final
Lintel
insulation READY FOR INSPECTION Friday
TueS
Mon. P.M.
,C. Final inspection
inspection M.,J6 Certiticale 01 occupancy
61
CITY OF
Beal:4-
Office of Building Official
REQUEST FOR INSPECTION
Date -2, 1/— �F
Time Permit No.
A.M.
Received PM.
0 7- If—
�JobAddr�ess —r- ---- J,,;:—
Owner's (�171 Locality
Name Contractor Kff
BUILDING CONCRETE ELECTRICAL PLUMBING
Framing Footing Rough Wiring E Rough El MECHANICAL
Re Roofing E: Slab
insulation Lintel Temp Pole L,7j Top Out Heating
Final 0 Sewer Fire Place 0
P a Fab
READY FOR INSPECTION Ff
Mon. Tues. , Q '00
Wed. Thurs. Friday RM'
Inspection Madc ;Lop A.M.
--PM.
Inspector__ Final Inspection E
Certificate of Occupancy E
Date
-———————————--
PSR-3844 10035
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION LOCATION INFORMATION ---------
Permit Number : 10035 Address : 383 10TH STREET
Permit Type: MECHANICAL ATLANTIC BEACH , FLORIDA 32233
Class of Work * ADDITION ---------- LEGAL DESCRIPTION ----------
Constr . Type: WOOD FRAME Lot , Block : Section,
Proposed Use: SINGLE FAMILY Township- RNG, 0
Dwellings : I Code : 0 Subdivision:
Estimated Value, $0 .00
Improv . Cost : 80 . 00
Total Fees : $25 .00
Am,7-11 n f Pa i-I ��5 . 00
i�-1 one re ,, ductS
----------- OWNER INFORMATION ---- APPLICATION FEES
Name * PERMIT $25 .00
Iddress , �8?- 10TH STREET WATER IMPACT FEE $0 .00
ATLANTIC BEACH . FLORIDA SEWER 1MPACT FEE S0 , 00
Phone: WATER METER/TAP $10 .00
RADON GAS-H -R . S . $0 . 00
------- CONTRACTOR INFORMATION RADON CAB 5% �to - 00
Name * HUXHAM HEATING & AIR CAPITAL IMPROVE , S0 . 00
Address : 2006 BEACH BOULEVARD SEWER TAP SO . 00
JACKSONVILLE BEACH . FL 32250 CROSS CONNECTION $0 .00
Licertse , RA00- 2435-2 Type, SEC H IMPACT FEE $0 . 00
CONST . SURCHARGE $0 .00
SCHARGE/ATL . BCH . 150 �00
NOTES:
NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTSY�
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 $M 00 14
Date: 4/25/95 01 Rept: 0049DOO
By: 3221000 1861
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC MILACH. F"MICA
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to cornplefe all iterns in sect-i6ns 1, 11, 111, and IV.
LOCATION Street Address:
OF Intersecting Street$: Iletweeft And
WILDING
11. IDENTIFICATION — To be completed by all applicants,
In C0ft6;d4r*f;oA of Permit 9i'VA for doing the wori ais described in the above statement we hereby agree to perform said wcwk ;A accordepce
with the stfachpd plon% and specif;caf;ons which isto part hereof and in accordance with the City of Jacksonville ordinances end standards
of qocd pfactice listed therein.
k6aso of holleckah4al Cients,"two
C06*64ter (Print) "7 S—';3
"M" Of
Fft"Pty Owner
simillaidtor* of Owner of
w Aartheirized Agent -,-Architect or fallasser
III. 64NLUL INFORWIIM
A, T"M of hosting NO.
IS IDTHER CONSTRUCTION DIEING Dome ON
THIS WILDING 04 SITE?_
[3 (3 LP 0 Netweal 0 Coo"UWII#y
IF yes, OWE"Weep OF CONSTRUCTION
0a PERMIT
0
IV. M11111ICK4141CAL 8Wft00 TO 91 WMALLSO NATUR9 OF WORK
(Is 0 ads 0WROPM JW of COMP""Is sea bed of this#No) 0 Residential or 0 Commwelall
C) ""t 0 $pow 0 Rete"Ind 0 11:4110141101 0 111111011011, 0 Now Sulkillng
• A;w Coadrii;eisiagi C3 Rom E] CA*W 0 EXIStIng IMIdIng
• Dssic� SOON: WlesW4L— TW— 0 F*aewnent of oxisling eyawn
1,144"Vess copecity 4.f^ 13 Now Wistaffatim(No splam pro I jamMy NM~
0 R*4400ti*O Edension cw add-on to extetw.If&"ton
(3 Canalins wensit. Capecity 0 Other—SWIty
0 Finis Wo-iniden: Noneber of 'F I I
C3 bwetv C3 ku"It 0 1W PAC@ 11101k OP"C§W 0NLV
C3 Gswrww pomw —Iftobwl
Towit,
LPG am*%;
Unfo"pma"
C3 le"m Pavoll Apome by---
S"CAF PWOWI a-
Ljorr ALL EQUIPMRNT
AM COMDMONL14G AND REFRIGERATWN EQUWKDrr
Number Vlaft DescrWists me"Number
HLATING - FURNACES, BOILERS, FIREPLACFA
Nunbw Uaft Docrotim Wedd X*mbw
TANKS
31WW Kany Nwhiml C""ity .14"LWAM Nano ON SWW Allfj�
am 2*n=dow contain" 39monawt� NO.
PSR-3844 09897
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------- LOCATION INFORMATION ------ -
7ermit Number : '7 Address ,. 383 TENTH STREET
Permit Type : ELECTRICAL ATLANTIC BEACH , FLORIDA 31131
-lass of Work : ADDITION ----------- LEGAL DESCRIPTION ----------
Constr . Type! WOOD FRAME Lct : Block . Section'
Proposed Use : SCREEN ENCLOSURE Township: RN(3, 0
Dwellings : 1 Codea 0 Subdivirion: RTLANTIC BEACH
Estimated Value: $0100
improv . Cost : $0 �I-)(,
Total Fees ; $25 . V,
Amount , P4i�� : $25 . 0r)
'f::i T F E E14CLOSED PORCF
WNER INFORMATION ---- APPLICATION FEES -----
jEFF F�'.PF- PERMIT S25 . 00
TENTH STREET WATER IMPACT FEE $0 .00
TLT,rTT
BEACH , FLORIL SEWER IMPACT FEE 00
�0,4) 2 4 9—5601 1 WATU XETER/TAP
RADt)N OAS-H.'R. S .
CONTRACTOR INFORMATION ------- RADON C'AB 5% sr.1 .00
F 1, THO"ZON ELECTR I C' C70 ; I Ne-7 CAPITAL IMPROVE. $0 �010
Addres!; : F .c � ECX 830150
SEWER TAP
ATLA�NTTO- B-EACH ,,
233-0150 .',ROS-q CONNECTION $0 .0c)
�J_cense: EF00009676 Type: 2 SEC H IMPACT FEE $0 . 00
CONST. SURCHARGE 0 0
SCHARGIE/ATL . ECH.
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 IMPROVEMENTS95
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 (KKK)00000 $25.00 14
Date: 3/28/95 01 Rept: 0042027
Z/, MR03221OW 1376
-————————--———-
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
BILL THUmesm ELEGI R.6 GU,,
P. 0. BOX 330150
ATLANTIC BEACH,FL 32233-0150 JOU
_RNEYMAN
ELECTRICAL FIRM: _4WAN S—NATURE
MASTER EL CTRICI
NAME PC)10P ADDRESS: RFD—BOX
BLDG.SIZE -BETWEEN:
___l
CR:E:S:jj� PUBLIC INDUS. NEW ( OLD ( I REW.
)APT. I I COMM- ( )
SQ. FT.
��DI�TION TRAILER TEMP. SIGNS FEE
SERVICE: NEW ( INCREASE ( REPAIR
COND=OR SIZE AMPS COPPER ALUMA I
SWITCH OR BREAKER AMPS PH W __ VOLT RACEWAY
w Z
EXIST.SERV.SIZE AMPS PH W ' (,�NOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
I?" OPEN T TAI
RECEPTACLES 0.30 L MPS. CONCEALED 31.100 AMPS
SWITCHES
INCANDESCENT
FLUORESCENT&M.V. OVER �ELL�TRAN��F��
FIXED 0.100 AMPS.
APPLIANCES
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS HP VOLTAGE PHS No. I H.P. VOLTAGE PHS
7—ISCELCANEOUS ....I............. .....
ol
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO KVA NO. KVA
NO. NEON TRANSF. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARD
TOTAL FEES
PSR-3844 09819
DEPARTMENT OF BUILDING
PERMIT INFORMATION CITY OF ATLANTIC BEACH - LOCATION INFORMATION
Permit Number: 9811-:4 Address : 383 TENTH STREET
Permit Type: BUILDING ATLANTIC BEACH , FLORIDA 3223_'�
Class of Work, REMODEL ---------- LEGAL DESCRIPTION ---------
-onstr. Type: WOOD FRAME Lot : 40 Block : 13 Section: A
Proposed Use : SINGLE FAMILY Township: RNG: 0
-Dwellings : 1 Code: 0 Subdivision : ATLANTIC BEACH
Estimated Value: $14760 . Oi
Improv. Cost : S0 . 00
Total FeeF , $127 . 50
�r'lkll -�rr�T1 4-r T�T
OWNER INFORMATION ------ ---- APPLICATION FEES
N ame, jEFF F�PF PERMIT
r i�,S S _�k83 TENTH STREET WATER IMPACT FEE S0 .00
ATLAPT I C BAACH - FLOR I T'1; SEKER IMPACT FEE $0.00
METER/TAP
� 904 ) 249-6943 WATER
RADON GAS-H ,R� S . $0.00
------- CONTRACTOR INFORMATION RADON CAB 5% $0 .00
Name , '-P�PERTY OWNER CAPITAL IMPROVE . $0 .00
SEWER TAP 18 0 1.�n_0
CROSS CONNECTION $0 , 00
10 .00
Type * SEC H IMPACT FEE 81
CONST . SURCHARGE sr" . 00
SCHARGE/ATL. BCH . �10 .00
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTSY9
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 $127.50 14
Date: 3/10/75 01 Rcpt: 0037337
DECKS 2163
By: 00100003221000
OWHER WILDER PERMIT ArrIDAvjr%-�'
City vf Atlantic sa,acts I
MC* the undersigned authority, per& no ly &, rvd
C'
--------0 who upon Sisogt b*irsV duly
bwor a
pc��-------------- 4nd the legsl
owner Of the Sollowina pr;p-vr yi
Subdivision
Block L' ots--
AKA
OMNI.:
I an applying for a building permit pursuant o.o %is* Owner
Builder exemption set forth In Florida Statute. Section 469. 103.
FlQrlda law requires that I .have been provided witts tN& following
DISCLOSURC sTATcxcura
DISCLOSURE STATEMENT
state low requires construction to be done by licensed
contractors* You have applied for a permit under an
exemption to that law& The exemption allows you, as
tho owner of your property# to act am your own
contractor even though you do not have a license. You
must supervise the construction yourself. You may
build or Improve a one - or two family residence &r a
form outbuilding. vow oar also build or Imprcjvv a
commercial building at a cost of 025,000*00 or I&oso
The building must be Car your use and occuponcyo it
way not be built for sale or leave. 29 you sell or
loobe more then one building you have built yourself
within one your after the construction As complete# the
low will presume that yew built it for sale or lease,
which In & violation of this exemption. Your
construction swat be done according to building codes
and zoning rogulationiso Xt to your responsibility to
make sure that people employed by you have licenown
required by state low and by county or municipal
licensing ordinances.
I hereby acknowledge, that I have read the above DISCLOSURE
STATEmemr and that I comply with all the requirements for the
issuance of an Owner-Builder permit.
further, offlant sayeth not.
Sworn to and auo_perlb*d
;OTAii PUBLiZ
My Commission Expireas
"PATRICIA ANIONETTrE
11 T%1"'JA I I
TATE or F10R.T)A
6/2 7
ly r
.Omm LA
Col
VjNf NBR CC220017
CITY OF
4&aa& igeacA-1&u-k
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received PM
J:7i Locality
e
Owner's e
Name -Ge"eactur—
BUILDING CIO R7ETE ELECTRICAL PLUMBING MECHANICAL
0
Framing 0 Rough Wiring 11 Rough 0 Air Cond. &
Re Roofing F- Slab Temp Pole 1-i Top Out 7�
Insulation Lintel — Heating
Final Sewer :7 Fire Place
READY F-0-6 INSPECTIOU�`�s Pre Fab A.M.
Mon. Tues (�Thur Friclay7—(� P.M.
A.M.
Inspection Made P,M.
inspector Final Inspection
Certificate of Occupancy LI
Date
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address 7�1�w -S 7--
Date
Heated Square Footage @ $ per sq f t = $
Garage/Shed @ $ per sq ft = $ 0)
Carport/Porch 6, @ $ per sq ft = $
Deck @ $ per sq ft = $
Patio @ $-A,0 Per sq ft = $
TOTAL VALUATION: 7Z6.01z)
07�
Tot ion 1st $ 4
A 'Ve — 111,70 d-O
Remai�ning Value per thousand
or portion thereof
TOTAL BUILDING FEE �3-
+ 1/2 Filing Fee 6L.2-
,..So
(0) Fireplaces @ $15 . 00 $ P')
BUILDING PERMIT FEE $—
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
) RADON (HRS) .0050 $
SECTION H PAVING $i
HYDRAULIC SHARES $
CROSS CONNECTION $
) SURCHARGE . 0050 $
OTHER
GRAND TOTAL DUE $
ADDITIONAL PERMITS OR FEES: Mechanical Plumbing
Electric/New Electric/Temp
Septic Tank Well _; �wimmingPool
Survey ; Other- Sign_Finish Floor Elevation
CALCULATIONS and/or NOTES:
0
P�v i�NJAJIJ
ov
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS
DEMOLITIONS
Owner(s ) : TC P
Address :
I G'T Phone: 043
Lot # Block or Unit # 3 Subdivigi�on
Contractor :
State License #
Address : Phone No:
Describe work to be done: Q,-V fjSUjj_0 'F'Y1<-+I VVA POV'e,�
a--,-p- c7T
Slge vgoo-k ,
Present use of building:-- Oome-
Valuation of Proposed Construction:
Proposed use: &c�A
Is this an addition? V
If yes , what are the dimensions of
the added space: \ (�' ft . x - 1,-�;L ft . Will the added area
be heated and cooled?—4L,— New electrical (or increase)?'�aAM
New plumbing fixtures? A/ 0 New fireplace?—N "� New Heat/AC?- 4 e-,S
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:--- ao�,, (v. a. Da t e: W-7- f14
Signature CONTRACTOR: Date: .
License Supplied:
Insurance:
Liabilit
y
Worker 's Compensation Insurance: 19 vi 14
MIN,
NAP SHOWING SURVEY OF
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co,41,w4w1r),-.,oA1v�-4 v!lzoo7x cool D
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20,3,
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M- C� D,1.1 rn
. . ...........
/14 z
Emu,DOL, I heroby certify that this survey mcets C%a
minimum tocnniLal standeeds as set forth by
the Florida Board of Land Surveyors, pursuant L)
lea J
Section 472.027 Florida S' al -h Ipter
A. 2 1 H-6 F I o r i d a A t fr-!1.901 TP n,CA
UF VC-YORS, INC.
�k.. . .......
Malm " .1 1111 Au�
s,0
L;t.,13 nrj[:,,i,)W jTA T i E S. C, T!,1 r- AB a,J E
IjNj�F';S THi'
0, P1111'IT ' i
66Y CAW*
Ps a 13 PIM14 a*
of (ITOMIMtWement
0"apAse W DUPLI"141
Co fvho= ft nol ==alc
The undersigried hereby Informs all concerned that improvements will be made to certain real
property, and in accordance with section 713-13 of the Florida Statutek the following information
is stated in this NOTICE OF COMMENCEMENT.
Dowiption of prop"..A. 353
................ .......... ..........
c-y-- A-T N S <�,vb v i V 15 tuv -A TL A N-T
4-,
................
............................... D�)VAL-
L�V–t k-a
............. .....::E��......................... ................
...... ..............—........................................................................ ....... .......................
............ ................ ..................
. . ........................................................... ................................................. ..................................
Ownw ... .................................................................................................................................
A6"0j& ...... ......U
Owrw's wered in site of 16 bVVV#W"W ...........
Fee Uv*6 rdle hoWw y adw *wm ow"ar)
NO"*........................... ..........'.............................................................. ................. ..........................
Addr%&--._.......................................................................................
.................
—0 ....................................................
............................ ...............
..................................................................
...... of bww $....................
of P WM W" do $1010 si Revide A�1110 019 by 0 WMN WOR w6ft "ka or WW Joaftwes my
60 ser"A
In addition to himself.OWW du*WW#W followfng Person'to recei"a COPY Of the Lienoes Notice
as provided in Section 713-13(1) M, Florida Statute& (Fill (n at Owner's option).
........ ..................
................ ........................'........
"A"Fee %"***we won&MV
................
Sworn to OW shuriiopd bekwe me ......
...................... ...................
k,�y�, Z-7
4 1()TAR PATRK,'I
STATE F"FLORDMurt
m e,
:':�UBLIQ Nly Com
3"i
Ex�6127�A6&4jt<4
COMNI h R CC2401 'VOIS013 JO 3j.V.Ls
1113NIOINV vjoj,�jkej
501j
NOTICE TO THE OWNER AND ALL PERSONS
INTERESTED IN THE ATTACHED PROPERTY
This property, to wit: va.-�&:E
located at:
is improperly stored and is in violation of the Ordinance Code of the City of
Atlantic Beach, Florida; Chapter 21, Article 11, Division 1, Section 21-24 (a)
and must be removed within ten (10) days otherwise it shall be presumed
to be abandoned property and may be removed and destroyed by order of
the City of Atlantic Beach. If the property is a motor vehicle, the owner will
be liable for the costs of removal and destruction.
Dated:
Signed:
Cod�nfCrcer�e�t Officer
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, Florida 32233
(904) 247-5826
INSPECTION
LOG
JOB ADDRESS
CONTRACTOR___4�������a
OWNER
BUILDING PERMIT # ELECTRICAL PERMIT
PLUMBING PERMIT # MECHANICAL PERMIT
FLOOD ZONE 0 DATE SURVEY FILED
called in approverl JEA
Temp-pole
Slab
Footing
Framing yo-I
Plumbing (R)
Electrical (R) -�X,3 74A
Mechanical
Fire Place
Top Out
Other
Electrical Final
FINAL INSPECTION
Certifiacte of Occupancy Issued
COMMENTS :
0 014
CITY OF- V
Off Ice of Building Official
3 E
R QUEST FOR INSPECTION
Date
Time Permit No.
Received A.M.
--7 P M District No.
0 21t
Job ress
Owner's /";Locality
Name Contractor
BUILDING NCRETE ELECTRICAL PLUMBING
Framing Footing 0 Rough Wiring Rough MECHANICAL
Fle Roofing 0 Slab 0 Air.CDnd.& 0
x
0 Temp Pole 13 Top Out 0 Heating
Untel 0 Fire Place
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. Thurs. A.M.
Friday_P.M.
Inspection M&oe A.M.
P.M.
Inspector
Final inspection 0
Certificate of Occupancy
Date
CITY OF
4&4rlft& 13WW4
Office of Building Official
REQUEST FOR INSPECTION
Date 6- 2-q -9 Permit No. -35 6,5
Time 0_5 District No.
Received
2a3
Job Address Locality
Owner's '7 t4t�
Name -Contractor
CONCRETE ELECTRICAL PLUMBING MECHANICAL
d2F Footing 171 Rough Wiring E Rough El Air.Cond.& El
Re Roofing �:j Slab 11 Temp Pole E Top Out El Heating
Lintel E Fire Place 11
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Th r s P.M.
Inspection Made- _�_ � (� _/ --
Inspector finaLlaSpection
Certificate of Occupancy
Date
CITY OF
owanke eeaC4-:1&4 d'.4
office of Building Official P,7
REOUEST FOR INSPECTIO 2 S-31,
Date Permit No
A.M. District No.
Time
Received
Locality
ow ner's 0 ddress 0 Contractor ME
Name— LE CHANICAL
CONCRETE ELECTRICAL PLUMBING
BUILDI .�RETE ou iring El Rough 0 Air.Cond.& 0
0 Footing 0 Rough W Top Out 0 Heating
Framing 11 Temp Pole 01 Fire Place 0
Re Roof i ng 0 Slab
Lintel Pre Fab
READY FOR INSPECTION A.M.
Tues. Wed. Thurs. Friday----�P.M.
-cuon Made
Final inspection 0
inspector 7 Certificate of occupancy
Date
3727
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION
Permit Number : 3727 Address: 383 TENTH STREET
Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 3223',-3-
Class of Work: ADDITION -- -- ------ LEGAL DESCRIPTION ---------
Constr. Type: WOOD FRAME Lot - Block: Section:
Proposed Use: SINGLE FAMILY Township: RNG: 0
Dvellings: I Code: 0 Subdivision:
Estimated Value: $0. 00
Improv. Cost : $0. 00
Total Fee-st $16. 50
Amount Paid : 4�116. 50
Date Paid : 5/ 1/91
W o r V, ENCLOSURF
OWNER INFORMATION APPLICATION FEES - ---
Name: -'IEFF POPP PERMIT $16. 50
Addrefels: ,'383 TENTH STREET WATER IMPACT FEE $0. 00
AnANTIC BEACH, FLOPTDA '37� S3 E W E R IMPACT FEE $0. 00
Phone: (904 )249-5601 WATER mE,rER $0. 00
RADON GAS-H. R. S. $0. 00
CONTRACTOR INFORMATION RADON GAS - 5% $0. 00
Name; BILL THOMPSON ELECTRIC CO, NC WATER TAP $0. 00
Acidress: PO BOX 50398 SEWER TAP S0. 00
ATLANTIC BEACH, FL 32233 HYDRAULIC SHARE $0. 00
License: ER00009676 Type: RE-INSPECT FEE $0. 00
SEC. H IMPAC,r FEE $0. 00
OTHER 00
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.91
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:
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-- igy
IMPORTANT NOTICE:
I
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.
BILL THOMPSLON ELECTRIG
P. 0. BOX 50398
IACKSUNVILLE BEACH,. FL 32240-0398
ELECTRICAL FIRM: MASTER ELirCTRICIAJ"IGNATURE JOURNEYMAN
OYA
NAME. ADDRESS: -3 RFD-BOX-
............
BLD lZE BETWEEN:
RES. I ) APT. ( I comm.( PUBLIC INDUS.I NEW( OLD ( I R E W,'J<
ADDITION ) TRAILER ( ) TEMP.( ) SIGNS ( ) SO. FT.
SERVICE: NEW( I INCREASE( ) REPAIR ( FEE
CONDUCTOR SIZE AMPS COPPER I ALUM.f /6--
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
- -Z 44 C-'
EXIST.SERV.SIZE 2P&� AMPS _/ PH 3W ��VOLT RACEWAY
FEEDERS NO. SIZE I NO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN ITOTAL
1 0-30 AMPS. 1 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. lKVA
NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN FORWARDED
s
TOTAL FEES
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR AL17ERATIONS
Owner(s) :
Address: Phone: an-
Lot # Block or Unit # Subdivision
Contractor: M.E. — Wtu- t'i L.V-- wzt�
Describe work to be done:—�Crj c(aSr- &W A) &
Present use of building: tlawve— Valuation
Proposed use: GQA44y-
0
Is this an addition? !Q0. If yes, what are the dimensions of
the added space: ft. X ft. Will the added area be
heated and cooled? N<'j
New electrical (or increase)?
New plumbing fixtures? V%),j- New f ireplace? PV 0 New Heat/AC? N 0
SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDIP('6
�SITE PLA��ND SURVEY
IF THERE WILL BE AN ADDITION TO THE EXISTING STRUCTURE.
Signature OWNER:_ 0.0'a - " Date: 3 -7- T
V . L/Vor "
Signature CONTRACTOR: Date:
Address ' 7-
Heated Square Footage @ $ ______per sq ft = $
Garage/Shed 'A pf, @ $________per sq ft = $
Carport/Porch @ $ per sq ft = $
Deck sq ft = $
Patio L) @ $ ---Per sq ft = $
TOTAL VALUATION- $ (0 6,C0
0 0 0 '$ 1,51, 62
Total Valuation Ist $ c) (:)o
C�)
en
-)per thousand or
Remainder Valuation $ --L
------------------------- ��ion thereof Total- Building Fee $
ADDITIONAL PEL;U,,= and/or FEES REWIRED + k Filing Fee $ �2
Fireplaces @ 15.00 $
Mechanical
BTj=ING'PERff T FEE $
Pltmbing
Electric/New L------------------------------------------------
Electric/Temp BUILDING PE= $
Septic Tank WATER I= CHARGE $
Well SEWER IMPACr FEE $
Swinviing Pool WATER IMPACT FEE $
Sign 1,,aSCELLANEOUS $
Water Cormection. $
Sa,7er Connection $
Water Meter
Elevation Certificate GRAND TOTAL DUE $
---------------------------------------------------------------------- --------- -------------
CAILUATICINS and/or N0TES
Url
CA
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196
MAP SHOWING SURVEY OF
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oe're-R"INe? ra 'ge oarsloe
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-,-4,Al�-z w Iwo 7S 49001 0
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cunvr. 7-451V 7-1-1 (4owlw) 57-R-e�T
'Z-- IWHOW.S AllGI.r.
c1l "r."Mr.5 CTIOAD DISTAIICf-
R DCHOTES I.F.HGTII or RADIUS
A Dr.HOTr.5 ARC DISTANCE 7o., 1,=1,x?s1 .4416,?1CA41
DENOTES DELTA - - -?
r/,r/- CO Oz 4 Ze-2,q1,'-A 11VC ,Z,6:,4,0-6�
PIKE"510"
11.-147-I)K"�TRM2 rrrm, 7 TENTHS c-11V,44V1,4Z COqP,
AND 4 UU14DPZTIIS Or'WrOOT
/00/0/cl�
I hereby certify that this survey meets the
the Florida Board of Land Surveyors, pursuant to
D U R D E N Section 472.027 Florida Statutes and Chapter
SURVEYORS, INC. 21 HH-6 Florida Administration Code.
P-0, 130)( 17182
Jacksonville, Florida 32Z45
(go4) 941-064d
FLOWDA REGISTERED SURVEYOR NO.(410 7
H, Z1-41,Rz2&A1 LIR-
SIGNED 4? 19 9?
SCALE:
THISSURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSEDWITHTHE SEALOFTHE ABOVE SIGNED.
CITY OF ATLANTIC BEACH
ryv- 71 PPLICATION FOR BUILDING PERMIT
A
Owne,r� Address -Phone 2 2-,SV
Archi t'�ct V Address Phone
Contractor Address Phone
License Number Expiration Date
Lot # L�U -Block #- 13 Subdivision Zoning
f s i de
Street Between and 4 C,-� 4v
bw I '
Valuation $ cJ Purpose of Building J Type Const.
Dimensions : Building-3D -Z--Lot—,)rt )< J6r--) Sz.Footings
Sz.Piers Sz. Sills Greatest Span Sills_
Sz. Ceiling Joists Distance on Centers Greatest Span
Sz.Floor Joists Distance on Centers Greatest Span
Sz.Rafters Distance on Centers Greatest Span
Heating Solid-Filled Ground Roof
Flood Zone If located within a FLOOD HAZARD ZONE fill out
reverse of this application.
Inspections Required:
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns/lintel.
3. When steel is in place and ready to pour beam.
4. When framing, mechanical , rough plumbing and fire place
is completed and ready to cover up .
5 . Rough electrical.
6 . Final inspection.
In case of rejection, reinspection MUST be called SETBACKS
for after corrections are made.
In consideration of permit given for doing Rear Lot Line
the work as described in the above statement ,
we hereby agree to perform said work in
accordance with the attached plans and Cn M
Fj-
specifications , which are a part hereof, and 0�
in accordance with the building regulations M M
of the City of Atlantic Beach. L-1 APpR r-1
0 0
rt cl�y VIC D rt
-2EACH
FJ-
Signature OWNER
Signature BUILDER Front Lot Line
I OT:
Mi-'CHAN I CAL:
ELEC]R I CAL:
BUILDING PEIC-11T WOblS)iFET
V per sq. ft. =
SQUARE FOOTAGE:
HEATED I @ $ 7f
/0 per sq. ft. =
GARAGE (PRIVATE/SHED) :
CARPORT: @ $ - - - - per sq. ft. = $
PORCHES: @ $ per sq. ft. =
DECK: @ $ per sq. ft. =
PATIO: @ $ per sq. ft. =
TOTAL VALUATION:
PERMIT FEES
/10 . '7v $
zo
TOTAL VALUATION D 1 S t �— ��- =
kff—t @ $43 06 per thousand
or portion thereof OV
TOTAL BUILDING PERMIT FEE. . . . . . . . . . . - - - - - - - - -
PLUS THE BUT!-DING PERMIT FOR PLAN FILING FEE. . . . . . . . . . . $
TOTAL FEE DUE. . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
-----------------------------------------------------------------------------------------------
PLUMBING PERMIT FEE, $ I-jECjLk\- jCAL PERMIT FEE:
ELECTRICAL RESIDENTIAL: ELECTRICAL- TEI-111PORARY:
WATER IMETER SIZE: FEE:
SEWER CONNECTION CHARGE: SQUARE FOOTAGE: FEE
WATER CONNECT10N MARGE: FIXTURE UNITS @ $10.00 PER L-INIT:
ACCOLNT NO. :
APPROVED BY: TOTAL BUILDING/PLAN' FILING FEES:
TOTAL WATER '-�-IIETJER CHARGE: $
A,P-P R 0 V F,D, -NECTION CH-l%RGE:
TOTAL V'ATER CO'.- $----
CITY '-1c "T�ANTIC BEACIf
TOTAL SEVIER CO':NECTIONN CHARGE:
GP,-ND TOTAL DUE:
CITY OF ATLANTIC BEACH, FLORIDA '3 's
p pproved by APPLICATION FOR ELECTRICAL PERMIT
I
////TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
-z
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
NAME ADDRESS: ��RFQ—BOX—
BLDG.SIZE BETWEEN:
RES.( ) APT. ( I comm. ( PUBLIC INDUS. NEW ( OLD ( REW. I
ADDITION ) TRAILER ( TEMP. ( ) SIGNS ( ) SQ. FT.
SERVICE: NEW( INCREASE ( REPAIR FEE
CONDUCTOR SIZE AMPS COPPER f ALUMJ
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY .
EXIST.SERV.SIZE AMPS PH W VOLT 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 NSF.
APPLIANCES
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
I I
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA 11NO. IKVA
NO.NEON TRANSF.' �NO. IVA. I MA. I MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
$
TOTAL FE a
!—sl
-Now-*,
CITY OF ATLANTIC BEACH
APPLICATION FOR SEWER CONNECTIONS
PERMIT NO. DAT E-/
LOCATION Sf 3- STREET
LOT 110. YQ BLOCK NO.
OWNER
TYPE OF BUILDING
MASTIE R
INSPECTED BY
BILLED
ACCOUNT NO.
Ole
APPLICATION FOR WATER CUT-IN
TO THE CITY OF ATLANTIC BEACH:
Application is hereby made for water cut-in
at the following address for
units.
Cut-In charge of
Street No.—13 4�f 3 ID
Lot Block _3 Subdivision
Ordered by:
OWNER 61
Mailing Address: s522 Z054K:��
DATE-.
ACCOUNT NO.
MIETLER 170. DATE, I'A?,TGTALLrD:
Ar
Co T
j 01_2_�17
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERM-IT
PERMIT NO. Date :
LOCATION___ Street
LOT NO. BLOCK NO4
OWVER
MASTER FLUT114BER
Eldg.
BUILDER OR CONTRACTOR--,J. e T-Mr Njo,
TYPE OF BUILDING
LAVATORY BATH TUBS -URI NALS__2_.(jLO SETS
FLOOR DRAINS SHOWERS__�_WATER HEATERS DISH4ASHERS
DISPOSALS OTHER _j
TOTAL FIXTURES___ _ .111 00
NO WORK MUST BE DONE UNTII A PERMIT HAS BEEY FROCURED
PLANS AND SPECIFICATIONS must show a plan and. description of the
size-and - lopation of all the soil and vent pipes, an6 thc! numbor and
location of all fixtures, (in acaordanoe with Or,' - nanoe nc. 188 of
the City Of Atlantic Beaoh, Flurida) must be sh--w,-!'i rin baDk of appli-
cation and be approved by the Plumbing Inspeot.r.,r,
DRAW PLAN AND SEECIFICATION OF ABOVE----PLUMBING ON BACK,
Approved by
Plumbing Inspector
Date
(FOR OFFICE USE ONLY)
ROUGH-IN INSPECTED RE14ARYS
FINAL INSPECTION: CERTIFICATE ISSUED:
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