379 10th St (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-dept(d)coab.us
Application Number . . . . . 08-00000356 Date 3/19 �08
Property Address . . . . . . 379 10TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7792
--------------------- --------------------------------------------- ------ - - --
Application desc
reroof
-- ------ ------- ----- --------------- ----- ------ ------------------------------
Owner Contractor
----- ----- -------------- - ------------ - - -- - - -----
FERBER K & D ROOFING & CONSTRUCTION
379 10TH STREET 2124 PEBBLE CREEK LANE
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32003
---------------------------------- ------ ------ - ------------- - --------- ------
Permit . . . . . . ROOF PERMIT
Additional desc
Permit Fee . . . . 70 . 00 Plan Check Fee 4 . -! 00
Issue Date . . . . Valuation . . . ilflq�
Expiration Date 9/15/08
--------------- ----------- ------------- ----- - - ----- - - ----------------
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
ROOFING PERMIT APPLICATION
Date:
_V7
Job Address: 16
Owner of Property: kc )4 IC4;,Lr e_r
Address: 37") $). Telephone:
Contractor ty )2�5 State License Number.
contractws Address: Q-75-3 OA_t,� sv)- /
Telephone: 96'L 5_!5-_3 - /-35- / Fax:
ScopeofWork: -f-C- 1trol 62 ,4,,Z_ ,S)U-nt%
Deck Slope: 4j —Greater than 2:12 Less than 2:12
Valuation of work: A=,I
3d
Product Name(Example:Timberline): g—)r%l IbQ-r LL
Manufacturer(Example:GAF):
ASTM Designation(s):
Required Inspections: Sheathing and
Signature of Owner: Date: 3
t
AS TO OWNER.
Sworn to and subscribed before me this day of M e-r
State of Florida,County of Duval Notary's Signature:
I& Personally known
El Produced identification
Type of identification produced
Signature of Contractor: Date: -3 1,�r,
AS TO CONTRACTOR:
Sworn to and subscribed before me this z day of
State of Florida,County of Duval
Notary's Signature:
nally known
"I to =Produced identification
Type of identification produced a--P
� M." Ve V.
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http:/twww.cLatiantic-beachfLus
Page 1 Revised 2/21/03
NOTICE OF CON]IMICIMM
OWPARE W OUPWATE)
Pervid No. - Tax Folo NM- /m —
Stake Of County 0!- T-1A x,!a�
To vill It eviry conceirn:
The undwallpad Im"11 01111111bamobteew"Movellp
accolds,"wNh Secdoo 713 of&a FkW Obdub'N V�w In 8111111119d in oft NOYINX OF
L"d descrOon of WCPWV 139111161 WPVJB&
Aftese Of propiNty 131010511 kWo"Id
Germ" Of —ph-ft-Wwww.
0 ir e-intered in oft Otto irnprovOrnwit
Fee Siniple Tidehokler(if ad=then ovxNv)
NSM
Address
C4nkgC6Dr K&o noo"&constractlan C*,Inc-
Ad&M 2758 Day.R&So"I JclanowwWo,FL 32207
Phone No.(9")541-1700 Fox W 4904P23401'
surety(it any) Arnmft of bond
Addmn
Phone No. F=E No.
Notre wKI addressolanyperOW 1001MI ak)onfortwoonsbucbonaf"WnPromnw*B-
NMI*
Address
PtKm No. Fax No.
Now ofpwoonwillhirift Sbftof Floreft COW IhoIn hvneelllf,dedWwftd by 0"fflW UPOn wtKxn
docurowft may be 9WvW:
Nerne
AddF0W
Phone No. Fax
In addition to blin amm rim Ig I -#0"boft Person 10 mcelin S oWy 01 VW Uenoes bWm w pvAded in
Secrion 71&08(2)(116)�P"ift SWWANL(F0 in St Ownes oPtion).
Narne
Addnm -
Phone No- Fax No.
Empkration dob allNollice,otCorrungincernent"w0aft dgb is am(1)Veer*txn to Me Of"KMOV urAsee a
d6orent dde is sped#AKQ: 011111111111 As off
TM SPACE FOR RECORUIEK-6 UiEOHLY IN I
'-- Cox- 3
L
110kre Of
Cm*c*0Lw@L pl�oFFWWAWSF
Doc#2008070439,OR BK 14426 Page 198,6,
Number Pages:1 Fetwonoft Known or Ptadwood
TL `ww�—
Filed&Recorded 03119i2008 at 03:46 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL ROBERT A MILE
COUNTY "ftYPW*-ftbdFbdda
RECORDING$10.00
CWM*SW SOM Fob 10,2009
C4MMWW III DID 3160)
CITY OF
4&aa& Beal:A-11au'44
Office of Building Official
REQUEST. FOR INSPECTION
IV-5r Permit No.
Date--/Xl��, < —
Time 5?-1— A.M.
Received RM.
�V� Locality
Owner's Job Address
Name Contractor z�
Ul D CONCRETE ELECTRICAL PWMBING MECHANICAL
Footing El
Rough Wiring E Rough E. Air Cond. & El
R oofing E Slab El Temp Pole E Top Out El Heating
Insulation E, Lintel El Final El Sewer El Fire Place 1-1
Pre Fab
READY FOR INSPECTION A.M.
Tues. Wed. Thurs. Friday—RM.
ol � <Z:�
Inspection Made P.M.
Inspector— Final Inspection 0
Certificate of Occupancy El
Date
PSR-3844 7526
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ---- -------- LOCATION INFORMATION
Perimit Number , 7526 Address : 379 TENTH STREET
Permit Type : ELECTRICAL ATLANTIC BEACH, FLORIDA 3223]
-lar's of Work: ADDITION --------- LEGAL DESCRIPTION ----------
Constr . Type: WOOD FRAME Lot : Block: Section,
Proposed Use! SIN,3LE FAMIL_ rownship : RN(-',: 0
Dwellings : 1 Code: 0 Subdivision : ATLANTIC BEACH
?!-Ltimated Valuez $0 . 00
improv . Cost : "no . 00
Tot-a! $20 ,00
qN 9;; r-V I Tr-T, 1� IR g A Alp gLI T Tw A jz
r")WNER TNFORMATION APPLICATION FEES
H;�T T E l,t.TNq
BERG PERMIT
$00 . 00
F TENTH STREET WATER IMPACT� FEE SO . '-
SEWER IMPACT FEE S 0 .01,0
H,
_BEJW FLORIDIk
PR!,TAP -Oc�
Ph VJF� 4Y44q"-092 WATER METE
41 RADON GAS-H.R. S . $0 , 00
------- 6�I#TRAt-'_TOR_ INFORMATION RADON GAS - 5% $0 .00
Name : A PLf i�'kLECTRICAL ��(DN�STR� (,APITAL, IMPROVE . $0 . 00
Addr-est : 6'_�_A44JHILLIPS HIGHWAV SEWER TAP $0 � 00
JACKS� LLE, FL 32216 HYDRAULIC SHARE 180 .00
EC 0 0 0 Q, 5 Tvr CROSS CONNECTION p , or
SEC.H IMPACT FEE
NOTES:
PAIL)
Nov 5 199j
A.,o;,I Bch"
NOTICE —ALL CONCRETE FORMSAND FOOTINGSMUSTBE 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.99
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 PXRMIT 'kW A,<
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 0 v Lk
IMP6RTANT 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 SPECIF CATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AN9 CITY OF
ATLANTIC BEACH ORDINANCES.
&Z Z-c--A
f'AL FIRMi L�L gLESID12LU SIGNAf U49-
NAME ADDRESS: 9 /0"4 22�L= RFD---.Jox
BLDG.SIZE BETWEEN:
Ru 11�4 AFTA COMMA PUBLIC f INDUSA NEW I OLD( I RE W.(al"I
ADDITION TRAILER ( I TEMPA SIGNS ( I SO. FT.
SERVICE; NEW INCREAN REPAIR ( FEE
2MOUCTOR SIZE AhVS COPPERf ALUM, f
PfITC"OR BREAKER ISM PH W VOLT
EXIST.SERV.size AOO— AMPSI PH --3W! C�4/6 VOLT RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALib OPEN TOTAL
0-00 AMM 109 AMM
swl cmas
INCANDESCENT
FLUORESCENT lb AL V.
APPLIANC90 tj 13ELL TRANSF.
Ai R H.P.RATING HJPoRATING I
CONDITIONING COMP.MOTOR OTHERMOTORS AMPS,l CEIL HEAT: KW44EAT
ff I
MOTORS _ H.P. A VOLTAGE PHS NO. 10 VA. VOLTAGE PHS
MISCELLANEOUS 777
A
C
TRANSFORMERS: UNDER 800 V. OVER 600 V.
,tLTAGEPHS
IND. KVA IND.
NO.NEON TRANS0.7 , NO-. VA. —MA. MOT-OR- 31 Z TCN ' SHE
EACH SIGN SWITCH , FLASHE
FORWARDED
$
TOTAL FEES
PSR-3844 7515
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION --- --- LO#kTION INFORMATION
Fermit Number 5i 5 7
" TENTH STREET
Permit Type : BUILDING ATLANTIC BEACH , FLr_lRIDA 3221-
�lass :of Work: REMODEL ---------- LEGAL DESCRIPTION ---------
.on,--.tr . Tge: WOOD FRAME. Lot : 38 Block - Section:
r1roposed -se, SINGLE FAMILY Township: RNG: 0
Dwellinis , .1 C`o d e 0 `�ubdivision : ATLANTI-C' BEACH "A"
Estimate-d Value- �11_500cll .A_(�
Mprov . Cost : So , r�
T o t al $129 � 9C
,DWNER INFORMATION --- APPLICATION FEES
111r,1,11i T E -,-6t`t?,'-fNS BER,-, PERMIT $121 5 n
Ei
AddreF 7 -RR,_Tji STREET WATFF !MPACT FEE 0 . 1,
AT4 NT I C-;-- B 8Af
7H , FLn,.RIDA SEWFR !MPA'CT FEE _oq
4"1913 WATER METER/TAP 0 0
-H .R. S .
RADON GAS S1 . 08
------- C ONTRACTOR INFORMATI�-,Tg RADON GAS - 5% SO . 12
Name , JA!�_C BUILDERS CAPITAL IMPROVE. $0 . 00
32,�5 POINSETTA COURT SEWER TAP S0 . 00
PITLANTMBEACH, FL 32233 HYDRAULIC SHARE
00
L i CE(20 4 47 30 T CROSS CONNECTION
S-EC .H 1-11PACT-FU
CON S," --OTHER
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.55
VkfffiffN BATEs
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT jWEVOCAM
VIOLATION OF APPLICABLE PROVISIONS OF LAW. TENDERED $129.90
* AA
RECEIPT NUMBER: 111339
ATLANTIC BEACH BUILD17NG DERIAI;RTM T Operator: TAWY
Date: 11/05/93 01 Receipt: 0007174
B y:
Tot,,
FLA 1967 LAWS
FS 713.03 RANCO FORM 400
4kP
of
W*6PAR4 IN DUPLICATKI
it =tr=
The undersigned hereby informs all concerned that improvements will be made to certain real
property, and in accordance with section 713.13 of the Florida Statutes, the following information
is stated in this NOTICE OF COMMENCEMENT.
-�)'b itACXA- 1,;S P �a--A
Description of property............. .........................................................i.........................................................................................
...................................
......................................... ..........
......................................................................................... .........................................................
.........................................................................................................................................................
General dewiption of improvements...... .......I�n........ ...............
A, .........
........ ...
......................................... . ............
.....................................................................................................................
......... ..................................................................................................................................................................................................................................
Owner............. vsRx ct-.-
............... ................0...................................................................................................................................................................
Address............... Z��Jh e
t C.-I
........... ....................................I.........
Owner's interest in We of the improvenna..............�2azp...............................................................................................................
Fee Simple Title holder (if other than owner)
Name............................................................................
Address.
Contractor...... !Z-.c.......
A."e"................
e4 -
...........................................................0..................................................... ............
Surety (if any)..........IVA...............................I.................................................................................................
Addrou....................................................................................................................................................Amourdof bond $................................
Name of person within the State of Rod& designated by owner upon whom notices or other doomants nay
6e "rvo&-
k
Name
............................... ................................................................. .......................................................
-k
A"ess.............:-:� -5..............P0' C A-�
......................4....................................................
.............................................................................................. �j , H -
In addition to himself, owner designates the following person.to receive a copy of the Lienor's Notice
as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option).
Nam*.�......
Address
THIS SPAC19 FOR "COMOSR-10 USE ONLY
. ........... ......
.. ....... ..
0wn w
Swam to and subscribed before me d4......... ....................
...........................
Yof . . . .................
........................... .............................
...........
Noteiry N
Notary Publir,State of FWWq
My Commission Expires My 11, 199s
bo�eqd Th-T-y F-;�
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
owner(s) : C'0 1
Address : A-b Phone:
Lot # "--)jb' Block or Unit # Subdivision: A
Contractor :—a 0L &Af)
Address : a Phone No: c073
Describe work to be done: 'P.-P IOCA:�Q' Cnt�
I r\
Present use of building:_ �0 i J'&OLCd
Valuation of Proposed Construction:
Proposed use :
Is this an addition? Y10/(AuIf yes , what are the dimensions of
70 el
the added space : -ft . X ft . Will the added area
be heated and cooled? Newe-�kfeoc-terl'�cal ( or increase)?
1 n(�
New p n�"- i tures7!�p New fireplace? i-T New Heat/AC?
g ix
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 OWNE"�R\�� Date :.
Date
Signature CONTRACTOR: .(-"�
0'jc�
m
281993
Building and Zoning
CIT7 OF ATT,AKTIC BEACH PERMIT CALCULATION SHEET
Address--]? -�� - I 0-�� C 9 F r-t coft�L
Date -3
Heated Square Footage @ per sq f t = $
Garage/Shed @ er sq ft = $
Carport/Porch I @ $:#er sq f t =
Deck per sq ft = $
Os�
Patio op _per sq ft = $
TOTAL VALUATION: $ 'ISM6,00
Tot�� Valuation 1st 10 d
/�, 0 0 6) 70.C, � $
Remaining Value' per thousand
or portion thereof
TOTAL BUILDING FEE
+ 1/2 Filing Fee $ -S
(0) Fireplaces @ $15.00 $-
:BUILDING PERMIT FEE $
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $=
CAPITAL IMPROVEMENT $
SEWER TAP $
RADON (HRS) .0045
0YO) RADON (CAB) .0005
SECTION H PAVI11G
HYDRAULIC SHARES 0
CROSS CONNECTION n
C�VC>) SURCHARGE .0050 $ 0
OTHER $
GRAND TOTAL DUE $ 'lag 90
ADDITIONAL PERMITS OR FEES: Mechanical_; Plumbing
Electric/New Electric/Temp,_;SwimmingPool
Septic Tank Well Sign_Finish Floor Elevation
Survey Other_
CALCULATIONS and/or NOTES:
AF 44241
MAP SHOWING SURVEY OF
Lo,r 38 , BLOCK 13 , PLAT NO. i , suni)iw SION "A" , A"'I.ANTIC IWACH, A:'� Rl-'(-'Ok
IN PLAT -BOOK 5 , PAGE 69 OF THE CURRENT P(JB!,YC REC01,.1).,; 01' DOM, CO (Wily
FLORIDA.
v j L-o
CHAIM 4-I.-VV A'AH"
P"
IQ
lix
1-1/147 3o.o'
m
41
41 rv)
4 4 % cj
zt
/0,31
A1.01
/2.7
rat
1(It "q,
Vo
7L
"a , �j
h—--A
N I ci
7
CICT 2 81993
A.-
Building and Zonin,
'r eo Ai
7-:E—N 7-HC, 7-
4
I HERESY CXRTIIrY TO:
THAT THIS SURVEY MEETS THE MINIMU164 TECHNICAL
STANDARDS AS SET FORTH 13Y THE FLORIDA BOARD
OF LAND SURVEYORS. PURSUANT TO SECTION A72.027
FLORIDA STATUTES AND CHAPTER 21 HH-0 FLORIDA
H. A. DURDENS ADMIN197RATION CODE.
_4
& ASSOCIATE INC. zt,�
LAND 7
SURVEYORS
pool offbee box 50670 SIGNED
1103 South Third Swest SCALE:
JacksonviSo beboh.Fbod" 32M
THIS SURVEY NOT VALID UNLESS THIS PRINT 19 EMBOSSED WITH THE BEAL OF THE ABOVE SIGNED.
FOR OFFICE USE ONLY
Date--------71 X1_7x--r9 ------
q:all
Permit #__�7UJ�....Fee$ . ........
CITY OF ATLANTIC BEACH Valuation $--- 26
*-------------
'7 11
FLORIDA House #----4-1-1......../0--- ------------
.....................................................................
APPLICATION FOR BUILDING PERMIT
............................................................................
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
nDate..................... ----------------------------------------- ------
"T
--:- ------Telephone No.AZ
Owner- ----- ...... pu__ni�I Addresslx_2 ....C�---eaAlt
Architect........ -------------------;Tr......... -- ----------------Address-------_----------------_------)--------------------Telephone No.............................
Contractor Builder-
--------Address-3-i---- ---Telephone No
Lot No......... Ao. �----------------.........Zone-----------------
------------
--------------------------------------Block No---------J--_--------------Sub Division......)�*/J(rit).
------------------------ -----------------I---------Street--- - - -------Side Between-- -------------------------------------------....and.........---------------- ----------------------Sts.
Valuation IPPFor what purpose will building be used--------S-----r...0-------------------Type of construction-)14
' /I
Dimensions of Building.AW)c...:3�q............Dimensions of Lot- ----------------Size of Footings_!��_... 2_0--------
Size of Piers-----------—--------------.....Size of Sills---_-------------------------Greatest Sill Span in ft---------------------------Type Roof... -----------------
How will Building be Heated?..H.iCJ-f....404-Mp.........................Will Building be on Solid or Filled Ground?.... ..............
it 14 1
Size of Ceiling Joists- Distance on Centers...........2.............................. Greatest Span---------2 V.�........................
Size of Floor Joists----------------—--------------------------I Distance on Centers----- .......................... Greatest Span.......................................
it it f__ � (. , I
Size of Rafters.----------x-k-ti.......fro.-w-s...... Distance on Centers.. ..... .. ........................I Greatest Span...........3..0...f.................
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall Z-0
be submitted with application. I I
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel.
3. When steel is in place and ready to pour beam.
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection.MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance .�hh e attached Wns and specifications, which are a part hereof, and in accordance with the building
wit
tlJ tic�B
1'.
regulations of the ity3 t an
Signature of Builder------------------------- ....Cz-v�. ................. Address......--------- ----------_----__----- ------- ------ ------
C_
Signature of Owner- ---------- Address.!
000995
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION
Pei-mit Number- : 995 Address: 379 TENTH STREET
Permit Typei BUILDING ATLANTIC BEACH, FLORIDA
Class of Wor,k: REPAIR ---------- LEGAL DESCRIPTION
Constr. Type: N/A Lot: Block-. Section:
Pi-oposed Use: RE-ROOF Plat Book: Page: 0
Dwellings: 0 Code; 0 Subdivision:
Estimated Value: z Z06. `�-o so. 00 OWNER INFORMATION
Impro'k... Cost'- $0. 00 Namet MR. ETTINGOFF
Total Feeez $7. 50 Addrea8z 379 TENTH STREET
Amount Paidi $7. 50 ATLANTIC BEACH, FLORIDA 3-.
P 14 6/28/89 Phonez (904)241--3286
F LSTING RESIDF E
ONTRACTORtS) � APPLICATION FEES - - ------ 7.
Nf04AHAN ROOFING PERMIT $7. 50 7.
WATER IMPACT FEE $0. OCIL
SEWER IMPACT FEE -So, b
WATER "ETER 1�0- W
RADON GAS- H. R. !F. SO. 00
RADON GAS - 5% $0. 00
WATER TAP $0. 00
SEWER TAP $0. 00
HYDRAULIC SHARE $0. 00
RE-INSPECT FEE $0. 00
ENGINEERING $0. Ot
OTHER *O. OQ
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.95
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF AUANTIC BEACH
APPLICATION FOR BUILDING Pmw
Owner it E fbn!) 0 f P Address 11-2 oi inth
Architect er Phonezlv_.s2ec.�
Address
Contractor -]-P_Phone—
�, Addres zi
Contractor's License Nunbe P-3 2 2 2 1-1 Phone22j-,a is
q 2.29c. iration Date_G��9�lCopy on File
Lot # Block or Section # Subdivision
Street Between loning�
Valuation e of Constructioll and side—
Purpose of Building. e,d Pero o 6-
Nuiber of Units
ULilfty Sel-vice: WaLer Sewer
If the City 'f
Dimensions: IL Buil oviding water or sewer service, do we need to make taps?
—-------------�Lo.t Size Footings
Sz. Piers Sz., Sills - --------
--------- Greatest Span Sills
Sz. Ceiling Joists Distance an Centers Greatest Span
Sz. Floor Joists Distance an Centers_____________qreatest Span
Sz. Rafters Distance on Centers Greatest Span
Method of Heating olid-Filled Ground— Roof
Flood Zone
—If ocated within a FLOOD HAZARD coniplete page 2
SUBMIT: Two cowplete sets of plans, inc ing a detailed site plan.
Florida Energy Efficiency Code She
Recent Survey
Inspections Required:
I. Mien steel is in Place and ready to pour footi�gs
2. Mien steel is in place and ready to pour coluninsiiiatel.
3. Mien steel is in place and ready to pour beam.
4. When framing, mechanical, plunbing, electrical, firtplace,
to cover up. is conipleted and ready
5. Final inspection.
NO INSPECTION WILL BE MADE, IF BUILDING CAR� IS NOT POSTED ON JOB.. SETBACKS
In case of rejection, reLrispection MUST be called for after R6r Lot Line
corrections are made.
In consideration of pen-nit given for doing the
work as described in the above statenient we
hereby agree to perform said work in accordance (D
with the attached plans and specifications,
which are a part hereof, and in accordance
with the building regulations of Atlantic Beach. rt
r
t
(D
Signature Owner (D
Signature Contracto
__Tr_0_t1f-Lb�- In�e
FOR OFFICE USE ONLY
Date----- .................19 ...!�o
Permit ..Fee$...
CITY OF ATLANTIC BEACH Valuation ...............
FLORIDA House -------------
_------_---------
APPLICATION FOR BUILDING PERMIT
----------------------------------
............................................................................
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified. Date.............................................S— E6
.......................... 19............
Owner.....11&-w......... -- -----------------_---------------------Address--- 1�z
.. .....Telephone
Architect------------------------------------------------------------------------------------------------Addres&..................................................--------Telephone No.............................
Contractor Builder��2'0_0.'�_6 ...........................Address------------------------------------------------------------Telephone No..........................._
_ir. _.:A _.n------------------ -------.-Zone................
Lot No------------tl��----------------------------Block No----- / -------_ ----Sub Division.4&.... �
------------------------------------------------------------Street----_-------- ---------Side Between......................------------------------------and.----------------------------------------------------StS.
Valuation $.10_120.0------------For what purpose will building be useCLh__-X1:�/—-----------_----Type of construction-
Dimensions of Building-------------------- ---- - ------Dimensions of Lot-- ...........................__----_---------------Size of Footings......................................
Size of Piers------- ------------------------Size of Sills----- --- ----- - - -----GTeatest Sill Span in f t--------_--------_--.--Type Roof--------------------------------------
How will Building be Heated?--- ---------- -------------------------- -----------------Will Building be on Solid or Filled Ground?----------------------------------------
Size of Ceiling Joists__.---------------------- ---------I Distance on Centers............................................. Greatest Span-------------------------------------------
Size of Floor Joists----------------------------------- Distance on Centers........... ................................. Greatest Span....... ---------------------------_-
Size of Rafters....------------------------------------- ...... Distance on Centers.. -... ................................-, Greatest Span-----------................................
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
lip JP IR a REAR LOT LINE
- N Rr, tBM31
,qijY OF -ATIANT
Two copies of plans and specifications shall F�UILQ. .'$
'IF
�'T
'qi'
J,Lo
be submitted with 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 atIn r
3. When steel is in place and ready to pour beam.
E-4
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered. 9�
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City of Atlantic Beach.
Signatureof Builder............................... . ..................................... Address-----_----- ---------------- ----------------------------------------------------------- -
...... Address.-..------------------------------------------------------------------------------------------------
Signature of Owner*11A.W.4 ..........
...........''I'll,--------- 4434
DEPARTMENT OF BUILDING PERMIT NO.
CITY OF ATLANTIC BEACH, FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
DiiteaLl--�19_80
Valuation$ 19000 Fee $
and is
Tbi. pemit not valid until above fee ha, b". paid . City Treasurer,
s�bject to revocation for �i.lation of OPPIkable Provisil's 01
t__:&�v
This is to certifY tha
has permission to buill a qxpr
----------
ClassificatioT,
-,�qrs. Valle'%(
At"*tic Bch-A
owned by Block_��S/D
Lot
379
House No
According to approved plans Which are part of this permit --ALL CONCRETE FORMS
NOTICE ST BE IN-
AND FOOTINGS MU
SPECTED BEFORE POURING-
pERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
X bish and debri"
0 Building material, rut
z from this work must not be Placed 'u
public space, and must Joe cleared uP
and haxiled away by either contractor
or owner.
uilding official-
CONTRACTOR
PERMIT DATE
I FOR OFFICE NUMBER
USE 0 LY
PLUMBING
ELECTRICAL
SEWER
WATER
MAH SHOWING SURVEY UF
LIDT 30, SIM 13, FIAT NO. 1, 81JUDIMUM "A", ArWTIC BrACI, AS RWOKDXD IN PLAT bOK 5,
PAot 69 (V Tat CURRM POLIC RWORM OF DUVAL CMM, TLOMMA-
CHAIN d-INK r,&IVC,*
—*—
A X
rz(J lip /�(9
�j
IK
V7 4;
42).
APPRO VED
CITY OF BEACH
BUILDINq Orcrl�
it
I so
Z-50' 70 61vlff"K vAr�/vr 94
50. loll
,A�- 5
7-�e A/ 7' 7
'VOr4,'-:
D,/97.Z 70 YA,-W
111NAZ JL�,qYFY, AND ARS'
H. 4. C;,4WZ2--N &7 4 5 INC. -MC-,90ACAWSWr4 AS J,',VWN.
4-IR 1)EA/ .4 AssocIA reT,INC..
I HEREBY CERTIFY THAT A HAVE SURVEYED THE LANDS 8HOWN IN THE ABOVE CAPTION
AND THERE ARE SIM ENCROACHMKNTI�, 45 H. A. DURDEN & ASSOCIATES
*24—7T,. AVIL SOUTH/AV.'
lAr—KSONVILLIE III&ACI-L FUL
SIGNED
SCALK. REGIS iuRYEVOR NO.1674 F LA.
ORDER NO—