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275 11th St (vault)
PERMIT WORKSHEET Certificate of Occupancy Job Address: Type Work: 2- 1 S HH Type Property Owner: Phone # 2 L4-7 w 1, Ss"6S Contractor: Phone # C>4 - 2 -'�J Permit#: Date Issued: SSS Building Inspections: Footing Slab - 2 Tie Beam Lintel Nailing / Sheathing d Framing / Cover Up J Insulation Final Building ( 1 Tree Permit# YES NO Electrical Permit# Date / CopyEtoo N`A Fo74�-=-S5 Temp, Pole Permit# Date / Copy to JEAF7:�= Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA r.5 Temp. Power Released to JEA Temp. Pole Released to JEA Final Q Released to JEA Mechanical Permit# Final 71 — Inspections: Rough Plumbing Permit# Topout Inspections: Rough / Underslab Final Water 1 Sewer Drainage Inspection: �— Pool Permit# Final Inspections: Steel Grounding Final Roofing Permit# Q Final Inspections: Nailing /Sheathing Fire Inspection: Date Paid: Failed.Inspections: /�/�' Date Paid: CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030824 Date 7/25/05 Property Address . . . . . . 275 11TH ST Tenant nbr, name . . . . . . 3 TON CHANGE OUT Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ OTTER, ROBERT NICK' S SOLAR & AIR SYSTEMS TOTTER, ST 4891 TIMIQUANA RD 275 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210 (904) 247-1865 (904) 737-5499 ----=----------------------- ------------ Permit . . . . . . MECHANICAL PERMIT Additional desc . Plan Check Fee . 00 Permit Fee 79 . 00 . Issue Date . . . Valuation 0 Fee summary Charged Paid Credited ----Due--- ----------------- ---------- - Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 4 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. tBU eFFICIAL A 1'11,Yrj,. CI'T'Y OF ATLANTIC BEACH '~ MECHANICAL PERMIT APPLICATION J��LJii fir. Date: Property Address: 2 40 Owner: a r`lL� � r Telephone #: 2 Y —/P Contractor: AI J- °r Telephone#: 7�� Contractor Address: f l�� N�¢ �� Fax#: Z=? FefY/ Contractor Signature: 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 City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: ❑ Electric ❑ Gas: _LP _Natural _Central Utility ❑ Oil E ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed _Central _Floor Residential Air Conditioning: Room _Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm E3 Refrigeration ❑ New Building ❑ apa gPm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _— ManliB Escalator (Number) ❑ Replacement of Existing System E3 Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://www.ei.atiantic-beach.fl.us Revised 1/04 IS CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r�Js�lr3� Application Number . . . . . 04-00028555 Date 6/30/04 Property Address . . . . . . 275 11TH ST Tenant nbr, name . . . . . . ROOM ADDITION/SUNROOM Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 18679 Owner Contractor ------------------------ ------------------------ TOTTER, ROBERT MOONEY, DONALD 275 11TH ST 4837 OAKDALE AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 247-1865 (904) 396-0873 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 125 . 00 Plan Check Fee 62 . 50 Issue Date . . . . Valuation . . . . 18679 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 125 . 00 125 . 00 . 00 . 00 Plan Check Total 62 . 50 62 . 50 . 00 . 00 Grand Total 187 . 50 187 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL Cc: CITY OF ATLANTIC BEACH ° Ford jrLljf(� I in BUILDING / ZONING DEPARTMENT oerr .� 800 Seminole Road t Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # Property Address: Applicant: Project: This perm' pplication has been: Approved ❑ Reviewed and the following items need attention: Please re-submit yo application w these items have been completed. Date: Reviewed By: �G 3�d REEEINIEQ clrr or �EAo CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION juN 23 2004 (Alterations& Additions) Date: ZZ Job Address: - Owner of Property: f L Addres&I /C, ;L J Telephone: Lot uml5er: S �S Zoning District Legal Description: Block N Contractor w. �ber- e N- State License Number: Contractor Address: X Telephone: Fax: Describe proposed use and work to be done: Present use of land or building(s): Valuation of proposed construction: feet x feet What are the dimensions of the added space: /.Z �� Will the added area be heated and cooled? 4—� New electrical or increase in service? _ Add plumbing fixtures? Add fireplace? Add heating/air conditioning? Alz!� — Is approval of Homeowner's Association or other private entity required? _ If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of rill material or the removal of any trees? NO. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP I. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, have contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 p 800 Seminole Road -Atlantic Beach,Florida 32233.54 lantic-beach.fl.us Telephone: (904)247-5800 -Fax: (904) Revised 1/04 Page 2 Map Output Page 1 of 1 JAXGIS Property Information I I��I II � 1i40 II I� I 11443" 315 11 170362 0000 22S I ! 105 I 106 <I s -Copyri.g h{J-C}26C,G ity of Jacbonvil{n,FI Ii Total Plat Map Flood RE# Name Address Value Acres Book Panel Legal Descriptions one LandUse Zoning EN 275 15-61 16-2S-29E Not in 170362 0000 OTTER 11TH ST 369525 0.17000000179 5584 ATLANTIC BEACH PARKWAY PT LOT 4 Flood ROBERT ET AL 32233 S 75FT LOTS 1,2 BLK 3 Zone http://maps.coj.net/WEBSITE/DuvalMAps/toolbar.asp 6/29/2004 Duval County Property Appraiser 2003 Certified Tax Roll Matching Record Cards Page 1 of 1 Duval County 2003 REQUESTED BY: Z ZIPPERER RUN 10/08/2003 12:21 AM 15-61 16-2S-29E TOTTER, ROBERT ET AL & JOYCE 558 4-9416- 275 11TH ST ATLANTIC BEACH PARKWAY PT LOT 9 275 11TH ST S 75FT LOTS 1,2 BLK 3 ATLANTIC BEACH, FL 32233-5755 ATLANTIC BEACH LAND VA +------23--------+ MISC VA STYLE 01 BLDG NO. 001 1 BLDG VA Bldg Use : 0103 SFR SPLIT-LEVEL SOH I I ADT(276) 12 CAMA VA Ex-Wall 1: 1500 CONCRETE BLOCK 12 1 VALUE B Ex-Wall 2: 0000 N/A exterior wall 2 1 ASSESS Roof Str 03 GABLE OR HIP 1 +---13----+---------31-----+-----+ -------23-------- EXEMPT Roof Cvr 03 ASPH/COMP SHNGL I UST(161) TAXABLE In-Wall 1: 0500 DRYWALL 1 In-Wall 2: 0000 N/A interior wall 2 1 7 SR EX V+___----23-------- SR TAXA Flr Cvr 1: 1425 CARPETING25% I Flr Cvr 2: 1075 TERRAZZO 75% I 24 APPRAIS BAS(1164) I FU01(644) DATA Heat Fuel: 04 ELECTRIC I I PROP US Heat Type: 04 FORCED AIR DUCT 28 I UGR(483) 2 Tax Dis Air Cond : 03 CENTRAL AIR I I I NBHD Bathrooms: 003.0 3.0 BATHS L100 Bedrooms 04 04 BEDROOMS I +----17------+ I 4FOP(28) I EXEMPTI Stories 001.5 +-7---+ +-+--FOP(68)---+-- 0601 Quality 03 AVERAGE +--------27--------- +----17------+ Hrs.Spent: 00 Minutes : 20 Rms/Units: 0000 BAS(U28R13ADT(U12R23D12L23)R31UST(R23D07UGR(D21L23U21R Act Mo/Dy: 0000 23)L23U07)FU01(R23D28L03FOP(D04L17U04R17)L20U28)D24L17 EFF ARE. Act Yr Bt: 1961 FOP(D04R07U04L07)D09L27) . SQFT RA Eff Yr Bt: 1980 POINTS Depr Tabl: 12 RCN Func Obs%: 00 Obs : 00 AREA GR AREA PCT AJ AREA RCN RCNLD DEPR Econ Econ ond: N/A BAS 1164 100 1164 83377 66910 OBSOL obsrObsry 8: 000 ADT 276 80 221 15830 12704 BUILDIN UST 161 45 72 5157 4138 UGR 483 45 217 15544 12474 BOOK PAGE FU01 644 100 644 46130 37019 09575 1059 FOP 96 30 29 2077 1667 Deed Type: 08580 07 PROPERTY NOTES Deed Type: PERMIT NO EST FWDA EST 150' SVL5 IS 0 PA 12874 TIO 6/1/01 SLK SWO VERIFIED SALE,* REC BLDG CODE DESC LENGTH WIDTH UNITS ADJ PRICE EYB DT PCT ADJU 1 001 FPMA Fireplaces .00 .00 1.00 2500.00 1961 F7 80 2 001 SVL5 Sound Value .00 .00 1.00 500.00 0000 NS 0 MIS REC LUSE DESC ZONING FRONTAGE DEPTH UNITS TP ACRES PRICE AJ REASON AJ 00 DP 1 0101 SFR F ARS-1 75.00 100.00 75.00 F .17 3500. LAN http://apps2.coj.net/pao/prc.asp?PRC_RENO=170362+0000&PRC_BLDG=1 6/29/2004 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this appy tion is correct. / Date: �1 Signature of owner: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of constructiottruecorrect formance of const ction of the property. I understand that the issuance of this permit is contingent upon the above information beinga plansand supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive a correspondence regarding this application(please print). Name: Mailing Address: O f' l� 7Ma IXTelephone: (��' > o '(�Q _ Fax: " dlo y Cv E : AS TO OWNER: day of /V Sworn to and subscribed before me this J'1J State of Florida,County of Duval Notary's Signature: °;:::;'Bo� DARLENE TORRES NAVARRO R DD 146664 MY COMMISSION * * Personally known EXPIRES:December 25,2006 produced identification �rq�kopFto��v eordedThruSAO Notary SaNbs Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20_��Y State of Florida,County of Duval ('�'� Notary's Signature'- � ti �� tPAy PU moo;•••.�% DARLENETORRESNAVARAO Personally known MY COMMISSION k DD 146664 Produced identification N� EXPIRES:December 25,2006 Type of identification produced 44"Oar1106404 ThN 6doot Notary Services 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.cLatiantic-beach.fl.us Revised 1/04 Page 3 ji CITY OF ATLANTIC BEACH ns BUILDING / ZONING DEPARTMENT S j 800 Seminole Road s� Atlantic Beach,Florida 32233 V (904)247-5800 sy,j31�� (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # (-)L' - Property Address: '2- 11 Applicant: �� Project: 1'2- X '�-2- This permit application has been: D- Approved ❑ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. / Reviewed By: L� Date: � 6/& REGE VED s"L�1f s Y OF A7tANTIG BEACH CIT JS r 4 } a��� F� z� � E CITY OF ATLANTIC BEACH r f UILDING PERMIT APPLICATION (Alterations& Additions) Date: " ay - _/ Job Address: _ T Ion r Owner of Property: 72n 1 / > Address �f 1 G CTelephone: Legal Description: Block N ber- Lot um S 7S Zoning District. J Contractor �. �1- State License Number:,/' Contractor Address: Telephone: 0 L�—�� 97_0 LP 173 V – ai L2 yU6 Describe proposed use and work to be done: /Ja M Y a Present use of land or building(s): 1:K'r 5 ! 15,0,0 1 66 Valuation of proposed construction: —T (� What are the dimensions of the added space: feet x �. feet Will the added area be heated and cooled? New electrical or increase in service? Add plumbing fixtures? Add fireplace? Add heating/air conditioning?__ !_rte Is approval of Homeowner's Association or other private entity required? _ If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? NO. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Revised 1/04 Page 2 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this appl' ion is correct. . t Signature of owner: Date: � 3 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of cons ction of the property. I understand that the issuance of this permit is contingent upon the above information being true correct and tha a plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: lv Address and contact information of person to receive a 1 correspondence regarding this application(please print). Name: DO t Mailing Address: 0 L -1 / A X '/ Telephone:9e�- `1 (�Q _Fax: - dlo (.� E-Mail: AS TO OWNER: qA Sworn to and subscribed before me this 13 day of State of Florida,County of Duval Notary's Signature: 121/!�-� otp{iY P"I, DARLENE TORRES NAVARRO r ;•'••, o DD 14 MV COMMISSION M 8664 * * [Personally known EXPIRES:December 25,2006 Produced identification 40P Type Bonded Thru Budget Notary Ssrvb$ Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this � Y of 20_��Y State of Florida,County of Duval ��--�� Notary's Signatur4.� �~ 70��rary-r ti} taaY P0B DARLENE TORRES NAVARRO E Personally known * MY COMMISSIOi�N DD 148664 Produced identification m� EXPIRES:December 25,2006 Type of identification produced h0r OrPOW Thro 14dgit Notary Services 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Revised 1/04 Page 3 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-01 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions,Renovations$Building Systems Compliance with Method C of Chapter 6 of the Florida Energy Effidency Code may be demonstrated by the use of Form M-01 for additions of 600 square feet or less,site-installed components of manufactured homes,and renovations to single and mullifami residences.Allemative methods are proyided for additions by use of Form 60OB-01 or 600A-01. PROJECT NAME: BUILDER: AND ADDRESS: I ` PERMITTING CLIMATE -f-IG OFFICE C ZONE: 1 2 ❑3 OWNE PERMIT NO. JURISDICTION NO.: l SMALL ADDITIONS TO EXISTING RESIDENCES;600 Square feet or less of conditioned area).Presaiptive requirements in Tables 6C-1,6C-2 and 6G3 apply only to the components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be mel only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels.RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building).Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced.MANUFACTURED HOMES AND BUILDINGS.Only site-installed components and features are covered by this form.BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. 1 � 2. Single family detached or Multifamily attached 2. 1s, f' _ 3. If Multifamily-No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. 5. Predominant eave overhang (ft.) 5. Z 6. Glass area and type: Single Pane Double Pine a. Clear giass 6a. sq. ft. , Jsq. ft. b. Tint, film or solar screen 6b. sq. ft. sq. ft. 7. Percentage of glass to floor area 7. _J_ % 8. Floor type and insulation: t a. Slab-on-grade (R-value) lin. ft. b. Wood, raised (R-value) 8b. R= sq. ft. c. Wood, common (R-value) 8c. R= _ sq. ft. d. Concrete, raised (R-value) 8d. R= _ sq. ft. e. Concrete, common (R-value) Be. R= sq. ft. 9. Wal! type and insul,ution: a.. Exterior: 1. Masonry (Insulation R-value) \ 9a-1 R= sq. ft. _ 2. Wood frame (Insulation R-value) 9a-2 R= f- 6"may e`sq. ft. b. Ad;acent: 1. Masonry (Insulation R-value) 9b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 9b-2 R= sq. ft. _ c. Marriage Walls of Multiple Units` (Yes/No) 9c 10. Ceiling type and insulation: a. Under attic (Insuiation R-value) 10a. R= _ �� sq. ft. b. Single assembly (Insulation R-value) 10b. R= _ sq. ft. 11. Cooling system* (Types:central, room unit, package terminal A.C., gas,existing, none) 11. Type: SEER/EER: 12. Heating system*: (Types:heat pump,elec.strip,natural gas,L.P.gas, 12. Type: zn- - Rw gas h.p.,room or PTAC,existing,none) HSPF/COP/ AU 13. Air Distribution System*: /I / a. Backflow damper or single package systems* (Yes/No) 13a. ( O b. Ducts on marriage walls adequately sealed* (Yes1%) .13b. 14. Hot water system: 14. Type: (Types:elec.,natural gas,other,existing,none) EF: *Pertains to manufactured homes with site installed components. r I hereby certif t t e s n cifications covered by the calcul 10 are in Review of plans and specifications covered by this calculation indicates compliance compliance wit e F ri / / with the Florida Energy Code. Before constn:ction Is completed,this building vnll be P P.EPARED BY: / DATE�L t� tO "� inspected for compliance in accordance with Section 553.908,F.S. hereby certify th t t fs uil ' is i the Florida Energy BUILDING OFFICIAL: OWNER AGENT: DATE DATE: FLORIDA BUILDING CODE-BUILDING (Revised November,2001) 13.201 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-01 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions,Renovations 8 Building Systems Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by Bre use of Form 60OC-01 for additions of 600 square feet or less,site-instated components of manufactured homes,and renovations to single and mufttfami residences.Altemative methods are ro ed for additions b use of Form 6008.01 or 60OA-01. iz PROJECT NAME: BUILDER: lae44ffy AND ADDRESS: ! ` PERMITTING CLIMATE �GNow r A11 OFFICE C ZONE: 1 2 ❑3 OWNE PERMIT NO. JURISDICTION NO.: SMALL ADDITIONS TO EXISTING RESIDENCES 1,600 Square feet or less of conditioned area).Prescriptive requirements in Tables 6C-1,6C-2 and 6G3 apply only to the components of the addition,rat to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels.RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building).Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced.MANUFACTURED HOMES AND BUILDINGS.Only site-installed components and features are covered by this form.BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. 2. Single family detached or Multifamily attached 2. S, f 3. If Multifamily-No. of units covered by this submission 3. 4, Conditioned floor area (sq. ft.) 4. 5. Predominant eave overhang (ft.) 5. 2 6. Glass area and type: , Single Pane Double P�ne a. Clear glass 6a. sq. ft. /SJ sq. ft. b. Tint, film or solar screen 6b. sq. ft. sq. ft. 7. Percentage of glass to floor area 7. �_� % 8. Floor type and insulation: a. Slab-on-grade (R-va!ue) i 8a. R= �"_L! lin. ft. b. Wood, raised (R-value) 8b. R= sq. ft. c. Wood, common (R-value) ' 8c- R= _ sq. ft. d. Concrete, raised (R-value) 8d. R= _ sq. ft. e. Concrete, common (R-value) 8e. R= sq. ft. 9. Wal! type and insulation: a.. Exterior: 1. Masonry (Inslfiation R-value) \ 9a-1 R= -sq. ft. 2. Wood frame (I, solation R-value) 9a-2 R=�- sq. ft. _ b. Adjacent: 1. Masonry (Insulation R-value) 9b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 9b-2 R= sq. ft. _ c. Marriage Walls of Multiple Units' (Yes/No) O 9c 10. Ceiling type and insulation: a. Under attic (Insulation R-value) 10a. R= �_ 7� sq. ft. b. Single assembly (Insulation R-value) 10b. R= _ sq. ft. 11. Cooling system* (Types:centra!, room unit,package terminal A.C.,gas,existing, none) 11. Type: SEER/EER: 12. Heating system*: (Types:heat pump,elec.strip,natural gas,L.P.gas, 12. Type: gas h.p.,room or PTAC,existing,none) HSPF/COP/ 13. Air Distribution System*: /I / a. Backflow damper or single package systems* (Yes/No) 13a. b. Ducts on marriage walls adequately sealed* (Yes/No) 13b. 14. Hot water system: 14. Type: (Types:elec.,natural gas,other,existing,none) EF: *Pertains to manufactured homes with site installed components. I hereby certifWF s n cifications covered by the calcul io are in Review of plans and specifications covered by this calculationmd�catescompliance compliance wit / / with the Florida Energy Code. Before constr ction is completed,this bulding will be PREPARED BY: / DATE:L �- ��ri inspected for compliance in accordance with Section 553.908,F.S. I hereby certify s' the Florida Energy . BUILDING OFFICIAL: OWNER AGENT: DATE DATE: FLORIDA BUILDING CODE-BUILDING (Revised November,2001) 13.201 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-01 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions,Renovations&Building Systems Compiiance with Method C of Chapter 6 of the Florida Energy Efficiency Code maybe demonstrated by rhe use of Form 600C-01 for additions of 600 square feet or less,site-installed components of manufactured homes,and renovations to single and multifami residences.Altemarw methods are proyided for addllions by use of Fom 600x-01 or 600A-01. PROJECT NAME: BUILDER: OJ(/ AND ADDRESS: f l PERMITTING CLIMATE �G OFFICE C ZONE: 1 2 ❑3 OWNE PERMITNO. JURISDICTION NO.: SMALL ADDITIONS TO EXISTING RESIDENCES;600 Square feet or less of conditioned area).Prescriptive requirements in Tables 6C-1,6C-2 and 6G3 apply only to the components of the addition,rat to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be mel only when equpment is installed specifically to serve the addition or is being installed in conjuration with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet rhe prescribed minimum insulation levels.RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building).Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced.MANUFACTURED HOMES AND BUILDINGS.Only site-installed components and features are covered by this form.BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. 2. Single family detached or Multifamily attached 2. 3. If Multifamily-No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. 5. Predominant eave overhang (ft.) 5. 2 6. Glass area and type: , Single Pane Double Pine a. Clear glass 6a. sq. ft. :��J sq. ft. b. Tint, film or solar screen U 6b. _y sq. ft. sq. ft. 7. Percentage of glass to floor area D 7. _� 0 % 8. Floor type and insulation: a. Slab-on-grade (R-value) r= 8a. R= 6'9 fn. ft. b. Wood, raised (R-value) 8b. R= sq. ft. _ fi. C. Wood, common (R-value) ` 8c. R= sq. ft. d. Concrete, raised (R-value) 8d. R= sq. ft. e. Concrete, common (R-value) 8e. R= _ sq. ft. _ 9. Wal! type and insulation: a.. Exterior: A. Masonry (Insltlation R-value) 9a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 9a-2 R= 6 sq. ft. b. Ad;acent: 1. Masonry (Insulation R-value) 9b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 9b-2 R= sq. ft. _ c. Marriage Walls of Multiple Units` (Yes/No) O 9c 10. Ceiling type and insulation: a. Under attic (insulation R-value) 10a. R= �C) �/ sq. ft. b. Single assembly (Insulation R-value) 10b. R= - sq. ft. 11. Cooling system* (Types:centra!, room unit,package terminal A.C., gas, existing, none) 11. Type: SEER/EER: 12. Heating system*: (Types:heat pump,elec.strip,natural gas,L.P.gas, 12. Type: gas h.p.,room or PTAC,existing,none) HSPF/COP/ 13. Air Distribution System*: /7 / a. Backflow damper or single package systems* (Yes/No) 13a. ( O b. Ducts on marriage walls adequately sealed* (Yes/No) 13b. 14. Hot water system: 14. Type: - (Types:elec.,natural gas,other,existing,none) EF: *Pertains to manufactured homes with site installed components. r I hereby certif t e s n cifications covered by the calcul io are in Review of plans and specif cations covered by this calculation indicates compliance compliance wd e F bri / a 1with the Florida Energy Code. Before constn:cnon is completed,this building wall be (.7 PREPARED BY: / DATE,L . inspected for compliance in accordance with Section 553.908,F.S. I hereby certify th t t is uil is' the Florida Energy BUtLDiNG OFFrciAL: OWNER AGENT: DATE DATE: FLORIDA BUILDING CODE-BUILDING (Revised November,2001) 13.201 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-01 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions,Renovations&Building Systems Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Forth 60OC-01 for additions of 600 square feel or less,site-installed components of manufactured homes,and renovations to singe and multiiam residences.Aftemative methods are ro ed for additions b use of Forth 600&-01 or 600A-01. PROJECT NAME: BUILDER: AND ADDRESS: ' PERMITTING CLIMATE -f /G OFFICE C ZONE: 1 2 ❑3 OWNE PERMIT NO. 1JURISDICTION NO.: SMALL ADDITIONS TO EXISTING RESIDENCES,600 Square feet or less of conditioned area).Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only to the components of the addition,not tote existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels.RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building).Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced.MANUFACTURED HOMES AND BUILDINGS.Only site-installed components and features are covered by this form.BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. 2. Single family detached or Multifamily attached 2. a 3. If Multifamily-No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. A 5. Predominant eave overhang (ft.) 5. 2 6. Glass area and type: ' Single Pane Double P� e a. Clear giass �( 6a. sq. ft. /SJ sq. ft. b. Tint, film or solar screen 6b. sq. ft. sq.ft. 7. Percentage of glass to floor area 7. % 8. Floor type and insulation: ,y a. Slab-on-grade (R-value) :1 8a. R= 61 lin. ft. b. Wood, raised (R-value) i 8b. R= sq.ft. c. Wood, common (R-value) 8c. R= _ sq. ft. d. Concrete, raised (R-value) 8d. R= sq.ft. e. Concrete, common (R-value) 8e. R= sq. ft. _ 9. Wal! type and insulation: a. Exterior: 1. Masonry (Ins,tiation R-value) 9a-1 R= sq. ft. _ 2. Wood frame (Insulation R-value) 9a-2 R= sq. ft. _ b. Adjacent: 1. Masonry (Insulation R-value) 9b-1 R= sq. ft. 2. Wood frame (insulation R-value) 9b-2 R= sq. ft. _ c. Marriage Walls of Multiple Units* (Yes/No) O 9c 10. Ceiling type and insulation: a. Under attic(insulation R-value) 10a. R= _ �� sq. ft. b. Single assembly (Insulation R-value) 10b. R= - sq. ft. 11. Cooling system* (Types:central, room unit, package terminal A.C.,gas,existing, none) 11. Type: SEER/EER: 12. Heating system*: (Types:heat pump,elec.strip,natural gas,L.P.gas, 12. Type: gas h.p.,room or PTAC,existing,none) HSPF/COP/ AU 13. Air Distribution System*: // / a. Backflow damper or single package systems*(Yes/No) 13a. ( 0 b. Ducts on marriage walls adequately sealed* (Yes/No) .13b. 14. Hot water system: 14. Type: - (Types:elec.,natural gas,other,existing,none) EF: *Pertains to manufactured homes with site installed components. I hereby certif t t eT s n citications covered by the calcul io are in Review of plans and specifications covered by this calculation indicates compliance compliance wit e F ri / �J with the Florida Energy Code. Before construction is completed,this building will be PREPARED BY: / DATEL V / inspected for compliance in accordance with Section 553.908,F.S. I hereby certify th t t IS uIs the Florida Energy BUILDING OFFICIAL: OWNER AGENT: DATE DATE: FLORIDA BUILDING CODE-BUILDING (Revised November,2001) 13.201 5 MtN. RETURN PHONE: - NOTICE OF COMMENCEMENT State of / Tax Folio No.h74.3 i� OL Vq County of Cn To Whom It May Concern: +6 LL The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. O Leg description of propert e g im roved: r c ^� Ad s o prop beived: — i 0 General description of improvements: 0 '4 Owner: P6,81-R-7 Address: Owner's interest in site of the improvement: -z Fee Simple Titleholder(if other than owner): Name: Address: Contractor: L Address: -' Phone No: - Fax No: �40 z— 7 6 Z _ Surety(if any): Address: Amount of Bond$ Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: A) A Phone No: Fax No: Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents maybe served: Name: Address Phone No: IFax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: �1 Phone 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): o+n4-. ��ma THIS SPACE FSS LY O R "z. c n a as o `Q� di -i58 -•aPR-no+a•• •• Signed: Date: m =��„� 0 Before me this day o L, ty nrm r in the ouII a mav7Oea go �•� d =c n 0 of Duval, State —of Florida,has personally appre o o a Notary Public at Large, State of Florida,County of Duval. NMMMM o ru My commission expires:-Z o A, Personally Known:/ or ,v Producedo,�e 10fic gNrMRRESNAVARRO ' o* MY COMMISSION A DD 148664 oo$oo EXPIRES;December 25,2008 ��� Fkmr*O NO AMW MAN 6erviwl ADDRESS c276 &,ew BUILDING PERMIT NUMBE INSPECTIONS: FOOTING UNDER SLAB PLUMBING SLAB FRAMING COVER-UP INSULATION_ i/-13-9 6 FINAL BUILDING CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT # 1-910 / INSPECTIONS ROUGH FINAL c MECHANICAL PERMIT # PLUMBING PERMIT # NOTES : i —DID- rne — 128 \ 3 ..;. CITY or. Office Of Building Offici a1 77 VVV REQUEST FOR rt�s€�E /-Z 7 i � — — ¢Tt N /a 7 Date7 Time , ---111-___ --- Permit No. _ ` `�• Received 3 - A.M. -- RM. —�lei — � dress � —.----- Owner's Loc "ty Contra. BUILDING -- ��� INCRETE ELECTRI tr ing 1\Footing P UMBING MECHANICAL Re Roofing Rough Wirino Rough Insulatio;, aO Temp Pole Air Con ` !rote: op Out ''X\ Final Sewer eating Fire Place READY FOR INSPECTION Pre Fab Mon. Tues Wed. Thurs. - Friday- _RM ir:sprctior. Mads A.M. - ---- __ PM. ------ - Final Inspection Certificate of Occupancy Date n�E sov ��•�� 1 g O K AS SHOWN0 MAP OF � /5 PAG£5 G/ of THE GG�/vr ,�-+euc R ��-�-co•f� AS RECORDED /N PLAT BOOK C£RMED TO: '4 TO • re US�Lc 7UTT L AN4 sAfE Ti r�E �p J LoT' 3 . ,vdR7N z5 SOL NaRTN -2 ,�. AX' 87• 12 00 E tvowc 4DoI t!C>� tA t% All ---- 7 • ` � _ b SIN � �� l o V LA t -„-' le o '77 z3- Q asvrcQ tw As ✓�.i, .-s � 40 nv, TR r O N �Q N ffl Q �t io. � w WW WO �Q' d) Z _IQQzz Ll (L e QQO �U W OWE 4;t z�--''a Uz n � UO= Qw J Q =LU `-4I.- - Ow��t1R rW ~ Q N m LU z N Q m p ~ O�' O Q ?2 O � O J x v ==oa Cl ��Qi�� OQ n X�. t � m � n_ \ -r 1 i LL, LU U W— Q W W C3 C)co Q Z I W \ >�p C-4UW w V W \ �¢U �'. p O U \ �-_,Z GN, D1 O W W to _o Z to O ® xm N }SUV 0wN� } � 1 O - Uoo - n \ n >ZI iAJ� O�Q 4N W --- ---- ----�--- Q / X z� mUW 1LLL Nw p r4 UVQO 0 m zW JZ 2n< �Q mIL O • Q _ W UtD W Q�� mQ� � ��' �QZ z o a (� = 1`� � p c4uMU L zQU U H u) LL o. cnvW f � iX m W Z X -1 o LL u- I-- 0 LU � La Z C W W -j 0 LL W W V W V- X W CY W W Z 0X ZW — CITY OF r�t�,'ccutic �eac/ - ��udct 800 SEMINOLE ROAD - - - - ---- --� ATLANTIC BEACH. FLORIDA 32233-5445 TELEPHONE(904) 247-5800 FAX (904) 247-5805 SUNCOM 852-5800 !March 25, 1999 The Gellatly (Company P. O. Sox 51393 Jacksonville Beach,32240-1393 Re. Required lnspwd®ass for COnsipacdon In the Cid of Adandc .Beach Dear Sir: Please be notified that a review of our records reveals that no final nspediolps have been performed at the following addresses: #13134 112 Seventh Street #12674 275 Eleventh Street #12364 214 Seventh Street #16133 2297 Oceanside Drive #16667 75 Beach Avenue Our records indicate that telephone calls have been made to your office on several occasions. Please arrange for these properties to be inspected as soon as possible. matter.Tease call me at (904) 247-5826 if you have any questions regarding this Sincerely, iTs.J ®on C. Ford ®CF/pah Building Official cc: Homeowners PSR-3844 34 0 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------- LOCATION INFORMATION ---- Permit Number : 13340 --- Address : 275 ELEVENTH STREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 322 — i-lass of Work :REMODEL --------- LEGAL DESCRIPTION ------- Constr . Type :WOOD FRAME Block: Lot : - - Proposed Use : Twp: Section: 0 Subd: O Rng: Dwellings : 1 Subdivision: Est . Value: 0 .00 Improv . Cost : 0 . 00 Total 25 . 00 Amou . 00 --------- - NER INFrORMATION - -- APPLICATION FEES --------- Name. TM, CAMIBELI. PERMIT 25 . 01_ Addr ' 4. 5 ELEVENTH STREET ATLANTI'- BEACH FLORIDA 32233 Phone: ( 904 249-4239 - -- CONTRACTOR INFORMATION - flame . C .W . W-20D PLUMBING Addr: 1328 ROMNEY STREET JACKSONVILLE , FL 32211 Lic: CFCCi29767 Exp: ! Type: 4 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION F.I F5A VIOLATION OF APPLICABLE PROVISIONS OF LAW. Receipt: 863:553 CHECKS ATLANTIC BEACH BUILDING DEPARTMENT 8818688±�218Q6 i By: r' CITY OF ATLANTIC BEACH A�PPPL`ICATION FOR PLUMBING PERMIT JOB LOCATION : OWNER OF PROPERTY : / PLUMBING CONTRACTOR CONTRACTOR ' S ADDRESS : /(.w s� �w STATE LICENSE NUMBER : CO TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS ER ANS 0 OTHER TOTAL FIXTURES : x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER : S I GNAT.U�E OF CONTRACTOR : ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTION'5 - ( 904 ) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904 ) 247-5834 i i 2 a s / ® /�� ®2/ / o � C? � o 440 ƒ . ` ° +� ƒ • � � & Jƒ 0 � m 3 $ > ƒ o j � 41- � � � � �ƒ± £ * / � ... ® Z ƒJz / ¢/o 94 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ORMAT i ON -- - LOCATION INF STREET -- 275 ELEVENTH 3223_- ON BEACH . FLORIDA, INFORMATION - Address ' PTLANTI(I -- - �, __--- PERMIT 12S74 - LEGAL DESCRIPTION -_TWp - mit Number FLING ----- Lot: Rng: Per t TYpe:REMOD Block: 0 Subd.O „A per ml { �ork:RE14 DEL Section BEACH "lass o- P CONCRETE Subli.visjon:ATLANTIC Constr . TyPe CONCRETE use' 0 Dwellings ' 0 .00 Est . Value: 20000 ,00 Improv . Cost * 165 •Q0 Total Feesx 165 .00 CHANGE THE BATH VANITY --- - -�- PANTRY _- APPLICATION FEES ` 165 .00 .MR'T'ION - ?E:RM.IT N ame '' :I S��REET ?2 Addr A I __ B3A�= FLORIDA Phcn11�: ORMATIGIN - - GEL 'Y r :3 Name p t. 0;��.,B. °�. :BEACH FL Adm 3 ACY SON Exp . LiC�. '� NOTES'. NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE UBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUB BUILDING MATERIAL, RLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWN HE MECHANIC'S LIEN LAW CAN RESULT reg "FAILURE TO COMPLY W AYINGTWICE FORTHE THE PROPERTY OWNER P D PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION �i F ISSUED ACCORDING TO APPROVE Ratm71 VIOLATION OF APPLICABLE PROVISIONS OF LAW err �l , T_LAnrriC BEACH Bt)&D)NG DEPARTMENT yy. f. By: CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date Zi— S / Heated Square Footage @ $ per sq ft = $ Garage/Shed ' @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ - Patio :� �`J t` @ $ per sq ft = S ©v TOTAL VALUATION : s A 060 4--0,006 $ ��!O Total galuati 1st $_1D Jam' 00 �j $ Remaining Valueper thousand or portion thereof TOTAL BUILDING FEE $ // 0• U — + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE S SEWER IMPACT FEE S WATER METER/TAP CAPITAL IMPROVEMEN'T SEWER TAF RADON (HRS) . 0050 SECTION h PAVING i $� HYDRAULIC SHARES S CROSS CONNECTION S SURCHARGE . 0 OTHER $ 0 GRAND TOTAL DUE I� S ADDITIONAL PERMITS OR FEES: Mechanical Plumbing _ Electric/New Electric/Temp : Swin.mingPool Septic Tank _; Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner (s) : Address: �� ) Phone:-- 2-4� ��Jq Lot # Block or unit # Subdivision: Contractor: State License # � 1 3 Address: �Phone No: Describe work to be done: c Present use of building: J����Q (� ,\\' A _ �Ab / Valuation of Proposed �Construction Proposed use: �—S\t�C� Is this an addition? � If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? � ��k New plumbing fixtures?i�p New fireplace? New Heat/AC?_ \� -,��* SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF CONMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date:_ Signature CONTRACTOR: \ Date: �� O License Supplied: Liability Insurance:_ Workers Compensation Insurance: v X119 �:�� 311996 �^ X&" Building and Zoning l Bu g 1 t 4C Joe THE GELLATLY COMPANY SHEET NO ----- - - P.O. Bax 51393 _ DATE — JACKSONVILLE BEACH, FLORIDA 32240-1393 CALCULATED BY (904) 246-9"0 CrECKED By __ DATE - SCALE RIX. CCT 311996 Building and Zoning Mr FWACH BUILDING OFFICE NOV 0'5,76 i • • �o�N ion 4 THE GELLATLY COMPANY S&*ET NO P.O. fox 51393 JACKSONVILLE REACH. FLORIDA 32240.1393 CA►CuL^'Eo By OTE (904) 246-9060 GfECKEO by p4Tt _ SCAVE _ -- IX Q>\�N� • 10/30/96 11:56 $`1 ° 727 9341 ARCH N'IKDO S C�j 00L 4 t f w 4a 30 ' rr+D m D 3 e By %be.14' 13 ;L4• ,'RoT D-w- 5 8 33 gw� c.S3� 6 G w a c a' W U\ W0 �o w 0° Z A Z� fir,2i3C.L a tj a g+M c�S bt M oz-el snM k�� THE GELLATLY COMPANY SMUT No a� P.O. Box 51393 JACKSONVILLE BEACH. FLORIDA 32240-1393 GALCuu1ECSY DATE (904) 246-9090 CMtCxfU sr oar¢ SCALE • r I cc) a 3 3S Iv I O I S i I PSR-3844 12841 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- PERMIT INFORMATION --- ------ LOCATION INFORMATION ---- Permit Number : 12841 address : 275 ELEVENTH STREET Permit Type :DEMOLITION ATLANTIC BEACH , FLORIDA 32233 ,lass of Work:REMODEL ---------- LEGAL DESCRIPTION --------- Constr . ------ Constr . Type:6 OU4 DEMOLITION Block : Lot : Twp* Proposed Use : Section: 0 Subd: O Rng: r Dwellings : 0 Subdivision :ATLANTIC BEACH "A" Est . Value: 0 . 00 Improv . Cost 0 .00 Total Fe6sl - 50 . 00 Amount 50 .00 -- ---- _— - -- APPLICATION FEES ---------- Nam ,, PERMIT 50 "^ Addr: STREET C FLORIDA Pho : { 4 ---- C R R ORMATI - Name : THEfzFL Y COMPANY A4d r : . 0. B 1393 CKSON . BEACH , FL 32240-1353 C Exp : / NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING,DEPARTMENT By: ,� .. CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner ( s ) : Mr. & Mrs. James Campbell Address : — — 275 11th—Street -- Phone : 249-4239 --- --- ---------- __------- ----__ ----------------- Lot # Block or Unit # Subdivision : -_-_-_ -------- ------------------- The Gellatly Company Contractor : 1 51 5B Penman Road, Jacksonville Beach 32250 License# CG-CA21 737 -------------------------------------------------------- Describe work to be done : Demo permit ________________r.._..._.__________.,.-__--_____-_-._.__...-...____--____-_-__- Present use of building • Single familyresidence --_-_---_-- ' -------- --- --- Valuation : _ $20,000 .00 --------------------------------------------- Proposed use : Single family ---------------------------------- Is this an addition? __no If yes, wha* are the dimensions of the added space : ___ft. X ft. Will the added area be heated and cooled? New electrical ( or increase) ? re-work the existing. Ngw plumbing fixtures?_no New fireplace?_no _New Heat/AC?- yes---- Replace existing SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Date: Signature OWNER : --------- _ ---- -- --------- ------------ Signature CONTRACTOR : _ __ ,_ __ Date : C T 3 3. 1996 Building and Zoning 12877 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION --- 7�� - LOCATION INFORMATION ''ermit Number : 12877 : 275 ELEVENTH STREET ^�� Permit Type:MECHANICAL ATLANTIC BEACH , FLORIDA-32?1 `lass of Work:ALTERATION - ------- LEGAL DESCRIPTION - Constr . Type: CONCRETE Block: Lot : Twp ' Proposed Use : Section: 0 Subd: O Rng; Dwellings : 0 Subdivision: ATLANTIC BEACH "A" Est . Value : 0 .00 Improv . Coat : 0 . 00 Total.��'���^ ' 43 .00 P 43 .00 ---- !POTION -- -- APPLICATION FEES - - PERMIT 4`1 - 0_0 Nami 4' :.,a .1,L Addr STREET C 9`;B, FLORIDA 3 } Phones: !} x4 4 ? CO#'PRA '_ ,OF TtFORMAT I,, AAr: 14-76 ATk-jiA'E I C BL', NEPTUNE BCH , FLORIDA 32233 Exp: NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH D DEBRIS FROM CONTRAIL WR OR OWNER T BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULEDAY "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IM ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION 43.00 1FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 11:85/36 81 88188883221808 11242 ATLANTIC BEACH BUILDING DEPARTMENT By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC EIRACH. FLORIDA 11131 APPLICATION FOR MECHANICAL PERMIT ---CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. 12-75 /l 57-- LOCATION Street Address: OF latersecling Streets. Sel.een And WILDING Sub•divitiea II. IDENTIFICATION — To be completed by all applicants I. cons;derstion of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance .,tt, tAe etteclvd plans and specificalions which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good wact-co Inted lhere,n. He..a ••f RdecAuical Contreators CGetter (Pri.tl C STi�tT� L ►.teeter w« of $.*#tyre @4 0-.Por Signature of w A*Mwiaad Aleat Architect or Engineer Illy 6049 AL INFORI"PON A. Tyre of heating fwl: B. ,�/ If OTHER CONSTRUCTION SING DON[0 fN Elloc"k THIS SUILOING OR SITE? lv70 "—❑ Ll ❑ Natural ❑ CoatnJ Utility IF YES, CIV[ NUMBER OF CONSTRUCTION O Oi PERMIT V. ms:mAt11CAL 1QUVWWT TO W INSTALLlO NATURE OF WORK (P 0,40 "W'06/e(let of co"Pse eats aw bed d this 6m) JZL Residential or O Commercial Kmost ❑ spea ❑ Recessed Y C.ashld O lbw O Now Building ❑ A;, CwwAdiewi.g: ❑ Room Q Caatrd I jJd Existing Building p„c, Syt%m; ,,ljei,i,t /�yc� //y'�,�.s� 1 Z Replacement R•piac• •nt of existing system h1s.Ltssan u600 Pecity 0 Now Installation(No system previously Installed). RGI Extension or add-on to existing system D Other — specify ❑ Fee epeintd.n: Nuwsbas of hes'e ❑ IAswlih Q EseslotW ("""b'*) TH4 SPACS FOR OFF10 UN ONLY C7 l�e•.art.w"':. II•ow.rwl (Reesl~ed) ❑ Ta'k` (nvt*er) Retnerb ❑ LKr coorwa.n (a•twsbar) ❑ u.�e1 p•asKura Ysesu © H.i«e ►onwil Appmved Deft. — C3 Oto► — Specify Pont►k 1•• LIST ALL EQUIPMENT AM CONDITIOMNG AND REFRIGERATION EQUWNIENT Nuallbor Udts D•setrlptba Me"Number lttisaul'aatuiFalr (�j A#"Wrbg T 17 1 U L HFATTNG • FURNACES, BOILERS, FiREPI ACES I w TL UQ Tr'ccyL,e_ I AX KS ow i y �as xawsa.at _ Z�fetltsae No.. P PSR-3844 12879 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - ----- LOCATION INFORMATION ----- `,ermit Number: 12879 ddress : 275 ELEVENTH STREET Permit Type : ELECTRICAL ATLANTIC BEACH , FLORIDA 3223' "l Ass of Work:ADDITION � --------- LEGAL DESCRIPTION ------ Constr . Type:CONCRETE Block: Lot : Twp: Proposed Use: Section: 0 Subd:O Rng: C Dwellings : O Subdivision:ATLANTIC BEACH "A" Est . Valuer 0 .00 Improv. Cost : 0 .00 Total Fete-* . 33 . 50 Amount 33 . 50 IT T NCO -- --- - ATION - - - - -- APPLICATION FEES ------ �ame* e ., nF'RMIT Addr ° tI STREET BAr FLORIDA 3237 Phone: 44" 4? rte _ ^RA R ;` ORMAT I C Name: BILLTH1- 11111 ON ELECTRIC ?, ? 1d�ir`: BO _�154` s. TLANTI CH , FL 32233-Oi!)u Exp: NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $33.50 14 eceipts 0@095V CHOCKS 1984 0010000321000 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH, FLORIDA ADCrov+dby APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19A, 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. TILL THO-y-PSON ELECTRIC CO., INC. P. 0. BOX 33Q1E,0 c ATLANTIC BEACH{ FL 322 153 ELECTRICAL FIRM: MASTER EL RICIAN SIG TURE YM NAME_ t1�-ti'II bW _ADDRESS: �j< t l� �� _RFD BOX BLDG.SIZE BETWEEN- RES. APT. ( ) comm. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ? OLD ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ_ FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE S` AMPS PH L-- VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. I31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M.V. I FIXED 1 0.100 AM P4. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING I CONDITIONING I COMP. MOTOR I OTHER MOTORS I AMPS ICEIL HEAT:i KN-HEAT r '7 914 0-1 OVER I I I I MOTORS H.P. i VOLTAGE I PHS I NO. 11 H-P• I VOLTAGE I PHSI MISCELLANEOUS TRANSFORMERS: I UNDER 600 V. I I I I OVER 600 V. I NO. i KVA I I I I NO. IKVA I i NO. NEON TRANSF. INO. I VA. I MA. I I MOTOR SIZE I SWITCH I FLASHERI EACH SIGN FORWARDED S TOTAL FEES j 4115 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION --- -- ----- LOCATION INFORMATION ---- ;'ermit Number: 4115 Address: 275 ELEVENTH STREET Permit Type: WELL ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW ------- --- LEGAL DESCRIPTION --------- Constr. Type: WOOD FRAME lot : Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: O =subdivision: Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $10. 00 Amount Paid : $10. 00 Date Paid: 7:22/91 INSTALL WELL OWNER INFORMATION ------- ---- APPLICATION FEES ----- -Name: JIM CAMPBELL PERMIT $10. 00 Address : 275 ELEVENTH STREET WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORIDA 32< SEWER IMPACT FEE 50. 00 Phone: (304 )249-4239 WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 ------- CONTRACTOR INFORMATION RADON GAS - 5% $0. 00 Name: LAWRENCE WILLIAMS WATER TAP $0. 00 Address: P. O. BOX 567 ATLANTIC BLVD SEWER TAP $0. 00 ATLANTIC BEACH FL 32233 HYDRAULIC SHARE $0. 00 '. cense • Type: 0 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $0. 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." 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: FEE $10.00 APPLICATION FOR �11L PERMIT CITY OF AT=IC BEACH PROPERTY OWNER Name:I/m CGS ��'l� Day Phone g Y Address: Z 7 f�f� ��� �l�/TRIG c` Zip APPLICANT, IF 9= THAN OWNER Name., fe-au%�c e�1�� 9" 5 Day Phoney Address; /`� G', lam _S�l �� ��� j/ �� Zip 7y- �3 JOB Address or Location: 1-27 Legal Description: Is well to be used for drinking purposes? Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified cony thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: I agree to calmly with regulations stated herein: ;2 S' tore Date PSR-3844 6749 • rr. DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ---- ------ LOCATION INFORMATION -------- Permit Number : 5749 Address : 275 ELEVENTH STREET Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA 32233 -'lass of Work: NEW ---------- LEGAL DESCRIPTION ------ - Constr . Type: WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellings : 1 Code : 0 Subdivision: ATLANTIC BEACH Estimated Value : $0 . 00 Improv . Cost : $0 .00 Total Fpe- • S18 . 50 Am,:,unt S18 . 50 ----- --- OWNER INFORMATION ------- APPLICATION FEES ----- Name , CAMPBELL PERMIT $18 . 50 AddrE�s . 27`_`, ELEVENTH STREET WATER T_MPA,'T FEE $0 .00 ATLANTIC BEA 'H , FLORIDA 322 SEWER IMPACT FEE $0 .00 Phone . ( �04)73? -3330 WATER METER $0 . 00 RADON GAS-H.R. S - $0 . 00 ------- CONTRACTOR INFORMATION --- RADON GAS - 5% $0 . 00 Name . B, Pz�, iRRIGATI(:)N MATER TAP $0 . 00 address : 7261 SECRET WOODS TRAIT... SEWER TAP $0 . 00 JA,-KSC°NVILLE. FL 32216 HYDRAULIC SHARE $0 . 00 i,i cense : Type: 0 RE-INSPECT FEE $O . Cl(' SE,,:.H IMPACT FEE S0 . 0 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SVS TO ��/(flE/AII FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. TOTAL TIDO 0SIA- PM 50 TMED CHRl6E $18.50 ATLANTIC BEACH BUILDING DEPARTMENT RECEIPT NUMBER: 087426 By: CITY OF ATLANTIC BEACH APi-LIC:ATION FO PLUMBING PkRPiT7' JOB LOCATION • / ��� OWNER OF PROPERTY : BUILDING CONTRACTOR:___ _1- - �Z ��fi�_______•._.______.____ PLUMBING CONTRACTOR AND ADDRESS: --- -2:12--StIrill� _S% Grp _ --- - TELEPHONE NUMBER: STATE LICENSE NO: ---------------------------------------- TYPE OF BUILDING: ------------SINKS _____-- ---•------SHUWEkS -------------LAVATORY WATER HEATERS ------------BATH TUBS DISHWASHERS ------------URINALS ---------------DISPOSALS ------------CLOSETS _---WASHING MACHINE ------------FLOOR DRAINS _ ____ _ SHOWER PANS OTHER_ ✓/N�L�-fir S �� TOTAL FIXTURE ` )UNT:____------ x $3. 50 + 515. UO = S - INSTALLATION OF PLUMBING ANDFIXTURES MUST BE IN ACCORDANCE: WIT}i THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 FOR OFFICE USE ONLY h ' Date. . ...... ........19 . Permit #..414/.......Fee$..� CITY OF ATLANTIC BEACH ` Valuation $... ......�..:.. ...... , FLORIDA House # ..5-.- /.�.�:�...... .cJ ............................................. ................. 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. qDate-.-- --a----- - ----------------------------•---, 1963 Owner--- 1 .. Y�....-•--------------.-Address-Z75-------I.1----------AV. ---.Telephone No�2�/T/�!•----3658 Architect + = »» //U. -- .........................Address-- --I-Y-�-moi L, -a.�l -.Telephone No. T`� I_S/d� �I -----Address.�0-�--O� GACOV elephoneContractor Builder-... - ----- Lot No./ . . ....... 5..'_1Block No.----:7=3.................-Sub Division------- /S.---All ------- --- . ----Zone------------- treet---- ----- - ---•--.Side Between-- ------------------_-----and---------- ------- ------------------.Sts. Valuation $. -. d-- or what Q�pur�pQQose will building be used r/�/0�--A.Type of constructionit ow.-�---VGG+�`! Dimensions of Building-2.5.1.4.11A— P_ 11 of Lot.........:.............................................Size of Footings.GppX-�T��LT_.-_.. Size of Piers___.-_-s._.__._-.._.----..Size of Sills-_.-___--..-00 .- - ........GTeatest Sill Span in ft......._................_Type Roof_�.rl.>.4J5.AQ/Q How will Building be Heated?._.-- S. j-Niar:.................Will Building be on Solid or Filled Ground?_-_....._-!T.-.-.----.-.----------- s �•-�-; aneg on .� res es pan----- .....-. Size of Floor Joists------- -, Distance on Centers_ ..._.-. �.�-.M-------------------- Greatest Span----------- C�"--------- " rr rs- - --- ""-�----------- --- � .-.. .. ---- Greatest Span..... --------•------------ Ph t , F '�'Qi(�, s • TO SE V 9-0 Bu? This rectangle is to represent the lot i�•�l�,C � Locate the building buildings in the �r1 right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans anespecifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. a a 3. When steel is in place and ready to pour beam. E-4 4. When framing is completed. .7 5. When rough plumbing is completed,and ready to cover up. W 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. m m 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-----------------------------------------------------------------------------------............... Signatureof Owner--------------------------------------------------------------------------------- Address----------------_------------- ...............................---..............................-- -DEPARTMENT OF BUILDING FOR OFFICE USE ONLY // 19�t_k TOWN OF ATLANTIC BEACH, FLORIDAC Permit No------�Q_�-�_-- Fee ValuationApplication for for Permit for House No. ---- _-__ --- ------- andRepairs ---------------------------------------------------------- -------------------- ----------------------------, 19ay-v To the Supervisor of Building: The undersigned hereby applies for -- ------ - ----- -- - -- -----------------------------------------------------------------------------------------------------— - ---— (State if to repair, alter,add to or moye building: erect awning, sign, etc.: install boiler, e , e _ Building on-------- No.!L_L_�1_L____. ock No._--3-----------------Sub. Div.-__ -- _ - - ---=------------------------------- (State fractional part) r At----------------Side No------ 1/- -— ------------St. Between--------------------------------and------------------ ------Sts. Valuation $-l v -c=U -- - ---------— - ---------- -------------------------------------------------------------------------------------------- (State cost of improvement) BUILDINGS ANI) ,O,�CCUPANCY What is present use of building—Residential or Business?___ _�/Sam_ ----------------------------_----- If residential, what type—Dwelling, Garage Apartment, Apartments or Rooming House. _ __� How many families accommodated now?-------d2_—L2L`�:I__--------------How many when altered?__O-�_ '___-----------------_--__-__ If business, what type?-------_—__- �___------------------------------------_---Will food be prepared for sale on premises?____-_______-_—_— What plumbing work to be done?... - - - -- - - - --- -- ----- -- - — Size of present buildinSize of extension____�Y_J__/_ _X Size of lot_ g---------- — �' - - --- — Number of stories now........... ._ .................after altered....__d-✓ICS---------—___Material of roof__�11L1:__ Material of present building---- -<--Q-d"—k_________________________Material of - NECESSARY PLANS IN DUPLICATE TO BE SUBMITTED HEREWITH OEL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline Pump................................................--_-___________________—___—__Type or Model__ Name and Address of Manufacturer------------------------- --- —- -- ------ - ------ --- - --- - -------------------- In connection herewith, application is also made to install:__-_-------------_-------------- __—___gallon capacity tank (s) (How many) madeby------------------------------------------------of--------------------------------------guage metal-----------------— --- - -— ----ground (Name of Manufacturer) (Under or above) -------------------------- -—-- -- of building. For--------------------------------------------------------------------------------------------------- — (Inside or outside) (Mame of Purchaser) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS Size- ------------------------ Classification------------------------------------------------------------------------------------------------------------------------------- (State whether ground, roof,wall, projecting, banner, special, etc.) Weight-----------------------------Material of construction------------- --------------------------------------------------------------------------------------- Illuminated?------------------------------- - Type illumination------------ ---------------------------------------- — - --— (State whether Lamps or Neon) Will sign be over public property?-------------------- ----------------------------------------------------— - - - -- ------------ SUBMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing an reverse side) M I--PORTANT NOTICE: 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 oft e Town of Atlantic Beach. Signature of Builder— --- --.__---- ---------- Address---------------—____---------------------- Phone Signature of Owner _ -- -- ------------=----------- Address-------------------------------- Phone No._------------ WWI K RX kil 3110 7 4i- '44 Ll 41, 1 T I if, I K 1 1 A Ra AN f, IQ + C-n iIng 3 i6 - t 'woe CY i HZv 0 } I I I i a I i I i I I I _ I I s aitw✓111 1 S i/ �L� �/���� ��a�. �Sb'� - _ _ - 4314 DEPARTMENT OF BUILDING PERMIT NO. CITY OF ATLANTIC BEACH. FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB ' 'f _19 k Date kinn t;(l Fee$ Valuation$ ` 't not valid until above fee has been paid to City Treasurer, and is I This perms 1 cable provisions of law* e�bject to revocation for violation of app i This is to certify that Annstron F'Ence CO. E 1 ad e e a ordin" tO f has permission to Iplans submitted. I Zone Classificationcampbell I Mr. Atlantic Bea Owned by Block--3--SSD Lot 1 & 2 275 11th. Street House No. f this p ermit I According to approved plans which are part o NOTICE—ALL CONCRETE FORMS SAND FOOTINGS MUST BE PECTED BEFORE POURING. IN PERMIT VOID SIX MONTHS ,f AFTER DATE OF ISSUE 0 Building material, rubbish an laced in o from this work must no be P --� 'iublic space, and must be cleared np and hauled away by t � p either contractor or owner. Iod IAlc�/� Bill 1 vis "'C'. 0CAM BoilAing offft>•1. CONTRACTOR PERMIT DATE Y FOR OFFICE NUMBER USE ONLY PLUMBING �I ELECTRICAL SEWER YyATER F G f �e ii Date...8--a 7 CITY OF ATLANTIC BEACH Pew` Valuation :.....% hP A0..----__. . 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 sutoma'tically 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 1st of sub-contractors be submitted to this office so that licenses can be verified. C.: _ , Owner.................. � �'.•(•-•----------------• 7. - /11�/ St � _ Address ._.:..... _ _ 1 --- --•--_..Telephone Ne��t/�� Architect.................... S�P _ .-•-•----•- 0 S _ -•--• ••---� -----------Address.. Contractor Builder_.....__ FCQ � __.Telephone No . .............._. ...........Telephone No......... Lot No. = Block No. - ---....--- Sub Division... _— ..................—......................... ---•---------------••-••... Street-------•----------..---_Side Between.................................................... .._..---------- _..._..—__.�.-._�. �5 U__ Valuation =................••...-- For what purpose will building be used........................................Type of construction ai&S_'b(_JA2 Dimensions of Building._._................................... imensions of Lot.........:.....:........................................Size of Footings Size of Piero----------..........................Size of Sills--------------------------------Greatest Sill Span in ft........_.._............. How will Building be Heated?................................................................Will Building be on Solid or Filled Ground t...___.___.----•--._......____. Size of Ceiling Joists........................................... Distance on Centers............................................. Greatest 8 Size of Floor Joists----------------------------------------------- Distance on Centers.............................. ._------- •-----•-•-•-- Greatest Span_...._......_..... • __—_-- Size of Rafters...-•----•------•.............. .--.:_-., Distance on Centers............. .......-_..__.__- Greatest $ .._...__ , pan.------_----------—..-._.__ This rectangle is to represent the lot. Locate the building or buildings in the alllotlineson.andGe�ting� in teat from Two copies of plans and specifications shall CITA PY OF P R,OTIC BDREAR LOT LINE �H be submitted with application. Inspections required, BUILDING OFFICE; 1. When steel is in place and ready to pour footing. 2 8 ,s�o 2. When steel s in place and ready to poor columns and/or r 4 1 3. When steel Is in place and ready to pour beam. Al 4. When framing is completed. �V 5. When rough plumbing is completed,and ready to corer up. 6. When septic tank drain field or sewer is laid but before it is covered. W W 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection, re-Inwpection MUST be calf for after corrections an 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 erre a part hereof, and in accordance,with the building regulations of the City of Atlan c Beach. Signature of Builder-__Y1� Address--Z30 //V, J-1 Signature of Owner.......................- - .. _.. — — Address_ J�.._..__._l%ly�ic MAS' SHOWING SURVEY OF . .�br.�r�-art_ ---- ---- --_.------------- 40 AS RECORDED IN PLAT BOOK-/5--PAGE 4 --OF PUBLIC RECORDS OF DUVAL CO.. FLA. FOR_� �_�D�>�'ST.�y�7"G?11� CD. i I � I I QC ( e -,7, as .� e z.6•Eayss . i CO/7Ct �N Fasted/"/ianj ADD �`�fo�,,d s ( I I �'.�.��.=�tv' ,�lu�•i7, /9G/ io S.Sow f�/»/.�!//�'aC�.c'• '� i�,•,7. O�.PG�N .�n.i �7�••��s� .ate-/.�1Ss aci�Tr�"r'-t�s, '"-•---,�: :�:> ., - •� �i t ARMSTRONG STRONG FENCE COMPANY 7V ., 130 Arlington Road. South - Jacksonville, Florida 32216 Directions ,crms Available CustomerDate -- I � � Address_- -� — -- ~: - Phona Number . Aram at: Att:_ -- _ .._ _. . _ —y ____------ _ _ __ :.__.T_-- _ --Jt this COMPany this proposal becomes acontract---bind,^g both F urc aser When signed by the purchaser and accepted by , - and Company_ --- -- —�- Total Cusf - -----Total Fee " i _ --- Down Payment --- _.-._.-Total Feet_._ High Balance Due Upon Completion --- Approximate Starting Date "- total Feet ___ ---__- _- High IVED AS AGREE -. PAYMENTS NOED T�oRE'NTEREST PER MONTH MATERIALS ARE SUBJECT TO 1 �� l X - OD. BARBS DOWN ❑ CHECK THIS SKETCH BARBS UP Gate Posts - �a --i40 off _ _ O.D Any additional material or labor used will be at the cost of thebuytr. End Posts _ ma / Y < -- 0.D. �►---- ---Y- .�. .�. .. r. �.. �....�.---s Corner Posts , 1N�11 0D. Line Posts — Top Roil 'qyi �f �— FABRIC k i .4 Mesh __ _ Gauge ©0 GATE SIZES i APPROVED --CIPf--0F AT+ANT BEA^H--_-_ BUILDING OFFICE - I ! NOT RESPONSIB PIPE OR ANY UNDERGROUND CABLES, ----- the proposal price is given with the agreement that the Purchaser w OTHER UNMARKED OBJECTS. clear all lines for construction of fence, and properly mark with stake or otherwise. -- Do Not Sign Before Roading Contract. Date Accepted -- -- -- �tv - Salesman Signed -- Signed FOR OFFICE USED ONLY Date.--- f-------19 �I Permit # �-------'- �14� •-Fee $.._ '-- CITY OF ATLANTIC BEACH Valuation $....�D� .._-"�.................... FLORIDA House #.......1' !r.....11 V...'`a-1!-!. ---------------------------------------------------------------------- APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date_..:�.�►VCC..---- "" --------------------- -----$ 19__��. Owner._! -� '..........---- ddress_ .4-.--------k'----..... -----Telephone No.---------------------°� Architect------------------------------------------------------------------------------------------------Address....................................----------------------Telephone No.... ----------- Contractor Builder----- � • ._ � - . -----------------Address------------------------------------------------------------Telephone No-------------- --------- �� ----Zone ----------- Lot No.J-.. y? SubDvson_Ar MBlock No..... 4-1-------4-- -Ar 4 (.o�►t"----j).a-- ---------------------- --••----••----•-------•--.Street.---- -- e e een_ �-------and----�--�-�---�-•• ----Sts. O n ��ryry r •!� e� Q O D-- •._-For what purpose will building be used r4_g5_.,e-.----_ Type of construction----Toy I�. Valuation $----�- --._ .. ------•-----T •-'-'--------------------- Dimensions ------------------- Dimensions of Building-7 / Dimensions of Lot-----It ---_J./,ff- 2-------------------Size of Footings.... --Gd--------- Size of Piers-. ---------------------- -----Size of Sills--------------------------------Greatest Sill Span in ft.-------•----------------._Type Roof....... 161-V--------------- How will Building be Heated?___ T[. A.#.A_4A .......... Building be on Solid or Filled Ground?__- ....... - ' _______________________ Distance on Centers._....i--(1....._..................._..-, Greatest Span------- ..!.. _._..-_-___-_.- Size of Ceiling Joists.____L. . " Size of Floor Joists-----------•--------------•------------------ Distance on Centers---------- ----------------_------------: Greatest Span----------------------------- ----------- - e/ Size of Rafters --- ---------2----'---T-•-------------------- Distance on Centers..._._.. --------_--------- ----, Greatest Span j �.-�--•-------------- " 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 be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. z Z 3. When steel is in place and ready to pour beam. a a E. ° E 4. When framing is completed. a r� 5. When rough plumbing is completed,and ready to cover up. W W 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 26 corrections are made. ,s 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 tlantic Beach. Signature of Builders lof -•----------------•-•------ ........�....._.... .. Address �-� ��_...._.-�-��� ` �..�' - Signatureof Owner..................................................................----------...._ Address................................................ ------------- --- - D ��aQ DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION( S ) HAVE BEEN MADE AND ARE SATISFACTORY : - ---------------------- ------ ------------------------------------------------- ------ ------------------------------------------------- ------ ------------------------------------------------- ------ ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, 0- /7z/L , BUILDING INSPECTION DIVISION cc: FILE CITY OF ATLANTIC BEACH, FLORIDA cv Appror.o by APPLICATION FOR ELECTRICAL. PERMIT_ TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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 ATLANTIC BEACH ORDINANCES. OF P. 0. BOX 330150 ATLANTIC BEACH, FL 32233.0150 ��_�(.19qol� ELECTRICAL/FIRM: MASTER ELECT ICI N LGN E NAME `�QADDRESS: ZS +11 RFD BOX BLDG.SIZE BETWEEN: RES , APT. ( ) comm. ( i PUBLIC ( ) INDUS. ( ) NEW ( ► OLD ) REW. ADDITION ( ) TRAILER ( ) TEMP. ( 1 SIGNS ( ) SD. FT. SERVICE: NEW ( 1 INCREASE ( ) AIR ( - FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT _ RACEWAY EXIST.SERV.SIZE f 76� AMPS PH WVOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO, SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN o.Jo AMP6. TOTAL SWITCHES J 1.100 AMP6. 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 CEIL HEAT: KW HEAT 0 1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS auQ TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. N0. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S TOTAL FEES