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337 11th St (vault) ADDRESS__-- 3 ----- -///h---- r--------- BUILDING PERMIT NUMBER-____4�/ '2±5-_____-------------------------- INSPECTIONS: UNDER SLAB PLUMBING_- .---------------------- FOOTING---------//- 30 -9,-' --------------------------- SLABI'�'_! ')- - - -------------------------------- FRAMING__-------------- ---------------------FRAMING__..._- -------___ -------------------. ---_--------------------------- INSULATION- ------------------ ------- -------- ------- - - FINAL BUILDING ;2-,::)--9 � --------------------1----------------------- CERTIFICATE OF OCCUPANCY Z�¢2 ------------- TF�/3�-21� ELECTRICAL PERMIT # --------- - INSPECTIONS ROUGH__.__.� �_------- ----------------------- FINAL---- 3-�.� -�3---------------------------------- --------- MECHANICAL PERMIT -------- ------------------------- lv -- PLUMBING PERMIT # ______._ ------------ ----------------------- NOTES: n I nn CITY OF /n�'-_ • , 44 /3Pa*4-vt Office of Building Official REQUEST FOR INSPECTION Date � —�' �� � Time Permit No. / Received A.M. 177-39�� P.M. I Job Address Locality Owner's _ Name Q Contractor �C BUILDING CONCRETE LECTRI FramingPLUMBING MECHANICAL ❑ Footing �� Re Roofing ❑ SlabE7 ❑ Fi❑ Tem Pole El 01 oough E Air Cond. & ElInsulation Lintel p Final p Heating ❑ Sewer ❑ Fire Place ❑ READY INSPECTION Pre Fab Mon. Tues. Wed. A.M. Thurs. Friday PM Inspection de — A.M. P.M. Inspe /r� Final Inspection ❑ �o0 6�Z4� Certificate of Occupancy ❑ J Date ��//11�� //CyyITY OF //���� _���, 4& /3�-";&". Office of Building Official REQUEST FOR INSPECTIO Date ``1 k-9f Permit No. �7 6 Time A.M. Received PM. / '—/ 3� 7 ��/' ) )Ulk— ality Owner's Job Address v Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing C Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab L Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel C Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday PM. A.M. Inspection Made P.M. Final Inspecti Inspector Date ,R .J �s CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ., l ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 -Dr; e,' Application Number . . . . . 03-00027415 Date 1/08/04 Property Address . . . . . . 337 11TH ST Tenant nbr, name . . . . . . 3 ' AND 54 " FENCE Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4534 Owner Contractor ---- --- -------- --------- - - --- ------------ ------- KUSS, JOANN C. BEST FENCE CO OF JAX INC 337 11TH STREET 886 AIA NORTH SUITE 5 ATLANTIC BEACH FL 32233 PONTE VEDRA FL 32082 (917) 716-4213 (904) 543-7743 ---------------------------------------------- --------------------- --------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ------ ---- ---------- ---------- -- -------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL Cc: S,,�Ly1 CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONING DEPARTMENT S. Doerr s r J 800 Seminole Road J � Atlantic Beach,Florida 32233 �._ (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # O3 ��1 ( E Property Address: ` Applicant: S \ �-� C - Project: t <J r 1 f k'n This permit application has been: ET---Approved Reviewed and the following items need attention: J4c,c/J Please re-submi)i your applicati ,when these items have been completed. � f Reviewed y: Date: DEC-16-03 12151 From: T-769 P 01/04 Job-990 I->IIto COACH 0 'tVCVN veffef- cooioovo'0µ °^' -Pj6�7► �NC.+� City of Atlantic Beach ' 904.247,5845(fax) Atm' Zoning Department Joann C.Kuss 337 116,Street Atlantic Beach,Florida 32233 917.716.4213 To whorn it may concern, Please note that this fax is a fence permit application for owner Joann C.Kuss on behalf of Best Fence Company. Signed copies have becn sent in the mail but thought you might like the information in advance. If you have any question or concerns,please call my cell phone number indicated above. Sincerely, oann C,Kuss Ce'Diana White 904.543.7743(fax) 904.247.5800(phone) gowcH g1E,WEST 34Th STREET NEW YORK, NY 10001 TELUMONE 212 594•IR50 rAx 212 594-16tl2 WWW.COACH.COM Dec 15 2003 3: 10PM BEST FENCE CO SO4 886-4334 P• 1 MAP SHOWING . BOUNDARY SURVEY OF LOT 16, BLOCK 14, ATLANTIC BEACH, AS RECORDED IN PLAT BOOK S. PAGE 69, OF TME CURRENT PUBLIC RECORDS OF DUVAL COUNTY. FLORIDA. CERTIFIED TO: JOANN C. KUSS MERRILL LYNCH CREDIT CORPORATION STEWART TITLE GUARANTY COMPANY BARTLETT & DEAL. P-A_ SELVA MARINA UNIT 1. PLAT BOOK 23 PAGE 4 LOT 4 I LOT 3 BLOCK 2 50.00' (PLAT) BLOCK 2 N 88'44'30 E rOVW PC"PPC 49.911' (W'ASURED) MO IaFNATG nD]I ,7' al' °rU ,O/1MM UNW P'9E pC/17iI�/.TIOM = LOT 16 BLOC C 14 "t � POOL TD• V w �a 0 X ar d City of Atlantic Beach LLI Two STORY Planning and Zoning Department > + MASONRY ( Q� POSTED 9 337 This approval verifies compliance with applicable LOT 18 v Ii�j subdivision and other local land II— BLOCK 14 a.s 7`' .s f ti' ONSOment regulations, but does not constitute N approval for the issuance of permits. Compliance 0 d 3 g with Florida Building Code and all other applicable CJ $ - local, State and Federal permitting requirements N R must bed by signature of the City of Atlantic 6 E Beach Bu ng Offlciai prior Xto cuantx of a ¢ o Building rmit. Date: �,,. - ssaee'IMtsuREu1 So.OE'('L•t7 f OUMO /] MOM.IPC - raITO /r'"M MC raPO I(7'AOM hPC MO*L"TrICATpJ _ MO ID[M11ACA lt}T YD IOD..fCwIIOM 5 88'S0r15` W 49.96' (MEASUREO) 50 00' (PLAT) vss /�3 11TH STREET (.CLO' RIGHT OF MAY) LEGEND: f . FENCE Oe CONCRETE T 'd CELS-C*G-6,013 33t433 1S31111 clEa:60 EO 60 oa6 j, •d EELS-ESS-b0G 30N33 iS3f3 dZ0 = I0 60 91 �aQ -77Y.3 533.733 Kuss �3 r-7 I f C- -i.:.. 1� -1- -1: :3 i• ` t•:ti: - y. f•t - •`t-• - f r'r�6 a i•' -:s 1• t� s� •Y` .t{y-:aJ:�.M:P.•�tt �A �w '� +•moi - .•'s- �"rr n rg `;.yi•'��',"•..�%'�?'�.-i`.a:,• _ �'l'; •:.fit>y:.,. �F..-:_ _- ;�yti :lt,. i-: ��.. ti `13 .� •� ''4.•� a a r 'r:` eta ':•r'.',:��_ T tt 1' o> r�:.> y➢)f•�}* rd:'"'',t}.._.(K+ d;U\ V ry-u_� !a:a' t Yti #:;s,,l:.. { ,,•• b .1<K ;�Yr T•l 'ata.::,: .,r:• ,.,. ,...� - .�7" c+'" .4;ey,. "d=-fir T• ^.ia-w Evil •, �' J.'�i".C(" •?•iY"t3.::t;`> - s -d EELB-EbS-b06 3ON33 1S38 d20 : TO CO 91 OOG n. ra�rarr �< R.<7� se F x 1� 'S p : r a t d} ;� l r.•�ti-rr" .b, 1i��) �,yA ritau :G= i�r ��' ..Irj 3�'tU '�..=`�yl:✓ # BAROfi 7/$" x 3^ 72"me 3.455" �yy 2" x' '/2• f 3ASKETVJEAVE NIA72"o .= N/A 1 7/£" x 6"�Zib#ied US+.E701UNI ted/top tap N/A N/A '7/8"z S" Top 2"x 3 i/2" - u.... 2-.3 rj�. Y ?E COD i 7,.a^ X 3'" $ 7��-0� x.92 o `1. I 1nl'.r�t"€"c55 '/a"x 1 1/2^ 72' oc 4"POSTS=1.54" 2" x 3 1/2" , i and 7/8"x-6.1talbed S"POSTS=1A 6' 2" x 3 1/2" � viA1'1713LNOJ P:C cTa : Sci.turned 45,?oi.1 72" ac 4"POSTS=3.64" 2" x 3 1/2' V/ i 5"POSTS=3.:7" Sq. 72"cc 2" x 3 1/2" n <L„ t8" x 6"Fibbed 72" cc 1/2"werlop I 7/9" x 6"Ribbed ;^ IMPERIA1 7/3" 3" 72" ac o8" 2" ..3 1/2- I I i?3i:RL13€: 5"7r.ertecFarn rune's 70" oc 1/A i 1/2" : 5 1/2" ill5bed 4 1.47T!�e d/I 72" cc 3"Red /2" So. I i 3/4" y I Cull i 1/2" r, S i J2" Feil ar CUP) o T 8 / 72" or 1.66" i t_S1D1C 2" Flu: ed 5aucre 72"o: 'VARIZS 3 1/4" x 3 114" Rr1V (Rum% n7/.=: �6" oc VARIES 1 i/2" x 5 1/2" RIML=Dicrnond) 11/A 46" oc VARIES 3 1/4" x 3 a Js" SH. DOW SO!,VERT. 718" r, 6"Pibbec 72" oc i/2"Gvericp 3 1/2" x 3 g•• z r�U 72" oc Cd/, D 1/2" : S 1/2" Ribbed TONGUE& GnCOVE 7/ `ejC7DPj8.1 /3" x 1/2" 72" oc 3.45" i 2•, r 3 1/2" _ Q A! ii]Spec fa+tinus.Rigid P.VC exterior profiles. 1 k' 1�',.t.f7 l; u �` used for Polyvinyl Fence Systems,contain impact , . � modii;ets for cola wea�he,and ii:aniumo de pi;mcnt or 111tra;t0iet light Yes" Eance.nese -_.---- `'i ed the snecificat Pe'losC s3yles are avaiiabie p. - assembled prim es meet or c:ce Ail styles available un-assembled estaUiisftedb;ASTM. \ A01 siyies available any height atBIB• Lattice and stake accent availai�le °Y- �' All true 4" and 5" square posy_ standard designs m ZSie �;ajE centered 0—i ali. �, ._... _ ., _ _ �...... . t •d ECLO-Cirs-ir06 33N33 1S39 db0 : 10 60 91 06a RECEIVED CITY OF ATLANTIC BEACH BUILDING & ZONING i DEC 18 2003 rf CITY OF ATLANTIC BEACH y,� FENCE PERMIT APPLICATION BY: Jam 19� Date: Job Address-.- 3 3'7 l� •t--� S-r- ,���cc.��z �r'� l��c�.G�C �� 3 as 33 : _ Owner's Name: 3n&-h C• K U S S Address: -5a ..-..- S bo✓t` Phone: Legal Description:.Block Number: Lot Number: i�q Zoning District: Fence Contractor: LSA" e (j Address: C.�L2�1/'CZC --Phone: C J -t a � _ City: �- State: F 1 Zip:,� - f Fax: Ty e of fent_a and materials to be used: CL t , Valuation of fence: is approval of Homeowner's Association or other private entity required? Ivelf yes,please submit with this application. ❑ Interior Loi Corner Lot Ll- Dumpster or storage tank enclosure Tree Protection: NO. Applicant certifies that no trees will be removed for the installation of this fence. ❑ YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. PLEASE PROVIDE TWO(2)COPIES OF APPLICATION AND THE FOLLOWING REQUIRED INFORMATION: 1. Attach copy of property survey showing location,height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) 2. Provide completed Owner's Authorization Form if applicant is other than property owner. 1 hereby certify t In ation provided with this application is correct. Date: -'/Z' ZOO SignatLze of Owner: s Signature of COn or. %Ltd Q� FC it re- Date: J Gp. Address and contact information of person to receive all correspondence regarding this application (please print): Name: In Mailing Address: p� L — Phone: (rj 3 o Fax: 3 92 3 3 E-Mail: 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone- (904)247-5800 • Fax. (904)247-5845 http:llwww.ei.atlantic-beach.tl.us Revised 1/14103 Page l z •d EELB-EipS-t106 33N3J 1S313 cIEZtbO 60 ST oaQ OWNER'S AUTHORIZATION FOR AGENT Le- G�}� C is hereby authorized to act on behalf of cJ 04L N rx C l�v 55 the owner(s) of those lands described within the attached application, and as described in the attached deed or other such proof of ownership as may be required, in applying to the City of Atlantic Beach, Florida, for an application related to a Development Permit or other action pursuant to a: ❑ Zoning Variance ❑ Appeal ❑ Use-by-Exception Fence or Pool Permit Rezoning ❑ Sign Permit ❑ Plat or Replat ❑ Other BY: d� Signature of Cr C. 1<u Print Name Signature of Owner Print Name q r ,, 7j 4�_ ga-1.3 Telephone Number State of F da Co of Duval Sigacd and swom be on this day o, 002. By Identification verified: Oath sworn -No Notary Sigm=e My Commission expires: E •d EELB-EtS-i70S 33W33 1S39 dEZttlO EO ST �aQ r FAX COVER SHEET BEST'FENCE CO.INC. OFJACKSONWLLE 5404 RACE TRACK ROAD JACKSONVILLE,FLORIDA 32259 PR 9"-268-167Fa- X NW-49'S4- u .3 /33-773 SEND TO [�CL C_ - ��, .amu - cotr*B,ty,tema �o From ofike locaIDos Olfce bcaffon Fax nJmber Phone lwrnbsr _.— 1 I argent ASAP Please comment Q Please review For your fnformatlon Total pages,including cover-- COMMENTS ... _ _ .......................-...._.__......._................._........._.........I......._._ .......-------_.. .._._..... . ._..__..............._. ...................-----...._.._.._..._..._.......... ._ L-'... ... ..::::•.. .......................................----_.._`._.....__.�:. t. ......-----•....._._...-•-•............... ......_... .---_........................ .......... ... _..._... / L........... _................................... l -- ............._...... .....-....._... ......._--.._...._... -............... ... ....-•--•--............._............._.. .............. . .. ............ ......... ................_......_........... ..� �.G` ...... '.................................................................._... . ......_........ ... _ -.-. ........._. ....-.........`_/.,�` ..........._... ................................._.................................--_... ... . .....................................................................--. -•{ ._.._..-- ; _ . ....... .. . ........................ . ............. t ....... .............................I.._._.... ........� .... .. �.. .f/ - .. ................................................. .`.. .... ..... _.z..._ ...... . .. ................... .. .. ..........................._..._._....-...... ........ ::::��: r :::::_.:.:_::.._......................... .........-......................._..._...._. �.._._-._... ..............-_-- _ _._.. . ......... ....... .._._.._ ::::::::..:::.._....::::: ..: ....::.::........::::::: ...... ... -44.......... ... .._.._.._._... . ....__._._.__.... ... ._... . 1 we, �f� sy T •d EELS-Eb9-t,06 33N33 1S3E d62 :to 60 ST oaa CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17739 Address: 337 ELEVENTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: POOL Township: 0 Range: 0 Book: Proposed Use: Lot(s): 16 Block: 1 Section: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: --- ------- "Improv. Cost: OWNERINFORMATION' Date Issued: 2/02/1999 Name: DON & ANN MEUSE Total Fees: 35.00 Address: 337 ELEVENTH STREET Amount Paid: 35.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/02/1999 Phone: (904)249-0569 _ Work Desc: WIRE FOR SWIMMING POOL CONTRACTORS APPLICATION'FEES HABITAT ELECTRICAL CONTRACTORS PERMIT 35.00 tnigpediomftquilmd. ROUGH ELECTRIC FINAL ELECTRIC NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER- "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $35.00 14 C-, Date: 2/02/99 01 Receipt: 0030979 ATLXNTIC BEACH BUILD- G DEPT. CHECKS 4eee 88108803221808 CITY OF ATLANTIC BEACH, FLORIDA Approv*d by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_ 19�� IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: TER ELECTRICIAN SIGNATIGRE JOURNEYMAN NAME- 5 `'; ADDRESS: 3 } 1✓�-V��'��1t,S�_ -RFD BOX BLDG.SIZE S� 4 BETWEEN: RES.'V�l APT. ( 1 COMM. 1 I PUBLIC 1 1 INDUS. ( 1 NEW ( ! OLD 1 1 REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS 1 ) SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER 1 1 ALUM. ( 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT _ FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES _ nn1' CITY OF ri, LC /lAAe=4-0;&llW Office of Building Official REQUEST FOR INSPECTION Date ! Permit No. 176 Time —A Received P.M. Job Address ocality Owner's Contract Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Pre Fab lace El READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. 4 L A.M. Inspection Made PM'Final Inspection El Inspector Certificate of Occupancy ❑ ©�� Date PSR3844 17625 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION -rmit Number -. 17625 Address - 337 ELEVENTH STREET Permit Type: SWIMMING POOL ATLANTIC BEACH , FLORIDA 32233 ` ass of Work :NEW ------- LEGAL DESCRIPTION -______-_ -:'onstr . Type:WOOD FRAME Block: 1 Lot : 16 Twp: 0 ?reposed Use, Section: 0 Subd -0 Rng, 0 Dwellings : I Subdiv-ision:ATLANTIC BEACH Est . Value : 0 .00 -,--nprov . Cost : 9 , 800 - 00 Total Fees : 30 . 00 Amount Paid:,,.,. 30 . 00 Date Paid11/111-_1999 -,rk Des- ' CCINr`TRUC T- STtjTMMTNGff POOT, PER PLANS `WNER-INFOR-14ATION APPLICATION FEES .me: DON ANN MEUSE E RM 1 T 30 , 00 jdr: 337 ELEVENTH STREET RTL--,NT!C bEz' HFLORIDA 322713 !-,one* ( 904)249--0566 9- CONTRACTOR INPPRMATION - ame : THE BATTS COMPANt ldr : 1602 NORTH THIRD STREET ATLANTIC BEACH , FLORIDA 322- CPC037046 Exp ., �,pe: 5 NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $30 oil 14 Date: 1/13/99 01 Receipt: 0025 EO 24603 ATLANTIC BEACH BUILDING DEPARTMENT 06180CHECKS 603221000 By: CITY OF ATLANTIC BEACH APPLICATION FOR POOL PERMIT Job Address S-r- Lot # I (o Block Subdivision Owner 4 t-,,c--,-"5 Address �3� � � ,ti+ Si• �, '�� �+ Contractor Address S� ,T -�c ��=�-� •. License NumberC 1� o x'70 4 6 Valuation $ 9 8 00 .y Gallons 9f o010 ol SITE PLAN front En N N ' • RECEIVED Am 7 1999 City of Atlantic Beach rear Building and 20ning r Signature Owner Date V-" ` Signature Contractor Date BMJ. This instrument Prepared By: 4-,('04• Book_ 9179 F'g 4703 Nnnie Address 1 Boz �• �a-O. S� Sr,►l .t1- i Tax Polio No, Permit No. NonCE, or COMMrrlcrMrN�c 5 MIN, RETURN STATE OPPHONE # �� COUNTY opade to TIMI;UNDERSIGNED herby rives notice l0l`5"i'�P'form,ttionwill provided in thistNotice ain o Conte pence mentproperty, and in .�ccordance with Chapter 713,Florida Statute.., the fo11 t 1. Description of prop (ie(, description of property, and :;beet address if available) - a� ,-- s rn-9<5-r- , ln� e ► �-ti A. 32-i 3 3 2. General description of improvement: :1. 3 S3 Owner information M t� 5 X37 %1 t S�• P-rt1+�':�� � ��� �zA . -Z n, Nnmc and address: b. Interest in property: C. Name and adch•ess of fee simple titleholder (ifotl►er ll►nn myner): 4. Contractor: � ca, t�o'Z ►,- dao s;, sa.,F'��`�h,- 32.•z..5� . n. Nnnie and ncldres:.: sP,"C-S h. Phone number: 2- c. c. Fax number (opLional, if service by f:Ix is acceptable): G, Surety n. Nnnie and address: b. Amount of bond h c: Phone numher: d. Fax number(optiornal, if service by fax is ❑ecepUthle): ; G. i.cnder a.Nnnie and address: ► b. Phone number: c. Pax number (opLional, if service by f:►x i-, acceptable): Slate of I.lo►•ida desilm:1ted by Owner upon whom notices or other documents may be served ns' 7. Persons within the provided in section 711.13(1)(x)7., I'lorid:l ShItutrs: a.Nnme and address: h. Phone number: c, Pnx number (optional, if service by fns is accrptable): addition to himself, Owner desil►l►atcs Lbe following persons) to rrceive a copy or the Lienor's Notice as provided in SecLion 71:1.1-1(1)(h), hlnrida St:►lutes: n.Name and address: b. Phone number: c. Fax number (optional, if!"erviee by% f:u is acceptable): 0, Expiration dote of noLiee of Mill mencrinent. (the expir.►tion d:►te i:. 1 year from the date of recording unlpss n r different(Inte is specilicd) i )il-nnture of Owner Sworn to and subscribed 1""" Isle by i who is personally known to me nr producefl as idenLil'icalion, :" (I who did t:►Ice Owner's Namc fin oilttl, this d:►y of �I. .4/IL� I'•►( ��/� ST Owners Address: �J`G • f3C�1y� �! ���-3 Signathlre of Notary i Printed name of Notaryi!/� � Commission No./l:xpiralien� Bk. 9179.� �' '!_�?. .lsiili:YS�+�, F9. 4743 Doc# 990 03499 Filed R Recorded •1 �: •�i: :>!y 1.I,.-{...t ._.''�'a_�'1'i r'Y/DA 01/06/39 Ll.INI'ORMA'I'ION NIUS'1'llli'I'YI'I?D Ol: I'I:IN'I'I?IJ I.f:GI(tl.l''I'U COt`IPLY \�c11'I I Ia?CORDINC rti P.M. A DUVAL COUNTY, FL REC. $ 6.00 ,•VY.ML•I..,::M...w.rN•:,.. ... •aF..v tlM•.y.: +•I4.r..•if..iLLilY�4i:N...+tii.s'+ArJ�:J��il,rjil.r . 4. 304014 MAP SHOWING SURVEY OF LOT IG, BLOCK 14, ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5, PAGE G9 ' OF THE CURRENT PUBLIC RECORDS OF DUVAI_ COUNTY, FLORIDA, 'SDLVA M.&QI1.In, U [=-/ 1�t_s\T r�oo►< 2��r P�•�1 1---UMC7�G IQo1.1�f `�, �• 1=ouw1[? �G I�.,J IPS hl•CAP �. 14, j1, Y.• /.O' /Jo crP NOTES io 6 �" '��XN 5 4� � /«fry TIIITill,, IS A DOUNDARY SURVEY, ' 16v28 d i • j�ool NO BUILDING RESTRICTION LINE BY PLAT. TMS PROPERTY LIES IN FLOOD ZONE"X" 6, DY FLOOD MAPS REVISED 4/17/1909. 7 ' COMMUNITY PANEL NO.120079 0001 D. "� � /s fi�fsco oNNArYo�vaG r�ov�/ic r•�T/taa 17, ��• r3 (} ✓Ijdv ?- 57"ofzY p9.17 ti r to W vr 0 7o- c. U-] Dor Morn 1 I � .�• ' err>�N�-� 4 � 7 A . ti O�P\G� O L Aeo V j ro.2• 7 3. G�Q�P�� ��. I L . rite f-Io CAP -- x.00 �p.✓rea 3So.00 E L_ E V E N T Q (I ITS) �Z-)TR EES" 40' R ICI UT Or WAN' _7-:'.z-9? To �f/nr�'Fi�-oma sdrz✓moi' pC-VtSrmo I7-/7/-)2 To '511P" Fcur.lt7A-rW J 1 HEREBY CERTIFY T0: �ni'-Acv �/ �Nv s1�Nf3 n(FdsE; Gn�f,(i>'/oi✓rvEA�-�•/LsrNv�i�'��- /i`S'. Gam.; ��ovice's C=/:s Y/�ivaNc��t� S.o✓/ � �L.obi✓ft rs'iv. THAT THit3 9URVC-Y MEETS THE MINIMUM TECHNICAL CITANDARDS AS DET FORTH 13Y THE FLORIDA DOARD OF LAND SURVEYORS, PURSUANT TO SECTION 472.027 Ha As ®URDEN ADMIINISTRATIONCr AND CHAPTER 21 HH- FLORIDA & ASSOCIATES INC. rLorunA mKosmTKnuo.urrvravon -AND f5quce C�u(lOF_'I,J �� oURVEYORe1 DIGNCD^�D�F Z( 10 Post 0111co Dox 500704 _1- 1101 South 1111rd Sboel !SCALE: I rr - IncksonvIlle Dench.Florldn 9^250 TI-115 QURVLY NOT VALID UNLE'_tD 71119 PRINT 19 r%NID000ED WITII THE SEAL OF TFlr ADOVE 91GNED. .. _.___...-___._�. __ ,;:..�.a......,, '.....+'rMlxi...rs.iw..w�.»....+.---+r..a n..�,r.:f:•� r<_A,A fL'r. � �.1;4..���^rl' 2 '�s tr. 1 r_��t."'{2�/7f f 94 LA I � vVNJ � N ! � �. ACJ/i►� O 1'If r rrl fJ 0 �a CITY OF ATLANTIC BEACH 800 SE MOLE ROAD t� = ATLANTIC BEACH,FL 32233 V j INSPECTION PHONE LINE 247-5826 ..l i Application Number . . . . . 06-00033628 Date 8/09/06 Property Address . . . . . . 337 11TH ST Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------- ---------------------------- Application desc REROOF ----------------------------------------------------------- Owner Contractor ------------------------ --------------------- KUSS JOHN GILMORE ROOFING, INC. 337 11TH STREET 11647 GWYNFORD LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32223 (904) 880-8044 -------------------------------- --- -------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee 143 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/05/07 ---------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- -------- Permit Fee Total 143 . 00 143 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 143 . 00 143 . 00 . 00 . 00 pERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Feb 02 04 10: 05a Information Systema 247-5845 P• 1 RECEIVEv CITY OF ATLANTIC BEACH �)F ATLANTIC BEAa ROOFING PERMIT APPLICATION ', z 7`,v �`e ►� , ,16 U 3 2006 Date: Job Address: y Owner of Property: J © �►'N //uSs ��?? c/Q Address: 5 ��Ti/il. j Telephone:'7© � i � 621 Contractor: .T 6-11nme � ? State License Number. (C('l7 5-Aa 7C Contractor's Address: Telephone: �u/I • ell)y7/ Fax � L r� ' Scope o:'Work: K 7 i ra ad �._ A 1, 1 Deck Slop_ e: Greater than 2:12 Less than 2:12 C t'V Valuation of work: /- (�5;E S P:-oduct Name(Example:Timberline): C:����?G;P Sf' P S 3(1 Manufacturer(Example:GAF): 1 AM AL C1 ASTM Designation(s): Required inspections: SMnd F J Date: Signature of Owner: Signature of Contractor: v Date' AS TO ONVNFR: C Sworn to and subscribed before me thistt' day of ?0"{0_ State of Florida,County of Duval Notary's Signature• eat".0.Y•P B LAWSON FORESTER * * MY COMMISSION t DD 261279 Personally known EXPIRES:November 4,2007 [] Produced identification �j9TF OF F��\OP Bonded Thru Budget Notary Services Type of identification produced AS TO CONTRACTOR: o � �� / Swom to and subscribed before me this � day of ji L1 ,20�. State of Florida,County of Duval Notary's Signature: .�.M..., RYAN DOWERS Notary Put*c-Stab of Floodo ❑ Personally kn roduced identification •MyCaw iitinE�piticMoy27,2Q� CommMion 4r pp 324096 Type of identification preduced a ►..Y°'`, ByNONondNo6wyAwm 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 -b tpJlwww.ci.atlantic-beach.fl.us Page 1 Rc,iscd 21_'.b3 FROM :JOHN GILMORE ROOFING INC FAX NO. :9048806801 Aug. 01 2006 10_29AM P2 Fete 02 04 10:O5a Information Systems 210 Doc#2006270470,OR BK 13433 Page 1404, Number Pages:1 i Filed&Recorded 08/03/2006 at 10:17 AM, iyy JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY t RECORDING$10.00 t � 1 NOTICE OF CO- tMEINCEMENT State of Tax Folio No. County of To Whom It May Conan: 'tae undersigned hereby infium you that improvements will be made to curtain real propeny;and it=co dance with Section 713 of the Florida Statutes,the following inibrmalon is stated in this NQTICE.OF COMMENCE ENP. Legal description ofproperty being improved:5 (#q All art h e. 6eaf' h Lpf /(2 r N Address of property being improved: ?•r z Genal description of improvanianm: e - 4 7AKdd . D L . dress:ers interest in site of the irnprovpAcat; Fee Simple Titleholder(if other than Owner)-. Same: r Address: I 1 1- W -L Fox No:� �Q -la1r i l 9urctr(if soy): Address: Amount of Bond S i Phone NO: Fax No: Nome and address of any person malagg a loan for the constry tpn of the improvements. Name: I address; Phone No: Fax NO: Name of parson within the State of Elm ids,other dose himseM designaud�by owner upon whom notices or other documents maybe served: Name: I i Address: ?bone No: Fax No: In odditlon to himself,owner designates the following-person to receive a copy,of the L iem is Notice as provided in ._ Section 713.06(2xh),Tkaida S:mues. (FIB in at-Owner's option). Name: Phone No: Fax No: Expiradon date of Nonce of commencement(the expiation data is oac(I)year(rota the dace of rtst aiding:tnless a di$ercnt date is specified): !j THIS SPACE FOR RECORDER'S USE ONLY• # 311aned: ` Date; v� 0 1 t Befom s day of is the ry N yrr, NY of So has Pa appeared I VNotary Public at Large, % i My commission expums: Personally Known: A I or Produced Identification: I KIRA DOt1GHAN Notary Public,State of New York No,01D06130556 ®ualitlad in Westchester County WITI l(aalon Exnirnc I.il..�o nn.... JOANN C. Kuss 337 111h Street • Atlantic Beach,FL 32233 July 19, 2006 To Whom It May Concern: I, Joann C. Kuss herby grant Bill Siebel with the authorization to apply and sign for a permit and Notice of Commencement on my behalf for work that will be done on my property located at 337 11`h Street, Atlantic Beach, FL 32233. If you have any questions, please contact me at 212.629.2208 or 917.716.4213. Thank you for your assistance with this matter. Respectfully, YJ n C. Kuss APRIL E. PYATT NOTARY PUBLIC, STATE OF NEW YORK NO.01PY6057881 QUALIFIED IN NEW YORK COUNTY COMMISSION EXPIRES APRIL 30, 20Y I w YORK ST ,Q -n@fOi`d'IXCI��'i" '%y DRIVER LICENSE ID:W2 40 778 � D06:11-27-56 KUSS,JOANN,C ,t' 177 EAST 77TH ST 9E NEW YORK NY 10021 SEX:F EYES:HA HT 6-00 CLASS.D END: REST: FXPtRES 11-27-09 ISSUED 11��� %�/�9��w" 56796180 F• L . CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date c Heated Square Footage @ $ per sq ft= $ Garage/ Shed @ $ ILOper sq ft= $ Carport/Porch QvU@ $ per sq ft— $ Deck. @ $ per sq ft= S Patio @ $ per sq ft= $ TOTAL VALUATION: $ �Zo85. Total Valuation ls` $ Jyv 0 6 Remaining Value $5. per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: _ + '/z Filing Fee $ �, FLOOD ZONE: ( )Fireplaces @$35.00 $ DATERVIOUS SURFACE: BUILDING PERMIT FEE WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER N4ETER/TAP $ CAPITAL IMPROVEMENT.$ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ' ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ �3 r CITY OF ATLANTkC BEzACH PLAN REVIEW SHEET Routed to: S.Makowski Building Department Public Works&Public Utilities Departments i ins 800 Seminole Road 1200 Sandpiper Lane S. Doerr Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 R.Carper (904)247-5800 (904)247-5834 D. Kaluzniak (904)247-5845 Fax (904)247-5843 Fax Public Safety PLAN REVIEW COMMENTS Permit Application# �l�/ 5n Property Address: s- 1.tik Applicant: Ju�nn & � wbfo �Mfwd Project: gjt�Td- This permit application has been: Approved as noted by the , LaC' Department. Final application approval must come from the Building Department. EJ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: L( I Date: Date Contractor Notified: PSR-3844 8 42, 3 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFOR14ATION ---- __._ _.--- LOCATION INFORMATION ------- . _ Fer nit Nurtriber : 8423 " -idress : 337 ELEVENTH STREET Permit Type : FENCE ATLANTIC BEACH, FLORIDA 3223- ­17, Work: NEW - --------_ LEGAL DESCRIPTION ------- Work: 4 r . Type : WOOD FRAME Lot : 1� Block: 14 Section' r j:0r,oZed USe : STNOLE FAMILY Township , RNG,: Ish=ea'izn s : 1 -ode, Subdivision: ATLANTIC REACH Fst=mated Value : SO . Oi' 14r:prov . ost : Total Fe?s S10 .0� Ai-nolint Pa,i d $10 , OCA T T, L.;YaCj w T F [d .F ,.T 1; PL,tiN APPLICATION FEES ------ ANN tSE PERMIT 810 • 0r s ; E EVEN'TH STREET WATER IMPACT FEE S0 , 00 A . REACH . FLOR 1 fi_ SEWER IMPACT FEE WA1` R METETTAP r _ R �NTRACTOR INFORMATION - RADON CAB -)WNER 'APITAL IMPROVE . 50 .00 SEWER TAP $0 .00 HYDRAULIC` SHARE Tyro­ CROSS CONNECTION SES" .H IMPACT FEE SQ . n'' 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. (X)WK*00 00000(" 410.00 14 ATLANTIC BEACH BUILDING EPARTMENT Date: 6/03/94 00 Rcpt; tWa 803 CASH By: may- APPLICATION FOR FENCE PERMIT Owners name---D A-vi va 1�e,:�_S Z_- Phone .2--( - 0 5 ------- ------------------------ ------------ Job Address-----------------------3-- =---== /---/� - -------- Lot Block and/or Unit t / y Subdivision ------- ----------- -Subdivision— Contractor ------------- Contractor if different from owner______,f�' ---------------------------------------------------------7-------- Valuation of fence • /5-0- 0 J _ Corner or interior lot /h Type construction_________ c)=)=_�----------------- Show location and height of fence as veil as location of streetls) . o C�gB� 31994 Building and Zoning Owner signature_____ ----- /3/ 4/^-------------- Date Contractorsignature---------------------------------Date--____-- 3'48 14 MAP SHOWING SURVEY OF LOT 16, BLOCK 14, ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SEL-vA t/I DQ I rJ , U"1 T c-"e-J PLAT t3oca tG 23, FL3•4 �"�oov F!N<E fCNVE F�1•,D fc'12o.-I Pim � -- B� po.,,�n %i�2 M {71 Pim Ne CAD �, 0 A e0 �.• no NOTES ft/✓c6 tee/«Ery THIS IS A BOUNDARY SURVEY. x Ei C4�4✓ES NO BUILDING RESTRICTION LINE BY PLAT. , x �9 — THIS PROPERTY LIES IN FLOOD ZONE ••X'• BY FLOOD MAPS REVISED 4/17/1969. 74' COMMUNITY PANEL NO.120075 0001 D. V X49"Z 0,0- �; oA✓ f/N/Ss/EOfi�R f�-E�/.S/�oI^'/'�TNVSC/Z/O� /S�.4SEv oN�QT/oj�.4G rEov�Tic ✓ERT/CQL- Z� 000' OEGK \ o za „ 17' .3 /4-'v �- sTcfz y 8 - GbQdi/✓A fiN/SNCc��[.ioq O Qh s 7 4 9 B" IN f 0 � I � Aj N Q 0 0 v:. u u •. 4� % FoU�.I i2 r-%Pa N�. FouO pAZI 48 PIPP- -- -- :<=X0 �Po wRR E L E V E N T W (1 1 ") STREET aa• RIC U-F of WAY �ECN��fC�v 3-22-I93 To sver+'Fi,.ist s�r�rfY REVISEp I-L/7/-JZ TV 5No— FcuwlpATlor.1 HEREBY CERTIFY TO: DLIV-d 7 "'W4:7 4//-/,,!!r. dSE� COQ-(iNe/�i✓E./LTN L-aNV�irL e' /NS. Go /QST //✓.a/�C/.GL SA✓/ � rLold'-14 THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT TO SECTION 472.027 FLOH. A. DURDEN ADMRIDA INISTRATION STATUTES ANqqpD CHAPTER 2/HH FLORIDA & ASSOCIATESINC. jw FLORIDA R[G12T[R[P eURV[YUR LAND 11. GSQ�IGE C�UQOEIJ,J SURVEYORS SIGNED r�F� 2-1 19 Post Office 80, 50670 _ 1103 South Third Street SCALE: Jschsonvipe Beach,Florida 32250 THIS SURVEY NOT VALID UNLESS THIS PRINT 15 EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. JAN-13-2009 02:55 FROM:MWT CONSTRUCTION 9042466850 TO:2475845 P.1/1 NOTICE OF COMMENCEMENT State of Tax:Folio No. County of J 4 P►'t-_...._.__.._ . .— To Whom It May Concern: 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. Legal Description of property being improved: '71 T211..i t P1'L- Address of property being improved: General description of improvements: r `�' - Owner: �42R-y , G t-u 4:;- � Address: -t4` OV�7 A Vt) -9Z�� Owner's interest in site of the improvement: Foe Simple Titleholder(if other than owner): Name: ontractor. U ra I O Address: y S y e�V H S i�t/.L K yk 3r., LL Telephone No.:�U '6j 0'S Fax No; 7 6 Surety(if any) Address: Amount of Bond S Telephone No: Fax No: Der g 20090U9013.oR SK 14150 Page 121, Name and address of any person making a loan for the construction of the in Number Pages 1Recorded 01113i=at 02'15 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL Name: COUNTY Address: RECORDING$10.00 Phone No: Fax No: Name of person within the State of Florida, other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) 1 Name: Address: _ Telephone No: Fax No: Expiration date of Notice of Commcnccmcat(the expiration date is one(1)year from the date of rcc-mding unless a different dato is spocifiod): TMS SPACE FOR RECORDER'S USE ONLY OWNER �+ L j4 Datc rH7u Zt�o y7 Signed: O����- m the County of Duval,State Bdorc me t '. �j_day n1` ?6 -- Of Florida,has personally 4ppeared �0.h» � Notary Pubk State of Flom$ Notary Public at Large,State of Florida, unt yo`�Duval le Tiwy Aupuat My comtniysion expires: Q� 2.Si or �Eaoei29r2o isp11aa Personally Known: p Produced ldentificatioo: �l- CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001659 Date 12/04/08 Property Address . . . . . . 337 11TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 50000 ---------------------------------------------------------------------------- Application desc WINDOW REPLACEMENT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MEUSE, DONALD/ANN MWT CONSTRUCTION INC 337 11TH STREET 1454 HOPKINS CREEK LANE ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 226-0195 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 280 . 00 Plan Check Fee 140 . 00 Issue Date . . . . Valuation . . . . 50000 Expiration Date . . 6/02/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 280 . 00 280 . 00 . 00 . 00 Plan Check Total 140 . 00 140 . 00 . 00 . 00 Grand Total 420 . 00 420 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. f:. CITY OF ATLANTIC BEACH O _ I I I I '✓ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)2475826•FAX NO.:(904)2475845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 13.SQ.FT.UNDER ROOF 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.U E OF STRUCTURE: 11 NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑ OL/SPA El ES ❑N/A ���, C/[-i. '✓r rt UJvl `}" �GI�S ,LAY,% 4I �`-ISIS ❑MOVE IHER El PROPERTY OWNER: CONTRACTOR: ARCHITECT f ENGINEER: 9.NAME: 15. OMPANY NAME: 23.COMPANY NAME: G.I 16.NAME: 24.LICENSEE NAME: J- a,i/ k/, / IhOr 10.ADDRESS: rte, 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: i 3 3 -7 L.- 18.ADDRESS �L . k 26.ADDRESS: A`F)�.r f�� f;z�.��., l�s4/ C -4 11.OFFICE PHONE: 12.FAX NO.: f Z 19.OF CE PHONE: 20.FAX NO.: 27.OFFICE PHONE/ 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PH NE: "I1 ) - 716-112.-/ LZL - e;C; 5 14.EMAIL ADDRESS: n 22.EMAIL ADDRESS:. ! 30.EMAIL ADDRESS: JkiisS�C¢1u"t, - jv�1'1� 4V�c', rLr (9tti')C ,/'CCti1 FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OIMJER) 31.NAME: 33.NAME: 7 35.NAME: 32.ADDRESS: / 34.ADDRESS: f 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I Will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of y or Agency Letter Required) (Qualifier Only) L rte i. / Dater Z. L' (f Y Signed. Date. ign e Before rre-fhis day of �� �t lL� 200V in the county of Before me this day of ��C f: �13� 2007 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of -� L. County t�of I Aq---k L Notary Public at Large,State of 1"L 0/'�_f,_')4- ,County of l i u✓ ❑Personally Known ❑Personally Known Produced Identification- I '1 �V � L-O`4' _ 'Produced Identification- 1 ^S SS 1 1L ute: _ Notary Signature: REVIEWED FOR .. EC !Nj CITY OF ATLANTIC SEEffj f I LSEE PERMITS FORADDITIOblic State of Florida � _ � SEAKS GORMAN RIrR�tDI TVfst �/foiDl IgustCOMMISSION#DD643668 ission DD80114977 EXPIRES:February25,2011 6/26/2012 of REVIEWED BY: p 1-800.3-NOTARY FI.Notary Discount Assoc.Co. CITY OF > >rtcc Feat` - aa Soo SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 3213.;;-745 TELEPHONE(904)247-5800 ['i1X(904)247-5805 NOTICE To: Water Department City of Atlantic Beach Date: _2 _=_� __-------- Please be advised that the final building inspection has been completed on each of the following addrE>>L3es afld construction water is no longer required: Permit Humber Address --------------------- -------------- -------------- ------------------------------------------- - ----------- ------------------------------------------------- Si-n ex, Don C. Ford Building Official DCF/pah cc: City Hanager 304814 MAP SHOWING SURVEY OF LOT 16, BLOCK 14, ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.u"1-r o til EPLAT P.�o I< 23 Fb•4 4my -x--x-_-x MAR 241993 ,�I Fou�o %y"i2oN PIPE Ne �. o x 8 �o Quilling and Zo n �., so x r g NOTES : f�NcE " THIS IS A BOUNDARY SURVEY. X '<oj%<RETE .FNcRc�cNEs I ., • . NO BUILDING RESTRICTION LINE BY PLAT. X THIS PROPERTY LIES IN FLOOD ZONE "X" BY FLOOD MAPS REVISED 4/17/1989. 74' COMMUNITY PANEL NO.120075 0001 D. W0 oqK f/N/SNEofi a�� <E✓.S//oI✓Nzz//SL/2./o> Q'� /5�3,gSEo 0/`�/�IJT/�/✓!1G I EO�FT/G VE,Q j/Galt. o a' / OGTt/M v r✓oo�/ OEGK OAK h 1 7' 8 coquiN.a C (� 74 QI- �o g � > �Im l�J I D oc P able. I Q �' ojjet'j/fv 7 IL � raRArE Q N IL O• O Q V:. li 7.3 J Fou1.1O1Po •Inl PIPr_ I ,`, : ' %� FOu1,30 d8 PIPe I.Io CAP OP �PewF_R plot-f_ ELEV ENTW CI ITNS STREET 40' R I C U-F of W,&Y �lEC</PGkFo 3-12-1I93 To s//ari'Fi�'•a� .Sd.-Z✓ry FZEV151 r 12/7/-)Z 'Tb 5No.v Four.101AT1oi.1 I HEREBY CERTIFY T0: 4-- THAT THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT TO SECTION 472.027 FLOH. A. DURDEN ADMRIDA INISTRATIONES AND CHAPTER 21HH FLORIDA & ASSOCIATES INC. FLORIDA RHGI�TLRiO•URVLYOt�-10� LAND 1-I. F3t2�1cE t�uROF_ II Jt�. SURVEYORS SIGNED_ G�To(�Ft2 2l 19 Post Office Box 50870 1103 South Third Street SCALE: Jacksonville Beach,Florida 32250 THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. CITY OF 4&4od- Be"A-47&uda Office of Building Official REQUEST FOR INSPECTION 1� Date Permit No. / J Time / A.M. Received t istrict No. Address Locality Owner's Na Contractor BUILDIN _ CONCRETE ELECTRICAL PLUMBING MECHANICAL ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating ✓�s�� Lintel ❑ Fire er ❑ Pre Fab •t' CT-7 READY FOR INSPECTION A.M. Mon. . Wed. Thurs. Friday—P.M. Inspection Made .— 7 A.M. Inspector Final Inspection❑ Certificate of Occupancy Date A� CITY OF 6� >'4&dQ0 B"Cli- Office of Building Official t% REQUEST FOR INSPECTION Date 2 _" Permit No. ✓ �� Time �'� A.M. /_ Received P.M. District No. 6 3 , 8 .3.5 ji Job Address Locality Owner's Name Contractor p BUILDING CON RETE ELEC PLUMB fNCa ECHANICA raming Footing ❑ oug Wirin Rough \ ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out �C❑ Heating Lintel ❑ \ Fire Place Pre Fab Y FOR IN N A.M. Mon. Tues. Thurs. Friday P.M. A. Inspection Made P.M. Inspector Final Inspection❑ er-upCertificate of Occupancy " Date Bled Aouedn000 to 9leo!1!laOo E] -A joloedsu! • aoeyy uo!loedsu! d AepP=I s�n41 'POM sanl uoW W• W v _ 1O3dSN1 dOd A0tl3U qed aid ❑ eoe!d ej!d ❑ !O►u!� Bu14e9H ❑ inO dol ❑ a!od dwal Wis Cl 6u!looy as ❑ v.PuOO'J!V ❑ 46noa ❑ 6u!j!M46no8 ❑ Bu!lood ❑ 6u!wead �tlO1N�dHO3W ON18Wfl1d lt101!ll0313 313UONO3 ONIMins ioloeiluoo aweN le-YF,or—(dfs,Jaumo Ame-1 ssa�p qof 'ON louls!O n n!aoea aw!1 'ON lIwJed _ / _y / aleO N01103dSNI a0d 1S3no3a IB/1o1llo Bulp�lln9f,10 eolll0 -=1O All0 TRANSMITTAL DOCUMENT FOR JEA DATE: " The following permits have passed rough ' inspection: Permit No. Address / ,y- Enclosed are our ( blue) copies of the permits. Please update your records accordingly. Thank- (-I'(- hank- BUILDING CLERK CITY OF ATLANTIC BEACH /vcb CITY OF Office of Building Official REQUEST FOR INSPECTION 1 14 3 Permit No. Date Time A.M District No. Received -337 Lnocality Job Add ��Owner's or Name RICAL PLUMBING MECHANICAL BUILDING CONCRETE ❑ Rough ❑ Air.Cond.& 13❑ Footing ❑ RO Top Out ❑ Heating Framing Slab ❑ Temp Pole ❑ Fire Place Re Roofing ❑ ❑ �i'J { Pre Fab Lintel READY FOR INSPECTION Friday P.M. Wed Thurs. Mon. Tues. A.M. r P.M. Inspection Made v/ Final Inspections Inspector Certificate of Occupancy Date LATE• J" dp-, 7- PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARI: SATISFACTORY : ------ ------- ------ --------------------------------------------- ------------ 5 EL.Y, lat� UILDING INSPECTION DIVISION cc:F ILE i CITY OF ov � office of Building Official ` R QUEST FOR INSPECTION Permit No. Date Time ,e Date- A.. District No. Received 1717 lity Job Add Owner's Name BU4LDING CONCRETE ELEC PLUMBING MECHANICAL Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.S ❑ Framing ❑ g Top Out ❑ Heating Re Roofing ❑ Slab ❑ Temp Pole Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPEC A.M. /� �y Thurs. Friday P.M. Mon. �V '� 'RJl.I"/ A.M. Inspection Made C �Q{�ey.�iJJI. Inspector ■ A. K�.11■,. R Final Inspectio Certificate of Occupancy Date 4 m �v Q2mm4 4 i m O c U � O O O \\v\ 03 OD m lam2i� / .'3c 2 i� ��` m om 4O o X00 Oj. U �m O W Q � l V � D m F 0= m° 3m o° im Q Ile- co o d y c J UT o 0 © � 1 „ QQ Q r � 2 m � Z m a 2 L 4 O 10 2 � x � 4 O All U LP`o c h � /���, `• v G Py " ro'j2 Oro iF� I C c < q Q C q C +» &2 a LU 0. cC7 § O � C7LL _2 � � f , � c2 22 # J cc � U> \ / mo / vLL. 2 ix w LL ' = 2 q \/ ir LLI � Q L Q 0 _ ggg / f � � LLI LU ) 0 ƒ= 2 C) 2 w~ // $* a m22 a 'S� 0 / DATE• �� l PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: �t137, 3.3 7 ---- ------ -------------- -------------------- ------------------------------------------------ - ------------------------------------------------- ------ ' ------------------------------------=------------ ------ -------------------------------------------------- CER Y, BUILDING INSPECTION DIVISION cc:FILE CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION OWNER OF PROPERTY : ------------------- BUILDING CONTRACTOR: ���► _ ____ ___ PLUMBING CONTRACTOR AND ADDRESS: ____ Q�_- r - -�G� ��---------- � - -------------------------------------------- -------------------------------------------- TELEPHONE NUMBER: ------ - ----------------------------- STATE LICENSE NO: --------- ------------------------ TYPE OF BUILDING: � --------/ _-SINKS ---------- /-SHOWERS ------- --- --------- LAVATORY /- -WATER HEATERS -- -- ___BATH TUBS / __DISHWASHERS ------------URINALS 1 _--DISPOSALS -------Z__CLOSETS / --WASHING MACHINE ----------- 'FLOOR DRAIN5 _--SHOWER PANS OTHER TOTAL FIXTURE COUNT:__-- x !�i3. 50 $15. OU ---------------------------------------------------------------- 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 INSPECTIONS - ( 904 ) 247-5826 �C3 � CITY OF ATLANTIC BEACH, FLORIDA ADP�Ov�d by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 1// )9�Z 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. ELECTRICAL FIRM: MASTER ELECTRICIAN S NATURE ADDRESS: � 3 � /`�i��� RFD BOX BLDG.SIZE BETWEEN: RES. ( I APT. ( 1 comm. ( ) PUBLIC ( i INDUS. ( 1 NEW (Q OLD ( i REW. ADDITION ( I TRAILER ( I TEMP. (->�_ SIGNS ( 1 SQ. FT. SERVICE: NEW 04 INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE % AMPS COPPER ( 1 ALUM. SWITCH OR BREAKER AMPS / PH �W /,Z-�O'LT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL Address 3 3 _ 1 t� S 7, -- - Heated Square Footage a?,l 6�3 (a $ per sq ft = $ f l�, 4 3 9 Garage/Shed @ $ —ner sq ft = $ 7 z/3 -- Carport/Porch n $ per sq ft = $ Deck .----" @ $ - per sq ft = $ Patio •3 @ $ �/ 0 per sq ft = $ ?20 TOTAL VALUATION: $ /2 g, _� 9 3 X93 $ Total Valuation lst $ 1OO,0O(093 81,00 $ Y7 _ Remainder Valuation $ 3. per thousand or portion thereof -------------------------------------------- Total Building Fee $ ADDITIOIIAL PERMITS and/or FEES REQUIRED -- --- � + Fi lin Fee $_ a? 7 3. S ,) '�'echanical i,/ Fireplaces (d 15.00 Plumbing ✓ i BUILDING PEP,1,1IT FEE $ �z 3 S • O 4.../ — ' Electric/Ne�,� ------------------------------------------------- Electric/Tarte_ Septic Tank BUILDING PERMIT $ U35• S U tW'ell WATER METER CHARGE $ OO &Y-i.mninp, Pool --` SE[-JER IMPACT FEE $ 0 3 S; 00 —— _ _ Sign _ WATER LT FACT FEE $ C-S o, � Water Connection MI SCE Il-AINEOUS $ 17, 9/_ Sewer Connection u— 1A 0 G tJ I epr *_ $ 9L/ Water Meter $ Elevation Certificate _ GRAND TOTAL DUE $ --------------------------------------------------------------------------------------------- CALCLLATIONS and/or NOTES CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BALI (8) TUB OR SHOWER STALL (6) I WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) _LAVATORY (1) COMBINATION SINK AND TRAY (3) _WASHING MACHINE (3) 4POT, SCULLERY SINK (4) DISHWASHER (2) 2--- +� WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE ( DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) O BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK8 COMBINATION SINK AND TRAY WITH SINK ( ) FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) TBLOWOUT (2) ' LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) r JACUZZI (2) �l URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS f @ $20.00 EACH $ -r 4- JOB JOB INFORMATION 23q 1 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development. Flood Zone: Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement% I understand that the issuance of this permit is contingent upon the above information being correct and that the plana and supporting date have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Date_ ! LY Applicant's Signature_ ] _'---� ------------------------------------------------------ Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation Survey Filed Filed with Building Department ----------_ ------------------------------------- Building Department Representative pat-'e 3 OWNER BUILDER PERMIT AFFIDAVIT ,tote of Florida 1 City of Atluntic S*ach > BEFORE ME, the undersigned authority, peroonaliy a`vvarvd =.-�E ��- _, who upon fir .at t.rlrmV duly sworn, deposea� d saysa l ------------- and the legal owner of the follop operty& Subdivision _ - r�_� Block ---- -� ------- L ts_,_/( _ AKA I am applying for a building permit pursuant :o %It* Owner Builder exemption not forth in Florida Statute, :action 489. 107. Florida law requires that I have been providwd witto thv following DISCLOSURE STATEMEIM DISCLOSURE STATEMENT ,State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence cir a farm outbuilding. You may also build or imprc+ve a commercial building at a cost of *23,000. 00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. Property Owner Sworn to and au Ascribed b e thisday NOTARY PUBLIC my Commission Expires& CITY OF ATLANTIC BEACH, FLORIDA 6275 G� Appra"d by APPLICATION FOR ELECTIRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ly_ 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 P. 0. BOX 3:0150 , ATLANTIC PEACH, FL 32233-0150 ELECTRICAL FIRM: n MASTER ELECTRICISIGNATURE JOURNEYMAN NAME� � Y I 1 l t`0<,l(l)(-�y)ADDRESS: � TY- � l 1 Ion � ' RFD BOX BLDG.SIZE BETWEEN: RE!L-" APT.( 1 COMM. ( 1 PUBLIC ( 1 INDUS. 1 1 NEWK. OLD ( ) REW. ( ) ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS ( ! SO. FT. SERVICE: NEW INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS 2dW COPPER 1 ALUM. UJ -.1 x , SWITCH OR BREAKER AMPS PH W P VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O•!O AMPS. J t•100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT p.1 OVER MOTORS H.P. I VOLTAGE PNS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER GOO V. OVER 600 V. NO. KVA I NO. IKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER _ EACH SIGN FORWARDED �O TOO" TAL FEES _ PSR-3844 6328 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - PERMIT INFORMATION ------ -------- LOCATIO14 INFORMATION --------- ,ermit Number oddress' 33" F_I_E::VENfH Permit. T bF�E - MECHAIJI�:::AL. ATLHIW 1C BEACH . FLORIDA �. .: . . � lass, of Work- NEW --------- LEGAL DESCRIPTION Conn . Type WOOD FRAME * ►�1 o ck Proposed Use �$TNGLE FAMILY T,.:�wnship RNG ' O 1Wel1. irrcis : Code , 0 ATLANTIC &EAC-H �ti,mar i t- IN NEt_ n.� I 40 r WATER IMPAC 1 FEE $0 .0 I $EWE;:P IMPACT FEF: $0 .0 WATER METER __ O ,C; RADON GA ti-H H, .�, . $0 .0 R.AD01,4 GA4, - 5% . $0 .00 , i A E HEAT AIR WATER TAP � T c 8LV1) . ���.WEK TAP � �' � $0 .C 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: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH • ATLANTIC ©EACH. FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to complete all items in sections I. Ii, III. and IV. fOFlUCATION Street Address:InHrseelinq Sfreeit: 1et.een And—,LO ------- Sub•c(irision 11. IDENTIFICATION — To be completed by all applicants In eonsidererion of permit given for doing the work at described in the abrve stare' ..e hereby agree to pe•tc• said ..th the artectLed plans and specilicsn rios ..hich ere a part hereof and in accordence ..-tn tti r of good precr.ca fitted therein. e C. y of Jaclson.,l'e ordr•ar-ces is Naves e! 1Aeclsenical Contractors Contractor (hint) C!� Master A Naas of heperiy O..er Sigaeh re t/ O.ner , at A.tiser'rted Agent- S gnafcture of Archihcf or Engineer III. GENERAL INFO A. Type-,f beating fYel: B. IS OTHER CONSTRUCTION BEING DOME ON Eiectric THIS BUILDING OR SITE? Gae—D LP ❑ Neturel ❑ Central UtilityS IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oi r PERMIT 16�Zy _ O OtkW — specih IV. ►MCKAN)CAL EQUIPIdWT TO 61 INSTALLED NATURE OF WORK IPnti.;se complete 1411 d eomponorth on back of Mie lona) Residential or ( I Commercial lJv Heat ❑ Space ❑ Rescossad A Centre) O Hoon New Building 1' /lir Condrtioninq: 13 Rooes Ce frel L7 Existing Building Qrct Syshom. bfateria zLlATltickee" e. ❑ Replacement of existing system fsdasi mem eellsocl c1ne. V New Installation(No system previously installed) ❑ Refrigeration ❑ Extension or add-on to existing system U Other — Specify D C0069b.r.r: Capacity 9-pi". -------- ❑ firs sprinklars: Number of bead• --- ----- -- -- --- - ❑ Efe.oror ❑ UsAilf ❑ Escalator (number) THIS SPACE FOR OFfICE USE ONLY ❑ GaeoGne pYmP' (number) (RaeaMd) ❑ T.—L. (number) Remarks — ❑ t.lG comtei��• (mYmksar) ❑ UefW*4 Preeewe owl ❑ !rine Permit Approved by filarss ❑ O}Isor _ �ly Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION FQUIPMENT ?umberUnita D"Crlptbn Model Number Manl,tfacturrr Capacity A ro^' HEATING FURNACES. BOILERS. FIREPLACES --- Capaelty •AyprovInS — — Number Ualts I)escrtption MO&I Number Manufacturer (BTU) A.SocT TAN ILS i Now Mawr Nfatlsal Cap•dity Type Liquid N;,me of Serial Approving add 101tw ndolas Contained Manufacturer No. Agency 1 i . I