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388 11th St (vault) ADDRESS- Xvmaa_� -/,;)- 11-Zo -3 3 BUILDING PEkMIT NUMBER INSPECTIONS: FOOTING UNDER SLAB PLUMBING SLAB FRAMING COVER-UP INSULATION FINAL BUILDING 7 CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT INSPECTIONS ROUGH FINAL -p- 414 MiCHANICAL PERMIT # PLUMBING PERMIT # 3 /,2 NOTES: 7 7 t CITY OF ATLANTIC BEACH SS 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028016 Date 4/02/04 Property Address . . . . . . 388 11TH ST Tenant nbr, name . . . . . . RE-ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6000 Owner Contractor ------------------------ ------------------------ VAN, ED COPPEN ENTERPRISES 388 11TH STREET 562 KING STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 241-8082 (904) 338-9757 -------------------------------------------- --- ----------------------------- Permit ROOF PERMIT Additional desc - - Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND 14AULED 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 wHIC T OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ( - qmk BUILDING OFFICUL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date ALLO–L-1- -11A Address �-p k k RPermit fee based on dollar evaluation as indicated on permit application. Heated Square Footage $ persqft= $ Garage/ Shed s_ per sq ft $ Carport/Porch $ per sq ft $ Deck per sq ft $ Patio per sq ft $ TOTAL VALUATION: $ $35.00 Ist $1000.00 $ $35.00 Total Valuation $ Remaining Value Per thousand or portion thereof: CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: + 1/2Filing Fee $ —so FLOOD ZONE: ( ) Fireplaces * $35.00 $ — IMPERVIOUS SURFACE: BUIELDING PERMIT FEE $ q WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ C ( )RADON HRS.0050 $ SECTION H PAVING $ CROSS CONNECTION $ ST ( )SuRCHARGE $ OTHER $ GRAND TOTAL DUE $ cc.. CITY OF ATLANTIC BEACH D. Ford—, BUILDING / ZONING DEPARTMENT S. Doerr 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 R E If I V E D H (904)247-5845 Fax CITY OF ATLANTIC BEAC BUILDING & ZONING APR 1 2004 PLAN REVIEW COMMENTS Permit Application o 4 - ZSo (L, BY: 1 —J— ------ Property Address: Applicant: Project: This permit application has been: F��/ Approved El Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: tq RE C E IV E Q CITY OP ATLANTIC 8F-ACH BUILDING & ZONING CITY OF ATLANTIC BEACH APR 1 2004 ROOFING PERMIT APPLICATION B 9� Date:1 Job Address: Y" e Owner of Property: 3-1-2L 3 Address:— 3eeY C k1f eiephone: C ontractor: COW,, /I E� lj.-r's oe State License Number: V-- k-511k, Contractor's Address: S 4 --,/h 4, -S t - Telephone: k3e811-ef13 Fax: Scope of Work: Greater than 2:12 Less than 2:12 Deck Slope: Valuation of work: Product Name(Example:Timberline): Manufacturer(Example:GAF): ASTM.Designation(s): Required Inspection4s: Shheathin 7�ulr,g and Mal signature of Owner, Date. Date- Signature of Contractor: AS TO OWNER: Sworn to and subscribed before me this day Of State of Florida,County of Duval Notary's Signature- 0,4" Julie wil"ms 00280341 4.0 tty rommmsion Personal nown EXPIres October 21,2007 Produced identification OF1, Type of identification produced AS TO CONTRACTOR: d Sworn to and subscribed before me this ay of State of Florida,County of Duval Notary's Signature: joie Williams D026()341 Personally kno?L -'f' M,commission 2007 Produced identification 0clob42K 21, Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 -http-1/www.ci-attantic-beach.fl.us Reviged 2/21/03 Page I Book 11726 MIN. RETURN -31 P ot4e# NOTICE OF COMMENC-EMENT Tax Folio number permit number STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement. 388 1 1th St. Atlantic Beach, FL 32233 oc# 2004 7�1109513 1. Description of property: ilooP: 117 6 Pa e: 1104 Filed & Recorded 2. General description of improvemen.s: Roof 04/01/2004 08:55:51 AM JIM FULLER 3. Owner information: CLERK CIRCUIT COURT a. Name and Address: Ed Van 388 1 1th St. Atlantic Beach,FL 32233 DUVAL COUNTY RECORDING $ 5.00 TRUST FUND $ 1.00 b. Intrest in property:'�::> c. Name and address of fee simple titleholder(other than owner): Le'10 4. Contractor's name and address: Coppen Enterprises 562 King St.Jacksonville a. Phone Number b. Fax Number 838-8331 247-3920 5. Surety information: a. Name and address: b. Phone numberi c. Fax number: b.Amount of bond: 6. Lender's name and address: 7. Person within the State of Florida designed by owner upon whom notices or other documents maybe served as provided by 713.12(l)(a),Florida Statues. Name and Address: a. Phone Number: b. Fax Number 8. In addition to himsetf/herself,owner designates�of to receive a copy of the Lienor's Notice as provided in Section 713.12(l)(b),Florida Statutes. 9. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of Recording unless a different date is specified) Signature of Own pr�,� Sworn to and ubscr' ed before me this ayof Notary: s ow Known nall shown: My commission expires: Julie Williams MY Commission DD260341 "j� Expires October 21,2007 CITY OF -Ja jgw, A- office ol Building official ST FOR INSPECTION REQUE permit No.. Date A.M. Time P.M. Received Lo allty job Ad ontr cior MECHANICAL owner's ELECTRICAL PLUMBING Name Air Cond. & CONCRETE — Rough Heating BUILDING Rough Wiring — Top Out Fire Place Footing Temp Pole Sewer pre Fab Framing Slab Final Re Rooting Lintel Insulation READY FOR INSpECTION Thurs. Friday Wed Tues Mon. 17AY2 P.M.Final inspectiorl-cupancy inspection Made Certificate 01 ir,spcctoi— Date �Jlj CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034530 Date 1/03/07 Property Address . . . . . . 388 11TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 fixture -------------------------------------------------------------- Owner Contractor -- --------------------- ------------------------- ALL HOURS PLUMBING OF AMELIA PO BOX 16702 FERNANDINA BEACH FL 32035 ----------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc - - . 00 Permit Fee . . . . 42 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/02/07 -------------- -------------------------------------------------------------- Fee summary Charged Paid Credited Due ---------- ---------- ---------- ---------- ------------------ Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 0.0 . 00 pERMT IS AppROVED ONLY IN ACCORDANCE WrM ALL CM OF ATLANrnC BEACH ORDINANCES AND THE FL.ORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: 4 ri--A'(- Owner: Telephone#:C� Contractor: :A j4/)(A KS P1 1A Vh 1-11!� Telephon I e#: J Contractor Address TVr VI C4rWa--1WXaX#: q0 q q41 YS Ko 1-M- 9/m Contractor Signature: r-TT L we hereby agree to perform said work in in consideration of permit given for doing the work as described in the above statement, e with the City of Atlantic Beach accordance with the attached plans and specifications which are a part hereof and in accordanc ordinance and standards of good practice listed therein. installation of plumbing and fuctures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, E3 New list the building permit number: L3 Re-Pipe rNu�miber of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35-00 Total Fixtures: X$7.00 + $35.00 800 Seminole Road-Atlantic Beach, Florida 32233-6445 Phone: (904)247-5800- Fax: (904)247-6845- http:jtwww.c1.atlantic4xmh.fi.us Revised 1/04 CITY OF ATLANTIC BEACM, FLORIDA ADproved 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: N SIGNATU E MASTER ELECTRICIA -RFD-BOX- NAME ADDRES&Z -3'2>'8 BLDG.SIZE BETWEEN: RES. (�) APT. ( COMM- PUBLIC INDUS. NEW ( OLD ( I REW. ADDITION ( ) TRAILER TEMPA SIGNS ( I SQ. FT. SERVICE: NEW ( INCREASE ( REPAIR FEE CONDUCTOR SIZE AMPS COPPER ALUMJ ) SWITCH OR BREAKER AMPS PH W- VOLT RACEWAY EXIST.SERV.SIZE 7 0 C--:> AMPS i/ PH W ^ZLIDVOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED 0 TOTAL 0.30 AMPS. 31.100 AMPS SWITCHES INCANDESCENT --- FLUORESCENT&M.V. FIXED 0.100 AM?'S. OVER APPLIANCES I 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. I H.P. VOLTAGE PHS_ MISCELLANE6US Ot--)) EA TRANSFORMERS: UNDER 600 V. OVER 600 V. OVER 600 V' NO. KVA NO. KVA 7�1 MOTO S�ZE FLASHER NO. NEON TRANSF. [NO. VA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ TOTAL FEES PSR-4844- 4 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH pv uTT TW CIR LOCATION INFORMRTTnW PERMIT INFORMATION --- TREET ,:ermit Number ", 15404 ddress : 388 ELEVENTH S Permit Type:ELECTRICAL ATLANTIC BEACH . FLORIDA 32233 LEGAL DESCRIPTION ------------ -lass of Work:ALTERATION Block- Lot , Twp: Constr. Type:WOOLI FRAMF Section: 0 Subd,, Rng* Proposed use: SINGLE FAMILY subdivision: Dwellings : 0 Est . Value : improv . Cost : 0 . 00 Total Fees 25 - 00 Amount F a i 0 . 00 4 A a 14 APPLICATION FEES ---------- OWNER INFORMATION ----- - 25 , ;0 )ORH E I S PEF.MIT 00 4 ame ED VAN%T,^ D I Addr - 11TH ST. A.TLANTIC BEACH , FLORIDA P hon e 90 4-1-7 r)--1)0 7 0- CONTRRCTOF INFORMATION Name : BROGDEN T TET-JEN TECHNOLOGIES Addr: 41, WEST SE;--r-',Nr STREET ATLANTI,--' BEACH . FL 32233 -�'6 31 Exp , ER0001- 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 PLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN "FAILURE TO COM ROVEMENTS-99 THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMP ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOfATjPy4FOR 1 64 VIOLATION OF APPLICABLE PROVISIONS OF LAW. - 10/14/97 M t: 080.0 CHECKS E"F A U:R:E To 0 P T I L:P:R :E R H E AND SUBJECT TO REVO tj , _ 10/14/137 "'�cej CHECKS T) rATLANTIC BEACH BUILDIN� DEPARTMENT C B CITY OF *4 4&,&, 13eaz4-#7&TA office of Building Officillil REOUEST FOR INSPECTION permit No.. Date District No. Time, 100 P.M. . -! ��F-� Received I: --�job Address Local" Contractor 0- 8 �� PLUMBING MECHANICAL AL Air.Cond.& 0 CONCRETE ELECTRIC Rough 0 Heating BUILDING 0 Footing 0 RoughWiring 0 Top Out 0 Fire Place 0 Framing Tamp Pole 0 Re Roof Ing 0 Slab 0 pre Fab Lintel Final A.M. READY FOR INSPECTION Friday-------- P.M. 1�0.0 Tues. Wed. Thurs.4�� inspection Meae Final Inspection inspector Certificate of Occupancy Date ------------ CITY OF 1&4*(t& vead-,?* � Ofiic,of Building Official REQUEST FOR INSPECTION q r15-S' 31 Permit No.---� , ()at. District No. Tim, R"c.i,.d Locality Job Address Contra tor MECHANICAL owner's PLUMBING .8, Narmne CONCRETE ELECTRICAL Rough Air.Cond Heating BUILDING Rough Wiring TOP Out 0 Footing Temp Pole sewer Fire Place Frarn'ng Slab Final 7- Pre Fab Re Rooting Lintel A M y Epp INSPECTION Friday-------Pm ThurS Mon. Tues. Wed. FM Inspection Made Final Inspection Certiticate of Occupancy Inspector Date BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. StreetAddress: Ofis--T' LOCATION OF Intersecting Streets: Between And BUILDING Sub-division 11. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attachLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Nam* f Mechanical Contractors Contraoctor (Print) ��Ffi_j/jep �j M aster A 4 141z-1 e,*)Aj,, Nam* of Property Owner d e Iz. Signature of Owna Signature of t rit Architect or Engineer or A. horized Ag Ill. GENERAL INFORMATION A, Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? ��/? � Gas—[3 LP 0 Natural 0 Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 0 Oil PERMIT [3 Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED RE OF WORK (provide complete,list of componients on back of this form) 7Residential or 0 Commercial Heat 0 Space [I Recessed i Control 0 Floor 0 New Building Air Conditioning: [3 Room 13/Control El Existing Building El Duct, System: Material Thickn*sL— El Replacement of existing system Maximum capacity c.f.m. El New installation(No system previously installed) El Extension or add-on to existing system 0 Roffigeration El Other — Specify 0 Cooling tower: Capacity 9-P-M. El Fire sprinklors: Number of h*ad---- E] Elevator Ej Manlift [I Escalato Inumbor) THIS SPACE FOR OFFICE USE ONLY 0 Gasoline pumps (number) (Roe Iles 0 Tanks (number) Remarks [3 LPG containa, .(numbor) 0 Unfired pressure vessel Permit Approyed by Data- 0 Boilers 0 Other — Specify Permit Fe- LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT vtaj�t A=rovtng Number Unite Description Model Number Manufacturer X;My AMP L6"-V -7 HEATING - FURNACES, BOILERS, FIREPLACES C4p&dty AppreVft Number Units Description Model Number Manufacturer (Erru) Agaill i/n 3kbon TANKS Serial Approving How Milliny Nolmiva Capacity Type LAquld Name at and Dimillnfillong Contained Manufactules No. Agency DEPARTMENT OF BUILDING PERMIT NO.- 9758 CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date S1271RS 19 2000 TL Valuation$ Fee$_20.00 2 0 sftn CK T t 70 2 8 1 �A 15/27/W This permit not valid until above fee has been paid to City Treasurer,and is 9758 ooc�& 7 101 28 1 5/27/8f subject to revocation for Violation of applicable provisions of law. This is to certify that—NELSON'S SERVICE INC. has permission toUild REPLACE SYSTEM Classification RESIDENTIAL —Zone Owned by SCUDDER Lot— Block S/D 388 ELEVENTH STREET House No. According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE P. 0 Building material, rubbish and debris Z-1 from this work must not be placed in public space, and must be cleared up, and hauled away by either con- 1iictor or owner. Building Official. FOR OFFICE PERMIT DATE C6NTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER PSR-384J. 16038 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMII !NFCRMRT �_`N LOCATION INFORMATION `�'ermit Number' 16038 388 ELEVENTH STREET ATLANTIC BEACH - FLORIDA 3223�� Permit Type :REMODELING --------- LEGAL DESCRIPTION --------- 'r. Work*,ALTERATION `lass )L Block: Lot : Twr- , Constr . Type;WO-OD FRAME Section: 0 Subd- Rna * Proposed Use: SINGLE FAMILY Subdivision: Dwellings : 0 Est . Value: 0 .00 Improv . Cost : *7 ,. 600 .00 Total Feezi ?5 .00 Amount Paid: 75 - 00 WL�Ep TNFr)RMATION APPLICATION FEES ------- 11 j - PERMIT 75 - 316MES VANVOORHIS Name EDWARD Addr , 31S8 ELEVENTH STREET ATLANTIC' FEP-�-H , FLORIDA Phone*� -r)NTRRC!T0F INFrRMATION Name' AMERICAN WINDOW PRODUCTS . IN'-" Addr : 2633 POWERS AVENUE JACSONVILLE FLORIDA 32201 Exp * 05 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.99 OVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR ISSUED ACCORDING TO APPR $75.0014 E"FAI LU R E T H= E PROP To ' ERT) VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS 11212 00100003221000 ATLANTIC BEACH BUILDING DEPARTMENT By: F CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLXTXONS Owner(s) : c5d r _k Phone- 6POJ'2 Address: Lot # Block or Unit # Subdivision: Contractor: Aid State License # Address: —Phone No: 73 L ,�,� Y;1 City State Zip Code Describe work to be done: Present use of building: Valuation of Proposed Construction: 00 0_V_ Proposed use: a��e 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) ? New plumbing fixtures? New fireplace?_New Heat/AC? VS' INCLUDING SUBMIT THREE (COM&MCIA-L) TWO (RESDENTXAL) COMPLETE SETS OF PLAL SITE PLAN, SURvEy, ENERGY CODE FORKS, NOTICE OF COMMqCMdENT, AND OWNERICONTRACTOR AE711:)AVIT, IF OWNER IS CONTRACTOR- Signature OWNER: Date: Signature CONTRACTOR: Date: Sworn to and subscribed before me this day of 1 9,F LARGE NOTARY PUBLIC ST OF ELURiu- W MWASM#MMI aMREF how V,2000 5-- RAMCO FORM 400 Permit No— NOTICE OF COMMENCEMENT FS 713A3 Tax Folio No. 5 MIN. PRET N 721 state of Florida Book 8862 Pg 145 County of LA vo,� PHONE -4W 73� _ I mprovements will be made to certain real property, and in accordance with section The undersigned hereby gives notice that irn 713-13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. Legal description of:property (include Street Address. It available) -S T1- ta m General description of improvements Owner— 00 is 0,7 Address— '-U?1F Owner's interest In site of the Improvement Fee Simple Title holder (if other than owner) Name Address ——————————————————————— P10 Contractor— Address 2k—,33 Surety Amount of bond $ Address- Any person making a loan for the construction of the Improvements: Name Address Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(i)(a)7., Florida Statutes. Name Address In addition to himself, owner designates- Of--- to receive a copy of the Lienor's Notice as provided In Section 713.13(i)(b), Florida Statutes. Expiration date of Notice of Commencement (the expiration date Is 1 year from the date of recording unless a different date Is specified). THIS SPACE FOR RECORDER'S USE ONLY zz Signature Of Owner Bk: 8862 Pr :)f owner Pg: 145 Sworn to and subscribed before me this day of Doc# 98042836 Filed & Reco-rded 02/26/98 12:49:41 P.M. HENRY W. COOK CLERK CIRCUIT COURT Nota Pubil DUVAL COUNTY, FL ry F-L REC. $ 6.00 --1 - otaryAa&H%AER my cornmission CC360476 My commissl4w L3onded by HAI "'411F 8W-422-155-5 CITY OF 4&"40 13 Z. office of Building official REQUEST FOR INSPECTION Permit No. Date A.M. Time PM. Received ity - Job A re s FL owner's� Contractor P ING MECHANICAL RICA CONCRETE ELECT L 'ty Air Cond. & 0 ntractor M PL IN Rough Wiring F- Rough, 7_ Heating Footing C Temp Pole Top Cut D Fire Place Framing E: ;-: Sewer Pre Fab Re Rooting 7- Stab El Final insulation 7- Lintel PECTION M READY FOR INS Wed. Thurs. Friday- Mon. (3TU-s A.M. inspection Made 7- P.M.Final Insp ot upancy Certiticat co Xto C inspector Date DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------- ------- INFOPMATION Address : 388 ELEVENTH STREET permit Number: 15481 A�d re ss . ATLANTIC BEACH7 FLORIDA 32233 Permit Type: SCREEN ENCLOSURE LEGAL DESCRIPTION ---------- ,,lass of WorkADDITION Twp: C Constr , Type :WOOD FRAME TBIock: Lot : Rng* _t1or Proposed Use! SINGLE FAMILY section: 0 Subd- Dwellings : 0 .00 Subdivrision : Est , VRlue: " 2 , 885 - 00 Improv . COst7 Total Fees : 37 . 50 Paid' 37 . 50 - -- -- --- APPLICATION FEES -- --------- -�WNER INFORMATION PERMIT 37 . 50 rName , EDWARD JAMES VANVOORHIS -MIT PEP Addr - 388 ELEVENT'If STREET A t 'Tj TLANTIC BEACH , FLORIDA 3" P v ,". " hone- ; 9 114 '1 2 4 1 8 2 CTCF INFORMATION - ----- -ONTRA_ iT, Name , LIFETIME ENCLOSURES , A d'i r Li_� ! Exp * 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 U AY BY EITHER CONTRACTOR OR OWNER CLEARED UP AND HAULED AW COM S' LIEN LAW CAN RESULT IN f f F"FAILURE TO COMPLY WITH THE MECHANIC ROVEMENTS-5� Tj P OP TY OV THFE PROPERTY OWNER PAYING TWICE FOR BUILDING IMP ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR $37.50 14 'PAC E EANDT BE �ENR E MUS I� SULT E ENTS ED A RDILNGA ROVED PLANS WHICH ARE PP To CCO PL To IS,0 N SOF LAW. SU E PROVISIONS OF LAW. UT-- VIOLATION OF APPLICABLE P 'C CHECkS 601000032218@0 ATLANTIC BEACH BUILDING DEP RTMENT y By: E CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address rs C A e50---x/ Date Heated Square Footage @ $ per sq fit = 8 Garage/Shed C" $_per sq -;:-, = S Carport/Porch t.a S_pp-r sq f t Deck @ ;$_per sq f Patio S per sa ft TOTAL VALUATION : S roff, /S-� 00 Total Valuation 1st $ /000 C) / EFS Oc) % Remaining Value q oc ner thousana Tr Do-rtlion -thereat: TOTAL BUILDING FEE 0 + .I .L Filing Fee Fireplaces @ BUILDING PERMIT FEE S— SP-To- WATER IMPACT FEE $ SEWER IMPACT FEE S WATER METER/TAP CAPITAL !MPROVEMENr1L' SEWER TAP 1, RADCN HRS ) C05-0 S— SECTION H PAVING ( $—— HYDRAULIC SHARES S— CROSS CONNECTION $— ) SURCHARGE . 0050 8 6 OTHER $ GRAND TOTAL DUE P F0 ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp : SwimminaPool Septic Tank Well Sign—Finish Floor Elevation Survey Other— CALCULATIONS and/ or NOTES : RECEIVED OCT 3 997 City of Atlantic Beach CITY OF ATLANTIC BEACH Building and Zoning PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : lrc� 16/v Yolork-5 Address : 299 //""1' L61 LIZ ---Phone : Lot # �0-39 Block or Unit # S ub d i v i s i o n: 'A 4 Contractor : Llgc�LZ-lmg llkd�,51,11 Al c' State License Address : AAL� AYVILS Jax P Phone No: �91-5510 Describe work to be done: scce-e-n Aoovy--) Present use of building: Valuation of Proposed Construction: Proposed use: Is this an addition? b,V-�L If yes , what are the dimensions of Will the added area the added space : IF 7-�—ft - X /2 ft - be heated and cooled? New electrical (or increase)? New plumbing fixtures?j// Now Beat/AC? j_ New fireplace?_�/—A 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: zez� Date: Signature CONTRACTOR: X\ License Supplied: Liability Insurance: Worker's Compensation Insurance: LIFE E Tj !1N LC October 24, 1997 Mr. Don Ford Atlantic Beach City Hall 800 Seminole Road Atlantic Beach, FL 32233 Dear Mr. Ford: Please find attached eight pages, consisting of engineerin Vanvoorhis permit. Hopefully, this will allow you to approve th You already have the permit application. Thank you for your assistance and cooperation in this regard. If you have any further questions regarding this permit, please call me at 731-5580. Sincerely, &'X'4Vr Terry Connolly Att. RECEIVED OPT 2 4 1997 City of Atlantic Beach Building and Zoning 8629-3 Philips Highway * Jacksonville, Florida 32256 e (904) 731-5580 J.1�1 ju I MAP SHOWING SURVEY OF LOT 41 -r ki I. Wea--T 11-2 OF LOT 34 5L04-K 13 -5UQQijIS1okj ' A- ATLAw'Tic BgAc�4 AS RECORDED IN PLAT BOOK 5 'PAGE Lol OF THE CURRENT PUBLIC RECORDS OF E>UVAL- COUNTY, FLORIDA E- LF—Vf=— K17� 577—E- E-T 16to&j P11pr. oc� ri. kZQ*j PIPIE 0 APPROVED CITY OF ATLANTIC BEACH 0,0 BUILDING OFFICE OCT '"' 9 1997 YL 19 -Z 14--Z vi U, mA50QQy 3.3 IZES. 16 Z9.<>' 0 WWI otloivc 8.3 9) ----.-.-44-.0 6 U) LoT 45 W 14.4 a- GO 6 L OT 3-1 0 Z 0 .4 U a. LO 'T H E E AST E� x 4. i. 0 t5 :D I's LO E4 w U E. 0< w cr e E� 0 Z 0 0 �' 0 0 0 C W O;c L) X 4 w ALL. FEU�V'-E'> = Old f- i� C Z ALL-- NOTF-S: Lo-T -44 Maw PIFIE L o'T 4-Z LO-T qo LOT 1. This is a boundary survey. 2. Flood zone 4 as best ascertained from Flood Insurance Rate Map, comunity panel no.1-ZQ0-j-,-CK-'-4mdated 4-j-j-,a-j Lawrence E. Bennett, P.E. CIVIL ENGINEER - DEVELOPMENT CONSULTANT P.O. BOX 4368 SOUTH DAYTONA, FL 32121 TELEPHONE 1-904-767-4774 FAX 1-904-767-6556 1.) ENGINEERING PRINCIPLES AND ASSUMPTIONS This manual was prepared to select the various structural component parts of Aluminum Speciality Structures. The manual is applicable to any building code that has the same wind load and/or dead load plus live load as the Standard Building Code 1994 edition. The following is the designers interpretation of said code, All values assume a mean roof height of 0- 15'. TABLE 1: WIND VELOCITY / PRESSURE TABLE WIND VELOCITY WIND LOAD (# Sq. Ft) 102 MPH 21 #/SF 110 MPH 25#1SF 120 MPH 29 #/SF Unless local codes require a specific wind velocity load, this designer selects a wind load of 110 MPH for the coastal areas of North & Central Florida South to Lake Okeechobee and 25 miles inland. For the inland areas perviously described, a 95 MPH wind load is selected. For the area from Lake Okeechobee South a wind velocity load of 120 MPH is selected. All tables furnished are for extrusions most common to this area and available to contractors and suppliers. The aluminum alloy that all suppliers and contractors should specify when ordering is shown in the applicable tables. If your area building department allows 100 MPH design then multiply the span of the 102 MPH wind load spans by 1.03 to obtain the 100 MPH span. If your area building department allows 95 MPH design then multiply the span of the 102 MPH wind load spans by 1.08 to obtain the 100 MPH span. Wind loads for screened surfaces are the same for all wind conditions. DESIGN LOAD REQUIREMENTS TABLE 1606.213 STANDARD BUILDING CODE 1994 WORST CASE LOAD Roof slope 0 < a < 200 (Minus coefficients = Uplift load) BUILDING CONDITION WALLS+ WALLS+ ROOFS+ ROOF- ENCLOSED BUILDINGS -0.95 NONE -1.4 OPEN BUILDING NONE NONE NONE -0.8 The below listed loads reflect the worst case load condition for the coefficients listed above. TABLE 2: DESIGN LIVE WIND VELOCITY LOADS STRUCTURE TYPE VELOCITY (MPH) LOAD IN # SQ. FT. SCREEN ROOF ALL +/- 7 SCREEN WALLS ALL +/- 13 VELOCITY (MPH) SOLID ROOF SOLID WALLS1 GLASS ROOMS (ENCLOSED) 102 -29/+20* -19/+22- Denotes minimum live load 110 -35/+20* -24/+28* 120 --41/+20* -28/+32* SCREENIVINYL ROOMS AND 102 -17 N/A ATTACHED / FREESTANDING CARPORTS 110 -20 N/A A. SOLID-ROOF ______12_0 -23 N/A 1)All calculations for beams and upright assumes a rigid connections at the point the two members are joined as well as splices. For connection details see corresponding drawings. 2) When converting a Screen Room to a Glass Room the adequacy of the roof member must be checked against the appropriate Glass Room roof table. For Screen Rooms that are to be converted later it is recommended that the Glass Room roof tables be used initially. 3)Design Load for screen roof and walls are based upon 20/20 mesh screen. 4) Snow loads on roofs; Beams and uprights are calculated in accordance with SBC and BOCA requirements and conditions and the following conversions to wind loads allow the manual user to select the appropriate members for the required snow load using the win and walk-on loads. 5) The snow load conversion relates to an attached or free standing building. The attached building must be on the sloping side of roof and/or less than 12"vertically from the roof projection. All attached structures not meeting these criteria must have special engineering considerations and/or design. The following are the definitions of building conditions. Open Buildings - Carports, screen or vinyl enclosures with solid roofs. Enclosed Buildings - Glass rooms Snow Load Design Formula is: Pf= Ce x I x Pg Where: Pf= Design snow load Ce = Snow exposure factor 0.07 1 = Importance factor Pg = 50 Year recurrence ground snow load Ce x 1 0.56 WIND TO SNOW LOAD CONVERSION TABLE 50 YR. SNOW LOAD DESIGN SNOW LOAD!EQUIVALENT WIND LOAD! BUILDING CONDITION 5 -25#/Sq. Ft. 3-15#Sq. Ft. 120 M.P.H. OPEN BUILDING UILDING 26 - 30#/Sq. Ft. 15 - 17# Sq. Ft. 1 110 M.P.H. OPEN B 31 - 35#/Sq. Ft. 17 - 19# Sq. Ft. 120 M.P.H. OPEN BUILDING 36 -60#/Sq. Ft. 19 -34# Sq. Ft. 110 M.P.H. ENCLOSED BUILDING 61 -70#/Sq. Ft. 34 - 39# Sq. Ft. 120 M.P.H. ENCLOSED BUILDING SECTION 3 SCREEN, VINYL & GLASS ROOMS Table 3.1.1: Allowable Beam Spans - Hollow Extrusions for Screen and/or Vinyl [Open] Rooms with Solid Roofs Aluminum Alloy 6063 T-6 116- 1-25 MPH 140 MPH 7 A ii-01 Load 17#/Sq. Ft. 20#I Ft. 23#_1 Sq. Ft. 26#I Sq. Ft. 32# Sq. Ft. _ -id W R0 Lo wth 298 x 19'xi 51 64" 5'-10" 6-6 6-210 4-8 5'-10" 5'4'0 1 5'-0" 4'-8-0 4'-3" 61 1 76 5'-5" -W--8" 4-4- X-1 1" 8, 1-01, i 4--81' i 4'-4" 3'-8" 5 99 A 4'-5" 4'-1 T-10" S-6 10, 4'-2" X-10" i 3-4- X-3 ill 4'-4" X-11" 3'-8" T-611 3-2" 12' --4--V 3-4- T-6" 3-4- Z-11" Load Width— 2"-X 3"x 0.050"Tilt Beam or 2"x 3"x 0.050" 8'-9" 8'-0" T-6" 6-4- 61 T-1 r T, 6-fo 6-5" 51-10" 714" 6-4- 6-11" 5'-4'# 6-41- r 5'-f V 1 5-7" 6-0" —5--f 5'-7" 5'-Y 4'-91- 8.. 6'-2" 5'- 5'-4" 4--11" 4--6-0 6-5" 5'-1- 4'-9t' 4' 10" 12' 5'-7" 5'-2" 4'-7" 4--1 Load Width 2"i 3 X 6 70" 9,4�' 8-Tf T-7" 61 91-6-t 81-91' 8'-2" 7'-8" 6-11" 11 79 8'-9' 8--1 7'-6" 7'-1 6-5 89 81-2t' 6-8" 6-11" 99 6%8" 6-4- 5'-8" T-9" 10, 71-4" 51-91, 6-4- 6-11" 61--511 6-4- 5'-1 5, 4'-11 Load Width r x 4"x 066-0�'rilit Beam or--2"x 0 x- g -- - , - ---- 7,-gi- i----�--8-4- . 7'-101# 7'-1" 71-9" 7'-3" 6-7" -- 7'-Y 6-10" 8- 71-41- 6--10" 6'-5t' 6-11" 6'--I- T-2" 5'-Y IT 6i-1 of,- 64" 51-71' 5-0" Example: For 2" x 2" x 0.044" Extrusion beam span is distance between uprights: to enter table roof panel projection of 14'-0" find !cad width*, L.W. = 14'/2 + 2' O.H. = 9' Enter table on left under load width. Lcad Width = 9'-0" and read span ur-,der appropriate load', Live Load @ 17 #/ Sq.Ft. / 102 M.P H. Load Beam Span 4' - 9':--7 Note: Tables assume extrusion oriented with longer extrusion dimension parallel to applied load. Lawrence E. Bennett, P.E. aV11L 040MER - DEVELCPW90T CO\MLTANT P-0. BOX 43M SOUTH DAYTONA, FL 32121 TELEPHONE (904) 787-4T74 FAX (904) 767-8-5-58 SEA.L. PAGE C0PYFUGHT 1997 70 NOT TO BE REPRODUCED IN WHOLE OR IN PART WM40UT TI-E WRMTEN POMSSION OF LAWRENCE E. BENNM, PE- SCREEN, VINYL & GLASS ROOMS SECTION 3 Table 3.2: Allowable Post/Upright Heights for Screen, Vinyl and Glass Rooms, Hollow, Snap and Self-Mating Extrusions Aluminum Alloy 6063 T-6 Extrusions Load Width= Post/Upright S ng Hollow Sections 36" 42" 48" 54" - _60* 66" 1 72" j 71 90" Allowable Height"H"[Span] 2"x 2"x 0.044" T-1 0" T-3" 6-10" 6'-5" 6'-l" 6-10" 5'-7" 1 5940 5'-2" 141-11" 8' '-.5"_T—T-11' 161-10" 6'-T' 3"x 2"x 0.050" 10'-5" ! 9'-8" : 9'-01' 8-6 -111 T-91 7 1 1 .-T 2"x 3"x 0.050" 9 T-11" 1 T-13" T-4" 7 11'-3" 10-5'# 9'-9 '-2" 8'-9'r 8'-4" 3"x 2"x 0.070" 111-901 10*-2" g'-7" 9--l" 8'-8" r-4" T-5" 2"x 4"x 0.050" 14'-1 13'-0" 12'-2" 1 V-6" 10'-11 10'-4" 9'-11" 9'-7" 9'-2" Note: Screen splines on 3"side-extrusion turned w/3"side parallel to sole plate. Load Width = Post/Upright Spacing Snap Sections 36" -! 42" : 48" 1 54" 1 60" � 66" 72" 1 78" 84" 90" 1 Allowable Height"H" [Span] 7' 7' '-10" _2" x 2" x 0.044" 9 3 8'-7 8-0 -7' -2" 6-10" 6'-6" 6'-3@1 614. 5 2.1 x 3" x 0.045" 12'-241 11-4- 10'-6" 9'-11" 9'-5" 81-11#1 8'-7" 8-41 T-1111 71-8" 2"x 4" x 0.045" 15'-3" 14'-l" 13'-3" 12'-5" 1 V-1 0" 1 V-3" 10'-9" 10'-4" 9'-11 91-81, Load Width = Post/Upright Spacing Self-Mating Sections 36" 42" 48" 54" 1 6019 6681 1 7281 1 7811 84@8 go. Allowable Height"H" [Span] J"_x 4"x 0.d56'*x_0.1_2'_'___ 17'-11"! 16'-8" 15'-7" 14'-8" 113'-11"� 13'-4" 12'-9" 12'-3" 11-4- 11'-51' f " ;15--1 0� -2*'x 6"x 0.055"x 0.12" �24'-11": 23'-2" 21'-8" 20' 51' 19'-4" 1 18'-5" 1 17-811 161-11" 16-4 2"x 7"x 0.062"x 0.12" 27'-4" 254" 23'-8" 22'-4" 21'-9" )n,- 1 1 s- 2 0-4 11"' 17'-4" 1 36-2" 331-61f 31'-4#' 2"x 8"x 0.072"x 0.224" 29'-6" 28'-0" 26'-8" 25'-7" 24'-700 23'-811 !22'-10" 32--g" 31'-l" 29'-8" 1 28'-5" 3" 26'-3" 25'-5- 2"x 9"x 0.070"x 0.224" 40'-2" 37'-2" 34'-g 27'- 2"x 9"x 0.070"x 0.310" 44'-8" 41'-4" _38_'-8" _1�36-5" 1 34'-7t' �32'-11"l 31'-7" 30'-4" 29'41 28'-3" Maximum chair riff s-pacing is 6'-8" o.c. Thus with chair rail @ 2'-6"the maximum wall height without additional chair rail is 9'-2'*. Notes: Glass Rooms; The addition of aluminum frame windows with glass panes that are designed to 110 M.P.H. wind load requirements to the above upright sizes increases the strength so that additional framing is not required. Using screen panel width "W'(See typical glass room drawing.), select upright required from the maximum height allowed for each extrusion. Lawrence E. Bennett, P.E. CIVL 8"&ER - DEVELOPNENT CO&SUTANT P.O. BOX 4368, SOLITH DAYTONA, FL 32M TELEPHONE (90-4) 767-4T74 FAX (904) 767-85M SEAL PAGr= COPYPJGFfT 1997 NOT TO BE REPRODUCED IN W1-*3LE OR IN PART MTHOUT THE WRfTTEN PERW-9bON OF LAWPINCE E BEM&-TT, RE 75 SECTION 7 SOLID ROOF PANEL PRODUCTS 48" FOAM 10# DENSrry E-P.S. ALUMINUM 3105 H-14 OR H-25 ALLOY PATENT 4,769,963 AND 5,086,599 SNAP N - LOCK PANEL Table 7.7.1: Allowable Spans for Composite Roof Panel Products for Various Loads Manufacturers Proprietary Products: 3" x 48" x-0.01-9"-Panels Open B Enclosed Buildings Wind Applied Overhang Condition Wind Applied __ Overhang Condition Region Load NONE V-0" 2'-0" . 3'-0" Region Load NONE V-13" 2'-0" 3'.0" ---H - -7-- 102 M.P.H. 29 ill-loll il'-11" 12'-6" 13'-3" 102 M.P. 17 15'-5" 15'-7" i!i�-�17'--fiS-7- - �0 14'-3" -15'-5" 110 M.P.H. 35 lo,-9,, 101-11" ll'-6- 12'.4" 23 13'-3" j�o M.P.H. 41 9--1 1" 10'4" lo'-8- ll--7- 1 0 3'- -26 12--b" 17-81 125 M.P.H. 45 9'-6" 91-8" 10'-3- ll'-3" -9;F -j 6�5- j-jT-j i-w— �F-§w—U-0 M 0 H --3W—x4-8"—x0.0-i4-'�-Pa—nels Enclosed Buildings Builcrings --W7in-d--- Applied Overhang Condition Wind Applied Overhang Con ition Region Load NONE 1.-0.. 2'-D" 3'.0" Region Load NONE 1*-0*' 2'.0"--- -3.'-0" 17'-4" 17'-5" 17'-9" 18'-4" 102 M.P.H. 17 102 M.0 H.- _Z9 13'-�� F .13'-10" 14'-7" 110 M.P.H. 20 16'-5" 1 TA 110 M.P.H. 35 17-l" 12'-3*' 12'-8" IT-6" 120 M.P.H. 23 14'-10" 15'-0" 15-5" 16'-0" 120 M.P.H. 41 1 V-2" il'-4" il'-10" 17-8" 125 M.P.H. 26 13'-11" 14'-2" 14'-7" 15'-3" 125 M.P.H. 45 lo,-e,, lo'-10" 12'-3" 140 M.P.H. 32 12'-7" 17-9- 13'-F U6 W.P.H. 56 3'* x 48" x 0.030" Panels Open Buildings Enclosed_BuHdipRs Wind Applied Overhaq_q Condition Wind Applied Overh��ComCft�ion V-0" 2'-0" Re Region Load NONE gion Load NONE - 29 1,4—' 102 M.P.H. 17 1 g'-4" 19'-5" 1 g'-g*' 20'-3" 102 M.P.H. 110RA.P.H. 20 17--1 0" - 17-11" 16-4' 11110 M.P.H. jS 13'-5. 13'-7" 14'-0- 14--g- 23 16'-7" 16'-9" 120 M.P.H. --41 --12'-5" 12'-7" -13'-1" 0. 1-25 If Vk. 45 il'-10" i 12'-0" 12'-6" 125 M.P.H. i 26 15'-7" 15'-9" 16--1" 16-9 -f4—0M.0.H 32 14'-l" . 14'-3" 14'8" 15'-4" 140 M.P.H. 56 07:FT10'-10" ll'-4- 17-3 Note: Total roof panel width = room width plus wall width plus overhang. Lawrence E. Bennett, P.E. STRUCTALL CrV1- 0"4EER - DEVELOP&EWT CONSLI-TAN'T =�ILOI- .---- 1 P.O. BOX 4368, SOUTH DAYTONk FL 32121 350 BURBANK, OLDSMAR, FL 34677-4906 TELEPHOW (004) 7137-4774 LOCAL (813) 855-2627 F,kX (904) 767-8556 NATIONWIDE '�-800-969-37D6 SEAL FAX (813) 854-2802 PAGE CC) COPYRIGHT 1997 132 NOT TO BE REPRODUCED IN V&iOLE OR F4 PART VM+KYJT TI-E VIRMTEN PERMISSION OF LAYIRENCE E. BEN�JET7, P.E :1)--1 0 ZO CD j. 9� 0 0, CD 0 0 (D CD 3 CD (D Q 0 CD a CL :3 z r- C) C, cr D Cl U) ,n cn-n 0 El 0 o CD 'o 0 rn 4 rn D :0 CMI) m -4 o m In CD o r 3 r rn CD 0 0 �l 2% 0 C) :3 US (a 0) Cf) 0 T 10 = rn m DOD o 0 . 0ca ?0 CD 0 U3 CD C) 0 0 000 ID 011- rS, ti ftki aria I—.JWW* ('Pou"emefil md in Cu The maderw4ned bareby allamw You IbAt AmPftv&MMW WU' be 81&4* S& asn" "&' PMW'Y' "cw"n" with secum 713.W Ot kW fibri" "$W" LM SGARWAA or GGALWANC946SUT. Dugmum Qt Owns: --------- ea Qwmrs of W* imProvelmat y" C—ni., Uut how" L41 Gum U" owma) ....................... &MIM —---------- (it my) at boad Awddr*U n"aAr4a wan im aw Nam A4"*" ........ —------------ ........ NOW of Pa" WmhLA thg $&m of FWA" WAN two imm� dp ip awaa "Y" whom Who AwAn'so may ks urved. Nam ----—-- py at a to rM61" a In 84dluaft W hmmell. owner 4"Wnsm th prov"d &A swum 113j* Lai tol. vi"i" b.&O'S& OW I& GwvW opuelpl). ---------—------------ ----------------------- -I ogle dwh"PM All,"MO&A-9 Qft6v swam to MA slbw" Pg: P-439 q7 Doc# 97207040 Filed & Recorded 09/15/97 04:10;19 P.M. HENRY W. COOK CLERK CIRCUIT COURT blowy DUVAL COUNTY, FL REC. $ 6.00 ALTHEA AL13FRT —r-(-,Bl 15Ai my comnvas 26.1 PSR 3844 15087 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION Permit Number : 15087 ;ddress : 388 ELEVENTH STREET Permit Type:MECHANICAL ATLANTIC BEACH , FLORIDA 32233 ,-'lass of Work:ALTERATION ---------- LEGAL DESCRIPTION --------- Constr . Type:WOOD FRAME Block- Lot ; Twp: Proposed Use: SINGLE FAMILY Section: 43 Subd, Rng* r Dwellings : 0 Subdivision: Est . Value: 0 . 00 Improv , Cost : 0 � 00 Total Fees : 37 , 00 Amount Paid: 37 .00 p A T P W N Y PR OWNEP INFORMP�j.'ION APPLICATION FEES ---------- - Name: EDWARD JAMES VANVOORHIS PERMIT 0,r% �jdr : -(P-8 ELEVENTH STREET ATLANTIC BEACH , FLORIDA 32233 Phone: 904 ', 241--8082, I-- - --- "r) .._NTRA;-.',TOR' INFORMATION Name: FLORIDA WEATHER INC - ;ddr: 20 SEMINOLE ROAD ATLANTIC' BEACH , FLORIDA L C A;2,0 21()2,3 0 Exp: Type, 7 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.99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: BUILDING AND ZONING INSPECTION DIYISION CITY OF ATLANTIC BEACH ATLANTIC. REACH, FLOR10A 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IKAPORTANT Applicant to Con)PIefe all Items in sections 1, 11, 111, and IV. 01� )y— LOCATION OF WILDING Su6 11. IDENTIFICATION To be completed by all applicants in cans,de,af�o� OF pe—t qi�en la,f do;,,(j the —0'k at de�c'ibed in fine abc�e slateme-I -e hereby dqfeo to perform taid ofk in acco,da.c with the attactLed Pldns ond specifications hich ate a pAti hereof a m d ;r, 6cco,danre —Iii the C'11Y Of J66sonvifle orchnances "d stanularde of good in,actirs i4led lkefe;n. Name of Mechanical Contractors Contyacfor (Prim Mato at — Name of Propqr4 Signature of Cl.nsr -IignaOure of br Aulhor4ad Agent ArchiNct at Engineer Ill. GfNKAL INFORMATION A. Type of heefimg hirsk 3,. Electric 15 OTHER CONSTRUCTION BEIN15 DONE ON THIS BUILDING OR SITE 7 0 Gas—0 LP 0 Natural r] Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 0 Oil PERMI T [3 Other — Specify IV. MICHANICAL EQUIPMENT TO IF INSTALLED NATURE OF WORK (Pra�vida;complete list of components on 6ack of this farml Residential or Commercial at D SPOC41 11 Itocess" fb Central 0 Floor L) New Building Conditioning; 0 Room KC#nfral El Existing Building 19,Replacement of existing system (3 NO System; Met"L--- mckness- 14164imunn, capacity t1nm' New installation(No system proylously Installed) 13 Rafrigat,ittioti L-1 Extonsion or add on to existing system EJ Other — Specify Cooling tower: Capacity 9-p-m- Fire spAnilon: Num6or of heads--- C1 FI&VAlof Cl memliff 0 6c*lafar—Imwm6*r) THIS SPACE, FOR OFFICE, 'USE ONLY Gasoline pvmps Inumber) Ts,"lt%.—(nvmn6#0 Ej LPG coAttsims (numnloat) [I Unfired ptvssyry youej 0 lailon Pertnit Approved by-- Date— b Other — Sp9cify Permit I*& LIST ALL EQUIPMENT AJR CONDITIONING AND REFRIGERATION EQUIPMENT C:�Lpadty Apprervilng -Number UnIts Deacrilption Model Number Manufacturer (Tons) ASeney HEATING - FURNACES, BOILERS, FIREPLACES Number Urdtz Capacity Approvitnig P!=rlption Mood Number manufacturter (111m) ACMCY 41-1 57; TANKS How Many Nominal capacIty Type LAquid Name of Ap);Ving and Lftensiona Contained Manufacturer No. ncy CMI' &UZ& office of Building Official REQUEST FOR INSPECTION /9— 9�. Permit No. Date Time 3 C) Received — RM. L ality Job Add Owner's Contractor Name PLUMBIN MECHANICAL BUILDING CONCRETE ELECTRICAL 0 Rough Wiring F Rough E Air Cond. & Framing D Fooling L Heating Re Roofing 0 Slab 0 Tem�Pole F� Top Out Fire Place Insulation 17. Lintel 17 Final - Sewer Pre Fab READY FOR INSPECTION A.M. Mon Wed. Thurs. Friday A.M inspection Made Fmal inspection Inspector— Certificate ot Occupancy L— Date PSR-3844 12428 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION -- ------ LOCATION INFORMATION ------ Permit Number: 12428 Address : 389 ELEVENTH STREET Permit Type: REMODELING ATLANTIC BEACH FLORIDA 32233 Class of Work:ALTERATION -------- LEGAL DESCRIPTION ---------- Constr . Type:WOOD FRAME Block: Lot ,, Twp: 0 Proposed Use: SINGLE FAMILY �--'ection: 0 Subd* Rng: 0 Dwellings : 0 Subdivision : Est . Value: 0 . 00 Improv . Cost : 7 , 817 . 50 Total Fe" 195 .00 Amount V- 19-s . 00 T% ra nn RATRRn(*\M PFR PT.ANI; HRP ?qr, -1P7NFF INFOFMATION APPLICATION FEES ---------- Name�: EDWARD JAMES VANVOORHIS PERMIT 75 .00 Addr! ELEVENTH STREET WATER TMPACT FEE 120 , 00 7,TLANTI M,,-- BZACA,�'. FLORIDA 3,2 2 - 6-1-b T R TOFORMAT Name: PROPERTt--�-VWNER Exp : NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE VRe BUILDINJ MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEAREtf UllitAND 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 IMPROVEMENTS91 $75.0014 ISSUED ACCQ,&9DING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANEDiaW:BJ&W%D8IREVO1W1Q0FM VIOLATION ICAPPLICABLE PROVISIONS OF LAW. CASH ATLANTIC BEACH BUILDING DEPARTMENT By: ----------------- FLA 11167 L^W2 PS 713-13 T RANCO rofthl 400 IN &jr "an-6-4k of Cann"n'trurrmrnt 4PMKPAR9 IN OUPLICATC) The undersigned hereby informs all concerned that improvements will be made to certaln real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property...... ...... ... ................................................................... .............................................................................................................................................................................................................................. .............................................................................................................................................................................................................................. ......................................................................................................................................................................................................................... General description of impro 'JA .......... .................... 4... ..........)...... ........ ...... J,( -11---�'-....�). ......C/QaL............................... ........................................ ......... 1z, ............................................... Owner hdtW.. ........... e�D.............. . .............................. ......... ....... .......i."- ad Owner's irderest in Me of the improvement Fee Simple Title holder (if other than owner) Name . ............................................................................................................................................................................................................................... Address.................................. ..................................................................................................................................................................................... Contractor...... ...... ... ... ............... .. .... . ......... .. ..... Addres&...... ............ ....... .................. SuretY (if any)........................... Addrou ............................. .............................................................................................Amount of bond $................................ Name Of Person wAin the State of Florida designated by owner upon w bo served, hom notices or othw docurnents may Name ............. ................................................................. ................................................................................................................................................. ................................................ In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name............................................................................................................................................................................................................................ Address THIS SPACX poft RXCOMOCR.0 USK ONLY ........ I......... ....... ................................................................. ownw VS-16 3 o 0 t-0 rv*,_ Sworn to and subscri6d before, me gig......... ..................... ........................... r... ....................... U My COMMISSION#CC50,5443 EXPILE-1 JR ":=: r JP�Lo�,r 25,lsja RONDEQ MMI'r�,)y FAIN 1NSUPW.A.E.JNL; CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address-- Date-2 Heated Square Footage -Oper sq f t = $ @ Garage/Shed 'per sq ft = $ Carport/Porch —per sq ft = $ Deck @ $1,per sq tt = $_ Patio @ $ per sq ft = $ TOTAL VALUAT10N : $ -TF1 T cA-) $ Total Valuation 1st $ 400 &1 -7, �7, T I- C-1) - $ 3S Remaining Value $5.- per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ,�.) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE -2-S-tg WATER IMPACT FEE $— SEWER IMPACT FEF $ WATER METER/TAP CAPITAL IMPROVEMENT SEWER TAP ) RADON (HRS ) .0050 SECTION H PAVING ( HYDRAULIC SHARES $ CROSS CONNECTION $ ) SURCHARGE . 0050 OTHER $ 5 , GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES : Mechanical_; Plumbing Electric/New Electric/Temp_; SwimmingPool Septic Tank Well---; Sign._Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Tmpact 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 & BATH (8) TUB OR SHOWER STALL (6) 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) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF KITCHEN SINK (2) FAUCETS (2) DENTAL LAVATORY (1) KITCHMi SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET- URINAL STALL, WASHOUT (4) USHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL. PEDESTAL, SYPHON JET DRINKING FOUNTAIN (112) BLOWOUT (2) VATORY, BARBER/BEAUTY ICE MAKER (112) SHOP (2) __�SURGEONS SINK (3) LAVATORY, SURGEONS (2) UJACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS cr $20.00 EACH $ 00 2_0 JOB INFORMATION-3 F A LJG 5 1996� , D CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS oPu�&&",&ning DEMOLITIONS Owner(s) : �:-Au �nrA 76M C4 VK)Vj tf 00 ,-7 Addres I s : L? Phone: 9-50-p��2- W t/2- Lot # Block or Unit # Subdivision: Contractor:� State License A d d r e s s �Ph o n�eN o�. Describe work to be done: [ATM aZ 42� P,1QQ - 6AT-jZcbJ Present use of building: Valuation of Proposed Construction: Proposed use: L� is this an addition?__-/� 0 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)? New plumbing fixtures? no New fireplace? fio New Heat/AC? SUBMIT -MENGS COMPLETE SETS-OF PLANS, INCLUDING S125_PL&N, SURVEY , ENERGY CODE FORMS, NOTI9j_0-F--00-7W4ENCEMENT, AND OWNER/CONTRACTOR 'AFFMA-VIT, IF 0 NER IS CONTRA-C-T-0R-.-- Signature OWNER': Signature CONTRACTOR: License Supplied: Liability Insurance: Worker' s Compensation Insurance:,W,'?-- -,�0 - 7,�/- 6-/ FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-93 Residential Limited Applications Prescriptive Method C NORTH 1 2 Small Additions and Renovations Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-93 for additions of 600 square feet or less.ste-installed components of manufactured homes,and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 60OB-93 or 60OA-93. PROJECT NAME: 4/1,, i,�,, BUILDER: -'VJ.4 AND ADDRESS: S�eg //L- 5-,' PERMITTING CLIMATE V' la /:!r,-4 .4C OFFICE: /r, ZONE: 1 LL 2 E13 7 OWNER: PERMIT NO.1 JURISDICTION NO.: 6 1( I 1 10 lo 1 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 onlytothe comDonents of the addition,not 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 ofthe 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. Please Print CK 1. Renovation, Addition or Manufactured Home 1 A'c- 2. Single family detached or Multifamily attached 2. S S4� �7c� 3. If Multifamily-No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. S 5. Predominant eave overhang (ft.) 5. 4- 6. Porch overhang length (ft.) 6. /U I ilnr 7. Glass area and type: Single Pane Double Pane a. Clear glass 7a. sq. ft. -sq. ft. b. Tint, film or solar screen 7b. sq. ft. -sq. ft. 8. Percentage of glass to floor area 8. % 9. Floor type and insulation: a. Slab on grade (R-value) 9a. R= sq. ft. b. Wood, raised (R-value) 9b' R= sq. ft. c. Wood, common (R-value) 9C. R= sq. ft. d. Concrete, raised (R-value) 9d. R= sq. ft. e. Concrete, common (R-value) 9e. R= sq. ft. 10. %Mall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 10a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 1 Oa-2 R= -sq. ft. b. Adjacent: 1. Masonry (Insulation R-value) 10b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 1 Ob-2 R= sq. ft. c. Marriage Wails of Multiple Units* (Yes/No) 10C 11. Ceiling type and insulation: a. Under attic (Insulation R-value) 1 la. R= sq. ft. b. Single assembly (insulation R-value) 11 b. R= sq. ft. 12. Cooling system* (Types: central, room unit, package terminal A.C., none) 12. Type: SEER/EER: 13. Heating systel 13. Type: 4- (Types: heat pump, elec.strip, natural gas, L.P. gas, room or PTAC, none) HSPF/COP/AFUE- 7 ,0 14. Air Distribution Systerl a. Backflow damper or single package systel (Yes/No) 14a. b. Ducts on man.age walls adequately sealed* (Yes/No) 14b. 15. Hot water system: 15. Type: (Types:elec., natural gas, other, none) EF: Pertains to manufactured homes with site installed components. I hereby certify that the plans and specifications covered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance compliance with the Ft ldtEnerw ode. with the Florida Energy Code. Before construction is completed.this building will be PREPARED BY: 11, DATE: inspected for compliance in ance witrecti 53.9q,F.S. I hereby ce0yTI1_a�t�7�L&�Iei =1i ".ce with th,04-gdda Energy Code. BUILDING OFFICIAL: Z�c I DATE: _�5 OWNER AGENT: DATE: %Oro 41 &vck /.3 s u a ',q 19 lrl-. )C�L I "k, 6- pi+ere (99 ate P(A& t�uuf". erq f rEll,UFA AUG 5 19 6 4.0-1, 44,-v 1�,. B ilding and Zoning 00 -- -PPROVED OF ATLANTIC OWN I"JUNO MlrfrlClg 5 1996 W I f*trku4 PA RT,w 19 1.1, 44, H W i fibOW 00 To CzL"�b&C.K Room, fto m iPPROVIED' ,---Wmw� OF ATLANTIC emH 'V 4LDING OFFjCE 15 19 dwe At- Ovex-7n fit 2) + liv%frIft.l. P#wvr�wljlu.L� P + 'Sul. + ROOM AA 7V JRO*W &AA WW&O, I-eA e,-e P-* �6 ,44kL- JVM WoUba ,`1-q!Oxl.'V- _At P14cr- fo w I julaw.-ro 040L bftoV. #LL OTP#&A.,. WNk4 -� bod&; CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 Chapter 489, Florida Statutes,Part I "CONMUCTION CONTRACTING"requires Owner/Builder to acknowledge the law: -'IS(' -LOSURE STATEN=for Section 489.103(7),Florida Statutes: State law requires construction to be done by licensed contractors. You have applied for a permit under the exemption to ihat law. The exemption allows you as the owner of your property,to act as your own contractor even though you do not have a .icense. You rimist Mervise the construction yoursel . You may build or improve a one-farnily or two-faily residence or a farm outbuilding You may also build or improve a commercial building at a cost of$25,000 or less. The buildingMU&Lbg_fQLyD1X_QM .=end occupance. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within I iear after the construction is complete,the law will presume ffiat you built it for sale or lease,which is a violatioin of this txernption. You ma not hire an unlicensed person as you contracto . Your construction must be done according to building codes 3nd zoning regulations. h is your responsibility to make sure that people=ployed by you have licenses required by state law and by :0 or municipal licensing ordfriances. Ordinances also allow an Owner to improve thei r o-vmproperty when it isforpersonal orfamily use.and likewise require all work(except maintenance under$2,000)be under a bw1dingpermit andpass all normal inspecbons. The ..;rdinance states owners may physically do work themselves;or ma lure unlicensed workers provided such workers be under 'direct n"rvision ofthe owner,who must be on the iob site at all times while work is inprogress by unlicensed trades wople." This does not allow use ofunlicensed contractors. 31 nce owners&M be kabie far itiftLdes to workers they hire,the Building Department suggests Workees Compensation insurance :,e purchased unless the homeowners insurarice policy clearly protects the Owner. Owners hiring workers become employers and ihould also observe IRS withholding tax and/or Form 1099 requirements on the workers they employ on their improvement work. Unlicensed contractors cannot be=loyed under Owners being subject to$5,000 penalty under Florida Statute ,qo.455.228(l). An'OccWational[Lic es is not adequak. The owner should physically see the county fiCertificate of '�ornpetency'or the Florida'Contractors Certificate'to ascertain if a person is a licensed contractor. Telephone the Building Department(247-5826)if in doubt. I hereby acknowledge that I have read and understand all the above on this 6 day op�7LZ15a I 99� 4-7 *itness.Buildidg Dept.Employee Owner/Buifder 2 V" Address 40TE: Phrases underlined above tre emphasized by the Building Phone )epartment- PSR-3844 12784 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATI:_�N ------- LOCATION INFORMATION Permit Number: 12784 �,ddress : 388 ELEVENTH STREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 "lass of Work:ALTERATION - --------- LEGAL DESCRIPTION --------- Constr . Type:WOOD FRAME Block: Lot : Twp : Proposed Use : SINGLE FAMILY Section : 0 Subd: Rnq : Dwellinas : 0 Subdivision: Est . Value: 0 . 00 improv. Cost : 0 . 00 Total Fe 25 . 00 s Amount 25 . 00 TEM IDIWNER T_NFOI�MATION APPLICATION FEES Namel,,Ove. E01WARD 1P.MES VANVOORHIS PE"TT 25 - 0-0 Addr: ' �- - ELEVI�NTh STREET A,TLA FLORIDA 3�2_ Phon,e_- 9 0 41'2,�A V-0 48 2 ------ ?R,7,i C'.t% . I XFORMAT I,.- lame : GRXN FAP-G LAtDSCAPEA- Add-r- 01-4-4 gw-qwN4,E UTH11 JACKSON N BEACH , FL 32254 L i Exp : . . ......... T v:F4 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 IMPROVEMENTS55 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCIIJ �?p FQR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 14 Date: 10/21/96 01 Receipt: 0006411 UHLUKS 00100003221060 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: /S cz PLUMBING CONTRACTOR: a (:�, CONTRACTOR'S ADDRESS: STATE LICENSE NUMBER.f 2& Y 2241 TELEPHONE: HOW MAOY OF THE FOLLOWING FIXTURES INSTALLED —SINKS SHOWERS —LAVATORIES WATER HEATERS —BATH TUBS DISHWASHERS —URINALS DISPOSALS —CLOSETS WASHING MACHINES —FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACW_R: ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 4-47-5834. PSR-3844 12521 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION --- LOCATION INFORMATION Permit Number: 12521 Address : 388 ELEVENTH STREET Permit Type : ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 --lass of Work:NEW --------- LEGAL DESCRIPTION ----------- Constr. Type:WOOD FRAME Block: Lot : Twp : Proposed Use: SINGLE FAMILY 3ection: 0 Subd: Rng : Dwellings : 0 Subdivision: Est . Value: 0 . 00 Improv. Cost : 0 ,00 Total Fees ! 35 , 00 Amount Pe. 35 . 00 la-2 ! a ,TNr, Pnni JWNEF !NF�-�FMATION APPLICATION FEES Name. EDWARD. VA14VOORHIS PERMIT ELEV_.NT1U.-'1 TREET 7,_TLANTIC-t� FLORIDA 3 21-2 J` 4 J3." 8'0 8 - :)NTRI R INFORMATION Name - ALLPHASE ELECTRIC OF -0 . 171TS4 Addr-, P. JACKSONVILLE FLORIDA 32241 t4 Exp: �A� MW Ail 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" _1qSUFn_ACGOBQ�ING-�O APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR CITY OF ATLANTIC BEACH, FLORIDA Approv*d by APPLICATION FOR ELECTRICAL PERMIT I L 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 OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNLYMM �4� � acv -5?_3 6 q -,3me NAME. Opt�"__Jf n ADDRESS: -7 RFD BOX— , 4��7 4 U a �) V o 777T ?-, BLDG.SIZE —BETWEEN:, RES. (--K' APT. I comm. ( I PUBLIC ( I INDUS. NEW OLD REW. ADDITION TRAILER TEMPA SIGNS --.--SQ. FT. SERVICE: NEW I I INCREASE ( I REPAIR FEE CONDUCTOR SIZE AMPS COPPER ALUMJ SWITCH OR BREAKER AMPS PH W _ VOLT RACEWAY EXIST.SERV.SIZE AMPS PH IN VOLT RACEWAY FEEDERS NO. SIZE INO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALEDI OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS, 31-100 A PS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0-10ZT-AMPK�T APPLIANCES L I BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVIR MOTORS H.P. VOLTAGE PHS NO, I H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA 11NO. IKVA NO. NEON TRANSF. �O. MOTOR SIZE SWI CH FLASHER EACH SIGN __T FORWARDED TOTAL FEES o PSR-3844 12277 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION --- ---- LOCATION INFORMATION ------ Permit Number : 12277 -:�ddress : 388 ELEVENTH STREET Permit Type: STORAGE SHED ATLANTIC BEACH , FLORIDA 32233 -lass of Work : SHED ------- LEGAL DESCRIPTION -------- Constr . Type:WOOD FRAME Block: Lot , Twp* Proposed Use: SINGLE FAMILY -)ection: 0 Subd: Rnq : Dwellings : 0 Subdivision: Est . Value: 0 . 00 Improv . Cost : 1 , 500 . 00 Total Feq 30 . 00 Amount PIck'-, ".i� J� 30 .00 FROM FENCE LIN- '�10 ' STORAGE DWTION -- - -------- APPLICATION FEES 30 -00 Name VOORHIS M _,,,,,STREET Addr 38-S I C-, BXA FLORIDA 3 E 24 ----- -- t",0FORMAT T ON ----- Name : PRO�ERTVY Addrt Lic:, Exp * Type ' 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 ILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS79 — -n 14 -D ACCORDINGTO APPROVED PLANSWHICH ARE PART OFTHIS PERMIT A*t9S0,#3tb*O RM�004 3 FOR AON OF APPLICABLE PROVISIONS OF LAW. CASH 003221000 80100 'H BUILDING DEPARTMENT A jt4 33 Oilice 0 -C 'FOR --- Date e Re vVed facto, G Co'd. & 3ob AddreS PJ ' VAeat%n9 Roug Piace 0,Nner's "Ing -fog Out pre r-ab Rougj"Ntf C, Na CotACIRE C, p6e Sev4et r-oofing Final, 100 -D PeCT Ing Stab L:Jntel Fog 114S Re uIat"Orl \Ned P.M.vinaI Inspection Mon te ot Occupancl M P, Inspection ade Date jnsp.ctio Ivv�speclo' CI.T'Y OF Ja ot 13lijilding Otticial otfice jr'01R QUF-S'T Permit No' Date 70 Time 0 ality Received ICAL S MECVjpNjCAL Addre s A & 0 Contractor PV 3,1 G 0, -UMI Cond. & UMS —011 'S 75��l —cxmCAL owner sough Heating Name Cot4CFtETE Rough Wifing 0 TOP Out Fire Place BUILDING 0 Footing pole . Sewer pre Fab P,.M: Framing 0 Slab C Final Be R001ing 0 Lintel READY r-OR mspecnotl Thurs. Insulation \Ned. A.M. 7ues. P.M. Final InsPectiori Mon. ot OccuI)ancy Inspection Made Date Inspector Cl-TY Of i - 01tice of Building Of"C'al T FOR INSPECTION �S3 REQUES Permit No- -9 A-M- Date P. Time Received Localit dress LUMBI MECHANICAL 0 ner s I L Air cond. 8, w ELE Rough Heating Name CONCSETE Iring 0 -TOP out Fire Place BUILDING Ternp Ole 0 Sewer pre Fab Footing 0 Slab Final Framing Lintel Re Rooting INSPECTION FridaY Insulation "Thurs. We TN4�A, 'Tues. A.M. OiO Mon. 7 P.M.Final Inspection ancY Inspection Made Gettificate 01 Oc XV"I r r Date .'1--4 X.4 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: X), 9 ---------------------- -------- --------------------------- ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- Enclosed are the blue copies of the permits. SIN RELY, BUILDIN?INZSPE(CTION DIVISION cc: FILE CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. c)e,0"_�:)(v' T/o 7'-a�'Al ELECTRICAL FIRM. MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME &P5 904)*PD V 0ey'5ADDRESS: —RFD—BOX BLDG.SIZE BETWEEN: RES. (X) APT. ( COMM. PUBLIC INDUS. NEW ( OLDQ) REW. ADDITION ( ) TRAILER ( TEMP. ( SIGNS ( ) SQ. FT. SERVICE: NEW ( INCREASE ( REPAIR FEE CONDUCTOR SIZE- Z'/Xf-_:�_— AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH- -5 W Zy'--VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE 4NO. SIZE SIZE LIGHTING OUTLETS CONCEALED 0 P EON TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS, 1.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0�100 AMPS, OVER BELLTRANSF. APPLIANCES �N:S= AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS--- AMPS CEILHEAT: KW-HEAT OVIR MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAjGE ]r -7 MISCELLANEOUS P-UAI Ij 4S r/ 177 7-7/77 TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA lKVA NO.NEON TRANSF. NO. VA. M Ak. TMO T 06 R� il i E SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : C __tn L Address : Phone : F fke- Vu"-,5r Lot #10�- 229 Block or Unit # 3 Subdivision: r±c &Qck Contractor : qr-41"-�ky-vj cz� State License #_ CfZL - 0-9 6�7n Address :-50w-� -ELO�,f-)5 tiv"q Phone No : a I -e Describe work to be do'ne: I- 7rlok t4 Present use of building:- Valuation of Proposed Construction: 714�166 , !M Proposed use:iLe U� a F- Is this an addition? If yes , what are the dimensions of the added space: 10 ft . x - � C , ft . Will the added area be heated and cooled?-LL— New electrical (or increase)? New Plumbing fixtures?-�— New fireplace? New Heat/AC? SUBMIT T4PdZ COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR . Signature OWNER: �r ,/ -, - - �- x , Date: Signature CONTRACTOR : Date* 4z��X License Supplied : \:I�k "Op Liability Insurance: ej;\o�� Worker 's Compensation Insurance: CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address f- - Date—17 Heated Square Footage @ $_per sq f t $ Garage/Shed @ $_per sq f t Carport/Porch @ $_per sq f t Deck @ $—per sq ft $ Patio @ $_per sq ft $ TOTAL VALUATION : s Soo /5"-0 C) $ a-0 Total 34aluation ist $ 1, e�0 a Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ (5 BUILDING PERMIT FEE $— WATER IMPACT FEE $ (Z5 SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ) RADON (HRS) .0050 $ SECTION H PAVING $ HYDRAULIC SHARES $ CROSS CONNECTION $ SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE s ADDITIONAL PERMITS OR FEES: Mechanical_; Plumbing Electric/New Electric/Temp_; SwimmingPool Septic Tank Well Sign Yinish Floor Elevation Survey Other CALCULATIONS and/or NOTES: Fieir C- C- PE :s;� IIH -0 rn 15 � (-0 x r— 4 Xf �A- 6-r fill co Qo r-4 VZV - 90 zo CA MAP SHOWING SURVEY OF LOT 41 i -rwF, wes-T 112 or LoT 3,q . 5LOCK 13 -51,1501\11110LI ' A" ATLAk)-rIC ESP-Ar-H AS RECORDED IN PLAT BOOK 5 PAGE (001 OF THE CURRENT PUBLIC RECORDS OF E)U\IAL- COUNTY, FLORIDA ELEVeKJ7H 57ZEE-T tAc>* IZJL�J') MONJ p1pli -7 S —4--..- fn 071 , Z S.C><>' Z 15.C>C; Pc��4r> IV_c>w PIPS 0 0 Cowc N DgIve. LU 0 0 AIC 3.) 0 19 -Z 57�p CA I- I'l A's o ki Z y 7-2? 3.3 2 E S. -4- 3 8 ig I's.o' 4 - 8.7, 1 Z9.0 0 WALk( --8.3 L07 45 V, .-I WoQr> 14.4 T Go L 07 3'1 Z E- DEC K 0 D 0 x CL P. I H E E AS'T 4 8.2 1/2: 0 r L 0 7 3q WOT DZ D CfZ w \1 Air. > V� U F-4 X V) V) T Z U) Z 0 0 0 -j -i 93 0 Z 1:m 1L < w C. C ALL. FFL6arES 010 L"P Z-3 2_�' Z E- E- 41 I 1Z I L07 44 1Pw PIPE L o'T 47 L 07 LoT '58 1. This is a boundary survey. 2. Flood zone 4 as best ascertained f rom Flood Insurance Rate Map, comnunity panel no.1200-is-C>C�m D dated 4.1-7-ag I HEREBY CERTIFY TO: Z DUDLE I LH 1 J 0'(C S M. 13ur-i(-I wc-H A 40"MOWWEAL-rW LAmD -TITLE iw5UV-AQCF- Co"PAQ-r C7`4 "OZ7C�A"F- THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT ary M4'igALj TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER 21 HH-6 C. FLORIDA ADMINISTRATION CODE. 2866 MANGROVE AVE. FLORIDA REGISTERED SURVPOR NO,4470 JACKSONVILLE, FLORIDA 32246 Marvin R. Banks (904) 641-2520 S IGwNED t-11 A;Z r-w ICD 19 93 SCALE: I" - zo, THIS SURVEY NOT VAUD UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED PSR-3844 12293 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ---- ------ LOCATION INFORMATION --------- Permit Number: 12293 Address : 388 ELEVENTH STREET Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA 32233 Class of Work:ALTERATION LEGAL DESCRIPTION ---------- Constr . Type :WOOD FRAME Block: Lot : Twp: Proposed Use: SINGILE FAMILY Section : 0 Subd: Rng: Dwellings : 0 Subdivision: Est . Value: 0 . 00 Improv. Cost : 0 . 00 Total Few'x; ,.� 29 .00 A mount 29 .00 "WNER INFORMATION APPLICATION FEES ---------- Name, FDWARD J�dwl-,E,�! I'1ANVOORHIS ERMIT 29.00 Addr , ELEVENTH �$TREET T-TLTkNTI0- BRACR-%,�, FLORIDA '�V22-� phoae: Q1 il-8081- ------ �-JNTR�.�'-TOR INFORMATI( Name: STYLES SMrTH PLT7M'R T Nrl Ad-iri 52 4 -P'A-T R 1 C 1, F T\Tl 1 L L E BEAi�;H , Eli . 32250 -'FCO-21547 Exp , A 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 IMPROVEMENTS53 $29.0014 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AN4&PJ�kf/fP@sEVOQ*ViCwVFAw VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS 4931 WWI 0000 322 1. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 'jo JOB LOCATION: ,------- OWNER OF PROPERTY: BUILDING CONTRACTOR: PLUMBING CONTRACTOR AND ADDRESS: TELEPHONE NUMBER: STATE LICENSE NO: cc TYPE OF BUILDING: TYPE OF WORK: HOW MANY OF THE FOLLOWINo FIXTURES INSTALLED ------SINKS ___________l�LAVATORY __�___SHOWERS ------- -BATH TUBS ----------WATER HEATERS URINALS DISHWASHERS __��CLOSZTS __�DISPOSALS ---------FLOOR DRAINS ---i___RASHING MACHINE ---�SHOWER FANS TOTAL FIXTURE COUNT: X $3.50 + $15.00 ---------------------------------------------------------------- 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 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION BEFORE COVERING Up (904) 247-5834 PSR-3844 12331 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ ------- LOCATION INFORMATION ---- Permit Number: 12331 Address : 388 ELEVENTH STREET Permit Type: SWIMMING POOL ATLANTIC BEACH � FLORIDA 32233 Class of Work:NEW --------- LEGAL DESCRIPTION --------- Constr . Type :WOOD FRAME Block - Lot , Twp : Proposed Use: SINGLE FAMILY Section: 0 Subd: Rna * Dwellings : 0 Subdivision: Est . Value: 0 . 00 Improv . Cost : 12 , 600 . 00 Total Febsc 30 -00 Amount-Tr- 30 . 00 I 'Inc �AMTNr, T, TION APPLICATION FEES --------- -,-�VOORH I S �yikiM I T Nam k'.,, 30 .00 Addr: 3 TREET FLORIDA Pho ------ R R FORMATTAT Name: SU SI LS JACKSON BEACH , FL 0 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 IMPROVEMENTS95 $30.00 14 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMITD14D S;VM4kCjfjTO WyQQWM FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS PAID_ _ ATLANTIC BEACH BUILDING DEPARTMENT JUL 3 1 1996 By: ef Atlaptfic Beh. 2 MAP SHOW;NG SURVEY OF . LOT -41 i WES-1 '212 OF LOT 39 gLoc-K 13 5L)5I2iVlSjc>Lj -A-�'aL-TLAP-_TIC f5f-,AQ4 AS RECORDED IN PLAT BOOK PAGE tol OFTHE CURRENT PUBLIC RECORDS OF OLIVA L- COUNTY, FLORIDA -T ELEVEK17H 157V-EE Fou*jc'11'.. - 1120�j P11prr L PC" 1Z. PIPIE 07 01 N w 4A Alt 1 4. 19 N 0 S'T L-Ir tp �l U 1Z Y i'�E!S. 4- 386- Z9.0' 0 8.3 .......... LoT 4'5 14.4 LOT 31 0 Z cwc K '!_7 0 n >4 A,0' 0 4-jc. -on x 4-8, E AS'r 00 E. 31 T Ic 1wCLUDWO I Ic X F�0 0 -ptl OZ:0-4 H \11 Air- W Ce -4 E-4 4 E�0 Al =to zoo 0 1% o 0 0 L) w ALL FE�JCIES C-40:%Ihj 94 CIO at f. i� LWIC w 4 (-T-4PICQL) 0==Z 13- Z:� os -715. F�LJO77 Foumf> 1/1 ' NOTES: LO'T 44 MOW PIPE Lo-r 47 LOT 38 - 1. This is a boundary survey- 5&qaly 2. Flood zone 4 as best ascertained frCm Flood Insurance I Rate Map, ccmTTLm ity panel no.izoo-js ftcwmq o dated 4-ri-ac) JUL 3 01996 1 Building and Zoning I HEREBY CERTIFY TO: Z - DUDL,rmi"H 1 joycG M. 13u4oC1wc.HA", LAWO -rl-TL-E IMSUMAUCE COMPASJ'r 1 C-r%4 t-iorT(-A(�E THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT '.Tan TO S' '�TION 472.027 FL Mar;Ai ORIDA STATUTES AND CHAPTER 21 HH-6 . FLO�,'IDA ADMINISTRATION CODE. C. 2866 MANGROVE A -E. FLORIDA REGiMPED SURVEYOR No.4470 JACKSONVILLE,FLORI- A 32246 Marvin R. Banks (904) 641-2520 SIGNED M A 2fV4 ICD 19 SCALE: I"- THIS SURVEY NOT VAUD UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED fN 3) AV lux Wcur-1 POOLS AND CONSTRUCTIOti 9 TO 1996 Building and Zoning 4 h rot, i�Nv 44 44, tFlt,, Ilk -4-4—� io WS. t,S4-v, x4 A—Co �,4 it, T w I'LA. 1967 LAWS FS 713.13 hAMCO FORM 400 4pnepmIc IN DUPLICAT91 The undersigned hereby Informs all concerned that Improvements will be tnade to ddrtalh test property, and In accordance with section 713.13 of the Florida Statutes, the following Information is stated in this NOTICE OF COMMENCEMENT. .q ......vt.e.. Description of N.....L�X.4.....1 .. -41v,-Ic .......................... ... ......... ..................... ...................................................... .......................................... ........................................................................ .................................................................................... .................................................................... ............. ..................................... ................................................................ ..................................................................... ........................ Generaldescription of Improvements....... ..................... .......................................................................... ......................................................................................................................................................................................................................................... ..................... ........... ...... .......................... .................................................................11...................................... .............................................. tl,,4 P j1VX- -V Owner... ....... ..................... ......... ..................................................................................................................................... ..............a- Adiress.... 40..... .................. ......................................................................... Owner's Interest In site of the Improvement......................................................................................................... ...................... ........... Fee Simple Tills holder (if other than ownar) Name................................................................................................................................................................................................................................... Address...................................................................................................................................... .............. ...............;....... .........;........I.............. Conlrac*1or..--4 ............................................... Address....... ....&AIP.............17 ........F.. .> 4.......................... .......... Surely (it any)........................................................................................................... ...... .................................... ........ ......................... ...................... ............ .................................................................................................Aniouh! 61 6onJ i............................... ay Name of person within the Stale of riot'Ja designated by owner upon whom hottest ot other docuriOnts m" 69 servedt Name.......................................I..................................................... .............. ....................................................... .............................. Address....................... ........ ....... ........... ................................................................................. In addition to himself, owner designatas the following person to receive a d6py of the Llenor't NoiW as provided In Section 713.13 (1) (r), Florida Statutes. (Fill In at Owneros option). Name......................................................................................................................................................................................................... .................. Address............. .................. ..................... .................................................. ...................... ....................... .................. ............. THIS SPACE rOK nZCOnOV"'8 U69 ONLY .......................... Wl L Ll A S S E L M�y E R Notary Public, -State of F.16rida My Comm. expires Feb. 1, 1999 Sworn to and su6scr%ffbW(6rVAVA.................................. W. , ia q6 ............121::;�:...dayof...... ........................................1�............ ...................................... ............................................. Notaf� PURI: REFERENCES CONSTRUCTION: Mr. & Mrs. Aaron Parker (282-0624) 3498 Rustic Oaks Trail-Middleburg Mr. & Mrs. Douglas Chunn (384-3689) 4600 Longbow Rd. South-Jacksonville Mrs. Robinson 264-5207 Mr. & Mrs. Daughtry 264-7307 Mr. & Mrs. Moncher 264-1165 Mr. & Mrs. Metz 264-2716 Mr. & Mrs. Chapman 264-8542 Mr. & Mrs. Greene 264-8070 ROOFING: Eureka Garden ApLs. 786-9501 Brighton Village-Mr. Wasserman 272-0072 Londontown Apts.-Frank Knooce 781-7700 Homan School-Dr. Homan 269-1970 Berean Baptist Church, Mr. Jerry Nye 264-5333 Broach & Assoc.-Ms. Tommie Broach 388-2601 John Fleming 264-2814 Don O'LauVin 269-0574 Michael 0 Connoe 269-3329 Bobby Parker 264-2933 Mr. & Mrs. Thacker 269-8767 Leroy Wilson 641-5475 REALTORS: Mrs. Bery McAleer-Coldwell Banker 264-9501 Mrs. Ann Davidson-Bentley & Assoc. 264-2488 Mrs. Alma Parris-ERA9 John Gray 269-1813 Mrs. Hope Bickerstaff-Watson 264-9526 Dick Eicholz-Walter Williams 269-9707 Celeste Huggins-Watson Relocation 733-9162 Ban Latham-Latham Realty 264-4567 Brenda Butler-Walter Williams 268-3000 Any further references will be furnished upon request. Sincerely, �6111� (� Boggs Construction Dane R. Boggs Jr. President TO[ CW FLORIDA 16111f Ito. COON'TRUCTION INOVireem VIL41"o. NATO"me. U610 185 CH CO23314 08221 THECFRTIFIED BUILDING CONTRACTOR NAMEDBELOW IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 439 FOR THE YEAR, EXPIRING JUNE 301 1981 HOGGS, DANE ROFFNFR JR HOGGS coNsrkUCTION CD 2175 KINGSLEY #110 P 0 dOX 1560 OhANCt PARK FL jeWo DISMAY IN A CONSPICUOUS PJACE STATr ov F,-oRI0A OrparInitnt of Ir to?10lw CONSTRUCTION IWOUSTWY le(i msllil� lhd,A, Rb WAV161 PIL. .0. W-Tc..0, 05/29185 RC 0042 ; 51 08204 THEREGISTERED ROOFING CUNFRACTOR NAMIl�D81,ol,OW HAS REGISTERtD UNDERTHE PROVISIONS 0FCIIAP'r1-,f`I 489 FOR TIfE YEAR EXPIRINC; JUNE 30o, 1987 (MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANf AREA) bobGSP DANE RUFFNER JR U0665 CONSTRUCTION CO 2175 KINGSLEY AVE 110 p 0 [lox 15tio ORAW,L PARK fL 32061 DISNAY IN A 4Mfl ANO AIA,Rt','� I AGII N"i SAM MAXWELL NSURANCC AUMV COMPANIES AFFORDING COVERAGES AT AVfNUE 1249 CASS COMPAN JACKSONVILLL FLORIDA 32205 LETTER Y A Insurance C,�an� of North Amrica (w) 39.5535 COMPANY B LETTER ne Standard Plan inc COMPANY tETTLR C Boggs Comtruftion OMPANY P.O. Box 1560 C�fTTEF? D orarQe Paxk,Floriez 3200 COMPANY 1P LETTER 16. This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. Notwithstanding any requirement,term OfCOnclitiOn 'f any contract or other document with respect to which this certificate may be issued or rnay pertain,the insurance afforded by the policies described herein is subject to all the terms,exclusions and conditions of such policies. P(I icy Limits of Liabil ty in Thousands(000) �)MF;ANY EXPIRAT ON I)ATE EACH [I LN TYPE Of INSURANCE POLICY NUMBER OCCURRENCE AGGREGATE GENERAL LIABILITY BODILY INJURY $ $ FICOMPREHENSIVE FORM PRE MISIb-OPERATIONS PROPERTY DAMAGE $ $ EXPLOSION AND COLLAPSE HAZARD UNDERGROUND HAZARD PRODUCTS/COMPt ETED OPERATIONS HAZARD BODILY INJURY AND CONTRACTUAL INSURANCE PROPERTY DAMAGE $ $ BROAD FORM PROPERTY COMBINED DAMAGE INDEPENDENT CONTRACTORS PERSONAL INJURY PERSONAL INJURY BODILY NJURY AUTOMOBILE LIABILITY (EACH PIERSON) $ El COMPREHENSIVE FORM BODILY INJURY $ 10/20 (EACH ACCIDENT) 0wN10 B FLB 3652989 5--08-87 PROPER]Y DAMAGE HIRED BODII Y INJURY AND NON OWNED PROPERTY DAMAGE $ COMBINED EXCESS LIABILITY BODILY INJURY AND UMBRELLA FORM PROPERTY DAMAGE $ OTHERTHAN UMBRELLA COMBINED FORM WORKERS'COMPENSATION STAIWORY and A EMPLOYERS'LIABILITY C2797 1404 100,000 OIMER I- I DESCRIPHON OF OPERA I IONS/LOCAT tONS/VEHICLES Cancellation: Should any of the above described policies be cancelled before the expiration date thereof. the issuing com- pany will endeavor to mail ___X days written notice to the below named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company. NAMLANDAI)I)RIS'�,Of(-'ERTIFICATf HOLDER DATE ISSUED 11-04-86 Clay Comty Bldg & Z011ing Board P.O. Box 367 GreerCove Springs,F1 32043 Att; Mary Ccnway ISSUF UAIL (MM/UU/YY) rd,, Re A 4NAE �_111 -J-1-In i i t t 6-19-86 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, '*George A. Bush Insurance EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 0 0 Gre orgE 555 Blanding Boulevard Orange Park, Florida 32073 COMPANIES AFFORDING COVERAGE COMPANY A LETTER Hanover Insurance Company COMPANY LETTER INSURED COMPANY c Boggs Construction Company LETTER P.O. Box 1560 COMPANY D orange Park, FL 32067-1560 LETTER LETTER E COMPAN 'MER"A Wro HE POLICY PERIOD INDICATED. THISI TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A13OVE FORT 40 NOT WITHSTANDING ANY REQUIALMENT, TERM OR CONDITION OF ANY CONTRACT OH OTHLH DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS,AND CONDI- TIONS OF SUCH POLICIES. Pot Cy EFfECTIVE POLCY LOIRAHON LIMITS IN THOUSANDS CO T�YPE OF INSURANCE POLICY NUMBER DATE tMMMNY) DATE(MWOO" '0 F AC' OCCUHREI;NCE AGGREGATE LTR GENERAL LIABILITY BODILY A _R_ COMPREHENbIVE FORM Q 242 31 14 4-16-86 4-16-87 INJURY $ $ x NtMiSES/OPERATIONS PROPERTY UNDERGROUND DAMAGE $ $ fXPLOSION&COLLAPSE HAZARD X PRUDUCIS/COMPLETEID OPERATIONS 61&PD CONTRACTUAL COM13INED $ 500 $ 500 X INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY $ PERSONAL INJURY AUTOMOBILE LIABILITY IUAY ANY AUTO (PER PEWJAI $ 0"y ALI OWNED AUTOS(PRIV PASS) IMAY $ OTHER THAN) jPfA AMNT) ALL OWNED AUTOS PRIV PASS HIRI 1)AUTOS PROPERTY DAMAGE $ NON OWNED AUTOS TRAGI LIABILITY 81&PD COMBINLD $ EXCESS LIABILITY Bi&PO $ UMBRELLA FORM COMBINED $ OTHER THAN UMBRELLA FORM STATUTORY WORKERS' COMPENSATION $ (EACH ACCIDENT) AND $ (DISME-POLZY-LIMIT) EMPLOYERS' LIABILITY $ FOISEASE-EACH EMPLOY[ T E DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESISPECIAL ITEMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- Clay County Building & Zoning Board PIRATION- DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO Clay County Courthouse MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE T,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY I-EF [� NE p.0. Box 307 F ANY 6Jhko UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. Green Cove Springs, Florida 32043 AUTH ED;ALP _SENTATIVE Attn: Mary Conw, 3824 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH :Tk- 388 ELEVENTH STREET Permit Number : 3824 ATLANTIC BEACH, FLORIDA Permit Type: WELL LEGAL DESCRIPTION i3lass of Work: NEW Constr. Type: WOOD FRAME 1.0t : Block: Section. Proposed Use: OTHER Tovnship: RNG- 0 Dvellings: 0 Code: 0 �3ubdivlsion : Estimated Value; $0. 00 Improv. Cost: $0. 00 Total Fees: $10. 00 Amount Paid : $10. 00 Date Paid: 5/22/91 'Work Desc. : WELL Ft)- OWNER INFUNA'IATION 11UN Ff�.L'- Name: K. SCUDDER PERMIT $10. 00 Address: 388 ELEVENTH STREET WATER IMPA�-T FEE $0. 00 ii.TLANTIC BEACH, FLORIDA 3223�- SEWER IMPACT FEE $0. 00 Prwrit-- : (304 )2-46-�-,432 4ATER METER $0. 00 RADON GAS--H. R. S. $0. 00 CONTRAcroR INFORMATION RADON GAS - 531. $0. 00 Name: L. N. WILLIAMS WATER TAP i;0. 00 Address : P. O. BOX 567 SEWER TAP $0. 00 ATLANTIC BEACH HYDRAULIC SHARE $0. 00 License: Tyt RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $('). 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.53 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. IF--Ut ATLANTIC BEACH BUILDING DEPARTMENT Byi FEE $10.00 APPLICATION FOR PERaT CITY OF AMANTIC BEACH PROP= MNER Nam: K __Pay Phone-Z�� 9e�72 Address C -'!� S- � e.'7 zip APPLI=, IF a= THAN URER Day Phone 75� Address,, 1-7 zip ��r JOB Address or Location Legal Description- Is well to be used for drinking purposes? Any person, individual, corporation or other entity receiving a pern-d-t as provided in Section 22-40 of the Atlantic Beach Code, and who -plans to use water from the per-mitted well for drinking purposes, nnjst first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building departnent of the City of Atlantic Beach, A certificate of occupancy will not be issued until said report is on file with the building depart-nent. Department Notes: I agree to comly with regulations stated herein: Mtbature Date at 44L41 MAP SHOW11"4G SURVEY OF LaP 41 AND THE WEST 1/2 OF TOT 39, RTIV-11- 13, PfAT MD. 1. ';UBDTVflSTOi\j "A" NvIANPIC BEACH, AS RECORDED IN PLAT BOOK 5, PA(-:,E 66 OF THE, CURRENP PLJ]3f,:[C RECORDS OF DLNAI, COM'y, FLORTDA. eooz .59 �011 Azt/ Ao(l v% Alo. /jot pa!x OL 7' .57 K IA4f v6e 'ZAr.' 140 11AI;MAI --f, 1141AI I'rAl ' 201)l/ K/O 7- -ro 7- 0 7WI-0 'flo 7-WI5 "r-roowe'e'ry -1/65 /,k/ "C/-Foop zome /,4 711--.4,e-,x d9,"'M1A11AAA4 "240,Pllcla ew)/ �LAr ee-y'l$�R Aaelt /g//rV-4 I HEREBY CERTIFY TO: THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER 21 HH--6 FLORIDA H, A. DURDEN ADMINI TRATION CODE. A D S 7,4UA14 & ASSOCIATES INC. FLORID..9016TSMI&AURVEYOR 140- -F/7 LAND SURVEYORS -7 e-7 SIGNED ---141flll—1�llnl P p�o 0 a 041 Office Box 50670 11 W sr 0 'h T 103 Soulh Third Stresi SCALE: j&d"jonvjNe Beach,Flo� 32250 THIS SURVEY NOT VALID UNLEdS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. is, ®r� AA CA op 4?�o 0 141V CA IF co� Do J4 lb --4d \v Ib D AD CN SA -4- 47, Ift op itt 44L4'1 MAP SHOWING SURVEY OF TI-P 41 AND THE WEST 1/2 OF fOT 39, RFCCK 13, PfAl' NO. t SLjRDTVf.sTON "A" ATIANPR7 REACH, T FASRECORDED IN PTJVP BOOK 5, PAGE 66 OF T11F CM�RERV PL,'131',TC RPCOIRDS OF DLJVAI, COUNVY, FLORTDA. 4e,04 4C YeAl 77// r 7--; ;:5� APV % v% 67' N 114 0' 419 07— -104 0 7111.5 A$ 4 -0AIZ) 04,'11-PlAld A/ Y �44AAVAI,,7 Z I HEREBY CERTIFY TO: THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER 21 HH--G FLORIDA Hp, A. DURDEN ADM17TR:A�TION CODE. & ASSOCIATESINC. unwsvom mo 117 S( LAND N -7 19 ?3 7 SURVEYORS SIGNED p offc oat 0@1 off"Bx 50670 0 11�o S. Tt' 103 South Third Street SCALE:.. jigasonviiia Beach,Fiorids 32250 THIS SURVEY NOT VALID UNLE14S THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED, 7zJ C C-N C c 05 ac� 4�z�0 IAV 0�1- 114* '/4, P SA ON 1 7 CN C.1 --1- 41 T-n 4RO, for, cl oll CITY OF 4&4ft14C Beac.4-1;&u-& Office of Building official Date REQUEST FOR INSPECTION Time Permit No. 0 Received A.M. P.M. District No JOu Address Owner's Ilty Name_ Contractor /00, BUILDING - CONCRETE ELECTRICAL IUM 4.1 Ni MECHANICAL Framing Footing 0 Rough Wiring P BI Re Roofing L7 Slab L, Temp pole Rough 1pro*� Air.Cond.& _2 Lintel 13 Final Top out 1:1 Heating Fire Place READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs. Friday A.M, Inspection Made P.M. Inspector Final inspection D Certiticate of Occupancy Date BUILDING AND ZONING NSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLO RIDA 32233 APPLICATION FOR MECHANICAL PERMIT CAI-L-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. LOCATION Street Address: T4 ST izT t* OF Intersecting Streets: Between Semi IsJ LE And BUILDING Su6-division tor o fr 3cA Rux ir, M f) 11 1r1Ck1TIr_hnATI^k1 _r A-1 I! CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Z h Z_ 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. Bldg. Permit #8255 fric P.O.Box 2259 Oran (2'� JOURNEYMAN MASTFAFLECTRIC'--' LAI� ELECTRICAL FIRM: _r C� "n t Boggs Constr. C�-'5 CIQ ADDRESS:P.O. Box. 1560, Or nV,,e �a �F�LRFD_BOX NAME A'iI` BLDG.SIZE -BETWEEN: RES.(W) APT. COMM. ( I PUBLIC INDUS. NEW ( I OLD ( I REW. ADDITION V) TRAILER ( I TEMPA I SIGNS SQ. FT. FEE SERVICE: NEW ( INCREASE ( I REPAIR ( CONDu rOR SIZE AMPS COPPER- ALUMA SWITCH OR BREAKER AMPS PH W VOLT RACEWAY. _�) W RACEWAY EXIST.SE RV.SIZE 2-C), AMPS PH VOLT L10 FEEDERS No. SIZE 813" NO. SIZE NO. SIZE LIGHTING OU TLETS 2— CONCEALED OPEN TOTAL CONCEALED OPEN TOTAL RECEPTACLES 0.30 AMPS 1.100 AMPS SWITCHES 3 INCANDESCENT FLUORESCENT&M.V. 2-- - 0-100 AMPS. OVER _TIXED BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER Wei PHS NO. I H.P. MOTORS H.P. VOLTAGE MIS LLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. 1KVA DEPARTMENT OF BUILDING 8255 PERMIT NO.- CITY OF ATLANTIC BEACH.FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Jalivarl 151 19 37 Valuation$ 3,552.0) Fee s 24.00 24*00 T This permit not valid until above fee has been paid to City Treasurer,and is P4900CIR(T subject to revocation for violation of applicable provisions of law. 1 /15/8 ITT A ur, This is to certify that—Bog��S SOnstruct'on r) ITi, 7ay - iqd�wnvilie V 'Florida 32216 00 has permission to build d tial Zone Classification A-ddit'o" 'ZP–Si( Owned Sc&,der 13 ..S/D Lot-- of 39 —Block— House No. 3-88 lith Street According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 0 Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- t tor r owner. L 0— )KIng Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER Address Heated.Square Footage @ $ er sq ft $ $ 00 Garagge Shed 4,)aqf�, SlfOto L-0�er sq ft Carport/Pordi @ $ er sq ft Deck @ $ er sq ft = $ Patio @ $ Der sq ft = $ TOTAL VALUATION: $ Total Valuation ist $ coo- CC rz� 0 c) eo Remainder Valuation '$,5 .�4er thousand or portion ther I eof Total Building Fee ------- ---- ADDITIONAL PERMITS and/or FEES REQUIRED + 1, Filing Fee $ Fireplaces @ 15.00 $ Mechanical BUILDING 1 PERMIT FEE Plumbing Electri0,7 ------------------------------------------------- Elec 3-C/Temp BUILDING PERMIT $ C) Se ic Tax& WATER METER CHARGE $ 11 ACT FEE $ Pool WATER FEE, $ 1,,1IS Sign CELLANEOUS $ A T S:E R A A C lec j-cl',Ienp ic T W( 11 Pool L,n TOTA US)DI Water Comection. $ Sewer Comection $ Water Meter Elevation Certificate G TOT GRAND AL UJE ----- --------- --------------------------------------------------- --------------------------- CALCULATIONS and/or NOTES CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT zip Owner ---Address TO�--Lk--- -- ------phone2-yk Architect--- Nb�-----------Address--------------------zip......phone------- Contractor Address JM� F(^- zip3w�_phone -610�-fh Contractor's License number--------------- -expiration------------ 1 3 Subdivision Lot 'fl-----blocK or Section--------- __j4 ..........Zoning_�fil&�fh 'r- Ill.,\ -�k - -() �c Street between nd C a ------------- Type Construction ----No. Units--- No. Fireplaces--- Purpose of Building Est. Valuation Utility Method - Water Sewer Dimensions - Building---��)( ---Lot 'Zj )( _A��L....Size Footl Sz. Piers--&/�j- ------sz. sillq-�w---------Greatest Span Sills--I-A-p-a-n YE-2 Sz. Ceiling Jolsts-_;IX k Distance on center a--l-L'O,C- Greatest S Sz. Floor Joists _AIJA_ Distance on Centers.........Greatest Span------- Sz. Rafters _yf& ----Distance on Centers---------Greatest Span------- Method of Heating_L&C Solid or Filled Ground-__;�&-4------Roof-20/--t�tf,2Ln/ Flood Zone 0e.+ VA�-q, \ T oyv -1 eftE complete page 3 located within a FLOOD HAZARD ZONE 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 Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-waY and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner-------- ------------Date----------------- Signature Contractor...2 VA page 2 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development :----- -------------------------------------- Flood Zone:----------------(-:------ Required Lowest Floor Elevation:- ------------- If building is located within a flood hazard zone (Zone A), 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 plans and supporting data 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 effecting the proposed development. Date--------------Applicant 's Signature-------------------------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation ---------------- As Built Lowest Floor Elevation ---------------- Survey Filed with Building Department -- -------- -------- -------------------------- Building Department Representative page 3 DEPARTMENT OF BUILDING 8360 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date_2_1/1-2 jq_�' 7 40*93 TL Valuation$ Fee$ 0-00— 400OCKV P/12/34 and is 0QCAC This permit not valid until above fee has been paid to City Treasurer 88 1A ?/13 subject to revocation for violation of 2pplicable provisions of law. This is to certify that mmil I S SMVICE I DIE. CAC014902 has permission to bQ& TN=A-T-I- jr Classification— Residential —Zone im MIT". SIMMM Owned by Lot— Block S/D House No. 'IRS ELEMMI STR= According to approved plans which are part of this permit NOT'CE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE X 0 Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- ';)owner,/ rac FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER