Loading...
336 12th St (vault) 3,3 S'T7' nTNG PERMIT NUMBER iNSPECTIONS : FOOTING 7 � UNDER SLAB PLUMBING SLAB FRAMING 49 COVER-UP d '3/ jam_ INSULATION C — _' FINAL BUILDING —5'-9 CERTIFICATE OF OCCUPANCY �-T =-TRICAL PERMIT # PE"TODIS ROUGH FINAL mF—HANICAL PERMIT # P7 JMEIN:, PERMIT # / � `� / U ..' E-S i s J;; CITY OF ATLAMnC BEACH PERMIT Y J ]BUILDING / ZONING DEPARTI'�9�NT APPLICATION# J 000 Seminole Road Atlantic Beach,Florida 32233 Z 2 (904)247-a0800 (904)247-5545 Fax www.coab.us APPLICATION TRACKING FORM RE IRED DEPT: Y N PLANNING Proper Address: 3�p z BUILDING N PUBLIC WORKS Applicant: � W PUBLIC UTILITIES N FIRE DEPT. Project: �f�=t 1 rti Y N PUBLIC SAFE T Y �u -APPROVAL REQUIRED AGENCY: RECEIVED BY: INITIAL DATE w Y N D.E.P HOFS T ETLER ¢ 0 Y N S.J.R W-M. CARPER _UJ Y N ARMY CORPS of ENG CARPER o Y N HOTELS&RESAURANTS HUFSTEIt-ER APPLICATION STATUS _ CIRCLE ONE SITE BUILDING DA AP REVIEWED BY: INITIAL: D TE: PLANNING BUILDING ® ® 2ND REVEl 0 PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV Ds -- ZZ CITY OF ATLANTIC BEACH s 8W SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(9D4)247-5845 /,/:. BUILDINGDEPT@COAB.US r RR) ` BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK MFT.T.UNDER ROOF �T�C�Lf Atlantic Beach, FL 3223131-4(L5.� z 3V 4.LEGAL DESCFWNFNW 5 CLASS OF WORK 6.USE OF STRUCTUW- C 0 NEW B( iG 0 DEMOLITION Lor-4BLOCK SUB DIVISION Ivli }�- vc� 11 n 1 ff 0 r xt. YTi I410brnON ❑coNVERTING usE 0 COMMERCIAL 7.DESCRIPT10NOFYYORK 0 ALTERATION 0 ACCESSORY BLDG. 8.FIRE SPRINKLER 0 REPAIR 0 POOL/SPA 0 YES a t C'lc i5i IY){�St2uCT6tVt� f D/)i�7'Jr►�ti rl fe6Lr O MOVE O OTHER O No PROPERTY OWNER:- CONTRACTOR: ARMIEM f ENGINEER: 9.NAME. ` (� �,� 15 COMPANY NAME: ► 23.COMPANY NAME -7- V' /)�.�� i��ttY'� 1. a-Xi4� '' &Aaaaec �jl� V ,1� t4tA.1S f 16.NAME _ 24.LICENSEE NAME: r K. I.L l-S 1Q ADDRESS: 17-STATE OF YFLORIDA NO.: 25-STATE FLORIDAL�NO 3t� �a s•Q1fT L 3 188.ADOT g� �A �Q'\I&J 26.ADDRESS: n t- a J03 w V !Iy'�i s►•.IjLiG„t�.S11 I�-tt- tot 5ac.KS(x\4il le F( �!b Szc.Ic as 3�Sg ll.OFFICE PHONE: 12 FAX NO8.OFFICE FAX NO. T7. PHONE 2&FAILNO.: 3131 — tg 1 t 37L4,-: ,l 3 Uq 51 t 04)4q(e-(4 13ci 13.CELL CHL PHONE 29.CELL PHONE: x' 503 qoy -I'S 14.EMAIL ADDRESS: E MIL ADDR19M 30.EMAIL ADDRESS: r,;.! � •l lSul<tY1.rte" FEEOI.oER:31MMLE WILE HBONDING COMPAM' GE LENDER: OF OTHER THAN OWNER) 31-NAME. 33.NAME: 35.NAME ot 32 ADDRESS: 34.ADDRESS. 36.ADDRESS: Application is hereby made to obtain a permit to do the Work and installations as indicated. I certify that no Work or installation has commenced prior to the issuance of a permit and that all work will be perfomled to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within so((6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Wells,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 222 WARNING TO OWNER: 222 YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWWA or AGENT CONTRACTOR Powero0A4=W or A®en�Y teller Re w.M ( Only) Signed: t~ Date: (1 Y Signed i c _ —� Date: li J Before day of (r ,2007 in the county of Before this day of 2007 in the county of Duva.Iof Florida,has personally appeared Duval,State: 'Ffaide.has personally appeared W-- ,-5 L,� �,21-8�� i -I,- Uk2" � t� YUY---3 herrn by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. (( f true and acp,rate, nn n Nota ublc at Large,State of t r�G�`EourNy ct t, L Notary P is at Large,State of Y `j County of alfl V y t t ersonally Known ersonaY Known 1 ❑ProdFed 0 Produced Ider%liiraboq- Notary Signatur . Notary Signature KELLIE S.WILLIAMS E-0153 ELLIE 3. WILLIAMS `: MY COMMISSION#DD744960 COMMISSI�mb#e DD744960COAs FE1RE+F3ecember27,2011 ?IRES Decer 27,2011(407)3980153 FhvWakcta Fi^r d<!:,> rY�8NICa.COln ce.com CI'T'Y OF ATLANTIC BEACH PERMIT G / ZONING DEPARTMENT APPLICATION 'J 800 Seminole Road 'r' g=•-:x% •� Vr Atlantic Beach,Florida 32233 0 ?i (904)247-5000 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM RE IRED DEPT: � YN PLANNING Property Address: 33�, 12� �l z Pd BUILDING 1— N PUBLIC WORKS �������. 0 N . PUBLIC UTILITIES N FIRE DEPT. Project: �� +v �—� Y N PUBLIC SAFETY Cl) -APPROVAL w v o REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE w w Y N D,E.P HUFSTETLER Q Cf Y N S.J.R.W.M. CARPER w _ Y N ARMY CORPS of ENG CAPPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: ® ® 1 ST REV PLANNING BUILDING ® ® 2ND REV PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV .,. ,n n +_ ee__ lew___9�?_—Tim__.,_..ti_.....,..6.......•.e a-..,.a. Aa rn..s,n,�aa�,aaam,r�F�,rnnu xr a*et axn aa9PYfIfFE2 E7fN11'RA if lfB� F;1�4U�3 V. CITY OF ATLANTIC BEACH T' I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 n OFFICE:(904)247-5826•FAX NO.(904)247-5845 BU ILDING-DEPT@COAG.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION Q ,/� OF WORK3.SQ.FT.UNDER ROOF t3 ,2 tb .S 12��C 1_ Atlantic Beach, FL 32233 V i S;? (r-)U 1 '2.3 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE. CA ❑NEW BUILDING ❑DEMOLITION ESIDENTIAL LOT BLOCK�SUB DIVISION 1� .+c-t Vf, M-AUDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES C7-_W rr1C iC�C- Lr1 X(Si IYl(�St 12110 1�1�L' (7�►7) IIYI L`�l Y��� ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9 NAME: 15 COMPANY NAME: 1 23.COMPANY NAME: c'vl �. 1J&In�K J• �� `�� Jc' ( r1 -L �S n I ell 3-- . 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: ZA 17.SORIDICENSE NO-: 25.STATE FLORIDALI -.SE NO 336 la ����� C V[J/ p7 3✓ +� L /)r�C�) 18.ADDRESS ATofyiTiCC- � �� V_ 6`VCI 26.ADDRESS: Jg`d�3 F� Ily'S1 s+• wig I o I 3"k-Su\rIUe q- '3)500 ack�ol►r1 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.P�MICE PHONE: 28-FAX NO.: 38Lt- 13 to � oy)U4(0-3�t�? �l 6L1(r(' 3`7 gU�'oh{(� 13.CELL PHONE:.S /� 21.CELL PHONE: 29.CELL PHONE: Ci !�✓�c75 C1 U tl 14.EMAIL ADDRESS: 22.EMAIL_ SS: 30.EMAIL ADDRESS: KboCj e&0)yn'ass�� �5 tk,eh�,t�,cs�. cl�izvelc:�r ik� c�� IlSukth• 'fi FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MO GAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME. 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Wells,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 222 WARNING TO OWNER: 222 YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR /Agent,Power Attorney or Agency Letter Required) ,1 (Quay Only) Signed:,`/Xi -._ _ Date: t) Signed: '- Date: t+ Ir Before m s day of 4 " 2007 in the county of Before m s day of a 2007 in the county of Duval,Slatof Florida,has personally appeared Duval, to F .da,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notaersoublic at Large,State of �U7)��`£ounty of L� Nota nali olatLarge,State of (� �-,County of y ❑Produced Identficati ❑Produced Identification- Notary Signatu Notary Signature: - ;��'""'`" ;: KELLIE S. WILLIAMS ''"��: KELLIE S. WILLIAMS ': MY COMMISSION#DD744960 MY COMMISSION#DD744960 COAB F nlr ^ E4>; Ipq ;cemNer 27,2011 K� ? MY COMMISSION December 27,2011 (407)398.0153 FbidaNetary3ervlco.com (407)398-0153 Fi�ridaP:;;iry3cr ice.com CITY OF ATII A TrnC BEACH PERMIT 13INO / ZONINGT'I' DEPART MM APPLICATION _ 800 Seminole Road /�Q s 'a Atlantic Beach,Florida 32233 (904)247-5800 RE C,7'1- TED (904)247-5845 Fax www.coab.us FEB 1 ? 7008 13 APPLICATION TRACKING FOR = TED ED DEPT: PLANNING Property Address: �3� l�� � zBUIi DING P: PUBLIC WORKS �������, 0 PUBLIC UTTLI T IE5 FIRE DEPT. Project: Y N PUBLIC SAFETY W -APPROVAL REQUIRED AGENCY: RECEIVED BY: INITIAL' DATE Z Y N D.E.P HUFSTETLER Y N S.J.R.W.M- CARPER 0 _ Y N ARMY CORPS of ENG CARPER o Y N HOTELS&RESAURANTS HUFSTE(LER APPLICATION STATUS CIRCLE ONE SITE BUILDING DA AP REVIEWS BY: -— 1- _ D �' 1ST b� PLANNING El BUILDIN PU I W U IC A i SPT. \J \l PUBLIC SAFETY _ Of - zz y CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD,ATLANTIC BEACH,FL OFFICE:(904)2475826 0 FAX NO.:(904)2475845 BUILDING-DEP TACOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JO B ADDRESS: 2.�N1AUfflt1� tO WOW- a SQ.F r.UNDER ROOF 3-3(t nC t� 51 Jc—L�L� Atiantic Beach, FL 322330/ 5,;l,WD 730 4.LEGAL.DESCRIPTION: 5 PASS OF VMM USE o ®fESTRUCTURE. 11 T U RE. 11 NEA BUILOW ❑DEMOLITIONERcwLLOT-4 BLOCK 2 SUBDMSION -36VI CSVA V11fh n6 B.�bN ❑CONVERTING USE coMM 7.DESCRFrr10N OF WORK ❑ALTERATION 13 ACCESSORY BGFM SPRINKLER ❑REPAIR 13 POOL/SPA y C G� 13 MOVE ❑oTHER 13 No PROPERTY OWER: CONTRACTOR ARCHITECT►E s�'/433L 9.NAME J1 ! 1 n `�c� , COMPANY NAYS I 23.COMPANY NAME T +�C',� I'V £ h1t nc q S , J� ts.DY1Y� 5; �� Z: 2—{L s 1'1 1 Cyt,-L —Nr�C.. J c v ._�� K. ,,- 10.ADDRESS: 17.SIrATE OF FLORIDA LICENSE NO.: 25.STATE 00 FLORA LICENSE NOV :33c� tam sz-��f.� Lc3�c�y 8 :9 33 IS� (�Yl l7 C( Ch)4( 32 2 3 3 ,a ,�rnG{c�L IC- 131 Vc{• as ADDRESS: $83� Il�t'8I 5—. f�KGuSTme � C Io1 '3acx'wui�IC �•�b t 16 , 305$ 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: Z0.FAX NO.: 27. PHONE *FAX ND- 3�r7 l tc I t 3yt4 g lo-dVo Coo- 543 9 3.CELL�PHONE'j 21.CELL�PHONE: Cr— t j��`l 29.CELL PHONE 14.EMAIL/ADDRESS: EYNd KADDR�VS•S;: 30 EMAIL ADDRESS: DkWkprbeUSr -e oCi� %b �Ist,►�th.met FEE s11t11PLE TFFIX FUMM SONDOG COMPAtNY: NONtGAGIE LENDER: OF OTHER TKAN OM*30 31.NAME 33_NAYS 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within sox(6)months, or if construction or work is suspended or abandoned for a period of sox (6) months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Wells,Furnaces,Boilers,Heaters,Tanks, Air Conditiormrs,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 222 WARNING TO OWNER: 222 YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWWR or AGENT CONTRACTOR fft Agent,Power. Altomey or Agermy Letter Required) 4 (ouawl-Orly) Signed: : (, _ Date: Sipre& - Before ti day of 2007 in the County of Before s day of-L 2007 in the county of val, of has personally appeared Duval. Florida has personally appeared t— v- X11 �,iw y' Ll---4 �- Lk2• t t I�Pn h;n by himself/herself and affirms that all statements and declarations are herin by hirnself/herself and affirms that all statements and declarations are true and accurate. _ true and accurate. No P ft ,State of x r�i G `fourriy of ", Notary icK Large,State of County of own ❑Produced ❑Produced IdeMificafion- Notary Signat Notary Signature KELLIE S.WILLIAMS EMyELLIE S. WILLIAMS 'c MY COMMISSION#DD744360 COMMISSION#DD744NO rn COABF ••�E 1�'�ecember27,2011 PIRES December 27,2011(407)398 0153 Fbldakatary; rvko.com ;:fit rycg, CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date 2/21/08 Address: 33612th St. Permit Application No: 08-227 Notes: WATER IMPACT FEE $ 240.00 SEWER IlAPACT FEE $ WATER METER/TAP CAPITAL IMPROVEMENT $ SEWER TAP $ CROSS CONNECTION $ OTHER $ GRAND TOTAL $ 240.00 City of Atlantic Beach -Water Impact Fee Worksheet Address: Permit App. No. Date: 336 12th Street 08-227 2/21/2008 No. Total Fixture Fixture Type Value as Load Fixtures Units Automatic Clothes Washer, Commercial 3 0 Automatic Clothes Washer, Residential 2 0 Bathroom Group -consisting of water closet, lavratory, bidet, and bathtub or shower 6 0 Bathtub (with or without overhead shower or whirlpool attachments) 2 1 2 Bidet 2 0 Combination Sink&Tray 2 0 Dental Lavratory 1 0 Dishwashing machine, domestic 2 0 Drinking fountain/Icemaker 0.5 0 Floor Drains 2 0 Hose Bib 1 0 Kitchen Sink, domestic 2 0 Kitchen Sink, domestic with food waste grinder and/or dishwasher 2 0 Laundry Tray(1 or 2 compartment) 2 0 Lavratory 1 2 2 Shower Compartment, Domestic 2 1 2 Sink 2 1 2 Urinal 4 0 Urinal, 1 gallon per flush or less 2 0 Wash Sink(circular or multiple), each set of faucets 2 0 Water Closet,flushometer tank, public or private 4 0 Water Closet, Private Installation 4 1 4 Water Closet, Public Installation 6 0 Total Number of Units 12 Multiplied by$20/Unit $240.00 Total Impact Fee $240.00 a 0 aw -01,o vs U >, ' E O 0 W ° obi rb El -;�cl o 1 O w o C-) Cd o m l7 in, E > q-, +1 CZ o � Q- U 0 C3 to Q p, , on W U p 3 ami A � U +' O '9 U o ' Ed �� ? ctj';o C 0 0a cd II' ar 3 , s o 'a - ate 0. v a O C 4 :2 oo a� o a c*i o a ;-4 bt U +� cn c A to to CJ 03o -o ci T 84 o a O . El �rA � o o~ o a� °A as cn •--I N, Cl; d i!i �o -i N cn `c! v) �D t� 00 01 � •-' C`1 in 1 r � w 0 0 a 0 a Ln •U CD U � A U 0 5 U bb w C,3 �, ►� � a� aoi °o° o � o a� � o Ln o o o U'cn Cdo a� o owe � v) W rigU C'7 U oo Z CoA U5 � � gL a U C/) ° .~-� CC --4U U A , 5 o : t 6= a`--- rn L rArA 4� O i+ C� U U I U o � 0 r.+ U pJ W � � D _ C7 C� s-. O U En S-4 U N pOp U N C13 to to En Cc Cd ri H `o [_'' '" U O -b "' °' o ani x -v a`"i •°° U U w Q 5 �: 0 C40 t-: w; r-i N chi d• vi [� -� N cYi d vi 1O V� co Oi o *-� N M• rA -� cn o Os.. co 4� 0 ;-4 O u .0 � � �" � M o ¢, 5 CU � . C vs � cd r- > 0 ++ ¢'cam ;3cli O vccj " cn 14 U O O y s. N a3 cd En cd bD > o ' o i o ' (U0 3 = c� o d) o �i 0 ccl -�, o U aj - 6 v bq 40. X co o cnp Cc > N s. C1 � v1Q ' o N o E" w o � b -o ul U Q) � o ;.d � o C5 Cr- C, v W W 0 U ul a� o Z i W a o ° Z cd Cf ',' W cli b cd 'o Q.v p O w - _ v Cd o r✓1 ° 03 a— a p �o CIJct o 1-3 > : c1 a, y o U o a N ca H -o ° p 'C7 O �- m ° z72 � czCd c Cc t� cc ci1 Yeo 00 O r., � K o � UJ to C-) cn -o O "0 o o A to to >~ o toIjCd c ,�� ami bo o �" p it i c� �j bA 0 O � � � U •� � � s roLn tiZ4 O a ° Qrn o cdZ v v c v .o .O �.� � � W '-' N ri d• kn �D r, N m 4v �D n co � O •-" c`1 -- .- - O p �. V d ..rvjl ,dsN � X �'!i b'Kt + J,t- ':fi~. _ _# `? t d•'" 3 .a3,t�` . v 0 a r' U 0 0 0 c� a o a U y � n A U nl 1 V Y U S 1+ L U o V a� o Q) o A � � � � � � •� an -o '� i -d -- o 0 0 3 o L7 an " ra 4 s, N b O O O ttS O c7' O r. O O O O O O O O O ¢ Q O .- N M c- oo a; U U A yi --'7'hcr.,>s• v`.rr3 'bs d.>_- c"M !P`,k r ,e "p"+�t P d * rau;,. _•.,,c,E �^.'r''�' _.. 1. .. �' `'`� �. is e F+ `.��" ;,.x,c: ,.�,r mtieG;:. . U O a a� w O G O c� a C O s O. U U L i U a- Z u it O U � N � o x 73 z + Q, i. u O o O o F Q W r U W O H W L�U U a. (� �n 0 ya+ �' [� •-+ N M V V7 �O H - N t--: m rA .4 i a m a� U S1, O N � 3 C 4� O NUl OCd U w E � ° cd r. 0 0 a U cd UU .� b_A 'Z cd c�3 t4 CJi> � . o > . eJ ¢, u 0 N N V 0 _ z s e°a on `d d .cd N U U 1-. .Oo c° m to oc W a a cd w � vZal w Z O ° cC cd CITY OF ATLANTIC BEACH Sze 800 SEMINOLE ROAD - .a r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030334 Date 5/18/05 Property Address . . . . . . 336 12TH ST Tenant nbr, name . . . . . . REMOVE/INSTALL DRIVEWAY Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7138 Owner Contractor ---------- _ ------------------------ CHARLES WILLIAMSON MASONRY, INC BODGE,MR. & MRS . 336 12TH STREET 814 N. 7TH AVENUE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-7466 ------------------------------------------ Permit . . . . . . BUILDING PERMIT Additional desc . . . 00 Permit Fee . . . . 35 . 00 Plan Check Fee Issue Date . . Valuation . . . . 7138 ---------------------------------------- Special Notes and Comments ALL ON PRIVATE PROPERTY. Fee summary Charged Paid Credited ----Due--- ---------- ---------- - ` Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILD CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH cc: D. Ford rs 5" f BUILDING / ZONING DEPARTMENT L. Higgins r� 800 Seminole Road er J yr Atlantic Beach,Florida 32233 JF31>� (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # L — L Property Address: Applicant: Project: This permit application has been: C�Approved ❑ Reviewed and the following items need attention: Please re-submit o pplication when these items have been completed. Reviewed By. Date: Ste` /3-19-5- Date .3-19SDate Contractor Notified: RECEIVED CITY OF ATLANTIC BEACH BUILDING &ZONINGCITY OF ATLANTIC BEACH J MAY 12 2005 BUILDING PERMIT APPLICATION u,..__...., �� � � (Alterations &Additions) BY: .. _T.Y. Date: Job Address: �i (L TN �7" (�rt r) �`IC ( L'HCl-( , (-`"L Owner of Property: rn(75 �)O&L Address: L t14 v r tL l���T1 P C��I J e Telephone: Legal Description: Block Number: Lot Number: Zoning District: S E 1(/rA (//1 /A✓ Contractor: RL[6WILG(AR?sd1V MAS 6M�—State License Number:— ,Contractor Address: 814 A E. N et# TAS ���N l PC 322-6 Telephone: (g0g) Z,4Jy' Fax: 9(J Describe proposed use and work to be done: I C Er0O U C D l!` (U 6 .lZ I UC WAi/ And 5106 1 C.. T-AiSIR 11 iv C_ W >>lz1YENJl q AAP E� nia Z-Fr dN RIIA '5106 ne0i 5%0- VAIK ?A0 Us Present use of land or building(s): 2G�I QFOV 17 Valuation of proposed construction: 41:7 19 9, 75- What SWhat are the dimensions of the added space: .0,7 5 �� eet x N feet Will the added area be heated and cooled? nl U New electrical or increase in service? P6 Add plumbing fixtures? NIQ Add fireplace? IU O Add heating/air conditioning? 1\10 Is approval of Homeowner's Association or other private entity required? V0 If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? ONO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 .Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Revised 8/04 Page 2 D 55�-. -�,3�, - n Sunshine State One Caii Ci' U 05 '05%05 rl�, The following facility operators have responded for this locate request: Ticket 12254521 FL : DUVAL County, ATLANTIC BEACH City 336 12TH ST CITY OF ATLANTIC BEACH, FLORIDA - ***Response has not been entered*** COMCAST CABLE COtffUNICATIONS, INC. - Marked FERRELLGAS L.P. - Clear No Facilities JACKSONVILLE ELECTRIC AUTHORITY - Clear No Facilities BELLSOUTH NW - Marked The most up-to-date response status can always be gathered at http: //www2.callsunshine.com/irthinternet/ , or by calling 1-800-852-8057. City of All Beach Planning and Zoning Department i This approval verifies compliance with applicable iY zoning, subdivision and other local land development regulations, but does not constitute approval for the issuance of permits. Compliance with Florida Building Code and all other applicable local, State and Federal permitting requirements must be verified by signature of the City of Atlantic Beach Building Off ial prior to a issuance of a Building Permit. Approved By: � - Commu i Develop!p ft Director Date: /V Ir Ib l f/� clap 1� mom — V� y _ d �t• cJ rEPt���E E-X151' P- BEN BROADFOOT•DESIGN 420 South Third Su=t IT OT Jacksonville Beach, FL 32250-6721 i r\ 9 or2.viau1; 4-TCO3 Q 12�P�.a�E E-X�yt' A-� �� ►� T IG P c �t , �L BEN BROADFOOT • DESIGN 420 South Third Street Jacksonville Beach, FL 32250-6721 ' r o ti S �o a �OS%/'5/E o C N Ul 0 QRt 29.4 S, r (� � w �4 6.4' � ° � Z 14 o t � f� � . �.Q W ci ^ y ,t= 7.6' V� N \, A -4 nl J]� N as.a• • 29.4 c.o o� � ZZ �o y0 i x 2 y y z Yrn _ L+3 m 'mio � 5 oil j r y z { A Y O In N r% p Q c o N ro prjl v M O O M xxt*M * < Cpy A mmRO n 1�A 3 1,\ 2 � Y.O. V• I ? o tip H m O y N 5 A m_o x . tTj V M IVa _ c a G �• _ n n ^ M\� INSPECTION TICKET PAGE 7 PREPARED 1/17/03, 8;44:59 INSPECTOR: LARRY J HIGGINS DATE 117/03 CITY OF ATLANTIC BEACH ADDRESS ; 336 12TH ST SUBDIV; TENANT, NBR: REM.SWR,CEIL.,INST TUB/TL PHONE (904) 737 0799 CONTRACTOR MASTERCRAFT REMODELING INC PHONE (904) 249-7032 OWNER BODGE, KEVIN & NANCY PARCEL 171926-0000- APPL NUMBER: 02-00025208 RESIDENTIAL ADD/RENOVATE/ALTER ---- ------------------------------------ PERNIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------ 13 01 12/27/02 DCF BD F AMING TIME: 13:00 12/2702 AP fra ing rough. will be there at 1:00. 15 01 1/17/03 LJH , BD INSULATION TIME: 13:00 TER 2:00 PLEASE 737-0799 COMMENTS AND NOTES -------------------------------------- INSPECTIO PREPARED 12/26/02, 16:16:29 INSPBCTORN LARRYJ HIGGINS DATE 12/27/02TPAGE 2 CITY OF ATLANTIC BEACH ------------------------------------- ADDRESS . : 336 12TH ST SUBDIV: TENANT, NBR: REM.SWR,CEIL.,INST TUB/TL PHONE (904) 731 0799 CONTRACTOR MASTERCRAFT REMODELING INC PHONE (904) 249-1032 OWNER BODGE, KEVIN & NANCY PARCEL 171926-0000- APPL NUMBER: 02-00025208 RESIDENTIAL ADD/RENOVATE/ALTER - -_ -- _- ____ ------------------------------------ PERMIT: BLDG 00 BUILDING PHINIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------- - - ------ --- 13 01 12/27/02 L - - ��D FRAMING TIME: 13:00 c�L framing rough. will be the/1:00. ------------------------------- -------------------- - PERMIT: ELEC 00 ELECTRICAL PH RlIIT SUB: DAVID GRAY PLUM G INC. (9041744 7255 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------- ---------------------- ---- 22 01 12/2702 UGH TIME: 13:00 will be there at 1:00 J ----------------------- COMMENTS AND NOTES -------------------------------------- }� CITY OF ATLANTIC BEACH z 3 800 SEMINOLE ROAD y � ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025208 Date 12/20/02 Property Address . . . . . . 336 12TH ST Tenant nbr, name . . . . . . REM.SWR,CEIL. , INST TUB/TL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 11000 Owner Contractor ------------------------ ------------------------ BODGE, KEVIN & NANCY MASTERCRAFT REMODELING INC 336 12TH STREET 2939 DUPONT AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217 (904) 249-7032 (904) 737-0799 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc REMODEL/CIRCUIT FOR JACUZZI Sub Contractor DAVID GRAY PLUMBING INC. Permit Fee . . . . 47.20 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47 .20 47 .20 . 00 . 00 Plan Check Total . 00 .00 . 00 . 00 Grand Total 47.20 47 .20 . 00 . 00 i r BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE.AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER_ "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS^ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERM AND UBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL ` CITY OF ATLANTIC BEACH, FLORIDA Approved I APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 12-20-02 19 1 IMP013TANT 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 ELE RICAL REGULAT NS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. R & R Electric of North Flgrik, la, ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME Bodge ADDRESS: 336 12th St. RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES. (X) APT. ( ) comm. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ! OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS �� PH W A601-T RACEWAY O`er FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31-100 AMPS. J�` SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 10.100 AMPS. OVER ��pp APPLIANCES BELL TRANSF. (/D AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS emo e _a , Circuit for jacuzzi tub. TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. IKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES 2, 6 r� t } CITY OF ATLANTIC BEACH ► 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025208 Date 11/27/02 Property Address . . . . . . 336 12TH ST Tenant nbr, name . . . . . . REM.SWR, CEIL. , INST TUB/TL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 11000 Owner Contractor ------------------------ --------------- BODGE, KEVIN & NANCY MASTERCRAFT REMODELING INC 336 12TH STREET 2939 DUPONT AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217 (904) 249-7032 (904) 737-0799 ---------- ----------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee 85 . 00 Plan Check Fee 42 . 50 Issue Date . . . Valuation 11000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------ Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total 42 . 50 42 . 50 . 00 . 00 Grand Total 127 . 50 127 . 50 . 00 . 00 a BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE.AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. -FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS W H ARE PART OF THIS P MTT D SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL PREPARED 11/25/02 , 10 : 17 : 29 PAYMENTS DUE RECEIPT CITY OF ATLANTIC BEACH PROGRAM BP820L -------------------------------------------------- APPLICATION NUMBER: 02-00025208 336 12TH ST FEE DESCRIPTION AMOUNT DUE ---------------------------------------------------- PLAN CHECK FEES 42 . 50 BUILDING PERMIT 85 . 00 TOTAL DUE 127 . 50 Please present this receipt to the cashier with full payment . CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date— Z L ,? S z-- Heated Square Footage @ $ per sq ft= $ Garage/ Shed @ $ per sq ft= $ Carport/Porch r @S per sq ft= $ t� ft= $ Deck @$ pers sq ft= per sq ft= $ TOTAL VALUATION: $ if d � 0 3S� $ 3 ,S� Total aluation 1 St $ / 0 U � $ `� C l Reinaiiing Value .:per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ Al 1- ZONING: + '/2 Filing Fee $ 3� 3 FLOOD ZONE: ( ) Fireplaces @ $15.00 $ — 0 — IMPERVIOUS G —IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ /24 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON 1A1 50050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ 4, GRAND TOTAL DUE: $ / 2 d 2S2C�� RECEIVED NOV 1 9 2002 r ter. �� 13y: Gz, 1 CO - 51 1-� City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atiantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE JOB ADDRESS- 133& /2' APPLICAN 67 Q ADDRESS 336 /2-7% Sr PHONE: y l -70 3 –'G— LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER ZONING DISTRICT /� STATE LICENSE NUMBEWC9-60S 7 F37 CONTRACTOR 1'2`714 S7�� C� PHONE ADDRESS �,0 30 1-2 CITY :�T-44X STATE l=G ZIP 0 FAX ? -7 DESCRIBE PROPOSED USE AND WORK TO BE DONE /G�1Uo7/f .SyWerL /6/S�'�'(( �✓ sf TDA��P j" /e or, C PRESENT USE OF LAND OR BUILDING(S) S/tifle �`>` Du/e VALUATION OF PROPOSED CONSTRUCTION (I 000 Is this an addition? /1/0 If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? NO.,/Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 6/18/02 CITY OF Be4CA 4"a q 9,3, g Office of Building Official e/ �\ REMIEST FOR INSPECTION Permit No Date A.M. Time P.M. ReceivedtrIn l%/ � ��y� }�Locality Job Address Wf� Owner's �Rough Name PLUMBING MECHANICAL CONCRETE ❑ Air Cond. & ❑ BUILDING ❑ ❑ Rough ❑ Heating ❑ Footing Temp Pole ❑ Top Out ❑ Fire Place ❑ Framing Slab 11 ❑ Sewer Pre Fab ❑ Re Roofing ❑ Final Insulation ❑ Lintel A.M. READY FOR INSPECTION Friday�—P.M. Wed. Thurs. A.M. h a P.M. 1 Final Inspection Inspection Made , anc ❑ Certificate of ccup Y Inspector ` Date STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic . Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL FORMATION PRO ED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE I HEREBY CERTIFY THAT I HAVE JAD ID EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION. BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. f SIGNATURE OF CONTRACTOR � DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME ,} 2 MAILING ADDRESS S f C `� Z 2'r ,3 PHONE '�D �— FAX E-MAIL G,rLa Q 1 r (C)YV� SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL GCS" NOTARY'S SIGNATURE lotn.ni • mycDD0603�2 AS TO OWNER: llknown ,a V EXON AWW 16,2006 ( � ersonay Produced identification / L ' Type of identificationroduced p BRIDGOTTE YBARRA Notary Public,State of Florida AS TO CONTRACTOR: Personally known - Comm.expirss„rrll 10;2006 Produced identification GJt ':i•fug " 01706 Type of identification produced" ��Ofl �=A 6/18/02 ;,, 1/21/02 THU 16:21 FAX 737 7068 AGC MURPHY CO 0 002 3o�y � RRRAN f�Sr,ole'n 3030 POWERS AVENUE JACKSONVILLE, FL 322 07 cv/�� ` , ONONL; 6Q4.737.07.99 • FAX'. 904:•737.7066 WWW.MASTERCRAFT'fiEMOOEL,INO.CCI"I . � .. APPROVED B�LDINGNOFFITIC CEAG I I AI°PR, . CITY. OF-ATLANTIC 'BEACH BUILQING�-OFFICE' . ........... Cf\ . ......... r r i , T S I r . I � i I • I I I , I ... I I �l , lI _ r r WITS • I I I • 1 I , , -=x.11/21/02 THU 16:22 FAX 737 7068 AGC MURPHY CO la 000 X305old � •� � - 207 ST.ER RAFT Sr0 p ,� RE'MOO'EL1NG 1NC, POwens IWENUE JACKSONVILLE, FL 32 ' RlyaNle 904,737,0790 • FAX: 904.737.7069 ' WWW.M"TE RCRAFT-RB MOVE0NG;COM .•_. ' I , , ... ..-..�.... .. .i , 4 , l.......'. �•� ! ;/_. _Lii /its, -nAi c? 7, - 72; of ;. .......... ;_ d„P� ; i , frr+S ( � f -2A ( dv b ►�.'1,�J fl(, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J t� ATLANTIC BEACH,FLORIDA 32233-5445 St1 TELEPHONE: (904)247-5800 FAX: (904)247-5805 J �r SUNCOM: 852-5800 .1)0^ I http://ci.atlantic-beach.fl.us �JF31�� PVANJ R F'.V1F COMMENTS Per m:t Application # 092- 2 5 2 O Appitcant: Mct5+-P-� Cr'Q - + T�cmod-n n Address: 5{-- Project: f tCMOVC_ - �/h ► -, 1-►r15QAA -x-01 Lf- 1�Yy-)OV1. cc l ryi , SY15-to.,u ► iz&,J a Your application is approver' Your permit application has been reviewed and the ioiiowing items need �p attention: t- IjF-6-0 F C.062 /CJ}AJ S 0L,'( ay6 T isr�.�7G �1 �iYTv2FS f�^JXF_o f4FL)/etl Please re-submit your application when these items have been completed. Reviewed by 1)o J Foe 0 Signed Date o Z_ Contractor Notified Date Book10777 Page 2296 � 1�(IN. I�ET•Ui�N, PHO NE#19 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. Slate ofQ� County of To whom it may concern: The undersigned hereby Informs you (hat Improvements will be made to certain real property, and In accordance with Section 713 of the Florida Statutes, the following Information is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved: Address of property being improved: 336 12 General description of improvements; Owner —/ i t/ Address :!i'7 Owner's interest in site of the improvement Fee Simple Tilleholder (if other than owner .. Name Address Contractor__1"}'1 fj'S Address _ 03 Phone No. _[37- Fax No. Surely(if any) Address Amount of bond $ Phone No. Fax No, Name and address of any person making a loan for the construction of the imprcvemenls. Name Address IN ACC .PT*i G THiS "01--11141T TH ; UNEEi'S.IGNLD h6P&J,S TO THE FOLLOV,JING COTe'?)lTiONS: 1. To place on deposit with the Toti�n1 Clerk, Fifty Dollars ('V50.00) to cover damage to sidewalks, streets , o:• any Town property. If no damage is done full amount will be refunded after final inspection. 2. To observe set back lines approved on plans. 3 . To notify the Building Inspector 24 hours in advance, stating time foundation is to be poured so that size of excuva-� tion, steel and set back can be inspected. 4. To notify the Building Inspector 24 hours in advance so that rough plumbing can be inspected before any pipes are covered. 5. To notify the Building Inspector that plumbing is ready for final inspection. 6. To notify the Building Inspector when house is complete, lot cleaned up and graded so that final inspection can be made. y PERMIT N0. PATTil -- ANCHOR ENGINEERING, INC. CIVIL ENGINEERS,PLANNERS,STRUCTURAL ENGINEERS IC114ORING4000-11 St.Johns Avenue Jacksonville,Florida 32205 Ph.(904)388-1259 Fax(904)388-0404 Email: anchoreng@msn.com December 6, 2002 A P P Q C V E D CITY )r AiLAivfIC BEACH =Y. � Building Official BUILDING OFFICE City of Atlantic Beach Building Inspection Division DEC 2002 Re: The Bodge Residence 336 12`x' Street Atlantic Beach,Fl. 32233 Permit No. 02-25208 l � Dear Building Official: V�/` This letter is provided in order to change a portion c 3 referenced project. The owners would like to remo ; room in order to have a vaulted ceiling effect. A sitz �� �+0 C was conducted on Tuesday, December 3, 2002 and i� 6a can be removed once the existing roof rafters are pro, details of how the bracing and repairs are to be made. Please incorporate these changes into the documents N �av' �� ! b I construction permit. o V� ('e If you have any questions or comments please contact. Y�V)q C8 G V s�e Sincerely, --S e f Ronald J. Bongiovanni,P.E. President Anchor Engineering ' r 0L Iti ANCHOR ENGINEERING, INC. CIVIL ENGINEERS - LAND PLANNERS 4000-11 ST.JOHNS AVENUE JACKSONVILLE,FLORIDA 32205 DATE: (904)388-1259 COMP BY%144Z� �j CNK BY: /�✓� PROJECT: // �i9STF/%�/Z��T ��/100�UNG F rNG SHEET NO. T s Ciyvn�G,E T ,C"x/sriN6 /%/,:`i�,/rTT�="� c<k�•� /� �« /NTE/c'/GYZ �'c''.�-,✓o!/.lr�crv. Ca�.+�rE2 Tom .f �'�_-- ✓o/s Ts r Y I a _ . s I ` SEE .Tff T 2 �T/ii✓ /c�oo�� A /=� si_=�rron��9-A, IRFC'P,TNTF,D DEC 0 9 2002 e 0° BY: ti�. ANCHOR ENGINEERING, INC. CIVIL ENGINEERS -LAND PLANNERS 4000-11 ST.JOHNS AVENUE JACKSONVILLE,FLORIDA 32205 DATE: (904)388-1259 COMP BY: ✓�S CIIK B Y: �✓13 PROJECT: / .QST�I ClZ/��% ����I�OGY_=L/�G C SHEET NO. 336 /0 //, Srlozr r ,>'rexl-17 E DED 2X6 l�iP.�!'�it UvE/Z .SL.v 2 G ,E"x�.sr�.s�,a• /'i�'F'r.�"2 2 X-? 6"Y �x/o �X/ST/ted i�v�/I/�-9�YF E .a cX C"W/4 i/Y G %/Oi K p• f �vf'l�ltrfl> /?'yUSF Jir�7�1.92 s/ Ji v v 171-3 To .EF/'��Tr.�OufY� 1 oiY /_=tllF2 y 7b AFnen �'vF�.y l?oor C41 w Acs S To /o /» ,SfCT/oN ,9- /9 X lVoro: /YIOWI O.-- ri'1E FxiJT/NG ZJC9L /coo.^ ,5rri`�'�rUl'T /IJf > 'Y S //.OUr�,cGs,�v 2)<4 T E/?y 2 X 6 l'00/- f,.�?.G"f:es/2 , Co 1vW reT' T/� ,�'/d c)T W/ff� .�/���v�✓f+�—3 .�rlrv,��J vr��, ou T G RF DEC 0 9 2002 Iti CITY OF ATLANTIC BEACH 3 800 SEMIINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Jl;l9 Application Number . . . . . 02-00025208 Date 12/16/02 Property Address . . . . . . 336 12TH ST Tenant nbr, name . . . . . . REM.SWR, CEIL. , INST TUB/TL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 11000 Owner Contractor - ------------------------ ----------------------- BODGE, KEVIN & NANCY MASTERCRAFT REMODELING INC 336 12TH STREET 2939 DUPONT AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217 (904) 249-7032 (904) 737-0799 -------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . DAVID GRAY PLUMBING INC. Permit Fee . . . . 49 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/16/03 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -------- Permit Fee Total 49. 00 49 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 49 . 00 49 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PACED IN PUBLIC SPACE.AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN PROPERTYRESULT IN THE DING IMPROVEMENTS" ACCORDING TO CH ARE PART OFTHI P RMIT AND SUBJECT TO REVOCATION TISSUED ON FOR VIOLATIONOFAPPLIOABL PRO PROVISIONS OF W D PLANS WHICH BUILDING OFFICIAL CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: ?�Co t n OWNER OF PROPERTY: TEL. f V 7qq PLUMBING CONTRACTOR:7bkt4D &ZAc�j PQM- 'j CONTRACTOR'S ADDRESS: STATE LICENSE NUMBERA61 %�__02-�61 TEL.q24--171 HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS I CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) 4 OTHER TOTAL FIXTURES: X$7.00 +$35.00= MINIMUM PERMIT FEE: $35.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS -(904) 247-5826. PREPARED 3/21/03, 13:21:57 INSPECTION TICKET PAGE 1 CITY OF ATLANTIC BEACH INSPECTOR: DON C FORD DATE 3/21/03 ---------------------------------------------------------- ADDRESS . : 336 12TH ST SUBDIV: TENANT, NBR: REM.SWR,CEIL.,INST TUB/TL CONTRACTOR MASTERCRAFT REMODELING INC PHONE (904)PHONE (904) 249-0799 7032 OWNER BODGE, KEVIN & NANCY PARCEL 171926-0000- APPL NUMBER: 02-00025208 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------ PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------------------- 13 01 12/27/02 DCF BD FRAMING TIME: 13:00 12/27/02 AP framing rough. will be there at 1:00. 15 01 1/17/03 LJH BD INSULATION TIME: 13:00 1/18/03 AP AFTE /2:00 PLEASE 737-0799 16 01 3/21/0C BD NAL TIME: 13:00 —3— j 3 T 6-5176 ------------I- --------------------------------------------------- PERMIT: ELEC 00 ELECTRICAL PERMIT SUB: DAVID GRAY PLUMBING INC. (904)744-7255 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------- 22 01 12/27/02 DCF EL ROUGH TIME: 13:00 12/21/02 AP "Y i 1 be there at 1:00 23 01 3 21/ 3 DCF � FINAL TIME: 13:00 - -� ---- --- - -- _---------------------------------------------------- PERMIT: PLBG DO PLUMBING PERMIT SUB: DAVID GRAY PLUMBING INC. (9041144-7255 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------ 42 01 12/18/02 LJH PL ROUGH TIME: 08:00 12/18/02 AP TUB .JASTALLATION AFTER 9:OOAM PLEASE 45 01 3 21/ 3 CF ,I�F#AL TIME: 13:00 -------------------------------------- -------------------------------------- COMMENTS AND NOTES PREPARED 3/21/03, 16:39:09 INSPECTION TICKET PAGE 1 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 3/24/03 --------------------------------------------------------------------------------------------- ADDRESS . : 336 12TH ST SUBDIV: TENANT, NBR: REM.SWR,CEIL.,INST TUB/TL CONTRACTOR MASTERCRAFT REMODELING INC PHONE (904) 737-0799 OWNER BODGE, KEVIN & NANCY PHONE (904) 249-7032 PARCEL 171926-0000- APPL NUMBER: 02-00025208 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------------------------------------ PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------------------------------------------- 13 01 12/27/02 DCF BD FRAMING TIME: 13:00 12/27/02 AP framing rough. will be there at 1:00. 15 01 1/17/03 LJH BD INSULATION TIME: 13:00 1/18/03 AP AFTER 2:00 PLEASE 737-0799 16 01 3/21/03 LJH BD FINAL TIME: 13:00 3/21/03 AP 626 '5176 16 02 3/24/03 LJH BD INAL TIME: 08:00 - ---------------------------------------------------------------------------- PERMIT: ELEC 00 ELECTRICAL PERMIT SUB: DAVID GRAY PLUMBING INC. (904)744-7255 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------------------------- 22 01 12/27/02 DCF EL ROUGH TIME: 13:00 12/27/02 AP willbe there at 1:00 23 01 3/21/03 LJH EL SINAL TIME: 13:00 3/21/03 AP -_ 23 02 /24/03 . LJH E FINAL TIME: 08:00 _k _ ------------------------------------------------------ PERMIT: PLBG 00 PLUMBING PERMIT SUB: DAVID GRAY PLUMBING INC. (904)144-7255 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------------------------------------------------- 42 01 12/18/02 LJHPL ROU H TIME: 08:00 12/18/02 AP TUB STALLATION AFTER 9:OOAM PLEASE 45 01 3/21/03 LJH PL NAL TIME: 13:00 3/21/03 AP 45 02 3/24/03�� LJH FINAL TIME: 08:00 --S='-a-- -------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- 000266 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION INFORMATION _)RMA`! 336 I-ITH STREET jj L NN fm be ir 266 re"t L 3 FLORIDA -1223 ATLANTIC BEACH, ORIDA 3-123 41i N Pyr Writ Tyre: MECHANICAL LEGAL DESCRIPTION iass of Work: ALTERATION t i.., Block: Sec t i On I ,onsti-. Type. Plat 'i opoeed Use: SINGLE FAMILY plat Book; Paye: 0 wellinge: 0 Code: 0 TAbdi-vielon: -- - - - - - -. OWNER INFORMATION �tj.maLed Value: $0. uu Name: MR. GRUNTHAL IMPL-Ov. Cost- $0. 00 336 12TH STREET Total Fees: $20. 01-) 1riress-. $20. 00 ATLANTIC BEACH, FLORIDA 321 -J3 Amount POO Phone: D Paid FEES - ----- APPI-ICATION $20. 00 �COND. CO ERMIT "FAN 4 T -:R1 $0. 00 ER IMPACT FEE ATE 14 OWER ER IMPACT" Q10, 00 WER IMPACT FEE ,TER METER $0 ADON GAS-H- R. S- $0. ADON GAS -- 5% $0. 00 ATER TAP $0. 00 EWER TAP $0- 003507 111 1 !YDRAULIC SHARE $0. 00 :'E•-INSPECT FEE so. 003KI 1 1 1 iTHER $0. 00 NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS OWNER.FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT � I IMPRN OVEMENTS-I39 THE PROPERTY OWNER PAYING TWICE FOR BUILDING ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION L-- APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I� Street Address: LOCATION OF Intersecting Streets: Between And BUILDING Sub-division II. 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 attached 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* of Mechanical Contractors -�sCc Contractor (Print) Master — Nam* of r� Property OwnerSignature of of Owner Signature of or Authorized Agent Architect or Engineer t l. 6Er1ERl1L,Its ON , f3. _ A' Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? � ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on beck of this form) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed X Control O Floor ❑ New Building Existing Building (3Air Conditioning: [3 ROOM Central [3 Duct System: Materia' Thickness Replacement of existing system Maximum capacity c.f.m. ElNew installation(No system previously installed) ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g'p m. ❑ Fro sprinklers: Number of head ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Rec"1ed) ❑ Tenks_ (number) Remarks ❑ LPG containem —(number) ❑ Unfired pressure vessel Permit Approved by Do ❑ Boilers Permit Fee ❑ Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT capacity 'A roving Number Unita Description Model Number Manufacturer (Tons) wgeney HEATING FURNACES, BOILERS, FIREPLACES capacity Number Unita Description MoAel Number Mmufaat"M TANKS Serial Approving NOW Many Nambaal Capacity Type Liquid Name Of and Dimeodoos Contained Manufacturer No. Agency_ CITY OF' �Qsfc &44CA- Office of Building Official REOUEST FOR INSPECTION Date ` Permit No. A.M. District No. Time P.M. Received o� _ Locality Owner's Job Address Contractor Name PLUMBING BUILDING CONCRETE ELECTRICAL MECHANICAL ❑ Air.Cond.& ❑ ❑ Rough Wiring Rough beating Top Ot Framing ❑ Footing Tu ❑ ❑ Slab ❑ Temp Pole ❑ Fire Place ❑ Re Roofing Lintel ❑ Pre Fab READY FOR INSPECTION fav Thurs. Friday P Tues. Wed' Mon. A.M. P.M. Inspection Made C� Final Inspection❑ Inspector Certificate of Occupancy Date 000279 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION INFORMATION J'LhIlLi ih1- iJRMAT1­ii 336 TWELAPTH STREET ��eL-j"jt Number : 279' ATLANTIC BEACH, FLORIDA Permit Type: ELECTRICAL LEGAL DESCRIPTION .°lass of Work- ADDITION Lo L Block. Section. collstr. Type: plat Boaki page: 0 proposed Use: SINGLE FAMILY 3ubdivision: Dwellings: 0 Code: 0 OWNER INFORMATION Estimated Value: $0. 00 Names ROSE CONSTRUCTION Improv. Cost : $0. 00 336 TWELFTH STREET Total Fees; $20. 00 Address. Amount Paidl $20. 00 ATLANTIC BEACH, FLORIDA 32" 1 4 Phone: (9 9 0 04)24 -561 -I wife room t-filit ion 41PL�, 1P Lt 3w, ARU LICATION FEES - .,,01ATRACTOR(�_5 PERMIT $20. Hf)hp<_' -TRIC CO- IAL _�)N ELE( so, WATER IMPACT FEE SEWER IMPACT FEE $0. 01i WATER METER a0. 0 , RADON GAS It. P. '"1 $0. 00 - RADON 6 A S, 5% $0. 00 WATER TAP 90. 00 SEWER TAP 00. 00 HYDRAULIC SHARE $0. 00 RE-INSPECT FEE 40. 00 OTHER $0. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACES 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-33 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: 000279 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION It4FORMA,r1:oN 336 TWEL*tTH STREET Number FLOR I t.,,: pecm,LL Type% ELECTRICAL.,CAL ATLANTIC BEACH, LEGAL DESCRIPTION ADDITION ,jaeja of Work: 8 lock I Sec L i cc)rjr3tv. Type-. PI&L Book ! Page. pi-oposed Use: SINGLE FAMILY ;ubdiviniu"; ings: 0 Cede 0 $0, (Jo OW14ER INFORMATIO" E;wtj,wated V a I u#-A 1 $0. Oc- ROSE CONSTRUCTIO14 Improv. COSts $20. 00 Addic'ersol 336 TWELFTH STREET Total *f*er : BEACH, FLOP L L, &TLANTI(- $20. 00 (904�249-5601 --�*,ppj-JCATION PE t- , , s 2 0 fw " WATER IMPACT FEE $0 Q0 SEWER TtW., 4�V T FEE RADON GAS WATER TAP -EWER TAP HYDRAULIC SHARE *0. 0(-) RE- INSPECT FEE $0. 0C) so. ($-i- OTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-11 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT Z REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �� !�J 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. bi L liioi'APS6N ELECTRIC CO., INC. P. 0. BOX 50398 JACKSONVILLE BEACH, FL 32240-0398 ELECTRICAL FIRM: MASTER ELE RICIAN S ATURE JOURNEYMAN NAM 4�ta&a-T_L ADDRESS:W e4 f RFD BOX BLDG.SIZE BETWEEN: RES. APT. ( 1 comm. ( 1 PUBLIC ( ) INDUS. ( 1 NEW ( ! OLD ( 1 REW. ( ) ADDITION (X) TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 SQ. FT. FEE SERVICE: NEW ( 1 INCREASE ( 1 REPAIR ( 1 CONDUCTOR SIZE AMPS COPPER 1 1 ALUM. ( 1 SWITCH OR BREAKER AMPS PH W ..�� VOLT RACEWAY EXIST.SERV.SIZE Z AMPS / PH W ��/OLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS, 31.100 AMPS. SWITCHES INCANDESCENT _ FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES =BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS -r z r-- TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA _ NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN _ 7-1- FORWARDED C`}tJ TOTAL FEES CITY OF f4&4rta& Be=i-17&uda Office of Building Official EQUEST FOR INSPECTION / Permit Date A.M. District No. Time P.M. Received 41A, 1 Locality o Address Owner's GogtWor NameI E T 1 AL PLUMBING-%, M CAL BUILDING CONCRETE4 Air.Cond.& Footing ❑ Rough Wiring �� Heating Framing Temp 0 ep Pole 0. Top Out ❑ Re Roofing ❑ Slab Fire Place ❑ Lintel ❑ /��� / Pre Fab READY FOR INSPE N / WedThurs Friday Mon. Tues. �y A.M. P.M. Inspection Made Final Inspection❑ Inspector Certificate of Occupancy Date 000301 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION INFORMATION permit Number : 301 Address: 336 12TH STREET permit Type: BUILDING ATLANTIC BEACH, FLORIDA 3223 LEGAL DESCRIPTION Class of Work : ADDITION Lot : Block: Section- Corjotr . Type* plat Hook: page: 0 prc-jposed Use: SINGLE FAMILY Subdivision: Dwellings! 0 Code: 0 $0. 00 OWNER INFORMATION Estimated Value: $0. 00 Name: LEONARD N. GRUNTNAL Improv. Cost : $120. 00 Addfess: 336 12TH STREET Total �Fees;P"ILd0120. 00 ATLANTIC BEACH, FLORIDA Paid : 12" 1 9 .9p Phoriez (904)-.46-6194 - " WH "Eh IMPACI FEL Lsj. ili ADDITION APPLICATION FEES PERMIT $0. 00 WATER IMPACT FEE $120.,00 SEWER 1,"PACT FEE $0400 WATER ft FT E R P A L)CIN GAS -N. R. S. RADON UAS - 5% $0. 0ij WATER TAP $01'aq SEWER TAP *0. 00 HYDRAULIC SHARE $04 RE-INSPECT FEE $0. 00 OTHER $0-00 NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN T: OP BUILDING IMPROVEMENTS-113 THE PROPERTY OWNER PAYING TWICE FOR B ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS T14E 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 VALVE 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) LAVA'T'ORY ( 1 ) _---_COMBINATION SINK AND TRAY (3) WASHING MACHINE ( 3) -----POT, SCULLERY SINK (4 ) DISHWASHER (2) -----WASH SINK EACH SET OF ---- FAUCETS (2) KITCHEN SINK (2) ----- DENTAL LAVATORY ( 1 ) _____KITCHEN SINK WITH WASTE GRINDER ( 3) _____DENTAL UNIT OR CUSPIDOR ( 1 ) BIDGET (3) -----URINAL STALL, WASHOUT ( 4) FLUSHING RIM SINK (8) --___COMBINATION SINK AND TRAY WITH ----- FOOD DISPOS. (4) _____URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) -__-_DRINKING FOUNTAIN ( 1/2) LAVATORY, BARBER/BEAUTY SHOP (2) -____LAVATORY, SURGEONS (2) SURGEONS SINK (3) -----ICE MAKER ( 1/2) WET BAR (2) OD TOTAL FIXTURE UNITS___ '_____ @ $20. 00 EACH 9 -----_-------------- -- /� JOB INFORMATION___- ___-1- ------ -------------------- CITY OF 4&4w is /3 ea -4 4&U42'Aa Office of Building Official REQUEST FOR INSPECTION Permit No. Date Time District No. Received Locality ress / Owner'sJ�A 7 J Contractor Name G�Cc —'— BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Rough wiring — Rough ❑ Air.Cond.& ❑ Framing ❑ Footing — Heating Slab To Out 11Re Roofing El Slab Temp Pole � p Fire Place ❑ Lintelre Fab READY FOR INSPECTION jj M Mon. Tues. wed. Thurs. Frida P. A.M. P.M. Inspection Made Final Inspection❑ Inspector Certificate of Occupancy Date 000164 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION INFORMATtON Address: 336 12TH STREET alit Humbef�: 164 ATLANTIC BEACH, FLORIDA 3223_� Fa Type: BUILDING LEGAL DESCRIPTION Lass cif Work: ADDITION Lot: Block. Section: (,,onstr. Type. plat Book: Page- 0 proposed Use: SINGLE FAMILY ubdivision: ,wellings: 0 Code: 0 $0. 00 OWNER INFORMATION estimated Value; Improv. Cost ; $16281- 00 Name: BUZZ GRUHTHAL Total Fees: $85. 22 ddresal 336 12TH STREET Amount Paid: *85. 22 ATLANTIC BEACH, FLORIDA 32233 Phone: (904)246--6194 i- milLY DWELLING FiON T APPLICATION FEES 11 I N'TTE'A C I't-I R S $al. 00714 1 i 1 --HRIS 'ERMIT ROSE JATER IMPACT FEE !90. 00 '.EWER IMPACT FEE so. 0077u I c I . WATER METER $0. 00 GAS-H. R. S. $4. 02 ,tADOH GAS - 5% $0. 20 MATER TAP $0. 00 ,!EWER TAP $0. 00 1 150. 00 HYDRAULIC SHARE RE-INSPECT FEE $0. 00 OTHER $0. ( NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE UP AND HAUL CLEARED f ED AWAY BY EITHER CONTRACTOR OR OWNER. "�CIL To ( THE MECHANICS' LIEN LAW CAN RESULT IN "FAILURE TO COMPLY WITH 11 oono�RT, UILDING IMPROVEMENTS. THE PROPERTY OWNER PAYING TWICE FOR B ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner_-3j/=.Z_G-*S;�!& _Address_--, _�_ __ zip 32 phone2i 6661N Architect- ---------------- ----- Address _______________zip......phone....... - Contractor_C/I/ __. <�_Addrese----1 'L GR S1_zip 3-2 _phone Contractor' s License number ______expiration ------------ ----------- Lot-_^__-_Block or Section---------Subdivision A-6-2--------Zoning______-- Street-------------between-------____---and --____---side -------- ----------- Type Conetructionf'_No. Unite---- ____No. Fireplaces ----------- Purpose of Building_ --______Est. Valuation 9______________ Utility Method - Water_ AV Sewer__ fiL__ ,,1,,i.L,. Dimensions - Building _ Lot_ �S �1 __Size Footings_12- /6 Sz. Piers_-_-----____Sz. Sills-------------Greatest Span Sills Sz. Ceiling Joiete__ti�(jj___Distance on Centers_ _____Greatest Span_.•___ Sz. Floor Joists __ � ,' Distance on CentersL�___Greatest Span_j- .."__ Sz. Rafters � __ZX/�_Dietance on Centers__Z�___Greatest Span_��_ Method of Heating_ Solid or Filled Ground�r--XJ4 Flood Zone-------If located within a FLOOD HAZARD ZONE complete page 3 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 Cori tractor_42,�,- _C_OG!,s ---Date >' ® lilt � page 2 IVI)� rl I988 Building and Zoning ti FLOODPLAIN DEVELOPMENT INFORMATION Type of Development : -------------------------------------------- Flood Zone : -- ----------------------- Required Lowest Floor Elevation: ------------L-- 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 plane 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 Filed with Building Department ___________ ----------------------------------- Building Departggnt Representative page 3 Address I Iea ted Square Footage F per, Garp a/Stied — g @ $ __per sq ft - $ Carport/Porde @ $ - per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: Tota tion 1st $ Ranainder Valuation —. per thousand or ortion thereof �- --------------------------------P----------- Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED ' + 2 Filing Fee $ i i Mechanical ' Fireplaces @ 15.00 $ ' ao Plumbing ; BUILDINGiPERMIT FEE $ Electric/New Electric/Temp Septic Tank BUILDING PER TE $ Well WATER METER CHARGE $ Swimming Pool SEWER IMPACT' FEE $ Sign WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter $ Elevation Certificate ' GRAND TOTAL DUE $ ----------------------------------------------------------- CALCULATIONS and/or NOTES PLANS REVIEW CHECK LIST Address--_ ��P L� ----------Owner - Legal Description__ (/ 0l6-Dlf-Contract or ______________________________________License Number License on File YES NO Section 24_101 * Zon_in Regulations Zoning District- Proposed Use Required Lot Size�I ----- Actual Lot Sizj," /j/ Setbacks Required Provided Section 24_17 front _ (� -- CORNER LOT INTERIOR LOT rear --- 11_ -- -- // Flood Zone side-1 ---LD--- --� --- -------------- -- Required Elevation ` - 7,:) side-2 - -� - -------- Max. Height Allowed / _ Proposed Height___ Section 24_82 Minimum Lot Coyy_erage Required Heated Area7TU _1�6__-_- Proposed Area Section 24_161 * Offstreet Parking Number Spaces Required....... Spaces Provided Section 24_82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES NO Utilities Water and sewer service is to be provided by: ----- Buccaneer Utilities ----- City of Atlantic Beach Utilities ----- Private Source SEPTIC TANK WELL Plans Reviewed by:--------------------- Date Building Permit # ___ ISSUED DENIED FLORIDA ENERGY EFFICIENCY CODE FORM 1000C-86 FOR BUILDING CONSTRUCTION SMALL ADDITIONS SECTION 10 — RESIDENTIAL PRESCRIPTIVE COMPLIANCE METHOD CLIMATE ZON AND RENOVATIONS DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 3 COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAY BE DEMONSTRATED BY USE OF FORM 1000C-86 FOR ADDITIONS OF 600 SQUARE FEET OR LESS,AND RENOVATIONS TO SINGLE AND MULTIFAMILY RESIDENCES.ALTERNATIVE METHODS ARE PROVIDED FOR ADDITIONS BY USE OF FORM 1000A-86 OR 900A-86. PROJECT NAME 33 c -F`Ct\ Si BUILDER: Cbx -c AND ADDRESS: A PERMITTING p 7m7 3OFFICE: P Z i�(�f�G PERMIT OWNER: NO„ IF MULTIFAMILY,NUMBER OF CONDITIONED �j SQ GLASS AREA AND TYPE RENOVATION E] UNITSCOVERED BY FLOOR AREA l FT CLEAR TINT,FILM.SOLAR SCREEN ADDITION � THIS SUBMITTAL: EAVE OVERHANG I I �•� FT SIPANLE �FQT SINGLE- �so CHECK IF THIS SUBMITTAL LENGTH II �� MULTIFAMILY ATTACHED ❑ REPRESENTS A WORST CASE PORCH OVERHANG DOUBLE- =So DOUBLE- = SO SINGLE-FAMILY DETACHED❑ CONDITION: [:] LENGTH ❑,❑ FT PANE L FT PANE FT WALL TYPE AND INSULATIONFLOOR TYPE AND INSULATION CEILING TYPE AND INSULATION FOR ADDITIONS ONLY: WOOD FRAME MASONRY WOOD MASONRY PERCENTAGE EXTERIOR: EXTERIOR: UNDER ATTIC:R:- © RAISED: 3 p a RAISER:-�•❑ OF GLASS R = 1 I R = ❑•❑ .3 O R TO FLOOR: ADJACENT: ADJACENT:m• COM RON:M-11 ❑ COM RON:�I❑ R = IL�—� u COMMON: I L 1 % COMMRON: COM MON: m•� R_ EI-11GRADE: R = [:L] Ll. DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM IN X CENTRAL ❑ NONE ❑ ELECTRIC STRIP HEAT PUMP ❑ ELECTRIC ❑ SOLAR UNCONDITIONED SPACE: R = ❑ ROOM ❑ NATURAL GAS ROOM/PTHP ❑ NATURAL GAS HEAT RECOVERY ER 1i ❑ PTAC ❑ OTHER FUELS ❑ NONE ❑ OTHER FUELS [E] DED. HEAT PUMP IN CONDITIONED ❑ NO NEW SYSTEM ❑ NO NEW SYSTEM ❑ NO NEW SYSTEM EF = .❑ SF/EF = ❑. SPACE: R SEER/EER = F•© COP/AFUE = a.m ❑ NUMBER OF BEDROOMS = In accordance with Section 553.907 F.S., I hereby certify that the plans Review of the plans and specifications c red by this calculation indicates and specifications covered this calculation are in compliance with the compliance with the Florida Energy Co a re constru n is completed,this Florida Energy Code. building will be inspected for oompli ct�i Gorda ce wit ection 55 OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: TABLE 10A MINIMUM REQUIREMENTS FOR SMALL ADDITIONS AND RENOVATIONS COMPONENTS SECTION REQUIREMENTS CHECK WINDOWS 904.1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK. EXTERIOR&ADJACENT DOORS 904.1 SOLID CORE,WOOD PANEL,INSULATED OR GLASS DOORS ONLY. MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA. INCLUDES SLIDING GLASS DOORS. EXTERIOR JOINTS/CRACKS 904.1 TO BE CAULKED GASKETED WEATHERSTRIPPED OR OTHERWISE SEALED. SOLE&TOP PLATES 903.2 SOLE PLATES AND PENETRATIONS THROUGH TOP PLATES OF EXTERIOR WALLS MUST BE SEALED. INFILTRATION BARRIER 903.2 INFILTRATION BARRIER MUST BE INSTALLED IN EXTERIOR WALLS&RAISED WOOD FLOORS. INTERIOR JOINTS/CRACKS 903.2 ALL OPENINGS IN INTERIOR SURFACES OF CEILINGS AND EXTERIOR WALLS MUST BE SEALED. FIREPLACES 903.2 FIREPLACES MUST HAVE FLUE DAMPERS GLASS DOORS AND OUTSIDE COMBUSTION AIR INTAKES. 903.2 EXHAUST FANS VENTED TO UNCONDITIONED SPACE SHALL HAVE DAMPERS,EXCEPT FOR COMBUSTION DEVICFS WITH EXHAUST FANS INTEGRAL EXHAUST DUCTWORK. COMBUSTION HEATING 903.2 COMBUSTION SPACE AND WATER HEATING SYSTEMS MUST BE PROVIDED WITH OUTSIDE COMBUSTION AIR,EXCEPT FOR DIRECT VENT APPLIANCES. MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND STANDBY WATER HEATERS 904.2 LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF(GAS)VALVE MUST BE PROVIDED. AN EXTERNAL OR BUILT-IN HEAT TRAP MUST BE PROVIDED. SPAS AND HEATED 904.3 SPAS AND HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST HAVE A SWIMMING POOLS PUMP TIMER. GAS SPA&POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75%. HOT WATER PIPES 904.4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS INCLUDING HEAT RECOVERY UNITS, IN SUCH CASES, PIPING HEAT LOSS SHALL BE LIMITED TO A MAXIMUM OF 17.5 BTUH PER LINEAR FOOT OF PIPE. SHOWER HEADS 904.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE AT 20 to 80 PSIG. HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHNICAL CODE.JOINTS IN UNCONDITIONED CONSTRUCTION 904.6 SPACE SHALL BE SEALED.DUCTS SHALL BE INSULATED TO A MINIMUM OF R-4.2. HVAC CONTROLS 904.7 A SEPARATE READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM. RENOVATIONS ONLY GLASS 1003.0 MEETS THE REQUIREMENTS OF SEC 1003.0 SEE STEP 3 OF PAGE 2 OF THIS FORM. • � V t I 'ro,� ������K�� � _ -' '` a�•;�� �,-�% I ' y_ •� ' .s"`lam=r:.t]..!l t t yt�1•. S,''..- �� '��, a +-.t. ^(�\�A��~M a J'-_`�! DIY - � W.;'�C ly Y "^.•—.^.^. I � � i, t 1�1y �,Y J^"t',-+-••--�.��yj I tt r �+—.^. ,a}.J ial r � r 1 f� ti► �'"r. 4L C% . •" K+ Fo.^• � `� ri� ���I�e�� � if!�'V.`�:'� 1' 5 ���Y v .. ��^ �.a�} }Ft! S � - APPPO: GITY C TLr,',Tf� ' cy 13UILDIyG OFFICE �• ^.: - B, AT 18a rW� • s t Oso CONSTWCTION and Ion, f uiding �P.-o Box 49,159 �' , '�li, ksAnvi-iie'B.�--cli," L U2 4 Y \ Q r d >p (� c� si ,c Z Q I O O CD r' V' w >e =tcn- \� a i f I j=► w fN1 N CD offb SK I Rr F g , , C7 7ir rY; r VIA GIN J n � \ 7 rrn 7 a? 7Y: 1 rJI I �f0 c i t � � 'f1 V' j -TI �Frip ROSE CONSTRI P. 0, Bo. l .-Asonville Bea CITY OF Office of Building Official REQUEST FOR INSPECTION y'3 Permit No. Date Time / A.M. Received // ' P.M. -,:53 C4 T_ Locality Job Address J Owner's Contractor Name BUILDING ELECTRICAL PLUMBING MECHANICAL r.7 Air Cond. & L7Framing 11 Footing 11 Rough Wiring [i Rough ❑ Heating Re Roofing 7— SI ❑ Temp Pole ❑ Top Out ❑ Fire Place ❑ i tel Final ❑ Sewer Insulation ❑ Pre Fab READY FOR INSPECTION A.M. Thurs. Friday P.M. { Mon. Tues. Wed. C A.M. RM. inspection Inspection Made Final Inspection ❑ Inspector s / Certificate of Occupancy❑ Date e TRANSMITTAL DOCUMENT FOR JEA DATE: 3 The following permits have passed "rough" inspection: Permit No. Address B s&x mexxxszxgixl=O*x Mdxmxcafxxkkex4)ux 2i*u. Please. update your records accordingly. Thay u I LD NL CITY OF ATLANTIC BEACH /vcb i E t J � �+ CITY OF Office of Building Official 1U6�J -� REQUEST FOR INSPECTIO Date v [ ^L Permit No. y 7 Time Received Job A1s7 Lo lily Owner's �� Name Ccntractor BUILDING \ CONCR E P ��A CHANICAL Footing ❑ Rough Wiring �J Rough on . Re Roofing Slab ❑ Temp Pole Top Out ting Insulation C Lintel ❑ Final ❑ Sewer a Fire Place ❑ Pre Fab R:E�INSPECTION , �AM Mon. Tues. Thurs. Friday _ A.M. Inspection Ma __ P.M. Inspector —__ . _ __ Final Inspection ❑ �y n Cer e of Occupancy ❑ Date ---- --- — — DATE PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHOR17'Y 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE: BEEN MALE: AND ARE SATISFACTORY: ------ '------------------------------------------------- ------------------------------------------------- ------ ' -------------------------------------------------- -------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, 111 DING INSPECTION DIVISION cc : FILE a i CITY OF Office Of Building d REQUEST FOR INSPECTION Date_�d_� � �!� 106 Received _�- 3 V A.M. Permit No. P.M. — - -- Job Addr Owner's Na �/ slily BUI NG CONC raTE Ming ❑ Footin � RI�-= CHANICAL Re Roofing ❑ Slab g ❑ Rough Wiring insulation ❑ Lintel C F^eP Pole g 0 l 0 TRop Rough ❑ Air Cond. & Sewer ❑ Heating READY FOR INSPECTION Tues. ❑ Fire Place Pre Fab �� j Wed. Thurs. IInspection Made ©— Friday P.M.�—�S_. A.M. i Inspector P C-- Final Final Inspection Certificate of Occupancy Date CITY or OffIce � t DateEQUEST UilcuFOR I € of 13 Time ng �ff�c;al Received/ r^ ` N�PECT/DIV Owners Job Addre s tit. Permit No. Name Bp1L Frarnin C Re Roo n °NCREre Locality Insolation g SI°ting Lintel E Contractor /�> n to LERICT �e..- l J' Rou CAN T Mon. Ternp Po/ wiring – PL'JM13 Final ole `, NG Roogh rues REApy rOp Out C MECHANICAL Inspection Made FOR/NSP Sewer [7 Air Cond. Inspector wed. ECTION Freeati g 8 G' ms`s' Th Pre Fabce Thurs. A.A4. Friday —P.M _�A M Final In M. - Cer sPection Dateh6cate of ocouPancy n Sec ee ' Q /CIT Op e%d ffi, F Nweer. ✓° �� o� 1%9 Off,-D FCS! Aearhn9�kG` Q � � ON /nS4/a I°rn9 co C per�'�/iVo > n C`nre FGFC`COntrdCj°r 4O° Q 3 /l L+'qG ;lOr adE, es Fin�np po Vir�n9 O"V /OM ver MF ✓ C° C �� ThUrs Fyre ea/in9d qG pre Fdb/ace r, _ r F eddy �, Ana//n CEr/1icd/S0°Obon q M Ua(e e of O° °upan°Y i j CITY OF /3O a C! Office of Buildin Date REQUEST FOR ing official Time PECr10jV Received A.M. Job Address Pm. Permit No. W ( Z� OQ N Owner's r BUILDINt^, �G� 11 Framin Locality r Re Roof, ❑ CONCRETE Contractor Insulation ❑ Footing ❑ ELECTRICAL Slab Lintel ❑ e°ugh Wiring PLUINB111►C, m ❑ ❑ Final pole ❑ Mon. - Rough MECHANICAL ❑ TOP Out ❑ Tues. FOR Sewer ❑ Air COnd. g READY ❑ Heating ❑ Inspection Made Wed. 1 NSPECTION Fire Place ❑ Inspector � — � Thurs. Pre Fab A.M. Friday ;! PM• Final Inspection❑ Certificate of Occupancy Date PSR-3844 10677® 6 7 7 DEPARTMENT OF BUILDING 1. LJ CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION -------- LOCATION INFORMATION -------- Permit Number : 10677 Address : 336 12TH STREET Permit Type : MECHANICAL ATLANTIC BEACH ; FLORIDA 3223: Class of Work: ALTERATION ---- LEGAL DESCRIPTION --------- Constr . Type : WOOD FRAME Lot : Bloch: Section: Proposed Use : SINGLE FAMILY Township : RNG: 0 Dwellings : 1 Code : 0 Subdivision: ATLANTIC BEACH Estimated Value: $0 .00 Improv . Cost : $0 . 00 Total Fees : $25 .00 Amount Paid: $25 .00 K OWNER INFORMATION --- APPLICATION FEES ----- Name , B0,DGE PERMIT 525 .00 Addr"7e 33 , 12TH STREET WATER IMPACT FEE X0 . 00 ATI=ANTI':' BEACH , FLORIDA. y< _ SEWER IMPACT FEE $0 . 00 WATER METER TAP $0 . 00 RADON GAS-H.R . S . $0 . 00 ------ - CONTRACTOR INFORMATION - RADON CAB 5% $0 . 00 Name: THICIPEN HEATIN", COOLIN" CAPITAL IMPROVE. $0 .00 Address ` 421- 9 N . MAIN STREET SEWER TAP $0 .00 JACKSONVILLE FL 32206 CROSS CONNECTION $0 .00 License: RA001890= Type: ' SEC H IMPACT FEE $0 .00 CONST . SURCHARGE $0 .00 S'CHARGEIATL .BCH. $0.0n 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" _= JSSllEfZACs'�Q�3pIflIrITQ9pP_BQVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR BUILDING AND ZONING INSPECTION DIVISION CITY OF. ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32288 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. 336 i2i1Y s i LOCATION Street Address: OF Intersecting.Streets: Between BUILDING Sub-division II. IDENTIFICATION -To be completed by all applicants. In consideration of permit given for doing the work*as described.in 'the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a;part hereof and in accordance with the City of Jacksonville,ordinances and standards of good.practice listed therein. Name of Mechanical. Master tors Lf 6-, Contractor IPrint) �C� #7-6--,Y- CCDO<1�✓6 Matter. Name of Property OwnerC7U 17 Siyaafun of Owner /� / signature of er Authorised Agent v-% Architect or Engineer 111. GENERAL INFORMATION A. Type of heating fuel: 8. IS OTHER CONSTRUCTION BEING 00 ON. Electric THIS BUILDING OR SITE? ❑ Gas C3 LP ❑ Natural ❑ Central Utility, -CONSTRUCTIONIF YES. GIVE"NUMBER.OF Q Oil PERMIT =❑ O"r- Specify J IV.,MICMANIC/1L EQUIPMENT TO EE INSTALLED NATURE OF WORK .(Fnw;&complete list of componenfs on back of*is form) . Residential or ❑ Commercial ❑• Heat ❑ Spee' [3 Recessed E3 Central O floor ❑ New Building Exlstinp Bullding Q Air Condrfil";ng: 0 Room 13 Central ?; b 13 Duct System: Mafeei�l Thickness ❑ Replacement of existing system,.. . I -uf ❑ New Installation(No system previously Inst tied) Maximum capacity Extension or.add-on to existing system Q; R�fn9eata" ❑ Other— Specify Q' Cooling.tower: Capacity 9.pft Q•. Fin sprinklers: Number of header__-- Q-, 1evator MonlifEsl (number) THIS SPACE F+OR OFFICEMSE ONLY .Q:.Gawila pu111 (number) P 'asks—(number). Remarks --� -- 4M c"feineK --(number) pUnfiredptrssura vasM v.rmiL Approved by 13. OMwr — Specify,. Permit fee :,h,TST.ALL•EQUIPMENT .. - • AIR.CONDPPIOMNG AND REFRIGERATION EQUIPMENT C NumberUntta DewrIpUm. Modell Number Xmutae urer' (Tom) 11TH HEATING • FURNACES,.BOILERS, FIREPLACES ' Cayseit APPMvft Number Vnlits D"Crlpum Moat Number Mmutactmrer MM) TANKS Name all Approving 11119WMany a► NomnN tC&PAty �►po L4uW No. I1� aad Dlm�ndooa ntalnee Manutaotttrer 11061) CITY OF ATLANTIC BEACH, FLORIDA APProvod by APPLICATION FOR ELECTRICAL PERMIT L' TO THE CHIEF ELECTRICAL INSPECTOR: DATE: VIA C4 19 1� 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. X80 I lz Y^'�_ _"� ivy-1•_ ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME \fie\2'112 1 _ADDRESS: 3�l �`ti�� �, s"t RFD BOX BLDG.SIZE BETWEEN: RES. (�-) APT. ( ) comm. ( 1 PUBLIC ( ) INDUS. ( 1 NEW ( ! OLD ( ) REW. ( 1 ADDITION (C) TRAILER ( 1 TEMP. ( ) /SIGNS ( ) SQ. FT. SERVICE: NEW ( 1 INCREASE (t-I REPAIR ( ) FEE CONDUCTOR SIZE �� AMPS COPPER 1 ) ALUM. V-1 S4AliTG"R BREAKER oZi.)'7 AMPS 1 PH W �t ) VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W V VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS \ ' CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M. V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPSCEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES __ CITY OF ATLANTIC BEACH(( PERMIT CALCULATION SHEET Address J T ( �f M 02 C Date q l Heated Square Footagey@ $ per sq ft = $ Garage/Shed $ per sq ft = $ L Carport/Porch ` @ $ per sq ft = $ Deck - @ $ per sq ft = $ Patio L �� 1 @ $ per sq ft = $ U TOTAL VALUATION : $ ,2 00 $ Total Valuation 1st $ ou $ of Remaining Value $%4 per thousand or portion thereof TOTAL BUILDING FEE $ • + 1/ e Filing Fee $ a2C7D. ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $_.. v WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP S CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING. ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ 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: PSR-384410472 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION - LOCATION INFORMATION ------ Permit Number : 10472 Address : 336 TWELFTH STREET Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL - ----- LEGAL DESCRIPTION --------- Constr . Type: WOOD FRAME Lot : 4 Block: 1 Section: Proposed Use : SINGLE FAMILY Township: RNG: 0 Dwellings : 1 Code: 0 Subdivision: SELVA MARINA Estimated Value : $85000 . 00 Improv . Cost : $0 . 00 Total Fees : 5600 .00 Amount Paid: $600 .00 Date Paid: 7/19/95 Work Desc . : REMODEL PER PLANS ---------- OWNER INFORMATION ---- APPLICATION FEES ----- Name : KEVIN & NANCY BODGE PERMIT $600 . 00 Address : 336 TWELFTH STREET WATER IMPACT FEE $0 . 00 ATLANTIC BEACH , FLORIDA 32233 SEWER IMPACT FEE $0 .00 Phone: ( 904) 241-8466 WATER METER/TAP $0 .00 RADON GAS-H.R. S . $0 . 00 --- - CONTRACTOR INFORMATION ---- -- RADON CAB 5% $0 .00 Name : VONTZ CONSTRUCTION CO. , INC . CAPITAL IMPROVE . 50 . 00 Address : 124 BAY STREET SEWER TAP $0 .00 NEPTUNE BEACH , FL 32266-6016 CROSS CONNECTION $0 .00 License: CBC046739 Type: SEC H IMPACT FEE $0 .00 CONST . SURCHARGE $0 .00 SCHARGE/ATL .BCH . $0 .00 NOTES: PAID JUL 19 1995 City of Atlantic Bch NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 0000(KI(W) 000000000 $600.00 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 7A9l95 01 Rcpt: 0069999 By; ( `�' ��'� - _ RACTOR COPY PSR-3844 10472 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION - -- --- LOCATION INFORMATION ---- Permit Number: 10472 Address : 336 TWELFTH STREET Permit Type: BUILDING ATLANTIC BEACH , FLORIDA 32232 Class of Work: REMODEL ---------- LEGAL DESCRIPTION --------- Constr . Type : WOOD FRAME I,nt . 4 Block: 1 Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellings : ; 1 Code: 0 Subdivision : SELVA MARINA Estimated Value: 585000 . 00 Improv . Cost : $0 . 00 Total Fees : 5600 .00 Amount Paid : $600 . 00 Date Pail: 7/19195 1cFR PLANE ------ OWNER INFORMATION ------- -- ---- APPLICATION FEES ----- Name , ---- Nante . KEV I'a & NANCY BODGE PERMIT $600 .00 Address : 336 TWELFTH STREET WATER IMPACT FEE $0 .00 ATLANTIC BEACH , FLORIDA 31-233 SEWER IMPACT FEE $0 .00 PLone: 904` 241 - ?466 WATER METER/TAP $0 .00 RADON GAS-H.R . S . $0 . 00 -------- CONTRACTOR INFORMATION ---- - RADON CAB 5% $0 .00 Name : V^NT7 CONSTRUCTION 170 . , INC , CAPITAL IMPROVE . 50 .00 Address ' 124 BAY STREET SEWER TAP 50 .00 NEPTUNE BEACH . FL 32266-601r, CROSS CONNECTION $0 .00 License: CEC0467,-39 Type : 1 SEC H IMPACT FEE $0 .00 CONST . SURCHARGE $0 .0c, SCHARGE/ATL .BCH . 80 .0c, NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE kILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT ����qq� �IR03212100o By: ►u .661P LAWIIit emsce pool"w r• Nafirr of T ine=rt rMsIN-■M to b34= it " tan== The undersigned hereby Informs all concerned that improvements will be made to certain nal property, and In accordance with section 713.13 of the Florida Statute, the following information is stated in this NOTICE OF COMMENCEMENT. 2 Description of property..._33G.......?? ......_...r ! �(t'!�tl.tL.r uZ -521....._.. _... ........... __ _...___._ _�.........—.__............_....... __ _. Gen-of deserves of bmwevemm . 1L`�7.�. _.....iC�}Pvt C. ......... ......�i�..�.l�C�C_ MY.....____._..._..._.._..�._.._...__._..—. ....... 32 owner's irreral in sit.of th.Yaproa.ra.,U.._................_.............. _..._..__... I« %mpie re(e holder(if DOW thin*Wpor) we,. .._..____._......_._._._._..__....._,._._....._...................................._....._.._...__ __..—..._...._._.---------------_w..__ sr sty W Nese of person W" lie side of Ilan dosirwed by owner W.obs down K e1Mr be serdoesenalos sway ved, N.~ In addition to himself,owner dnignags the following person to race"2 Copy of the Lienors Notice as provided in Section 713.13(1) (F),Florida Statutes. (Fill In at Owners option). Name AJ**m-�. _---_...__._.._........__.._.__. Y..._.__........ ......._. •Mie MAea poo sse"oews Wee ew►1 ......_._._.. owm Swat,to.sed bier a .............. I l- h'ielaynZy _ h oc t) rN kr lerv. RARRnAH to A vVAHNER St Pt P. of FI (Ia F'ulrti: Vv C:omin Exp 06:24191' � CommA' GC J!�)'► CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s ) /eFy"';,U r ;5,0l)(yr Address : 5,66 `Z ��,� Phone : ZV9- �OsZ Lot #_ Block or Unit # Subdivision : 5�FLVA /f AX/ JA Contractor : V 6NT-2 C6yU 9799)if 74A_1 /4404*A1$Z,4 r. State License # Ca 66116 7X Address : _S77 A)d6 97-P A14-:7 & oOPhone No : 2411 f4164 Describe work to be done: .ye_Ak-00Sh1 4X157/ICU' 92A& OAJ pex Present use of building : 5//N4Let,;- f A— Init- Valuation of Proposed Construction: Proposed use : �/VCLC 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? SUBMIT THREE COMPLETE SETS OF PLANS , INCLUDING SITE PLAN , SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR . Signature OWNER: Date: Signature CONTRACTOR: Date: License Supplied: Liability Insurance: 4. 1995 Worker ' s Compensation Insurance : Building and Zoning PSFF-3844 10490 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION -- - -- ---- LOCATION INFORMATION -------- Permit Number : 10490 Address : 336 TWELTH STREET Permit Type : PLUMBING ATLANTIC BEACH , FLORIDA 32233 Class of Work : NEW ---------- LEGAL DESCRIPTION --------- Constr . Type : WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings : 1 Code : 0 Subdivision; Estimated Value: $0 .00 Improv . Cost : 50 .00 Total Feet : 536 . 00 ` Amount I'ai -.! : 536 .00 n.;-r-� 7 !21/95 Wor`. AEW CONSTRUCTION PLUMBING INSTALLATION ---------- OWNER INFORMATION --------- ---- APPLICATION FEES ----- Name: VONTZ CONSTRUCTION PERMIT 536 . 00 Address - 33r TWELTH STREET WATER IMPACT FEE 0 .00 $ ATLANTIC BEACH . FLORIDA 3423' SEWER IMPACT FEE O .OQ Fhcne' ' , WATER. METER/TAP $0 .00 RADON GAS-H .R. S . 50 .00 ------- CONTRACTOR INFORMATION -- - RADON CAB 5% 50 .00 Name : SUNSHINE STATE PLUMBINr CAPITAL IMPROVE . 50 .00 Address : 12,644 SAN JOSE BLVD SEWER TAP 50 .00 JACKSONVILLE . FL 32223 CROSS CONNECTION S0 . 00 License : CFC035757 Type: 4 SEC H IMPACT FEE 80 .00 CONST - SURCHARGE $0 .00 SCHARGE/ATL - BCH . 42 > 00 NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT 0"3221000 7vi3 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 3 7 � /2 22� S PLUMBING CONTRACTOR• -SCI AI vlvl b LICENSE NUMBER: C C B 3 S� /75-7 OWNER: Be BUILDING CONTRACTOR: 1/Bye%0 GOA/S'! TYPE OF BUILDING: Iq L`� SINKS SHOWERS LAVATORY p WATER HEATERS l BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS I WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT: + $15.00 = -3 ta, 0 ---------- lxru� �-��--=------------------------------------ INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. ` <I� CITY OF ATLANTIC BE 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 >. INSPECTION EMAIL REQUEST: Building-de ptna c0ab.us 08-00000226 Date 2/25/08 Application Number 336 12TH ST Property Address . . . Application type description DEMOLITION (ENTIRE BUILDING) Property Zoning . . . . . . . TO BE UPDATED Application valuation . 0 --------------------------------------------- Application desc rear of house ----------------------- Contractor Owner --------------- ------ ----------------- SIGNATURE HOMES & DEVELOPMENT BODGE 8833 PERIMETER PARK BLVD 336 12TH STREET STE 101 ATLANTIC BEACH FL 32233 FL 32216 JACKSONVILLE (904) 646-3967 ------------------- Permit • DEMOLITION PERMIT " Additional desc • Plan Check Fee .00 Permit Fee . . . . 100 . 00 0 Valuation Issue Date . • • . g/23/08 Expiration Date • ---- -------- Due Fee summary Charged Paid Credited _ ---------- .00 . 00 Permit Fee Total 100 . 000 100 :0000 00 . 00 Plan Check Total 0 00 .00 Grand Total 100 . 00 100 . 00 ACCORDANCE WITH M3I'IS-APPROVED ONLY INTH ALL CITY OF ATLANTIC BEACH ORD PERQIANCES AND THE FLORIDA BUILDING CODES. P7 CITY OF ATLANTIC BEACH 07- I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BU ILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF 33� I�f�'5►-12�� t Atlantic Beach, FL 32233 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6,USE OF STRUCTURE /� ❑NEW BUILDING ©-0151OLITION 915fSIDENTIAL LOT � BLOCK" SUB DIVISION3iaq.k(JA I(01 ' ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER.- { 1 y ❑REPAIR ❑POOL/SPA ❑YES a-NIA ❑MOVE ❑OTHER ❑NO PROPERTY OVMER: CONTRACTOR: ARCHITECT I ENGINEER: 9 NAME: 15.COMPANY NAME: 23.COMPANY NAME: , �. �t�15Y3'rC> n rr1 , V-YN n �1QnCc� ( 5 I� aikrzt� yr -k5 •T�2vel! 16. E: 24.LICENSEE NAME: _ 10 ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE O FLORIDA LICEN NO.: 33c� 1a ST2ef (4 3Z Z 33 18 ADDRESS* "i r),* r�r�(3,\C' 2s.ADDREss: v� ���rit IG Klr' , y8 3 I1t 1 I Si. tts�rrz o I Sackwrwl Ic 1. 3 1 '►j v, IIS l. 39--. 3 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: _ 20.FAX NO: 27.OFFICE PHONE: 28.FAX NO.: �`zj 7 • v t 3 y - '�3�� try -3� 7 - t_I-73`� jt,,� ..aye 13.CELL PHONE: 21.CELL PH NE: t wr� 29.CELL PHONE: -� - s a a - �C -- 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: K► -O()15en-a-,55/fiks , CCw►� r>si�,,�h�rnc r erP�c Yhul-5,cIn I�Sc,tsth rik'� FEE SIMPLE TITLE HOLDER: BONDING COMPANY- MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME. 33.NAME. 35-NAME: 32 ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Wells,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. 222 WARNING TO OWNER: 222 YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR oweraF Attorney or Agency Letter Required) (Qualfer Only) Signed: ! - -. __ Date: ` V Signed: ___> Date: U J Before r4e tv day of ' 6, 2007 in the county of Before thi day of `�L 2007 in the county of Duval,S e of F orida,has personally appeared Duval,3 of Florida,has personalty appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. \1\ true and accurate. Nota blit at Large,State of 1 r����unty of l.V�+I ( Notary P blit at Large,State of County of ` L ersonally Known _ Ily Known ❑Produced Idertcation- ❑Produced Identifi on Notary Signature: Notary Signatur . �''"° KELLIE S. WILLIAMS :P.t*r�r KELLIE S.7#�D744 MS `3 COAB FO IJ49 1: Jill€�filf�Atll�S!ON#. DD744960 ' �; MY COMMISSI9f)0R �+ ;�fde ' CXPIRES Decc-r ,2011 �orr�,, EXPIRES December 27,2011 "` Plor!dai�ol^ry.ervi^.o.com (407 398-0153 (407)398-0153 Flo�idanotsryE,�r�ico.com CITY OF ATLANTIC BEACH Ss1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 J V INSPECTION PHONE LINE 247-582 09-00000557 Date 4/24/09 Application Number � 336 12TH ST Property Address . . • • Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . 0 ---------------------------- Application desc 1 cu 1 ahu ---------------------------- Contractor Owner ------------------------ ___________________ TROPIC HEATING & AIR BODGE Q/A:MARKS, CHARLES J. 336 12TH STREET 750 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-1788 __ - -----Permit---- • MECHANICAL HVAC PERMIT Additional desc . plan Check Fee . 00 Permit Fee . . . . 87 . 00 0 Issue Date Valuation Expiration Date . . 10/21/09 Fee summary Charged Paid Credited ----- ---------- - . 00 Permit Fee Total 87 . 00 87 . 00 00 . 00 Plan Check Total • 00 . 00 Grand Total 87 . 00 87 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 1 } ATLANTIC BEACH,FL 32233 T INSPECTION PHONE LINE 247-5826 x INSPECTION EMAIL REQUEST: Building-dept(a�coab.us Application Number . . . . . 08-00000227 Date 3/04/08 Property Address . . . . . . 336 12TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 152000 -------------------------------------------- Application desc REMODEL/ADDITION ---------------------------------------------- Owner Contractor ------------------------ BODGE SIGNATURE HOMES & DEVELOPMENT B OD12TH STREET 8833 PERIMETER PARK BLVD ATLANTIC BEACH FL 32233 STE 101 JACKSONVILLE FL 32216 (904) 646-3967 Structure Information 000 000 -----------------T ---- Construction Type TYPE 5-A I Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X --------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 616 . 00 Plan Check Fee 308 . 00 Issue Date . . . . Valuation . . . . 152000 Expiration Date . . 8/31/08 ------------------------------------------------ Special Notes and Comments VERBAL APPROVAL PER DAVE HUFSTETLER Must use approved roll-off container company., ------------------------------ Other Fees . . _ CITY RADON SURCHARGE . 18 ST CONSTRUCTION SURCHARGE 3 . 32 AB CONSTRUCTION SURCHARGE . 36 STATE RADON SURCHARGE 3 .50 WATER IMPACT FEE 240 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ----- Permit-Fee Total 616 . 00 616 . 00 . 00 . 00 Plan Check Total 308 . 00 308 . 00 . 00 . 00 Other Fee Total 247 . 36 247 . 36 . 00 . 00 Grand Total 1171 . 36 1171 .36 . 00 . 00 PERMIT IS_APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TAE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT Tax Folio No: �� 1 �1� t� TD State of �-[ov►cttlj County oft�y To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF S MNIENCEMENT. Legal Description of property being improved: _ vas 1fl no- In r�u o ©- 99 �t\1a, I'Yl c L c h Address of property being improved: C, P246 General description of improvements: ' ��l'�i�c� J�t3 tin. Y ` e t3- rU m ' � Owner J1n All J. Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): nc `"g-✓^ Name: ntractor: �+, �Lt� 7.�f� �n Q� rr Address: :3 me-1c �- ° tic --1 1 hvi,, it 3q(P Fax No: `�L Telephone No.: La Surety(if any) Y Amount of Bond S Address: Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: desi b owner upon whom notices or other documents may be Name of person within the State of Florida,other than himself; gnaw Y � C' Y I0 S served: Name:c,� ' Address: j (� t•��La ' C.. �.J Telephone No: (P — Fax No: Provided in Section In addition to himself owner designates the following person to receive a copy of the Lienor's Notice as 713.06(2)(b),Florida Statues. (Fillin Owner's opt}on) Name: 'i'u � Y MAY �-- Address: ` 3� Tt.9��. f I�'� Fax No: Telephone No: date is one(1)year from the date of retarding unless a different date is Expiration date of Notice of Commencement(the expiration specified): 'PHIS SPACE FOR RECORDER'S USE ONLY OWNER _...._, !' Date: 3 ./ (� Signed: r e ty o val,State Before th day°f of Fton Personally� of Duval. lotary lic at Large,State of Flori County Doc#2D08056022,OR BK 14406 Page 2263, Ay commission expires: or Number Pages:l 'ersonally Known: COMMISSION#DDT44960 Filed&Recorded 03/04/2008 at 02:32 PM, hvduced Identification: JIM FULLER CLERK CIRCUIT COURT DUVAL EXpIRES December 27,2011 COUNTY RECORDING$10.00 SS, CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000500 Date 4/15/08 Property Address . . . . . . 336 12TH ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INSTALL 2 CU & 2AHU ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- BODGE TROPIC HEATING & AIR 336 12TH STREET Q/A:MARKS, CHARLES J. ATLANTIC BEACH FL 32233 750 MAYPORT RD. ATLANTIC BEACH FL 32233 (904) 241-1788 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 139 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/12/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 139 . 00 139 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 139 . 00 139 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �ACI3, CITYOF,A►'I'L'AN-TIC 8 MECHANICAL PERMIT°APPLICATION Date: Property Address: 3 3 Owner: />O�5�S _ Telephone #• Contractor:_ J�i'�p�i� ��T�n C Telephone#: Qq Contractor Address: 750 Fax#: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site, list the building permit number: ,tr Electric ❑ Gas: _LP _Natural _Central Utility 8 _ Z Z ❑ Oil ❑ Other—S ecif MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK J9 Heat _Space _Recessed _✓C ntral _Floor � Residential l3 Air Conditioning: _Room _"Central ❑ Duct System: MaterialfaAe/�"Thickness ,C-(o ❑ Commercial Maximum capacity ?O o d cfin C1 Refrigeration ❑ New Building ❑ Cooling Tower: Capacity KPm X' Existing Building ❑ ' Fire Sprinklers: Number of Heads ❑ Elevator: __ Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation C1 LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other- pecify des irsoOe/vim /� 'S ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving f Number Units Description Model# Manufacturer Ton's Agency G ?ei—S � Gorra�l users �O I-+<do y /V►'>'1@r�cs..�ai..,.�e....� `'f u11.� rw,e.�d �/i Tri•�--c 3 S ✓L HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency C o-if !j m.r S►� `7 Pcsoc�//�.Gw v C t TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road • Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://wwNv.ci.atlantic-beach.fl.us Revised 1/04 w1LD�/yG' NOTICE OF �F�OA R'fM�� ADDITIONS or CORRECTIONS DO NOT REMOVE JOB ADDRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted. S Y� iff to Pc, r a .pc i V4 �1 7PO cJ10,0�!S j'Yl Q n c a c�,r h f� i I $35.00 REINSPECT FEE NO CHARGE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover to cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have BLDG been made contact the Building Dept. ELEC at 247-5826 for an inspection. Office MECH hours are Monday through Friday PLMG 8:00 a.m. to 5:00 p.m. CITY OF ATLANTIC BEACH %+ 800 SEMINOLE ROAD r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 arm Application Number . . . . . 08-00000622 Date 5/07/08 Property Address 336 12TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------- Application desc 150 amps 240 volt a/c unit ----------------------------------------------------- Owner Contractor - ------------------------ ----------------------- BODGE PIPELINE ELECTRIC 336 12TH STREET PO BOX 1592220 COUNTY RD 210 W ATLANTIC BEACH FL 32233 STE 108 JACKSONVILLE FL 32259 (904) 559-0702 -------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . . 70 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/03/08 ------------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---------- -- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. P May 05 08 12:42p Pipeline Electric g0446139S/ � ,(�^� • CnY OF ATLANTIC BEACH /m WWNME ROAMATWIPC WAM FL'3== .J OFMe MAP67-�•FAX 1+0_:pMJ?ATSI�S SULON"EPTWOALUS DUV�1L COUNTY 1 ELECTRICAL PEitM1T APPLFGATION 2.Isnaswsue Ir. �D"� ,.. �_ NO 5 �sro� �G7 �7/ S G{f •L Z-3 CI Y" PERMT0 OwNeft SAOGRESS F OFF{TtENT FROM JOBADORE99: MOVE:�/�(7 ♦NUM f~ 7.N CC �/ LZ' '-�c- `1 f lel l'70 S� OS I . X 3�Z�3 ,,. a.srA7E oR aopcw uc86:=_M0: 1°• -(,0 7 12 EMML AODRESr ✓ t -�GCl'_ao�L' 1 s AApli�lion is heseblf a,ade to abtaitt a PefvW b do ttre wort,and wwattatom as indicated. 1 MW that au work,W be pert nmed T mea aanstarc9or,to tris iuftdieft Tt is perm?baeom void it i6 nd d, trin ssx(8? O,C st3ederCa d au Ia+Ns regulating is co aced. months,or i1 conarssc,ior[or work is suspended cr abandeeed/x a period of sus($)am arty sere -sops sw[wnsat: a aPt�tlte 1s.czAss oF�rOnPc: StDEIY(1AI- O MULTI FAMILY-N OF UNITS: D COMMERCIAL A&SNWGLE FAMILY O TEMP SERVICE MAI!» O N O LOR O PLTERATON D SIGN OL0 O p ATONAL FLOMICA CODE Q ❑REPAIR ❑POOL/SPA RENARE ❑OTHER: Lar ALLa.E:CrISCAt.w umu 20.TYPE OF SERIJICE: OVA O UNDERGROUND D UNDERGROUND UP POLE LiCTORS PER PHASE D POWER 15 ON ❑POWER IS OFF 21-NEW SERVICE: 22.SEE OF CONDUCTOR: �►MPACtTY: OCOPPER ❑ALUMINUM PI.L W: VOLT: RJIt:EWAY SIZE: 22,SWRCH OR MSAKER SI2G:A3dPS: VOLT: RACEWAY SITE: 24 E]�1T1Mt3 SERVICE 51LE P Ii: _ AMPS► •OF Jls1►S I aF . 25.t'-SEDERS: � 21L L WITING FIXTURES' E.SC=NT: FLUORESCENT&M V.: 0-30 AMPS 37-100 AMPS: dVER 100 AMPS: 27.FOOED APPLMCES 28.FM ALARM. �YES QkNO 83t NOT APPL SOO"F►YIL wsr� AND re0ow wa 24.SMOKE OETECT DRS: NUMBER: 0-3D AMPS: _ 31-100 AMPS: OVER 100�'S: 30.RECEPTACLES: 31. WCHES: D-30 AMPS a b-_ 31-100 AMPS OVER 100 AWS:t3 HEAT FCUI ! t wy vt�e lF OF UNITS: COMP.MOTOR HP RATING MMPs: t �ter tosu #OF UNITS- MG: 3 AMPS: 3p HEAT KMf: T lJ� CObp.MOTOR HP RAT - - � NUMBER: VOLTAGE: HP: KVA NUMBER: VOLTAGE: HP: KVA: x UNDER 500V: NUMBER: KVA: OVER(GOON: NUMBEit KVA DESMBE IN OETAiL: 3L 09MOCE COAG FOAM 11LONZ REYKEQ Iflatz 0s cil1g1S11C lJr)11p1111t1[t l[ rQM.•On OA 1 1 lot- L d HP'Officejet 7410 Log for Information Systems Personal Printer/Fax/Copier/Scanner 904-247-5845 Mar 13 2008 1:45PM Last Transaction Identification Duration Pages Result Date Time Type ------ Mar 13 1:43PM Fax Sent 96657372 1:35 2 OK rY CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 3,34 " l Tl` 5717- OWNER jOWNER OF PROPERTY: d ,D PLUMBING CONTRACTOR: "7 S A CONTRACTOR'S ADDRESS: 3 / J 4X, STATE LICENSE NUMBER: �' �G O�61s�7� TELEPHONE: HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS �1 SHOWER PANS OTHER 040- TOTAL FIXTURES: X 3.50 + $15/.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------------------- 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) 247-5834. PSR-3844 IL DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION 336 TWELFTH STREET ---ermit Number . 15762 dress = s- ATLANTIC BEACH , FLORIDA Permit Type : PLUMBING -------- - LEGAL DESCRIPTION -- -------- -,lass of Work:ALTERATION Twp* TBlock* Lot ., 4 Constr . Type :wOOD FRAME j r. Rn Section: 0 Subd, 0 9' Proposed Use : S ivi Dwellings : 1 0 .00 Subdivision: SELVA MARINA Est . Value : . 0 improv . Cost : 0 0 Total Fees : 25 .00 Amount Paid: 25 . 00 mate APPLICATION FEES ,DW N,E PERMIT F L N PERMIT Name : KEVIN NANCY BODGE Addr , '�36 TWELFTH STREET N ATLRNTIC BEACH . FLORIDA 24 T"CT INE CONTRACT,OF r7)N INFORMATIC Name , A. S . A. P . PLUMBING CO . adds : P . o. BOX 1663- 1 JACKSONVILLE , FL 32245 Lir: CF1_1019195 Exp : NOTES: INSPECTION NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTIONJ BUILDING MATERIAL, RIUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE L WAY BY EITHER CONTRACTOR OR OWNER CLEARED UP AND HAULED AW COMPLY WITH LAW CAN RESULT IN BUILDING TO COMPLY WITH THE MECHANICS' LIEN 99 THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR ISSUED ACCORDING TO APPROVED PLANS $25.0914 ISSUED OF APPLICABLE PROVISIONS OF LAW. CHECKS 13302 00100003221080 ATLANTIC,BEACH BUILDING DE ARTMENT BY: OF BUILDING PERMIT NO. 5252 DEPARTMENT AppENDIX R (d) CITY OF ATLANTIC BEACH,FLORIDA U1LD WHERE WORK IN STARTE PERMIT'TO PRIOR TO A BUILDING THIS PERMIT MUST BE POSTED ON JOB , pEg1,1IT BEING ISSUED, SErWIBER 21 ig Date — THE BUILDINGBE DOUBLED 4 201.60 Fee$_47 FEE SHALL Valuation$ and is alid until above fee has been paid to City Treasurer, This permit not v applicable provisions of law. 'I subject to revocation for violation of SIMEONIDIS SE _F I This is to certify that FLORIDA ATLANTIC BEACH 363 12TH STREET DER pLi gpBlviITTED has permission to build UTILITY SHED AS FAMILY Zone RS-1 SINGLE Classification ONIDIS SERSE SIMS SELVA MARINA Owned by Block UNIT UNIT NO Lot 34 House No. art of this permit FORMS According to approved plans which are p NOTICE—ALL CONCRETE AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. I PERMIT VOID SIX MN AFTER DATE OF ISSUE O Building material, rubbish and debris from this work must not be placed in public space, and must be cleare UP an led away by either con- It ct o�ner. Bpilding c '2/6 2/6 1 � Ifu I µ CONTy�C�OR PERMIT DATE t ' I FOR OFFICE NUMBER USE ONLY PLUMBING ELECTRICAL SEWER WATER FOR OFFICE USE ONLY Date- ---------------------------------19 ------ Permit #-------•................Fee$----..-----------------. CITY OF ATLANTIC BEACH Valuation $------------------------------------------------------ FLORIDAHouse #----------------------------------------------------------- ........................................................................... APPLICATION FOR BUILDING PERMIT .............•••.......----------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date...... --------------7-- -----------------------, 19---•-----2' J �� C Off.!. f.. 6 ,3 19- ---,..Telephone No..- .. fes` /��b Address- $r T 4 Owner-..-S.-.��..-�7..�c --------••-----.Tele hone No----------------------------- Architect.................. . ---------------------------------------•---...----•--....--••----•------Address-.........-.......-..-•.-------•----•--... P Contractor Builder.- ..------------------------ ------•------ ---•-------------- Address....... . . --- ---- --- --------- ms ----------•---•- Y ------Street- - - -- ._ Side Between...------•-----••----•---•-----------------•---------and e-olyc/�ETF tiA..PA. / d U ftl�C} t o r,PgrE l3 cE'`!1S Valuation $-.! QQ d- For what purpose will buildingbe used �.-.-----"-Type of construction--- �L1F✓`�= u`7 1 ----Dimensions of Lot.. �.,3 x- 0 '.,,,,,Size of ootin88 _it'f �6�� �� Dimensions of Building_il. K-./.6_X If-- tzc vc/�S� --------- ` Size of Piers-------- ----------------- ------Size of Sills----------- --- --Greatest Sill Span in ft.------•----- Type Roo ---- --•----•--••-----•----------- /! A -- ,N.�----N��-�1��-a---------Will Building be on Solid or Filled Ground?.-.....-.cam-�- -•f�••------ How will Building be Heated?-.-. Size of Ceiling Joists---_ ....-._-.-_.__------ .-.. - - , Distance on Centers_ _ _ ---..--...--•-----•----•---.., Greatest Span--------------••-•-•-•-----•----•--••---•--• „ -------- ........., Greatest Span ................ Size of Floor Joists......--------_.-----------------"--. ---- , Distance on Centers Size of Rafters .----------..--- , Distance on Centers ..... .....- , Greatest Span--------•--•-------------"----•-------•----- / This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE /1 P_ 1P. - V i n Two copies of plans and specifications shall QV '61c k I L.9 R T IC �E/a c vC�- be submitted with application. EUILD,I,Nq pFF;;Cm Inspections required. ra z �L 1. When steel is in place and ready to pour footing. z Yri' W 2. When steel is in place and ready to pour columns and/or lintel. — 3. When steel is in place and ready to pour beam. a y 7 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. W �X S Ar 6. When septic tank drain field or sewer is laid but before is covered. S 7. Electrical inspection by City of Jacksor.ville. _ 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. -------------- -•-•- ----------------- ....... Address - - Signature of Builder -- ---____ Address---------- -----------------••-•------............................................................. Signature of Owner. --- - -- -- ez�-�6"� " f STOP CITY OF ATLANTIC BEACH, FLORIDA JURISDICTION OFFICE OF BUILDING OFFICIAL NOTICE This building has been inspected and ❑ General Construction ❑ Concrete, Masonry and Finish Cement Work ❑ Lathing ❑ Plastering ❑ Elevators NO BUILDING PERMIT ISSUED ❑ Plumbing SETBACK VIOLATION ❑ Mechanical Work ❑ Electric Wiring ❑ Gas Piping IS NOT ACCEPTED Please correct as noted below before any further work is done. NOTE — SEPTEMBER 17, 1982 CIT M AGER Date inspector Do Not Remove This Notice DEPARTMENT OF BUMDING FOR OPICE USE ONLY TOWN OF ATLANTIC BEACH, FLORIDA Date- 195 Permit N 31- Fee Valuation ~ft~ ~~pp~~~'~=~°~°n for Permit for House No. Miscellaneous Alterations.. and Repairs To the Supervisor of Building: -------------- 195Z- The undersigned hereby applies for permit- kvz (State if to repair, alter Id r move building'; erect awning, sign, etc.; install boiler, elevat?r,Ste.) (state fractional part) 15 470 BUILDINGS AND What is present use of building—Residential. or Business?--- —-—---------------------- If residential, what type—Dwelling, Garage Apartment, Apartments or Rooming House?___,4e2Luc- How many families accommodated now?_O-Z�W-—-------------How many when altered?___A1D.42A.0:'7"_____ If business, what type, food beprepared foule premises?_----- What plumbing work to be done?........ yECESSARY PLANS IN DUPLICATE TO BE SUBMITTED HEREWITH OIL BURNER OR GASOLINE EQDEPMENC Name urOil Burner or Gasoline Pump................... ......................... nrModel_-__-' Name and Address ufMaoo In connection herewith, application ioalso made to capacity tank (o) (How many) made -_'--' --__-___-_' zuetal_' --_____''-__'_grnnzol (Name mManufacturer) 'n"^", or above) buildbog. ___ ------------_ (Inside or ""mm") (Name of p""*="n FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS Size-------- --- --------- ---'-- Classification---------------------------''---'--------------------------'--'--'---'--'-'----- (,uamwhether ground, roof, wall, projecting, banner, special, etc.) of construction--- Illuminated?_------- ___----------------____Type (State whether w^m^=Lamps ",Noon) Will utgo be over public property?______________ ___-'_-________-_--___---_ SlJBMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION OF SIGN AND mxErII0D OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing mureverse side) --------------------------'---'-----'-'-----------------'----'-----------'--'--'----'--'-'-----'---'--' --------------------------------'----'----'--'-'----'----'--------'---'----'---------'------'------- IMPORTANT NOTICE: -- [o ,voaidorutoo of permit given for doing the xb as described in the above statement, we hereby to perform said work in uoovrduuco with the attached nluoa and enovif/outivoo' vrbi,b are u part hereof, and in uovuluoco with the building xogo}utivoo of the Town of Atlantic 8ouob. Signature of Phone No.---- Signature of of Phune No.__-__' 1 BUILDING AND ZONING INSPECTION DIVISION O ° (D CITY OF ATLANTIC BEACH, FLORIDA Z o` z ELECTRICAL PERMIT a Date 7 SSI 14 Fee $2—W Permit No. �_ O J W Location - *t- Strest Q Between and Q This is to certify that o ec cal Contractor) (MasterElectrics n) E has permission to install Electrical Construction as described herein in of °a LU accordance with the provisions of the Electrical Code and regulations v of the City of Jacksonville, and subject to the information shown on the W application, drawings and specifications which are made a part of this � m permit. for '-red Allen � W LU 0. Type of work:— itwrvese o m sERVICE:Copper 125 A s. 1 Ph 3 W 1,20 Volt a > Y Cable a i N V Feeders: 47 I Outlets: 0 O Receptacles: m i Switches: ti Incandescent: _ Fluorescent: I Appliances: Air Conditioning: J I Motors: Transformers: Signs: Miscellaneous: ChangS panel onl tQ provide better ! I �� wok Bo � P • j THIS PERMIT DURING ANY SIX ISSUED BY: MONTHS PERIOD, PERMIT Electrical Inspection supervisor BECOMES VOID. ... .Ae