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126 15th St (vault) CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD -- ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building deeptncoab.us Application Number . . . . . 07-00001560 Date 11/14/07 Property Address . . . . . . 126 15TH ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -- ------ -------- ---- ------------------------------ Application desc INSTALL FLEX DUCT ----------------- ----------------- ------------ Owner Contractor - ------------ ---------- -- --- - --- - -- ------ ---- - -- JONES, MAE THOMPSON DONOVAN HEATING & AIR 126 15TH STREET 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 ------- - ---- ---- ---------------------- ---- ------- Permit . . . . . . MECHANICAL PERMIT Additional desc . Permit Fee . . . . 55 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/12/08 ------ - -- - - --- --- --------------------------------- Fee summary Charged Paid Credited Due ----------- - ----- ---------- ---------- ------ Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i i' 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 V OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 13.DATE ❑NO �j U7 Atlantic Beach FL 32233 ❑YES PERMIT M PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 1C L -Jor.E MECHANICAL CONTRACTOR: 7.NAME OF COMPANY: 8.ADDRESS.: 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: � v3 Z�( 1 - 3�`�S 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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. CONTRACTORS SIGNATURE:: 15.CLASS OF WORK: 16.BUILDING: 17.SER 18.CURRENT CODE: ❑NEW INSTALLATION ❑NEW RESIDENTIAL 06 FLORIDA BUILDING CODE- ,'REPLACEMENT OF EXISTING SYSTEM dk�XISTING ❑COMMERCIAL MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑OTHER ❑ REPAIR MECHANICAL EQUIPMENT TO BE INSTALLED: 19.HEAT: ❑SPACE ❑ RECESSED ❑ CENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM ❑ CENTRAL 21.DUCT SYSTEM- MATERIAL: P : u c i THICKNESS: K MAX CAPACITY: cfm 22. REFRIGERATION: MAX CAPACITY: cfm 23.COOLING TOWER: CAPACITY: Spm 24. FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27. FIREPLACE: PREFABRICATED: MASONRY: 28. IRRIGATION: ❑ PUMP ❑WELL ❑ PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: 31.COOLING EQUIPMENT: AIR CONDITIONING REFRIGERATION E UIPMENT CONDENSORS ETC. APPROVING NUMBERMODEL# MANUFACTURER TONS AGENCY OF UNITS DESCRIPTION 32.HEATING EQUIPMENT: FURNACES BOILERS FIREPLACES AIR HANDLERS ETC. OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY 33.TANKS: NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY COAG FORM BLDG03:REVISED:8/13/2007 MAP SHOWING SURVEY OF LOTS 10 , 11 AND 1� , BLOCK 60 , MANDALAY, AS RECORDED IN PLAT BOOK 10 , PAGE 11 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. JY 2z I ' ,y I �V 0 loot oo' 0 o" fo ciNO JZ' rQ oi./ fiJ[/ti0 REd4..' 0.05 X 0. / w �jl2 I L o �G � P � fv ZFR ME y a O `� 1 k W.4 v1 Wr V o ^ ° � � � t p� Q . D' fq..rL•-�<G4Rf34GE 2coNTA/NER 7 \ 9, ,4 !/E,</UE 71- THIS L/�E 416 ��AT THfS PRINT IS FOR INFORMATION is , rf;� APE OF M/�//iti1i1G FL�OOii PURPOSES ONLY. THIS PRINT HAS NOT BEEN EMBOSSED WITH THE SURVEYORS SEAL AND IS NOT VALID. I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant H. A. DURDEH to Section 472.07 Florida Statutes. & ASSOCIATES INC. n g., ,¢,L.LAND ,,. ' =�RIAATI0N.. - - SURVEYORS PURPOSES OP&Y1.6M > -Li lop SIGNE Post office Bo:50670 EEN�E{-1B—OSSED WITd iE 830 Beach Boulevard SCALP c+ 1�I1 Jacksonville Beach,Florida 32250 °� IS NOT Yrt � THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE AHOY JGNED. a O Q LUZ LL Q Q ct1 W Q V � m z cel QQD LL z F-: a v � � ,�N Y O 3• N R�pyO "• LL ,\ LU o O Q I-- �r Q s \r � LLo \ 14 W W W W WLu w i z LU Q, — C� z s Z WWv s �- SLLZ � o z �. WQ Q s z � N X ONS W � — Q Q ~ V = X C N W H Q o s N X � Q LU o� ��z zo 7 J NQ F-0 LL J Q J W mLL W 04 N Q Z� d d ~� CZ -I w JU �8pUn 3s 9 w ddZ OC O W yam Oz F}=S �Z� F- �j rt�OQF=- �`r a�Jw,JQF OZ ra O FpWi �Jo8y"J JN��V'�}QW S 'A m II.1 X \ X /O[W I 62- X3 i F LU F- NT �ZWN w301Li Wni I 31V 31V Id rrvm NO J9-16VAA EXE 9 1f102J9 oi"61"109,1X0J3 9d.9/5 1-)V9 1V 00.b b 5+ -- - / irvA9/d!\S-I'B.)rm 119 1'109 V WH%V 2103 C149 213W1 HOlON d l6 1-49XZ-Z V9 039VWV0 31W2131 3VVIA Q x X T S FF- LLJ -1 w o Quad x jj x U- FN-- `° ago°� �� s xLLJ , x m LLJ LU p a s 1 ~ O UNp0 Q Q w�Q Qw '3mILtWn= � v 1 z 0 0 0 31V'1� llvs\Ol(if116 R)V3 V6ZI-f31V'ld'I'1V6A I NO 213-K V&EXE .9 1fKJ?J9 O1NI 61'109 ,,X0,g 9V .9/5 HOV3 1V O"0.b+- 1(10219/J�S'1'f37 rm-rlw 1"109 2101-" 2103 Q4V9 1 Z/M VWVO 9irQ91 3OV ,7,g �� •� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD =r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001138 Date 8/07/09 Property Address . . . . . . 126 15TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------------------- Application desc reground -------------------------------------------- Owner Contractor -------------------- - JONES, MAE THOMPSON UNITED ELECTRIC COMPANY OF 126 15TH STREET JACKSONVILLE ATLANTIC BEACH FL 32233 5716 ST. AUGUSTINE ROAD JACKSONVILLE FL 32207 (904) 731-4210 ------------------------------------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc . . . 00 Permit Fee . . . . 70 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . - 2/03/10 ------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ' ELECTRICAL PERMIT APPLICATION Date: Property Address: 5' 7 Owner: l \ c+ ul 0A -e S Telephone #: n � Contractor:Uln� ,K 1��"� S�� Telephone #: yLt Contractor Address: S l I S�" /9�y t/S�,r�t ��, Fax#: -731 - 5 3 l/ 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 ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: if other construction is being done on this building 0 ' New Af Residence ❑ Temp. ❑ New Or site,list the building Old ❑ Commercial ❑ Signs ❑. Increase Permit number: Re-wire ❑ Addition Sq. Ft. Repair Conductor Size: AMPS: COPPER ALUMINUM Fj Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS Z 00 PH W 3 VOLT,) WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0 10 AMPS I 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sign Miscellaneous r�✓ � C., S � e - 9 I,)n-,��,� 800 Seminole Road . Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atlantic-beach.fLus Ir ft CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000970 Date 7/10/09 Property Address . . . . . . 126 15TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6000 --------------------------------------- Application desc TERMITE REPAIR ------------------------------------- Owner Contractor ------------------------ -------------------- JONES, MAE THOMPSON RICHARD BELL BLDG CONTRACTOR 126 15TH STREET 1952 BEACH COURT ATLANTIC BEACH FL 32233 A(904NTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ----- -- ------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc 30 . 00 Permit Fee 60 . 00 Plan Check Fee . Valuation . . . . 6000 Issue Date . . . . Expiration Date . . 1/06/10 ----------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE w/ ' 05- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ------------------------------------------------------------- Fee summary Charged Paid Credited Due --- ----------------- ---------- ---------- - Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITU OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH OC�� M" I�f^ry � I I ^r" 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 NOFFICE(904)2475826•FAX NO.:(904)247-5845 Q BUILDING-DEFr@COAB.US BUILDING PERMIT APPLICATION DOOF COUNTY UVA R 2.VALUA ON OF WORK: FT.UNDER ROOF 1.JOBB ADDRESS 6.USE 0 STRUCTURE 5.CLA OF WORK: 4,LEGAL DESCRIPTION: 0 NEW BUILDING ❑DEMOLITION ESIDENTIAL l(IZ M 0. 1 G�- ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL LOT Cl BLOCKSUB DIVISION / �a"Y2 G� 8.FIRE SPRINKLER: ❑ALTE N ❑ACCESSORY BLDG. 7.DESCRIPTION OF WORK: 01,�PAIR [I POOL/SPA YES ....- ❑NIA �Z77'?i1"" �(3�!'Y11 CEaCrI,�'� ❑MOVE ❑OTHER O CONTRACTOR: ARCHITECT/ENGINEER: AZ PROPERTY OWNER 23.COMPANY NAME: 9.NAME: 15.COMPANY NAME: � \yx� �cclr/1R�1 r3�u 3�ezD;nfG Ca.�� rug 16.NAME 24.LICENSEE NAME: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 10.ADDRESS: 18.ADDRESS: J7t S�` � 26.ADDRESS: 27.OFFICE PHONE 28,FAX NO.:11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE 28.FAX NO.: iiii 29 21.CELL PHONE: .CELL PHONE: 13.CELL PHONE j (c-+ ' .EMAIL ADDRESS: .j. 30.EMAIL ADDRESS: 22 14,EMAI L ADDRESS: t, E S PLE TITLEHOLDER: BONDING COMPANY' MORTGAGE LENDER: (IF OTHER THAN OWNER) 33.NAME 35.NAME 31.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,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaied and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. r WARNING TO OWNER: ** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COoMMENCEMENT. OWNER or AGENT ( On (If Agent,Power of Atbmey or Agency Letter Required) Date: D C Signed: Date: � a Signed: 2009 in the county of Before me this Z 1 L day of �y t`� ,2009 in the county of Before a this _day of Duval,St a,has rsonally a pea Duval,State of Florida,has personally appeared G t►ll l� £ -� 5o n 5 t rue by and accurate. el !herself herin by himself/herself and affirms that all statements and declarations are thim and affirms that all statements and declarations are true and accurate. true - �L��T� �/ � Notary Pubr ge,State � my of Notary Public at Large,State of County of ❑Pe �11 Known rPr _ LQ►2717/Q f)(L�l/ft2 1l�fNSL Pr ntifzxtion- oduced Identirication- - Notary Sign re' Notary Signature -- SHIRLEY L.G STEPHEN T. PUTNAM S -Florida AIN Notary Public-State of Florida '2 '= 14 010 BL =,' ( Lrttxpit 8r 20,2010 .J, � �r -1 0 PLIAI,ICF. SMD W Cm-nlssion#DD 576296C;F AC$ - tional Notary Assn. -F-W-Trrm S O ADDITIONAL F REQUIREMENTS AND CONDTI'IONS. IL �9 COPY : x�,ffiWW1ff. DA: -6 Doc # 2009158002, OR BK 14927 Page 1919, Number Pages: 1, Recorded r 07/06/2009 at, 10:14 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT State of FLORIDA Tax Folio No. County of DUVAL To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved:Lots 10,11,12,Block 60 Mandalay Address of property being improved:126 15th Street,Atlantic Beach,FL 32233 General description of improvements:Repair Termite damage Owner:Mae Jones Address:126 15th Street,Atlantic Beach,Fl.32233 Owner's interest in site of the improvement:Fee Simple Fee Simple Titleholder(if other than owner): Name: Address: Contractor:Richard Bell Building Contractor,Inc. Address:1952 Beachside Ct.,Atlantic Beach,Florida 32233 Phone No:249-0131 Fax No: Surety(if any); Address: Amount of Bond$ Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Fax No: Phone No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Fax No: Phone No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues.(Fill in at Owners option). Name: Address: Fax No: Phone No: \ Expiration date of Notice of Commencement(the expiration date is one(1)year From the date of recording (vhJl� unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: - Date: �l q Before me this=day of r cr in the County of Duval,State of Florida has personally appeared M1G — --3"9ivaS Notary Public at Large,State of Florida County of Duval. My commission expires:FerSZp t ° Produced Identification: Fco✓iJDA STEPHEN T.PUTNAM gp;Y• Notary Pubk•State of Fbdda �1y Commbsbn Ezplm Jul 20,2010 ®a7` commmlon t DD 575298 3aR4, Bonded By NoWnol Notary Asan. City of Atlantic Beach APPLICATION NUMBER Jr, (To be assigned by the Building Department.) - � Building Department a f 800 Seminole Road 1 ' Atlantic Beach, Florida 32233-5445 �~ Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: / �Ll> City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /C� (0 � � d'T Department review required YeA No Building Applicant: /C � � �� tanning &Zoning Tree Administrator Public Works Project: Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING' PLANNING &ZONING Date: Reviewed by: TREE ADMIN. Second Review: ❑Approved as revised. ❑Den ed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 05!14109 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 80Q Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT _ _ --_ - --_- COL COL AT10N INFORMAIT ON ___-- -----a PERI�:INFQRMATION— - - Address: 126 FIFTEENTH STREET Permit Number: 22731 ATLANTIC BEACH, FLORIDA 32233 Permit Type: PLUMBING Township: 0 Range: 0 Book: Class of Work: ALTERATION Lot(s): Block: Section:0 Proposed Use: Subdivision: ATLANTIC BEACH Square Feet: Parcel Number: _ -- --- Est. Value: ---- 6W- NER INFORMATION__ _--- Improv. Cost: -- Name: NAT JONES Date Issued: 9/25/2005100 Address: 1Q6 FIFTEENTH STREET Total Fees: 25.00 ATLANTIC BEACH, FLORIDA 32233 Amount Paid: phone: (904)241-9051 Date Paid: 9/25/2001 M. Work Desc: REPLACE SEWER" a� CO 5 0 y.� i B PLUMBING I z sWIT, 4 -? _ •`s.- e � �'F.. 3•s. K A .,.+ -04 ..: . T--�..- •._ FINAL `�. `' may: .�a r. .. C_:: •. '� ICE - INSPECTIONS HIST BE RESTED AT LEACUR lOR TO INSPECTION NOT x t S F THIS WORK MU$T NOT BE P CED A� IN PUBLIC BUILDING MATERIAL, RU98 EBRI SPACE, AND MUST BE RE UP AND HAQLIMAWAY BYE R CONTRA` OR OR OWNER ,. 1SULT IN THE �• COMPLY WI E. NSRI�CTIONa L FAILURE TO I TS PROPERTY OWNER PAYING V = THIS PERMIT AND SUBJECT TO REVOCATION ISSUED ACCORDING APPROVED FOR VIOLA OF APPLICABLE PROVISIONS OF LAW• ---—-_ / $25.0014 Date: 9/25/81 81 Receipt: 0091935 CHECKS ATLANTIC BEACH BUILDING DEPT. --- Ari. /�EacN PLUMBING PERMIT APPLICATION #AP PERMIT# COST $ CHECK# RECEIPT# OWNER: S PERMIT # ADDRESS: PHONE: � iSr� � QUALIFIER: C;E A)E C R O V E rL SIGNATURE: BUSINESS NAME: � t-G SPL J w� ,3 r Co PHONE: 02.2 3'.3 ITS-, COMP - LOCATION PROPERTY IDENTIFICATION NUMBER SUBDIVISION: rH —1 PHYSICAL ADDRESS: i SPECIFIC DIRECTIONS TO SITE t_ ►'►' L' 15A-gr- Gor4 ST- �2 rG 4T' Ay.! 1 S - ON THE S SIDE OF 15-TF—BETWEEN R 9ACM q_V E AND F-As r cc o+f r a2 (n e.s.w) (st..rd.name) (st.rd.,name) (st.rd.,name) Plumbing (Residential_ Commercial) # Type of fixture C7 Water closet Urinal � Drinking Fountain = Bathtub Floor sink or drain = Lavatory (wash basin) C] D Shower (stand alone C� Slop Sink = Kitchen Sink �7 Pools (Res,/ Comm) C� Spas/Hot tub/Jacuzzi D Dishwasher Laundry tray C7 C� Fire Standpipe C� Clothes Washer C� Hose Bibs Q Water Heater SC W E r2 ►2 E tO L r4 G CITY OF Office of Building Official �J REQUEST FOR INSPECTION �'/ Date Permit No. D,7 Time A.M. Received PM. Job Addr Locality �?3--3 57$5 Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing ❑ Rough Wiring ❑ Rou ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out Heating Insulation ❑ Lintel ❑ Final ❑ Sewer Fire Place ❑ Pre Fab READY FOR INSPECTION �,� Mon. Tues. Wed. Thurs. Friday `PM A.M. Inspection Made 7 P.M. Final Inspection ❑ Inspector Certificate of Occupancy ❑ Date Matt & Linda Stewart 402 Sherry Drive Atlantic Beach, FL 32233 March 7, 2000 Ms. Mae Jones, Chair City of Atlantic Beach-Tree Conservation Board 126 15"' Street Atlantic Beach, FL 32233 RE: Demand letter from neighbor's attorney Dear Ms. Jones: The purpose of this letter is to seek some summary [not legal] guidance regarding provisions on tree protection/conservation. Enclosed is a copy of a 2/21/2000, letter from my neighbor's counsel which prompts this clarification, along with some subject photos. While I have obtained a copy of the Atlantic Beach ordinance- chapter 23 - I have no inclination to remove, or diminish the affect of the subject tree whatsoever. While it may be an inconvenience [for an absentee-owner] to remove fallen leaves, branches, spanish moss etc. -I do not wish to risk its destruction in any respect. The eradication of such a grand huge tree, or even one of its limb(s), both of which are unique in size [exceeding 30 inches in DBH], age and which possess an abundant and inherent benefit of shade, is unthinkable. Mr. Keene's letter describes the tree as a 'private nuisance,"and indicates that it has a "deleterious effect"on his client's home. I say baloney! While it may not be convenient to clean-up its affects, the existence of the tree is an overall benefit to the property and the community, and it does not constitute a hazard- public or private. If imminent danger is the issue, there are several other trees on his property that come closer to meeting that definition. As when one squares-off with an attorney, I am in the process of knowing whereof I speak and am trying to anticipate the procedures he may resort to next- once the voracity of my refusal to meet his demand is fully known. In short, I am soliciting your expertise in determining if I have cause to claim the subject tree as a private protected and/or exceptional specimen tree. Thank you for your attention to this matter. Please feel free to contact either my wife Linda, (249-2222)or me(232-1777 ext2034)during the day, or at our home- 246-9867. Sincerely, atthew Stewart Matt & Linda Stewart y 402 Sherry Drive Atlantic Beach, FL 32233 March 7, 2000 Richard C. Keene, Attorney P.A. 800-C Third Street Neptune Beach, FL 32266 RE: February 21, 2000 complaint letter This letter is in response to your complaint letter of 2/21/2000 on behalf of my absentee- neighbor-and your client- Dr. Roy G. Bedrock of Creve Coeur, Missouri; the owner of record of the parcel known as 398 Sherry Drive, Atlantic Beach. I have forwarded your querulous letter to local officials responsible for tree conservation to ensure adherence to rather stringent Atlantic Beach ordinances concerning same however, at this time and with that correspondence, I am not seeking a tree permit for clearing, cutting or removal. Upon their response to this situation you can expect a more definitive response and/or proposal from me to address the dilemma. The ordinance indicates they must respond to permit applications within 15 days-I would assume a preliminary response to a matter such as this would be completed even more promptly than the period prescribed. In the event you have any additional relevant questions that deserve consideration,you have my address. Again, expect my response forthwith, pending local consultation. Sincerely, Matthew Stewart Bcc: Ms. Mae Jones, Chair City of Atlantic Beach-Tree Conservation Board V, 126 15t`Street Atlantic Beach, FL 32233 f RICHARD C. KEENE, ATTORNEY, P.A. RICHARD CLINTON KEENE Admitted in Florida (No. 0793957) and Maryland 800-C Third Street Neptune Beach, Florida 32266 Phone: (904) 247-1600 Fax: (904)247-1696 February 21, 2000 Matthew S. Stewart 402 Sherry Drive Atlantic Beach, FL 32233 Re: Overhanging Trees; 398 and 402 Sherry Dr., Atlantic Beach Dear Mr. Stewart: You are listed among tax records of Atlantic Beach as the owner of Saltair, Section 3, Lot 361, known as 402 Sherry Drive, under recorded deed of December, 1992. My client, Roy G. Bedrock, owner of 398 Sherry Drive, has contacted me about the deleterious effect of the huge tree which is growing on your property to the North, and which overhangs almost his entire roof. This tree drops constant debris, branches, and other materials upon his roof, creating a private nuisance. ? On his behalf, you are requested to obtain the necessary permits from Atlantic Beach, and have said tree trimmed, to eliminate the overhang and nuisance. In advance, your prompt attention to the matter is appreciated. Very trul ours, C Richard Clinton Keene RCK/sbb cc: Dr. Roy D. Bedrock 675(C) Coeur de Royale Creve Coeur, MO 63141 ♦ ��f!fir v +. 'It sw woo r 3 % (f .+14� A ,� �/S;, a;j�',�, , � �� ► '�q�l� �.,fin.�4^' ti.y •,.��[j �-•'^{ mm� �4 .«• '+� e70 SA }. 3� x s fi y'1 IC� �'�►: 't` it ' 11�'- �� //CITY OF 4f�LCiL& Be"A Office of Building Official REQUEST FOR INSPECTION Date Permit No. 16 ,:2 D Time A.M. Received P M. Job Address L ali y Owner's Contractor Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICA ❑ Footing ❑ Rough Wiring C Rough r' Air on . Framing g C Re Roofing 1:1 Slab El Temp Pole Top Out [I Heating Insulation ❑ Lintel ❑ Final C Sewer ❑ Fire Place ❑ Pre Fab I READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday Inspection Made � C P.M. Final Inspection Inspector � ' Certificate of Oc upancy ❑ Date � PSR-3844 /- 1 505 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- PERMIT INFORMATION _. _ .. . ---.----- LOCATION INFORMATION --- - Permit Number : 16205 Address : 126 FIFTEENTH STREET Permit Type:MECHANICALATLANTIC BEACH . FLORIDA ` Y3223 -_- _---- "lass of Work :ALTERATION - LEGAL DESCRIPTION - Constr . Tvpe :WOOD FRAME Block: Lot : Twp: Proposed Use , Section: 0 Subd:O Rna : n Dwellinas : 1 Subdivision:ATLANTIC BEACH Est . Value : 0 . 00 improv . Cost : 0 . 00 Total Fees . ?5 .nn J v _..._ P- 25 . 00 "WNER INFCRMATIr.,TI __-.____.__ _______ APPLICATION FEES Name : Jl`NES -ERMIT 25.00 Addr 126 FIFTEENTH STREET ATLANTIC BEACH . FLORIDA 32233 rn 1241-9051 -- ---- -2CNTFACTOF INFORMATION Name: DONOVAN HEATING AND AIR Addr: 315 SIXTH AVENUE SOUTH JAX BEACH . FLORIDA 32250 LiC : CACO39761 EXD : { I Type:, ? - NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.00 14 Date: s 1 Receipt: 8844766 CHECKS 4374 ATLANTI BEACH BUILDIN DEP RTMENT 88188883221888 By: 1,�•. r,�1r. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. 1 LOCATION Street Address: 12 h � � 9 –" OF Intersecting Streets: Between 1z'rQf� 'l QQe And 60 `a:6t C�b' BUILDING �-}YA( Aj`i-iC_ �ItO.0 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 attaclLed 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 Contractors Contractor (Print) S t Master sr_ C 7;1 Name of Property Owner Signature of Owner Signature of or Authorized Agent Architect or Engineer III. GENERAL INFORMATIO A. Ty of heating fuel: B• IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? O ❑ Gat—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO OF INSTALLED NATURE OF WORK 1� (Provide complete list of components on back of this form) ❑ Residential or ❑ Commercial ❑ Heat ❑ Space ❑ RecVc,"'. O Central O Floor ❑ New Building WAir Conditioning: [I Room nfreI ❑ xisting Building C1 Duct, System: Material Thickneu replacement of existing system Maximum capacity c.f.m. ❑ New Installation(No system previously Installed) ❑ Refrigeration ❑ Extension or add-on to existing system C] Cooling tower. Capacity q.p.m. LJ Other — Specify ❑ Fire sprinklers: Number of heads ❑ Elevator ❑ l ifs ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Reeeived) ❑ Tanks (number) Remarks ❑ LPG container. (numberl ❑ unfired pressure vessel ❑ tilers Permit Approved by Date ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT aciy Number Un1tA Description Model Number Manufacturer c(Tons) Approving "Q-C —C)Z HEATING - FURNACES, BOILERS, FIREPLACES Capacity Approving Number Units Description Model Number Manufacturer (BTU) Agency TANKS How Many Ncecinal Capacity Type Liquid Name at Serial Aproving and Dlmendcns Contained Manufacturer No. ncy ~ [� � D � CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-412-- - 19 Z IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 3 f- An[IANr_)'ll 1 11 �°►'L ELECTRICAL FIRM: MASTER L CTRIC SIGNATURE NAME 1.�/ �.�--ADDRESS:T� �� RFD BOX BLDG.SIZE BETWEEN: RES APT. ( 1 COMM. ( 1 PUBLIC ( 1 INDUS. l 1 NEW ( 1 OLD ( 1 REW. ( 1 ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS ( ► SQ. FT. SERVICE: NEW ( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER 1 1 ALUM. ( ) SWITCH OR BREAKER 1Y� ) AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE v AMPS PH '2W � 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 BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS ' -P �`✓ L�/ TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGH FORWARDED S TOTAL FEES CITY OF rQt�: Ae 4-OV& Office of Building Official REQUEST FOR INSPECTION C�� — T —F J Permit No. O Date � A.M. Time • P.M. Received ��1� ��/•l Locality Job Address U Owner's tractor Name -24� pLUMBING MECHANICAL BUILDING CO RETE LECTRiCA Air Cond. & Rough Wiring Rough Heating Framing _ Footing , Top Out — Slat: �� Temp Poll ❑ Fire Place � Re Roofing C Final ❑ Sewer Pre Fab Insulation Lintel READY FO Tues Wed. INSPECTION lA M. Thurs. Friday Mon. A.M. _P.M. Inspection Mads - ,Q,,, Ina! Inspection Inspector ��=-- / Certificate of Occupancy❑ Date PSR-3844 09715 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION --- ------ LOCATION INFORMATION ----- - -- Permit Number : 9715 n.i.i, -ss : 126 FIFTEENTH STREET Permit Type : PLUMBING ATLANTIC BEACH , FLORIDA 322{= 'lass of Work: REMODEL ----- LEGAL DESCRIPTION --------- onstr. Tyype: WOOD FRAME 1, t : Block: Section ' ropose, 17se: SINGLE FAMILY Township : RNG : 0 Dwellings : 1 Code: n Subdivision: Estimated Value : SO . o.,,! Improv . fast : 50 ,00 Total Fees : $25 . 00- Amount 25 . 00Amount Paid: 525 . 00 2 /15/95 NK AND rTcFT7aSHE:r ---------- OWNER INFORMATION - ---- APPLICATION FEES ----- 3:me = T,-,NES/�."ORNELIU� PERMIT S25 .00 126 FIFTEENTH STREET WATER IMPACT FEE 80 . 00 ATI AN?'I " BEACH . FLORIDA 3 SEWER IMPACT FEE stn 00 E hcne— ' 9(-4 ` 27- -014 WATER METER/TRP t{1 or, RADON GAS-H .R . S . $0 . 00 :CONTRACTOR INFORMATION ---- RADON CAB 5% $0 .00 Name , t a`,'E Fr-'GUS PLUMBING CAPITAL IMPROVE . SO . 00 Addr ers 7 '=4GO ATLANTIC BLVD. I4-1SEWER TAP SO .01- 7»,'-'KaONVILLE . FL 32225 CROSS CONNECTION $0 .00 Li^enc F'-`;`41443P Type: 0 SEC H IMPACT FEE 50 . 00 CONST. SURCHARGE SCHARGE/ATL - BCH , r fir. 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. 000000000 000000001; $25.0014 ATLANTIC BEACH BUILDING DEPARTMENT Date: 2/15/95 00 Rcpt: 0032669 / CHECKS 2491 By: :'�f/ .i 001OW3221000 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: � �Sti S BUILDING CONTRACTOR: C�Ct t N e u s cc PLUMBING CONTRACTOR AND ADDRESS: TELEPHONE NUMBER: 7 Z 7 ZU STATE LICENSE NO: TYPE OF BUILDING: TYPE OF WORK: CjLtG,c�� r.✓q f�l.c.� s�� HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: x $3 . 50 + $15 .00 = $ ---------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION BEFORE COVERING UP - (904) 247-5834 7506 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION ----- - - - LOCATION INFORMATION -------- Fermat Number : �`,�� Address : 126 FIFTEENTH STREET per-mit Type : ELECTRICAL ---ATLANTIC BEACH . FLORIDA-3223" ------- Class of Work : ADDITION ------- - LEGAL DESCRIPTION - rot . Black : Section: Constr . Type: WOOD FRAME Township: RNG: 0 proposed Use: SINGLE FAMILY Dwell.inaw : i Code: 0 Subdivision: ATLANTIC BEACH Estimated Value: $,0 .00 Improv . Cost : 50 . 00' Total Fees : $25 . 0C Amount 1*�i.d; 525 .40 rate w aidt` 11! 2/93 TLETS , RECE PTI FLOODS , WIRE GARAGE OWNER INFORMATION ---- APPLICATION FEES ;ONES PERMIT $25 . 00 �?6 FIFTEENTH STREET WATEF: IMPACT FEE $0 .00 SEWED ?"'fPACT FEE NTIC BEACH . FLORIDA 3, 0 .00 qrv' ] WA'T`ER. METER-/TAP $ RADON GAS-H .R. S . $0 .00 ---- CONTRACTOR INFORMATION RADON GAS - 5% $0 . 00 Name : PSR-`(JKS & L1MBATT CAPITAL IMPROVE . $0 .00 address : 41 SECOND ._$TREE SEWER TAP $0 .00 ATLANTIC BEACH 32233 HYDRAULIC SHARE $0 .00 e1sF : ER0008575 Type: ^ CROSS CONNECTION $0 00 SEC .H IMPACT FEE CON SC--O=THER r TES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE [BUIL�DING MATERIAL�HAULED R �AW Y D DEBRIS FROM THIS WORK CONTRACTOR OR MUSTOWNNOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEP AND BY EITHER N LAW CAN RESULT "FAILURE TO COMPLY WITH THE MECHANICS' LIE NG IMPROV MENTSiN THE PROPERTY OWNER PAYING TWICE FOR BUILD PISSUEDCCORDING TO LAPPROVED PLAN E PROV SIONS OF LAWCHARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR N OF APPLICABBEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT 7 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 13 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. 12 oor'CA1-- vo ELECTRICAL FIRM: MASTER ELECT I IAN SIG URE JOURNEYMAN NAME 7-/ `=`Ne5 ADDRESS: `� ` `� RFD BOX BLDG.SIZE BETWEEN: RES. � APT. ( 1 COMM. l 1 PUBLIC ( ) INDUS. ( 1 NEW ( 1 OLD ( 1 REW. l 1 ADDITION ( ) TRAILER 1 1 TEMP. ( ) SIGNS 1 1 SQ. FT. SERVICE: NEW( 1 INCREASE ( ) REPAIRT"1 FEE CONDUCTOR SIZE AMPS COPPER 1 1 ALUM. ( ) SWITCH OR BREAKER q AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE lite AMPS PH -iW ? �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 I INCANDESCENT - FLUORESCENT&M.V. FIXED APPLIANCES 0.100 AMPS. OVER BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT 01 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS J S y ' n l TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES 61Ulr�s CITY OFC J Z Office of Building Official REQUEST FOR INSPECTION 2 l 3 Permit No. Date f J A.M. Time Received r' Locality Job Address y�� t�f- (Pn O a owner' s�On& ContractorC•�� MECHANICAL Name �RICAL PLUMBING ❑ Air Cond. & ❑ BUILDING CONCRETE h u Wiring Rough Ci Heating Footing ❑ Temp Pole ❑ Top Out ❑ Fire Place ❑ Framing C Slab ❑ Temp ❑ Sewer Pre Fab Re Roofing ❑ ❑ Final ❑ Lintel READY FOR A.M. Insulation INSPECTION PM. Friday Thurs. ed. Mon. Tues. A.M. Final Inspection Inspection Made ancy Certificate of O cup Inspector rt Date c�-I��s .e EXPRE ss . - - RORT er TIONEP eMast PEC Hous IDIS "The Home Inspe11 cIll tIll iIll on ProIll fIll eIll sIII sionals"® EREPORT NUMBER PROPERTY ADDRESS CLIENT Office: Owner: A09- House Style: , 2 yg�l�E oDR d -f- Estimated Age(years): Inspector: Attendees: i C R - � InspectionDatel Imes . Weather/Temperature: fill77 �Lim (-; F— g �RJTR)1�11)6U6�10� of the t�/(Z 1A�s' N an s rofessional opinion of the condition oferformed�whereents apP f t e This report represents the inspection comp Y P. Terms and Conditions of the inspectionthe Ordernameclien inspection. This inspection. was property as determined during a standard limited tl ection industry, exclusively for 2. Information contained herein wasprepared manner consistent with standards of the home inspection Agreement and limitations noted en page an neither makes representatiol and their authorized rep While due care was exercised in the performance of the indicated services, the Company art of the inspection or this report. e and any attachments, should be reviewed in its entirety. Any nor guarantees with respect averse side of eachent deficien page futureconditions opriortach tl ee transfer- questions report, including the questions about the inspection or report should be resolve GUIDELINES — review pertinent comments on reverse side. INSPECTION New construction o Vacant Propert Specific Element Inspectio \ lement Sampling ❑ Owner Comme ❑ Listing Inspection '❑`Condominium/CooperativerrE\\ �i�- �n l�lf ❑ Relocation Inspection ELF��/CAt - `/P6 RX E rr coP4 IR24-7 of 4L ©1990 Housemaster Inc. - EXPRESS® HouseMaster INSPECTION REPORT 'The Home Inspection Professionals"8 ELECTRICAL AND PLUMBING SYSTEMS ELECTRICAL: Panel Capacity: X.50 AMPS 120/240 Volt 11120 Volt Location: MCA) Panel: Ircuit Breaker ❑ Fuse Main Disconnect:(� Amps) ElN ne Service Line: Aluminum ❑ Copper ❑ Not Determined ❑ Underground KOverhead Major Appliance/240 Volt Lines: ❑ Aluminum Copper ❑ Not Determined Household Circuit Wiring: ❑ Aluminum Copper ❑ Not Determined Ground Fault Circuit Interrupter(s): gPresent XMultiple Units ❑ None Observed PLUMBING: Water Supply Was Represented To Be':❑ Public❑ Private—Not Checked❑ Private—See Pertinent Section ❑ Not Determined ❑ Disposal System Was Represented To Be': ❑ Public ❑ Private— Not Checked ❑ Private—See Pertinent Section ❑ Not Determined ❑ Water Piping: ❑ Mixed ❑ Copper ❑ Galvanized ❑ Plastic ❑ Lead ❑ Brass ❑ Not Determined ❑ Shut off/Meter: Waste/Drain Lines: ❑ Mixed ❑ Copper ❑ Galvanized ❑ Plastic ❑ Cast Iron ❑ Not Determined ❑ WATER HEATER: Manufacturer: Est. Capacity: Gallons ❑ Multiple Systems Type: ❑ Gas ❑ Electric ❑ Oil ❑ Solar—Not Inspected ❑ LP-Propane N ❑ Off Boiler ❑ Tankless ❑ Estimated Age yrs. Est. Orig Life Span to yrs. Confirm Prior To Closing P� �� ELEMENTS °�° �� °� �� INSPECTOR COMMENTS SGT ELECTRICAL EKE N5: LJ R l/4G— ZN GA RA6F l5 MAIN PANEL 0 �9 0 0 0 p11F�'FuSED , ECOMME.NQ C1�CU�T WIRING/DEVICES" 0 0 0 0 �� )e .8.E any cr- 4 TD /5 An-fP 0 0 0 0 0 0 0 !.�i R/N G `7U Ore "Cle *Representative Components LUMBING Al P�rNf` • NoRn�� ER PIPING 0 0 0 0 0 0 0 /RC /T eEA-CEK S174 /_-5 3C 4M �. WATER FLO)# 0 0 0 0 0 0 0 3, rCT f T P— G-F- Otln c ON FieoAj DRAI STE PIPE 0 0 0. 0 0 0 0 RCI( 15 �EFCC?-] VE 7, IJPLL 1/6H7— FIXT RE AINAGE 0 0 0 0 0 0 0 UP57-�q /Q NA,) OR/G 1M4t— /NG-- S PIPING 0 0 0 0 0 0 0 FR O M C2E (L I N C_- /� '- 5.0 P me' CYtt7f -U57 FflN - JgEtOMMENU ff1T HEATER W I R/ N Sttf�t P D tOA-f 7FI-y UNIT 0 0 0 0 0 0 0 /ROM 191k 4A-,ND��k 0/, CAI aEt7 acc� l��l. WJRING &410 fft�) AJ 7.. REVIEW reverse side for general information and pertinent comments on the ollowing items: ❑ Aluminum Household Wire ❑ Knob&Tube Wiring ❑ Plastic Water Piping ❑Circuit Separation ❑ Low Voltage Lighting System ❑ Separate Electric H/W Meter ❑Panel Condition ❑ Pressure Reducing Valve ❑ Hot Water Off Boiler/Tankless ❑Receptacle Polarity ❑ Mixed Water Piping ❑ Solar Hot Water ❑Grounding Provisions ❑ Gas Piping Concerns ❑ LP Water Heater ELECTRICAL/PLUMBING/HOT WATER 3 V ©1990 HouseMaster Inc. INSPECTION ORDER AGREEMENT —PLEASE READ CARFF LY — This agreement repr ents a b'ndin icontract be w e�ih� *eni, DU, F—/.'�Ns k OF K_ , a local independently owned business, for the inspection of the �d the Company, 7 ' A - tf, FL ---— — ;)use proper located at �� 5'�'` SSR CET P-7-1—,-9 N T C� _ INSPECTION OPTIONS 3.ENVI RONM ENTAL CONCERNS.The Client acknowledges that what is being contracted for is a home inspection and not an environmental evaluation and it Due to the varying needs and interests of a Client for information regarding a is not intended to detect or disclose any heal?h or environmental concerns prospective home and post-inspection protection,the Company offers to Client regarding this house or property such as the presence of asbestos,radon,lead, a choice of inspection plans as noted below. Client shall select the preferred urea-formaldehyde,fungi,toxic materials,etc., in the air,water, soil or house option by initialing the appropriate option box. (If no box Is Initialed,a Limited- materials. Time Inspection will be performed.) q.P [D EXCEPTIONS.If any stated limitation or standard is exceeded NTAL (i.e. en ro mental evaluation, code reference, etc.), it is done solely at the A.LIMITED-TIME INSPECTION. In approximately-2�3"itours,for an Company's option and does not void the Terms and Conditions of this contract. average house, the Company!Kill provide to Client with their profes- Furthermore,if any portion of this contract conflicts with local statues,only those sional opinion of the condition of teiz for elements of the house at the time of sections are amended;to balance of the contract applies as stated. ate inspection. Due to the complexity of the various systems and elements of a house and the hundreds of value judgements made by the Inspector 5.VERBAL REPRESENTATIONS.Noverbalstatementsmadebytheinspe angeth In this Limited-Time Inspection, the Company does not provide any or any terms ofiter this a�eement or the inspection rmpany representative leportFu the rthermpe a,tthe wrf nor itten report guarantees regarding the Inspector's Judgements and findings. shall be considered the inspection results and no verbal representations by /� 5 S PES J r� anyone shall be relied upon by the Client. The cost of this Limited-T' Inspection is. r r: N E N T /N C 770All OF LEST��I�' L -- 6. OWNER DISCLOSURES. The Company will provide the Client with an wnAL ID y N r ' Owner's Disclosure Form(Owner's Questionnaire)to be reviewed by the Client PRE roximatel 22 hours, with the present owner prior to closing of title in an effort to disclose conditions B. EXTENDED-TIME INSPECTION. In app Ythe to or an average house,the Company will provide the nt with a more and/orpecHartel fogy es o n potentlallynserious or questobleoareas prior to d,r epth,evaluation of the condition of the major ments of the house the closing of title. time o e inspection. Since the inspector wit t be limited by the time constraints ass��aced with the Limited-Time Ins cUon and can enlist the help 7. PRE-CLOSING INSPECTION. The client will, as part of the purchase of system/elementcialistswhenappropri the Company will assume Iull deliberation,perform a pre-closing Inspection of the property,Including responsibility for IXmo7rolm rs,pf oversights-up to a maximum of systems and appliances. Should any previously undetected deficiency be $25,000 per inspect -Visible,accessible inspected elements, uncovered during this pre-closing inspection, it should be reported to the J Company. The Company will assess to matter by telephone and, when for a period of six( then Inapectlon dale,sub act to a$100 necessary,will promptly reinspect and evaluate to condition at the Company's deductible per elerrence. expense. The cost of correcting any such deficiency will not be the responsibility The cost of tis�xttionisexpected to be in the$1,500 range, of to ConSpany. dependingwgn'te sion to house and special services or Should the Client fail to perform a pre-closing inspection,theCompanyisrelieved consul t�rtfs utilized. The Company will ange for a visit to to proposed of any and all liability concerning any defects which to pre-dosing inspection property and prepare a firm inspection fee quot The Client shall allow sufficient would have revealed. .-¢ie-purchase time for to quote preparation and pection scheduling. 8. CLIENT RESPONSIBILITY. Should a concern or dispute arse over to TERMS AND CONDITION condition of an inspected element atter dosing of title, th Client agrees to notify the Company In writing and provide It with th"cpportunity of 1. INSPECTION LIMITATION. The Company can only inspect and report on assessing the element's condition prior to it's repair/ cement or the certain visible and accessible elements of the house proper. The inspection is Initiation of legal action. Failure to provide such written notification and access not intended to detect latent conditions or concealed defects. The inspection will will release the Company of any and all liability concerning this inspection. be performed according to industry standards-a copy is available upon request. Should the Client initiate legal action against the Company and such action The inspection will not involve destructive testing and will not include coa compliance, geological/soil investigation, engineering design/diagnosis, ad- Is terminated in a manner not adverse to the Company an the Company Aqua ev�lua or related services Ifted pn the[averse side.TE�� Is subsequently relieved of liability,the Client will be responsible for the r �tgy_rT 114-'f FC /OfJ u' / �� C!' CCM PL/SNC F_ Company's defense costs,including attorney fees and expertwitness fees. 2.LIABILITY.A home inspection should not be considered an insurance policy against future house repairs. The Client acknowledges that there is risk involved In addition,If client or spouse Is an attorney,It Is agreed and understood in purchasing a property and to purpose of this inspection is to reduce that risk that any and all claims or disputes arising out of this Agreement,or the services but not to eliminate it. Furthermore,to Client agrees that to performance of the performed or to be performed thereunder, shall be submitted for binding inspection does not transfer that risk or any portion thereof to the Company. arbitration before the American Arbitration Association,at the Client's expense The parties shall be bound by the arbitrator's determination and expressly waive No legal action may be commenced against the Company after one year any and all other legal remedies. from the completion of any Inspection. g.EXCLUSIVE USE. The inspection and report is performed and prepared foi The Company's liability for any Client post-inspection (Imited-Time) upon byotherpartile and veuseoftheClient,isnon-transferable and may not bereliec p claims is limited to a maximum of the Inspection fee aid unless an Extended-Time'Inspecplan tionspurchased six(6)moot sl from to ie Client. nspection [tion date.applies to CONTRACT ACKNOWLEDGMENT Client or authorizedprLe�reaentative acknowl dges that this contract(both sides)was read and its term,11 / S conditions are understood. I F''f• r --) -.- Date. Client Name: --- - --- -- y � �f��Lf= Client or Authorized �/ Company Representative: Representative Signature l� i �/ ORIGINAL TO OFFICE;COPY TO CLIENT IR-2e ~ o �». 126 15th Street Atlantic Seach' Florida 32233 Telephone : (904) 249 2644 ` July 22' 1994 Mr , Raymond G . Bivins' President Bivins Electric Company, Inc . 1004 South 2nd Street Jacksonville Beach, Florida 32250 RE: y/Reimbursement for Electrical Inspection of Rewiring 126 15th Street; Atlantic Beach' Florida 32233 � Dear Mr . Bivins : � Thank you for approving reimbursement of the cost of an � electrical inspection by your letter dated July ll ' 1994 . The inspection was made by Housemaster of America on July 15' 1994 from 2 : 30-4 :30 PM . We were charged $125 which agreed with their estimate . We paid them with our check number 589' dated July 15' 1994 in the amount of $125 . 00 . Copies of the inspection order and inspection report are enclosed . The "inspector comments" list five items' which we plan to take care of at our expense . Item numbers three and five do not pertain to work done by your company . In Item 3 the defective exterior 8FI outlet on the front porch may have been damaged by lightning since you installed it . In addition, a motion sensitive security light was wired from that outlet subsequentfy to your work . The attic exhaust fan referred to in Item 5 was installed subsequently to your work . ' Please remit $125 . 00 payable to my wife, Mae Thompson Jones' at the address above . Yours truly, Tolbert NaC Jdhes , jr . Enclosures : Copy of Inspection Report Copy of Inspection Order Copy of my Letter dated June 14' 1994 Cop; of your reply by Letter dated July ll ' 1994 � � 126 15th Street , Atlantic Beach Florida 32233 , ' i Telephone : (904) 249 2644 � i June 14, 1994 � Bivins Electric / i 1004 S . 2nd Street Jacksonville Beach' Florida 32250 ATTN : Mr . David Braddock ^ RE: Electrical Inspection for Rewiring 126 15th Street; Atlantic Beach` Florida 32233 � Dear Mr . Braddock : � Since a first inspection by the City of this rewiring job is no longer practicable' inspection by an independent electrical inspector appears to be a realistic and inexpensive alternative . Housemaster of America (Florida General Contractor #CQC 025011 ) has been recommended to me . Their electrician' who would make the inspection, is Richard Deichmiller (Certificate No . JE 1254) . They have estimated the inspection would take a couple of hours . They estimate the dollar amount to be between $100 and $125 . In order to bring this matter to a close` please sign one copy of this letter and return it to me in the enclosed stamped and addressed envelope . The other copy of the letter is for your file . Yours truly ., Mae Thompsom Jones ayllk at T Wca' ;N!", Tolbert 11,, Bivins Electric will reimburse Mae Thompson Jones for the cost of an independent electrical inspection of the wiring at 126 15th Street, Atlantic Beach` Florida 32233 to be made by Housemaster of America as described above and estimated to cost between $100 and $125 _ Date �� _� _�� ' l994 By David �raO�ocx Enclosures : Your duplicate copy of letter Return envelope Ceectzic edmpany, 9W. 1004 S. 2ND ST. -JACKSONVILLE BEACH, FLORIDA 32250 - (904) 249-4308- 249-2911 f i .�'/ ;�-4y 11 July 1994 Mr . & Mrs . Nat Jones , Jr . 126 15th St . Atlantic Beach, FL 32233 Dear Mr . Jones , I apologize in my neglect in answering your request for an electrical inspection of your property . I am approving your request for us to pay for the electrical inspection by Housemaster of America at an estimated cost of $ 100 to $ 125 only on the work that we were contracted to do . Sincerely, fayfiond G. Bivins President 001947 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH f-ER H I H A'j i�.4-1 LOCATION INFORMATION Humber : 1947 126 FIFTEENTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA j-2233 Lass of Work: ADDITION LEGAL DESCRIPTION (.*onstr. Type-. N/A Blocks Section: Proposed Use: SINGLE FAMILA Township: RHO- 0 'wellings: 0 Code: 0 �3timated Value: $0. 00 Improv. Cost : 190. 00 Total Fees! $20. 00 Amount Pa*dt $20- 00 e-xiaL 150 amps 1pt, 3w 24� "INfORMATION APPLICATION FEES MRS. THOMPSON PERMIT $20. 00 j'26 F'IFT'EENTH STREET WATEP IMPACT FEE .00. 00 ATLANTIC REACH, FLORIDA fj'EWER THPACT FFF -4' WATER METER 4 6L -74 1 RADON UAIS, Ii. Q. S. >50. 00 CONTRACT?1R 111FORMATION RADON GAS - 5% $0. 00 Home: BARKOSftjF ELECTRIC SERVICE WATER TAP $0. 00 AVE. H. SEWER TAP $0. 00 JACK'SOHVILLE BEACH, FL, 322 HYDRAULIC SHARE to. 00 .,a.cense; ER0004850 Type: RE-INSPECT FEE $0. 00 ENGINEERING $0. 00 OTHER so. n-o 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. MECHANICSLIEN LAW CAN RESULT "FAILURE TO COMPLY WITH THE IMPROVEMENTS.IN 93 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 Byi 001947 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT LOCATION INFORMATION Permit Number ) 194? 4veaas 1-16 FIFTEENTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 3223.9 claas of Work: ADDITION LEGAL DESCRIPTION Constr. Type: H/A Black i section Proposed Uae2 SINGLE FAMILY Township: Dwel 1.1 Vigo-. 0 Codes 0 ,l.di vision 2 r.--:�timated Value3 Tffipfov. coat3 Total Aaoun*4 �AATION APPLICATION PERM I T WATER IMPACT FEE $0. 00 TfIENTH STREFT FLORIC ,3F. IMPACT =FEX $0. 00 e 04 VA Tg*� 40"i�00 p RADON GA8-H- R- S- 'AS RkPITOW1,NFORMAT 3: RADON Me", ARRs E 1 XCTRIC f_3CPVJf'E WATER TAP $0.00 52 SEWER TAP 010. T A3C 00 AVE— n.6-1 - — SHARE $0. 00 Hyt.)RAULIC CS' _,*V,JtLE BEACII, I 'W t.:,P-n t Ty pf? RE-INSPECT FEE $0. 00 vo, 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.59 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH, FLORIDA . ` j Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: / �7 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: t=MA JR LECT CIAN SIGNATURE NAME �`/ `S2S� ADDRESS: 12-1(1 I-r;771 i- '`S RFD BOX BLDG.SIZE BETWEEN: RES.K) APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. l 1 ADDITIOW�k), TRAILER ( 1 TEMP.( 1 SIGNS ( 1 SQ. FT. FEE SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. 1 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.. ERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. Sq— SWITCHES NO. SIZE NO. SIZE LIGHTING OUTLETSONCEALED OPEN TOTAL RECEPTACLES ONCEALED OPEN TOTAL O.30 INCANDESCENT FLUORESCENT&M.V. FIXED 0-100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT 01 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS eEl/i _ 42 TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES DEPARTMENT OF BUILDING FOR OFFICE USE ONLY CITY OF ATLANTIC BEACH, FLORIDA Date / 19 �/ Permit # Fee $ U� Application for Permit for Valuation S Miscellaneous Alterations, HOUSE # --�5 and Repairs DESC IBE: (Stat if to repair, alter, add to or move building, erect wrings, signs, etc. ) Building on: Lot No./o ) Blk No. Sub.Div. Address Valuation $ -C�d Owner ' s BUILDINGS AND OCCUPANCY Building Use - Residential or Business What Plumbing work to be done? Size of Present Bldg. Size of Extension Lot Size No. of stories now after altered Material of roof Material of Present Building Material of Extension NECESSARY PLANS TO BE SUBMITTED HEREWITH OIL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline Pump Type or Model Name and Address of Manufacturer in connection herewith, application is also made to install: gal. capacity tank (s) made by of gamic e metal ground. (Name of Manufacturer) Urc or. Abt-vt ) (Under or Above) of building. For (Inside or Outside) (Name of Purchaser) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS Size Classification (State whether ground, roof, wall, projecting, anner) Material of Construction Illuminated? Type of illumination tate w et er Lamps or aeon Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide �� g on reverse side) D Pj IMPORTANT NOTICE: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a Fart hereof, and in accordance with the building regulations of the City of Atlantic Beach. (Southern Standard Building Code) . Signature f Builde o r Qz/ Address Phone No. 001944 i DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH 1.CtCATT0 MFC [Yt ATI€7ti - FLirmit Number : 1*a44F ess: Com' FIFTEENTH SIRE s1 Permit Type: MECHANIC:A[ _ __.. _v LEC3AL DESCRIPTION Clash of Work: REPAIR Block: Section! Constr. Type- N/A t: Township: RNG: proposed Use: SINGLE FAM.. .; f? °,a i slcar�: Dwellings: 0 Code: 0 r..�� Estimated Value.., $0.0£1 Improv. Cost ! $0. 00 Tot a 1 Fve^a z *20. OCk Amount -f4* A$ $20. 08 EXISTIN6 - - APPLICATION FEES fSa i1#Fs�# NATI(lti x+20. 00 D. THOMPS-70 i ` ' P1rRMIT WATER IMPACT FEE (I.00l ?« ;LF 1'cENTH STREET $0. 00 L'FAt l[. FLORIDA3 SEWERLMfAG'T FEE WATER METE0 0 ph RADON GAS--H R. S. sO. 00 RADON GAS -- $0. 00 'ONTRAC:TOR INFORMATION WATER TAP 50. 00 Name: N & L -11FA'T'ING AND AIR WER TAF' 400. 00 ddreaa•s 41 WEST 6 TH 2 TREET �0. 00 ATLAN'T'IC' BEACH, FL. 32232 HYDRAULIC SHARE -> RE-INSPECT FEE $0. 00 .ic.enoe: p1E)C10333 Typez ENGINFERTHO i9O. OiO OTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE [BUILDING MATERIAL, RUBBISH AWAY D DEBRIS FROM THIS WORK HER CONTRACTOR OR MUSTOWNNOT BE PLACED IN PUBLIC SPACE AND MUST BE CLEARED UP AND HAULED R. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN MENTS IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPRO ISSUED ACCORDING TO WHIH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW ATLANTIC BEACH BUILDING DEPARTMENT By: .T' BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 ll APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant t,??complete all items in sections I, II, III, and IV. LOCATION Street Address: l�2 / 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. Name of Mechanical Contractors Contractor (Print) Master e Name of f Property Owner 7 z /�/. r Fz� Signature of Owner Signature of or Authorized Agent Architect or Engineer 111. GENERAL INFORMA ION A, Type of heating fuel: B• 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 N�ATUF WORK (Provide complete list of components on beck of this rm) dential or ❑ Commercial Heat ❑ Spec* ❑ Recessed Centel O Floor El New Building Q'–Air Conditioning: ❑ Room ❑ Centel LEe/Existing Building Duct System: Materia Thicknou_r O Z �eP'acement of existing system 4 Maximum capacity S_c_:� 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. ❑ Fin sprinklers: Number of heads_ ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pump• (number) (Reeeiwd) ❑ Tanks (number) Remarks ❑ LPG container (number) ❑ Unfired pressure vessel Permit Approved by Date Q Boilers Q Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT rovinc Number Units Description Model Number Manufacturer ((TTonnss)Y A)pP HEATING - FURNACES, BOILERS, FIREPLACES Capacity Appmvbu Number Unita Description Model Number Manufacturer (BTU) ASWCY TANKS Now Many Nominal Capacity Type Liquid Name of Serial Approving and Dimensions Contained Manufacturer No. Agency WWI y R.4 �d ��,y _ 000a dot CITY OF ATLANTIC BEACH SPECIAL INVESTIGATI0�1 TO BE FILLED OUT BY COMPLAINTANT DATE L" ADDRESS qL LOCATION COMPLAINT l r OWNER OF PROPERTY l ' (( C OhPLAINTANT" .- -^�---------- SIGNATURE OFC �_- --------------------------- ------- - -------- FQR OynCli lu$B ONLY Z V ' IIiVLs'tiCJ1TOR DATE OF INVESTIGATION CONDITIONS FOUND !0 ACTION TAKEN P COMPLIANCE NOTES: 'na u, �o ui�✓ c /� f� CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD �J r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept(a)coab.us Application Number . . . . . 07-00001372 Date 10/02/07 Property Address . . . . . . 126 15TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1250 --------------------------------------------- ------------------------------- Application desc termite damage ---------------------------------- ------ ------ ------------------------------ Owner Contractor ------------------------ ----------------- ------- JONES, MAE THOMPSON RICHARD BELL BLDG CONTRACTOR 126 15TH STREET 1952 BEACHSIDE COURT ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-0131 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ----------------------------------------------------- ----------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date Valuation . . . . 1250 Expiration Date 3/30/08 ---- ------------------------------------------------------------------------ Special Notes and Comments *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------- - -- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION rs - RECEIVED CITY s� CITY OF ATLANTIC BEACH 41 CITY OF ATLANTIC BEACH 1 ¢' Vr 800 Seminole Road,Atlantic Beach FL 32233 BUILDING R. ZON NG Office: (904)247-5826 • Fax: (904)247-58 509 0 i2007 + i Job Address: 1-2615`' Street eft Number: Legal Description: Lot 10, 11, 12, Block 60, Mandalay Work(Replacement Cost $ 1250.00 " ! ~ Valuation of Wo (R p ). �'Z. Class of Work(Circle one): New Addition Movel ■ Use of existing/proposed structures)�((Circle one): Commercial reess de ■ If an existing structure,is a fire sprinkler system installed?(Circle one): N/A ■ Is approval of homeowner's association or other private entity required?(Circle one): Yes No Describe in detail the type of work to be performed: Repair termite damage Proverty Owner Information Name: Mae Jones Address:126 15" Street City: Atlantic Beach State: Fl Zip:32233 Phone:249-2644 Contractor Information: Name of Company: Richard Bell Building Contractor, Inc. Qualifying Agent: Richard Bell Address: 1952 Beachside Ct. City : Ad. Bch State: Fl. Zip: 32233 Office Phone 249-0131 Job Site/Contact Number 704-6805 State Certification/Registration# CBC033312 Office Fax# Architect Name&Phone# Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work of installation has commencedprior to the issuance of a rmit and that all work will be erformed to meet the standards of al laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6 months, or i construction or work is suspended or abandoned for a period of six (6) months at an time after work is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners, et. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOL INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT- i hereby certify that I have read and examined this application and know the same to be true and correct. All provisions q,; laws and ordinances governing this type of work will be complied with whether specified herein or not. The grantinof c permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or loca IaN regulating construction or the performance of construction. Signature of Property Owner: Signature of Contractor: Sworn to and subscribed before me Sworn to and subscribed before me this3_Dayof C>cto6sr this 2 Dayof 0CTo3%-7 ±vn�P� NotaryPublic: �+.� $o Q 0" Notary Public: ^ - �R�1Q L 13 REVISED 03.05.07 SUS AN' SUSATJ SPEAKS GORMAN A coMr11�; KSGORA1AN M COMMIS:K('11"OD643668 I zNOrARY �l 0D643668 sa„�9Y ap;a_ y25.2011 FI.Notary�ucWmt� 11 1-800-3-NOTARY FI.Notary Discount Assoa Co. Co. NOTICE OF COMMENCEMENT State of FLORIDA Tax Folio No. County of DUVAL To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Lots 10,11,12,Block 60 Mandalay Address of property being improved: 126 15th Street,Atlantic Beach,Fl.32233 General description of improvements:Repair Termite damage Owner:Mae Jones Address: 126 15th Street,Atlantic Beach,FL 32233 Owner's interest in site of the improvement:Fee Simple Fee Simple Titleholder(if other than owner): Name: Address: �Q Contractor:Richard Bell Building Contractor,Inc. Address: 1952 Beachside Ct.,Atlantic Beach,Florida 32233 C Phone No: 249-0131 Fax No: Surety(if any): Address: Amount of Bond$ Phone No: Fax Na Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues.(Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year From the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: � Date: Before 22ilds fc,r in the County of Duval, State of Florida has personally appeared .� ,d A„ 'N'nn twt s o n _Z�O-N" Notary Public at Large,State of Florida County of Duval. ' ~ R4My commission expires: SUSDID6366 or -9 r personally Known:_ so►1 .zproduced Identification: ocuntAsCa 1-aooa SUSAN SPEAKSGORMAN MY COMMISSION#DD643669 d EXPIRFSI Fry 2S.2011 �'+a^ FI.NotetY D`ucdint Assoc Co.