Loading...
28 17th St (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026802 Date 9/16/03 Property Address . . . . . . 28 17TH ST Tenant nbr, name . . . . . . DECK ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6000 Owner Contractor ------------------------ -------- - ----- ---------- SHERMAN, PAIGE THE EXTERIOR GROUP, INC . 28 17TH STREET 394 9TH ST. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 270-2821 (904) 241-2228 ------------------------- --- -------------- --- ----------- -------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 6000 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 z 1 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL Cc: CITY OF ATLANTIC BEACH _ J ? BUILDING / ZONING DEPARTMENT S.S. Doerr {11 800 Seminole Road 1 Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax i i PLAN REVIEW COMMENTS SEN 0 4 2003 Permit Application # 03 - z6oe az. _ Property Address: Applicant: l-E E 7ElyT�l�l OIZ �I�UU� Project: ELK- p-D 1 n O This permit application has been: E2 Approved ❑ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: V Date: • �{ ` ' S' fly C I' ri s SEP 0 4 2003 CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (ALTERATIONS/ADDITIONS) Date: Job Address: 24' / 4 S-�9,,c&T Owner of Property: P4/G�_c .5 6 P�� Address: -5,A Yyi F_ Telephone: Z7� Legal Description: Block Number: �' /?Lot Number: 9 Zoning District: ofF— � �RayT_L_44-j- Contractor: Th CSX-T )Cs�i c7koy tate License Number:6fzCALrZ -�! Contractor's Address: 3 9"q I �` T Telephone: Z�f z-Z� Fax: Z��— 00'13 Describe proposed use and work to be done: Present use of land or building(s): ; ifi�3lF r)orr> >ly —MwAA4� Valuation of proposed construction: 14,,025,3 What are the dimensions of the added space: 9`fi~ feet x 7 ZO h feet Will the added area be heated and cooled? 4/6 _ New electrical or increase in service?_/V6 New plumbing fixtures?A/ O New fireplace? A✓b New heating/air conditioning?�4/n Is approval of Homeowner's Association or other private entity required? Alt' If yes,please submit with this application. Wills project involve changes in elevation,site grade or any use of fill material or the removal of any trees? NO. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Revised 1/14/03 Page 1 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all Wfcanation provided with this application is correct. Signature of owner: Date: 3 SEt°T 03 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and corr ct and that the plant and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: A161 Mailing Address: 26 «4,4 ST ATLbwnc 1UAC,- J FL 32233 Aa Telephone: 04.2TO- 21321 Fax: E-Mail: i e e Sttavu1 coWcA 31 AS TO OWNER: Sworn to and subscribed before me this day of 120 100, State of Florida,County of Duval � Notary's Signature: zz JOE SEIN == Notary Public,State . Florida (� personally known My comm.expires Jan.23,2005 No.CC995853 LIrroduced identification y� Type of identification produced /iri G�' # //i'z, P',5 AS TO CONTRACTOR: / Sworn to and subscribed before me this day of P,{ / ,20 0 State of Florida,County of Duval Notary's Sign' TRACI BIANCA GROVE [Personally known MY COMMISSION I DD 161134 EXPIRES October 27,2006 ❑ Produced identification r�• ew,dedn,wriftyw cUrKW r«. Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us Page 2 Revised 1/14/03 Cc: CITY OF ATLANTIC BEACH 0. Ford ' L Hiins ins Js BUILDING / ZONING DEPARTMENT oerr t'k 800 Seminole Road Atlantic Beach,Florida 32233 "~ (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # O-5 — Z('1'B 0z `'J U`= Property Address: 2g l "I_rF1r Applicant: Project: 7)ELK- P p-D (TI O This permit application has /been: /Approved Reviewed and the following items need attention: a S `w x-�✓ -x1A A4,1— Please re-submit y lication when these items have been completed. Reviewed By: Date: —i� w3 N G T 9 BLOCK" 8, OCEAN GROVE UNtT NO: ;, p=ORC" T4 THE PLAT 25.0 -FEET .LU 75, PAGE 82 .OF. THE CURRENT: pUL .1C RECORDS OF THEREOF RECORDEDDUVAL IN PIAT COUNTY. F- ►- , C� p '!O: PAIGE A.' N. SOZ7TWrAB Ff TNDIxG, LI C. CE COMPANY and -FIDF NATIONAI. TITLE :� 5 CORPORATION INTEGftiTY 'TITLE & TSCROIf.�ms. .17thSTREET (40_O FOOT RIGI —�rF`^VltAlt FO !iM 1N s 1� 1 .'tli�t 4• J0Kr 25.00 (00 cyw) ,a x Cm C 11 s 12.T t� -:0 (moo !� ? A C'Tcity of Atlantic ach !brining and Zoning pam nt p l— - - x ipprevial verities complia yyr�ith��ap�lficable O' � onirnq division and h.e1�. cakland 4 x i° velopment regulations, but es pq�co titute _ ' p O approval for the issuance of pe mils. Som ante ap O. C> with Florida Building Code and 11 o pjaable Ci O ltccal, State and Federal permi ing a uirements - t- :x N it be verified by signature of he of Atlantic . �-. 0ach�- ach Building tial prior to he s ance.of a O . �-. _ lid!ng Permi cv N Approved By. ommu i ave pment Director. Datst 0 C66 17:0' v • 8' N =J-7ff " a -, I4.5 �. Z_ 25.00 - FD. ROYR (NO 10) —— (Ho ID) .. , T 2 . .U.0 T i 1 A p c }{ O yy t h G S U R Y E Y Q_ . THE. EAST 25.0 FEET OF LOT 9. BLOCK 8, OCEAN GROVE UNIT NO. 1. ACCORDING TO THE PLAT THEREOF RECORDED IN PtAT BOOK 15, PAGE 82 �E CURRENT PUBLIC RECORDS OF DUVAL COUNTY, CERTD71ED TAPAIGE FUNDING, SOUTHST _ CE COMPANY and FIDELITY NATION& ESCROW SERVICES Co O TION INTEGRITY TITLE Zg 17th STREET (40.0- FOOT RIGHT-OF--WAY) FD. ML IN n' FD., t/7. slow. .. i.. ,�1NT 25.+00' t� �) 25.0'a • +'i 5c$' ID12-T 0 3 W �v� o >44 _ c c>- z t- s 7.T } 0 O } 4.2' aO O O . N �. O N Q - 0 � _ J \ 1 M 3.0• i 3 p 17.0' 7.8' t� P �$ sa 00- Lt�t1llC�i � cpe w ummy ES%ff �d O.S MPO /40. ,& 1� — — "25.00'— TWE FD. INl1� IN L {r�o m) — tID) Izoot n -c !_ OT 1 2 L 0 T. 1. 1„ • Js 21��� ��r St CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (ALTERATIONS/ADDITIONS) Date: 9-2- _63 Job Address: / 74 Owner of Property: F / f �, Telephone: –Z Address: Legal Description: Block Number: �' '?Lot Number: 9 Zoning District: nC' A) C,0?�yT. Contractor: Th I': Y" X1'&R In(z, tate License Number:CirS,-C#I.rQ 7�-3 Contractor's Address: 39%' ' 7 �T Telephone: Z VI Z ZZ a Fax: Z 1— 0O Z73 Describe proposed use and work to be done: k Present use of land or building(s): ly 7a1/e+J`,. Valuation of proposed construction: ¢�i, Ozy,, What are the dimensions of the added space: g'�i ~ feet x 720"feet Will the added area be heated and cooled? 410 New electrical or increase in service? /V6 New plumbing fixtures?A/_y_ New fireplace? /`,/b New heating/air conditioning?^A/n Is approval of Homeowner's Association or other private entity required? Alb If yes,please submit with this application. Will t 's project involve changes in elevation,site grade or any use of fill material or the removal of any trees? NO. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP I. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, have lease contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, p 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-R-usRevised 1/14/03 Page 1 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands.CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all ittfcalpation provided with this application is correct. Signature of owner: Date: 3T 03 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and co rr ct and that the plans and supporting data have been or shall be provided as required Signature of Contractor: Date: P/ ' �03 Address and contact information of person to receive all correspondence regarding this application (please print). Name: 16E 'S�PtAN Mailing Address: 2E ) [� ST ATLA}j-nC 3E)14(I FL- 32233 Telephone: `O4-2}0- 2132( Fax: E-Mail: p!144e SLVW S1. ice+ AS TO OWNER: Sworn to and subscribed before me this day of /�fl -f'r'/� 20 X State of Florida,County of Duval - �' Notary's Signature: ��y ,� JOE SEIN 0z lh Notary Public,State of Florida My comm.expires Jan.23,2005 ❑ P sonally known 1 No.CC995853 b i'roduced identification / y� Type of identification produced_ %ri�✓ y AS TO CONTRACTOR: // l / Sworn to and subscribed before me this Z/ day of �O�J/�1i2(i�r 20 0 State of Florida,County of Duval Notary's Signer 4 TRACT BLANCA GROVE [Personally known S t MY COMMISSION M DD 161134 ❑ Produced identification ns EXPIRES.October 27,2006 > ' sa,dedThmNotwyPubkUn� Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/14/03 WA4. - f y, ,e/'" -)0149 FIAT/ U11BO I - f -� �xzo"Sod f'✓Sf-�IrJr-��P� _ �� i.� - Ile -----r s FLvvR -o RN�RD � � vvc.Y, rAre Cvn:G 7own/Houss �yi - zx4 i 0 c _ RE19A of NouSg 0 IkAiW !'4 ♦ rC Boctk 11333 Page 1850 . 5 MIN. RETURN PHONE 4 , `glc)aX :Pi1qffiq161a NOTICE OF COMMENCEMENT Fa e: 1850 Filed A Recorded 09/04/2043 10:03:49 AM State of PLO f,I CIA Tax Folio No. JIM FILLER County of DLA i/AZ- CLERK OURT DWAL COUNTY RECORDING $ 5.00 To Whom It May Concern: TRUST FUND S 1.00 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: Ad-' 9 -6LO64 ( 71 wyt �4 -4 Address of property being improved: _ General description of improvements: Owner P/S► SW AN Address: 7 Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Address: Qr Contractor: "010 (MA Q4 ie "' o Address: 23FW/-0019-37 Phone No: Z 2-2-Z f 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: 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: 3 Set c� Before me this day of 9,orin the County 1 of Duval, State of Florida,has personallyeared i JO!SEIN Notary Public at Large, State of FlorCounty of Duyal. Notary Public,State of Florida My comm.expires Jan.23,2005 My commission expires: No.CC995853 Personally Known: or Produced Identification: /rte' �%%-',er f P�LANTic F� ORI OF ADDITIONS or CORRECTIONS ; D• NOT REMOVE JOB ADDRESS DATE t - JP- 3--0 THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted /VCS Z it Etit5QQ�RE FEE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or 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 been PLUMBING made, call 247-5826, Building Depart- ment for an inspection. Field Inspectors eL c are in the office from 8:00 a.m. to 5:00 BLDG p.m. Monday through Friday. I 1 ' i ri O I I I 1 G) ' 0) ' ' I I FX P+ Q ' ' � I cc) N N N 00 ' N ( � , I � I li O ' I N N H , O O ' C)) 6) I i w w o o I o H x x x x a l O 04 P4 OD O Q \ O i w W W W m m ' P; I 0 0 O O Z z ' \ I H U l Zi H H I Q I H \ I H v U I Pa m ' H O ' H H I O N x a ' a I I-) � w , U) H EH-'' I Q P; i N I P+ w i H Q OH O 10 N ' H O N I H H H P1 H OOD 1 Z ai 1 q O kO CID pq I W I H H ' M r1 x P Ln , m W1-0 rq 00 1 \ I O\1 CH-I 1i N Q H 'I a X II W O ' x U � I H ' W a W I FQ I 1 z o W H I 1 H W G,-, I m U I H OI 1 0 ' 0 1 m H a c♦ W H m ' zz v: I U a P4 H I Qq z Z P+ i pq y, I' o a U W H 0 O a I W H CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028818 Date 8/04/04 Property Address . . . . . . 28 17TH ST Tenant nbr, name . . . . . . INSTALL OUTSIDE LIGHT Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- EHLIG, LOREN AMERICAN ELECTRICAL CONTRACTOR 28 17TH STREET 5065 ST.AUGUSTINE RD #3 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 806-2749 (904) 737-7770 ------------------------------------------- --------------------------------- Permit . . . W/W/0 ELECTRICAL PERMIT Additional desc . . Permit Fee . . 140 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ------- T,_ Tntal 140 . 00 140 . 00 . 00 . 00 . 00 . 00 . 00 . 00 140 . 00 140 . 00 . 00 . 00 Cit pp�o�f Atlantic Beach tet &;O DER RECEIPT Oyer: MUTH Type: OC Drawer: 1 Deer 0/14/14 11 Receipt no: 76112 Dtscri ion Quantity amount 2114 28818 BP BUILDING PERMITS 1.01 1140.M Tender detail CK D EDRS 6177 4141.10 Total tendered 1141.10 Total payment 11W M Trans date: 8/04/14 Time: 14:46:16 PERMIT IJ Arrnv v .. - _ WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL L r, P Y OF ATLANTIC BEACH J% \}t LECTRI L PERMIT APPLICATION Date: Property Address: Owner• r Y I Telephone#: 1. e a7 Contractor: t I Telephone #:J3�-�-77r� Contractor Address: �J — Fax#• -737 In consideration of permit given for doing the work as described in the above statement. we hereby agree to perform said �tivrk ir. i accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Peach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction ;, ❑ New Residence 13Temp. ❑ New being done on this building Or site,list the building Old ❑ Commercial O Signs 0 Increase Permit number: ❑ Re-wire ❑ .Addition Sq. Ft. �a Repair Conductor Size: AMPS: COPPER ALUIva?J[JM Switch or RAC Breaker AMPS PH W VOLT i WAY Existing Service RACE Size AMPS PH WVOLT Z� EVAy Feeders: NO. SIZE NO SIZE 1 NO SIZE. Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent 8:. M.V. Fixed0.100 AMPS I OVER BELL Appliances TRANSFER. Air ! H.P.RATTNG H.P.RATING CEILING I KW-ISA"1 Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT i _J Motors 0-1. H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDFR600v VER600V Transformers NO. KVA NO. KVA I i NoNeon_Transf, Ea._Sign 1 ' Miscellaneous I �.... a -D- -G- " JI d 800 Seminole Road• Atlantic beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845• http://ivww.ci.atiantic-beacb.fl.us 1 1 H CD1 y 1 0 b O t17 n P o y H CO i h I �o n �u ' [z1 OZ b 0 1 H , 310 •. H o \ \ til r () c ' o ) vj y i \ W W W o-3to i � [x � co 1 '� o trJ 0 n H \ b b H ' � x H ' n o ' N O v i t W ti b r l H i o t� x o b 5y [ i N b p y H x y 'b 0iu co O N ' ! 'Lt1' tri Co I ti] 'n H ' b 0 v � Lv � H I ~ b I x rn , y tri �j � , H n o o1 y H r 30 OD 0-3 w \ h7 z Z i° H O ' 0 1 C. txl (j) b ' y n 1-3 H o I' ;' � H r zc� 0 1 1 y 1 00 WQ fI , y 1 1 1 1 W C) 1 1 I N N I C) N N) Co N I N N H c 1 1 I 1 1 1 1 1 1 1 I I I y t 1 1 I 1 I 1 1 i I 1 I 1 1 1 1 \ I O 1 1 \ ' O N W U7 2941 Dawn Road Pes (r Jacksonville, Florida 32207 Brandon's �9 (904)739-9916 Got a Nosefor Bugs! Fax. (904)739-7942 Notice of Preventative Treat (As required by Florida Building FB mites Treatments for Ter Site L °n Code ( C) 104.2.6) Lot#: Block#: Address: Subdivision: -7-t} Date: /s . Time: t Applicator: Treatment Area i Product i Active In ❑ Dursban TC redient Chlor Percent Concentration ❑Cyren TC PYri fos j ❑ Chlor .5%pyrifos ❑ 1.0% -�ermidor 80WG Ll /° F .5 ❑Sentricon S ipronil ° L, 1.0% 1 ysterm Hexa -'6" %% ❑•125% ❑ Bora-Care Disodium OctaborateTetrah .5% ❑ Tim-bor ❑ Disodium Ydrate j Octaborate Tetrah Ydrate i `umberor Gallons q - pplied Area - Treated(Square Feet Sta a of Treatment w Llnear Feet Treated C f Horizontal � bedVertical ❑ Ad' joining Slab L' Re-treat of p]sLl Plumbin Area ❑Other: g Traps Cc As per 104.2.6_ [fsoil the used, final exterior treatment shalb beep ier method for ter approval. completed mite prevention is N� ! prior to final building 1 If this notice is for the final exterior treatment, � initial and date this Im I CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026978 Date 10/02/03 Property Address . . . . . . 28 17TH ST Tenant nbr, name . . . . . . REPLACEMENT WINDOWS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4446 Owner Contractor ------------------------ -------- ---------------- SHERMAN, PAIGE AMERICAN WINDOW PRODUCTS 28 17TH STREET 2633 POWERS AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 270-2821 (904) 731-2247 ------------------ --------------------- ----- -- -------- - ----------- ---------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 4446 Fee summary Charged Paid Credited Due 55 . 00 55 . 00 . 00 . 00 27 . 50 27 . 50 . 00 . 00 82 . 50 82 . 50 . 00 . 00 Cityy �o��f Atlantic Beach of RECEIPT +* Oper: DOW" Tecet n DraMer276 Date :18/82/83 81 Receipt Quantity Amount iptio Descrn 26976 Bp BUILDING PERPITSS $67.58 1.00 2@@3 26978 Bp BUILDING PERN'TSS $82.58 LN Tender detail 280 $158.80 CK CHECKS $15LIG Total tendened $1SLI8 Total PaY Trans date: 10/0?J83 Tine: 12:20:1T THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED )R OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH Cc. ' b BUILDING / ZONING DEPARTMENT L Higgins 0. LJUErr 800 Seminole Road Atlantic Beach,Florida 32233 x (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # Q 3 - 2-b 9 ,-(3 Property Address: Applicant: La rn P rt('e',n 1A a n�c-u) Prn C[UC l S Project: re alar rim Pao t vire dfl-r_'u3 This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: �A Date: � �'/' < SEP 2 6 2003 .l _r r0 City of Atlantic Beach • 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • FAX (904)247-5845 •http://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS,SKYLIGHTS AND GARAGE DOORS OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION 9- y0 n Date `� Address where work is to be performed ST hTL gC H i L Applicant �1lfx Address 2 QCl 3 t FL- Phone: �5-82 Oq-� �2Gi5 V� V,1\1 ,-I' 2 5 PT i.c t: '/L �-t� g Legal Description: Block Number Lot Number r— Zoning District Contractor sMEAJC State License Number SCCV 091 O PRODUCTS,INC. Phone -7�'t - Z 2 -t -7Address 2633 POWERS AVE JACKSONVILLE,FL 32207 City State Zip Fax De ri e�Proposed L(se and Work to be Done Present Use of Land or Building(s)' Valuation of Proposed Construction T`7 Building Date: ' 3S (ft) Building Length Mean Roof Height ��, (ft) Building width (ft) 1 �� Roof Slope /)Z * indow Elev.SE. ( Window Height s�� ( ) K7i� w Window Width SfF (ft) Measurement from corner of buildinav to window ) , s 4 a i 5 S *Window Eley.From Grade �O a� Duval County Property Appraiser - Parcel Summary Page 1 of 2 PARCIM INFORMATION Owner's Name: SHERMAN , PAIGE A Real Estate Number: 169590 0010 Secondary Name: Property Address: 28 17TH ST Mailing Address: 809 E ROYAL PALM DR City: ATLANTIC BEACH PHOENIX , AZ Zip: 32233 Zip: 85020-3749 Unit Number: PARCEL DESCRIPTION Property Use: 0100 SINGLE FAMILY Sale Date: 5/9/2003 Legal Description: 15-82 09-2S-29EOCEAN GROVE UNIT NO 1 S/D PT LOT 7 E1/2 LOT 9 Sale Price: $295,000.00 BLK 8 - Neighborhood: 003096 OCEAN GROVE HOMES Section/Township/Range: 09-2S-29E No, Buildings: 1 Official Record Book and Page: 11092-0898 1 Heated Area: 1930 Map Panel: 554 4 Exterior Wall: CB STUCCO VALUES AND TAXES FROM 2002 CERTIFIED TAX ROLL Land Value: $57,500.00 Taxing Authority: USD3 Class Value: $0.00 County Tax: $738.43 Improvements: $136,764.00 School Tax: $897.92 Market Value: $194,264.00 District Tax: $340.74 Assessed Value: $132,419.00 Other Tax: $53.77 Exempt Value: $25,000.00 Voted Tax: $62.32 Taxable Value: $107,419.00 Sr. Exempt: $0.00 Sr. Taxable: $0.00 JETotal Tax: $2,093.18 Printable Version 2003 Proposed Value Additional Links: - Kap This Property_(M.apIT..) - Prop...er.Record Card (PRC..) - Taxes - Back to Search Page http://pawww.coj.net/pub/property/RENO.asp?RENUM=169590+001 0 9/25/2003 T 22�OJ' 322 C# , 13' FAA..-, APPROVED a.°� CITY OF ATLANTIC BEACH BUILDING OFFICE N `�$ SEP 2 9 2003 By: L� FT Co?2-c6 Icy Vol Olt ►gam �qto' V" -^� 114 1 � �w ZP M I A M I•DADE MIAMI-DADE COUNTY,FLORIDA _ METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 NEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA) - PGT Industries 1070 Technology Drive Nokomis, FL 34274 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Series"IIS 710"Aluminum Horizontal Sliding Window-Impact Resistant APPROVAL DOCUMENT: Drawing No.4112,titled"Aluminum Horizontal Sliding Window",sheets 1 through 4 of 4,prepared, signed scaled by Robert L.Clark, P.E.,dated 5/22/02 bearing the Miami-Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use,and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales,advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA#99-0204.03 and,consists of this page I as well as approval document mentioned above. The submitted documentation was reviewed by Raul Rodriguez. NOA No 02-0305.02 ni Expiration Date: May 20,2007 Approval Date:June 27,2002 Page I • _ r x S N ry O 2 LI)w00rcoN w Or P X NN p� � Q N N N M In M M M M d M a . I I +� J N N N N' N N N NNN N r Q o C Z Q Nle N NM W NNNNNM N N11 N .tf) _,n Z U :12:21 n1,-, N 1 1 1 1 ^+ S r- WwLLWW W LL LL a ^vl OD > ¢¢¢¢a¢¢¢a¢a -rr W r- >3 0� N Z_ Z W W wu Z Z Z ZLU uj UJ z •. B�'e /� _ <U< wJJJa OZU X�m'iw �3 J J 000 o (n VVl cNo OOOU Jz Ln o ZgZ Zw xxxxxxxxxxx x'L, =j wWWIwUa ���� ����� ���M U Ua vlvU) »»»»»> >cnLLJQ w3 ¢aazVOg Z o J J J J J J J J J J J J a W aaaaaaaaaaa aLL�F � �� ���> no L2 U O N N - L C C p� N p V O « V C eQ a2 w v v_ as.Cl -cu 3 E E �_: 3 u - o di o o rn 1- Z ve v�„. C. c N O ¢ Q m m m m Q N m vv 3 v >N M r��N o aci c v 3 1 "I" w m o - co - o�- L-Li Z Ul >.`y O m N N m > O ` O` o N 0 L 0'.-II N N 2 LL w �^ I--�1' z g U N v h 'O O D W c C7 c Q o`u, c v E!^ o o, w o a o Q Q ¢ m m m �Y "��'� L) ° o Nv.!�J � v oL va v� o wf- voi :Q ..Ji v w�o o a E_ - E E o v c c cD w m o o Q r E Inx Ev " y y oUnCW 1 v 3LLL'_ > w Z w o ® c,Z - ��+ 3 ®N® ® U; o = o a a ¢ w p 7 N m N N N M M N N N Z O � Uri Nn 0, � nOC Or or a00 Or W H ar a S N0 Q Z iG NN NM�7MM MM C M z Q a'-a_�a OHO O3:LO Cl r4 (J > N x mud NNNNq NNN NNN Z lJ NOXd1n C14 10LL O NN d'O_�a Z w > r w� Op r NNNNM NNNNNIM a S �'o m 00 00 M Q Q ¢ Q m m O FY 4x �`n�^ error rr rr r w co M Z > lD t0 l0 t0 t0 t0 l0 l0 lD l0 to m� < O o 2 2 J w m _ r mN H •-^0 Z O H 1 j M I M M,N N > V) Q O ¢ Q Q Q Q Q 0.""02.8=00 100LD °D w N moo I r0(00`°`°�zz� Ow 'D o r� 1 io o(n� m N cn J a >- E .� O E E E °>> cn z r F- x o 0 0 0 0 a ' ',o n �a <¢ Eoo EN(A-' a m p LO o o o oQ E �Ln > rn o \ _ as E a a JQQaa "z 3`n _ m w g z 3 ID[-^ v n a u m , EI oJ� zz c.az- a a J r, L� 3 VI `2 J J a Dix J H <2 W Q"T w I I I I li L._-c �- W �I 5 o l0 ¢WWW wggzt a.M z � s. wc� J aWw�~z <aaai a= 1c, u»a a cr c�<o ao¢ x CL <�?��oa« m���U00,0 of In- :3 J cr W O CO d�X J a a M M Q O O O g O g=3 Ln K a VIO In SLL� wZw Li V l Z p W W W H W: J x l= a w V 12 0 2 U O=S N O Z Z =w in o I x H x x w a a J Vl ZW100, n1: z a nom- -moo 6m ao3 wwO���� gxaag-g5 0 z--o w LLWV1 U1(.�3LLLL Win cn In lna 3a in 33�m3N3 a SO ¢ z o N M v n o r o m o F N M QIn o r Z W �NMaln tOr fAT.-. �'-� N NNN NN NN Z JZ j a ,u � 2 �! Q CN - (f!%W co ) 2 . - _ 3 / , )�}� / r ` e \ » 2 Ln .0 \ ; QD • o . n @ ® tz \ 5 w 2 o = So °� } \ I a\ f ± V / _ _« \/ ` e a ; \$ �§ 5 W�§ \Ld \ / j � §\ e ` a v A K a � § § ) ' q - - 4 ~ ® \ c LO e - / z Z z a m 0. = e { LU 4r,� _ !\ \j \ > /\ )z k)/} 3 e e = CN m D7 0 w CrCL §� 70 \ \ ° - > » - _ j _ U-) _ a C,4 00 �� 2\ � g � % ` R ? ■ � ` 2 \ % \ D CO � . } \ � s � 2 , \j / \ \ / ? . n Llj0` 0 > � / �� Q ® <z \ ^ \ \ °�\ § 5 \c6 / / j / Q. . \ \ Lu � z o DE . . . \ \} % �) }/ 2vi % / 2$ } < , _ z / / 7g - \j / / ,e & w % e t) - <0 a. �§ b \ \/j , / �b \ �, e /� \ 3 ) . / /§. %¢\ < \» )o & , LY 2 ) k}w \ w z ( / o_. \ & <o d I o V) / / / /z ! z _ < z < / u o 2 . < \ (-) o ( K � \� 3j - . [G \a { <2 / k, • 7 ze `� �/ ƒ © e \ (Y- f z \� T- u 2\ \ \ < < ® / , = u 2 \LJ < ' \ \/\ \� & \ \\( / / / -G o e < E 0, E m /y/ . g b G y 5 ¢ /Ln \ / o� \§ ® )� <0 § ` U N O � LN O J 'i N o O) NJ = cn � N N J CL = J Q O N �Ln v � U GL N I c 6 o W ~ LDO t\ M o 0 2 C Q� Z _ CD g o o Z xZ —T N ---� N I-- O ° •"-N O O o s�o_ CE Z _ o � LLJ 6x F _1 � W r Q W O ry OY W H J Z oZ uZ W< o O .:2 Ln O T N 0 N Of a I O (-DO + Z LO ry Z , N a \V .J O N O \N a J J LO N O O O aMp Z a w J O� W ~ N QJ CD oa 0 r �N O mtn p 0 O i $d LJ x ol) a0 O _j LO O o F- O Lo rn � a • N 3 "� N ca 0 O ao O O m ct� LO Ln rn I Q Q W O Q J J W W7) LLJ m N OJLn � Q Z _J I 2' W N N NO O W g W O d W LO j Z C7 N Qof 1 O— L, o a o w O o n r N Ln N W O O W Of W W W x - Z NOTICE OF COMMENCEMENT 1344 Permit No. '5 MINI. RETURN Book. 11383 �'�9e State of Florida County of The"undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. Legal description of grope (Include Street Address, if available) L 1 " s ZS- Zi '7 LX General description of Improvements 7 7 `D-CL?7 Owner Y�sii;c � �Ana Address 1-6 1'�`1 si AAAN-TIC k�;c ttt Ft- 30233 Owner's Interest in site of the Improvement Fee Simple Title holder(if other than owner) Name Address Contractor AMERICAN D*"^ma=r Ci -_ i- �' -7 �i Address PRODUCTS INC Surety 2633 POWERS AVE. Address FL 7 Amount of bond $ Any person making a loan for the construction of the Improvements: Name Address JA Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a) 7, Florida Statutes. Name 02(CAN Lti 1 tiNmj Address In addition to himself, owner designates Of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes. Expiration date of Notice of Commencement(the expiration date is one (1) year from the date of s a different date is specified) TsiippofOwner Printed Name of Owner I Notary Rubber Stamp Seal 1 I have relied upon-the following identification of the Affiant Swom to ands cribed before me th' - day of�-1�t-20 L� Doc# 2003319849 Signature Book: 11383 Pa e: 1344 � ;' � Filed & Recorded 09/26/2003 10:54:40 AM Printed Name JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY *'° Betty Felder RECORDING t 1.00 , *MyCommissionCC88131� f TRUST FUND • f 1.00 ' ..�'°» EXPires Octbber 20,2003 COF'Y•''EE ?j r•L`1- CITY OF ATLANTIC BEACH s j 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 v INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026442 Date 7/07/03 Property Address . . . . . . 28 17TH ST Tenant nbr, name . . . . . . INSTALL GFCI RECEPTIC Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- SHERMAN, PAIGE MATT VU ELECTRIC, INC. 28 17TH STREET P.O. BOX 50552 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 270-8819 -----Permit , ELECTRICAL PERMIT Additional desc . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 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 WHICH ARE PART OF THIS PERMIT RAND SUBJECT ISSUED PAYING TO REVOCATION FOR VIOLATION OF APPLICABLE PROVIS ON OFRO W. PLANS BUILDING OFFICIAL qZ4 J1 ,11 ) CITY OF ATLANTIC BEACH, FLORIDA ELECTRICAL PERMIT APPLICATION TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 7- 7 _20Q 73 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 CONTRACTOR: 'rf l `/(A U, MASTER ELECTRICIANS SIGNATURE: -��>�C-) OWNER OF PROPERTY: (2z Gz 'c SW C-TWIUJ AI` JOB ADDRESS: 2 1 ) / FL 3ZZ2 3 RES. � APT.( COMM.(coMM.( ) PUBLIC( INDUS.( NEW( oLD(y.) REw.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. SERVICE: NEW( INCREASE( ) REPAIR CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( ) FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED ­7OPEN TOTAL 0.30AMPS 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. � KVA NO. IKVA NO.NEON TRANSF. NO I VA I MA MOTOR SIZE I SWITCH I FLASHERS EACH SIGN 800 Seminole Road •Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us RevigM 01 n 7/01 0003208 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH AATXUH LpCATIaN SNr`Y]xJ4ATSCIN --"-"-- --- - ! Lrx17ST 31{1rY de3t ES£s: 26 1,7"TH �TFiEET i'ermlt. Numt,er ATLANTxC L1LrAC:H, 1"'Lr114xDA '"'J:2�-eq=" 1'1"YLSTS�� rermlt Type: - - - ------- LEIDAL D1-3cRSrTION ----- - Class Or Wor NEW ,fsectlo�n: WOODP`RA17L" of : H.iocK Constr. ?'y Township% R"10 D eroposed r1SNCtLE rAnxLY j,,Dd1v161Gn DwelliLngs. 1 Code: Cf LstlmBt9l/ Value: *10.100 Impy-Iv. Cost,- 00 +trtDl tees: s2 . L11 smount raid: 927 D. C►1 X PRA -- -- ----- LIMNEPt xHrnR?TATlOH -_. __. _ __ .. ArrLICATx0N P ttlt'S ----- flame: 1A17L° x. 1AC.019 rEftrIXT 040.00 Address: its 171TH 'STREET WATER InPAC 1r 1 ZEL 50. a* ATLANTTiC DCACH, 1OLL11"PA '32i'7 `iENL*x l"rA+t:T eEE *0. iQ MATER nET'E 3 lion.at) RADON 0A'-N-H. Pt."-R. gtl. 00 ----•- - C.LINT1RACTOR Itiro tnA"TIUM RADON CAS - Inx °Srl. 1010 Name: rubl-rc wt)ftlR"'t DErAftTlIlirf!T' WATER TAP Rat°iib.+101 Address: l3ewGR TAP �'�. Cu liYDftAIlLIC '�SHA14L^ 510• CID License: Type: rEL 50. at) to-L''+C. t! lnrAr."r PEE: 50. foo LlTHER 100.00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING M:AND HAUL RUBBISH WAY BYEITHER FROM THIS WORK CONTRACTOR OR MUSTOWNNOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED N LAW CAN RESULT "FAILURE TO COMPLY WITH THE MECHANICR. S' LIE IMPROVEMENTS-59IN THE PROPERTY OWNER PAYING TWICE FOR BUIL ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMITAND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. C'F- . ATLANTIC BEACH BUILDING DEPARTMENT By: �1" WATER SERVICE 28 17TH STREET AND 40 17TH STREET )OB COST RECORD 't.:�TDESCRIPTION - ": QTY;-'- MATERIALS LABOR TOTAL 2" 90 L PVC 1 $0. 80 2" SCH 40 PVC PIPE 1 ' $0 . 38 2" X 3/4" REDUCER PVC 1 $0, 60 3/4" SCH 40 PVC PIPE 1 ' $0. 14 3/4" MALE ADAPTER PVT 1 $0. 16 3/4" CURB STOP 1 $11 . 60 3/4" METER ENDS- 2 $6160 3/4" RUBBER WASHERS 2 $050 3/4" X 5/8" METER 1 $85 00 CONCRETE METER BOX/LID 1 $21 00 SUB TOTAL $126. 78 10% O.H $12. 67 TOTAL $139 45 2 MEN ($27 .45/HR) FOI, 1 HR $27.45 f 30% O.H. $8.23 TOTAL $35 .68 MATERIALS LABOR TOTAL TOTAL $139145 $35 .68 $1751.13 MISC.JOB EXPENSES AMOUNT OTHER 106 EXPENSES $10700 1 TRUCK 510.00 HR) iR. TOTAL COST $185 .13 1 O O TOTAL SELLING PRICE LESS TOTAL COST GROSS PROFIT LESS OVERHEAD COST X OF SELLING PRICE ( TOTAL 10. 0 NET PROFIT 18 13 ADD ON TO_THIS ESTIMATE $89.88 FOR WATER(T-kP $275.01 TOTAL OWED APPRO SEL .1 1990 CITY OF ATLANTIC BEACH �v City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF ' __SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH r (8) TUB OR SHOWER STALL (6) 0 WATER CLOSET VALVE WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) __ URINAL WALL LIP (4) e'*'--SHOWER GROUP PER HEAD (3) _FLOOR DRAIN ( 1 ) n--SHOWER STALL DOMESTIC (2) _LAUNDRY TRAY (2) LAVATORY ( 1 ) __ _COMBINATION SINK AND TRAY (3) _-(__WASHING MACHINE (3) ___ -POT, SCULLERY SINK (4) _1 __DISHWASHER (2) ---, --WASH SINK EACH SET OF FAUCETS (2) D 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 --t"- FOOD DISPOS. (4) -�__URINAL, PEDESTAL, SYPHON JET _ BLOWOUT (8) _____DRINKING FOUNTAIN ( 1/2) __ __LAVATORY, BARBER/BEAUTY SHOP (2) __Q--LAVATORY, SURGEONS (2) A, (_L SURGEONS SINK (3) _ _URINAL STALL, WASUOUT(4) ao. TOTAL FIXTURE UNITS @ l7 EACH ____ __ 1 JOB INFORMATION-,2 -------(- ----------5-7---------------------- .r,a_,fa.; _. Tr�,,.��ys;_,b,:;y�g:��', .�•',R►..tR''M3':?�J.'4`%c�.:�i'%a�Ra:'�,irf'r.'"'�... t9'A' - .i'^^!!„' """^"�'.d,�'� CITY OF 5 ATLANTIC BEACH FLORIDA ilfar`er•a,�rr ; , 19 NAME Teter Jacob ADDRESS 26 17ili Street CITY_ i.tl Bcil Uatir I:apact Fee ".ccaai:t 40- -',.',3-3700 53u. 00 , i I i TOrGk. Sri 30.C� TE31D RED + i5s0.tk ctt f)'C' $.i� t r S h r- When Signed, Dated and Numbered, This Becomes an Official leceipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC REACH, FLORIDA TREASURER ,i• Jim Jacobs *' 28 17th Street ` WATER TAP 396-9577 3/4" METER USE THIS FORM FOR ESTIMATES ONLY DESCRIPTION OTY. MATERIALS LABOR TOTAL TAPPING SADDLE VC $13.25 15POLY TUBING .72 ft 10.80 — 1" CURB STOP 1 22.36 . - 1" CORP STOP 1 22.36 ETER BOX AND LID 1 $12.00 — 1' GALVINIZED PIPE .72/ t 15 . 12 — 1" SLIP TO THREAD COUPL NG 2 .80 _ 1" COMPRESSION BUSHING 2 $2.60 " INSERTS 2 8.32 METER —1--- -$ 5-O� .-- — -- SUB TOTAL $25 2.61 _-_- 10% O.H. _ 25.26 — TOTAL 277. 7 2 MEN HAND DIG 27 45 HR R 6 S. $164 70 49 41_ _ 30 O.H. — — — TOTAL MAIEnLAIS——IAnoI TOTAL TOTAL $277 , 7 $214 11 $491 98 MISC. JOB EXPENSES AMOUNT OTIIEn Jon Expr LASES 12 0 2 TRUCKS ($10.00/HR) OR 6 H S. TOTAL COST $611.98 TOTAL SELLING PRICE LESS TOTAL COST Gn05S PnOEIT LESS OvCINIC AO COST OF SELLING PmcE TOTAL NET PROFIT 611.98 J � City of Atlantic Beach ��I Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. _'____BATHROOM GROUP CONSISTING OF _____SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & 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) ____LAVATORY ( 1 ) _____COMBINATION SINK AND TRAY ( 3) _ LWASHING MACHINE (3) _____POT, SCULLERY SINK (4) __1__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) TOTAL FIXTURE UNITS_ '_ @ $20. 00 EACH $_____ JOB INFORMATION ?Z��_ a�, 1r7 CITY OF ATLANTIC BEACH r s f 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 t, INSPECTION PHONE LINE 247-5826 1 ` J,i)9r Application Number . . . . . 06-00034425 Date 12/13/06 Property Address . . . . . . 28 17TH ST Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3600 ------------------------------------------------------------- Application desc RE-ROOF --------------------------------------------------------------- Owner Contractor ------------------------ ---=------------------ RUEGER, _ THOMAS AND LAUREN SCHULTZ ROOFING 28 17TH STREET 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-2315 ------------------------------- -------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee 50 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . 3600 Expiration Date 6/11/07 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 .00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 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 zs uN ROOFING PERMIT APPLICATION Date: l 1( 0 b Job Address: 28 17th Street Atlantic Beach Owner of Property: Thomas Jr & Lauren Rueger Address: 28 17th Street Telephone: Contractor: Douglas A Schultz State License Number: CCC036989 Contractor's Address: Schultz Roofing Co. , Inc. 216 N 20th St Jacksonville Bch, F1 Telephone: 246-2315 Fax: 247-3808 Scope of Work: ('R-�"OcA - Cj G AV Rogc k so i e f"\ h 3A-,-No Deck Slope: Z Greater than 2:12 Less than 2:12 Valuation of work: 3&00-02 Product Name(Example: Timberline): T�M� e-,( W Manufacturer(Example: GAF): G AF ASTM Designation(s): Required Inspections: Sheathing and Final Signature of Owner: Date: (Zh 1 d G AS TO OWNER: Sworn to and subscribed before me this '7 day of � � ,20 e7e_ State of Florida,County of Duval NOTARY PUBUC•STATE OF FLOPDA Notary's Signature: Accu Diane 0. Roche Commission#DD400977 Personally known Expires: APR, 05, 2009 Produced identification Bonded Thru Atlantic Bonding co.,inc. Type of identification produced Signature of Contractor: Date: // AS TO CONTRACTOR: Sworn to and subscribed before me this /2 day of v4�'�0.1 State of Florida,County of Duval z Notary's Signature: ROSAUND CLARK EEk MY COMMISSION#DD 544427 personally known EXPIRES:AtpU9 25,2010 B-WTwdou,yYFV* ,e,,,". ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us Pagel Revised 2/21/03 Doc # 2006427134, OR BK 13695 Page 299, Number Pages: 1, Filed & Recorded - 1^/12/2006 at 10:05 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING V �.00 '_'CkjUltz. Roofing Co. , 111c. 16 tj 2001 ST'reet Jacksonville Bell F1 32250 Ro:salind Clark Schultz Roofing Co. , Inc. 216 N 20th St . F1 - 3225C, 169-590-0100 I tit) C1 hki LINE F0kPROC ESSINC DATA SPACC AGOVr 7,119 LINE FOk X11CORDINO DATI NOTUCE OF COMMENCEMENT 169 590 0100 Tax Folio No. Duval The undersigned nereby gives notice that Improvements will be made to certain real property,and In accordance with chapter i. 713 of the Florida Statute*,the following Information Is provided In this NOTICE OF COMMENCEMENT. Cas UIP iic;,)of Proparty(include Street Add rass, if available) 1852 09 2S 29E Ocean Grive Unit I R - Lot 9 R 8 — 28 17th Street Atlantic Beach - ener.ai aascilipli:on of improvements Shingle Re—roof Owrlovs Nana Thomas Jr & Lauren Rueger 28 17th Street Atlantic Beach, Fl. 32 Owners imer�si in site of the improvement. a a Sa?p16 Title hoider other than owner) Phone: Fax: Douglas A. Schultz Schultz Roofing Co. , CInc. CCUJbW1 216 N 20th St }60rje904-2416-2315 Fax: 904-247-31308 Fax: Amount of bond$ Phone: Fax: Parians within Iihe State of Florida designated by owner upon whom notices or other documents may be served as p,o- vic"" V Section 713,13(1)(a)7,Florida Statutes. Phone; Fax:.. Ir.zdowon :o himself. oviner oesignales, Phone: Fax: c ­ov'It',,a copy oi!,he'"ienor's Notice as provided in.Section 713.13(1)(b),Florida Statutes. CX;;,-Oor tate -A Nofics of Commencement(the expiration date is t year from the date of raccraing unless a different date is spec:Jiea_ j 3:11,31.1il(11 uenv have relief UPOn OM IFOIIoW;119 1dcC(;ftC0f10n Of tilt Alfiltilt NOTARY PUBUC-SUTE-OF FLWMA SwmID abs,nbed b-Pe M1 thi, e 1,701� 1 pie 0.--_.A0(.-Acr �Ir to X pri.),.j Nn.. e0t