Loading...
38 17th St (vault) Date: July 25, 2006 To: Donna Bussey City Clerk From: Debbie Ramsay Accountant RE: Delinquent property owners The following property owner has contacted the Finance Department to finance their sewer hook-up. Would you please let me know if they are delinquent on any payments (excluding Utility Billing)? RE# Property Address Owner's Name 169589-0010 38 17th Street David Zuckerman Please call me at extension 5881 if you have any questions. �nfS PTL,4,,J7-1 c l3�Ac14 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION --- - - - - --- LOCATION INFORMATION -------- Permit Number : 11045 Address : 38 SEVENTEENTH STREET Permit Type: PLUMBING ATLANTIC BEACH . FLORIDA 3223 Class of Work: ALTERATION ------- LEGAL DESCRIPTION ----- Constr . Type: WOOD FRAME Lot : Block : Section: Proposed Use : SINGLE FAMILY Township: RNG, 0 Dwellinas : 1 Code : 0 Subdivision: ATLANTIC BEACH Estimated Value: 50 .00 Improv . Cost : $0 .00 Total -Fees ; $25 .00 Amount e ► d S25 . 00 1aj'ell /20/95 -- OWNER INFORMATION ------ --- APPLICATION FEES ---- ,,UTHMAN PERMIT 825 . 00 r 38 SEVENTEENTH STREET WATER IMPACT FEE SO .00 ATLANTI ' ACH , FLOR?LASEIRZR -IKPA FEE � Q 4 _ .�, t tlf! WATt R MET, A/TAP , RADON GAS-H .R. S . $0 . 00 --- - CONTRACTOR INFORMATION ------- RADON CAB 5% S0 . 00 Name: A T_� W PLUMBING CSS[ N . CAPITAL IMPROVE $0 .00 Address 58..2 RTLtANTIQ 84 .= F. UL 1:_1 8r4tR-TAP" . . JACKSONVILLE . FL 32207 CROSS CONNECTION 50 .00 Licea,se:. .CFCType: 4 SEC H IMPACT FEE 00 CONST. SURCHARGE S(J"440' 0 BCH14 ( 1 *L,:8 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. jx.w00000 0000WO(lb V5.00 14 Date: 11/20/95 01 Rcpt: 0013744 CASH ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000 � By: t CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING11 PERMIT // JOB LOCATION : OWNER OF PROPERTY: f�'I/' v` /I?/`s �!7�L�ncl1A PLUMBING CONTRACTOR A 'i Co r CONTRACTOR' S ADDRESS: s 9 7- /7flccrll% G /J!!/�� �/�G�5c3& I STATE LICENSE NUMBER : c Pl_- d Ig 932 G _TELEPHONE 5J/oo 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 FIXTURES: x $3 . 50 + $15 . 00 �l MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 PSR-3844 10703 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------- LOCATION INFORMATION -------- Permit Number: 10703 .Address : 38 SEVENTEENTH STREET Permit Type: MECHANICAL ATLANTIC BEACH . FLORIDA 32233 Class of Work : ALTERATION ---- LEGAL DESCRIPTION ---------- Constr . Type : WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings : 1 Code : 0 Subdivision: NORTH ATLANTIC BEACH Estimated Value : $0 .00 Improv . Cost : $0 . 00 Total Fees : $25 . 00 710, - !�25 0r J 95 - ---- >WNER !NFORMATIC.N ---- - - ---- APPLICATION FEES ----- Name' LUTHMAN PERMIT $25 .00 Address : 38 SEVENTEENTH STREET WATER. IMPACT FEE $0 .00 A'T'LANTIC BEACH , FLORTPA SEWER IMPACT FEE $0 .00 Phone: i - WATER METER/TAP $0 .00 RADON GAS-H .R . S . $0 . 00 ------- CONTRACTOR INFORMATION RADON CAB 5% $0 .00 !dame . DON,,--,VAN HEATIN^ AND AIR ,'APITAL IMPROVE- $0 .00 Address : 315 SIXTH AVENUE SOUTH SEWER TAP $0 .00 JAY BEACH . FLORIDA 32250 CROSS CONNECTION $0 . 00 i_.` ease: CAC039761 Type : SEC H IMPACT FEE $0. 00 CONST . SURCHARGE 50 .0r. SCHARJE/ATL . BCH : r 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 PAYING TWICE FOR THE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. �ee 60660(K0 Date: 8/30/95 01 Rcpt: 0078768 ATLANTIC BEACH BUILDING DEPARTMENT DECKS 00100003221000 By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT - -IN NUMBER IMPORTANT — Applicant to complete all items in sections I, ll, III, and IV. I. -� LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants Inconsideration 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) Master Name of \ �� Property Owner _ Signature of Owner Signature of or Authorised Agent Architect or Engineer III. GENERAL INFORMATION A' Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON tel' Electric THIS BUILDING OR SITE? �. \. ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF VES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO 1E INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial 0 `Heat C] Space ❑ Recess , _Central O Floor ❑ New Building , ❑ Centra) X Existing Building ❑ Air Conditioning: ❑ Room Replacement of existing system ❑ Duct System: Material Thickness Maximum capacity c.f.m. ❑ New installation(No system previously installed) ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g•p-rn• ❑ Fire sprinklers: Number of head ❑ Elevator ❑ Menlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Reeeiwd) ❑ Tanks (number) Remarks ❑ LPG containers (number) ❑ Unfired pressure vessel Permit Approved by ate ❑ Boilers Q Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approving Number Unit, Description Model Number Irlanufacturer (Tots) Agency HEATING - FURNACES, BOILERS, FIREPLACES Capacity Approvin; Number Units Description *oriel Number Yanufactttrar (BTU) Ai'MC7 e TANKS Serial Approving Now Many NomiXW Capacity Type Liquid Name of and Dimensions Contained Manufacturer No. Agency PSR-3844 + 3 'G DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION -- -- ------ LOCATION INFORMATION ----- Permit Number : 9636 Address : 38 SEVENTEENTH STREET .Permit Type : PLUMBING ATLANTIS' PEACH , FLORIDA 322" ' Class of Work, ALTERATION -------- LEGAL DESCRIPTION ------- Constr . Type ' WOOD FRAME Lot : Block: Section: Proposed Use ' SINJLE FAMILY Township : RNG: !� Lwellings : I 'ode: 0 Subdivision: Estimated Value . S0 00 `mprov , ?cyst: $O . OC� Total e'es ' - 825 Amouritl-` '04 _ CQNER INFORMATION - - _ _ --_- APPLICATION FEES ---- DEBORAH ROBERTS PERMIT S25 . nn aTPVENTEENTH STREET WA'T'ER IMPACT FEE S0 . I 'T11 IZACH . FLORI3:.- <-FwEFt IMPACT FEE SO n17 WATER METE'RITAP RADON GAS-H .R. S . 80 -00 ------ "ANTRACTOR INFORMATION - RADON CAB `% 80 .00 Name . Ip AnASS PLUMBInt= CAPITAL IMPROVE . $0 .00dd es4 : 6�2 4 ERS. AVENUE #S SEWER TAP 80 -00 JACKry ILLE . FL 32217 CROSS CONNECTION 80 .00 Tvpr' SEC H IMPACT FEE; 80 .00 ut CONST . SURCHAFGE 8CHARGE/ATL : ECH . NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 000000000 000000000 $25.00 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 1/25/95 01 Rcpt: 0028030 MR03221000 12% By CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION:- OWNER OF PROPERTY: 11 k20,jr 14 /�r-�P f� BUILDING CONTRACTOR: PLUMBING CONTRACTOR t zl AND ADDRESS: TELEPHONE NUMBER: _ / , �17,71-7 STATE LICENSE NO: TYPE OF BUILDING: yyJ� TYPE OF WORK: NOW 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 CITY OF ATLANTIC BEACH Ise �+ 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027897 Date 3/15/04 Property Address . . . . . . 38 17TH ST Tenant nbr, name . . . . . . REPLACE EXISTING HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ---- -------- ----- ------ LUTHMANN, ROBERT W. OCEAN STATE HEAT & AIR 38 17TH STREET 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------------ ----- ---------- ---------- ---------- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PE T SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH J s' MECHANICAL PERMIT APPLICATION Date: Property Address: + hrly. Owner: Cy• � � h mO-h r) Telephone Contractor: Rear) Siz�± flmc- Telephone Contractor Address: Igg10 AA1 . (?-)IQ _ Fax#Aq " W�(4 In consideration of permit given for doing tie work as descnb d in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: ,,Electric ),- ❑ Gas: _LP Natural _Central Utility n 1 ❑ Oil 1�/ ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space _Recessed ✓CCentral —Floor Residential Air Conditioning: _Room �_Eentral ❑ Duct System: Material Thickness LlCommercial Maximum capacity cfin E3 Refrigeration ❑ New Building ❑ Cooling Tower:Capacity gpm Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _– Manlift Escalator (Number) Replacement of Existing System E3 Gasoline Pumps (Number) ElTanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify. ❑ Other–Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTUs Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://www.ei.atiantic-beach.fl.us svp CITY OF ATLANTIC BEACH l J800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 _r INSPECTION PHONE LINE 247-5826 D'aIt Application Number . . . . . 06-00033642 Date 8/17/06 Property Address . . . . . . 38 17TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------- -- --- --- - - --- -- -- - - -- -- - - - - Application desc SEPTIC TO SEWER -------------- - ---- - -- - ---- - - ---- ----- Owner Contractor ZUCKERMAN CITY OF ATLANTIC BEACH 38 17TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 -- --------------- -- - - - --- - - --- ------ ----- ----- - --- - - - ---------------------- Permit PLUMBING PERMIT Additional desc . . 00 Permit Fee . . . 00 Plan Check Fee Issue Date . . . . 8/04/06 Valuation . . . . 0 Expiration Date . . 2/01/07 -------------------------- --- --- -- - - ---------- ------ Special Notes and Comments THE CITY WILL CUT A CHECK FOR THIS FEE 1250 . 00 . .UNDER PAYMENT PLAN AGREEMENT _____ _ _ ------ --- -- --- ----- --- Other Fees SEWER IMPACT FEES 1250 . 00 ___ _ ___ ____ _ - - -- Fee summary Charged Paid Credited ----Due -- ------- ---- - ----- ---- --- Permit Fee Total . 00 . 00 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 1250 . 00 1250 . 00 . 00 . 00 Grand Total 1250 . 00 1250 . 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, FLORIDA PAYMENT PLAN AGREEMENT OWNER: David Zuckerman 1794A Ocean Drive Jacksonville Beach, Florida 32250 PROPERTY ADDRESS: 38 17`h Street RE# 169589 0010 LEGAL DESCRIPTION 09-2S-29E Ocean Grove Unit No 1 S/D Pt Lot 7 E '/2Lot 8Blk8 TOTAL AMOUNT OF AGREEMENT: $8.077.74 This document shall serve as an extended payment agreement between you and the City of Atlantic Beach, Florida for the above listed total amount and for which said amount will be filed as a lien with the Court of the Circuit Court for Duval County, Florida until the entire balance is paid. CHARGES: Sewer Impact Fees $1,250.00 Contractor Amount 5,061.00 Lien Filing Fee 35.50 TOTAL CHARGES: $6.346.50 TOTAL AMOUNT FINANCED $6,346.50 TOTAL AMOUNT OF LIEN $8,077.74 TERMS: Number of Monthly Payments 120 Due Date Due monthly Billing Monthly statement Payment Amount $67.31 per month Interest Rate 5.00% LIEN: A lien in the amount of the TOTAL AGREEMENT above shall be executed and recorded against the above referenced property. The owner hereby agrees to pay all recording fees and costs involved with the execution of the lien. Upon payment being made in full, the lien shall be released of record. Please indicate your acceptance of the provisions of this agreement by signing in the place indicated. Your signature signifies your agreement to indemnify and hold harmless the City of Atlantic Beach, FL, from any and all damages resulting from your failure to timely make the above payments, including reasonable attorneys fees and court costs. e � , Prepared by and return to: 00 d Debra A. Ramsay, Accountant ' City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 REAL PROPERTY LIEN The parties have agreed that this LIEN be filed against the real property owned by David Zuckerman, and shall be recorded in the official public records of Duval County, Florida. This LIEN is for financed costs associated with the conversion of a private septic system to public sewer system and including sewer impact fees on the following real property located in Duval County, Florida, more particularly described as follows: RE#: 169589 0010 LEGAL DESCRIPTION: 09-2S-29E Ocean Grove Unit No 1 S/D Pt Lot 7 E '/z Lot 8 Blk 8 OWNER NAME & ADDRESS: David Zuckerman 1794A Ocean Drive Jacksonville Beach, Florida 32250 PROPERTY ADDRESS: 38 17th Street This LIEN is to secure payment from David Zuckerman to the City of Atlantic Beach in the amount of$8,077.74. Witness (Sign Name) OWN R: D id Zuckerman S\-A-S-r\ GOr(y'\o.n Witness (Print Name) CITY O TLANTIC H Wil iess (Sign Name) G By N c Donna Bussey Witness (Print Name) City Clerk Page 1 of 2 Zuckerman Lien STATE OF FLORIDA COUNTY OF DUVAL �da �( , Swto and subscribed before me this 27"'day 2006, by of �a V 17 -Z4AC��;•�a� , who is personally kno to me or produced--F fo r d a 11)r I ver- f t c 5 as identification, and who di did not take an oath. Za 6 5 1 rd 0 : O DONNA L BUSSEY 4 c MY COMMISSION#DD 412624 EXPIRES:March 30,2009 Notary Public, State of Florida 'r BrndadThu NotaryR�bBcUndetrrtlters jvly Commission expires: /lA,—cJ-i .30j 2,00q Page 2 of 2 Zuckerman Lien CITY OF ATLANTIC BEACH, FLORIDA PAYMENT PLAN AGREEMENT OWNER: David Zuckerman 1794A Ocean Drive Jacksonville Beach, Florida 32250 PROPERTY ADDRESS: 38 17th Street RE# 169589 0010 LEGAL DESCRIPTION 09-2S-29E Ocean Grove Unit No 1 S/D Pt Lot 7 E '/2 Lot 8 Blk 8 TOTAL AMOUNT OF AGREEMENT: $8,077.74 This document shall serve as an extended payment agreement between you and the City of Atlantic Beach, Florida for the above listed total amount and for which said amount will be filed as a lien with the Court of the Circuit Court for Duval County, Florida until the entire balance is paid. CHARGES: Sewer Impact Fees $1,250.00 Contractor Amount 5,061.00 Lien Filing Fee 35.50 TOTAL CHARGES: $6,346.50 TOTAL AMOUNT FINANCED $6,346.50 TOTAL AMOUNT OF LIEN $8,077.74 TERMS: Number of Monthly Payments 120 Due Date Due monthly Billing Monthly statement Payment Amount $67.31 per month Interest Rate 5.00% LIEN: A lien in the amount of the TOTAL AGREEMENT above shall be executed and recorded against the above referenced property_ The owner hereby agrees to pay all recording fees and costs involved with the execution of the lien. Upon payment being made in full, the lien shall be released of record. Please indicate your acceptance of the provisions of this agreement by signing in the place indicated. Your signature signifies your agreement to indemnify and hold harmless the City of Atlantic Beach, FL, from any and all damages resulting from your failure to timely make the above payments, including reasonable attorneys fees and court costs. The City of Atlantic Beach looks forward to cooperating with you under this agreement. PROPE Y O R I ,� �'� ate: 7`fi By: zz D David Z ck an City of Atlantic Beach B Date: �7�3 X10 Jim Ha son, City Manager CITY OF ATLANTIC BEACH 800 SENHNOLE ROAD .r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 r�i J1�1�'y Application Number . . . . . 06-00034458 Date 12/18/06 Property Address . . . . . . 38 17TH ST Application type description RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 19464 ---------------------------------------------------------------------------- Application desc RESIDENTIAL REPAIRS/FIRE DAMAGE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ZUCKERMAN, DAVID THIS OLD BEACH HOUSE INC 38 17TH STREET Q/A:QUICK, MICHAEL B. ATLANTIC BEACH FL 32233 3869 GRANDE BLVD. JAX BEACH FL 32250 (904) 249-2904 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 130 . 00 Plan Check Fee 65 . 00 Issue Date . . . . Valuation . . . . 19464 Expiration Date . . 6/16/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 130 . 00 130 . 00 . 00 . 00 Plan Check Total 65 . 00 65 . 00 . 00 . 00 Grand Total 195 . 00 195 . 00 . 00 . 00 PERbIIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r CITY OF ATLANTIC BEACH s� PLAN REVIEW SHEET r � Route ufstetler Building Department Public Works&Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane R.Carper Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application# - 3gy5g Property Address t3$ �it— St . Applicant: AkkloQ ldd�' - 7}f1�s BLb /3fa9GEf D-LC Project: This permit application has been: Approved as noted by the Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued. Reviewed By: Date: (i Date Contractor Notified: NOTE: This application may be subject to covenants and restrictions for the permitted property. The enforcement of the covenants and restrictions are the responsibility of the homeowner's associatio R E C E I V E D CITY OF ATLANTIC BEACH BIJILDINGR ZONING DEC 12 2006 JS f r J BY: CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (New or Alteration/Additions/Residential & Commercial) Date: Job Address: 3 C7 17� J Owner's Name: DAVID. ZVC KF-kMA ! p - Address: 119L4. R ©_L-1J pR S • Jk Dcw.FL Phone: Contractor: Mir-AAE 1-- State License Number: LBC- l o�`CCZ— Address: FL Phone: Z`'3! •2`�b`� City: ,Ax gG}{ State: EL- Zip: 2 O Fax: 24 4' 7-10 8 Describe proposed use and work to be done: Ke�plh i2 'F 1 RE D A M AC�&G FIRE PLXr-9— $EPQ119 RME UNf)E K Present use of land or building(s): 51hIGI LE ,l FAMILY A TT/��F� `' Valuation of proposed construction: 1 % y(`l Is approval of Homeowner's Association or other private entity required? k> If yes,please submit with this Application. Will this project involve changes in elevation,site grade or any use of fill material, addition of 5% or more to the original impervious area? NO NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. YES. Approval of the Public Works Department is required prior to issuance of a Building Permit. The Public Works Department is located at 1200 Sandpiper Lane, AB,Telephone# is (904) 249- 5834,Rick Carper,Director. PROCEDURE: IN ORDER TO EXPEDITE ISSUANCE OF PERMITS, IT IS RECOMMENDED THAT THE ARCHITECT OR CONTRACTOR OF RECORD COMPLETE THIS CHECKLIST,AS IT IS DETAILED AND TECHNICAL,AS WELL AS CONTAINS LANGUAGE SPECIFIC TO ADOPTED 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5826 Fax: (904)247-5845 • http://www.coab.us Revised 6/06 Page 2 CODES. AN INCOMPLETE APPLICATION AND OMISSION OF INFORMATION WILL CAUSE A DELAY IN THE ISSUANCE OF PERMITS. 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. BUILDING CONSTRUCTION PLANS 4 SETS OF PLANS STEP 1. PROVIDE STATEMENT OF COMPLIANCE ON ALL PLANS TO READ SUBSTANTIALLY AS FOLLOWS: "THESE PLANS WERE PREPARED AND SHALL COMPLY WITH THE FOLLOWING: 2004 EDITION FLORIDA BUILDING CODE,BUILDING,PLUMBING,MECHANICAL,ELECTRIC." STEP 2. FOR ROOF ASSEMBLIES, THE CONSTRUCTION DOCUMENTS SHALL ILLUSTRATE AND DESCRIBE THE TYPE OF ROOFING SYSTEM, MATERIALS, FASTENING REQUIREMENTS, FLASHING REQUIREMENTS AND WIND RESISTANCE RATING THAT ARE REQUIRED TO BE INSTALLED. PRODUCT EVALUATION AND INSTALLATION SHALL INDICATE COMPLIANCE WITH THE WIND CRITERIA REQUIRED FOR THE SPECIFIC SITE, OR A STATEMENT BY AN ARCHITECT OR ENGINEER FOR THE SPECIFIC SITE MUST BE SUBMITTED WITH THE CONSTRUCTION DOCUMENTS.(FBC SEC. 104.2.1.1.) STEP 3. FLOOR PLANS SHOWING: A.DIMENSIONS OF CORRIDORS,DOORS,ROOMS,ETC B.EGRESS WINDOWS WITH DIMENSIONS OF CLEAR OPENINGS AND GROSS AREA. C.ONE BATH ON 1ST FLOOR MUST MEET CHAPTER 11 F.B.C.,29"CLEAR DOOR. STEP 4. DETAILS OF ALL STAIRS,HANDRAILS,GUARDRAILS,ETC. STEP 5. DETAILED WALL SECTIONS FOR ALL WALLS. STEP 6. FLORIDA PRODUCT APPROVAL FOR ALL DOORS AND WINDOWS LOCATED IN EXTERIOR WALLS.PRODUCT APPROVAL NEEDS TO SHOW COMPLIANCE WITH A 120 MPH WINDLOAD,INCULDE A FASTENER SCHEDULE WITH INSTALLATION SPECIFICATIONS, INDICATE THE SUSTAINABLE PRESSURE,AND WHETHER OR NOT THE GLASS IS IMPACT RESISTANT. STEP 7. WINDLOADING INFORMATION ON DRAWINGS.THE FOLLOWING INFORMATION RELATED TO WIND LOADS SHALL BE SHOWN ON THE SIGNED AND SEALED CONSTRUCTION DRAWINGS. A.BASIC WIND SPEED,MPH,(M/S) B.WIND IMPORTANCE FACTOR(1)AND BUILDING CATEGORY. C. WIND EXPOSURE C,120 MPH. D.THE APPLICABLE INTERNAL PRESSURE COEFFICIENT. E.THE DESIGN WIND PRESSURES IN TERMS OF psf(kN/m-2),TO BE USED FOR THE DESIGN OF EXTERIOR COMPONENT AND CLADDING MATERIALS NOT SPECIFICALLY DESIGNED BY THE REGISTERED DESIGN PROFESSIONAL. (FBC SEC. 1606.1.7). STEP 8. ENERGY CALCULATIONS. SITE CONSTRUCTION DRAWINGS 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5826 Fax: (904)247-5845 • htta://www.coab.us Page 3 Revised 6/06 4 SETS OF PLANS STEP 1. NO DRAWINGS WILL BE REVIEWED FOR NEW CONSTRUCTION OR ADDITIONS UNLESS A RAISED SEAL BOUNDARY SURVEY THAT SHOWS CURRENT CONDITIONS IS PROVIDIED WITH EACH SET OF DRAWINGS. STEP 2. SITE PLAN SHOWING: A. SITE MANAGEMENT PLAN B.BUILDING LOCATION,HEIGHTS,AND SETBACKS TO PROPERTY LINES. C.FLOOD ZONE DESIGNATION AND PROPOSED FINISHED FLOOR ELEVATION. D.ANY EASEMENTS ON OR IMMEDIATELY AJACENT TO THE PARCEL. E.PARKINGS SPACES PER CITY CODE SEC.24-161 F.SURFACE DESIGN DETAILS OF PARKING AND DRIVEWAY AREAS. G.IMPERVIOUS SURFACE CALCULATIONS. H.PROPOSED HEIGHT FROM GRADE TO HIGHEST POINT OF ROOF,ANTENNA STEEPLE ETC... I. PROVIDE ALL DRAINAGE PLANS. INDICATE STORMWATER RUNOFF WITH ARROWS. J.PROVIDE ALL EROSION AND SEDIMENT CONTROL PLANS. K.ANY OTHER DOCUMENT REQUESTED BY THE BUILDING AND PLANNING DEPT. PUBLIC WORKS AND PUBLIC UTILITIES.FBC 553.79. Address and contact information of person to receive all correspondence regarding this application (please print). Name: t,A t U Ar•L Mailing Address: .500 j j ZC * L Telephone: Qoq- z41 - 2-qv4 Fax: (•• 7 9C>$ E-Mail: I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: Date: Ldv AS TO OWNER: Sworn to and subscribed before me this +h day.- 0 6 �r�-wrap State of Florida,County of Duval �Awe* 08 M ININ 0 W 512M Notary's , Signature: Personall 1 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5826 Fax: (904)247-5845 - htta://www.coab.us Revised 6/06 Page 4 Produced identification Type of identification produced Signature of Contractor: &W C/ Date: 17- AS TO CONTRACTOR: /� Sworn to and subscribed before me this 1�� day of 'D�%L e /0 e- .20 06 State of Florida,County of Duval Notary's Signature: DONNA L.BUSSEY Personally known IIYCOMMISSjON nn X12624 EXPIRES N�,,:x:;t;.M9 Produced identification e«w.a n+tiType of identification produced FL, Dr, ve r- Li Ce S� Q2-0o-5qz - &S -o g o -o 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5826 Fag: (904)247-5845 • htta://www.coab.us Revised 6/06 Page 5 i NOTICE OF COMMENCEMENT State of L�Z A Tax Folio No. � 1 SO 1 00 10 County of P U V k L 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: QR 5 -Zg Z. DC-EAt-1 U ROVE VNI T i*F[C7• S /D PT �DT 77 E LoT K /n� Address of property being improved: 38 1 T It T'l..Arl TIC—C- C 14 r 3Z Z 33 General description of improvements: KE PA i K E I KE .-A M A-6- E G 1-{1 M PA 1 .oOF uNDE�t =T Q1=C t�.� R �I.�G - rlfL� PLACE -- �A G Owner: `l�l� ly D>!' I r le s=lp �! Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: �.`o ctor: , Address: 3S(o� E 6V JA 141 ��L Telephone No.: ZH q•7�D Fax No: Surety(if any) Amount of Bond$ Address: Telephone No: Fax No: Doc#2006427228,OR BK 13695 Page 399, Name and address of any person making a loan for the construction of the imprc Filed&Recorded t 2/12/2006 at 10:45 AM, Name: JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 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: -- --- Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: --- - ---- Address: Telephone 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: � �• 1 �•� Before me this 11 h ay of pECE P1 bf R in the County of Duval,State CUTT Of Florida,has personally appeared DAV I P Z UQ-V-E Z M A N NOrlr P1AAc-iftb of Fbft Notary Public at Large,State of Florida,County of Duval. �a Ib�ElPiriAug 19, My commission expires: 8 ' 19- 20c)(0 frlt 00 542872 Personally Known: or @OWN ft NOW U yt Msn.