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325 17th St (vault) '.SS CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000441 Date 4/03/09 Property Address . . . . . . 325 17TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 ------------------------------------------------------------------------- Application desc CONVERT BEDROOM TO BATHROOM ------------------------------------------------------------------------ Owner Contractor - ------------------------ ----------------------- WHITTINGSLOW, SUSAN OWNER 325 17TH STREET ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 5000 Expiration Date . . 9/30/09 ---------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. --------------------------------------------------------------- Other Fees . . . . . . . . . ST CONSTRUCTION SURCHARGE 1 . 35 AB CONSTRUCTION SURCHARGE . 15 ----------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Other Fee Total 1 . 50 1 . 50 . 00 . 00 Grand Total 84 . 00 84 . 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 09- I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO-:(904)247-5845 -'� BUILD ING-DEPT@COAB.US - � BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: - - 2.VALUATION OF WORK: 3.SO.FT.UNDER ROOF 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: REPAIR ❑POOL/SPA ❑YES P N/A 2 {� I ' CL.IY/iri"� k( eov. IV V uMOVE [I OTHER I❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: j-04% W ht f-1-1 �0 w, t 11 16.NAME: 24.LICENSEE NAME: 10.ADDRESS'j.� 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 7�J(' l I I Z ��" 26.ADDRESS: ki^} c 6eac� Fl-t 311,33 18.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20-FAX NO.: HONE: 27.OFFICE P 28.FAX NO.: I1- 71 13.CELL PHONE C 21.CELL PHONE: 29.CELL PHONE: C) v 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: - (IF OTHER THAN OWNER) 31.NAME: 33,NAME: 35.NAME: 36.ADDRESS: 32.ADQRESS: 34.ADDRESS: y I,;, i-I h, 5 t f 1. , :7� 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 finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR MUSTIMPROVEMENTS BPROPERTY. NOTICE COMMENCEMENTE 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 OCOMMENCEMENT. CONTRACTOR OWNER or AGENT ifierO (If Agent,Power of Attorney or Agency Letter Required) n� L4- 1 -25 Signed: Date: 4- '� Signed: Date: f r thi 164-day of 2009 in the Before me is i* day of Q AN SPEAKS ORMA personally� pp Duval,State of Florida,has personally appeared of Florida,hasappeared JUAN SPEAKS GO MAN MY COMMISSION# D64 8 i,1Y COMMISSION#D 43668 ` , ` ;' :.,;,;>ry ry 25 2011 gt �scour h�gi9 *° }koclaraoop Iswunt oc.Co. � self/ and affi s that all statemen �+� harm by himself/herself and a Irms that all state • yVVV1�y true and accurate. c� t curate. Notary Public at Large,State of r LXy1I0 A'County of J IJL4 A�^- Notary Public at Large,State of F�2t0 ounty of 1+1A 1��Q L- ❑Personally Known `,,I ❑Personally Known 1 , C a '` y 1 a _0 (]'Produced Identification- V' 3 .�. "'LW-4 `'a'� - f�Produced Identification-y `i J - Notary Signature: Notary Signature _ _ int' D FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH '-- SEE PERMITS FOR ADDPfIONAL Ito nn tCI Ei 12/111Q009 RFI-QUIREMENTS AND CONDITIONS. �� REVIEWED$Y: -k=-�DATE: 3 O _.�.--.. .,_...r-,G.M^pR'..:.wn.k�►?zMOF10t1�_�rY CO 0 -LLO j° CITY OF ATLANTIC BEACH s' (OWNER / BUILDER AFFIDAVIT BI I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE-OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ADDRESS PHONE NUMBER To ( ti ( hA, ,2c S o�✓ 7N E y ' � ` d5 SIGNAT E DATE r Before me this 'S day of 200IFin the county of Duval,State of Florida,has persona y appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of;%-OC1OR ,County of LLVA DPersonally Known 1,/Produced Identification- lv,)AN SPEAKS GORMAN Notary Signature: / MY COMMISSION 4 DD643668 i ^��d EXPIRES:February25,2011 COAB FORM BLDG07;REVISED: 8/14/2007 I-W-3-NOTARY Fl.Notary Discount Assoc.Co. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road V� Atlantic Beach, Florida 32233-5445 \ Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http:/Iwww.coab.us APPLICATION REVIEW AND TRACKING FORM Depadnxent review required Yes No �✓ Building Property Address: ing &Zoning Tree Administrator Applicant: Public Works Public Utilities Project: p Odlh Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date 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: proved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING TREE ADMIN. Reviewed by: � Dater PUBLIC WORKS Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: It , . CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD } ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 "..,ill Application Number . . . . . 09-00000441 Date 4/09/09 Property Address . . . . . . 325 17TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 ---------------------------------------------------------------------------- Application desc CONVERT BEDROOM TO BATHROOM ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- WHITTINGSLOW, SUSAN OWNER 325 17TH STREET ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/06/09 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ---------------------------------------------------------------------------- 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 �� I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 'Ir} OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 J BUILDING-DEPT@COAB.US DUVAL COUNTY ~ PLUMBING PERMIT APPLICATION 2,13 THIS A SUB PERMIT:'. 3 DATE.," 1.JOB ADDRESS: j./ ( L [ /� C� ( / �' 7 I "' J r I ljE"1�L� YES PERMIT#: V / 0I- lr I f-010? - PROPERTY OWNER k ., 4.NAME: c� 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 8.PHONE. - — — PLUMBING CONTRACTOR:': PTNA�IM OF COMPANY: 8.ADDRESS.: L�'IC G'✓ o 9.STATE OF FLORIDA LICENSE N0: 10.CELL PHONE: 11.FAX NO.: 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: 16 17 18.CURRENT CODE: <1S.NATURE OF WORK: ❑'06 FLORIDA BUILDING CODE- N NEW PLUMBING ❑ RE-PIPE ❑OTHER: 19.NUMBER OF FIXTURES: �C BATH TUB SEWER CONNECTION BIDET >c SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB IX WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER f LAVATORY URINALS I AI iVi2Y TRAY O rH1uo k'SPEC1FY • � ROOF DRAIN 20.PLUMBING PERMIT FEES: PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: )-, $7.00 (PER FIX T URE) + $35.00 BLDG03 PermH Appiica6ion Piumb:121/6/2008 Doc#2009084310,OR BK 14838 Page 1444, Number Pages: 1 Recorded 04;09!2009 at 03:07 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY NOTICE OF COMMEN' RECORDING$10.00 (n l Tax Folio No. State of County of Qv U4 11 To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTI7CE OF COQ 1ENfEMENT. Legal Description of property being improved: � t ` `6, _ 0— Address of property being improved: 3 ZS^ t �r �/t `!" General description of improvements: C a✓� 'e -1 f 1ti i7 ,C/ e-a Y74 ( q Owner: uj,�•, W l,�< <� S�v�✓ Address: Owner's interest in site of the improvement: i o 0 Fee Simple Titleholder(if other than owner): S 1.`e- Name: r( Contractor: -1'e A, 0 "`1--c Address: Telephone No.: Fax No: Surety(if any) Amount of Bond$ Address: Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may e served: Name: !" v k, t�` �� Address: Z� �� _ Fax No: Telephone No: pro in Section In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as p 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Ex cation date of Notice of Commencement(the exp.ratten date is ene(1)year from the date of recording unless a different date is r specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Date: � `1 Signed: in the Cou y o Duval,State Before me this day f SHIRLEY L.GRAHAM Of Florida,h personally appeared D ai. `=O`:PY P�jB((�: zo Notary Public-State of Florida Notary Public at Large e of Florid C my Z /y ' ;My Commission Expires Feb 14,2010 My commission expir or ` . Commission#DD 518533 Personally Kno Bonded By National Notary Assn. produced Identi patio CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 +, INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000441 Date 5/26/09 Property Address . . . . . . 325 17TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 ---------------------------------------------------------------------------- Application desc CONVERT BEDROOM TO BATHROOM ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- WHITTINGSLOW, SUSAN OWNER 325 17TH STREET ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . 4/03/09 Valuation . . . . 5000 Expiration Date . . 11/10/09 ---------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Grand Total 82 . 50 82 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. —VTOOI03 CITY OF ATLANTIC BEACH 5/ZIIu� Application Inquiry - Fees 08 : 59: 31 Application number: 09 00000441 Property . . . . : 325 17TH ST Fee Class/Type/Description Trans amt Amt due Struct Permit Insp A C4 ST CONSTRUCTION SURCHARGE 1 . 35 . 00 , 00 A C5 AB CONSTRUCTION SURCHARGE . 15 K PC PLAN CHECK FEES 27 . 50 . 00 000000 BLD000 P PF PERMIT FEES 55 . 00 . 00 000000 BLDG00 P PF PERMIT FEES 70 . 00 . 00 000000 PLB000 Bottom Credit fees due: . 00 Revenue fees due: . 00 Total due: . 00 Press Enter to continue. F3=Exit Fll=Change view F12=Cancel F10=Amt billed CITY OF ATLANTIC BEACH s 800 SENVIINOLE ROAD J `r, ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 `'rJr3 Application Number . . . . . 04-00027741 Date 2/20/04 Property Address . . . . . . 325 17TH ST Tenant nbr, name . . . . . . 6 ' WOOD FENCE Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1000 Owner Contractor ----------- ----- ---- ---- --- ------------- -------- WHITTINGSLOW, SUSAN OWNER 325 17TH STREET ATLANTIC BEACH FL 32233 -------------------------- ------------------- - ------------------------------ Permit FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ---------------- - ---------- -- ----- --- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 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. 07((i� 6j �'a. Cc: CITY OF ATLANTIC BEACH D. Ford :i BUILDING / ZONING DEPARTMENT � ins c f 800 Seminole Road 5 � J � Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C q - x---7741 Property Address: / '7 *L Applicant: CL, Lfi . Project: �r Lt`C7' 1—Fnr 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: Date: Z - Z-y-a5r RECE1vEo ryia CITY OF r; LAN-71 . BEACH BUfLDINv d 70'J;Nv s CITY OF ATLANTIC BEACH FEB 18 2004 FENCE PERMIT APPLICATION + Date: -- Job Address: Owner's Name: Address: 3a5 l"1 mere Phone: Legal Description: Block Number: Lot Number: 93 Zoning District: Fence Contractor: Sev�_ Address: Phone: City: State: Zip: Fax: Type of fence and materials to be used: oo& " et — Valuation of fence: !�q k(200 Is approval of Homeowner's Association or other private entity required? N�C)If yes,please submit with this application. ❑Interior Lot ❑ Corner Lot Dumpster or storage tank enclosure Tree rotection: [�NO. Applicant certifies that no trees will be removed for the installation of this fence. ❑YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. PLEASE PROVIDE TWO(2)COPIES OF APPLICATION AND THE FOLLOWING REQUIRED INFORMATION: 1. Attach copy of property survey showing location,height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) 2. Provide completed Owner's Authorization Form if applicant is other than property owner. I hereby certify that al formation provided with this application is correct. 1h� Date: Signature of Owner: Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print): Name: _ Mailing Address: 3R.6 11 a ! 3Qa33 Phone: 37)9� t:L Fax: E-Mail: i— 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/14/03 OWNER'S AUTHORIZATION FOR AGENT is hereby authorized to act on behalf of the owner(s) of those lands described within the attached application, and as described in the attached deed or other such proof of ownership as may be required, in applying to the City of Atlantic Beach, Florida, for an application related to a Development Permit or other action pursuant to a: ❑ Zoning Variance ❑ Appeal ❑ Use-by-Exception Fence or Pool Permit ❑ Rezoning Sign Permit ❑ Plat or Replat ❑ Other BY: Signa re of Owner Print Name Signature of Owner Print Name Telephone Number State of Florida County of Duval Signed and sworn before me on this day of,2002. By Identification verified: Oath sworn: Yes No Notary Signature My Commission expires: ry • MAP SHOWING BOUNDARY SURVEY OF LOT 23, BLOCK 14, ACCORDING TO THE PLAT "SELVA MARINA UNIT NO. 6" AS RECORDED IN PLAT BOOK 34, PAGES 51, 51A AND 51B OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: EAGLE ROCK INVESTMENT CORP. , FIDELITY NATIONAL TITLE INSURANCE COMPANY AND WATSON & OSBORNE TITLE SERVICES, INC. ��57 j SES 0,4 TS U�2� 1�� - (vo cCp) levo c.4P� S. Com/lv '/4'E - 70•(2 �� a� GOT 2 BLoC,� /� \ �'' �cs • h� � _ 4 3 0 , 16�t?L Qbo � N 23.G 49.4" °0 17. � u! � � • � J i � �1. . - ._ •• •'.. 'nom 4 hti h I - rf•• •'i6.o. -' 25.3- � >, 3 a % vi N M O O t1! •1 to V ` Y J ,•' o �1 Cc P-�.3-."' 2�i• _ 49.7- �'�I � �` 1 o O 'R hi _ t� lUC 0/!o /D 4 4i 4 OL �Ne Gtr) o City of Attentle Beach Planning and Zoning Department tiffs approval verifies compliance with applicable Zoning. subdivision and other local land osvelopment rtaiioRti, blit Sloes not constitute approval for the issu1nce of permits. Compliance with Florida Building Cod$and all other applicable local. State and Federal permitting requirements must be verTe 1y signature of the City of Atlantic Beach Buildincf Dfficial prior to the is ce of a Building Per ,r Approves'ry Com nity De elopment erector Date:�A V- 04 f CITY OF ATLANTIC BEACH sty 800 SEMINOLE ROAD } ATLANTIC BEACH,FL 32233 J �r INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029463 Date 1/05/05 Property Address . . . . . . 325 17TH ST Tenant nbr, name . . . . . . REROOF 41 SQ SHINGLES Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8400 Owner Contractor ------------------------ ------------------------ WHITTINGSLOW, JEB ARLINGTON BEACHES ROOFING 325 17TH STREET 1441 CESERY TERRACE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 744-8888 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 113 . 00 Plan Check Fee . 00 Issue Date . . . . valuation . . . . 8400 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 113 . 00 113 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 113 . 00 113 . 00 . 00 . 00 1 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDINDES 06. C $, BUILDING OFFICIAL r CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICA'T'ION Data:,— h Job Address: Owner of Property; Address: f Telephone: Contractor. ARLINGTON BEACHES ROOFING State License Number: CCC1325530 Contractor's Address: 1 441 CESERY TERRACE JACKSONVILLE, FL 32211 Telephone: 744-8888 Fax. 745-0000 5copc or Work. RE—ROOF 4/1 Deck Slupc: Greater than 2:12 Less than 2:12 '! O Valuation of work: 240 Product Nama(Exumplc:Timberline): - Manufacturer(Example:GAF): 'i-) l� ASTM Designations j: I Required Irupcctiotu: S • thing and Fina! Signature of Owner Date: .� Signature of ContractorData: AS TO OWNER. C Sworn to and subscribed before me this /D day of2)t—ie_ 206 State of Florida.County of Duval SPR,PU Notary's Sigoa BARBARA BOZEMAN * , MY COMMISSION#DD 315193 EXPIRES:May 17,2008 ❑ Pemnally kn n S "old Thru udgatNoteryServices ❑ Produced identification UJ - � IX7 aOF LOP BoTypcofidentifiatiunproduccd 6 AS TO CONTRACTOR: Sworn to and subscribcd before me this_ day of .20 State off loads,County of Duval 7VNotary's Signa A°�PqY PUB�p BARBARA BOZEMAN � SiON#DD 315193 * * MY COMMISSION#DD 315193Personally knows * * 0 EXPIRES:May 17,2008 ❑ Produced identiticatian s9 E ES:May 17,2008 s e 'rF °P Bonded Thru Budget Notary Services 9rF(IF VOo Bonded Thru Budget Notary Services Type ofiden6ficttionproduced oFF 800 Seminole Road •Adantk Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5843 •http://www.ci.atlantic-beach.tl.us Page 1 Rev,xv W-1,03 744-8888 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) PERMIT f'/ Permit No. Tax Folio No. State of FLORTDA Countyof. 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: yJay— T, ALZ, AJ1Zjr. 21-721rd Address of property being improved: �� / /V �T /-)7z f� General description of 2I,gx & ntenft RE—ROOF PREP Owner _3v�S I`� cJ7 /�7Z 6-1// BY: Address Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) N/A Name N/A Address N/A _ Contractor ARLINGTON BEACHES ROOFING, INC. Address 1441 CESERY TERRACE JACKSONVILLE, FLORIDA 32211 _ Phone No. 744-8888 Fax No. 745-0000 Surety(if any)_N/A Address N/A Amount of bond 3 N/A Phone No. N/A Fax No. N/A Name and address of any person making a loan for the construction of the improvements. Name N/A Address_N/A Phone No. N/A Fax No. N/A Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name_NIA Address N/A Phone No. N/A Fax No. N/A In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owners option). Name N/A Address NIA _ Phone No._ N/A Fax No. N/A Expiration date of Notice of Commencement(the expiration date is one(1)year from the data of recording unless a different date is specified): N/A THIS SPACE FOR RECORDER'S USE ONLY OWNER �f Signed Y Date: • 9` Before me this day of dke_ G(l in the uval.State of Florlda personally appeared Doc#2004387764,OR BK 12186 Page 404, l Number Pages:1 Nota. Public at Filed&Recorded 12/15/2004 at 02:29 PM, Large,State tl 0aft sd l JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY MYCOMMISSf0N#DD15193 M commission expires: *6 RECORDING$10.00 Y p ""'"'�8 Alert}ZOOCT� Personally Known °F° Banded n'"'Bud"Bab'/Sartre: or Produced Identificationx -)a,7 0 :'i Fr�1Lfi'\ CITY OF ATLANTIC BEACH � f PERMIT CALCULATION SKEET Date Address 1z 'Permit fee based on dollar evaluation as indicated on permit application. Heated Square Footage @ S per sq ft= S Garage /Shed @ S per sq ft= $ Carport/ Porch @ S per sq ft= S Deck @ S per sq ft= S Patio @ S per sq ft= S TOTAL VALUATION: S 535.00 V, 51000.00 S 535.00 Total Valuation Remaining Value Per thousand or portion thereof: CONSTRUCTION TYPE: TOTAL BUILDING FEE S ZONING: + 1/Z Filing Fee S FLOOD ZONE: ( ) Fireplaces @ S35.00 S . IMPERVIOUS SURFACE: o� BUILDING PERiti1IT FEE S WATER RYIPACT FEE S SEWER LMTACT FEE S WATER NIETER/TAP S CAPITAL INIPROVEMENT S SEWER TAP S C ( )RADON HRS .0050 S SECTION H PAVING S CROSS CONNECTION S ST ( ) SURCHARGE S OTHER —fb-f , 5 Cc: CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONING DEPARTMENT L. Higgins �f1S.ruerr Y 800 Seminole Road Atlantic Beach,Florida 32233 -- (904)247-5800 E V (904)247-5845 Fax ATLANTIC BEA'�n CITY �AN�&ZONING PLAN REVIEW COMMENTS JANE 0 3 2004 i Permit Application # -- Property Address: 3 2 5 17 S T Rt T Applicant: ARU N G70N KK19 wNT lla G Project: RY-Roa� 41 5q SH11\�CT�E� T7 rmit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. rr � Reviewed By: ( ,,,�-F— _ Date: 15 JAN-3-2005 12:42P FROM: TO:2475845 P:3/4 744-8888 NOTICE OF COMMENCFJNT (pREPAREINMPXVQ PERMIT 0 Permit Na Tax Foto No. Slated FLOR 7 DA costy ot DUVAL To whom it may concern: The undersigned hereby Inform you that WWavements will be made to certain nal fes,and In accordance with Section 713 of the Florida Stadrbaa,the bitewing kdormathm is stead In this NOTICE OF COMMENCEMENT. Legal dss&tph-Of tIDvOftY being-proved:_ -3 /'7°`/, ST• Address of troPwb being �•3.�J`- I'72 .ST- A77 General description d irrlplovernents: RE-ROOF �t7T/ti>rr�SLC> PREP Owner /7`�-a` �? �n BY: Address Ownefs irAMSI in sibs of the kflPM fdWK Fee Simple Tbeholow Of other tltan owns) N/A Name Address NIA Corvam ARLINGTON BEACHES ROOFING INC. Address 1441 CESERY TERRACE JACKSONVILLE FLORIDA 32211 Phone No. 744-8888 Fax No, 745-0000 Surely(d any) u A Address NIA Amount at bond t'N„�A -- Phone No. NIA Fax No. Name and address of any person mating a ban for dor GWWM Aim Of die 4vVM wnlerlts. Name Addnss N/A Phone No. N/A Fax Na N/A Name of person wahin the State of Florida,carer area himself desipnaW by owner upon wdtom holed or other documents may be served L� Name N/A Address N/A Phone No. N/A Fax N0._ N/A to addition to himself,owner designairs the tolWANQ penton b teCai40 a dopy Of ttte Woofs Notice as provided in- Secdon 713.08(2)(b),Ronde Slatuas.(Fill in at OwnWs 011000. Name N/A Address_N I' Phone No. N/A Fax Nm N/A Fxpiraoon date of Notice of Coninencumtt(""#raw dada is ons(1)year from the date of rsoorlfeng W*W a ditlerM dire is sp"Wr NIA TNtS SPACE FOR RECORDER'S USE ONLY OWNER Signed. Qaa ( s Bebn me dtia day of ME-E- in the Stade o1 pws-3y append Doc a 2004367764,OR SK 12186 Page 404, rorrrler Pages.1 RIbiC at tarye. QMwIrAd�Itli Feed a Reow*W 121i512004 atOZ20 PM. MYO�lel65Ottr00�I5193 JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY my com"isb10n RECORDING S110.00 P� t�Y411uMM�lfa�ka « Perurmly Known Produced td4lntire:ation��' L 0 JAN-3-2005 12:42P FROM: TO:2475845 P:4/4 Florida Building Code Requirements for Asphalt Shingle Attachment Chapter 15 Roo(Assemblies and Rooftop Structures of etc 2001 Florida Buildkty Code(FBC)contains two sections addrestUO attachment of eaphatt shingles. Section 1507.3.7 appfas to the entire State of Florida except the Wgh Velocity Hurricane Zone(Miami-Dade and Broward Counties only).In vrindzones below 110 mph.4 nett per strip shingle are required.In windzones 110 mph and greater,the number of nails that were used to pass either ASTM D3161 (modified to 110 mph)OR WX PA 107-".or as mgOred by the manufacturer,as indicated in the table below.must be used.Products with a Mand- Dade NOA are ecWtable for use in the entire state. Section 1518.7 applies only to the High Velocity Hurricane Zone(Miaml-Oade and Broward cantles only)and states that the shingles must be Installed in compliance with the product Control approval,RAS 115 and no less than 6 approved roofing nods or otter approved fastening de rioss(see Section 1516.7.3.2).NOTE:In Miami-Dede and Broward counties only,6 naffs per strip shingle must be used even it e shingle has passed WOC PA107 with fewer nails or fasteners. This table was prepared by ARMA to summarize tests Conducted by ARMA members on Meir products and ipustrates cernpliance with these shingle attachment sections of the Florida&Ading Code. Go to the ARMA website-www.asphateoo6rtg.org-dick on"news"to download an ARMA article Asphalt Shingles and the New Florida Building Code' that reconity appeared In FWds Forum,a publication of the Rorlds Roofing.Sheet Metal and Al Contfdiontng Contrators Association(FRSA). Manufacturer Product FBC Section 1597.3.7 F8C Sections 1169.1 and 1150.7.3.2 )=-Dote ell a aw.s countw" ASTM 00161 i M-DC PA MmmFDsde mod to 110 107-SS V -atteas•No.41 buil;used W tested mph) County NOW CertainTeed Corporation Presidential Shake TL &AR Y 5 Y 5 Y 6 CeramTead 2marstion Presidential Shake 1&A14 Y 5 Y 6 Y 6 CerwmTc-d Corporation Orand Manor Shangle C&AR) Y 6 Y 6 Y 6 CkinainTeed Corporation Carrie a House Sha le &AR) Y 5 Y 6 Y 6 tlaiaTeed oration Hatteras &AR) Y 6 Y 5 Y 6 nainTsed Corporation L rk TUAmbassador &A Y 4 Y 4 Y 6 Landmark 60&AR CertainTeed Co option former L.aidmark 40&AR Y 4 V 4 Y 6 Landmark 40&AR CerulaTeed Corporation frannorly Landmark 30&AFQ Y 4 Y 4 Y 6 Landmark 60&AR Ce"aTaed CovorstionLandmark 26& Y 4 Y 4 Y 6 CeetainTead oration Ce)atea Dtmesstonal 40(& Y 4 Y 4 Y 6 Cerw-fted Corporation out Dimensional 30 &AR Y 4 Y 4 Y 6 i.Teed Corporation, Firshan2000 L&AR) Y 4 Y 4 Y 6 rtsinTeed Ca oration High Sierra & Y 4 Y 4 Y 6 CertoinTeed Corporation Estate &AR Y 4 Y 4 Y 6 C, nTmd oration blanda AR Y 4 Y 4 6 CertainTeed ration lesai: orison &AR Y 4 Y 4 Y 6 _ CartauiTeed tion CT20 & 0 AR) Y 4 Y 4 Y 8 CtrtainTeed CorIiaration XT25(&XT26 AR) un Hwur 25 Y 4 Y 4 Y 6 rtainTtxd Co oration XT30 &XT30 AR) Y 4 Y 4 Y 6 ea rtea oratmnfireach n Plus Elk Co ration of Alsbama Raised Profile(wLs Pmgtigue 25 Y 4 Y 4 Y 6 fi&Corporation of Alabama PrefLi ue was PrUd4ue 30 Y 4 Y 4 Y 6 Elk Cinparation of Alabama Presti w 1 was Prestique 35 Y 4 Y 4 Y 8 Elk Corporation of Alabama Pres"w Plw wsa P ue Plus 40) Y 4 Y 4 Y 6 Ik oration of Alabama Porti w Oahe Cotiection Y 4 Y 4 Y 6 Elk tion of AlabamaCa tone 40 Y 4 Y 4 Y 6 Elk Corporation of Alsbems a atone 40 wl FLX Y 4 Y 4 GAF 9eutinal Y 4 Y 4 GAF Royal Sovereign Y 4 Y 4 Y 6 AP Jumbo Royal Smereirn Y 4 Y 4 Y 6 _ GAY marquis WeatherMaz Y 4 Y 4 Y 6 GAF Timberhuo 80 imba*251 Y 1 • Y 4 Y 6 _ GAP Timberline Select 40(One,Timberline) Y 1 4 Y 4 it Y 6 OAP Timberline Ultra Y 4 Y 4 Y 6 OAP Slatehna Y 1 4 Y 4 Y 6 AFGrand Ca on Y 4 4 Y 6 GAF Grand Y 1 4 Y 4 In hese AP Cove Maassoo Y 4 Y 4 Y 6 Air Coen )i:sutas Y 1 4 4 6 owe"Corning Ctateic AR Y I Y 4 Y 6 t Owe"Coniing Supreme AR Y 4 Y 4 Y 6 0 -e-a Corning Prominence AR Y 4 Y 4 Y 6 sena Cornlog Oultridire PRO 30 AR(Oakridita 25 V 4 Y 4 Y 6 wens Coming OsL id a PRO 40 AR Wakindaut 30 AR Y 4 Y 4 Y 6 OwensComina OskridlE PRO 60 AR(Oakridge 40 Alt4 Y 4 Y 6 Owens Corrin Weath"ueri:140AX a Y 4 Y 6 AMKO Products,JOL OlosieSeal AR Y 4 Y 4 Y 6 AMKO Roofing Produrts,Inc. Blit.Otua-Seal I Y 4 1 Y 1 4 6 AMKO Roofing uctiiLno. Elim Gla"Seal AR 4 1 Y 1 4 Y 6 KO soducts.Inc. Hertu BOAR Y a Y 4 Y 6 AMKOAMEM Produela.Inc. ASTMHari e30AR 4 Y ♦ Y 6 AMBO Product !nc Heri4 a 40 AR I Y 1 t 1 Y • 1 Y 1 6 Roofing Products,lar. Heritage 60 AR Y 1 9 Y 4 1 Y 6 68 'MiertW Dada Notice of Acceptance(NDA) UdWA f[ JAN-3-2005 12:41P FROM: TO:2475845 P:1/4 i FAX COVER LETTER ARLINGTON BEACHES ROOFING 1441 CESERY TERRACE JACKSONVILLE,, FLORIDA 32211 DATE: TIME: TO: FROM: PEON, (904) 744-8888 FAX #:(90 745-OOQO_ RE: COMMENTS: l TOTAL NUMBER OF PAGES (INCLUDING COVER LETTER) : Q NOTE: IF YOU DO NOT RECEIVE ALL PAGES, PLEASE CONTACT US AS SOON AS POSSIBLE. 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. LOCATION street Address: 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 above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) �" t �� Master CtACO Zv 2-2,6 Name of Property Owner e� Signature of Owner Signature of or Authorized Agent Architect or Engineer III. GENERAL INFORMATION A, Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON 's,a 0 *•ric THIS BUILDING OR SITE? !�❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed jV12A,,Centrol O floor ,❑ New Building ❑ Air Conditioning: ❑ Room ❑ Central Existing Building ❑ Duct System: Material Thicknem Replacement of existing system I Maximum capacity c.f.m. ❑ New installation(No system previously installed) II El Refrigeration El Extension or add-on to existing system ❑ Cooling tower: Capacity g.p.m. El Other — Specify ❑ Fire sprinklers: Number of head ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Roeeiwel) ❑ Tank—(number) Remarks S ❑ LPG containers -(number) ❑ Unfired pressure vessel Q tilers Permit Approved by Dam ❑ Other — Specify - Permit Few LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT ��Y Appy[ Number Unit. Description Yodel Number Manufacturer �Y OD HEATING - FURNACES, BOILERS, FIREPLACES Capacity APpa0viM Number Unita ription Model Number Manufacturer (BTU) ASeisey l u, TANKS Now)many Nominal Capacity Type Ted Name of Serial Approving and Dimensions Contained Manufacturer No. Agency CITY OF ATLANTIC BEACH N° 16221 FLORIDA 0 _� 9 NAME— t" ADDRESS CITY i-7 (KK)00(Kw) 000000000 74 When Signed, Dated and Numbered, This Becomes ec ic`ia eipt 5OL1` MAKE CHECKS PAYABLE TO Received*f6pflk&000 CITY OF ATLANTIC BEACH, FLORIDA TREASURER PSR-3844 10350 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION -- -- LOCATION INFORMATION --------- Permit Number: 10350 Address : 325 SEVENTEENTH STREET Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA 322- Class of work: ALTERATION -------- LEGAL DESCRIPTION -------- Constr . Type : WOOD FRAME Lot : Bleck : Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellings : 1 Code: 0 Subdivision: Estimated Value: 50 . 00 Improv . Cost : 50 . 00 Total Fees : 525 .00 Amount Paid: $25 .00 Date Pail.: 5/23/ 95 Work E—s c . RET-7 PE ---------- OWNER INFORMATION ----- ---- APPLICATION FEES ----- Name : WRTSON PERMIT $25 . 00 Address : 325 SEVENTEENTH STREET WATER IMPACT FEE S0 � 00 ATLANTIC PEACH . FLORTP?A- 12211 SEWER. IMPACT FEE SO . 00 Phone : ! 9OW25- 1.887 WATER METER/TAP S01 . 00 RADON GAS-H .R . S . 50 .00 ------- CONTRACTOR INFORMATION - RADON CAB 5% $0 . 00 Mame : A . � . A. P PLUMBING '"'' CAPITAL IMPROVE . $0 . 00 Address : P _ O. BOX 16631 SEWER TAF' SO . 00 'In='~K.SONVILLE . FL 3245 CROSS CONNECTION 50 .00 License * CF,7019195 Type : 2 SEC H IMPACT FEE 90 . 00 CONST . SURCHARGE 50 . 00 S<_"HARGE/ATL .BCH . $n 00 NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 000000000 000000Q40 $6.0014 ATLANTIC BEACH BUILDING DEPARTMENT Dat 23/95 01 Rcpt: 0063603 By: 9 0001000003221(00 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION -------------------------- OWNER OF PROPERTY: ��/_--_---- BUILDING CONTRACTORt PLUMBING CONTRACTOR _ S� AND ADDRESS: ------------ - ----------------- --�--�-moo x-----�---.�------------------ TELEPHONE NUMBER: ______________2 Q? 1 7 _--_-_------_--- STATE LICENSE NO: -------------------- TYPE OF BUILDINGt ___--SINKS SHOWERS ------- ------------- ------------LAVATORY -------------WATER HEATERS ------------BATH TUBS --DISHWASHERS ____________URINALS ___-DISPOSALS ------------CLOSETS _-WASHING MACHINE __-FLOOR DRAINS SHOWER PANS OTHER_ - _.- r-1--- TOTAL FIXTURE COUNT: ) ` ---------- x $3. 50 + $15. 00 ------------------------------------------------------- -6 --------- 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) 247-5626 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY : __—_— ��S!i /z- BUILDING CONTRACTOR: ---------------------------- PLUMBING CONTRACTOR c AND ADDRESS: _ ��f ---- ----- -------- ---- 4 ______ ---------------- ---------------- TELEPHONE NUMBER: STATE LICENSE N0: L ------------ TYPE OF BUILDING: I ------------SINKS _____________SHOWEkS ------------LAVATORY ______1! WATER HEATERS ------------BATH TUBS --_------DISHWASHERS ------------URINALS -------------DISPOSALS ------------CLOSETS _____________WASHING MACHINE ------------FLOOR DRAINS -------------SHOWEk PANS OTHER TOTAL FIXTURE ' )UNT:_____ ---- X $3. 50 « 515. OO ----------------------------------------- --------------- - — -- —— -- 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 (A-Y OF Office of Building Official REQUEST FOR INSPECTION i (?4 s2 -9 , Permit No. Date Time �S P.M. Received Inc Locality Job Address 4% Owner's // AIT50 t"", _ Contractor +A Name �/ INC,, MECHANICAL CONCRETE ELECTRICAL - BUILDING o g ❑ Air Cond. 8 Footing _ Rough Wiring - �, Heating Framing - - Temp Pole _ Top Out Fire Place - Re Roofing _ Slab - Final Sewer Pre Fab Insulation _ Lintel READY FOR INSPECTION RN Tues. Wed. Thurs. riday Mon. A.M. MON P.M. Inspection Made _ Fnal Inspection -: Certificate of Occupancy l� Date CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION :--- -3-�? __l Ty _S1 OWNER OF PROPERTY:_________________�_ / �C___--____ BUILDING CONTRACTOR: -------------------------------------------- PLUMBING CONTRACTOR �_'___-___ AND ADDRESS. - ------------- 61------------------ ------=� x�--- - ----.,�. ---------- TELEPHONE NUMBERS STATE LICENSE NO: TYPE OF BUILDING: ------------SINKS SHOWERS ------------LAVATORY WATER HEATERS ____________BATH TUBS _____________DISHWASHERS ____________URINALS _____________DISPOSALS ------------CLOSETS ____WASHING MACHINE ------------FLOOR DRAINS SHOWER PANS OTHER__Z�.,?�.2E�c- TOTAL FIXTURE COUNT:.......... x 83. 50 + 815. 00 = 8 ---------------------------------------------------------------- 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) 247-5626 'llif Fitt 'OM a4A3A%fts tl31St91a ,V ..t 'V"U 'HOWS4 o`i'IIANOoXOV r titer 'SAV HIL -- ssa S311fDO 9 N3a2Jfta V 'H s.LN3wHovoaoN31 ON Nvy awxH1 QNV NOlJAdVO NA0GV 8Hl NI NMOHS GV 9CNV'l HHl CRA3 mns HAVH i 1VH1 A-411830 A183H3H 1 4�k `a Urn U itbNOs'D'fN C ll� --� � C727So"d I 0 a os__ _ � o f � 101 •Yach t `T«T. t2c IVAVQ ao samon OrMa MKMW RU AD tS SKYd "16XOM IVU 91 (MMM= By '9 "09 UlM `tlk VW YAUB 'r IT _ � '� Un 9 i CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000582 Date 4/27/09 Property Address . . . . . . 325 17TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc wire remodel of mastr bth / bedrm ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WHITTINGSLOW, SUSAN BROOKS & LIMBAUGH ELECTRIC CO 325 17TH STREET Q/A BROOKS, CHRISTY ATLANTIC BEACH FL 32233 42 WEST 8TH ST. ATLANTIC BEACH FL 32233 (904) 241-9051 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . WIRE REMODEL MASTER BATH/BDRM Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/24/09 ---------------------------------------------------------------------------- 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. BUILDING OFFICIAL fY �� CITY OF ATLANTIC,BE�4CH R r 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O8- OFFICE:(9D4)247-5&26 0 FAX NO.:(904)247.5845 BUILDING-DEPTOCOAa.US =1 ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1TJQP3ADDRESS 1i*a ?< ' :a �i•= n S4 rhe °� ES PERMIT#: 41L 4,NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: .� � -'`aT �c^f„3'":+-"�3'daiy�,..-6.��r'S•- .�E-EQTR,(CAIF.CONTRAGTORI +'�,,' 'gi.-:" t 'aiist��g3 Y Li mbaAAib B `, Jes�- 9.STATE F D E 10.CELL PHONE: 11.FAX NO.: '2.EMAIL ADDRESS: 13.OFFI H -^O 15 14. 15.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 IawS 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 t�months at any time after work is ce menced. CONTRACTORS SIGNATURE: 6:CLA$$.OF_W012}C; - A'Sk . F 3 :>:v +i :.Wi 1T 5EFZV(C '�+ °`''� iaw•'.4 .0t METERNUMBEf ❑ MULTI FAMILY-#OF UNITS: ❑ RESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR ❑ALTERATION ❑SIGN ❑OLD ❑ NEW ❑'05 NATIONAL ELECTRICAL CODE ❑ REPAIR ❑ POOL/SPA ❑ REWIRE ❑OTHER: : r P.7r �; ;, n GsYJ7+LI5t' LZL"ECECTRICALI(JO}2lCL.gr ��': y<` 1< ` rw it' =- 20. TYPE OF SERVICE: ❑ OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22. SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ ALUMINUM 23. SWITCH OR BREAKER SIZE: AMPS. PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT& M.V.: 27. FIXED APPLIANCES: 0- 0 AMPS:�4 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: to' YES ❑ NO 29.31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 2- - 30. RECEPTACLES: 0-30 AMPS:-7Z— 31-100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0-30 AMPS:�L— 31-100 AMPS: OVER 100 AMPS: -_;•3VAIR CONDITIONING ;6 K, ,1 - #OF UNITS: COMP. MOTOR HP RATING: - AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: x:03:MOTORS rf+ - �i"i:;�+i-• v, '- - NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS; UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 35.MISCELANEOUSREPAIRS: ' DESCRIBE IN DETAIL: - COA3 FORM BLDG02'.REVISED:1110x2008 Y K� S ` • �,:• ":�' .. '. �.. 1. y , ,'fit a. �.. ��.� ..' _ - ;'-� ;•,}{ • .� F i "• ; Rif won p F�• s P _ t of __ I • p v z - ' I i < i 4 � .r l •� f 1 j v6 floor- t. 6x +mac:bus..- f Ir •- t-�� pao !•4. ococrsrs.c�a"atrt ;e°ea _� � 't; �a' ,%? cr 00-k. } AL )J`C 1�i1.Ri1 ,,_\C��•.o• caG. `cauY a1G%. �4 -g: .] tr .r'�' �� f -, _., ,. _ ._.....fir _..�,.�...._. _�..`..�.� .•6.::�j .c�....,..�i _�S.'.'_�.. .�.<�.c�..:4...i_f_.,A._.,...a:;� -_.�'�'°Yt3'i""'; '�+k -,'rMr,'a'n �`d`7'K�s�s"'S,�,fn.£�� $,? 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'^ '` _♦ �y 'sy r�.:3 $„� �....;s , '7k. ..�`"giv '�"�y'�."` s<ar .z" - '�•; AX° nr, ? k f^` �. ,.�5", All K3. Jh A ay�1t ' ..�fi 4'•.�Y TA y 6 9 _aye Y�Sip�1C �.'. a• moi' '.� ; c A.. ,� � a..�. �. "� ''i� ,�s A S ,'. v- '�^ „ ,'`,X.�"�z,�','# 7s v 4 d Nr r K '�ra: � -yv � z"r '�-� •t 7' � s s yr S�� i�F � �f .A sdKi � � {x �._• s ''K air r# ' ? y' i p`r i r "F s Y i, �_ a5: y� X�St � wnr�" y�.. S� �y, v ��.�_r�°&•w F: � �+� ,�; �y f a� �a.ca� �.�. :� .�'. ,g• rake. to �M�� .`�4�'�` 6 I g K. p i- .}. <. _. .�.._�„�..�.._.<.... _. _ .. -'.:.Y..�,m� a�s7,a-.,,,s.? .1'rk?.�,,,Y¢_�.��,� -1..,.:"'C-au.�.��s._iF.:3f+:_9r_•t�'.YitsaS:3 ill 7 CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION _ _ ± LOCATION INFORMATION Permit Number: 20144 Address: 325 SEVENTEENTH STREET Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: TParcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 5/31/2000 Name: DONEHAWER Total Fees: 45.00 Address: 325 17TH STREET Amount Paid: 45.00 I ATLANTIC BEACH, FL 32233 Date Paid: 5/31/2000 Phone: (000)000-0000 Work Desc: REPLACE CONDENSER—AND—AIR HANDLER CONTRACTOR(S_) _ APPLICATION FEES FLORIDA WEATHER INC. PERMIT 45.00 Inspections Required FINAL 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 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 SUBSECT 3O REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $45.0014 ATLANTIC BEACH UILDIN T. Date: 6i01/00 01 Receipt: 0061650 CHECKS 1504 R911(RA.1111.1.000 PSR-3844 09675 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION -- - LOCATION INFORMATION -------- - Permit Number'. 96-75 Address : 325 SEVENTEENTH STREET Permit Type: PLUMBING ATLANTIC BEACH . FLORIDA 32231 -lass of work: ALTERATION ---------- LEGAL DESCRIPTION --------- Constr . Type: WOOD FRAME Lot , Block: Section: Proposed Use : SINGLE FAMILY Township : RNG: 0 Dwellings : 1 Code: 0 Subdivision: Estimated Value * so .or Improv . CoF11— $0 .00 Total Fe., 925 . 01-1 $25 .00 2� 2� 95 (-OWNER !NFCRMATION ---- APPLICATION FEES ----- Name , WATSON PERMIT 525 .00 Adire:7s : 325 SEVENTEENTH STREET WATER IMPACT FEE S0 .00 ATL;�!!T 1,-4 E-EACH , FLORIDA = t-', ``EWER IMPACT FEE $01,00 91'.14 2r- 1B$7 WATER METER/TAP $0 .00 RADON GAS--H .R. S - $0 .00 CONTRACTOR INFORMATION -- - - - -- RADON CAB 5% $0 . 010 Na- I �, ne : A- S ,A . F . PLUMB "i 1.. CAPITAL I=MPROVE. $0 .00 0- 16631 SEWER TAP S0 _00 FS,,'')NVILLE , FL 30245 CROSS CONNECTION $0 . 00 - Lice-Fe ' 1 Type : SEC H IMPACT FEE 801 .00 CONST. SURCHARGE 50 , 00 SCHARGE/'ATL - BCH . SCS r,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 PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT 000000000 000000000 $25.00 14 Date: 2/02/95 01 Rept: 0028599 0010000 4895 By 0003221000 i CITY OF ATLANTIC BEACH APPLICATION FOR ROOFING PERMIT BUILDING OWNER PHONE JOB ADDRESS LOT# BLOCK OR UNIT # SUBDIVISION CONTRACTOR ii/ f PHONE ADDRESS �� G�✓G.� LICENSE NUMBER EXPIRATION -- v JOB VALUATION MATERIALS: SIGNATURE OWNER DATE SIGNATURE CONTRACTO DATE FOR OFFICE USE ONLY / Date---//--- Permit #1_�PS ....yesa.�. s. CITY OF ATLANTIC BEACH Valuationf/f.- ... ............ FLORIDA House #__.3a.5'.—�.� -. , ................... APPLICATION FOR BUILDING PERMIT ------------------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date...............� f�9 /•--- / 8 - 19�� --------------------- .... Owner._/ ------------- Address----------••--••---••-•---.....----------• -•--•--------Telephone No............................. Architect------------------••------.....................................---•--...._......................Address,... 4Pim .............._..�_�__.._.. .._......... -•-••-.Telephone No............................. Contractor Builder. �.C3&z4p -� //`�C f.__---.Address.__ R&Telephone No-71]5..-_-.46.-6// yq Lot No------ .......................---------Block No.---/ ----------------Sub Division.,,.E!/FlfiCi /-.--,nU�l/ _.,fa....Zone................. 1.7_724_z5`S _&"T'................Street------------_-------Side Between JW..QATJ ,Dk-------- /A.2<L 7-- ------.G-:.._...Ste. .....................i and----...._....._..._._._E.t�2. Valuation �Dd ..�... ------ 9Q" .4 ppit h Dimensions of Building--: 9" .4 of Lot.....� Q..�C.._Loo..............Size of Footinga....�7.-....x. 20 Size of Piers------------------------•---- --• L•--� _. Size of Sills................................Greatest Sill Span m ft...__.........._...____._--Type Roof.��!`}_..r fe!< 4Q,.t; How will Building be Heated? ---------------- ' ........Will Building be on Solid or Filled Ground?-.-.,f, Lia �,��p Size of Ceiling Joists---------------�.�_-------.-__--.-, Distance on Centers......... ` ....................., Greatest Span...........,Z.7.i.................... » Size of Floor Joists............., Distance on Centers.......... ...............................- Greatest Span...._.__.___................................ » 2 ; � 24 n 771 Size of Rafters------------------------------------------------------------------------- Distance on Centers.......................................... Greatest Span.......................................... This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans ane specifications shall be submitted with application. �v Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. .7 Q 5. When rough plumbing is completed,and ready to cover up. W W 6. When septic tank drain field or sewer is laid but before it is covered. q q 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after Z Ate corrections are made. 3 FRONT OF LOT /^7 7'N JT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of tlantic Beach. ,/,� '/ Signature of Builder.•_ ��"r- -fes Address 3'�'!7 ..�GTO�/N .�, .. Yli< ••. .... .. .........................-•• ..._ / Signatureof Owner-----------------------------------------------------------------4---------------- Address................................................................................................... ARCHITECT/ENGINEERS CERT'IFRCATION COASTAL CONST'RUCTIOM CODE FOR ALL !MAJOR STRUCTURE TO BE LOCATED WITHIN CITY OF ATLANTIC BEACH, FLORIDA lti�Ar/�46, C/� ��I'"�0 '2-0.0 4;3 APPLICANT' S NAME PHONE NO. DATE OWNER NAME: ,44u> 11i k R.E. TAX NO. : TYPE OF PROJECT: ( )New Home Residential Addition ( , )Garage ( )Pool ( )New Commercial ( )Commercial Addition ( )Other 911 STREET ADRESS: 37/1(-_s 7- 1L ( ) EL - We 'claim the structure to be exempt as follows : ( ) Garage with no provision for occupancy - detached one and two family only ( ) Pier, Dock, etc. { ) Other (Specify) I also certify that no structure listed above may be remodeled or converted to a non-exempt use without being upgraded to fully comply with the ordinance. Signed: Date• —_ ---------------------------------------------------------------- CERTIFICATION This certifies that the plans and specifications submitted and sealed by the undersigned meet all criteria set forth by the City of Atlantic Beach Coastal Construction Code. Roof covering is exempt from the 110 mph requirements of the Coastal Construction Code, but meet all the other requirements of the City of Atlantic Beach Building Code. — he structure; including foundation, frame, roof decking , exterior walls and floors has been designed for wind loads of 110 mph, with all design complying with._the 1991 , Chapter 12 , standard Building Code. ---------------------------------------------------------------- (I/ Windows, doors and all other exterior devices comply with the 110 mph wind load. ------------------------_.,--------------------------------------- (yf�_The structure in located outside the area affected by wave forces, OR ( ) The structure is capable of withstanding wave forces resulting from a wave crest height of feet above MSL inc 1 udi iig uplift forces. -------------------------------------------------------------- . (i.�,<The structure is located in PIA Zone A and the foundation design has considered possible exposure to water and erosion . OR ( ) The structure is located in FIA Zone X and the foundation wi 1 i not be exposed to hydrodynamic, hydrostatic loads or water scour, OR ( ) Foundation design has been completed with floor elevation above the specified stillwater elevation, and to resist wave , hydrodynamic, hydrostatic and wind loads acting simultaneously with dead loads. Erosion computations for the foundation design have taken into account the projected 30-year erosion, losses from a 100 year storm event and all vertical and lateral erosion including scour caused by the structural components. _ --- 1______________________________..___--_-------_-_----____-- (j/ No excavation of dunes is included in this projecti, OR ( ) Dune excavation permit is attached. ---- - --- Certified this day of - - - ---- -- ec�b� , 19 � 3, (SEAL) CJ_ Florida Architect 's License No. Professional Engineer's License No. :?4c') 4-1 to DEPARTMENT OF BUILDING 7 576 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date March 13 19 86 7,5G T 9774- IA 3/13/6 Valuation$ 2,890.00 Fee$7.50 7576 900CA 9774 1 r 3/13/81 This permit not valid until above fee has been paid to City Treasurer,and is 1000 subject to revocation for Violation ,of,,applicable provisions of law. This is to certify that Ar11Hgtoll Beaches Roofing RC 0023962 1441 C.--sexy Road, Jax, FL has permission to� Install roof Classification L - 1c1 t-i n1 Zone Owned by H Ral DOnehOur Lot Block S/D House No. 325-17th Street According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4--i O Building material, rubbish and debris Z from this work must not be placed in public space, and must be cleared up and hauled away by either con- ttr�ctor or owner. Building Official FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER