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330 19th St (vault) r,l r is, CITY OF ATLANTIC BEACH • 800 SEMINOLE ROAD 7J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 07-00000114 Date 2/12/07 Property Address . . . . . . 330 19TH ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------ Application desc 1 C/U - 1 AHU ------------------------------------------------ Owner Contractor - ------------------------ ----------------------- STAVRIDIS, MRS. OCEAN STATE HEAT & AIR, INC. 330 19TH STREET 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ----------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee 87 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/11/07 --------------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---------- --------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 .00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TM FLORIDA . BUILDING CODES. 02/12/2007 08:36 FAX 9042498949 OCEAN-STATE-A/C i ATLANTIC-BBEyA,CH (6001/001 • C1Jl� CITY OF ATLANTIC EEAC1. MICHANICAL PERMIT APPLICATION !!11 C} Date: a7 Property Address: _SW / Owners" Telephone#: Contracror: �. Telephone 0: Coutractor Address: Fax#:E4 -- -9� in Considecndon of pt:rmit idvrn for doing she work es deseubed in the above;mtemeo[ we hereby ogee to perform said work in nceordance Wirth the nrrecbed r1noe;and spaci£arcionu which ore u part hercmf ued in uccordaner with the C*of Ac indc Bmch ordicoms and saodnr&aF Rood pr=ticr listed therein Typc of Hcutitae Fuel: if other construction is being dont on this building ar site,list the bwlding pe=it number. lT 1;,1GCCr1C �r- ❑ Gas: LP Natal _�E> TJ�it! ❑ Oil ❑ Otho—Spec& NfECHAMCAL EQTTI MENT TO BE INSTALLED NATLTRG OF WORK r-If"t Space _Raceseed NS! l _Floor �luyidetitizil Air Conditioning _Room _ en-dl ❑' Duct System: Maternal lLiCkaes. O Commcrcial Maximum Capacity CIM ❑ New Building ❑ Refrigeration 0 Cooling Tower. Capacity jpm ;isdngBulllfts ❑ Fire Sprinklers:Number of Heads 0 Elevaior: Ivlsniift Escalator (Number) t� RepiacementCfE^L'RingSyscem ❑ Gasoline Pumps (Number) ❑ Ianlcs (Number) ❑ New lwtalladon ❑ LPG Containers (Number) (No systtmz previously insmlled) O tIvExed Pressure Vessel ❑ E=kori or Add-on zoE:cisting System QBoilers ...,___..._..__._...,•.•._.._ _._•... ._.... ❑ Gas Piping __. '0fEerpecL£y_ ❑ Other—Specify LIS?ALL E T.IIPNIENT AM CONDtn0MNG,IidlrAIGERATIOPt ZQUjpMXM&CONDENSOWS r''ppr°Villg Ivioslal 0 binnuflvror Ton's Agency number Units Description 1 elk, Sr�P� A" t� `•( �l EMATI V G-yORNArLS,Boa,=.PM ZPLACLS&AM RAND1 ER'S r'.pprovirrg Number Unirs Desuiprion Model i' Mn muter STU's Agency 7�`IK5 blonunui Capacity Type.Liquid Seri it APPro•' How hltusv Dnnemiaac ronwaed Manu-Iacturer I•I n. :\naAev 300 Seminole Road• Atlantic Beach, Florida 31"33-5445 Phone: f904j 217-5800 - Fax: (904)247-5345 • http://1vww.tiatlaatic-bench n.tY3 - Ile r Ic IS CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD �r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 07-00000152 Date 2/16/07 Property Address . . . . . . 126 15TH ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------------------ Application desc 1 ahu 1 cu ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- JONES, MAE THOMPSON DONOVAN HEATING & AIR 126 15TH STREET 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 --------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/15/07 --------------------------------------------------------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. � • l��i/Vain Y•i Vi ii/ �r�Y�Y i ���i���4.!T.!!-1!..�_��. Data- `: . __ - / _ -.tet:.•:�.. ' - VQ- Pro Address: )t✓e Owner. ; Telephone#: w" = Contractor. Nc� a. f2 Telephone#: s�. - s=� Contractor Address: / Fax#: { l C�ohntatorpSisiogsnatue: now"? 8 sdposd stdtbatios. aa000edsaes If other man is being date a4 its bat Ift Tom°°t ar site,list the budding petmit umbar: Cl EMecft LP Natural Central MAY O on r other-S . MSCHAANICAL EQUIPMENT TO B8 INSTALLED• NATURE OF WORK a _Air Conditioning: —Room pd Floor O Residential ;'4 ,Y: O Dttct system1Vlatettai —'Ibtel ms O Ca®ao l _�''' t7MIXIdnUm capaay - Cin a New Bui>dm8 "' t : - O• Cooling Tower:Capacity m Number of Heads O Fite S WinkhMauM Eaatla (Number) O Replacement of Fxi>tla�Sysie4;� ' OQ=-Tdasolioa (Numyer) O New InstdlatiRn y ` ' Q LPG Cos�sinea Number)(8*5 (NO sysam O='Unfired Pressure Vessel v Etteasion or Add-on •• ice• ` aLiViiRa O V Wc+ Specif �.-. .Gas piping LIST ALL 19QUIPARM _ T.r AIR CONDIiTONIIVG,RSFSIGERATiON F.Qi nIaNr R tANDENSOR'S ``i ' ' Narobar t)ain Dacrrytiou Models Maoufi Tan's ;�IgeiW. T. Z�-C Fz vatic ': 'HEATING–yUzr4ACP.g,BonAM&F=M.AClL4&AIR HANDLER'S , •< '-" :Dhrmbar Uaitt Deseriptim Model s yea 'BTU's Alm � i -Amp Z �,; ��� %tit 20000'..::4 L TANKS Nemio.l Capacity Type LkUW said AnwvjmS How M NO. : �. 800 Seminole Road•Atlantic Beach,Florida 3 Phone:(904)247-5800• Fez: (904)'147-S84S• htta://www.ei.aMatttic-b_e_ad&us; t rls�d'1J�04 GENERAL NOTES AND SPECIFICATIONS Stavridis Residence 3� Ra ST. Atlantic Beach , Florida SITEWORK 4 1 Clear and grub as required for the new addition . 4*d' trees are to be removed . Final grade as required for landscaping and irrigation by Owner . Fill to be clean sand , Free 6f foreign and deterious material , compacted to 95% Modified Proctor or equal . CONCRETE All concrete shall be minimum 2500 P .S . I . Steal trowel interior slab surfaces . Light broom finish on exterior patio slab surfaces . CONCRETE BLOCK Foundation walls shall be standard 8" X 8" X 16" concrete block , running bond . ROUGH CARPENTRY All wood in contact with concrete or masonry shall be pressure treated . All other deminsion lumber shall be Southern Yellow Pins , Hem-Fir construction grade or equal , 1200 P .S . I . Plywood sheathing shall be C-D exterior grade . O .S . B . board is an acceptable equal . All connectors and exposed fastners shall be hot dipped galvanized . FINISH CARPENTRY Doers , Base , Trim , Soffit , Fascia , Siding , etc . shall match existing. INSULATION Fiberglass batts , R-11 in walls and R-30 above ceilings . ROOFING AND SHEET METAL Flashing and eave drips shall be aluminum , painted to match existing . Roofing shingles shall be fiberglass to match existing . CLOSET SHELVING Coated wire shelving by Rubber Maid or equal . Page Two GENERAL NOTES AND SPECIFICATIONS Stavridis Residence Atlantic Beach , Florida CAULKING AND SEALANTS Caulk and seal all interior and exterior joints with butyl sealant or equal as directed by the Architect . WINDOWS AND SLIDING GLASS DOORS Windows and sliding glass door shall matchthefinish of the existing windows and doors . Glass shall be clear insulating . Sizes indicated are nominal . Consult Architect for exact sizes . Accepted manufacturers are Acorn , Kinco or equal . Provide tempered glass as required by code . Provide fiberglass insect screens . FINISH HARDWARE All finish hardware shall match as closely as possible to existing . STUCCO Stucco shall be coquina aggregate to match as closely to existing as possible . Provide sample for Architect ' s approval . GYPSUM WALLBOARD %" standard for walls and ceilings of Bedroom and Closet . " moisture resistent green board in Bath . Ceilings to have spray on "Pop Corn" finish to match existing . CERAMIC TILE 4- 1/4" X 4- 1/4" white or standard colors to be selected by Owner . Installation shall be thin set method . PAINTING AND STAINING Stain - Match existing , 2 coats Painting - Gypsum Wallboard , 1 coat primer sealer and 2 coats of interior latex . 2 coats of interior latex enamel in Bath . Colors to be selected by the Owner . CARPET Provide an allowance of $20 .00/sq . yd . installed including labor and pad . Carpet to be selected by the Owner . CABINETWORK Bath vanity , top and backsplash - Provide an allownace of $300 .00 for selection by the Owner . i GENERAL NOTES AND SPECIFICATIONS Stavridis Residence Atlantic Beach , Florida SITEWORK Clear and grub as required for the new addition . 000 trees are to be removed . Final grade as required For landscaping and irrigation by Owner . Fill to be clean sand , free 85 Foreign and deterious material , compacted to 95% Modified Proctor or equal . CONCRETE All concrete shall be minimum 2500 P .S . I . Steal trowel interior slab surfaces . Light broom finish on exterior patio slab surfaces . CONCRETE BLOCK Foundation walls shall be standard 8" X 8" X 16" concrete block , running bond . ROUGH CARPENTRY All wood in contact with concrete or masonry shall be pressure treated . All other deminsion lumber shall be Southern Yellow Pine , Hem-Fir construction grade or equal , 1200 P .S . I . Plywood sheathing shall be C-D exterior grade . O .S . B . board is an acceptable equal . All connectors and exposed fastners shall be hot dipped galvanized . FINISH CARPENTRY Doors , Base , Trim , Soffit , Fascia , Siding , etc . shall match existing . INSULATION Fiberglass batts , R-11 in walls and R-30 above ceilings . ROOFING AND SHEET METAL Flashing and eave drips shall be aluminum , painted to match existing . Roofing shingles shall be fiberglass to match existing . CLOSET SHELVING Coated wire shelving by Rubber Maid or equal . Page Two GENERAL NOTES AND SPECIFICATIONS Stavridis Residence Atlantic Beach , Florida CAULKING AND SEALANTS Caulk and seal all interior and exterior joints with butyl sealant or equal as directed by the Architect . WINDOWS AND SLIDING GLASS DOORS Windows and sliding glass door shall matchthefinish of the existing windows and doors . Glass shall be clear insulating . Sizes indicated are nominal . Consult Architect for exact sizes . Accepted manufacturers are Acorn , Kinco or equal . Provide tempered glass as required by code . Provide fiberglass insect screens . FINISH HARDWARE All finish hardware shall match as closely as possible to existing. STUCCO Stucco shall be coquina aggregate to match as closely to existing as possible . Provide sample for Architect ' s approval . GYPSUM WALLBOARD %" standard for walls and ceilings of Bedroom and Closet . 7�" moisture resistent green board in Bath . Ceilings to have spray on "Pop Corn" finish to match existing . CERAMIC TILE 4- 1/4" X 4- 1/4" white or standard colors to be selected by Owner . Installation shall be thin set method . PAINTING AND STAINING Stain - Match existing , 2 coats Painting - Gypsum Wallboard , 1 coat primer sealer and 2 coats of interior latex . c coats of interior latex enamel in Bath . Colors to be selected by the Owner . CARPET_ Provide an allowance of $20 .00/sq . yd . installed including labor and pad . Carpet to be selected by the Owner . CABINETWORK Bath vanity , top and backsplash - Provide an allownace of $300 .00 for selection by the Owner . nnCITY OF ,s �- Office of Building Official REQUEST FOR INSPECTION ?((?3 Date o�—/ —�3 Time Permit No. Received �' A.M. �7 P.M. ���X f� Jo ddr ss C) /47h 7V0Owner' 6 �- Names ocality Name IL ING Contractor CONCRETE EL qL raming ❑ Footing ❑ PLUM ING MECHANICAL Re Roofing ❑ Slab ❑ Insulation ❑ Lintel ❑ Temp Pole ❑ ❑ Final ID Sewer op out ❑ Heating ❑ Fire Place ❑ READY FOR INSPECTIO Pre Fab Mon. Tues. Wed. Thurs. Friday Inspection Made _S A Inspector P.M. Final InspectionX Certificate of Occupancy G Date //��11//--__--��..-- //CITY OF __ j 4& /S�-1&U-4s ,Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time Received J4Addrs -Locality r Owner's Name �'� Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECFh41QiC7AL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ it Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday A.M. A.M. Inspection Made / V P.M. Inspector- Final Inspection ❑ �-- Certificate of Occupancy ❑ Date PSR-3,44 7874 DEPARTMENT OF BUILDIN --- - PERMIT INFORMATION GL,OCATION INFORMATION -------- -- CITY OF ATLANTIS BEACH . a T Permit. Number * 7874 ->. ...� -._4 . 331 19TH STREET 'lass of Work: ALTERATION ---------- LEGAL DESCRIPTION --------- Constr . Type: WOOD FRAME Lot : Block: Section: Proposed Use : SINGLE FAMILY Township : RNG: 0 wellinas : 1 Code: 0 Subdivision : Selva Marina astimated Value: $0 . 00 . Improv . Cost : $0 . 00 Total Fees : $37 . 00 Amount Paid: $37 . 00 Date Paid: 2/11/ 94 .,Dark Desc - Replace HVAC - Nk HTG , 1; A/f- INC . PERMIT $37 .00 ET WATER !MFA(:T rhE S0 . 00 ATLANTICBEP'(H , FLORIDA 322-- SEWER IMPACT FEE $0 . 00 ti�au= 314 ) 246j-1233 WATER METER/TAP $0 . 00 RADON GAS-H .R . S . $0 . 00 ------- CONTRACTOR INFORMATION ------ RADON 'CAB 5% $0 . 00 Name : N & L HEATING AND AIR CAPITAL IMPROVE , $0 .00 AdreFf 41 WEST 6 TH STREET SEWER TAP $0 .00 ATLANTI : BEACH , FL , 32233 HYDRAULIC SHARE $0 .00 rpngQ Mnt_e 333 mvr ? CROSS CONNECTION $0 . 00 SEC .H IMPACT FEE $0 .00 CONST. SURCHARGE $0 .00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN 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. ATLANTIC BEACH BUILDING DEPARTMENT ti �$317.00$317.00 14 Date:: 2 2/!11194 fil �tcpt: OOM4 DC(XS By. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CAI-L-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. � / _ S LOCATION Street Address: (/`4� And C OF Intersecting Streets: Between BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the 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. Nam* of Mechanical Contractors O Contractor (Print) Master Name of SProperty Owner � Signature of Sign*ture of Owner or Authorized Agen+ ' 1 P Architect or Engineer III. GENERAL INFORMATION A, Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON� El Electric THIS BUILDING OR SITE? L ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE O WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Heal El Space ❑ Recessed ❑ Control O Flow ❑ New Building ❑ Mr Contra) 4 1 P_ 1 2 �xisting Building �'Air Conditioning: ❑ Room Ll Replacement of existing system 13 Duct System: Material Thickness ❑ New installation(No system previously installed) Maximum capacity c.f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9.p•rn. ❑ Fin sprinklers: Number of heads ❑ Elevator ❑ Manlih ❑ Escalator (nu'ntor) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pump (number) (Rocoiwd) (3 Tanks_ (number) Remarks ❑ LPG containers (number) ❑ Unfired pressure vessel Date Permit Approved by ❑ toilets ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approving j Number Units Description Model Number Manufacturer (Tons) =C., l �c CNIA O �? r HEATING - FURNACES, BOILERS, FIREPLACES Capacity Approving 3 Number Units Descri tion Mowdel Number Haaufacturer (F-M) AaMOY TANS Approving How Many Nomiwnal Capacity Type Liquid) Name of trial PP 6 and Dimensions Contained Manufacturer No. Agency CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J -r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000513 Date 4/23/08 Property Address . . . . . . 330 19TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 16490 -------------------------------------------------------------- Application desc reroof ------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- STAVRIDIS, MRS . SCHULTZ ROOFING, INC. 330 19TH STREET 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-2315 ----------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 112 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 16490 Expiration Date . . 10/20/08 --------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 112 . 00 112 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 112 . 00 112 . 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 800 SEMINOLE ROAD +✓, ;ter ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000514 Date 4/23/08 Property Address . . . . . . 1855 HICKORY LN Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8280 ---------------------------------------------------------- Application desc reroof -------------------------------------------------------- Owner Contractor ------------------------ ----------- MAIN, JUNE SCHULTZ ROOFING, INC. 1855 HICKORY LANE 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 247-5327 (904) 246-2315 --------------------------- ------------------------------------------ Permit . . . . . . ROOF PERMIT Additional desc . Permit Fee 71 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 8280 Expiration Date . . 10/20/08 ----------------------------------------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Return to: (enclose self-addressed stamped'envelope Schultz Roofing Co. , Inc. 216 N 20th Street Jacksonville Bch F1 32250 .•: iest-ument Prepared bv: Rosalind Clark Schultz Roofing Co. , Inc. 216 N 20th St. t'rnperl; A} r , �c�lYdl�il4atior�each, Fl . 32250 SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DAT N -_--- --' --- - - NOTICE OF COMMENCEMENT Permit No, Tax Folio No. State of Florida County of The undersigned hereby gives notice that Improvements will be made to certain real property, and in accordance with chart^r 713 of the Florida Statutes,the fallowing Information is provided in this NOTICE OF COMMENCEMENT. Legal description of property (include Street Address, if available) _�>' aj- S 96 &L7ZZ) 101 -e-aQ >✓Q -- ----- - - -- General description of improvements Owner's Name Address Owner's Interest in site of the improvevent Fee Simple Title holder (if other than owners Address Phore: Fax I Contractor Douglas A. Schultz Schultz Roofing Co. , Inc. C - Address 216 N 20th St Jsnvllle Bead, 904-246-2315 904-247—'R08 �'fione: _ Fax: Surety Phone: Fax:--,------. _ Address _Amount of bond Lender's Name Address:_ Phane: Fax: Pbrsons within the State of Florida designated by owner upon whom notices or other documents may be served Is Jf vidsd by Section 713.13(1)(a)7, Florida Statutes. Name Address Phone: Fax: in addition to himself, owner designates Of Phone: Fax:----------_.__ ^l to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(bi, Florida Statutes. (v x Expiration t of Notice of Commencement(the expiration date is 1 year from the date of recording unless a different date is ,,ciflo(O MI Signalme of Owner Printed Nnme of i?—, kf, 1 I I elted upon the fe swing identification of the Affiant �� 't;�?•y MY COMMISSION#DD 544427 - ------ -- - - S n and s Bt �`• :; EXPIRES:August 25,2010 subs ri$�ed f rc thi -----------. 95 '.', o��hd•` gandedThruNtNarYPWNcUndernritart --------._-----__--. _ .. Notary Signature Printed Nnme �s�ver 40 -R-21 - o CITY OF ATLANTIC BEACH 07� I I I I ' .11, 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I I OFFICE.(904)247-5826•FAX NO (904)247-5845 BUILDING-DEPT@COAG US BUILDING PERMIT APPLICATION DUVAL COUNTY 14/f s' 1 JOB ADDRESS 12,VALUATION OF WORK: 3.SQ.FT.UNDER ROOF !� 9�5d Atlantic Beach, FL ? `62'50 4 LEGAL DESCRIPTION: 5 CLASS OF WORK: 6,USE OF STRUCTURE //// C1 NEW BUILDING ❑DEMOLITION ESIDENTIAL LOT_BLOCV,3 SUB DIVISION /y ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK. ❑ALTERATION -_ 11ACCESSORY BLDG. B.FIRE SPRINKLER Q,f4EfYdit Y-e.r0 0"r f ❑POOL/SPA ❑YES El N/A PC-() ce ��� c s.Yh ��F 3 t I G D ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER: 9 NAME 15.COMPANY NAME. 23.COMPANY NAME G�/,'f11�c�,r��%A<n, jQr Schultz Roofing Co, In 16.NAME- 24 LICENSEE NAME Douglas A Schultz 10.ADDRESS 17 STATE OF FLORIDA LICENSE NO. 25.STATE OF FLORIDA LICENSE NO. /c�55�iG,�,ey �• CCC 0636989 18.ADDRESS. 216 N 20th St 26.ADDRESS- 7iG 18PA6A 1 Jacksonville Bch, F1 11 OFFICE PHONE. 12.FAX NO.. 19.OFFICE PHONE- 20,FAX NO.. 27.OFFICE PHONE. 28.FAX NO. y,75� 246-231.5 247-3808 13.CELL PHONE 21.CELL PHONE. 29.CELL PHONE. 904-759-0063 14 EMAIL ADDRESS: 22.EMAIL ADDRESS: 30 EMAIL ADDRESS: schroof2315Cayahoo.com FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31 NAME 33,NAME. 35 NAME. 32 ADDRESS 34.ADDRESS- 36 ADDRESS Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,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. 222 WARNING TO OWNER: 22 YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR r of Attorney or Agency Letter Required) (Qualifier Only) Signed: Date: L7(-110Le Signed: Date: Before me this day of 2007 in the county of Before me this _ 10 day of 2007 in the county of Duval,State of Florida,or/� has personally appeared Duval,State of Florida.has pQers�o2nall appeared Fl herin by himself/herself and affirms that all statements and declarations are herin by h sel /herself and affirms that all statements and declarations are true and accuratetrue and accurate. Notary Public at Large,State of County of Notary Public a Large,State of�_.County of --- ❑P rsonally Known - 4nPersonally Known Produced Ident%�o- �'" ❑Produced Identification- Notary Signatur Notary Signature: - r MY COMMISSION 4 DD 644427 �6-. ,= EXPIRES:August 25,2010 ' PG ' Baled Thru Notary Pudk UnderNYON ,, ROMND CLARK tie: r. MY COMMISSION N DD 644427 COAB FORM BLDG01 REVISED-.8/29107 r EXPIRES:August 25,204 B=W 711vu Nott>ry Ptblo urn to: Icnc-lose self-addressed stamped envelope t Sc iltz Roofing CO. , I:nc 're`s"216 N 20th Street Jacksonville Bch Fl 32250 Instrument Prepared by: Rosalind Clark Schultz Roofing Co. , Inc. D11#2008098173.OR BIS 1't464 Page 1796, 216 N 20th St- Number Pages:1 T � � Yd �eaeh, F1. 322 0 Filed&Recorded 04'1712008 at COU AM, pr_rly n !,- o JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RFCORPINC,I­'-­ SPACE n` NOTICE OF COMMENCEMENTi7eq30 -/y-34 Permit No. Tax Folio No- I State of Florida I 1 County of 1 The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with charter 713 of the Florida Statutes,the following Information is provided in this NOTICE OF COMMENCEMENT. I Legal description of property (include Streetddress, if available)�_5J 1 General description of improvements ----- --- - Owner's Name ---------- _._ I Address Owner's Interest in site of the improve eni ----- - Fee Simple Title holder (if other than owner) --- -- ! Address Phore: Fax: Douglas A. Schultz Schultz Roofing Co Inc. C 'D- - I Contractorg -- - address 216 N 20th St Jsnvllle BeaE , Morie 904-246-2315 Fax: 904-247-3— .. I Surety Phone: Fax:-- - - Ir?ddress Amount of bond I Londar's Name II Address:_ Phone: Fax: ---- — -- - . Persons within the State of Florida designated by owner upon whom notices or other documents may be served as= pro- vid!Rd by Section 713.13(1)(a)7, Florida Statutes. Name - -- --------- Address _ Phone: Fax: -----_.__-- . In addition to himself, owner designates - of Phone: Fax: — ----- ^l c to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b+, Florida Statutes. (� Expiration r' to of Notice of Commencement(the expiration date is 1 year from the date of recording unless a different date i:::sc Signitme of Ou•nrr Primal Name.r(l •�ro } _ t I h• clicd upon Pic fojl})wing idcn!ificahnn of!hc •lffi-n! MY COMMISSION#DD 544427 - — 1� -* S Glen 116 Find subsrri�cd f rc this __. .—.-.. - _ - ---------- n i ` ;' EXPIRES:August 25 2010 of I dc; BoncWTt!n,NaanPnnt�u d�wrrte ------------,--- ' och _ Notary Signeuvr Prime)Nnme - -_--_---_~ Qs;ve{ Wv Voo_ aoy- 4a - R-11 - 0 APPROVED CITY OF AJILANTIC BEACH r; " BUILRING OFFICE 9 7 P B 12C�' fo ' �K ioI a 0 I i I � i " 4 '�11Qk* � t �eYoVEs t� .v Gd >.y' r\ i/ \ UIQ ;GAN GL I P Gow71NUOJ5 V 014'r Z i 2 ''X 4" i%1'. ,Qfit:t W ttH D� GP x co '' Loi --w v Y (� X ?ac►Qss- t < i. S�Ip � .!►Lt�juG ^��-"� vr� ,�.��. v���.Ti'"1rID�-d Qj i! v i N i M U fvt 'G DC7 W -Ii Ike -�•, V 1�i�Y ;ALL Gregb� Ahlr/ GY�VAtiOrl� 1. Co Ivy FLY W l-rH A Lir f . LaM�' p.L �I)cr'•��io� � � P�Ov L2'� u ,�. �LGti'��GAt. ANS phON� � V►G,� �jr� !�►QDF'�� GitGGialrtk^1,r.' �i-�n ��hA7;aNP+U S. �t�c1'r�2iGP�L MK �"{✓►'q S;�^�� !�� P`�us;i W;1'K �v. ZOV t b� Ga M OV rM W H .r 5 W ;'"G t 46�,:5 �''�i•l io 7 �K t�i4-i>✓w !<X NAU�r �Jt�L to `.,!uTOt.,I� V 2��t,N�30 Iz G?- 1 M�� t Jf+l,. ro rJ U ro�� �A 4� w w �?^c� A;~si�o�eMrQ N r.O tom' FLU Ml3IN t . �aMh°i~Y w;1"t•� ALL /��'�'L1GA�L� Goo�� eW W, Nit -Tu els - S K - -745 W!rH VA u.eY TrQ 1 M LAVS K • Z!g g W rH VA ieY TIFIQL I M �-,-I.KCfk•Y _ jii4Y�R GOr�H�G't'!Qt••-1 �X,y�c,;,1g�-r i�QY��. s,! P—PARTMENT OF BUILDING 5 7 7 8 ,CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date JANUARY 19 19 Lc Valuation$ 1,500.00 Fee$ 15.00 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that CHRIS RAISNER P. 0. BOX 16136, JACKSONVILLE, FLORIDA 32216 has permission to build ENCLOSE PATIO SLAB INTO PORCH WITH ROOF. Classification SINGLE FAisiILY Zone PUD Owned by GEORGE; STRAVIDIS Lot 3 Block .__---- SID SELVA MARINA House No. 330 19TH 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 �L---� O Building material, rubbish and debris i from this work must not be placed in public space, and musta cl31en re j up- ant AAWed away by Pl _, tract or owner. - 01A I 7 iJ U 5 B�il#tng T7'T'q I-6 FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER I FOR OFFICE USE ONLY Date..........1...:...L-,g---..--19k-2" ---S A Permit # r----Fee$--- `_d6. ----------- .1+1-, CITY OF ATLANTIC BEACH Valuation $.._/..S '-0cp....................... FLORIDA House #----3-30.__/x- 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�N-`-l-.C�./�-�.......f�I---------•-------•---, 3-- c �<< Z, ,-.�5�7 v! -- ddress._.. .....�.......ST--------------• Telephone No...- ....... 5 D15---------------- Architect... ---. -------••---...------•-------------------Address.........----••---.............-----.._.........----•.-----Telephone No.----•---•--_-_----------- ' 5-... Address..P. '. � .1_G7.l. -4'----------------------Telephone Contractor Builder...._ .(fRl_. 13-1-SN. �,---.----•--•--•------•- ` 2�1 Lot No--------------- ................................Block No..---•------•----. -- Sub Division... F-EL - (.,±}__ .14 ./. ._. Zone. -Street _. . --Side Between-- ---- - ........................................and----------------•----------•-----•--•---------_-------Sts. . Valuation $-_�S.__----_-- PrP UO.-_-.-----._For what purpose will building be used .- - -------------Type of construction_.._!'g/4_!''t c-•---.------ gs---' 2 Dimensions of Building---11_. _� ---1.ZI__P--Dimensions of Lot-----------------------------------------••••--•- Size of Footin �.-K-�-------•---.._....-----• Size of Piers--..----_-----------------------.Size of Sills--. - - _ _ _ ---.Greatest Sill Span in ft...--- __--_--.Type Roof.... -•---- .Will Building be on Solid or Filled Ground?..-------------------------------------- Size will Building be Heated?- -- - -- .... ----------- - - ------ g --•----------- Greatest Span...............•-------•-----------•------- „ Size of Ceiling Joists---......_-------------------------------- Distance on Centers_ _.._... ...._....__.__.. , Size of Floor Joists---------------............................... Distance on Centers.. . ....................... Greatest Span---._...---••--------••-----•-•------------- » Size of Rafters_-----.--Z -g--.-- .-- -- Distance on Centers _._.. ....V..---••----------- Greatest Span-------.1-4-•--v-....•----•------ This rectangle is to represent the lot. Locate the building or buildings in the A P ' R 0 V E D' right position. Give distance in feet from `� f i';"F'n FEACH all lot-lines and existing buildings. r c= -5-106RWM LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. ,�� Z z 2. When steel is in place and ready to pour columns a or lintel. a a 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. P®$CMZ 7. Electrical inspection by City of Jacksonville. 8. Final inspection. 1�l5 Note: In case of any rejection,re-inspection MUST be called for after 2v+ corrections are made. -�jj>C3WAKT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. c' '` ...... Address.. = cl'.._.. -- ..... Signature of Builder.. -4..-..._ Signatureof Owner_.. ....----------- ----_--------------------------.-..---=----•---•------ Address---•--------------••-------------- ------•---- C 171' OF. ATLA';7 I C ':BCH 716 OC CAN �UUL E:'ARD ATLANTIC BENCH, FLORIDA ADDENDUM 10 BUILDING PLAN EuiIding Lo--ation: The attached plan for the above building is approved subject to ;,,eeting the tollo,;ing applicable construction requirements: a. Footings shall be continuous monolithic concrete under exterior %-=ails, reinforced with two 5/8" deformed reinforcing rods for one-story buildings and three 5/8" deformed reinforcing rods for two-story buildings. Reinforcing rods shall be placed in the lo.Jer one-third of the footings , properly placed and fastened on metal cables with wire. Footings shall be six inches wider on each side than the V.a11 above, shall be at least eight inches thick and shall rest on firm soil at least twelve inches below undisturbed soil . b. In hollow masonry unit construction, each unit cell shall be reinforced �:ith at least on No. 4 bar at all conrners, poured and to.-ped with concrete; such rein- forcing shall be properly tied into the footing and sandral beam. C. All ti•,00d truss rafters (roof construction) , shall be securely fastened to the exterior walls with approved hurricane anchors or clips. d. Construction of nearby one-family dwellings, ,v.hich are duplicates or intensely similar, shall be avoided. Such similarity considers the external conficuration and appearance (i . e. , roof, outer v.a 1 l c,a t er i a 1 s, window s i 2e and des 1 gn, and other like characteristics) of structures. - In accord with the foreooing, siriilar and shall be at least 500 feet apart if any one similar &.,elling is visi-6le from, any other similar dwelling. e. The final Connection bet­:een the house plumbing drain and the se_:er=service connection (at the property line) must be inspected by the City before being covered_ City Ma:ager undersigned hereby certifies that he has read the above and understands that this ,ndum takes precedence over any contrary details to the plans and specifications and les to ccmply with the intent of this addendum. Cont r actor/O:rner -= Date DEPARTMENT OF 'BUILDING PERMIT NO. 4098 CITY OF ATLANTIC BEACH, FLORIDA i PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB F Date 19 Valuation$ 19 6n.-. .77n 72 Fee $ - 58 04 �. --- i This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. t Groves 3r. C This is to certify that____&mLy TL I r'nr.1,ru:rn cif ,iii,,, 7L3 1 7/i1/? 11 has permission to build , g �U?L �f1OC ti'nat classification Pnti 1 7nne Owned by Lot � Bloc' S/D Selva Marina 12 House No. 330 19th- cr,-c+at According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE 0 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 contractor or owner. Bill 24. Davis Buildina OE/icial. tt FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER I PLUMBING E ELECTRICAL SEWER f WATER I DEPARTMENT OF BUILDING 4100 rPERMIT NO. CITY OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB ' Date—7/ 19 L Valuation$ Fee $ 11 00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. i ):' Wl r V1 l�incr �,tl _ vy This is to certify that a i •' has permission to buil 1 I ` residI Classification ent;^' sone Owned by Bloc'- S/D Sply^ Aj^ri a i Lot 1 House No ''O 19t�, qtr n According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE ♦ __► O Building material, rubbish and debris z from this work must not be placed in public u and hauled away by either contractor or owner. Bill M. Davis j Building official. i c FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING I ELECTRICAL FE F SEWER G WATER V FOR OFFICE USE ONLY OTAaM T0 C W;1111`,Fl THE MECHANIC'S Date.2...-..4.l......_... Z�7 .......19 DZEE,S'ULT IN THE PROPERTY "�X I Permit .....yes$ � flT) OWNEM PAYING F � �;F AlUARWACH Valuation ............... Um"RO.VEMENTS., FLORIDA House # - ' ........ .4---_...............- ....... Et.... 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............................. ...-....4."_.-•----•--•--....... 1911. Owner. ------------------ ............Telephone No,.Z� ------------ .... .......qle.� !6 ....................Addresm��/ r2 �(7 Z4 14 'h.9:.// Telephone No... Architect.....&cg . .. . ... ...... 'I---------- ... .................Address.�Y/....26�j ,V.Telephone No....-- ! 7 A .. ... Contractor BuilddVX9P.F0Pg`---T. ....—--------------_------ 14 Lot No----------------j ------Block No... ���...a---Sub Division.--_,;.r' '/V- -----------------Zone... _. ,47---------------................-Street---------------- --------2Side Between.....................................................and.....................................................Sts- 'JV�h ........... ....................... will building be used;�W_er4_:i--a.'_..._.._--Type of construction.&A.rZ Valuation :::::.-For what purpose /�2 p 07- .....................Size of Footings.../V... Dimensions of ----Dimensions of Lot... ........ f., -1"Af ............. in f t;3&..ik...4;��4ype Roof..A�,4.&Zt..ng! /Nlo/ES' Size of Piers--- ------- -----Size of ........Greatest Sill Span ------------ xl.�_ 3=/�'/ g Filled Ground?.Zo/J...4/Z hy-J.Si4re ,4,711,ql h�,f7_,.. _.... How will Building be Heated?-. ................................ Will Building/be on Solid or Size of Ceiling Joists,&,.,hL6...75?�e-ss.?U-, Distance on Centers............1�� ' -, Greatest Span---71Zi2-5.!295k............ go �•�/--•------.......Size of Floor Joists-----4114. .........................Distance on Centers...........c;2 ...... Greatest Span.......... ............... ........................... Size of Rafters..___7� .......................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. JUN 6, 1079 REAR LOT LINE—I Two copies of plans and specifications shall be submitted with application. Inspections required. VY OF ATUiNTIC BEACH 1. When steel is in place and ready to pour footing. W C Z Z 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. E-1 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. vs7. Electrical inspection by City of Jacksoville. r. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. r AI Z?'e 09r/ Address.. ..................r /............... Signature of Builder------------ --------- ... ...................... -••-----------..... ..................... Signature of Owner... . .. ....I. .. . . . .../.. .—................ Addren"3s.'i Building Permit # 4098 Electric Permit #2481 2480 Plumbing Permit # 10, .. INSPECTION RECORD JOB ADDRESS 330 19 th. Street CONTRACTOR Henry Groves Jr. OWNER Henry Groves Jr. TYPE Mj E RF1+ AR M IR'Sk'Fr.�.'OR FOUNDATION SLAB - PLUMBING (R) SEWER - TEMPOPARY POLE %w LINTEL/BEAM COLUM£I ELECTRICAL (R) PLUMBING (F) _ FRAMING - ELECTRICAL (F) OTHER FINAL _ - CITY OF hTY,h Oxy QU OMANs ARD FT,pgiDA pTTWC BEACH r ' 1,U 16 ^'�Q� E Y meting the following Co 1, suilding location' is approved subject to above building reinforced with foY the irements: walls, .�,� attached Ply er'ior a 5/aN deformed 2. construction rem concrete under e� and the the applics�=la oonstru monolithic building be Placed 11 be Continuous s for one-story in coda shall l saddles y�t.in s she s Riei,nforc g an meta above. a• deformed reinforcing Bto=Y building and fastened the wall two 5/a for �O- Properly Placed side than least twelve rads the ¢outings• P wider on each reinforcinthird on a shf►11 be six inches lower olie- ti 9 thick and shall rest on firm soil a With wire. Footings ht inches with at shall be at least Big fox'®�+d soil shall be rein undisturbed angina g lames with concrete; such inckbes helms each unit construction► and Spandrel beam' bollowcorners cared b. -I� uo 4 bar e t ropertied into the f,�i.ing hely fastened to the 1 shall b P ,,,all, be se reixiforcing tion`! , aha rafters hoof conte e a chore or clips- 00 huxriCan tensely c. All woad walls with alPrOved are duplicates ° fig, ation Anterior wha rh e -ernal and onSuch dwellings'considers the of nearby guch similarity window sire and deogs Similar d. Construction be avoided. wall materials, e fo- similar• sh�ill roof, outwr 'In accord with th each rs Ci.e.► Of structures• Close proximity of ea and �►PP�an' con Within dwelling is other life characteristics 500 feet apart if any one similar or dnPlicate hopes shall not be other, and shall be at least other similar dwelling• Beer service visible from a1►Y lnMbilyg drain and the fora being emiction between the house P inspected by the City be e. The final conn a Property lined must � connection tat th covered. city VAMger that s he -As read the above and understands that this The undersigned hereby certiDs fiec�atrasry details to t::s plans and spec addendaw takes precedence over any and agrees to comply with the intent of this arl3end� CSO rntnt Ct r/Owner Date C rry OF ATTAR'IC SEAM D M"RR CONNECT rOiQ DATE V')rAT ION _,..__, 330 19 th. Street _ OWNER Henry Groves Jr. PTA"ZNG PIRH _ MAST} --- BUILDER OR c-.-AITFACTON __ _ Henry Groves Jr. TYPE OF BUILDTyG s/f dwelling — Residential —2.,._ BAMOON GROUP CONSISTING OF WATER CL04BT, LAVATORY 6 HATIMVB STALL n R SNowER STALL (6 u n�t g} , DOtrlggT T,_. _...., "UB � _.-...._,S'UdwER3 GROUP PBR IICsAD rur ( rrH OR � rMoUI'P OVER FTEAD Ste) P units) —�9"GaM'q SINK (3 unit• ) 9TDRT ( I units) _ RU'3HING RIM sx, ( vini f c'OMeZNA'!►YOIJ SINK ANn TRAY (3 uni tri} • ....•SERVICE sIN!(TRAP 9TjWD svr r "►lBINAT ION $INK �, TRAY w/irppD DIS --- _ �'. SCALLERy SINS+ (4 units) urs ' to, . F-WAL UNIT' OR CUSPIDOR (1 unit) YN tML• PRIM9PA L BL�TOtlP (g units) ..._...,DENTAL LAVATORY (I unit) ...i._.DR INKING POUNTA TN (� Unit) WALL UP (4 unitar) __..�.2TSffW qHn (2 units) 4 unf t UR YlT�1,L 'PRom q SACy 9•-Ft.41L _ F TA)OR DR*SNR V 'In i t r 1..r..•l'Tc"H N $TNTC ( ,.�tti�,1 1 .-01�1.4HYNG M?�.t.Ii7NR RRS. 'ITCHER S rSK W/P000 WASTE OF FAUC:C R TNDF - ..SSA SINN '�,A. 4I:R' (3 units) ts} LAVATORY 0 unit) CLOSETS, TANK OP. 40n ----�AVATORY. BARDn. BEAU'T'Y pARLOR - .. IRR CLOSMS. VAI,Vr OP.Rtlr+i (2 units) — I,i�C1BDRS TRAY (� __„t+UN11'1'ORY, st>R�asgs (2 uni'a) CITY OF AT7.ANTI C BEACH APPLICATION FOR PLUMBING PERMIT 0ATE_ e= 330 19th. Street PLUWING FIRM. MASTER PLUMBER C-IT /CO'[IT'a'sY OCCUPATIONAL LICENSE NO. / " STRTE CERT°] ICATE NO. I A _ BUILDER OR CONTRACTOR Henry Groves Jr. 'P'I'PE OF BUILDI!5G s/f dwelling - Resdiential / SINKS SHOWERS �_LKAVA`'ORY l WATER HEATERS MTH TUBS DISHWASHERS �.a.URnfALS DISPOSALS CLOSETS / WASHING MACHINE LOOR. DRAINS OTHER— //TOTAL FIXTURE COUNT INS'T1lLLH'PIO,�i' OF PLUMBING AND FIK'TU3REb HUST BE IN ACCORDANCE WITH THE MOST RECMqT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE f�TTY OF ATTANTITC BEACH APPLIC-4,TTON FOR 'KATER CTrr,-TN APPLICAT-10bi Tf; HEREBY MADE rW,____3j_4�:_Tq2,.Ad WATER CUT-IM AT THE FOLLOWrNG �DT)RESS F0RI_­_­_­_­1 Ur,IT (S) P_VT--TN CMRGE OF 6.00 Const. Water STREE'r. KO. 330 19 th. Street L'T—,—, Unit 12 ACCOUY17 MA.%'ER PIAIM.'SER MAILING ADDRESS DATE---. METER 7V V3 -:Zf3 DATE INSTALLED, Z 7� 330 19th. Street 3 Selva Marina 12 Henry Groves Jr. s/f Dwelling - Resdiential 5411 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH FERMIj INFUIiNAILINI LOCATION INFORMATION lermit Number : 5411 ,ddress: 330 NINETEENTH STREET Permit Type: UTILITIES ATLANTIC BEACH, FLORIDA 32233 .less of Work : NEW --------- LEGAL DESCRIPTION ------- - Constr. Type: WOOD FRAME .0t : Block: Section: Proposed Use: SINGLE FAMILY Township% RNG: 0 'vellings: I Code: 0 ubdivision : .stimated Value: $0. 00 Improv. Cost: $0. 00 Total Fees: $344. 29 Amour., $344. 29 Lm IRRIGATION OWNER INFORMATION APPLICATION FEES ----- STA V RI D I S PERMIT $0. 00 3'-10 NINETEENTH STREET WATER IMPACT FEE $0. 00 ATLANTIC REACH, FLORIDA -.:°EWER IMPACT FEE $0. 00 (9041 )246-1597 WATER METER $85. 00 RADON GAS-H. R. S. $0.00 CiLINTIPACTOR INFORMATrom RADON GAS - 5% $0. 00 Name: qjj'iL.JC WORKS DEPAR`� WATER TAP $259. 29 Address: SEWER TAP $0. 00 HYDRAULIC SHARE $0. 00 1-iceneez Type' RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $0. 00 NOTES NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: PSR-3844 7 4�3 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION ------ ----- LOCATION INFORMATION -- r:rtit t4umber : 7493 4idress , 330 NINETEENTH STREET Permit Type: MECHANICAL ATLANTIC BEACH ; FLORIDA 32233 ass of Work ; ADDITION =______= LNAL b199CRIPTION --------- onstr . Type : WOOD FRAME Tat : Black : Section: roposed Use: SINGLE FAMILY Township : RNG: 0 Fellings : 1 Code : 0 ubdivision: -.timated Value : $0 . 00 Improv . Cost : $0 . 00 Total Few; $25 .00 ,' _ Amount $25 . 00 (/ --- 'W€VE�K INFORMATION ---- ---- APPLICATION FEES ----- Name : PERMIT $25 .00 ldr-:-Ts : 6 N"?FTEENTH STREET WATER IMPACT FEE 10 . 00 ITLANTIi- SE : `H FLORIDA 32- -EWER IMPACT FEE $0 Phori+e': X 90, 24-' a2 WATER METER/TAP $0 . + RADON GAS-H .R. S . $0 .00 -- CONTRACTOR INFORMATION -- ---- RADON GAS - 5% $0 .00 Name: O EAI4 --317 .TE HEAT & �, CAPITAL IMPROVE . $0 .00 i,?ress : 1476 F:TLANTIC BLVD . SEWER TAP $0 . 00 NEPTUNE BEACH , FLORIDA 32231 HYDRAULIC SHARE ,50 .00 ar_^ MHA' 786 T•" ' CROSS CONNECTION `S no -" SEC..H IMPACT .FEE CON . SC--OTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' CE FOR BUILDING IMPROVEMENTS.iN THE PROPERTY OWNER PAYING T pp��� ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUCT TO REVOCOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. TENDERED x•00 RECEIPT NUMBER: 110972 ATLANTIC BEACH BUILDING DEPARTMENT By:- 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 ddress:_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) OC e.� /g / Master �� CEJ _ —j Name of Property Owner J G/ Signature of 0wniL - - Signature of or Authorized Agent / Architect or Engineer III. GENERAL FOR A, Typo of Metin fuel: B IS OTHER CONSTRUCTION BEING DONE ON _==%!PIS THIS BUILDING OR SITE ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION Cl Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) k Residential or O Commercial Heat ❑ Space ❑ Recessed Central ❑ Flow ❑ New Building Air Conditioning: ❑ Room [❑ Centre) Existing Building E*Duct System: Material a,— Thicknau&_ O Replacement of existing system 161 Maximum capacity 7 n 4f:> c.f.m. El New Installation(No system previously Installed) ❑ Refrigeration � Extension or add-on to exlt��stem_ ❑ Cooling tower: Capacity 9-PMOther — Specify I— Cl Fire sprinklers: Number of head- 0 Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE POR OFFICE USE ONLY ❑ Gasoline pumps (number) (fid) ❑ Tank- (number) Remarks ❑ LPG container- (number) ❑ Unfired pressure veuel ❑ Wlen Permit Approved by Date ❑ Other — Specify Permit Foe LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Unites Description ][oriel Number Manufacturer ( ns) cy HEATING - FURNACES, BOILERS, FIREPLACES Capacity A.PproVing Number Units Description Model Number Manufactures (Irm) ,Agency TANKS Flow Many Nominal and Dimensions Capacity Type Liquid Name of Serial Approving Contained Manufacturer No. Agency //�'4&u ,/CITY OF /3 , Office of Building Official REQUEST FOR INSPECTION Permit No. Date A. Time PM Received 1 .3 Locality Job Addr Owner's Contractor CONCRETE ELECTRICAL PLUMBING MECHANICAL❑ Rough Wiring ❑ Rough C1 Air Cond.& ❑ Framing ❑ Footing ❑ Temp Pole ❑ Top Out [I Heating 11Re Roofing 0 nal Slab ❑ Final ❑Sewer ❑ Fire Place Insulation Lintel Pre Fab READY FOR INSPECTION Tues. Wed. Thurs. Friday P.M. Mon. A.M. P.M. Inspection Made Final Inspection ❑ Inspector Certificate of Occupancy ❑ Date CITY OF n V�> Office of Building Official d" REQUEST FOR INSPECTION �t A �0, 2 3 Permit No. �/ ,3 Date ` 7 3 7 r f Time A.M. District No. Received P.M. .� 30 / 5 Locality Job Address /s r Owner's Contractor `� < Name ECHANICAL BU CONCRETE LECTRICA UMB ❑ Ro mg ugh ❑ r ming Footing Heating Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. W Thurs. Frida �� _ �• 2 A.M. P.M. Inspection Made Final Inspection❑ Inspector Certificate of Occupancy Date nn nCITY OF ` Office Of Building Official REQUEST FOR INSPE I -7,,-) ,6 7 "� Date � ( TimePermit No. �7 A ; Received Cn P.M. Job Aqd pss Owner's Locality Name El noting Contrac r BUILDING CONCRETF Q Rough irRou ELE RIC L Framing i`g BINGE MEC ANICAL Re Roofing ❑ ❑ Temp Pole Air Cond. & ElInsulation ❑ Lintel ❑ Final ut ❑ Heating ❑ Fire Place ❑ Mon. READY FOR INSPECTION Pre Fab � S Tues. Wed. Thurs. �j 7 Friday Inspection Made ` J S A•r M. � 9. � n Inspector � anal Inspection Certificate of Occu ncy ❑ Date PSR-3844 7287 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION LOCATION INFORMATION -- Perm t Number : 7'287 address : 330 NINETEENTH STREET Permit Type: BUILDING ATLANTIS" BEACH , FLORIDA j --_~-- LEGAL DESCRIPTION --- - Aars o -- - cr�str . Type: WOOD FRAME Jit : Block; Section: Froposed Use : SINGLE FAMILY Township-. RNG : 0 Dwellings : l code: 0 Subdivision: Estimated Value: $13144 .0 ' Tmprov . Cost : $0 .00 Total Fees : $242 , 48 Amount T? x_ : 5242 . 45 Da-­zr ! 9!93 BEDROOM ADDITION ANU r"OVERED PA'Ti ER Flan!!! H;�F- � is a _ _„y - - - - -- APPLICATION FEES -- -- Name , F 17TAVRIEIIS PERMIT $120 .00 Addre,"<x A740 NINETEENTH STREE' WATER IMPACT FEE $120 .00 `i4. 8Ea<ti_H , FLORA:: "EWER IMPACT FEE $0 .nn Phar : _ Y 246-1 �? tAT6t' METS z,xo5RAID= ---'R . S . --- - QOtjTRACTOR INFORMATION -_-- RADON GAS Nayrie ` RI'1''HA.RL F f CARTER WATER TAP $0 .ou Address : ?P 7 1 :8-V iCH$?DE COURT SEWER TAF $0 .00 ATT. BI.TT-^ BEACH FLORIDA 32 HYDRAULIC SHARE $0 . 00 Type: 2 CAPITAL IMPROVE. S0 .00 SEC .H IMPACT FEE $0 .00 OTHER $1 . 24 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 UBJECT TOj@WU FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. TOTAL $242.48 iME $. D 00 RECEIPT NUMBER: 105113 ATLANTIC BEACH BUILDING DEPARTMENT By: f FLA. LAWS FY 711..1173 T RAMCO FORM IO$ raft �e of .,a trR[►ARC IN OUPLICA7o fuh0m it Mq =M= The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property................330...19th...S........ Atlantic.......... ...,Beach......F1..••. 32233...........•..•.....•..........•...... .............................................................................................».»............................................................................................................................................ ..................................................................................................................................................................................................................................... ............................................................................................................................................................................................».................................................. General description of improvements.............Addition of bedroom: bathroom,» and N ..o. g.rR .....patio i .......................................... .............................................................................................»....................................... ..........................................................................................................................................................................................................................I............... Owner..........Col....................................s...................................................................................................................................................................... Address........330 19th St. Atlantic Beach, Fl. 32233 Owner's interest in site of the improvement..................RAP....:iMP.le........................................................._.................................. Fee Simple Title holder (if other than owner) Name............QQJ.A....S.tavr id i s .......................................................................................................................................................................................... Address........330...1 9th...St.......Atlantic...Beach.'.....F1' . .....32233.................»»........................................................ Contractor....R j•cha r.d....E.«....Gay x er:....L T ....Q.4. �.�9. ........................................................................................................... Address.............1. .7..2.....B.eachajd(tt ....C .: Atlantic ........»............ Surety (if any)..................N-A...........................................................................................................................»...»................................................. » Address.........................................................................................................................................................klylotw of bond $................................ Name of person within the Stat,& of Florida designated by owner upon whom notices or other documards may be servech Col. Stavridis Name .......... ................................»....................................................................................................... »»........».................................. Address..............3.1a...1..9.th...S.z.,.... .Fl......32..2...3.3... ..................................................................... In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name ................................................................................................................................................................................ ....»._................................... Address............................................................................................................ . _..�.. ......._.._.w............ .............................................. TNI$ •PACK FOR RKCORDKR'$ U$K ONLY . .....5 :».....:.......................... Ownor Sworn to and subscribed fore me #Ns••.•:••••7••�............. JAMES n. U(}hlYr,OMFRY ......................... o1j'�G .f .................. 7 4orn?v ti4r Com, , Exp. 12/08/96 d�Y .,... ..19 , ;,aJ Bonded fly ,erv., - Ins / t,,"o. %CC245184 a4 ,scnr w om l ............ .. .. »......»......«...»...... 'C Nola Public CITY OF ATLANTIC BEACH BUILDING PERMIT CALCULATION SHEET Address 3O S T _ Date cl _ 5 " ? 3 Heated Square Footage 2 Y8P @ $-1310 per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch —@ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $---�- -� Total Valuation 1st /1'z,_/VV 6 $ 6S�J Remaining Value $ N per thousand or portion thereof TOTAL BUILDING FEE _ $_ O°¢ + 1/2 Filing Fee $ o ( ) Fireplaces @ $15 .00 $ i BUILDING PERMIT FEE $ BUILDING PERMIT $ WATER CONNECTION SEWER CONNECTION S WATER METER/TAP $ CAPITAL IMPROVEMENT $ _ RADON (FIRS) . 00 5 $- l.i L (�Y�) RADON (CAB) 00b05 $ i z SECTION H PAVING ( ) $ HYDRAULIC SHARES $ OTHER = -- r.= - $ GRAND TOTAL DUE S 2`/�2' ADDITIONAL PERMITS OR FEES: Mechanical Plumbing El ectric/New— Electric/Temp_;SwimmingPool Septic `lank �; Well_ _; Sian _-Finish Floor Elevation Survey Other. „______� CALCULATIONS and/or lvO`I'ES�._.___._..��.. CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS Owners) : Lv� �. StgJX4D" Address : t-1Phone G - %S91 Lot # Block or Unit # Subdivision: Contractor: �L� J coa1e-n— Address : &T 41Z.Ag- t Phone No: .4 ` Describe work to be done : 4-PDii jaj4 7�C ivy '�TT �LUL-,z,-V qie Present use of building : �����" Valuation of Proposed Construction: Proposed use: `�`� "'� Is this an addition? e� If yes , what are the dimensions of the added space: ft . X 16Ito ft . Will the added area be heated and cooled? - �1 New electrical ( or increase) .= New plumbing fixtures?� New fireplace? "' ' New Heat/AC? war SUBMIT THREE COMPLETE SETS OF PLANS , INCLUDING SITE PLAN , SURVEY , ENERGY CODE FORMS , NOTICE OF COMMENCEMENT , AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: `•"'�' Date: Pt � � Signature CONTRACTOR : `� Date :ttVT 443 S E P 7 1993 Building and Zoning 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 TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. l BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) D WATER CLOSET 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) WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) URINAL STALL, WASHOUT (4) BIDET (3) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS @ $20.00 EACH $ b .00 JOB INFORMATION 3 / / r C S T ARCHITECT/ENGINEERS CERTIFICATION LL COASTAL CONSTRUCTION CODE FOR ALL MAJOR STRUCTURES TO BE LOCATED WITHIN CITY OF ATLANTIC BEACH,, FLORIDA APPLICANT ' S NAM�' �J " PHONE NO 7! DATE OWNER NAME: , "QfAb, R.E. TAX NO. : TYPE OF PROJECT: ( )New Home Residential Addition ( )Garage ( )Pool ( )New Commercial ( )Commercial Addition ( Other 044 d9fthfix:W 911 STREET ADRESS• ( ) 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. -- The 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 19 Chapter 12 , Standard Building Code. ----------------------------------------------------------------- 1�4444) Windows, doors and all other exterior devices comply with the 110 mph wind load. ----------------------------------------------------------------- � ) The structure is 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 including uplift forces. ------------------------------------------------------------------- ( ) The structure is located in FIA Zone A and the foundation design has considered possible exposure to water and erosion . �\ OR 1) The structure is located in FIA Zone X and the foundation will 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 �c- components ------------------------------------------------------------- ( VVV) No excavation of dunes is included in this project', OR ( ) Dune excavation permit is 4ttached. Certified this 42;:---day-of w ------- ----SEAL--------- • (SEAL) Florida Architect 's License No. Professional Engineer's License No. PSR-3844 7345 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION L�'DCATION INFORMATION ermit Number , -1345 .ddreFs ' 33C, NINETEENTH STREET . Permit Type : PLUMBTNri ATLANTIC BEACH , FLORIDA 322- 'lass of Work : ADDITION --------- LEGAL DESCRIPTION --------- Cons.tr . Type : WCCD FRAME Block : Sect -i on proposed Use: SINGLE FAMIL"' Township: RNG: w e n, a 5 Code : r, '11bdivision: ';'s t i ima t e d Value : $0 Q0 Im1prov . Cost : 00 Total Fees : :525 . 50 a 3 %UMBING IN ADPITIu-N APPLICATION FEES ---- ;MNER iNfl-'IRVI ATION Ir R, ERM IT $25 . 50 N IMPACT FEE $0 .00 NSTETNTH sTREE'-, WATER SEWER 'T FEE $0 .00 L,-R 11 Dk IMPA(- F 1A T14k�$E, E /1AP I1iII RADON -YRS S% $0 . 00 -614TV APTOk-j-N FORMAT ION Name: "AP IMPROVE, S0 .00 P,L Uftl N 0, $nn-Q I 6tREET SEWER TAFd r e s�7� IN BEACH FLOR�f6k 322": HYDRAULIC SHARE $0 . 00 Type , tCROSS CONNECTION $0 .00 SEC ,H IMPACT FEE SO%0.0 "ONST . SURCHARGE 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 MEC�®R ICS' LIEN LAW CAN RESULT IN THE BULDING IMPROVEMENTS.HE PRO0 PERTY OWNER PAYING TWICE ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. i 6K") ATLANTIC BEACH BUILDING DEPARTMENT RECEIPT mjK.R. low-81 By: i . 1 l CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 36 j 9 r _ PLUMBING CONTRACTOR: LICENSE NUMBER:-c OWNER: .5te4r1 1 r( IS BUILDING CONTRACTOR: T )llk TYPE OF BUILDING:_ SINKS SHOWERS LAVATORY WATER HEATERS w • BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURB COUNT: + $15.00 -------------------------------------------------------------------------- INSTALLATION -------- -------------------------------------------------------------INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. I 7406 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - - PERMIT INFORMATION - - LOCATION INFORMATION - --mit Number : 7406 Tress : 330 NINETEENTH STREET ''.�CTr�it Type: ELECTRICAL - -------- LEGAL DESCRIPTION ATLANTIS' BEACH , FLORIDA 32233 js` ,t Work: ADDITION - '�nstr . Type : WOOD FRAME L t : Sect Block : c; _-,,Fused Use: SINGLE FAMILY Township: RNG: 0 I Code: e bdivi sion: fi i mat''a a I ue : 50 .00 Improv . Coit SO 00 Total ^F S21 - 90 h Amo ilf3 C ',rNsI4F RMrII!�!V - - __ - - - APPLICATION FEES PERMIT 523 . 90 jiaifi ,: WATER IMPA'�T FEE drez ,t s r� "'EENTH STREET SEWER IMPACT FEE ,T; nT I F,CF ' FLORIDA ?t WATER METER/TAP PhoNn*' 0 x ,? , �,,'t ' RADON GAS-H.R . S . .. 50 .00 ---- CONTRACTOR INFORMATION ------- RADON GAS - 5% $0 . 00 Mame ' BILL TH`' 1_ :"'fit 0 .00 ELE{ TRT ' Ci' . TN-C CAPITAL IMPROVE. $ .00 P .J. _BOA. SEWER TAP A'PL .NTTG . BEAiH , FL 32233-0150 HYDRAULIC SHARE S0 •QO •_pn�e,� ERt��}C"0967�`' Type ' :' rROSS CONNECTION �Q .00 2r-, , H IMF-ACT 4RR NOTES: P NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE E BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE C 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." 77I ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJTEENDEREO➢REVO Y1 $21.90 R VIOLATION OF APPLICABLE PROVISIONS OF LAW. GHAN RECEIPT NLMER; 110399 ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA APPI---c Dy APPLICATION FOR ELECTRICAL, PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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. BILL THOIOPSOi' ELECTRIC CO., INC. ��` P. 0. BOX 330150 z S� ATLANTIC SEAC.4, FL 32233.0150 ELECTRICAL FIRM: MASTER ECTRICI 1 U C NAME r -ADDRESS:., BLDG.SIZE ____________BETWEEN: RES-'tKJ APT.( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW( ! OLD ( ) REW. ( ) AODITION% _ TRAILER ( ) TEMP. ( ) SIGNS 1 ) Sp, FT, SERVICE: NEW( ) INCREASE ( ) REPAIR ( ) FEE _ CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE J LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING ` CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT MOTORS H.P. VOLTAGE PHS NO. /HEP. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. -"'-- NO. KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN - FORWARDED TOTAL FEES