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
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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