Loading...
100 W 1st St (vault) PSR 381- 16748 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - PERMIT INFORMATION - - ---- LOCATION INFORMATION ----- mit Number : 15748 tress : 100 FIRST STREET WEST ' ermi,t Type:MECHANICAL ATLANTIC BEACH , FLORIDA 3223; ss of Work:ALTERATION ---•- LEGAL DESCRIPTION - -----____. -,rs t r . Type:WOOD FRAME l cck; Lot : Twpr. 'ection: 0 Subd: O :oposed Use : Rno' r' Dwellings : 0 ,ubdi.visien: SECTION H Est . Value; 0 .00 nprov .. Cost : 0 .00 Total Fees : 41 .00 ,.mount Paid: 41 . 00 -.EpT,ACp AIR HANDLER ANT) p`t rWNER INFORMATION - - - -- - - ---_. _ APPLICATION FEES -- ----`- PROPERTY OWNER EI��l T T 41 0 ' ar 1n FIRST STREET WEST ATLANTIC BEACH . FLORIDA 2 :ne : { C`4` 721 -.1317 - - CONTRACTOR ?NFORMATION - - ine : AIR ENGINEERS INC . �!r • 10947 BEACH BLVD- JAX .FL . 32245 i-° : MIIAR--634 Emp , i NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' IIMPROVEMENTSLIEN LAW CAN RESULT !N THE PROPERTY OWNER PAYING TWICE FOR BUILDING ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $41.0014 eceip : 0068479 CHECKS 24555 ATLANTIC BEACH BUILDIN DEPARTMENT 8918888221808 By: CITY OF ;1�t Ve d - 9&Ud4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 --- TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 MEMORANDUM October 17, 1996 TO: Bob Kosoy, Director Public Works t FROM: Don C. Ford, Building Official Q RE: Watchcare, Inc. - 100 W. 1 st Street Enclosed is a copy of an estimate for 100 West 1 st Street for increasing their water service size from 3/4" to 2". Please review the enclosure and advise. Thank you for your attention to this matter. QQF/pah F,r)closu re 1 3C. City Manager f� t� ` 12885 PSR-3844 12885 � DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATIC1N - -- LOCATION INFORMATION ------- 'Dermit Number: 12885 7.ddress : 100 FIRST STREET WEST Permit Type:UTILITIES ATLANTIC BEACH , FLORIDA 32233 71ass of Work:ADDITION --------- LEGAL DESCRIPTION ---------- Constr . Type:WOOD FRAME Block: Lot : Twp C Proposed Use : Section: 0 Subd: O Rng: r Dwellings : 1 Subdivision: SECTION H Est . Value: 0 . 00: Improv . Cost : 0 .00 Total Fee-A: 1 , 150 .00 Amount PIA41` fW� �g 3 , 150 .00 ? WATER METE-F- - - ")WNER INFORMATION --- APPLICATION FEES -Nam)e,v LENA STURM PERMIT 0 .00 �ddr: �00 FIRST STREET WEST WATER IMPACT FEE 0 .00 ATLANTIC- BEACK,." FLORIDA 2SEWER IMPACT FEE 0. 00 �� on WATER METER/TAP jcn n- IIJFOP14ATTON ------ Name: PT38t1 C W"-PKS DEPART' Addr Exp T� NOTES: Capttal Improvement in the su� "URRYRN $1.750.00 will be paid on or before December 7, 1996 NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVO�AJIWI,�OR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Da : 11/88/56 01 Receipt: 0010406 CHELAS 48600003433;100 ATLANTIC BEACH BUILDING DEPARTMENT By: �b o ck- n p--o o CITY OF ,fes Ve4d - 9&Ud4 Date Dear Property Owner : The costs to connect your building to the City sewer and/or water system are as follows : Sewer Tap - Labor and Materials to tap into sewer main $ Water Tap - Labor and Materials to tap into water main g 1l $ Water Meter - Cost of Meter $ Cross Connection Inspection - Inspection by Public Works to ensure backflow prevention $ Sewer Impact Fees - Funds future expansion of the sewer plant $ Water Impact Fee - Funds future expansion of the water plant $ Capital Improvement - Funds for improvements , expansion or replacement. to _ , water system $ / 7, © , TOTAL COSTS $ If you have any questions concerning these charges please call the building department at 247-5826 . Sincerely , Don C. Ford Building Official DCF/pah -", Tl � Z� ze r r W ryePada Amonette MY COMMISSION N CC553981 EXPIRES •o` August 27,2000 BONDED T}WU TROY FAIN INSURANCE,INC. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ` ATLANTIC BaACH, FLORIDA 72222 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. �f LOCATION SI'ee1 Address: DF And / WILDING S u►-d'r.i tie n I. IDENTIFICATION — To be completed by all applicants . le cons;derstion of permif given for doing the wort as described in the above statement we hereby agree to pirform said work in accordance .ith fha attac►vd plans end specifications which are a pert hereof and in accordance with the City of Jacksonville ordinances and standards CJ good practice Ihled therein. lame of Mecheakel r cenhaaters .*~atter (rriaf) 2 - Mester L0.4fj 1ae ea `mperty o.aer �Q S :9mefure e/ O.aer Signature of r Avt6wi3*J Aleaf Architect or Engineer I. %GHS AL INFORMATION ' Ty'e ed h.eting fir.!: e• IS OTHER CONSTRUCTION SEI O WE ON THIS SUILDING OR SITE? (` . ❑ Gr—❑ U ❑ Natrnl ❑ CaMh•1 UflWfy II YES, GIVE HUMMER OF CONSTRUCTION Q CN PERMIT ❑ Owe. — Specify P. hillICKM r-AL /QUVU*ff TO N *WALLIIiD NATURE OF WORK ►r•+:b&0%00h W of essmis •eh ee"of this f•rws) ❑ Residential or > Commercial Heat ❑ Spa ❑ Reamd W O tow ❑ New Building Cewl,t;*" Rees C"" ❑ Existing BulMing () owci System: f►1•t•si•l "AcknouL ❑ Riplacement of existing system s/ea:.e.e upodM CJ^ ❑ New Instaflallon(No system previously Installed). ❑ 1) Extension or add-on to existing system Q CoeJ;ae harper. ca"cftlr r_ ,—,� 9;� ❑ Other — Specify-- — ❑ Aft up.- tens: New+►ec OI b•& O Ei..e►« Q Irl•.Ch O Esed•fx (�+ ►) THO IFACII 004 OMM %M ONLY E3C.a.x•. Ilrrmra— (essms`er) (ReeeM�) ❑ T•aiti IIwrR`•r) RI►rn•r4 ❑ LPG eer11•I�- lelras`•I) O U•Ard p•aaw•r•r.l Q Lis /•roll! MweYed W f)e1e Q ods•r — S*•ufly pe"1111 S•• LMT ALL EQUIPMENT AIR CONDMONIM AND REFRIGERATION FQURMENT Number Usdta DesorlDt m ModN Number An"wbW L HEATING • FURNACES, BOILERS. FIREILACES ?lumber Ut&j DaafyRlo� Model Iflmab�r ][ate xu J Ar IIaaYa gib► ata KAMA Serial A� CITY OF ATLANTIC BEACH, FLORIDA -~-Approv*dby - -- APPLICATION FOR ELECTRICAL PERMIT TO TIIE CHIEF ELECTRICAL INSPECTOR: DATE' / �K _(—� 0G 1L. IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN TIIE 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 BEACII ORDINANCES..0 & -,- "!�7'_/_ 9"j,__t' 670 ELECTRICA FIRM: I MASTER ELECTRICIAN SIG TUBE JURNEYMAN NAME; "� '� ADDRESS: _100 Ai-T57- S_� (-lJeyC_RFD____BOX i BLDG.SIZE -_BETWEEN:— _ RES. ( ) APT. ( 1 COMM.f PUBLIC 4 1 INDUS. ( I NEW ( 1 OLD ! 1 REW. ! 1 ADDITION ( I TRAILER ( } TEMP. ( I SIGNS ( ) —_SQ. FT. SERVICE: NEW ( } INCREASE ( 1 REPAIR ( ) ----FEE -- CONDUCTOR SIZE AMPS COPPERJ_� ALUM1_L__^ SWITCH OR BREAKER AMPS PH _W _ VOLT_ RACEWAY EXIST.SERV.SIZE L AMPS a / PH WilUL RACEWAY FEEDERS NO. SIZE �NU. SIZE ` _I NO. SIZE LIGFITING OUTLETS CONCEALED OPEN TOTAL _ RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31 I00 AMrs. SWITCHES — INCANDESCENT FLUORESCENT&M. FIXE O.WO AMrs. OVER APPLIANCES -` -1 BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTIIER MOTORS AMPS CELL IIEAT: KW-BEAT 0.1 OVER MOTORS H.P. VOLTAGE PFIS NO. II•P• VOLTAGE PIIS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. _ NO. KVA NO. IKVA NO. NEON TRANSF. NO. VA.-u MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED 5��. Q�r✓YL c ��O / �� TOTAL FEES ----------------------------------------- PSR_38:4 1,6163 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH _..._. w P�'Rj�T'p I11FCpMATI�`!�i -__ - - -_- Lt_CATI�±N ?:NFnp-4ATIC-N - - er.mitLNumber ` 20-11 FTR.ST STREET WEST Permit Tvre 'ELE.`TRTCAL ATLANTIC 1BEA-F .. FL,'FRIDA. '3271-1 lass of Wr_rk!ALTERATIC _-__ ___. .__ LEGAL, DE'!CpTr-mTnV „nstr .. Tvp? Wr_D,-tr FARMG nrtrt4 L.-,i: . �, �i a� ficp ' J Secmon; �t S-"I. d Dt�Al iin Subdivision Est , Value` n -r sr0e,j , cost , nrt Tctal Fees-; : F mount Paid: ` . am ;. wATCI3 ARE nO FIRST STREET WEST _ . NTPACOR INPORMATIf71.1 t ._ • n P�,1V !p G a ►'t'F EL�r-mG T r- Eye NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE 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. $25.0014 DatT. 31'241?8 0' Receipts 436,14 CHECKS 154 ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000 By: r CITY OF Arctic tVe d - 94u�(4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 February 12, 1998 Watch Care, Inc. Attention: Jamie Glavich, Agent 100 West First Street Atlantic Beach, FL 32233 Re: Use-by-Exception 100 West First Street, Atlantic Beach Dear Ms. Glavich: This is to advise the Atlantic Beach City Commission, in regular session assembled on Monday, February 9, 1998, granted your request for a use by exception to operate an assisted living facility at the above referenced location. The Use-by-Exception was granted subject to the following conditions: (1) The facility will be limited to not more than fourteen (14) residents (2) Twenty-one (21) additional parking spaces will be provided (3) The Use by Exception is granted to the applicant (Watch Care, Inc.) only, for this location only. Please contact the office of the City Clerk at 247-5809 regarding the licensing requirements for this facility. Please do not hesitate to contact our city planner, George Worley at 247-5817 or the undersigned at 247-5809 if you have additional questions regarding this Use-by-Exception. Sincerely, 4� I Maureen King Certified Municipal Clerk xc: George Worley / A STAFF REPORT AGENDA ITEM: Use-by-Exception for assisted living facility SUBMITTED BY: George Worley II, Community Development Director DATE: February 3, 1998 BACKGROUND: The applicants own and operate an existing adult daycare facility at this location. The existing facility was permitted by exception in 1992 as shown in the attached minutes. The applicants propose to operate an assisted living facility for not more than 14 clients in the remaining portion of the building. The proposed use was not addressed in the original exception and, in fact, falls under a different enumerated category than the daycare. Section 24-111 (c) (11) permits hospitals and nursing homes by exception in the CG district. The definition of nursing home refers to Group Care Homes which appears to include all of the services proposed by the applicants. Hospitals and related uses require 1.5 parking spacesep r bed in the facility resulting in the need to designate 21 additional parking spaces on the property. The existing daycare parking requirement is 1.5 spaces per employee. Seven spaces are currently required. A total of 28 parking spaces would be required on-site for the combined uses. Sufficient space is available for these additional spaces although the spaces need to be designated on-site and confirmed as to size and number by staff. RECOMMENDATION: The Community Development Board heard this request and based upon the above information recommends: Approval of the Use-by-Exception subject to a limit of not more than 14 residents the designation on-site of the additional 21 parking spaces and that the Use by Exception be granted to the applicants only and for this location only. ATTACHMENTS: 1) Application for Use-by-Exception 2) Staff report to the Community Development Board 3) Minutes of the Community Development Board REVIEWED BY CITY MANAGER: —4 AGENDA ITEM NO. Please Type or Print in Ink Application Fee $100.00 APPLICATION FOR "USE BY EXCEPTION" RECEI VE® Date Filed: JAN 6 1998 ------------ Of ---------- City Building Beach Tenant i Name and Address of Owner or g and Zoning h Possession of Premises: Watch Care, Inc. ---------- ' -------------- 100 West 1st StreetPhone ---------------- ------------------ Work: 249-1984 Atlantic Beach, FL 32233 -------- ---------------- _ Nome: Street address and legal description pf the premises 0. to which the "Use by Exception" is requested: -18_034- 38-2S-29E- 8_2S_29E-Atlantic Beach Sec H PT BLKS 19,20 RECD OIR's 8724-812,814 --------------- ______ ---- -A- - ress: 100 West 1st Street Atlantic Beach, FL 32233 --------- A description of the "Use by Exception" desired, which shall specifically and particularly describe the type, character and extent of the "Use by Exception's proposed —Assisted—Living Facility which will have 24-hour residential care for elderly persons afflicted with dementia, (Alzheimer's type and similar). 'The Assisted Living will be housed within the same building as the current� pro Adult Da Care y gram 5F_t e__ - above address. The resident population will range from 8 to.14. The increased building ----------- __________ use will not create additional traffic to premises. Specific reasons why the applicant feels the request should be granted: — There is a—great need— ------------- for Alzheimer's specific care in a small setting in the ------------- __ area_ T e property and building itself will create a safe, comfortable and compact ------------------------- ---------------------- --environment—for the clients— — we would serve. will not be a negative impact on the --- ------------------------------------------------ — -------- rr -- uoun ing community, and the addition in building use will create jobs. ------------------------------------------------------- Zoning Classifications M ----------------------i Signature of applic t/e �- - - _____ authorized agent or attorney. Signet of own r -propert_ f the property. agent or attorney, inolude letter Applic ion cannot be processed from applicant to that effect. without owners signature. _qo _q� _ � ------------------------------------------- Applicant: Do not •fill-in beyond this point. However, be prepared to respond to the following items: CITY OF / 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 - - TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 July 19, 1996 Lena Sturm 100 West 1 st Street Atlantic Beach, FL 32233 re: Use-by-Exception for Adult Day Care Business Dear Mrs. Strum, our re uest I am writing to confirm that the above referenced business was granted Per y q Commission of the City of Atlantic Beach on March 9, a Use-by-Exception by the City 1992 to operate an adult day care center at 100West1 st Street. The Exception was granted to the business to operate at that locationonly. IfY ou desire any additional information, please do not hesitate to contact me. Sincerely, George Worley, II Community Development Director r January 6 , 1998 f Re : Property located at 100 West 1st Street, Atlantic Beach, Florida To Whom it May Concern: Please be advised that I , the undersigned property owner of the above and attached referenced property, do hereby appoint Jamie Glavich as my authorized agent to act in my behalf for the attached ZONING EXCEPTION request . lk An Cleg roperty Owner G� 7d,4 ��a v, Q6 6 y i FINDINGS OF FACT 1. Ingres■ and agree■ to property and proposed-__ structures is adequate. Particular reference 10 YES NO lade to automotive and pedestrian safety and convenience, traffic flow and control and access In case of catastrophe; 2. Off-street parking and loading is adequate. Particular attention in paid to the items in 1. above and the economic, noise, glare and odor effects of the special exception on adjoining properties and properties generally in the district; 3. Locations of refuse and service areas are compatible with surrounding popertie■ and are easily accessible. 4. Locations, availability and compatibility of utilities are adequate. 3. Type, dimensions and character of screening and buffering are adequate. 6. Signs and proposed exterior lighting, with reference to glare and traffic safety, are in harmony and are compatible with other properties in the district. 7. Required yards and other open spaces are adequate. S. The use in generally compatible with adjacent properties and other property in the district. COMMUNITY DEVELOPMENT BOARD REPORT AND RECOMMENDATIONSt ACTIONS BY THE CITY COMMISSION, MINUTES OF THE COMMUNITY DEVELOPMENT BOARD OF THE CITY OF ATLANTIC BEACH, FLORIDA January 20, 1998 7:00 P.M. CITY HALL O PRESENT Don Wolfson ACh Robert Frohwein CAO Mary Walker 0406�' t Pat Pillmore Buzzy Grunthal Dezmond Waters AND George Worley, II, CD Director Pat Harris, Recording Secretary ABSENT Sharette Simpkins Alan Jensen Chairman Don Wolfson called the meeting to order and asked for approval of the minutes from the meeting of December 16, 1997. Upon motion made and seconded the minutes were approved. The Chairman recognized and welcomed the newly appointed member Dezmond Waters. I. Application for Use-by-Exception filed by Finis and Nicole Bennett to operate a retail flower shop at property zoned RG2 and located at 100 Seminole Road. Mr. Bennett introduced himself to the board. He explained that he and his wife own and reside at the subject property and desire to operate a retail flower shop out of a portion of the residence. He explained that he had reduced the size of the proposed addition considerably after his application was submitted. He stated that by reducing the size of the construction it would save several large trees and reduce parking requirements. He explained that the property is adjacent to several commercial businesses and that traffic from delivery trucks was extensive. Nicole Bennett introduced herself to the board and stated that traffic at the property would be very limited in comparison with the activity presently in the neighborhood. Sarah Bennett introduced herself and stated that she is the mother of the applicant and would appreciate any consideration the board could offer. Mr. Gerald Kaufman introduced himself and stated that he is the owner of the adjacent residential lots and voiced his objection to the application. He stated that the applicants previously applied to the City Commission and were denied. Mr. Worley explained to the board that the applicant had previously been denied a rezoning of the property and this was not the same request. Mr. Grunthal pointed out to the applicant that the use by exception requested is not a permitted use by exception in the code of ordinances or in a home occupation. The Chairman explained to the applicant that the code is very specific as to what is allowed as a home occupation and the law was very explicit as to what the board can approve. He further explained to the applicant that the board members are volunteers and did their best to serve the well being of the community. After discussion, Mr. Grunthal moved to recommend denial of the request to the City Commission and Mr. Waters seconded the motion. After further discussion, the board voted unanimously to recommend denial of the application with the suggestion that the application fee be refunded to the applicant. II. Application for Use-by-Exception filed by Watch Care, Inc. to operate an fto(� assisted living facility with 24-hour residential care for elderly persons at property located at 100 West 1 st Street. Jamie Glavich, agent for Watch Care, Incorporated, introduced herself to the board and explained that the applicants own and operate an existing day care facility at the location permitted by exception in 1992. She explained that the applicant desires to expand the use previously granted to include an assisted living facility with 24-hour care for Alzheimer patients. She stated that the facility would remain small with no more than 14 residents. Ms. Glavich explained that there is room to accommodate the required 21 additional parking spaces on the property but indicated that marking the spaces with stripes would take away from the residential environment they desired to create. She also indicated that they would like to reduce the number of required parking spaces. The board pointed out that the applicant would be required to meet all requirements regarding parking and landscape unless separate variances were granted regarding those issues. After discussion, Mr. Waters moved to recommend the approval of the application with the provision that there be no more than 14 residents and Mrs. Walker seconded the motion. The board requested that the applicant attach a site plan to the application to complete the records for the City. On vote the motion passed unanimously. Mr. Worley informed the board that a variance was granted to construct an addition to an existing nonconforming residence at a past meeting and subsequent review of the matter revealed that improper permitting procedures had occurred. He stated that the matter has been referred to the building official and that no new building permit will be issued until the matter is resolved. ELECTION OF OFFICERS: The board unanimously reelected Don Wolfson as Chairman and Robert Frohwein as Vice Chairman. There being no further business to come before the board on motion duly made the meeting was adjourned. SIGNED: ATTEST: CITY OF ATLANTIC BEACH COMMUNITY DEVELOPMENT BOARD STAFF REPORT MEETING DATE: January 20, 1998 AGENDA ITEM: # 4. a. Application for Use-by-Exception for a retail flower shop on property located at 100 Seminole Road, zoned RG-2, Residential General. The applicants owns and resides at the above location. They desire to operate a retail flower shop out of a portion of the residence. The proposed use is not compatible with the limitations on Home Occupations provided for in Section 24-159 because of the intended advertising, and the expectations of customers visiting the business location. The applicants propose to construct an addition onto the existing residence to accommodate the shop and to provide five on-site parking spaces accessible from alley bordering the south side of their lot. This property is zoned RG-2, Residential General. The proposed use is clearly a commercial use. The applicants have been advised of the provisions of Section 24- 159 and specifically advised that the use they seek is not an acceptable residential use and that it does not constitute a "Home Occupation". The applicants cite the proximity of commercial general businesses across the alley to the south of their property and to the west. This situation exists throughout the city where ever commercial and residential districts abut. The fact that commercial uses are permitted across the street or alley from a residential lot does not, in itself, constitute grounds for the expansion of those uses onto the subject property. The expressed intent of placing medium density residential zoning adjacent to commercial zoning is to buffer the adverse impacts of the commercial zoning. The applicants also assert that their proposed use is the highest and best use for the property. By state and federal court interpretation, the applicants are not guaranteed the highest and best use for their property, but merely reasonable uses permitted by the zoning district in which their property lies. With the exception of uses permitted by Section 24-159, Staff opposes the encroachment of commercial uses into residential districts. Staff recommends denial of this request. AGENDA ITEM: # 5. a. Application for Use-by-Exception to operate an assisted living facility with 24 hour resident care at 100 West 1 st Street, zoned CG, Commercial General. The applicants own and operate an existing adult daycare facility at this location. The existing facility was permitted by exception in 1992 as shown in the attached minutes. The proposed use was not addressed in that exception and, in fact, falls under a different enumerated category than the daycare. Section 24-111 (c) (11) permits hospitals and nursing homes by exception in the CG district. The definition of nursing home refers to Group Care Homes which appears to include all of the services proposed by the applicants. Hospitals and related uses require 1.5 parking spacesep r bed in the facility resulting in the need to designate 21 additional parking spaces on the property. The existing daycare parking requirement is 1.5 spaces per employee. Sufficient space is available for these additional spaces on site. Based upon the above information Staff recommends approval subject to the designation of the additional 21 parking spaces and that the Use-by-Exception be granted to the applicants only and for this location only. CITY OF Fead - 7Qaud4 . 800 SEMINOLE ROAD ATLANTIC REACH,FLORIDA 32233-5445 --- - - TELEPHONE(904)247-5800 - FAX(904)247-5805 SUNCOM 852-5800 December 12, 1996 Ms. Lena Sturm Watchcare; Inc. 100 W. 1 st Street Atlantic Beach, FL 32233 Re: 2-Inch Water Tap for Fire Sprinkler System 100 West First Street- Watchcare, Inc. Dear Ms. Sturm: Please be advised that the costs for installing a 2-inch water tap are as follows: 1. 2" Water Tap (no meter) $ 770.00 2. Captital Improvement $ 1,725.00 3. Cross Connection $ 35.00 Total $ 2,530.00 The amount you remitted for this service is $2,900.00. A check request was issued this date for a refund to you in the amount of $370.00 If you have any questiqns please do not hesitate to contact me. Sincerely, Don C. Ford Building Official DCF/pah 14, cc: City Manager CITY OF r�uctic �eacl - ��Cenida 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5545 TELEPHONE(904)247-5800 FAX(904)247-5805 August 4, 1994 To: Alan C. Jensen, Esquire City Attorney From: Maureen King City Clerk Subject Occupational License Watch Care, Inc. Please find enclosed herewith documentation relative to Watch Care, Inc. , an adult day care center located at 100 West First Street. The principals of this business have inquired whether they might be exempt from the municipal occupational license fee. I have been unable to find anything that would indicate they are exempted, but I would appreciate your checking into this and advising. Thanks for your help. CITY OF 1*&ofcc Feat - 9&uda 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5415 TELEPHONE(904)247-5800 FAX(904)247-5805 3323 L r t%ATCH CARS., INC , ADULT DAY "! ti F'IRS`I` ST AILANTIC BEACH, FL 32233 Please provide this office with the information checked below as soon as possible in order for us to process the renewal of the occupational license for the above business. 500 ` / Square footage of your business premises tached) `� Copies of state certification/registration for each professional in your organization ne �� The number and type of vending machines (if any) on the premises -2913247 ✓ Federal Employer ID number ( I f Corporation) Maureen King City Clerk CLPRO STATE OF FLORIDA DEPARTMENT OF PROFESSIONAL REGULATION BOARD OF.J{ YRSING 49617-2 REGISTERED PROFEISSIONAL NURSE STURM , LENA L LANGSTON HAS PAID THE FEE REQUIRED BY CHAPTER 464 F, FOR T�� EXPIRING APR�O4ETAR .90.R. 5 eRrLAVTON roR S 8EC STATE OF'!FWPl DEPARTMCENA BOARD O F POI -- - Q ONURSING'REGULATION 0946501 LICENSED F`RACTICAL NURSE FARREN , ANN! i. F I SCHBACH HAS PAID THE FEE REQUIRED BY CHAPTER 464 F FOR TI YEAR EXPIRING M A`( 1 1�' J I AWv O CHILES GE E STU T GOVERNOR SEC ETARY P.R. STATE OF FLORIDA DEPARTMENT OF REVENUE • 'F CONSUMER'S CERTIFICATE OF EXEMPTION Willi- Issued Pursuant to Sales and Use Tax Law 38470 Chapter 212,Florida Statutes This Certificate is Non-Transferable ISSUE DATE EXPIRATION DATE CERTIFICATE NUMBER TYPE OF ORGANIZATION 90 07101195 26-02-117494-5oC LIARITABLE This is to certify that the organization indicated below is hereby exempt from the payment of Sales or Use Tax on the purchase or lease of tangible personal property,the lease of transient accommodations or real property. Mailing Address Location Address: 100 wfr 1ST Sir - ,rATCH CAREE . INC. ftp== R� IFS X35 YP tJR t-RVA 100 fir 1Sr STREET A T L A M A L 3 A C H t=L 3Z 2 j s-J J 0. ATLANTIC BEACH FL 32233-000U SEE REVERSE SIDE FOR IMPORTANT INFORMATION. J. TH(7.HAS H�RrJGJN EXEMPT CODES AND ORGANIZATIONS ARE: 51. United States Government; 52.- State of Florida; 53.- Any County Unit or Agency; 54.- Any City Unit or Agency; 55.- Churches or Eligible Religious Organizations; 56.- Non-Profit Charitable Institutions; 57.- Educational Institutions Meeting Legal Requirement; 58.- Veterans Organizations; 59.- Scientific Organizations; 6o.- Youth Organizations; 61.- Federal or State Credit Union; 62.- Homes For Aged; 63. - Nursing Homes; 64 - Hospice; 65.-Volunteer Fire Departments; 66.- State Theater Program Facilities; 67.-Other-As Defined By Statutes. If your organization sells or is the lessor of tangible personal property, charges taxable admissions, is the lessor of transient accommodations or real property, your organization must register as a dealer pursuant to Part 1, Chapter 212, Florida Statutes, and tolled and remit Sales Tax on such transactions to this Department. Churches are exempt from this requirement except when acting as the lessor of real property. This Certificate is issued to the above indicated organization with the understanding that it is to be used solely by the organization for transactions involving a sale or lease taxable under Part 1,Chapter 212, Florida Statutes,that will be used directly in the course of their customary nonprofit activities and will not be used to the personal benefit of any individual or officer of such organization. Misuse of this certificate will result in its revocation. INTERNAL REVENUE SERVICE DEPARTMENT OF THE TREASURY DISTRICT DIRECTOR 401 W. PEACHTREE ST. NW ATLANTA, GA 30365 Emp I oyer Ident i f i c.a1; i c-n Number: Datrio� 59--2913247 JAN26 1994 Cast- Number: 5£400702:! WATCH CARE INC Contact Pers,-A: 100 W 1ST STREET LORETTA HAMILTON ATLANTIC BEACHs FL 32233-2500" Contact Telephone Number: (404) 3'S1-0927 Our Letter Crated: February 91 1990 Addendum Applies: No Dear Applicant: This modifies our letter of the above date in which i•te stated that you would be treated as an organization that is not a private f,:�undation until the expiration of your advance ruling period. Your exempt status under section 1301 (a) of thin Intc!rnal Revenue Code as an organization described in section 501 (c) (3) is still in effect. Based on the information you submitted+ Tie have determined that you are not a private foundation within the meaning of section 509(a) of the Cede because yl-lu arc! an organization of the type described in section 509(a) (2) . Grantors and contributors may rely on this determinaticiri unless the Interni1 Revenue Service publishes notice to the contrary. Flowevers if you lose your section 509(a) (2) status, a grantor or contrihutcor may not rely on this determination if he or she was in part responsible fore or was as-tare ':)fl the act or failure to acts or the substantial or material change on the part of the organization that resulted in your loss of such statusi -Jr if he or she acquired knowledge that the Internal Revenue Service had given notice that you would no longer be classified as a section 509(a) (2) organization. If we have indicated in the heading of this letter that an addendum appliess the addendum enclosed is an integral part of this letter. Because this letter could help resolve any questions ab-:: ut your private foundation status, please keep it in your permanent; records. If you have any questions, please contact the persr:,n whose name and telephone number are shown above. Sincerely yoursi Ole Paul Williams District Directc,r Internal Revenue Service Department of the Treasury District Director � 1l30 AT.ANTA, GA 30301 Dose : ��<�(� Employer Identif . catioo Number : FEB � 8� ���� 59-2913247 � ���� v� � Contact rerson : TERRI 8RADLE� WA [CH CARE INC Contact Te | ephooc Number : 16% MAYPORT RD (404) 331-490--.' . ATLANTIC BEACH, FL 32233 Accounting Period Ending : December 31 Foundation Status Classification : 509 (a) (2) Advance Ruling Period Begins : August 9 , 1989 - Advance Ruling Period Ends: December 311 1993 Addendum App | ies ;i No Dear Applicant : Based on information supplied , and assuming your operations wiI } be as ` stated in your application for recognition of exemptio.. , we have determined you a''e exempt from Federal income tax under section 501 (as of the Internal Revenue Code as an organization described in section 501 (c ) (3) . Because you are a newly created organization, we are not now making a t' . na | determination of your foundation status under section 509 (a) of the Code ' \H^°evers we have determined that you can reasonably be expected to be a p.b | ic |y supported organization described in section b09 (a) <2> . Accordingly, you will be treated as a publicly supported organization , Ins not as a private foundation, during an advance ruling period ' This advance ruling period begins and ends on the dates shown above . Within 90 days after the end of your advance ru { / /.8 period , you must submit to us information needed to determine whether you have met the require- ments of the applicable support test during the advance ruling period. If you establish that you have been a publicly supported or8a/. ization , you will be c / assified as a section 509 (a) (1) or 509 (a) (2) organization as long as you con- tinue to meet the requirements of the applicable support test. If you do not meet the public support requirements during the advance ruling period, you will oe classified as a private foundation for future periods . Also, if you are : lsssif / ed as a private fou^dation , you will be treated as a private foundation from the date of your inception for purposes of sections 507 (d) and 4940. Grantors and contributors may rely on the determination that you are not a � �rivate foundation until 90 days after the end of your advance ruling period . If you submit the required information within the 90 days, grantors and contri - nutors may continue to rely on the advance determination until the Service makes a final determination of your foundation status. Lotter 1045 (DO/C6) WATCH CARE INC: If notice that you will no longer be treated as a publicly supported or- 3anization is published in the Internal Revenue Bglletin , grantors and con- tributors may not rely on this determination after the date of such publica- tion . In addition , if you lose your status as a publicly supported organiza- tion and a grantor or contributor- was responsible for , or was aware of , the act or failure to acti that resulted in your loss of Such otatus , that person may not rely on this determination from the date of the act or failure to act. Also , if a grantor or contributor learned that the Service had given notice that you would be removed from classification as a puts h e l y supported or gan i za- tiVn , then that person may not rely on this determination as of the date such knowledge was acquired . 1 If your sources of supports or your purposes+ character- , or method of F.,peration change , please let us know so we can consider the effect of the change on your exempt status and foundation status . In the case of an amend- ment to your organizational document or bylawss pleases send us a copy of the amended document or bylaws . Also+ you should inform us of all changes in your- name or address. As of January 1 , 19841 you are liable for taxes under the Federal Insur- ance Contributions Act (social security taxes) on remuneration of $100 or more you pay to each of your employees during a calendar year . You are not I i ab I e for the tax imposed under the Federal Unemployment Tax Act (FUTA) . Organizations that are not private foundations arca not subject to the pr- i - �ate foundation excise taxes under- Chapter- 42 of the Code. However-, you are not automatically exempt from ether Federal excise tames . If you have any ,questions about excises employment , or other Federal taxesi please let us know. Donors may deduct contributions to you as provided in section 170 of the Cade . Bequests+ legaciese devises , 'transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the appl i - cab I e provisions of sections 20551 21061 and 2522 of the Code. Contribution deductions are allowable to donors only to the extent that their contributions are gifts , with no consideration r oc e i ved. Ticket pur- chases and similar payments in conjunction with fundraising events may not necessarily qualify as deductible contributions, depending on the circum- stances. See Revenue Ruling 67-246i published in Cumulative Bulletin 1967-21 an page 1041 which sets forth guidelines regarding the deductibiIi 'tys as chari - table contributions+ of payments made by taxpayers for admission to or other participation in fundraising activities for charity. You are required to file Form 9901 Return of Organization Exempt From Income Taxi only if your gross receipts each year are normally more than .'25,000. Howeveri if you receive a Form 990 package in the ma. i I + please f i I e the return even if you do not exceed the gross receipts test . If you are not required to file , simply attach the label provided , check: the box in the head- Letter ead-i. ettor 1045 (D�i/CG) - ` ^ . . WATCH CARE CARE INC :q to indicate that your annual gross receipts are normally $25,000 or less , an's sign the return. � If a return is required , it must be filed by the 15th day of the fifth month after the and of your annual accounting period . A penalty of $10 a day ` charged when a return is filed late , unless there is reasonable cause for the delay. However, the maximum penalty charged cannot exceed $5.000 or 5 per- cent of your gross receipts for the year , whichever is less . This penalty may aiso be charged if a return is not completes so please be sure your return is complete before you file it. You are not required to file Federal income tax returns unless you are Tject to the tax on unrelated business income under section 511 of the Code. If you are subject to this tax , you must file an income tax return on Form 990-T, Exempt Organization Business Income Tax Return' In this letter we are not determining whether any of your present or proposed activities are unre- lated trade or business as defined in section 513 of the Code- \ You need an employer identification number even . | you have no employees . 11 an employer identification number was not entered on your applications a | number will be assigned to you and Vol will be advised of it . Please use that number on all returns you file and in all correspondence with the Internal Pevenue Service. If we have indicated in the heading of this letter that an addendum applies, the addendum enclosed is an integral part of this letter. Because this letter could help resolve any quest / ons about your exempt status and foundation status , you should keep it in your Permanent records . If you have any questions , please contact the person whose name and re . ephone number are shown in the heading of this letter . Sincerely you. , ---' Paul Williams District Director o Enclosure (s) : Form M&C Letter 1045 (DO/CG) CITY �nO�F B Office of Building Offic a REQUEST FOR INSPECTION Permit No. Date Time A.M. Received Locality c��(� Job Address (_ ���,� Owner's Contractor Name PLUMBING MECHANICAL BUILDING CONCRETE ELECTRICAL Air Cond. & �= Footing ❑ Rough Wiring 0 ug C Heating Framing C' g C, Temp Pole ❑ Top Out _ � Re Rooting C Slab ❑ Sewer Fire Place F-, Lintel ❑ Final � � ^���!/��� Insulation J �f READY FOR INSPE I A.M. �Q/t^ Wed. Thurs. FridayP.M. Mon. Tues. ` / A.M. P.M. Inspection Made 1 Inspection G Inspector Certificate of Occupancy ❑ Date SR-3844 s 51 05 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFrIRMATION LOCATION INFORMATION Peratit. Number : 16105 100 FIRST STREET WEST Permit Type:REMODELINO ATLANTIC BEACH - FLORIDA 3223--- -lass of Work : REMODEL LEGAL DESCRIPTION .-onstr . Typ- e:WCOr FRAME Block: Lot ,, Twp , Proposed Use: Section: 0 Subd-, 0 Rn,,T* Dwellings : 1 Subdivision: SECTION H Est . Value: 0 . 00 Improv . Cost : 10 . 670 . 00 Total Fees : y )q-7 50 '�' -,I­n$307.50 Amount Paid: 5_$307.50 Date Paid * 3 PEF,'. PLANS , WNER INFORM.'TION APPLICATION FEES Name , CARE PERMIT 97 . 50 Addy 1r10 FIRST STREET WEST WATER '-rMPA,--'T FEE ATL RTIC BEACH. FLOPIDA 3-22 ONTRACTOF INFORMATION Name , THE FFNOVAT.')RS OF JACKISONVILL. Addr* 9834- 4 GOODEY' S EXECUTIVE DRIB' .. JACKSONVILLE . FLORIDA 32217 L i CE C 0 0- 6 3 9 4 Exp, Tvpe, I NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION B0=NG MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CIFIAED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER n zz ,iPAJLURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSU21) ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOA,T,,1.0N OF APPLICABLE PROVISIONS OF LAW. $97.50 14 Date: 3/11PIS Or REce!Pts !84tt4t Kw w CASH J" ATLAWT BEACH BUILDIN7EPARTMENT98100883221608 4-LA PERMIT NUMBER Bk.: 8878 NOTICE OF COMMENCEMENT Doc# 98056946 - Filed R Recorded 03/12/98 STATE OF FLORIDA �� � HENRY W? COOK M. COUNTY OF DUVAL w CLERK: CIRCUIT COURT DUVAL COUNTY, FL � '► '' REC. $ 6.00 The undersigned hereby gives notice that improvement will be made r4 to certain real property, and in accordance with Chapter. 713 , Florida Statutes , the following information is provided in the 0 Notice of Commencement. a 1 . Description of property : ( legal description of the property, and street address if available) . 100 W. 1st St. Atlantic Beach, FL m 32233 Lots-19 & 20 less south 170 feet section H Atlantic Beach P.B. 18 page 34 1:0 2 . General description of improvement: Int. wall demo, frame, drywall, ' tile-, 14 trim, cabinets, kitchen plumbing, & front lattice screen porch. p 3 . Owner information : a. Name and address • Watch Care, Inc. 100 West 1st St. Atlantic Beach, FL 32233 b. Interest in property: . c . Name and address of fee simple titleholder (if other than owner) : 4 . Contractor (Name and address ) :'The Renovators" ofJacksonville, Inc. 8834-4 Goodby's Executive Dr. Jacksonville, FL 32217 5 . Surety: a. Name and address : N/A , b. Amount of bond $ N/A 6 . Lender (Name and address ) : N/A •7-'�7 . Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713 . 13 ( 1 ) (a) 7 . 1 Florida Statutes (Name and add- ress ) : Jamie Glavich 1-1 In addition to himself, Owner designates Jamie ri ayi ch Of Almost Home Senior Services, Inc. to receive a copy of the Lienor ' s Notice as provided in Section 713 . 13 ( 1 ) (b) , Florida Statutes . 9 . ExDiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Signature 6f' owner .Sworn to and subscribed before me this day of rLJ) 1998 Personally Known Produced Identification . Type of identif icatio produced Q,2v My Commission Expires : T B L I C Y P LA'TONYA STEWARD +; + MY COMMISSION!CC423197 EXPIRES November 28,1998 BONDED THRU TROY FAIN WSURANCE,INC. 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. y BATHROOM GROUP CONSISTING OF SERVICE .SINK TRAP STAND WATER CLOSET, LAVATORY 6 BATH (8) TUB OR SHOWER STALL (6) V WATER CLOSET WATER CLOSET. TANK OPERATED (4) VALVE OPERATED (8) T BATHTUB/SHOWER (2) 2 URINAL WALL LIP (4) _SHOWER GROUP PER HEAD (3) 3 FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMBINATION SINK AND TRAY (3) t WASHING MACHINE (3) POT, SCULLERY SINK (4) _DISHWASHER (2) WASH SINK EACH SET OF 0 KITCHEN SINK (2) FAUCETS (Z) DENTAL LAVATORY (1) KITCM SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (2) URINAL STALL, WASHOUT (4) 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 l ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL. WASHOUT (4) TOTAL FIXTURE UNITS l 0 5' � t20.00 EACH $ a /o , O JOB INFORMATION / d O E S? .s SI i Cff INN WIN / 01 Ono, I i t +r r Cd II I' 1 , IRIF( PEI , i i ' CITY OF ATLANTIC BEACH PERMIT CALCUL ON SHEET Address �� (�F �- -J T Date ✓ � � - r Heated Square Footage 0@ $ per sq ft = $ Garage/Shed J� X @ $ per sq Lt = S Carport/Porch l @ $ per sq ft = $ vaV Patio 0� @ $ per sq ft = S 0 TOTAL VALUATION : S © � Total aluatinn 1st $_/ O O. n C) OQ RemaiiAng Value �.� per thousand portion thereof TOTAL BUILDING FEE $ 6 5-t 00 + 1/2 Filing Fee S a2— s'o ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $_ WATER METER/TAP S CAPITAL IMPROVEMENT S SEWER TAP S ) RADON (HRS) . 0050 S SECTION H PAVING ( ) $ HYDRAULIC SHARES S CROSS CONNECTION $ ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE S ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; Swimmingpool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : Dec-03-97 22 : 03 P . Ol RECEIVED MAR 9 1998 CITY OF ATLANTIC BEACH City of Atlantic Beach PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTEj8YdIyd Zoning MOVING,DEMOLITIONS owner(s) Watch Care, Inc. Address: 100 W. _lat St. Phone: 249-1984 x�T- Zne )Ou -Teet, section H, Atl Lot # Block or Unit # 19 & 20 Subdivision:antic Beach, per P.B. 18, page 34 in Duval. Contractor: "The Renovators" of Jacksonville. Inc. State License #(R 1'006-394 Address: 8834 Goodby's Executive Dr. #4 Phone No: 737-0454 City Jacksonville -State FL Zip Code 32257 Int. e: I)emo frame, drywall, tile,:on shower wall trim install cabinets walj Describe work to be done: � yw � ' ' ' installkitchen plumbing, & build front lattice screen porch. Present use of building: Adult daycare center Valuation of Proposed Construction: $10.670 Proposed use: Adult daycare center & assisted living facility. Is this an addition? no If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? n/a New electrical (or increase) ? no New plumbing fixtures? yeS New fireplace? no New Heat/AC? no SUBMIT THREE (CO"41URCIAL) TWO (RESIDENTIAL) COI4PLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF ca*aN=4WT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OW?RACTOR*- Date: Signature C Date: Sworn to and subscribed before me this day of PUB IC ST-ATE OF FLORIDA AT LARGE �41►ytt,"� LA'TONYA STEWARD mss.% MY COMMISSION N CC423197 EXPIRES November 28,101 j�i..I BONDED 7M TROY FAIN INSURANCE,INC. PAGE 2 of 3 "THE RENOVATORS" of.Jacksonville. Inc.. 8834-4 (;oodhy's I.xecutive Dr. Jacksonville, FL 32217 737-045401-fice ' 737-0455 Fax St. Lic. #CB C006394 100 W. 1st St. Mayport, FL A. ) Extend kitchen walls, install cabinets, sink, dishwasher, & refrigerator. �i'. B.) Seal wall dividing bath/laundry & add tile. C.) Delete wall dividing equipment room & laundry room. D.) Seal doorway. E. ) Add doorway. F.) Delete walls. G.) Move existing cabinets to kitchen. H.) Add walls & bi.fold door. I. ) Extend bedroom walls & close up hall doorway. J. ) Delete wall. K. ) Seal doorway. L. ) Add screen face, lattice bottom, & 2 storm doors. 03/11/1998 '23:43 9047370455 JTHE RENOVATORS PAGE 02 /// "THE RENOVATORS" of Jncksonvlltc. Inc.. /!l 8834-4 Goodby's Exccutivc Dr, - Jacksonville. FL 32217 737-04.54 Ufftcc ' 737-0455 Fax 75t. Llc. f1C C006394 Nr/I-e v 04 d.�,lp�`5 �v'LRING jf �Drtc k �l 03/11/1998 213:43 9047370455 THE PENOV4TOPS PAGE 03 "THE RENOVATORS" of Jarksorivilic. Inc.. 8834-4 Goodby's ExcCuLlve Dr, Jacksonville. FL 322 17 737-0454 Officc " 737-0455 rax St. Lic. #CB 0006394 ti 100� 5trm to k 03/10/1996 00:08 9047370455 THE PENOVATOPS PAGE 02 A� �Y I r .. At R. 4E,1 JA C%lt*o Off OF ® qN CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5345 TELEPHONE(904)247-5800 ' FAX(904)247.5805 RAW Date: October 17, 1996 Watch Care, Inc. 100 W. 1st Street Atlantic Beach, FL 32233 Dear Property Owner : The costs to connect your building to the City sewer and/or water system are as follows : Sewer Tap - Labor and Materials to tap into $ sewer main Water Tap - Labor and Materials to tap into water main- 3/4" - 525.00 subtracted $ 625.00 from $1,150 - 2" '7 76 Water Meter - Cost of Meter Cross Connection Inspection - Inspection by Public Works to ensure backflow prevention $ 35.00 Sewer Impact Fees - Funds future expansion $ of the sewer plant Water Impact Fee - Funds future expansion $ of the water plant Capital Improvement - Funds for improvements , expansion or replacement to water system $325 credit from $ 400.0 $1,725 for 2" TOTAL COSTS $2-,-0f3,G.,M If you have any questions concerning these charges please call the building department at 247-5826 . / 0 0 Sincerely , �! Don C. Ford ' Building Official DCF/pah CITY OF lactic Fed - 9&vn a 800 SEMINOLE ROAD _ ATLANTIC BEACH,FLORIDA 32233-5445 -- - TELEPHONE(904)247-5800 FAX(904)247-5805 -- SUNCOM 852-5800 MEMORANDUM October 17, 1996 TO: Bob Kosoy, Director Public Works FROM- Don C. Ford, Building Official RE: Watchcare, Inc. - 100 W. 1 st Street Enclosed is a copy of an estimate for 100 West 1 st Street for increasing their water service size from 3/4" to 2". Please review the enclosure and advise. Thank you for your attention to this matter. QCF/pah Fjyclosure ac: City Manager 1 + CITY OF - 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 322-13---"; TELEPHONE(9041 247-5800 FAX(904)245805 Date : October 17, 1996 Watch Care, Inc. 100 W. 1st Street Atlantic Beach, FL 32233 Dear Property Owner : The costs to connect your building to the City sewer and/or water system are as follows : Sewer Tap - Labor and Materials to tap into $ sewer main Water Tap - Labor and Materials to tap into water main- 3/4" - 525.00 subtracted $ 625.00 from $1,150 - 2" Water Meter - Cost of Meter $ Cross Connection Inspection - Inspection by Public Works to ensure backflow $ 35.00 prevention Sewer Impact Fees - Funds future expansion $ of the sewer plant Water Impact Fee - Funds future expansion $ of the water plant Capital Improvement - Funds for improvements , expansion or replacement to $ 1 400.00 water system $325 credit from $1,725 for 2" TOTAL COSTS $2,060.00 If you have any questions concerning these charges please cal the building department at 247-5£326 . Sincerely , Don C . Ford Building Official DCF/pah PRICE QUOTE APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME MAILING ADDRESS /O0 PHONE NUMBER_ DATE p SERVICE REQUESTED C � G`� SERVICE LOCATION DATE SET TO PUBLIC WORKS DATE RETURNED TO BUILDING DEPARTMENT__ PUBLIC WORKS DEPARTMENT PRICE QUOTE RESPONSE WATER: SEWER:— OTHER: PRICE QUOTE PREPARED BY: Signature - Title DATE NOTIFIED OWNER -717 TT S9i n , n M 7TToi coo CCS y xPC m y ^, °9 4s '0 lz� ti l �T c � ODS Z—Z c� c)S;O cD Cl. c� e SHOWING SURVEY OF 20, E)OCEPT THE SOUr i 170 Ft2:I', SECTION "H" AT.WrIC BFACH AS RECORDED IN PLAT BOOK 18 PAC .0 RECORDS OF DWAL COUNTY, FLORIDA. e Iz 1•� v � 3 o I � o v N 000 23' 09" W (Meal.) N. 000 18' 00" W. ( lat) 170.00 _ ,;::-iND 3/4" �, R /ND. 3/4" ,,, , . Ca,, IS0.00' (Plat) - POINT OF ��— M 149.91' (Moog.) Q- I BEGINNING 0 ., _ .. 0 150' � O O(✓� I9 � �V N :i ci 0 W h o (!) I E Z ,S o i-- h 0 W cn NDA OCK ZO 0 W ao m a V O f 13v- -- — 1 I No. oCap) '.. 123.7 ��3z X26 0 —rND. /.- ° c S 00 IS 00 Er a— FND. 1/2" 1.p. IN9C.r1 2� i W 0 I ' I i i G� NOTES t 1• BEARINGS AND DISTANCES AS 0. R.V, 2600, PAGE 801, 602 I 2. NO AS PER PIAT. 1 3. THIS IS A BOUNDARY SURVEY MA \ _ b44O PSR-3844 DCi F ARTY OALNGBUILDING ATLANTIC BEACNT OF LOCATION INFORMATION - PERMIT WEST INFORMATION Address : AT FIRST EACHSTREFLORIDA 3223" - 6109 ATLANTIC BEACH . ---- ---- permit Number' rCRL ---- LEGAL DESCRIPTION Permit Type: ELECTR_ ---- Block : Section: class ©f Work: ALTERATION Lot ' RNG: 0 Type ; WOOD FRAME Township: constr . MEDICAL/HOSPITAL Subdivision: SECTION H proPOsed Use: Cade: 0 Dwellings : S0 ,00 Estimated Value: $0 ,00 Improv . Cost : $16 . 60 Total Fees ' $16 , $0 Amount "Paid ! Date 2122/93 r, .d' T NSTALL RE rEPTACLEB AND 2 60W INCANDESCENT _ ---- APPLICATION FEES $16 .80 __-- WISER INFORMATIONWATERIMPACT--__-_ PERMIT S0 ,Q0 r RnaA STURM FEE sr, 00'wine : 00 j MT STREET WEST SEWER IMPACT FEE l BEACH , FLORIDA ��. WATER METER ATLANTIC- - S . 11-`090 RADON GAS -H •R $0 .00 -.one: __ _ RADON GAS 5$ $0 .00 CONTRACTOR INFORMATION OR WATER TAP $0 . 00 - rr ELECTRICAL k---0NTRA ' SEWER TAF S0 .00 r Name : E I`_K - o STREET 4iYDRAULIC SHARE 50 ,00 Address : 12221 PHE- FL 32216 TNSFE`,T FEE ?ACKSC'N`'I LLE • �.� RE- 50 .00 rySONV 20 Type, - SEC .H IMPACT FEE Q 00 t,i rPnse: ED NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE CE AND MUST BE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPA CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR CAN RESULT IN Y WITH THE MECHANICS' ILS NG IMPROVEMENTS." "FAILURE TO COMPL THE PR OPERTY OWNER PAYING TWICE FOR B N FOR ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND-�UBJECT TO REVOCATION VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH, FLORIDA ADProwd by 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 I ACC R Af CE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACC NC IT THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. �121Lkso� EL�TetC l_ CoQTkr-)c-7025 10 C L-,- ELECTRICAL FIRM: MA TER ELE RICIAN SIGNATURE JOURNEYMAN NAME LC=tJ A !S-FU Q�'l ADDRESS: LOO- S �. f ' -t . 4 RFD BOX BLDG.SIZE � 5 c) BETWEEN: ' G�✓l�l C L'-] RES. ( ) APT. ( ) COMM.P4 PUBLIC i ) INDUS. ( ) NEW ( ! OLD,W. REW. ( 1 ADDITION ( ) TRAILER ( } TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE ( ) REPAIR ( 1 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 LIGHTING OUTLETS CONCEALED OPEN TOTAL 1 i RECEPTACLES �� CONCEALED OPEN TOTAL 91.100 AMPS. 0.90 AMPS. SWITCHES INCANDESCENT -- FLUORESCENT&M.V. FIXED 0.100 AMP8. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. 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 _-- - CITY OF 4 /3eacA-�t� �— Office of Building Official REQUEST FOR INSPECTION Date Permit No. LU T CJ Time A.M. Received P, District No. 41-- j E loo Job A dress Owner's Locality Nam ntractor NG CONCRETE CTRICAL PLUMBING MECHANICAL Framing Footing ❑ Rough Wiring Rough Re Roofing C) Slab g ❑ Air.Cond.& 11Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ , READY FOR INSPECTION Pre Fab Mon. Tues. 1 A Wed. Thurs. A.M. V{ � Friday p M Inspection Made J' 1 Inspector a _ Final Inspection❑ Certificate of Occupancy /110 Date PSR-3844 6 418 y DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION --- _ LOCATION INFORMATION Permit Number: - 6418 Address : 100 FIRST STREET WEST- ---- Permit Type : BUILDING ATLANTIC BEACH . FLORIDA 3233 Class of Work : ALTERATION ---------- LEGAL DESCRIPTION Dwe nasi el � �Ld R ILS° Lot : Tow> F tion, -- - -- aubdivision: SECTION H Estimated Value : $1500 . 00 Improv . Cost : $0 00 Total Fees : $30 : 00 Amount Paid: $30 . 00 r'atF phi ,.? 2/19/93 `IS AT ArJILT DAY CARE OWNER INFORMATION _--_ APPLICATION FEES LENA L , STURM PERMIT . 100 FIRST STREET WEti WATER IMPACT FEE $30 ` 00 ATLAV,r I r BEACH, FLOP T- SEIRMR IMPACT FEE 4 1 4 WATER METER t C'ONTRACTOR INFORMATIONRAD'--)N GAS-H R . S P N.3me F.• ,FEP'Tv OWNERRADON GAS - 5% $0 . 00 Address ? WATER TAP $O . Or SEWER TAP $O . Or, HYDRAULIC SHARE 80 . 00, icense Tyne : RE-INSPECT FEE $0 . 0c, SEC" H IMPACT FEE $0 on OTHER.« �n , 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 BY: gm FEB 111993 - Building and Zoning CITY OF A'TLAN'TIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS Olt ALTERATIONS DEMOLITION Owner(s) : Lena L. Sturm Address:100 West 1st STreet Phone: 249-1984 Atlantic Beach, Fl. 32233 Lot # Block or Unit # 19 & 20 Subdivision except the south feet, Section H Contractor: Lena L. Sturm Describe work to be done: Partitions Present use of building: Adult Day Care Valuation•" /� Proposed use: REspite Is this an addition? No If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT-40 COMPLETE SETS OF PLANS, INCLUDING SITE PLAN AND SURVEY IF THERE WILL BE AN ADDIT N TO THE EXISTING S UCTURE. Signature OWNS ate: Signature CONTRACTOR: Date: A�F p1lANTIR V BEcorf- C1T r�iN 7 PLAN' VE .�61993 BY SLA. 11167 LAWS MANGO POR" .We Pf 717.17 Mice of 4PRCPA49 IN OUPLIGA7[1 �Io fah= it umv =we= 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. Desuiption of property........Block 19 and 20, except the south 170 feet, Section H. ........................................................................................................................................................................... .............................................................».»........................................................................................................................................................................... ................................................................................................................................................................................................................................................ -.1 _..........................».....................................................................................................................»............»...............:....................I...... General desaiption of improvements•.............Partitions..................................................................................................................... ....................................................................................................................................................................................».......».......»....................................... .............................................................................:...........................................................................................................................................................I...... Lena L. Sturm Owner. ................................................................................................................................................................................................................................. Address........100 West lst...Street, Atlantic Beach .. ..................................... Owner's interest in site of the improvesnent...............................................................................................................»...............I.................. Fee Simple Title kidder (if other than owner) Nam*....... I............................................................................................................................................................................................... Address................................................................................................................................»...............................»»............».......................................... Contractor...L..w. ..1!L ».» ............................................................................................................................................................................... Add►es ...............................................................................»........................................................................................»...........».....»...........................» Surety (ifr....»......................».............................................................................................................»».»...................................... ..:........» Address........._..»..»....................................................................................................................................Amoy d of bow $................................ Name of person within the State of Flodda designated by owner upon whom notices or other doaunenis may be served. Name .....il.... .......................»...........................................................................................................»....................... »»..... ....».................................. Address................_.................................................................................................................................... ..»................»................................................ In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name .....L..:.�.............................................................................................................................................................._..............»................................... Address..............................................................................................................._.._.. ........._. ............. .».»............. »......... THIS SPACE FOR RECORDER'• USE ONLY ... ..l...F: ......».y.. ......... . ... ..... ✓ 0w Sworn to and subscribed before me INS....:.•.•,........................ ...........................dayof....,.:../._........ ..... ............19..1 ...................................... . ...». ....... Note Public Notary AMONETTE OTAR STATE Of •PUBLI FLORID wy Comm Expo���Ofi Milk COMNI N R r�.;?0nj CITY OF ATLANTIC BEACH BUILDING PERMIT CALCULATION SHEET S � r Lcs Address l Glc S / --�-�AR ON Date -- Heated Square Footage �@ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch `t @ $ per sq ft = $ Deck __@ $ per sq ft = $ lS� @ $ per sq f t = $ D Patio TOTAL VALUATION: $ s"�O, U O Total Valuation 1st $/Z Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 .00 $ BUILDING PERMIT FEE $ BUILDING PERMIT $ WATER CONNECTION $ SEWER CONNECTION $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ ( ) RADON (HRS) .0095 $ ( ) RADON (CAB) . 0005 $ SECTION H PAVING ( } $ HYDRAULIC SHARES $ OTHER $ GRAND TOTAL DUE $ � ' ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES:�� OWNER BUILDER PERMIT AFFIDAVIT -- ' State- of Florida City of Atlantic Beacts > BEFORE ME, the undersigned authority, personally ippvarvd Lena L. Sturm _ ____________• who upon firat L*irsg duly sworn, deposes and sayst I - Lena-L. Sturm_---------------------, and the legal owner of the following property$ Subdivision ___1___________ -- ---- - Lots _ E�ce�t�l�e south 170 feet, Block -19_"d?y9_-----_ - -Excep H. AKA -, --......------ I -_I &m applying for .s building permit pursuant Lo ttje Owner Builder exemption not forth in Florida Statute, Section 489. 107. Florida law requires that IFhavebeen provided with the- following DISCLOSURE STATEMENT% DISCLOSURE STATEMENT .State lav requires construction tcj fobeadone by undernsed an contractors. You have app as exemption to that law. The exemto 'action tll;ws your' own the owner of your property, contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence Qr a farm outbuilding. YOU may oiao build or iemprQve a commercial building at a cost of $25,000. 00 or less. The building must be for your use and occupancy. It f you Bell or may not be built for sale or leouehavelbuiit yourself lease more then one building y within one year after the construction is complete, the lav will presume that you built it for sale or lease, which is a violation of this exemption• Your codes construction must be done according to building and zoning regulations, it is your responsibility to make ours, that people employed by you have licenses law and by county or municipal required by state licensing ordinances. I and at.hatwledge complythat withhave all theread requirementsplforOS `he STATEMENTT aa issuanc6 of an Owner-Builder permit. Further, affiant sayeth not. �J wel ie-- "� �=� -- Property Owntr Srorn• to and subsi�stibed "t,efof A�e • a ,-19- NOTARY PUBLIC My Commission Expires& 111RICIA 11101111r ?40TAR STATE OF FLORIDA PUBLIC gay comm ErF8/97/9b COMM NSR .GC220017 CITY OF Office of Building OfficC. ial t REQUEST FOR INSPE Permit No. Date A.M. Time P.M. /S///� Received ocality Job Address Owner's p Contractor Name PLUMBING - ECHANICAL CONCRETE ELECTRICAL Air Cond. & BUILDING ❑ Rough Wiring ❑ Rough ❑ Heating Framing El Footing ❑ Temp Pole ❑ Top Out Slab ❑ Sewer E: Fire Place ❑ Re Roofing ❑ Final Pre Fab Lintel Insulation ❑ A.M. READY FOR INSPECTION Wed. Thurs. Friday Tues. Mon. A.M. c e-? P.M. Inspection Made Final Ins ertificate of Occupancy f Inspector Date /CITY OF �,,,,�,/� fYi /3�'�t'`r�'""" Office of Building Official / REQUEST FOR INSPECTION Permit No. Date A.M. Time P.M. Received T Locality ob dress Owner' Contracto Name CONMECHANICAL CRETE ELECTRICAL PLU GING BU I ❑ ❑ Framing ❑ Footing ❑ Rough Wiring ❑ Rough F1 Heating Re ❑ Slab ❑ Temp Pole ❑ Top Out Roofing ❑ Final ❑ Sewer ❑ Fire Place Insulation El Lintel Pre Fab READY FOR INSPECTION Tues. Wed. Thurs. Friday PM. Mon. / 9 A.M. Inspection Made Final Inspection ❑ Inspe or ite ficate of Occupancy ❑ �.(.� CITY OF BWOCA-� l�l6f' Office of Buildin Official REQUEST FOR IN P IONrI&/63 9 Permit No. Date A.M. Time PM. Received 44i, cality Job Add ess / Owner's L�/�/!/tet Contractor Name. P WING MECHANICAL BUILDING CONCRETE LECTRICAL ❑ Air Cond. & ❑ Footing ❑ ❑ Top gh ❑ Heating r Slab ❑ Temp Pole Out ❑ Re Roofing ❑ Slab ❑ Sewer ❑ Fire Place Insulation ❑ Lintel ❑ Final Pre Fab READY FOR INSPECTION � — Wed. Thurs. Friday Mon. Tues. �i / A.M. P.M. Inspection M Final Inspection El Inspector Certificate of Occupancy ❑ Date CITY OF j*&w & Ve4d - 9&Ud4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(404)247-5800 FAX(904)247-5805 Date : Dear Property Owner : The costs to connect your building to the City sewer and/or water system are as follows : Sewer Tap - Labor and Materials to tap into sewer main $ Water Tap - Labor and Materials to tap into water main Water Meter .- Cost of Meter .�j� SG/zalct Cross Connection Inspection - Inspection by ' Public Works to ensure backflow v prevention $ 3 Sewer Impact Fees - Funds future expansion of the sewer plant $ Water Impact Fee - Funds future expansion of the water plant $ Capital Improvement - Funds for improvements , expansion or replacement to ')2 water system $ �0 TOTAL COSTS If you have any questions concerning these charges please call the building department at 247-5826 . Sincerely , O Don C. Ford Building Official DCF/pah CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000849 Date 6/30/08 Property Address . . . . . . 100 W 1ST ST #1-5 Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc TELEPHONE CABLE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WATCH CARE, INC. BELL SOUTH TELECOMMUNICATIONS 100 WEST 1ST ST. #1-5 PER M GRIFFIN 5/15/08 NO ATLANTIC BEACH FL 32233 LIC INSURANCE REQUIRED ATLANTIC BEACH FL 32233 (904) 256-3182 ---------------------------------------------------------------------------- Permit . . . . . . UTILITIES PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 6/30/08 Valuation . . . . 0 Expiration Date . . 6/30/08 ---------------------------------------------------------------------------- Special Notes and Comments Protect swale and side drain on south side of W. 1st Street . ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. -i_=VJfCity of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Gf " Phone(904)247-5826 • Fax (904)247-5845 hh E-mail: building-dept@coab.us Date routed: Ori Q City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM /DD / Department review required Yes No Property Address: Building // Planning &Zoning Applicant: ! ublic Works. u is i sties Project: Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. ❑Denied. (Circle one.) Comments: BUILDING 62e PLANNING &ZONING 7 Reviewed by: Date: PUBLIC WORKS PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: ! CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS k s,� / 800 Seminole Road 904-247-5800 4�_yya f Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 Date �1 l��V� PERMIT# l� �c ISSUED BY THE CITY Job Address Lo . Permitee: LELLSOUTH TELECOMMUNICATIONS ) Telephone# 904-777-9052 EXT 233 Permittee Address: 7666 BLANDING BLVD., JACKSONVILLE FL. 32244 ATTN: ANGELA LINDSEY Requesting Permission to Construct: TELEPHONE CABLE �a" g U900RE" Location: (Reference to Cross-Street) Between M &ct b n 1. Applicant declares that prior to filing this apofication he has ascertain the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: 11 1 Jacksonville Electric Authority Yes (X) No ( ) Date: Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes (X) No ( ) Date: Lo 1 l UR Comcast Yes (X) No ( ) Date: t.1 1-1102 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of CLINT STRICKLAND (Contractor's Project Superintendent) located at Telephone#: 904-393-4958. 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit 7. This permittee shall commence actual construction in good faith with 60 days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: Before me this day of 16-7 in the County of Duval, M.Alexandra Solano State Of Florida,has personally appeared - t— _` Commission#DD470953 Notary Public at Large,State of Florida,County o Duval. Expires September 12,2009 My commission expires: �01, � i ;Fv: �, ` Bonded Troy Fain•inwrance.Inc 804385-7019 Personally Known:ex or Produced Identification: 'L q t :2_ (Q t a\ ` //'��` �L•�. C/C �' ® TIM I 51996 CITY OF ATLANTIC BEACH, FLORIDA '�'`' l`� aid Za1g I ,►pp,owedoy APPLICATION FOR ELECTRICAL VERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-- --16 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. 026671 e < JQURNEYM — ELECTRICAL FIRM MASTER EL GOWAN RFD. Box— NAME ° -• � ' ADDRESS:Ze BLDG.SIZE BETWEEN: RES.1 1 APT•1 ) COMM. PUBLIC 1 1 INDUS-1 1 NEW( ! OLD( 1 REW.1 ! ADDITION 1 ) TRAILER( TEMP.1 1 SIGNS I 1 SO.FT. • FEE SERVICE: NEW( 1 INCREASE( 1 REPAIR( 1 CONDUCTOR SIZE AMPS COPPER ALUM. AMpS SWITCH OR BREAKER PH W V LT R A t EXIST.SERV.SIZE wrG AMPS PH . W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL CONCEALED OPEN TOTAL RECEPTACLES 1.100 AMrf. O•f0 AMrf. SWITCHES INCANDESCENT - FLUORESCENT&M.V. -- FIXED 0.100^Mrs. Oven BELL TRANSF. -------- APPLIANCES AIR H.P.RATING N.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS ' TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. VA. A. MOTOR SIZE SWITCH FLASHER--'---.— NO.NEON TRANSF. EACH SIGN FORWARDED s TOTAL FEES -- 09721 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION -------- Permit Number : 9721 Address : 100 FIRST STREET WEST 3�23_ Permit Type: MECHANICAL -- ATLANTIC BEACH , FLORIDA LEGAL DESCRIPTION --------- "lass of Work; ALTERATION Lot ' Block Section: Constr . Type: WOOD FRAME Township : RNG: 0 Proposed Use: SINGLE FAMILY Subdivision: SECTION H Dwellings ' 1 `_ode: 0 $0 . 0� Estimated Value : Improv : Cost : $0 .0(, Total Fees : $25 .00 c Amo�_�r,{ P�z�? ` S25 , 00' � 00 C 2116/95 War' R HANDLER --- - APPLICATION FEES ----- _.--- OWNER INFORMATION PERMIT $25 . 00 r"?AT,-H CAREWATER IMPACT FEE $0 .00 1 100 FIRFT STREET WES ER IMPACT FEE ATLANTIC LEACH . FLORT7!' EW �� '9r n Th?ATER METER/TAP �, o1e: €-j _ 4- 2 n 00 RADON AS--H -R. S _ 5000 ------ CONTRACTOR INFORMATION RADON CAB 5 AF.L,INGTON AIR CONDITIONIN(I - CAPITAL IMPROVE . 50 .00 "Sa,;.e ' SEWER TAP reps. 1'?l.t, LIN IVERS ITY Br-JLEVARD S0 . "Q CROSS CONNECTION 1A; KSONI! LL:}I FL 32211 SEC H IMPACT FEE MOO 00 Type ; CONST . SURCHARGE 00 - SCHARGE,/ATL.BCH. r NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE F ILDING MATERIAL, RUBBISH AND DEBRI R FROM CONTRAILWR OR OWNERT BE PLACED IN PUBLIC SPACE, AND MUST BE EARED UP AND HAULED AWAY BY EITHER ESULT IN "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CANOVEMENTS59 THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMP ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. (0(� 000400000 $25.0014 ATLANTIC LBEACH:BU:IL:DING DEPARTMENT Date: 2/16/35 01 Rcpt: 003377663 A61%03221000 By; a BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 35133 APPLICATION FOR MECHANICAL- PERMIT - CALL-IN NUMBER IMPORTANT --- Applicant to complete all items in sections I, II, III, and IV. f- LOCATION Street Address: u � /;� s � OF _ tnfersecfing Streets: Defween •�- And es C ' /V BUILDING sub-<{ivilion 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 pe•fe••n said wo•1 with the attactLed plans and specifications which are a part hereof and in accordance with the City of JacksonvXe ordnarces a^a + e^ce es of good practice listed therein. No" of Mechanical { Contractors � _\ Contractor (Print) {Z �, e_ Master W J Name of Ij Property Owner Signature of Owner Signature of or Authorized Agenf Y Architect or Engineer 111. G NBtAL INFORMATION A. Type,af her ti req fool: 6 IS OTHER CONSTRUCTION REIN -t ONkON — Q�Electric THIS BUILDING OR SITE / ❑ Gas—❑ Ll ❑ Neural ❑ Control Ufility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Ort PERMIT ❑ Other -- Specify IV. MICHI14ICAL EQUIPMWT TO RE INSTALLED NATURE OF WORK (P-0 We complete fiat of comportenh on back of WS forforml a" Residential or (y 1 Commercial ,,Neat ❑ Space ❑ Recessed Centra) O flow ❑ New Building ❑ Air Condrfioning: ❑ Room ❑ Central D---Existing Building ❑ Dect System: Material Tbick Replacement of existing system Masfnwm eepacity e.f.ra. ❑ New Installation(No system previously installed) ❑ ❑ Extension or add-on to existing system ❑ Cooling tomer: Capacity 9-pi". ❑ Other — Specify ❑ Fire sprinklers: Number of heeds ❑ Efewror ❑ Menlih ❑ Escalator ("amber) THIS SPACE FOR OFFICE USA ONLY ❑ Gasoline pumps (number) , (mss") ❑ Te-+s (number) Remarks ❑ LPG container, (number) ❑ Usfired pressure veues ❑ lagan Permit Approved by Data ❑ Otho► _ Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT capadty ArpvlaS Number Vett+ Deiirfpttocs ][odd Number f[anutactyrar ( ) MATING = FURNACES, BOILERS, FIREPLACES Cayedr Approvfts —` Number Unite Dwrtpuon ]tarsal Number ]tarufactttrar (BTU) Agency • r TAN ICS now Many Nocrtral t&Wjty Type lAquild Name of stria] Approving � aDhtoaodooa Contained Manufacturer No. Agency 5276 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFURMATION LOCATION INFORMATION permit Number: 5276 Address: 100 WEST FIRST STREET Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA Class of Work : REPAIR ------ LEGAL DESCRIPTION ---- Constr. Type: MASONRY/BRICK Lot: Block: Section: RNG Proposed Use: MEDICAL/HOSPITAL Township: : C; Dwellings : 1 Code: 0 Subdivision: Estimated Value: $0. 00 Improv. Cost : $0. 00 Totalfces, : $37. 00 $37. 00 NATION - --- APPLICATION FEES $37. 00 FIRST STREET PERMIT 0 WATE11 IMPACT FEE-, $0. 00 Address -. SEW`ER,­jj1FACT FEF IC f7H, FLORT! WATER 14ETER N RADON GAS.-H. R. S. $0. 00 $0. 00 5% RADON GAS N F 0 R M A T,11Q N & cootT"r- WATER TAP $0. 00 SEWER TAP $0. 00 RD. HYDRAULIC SHARE $0. 00 .JACK ILLE 32205 RE-INSPECT FEE ''1 ,., ,$0. 00 Type: SEC. H IMPACT FEE00 ,..,,, $0. " E_R NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS'BUILDING IMPROVEMENTSLIEN LAW CAN RESULT IN .95 THE PROPERTY OWNER PAYING TWICE FOR 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: j J BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH / ATLANTIC BEACH. FLORIDA 32233 S� APPLICATION FOR MECHANICAL- PERMIT -- CA«-iNNuMBER— IMPORTA/N-�T ---- Applicant,to complete all items in sections I, II, III, and IV. LOCATION Street Address: ��y E L) OF Intersecting streets, Between r'Y *i �"1�b 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 abcve statement we hereby agree to re•lc,� said wo-i a:.:-:3a-:e with the attached plans and specifications which ore a part hereof and in accordance with the C.ty of Jacksonv;l'e ordinances ar•a s'e-ce as of good practice listed therein. Nance of Mechanical > � ^ Contractors Contractor (Print) �� l t` _l Master Name of Property Owner �- (_ J Signature of Owner Signature of at Authorised Agent /� Architecf or Engineer f 111. GENRAL INf�==00N A- Type of heating fuel: ®. IS OTHER CONSTRUCTION BEING DONE ON 1O E6ct^c THIS BUILDING OR SITE 1 ❑ Gee—❑ U ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ CIAIF ❑ other — Specify IV. NICHMICAL EQUIPMENT TO M INSTALLED NATURE OF WORK (Is go .complete t of of components OR beck of this form) ❑ Residential or Commercial ❑ heat ❑ Space ❑ Recessed Control O Root ❑ New Building Air Condrfiowinq: ❑ Room ❑ Central Existing Building ❑ Duct System: MetrlNNl Thick••• Replacement of existing system Maximum capacity e.fm. ❑ New Installation(No system previously installed) ❑ Rof igerefion ❑ Extension or add-on to existing system lel other — Specify kc 'i►�c sib�F A( ❑ Cooliaq soarer: Gacity q.p�R. ❑ Fire sprinklers: Number of h..Ae ) O Eiewfw ❑ hrteRlift ❑ Ereabfw (tw,nb.r) ❑ 6*"**pumps (number) THIS SPACE POR OFFICE USE ONLY ❑ T••ks (number) Ren»rks ❑ LPG(Lnfeiisor+ (number) O URfwred pressure veuu O beams Permit Approved by Deter ❑ Other -- Specify Permit Feb. LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Vnit. Description Modal Number Manufacturer C44mdjy ra 8 HEATING = FURNACES, BOILERS, FIREPLACES Number Va1taDescription Model Number Manulacturas (13mt) � - C 7�UD O TAN KS Now Many Noerfnd Capacuy 7�y" Liquid NAMO of Serial A provin and Dtrnaodons Contained P E Manufocturer No. nc r 5023 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATION INFORMATION ermit Number: 5023 Address: 100 FIRST STREET WEST #1 32233 Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA LEGAL DESCRIPTION ---------- lass of Work: REPAIR -ot : Block: Section: Constr. Type: MASONRY/BRI'_r. Township: RNG: 0 Proposed Use: MEDICALYHOSPITAL ubdiviBion: section h ewellings; 0 Code: 0 $0. 00 ,stimated Value: $0. 00 improv. Cost: $25. 00 Total Fees: Amount $25. 00 /13 2 P a 1, Des, 'EN APPLICATION $ PERMIT 25. 00 WATER IMPAC $0. 00 Nawe: IRMS WEST T FEE 'S vjR-­t' STREET 'T_ $0- 00 Addre -­ � ^EWIZP�_ IMPAC FEE ATL,ANT1G,_BZArH, FLORID! 4AT" OL (904 �_48S--1900 xADON GA�3-H. R. S- FORMATION RADON GAS 5% $0. 00 CONTRACtOR "114 $0. 00 Name: ELDER FKATig"13 & COOLING WATER TAP $0. 00 Address: 1040 S. ELLIS RD. SEWER TAP $0. 00 JACK:�iCINVTI,LE 3220t) HYDRAULIC SHARE $0. 00 Type: 3 RE-INSPECT FEE n se SEC. H IMPACT FEE OTHER NOTES: PAID 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 U' ILDING "FAILURE TO COMPLY WITH THE MECHANICIMPROVEMENTS. NI95THE PROPERTY OWNER PAYING TWICE FOR B 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: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC REACH, FLORMA 32293 APPLICATION FOR MECHANICAL- PERMIT CALL-IN NUMBER IMPORTANT — /Applicant to complete all items in sections I, II, III, and IV. LOCATION street Address: OF Intersecting Streets: Sotween ( 1 /� L + And WILDING - 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 pe•fe•m sa;d wo•t a:: with the attached plans and specifications which are a pert hereof and in accordance with th City of Jacksonvil'a ordinar•ces a— s e as of good p,act,ce listed therein. Nance of MechanicalContractors Contrackr (Print) _/ �r� —�( ca ) •shr Nano of Property O.ner Signature of Owner Signature of or Authorized Agent Architect or Engineer III. GfNERAL INFORMATION A. Type of beating fuel: 8' IS OTHERCONSTRUCTION BEING DONE ON 4 Bodric THIS BUILDING OR SITE 7 ❑ Got—❑ LP ❑ Natural ❑ Cenfra) Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify r IV. WICKANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of compononh on beck of Abe form) LJ Residential or Commercial ❑ Heat ❑ Space ❑ Recessed O Central D Boor ❑ New Building Air Condrtiowing: ❑ Room ❑ Central 0 'Existing Building ❑ Duct System: Moter+al Thickno■s ❑ Replacement of existing system Maximum capacity c fm El New Installation(No system previously installed) ❑ Relrrge.etw� r]t❑-�-55 Extension or add-on to existing system ` LOther — Specify � � ,<+� -sem 1 � ❑ Cooling tower: Capacity g p rn' -I ❑ Fire spnnklam: Number of heads ❑ Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (R.cei.ad) ❑ Took. (number) Remarks ❑ LPG conteineK (number) ❑ Uefaed pressure verity ❑ loam Permit Approved by Data ❑ Other — Specify Pennif Fee I LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT , r-anarity Approvtar Number Units Description )(odd Number I[anufactttirer ( ) I►saac7' VLN= LA CL,CL? HEATING = FURNACES, BOILERS, FIREPLACES Capadty app , Number Units Description Xode)Number Manufacturer (BTU) As'x7 TANTS I How Many NaQlnal Capacity Type Liquid Name of Serial Approving and Dlmenalons Contained Manufacturer No. Agency 5399 DEPARTMENT OF BUILDING i CITY OF ATLANTIC BEACH - - PERMIT I NFORMATILIN - - _ _. -.. -- LOCATION INFORMATION --- Permit Number: 5399 Address: 100 FIRST STREET WEST Permit, Type: SIGN ATLANTIC BEACH, FLORIDA LaL.. Block: Section:-3223: Class of Work: NEW ------ LEGAL DESCRIPTION - Constr. Type: MASONRY/BRICK Townships RNG: G Proposed Use: OFFICE BUILDING Subdivision: SECTION H Dwellings: 0 Codes O Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $18. 00 Amount id 2 $18. 00 PLANSSIUN PER �:iru#MATION ---- APPLICATION FEES ----- ,,arra: WATCH CARE, INC. PERM TT 518.00 WATER IMPACT FETE $0. 00 i�ddi E �.f:0 FIRST STREET WEST SEWER IMPACT FEE S0. 0C ��'jI I.NTIG � CH, FLORIA :a $O. OE. WATER METER PhOTiP: . 9-1964 RADON GAS-H. R. S. $0. 00 ------ I;ON i"RACif'R I NFORMAT r-tr' RADON GAS - 5% $0. 00 WATER TAP $0. 00 Name: PROPERTY OWNER SEWER TAP $0. 00 Address: HYDRAULIC SHARE $0. 00 7 �, RE-INSPECT FEE 9n. 00 License: rE% $O. 00 SEC. H IMPACT FEE OTHER $0. 0r) r 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 IMPROVEMAENTS.9 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND suBjEfGWO REVOCATINi R VIOLATION OF APPLICABLE PROVISIONS OF LAW. TENDERM $•00 RECEIPT ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH APPLICATION FOR SIGN PERMIT NAME: AL' ADDRESS: � PHONE:-7410 l 7 TYPE OF SIGN: k�()©ff)hAA_2 — SIZE: PROPOSED LOCATION: WILL THE SIGN REQUIRE AN ELECTRICAL PERMIT? IV ELECTRICAL CONTRACTOR: Signs over fifty (50) feet in area, and/or any sign which is more than seventeen (17) feet above the ground, or any sign weighing more than one thousand (1,000) pounds, must be submitted with drawings from a registered engineer. Signs with a solid area greater than thirty (30) square feet must be erected to withstand a wind pressure of at least thirty-five (35) pounds per square foot. iDrawings must also show that weight of sign will be suppdrted by the roof or ground su¢'port on which it will be erected. This application must be submitted along with the following: 1. A plot plan of the land, showing the positidn of the sign in relation to buildings or structures. 2. A blueprint or ink drawing showing the plans and specif- ications, and the construction and/or attachment to the building or in the ground. Other 'nformation as may be required under Sec. 17-2(b) , 3 Code o� Ordinances, Cit .of Atlantic Beach. I APPLICANT SIGNATURE: Date: OWNER SIGNATURE: v�°cN Q p` PPR gyNN,N 8°FP cE 0NNS '&1 « P it � day MAY 211992 uil d g in and Zoning QQIvEtM�� ��, G� . 1 1 7I 0 cz A 1 � � Y - C C � x � c� } Ii � I s IVp+ S�Lrt1Ey i MENT OF BUILDING ZL 0 = ATLANTIC BEACH -wk7 ------- LOCATIUN INFuHliH ►' a c Address: loo FIRST STREET WEST ATLANTIC BEACH, FLORIDA 322'1. --------- LEGAL DESCRIPTION ------ Lot: Block: Section: Township: RNG: U o Subdivision: SECTION H 4v r t Ib "".IRES> AND PAY IMPACT FEE OF' �i 'u r = N N a - APPLICATION FEES ---_"- ---- 836. 00 PERMIT X3200.00 r: � r ! WATER IMPACT FEE.I �O. L,,,CQ_ U sE'WER IMPACT FEE I E,R METER $0. RADON GASH- R- _.- , I I $fl. Q0 X0. 00 Z d RADON GAS 5% J WATER TAP SEWER TAP ±7fl. Ofl$O. 00 HYDRAULIC SHARE $0. 00 -- L� RE-INSPECT FEE 1 $OOO I SEC. H IMPACT FEED^ I OTHER NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATER , IAL RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR K N RESULT Y WITH THE MECHANICS' LIEN LAW CAOVEMENTSi9 "FAILURE TO COMPLY VALIDATION HATE: 05/27l92 THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. VOCATION +UID ACCORDING DOE $.Q0 TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT T, LATION OF APPLICABLE PROVISIONS OF LAW. BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION:_ 0 ® w PLUMBING CONTRACTOR: LICENSE NUMBER: C l C y/ 27 OWNER:-L-,�� j<Q/t— BUILDING CONTRACTOR: TYPE OF BUILDING: SINKS ! SHOWERS LAVATORY `{,5�a Scr > , WATER HEATERS BATH TUBS DISHWASHERS URINALS / DISPOSALS CLOSETS / WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT: tr' + $15.00 - ------------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. 000678 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH L FORMATION LOCATION INFORMATION 100 WEST FIRST STREET PerNumber : 678 ATLANTIC BEACH, FLORIDA 32233 Permit Type, UTILITIES LEGAL DESCRIPTION -- - - - -- - ClaBs .of Work- ADDITION Block: Section: Constr. Types N/A plat Book: page*. 0 proposed Use: OTHER 0 1-1bdivisiun: SECTION H !,wellings: 0 Codes $0. 00 OWNER INFORMATION 3timated Value: $0. 00 Name: MASAMI ERICKSON Improv. Cost: $315. 00 Address'. 100 WEST FIRST STREET Total Feess 10315. 00 ATLANTIC BEACH, FLORIDA Amount Paid' phone, (904)247.-3664 Date- Paid : 4/11/89 'V Cf OF' RETAIL SPACE TO 3 CHAIR BEAUTY SHOP F-)jrk Des— Cf) APPLICATION FEES 7 nHTP $0. 00 n ACTOR(9 N E R PERMIT ROPERTY OWNER WATER IMPACT FEE $0. 00 SEWER IMPACT FEE $315. 00 WATER METER $0. 00 RADON GAS- H. R. S. $0. 00' ' , RADON GAS $0. 08 U WATER TAP $0. Og344 '_,EWER TAP $0. 0 SHARE $0. 00 HYDRAULIC a�E--INSPECT FEE $0. 00 d30. 00 1THER 1io. 00 NOTES: PARTIAL PAYMENT PER UTILITY PAYMENT AGREEMENT EXECUTED 4/11/89 PAYMENT J�� 3 CHAIR BEAUTY SHOP @ s630 PER CHAIR $1, 890 CREDIT FOR EXISTING RETAIL SPACE 1, 260 TOTAL `11r NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE BUILDING MATERIAL, RUBBISH AND DEBRIS CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. NOTICE C E —ALL BUILDING ENGA MATERIAL, R U I L I M T U CLEARED EARED U P AND HAULED LE "FAILURE C THE MECHANICS' LIEN LAW CAN RESULT IN "FAILURE TO COMPLY WITH VEMENTS-39 T P OP T V PAYING TWICE FOR BUILDING IMPROV THE PROPERTY OWNER ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC LBEACH BUILDING DEPARTMENT By: ATLANTIC ()()Ub f � DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOC A FIRST STREET INFORNATIOIA 100 WEST c" FLORIDA 322-33 ATLANTIC SEA 011 L Number : 679 LEGAL DESCRIPTION Permit Type= UTILITIES Block, Sectioni 0 I ass of work. ADDITION Plat Book' page. Coilstr. Types N/A ECTIOR Proposed Use% H ION THER 3ubdivisiO"z S INFORMATION 0 Code' 0 OWNER I KSON o.ellings% 0 $0. 00 Name: HASAIII ERIC STREET Estimated Value' $0. 00 100 WEST FIRST jAprov- Cost,. 'S315- 00 Address! ATLANTIC BEACH, FLORIDA 3 Total FeeS2 9315. 00 (904)247-3664 (904) 17,47-3664 Amount paid; 1/89 -- --/FINAL pAy"E9T Date P I it-I 4/1 3 CHAIR BEAUTY SHOP O F'RSIONF RETAIL. ,LICATION FEES $0. 00 j?IJIT T"PACT FEE $0. 00 'ATER ,315, 00 ..EWER IMPACT FEE $ $, 0, L-K) ,hTER METER $0. 00 A r R.S. )ON b $0. 00 '(�AIJON GAS 90. C)0 WATER TAP 80- 00 ,,EWER TAP 90. 00 �-a HYDRAULIC SHARE $0. 00 RE-INSPECT FEE 90. 00 ENGINEERING 90- 00 I-HER 7 fl nf, NOTES'. rNT AGREEMENT EXECUTED PER UTILITY PAY"E v"ARTIAL pAyjjEHT .0630 PER CHAIR CHAIR BEAUTY SHOP 0 - 1, 260 TING RETAIL SPACE --------- rPEDIT FOR EX'S e, Cqo TOTAL DUE NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ,AATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE BUILDING I` P AND HAULED AWAY By EITHER CONTRACTOR OR OWNER. CLEARED U LIEN IMPROVEMENTS." AW CAN RESULT IN "FAILURE TO COMPLY WITH THE MECHANICS' L ROVEMENTS.91 IMP THE PROPERTY OWNER PAYING TWICE FOR BUILDING PERMIT AND SUBJECT TO REVOCAT�G�A FOR ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: UTILITY PAYMENT AGREEMENT CITY OF ATLANTIC BEACH, FLORIDA WHEREAS, Masami and Carol Erickson are the owners of property known as 100 West First Street, Atlantic Beach, and WHEREAS, additional sewer plant capacity charges (impact fees), totaling 5630. 00, are due in converting an existing retail rental unit into a beauty shop, and WHEREAS, Masami and Carol Erickson have demonstrated that payment of said fees will result in a financial hardship; NOW, THEREFORE it is hereby agreed to by all parties that said sewer plant capacity charges shall be due and payable as follows: Due Date Amount Due April 15, 1989 $315. 00 May 15, 1989 $315. 00 $630. 00 Total If, at any time, this account becomes delinquent this agreement shall become null and void. The outstanding balance shall be immediately due and water service to Said property will be discontinued without notice until such time as the balance is paid in full. I have read and hereby agree to the 5ve------------- -- -- — Masami ori rol Erickson ne ATTEST : (seal ) Mau een King, City Cler-P ,. AGREEMENT UTILITY TLANTICNBEACH, FLORIDA CITY OF are the owners of and Carol Erickson and WHEREAS, Masami Street, Atlantic Beach, property known as 100 West First S charges (impact sewer plant capacity retail additional converting an existing WHEREAS. $630. 00, are due in fees) , totaling into shop, and a beauty that unit rental trated Carol Erickson have demons WHEREAS, Masami and d fees will result in a financial hardship: to by all parties that payment of sai THEhereby agreed as NOW, charges shall THEREFORE it is be due and payable said sewer Plant capacity s Amount Due follow Due Date 1989 9315. 00 April 15;989 $315. 00 May 15. ------- 9630. 00 Total delinquent time, this account becomes void. The If, at any shall become null and due this agreement shall be immediately balance said property will De outstanding service to time as and water until such discontinued without notice the balance is paid in full. to the ab ve I have read and hereby agree - _ ------4111189_- itne 1--- arol Erickson Masami or ATTEST% (seal) liau �KI;9, City Y f � n � � L iI r p v t I � y v cd J G yJ L v v t � i d 1 N H � e o s O- v do f� .a 7 i v � co cn V Q n 4/v PSR-3644 / ✓ 14 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - -_ - - - --- - - Lr-'CATION INFORMATION ---- :Iermit Number : 12644 %ddress : 100 FIRST STREET WEST Permit Type:MECHANIGAL ATLANTIC BEACH , FLORIDA 32233 'lass of Work :ALTERATION --------- - LEGAL DESCRIPTION "onstr . Type:WOOD FRAME Block: Lot : Twp : Proposed Use: Section: 0 Subd:O Rnn Dwellings : 1 Subd.ivision: SECTION H Est . Value : 0 . 00 Improv . Cost : 0 .00 TotalFe � ' 32 . 00 Amount 32 . 00 -T 17 11�TION ___ . -_ APF`LICATION FEES RMIT '7 r REST WEST 1 B FLORIDA 3, �- 9 . l ' R R FORMATI, - Name: FI cp P LER SERVI IN _ FLORIDA 32211 4- Exp: TL 3 I NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTSi� keceiRt' 13613 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANDaJE94-Y- 6 AVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHEChF 3�21��� ATLANTIC BEACH BUILDING DEPARTMENT By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH. FLORIDA *11177 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to complete all items in sections I, II, III, and IV. LOCI T ION f Srr••t AJJ.•u: r JT OF lat•rseetia11 Streets: 11110.0011 /t✓1A 1,41 ST SUILDJNG And VIA 5�►-1i.:ww fl. IDENTIFICATION — To be completed by all applicants, 1. co�''d•raAon of perrn;t given for doing the work as doscribd in the above statement we hereby ogre• to perform said work in accords Co T% this •"#chid Plea end specifications which are a part hereof and in accordance with the Cit of d gocel procs'ce I'stad tkar•.n. Y Jscksonville ordinances end standards eof C«rac►w J hi.t J �-j�� J�,er�KLG � � Conkaafar$ I•<< M.at.r 4, 394 ��o l94 Ka'a Glw••r 1�1A?C H CA . INC. r+r+y or AaabriaeJ Ageaf 6.ed ' Signature of Architect or Engineer I it. Al **00AATM Tyle of bating lwt: B. Q Saco c IS OTHER CONSTRUCTION BEING OONE ON THIS BUILDING OR SITE? lQ': ❑ �' —❑ V C] NafssaeJ (3 Ceertrel Utgily ❑ Oi 1/ YES, GIVE NUMBER Or CONSTRUCTION PERMIT ❑ Cnk.. _ Steec:ly V. hAIOGiANJCrh� pUMfOR TO K NNTAUM (�"~ a'w�'a' ed eoessoeeeete ee bed o/Wh feem? NATURE 0I WORK IqResidential or ❑ Commercial ❑ Heat 13 Space O etil O GA EeoasOA pow CJ NOW ISUliding ❑ Ar Ce.d.1:++p: O Q Coetwl 0 Existing ISWldIng ❑ Die+ : M• 71, eeer,..._. ❑ Ritplac41MOnt of existing system ❑ New Inatatlation(No systNn previously InstallOd). ® Saf^1�eKe. O Extension or add-on to existing system �❑y CO 1'q t""� It ❑ Other — SWIty i"` WA-Wees: NMwiev of Lra.k A Cn '— ❑ bo•etee O ku"llt O 6wi b. Ie•*J►..) ❑ 6 bees.. 1- TM 1lPAC* l oppKa UN CKy ❑ LPG wtei..r. IwWe.) g.rwaela ❑ u.few p.,aue„ewer ❑ Ibiere p ota.. , s,.tati LJ NT ALL At CO-NDMONIM AND CATION EQVWWEM Xww Number ci a ATL-' • PUX?1ACE& DOILF It, p)XULAMS up l�.taJt.r L7alb -- x1>taas., .,si(S For YaqMd �„� r 7reeM �isriat ` �_ Nn_ PSR-3844 12225 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - ---- PERMIT INFORMATION -- ------- LOCATION INFORMATION ---- Permit Number : 12225 %ddress : 100 FIRST STREET WEST Permit Type: ELECTRICAL ATLANTIC BEACH . FLORIDA 32d2:� :'lass of Work :NEW --------- LEGAL DESCRIPTION --------- - Constr. Type:WOOD FRAME Block : Lot : Twp: r Proposed Use: Section: 0 Subd: O Rna : Dwellings : 1 Subdivision: SECTION H Est . Value: 0 . 00 Improv . Cost : 0 . 00 Total Fees : 25 .00 Amount .Pa ,; r 25 . 00 Date.,.P t F ?8/1996 ovh_ r ALARM SYSTEM ------ FMATION - _ _.-_ APPLICATION FEES ---------- rVame PERMIT 25 . 00 Addr': r 1Q � ' R a`I'k >✓T WEST $IAS FLORIDA Ghon: ' ( *71 �;- f?2 ----- CA " DR - IFORMAT I CSV lame: Adds,, , VAN-- L i c FXp: NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" $25.0014 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AbQe$UTAA%¢)T6-W RE\"1AyM77OR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS 12225 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH, FLORIDA Approval by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: J 19� IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WO HE ATTACHEDDESCRIBED IN PLANS AND SPECTHE O FOLLOWING, SE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. DD/D6 aJOURNEYM NG ELECTRICAL FIRM: MASTEF(ELECTRICI SIGNATURE NAME ��� ~� ADDRESS: /yy W�Sf �S~ S'7 �<!f Sr1;k BOX RFD 1 BETWEEN: BLDG.SIZE RES.( 1 APT. ( 1 COMM) PUBLIC ( 1 INDUS. ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 SD. FT. FEE SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE D AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL CONCEALED OPEN TOTAL RECEPTACLES 31.100 AMPS. 0.30 AMPS, SWITCHES INCANDESCENT - FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS _ r 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 i� CITY OF Office of Building Official {� REOUEST FOR INSPECTION Permit No. ytCl Date d V A.M. District Time, M. < P. Received�-- l/J-- Localit Job Address Owner's MECHANICAL Name PL BING CONCRETE ELECTRICAL Air.Cond.& 13BUILDING Rough Heating Footing 11 / Top Out Framing — ❑ Temp Pole dy,'/ — Fire Place Re Roofing Slab sewer Lintel ❑ Final Pre Fab READY FOR INSPECTION A.M. Wed. Thurs. Friday P.M. Mon Tues. A.M. P.M. 1 Inspection Made Final Inspection C Inspector r Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION Permit No. Date / A.M. TimePM., District No. Received Locality Job Address Owner's cc ractor Name PLU ING MECHANICAL BUILDING CONCRETE ELECTRICAL Rough Air.Cond.& Framing Footing C r THeating Top Slab 1 Temp Pole / p Out Fire Place C Re Roofing - Final j, Sewer Lintel Pre Fab READY FOR INSPECTION A.M. ridgy P.M. Mon. Tues. 2 21,90.6 Thurs. A.M. - ` v® APR PM. Inspection Made Final Inspection❑ Inspector Certificate of Occupancy Date CITY OF vim-96� �3�� JOffice of Building Official REQUEST FOR INSPECTION ��� Permit No. Date Time A.M. District No. Received rJ - Py. ,y Locality Job Address Owner's ontracto Name MECHANICAL CONCRETE ELECTRICAL Rough GING BUILDING ❑ Rough - Air.Cond.& C Framing = Footing ❑ Heating Slab ❑ Temp le CJ/ Top Out Re Roofing ❑ Final Sewer _ Fire Place ❑ Lintel Pre Fab READY FOR INSPECTION A.M. P.M. Tues. Wed. Thurs, Friday Mon. A.M. P.M. Inspection Made np We _ Final Inspection❑ Inspector Certificate of Occupancy Date CITY OF rIUA11111rtla Veac!- Office of Building Official REQUEST FOR INSPECTION Date / Permit No. Time A.M. Received P.M District No. /®01 Locality Job Address Owner's r Name BUILDING CONCRETE 495. CA PL BING MECHANICAL Framing Footing ❑ ng _ Rough _ Air.Cond.& g - / Top Out Heating Re Roofing Slab ❑ Temp Pole Lintel El Final y/ Sewer - Fire Place G Pre Fab READY FOR INSPECTION A.M. Mon. f/Tuens.((�� l' � dw Thurs. Friday A.M. PM. d�pF( ^• Inspection Made_ 7,r P.M. Inspector Final Inspection ER Certificate of Occupancy Date CITY OF Atvaa Vead-,7&m* �'X3'71 Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.MDistrict No. Received P.M. Job Address �ocaury��""`J Owner's Contractor Name CONCRETE LECTRICAL PL BING MECHANICAL BUILDING Rough Air.Cond.& ❑ Framing Footing Elnn ❑ g Slab ❑ Temp Pole ❑ / Top Out Heating Re Roofing _ �/ Sewer Fire Place ❑ Lintel ❑ Final Pre Fab READY FOR INSPECTION A.M. Mon. Tues. 1 } Wed. A.M. Thurs. Friday P.M. 6c1 P.M. Inspection Made APR (J Final Inspection❑ Inspector Certificate of Occupancy Date CITY OF #� 93,71 / r�tl�t�tic S'eat�-��ancda Office of Building Official REQUEST FOR INSPECTION Date W Permit No. Time pA.M. District No. Received Locality ,J Jo Address Owner s Contractor CX�� Name CONCRETE ELECTRICAL,,/ PLu BING MECHANICAL BUILDING / ( Air.Cond.& T� Framing Y Footing �' Rough WiringRo / g — Slab Temp Pole Top Out y/ Heating Re Roofing __ —Lintel Final Sewer E3 Fire Place — Pre Fab READY FOR INSPECTION A.M. Tues Th(�s---� Friday P.M. on. _ C (/� `. A M Inspection Made c � '� / F. P.M. Final Inspection ❑ Inspector Certificate of Occupancy Date CITY OF3�� / ,*� jVeW4_71046d4 Office of Building Official REQUEST FOR INSPECTION s� 7 i Permit No. �— Date A.M. TimepM. L District No. Received / S T Localit Job Address Owner's or Name PL BING MECHANICAL , CONCRETE ECTRICAL ❑ Air.Cond.& BUILDING / _ - Rough Heating Framing / Footing Tem Pole Top Out — Slab p — Sewer ❑ Fire Place Re Roofing Lintel Final Pre Fab READY FOR INSPECTION A.M. Wed. Thurs. Friday P.M. on. . Tues —I � P.M. Inspection Made Final Inspection❑ Inspector Certificate of Occupancy Date CITY OF _ -4--q3 71 6)dlC Office of Building Official / REQUEST FOR INSPECTION 671 -7/ /! / Permit No. Date �x ry UUUJJJ A.M. L District No. TimeP.M. S T Received r� 1 -I( C)C) — J "_ Locality Job Address Owner's ���H n Contractor MECHANICAL / Name °� ��� �� L ELECTRICAL / PLU ING BUILDING CONCRETE !/ Rough / Air.Cond.& Footing - g - To Out T� Heating Framing Temp Pole - p Slab - - Sewer C Fire Place - Re Roofing - - Final Lintel Pre Fab �- READY FOR INSPECTION A.M. ` � Wed. Thurs. Friday P.M. on. Tues - Inspection Made 2 Final Inspection Ej Inspector Certificate of Occupancy Date CITY OF Office of Building Official �j REQUEST FOR INSPECTION 7 a -X Permit No. --- Date U A.M. Time P.M. istrict No. Received Locality Job Address Owner's Contractor Name iJt�1�1�E ECTRICAL PLUM G MECHANICAL BUILDING �� / CONCRETE Rough C / Air.Cond.& Framing Y Footing - Tem Pole Top Out Heating Re Roofing _ Slab - p - Sewer C Fire Place Re Roofing Lintel Final - Pre Fab READY FOR INSPECTION A.M. }M Tues Wed. Thurs. Friday�—P'M Q-6. ' Inspection Made Final Inspection G Inspector Certificate of Occupancy Date 7- CITY OF AV4� Tic-7446& Office of Building Official REOUEST FOR INSPECTION 3 Date " Permit No. A.M. District No. TimeP.M. Received Locality Job Address Owner's & or Name PLU INC, CRETE ECTRICA MECHANICAL CON / t/ BUILDING / & !/ Rough , Air.Cond. Y Footing r ng To Out Q/ Heating Framing Temp Pole p Slab — Sewer Fire Place Re Roofing — Lintel Final — Pre Fab �— READY FOR INSPECTION A.M. Wed. Thurs. Friday P.M. Mon. t Tues Inspection Made `-� — Final Inspection Ej Inspector Certificate of Occupancy Date CITY OF 7 7Vedd-9&V�d4 ?3 Office of Building Official REQUEST FOR INSPECTION -73 �eT Permit No. Date / A.M. Time p District No. Received r Lo ality Job Address �� Owner's Contractor Name ING / MECHANICAL BUILDING CONCRETE ELECTRICAL �/ Air.Cond.& ❑ ❑ Rough Wiring C Rough Heating Framing ❑ Footing Top Out ❑ Slab ❑ Temp Pole ❑ ❑ ❑ Final El Pre Place ❑ Re Roofing 11Sewer Lintel Pre Fab READY FOR INSPECTION PM Tues Wed. Thurs. ridgy Mon. A.M. Inspection Made Final Inspection❑ Inspector Certificate of Occupancy Date CITY OF - ��T,�'�iG (,�O�aS retia Seaa4i Office of Building Official REQUEST FOR INSPECTION / �] Permit No. —� Date A.M. District No. TimeP. .c Received Locality Job Address Owner's Contractor Name pLUMBIN �MECHA�NICAL�CONCRETE ELECTRICAL BUILDING — Rough Wiring .. 9h Heating Framing - Footing - Pole Top Out - Slab L. Temp _ l�' Fire Place Re Roofing - Final Sewer Lintel - Pre Fab READY FOR INSPECTION P.M Mon. A.M. Thurs. Friday----- 3Wed. ^ A Y Inspection Made Final Inspection Inspector Certificate of Occupancy Date CITY OF J1&A4ft sem_06�6d4 Office of Building Official REQUEST FOR INSPECTION C�J Permit No. DateA.M. District No. TimeP.M. Received •-1r Q Locality Job Address ��ti� p Owner's Contractor MECHANICAL Name ELECTRICAL PLUMBING - CONCRET — Rough ❑ Air.Cond.& BUILDING Rough Wiring -- Heating Top Out ❑ Framing Temp Pole ❑ Fire Place -- Sint �— Final Sewer Re Roofing — Lintel Pre Fab A.M. READY FOR INSPECTION Friday P.M. Mon. ues / Wed. Thurs. P.M. Inspection Made Final Inspection❑ Inspector i Certificate of Occupancy Date CITY OF r�i'�aktic Seac�"�Q�„`da Office of Building Official REQUEST FOR INSPECTION Permit No. Date (J 6 AM. District No. TimePM S r Received h® Locality V Job Address r 1,1111 F= I I Contractor MECHANICAL Owner's PLUMBING Name RETE Rough ELECTRICAL Air.Cond.& CONC BUILDING Rough Wiring - � Heating oUn9 � Temp Pole Top Out Fire Place Framing Slab Sewer Pre Fab Re Roofing Final Lintel A.M. READY FOR INSPECTION P,M. Thurs. I � Friday� Tues Wed. Mon. Inspection Made Final Inspection 7- inspector Inspector ' Certificate of Occupancy Date CITY OF , ctic 'eac�-�Q�icda Office of Building Official REQUEST FOR INSPECTION �O� Permit No. Date A.M. TimePM. District No. Received /t Locality Job Address (m f➢� 1 &,A—' Owner's Contractor /`� Name 1\ PLUMBING MECHANICAL CONCRETE `�ptrghELECTRICAL ❑ Air.Cond.& Footing ❑ — BUILDING ' -Wiring Top ORoughut Heating ❑ Framing ❑ Temp Pole ❑ Fire Place - Re Roofing C Blab Final ❑ Sewer Lintel El Pre Fab READY FOR INSPECTION A.M. P.M. urs. mi Friday Tue Wed. A. Mon. � Inspection Made � Final Inspection G Inspector Certificate of Occupancy Date RESOLVE October 17, 1969 Memorandum To: Don C. Ford, Public Works Director From: Rene' Angers, Code Enforcement Officer Subject: Garbage Dumpster : FISH BIZ 100 West First Street, Atlantic Beach I received a complaint from property owners around FISH BIZ that they are not keeping their garbage (dead fish, etc. ) - inside the dumpster. I called FISH BIZ to discuss the situation and they report that the bottom of the dumpster is full of holes allowing the garbage to fall out. They stated that they have complained to the city several times about the condition of the dumpster. Please look i thi and le me know what you find so that I can close this f �. r I r CITY OF 800 SEMINOLE ROAD _---_--� ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 March 11, 1992 Ms. Lena L. Sturm WATCH CARE 1050 Mayport Road Atlantic Beach, FL 32233 Dear Ms. Sturm: This is to advise the Atlantic Beach City Commission, at its regular meeting on Monday, March 9, 1992, approved your request for a Use by Exception to operate an adult day health care center for forty (40) adults at 100 West First Street, Atlantic Beach. When you are ready to move to your new premises, please contact this office so we can make the appropriate changes on your occupational license. In the meantime, if we can be of any further assistance, please do not hesitate to contact us. Sincerely, Maureen King City Clerk t CITY OF ATLANTIC BEACH CITY COMMISSION MEETING STAFF REPORT AGENDA ITEM: Use-by-Exception to operate Adult Day Care SUBMITTED BY: George Worley, City Planner DATE: March 5 , 1992 BACKGROUND: Applicant owns an Adult Day Care business currently located at Mayport Road and West 10th . Applicant desires to relocate this business to 100 West 1st Street. Both locations are Zoned CG - General Commercial . Applicants business operates a client pick-up service which greatly reduces the volume of traffic associated with the business . The proposed site was designed as a commercial shopping center and will have more than adequate parking and loading/unloading zones. RECOMMENDATION : The Community Development Board reviewed this request and unanimously recommended approval . ATTACHMENTS : 1 ) Application 2 ) Minutes of the February CDB Meeting REVIEWED BY CITY MANAGER AGENDA ITEM NO. � MINUTES OF THE COMMUNITY DEVELOPMENT BOARD OF THE CITY OF ATLANTIC BEACH, FLORIDA FEBRUARY 16, 1992 7:00 P. M. CITY HALL PRESENT Gregg McCaulie Samuel Howie Ruth Gregg Don Wolfson Mark McGowan Pat Pillmore AND George Worley, II, CD Director Pat Harris, Recording Secretary Alan Jensen, Esquire ABSENT Robert Frohwein The Chairman, Gregg McCaulie, called the meeting to order and asked for approval of the minutes from the meeting of January 21, 1992. Upon motion duly made and s6conded, said minutes were approved. NEW BUSINESS: I. Application for Use by Exception filed by Watch Care to operate an adult day/health care center for property located at 100 West 1st Street. Ms. Lena Sturm introduced herself to the Board and explained the reasons a Use by Exception was being requested. After discussion Mrs. Gregg moved that the application be approved, Mr. Howie seconded the motion and the application was approved for recommendation to the City Commission by a unanimous vote. II. Application for Variance filed by Paul S. Ferber to decrease the front setback line for proposed enclosed "greenhouse" dining room at North Shore Grille located at 363 Atlantic Boulevard. Mr. Ferber introduced himself to the board and stated the reasons said variance had been requested. After discussion Mr. Howie moved to approve the application, Mrs. Gregg seconded the motion and the motion was unanimously passed . with the recommendation to submit an appropriate landscape plran ensuring vegetative buffering with the building permit application. FINDINGS OF FACT 1• Ingress and egress to property and proposed structures is adequate. Particular reference is YES MO made to automotive and pedestrian safety and convenience, traffic flow and control and access in case of catastrophe; 2. Off-street parking and loading is adequate. Particular attention is paid to the items in 1. above and the economic, noise, glare and odor effects of the special exception on adjoining properties and properties generally in the district; 3. Locations of refuse and service areas are compatible with surrounding poperties and •re easily accessible. 4. Locations, availability and compatibility of utilities are adequate. 5. Type, dimensions and character of screening and buffering are adequate. 6.p Signs and proposed exterior lighting, with reference to glare and traffic safety, are in harmony and are compatible with other properties in the district. 7. Required yards and other open spaces are adequate. 8. The use is generally compatible with adjacent properties and other property in the district. COMMUNITY DEVELOPMENT BOARD REPORT AND RECOMMENDATIONS: ACTIONS BY THE CITY COMMISSION: r a � 195E �n .� v v IIML \\AtCH CARE, INC. WETKDAYS — 7:00 ANI 10 6:00 I'M WEEKENDS & ADULT DAY CARE EVENINGS. - CA11 1 CR iARRAN'GcA4rnrS 1050 MAYPORT RD. ATLANTIC BEACH, FL. 32233 NUTRITIOUS MEALS (904) 249-1984 DAILY — HOT LUNCII PIUS IWO Sr�ckS h y HOLIDAYS ■ OffCRS dAy/HEALTH CARE fOR AdUITS WAtCH CARE, INC. willk- OPEN MONdAY w110, dUE TO dISAbIfITy OR THE AGING THROUGH FRIdAy All yCAR ROUNd C\ClP 1 I)ROCESS SHOULd NOT bE LETT ATONE ANd fOR MAJOR HOlidny5. NEEd A PROTECTIVE ENVIRONMENT. PROGRAM ■ OPERATEd by A REGISTEREd NURSE WITH REGISTEREd NURSE ON STAff, TOR 20 YEARS EXPERIENCE IN THE HEALTH SUPERVISEd MCdICATiONS. RCCRCATiONA1 CARE fiEld. THERAPIST fOR PLANNCd ACTIVITICS SUCK AS ART ANd CRAFTS, MUSIC TI1CRAPY, OUTdOOR WAlkS, GRCEN THUMk) ACTIVITICS, Picnics ■ LoCATA AT ANd SPONSOREd by THE ANd flEld TRIPS. FIRST BAPTIST CHURCH Of ATLANTIC BEACH. FEES STATE ANd COMMUNITY IUNdiNCj AVAiIAIAL. ■ FOR AdUITS OVER AGE 18 THAT MEET THE HOURLY CARE CAN lX ARRANCILd ANd PAid AdMiSSION CRITERIA. NO ONE WILL bE ON A dAily BASK IIOWCVCR, N011CC MUST diSCRIMINATEd AGAINST bECAUSE Of AGE, bC CjiVCN The dAy bd0k[, iN OkdCit 10 RACE, RCIIgiON, SEX, OR NATIONALITY. RESCRVC A PI. CC fOR PARTICII)ANT. ■ DAY CARE CAN bE A NURSING HOME OPEN DOOR POLICY ALTERNATIVE. AT AN ANNUAL COST Of INSPECTION Of OUR fACilil iCS IS CNC:OURAC�Cd $6500 PER YEAR COMPAREd TO AT ANY TIMC. WC ARC A NON-PROlif ACCNCY $25,000 FOR .NURSING HOME PIACEMCNT. ANd WCICOMC YOUR hCIP . Ili E'AV51AP&S'11/69' D D o -+ Z n WAtCH CARE, INC. W ° ADULT DAY CARE .44N w ■ STIMULATING gA ACTIVITIES c Q s SAFE ENVIRONMENT 'T' ■ CONVENIENT HOURS AND LOCATION ■ REASONABLE FEES � 1050 MAYPORT ROAD r*► rn ATLANTIC BEACH, FL. 32233 (904) 249- 1984 Please Type or Print in Ink Application Fee $75. 00 IT' ''J APPLICATION FOR "USE 8Y EXCEPT --J:.j t " i � D�te, Filed s 3_ '"� _ ��� - - wilding and % Z0t,in Name and Address of Owner or Tenant in Possession of Premises: �`-=- - i Y_ Phone Ste______ _ c ���__�-------- --- Work: Street address and legal description of the premisee as to which the •Ua� by Exception" is requesteds -:� 2.--e._---&!Q-1--- ---------------- --------------------- ------------------------------------------------------------------------- ------------------------------------------------------------------------- A description of the "Use by Exception" desired, which shall specifically and particularly describe the type, character and extent of the proposed "Use by Exception" : ___ _ Lq __M 22 Specific reabons why the applicant feels$ the request should be granted: ------------------------------------------------------------------------- Zoning Classifications ____________________ --- ------------------------------ Signature f applicant/applicant's Signature of owner of the property. authorized agent or attorney. If Application cannot be processed agent or attorney, include letter without owners signature. from applicant to that effect. N NNNNNNNNNNNNN------------------------------------------------------w/ Applicant: Do not fill-in beyond this point. However, be prepared to respond to the following items CITY OF r�tlaartic Se4d-q&VV (a Office of Building Official REQUEST FOR INSPECTION ///%��� ///� Date V/ — �C�^�� Permit No.. 7` Time A.M. Received P.M. SDistrict No. O Job Address Locality Owner's Name Contractored BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing _ Rough Wiring h Rough Air.Cond.& V, Re Roofing C Slab - Temp Pole -1, Top Out _ Heating Lintel Final D Sewer Fire Place o READY FOR INSPECTION Pre Fab A.M. Ospection Tues. Wed. Thurs. Friday P.M. Made pM, Inspector Final Inspection C��-,n .• � // �' Certificate of Occupancy Date `BUILDING AND ZONING INSPECTION DIVISION z tI�► ►� ` ' CITY OF ATLANTIC BEACH, FLORIDA c � W ELECTRICAL PERMIT a `` a Date 6J7J88 Fee $ 00 Permit No. 7449O W co Location 101 'IM PIPSr $"{ RT it ° and Q Between a This is to certify that MICWL PEMY m PENNY Bllalut">I" IG e (Master Electrician) a (Electrical Contractor) cc has permission to install Electrical Construction as described herein in W accordance with the provisions of the Electrical Code and regulations Z w W « of the City of Jacksonville, and subject to the information shown on the = application, drawings and specifications which are made a part of this 3 permit. � 81 S b" B " for LU o a v i"ol"W-tCIAL AMMON ° •- Type of work: 1L U J M SERVICE: exist serrti► 200 semis. l>� � 40 v© � Y Q i a u WC C Feeders: 0 u Outlets: "' m Receptacles: Switches: _ Incandescent: Fluorescent: Appliances: Air Conditioning: 1 2.5p 25 Ate' Motors: i 1 0-1 tip 240 volt 1 "S IP 1 Tronsformers: Signs: Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: Electrical Inspection Supervisor MONTHS PERIOD, PERMIT BECOMES VOID. _-J BUILDING AND -' CITY OF ZONING INSPECTION DI LL ATLANTIC BEACH, FLORIDA VISION ELECTRIC �a AL PER MIT Q � Dote Fee S Z.ft.ot) Locution Permit No. ��— 3 101 Between PJ"T �JaT O This is to cerci W fY that cc and � --Pp'"1' ELE(7MZC — Q (Electrical Contractor) Q as permission MIPWL PUwr a ccord to install Electrical (Master _� once with the Construction as Electrician) W C provisions Of t describe " the City of Jacksonville, and he Electrical d herein in e >Plkption, drp subject to Code and regulations U a wings and the information show rmit. specifications ° which n on the Z c LU 13 +� are made p Port of this 3 2 )e of work: r Y C t- FAL AODMON � zVICE: exist SPTy 2 a o ' Ph 3W 240 volt I? "r o u lers. Y ?ts: Q �' v7 r otacles: W U hes: 0 descent: U W scent: ca u7 nces: _ f- ditioning; rr y� A4P n_ mI Qn v4j t ers: 1 PIS X leous: 'ORK I5 UM UNDER `�Q�R\N� ANV SIX ISSUED BY Eledricol Inapecfion Su erv' P Isar oO, CITY OF ATLANTIC BEACH, FLORIDA (� � Approved by APPLICATION FOR ELECTRICAI. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: —A'MASTER EL CTRI IAN SIG TURE NAME f -l; - �' ADDRESS: /O SISI r✓, .. 0,r,I RFD BOX BLDG.SIZE _ / BETWEEN: RES.( ) APT. ( 1 COMM. ti/i PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD ( 1 REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS 1 1 SO. FT. FEE SERVICE: NEW( 1 INCREASE ( 1 REPAIR 1)CI, CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE '� v ''� AMPS PH 3 W -`IdVOLT ri RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL CONCEALED OPEN TOTAL RECEPTACLES 3,.100 AMPS. 0-30 AMPS. SWITCHES INCANDESCENT — FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. 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 27937 METRO GRAPHICS-JACKSONVILLE,FL CITY OF ATLANTIC BEACH No. 0310 FLORIDA January 21 19 88 NAME Bennett Construction ADDRESS 2105 Bay Street _ 199.67 TL CITY Neptune Beach 32233 199.67CKT0 0 310 SUCAM 3944 IA 1 /21 /88 P_ X41. D 10001 Water Tap Fee #40-343-3700 JAIL 21 198,3 $199.67 #200245 100 West First Street When Signed, Dated and Numbered, This Becomes an Official Receipt Received Payment MAKE CHECKS PAYABLE TO CITY OF ATLANTIC BEACH, FLORIDA TREASURER �h'` USE THIS FORM FOR ESTIMATES ONLY WATER �1 ..,�' —n FEES Bennett Construction for single Service 100 West 1st St. 11 11 Acct. Il 200245 5/8 X 3/4 Meter has been paid for �11b' DESCRIPTION OTY. MATERIALS LABOR TOTAL 6 X 1 TAPPING SADDLE , 1 $13 25 .1 QQRP STOP 17 40 1" MALE ADAPTER PVC 2 80 1" 900 ELL PVC 1 1 20 1" PVC 5FT 1 70 H 11 ._2ZtT 19 44- 1" CURB STOP 1 17 40 M= BOX W D 1 12 00 $83 99 10 % O. H. 8 40 Total 92 39 2 men hand dig ($12.94 hr for 4 hrs 1 $51176 30% O.H. 15 52 Total Tabor 67 28 r0 • UATERIALS IABOR TOTAL '' TOTAL $92139 , $67128 $151 6 MISC. JOB EXPENSES AMOUNT OTHER JOB EXPENSES 4C 0 1 Truck 10.00 truck for 4 hr TOTAL COST 19S 6 4 O TOTAL SELLING PRICE I T •' - LESS TOTAL COST GROSS PROFIT LESS OVERHEAD COST •. OF SELLING PRICE TOTAL NET PROFIT CITY OF ATLANTIC BEACH CITY HALL ATLANTIC BEACH. FL. 32233 RE: BLOCKS 19 & 20 except the South 150' DEAR SIRS : THIS IS TO VERIFY THAT BENNETT CONSTRUCTION COMPANY WILL NOT HOLD THE CITY OF ATLANTIC BEACH RESPONSIBLE FOR ANY AND ALL COSTS REQUIRED TO COMPLY WITH ST. JOHNS RIVER WATER MANAGEMENT DISTRICT . IF THERE IS ANY QUESTIONS , PLEASE FEEL FREE TO GIVE ME A CALL. SI NVR. , F. REUBEN BENNETT, SR. PRESIDENT OF BENNETT CONSTRUCTION FRB db II Bessent, Hammack & Ruckman, Inc. CONSULTING AND DESIGN ENGINEERS 1900 CORPORATE SQUARE BOULEVARD/JACKSONVILLE,FLORIDA 32216/(904)721-2991 JACKSONVILLE/TAMPA December 21 , 1987 Mr. Reuben Bennett Bennett Construction Company 2115 Bay Road Neptune Beach, Fl 32233 RE : West 1st Street Atlantic Beach, Florida BHR Project No. 25126 . 30 Dear Mr. Bennett: This letter is to confirm that we are preparing a St. Johns River Water Management District permit application for the proposed construction on a portion of Blocks 19 and 20 of Section H, Atlantic Beach. Sincerely, BESSENT, HAMMACK & RUCKMAN, INC. Preston S. Doub PSD:jhw Cog X55 r . s' f � r 10 t 77 .y 4 f 4 fJ f 6 R�FSS t �i PO 4 Trrtifiratr of (Orrupattry CITY OF 00444 C &494- Rw& j3ppartlnrnt of Building 3miprtfion This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification C.o m.1 er c i%I.1 Bldg.Permit No. 9371 Group Type Construction Fire District_ Atlantic Beach OwnerofBuilding Bennett ConStr I(`titx4dress yRoad, Neptune Beach Building Address!00-West First Stree,4 lity_P� S I1�_20. SP.(`tlllfl F{ {} 1 Rene' Angers 1. hidy '2" 5, X988 Building Oficial Date: _ POST IN A CONSPICUOUS ►LACE \ . BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested : 51C�S/SCP Building Contractor: /6�� Building Permit Number: IF13 ? Address: / 0 o • n y Legal Description: )6 Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as ----------------------- Lowest Floor Elevation: ---------- ---------- _______-__ required as built n/a Sales Tax Certificate: ----------------------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief --.f ��--__ Public Works Planning Director --------- Building Inspector �o CITY OF rpt` MA? Ve4d- office of Building Official REQUEST FOR INSPECTION Date o Permit No. Time A.M. Received � P.M. � � District No. 10 -?7.—e— Ir Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing C Footing - Rough Wiring .11 Rough C Air.Cond.& Re Roofing C Slab = Temp Pole �1 Top Out _ Heating Lintel Final ❑ Sewer Fire Place Y FOR INSPECTION Pre Fab A Mon. Tues. Wed. Thurs. Friday P.M. Inspection Made L121 Inspector i Certificate of Occupan Date ADDRESS D ----��---------------------------- ------------------- CONTRACTOR OWNER ---------------------------------- BUILDING__ / ��1MECHANICAL__13 a PLUMBING ELECTRICAL--6--2&1 3-173 TEMP POLE_- �D�_ MISC ELECTRICIAN-�ecr�._ _ _-- _-- C� Jn�` PO�e �;�h gy 9 DATE FAILED DATE PASSED TEMP POLE JEA ---------- ----------- FOOTING ----------- ROUGH PLUMBING ----------- ----------- SLAB _ a=Q LJnf FRAMING MECHANICAL/FIREPLACE - TOP OUT PLUMBING ROUGH ELECTRIC - FINAL ELECTRIC FINAL BUILDING �v - - ELEVATION SUBMITTED ----------- ----------- CERTIFICATE OF OCCUPANCY ----------- ----------- DATE ORDERED DATE ISSUED A m m e--I?- 3LOCIgS 19 ,9 20 JAN 14 1988 ,ONEBTT OXCONSTRUCTION CO. 806 ATLANTIC BEACH. FL. 32233 L(D4- PlItngdning a 0 0 c� 0 0 Ud /3,50 d 1a7 , C t C-:1 ."�. c jr � rm Irn Z �C= < M rIZ, C-) m C" O N { r r t T-7 T !c b � n ly � N o °c 0 o b b -o CITY OF --- - --------own& ATLANTIC 13EAC H FLORIDq No. 0297 NAME Rueben Bennett Januar 15 9_8 8 88 ADDRESS 2015 Bay Road CITY_ Neptune Beach Florida 32233 Water Impact Fee 440-343-3700 1 hand sink per Health Department :KTG $10.00 -4j88 ,1 .ODCACG I A 5/24/81✓ 100 West First Street 10001 When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO A CITY OF ATLANTIC BEACH, FLORID Received Payment p TREASURER CITY OF ATLANTIC BEACH No. 1425 FLORIDA MAY 25, 1988 NAME - REUBEN BENBEIET ADDRESS 2015 BAY ROAD, CITY NEPTUNE BEACH, FLORIDA 32233 SEWER IATACT FEE #41-343.5200 1,280.00 ADDITIONAL SEATING CAPACITY ON RESTAURANT I P80.00 TL PAID FOR EIGHT SEATS - HAD TOTAL OF 16 SEATS 1280.000KTC 7W7 IA 6/03/8is' (8 x $160.00) . .00CACC 7c'37 IA 6/03/8E 10001 When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER ncrm C:0 C.7 rr,rl <Z I.->g E2 ril Fo-i 0 , C= oc- 'C-- z :3:-::q --i rri rri �ONSrrcrl Ll T7 es I 11 I I L s- t. It XP BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division - II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve 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 A�O Contractor (Print) U C �� , Master /f Name of Property Owner Signature of Owner /f Signature of or Authorized Agent L/ Architect or Engineer III. GENERAL INFORMATION A' Type of heating fuel: /yam N��� B' IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV, MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ( (Provide complete list of components on beck of this form) El Residential Residential or � Commercial ❑ Heat ❑ Spec* ❑ Recessed O Central O Floor ❑ New Building Air Conditioning: ❑ Room �f( Control Existing Building /� / it Duct System: Material_ �JCM '/L4 Thickness ❑ Replacement of existing system Maximum capacity c.f.m. New installation(No system previously installed) ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9•P•rn• ❑ Fire sprinklers: Number of head--- E] Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps. (number) (Received) ❑ Tanks (number) Remarks ❑ LPG container (number) Cl Unfired pressure vessel Permit Approved by Dste_ ❑ Boilers ❑ O hor — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Arevbu Number Unites Description Model Number Manufacturer (Tone) Cy HEATING FURNACES, BOILERS, FIREPLACES Capacity Approvft Number Units Description Model Number Manufacturer (SPU) Airy 1j1 TANKS Serial Approving How+Many Notlninal Capacity Type Liquid Name at and Dimensions Contained Manufacturer No. Agency DEPARTMENT OF BUILDING I -CITY OF ATLANTIC BEACH,FLORIDA9 7 ( 0 PERMIT TO BUILD LERMIT . THIS PERMIT MUST BE POSTED ON JOB 1 A 6102 Date_ r+m e l s i1!lC �aluation$ Fee$ 33.00 I n! This permit not valid until above fee has been paid to City Treasurer, and is thsubject to revocation for violation of applicable provisions of law. 'his is to certify that DUVAL HEATING & AC I I l{as permission to btu INSTALL NEW SYSTEM � I Classification 8WERCIAL rr Zorftt' Owned by BENNI$H'TT 1 ot_ Block_�_S� Ouse No. 100 WEST FIRST STREET ccording to approved plans which are part of this permit I I I �. NOTICE—ALL CONCRETE FORMS I AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS �--_� AFTER DATE OF ISSUE 0 Building material, rubbish and debris -Zi from this work must not be placed in public space, and must be cleared up and h4uled away by either con- tractor, r ner.. Bail cial. I FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR .. PLUMBING ELECTRICAL SEWER WATER I I I I I 000653 `P DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION .rmit Number : 653 ldreas: 100 WEST FIRST STREET #4 Permit Type; BUILDING ATLANTIC BEACH, FLORIDA 32233 ; ass of Work: ALTERATION ----- --- LEGAL DESCRIPTION ---- -- - `anstr. Types H/A Lot: Block: Section; Use; OTHER Plat B,::ook: Page: O 4ellings: 0 Code; 0 $ubdivision: SEECTION H Value: $0. 00 OWNER INFORMATION rImprov. Cost : $1000. 00 Name: BOBBIE HINKLE Total Foes: $7. 50 ddress.- 100 WEST FIRST STREET #4 Amount Paidt $7. 50 ATLANTIC BEACH, FLORIDA 32233 Date paids 14,11?91/89 Phone-. (904)249-2286 0" Nt— -. NEW FART TIONS IN BEAUTY SHOP . CONTRACTOP(S) APPLICATION FEES t:!'!JPEN BENNETT, SR. CONS7R. '.RMTT $7. 50 ,TER IMPACT FEE $0. 00 WER IMPACT FEE $0. 00 ,,TER METER $0. 00 ' ,DON GAS_ H. R. 3. $0. 00 1 7*56 ,DON GAS -- 5% $0. 001931 1 A �Ipq�"9,TER TAP $0. 00 or; 3EWER TAP $0. 001931 1A 3 4YDRAULIC SHARE $0. 00 RE-INSPECT FEE $0. 00 4GINEERING 40. 00 'HER $0,-00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPL7CTED 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.95 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: N O T I C E T O C O N T R A C T O R S S C H E D U L E O F I N S P E C T I O N S Requests for inspections will be accepted from 8:00 AM until 4 :00 PM. All inspections will be made the following day between 8 : 00 AM and 4:00 PM. SCHEDULE OF INSPECTIONS: 1. Footing 2. Rough Plumbing 3. Slab 4. Framing, Rough Electrical, Mechanical, Top Out Plumbing, Fireplace 5. Final Inspection 6. Certificate of Occupancy Other inspections may be required in certain situations. Building Card MUST be posted or no inspection will be made. Pour no concrete or cover-up any work until building card is SIGNED by the inspector. You will be required to uncover any work that has not been inspected. In case of failed inspection, $10. 00 re-inspection fee must be Paid prior to calling for re-inspection.• BUILDING DEPARTMENT CITY OF ATLANTIC BEACH 249-2395 ' CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner Ral Address�ppzi Architect U'`� Address P- 33 Phoneiy9228(a zip Phone % Contractor F_ge�� dress Contractor's License Numberzip Phone Expiration Date Copy on File Lot # Block or Section ubdiZ ion Zoning Street Between and side Valuation $ e n oType of Construction 1 Purpose of Building ' uz h —st�oP Number of Units �_Fireplaces Utility Service: Water �,�, Sewer c�_z-�I If the City if providing water or sewer service, do we need to make taps? Dimens ions : Building�T P 5 Lo t Size Footings Sz. Piers Sz.. Sills Greatest Span Sills Sz. Ceiling Joists Distance on Centers (Greatest Span Sz. Floor Joists Distance on Centers Greatest Span Sz. Rafters Distance on Centers_ Greatest Span Method of Heating j� Solid-Filled Ground P.00f Flood Zone If located within a FLOOD HAZARD corm lete page 2 SUBMIT: Two complete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required: I. When steel is in place and ready to pour footings. 2. When steel is in place and ready to pour colurms/lirntel. 3• When steel is in place and ready to pour beam. 4. When framing, mechanical, plunbing, electrical, fireplace, is completed and ready to cover up. 5. Final inspection. NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB. SETBACKS In case of rejection, reLnspection MUST be called for after Rear Lot Line corrections are made. In consideration of permit given for doing the work as described in the above statement, we ��, IJ f& v, hereby agree to perform said work in accordance a r faith the attached plans and specifications, (D which are a part hereof, and in accordance with the building '� rt of Atlantic Beach. Signature Owner Signature Contractor ®� Ton ine FLOODPLAIN DEVELOPMENT INFORMATION Type of Development :' New Building Alterations to Existing Building Flood Zone Required Floor Elevation Actual (as built)Lowest Floor Elevation If located within a flood hazard zone (zone A) a survey must be made after the slab has been poured, certifying that the "lowest floor elevation is equa to or above the base flood elevation established for that zone. No Final Inspection will be made and No Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS Applicant acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been' or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No . 25-7-11 and all other laws or ordinances effecting the proposed developemnt . Date Applicantls Signature Department Use Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation Building Department Representative 110 r �y v�; CITY OF ATLANTIC BEACH No. 0242 FLORIDA r nnimrx 1 i, 193$— NAME 1 67100(1 1 I . ADDRESS 211 S Rny Rn S59OnCK� i't;7t; I ►t I /1 -K1 CITY 17141K ?i,a ,nnrllf ,.,7 P < I Q0i WATLR IPIPACT FF;E #40-343-3700 $145.00 20.00 SEWER ItIPACT FEE #41-343-5200 $165.00 100 West First Street Differrnce owed in change from retail space to 8 seat restaurant CITY OF ATLANTIC BEACH No. 0083 FLORIDA December 22 1987 NAME Bennett Constrtiction ADDRESS 2115 BN!g Road CITY Neptune Beach 32233 �7c!1� 10 TI U ct 73 IQ 1/14/3' Water Impact Fee #40-343-3700 C' $45V001 Sewer Impact Fee $41-343-5200 $6,300.00 170'1 t c� , $6,750.00 B1oc�CsP 195 r,� 20 Section H 100 West First Street -- Tap Water & Sewer MXXkK Fees to be calcmlated at a later date. When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE r.14F '.ICc aevsa1 c Tn Rpt-e9..oa �.••.»...a CITY OF ATLANTIC BEACH `�� No. 0297 FLORIDA January 15 1988 NAME Rueben Bennett ADDRESS 2015 Bay Road CITY Neptune Beach, Florida 32233 10.f!LJ TL I1I�CKTO . Water Impact Fee #40-343-3700 1 hand sink per Health Department;; 1 $�� j 0f1q/24/00 .011CACG 6631 1A 5/24/00 101001 100 West First Street When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER i DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. t T PERMIT TO BUILD I fi 111411,11 THIS PERMIT MUST BE POSTED ON JOB i •BaCAC • 77 i 1/14/8 Date December 2219 S7 10011 Valuation$ 177,750.00 Fee$ 501.00 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 Bennett Construction Co. RB0005854 -- —2115 Ray—Road NPnttm - - has permission to build OFFICE/RETAIL SPACE EIGLIT I SEAT RE TA'rRAI`:T Classification New� Commercial Zone CG i Owned by_ F R Bennett Sr Lot_ Blocr 1 House No. 100 West Ri tntAStrPPt According to approved plans which are part of this permit 2 NOTICE—ALL ETE F OORMS AND FOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 0 Building material, rubbish and debris ii from this work must not be placed in public space, and must be cleared * up and hauled away by either con- + tractor.1ir owner. uil ing Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR'S / PLUMBING ELECTRICAL SEWER W ATE R City of Atlantic Beach Fixture Unit Worksheet for Water .Impact Fee IED AS THE ER MAND FIXTURE UNITS ARE TUREHUII{II IINSTALLEDMANDUCONNECTED .TOREMENT OF TTHE DECITY FOR EACH WATER FIX WATER SYSTEM. THE WATECONNECTEDCHARGE ICITYRWATERISYSTEMT TE DOLLARS PER FIXTURE UNI . � BATHROOM GROUP CONSISTING OF _C____SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) 1;2- WATER CLOSET VALVE -l____WATER CLOSET, TANK OPERATED (4) 0VALVE OPERATED (8) _____URINAL WALL LIP (4) _ __BATHTUB/SHOWER ' (2) ' _L-SHOWER GROUP PER HEAD (3) --r`'---FLOOR DRAIN (1) LAUNDRY TRAY (2) _SHOWER STALL DOMESTIC (2) O COMBINATION SINK AND TRAY (3) -3LAVATORY (1 ) - --LAVATORY SCULLERY SINK (4) _ __WASHING MACHINE (3) _____WASH SINK EACH SET OF _ DISHWASHER (2) FAUCETS (2) J __KITCHEN SINK (2) _ _DENTAL LAVATORY ( 1 ) __KITCHEN SINK WITH WASTE ___DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) URINAL STALL, WASHOUT (4) ___BIDGET (3) -^ _ __COMBINATION SINK AND TRAY WIT FLUSHING RIM SINK (8) FOOD DISPOS. (4) ___URINAL, PEDESTAL, SYPHON JET 0 _DRINKING FOUNTAIN ( 1/2) BLOWOUT (8) `-11__LAVATORY, BARBER/BEAUTY i -- LAVATORY, SURGEONS (2) SHOP (2) -- SURGEONS SINK (3) __L__ICE MAKER ( 1/2) 0404-� @ $10. 00 EACH 9 ------ TOTAL FIXTURE UNITS---------- D -D/y/1-�joB It{FORMATION------------------=------ -------<-y-"-- lJvc PLANS REVIEW CHECK LIST / Address <`�/�C�.l�-� 1 �.�,�Cd1�-� Owner Legal DescriptionaC-/�CX_!/ �9 d'o ----ContractorGZ�i�� ' License Number _--r------------- ` -- - ---------- License on File ES . NO Section 24-101 * Zoning Regulations r Zoning District-__(fG------ Proposed Use r -aL4_"__ �/ Required Lot Size__ n ""_ Actual Lot Size/7(2 X�d�.dD /43,70X/d20 ---- -- Setbacks Required Provided Section 24-17 1 p/ front -_ o�U__ _ 70 '�_ CORNER LOT _INTERIOR LOT I � rear ---- C Flood Zone_ side-1 107 side-2 A)--- - --------- 1 / Required Elevation_ h71't___ �� -------- -------- Max. Height Allowed _� Proposed Height___ Section 24-82 * Minimum Lot Coverage ---- -- - -- - -- --- Required Heated Area Proposed Area Section 24_161 * Offstreet Parking -- --- -- -- --- - - -- Number Spaces RequiredSpaces Provided Section 24-82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES Utilities Water and sewer service is to be provided by: Buccaneer Utilities City of Atlantic Beach Utilities Private Source SEPTIC TANK WELL Plans Reviewed by _ ` ______Date__ Building Permit DENIED Ai tdress Heated Square Footage 4l S-6 (D @ $ per sq ft = $_ /7? �� !� Garage/Shed @ $ per sq ft = $ 71' Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ /7q 17529.O Totalvaluation 1st $ 160, Remain r Valuation / d per thousand or portion thereof -------------------------------------------- Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED + 2 Filing Fee $ Mechanical O Fireplaces @ 15.00 $ Plumbing BUILDING'PERMIT FEE $ ! d/, 0y Electric/New ✓ ' ------------------------------------------------- Electric/Temp c/ Septic Tank BUILDING PERMIT $ Well WATER ME'M CHARGE $ O admning Pool SEWER IMPACT FEE $ Sign WATER IMPACT FEE $ 5�r d� Water Connection I`IISCELLANEOUS $ Sewer Connection $ Water Meter ✓ $ Elevation Certificate GRAND TOTAL DUE $ _ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES 'y� � � Y Lo CP 0� Ale U 0o L� - J City of Atlantic Beach Fixture Unit Worksheet for Water .Impact Fee MAND FIXTURE UNITS ARE gUNITEINSTALLEDAS THEMANDUCONNECTED TOT TEASREMENT OF HEDECITY FOR EACH WATER FIXTURE WATER SYSTEM. THE WATER CONNECTEDCHARGE TO ICITYRWATEREBY ISYSTEMT TE DOLLARS PER FIXTURE UNIT SERVICE SINK TRAP STAND BATHROOM GROUP CONSISTING OF -----(8) WATER CLOSET, LAVATORY & BATH TUB OR SHOWER STALL (6) -.5--WATER CLOSET VALVE 0 (4) VALVE OPERATED (8) WATER CLOSET, TANK OPERATED -b-- LJ URINAL WALL LIP (4) __ __BATHTUB/SHOWER (2) ----- . -SHOWER GROUP PER HEAD (3) - (�-- FLOOR DRAIN ( 1 ) CJ LAUNDRY TRAY (2) 0___SHOWER STALL .DOMESTIC (2) ----- COMBINATION SINK AND TRAY (3) LAVATORY ( 1 ) - WAS}}ING MACIiINE (3) _ U__POT, SCULLERY SINK (4) O _ U _WASH SINK EACH SET OF DISHWASHER (2) FAUCETS (2) _ (:!)__KITC}}EN SINK (2) G -DENTAL LAVATORY ( 1) V__KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1 ) GRINDER (3) "-- - _,U_URINAL STALL, WASHOUT (4) bw _ BIDGET (3> - V U COMBINATION SINK AND TRAY WIT -FLUSHING RIM SINK (8) _ _ FOOD DISPOS. (4) _ C_URINAL, PEDESTAL, SYPHON JET C� _DRINKING FOUNTAIN (1/2) BLOWOUT (8) _--- G LAVATORY, BARBER/BEAUTY U LAVATORY, SURGEONS (2) _ __SURGEONS SINK (3) • _ �_ICE MAKER (1/2) � @ X10. 00 EACH 0 ----------- TOTAL FIXTURE UNITS__________ N �-----------=5--�----- - JOB INFORMATION - } f CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT ;�ddress-ft Owner- � A� ---- -:----ziPiPROphone o��lo Architect__________ _______Address-____-__---_____----zip......phone____- ('I -- Contractor /?-A- J,c A dress�� �/ //• zip3_Vj'3phonea Contractor' s License number, QQQ S$5- r_expiration_-t0/-_32-nM- 19 V 20 5e ------Block A=--I ok/3f - ---------------Zoning_(__ Street_ -16&d_--between-k-)C Sr_/r- Y7(.and__rn 70_ side- i 7 - --------- ' . Type Construction �AqE_____No. Units �___No. Fireplaces - ------- ----------- Purpose of Building__22n-, eze �/ RL/ _________Est. Valuation s -------------- Utility Method - Water__�—/- ------ Sewer___& 1 11 Dimensions - Building__ -,kYnL--- 'oLot1z7_X1 Size Footin s_z� Sz. PiersSz. Sills_ �Q_-____Greatest Span Sills ___O_- Sz. Ceiling Joists . Distance on Centers_ _ Greatest Span_- r_ _ Sz. Floor Joists ^_� _ Distance on Gent erssZ�_ , -Greatest Span_-O- 5_)a,6 Sz. Rafters T`� �[� Distance on Centers__,?'-----Greatest Span_-- Method of Heating_C4�40( -- o °� Slid ---------- Filled Ground Roof�fl)�l4L�S ..•,,.�-„�- Flood Zone_- �-___If located within a FLOOD HAZARD ZONE complete page 3 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 Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner Date__ Signature Contractor_ Via"""" Date /4 page 2 FLOODPLAIN DEVELOPMENT INFORMATION --- --- u a Type of Development : /Y)lyJ 461 ---------- ---- -'---------------- Flood Zone: t Required Lowest Floor Elevation: If building '' is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of Will be issued until the survey is ooccupancy n file with the Building Department. COMMENTS: Applicant Acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable Provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed development. Date, 21 J 9 ---Applicant 's Signature,_. - ` --------------------------------------------------- Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation _----------------- Survey Filed with Building Depart_ment_____- Building Department Representative page 3 T O 0 l7 rD c .. _ _ - 01 A u �• a O M m e w 0 N anZ, � ..--A ,-4 (D rD a, r„D, -< a 3 c a T Q LA rD ]' rD O o na, a Ln o o a 3 O x D W r a m c S rD Z :D c n C: :3 n Cd Z C rV 3 �' m (D C - 3 > > _ 3 cr o, rD D - rD n d .^. - m o < ZZ -VD. c a O `D 0 0 0 m � � N o o � o o O -^ T O n T n b rD O 0- r < = d O O rD CD p- C rD a o OD U1 S�c N > D (D tL -< = W 0o zm a ? —+z r u u N op� IIi �" �" -n OT 0 ° O o rte, rD tZ O 0 O m v+ rDo N 0 - = < o rD N O Z LO O c N Z O a, D c D c c - rDv, Cm C: m 3 S� O rT c, c m 0/ r (D C a `D X O 0 3 rD < o X a - o rD O O t ' � N ID a 3. m' 3 0 0 S a `< rD W FORM 8OOA - 86 FLORIDA MODEL ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION SECTION 8 -- SIMPLIFIED ANNUAL ENERGY METHOD ADMINISTERED sr THE DEPARTMENT OF COMMUNITY AFFAIRS $C STAT STICS j NON - RE IDENTIAL BUILDINGS PROJECT NAME (?, PERMITTING OFFICE ADDRESS JURISDICTION NO. CITY, ZIP CODE PERMIT NO.: BUILDER : �W./ ZONE , OWNER : BUILDING CLASSIFICATION(S) BUILDING VALUE S Q. SYSTEMS AIR CONDITIONING HEATING TYPE EER TYPE UNIT NUMBER SEER TONS UNIT NUMBER COP BTUH COP lqya os�Gz D oZ. 2S d j / o ae U = UNITARY E s ELECTRICAL RESISTANCE C = CENTRIFUGAL HP — HEAT PUMP P = POSITIVE DISPLACEMENT G = GAS 0 OIL ENVELOPE COMPLIANCE Net U Area SECTION 8 BUDGET _ Z 42 WALL NO. 1 . 1,02- BUILDING MBTU/SF N0. 2 I ROOF SECTION 4 RAISED F / INT WALL BUILDING MBTU/SF O CALCULATION METHOD : .2o Q. 5 GLASS Q — In accordance with Section 553 FS_ I hereby certify that the plans v and specifications cover y i alc anon are in compliance 0o Q /` Florida Energy Code TOTAL COND. FLOOR AREA = pd S.F. OWNER:AGE DATE a" / LIGHTING TOTAL KW = Review of the plans 4d specifications covered by this calculation indi- cate compliance with the Florida Energy Code Before construction is completed,this budding wt inspected for mpliance in accordance Compliance with Section 8 was demonstrated by a Prescrip- with Section 553 908 FS tive Measures methodology or by Dual Calculation. BUILDING OFFICIAL 807.2 Supermarkets -_ 809.2 Basic Features DATE :1 807.3 Restaurants 809.3 Dual Calculation 807.4 Kitchens Budget • � . ��...;.� -.., _.:,,,...x.,.�.�..xkr�.,..ew:.y«-��a..�-. .-,:x+..,.. '. _ .. ..--...,,,.w.,�+�a�.�m.;.. _,._ .�,,. .. ,�.,,,:.�..,.KRr.wr:,br;.«.< .W.�-�:.,s;. �