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120 Camelia St - Permit //V CITY OF r�G!cactic �►'tacl - �C�r,'ala 800 SEMINOLE ROAD ATLANTIC BEACH,FLORM4 32233-5445 TELEPHONE(904)U7.5800 FAX(904)247-5805 September 26, 1994 Ms . Nancy L. Bullock P. 0. Box 127 Neptune Beach, FL 32266 Dear Ms . Bullock: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 120 Camelia Street a/k/a Lot 7, Block 87, Section B RE#170848-0000 Investigation of this property discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-(7) , j .e. , Unregistered motor vehicle and trailer stored outside; Chapter 21 - Stopping, standing, parking of vehicles and trailers (see enclosure as noted) . You are hereby notified that unless the condition above described is remedied within fifteen (15) days from the date of your receipt hereof, this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500 .00 per day for a repeat violation. Sincerely, S--Oel . Grun-w Code Enforcement Officer KWG/pah Enclosures cc: City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED t CITY OF r��+!�urtie �tac� - �Ga�calct 800 SEMPVOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5"S TELEPHONE(904)247.5800 FAX(904)247.5805 September 26, 1994 Carroll Porter 120 Camelia Street Atlantic Beach, FL 32233 Dear Mr . Porter: Our records indicate that you are the occupant of the following property in the City of Atlantic Beach, Florida: 120 Camelia Street a/k/a Lot 7 . Block 87, Section H RE#170848-0000 Investigation of this property discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-(7) , ie. , Unregistered motor vehicle and trailer stored outside; Chapter 21 - Stopping, standing, parking of vehicles and trailers (see enclosure as noted) . You are hereby notified that unless the condition above described is remedied within fifteen (15) days from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162 .09, the Code Enforcement Board may impose fines of up to $250 .00 per day for a first violation and $500 .00 per day for a repeat violation. Sincerely, Karl W. Grunewald Code Enforcement Officer KWG/pah Enclosures cc: City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)2473800 FAX 04)247.5805 November 8, 1994 Mrs . Nancy Bullock P. 0. Box 127 Neputne Beach, FL 32266 Dear Mrs. Bullock: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 120 Camelia Street a/k/a Lot 6, Block 89, Section H RES170840-0000 Investigation of this property discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-7 (Abandoned Vehicle) ; Chapter 24, Section 24-163 (recreation vehicle parked in front yard setback) . This is a second notice as to the same violation. You are hereby notified that unless the condition above described is remedied within forty-eight (48) hours from the date of your receipt hereof, this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500 .00 per day for a repeat violation. Sincerely, arl ii. Or ewald Code Enforcement Officer KWG/pah cc: Carrol Porter, Occupant City Manager CRR?IFISD MAIL RETURN RRCs I PT R WZBTRD { Al G CITY OF AW4 a&'e Ve d - 9&wn a 800 SEMINOLE ROAD �_ ------------------ -- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 November 8, 1994 Mrs . Nancy Bullock P. 0. Box 127 Neputne Beach, FL 32266 Dear Mrs . Bullock: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida : 120 Camelia Street a/k/a Lot 6, Block 89, Section H RE#170840-0000 Investigation of this property discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinance Chapter 12 , Section 12-1-7 (Abandoned Vehicle) ; Chapter 24 , Section 24-163 (recreation vehicle parked in front yard setback) . This is a second notice as to the same violation. You are hereby notified that unless the condition above described is remedied within forty-eight (48) hours from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162 .09, the Code Enforcement Board may impose fines of up to $250 .00 per day for a first violation and $500 .00 per day for a repeat violation. Sincerely, Karl W . Grufiewald Code Enforcement Officer KWG/pah cc: Carrol Porter , Occupant City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED ,C 0T G LOT ,5" 7D. O � Fivo �,�•� � ,o 44 w YA CA AJ T Q zoT , � o 0 h w � 0 To 70. 0' CAME41A STREET I HEREBY CERTIFY THAT THE PROPERTY SHOWN HEREON IS IN FLOOD. ZONE " C" AS SHOWN ON THE FLOOD HAZARD BOUNDARY MAP FOR THE CITY OF ATLANTIC BEACH, FLORIDA. I HEREBY CERTIFY TO CHUCK BULLOCK THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRESENTED HEREON MEETS THE MINIMUM STANDARD REQUIREMENTS ADOPTED BY THE FLORIDA STATE BOARD OF PROFESSIONAL LAND SURVEYORS CHAPTER 21- HH AND THE FLORIDA LAND TITLE ASSOCIATION. qr W 1IC#ATWRI$NT9 1, S. ANDA 11199. WALE; _ ,�� ' KIATM PIMIT LAND S NlVEV+ORs INC. DATE 3 D DRAWN !!Y 1301 P9010 ROAD$ MATE �2,9, I-V4 R D. /L JACK9p1W�.LE DEAiCII FLORIDA 241->s'�O shm / OF UTILITY SERVICE AGREEMENT (Water and Sewer) THIS AGREEMENT entered into this 13 day of May , 198 7 between the City of Atlantic Beach , a Municipal corporation, hereinafter called "City", and Mr. & MY-S. Bullock , a corporation, its successors and assigns, hereinafter called "Developer". W I T N E S S E T 11 WHEREAS, Developer owns land in Duval , County, Florida, more particularly described as Lot Block 87 Section H refer to acreage, plat engineering 240 Camelia Street drawings, or legal description as Exhibit A and WHEREAS, Developer plans to develop said land by constructing buildings,' " 1 residences and/or other improvements thereon consisting of" " '8irig1e Family and WHEREAS, City is the owner of water and sewage treatment plants and water distribution and sewage collection systems in the vicinity of the property described above; and WHEREAS, Developer desires that City provide water and sewage collection service to said property and City desires to furnish same; and to them and to their occupants water and sewer service subject to all terms and conditions of this Agreement; and WHEREAS, in order to provide water and sewer services to Developer it has been or will be necessary for City -to enlarge and expand its offsite water and sewer plants and facilities and it is the desire and intent of Developer to contribute financially to the costs of building such additional offsite water and sewer plants and facilities and to reserve capacity in City's water and sewage treatment plants so that City can provide service to'-the Development without imposing a burden on its existing customers; NOW, THEREFORE, in consideration of the premises and other good and , valuable considerations and in consideration of the mutual covenants and conditions hereinafter contained, subject to any necessary approval by other governmental agencies having jurisdiction, it is .agreed by the parties hereto as follows: 1. Developer agrees that City shall have the exclusive right to furnish water and sewer service to the real property described above and hereby grants to City . this exclusive right..to provide water and sewer service for all uses within all structures now or hereafter constructed on the real property described above. 2. City agrees that after Developer has connected to the systems of City, City will provide at its own cost and expense, water and sewer service to Developer's property in a manner conforming to the reasonable requirements of public or governmental agencies or parties having jurisdiction over City's water and sewer operations; provided, however, . f that such service shall be in accordance with other provisions of this Agreement, including City's rules and regulations and rate schedules. 3. In the event that Developer or assigns fails to complete construction of all improvements required to be built by Developer and � � Agreement under this provision, City reserves the right to negotiate with Developer a new agreement for any additional sums to be paid by Developer to City as plant capacity and service availability charges, fees or other charges based upon increases in the cost of living and/or such other factors as relate to the cost of supplying water and sewer service. 4. All taxes or charges imposed upon the property described above by any governmental entity. or agency shall be paid - by Developer except such part thereof that has been deeded to the City in accordance with the torms of this agreement. 5. The rates charged by City for water and sewer service shall be in accordance with its rate schedule which shall be subject to change . from time to time. City shall have the right to determine reasonable meter size . and location. G. Developer will grant to the City, at Developer's expense, adequate easements for water and sewer lines, for access to lift stations and water stations and related appurtenances. Said easements ` shall be transferable. Developer will also furnish title evidence satisfactory to the City that said easements are superior to mortgages or other interest in the land, and Developer shall cause any such mortgages to be released or subordinated to said easements. Easements will also be furnished to provide for onsite water distribution lines, including meters and sewage collection lines. Sites for, lift stations and water stations and related appurtenances shall be conveyed by warranty deed in fee simple by Developer to City. Developer will a furnish City a warranty deed, title evidence satisfactory to City and any releases from lien holders for any sewage pumping station and water to said state road right-of-way. Developer shall further grant to the City, its successors and assigns, the exclusive, perpetual right, privilege and easement to construct,. reconstruct, operate, maintain, repair, replace, improve, alter, remove, relocate and inspect water transmissions and distribution mains, sewer collection mains, sewer lift stations, pipe lines, lateral lines, valves, connections and appurtenant equipment over, across and under the Developer's property, including the right to ingress and.egress to each of the building sites on Developer's property which are served by City. All such easements shall have a .width which is acceptable to the City. 7. City does not guarantee an uninterrupted supply of water, or water at any particular pressure, and reserves the, right to shut off the water in its main 'at any time for the purpose of making repairs or extensions of for providing temporary or emergency water supply. City will not be responsible for any damage caused by low pressure or interruption of service. Neither Developer nor,any of its successors or purchasers shall discharge into the sanitary sewer system water from "non-domestic" drains including without limitation swimming pools, air conditioning condensation lines, cooling lines or other discharge from any type of equipment. City shall not be obligated to furnish any water or sewer service to any building which is built on Developer's property to which the City does not have access. The Developer hereby agrees and warrants that the City will not be held responsible for flooding problems which may result from the failure of sewer line back flow preventor valves on Developer's property. The Developer hereby agrees to hold harmless and indemnify City for all costs and damages resultijjg from flooding due to back flow preventor valve failure. B. The construction and design of all facilities to be a r Developer or its contractor. Developer will pay the cost of all such construction. The Developer's engineer shall incorporate into the Developer's engineering design, plans and specifications the applicable standards and specifications of the City. 9. A. If the Developer modifies his development plans for Developer's property which would require greater water usage, greater fire flows, additional water facilities, greater sewage flows, or additional sewage facilities than the water and sewer demands previously approved by the City, then the Developer must obtain approval by the City for the construction of such additional water or sewer facilities which shall meet all City and governmental design requirements. The Developer shall pay all additional contributions and fees as may be authorized by the City's' service availability policy which is in effect on the date said new agreement is executed. B. In addition to paragraph 9A above, any other change order between Developer and its utility contractor issued after City approval of original plans must be approved by the City before the change order is put into effect. ' C. City shall have the right to review the systems design drawing and specifications to ensure that they meet the requirements of the City. The systems design drawing and specifications are to be in accordance with the City of Atlantic Beach requirements unless otherwise .specified by City or its engineer. D. The City also reserves the right to approve the utility contractors to which construction bids are sent by Developer as well as ,i the contractor to which the award is made. E. A representative of City or its engineers will be the •inspector of the project along with the Developer's engineer, but City absolute and exclusive owner of the facilities of said water and sewer systems whether located on, under, above or outside of the property described and regardless of wl►o may have installed or constructed same to the extent described below: A. All water mains, pipes, valves and fittings and appurtenances up to and including all meters shall be dedicated to and will be owned, operated and maintained by City,. All water pipes on the customer's side of the meter shall be owned, operated and maintained by the customer or its assigns. B. All sewer mains, manholes, pumping stations, force mains and appurtenances, including service pipes in public right of ways and dedicated easements, shall be owned, operated and maintained by the City. [except as provided in paragraph 9C, all sewer lines on the customer's side of the property line shall be owned, operated and maintained by the customer or its assigns. C. With reference to any blanket easements for multi-family projects such as apartments, mobile home developments, condominiums and PUD's or for commercial developments, all water mains to and including the water meter, all sewer mains, force mains and manholes in such blanket easements over private property allowing utility operations shall be dedicated to and shall be owned, operated and maintained by the City except that the full length of sewer services from the sewer main or manhole shall be owned and maintained by the customer. All such City lines shall terminate with a manhole. U. By these presents, Developer hereby transfers to the City, the title to the water distribution and sewer collection systems to be installed pursuant to this Agreement, such conveyance to take effect without further action upon the completion and acceptance by City "' 11. Developer shall pay the City upon, execution of this Agreement the sum of . 10¢ per water connection per equivalent residential connection (ERC) as an advanced deposit to cover engineering, plan review, inspection, test, legal and administrative expenses of City in connection with this Agreement. Developer shall also pay to City upon execution of this Agreement the sum of ,10 per sewer connection per ERC as an advanced deposit to cover engineering, plan review, inspection, tests, legal and administrative expenses of City in connection with this Agreement. The charges for engineering and legal expenses and for engineer's inspection and plan review fee for non-residential units shall be based upon estimated cost to City: Actual cost will be determined and a refund or additional charge will be made for the difference between the advanced deposit as calculated above and actual costs. , City agrees to .provide water and sewer service . to the Developer's property in consideration for plant capacity charges, fees and other charges to be paid by Developer as follows: ' A. A water plant capacity charge at the rate of $10.00 per fixture unit. Such charges shall be due and payable , as provided in paragraph 12. . S. A sewer plant capacity charge at the rate of onethousand thTty five dollars ($ 1,035.00 ) per single family unit. Such charges shall be due and payable as provided in paragraph 12. C. A sewer plant capacity charge for any commercial customers on the land as described above at.the rate of t/ p f D. A meter installation fee to. cover meter cost and meter •installation (but not including curb stop or meter box) according to the City's service availability policy at the time of installation which currently is $85.00 Der 3/4" x 5/8" meter E. If available, construction .water will be charged to building based on metered usage in accordance with current rates. F. Hydraulic share of main extensions - payment or refund. 1. Developer recognizes that water or sewer utility service to the Developer's property.. is prgvided by the use of a mein a extension and other improvements constructed by a prior developer and that Developer is obligated to refund a said prior developer Developer's share of the cost of said main extension or other improvements. Accordingly, Developer shall pay its pro rata share of the cost of said' main extension or other improvements to City. Said pro• rata share shall be based on Developer's percentage of the hydraulic capacity of said extension or other improvements. For the purpose of this Agreement, ttie cost of Developer's said hydraulic share shall be $ payable upon execution* of this Xgreement. 2. With respect to utility facilities installed . by Developer to which future developers connect directly, and -in consideration for monies expended by Developer toward said facilities, City shall refund to Developer, or Developer's successors or assigns, solely from monies collected from said future developers, said future developer's pro rata share of the cost of said facilities. Said refunds shall be calculated on the basis of the hydraulic capacity and demand of said future developer whenever feasible. The refund obligation of City hereunder and the benefits to Developer related thereto shall expire �'' at a cost of $ 12. All charges to Developer shall be paid by Developer to the City in accordance with the following formula and procedures: A. The advance deposit for engineering, administrative and legal fees and the inspection and plan review fee upon the execution of this Agreement, a total of ; and D. Water plant capacity charge upon the execution of this Agreement, a total of 190.00 ; and C. Sewer plant capacity charge upon the execution of this Agreement, a total of ' . . . . . '$1,035.00 ; and D. Meter installation fee according to the City's service availability policy at time of installation which currently is $85.00 3/4" meter each _ upon application for hook-up of individual lots, apartments, multi-family lots or units; and E. Construction water based on meter, readings in accordance with City's rate schedule; and F. Hydraulic share payment, in accordance with paragraph 11F-1 of this Agreement upon execution of this Agreement, in a total amount of.$ and G. Service availability charges and other additional aids in • construction in accordance with paragraph 11G of this Agreement in a total amount of '$ '" 13. City agrees to connect individual buildings and structures on the developed property upon application by the builders, plumbers or individual owners subject to the operating rules and regulations of the City and payment of all fees and charges in effect on date of application and compliance by Developer with all provisions of this Agreement. 14. The charges, costs and fees for any separate emergency fire protection water system's, for subject project will be subject to negotiations between City and Developer. if buildings of more than two stories are a part of. the project, Developer shall furnish at its expense water pumps and other appurtenances as necessary for pumping water above. 15. All plant capacity and service availability charges, fees and other charges as outlined above are based on normal domestic sewage defined herein as containing not more than three hundred (300) parts per million biochemical oxygen demand or three hundred (300) parts per million suspended solids. Whenever water which contains more than these amounts is to be admitted to the sewers, both the City and the pollution control agencies must specifically agree to the connection. An additional charge will be calculated in direct proportion to strength• at seventy-five cents ($0.75) for each part per million of either biochemical oxygen demand or suspended solids over three hundred (300) parts per million. All such connections shall provide for a suitable point for the waste to be sampled by the City or the regulatory agencies. An additional charge equal to the pro rata share of any additional sewage treatment plant costs above ninety percent (90%) treatment, and of the cost of any additional required outfall pipes to may be rpnu i rprl hit r4 4... subordinated to the terms of the Agreement and easements required herein prior to any acceptance of the facilities by the City'. 17. Upon application by owners, builders or their authorized representatives, the City agrees to connect the requested dwellings or structures on the said property at no additional connection fee (i.e. , in addition to those provided for above in this Agreement) , but subject to the continuing operating rules and regulations of the City including, without limitation, the periodic payment of the water usage and sewer usage charges in effect on the date of such application or thereafter reflected in the City's rate schedule. 18. This Agreement shall be binding upon and shall inure to the benefit of the Developer, City and their successors and assigns. However, in the event the Developer has not paid and delivered to the City the plant capacity and service availability charges, fees and other charges provided to be paid to the City by Developer under the terms of this Agreement, and all easement and conveyances required by this Agreement, then this Agreement shall not inure to the 'benefit of the successors or assigns of the Developer. 19. It shall be the responsibility of Developer to locate for builders any water and sewer taps or lines necessary in conjunction with residential or commercial construction. 20. Unless the damage to any onsite improvements are the result of the negligence or willful act of the City, its officers, or employees or authorized agents, the owner or Developer ,of such property upon which , the damage occurs shall be responsible for the payment to the City of such damage to City's property including all necessary and reasonable repairs which must be. made by the City or independent contractors prior hereto, for the payment of such necessary and reasonable costs and expenses for effecting such repairs and restoration to such onsite facilities located upon the owner's or Developer's property. Notice of such lien or claim on lien describing the real property and the amount owed may be filed within ninety (90) days of the date from the last date upon which any such repairs or restoration were made by the City or its authorized representatives. Thereof ter, the City shall be entitled to bring an action for the foreclosed under the laws of Florida. 21. Prior to final acceptance of the utility and other public facilities improvements by the City the following requirements must be met at Developer's expense: A. If the property is platted, one copy of the recorded plat shall be furnished to the City. ' 13. "As built" drawings of utility improvement shall be furnished one week prior to final inspection. "As built" drawings shall be certified by a registered engineer with the cost being borne by the Developer. Two mylar and three printed copies of said drawing shall be furnished to City. C. All lot corners shall be properly marked so that utility company or its engineer can, upon receipt of "as built" drawings, verify the marked water and/or sewer services as to location and depth. In addition, for purposes of locating and protecting installed service ; lines and valves Developer or his contractor shall mark each service line and all valves with an eight (8) foot pressure treated wooden post in the manner as shown on the design drawings and specifications. Developer's contractor is required to install curb stop, meter box and valve box on each water service and valve as shown on design drawings. Irrevocable letter of credit, the terms of which will indemnify and save harmless the City from any loss, damages, costs, claims, suits, debts or demands by reason of defects in the workmanship or materials used in the facilities discovered within a period of one year from and after the date of acceptance by the City of the facilities. . C. A Bill of Sale for facilities from the Developer to City. , G. Conveyance of easements as required under this Agreement. II. A deed fof,any and all land on which lift stations or water stations or other improvements if required by City- 1. The title evidence, mortgage • releases and mortgage subordinations as required in this Agreement. J. For onsite and offsite construction provide City an accounting of the actual costs* (schedule of values) and releases of liens from utility contractors in such detail as the City requires. K. City shall have the right to refuse to accept title to Developer's construction until Developer's construction has passed certain tests, including, without limitation, closed circuit television inspection of the gravity sewer lines, witnessed by a City representative, to determine whether the Developer's construction is constructed in accordance with the approved engineering plans and specifications. Said tests may be performed at •least three (3) times: the first test upon completion of the system; the .second test upon completion of all building, roads, paving, drainage, and all construction within the right-of-way easement area of adjacent areas. A third test shall be required if the City deems it necessary within a one (1) year period after acceptance. L. Letters of acceptance from' the appropriate regulatory agency for the water and/or sewer system gra .��•.: . 22. All notices that may or must be given under this Agreement shall 'be in writing and shall be valid if mailed by United States registered or certified mail, postage and charges prepaid from addressed as follows: To Developer: ; . To City of Atlantic Beach City Manager 716 Ocean Boulevard Post Office Box•25 Atlantic Beach, Florida 32233 IN WITNESS WHEREOF, the parties hereto have executed this Utility Agreement the day and year first written above. Signed, sealed and delivered in the presence of: l.e Wi.tness f - o tlantic Be -Witness R': CITY OF ATLANTIC BEACH No. 5197 FLORIDA July 24 19 87 NAME Charles Bullock ADDRESS Id J- Z " Camelia Street CITY Atlantic Beach i Water Tap Fee #400-�3r74�33-�3r�7/70�70� F 19$313.59 , U�YRIdicX .Xl�e�ePXX 1XdPUXAP64 C 13:�$��0.0KO r RAI. Q JUL Lot 6 Block 87 Section H UL 2 81997 240 Camelia Street 1l THIS RECEIPT SERVES AS A WORK ORDER. TAKE RECEIPT TO PUBLIC WORKS DEPT. TO SCHEDULE WORK. 1200 SANDPIPER LANE. When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER ,.r 1 i i '.tib�'?�`:�f Ir 1� , � 1, 1 ri,j;��•,�. •'y"�1,1.71, � �• , - � �•'rllr• 1•°y•' CITY' OF ATLANTIC 13EACIi APPLICATION. FOR PLUMBING PERMIT r � 1t y'll• ' '.t ,.f,.l li, I '' • l ,7f'� 1, •'•'• i , .� 111 F� ;' •� '+ ' � �'' ,.��y' ;t, JOB LOCATION1.4 PLUMBING CONTRACTORs ' � :WI LICENSE NUMBERS ����`� J��/�?Z- " OWNER �11 ', BUILDING CONTRACTOR TYPE OF BUILDING Q ,.� ;, , •, •ydi .11',71,��•e;i�,' ' I 1 r t i ,v7{�l �•il �'. SINKS SHOWERS �1 Z LAVATORY WATER IIEATERS •'�i�;' 7.',;...; 1. jl,,;.•, BATH TUBS { + _DISHWASHERS !; URINALS �',:; DISPOSALS ' Z CLOSETS % 'WASIiING MACHINE FLOOR DRAINS O'J:IiER04 ' �Ly 7i,;► , ,;� `'' �;(•':'' TOTAL FIXTURE COUNT 1 r '• .1,1'1:�i'•��'�' I 5 , v 1�', f �!y:: v ',• • ��{�r!• [{3`+ll''i:11;•. I %, ` ' ., t r ' 11 4i.4 1 ' d!l l!o �1''•7i.fir,• 'I. . .� ,`( // / ' �•a���y ��• C) lot INSTALLATION OF PLUMBING AND,FIXTURES r1UST' BE. IN ACCORDANCE WITIV,►`.i�' 1 + ' r r��► '�I1IE MOST RECENT-EDITION OF THE SOUTHERN .STANDARD PLUMBING CODE. 11,b'1. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT IN NUMBER IMPORTANT -Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION - To be completed by all applicants, In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good-practice listed therein. Name of Mechanical Contractors Contractor(Print) Dlcll � Master Name of Property Owner } is Signature of Owner Signature of or Authorised Agent Architect or Engineer rrr. GENER/► ATION A' Type of heating fwl: B. IS OTNER CONSTRUCTION BEING DONE ON YE C KElect c THIS 13UILDING OR SITE? J ❑ rose—❑ LP ❑ Natural ❑ Central t ilify IF YES, GIVE NUMBER OF CONSTRUCTION Q Oil PERMIT atQYl 0 Offer- Specify IV. MOCKANICAL EQUIPMENT TO RE INSTALLED NATURE OF WORK (Provide complete list of components on bask of this font) X Residential or ❑ Commercial Meat ❑ space ❑ Recesad ) Control O Flow New Building )ILjNr Conditioning: ❑ Room 50— Control ❑ Existing Building Duct System: Material T\)(=r -4W tTW 0 Replacement of existing system Maximum capacity t Cot. of m. X New Installation(No system previously installed), O Extension or add-on to existing system Q Rfafrigelytion ❑ Other Specify C) Cooling tower:'Capacity 9.p.m. Q Fro sprinklers: Number of heads. Q Ehsvotor O Monlift ❑ Esealatot (number) THIS SPACE MR OFFICE USE ONLY Q ,Gasoline pumps —(number) (Reesiwd) 93, Taok>s (number) Remarks Q LPG containers`. (number) Q UrAred proauro vessN Q SeiNrs Permit Approved by Dote Q Ofhar -Specify Permit T;I$T ALL EQUIPMENT AIR CONNTIONING AND REFRIGERATION EQUIPMENT capadty NMbor Unit D"crlpUon Nadel NU Mber K"Utacbaw CITY OF ATLANTIC BEACH, FLORIDA AOprov"by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19-L IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF- ATLANTIC BEACH ORDINANCES. BILL THOMPS:ON ELECTRIC CO., INC. m625F P. 0. BOX 50398 U G .17 JACKS"NVILLE BEACH, FL 32240 03 ELECTRICAL FIRM: MASTERELECTRI NNATURE NAME ��lam- u ID Cil' ADDRESS: � ` I C -0- .fRFD BOX BLDG.SIZE I BETWEEN: RES-1/1)" / ) APT.( f COMM.( ) PUBLIC( ) INDUS.( I NEW( ) OLD ( ) REW.( I ADDI/TION ( ) TRAILER( I TEMP,( f SIGNS ( I 50. FT. SERVICE: NEW Q�) INCREASE ( I REPAIR I ) FEE CONDUCTOR SIZE �4 AMPS EM COPPER ALUM. SWITCH OR BREAKER 00 AMPS I PH 5W LT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPENTOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.50 AMPS.' 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES I IBELL TRANSF. AIR H.P. RATING H.P.RATING CONDITIONING COMP,MOTOR OTHER MOTORS AMPS -CELL NEAT: KW-HEAT 0.1AVER MOTORS H.P. VOLTAGE PHS NO., 1 H.P. VOLTAGE PHS MISC ANEOUS TReNCFARMERS- UNDER 600 V. OVER 600 V. CITY OF ATLANTIC BEACH, FLORIDA APorov•a by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 1 19 IMPORTANT NOTICE: 19 ir 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 1N'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL THOMP&ON ELECTRIC CO-, INC- P. 0. BOX 50398 LLE BEACH, FL 32240.0398 ELECTRICAL FIRM: MWEk EUCTRIaljOSIGNATURE —LJJOURNEYMAN NAMEAD ADDRESS:, . -�'� � 0 AFD_______BOX BLDG.SIZE i 0_ BETWEEN: RESII & APT.( 1 COMM.I ! PUBLIC ( ! INDUS.( 1_ NEW( ) OLD( 1 REW.( 1 ADDITION ( ) TRAILER ( ) TEMP. IGNS ( ) SO. FT. SERVICE: NEW , INCREASE ( 1 REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER I ALUM. SWITCH OR BREAKER AMPS PH W ZaOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMM OVER APPLIANCES BELL TRANSF. 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. i H.P. VOLTAGE PHS MISCELLANEOUS TRetucFARMERSc UNDER 600 V. OVER 600 V. DEPARTMENT OF BUILDING 8666 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 40*1[ 1 T 41191 CKT Date May 12 19_87 5595 1 A 9/31/0 Valuation$ $ 40.00 3660' .11,111CAC5595 1 &l P/31/183 I ll!!C 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 Ocean State Heat/AIT NW-786 has permission to lit inata111 hrxAt fAir Classification Now Res idea j,al Zone RG-1 A Owned by Hr_- Mrs- Bullock Lot_ 6 Block 81 S/D Section H House No. According " ved plans which are part of this permit = NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 0 Building material, rubbish and debris -Zi from this work must not be placed in public space, and must be cleared up,and- uled away by either con- 'tMc0r r ownfr.. 4 / .i"1..4�...... 7v) Buildin tial. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER krLANTIC BEACH 2 1P FLORIDA 19 NAME Charles Bullock ADDRESS 240 Camelia Street CITY Atlantic Beach 32233 Sewer Tap Fee #41-343-5200 $500.00 (DID Lot 6 Block 87 Section H ,2 Camelia Street (1�� �V THIS RECEIPT SERVES AS A WORK ORDER. TAKE RECEIPT TO PUBLIC WORKS DEPT. TO SCHEDULE WORK. 1200 SANDPIPER LANE. When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER -EPVICE ESTIMATE 240 CAmELTA TAP FEE - 5/8" METER LOT 6 BLK 87 SECT. "H" JOB COST RECORD '91 DESCRIPTION QTY. MATERIALS LABOR TOTAL 4" PVC . ,'ADDLE lea 25 POLY TNqFRTq —tea_ _7 -96 3/4" POLY TUBING 20ft 14 40 3/411 CORP STOP lea 8 00 3/41' CURB STOP lea 8 00 3/4" Ems 2ea 3 __M BRASS POLY BUSHINGS 2ea 6 40 CONCRETE BOX & LID lea 12 00 SUB TOTAL --------------- $158 01 10% O.H- ---------------- 115. .80 -----TCTAT, MATERTAL --- ------ 3 JR - --- 3 MEN-HAND DIG $19.85/HR FOR 5HRS- 25 30%, n_H_ (TAMR) 29 _71L T3TA1, LABOR COST --------------- --$1,2_q,-0-3- TE;IIA,,-j-I AI)OFI--TOTAL TOTAL I 81 $129103 MISC JOB EXPENSES AMOUNT OTHER JOIJ EXPENSES $100 00 2 TRUCKS $20.00HR FOR TOTAL COST 44-OT 79T 5 HRS 100 00 TOTAL. SELLING PRICE LESS IOTAI COST GROSS PROFIT LESS OVL 11141 AD COST OF SELLING PRICE TOTAL NET PROFIT ATLANTIC BEACH No. 5197 FLORIDA July 24 19 87 NAME Charles Bullock ADDRESS 240 Camelia Street CITY Atlantic Beach 213.1 1 r 7/- Water Tap Fee #40-343-3700 X19.$313,59 �IX � XYXP���XXi1CXiSA:XXg +� 213:' ^r PALL? Lot 6 Block 87 Section H JUL 2 81981. 240 Camelia Street ` till THIS RECEIPT SERVES AS A WORK URDER. TAKE RECEIPT TO PUBLIC WORKS DEPT. TO SCHEDULE WORK. M 1200 SAHOPIPER LANE. When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER DR-1CO FLORIDA DEPARTMENT OF REVENUE N. 7/87 APPLICATION FOR CERTIFICATE OF OCCUPANCY I hereby certify that the property described below: 0'l6s - - Contract Identification Number Description of Property (Example: house, commercial building, road, bridge, etc.) n �/� /(/J/�I Contractor's Certification I / y V`�/ - 1 ( ! j� �� Issued by Department of Address of Improved Property Professional Regulations, If Ap licable A-rL - /��1�- ��,� ,�Z233 �6- z_ 10_5.0 - City State Zip Sales Tax Registration I is substantially completed and that we are registered for paying Sales and Use Tax with the Florida Department of Revenue. Name of Prime Contractor/General Manager v OOL- Address City, State, Zip - Total Contract Materials $ 3z) 0 O 0 Total Contract Labor !7 • Sao /I Total $ •,G 7• Soo r ul? Signature of Prime Contractor/General Manager Date Signature of County O/fficial 7Date CITY OF Ve4d - 94vk 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 RE: Lot 6, Block 87, Section"H" The City of Atlantic Beach has acquired property in Section "H" to build a garbage transfer station. This is in response to the relocation of the Girvin Road landfill by the City of Jacksonville. This station will be located on Blocks 5 through 9, Section "H". I am the owner of the above referenced property and I have read and understand the above statement. ------ ---- Property Owner City o At. ;--ieach -- 6JAYA2---- Date Dite FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 1000-486 SECTION 10 —RESIDENTIAL PRESCRIPTIVE COMPLIANCE METHOD CLIMATE ZONES Revised: 1/87 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAYBE DEMONSTRATED BY USE OF FORM 1000A-86 FOR SINGLE AND MULTIFAMILY RESIDENCES OF 3 STORIES OR LESS IN HEIGHT,AND ADDITIONS TO EXISTING RESIDENTIAL BUILDINGS.TO COMPLY,A BUILDING MUST MEET OR EXCEED ALL OF THE ENERGY EFFICIENCY PRESCRIPTIVES IN ANY ONE OF THE PRESCRIPTIVE COMPONENT PACKAGES AND COMPLY WITH THE PRESCRIPTIVE MEASURES LISTED IN TABLE 10A OF THIS FORM.COMPLIANCE BY THIS METHOD WILL BE,IN MOST CASES, EQUIVALENT TO AN EPI OF 100 POINTS OR LESS.AN ALTERNATIVE METHOD IS PROVIDED FOR ADDITIONS OF 600 SQUARE FEET OR LESS BY USE OF FORM 1000C-86.IFA BUILDING DOES NOT COMPLY WITH THIS METHOD,IT MAY STILL COMPLY UNDER SECTION 9 OF THE CODE. PROJECT NAME v o BUILDER: AND ADDRESS: PERMITTING CLIMATE 1 2 3❑ OFFICE: ZONE: OWNER: PERMIT JURISDICTION - NO.: NO.: NEW CONSTRUCTION IF MULTIFAMILY,NUMBER OF CONDITIONEDSD. GLASS AREA AND TYPE UNITS COVERED BY FLOOR AREA FT CLEAR TINT,FILM,SOLAR SCREEN ADDITION ❑ THIS SUBMITTAL: SAVE OVERHANG �. FT SIPANE FT SINGLE- PANE FTMULTIFAMILY ATTACHED ❑ CHECK IF THIS SUBMITTAL LENGTH SINGLE--FAMILY(3 stories or SDETACHED REPRESENTS A WORST CASE LEENG LENGTH ORCH OVERHANG �. U FT DOUBLE- FTT DOUBLE- FTCONDITION: PERCENTAGE WALL TYPE AND INSULATION CEILING TYPE AND INSULATION FLOOR TYPE AND INSULATION OF GLASS WOOD FRAME MASONRY WOOD MASONRY TO FLOOR: m % EXTERIOR: EXTERIOR: UNDER ATTIC: _ RAISED: ❑ RAISED: �•❑ R = R = ©R= R = R = �J COMPLIANCE ADJACRENT: M.❑ ADJACRENT. M• COM MON: COMMON:rL� PACKAGE COMMON: COMMON: COMMON: I ( L CHOSEN: U R = 111,D_ R = IIIE R= ❑•❑ GRADE: R = �,❑ DUCTS OGLING SYSTEM HEATING SYSTIEK HOT WATER SYSTEM IN UNCONDITIONED CENTRAL ElNONE 1:1ELECTRIC STRIP HEAT PUMP EXELECTRIC ❑ SOLAR SPACE: R = ❑ ROOM ❑ NATURAL GAS ❑ OTHER FUELS ❑ NATURAL GAS ❑ HEAT RECOVERY ❑ PACKAGED TERMINAL ❑ ROOM UNIT OR ❑ NONE ❑ OTHER FUELS ❑ DEDICATED HEAT PUMP IN CONDITIONED AIR CONDITIONER PACKAGED TERMINAL SPACE: R = HEAT PUMP nn EF = .� SF/EF = ❑.m [:U.[b SEER/EER = �.® COP/AFUE = L�}.� NUMBER OF BEDROOMS = B In accordance with Section 553.907 F.S., I hereby certify that the plans Review of the plans and specifications covered by this calculation indicates and specifications covered by this calculation are in compliance with the compliance with the Florida E rgy Code.Before construction is completed,this Florida Energy Codebuilding will be inspected fo oom fiance in aamrdancer9th Sect' n 553.908 F.S. OWNER/AGENT: BUILDING OFFICIAL: DATE: -f DATE: ` TABLE 10A MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS ECTION REQUIREMENTS CHECK WINDOWS 904.1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK. EXTERIOR&ADJACENT DOORS 904.1 SOLID CORE,WOOD PANEL,INSULATED OR GLASS DOORS ONLY. MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA. INCLUDES SLIDING GLASS DOORS. EXTERIOR JOINT$/CRACKS 904.1 TO BE CAULKED,GA KETED WEATHER TRIPPED OR OTHERWISE SEALED. LE&TOP PLATE$ 903.2 SOLE PLATES AND PENETRATION THROUGH TOP PLATES OF EXTERIOR WALLS MUST BE SEALED. r INFILTRATION BARRIER 903.2 1 INFILTRATION BARRIER MUST BE INSTALLED IN EXTERIOR WALLS&RAISED WOOD FLOORS. INTERIOR JOINTS/CRACKS 903.2 ALL 0 ENINGS IN INTERIOR SURFACES OF CEILINGS AND EXTERIOR WALLS MUT BE SEALED. FIREPLACES 903.2 FIREPLACES MUST HAVE FLUE DAMPERS,GLASS DOORS AND OUTSIDE COMBUSTION AIR INTAKES. EXHAUST FANS 903.2 EXHAUST FANS VENTED TO UNCONDITIONED SPACE SHALL HAVE DAMPERS,EXCEPT FOR COMBUSTION DEVICES WITH INTEGRAL EXHAUST DUCTWORK. COMBUSTION HEATING 903.2 COMBUSTION SPACE AND WATER HEATING SYSTEMS MUST BE PROVIDED WITH OUTSIDE COMBUSTION AIR,EXCEPT FOR DIRECT VENT APPLIANCES. MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND STANDBY WATER HEATERS 904.2 LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF(GAS)VALVE MUST BE , I PROVIDED. AN EXTERNAL OR BUILT-IN HEAT TRAP MUST BE PROVIDED. I/ SPAS AND HEATED 904.3 SPAS AND HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST HAVE A SWIMMING POOLS PUMP TIMER. GAS SPA&POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75/0. r HOT WATER PIPES 9044 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS INCLUDING HEAT RECOVERY UNITS. IN SUCH CASES, PIPING HEAT LOSS SHALL BE LIMITED TO A MAXIMUM OF 17.5 BTUH PER LINEAR FOOT OF PIPE. SHOWER HEADS 904.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE AT 20 to 80 PSIG. HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHNICAL CODE.JOINTS IN UNCONDITIONED / CONSTRUCTION 904.6 SPACE SHALL BE SEALED.DUCTS HAL BE INSULATED TO A MINIMUM OF R4.2. HVAC CONTROLS 904.7 A SEPARATE READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM. CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Required Submittals: 1. Two complete sets of plans 2. Detailed site plan including setbacks and utilities 3. Recent survey 4. Florida Energy Efficiency Code Sheets 5. Contractor's license on file Inspection Schedule: 1. Footing 2. Rough Plumbing 3. Slab 4. Framing, rough electric, mechanical, top out plumbing, fireplace 5. Final inspection G. Certificate of Occupancy inspection Requests for inspections will be accepted fromm 8:00 am until 4:00 pm. All inspections will be made the following working day between 8:00 am and 4:00 pm. In case of rejection, re-inspection must be called for after corrections are made. There will be a $10. 00 charge for all re-inspections, to be paid in cash before the reinspection is made. Pour no concrete or cover up any work until the building card is signed by the inspector. You will be required to uncover any work that has not been inspected. BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE Building Department 716 Ocean Boulevard Atlantic Beach, Florida 32233 249-2395 page 1 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT OwnerZJS2/- ---' I-I-G-,------Address-----r---- 5r zi pLGZ ------- � f --- __-- _Phon Architect ---------------Address--------------------zip------phone------_. Contractor-----------------Address--------------------zip------phone------- Contractor's License number_________________expiration_______-____ LotBlock or Section, Subdivision-A _d_______Zoning 'Q1A ___ __ - _ Street-------------between--------------and-----------------side---------- Type Construction No. Units___,_____No. Fireplaces Purpose of Building,&fL,�__101� ' Est. Valuation 8 G U00 -------------- Utility Method - Water '(- e Sewer-4f I ewer4.I le Dimensions - Building...... Lot`?'o X 1Qa Size Footings_______ ----- - ---- Sz. PiersSz. SillsGreatest-------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_ Ae- Solid or Filled Ground__,�S1r'lJ.....Roof �d�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 _cc,L�/,r1 ----- Date-- 57-// ----Date__ 57-//- F7----- Signature Contractor-------------------------Date ----------------- page 2 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development:-------------------------------------------- Flood ----------------------- - ----------------- Flood Zone:----------------------- 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 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 development. Date-----_--------Applicant's Signature-------------------------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation _________________ As Built Lowest Floor Elevation _________________ Survey Filed with Building Department ___________ ----------------------------------- Building Department Representative page 3 � .�:da�ss c7 ► C� 1 J t- V,_ d Heated Square Footage 1 �� @ $ _j^ 1' per sq ft = $_ Garage/Shed / J @ $ 1 � _per sq ft = $ Carport/Porch _@.$ per sq ft = $ ;j� Deck @ $ per sq ft = $ l v�- @ $ Patio �,���� per sq ft = $ TOTAL VALUATION: Total uation 1st Remainder Valuation ' & .Zbper thousand or portion thereof --------------------------------------------I Total Building Fee $ ,¢ 21_57) ADDITIONAL PERMITS and/or FEES REQUIRED_ + 2 Filing Fee $ Mechanical l Fireplaces @ 15.00 $ BUILDING i PERMIT FEE $ Plumbing Electric/Neta ' Electric/Tarp � �---------------------------------f'-i�---J------- BUILDING PERMIT Septic Tanlc Well WATER METER CHARGE btsinming Pool SEWER IMPACT FEE $ WATER IMPFEE �E Sign WMISCELLANEOUS $ Water Connection Sewer Connection $ Water Meter $ Elevation Certificate ' GRAND'TONAL DUE $ / ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES .i'J .. RLORULR FROM VUALI I Y bUSINLSS rORMS.INC. I994)396 3657 CITY OF ATLANTIC BEACH No. 4475 FLORIDA May 12 I$7 NAME Mr_ F Mrs_ Rullnrk ADDRESS 331 SP»Pnth Street CITY Atlantic Beach PAID Water Impact Fee #40-343-3700 $190.00' ', 56 Sewer Impact Fee #41-343-5200 JUN 2G 1981 $1,035.00 ' Lot 6 Block 87 Section H $1,225.00 240 Camelia Street RL,CEIPT SERVE " ' :` ;�►� r UD viums'PE ULE W�1 12 IP LA �\ When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Paymenf CITY OF ATLANTIC BEACH, FLORIDA TREASURER NMONS 31VO.i0 SAVO OC Sa,Nn-43m oN NIH11M CIVd LON Al 30NVACIV NI 3-16VA.Vd MnNI1NOO814 301AM39 BfU.S SINI NIViN '3N 1 HUMPS 00Z 'N80M 1f1aM 01 Ic 30 SM80 S0118N 011113338 3W011 I h N80M SV S3 83S ld 3038 SIN sa313w ivlo 3na '3na M3HI. 3DVB21Vfl a3M38 Z131.VM V31VM 31VO rola Alnun 4889-Gra S3NOHd3131 fifi93 6 VOIVOIA 'HOY38 0I1NV11V HOV38 31INVIIV 30 A113 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 TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. _ BATHROOM GROUP CONSISTING OF __SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) h, WATER CLOSET VALVE ___WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) ___BATHTUB/SHOWER (2) ' I _C_URINAL WALL LIP (4) _ 0_SHOWER GROUP PER HEAD (3) _(_FLOOR DRAIN ( 1 ) _Q_SHOWER STALL DOMESTIC (2) _n_-LAUNDRY TRAY (2) _ _LAVATORY ( 1 ) COMBINATION SINK AND TRAY (3) ____WASHING MACHINE (3) _POT, SCULLERY SINK (4) __,__DISHWASHER (2) _jo__WASH SINK EACH SET OF -- (--KITCHEN SINK (2) FAUCETS (2) _KITCHEN SINK WITH WASTE _T _DENTAL LAVATORY ( 1) � _ GRINDER (3) - DENTAL UNIT OR CUSPIDOR (1) _o _BIDGET (3) -L--URINAL STALL, WASHOUT (4) __O_FLUSHING RIM SINK (8) _v_COMBINATION SINK AND TRAY WITH _URINAL, PEDESTAL, SYPHON JET FOOD DISPOS. (4) BLOWOUT (8) _ DRINKING FOUNTAIN ( 1/2) LAVATORY, BARBER/BEAUTY �.\ SHOP (2) v_ _LAVATORY, SURGEONS (2) --- SURGEONS SINK (3) _ _ICE MAKER (1/2) / O n TOTAL FIXTURE UNITS___ @ 910. 00 EACH JOB INFORMATION____ (Q T___ ,T CITY OF 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 November 23, 1987 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #5492--,-1925 Seminole Road Permit #5481 - -120 Camelia Street Permits issued to Bill Thompson Electric Company. Permit #5340----863 Ocean Boulevard Permit issued to Bivins Electric Company. Permit 5672----119 Jasmine Street Permit issudd to Action Electric Company. Sincerely, jjt�tt� Rene' Angers Community Development Director cc: file RA/tb i DEPARTMENT OFBUILDING8667 +i CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.- ! PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB • Date May 12 19 $7 is8a5nCKT. Valuation$ Fee$ 48.50 9667 * CA 2566 1A 13/01/5 This permit not valid until above fee has been paid to City Treasurer,and is 1 000l subject to revocation for violation of applicable provisions of law. This is to certify that Steeg Plumbing CK037196 has permission to P141I[X install 121mbing Classification New Residential Zone RG-1A Owned by Mr. $ Mrs. Bullock Lot Block 87 S/D Section H House Not According toproved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ,t AFTER DATE OF ISSUE /--► �— O Building material,rubbish and debris zi from this work must not be placed in pace, and must be cleared I{ tt p led away neither con- CJ fwner. ! Building ci . FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER RAWIW t r DEPARTMENT OF BUILDING 8 6 6 5 w. * CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. `+ PERMIT TO BUILD 273975 T THIS PERMIT MUST BE POSTED ON JOB p73,7GKT Date May 12 1987 127 1 ,A 6/26/3 066 *00CAC Valuation$ 72,926.30 Fee$ 273.75 127 1 6/26/8" 1 WIG 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 Mr. & Mrs. Bullock i has permission to build Single F=i l y Classification Neat Resddential Zone R-e*1A Owned byMr. & Mrs. Birl lack Lot 6 Block R7 S/DSect3pyl H House No. 24n ranAl in Rtr_eet ` According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS '= AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 41 4 --D 0 Building material, rubbish and debris 4 from this work must not be placed in public space, and must be cleared -,up aodauled away by either con- tor r owger. . B g Official. cam: - FOR'POFFj,CE PERMIT 'DATE CONTRACTOR USE ONLY NUMBER d PLUMBING ELJECTRICAL SEWER WATER AAW BUILDING, PLANKING AND ZONING INSPECTION DEPARTMENT ¢` CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: November 23, 1987 Building Contractor: Charles Bullock Building Permit Number: 8665 Address: 120 Camelia Street Legal Description : Lot 6 Block 87 Section H 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 Single Famnily Lowest Floor Elevation: ---------- XXXXX --- ---------- ---------- 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 ___ 11L23Z87 ----- --------------- --------- Public Works 11/23/87_ _ / L1/r -7 ---- -5 Planning Director ___ 11/23/87 Building Inspector -_- 11/23/87-_-_- CITY OF ow4ftuz hak- %U& DrVartmrnt of wilding Jnsprrtinn 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 ' P,`'' ? t- Bldg,Permit No. Group TypeConstruclion -` Fire District.. --- I Owner of Building _ Address 4 M Building Address i + "_ y';. `,y Locality 'eot. ' ..,.. By'----- --Building Official Dater l IMT IN A CONSPICUOUS /LACK