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325 4th St (vault) (2) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001126 Date 8/15/08 Property Address . . . . . . 371 373 4TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 23 FIXTURES ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- DENAZARIE, WAYNE DUNNING PLUMBING & SEPTIC, INC 2485-6 MONUMENT RD. 1902 ROTHBURY DRIVE JACKSONVILLE FL 32211 JACKSONVILLE FL 32221 (904) 783-0910 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 196 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/11/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 196 . 00 196 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 196 . 00 196 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. / CITY OF ATLANTIC BEACH �- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 1 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 12.IS THIS A SUB PERMIT: 3.DATE: ❑NO 371- 3 -73 DYES PERMIT#: _ PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: PLUMBING CONTRACTOR: 7. AME OF COMPANY: 8.ADDRESS.: 0 Z t�o I L' ,- 9.STATE OF FLORIDA LICENSE NO: 10,CELL PHONE: 11.FAX NO.: Ci C- D5- O (. CeLL —S/ au 7 - 532-`1 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. g - o iv Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is mmenced. CONTRACTORS SIGNATURE: 15.NATURE OF WORK: 117, 18.CURRENT CODE: ANEW ❑'06 FLORIDA BUILDING CODE- El RE-PIPE PLUMBING ❑OTHER: 19.NUMBER OF FIXTURES: L— BATH TUB SEWER CONNECTION BIDET SHOWERS L DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE / HOSE BIB Z WASHING MACHINES Z_ ICE MAKER WATER CONNECTION INTERCEPTOR Z WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): ROOF DRAIN 20.PLUMBING PERMIT FEES: PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 = COAB FORM BLDG03:REVISED:1/10/2008 INSPECTIO PREPARED 7/14/03, 17:28:57 INSPECTOR: LARRYTPAGE' 8 J HIGGINS DATE 715/03 CITY OF ATLANTIC BEACH ADDRESS 325 4TH ST SUBDIV: TENANT, NBR: 150AMP,1PH,3W,240V POOL CONTRACTOR DAVID PRUETTES ELECTRICAL SVC. PHONE( 904) 272-7225 OWNER DEBUTY PARCEL 169833-0000- - APPL NUMBER: 03-00026472 ELECTRIC ONLY ------------------------------------------------------------ PMIT: ILBC 00 ELECTRICAL PBYMID SCRIPTION REQUESTED INSP TYP/SQ COMPLETED RESULT SULTS/COMMENTS - ---------- - ----- ----------------------------- --- -- -- ------------------------- - - 22 O1 15(03 LJ EL ROUGH TIME: 08:00 � _' _i5___ GROUNDING 514-1775 - -------------------- COMMENTS AND NOTES ---------------- - --- --------- INSPECTION TICKET PAGE 2 DATE 5�19�0 PREPARED 5/19/03, 8:11:52 INSPECTOR: DON C FORD - ------------- CITY OF ATLANTIC BEACH __ ----------- - --- ----------------------- " - SUBDIV: ADDRESS . : 325 4TH ST TENANT, NBR: NEW POOL PHONE (904) 399-1894 CONTRACTOR GULFSTREAM POOL BUILDERS, INC. PHONE (904) 591-4925 OWNER DEBUTY, SCOT PARCEL : 169833-0000- APPL NUMBER: 03-00025911 POOL ------------------------- pWIT: BLDG 00 BDILDIN P91NIT REQUESTED INSP DESCRIP ON COMPLETED RESULT RES UL COMMENTSTYP/SQ ----- ------------------------------------------- ---------- ,. 18---01----519/03----DCF FRAME INSPECTION TIME: 13:00 tf /]EEL q� 6-8304 COMMENTS AND NOTES ---------- ------------------------ j- 1 s, CITY OF ATLANTIC BEACH ! J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026472 Date 7/11/03 Property Address . . . . . . 325 4TH ST Tenant nbr, name . . . . . . 150AMP, 1PH, 3W, 240V POOL Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ----------------------- ------------------------ DEBUTY DAVID PRUETTES ELECTRICAL SVC. 325 4TH STREET 331-8 PARKRIDGE AVENUE ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065 (904) 272-7225 ----- ----------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------- ------ ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 .00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. -ems x` X 3 t„ BUILDING OFFICIAL bull Ids(L9 CITY OF ATLANTIC BEACH, FLORIDA porn►i t # D;?'' )tel I� APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR- DATE: -7L10 20 U 3 IN4PORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO AND IN ACSAID CORDANCE WITH THE ELECTRICIN ACCORDANCE ALTH THE REGULATIONS,REGULATIONHS,CCODES ANPLANS D CITY OF ATLANTICBEACH ORDINANCES- ELECTRICAL INRD CH ARE��S SOF, ELECTRICAL FIRM: MAS SI A -Lav i d Pr OWNERS NAME: TLe h i.( ADDRESS: ,3 S q t 5fi. _RFD BOX BLDG.S RES. BETWEEN' APT.( COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( } REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. SERVICE: NEW( ) INCREASE( REPAIR( CONDUCTOR SIZE AMPS: COPPER ALUM.( ) FEES SWITCH OR BREAKER AMPSPH W IjE RACEWAY EXIST. SERV. SIZE 1550 AMPS PH 3 WRACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL r.. RECEPTACLES CONCEALED OPEN TOTAL 0 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P.RATING HP.RATING CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS .j aq C i MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. KVA NO. KVA ,,,,� :NO. ON TRANSF. NO VA MA MOTOR SIZE SWITCH FLASHERS EACH SIGN Updated 520/2002 P' KJ!F� ��V`l ►�— (� F f)l (9C>4) I C>4) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001368 Date 9/30/08 Property Address . . . . . . 325 4TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------- Application desc 11 FIXTURES -------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- DE BUTY, GREGORY SCOT STEEG PLUMBING CO. , INC. P.O.BOX 330536 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 --------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee 112 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/29/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- -------- Permit Fee Total 112 . 00 112 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 112 . 00 112 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rS yt n� CITY OF ATLANTIC BEACH f PLUMBING PERMIT APPLICATION Date: D j 6'U� Property Address: Owner: G „ Telephone#- Contractor: �j ��, �%h� ep XH Telephone#: Contractor Address: �� Fax#: y r'ad`'3 y Contractor Signature: In consideration of permit given for o" g the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: Re-Pipe Number of Futures: Bath Tubs Showers Closets Shower Pans Dishwashers ` Sinks Disposals Urinals Floor Drains r Washing Machine _ Lavatory �_ Water Sewer Water Heaters Sprinkler System Other *See attached sheet see For Backflow and Irrigation roce-I-- Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 = 800 Seminole Road m Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 a Fax: (904) 247-5845 o http://www.ci.atiantic-beach.fl.us Revised 9/06 CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r� ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025492 Date 2/04/03 Property Address . . . . . . 325 4TH ST Tenant nbr, name . . . . . . INSTALL IRRIGATION Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ EBUTY, SCOT SIMS HICKORY CREEK D EB4TH STREET 12615 IVYLENA325 ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 221-0605 ------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . .00 Permit Fee . . . . 50 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 00 . 00 i BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. i G O FICIA Nov 21 02 01 :09p CITY OF ATLANTXC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: �c�� cS� yP - ) OWNER OF PROPERTY: &C D f D� U- y TEL. S 9/ 90`�S� PLUMBING CONTRACTOR: S1 m 'S /7 i r_61ny Cle e iC Airmr Y'ripo4ON CONTRACTOR'S ADDRESS: y/P.y/Ir 40i I- 61,50 Q 0 s-- STATE "STATE LICENSE NUMBER: _ TEL. D -02✓`/ 5- HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER _ RE-PIPE(LIST FIXTURES BEING REPIPED) X OTHER _J _"f i 3A_i Ov �-' TOTAL FIXTURES: X$7.00 +S35.00- M24IMUM PERMIT FEE: 535.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: I INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS -(904) 2475826. CITY OF ATLANTIC BEACH iJ 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 r Application Number . . . . . 08-00001088 Date 8/07/08 Property Address . . . . . . 325 4TH ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------- Application desc REPLACE HEAT PUMP AND AIR HANDLER ------------------------------------------------------------ Owner Contractor - ------------------------ ----------------------- DE BUTY, GREGORY SCOT OWNER ATLANTIC BEACH FL 32233 -------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 8/07/08 Valuation . . . . 0 Expiration Date . . 2/04/09 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. PREPARED 8/07/08, 9 : 18 :58 PAYMENTS DUE RECEIPT CITY> OF ATLANTIC BEACH PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER: 08-00001088 325 4TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- MECHANICAL PERMIT 63 . 00 TOTAL DUE 63 . 00 Please present this receipt to the cashier with full payment . a 2!e "C-- ro � n ro ro .. c .O a. }, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r �? Application Number . . . . . 04-00028598 Date 7/08/04 Property Address . . . . . . 325 4TH ST Tenant nbr, name . . . . . . REPLACE EXISTING DRIVEWAY Application description . . . RIGHT OF WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ DE BUTY, GREGORY SCOT OWNER 325 4TH STREET ATLANTIC BEACH FL 32233 --------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 ----------------------------------------------------------- Special Notes and Comments PAVERS MUST BE FLUSH WITH EXISTING GRADE . (CANNOT BE RAISED) Fee summary Charged Paid Credited Due -------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PEW IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING C Nk ( s BUILDING OFFICIAL MAP SHOWING BOUNDARY SURVEY OF LOT 10 AND THE EAST 10 FEET OF LUT 12, BLOCK 6, SUBDIVISION "A", ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: GREGORY SCOT DEPUTY AND DIANNE DEXTER DEPUTY Std AAMES HOME LOANS und-tr. STEWART TITLE GUARANTY COMPANY RICHARD T. MOREHEAD, P.A. frA LOT 9 BLOCK 6 LOT 11 BLOCK 6 N 89'53'03" E SET 1/2- REBAR _ 59.95' (MEASURED) I SET 1/2- REDAR STAMPED 'ALM LB 6702 B.:i_.-____ 0.0•- STAMPED 'ACM LB 6702 0.T -- 50.00 1 1/4 ,,, -0.6• —40.00' 0.6'1 10.00 I P,V,C. LOT 10 WELL METAL 2.3' PIPE SHED BLOCK 6 I LOT 12 I I w BLOCK 6 I I I CONCRETE DECK K GRILL\ 48 18.3' n I Q G( 9.3• � 9.1• Q W � W V)� I V/ � N a 01 Q w o w 10.9' Cjff�of Atlantic Beach I Q In I I Q J I d >- N a M>1N1 applicable -, of a I � '' nin9, su di&Fen a np Meal land LOT 14 I �. N I o� � evelopmen regalatlorN, dui'W not Constitute BLOCK 60 0 .— U,Q o proval for issuance of penmfta• Compliance o I o W w h Florida 91ode and all other applicable o 3 1 w 1, State e"ral permitting requirements �- o at be ve egneture of the City of Atlantic 1 ach Suildi 9�fRola1 prior b tM of a 03 0°. BRICK ulldinp Pe s' :10.9 STOOP I ou g I � STEPS 7 Z (n 16._I' 75.1• _18X' 0.g•. I � I ' I � o 0 o� -7' —7"CKf CITY OF ATLANTIC BEACH Cc:D. Ford s r BUILDING / ZONING DEPARTMENT LA�oe 800 Seminole Road rr Dson Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C kj Property Address: 3a S Applicant: Project: f P71 c_r_t� 61(l'-si l rN < (A CI ye CL ✓ers This permit application has been: /Approved E] Reviewed and the following items need attention: Please re-submit yo,r,ap lication when these items have been completed. - Reviewed By: - Date: ,h�-� BP255UO2 CITY OF ATLANTIC BEACH 7/08/04 Application Tracking Action Log Maintenance 08 : 52 : 55 Application number . . . . 04 00028598 Address . . . . . . . . . . . 325 4TH ST Application type . . . . . . RIGHT OF WAY PERMIT Revision number . . . . . . . Path/step/seq . . . . . . . . A 01 00 Agency . . . . . . . . . . . PLANNING Type information, press Enter. Action date . . . . . . . . 70804 Action by (F4) . . . . . . SD Action code (F4) . . . . . AP Time spent (hours) . . . 00 Correction report item . . N Y=Yes, N=No 1=Add new comment 2=Change comment 4=Delete comment Opt Seq Comments Print 1 . 00 New pavers must be installed flush with the existing Y grade. (Cannot be raised. ) 2 . 00 Bottom F3=Exit F4=Prompt F9=Add std comment F12=Cancel F21=User defaults REGE I VEIL i SrSy''r' CITY OF ATLANTIC BEACH CITY OF ATL.•'' J � CONSTRUCTION PERMIT WITHIN CITY R16H+§& WAY AND EASEMENTS JUL 0 6 2004 800 Seminole Road 904-247-5800 Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 Date (O �P ML0# ISSUED BY THE CITY Job Address _ l� Permitee: ! PG -Pelephone# Permittee Address Requesting Permission to Construct: z- �fY��ile Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained 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: Jacksonville Electric Authority Yes ( No ( ) Date: `-7 Bell South Telephone Company Yes ( No ( ) Date: Ferrell Gas Yes No ( ) Date: Comcast Yes No ( ) Date: t, 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 Beac�,or Florida,Department of Transportation Standards and be performed under the supe 'sion _ of �� (Contractor's Project Superintendent) located at - - = - ' Telephone#: �—;?1A/,,• 7�0� 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 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 Signe :`� -- Date: Before me this day ofy V`/ in the County of DuvafRBARA State Of Florida, has personally appeared Notary Public at Large,State of Florida,County of Duval. g A.DeLUC1A My commission expires: 16 �fa�l Public,State of Florida Personally Known: Produced Identification: My comm.expires Oct.12,2007 Comm.No.DD 258135 DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE: (904)247-5834 FAX: (904)247-5843 r SUNCOM: 852-5834 J, http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # r?'q -, 2S S 9 ?? Applicant: C,G nA -L)e ';i_( 1�z; Address: _5 '`/t1-'' '-s Project: F)l.-[�S_ tom,_d rtvP_ Pa I/ Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: Au- (%TS 04tid D M&-TL-w- 34)C'L3 MOS—/ 06 i5er 77� 7-7-v 4- Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewed Donna Kaluzniak, Public Utilities Director Date 7 7Z14� Signature Contractor Notified Date R E Ire E 1 V E D :� CITY OF ATLANTIC BEACH C11-YO f,, !-AIvY,c aE.ac aJ CONSTRUCTION PERMIT WITHIN ITY RIdkM-§'C��' W�'l b EASEMENTS 0 6 800 Seminole Road 904-247-5800 DRI Atlantic Beach, Florida 32233-5445 JUL 2004 Fax 904-247-5845 Date (O MI # r� L ISSUED.-BX-THELML Job Address Permitee: G 2 / elephone# Permittee Address —4 A,2�1 Requesting Permission to Construct: 2451 .2�r R a eq CoTlatzk f"o Aw Pa� 4zltf 0&�14611�1 'v o Location: (Reference to Cross-Street)_ / 1. Applicant declares that prior to filing this application he has ascertained 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: Jacksonville Electric Authority Yes ( No ( ) Date: r7 10 Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes ( No ( ) Date: Comcast Yes No ( ) Date: i. 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 Beac -or Florida_Department nt of Transportation Standards and be performed under the supe 'sion of Ccs F i (Contractor's Project Superintendent) located at _ Telephone#: 7 - 77-�2a 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 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. OWNEF----� Signe Before me this �' day of 4'o V in the County of DuvafRBAIRA State Of Florida,has personally appeared /Notary Public at Large,State of Florida,County of Duval. g A.DeLUC1A My commission expires: % /2-0 ? Personally Known: Not Public,State of Rodda Produced Identification:_ My comm.expires Oct 12,2W7 Comm.No.DO 258135 MAP SHOWING BOUNDARY SURVEY OF LOT 10 AND THE EAST 10 FEET OF LUT 12, BLOCK 6, SUBDIVISION "A", ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: GREGORY SCOT DEPUTY AND DIANNE DEXTER DEPUTY d AAMES HOME LOANS STEWART TITLE GUARANTY COMPANY RICHARD T. MOREHEAD, P.A. LOT 9 BLOCK 6 LOT 11 BLOCK 6 N 89'53'03" E SET 1/2- REBAR 59.95' (MEASURED) i SET 1/2- REGAR STAMPED 'ACM LB 6702 04-1— __ O.0'- STAMPED ACM LB 6702 0.6• 10.00'O.7 50.00' 1 1/4" -0.6• 40.00' I I P. LOT 1wELLV,C. METAL 2.3' BLOCK 6 PIPE SHED 0 ILOT 12 I wooD BLOCK 6 I CONCRETE DECK\ GRILL 4.0\ '—, aI I 9.3' .,, 9.1' 18.3'0 m W J I ol w 01 n b Q to I u� 00 Q a O� I > ,`"� O� a LOT 6 LOT 14 I w I cit w BLOCK 6 BLOCK 6 0 oo o o I o t.o 0 � I o ou- 1- o u-> I I a 1 o' 00 BRICK p 0.4� 10.9• STOOP 0 (on (a Q ..I STEPS O z.0' O x— Z t6._I. 25 V 18X6 o.s'J (n I I I p� 0 - o I - 0 a� In �Z �f Js CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r� ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025917 Date 5/13/03 Property Address . . . . . . 325 4TH ST Tenant nbr, name . . . . . . NEW POOL Application description . . . POOL Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 35000 Owner Contractor ------------------------ ------------------------ DEBUTY, SCOT GULFSTREAM POOL BUILDERS, INC. 325 4TH STREET 3660 ST. AUGUSTINE ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 591-4925 (904) 399-1894 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 205 . 00 Plan Check Fee 102 . 50 Issue Date . . . . Valuation . . . . 35000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 205 . 00 205 . 00 . 00 . 00 Plan Check Total 102 . 50 102 . 50 . 00 . 00 Grand Total 307 . 50 307 . 50 . 00 . 00 t r BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL jL�f CITY OF ATLANTIC BEACH l Iv, 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 FAX: (904)247-5805 SUNCOM: 852-5800 http://ci.atiantic-beach.fl.us P L A N R- E'V�J EWC 0 Permit Application # - 2 S9 l 7 Applicant: � 111 'R.L'R. bo i L.0 1-2S �1J Address: Project: oo �- A�our application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your pplication when these items have been completed. Reviewed by , Signed Date 9161K" � y Contractor Notified Date RECEIVE .. C!TY OF ATLANTIC BE;; "'.9ING a ZONINt, APR 17 2003 CITY OF ATLANTIC BEACR POOL PERMIT APPLICATIONY: Date: 7- 0,.,7 Job Address: 318 y S%2L 1 1 Owner of Property: Sc o l Dea v l e Telephone: Pool Contractor: C vLij 12Ehr✓i ? o/ 31-o S .l L Contractor's Address: 3660 S t- AUG-VSii-ur Rd 1AX Telephone: 6,2-6- F(3 o q Fax: .2 7 $-Kes S State License Number: C P C 0 S"(4 4 g,?- Valuation ZValuation of proposed construction: 3s, 0 49 0 Gallons: S-0 o SITE PLAN front rear 7 Signature of Owner: G Signature of Contractor: 800 Seminole Road -Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Revised 1/14/03 11 L/4xl l C_ OWNER'S AUTHORIZATION FOR AGENT A/CEC clL6772ehrh ;*)ch is hereby authorized to act on behalf of SGo U rte__v7- , the owner(s) of those lands described within the attached application, and as described in the attached deed or other such proof of ownership as may be required, in applying to the City of Atlantic Beach, Florida, for an application related to a Development Permit or other action pursuant to a: ❑ Zoning Variance ❑ Appeal ❑ Use-by-Exception Fence or Pool Permit ❑ Rezoning ❑ Sign Permit ❑ Plat or Replat ❑ Other BY: T32 Signature of Owner .SGoI E3u7—j/ � Print Name Signature of Owner Print Name Telephone Number State of Florida "- !� County of Duval � 19 1 Signed and sworn before me on this ` day of,20(33;. By. _ Identification verified: Oath sworn: t/ Yes No 4"AlLk Notary Signature My Commission DE,11CIp_ Notary Public, State of Florida My Comm. expires Sept. 1, 2003 Dootf. 11037 Page 529 5 MIN. P ETU RN PHONE ��-�3c�� - NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,-and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: G 0 I /0 V Li4s I /O' 1p .-r /? aG K & Address of property being improved: 3,2 67 /0A7~GR,uTt G ?-P-Ac i General description of improvements: r�. ►�.. i oz- Owner: LOwner: •7` L7,f,, L,-T Address: :3,25- 'f InA- S i `41-1-A AA 77 C 3ZZ -3 Owner's interest in site of the improvement: /po ya Fee Simple Titleholder(if other than owner): Name: Address: Contractor: G-vGFST2EA•"� I?no/ 136d�4s r.U� Address: 3G.loo S?_✓Fcf4VS4d- 3,A)c /5Ce 3.9Z07 Phone No: 3??- /Ff4y Fax No: .2 7fl-fl�fS"' urety(if any): Address: Amount of Bond $ Phone No Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option). — Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLYG O Signed: Date: Before me this day of - r, l Z 063 in the County of Duval, State of F orida, has pefsonally appeared oc# 2003120748 ook: 11037 Notary Public at Large, State of Florida,County of Duval. Faye: 529 My commission expires: BARRARA filed 6 Recorded f 04/17/8003 12:15:39 RN Personally Known: Notary Puhlir State oFleri a or JIM FULLER Produced Identification: My Comm expres Sept. I, 2QQ8 CLERK CIRCUIT COURT Comm. No. CC 8122 DUVAL COUNTY RECORDING $ 5.00 TRUST FUND $ 1.00 CORY FEE $ 1.00 'S31()N QNB NOI133S 1VJIdAl L02ZE 13 ''3lll/�NOS)13v QM 3NI1Sfigny '1S 099E 'SNI saw uf1H 100d HV3diSJMS W I � N O I U P I - _ y� ( _ N a� O 0-J = 4u W @1 cnLJu a WJA� N ��W Gy > J y P4 w W o zF� ;;YN; uFON N 4�Irc�< uN A S U J 8 .Q. i�u N gyyg q8 Z ap �Q P45 �rc you iN iinJo �p Q U C./3 NW W1G ¢ Wq 2 < <OJ�ry QQ�4 ` <<y O d N yWCIU Auoyxppy J> Apa�I 7G< [IW W.y-W > UWy( J264 �� J.. t0 `WJ 1 H< A Z � WK o W OQ ml-N 9yN (p 'fit<�SSS K x2(Jq W"K 7Z IY O gxOWw2 N�KwFNW2 U r 'S eN x o uoN N Lz- 00 ¢¢ aa �� y�g�sWN�rr €�_<5r a~ g < o Z h-¢ 5 azul-`•woi�i C�ia w�i �`.�ii'l q z d K o z _w .� n � � m P c O Z Y 'U F.LLJF4W F Z w1 J = W¢ j 0 .-. _ ,.. z a"'xx w I-a - WOQQyU4 Ir .. W zO ULJQOO M`�:` �Xr If '� O Q �„yrOO WW A t! 3v°°m y Q ^ n 4mmkoQQ �. i Lj a X Jam��ww yQ ayi1C >> ow -_oo n Z P4 C4 OW. W. q 4 w�O 1�W N lr) �. b W " In C w � r a = - - r xj y ._..�...�.. ...._._....__- _... ¢O E� O Lit _. w O1 O w 20 OU� - - - J OI y Pa a¢Z Li way of X: - -- z a sw3 U LJ A — -¢— N a L-3 W 04,wm W 2 r 0 0 a Z Q ¢ q U z ¢rJ..¢2 z yPOrO _ w Q G y J P x ¢Z y W W ¢W M __........_. w JZ cQ y x W I-,2 yy _ J J 2 Q 0 [[ =YQ U y r 0 U _ Mo X O 2 4 �W W 1 0- Q QX,- APPROVED SWIMMING POOL 4 SPA DUAL MAIN DRAIN ATMOSPHERIC VENT (SVRS) COMPLIANT WITH SECTION 424.2.6.6, FLORIDA SUILDiNG CODE FOR RESIDENTIAL APPLICATIONS_ ENTRAPMENT AVOIDANCE VENT PIPE ANALYSIS-MAXIMUM LENGTH 11ZES AVARAGE VEL.00IT`i- VENT PIPE MAXIMUM FLOW CPM FT. PER SEC. SIZE LENGTH FT. roll 514 1 1/2" 32 '15 11-7 1 1/2" 41 1211 I I /2" 110 -131 1 1/2" rola 135 5.86 1 1/211 -f 3 145 Co.2� i ii2" iS 1�5 7,59 1 1/2" C 325 8.19 1 1/211 is based upon maintaining the length of pipe below the operating level of the pool, A horizontal, to vacate within 3 seconds based on the size of the pump and the average 'ue to the hydraulic gradient caused by the pump and piping, the vent line should be close to the tee at the dual main drain, as possible with a maximum distance of 12". -3tit is the Intellectual property of HGE and cannot be reproduced in whole or part expressed written approval of NCE. This document is not valid without the seal of -o l l Jr. F E. COURTESY OF: TEAM HORNER 41 CONSULTING ENGINEERS,INC EB*5848 PHONE NO: (954) 772-4940 JOHN MCAl�OLL JR FF- NERLINE ROAD. FT. LAUDERDALE FL. 33309 FAX NO: (984) 772-6840 LICEXSE •41610 EXMREs: C21204CM- I. THIS SAFETY VACUUM RELIEF SYSTEM 15 A NON-MECHANICAL VENT SYSTEM THAT WILL LIMIT THE TRANSMISSION OF SUCTION AT THE OUTLET TO A rn MAXIMUM OF 4B INCHES OF MERCURY. 2. THIS SYSTEM 15 A BACKUP TO PROVIDE SUCTION RELIEF SHOULD ENTRAPMENT OCCUR ALL PIPES AND NATIONAL SPA FITTINGS MUST BE INSTALLED IN CONFORMANCE WITH POOL FSG POOL PLUMBING. INSTITUTE 3. POOL AND SPA SUCTION INLETS SHALL BE PROVIDED WITH A COVER THAT COMPLIES WITH ANSI/ASME A112.19BM 4. THE VELOCITY ON THE SUCTION SIDE OF THE CIRCULATION SYSTEM SHALL NOT EXCEED SIX (6)FPS_ 5. THE VENT LINE LENGTH MUST NOT EXCEED THE TOTAL LENGTH OF THE MAIN DRAIN LINE. PIPE c 6. VENT OPENING MUST BE COVERED WITH WIRE MESH INCNEE SCREEN TO PREVENT INSECTS, DEBRIS COLLECTION AND 5ACTERIA 211 1. LA5EL VENT: POOL SAFETY DEVICE- DO NOT2 i1 HANDLE 21 21 (2) 90' SEND5 311 OR A TEE 311 � a0 N N E 411 N 111 d 1 117" VENT LME > This ana lysie 1) `gym' REND vertical ane '0 FIOW rate. L-. Iota ted a5 MAIN DRAIN This docume without the 11 JOhn M. Gar! POOL Z r 1 I/2" VENT LINE 1 AN DRAIN SAFETY VAGUUM RELEASE SYSTEM (SVRS) N.Tb. HORNER 5755 POI MAP SHOWING BOUNDARY SURVEY OF LOT 10 AND THE EAST 10 FEET OF LOT 12, BLOCK 6, SUBDIVISION "A", ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: GREGORY SCOT DEPUTY AND DIANNE DEXTER DEPUTY AAMES HOME LOANS STEWART TITLE GUARANTY COMPANY RICHARD T. MOREHEAD, P.A. LO l 9 BLOCK 6 LOT 11 BLOCK 6 N 89'53'03" E SET 1/2- REDAR _ 59.95' (MEASURED) I SET 1/2- REDAR STAMPED 'ACM LD 6702 p,g' _ 0 0'- _ STAMPED ACM LB 6702_ 0' 1 1/a' — —40.00 0.6'� 1 l99" —__— p,V,G 0.6• LO 1 WILLME rnLN �2.3' BLOC PIPE SHED ooL LOT 12 BLOCK 6 CONCRETE D K\ ��M�✓� GRILL\ 4P. Q 9.3' 9.t• 18.3 �,.� a Q a o_ - W I cin I w of Q � o w Q I QIn l u7 00 J Ql' LOT 8 LOT 14 a I " O W Of "' �rn a BLOCK BLOCK 6 0 l CD t' .N o O� 2 �� o o Ce O 1.0' r- O O L, I- Ln I s w o I- O In Ln EL 1.0' . ( Ooo 4� O . P 0 _ 1D.9' STOOP 0 I' STEPS O ;!.a* 7TI L —x- 0 � 1LI -0.1' I� I >R �y I � V V 40.00' 10. 0.0 zoo.00' rl,n7 IN FOUND IDIENTIFICATIONRON PE S 90*00,00" W FOUND IDENTIFICATION 59.94' 59.94' (MEASURED) 4TH STREET (50.0' RIGHT OF WAY) NOIES: ACCEPTED BY: LEGEND: R = RADIUS —x— = FENCE L = LENGTH O CONCRETE NOTES: ASSUMED S 90'00'00" W REVISIONS 1. BEARINGS ARE BASED ON THE ____---___ GEARING OF --------------- ALONG THE SOUTHERLY BOUNDARY LINE OF SUBJECT PARCEL. DATE DESCRIPTION 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE _____x__ AS SHOWN ON TFIE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL 0007 D �� IF 3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT IF SUPPLIED. UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED 4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR JOB H 13860 DATE OF FIELD SURVEY: 02-27-01 DATE OF ISSUE: 03-05-01 SCALE: 1" = 30' CERTIFICATE 2522 Oak Street I HEREBY CERTIFY THAT THIS SURVEYWAS MADE UNDER MY RESPONSIBLE CHARGE Jacksonville, Florida 32204 AND MEETS THE MIN!$AUAI TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA (Phone) 904-389-5989 BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 61617-6. FLORIDA (Fax) 904-389-6175 ADMINISTRATI ;RSUANT TO SECTION 47-.072. FLORIDA STATUTES. ' MICHAELI LLO LICENSED BUSINESS y 6702 REGISTERED SURVEYOR AND M ER y 4879 STATE OF FLORIDA LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS CITY OF ATLANTIC BEACH j �j►�.�►�1�jv� 800 SEMINOLE ROAD J� ATLANTIC BEACH,FLORIDA 32233-5445 3! TELEPHONE:(904)247-5800 7 FAX: (904)247-5805 1 � SUNCOM:852-5800 I `� 4EEW http://ci.atlantic-beach.fl.us s !tit PLAN RF . COMMENTS Permit Application Applicant: 0� E STi2�M I—R o L Address: Project: k. u 0,--�Our application is approved r rmit a ati has -r ewed a following items need attention. Please re-submit your application when these items have been completed. Reviewed by Signed L� �� ` �7 Date Contractor Notified Date City of Atlantic Beach Planning and Zoning Department PRELIMINARY PLAN APPROVAL Approval of Site Plans, Conceptual or Prelim]a1I Plans does not constitute approval for the issu of permits. Final construction and engine plans must d onstrate compliance witapplicable to I, State and F ral perm requiremen By: Date: DEBUTY PROJECT 325 4 St., Atlantic Beach, Fla. s,F LOT 10 BY: GULFSTREAM POOLS CPC056952 POOL: 19 x 23 VOL: 14,500 gal. Turn:2/9hrs DECK: Pavers i -1 i i i T 4 V , 01,stnCti o _ SIc�S PA Lr Al ►� &1fee CcC— -y ' FOR OFFICE USE ONLY (o (-4C / q)1 t- /it Date-----------•-_----------------•-19 ...... F42t/07- D f" Permit #........................Fee$------------------------ CITY OF ATLANTIC BEACH ;B )(2)— Valuation $. FLORIDAHouse #----------------------------------------------------------- ............................................................................-----------------•--•--••-•------------•-•-----•--•-•--•---•--•---------•-- APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date. � -----------, 19 (; Sc, t (! C/(R �+% ..�� 7.. --------Telephone �7(-_ 3 N Owner--------- -�•- -�ik ..............---------------------------------•--••-_-------.-Address-•-•--•---.-.-.-- phone NeGT--S 1r� Architect------------------------------------------------------------------------------------------------Address...........................................................Telephone No---------------_------------ ContractorBuilder------------------------------------------------------------------------------Address............................................................Telephone No----------_------_--------- LotNo------------------------------------------------.--Block No..........................-----Sub Division---------------------------------------------------------------------------.--.Zone-------------_-- -•---------•----••-----------------Street--------------------.._Side Between....------------------------------------------------and-------------------------------------------------------Sts. Valuation $................................For what purpose will building be used................................ ..Type of construction...._.__Q d._.._......__.._ Dimensions of Building----------------------------------------Dimensions of Lot.........-.....<.....................-__...........-----Size of Footings...................................... Size of Piers-----------------------____-_----Size of Sills---------------------------_-..Greatest Sill Span in ft---------------------------Type Roof._---_----__-_--•--..____-_------ How will Building be Heated?--_ -----------._.--------------------------_.._.-_---...Will Building be on Solid or Filled Ground?..-------------------------------------- Size of Ceiling Joists------------------------------------------- Distance on Centers--------------..------.--------.--_•--.----, Greatest Span-------------------------------------------- " Size of Floor Joists............................................... Distance on Centers_------- -------------------------------- Greatest Span-------------------------------------------- " Size of Rafters------------------------------------------- ----------- Distance on Centers. -- -- ............................. Greatest Span------------------------_--------------- " ""- This rectangle is to represent the lot. -� Locate the building or buildings in the right position. Give distance in feet from �S all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall P be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. .. W AP 1' W 2. When steel is in place and ready to pour columI T a H a 3 .When steel is in place and ready to pour beam. G G� E., 4. When framing is completed. s 5. When rough plumbing is completed,and ready ent-upj 1 �• 19�G w w 6. When septic tank drain field or sewer is laid but before it is covered. Q 7. Electrical inspection by City of Jacksonville. W 8. Final inspection. CITY OF ATLANTIC BEACt. , Note: In case of any rejection,re-inspection MUST be called for after L� corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlanqe4�each. Signature of Builder. - ----- --------c-•-...._..... Address Signature of Owner....--- `...... `". Address.---- ,(_..... `S.'J............ ..N r �• i -40 Qom'L DEPARTMENT OF BUILDING PERMIT No. 6583 CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD 664, T 50 45CCKT THIS PERMIT MUST BE POSTED ON JOB 6316 1 A 2/12/3 Date X583 . lttGaC February Il, 19 85 6316 1 A 2/12/0 ) Valuation$ 14,976.50 Fee$ 64.50 t Gi 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 FMD CAMSO1N has permission to build Addition as ger Plans submitted Classification P[�Sia....�s..� Zone Owned by Bob & Forrest Parrish Lot Block_-S/D House No. IUM STU According to approved plans which are part of this permit i NOTICE—ALL CONCRETE FORMS * AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. li PERMIT VOID SIX MONTHS _, AFTER DATE OF ISSUE �0 O Building material, rubbish and debris —� z from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. Jolpi i?. WIDD%IS B ilding Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER Date a $s DEPARTMENT OF BUILDING City of Atlantic Beach , Florida Office Application for Permit for Permit No .B E Use Miscellaneous Alterations ; M p Only and Repairs ; Contractor KED GA00_,Address Phone 3541364 ok. OwnerMi oir"r'ee .Yptri _Address 3�5 �'� ' 'remit' Phoned 0� its Yet The undersigned hereby applies for a permit to remodel �0*ie'01 a%4 any"^q kifc%" 6eAroa� cr"-1 doyen c�rou a tb� Building onpart of Lot No . Block At side of ' between EfasT COAST- and ihcrri Streets . Valuation $ t -so ow Present use for building t cs Jem If residential, what type dwelling (single-family, duplex. . ) 51n le �fawi�y How many families accomodated now? When altered? If business , what type? N�d Will food be prepared for sale on premises? Celpco►' �•kp new k i-�e� lay0�►'r";�h S'�all 'ou�doo r S�pw t i„ n e U.)iW a►1� What plumbing/mechanical work to be done? Size of present building Q pp oZ(op,®W�'/, Size of extension a ro(. 30 s� 1. �( Size of lot 100 )( 150 When altered Number of stories now a a�'� � Extension 'DING OFFICE Material of existing building -Frame, 54utco S�e►tAe- ----- ------------------------------------------------ - - ----- ------- NECESSARY PLANS IN DUPLICATE TO BE SUBMITTED EREWITH In consideration of permit given for doing the work described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications , which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. ig a r nt actor Date S gnatur er Date I i f G v _ --- -- ! f ------ _3- 76 o �Dc�� .Uav - f '71f I � f IN ry 2:1 �y - .y.«.,x �.-,a•'`��:3�i`ap'�j`' ,d}�' ",rte• „u,a��,•:;:t N'.�..,�.....' .:.: rx� �x.3*-u` e t _ �.s x - ,h F.._.� � -+i i'i�x}'' �•,�„ a7 i � 'fix•.. y�y - 4`�j 4fi�xi' a7,.�'yr'�tL�t - ,G"�•a-t<� .vY r�� sj�`s i'4,.'�.� r i yl't7� �. _ - ' IV NMI h<-Al V - f ^r - YL r x t ti rF ` r - � _ _ amu•. � t { ,�Y,ao coN �v�`�� Foy ef„ r i . . i r _ I 4 • f e R 'Y • � � � �- tA�� e rix __ ,. ��.` ;. :u t y}. ��• itay� F rF r`ryC- �^T it: `.r�Ci' aA - - _ - •'.'1 .F qgk ` r i •c `" to 3`S�' i"t-r fOIF .-,�'�rT�'".Y�fih"f2 � Ye��'� .h�`�s�+•"� �`.�' `�y3�,�' � l - � :� s YK �'�. ='R •�..,,,� v s.- `� �. . ��; .w. .-s •F?"Y�s + •C a'X34.' �� "��` t = ""'� >y`3•`' ;;;,tom::: it •3y.3` r x, S"i "'` `¢`k X ?i• �. .�. ! .sem r,� - . _ ,. -ti-._.,, --„s^3 x .-. .r. •.✓ 3+y�¢.g-csa „� y•� -s r atm ,, ,fir .ra - .a. -. � $' a'f ,yo•tt"R ter.. .�:.+ - � .>�, A ,�w .� , - - - ' _ ..-;. .�, •Y'1�1 �.� ...��z�.:: d h 4 1,..�l;leti nstt4�. .�e1.� • yk _•1 a• — J i i ii i c - i •- -; - +a "il'�"►'?f'.Yra/lAar.,:,cv xi:.:.i,-_,�.,,�;.�r '.t .� 'a 7►^ m`!i .. - L F+.il�..'^ "'_52�4t l9tFY"bc1ll�N ?t1:big:.+�".,�@".LLYi�.Nafik�+f1�M�4.i1C3 .-.:SYf.�•SR"t"�.ad�Ci(i•3R4Y.'af.✓_LK'14�^DR'K.. MECHANICAL PERMIT# ADDRESS PLUMBING PERMIT # BUILDING PERMIT WORKSHEET ELECTRIC PERMIT # TEMPORARY ELECT. Heated Square Footage 3c3 � @ $ __per sq ft = $ / �o• 50 Garage/Shed @ $ per sq ft = $ Carport @ $ per sq ft = $ Porches @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION /� .C% $ ' Total Valuation Data 1st $ --� ,ze , Remainder Valuation @ $ 6 � per thousand or p rtion thereof TOTAL BUILDING FEE $ �J• + 2 FILING FEE $ � • �� FIREPLACE @15 . 00 $ TOTAL BUILDING PERMIT ---------------------------------------------------------------------------------- PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ELECT. TEMPORARY $ ELECTRICAL PERMIT $ WATER METER SIZE $ ACCOUNT NUMBER SEWER IMPACT FEE $ WATER CONNECTION $ -�C �� (@10 . 00 per fixture unit) APPROVED BY: TOTAL BUILDING/PLAN FILING FEE $ U TOTAL WATER METER CHARGE $ A P P R O V E D TOTAL SEWER IMPACT FEES $ ;,TY OF ATLANTIC BEACH' E'UILDING OFFICE TOTAL WATER CONNECTION CHARGE $ 1W �n�a FE 1 1158 MISCELLANEOUS CHARGES $ Uy , ,�" ✓`�'� GRAND TOTAL DUE $ l;l i Y Of hLALtl APPLICATION FOR PLU`1BING PERMIT DATE NEW TYPE OF BUILDING OWNER'S NAME REPIPE RESIDENTIAL ADDITION COMMERCIAL LOCATION PLUMBING FIRM ADDRESS A '' P R ° E D CU11_C11VG OFFIC$ MASTER PLUMBER please print t3 1 1 I�� CITY/COUNTY OCCUPATIONAL LICENSE NO. L STATE CERTIFICATE NO. BUILDER OR CONTRACTOR _ _ ------------------- - -------------------- ----- ---------LAVATORY BATH TUBS URINALS FLOOR DRAIN SINKS CLOSETS SHOWERS WA HEAT RS DISHWASHERS DISPOSALS �•t,Stpi� +B2� WASHING MACHINE OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. SIGNATURE OF MASTER PLUMBER FIXTURE UNIT BREAKDOIIN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DE,14AND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED UNITHCONNECTEDWATER TO THETCITY WATERWATER SYSTEM SUPPLY SECH27E3I(c)HEREBY FIXED AT TEN DOLLARS PER FIXTURE BATHROOM GROUP CONSISTING OF BATHTUB (W/OR W/O OVER SHOWER STALL, 2L, WATER CLOSET, LAVATORY & BATH HEAD SHOWER) (2 UNITS) DOMESTIC UNI TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY COMBINATION SINK & TRAY (2 UNITS) DENTAL LAVATORY (3 UNITS) - (1 UNIT) KITCHEN SINK COMBINATION SINK S TRAY W/ DENTAL UNIT OR CUSPI- (2 UNITS) FOOD DIS. (4 UNITS) DOR (1 UNIT) KITCHEN SINK Wj WASTE GRINDER DRINKING FOUNTAIN (11 UNIT) DISHWASHER (2 UNITS) FLOOR DRAINS (1 UNIT) LAVATORY (1 UNIT) LAVATORY, BARB] LAVATORY, SURGEONS (2 UNITS) BEAUTY PARLOR j SHOWERS GROUP PER HEAD (2 UNITS) SURGEONS SINK (3 UNITS) (3 UNITS) POT, SCULLERY FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP SINK (4 UNITS) STAND (3 UNITS) URINAL, PEDESTAL, SYPHON JET URINAL STALL, URINAL, WALL LIP BLOWOUT (8 UNITS) WASHOUT (4 UNI (4 UNITS) WASH SINK EA S URINAL TROUGH EACH 2 WASHING MACHINE RES. SECTION (2 UNITS) (3 UNITS) OF FAUCETS WATER CLOSETS, VALVE (2 UNITS) _ WATER CLOSETS, TANK- OPERATED (4 UNITS) OPERATED (8 UNITS) TOTAL FIXTURE UNITS 3 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. 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. ELECTRI AL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME //ll.'"� ADDRESS: �' RFD BOX BLDG.SIZ BETWEEN: / RES. ( APT. ( ) comm. ( ) PUBLIC ( 1 INDUS. 1 1 NEW ( 1 OLD ( vf /REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW ( 1 INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( 1 Q SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE /SO AMPS PHtE7N OLT 7 RACEWAY FEEDERS NO. SIZE NO. S0. SIZE LIGHTING OUTLETS CONCEALED N TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31-100 AMPS, SWITCHES INCANDESCENT _ FLUORESCENT&M.V. _ FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS D TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA _ NO. NEON TRANSF. NO. A. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT CF do TO THE CHIEF ELECTRICAL INSPECTOR: DATE: � 19 t4- 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: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME 47-' ADDRESS: 11a'T_ -121 RFD BOX BLDG.SIZ BETWEEN: RES. ( APT. ( ► comm. ( 1 PUBLIC ( 1 INDUS. 1 1 NEW ( ► OLD(v) REW. 1 1 ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS ( ) SQ. FT. SERVICE: NEW( ) INCREASE ( ✓) REPAIR ( 1 FEE CONDUCTOR SIZE AMPS �D d COPPER ( 1 ALUM. (t� SWITCH OR BREAKERCJ AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE Q U AMPS PH W `flJ VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O.30 AMPS. 31-f00 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED =100AMPS OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS I AMPS ICEIL 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. lKVA N0. NEON TRANSF. JNO. VA. I MA. I I MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES,OO /CITY OF �l /3 eack-& &U-k Office of Building Official REQUEST FOR INSPECTION Date �.- 2D Permit No. Time A.M. Receivedc�7 P.M. /4 Job Addre �(// J— ocality Owner's Name Contractor BUILDING CONCRETE ELECTRICALLUMB NNG MECHANICAL Framing Footing Rough Wiring RoughAir Cond. & _ Re Roofing = Slab - Temp Pole _ Top Out ,C Heating Pre Fab Insulation Lintel _ Final - Sewer Dl Fire Place READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made _ P.M. Inspector Final Inspection Xupancy Certificate of Oc Date CITY OF ATLANTIC BEACH, FLORIDA ved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: oZ" i LD 1914 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORD N IT THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCO W HE CTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 1 r c1C_ ELECTRICAL FIRM ME115 E37 MASTER ELECTRIC AN SIGNATURE %ZSZ JOURNEYMAN NAME bOh 'E>✓«b�h ADDRESS:�tis 4+h RFD-BOX- BLDG. FDBOXBLDG.SIZE if 6 0 0 " 1 " BETWEEN: RES.( ) APT. ( 1 comm. ( ) PUBLIC l 1 INDUS. 1 1 NEW ( 1 OLD ( 1 REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( ► SIGNS 1 ) SQ. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE I O AMPS I PH 3 W 3`!O VOLT ( RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES _ CONCEALED OPEN TOTAL 0-30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES =BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT IO.00 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 'Dpp TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN _ FORWARDED =TOTALFEES ,00-00 _ DEPARTMENT OF BUILDING PERMIT NO.--6,389 CITY OF ATLANTIC BEACH.FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Feb . 10 19 84 �I MECHANICAL Fee$ 44 . 00 Valuation$ 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. 001 1 McCall C .A. C . Inc . • This is to certify that • 2690 Roseelle Street ' .00CA X T A T A AT has permission to tl P A RESIDENTIAL Zone Classification Owned by Robert �3arrish Block_ —S/D Lot House No. 325 Fourth Street Atlantic Beach According to approved plans which are part of this permitNOTICE—ALL CONCRETE FORMS * AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 110. Z Building material, rubbish and debris from this work must not be placed in public space, and must be cleared auled away by either con- * f�tra o o a Building Official. PERMIT DATE CONTRACTOR FOR OFFICE USE ONLY NUMBER PLUMBING ELECTRICAL I SEWER li WATER I, BUILDING AND ZONING INSPECTION DIVISION lid CITY OF JACKSONVILLE, FLORIDA APPLICATION FOR MECHANICAL PERMIT IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. LOCATION Street Address: 3�5 4th. St. (Atlantic Beach) OF Intersecting Streets: Between Beach Ave. And Atlantic Ocean BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants Inconsideration 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. 7 1p3 3� Name of Mechanical Contractors — �R-622 Contractor (Print) McCall C.A.C. Inc. m-146 Master Name of Property Owner Robert Parrish 32 4th. St. A.B. Signature of Owner Signature of or Authorized Agent Architect or Engineer III. GENERAL INFORMATION A. Type of heating fuel: E3. IS OTHER CONSTRUCTION BEING DONE ON IEXXElectric THIS BUILDING OR SITE? No ❑ Get—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) XXX Residential ❑ Other ❑ Heat ❑ Space ❑ Recessed O Central O Roof ❑ New Building ❑ Air Conditioning: ❑ Room ❑ Control XU Existing Building El Replacement of existing system �XOuct System: Material metal Thickness 1 200 [I New installation(No system previously installed) Maximum capacity � c.f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9•p-M. ❑ Fin sprinklers: Number of head- I-] Elevator ❑ Menlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (�e1�) /\ PPF: c�vt= ❑ Tanks .(number) ;I s V r H I Ly i t IG tat Ut: Remarks .UILDING OFFICE. ❑ LPG containers (number) ❑ Unfired pressure vessel r Permit Approved by Dete ❑ Boilers � Heat Pum,3 Permit Fee 'Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity AppreviaaE Number Unita Description Model Number Manufacturer (Tons.) /►B�cY 1 condenser BWD7 2 Trane UL HEATING - FURNACES, BOILERS, FIREPLACES Capacity ApprOVIAS Number Units Description Yodel Number Manufacturer (BTU) Agcy 1 air handler BWH 48P Trane 4 UL 1 heat stri AY 6X1 14 Trane 14kw UL TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving and Dimensions Contained Manufacturer No. Agency P S-428 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: Z� I r- S7, OWNER OF PROPERTY: ' 11 flit} f S li PLUMBING CONTRACTOR: CONTRACTOR'S ADDRESS: S• �=``� %, v x �cm- STATE LICENSE NUMBER: (f.C.Oy()O�( TELEPHONE: ,?g5-s0 S`>< HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER je w TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. PSR-3844 15998 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION --- ---- --- LOCATION INFORMATION ---- Permit Number : 15998 l.ddress : 325 FOURTH STREET Permit Tyrie : PLUMBING ATLANTIC BEACH , FLORIDA 32233 Class of Work:ALTERATION ------- --- LEGAL DESCRIPTION --------- - Constr . Type:WOOD FRAME Block: Lot : TwD: Proposed Use: SINGLE FAMILY Section: 0 Subd: Rna: Dwellings : 0 Suhdivision:ATLANTIC BEACH Est . Value: 4 .00 Improv . Cost : 0 . 00 Total Fees : 25 .00 Amount Paid: 25 .00 Dn P=1 i 999 W�r3: 'fiFE`IT OWNER INFORMATION _.- _ ._- - ._ __.__ ___._ APPLICATION FEES --------- Name : GEORGE HARNISH PERMIT 25 .00 Addr : '25 ATH STREET ATLANTIC ?EACH FLORIDA 322' Phone: ' 904 )285-5054 ------ CONTR.kCTrR INFORMATION Name: PLUME-MASTERS Addy P .O. BOO X 502.11 JACKSONVILLE BEACH , FL 32240 Li_ . CFC040041 Exp ' J TvDe: 4 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 Date: REVOCf1�R 2/��138 sal keceipt: 8 VIOLATION OF APPLICABLE PROVISIONS OF LAW. 1155 G010;�083tZ18@8 ATLANTIC BEACH BUI DING DEPARTMENT <tk 1 CITY OF 4a4446 Teas! - 17&u & NO SEMINOLE ROAD ---- ------ - -- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-SWO FAX(904)247-SODS October 13 , 1995 Mr . Mark Holmes 275 Beach Avenue Atlantic Beach, FL 32233 Dear Mr . Holmes : Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 325 4th Street (vacant lot ) a/k/a Lots 7 , 9, Block 5 , Atlantic Beach RE169813-0000 Please be advised that the above property is in violation of City of Atlantic Beach Ordinance Section Section 12-1-4 (stagnant water) . As per our telephone conversation on October 13 , 1995 , I am confident that you will take whatever steps are necessary to correct the problem. That may include pumping and chemical treatment of the water. Once dried you should take steps to properly fill and grade the land . Your demolition permit included the buildings and pool . I would hope that the pool was collapsed and removed not merely filled in. If not collapsed water will remain in that area and not be absorbed into the aquafier , creating a possible future pooling of water . 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 . G newald code Enforcement officer KWG/pah cc : City Manager Jim Jarboe ' CERTIFIED MAIL RETURN RECEIPT REQUESTED 3�o Z 10/12/95 CITY OF ATLANTIC BEACH 11 : 26 : 14 CMR007 SPECIAL INVESTIGATION CHN007 COMPLAINT # 3602 COMPLAINT DATE : 95/ 10/12 ASSIGNED DEPT/DIV: 10 06 PRIORITY CODE : 0 COMPLAINT TIME : 11 : 00: 45 TAKEN BY: KARLGRUN COMPLAINANT : YOUNG ADDRESS : 337 4TH ST ATLANTIC BEACH FL 00000 PHONE : 904-246-6131 EXT : LOCATION : 4TH STREET ATLANTIC BEACH FL 00000 OWNER: COMPLAINT DESC : STAGNANT WATER ON VACANT LOT DATE OF INVESTIGATION: 95/10/12 INVESTIGATOR: GRUNEWALD --------------------------------------------------------------------------- CONDITIONS FOUND : ACTION TAKEN: SPOKE TO COMPLAINANT 10-12-95 COMPLIANCE : NOTES : 6311 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH rL.<<h11. i 1HFORMATION __._ _._. LOCATION INFORMATION ermit Number F 0 IJ RTH ` T P E E T pt- -at j x, 1 yp e MECHANICAL Al L ANTI( BEACH , Ft Clf'1 oi,-i 1a-ss of fork- A TERATIr:)N ------- LEGAL DESCRIPTION ._._ _ w_... . WOOD FRAMEc>r Hlc,ck !� Py,)pc,sed 1.se* �,TNC L.E F(,,M:CI,.. VOwr1s h ip : 1wel l t nas . 1 C0 e : O tt?�! �. .i,r,r,. t�T►:_.s ral Ii: Fi:�3+ Fi , s ,rEQZh1ATI0i,' — APPL_ICATION FEES i1 e, IMP111(11 FIEF I'M PA(-- T 'FEf �t'r a 1 Cow TOP IFOF�MATxON __ .... RACNwN GAS; CAI- Ill AIR I,IATLE�' TAP EL+.. �-�.T1ZF-1: 1 �'F'i:E TAF 1_.I_E FLORID(, HY1JRAULItt{r1i ;< c t y TyPF R -INSPlrCI FEE `Ire .E+: aH IMPACT FEE 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 BEAU"LI"- — - I P BUILDING AND ZONING INSPECTION DIVISION i CITY OF ATLANTIC BEACH ( I ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER t IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I, ( LOCATION Street Address: 325 4th STREET OF Intersecting Streets: Between EAST COAST DRIVE And SHERRY DRIVE I 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) MCCALL CENTRAL AIR Master Name of Property Owner Signature of Owner Signature of f or Authorized Agent ( Architect or Engineer III. GENERAL INFORMATION A, Type of heating fuel: B. If IS OTHER CONSTRUCTION BEING DONE ON Il �] Electric THIS BUILDING OR SITE? NO ❑ Gas—❑ LP ❑ Natural ❑ Central Utility j IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT I ❑ Other — Specify I IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) 11 Residential or ❑ Commercial II ❑ Heat ❑ Space ❑ Recessed ❑ Central ❑ Floor ❑ New Building I I Air Conditioning: ❑ Room Q Control KI Existing Building { ❑ Duct System: Mehrwl Thickness ® Replacement of existing system New installation(No system previously instatled) Maximum capacity c.f.m. II [IExtension or add-on to existing system li C1 Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9.p-r". I` 1r ❑ Fin sprinklers: Number of heeds— ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pump. (number) (Ree«wd) ❑ Tanks (number) Remarks ❑ LPG contains,r• (number) ❑ Unfired pressure vessel [I {oiler Permit Approved by Date ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT ing Number Unita Description Model Number Manufacturer Capacity A vre (Toes) y oY 1 CONDENSER TWN748 TRANE 4 UL 11 .0 HEATING - FURNACES, BOILERS, FIREPLACES Capacity ADPL Number Unita DeacripUan Model Number Manufacturer (BTU) .Aseocr TANKS How Many Nosainal Capacity Type Liquid Name of Serial Approving and Dimensions Contained Manufactuz4w No. Agency I7Er z.RTi,'ENT OF BUILDING FOR OFFICE USE ONLY CITY OF ATLANTIC BEACH, FLMIDA 14-11L 19,71 Permit #SGS Fee $3 ,e,-e Application for Permit for Valuation $—/_ ,,1�0 _ Miscellaneous Alterations, HOUSE # and Repairs /1-1 7/ DESCRIBE: 4 s dd a e E (State if to repair, Ater, add to or move building, erect almngs, signs, e t �1.fQ - .� ms 3�_/e Buildin; on: Lo' 170.4 F lk No. g Sub.Div. -Address Valuation $ j� Owner s Name J't - BUILDINGS AND OCCUPANCY Building Use -- Resident-* al or Business What Plumbing vlo_k to be done? Size of Present Bldg. _Size of Extension Lot Size Wo. of stoics nc6r a-ter altered Material of roof Material of ''.Aescnt Building Material of Extension PLANS TO BE SUBMITTED HEREWITH CTI, BURNER OR GASOLINE EQUIPMENT Name of Oil Eu:_-ney- oma- Gasoline Pump Type or Model Name and of Manufacturer I*i ^c:: �.ec�.: o*� i_e: nENi%i:, application is also made to install: S' -' `,) made by of gag e metal _F_ a==°u''d• (Name of Manufacturer) i6,,6 or Above) of building. For ...s_.�>> c'r c z r'>ie (Name of Purc aser j F__11IP,A-WING SrlOTRING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS siication (S: -ate whether ground, roof, wall, projecting, anner) Material of Construction ':1 jinaterrf,Ir :e of illumination State whether Lamps or eon Will sign :o^ over puu;.ic property? SUBMIT DRAWING SuCt�?T_D'G CONSTRUCTION OF SIGN AND METHOD OF HANGING 'TRITE ADDITIONAL INFORMATION BELOW (For canvas a.wrIngs provide dimensioned drawing on ;reverse side) GOMPLSTED IMPORTANT NOTICEc DATk In cc^.s4.�!'Cratl.on o-f permit given for doing the work as described in the above statement, we hereby agree to perform said work in acco-rdance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Ltlantic Reach. (Southern Standard Building Code) . ,!nature Bui CSE'. or O,�;_-Ler 'ss A - a Phone No. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-SM-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22044 Address: 325 FOURTH STREET Permit Type: BUILDING ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 3,730.00 OWNER INFORMA't'lW Date Issued: 5/25/2001 Name: SCOTT & DIANNE DEPUTY Total Fees: 53.00 Address: 325 FOURTH STREET Amount Paid: ATLANTIC BEACH, FL 32233 Date Paid: 5/25/2001 Phone: (904)246-7702 Work Desc: 12 X 16 SHED CONTRACTOR(SI. PLICATION FEES HEARTLAND INDUSTRIES ' 53.00 r . je Q"6 V Y FINAL 3 ems., 1 NOTICE 2 SPECTI T BE REQUESTED AT LEAST 24 HOURS PRIOA TO INSPECTION BUILDING MATERIAL, UBBISH AN .DEBRIS FROM THIS WORK MUST NOT BE.P):ACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULE `AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLYITH TiJG15 'RUCTION LIEN L ►lI'�CAN RESULT IN THE PROPERTY OWNER PAYkP 10GE FOR 1MROVEMENTS" ISSUED ACCORDING TO APPROVE15P AI t WHICH ARE�PART OF TH4S PI` fiIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW t �! f51 M 14 AT TIC BtACH B LD NG D PT. Date: 5/31/81 81 Receipt: M61631 CASH v *fiff"§ CITY OF ATLANTIC BEACH ADDITIONS, OR pEg�T APPLICATION REMODEL, ' 001 MOVING, DEMOLITIONS C, f Atlant' ach 3�5 Sad' o4a 107al&nx Pehal su1 -Ing, and Zonin Owners) Phone: Job Address : � Loc 4 /N Block or Unit n Subdivision: State License Contractor: 1 aye/ I/d ?hone No: 1P d1,41 Ci_ � Stat= z X 6-e0( --,M 0-r7 A miN/Milm It 'p ' FROMev 20 _ roccsec -Se dimensions of the adced / ,:_t; , If yes, what are the d'_ I Is ch an ac_' on-�_ the added area X f= - ;4ill be heated and f space : t j New electri cal (or increase) ? COG�e'J- ' r( --daces " ,,,. _. .,� New New Beat; - _____—_-- New plume;_ _ _-- _`res - - TS OF NG SUBMIT THRE ' (CONAEZCIAI,) TR'O (R O S I DF�YT I t1 L J CO NOTICE SLOP CO PLANS' ,y SAND SITE PLAN, SURVEY, ENERGY CODE FORMS, OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR_ > t� Date: Signature OWNER= Signature CONTRACTOR: Date: AS TO OWNER: Sworn to and subscribed before me this day of "V"'•. Diane 3.Randall MVCOMMISSION# CC930160 EXPIRES NOTARY PUBLIC ?+a April 20 1004 AS TO CO OR BONDED THRU TROY FAIN INSURANa MC _ M. - - -" Sworn to and subscribed before me this Ic day of NOTARY PUBLIC �;"►"" Diane I Randall MY COMMMSION# CC930160 EXPIRES April 20,2004 , •'` BONDED THRU TROY FAIN INSURANCE,INC i m Via' • !6''O' �a a cn s a 7-4 ay No c i p r N N 0 � n fro+ r � � z RI z N �o Q � tom) r� A X 'x �' � SL, X i A -, 'i p ► �V LP n mc^ C 1 c-r X N��.�L OvlkArn L2 C' (D "� � Ql r• d U La ° zto � � o N 3 � _ 0 X1 .� d D M v► �_ w 3 w I 0 0 � � o � � � ,.► N y r-+ tz w c0.. ? a �' _ _ ; x x v, x U cl C U A -Al r-n Q IIIJJJ�� • A -.4 N O \ CO V1 O M (Ti � Q r 1 A Z o rn r.; O c n 0 -+ I 0 A r4 = = = om -0 --q O n r _ 0 -�- IL aim 01 N A r 9 3 n Z, o o > o V1 V1 s A`�o N o m ? m n w NJ z 700 0 -+11 om r � r- r � rn D � � Z Z O O Ln cr M m -1 O -t D n0cr) D y plc) LD O M nc > o � 0 omo ✓� � rpg o ¢� �1 lnZ � 3 f Z ;o— `j70D C) 00 r- --4 � Q o � r>� � LA Z � c :f2� z ??Hc r�, z � nib ° �*1r�i (n ,� O -} p fn Ly O mem OQr. t0 p0 00i o R Z z rn u e it's, S z p z rn O In �t._ ({k'� �1 D Um z -4 rm*� f T1 v1 DO O cr 0� � LA Z O c e KS y m (J D (D rx u May 16 01 10:59a Valcom Driver Leasing 904-242-0542 P. 1 MAP SHOWING BOUNDARY SURVEY OF / LOT 10 AND THE EAST 10 FEET OF LOT 12, BLOCK 6, SUBDIVISION "A", ATLANTIC BEACH. AS RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLOIZIOA. ERTIFI D TO GREGORY SCOT DEPUTY AND 0 ANNE DEXTER DEPUTY MES HOME LOANS STEWART T TLE GUARANTY COMPANY RICHARD T.MOREHEAD.P.A. LOT y LOT 11 BLOCK 6 t r BLOCK 6 Is N 89'53'03" E I ,` 11400 e VA SET 1/2'REBAN 59.95' (MEASURED) !" ^STAMPCL'ACM t°e702- 0..'i,,.•� 1 ACONI 0.0'• N AMP AGM LO 6702' 40.00' 0.6' 10.00'0�750.00 1114 � � O I I I LOT 10 ° I 1 BLOCK 6 ° � P LOT 12 I I BLOCK 6 I wpVD CONCAEIE DCA ' I GRIL • \ I o �� A 9.1• Is.3' .-. I 0: w I En of I w �I a 10.9' a At N •• I h=• Ml LOT 14 I a pj n n as LOT 8 BLOCK 6 c 1 I o 1.l,t v BLOCK 6 '1 0 o �s v c1 0 sl o<o CT D ul3 w �n DO I n I O 0.4: IA.9' OAICN 1 O STOOP O 1 in to O ^�'STEPS O O— x- 16.3' 75.I' te.6o.j V) 0.1• --x-- Y. b.1Yd; 40.00' _ _ :R FOUND 1/7-WON PIPE 7 P AI RO NO OEN71FICATION S 9000100~ W FONO IDENTIFICATIIONPE 59,94' (MEASURED) 4TH STREET (50,0' RIGHT OF WAY) NOTES: ACCEPT 0 BY: LEGEND: R - RADIUS —)l— = FENCE L . LENGTH O CONCRETE NOTES: I. BEARINGS ARE BASED ON THE _AS5UM_EO BEARING OF __5 00'0°'00-W REVISIONS SOUTHERLY BOUNDARY LINE OF SUBJECT PARCEL. - ---^---ALONG THE 2. BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE _x _,AS SHOWN ON THE DESCRIPTION _ NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989.COMMUNITY NUMBER 120075,PANEL 0001 D Q ) 3 THIS SURVEY REFLECTS EASEMENTS & RIGHTS OF SUPPLIED. UNLESS OTHERWISE VERIFICATION OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED TMENT F UNDERSIGNED 4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. JOB N 13860 DATE OF FIELD SURVEY: 02-27-01 DATE OF ISSUE: 03-05-01 SCALE: I" = 30' 2522 DON Streel CERTIFICA7�,._' . Joc4sonville,Florido 32204 1 HEREOF CERTIFY THAT TH15 SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE AND MEETS'HE-lONiJU%l TECHNICAL STANDARDS AS SET FOR IN BY THE FLORIDA (Phone)904-389-5989 BOARDice OF VAOFESS10KAL SUAYEVORS AND MAPPERS IN CHAPTER 61617-6,FLORIDA (Fox) 904-389-6175 AOMWISTRAT , ;SUANT TO SECTION 47,072,FLORIDA STAIUIES. d � MICH EL I LLO LICENSED BUSINESS /6702 REGISTERED SURVEYOR AND M ER N 4879 STATE OF FLORIDA LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS Book 10444 Rage 1588 � ��"�'• ��" ��r, notice of commencement (PREPARE IN DUPLICATE) To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 o1 the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description ofpro rty ------ ---- ------------- _ --- ,h h _ --------------------- General description of improvements ___ !_1 ------------------------------------------ Owner -L. -------------- Address L --------------- Owner's interest in site of the improvement Fee Simple Title holder (if other than owner) Name ------------------------------------------------- ------------------------------------ �Address ----------------------c------ P' ` Contra -------------------------- r�� 1Fl J� Address --- __ 3 -------------- U Surety (if any) ---------------------------------- ------------------------------------- Address ------------------------------------------- -- _Amount of bond ------------------ -------------- Name and address of any person making a loan for the construction of the improvements. Name ----------------------------------------- ------------------------------------------- Address -------------------------------------- - Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name ---------------------------- --------------------------------------- Address ------------------------------ ---------------------------------------- In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 [2] [b], Florida Statutes. (Fill in at Owner's option). Name ----------------------------------- ------------------------------------- Address --------------------------------------- - - ------------------ ------------------------- HI1 •PACE FOR RECORDER'0 USE ONLY Joe qq Owner - ----- - oo1,: 104:P"3064 Rage: 1588 Filed 6 Recorded Sworn to and subscribed before me this 05/23/2001 10:06:42 AM I JIM FULLER 2 9- - CLERK CIRCUIT COURT _ �'` ay of - ------ l- DUVAL COUNTY - (/ - --- ---�=-- TRUST FUND Y 1.00 / CORY FEE f 2.00 - C��= -y=- - - L " RECORDING 3 5.00 I --- - ---- - __ ___________ f Nota Public Diane 1.Randall *4 .- MYCOMMISSION# CC930160 EXPIRES �., April 20,2004 �• •oF M,d;:` BONDED THRU TROY FAIN INSURANCE.INC