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Atlantic Boulevard 715 (4) x `S CITY OF ATLANTIC BEACH 3 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 J Application Number . . . . . 10-00001220 Date 10/08/10 Property Address . . . . . . 321 8TH ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 12000 -------------------------------------------------------------- Application desc interior remodel ----------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ YOST DKB ENTERPRISES INC. 317 8TH STREET P.O. BOX 331458 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5885 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 110 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 12000 Expiration Date . . 4/06/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 110 . 00 110 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 114 . 00 114 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. - BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 Job Address: 3 oo, — --��, c- permit Number: 1(,?-1,;. CS Legal Description I0 oc.K `j , V`S1 A Parcel oor ea o q. t, otValuation of Work$ /cooled Za non-heated/cooled eated/cooled heated Class of Work(circle one): New Addition Alteration Re�pa-irk Move Demolition pooUspa window/door Use of existing/proposed structure(s)(circle one): Commercial If an existing structure,is a fire sprinkler system installed?(Circle one): Yes o N/A Florida Product Approval# For multiple products use product approval form aDo Describe in detail the type of work to be performed: 0.;i v -1 v-,C —•- 1 QX7 - (o p<- � -� -)144 Afii of �X-S 1 S T1jW- �s �/+ a r PropertyOwner Information: Name: U v0 ' Address: 3 -2-t City StatdFLZip Z2 3Phone Zito z5o5 5S A E-Mail or Fax#(Optional) Contractor Information: Company Name: Qualifying Agent: v?) ►^- Address: �b\o oZ _ r- City - �__Ptt __.. Z. 3 ZZZ. 5 Office Phone U q 4513 Job Site/Contact Number # i State Certification/kegistration CE ` Architect Name&Phone# CITY OF ATLANTIC REACH Engineer's Name&Phone# PERMITS FOR ADDITIONAL Fee Simple Title Holder Name an REQUIREMENTS AND CONDITIONS. Bonding Company Name and Ad Mortgage Lender Name and Addre ` zz 4pplication is hereby made to obtain a permi!io iso tie work and installations as indicated. I certify that no work or installation has commenced prior to the ssuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null ind void if work is not commenced within six(6)months or if construction or work is susp ended or abandoned for a eriod of six r6)months at any time after vork is commenced I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, ells,Pools,Furnaces,Boilers,Seaters, ranks and Air Conditioners,etG WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CONMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR]IMPROVEMENTS TO YOUR.PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMIIHNCEMENT. 'hereby certify that I have read and examined this application and know the same to be true and correct. All provisions o laws and ordinances governing this ype o work will be complied with whether sppeci ed herein or not. The granting of a permit does not presume t uthority to violate or cancel the irovisions of arty other federal,s or local taw regulating construction or the performance of construction. >ignatue of Owner Signature of Contractor 'riot NameC7 . ................................... Print NameD - r ........ .......... .................... .. >U.t�.l.-t�...... ...._f.��` .�� O.A.)................. sound soubscrib befor me 20 Sworry�and ubsc 'b before me this of 20 PAN -IMAAHS Zotary Public lY'P'� ENfD V.JOHNS Not u lic = ;, cornnliSSion DD 797850 : :M�COMUSSION#DD 324096 Expires June 15,2012 i.0I 00c#20102330-qI,OR SK 15358 Page 1970, • ecord NO'T'ICE OF COMMENCEMENT Rr Pages: 1 Recorded 10106/2010 at 10:51 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Permit No. f O--I,;Id o RECORDING$10.00 Tax Folio No. THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. 1.Descriptionofproperty(legal description): �' to ��'� ►o �..�CXIiv iS'i ^� �-lc� �-ic ' rc(n a)Street(job)Address: 3 a l 8 t— s 2.Generai description of improvements: 3.Owner Information a)Name and address: b)Name and address of fee simple titleholder(if other than owner) c)Interest in property 106 'Contractor Information ! _ a)Name and address: ,l t1 g v�Qom✓ vi �_() 1 q's �' ! )Le3 f t C r3 C4( , t'G -�2 2 5 b)Telephone No.: Co 3 i t{-7 S 3 Fax No.(Opt.) 5.Surety Information a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: b)Telephone No.: Fax No.(Opt.) 8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a)Name and address: b)Telephone No.: Fax No.(Opt.) 9-Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR.NOTICE OF COlVIl M MENT. STATE OF FLORIDA I COUNTY OF VV 10. ( �� 'j Signature er cr Owner's A 'or* Officer/Director/Partner/Manager rS� Print Name The foregoing instrument was acknowledged before me this CY day of ,20_10,by as ui (type of authority,e.g.officer,trustee, attorney in fact)for 0M, 1 / (name of party half of whom instrument was executed). Personally Known OR Produced Identificationy Notary Signature Type of Identification Produced d'�+DL, Name(print) n f-F--?9 K cu 3 OR Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. F0RhE/N0Qrvsa2010 tis��'>y�•, ENID V.JOHNS;797850 * .= Commission DD Signature -Natural Person Si g(in e#10.)Above pires June 15012 lbruTroy Fain insce800-385-7018 d y` 28'6 -- 8'5 3'1 511 11'1 2'2 3'8 27 "� 3'3 'r 2'8 ' _ 3'3 47 3'3 I Aim YOST RESIDENTS 3248TH ST.ATLANTIC `o BEACH,FL CLOSET BATHi y PORCH ODNBEDROOMEXSISTING FLOOR PLAN °p y - '7 N j m 1 DKB ENTERPRISES INC. MASTER BEDROOM - 1 PO BOX 331458 ATLANTIC ao l ih KITCHEN ?+ BEACH,FL.32233 � DRAWINGS BY DON BERGERON h I 46/q r 6 _-_ l- � LIVING ROOM iA ,n V --...<V F --•._ F--{ f=--'"'lei--•-=1� V �J 5'5 u,-.3' .k 3' 3'11 .> __... 28'6 _. 28'5 5'8 5'9 -.__ 5'11 f MOVE CLOSET WALLS AND ADD710 - 3'3 —� l NEW BATH \ n ! N CLOSET )j co NEW BATH _..._._. y ;'i `; i co ti. (V .� < REMOVE DOOR AND CASE i OPENING INSTALL BASE CABINETS AND NEW TOP N I NEW POCKET DOORS N l � _ate- _. MASTER BEDROOM ! ' v k: NEW FLOOR PLAN i X1'10 .1'10 4'10 - * - _ 8'6 _..! l 11'5 _ 3'8 _ 13'4 --- _.. YOST RESIDENTS 324 8TH ST 28'5 ATLANTIC BEACH, FL DKB ENTERPRISES INC PO BOX 331458 ATLANTIC BEACH, FL DR G BY DON�BERISERON City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 11 800 Seminole Road Atlantic Beach, Florida 32233-5445 ~ " Phone(904)247-5826 - Fax(904)247-5845 /A E-mail: building-dept@coab.us Date routed: /v City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Y Property Address: 5Z ` ent review required Yev No Z5 Buildin Applicant: AZ IS Planning &Zoning 1 Tree Administrator Project: ��Lf�f 6 �� xi Qa�- Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [Approved. ❑Denied. (Circle one.) Comments: =BUDIN PLANNING &ZONING Reviewed by: Date:to "6"1c) TREE ADMIN. Second Review: ❑Approved as revised. ❑ ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 'S f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD . =a ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001181 Date 10/08/10 Property Address . . . . . . 92 W 13TH ST Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc replace Eft fence and paver patio ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ EVANS OWNER ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/06/11 ---------------------------------------------------------------------------- Special Notes and Comments Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible . A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. Roll off container company must be on City approved list and container cannot be placed on City right-of-way. Fence cannot be on the City right-of-way. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 39 . 00 39 . 00 . 00 . 00 PERMIT.IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MA SH WMG BOUNDARY SURA OF THE NORTH 52.70 FEET OF LOT 6, BLOCK 58, TOG$THI:R WITH THE WESTERLY 10-00 FEET OF THE NORTH 52.70 FEET OF LOT 5, BLOCK 58, SECTION "H" ATLANTIC BEACH,AS RECORDED IN PLAT DOOM is FACE 34 OF THE CURRENT PUBLIC WORDS OF DUVAL COUNTY, FLORIDA �V uitdIng and 7 ink 71 Vj ov V i 8 4. oar A:1. q r Q �q tc N a w 0 o. Ix ? .r t✓�t r 4 A- Sa.ec+ 0 FILEn a $� O 71D N J p ® rS!=1+`Jr�n City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole RoadL r� Atlantic Beach, Florida 32233-5445 O Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Department review required Yes No Building Applicant: ((��j `L -Planning &Zoning' Tiee-Administrator Project: Flo livi-y� �/ (� Public Safety Fire Services Review fee $ Dept;Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: proved. ❑Denied. (Circle one.) Comments: BUILDING __ —40 < 2 A/ PLANNING &ZONING Reviewed by: S Date: " Z 7 IW TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: I I Reviewed by: Date: i Revised 05/14/09 :As City of Atlantic Beach APPLICATION NUMBER Building Department 8 Z d35 (To be assigned b�the Building Department.) 800 Seminole Road L�} Atlantic Beach, Florida 32233-544 ► O Phone(904)247-5826 Fax(904 hr� a' E-mail: building-dept@coab.us Date routed; ,. City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �� -� cT" Department review required Yes No Building Applicant: ® ((��1�./� Ptg nning &Zoning ministrator Project: +c-Ut+liti Public Safety Fire Services '1+�, I r l 6 �' Rig: i .' �; lid �'' { t/F 1,.,1 4 1 �"r .: yp� tj'!;'F'5' 'i,."'�llAL Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date:- D TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. P WOR Comments: IC U LITI S PUB SA ETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 riyU�f�� City of Atlantic Beach ''��:EI ✓ APPLICATION NUMBER Building Department SEP 2 8 2010 (To be assigned by the Building Department.) 800 Seminole Road r� Atlantic Beach, Florida 32233-5445 v Q V Phone (904)247-5826 • Fax(904) x$45 E-mail: building-dept@coab.us Date routed: o�7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: f�J �� a �� Department review required Yes No Building Applicant: (�?.� n@ng &Zoning ee-Administrator Project: is-WorJ� -L �-kJtiti . llvf le �ATJ (� Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comm en s: BUILDING PLANNING &ZONING � � Reviewed by: —14 Date OF TREE ADMIN. Second Review: []Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 Job Address: / ' �ILDI-_� Permit Number: Legal Description t3a Parcel# J!'"' or Area o q. t. q. t Valuation of Work$ Z C2 oposed Work heated/cooled non-heated/cooled Class of Work(circle one): ew Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one):. Commercial �es'den.If an existing structure,is a fire sprinkler system utistalled?(Circle one): o N/A Florida Product Approval# For multiple products use product approval orm c 01 V Describe in detail the type of work to be performed: 1 0 Property Owner Information: Name:*F # -" Address: t . Ci Stateip 3�� i2�Phone yf 1 d� E-Mai (Optional) Contractor Information: Company Name: Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six6)months at any time after work is commenced I understand that separate permits must be secured for Electric Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Seaters, Tanks and Air Conditioners,et_ WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EWROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOIAi NOTICE OF COMMENCEMENT. I hereb certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type o,�work will be complied with whether speed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,s eLorlocal law regulating construction or the performance ofconstruction. Signature of Owne "�— Signature of Contractor Print Name J......_ /- � ...�.c.................................................. Print Name Sworn to and subsc i ed before me Sworn to and subscribed before me this -n/7 Da 20 this Day of 20 Le Notary Public Notaryt is tier xP"a`' Fp!, Revised 01.26.10 "Ig '� tsan if ti Thr N.lar�F I� ' mar 3,+r�#i�Ni.. af*yr CITY OF ATLANTIC BEACH s3 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 ,. INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001085 Date 10/08/10 Property Address . . . . . . 1911 OAK CIR Application type description RESIDENTIAL ADDITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 75000 ---------------------------------------------------------------------------- Application desc ADD 1 1/2 STORY ADDITION IN REAR OF DWELLING ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MANNION, KATHY COBBLESTONE CUSTOM HOMES 1911 OAK CIRCLE 907 NEPTUNE CIR ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 372-9600 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE I-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 380 . 00 Plan Check Fee 190 . 00 Issue Date . . . . Valuation . . . . 75000 Expiration Date . . 4/06/11 ---------------------------------------------------------------------------- Special Notes and Comments need noc updated state lic and insurance , *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Cannot block the street . Garbage truck must be able to get through on pick up days . Roll off container company must be on City approved list and container cannot be placed on City right-of-way. A post construction topographic survey documenting proper construction will be required. Roll off container {c--o}m--,,pany must berrotnvVCity }}��tapprffoyv��eeVdd list PERMIT IS2WAt RP6RI4VyWrACrC 9Ck: W�TIIp�` q9A &nATL�1Q'FIC�E�VA O-0&IN I M-AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 mac ,; Page 2 Application Number . . . . . 10-00001085 Date 10/08/10 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 8 . 55 STATE DBPR SURCHARGE 8 . 55 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 380 . 00 380 . 00 . 00 . 00 Plan Check Total 190 . 00 190 . 00 . 00 . 00 Other Fee Total 17 . 10 17 . 10 . 00 . 00 Grand Total 587 . 10 587 . 10 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Doc # 2010235031, OR BK 15391 Page 743, Number Pages: 1, Recorded 10/07/2010 at 04:05 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida,County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. 1. Descrip��'on of property(legal description of property C: and address if available): L.Df ?S Iv� f MW2IN&LA�.1 fi NV i Z'd ��U G�rr v:c�� RT+r4ktrc.8tAc e, 2. General Description of rmprovements: enc cncl_4 hill alU2!t G�c�dron —Fc retie oT h 3. Owner Information: a)Name and Address: },A+- I ,, Mon,n)oma 91 I Okk ct-kAc, A •:f t(✓&AA 1`L. '33)3 3 b)Interest in property: IdcS�a c)Name and address of simpld titleholder(if other than owner): 4. Contractor Information: �Q /a)Name and Address: rGY Cf e— IV&t2.e (`y 1 b)Phone Number: mak (-17,E-y7(t� ' 5. Surety Information. a)Name and Address: N/A b)Phone Number: c)Amount of Bond:$ 6. Lender Information: a)Name and Address: J/fl b)Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13(1)(a)7,Florida Statutes: a)Name and Address: b)Phone Numbers of Designated Person: S. In addition to himself/herself,Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. a)Name and Address: b)Phone Number of person or entity designated by owner: 9 Expiration date of Notice of Commencement(The expiration date is one(1)year from the date of Recording unless a different date is specified: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE �OF COMMENCEMENT. � f-w Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office The foregoing instrument was acknowledged before me this 4"7 day of a."A -. e- ,20�C) ,by 7�itX.� fJ•Akhdzr o.z._as for (Name of Person) (Authority Type,i.e.Officer/Attomey) (Name o Party instrument was Executed for) FLORAGENEHUWQERFORD NOTARY P BLIC,STATEAF ORIDA r ConxNasbn W 670869 l { Exptroo Ma 21,2011 Print Name:�Lo 4 <� ,v e.�= jr 1-P rr onally Known ❑Identification/Type: Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. Signature of Natural Person Signing Above Revised 10/1/2009 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 ,lob Address: 1911 0A V, b Qc - A"t 1►9-,;f(C ivk'tuA J Permit Number: /O f/d S5- Legal Description � -{- �t�y rl ��1� (/\ 1A -'it�l� rJ0 1 Z _, 2 Parcel# Floor Area o q, t. meq. 't Valuation of Work 000 Proposed Work heated/cooled ` > non-heated/cooled Class of Work(circle one): New (Addition) Alteration Repair Move Demolition pooVspa window/door Use of existing/proposed structare(s) feircle one):. Commercial Reside ' If an existing structure,is a fire sprin der system installed?(Circle one): es NoN Florida Product Approval# For multiple products use product approve orm �f Describe in detail the type of work to be performed: CRS t. j0,A O 4 AC('ADL. Property Owner Information: Name: HAddress: City State rl-Zip'Phone 9 tarp—(L,1 �,- L131-1 E-Mail or Fax#(Optional) Contractor Information: �`_ Company Name: ,1 jl ` C�,, ,� � Qualifying Agent: Address: iN 1^i:, _ L,1 Pc w— City Wlr"i'TL�X,f kV,4 State R_Zip .? Office Phone �; -a 7 . Job Site/Contact Number Q0j -24 Z Z." l b�0 Fax# 4 r f- .3 7_,7-Y_?c State Certification/Registration# Architect Name&Phone# N'1� Engineer's Name&Phone# j' 1 (:.a w . t ► � i ,n�,.n� -�t� ci- Y�: ". 4U Fee Simple Title Holder Name and Address im P, Bonding Company Name and Address rJI N Mortgage Lender Name and Address ;JIN Application is.hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be perfbrmed 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 erzod of six(6)months at any time after work is commenced I understand that separate permits must be secured for Electrical—Work,Plumbing,,Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR P C OVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO O INANQ", CO ULT WITH YOUR LENDER OR AN ATTORNEY BEFO V@T TICE OF COMMENCE 1*C"O.&on ja 11,tot2 tion�oc 196td9 I herebycertify that 1 have read and examined this application and know the same to b ! lUltlR9�! rdinances governing this type of ork will be complied with whether specified herein or xrbt'" ireg of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating constY IP'.1 or the erformance of construction. Signature of Owneri; dwwoo, ; Signature of Contractor t' ` Print Name J�ACh��. Y� :....1 Print Name / K. l� ; G(Z 2 u _c�s�.n..,..an...._..._ 1................................ COD S � worn to d subscribe bef e e t ZiS 20 Q E HUNGE D per' N ary Pu EE PERMITS tud P b a duo 11,2012 7REQUIREMENTS May 21,2011 ;- Y C DD 798869 „ Soy Fyn�ruurNoo sed 01.26.10 REVIEWED BY: DATE: DO NOT WRITE BELOW- OFFICE USE ONLY Applicable Codes: 2007 Florida Building Code w 2009 evisions Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: Development Size Habitable Space S 7 G� T. ,r, Non-Habitable Impervious area Radon/DCA/DBPR$ MisceIla.neous Information Occupancy Group — 3 Type of Construction Number of Stories Zoning District �U Max, Occupancy Load Fire Sprinklers required Al A Flood Zone X Conditions/Comments: MAP SHOWING BOUNDARY SURVEY OF LOT s BLOCK ^"N AS SHO*IV ON MAP OF SE[VA A/ ARIAM UN/T ,UO. 12-A AS RECORDED IN PLAT BOOK 3(- PAGES 44 /OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA rL CERTIFIED FOR: aTNL.�-6-�✓ In. In d A/11, 110 / V°` I 0 9 I � � � c v fy o �i.� tDK f on e ti �. o prod oma/NL, p0 (v f, / SHED Ilk l x � A,C. CoMprrss oscK rjvo smey FRAME •' •'r� ', DEtK tV � C � '• ,'. 'r ctRPORT C o V vR 45-T v O S 89035' 0'7" W /27. 78' W N v do v 7 DRp�►�ar� A Ca-c�u1S 16<Z /9/ n FLA 4 P&A0 UA/& /z-5 06 kl•O.06 .3630 NOT VALID UNLESS EMBOSSED WITH SEAL OF_ THE UNDERSIGNED. BEARINGS BASED ON R/K/ UNE AS SHOW THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE AS SCALED FROM FLOOD INSURANCE RATE MAP_CW FAR THE CITY OF'4"-441714 P49,,cLORIDA. DATED. Q - /l AND IC CaJ^lU0 AC • r%M i"l=,V nul V Akin nncc kinT /+nMC7777/TC A /Y'071C/'I nnki nC CA1/C Mannion Residence 1911 Oak Circle Atlantic Beach, FL 32233 M uJ � ll AUG 0 �1� BY I. Two (2) Story Single Family Addition II. 2007 Florida Building Code with 2009 Supplements III. Index A. Cover Page—Pages 1 B. Building Permit Application—Pages 1 —2 C. Product Approval Form- Short- Pages I D. Energy Sheets and Calculations—Pages 1 - 10 E. Site Plan/Survey—Pages— 1 F. Architectural Drawings—Pages 1 —6 G. Engineered Drawings—Pages S 1 —S 10 IV. Engineer's Information A. Jeffrey K. Hulsberg,P.E. —Hulsberg Engineering, Inc. 11481 St. Augustine Rd., Suite 202,Jacksonvill,FL 32258 Phone: 904-886-2401 Pax: 904-260-4367 Email:jhulsberg@ bellsouth.net CITY OF ATLANTIC BEACH PRODUCT APPROVAL SPECIFICATION SHEET (short form) As required by Florida Statute 553.842 and Florida Administrative Code 9B-72,please provide the information and approval numbers on the building components listed to be utilized on the construction project for which you are applying. We recommend you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Statewide approved products are listed online @ www.floridabuilding.org Category/Subcategory Manufacturer Product Description FL Approval#(s) EXTERIOR DOORS a. Swinging b. Sliding - ak,s,—, En X .' CW6 dtic, FL-- !a4; S c. Sectional/Roll Up d. Other WINDOWS a. Single/Double Hung C b. Horizontal Slider c. Casement d. Fixed e. Mullion nG C f. Skylights g. Other PANEL WALL a. Siding G P 51 1 b. Soffits c. Storefronts d. Glass Block e. Other ROOFING PRODUCTS a. Asphalt Shingles c b. Non-Structural Metal c. Roofing Tiles d. Single Ply Roof e. Other STRUCTURAL COMPONENTS a. Wood Connectors } Lk b. Wood Anchors u r� c. Truss Plates d. Insulation Forms e. Lintels f. Others NEW EXTERIOR ENVELOPE I understand that,at the time of inspection,the following information must be available to the inspector on the jobsite: 1. A copy of the product approval. 2. The list of performance characteristics which the product was tested and certified to comply with. 3. A cop f the applicable manufacturers'installation requirements. Further,l /der tand a prod ct may have to be removed if approval cannot be demonstrated during inspection. L'1 o Applic nt Signature Date H:/Product approval spec sheet short form.xlsx i FORM 1100A-08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: Seabrook-Mannion Addition Builder Name: Cobblestone Custom Homes Street: 1911 Oak Circle Permit Office: Duval City,State,Zip: Atlantic Beach , FL, Permit Number: Owner: Jurisdiction: 261300 Design Location: FL,Jacksonville 1. New construction or existing New(From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Single-family a. Frame-Wood, Exterior R=13.0 1296.00 ft2 b. N/A R= ft2 3. Number of units, if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 1 d.N/A R= ft2 5. Is this a worst case? No 10.Ceiling Types Insulation Area 6. Conditioned floor area(ft2) 1152 a.Under Attic(Vented) R=30.0 1152.00 ft2 b.N/A R= ft2 7. Windows Description Area c. N/A R= ft2 a. U-Factor: Dbl, U=0.55 131.04 ft2 SHGC: SHGC=0.60 11. Ducts b. U-Factor: N/A ft2 a. Sup: Interior Ret: Interior AH: Interior Sup. R=6,230.4 ft2 SHGC: 12.Cooling systems c. U-Factor: N/A ft2 a.Central Unit Cap:23.4 kBtu/hr SHGC: SEER: 13 d. U-Factor: N/A ft2 13. Heating systems SHGC: a. Electric Heat Pump Cap:22.2 kBtu/hr e. U-Factor. N/A ft2 HSPF:7.7 SHGC: 14.Hot water systems 8. Floor Types Insulation Area a. Electric Cap:50 gallons a.Slab-On-Grade Edge Insulation R=0.0 1152.00 ft2 EF: Ions b.N/A R= ft2 b. Conservation features 0.92 c. N/A R= ft2 None 15.Credits Pstat Glass/Floor Area: 0.114 Total As-Built Modified Loads: 23.18 PASS Total Baseline Loads: 27.85 I hereby certify that the plans and specifications covered by Review of the plans andOE S �rB this calculation are in compliance with the Florida Energy specifications covered by this ,S+ � r¢ Ofi Cod e.+ a ��, calculation indicates compliance �i�i,, _1z �n with the Florida Energy Code. !fill PREPARftBY � _ _ ____ Before construction is completed r m. DATE: __x � __-___ ____ ___ this building will be inspected for a compliance with Section 553.908 I herebycertify that this buildi Florida Statutes. fy g, as desig ed, is in compliance �, �► with the Florida Energyru . G'©DWE 1�� - OWNER/AGEN ___ �_ _ BUILDING O F tIA��DATE: __-_ DATE: t& DATE 6/12/2010 8:37 AM EnergyGauge®USA-FlaRes2008 Page 1 of 5 PROJECT Title: Seabrook-Mannion Addition Bedrooms: 1 Adress Type: Street Address Building Type: FLAsBuilt Conditioned Area: 1152 Lot# Owner: Total Stories: 2 SubDivision: #of Units: 1 Worst Case: No PlatBook: Builder Name: Cobblestone Custom Homes Rotate Angle: 0 Street: 1911 Oak Clrcle Permit Office: Duval Cross Ventilation: County: Duval Jurisdiction: 261300 Whole House Fan: City,State,Zip: Atlantic Beach, Family Type: Single-family FL, New/Existing: New(From Plans) Comment: CLIMATE / IECC Design Temp Int Design Temp Heating Design Daily Temp �/ Design Location TMY Site Zone 97.5% 2.5% Winter Summer Degree Days Moisture Range FL,Jacksonville FL—JACKSONVILLE—INT 2 32 93 75 70 1281 49 Medium FLOORS # Floor Type Perimeter _ R-Value_ _ Area Tile_Wood_ Carpet 1 Slab-On-Grade Edge Insulatio 72 ft 0 1152 ft2 0 0 1 ROOF / Roof Gable Roof Solar Deck �/ # Type Materials Area Area Color Absor. Tested Insul. Pitch 1 Hip Composition shingles 1248 ft2 0 ft2 Medium 0.96 No 0 22.6 deg ATTIC V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC 1 Full attic Vented 300 1152 ft2 N N CEILING # Ceiling Type R-Value Area Framing Frac Truss Type 1 Under Attic(Vented) 30 1152 ft2 0.11 Wood WALLS Cavity Sheathing Framing Solar # Ornt Adjacent To Wall Type R-Value Area R-Value Fraction Absor. 1 W Exterior Frame-Wood 13 216 ft2 0.23 0.75 2 N Exterior Frame-Wood 13 216 ft2 0.23 0.75 3 E Exterior Frame-Wood 13 216 ft2 0.23 0.75 4 W Exterior Frame-Wood 13 216 ft2 0.23 0.75 5 N Exterior Frame-Wood 13 216 ft2 0.23 0.75 6 E Exterior Frame-Wood 13 216 ft2 0.23 0.75 8/12/2010 8:37 AM EnergyGauge®USA-FlaRes2008 Page 2 of 5 WINDOWS Orientation shown is the entered,asBuilt orientation. Overhang V # Ornt Frame Panes NFRC U-Factor SHGC Storms Area Depth Separation Int Shade Screening 1 W Metal Double(Tinted) Yes 0.55 0.6 N 40.02000 1 ft 0.33 i 0 ft 0 in HERS 2006 None 2 N Metal Double(Tinted) Yes 0.55 0.6 N 40.02000 1 ft 0.33 i 0 ft 0 in HERS 2006 None 3 E Metal Double(Tinted) Yes 0.55 0.6 N 6 ft2 1 ft 0.33 i 0 ft 0 in HERS 2006 None 4 E Metal Double(Tinted) Yes 0.55 0.6 N 15 ft2 1 ft0.33 i 0 ft0 in HERS 2006 None 5 N Metal Double(Tinted) Yes 0.55 0.6 N 30 ft2 1 ft 0.33 i 0 ft 0 in HERS 2006 None INFILTRATION &VENTING / ----Forced Ventilation---- Run Time Fan v Method SLA CFM 50 ACH 50 ELA EgLA Supply CFM Exhaust CFM Fraction Watts Default 0.00036 1088 6.30 59.7 112.3 0 cfm 0 cfm 0 0 COOLING SYSTEM # System Type Subtype Efficiency Capacity Air Flow SHR Ducts 1 Central Unit Split SEER: 13 23.4 kBtu/hr 702 cfm 0.75 sys#0 HEATING SYSTEM # System Type Subtype Efficiency Capacity Ducts _ 1 Electric Heat Pump None HSPF:7.7 22.2 kBtu/hr sys#0 HOT WATER SYSTEM # System Type EF Cap Use SetPnt Conservation 1 Electric 0.92 50 gal 40 gal 120 deg None SOLAR HOT WATER SYSTEM FSEC Collector Storage Cert # Company Name System Model# Collector Model# Area Volume FEF None None ft2 DUCTS ----Supply---- ----Return---- Air Percent # Location R-Value Area Location Area Leakage Type Handler CFM 25 Leakage ON RLF 1 Interior 6 230.4 ft Interior 57.6 ft2 Default Leakage Interior (Default) (Default)% 8/12/2010 8:37 AM EnergyGauge®USA-FlaRes2008 Page 3 of 5 TEMPERATURES Programable Thermostat:Y Ceiling Fans: Cooling [X]Jan jXXj Feb IXI Mar IXXI AApr IXI Ma jXXj Jun JXJ Jul X]Au [X]]Se [X]]Oct IXXJ Nov [X Dec Heatin [X]Jan Feb XMar Apr XMay Jun XJu! f X]AuX]Sep f X]Oct Nov [X�Dec Ventin [X Jan X Feb X Mar X Apr X May X Jun X Jul X Aug [X Se [X Oct X Nov [X Dec Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 Cooling(WD) AM 78 78 78 78 78 78 78 78 80 80 80 80 PM 80 80 78 78 78 78 78 78 78 78 78 78 Cooling(WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Heating(WD) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 Heating(WEH) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 8/12/2010 8:37 AM EnergyGauge®USA-FlaRes2008 Page 4 of 5 FORM 1100A-08 Code Compliance Cheklist Residential Whole Building Performance Method A - Details ADDRESS: 1911 Oak Clrcle PERMIT#: Atlantic Beach, FL, INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows&Doors N1106.AB.1.1 1 Maximum: .3 cfm/sg ft.window area; .5 cfm/sg_ft_door area. Exterior&Adjacent Walls N1106.AB.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors& frames, surrounding wall;foundation&wall sole or sill plate;joints between exterior wall panels at corners; utility penetrations; between wall panels&top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to,the foundation to the -- - — top_plate. Floors N1106.AB.1.2.2 Penetrations/openings> 1/8"sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is-i nstalled that is sealed to the perimeter,penetrations and seams. Ceilings N1106.AB.1.2.3 Between walls&ceilings; penetrations of ceiling plane to top floor; around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and - — -- - - - ---- seams. Recessed Lighting Fixtures N1106.AB.1.2.4 Type IC rated with no penetrations, sealed;or Type IC or non-IC rated, installed inside a sealed box with 1/2"clearance&3"from insulation; or Type IC with <2.0 cfm from conditioned space, tested. Multi-stor�r Houses N1106.AB.1.2.5 Air barrier on _perimeter of floor cavity between floors. _ Additional Infiltration reqts N1106.AB.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters N1112.AB.3 Comply with efficiency requirements in Table N112.ABC.3. Switch or clearly marked circuit breaker(electric)or cutoff(gas) must I provided. External or built-in heat trap required. Swimming Pools&Spas N1112.AB.2.3 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a pump timer. Gas spa&pool heaters must have a minimum thermal efficiency of 78%. Heat pump_ool heaters shall have a minimum COP of 4.0. Shower heads N1112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems N1110.AB All ducts,fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed in accordance with the criteria of Section N1110.AB. Ducts in unconditioned attics: R-6 min. insulation. HVAC Controls N1107.AB.2 Separate readily accessible manual or automatic thermoLboth - ----- each system_ _-- -- - Insulation N1104.AB.1 Ceilings-Min. R-19. Common walls-frame R-11 or CBS R N1102.6.1.1 sides. Common ceiling&floors R-11. 8/12/2010 8:37 AM EnergyGauge®USA-FlaRes2008 Page 5 of 5 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 83 The lower the EnergyPerformance Index, the more efficient the home. 1911 Oak Clrcle, Atlantic Beach, FL, 1, New construction or existing New(From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Single-family a. Frame-Wood, Exterior R=13.0 1296.00 ft2 b.N/A R= ft2 3. Number of units,if multiple family 1 c. N/A R= ft2 4. Number of Bedrooms 1 d. N/A R= ft2 5. Is this a worst case? No 10.Ceiling Types Insulation Area 6. Conditioned floor area(ft2) 1152 a. Under Attic(Vented) R=30.0 1152.00 ft2 b. N/A R= ft2 7. Windows" Description Area c.N/A R= ft2 a. U-Factor: Dbl, U=0.55 131.04 ft2 SHGC: SHGC=0.60 11. Ducts b. U-Factor: N/A ft2 a. Sup:Interior Ret: Interior AH: Interior Sup. R=6,230.4 ft2 SHGC: 12.Cooling systems c. U-Factor: N/A ft2 a. Central Unit Cap:23.4 kBtu/hr SHGC: SEER: 13 d. U-Factor: N/A ft2 13. Heating systems SHGC: a. Electric Heat Pump Cap:22.2 kBtu/hr e. U-Factor: N/A f12 HSPF:7.7 SHGC: 14. Hot water systems 8. Floor Types Insulation Area a. Electric Cap:50 gallons a.Slab-On-Grade Edge Insulation R=0.0 1152.00 ft2 EF: Ions b. N/A R= ft2 b. Conservation features 0.92 c.N/A R= ft2 None 15.Credits Pstat I certify that this home has complied with the Florida Energy Efficiency Code for Building �.tuEsT� Construction through the above energy saving features which will be installed (or exceeded) O = _ O in this home before finalinspe ion. Otherwise, a new EPL Display Card will be completed t ar based on installed Code o iant fektpreso Builder Signature: Date: Zv Address of New-Ho rrre: g(( OP I< CC�ec.(e City/FL Zip: �4r��&Ac4 h4brf,JAJ —_ F�t"- 31$33 wig *Note: *Note: The home's estimated Energy Performance Index is only available through the EnergyGauge USA- FlaRes2008 computer program. This is not a Building Energy Rating. If your Index is below 100, your home may qualify for incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at (321)638-1492 or see the Energy Gauge web site at energygauge.com for information and a list of certified Raters. For information about Florida's Energy Efficiency Code for Building Construction, contact the Department of Community Affairs at(850)487-1824. **Label required by Section 13-104.4.5 of the Florida Building Code, Building, or Section 82.1.1 of Appendix G of the Florida Building Code, Residential, if not DEFAULT. EnergyGaugeO USA-FlaRes2008 Residential System Sizing Calculation Summary Project Title: Code Only 1911 Oak Circle Seabrook-Mannion Addition Professional Version Atlantic Beach, FL Climate: North Location for weather data: Jacksonville - Defaults: Latitude(30) Temp Range(M) Humidit data: Interior RH 50% Outdoor wet bulb 77 Humidity difference 4 r. Winter design temperature 32 F Summer design temperature 94 F Winter setpoint 70 F Summer setpoint 75 F Winter tem erature difference 38 F Summer temperature difference 19 F Total heating load calculation 20543 Btuh I Total cooling load calculation 23586 Btuh Submitted heating capacity 24000 Btuh Submitted cooling capacity 24000 Btuh Submitted as% of calculated 116.8 Submitted as% of calculated 101.8 % WINTER CALCULATIONS Winter Heating Load for 1152 ft Load comDonent Load om:s(5%) Window total 131 sqft 3617 Btuh Wall total 1165 sqft 3495 Btuh C61itp6(4%) Door total 0 sqft 0 Btuh Ceiling total 576 sqft 749 Btuh Floor total 72 ft 2218 Btuh WaWlam) Infiltration 227 cfm 9487 Btuh Subtotal 19565 Btuh Duct loss 978 Btuh Fw«a(+,%) TOTAL HEAT LOSS 1 20543 Btuh SUMMER CALCULATIONS Summer Coolie Load for 1152 sqft Load component Load Window total 131 sqft 3857 Btuh L*Aart q2%) Wail total 1165 sqft 2120 Btuh VWulows(18%) Door total 0 sqft 0 Btuh Ceiling total 576 sqft 841 Btuh Latert m 11424%) `°'ngK4%) Floor total 0 Btuh �9%) Infiltration 242 cfm 5065 Btuh Internal gain 1800 Btuh Subtotal(sensible) 13683 Btuh Duct gain 1368 Btuh ,d,o,k,(s%) IrA.(21%) Total sensible gain 15052 Btuh � � Latent gain(infiltration) 8075 Btuh Latent gain(intemal) 460 Btuh EnergyGauge®S ;z Total latent gain 8535 Btuh PREPA B : TOTAL HEAT GAIN 23586 Btuh DATE: �l System Sizing Calculations - Summer Residential Load - Component Details Project Title: Code Only 1911 Oak Circle Seabrook-Mannion Addition Professional Version Atlantic Beach, FL Climate: North Reference City: Jacksonville (Defaults) Summer Temperature Difference: 19.0 F Type Overhang Window Area(sgft) HTM Load Window Panes/SHGC/U/InSh/ExSh Omt Len Hat Gross Shaded Unshaded Shaded Unshaded 1 2,Clear,DEF,B,N W 1.02 16.0 40.0 0.0 40.0 15 46 1841 Btuh 2 2,Clear,DEF,B,N N 1.02 16.0 40.0 0.0 40.0 15 15 600 Btuh 3 2,Clear,DEF,B,N E 1.02 15 6.0 0.0 6.0 15 46 276 Btuh 4 2,Clear,DEF,B,N E 1.02 15 15.0 0.0 15.0 15 46 690 Btuh 5 2,Clear,DEF,B,N N 1.02 5.04 30.0 0.0 30.0 15 15 450 Btuh Window Total 131 3857 Btuh Walls Type R-Value Area HTM Load 1 Frame-Exterior 13.0 1165.0 1.8 2120 Btuh Wall Total 1165.0 2120 Btuh Door Total 0.0 0 Btuh Ceilings Type/Color R-Value Area HTM Load 1 Under Attic/Dark 30.0 576.0 1.5 841 Btuh Ceiling Total 576.0 841 Btuh Floors Type R-Value Size HTM Load 1 Slab-On-Grade Edge Insulation 0.0 72.0 ft(p) 0.0 0 Btuh Floor Total 72.0 0 Btuh Infiltration Type ACH Volume CFM= Load Natural 0.35 11520 67.3 1407 Btuh Mechanical 175 3658 Btuh Infiltration Total 2 5 Btuh Internal Occupants Btuh/occupant Appliance Load in 2 X 300 + 1200 1800 Btuh Subtotal 13683 Btuh Duct gain(using duct multiplier of 0.10) 1368 Btuh Total sensible gain 15052 Btuh Totals for Cooling Latent infiltration gain (for 49 gr. humidity difference) 8075 Btuh Latent occupant gain (2 people @ 230 Btuh per person) 460 Stuh Latent other gain 0 Btuh TOTAL GAIN 23586 Btuh Key. Window types(SHGC-Shading coefficient of glass as SHGC numerical value or as clear or tint) (U-Window U-Factor or'DEF'for default) (InSh-Interior shading device:none(N),Blinds/Dapedes(B)or Roller Shades(R)) (ExSh-Exterior shading device:none(N)or numerical value) (Omt-compass orientation) System Sizing Calculations - Winter Residential Load - Component Details Project Title: Code Only 1911 Oak Circle Seabrook-Mannion Addition Professional Version Atlantic Beach, FL Climate: North Reference City: Jacksonville (Defaults) Winter Temperature Difference: 38.0 F Window Panes/SHGC/Frame/U Orientation Area X HTM= Load 1 2, Clear, Metal, DEF W 40.0 27.6 1105 Btuh 2 2, Clear, Metal, DEF N 40.0 27.6 1105 Btuh 3 2, Clear, Metal, DEF E 6.0 27.6 166 Btuh 4 2, Clear, Metal, DEF E 15.0 27.6 414 Btuh 5 2, Clear, Metal, DEF N 30.0 27.6 828 Btuh Window Total 131 3617 Btuh Walls Type R-Value Area X HTM= Load 1 Frame- Exterior 13.0 1165 3.0 3495 Btuh Wall Total 1165 3495 Btuh Ceilings Type R-Value Area X HTM= Load 1 Under Attic 30.0 576 1.3 749 Btuh Ceilina Total 576 749Btuh Floors Type R-Value Size X HTM= Load 1 Slab-On-Grade Edge Insul 0 72.0 ft(p) 30.8 2218 Btuh Floor Total 72 2218 Btuh Infiltration Type ACH X Building Volume CFM= Load Natural 0.40 11520(sgft) 77 3217 Btuh Mechanical 150 6270 Btuh Infiltration Total 227 9487 Btuh Subtotal 19565 Btuh Totals for Heating Duct Loss(using duct multiplier of 0.05) 978 Btuh Total Btuh Loss 20543 Btuh Key:Window types(SHGC-Shading coefficient of glass as SHGC numerical value or as clear or tint) (Frame types-metal,wood or insulated metal) (U-Window U-Factor or'DEF'for default) (MTM-Manual.)Heat Transfer Multiplier) Key:Floor size(perimeter(p)for slab-on-grade or area for all other floor types) Lennox 13HPX Air handler Model Sensible High Heating Capacity Model Number Number Cooling Capacity BTUH Seer Cooling Latent BTUH HSPF 13HPX-018-230 CBX26UH-018 18000 13.5 13,680 4,320 16900 7.7 13HPX-024-230 CBX26UH-024 23400 13 17,784 5,616 22200 7.7 13HPX-030-230 CBX26UH-030 28800 13.5 21,888 6,912 27800 8 13HPX-036-230 CBX26UH-036 34200 13 25,100 9,100 34200 8 13HPX-042-230 CBX26UH-042 41500 13.5 28,506 12,994 41500 8 13HPX-048-230 CBX26UH-048 48000 13 31,715 16,285 45500 7.7 13HPX-060-230 CBX26UH-060 58500 13 37,100 21,400 56500 7.7 G S+.awr City of Atlantic Beach APPLICATION NUMBER ".�IS P BuildingDepartment 1 (To be assigned by the Building Department) c" w 800 Seminole Road ? Atlantic Beach, Florida 32233-5445 D /O(fS Phone(904)247-5826 • Fax(904)247-5845 ~Llrslvr E-mail: building-dept@coab.us Date routed: �o City web-site: http:!/www.coab.us APPLICATION REVIEW AND TRACKING FORM ��Property Address: 11FIl -��-G�c. De artment review required Yes No Building y' Applicant: Planning 8 Zoning Tree Administrator 600, Project: . Public Works ✓ Public Utilities Public Safety Fire Services ✓ Review fee S Dept Signature <>PC7 ._ Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATIONSTATUS.,,-- Reviewing TUSReviewing Department First Review: roved. ❑Denied. (Circle one.) Comments: l e,::W5 Xfid G BUILDING- s 40AJ-r (!!�NNING&ZONI viewed by: Date: TREE ADMIN. Second Review: pproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 rSy��r City of Atlantic Beach APPLICATION NUMBER Building Department *` f (To be assigned by the Building Department.) Y. .1 800 Seminole Road _.3 / Atlantic Beach, Florida 32233-5445 44 o / 0 � Phone(904)247-5826 - Fax(yi- 247-5845 /O `�ossl!9)r E-mail: building-dept@coab.us - Date routed: �P City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /F// � � De artment review required Yes No Building Applicant: Planning &Zoning Tree Administrator Project: Public Works ✓ Public Utilities Public Safety ✓ Fire Services ✓ Review fee$ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verged B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: DApproved. Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING �� '`• � ��JV Reviewed by: Date: TREE ADMIN. Second Review: ImApproved as revised. ❑Denied. o PUBLIC WORKS Co ments• PUBLIC UTILITIES 0 PUBLIC SAFETY Reviewed by: '-"40 Date:oc !c� FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: __ Date: Revised 05/14109 City of Atlantic Beach y S, Building Department APPLICATION NUMBER v 800 Seminole Road FFDate assigned by the Building Department.) v3 Atlantic Beach, / Florida 32233-5445 w D f Q�S Phone(904)247-5826 • Fax(904)247-5845 �G7� Milt E-mail: building-dept@coab.us 0 jrouted: City web-site: http://www.coab.us is APPLICATION REVIEW AND "kACKING FORM Property Address: /! ��,�, Department review re uired Yes No Building Applicant: Planning &Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services ✓ Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B FloridaDept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: A proved. ❑Denied. (Circle one.) Comments: It/e�5 X/0 C. BUILDING Me S A J1?" PLANNING 8 ZONING Reviewed by: 5R2 TREE ADMIN. Second Review: []Approved as revised. ❑Denied. P WOR Comments: 11 2 l0 PU LIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14109 lr�r, City of Atlantic Beach APPLICATION NUMBER BuildingDepartment p (To be assigned by the Building Department.) 800 Seminole Road l Atlantic Beach, Florida 32233-5445 0 / 0�S Phone(904)247-5826 • Fax(904)247-5845 tt E-mail: building-dept@coab.us Date routed: /o City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM ��Property Address: Department review required Yes No Building Applicant: Planning &Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Nlr Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. ❑Denied. (Circle one.) Comments: �/C�/S � Itlo c- BUILDING Amenzs u.�� (•1j,�lT /�� " G�7S. PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 Display AttributeDAta Page 1 of 1 Parcels RE =1m Name MWNNION KATHLEEN M Address OAK CIa ATLANTIC BEACH =3 Transaction Price $100 Acres 0.341 800k-Rage OdQ130IaN Map Pand- 0400 35-64 09-2S-209 Legal Descriptions SELVA MARINA UNIT 12-A LATS Nood Zone'= Not In FIooG Zont LaindUoe Zoning Ae eSite Not in AohS#t Zoe SEDC Zone Not In Entwprit*tont Evacuadon Zoete CAT CPAC WA lPlarx,%inp Dist: Noise Zone NA` APZ NA' Civ HH Zonae NA- M HN Zane Malrport Horizontal Sudaot Elow 1W.300') Civ SdumA Rog NA Ml School Roti NA Lighting ftA NA Civ Notice Zone NA W Notice tone Mayport b yhteW*crhvad http-.//maps.coj.net/WEBSITE/DuvalMaps/displayAttributeData.asp 8/31/2010 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 10/08/10 Parcel Number . . . . . - - Property Address . . . 5829 FLEET LANDING BLVD ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . Contractor . . . . . . R. P.C. GENERAL CONTRACTORS 904 241-4416 Application number 08-00001488 000 000 Description of Work SINGLE FAMILY RESIDENCE Construction type . . . TYPE 5-A Occupancy type . . . . RESIDENTIAL Flood Zone . . . . . . ZONE X Special conditions . . 2007 Florida Building Code with 2009 Revisions t�-- Approved . . . . . . Buildi g fficial VOID UNLESS SIGNED BY BUILDING OFFICIAL CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: Contractor Name: Permit #: c� r Property Address: / Legal Description: Improvements to the above-described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: Single-Family Residence ❑ Commercial ❑ Other: Lowest Floor Elevation: Required As Built FFE The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works 9—/� q / io ✓-� � Public Utilities 9 ..�,� `n Building /G Planning 9 A Tree Mitigation Satisfied Final Survey with FFE Yes No All Re-Inspect Fees Paid Yes No Termite Treatment V Yes No White, Debbie From: Nodine, Phil Sent: Thursday, September 16, 2010 11:51 AM To: White, Debbie Subject: RE: CERTIFICATE OF OCCUPANCY REQUESTED-5829 FLEET LANDING BLVD- pERMIT 08-1488 OK for Public Works From: White, Debbie Sent:Thursday, September 16, 2010 11:17 AM To: Hall, Erika; Doerr, Sonya; Kaluzniak, Donna; Walker, Chris; Carper, Rick; Nodine, Phil Cc: Graham Shirley Subject: CERTIFICATE OF OCCUPANCY REQUESTED - 5829 FLEET LANDING BLVD - pERMIT 08-1488 RPC HAS REQUESTED A CERTIFICATE OF OCCUPANCY FOR 5829 FLEET LANDING BLVD. . PLEASE LET ME KNOW RESULTS OF YOUR INSPECTION....THANKS, DEBBIE Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247-5826 (904) 247-5845 FAX 1 White, Debbie From: Hall, Erika Sent: Thursday, September 16, 2010 11:31 AM To: White, Debbie Subject: RE: CERTIFICATE OF OCCUPANCY REQUESTED-5829 FLEET LANDING BLVD- pERMIT 08-1488 1 don't have anything for Fleet Landing. As part of the Interlocal Agreement,AB got the Building Permits portion of the project and COJ got the trees, or so I was told...happened before I arrived. Thanks, Erika From: White, Debbie Sent:Thursday, September 16, 2010 11:17 AM To: Hall, Erika; Doerr, Sonya; Kaluzniak, Donna; Walker, Chris; Carper, Rick; Nodine, Phil Cc: Graham Shirley Subject: CERTIFICATE OF OCCUPANCY REQUESTED - 5829 FLEET LANDING BLVD - pERMIT 08-1488 RPC HAS REQUESTED A CERTIFICATE OF OCCUPANCY FOR 5829 FLEET LANDING BLVD. . PLEASE LET ME KNOW RESULTS OF YOUR INSPECTION....THANKS, DEBBIE Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247-5826 (904) 247-5845 FAX i White, Debbie From: Walker, Chris Sent: Thursday, September 16, 2010 11:21 AM To: White, Debbie Subject: RE: CERTIFICATE OF OCCUPANCY REQUESTED-5829 FLEET LANDING BLVD- pERMIT 08-1488 This subdivision is private. From: White, Debbie Sent: Thursday, September 16, 2010 11:17 AM To: Hall, Erika; Doerr, Sonya; Kaluzniak, Donna; Walker, Chris; Carper, Rick; Nodine, Phil Cc: Graham Shirley Subject: CERTIFICATE OF OCCUPANCY REQUESTED - 5829 FLEET LANDING BLVD - pERMIT 08-1488 RPC HAS REQUESTED A CERTIFICATE OF OCCUPANCY FOR 5829 FLEET LANDING BLVD. . PLEASE LET ME KNOW RESULTS OF YOUR INSPECTION....THANKS, DEBBIE Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247-5826 (904) 247-5845 FAX 1 BUI�pi �p R , 49rNfEN� 4,0 Or 1 The T C (~ foiow' 4024% 01 e oeaatioS o Q;P'�APl* �/0,� e the �SorT eF � o ob co",FSC qTF t` c' rzfttA. h S- ` c- 7 .ra � r � t Aer 4�t FjN A Wog on?eyf4t S F to for cot F Q'nstaat/o h peoo-" r oy cer F ee fter n °tor 9, /01 oa4ot O baiy h 8th Se t e� C Np 8 o4rs?8a e't°a s°r as has rth ore oOb traato CyARC', p0a�re�for�tactt°rrec ejoA,e°there pr, eyi, F to nde oinshe�g4 oas tlfj�e °jateAy , 0.- , r Dop thrapect, tIWi, hd�e to rja'hart o other yj `gh rd pf f�eAt g`O aAAr��ttj�ee 1� 4 lFc� the �o�4,Q y PREPARED 9/16/10, 16:28:13 INSPECTION TICKET PAGE 6 CITY OF ATLANTIC BEACH INSPECTOR: MIKE JONES DATE 9/17/10 ----------------------------------------------------------------------------------------------- ADDRESS . : 5829 FLEET LANDING BLVD SUBDIV: CONTRACTOR PENINSULAR MECHANICAL PHONE (727) 573-4822 OWNER PHONE PARCEL - - - APPL NUMBER: OB-00001726 MECHANICAL HVAC ONLY --------------------------------------------------------------------------------------------- PERMIT: MECH 00 MECHANICAL HVAC PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------—-------------------------------------------------------------------------------------- 32 Ol 1/21/09 MJ MECHANICAL A/C ROUGH-IN TIME: 17:00 1/21/09 AP RV mech rough Mike 352-258-4867 34 O1 9/17/10 MJ MECHANICAL A/C FINAL -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 9/16/10, 16:28:13 INSPECTION TICKET PAGE 5 CITY OF ATLANTIC BEACH INSPECTOR: MIKE JONES DATE 9/17/10 ---------------------------------------------------------------------------------------------- ADDRESS . : 5829 FLEET LANDING BLVD SUBDIV; CONTRACTOR ; SCOTT PLUMBING COMPANY, INC. PHONE (904) 266-6309 OWNER PHONE PARCEL ' APPL NUMBER: 08-00001551 PLUMBING ONLY --------------------------------------------------------------------------------------------- PSRMIT: PL13G 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------------------------------------—------ 42 01 11/19/08 MJ PLUMBING ROUGH-IN (TOP-OUT) TIME: 17:00 11/19/08 AP CHRISTY 268 6309 Under slab. 42 02 1/07/09 MJ PLUMBING ROUGH-IN (TOP-OUT) TIME: 17:00 1/07/09 AP ALLEN 219 4160 45 01 9/17/10 MJ PLUMBING FINAL -------------------------------------- COMMENTS .AND NOTES -------------------------------------- R PREPARED 9/16/10, 16:28:13 INSPECTION TICKET PAGE 4. CITY OF ATLANTIC BEACH INSPECTOR: MIKE JONES DATE 9/17/10 ---------------------------------------------------------------------------------------- ADDRESS . : 5829 FLEET LANDING BLVD SUBDIV: CONTRACTOR R.P.C. GENERAL CONTRACTORS PHONE (904) 241-4416 OWNER PHONE : PARCEL - - - APPL NUMBER: 08-00001488 SINGLE FAMILY RESIDENCE ------------------------------------------------------------------------------------------------ PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 10 01 11/20/08 MJ BD FOOTING TIME: 13:00 11/20/08 AP footing / slab PM request Mike w/RPC 59 01 12/04/08 MJ BD FILL CELL/TIE BEAM TIME: 17:00 12/04/08 AP MIKE RPC PM APPT 17 01 12/11/08 MJ BD ROOF SHEATHING TIME: 17:00 12/11/08 AP roof sheathing Mike RPC 98 01 12/19/08 MJ BD WIND TIE-DOWN/CONNECTOR TIME: 17:00 12/19/08 AP tie down inspection Mike RPC 18 01 12/31/08 MJ BD ROOF IN PROGRESS/DRY-IN TIME: 17:00 12/31/08 AP roof dry in Mike RPC 98 02 5/19/09 MJ BD WIND TIE-DOWN/CONNECTOR TIME: 17:00 5/19/09 AP AND WINDOW SCREW OFF Also window inspect. 61 01 8/12/10 MJ BD DRYWALL TIME: 17:00 8/12/10 AP AM APPT PUCO 01 9/17/10 DK PU CERTIFICATE OF OCCUPANCY XXXXXXXXXX XXXXXXXX PWCO 01 9/17/10 RC PW CERTIFICATE OF OCCUPANCY XXXXXXXXXX XXXXXX 97 01 9/17/10 MJ BD CERTIFICATE OF OCCUPANCY NEEDS FINAL INSPECTIONS ------------------------------------------------------------------------------------------------ PERMIT: ELEC 00 ELECTRICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------——----------------------—--------------------------—-------------------—-- 22 01 4/22/09 MG ELECTRICAL ROUGH-IN/COVER UP TIME: 17:00 4/22/09 AP RPC 24 01 8/25/10 MJ ELECTRICAL EARLY POWER TIME: 17:00 8/25/10 AP PM INSPECTION REQUESTED 23 01 9/17/10 MJ ELECTRICAL FINAL -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 9/16/10, 16:28:13 INSPECTION TICKET PAGE 12 CITY OF ATLANTIC BEACH INSPECTOR: RICK CARPER DATE 9/17/10 --------------------—--------------------------------------------——--------------------—- ADDRESS . : 5829 FLEET LANDING BLVD SUBDIV: CONTRACTOR R.P-C. GENERAL CONTRACTORS PHONE (904) 241-4416 OWNER PHONE PARCEL - - APPL NUMBER: 08-00001488 SINGLE FAMILY RESIDENCE ------------------------------------------------------------------------------------------------ PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 10 01 11/20/08 MJ BD FOOTING TIME: 13:00 11/20/08 AP footing / slab PM request Mike w/RPC 59 01 12/04/08 MJ BD FILL CELL/TIE BEAM TIME: 17:00 12/04/08 AP MIKE RPC PM APPT 17 01 12/11/08 MJ BD ROOF SHEATHING TIME: 17:00 12/11/08 AP roof sheathing Mike RPC 98 01 12/19/08 MJ BD WIND TIE-DOWN/CONNECTOR TIME: 17:00 12/19/08 AP tie down inspection Mike RPC 18 01 12/31/08 MJ BD ROOF IN PROGRESS/DRY-IN TIME: 17:00 12/31/08 AP roof dry in Mike RPC 98 02 5/19/09 MJ BD WIND TIE-DOWN/CONNECTOR TIME: 17:00 5/19/09 AP AND WINDOW SCREW OFF Also window inspect. 61 01 8/12/10 MJ BD DRYWALL TIME: 17:00 8/12/10 AP AM APPT PUCO O1 9/17/10 DK PU CERTIFICATE OF OCCUPANCY XXXXXXXXXX XXXXXX X PWCO O1 9/17/10 RC O PW CERTIFICATE OF OCCUPANCY 97 01 9/17/10 MJ BD CERTIFICATE OF OCCUPANCY XXXXXXXXXX XXXXXXXX NEEDS FINAL INSPECTIONS -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 9/20/10, 16:22:57 INSPECTION TICKET PAGE 1 CITY OF ATLANTIC BEACH INSPECTOR: MIKE JONES DATE 9/21/10 ---------------------------------------------------------------------------------------- ADDRESS . : 5829 FLEET LANDING BLVD SUBDIV: CONTRACTOR R.P.C. GENERAL CONTRACTORS PHONE : (904) 241-4416 OWNER PHONE PARCEL - - - APPL NUMBER: 08-00001488 SINGLE FAMILY RESIDENCE ------------------------------------------------------------------------------------------------ PER14IT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------—------------------------------------------------------------------- 10 01 11/20/08 MJ BD FOOTING TIME: 13:00 11/20/08 AP footing / slab PM request Mike w/RPC 59 01 12/04/08 MJ BD FILL CELL/TIE BEAM TIME: 17:00 12/04/08 AP MIKE RPC PM APPT 17 01 12/11/08 MJ BD ROOF SHEATHING TIME: 17:00 12/11/08 AP roof sheathing Mike RPC 98 01 12/19/08 MJ BD WIND TIE-DOWN/CONNECTOR TIME: 17:00 12/19/08 AP tie down inspection Mike RPC 18 01 12/31/08 MJ BD ROOF IN PROGRESS/DRY-IN TIME: 17:00 12/31/08 AP roof dry in Mike RPC 98 02 5/19/09 MJ BD WIND TIE-DOWN/CONNECTOR TIME: 17:00 . 5/19/09 AP AND WINDOW SCREW OFF Also window inspect. 61 01 8/12/10 MJ BD DRYWALL TIME: 17:00 Ir fo c 8/12/10 AP AM APPT 1 y PUCO O1 9/17/10 DK PU CERTIFICATE OF OCCUPANCY 6z-e ifQ917/10 AP PWCO O1 9/17/10 RC PW CERTIFICATE OF OCCUPANCY 9/17/10 AP 97 01 9/17/10 MJ BD CERTIFICATE OF OCCUPANCY 9/17/10 DA NEEDS FINAL INSPECTIONS ! /�• 1 1 Failed electric final. S 1 . • S .� G �.V/j peT` co r OUT 97 02 9/21/10 BD CERTIF AT OF OCCUPANCY T � �t S t Il U f �7 • -------------------------- ------------ I!-VI --------------------------------------- © btdY PERMIT: ELEC 00 ELECTRICAL PERMIT � �, REQUESTED INSP DESCRIPT N TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -----------—----------------------------—---------------------------------------------------- 22 01 4/22/09 MG ELECTRICAL ROUGH-IN/COVER UP TIME: 17:00 4/22/09 AP RPC 24 01 8/25/10 MJ ELECTRICAL EARLY POWER TIME: 17:00 8/25/10 AP PM INSPECTION REQUESTED 23 01 9/17/10 MJ ELECTRICAL FINAL 9/17/10 DA 1, Missing plate cover for wash machine recepticle; 2, Front entry lite not working; 3, Rear patio lites not working. 23 02 9/21/10 MJ ELECTRICAL FINAL -------------------------------------- COMMENTS AND NOTES —----------------------------------- k � s4 4- /0 10 `a 5 ) 1 Y,S\j lolr s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001233 Date 10/08/10 Property Address . . . . . . 322 EAST COAST DR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 fixture ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KNOWLES AMELIA PLUMBING 322 EAST COAST DRIVE 2232 FLORIDA BLVD ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 821-8355 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/06/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 11"L1. MBINO PERMIT APPLICATION CITY OF AlTLAN is BEACH 800 Seminole Rd Atlantic Beacli,FL 32233 Ph(904)247-5826 Fax(904)247-5845 013 ADDRESS: 3 7�— ECtt4 OoA�4�Ir��PERMIT N EW OR REPLACEMENT INSTALLATION- ]Project Value$ Tlrp—roFFi URl`r QTV TYPE O.F'Furr/RE a� Bathtub Septic Tank&Pit Clothes Washer Shower , Dishwasher Shower pan Drinking Fountain Slop Sink Floorbrain Three Compartment Sink Floor Sink 'Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater �I Other Fixtures Water Treating System :E-PIPE: ThyB of FaruRE QTY TYPE OF FaTuRE OTT' Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System 41SCELLAN '+O S; 1 Sewer Replacement ❑Back Flow Preventer O Grease Interceptor (Trap) gallons(Requires 3 sats of�plans) Lawn Sprinkler System-Number of Heads ❑ Well ** SJRWD Well Completion Form. Completed to be submitted to the Building Department for final inspection.** 1 Other ermit bocomcs void if work docs not commence witbin a sic month period or work is snspendtd or abandoned for six months.I hereby certify that Y have read lis application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complicd with whether specified r not The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. 'roperty Owners Name 1L-)CUA, 1—&o t)I'eS Phone Number 'lumbina Company Itiu Office Phone-D' G :o. Address: Q '{� 501 S• Imo, , City C66k State nip 3ZIU, - cense RR1del (1'rirat): 1_��4 'V N=6-0'31 ` l :r��arizec:Sitrr:.cctur�e a,`Lceetzse�of�er �•>; na✓E MICHELLE L.WALDREPoin and subscribed before me this day 4 J � .t_ Commission DD 688140 i ';• Expires June 25.2011 Si filature of Notaryl'ribli��/t_C. 'i,r �,_U_. VQ a fy, MAOY;ro'roy Rin Unmmro 600-365.7019 I0/i0 33kid 99696ZZti06 6E:Z1 0TOZ/80/01 'PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 500 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5526 Fax (904) 247-5545 OB ADDRESS: 312- CQS� 00A54 I) PEIRTMT 9 EW OR REPLACEMENT INSTALLATION: Project Value S T nr,E of FixT URE ®TY TYPE of FixTuRE OTY Bathtub Septic Tank&Pit Clothes Washer Shower 1P. Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System 1_-PIPE: TYPE oFFIxTu E ®TY TYPE oFFLYTURE ®TY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System ✓ 1SCEL LANEOUS: Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of playas) Lawn Sprinkler System-Number of Heads ❑ Well x SJRWD Well Completion Form. Completed fornz to be submitted to the Building Department for final inspection.** Other ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read lis application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified r not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. 'roperty Owners Name L-)CuICc, a_0 J-et Phone Number 5 'lambing Company - Ijaj 0.. l Vim bllb\ Office Phone E"'�3 aJ� F ax 'o. Address: 501 5S` City C State Zile -f-cense Halder 1ojae4 �J b6 I Stale Certificatiotl/Registration o C"iF:zec?7 O ''dense_c-foIder E", , MICHELLE L.WALDREP orn and subscribed before me this ��- day c,�,Commission DD 688740 ,, „ Expires June 25,2011 Si nature of Notary Public �/��.��-�- Bonded Tn%i Trey Fain insurance 800-3854019 tip CITY OF ATLANTIC BEACH s3 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 F Application Number . . . . . 10-00001232 Date 10/08/10 Property Address . . . . . . 265 3RD ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 fixture ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HOWE ATLANTIC COAST PLUMBING CORP. 3653 REGENT BLVD #305 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 249-5381 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/06/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Oct OS 10 12: 03P Susan Parrish 904-246-3673 P- 1 �t�•.,. ,. CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: /C O "/0 FProperty Address: �y� -7 i r--c� �.� •___�._ .____..�...._. Owner. I�/��1/ 0�2�''� _ _ Telephone#: _,�1� ��'•+_�! I Contractor: �� '/t? C��?S 1/&� bl Teicphoue : _. �.Z�dC i CoutrictorAddress: � �✓�� Fxx S' r3C7 ' In owlider'tion of permit given for doing the work as describes in the above sutemcnt,we hereby agree to pentium bald work in! uccord:uxx with the artached plaru and specifications which ure a pan hereof and in w;uordance with the Cite os Atlantic Beach ordinance and sumdards of good pra.Rice listed therein, lnsmllatioa of plumbing and fixnAres must be un accordance with the most recent edition of the:wuthem Standard Plumbing Code. Plumbing Type: if other construction is being done on this building or site. O New list the building permit nwnbc"V D Re-Pipe Number of Fixtures: Bath Tubs Showers Closets _ Shower Pans ��-G°U Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other Fees Permit Truing Fee: $35.00 9 'total Fixtures: �� X$7.00 + S35.00 t a� 800 Seminole Road• Atlantic Beach, Florida 32233.5445 Phone: (904) 2475800 . Fax: (904) 247.5845 • http:llwww.ei.atlantic-beach.fl.us Ay0 CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD =� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �JJi! Application Number . . . . . 09-00000113 Date 3/12/09 Property Address . . . . . . 305 COUNTRY CLUB LN Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 26000 -------------------------------------------- Application desc ADD PORCHES & BLOCK SCREEN WALLS; RE DO RAFTERS --------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GILMORE, JACK D.L. DAVIS CONSTRUCTION CO. 305 COUNTRY CLUB LANE 1903 N. 3RD STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 237-2222 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . ADD 7 RECESS CANS ON PORCH Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/08/09 --------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Roll off container company must be on City approved list and cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t CITY OF ATLANTIC BEACH r, 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000113 Date 3/13/09 Property Address . . . . . . 305 COUNTRY CLUB LN Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 26000 ----------------------------------------------------------------- Application desc ADD PORCHES & BLOCK SCREEN WALLS; RE DO RAFTERS ------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GILMORE, JACK D.L. DAVIS CONSTRUCTION CO. 305 COUNTRY CLUB LANE 1903 N. 3RD STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 237-2222 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 47 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 3400 Expiration Date . . 9/09/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Roll off container company must be on City approved list and cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47 . 00 47 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 47 . 00 47 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. S CITY OF ATLANTIC BEACH I I I I I .'� 9 '•�� 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08- s OFFICE:(904)2475826•FAX NO.:(904)2475845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION, DUVAL COUNTY 1:JOB ADDRESS: 2.VALUATION OF WORK3.W FT.UNDIJt ROOF 305 COUNTRY CLUB LANE Atlantic Beach, FL 32233 $3,400.00 4C LEGAL DESCRIPTION: 5.CLASS OF WORK S.USE OF STRUCTURE: ❑ BUILDING 13 DEMOLITION ❑RESIDENTIAL LOTS_BLOCK 5 SUB DIVISION Serve Marine Unit No 2 VADWD N ❑CONVERTING USE ❑COMMERCIAL 7.DESCRN'T10N OF WORK: 13 ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER TAR&GRAVEL RUM ON 19EW ADDITION ❑REPAIR ❑POOL/SPA ❑YES ❑WA AND TIE INTO EXISTING. ❑MOVE ❑OTHER ❑NO CONTPACTOk. X151YWY f:ENOWER. 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: JOHN AND AMY GILMORE BURGER ROOFING CO 16.NAME: 24.LICENSEE NAME: GARY BURGER 10.ADDRESS: STATE OF FLORIDA LICENSE NO.: CCGO32514 25.STATE OF FLORIDA LICENSE NO.: 305 COUNTRY CLUB LANE 18.ADDRESS: 26.ADDRESS: ATLANTIC BEACH,FL 32233 134-1 ERNEST ST JACKSONVILLE,FL 32204 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 904-249-3894 904-355-2756 904-358-0733 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 904-237-9664 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: BURGERROOFING BELLSOUTH.NET FEE$111OW TITLE HOLDER: 8F 0TW THW 0V"" SMING COMPAW., AMTQAGE t.€NM: 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Wells,Fumaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNS AGENT CQNTRACTOR (M ,Poww of A~or,009my Let*Require.* fhra11119r Only) Signed: 4Z 1��n` Date: �� Signed: L Date. (5� 1 , Qq Before me this day of 1 Y IUhc 1k 20 in the county of Before thi S- day of ,200yin the county of Duv I, of Florida,has, nail appeared Dt�?arqp)v to of Florida,ha p personally appeared T, heriy himself/herself and affirms that all statements and declarations are herin by himse /herself an rrns that all statements and declarations are true d accurate \\`` true and accurate. ff'',, Notary Pub' State of Co of Ou V Notary Publ' at large, to of n o lel Person ly Personal! y. °s�•p� ❑Produ Id it ❑Produced Itl¢nI N 11 D 4 Nota Si a ro�/:��;8�� R.MEREDITH Notary Notary Signal JX 4 2009 Benita, EXPIRES:July 14,2009 �rEOF�7d`ot Banded Thm Budget Notary Services COAB FORM BLDG01:REVISED:3/11!2009 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 oil Application Number . . . . . 09-00000113 Date 2/03/09 Property Address . . . . . . 305 COUNTRY CLUB LN Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 26000 ---------------------------------------------------------------------------- Application desc ADD PORCHES & BLOCK SCREEN WALLS; RE DO RAFTERS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GILMORE, JACK D.L. DAVIS CONSTRUCTION CO. 305 COUNTRY CLUB LANE 1903 N. 3RD STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 237-2222 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 160 . 00 Plan Check Fee 80 . 00 Issue Date . . . . Valuation . . . . 26000 Expiration Date . . 8/02/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Roll off container company must be on City approved list and cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ST CONSTRUCTION SURCHARGE 1 . 23 AB CONSTRUCTION SURCHARGE . 13 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 160 . 00 160 . 00 . 00 . 00 Plan Check Total 80 . 00 80 . 00 . 00 . 00 Other Fee Total 1 . 36 1 . 36 . 00 . 00 Grand Total 241 . 36 241 . 36 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 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 qWed in this NOTICEF COMMENCEMENT. Legal Description of property being improved:-1S SP�u A j!0\4 r-l-NA, to r 1 t f" :ttZ L Address of property being improved: 305' CC—L, L a Q z, General description of improvements: �4&--rn-t t'z-L-k,S c w..,t,, ► c.tc Sc- r 2.ej Address: 7c";- Z,;e-,:r- YS A7e— Owner's interest in site of the improvement: ; Fee Simple Titleholder(if other than owner): Name: Con.tractor. '` - _i� -1,j Address: l3Ll i �vL. i 3, zl Tele hone No.: 0124 2 ` �-2 Z Z Fax No: 7U q, Zy e ` o j 6 3 Smty(ifany) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No Nance of person within the State of Florida, other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: , Telephone No: Fax No.- in o: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)ft Florida Statues. (Fill in.at Owner's option) Nam: Address: Telephone 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 ONLY OWNER vL� Well �ed ; Date: Doc#Llh)WZ59L-)b,OR 13K 14769 Page 565, reftmq3k G �f �t in the Cour o State Number Pages:1 Recorded 02/03/2009 at 03:56 PM, py f g( da,County of DuvaL JIM FULLER CLERK CIRCUIT COURT DUVAL dWIft 1MdWW*VW Ann COUNTY Persunoy or RECORDING$10.00 Produced Identification: = J+ CITY OF ATLANTIC BEACH 09- f 1 1_ 131' 3I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 ' OFFICE:(904)247-5826•FAX NO.:(904)247-5845 ° BUILDING-DEPTCCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY T:JOB ADDRESS: "' 2.VALUATION OF WORK E�elr-ll .SO FT.UNDER ROOF (-.cul z� o�� 27 S 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRU RE: [3 NEW BUILDING ❑DEMOLITION ESIDENTIAL LOT BLOCK SUB DIVISION L) ' ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ®ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: Q,�J� port:'C6 4,bl SC t Q!; ❑REPAIR ❑POOL/SPA ❑YES ❑N/A px•t-fn p - r-'L°O A -rakfIftmo1JtC ❑MOVE ❑OTHER urtio PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: J. C t�NSt 16.NAME: 24.LICENSEE NAME: J � � Re- � � l .�� 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: C'I' ' p l 18.ADDRES 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: Z�3'7.2ZLZ Z l-636 3 13.CELL PHONE: 21.CELL PHONE, 29.CELL PHONE: 14.EMAIL ADDRESS: EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER::_ (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. Nr WARNING TO OWNER: r YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR Agent ower ttomey or Agency Letter Required) (Qualifier Only) Signed: AUh Date: )' Signed: Date: Before me this day of 2009 in the county of Before me thi' da 200 in county of Duval,Sta ,has nay appears Duval,S Florida,ha�onally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. G true and accurate. 1 Notary Public at Lang tate of r L Ccu of �� Notary Public at La State of L County of Y�V ❑Personally Kn L L ❑Personally Kno ❑Produced Identifica6 - ❑Producetl Ids tion- Notary Signatu Notary Signature: SHIRE Y L.GRAVA EY L. B?"COD COMPLLAN ac4P�y P� Notary Public-Slate «�,, w. r ) My r 1 `IcE •: =My Corrmmissio J> C BEACH BLDG01 Pe 'k{�� `:REVISEo. s 6�fi8� g aFyC DMONAL Bonded By t na As COPY NDITIONS. REVIEWED BY: DATE: ,3 D 6 MAP ' SHOWING BOUNDARY SURVEY OF LOT 5, BLOCK 5, ACCORDING TO THE PLAT OF $ELVOA MARENA UNC" NO� 2 AS RECORDED IN PLAT BOOK 27 , PAGE(S) 6 & 6A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: JOHN A. GILMORE, III, AMY B. GRESS-GILMORE, FIDELITY NATIONAL TITLE INSURANCE COMPANY, PRINCIPAL RESIDENTIAL MORTGAGE, INC., AMSOUTH BANK AND ROBERT A. STERN, P.A. BLOCK 5, SELVA MARINA UNIT NO. 6, PLAT BOOK 34, PAGES 51 & 51 A LOT 9 LOT 10 c � 1 pN 89'22'22` E. 158.10'(M) Q /2 o N 89'20'10" E, 158.26'(R) j f SS.a 6.0 P.RM. 4.1 o 1/2'IP METAL SHEDP RLS 0144 ON BLOCKS BRICK STEP j STOOP j a CONC PAD FOR A/C UNITS 4fli' 57 3.5' It 17.8' 8Q8' 7.4' -. 31.6YA*C j 4' , 1 ^ j Ja t-STORY a/h N S ti 1 I BRICK & FRAME RESIDENCE tl NO. 305 "j `- �• e ' �- o 0j - n o Toa AREA OSE 31.7 WALLS N O 1 OFiC In i 5, 7.0. 4 h j �J � d 3 17.6' 47.0' o o 6 : L_O7-7 ^ O -a-n-p ° o d _ .1ool • .. j N DO h -"T COVERED N _ h to CONIC �� • R ' . o Z fn Z j �r O O` T 20.3" LOT 5 3s'B.R.L i 1/2 B L- O E = RLS 4144 ° _ 13.6' `1D.3' 86.6r(M) -yp La4''T� 1 • �5b, 7.R.M. � 4•.4• S 89'20'10" W, 86.59'(R) P.T. /2 IP S 89'20'10' W. 96.63'(M) G �{ BEARING REFERENCE LINE (POSTED) 20 10 0 20 COUNTRY CLUB LANESCALE IN FEET (60'R/W-16th STREET BY RECORD PLAT) 1 = 20' J gm IL V E Y O R 1.BEARINGS ARE BASED 0 GENERAL PLAT BOOK 27.PAGE 6A. d 2.STRUCTURE NO. 305 SHOWN HEREON UES 1MTHIN FLOOD ZONE X AS BEST h A S30CIATED SURVEYORS INC. OETfRMINED FROM F.E.M.A FLOW MAPS PANEL Na DATED 04/7/1 i68. 3.THIS IS A SURFACE SURVEY ONLY. THE EXTENT OF UNDERGROUND FOOTINGS, LAND & ENGINEERING SURVEYS PIPES AND UTILITIES, IF ANY, NOT DETERMINED. •" 4.JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSMVE AREAS if ANY,NOT LOCATED r P.O. BOX 362017 BY THIS SURVEY, L S5915 CEDAR HILLS BOULEVARD 5.THIS SURVEY WAS BASED ON LEGAL DESCRIPTIONS FURNISHED AND THE V 2 JACKSONVILLE, FLORIDA 32210 PUBLIC RECORDS WERE NOT SEARCHED BY THIS SURVEYOR FOR EASEMENTS,TITLES, 'v r� 904-771-6468 CONVENANTS OR RESTRICTIONS THAT MAY AFFECT THIS PARCEL O CERTIFICATE OF AUTHORIZATION NO. 19 0005488 6.UNtESS OTHERWISE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION. SSV 7.NOT VAUD VATHOUT THE SIGNATURE AND THE ORIGNAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER I HEREBY CERTIF`! Tt iS SL;RVE'1' WAS DONE UNDER MY -3 GUY ANCHOR LE /AYIIIEYIATIONG R)= RECORD DIRECT SUPERVISION AND MEE7S THE MINIMUM TECHNICAL O =.M IRON PIPE (SIP) MARKED P.C. = POINT OF CURVE M)=MEASURED STANDARDS FOR LAND SURVEYING PLIRSUANT O CHAPTER `A.SSCC. SURVEY' OR LB. 548 P.T. = POINT OF TANGENCY A =� 61G17-8, DA A iNISTR1,TIOCODE. AP • =FOUND IRON PIN OR PIPE (FIP)C L = CENTERLINE .b/l( LJ ■ =FOUND CONCRETE NOMMM(FCM) /B = REBAR L =ARC IF'VC3H ( R R = RADIUS % = CROSS CUT OR DRILL HOLE R//�Wy = RIGHT OF WAY C = CHORD CHARLES 8. HATCHER P.R.C.=POINT OF REVERSE CURVE 1V-W= WIRE FENCE ® _MATER im FLORIDA CERTIFICATE N0.3771 P.C.C.=PONT OF COMPOUND CURVE O-D= WOOD FENCE © _56-LmB.R.L. =BUILDING RESTRICTION UNE CONC= CONCRETE ck JOB NO. 23604 _ DATE 04/05/2000 (ORB) =OFFICIAL RECORDS BOOK X-X = CwUNUNK FENCE ET-ELJ=CTRIc SCALE: 1` = 20' DRAFTER T.V. ZEFF (DRV) =OFFICIAL RECORDS VOLUME 110_, = UTILITY POLE TRANSFORMFA JACKSONVILLE ELECTRIC AUTHORITY OU-= OVERHEAD Ui}UTiES !FE- L PE_L 03/11/2009 09:38 9042609688 TRICOLHTY PAGE 01/01 CITY OF.ATLANTIC-BEACH ' ELECmicAL.PERMIT APPLICATION , Date: Property Address: . , rkt �iCa >p� " Owner. ioy;A A. �+� �� ,:: Telephone, #: Contractor: `1r� C�,ci,;n��i f t'� i Telephone#: Ifo__,0 �.�, Contractor Atiddresw ,;� ,I � �,;, .� , Fa:#: , (n amideagan ofperaut gives:-for Mag the:wortsm ducifial in the 00"iostemeoy we heeW ajee to pw*rm said work in with the attached phint end speei8cadons which are s part hereot'UW,in.acMdance.with Aw MY of.At O&Beach onib mmW ir:d •of od 'wasosd•dtcreini ' Buildings • Bulldlnt Type: p T let . Scmee: War r aoeAaaotioe s Nees • Residence ; : :o. . Temp. : O. `New. tu:m�dam on that but:dtag Or Atte,ttst�do.bU4dba. Old -o Coaimarcial • • :o' 'Signs . ' . o Increase pd=kmMdw.- . a Rewire O A•ddidcm , Sq.Pt.' 0 .Repair Conductor Size: ANA'S COPPER Q Al Switch dr RACE Breaker AMPS PH W VOLT 'WAY -Existing.Service RACE Size AMPS PH 'iV VOLT WAY I Nn SM., NO NO SIZE Lighting Outlets CON ALM - M.N. . ,Re clew CONCEALED OPENIt-Ail AAM 11.1nn AUMN Switahea Incandaoent luoreacent 6t • . M,V. �� ces• 'SELL , Air ,RA G AT Conditioning, COLI'.MOTOR OTIMR MOTORS-' AMPS MAT Motors r,1D. VOMMATE PH OYER I H.P. P135 Trenaibraters ''NOS. XV-A •NO. KVA ' o. aces 'henaf. •. Mis�llaoetwa 'C • ' .. . ' 800 Setninole Road•Adontie DideT Morids"32233-5445 PUoaes•(901)-247-�i800. Ruts (9M)247�S8d5. http:lt! v".ci.atlsbtic-beaeh.S.ua.• Hulsberg Engineering, Inc. 11481 St.Augustine Rd.,#202 Jacksonville,FL 32258 (904)886-2401 /FAX(904)2604367 FL CA No. 25846 January 28,2009 City of Atlantic Beach Building Dept. 800 Seminole Road Atlantic Beach, Florida 32233 PROJECT: DL Davis Gilmore residence Permit No. 09-1'/.3 To Whom It May Concern: For the subject project,the structural drawings inadvertently omitted the hurricane clips for the new rafters. The new rafters should be tied down with either H8 or LTS 12 clips. The new glu-lam porch beam is tied down through the column cap as detailed in the structural drawings. If you have any questions please contact me. Since , 1 Flp' 'd impson,P.E. FL PE No. 91 t H8 CLIP AT EACH CEILING JOIST (4)Y,"SDS SCREWS. PROVIDES SUFFICIENT LENGTH TO PENETRATE THROUGH RAFTERS AND CEILING JOISTS. EXISTING 2x8 RAFTERS EXISTING 202 CEILING JOISTS i i / TRIM EXISTING RAFTERS GATHERING ROOM CEILING MODIFICATION DL DAVIS - LEE RESIDENCE 11481 ST.AUGUSTINEUISBERG ENGINEE C RD.,*202 JACKSONVILLE,FL. ! rSO2N, 32258Ph.(904)886-2401 JEFFREY K.HULSBERG,PE. WILLIAM J.DERY,PE. FLOYD S. IMPE. Fax(904)260-4367 FL.PE.No:33152) (FL.PE.No:49025) (FL.PE.No:50791) SCALE:1/2'=1'40" I RELEASE DATE-01-1 CHECKED BY:FSS City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) =sp 800 Seminole Road '} Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 J31� E-mail: building-dept@coab.us Date routed: City web-site: http://Www.coab.us —r--- APPLICATION REVIEW AND TRACKING FORM De artment review required Yes No � Cu 6QI Buildin Property Address: 3 Pannin g &Zoning Tree Administrator Applicant: • t- • P Y .S C-,P- . S 'j"' orks Project: C1 O (' �� Public Utilities Pro 1 Public af'et y Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. [-]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING TREE AD N. Reviewed by: Date: �� PU WO KS Second Review: ❑Approved as revised. []Denied. Comments: PUB IC IES PUB SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed bv: Date: • MAP SHOWING BOUNDARY SURVEY OF LOT 5, BLOCK 5, ACCORDING TO THE PLAT OF SELVA MARENA UNIT NO. 2 AS RECORDED IN PLAT BOOK 27 , PAGE(S) 6 & 6A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: JOHN A. GILMORE, III, AMY B. GRESS-GILMORE, FIDELITY NATIONAL TITLE INSURANCE COMPANY, PRINCIPAL RESIDENTIAL MORTGAGE, INC., -' AMSOUTH BANK AND ROBERT A. STERN, P.A. BLOCK 5, SELVA MARINA UNIT NO. 6, PLAT BOOK 34, PAGES 51 & 51A II - LOT 9 1_0T 10 Q v \ U o N 89'22'22' E, 158.10'(!d) /z• °s.o N 89'20'10" E, 158.26'(R) 4'■a• Y +.S METAL SHEDp 0.5' RLS 41' 64 ON BLOCKS77,4�ARC) - ❑ I 25:8'(ARC) I BRICK STEP 1 F--I h STOOP ❑ - .. I CONIC PAD FOR A/C UNITS -..4 a 5_71 15 J 17.6'.. 86.8' 7.4' 3i.8'(MC) _ ❑ . s b 1-STORY m�;, N � •, � BRICK & FRAME RESIDENCE 1 NO. 305 - r J III 1 m 1 p O POOL AREA NTTHIN 31.r ry i❑ WALLS OF HOUSE m • ,- ❑ 73.9• .2 1, �- 3 _ozep_p 47.0' ci r 3 4aj o D CO go n COVERED o� ��]� •�:] .-,� CONI 4• _ as�C ._a �� y �,� Z I 1 � , b��E O O 4� Z $ \ 70.3" ' LOT 5 BIL . W 1/2'IP B L_ O RLI a+4 I e tT m /ac� 10.5" 86.6Y(M) 1/Y 1P Le+7. , O/ �N 5 89'20'10" W, 86.59'(R) P.T. O S 8920'10" W, 96.63'(M) ,/z•IP ,yO. OMNI\ BEARING REFERENCE LINE (POSTED) 20 10 0 20 COUNTRY CLUB LANE SCALE IN FEET (60'R/W-16th STREET BY RECORD PUT) 1 - 20 £ O fi!MERUL PIOTEl� fl N Y R 1.BEARINGS ARE BASED ON PUT BOp(27.PAGE fiA J `r 2.STRUCTURE NO. 305 SHOWN HEREON UES WITHIN FLOOD ZONE x AS BEST y ASSOCIATED SURVEYORS INC. DETERMINED IS FROM F.E.N.A FLOOD N NAPS PANEL N0. t DATED DFOOTINGS, p 3 PIPES ANDSUT,LITIES,wIF ANY.NOT DETERMINED.OF UNDERGROUND FOOTINGS, UNIT 3 ENGINEERING SURVEYS 4.JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY.NOT LOCATED r P.O. BOX 382017 BY THIS SURVEY. 5915 CEDAR HILLS BOULEVARD 5.THIS SURVEY WAS BASED ON LEGAL DESCRIPTIONS FURNISHED AND THE 2, JACKSONVILLE. FLORIDA 32210 PUBLIC RECORDS WERE NOT SEARCHED BY THIS SURVEYOR FOR EASEMENTS.TITLES. �J O 904-771-6468 --CONVENANTS OR RESTRICTIONS THAT MAY AFFECT THIS PARCEL CERTIFICATE OF AUTHORIZATION NO. LB 0005488 ..6.LJNLFSS OTHERWISE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION. 0 S S V '�7.NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A F ORIOA LICENSED SURVEYOR AND MAPPER. I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY -d= GUY ANCHOR LEG D/AMEN VI 10 (R)= RECORD . DIRECT SUPERVISION AND MEETS THE M!NIMUM TECHNICAL O = SET IRON PIPE (SIP) MARKED P.C. = POINT OF CURVE M =MEASURED STATIIDARDS FOR LAND SURVEYING PURSUANT O QHAPTER ASSOC. SURVEY' OR LB. 5488 P.T. = POINT OF TANGENCY A =aW%L Maf 61 G1 7- D( ( A AL]j.AIhI STRATIDI�jCODE. AP • =FOUND IRON PIN OR PIPE FCM C/L = CENTERLINE L =ARC EJNf•jH `//.LLLL�— ��2 ■ =FOUNDCROS CONCRETE MONUMENT(FE R/B = RIGHT R = RADIUS BY: a� X =CROSS CUT OR DRILL HOLE R//yy�� = RIGHT OF WAY C = CHORD CHARLES B. HATCHER P.R.C.=POINT OF REVERSE CURVE WF--- = WIRE FENCE C9 WATER METER FLORIDA CERTIFICATE NO.3771 P.C.C.=POINT OF COMPOUND CURVE D—D= WOFENCE =IWELWEL L B.R.L. =BUILDING RESTRICTION LINE CONIC= CONCRETE =STREET LIGHT JOB N0. 23604 DATE 04/05/2000 (ORB) =OFFICIAL RECORDS BOOK X—X = CFUUNUNK FENCE ET- ELECTRIC SCALE: 1• = 20' DRAFTER T.V. ZEFF (DRV) =OFFICIAL RECORDS VOLUME -a = UTILITY POLE TRANSFORMER J.EA =JACKSONVILLE ELECTRIC AUTHORITY OU-= OVERHEAD UTILITIES I PE=POOL Ea11PfIF717 S , City of Atlantic Beach APPLICATION NUMBER Building Department P (To be assigned by the Building Department.) 9 2a zf 800 Seminole Road ' * ' — / 13 Atlantic Beach, Florida 32233-5445 ;' �°�"v� R� � . Phone(904)247-5826 • Fax(904)247-545 / ��J3l�a E-mail: building-dept@coab.us 111)0 / l` City web-site: http://www.coab.us f�=g; ,� Date routed: APPLICATION REVIEW AND TRACKING FORM De artment review required Yes No Property Address: 3� ��,�,n�-�1- � � LQ Buildin Planning &Zoning Applicant: • L -"t:> pry; ,g j c- -. Tree minis rator JP�S or is p Public Utilities Project: ( O ��S Public afety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APP (CATION STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING TREE ADMIN. Reviewed by: Date: PUBLIC WORKS Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) t ` 800 Seminole Road =r Atlantic Beach, Florida 32233-5445 O 3 h Phone(904)247-5826 - Fax(904)247-5845 r�,3>>t' w E-mail: building-dept@coab.us Date routed: / LO/T_ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No W6 L� (-Building) Property Address: 3 S C'D"'�4t' -- Planning &Zoning Tree minis rator Applicant: • L•"t, pry)J C_&'� S orks Public Utilities Project: CJ C) V r__Lq - Public afety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLIC ION STATUS Reviewing Department First Review: /proved. ❑Denied. (Circle one.) Comments: B L NNING &ZONING Reviewed by: Date: TREE ADMIN. (� PUBLIC WORKS Second Review: DApproved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: DApproved as revised. ODenied. Comments: Reviewed by: Date: Vit!=��p City of Atlantic Beach APPLICATION NUMBER �S Building Department ss1 g (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 I E-mail: building-dept@coab.us Date routed: Cityweb-site: http://www.coaw.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Property Address: 3D s C_DA&n�-{l �. b SIJ uildin --T Planning &Zoning Tree finis rator Applicant: • t- • H`Y)J �f. S �—• orks Public Utilities Project: `� O 'f CA" Pulic afety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. [—]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING TREE ADMIN. Reviewed by: Date: s1 3 a PUBLIC WORKS Second Review: ❑Approved as revised. ❑Denied. PUBLIC UTILITIES Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82238 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. Street Address: I. ()�� "o(1-1,4Y6 LOCATION OF Intersecting Streets: Between - 't<'/�'�! O C' And r 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 Mechanicalr- Contractors f'� Contractor (Print) l `� � t- hitt Master /, 1 Name of / Property Owner i h 15LPs Signature of Owner -•-.., Signature of or Authorised Agent Architect or Engineer III. GENERAL INFORM A, Type of hating fuel: B. /..S. �Eloctriv ' IS OTHER CONSTRUCTION BEING �Nf,,40N c THIS BUILDING OR SITE? '/U ❑ root—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION Cl Oil PERMIT 13 Other— Specify IV, MICHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete lid of components on back of this form) P""Residential or ❑ Commercial Irl"Heat ❑ Space ❑ Recessed �&.tnsI O Flow [I New Building Air Conds4ioning: E3 Room Q Cantn) P"'EExisting Building C) Duct System: Material Thickness R-IReplacement of existing system Maximum capacity c.f.m. ❑ New installation(No system previously Installed) ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify -- ❑ Cooling tower: Capacity g•pm• ❑ Fire sprinklers: Number of had Q Elevetor O Monlift ❑ Escalator (number) THIS SPACE tOR OFFICE USE ONLY ❑. Gasoline pumps.– ----(number) (bead) ❑ Tanks (number) Remarks ❑ LPG contains,•• (number) Unfired pressure vessel Permit Approved by Dote O wan 0 OOW Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT capadtp Number units Dslacdption No"Number Idanufaaturer )� wJ1� 2. `t w. FOR OFFICE Ust ONLY G � DEPARTMENT OF BUILDING ate 19' / CITY OF ATLANTIC BEACH, FLOAMA Permit /,c Fee $ r Application for Permit for Valuation Miscellaneous Alterations, HOUSE # and Repairs DE1jCRIBE.- (StaiA if to repair, alter,; add to or move 'building, erect aimings, signs, etc. ) Building on: Lpt o. � B No. ,_,_Sub.Div � _ Address Valuation 8_, Owner.'s Name Y. ' BUILDINGS. AND OCCUPANCY` Buildiftg Use Res=sidehtlAi or Business What Plumbing work to be done? Size of Present Bldg. Size of Lx ehs On Lot Size___..... No. ' of stories now L after altered, _Mater al of roo - Material of Present'Building Material of Extension NECESSARY FLANS TO BE S '.MM TE(? HEREWITH OIL BURNER OR GASOLiNE EQUIPMENT Name of Oil Burner or Gasoline Pump ___.Type or Model Name and Address of ,Manufacturer In connection herewith, application is also made to install: gal. capacity tank(s) made by of gagg �. ground. (Name of Manufacturer) or ALove) (Under ,*r Above' of building. For (Insi35 or s e wane Bf PUtchaser) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK: SIGNS Size Classification (State whetfier ground, r oo , wair, prbj ec ii g,Banner) Material of Construction IlluminatedP _Type of illumination a e whether Lampi or eon Will sign be over public property StIBMI RATisGSHOWING CONSTRUCTION OF SIGN AND METHODOF HANGING WRITE ADDITIONAL INFORMATION BELOW -- (For canvass awnings provide dimensioned drawing on reverse side) IMP2BTANT ff0TI0: 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 plana and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. (Southern Standard Building Code). Signature of Builder or Owner Adre Phone No. 6 .. 36 VA, 0, t"1'*NT OIF 801 0 C# E ATLANTIC BES. t`LOCATION, . NFORMATION, ,Y.�.,,~__W-- t � s em + # ovb i,;305 COUX , CLUB LAB * r IIIA AT�.AI��'IC GH, F�»€��t�AA � � LEGAL 0 RIP ION, Block- Type f ,WOOD FRAM Section: Peed t � ".PAtLt ' +xrnh p a NCi 98 s . . v �r ►n t h.VA �NA��i'A so 0a X" 0 « Coot 1 T+6tsi P. 828.,00, Aunt m 025.00 cite , $TO8 - l PPLXCATIM11kt .� f8 LA146 SA I 11PACT ME F .CiN I A 3; SEW � PACT fEIr 0.00. Portz wv. :RA SSR V X;,kS 00 o001me: 1 �8 , 'i`� x Z RE: T NPT PEE ' 'so- 00, tc, ft OtS`A `T"` F -E *0Goo, N j i i t I, ;t a k f j T#tGiw -"A .#.flL3 #C;i81" .I*qi3h8 BIND FflC1TtNG3 IfAUB ".'$E,!NSPIEVTEO i8FC3f3E t }Jii�l�lfl ERMtT VO#! SIX MONTHS A CER il'I OF ISSUEel tLDiN4 '+IATERtAL,. S8it AN} DiSwOiS FR©M THIS WORK;tVt�t��h1O��-PLACEC iN PUBLIC SPA E,,ANO MtlST 8E G EARBE) 'A O HAV Et��1YVA�B�'E�,Tt� 'fit CONTRACTC}R QR` Lr ir 'THE C "PLY-WI H LrME MM, f t�StJEC}. CptrtdlNG 70 APPOIOVED PLANS WHICH ARE'PART OF THtS F►ERMIT APIt� � TO VtC?LATtt3i+�JE.Ai�PL# lLir.�Rf�t51t3NS Caf I.AIA►. ANTIC ACt�#.#3 ,E?'}3 a OE 13'PTMENT �., er f \JIT i4.T5,IYT1{J� tlrT„ , M LOCATION XRFORMATION ------ _ ;! Por 't N mborir a 3 O Addaroosl �165 COUNTRYCLUB LAN l + x� lt "TypaasHAMGAL. ATL. NLICACR� R'lDA ark: A� nlom __. .`� .,� .�- L,� ' `T � ...._� Lot; lliodkl, Shati6nt � owe ? R "ARILY, T a�x�+ xlp RG;: 0 ubdil v ji*on - 9WL VA 'MARINA {lfF►t1t�� dt 0,0 " t : ' A W f APPLICATION F"M 121 71 t U �. �Y- cR, LARE, �hk " RAT U. 00 pax �� F hp 711 RA 1 Off R. S4, 0. 00 ;. ' ORKAT`I _ RAW)* t AR - 37G sobb SACK LL. !s #`L. ,2211 t DRAUL.IC $HARK . 00 Rl" . ww IWZ NOT fl #LL.CQMCiiat 1 11�i$`J�I It7t F4QTtN�aS Nlif$T E�tE:IR$Pq;TFt'�RIEFOR f .Uf �ii PERMIT VCIt S!X MONTHS AFTER.OAT C9F lSSUt kJdl D4fd a xvl�kT RtAi.,.d lklB t M At+{I3.E E£ 1 FROM,TNIS WORK M T J $ PLA trCJ'INPit ILlG SF'Ad;E.AA117 MUST BE �LEAREQ Ufa Atv0'HAUL 0 A{lYAY'8Y EITH`-- C©NTRA�G&OR,t�Wt�tt~R ofAl;LUA# w � � ( ' ` ' 'HEM CHr4N r� ii'IIVV' + til +l i E �ULTIce 1N -ISSUED ACGC1RDIfi T�APRt�G Vd"p t?LANS"WHICH;ARE PART OF THl'_'PERMit Afi�d~T S 1B AE Ob V t.ATION OF�A`Pt Lt A�3L,�PROM`$PNS,OF t AW. #A ATLAMT16 BEA64,6(jiLQINCa 0.EPARTMENT af, .- IT' o ATLarrTlc BEACH,I'~LORIDA Maxx cin MO t 14 ing Deport n, bate March 21 , 99 Department ,r, .tn. iya oriPlumbing Co I ate following complaint of Address tarred if it cam,be dog 4 within routine worls1 otherwise advise cost; Fafiertan 04mbinq .ia� r�eplac#0,9 wveter service to: 4FCOMPLAINT: 7.105 COOTRY CLUB LAN . P 1 umber fee t s the , r661 em is on the ,d tC l es s 1de, of the :' ' motet. Plumber had melee are"eir to line without,turnir3 cuff the, 44ter•gliwsn't x ecess rn w t r a prosr 1 Permit22Ci7' issued to replace water serioce` on Cwstomar stile Vi►©RK tJRDEI C£)MPLETTD 19— oroplaintUjustified Coz splaint was taken care of within tontine work Tesat*complaint will require;$ Materials, $ Labojr,$ I i RKS-` Supt. t 0009207 " f3EPAR>I'MENT OF BUILDING " ,r CITY" ITY©F ATLANTIC BEACH`" y. PERMIT INFORMATION LOCATION INFORMATION P. rmlt Numbers 2207 Address: 306 COUNTRY CLUB LANE per*$.t Typlvit PLUMBING` A'T'LANTIC BEACH, FLORIDA 32233 G of Work i .REPAIR LEGAL DESCRIPTION canmtr. Types " N/A L is 'Block; �e tic�c�a r xpca d Use: SINGLE FAMILY Townmhipx fi MG2 �► De3liniB z Q {�, Ou rs. i d viai trt a E�.VA MARINA r 4x " n,^a � t � 1Mlir E331 s fi T` k , ., '.60 �a £ Tat e " u "'m 0, d, 7a 51 � . 'f ..` ,beta ark 04 67111 ER 1YI " « p 1A 31TTO HOME T11 1!. � 59U5, VA , 3121 10 3KATION APPLICATION-FEES I 1 Nage&s C.T. ITN PERMIT. @. ACare Y � ` Y CLUB ,LANK TATER' IMPACT FEE . z t� �1�� tb `s # ? 'WATp-R METER Ate. N RADON GAS-H. R S. so. W — CtflhTRACTOR INFORMATION-- -------- RADOM GAS - .5% Remot ERAOIC TOR PLUIKalmo CO, Juc. WATER TAP A dreas s 10,0NOI RTH "C PUFF 'AVSHUE SEWER TAPlot 02205 9"*Rr . 00 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 MECHAhIIC ' LIEN . CAN RESULT IN THE PROPERT OWNER PAYING 7W"ICE FOR BUILDING PROVEMENTS." ISSUED ACCORDING TO APPROVED "PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW., ATLAbd ILDIN�G DEPA.RTM NT By: UifY OF A'1 LAN 1 1 C BEACH 7i�� 7 APPLICATION FOR PLUMBING PERMIT 4 "4 • Mt. CLQNEW TYPET OF BUILDING OWNEW S NAME t 1A—Tm -- Z22E� m O� cm��,1� `w`� Lye) LOCATION ADDITION COMMERCIAL ff PLUMBING FIRM �ye,lok - 6t : ADDRESS /093 b or- A t_f RASTER PLUMBER ,. 14mu e-(,, L , 14 .e I please print �:ITY/COUNTY OCCUPATIONAL LICENSE NO. }'FATE CERTIFICATE NO. © 3 zLL Y>UILDER OR CONTRACTOR 'n �� 4D _ SINKS LAVATORY BATH TUBS URINALS FLOOR DRAINS i _ CLOSETS SHOWERS — WATER HEATERS DISHWASHERS DISPOSALS WASHING MACHINE OTHER TOTAL FIXTURE COUNT NSTALLATION OF PLUMBING AND FIXTURES MUST �. E IN ACCORDANCE WITH THE MOST RECENT EDITION " THE SOUTHERN STANDARD PLUMBING CODE. SIGNATURE OF MASTER PLUMBER FIXTURE UNIT BREAKDOWN 1XTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT NISTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE-IS HEREBY FIXED AT EN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. SEC. 27-3 (c) BATHROOM GROUP CONSISTING OF BATHTUB (W/OR W/O OVER SHOWER STALL, WATER CLOSET, LAVATORY & BATH HEAD SHOWER) (2 UNITS) DOMESTIC (2 UNI TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY COMBINATION SINK & TRAY (2 UNITS) (3 UNITS) DENTAL LAVATORY (1 UNIT) KITCHEN SINK — CONBINATION SINK & TRAY W/ DENTAL UNIT OR CUSPI- (2 UNITS} FOOD DIS. (4 UNITS) - DOR (1 UNIT) KITCHEN SINK W/ DRINKING-FOUNTAIN (!� UNIT) DISHWASHER (2 UNITS) WASTE GRINDER — FLOOR DRAINS (1 UNIT) LAVATORY (1 UNIT) LAVATORY, BARBE LAVATORY, SURGEONS (2 UNITS) BEAUTY PARLOR -' SHOWERS GROUP PER HEAD (2 UNITS) SURGEONS SINK (3 UNITS) (3 UNITS) FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP POT, SCULLERY URINAL, PEDESTAL, SYPHON JET STAND (3 UNITS) SINK (4 UNITS) _ BLOWOUT (8 UNITS) URINAL, WALL LIP URINAL STALL, URINAL TROUGH EACH .2' (4 UNITS) WASHOUT (4 UNIT SECTION (2 UNITS) WASHING MACHINE RES. WASH SINK EA SE (3 UNITS) OF FAUCETS WATER CLOSETS, TANK- WATER CLOSETS, VALVE (2 UNITS) OPERATED (4 UNITS) OPERATED (8 UNITS) TOTAL FIXTURE UNITS FOR OFFICE USE ONLY Date.......... 19 7.4e, Permit1119,7...Fee CITY OF ATLANTIC BEACH I Valuation $..... .......:;A.. ................... FLORIDA House *_.1.06: ..az4z, .......... . ...tom.......................... /fP KAII.. 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............ Owner_(1 'rZ_t7/e„5----------- -------71,,v.54.-- -----Address_.'_T42Zf........40.& ........Telephone -- Architect-.............. Address,................. ........................................Telephone --------------------------------- Contractor Builde,.;/30. ___ll....... .......Aadress../efts�//*`..-,/.e- /- v.,45..- -- ---i'__-Telephone No---------------------------- LotNo--------------------------------•----------------..Block No-------------------------_----Sub Division...-----------------------------------------------------------------------------Zone....._...... ............................................................Street....... ___.........Side Between.. ----••---------------------------------......and-----_-------------.................................Sts. Valuation $,P10 40 0 0 For what pu se will building be used.---/4?4�_7.i9f'4�Type of constructlon,015:.-4*V ---t�b t.-I-C K� /1----------------------t =1 Dimensions of Building32.'X3_z_1---.............Dimensions of Lot.Asb A Footings....X ---------------- --_----------Size of ... 0------- Size of Piers...__---------------------------Size of Sills............-_--------------Greatest Sill Span in ft.__..........._.._..____..Type Roof___._............................._... How will Building be Heated?.10014/_t? 1......J�_ An...Will Building be on Solid or Filled Ground?..... .............. A�_v Size of Ceiling Joists-A- 21 W_ ...___------_------- Distance on Centers--...._ .....__.....I Greatest Span..........._........._....._._.._........... It Size of Floor Joists----------—-----------------------------Distance on Centers.--..... z.._...........__..__.. Greatest Span-------- ............................... Size of Rafters..---._.,cVXS-------------------------- Distance on Centers...../6/..........................., Greatest Span........__-..................._..._.._...._. C This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all loA-lines and existing buildings. REAR LOT LINE Two copies of plans ane specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. C; 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical Inspection by City of Jacksonville. 8. Final Inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of.pepgiven f doing the work as described In the above statement, we hereby agree to perform said work in accordance witlythl fi at ,c ed lans and specifications, which are a part hereof, and in accordance with the building regulations of the City c e Signature of Builder . ... .......... ...... ........ .................. Address...11-1.1........ -------64y Signature of 0 ---- -- .. ... ....... ........... ...... ... ..... P A f CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PLRM4T NO. 41, DATE T I'()CAtT_ON LOT NO. -BLOC/NO . S/D AIr" OWNER /. MASTER PLUMBER BLDG . BUILDER OR CONTRACTOR .. PERMIT NO . r TYPE OF BUILDING SINKS LAVATORY BATH TUBS URINALS CLOSETS FLOOR DRAINS SHOWERS _WATER HEATERS_ DISHWASHERS DISPOSALS _0 T H E R �-- GGJC c� �• �-- '!".?TAL FIXTURES @1 . 00 NO WORK MUST BE DONE UNITL A PERMIT HAS BEEM PROCURED PLANS AND SPECIFICATIONS must show a plan and description of the site and location of all the soil and vent pipes , and the number and location of all fixtures , (In accordance with Ordinance No . 188 of the City of Atlantic Beach , Florida) must be shown on back of application and be approved by the Plumbing Inspector . DRAW PLAND SPECIFICATION OF ABOVE PLUMBING ON BACK Approved by Plumbing Inspector Date (FOR OFFICE USE ONLY) / Rough-In Inspected 2.c --?C/ REMARKS (� T— Final Inspected �-- �� CERTIFICATE ISSUED : r�*1•.f 1� ,�,�. �r •.*f yi.. �.,.c�.t.:.:..:tom.;.;:� *•••� � ••t• � '• I Inti ••i•r14 � I�•�fff 1 .*,�„*�+.t.•.•...., !»...*.w•.!VII'/ /�'1JIC I i R � i i _ w 1 A wr�as� .r_u.a..•,s.*,e.a.,/aJ�+�.r.4..//.�'/°/.1►/d///lF,�bltli CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT[Nt 01'2Ml�TION' LOCATION:iNFOAT101rt Permit Number: 18203 Address: 305 COUNTRY CLUB LANE Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION' Date Issued: 5/10/1999 Name: STENNETT Total Fees: 37.00 Address: 305 COUNTRY CLUB LANE Amount Paid: 37.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/10/1999 Phone: (904)744-8888 Work Desc: REPLACE CONDENSER AND AIR HANDLER CONTRAeTflR S APPLICATION FEES OCEAN STATE HEAT &AIR PERMIT 37.00 �s �s R ii�irec#: FINAL 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 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. \� ! $37.0914 Date: 5/10/99 81 Receipt: 8055145 CHECKS 13936 ATLANTIC BEACH B ILDING T. _ 00190883221900 CITY OF 4&4a is Be=4-0;&W4& Office of Building Official REQUEST FOR INSPECTION �-- / r Date Permit No. �,� Time A.M. Received P.M. District No. -�a ffiat'Zoc Job Address J Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUG Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Re Rooting ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. W Thurs. Friday P.M. Inspection Made P.M. Inspector. Final Inspection Certificate of Occupancy A CJ 2��iQ Date 6EPABT.MENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION, -------- 'LOCATION INFORMATION -------- - P&r*3 t 1+Iex* r v, 2531 AddrowmiX305 .COUNTRY CLUBLANE Poirmit Type t' OTHER ' ATLANTIC BEACH, FLORIDA 32233 Class oX Work ALTERATION ----------- LEGAL DESCRIFT10H --__-..'-__- Corr�r�r. Typa�a W�3Clt> �tI Block �t3c�xa� P,rcb sod U*w SINGLE ,FAMILY Townohipl Rua$ 0 Dlwo Maxx% Q Card*% 0 BubdivisiOns Estiusted' V*lu,*I *0.00 improv. C Est I Total Foes *11.00 w 0sk+ r ,� �� r't' lQ u v. f �.' Work fl��rca�"� +tFk' °° �arlyca+� aurrd ars�ple�co t� ,tN�r ,5 e^.1.. e 4,Xe��W�6Gor.., i EN ha' ElIATION, APPLICATION FEES Addr�# .a ` � : CL UA LARS' WATER IMPACT PEM 06.100 :H,, FLORIDA X2233 '�`q...4��'� l!EF''t4t�yT r�"EE �"�T p7'00 a�,^+�31 3� wa' ' •ur q 11 +, A H. E . S. , k.a ! C9R!lATIt3E RADON GAs 5% *01 00, -N CE WATER TAP *0.00 , BEWE � .TAPAddrwwwI *C06K AVENU s $O.#]O' " JACEi Lit,.. rL,ORrbA 32211 HYDRAULIC SHARE. *O+ 00 L.iGerr ffiec, °' Typot 7 REQ-3HSPECT PEE #0'.0O ENGINEERING 0_ 1 4 �� x arRi "a � i ted OTHER ♦ i . NOTES. NOTICE--ALL CONCRETE FORMS AND FOOTINGS MIDST 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 AWAY6Y`EITHER CONTRACTOR OR OWNER. ` "F'AI'LURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PAOPERTY`OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." WILL tTION IATE."81',11 1', ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT iftoCATION' V-61LATION OF APPLICABLE PROVISIONS OF LAW. DOW 1, ; ATLANTIC;SEACH BUILDING DEPARTMENT 0002531 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION _..,. .< LOCATION IHFORMAT ON P4-rrfLt "umber : 253.1 drew. n1105 COUNTRY CLOD LANE PermIt Types OTHER ATLANTIC BEACH, FLORIDA, ?2=:4 Claszs of W�-_irl� ; ALTERATION LEGAL DESCRIPTION Constr . Typ z WOOD cats Block: !3ec:tion Proposed Use- STINGL.E FAMILY Township- RlIC`.rs E timated values $0. 00 Truet.a1 Fees 1al2.0. 00 Amount I' I. . *10. 00 Date Pa1ds 6115/90 Work De sc;. s Remove 014 fence and rep-lac OWNER INFORMATION ,.... W APPLICATION FEES Ila+nes: TINSL.EY PERM A1C}. Oil Add,t eats a 305 CKf UNTRY CLUB LANE WATER IMPACT I° FE'E C''. 00 ATLANTIC:' BEACH, FLORIDA 32233 S,EWRR IMPACT FEE 0. 00 Phone i (904)249--5303 Wi4TER METER 1&0. 00 RADON GAS--H`. R. S. $0. 00 CONTRACTOR INFORMATION RADON GAS ,tee% $0. 00 Name: ARLINGTON FENCE WATER TAP $0. 00 Addres s 1419 WHI"ITC©C k AVENUE; SEWER TAP 1$(71. ".) zAC"K2ONVILLE: FLORIDA 'J2211 HYDRAULIC SHARE 1470. 00 L,1 C.e ri0cv: Ty p e 7 RE- I NE FEC'T FEE $0. IDO EtIG l`alL:.ERI iA 6 $0. 010 OTHER 00 NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING 1MPRVEMENTS " ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT Qw{OCATION F ` VIOLATION OF APPLICABLE PROVISIONS OF LAW. Cal ATLANTIC BEACH BUILDING DEPARTMENT By: 1� 1,s ARLINGTON FENCE CO., INC. 262-9341 REMIT TO: 12677 Phillips Highway 1419 Whitlock Ave. Jacksonville, FL 32211 I 743-1915 T_E�R.M�S�AVAILABLE CONTRACT # CUSTOMER ADDRESSC'"�ruN;�y �Gi(J_ DATE- INSTALL ATEINSTALL AT PHONE NUMBER WHEN SIGNED BY THE PURCHASER AND ACCEPTED BY THIS COMPANY THIS PROPOSAL BECOMES A CONTRACT — BINDING BOTH PURCHASER AND COMPANY. _TOTAL FEET--- � —HIGH TOTAL COST T7d TOTAL FEET HIGH DOWN PAYMENT TOTAL FEET HIGH BALANCE DUE UPON COMPLETION 7 .s" = ATERIALS APPROXIMATE STARTING DATE PAYMENTS NOT O.D. ARE SUBJECT TO 11/%E AGREEDCEIVED AS GATE POSTS INTEREST PER f� END POSTS L\ O.D. BARBS DOWN 0 CHECK THIS SKETCH BARBS UPO ANY ADDITIONAL MATERIAL OR LABOR USED WILL CORNER POSTS O.D. BE AT THE-COST OF THE BUYER. LINE POSTS O.D. TOP RAIL O.D. FABRIC MESH GAUGE 90 GATE SIZES NOTSPONSIBLE FOR DAMAGES TO UNDER- GRO . ND CABLES. PIPE, OR ANY OTHER UNMARKED OBJECTS. DO NOT SIGN BEFORE READING CONTRACT, THE PROPOSAL PRICE IS GIVEN WITH THE AGREEMENT THAT DATE ACCEPTED THE PURCHASER WILL CLEAR ALL LINES FOR CONSTRUCTION OF FENCE AD PROPERLY MARK WITH STAKES OR OTHERWISE. CUSTOMER AGREES TO PAY ALL COURT COSTS AND ATTORNEY'S FEES IF SUIT AND/OR COLLECTION BECOMES NECESSARY. f SIGNED �� ' d�-- SALESMAN` APPLICATION FOR FENCE PERMIT 49 Ownersname----- --�� / -------------------------------phone Z4. 3� -- Job address :�,9,5---' ' Cell-Jul I-All Lot_________block and/or unit, *----------Z--subdivision-------------------- Contractor if different from owner ee-x�-56,-m j 'F`1 Valuation of fence 14,2--<�-r Corner or interior lot___ _________ Type construction Show location and height of fence as well as location of street(s). ------------ VD Owner signature______________ _ _____ __________Date Contractor signature�sC ______Date__ r�OP I've 2f Nfiner , {�✓ n,� Oil/ale/� eoflna O 4. /ON Mon, O Srdb t/g 9FT� .7 plsrrlctryNe cY � G co l nsA�tOr Mme res O �u�� "�7/C"�.rer �' r Com„ O r Fo Roe VMB/ J Out ti� ygti ady db 3 Certlfr pectlpn q.M Y G b 0002758 DEPARTMENT OF B CITYOF ATLANTIC P IIS IRI 2 I I NF'C>ll�tM ION I NF'ORNA T I ON i 2158 A I f RY;"CLUI Ps s�si t TY00i CIr'1f HF BEACH, FLORIDA 32.233 gh T C�+.�,ll�C1R of '9�/qi�C 9 REF4IR � "" Y " ESCiRIPTION .. ---:. -----. C pyst ssrt�r`. Typos N/A� L� �. ��tst 3+c►sn 4 e�rp�rerec� U>�r% :7I L� )�'!r!I IL,'lf ;a�, RHO a 0 D�rntlYis^►glss►a 1 edea ftt**I^t*d value z $0.00 i I�sp►rcty. Cowt x r *0.00 Total Fees s +�?.S�] � �. h l�at#x ^d� ;� Worst Dtr 'r . !'lkTIt3N TION FEES �- 'Nome,I � � tory f11.ygy0� Add7t I YS �;y CLUB rha IFF IJV w i F`LORI DA 32 ;�� F'EE � a�Ct.Ota ' `zi � �w"� ��° ( :`' � , �$�`'iy ice• K�'.1►O�'"XF a yrJ C F ' wJ Iii '#V 4 TNi C3IIiEFO1 ?tATZlN - - � �r1 , J: ;D � + F1110 Cell. 1100. 00 �a ► AREta.00 Li�aesRs�r t COC 9 Typos 0 M IEIE MCt, �' FEE num usa r e w", rr s ecb � NOTES: 4 1h N S NOTICE—ALL CONCRETE FORMS AND FOOTINGS l!A 4 1 FORE PtRiNG PERMIT VOID SIX MONTHS At t> •� LAY' y.. t s'�`'t�"f k � Y BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK �fi PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR w t-TAILURE TO COMPLY WITH THE MEC F W CAN REsuLT IN THE PROPERTY OWNER PAYING TWICE -, ;IMPROVEMENTS." S3 ISSUED ACCORDING TO APPROVED PLANS'WHICH ARE PARI UBJEC ,REVOG �.. IC7ITION OF APPLICABLE PROVISIONS OF LAW. F IIT WWI ATLANTIC BEACH BUILDING DEPARTMENT ' �e. n n+ t i t i b .._.st bat rt.,n. .+a.�l...i+�6�^'=Il''e�,�xm.ee.�u,..r.-. ,..._... _ •., i ..r <_ v �...+.....,., „5p CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING -PERMIT Required Submittals: 1. Two complete sets of construction plans 2. Detailed site plan including setbacks, utilities & parking 3. Recent survey 4. Florida Energy Efficiency Code forms 5. Copy of contractor's license and proof of insurance REMOVE NO TREE OUTSIDE THE BUILDING LINE THAT 'IS LARGER THAN SIX INCHES IN DIAMETER UNLESS A TREE REMOVAL PERMIT HAS BEEN ISSUED. Inspection Schedule: 1. Footing CALL-IN WITH PERMIT 2. Rough Plumbing/Sewer NUMBER FOR EACH 3. Slab TRADE 4. Framing, rough electric, mechanical, top out plumbing 5. Insulation 6. Final inspection/Issuance of CERTIFICATE OF OCCUPANCY ------------------------------------ Requests for inspections will be accepted from 8i00 am until 4:30 pm. All inspections will be made the following working day. 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, paid prior to the request for re-inspection. 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 pa�0 1 CITY OF PROPERTY DESCRIPTION 716 OCEAN BOULEVARD _at Block #--------Section #-------- P.0.B6X26 ATLANTIC BEACH,FLORIDA 32233 i TELEPHONE(904)249-2396 3ubdivision:--------------------------------- 3treet Name DESCRIPTION OF WORK arAddress ---------------------------------- If in a FLOOD HAZARD r "load Zone:..............area complete page 3. Brief Description: Claes of Work: (New/Remodel/Addition)--__&__4,_I_______ TONING INFORMATION Type 99 Constructions_______________________ Toning Proposed © p 0 )istrict Use:_____________________ Estimated Value exceptions or Mato rials:_� J4 --F-------------- lariances Granted:---------------- Solid or Filled ------------------------------------------- Ground:------------- Raaf:__�D t OWNER INFORMATION Marty of Heating:_,----------------- . Property Owneri--2w, __/✓1Q:.. ?ailing ' _�------ . --- Phony:-------------- Address------ &21 -------------Address___&21JC =--_- -- --- ------ Zip=---------------- CONTRACTOR INFORMATION Contractor _A _,� _U1's ---- - ---- ------ --------- Phone: Mailing Address: �s------------- Zips_ -2_y / --- O� S-S- � Expiration License Number:--- ........................... - Date:_ _3d_Q2 r_ I HEREBY CERTIFY THAT I HAVE READ AND EXAHTX10'TN?S SPOLS#:ATYBRI AND KNOW THE SAME TO at TRUE AND CORRECT. ALL PROVISXQM, OF THE LAWS AND 0OXHANOW GOVSRNIND THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NGT. THS MANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, 1 REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS * A CONTINGENT UPON THE ABOVE INFORMATION BEIR5 TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REUUIRED. a' OwnerSignature ................................Date------------ 9 - Contractor Signature �-_Y_:,,�,. ,,,,�------Date_____--____ FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: -------------------------------------------- Flood Zone• Required Lowest Floor Elevations --------------- If building is located within a flood hazard zone, 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 date 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 affecting 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 ppp9 6641 © PA TMENT OF B f� CITYCIF ATLANTIC ` J �. .� PERMIT INFORMATION - - NF'ORt�ATZO i Permit Number : 47 y CLUB LANE--------- Permit Type: ELECTRICAL EACH, FLORIDA 32233 ---- C,Ia� of Work : ALTERATION SCRIgTION � ., C.onstr . ; Type: WOOD FRAME L � -* u; Section: Propoaed Us-e, I nD FAMILY � � RNC* 0 Dwellings: 1 Cede. 0 MAkLINA EsiI~I.mated value- Improv. lue-Imp i. C tm # .00 x � Total Fees : , Amount �{gyp, t yry�}, y+� $2t.00 �W��y+.�*rry j'� 11k><4 s+sA J;F, a..i e' 4/19/93 }� y {� +r*N'�^'s LA tq Dat ,4/1 7/9 Wo' rk k I PE GROUND SY� } TER HEATER. ZZ ATION ON: FEES i r Tam PLUMBIN 25 .00 Add�aF� CLUBL�ANE� ;FEE $0 .00 �yy CHI FLORIDA. �` : �. FEE $A OD vv . w . Oa FORMAT I N ------ �?� . 04 N ei m O s A ELECT CAL >CON' Adt I �► I CAL'IHOP; ES' A'',._..,,. OAD- FRUL VE, FL 32259AS RE $0 .00 L0 : RC0060' Type. 2 �� E , ., � t l 00 so NOTICE--ALL CONCRETE FORINT$AND FOOTINGS M U RE POURING PERMIT VOID,SIX MONTHS AFTEI H r BUILDING MATE R1AL,RUBBISH AND'DEBRIS FROM THIS WORK M SM UBllC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR ORO FAILURE TO COMPLY WITH THE MECHA CAN RESULT IN THE PROPERTY OWNER PAYING TWICE F1 PROVEMENTS,, :w,:til.. ISSUED ACCORD.NG TO APPROVED PLANS WHICH ARE PART OF�;x � � J� ' n CATION,FCJR VIOLATION'OF APPLICABLE PROVISIONS OF LAW. k �2 131 ATLANTIC CH BUILDING DEPARTMENT :,€ >#. v��F b. f 'r1%G f 1 �RAHSfOaME S 7-TUN064 004 V, OVER 800 V. POR:384q x PEPARTMENT OF a x CITY OF ATLANTIC ::.w.. PERMIT INFORMATIOki RFC3FtI�1�iTlt}I� ...�....__--- Pie rmi Number : 6628 CLCB` LANA Pernii Type: ELECTRICAL' EACH, FLORIDA 32233 Class of Work' REPAIR �CRIPfiIbN Cars . Tyla WOOD FRAME` L �. S��tza�: jribpose4 Use., SINGLE FAMILY . h .,x RNG. 0 i D ra3 ngI Code: 0 ,� � � MARINA, Estimated Value: $0 .00 , 5 .00 Da + a � t r "" t 3W 240V CAELI �T. � � S REPAIR ,. RATION C?N 'ZEE ' $25»00 Adds . `- y " R CLUB DANE ' FEE $0 .00 I H, FLOR ISA 2 gym:, FEE t Ph ? �C> FORM r IAN » . S0 .00 VN CtF Ate, . .w ,", T &ECIN ' ?�'T" _�, � S .Dt AC LLE, FL. 32250 RE $0 ,.00 cell FEE NOTES: x a a rt F ,N0 TICE—ALL CONCRETE FORMS AND FOOTINGS MU TORE POURING PERMIT VOID SIX MONTHS AFT > BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK M 'UBLIC SPACE,AND MUST BE CLEARED UP.AND HAULED AWAY BY.EITHER CONTRACTOR OR ONq f , E MECH "IV COMPLY WITH TH ' W CAN RESULT IN - 1±G TWIC E F PROVEMENTS." -' i o R EVOCATIC4R t J- ' s CITY OF ATLANTIC BEACH# FLORIDA ; by APPLICATION FOR ELECTRICAL PIS MIT TO TME Ct11EF ELECTRICAL Ilii LCTOR: DAM— 1fy"07. IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE• YdRK AS R,ESC IB 0,. N THE FOLLOWING; E HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THCATTACHE4 PLARSAND SPECIFICATIONS; WHICH ARE A PART HEREOF, AND IN ACCORWNCE WITH THE ELECTRICAL REGULATIONS; CODES ANP CITY OF ATLANTIC BEACH ORDINANCES. dl: MAST ELEGINI RE . *fT.t i cob"( 1 II+IBLIC 1 1 INDWi.1 1 N&W l I OL01 AIW.1 1 AOL�ITION t T"LIR t 1 TWO 11 SIGNS 1 '1 Ep;PT: _ LLIRVICI: NEW l ► INCREASE l 1 REPAIR c"t -FEE Com— OR size PH W VOLT .. i l { I Ij II IJ' i j ; 11 { I� li l I iI i{{{ I1 i .1 Ia+ I III. / s ' r PSR ' .rr J. Y rMli WARTMENT DP Bt1tL,?IN iti CITY_f ATLANTIC BEACH' u f .4 PERMIT' I14VOR"T I ON ---_'.._ , .» ..�.' LOCATION INFORMATION -- - ---- 1 P�.rmit N�&r: 65.82 Address: 3Q5' CQIINTRY CLU LAAiE F rmit Type- PL�tII INt ATLANTIC #EACH, FLOR IDA 32233 C s' of Work r ADDITION _-:......,�w� L�t�AL Y3EBCRIPTI©N --.._-__-�-— C riaetr . Type: WOOD F�� _ Lot; Btok Section: Proposed Useo-: EZNOLE FAMILY Toemhip RXQ: 4 ' D3" z�r .: Cod :- t Subdivi,si rra rov. Cast : 0-00 , Am*uri71 ire . . ,. _�..... . i ., E -r � .p,�..y�(AI+.�'L TCATION FEES -.:..... PERMIT :$53 .50 ,-Ad dress' X GLOB LANE11iFACT FEE $0.00 ' ogPh s. RAD014 GAS-R.R.B. $fl>Qt► . .,,. . .._ N. i . .. w.. RA I3C - f-A$ 5% $0.00 Nsme NB a" 1 TE QLD ., ATER" 'SAP� . . _..._ 0 i,00 -_ ... ,... � sxWER,. TAP $0 .00 , ACR �o LL$, FLORIDA 3 25 HYDRAULIC `RARE $ ,00 L"i o ' e. T Ia E--ZNB tCT FEyyE+��j��fpj��4 ,+k!3AmVCt i*~Ewazarw^. OT�6( NC)TESr 1 S z fi ALL Ct�NCRETE CORMS AND FOOTINGS IMAUST @E INSPECT O t3EFOR6 POURINQ PERMIT VOD SIX M©NTHS AF=TER DATE OF ISSUE utLDING MA*TtRtAL,RURSISH AND DESFIJIS JROM THIS WORK MUST NO C EE PLACED IN PU9LIC SPACi=,AND MUST Bf xEARED'UP AND HAULE4�AMIAc1'BY ETHER CpNTRACTQR OR O, NfFt K i� A LURA PL WITH THEn� Hai 3 ► �su�T TO E'PI P "`; Volt " :PAYING Tll�i1. E. FO S, t1 #N i t APE�t31l.�Mf1�TS." � 13St1 D aCCORDINt `TO A"wl- wEE!,PLANS WHICH`ARE PART C)F THt3 PERMF� At�tCl iIIQLATION b APE!E tpI V151QNS OF LAw: �1fL/�NT�GEACH,St1FLDING C1fPARTMEt T ` 1pf 1101t,QB+1390 0## CITY OF ATLANTIC BEACH APPLICATIOE FOR PLUMBING PERMIT JOB LOCATION: �G sem__ ��I-L � ��-� Zl/1 OWNER OF PROPERTY: 'a-G_` __ (t _ _________ -----_._----_-__-._._--_ BUILDING CONTRACTOR:_ PL4UMBING CONTRACTOR AND ADDRESS: '- _�1�'�` ------------- t7 --- -- TELEPHONE NUMBER: C - - 02 ------------------------------------------- - STATE LICENSE NO: �,_�C �_L% -_- -- TYPE OF BUILDING: /C.'� .5 ( �--r-` �C4, r-------------------_______.__ -----__(____SINKS ---------____.,_SHOWERS --LAVATORY WRTER HEATERS ___-- ----BATH TUBS C_..______DISHWASHERS URINALS _____ oZ ____CLOSETS ------- ---_-WASHING MACHINE ------------FLOOR DRAINS --------------SHOWER PANS OTHER___ TOTAL FIXTURE ` 7UNT:_-_ zy_ x 53. 50 515. OC) » 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 ) 247- 826 7672 .. .r+ . ,. DEPARTMENT OF BUILDING' .,a CITY OF ATLANTIC BEACH PERMIT. ------ LOCATION INFORMATT014 - a A, COUNTRY „"LttT4 LANE P'eIrmit T"ypse .WELT. ATLANTIC, BEACH, FLORIDA 322 3 ' f Work; ..---- LZOAL PZSCRIPT"ION a x,C r,.. Type r WOOD .PRS Sept a on: ; P si.' 'Uses UTILI"T)t Townjhilp z RNG:: C subdivision: $ELVA MARINA , ".E's i 'Val ", z $0 .00 1,mopv� Cost: Tr � du7. an PT ». . �. .�� ..w APPLTCAT'It?I1FEES' - - PERMIT 'SLUE LANES > AT IMPACT, REEL?WOO f ' 3 � ea s ALS RADON SAS H�R.S. } RD "d TI RADON t�AE '" � $0.00 me: N,, LI .. _ C1I"TAL IMP tOl D0.. SEVF�R TAP $0.00 ALLAN BEACH H" 'FRAU L I C SHARE; CR S CONNECTION , :TI IMPACT FEE NOTES• F tv NOT=--ALL CONCRLtE FC1RMS AND FOOTIN68 MUST BE:INSPECTED BEFORE POUIiiNGi ( PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE f . BUS d�tti t LATER AL,RU6BISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE ' I.IwA#�EqUP ANO HAULED AVVAX BY tiTHER CONTRACTOR OR OWNER { T© C URLY WITH THE MECI"IANI ' LIEN LAW CAN RESULT IN i"I E,I� PLAYING TWICE FOR SUI .DI"NG � P� �t)V'St�AE1�TS.�� .' 3S4t ACCORD ,APPROV,Ep PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION °Yt# �A" C?�I OF•APPLICA is�Fi1?V1SiQNS t?F LAW. ATLANTIC BEACH BL JL0tNQ DEPARTMENT 4slk . BY:. r FM $10.n0 APPLICATION FDR 6JELL PERMIT CITY OF ATLANTIC WAC H PROPERTY OWNER j Nam:_ cr �� le" - XDay Phone, a Z Address c 'J 6 C,j v , 7�G^:7 e'`vh /�j.r�co Zip ,3 APPLICANT, IF OrM THAN OWNER Name: Z_ /iJ , (04///� ' Day Phone-2 l Address: /. 01 13 O x 5-611? �1�/ .v c_ /fir.u •c/4 Zip z 3 JOB Address or Location: -9 O �,; �,,,7�� .��A-1�, Legal Description: Is well to be used for drinking purposes? Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from.the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: I agree to cai, with regulations stated herein: 2- Date