28 Sherry Dr (vault) 2 JOB ADDRESS TYPE W01M
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CONSTRUCTION
tel 0 904.246.1833
A DESIGN BUILD COMPANY fax 0 904.247.3147
F L C B 0 0 6 8 3 4
june 16, 2003
Don Ford
Chief Building Official
City of Atlantic Beach
800 Seminole Rd.
Atlantic Beach, Florida 32233
RE: Permit# 03-00026118 Palms Inn Motel 28 Sherry Drive, Atlantic Beach
Mr. Ford:
Please attach this letter to the above referenced permit as an addendum to perform the
following additional work-
Location: The Washer/Dryer Room east of the Storage Room enclosed under Permit
#03-00026118.
Scope of Work: Construction of a 7' long by 7' high wood framed wall designed to
separate the existing Washer/Dryer space from a newly created Ice Machine space.
Note: This work includes a plumbing drain line and water supply by Christy Plumbing.
Christy will be acquiring a separate permit for his work. I have advised Dr P that if any
electrical work (i.e. lighting fixtures, outlets, etc.) is done by him, a separate electrical
permit will probably be required.
When this is c�plete, we will request a final inspection for all work at the same time.
nCXX1
o A. Dow'L'
PREPARED 7/01/03, 8:49:19 INSPECTION TICKET PAGE 1
CITY OF ATLANTIC BRACH INSPECTOR: LARRY J HIGGINS DATE 7/01/03
------------------------------------------------------------------------------------------------
ADDRESS . : 28 SHERRY DR SUBDIV:
TENANT, NBR: REPLACE GARAGE DOOR
CONTRACTOR HEYWOOD A. DOWLING PHONE (904) 246-1833
/OWNER MEITZCHAILO, RICK PHONE
PARCEL 170702-0000- -
APPL NUMBER: 03-00026118 RESIDENTIAL ADD/RENOVATE/ALTER
------------------------------------------------------------------------------------------------
PHINIT: BLDG 00 BUILDING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESUPTS/COMMENTS
--------------------------- ------- ------------------------------------------------------------
13 01 7/01/03 L RAKING TIME: 17:00
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 7/01/03, 8:49:19 INSPECTION TICKET PAGE 2
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 7/01/03
------------------------------------------------------------------------------------------------
ADDRESS . : 28 SHERRY DR SUBDIV:
TENANT, NBR: INSTALL ICE MAKER
CONTRACTOR CHRISTY FIRST COAST PLUMBING PHONE (904) 247-4419
OWNER MEITZCHAILO, RICK PHONE
PARCEL 170702-0000- -
APPL NUMBER: 03-00026365 PLUMBING ONLY
------------------------------------------------------------------------------------------------
Pium PLBG 00 PLUNBIIG PERMIT
V
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026482 Date 7/11/03
Property Address . . . . . . 28 SHERRY DR
Tenant nbr, name . . . . . . SEWER IMPACT FEE FOR WSHR
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
MEITZCHAILO, RICK OWNER
28 SHERRY DRIVE
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit PLUMBING PERMIT
Additional desc . -
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 7/11/03 Valuation . . . . 0
----------------------------------------------------------------------------
Other Fees . . . . . . . . . SEWER IMPACT FEES 790 . 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 790 . 00 790 . 00 . 00 . 00
Grand Total 790 . 00 790 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
Jul 02 03 07: 13a Information S!Sst@ms 247-5845 p. 2
CITY OF ATLAA-MC BEACH
8W SEMINOLE ROAD
ATLA NTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-M
FAX(904)247-5805
SUNCOM:952-58M
http://ci.atlantic-beach-fl.us
Inc);
Date:
Q-3
Name: n,,
Address: ;z E (z/Z 'r
(j
j.-he cost to eormect to the City sewer and/or water system are as fbIlows:
Sewer Tap—Labor and Materials to tap into SeWCT main
(Estimate from Public Utilities) $
Water Tap—Labor and Materials to tap into water main
(From Ord.22-28)
Water Meter—Cost of Meter(85-00) $
Cross Connection Inspection—Inspection by Public Works
to insure backflow prevention
(35.00%"—Ord. 22-28(a))
Sewer impact Fees—Funds future expansion of the sewer
plant S 7�
(1250.00 each living unit—Ord.22-17-0)
Water impact Fee—Funds future expansion of the water
plant
(From Building Dept.—Ord.22-29 FLA_ Plumbing Code)
Capital improvement—funds for improvements,expansion
or replacement to water system
(325.00—Ord_ 22-28)
TOTAL COSTS S
DCr-/js
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
ISA
Application Number . . . . . 03-00026365 Date 6/24/03
Property Address . . . . . . 28 SHERRY DR
Tenant nbr, name . . . . . . INSTALL ICE MAKER
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
MEITZCHAILO, RICK CHRISTY FIRST COAST PLUMBING
28 SHERRY DRIVE P.O. BOX 50446
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 247-4419
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
---------------- - ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00 42 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TFIIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER- "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
? , -3 - 000 @6 ( IV
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Date: wi c/
Job Address: C) ker V-�A VIC— A, L ?Q4(4 CO�
Owner of Propertyq. ;c-L -Me 14-7--C, ty Telephone:
Plumbing Contractor:-d n�Inc,
_j
Contractor's Address-q, 0. 7:1�x- &A, 3 D,a q
Telephone: 0 L/ 7- 1/!� Fax: q- Wo&0
State License Number: C F CC S-6 LEY-7
How many of the following fixtures(re-piped or new):
Sinks Showers Water I cc4'� RA/_
Lavatory Water Heaters Hose Bib
-Bathtubs Dishwashers Sewer
-Urinals Disposals Other
-Closets —Washing Machine Shower Pans
-Floor Drains Re-Pipe(List fixtures being re-piped)
Total Fixtures: x $7.00 + $35.00 (Minimum Permit Fee:SM.00)
Signature of Contractor:
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)247-5826
800 Seminole Road-Atlantic Beach,Florida 32233-5445
Phone:(904)247-5800- Fax: (904)247-5845- http://www.cLad2ntic-beach.tl.us R-4-A III AM
\j
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00027802 Date 3/01/04
Property Address . . . . . . 28 SHERRY DR
Tenant nbr, name . . . . . . 3ACKWATER VALVE
Application description . . . PLUMBING ONLY
Property. Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY
Application valuation . . . . 0
Owner Contractor
------------------------
--------- ------- ----- ---
THE PALMS INN CERTIFIED PLUMBING CONTRACTORS
28 SHERRY DRIVE 551 CHATHAM ST
ATLANTIC BEACH FL 32233 JACKSONVILLE FL
JACKSONVILLE FL 32205
(904) 384-4101
---------------- - --------------------- ------------------------ --------------
Permit . . . . . . PLUMBING PERMIT
Additional desc
Permit Fee . . . . 42 . 00 Plan Check Fee .00
Issue Date . . .I, . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00 42 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TFIIS 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 TIES PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
A,
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
OEM
Date: ?-/- 6L/
Property Address:c?� 3 S�e_ /1 61)"
Telephone 4:
Owner:
Contractor:61 e-e- Telephone #: -179 V_Wd
Contractor Address: /5-W Fax fd�- 7V
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 Atlantic Beach
ordinance and standards of good practice listed therein.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other construction is being done on this building or site,
L3 New list the building permit number:
9-- Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Other
Fees
Permit Issuing Fee: $35.00
Total Fixtures: X $7.00 + $35.00
800 Seminole Road - Atlantic Beach, Florida 32233-6445
Phone: (904) 247-5800- Fax: (904) 247-5845- http://www.ci.atiantic-beach.fl.us
CITY OF ATLANTIC BEACH
BUILDING AND PLANNING
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
FAX:(904)247-5845
http://ci.atlantic-bcach.fl.us
Ms. Ellen Knoechel, Manager
Palms Motel
28 Sherry Drive
Atlantic Beach, Florida 32233
Dear Manager,
I performed an inspection at the above address on February 4, 2004 after a complaint
from the manager pertaining to a sewer line back up into the building. The sewer line
leaked and allowed "gray" water to flood the storage room on the Northwest side of the
building.
Per Section 3406.1 of the Standard Building Code, all drain lines must be water tight
and withstand a head pressure of 5' above the highest port of the drain system. As of
this notice you are required to have the drain line repaired and inspected by the City of
Atlantic Beach Building Department. The line must be repaired within ten days of
receipt of this notice.
Sincerely,
C
Don C. Ford, C B
Building Official
Certified Mail/Return Receipt
Cc: City Manager
Human Resource Manager
03/25/2002 19:04 2293865320 SUNSHINE STATE HOLDN PAGE 01
Sunshine State Holdings,LLC
19 $pinks Drive
Tifton,Ga.,31794
229.391.9931
March 25, 2002
City of Atlantic Beach
Building Inspection Department
Fax 904.247.5845
Dear Sir or Madam:
Re� The Palms Inn—28 Sherry Drive, Adantic Beach
Please be advised that I have changed my general contractor to Todd Sloan of Ikena Construction. You are
hereby authorized to discuss the above captioned property with him.
Sincerely yours,
ard Pi Jlo MGR
RECEIVEW"
tvi 2 � -�ft4lm!?
City of Atlantic Beach
Building, and Zoning
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026118 Date 5/23/03
Property Address . . . . . . 28 SHERRY DR
Tenant nbr, name . . . . . . REPLACE GARAGE DOOR
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY
Application valuation . . . . 2490
Owner Contractor
------------------------ ------------------------
MEITZCHAILO, RICK HEYWOOD A. DOWLING
28 SHERRY DRIVE 241 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 246-1833
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 45 . 00 Plan Check Fee 22 . 50
Issue Date . . . . Valuation . . . . 2490
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 45 . 00 45 . 00 . 00 . 00
Plan Check Total 22 . 50 22 . 50 . 00 . 00
Grand Total 67 . 50 67 . 50 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TIES 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 TIES PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
v-
CITY OF ATLANTIC BEACH
PERMIT CALCULATION SHEET
Date:
Address C 6 3 r, -4,39r,
&
Heated Square Footage @ $ per sq ft= $
Garage Shed @ $ per sq ft= $
Carport Porch @ $ per sq ft = $
Deck @ $ per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION: $
Total Valuation
ist $
Remaining Value $ per thousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $
ZONING: X, + 1/2 Filing Fee $
FLOOD ZONE: gZ C, ( ) Fireplaces@ $35.00 $
IMPERVIOUS SURFACE:
BUILDING PERMIT FEE $
WATER IMPACT FEE $ 0-
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT$
SEWER TAP $
C ( ) RADON HRS .0050 $
SECTION H PAVING ( ) $
CROSS CONNECTION $
ST( ) SURCHARGE
OTHER
GRAND TOTAL DUE:
1/13/03
ov q CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE: (904)247-5800
FAX:(904)247-5805
SUNCOM:852-5800
http://ci.atlantic-beach.fl.US
I PLAN REVIEW COMMENTS
Permit Application # C,5-
Applicant: e v i-r 9 nc)
ss. -rrL4 Dr
Addre, �5 hi
Project: CC aint e�g C,r r4^,T,tf -f�QY41a- 5
W/your application is approved S'/� 2-1 0 3
cg,' Your permit application has been reviewed and the following items need
attention:
Please re-submit your application when these items have been completed.
Reviewed by I . F') 'r-0
Signed L , L Date -2- ( —2
Contractor Notified Date
R E C E I V E D
C17Y OF ATLANTI` BEACH
BUILDING &ZONING
CITY OF ATLANTIC BEACHF
BUILDING PERMIT APPLICATION MAY 2 0 2003
(ALTERATIONS/ADDITIONS)
By�
ate:
Job Address:
Owner of Property:
Address: "-7 K if/x=m Telephone:
Legal Descripti n: ock Number- Lot Number: Zoning District:
Contractor: IY1,40W State License Number:
29
Contractor's Address: "a;
Telephone: 9d1AV Fax:
Describe proposed use and work to be done:
16
BUILDING OFFICE
Present use of land or building(s):
Valuation of proposed construction: AAY 2 2 2003
What are the dimensions of the added space: feet x feet
Will the added area be heated and cooled? New electrical or increase in service4l AZ
New plumbing fixtures? h/ New fireplace? IC16 New heating/air conditioning? Z2 e?
Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application.
Will thi r ect involve changes in elevation,site grade or any use of fill material or the removal of any trees?
��NO.oj Applicant certifies that no change in site grade or fill material will be used on this project.
F-1 YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
[3"N-0. Applicant certifies that no trees will be removed for this project.
YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (If not required, written verification must be provided with this application.)
The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,Fl, 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic
Beach City Hall,800 Seminole Road,Atlantic Beach,Fl, 32233 Telephone:(904)247-5826
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us
Page I Revised 1/14/03
In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify
any existing structures and uses.
3. If required by the Department of Public Works,a pre-construction topographical survey.
4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming I
may be excluded from total Impervious Surface. 86AV M��,'
6. Other information as may be appropriate fn ications. L4 10
,O�7
I hereby certify that all infopmation pro ed t app is co
Signature of owner: Date:
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and
ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the prov' ions any fie al,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the per of co ion roper"derstand that the issuance of this permit is contingent upon the
of
above information being true d th e pl and ng data have been or shall be provided as required.
Signature of Contractor: Date:
Address and contact informatio person to receive Ullorrespondence regarding this application (please print).
Name:
Mailing Address:
Telephone: E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this A0 eA day of 2003 .
State of Florida,County of Duval
Notary's Signature:
V.14,01S MAII KING
MY COMMISSION#DD 095080 Personally known
EXPIRES:March 31,2006
d D"froduced identification
BMXW RNU Not"PLUic Undembrs Type of identification produced A.
AS TO CONTRACTOR:
Sworn to and subscribed before me this cQ0 day of 2003.
State of Florida,County of Duval
Notary's Signature: bAMA41��,_
/ U
MAUREENIONG
,w-rw,
DJ'Personally known
MY COMMISSION#DD 095080
r_1 Produced identification
EXPIRES:March 31,2006
Bw&d Thm NotW PWft UM&~ Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us
Page 2 Revised 1/14/03
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826- Fax: 247-5877
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
-Permit Number: 20465 Address: 28 SHERRY DRIVE
Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: REPAIR Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section: 0
Square Feet: Subdivision: ATLANTIC BEACH
Est.Value- Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 8/08/2000 Name: KERMIT BAER
Total Fees: 25.00 Address: 28 SHERRY DRIVE
Amount Paid: 25-00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 8/08/2000 Phone:J904)?44-9185
Work Desc: CO—RRECT CODE VIOLATIONS
AFiPLICATION FEES
CONTRACTOR(S)
25-00
–MC—CLURE ELECTRIC SERVICE
Inspqctions Required
F-IN—AL ELECTRIC
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 PAY-ING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. --
$25.00 14
Receipt; 0079140
Date: 8/09/00 01 11888
T. CHECKS
CITY OF ATLANTIC BEACH, FLORIDA
Approv*d by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:— 0
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
E - k� o
ne-lu� VV\E - ?_Y-0
ELECTRICAL FIRM: MASTf4EgfETRICIAN SIGNATUR JOURNEYMAN
N
NAME P-Olklill-S. /)1Q Lel —ADDRESS: '02.9 jD1_, — - RFD—BOX
BLDG.SIZE BETWEEN:
RES. APT. ( COMM. PUBLIC INDUS. NEW ( OLD REW.
ADDITION ) TRAILER ( TEMP. ( ) SIGNS ( ) SQ. FT.
SERVICE: NEW ( INCREASE ( ) REPAIR')� FEE
CONDUCTOR SIZE AMPS COPPER ALUNIJ
SWITCH OR 13REAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE 2Z� AM PH 4- W 26S VOLT YRACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0-39 AMPS. 31.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 1, 1*101) AIP9* OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS No. I Ii.p. VOLTAGE PHS
MISCELLANEOUS I
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA 11NO. IKVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE I SWIT FLASHER
EACH SIGN I I I
FORWARDED
TOTAL FEESJ.J6'�_C,��7
PSR-3844 9283
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
--- PERMIT INFORMATION ------- LOCAT10N INFORMATION ------ -
..rmit Number: 9283 -idress : 28 SHERRY DRIVE
Permit Type : RE-ROOF ATLANTIC BEACH . FLORIDA 32233
-------- LEGAL DESCRIPTION ----------
ass of- Work* NEW Section:
onstr .. Type : WOOD FRAME Block:
I .-rop.osed Use: SINGLE vFAMILY Township : RNG* I?
�,Te 11 ings : I Code , n bAivision: ATLANTIC BEACH
t i ma t ed value: $5000 .00
Improv . Cost ' 50 , 000
Total F� $22 . 50
'-)WNER !NFORMATION ---- APPLICATION FEES
Name , --kSRMIT BA'ER PERMIT
29 SHEFRY ,L)RIVE WATER TMP'I�T FEE
ATLANTIC BEACIR FLOR_! �_. SEWER TMPA,"T FEE
�hone ! f904) 744--'-11�1�5 WATER METER/TAP 30 .00
RADON GAS-H .R . S . $0 . 00
------ CONTRACTOR 1NFORMATI1 RADON CAB 5% S0 .00
. Name— ST.-JOENS ROOFING CAPITAL IMPROVE . $0 .00
ddress : 1742 KING ARTHUR ROAr SEWER TAP �O , nn
-, -F FL CROSS CONNECTION 50 �
T-! $0 �0
_qKSONVIL1
SEC H IMPACT FEE
' CONST. SURCHAROE
T-7 n r -r-
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
/" - I I,
By:
CITY OF ALANTIC BEACH
ROOFING PERMIT APPLICATION
owner(s) :
Address: ---�Phone:
Lot # Block or Unit # Subdivision:
Contractor: -S
Address:
City, State and Zip 1AC t-5'*'j'1 Phone
State License # RC (D05-oq/�
Describe work to be performed: Ac 960i� 5H, G)c
Valuation of Proposed Construction:
Materials to be used:
Signature of Owner;
Signature of Contractor:
Liability Insurance Supplied
Workers Compensation Insurance Supplied
License Information
3 03 A 44
kv, tsz jy Qt shtr_zj 14(t
95"1 .4/
rY OF ATLANTIC BEACH
7 076 2 — c000
SPECIAL INVESTIGATION
TO BE FILLED OUT BY COMPLAINTANT
vs,
DATE J6 - d3
ADDRESS g) s d?a? jQ M60
LOCATION PqlM J t7l
COMPLAINT IQ 14 rAQ;Al 4, :UdS�
I r
OWNER OF PROPERTY
'o
SIGNATURE OF COMPLAINTANT PHONE #
---------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
DATE OF INVESTIGATION INVESTIGATOR
CONDITIONS FOUND
ACTION TAKEN
COMPLIANCE
NOTES:
I
CITY OF
4&4at4c Beaz-4-&7&Uc&
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received P.M. District No.
JobAddress Locality
Owne
Name"A-�—) Contractor czogz:::�
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 0 Footing El Rough Wiring 0 Rough 0 Air.Cond.& Cl
Re Roofing 0 Slab D Temp Pole U Top Out 0 Heating El
Fire Place
Lintel El Final X Pre Fab
READY FOR INSPECTION A.M.
T'4 �11
Mon. Tues. Wed. ur Is. J P.M.
/ S — ,KIV.
inspection Mace A 15—M.
Final Inspection�7
Inspector C
Certificate of Occupancy
Date
CITY OF ATLANTIC BEACH, FLORIDA 1z)q
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
A
JOURNEYMAN
MA&Ta ELECTRI AN SIGNATUR
�?L'ECTRICAL FIRM'
NAME ADDRESS: —RFD_BOx_
BLDG.SIZE BETWEEN:--
RES. APT., comm. ( PUBLIC INDUS. NEW ( I OLD ( REW.
ADDITION ( TRAILER ( TEMP. SIGNS I I SQ. FT.
FEE
SERVICE: NEW( INCREASE ( REPAIR
CONDUCTOR SIZE AMPS COPPER ALUMJ
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OP N I ""'.
RECEPTACLES CONCEALED OPE ITOTAL
0.30 AMPS 31.100 AMPS
SWITCHES
INCANDESCENT
FLUORESCENT&M.V. OVER
FIXED 0.100 AMPS. BELL TRANSF.
APPLIANCES
AIR H.P. RATING H.P. RATING CEIL HEAT: KW-HEAT
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS
0-1 OVER
MOTORS H.P. —VOLTAGE PHS No. I H.P. VOLTAGE EPHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO.--- KVA
N EACH SIGN NSF_ J MA. M SWIi
0. NEON TRANSF. NO. VA. OTOR SIZE SWITCH FLASHER
FORWARDED
I TOTAL FEES
2;
CITY OF
716 OCEAN BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
-2395
TELEPHONE(904)249
CRS 01-180
October 31 1989 Lots 851-854, Saltair III
Pis. —Leah—H.— Baer ———————————
28_SherrK_q_r�:iyt............
Atlantic Beach, Florida 32233
Dear Atlantic Beach Resident,
We have determined that the following conditions exist on your
property, constituting a violation of Section Twelve of the
Atlantic Beach Code of Ordinances:
11 Junked and/or inoperable motor vehicle(s)
11 Weeds and/or grass above twelve ( 12" ) inches
I X_X I Trash, garbage or debris in yard
11 Unsafe building or structure
lx_� Outdoor storage of icebox, refrigerator,
stove, glass, building materials, etc.
11 Improper storage of recreational vehicle
11 Other; couch, hotwater heater, consLruction debris
-
-------- --�eTiii a
improperly storea
Please take appropriate steps to correct the above conditions
within seven (7 ) days from the date of this notice. If you have
questions regarding this notice please call our office.
Thank you in advance for your cooperation.
CITY OF ATLANTIC BEACH
CODE ENFORCEMEHT OFFICER
RESOLVED
AV
CITY OF ATLANTIC BEACH
SPECIAL INVESTIGATION
To be filled out by conplainant
DateZL,
Address !S�
Location S All 42 77��,/—
COMPLAINT
a,'7�0
Owner of Prop erty—p—.I—q
-3 7/
S19&MPE-OF 00�TLAINANT Phone #
--------------------------------------- -------------------------------------
for office use
Date of Investigation Zja/
investigator
Conditions Found
Z4
Action Taken
Conpliance
NOTES: �7e�
C,:51 7e9 70 2-
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5825-Mit 247-5877
PERMIT INFORMATION LOCATION INFORMATION
-O-ermit Number: 24082 Address: 28 SHERRY DRIVE
Permit Type: TREE REMOVAL ATLANTIC BEACH, FL 32233
Class of Work: REMOVAL Township:- Range: Book:
Proposed Use: SIGN Loi Block: Section:
Square Feet: Subdivision: ATLANTIC BEACH
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 5/13/2002 Name.. SUNSHINE STATE HOLDINGS
Total Fees: Address: 19SPINKSDRIVE ,
Amount Paid: TIFTON, GA 3179.4
Date Paid: Phone: . (000)000-0000
Work Desc: TREE EMOVAL
CONTRACTOR(S) APPLICATION FEES '
PROPERTY OWNER
2
W
...........
wi�.
Sze,
F"A
10
..........
'jig0
'W
_03
09*5 END=
Vim,
t
TL_
OCR
NQ
4�
21-
ION
NOT[
SPACE,AND
UATEF8
UA. E -R
.. ..............
BUILDING
MUST BE CLEA t
"FAILURE TO C HE-.
PROPERTY OW
r
ISSUED ACCORDING TO ECT TO REVOCATION
FOR VIOLATION OF APPLI
.ATLANTIC BEACH 13UILDIN,G Di
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
8W SEMNOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826 4AX 247-5877
PERMIT INFORMATION LOCATION INFORMATION
it,Number: ' 24082 Address: ' 28 SHERRY DRIVE
Permit Type.� TREE REMOVAL �kTLANTIC BEACH, FL 32233
class'
of Work: REMOVAL Township:- Range: Book:'
Proposed Use: SIGN
Lot(s): Block: Section:
Square Feet: Subdivision: ATLANTIC BEACH
EsL Value: Parcel Number:
.Improv. Cost: OWNER INFORM
ATION
Date Issued: 5/13/2002 Name: SUNSHINE STATE HOLDING9
Total Fees:
Address. 19 SPINKS DRIVE
Amount Paid:
TIFTON, GA 31794
Date Paid-- Phone: .(000)000-0000
Work Desc: TREE REMOVAL
CONTRACTOR
AS) APPLICATION FEES
PROPERTY OWNER
,No-072_W..
3
Ai AW
1_00_-W-
Y2 g
Ow"S
r__L I-
NN
BUILDING MATE
MUST BE CLEAR
01
11FAILU
RE TO C
PROPERTY OWN Ilk
HE
ISSUED ACCORDING TO TO REVOCATIr ON
FOR VIOLATION OF APPLI
�1 rw
-ATLANTIC BEACH UILDING DEPT.
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
8W SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-IMS-FAK 247-W77
PERMI
FORMATION LOCATION INFORM—ATION
Permit Number: ' 24082 Address: .' 28 SHERRY DRIVE
Pennit Type- TREE REMOVAL �kTLANTIC BEACH, FL 32233
Class of Work: REMOVAL - Township:- Range: . Book:"
Proposed Use: SIGN
Square Feet: LI Block: Section:
Subdivision: ATLANTIC BEACH
Est Value: Parcel Number.
Improv. Cost:
OWNER INFORMATIQN
Date Issued: 5/13/2002 Name: SUNSHINE
Total Fees: STATE HOLDINGS
Address: 19 SPINKS DRIVE
Amount Paid:
TIFTON, GA 3179.4
Date PI
Phone: .(000)000-0000
Work Desc: TREE-REMOVAL
CONTRACTOR(S) . APPLICATION FEES
PRODtR IIIIIIER
0 :=
.,9_1
- -------------
§ I W-15,
R ®R
IRW
7, i�
NOT _W"ION
NO
MI
G MATE
BUILDIN
SPACE, AND
MUST BE CLEAR
k,50,14`80 15
"FAILURE TO C
PROPERTY OWN
ISSUED ACCORDING TO RMT'll
FOR VIOLATION OF APPLI ECT TO REVOCATION
C 4 -
.ATLANTIC BEACH 13UILDING DEPT-
�',:B-21-,2000 09:500 FROM:THE F'RLM INN 9042411585 TO:10106Z6150'3271140:� P:3/6
Jan 30 02 12:24P mnUREEN KING 904 247 5846 P-:3
C OF ATLANTIC BEACH
C1�1
TRE. REMOVAL APPLICATION
All ap2lications must be submitted witb seven (7)conjes and re�ceivej by 5 PIM on t e Fiidav le
(IU)d s priQrtofhe--�,cheduledme;.�np-in ordcrtobej?1aqedQz1 the agenda.
*INCOWLETE APPLICATIONS OR MA!CCURATFLY MARKED SJTES
3�2--LL NOT BE PROCESSED.
M 5herr Drive
1. Pal T Y)n--a±-Lay)f1'r 9each -'Fi I 0q -Aq 1 -1-71
APPUCANT NA2VG ADDRESS I TELF-P�IONE
3; 3 3
2. 1 bcafcj SC�61 boLuAcitu �Incpf--&j
ADDRESS OR LEGAL DESCAPTIUN OF IREE REMOVAL SrFE
3.REASO'.N FOR PROPOSED TREE REMOVAL: pa�l of for,'Oac fe flpe-
U)'p T)')t a�I o w o-d qctC�) -�e jL)
4.HAS TIUS SITE BEEN TO U�E TREE BOARD BEFORE? 0 YES 0 NO CK NOT SURF
1.PROPERTY ZONING- 0 RESIDENMAL M CONLINfERCLA.L
6.LIST TREES PROPOSED FOR REMOVAL:
DLAMX,TER DLAMETER
SPECLES M1TIGATION
IN'TE-RJOR EXTERIOR
C-W&T
mECEIVEU
I Lill 15 21010121
d1Diameter at Breast Height(D.B�R.)is measured at 4.5 reet 2bOVe grade. Tio accurately determine
ameter,me2sure the trunk circumference and divide by 3.14. Diameter of multi-trunked trees@jty of Atlantic BeaCh
determined.by adding together the diameter of eacb trunk as measured immediately 4D
forks. abovethe Building and Zoning
FEB-Ek-2000 09:50A FROM:THE PRLM INN 9042411585 TO:101063615092711403 P:5/6
Jan 30 02 12:25p MAUREEN KING 504 247 5846 p.5 1��6
TREE PROTECTION
PRIVATE PROPERTY LINE
PROTECTED
ojREE 20.00*
--------- _H_�E�_OR MORE
PRVATr
PRO-fF*CTEo
TRZE
PRIVATE PROTECTED TREE 10
PROPERT-Y
LINE
Ic
H OF 20- OR MORI; LLJ
PROPERTY
LINE
0 0) B H OF 10- OR MORE IN
7: COMWERCIAL & INDUSMAL
PR:VATt-
PROPERTY)
PRO TECTED
0=1 TREE I
rr�
—------------
PRIVAir PROTECTED TREE
D 8 H OF 6' O.R M ORE T
PROPERTY 2Q-oo'
LlNr PROPERTY LINE
*R
�51DEWALK
SIDEWALK
PUE3UC PRO-jECTED TREE
D 0 H OF 6' OR MORE
'!""ElYALK
ZPUEE13LJ PRO' CTE REE
1):H!0:F67 0 R MORE
(PUE?LIC STREET) (Pueuc STREET)
A. PRIVATE PROTECTED TREE
1. ANY TREE V47H A D 5 ki OF;
SIX (6) INCHES OR MORE LOCATED ON ANY LOT VI-,-HIN TWENTY (20) FEET OF A STREET
RICHT-OF-wAy oR REAR PROPERTY LINE
SIX (6) INCHES OR MORE WITHIN SEVEN AND A HALF (7-5) FEET OF ANY OTHER PRIVATE
PROPERTY LINE ANO
TWENTY (20) INCHES MTHIN ANY OTHER PORTION OF THE LOT. (EXCEPT' 10- FOR COMME
CIAL & INDUSTRIAI� PROPERTY) R-
2- ANY CHAMP!ON TREE $0 DESIGNATE:1) 13y J'Hr
OF AGRICUL71URE, FLORIDA 0114SION OF FORESTRY. CaA.RTMENT
B- PUBLIC PROTECTED JREE
SAW' AS PRIVATE PROTECTED 7REC PLUS ANY TREE SIX (6) INCHES OR LARCER WI-XIN
CITY RiGHT-OF-WAY.
C. EXCEPTIONAL SPECIMEN TRZE
ANY TR�EE ON PRIVATE OR PUBLIC LAUD DESIGNATED 8Y TJ�E CI-,Y COUNCIL AS A SPECIMEN
TREE.
CITY OF
Office of Building-!"icciaal
'4
REQUEST FOR INSPECTI
Date Permit No.
Time A.M.
PM.
Received
Job'Addr Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL MECHANICAL
Framing Footing El Rough Wiring Air Cond. &
Re Roofing Slab E� Temp Pole j Top Out Heating
Insulation Lintel 0 Final E Sewer E Fire Place
Pre Fab
READY FOR INSPECTION Friday
Mon. Tues. Wed. (ZiD
7 A.M.
Inspection Made RM.
Final Inspection
OXInspector- Certificate of pancy E
Date
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
Date 12 Permit No. 13 5;-;, -0
Time
Received
40?
Jo ress
-M)77J Contractor
Owner's 46
Name
BUILDING CONCRETE ELECTRICAL PLUMBI rCHANICAL
0 &
Framing Footing Rough Wiring Air Cond. &
Re Rooting E Slab Temp Pole Top Out Heating
E- Fire Place
insulation 1—j Lintel Final Sewer Pre Fab
READY FOR INSPECTION
En Tues, Wed. Thurs. Friday
inspection Made Final Inspection F--,
lospector— Certificate of occupancy
L) Date
,n
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
Date 1c) Permit No.
Time A.M.
Received P.M.
__2 V(Z- -
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL El
Framing — Footing Rough Wiring F Rough Air Cond. &
Re Roofing — Slab Temp Pole E Top Out Heating
Insulation — Lintel Final E Sewer Fire Place
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. Friday—PM
A.M.
Inspection Made z— P.M.
Inspector Final Inspect t. ::)
CtaC7 C' Certificate of Occupancy F_j
Date
CITY OF
4&aa& BweA-0;&u-44
office of Building Official
REQUEST FOR INSPECTION
Date Permit No. is's
Time A.M.
Received PM-
7
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING, MECHANICAL
Framing 11 Footing El Rough Wiring ci (Z h- E Air Cond. &
Re Roofing 0 Slab E Temp Pole 0 Top Out &-- Heating
Insulation 11 Lintel 1:1 Final E Sewer El Fire Place
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed. T h:urs) Friday-PM-
It _
A.M.
Inspection Made P.M.Final Inspection 11
Inspector Certificate of Occupancy E!
Date
(2 ay�XCL .2 7 14 Y 0 -Y
C I
Beac.A-OM"
Office of Building Official
1,0 REQUEST FOR INSPECTION
Date Permit No. -0-����-bj
Time A.M.
Received RM.
,;2 q8r
C Locality
Job
Owner's SScr_� �Contractor
Name
BUILDING CONCRETE ELECTRICAL PLUMBING
Framing Footing El Rough Wiring E] Rough D Air Cond. & El
Re Roofing Slab El Temp Pole Top Out Heating
E nal sewer Fire Place El
Insulation Lintel 0- �< Pre Fab
REA�Y FOR WSPECTION
P.M)
Mon. Tues. Wed. Thurs. oFrd.yj
Inspection Made 0 f P-9.Final Inspection El
Inspector— Certificate of occupancy 0
Date
CITY OF
4&aodw BeacA-
Office of Building Official
fi
REQUEST FOR INSPECTI
Date Permit No. 62 34-1 - 3
Time A.M.
Received RM.
Job A
,0dr.. ocality
Owner's
Name
BUILDING CONCRETE ,.�ECTRICAL PLUMBING MECHANICAL
Framing 1:1 Footing El Rough Ej Rough El Air Cond. & 1:1
_7 _
2.
Re Roofing El Slab 11 Temp Pole 11 Top Out 0 Heating
Insulation El Lintel 0 Final 11 Sewer 0 Fire Place El
READY-EDR INSPECrION Pre Fab
Mon. Tues. Thurs. Friday
Af�-� A.M.
Inspection Made
Ins r— Final Inspection-,y1(
Certificate of Occupan 0
Date
co-ei q I - 7"? y 9
CITY OF J�;7
I _-e,).e--q
4&6*dw Be=A-A;&U-da
Office of Building Official
REQUEST FOR INSPECTI
Date S�43 —Cl2 rmit 9
Time - A,M. L., N Ko.
Received M
kye .0
Owner ss Locality
Name 1,PQ 0 Contractor
BUILDING CONCRET ELECTRICAL PLUMBING IVIECHANINCL
Framing 11 Footing Rough Wiring El Rough 0 Air Cond. & El
Re Roofing E] Slab El Temp Pole El Top Out 0 Heating
Insulation D Lintel U, Final El Sewer El Fire Place F�
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. Friday
A.M.
Inspection Made S n �Q�/ P.M.
2C —
Inspector— Final Inspection [I
Certificate of Occupancy r-i
Date
ED
UQ
7
W
EJ
4'. C)
Colo " 0
00
A
CL
CO
\4
<:7-) c OA
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000872 Date 6/17/09
Property Address . . . . . . 28 SHERRY DR
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
INSTALL EXTERIOR DOORS
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
THE PALMS INN CALL CONSTR.UNLIMITED, INC.
210 MARGARET ST.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00
Issue Date . . . . Valuation . . . . 1800
Expiration Date . . 12/14/09
----------------------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS.
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*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
------------------------------------ ----------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40 . 00 40 . 00 . 00 . 00
Plan Check Total 20 . 00 20 . 00 . 00 . 00
Grand Total 60 . 00 60 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH 09-
F7 ��o' 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
4&
BUILDING-DEPT@COAB.US
7-6 1,; BUILDING PERMIT APPLICATION DUVAL COUNW
1.JOB ADDRESS: 2.VALUATION OF WORK. 13,SQ.FT.UNDER ROOF
�-'C�� �'V-b F r 0c -$;1 1%Q,6- 1
4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE:
11 NEW BUILDING 11 DEMOLITION El RESIDENTIAL
LOT BLOCK-SUB DIVISION 11 ADDITION 0 CONVERTING USE MV'COMMERCIAL
7.DESCRIPTION OF WORK: 10 ALTERATION 0 ACCESSORY BLDG. &FIRE SPRINKLE5j
11 REPAIR 11 P3PL/SPA 0�E!S Pfi/A
0 MOVE 9315THER HrN
PROPERTY OWNER: CONTRACTOR: ARCHrrECT/ENGINEER-
9.NAME� 15.COMPANY NAME: 23.COMPANY NAME:
t^
16.NAME: 24.LICENSEE NAME:
q-to c It - -
10.ADDRESS: 17,STATE OF FLORIDA LICENSE NO.: -1k--"25.STATE OF FLORIDA LICENSE NO.:
2:5 , 31
)Oc� CRC tZ &
18.ADDRESS: 26.ADDRESS:
11.OFFICE PHONE: FAX NO.: 19.OFFICE PHONE: 120.FAX NO.: 27.OFFICE PHONE' 8.FAX NO.:
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE:
C�
14.EMAIL ADDRESS 30.EMAIL ADDRESS:
FEE SNPLE TrTrE HOLDER: 13ONDING COMPAN-�-' MORTGAGE LENDER:
(IF OTHER THAN 0ANER)
31.NAME: 33.NAME: 35.NAMEi
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
is
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
or
jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or
i]
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.
WAR14ING 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.
OWNER or AGENT CONTRACTOR
(If Agent,Power of Attorney Or Agency Ledeir RequireM (Qualifier Only)
Signed: Date: Signed: 11A Date: (k
_LICT'd
Bef�orme this JA; day of'-3 LC�� 2009 in the county Of Before me this ay of Eke 2009 in the county of
has personally appeared
Du tate of Florida,has personally appeared D al,State of Florida,
if ff, that all statements ujj�*~&%are
herin by_himself/herself and affirms that all state4nents and declarations are herin by himself/
true and accurate. true and accurate. A07 EY iiiIiiiiii,�j
NN
N t P blic at Large,State of Y-ar,County of Notary Public at Large,State of LAm
;Z� U'
r n.11y Known 11 Personally Kn-y(
Produced Ide4ificati
0 Produced Id i n-
Notary Signat
--------------- - -
LAUREN L.OWENS
Commission DD 820768 CITY OF AT- Al Q C BFAC
Wj Evres Novamber 3,2012 SEE PERMM FOR ADDITION,,%T L
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REOUIREMENTS AND CONDITIO J S
REVrEWED BY: DAM (�-16-63?
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norida Building Code Online
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Code Version 2004 FL# 6729.1
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Approved for use in HVHZ ALL Approved for use outside HVHZ ALL
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I FSZarcOh Results-Applications
TEL# Manufacturer Validated By Statu�
pe i
Plastpro Inc./Nanya Plastics Corp. L.F.Schmidt,
FL*: FL6729.1 P.E.
Model:a.Distinction Series (813)926-
Description:Up to TO x 6'8 Flush Glazed"Non-Impact"Fiberglass Single 6537
D"C
oor-X-Inswing or Outswing
C C.
ategory:Exterior Doors
S1 r Assemblies
S,
ubcateoory:Swh
DCA Administration
Department of Community Affairs
Florida Building Code Online
Codes and Standards
2555 Shumard Oak Boulevard
Tallahassee,Florida 32399-2100
(850)487-1824,Fay(850)414-8436
2000-2005 The State of Florida.All rights reserved.Gopyd hjAnd-D s aim_r
Product Approval Accepts.
lot 9/1 A111)('10
r3 City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 Ll
Phone (904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://viww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 6?�g Z�ry )Ie—, Department review required Yer/' No
I Building V
Applicant: Ll 6&5 7-rx 47—ty-) Planning &Zoning
Tree Administrator
Project: j:296 7722W !�Q( Public Works
Public Utilities
Public Safety
Fire Services
Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [PAPproved. ODenied.
(Circle one.) Comments:
�DIG
PLANNING &ZONING Reviewed by:--,17 Date: 6 -16, -0/
TREE ADMIN. 4z
Second Review: [:]Approved as revised. F�D/eniecl.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [-]Approved as revised. ODenied.
Comments:
Reviewed by: Date:
Revised 05114109
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
jilt
Application Number . . . . . 09-00000779 Date 6/09/09
Property Address . . . . . . 28 SHERRY DR
Application type description RIGHT-OF-WAY PERMIT
Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
paver walkways no paver in ROW
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
THE PALMS INN OWNER
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . DRIVEWAY PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/06/09
----------------------------------------------------------------------------
Special Notes and Comments
Must uncload pavers on Sturdivant -- cannot block Sherry
Drive.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FEB-2�-'2000 09:51R FRON:THE PHLM IW 130,42411535 TO:101063615092711403 P:6/6
MAP SHOWING BOUNDARY SURVEY OF
LOTS 851. 852, 853 AND 854. SECTION NO. 3 SALTAIR . AS RECORDED IN PLAT BOOK 10, PAGE 16,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTEFIED To.
LEAH H.BAER
SUNSHINE STATE HOLDINGS,LLC
COMMONWEALTH LAND TITLE,INSLMANCE COMPANY
PONTE VEDRA TrFLF,LLC
S'rUDi VAV-r
fOUNO 3/4-OZON PtPE (50-0. A VENUC
NO JOEMBFICATION Rfc4fr
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LOT 852
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S 87-,35,33. -7— — -- — — —6.1
99.78 Teet . .
0.4'
LOT 955
104"
NOTES, ACCEPTED BY.
LEGEND:
= RAINU5 —X—X– FENCE
. UNGTH (S - CONCRETE
City of Atlantic Beach APPLICATION NUMBER
(To be assigned b the Building Department.)
Building Department
800 Seminole Road
X Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 - Fax(904)247-5845
o",19 E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: J1 JlYfry _,D-/'V-6 Department review required Yes No
J —?
Building
Applicant: Planning &Zoning
Project: Public Wor��
67MI'ittes
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
—of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: XA
_ �pproved. Jbgrnied.
(Circle one.) Commer: #\I-, L 0
S o- V�
BUILDING C/0*�17_ r�'X
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: FlApproved as revised. [-]Denied.
PUBLIC WORKS Comments: LO
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [-]Approved as revised. F-]Denied.
Comments:
Reviewed by: Date:
Revised 05114/09
CITY OF ATLANTIC BEACH
CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
904-247-5800
...... 800 Seminole Road
Atlantic Beach, Florida 32233-5445 Fax 904-247-5845
PLEASE SUBMIT(3) COMPLETE SETS OF PLANS WITH APPLICATION.
Date -UZ)rve_ Z�rp zaa5 FP�EIRMIT#
ISS
Job Address ISSUED BY THE CITY
Permitee: A 1171A Telephone# cxlv� -Z-pa;-to N14f
4
Permittee Address: t-1-7 .S ��kVI;L MCA*C SJ P_ L11 I!&C S(
Requesting Permission to Construft . L.Q"%^&A SC)Q S 5-g P"_N,,1CCV_ Lrk QQQ V�V�
Location: (Reference to Cross-Street)
1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities,
both aerial and underground and the accurate locations are shown on the sketches.
A Letter of Notification was mailed to the following Utilities/Municipalities:
Jacksonville Electric Authority Yes ( ) No ( ) Date:
Bell South Telephone Company Yes ( ) No ( ) Date:
Ferrell Gas Yes ( ) No ( ) Date:
Comcast Yes ( ) No ( ) Date:
2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation,
alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public
Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized
hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as
required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is
authorized.
3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be
performed under the supervision of "gnf%j SAIQ%\e, (Contractor's Project
Superintendent) iocatedattl-IS SPA�- Telephone#:CkZ%
4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee.
5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications
and the manner satisfactory to the city. shall be made a
6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey iA
,ty
part of this permit. Calculations showing anv increase in impervious area on owner's lot or in the ( L
Right of WaV are to be included with this application. -1 days. If the beginning date is C
7. This permittee shall commence actual construction in good faith with
more than 60 days from date of permit approval, then permittee must review the permit with the Director of
Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 6'1 4)
8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the
City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all
times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and
against any and all loss, damage, and cost of expenses arising In any manner of the exercise or attempted -S-LA
exercises by'the holder of the aforesaid rights and privileges. in
9. The Director of Public Works shall be notified twenty-flour (24) hours prior to starting work and aga
immediately upon completion.
OWNER
Signed: IS
Date:
-Af. Eval
day of A-1% in the Lul n Sy v a 1, SHIRLEY I
Before me th/ C State of Flo6da
y a red Notary Public
State_Q�-�i a,-bas personall
at _=MYC issior ires Feb 14,20`10
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CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
Lj
800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Address: - 2 8——S HE kR--Y DR I-`VE
Permit Number: 20465 ATLANTIC BEACH, FLORIDA 32233
Permit Type: ELECTRICAL Township: 0 Range: 0 Book:
Class of Work: REPAIR i Lot(s): Block: Section: 0
Proposed Use: I Subdivision: ATLANTIC BEACH
Square Feet: Parcel Number:
Est. Value:
Improv. Cost: 6W—NER-INFORMATION
Date Issued: 8/08/2000 Name: KERMIT ER
Total Fees: 25.00 Address: 28 SHERRY DRIVE
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 8/08/2000 Phone: (904)744-9185
Work Desc: CO—RRECT CODEVIOLATIONS - -
APPLICATION FEES
CONTRACTOR(SI —25.00
PERMIT
M-C—CLOR�E ELECTWIC7 SERVICE
ln"Actions _jui 8d
-14114A—L—E-L—ECTRIC Re re
L
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
'JOINSPECTION
go 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.
ATLANTIC BEACH BUILDING DEPT.
14 t
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CITY OF
800'SE-MINOLE ROAD
ATLANTIC-BEACH, FI.:0'RLDA j2233-5445
TELEPHONE.(904) 2,1�7-5800
FAX-(�04) 247-5805
S C - 2-5900
U�I'OW85
DATE
JEA Construction & Maintenance
2325 Emerson Street
Jacksonville, FL 32207
Attention, Connie
Re- Final Electrical Inspections
Dear Connie-
Final Inspections on the following locations have been completed and approved-
PERMIT NO. A �ESS
Please call me at 904-247-5826 if you have any questions.
Sincerely,
ATLANTIC BEACH BUILDING DEPARTMENT
gIVERCITY ELECTRIC
2 8 2 5 9 0Uybay R Oa& R
0 ra*,,g�pa*-k/, FLcr6ds/ 3 2 0 7 3
(904)278 -4904 City ot AtianLiC Beach
S.0 *EC568
09-1pWiing and zoning
CITY OF A71AN771CBEACU
BUILDIW DFPART'MANT' 'RE:PERMIT'*24331 -28 Sf(FRIZYDR.
800 SFMINOLFROAD
ArLAN'r1C BFACf(, FL. 32233 ATLANT'1C BEACY,FL. 32233
ATTN. MR. FORD T-f MP POWERRF(2UEsT-
DFAIZ SIR; TW 7T
WE ARE REQUEST-1W TWAr TTMPORY POWEIZ FOR F A13OVE ADDRESS LIS D 13F CU7-ON FOR
A PERIOD OF TWIRTYV(30)DAYS FOR TES-rINQ AND MAIN'r- WE ACK.NOWLFD(�F,8Y OUR
Sl(�NATURF BELOW TWAr WE WILL BE IZESPONSIBLE FOR ANYTWINC4 TWAT'MAY OCCURDUF 7`0
TWE FNFRGi1ZINC4 OF SERVICE PRIOIZ T'0 TWE FINAL FLECTRICA L INSPECT-ION A NE) T-RF
APPROVAL COMPLFT'ION OF TWIS PR0JFCr-
limm R. cook
ir OWNER
APPRoVED
Cily OF ATLANTIC BEACH
BUILDING ()FFICE
Lj
im SEP 1. 9 2002
City of Atlantic Beach
Building and Zoning
01/26/1994 19:51 9042784904 RIVER CITY ELEC PAGE 01
izlvfFclTy ELECTRIC
2825 ffaUybv%,y F-ca&
Ora*Ao,e.,Pcwkl, P,&Kd4w32073
(904)278 -4904
S.0 #EC568
09-15-002
CITY OF ATLANnC BEACH
3WLt)IN4 MPARTIA"Nr
800 SEMZWLE ROAD 917:PERMIT#24331 -28 S14ERIZY VIZ.
ArLANTICSFACK FL. 32233 AMANTIC SFACH,FL. 32233
A7TN. MR. FORV TTMP POWER IZEQUF-ST-
tWA It S Z%,'
W ARE REQUESTTW TwAr TrmpoRy Pow" FOR ThE A15OVE ADVRESS L15TFV'Bf CUT ON FOR
A PERIOD OF rfUltTW(30)DAYS FOR MTINQ AND)4AINr WfACXNOWLFVaBYOUlZ
SIQNATUIZE VELOW TwAr WE WILL ISE RESPONSIBLE FOR ANYrf(INQ T!HAr MAY OCCUR DUE TO
TwE fNvRqzzrNG OF S"VICE PRIOR 710 TWE FINAL CLECMICAL INSPEC rION AND 7-HE
APPROVAL COMPLMON OF TWIS PROJECT.
00
J494iN R. coo
OWN"
01/26/1994 19:51
COVER PAGE
TO :
FAX : 19042475845
FROM : RIVER CITY ELEC
FAX : 9042784904
TEL : 9042784904
COMMENT :
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5M-FAX: 247-5877
PERMIT INFORMATtQ—N LOCATION INFORMATION
Numbe�r24019 Address: - ��HERRYDRIVE
Permit Type: REMODELING ATLANTIC BEACH, FIL 32233
Township: Range: Book:
Class of Work: REPAIR Lot(s): Block: Section:
Proposed Use: SIGN Subdivision: ATLANTIC BEACH
Square Feet:
Est. Value: Parcel Number:
OVVNER INFORMATION
Improv. Cost: OLDINGS
Date issued: 5/06/2002 Name:
Address: 1-9 SPINKS DRIVE
Total Fees: 156.00
156.00 TIFTON, GA 31794
Amount Paid:
Date Paid: 5/06/2002 - Phone: (000)000-0000
EEEP;i��!!;f�JCRM., CONCRETF_WALL,.N OR
-9�B, C�ONCRETE il�l, ij,
Work Desc: NEIM
APPLIC ONTEES
N15&.00
WR—MSTRONG CONSTRUCT10N jgERMIT ,
-Alk
PEE,*
K�
Mv.
M�
0
Up mh-
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gg
ION
91
NOTIG
Fill—
SPACE, AND
BUILDING MATERI,
MUST BE CLEARE
HE
"FAILURE TO CO
PROPERTY OWNE
ISSUED ACCORDING TO AP BJECT TO REVOCATION
LICA
FOR VIOLATION OF APPLICA
..................----------------
OC Drawer: I
Oper—THERYLE Type:
-Receipt no: 55713 .
Date: 5/07/02 01 :
. .14 PERMITS-BUILDING 1 $156.00
TIC BEAC UILDIN DEPT. 991W03221000
28 SHERRY
CK CHECKS 5834 $156.00
ffffi 856; 5/17/02 Tine: 15:95:46
04
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address— ;2y Dfz-, (�Mls'elfulwfm)j
Date
Heated Square Footage @ $_per sq f t = $
(:Fr:ag)/Shed.CSZA 6 @ $ per sq ft = $ S-6 0 0
Carport/Porch @ $_per sq f t = $
Deck @ $_per sq ft = $
_a�ti o @ $ per sq ft = $
TOTAL VALUATION : s
F;- 9 C - $
Total Valuation 1st $ q0
Remaining Value $S-�-ci-) per thousand
or portion thereof
TOTAL BUILDING FEE
+ 1/2 Filing Fee s 62
Fireplaces @ $15 . 00 $ 6
BUILDING PERMIT FEE s
WATER IMPACT FEE $
'peo'ki SEWER IMPACT FEE
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
) RADON (HRS) .0050 $
SECTION H PAVING $
HYDRAULIC SHARES
CROSS CONNECTION
SURCHARGE . 0050
OTHER
GRAND TOTAL DUE
ADDITIONAL PERMITS OR FEES : Mechanical_.; Plumbing
Electric/New Electric/Temp_; SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey- other
CALCULATIONS and/or NOTES:
COW I
CITY OF 0,f-C, �2—Lf j --7qL/j
4&6^& BewA-0;&U'c& Gct I S3 0-9 3 Ll 0
C
Office of Building Official . ')� �aj,�noy-�
REQUEST FOR INSPECTIO�fP -2 q I
Date Permit 0
Time A.M.
Received P.M.
19 No
Job Address Locality
Owner's -r ons.
Name avy-S. Contractor /nyn, s+yUrl 0
B 5UI L D I:NGD CONCRETE ELECTRICAL PWMBING ME HANICAL
0 Rough 0 Air Cond. & El
ng 0 Footing 0 Rough Wiring
Re Roofing El Slab D Temp Pole 0 Top Out 0 Heating
Insulation 0 Lintel D Final E) Sewer 0 Fire Place El
Pre Fab
tYU0
READY FOR INSPECTION
Tues. Wed. Thurs. Friday
0 A.M.
Inspection 7Made 0 P.M.Final Inspection
fl, X—
Inspector Certificate of occupancy F-1
Date
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RECEIVED
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^j;y of Atlantic Beach
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6
City of Atlantic Beach- 800 Seminole Road- Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800- FAX (904)247-5805- http://www/ci.atlantic-beach.fl.us
BUILDING PERMIT APPLICATION
FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION
(INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS
AND ALTERATIONS, MOVING OR DEMOLITION)
DATE
JOB ADDRESS 2,9 S�jgneq _buvt_�
ANT �UA)5 VOJ�_
154# 1 W
APPLIC tt A)X �
U
ADDRESS PHONE:
LEGAL DESCRIPTION- BLOCKNUMBER 5��ZW-4 LOT NUMBER.14��ZONING DISTRICT
CONTRACTOI��4;;'--v 4AIA&d�_A) STATE LICENSE NUMBERC?&40</Z)�/S
ADDRESS I R1 Q PHONE C?4_-1 ;25�1- Wft'-i
CITY AX STATE zip FA'X
DESCRIBE PROPOSED USE AND WORK TO BE DONEALOW 5_1W 0' 14A�A If-d-PA.
lrc_
'�Iee6(j� Ao,4 oMexi-ti- 1?e 1�44,Z, L,,f- 10V I It 4L�
PRESENT USE OF LAND OR BUILDING(S)
VALUATION OF PROPOSED CONSTRUCTION
Is this an addition? 41�� __ If yes,what are the dimensions of the added space: feet by feet
Will the added area be heated and cooled? /A)�2------ New electrical or increase in service? A)D
New plumbing fixtures? IV Lk New fireplace? New heating/air conditionin
9
Is approval or Homeowner's Association or other private entity required? A20 If yes,please submit with this application.
PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all
information as appropriate.)
STEP1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please
contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation,please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey is required. (If not required, written verification must be provided with this application.) The
Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
02/28/02
STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and
four(4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall,
800 Seminole Road,Atlantic Beach,FL 32233 Telephone: (904)247-5826
In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work
being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and
square footage. Identify any existing structures and uses.
3. Existing and/or proposed driveways.
4. If required by the Department of Public Works, a pre-construction topographical survey.
5. Any significant environmental features,including any jurisdictional wetlands, CCCL,natural water bodies.
6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.)
7. Other information as may be appropriate for individual applications.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT.
SIGNATURE OF OWNER DATE
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WELL BE COMPLIED
WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY
TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR
LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF
THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION
BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS
REQUIRED.
SIGNATURE OF CONTRACTOR DATE
ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING
THIS APPLICATION (PLEASE PRINT)
NAME PIL
MAILING ADDRESS 1 r 1,72
PHONE FAX E-MAIEL
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF
STATE OF FLORIDA,COUNTY OF DUVAL
NOTARY'S SIGNATURE
AS TO OWNER: [] Personally known
F� Produced identification
Type of identification produced
AS TO CONTRACTOR: El Personally known
Produced identification
Type of identification produced
02/28/02
NEW IMPERVIOUS SURFACE REGULATIONS
On January 01, 2002, the City of Atlantic Beach enacted new regulations
limiting the amount of Impervious surface that can be developed on
property.
Within all residential Zoning Districts, the maximum amount of
Impervious Surface area allowed is fifty percent (50%). Within all
commercial and industrial Zoning Districts, the maximum amount of
Impervious Surface area allowed is seventy percent (70%). The Zoning
regulations define Impervious Surface as follows:
Impervious Surface shall mean those surfaces that prevent the
entry of water into the soil. Common Impervious Surfaces
include, but are not limited to, rooftops, sidewalks, patio
areas, driveways, parking Lots, and other surfaces made of
concrete, asphalt, brick, plastic, or any surfacing material
with a base or lining of an impervious material. Wood
decking elevated two or more inches above grade shall not be
considered impervious provided that the ground surface
beneath the decking is not impervious. Pervious areas
beneath roof or balcony overhangs that are subject to
inundation by stormwater and which allow the percolation of
that stormwater shall not be considered impervious areas.
Swimming pools shall not be considered as Impervious
Surfaces because of their ability to retain additional rain
water, however, decking around a pool may be considered
impervious depending upon materials used.
Information verifyin2 Impervious Surface must be provided prior to
issuance of Buildinj! Permits whenever new construction, includin2
buildins! renovations or additions, new driveways, decks or porches
involves any increase in Impervious Surface area.
RECEIVED
2 4 71f.0 CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS,
MOVING, DEMOLITIONS
of AV,311tic
�Owner(s)"
Job Address-�: Phone
Lot# Block or nit# Subdivision
71k1ev V /;?4,-0 State License# eg4o t�2 ke 5-9—
Contractor—:7422:i�
IV
Address /,6/0 Phone All-7,f 5/1
State Zip ?Z-"7Z�
city ���Zjr,4
Describe work to be done
71� e-lee 1-*,e APO.," -.0
Present use of building_ -ellel
Valuation of Proposed Construction
Proposed use
Is this an addition? A16, If yes, what are the dimensions of the added space: ft. X
Will the added area be heated and cooled? AJ& New electrical (or increase) /14
New plumbing fixtures? New fireplace? 4/* — New Heat/AC?
SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING
SITE PLAN, SURVEY, ENERGY CO NOTICE 0 OMMENCEMENT, AND OWNER/
CONTRACTOR AFFIDAVIT, IF 0 1
NOTICE OF
E R AGE
I ' ' Y 0
T FO
Signature of OWNER Date:
Date
Signature of CONTRACTOR
STATE OF FLO DA
COUNTY OF
Sworn to (or affirmed) and subscribed before me this day of 200'2-
AS TO O-WXE -. Notary's Signature
jARGADONNA
ANN' * DD 108M'
My COMMIsSiON �'F Personally known
rz)(PJFIES�April 11 1 2006 Produced Identification
ser."&
1�00.SNOTAM FLN&MY Type of identification produced
-P I
Sworn to (or affirmed) and subscribed before me this day of 200'2-
AS TO CONTRACT Notary's Signature
Ir
ow
'T
�� M N�
IN tApF0000 331
t4* Dto)j0833`1 Ily know
M,(CWMISS
AMISS10i`4 20M Persona
M,(Cv 20M
9
Im
)(PJRF-S�Apr' Produced Identification
swoce&sor&v-
i Type of identification produced
NOTICE OF COMMENCEMENT
(IMPARE IN DUM"TM
5 MIN. RETUR��tNo. Tax Folio No. R"nk I Page 2417
CCU"of
PHONE '�"4a-hom It may c"carn-
The undersigned hereby Informp you that Improvements will be made to certain real property,and In
mcoorda ca with Section 713 of the Florida Statut",the following Information Is vitat9d in this NOTICE OF
4101111111111INCEMENT, , ')3
I.egal.description or bel 13,6 7 9"fy
t6R rq 7 T' 7- jo 16,
Address of property being Improved: at
General description of ImprovemenLq:
Owner t5mskigw -SI+dj�
Address 17191*
Ks at�(Wllj rZ19MAi 6,41
Ownefs Interest or,&He of the Improvement
Fee Simple Titleholder(ff other thart owner)
Name
Addro
as
Contractor 7,)4t4&—
Add
Phone No. A I Iq 4< —FaxNo.—,jZ4j 0-�-7b
JL Surety(if any)
Address Amount Of bond
Fax No.
Phone No.
Name and address of any person making a loan for the construction of the Irnproveirnents.
Name
Address
Phone No, Fox No.
N.9me of pemort within the State of Florida,olher than himself,designFited by owner upon whom nodres cw other
documents may be served:
Name
Address
Phone,NO. Fax No._
In addition to himself.owner designate&the following person to receive s copy of the Llenor's Notice as provided In
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Nsme
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expirntlon date 13 one(1)year from the date of recording unless a
dlIfferent date Is specliftel).
THIS SPACE FOR RECORDER'S USE ONLY Signed: Dam:
Belb re Ine ZZ7,day Of Jqj In the
M.=r 9. 0 Q of Florida,has onally appeared
C-) =M=IKC'� on County of �- Mv�
3>M " 2 --
r—
ro 1-1 ro
-n 1=C-1
M 00
C-) C,0 Notary F State of Florida,County of Duvall
M-0 My ooff"' lon expi
P4 ally Known'_� ANN mARG MA
n) ,416" fflooml
Person
MY comm
Produced Identifoatlon
OF u,,V Sarvics&Bo"rQ Inc.
Ln CA -aoo,,,NoTARY FL NO
3:1 0
�n
- MAP SHOWING BOUNDARY SURVEY OF
LOTS 851, 852, 853 AND 8�4. SECTION NO. 3 SALTAIR , AS RECORDED IN PLAT BOOK 10, PAGE 16,
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTEFIEDTO:
LEIAH 1-1. BAER
SUNSHINE STATE HOLDINGS,1.1,C
cOMMONWEAL'ri-i LANDTI-111,INSUItANCE COMPANY
POWE V1-mRA-rl-FLE,LLC
STUD/
VANr 2 4
FOUND 3/4- IRON PIPE (50.0. ?,G,I r A VENU
NO IDENIIF4CATION ""'C WIV-- 0' WAY)
PEr" fY A r Atlantic Beach
N 97-,34,27,, C - :... -,. 6
;n-- and Zoning
99'83' 04CASU
2.5, RED)
90.3,
4.7'
LOT 851
LLj
.............. .......
.............
w
LOT 850 LOT 852
w
M
ONE STORY
0 MASONRY to
POSTED # 28 It
C4
0
to LOT 351 LLJ
—Z
POLES 0
LU 0
U) 2
F:qpr%*Vol%
d 0
co LLI
ar!(� other local land
jonint sub1 i8i 5titu.
L
not constitute
devv*6�m!tlt rul dor I'a�c ..I 1A7ER
-- �j p.rf,q, T w
app ova .0 CI LOT 854 METER
"48 r
Witt Builm, "Its W
I .
nr I-i:i J:
PIPE -tlantic
dn .-.;qnc'e
srimlp/4 i�ls-
2 5' E�VE
�.11!)o permit.
J
S 87- 1 13a w 4,3
ector
1 9
2 99-7.9-
(MCA
CASUR�7D)
4
0 4'
LOI 855 rroulvo 12"
AAfptO -o ,
0,D,t PIPE
NOTES: ACCEPTED BY;
LEGEND:
R - RADIUS —X—X= FENCE
L = LENGTH 0 CONCRETE
NOTES: REVISIONS
1. BEARINGS ARE BASED ON THE -_�LSUMED__ BEARING OF N 15'00'00" W ALONG THE
-------------
WESTERLY BOUNDARY LINE OF SUBJECT PARCEL. DATE DESCRIPTION
2, BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE AS SHOWN ON THE
NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 1989, COMMUNITY NUMBER 120075, PANEL ---QQ-Ql-u-. 06-09-01 SIGNATURE ALOCX
3. THIS SURVEY REFLECTS ALL CASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &./OR TITLE COMMITMENT
IF SUPPLIED. UNLESS OTHERWISE STATED. NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED
4. THIS SURVEY NOT VALID WITHOUT THE EMBOSSED SEAL OF THE CERTIFYING SURVEYOR.
06-20-00
JOB # 11761 DATE OF FIELD SURVEY: DISK # Crj-�) I SCALE: 1" = 20'
CERTIFICATE
2522 Oak Street I HEREOY Cg�RTIFV THAT THIS SURVEY WAS MADE UNDER My RESPONSIBLE CHARGE
Jacksonville. Florida 32204 AND MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA
(Phone) 904-389-5989 BOARD OF PROfESSIONAL SURV,.Y,1IRS AND MAPPERS IN CHAPTER 61GII-6, FLORIDA
C
89 1 ADMINISTR TT r;PU�RSIIANT 0 ECTION 72072. FLORIDA STATUTES.
(Fox) 904-389-6175 T
VICHAEI- J IFI.I-O
LICENSED BUSINESS # 6702 REGISTERED SURVEYOR AND M 'PER III 4P19 STATE OF FLORIDA
LAND SURVEYS 0 CONSTRUCTION SURVEYS 0 SUBDIVISIONS
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
F LOCATION INFORMATION--
PERMIT INFORMATION — SHERRY UKIVt
Permit Number: 23394 Address: 28
ATLANTIC BEACH, FL 32233
Permit Type: SIGN Township: Range: Book:
Class of Work: NEW Lot(s): Block: Section:
Proposed Use: SIGN Subdivision: ATLANTIC BEACH
Square Feet: Parcel Number:
Est. Value: L WNER INFORMATION
owl
improv. Cost: Name- 8U I ESTATE H I S
Date issued: 1/30/2002
35.00 Address: 19 SPINKS DRIVE
Total Fees: TIFTON, GA 31794
Amount Paid: 35.00
Date Paid: 1/30/2002 e: (000)000-0000
TI
R—ECT PYLON bIUN
Work Desc: CATION FEES—
35-00
NI CTOR S
CUSTO
7N,
-0 INSP CTION
T
STED AT LEAST 24 H U
NOTICE- I --ECTIONS MOST BE-REQUE
,CtD-IN P LIC SPACE, AND
ISH AND DF_Wt1d:.�F.ROM TH IS WORK.Must NOT BE
BUILDING MATERIAL, ER
BY IFDTHEFZ-� Xisa:np
MUST BE CLEARED UP A
T THE
IN
"FAILURE TO COMF
PROPERTY OWNER P
EVOCATION
ECT To R
AND SUBJ
ISSUED ACCORDING TO APPROVED P
FOR VIOLATION OF APPLICABLE P OVISI N
$35.0814
ele, kte*. ?J81192 81 Receipt: 8631128
ING DEPT. DECKS
A-rLANTIG BEACH BUILD
Zz
REC
r '00-foo Zr M
E if 4)
0 CL
CL 0
City of �j 41)
0 8E 8 0 cx�5.oc
CL
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0 w
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goo Seininole Road Atl2Btic Beach,Florida 312 3_W441..'= E�i'c 2
6M owoco .
Citv of Atlantic Bcach- V�WA./ci.atlanfle-be ch.fl.uf.E >— M .r-
2 U. ". 0-2
FAJX (904)247-5905- "UP:," 40 2 Co. CL
ph'Be: (904)247-5800 r_ > CL= = 3
0 0 a 0 0 1
N'O 2 E on M
APPLICATION FOR SIGN PERMIT
DATE
Z>
AXPLICANT S-UTTE NvxBER___
STREET ADDRESS Bj,OCK LOT4.
PROPERTY AppRAISERIS REAL ESTATE SUMBER '-ES* VO
,aX,CTRICAL PE10ITr RF(I!tqU
zoNriG DISTRICT
*ELECTRICAL COj,-,rRACTOR 67d
TCTj N
TAIPEO SIGN- DOFC
DIMENSIONS kND TOTAL SQUARE FOOTAGE Of SIGN
feet in area andlor seventeen (17) feet in heioht, or In%,, iize weighin.0, m.ore tha a one
Signs over fifty (50) square gineer. Sious with an urea greater
ug,
thousand(10oo)pounds sbal] be submitted with drawi ; from a registered en
than thirtv (30) square feet shall be constructed towithstand minimum wind loads ()f thirty-five(35� poundi per
square toot. Drawings sbaH also demonstrate that the support structure Of tht E:ign is adequate to s-aPPOrt, the
,.*,eight Of the sign- Qt-
PLEASE PRO_11TDF,TNN 0(2)COpEES OF ApPLIC.ATl 0,-,,-_4,N-D rRE FULLONNIN G RF jRFDIr4F0"1AT10rN-
1. Site plan showing location of proposed sigu(st,and all dimensions including heigbt and setback_�froin property line or
riaht-of-waY for freestanding siga'S. as 2ppropriste.
or entire building,
2. U`Betr front2ge of office business or stor0roat,
Owner,$authoriziLtion form if appliclOt is other th2n property owner.
3. f the Ot3-of..ktiantic Beach IMIMICiPal Code-
4. Other information as uiav be required by Chapter 1-, 0 1 W1,1 11 TjjjS AjLppLI(-_,-1%TI0N IS CO"ECT
I IERERy CERTIFY I-HAT A.LI..INFORINIATION'PR01Y IDED
Sic, ature of owne au,lhorized aaent.
SIGNATURE ION C�FPYRSON TO RECEWE ILLL COPLRESpONMENCE R1(._ARD3LNG '-"IS
N,D
ADDRESS. � _ONT.kCT RqFORALkT
A-PPLICA.TION (F p . T) —;�
N It /I — &�
N. a A)
PHONE FAX
,4uaw,4jedaG 2utpl �rqj 'Asa :aO 00 -�a ue-r
-f -C1 SOBS zAre-
CITY OF
\v
-A D office of Building official
FEB 0 5 2002 EQUEST FOR INSPECTION
Permit No.
D A.M.
Ti e M.
R
Locality
job Address
owner's Contractor
Name PLUMBING MECHANICAL
��ELECTRICAL Cond. &
Roug
T
Ob
13UILDING CONCRET Rough Wiring Rough C] Air
Top Out 13 Heating
Temp Pole C] Fire Place
Frarning, S a Sewer pre Fab
Re Rooting Ftnal
insulation Lintel
READY FOR INSPECTION M
Thurs Friday-----------
Wed
Tues
Mon. A,M.
(,I P.M.Final Inspection
Inspection Made —�� Tue6�—�
inspector Certificate of occupancy Fj
Date
CITY OF
U 4:
office of Building Official
REQUEST FOR INSPECTION 33 q
41, p it No.
Date / 1.
Tim P.M.
Rec ived (�;;4 Locality
911�ress Contractor
owner's U 1) PLUMBING MECHANICAL
Name C NC ETE ELECTRICAL Air Cond. &
BUILDING 0 Rough Wiring Rough E] Heating
7 ooting Ternp Pole TOP Out Fire Place
Framing -- 0 Sewer Pre Fab
Re Rooting Lintel 0 Final
Insulation READY FOR INSPECTION A.M.
Wed Thurs Friday M.
A M
Mon. �P,M,.Final Inspection E
Inspection Made
Certificate of occupancy El
inspector
I Date
' FOR AGENT
OVVINNER'S AUTHORJZATION,
is hereby a-uthorized
the o—ner(s)
rT BEY
TO ACT ON EEH,,A,�,LF OF
'bed in the
d application, and a.3 descn
of those kands desenibedwithin the ar-ache
T other such proof of ownership as may be required,in aPplying to the
attached deed o
city of Atlantic Beach, Florida, for ari applicat-.0n related to a Development Pzr-nit or
other action pursuant to a:
Appeal,
[_j Zoning Vxiance 77
Pence or Pnol Pel-lrlit
Tise by Exception L-j
Sigp Permit
Rezonint,
.D
Other—
plat or Repla!
6 x"
BY:
t,,T 04 W/7
i Signature of wnerlz C C 'I
Print,Name
S;grj�.turL-, of Owner
Print Name
of 3 7( c?f
Telephone Number Strte of Fjonda
County o;*Duva,
this
of.2001,
siguiicd and swor-D-befuTYME On
By_
Identification verified;__Y
Oath S-Wom: ts
Gerald R VVd*s
E)OUSeplanter23,2005
;3 -d 4uaw,:�jejaa 5uTplina I�SF :ZM ao -�'a Uer
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD -5445
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE: (904)247-5800
FAX: (904)247-5805
SUNCOM:852-5800
-beach.fl.us
http://ci.atlantic
Tuesday, October 16, 2001
Sunshine State Holdings
19 Spinks Dr.
Tifton, Ga. 31794
Subject: Sign permit @ 28 Sherry Dr.
Dear Sir or Madam: Your application for a sign permit is denied due to the location of the
exisiting sign appears to be on the city Right Of Way. The structure will have to be
relocated off of the ROW before a permit can be issued at this location.
To review the relocation of the sign an updated survey completed by a Florida registered
suveyor will have to be supplied with the application. This survey must show the location
of the existing sign and the proposed new sign.
If you have any questions concerning this matter please contact Sonya Doer, Community
Development Director, at 904-247-5826 or sdoer@ci.atlantic-beach.fl.us.
Sincerely,
t'2� C-- C-
Don C. Ford CBO
Building Official
Cc; Sonya Doer
File
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800-Serninole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877
ELECTRICAL PERMIT
_7 T: LOCATION INFORMAT16N
"DE MIT INFORMATION
Permit Number: 23630 Address: 28 SHERRY DRIVE
Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SIGN Lot(s): Block: Section:
Subdivision: ATLANTIC BEACH
'Square Feet:
Est.'Value: Parcel Number:
OWNE"I FORMATION
lmprbv. Cost: ST-ATE HOLDINGS
Date,Issued: 3/13/2002. N�jr e� SUNSHIN
25.00 Address: 19 SPINKS DRIVE
Total Fees:
TIFTON, GA 31794.
Amount Paid: 25.00
Date Paid: 3/13/2002 - Phone: (000)000-0.000
W:6&-Desc- WIRE FOR SIGN
__-CONTRACTORIS, PPL IC
Ty LECTRI"OM ivur
VEWCITY
uV
R.
S.
�k
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RECTION
NOTICE
SPACE,AND
R_ Mw.
gE"
BUILDING MATE �M
EK� -RrIQN-T 31-ok
MUST BE CLEAR
Nzl_= E
E
Ell
IN
'!FAILURE TO.0 off-11:11.WN I IN
PROPERTY OV%
P CT TO REVOCATION'.,—
OFTH TE,
-ISSUEb ACCORDING T AO-W-1 0115.A.51 RM P,
FORVIOLATION Of APPL
'6i: bC Drawer: I
- Ty
oper. CHERYLE
DatLt: '3113/K 81- -Reeeipt no- .41354
.14 PERMITS-BUILDING 1 , $25.08.
7fijj
Trans�number.
ON RACT101$
T
CK.CHECKS .2753'
ATLANTIC SEA H BUILDING:DEPT. r 3AY82 Tis'e- 15:25:22
T ans date.
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
247-5826 - Fax: 247-5877
800 Seminole Road -Atlantic Beach, FL 32233 - Tel.
ELECTRICAL PERMIT
TiO
IT INFORMATION
Permit Number: 26WI Address: 28 SHERRY DRIVE
ATLANTIC BEACH, FL 32233
Permit Type: ELECTRICAL Township: Range: Book:
Class of Work: REPAIR
Proposed Use: SIGN Lot(s): Block. Section:
Subdivision: ATLANTIC BEACH
Square Feet: Parcel Number:
Est..Value:
OWNER INFOR
Improv. Cost MAT N 7
Date Issued: 3/13/2002 Name: SUNSHINE STATE HOLDINGS
Total Fees: 75.00 ..Address: 19 SPINKS DRIVE
Amount Paid: , 75..00 TIFTON, GA 31794
Date Paid: 3/13/2002 Phone: (000)000-0000
REPAIR
Woi k Desc: .11''! S IG:IN CIRCUIT AN I ELLANEOUS
CONTO APPLICATION FEE;i
_/b.UU
I ER ITY ELECTRI OMPANY PERMIT
............
w4i -
g-
0i
..........
...... ............
j2 Migtg'l
W%Ng�=
71 -M-1
09- IN
I Sm OR%
id I-E. TIO
F _V l
I i-5 W"
NO110E
7.
S CE
PA AND
BUILDING MATB�� LAW]
X
F:p cbN
MUST BE CLEAE� X
4 E
"FAILURE TO A
N
PROPERTY
TION
CT TO REVOCA
ij
J-0 _j- -_-QFT4-4IS PE
lssu ING I
EDACCORD
F VIOLATION OF APP .
OR.
f
DTaver,
t no.;
CKRILt '- 7yPe" OC I . 41354
gj ReL
Date:
A.
7955%5
ians p go.'
2753.
ATLANTIC BE,*�Q BUILDIKG:.DEPT. lisp.
Trans
CITY OF ATLANTIC BEACH, FLORIDA
Apo--,I by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE. 19 Lle---
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITHe?�E Eli--CTRICAL REGULATIONS, CODES AND CITY OF
ATLAZACH ORDINANCES.
ELIE L iRM: MASTER LECTRI ANSIGNATURE )OURNEYMA
NAME. - -RFD—aOX
ei4Mg ADDRESS:
BLDG.SIZE BETWEEN:
RES. APT. comm. PUBLIC ( I INDUS. NEW ( I OLD ( REW.>()
ADDITION ) TRAILER TEMP,( ) SIGNS ( ) —SCL FT.
SERVICE: NEW INCREASE REPAIR ( FEE
CONDUCTOR SIZE AMPS COPPER ( I ALUM. ( I
SWITCH OR BREAKER AMPS PH I Wl VOLTI RACEWAY
EXIST.SERV,SIZE AMPS PH I Wl VOLTJ RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
SWIT MES
INCANDESCENT
FLUORESCENT&M.V.
FIXED o-Ica Amrs.
APPLIANCES r I I BELL TRANSF.
AIR H.P. RATING H.P.RATING
CONDIT140NING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
(1-1 OVER
MOTOR H.P. I VOLTAGE 1 PHS NO. VOLTAGE � PHS
L— - --7
MISCELLANEOUS I 'r-
I ':D'C��
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA I I NO. lKVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE ISWI CH FLASHER�
EACH SIGIN
FORWARDED
CITY OF ATLANTIC BEACH, FLORIDA
Appro—d by APPLICATION FOR ELECTRICAL PERMIT
DATE 19 o
TO THE CHIEF ELECTRICAL INSPECTOR:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN'ACCORDANCE W)T-14,THE ELECTRICAL REGULATIONS, CODES AND CITY OF
�T�IC BEACH ORDINANCES.
J"j
il-kTRICAL FI�M: MA�TER ELE T`URE JOURNEYMAN
ADD Z2) 5 -RFD-BOX-
BLDG.SIZE BETWEEN:
RES.( APT.( I CCIMM.( I PUBLIC ( I INDUS. NEW( OLD REW.
ADDITION ( ) TRAILER TEMP.( SIGNSIK —SCL Fr.
SERVICE: NEW( INCREASE( REPAIR ( FEE
CONDUCTOR SIZE AMPS COPPER ( ALUM. ( I
SWITCH OR BREAKER AMPS PH I Wl VOLT L—RACEWAY
MST.SERV.SIZE AMPS PH I Wl VOLTI RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEP'TACLES CONCEALED OPEN TOTAL
SWITCHES 100 AM":
INCANDESCENT
FLUORESCENT&M-V.
FIXED 1 0.100 AMPS. ovrn
APPLIANCES BELL ANSF.
AIR H.P.RATING H.P.RATING '
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT-.[_KW-_Ht�T
G-1 OVER
MOTORS H.P. VOLTAGE pHs NO. I H.P. VOLTAGE pHs.
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V. tE
NO. KVA NO. �KVA
NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN I I I
FORWARDED
cc=v
CITY OFATIANTIC BEACH
800 SENIINOLE ROAD
A -MC BEACH,FLORIDA 32233-5445
TLA.1
TELEPHONE.(904)247-5800
FAX:(904)247-5805
SUNCOM:852-5800
W.- http://ci.attantic-beach.fl.us
Thursday, February 28, 2002
Palms Motel
28 Sherry Dr.
Atlantic Beach, Fl. 32233
Subject: Unlicensed activity
Ms. Collazo,
On February 12, 2002 1 performed an inspection of the motel property at 28 Sherry Dr.
and found electrical work had been performed on the property without a permit. You had
stated that someone from Georgia had performed the work. At that time you were cited
and told the work would have to be permitted and inspected per Section 6-35 of the City
of Atlantic Beach Code of Ordinances
As of today's date you are notified this work must be permitted before 5:00 p.m. March
8, 2002. On March 11, 2002 water and electric services will be discontinued to this
property.
Don C. Ford CBO
Building Official
Cc; File
City Manager
Sunshine State Holdings
HAND DELIVERED
VUN_ )unty PropertyAppraiser- Farcel �)ummary
IParcel Summary -Values from the 2001 Certified Tax Roll,
IRE No.: ----]FI-70702 0000
lOwner's N FSU—NSHINE STATE HOLDINGS L
jProperty Address:IF28—SHERRY DR FU-nit No.
IATLANTIC BEACH
IMailing Addres7sF19 SPINKS DR
ITIFTON , GA
jProperty 0 MOTEL/HOTEL
ILegal description:IFI—O-16 21-2S-29E SALTAIR SEC 3 LOTS 851 TO 854
INeighborh FOO-3115 SALTAIR SEC 03 (COMM) ISec-Twn-Range: 1121-2S-29E
JORBK& Pag . ][-10031-1164 IMap Panel: 115622
ISale Date: IF6—/1/2001 INo. Builldings: 11
ISale Price: F$-455,000-00
[Land Valu 0,000.00 [Heated Ar___]F4 9-0 5
ICIass Valu Fs O_.O 0 lExterior Wall, CCOI
lImproveme F$-112,863.00 ITaxing Aut
IMarket V Fs-212,863.00 ICounty Tax: 11$1,501.92
lAssessed Value: IF$-212,863.00 JISchool Tax—,--]1$1,762.93
lExempt Value: I�_O_.O 0- 1[—District Ta_x�� 6
ITaxable V F$-212,863.00 [Other Tax: 1 $106.54
ISr. Exemp 0 FV'oted Tax: F$1-30.06 I
ISr. Taxable7��W�O [Total Tax: ___]E$4,146.91
This page displays values from the 2001 Certified Tax Roll with weekly updates of
ownership & sales.
Map-it maps & data are updated & maintained by COJ-GIS, not the Property Ap isers
prai
Office.
Please direct inquiries regarding the maps & data to Map-it Feedback (below), not the
P Toed"A pra _
�isers Office-
MaR-4t Feedback
.ME Payment Feedback
Home '-F�C Map-IT Taxes
Appraisal Feedback
http://pawww.coj.net/pub/property/RENO.asp?RENUM=170702+0000 2/28/2002
,-3844 15 -4
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION --- - LOCATION INFORMATION
Permit Number : 15036 '-'Iddre-ss : 28 SHERRY' DRIVE
Permit Type:ELECTRICAL ATLANTIC BEACH, FLORIDA 32233
lass of Work:REPAIR --------- LEGAL DESCRIPTION -------- -
Constr. Type:WOOD FRAME Block- L,�)t - Twp :
Proposed Use* Section: 0 Subd:0 Rng ,
Dwellings : 1 Suhdivision :ATI,ANTIC BEACH
Est . Value , 0 .00
Tmprov . Cost : 0 . 00
Total Fees : 25 .00
Amount Paid; 25 .00
!TQLATT(ANr- AN �!TAT�L 0-TITLETS
�DWNER INFORMATION ----- - -- APPLICATION FEES
Name : KEFAIT BAER PERM 1 T
29 SHERRY DRIVE
ATLANTIC BEACH , FLORIDA 3,�
17,4 ' 744-9185
---'CNTRACTCR INFORMATION ---
Name, MCCLURE ELE,'-'TRIC SERVICE
Addr- P. '-' � BOX 51368
JACKSONVILLE BEACH , FL
Lic: ER00008818 Exp ,
TLype: 20
NOTES:
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.59
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH, FLORIDA
Appfoved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:— 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS. CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ELECTm6rg'N SIGNATURE,��' JOURNEYMAN
ADDRESS: RFD—BOX—
NAME 6"V\5
BLDG.SIZE BETWEEN:
RES. APTA COMM.x) PUBLIC INDUS. NEWI I OLD 4 REW. I
ADDITION ( I TRAILER TEMP. SIGNS SQ. FT.
SERVICE: NEW( INCREASE ( REPAIR' FEE
CONDUCTOR SIZE AMPS COPPER ( I ALUMJ
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE ZVO AMPS PH 3 w ?-40VOLT h( RACEWAY
FEEDERS NO. SIZE IND. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN /0 TOTAL 3 -06
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31-100 A�.
SWITCHES 16
INCANDESCENT
FLUORESCENT&M.V.
FIXED 1 0.100 AMPS. OVER
APPLIANCES I I - I I BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEATI KW-HEAT
0 OVER
MOTORS H.P. VOLTAGE PHS No. 1 H.P. VOLTAGE PHS
MISCELLANEOUS Cc vL 0-& (,3(7(-
C )ks f\jn
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA I NO. lKVA
NO.NEON TRANSF. NO. VA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEEJS
PSR-3844 1410
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION -- ------- LOCATION INFORMATION ----
28 SHERRY DRIVE
Permit Number : 14143 ;,ddress :
Permit Type : PLUMBING ATLANTIC BEACH , FLORIDA 32233
-2lass of Work-ALTERATION --------- LEGAL DESCRIPTION ----------
Constr . Type;WOOD FRAME Block: Lot , Twp,
Proposed Use: Section: 0 Subd:O Rna:
Dwell-inas : 1 Subdivision:ATLANTIC BEACH
Est . Value: O . Oi,
improv . Cost : 0 .00
Total Fees : 35 . 00
Amount 00
r
_�TEM AND SHALLOW WELL FOR IRRIGATION
------- -- OWNER iNFORMATION -------- APPLICATION FEES -- - -- --
lqame ! KERMIT BAER PERMIT
Addr - 29 SHFFRY DRIVE
ATLANTI ." SEA .'H - FLORIDA 3221;
Phone: , 90 4 17 4 4-918 5
CONTRACTI�F INtFC)RMATI1'_)N - ---
-iame : AMERICAN WELI, �' IRRIGATICIN 11-4 .
Addr, 2157 THE W0,,_,11S DRIVE
JACKSONVILLE FL 32246
T,i - , 2575 Exp:
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.95
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REV09 T N FOR
, � I�
VIOLATION OF APPLICABLE PROVISIONS OF LAW. $35. 0 4
nafp, ;/IA/97 bi Receipt: 0064579
CHECKS
ATLANTIC(�CH BUI DINGAfPA�TMENT
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:
OWNER OF PROPERTY:
PLUMBING CONTRACTOR:
CONTRACTOR'S ADDRESS: 5 7 2-
STATE LICENSE NUMBER: TELEPHONE:
HOW MKW OF THE FOLLOWING FIXTURES INSTALLED
-SINKS SHOWERS
-LAVATORIES WATER HEATERS
-BATH TUBS DISHWASHERS
YRINALS DISPOSALS
-CLOSETS WASHING MACHINES
.FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURES: X 3 50 + $15.00
MINIMUM PERMIT FEE = $25.00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
--------------------- ------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834.
07-97 09: 12A EARLY ELECTRIC CO INC 246 8092 P .01
or 470tz 0
324 North Sixth Avenue
Jacksonville Beach, FL 32250
May 7 , 1997 904/246-4964
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
ATTN: Don Ford
Re: The Palms Motel
We have found the following items that need to be installed, to
upgrade to present electrical code.
Smoke Detector in each room.
Bathroom light switch in each room.
GFI receptacle in bathrooms.
Receptacle for television power in each room.
Replace weatherhead.
Wiring in storage area and workshop area needs to be
replaced.
Joseph W. Early
Early Electric, Inc.
JWE/tk RECEIVED
1A N1 -7 �991
M\,,,t�, laeO,61
01 and zoning
Bulldlng
"Call EARL Y Before It's Too Late"
gaod# 05&dtT& lace
324 North Sixth Avenue
Jacksonville Beach, FL 32250
904/246-4964
May 7 , 1997 RE
&W IVED
MAY A 1997
CitY Of Atlantic Beach
City of Atlantic Beach BUilding and Zoning
800 Seminole Road
Atlantic Beach, FL 32233
ATTN: Don Ford
Re: The Palms Motel
We have found the following items that need to be installed, to
upgrade to present electrical code.
Smoke Detector in each room.
Bathroom light switch in each room.
GFI receptacle in bathrooms .
Receptacle for television power in each room.
Replace weatherhead.
wiring in storage area and workshop area needs to be
replaced.
Joseph W. Early
Early Electric, Inc.
JWE/tk
"Call EARLY Before It's Too Late"
PSR-3844
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION - - ----- LOCATT )N INFORMATION
Permit Number : 13926 Address : 28 SHERRY DRIVE
Permit Tvve: PLUMBING ATLANTIC BEACH . FLORIDA
LEGAL DESCRIPTION
. lass ot Work 'REPAIR
i"onsty . Type :WOOD FRAME Block � Lot : Twr-
Proposed Use : Section : 0 Subd: O Rn%i �
Dwellinas : 1 Subdi.vision:ATLANTIC BERCH
Est . Value".
imvrov , Cost -,
Total Fees *.
Amount Paia-*
HEATER I-IN-;
AFPLICIATION FEES
�V14ER INFORMATION
Name: KERMIT BAER PERMIT
Add r 28 SHERRY LRIVE
-1 4
�kTLANT I'-' F-,EA- H FLOR I DR 3,21
- ----- CONTPACTC-+' INFORMATION
Name . LARRY TUGUE AND SONS
Addr : 39-34 SOUTHSIDE BOULEVARL
JACKSONVILLE . FL 3A2216
Lic CF�7r,':,r"r F
Tvve* 4
NOTES:
NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.95
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
AW.
VIOLATION OF APPLICABLE PROVISIONS OF L
CHECKS CC-
00100003221000
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:
OWNER OF, PROPERTY: -P
zzu -----------------------------
BUILDING CONTRACTORs
PLUMBING CONTRACTOR LARRY TEAGUE & SONS
AND ADDRESS:
47 -3-07-9
TELEPHONE NUMBERs ........................
STATE LICENSE NO: CFC- 056776 --------------------
TYPE OF BUILDING: ------ ------- -------
SINKS -------------SHOWERS
LAVATORY -------------WATER HEATERS
BATH TUBS - -------------DISHWASHERS '
URINALS -------------DISPOSALS
CLOSETS -------------WASHING MACHINE
FLOOR DRAINS -------------SHOWER PANS
OTHER-------- ------
TOTAL FIXTURE f -)UNT:---------- x $3. 50 + S15- 00 -----------
-----------------------------------------------------------------
INSTALLATION OF PLUHBINQ AND FIXTURES MUST BE IN ACCORDANCE WITH
THE HOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS (904) 247-5826