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28 Sherry Dr (vault) 2 JOB ADDRESS TYPE W01M PROPERTY OWVER CONMCTOR Pvr-n-y�+f-oo MEPHONE M--Mc[ PMMTNUMM-R 5 ,WSpEMONs. FoOnNG SL4B TIE BE" FRAAMV"OVID? LVSULAMN 7 FW�a BUH-bi�VG CERIMC4TE OF .FTECTRICALPERAIM �),433 12VSPEMONS BOUGH FEVAL WCUANTC4L PERWIV INSPECTIONS ROUGff FINAL PLV3dUlLVG PERSIM INSPEC77ONS ROUGUIUM)ER SLAB TOPOUT WATEBISE3ffR rl FINAL NOM.- OA C-k 151 r) 2-'-,�31 L! 2-Li 0 12- q pw1in TM 241 Atlantic Blvd., Suite 5 g Neptune Beach, FL 32266 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 Bvided TM Tmy Fain ftwnra 9WIM5-7019 REOUIREMENTS AND CONDITIO J S REVrEWED BY: DAM (�-16-63? Page I of I norida Building Code Online BCIS Home Log In User Registration Hot Topics Submit Surcharge Slats&Facts Publications FBC Staff BM Site Map Links Search Product Approval USER:Public User py_gd_Va A Aj�!jp>pr_Qdq"_AWfttjjQn$ganc;h Application List ipppX, Search Criteria Refine Search Code Version 2004 FL# 6729.1 Application Type ALL Product Manufacturer ALL Category ALL Subcategory ALL Application Status ALL Compliance Method ALL ALL Quality Assurance Entity ALL Quality Assurance Entity Contract Expired ALL Product Model, Number or Name ALL Product Description ALL Approved for use in HVHZ ALL Approved for use outside HVHZ ALL Impact Resistant ALL Design Pressure other ---ALL 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 OF Ar E N 99. aj* 64EASUp 2.5' V?— — ED) uj FOUND NAJL 0: 0,9' M –4.7- (n M C4 c 04 LOT 850 w LOT 852 0 PSTORY MASONRY POSTED # 2 lot- to to -t-OT-85-3-- -LLAJ z 2: slow 1pws 0 0 U-) L'j 67) )-!LOT 854 00 MEIER V) FOUND 3/**mom ptpE STAMPED'La 5715- 2.0" 2-5-EVE 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 e 0 MYCOMM I Exp ry Publi�al Larpe,,St� 0 lorid Cou P 518533 missio .'a 'tea, Maly Assn.. Prod V46,1 ..fRWat661iided By Nationa 01aly Ej huedmoo lo aleoij Ol.. Ei uoiloodsul leu! ).d s uu ill _A.Nd- OPL. Jojoe ul .VY'V AL'P!J=l -sin4.L Dsan N01133dSNI U0:1 AaV3U L -Uovy qe:j GJd 83BId 8JI=l El Agmes 0 IBUIZI LI IeIu!I El uoijuinsul BUIJBGH 0 El 81 0 11 ino doj glod dw quIS 6ui 0 46noU 6noU 0 6uiloo.1 IOOU ou El __Swwe"t-- IVOINVH33WI UNIGIRIMd -11V318133-13 3JL383NOO (�.N�ni C%PTV—n J013L.Jiuoo GwBN UI�;k �YA�'3,JGUMO Aille Tp ssaippv clor ""o r4d *VYd POA!838H IN.v ewI.L ON I!wJGd aluo NOI.L33dSNI U0=I IS3nO3U _in imigo Buipling jo goino v =10 A113 Ae 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 V�r co 0 0� ()I; 'c 0!;P, ;A ZO z Cs wmo .0 sm (n< rn > (n 9 Z rn O—Z 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- -R 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 Oleo Aouedn000 jo ejeoggieD joloodsul Xopedsul jeuij'VTd epuVy uoijoadsul 45L.V V :-sjn:,i -Uovq 'INd-1 4_jL 'PeM -seni IEP!J=l r-wr--3� N01133dSNI HOA AaV3bI qe=i Old -1 19MI F-I uopinsul BOBId OJIJ 11 lamas jeuij qqS El 6uipou OU BU11,39H 11 ino dol D elod dwei "I .5ulwej=l El v 'PUO.0 J!V F] q6noU El BuijiM q6noU 0 6U1100=1 !DNISWMd 231 110 T�13 �3 ONI(iiine Joj..� OwBN Jju. Jaumo VN4 I r,-) -�A 11 ssaippV qor Alp,30,1 VYd POA!9308 .IN.v Owil -7AN I!wJOd oleo 0 NOII33dSNI uo:i jmw3bl IL,Ioij4o BuiplIne ;o 931140 yaw =10 AID 7-, E]Ao��d joloadsul oadsul jjeul=j P.V4 uol..d, .. ePeVj uo!joadsul Vid .IN.v nd -sinqi Pam -SE)nj -UON i V N NOIJ.33dSNI Ho:j AaV3H qe=l B'd IUU!Zl 1:1 jolun ED uo!lelnsul Oeld Uzi 0 James 0 6U11008 ou ino dol El 910d dwei Lj qelS 1:1 u�H 11 6uilooj 6uiwej=i J1 0 buijiM qbnoU 13 El PuO 6 El c— -line H33W DNISWM V31bl -13 313HONO3 -_"iu 9weN Jo s,jquMo AlflU30 sai qor r C�o PeAI8398 AV awli OIRG 'ON I!wJed N01133dSNI 80=1 IMDRI leloluo Buipl!ng 10 03140 =10 Allo RECEIVED 144PR 2 4 ^j;y of Atlantic Beach ng 3nd Zo"IrIg 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 $35.0814 ele, kte*. ?J81192 81 Receipt: 8631128 ING DEPT. DECKS A-rLANTIG BEACH BUILD ­Zz REC r '00-foo Zr M E if 4) 0 CL CL 0 City of �j 41) 0 8E 8 0 cx�5.oc CL C E E%V A. 104.s U_ slew 0 410- C E* 0 2 0 _U_ _0 Z '0 &% S? TE 0 w r C Z a- goo Seininole Road Atl2Btic Beach,Florida 312 3_W441..'= E�i'c 2 6M owoco . Citv of Atlantic Bcach- V�WA./ci.atlanfle-be ch.fl.uf.E >— M .r- 2 U. ". 0-2 FAJX (904)247-5905- "UP:," 40 2 Co. CL ph'Be: (904)247-5800 r_ > CL= = 3 0 0 a 0 0 1 N'O 2 E on M APPLICATION FOR SIGN PERMIT DATE Z> AXPLICANT S-UTTE NvxBER___ STREET ADDRESS Bj,OCK LOT4. PROPERTY AppRAISERIS REAL ESTATE SUMBER '-ES* VO ,aX,CTRICAL PE10ITr RF(I!tqU zoNriG DISTRICT *ELECTRICAL COj,-,rRACTOR 67d TCTj N TAIPEO SIGN- DOFC DIMENSIONS kND TOTAL SQUARE FOOTAGE Of SIGN feet in area andlor seventeen (17) feet in heioht, or In%,, iize weighin.0, m.ore tha a one Signs over fifty (50) square gineer. Sious with an urea greater ug, thousand(10oo)pounds sbal] be submitted with drawi ; from a registered en than thirtv (30) square feet shall be constructed towithstand minimum wind loads ()f thirty-five(35� poundi per square toot. Drawings sbaH also demonstrate that the support structure Of tht E:ign is adequate to s-aPPOrt, the ,.*,eight Of the sign- Qt- PLEASE PRO_11TDF,TNN 0(2)COpEES OF ApPLIC.ATl 0,-,,-_4,N-D rRE FULLONNIN G RF jRFDIr4F0"1AT10rN- 1. Site plan showing location of proposed sigu(st,and all dimensions including heigbt and setback_�froin property line or riaht-of-waY for freestanding siga'S. as 2ppropriste. or entire building, 2. U`Betr front2ge of office business or stor0roat, Owner,$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 .......... �-W 4RA= 2S ANA N., VMW N 0 V& mg Mv grg y- 9, Q Qz ME �6ff SIR W Z =041 M 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