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State of Florida Printed
IADJR0 7 1 Department of Corrections 04/12/2006
(644) INITIAL PSYCHOLOGICAL SCREENING
Exam Date: 04/12/2006 Time: 13 : 00
Pro-.7Lder: OS26 OSEJO, RAMON
IN24ATE 9AME: HILL, BRUCE EDWARD DC#: H-054110 Cls .Team: 08
ReceLved: 04/06/2006 County: DUVAL Rec .Ctr: R.M.C. - MAIN UNIT
Race: BLACK Sex: MALE Date of Birth: 04/15/1957 Age: 48
Heig�t : 51 1011 Weight : 186 lbs Marital Status : UNKNOWN
Crirne : POSSESSION OF COCAINE (LIO)
CURRENT TERM: 4 YEARS
Highest Grade Level Claimed: 10 Special Ed History: No
Consent for M/H Evaluation & Treatment Form Signed: 04/06/2006
SUBSTANCE ABUSE HISTORY Dt -' 04/06/2006 Tm: 12 : 39 Staff :
Primary Secondary
Drug of Choice MARIJUANA
Route of Adminis . SMOKING
Frequency of Use DAILY
Age at First Use 9 YEARS OLD
Pric>i Treatment/Education
Type of Program DRUG TRMT. CTR.
Duration (in days)
Staff ID: M180
TESTS ALMINISTERED:
Date : 04/07/2006 Staff : BOWERS, REBECCA
Beck Hopelessness Scale Score: 1 .0
MMPI-2 Scores : ?= 0 L= 0 F= 0 K= 0 Valid: No
Subscale T Scores : 0
HS= 0 DE= 0 HY= 0 PD= 0 MF=
PA= 0 PT= 0 SC= 0 -MA= 0 SI= 0
IQ Score: 84 Test Type : BETA III
Comments :
NONE
MENTAL HEALTH HISTORY (Self Reported) :
Family History . . . . . . . . . . . . . . No
Psychiatric Hospitalization No
Outpatient History . . . . . . . . . . Yes
I/M REPORTS HE HAS RECEIVED COUNSELING "BECAUSE MY
GRANDMOTHER DIED AND A COUNSELOR CAME To TALK TO ME . I WAS
HERE (AT RMC) IN 1995 . 11
bt 0
State of Florida Printed
IADR071 Department of Corrections 04/12/2006
(644) INITIAL PSYCHO.LOGICAL SCREENING
Exam Date : 04/12/2006 Time: 13 : 00
Pro-vider: OS26 OSEJO, RAMON
INMATE NAME: HILL, BRUCE EDWARD DC#: H-054110 Cls .Team: 08
Received: 04/06/2006 County: DUVAL Rec .Ctr: R.M. C. MAIN UN.IT
Race : BLACK Sex: MALE Date of Birth: 04/15/1957 Age- 48
Self-Injury/Attempted Suicide No
Psychotropic Medications . . . . NONE
EMPLOYMENT HISTORY (Last 36 months)
Total Months Employed: 4 Total Months Unemployed: 32 Number of Jobs : I
Type of Jobs : SKILLED LABORER
CURRENT MENTAL STATUS
Appearance . . . . . . . . . . . . . WNL
Behavior (Appropriate) WNL
Behavior (Motor Retard) WNL
Behavior (Motor Agita. ) WNL
Flight of Ideas . . . . . . . . . WNL
Speech (Hyperkinetic) . . WNL
Speech (Hypokinetic) . . . WNL
Hostility/irritability WNL
Depressed . . . . . . . . . . . . . . WNL
Restricted Range Affect WNL
Inappropriate Affect . . . WNL
Anxiety . . . . . . . . . . . . . . . . WNL
Hallucinations . . . . . . . . . WNL
Type of Hallucinations . WNL
orientation (Time) . . . . . . WNL
Orientation (Place) . . . . WNL
Orientation (Person) . . . WNL
Circumstantial . . . . . . . . . WNL
Distractibility . . . . . . . . WNL
Delusions . . . . . . . . . . . . . . WNL
Type Delusions . . . . . . . . . WNL
Current Suicide Risk . . . WNL
Comments
INMATE DENIES SLEEP DISORDERS,DIMINISHED APPETITE, SUICIDE
THOUGHTS OR RISK, HALLUCINATIONS, AND/OR ACUTE MENTAL HEALTH
DISTRESS . INMATE APPEARS TO BE IN NO ACUTE MENTAL HEALTH
DISTRESS AND REPORTS NO NEED FOR PSYCHIATRIC TREATMENT ON
THIS DATE . I/M REPORTS HIS ENERGY LEVEL IS FINE. I/M REPORTS
HE ' S EATING AND SLEEPING WELL. I/M WAS VERY CONCRETE IN
INTERPRETING COMMON SAYINGS . IMMEDIATE, RECENT, AND REMOTE
MEMORY APPEARED TO BE INTACT.
STATE OF FLORIDA
DEPARTMENT OF CORRECTIONS
CHRONOLOGICAL RECORD OF OUTPATIENT MENTAL HEALTH CARE
I t
DATE/-RME
APR 0-9.-ZOUF— INCIDENTAL NOTE:
INMATE PROVIDED WRi I-IN
(ENGLISH/SPANISH�DESCRIPTION
ANIJ AL)Vl,'jtU U�M-0 IA4 HkAL I H
5EBVIQES Al RMG
D.MELENDEZ,LCSW 1
PUGH rp.
-054110 TM 04/06/2006 S-Subjective data
Inmate N
0-Objective data.
DC# HILL, BRUCE EDWARD A-Assessment of S a d 0 data
Date of E
Institutic B/M DOB 04/15/1957 (48) P- Plan
STATE OF FLORIDA
DEPARTMENT OF CORRECTIONS
CHRONOLOGICAL RECORD OF OUTPATIENT MENTAL HEALTH CARE
DATE,ff�E INCIDENTAL NOTE: RECORD SCREENING AND ORIENTATION OF NEWLY ARRIVED INMATES.
UNLESS OTHERWISE NOTED,THIS INMATE WAS ORIENTED DURING HIS FIRST WEEK AT JACKSON CI
IN THE ORIENTATION CLASS. THE MENTAL HEALTH PROGRAM DESCRIPTION INCLUDES THE
PROCEDURES FOR ACCESSING ROUTINE AND EMERGENCY SERVICES,LIMITS OF CONFIDENTIALITY,
AND INMATE CO-PAYMENT REQUIREMENTS. INMATES WERE GIVEN AN OPPORTUNITY TO ASK
QUESTIONS REGARDING MENTAL HEALTH SERVICES AT JACKSON C1.
HE,ALTH RECORD REVIEW:
I
I VERIF IED AND INMATE FOUND TO HAVE NO NEED FOR MENTAL HEALTH SERVICES AT THIS
TIME.
S-H INMATE REFERRED FOR FURTHER SCREENING. CASE MANAGEMENT ASSIGNED
TO
R�ERRED FOR SEX OFFENDER SCREENING.
�OSSIBLE HISTORY OF SUBSTANCE ABUSE. HAS BEEN REFERRED TO SUBSTANCE ABUSE
PROGRAM.
REFER TO EDUCATION.
)N INITIAL SCREENING COMPLETED ATRECkPTION CENTER.
(/SUMMARY OF MENTAL HEALTH TREATMENT REVEALS THE FOLLOWING
(PERTINENT SOCIAL AND MENTAL HEALTH HISTORY):
AGE:
SENTENCE:
SUICIDE HX: A
PSYCHIATRIC HX:
4B!ARBAR
PSYCH RX.
JACKSON C.I.
bjective data
-054110 TM 0-Obje ' e data
04/06/20o6 A-Assessm nt of S and 0 data
HILL, '3p-(JCE —PDWA_R7-) P-Plan
ALEC
FLORIDA /i:4Q0c7
DEPARTNIE-NT OF CORRECTIONS
CHRONOLOGICAL RECORD OF OUTPAW-_NT AAENTAL HEAJI-1�11_CARE
DATE/TIME
ct
!9
MA
=rn-
'27 AS 9'
e-.A-q c-
K':�ujj U.
S;. subjective data
-054110 TM 04 06/2 0 0 6 0 - Objeclive data
A- Assessment of S and 0 data
P- Plan
HILL, BRUCE EDWARD
STATE OF FLORIDA
DEPARTMENT OF CORRECTIONS 00
CHRONOLOGICAL RECORD PF OUTPATIENT MENTAL HEALT.F,1 RE
DATE/'flTqy cxkl-
04
-054110 TM 04/06/2006
InrHILL, BRUCE EDWARD Subjective data
DC 0- . clive data
Da B/M DOB 04/15/1957 (48) A-Asses ent of S and 0 data
Institut-ion Q P- Plan
r1WDnt.1n I r%rl It'A I D=r-n-
STATE OF FLORIDA
DEPARTMENT OF CORRECTIONS
CHRONOLOGICAL RECORD OF OUTPATIENT MENTAL HEALTH CARE
DATErTINE
C-5 — 1/kk ri�e� 4�� Wk- ,-o
GAL—
ci+
-5
f4
SR.PSYCHOLOGIST APACI
IACKSAP G.l.
-054110 TM 04/06/2006
Inmate Name HILL, BRUCE EDWARD S-Subjective data
0-Objective data
DC#- /M DOB 04/15/1957 (.48) A-Assessment of S and 0 data
Date of Birth B P-Plan
Institution
1-4-22�
ORIDA c�
DEPAFiTMENT OF CORRECTIONS
CHRONOLOGICAL RECORD OF OUTPATIENT MENTAL HEALTH CARE
w
DATErfIME
16
0-7
L/
V
0-7 c
c-
-VU qp
-S Subjective
Inmate Name 0 -Objective data
DC# I R/S A-Assessment of S and 0 ata
Date of Birth P - Plan
Institution,
,nt,iril nniral PFC-ORD OF OUTPATIENT MENTAL HEALT14 CARE
T.
4L Cw C- ry Q
�3- 'i a-0�.ck rv%:L.,3 c�j 'OL*3 �",5'�,
Ll 'L -J.
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ra
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-0'7,4o-, e-,,,
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RECEIVED
FEB 2 1 2007
OFFICE OF THE CITY CLEM
vvv,
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5B77
I-OCATION INFUKIVIATION
PER�MIT_I�N.FOR�MATIQN vIOLF-1 6 1 Ktt I*
r 1 509 Address: 136b
�—Per—mitNu—mber: 21 buv ATLANTIC BEACH, FLORIDA 32233
Permit Type: FENCE Township: 0 Range: 0 Book:
Class of Work: FENCE Lot(s): Block: Section:0
Proposed Use: Subdivision: SECTION H
Square Feet: Parcel Number:
Est. Value: OWNER NFORMATION
Improv. Cost: ame: THUMAti J. BENNE I I
Date issued: 2/27/2001 Address: 675 ATLANTIC BOULEVARD
Total Fees: 10.00 ATLANTIC BEACH, FLORIDA 32233
Amount Paid: 10.00 Phone: (904)241-3161
Date Paid: 2/26/2001
Work Desc: Add hain Link Fence APPI Ir-ATIUN FEES
RACTOR S PERMIT 10.0
PROPERTY OWNER
Ins cuons Required
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
T—
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.
Date: 2/27/91 81 Receipt: 8037928
TLANTIC EACH BUILDING D CMH
CITY OF ATLANTIC BEACH
APPLICATION FOR FENCE PERMIT
Dk)C- -3) 1
Phone -)�411-
Owners—
Address- ) �- XoT
Lot Block and(or Unit# Subdivision
Contractor if Different From Owner
Valuation of Fence $,Comer or Interior Lot
Type of Constructio
Attach Survey Showing location and height of fence as well as location of street(s).
.4
0
A
Owners Signature
Contractors Signature
A?/0�1� b(__ 19
MAP SHOWNG SURVEY OF
THE SOUTH 34.00 FEET OF LOT 2 AND THE NORTH 44.00 FEET OF LOT 3. BLOCK 233.
SECTION "H" ATLANTIC BEACH AS RECORDED IN PLAT BOOK 18, PAGE 34 OF THE CUR—
RENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. -2
L
B L 0 C K 234
L 0 T 1 L 0 T L 0 T 3 L 0 T 4
78.34' FIELD
FOUND 1/2- IRON PIPE 21 f FOUNI> 1/2- IIRON POPE
mmilamm j_L.S.3295_ _
NO CA 78.00' )t z;_
16.00'0.2,,� 34.00 44.00' '6.00
FOUND 1/2- IRON PIPE
6' WOOD FE L.S.3295
6* WOOD FENCE
U-
8
0. i
Q L,
X
B 8 L 0 C K 233
§-0 1
04 z 0 0
STORAGE x
ROOMS I
CONCRETE CONCRETE
I
PATIO PATIO 8.0-1
7.3' x
62.7'
Li I- co:)
ICY_ I C14 C-4 1
0 1 SIORY STUCCO
ad 0
RESIDENCE S
No 1365 No. 1369
COVERED WOOD COVERED WOOD
PORCH PORCH,,,
7.2' 8.1,
4. 4
CONCRETE I CONCRETE
A/C PAD A/ PAD
C
I CONCRETE
F4r- CONCRLTE WALK v)
WAL�
FOUND 1/2- IRON PIPE L FOUND 1/2' IRON PIPE
-S.3295 44.00' Q,�6.00'
�NO CAP 16,W* LA 34.00' 1 OL
6�_ - -
00' FOUND 1/2- IRON PIPE
86,03' FIELD 78.00' L-S,3295
FOUND 1/2- IRON PIPE--' 77.93' FIELD
L.S.3295
NOTES:
THIS IS A BOUNDARY SURVEY. v 10
STREET
NO BUILDING RESTRICTION LINE W0
;vx&\: T OF WAY _jPAVED)
AS PER PLAT.
NORTH PROTRACTED FROM PLAT.
ANGLES AS PER FIELD SURVEY.
A DENOTES 89'55*40"
B DENOTES 89*59'35"
C DENOTES 89*46'42"
D DENOTES 90*18'03"
THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE -X- (AREA OUTSIDE 500—YEAR
FLOOD PLAIN) AS WELL AS CAN BE DETERMINED FROM THE "FLOOD INSURANCE RATE MAP" COM—
MUNITY—PANEL NUMBER 120075 0001 D, REVISED APRIL 17, 1989 FOR ATLANTIC BEACH, FLORIDA.
I HEREBY CERTIFY TO THOMAS JACKSON BENNETT THAT I HAVE SURVEYED THE LANDS AS SHOWN
pP �A�7p� CITY OF
elp 4&aA& a we,4-
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M,
Received 3, eD
L lit
Job
owner's Contractor
Name PLUMBING MECHANICAL
BUILDING CONCRETE ELECTRICAL �
Framing 11 Footing E Rough Wiring 0 Rou h El Air Cond. &
E Slab 7— Temp Pole E) Top ut E Heating
Re Roofing [E:l Sew r Fire Place
Insulation El Lintel Final "e— Pre Fab
READY FOR INSPECTION A M
g
0
e
y
Mon. Wed. Thurs. Frida P M
U-s
cT�) A.M.
RM.
Inspection Made Final Inspection El
Inspector Certificate of occupancy C
Date
C CITY OF
1*(aw� Fead - '�&vda
800 SEMINOLE ROAD
-5445
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)247-5800
FAX(904)247-5805
7 SUNCOM 852-5800
Thomas Bennett
675 Atlantic Boulevard
Atlantic Beach, FL 32233
Dear Sir:
Our records indicate that you are the owner of the following property in the City of
Atlantic Beach, Florida,
Re: 1366 Violet Street
a/k/a S. 34 ft Lot 2, N. 6 ft Lot 3, Block 233, Section H
RE# 171061-0120
Investigation of this property discloses that I have found and determined that you are
in violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-6, open septic tank.
You can comply by: Replacing cover over septic tank.
You are hereby notified that unless the conditions aboye described are remedied within
five (6) days from the date of your receipt hereof this case will be turned over to the Code
Enforcement Board.
Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up
to $250.00 per day for a first violation and $500.00 per day for a repeat violation.
Sincerely,
la�r I W�fu n 6 fa
Code Enforcement Officer
KWG/pah
cc� Public Safety Director
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
FAX(904)247-5805
SUNCOM 852-5800
TELEPHONE(904)247-5800
DATE
��,--154 5
Dear
Our records indicate thai you are the owner of the following property in the City
of Atlantic Beach, Florida:
Re: /I,, 'j--
alkla T, I Z "V- A"'7- 9, V- 5- 17'
RE#
Investigation of this property discloses that I have found and determined that you
are in violation of City of Atlantic Beach Ordinance Chapter/�,- Section Iz g_-
You are hereby notified that unless the conditions above described are remedied
within -j— ( days from the date of your receipt hereof this case will be turned
over to the Code Enforcement Board.
Under Florida Statutes 162.09, the Code Enforcement Board may impose fines
of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation.
Sincerely,
Karl W. Grunewald
Code Enforcement Officer
KWG/pah
CC' Public Safety Director
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
't'VIST
CITY OF
/ftiaae Fe4d -
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
... ........... SLTNCOM 852-5800
July 11, 1996
Thomas J. Bennett
675 Atlantic Boulevard
Atlantic Beach, FL 32233
Dear Mr. Bennett:
our records indicate that you are the owner of the following described
ploperty in the City of Atlantic Beach:
Re: 1365 Violet Street
alkla S. 341 Zot 2, N. 51 Zot 3, Block 233, Section R
RE#171061-120
Investigation of this property discloses that I have found and determined
that a violation of the Chapter 12, Section 12-1-8 (Unsafe-Unsanitary Building)
and Standard Housing Code violations as follows:
Standard Housing Code Section 302.7 (2) Kitchen cabinets are deteriorating,
doors fallen off, water damage;
Standard Housing Code Section 302.9 Smoke detector is inoperable;
Standard Housing Code Section 303.3 No natural or unnatural ventilation
provided in bathroom;
Standard Housing Code Section 302.1 Dishwasher drain line leaks from sink
trap;
Standard Housing Code Section 305.2 Siding on utility room is rotted;
Standard Housing Code Section 305.2 Privacy lock on bathroom door not
adequate;
Standard Housing Code Section 304 Electrical outlets are not protected with
outlet plates;
Standard Huosing Code Section 304 Electrical panel box not properly
labeled;
Standard Housing Code Section 304 Hot water heater elements do not have
protective covers;
Standard Building Code - Attic access door does not provide a tight seal;
Thomas J. Bennett
Page Two
July 11, 1996
City of Atlantic Beach ordinance Chapter 22, Section 22-90 - A failed
septic tank shall be collapsed and filled with soil.
When the above violations have been brought into compliance call this
office at 247-5826 for an inspection. This will prevent any further action on
the part of the City of Atlantic Beach.
You are hereby notified that unless the conditions above described are
remedied within thirty (30)days from the date of your receipt hereof, this case
will be turned over to the Code Enforcement Board.
Under Florida Statute 162.09, the Code Enforcement Board may impose fines
of up to $250.00 per day for a first violation and $500.00 for a repeat
violations.
Sincerely,
Karl W. Grunewald
Code Enforcement Officer
KWG/pah
ct: Public Safety Director
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
CITY OF ATLANTIC BEACH 10: 45 : 39
7/10/96 SPECIAL INVESTIGATION CMN007
CMR007 COMPLAINT # 4754
COMPLAINT DATE : 96/07/10 ASSIGNED DEPT/DIV: 10 06 PRIORITY CODE : 0
COMPLAINT TIME: 10: 27 : 58 TAKEN BY: KARLGRUN
COMPLAINANT : STRONG
ADDRESS : 1365 VIOLET ST
ATLANTIC BEACH FL 00000
PHONE: 904-247-4897 EXT :
LOCATION: 1365 VIOLET ST
ATLANTIC BEACH FL 00000
OWNER: THOMAS BENNETT 675 ATLANTIC BLVD .A. B ..
COMPLAINT DESC : VIOLATIONS OF ELEC , PLUMBING, SEPTIC ,BUILDING,
S . 34 FT LOT 2 ,N . 5FT LOT 3 ,BLK 233 SEC H,RE # 171061-120
DATE OF INVESTIGATION : 96/07/10 INVESTIGATOR: GRUNEWALD
--------------- -----------------------------------------------------------
CONDITIONS FOUND INSPECTION 11 : 15 7-10-96
-4
AJ 07-
ACTION TAKEN"�,,/
40
57 Aol
e—'o,
E-
COMPLIANC
�9 5-
NOTeA d
-,o4,A 1(14 05��,e-2
7
17�X
-1m
MECHANICAL PERMIT# 6,1j
ADDRESS
-Ituf PLUMBING PERMIT #
BUILDING PERMIT WORKSHEET ELECTRIC PERMIT #
TEMPORARY ELECT. #
Heated Square Footage @ $ 3 per sq ft = $ 3 3 61 0
Garage/Shed @ $ per sq ft =
Carport @ $ er sq ft = $
'1—P �z
Porches @ $ ___per sq ft = $
Deck @ $ Der sq ft = $
Patio @ s per sq ft =
TOTAL VALUATION
6-0 $ AR
Total Valuation Data ist $
e5i r -?- ? tv $ Zile
Remainder Valuation @ $ ;? . 6� per thousand
or portion thereof
TOTAL BUILDING FEE s
+ k FILING FEE $
FIREPLACE @15 . 00 $
TOTAL BUILDING PERMIT $
---------------------------------------------------------- --------------------------
PLUMBING PERMIT FEE$ (,-'&1 MECHANICAL PERMIT FEE$-
ELECT. TEMPORARY $ C2216 ELECTRICAL PERMIT $
,'/ s
WATER METER SIZE -5/�z ACCOUNT NUMBER(19
SEWER IMPACT FEE �zr
WATER CONNECTION $ c-,-A (TO /c� o (@10 . 00 per fixture unit)
FEE $
APPROVED BY: TOTAL BUILDING/PLAN FILING
TOTAL WATER METER CHARGE $
p,? PROVED TOTAL SEWER IMPACT FEES $ �0'
raANTIG BEACII,
riUll-DINGOFFICE TOTAL WATER CONNECTION CHARGE $
MISCELLANEOUS CHARGES $
GRAND TOTAL DUE : $
MAP SHOWING SURVEY OF
THE SOUTH 34 FEET Of' LOT AND THE NORTH 44 FEET OF L BLOCK 233,
_,v - 3k
SECTION "H" ATLANTIC BEAC , AS - RECORDED IN PLAT BOO PAGE 3 4 , OF
THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
IN
5,�-f 7-
VA CA A.1 7 7-
Af 0
76.0'
AA�9 7-e5-
A5 -57
r-5
1,5�A 7-
I HEREBY CERTIFY. THAT THE PROPERTY SHOWN HEREON IS IN FLOOD ZONE -C-
AS SHOWN ON THE FLOOD HAZARD BOUNDARY MAP FOR THE CETY OF ATLANTIC BEACH,
FLORIDA.
I HEREBY CERTIFY TO F. REUBEN BENNETT THAT I HAVE SURVEYED THE LANDS
AS SHOWN IN THE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT
REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRESENTED HEREON
MEETS THE MINIMUM STANDARD REQUIREMENTS ADOPTED BIC THE FLORIDA STATE
BOARD OF PROFESSIONAL LAND SURVEYORS CHAPTER 21-HH AND THE FLORIDA LAND
TITLE N45OCIATION.
J -cj 1-e 7-
DONN W. BOATWRIGHT, LATO"k
FLORIDA REG- LAND SURVEYOR No. 32 95
DATF, SIUNEN
SCAL B;ATWRIGHT LAND SURVEYORS, INC.
DRAWN BY: 1301 PENMAN ROAD SUITE D SHEET OF
r! tll — iArwclnNVlLLE BEACH. FLORIDA 241-8-550
STATE OF FLORIDA
DEPARTMENT OF HEALTH
& REHABILITATIVE SERVICES
SEPTIC TANK CONSTRUCTION PERMIT
Duval -County Health Dept. No. 5ol48
F. R. Bennett
Owner
I For Installation At� Violet St. 77!�:
f
Drainfield Size 360 sq ft
Sand Filter Size-
Septic Tank Capacity Minimum 75-G gal
Grease Trap Capacity Minimum
Dosing Tank Drain Tile
(a) Installation must be in accord with requirements of Chapter
1OD-6, Florida Administrative Code.
(b) Final inspection required before work is covered.
(c) Permit void if not used within one year.
(d) Approved installation does not guarantee performance.
I Date of AppliWtion 8/15/a4 issue 8/29/84
I W-J�
I Issued By iNilliam E. PounA, Engine0fr I
NOTE:Provide 22" elevation(suitable oakridge sand)
lin area 30X56. Hold building sewer stubout invert
T6" above natural gr Cover wit�i 9" of -
I C-LUall
sand and sod over, Per letter from B & H
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
SECTION 9—RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES
FORM 900-A-84 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3
This form may be used to demonstrate compliance with the Energy Code for new single-family detached or multifamily attached dwellings under Section 9
of the Energy Code. An alternative to this method for single-family detached dwellings, and multifamily attached dwellings of three stories or less, is
provided in Section 10 of this Code.Only dwellings which are above ground frame(wood siding, brick veneer,etc.)or concrete wall type construction may
be calculated using Sections 9 and 10.Other types of construction must comply under Section 4 or Section 5 of this Code.Additions to existing residential
buildings shall comply with the requirements of Section 10 of this Code.Detailed information on how to complete this form may be obtained from your local
building department or the Department of Community Affairs, Energy Code Program,2571 Executive Center Circle East,Tallahassee, Florida 32301.
PROJECT NAME �J��5��PERMITTING OFFICE:
AND ADDRESS: CIRCLE CLIMATE ZONE: 1 _-� U3
BUILDER: PERMIT NO.:
OWNER: JURISDICTION NO.: Q
IF MULTIFAMILY, NO. OF UNITS GLASS AREA AND TYPE
El DETACHED COVERED BY THIS CALCULATION: CLEAR TINT,FILM,SOLAR SCREEN
SEPARATE CALCULATIONS ARE REQUIRED SGL SGL
FOR EACH WORST CASE UNIT TYPE.CHECK IF
ATTACHED THIS CALCULATION REPRESENTS A WORST DBIL DBL
CASE CONDITION.
NET WALL AREA AND INSULATION CONDITIONED CEILING INSULATION
CBS R= FRAME R FLOOR AREA UNDER ATTIC SGL.ASSEMBLY
I L-1 =.E I � I 10\n [n.[:G � I n I W(�" R= LN.[D R= =.[]
COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM
.5eCENTRAL NONE ELECTRIC STRIP GAS 1:1 NONE KELECTRIC RESISTANCE SOLAR
ROOM OIL SOLAR HEAT RECOVERY GAS
PACKAGE TERMINAL AC HEAT PUMP:COP - 165) 1 I—LA-1 DED. HEAT PUMP:COP -
Lc�j IF A I E El.
EER/SEER OTHER: El OTHER:
CALCULATED E.P.I.: 1��. CALCULATED E.P.I.MUST NOT EXCEED 100 POINTS
In accordance with Section 553.907 FS., I hereby certify that the plans Review of the plans and specifications covered by this calculation indi-
and specifications covered by this calculation are in compliance with the cates compliance with the Florida Energy Code. Before construction is
Florida Energy Cod completed, this building will be inspected for compliance in accordance
with Section 553.908, F.S.
OWNER/AGENT BUILDING OFFICIAL:
DATE: DATE:
9A I PRESCRIPTIVE MEASURES(Must be met or exceeded by all residences.)
MINIMUM REQUIREMENTS CHECK TO INDICATE
COMPONENTS REQUIREMENTS COMIPLIA�CE
WINDOWS(903.1) MAXIMUM OF 0.5 CFM per LINEAR FOOT OF OPERABLE SASH CRACK.
DOORS(903.1) MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA.INCLUDES SLIDING GLASS DOORS. 'z
EXT.JOINTS&CRACKS(903.1) TO BE CAULKED,GASKETED,WEATHER-STRIPPED OR OTHERWISE SEALED.
CEILING INSULATION(903.9) MINIMUM OF R-19.
WATER HEATERS(903.2) MUST BEAR ASHRAE STANDARD 90-80 LABEL OR A MAX.4 WATT/SO-FT.STAND-BY LOSS.SWITCH
OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF VALVE(GAS)MUST BE
PROVIDED.
SWIMMING POOLS(903.3) IF HEATED BY OTHER THAN SOLAR,MUST HAVE POOL COVER DESIGNED TO MINIMIZE HEAT LOSS.
ALL NON-COMMERCIAL POOLS MUST BE EQUIPPED WITH A POOL PUMP TIMER.
HOT WATER PIPES(903.4) INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS. IN SUCH CASES,PIPING HEAT
LOSS SHALL BE LIMITED TO A MAX.OF 17.5 BTU /H PER LINEAR FOOT OF PIPE(SEE 504.4).
SHOWER HEADS(903.5) WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE.
HVAC DUCT CONSTRUCTION CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHANICAL CODE.
(903.6) DUCTS IN UNCONDITIONED SPACE MUST BE INSULATED TO A MINIMUM R-4.2.
HVAC CONTROLS(903.7) A SEPARATE,READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM.
1
FORM 9MA-84 CLIMATE ZONES 1 2 3
9C DESIGN CREDIT POINTS(CP) 9D HEATING SYSTEM CREDIT POINTS
CEILING FAN IN COND.SPACE(max 5 CP) I NATURAL GAS/PROPANE HEATING 16.0
MULTIZONE A/C SEPARATED BY DOOR 5 OIL HEATING 12.8
CROSS VENTILATION(I CP per room) I
WHOLE HOUSE FAN(min.1.5 cfm/s.f.) 5
WOOD STOVE 7 9E DESIGN PENALTY POINTS
FIREPLACE WITH OUTSIDE COMBUSTION AIR 2 WASHER AND DRYER IN COND SPACE 3
TOTAL GLASS OPENS LESS THAN 400/6 5
9C TOTAL(not to exceed 12 points) ( N FIREPLACE WITH INSIDE COMBUSTION AIR 5
9F WINTER OVERHANG FACTOR(WOF) 9F SUMMER OVERHANG FACTOR (SOF)
FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW
0-0.9 1.00 0.98 0.99 0.74 0.71 0.82 0.93 1.00 0-0.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 -M. 1.00 1-1.9 1.00 l.00 0.99 0.98 0.97 0.98 -Z-99- 1.00
2-2.9 1.0o 0.9 _Q.99 0.77 0.76 0.84 0.94 1.00 2-2.9 1.00 0.98 �Q..94 0.92 0.91 0.92 0.94 0.98
8 -TM- 0.95
3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 -To 1.00 3-3.9 1.00 0.95 0.89 0.86 0.85 0.86
4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91
5-5.9 l.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0.76 0.79 0.88
6-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0.75 0.85
7-7.9 1.0o 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0.72 0.70 0.77 0.70 0.72 0.83
8-8.9 l.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.68 0.77 0.68 0.70 0.81
9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0.76 0.67 0.68 0.79
10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.66 0.77
11-11.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97 0.76 0.64 0.64 0.76 0.64 0.64 0.76
112 UP 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1 112 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75
9G HEATING SYSTEM MULTI LIER(HS ) 3.5&UP
COP 2.5- 2.7-2.8 2 9-3.�o 3.1-3.2 3.3-3E.4 &Up
14 P -J� 0
.34
HEATPUMP HSM .40 F-.37 .34 .32 ��.30
SYS.
SOLAR HEATING SYSTEM P SYSTEM FRACTION) x(BACKUP SYSTEM HSM)
ELECTRIC STRIP HEAT 1.0
NATURAL GAS/PROPANE/OIL 1.0(SEE TABLE 9D FOR CREDITS)
PTAC&ROOM HEAT PUMPS MINIMUM COP 2.2.HSM FOR COP 2.2- 2.4= .45.
SEE TABLE ABOVE FOR COP>2.4
9 COOLING SYSTEM MULTIPLIER(CSM)
EER/SEER 8.0-8.4 8.5-8.9 9.0-9.4 9-5-9-9 0.0-10.4 10.5-10.9 11.0-11.9 12.0-UP
ELECTRIC CSM .83 .81 0.76 0.72 0.68 0.65 0.62 0.59 0.54
COP 0.45-0.49 0.50-0-54 0.55-0.59 0.60-0.64 0.65-0.69 0.70&UP
GAS CSM 1.50 1.25 1.20 1.09 1.00 0.92
MINIMUM SEER/EER LEVEL 7.8 FOR STRAIGHT COOL OR HEAT PUMPS;MINIMUM OF 7.5 EER FOR ROOM UNITS AND PTAC.
FOR ROOM UNITS AND PTAC,CSM FOR EER 7.5 - 7.7 = .87.SEE TABLE ABOVE FOR EER ---7.7.
91 1 HOT WATER CREDIT POINTS(HWCP)
ELECTRIC RESISTANCE WATER HEATER
10
GAS WATER HEATER 4.5-
INSTANTANEOUS WATER ELECTRIC 12.6
HEATER GAS 6.7
HRU(AJC)WATER HEATER ELECTRIC BACKUP 13.9
GAS BACKUP 9.7
HRU(HP)WATER HEATER ELECTRIC BACKUP -14.5
GAS BACKUP -- 1.60-1.89 1.90-2.19 2.20-2.49 2.at.-2.79 2.80-3.00
HEAT PUMP WATER HEATER COP
(DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4
OVERALL SOLAR FRACTION* 0.1 0.2 0.3 04 05 0.6 0-7
I
"o
4 11 24i.
1-1-- .0
SOLAR a' ELECTRIC BACKUP- 2'.4 4.8 7.2
,Le - 15.6 1 17.0 1 18.8 1 9.8 1 21.2 1 22.6 24.0
HOT WATER ecc3RFGAS BACKUP 4] 12.8 14.2
*PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM+loo=OVERALL SOLAR FRACTION
4
41
CITY OF
Ve4d 9&W�d4
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-SU5
TELEPHONE(904)247-58M
FAX(904)247-5805
June 1 , 1994
Mr. Thomas Bennett
675 Atlantic Boulevard
Atlantic Beach, FL 32233
Dear Mr . Bennett :
Our records indicate that you are the owner of the following
property in the City of Atlantic Beach, Florida:
1365 Violet Street
a/k/a Lot 3 , Block 233 , Section H
RE171061-0150
Investigation of this property discloses that I have found
and determined that a public nuisance exists thereon so as to
constitute a violation of City of Atlantic Beach Ordinances Section
24-163 Parking of Vehicles i . e . , there is a boat parked in front
yard in front of building setback line and on City right-of-way .
You are hereby notified that unless the condition above
described is remedied within fifteen (15) days from the date of
your receipt hereof , this case will be turned over to the Code
Enforcement Board.
Under Florida Statute 162 .09 , the Code Enforcement Board may
impose fines of up to $250 . 00 per day for a first violation and
$500 .00 per day for a repeat violation.
Sincerely,
Karl W . Grunewald
Code Enforcement officer
KWG/pah
Enclosure
cc : city Manager
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
CITY OF
800 SEMINOLE ROAD
A ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
June 2 , 1994
Mr . Jeff Sapp
1365 Violet Street
Atlantic Beach, FL 32233
Dear Mr . Sapp :
our records indicate that you are the occupant of the
following property in the City of Atlantic Beach, Florida:
1365 Violet Street
a/k/a Lot 3 , Block 233 , Section H
RE171061-0150
Investigation of this property discloses that I have found
and determined that a public nuisance exists thereon so as to
constitute a violation of City of Atlantic Beach ordinances Section
24-163 Parking of Vehicles i . e . , there is a boat parked in front
yard in front of building setback line and on City right-of-way .
You are hereby notified that unless the condition above
described is remedied within fifteen ( 15) days from the date of
your receipt hereof , this case will be turned over to the Code
Enforcement Board .
Under Florida Statute 162 .09 , the -Code Enforcement Board may
impose fines of up to $250 .00 per day for a first violation and
$500 . 00 per day for a repeat violation.
Sincerely,
Karl W . Grunewald
Code Enforcement officer
KWG/pah
Enclosure
cc : City Manager
Tntiffiratr of (Orrupaurp
CITY OF
44 to NOA RW&
UrpartmPtit of NuAbing 3napprtion
This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use. For the following.
Use Classification Bldg.Permit No.
Group-Type Construction--Fire District.
Owner of Building Address
Building Address Locality
By:
Building Official Date;
POST IN A CONSPICUOUS CK
CITY OP
4&6-46 Beac,,4—99&U*Z& i 1je
office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received P.M. _J(/7 District No.
Looal ity
Job Address
Owner's Contractor
Name. 17'-
BUIL�ING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing D Footing El Rough Wiring E Rough Air.Cond.& 0
Re Roofing E Slab Temp Pole E Top Out D Heating
Fire Place
Lintel Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. /Thurs. Friday—P.M.
A.M-
inspection Mace P.M.
Inspector Final Inspectioron
Certificate of Occupancy
Date
INSPECTION
LOG
JOB ADDRESS
TAW
CONTRACTOR
OWNER
BUILDING PERMIT ELECTRICAL PERMIT
PLUMBING PERMIT MECHANICAL PERMIT
FLOOD ZONE DATE SURVEY FILED
called in approved JEA
Temp-pole S7
Slab
Footing
Framing lo -16 Z)
Plumbing (R) 10 - 16 / -�)
Electrical (R)
Mechanical
Fire Place
Top Out
Other
3>,
L
Electrical Final
FINAL INSPECTION
Certificate of Occupancy Issued
COYI�ENTS :
y
I-Ow- -
of, 4%
C
,XI'4
X0
ct ot%*%ce A Olk
%IAG P� \(\g
OOS e
f\f
IDO'ke iFao
?,Ooq�l pf
jvrA 66 eo jk\ 109 Oklk
-,f��O-I�A�cvoe 0
O\W\0 folk
e
,5,J\VD\tkG 0 10,10 0
f�amNnq 0 \Ned. \Osp 0,Occ\A),(\cl
�ke
02,te
v\s9eckol
CITY OF
Fead - 716 OCEAN BOULEVARD
P.0.BOX 26
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
March 25, 1985
Pre-Service Section
3rd Floor
Jacksonvilb Electric Authority
233 West Duval Street
Jacksonville, Florida 32202
The following final inspections have been made and are satisfactory:
Permit #14141 - 1365 Violet Street
Permit #4142 - 1369 Violet Street
Permit IJ4127 - 1305 Violet Street
permit #4125 - 1309 Violet Street
Permits issued to Early Electric CaTany
Permit #3937 - 892 ocean Boulevard
Pdrmit issued to R.E. Bay Electric Conpany
Pera-Lit IJ4201 - 1880 Live Oak Lane
Permit sisued to AdIdns Electric Company
Sincerely,
Vjohn M. Widdows
Building Inspection Supervisor
JNW:ra
',;TU
6 CC;
:P U
��ntic �e-h, Fla.
32233
�ity of" Atlantic Beach
' t', ar c I'leach, Fla.
zi lul
-)ear S�ir: 1: 7 ater lines Violet "It ---- 1 --th
:-;e recuest -oermission to run aater lines, si:�e 2*
V.C. 'Pipe 252 feet.
Than'iin�; you I re-main,
Res��ectlfully,_
_4
F. Reuben 3ennett, Sr.
FP'3 S3
CITY OF
Fend - 716 OCEAN BOULEVARD
LP.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
September 13 , 1984
Bennett Construction
PO Box 806
Atlantic Beach, Florida 32233
Permits #6158 , #6162 , #6155 are issued and subject to
resolut�ion of the water service and costs associated
with that service. Extension of the City water main
subject to approval by the city Commission. Permitee
required to build line according to City specifications
and at the cost of the permitee. No electric inspection
will be performed nor will a Certificate of Occupancy
be issued until this matter is resolved.
Sincerely,
A. William Moss ,
City Manager
cc( Building Files ;
1305-09 Violet Street
1365-69 Violet Street
1395-99 Violet Street
AWM:ra
13 & 30--
CITY OF ATLANTIC EACH, FLORIDA I 3(e 7 --
Approvod by I 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
AGNTIC BEACH ORDINANCES.
L 4A' JOURNEYMM
ELECTRICAL FIRM: MASTER ELECTRICI N IG4NTU E
NAME ADDRESS: 1 17 " ;' "e7 r-RFD—BOX—
BLDG.SIZE BETWEEN:
RES. APT. ( I COMM. ( I PUBLIC INDUS. NEW ( OLD ( REW.
ADDITION ( TRAILER ( TEMP. ( SIGNS SQ. FT.
FEE
SERVICE: NEW( INCREASE ( REPAIR (
C014DUCTOR SIZE AMPS COPPER ALUM.
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 OPEN TOTAL
RECEPTACLES 3 CONCEALED OPEN TOTAL
0.30 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0-100 A Ps. OVER BELL TRANSF.
APPLIANCES
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER PHS
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE
Ii—ISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. —KVA NO.--- - - KVA- —1 FLASHER
NO. VA. MA. MOTOR SIZE SWITCH
�O. NEON TRANSF.
EACH SIGN
FORWARDED
TOTAL FEES
CITY OF ATLANTIC BEACH, FLORIDA
rov A PLICATION FOR ELECTRICAL PERMIT
;od2byg
"ov" 19
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
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
Z.�NTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE
NAME ADDRESS:/3 (" RFD-BOX
BLDG.SIZE BETWEEN:
RES. ( ) APTA I comm. ( PUBLIC INDUS. NEW ( I OLD ( REW.
ADDITION ( TRAILER TEMP. (4-11"SIGNS SO. FT.
FEE
SERVICE: NEW( INCREASE ( REPAIR
CONDUCTOR SIZE AMPS L 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
.DE
R
S
V*
No-
:7pH
W
PH W
SIZE CONO.
LIGHTING OUTLETS CONCEALED OPEN TOTAL
CONCEAL ED TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS 31.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V. ---&-VER
FIXED 0.100 AMPS, FBELL TRANSF.
APPLIANCES
AIR H.P. RATING H.P. RATING EIL HEAT: KW-HEAT
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS C
0 T7 OVER
-1 1 H.P. VOLTAG PHS
MOTORS HP VOLTAGE PHS NO.
1�'JSCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. KVA-
MOTOR SIZE SWITCH FLASHER
NO.NEON TWANSF. NO. VA.
EACH SIGN FORWARDED
TOTAL FEES
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH.FLORIDA PERMIT No.- 6154
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date Setpember 6jq_�4 72*00 T
Valuation$ MECHANICAL Fee$ 72 . 00 72sOOCKT )
2579 1 A 12111/8 4
This permit not valid until above fee has been paid to City Treasurer,and is 61b4 900CAC ,
subject to revocation for violation of applicable provisions of law. 2579 In 1 1/6
I
This is to certify that— HUMA HEATING & AIR CONDITIONING
has permission to Volid INSTALL HEAT & AIR CONDITIONING
Classification RE SDIENTIAL Zone RGI-A
Owned by F.R. BENNETT
Lot Block S/D
House No 1305-89 VIOLET STREET
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4— P, 0 Building material, rubbish and debris
z
i from this work must not be placed
in public space, and must be cleared
up andhapled away by either con-
,-�Mwner.'
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections 1, and IV.
Street Address:
LOCATION And
OF Intersecting Streets: Between.—
BUILDING
Sub-division
11. IDENTIFICATION — To be completed by all applicants
described in the above statement we hereby agree to perform said work in accordance
In consideration of permit given for doing the work as hereof and in accordance with the City of Jacksonville ordinances and standards
with the attacl�ed plans a,d specifications which are a part
of good practice listed therein. Contractors
N:-e.ol anicall Master
C rit, t.�e
'i nt)
Name of
Property Owner Signature of
Signatur of Owner Architect or Engineer
nature
or Authori..d Agent
a-m
GENERAL INFORMATION
E3.
A' Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON
THIS BUILDING OR SITE 7
Elliectric
E3 Gas—[3 LP 0 Natural 0 Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION
13 Oil PERMIT
Other — specify
IV. MECHANICAL EQUIPMENT TO SE INSTALLED 4TURE OF WORK
(provide complete list of components on back of this form) Residential or El Commercial
Heat 0 Space 0 Recessed )�' Central 0 Floor New Building
Central 0 Existing Building
Air Conditioning: 0 ROOM /P 0 Replacement of existing system
Duct, System: Materiial — Thickness,— El New installation(No system previously installed)
Maximum capacity c.f.m. El Extension or add-on to existing system
0 Refrigeration El Other — Specify
0 Cooling tower: Capacity 9-P.M.
Cl Fire sprinklers: Number of
0 Elevator 0 Monlift 0 Escalator—(number) THIS SPACE FOR OFFICE USE ONLY
(3 Gasoline pumps (number) (Roceivaid)
C) TankL.(numb*r) Remarks
0 LPG containors.�(number)
• Unfired pressure vessel Permit Approved by Dat-__
• Sollars Permit Fee-
0 Other — Specify
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT capacity A MVft
Number Unito Description Model Number Manufacturer (TOM
z--w—
HEATING - FURNACES, BOILERS, FIREPLACES Capacity APPMvft
Number Units Descripuon Modell Number manufacturer A81W
TANKS Name Of Serial Approving
Now Many Nominad Capacity Type III Mmufactum No. Agency
and Dimensions Contained 7ncy
kkls
.1
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION 3&1 13 Z cr
PLUMBING CONTRACTOR kl-z- 6 L/4-
LICENSE NUMBERS
OWNER
BUILDING CONTRACTOR T
TYPE OF BUILDING_ o4g�7-
12- SINKS SHOWERS
Z LAVATORY 2- WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS -Z— WASHING MACHINE
FLOOR DRAINS OTHER
_/:��_TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
52*UU TL
r,2 rinrKT
7964 1 a 9/13/B
pop, DEPARTMENT OF BUILDING PEROV11110.6 1 Ira
CITY OF ATLANTIC BEACH,FLORIDA 9 J li�4'
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date_3SaL'_fi_
Valuation$ PLUMBING Fee$ 52. 00
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law. ING
This is to certify that ALL BEACHES P
has permission to WAd INSTALL PLbq'MING
RESDIENTIAL Zone RG1A
Classification
Owned by F .R. BENNETT Block S/D
Lot— RFET
House No.
According to approved plans which are part of this permit T CE—ALL CONCRETE FORMS
No I BE IN-
AND FOOTINGS MUST
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
0 Building material, rubbish and debris
zi from this work must not be placed
in public space, and must be cleared
U led away by either con-
trac r r,,owner.
Building Official.
CONTRACTOR
PERMIT DATE
FOR OFFICE NUMBER
USE ONLY
PLUMBING
ELECTRICAL
SEWER
WATER
DEPARTMENT OF BUILDING PERMIT No. 61. 55
CITY OF ATLANTIC BEACH.FLORIDA
PERMIT TO BUILD -
THIS PERMIT MUST BE POSTED ON JOB "49*75 T
September 6 19�4 24997MT
Date 79UI JA 9/13/8
69PO82 . 80 249 . 75 0- 15b *GOCAC
Valuation Fee$-------- 79UI '1 9/13/0
This pertnit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law. -01�TANY
This is to certify that BENNETT CONSTRUCTION I
PO BOX 8 6 A TIC BEAM
C'', 11 nt
has permission to build 1)1 TLEX-AE-P
9001
RESIDENTIAL ---Zone RG1A
Classification F.R. BENLIETT 233 H
owned by B oc ---- S/D ------
Lo Pt 0fqJq
House No' 1 13 -89 VIOLET STREET
According to a ans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX, MOWS
F
AFTER DATE 0
_n
25 X ris
45' o Building material, rubbihi�'and d
zi from this work must not be p ced
in public space, and must be 4eared
up an ha led away by eith' con-
ract r wrier.
P,
uilding Official.
CONTRACTOR
PERMIT DATE
FOR OFFICE NUMBER
USE ONLY
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
Address klkPhone R41-q5-5
Owner !2:1 hone
Architect �ar - Address
Contractor ' Address 9.o- GOX go(. ._A_L_Phone
RLO.ri fl e- adefi-*6- xpiration Date 3r) - g,
License Number 0A6006E9q Zoning__
Lot # Block #__g3�Subdi ision 71-1
Street V;61e� 'S+LCe±Between and s i dd�
Type Const.
Valuation $ Purpose of Building
Dimensions : Building_ 79',t ZV-1 I -Sz.Footings
Sz.Piers Sz. Sills Greatest Span Sills
Sz. Ceiling Joists_aLq _Distance on Centers Greatest Span
Sz.Floor Joists Distance on Centers Greatest Span
Sz.Rafters Distance on Centers Greatest Span
Heating—f-��C_ Solid-Filled Ground Roof
Flood Zone- If located within a FLOOD HAZARD ZONE fill out
reverse of this application.
Inspections Required:
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns/lintel.
3. When steel is in place and ready to pour beam.
4. When framing, mechanical , rough plumbing and fire place
is completed and ready to cover up .
5 . Rough electrical.
6 . Final inspection.
In" case of rejection, reinspection MUST be called SETBACKS
for after corrections are made .
In consideration of permit given for doing Rear Lot Line
the work as described in the above statement ,
we hereby agree to perform said work in 1`41
accordance with the attached plans and
specifications , which are a part hereof, and Q�
in accordance with the building regulations M
of the City of Atlantic Beach. 0
01 rt
rt
t-4\ t-
M
Signature OAJNEr�'
Signature BUILDER AP
ATLA,N-T1r, BEAC,4t Front Lot Line
OUILDING OFFICE
FLOODPLAIN DEVELOPMENT INFORMATION
Type of Development : New Building
Alterations to Existing Building
Flood Zone
Required Floor Elevation
Actual (as built)Lowest Floor Elevation
If located within a flood hazard zone (zone A) a survey must be
made after the slab has been poured, certifying that the "lowest
1 to or above the base flood elevation
floor e evation is equa
established for that zone.
No Final Inspection will be made and No Certificate of Occupancy
will be issued until the survey is on file with the Building Department.-
COMMENTS
Applicant acknowledgement : I understand that the issuance of this
permit is contingent upon the above information being correct and
that the plans and supporting data have 'been or shall be provided
as required. I agree to comply with all applicable provisions of
Ordinance No. 25-7-11 and all other laws or ordinances effecting
the proposed developemnt.
Date- Applicant ' s Signature
-- -------------------------------- -----------------------------------
Department Use
Survey filed with the Building Department on
Certified Lowest Floor Elevation
Required Lowest Floor Elevation
Building Department Representative