Permit 659 Beach Avenue CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001067 Date 7/23/09
Property Address . . . . . . 659 BEACH AVE
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1800
----------------------------------------------------------------------------
Application desc
reroof
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BYRD, JR. , ROBERT T. ROMANO ROOFING SERVICES
7630 HOLLYRIDGE CIR. P.O. BOX 33037
JACKSONVILLE FL 32256 ATLANTIC BEACH FL 32233
(904) 246-5649
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 1800
Expiration Date . . 1/19/10
----------------------------------------------------------------------------
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
09-
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5a45
BUILDING-DEPTCCOAB.US
1.JOB Ar)DRESS: BU)LDING PERMIT APPLICATION DUVAL COUNTY
[2.VALUATION OF WORK LI_SQ.FT.UNDER ROOF
(ks al 52-0 t2 ou
-4.LEGAL ZESCRF-nom 2 - 1 3,
5.CLASSOF WORK 6.LIBE OF STRUCTURE--
LOT_BLOCK_SUB DIVISION 0 NEW BUILDING DEMOLITION q RESIDENTIAL
11 ADDITION 0 CONVERTING USE 0 COMMERCIAL
7.DESCRIPTION OF WORK -
0 ALTERATION El ACCESSORY BLDG. _FFIRE SPRINKLER:
0 REPAIR DPOOL/SPA 11 YES 0 N/A
10 MOVE 0 OTHER 13 NO
PROPERTY OWNER: -.!RT ARCHITE 1
ONP OR: CT If ENGINEER:
9.NAME, 15.1�60NY NAME: 23.COMPANY NAME:
16.NAM25ZW 24.LICENSEE NAME:
10.ADDRESS-
17.STATE OF FLO ID LICI 25.STATE OF FLORIDA LICENSE NO.:
18.ADDRESS: 26.ADDRESS:
11.OFFICE PHONE: 12.FAX NO.:- 19.OFFICE PHONE: L20 FAX NO,
- I Z q6 56'� q�y 0 27.OFFICE PHONE: 7 FAX NO.:
13.CELL PHONE-- 21.CELL PHONE: 29.CELL P E
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30 EMAIL ADDRESS:
FEE 8111111PLEE TITLE HOLDER-
OF 011*R THAN 011111141M BONDING COMPANY. MORTGAGE LEIMER:
31.NAME., 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Fumaces,Boilers,Heaters,Tanks, Air Conditionem,etc.
OWNEWS AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT CONTRAC
PAOSM P-VdiMorney orAgency Led-RequireM
Signed: ZZ &/711 7 :2Z O�49,9 Signed: Date:
Before me this//0 day Of in the county of Before me this day of
- r 2009 in the county of
has personally appeare a
Duval,State of Flodda,i�� Duval,State of Florida,h a p
herin by himself/herse 06-al a ns a herin by himself/herself si�affirm's i#4aii statements and declarations are
true and accurate. $a Ude Romano true and accurate.
i X mission DD83293,
Notary Pub]c at La E Ivato
I Notary Public at�xr6;'IS1 te of inty of
0 Personally 0 Personally PK_
El Produced ant' ti 11 P 6ntification
Notary Signat Notary Signature, AA
BLDG01 PermR Application Bldg:REVISED:12/18/2008
PREPARED 5/27/03, 16:52:04 INSPECTION TICKET PAGE I
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 5/28/03
------------------------------------------------------------------------------------------------
ADDRESS . : 659 BRACH AVE SUBDIV:
TENANT, NBR: NEW ROOF
CONTRACTOR : PHONE
OWNER MCGURRIN, JOSEPH P NE
PARCEL 170118-0000- -
APPL NUMBER: 03-00025862 ROOF
--------------------------------------------------- --------------------------------------------
PlIMIT: ROOF 00 ROOF PRINIT
REQUESTED INSP DESCRIPTION
TIPJSQ COMPLETED RESULT RESULTS/COMME TS
---------------------------------------------- - -----------------------------------------------
17 01 5/28/03 LJH
-4ai��) --a�
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 6/04/03, 8:14:30 INSPECTION TICKET PAGE 6
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 6/04/03
------------------------------------------------------------------------------------------------
ADDRESS . : 659 BEACH AVE SUBDIV:
TENANT, XBR: NEW ROOF
CONTRACTOR : /� PHONE
OWNER MCGURRIN, JOSEPH PHONE
PARCEL 170118-0000- -
APPL NUMBER: 03-00025862 ROOF
---------------------------------------------- -------------------------------------------------
PEINIT: ROOF 00 ROOF PERNIT
REQUESTED INSP DESCRIP ON
TYP/SQ COMPLETED RESULT RESULTS/ MM NTS
--------------------------------------- -- - ------------------------------------------ --------
TIMI
17 01 5/28/03 LJH BD SHEATHIN TIME: 08:00
5/28/03 AP BETWEEN 11AM-12PM, IF POSSIBLE, 993-4980
17 02 6/0 /03
tJ BO SHEATHING TIME: 08:00
t N9-2,959 cell 993-4980
4Z _ --
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF ATLANTIC BEACH
800 SENIINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00025822 Date 4/14/03
Property Address . . . . . . 659 BEACH AVE
Tenant nbr, name . . . . . . 4 FT. OCEAN SIDE FENCE
Application description . . . FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
MCGURRIN, JOSEPH & JANIS OWNER
7630 HOLLYRIDGE CIR.
JACKSONVILLE FL 32256
(904) 249-2 959
----------------------------------------------------------------------------
Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . 4/10/03 Valuation . . . . 0
Expiration Date 10/07/03
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
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"PROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
I Jck-
CITY OFATLANTIC 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
PLAN REVIEW COMMENTS
Permit Application
Applicant: L�-
-se I p h
Address: -I
Project
�application is approved
o
Al
0 Your permit application has been
"j"
attention:
T4,
-424.1
WV-
442xv
Please re-submit your application when these items have been completed.
Reviewed by
Signed
Date
Cont/actor Notified—Date
W2
CITY OF ATLANTIC BEACH;
LICATION
Date:-
Job Address:—
Owner'sName:
Address:-- Phone:
Legal Description: Block Number: Lot Number: Zoning District:
Fence Contractor: Cu-t�-c—k-
Address: Phone:
City: State:—Zip: Fax:
Type of fence and materials to be used: Nk.�,
Valuation of fence:
Is approval of Homeowner's Association or other private entity required?/11() If yes,please submit with this application.
El Interior Lot Comer Lot Dumpster or storage tank enclosure
Tqee Protection:
KNO. Applicant certifies that no trees will be removed for the installation of this fence.
f-I YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED.
Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
PLEASE PROVIDE TWO(2)COPIES OF APPLICATION AND THE FOLLOWING REQUIRED INFORMATION:
1. Attach copy of property survey showing location,height and all distances from property lines of the proposed fence. (Fences
shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works
Departments. Fences shall not restrict any private easement.)
2. Provide completed Owner's Authorization Form if applicant is other than property owner.
I hereby certify that all information provided with this application is correct.
Signature of Owner: Z 7L_Ii� Date:
Signature of Co actorn Date:
Address and contact information of person to receive all correspondence regarding this application (please,print):
N .-S
ame:
Mailing Address:
-A
Phone: Fax: E-Mail:
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Page 1 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Revised 1/14/03
CITY OF ATLANTIC BEACH
APPLICATION FOR FENCE PERMIT
Owners- Phone -2L&-,)r�f
Address.
Lot Block andlor Unit# Subdivision
Contractor if Different From Owner
Valuation of Fence Corner or Interior Lot
Type of Construction
' Attach Survey Showing location and height of fence as well as location of street(s)-
.2 L4
CItY of Atlantic Beach
Planning and Zoning Department
This approval verifte compliance with applicable
zoning, subdivision and other local land
development regulations, but does not.constitute
approval for the Issuance of permits. Compliance
with Florida Building Code and all other applicable
local, State and Federal permitting requirements
must be vertfied by pig"ture Of the City of Atlantic
Beach Building 0 Prior to 7�ecs of a
&"ing Permill.
Apprwvd Or..�� -�4
Gommity"Velopment Direew
Owners Signature—
Contractors SignaUire
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must be ve of U 18.2' 8 q.-0,<
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—hg and Zoning Departmant
1Z tn xZ
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0 M V1 C� 3. W �"erffies compliance with applicable
C) - 0< U C14 - 'zor (RAvision and other local land
Z UWJ M,
re UL400118, but d0fist fictcogistituts,
the iss iance of parmb. Compliance
Ai�16NO5* 6*26 50.02106 thFIorida Building Code and all other applicable
N05'06"10"W 49.56' ON TO IR(,kca'- Slate and Federal Permitting requirements
COGE PAVI, verified a ure of antic
d i BORding el prior of a
A V E `�rl-
B E -AE-
omm ni
velopment DTrector
RIbNT OF WAY Pate:
4.4 40
,SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00025862 Date 4/10/03
Property Address . . . . . . 659 BEACH AVE
Tenant nbr, name . . . . . . NEW ROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 9500
Owner Contractor
------------------------ ------------------------
MCGURRIN, JOSEPH OWNER
659 BEACH AVE.
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 120 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 9500
Expiration Date 10/10/03
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120 . 00 120 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 120 . 00 120 . 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
WHICK�RE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH PERMIT ..CALCULATION' SEBET
Address- 6-�-:Icf
Date
Heated square Footage per sq ft ..=
Garage/Sh.ed per .sq ft
Carport/Parch 'Per sq ft .= $
Deck $ Ver sq ft
-Patio __per sq f t
TOTAL VALUATION:
$
,.Total VaL�;ation Ist. IM
(gal M-
Remaining Value per thousand
or ..portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $ Z4 0
F.ireplaces . @ , $15 .00.
UILDING PERMIT FEE $
WATER IMPACTFEE
SEWER IMPACT .FEE
WATER METER/TAP
CAPITAL .IMPROVEMENT. $
SEWER TAP
-RADON . (HRS) .005Q $
SECTION H PAVING
HYDRAUL.IC SHARES
CIROSS CONNECTION $
SURCHARGE .0050
OTHER
GRAND TOTAL+ DUE
ADDITIONAL PERMITS OR FEES : .Me;hanical-; ..Plumbing
Electric/New Electric/Temp_;SwimmingPool
Septic Tank well sign
Finish Floor Elevati.on
. Survey Other,
CALCULATIONS and/or NOTES :
CITY OFATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
FAX:(904)247-5805
SUNCOM:852-5800
http://ci.atiantic-beach.fl.us
PLAN REVI�� COMMENTS
Permit Application # 00 6 2—
Applicant: J C' D
Address: (7 r_sj , (-3 C(IL Q�t---)
Project: K�cLo–f2c,Q'� v::- �-A
6/your application is approved
o 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
Signed L07— —Date C)3
Contractor Notified Date
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
-'M&Q
Job Address:
z� 13e/r 2,
Owner of Property: WM
Address: 6�
Contractor:
Sta'
Contractor's Address: Z
4k
Fax:
Telephone:
g
jc\
Scope of Work
Deck Slope: Greater than 2:12 P.
Valuation of work: eocr)
—�Iproduct Name(Example: Timberline): fj� 5//f A? Z:�,
—�Manufacturer(Example: GAF):
4STM Designation(s):
Required Inspections: Shealghing and Final
Signature of Owner: APPROVED
CITY OF AT"C
UILD1706Y'
Signature of Contractor:. Date:8
AS TO OWNER: APR 2003
44 ---
Sworn to and subscribed before me this day of 1421, 'J4' 20/�5S
State of Florida,County of Duval
Pth Jason Arsenault Notary's Signature:
my commission DOI 36245
Expires July 18,2006 F-1 Personal known
Q—Prod—uced identification
Type of identification produced Fl—
AS TO CONTRACTOR:
f
Sworn to and subscribed before me this day of
State of Florida,County of Duval '1�2
Notary's Signatur
(*0. JUM Arsenault r-1 Personally nown
My Comm"On DD135M 2-2*ed=d identification
pv Expires J*is,2WO Type of identification produced A
800 Seminole Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us
Page 1 Revised 2/21/03
CITY OF ATLANTIC BEACH
OWNER/BUILDER AFFIDAVIT
Date:
JobAddress:
CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE
APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE
OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—
OR TWO FAMILY.RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A
COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND
OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE
BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME
THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE
AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO
THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT
PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL
LICENSING ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL
OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER-,$2,000)BE UNDER A
BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY
PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE
UNDER"DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN
PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS.
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT
SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE
POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND
,,SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS
THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING
SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN "OCCUPATIONAL LICENSE" IS
NOT ADEQUATE THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR
THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR-
TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
/'?ROP,Wn`Y, "tMbEk
SWORN TO AND SUBSCRIBED BEFORE ME THIS,;�tDAY OF Z4,VZ, 20,03
OTARY PUB
LIC
e'l-MY COMMISSION EXPIRES: #0 Jason Ars~
NOTE: PHRASES UNDERLINED ABOVE. MY COmmWlon 00138M
61 tj Expires Jwy IS,2WS
Book 11Qe5 Page 481
5 MIN. RETURN Dw# 12003112848
Book; 3,1025
Pa e:
PHOME # Atl'?- Fi eO �81
I & Recorded
NOTICE OF COMMENCEMENT 04/11IM3 It-fifi-zei AN
JIM FULLER
CLERK CIRCUIT COURT
Stateof Tax Folio No. DUtXL I OM a
County�—f --11=11016 5.00
TRUST FM Loo
To Whom It May Concem-
Ilie undersigned hereby informs you that improvements will be made to ceriain real pro=ty,and in accordance
with Section 713 of the FIorid3 itarutes,the following information is stated in this NOTICE OF 4,0MMENCEIMENT.
Lclgal description of property being improved:
Addrtu of property betTg'im proved;_L���,
General descripti*a of improvemen
f 1�-,0(
Owner* Zway.,-21`1 r A"5
Address,. &-J'-( /'j r,rol,
Owner's interm in site of the improvement,
fee Simple Titleholder(if other than owner).-
Name:
Address.- 14L�'l �Tr-/r,.k 177�r, 7z?-7!7
?bone No: lff-�3-1-fjr c.;, F2-V No:
Surety(if an,y
Address'. Amount of Bond S
.Phone'1447 Fax No,
Name and ad(Fress—of any'person making a loan for the con3tt-uction of the improvements,
Name:
Address-
Phone N'=— 4 , 44��
0- / If / Fix No-
Name of person within the State ofFlorids,other than himself designated by owner upon whom notices or other
documents may be served:
Name: - / ZA
Addrm-.L---=—I 0�r. -
Phone No: Fax No-
In addition to himself,owner designates the f0110wing penon to reccive a copy of the Lienor's Notice as pro"ded in
Section 713.06(2)(b)�F1 Stmues. (Fill iu at Owner's option).
Name: / t
Address:
Phone No: Fax No:
EXPiratiOn date of Notice of Comme0cernent(the expiration date is one(1)year from the dale of rccording unless a
different date is specified):
TF41S SPACEFOR RECORDER'S USE ONLY
Signied: Date;
Befa C 5 day of 4a, , 7
in the County
of Val.State of Florida,hu pexsona0y app Wed
Notary tic at Larg"taic offiorida.Cotll;rty of Duval.
My C�Mmission expires-
Personally or
Produced 14
my
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Td Wd9220 200Z TT -udd CETES09006 'ON XUJ L1 18UW G00J 3SIdNns wodi
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00027098 Date 10/16/03
Property Address . . . . . . 659 BEACH AVE
Tenant nbr, name . . . . . . 12 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
---- ---------- -- -- -- - -- - - - -- - - - - - - - - - - - -- - - - - - - -
MCGUNNIN, JAN ALL PRO CONTRACTING INC
7630 HOLLYRIDGE CIR. 10492 WELLINGTON WALK DRIVE
JACKSONVILLE FL 32256 JACKSONVILLE FL 32256
(904) 249-2959 (904) 993-3433
---- ------------------------- ------- - - - ----- - --- -- - -- - - - - ----- - - -- -- -- -- ----
Permit PLUMBING PERMIT
Additional desc 12 FIXTURES
Permit Fee . . . . 119 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date 4/30/03
Fee summary Charged Paid Credited Due
----------------- - --------- - - - - - -- --- --- --- -- - - ----------
Permit Fee Total 119 . 00 119 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 119 . 00 119 . 00 . 00 . 00
CV
CC- rryl
�cc etlo
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.
BUILDfNG OFFICIAL
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
A qp(
Date PermitNo.
Time A.M.
Received P.M.
Job Address L alit
Owner's
Name Lip, ontra r
BUILDING CONCRETE ELEC7TRICAL PLUMBING MECHANI
Framing E Footing 11 Rou�ah t-- Rough E Air Cond. & 01
Re Roofing Slab ['I Te p Pole El Top Out Fi Heating
Insulation 11 Lintel P Final Sewer 0 Fire Place P
4kk Pre Fab
READY FOR INSPEMON
M-
Mon. Wed.f Thurs. Friday----cm
Inspection Made —P.M.
Inspector Final Inspection E
Certificate of Occupancy E,
-pate t��77�
CITY OF
4&4a4-c BewA-&7kvud4
Office of Building Official
REQUEST FOR INSPECTION
2 1-31
Date—, Permit No.
Tiroe A-U
Received P M
00 vle
Job Address Vcality
Owner' 4�t
6 C,14#'0'jVk IV/,
Name Contractor
<Qg� CONCRETE ELECTRICAL PLUMBIN MECHAMJAL
Framing Footing F_� C;Rough ir ARough Air Cond. &
Re Rooting 171 Slab 1] Temp Pole D Top Out Heating
Insulation 1:1 Lintel F Final El Sewer 0 Fire Place
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs.
Inspection Made A.M.
.M
Inspector Final Inspection ED
Certificate of Occupancy Ej
Date
CITY OF
4&4#d w- BemA-0;&u4
Office of Building Official
REQUEST FOR INSPECTION
C51-/ `7
Date Permit No.
Time A,A�M.
Received
4,�A-0�
Job Address Locality
C
Owner's C
Name Contractor
BUILDING CO CRETE �LECTRICAL� PLUMBING mprHkow-A,
Framing E� Footing 11 ou Wiri E! Rough F1 Air Cond. & F]
.Pole
Re Rooting Ej Slab D emp Pole P Top Out 11 Heating
Insulation I I Lintel E7 Final El Sewer F] Fire Place E
Pre Fab
READY FOR INSPECTION
A.M.
Mon. Tues. Wed. )I Thurs. Friday
(�-� A M
Inspection Made P,M.
Inspector Final Inspection 11
Certificate of Occupancy 0.
Date
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826 - Fax: 247-5877
PLUMBING PERMIT
PERMIT INFORMATION LOCATION,INF NALTION
Ae—rm mber: 21808 ress: 659 BEACH AVENUE
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 4/20/2001 Name: JOE MCGURRIN
Total Fees: 50.00 Address: 659 A BEACH AVENUE
Amount Paid: 50.00 ATLANTIC BEACH, FL 32233
Date Paid: 4/20/2001 Phone,. (000)000-0000
Work Desc: REPIPE
. CONTRACTOR($1 T- 171:44 LLqATION FEES
STEEG PLUMBING PERMIT
50.00
'41"" e-
OWN
FINAL
NOTICE- INSPECTIONS, BE REQUESTED AT LEAST 24 HOUR§-,P I RIOR TOjNSPECTION
BUILDING MATERIAL, kU.BBISH AN U- -QEBRIS FROM THIS WORK ., NOT BE P&CED IN PUBLIC
MUJ,T
SPACE, AND MUST BE CLEARED UPAOP
�, LED AWAY 1,5)��EF CONT��,�CTOR OR OWNER
"FAILURE TO COMPLY WITWTHE CONSTRUCT['– IFN '
IPU'L ESULT IN THE
PROPERTY OWNER PAYING
NTS11
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
'ATLANTIC 8EACH 131-ill DING DEPT.
Date; 4/23/01 01 Receipt: 0052001
CHECKS 3784
00100003221000
,wit
�VV
A-4
0,
ATLANVIC 13zACH
APP XON FOR PLUlM.TNG PERMXT
LXCA�T
4, . 0
C ,T,10 N:� ;l
OWN8 �,-OF PROP
�,�OWN8 ERTY
TELEPHONE NO.
NG',"ICO'NTRACTOR,�
, . 1 11." 11 1. 1,- ,!5' —
tg
�fe
'CTOR,, S ADDRE
N
rZ
4�
L' I C E N S E NUMBE TELEPHONE :
HOW, ll,",tHE FOLLOWING FIXTURES INSTALLED
0
S
INKS
SHOWERS .,
i,00"
LAVAT
WATER HEATERS
UBS�'-
BATH T
SHWASHERS
DI
U R I N A L S.",�.
DISPOSALS
C L 0 S E T
WASHING MACHINE
F-10 SHOWER PANS
0 R
S E W E R WATER
R E P I P E:
OTHER
1,awl",
' 'FIXTURES : 15;3 . 50 $ 15 . 60
MINI UM PERMIT FEE - 5 . 0 0
T, R Ei,,,-,0 F
-OWNEF
"d
CONT ::VIollR` .-
------------- -- -----------------------------------T-1----
'ALLATION OF PLUM '1-!�G
AND","tIXTURES MUST BE,.,IN ACCORDANCS, WITH
4R RECENT ED1116KOF THE SOUTHERN STANDARD PLUMBING' c6DE.
THE", MOST
4A
A 'DAY��'AHEAD T
-EDULE,jNSPECTIONS (904 ) 247-5826 .
ECTIONS': BE CALLED INTO PUBlIC WORKS ' FOR INSPECTION
11 to �
ft
0
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233 - Tel- 247-5826- Fax: 247-5877
PLUMBING PERMIT
PERMIT IW-ORMATION LOCATION INFOR---
Permit Number: 21807 Address: 1502 BEACH AVENUE—
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0 Book:
Proposed Use: Lot(s):5,6 Block: 6 Section: 0
Square Feet: Subdivision: MANDALAY
Est. Value: Parcel Number:
Improv. Cost: QWNER INFORMATION
Date Issued: 4120/2001 Name: ROSSBREMER
Total Fees: 29.00 Address: 1502 BEACH AVE.
Amount Paid: 29.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 4/20/2001 ''Phone— (904)246-6721
Work Desc: REPIPE
CONTRAC WFEES
PERMIT:� 29.00
At
4� SERI,,
FINAL
NOTICE - INSRECTIONS'� 24 HOURSPRIOR T0,JNSPECTION
BUILDING MATERIAL, RUBBISH AN 6'13EBRIt FROM THIS WOR,KWtT NOT BE PLACED IN PUBLIC
SPACE, AND MUST BE CLEAREb !�tA AWAYJ�*eltHER'CONTR4kdTOR OR OWNER
Tk,
"FAILURE TO COMPLY WITk-,T+jE ONStRUOT[Ott�LltN4.WtAK"RESULT IN THE
PROPERTY OWNER PAYING TV41'CE�,FbW-&jfiLDiNd*11V0
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$29.09 14
Datet 4/23/91 ZI Receipt: B051939
ATLANTIC BEACH BUILDING DEPT. CHECKS 3784
OF ATLANTIC' E3L,-ACH
-BINC, PEPt,11T
APPLICATION FOR PLUM
zjQ
44
0 X ,
5 imp x
ATION ;
x "h
PROPERTY :
TELEPHONE NO .
22
40f WOR ' S ADDREtto2F.",
-vICENSE NUM
TELEPHONE :
Mo
�HOW MANY -00 THE FOLLOWING FIXTURES INSTALLED
"y INKS SHOWERS
WATER HEATERS
LAVATON;
DISHWASHERS
BATH
URINALS" DISPOSALS
141
CLOSETIQ0 WASHING HACHiNL
FLOORMAIMINP, SHOWER PANS
WATER
R E P I P, '41 OTHER �AV'�
"MIXTURES :
TO
�,:,701
I t4l UM PERMIT FEE 2 5 , 0
UR F 0 W N E
.5"T.6 R E OF CONTRAMR: z Z,
SIG
--------- ---- - - - - - - - -- --- - - - - - - - - ---- - - - -- - - --- - -- - --
T
ANSTALLATION OF PLuMBING AND,'_-.�T.XTURES MUST BE IN ACCORDANCE WITH
j
'"TWORROSURECENT EDAJON OF SE SOUTHERN STANDARD PLUMBING ADE .
"act,
"NAVAHEAD 50"N QNEDULF INSPECTIOMS - 1904 ) 247 -5826
-CA
S" " i CAKLID INTO PUBLIC WORKS FOR INSPECTION
ECTIONS&
till 1 10
OR RF ------
CITY OF
800 SEBM�OLE ROAD
ATLAI'-MC BRAC11,FLORMA 32233-5445
TELEPHONE(9041)247-5800
FAX(904)247-5805
SUNCOM 852-5800
CmAPTx,R 48S. FLORIDA STATUTES, PART I 'CON.-5MUCTION CONTRACTING- REQUIRES OWNrjVI3UtLoeR To
ACKNOWI EDGE THE LAW:
DISCLOSURE STATEMENT FOR SecTiom 489. 103(7). FLORIDA STATUTES'
SrATE LAW REQUIRE5 CONSTRUCTION TO BE DONE BY I-ICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT
umceR Am exempnoN m THAT LAW. THE exiewrnom ALLOWS Ycu, As Tme OWNER or YOUR PROPEyffy. To ACT As YOUR
OWN CONTRACMR EYES THOUGH YOU 00 NOT HAVE A LICENSE. YOU MUST SUPERvise 71-tE comsTRuCTIom youRset-F.
YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU KAY ALSO BUILD OR
IMPROVE A COMMERCIAL 5UILCANG AT A COST OF $25,000.00 OR t rign. THE BummimG musr BE rop YOUR usc AND
OCCUPANCY. IT MAY NOT BE BUILT FOR SALL' OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF
WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPt=, THE LAW WILL PRESI ME THAT YOU BUILT IT FOR SALE OR
LEAsa, WHICH is IN vioLA-noN or THIS exemizmom. You MAY Nor HIRE AN UNLIS&Nsala PZRSOm AS YOUR COwTgAc-roR.
YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. tr IS YOUR
RESPONSIBILITY TO MAKE SURE THAT PCO
COUWrf OR MUNICiPAi- LICENSING ORDINANICXS�
Omar"Nices ALSO ALLOW AN OWNER TO impRove THviR Qwm PRQPEjqTy WHEN rr is FOR PERSONAL OR PrAMILY
Use. AND LIXEVWSE RECUIRe ALL WORK (J!XCZPT mAjmTmmANcv UNDER $2,CCO) Be UNDER A BUILDiNG PeRmrr AND PASS
ALL moRmAL imspecnoms. THE oRcimAmce STATES owNeRs mAr P"mcALLY 00 WORK THMMSELvES. OR MAY MoRC
UNLiCCN5Er) WORKERS PROVIDED SUCH WORKERS Be UNDER 'DIRECT SUPERVISION Or THE OWNE)q, WHO MUST 13C ON
THE JOB AT A-" TIMES WHILE WORK is IN PROGRESS 8Y UNLICIZASED TRADES PEOPLE.' THIS DOES NOT ALLOW USE Or
UNLICENSED COWrRACTORS.
SINCE OWNERS MAY 39E LIABLE MR INJURISM TO WORKERS THEY HIRE, THE E�UILDING DEPARTMENT SUGGESTS
WORKER'S COMPENS^TION INSURANCE 131E PURCHASED UNDER THE i-icimmawsmRs INSURANCE, Paucy CLEARLY PROTECTS
THE OWNER. OwNw;ts HIRING v�pweas BECOME empLoyeAs AND smouLm ALSO onsmwe IRS WITHHOLDING TAX AND/C0
FORM 1099 R=UIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVZMIVwr TRADES.
UNLICENSED cowrgAcToRs cAmmoT ogjEmpt-cyco umagg Amy ciRcumwrAmices. OWNERS BEING suwcar
-a $5=0 PENALTY UNDER FLORIDA-'TrATuTc No, 455-2?-5(11. As 'Qccup&n-am^6 jjQEj$SC- IS NqT A01EQUATZ.
THE OWNER smouLo PHYSICALLY sex THE COUNTY "CaRnFir-ATt OF ComF-wremcy' OR THE FLORIDA "CogrRACTORS
CE11:117[FICATZ' TO ASCERTAIN IF A PERSON IS A Licemsw coNTRAcToR. Tmzjx"ONIE THE BUiLDiNG DEPAWMENT(247-
S826) IF IN CounT.
I HeRazy AcKpoovioumoz THAT I m^vc READ-n-tc Aaova DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL
THIS REQUIREMENTS FOR THE ISSUANCE Or AN avvikem-summeR PERMIT.
GEORGIA A.HORN
-.4 My COMMISSION#DD 030526 P N UILDIER
15
Affl' EXPIRES:June 3,20%
It'Rl-
B-nftd Thlu N.taq Pblic Ur�d.,,,dW,.
4,��f
ADDRESS TELEPHONE
-MA
ED
SWOR14 TO AND SU17 E3 ORE Me THIS Ay OF
Alf
c4- NcT;kf-'* PU*c
NOTE; PHRASES umaaRumcm Ascive MY MMIZZION EXPiRES:
ARE EMPHASLZED WY THE IBUILD114G ?0
DEPARTMENT.
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PtkMtf IN Fk IWA
W—CATIOR-IN
BEACH AVENUE
Permit Number: 23221 Address: 659
Permit Type: FENCE ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
-owt4ER,
Improv. Cost: 1,000.00 -- 1...� -I--,..1-- 1 � - I �.. 71,
Date Issued: 12/28/2001 Name: JOE MCGURRIN
Total Fees: 10.00 Address: 659 A BEACH AVENUE
Amount Paid: 10.00 ATLANTIC BEACH, FL 32233
Date Paid: 12/28/2001 0ft4-Z00)000-0000
Work Desc: PER SECTION 24a$4Tb)jjEA -A JARM�&f ENCE IS PERMITTED
IR
CONTRAC F
10.00
PROPERTY OWNER
Sk
OF
.............
M�,
Amn
ZIA
5�
-4-4
OR T04 PECTION
NOTICE- S�T
BUILDING MATE 1AL S FRW—,Tt-,.--;�NPR T NO PUBLIC SPACE,AND
MUST BE CLEARED UP
"FAILURE TO COMPLY ULT IN THE
PROPERTY OWNER PAY1
ISSUED ACCORDING TO APPROVED PLA S PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISI NS OF I-AW.
oil
j4t4 2 20Q2
NTIC "'EACH BUILDING DEPT. Date: 1/82/92 It Receipt: W3461
CM
W180116WIM
CITY OF ATLANTIC BEACH
APPLICATION FOR FENCE PERMIT
Owners- ,S,-;�c 4 �,AX- lilt Phone2v?-,)r,�f
Address- 4��5
Lot Block and(or Unit k_Subdivision
Contractor if Different From Owner
Valuation of Fence $—&L6—) Corner or Interior Lot
Type of Constructio
Attach Survey Showing location and height of fence as well as location of street(s).
.2
C6 .007
City of Atlantic Beach
PiannitV and Zonft Depertawnt
Ift approval verfts compliance with applicable
xoning, subdivision and other local land
devewpn4m regulations, but ftes not constitute
==the h*mwe of perinits. Compliance
9011ding Code and of other applicable
local, Stake mW Federal perwAft requirements
Wost be v~ of lhe Cky of Atlantic
flosch *#=a of 4
$Mft
1�7=
Owners Signature
Contractors Signature
0
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0 F1, TRAYERS INE- ONLY
: '. I-uj
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1 15.31 n
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5M-FAX., 247-5877
PERMIT.-MFOR 0... LOCATION INEORMATIO-14
Permit Number: 22529 Address: 659 BEACH AVENUE
Permit Type: REMODELING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: 4,500.00 Q-WNER INIFORMATTION.
Date Issued: 8/21/2001 Name: JOE MCGURRIN
Total Fees: 25.00 Address: 659 A BEACH AVENUE
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 8/20/2001 Phone: (000)000-0000
Work Desc: ADDENDUM TO PERMIT FOR S1
CONMACTOR APPIPLICA,
PROPERTY OWNER VIPLICA FEES
RMIT 1�1�1 -, i
25.00
-41
4,
7
N
kM,
NOTICE�-,,- iNSPECjI0W �BE-RF-QU AT::�FAST 24 HOURS PRIOA TO INSPFECTION
Al
*CED IN P
BUILDING MATERIAt� RL fSf"M HIS WO WUST NO lit: 4A LIC SPACE,AND
MUST BE CLEARED LIP AND HA Y BY EITHERCONTRACTOR OR OVOR
W
fTr
"'FAILURE TO COM ITH ON$ TIONIIEN RESUO IN THE
AN 1,
PROPERTY OWNER 4,
DIN E TS"
'P
RI FL
ISSUED ACCORDING TO APPR65il ' S.. F. NQ SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE P S,
ATL�NTIC ACH BUILDING DEPT.
Receivt: %"$I
CHECKS
91INN3221M
A
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITION�S-,-CR ALTERATIONS,
MOVING, DEMOLITI S
Owner(s) -�s Ole,
Job Address Phone
Lot# Block or Unit# Subdivision
Contractor State License
Address 7 Phone
city State Zip
Describe work to be done k-cJyeA,:-,c, 5\A
Present use of building
Valuation of Proposed Construction
Proposed use ke�k et I,-,-
Is this an addition? A,�L) If yes, what are the dimensions of the added space: ft. x ft.
Will the added area be heated and cooled? 4:� New electrical (or increase)
New plumbing fixtures? A-!'L) New fireplace? XL,'U New HeatJAC? ^C-'
SUBMIT THREE (COMMERCIAL)TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/
CONTRACTOR AFFIDAVIT, WNE I N RACTOR.
Signature of OWNER
Date: 6
Signature of CONTRACTOR Date
STATE OF FLQRIDA
COUNTY OF J-)Lt v,-
Sworn to'(or affirmed) and subscribed before me this da f -. 200 /
Y-O
AS TO OWNER: Notary's
0 Personally known
0 Produced Identification
Type of id ti ication produced
Pat*la,Amoneft
eep-11012 CAMMI
August 27,2004
,Wt. BONOED THRU TROY FAIN INSMNCL IW-
Sworn to (or affirmed)and subscribed before me this day of
AS TO CONTRACTOR: Notary's Signature
0 Personally known
0 Produced Identification
Type of identification produced
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
F 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX 247-5877
RERMIT INFORMAIX 'LO INFORMATTION -
Permit Number: 21945 Address: 659 BEACH AVENUE
Permit Type: BUILDING ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: 6,500.00 OWNER11 F ON
Date Issued: 5/14/2001 Name: JOE MCGURRI.N
Total Fees: 68.00 Address: 659 A BEACH AVENUE
Amount Paid: ATLANTIC BEACH, FL 32233
Date Paid: 5/1412001 phone: (000)000-0000
Work Desc: 14 x 24 ' TIMBER DECK WITH X ACES'S STAt CA S E
COMMORM, 71- If A� 7"M.PLICATIONTEES ,
TOPHER C. KATHE 4--Pf_RMIT 68.00
4,�3
M 4p
Am-
NOTICE ANSPECTI ST BE REQUESTED AT LEAST.24 HO L URS�RYISR TO IN*ECTION
BUILDING MATERIAL,Rt)BRISH AII FROM THIS WORK MUST-NOT 8 JkACED IN PUBLIC SPACE,AND
MUST BE CLEARED UP AND HAULEO�AWAY BY EITHER CONTRACTOR OR=' ER
"FAILURE TO COMPLY WITH T)0�� TIO RE LT IN THE
VAN
0
-AN G V9 0 ce. I PF(O*'
O�
PROPERTY OWNER PA
TIT
I
ISSUED ACCORDING TO APPROVED I ItA Hr.*ARaPPAT F' 1A.PEAMIT AND SUBJECT TO REVOCATION
C�
FOR VIOLATION OF APPLICABLE PR �VIS�10d=
Date: 5/17/01 01 Receipt, C0581-11,S8
TL�NTIC $JtACH BUIEDING DEPT. CHECKS
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address— (e 6 Aze t-4
Date 5-.
Heated Square Footage @ $ per sq ft =
Garage/Shed @ $—Per sq f t =
Carport/Porch @ $_per sq f t =
Deck @ $_per sq ft =
Patio ID @ $_per sq ft = $
TOTAL VALUATION: s 4
to NOO - / 3, s
Total Valuation 1st $ /06 0
0 '?6 s
Remaining Value $ G*per thousand
OT portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $
( ) Fireplaces @ $15 - 00 $
BUILDING PERMIT FEE
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP
CAPITAL IMPROVEMENT
SEWER TAP $
) RADON (HRS) . 0050 $
SECTION H PAVING ( $
HYDRAULIC SHARES $
CROSS CONNECTION $
) SURCHARGE . 0050 $,1
OTHER $
GRAND TOTAL DUE s re)
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing
Electric/New Electric/Temp_; SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey other
CALCULATIONS and/or NOTES :
May - 14, 2001 8:30AM No-6528 P.
FLORIDA DEPT. OF
ENVIRONMENTAL PROTECTION
Date Y/"
To:
From:
Re:
a ka4L&L/- cZ22L-&
0- 42Ldea�
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS, OR R fad VED
MOVING, DEMOLITIONS
M A Y
Owner(s) Wn, +3AO tAt
JobAddress (.Sq &Ack BVW0<_ Phone_ a- ,_ ntic
Ung a,"
Lot Block or Unit# Subdivision
Contractor State License# (20 -C(3a47(4q
&-Q L) log -
Address-A AV
Phone
city ZrAcksoh)dk U6 BeAc_� State EL_ zip 3 Z_Z9z)
Describe work to be done.7-- 1 'oe 'x r,,,,4e4,
d,e� Awl� :),- V a-ca.--ss A— -
Present use of building At2A��Iet;t
I
Valuation of Proposed C struction �5oo
,J7 n
Proposed us
Is this an addition? If yes, what are the dimensions of the added space: ft.x
Will the added ea ed and cooled? A)6 New electrical (or increase
p umbing fixtures? A16 — New fireplace? Alb New Heat/AC? N Z)
SUBMIT THREE (COMMERCIAL)TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT,AND OWNER/
CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature of OWNER Date:
;t of
Signature of CONTRACTOR 1/4 Date A 0A)
STATE OF FLORIDA
COUNTY )��jt/,4C
7w_
Sworn to(or affirmed)and subscribed before me this 10 (Jay of t,44i. 20011
AS TO OWNER: Notary's Signature L
...........
Donn W.Boatwright 0 Personally known
MY COMMISSION#CC809796 EXPIRES
Produced Identification
tg March Z 2003
BONDED THRU TROY FAIN INSURANCE,INC Type of identification produced 1A?IVQL tj 62W--i�
Sworn to(or affirmed)and subscribed before me this Ir Lit day of_LLil' 2001
AS TO CONTRACTOR: Notary's Signature
Donn W.Boatwright Ll Personally known
MY COMMISSION#CC809796 EXPIRES It Produced Identification
March Z 2003
BONDED THRU TROY FM WSURANCE,MC
Type of identification produced_L�)V--(�Z�t-IC-)--�wY;e
Book 9985 Page 1417
Rcc
UMVW12015
5 MIN. RETUM Pa e: 1417
Filed & Recorded
PHONE NOTICE OF COMMENCEIVIENJ 05/10/2001 03:23:32 PH
IN FU1J-ER
CLM CIRCUIT COURT
DUVk coulM
TO WHOM IT MAY CONCERN: TRUST FUND $ 1.00
RE-CMING $ 5.00
The undersigned hereby inforTns all concerned that improvements will be made to certain
real property, and in accordance with Section 713.13 of the Florida Statutes, the following
information is stated in this NOTICE OF COMMENCEMENT.
Description o Pr perty
4;rl?
Ge�tralDgscrjption fl prQvqTents, 4��14uz�a-
OT I
7
Owner ;21�6
Address: e-
4—Owner's interest in site of improvements:
Fee Simple Title Holder(if other than owner)
Name
Address
Contractor C--
Address 4 AvO d:> Em>L-,A A 4 0 E*-
Surety (if any) jo 10 1
Address Amount of Bond
Name of person within the State of Florida designated by owner upon whom notices or other
documents may be served:
Name
Address
In addition to himself, owner designates the following person to receive a copy of the Leinor's
Notice as provided in Section 713.13(i)(F), Florida Statutes. (Fill in at Owner's option).
Name 41
Address:
qvrier
Sworn to and subscribed before me this T14- day of
Donn W.Boatwright otary Public
MY COMMISSION#CC809796 MES
March Z 2003
BONDED THRU TROY FAIN INSURAAV.INC
FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Beaches and Coastal Systems
3900 Commonwealth Blvd.-MS 300 Perndt Number: .11 0 r,
FLOR A Tallahassee, FL 32399-3000
UN (850)488-3180 No. ofPages Attache&
FIELD PERMIT PURSUANT TO SECTION 161.053 or 161.052,FLORIDA STATUTES
FINDINGS OF FACT AND CONCLUSIONS OF LAW: The request for a permit was considered by the staff designee of the Secretary of the
Department of Environmental Protection and found to be in compliance with requirements of Chapter 6213-33, Florida Administrative Code
(F.A.C.). Approval is specifically limited to the activity in the stated location and by the project description, approved plans (if any), attached
standard conditions, and any special conditions stated below pursuant to Paragraph 161.053(5), Florida Statutes, This permit may be suspended or
revoked in accordance with Section 62-4.100,F.A.C.
PROJECT LOCATION:
J
PROJECT DESCRIPTION-
SPECIAL PERMIT CONDITIONS: This permit is valid only after all applicable federal, state, and local pen-nits are obtained and does not
authorize contravention of local setback requirements or zoning or building codes. This permit and public notice shall be posted on the site
immediately upon issuance and shall remain posted along with local approval until the completion of any activity authorized by this permit. Other
special conditions of this permit include:
STANDARD PERMIT CONDITIONS: The permittee shall comply with the attached standard field permit conditions.
APPLICANT INFORMATION: I hereby certify that I am either: (1a)the owner of the subject property 2r (I b)I have the owner's consent to
secure this permit on the owner's behalf, and that (2) 1 shall obtain any applicable licenses or permits which may be required by federal, state,
county, or municipal law prio Ao- mencement of the authorized work; (3)1 acknowledge that the authorized work is what I requested; and(4)1
accept responsibility for co Ii ith all permit conditions.
D
Applicant's Signature ate Telephone No.
Z
Applicant's Printed Name Address
If applicant is an agent:
printed name ofproperty owner property owner's address property owner's telephone no.
DEPARTMENT FINAL ACTION AND FILING AND ACKNOWLEDGMENT: This field permit is approved on behalf of the Department of
Environmental Protection by the undersigned staff designee,and filed on this date,pursuant to section 120.52,F.S.,with the undersigned designated
Deputy Clerk,receipt of which is hereby acknowledged.
0
StaffDesigneelDeputy Clerk Printed lVame of DesigneelDeputy Clerk Date
PUBLIC NOTICE IS ON THE BACK OF THIS PERMIT. EXPIRATION DATE:
(Emergency permits issued pursuant to Section 6213-33.014,F.A.C.,are valid for no more than ninety days and other fieldpermits are valid for no
more than 12 months. The staff designee may specify a shorter time limit.)
EMERGENCY PERMIT: 0 YES V1 NO Approved plans are attached: El YES Q'NO
POST PERMIT AND PUBLIC NOTICE CONSPICUOUSLY ON THE SITE
DEP Form 73-122(Rev.8/98) [White Copy-Tallahassee Office] [Yellow Copy-Applicant] [Pink Copy-Staff Designee]
FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Beaches and Coastal Systems
3900 Commonwealth Blvd.-MS 300 Pernsit Number: 1.
FLORVA Tallahassee,FL 32399-3000
ININUMINE (850)488-3180 No. ofPages A ttached:
FIELD PERMIT PURSUANT TO SECTION 161.053 or 161.052,FLORIDA STATUTES
FINDINGS OF FACT AND CONCLUSIONS OF LAW: The request for a permit was considered by the staff designee of the Secretary of the
Department of Environmental Protection and found to be in compliance with requirements of Chapter 6213-33, Florida Administrative Code
(F.A.C.). Approval is specifically limited to the activity in the stated location and by the project description, approved plans (if any), attached
standard conditions,and any special conditions stated below pursuant to Paragraph 161.053(5),Florida Statutes. This permit may be suspended or
revoked in accordance with Section 62-4.100,F.A.C.
PROJECT LOCATION:
PROJECT DESCRIPTION:
SPECIAL PERMIT CONDITIONS: This permit is valid only after all applicable federal, state, and local permits are obtained and does not
authorize contravention of local setback requirements or zoning or building codes. This permit and public notice shall be posted on the site
immediately upon issuance and shall remain posted along with local approval until the completion of any activity authorized by this permit. Other
special conditions of this permit include:
STANDARD PERMIT CONDITIONS: The permittee shall comply with the attached standard field permit conditions.
APPLICANT INFORMATION: I hereby certify that I am either: (la)the owner of the subject property ar
(lb)I have the owner's consent to
secure this permit on the ownees behalf; and that(2) 1 shall obtain any applicable licenses or permits which may be required by federal, state,
county,or municipal law prigrao-cTmencement of the authorized work; (3)1 acknowledge that the authorized work is what I requested;and(4)1
accept responsibility for conlPlIancewith all permit conditions.
Applicant's Signature Date Telephone No.
Applicants Printed Name Address
if applicant is an agent:
printed name ofproperty owner property owner's address property owner's telephone no.
DEPARTMENT FINAL ACTION AND FILING AND ACKNOWLEDGMENT: This field permit is approved on behalf of the Department of
Environmental Protection by the undersigned staff designee,and filed on this date,pursuant to section 120.52,F.S.,with the undersigned designated
Deputy Clerk,receipt of which is hereby acknowledged.
Staff Designeeffieputy Clerk Printed Name ofDesigneelDepuly Clerk Date
PUBLIC NOTICE IS ON THE BACK OF THIS PERMIT. EXPIRATION DATE:
(Emergency permits issued pursuant to Section 6213-33.014,F.A.C.,are valid for no more than ninety days and other field permits are valid for no
more than 12 months. The staff designee may specify a shorter time limit.)
EMERGENCY PERMIT: C3 YES NO Approved plans are attached: 0 YES EYNO
POST PERMIT AND PUBLIC NOTICE CONSPICUOUSLY ON THE SITE
DEP Form 73-122(Rev.8/98) [White Copy-Tallahassee Office] [Yellow Copy-Applicant] [Pink Copy-Staff Designee]
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877
ELECTRICAL PERMIT
W, 4A
—PERMIT-111 -1.0 -A
Q. 01-1
Permit Number: 22100 Address: 659 BEACH AVENUE
Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233
Class of Work: ADDITION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Q
Improv. Cost:
-A-
Date Issued: 6107/2001 Name: JOE MCGURRIN
Total Fees: 25.00 Address: 659 A BEACH AVENUE
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 6/07/2001 Phone: (000)000-0000
Work Desc: ADD RECEPTACLES
............
I M FE S,
T
DAVIS & SONS ELECTRICAL CONT: PERMIT
26.00
411
t7
V
Rll
I W
NOTICE- INSPECTIOO§��,O" T BE REQUESTED AT LEAST 24 HOURS Pj(IOR TO IN,SPECTION
BUILDING MATERIAL:�RUBBISH ANC!DEBRIS FROM THIS WORK MUST NOT BE CED IN ,�UBLIC SPACE,AND
MUST BE CLEARED UO�.AND HAULW,AWAY BY EITHER CONTRACTOR OR 0 ER
"FAILURE TO COMPLYWITH TIA TRUCTION LIEN CAN RESU
tT IN THE
EM
PROPERTY OWNER PXANG ,
ISSUED ACCORDING TO APPR V SUBJECT TO REVOCATION
jRL1k T F,�14 T AND
FOR VIOLATION OF APPLICABLE PROV voo,
RLN 14
AT��TIC BtACH BUILDIING DEPT. fi/ml #I Receipts Nfix%
CASH
Jun 05 01 01 :23P 1, Cit!:j Manager fidmin 904-247-5043 P. 1
P.
CITY OF ATLANTIC BEACH, FLORIDA
APPUCATION FOR ELIECTRICAL PERMIT
TO THE CHIIEF ELECTRICAL INSPECMR: DATE: 6 -/v -zoo
IMPORTANT NOTICE: Rf
.(7FIl
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBE]) IN THE FOLLOWING.
HEREBY AGREE To PERFORIW SAID WORK IN ACCVRDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF,AND IN'ACCQ&DAbIQE WITH THE ELECTRICAL REGULATIONS,CODES AND Cm*N
ATLANTIC BEACH ORDINANCES. 6 2001
ro,,47.- rc. City Of Atlantic Beach
ELECTRICAL FIRIW MAMR ELECMICIA19 SIGNATURg and Zoning
NAME tA-L(.,,jLe_em _ADDRESS: kva -RFD----=X
51 le� � Y�h
IlLwLSIZE BETWEEW
NES. AFTA I CONIII&I PUBLIC( INDUS.4 NEW I I OLD( I REW.
ADDITION I TRAILER I I TENIPA 1 SIGNIS 1 ) SCL Fr.
39RVH;F-- NEW( ) INCREASEt I REPAIR FEE
CONDUCTOR=ZE 71/0 'All- ANIPS COPPER I I ALUM.1 )
LM_TCH OR BREAKER AMPS PH I WI VOLTI RACEWAY
EXIMC SIERV.SIZE ANIPS PHI '5WI LU'LTI RACIRIVAY
FEEDERS Mo. SIZE No. SIZE NO. SIZE
uGH1rjNG ouTLrm I CDNICEALED OMN TOTAL
RECEPTACLES CONCEALED. I OPEN I I-TOTAL
3 1-100 AMPS.I
swrrches
111CANDESCENT
FLUORESCENT AL V.
F=D 0.100 A""- OVER _j
APPU^NCES 131ELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COW.MOTOR OT14ER MOTORS ANIPS CEIL HEAT. K"EAT
MOTORS H.P. VOLTAGE PHS NO. I Lp. VOLTAGE pHs
MISCELLANE(M
TH NSFORMER& UNDER 600 v. OVER 600 V.
No. ]_KVA NO. KVA
NO.NEON TRANSF. NO. IVA. MAL MOTOR SIZE SWITCH I FLASHEF
EACH SIGN
FORWARDED
s
TOTAL FEES
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
IT,INE
-A ON LOCATION INFORMATION
Permit Number: 21945 Address: 659 BEACH AVENUE
Permit Type: BUILDING ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: 6,500.00 � ' 'I I � QWWR,INFORMATION
Date Issued: 5/14/2001 Name: JOE MCGURRIN
Total Fees: 68.00 Address: 659 A BEACH AVENUE
Amount Paid: ATLANTIC BEACH, FL 32233
Date Paid: 5/14/2001 - .,Phone: (000)000-0000
Work Desc: 14 x 24 ' TIMBER DECK A 4'ACESS STAfRqASE
CONTRA R(S) _400 JAW—LICATIONFEES
CHRISTOPHER C. KATHE -.-"-Pj F�MIT 68.00
Zr,
FKAR
FINAL
4_1
X
NOTICE 21NSPECTI ST BE REQUESTED AT:LEAST 24 HOURS PR�IbR TO INqECTION
BUILDING MATERIAL,RUBBISH ANDDEBRIS FROM THIS WORK MUST NOT B �ACED IN PUBLIC SPACE,AND
MUST BE CLEARED UPAND HAULE'&AWAY BY EITHER CONTRACTOR OR glleNER
lu!;TION LIS , AN RE$OLT IN THE
IC
"FAILURE TO COMPLY WITH T weewic
A
PROPERTY OWNER PAY1Nr, MfflbE,,,MOIL���I��PFP*_
ISSUED ACCORDING TO APPROVED`�
FOR VIOLATION OF APPLICABLE PR�V�ISIO
Date- 5117/01 31 $68.00 14
4ATT'RIC4E�J_�Mj_�_CH BUIEDING DEPT. Receipt: 0058396
CHECKS 29A
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877
ELECTRICAL PERMIT
PERMIT INFORMATION -LO- CA- TION
Permit Number: 21931 Address: 659 BEACH AVENUE
Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233
Class of Work: REPAIR Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: 0-WWRIOPORNATION
Date Issued: 5/1012001 Name: JOE MCGURRIN
Total Fees: 25.00 Address: 659 A BEACH AVENUE
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 5/10/2001 Phone: (000)000-0000
Work Desc: MISC. REPAIRS
tAPEL�-TIOU E
ADVANCED WIRING SERVICES, INC--.,
PERMIT 25.00
ra;
4
Fw
FINAL ELECTRIC
+
T�BE REQUESTED AT EAST 24 HO
NOTICE INSPECT URS PfiOR TO lt�SPECTION
BUILDING MATERIAL,1�, UBBISH 8RIS FROM THIS WORK MUST NOT BE CED IN FWBLIC SPACE, AND
MUST BE CLEARED UP VD HAUL AWAY BY EITHER,CONTRACTOR OR ER_
"FAILURE TO COMPLYV(ITH THI" RUCTION 1-1 4 RESJILT IN THE
PROPERTY OWNER PAYINIPWOOkE OR P
ISSUED ACCORDING TO APPROVED T IT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVI
M.0 14
A"TIC BEACH BUILDING DEPT. ktas 5/24/11 11 Rweipts WA312
CIECKS 1735
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877
ELECTRICAL PERMIT
L
PERMIT INFORMAT 01-Y
CATION INFORMATM
l0k
Permit Number: 22009 Address: 659 BEACH AVENUE
Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233
Class of Work: REPAIR Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: ParcellNumber:
Improv. Cost: �INFO VOW
RM-AT
Date Issued: 5/21/2001 Name: JOE MCGURRIN
Total Fees: 25.00 Address: 659 A BEACH AVENUE
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 5/21/2001 p4qne: -0000
(000)000
Work Desc: INSTALL BUSHINGS-QN--RLtESS- ANS
I �- , "i, � ,
W�f j�CAPON
ADVANCED WIRING SERVICES��.--TNC. 25-00
VV
4-
FINAL
1V
NOTICE- INSP,ECTION!�-1 I-QUESTED AT LEAST 24 HOURS^IOR TO 04SPECTION
BUILDING MATERIAL, 01JBBISH AN6',PEBRIS FROM THIS WORK MUST NOT q6LACED ll��UBLIC SPACE,AND
MUST BE CLEARED up AND HAULED'AW,AY BY EITHER CONTRACTOR OR.,61WNER
ItA R LT
IN THE
"FAILURE TO COMPLY MTHil4a
PROPERTY OWNER PAYINIG,IWICE�FOR,
ISSUED ACCORDING TO APPROVED PLA j4'g'f1t*6 F ERMIT AND SUBJECT TO REVOCATION
,WNjjI ��XAR
FOR VIOLATION OF APPLICABLE PROVISIONS W.
ULU 14
ATLANTIC,BEACH BUILDING DEPT. 5/21/91 IlI Rwtipts WM%
ows 17416
I Q)
CITY OF ATLANTIC BEACH, FLORIDA
APPLWATION POR UACTMAL PUMa
TO TW OGUF EXCTRWAL HMP*pVft
IN COXSIDE�"X OF KnUff GIM ren MXG THE WORK &S agWRISED M THE FOLUNDIM WIE
HEREBY MREE 10 PtRF*RU SAID WORK IN M=MMMCE WITH THE ATTACNED PLANS MO SMFICATIONS.
WHICH ARE A PART HEREOF,AMP W'ACCORDAME WH THE ELECTRICAL REGULAMOM,CODES AND MY OF
ATLANTIC 8MH ORDINANCEL
wawff-�nLG- mcc-loazitj 6�79 091-K-A
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SOrVICF-' ME"( I INCREMN I I NIPAW Fu
CORMUCMMO I ALUM.( I
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so P" tv NXWTI %MMM
Iam NO. 8125
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as-loo AAam TCMAL
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*%X=
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AM KV.*ATING "Time
COW.MO`M OTH"No al AMPS CVL NEAYI XV"MAlr
I- ;�TNO. -t
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MAY ? "1 601 IMM I KVA III PAX INVA
t I vik, I WA. I I MOTOR un kA�N
14 1"Tc"t
Building and--ZoFjn�' ___ I
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
Permit Number: 21837 Address: 659 BEACH AVENUE
Permit Type: BUILDING ATLANTIC BEACH, FL 32233
Class of Work: REMODEL Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: 19,600.00 �'- QMMMMW
ORMATON
Date Issued: 4/27/2001 Name: JOE MCGURRIN
Total Fees: 330.00 Address: 659 A BEACH AVENUE
Amount Paid: 330.00 ATLANTIC BEACH, FL 32233
Date Paid: 4/27/2001 Mone: (000)000-0000
Work Desc: RENOVATION
PROPERTY OWNER
IT 330.00
IWI
'j,
'A
*00 1 V,
OF-
MENEM
f
COVER UP ING
C
4
g
ROUGH ELECTIRI
ROUGH 1"-—1 �Na
AMNaff""97
-AT LEAST 24,HOURS P R 0 IN ECTION
NOTICE tPECTI
N4 15OU STED
BUILDING MATERIAL, UBBISH A IS FROM THIS WORK MUST'NOT B LACEDIN BLIC SPACE,AND
�XNER
MUST BE CLEARED UP,
D HA,ULE Y BY EITHERCONTRACTOR OR
"FAILURE TO COMPLY-W IIEWLLT IN THE
ijTH
PROPERTY OWNER PAYI, _7&` E I ORtS llpp4b
ISSUED ACCORDING TO APPROVED PtAks 4a4PIT4 els
FOR VIOLATION OF APPLICABLE PROVISIO-ftr��— i5;�MrT AND SUBJECT TO REVOCATION
PA 11)
09 2 7 �9001
My Of Aftwe
ATLANTIC BEACH bUILDING—DEPT. Date: 4/p"7'q 4
C3MO v
0855241
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
'ERMIT'.IN LOCATION INFORM ION:
FORMATION,
Permit Number: 21837 Address: 659 BEACH AVENUE
Permit Type: BUILDING ATLANTIC BEACH, FL 32233
Class of Work: REMODEL Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: 19,600.00 OWNER INFORMATION
Date Issued: 4/27/2001 Name—: JOE MCGURRIN
Total Fees: 330.00 Address: 659 A BEACH AVENUE
Amount Paid: 330.00 ATLANTIC BEACH, FL 32233
Date Paid: 4/27/2001 (000)000-0000
Work Desc: RENOVATION
ONT PLIQATION.,EEI
PROPERTY OWNER V10", IT
330.00
X,
r
t
'k
41" 'A,"
COVER UP NDER,,.S
LA EfPt ING
ROUGH ELECT*RIZj W
ROUGH MECHF"UAC'
'afqW,
..........
"%,TION
NOTICE-�V46PECTINA"REdbESEDAT LEAST 24,HOURS P R TO IN ar�
"T
BUILDING MATERIALI), 6BBISI` FROM THIS WORK MUST'NOT B LACEDI LIC SPACE, AND
MUST BE CLEARED UP-MD7HAULEt�NWAY BY,EITHER CONTRACTOR OR NER
"FAILURE TO COMPU�l �AN R
PE doLT IN THE
VVjC Nt
PROPERTY OWNER PAYI Ic OR06U(L.[*N4j IMP r
lrqq I R40 P kF-4E
ISSUED ACCORDING TO APPROVE W."RjjP4T_S F i.f rl, RMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIO
PA I&P
AN 2 7 -)not
MY Of
ATLANTIC BEACH bUILDING—DEPT.
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address
o s-2 t5raa( o Avc— - ( /Uot> -7- 1 00
Date 'V- �Zf-Ql
Heated Square Footage @ $_per sq f t = $
Garage/Shed I-KOU' @ $_per sq ft = $
Carport/Porch @ $_per sq f t = $_
Deck @ $_per sq ft = $
t
Patio @ $_per sq ft = $
TOTAL VALUATION : s 606
C) $
Total.- Valuation 1st
I � 00, s 9 ,
Rem'ai-r4ing value $ per thousand
T portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee 57,r
( ) Fireplaces @ $15 . 00
PKviCC7- Sr-&,Z-rF-P (3tE(0�<-!��BUILDING PERMIT FEE s
.33
1OF' Artir- ( S 'S' L) F-19 WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
) RADON (HRS) . 0050 $
SECTION H PAVING
HYDRAULIC SHARES
CROSS CONNECTION $
) SURCHARGE . 0050 $ 7t�
OTHER $
GRAND TOTAL DUE $ 3 3 0
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing
Electric/New Electric/Temp. ; SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other—
CALCULATIONS and/or NOTES:
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS,
MOVING, DEMOLITIONS
Owner(s) -ZS a 5 -rollrN IS ic�,t&-i � N-&,.re it,
Job Address 113 e 4 e,"-7 AVC411-e- Phone
Lot# q Block or Unit# f3 Subdivision
Contractor State License#
Address &5'4, e- Phone �z
city x3,4--^er N. State Zip 2 2-
Describe work to be done �,c. f"- U\- "v-\- \,
Present use of buildin Re ro% A-om ),
Valuation of Proposed Construction
Proposed use CeSidewlM
Is this an addition? If yes, what are the dimensions of the added space: ft.x
No
Will the added area be heated and cooled?—tv/A- Newelectrical (orincrease)-,(��ic*c-j4.-�(,4,.,,
New plumbing fixtures?_ New fireplace? N LO New Heat/AC? 2!r 5.
SUBMIT THREE (COMMERCIAL)TWO(RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/
CONTRACTOR AFFIDAVI��OWNER IS,� N
_ ;N
Signature of OWNER. Date:
Signature of CONTRACTOR Date
STATE OF FLORIDA
COUNTYOF DUW
Sworn to (or affirmed) and subscribed before me this f-k day of ' 2001
AS TO OWNER: Notary's Signaturej"Iera almd ,
,9
P rsonally known
IVED Rebecca A Angel 7�e
RECE *,hf*MY COmmission CC649801 &--Produced Identification
I V Expires May 22,2001
2W lt#F 11 Type of identification produced JV-i v(elS
Ch
UM 0 xk�al
SjhWAT�and
r affirmed)and subscribed before me this day of 200
AS TO CONTRACTOR: Notary's Signature
F] Personally known
0 Produced Identification
Type of identification produced
CITY OF
1*&4e& Ve4d - 57&ud4
800 SEAGNOLE ROAD
ATLANTIC 13EACH,FLORMA 32233-5"5
TELEPHONE(904)247-5800
-a FAX(904)247-5805
SUNCOM 852-5800
CmApTan 489, FLORIDA STATUTES. PART I 'CONSTRUCTION CONTRACTING* REQUIRES OwNER/BUILDER TO
^CXMOWLEDGIE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 4a9. 103(7), FLORIDA STATUTES.
STATE LAW REQUIRES CONSTRUCTION To Be DONE By UCENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT
UNDER AN cawrnoN To THAT LAW. THE EXEMPTION ALLOWS You, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR
OWN CONTRACTOR EVEN THOUGH YOU Do mcrr HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUcnom YOuRSE .
YOU MAY 13UILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL 13UILDING AT A COST OF $25,000.00 OR 1—. THE sui62tmG MUST we FOR YOUR USE AND
occupAmcy. tr MAY NOT Ew-auiLT FOR SAI Er OR I FrA E. If YOU SELL OR LEASE A BUILDING YOU HAVE 131JILT YOURSELF
WITHIN ONE YEAR AFTER THM CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR
LEASE, WHICH IS IN VIOLATION Or THIS EXEMPTION. YOU MAY W)T'HIRE F
�AN UNLIC-NS9D PERSON AS YOUR CONTRACTOR.
YOUR CONSTRUCTION MUST BE DONNE ACCORDING TO THE BUILDING CODES AND ZONING ReGULAnoNz. IT is YOUR
RESPONSIBILITY TO MAKE SURE THAT PEO TIE LAW AND INY
CO!ANTY OR MUNICIPA" WCENSINO ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN rr IS FOR PERSOmAL OR frAMILY
USE. AND LIKEWISE A11EQUIRE ALL WORK(EXCEPT MAINTENANCE UNDER $Z,000) BE UNDER A BUILDING PERMIT AND PASS
ALL NORMAL iNSPI-rCTIONS. 71146 ORDINANCE STATES OWN MAY PHYSICALLY 00 WORK THEMSELVES:
UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON
THE J091 Al ALL TIMMS WHILE WORK IS IN PROGRESS 13Y UNLJCXMSEM TRADES PEOPLE.' 11-itS DOES Nor ALLOW USE OF
UNLICENSED CONTRACTORS.
SINCE OWNERS MAY BE UABLX FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS
WORKER'S COMPENSATION INSURANCE 13C PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS
THE OWNER. OWNERS HIRING v#)RKeFts BECOME acmPLoye-vis AND SHOULD ALSO onseAVC IRS WIT"HmOLDING TAX AND/OR
FORM 10910 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THOR IMPROVEMENT TRADES.
UNLICENSED CON1TRACTORS CA14140T BE C14PLOYIED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
.o $5,000 PENALTY UNDER FLoRicASTATuTe No, 455-Z28(1). An 'QCCuPATiOM6 I.ICENSIC' 15 NOT 60-SQUATIM.
THE OWNER SHOULD PHYSICALLY SEE,THE COUNTY "CERTIFICATE Or COMPETENCY" OR THE FLORIDA "CONTRACTORS
CampicATz" To Ascr.RrAim IF A PERSON tsA,LICENSED CONTRACTOR. Tm-epiHoNE THE BUILDING DEPARTMENT (247-
58ZG) IF IN Douerr.
i HEREBY AcKmowL==THAT I HAVM READ THE ABOVE DISCLOSURE STAIEMENr AND T14AT I COMPLY WITH ALL
THE REQUIREMENTS FOR THE issulAmcc or Am OwNailt-BuilLoaR IT.
NERtBUILD&
57w
4�'Ify
ADDRESS 'TELEPHONE
SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY Of
J/x
NOTARY PUBLIC
NOTE: PHRASES UNDERLINED A13OVE MY COMMISZION EXPIRES:
ARE EMPHASIZED BY THE BUILDING ol Rebews A Angel
DEPARTMENT. *W*My Commission CC649801
Expires May 22,2001
Book 9957 Page. 1419
5 MIN. RETURN W:%W91770
Pies: 1419 - 1420
PHONE# -RC�3-;--kA-D 0 NOTICE OF COMMENCEMENT Filed I Recorded
04/19/2001 10-63:39 AN
JIM FULLER
CLERK CIRCUIT CUT
TO WHOM IT MAY CONCERN: DUIA COUNTY
TRUST FUND S 1.50
RECORDING $ 9.00
The undersigned hereby informs all concerned that improvements will be made to certain
real property, and in accordance with Section 713.13 of the Florida Statutes, the following
information is stated in this NOTICE OF COMMENCEMENT.
Description of Property opp
General Description of Improvements
. ..........
Owner 7 7� 6.)�ce IN No-a 15 P, 3
Address: S',y 1.3v,1r&A We-Awe- 11-;-Olw�lg- XYeee-4, 74-- �)r Z Z7�7
Owner's interest in site of improvements:
Fee Simple Title Holder (if other than owner)
Name
Address
Contractor A"U-;
Address
Surety (if any)
Address Amount of Bond
Name of person within the State of Florida designated by owner upon whom notices or other
documents may be served:
Name
Address
In addition to himself, owner designates the following person to receive a copy of the I-einor's
Notice as provided in Section 713.13(l)(F), Florida Statutes. (Fill in at Owner's option).
Name
Address*
Sworn t(�.�qd�_§uUcft6zj C"a this "Wk-day of
ofq�e me
Rebecca A Angei Notary Public
*JW*my comn*won r-C649801
,qo�Expires Mav 22,2001
/7N
Z TdV JOOZ Z NdV
3DWAO VNIaWM 1314-40 SNINOZ I ONINNVId
i:)Imvllv Jo NOV39 OIINV11V 10 WO
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------------
t--4
of,
LL
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-�A-7
--------------
7A
Book 9957 Page 1420
General Description of improvements:
We are remodeling parts of a two-story residential cottage building located at 659 Beach Avenue.
Downstairs it's our intentions to replace all light fixtures,flooring,ceiling drywall,kitchen cabinets and
sink,bathroom vanity and toilet,air condition ductwork and vents,and retile the bathroom floor. In the
stair well we intended to replace the ceiling drywall and flooring on the steps.Upstairs we intend to replace
a the insulation,air conditioning duct work and vents and wood ceilings,windows and light fixtures
located in the hallway,bedroom,bathroom and vanity area;replace the bathroom vanity; retile the shower
and bathroom floors;replace the toilet;sand the bedroom and hallway floors;in the upstairs Florida room
we intend to replace the flooring,windows and light fixtures. Furthermore,in both the upstairs and down
stairs we intend to replumb the entire residence and paint all walls as well as paint the ceilings downstairs
and in stairwell.
Actual and forecasted cost of labor and materials for the work to be performed at this residence. Is
$19,600.Listed below is a breakdown of these costs by selected categories.
Re-plumbing of the entire house 1,800.00
Rc-tile upstairs and downstairs bathroom 1,600.00
Drywall replacement upstairs and downstairs 1,195.00
Replacing wood in upstairs bedroom 1,895.00
Sanding Floors 400.00
Insulation 200.00
Replacing Flooring Downstairs and Upstairs 3,800.00
Painting upstairs and downstairs 600.00
Replacing Windows 2,700.00
Replacing Air Conditioning Duct Work 1,000.00
Replace lighting fixtures 1,500.00
Replace kitchen cabinets,sink,front door, 6,000.00
Toilets and vanity
7
-t- 7�
-y'
APpRoVro
CITY OF ATLANTIC SEACH
OFFICE APPOOVE
Cll\ CITY. OF ATLANTIC EACH
RUILDING�qfFl ri,
PR 2 5 200,
PR 5�' '�Opl
lK
17
--------------
So
so
IM
----------------
141-
—---------
rXel)
VN
iZ�
10
71
'T�!j 17
Ot
T TT
CNI
General Description of improvements:
We are remodeling parts of a two-story residential cottage building located at 659 Beach Avenue.
Downstairs it's our intentions to replace all light fixtures,flooring,ceiling drywall,kitchen cabinets and
sink,bathroom vanity and toilet,air condition ductwork and vents,and retile the bathroom floor. In the
stair well we intended to replace the ceiling drywall and flooring on the steps.Upstairs we intend to replace
all the insulation,air conditioning duct work and vents and wood ceilings,windows and light fixtures
located in the hallway,bedroom,bathroom and vanity area;replace the bathroom vanity;retile the shower
and bathroom floors;replace the toilet;sand the bedroom and hallway floors;in the upstairs Florida room
we intend to replace the flooring,windows and light fixtures. Furthermore,in both the upstairs and down
stairs we intend to replumb the entire residence and paint all walls as well as paint the ceilings downstairs
and in stairwell.
Actual and forecasted cost of labor and materials for the work to be performed at this residence. Is
$19,600.Listed below is a breakdown of these costs by selected categories.
Re-plumbing of the entire house 1,800.00
Re-tilc upstairs and downstairs bathroom 1,600.00
Drywall replacement upstairs and downstairs 1,195.00
Replacing wood in upstairs bedroom 1,895.00
Sanding Floors 400.00
Insulation 200.00
Replacing Flooring Downstairs and Upstairs 3,800.00
Painting upstairs and downstairs 600.00
Replacing Windows 2,700.00
Replacing Air Conditioning Duct Work 1,000.00
Replace lighting fixtures 1,500.00
Replace kitchen cabinets,sink,front door, 6,000.00
Toilets and vanity
OEPARTMENT OF SUIL01140
'TIC SEAC
CITYOF ATLAN H
------ LOCATION INFORMATION
PERMIT I NFORMAT I ON
Permi t 10�imbor: 14233 Address 659 BEACH AVENUE
Per WELL
mit �Type. ATLANTIC BEACH, FLORIDA 32233
ION
LEGAL DESCRI PT ---------
C1 at S' Of Wor�*., Ew ------
JR . r Twp: 0
B I orck* Lot
Rng*., 0
Pt4love�o, 1q,".0!NdLE FAMILY SeCtiroj3:r 0 Subd-
0
Dil
0 a'00
00
Cos t
1_mp r 0 V
Tot
.1 1" 11, 10i00
IV
a
'Amouxult 10 00
b
PURPOS a
11%ps T%act A A wil
I ON AP LrICATION FEES ------
t
_Na D PERMIT 10 00
Add r,t E,
FLORIDA
;Ile 61,c f
I d*
C7 AT
N ame
r
*0
I
C,
4kp
'i,
NOTES:
140TICIE—'AILL CONCA]EYE'FOAMS,AND FOOTINGS MUST BE INSPECTItV 84FORE POIJR1.4i
SIX MONTHS AFTER DATE,QF ISSUE
BUILDING MATEjRjAL,'RU,B$I,$H:AND DEBRIS FROM THIS WORK MUST NOT SE PLACED IN PUBLIC SPACE,AND MUST Be
CLEARED UP AND HAULED AWAY iYEITHER CONTRACTOR OR OWNER
fty W, LI
U LT, IN
FAILUR,ErTO.t"OU THE MECHANICS, EN LAW, CAN:-A,-VS
'THE PRO FITY ING TWICEFOR BUILDING IM-PROV14WNTS.
PIE APAY
ED
".J&", ACC Ov 'L -0 'FOR
,I%UED ORoJING, TO AOPR P ANS WHICH ARE PART OF THIS PERMIT AND SUBJECT T 4V60ATION
Of APPLICABLE PA OF LAW.
O�f
Total Payment
ATLANTIC, DING DEPARTMENT
F n- - '-e"10 0
AP-MICATIM FUR ML PERMT
CI1Y OF ATLAMrIC WACH
PF,DPERIY OMER
r4ame: Dav Phone'e�Kl-
Addresst
zip
APPLICW, IF MUM THAN MER
Name: Day Pl����-
Address'-Z<��) C)>" 2y'- 2 zip-,
JOB
Addr es s or Lo ca t i on: e
I—qgal Description:
Is well to be used for drinking purposes? 1(51)6
Any person, individual, corporation or other entity receiving a permit as
provided in Section 22-40 of the Atlantic Beach Code, and who plans to use
water from the permitted well for drinking purposes, must first obtain a
bacteriological test report from.the State of Florida Health Department,
fun-iishing a certified copy thereof to the building department of the City of
Atlantic Beach. A certificate of occupancy U411 not be issued until said
report is on file with the building department.
DeDartment Notes..
I'agree to camly with regulations stated herein:
Signature
FOR OFFICE USE ONLY,
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH, FLORIDA Date 1-1-33 1
Permit #43" Fee
valuation s7eo-e-o 77)
Application for Permit for
HOUSE
Miscellaneous Alterations,
S- 71
and Repairs
DZSCRIBZ� 7kl rA eac Oft
(State ieto repair, alter, add to or move building, erect ammings,
signs, etc. )
W B.
Building on: Lot�,Vo. No. 45 Sub...Div.
Address uation S
I " ame , 42!eec
Owner a N
BUILDINGS AND OCCUPANCY
Building Use - ,Residential or Business -
What Plfambing work to be done?
Size �of Present -Bldg, ' giii of Sxteniion--. Lot Size
No. of stories now.____After altered--material of roof-
Material of Present Suildin%_____�Xaterial of Extension-------.—
�Sy
IMSMY PLANS TO BE MITM IffiRMITH
OIL BURNER OR GASOLINE EQUIPMENT
Name of Oil Burner ,or' Gasoline Pump Type or Model
Name and Address of Manufacturer
In connection herewith,
gal. capacity tank(s) ma
gr
oUnd-, (Same of Manufacturer) 'Urd--� or Above)
f building. For
Irntm"Urr ad"s are) (93me of PUZERN—er)
FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF
XHIS BLANK
SI S
ME-
Size Classification ground, roof, iAll, pr-o]Qc'M4,5WiKer)
,(State whetEir
Material of Construction
Illuminated? Type of illumination
(5taFe" ;ifitEfief Vamps ,orc 14eonT
Will sign be over public property?
§2,,S NQ CONSIRUCTION OF SIGN� AND t1gTHOD OF HANGING
' 'WRITE ADDITIONAL INFORM&TI5174 BE OW
(For canvas awnings provide dimensioned drawing n reverse side)
r
Cgmpi IL7
IMPOR
_,TANT
In consideration of permit given for�doing k a6descrIbed
in the above statement, we hereby. agree to �, form said work In
accordance with the attached plans and specificiationswhich are a
part, hereof, and in Stcordance with the building-t4gulations of, the
�City of Atlantic Beajjj;:b* (Southern Standard BuilA*ng Code)
47
Signature' ofBui, !n
or ne=ep
-top/
Addres
s :2 one No.
DEPARTMENT OF BUILDING FOR OFFICE USE ONLY
Date L-fs 191
CITY 0P. ATLANTIC BEACH, FLORIDA
Permi t #I&Lree $
Valuation $
Application for Pe��t for
HOUSE #
Miscellaneous' Alterations,
and Repairs
DESCRIBE:
(State if to repair, lalter,,, add to or move building, erect amwinge,
signs, ett. )
Building on: Lot,NO Blk No. /,j
Sub.Div. Ow��
Addreiss_44'I
A040-e -Valii�tion, s.
-'�'Owner 'o Name
109Z
BUILDINGS AND OCCUPANCY
Building Use Residential or Business
What PlCmbing work to be done? ,
Size of Present Bldg. Size/of Extension Lot Size
No. of stories no%�(_after alter material of roof
Material of Present' Suildinq=, —0—�Material of Extension
NIGNSARY P� T BE SILBMITTED HEREWITH
OIL Be NE OR GASOLINE EQUIPMENT
Name of Oil ,Surner or Gas ne Pump Type or Model
Name and Addre'ss .6f Manufact r
in connect I on herewith, appli ation is also ';Wd; to install:
'It�a
01, 11"
gal. capaci tank(�s) ,zade b of jagge metal
ground. Name of Manufact e 'Ur6--:�-, or Above)
ur r
(Under or ,
of! b Iding. For
Unsloe, or, gutsi,as' ' (Name of PURRiaser)
FURNISH DRAW1 SH NG ENTIRE LAYOUT ON REVERSE SIDE OF
11 S I
0. THIS BIM
SIGNS,
Size a, n
.,.�IassificaN
wh t
(State ther ground, roof, wall, projeactingBWn-er)
Material 64 Construction
Illmitiated? ill nation T
t
e % (5fat5 Meffier EWs or Won)
Will sign be ov, pu li , property
Hj
1 0 ST 101
SMANU R�MING 6 1 CONSTR 10 �Or 910 AND METHOD OF HANGING
W#TE ADDITIONAL 9FORMATION BELOW
(For canvas awnings ovide dimens\i.ot d drawi,ng on verse side)
7
IMPaRTANT RM91 L
In consideration Of permit given forl'ol�ngth7e 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
pext hexeof, and in-4ccordance with the building regulations of' the
city of Atlantic Beach. (Southernkt!� odA*I-
�ard Build,in
Signature of Buildlar-ory Own
Address.lz� artwperhone Nol." Z" E2eg=>
0
FOR OFFICE US1
DEPARTMENT OF BUILDING
Date..
CITY OP' ATLANTIC BEACH, FLORIDA Permit #.�'e 4-4
Valuation $ -
Application for Permit for
HOUSE
Miscellaneous Alterations, # .419
and Repairs
DESCRIBE:
(State if to repair, alter, add to or move building, erect
si-ns, etc. )
Building on: Lot No. Blk No. �-$Ub'obDiv 4
Address Valuation 6�._
owner 's Name-4
BUILDINGS AND OCCUPANCY
Building Use .,- Residential or Business
What PUmbing work to be done?-
Size of Present Bldg. Size of- Extenoiorl Lot ,
No. of stories now i
A- after altered,__ Miter I al of ro(�f
Material of Present Buildinq, .dtrZje, Material of ExtensioKor-SA ".,
_.ZCZS§MY PWS TO BE SUBMITTED. MIREWITH
OIL SUMER OR GASOLINE EQUIPME14T
N�me of 01 or, Gasoline Pump
X B4rn6r _____-,.,Type or Model
ftmo and Adidre ''of- M"'ufaL-turer,
In connection heiewlth'�' ,Application it also made. to ibstall:
gal. capacity tahk(g) ni4de by 2aqge,
buncL' (Name of Manufacturer) iUnd---�r or WE
Abo;;e-
(Under, Y ,
of building. For
(Insille or outMej ;5f� Ptir-8fiaser)
FURNISH bItAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF
THIS BIM
SIGNS
Size, _.�1assificAtion
(State whether grou-na, r56f, wall, projecti
Material of Construction
llluminated?� Type of illumination
(SEM MMef =ip-s' 'or
Will sign be over public property?
SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AkM MET
VIRITE ADDITION" INFORMATION BELOW
(For canvas awnings provide dimensioned drawing on reverr-.e 54.
IMP2R,.TANT NOTICE:
In consideration of permit given for doing the work as descri
in the above statement, we hereby, agree to perform said work in
accordance with the attached plans and specifications, which are a
th
part hereof, and in accordance with the building regulations of th
City of Atlantic Beach. (Southern Standard Buildin Code) .
Signature of Builder or Owner
1#
Ad4irex4q MC:grAt,
—Phone No.
FOR OFFICE USE ONLY
Date---------;�-_4..!��.......197
CITY OF ATLANTIC BEACH Permit # ....Fee
Valuation $...
.......................
FLORIDA
House # .......6"V�Z�
APPLICATION FOR BUILDING PERMIT
............................................................................
............................................................................
Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlanfic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
Date....................... 3
........................................ 17 ....
Own4. .. ....-- ---------------------------------- paw-4_7
-----Address.............------040&404:!!T�. �! Telephone
Architect ...... . ....... .. ------- ---AddresJr/
Contractor Builder
-.1-------Address7�, No..
LotNo--------------------------------------------------Block o----------_----------__----Sub Division--------------------------_---------------------_------------------------Zone------------
------------------------------------------------------Street... -------------Side Between--- -------------------------------------------------and------------------------------------------------------Sts.
Valuation $&
---AANPFor what purpose will building be used----- ------- -----------------.--...Type of construction.-------_-------___---------_---
Dimensions of Building--------------- ------------------Dimensions of Lot--------................-----------------------_----Size of Footings--------------------------------------
Size of Piers---------------------------------Size of Sills....-------------------------Greatest Sill Span in ft-----------------------_Type Roof-----...................------------
How will Building be Heated?------ -----------------_------------------_-_---Will Building be on Solid or Filled Ground?---------------------------------------
Size of Ceiling Joists---- -------- Distance on Centers-... ---------_---. Greatest Span-------------A/-z-'/" " to
1-W------------------I...
Size of Floor Joists-..---y ----------------- Distance on Centers....... Greatest Span------------Ile!.................... VP
Size of Rafters-------- --------- Distance on Centers.....Z40-----------C......... Greatest Span..........jel_7............................
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing. rA
2. When steel is in place and ready to pour columns and/or lintel. Z
3. When steel is in place and ready to pour beam.
4. When framing is completed. E-4
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville. U2
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of 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 eeiflications, which are a part hereof, and in accordance with the building
regulations of the City of�Atll *c Bea , 0
Signature of Builder ........... ......�tjor.Aoo. .. .......... .......... Addreas_::20�---------------------------------- 07046le-0
. .. . ..... --------
Signature of Owner- -- -----
Addres"22--------- . ....... ..............................
or-11ARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT Nt,.-
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date Sept. 24 1986
Valuation$ —Fee$, 10.00
This permit not valid until above fee has been paid to City Treasurer,and is
subject to My0catiOn for Violation Of applicable provisions of law.
This is to certify that L.N. Williaras
S80 W. 9th Street, Atlantic Reach
has permission taybW install well for irrigation/heat pump
1n#09 T
Classification Residential Zone I N I&I'll C K T
Owned by Robert Byrd J'U J Q 0 Pric AC
Lot— Block Z70;j5 I A
S/D
House No 659 Reach Ave.
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 10 4 10 0 Building material,rubbish and debris
z
4 from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
trac r or owner
Building Official.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
Aw� 4W
41 FEE $10.
APPLICATICK MR UML PMOST
OF ATLAMIC WAM
Nam: Day Pbone-Z�4
Address c 9—e-= z5ZO zip—
APPLIQW, 'IF OMM THAN MMM
Nam,, 4��l 111142, Day Phone 2 WS-
Address,, ,,'5�- ,5�0 (-0 1?71� 161 C-Ael� 4P
JOB
Address or Location: 6 i:�
Legal Description:
Is well to be used for drinking purposes?
Any person, individual, corporation or other entity receiving a permit as
provided in Section 22-40 of the Atlantic Beach Code, and -oft plans to use
water from the permtted well for drirAdmg purposes, mist first obta3n a
bacteriological test '--u the State of Florida Health Departmient,
furnishing a certLaed copy thereof to the building department of the City of
Atlantic Beach. A certificate of occupancy will not be issued until said
report Js on file with the building department.
Department Notes:
I agree to cowly with regulations stated herein:
Sigbature Date
FOR OFFICE USE ONLY
Date...... /..7---------19 '71
Pe4it ..Fee
CITY OF ATLANTIC BEACH, 1
Valuation $ ..................
FLORIDA House .....�'tr�
7... . .................
..........................................................................
APPLICATION FOR BUILDING PERMIT
............................................................................
Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is autom:Aically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlaniic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified. Date..............7)%W-Pl 7........... 19...
------------00,-----------------------
Owner... --------Address_-----.........................................--------Telephone No.-........................
Architect__ . ....... ...... ----------------- -- ---- --------------Address,......... . ..... Telephone No......................
Contractor Builder -- -------- .... .... ..... ..........Address.��---------- .......... -------------
Lot --------- --_--------------------.....Block o----------/_4�...........Sub Division------------ 4--------------------------//-----Zone-----------
------ -----I—
45'�-1*00treet__ -------Side Between....... -------------------------and.... ...........................................Sts.
Ael
Valuation ----For what purpose will building be used..--------------------- ....Type of construction-.,e,�'//—A/-`g-,I. .
Dimensions of Building.-M/U-4—------------Dimensions of Lot-_...--------___-----------------------------------Size of Footings-------------------------------------
Size of Piers----- -----------------------Size of Sills.__--------------------.--.GTeatest Sfil Span in ft----------_-------------.-Type Roof.........................-----------
How will Building be Heated?------------------------__------_-------_----..............Will Building be on Solid or Filled,Ground?---------------------------------------
Size of Ceiling Joists-.-----__---------------------------.., Distance on Centers..........................--------------... Greatest Span----------------------_----.............. it
Size of Floor Joists----------------------------------------_---- Distance on Centers........... --- Greatest Span----------- ..........................
i------------------------
Size of Rafters---- --------------- -------- Distance on Centers.. .. ---f,------------- ------I Greatest Span--------------------- ---------------
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
-all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with 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 and/or lintel. Z Z
3. When steel is in place and ready to pour beam.
4. When framing Is completed. E-4
5. When rough plumbing is completed,-and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville. U2
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City ot-40anti I
Signatureof . ..... .. .... Address------------------------------------___------------ --_---------------------
Signature of Owner,---- .0. .....7�';>,�' . .......... Address............--_---------------------_---------------__-- ................................
FOR OFFICE USE ONLY
Date .............. 97.1
Permit .........Fee$....
CITY OF ATLANTIC BEACH
lvalu*ation $..9 't-.d........................
FLORIDA House #... &0_� 0_-LL�
...................................................
............................................................................
APPLICATION FOR BUILDING PERMIT
............................................................................
Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has beeu issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlaniie Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verihed.
Date..........
/' U 19
- ---------- -------*. .......*------------------------ ------ ....
------------f. 17c- we mop phDn-e No.71117-Or-2.
Owner.,47:;�4�__ ------------ o-�_ A .......-..-Address-7 .?��_Ov--------4 _"eleph ....
it
Arch ect-_ Address_Tt-:F�... -------- ----------- -------- e
:!�' - -_�-------- ---------------- -------
Contractor Builder"-*�. _ -- ---- -----Address._74�a---- --- - ------------- he
Lot No.---.----q------------------_----------------Block No.-.-.-S- ------Sub Division---
-------------------------- ----- ---------------------__----Zone..... ----------
-7--- -'ftol .8.
-----------Street------- ....Side Between.---------......i��-------------and------_-------- .-- Z-1-------------------St
Valuation $----X_4??��For what purpose will building be used...--------- ----- ------------------Type of construction..............-------------------
Dimensions of Building-------------------------------------Dimensions of Lot------_.......................................----_Size of Footings----_------------........_....
Size of Piers-.------------- --------------Size of Sills-.----------------- -----.--.Greatest Sill Span in ft------_---------------_-Type Roof......................................
How will Building be Heated?---------------------____..........---------------------Will Building be on Solid or Filled Ground?........................................
Size of Ceiling Joists..----------------------------------------- Distance on Centers............................................. Greatest Span............................................ "
Size of Floor Joists---------------------------------_----------- Distance on Centers.......... .....---------..............-, Greatest Span-----------------.......................... to
Size of Rafters...-----------------__------- ................ Distance on Centers..------ ----- ........................ Greatest Span_---------------.......................... 00
This rectangle is to represent the lot
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with 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 and/or lintel. Z Z
3. When steel is in place and ready to pour beam.
E-4
4. When framing is completed. 3
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville. rn rn
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the 4�!hed plans and specifuations, which are a part hereof, and in ac rdance with the building
ct 1
regulations of the C;ity tl�ftr* Beach.
. ..... .. ...... ....
Signature of Build ....... ......::�o . Addres; -----
Signature of Owner.................................................................---------------- Address....................................