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301-303 2nd St (vault)
Special Information for OwnerMuilders 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 THE LAW. The exemption allows you as the owner of your property, to act as your own contractor even through you do not have a license.- You must supervise the construction yourself. You may build or improve a one - family or two - family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. Ifyou sell or lease more than one building you have built yourself within one (1) year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an un- licensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that the people employed b�you have licenses required by state law and by county or municipal licensing_ ordinances In addition, the owner must supervise construction and becomes liable and responsible for the employees he/she hires. This responsibility includes, but may not be limited to: 1. Workers Compensation, for workers injured on the job. 2. Social Security Tax must be deducted from employee's wages and matched with owner's funds. 3. Federal Withholding. Since owners must be liable for injuries to workers they hire, the Building Division suggests Workers Compensation Insurance be purchased unless the homeowners insurance policy clearly protects the owner. Owners hiring workers become employers and should also observe IRS withholding tax Form 1099 requirements on the workers they employ on their improvement work. Un- Iicensed contractors cannot be employed under any circumstances. Owners are subject to a $5,000 penalty under Florida Statute #455.288(1) instigated via Building Division citations. An Occupational License is not adequate. The owner should physically see the county Certificate of Competency or the Florida Contractors Certificate to ascertain a person is a licensed contractor. Telephone the building Division (247-5826Y in doubt. I hereby acknowledge that I have read and understand all the above on this �W Day of, M&C7. JI-- 9 B0 7 4LA� 5�Al� �(D) d — m er Builder Signature \ Address Print Name Telephone Number STATE OF FLORIDA: COUNTY OF DUVAL Before me personally appeared to me well known to be the individual and owner builder described in and who executed this instrument and severally acknowledged the execution thereof to be his own free act and deed as such owner builder hereunto authorized. WITNESS my hand and official seal this day o � to A tic eac C unLy State aforesaid. NOTARY P I ,, TE F LO A SHIRLEY L. GRAHAM Print Name: Notary Public - State of Florida :My Commission Expires Feb 14 2010 MY COMMISSION EXPIRES: Commission # DD- 518533 ❑Personally Known� a; Na?ional Notary Assn. ... .'Identification: QfiAM I �wnnc E ��Notary Public, S tate o Of Florida, has personally appeared Commission# DD3Notary Public at Large, State of Lori a, County of Duval. My comm. expires Mar My commission expires: 3 1 0 3 or Personally Known: Produced Identification: S r lrJ CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Rou o: " Hufstetler Building Department Public Works & Public Utilities Departments JF31 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 D. Kal zniak (904) 247 -5800 (904) 247 -5834 Public Safety (904) 247 -5845 Fax (904) 247 -5843 Fax Jax Fire dept. PLAN REVIEW COMMENTS 01ely C114 7n Permit Application # 07 ' /`� /l Property Address p?n d cam" T Applicant: Project: 0 t (/� W /1/D /0D7�0o� Review Result (Circle one • Disapproved Approved w /Conditions Review Initials/Date Development Size: Habitable Space Non - Habitable Impervious area Total Area Miscellaneous Information : Occupancy Group Type of Construction Number Of Stories Zoning District # Parking Spaces Max. Occupancy Load Fire Sprinklers Required Flood Zone Conditions or Comments: Building Dept, Public Works and Utility information at top of page, failure to notify the correct department of your revisions may delay your permit from being issued. MAP SHOWING SURVEY OF LOT 2, EXCEPT THE SOUTH 10 FEET THEREOF, BLOCK 4, PLAI N0. 1, SUBDIVISION ATLANTIC BEACH, AS IN DU PLAT . 5, FLORIDA. OF T CURRENT PUB Cox LOT 3 LOT 1 11�T'1� I I N I he k l(A� kLa� cS "r W L\0 I LL1 r r 50.03'(Field) I FOUND 1/2" IRON c v, I C (, \ FOUND 1/2" IRON 3X 5(). �()� p.5I PIPE, NO CAP PIPE. NO CAP p.5' 00. GUY ANCHOR I, \� -II/ Cox 91 "k Fio l.. JY 7 WOO TRANS ORMER� o 2n Y TOR y l� W000 D pw I , . 1 3 w ; ui O O CONCRETE PORCH \� I� WITH hk STORY u fiACCONY �' O I o 15.0' u \ / CON \/ LOT 4 I w< sr0 O v ¢ o X "K C t�{ U"P C -p �0 2 STORY FRAME & O a 8 a MASONRY RESIDENCE El �° N0. 301 ` � m c C CONCRETE K ' 1 3.0' 140 LJJ 15.0' ED I �. C RORT 0.1' .0' m ° CITY 0 C RETE i., 1. !".1.; 3' WOOD FENCE Oa BPj R/W AS NOW ESTABLISHED FOUND 1/Y PIPE, N O REBAR pryb FOUND O AP 6 IRON APR (/� OD '/y NO CAP 9 2 C - 1 CONCRETE - THE SOUTH 10 FEET I 50.�� ON LINE OF LOT 2 NOT 50.03 (Field) INCLUDED) RIGHT OF WAY LINE —Z ...... PER PLAT SECOND STREET, (50' RIGHT OF WAY) i NOTES: ha I M 1. THIS IS A BOUNDARY SURVEY. o� AAA 2. ANGLES WERE VERIFIED IN THE FIELD. 3. NORTH PROTRACTED FROM PLAT. 4. THERE ARE NO BUILDING RESTRICTION LIES PER PLAT. IWo.O POWER POLE 5. OHE DENOTES OVERHEAD ELECTRIC LINE. e i WAS MADE FOR THE BENEFIT OF: b THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD �, DD; JACKSONVILLE BANK; CURTIS LAW FIRM, a REA DETERMINED TO BE OUTSIDE 500 YEAR FLOOD LLC; '��`r MERICAN TITLE INSURANCE COMPANY ZONE "X" (A e !/ PLAIN) AS WELL AS CAN BE DETERMINED FROM FLOOD INSURANCE £� RATE MAP COMMUNITY APNEL NO, 120078 0001D, DATED : APRIL t 17, 1989 FOR DUVAL COUNTY, FLORIDA. ` "NOT VALID WITHOUT THE SIGNATURE AND DONN W. BOATWRIGHT P.S.M. �Q THE ORIGINAL RAISED SEAL OF A FLORIDA FLORIDA LIC. SURVEYOR and MAPPER No. LS 3295 N ^ LICENSED SURVEYOR AND MAPPER." FLORIDA LIC. SURVEYING & MAPPING BUSINESS N0. LB 3572 CHECKED BY: DATE: (/ DRAWN BY: d,,C BOATWRIGHT LAND SURVEYORS, INC MARC 1 4, 2 007 FILE: 07 -0312 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241 -8550 SHEET? OF 1 CITY OF ATLANTIC BEACH PERMIT S BUILDING / ZONING DEPARTMENT APPLICATION # 1 800 Seminole Road J '~ Atlantic Beach, Florida 32233 cc) lil)r (904) 247 -5800 (904) 247 -5845 Fax www.coab.us ' k Mgy 1 �'� APPLICATION TRACKING FO REQUIRED DEPT: Y N PLANNING Property Address �' Z Y N UILDING Y N Pl B� LIG W Applicant 0 Y N PUBLIC UTILITIES j& Y N FIRE DEPT. Project V V Y N PUBLIC SAFETY w OVAL RECEIVED REQUIRED AGENCY: BY: INITIAL: DATE: w o Y N D.E.P HUFSTETLER C3 Y S.J.R.W.M. CARPER P _ Y ARMY CORPS of ENG CARPER !� O Y N HOTELS & HUFSTETLER RESAURANTS APPLICATION STATUS DEPT: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: 1 ST REV ❑ ❑ P LANNING ZONING & ❑ ❑ 2ND REV El 11 DOERR /HALL 3RD REV ❑ ❑ 1 ST REV ❑ ❑ BUILDING DEPT. ❑ ❑ 2ND REV ❑ ❑ HUFSTETLER 3RD REV ❑ ❑ n 1 ST REV ( ❑ Il e — > ) 0 ! PUBLIC WORKS ❑ 2ND REV �l ❑ CARPER /� s �/ 3RD REV ❑ / — [ / n V Q 1 ST REV ❑ ❑ PUBLIC UTILITIES ❑ ❑ 2ND REV ❑ ❑ KALUZNIAK 3RD REV ❑ ❑ 1 ST REV ❑ ❑ FIRE DEPT. ❑ ❑ 2ND REV ❑ ❑ F IRE DEPT. COMMENTS ENTERED INTO AS4 0 3RD REV I ❑ I ❑ Return this form to the Building Department once you have entered your comments into the AS400. CITY OF ATLANTIC BEACH Ss1 PLAN REVIEW SHEET yr 1 D.H fs Building Department Public Works & Public Utilities Departments S. Doerr 800 Seminole Road 1200 Sandpiper Lane R. Carper Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 D. Kaluzniak (904) 247 -5800 (904) 247 -5834 Public Safety (904) 247 -5845 Fax (904) 247 -5843 Fax Jax Fire dept. PLAN REVIEW COMMENTS Permit Application # Q /^ 5Z 2 Property Address l� J7 Applicant L� a .� - D'O n/ -ee Project: 117 LP "e-, - /7) - D4 ' PfAU 0d1,L- This permit application has been: Approved as noted by the Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: .2) L S v s o Df ��c- o f �✓ ��✓ a5rO d Please re- submit 2- copies of all revisions. Please re- submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify th Forrect department may delay your permit from being issued. ,� ') 1 1 4 Reviewed By: Date: Date Contractor Notified: - '�' BUILDING PERMIT APPLICATION ti v� CITY OF ATLANTIC BEACH r 800 Seminole Road, Atlantic Beach FL 32233 Office: (904)247 -5826 9 Fax: (904) 247 -5845 Job Address: J 1 �d A e e-� '� 0. � i L gQ#o , , Permit Number: Legal Description Valuation of Work (Replacement Cost) $ , expo , oa • Class of Work (Circle one): New Addition Alteration Repair ove • Use of existing/proposed structure(s) (Circle one): Commerc esi entia • If an existing structure, is a fire sprinkler system installed? (Circle one): es N /A • Is approval of homeowner's association or other private entity required? (Circle one : Yes Describe in detail the type of work to be performed: ke.Pkace, w k"At,ws r famo cS , D "FPMY R4 r1ww-.6; wy EQsywo.11 I N" ckV %^A�� 4 "`^-0 ►� BUILDING OFFICE Property Owner Information MAR 2 Name: (�Ow�o� S �-��� Address: 37 bS icre PaAX City State PL Zip 3aXJ-s Phone 90 4 -3 X1 - Contractor Information: Name of Company: Qualifying Agent: Address: City State Zip Office Phone Job Site /Contact Number State Certification/Registration # Office Fax # Architect Name & Phone # Engineer's Name & Phone # 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 qf a permit and that all work will be erformed 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 anytime after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Thereby certify that have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to gave authority to violate or cancel the provisions of any other federal, state, or local Imv regulating construction or the performance of construction. Signature of Property Owner: 4_vk, /f Signature of Contractor: Swor}I t n I sub cr'bed before me Sworn to and subscribed before me this a 1r Day of " Ch .00 this Day of Notary Public: Public: ££S8LS -Nuo8 OC # uoiss�w IPWUo REVISED 03.05.07 , � A" y _ L ob ffi5 ( P3 - 6 BP255UO2 CITY OF ATLANTIC BEACH 5/03/07 Application Tracking Action Log Maintenance 09:18:55 Application number . . . . 07 00000322, Address . . . . . . . 301 2ND ST Application type . . . . . RESIDENTIAL ADD /RENOVATE /ALTER Revision number . . . . . . . Path /step /seq . . . . . A Ol 00 Agency . . . . . . . . . . PUBLIC WORKS Type information, press Enter. Action date . . . . . . . . 50307 Action by (F4) . . . . . . LS Action code (F4) . . . . . REV Time spent (hours) .00 Correction report item Y Y= Yes,N =No 1 =Add new comment 2= Change comment 4= Delete comment Opt Seq Comments Print 1.00 Original permit not routed to Public Works. _ 22. U Provide impervious surface area calculations. Adding >220 SF concrete along East Coast Drive. More... F3 =Exit F4= Prompt F9 =Add std comment F12= Cancel F21 =User defaults • r�- .jJ1•. CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Rou o: J . H ufstetler Building Department Public Works & Public Utilities Departments 0 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 D. Kal zniak (904) 247 -5800 (904) 247 -5834 Public Safety (904) 247 -5845 Fax (904) 247 -5843 Fax Jax Fire dept. PLAN REVIEW COMMENTS Permit Application # 07 Property Address d c�?n �T Applicant: —71 Project: b l�f /(lD 4 B g b /00 019 Review Result (Circle one): Approved.isapproved Approved w /Conditions Review Initials/Date � �0 Development Size: Habitable Space Non - Habitable Impervious area Total Area Miscellaneous Information : Occupancy Group Type of Construction Number Of Stories Zoning District # Parking Spaces Max. Occupancy Load Fire Sprinklers Required Flood Zone f� W C. Ctn Ar AC Conditions or Comments: Building Dept, Public Works and Utility information at top of page, failure to notify the correct department of your revisions may delay your permit from being issued. j ! a,y CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 119 INSPECTION EMAIL REQUEST: Building- dept&coab.us Application Number . . . . . 07- 00000737 Date 5/30/07 Property Address . . . . . . 301 2ND ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------------------------------------- Application desc REWIRE 200 AMPS 240 VOLT ------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LADD KEVCO ELECTRIC INC 301 2ND STREET 6428 LANNIE DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32218 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/26/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 70.00 70.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 70.00 70.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r • CITY OF ATLANTIC BEACH 1 ELECTRICAL PERMIT APPLICATION ;r _ r Date: — d Property Address: d �� d' ��'Pt 7 Owner: � L G� GY (Y Telephone #: Contractor: ��{ y G o G: �>r' C e Telephone #: ,� 7 9. 7 1 Contractor Address: '1� Y;l at nn Fax #: 7 6 Contractor Signature. In consideration of permit given for doing the work as described in the above- statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: I Bu ng Type: ❑ Trailer Service: If other construction is El New �f Residence ❑ Temp. ❑ New being done on this building Or site, list the building Old ❑ Commercial ❑ Signs ❑ ^crease Permit number: ❑ Re -wire ❑ Addition Sq. Ft. Id' Repair Conductor Size: AMPS: COPPER ALU1vIINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service r RACE Size AMPS ©G PH l W VOLT 2 YO WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches 0 In AMPq 11 100 AMPS Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW -HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0 -1 H.P. I VOLTAGE PH NO. I OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sign Miscellaneous — / CA- 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http :/hvww.ci.atlantic- beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH S 800 SENIINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 INSPECTION EMAIL REQUEST: Building- dept@coab.us Application Number . . . . . 07- 00001376 Date 10/15/07 Property Address . . . . . . 301 2ND ST Application type description RIGHT -OF -WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc REPLACE EXISTING DRIVEWAY ---------------------------------------------------------------------------- Owner Contractor ------------------ - - - - -- ------------------------ LADD JOE'S CONCRETE CONSTR., LTD 301 2ND STREET Q /A: DAUGHTERY, JOSEPH ATLANTIC BEACH FL 32233 54439 BEA RD. CALLAHAN FL 32011 (904) 879 -0853 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/12/08 ---------------------------------------------------------------------------- Special Notes and Comments Avoid damage to underground water /sewer utilities. Verify vertical and horizonal location of utilities. Hand dig if necessary. If field coordination is needed, call 247 -5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 PERMIT •IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH . IJ B��� � / ®T� � � P � MEN EEPERMIT T90P�9 Seminole Road �� Atltl antic Beach, Florida 32233 J I , (904) 247 -5800 (904) 247 -5845 Fax www.coab.us APPLICATION TRACKING FORM REQUIRED DEPT: Y PLANNING Property Address: (� / ,� y Y BUILDING J 1- PUBLIC WORKS CLOff Ap pliennta PUBLIC UTILITIES I Y I FIRE DEPT. Project: 4 Y N PUBLIC SAFETY w APPROVAL U p REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: Z (y Y N D.E.P HUFSTETLER Q Y N S.J.R.W.M. CARPER LU _ Y N ARMY CORPS of ENG CARPER O Y BJ HOTELS RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SI BUILDING DA AP REVIEWED BY: INITIAL: DATE: ® 1ST RE /d) TV (/ PLANNING ® 2ND REV BUILDING UBLIC WOR PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY 3RD REV Return this form to the Buildin- Department once you have entered Your com meats into the AS400a s CITY OF ATLANTIC EEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road ' ,, i .; x, , 904- 247 -5800 Atlantic Beach, Florida 32233 -5445 i ('�`�' n Fax 904 - 247 -5845 PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. I ` C CI O 3 ` 000 Date /0 1 PERMIT # Job Address 3 U ISSUED BY TY Permitee: J O e S �()!1C rr� "T P. �� �5� �� Telephone # Permittee Address: Rgque ting Permission to Construct: c e t �� �C U) 7 Location: (Reference to Cross - Street) E 5`T L!� _ `T 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities /Municipalities: Jacksonville Electric Authority Yes ( ) No Date: Bell South Telephone Company Yes( ) No (✓� Date: Ferrell Gas Yes ( ) No ( L Date: Comcast Yes ( ) No ( ✓) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of ' n (Contractor's Project Superintendent) located at Telephone #: GW- ��SG 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with 1 Y days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and anainct anv nnri all Incc riamanP Pnri rnct of Pynancac gricinn in anv manner of thin PyarricP nr gttPmntari exercises by the holdehe foresaid rig is and privileges. 9. The Director of P o shall be otified twenty -four (24) hours prior to starting work and again immediately up c npletio . OWNER O t 0 —� K. CUNNINGHAM S�g1lE Date. , .""JkY PUB( :, Notary Public - State of Florida Before day of f in the Cou ty of Duval, Commission Expires Feb 28, 2010 State Of Florida, has personally appeared — 1J%,,�G9 L_Qd N, •d Commission k DD 523638 Notary Public at Large, State of Flori a, County of Duval. %;�oFV.o"`' By National Notary Assn. My commission expires: 0 • 1 y r rC— 'DL Produced Identificati 0 i D l9 !� t Q Is OF 1 I Q e is d l as + - 7E� 7`. t , 1 64 1 \j w N11C 's G JO sq �D a—O 7�' B/�'O"H //tic. NOTICE OF COMIVIENCEMEN'T State of �� Tax Folio No. County of AA To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information i s ta this NOTICE O COMMENCEMENT. L Legal Description of property being improved: o m 4 o Q o CK ! I Address of property being improved: General description of improvements: 2�J 6ur5 �. �s0 `5 �,,�,� c ri � ;1 e� - F A�..� c a b + Address: 3 - 1 �� F ve � 0.C w ..S C{ 1 J o.�. - 3 er: o ►, S 1--A d� Owner's interest in site of the improvement: Doc # 2007099050, OR BK 13886 Page 66, Fee Simple Titleholder (if other than owner): Number Pages: 1 Filed & Recorded 03/26/2007 at 11:55 AM, Name: JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 Contractor: `Y -r ` t LL Address: Telephone No.: Fax No: Surety (if any) Amount of Bond $ Address: Telephone No: Fax No: Name and address of any person malting a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNS Signed: Date: kvL Before a this t. day of MM1.1+ 0 in the Co ty State MSW Of Florida, has personally appeared t I ., f Ronde 05984 Notary Public at Large, State of lori a, County of Duval. My . 31, ZOM My commission expires: 3 t Z or Personally Known: Produced Identification: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 INSPECTION EMAIL REQUEST: Building- deptncoab.us Application Number . . . . . 07- 00000322 Date 3/30/07 Property Address . . . . . . 301 2ND ST Application type description RESIDENTIAL ADD /RENOVATE /ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 50000 ---------------------------------------------------------------------------- Application desc replace windows doors /interior remodel ---------------------------------------------------------------------------- Owner Contractor ------------------ - - - - -- ------------------------ LADD OWNER 301 2ND STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 280.00 Plan Check Fee 140.00 Issue Date . . . . Valuation . . . . 50000 Expiration Date . . 9/26/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 280.00 280.00 .00 .00 Plan Check Total 140.00 140.00 .00 .00 Grand Total 420.00 420.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 567631 MAP SHOWING SURVEY OF 1 LOT TWO, EXCEPT THE SOUTH 10 FEET THEREOF, BLOCK 4, PLAT NO. 1, SUBDIVISION "A ", ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. Ft<ucE ou LIVE LoT 3 LOT l I Fo�uo l �z.. Fouluo'/= Ieo PIP( Mow PIPE �jC>,00' a —x D.2 0 3 X k N O 0 ALL 0 ITYP \ IG AL / "O a' N X�x.roop ITY P OD AUCNOe � 9 o `I'1 E P oLE rb/V 2 s >.�a 72 a u A. 1 w ✓ ✓✓ a a n to PoRCN W •�• F< F I " SToaY 4ALcouY J Z 0' W < E T•e D� u F H O Z7.1 NISI d . aw z w 11••ss.. ors Hwy O H j H 2 •5TorVe FIZANE Q} c h U d p HAS0ulzy v V) w M * 3ot tc 303 w ~ m O LL n C E - O LOT 4 ❑ �— 0 z Z 0 � a �Q. Cl Q AI(- wALY. J F 3 J (y one �( Zr.t al O 0 C D J V ` >• c N - 0 CAB Hf �: G� 7 N Po2'f V1 °IP F 19.3 Q 11 , Feud: Lu ou LtwE 7_- N C "jc- N a otztvE N Fouuo (2o 6 I.z' Mow PIPE S F uuo h RECElWo L F-S A5 O , 9Q VrD uoW ESTA6LISH�p � .. O I 1 0 !I • \1NIS PART OF t-OO• ka 0T 0 AUG 3 1 1998 0 I uGW OG p 1LIL.HT OF WAY LI,J 13Y PLA N rrES: S Ec'O N, D ST Z E cit of A tlantic Beach E ? Bwildin I This is a boundary survey. ( So' et(,W7 of wAY g and Zoning 2. Flood zone x as best. ascertained frcn Flood Insurance Rate Map, crxrmunity panel no.N -165 •000todated 4 .0. 89 I HEREBY CERTIFY TO: D. WAfWE CAW TeEIL, C.tWEW STA115120 woQWEST M -E IIJc 40HMOLJWVALTH LAWO TITL.t IUSuRA/JGE cOHPAWY L THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT Aai B Aan MatVl . Bari TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER 21 HH -6 FLORIDA ADMINISTRATION CODE. ,Q C. 2866 MANGROVE AVE FLORIDA REGISTERED SURVE`I'OR NO, 4470 JACKSONVILLE, FLORIDA 32246 Marvin R. Banks (904) 641 -2520 SIGNED AUUUST zz 19 14 34Z4 SCALE: THIS SURVEY NOT VAUD UNLESS THIS PRINT 15 EMBOSSED WRH THE SEAL OF THE ABOVE SIGNED PSR-3844 17081 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH P INFORMATION ------- ------- LOCATION INFORMATION -------- rm .t umber- 17081 Ares , 301 SECOND STREET Permi. Type:DECK ATLANTIC BEACH. FLORIDA 32233 ass 'AL DESCRIPTION o' Work:NEW L EG onstr,, Type:WOCD FRAME Block*4 Lot*4 Twp* 0 'ropos.%d Use:SINGLE FAMILY Section: 0 subd. Rng* 0 Dwe.lings: 0 Subdivision:ATLANTIC BEACH Est. Value: 0.00 "mprov. Cost* 3,402.00 Tota Fees: 45.00 Amoun Pai .45.00 Dat Pal 998 : AND CONSTRUCT NEW APPLICATION FEES -AT I oN -ame 1$ - ,.hNTRELL 45.00 E 49 Ej 1dr: EW S A L#, fq 9A ORIDA 322 ,tone: ONT" "( * IT =me: "N 7 TI INC. , B B .1dr: 2)3 ,# EAST A , rLANTIC B� FLORIDA 32233 9 Exp: p NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $45.00 14 Date- 9181198 R1 Rerpi0f. RRA3342 CHE . 1589 NTIC BEACH BUILDING DEPARTMENT 69106003221000 t11A, FL 1947 LA T5 MIN. RETURN IIAMCO /011M 40/ �fiONE # �- �/�� Y ((( Boo!-- 9055 P g 33 � aprfirr of ��axrti�t �it�r�rzt�ett� VII[►ARG IN OUPLICAI'SI btu HIM it ntuv "Utrerm 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.. ....� ................. ..............:.... ..`. �... .........a:.�.4...G��T�c,...... : �)...... ... ........... 4z... ..�... .............................................................................................. ............................... .............................................................................................................._............ ...:........................... General description of improvements ................ C- I 'r �^��S D ........... ................................................................................................................ ............................... Owner ..................( � �(.......... y ..... 1 1 1tJ ..... ............................................................................. ............................... Address.. ............. .. �. �..... ............. .. N�......... 5............. � ..�.<.......�.........�....... s� �. ... ................._ ............. Owner's interest in site of the improvement ....... UG Fee Simple Title holder (if other than owner) Name ...... ...... .... �................... ............................... ........................................................................................................................... ............................... Address ................................................................. ............................................................................................................................... ............................... — > fon!ractor...... (Y.:.....2 11J c�Cl.l —. Address ............ ��— . ......... ... t.... t.. ....q!c �.`... S urety (If a n y) ......... ..1......1�.. 11........ ..` r .............................................................................. ............................... Address ......... i :...�........ ........ .............................. ~ — .�•• .. ......................... ........................M of bond s.............................. Name of person within the State of Florida designated by owner upon whom notices or other documents may 6e served. Name Addre ......... ............................... In addition to himself, owner designates the following person to receive a co / as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). the Lienor's No ice r— Name..................... ............................... Address .................. ............................... ........_ .................... ................... ...... ... -. ........... THIS erACt FOR 1 1LC011Dt11'e U411 ONLY .......... ............................... not M - ''a' ore ma t =' Sworn to and subscribed bef t,i:- •.•.l: .......... ........ � m c 3>;".7n rD nom.... r- :t -< 1-• m CL C e .......................... c�c " � tit • davof`.. ...,.......:- .,.C6�............ 19• ��" ozc7C:)NWm NWC�►1 CL W SUZANNE � -AL C n N�rt IC STATE OF FLORIDA fOt� NO. MY CIN F'XP. AUC. 72ppI MAP' SHOWING SURVEY OF LOT 2, EXCEPT THE SOUTH 10 FEET THEREOF, BLOCK 4, PLAT NO. 1, SUBDIVISION "A ", ATLANTIC BEACH, AS RECORDED IN PLAT BOOK NO. 5, PAGE 69, OF THE CURRENT PUBLIC RECORD'S OF DUVAL COUNTY, FLORIDA. ttb Cap I C II LOT 3 LOT 1 I I I 7I' I /u I Got --A ------------ !� • I $ Field 50.03' r ( ) I O C IRON � \ I C& � FOUND O C IRON SX FOUND 50.00E O.a' PIPE, ND CAP PIPE. NO CAP 0, 5 . r0.2' GUY ANCHOR ! WOOD POWER POLE WTH TRANSFORMER 3 y' , 3' S DP 2n TORY Ww $ WOW DECK 3 w CONCRET .POfCH € u O WITH �iWSTORY O 0— 27.0' 4 _ C�r Cr2� - e �G1� o CO ^ N O 3 LOT 4 v p 2 STORY 5T O v ¢ 0 3 �� X I / C tAf � FRAME & O MASONRY 9 0 o RESIDENCE A U � STCO Ao NO. 301 ° o N F v F- ccV\c.�e;vr' lJt�� 4 7.0' Q 3.0' 11.0' CONCRETE K Lli 15.0' I ED �v C RORT zD oO 7.9' _ )�RE- S W000 FENCE I '' ' R /W AS NOW ESTABLISHED -,,_ y p B9 ' OI/2' REBAR q�ry 2 FOU N I RON NO CAP p1PE O CAP AP P CONCRETE 2O� THE SOUTH 10 FEET 50,00 ON LINE ^ e OF LOT 2 NOT INCLUDE /NGT 50.03'(Field) RIGHT OF WAY LINE PER PLAT I I SECOND STREET; (50' RIGHT OF WAY) NOTES: I 2 M CCC 1. THIS IS A BOUNDARY SURVEY. �I 2. ANGLES WERE VERIFIED IN THE FIELD. U 3. NORTH PROTRACTED FROM PLAT. 4. THERE ARIE NO BUILDING RESTRICTION LIES PER PLAT. WOOD POWER POLE 5. OHE DENOTES OVERHEAD ELECTRIC LINE. - w SURVEY WAS MADE FOR THE BENEFIT OF: THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD JACKSONVILLE BANK; CURTIS LAW FIRM, a ZONE "X" (AEA DETERMINED TO BE OUTSIDE 500 YEAR FLOOD LLCO* rQERICAN TITLE INSURANCE COMPANY PLAIN) AS Wt LL AS CAN BE DETERMINED FROM FLOOD INSURANCE (,Op RATE MAP COMMUNITY APNEL NO. 120078 0001D, DATED : APRIL / {� 17, 1989 FOR DUVAL COUNTY, FLORIDA. 1 "NOT VALID WITHOUT THE SIGNATURE AND DONN W. BOATWRIGHT, P.S.M. THE ORIGINAL RAISED SEAL OF A FLORIDA FLORIDA LIC. SURVEYOR and MAPPER No. LS 3295 LICENSED SURVEYOR AND MAPPER." FLORIDA LIC. SURVEYING & MAPPING BUSINESS No. LB 3672 CHECKED BY INC. DATE: �/ v DRAWN BY: ��C BOATWRIGHT LAND SURVEYORS, MARCH 14, 2007 /�11 FILE: 07 -o31z 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241 -8550 SHEET 1 OF 1 I e t CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DM40LITIONS Owner (rs) : El i 1 Nb anal. WSJ nL Address : 3b I 2 nd , - L/ Phone: Lot # Block or Unit "j Subdivision: �G C��%�,15� ,�c�L 71�Z Contractor: P�� d3 SAZG�S�4- State License # G Gy S � l Address: s S M Phcne No: �. $ Z Cite �L � � State G 7 _ c Code � J Describe work to be done: �\U� _resent use of building: 7aluation of Proccsed Construction: Cc� Procosed use ��,) Is this an addition ? — If y es, es, what are the dimensions of the added space 6 ` ft. Y ft. Will the added area be heat_d and cooled? h New elec�::rical (or increase) ? New piumbing fixtures ? ) "y New fireclace ?few Heat/AC? SUBMIT THREE (COCIAL) TWO (RESIIZENT2,L) COMPLETE SETS OF PLANS, INCLUDING SIT-- PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMME`7G.. MVT, AND OWNER /CONTRACTOR AFFIDAVIT, IF OWNER IS CCNTRACTOR. Signature OWNER: Signature CONTRACTOR: Date: ZIZI Sworn to and subscribed before me this I day of 19q RECEIVED NOTAR PUBLIC STATE OF FLORIDA AT LARGE AUG 3 , 1998 OFFICIAL NOTARYSI:l of Atlantic Beach SUZANNE BROWN Cit Y NOTARY PUBLIC STATE OF FLop !t ) r ; Building and Zoning COMMISSION NO.CCb702,1 R MY COMMISSI IXP. AU G ",2cw, 067Y OF 'OtItpWrIc BE" 716 emu BLVD. ATIAWI I to Wmaj, FLcR1 rjA Le . „ dbQ - 9 "'1 I to cta*1 mms seal P"14 1Cr i ►n^ OeJW; 16 , �'Qlfifmmad tswft iW W&" + eeeere� 1 a��OW", re vs f(; 'of W : 1 I III ens aw /&t. d :ref srlt+�t,cl++lt r f� Q,�c f f�B �1ea1 f b pfa IA "to Ic aer,- a tfielyd of ea+OtIrms, r'piT Plax:W aw fewtanad cue iWvl WW WOO WI+h wire. FootlMp Sho G f bo 'SI x i Wjm W1 der an each O do Ii mm ite aa @ , s,iol I be at l off' of of f mimv 461c* *+a?; ra • 'm #Ire got I at fast +W*;vca inctw bel dl Siurbod Sm 1. =b3 Oz. aeCh reef+ Shal I be ralnth with at lamf 0m, ft. 0 'd l 1 Oantars, pour aid e+i +h c ; wefnfCWC5eV SU ;. & be proper? v #10 1ntc the f041rt€ -WA WWAM I team. ?I. Shoal I be SIT fwd to Tm a tea-, m,,Aaz �mq I got vi # °Ie ,o c f fjr 'of a sem*> fast 1y Assl Ugs, vhldt aria 4* 14 .9r tat+snsaly f l far, t l t € siaataiedi. *., atwf iagrti c ild" ift octal +ill a�anfi�rrael�ion and - - aft' - " -4 C 1 • c�. , �wrfve�a� a I i JWftri a f t, Wf rattles s lim ae tgu, cnd b& I I f<A c cot a 'u r s. In araaera� ai#! . ft� lbr�pI ", Siff0i I ar° ° dog;[ i 4XI.0 trofts a l & , eri filr T & o roatia�t t�► of asch txffivw, and i 1 st l e- f+elmt court If am ane wha lar d"I @ 1 a Cas »ierti tar I G 1 . . Saeewor SWVI cior . i a must be Rr'r�i�d Nt #h c G a in #eo PrteNeeeeco cif s Cl 1 aoa�� . li to f Ina l c ;lactl 'an tot fto house of lmi n SWOOP +te e !'1CD (6t It* pr'q�ryty i t ns' fi bar i#y few bai rQ c ovwvd. ur twisby carrtI:tlas !es ftbav the obave a:nd ' a�a haloes �fa<e ties f s a and a +0 c Q a 1 � �laers am a WI tle atio�s I G of 4 Cl � q_ ' -,�, j�. , 0`c`a` V olp 00% OR � N�QVsg( pe�m�t Ni' Q e, Zi P M �' ` MECN \ gi p � S� ate (�/, t Q\�N1 � Face pia D�aeG `v ed /� , `1 � \ Cp\. 109 O Ut p pab pM h �•a�a 9 0 Se�je Z elt pSemP P Fc�day / o � ae r s d CONGO F\aa� \NSJ sc \vo Name p \r\G p Sab (�pO QOa pN` i� °a� ° G gV \\. ��a .fled• PO. iasPeC °�Pa� y Fca Po pGe�t�t�°ate °i O° Pe a i r °� vosU J,aes• Date ^M ,de i�sPgdo' 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 INFORMA Permit Number: 23399 Address: 301 SECOND STREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):2 Block: 4 Section: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: _ Improv. Cost: OWNER INFORMATION Date Issued: 1/30/2002 Name: ELINOR AND WAYNE CANTRELL Total Fees: 64.00 Address: 301 SECOND STREET Amount Paid: 64.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 1/30/2002 (90 4)249-6645 Work Desc: REPIPE 14 FIXTUR_ -- CONTRACTOR S LIGATION FEES SANVILLE, MIKE PLUMBING 1 �• a= ''� � � rim � - r •*,� x` ���', a _ w NOTICE - IN I*"I'IQ3�tEQUESTD AT LEAST 24 I RIOR TC�NSP BUILDING MATERIAL, BISI+#_ M TH1V1lQCL4 BE CED IN PUBLIC SPACE, AND MUST BE Rt3 >EO AWi TR ' TOR OR OWNE - L— - "FAILURE TO COMPLY WIT H ESU T IN THE PROPERTY OWNER PAY ING NTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $64.8814 ATLANTIC BEACH BUILDING DEPT. O 2181182 81 Receipt: 8831818 -- - - - - -- - -1*1888832''dM .P At D JAN 3 0 2002 . CITY OF ATLANTIC BEACH APPLICATION FOR PLUMING PERMIT JOB LOCATION: 301 ';�3' & - cc // 34f3-- YE.7 OWNER OF PROPERTY: /Ak �NZ Cj (ell TELEPHONE NO. /g- 66els: PLUMBING CONTRACTOR J / / /KP lc9.`l�G t CONTRACTOR'S ADDRESS: p/ S ��,y��� f��U� 7, z 1 0 STATE LICENSE NUMBER: C'FCCS 3c /c TELEPHONE: - -zy(/ HOW MANY OF THE FOLLOWING FIXTURES RE —PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE —PIPE (LIST,FIXTURES BEING REPIPED) OTHER i TOTAL FIXTURES: J L� x $3.50 + $15.00 MINIMUM PERMIT FEE — $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: u2 ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — (904) 247 -5826 o� . / CITY OF - o , J "e" Ot,,cci y ce of Building ECTION REQUEST F O RN SP Permit No. A.M. Date Time .� -Locality Received � ess ( MECHANIC Job Contractor- M' ❑ LU ❑ Air Cond. & Owner's ELECTRICAL ❑ Heating ❑ N ame CONCRETE ❑ Roug Wiring T Out ❑ Fire Place Temp pole ❑ Sewer pre Fab BUILDIN ❑ Footing ❑ Final Framing. ❑ Slab ❑ PECTION: Re Rooting ❑ Lintel READY FOR INS Friday - insulation Thurs. Wed. A.M• Tugs. � p.M �- -� Mon. 3 ( Final Inspection ❑ gi rl icate of Inspection Made Date inspector CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FI 32233 - Tel. (904) 247 -5826 ROOFING PERMIT LOCATION INFORMATION Permit Type: RE-ROOF ermif umber: Address: 301 _ SECOND STREET` ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):2 Block: 4 Section: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 3,650.00 OWNER OWNER INFORMATION Date Issued: 2/15/2002 EL JNOR AND'WAYNE CANTRELL Total Fees: 45.00 Address: 301 SECOND STREET Amount Paid: 45.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/14/2002 Phone: (904)249 -6645 Work esc: REFZGO E_ - - -- - - CONTRACTOR(S) ._ 4.:APPLICATION FEE ROOFING .00 gg 9y, a n ..: 8 � ?� � � �,f^. *•ry 4... t'y � � � s, �.�, �� �.0 i�� r'fi y 3��� 1 w'" w w ai .'. "" Y •rte s e �` YsT 4 `. "''' •, 0 NOTICE 1 E STED AT " fi ,451`4kJIS:# ECTION BUILDING MATERIA MUST BE CLEARED If_p� SPACE, AND ]',� � '��HI�R.���I�'i''F��O�`'�N���1t "FAILURE TO CONE Y� NSTRI s,�aEN -LAW C THE PROPERTY O 0V ISSUED ACCORDING TO AP BJECT TO REVOCATION FOR VIOLATION OF APPLICABL i }COF - Oper: DSMITH Type: OC Drawer: 1 Date: 2/15/02 01 Receipt no: 34867 14 PERMITS- BUILDING 1 $45.00 Trans numbe•r:. 788500 ITY.O ATLANTIC BEACH CA CASH $45. T?ans date. 2AP02 Times 16 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: 0) Co 5T 2-f 0 -3 OWNER OF PROPERTY: '3 — 2 , N_2 Si 1Vfiy /V 1e( 4AA HONE:: CONTRACTOR: S7` ' q t' `S R 00 FLc_& C U/Z "J_S f -W(. E CONTRACTOR'S ADDRESS: l 2 4a k1 uR, - Y(+C95oNJi 1) r F1 4 zIP: 3aa) STATE LICENSE NUMBER: K C (36 SO JI TELEPHONE: 944I YV y DESCRIBE WORK TO BE PERFORMED: R, E Roo r VALUATION OF PROPOSED CONSTRUCTION �o0' MATERIALS TO BE USED: S{�rt�tt?S SIGNATURE OF OWNER: GC SIGNATURE OF CONTRACTOR: SWORN TO AND SUBSCRIBED BEFORE ME THIS I I! _ DAY OF 19 yJ p� *u.s. WENDY LEE MARTIN Notar Public, State of Florida AS T My comet. expires Mar. 12, 2005 Comm. No. DD 008713 NOTARY PU SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 1 AS TO CONTRACTOR LL�a at,:�L a NOTARY PUB Liability Insurance Supplied WENDY Ut MARTIN Workers Compensation Insurance Supplied +� ,. Notary Public, Stet# of Florida :•�. „ .. MY comm. expires Mar. 12, 2005 Contractor License Information Supplied �� ~' Comm. No. DD 008713 Occupational License Information Supplied Phone No. — 1 4 - o - . — -- Expiration date of Notice of Commencement ',the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNE • Signed: Date: Z - /S Before me this day of in the W County of Duval, State of Florida, has personally appeared Paget 1778 , Filed 3 Recorded OE/15/2W 01 :34 :31 PM JIM FULLER Notary Pu t arge, State of Florida, County of Duval I CLERK CIRCUIT COURT FAX F�URD $ 1.00 My commission expires. 1 RECORDING f 5.00 Personally Known ,, }'l "f _WENDY LEE MAR TINor nn��� / CITY OF nn �� ril &PLC /3 � - "t UC/412 Office of Building Off! ial REQUEST FOR INSP CT N Date Permit No. / 70JI Time A. M. Received PM ^ Job , ress _ ocality Owner's Name Contractor LDIN CONCRETE ELECTRICAL PLUMBING MECHANICAL raining ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ • READY FOR INSPECTION Pre Fab Mon. Tues. A.M. Wed. Thurs. Friday Inspection Made •J 4 A M Inspe final Inspectio Certificate o Date PSR-3844 11259 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION -------- LOCATION INFORMATION ------- Permit Number 1125- Address: 301 2ND STREET Permit Type: BUILDING ATLANTIC BEACH FLORIDA 322 ,- las� of Work: NEW ---------- LEGAL DESCRIPTION -------- ("onjtr. Type! VINYL Lot* Block: Section: Proiosed Use: SINGLE FAMIL, Township: RNG: n. Dwellinas! 0 Cride: 0 Subdivision! Pstia Value: to. V i'prov, Cost $0.00 Total ff,�e.,s 52 5.0 0 X 25 . 0( - , inyl sidii, hf-)mr- ' krORMAT I ON --- APPLICATION FEES ----- ` 3laL3 alt . . . . . . . . . . . ELL PERMIT 825.00 Add ,,,STR WATT IMPACTS 0 . 0 0. FLoR 1 LA 1 - r,r 6 RPTAP 0, 6 ACH FEE F no 2 *§ 6 6 4 5 WATk RADON GAS - H.R.S. $0.00 ------- CONTRAC'TOR-1 N FORMA, T T ON RADON CAB 5% $0.00 N e PR Y OWNER SEWER TAP 4 1;0.00 CROSS CONNECTION $0.00 Lic F Type SEC H IMPACT FEE C ONST.SURCHARGE 80 A; dk NOTES: NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: O ar e T� e /T OP Of O 9O 9 /Nso f`'c'd' r nsG /a'On °9 � O O O M On pe en /r ab F o /rasp C /rarer %� /nspec /on Maae T ° es n 9 9 FcT 9 O C r4a O RF Fla p %��n q� ar 4 4D), � O � `�� a OR iNSA O ro O s F � + T / Sew °ot O AFC rh O qr ' c NN F nai / ��aay e FabaCe O fc ate of nspe�ti O O on ate O 0 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS ,, DEMOLITIONS Owner(s): OA)X /I) Address: J 2,11 S T— Phone :_ Lot Block or Unit # Contractor • ��A)�/ )) GJ . �� A,TIZ� 1/ State License # Address: Phone No: Describe work to be done: I rr�f � s �, -,� e2- ^--I Present use of building: 14ol"F Valuation of Proposed Construction 2 ,r'J�C� _, Proposed use: Is this an addition? Al"( If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat /AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date. Signature CONTRACTOR: Date: License Supplied: Liability Insurance: Worker's Compensation Insurance: f t. DEPARTMENT OF, BUILDING 3928 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 11/30/78 19 Valuation $ PLLTI -IBING Fee $ 14.00 I I 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. This is to certify tha Vogel —` ilson Plumbing has permission to buil to i nstall 2 sinks, 2 lavatories, 2 bath tubs, 2 closets, 2 water heaters., 2 dishwashers, and Classificatio duplex zo ne Owned by_ Char Leon Lot 2 Bloc 4 S/D AB II House No. 301, 303 Se Street According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. E PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE X - - -� -- ► 0 Building material, rubbish and debris f z from this work must not be placed in { I public space, and must be cleared np and hauled away by either contractor or owner. 14 a 0' T 1 w s (;0LKT Dairjsl 1 /3U/7 Building Of6o�Lt!A FOR PERMIT USE ON Y NUMBER DATE CONTRACTOR PLUMBING I ELECTRICAL i i I SEWER I WATER M. ra:di •- �.« r..-+. rvG. d_s c(_ �. �+ �... m.... ��evt.- x- �._... �.. w. v..,,- ..�+...w.m......a....,... ++..•m.�._..�n....z.....� .:�.- ..,... n...�, -�.. 3:im en v"'i in Tall OF 3°,'.� � �TYia' .,,.a. �.. 1-"7 6 �7-1 ....� �� /L VA �.a,<....... rZf? COUNT t . � f C Y. � rott � l At:..A' p T;k' .^� � °�:t'1?� fir',(,' s �t d f � � fl � ' 9 S m h r'�� �t�i��'F �+'fh tuff 'Wa f L'rf:Vr't13',, g, .0 LC'J OF ll���: �`STd1'3 ? RA S M�9�'�r'Od5 �+� Y"6�.t.'�1�4L�. my :.�i/m." +aa quev�q ,nn'.ieu.+..«.w:luc�wu✓*w.ww�i. w..r++awr� � / � A —j J r+ ww u- nvarn . � w.w. w .+. utaun.�s - .rxvnnw..s+ Mar. .ww..++urtir�veMaa.n+.wv.wa" ,r J wsss.. u,« wt�. rw.. s.vYacs+areq�ar+neua�p�n.w•s..� Fu ps� . v m -a OR ( "�,''am. mil ,,, �±,� �+y� _g p� r� SKI Z2 €al+st SUM S� {�fT �j�}�"� `V� _ Ly ryy .r.u.*w v ,c 153 L `Mtu t�'vml t�1Y1'kI MAY .I� Jlnb J!l) Cr. At *r` s ' a 'an v ( ,{ ,t gp ^� qty � �: c'4+� � �:s� r� ��a'�;�e�' �� 3i'i„� � id ,....:,.�.,...n.. �� C I5'C'L �. � ! Z`'ir" I. �!' T 6..�`: I C � a 1 asr"' :, � * ( G CRP'k^kt�B 4 +iSiC 6.:Spj .snvoxems: `a ii r }y1t`il uF i, �7` iiireU --DOMCM. LAVAMORY Cl unit) �p / ro asrr a•n y�t Uf`N r1�C i , YK4 I Xy (4 uni 7 11C h o- pi;,`m 2 -FT. SECT i key:$ ivl SG W (2 v0ta) .. _ i. se a a ff G Wsm G ��u4ps'£ sot , A �e�si PU OF `A� ... __,AV nw.e PM f7 L 51 w.•.+.auw«,..sre�$ikri� �S, ,�^ t� �� '� {q�� ; Ry � � fia V, i 4 d�li r`r Gi4:_.G�'R�w�r �1 � m �U �y1L� a G3�� �X: B C2 u, t € ft ) - - io i F DEPARTMENT OF BUILDING 3929 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB I r Date 12/4/78 19 Valuation $ r ' 7 667 Fee $ 142- This permit not valid until above fee has been paid to City Treasurer, and is abject to revocation for violation of applicable provisions of law. This is to certify that $Y�3Y�l]rt3 $1tZXS. has permission to build S C1L1p1eX ! E Classificatio 2 fami1v AWIRl 13 nQ Zo Owned by Cha r lei •• "•• Block _ S/D AB Lot House No. 01�, 303 Seconri Str According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE 'A ♦___� �— 0 Building material, rubbish and debriaL z from this work must not be placed 1A., K public space, and must be cleared >olr and hauled away by either ,cogtractor. or owner. 3 r 7 # l Oi : Al i 1 4 1 2/x,6/7£3 Bill M D a Villl ' 1 00 i Building official. I FOR OFFICE PERMIT DATE CONTRACTOR y, USE ONLY NUMBER { PLUMBING R ELECTRICAL SEWER i. WATER { FOR OFFICE USE ONLY "VAUKE TO COMPLY XIVITH THEE MECHANIC'S Date - - - -�� ....�.........1� WROVIL' f LIM IA't ,,'' O d EiULT I IE T PROPERTY Permit #- -• ` Fee $... - -. ffNE XAY PCI 'Y O A A H y ,,, „ Qtion t. � j (9 •. ............. FLORIDA House #_ ©..l •••- l ION FOR BUILDING PERMI uU (-Cj ----- • ..- ...r�.�,.,: 1 ..........- � ....,x.`70 . NOV 21 1978 -3 ©I Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the Atl an CITTtu eity n� � ��^ s �IV described. This application is made in compliance and conformity with the Building Ordinance of htic Seact�, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner - Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub - contractors be submitted to this office so that licenses can be verified. Owner... !�.. A w� ON� - 6------ ------ .................. Addresslll.7 .-•----� .'.l�!--.�X.84.-..Telephone No...-..----.........-..... Architect -- _ -- --------------------------------------- Address - - - -- . •--- ....---- •- ......•- •• - - -- •...• - -- Telephone No ............................. Contractor Builder. I�L/.t Q... ti?! �. 1� .............. .... .. ..... Addresspla..O- ... '- •' -v—Telephone NoZ! ... +1iP.. Lot No --------------- � ............................... Block No.. - --. ................... Sub ... (*7 Zone..... -- Street- --------- - - - - -- - - - - -- -'Side Between ............ ---------------------------------------- and ...................................................... Sts. 0� Valuation $2.1 - �L �....... - -- -.For what purpose will building be used.R!r'.�.5. il? *Pf ..Type of construction ...FRA /M ................ Dimensions of Building .._ . R (,_ _ ...Dimensions of Lot --- PP. _ 01 .>�N ......................:Size of Footings..p.Cf".. 1A.r1.......... fir_... l.� -N Size of Piers ............. - •---- - - - - -• --------- Size of Sills-- _---- - - - - -- --- - Sill Span in ft ........................... Type Roof SAI Na' c.............. How will Building be Heated?___ - - L'7I�1.. . ......................... .......Will Building be on Solid or Filled Ground? ...... Size of Ceiling Joists ............ .............................., Distance on Centers -.- .........._......._........... ...... - -- Greatest Span ............................................ to Size of Floor Joists .................................... - .......... Distance on Centers ........... ....................... .......... Greatest Span ............................................ pp Size of Rafters------ ----- ---- --------------- - -- - -------- •--- - - - - -, Distance on Centers . ..... ..... ............................. Greatest Span ......... ................................... of This rectangle is to represent the lot. Locate the building or buildings in the AP right position. Give distance in feet from CITY OF ATLANTIC BEA!;H all lot -lines and existing buildings. S U CL OFFICE: REAR LOT L INE Two copies of plans and specifications shall be submitted with application. _ 1 191 Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns a a 3. When steel is in place and ready to pour beam. H 4. When framing is completed. S 5. When rough plumbing is completed, and ready to cover up. W W 6. When septic tank drain field or sewer is laid but before it is covered. A A 7. Electrical inspection by City of Jacksonville. rn 02 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 th he a'Itsnlied p s specifica 'ons, which are a part hereof, and in accordance with the building regulations of the I o tlantic B � ^^,�,, ',� A //jj,,II�� ((�� Signature of Builder _ _ ��� Address!'YJ . D �A..I7C/. --- A- ... 1!.'lrS�!slr.�3!OgZ+ Signature of Owner.... -- - -- .... _ Address)..[ l... 3'wY1..,.. /.11.r.....!';KK.8Q K'.4sWTV ... J A P-MVIT" 3/4" Tap C* jFjjv AwDF I- PIVITC-S,0 1 of 170.00 + 2.00 const. water 1 0 301, 303 Second Street AB 4J: AA OWNER: CHARLES LEONARD 1917 3rd St. N., Jax Bch. Co MUM' Emn SJM# V j 5 1 Cel ��B LOT 40. W. X NO. Wt-A TVK (r INWI Duplex BY 9 1 � . s o � j0 �` \ � • 3o�� %\ 0 dd 14* o No 0, LIZ � n Z O �1 0 i f i i a 3 g - CITY OF ATLANTIC BEACH / PERMIT CA CULATION SHEET Address 0 v� J 0 lLC H Ai u Dat ` 3 L2 Y Heated Square Footage @ $ per sq ft = $ Garage /Shed @ $ per sq ft = S Carport /Porch la S per sq ft = S Deck t �7 @ S 9_ per sa ft Patio @ S per sa ft = S TOTAL VALUATION: S 3 �-- /`�: Tot 1 Vaivation 1st $ 0 v 0 2--- S Remaining Value $,.5 per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2- Filing Fee $ t (dl Fireplaces @ $15.00 S - BUILDING PERMIT FEE S WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER /TAP CAPITAL IMPROVEMENT S SEWER TAP S RADCN (HRS) CO50 S SECTION H PAVING ( $ HYDRAULIC SHARES S CROSS CONNECTION $ ( ) SURCHARGE .0050 S OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES: Mechanical Piumbina_ Electric /New Electric /Temp ;SwimmingPool Septic Tank Weli ; Sign Finish Floor Elevation Survey Other CALCULATIONS and /or NOTES: �c soap �e2�� 3 � r - 3° 3 � �,,.� � -nom FEE $ .00 APPLICATION FOR FENCE PERMIT CITY OF ATLANTIC BEACH ' PROPERTY OWNER Name : ,c 4 L n o, A r n Day Phone 7q 103 Address: 301 3 o, 3 � ^ " Zip Code '352, 3_ An ^'" P ERMIT N{ OF SUILD►NG Day Phone I I DEPgRTME CN. FL ORIDA I CITY OF ATLANTIC BEA BUILD .QLt/ Zip Code 1 i Ogg I 1 1 IS�PE iM UST 6E POStED ON J Y�7 I � tH Av st 5 I Irate fee Fee 110 $ V Treasurer, and is �I Valuation $ been paid t° CtvY of law - 1 va lid until above fee has livable P rovisions N . Brun ion pe r oration of app n violation subject to rev This pe ovation for an d Linda dl ey Tl Bra ENCE Thi is to certify that : f:e : nce aS er laps has eLm ission to build III � p Zone t ial gruttson A t, ' Classificati R a Bxad1 e ll. n d Lind 4 SID t 1 � o w n ea . c t so • 11 Street S econd CONCRETE FORMS I I ' Lot 301 -303 of this permit IN. I I house N O tans which are part NC )TIC GS MUST (, to approved p D According SP E CTED BEFORE pOURI ON PERMIT VOID E OF I SSUE AFTER DA debris material, r ubbish and laced 0 But k must not be pleared 7 - from wor this an d must con- in public s pace, by e ither ���♦ up and hauled aw a y tractor or owner. Building Official. II CONTRACTOR �� DATE I PERMIT ER FOR OFFICE NUMB -- USE ONL t 1 � PLUMBI I I ELECTR ICAL SF WER I, �' WATER CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 J131, INSPECTION EMAIL REQUEST: Building- deptna,coab.us Application Number . . . . . 07- 00001658 Date 12/19/07 Property Address . . . . . . 301 2ND ST Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Eft fence ------------------------------------------------------------------- Owner Contractor ------------------------ - ------------------------ LADD OWNER 301 2ND STREET ATLANTIC BEACH FL 32233 ------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35.00 Plan Check Fee .00 Issue Date . . Valuation . . . . 0 Expiration Date . . 6/16/08 ------------------------------------------------------------ Special Notes and Comments *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED_ PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING - DEPT @COAB.US Construction dumpster provider must be on City's franchise list. ------------------------ -------------------- Fee summary Charged Paid Credited Due -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CST OF ATLANTIC BEACH PERMIT +,5' BUILDING / ZONING DEPARTMENT APPLICATION # _ S00 Seminole Road Atlantic Beach, Florida 32233 (904) 247 -5000 (904) 247 -5545 Fax www. coab.us APPLICATION TRACKING FORGE REQUIRED DEPT: Y N PLANNING Property Address: �� d �� z Y BUILDING P: //�� '' 1 Y N PUBLIC WORKS Applicant: V l yn £fir �b"' 0 Y N PUBLIC UTILITIES Y N FIRE DEPT. Project: Y Id PUBLICSAFEi w APPROVAL v o REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w LU Y N D.E.P HUFSTETLER QD 0 (3 Y N SAR.W.M. CARPER LU _ Y N ARMY CORPS of ENG CARPER O Y N HOTELS & RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: ® ® 1ST REV E] F[]J PLANNING 2ND REV BUILDING ® ® PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV Return this form to the Ba> ]Nina Department once you have entered your comments into the AS400. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD, ATLANTIC BEACH, Fl- 32233 07-11 "iY 0 F, A - �fr , it! ' OFFICE: (904)247-5826 0 FAX NO.;(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY .l.'JOB ADORES Itt, U-V I 2i VALUATION OF WORK- 13. SQW,-,AJNDEFt ROOF, '7 � o I 4. LEGAL DESCRIPTION &Q 5. CLASS OF. WORK; 6♦ USE OF STRUCTURE! ❑ NEW BUILDING ❑ DEMOLITION j5UESIDENTIAL LOT_ BLOCK_ SUB DI SION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL T. DESCRIPT(MbF WORK: ❑ ALTERATION ❑ ACCESSORY BLDG. 8. FIRE SPRINKLER: C _ e F OPOOL/SPA 11 YES 11 N/A 0 V,_r 1 ❑ REPAIR e, v ❑ MOVE ❑ OTHER ❑ NO PROPERTY OWNER: CONTRACTOR : ARCHITECT I ENGINEER: 9. NAME: 15. COMPANY NAME: 23. COMPANY NAME: 16. NAME: 24. LICENSEE NAME: 10. ADDRESS: 7. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.:/ 18. ADDRESS: 26. ADDRESS: 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: 13. CEhd.PHON� 21. CELL PHONE: 29. CELL PHONE:/ 02- 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADD SS: FEE SIMPLE TITLE HOLDER: ONDING COMPANY: MORTGAGE LENDER: / A3 31. NAME: 33. NAME: 35. 4NAM. 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Application is hereby made to obtain a pennit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work Will be done in compliance With all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. 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 orAGENT CONTRACTOR (IfAge t ,PowerofAddrriey-pr...Agbn'cyLedw.Re . qubed),., (C Uaflfier Only) Signed- :e: Dal to 8 Signed: Date: Before me this day of 2007 in the county of Before me this - day of 2007 in the county of Duval, S e of Flori �as personally appeared Duval, State of Florida, has personally appeared herin by himself herself and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Pyb is at Large, State of County of Z), I V11 L Notary Public at Large, State of County of MP6rWMn4LQ056 - - - ❑ Personally Known ❑ P r Ice - ;d Fa ,, - ,,, AUAAA 1 0 Produced Identification - hR tEWa +, Notary Not;&Puj to of% Notary Signature: Commission # DD 51853 F, Bonded By National Notary A�sn.. COAB FORM BLDG01: REVISED: 8/2/2007 CITY OF ATLANTI ]BEACH PERMIT r s� LTG / ZONING DE PARTMENT gPPLICATION # T' 000 Seminole Road Atlantic Beach, Florida 32233 r (904) 247 -5800 R Cr y. . ry cm (904) 247 -5845 Fax www.coab.us DEC BY � - APPLICATION TRACKING FORM RE UIRED DEPT: Y N PLANNING JrP� BUILDING Property Address:, 0 S �� tS � t= N PUBLIC WORKS —y� s 0 Y N PUBLIC UTILITIES AppEcant: y N FIRE DEPT. �rO�e�$: G Y N PUBLIC SAFE T Y N APPROVAL DATE: w REQUIRED AGENCY: RECEIVED BY: INITIAL' L) W Y N D E.P HUFSTEfLER tr Q y S.J.R.W.M. CARPER _ y ARMY CORPS of ENG CARPER p Y N HOTELS& RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: ® :1 R 6 N Slim (-7 /QV .� Ik ,�/1/tJ th AA ws T �!✓ Q w c TY /G/?9-'r.' c u/J t C /17 PLANNING ® ® 2ND REV BUILDING BLIC WORK PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV into the tAS400. CITY OF ATLANTIC BEACH 7 - ___..___ .__.._ - .._....•....•.... E 1 ,ti 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 0 " `.tT ►! OFFICE: (904)247 -5826 0 FAX NO.:(904)247 -5845 u BUILDING- DEPT @COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1. JOB ADDRE _$ r r 2. VALUATI ON OF WORK: 13. SQ. FT. UNDER ROOF 1 L ' l- 4. LEGAL DESCRIPTION 1 ! 5. CLASS OF WORK: 6. USE OF STRUCTURE: ❑ NEW BUILDING ❑ DEMOLITION RLBESIDENTIAL LOT PDESCRIPTION BLOCK SUB DI ISION ❑ ADDITION El CONVERTING USE ❑ COMMERCIAL OF WORK: ❑ ALTERATION 11 ACCESSORY BLDG. 8, FIRE SPRINKLER: J REPAIR ❑POOL /SPA ❑YES 11 N/A ❑ MOVE El OTHER ❑ NO PROPERTY OWNER: CONTRACTOR: ARCHITECT / ENGINEER: Ih 15. COMPANY NAME: 23. COMPANY NAME: 16. NAME: c 24. LICENSEE NAME: 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: v I ; / / � J -'\ I �>i- ( 18. ADDRESS: 26. ADDRESS: 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 2 FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: 13. C SPHON 21. CELL PHONE: 29. CELL PHONE: 14, EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADD SS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31. NAME: 33. NAME: 35, NAME/ 32. ADDRESS: 34, ADDRESS: 36. ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. * 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 CONTRACTOR (If Age;", Power of Attorney or Agency Letter Required) (Qualifier Only) Date: 1j J8 Signed: Signed: l Date: Before me this �t dayof j L-Q , 2007 in the county of Before me this day of 2007 in the county of Duval, S f Florida, as personally appeared Duval, State of Florida, has personally appeared herin by himself /herself and affirms that all statements and declarations are herin by himself /herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary P is at Large, State of County of a L Notary Public at Large, State of , County of r n f w AL ❑ Personally Known ❑ Pro ced 116ot4lijation - ❑ Produced Identification - .�`r P ' No Pu too Flo N 9 Notary �- Nota Si Commission # DD 51853 Bonded By National Notary A M. COAB FORM BLDG01: REVISED: 8/2/2007 MAP SHOWING ' SURVEY OF LOT 2 EXCEPT THE SOU'T'H 10 F , T '1NEREOF, BLOCK 4, 'PLAT NO.. - "DIVISION "A ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5 ,ACS' 69 OF THE CURRENT PUSLIC 1,_-:ORES OF DU ``VAL COUNTY, FLORIDA. G or 3 i LoT / .I Q lY wACc O oo.4CN f p � o , 78' ► z�� i MAs. A -V AMt - �ZE� /OENC'f t o t'O NC' I w4 °� 3'1a CO 9' I n ,S' /w G iNE BPS NOw y .Poo .. � , PND � R /GNT OF A04 !_A+/E BY PL./T 'ov_ o �r,QE PA YEo SD ' oP /W NOTE . No B. .PL. A S -4 A f X NC L E 45 f'E.P I HEREBY CERTIFY THAT ME PROPERTY SHOWN HEREON LIES IN FLOOD ZONE. "C" AS Sl - TOWN ON TfJE • ' FLOOD HAZARD BOUNDARY MAP FOR THE CITY OF, ATLAN`T'IC BEACH,' FLORIDA.. I HERMY CFMIFY TO BRADLEY AND LINDA BRUNS3,M, BISBEE BALDWIN AND TITLE. INSURANCE CC)Ml?ANY OF MINNESP'TA TIJAT I HAVE SURVEYED THE LANDS AS SITOWN IN THE ABOVE, CAPTION AND TIIAT njIS MAP IS A TRUE AND CORRECT REPRESENTATION PF THAT ,SURVEX'IAND WHAT. THE SURVEY REPRESENTED HEREON MEETS TIT, MINIMUM STANDARD REQUIR1SNEMS ADOPTED BY THE. FLORIDA � -ATE BOARD OF PROFESSNNAL .LAID SURVEYORS CHAPIER 21HH AND THE FLORIDA LAND! TIT�LS•.AS,SC�CIA`1'JON. THIS SURVEY NOT VALID UNLESS SEALED WITH AN EMBOSSED SEAL eE�N�cK: 06G. 27, /9BG OF SURVEYOR SIGNED HEREON DONN yr, SON7WRIGHT L. S. F REG. LAND SURVEYOR No. 295 SCALE: i= �O WATWRIGHT LAND SURVEYORS, INC. DATE gyp: DRAWN BY � ° s I" PENMAN ROAD, SUITE 'D` -✓A-- 4,C Y t 7 19&0 F. s• 17 JACKSONVILLE BEACH, FLORIDA 241- 8550 SHEET OF MAP SHOWING " SURVEY OF LOT 2 EXCEPT THE SOUrIll 10 F" - T THEREOF, BLOCK 4, PLAT NO. ' SUBDIVISION "A', ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5,'- -.AGE 69 OF THE CURRENT PUBLIC 1.u:QRDS OF DUVAL COUNTY, FLORIDA. G or 3 � Lor / ••,� 0 0 .v a • � � ?' "'Ac M 3O' n� ' n 1 ti lY ` (�. 7 • M 410NT Y \ . w4 cc O oo•PCH � � � ( cr 79' I 3 El ` OO NC V W4 c.Y 11 nl 'OTivE Riw L i.VE R'S Now Y Poo 6� FND E3TgBL /S//EO ` lD _ _• _ _ — — � 3 /R sIT OF WAY 4/NE BY PL.IT`— _ \ 1 1- PA YEo TE SO ' �e1 w NO " MO B .e4. A S PE.f Dc A f -- QNGLU 45 PER F7CLP I HEREBY CERTIFY THAT TYIE PROPER'L'Y, SHOWN HEREON LIES IN FLOOD ZONE . "C" AS Slum ON ME FLOOD HAZARD BOUNDARY MAP FOR THE CITY OF A'TLANT'IC BEACH, FLORIDA". I HE,RMY CERTIFY TO BRADLEY AND LINDAA BMlI`>,SOV, BISBEB BAL,DWIN AND TITLE: INSURANCE CONSPANY' OF MINNESOTA THAT I HAVE SURVEYED THE LANDS AS SdiOWN IN ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT REPRESENTATION PF THAT ;, SURVEY IAND WHAT. _THE SURVEY REPRESENTED HEREON MEETS Tf1E. MINIMUM STANDARD REQUIFZEM"3 ADOPTED BY THE ;FLORIDA STATF BOARD OF PROFESSIONAL .LAND SURVEYORS CHAPTER 21M. ,AND TH0jFLORIDA. LAND i_T T,E._ASS(?CIAT.T0N.. THIS SURVEY NOT VALID UNLESS - - .eEC//EGK: SEALED WITH AN EMBOSSED SEAL 06�. 27, /96G OF SURVEYOR SIGNED HEREON DOM VII. BOA WRIGHT, L. S. FLORIDA REG. LAND SURVEYOR No. 295 DRAWN: �•'= P °" '"MIGHT LAND SURVEYORS, INC. DATE fps DRAWN BY : s 1301 PENMAN ROAD, SUITE 'D` _1A-u 4.P r r� 19 F. B �� : � JAICKSONViLLE BEACH, FLORIDA 241-8550 SHEET / OF � MAP SHOWING SURVEY OF ti LOT 2, EXCEPT THE SOUTH 10 FEET THEREOF, BLOCK 4, PLAT NO. 1, SUBDIVISION "A ", ATLANTIC BEACH, P EC RE D I N LAT C , PAGE 69, OF T CURRENT PUBLIC 1 vVC1. I O LOT 3 LOT 1 II J 1 LL v g 50.03'(Field) I FOUND 1/2' IRON FOUND 1 -}j' ' /2 - IRON x 0.6' PIPE, NO CAP DE 1 1) 2001 PIPE. NO CAP O S• 50.00' A ( J 0.2' GUY ANCHOR WOOD POWER POLE WITH TRANSFORMER TTTT -- "- - - -- / I V to n 2n TORY z WOOD DECK p CONCRET .PO�CH \ O I� WITHnSTORY 0 I i 'BALCONY 0 27.0' � v O I-' � STTOOPETE I O ' LOT 4 2 STORY Q ° M O o\ FRAME & O b y o 0 u� MASONRY ° a RESIDENCE n I a NO. 301 ❑ ,n I / n CONCRETE W K 3.0' .. 14.0' I5.0' I COVERED CAf,F'RORT •1 ��� / \ V C \ �� D.1' / \ 7.0' o' °p \ 7.9' o C RETE 0.3' o 3' WOOD FENCE R/W AS NOW ESTABLISHED FOUND 1/2 REBAR ?0 FOUND 1/2 IRON NO CAP 'p, PIPE, NO CAP 1 CONCRETE THE SOUTH 10 FEET 50-00 ON LINE OF LOT 2 NOT 50.03'(Field) INCLUDED) RIGHT OF WAY LINE PER PLAT SECOND STREET (50' RIGHT OF WAY) - I NOTES: 1. THIS IS A BOUNDARY SURVEY. 2. ANGLES WERE VERIFIED IN THE FIELD. 3. NORTH PROTRACTED FROM PLAT. 4. THERE ARE NO BUILDING RESTRICTION LIES PER PLAT. I- POWER POLE 5. OHE DENOTES OVERHEAD ELECTRIC LINE. SURVEY WAS MADE FOR THE BENEFIT OF: THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD opk JACKSONVILLE BANK; CURTIS LAW FIRM, ZONE •• (AREA DETERMINED TO BE OUTSIDE 500 YEAR FLOOD LLC; - n MERICAN TITLE INSURANCE COMPANY PLAIN) AS WELL AS CAN BE DETERMINED FROM FLOOD INSURANCE RATE MAP COMMUNITY APNEL NO. 120078 0001D, DATED : APRIL 6 17, 1989 FOR DUVAL COUNTY, FLORIDA. "NOT VALID WITHOUT THE SIGNATURE AND DONN W. BOATWRIGHT P.S.M. THE ORIGINAL RAISED SEAL OF A FLORIDA FLORIDA LIC. SURVEYOR and MAPPER No. LS 3295 LICENSED SURVEYOR AND MAPPER." FLORIDA LIC. SURVEYING & MAPPING BUSINESS No. LB 3572 BOATWRIGHT LAND SURVEYORS, INC DATE: CHECKED 8 MARCH 14, 2007 DRAWN BY: dJc FILE: 07 -0312 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241 -8550 SHEET 1 OF 1 MAP SHOWING SURVEY OF LOT 2, EXCEPT THE SOUTH 10 FEET THEREOF, BLOCK 4, PLAT NO. 1, SUBDIVISION "A ' ATLANTIC BEACH, AS RECORDED IN PLAT BOOK NO. 5, PAGE 69, OF THE CURRENT PUBLIC RECORD'S OF DUVAL COUNTY, FLORIDA. LOT 3 LOT 1 < U I' If) $ 50.03'(Field) I F NO 1/2' IRON ` _ •'` T 4 • r 7 `�„ FOUND 1/2' IRON PIPE. NO CAP 5 0.00 0.6' E, NO CAP 1 , 0 . 5 . y1 \ 0.2' GUY NCHOR � ', \ _w ,/> pEC 1 200 y WOOD POWE POLE WITH TRANSi FINER 2n TORY v ° p W000 DECK a 3 c ; W O CONCRET .PO�CH > I� WITH �t1 STORY ry �W=NY O I R z 6.° 270 p r City of Atlantic each Planning and Zoning Department v - concaETE O LOT 4 v0 2 STORY stoop I O v approval verMes Compliance with applicable O a 0 o s< FRAME & I o g, subdivision and other local land o MASONRY a° glopment regulations, but does not constitute RESIDENCE I i val for the Issuance of rmits. Compliance N0. 301 ithl-Florids Building Code an ( all other applicable i, State and Federal per fitting requirements 1 3.o' at be ` be p verified by signature f the City of Atlantic NCRETE W K l�Tl BUIId Offs CO I pnor t 9" ``a of a 15.0' I uilding Part \ / A� COED I CAF RORT - O / \ I \� o.1, / \ zo 00 me C �TE 3' Y,'000 FENCE B I R/W AS NOW ESTABLISHED FOUND 1/2 REBAR ryb0 FOUND 1/2" IRON NO CAP o0 ? PIPE, NO CAP 5 0 001 CONCRETE . THE SOUTH ON LINE I O 10 FEET F LOT 2 NOT I 50.03'(Field) INCLUDED RIGHT OF WAY LINE PER PLAT SECOND STREET; (50' RIGHT OF WAY) NOTES: 1. THIS IS A BOUNDARY SURVEY. 2. ANGLES WERE VERIFIED IN THE FIELD. 3. NORTH PROTRACTED FROM PLAT. 4. THERE ARE NO BUILDING RESTRICTION LIES PER PLAT. jWOOD POWER POLE 5. OHE DENOTES OVERHEAD ELECTRIC LINE. SURVEY WAS MADE FOR THE BENEFIT OF: THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD 1 CAD; JACKSONVILLE BANK; CURTIS LAW FIRM, ZONE "X" (AREA DETERMINED TO BE OUTSIDE 500 YEAR FLOOD LLC�d1fiQMERICAN TITLE INSURANCE COMPANY PLAIN) AS WELL AS CAN BE DETERMINED FROM FLOOD INSURANCE RATE MAP COMMUNITY APNEL NO. 120078 0001D, DATED : APRIL 17, 1989 FOR DUVAL COUNTY, FLORIDA. "NOT VALID WITHOUT THE SIGNATURE AND DONN W. BOATWRIGHT P.S.M. THE ORIGINAL RAISED SEAL OF A FLORIDA FLORIDA LIC. SURVEYOR and MAPPER No. LS 3295 LICENSED SURVEYOR AND MAPPER." FLORIDA LIC. SURVEYING & MAPPING BUSINESS No. LB 3672 CHECKED BY': BOATWRIGHT LAND SURVEYORS, INC- DA ta, 2007 TE: DRAWN BY: .wC MARCH FILE: 07 -0312 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 241 -8550 SHEET OF 1 CITY OF ATLANTIC BE AC H PERMIT 1% APPLICATION # J BUJE,D�TG / ZONING TMM G DEP Vr 800 Seminole Road '" •.: Atlantic Beach, Florida 32233 - n (904) 247 -5800 (904) 247 -5845 Fax www.coab.us APPLICATION T RACKING RE UiRED DEPT: Y N PLANNING �Jr N BUILDING Property Address:. D S �n a z li N PUBLIC WORKS f 0 Y N PUBLIC UTILITIES AppEcant: Y N FIRE DEPT. N PUBLIC SAFETY Project: APPROVAL DATE: w AGENCY: RECEIVED BY: INITIAL' 00 REQUIRED w HUFSTETLER � N Y D.E.P R W.M_ CARPER Y N S.J. uJ � Y N ARMY CORPS of ENG CAPPER p Y N HOTELS & RESAURANTS HUFS'T'ETLER APPLICATION STATUS _ DA AP REVIEWED BY: INITIAL: DATE CIRCLE ONE: SITE BUILDING / ® ® 1 ST REV / -/ / 1%m,74e_ 7�O �-�� - co owl/ wifh� �' l� , / . PLANNING D REV BUILDING � PUBLIC WORKS PUBLIC UTILITIES A? U7 FIRE DEPT. �D A PUBLIC SAFETY RD REV �,9HdNent.q into the A8400. Public Works Plan Review Comments Initials: Date: /2��� 0 F7 Fes/✓ a Application/P ermit Project Name /Address: 3 1 t•.� 6 �S.l V it �Cx � ' S b• r Ei � r n�FM # sa4 a•�, ,c Yl 5 a V-. r.. 4% "t -"� V �` p� S 4 ^ - .:7r �rf. `� i 4 j i i � N._ '�a•fr �� 'r x- l�Qx.M1LLU.il' fS UF� * r��, �7 � .�-{k 4 Y � Vi i. S. � +1: wr �'CpmnleIIfS nr.c- 1.is.0 ��.,..�.�. ,� t t Ir�y��.kc� 'Lk` �' r: q : F s, i r . h-� " � n � � ' • � ra .1.. r 4 r �nr-� cw �^„4` '�� ; 'nQQIITIIl j, s � L ri - 3��... ��,.a.� -� � � '�1P�C�I:tLQI �'� r•:"..ti .�3 i� r r an e a r � .�' �,,{. �V 7� �"M'r � r,.yF,`k - a�&,�- k,.- ".^,.��� t9V r�� •'.r"�.' 1 rh3,"' 'FF � �.. g�5e ..• .. - --- r f '., �'� 5' T !S..u53 .�.r A 'tr '" _ ,..Y�'. ;...... ! P 3 • _ .. _ . ❑ Provide impervious surface calculations. Provide erosion and sediment control plans with installation details and maintenance ❑ i schedule. ❑ Provide drainage plans showing site topography (flow arrows, etc.) Provide construction site management plan, including Right -of -Way Peanit if using ❑ right -of -way for construction parking. Provide a pre - construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing 1' contours. Section 24 -66(b) of the Land Development R d eo —sto etentionrequired Per 12 increased runoff. Provide Delta volume calculations an Section 24- 66(b). (See attached info. Sheet) If on -site storage is required, a post construction topographic survey documenting proper ❑ construction will be required. ❑ A Right -of -Way Permit must be obtained. ❑ A Revocable Encroachment P ermit must be obtained for Pool — WellP oint (if used) must discharge into vegetated area 10' Minilnurrl from street ❑ or drainage feature (swale or structure) All driveway aprons must be concrete, 5 inches thick, 4000 psi, with fibermesh from the edge of the pavement to the property line. Reinforcing rods or me sh are not allowed in the ROW (Commercial driveways — 6" thick). Any utility cuts in the road must be repaired using C07 Standard Detail Case X and must be overlaid 10 feet in each direction from�the center of the cut. Repair must be shown on the plans. p�u� T wo k W %ff � o Re U `��✓ gf ti O� t Hy`S ( erev " !.-L'J rf Ji I S CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 INSPECTION EMAIL REQUEST: Building deptgcoab.us Application Number . . . . . 07- 00000582 Date 4/30/07 Property Address . . . . . . 301 2ND ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------------------ Application desc 2 CU 2 AHU ----------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- TATE, DEBRA CUSTOM COOLING INC 301 2ND STREET 241 CANIS DR W ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073 (904) 716 -6250 ----------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . 115.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/27/07 ------------------------------------------------------------------ Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- -- - - - - -- Permit Fee Total 115.00 115.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 115.00 115.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. SS , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD �j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 '- r1F3I`' INSPECTION EMAIL REQUEST: Building- dept2coab.us Application Number . . . . . 07- 00000878 Date 6/21/07 Property Address . . . . . . 301 2ND ST Application type description PLUMBING ONLY Property Zoning . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 14 FIXTURES ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- LADD DARLEYS PLUMBING INC. 301 2ND STREET 4472 PHILLIPS HIGHWAY ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 727 -1484 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 133.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/18/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 133.00 133.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 133.00 133.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. JUN-21-2007 09:14A FROM:DARLEYS PLUMBING INC 9044253548 TO:19042475845 P.1 CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION _ Date: t6 - •?/ -Q Property Address: Owner: 70,41 Telephone #: 3z� t/�za Contractor: =J Telephone #: Contractor Address: 6 9Fsq 0C OY'7Z A,014 , A'uY Fax #: Contractor Signature: In consideration of permit given or doing the work as described in the above statement, we hereby agpee to pertbrm said work in accordance with the attached pla is and specifications which are a part hamof and in accordance with the City of Atlantic Beach ordkume and standards of good nw ice listed therein. Installation of plumbing and fix ures must be in accordance with the most recent edition of the Sourhem Standard Plumbing Code. Plumbing Type: If other construction is being done on. this building or sim, O New list the building permit member: O Re -Pipe Number of Fixtures: Bath Tubs 3_ Showers Closets Shower Pans Dishwashers Sinks Disposals r Urinals _ Floor Drains ( Washing Machine Lavatory Water Sewer � Water Heaters Sprinkler System -� Other *See attached sheet see For Sackflow and Irrigation procedures • Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 800 Seminole Road • Atlantic Beach, Florida 32233 -W6 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http:llwww.ci.atlantk beach.fl.us Rcvbed 7/06 Lid 9689-LbZ-1006 swejsdS uopewaolul e8t:60 LO LZ UT _L CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION - Date: 6 -- - " 0 7 Property Address: =��� c. ly-T7 Owner: Telephone #• Contractor: �' =f '� �f `fin! Telephone #• Contractor Address: Z �� �rs iLt/ r '�s' /hv Fax 4: '7- T Contractor Signature: ? In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards ofgood practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code_ Plumbing Type: If other construction is being done on this building or site, a New list the building permit number: ❑ Re -Pipe F N _ Umber of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers l Sinks Disposals Urinals _ Floor Drains / Washing Machine Lavatory Water Sewer _ Water Heaters Sprialcler System - Other *See attached sheet see _ — For Backflow and Irrigation procedures Fees Permit Issuing Fee: $ 5.00 Total Fixtures: X $7.00 + $35.00 800 Seminole Road m Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 a Fax: (904) 247 -5845 . http : / /www.ci.atlantic- beach.fl.us Revised 9/06 l - d 9V99 L 'VZ - 'V06 swelsAS uol;ewiolul e8�:60 LO 6Z unf y ; CITY OF ATLANTIC BEACH PLAN REVIEW SHEET RoU H ufstetle Building Department Public Works & Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 a uzniak (904) 247 -5800 (904) 247 -5834 Public Safety (904) 247 -5845 Fax (904) 247 -5843 Fax Jax Fire dept. PLAN REVIEW COMMENTS �a/�� �/� --„ Permit Application # Q 32 2-. Property Address Je / p?n J7' �� �' �' ;Du f a x Applicant: Project: 6 Q �! V� W —" Ale 4 6 6b 14-00 7�rlo7� Review Result (Circle one): Approved('-'-_J)1 sapp roved p Approved w /Conditions Review Initials/Date /�0 l' /T BUi oT d eE FFICE Development Size: Habitable Space Nb6 bitable Impervious area Total Are*. Miscellaneous Information : Occupanc r p pe of Construction Number Of Stories Zoning D t P rking Spaces Max. Occupancy Load Fire Spri ers Required Flood Zone ! 4 YUX4aC CA l Y 01 ATLANTIC BEACH Conditions or CtAlff ents: a MAY 162007 Building Dept, Public Works and Utility information at top of page, failure to notify the correct department of your revisions may delay your permit from being issued. City ofAtla t c Beach Pffmitlnfonnadon To: JEA Electric Order Fulfillment, U� t, (Fax No.: 665 -Z3�2) Attention: Carol Schweizer/Lorie Craven, 21 West Church St T -4 (665 -6521) Subject: City of Atlantic Beach Permit # O (- S LLl O F Date: Service Address: q01 �5'T Owner: Owner Phone: Electrician: &6k.; F ACU'77 '4_/ 0,1l,d i h -U� rnr Electrician Phone: Type of Work: New Service Li M -Home Subfeed [ ] Increase Service r1 Heat & AC Li Repair Service LIT Other [ ] Rewire [,_1 Other Description: Temp Pole [ ►i Service Type: [ Overhead ( Repair /Replace) [ (New Services) Building Use: WResidential "Church ]Environmental "M-Home "Commercial "Other Other Use Description: Service Size: New Service: Amps: Volts: Phase: Existing Service :Amps: /5_ Volts: a�/0 Phase: E -mail: cravlinaJea.com or sehwcitt ,iea.com or resoi cLjea.com FEE $ .00 APPLICATION FOR FENCE PERMIT CITY OF ATLANTIC BEACH ' PROPERTY OWNER Name: Bra l,i a Day Phone 7 ex�l /OJ Address: 30 1 - -3o < �ecD�,rj ae f Zip Code APPLICANT, OTHER THAN OWNER A)14 Name: Day Phone Address: Zip Code JOB INFORMATION Address or Location: i u Lot Block Subdivision \ APPLICATION MUST INCLUDE SITE PLAN SHOWING PLACEMENT OF FENCE CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: Q Property Address: +" Owner: Telephone #: Contractor: Telephone #: 3 Contractor Address: 3 J Fax #: Contractor Signature: In consideration of permit given fordoing the work as d scribed to the above statement, we hereby a e to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ ❑ Residence Temp. ❑ New being done on this building Old ❑ Commercial ❑ Signs Si ❑ �c or site, list the building g Permit number: L3 Re-wire ❑ Addition Sq. Ft. epair Conductor Size: AMPS: COPPER ALUMINUM Switch or -- RACE Breaker AMPS / PH Z W VOL WAY Existing Service RACE Size AMPS PH W VOLT WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW -HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0 -1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Miscellaneous 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atiantic- beach.fl.us Revised 1/04 HP Offlcejet 7410 Log for Personal Printer /Fax/Copier /Scanner Information Systems 904 - 247 -5845 Dec 04 2006 11:57AM Last Transaction Date Time Type Identification Duration Panes Result Dec 4 11:56AM Fax Sent 96654470 1:21 3 OK Graham Shirley From: Graham Shirley Sent: Wednesday, December 27, 2006 11:02 AM To: 'Schweizer, Carol M.' Cc: Hufstetler, David Subject: 705 Sabalo Atlantic Beach Per Dave Hufstetler 705 Sabalo Rd safety inspection passed 12.15.06 1 BP502I01 CITY OF ATLANTIC BEACH 12/27/06 ., Inspection Inquiry 12:27:53 RE number . . . . . . . . . : 169777 -0000- - Property address 301 2ND ST Appl, structure nbr . . . . : 06 00034368 000 000 Permit type, seq nbr . . . : ELEC 00 ELECTRICAL PERMIT Inspection type, seq nbr 23 0001 ELECTRICAL FINAL Inspection status, date INSPECTION COMPLETED 12/21/06 Requested date, time, by 12/21/06 17:00 CM Override date, time, by . User ID to request, result CMCKAY DHUFSTETLE Phone interface number . . : 106609 Inspector assigned . . . . : DH DAVID HUFSTETLER2 /21/06 Results status, date . . . : APPROVED Final inspection flag . . . : Y Penalty amount . . . . . . : .00 Inspection request comments FINAL ON TEMP POLE - PER JEA R'QST CONTACT:MARK @434 - 0860 Bottom Press Enter to continue. F3 =Exit F5 =Land inq F7 =Insp result comments F12= Cancel Graham Shirley From: Graham Shirley Sent: Wednesday, December 27, 2006 1:19 PM To: 'Schweizer, Carol M.' Subject: Ab inspections 301 2nd st passed elec final 12.21.06 per d hufstetler (building official) permit # 06 34368 ..let me know if there is anything else you need to provide power. Shirley 1 HP Officejet 7410 Log for Personal Printer /Fax/Copier /Scanner Information Systems 904 - 247 -5845 Dec 27 2006 1:21 PM Last Transaction Date Time Type Identification Duration Pages Result Dec 27 1:20PM Fax Sent 96657372 0:34 1 OK , - JG' . CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 + INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 06- 00034368 Date 12/04/06 Property Address . . . . . . 301 2ND ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc temp -pole/ 150 amps ---------------------------------------------------------------------------- Owner Contractor ------------------ - - - - -- ------------------------ ACTION ELECTRICAL CONST. INC Q /A:LEONARD V. MCDONALD 3225 WALLER ST JACKSONVILLE FL.32254 (904) 384 -3466 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/02/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 70.00 70.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 70.00 70.00 .00 .00 PERMTT IS APPROVED ONLY IN ACCORDANCE WrM ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUII.DING CODES. S CITY OF ATLANTIC BEACH PERMIT BUILDING / ZONING DEPARTMENT APPLICATION # 800 Seminole Road Atlantic Beach, Florida 32233 (904) 247 -5800 (904) 247 -5845 Fax www.coab.us APPLICATION TRACKING FORM REQUI - DEPT: Y P LANNI NG Property Address: (� � C? — Z Y N BUILDING /1 P r— N PUBLIC WORKS Applicant: J `� � � liI ( Y A PUBLIC UTILITIES Y FIRE DEPT. Project: &D 1 W PUBLIC SAFETY APPROVAL w REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w if Y N D.E.P HUFSTETLER 0= w Y N S.J.R.W.M. CARPER _ Y N ARMY CORPS of ENG CARPER H O Y N HOTELS & RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SI BUILDING DA AP VkgMYED BY: INITIAL: DATE: ® 1ST REV PLANNING 2ND REV BUILDING ® ® PUBLIC WORKS FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV Return this form to the Building Department once you have entered your comments into the Ate®. C ITY OF ATLANTIC BEACH `v xS1 r y' - CONSTRUCTION PERMIT I s HI CITY RIGHTS,C`iF WAY.ANLI EASEMENTS 804 Seminole Road Atlantic Beach, Florida 32233 -5445 Fax 904-247-W5 PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. AJtl I U 11 Z U I Date 10 — J �} PERMITS Job Address C��(f `�" C ISSUED BY THE CITY ° � V U -- t Permitee: 4 P S mi l} f `r C n C Telephone # rfti nh, Permittee Address 6e4 f- 1. n {� Requesting Permission to Co„s.{ uct: ,. �/� n � i �1' ;'deu.) , 't' Location: (Reference to Cross - Street) C7a 6+ r" 44 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities moth aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities /Municipalities: Jacksonville Elec trio Authority Yes ( ) Into ( Date: Bell South Telephone Company Yes ( ) No ( Date. Ferrell Gas Yes ( ) No ( Date: Comcast Yes ( ) No { } Date. 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and eff- enEt operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and annurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of 7 (Contractor's Project Superintendent) located at Telephone #: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application 7. This permittee shall commence actual construction in good faith with 1_ days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and a!I loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the pforesaid rig is and privileges. 9. The Director of P c Wo shall be otified twenty-four (24) hours prior to starting work and again immediately up pletio OWNER K. CUNNINGHAM Sigae Date: 1 . 3 . Q ; 04�,`V " !; Notary Public . State of Florida Before day of CrS in the Cou ty of Duval, ,_� :"_ I � Y commission Expires Feb 28, 2010 State Of Florida, has personally appeared -- tl _hmG.s l e.,�`, Commission # DD 523638 Notary Public at Large, State of Flori a, County ouva f Dl. u �'� . My commission expires: `�-• a- I By National Notary Assn. �'I-- "r'�L -- Produced Identificati fl ti 's G, V try _ oil �v �