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328 2nd St (vault) ADDRESS � CG A&IC BUILDING PERMIT NUMBER / ��7 Z INSPECTIONS: FOOTING UNDER SLAB PLUMBING 2 - SLAB FRAMING to COVER -UP INSULATION FINAL BUILDING CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT # l 0 (0 3 U INSPECTIONS ROUGH FINAL MECHANICAL PERMIT # PLUMBING PERMIT # a-3 NOTES: �� �li�9 /I11'' -- / CITY OF fYI� 4#d4c /3 e"A - 0 ;l4" * �/ � Office of Building Official �ti REQUEST FOR INSPECTION Date /6 t(b 3 Permit No. Time A. M. Receiv 72 9 Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made `B P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ (2E.nA (1E Pr)e7P4—J�cklfc' Date /n�ii'' // CITY OF 1YKI+s/dw /3eacA - 0 ;4u' a Office of B Iding O / Pricial J , REQUEST FO IN ECTio Date ` — / Permit N6. -7 2— Time A.M. Received G p D Job Addre . Locality Owner's Name Contractor BUIL CONCRETE LUMBING MECHANICAL raming ❑ 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 A.M. Mon. Tues. Wed. Friday P.M. ©D A.M. Inspection Made — p Inspector Final Inspectio �i (� cy 1i 9 \ Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877 ELECTRICAL PERMIT PERMIT 'INFO RMATION — - -. - - -- _� LOCATION INFORMATION Permit Number: 18104 Address: 328 SECOND STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER. - -- Date Issued: 4/20/1999 Name: OBEDE LARGARDE Total Fees: 25.00 Address: 328 SECOND STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4120/1999 Phone: (904)744-8888 Work Desc: CHANGE OUT PANEL BOX - AL -- - -- - -- - C O 11TRACTfl CS - -- - -- - - -- - 'APPLIC"ON TEES L SERVICE ELECTRIC CO PERMIT 25.00 FINAL ELECTRIC — Ins ctfons Wi*d.: NOTICE - INSPECTIONS MUST BE REQU AT LEAST 24 HOU RS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE C LEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR O "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPE OWNER PAY TWICE FOR BU IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 125.88 14 �— CHECKS 4/28/99 81 Receipt: 8851128 ATLANTIC BEACH BUILD EPT. 88188883221888 12383 IDOC- 03• -97 20:43 • P.O1 CITY or- ATLANTIC BEACH, FLORIDA °Y APPLICATION FOR ELECTRICAL PiRMIT TO TIM ClUrl' ELECTRICAL INSPECTOR; If.%- OnTANi NOTICE: IN CONSIDERATION OF I'ERh11T CIVLN FOR VOINC THE WORK AS DESCRIBED IN THE FOLLOWING, WE 1IERE -11Y ACRL•E TO PERFORM SAID WOIIIC IN ACCORDANCE WITH THE ATTACIIED PLANS AND SPECIFICATIONS, WIIIC11 AR,'. A DART III:REOF, AND IN ACCORDANCE WITH TIIE ELECTIZICAL REGULATIONS, CODES AND CITY OF ATLANTIC ;IrACII ORDINANCES. f'4 = - = ���j FUr*§,_ 1UL' _L FfIM -1 h @ +:T>r9 FLE I f AsjSIGNATl1RC KIIIRNFV �� r;nnnl 5 RFD Box BLDC. CIX KJ t h f5ky - / � �� BETWEEN: �� ��/ /�L >�, RE's. l "1 APT. ( 1 Comm. I 1 PUDLIC (4 INDUS. ( 1 NEW 1 1 OLD GREW. ADDITInu ; 1 TRAILER 1 1 TORS ?. ( 1 SIGNS ( I SG. Ft. SCIIV;C45: NEW ( 1 01CIlEA ^.0 ( 1 nEPA1R ( F Ct7:J[)i1CTC:151Yr. AMPS C PPCR . A UM {_L__ Iw 11YCH Oi; 7inEAKEn .L7tlS ! f!11 _W _ VOLT _ ? RACEWAY- C3II._fT: "Et:V�y1TG / 1:P. @PS J _ _ _ � PH W VO T ___... ACEWAY FCCDSnS NO. CIZE No. SI NO _ 51ZE ,— LIr;IttlNq C yt1TLET5 _ COhICCALEQ OPEN TOTAL RECCPTAC,XS C.ONCf:AI.CR] T OPEN u.n wu,. y .... TOTAL t7WITCHCif —' a oloo Mrs — (NCANDCCUC PLUOClUC!:NT QI M. V . — .... rlxer, =4_149 A41rY ty i Al - '� ' ___ � AI.1- BELL TRA NSPP. AI T II.P. RATINl1 II.P. RATING CCIN - ---- +N0 COMP, MOTOfl _ OTHEfI NIOTORS AMPS CEIL IIEAT: KIN-H MOTORS 11_I'_ VOLTAGE Pits III.P NO. IILR VOLTAGE PITS Tn UNDFR 000 V. OVER 600 V: NO. KVA NO. KVA EAC11 51C NO. NEON YItANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER 'FORWAnDED � jT' 46 TOTAL FEES Y� rytJ 1 t , Y 9vFF s CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION , All api2licatlons mmat bejubntitted with Seven (7) oopies and raccived by-3 PM on the Friday te I,ul a s Dnor to the schodLe4 tntxtinII 'n ord r to hc placed on the a &t n * INCOMPLETE APPLICATIONS OR INACCIMATELY MARKED SITES WILL NOT BE PROCESS 4A466M IVIlackSU90 WW -IL ft S. I" ` - 44 APPLICANT NAME ADDRESS TELEPHONE 01, 0 5 S2, 5 3SC-dk3A 2. ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE ; 3. REASON FOR PROPOSED TREE REMOVAL: �o f yasS OF W6TI N4 61 ASS 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? O YES NO D NOT SURE N S. PROPERTY ZONING: 4 RESIDENTIAL D C OMMERCIAL i 6 LIST TREES PROPOSED FOR REMOVAL: SPECIES DIAMETER DL INIETER MITTOi�TI01�1"- - �+ PALMS GpLALG 39 1, 0 i i • Diameter at Breast Heigbt (D.B.H.) is measured at 4.5 fert above grade. To accurately determine diameter, measure the trunk circumference and divide by 3.14. Diameter of multi tratikw trees is deterrains,d by adding togetbtr the diameter of eacb trunk as measured immediately above the forks. ** See attached diagram for determination of interior and exterior zones. I i 1 7. SITE PLAN/TREE SURVEY indicating: I a) Location of topography features such as hills and low areas. b) Existing and proposed structures. i C) Location of all trees with Diameter at Breast Height of six inches or more. j d) Tree species and sizes. C) Trees to be removed should be clearly marked with an "X". f) Trees to be preserved on -site for mitigation must be marked with brackets g) Location, size and species of any proposed new replacement trees marked with a circle' O ". h) Location of utilities and easements as applicable. I) Location of trees to be preserved on -site with barricading noted. i i 8. ON -SITE REQUIREMENTS: a) All trees identified for removal M UST be marked on -site by RED flagging, paint or tape. ' f b) All trees to be preserved on -site for mitigation MUST be marked with BLUE flagging, paint or tape. I c) The front property comers must be marked by stakes or paint indicating the Lot I 9. * INCOMELETE APPLICATIONS INACCURATELY MARKED WILL NOT BE PROCESSED t f I HEREBY AGREE TO COMPLY WITH ALL. PROVISIONS OF CHAPTER 23, ARTICLE R, TREE P OTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF i THE DE F O INANCES OF ATLANTIC BEACH. 4 i i . 1 0 1 i I Applicant's Signature Date Owner's Signature Date f I j ! i Tr onservation o C a ar irpe ,on ate I � rsro -- 1 - I f P M x I Z "ILt -M� z v � GONG • K,� 4 3� 73 Vu , I k 3 1 ION PA ° � • 12" PiU. 24 H o u.Y s 15 �t � tat V = 20+ �1''Lf��.1'r G E3eN TREE BOARD Atlantic Beach, Florida Lot 7, Block 3 Atlantic Beach REASON FOR TREE REMOVAL IN EXTERIOR ZONES These are palm trees and are in the driveway, walks or too close to the foundation system. These trees will be relocated or replaced as required by ordinance. N r lifi J-1 G BO UND"Y SURV" OF LOT CK 3 AS SHO 1YN ON JUP OF , AS RECOROW /N PLAAGES _k_ OF THE PUBLIC RECICADS OF DUVAL COUNTY, FLOWDA GERT1FIE0 FOR 7 r= �}Rcx i c L (ac., • �t A-�1 99.83 (/1G'T) (18;) 15 °P /S �r - 12° pa✓ti /2' PILM • O� UU7E' FLEL/. �• AASF17 Div u NIZ9 �. ' I e �D.. Pat ti ` pw 1t" I O Ak.N I• A. LZo' SI I U t'S') V r. a' � � � ! 57 "S� V /NYC. ' 3 Z 6 °j • It !d' N ' C W 8 ic 01 /2 "OA \ I , a 8" PALM O f i /U' PALM 0 o , e e • �y fL`• " FJCx•LY� 12 " PALM LJ 4 catnr • � °1 ..+u /2" PA o f T>IE pRQAERTY .WOsW HER£pV APPEARS TO Uf WIMN HAZARO ZONE —AS? �qD MW fi � INSURANCE RA Tr A/AP / FOR E aTY OF A �r c t t . Fl OROA, DA 1E0 tS SHORN AS A COURTESY ONLY AN DOES NOT CONSTITUTE A CER?*rW70N OF SAAIE- TRI- -S TE MND SURVEYORS 1 INC. 8411 8A MEADOWS WA SUi TE 12, JACKSONWLLE, FLORIDA 32156 (904) 7.31-72.35 lsiv CO'C ro. AfPS SS/R1� OQES NOT ADLECT OR DE7ERAMNF OWVERSW. • sm tat (Mrr WM O•• i u 4> ) NOT YAuD 7NOUT 7w stGmAnW AND RIE o awAL RAISED SEAL n war OF A FL SUP Y R AND ATAPPER. o w Cm /rsuol 41 • okw cur LARRY C EDDY, P -L-S Na 4144 Axi- auioo t•wsna+ GLENN At MPOADSTRE£7. P.SM Hu 5814 >aAr amr- ar - aKr SCALE WV. aware AWA A arAneaar �1EYQR AND MAPPER, I. M mrr•owe.wo STATE OF fI.OR/DA (L8;321) AV ,wu awcaor DAM pa N Dec 05 01 03.06P uoug mrownioiii arowr. �.. 12; 0``J ?b0. 15:4 984247281& GEORGE Bl1L PAGE 01 LETTER OF AUTHORIZATION Dooember s, 2001 I, Dotes A. Brown, President of1be Coetruct Group, Inc. Spice 900 30 Garfield Place Cincinnati, Obio 45202 sod oweermumbaser of Lacs 7 and 9, Block 3, Plat No. 1, Subdivision "A" and Owner/Purchaser of the West % of Lot 10, and all of Lob lb and 18 do bemby give George BoU Jr., Aucbitcct aotborir*tion to ad on my behalf regarding matters to be presented to the Tree Board of the City of Atlantic Beach. l Dougl A. Brown CITY OF ATLANTIC BEACH ! TREE REMOVAL APPLICATION 'I All a -pDlica nee suhnnitted witla seven (7) copies and received by 5 PM on the Friday ten ()U) d ays prior to th cheduied meeting in order to be placed on the auenda I *IN COMPLETE APPLICATIONS OR INACCURATELY MARKED SITE � i WI I,�IOT BE PROCESSED I J f.49. 32zS6 + �. U� 2 9 $30 4� 4r� APPLICANT NAME ADDRESS TELEPHONE I i Z. W 4 ej �- 3 1 ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: + 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? ❑ YES NO o NOT SLaE j 5. PROPERTY ZONING: RESIDENTIAL C3 COMMERCIAL b. LIST TREES PROPOSED FOR REMOVAL: I i DIAMETER DIAMETER SPECIES MITIGATION INTERIOR EXTERIOR r k 4 I i i I " Diameter at Breast Height (D.R.H.) is measured at 4.5 feet above grade. To accurately determine diameter, measure the trunk circumference and divide by 3.14. Diameter of multi trunked trees is determined by adding together the diameter of each trunk as measured immediately above the I forks. j i *` See attached diagram for determination of interior and exterior zones. i 7. SITE PLAN/TREE SURVEY indicating: a) Location of topography features such as hills and low areas. b) Existing and proposed structures. j c) Location of all trees with Diameter at Breast Height of six inches or more. d) Tree species and sizes. { e) Trees to be removed should be clearly marked with an "X". f) Trees to be preserved on - site for mitigation must be marked with brackets j g) Location, size and species of any proposed new replacement trees marked with a circle "O ". h) Location of utilities and easements as applicable. i I) Location of trees to be preserved on -site with barricading noted. 8. ON -SITE REQUIREMENTS: a All trees identified for removal M be marked on -site b RED flagging, ...�T _ Y paint or tape. b) All trees to be preserved on -site for mitigation MUST be marked with SLUE I flagging, paint or tape, i C) The front property corners must be marked by stakes or paint indicating the Lot i 9. *INCOMPLETE AP I TION INACCURA LY M D SITES WILL NOT BE PROCESSED I I I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II, TREE ROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF i THE DE OF ORDINANCES OF ATLANTIC BEACH. _ 1 Applicant's Signature Date Owner's Signature Date CITY U L I i v -,?,. 'Free C servation Board Ch irp s n ate I I i I i i N� w a SO V u o • 6191 I r0 oval p v Date L Z gar IV 5 CALZ ?Zfi MNG BOUNDARY SURVEY OF LOT - BLOCK L — AS SHOWN ON MAP OF c. A.) , AS R£CO VOED W PLAT BOGY! _PAGES _�_ OF THE PU&k RECGOROS OF DUVAL COUNTY, iI ONDA C£R TIFJED FAR: C vAv s L4 QARCZ- 1 J o e l S I "Ar 99.83 64 err) fio.r a> 113 PA n 1Z "G4GM • UCr7E F�ev. $• 0. .uavD t'29. li' �ii 0 PAL" y ZLy S � I U r �k • 34.5' N J (ro.tS') �. k FFE -/0.79 a vc Vi AJYL 0 t !s' 7 d' Q w 12 m Ic H °D lL.4' l4"s�wiM 8 12' pes_M P G y I � O � g•• P,ocrr �i � �� /U" GALH o - — c 3� /2 "GoLH R •NvcLY� �. sir �- aJ f . �' .i OJ• r -L Io 71# PRGPERTY SNONN HEREON A ARS TO LIE WIMN F1000 HAZARD ZONE SCALED FROM FL 000 INSLARAMa RATE MAP FOR CITY OF ' rl� . RORVA, DATED 4- r7- e9 AND IS SHOW AS A COURTESY ONLY D DOES NOT CONSMUTE A CERTAFCAMV OF SAME. TRI- -S TE LAND SURVEYORS, INC. 8411 OAMEADOWS WA SUITE A JACKSO"LLE, FLORIDA 32256 (904) 731 -7235 utowo • cow rror 7N/5 SURYE DOES NOT AM.ECT OR DEMtWJE OMM • aw am ANP ME CYM w (Mr W M QV IF v •f-W NOT VAL V TNOUf SyGNA �r PENN OF A FL SURWYOR AND MAPPER. o war oat M R*&) • • Comm wr LARRY a EDDY, P.LS No. 4144 tAS JuLawlwrnwc wr GLENN Ad AROADSTREFT, P.S.M. Na 3Q/4 AA• MrAM ARM _SSE, dons _ t Y�R AND MAPPER, yc An aormwwwr r.m T£ OF fL (La /f>711) AV w�aAS awuws DATE.• N Doc 05 01 03:06P Doug Brown /Bill Brown aia r•. 12/0¢-/2001 15:4' 9842472816 GEORGE BULL PAGE Di LETTER OF AUTHORIZATION December s, 2001 i, DsuWas A. Brown, President of The Contruct Group, Lae. Suite 900 30 Garfield Place Cincinnati, Obio 4SZ02 and Owoer/Parcbaser of Lens 7 and 9, Block 3, Plat No. 1, Subdivision "A" and Owner/Purebaser of the West % of Lat 14, and all of Lob 16 and 18 do bereby give George B&H Jr., Arcbik t awtherim:660n to act on nay behalf regarding matters to be presented is the Tree Board of the City of Atlantic Beach. 1 Dougl A_ Broa►n PSR-38111 15024 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMAT-1i ;N Permit Number: 15024 llress-, 328 SECOND STREET Pe#mit Type:REMODELING ATLANTIC, BEACH, FLORIDA 32233 Claso of Work:ALTERATION LEGAL DESCRIPT16N 'Con tr T6pe:WOOD FRAMr Block Lot: Pro os se', Twp: wellings: I Section: 0 Subd: 0 Rng; Elt. Value., 0.00 SUbdivision:ATLANTIC BEArF Tmp#ov, cost: otal Fees: 25.00 Amount Paid: 25.00 Work Pei, ICI TNPTALT,, 1 .rRPF-F nTvvr APPLICATION FEES dNER INFORMATION Name- PERMIT �, Addr* 32489COND STREET ATLA1qTT EACH , FLORIDA Phan j COfft ACTOR XNFORMATIiI A4 Name:,PROPERTY OWNER Exp 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. 1 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCITA iFR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 8/05/97 01 Receipt: 007 720 ATLANTIC BEACH BUILDING DEPARTMENT 00100023221000 By: RECEIVED CITY OF ATLANTIC BEACH 1 QQQQZ� PERMIT APPLICATION REMODEL, ADDITIONS, OR AL I IAS MOVING, DEMOLITIONS City of Atlantic Beach 11 Building and Zoning Owner { s) : � D C ) 4, K f�2F� eGc)eb Address: 3z,i �D S-T Phone: ��10�) oZ�� "46Z Lot # 14 , Block or Unit # 3 Subdivision: PA Contractor: ntJ�E� State License # Address: Phone No City State 1 Zip Code Describe work to be done: ��'STML.L_ 4�Nar=F Q E LJ LA-) % ODD" Present use of building: ao valuation of Proposed Construction: + pU a Proposed use: Is this an addition? 90 If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? _ New fireplace ? New Heat /AC? 0� a SUBMIT THREE X090MCIAL) TWO (RESIDENTIAL) COMPLETE' SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF T, AND OWNERICONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR: Date: Sworn to and subscribed before me this day of Z 1987 aARYPUBLIC STATE OF FLORIDA AT LARGE ,• PaMda Mionelte ptplREs My COMMSS ziC �N�p iHR11 TNO f FAIN INSURANCE. INC. CITY OF r tr'a ctic fFe=41 - 300 SEMINOLE ROAD — -- __ -- -- _ __ - - -- ATLANTIC BEACH. FLORIDA 322:3:,- --� — - -- -- — TELEPHONE 9041 247-5800 - Age F:A\ 9041 2 t - 3805 SCNCONI 852- CHAPTER 489, FLORIDA STATUTES, PART I " CONSTRUCTION CONTRACTING REQUIRES OWNER /BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2, 000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. " THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455 AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER PERMIT. - 2 ��_ � 4 /_� PROPERTY WNER/ MILDER ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS _DAY�F NOTARY PUBLIC /!�D NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION,; If2ES: ARE EMPHASIZED BY THE BUILDING •• _.: .:: MY COMMISSION # CC553881 EXPIRES DEPARTMENT. �'•., ' °�� August 27, 2000 o , , BONDED THRU TRDY FAIN INSURANCE, INC. MAP SHOWING SURVEY OF - 1 , T�I�L f-; 1.()1,1 " , NJ.'L,!'d4T!l"-' 2,2A CH, A �Sl LOTS 7 AND BLOCK t"o RECORDED IN PLAT BOOK 5, PAGE 69 OF - U pUBLIC OF DUVAT COUNYT, FLORIDA. N &o XeIAI) x V m U)l 0 r Af 'o F-Z 0 A Al t 1 )2 i J_ d u NOT VALID. .1 14 EREBY C ERTIFY TO. r" T24l.a Zt MCji TS THE 1611NINIUSA TECHNIC.". $TANDAnDS AS OCT FORTH By THE FLORIDA BOARD �w 1 A&.tr utlovErYoRa- PURSUANT TO SECTION 472.027 F•• `A X r � a m � r N � � Z--c4�., d o Yl ry d at co .� • t^ � E N � N 1 N c'� ( f)6 N N n `a W r rri UQ U4 0 S n 7 UQ a� P N n 1 ►� 1 x I rn s It t' I f a Dl f' ► N f 1 - 1 N N� w � x J_V I _T - cD '+ ..� rr l a o CA n a n _ N n O 00 (D r C7 U4 � i D j o w --r I i - 0 i P f I I i i i I C 'i C.� i i rA � I I � - s I n 1 � � .j CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877 ELECTRICAL PERMIT PERMIT`C OOR All-ON _ _ L©CATtON IN!'ORMATIO I Permit Number: 18104 Address: 328 SECOND STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER. INFORMATION Date Issued: 4/20/1999 Name: OBEDE LARGARDE Total Fees: 25.00 Address: 328 SECOND STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/20/1 Phone: (904)744-8888 Work Desc: CHANGE OUT PANEL BOX _ CONTRAC'I'flR(S) _ APPLOMON ALL SERVICE ELECTRIC CO PERMIT 25.00 FINAL ELECTRIC NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOUR PRIOR TO IN SPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE C UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PR OPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICA PROVISIONS OF LA W. $25.88 4 Date: 4/28/99 81 Receipt: 88511 8 ATLANTIC BEACH BUILD EPT. CHECKS 383 83221888 • � c °��� A- so fJ Office of Buildi Official REQUEST FO NSPECTION Permit No. ` / AS Date — A.M. Time Received �— ocalrty Job Add ss Owner's Contr ILDING CONCR ELECTR UMBING MECHANICAL -- Air Cond. & � E Footing El Rough Wiring ❑ To Out Heating Slab El Temp Pole p Fire Place ❑' In sulation Roofing ❑ Lintel ❑ Final ❑ Sewer In ❑ Pre Fab READY FOR INSPECTION �� �n 7 Wed Thurs. Friday Mon. Tues. A.M. P.M. Inspection Made Final Inspection ❑ Inspector Certificate of Occupancy ❑ Date _ T-11 " - 1 r n ek'� CITY OF B ti (]`( Office of Building Official J � 3 \� REQUEST FOR INSPECTION Permit No. _ - 1 % Date A.M. Time PM. 7 Received _ Locality Job Address Of Owner's D d �' -- Name PLUMBING MECHANICAL BUILD[ CONCRETE n., Air Cond. & r' Rough Wiring Rough Heating Fuming Slating ❑ Temp Pole Top Out g R ❑ r Sewe Fire Place ❑ Final Pre Fab Insulation _ ,��� �K�dO�ct /dry EADY FOR INSPECTION Wed. Thurs. F on. A.M. P.M. Inspection Made Final Inspection Cl Inspector — Certificate of Occupancy Ci Date _ -- — -- P�L.ANr� F OR% INC OF ADDITIONS or CORRECTIO D• NOT REMO JOB ADDRESS DATE 3er. 9-17 -t6 THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted !— )V ,414S /ti Eyre' Iz ro '5 W F_ r't G 14 US ?' F ' d (f S S $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time of approve the installation. After additions or corrections have been made, call 247 -5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 _ P.M. Monday through Friday. BL D/Z p�LANr, �. ,..�..._ a �- n ORI ' OF ADDITIONS or CORRECTIO D• NOT REMO JOB ADDRESS DATE 3 2Y THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted Aj �AjZ . o FRAM r nJ G A-- go y Aj 0 Y Z-1 (S `S i 64 A. ) iC VEA1 LED T_ L E15_:0:0:R:EINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time of approve the installation. After additions or corrections have been made, call 247 -5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC office are in the from 8:00 a.m. t P.M. Monday through Friday. �� ` PSR-3844 322 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION Permit Number: 1 4 32 2 Address 328 SECONE -STREET Implov. Cost: Tital Fees ON FEFS PERM IF NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC B�AFH BUILDING PEPARTMENT ` CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: AM OWNER OF. PROPERTY:_ 6E ------------------- BUILDING CONTRACTOR: ---------------------------------- PLUMBING CONTRACTOR __LARRY TEAGUE & SONS ------------------- AND ADDRESSs ----------- TELEPHONE NUMBER: E— A — z - STATE LICENSE NO: _­CFCO56776 --------- TYPE OF BUILDINGS ____________SINKS ------------- SHOWER _____— ______LAVATORY ------------- WATER HEATERS ____________BATH TUBS - _____________DISHWASHERS' _URINALS DISPOSALS ____________CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE lf')UNT; ---------- x $3.50 + $15.UO ----------------------------------------------------------------- INSTALLATION OF 'PLUMBIN(vi 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 CITY OF 4+Gl/ #dW /SeacA 9 9& Office of Building Official R UEST FOR INSPECTION Date Permit No. Time A.M. Received P.M. Job Address Locality Owner's J ;BVI N ame / :�c i� J E Contractor Dlt�4G _ CONCRETE ELECTRICAL PLUMBING MECHANICAL ming - -- ) Footing ❑ Rough Wiring C Rough D Air Cond. & ❑{ Re Roofing D Slab ❑ Temp Pole ❑ Top Out D Heating Insulation C Lintel ❑ Final C! Sewer _ Fire Place Pre Fab READY FOR INSPECTION A.M. Mon. CTues. Wed. Thurs. Friday X—/ A.M. Inspection Made ___. " �" _ P.M. Inspector _ _— Final Inspection ❑ Certificate of Occupancy D Date PSR-3844 17586 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH TIERMIT INFORMATION LOCATION INFORMATION -------- ermit Number: 17586 Aidressi 326 SECOND STREET Permit Type:MECHANICAL ATLANTIC BEACH, FLORIDA 32233 , lass of Work*ALTERATTON LEGAL DESCRIPTION --------- .ons t . Type :WOOD FRAME El I ock Lot,: Twp: 0 , Propo ed Use* Section: 0 -- Rng 0 Dwillings I Subdivision:ATLANTIC BEACH Este Value! 0.00 lmpro�, Cost: 0,,00 Total Fees:, 37.00 Amount. Paid. 3 7.00 Dale Pay 998 V'r s' ^te Tl F N SE R A N rl, A I R H AN DL ED APPLICATION FEES ---------- ame: rlERMIT Adr: EET L) 5 4 32 CONTlikidTOE IN FORMATION ame - HEAT - ' & CEAN' ldr: 476, ATLANT -'TC BLVr EPTUNE BEACH-, FLORIDA 32233 yp : , : 4 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. 1,17-08 1 4 Date: 12123198 81 Receipt: 0021566 CHECKS 13536 ATLANTIC BEACH BUILDING DEPA�TMENT BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC HFACFI ATLANTIC aeACN. FLQn10A 12271 APPLICAT FOR MECHANICAL PERMIT cA IL•IN NUMBER - IMPORTANT -- /applicant to co►nplete all iferns in sections I, II, III, and IV. LOCATIOTN ti OF rl•cfinp $Ireeln Selween And BUILDING Subdi�ilien II. IDENTIFICATION -- To be completed 6y all applicants, In con t; de rer;on of Perm;r q:.en for doing fhe work al described in 11 )e Above IleI$ men l we hereby ngrne to Puform tnid woiL in eccordnncn of 'tie .+ ' ocd P•e ct;C0 I;sled Ih.re•n. Plant and IPecNiceliont which era a Part hereof And in accordance wish fhe City of Jecilonville ordinances end ItAnderdt o! gc +�c• �t Nerve of 1.lethenicel �� li Cae / Mellr•Itfen Maclor ((+Pins) VV C_ McII•/ N1•.. •f Prehrfy orn., /t/ U"Atvr• of CYnir Sign•lure of or AmIkviied A jent /lrehileel or Engineer III. GHJHU FOR 1 P A. Type of t►ea 'nq fJactrie 1! OTHER CONSTRUCTION •EINti DONE ' THIS RUIl,01N0 OR SITE? T ❑ 6.1 — ❑ LP ❑ N•fvral ❑ Cant+el Utility (� pq IF YES, GIVE HUMMER OF CONSTRUCTION PERMIT ❑ Ofl.ar - specify IV. ►gC►INIICAL EpUNMINT TO Et IN"AUAD NATURE OF wonK (►rer;et• coetPl•N J;1f of censPew•,Ih ee (►ad of this (oral Residential or U Commercial ( Nast ❑ Space ❑ Roceuad O C90 O trios. ✓❑� New Building A!r Cowd.lo+tiwe: ❑ Roere ❑ Gafr•J Existing Building (] O..cr Sy.rawt: Mat•ria T1►Idne Ilipiecement of exlellnp syelarn 11611 capacity e.f.11t. ❑ New Installation (No system Previously Install" ❑ galr;yenf;oa ❑ Extension or add -on to existing system ❑ Cool loser: C•Pauty ❑ Other — Specify Q Kn tPrinklart: Nrnlb•r el haad ❑ tilwafer ❑ MMliff ❑ 6ubter (nuslsber) Q 6awline pvm (nulr+ba Tl"$ SPACE POR 0 Mill U14 ONLY ❑ ToA (numb•.) Remarie D LPG e"f•i (nvmba ❑ Uafie" Preuum rhea+ Q 1 11;6 Pennil A lamv*j dy De (j otear — sPac ;ry romIf I* LINT ALL EQUIPMENT AIR COMNT10NiNG AND REFRIGERATION EQU1r)AENT Number Unit. Ueecrtptfow Model Number ) A it Miu+uhlotxtnr u a -y- HEATING- FURNACES, BOILERS, PIREPLACES )umber U ni t s _ 2Hecrfptlost Kt>" Humber ][ #tys aVstftY AWmbtg U- AL TANKS rie..many M�, Contained manuftetwer Serial Approvil,R No. ney PSR 3844 15347 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ LOCATION INFORMATION ?ermi Number: 15347 Address: 329 SECOND.STREET Per it Type:REMODELIN(-'- ATLANTIC BEACH. FLORIDA 322 "lass of Work:REMODEL -------- LEGAL DESCRIPTION Constr. Type WOOD FRAME Block: Lot: Twp: Proposed Use: Section 0 Subd:O Rn.q* Dwellings: I Subdivi-sion:ATLANTIC BEACH Es Value: 0,00 Imps ov. Cost: 2nd .0n- Toral Fees--l- 25,00 Amoont eN " N E IR 1NFORMATION APPLICATION FEES Name N, LAGIRRDE rIERMIT A+1 r 3 219- -cz E(-`!')ND STREET AffLANT1 E.EACH. FLORIDA 322- 904)-�4�--4622 CONTRACTOF !NFORMATT --,r-T Name , , PROPERTY OWNER Addr-� Li TT Type.- I NOTES: P"10 .%'R � 191t rgto 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. vate - 1 01 Receipt i9A318" 09 AR t4 CHECKS `C BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DEMOLITIONS Owner(s): I- AQq:4Rb- Addres s : 32.g Phone: Lot # q Block or Unit # Subdivision: Contractor: State License # Address: Phone No: City State Zip Code Describe work to be done: ^ V ` ��,VL � �•, y� L-S163 OL Present use of building: [ �j_ 1 (3uQ (� O^ Valuation of Proposed Construction: Proposed use: Is this an addition ? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat /AC? SUM= 77DZEE (COERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORNLS, NOTICE OF T, AND OWNER /CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER Date: Signature CONTRACTOR: Date: Sworn to and subscri b �e this 7 day of 19V I V R� , 1997 NO Y PUBLIC STATE OF FLORIDA A GE City each ty of Atlantic iFY? P&daAmon and a Zoning = *: :; MY COMMSSION # CC55M1 IXPM a o`: August 27, 2000 'Pi BONDED THRU TROY FAIN INSURANCE, INC. CITY OF 800 SEMINOLE ROAD 1+ ATLANTIC BEACH. FLORIDA :;3'33:;- :5 -44:i ��— TELEPHONE ,9041 247 -:5800 FAX 904) 347 -:5805 SCNCO:AI 852 -5800 CHAPTER 489, FLORIDA STATUTES, PART I " CONSTRUCTION CONTRACTING" REQUIRES OWNER /BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS, THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION 15 COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER 'DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228( 1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER BUILDER PERMIT. ��" Z�� PROPERTY OWN UILDER 2 41- 4j. 2.Z ADDRESS TELEPHONED y SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING DEPARTMENT. � • t Patdde AmomM _.. %Ae MY COMAMSSION k CC553RP' i X7 August 27, 2001. BMW TM TROY FAIN IW ,4 Y a r.r Y G (A_ ?� � f d d 0 4 t ^ i VY � 4 co CD QQ � i owl co CL. o =31 0 00 rrl - MAP SHOWING SURVEY OF 1. �L - " 2 AS. ' T, TS 7 AW) 9, BLOCK 3 PLAT ["()- 11 RECORDED IN PLAT BOOK 5, PAGE 69 017 'pliE. PUBLIC OF DWAT, COUNYT, FLORIDA. LA X A Gyro Vp l ,���� �� a�' ° o - � � ��. �� �� ' d; � 111 f 'r , H /�H �y/� /11/ f{I /� N�P� � 4� L � 0 FT 10 "AT 5 I NOT VALID. S I HEREBY CERTIFY TO: T;41Z Zk MF_j- TS THE j6*,1I4I#AUrA TIMCHNIC-L WrAmnAnnFl AR mET FOP.TH BY THE FLORIDA BOARD PSR-3844 12630 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - -- _ `PERMIT INFORMATION ------- LOCATION INFORMATION Permit. Number: 1 n.ddress: 328 SECOND STREET Permit Type:ELECTRICAL ATLANTIC BEACH, FLORIDA 'lass of Work:ADDITION -------- LEGAL DESCRIPTION -- --- - - -- Cans r. Type:WOOD FRAME Block: Lot: Twp* Proposed Use: Section: 0 Subd:O Rng: _Dwellings 1 Subdivision:ATLANTIC BEACH Est— Value' Improv. Cost* 0.00 To al TeAg� h , IMoint ps fiT 10 N APPLICATION FEES ----------- A am et B E * - PERMIT 25 Addr # REET x FLORIDA L, Ph orf* FORMAT tq Y �TRTi" A r 520 FOU ' NORTH ON BEACH, FL. 32250 4 I ER Exp: NOTES: NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE 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. $25.0014 natp! qllq/qf% R1 Rpraipf.- NAWl CHECKS 5937 ATLANTIC BEACH BUILDING DEPARTMENT 88100883221000 By: CITY OF / rit 4LC Be"A- "t Office of Building Official REQUEST FOR INSPECTIO Date l r �— Permit No. Time ( ( A.M. Received ) P.M. J�ob Job Addr oc ity Owner's , LL Name / Contract BUILDING ` NCRETE ELECTRICAL MBING MECHANICAL Framing 11 footing ❑ Rough Wiring El Rough Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday A.M. Inspection ade Z P.M.���� �� �GS ✓i Ile Final Inspection E:1 Certificate of Occupancy ❑ Date i CITY OF ATLANTIC BEACH, FLORIDA I APpro by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. J" ELECTRICAL FIRM: AS ER ECTRICIAN SIGNATURE JOURNEYMAN NAME I L� ADDRESS: < ���� - RFD BOX BLDG. SIZE BETWEEN: RES. APT.( 1 comm.( 1 PUBLIC ( 1 INDUS. ( 1 NEW( ! OLD( I REW. ( ) ADDITION ( ) TRAILER( ) TEMP.( I SIGNS ( ) . SQ. FT. SERVICE: NEW( I INCREASE( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE L� AMPS PH `< W ° VOLT RACEWAY FEEDERS NO. SIZE NO. SIZ NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL REC EPTACLES J CONCEALED OPEN TOTAL 0.90 AMPS. 8 1.100 AMPS. SWITCHES : I INCANDESCENT _ _ -- 1 FLUORESCENT & M. V. _ - -- FIXED 1 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR O THER MOTORS _AMPS CEIL HEAT: KW -HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS - MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. I KVA NO. NEON TRANSF. NO. VA. MA. I I MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ TOTAL FEES _ //// 11�� _��;.— // CITY OF /� y'Y(�(Af 4,44E /3� - "t&Uc& Office of Building Official REQUEST FOR INSPECTION ` Permit No. Date Time f /�O A.M. Received Job dr Locality Owner's Contractor Name BUILDING CONCRE ELECTRICAL PLUMBING MECHANICAL Rough Wiring ❑ Rough E] Air Cond. & ❑ Framing ❑ Footing ❑ g g Re Roofing ❑ Slab Temp Pole [I Top Out ❑ Heating Insulation ❑ Lintel ❑ Final C, Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION C P1Gr Own Tues. Wed. Thurs. Friday �j /ip / A.M. Cp'� Inspection M e O 7i (0 P.M. ,n Final Inspection C7 I"✓ Inspector Certificate of Occupancy ❑ Date 3844 12352 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION ----- ---° LOCATION !N�"- .ddress 328 SECOND STREET ermit�Numberi 12352 A T BEACH, FLORIDA 32233 Perm'it Type:PLUMBING LEGAL DESCRIPTION ---------- 'lass ;of WorkADDITION Block: Lot Twp Constir. Type:WOOD FRAME Section: 0 Subd Rng Dc se Use: 1 Subdivision:ATLANTIC BEACH ellings: Est, Value: 0.0(1 lmpr6v. Cost' 0.00 To al Fe" 32.50 Amo nt of 32.50 , )ITT ATION APPLICATION FEES --------- M PERMIT 32 50 'qame G Addr, -STREET FLORIDA 0 . .. .... Phon 4 A, ..R ------ Name ST t" P S ING Add r EET ATLANTI CH FLORIDA 3223' L? Exp: -4 NOTES: NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" $32.5014 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANJAr?0%mQT6T& REVa"TOON90OR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS 12576 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 3 �r Z � .. OWNER OF PROPERTY: PLUMBING CONTRACTOR / CONTRACTOR'S ADDRESS: STATE LICENSE NUMBER: �a"�11� TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED J SINKS SHOWERS I LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: x $3.50 + $15.00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247 -5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247 -5834 t 12272 PSR -3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - - - -- FERMIT INFORMATION -- LOCATION INFORMATION - -- -- -- Permit Number. 12272 r-,ddress: 328 SECOND STREET Permit Tvpe:GARAGE ATLANTIC BEACH, FLORIDA - 32-_ Claims f Work:ADDITin!V -- -- ----- LEGAL DESCRIPTION - Block: Lot: Twp: Const . Type:WOOD FRAME n Subd:O Rng: 0 Propo e Use Section: Dw lling4: 1 Subdivision:ATLANTIC BEACH Est,. Value: 0 00 Impro` Cast: 10,350.00 To 1 Fees,* Amo t 97.50 ! G _ 'IRTION -`°--- -- APPLICATION FEES -- - -- -- t - .. ' Plr?MIT 97.50 Add - STREET elk B FLORIDA 3,., vj 4% RF. rJR FORMAT T (iTt - - - - Name ,),dld b.. i I,ic m . Exp TX,, 1 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 BU M RO R E SUL T IN T HE PROPERTY OWNER PAYINGTWICE FORTHE ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMITDWP -dW iTO FWYQ ^ FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS 1181 Mala ATLANTIC BEACH BUILDING DEPARTMENT By: '0 co O�i� rn 5 v� x ' E G � � r N � i LM OIQ j CD N M (D N i N (O r s C� c T N� - Ix tv ilL { y try ! 14 VN � � � a` r r • x a � .� 1 • i t f I j I r 1 � i i f C � ^ , ^ } LA 16- � CITY OF >��i,°ctatic t�eacl - ��vcida 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5445 CO40 TELEPHONE (904) 247 -5800 FAX (904) 247 -5805 Chapter 489, Florida Statutes, Part I "CONSTRUCTION CONTRACTING" requires Owner/Builder to acknowledge the law: DISCLOSURE STATF,IvIENT for Section 489.103(7), Florida Statutes: State law requires construction to be done by licensed contractors. You have applied for a permit under the exemption to that law. The exemption allows you as the owner of your property, to act as your own contractor even though you do not have a license. YOU MUStsUperviseth e construction you rse l f, You may build or improve a one - family or two -faily residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25,000 or less. The buil na_vrt be fory�n = and occupance. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within I year after the construction is complete, the law will presume that you built it for sale or lease, which is a violatioin of this exemption. You may not hire en unli ensed person as you contractor Your construction must be done according to building codes and zoning regulations. It is your responsibility to make are that people =played by you have licenses re liad by sLP law and by county or municipal licensing ordinances. Ordinances also allow an Owner to improve their own property when it is for personal or family use, and likewise require all work (except maintenance under $2,000) be under a building permit and pass all normal inspections. The ordinance states owners may physically do work themselves; or =,y hire unlicensed workers provided such workers be under " direct nA9eryisi on of the owner, who must be on the iob site at all time while work is in progress by unlicensed trades people." This does not allow use ofunlicensed contractors. Since owners may be liable for irr n c to workers they hire, the Building Department suggests Worker's 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 and/or Form 1 099 requirements on the workers they employ on their improvement work Unlicensed contractors cannot be employed Linder ra.,m Owners being subject to $5,000 penalty under Florida Statute No. 455.228(]). An'Oc=ational Lice nse* is not : adeq A e. The owner should physically seethe county 'Certificate of Competency' or the Florida 'Contractors Certificate" to ascertain if a person is a licensed contractor. Telephone the Building Department (247 -5826) if in doubt. I hereby acknowledge that I have read and understand all the above on this 9'� day of 199,(a Witness, Building Dept Employee Owner/Buil Address NOTE: Phrases underlined above 4� ' � _ 1•i (. - 2- Z are emphasized by the Building Phone � Department. FLA. 13 Lwws rs 7I RANCO FoRN 4Oe of ( VII[►ARN IN OU►LICAT61 fUh0l it =,am 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 ......... S.IA ga .VE...... { �1?a.�n �C�......�t,.1.L'..`� C�- :.......................................... ............................... L —. .1 ?... �........ b C ► r C' 1 - 1 .........:.........».:..................... ��:.%............:.............................................. ............................... %..�,. ?...D. . la.?.. t. 1......... ..:................r "..1.... t. ►,..b:.. ........ » I J ................................... ............................... q� ...............»..................... ...:...................I....... General dewiption of inwovements.....k 1a.11........ A.p.. ... I ......e�,.... fa.! .....0 .1 .! 1?� ............................... ...........................................................................»................ ............................... Owner ..... C)..p.e-jJ..... s..... �f? a. �. �» l�:...... �. ExA. �, p .................................................................................... .......... ».................... Add ress .... ........ ... ........�.� ..................... .,..... 3 ..t�,,.� . �.... �:3 ............. .... ....... ... Owner's interest in site of the improvement .............................. ........................................................................... fee Simple Title kidder (if other than owner) Name ........................... �..?...::...I...!�Z 7 Address ...... .................................................................................................................................................................................. ............................... Contrador................... v..(. Q . U. v.2>...:............................................................................................................................... ............................... Address ................................. ........................................"..................................................................................................«..... ._............................. Surety(if eery)........ J-� .� �. . ................................»................................................... ............................... Addreu ......................... ........ ................................................................................................................ Am" of bond =. ................I.............. Name of person within the State of Florida designated by owner upon whom notices or other dow"Onts may be served Name ........ ................... t Z.................._.........»...................................... ............................... . In addition to himself, owner designates the following person to receive a copy of the Lienot's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option). Name ....................>� 1.., . .......................... ......................................................................................................._...._......_.... ............................... Add letfNle erACi FOR RsCORD..... _..�.. - .. ....... .. . .......................»........ ............................... ... . ............ .. . sR•e USX DNLv Sworn to and subscribed before me this . ............................... ... ................. ....da}/(��. �.. W..... l . ................ ..19.... • , . l � ....... ............................... ...... ............ Notary Public PATRICIA ANIONETTE " 'IT STATE OF FLORIDA ,PUBLIC fl corrxn ExP8 /27/96 COMh1 1"+oR CC220017 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s): bbt;b �k V S - 4Q tJ fa ROB Address: 32,T ;Z,� Phone: .;�4_�_('2.,Z Lot # Block or Unit # Subdivision: Contractor: S- F State License Address: ____.__.- ._.,._.._Phone No: Describe work to be done: _D _C JLQ �nr2 D C Present use of building: '� Valuation of Proposed Construction: �� pp p, o ' Proposed use: - )g! .csZ Is this an addition? _ If yes, what are the dimensions of the added space: f t. X : K�L __f t . Will the added area be heated and cooled ? _ Q_ Nei; ,;.ctrical (or increase)? E= New plumbing fixtures ?� New f.i.raplace ? Heat /AC? MD, SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, FF OWNER IS CONTRACTOR. Signature OWNER: _ Date: L -Ct -T Jo Signature CONTRACTOR: O ate: License Supplied:��_ Liability Insurance: Q4�O 9 1996 Worker's Compensation Insuranre:_� Building and Zoning CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address — 3 ND S7. 6 2 A - & S - T f0N Date e f l Heated Square Footage 0 @ $ y per sq ft $ Garage /Shed ST 7 1 -- @ $ o per sq ft = Carport /Porch _ @ $ per sq ft = S Deck @ $ per sq ft = S Patio @ $ per sq ft = $ TOTAL VALUATION: Is - .60 $ i s. yz� Total Valuation 1st $ ono Re maining Value $S: per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15.00 $ Q BUILDING PERMIT FEE WATER IMPACT FEE $ SEWER IMPACT FEE WATER METER /TAP $ CAPITAL IMPROVEMENT $ _ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ OTHER $� GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES: Mechanical Plumbing_ Electric /New Electric /Temp ;SwimmingPool Septic Tank; Well __ ; Sign Finish Floor Elevation Survey Other CALCULATIONS and /or NOTES: MA P - SHOWING SURVEY OF AP LOTS 7 AND 9 '-", BLOCK .3 PLAT 00 - 1 , -Uf3 ATLANTIC BLACH, AS - RECORDED IN PLAT BOOK 5, PAGE 69 OF TM.' (,URRENT PUBLIC itECORDS OF DUVAL C COUNYT, FLORiDA. Tra J (i 9199 1� 26� 41 Building and Zonin y J z h �. _ � . MOPOSED (,AkA(,[-: • 'ov". :1 zee G °�o °P � P � � ��� - � �d 10 I SDI I ��! � r L � �� o Ut, 1. 1 IINT HA5 1 of E! % .M "D W "T 1 - 1 k] E h 1. E Y 6 1 s IS.WOT VALID. 'I HERESY CERTIFY TO. THAT Ti-118 QURVCY Mr66-TS THE MINIMUM TECHNICAL STANDARDS AS *19T FORTH BY TN& FLORIDA 80^RU OF LAND SURVEYORS, rtjR*UAMT TO SECTION 471.027 FLONIOk STATUTES ^NO CHAPTER 21 MM--O FLORIDA H. A. DU�!�EN S TATUTES AOMINJ RATION COOS.,' JH., & ASS OCIATES mc. GURVKYQRK SIGNED 19 w (los � Box Pcmm oft 5wro 11*3 SWU% Thkd fitrW THIS SURVEY NOT VALID UNLESS THIS PRINT 15 kiMH0644112 WITH T•c *1KAL OF THE ABOVE SIGM190. PSR-3844 11539 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION iNFORMATION Permit Number* 11,539 Address: 328 SECOND STREET Permit Tvve: rTJILDIN,:; ATLANTI BEACH FLCRlr!� IaE-P of Work: ALTERATICIN ----------- LEGAL DESCRIPTION 'o n . t r. T v p e : WOOD FRAME Lot' 131 ock S e ;I t Pno osed Use, S!Nf:,LE TAMIL* 1' Township: FNS ": Dwel inns: I Code: 0 °'llbdivlslon ATLANTIC REACH Est?. ated Value: 82700.00 T Tl r o v . C (:t s t $0.00 Total Elcz 0 o APPLICATION FEE, " 5.0 PERMIT 2 DID STREET WAJ IMPACT FEE T -CH, FL.'DRI: 5Z E FU 4 n RZ 22 A 0 aAP .g RADON GAS- � I? TO& , JNFORMAT?iON - - RADON CAB 5% CAPITAL IMPROVE, CROSS CONNE SE H IMPACT FEE 4, -, 4 1011— CONST. SURC 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 REVO4ffj0NjlFOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 3104/9G 01 Rcpt: 0037303 PEWS 06166603221000 ATLANTIC BEACH BUILDING DEPARTMENT BY: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s): Address: Phone: Lot # Block or Unit # Subdivision: Contractor: c z State License # Address: Phone No: Describe work to be done: _;C Present use of building: On Valuation of Proposed Construction: Proposed use: Is this an addition? Q)`= If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical )? ( or increase ►:: �' New plumbing fixtures? �-',- New fireplace ? New Heat /AC? K) 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: y �� Date: Signature CONTRACTOR: Date: License Supplied: Liability Insurance: Worker's Compensation Insurance: PSR -3844 7848 DEPARTMENT OF BUILDING - CITY OF ATLANTIC BEACH ° PERMIT INFORMATION - - -- - LOCATION INFORMATION - 1­ rmit Number 7843 Address! 328 SECOND STREET Pe mat Type: RE -ROOF ATLANTIC BEACH, FLORIDA 32233 las Work* NEW ----------- LEGAL DESCRIPTION "on fir . Type: WOOD FRAME _'t : Block- Section- _ _ _ Pry= Orel USe SINGLE FAMILY To RNG: 0 Dwe} inns: 1 rode: 0 :bdivisi.on: ATLANTIC" . BEACH Est.it ate'd Value: 83710.0 t 6 To a 2 2.50 APPLICATION FEES ----- tva, ;ARDE A-1d eu... , �.� PERMIT S22. 50 STREET 4AT.EF, TMPnCT FEE SO On "I' _ Fi`H FLORA'FkI`IE M3P1� ^T FED: s .i ' � � WATER METER /TAP RADON GAS-H.R.S. stn CONTRACTOR INFORMATION - - -- RADON CAB 5% TON BEACHES 9i)OFIN " CAPITAL IMPROVE. S0,00 15ERY TERRACE SEWER TAP 50 .00 fi '''r .JLE, FL 32211 HYDRAULIC SHARE ,$.4,_.00 Type, r ' CROSS CONNECTION $0 SEC. H.IMPACT FEE $0 . TIST. SURCHARGE 'r' NOTES: NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." 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 (VfrAtOr: CRYSTAL �i Gate: 2/05/94 00 R€ I pt . ey. - Total ��� rtoeFst { CITY OF ALANTIC BEACH ROOFING P APPLICATION Address • ,,..7�d' s�T,eG�7- Phone Lot # Block or Unit # Subdivision: Contractor: Ae - JAJ 1 1 Address: City, State and Zip y.. ��. &oIo-// Phone 'JS14? State License Describe work to be performed: �' 4 / - Valuation of Proposed Construction: O v Materials to be used: Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information CITY OF ALTANTIC BEACH COMPLAINT MANAGEMENT SYSTEM TAKEN (date/time) —9' COMPLAINANT :, a Name First Name MI ADDRESS: aa 4-- CITY /STATE /ZIP: - TELEPHONE: COMPLAINT: w ` LOCATION: PROPERTY OWNERS PHON PROPERTY OWNERS NAME: DEPARTMENT FORWARDED TO:: _ COMPLAINT TAKEN BY: DATE /TIME: OFFICE USE ONLY INVESTIGATED: (date /time) ASSIGNED DEPT. /DIVISION: PRIORITY: INVESTIGATOR: CONDITIONS FOUND: ez Cp M v , ACTION TAKEN �DT -� F ZJJ COMPLIANCE: 14 &0L I A I ).f!� C _ NOTES: r�;�as (4m,a � DEPARTMENT OF n IUI!E- 195- TOWN OF ATLANTIC BEACH, FLORIDA Date- - -7 A Valuation Application for Permit for House No. Miscellaneous Alterations, %.0i and Repairs The undersigned hereby applies for permit----77�--��­/ k & - A2 - - �- C I (State if to repair, alter, add to pr move building; erect awning, sign etc.; install boiler, elevator, etc.) (State fractional part) .... Sub. Valuation BUILDINGS AND OCCUPANCY What is present use of building—Residential or Business? ------- '_ ----------- __'_'__'--'_---__------ _ ------- _ --- _-___________ If residential, what Garage Apartment, Apartments or R»oming��eY_�__-_ How n000y families accommodated onwY <tensiorl If business, what type? -- - ---- — ---- - - --------------- 5 al — ­ - .. -----Will food be prepared for sale on premises?.------ Size of present e o ------ Size of M"^=.^"` of pre uoateriu/ of emteonuo-_-______ ------------- -____-_'_-__--- NECESSARY PLANS IN DUPLICATE TO BE SUBMITTED HEREWITH OIL BURNER OR GASOLINE EQUIPMENT Nunoo of Oil Burner or Gasoline Pump ................... ........................ ------ -_ --------------- ____-IyIe or Model- ---- __---'_-_--____ Name and Address of����m� In connection herewith, application is also made 1 � install.-,,- ------- — --- — ------- — capacity tank (s) How many) (under or above) (Inside or outside) (Name of Purchaser) FURNISH DRAWING SHOWING E2NTIRE LAYOU , ON REVERSE SIDE OF THIS BLANK SIGNS _ -------- --'___- Clomsd5ouimn --------- ___-'__--_----_'_-__--_''-----__-'-'-_'--'_____-___-'____--____ (S whether *�� "^^o""o. roof, wall, »=o°�mmo^""° . special. etc.) (State whether Lamps or Neon) SUBMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned dzovriog oo reverse side) ----- ---- -- -------------- -'--- ------- ------'--- -------- - --- ------------'--'-------------------'----'--- ---- - ---------- ---- - ---------------------- _-------- ---- __ ----------- ___---_-_-___'___--____-_-- IMPORTANT NOTICE: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the Town of Atlantic I Si gnature Builder-- � ~ -`~~-'----'-Phone � "^= ~g~~u.~ ,^ ~_^~IhmoeNm__--_-__' 1 4 b I 9 C r A 411. i ` 4 � a MAP SHOWING SURVEY OF AS RECORDED IN PLAT BOOK_ PAGE_ �9 OF PUBLIC RECORDS OF DUVAL CO., FLA. FOR N _s �-e-,� ,U 1 e1 _ 3G JLIR�•fi.t1�Y I �i� �I I 147 — u' •.� 9J ST,oQ I :i� I I I Q I I I � � I h �� as i.�:,.�� SO ' V ��' ��' • v � Ste^ ' /L'./; 1 HEREBY CERTIFY THAT I HAVE SURVEYED THE LANDS AS SHO 1 TH Eh4s`� CA IO AND THERE ARE NO ENCROACHMENTS. �r STATE OF gy p' l k SIGNED �.G'i'r ---- - - " t0RM�F� ic e "� SCALE:- -- --._ -- -_- -- .—_..__. _. — REGISTERED SU V9YOR O. E2 V ORDER NO. _. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 ~ FDA Application Number 03- 00026646 Date 8/08/03 Property Address . . . . . . 328 2ND ST Tenant nbr, name . . . . . . REMOVAL EXISTING HOUSE Application description . . . DEMOLITION Property Zoning . . . . . . . RESIDENTIAL GEN 2 FAMILY Application valuation . . . . 0 Owner Contractor ------------------ - - - - -- ------------------------ LAGARDE, KAREN R.E.C. CONSTRUCTION, INC. 71 CORAL ST 4241 -4 BAYMEADOWS ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217 (904) 241 -4622 (904) 730 -2300 ---------------------------------------------------------------------------- Permit . . . . . . DEMOLITION PERMIT Additional desc . . Permit Fee . . . . 100.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 100.00 100.00 .00 .00 Plan Check Total .00 .00 .00 .00 GrarH Tnt-al 100.00 100.00 .00 .00 Mll�i City �o��f Atlantic Beach e** CUSTOMER RECEIPT ee} 0 : CKOMOREK Type: OC Drawer: I d e: 8/08/63 81 Receipt no: 79662 D criptionQuantity Amount 2 W3 26646 Bp BUILDING PERMITS 1.� $100.00 Tender detail CK CHECKS 8592 $100.00 Total tendered $100.N Total payment $100.88 Trans date: 8/08/83 Time: 12:81:44 _- ..JM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Y BUILDING OFFICIAL r' CITY OF ATLANTIC BEACH DEMOLITION PERMIT APPLICATION OL Date: � � 0 3 Job Address: Owner of Property: t g,, C I " c ` GC' r,:6 <— Address: _ / , C� �� \ A-• ` 'x- I— I , 3 .�- 3,�; Telephone: � Legal Description: Block Number: Lot Number: Zoning District: Contractor: f . Cc State License Nu m�ber: C C y ti Contractor's Address: � �{ r, VVXCC"A �'—�S ( `` - S . Telephone: 7 3© Fax: 7 ,3 0 o 6 , "�- C) Describe proposed use and work to be done: �Y"% P 1 CA -) O ✓� Present use of land or building(s): �' C� A� Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material or the removal of any trees? ❑ NO. Applicant certifies that no change in site grade or fill material will be used on this project. n 'VES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ❑ NO' Applicant certifies that no trees will be removed for this project. S. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate Incomplete applications may result in delay in issuance of permit. STEP 1. Attach Tree Removal Application if trees are to be removed or relocated. I hereby certify that all information provided with this application is correct. Date: 0 a —�j Signature of Owner. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atiantic- beach.fl.us Page 1 Revised 1/14/03 Signature of Contractor: Z` Date: V G� Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: c� L C` e �^ a~, 5 Telephone: / ^ � 3Q © Fax: ~ E -Mail: AS TO OWNER: , 20 D Sworn to and subscribed before me this day of S State of Florida, County of Duval Notary's Signature: 1,Aw, e� DANA D. WEHBY Personally known *: PAY COMMISSION # CC 937245 ❑ Produced identification EXPIRES: July 18, 2004 Bondedrhru Notary Public Underwriters Type of identification produced AS TO CONTRACTOR: L� Sworn to and subscribed before me this l -' day of 0 , J , 20 v State of Florida, County of Duval Notary's Signature: �;sI •. DANA D. WEHBY e�•,, Personally known MY COMMISSION # CC 937245 -a EXPIRES: July 18, 2004 F1 Produced identification 7• p , Notary Type of identification produced Rf °e Bonded PI Nate Public 2004 hers r 800 Seminole Road . Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 2 Revised 1/14/03