364 2nd St (vault) OF
4&44,144 BITS
Office of Building Official J �� ,J / I'
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received
r g Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing El Footing C; Rough Wiring ❑ Rough ❑ Air Cond. & L7 Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating
Insulation ❑ Lintel C', Final ❑ Sewer ❑ Fire Place ❑
Pre Fab
READY FOR INSPECTION
A.M.
' Tues. Wed. Thurs. —_ _ P.M.
A.M --
Inspection Made / P.M.
Inspector Final Inspection
a -
to of Oc p
Date
CITY OF - ,� A�
74 &2 B - & ;&U 6Cs
Office of Building Official
REQUEST FOR INSPECTION �j�
Date — �r —9� Permit No. 4 -
Time
Received P
do Ay
Owner's Name Contractor UI !G CONCRETE ELECTRICAL G MECHANICAL
rammg i7 Footing _ Rough Wiring Rough !' Air Cond. &
Re Roofing Slab E Temp Pole F] Top Out ❑ Heating
Insulation Lintel L Final G Sewer n Fire Place
><- Pre Fab
READY FOR INSPECTION
Tues. �J Wed. Thurs. Friday
A.M.
Inspection Made -- PM.
,aPector Final Inspection
TT_ Certificate of Occupancy L
Date __
cl<
CITY OF
Yu 'c /3eac,4 - vmu � 7 e-
Office of Building Official _
REQUEST FOR INSPECTION
Date
Time
Permit N f�
Received M
Job ddr Ss �ality
Owner's �°
— Contractor
R CONCRETE
L
Framin CHANICAL '
S Footing Ro ing C: _
Re Roofing Slab 0 Temp Pole To Out
Insulation Lintel C, Final p Heating
Sewer Fire Place ❑
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. Thurs.
Friday p M
Inspection Made A.M.
-- PM.
'nspector _ Final Inspection .2
r� p Certificate of Occupancy i-
Date _ _
CITY OF ,+g
Office of Building Official
REQUEST FOR INSPECTION
Permit No.
Date
Time A.M.
Received - 3 . P.M.
Job �
Owner's Contractor
Name --
BUILDING ONC TE ELECTRICAL PLUMBING MECHANICAL
Rough Wiring ❑ Rough ❑ Air Cond. & ❑
Framing ❑ Temp Pole C Top Out 0 Heating
Re Roofing ❑ Slab Sewer ❑ Fire Place ❑
Insulation C Lintel ❑ Final Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues.
Wed. Thurs. Friday
y A.M.
P.M.
Inspection Made Final Inspection .D
inspector__ Certificate of Occupancy
Date _
13 `"t
Office of Building Official
REQUEST FOR INSPECTIO F&
Permit No. _---
Date A.M.
Time P .
Received
ocality
Job eS
Owner's __ Contractor 1 � O
Name PLUMBING MECHANICAL
CON ELECTRICAL
BUILDING Rough ❑ Air Cond. &
oo ❑ Rough Wiring g ❑ Heating
❑
Framing `�L Temp Pole Top Out
Re Roofing ❑ Slab -5 Final Sewer ❑ Fire Place
❑ Lintel �- Pre Fab
Insulation ,� /�
&Ce V w DY FOR INSPECTION
Mo Tues.
Wed. Thurs.
A.M.
� - .
Inspection Made Final Inspection ❑
Inspector Certificate of Occupancy ❑
Date
CITY OF
C fiice of Building Official
01JEST FOR INSPECTION l
8 LL Permit No.
Date �/ T t;
Time F11 /W1
Received _
Locality
Job Address ,
Owner's (( Contractor MECHANICAL
Name f ELECTRICAL PLU I
BUILDING CON`'I ❑ Rough L Air Cond. & ❑
Footin Rough Wiring ❑ Top Out 11 Heating
❑
Framing Temp Pole ❑ Fire Place �=
Re Roofing ❑ ` Final E Sewer Pre Fab
Insulation ❑ Lintc'� A.
READY FOR INSPECTION A.
Tue! Wed.
Thurs. Friday
Mon. A.M.
'1✓ _-- - -P.M.
Inspection Made Final Inspection ❑
Inspector Certificate of Occupancy ❑
Date
CITY OF
Office of Building Official
I LE-QUEST FOR INSPECTION
�f Permit No. f6 V
Date -- _
Time " _ P. ( A.M.
l� S
Received
Locality
J Addre
Owner's - Contractor
Name — _ MECHANICAL
„_::� -'' ELECTRICAL
BUILDING PLUM I
'0 1 r - - ' f ❑ Air Cond. &
Rough Wiring ❑ Rough C, Heating
Framing 11 Fool Temp Pole ❑ Top Out
Re Roofing ❑ Slal: p ❑ Sewer C Fire Place
El Final Pre Fab
Insulation
READY INSPECTION
Wed n � Thurs. Friday
Mon. Tue
c r( A.M.
_P.M.
Inspection Made -- "'"� -- �
/ r✓� - Final Inspection ❑
d \ r `
Inspector �. -� Certificate of Occupancy ❑
\ Date -
CITY OF
111 122 clt - IIivtic&
Office of Building Official
REQUEST FOR INSPECTION
tff f
Date c �` � �_.__. Permit No. 0
Time A.M.
Received J P�.
z
Job Address Locality
Owner's � /�
Name _ Contractor % EE l0
BUILDING CONCt ?i_ TE ELECTRICAL PLUMBI MECHANICAL
Framing F- Fc, Rough Wiring ❑ oug Air Cond. &
Re Roofing C S1, Temp Pole C Top Out Heating
Insulation ❑ Lii ! Final ❑ Sewer ❑ Fire Place
Pre Fab
READY FOR INSPECTION
P
Mon. Tuos Wed. Thurs. Friday F
A.M.
Inspection Made _ _ P
Inspector _T _ ` _ - . ;_ Final Inspection 0
Certificate of Occupancy C
Date
Jane C. Wytrzka
352 Second Street, Atlantic Beach, FL 32233
249 -4489
September 7, 1994
Honorable Lyman Fletcher
Mayor of Atlantic Beach
Atlantic Beach, FL 32233
Dear Mayor Fletcher:
I am discouraged about living here in Atlantic Beach. I hand delivered a letter to Don Ford
regarding a major renovation at 354 Second St. which is directly west of my property. I was given
a verbal reply by Don Ford that what they are doing is within the rules of Atlantic Beach.
I need your help. A driveway will be poured directly adjacent to my property line. To date for the
last eighteen months a pine bark driveway extension has existed after the owner did major
landscaping renovations preventing cars from parking on the city right of way because the height
of dirt on the city right of way was raised above street level.. A brown van with advertising for the
owner's business, Beaches Art and Frame, has sat for weeks without moving while the owner,
who is the "live in" of the property owner is off working elsewhere. They have known since the
pine bark extension that I was very unhappy with a van being parked at my property line which is
7.5 fbet from my bedroom window. It looks awftd. When the van is being used, it wakes me up
and the smell comes into my house_ I told the "live in" that this new concrete driveway was the
realization of my worst nightmare. There hasn't been much said since_
I have looked around the immediate area for any examples of driveway extensions going to the
property line. There are two between Third and Fourth St on the west side of Ocean Blvd. Both
are recent "renovations." Neither looks too sporty. As head sculptor, you could creatively cancel
extending the driveway to my property line.
A lack of vision exists in Old Atlantic Beach. Surrounding property owners should have some say
in how nearby property is developed or renovated. Old Atlantic Beach needs a plan of how we
want to look in the future. Its obvious the area was built piecemeal with little concern for the
future. The property is just too valuable to allow this philosophy to continue.
incerely,
Jane Wytzka
1 1.994
9 and zoning
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CITY OF ATLANTIC BEACH an d Zoning
� uildlng PERMIT APPLICATION REMODEL, ADDITIONS OR ATERATIONS
DEMOLITIONS
Owner(s): �k lips pkt ']L '15
Address: ,s�4 1 " S f� Phone:
Lot # Block or Unit # -' Subdivision: f1c
Contractor:
Address: �'� C' tSa 15 (� �' Phone No: `4 2
Describe work to be done: 11 < <�, i ht� ' - „ >,<���
Present use of building:
Valuation of Proposed Construction:
Proposed use: nip: Irr .? ; !dvr.
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? vT_ New electrical (or increase)? (
New plumbing fixtures � ) New fireplace? hJ- New Heat /AC? nJJ
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR
Date: ) -���
Signature OWNER:
Signature CONTRACTOR: -'��
� Date:
oue
--- - -_V++ computations forYthe ufound 1:;
losaes from
• en into account the projected 30
. a 100 year Storm event and Sari
components. Inc
_---- lateral erosion l all vertical Including Scour caused by the structure:
---- ------r -- --- -r ------ -- - - - - - -- ---- -
No excavation of dunes is Included in this
�_)- -Dune excavation permit is attached. Ar °)ec I - -- -
t, OR
Cert -- -------------- ----- - - - - -- __ __
tified this � da of yU 1 -
(SEAL)
' - --
S I
Florida Architect's License No.
Professional Engineer's License No.
l
CITY OF ATLANTIC BEACH
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR
EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
' I
BATHROOM GROUP CONSISTING OF
WATER CLOSET, LAVATORY & BATH SERVICE SINK TRAP STAND
TUB OR SHOWER STALL (6) (D (8)
WATER CLOSET, TANK OPERATED 4 WATER CLOSET
( ) VALVE OPERATED (8)
BATHTUB /SHOWER (2) URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3)
FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2)
LAUNDRY TRAY (2)
LAVATORY (1)
COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3) 3
POT, SCULLERY SINK (4)
DISHWASHER (2)
WASH SINK EACH SET OF
KITCHEN SINK (2) FAUCETS (2)
DENTAL LAVATORY (1)
KITCHEN SINK WITH WASTE
GRINDER (3) DENTAL UNIT OR CUSPIDOR (1)
BIDET (3) URINAL STALL, WASHOUT (4)
FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET
BLOWOUT (2) DRINKING FOUNTAIN (1/2)
LAVATORY, BARBER /BEAUTY
SHOP (2) ICE MAKER (1/2)
SURGEONS SINK (3) LAVATORY, SURGEONS (2)
JACUZZI (2) v'
URINAL STALL, WASHOUT (4)
TOTAL FIXTURE UNITS @ _ o X20.00 EACH � O f Q
JOB INFORMATION 3 CQ cr A 9 S 3 -_ ( % /
Dfi
CITY OF ATLANTIC BEACH PERMIT CALCU ATION SHEET
Address � C9 C( M n S T DO f T / OA)
Date
Heated Square Footage @ $ 0.00 per sq ft =
Garage /Shed @ $ per sq ft = $
Carport /Porch @ $ per sq ft = $
Deck @ $ per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION: $
3L moo / $ / ,�
Total Valuation 1st
Remaining Value $,: per thousand
or portion thereof
TOTAL BUILDING FEE $ l c:>
+ 1/2 Filing Fee $ Z�rjS�
( ) Fireplaces @ $15.00 $
BUILDING PERMIT FEE $ 9 j
WATER IMPACT FEE $
SEWER IMPACT FEE $ O
WATER METER /TAP $ O —
CAPITAL IMPROVEMENT
SEWER TAP $ --d
( ) RADON (HRS) .0050 $
SECTION H PAVING
HYDRAULIC SHARES $ —A
CROSS CONNECTION $ p -
( ) SURCHARGE .0050 $
OTHER $
GRAND TOTAL DUE $ -1=
ADDITIONAL PERMITS OR FEES: Mechanical Plumbing
Electric /New Electric /Temp ;SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and /or NOTES:
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 60OC -93 Residential Limited Applications Prescriptive Method C NORTH 1 3
D of Community Affairs
Small Additions and Renovations P
Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 6000 -93 for additions of 600 square feet or less, site- installed components
of manufactured homes, and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 60OB -93 or 600A -93.
PROJECT NAME: IIiSs �I s BUILDER: S WST Go
AND ADDRESS: 11,44 Sf - PERMITTING CLIMATE
Ah 1 I� each OFFICE: ZONE: 1 ❑ 2 ❑3
OWNER P b I l i SS P h t I �' p PERMIT N0. JURISDICTION NO.: =1 v
SMALL ADDITIONS TO EXISTING RESIDENCES (600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-1, 6C-2 and qui apply only t the
e
components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed
specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must
meet the prescribed minimum insulation levels. RENOVATIONS (Residential buildings undergoing renovations costing more than 30% of the assessed value of the building).
Prescriptive requirements in Tables 6C -1 and 6C -2 apply only to the components and equipment being renovated or replaced. MA F HOMES AND BUILDINGS. nly
installed components and features are covered by this form.
1. Renovation, Addition or Manufactured Home
1. goo (T to ►J
2. Single family detached or Multifamily attached 2. S' F, v
3. If Multifamily -No. of units covered by this submission 3. " A \ ✓
4. Conditioned floor area (sq. ft.) 4. 5.10
5. Predominant eave overhang (ft.) 5 • ��� ✓
6. Porch overhang length (ft.) 6.
7. Glass area and type: Single Pane Double Pane
a. Clear glass 7a. sq. ft. !f 5 sq. ft.
b. Tint, film or solar screen 7b. sq. ft. sq. ft.
8. Percentage of glass to floor area 8. 0$6 %
9. Floor type and insulation:
a. Slab on grade (R- value) 9a. R= a S �-� sq. ft.
b. Wood, raised (R- value) 9b. R= sq. ft.
C. Wood, common (R- value) 9c. R= sq. ft.
d. Concrete, raised (R- value) 9d. R= sq. ft.
e. Concrete, common (R- value) 9e. R= sq. ft.
10. Wall type and insulation:
a. Exterior:
1. Masonry (Insulation R- value) 10a -1 R = 7 S Ze sq. ft.
2. Wood frame (Insulation R- value) 10a -2 R= sq. ft.
b. Adjacent:
1. Masonry (Insulation R- value) 10b -1 R= sq. ft.
2. Wood frame (Insulation R- value) 10b -2 R= sq. ft.
c. Marriage Walls of Multiple Units* (Yes /No) 10c
11. Ceiling type and insulation:
a. Under attic (Insulation R- value) 11a. R= � 3Z0 sq. ft.
b. Single assembly (Insulation R- value) 11b. R= sq. ft.
12. Cooling system*
(Types: central, room unit, package terminal A.C., none) 12. Type: t I ��
SEER/EER:
13. Heating system *: 13. Type: 6n%S +��c. ✓
(Types: heat pump, elec. strip, natural gas, L.P. gas, room or PTAC, none) HSPF /COP /AFUE:
14. Air Distribution System *:
a. Backflow damper or single package systems* (Yes /No) 14a. N bar
b. Ducts on marriage walls adequately sealed* (Yes /No) 14b. All A-
15. Hot water system: 15. Type: 1` I,t-T
(Types: elec., natural gas, other, none) EF: • 9
Pertains to manufactured homes with site installed components.
I hereby certify the a plans and specifications covered by the calculation are in Review of plans and specifications covered by this cakglati indicates compliance
compliance with the o ida Energ C efore cons ode. with the Florida Energy Cod .-boon is compl d, this building will be
inspected for compliance ir>ccardance w c ecti on 5 3.9 F.S.
PREPARED BY: DATE: \
BUILDING OFFICIAL: \ \ `
I hereby certify that i building is co plian i the Florida Energy Code. S
OWNER AGENT: __ DATE: 7 - d-5 - -- DATE:
Climate Zones 1 2 3
TABLE 6C -1: PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS (600 Sq. Ft. and less), RENOVATIONS TO EXISTING BUILDINGS AND SITE- INSTALLED COMPONENTS OF MANUFACTURED HOMES.
MINIMUM INSULATION MINIMUM INSTALLED
FFrame, MPONENT INSULATION INSTALLED EQUIPMENT EFFICIENCY EFFICIENCY
e R -7 /L-7 z Central A/C - Split SEER = 10.0 SEER = T
2" x 4" R 11 =, - Single Pkg. SEER = 9.7 SEER
a , 2' x 6" R 19 S Room unit or PTAC EER = 8.5' EER =
3 Common, Frame R -11
Common, Masonry R - Electric Resistance ANY
z Under Attic R 30 k - 3 o z Heat pump - Split HSPF = 6.8 HSPF =
Single Assembly; enclosed R -19 ¢ Single Pkg. HSPF = 6.6 HSPF
U Single Assembly; Opened R -10 = Room unit or PTHP COP = 2.7' HSPF/ _
Common, Frame R-11 c"'i COP
a
<n Slab -on -grade No Minimum N� U) Gas, natural or propane AFUE = .78 AFUE _
Ix Raised Wood R -19 Fuel Oil AFUE = .78 AFUE =
O Raised Concrete R -7
Common, Frame R -11
r- w Electric Resistance EF = 88 EF =
U In unconditioned space R -6 /2'�O :0 Gas; Natural or L.P. EF = .54 EF =
p In conditioned space No minimum Fuel Oil EF = .54 EF =
* See Table 6 -3, 6 -7
TABLE 6C -2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY
Maximum percentage glass to floor area allowed is selected by type, overhang length, and shading coefficient. Maximum% _ Installed % _ �. 6
GLASS TYPE, OVERHANG, AND SHA COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED
UP TO 20% UP TO 30% UP TO 40% UP TO 50%
Single Double Single Double Single Double Single Double
OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC
1'-1.0 O'_.90 2'- 1.0 1 '- .90 3 1.0 2'-.90 4 1.0 3'-.90
0 .86 l'-.86 0'-.70 2'- .86 l'-.70 3'- .86 2'- .70
0'- .65 l'-.65 0 .50 2'-.65 l'-.50
0 .45 1 '- .45 0'- .40
0'-.35
Shading coefficients (SC) may be obtained from the manufacturer. Single clear SC = 1.0, double clear SC = .90, and single tint SC
TABLE 6C -3 I MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK
Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather - stripped or otherwise sealed.
Interior Joints & Cracks 606.1 All openings in interior surfaces of ceilings and exterior walls must be sealed.
Sole & Top Plates 6 66 .1 Sole plates and penetrations through top plates of exterior was must be sealed.
Infiltration Barrier 606.1 Infiltration barrier must be installed in exterior walls & raised wood floors.
Fireplaces 606.1 Fireplaces must have flue dampers, glass doors and outside combustion air intakes.
Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion
devices with integral exhaust ductwork.
Combustion 606.1 Combustion space and water heating systems must be provided with outside combustion air, N�a
Heating except for direct vent appliances.
Water Heaters 612.1 Comply with efficiency requirements in Table 6 -11. Switch or clearly marked circuit breaker (electric) I /
or cutoff (gas) must be provided. External or built -in heat trap required.
Swimming 612.1 Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a NIA
Pools & Spas pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78 %.
Hot Water Pipes 612.1 Insulation is required for hot water circulating systems, (including heat recovery units) and the first
8" of piping from the water heater (or until piping enters an insulated wall or slab).
Shower Heads 612.1 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG.
HVAC Duct 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, /
Construction, sealed, insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be
Insulation & Installation insulated to a minimum of R -6. Air handlers shall not be installed in attics unless in mechanical closets.
HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. till A
GENERAL DIRECTIONS:
1. On Table 6C -1 indicate the R -value of the insulation being added to each component and the efficiency levels of the equipment being installed. All R- values and efficiencies installed must meet or exceed the minimum values
listed. Components and equipment neither being added nor renovated may be left blank.
2. ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows. Total the areas of all glass windows, sliding glass doors and glass door panels. Double the area of all non -
vertical roof glass and add it to the previous total. When glass in existing exterior walls is being removed or enclosed by the addition, an amount equal to the total area of this glass may be subtracted from the total glass area.
Divide the adjusted glass area total by the conditioned floor area of the addition. Multiply by 100 to get the percent. Find the largest glass percentage under which your calculated percentage falls on Table 6C -2. Prescdptives
are given by the type of glass (Single or Double pane) and the overhang (OH) paired with a shading coefficient (SC). For a given glass type and overhang, the minimum shading coefficient allowed is specified. Actual glass
windows and doors previously in the exterior walls of the house and being reinstalled in the addition, do not have to comply with the overhang and shading coefficient requirements on Table 6C -2. All new glass in the addition
must meet the requirement for one of the options in the glass percentage category you indicated. The overhang (OH) distance is measured perpendicularly from the face of the glass to a point directly under the outermost edge
of the overhang.
3. RENOVATIONS ONLY. Replacement glass needs to meet the following requirements. Any glass type and shading coefficient may be used for glass areas which are under at least a two foot overhang and whose lowest
edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this criteria must be either single -pane tinted, double -pane clear or double -pane tinted.
4. Complete the information requested on the top half of page 1.
5. Read "Minimum Requirements for Small Additions and Renovations ", Table 6C -3, and check all applicable items.
6. Read, sign and date the "Owner /Agent certification statement on page 1.
Standard
993 For
Hurricane Resistant
Residential Construction
SSTD 10-93
0
L C U V L a at u • • •..... . v __ _ _ II
8905
PSR-3844
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
L OCATION
INFORMATION
STREE
A 7 6 4 S F N C+
A.TLANTI," BEACH, FLOFIDg,
I Ini PLUMBING
T.�(Z
LEGAL D E S CR I P T I'D N ----
Lot'
F R AM h nl
-LE T1,,wnshi
FAM I L v.
ATLTNITT`
od t�: 0
7 r c "
APPLICATIf-)N FEES
AATION
CTION
. .... ... . WATER tMPA� FEE
N �u
STEFFT
��7 EW" IMPACT FEE
- hT 8101, 0C
TAP
24
S---H
RA
ON NFORMAT TON RADON CAB 5%
, ,
I IKFROVE.
SEWER TAP
C'R 0 S S CONNECT!"DN
SEC H IMPACT FEE o
, .'ONST.SURCHARGE
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.
000000000 000000000 $32.5014
734
ATLANTIC BEACH BUILDING DEPARTMENT Date; 8/10/94 02 Rcpt: 002
1 J
CHECKS 0368
By
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
q z f?��
JOB LOCATION: 3 6
OWNER OF PROPERTY:
BUILDING CONTRACTOR:
PLUMBING CONTRACTOR e ` `.
AND ADDRESS: ��v► �� i(�.
TELEPHONE NUMBER:
STATE LICENSE NO:
G
TYPE OF BUILDING:
TYPE OF WORK:
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS / SHOWERS
C LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS ______ WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURE COUNT: x $3.50 + $15.00 = S
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'
RECORDERS USE ONLY
:.7ijJ3 F.S.
nov. 1.1.62 No TICE OF
COMMENCEMENT
(REQUIRED IN DUPLICATE)
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 APPLICANT LEAVE VOID
(Revised 1- 1 -92), the following information is stated:
Legal Description of Property: Lot 21, Block 3 Subdivision A Atlantic Beach,plat bo 5
General Description of Improvements:
r oom addition pg 69, Duval Co ty
Owner Name (printed): Phyllis Phillips
Address: 364 2nd St Atlantic Beach Fla.
Owner's interest In Property: fee simple
Fee Simple Title holder (if other than Owner)
Name (printed):
Address:
Contractor (printed): Dane Boggs— Boggs Construction Co.
Address: P.O.Box 1560 Orange Park Fla. 32082
Surety (if any) (printed): Amount of bond $
Address:
Person or Lender making a loan for construction of improvements:
Name (printed): First Goast Funding
Address:4241 Baymeadows Way , Jax. Fla.
WARNING: OWNER CONSULT LENDER OR ATTORNEY BEFORE RECORDING THIS NOTICE OF COMMENCEMENT.
Person within the State of Florida designated by Owner upon whom notice or other documents may be served:
Name:
Address:
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 Statutes (Fill in at Owner's option).
Name (printed):
Address:
•7
Owner Signature Date Signed
—
Owner Name (printed) In County Named Of State
Velary Puf;:ic, S9r,!3 of
r 7:7r.lr:;:Cl C R r S
I am a Notary Public of the State of Florida, and my Commission expires:
THE FOREGOING INSTRUMENT was acknowledged before me on 19
b who is personally known to me or who has
produced as identification and who did /did not take an oath.
orN s c /
Notary Public, Signature
O R Notary Seal Deborah L. McCarragher
Notary Public, Name Printed
BUILDING & CODES
IMPARTMENT
FonM 005
210`1'10: t1i" CC1zMEi1�C (F1ti�'�
'ro whom it many concern:
The undersigned hereby inform3 yn mentO wil y 713.13 made to certain real property, a�,enci
o f the. Florida Statutes, the following information iG dt At.ed in tl'iu
rj0 C f:: OF COMMENCEMENT.
364 2nd St. Atlantic Beach, F
D scription of property
Gar e
General description of improvecnants -
Owner -Ph llis Phillips ---- -- - -- -
Address 3 64 2nd St. Atlantic.
fee simple
Owner's interest in site of the improvement e -
Fee simple Title holder. (if otli than
Name -
Address -
Contractor Boggs Cons truc tio n_ -
1560 Orange Par Fl a. 3 2067 r
Address
Surety (if any) ___,_•__ _.__.»�__ ._ ..
Addreaa _ Aant u of k'so ..... .. -
Name and address of any parson waking a to re for tl4 a corss tvoct.ion .
of the improvements. ,
Name N/A
Address.�..._.�..�._�. - -
- Name of person within the state; of Florida, gather than himself,
designated by owner upon wham notican oc other docunt6nta may be servedr
Name
Address
+ * Owner
Swoon tra d eubace ibed to bel�or
rays this days cif c��,• S
MELISSA THORS
s MY COMMISSION # CC 301940
EXPIRES: Jury 14, 1997
Bonded Thry Notary Puhi1C Undonxfters N ea r i 3,c t yo ur Ida
bly colnne iusion Expil.. x �y
., ; c,..• r.•, r�KS�i. Jfr.-.: al x::'+ �akw�ir��i� ►L�. :^+�,+�'t.- ,,x.�: '
9647
PSR-3844
LE900 : ;dim TO y61 3111J! :alpa DEPARTMENT OF BUILDING
000000000 000000000 CITY OF ATLANTIC BEACH
LOCATION INFORMATION --------
PERMIT INFORMATION ------ 3�54 SE -�TREET
F�rrfd!�' Numbe� 8 6 14. 7 BER'"li, FLORIDA I RTLRNT!z
T i t T v p BUILD LEGAL DESCRIPTION
I T It" N o c
W R P14E
On"�tr .0fDD F Tc_ - i s P
cised UTe SINGLE FAM I L
v i cn ATLANT 1 BEACH
r�d Val
Ea t t
4
T ID t. 3 1 V;V-�$
TNFORMATION APPLICATION FEES --
gt
PERMIT 2 92'
14 L L I P S 't! I po n
R "
T F E E
W A IMPA!"
, TREET
_N
E
S
FLrRILA
lk'fTAP
RADON GAS
RADON E7AB 5%
'_'AP ITAL IMPROVE,
SEWER TAP
T I
S 'NNEC
S"-
H IMPACT FEE
:ONST SURCHARGE
NOTES:
NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAUL AWAY BY EITHER CONTRACTOR OR OWNER
"FAILU LU RE TO COM WITH TH M ECHANICS' LI E N LAW CAN RESU LT I N
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. 99
T
'FA
HE
LU R
PRO
E
PROPERTY E
0
RT
C
Y
OM
OWNER
N
LY
E
W
R P
WITH THE
PAYING T"
I
F 0 WH AR
ISSUED ACCORDING TO APPROVED PLANS ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
000000000 O(K*00000 $292.5014
T Tir. BU L DEPARTM ENT
A B EA C H I I
ATLANTIC BEACH BUILDING DEPARTMENT Date: 7/22194 01 Rcpt: 0069761
CHECKS 5964
By:
-- - -------�
P�R 3844
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
LOCAT ION
364 SEC
PERMIT 1NFORMATION Address: 364 SECOND STREET
1 ?ermit Number* 9066 ATLANTIC REAC_Ii FLORIDA
!of Work! ADDITION
,lass, 'Ljot: Block- Section:
proppr,ed Use* SINGLE FAMIL subdivision: ATLANTIC BEACH
Er,t.imsted Value: S11000.00
1 S0.00
Total Fees: S142.50
r4 4
INING ROOM ADDITION
---- APPLICATION FEES
T�-,P r`�RMAT I ON
PERMIT 8142.50
2fft T IMPACT FEE
Nt STREET WATER
A-TiLANT T'C BEACH, Fl, SEWER IMPACT FEE
RADON G-7ASS--H.R.S
CONTRACTOR-INFORMATION RADON CAB 5% to
CAPITAL IMPROVE,
SEWER TAP
CROSS CONNECTIODN 01
SEC H IMPACT FEE
NOTES: PAID
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 I U ST IBE
LT I �
["FAILU:RE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
T: 0: OMPLY WIT TS
THE:PUROP:ERTCY 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. 000(0000 000000000 $142.50 14
ATLANTIC BEACH BUILDING DEPARTMENT Date: 9/12/94 01 Rept. 00808
DECKS 707
ow
ARCHITECT /ENGINEERS CERTIFICATION
COASTAL. CONSTRUCTION CODE FORJOR STRUCTURIS TO
BE LOCATED WITHIN CITY OF A TLANTIC
APPLICANT'S NAME ,J_A44 < 11yLEI A�11 1 PHONE N0. � DATE 7
OWNER NA2dE: lh's - R.E. TAX NO.:
TYPE OF PROJECT: ( )New Rome (,?�,) Residential Addition ( )Garage
{ )Pool ( )New Commercial ( )Commercial Addition
( )other �� <r, r ?�,H�� �acFfi
911 STREET ADRESSi
( ) we'claim the structure to be exempt as follows:
( ) Garage with no provision for occupancy - detached one
and two family only
( ) Pier, Dock, etc.
( ) Other (Specify)
I also certify that no structure listed above may be remodeled
converted to a non - exempt use without being upgraded to fully
comply with ( rd•inance.
Signed: Date: SEES-
--------------- ------------------------------------------
CERTIFICATION
'this certifies that the plans and specifications submitted a,i,i
sealed by the undersigned meet all criteria set forth by the Cite
of Atlantic Beach Coastal Construction Code. Roof covering is
exempt from the 110 mph requirements of the Coastal Construct , - c.;
Code, but meet all the other requirements of the City of Atlantic
Beach Building Code. —
(�) The structure including foundation, frame, roof decking,
exterior walls and floors has been designed for wind loads o!
110 mph, with all design complying with..the 194/, Chapter 12,
Standard Building Code.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
(� Windows, doors and all other exterior devices comply with ti.;,
110 mph Wind load.
-----------------------------------------------------------------
(VQ Tho structure is located outside the area affected by wav:
forces, OR
( ) The structure is capable of withstanding wave forces resulti:
from a wave crest height of feet above HSL inc 1 udi!,..:
uplift forces.
----------------------- - - - - -- T ---------------------------------
()Q The structure is located in PIA Zone A and the foundati(:.:
design has considered possible exposure to water and erosi - : :i.
OR
( ) The structure is located in FIA Zone X and the foundation wi 1 .
not be exposed to hydrodynamic, hydrostatic loads or watt:
scour, OR '•
( ) Foundation design has been completed with floor elevati; ;.:
above the specified atillwater elevation, and to resist wav,:
hydrodynamic, hydrostatic and wind loads acting simultaneous)
with dead loads. Erosion computations for the foundatio:,
design have taken into account the projected 30 -year erosio:.
losses from a 100 year storm event and all vertical an
lateral erosion including scour caused by the structure:
components. _
- -------------------- - --------------------------------- --------
lj�) No excavation of dunes is included in this project, OR
( ) Dune excavation permit is attached.
-
---------------- ---------------- - -- --- - - - - --
Certified this 9 day of,_._v U - -- SEALSE --
' 19 (SEAL
I
Florida Architect's License No.
Professional Engineer s License No.
�/tu� ✓j �tai�rr�'!c l�^ yn�� its jt�ltc „iiyv�5 S7'0
1
To \ 7
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address 3 �2 Lr g � r
Date q t 9 -94
Heated Square Footage @ $ per sq ft = $
Garage /Shed �@ $ per sq ft = $
Carport /Porch \ l @ $ per sq ft = S
Deck ( i @ $ per sq ft = $
Patio � @ $ per sq ft = $
TOTAL VALUATION: S O4 Q
l hp° $ b1
Total Valuation 1st $ /
l(,broC 8 o $ 80. 0
Remaining Value $,'5 per thousand
or portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $ 4-r So
( ) Fireplaces @ $15.00 $ - - 0
BUILDING PERMIT FEE $!_
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER /TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
( ) RADON (HRS) .0050 $
SECTION H PAVING ( ) $
HYDRAULIC SHARES S
CROSS CONNECTION $
( ) SURCHARGE .0050 $
OTHER $ /
GRAND TOTAL DUE $ 7 2
ADDITIONAL PERMITS OR FEES: Mechanical Plumbing
Electric /New Electric /Temp ;SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and /or NOTES:
Q
1984
Building and Zoning
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
owner(s): I�4��,�1►5 ��t����5
Address: Vi AtW fiG 'lead- Phone: - 3cY70
Lot # Block or Unit # Subdivision:
Contractor: &)(v S Lo�ST c�
Address: �:�, '�a� 150 ��� F�ti Phone No:
Describe work to be done: �'oa� -a�� ��fi� D IrO pz-Oo
Present use of building:
Valuation of Proposed Construction: /74 v�y
Proposed use: DIL1 raaw. -f- �uvu�r� �ixfc�IGW
Is this an addition? YES If yes, what are the dimensions of
the added space: ft. X ft. Will the added area
be heated and cooled? P6 New electrical (or increase)? �^ �
New plumbing fixtures? � New fireplace?' New Heat /AC? N�
ETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR
CONTRACTOR.
Date:
Date:
1rs C � �H.5
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PSR 3844 9119
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
INFORMATION ------ -------- LOCATION INFORMATION ----
FlerM_it Number: 9119 7 Adressi 364 SECOND STREET
PVrtit Type ELECTRICAL ATLANTIC BEACH, FLORIDA 3223_'
.,Iass work: ADDITION ---------- LEGAL DESCRIPTION --------
Constr. Trpe WOOD FRAME Blc-ck Section:
PLOP used -Tse: SINGLE FAMIL�r* Township: RNG
Dwe)!�ng 1 Code: ATLANTIC BEACH
'*i-M ted value
TM rov. Cost:
0 t a I e S,
4 P#0,kO�!
A 0 U vl'
ATION APPLICATION FEES
T P S PERMIT
STREET WATER, IMPACT FFF
T -_
itt 'CH. FLOFTD FEE
" WATER METEF/'TAF
RADON GAS 00
TR OR"18 RADON CAB 5% $0.00
FORMAT 1.
Name "( BA E ELECTRIC , CAPITAL IMPROVE, $0.00
OKI,
4 Ci d'k s 1 5 2 0
F�TH AVENUE NORTH SEWER TAP $0.00
jA C K L L E BEACH, FL, 32' CROSS CONNECTION so nn
7,ejll 2 e "'tr"PR � Type: SEC H IMPACT FEE S�'
SCHARGE/ATL.BCH,
NOTES:
NOTICE — ALL CONC FORMS AND FOOTI M UST BE INSPECTED BEFORE POURI
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.
000000000 000000000 $25.0014
ATLANTIC BEACH BUILDING DEPARTMENT Date: 9/22/94 01 Rcpt- 0084413
CHECKS 4225
By:
CITY OF AT
LANTIC BEAC FLORIDA
A°° '�'" ° '� APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 4
IMPORTANT NOTICE: _,.....J
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHE
ARE A PART HEREOF AND IN WITH ELECTRICA
WHICH /RIBED IN THE FOLLOWING, D
WE
WHICH A BEACH ORDINANCES. RE CODES AND CITY OF
rl � (► 1 /i/ � 1
ELECTRICA Ill M. � -
NAME
BLDG. SIZE RF Q„_,,,._ BOX
SEtMIEEN$
RES. APT. () COMM, (1 PUBLIC () INDUS, ( )
ADDITION () NEW () OLD ( ) REW. ( )
TMAILEA ( 1 TEMP. O SIGNS( ) ' IQ SERVICE: NEW (1 INCREASE T.
EASE t 1 ( )
CONDUCTOR SIZ FEE
T H q
EXIST. iERV. SIZE
►H � �
FEEDERS NO. SIZE AY
NO. SIZE NO.
LIGHTING OUTLETS SIZE
CONCEALED OP N
RECEPTACLES TOTAL
e.ao AMPO, �NCEALEO OPEN
SWITCHES s P AM TOTAL "
INCANDESCENT
FLUORESCENT 6 M. V.
FIXED 0.100 AM V
APPLIANCES
AIR H1. RATING BELL TRANSIT:
CONDITIONING COMP. MOTOR oSA MOTORS NG
TN
AMPS NIL HEAT: KW -HEAT
al
MOTORS
H.P. VOLTAGE Vp
PUB No.
• VOLTAGE PHI
MiSCEILANEOUS
TRANSFORMERS: UNDER so V.
OVER LIDO V.
N0. NEON TRANSF. NO. KVA NO.
EACH SIGN NO. VA. MA. MOTOR SIZE KVA
SWITCH FLASHE
FORWARDED
TOTAL FEES
i',R 3R44
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION -------- LOCATION INFORMATION -------
Number 9126 Address: 364 SECOND STREET
Permit Type:
MECHANICAL ATLANTIC BEACH. FLORIDA 32233
onstr- Type WOOD FRAME ----------- LEGAL DESCRIPTION ---------
t z�u6division: ATLANTIC BEACH
MATION APPLICATION FEES
C, BEACH FLOF
RADON GAS-H.R.S_
CONTRACTOR :INFORMATION RADON CAB 5%
Nalne, EMORY-A,,EATING 9 5 AIR CAPITAL IMPROVE.
948 'AVE, SEWER TAP 80,00
BEACH,FL CROSS CONNEICTTON $0,00
r Type* I SEC H IMPACT FEE
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS'LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. 99 1
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 000000000 000000000 $25.0014
Date: 9/26/94 02 Rcpt: 0084
By: CHECKS 2565
BUILDING AND ZONING INSPECTION DIVISION
CI OF ATLAN BEACH
ATLAPOTIC 6" FLORIDA �s"e
APPLICATION FOR MECHANICAL PERMIT CAzN NUMSEII
IMPORTANT Applicant to complete all items in sections I, II, III, and IV.
FI DENTIFI CATION Street 6 lateraeating Str*0v Behr•••
And — To be completed by all applicants Sion o/ la ne ;f divan for doing the work •• described n the above statement we hereby a danca
groe to per form said work in o aceo. of good te * good practice c tice plans tasted fhere�n, ns and spec; /;cations which •re •pa r► hereof and in accordance with the C ;ty of Jacisonv;lle ordinances end standards
f
Nave eN hAechaa;c•I
Coa►•ator ( Fri L pr ` Lt T �1 `/�i %Z Coelrea/on
Name of Mader 0A c . 2 Sv
Fnaperh owner /
Upsaitsre of owner
e Aw"i•ed Agent Slgn•hyre •/
tT Architect w E•gineer
F 6d'l�Al.
po d bating W
s.
Wc*k is OTIHM CONSTRUCTION KIN$ ""t an
THIS BUILDING ON SITt J J c S
O Gee — ❑ V ❑ N•tnrel ❑ Central UNNy
O 04 II Yes. Give: Hume" OF CONSTfM111CT10M
�tMMIT
O otbr — s,Kiti
IV. 64CHM11CAL RQNMMW TO M MWALLM NATUNG OF tM1011K
(►ro.:de 0"*04 Cd of co mpanaN• oo bed of Mb twat RoehyenHal Of O Crommorci
O 14"1 O Spas» ❑ Ressaw O c O fter O Now swans
O A;r Coadrt;owing: ❑ Room O Cee wl ❑ Existing I MMeing
a DwcN Sydan: M• O Ripl.ostn«nt of existing system
Maaiwws Capacity - C � G c -- eJa► O New ifl talletion (No system pwyIW* MNt~
• Rdr;gont;e„ Extension or add-on to existing syste n
• Cool;ag tower: Capacity ❑ Other — Epoc
O Fast grinners: Naesba of L --&
❑ Eiavf« ❑ Medih ❑ 6o.l.t«��— •Iwsi «!
O Gasoline Iw fltK PACs Pot OA10E It>r ONLY
O T ook (esrrtt`or) Ra+nssb
O LPG toots ; (ntttm`or)
❑ udirod pwwra aria
O Babe NOR 4pe�
O otNw — Spasify MarsttN s..
LINT ALL EQUIPMENT
AM CONDITIONING AND REFRMRATION [QUWbMM
number Vsfb Dsec tsron IhMI NtNttN►et IIw C!�)
G Aft
HEATING • FURNACES. BOILERS. FIRElrLACU
Number Vas1h Draslttsa >w�M llltltarsr �� ���
Ale
N�
TANKS
Md
�.tRlw IiB■�gat; No.
I
DEPARTMENT OF BUILDING 4 7 6 6
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
5.00 T
Date JULY 17. 19 _ 590OCKT
1 872.00 5.00 2418 1A 712118
Valuation $ Fee $ 4766 9000AC
This permit not valid until above fee has been paid to City Treasurer, and is G 4 1 U 1A 7/21/a
subject to revocation for violation of applicable provisions of law. 1 001
This is to certify that PHYLLIS PHILLIPS
3611 2ND STREET. ATLANTIC BEACH FLORIDA 32233
has permission to build A WOODEN DECK & INSTALL FENC9 AS PLANS
SIJBrIITTED. 7- 17 -81.
Classification WOOD DECK & FENCE ADDITIO RESIDENTIAL
Owned by PHYLLIS PHILLIPS 36f 2ND. STREET ATLANTIC BEACH FLA
Lot #21 Block #3 S/D ATLANTIC REACH
House No. 1W 9NT► STREET ATLANTIC BEACH FLl2 TR DA X2
According to approved plans which are part of this permit
t NOTICE —ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
„ AFTER DATE OF ISSUE
O Building material, rubbish and debris
I from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tractor or owner.
A. WILLIAM MOSS
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
FOR OFFICE USE ONLY
0 ZI
Date_/ --------------------- 19
Permit # Y C ...... Fee .....
... ... ... .... .
CITY OF ATLANTIC BEACH Valuation $Jt --- �74-6-0 ----------------------- FLORIDA House
APPLICATION FOR BUILDING PERMIT
. .........................
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of 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. ___y � .\_
Date
.......... 'A
Owner Addr ess.. - - — --------- - ----------------- Telephone No ......... .......... �'.
................................... Add
Architect- - - - - -- --------- V401K ••...... ................................... Address, ........................................................... Telephone No .............._.......- - - - - -.
Contractor Builder - - - --- . .
1 . .... - ------------------- Address ............ ............................................... Telephone No.... ..-.--.......------------
:941
Lot No . ........... ?.� ............... . ....... . . . .. ...... No._.. .3 ---------------- ... Sub Division ................................................................................ Zone -----------------
.......................................................... Street ---------------------- ... Side Between ..................................................... and -------------------------------------------------- StR-
Valuation $.__. :S-O.Q .............. what purpose will building be used.W
er ,.Q..Type of ---- -----
Dimensions .
ons of ... a-i ............. Dimensions of Lot ----- Size of Footings__\� . ..................
I—' -
AA-f\ --------- - - -- - Greatest Sill Span in ft ...... . - - - - -- -Type Roof .............
---------- -------- Size of Sills - X . .. . .. ..........
Size of Piers.
How will Building be Heated? ------_--- ................................ .-Will Building be on Solid or Filled Ground ? ..._.-- 4 --__..._____....-- -. . - --
Size of Ceiling Joists --------- 1 . 0 k, VN --- ................... Distance on Centers. ............................................ Greatest Span ............................................
_�) I_ -, Distance on Centers. ......... ............................ Greatest Span ............................................
Size of Floor Joists ... �, _ *.-A ........................
Size Rafters -- - -- ---------•----------- --------- ------------- - - - - -, Distance on Centers ........ ..... ............................. Greatest Span --------------------------------------------
This rectangle is to represent the lot.
APPROVED Locate the building or buildings in the
CITY OF ATLANTIC BEAM right position. Give distance in feet from
CUILDING OFFICE all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall U L 17.1981
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. Z 1618L, Z d2 Z
3. When steel is in place and ready to pour beam.
E-4
4. When framing is completed.
5. When rough plumbing is completed, and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville. 1 , A,
8. Final inspection.
Note: In case of any rejection, re-inspection MUST be called for after
corrections are made. T
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City ntAtlantic Bea A
Signature of Builde
Nl�_ ------------------- ............... ...............I............._.
.......... ..... ... . Address/, — .....). � X
..
.. .......QA ........
....... ....................................................
--------------- Add -
Signature of Owne . . . ..... ........
main Beata+ in conaret
_ Lj $ �
- - 2 RT. Joist
Oft {$ "eA-- r•5
" w
a.
5'
ZG
P
( 1 "O "A -
f ence g da
APPROVED
CITY OF ATLANTIC BEACH
BUILDING OFFICE
JUL 17.1981
I
r
s CITY OF ATLANTIC BEACH
%� S 1 800 SEMINOLE ROAD
r� ATLANTIC BEACH FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number . . . . . 08- 00001714 Date 12/15/08
Property Address . . . . . . 364 2ND ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1500
-------------------------------------------------------------
Application desc
reroof fl 10124 -r1
---------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
PHILLIPS, PHLLIS OWNER
364 2ND STREET
ATLANTIC BEACH FL 32233
-----------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 37.50 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 1500
Expiration Date . . 6/13/09
-----------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- -- - - - - --
Permit Fee Total 37.50 37.50 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 37.50 37.50 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
y
�s'`= %L'tr,,v CITY OF ATLANTIC BEACH 08- I I I
800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
n OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845
F/
BUILDING- DEPT @COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
1: JOB ADDRESS: 2. VALUATION OF WORK: 3. SQ. FT. UNDER ROOF
ki �� \ a
\ Atlantic Beach, FL 32233 l �<
5. CLASS OF WORK: 6. USE OF STRUCTURE:
4. LEGAL DESCRIPTION:
❑ NEW BUILDING El DEMOLITION 5
LOT _ BLOCK _ SUB DIVISION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL
7 DESCRIPTION OF WORK: ❑ ALTERATION ❑ ACCESSORY BLDG. 8. FIRE SPRINKLER:
EP�ff ❑ POOL / SPA ❑ YES Q N/A
p CC'C\ , F� O rte! ❑ MOVE ❑ OTHER ❑ NO
PROPERTY O ER: CONTRACTOR: ARCHITECT I ENGINEER:
9. NAME: 15, COMPANY NAME: 23, COMPANY NAME:
16. NAME: 24. LICENSEE NAME:
10. ADDRESS: \ 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.'.
1 ��� �� • 18. ADDRESS: 26. ADDRESS:
11. OFFICE PHONE: 12. FAX NO.: 19 . OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.:
13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE:
14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS:
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.
**,k 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 Agent Power of Attorney or Agency Letter Required) (Qualifier Only)
Signed: \N- Date: � _ Signed: Date:
Before me this day of Y 2007 in the county of Before me this day of 2007 in the county of
Duval, Sta f FF1 has p ona ly re Duval, State of Florida, has personally appeared
H I ev l
herin by himself I erself and affirms that a I statements and declarations are herin by himself/ herself and affirms that all statements and declarations are
true and accurate. G / I true and accurate.
Notary Public at Large, State of / County of "' Notary Public at Large, State of County of
❑ Personally Known 11 Personally Known
I duced Id ntifi Ion ❑ Produced Identification -
Notary Signature: Nota Signature: top
r �C,)'F y Notary Public - State of Florida y Commission Expires Feb 14, 2010 Commission # DD 518533
Bonded By National Notary Assn.
COAB FORM BLDG01: REVISED: 11/6/2007
sf CITY OF ATLANTIC BEACH
OWNER / BUILDER AFFIDAVIT
'��Jill�
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING" REQUIRES OWNER / BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE — OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE
OWNER.
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; 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.
V. ACKNOWLEDGEMENT; 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.
ADDRESS PHONE NUMBER
S
INT NAME
SIGNATURE T , DATE
Before me this /15 day of X 2007 in the county of
Duv ate of F orida, rsonally appeared
herin by him If /herself and affirms that all statements and declarations e
true and accurate.
Notary Public at Large, State of EL County of �j-
nnr,
i^ Po'• SHIRLEY L. GRAHAM
❑ Personally Known : .yp� :��
L Notary Public -State of Florida
11 Produced Id en tif ratio
- '
o s M Y Commission Expires Feb 14, 2010
••,F Commission # DD 518533
Notary Signatu Bonded By Na?ionai Notary Assn.
COAB FORM BLDG07; REVISED: 8/14/2007