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Beach Ave 250 PERMIT WORKSHEET Certificate of Occupancyl Job Address: 19(A C-T. Type Work: Property Owner: Phone # Contractor: Phone # Permit#: Date Issued: C:!�j- cDL4 - 7-7 9 9 S J06 t 4 cc)q- )e&,kV,f-et -- Building Inspections: Footing 4 - OL�— Slab -Z -L)LI Tie Beam Lintel Nailing Sheathing Framing Cover Up Insulation Final Building Tree Permit# E— YES NO Electrical Permit# Date Copy to 199 JEA :3E Temp, Pole Permit# Date /Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric 7-8- Released to JEA Temp. Power --- Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# I Final Inspections: Rough Poebing Permit# - ?.-7 C19 Topout -5-Z�--C)L4 Inspections: Rough Underslab 11 1--C)4 Water Sewer Final Drainage Inspection: Pool Permit# Final Inspections: Steel Grounding Final Roofing Permit# Final Inspections: Nailing Sheathing Fire Inspection: Date Paid: Failed Inspections: Date Paid: lqt CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach, FIL 32233-5445 Telephone: (904) 247-5800 Fax: (904) 247-5845 Date: Lj zl� — www-coab.uS SEWER/WATER Narnie ci� GLV'� QUOTE SHEET 1 Address )3� -tb UV,�� - -7 7 Telephone# The costs to connect your building to city: and/or system are: SE'WER WATER % SewerTap Labor and materials to tap into sewer main $ Water Tap Labor and materials to tap into water main $ 525.00 560.00 4 35"z Water Meter Cost of Meter $ Cross Connection Inspection by Public Works to ensure $ 35.00 35.00 Inspection backflow prevention Sewer Impact Funds future expansion of the sewer plant $ Fees Water Impact Funds future expansion of the water plants $ Fee Capital Funds for improvements, expansion or $ 325.00 550-00 2--,2 15.6D Improvement replacement to water system TOTAL COSTS 4446.00 421oolcz Homeowner must hire a plumber to install a backflow preventer and make the connection from the private property. PREPARED 5/23/05, 14 : 58 :35 PAYMENTS DUE RECEIPT CITY OF ATLANTIC BEACH PROGRAM BP820L -------------------------- ------------------------------------------------- APPLICATION NUMBER: 05-00030398 1964 BEACHSIDE CT FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- CAPITAL IMPROVEMENT 225 . 00 WATER CONNECT/TAP & METER 35 . 00 TOTAL DUE 260 . 00 Please present this receipt to the cashier with full payment . '2W, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027993 Date 5/03/05 Property Address . . . . . . 1964 13EACHSIDE CT Tenant nbr, name . . . . . . BATHROOM ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9500 Owner Contractor ------------------------ ------------------------ RHODES, R. S . OWNER 1964 BEACHSIDE COURT ATLANTIC BEACH FL 32233 (904) 241-1420 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc RENEWAL OF EXPIRED PERMIT Sub Contractor ROLLAND REASH PLUMBING Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/03/05 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 13UILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH js� 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION P14ONE LINE 247-5826 Application Number . . . . . 04-00027993 Date 5/03/05 Property Address . . . . . . 1964 BEACHSIDE CT Tenant nbr, name . . . . . . BATHROOM ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9500 Owner Contractor ------------------------ ------------------------ RHODES, R. S . OWNER 1964 BEACHSIDE COURT ATLANTIC BEACH FL 32233 (904) 241-142 0 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . RENEWAL OF EXPIRED PERMIT Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 9500 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . WATER IMPACT FEE 120 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 155 . 00 155 . 00 . 00 . 00 Grand Total 190 . 00 190 . 00 . 00 . 00 PERmrr IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES, BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ............... ATLANTIC BEACH, FLORIDA 32233 INSPECTION P14ONE LINE 247-5826 r Application Number . . . . . 04-00027993 Date 5/03/05 Property Address . . . . . . 1964 2EACHSIDE CT Tenant nbr, name . . . . . . BATHROOM ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9500 Owner Contractor ------------------------ ------------------------ RHODES, R. S . OWNER 1964 BEACHSIDE COURT ATLANTIC BEACH FL 32233 (904) 241-1420 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc RENEWAL OF EXPIRED PERMIT Sub Contractor VALDAN ELECTRIC CO. Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERmrr is APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUELDING OFFICLALL CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date:* Property Address: _&EAtA+-Sb')C_ CT Owner: ,4-!2WS Telephone#: ZZ Contractor: o'vl Telephone #: V Contractor Address: �� 7 T%iA(c '-e')tdj Fax#: In consideration of permit given for doing the work as described in the above statement; we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach L ordinance and standards of good practice listed therein. Building: Building Type: C1 Trailer Service: If other construction is C1 New 0 Residence Q Temp. Cl New being done on this building OT site,list the building Old a Commercial 0 Signs C3 Increase Permit number C1 Re-wire Addition Sq.Ft. 0 Repair 1 1 ;5(l _n-4 .a 9 3 Conductor Size: ANTS: C PER AL Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN T1 11111 AMPR 00 A�"R Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-BEAT Conditioning COMP.MOTOR OTBER MOTORS AUTS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon—Transf. Ea._Sign Miscellaneous 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845 - http://www.ci.atlantic-beach.fLus CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027993 Date 5/26/04 Property Address . . . . . . 1964 BEACHSIDE CT Tenant nbr, name . . . . . . BATHROOM ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9500 Owner Contractor ------------------------ ------------------------ RHODES, R. S . OWNER 1964 BEACHSIDE COURT ATLANTIC BEACH FL 32233 (904) 241-1420 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . VALDAN ELECTRIC CO. Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ------- --- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ( - qo-�' B DfNG OFFICLA1 S CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001187 Date 8/29/08 Property Address . . . . . . 1961 BEACHSIDE CT Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc cu and ahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PELKEY BUILDERS TROPIC HEATING & AIR P.O.BOX 72 Q/A:MARKS, CHARLES J. ATLANTIC BEACH FL 32233 750 MAYPORT RD. ATLANTIC BEACH FL 32233 (904) 241-1788 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 123 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/25/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 123 . 00 123 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 123 . 00 123 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES.