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Permit 685 Amberjack lane~... 'a ~~o ~` ~ , Y F ATLANTIC BEACH ~ CIT O 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ,VC1 Qt`v INSPECTION PHONE LINE 247-5826 4 Application Number 09-00001188 Date 8/19/09 Property Address 685 AMBERJACK LN Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation 4000 ---------------------------------------------------------------------------- Application desc RE ROOF FL 1956.3 ---------------------------------------------------------------------------- Owner ------------------------ HALL, MATTIE 685 AMBERJACK LANE ATLANTIC BEACH FL 32233 Contractor OWNER ----------------------- Permit -------------- ROOF PERMIT ------------------ --------------------- Additional desc RE ROOF FL 1956.3 Permit Fee 50.00 Plan Check Fee .00 Issue Date Valuation 4000 Expiration Date 2/15/10 ------------------ ----------------------- Fee summary ---------- - - -------------- Charged ---------- - ------------------ Paid Credit --------- ------- --- ed Due --- ---------- --- - - Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ~. t ~.~ ~ 4~ A~ r1`A'` rr- ,, '~ ~ l' Ire ~ CITY OF ATLANTIC BEACH 80D SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 OFFICE: (904)247-5826 • FAX NO.:(904)247-5845 ~ ~~~~,~~ BUILDING-DEPT(~COAa.US BUILDING PER1r111~-~iPPI" ICaTfIAN 09- I . I -. __L _.I. _ I nl niel rnr rsr-rv 1;:JOBADDRESS: 2. VALUATION OF WORK ', 3. SO. F"f UNDER ROOF _ ~~ -oY1 ~ ~~.J t~{-C K L ~J ~ U ~ _. < 4: LEGACDESCRIpTION: 5 C 6. USEOF STRUCTURE.:. ~1 '~ I ~ ~ L ^ NEW BUILDING ^ DEMOLITION ^ RESIDENTIAL ~ ~ LOT BLOCK SUB DIVISION H ^ ADDITION ^ CONVERTING USE ^ COMMERCIAL ", 7. DESCRIPTION OF WORK ^ ALTERATION ^ ACCESSORY BLDG 8: FIRESPRINKLER I C, ~~ , ~ ,~ ~ ~J (l ~ ~ ~ . ^ REPAIR ^ POOL /SPA ^ YES ^ N/A . ' ` ~/ l ^ MOVE ^ OTHER ^ NO PROPERTY OWNER: CONTR AC OR: ARCHITECT /:ENGINEER`. 9. NAME: 15. COMPANY NAME: 23. COMPANY NAME: /// C~ ~ ~ ~ ~ 18. NAME: 24. LICENSEE NAME: 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: 18. ADDRESS: 26. ADDRESS: 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: .FAX NO.: 27. OFFICE PHONE: 8. FAX NO.: . CEL PHONEi n O ^' ~ ~ ~ t~ ~ L 21. CELL PHONE: 29. CELL PHONE 14. EMAIL ADDRESS: 22. EMAIL ADDRES 30. EMAIL ADD S: FEE SIMPLE TITLE HOLDER: (IF Q1NER THAN OWNFR) BONDING COMPANY:- MORTGAGE LENDER: 31. NAME: 33. NAME 35. ME: 32. ADDRESS: 34. DRESS: 38. ADDRESS: Appligtion is hereby made to obtain a permit to do the work and installations as indipted. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, .Air Conditioners, etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. *~ WARNING TO OWNER: ~ YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE ENT. OWNER. or AGENT CONTRACTOR (If Agent Power of Attorney or Agency Letter Required) (Qualfier Only) Signed: ~( ~~~ Date: ~ ~~ Signed: t ~ ~ a e: Before me this _ day of , 2009 in the county of Before me this day of , 2009 in the county of Duval, State of Florida, has personal) ap eared C Duval, State of Florida, has personally ap red oL. L"e,P ~ ~ , herin by hi If /herself and affirms that all statements and declarations are herin by himself /herself and aff s that all statements and declarations are true and accurate. true and accurate. Notary Public at Large, State of ~, County of r ~ Notary Public at Large, 5 e of ,County of .....^...,,,///Personally Known ~,/ ~/ r P d d Id t~ ~' " ` Z ^ Personally Known p ro uce en cetio - 7 T ^ Produced Identficati n - Notary Signature: ~ Notary Signature: .... - $~ Notary Public State of Florida . Nancy E Bailey My Commission Ot?~45822 Expires 02/08/2012 BLDG01 Permit Ap n d : S CITY OF ATLANTIC BEACH ~~~~`' ; ~. ,~~ ~~ ®WNER /BUILDER AFFIDAVIT ,,~ 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 REQURES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. T'I~ 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 AONE - 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 WI"THIN 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 REOUTRED 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. 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; (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. ~ ~.~ ~--,~ ~~: r~.a ~ C ~ c, ~ ADDRESS j"'~'-q PRINT NAME ~..1 SIGNATURE Before me this ~ da f 20~in the county of Duval, State of Flori a, has personally a geared herin by himself /herself and affirms that all statements and declarations are true and accurate. // Notary Public at Large, State of ~~- ,County of ~/~.l/a..-/ ^ Personally Known ~L~-~ . ` v ~ ~. ~~ , , ~ ~~ produced Identification - `~ . L ~ Notary Signature: F:BLDG/Owner-Builder Affadavit; REVISED: 4136(2009 PHONE NUMBER ~ -ig ~~9' DATE ~atas'r ~ Notary Public State of Florida Nancy E Bailey My Commission DD745822 ~~~~ Expires02l08l2U12 :~ ~ ;. _ ~' ~--,~ .~ . ~~~_ -t~ F 1 Application Number Property Address Tenant nbr, name Application description . Property Zoning . Application valuation . CITY QF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 . 06-00032731 . 685 AMBERJACK LN . INCREASE SVR . ELECTRIC ONLY . TO BE UPDATED . 0 Date 4j07/06 Owner Contractor ------------------------ ------------------------ HALL, MATTIE OCEAN ELECTRICAL CO., INC. 685 AMBERJACK LANE PO BOX 50737 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 249-3112 Permit ELECTRICAL PERMIT Additional desc . 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 PERMff IS APPROVED ONLY IN ACCORDANCE WTTII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDIN .CODES. ~' ~ f~ ~ ~ , BUILDING OFFICIAL BUILDING AND ZONING MSPECTI©N DiYtSlON CITY OF ATLANTIC BEACH ATLANTIC ~RACM, /LOwiOA >tli>it APPLICATION FOR MECHANICAL PERMIT CALI~iN NUMltER IMPORTANT -- Applicsnt to complete ell 'rtan+s in sacf'isnt I, tl, tlt, a,d iV. 1. LOCJ1'[tON ~ ~.. ~ slr••- Addun• ~ ~ C - _ L,t ~ ~ ~-= -~ ~ ~ 1 ~ ~,~ 1.1en•sfinq S?-i•1~: blr••n.._,a.:~` -. ,;~' ..r - -- ~--f+~--~~ ~~l l fW{LDING SYi1./1t1/1•A 11. IOENTIFICATION -- To be cornplet~d by ell applicants . le co~rdw+~on of p•rnti+ q~.en la ~oinq -he r,er1 ei •eltribd in the ebeve N•Nrn•nf w Mrery egrN fe perfenA trill ..o.l in eccerderu riNl +h• N+•c-V~ P~•~• •~d •pecifitllioM rhith e+e • pH Mr•ol end iA •CtM~eAN Sri/A IM Ci/r Af Jec4wiwiMe praiAence~ end ~bnd•rds d therein. of good ¢r•c+~c• I~ti1• NeA» el M•theAisel / ` ,.~~ v ' CeAMMIM{ ~~-(/'/ j ~ ~//~ ~ cMh•eM+ (hiAt) °/ / ) wlerMir ., / + ~i/ w..» a ~ - fr.~«h QrAe+ -~ -~~ iigeelr-• •t O.n•- e• Arl~eri~•~ Aq•M agAe1~ e# A-tMINs1 M E11~iA•N III. i~IERAL INFORMATION A • Y~ Kn~ (wl: 9• ~s ors caar~ucrfoi~ ~aMa ooM~~ ~,;~ rNis wn.o~a oR s~rc • ___~_,~ p ce, _ O u o N.k~l o c~Ab.l uwMh- ~~,ns, a+vs emote or oo»srM-cnow o Od -iM11T Iv, weww~x purM~rr to st INSt~us lu o- wv~c fi'~"'~e eg1A~INe ti11 d wArAeAh M Mel d Nii•}I~-I 11NWN1tIM Ot ^ ConNn~sl 0 MM! o Spp o Re..eM/ ~~" GA/w1 {7 i~- ^ ~ CeA~i.eiAq: o ENe1 p' G+I/al ~IlNdlll/ O O ~,~ ~~~: Neer ~.~~ NMUr IMRdIWOn ~ EIIMM~ awl' III~ANM Mni.lwe teptllr ~.~. O tlewlw~l a ai~eaos a anlNt~ .rN«s (] C«+iAg le+w-: Gresth ha'w' o ~.». o IAeAIiR o 6e.leM»_....-....~-t~-i >~ >~ l~Qlt 0lIi10/ w1 Osl-r p a.>»s•. iw~«1 IIM..>r.i1 . . ~..! --1- tw It.~nM r p T o {~A~Me~ ii11MIMA veNel ~N ~~ ~ ~.....~.~„r t~ ~e usrr ~s.1. s~cnrK>srrr As ooKOlroriuro ,-r+o ler~la~-rosl tq»Nrtrlr • fArwffr vsiw ~eiN ll~Ml 1o~rr err ~ ..ass. DEPARTMENT OF BUILDING ~JUO~ CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. y PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB ~!~ s ~ fiL Date Aul~ust 11 19 87 ~ ~ ~ ~„ ! ~ 1~ / ! +~ /7, ~~~ie lC1C1C.~~ valuation $ 5, 04t?.00 ~ $ 28.5Q ~~~~ ! ~ ICJ f I+IE# ~ ~tl~G! This permit not valid until above fce bas been paid to City Treasurer, and is subject to revoation for violation of applicable provisions of law. This is to certify that©y H».11 has permission to l~~ close carport ~~ peT Pens provide additional parking space i Classification Residential Zone RS-1 it Owned by CoY Hal 1 Lot 6 Block 5 S/D ~Yal Palms ~~ 685 ~berj ack Lane House No. .According to approved plans which are part of this permit ~>, ~--D 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 ~ from this work must not be placed in public space, and must be cleared !i up and auled away by either con- tract r ow~er~. ~' ,t !,Z/ ,~ S ing Official. FOR OFFICE USE ONLY PERMIT NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER ~-•. ''~. ~ ~ ,~ PLANS REVIEW CHECK LIST Address_~_'-~_~.~? ~._~f:_~/~' t`~~`?t~`,.~ Owner__ ~''~."C".,! --` ~ `-~=~'`~------------- ,,~~~~ .. Legal Des~riptior~L ~_ ~_~,~c'r'~._~c~ ~ __Contractor ~~-~`-- ~'~Y;1~ e A`;n..% r7 ------- --- ~^ ,r f' lY. ,, ~' `- r,~:t ~ ,< ~ ,~-~, r ~ -_--License Number ~~,~~ ~~~ ------- ----~==--- ~. ~=~__~.z.~_~__ ___ ~` ..~ License on File YES r'~ Section 24_101 * Zoning Regulations '. ~gnc~i~~ ~ ~;~ ~~ ~yr-~ ~_ Zoning District ~-'~ ~ _ Proposed Use ~ ~ y1~' f~ -}-Qty. ;~ ~ ~ _ --- --------- _,t. -- - --- Required Lot Size ?~~~ ,~.~ ;~C~ ~ ~~,.' ~ ~ ~ `` ~~ - ~_-!-___-- y~ Actua Lot Size ~,1'_~ 11 ~ f,.` ~f'~D~.'" ~~ ~l'D-f l~ta, Setbacks Required Provided Section 24-17 ' front C~l~___ __ ~~__ / CORNER LOT INTERIOR LOT ;~ rear --~~'`'-- ---- '- ~- "° _ Flood Zone " '' side-1 _ Required Elevation__~~~_ side-2 ----~1~'-~_- -- ~~~ - - Max. Height Allowed__ ~ ~ s___ Proposed Height____;~i I_~'_ Section 24_82 +- Minimum Lot Coverage Required Heated Area ~ __ Proposed Area ~ L _____ - ~ -- - ----- r' Section 24_161 * Offstreet Parking ' Number Spaces Required__ ~__ Spaces Provided_ ~_ Section 24_82 * Duplicate Buildings ~~a_.__, Is there a similar building within 500' of proposed building?YES,.-' Utilities Water and sewer service is to be provided by: Buccaneer Utilities __v~ City of Atlantis Beach Utilities Private Sourc SEPTIC TANK WELL .--.~- d Plans Reviewed by t~.: ~.,. ~ ~ _ .~ ~ f' ~ ~~+. ~~~ ~ ~, "~ ~~" '~'~°',.~ r ~ ~,~,~ ,~ - --Date- --- -,,~, ___L~1., Building Permit #_ ~~~_~,__ ~..~ISSUED ,~'} DENIED ~---- M~~~~ c ige 'r~^l;~t ~~r ~i ~~r.~ R ~~ ~. .~ $.7/ ~ _ x.er sq ft = $ ____~..,~-1~.~~Q ' ' $ persgft=$ •$ per sq ft = $ a ,. $ persgft=$ `~ , ; $ per. sq ft - $ ,TOTAL VALUATION ; $ ~:r~y 1St $ ~ s~~ ~ ~ a ^~ $ ~ ~ r ~,~ <d4per thousand or ~ ------- onion thereof ~ -------~----------- ToLa1 13u1.].dirrg Fee $ ~• /^- *~~ _. and/or FEES REQUIRED i ~ + ~ Filing Fee $ . _ -~ ~}, ~`~ ~ Mechanical ; d~•Fireplaces @ 15.00 $ Pltnrbing BUDDING PERMIT ~ ~ $ f :~ d N l i ~ ' e<a E ectr c/ ~ • Electric/Tamp ~ . BUILDING PERMIT $ ~ ~ j ~ ~ i k S T c _.. , an ept c . W ll •• WATER MCIZ;R CfIARC~ $ e i P S u l ~ SEWER IMPACT FEE $ rrrr ta ng oo WATER II~'ACT ~~E $ Sign MISCDL~INEOUS $ ' Water Connection i ~ $ on Sewez Cotrnect ~ $ Water Meter • Elevation Certificate' ('Rl1ND TOTAL DUE $ ~ '~C~ _ , CI~LCULATIONS acrd/or NO~i~S ~. . ;; • ~: ~ -. .• . •~ APPLICATION TO MAKE ADDITIONS OR ALTBP~A;I'~QN~ , CITY OF ATLANTIC BEACH ding and Zoning Owner ~, , ~, ~. Address (~ `~' ~ ~~~~ c, j L ~ t-i. Phone 2-~{ mot-- cam, 8 y Architect Address Phone Contractor_ ~~_ Address Phone Contractors License/Certification Numbers - Expiration Date Property Address_~ Lot ~~~Blcok or Unit ~~ J Subdivision ~ ~ `~~ U~u'~ 1 Valuation of Ccrostruction $ ,3,C~C%rJ Type ©~ Construe on ~~~~ ~ Describe Work to be Performed `~- ~ c~ L,a ¢. _ ~' (1 ~-- ~p ~(~ Materials to be Used (~7 ~ 3 c; Present Use of Building C' ~ ~- ~b ~--~ Proposed Use of Building ~~Q~m Flood Zone Du~nsions of New Area: HEAT C,ARAC~ OR S'IbRAGE CARPORT OR PORCH I~CK PATIO Will there be an increase in number .of units? Will there be a decrease in number of units? Any additional plumbing fixtures? Any new fireplaces? SUBMIT TWO COMPLETE SETS OF FlaANS INCLUDING SITE PLAN Signature Signature OONTRACI'OR YES NO NLMBER _ .. a/l _.___.~ . _~ / . .~ Date ~ ~ 3~~ ~ ~ -~t ~ , Date ~~~~~~ nuc 1 i i~sl o~ J ~ ~N!~ ~6 ~ .~--~ ©! ~- t~ r~ ~~ ~w~ ~`d~~ 15 "r ~y ~ ~j~~'~1~~ ~- 7.~ asn oN ,~-~ 4 ~ -~ ~ ;r.. ~` ~ ~ ,; _ ~-~- -', y ~- ~~ BUILDING AND ZONING INSPECTION DIVISION Z CITY OF ATLANTIC BEACH, FLORIDA. IL ~ ELECTRICAL ~.ERM1T ~, o z O ~. a Dote ~+ ~'~ Fee; Permit No, ~~ O J location ~~ ~ m Between and G Thia is to certify that a ` ~ y~ .rah,, ~~ ~+ ~t +~q+~ r~#c-i~~~arR-i,~iy3$- ~ ~~i fAG+,~ W_ ~ ~ a g 3. (Electrical Contractor) (Master Electrician" °' ~ , has permission to instaN Electrical Construction as described herein in W ' accordance with the provisions of the Electrical Code and regulations ~ ' ` g of the City of Jacksonville, and subject to the information shown on the application, drawings and specifications which are made a part of this ~ permit. E.. for _ _ - -- ~ 3 Type of work: l~nat~i Aatid3t> p SERVICE: ezst Iii 1; ~Ir 2~hro1~ ~b1~ - ~" Feeders: Outlets: __ ~` Receptacles: Switches• Incandescent: fluorescent: Appliances: Air Conditionin Q N cW O v W m _N 9• Motors: Transformers: Signs:. miscenaneous: IF NO WORK IS DON THIS PERMIT DURING MONTHS PERIOD, PEI BECOMES VOIO. ~r'`~_ b r ND ZONING WSPECTION DIVISION z a FLORIDA oc BUILDING A c ~ CITY OF ATLANTIC BEACH, = ~ Q ~~ ~ PERMIT EIE~TRiCA a 3 Qnrmit No. ~-~ O . ~+~~` Fee 3 ._~---""'"_'_ ~' pate ~ " - m ~ Q Location and °' ~ +. Between _ ~ ~e.t.raa lJ~~ `~- r ~ E ~ ~ This is to certify that _ ~_> ( as er EI tnu4vi ~ W (Electrical Contractor) U rE UlatiOnS ;t has ermssion to install Electrico f Che $Electr'colaCode o d d ~ rein the W ~ p rovisians o = accordance with the p of Jacksonville, and°sublect to the information shoar of this 3 Y of the City ecifications which are made a p f- application, drawings and sp a permit. `" for O ~ TYP'° °f work: ~ ~ > SERVICE: a ~ N W O V Fenders: ~' m Outlets: '^ R~eptacles: _ t- Switches' 4ncandescent: Fluorescent: gpplicnces: Air Gand'etioning: Motors: Transformers: Signs: (~iscellane~s~ IF NO WORK pUR1i~1G ANYDS X THIS PERMIT MONTHS PER100, PERMIT acc^(~MES VOiDY L".." - } ~. ISSUEO BY' Electrical lnspe2tan SuPe~~ CITY OF ATLANTIC BEACH, FLORID ~ (p ~~ ~~~ by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: r I ~19~~J IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN AC CE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. rn NAME ~ ~ `1~ .. ~C~~~-~ ADDRESS: ~~~1 ~y~„FD BOX 8LD0. S'IZ/E BETWEEN: RES. (tY APT.1 1 COMM.1 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ) OLD (~- REW. ( 1 ADDIt10N (.-1~ TRAILER ( - TEMP. f 1 SIGNS ( ! SO. FT. SERVICE: NEW ( 1 INCREASE ( 1 REPAIR ( 1 Fl FEE M~n~urtFnQ c~7t eMtac cnPaFR 1 f eltlM_ i 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE ~ AMPS ~ PH W OLT ACEWAY FEEbER3 NO. 51ZE NO. SIZE NO. SIZE LIQHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES (,.~ lIJ CONCEALED OPEN TOTAL O.90 AMPS, ~1-t00 AMPtq. SWITCHES ~ i ~~ INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRAN$ F. AIR CONDITIONING H.P. RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CELL HEAT: KW-HEAT a MOTORS 0 H .1 .P. VOLTAGE PHS • ' NO. OVER 1 H.P. VOLTAGE PH5 e ?S~`~'~l r/v~ . Js `~i CITY OF ATLANTIC BEACH, FLORIDA `' ~ ~~ ELECTRICAL PERMIT APPLICATION TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 20- 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. ELECTRICAL CONTRACTOR: MASTER ELECTRICIANS SIG OWNER OF PROPERTY: rn ~n_~ ~ ~ ~ ~ /4 l~ JOB ADDRESS: ~ O ~ /"t' N'1 ~J' ~l •A~ GJS RES.( APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REw.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) ocn~,Tnc. rrL'u/~ \ TA1!`AFACFlJ~ RFPATR( 1 CONDUCTOR SIZE AMPS: qp COPPER( ) ALUM. FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30AMPS 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT & M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR CONDITIONING H.P. RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEIL. HEAT KW-HEAT MOTORS 0-I H.P. VOLTAGE PHS NO. OVER 1 H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. KVA NO. KVA NO.NEON TRANSF. EACH SIGN NO VA MA MOTOR SIZE SWITCH FLASHERS SQ. FT. SUU Seminole l~ioad • Atlantic Beach, Nlorida 32133-5445 Phone: (904) 247-5800 • Fax: (904).247-5845 • http://www.ci.atlantic-beach.fl.us uP~;~P~ nvi~in~ H`a Offfcejet 7410 personal Printer/Fax/Copier/Scanner Log for Information Systems 904-247-5845 Apr 07 2006 2:21 PM Last Transaction Date Time Time Identification Duration Pages Result Apr 7 2:20PM Fax Sent 96657372 1:05 2 OK PSA-3844 10153 DEPARTMENT OF BUILDING CITY OF ATLANT IC BEACH -..___ PERMIT INP`QRMATI~?M ______ _____-_~. LOCATION INFORMATION ------- P~a-mxt I~fumber ~ 1~J153 A+~dr~~~ : s;SS AMBERJA~"R .LANE F~~rrr~i~ 'TyP~: EhEC'TRLCAL ATh~1NTI~~ PEP.~'~I, ~'L~'RIDA "~~:<:{?~ "lase c~f_ hark: ADI,iITIC7)'~ ________.._ LEGAL DESCRIPTION __~____-- 'an~t ~i . T`y~aa : 6~OOL~ F'~AI~IF lace : Bl ack r, S~c~i cir~ ` P~.~o~c~se±~l i~se. SINGLE FAMILY T~;~nan~h~.F. FNr", ~ L~sa~i l~ nos . .'.. Cady. B ~ul^c~i.vi~won. ~.`;~ ~ ? i'Ci~ l" ~ C~ Val 1.l e ' ~ ~'' . `7 ~ `Pn~tal ~~'~es : X25 . ~~ AI'fiC7t1I1~ ~'~3~~ ~~~.~~~ AE~~i3 ~~P~2L~.~ ~~~~~~~~ __.,.._~._ . .. RMATI~N ------ - __.__ APPLICATION FEES ___-- PVame : x~~~~ #~IAI.L FI~~ I'T' Ste`-~ . Can Addr~~~': f.~$5 A~#BLf~~7A~"4t .ANE I~A'i'ER IMPA~"T FEE $n . ~?'? ~iT~ANTIC .BEACH . ~'LOI:TT.'~A ~??. . v~ SEWF,.k IMPP,^T FE)v $D . GO Pt~~~~~ ~ C 9~ 4 `?~~g °~~5~ GdA~'£R_ME~TER1',TA~' _~~ , D'~- _..___.-:. GC~~#Tkt:AC'i"Cll~t, INFORMAT~IOI~ ------ -- RADON ~:'~,E 5~ ~~?.Cr~' i4 ame ~ ~ F. R. EL~GTR T ~" ~"~~MI'AN~1 '~ AF T'TAL I7NIPROVE . a~ . 0 ~° . t~?. B 6 is+~~r~S~ ; >~ ~~Y . c~ ~ ~ S ~~ . Cod WE F: Tfi SE P 77 Jg1r ] ~'{ `' ~ [ j } ~ * ~1~~.. ~a.J~AY YSl71.1i:.Y $ti J?~~'/ h ~x7~~gr I'~{ y~~ ~ !1 yP. ~~i~.~~~3V tl G.~L 1~~11+i~ yl fy I.,~,t.~n~~. FRO`-~,~DB~'~D TyP~. .~ sl~r` ki IMPACT F`EE $G.~P ~~~~IyST , SiJR~fIkRCE ~~ . Lin Sc"HAF'~'~E/'ATL, . Bt'H . $C? : np ~~ NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTLNGS 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 O R OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS'' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT '~~'~'' ~ ` ""~`fi~;~^` x " ' ~ f~ ty ,'; i~.il:'; .)i ~. t~}"J}( i?C:ti~'~ ik.!~.'L,N~{+ B P .~~~„~,..~'~~,, Y~ i ~I~~ ~~~1 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT May 15, 19 95 f TO THE CHIEF ELECTR{CAL INSPECTOR: DATE: IMPOF3TANT NOTICE: IN CO.NSIDERATiON OF PERM)T GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE W{TH THE ATTACHED PLANS AND SPECIE{CATIONS, WHICH ARE A PART HEREOF, AND IN~ACCORDANCE WITH~THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. I it $c ~ Ll~CCIC of North FlAridat Cfl$~ 6J~ NAME_Ci1~y H~11 .ADDRESS: 685 A ber.iack Lane RFD BOX BLDG. SI/ZE BETWEEN: RES. (~ APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ! OLD ~ REW. ( ) ADDITION ( ! TRAILER ( I TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) FEE nn~~n. ~nrnn e~7e eMPS Cf1PPFR I 1 ALUM_ ( I SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE ~ AMPS P W / OLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANS F: AIR H.P. RATING CONDITIONING COMP. TOR H.P. RATING OTHER MOTORS AMPS CE1L HEAT: KW-HEAT MOTORS 0.1 H.P. VOLTAGE PHS NO. OVER 1 H.P. VOLTAGE PHS MISCELLANEOUS He at PSR•38AA DEPARTMANL TIC BIEACH CITY OF --_ L~ERMIT INFORMATI(}~T '-_...~ M~r.~i'c Nr.~m~~r : 1C13U p~~~mat Ty~e~ ~ MRCNANICAL se ~ ~s~ ,:r~ 4~or1:' I~iEW ~~,~~~str . T'~P~' : WOC'I~ PI~AME Prora~~~~ U°~•. STtiGLE Fp~IILY ~"~;•tA~ ~~n~z~: 2 Cote: C F~.~ ,. ;nat S!~ . ~?~` ?reip~:~;~;v. o-~ra~~.: ~~7.fl~ Total F~~s~ ~~3.~~ Amours+: 'Yai~;,, ~~1~/~5 Dat.,~ Pal: ~~l - LOCATION INFaRMATI~?N _______- A~clzw~a ~ s;85 AMBRR~3AK LA!~E ATLATZ'I'j~"' PEA~'H , FL~'Fi~~AI^~ 2 ~= __.~ LEGAL DESCRIPTION --- ___-~-__ S+~ct~.~~~~, Lat: B7r,~rk: To~anwhiP ~ R~~'' ~ Subdi v~ ~ ~ ran : R+~XAL PALM'S ; IHST'AI,L ~:ENT~t.AL HEAT AND AIR Wo1 }: I.7~ ~~ • -- - APPLICATION FEES _ ". ~ _ ____ _~ __ _ OWAi'~'R TI~F'JRMATiON -- PERMIT ~~ . $~, f,~ i~a9n~.~ ~~OY ~~#LL_ >~,. - G85 AMBFRJFsCK LANE , ~1~,TEk TMI'A~"T ~"BE SE~~R INiP~4CT1 I"EE ~.~ ~,, ~ . r'~.!~,~r!'3s ~ ~ RTLAI`dT l r Bk:A^H . gI,CRI l~A 3 ~. ~ ~ -~ ~ATE~c ~lF~''1.'~R.,~'~Ap' ~ ~ . ~n ~ '. nn GA.S~-R.R,S . Sn !~n -- IN~`0~'MA''T'~~t3i~ ---__-- .. _ ~y t yy ~ COi~TRAC'PC~ ~ RP,S?~`.~N CAB ~~ ~,, zMPROti'E• ~,.-I~PITAL ~~, ~~ ,~i~, D~ ... ...._.... tn~YY '~~~: . , ., ~.7 . Y ~p 7~ ~p y~y~ { ~y, a ~v N t Ci Ad~ `..~Ol.~S1 ~1~•~. i1~L1.~ HFw i'iT ~ °~Tl ii~i~ .~i.~A ... ,,.., ... ~ ~ . f-`(Il :\. ci Cj.!..t> ~S.~.i ~ p F.. ~ 5t3N°J I LLE , ...FLORIDA ~ ~ 2 "~ 5 3A~"K SEC ~ IMPA~..'T FEF ~f1 ('fin l r'~T1«~.,~ ; I , . ~,~?"~I:dST . SUR~~'HA~'C~_>~ Jf~ . Q~ ~ S~'HA~t~3E~f ATL . E3~~"H . NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTE© NEI`taRE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE IAL RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE BUILDING MATER CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER ~~ E TO COMPLY WITH THE MECHANIC'S LIEN LAr~Y .CAN RESULT" Its FAILUR T THE PROPERTY OWNER PAYINGTWIGE FQRTH~ ~ ~~~~ ~F~~y~EIVIE~f ISSUED ACCORDING TO APPROVED PLANS WHICH ARE RAFT OFTH~ PERMIT A~D SUBJECT rta REVOCATION Ft~R ~ ~~ ~,!~'~ VIOLATION OF APPLICABLE PROVISIONS OF LAW. ,,; ,, ATLANTIC BEACH BUILDIND DEPA ATMEIV T ey: •~ --= _ r ~1 „. _._ __ ~ ~_~ ._ A ~ . '~"" CITY OF ""`' Office of Building Official 9p0o3 x(+~7 REGIUEST FOR INSPECTION Date ~ ~~" / Permit No. ~~~P Time A. M. Received/„cy ~ .tt /P.M. ~~/~1 District No. ~r1 .fY Ir!!/'<~LrJI' !~ ~ //1' a~1/ O Job Address /j Locality Owner's ~ ~~ Name ~ r ~ BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL ~ Framing ^ Footing ^ inng ~ Rough O Air. Cond. & ^ Re Roofing ^ Slab ^ Temp Pole ^ Top Out ^ Heating Lintel ^ Final ^ Fire Place ^ Pre Fab READY FOR INSPEC N Mon. Tues. ~ Wed. '' h``~~s. ~ Friday P.M. r"" .`:/ ' Inspection Made 7 P. M. ~! Inspector r~~ ~ ~»+* ~' I I~i7paction ^ i Certificate of Occupancy Date ~~ r' r l 'I d ""'' CITY OF """"` Office of Building Official /yam Xp~ REQUEST FOR INSPECTION Date / ~ ~ V ~ .` Permit No. 9o O Time A. M. Received ~ P.M. District No. Job Address ~ ( Locality Owner's V Name Co actor BUILDING CONCRETE LECTRICAL PL BING MECHANICAL Framing ~. Footing ^ _mng ~ Roug ^ Air. Cond. 8 ^ Re Roofing ^ Slab i-7 Temp Pole ^ Top Out ^ Heating Lintel ! Final ^ Fire Place ^ Mon. DY FOR INSPECTION Wed': ~~r Thurs. Friday Pre Fab A. M. P. M. ~j ~ Inspection Maae t ~ Inspector f ~ ...--~ _ - Final Inspection ^ I-~ Certificate of Occupancy Date ~"'" CITY OF "'~/~~ ~~(~cy' fQ,~sstiC /3ecc~s - ~~ivitic~ Office of Building Official C ,/ - ~- ~ ~ © / REGIUEST FOR INSPECTION ~" /~,"j (//~ Date Permit No. ~ `~" - U~ Time A. M. Receiv P.M. ~ Distri o. Jo Address Locality Owner's Name BUILDING Framing Re Roofing Mon. Inspection Made Inspector Contractor CONCRETE ELECTRICAL PLUMBING MECHANICAL Footing ^ Rough Wiring ^ Rough ^ AIr. Cond. & ^ Slab ^ Temp Pole ^ Top Out ^ Heating Lintel ^ Final ^ Fire Place ^ Pre Fab READY FOR INSPECTION- Tues. Wed. Thurs. `Frida ~ A.M. P. M. Finallnspection ^ Certificate of Occupancy Date ~" CITY OF ' 1~ % ~~~ ~ `~ ~~irr~ic /31l~ii~rtl'y - ~ Office of Building Official //j REQUEST FOR INSPECTION t ~ ~ry Date ` +! ~ ~ Permit No. r C/o7 lime A. M. Received /=`~ P, M. 1i District No. Owner's ~ /~ { ~.Gt Name L~-(._,.--~ Contractor BUILDING CONCRETE ELECTRICAL PLUMBING Framing ~ Footing ^ Rough Wiring ^ Rough Re Roofing ^ Slab ^ Temp Pole ^ Top Out llMel ^ Final ^ READY FOR INSPECTION Mon. Tues. Wed. Thurs. A.M. Mspection Made P. M. Inspector Finallnspection ^ Certi}icate of Occupancy Date 7-.T~ MECHANICAL ^ AIr. Cond. & ^ ^ Heat{ng Fire Place ^ Pre Fab Friday P.M. ~CiTi` dJF Office of BuiEcling Ofificial c..''', FiEQEJE~T F®R INaP~CTION °~~ C ~ ? c~ ~~ Date _ ~' _ 4 _~, ~ _ Permit No. _ Time ~ ~' (~ A.M. Received ~ __. 7jM. Job Ad ress ocality ,. ~ ~ Owner's ~ Cont ~ ~ Name - ractor ~~~~~'~~~' >C~ `~-~ ~~ _. _._._. __ BUILDING CONCRETE ELECTRICAL PLUMBING ~ MECHANICAL ~ Framing ^ Footing f Rough Wiring is i Rough ^ Air Cond. & i_; Re Roofing ^ Slab ~ ; Temp Pole C: Top Out ^ Heating Insulation n Lintel C.' Final Sewer f.J Fire Place ~ Pre Fab READY FOR INSPECTION ~-, a.M__,.; Mon. Tues. Wed. Thurs. Friday _ `=1?M ..,~ A.M. Inspection Made ~ ~ "- 5~- P.M. -~ Wal Inspection Inspector--- J Certificats of Occupancy .- C-~~ _ -fit`-~ {~''.~ - `l ~ ~ Dats '"" ('~'