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Permit 51 Beach Ave CITY OF ATLANTIC BEACH 3t� J 800 SEMINOLE ROAD �rmMj ATLANTIC BEACH, FLORIDA 32233 h ° INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026746 Date 9/03/03 Property Address . . . . . . 51 BEACH AVE Tenant nbr, name . . . . . . INSTALL (5) FRENCH DOORS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . RES GEN MULTI-FAMILY Application valuation . . . . 7000 Owner Contractor - ------ ------------------ ------- ------- ---- ----- DE CARLE, RODNEY XEYE, INC. 51 BEACH AVENUE 12171 SILVER SADDLE DR STE 1 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258 (904) 249-0000 (904) 714-2100 ----- -- --------------- ---------------------------- - Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 7000 Fee summary Charged Paid Credited Due ----------------- ---------- ----- ----- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Grand Total 97 . 50 97 . 50 . 00 . 00 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 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 Cc: s y,,yrf CITY OF ATLANTIC BEACH D. EDrd BUILDING / ZONING DEPARTMENT S.Hi ins ts� SDoerr 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 ,VJrila? (904)247.5843 Fax PLAN REVIEW COMMENTS Permit Application # 05- 2 L7 '--�-w Property Address: 51 E EAC f4 4, lJ E- Applicant: X EY E 2:7QC. - Project: AD77 S1 This permit application has been: [! AP proved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: V14:: Date: hq l e Car(e. MIAMI DADE MIAMI-DADE COLr.-TN,FLORIDA M METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER S7'ntT,SUITE 1603 PRODUCT CONTROL DMSION MIAMI,FLOk 1a)A 33130-1563 (A ,3R -�1p FAX(305)375-2908 NOTICE-OF ACCEPTANCE (NOA) CITY OF ATLANTIC BEACH r. OFFICE Jeld-Wen,Inc. 31725 Highway 97 North AUG 2 9 2003 Chilognin.OR 97624 SCOPE: By: L .� This NOA is being issued under the applicable rules and regulations governing the Of!materials. The documentation submitted has been reviewed by Miami-Dade County product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHI). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Prciduct Control Division (In Miami Dade County) and/or the A$T (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance.purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may a immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BOIZ.A reserves the right to revoke this acceptance,if it is determined by Mialni Dade County Product Control Division that t}ds product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and-has been designed to comply with the High VelocityHurricane Zone of the Florida Building Code. DESCRIPTION:Series"Jeld-Wen®Steel"W/E Outswing Glazed Iasulrated Steel Door w&w/a Sidelites APPROVAI,DOCUMENT:Drawing No. S-2105,titled"Wood Edge Glazed Door w/&wlout Sidrlites up to 8'4 x 6'8 Outswing",sheets 1 through 8 of 8, dated 12/13/01 with revision#/2 dated 10/22/02,prepared by R.W. Building Consultants Inc,,bearing the Miami-Dade County Product Control Approval stamp with the-,Notice of Acceptance number and approval date by the Miami-Dade County Product Control Division. MISSILE UvACT RATI NG:None ,f3 i � L( TLtt4�t fs� tu'iuAsvS`�bo��, "pU LABEUNG;Each unit shall bear a permanent label with the manufacturer's name or logo,city, state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein: RENEWAL of this NOA shr11 be considered atter a renewal application has been filed and there has Seen no change in the applicable building code negatively affecting the performatee of this product. TERMINATION of this NTOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement o any product,for sales, advertising or any other purposes shall automatically terminate this NOA_Failure tot comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISE1vSNT: The NOA number preceded by the words Miami Dade County, Florida, and-followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,,,then it shall be done in its entirety_ INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its disxtbutors and shall be available for inspection at the job site at the request of the Building Official_ This NOA revises NOA #01-I224.03 and,consists of this page I as well as approval document menti-mcd above_ The submitted documentation was reviewed by Manuel Perez, F.E. NOA Na 02-4216.09 Expiration Date: August 15, 2007 Approval Date: January 30, 7,003 1 Page 1 JELD WENx MILLWORK MASTERS>. Improving Home Improvement SOS # 89274 french or patio Phone: 1-800-803-3341 Available in 18 Days Prefinished Vinyl / Steel Door System ax: 1-888-478-2254 Prefinished Vinyl Clad Doors are made of durable galvanized steel,-a ed on r rust ;and corrosion protection. Comes with a lifetime limited wawa Both Doors Open GBG inserts are 7/8"Contour Bar Cr stat Bevel-1 O Lite External FraCrLE 1 7 f ,, I • Lifetime Limited Warranty i 1 • 10 Lite Crystal Bevel Door Lite i • Energy Efficient Insulated Steel Door Panels _ •Probilt Patented By-Passing Dual Screen System Is Available(Optional) _ •Retro-Sized to Replace Existing Sliding Glass Doors1 01111 ' '"""' .. Double Triple Quad Quad Door Systems I I I French Screen Set size retro size full size size retro size tuil size size retro size full size size retro or tuil size 5'-0" 721.92 N/A 7'-6" 1309.59 N/A 10'-0" 1903.08 N/A Double,Triple,Quad 72.66 set 5'-4" 721.92 N/A 8'-0" 1309.59 N/A 10'-8" 1903.08 N/A Note:French Quad Unit Uses 5'-10" N/A N/A 9'-0" 1309.59 N/A 12'-0" 1903.08 N/A Two(2)Standard Patio Screens 6'-0" 721.92 N/A Note:Prices shown on this page are for units with Standard Aluminum Sill.Other Sill Options and Outswing Units also available. One Door Opens - One Door Fixed Crystal Bevel 1 O Lite External Frarn { z' - Lifetime Limited Warranty Will i 10 Lite Crystal Bevel Door Lite 'NMI, Energy Efficient Insulated Steel Door Panels- ,,` Screen System Is Available(Optional) Sized to Replace Existing Sliding Glass Doors NMI NMI ION Single Double Triple Quad r Irr tr r lir INKEOMMEMM111111111 I .i lir size retro size full size size retro size full size size retro size full size size retro size full size 2'-6" 424.65 N/A 5'-0" 721.92 N/A 7'-6" 1309.59 N/A 10'-0" 1903.08 N/A 2'-8" 424.65 N/A 5'-4" 721.92 N/A 8'-0" 1309.59 N/A 10'-8" 1903.08 N/A T-0" 424.65 N/A 5'-10" N/A N/A 9'-0" 1309.59 N/A 12'-0" 1903.08 N/A 6'-0" 721.92 N/A Patio Screen System retro or full size Version A/03 Page 13 of 38 Fits all steel patio units 36.33 r w9 � `L Ar I iI x Y x,b X' J Aft Ad _ 4 WOO , �yl�,y 'ii���- lf•�/• �.. s•,.n,r.'.�-+... .e,.w.n•...,._ '/ `�� �"�-�r 'f LS .rs a o �/ \SN -- V- 00 Y,\ y .n v r:.-- --- �! 74 I r s, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD - ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building deot&gagb.us Application Number . . . . . 07-00001289 Date 9/14/07 Property Address . . . . . . 51 BEACH AVE Application type description ROOF PERMIT Property Zoning . . . . . . . RES GEN MULTI-FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc REROOF FL272 R1 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DE CARLE, R.D. ROMANO ROOFING SERVICES 51 BEACH AVENUE P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-0000 (904) 246-5649 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/12/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95. 00 95 . 00 . 00 . 00 Plan Check Total . 00 .00 . 00 .00 Grand Total 95. 00 95 . 00 . 00 . 00 pEpjWy IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION r s' CITY OF ATLANTIC BEACH $00 Samkaok Koad,Atiau►tic Heath FL 32233 Office:(904)247-5826 • Fay:(904)247-5&45 lob Address: Peavit Number. Leger Description cV Bf, i Alp oa Vabutios of Wort(Reptaraan W cost)s • Clan ol work Cin+de oe ): New �Additian, ttcpafr 4 AMU 3UlwUUwtvjl( cownumil aabv If= ,is n sprmkkr syspcm uu tubed?(Orde oat es o N/A is hof hoimnoowaer's assoc a otb�pctvate c utq requii' (Circle one). Yes No aescrib iu detm&the type of work to be performed: �//� hroperly,owner Inferantion Z44C _,L Pboe - Ztmm of A aut• City S t'e, Zip c1 3 ice Phan Job Sitc/Contact Number ►tate Ccr ificatioio/Rg03t ation# — Off ice Fax#__ Utbiitect Name&Phone# -- iagincW3 Namw&Phuxw# �PPIi �eis hereby mane to obtain a to do the work and install Wo i�ttss hn icated I that work or tullation Dias cwnh a dprtor to the o 'apermit and thrrtaJl workwi 6e . tb st�ofatl zws reg:dating�n in t�cNon� permit becDmas mill and void work b tat commenced within srx(6) ranths, or c�onsb►��etion or is sevspesded or abando„ed for a period of 6)ewor�thtr at rimL wor1E onirne 1:srmEcratand t/trrt stpa>nt7e pp haat be secrtred for off.�a ,poo, Bars,$eaoas; Tam ntd�![i'r�mC'�i4ioaets;e� VARNIlVC TO OWNFR-.YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY MULT IN YOUR PAYNG 'TWICE FOR DeROVEMET]TS TO YOUR P90MRTY. IF YOU NTEND TO OBTAIN F ANC G CONSULT WITH YOUR LENDER OR AN ATTORNEY MORE IFUZO] DING Y! N SE OF CONWNCEWNT. wMby nvs aidQ �have read ndv=nbftdt&t a�,nl�im and brow the swne to be inm acid r cx 111 prbio:caFaw os srmit area rat athis a wt?I be mplied witk wl�ethrr specifred hcrefie or tart 77re prts>ane to to violate or cancel the pravblons of airy othwfederal state, or wWarin$cOtt:muction or of rr�nstrfrctit�rt oroww : . G h,G� �- 9*aetw+e ofGurduaslur: wd Swa�n��oo and snba es D•v of4 - of �. Mary �+ray agJ— � eeltdi s 1'eleae �,p�epe atria d feoA� EVMED 03.0 � '�' � F a a+s ••a►ooeesmar �er a�oeasnot� CITY OF ATLANTIC BEACH } 800 SENHNOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Build gg-deptncaab.us Application Number . . . . . 07-00001172 Date 8/17/07 Property Address . . . . . . 51 BEACH AVE Application type description ROOF PERMIT Property Zoning . . . . . . RES GEN MULTI-FAMILY Application valuation . . . . 2000 ---------------------------------------------------------------------------- Application desc REROOF FL 2810 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DE CARLE, R.D. ROMANO ROOFING SERVICES 51 BEACH AVENUE P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-0000 (904) 246-5649 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2000 Expiration Date . . 2/13/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 40 . 00 40 . 00 . 00 . 00 PERMff'IS APPROVED ONLY IN ACCORDANCE WITH ALL CffY OF ATLANTIC BEACH ORDWANCES AND THE FLORIDA BUILDING CODES. l ' BUILDfNG PERMT APPI..ICA11ON QTY OF ATLANTIC BEACH 800 30niuuk Road,Atlantic Beach FL 32233 Office:(904)247-5826 • FOX(904)247-5845 Job Address:S� Permit Nu ubm Legal Dccripoon Valuation of IVenk(teplit C )S 0 • Uf Wo ft ofrk L irck 0")- New Addition Alteration Move • � a s)(Cil+ck one): co"Mmo Residential iiip N� I ni!stulkd?(C`ir+dt en�e• Yep No N/A �of hvaaeowner's association ck v priva c �Nir�(Circle oma): Yen No Describe in#etas dM type of vwrk to be per brined: ,rz c 13/ rro�*tY_a► er�i ferrmatiena . Nsate: - A L� State Phone -c-ugh—mor I ' n• Name of y: Address: � Z Pine - Job SittelContnct Numtax State Certincedo tRegistiation# Officx # 4rchite d Name&Phone# %6neer's Nmw&Phi 4p kation is hereby to obtain a permit to do the work and instatiddam ars ieeWed I cert6 dW no work or *M,y atiors 1 rcoa +encs#prior to flee rsauurrc�v a permit tend tl r all work will lx D+erJ d sD ds of all aws regvlatittg conte„nt thio ' coon perssrit ltecoi►na radl and vocalk fis trot rwnsarenced within six(6f rrofuhs, or if coashrection or wor� d abcardontd ora { d f 1�' ioal18'6) lane werr,�rs •airnsice !rrn�erttarrd chat separatr p�rmitr ms�sr be sBCtgnd p� Q� �j,�� �'+�,Searaa,TitnJrs aatdAir C'ar�ior�s,edc WA.RMMG TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF COMTlqqCENDWT MAY tESULT IN YOUR PAYING TWICE FOR M'ROVEMM TO YOUR PROPERTY. IF YOU MEND TO OBTAIN FINANCING CONSULT WITH"UR LENDER OR AN ATTORNEY NMI'EFORE RECORDING YOUR NI OF COMMENCE.MiI'=NI', hereby atC�„�ei have read and=mbwd this cation and kmw the satxe to dine med carers Am," iions of mit does nar 8 A&OW�Yworkwidbe complied with whether�d or not The La cons or to 8= �a ro violate or Gor�eel tlw of Y , stats, or m • f co n. i ofPc*"0"W stutum Of ad Day of 6efo� me of qty Public: Notary • tN1d�S8 91w�at FIpIN "my P1m am of r --p �- SVISED 03.05.07 Mreer w.ar+ooaxier . WOWst►ra �vNres oe2o» i CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 F, INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026042 Date 5/13/03 Property Address . . . . . . 51 BEACH AVE Tenant nbr, name . . . . . . HARDI PANEL SIDING Application description . . . SIDING Property Zoning . . . . . . . RES GEN MULTI-FAMILY Application valuation . . . . 16000 Owner Contractor ------------------------ ------------------------ DE CARLE, R.D. OWNER 51 BEACH AVENUE ATLANTIC BEACH FL 32233 (904) 246-0000 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 110 . 00 Plan Check Fee 55 . 00 Issue Date . . . . Valuation . . . . 16000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 110 . 00 110 . 00 . 00 . 00 Plan Check Total 55 . 00 55 .00 .00 . 00 Grand Total 165 . 00 165 . 00 . 00 . 00 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 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 800 SEMINOLE ROAD ° ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 j FAX:(904)247-5805 SUNCOM:852-5800 i I http://ci.atlantic-beach.fl.us f p y PLAN REVIEW COMMENTS Permit Application # 03 ab OLf Z Applicant: - �e �`� k" Address: (' (( � 7 i'1 Ute_ Project: S i cv,-`�our application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by L Signed LL Date 6, (3- -A Contractor Notified Date 9 J St1 J s� CITY OF ATLANTIC BEACH SIDING PERMIT APPLICATION Date: " AY / 2 , 2003 Job Address: �l e�C t-1 A E�-J UE 'f}*ts �� Owner of Property: �+Q L L 2-1f->io 040100 Address: .S Z3c—;4 C /1 A v e"u C Telephone: 2¢ 7 " � Legal Description: Block Number: Lot Number: Zoning District: Siding Contractor: �� ?��C'i7'L-1 Ci�� IN1=T'� Contractor's Address: Telephone: 8l 4—LD(c--� Fax: Describe proposed.yW�e and work to be done: �L-����� 1=X IST/ "C>U-S E !-,HAgoi f i'-I" S coNc2�rFs�sT� Present use of land or building(s): L�_�/PZS.—A 1 77 eC /f`-J6 6- Valuation Valuation of proposed construction: O cc , Is approval of Z7�'s Association or other private entity required? OIf yes, please submit with this application. 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 detailed information on product to be used. Step 2. Attach details concerning attachment of product,i.e.,fasteners,etc. I hereby certify that all in on rovided wthis application is correct. �Z z00,3 Signature of Owner: Date: 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. bw�- (A-�t-57 r Z-, Zy� Signature of Contractor: Date: 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/17/03 4 Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Z'f{, Sworn to and subscribed before me this OL,v day of ,200,3 . State of Florida,County of Duval ^ q JENNIFER SCHWETER Notary's Signature: MY COMMISSION#DD .2E EXPIRES:May 27,2006 personally known Bonded Thru Notary Public Underwriters ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of , 20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 ' http://www.ei.atiantic-beach.fl.us Page 2 Revised 1/17/03 CITY OF ATLANTIC BEACH l 800 SEIVIINOLE ROAD r� ATLANTIC BEACH, FLORIDA 32233 +, k INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025739 Date 3/24/03 Property Address . . . . . . 51 BEACH AVE Application description . . . DEMOLITION Property Zoning . . . . . . . RES GEN MULTI-FAMILY Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- DE CARLE, R.D. OWNER 51 BEACH AVENUE ATLANTIC BEACH FL 32233 (904) 247-0000 ------------------------------------------------------------ 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 Grand Total 100 . 00 100 . 00 . 00 . 00 a 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 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. ate. BUILDING OFFICIAL a , CITY OF ATLANTIC BEACH DEMOLITION PERMIT APPLICATION ,�/ ,/� Date: Job Address: �/ 1 ,/��/� ✓`?L�C��� Owner of Property: //� �C`�/�L 6 Address: �! �–/ 'El-)L E Telephone: �`-t'� Legal Description: Block Number: Lot Number: Zoning District: Contractor: State License Number: Contractor's Address: Telephone: Fax: Describe proposed use and work to be done: X?4EH��L nv— CLD � f= ci�r Present use of land or building(s): l�l-C)Ekl / 1h - Is approval of Homeowner's Association or other private entity required?EDf 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. ❑ YES. 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. ❑ YES. 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 info p oviiddeddwwith this application is correct. Signature of Owner: Date:Date:e: --7�' 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 Page 1 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Revised 1/14/03 Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of G�Y '1 20 My COMMISSION#DD 121301 : z_ EXPIRES:May 27 2006 Notary's Signature: / ►1� �.� `�Y `"��� 'L ...... Bonded Thru Notary Public Underwriters ❑ Personally known ('''Produced identification Type of identification produced-(„= D pk(DV jZ-Gj' AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.f.us Revised I/14/03 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT Permit Number: 23741 ' - LIDCATION INFORMATION ,., ;.Y,�, Permit Type: PLUMBING Address: 51 BEACH AVENUE Class of Work: ALTERATION ATLANTIC BEACH, FL 32233 Proposed Use: SINGLE FAMILY Township: Range: Book: Square Feet: Lot(s): Block: Section: Subdivision: Est. Value: Improv. Cost: Parcel Number: Date Issued: 3/27/2002 " C1INNER 1NFORl�t` Tft1N , Total Fees: 81.00 Name: R.D. DE CARLE Amount Paid: 81.00 Address: 51 BEACH AVENUE ATLANTIC BEACH, FL 32233 Date Paid: 3/27/2002 Phone: 000 000-0000 Work Desc: INSTALL 19 FIXTURES AND RE-PIPE : :.CONTRACTOR 5 . .. CHRISTY FIRST COAST PLUMBING PLIC --EE K 81.00 NSA - *.v0i.,,i ax ,T ,, fvVaxo-''!k'"a. .s x ' a r NOTICE IN x t TO T _ { : , . � ,�• �-h�. � ; s 3, ter- ,A R fel PE CION BUILDING MATERIAE aII151% OtIST:: SPL DIN PUBLIC SPACE, AND MUST B V&A Np 'EtTHE OR OWNER �r . FAILURE TO COMPLY TIN THE PROPERTY OWNER PAYI ISSUED ACCORDING TO APPROVED P # { MIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISION Date: 3/27/92 61 heeeiptt q0: 45674 14 PERMITS-NILDIH6 1 :81.98 Trans number: . 899861 ATLANTIC BEACH UILDING-DEPT. CK CHECKS 7784 $81.00 Trans date! 3127/92 Time: 16:99:49 Cts'! cW ri'1'l.�ils'1'Cimaclir ipPLtCi'1'S't� !�! PLtMt� P�Li's JOB LOCATION: OWNER OF PROPERTY,--4 TELEPHONE NO. 2qA,,,-ooo PLUMBING CONTRACTOR ►' S r S� �.ua 5 �� (� C. CONTRACTOR'S ADDRESS: o, R®k So�y(o Tw,� Qc,, V fi 3 a a `f O STATE LICENSE NUMBER: e-FCo5-(.V 1 TELEPHONE: �y7-�fy�q � Wa ! �- SINKS SHOWERS � LAVATORY ��. �itATZR HEATERS E BATH TUBS DISIDWHBRS URINALS j DISPOSAL$ CLOSETS MASHING MACHINE FLOOR MAIMS / SHOMER PANS SEVER - / - -- .. RATER REPIPE _.._...... OTHER TOTAL FIXTURES: x $3.50 + $15.00 MINIMUM PERMIT FES - $25.00 SIGNATURE OF ovum: SIGNATURE OF CONTRACTOR: 0, .�wawww.�w.�wra�rwr-------- ------ .�wrr---------w.►--wti....rw.�� INSTALLATION OF PLMOIMG AND FIXTURES MOST BE IN ACCORDANCE WITH THE MOS? RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCKEDULE IMSPECTIOMS - (904) 247-5826 310VER CONNECTIONS MUST BE CALLED INTO CLIC NOR" FOR INSPECTION P / CE Uo TE APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME MAILING ADDRESS Jr' C PHONE NUMBER �C9 DATE a- SERVICE REQUESTED SERVICE LOCATION DATE SET TO PUBLIC WORKS 2 DATE RETURNED TO BUILDING DEPARTMENT PUBLIC WORKS DEPARTMENT PRICE QUOTE PON c WATER: SEWER: Z - 1eD -OL OTHER: PRICE QUOTE PREPARED BY: Signature - Title DATE NOTIFIED OWNER CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING Ste` 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 erml um er: 49 Permit Type: UTILITIES ress: MMM Class of Work: NEW MANTIC BEACH, FL 32233 Proposed Use: UTILITY Township: Range: Book: Square Feet: Lot(s): Block: Section: Subdivision: ATLANTIC BEACH, FL 32233 Est. Value: Parcel Number: Improv. Cost: Date Issued: 2/15/2002- a1 Total Fees: 1,500.00 AddENNEMEM ress: 51 BEACH AVENUE Amount Paid: 1,500.00 ATLANTIC BEACH, FL 32233 Date Paid: 2/15/2002 Phone: (904)246-0000 E, esc: gBE, CFf-A 4 4 1 J � w . NOTICE ESTF ," I-I A� 4 I �Cf� f TION BUILDING MATERIA �JIBtS " DIIPf C MUST BE CLEARED 444M. TI I C # T SPACE, AND TOK K OVSfw1 "FAILURE TO COM ITH Q MST I N LAW THE PROPERTY OWNER YV tP,10 QTS", ISSUED ACCORDING TO APP # OBJECT TO REVOCATION - FOR VIOLATION OF APPLICABLf1; =O ATLANTIC BEACH BUILDING DEPT. CITY OF ATLANTIC BEACH Y DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT-INF MATION LOCATIONII! . f ORMATI4N Permit Number: 18921 Address: 51 BEACH AVENUE Permit Type: WELL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ADDITION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: 3,000.00 Parcel Number: Improv. Cost: OWNER 1INFORMATIOTrI Date Issued: 10/05/1999 Name: CLIFF PAYNE Total Fees: 10.00 Address: 51 BEACH AVENUE Amount Paid: 10.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 10/05/1999 Phone: (904)398-8537 Work Desc: NOT FOR DRINKING PURPOSES CONTRAfEES L.N. WILLIAMS PERMIT 10.00 ':Itis tions:Re Fred 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 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. �-Q— ct,�- L, /)— K #18.80 14 Date: 18/86/99 01 Receipt: 0881367 ATLANTIC BEACH BUI DING DE . CASH r FUT $10.n0 APPLICATION FOR WELL PMaT CITY OF A-UamC hEAcH PROPERTY aNM Address Day Phone n-9Z APPLICANT IF cum THm owNER Name: �•(� �cJ . Phorie� Address., JOB Zip-{c Address or Location; Legal Description: Is well to be used for drinking purposes? Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking bacteriological test r Pu poses. must first obtain a furnishing a certified report from.the State of Florida Health Department, Atlantic Beach. A certificate of octO tete building departtnertt of the City of report is on file with the buil duPancy will not be issued until said ding department. Department Notes: I agree to carmly with regulations stated herein: 6ture Date CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:__q" 9q,_ 19 Qe? 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. &—& r ' ELECTRICAL FIRM: MASTER ELE TRICIAN S NATURE NAME_ oil ADDRESS:._;l (! FD BOX BLDG..SIZE BETWEEN: RES. (A-ZEAPT. ( ) comm. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ! OLD ( ) RE W. ("'I— ADDITION ( "'I—ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. SWITCH OR BREAKER nAMPS PH W � VOLT ACEWAY � EXIST.SERV. SIZE AMPS PH W 2�e'VOLT SC� RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. _OVER APPUANCEs _ _ _ BELL TRANSF.—� AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW•HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. I )1.P. VOLTAGE PHS T, MISCELLAN O S D Com- j is ! ts� TRANSFORMERS: UNDER 600 V. OVER 600 V. CITY OF ATLANTIC BEACH DEPARTMENT O 2BUILDING 800 Seminole Road -Atlantich, _ : 47-5826- Fax: 247-5877 ELECTRICAL PERMIT ermi um er: Permit T ress: ype: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: .Book: Proposed Use: SINGLE FAMILY Lots Square Feet: ( � Block: Section: Est. Value: Subdivision: Improv. Cost: Parcel Number: Date Issued: 3/19/2002 Total Fees: ame; K . . Ut 25.00 Address: 51 BEACH AVENUE Amount Paid: 25.00 oresc: ATLANTIC BEACH, FL 32233 Date Paid: 3/19/2002 Phone: (000)000-0000 wigisD 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 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. PA 1 D MAR 19 2002 CK# : OC Drawr: 1 Date: 3/1 ipt na: 43363 14 PERMITS-BUIL IH6 1 M.66 AT NTIC CH BUIL I G D P Trans Ymber: 797535 CA CASH f�5.66 Ti CITY OF ATLANTIC BEACH, FLORIDA AvoroV.a er APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ////3✓c h / }y 2 0 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 FIRM: MASTS ECTRICIAN NATURE / /� NAME ADDRESS: / % ei r / T ( e RFD BOX BLDG.SIZE BETWEEN: RES. %4 APT.I ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW,( ) ADDITION ( ) TRAILER ( ) TEMP.( 1 SIGNS ( ) SCL FT. SERVICE. NEW 1 ) INCREASE( ) REPAIR ( A , D CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( ') MAR il 9. 202 SWITCH OR BREAKER AMPS PH W#NO. RACEWAY EXIST.SERV.SIZE 1O AMPS pHWRACEWAYFEEDERS NO. SIZE NO, SIZESIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. ]1.100 AMP4. S W ITCHES INCANDESCENT D FLUORESCENT&M.V. Jo RIXED 0.100 AM P9. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS . 7 MISCELLANEOUS TRANSFORMERS. UNDER 600 V. OVER 600 V. . ' NO. KVA NO. KVA NO.NEON TRANSF. NO. VA, MA, MOTOR SIZE SWITCH FLASHE EACH SIGN FORWARDED i S rnTwi eo=o Ford, Don From: Ford, Don Sent: Thursday, March 14, 2002 7:10 AM To: 'fla-usa@mediaone.net' Cc: Thompson, David; Kosoy, Robert; Kaluzniak, Donna; Johnson, Timmy; Hanson, Jim; Doerr, Sonya Subject: Development of ROW at 1 Ahern St. Mr. deCarle, The staff of the City of Atlantic Beach has met and reviewed your plan to develop the property at 51 Beach Ave. The following items were approved by the Building and Zoning, Public Works, Parks and Recreation, and Public Safety departments for work on the city ROW: • Build a new driveway to start at approximately 90 feet from the west property line along the south property line, to extend east ward 20 feet wide then southward to the Ahern St. pavement. • Relocate parking to a north/south orientation to allow for one 12 x 20 foot handicap parking space and four 10 x 20 foot standard spaces to begin approximately 6 feet west of the proposed driveway and extend westward. • Allow a 2 foot wide landscape strip between the north end of the proposed parking and your south property line. • Relocate all city utilities in the area of the proposed driveway to the east of the project to include backflow prevention device and power pole. • Landscape the areas around the proposed parking spaces. • All work to be approved by the city before construction begins. • All work will be at developers expense. Please contact me if you have any questions concerning this matter. Don C. Ford CBO Building Official 1 FCXAD I/, WON ...:Lj j•I1:+ 1 J..t. 49 94' -. —— P, , )40 r.uP'\ iF1 u x } x-- E ' I. 3Ja 0 IMC+I i:(t�rRCTr l3Uf if All Y CRGSii)t+ _.. tri ru of'I I"r IZ:- i �F + +1 , (' 8 V%, t 4 IS t s (� tri y 'Sv1'3Q. X41 FAST'ERLY I.INC of" 5L()Cx .'. ' f t , �` r'p. e WIT FL '`.. zUPdf r" -- i IRON F'el't 10 IRtL FIPe R.C' 3 u: (SC t t+k) FEET rn5T a,1 +71 Wy t i I�t20PCi'tTY i)NC} i' `r - r:I'•a tit' � e-..t i � '' + _.. Lo yli4prfoi'3k^' co 40 twiA}rTATR Ili `�1?i+il?Sti jl �a PIK. LFi 3ti 77 I t a L n , . E/ �} e i' '' Ave- F ( CAP ` �m `#058" 1 50.02314 RFGAR ,i_ i FOL 1w X-CU 1 _. 5 31 5 �x t4RC2� r_, E E RUt Kfit i `Pt: 1 'r f.. . i E 4 4 b v �gg a 1 1 1 3 ay00 41 1; EA 7ERLY l ENE c f I )C' �,; H�" f'l .A I t E, c FLO f) .r EE00 <'UNE .. _.. Lo W - . PM to 3672 r " •` f! S0 1i 49 81' SE tf?`w(w, !R< y PIPE ;{) tptSivt P}P€ �.�' Pte, t8 367 ^`f •• IHAVEFtSE 4.14, ONLY dSE r 100 FEET [ASl r�Y � Y _xJ � 1 �• 4 a4A�k � �h�v 00 }ryy'��� R e E -'7 t,/?" t}O t�tPf'. trip 367 PoRcfi I r CITY OF ATLANTIC BEACH _ MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION _ Permit Number: 23702 -`` 1-OOAT1'�N iNFtJRA11ANUE — _. Address: 51 BEACH AVENUE Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: j Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 3/22/2002 Name: R.D. DE CARLE Total Fees: 55.00 Address: 51 BEACH AVENUE Amount Paid: 55.00 ATLANTIC BEACH, FL 32233 Date Paid: 3/22/2002 Phone: (000)000-0000 Work Desc• NEW HVAC_ C4NTf AGTORI S) r LIC:!AT—*N FEES QCEAN STATE HEAT &AIR - 55.00 e t 3 �k2 Ys t �Z x yyK: NOTICE CTION BUILDING MATERIAL, A � T LIC SPACE,AND MUST BE CLEARED U �Y EtTH C�'I'C7R OR$ .;"t:`y� �w-itiM, ""'' -rte ' l�.� .�✓.� "�� "FAILURE TO COMP L , - : LIE IN THE PROPERTY OWNER PA ISSUED ACCORDING TO APPROVE AND SUBJECT TO REVOCATION I FOR VIOLATION OF APPLICABLE PRO ' i �- Oper: DSMITH Type: OC Drarer:. 1 I Date: 3/22/82 81 Receipt no: 446% ! 14 PERMITS-BUILDING 1 $55.08 AT NT BEACH BUILDING DEPT. Trans nuber: CK CHECKS 16967 $7829 Trans date: 3/22/82 Tise: 15:39:57 BUILDING AND ZONING INSPECTION CITY OF ATLANTIC BEACH DIVISION APPLICATION FORMECHANICAL PERMIT CALL.iN IMPNUMBER ORTANT-- (, Applicant to complete all items in sections I, II, III, and IV. LOCATION P"of Address: .5 I �q C �C OF Intersecting street$: Between BUILDING II. IDENTIFICATION—To be completed by all applicants. In eondderafioe of permit given for dein the with the aeaefpd pons end specific.9 which�rea�described in the ebow statement we herby agree to perform said Werk in eceordanee of good.prac/k0 listed therein, pert hero'and in accordance rifh 1hs City of Jacksonville ordinances wok end standards Nana of Machanka) Centric (/rinQ 5--� Contractors Name of A NC- sr% Master Property Or Signe woof of orksed Agent nature of M. ERAL INFOR Arshilect or Engineer A. Typo erg feel: •_ 8. f�ee}rte IS OTHER CONSTRUCTION BEING DONE ON ❑ Gas C3. Q Gnfnl Utility Ll THIS BUILDING OR 317E7 Grp Q 00 IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Other $peetfy PERMIT 'V. hf`904A"CAL ipNl►MINT TO Bit INSTALLED (►r°r'de eenrpkte 110 of eon NATURE OF WORK Components en ksed of this fens( �! Neat ❑ spaceNew Building❑ ReeMeed X+ Re3ldentlsl or ❑ Commercial Gn�l Q paw ❑ Air C6WIf ring: 13 Ross. X Centre' Exlsting Building D owsyefe.t Met«;.!_,_,•---�_ TAkk g Replacement of existing system mosinwns capacity a f.rw. ❑ New Installation(No Byelem previously Installed) ❑ Re/rigenfion ❑ Extension or add-on to existing eystom d CeetUq beer:Capacity g ❑ Other.—Specify ❑ Rre sprinklers: Nweber of head Q fSewbr ❑ Manlih ❑ be�le/er (nrnlberl Q.Geawoe,ar a___�(nrn$ber) THIS SFACI'so OpFiCE UN ONLY ❑•Ta.I. (nrnber) (Rewfvel) ❑ LPG axontei■.r` Renk$ ❑ Unfired paeane vera ❑ Balkan Formik Approved by l ormit F►�__�_ LISIT ALL EVUIPMENT ADL CONDITIONING AND REARIGMt^TION EQUipjENT 1'fttrniterTTsdN DeeoslOttoR ' xo"Number xanutaetuerr ('terse)'y "s-aeT !ffiAIING-FURNACES, BOLI EI(S, FIREpI A(gq Vsdta 7Ses°tiytlaa BI(odei Numlter xamrraetures (> tu'ro TANKS 7Bow B1TanY N aad i TY"LkW4 Contained Ifeuna oC Serial A ]tanataotnser No. P� PSR%1844, 11 8 5 ; 13EPAfrrMENT OF RAL0010 CITY OF ATLANTIC BEACH PES T 11 PO-R"T I CSN LOCATION' I MFC?RMA T{ P irmit Number: I16S8 Address: BEACH AVI�l3 Permit Tjt e:RE-900t, ATLANTIC BEACH, IF,LOR OA 32233 Class of >r�t 4tAL�'ZRATI-3�1 _. .. .__ ... ,. Constr.. Type,. OO �� Block: Lot: ls; Pro0} o�eazryd 0io.SINGLE �'MILY Seetton: 0 Subd Rnq c t3 Rei . Nalue. 3,000.00 Tmprov. Co$ t ,0010 .00 'statasl ' 1l+ee : 25,100 ' ung P ;2 5 '00 Ott e- 211996 I ► kDe ATTON _-------- ..�..�� . _ � APPLICATION P`ER �*-------- T --_- --- Batte; T 25 .0 Acid :. - 0LURIDA: 32 Pncix "� PORMATI 19a me: CL M I ' S Addr. 19�� I © RO �► T~1> E . L. 0 Liv. x.+"012'07 Up T 140ml: i w 6 f k i NOT1 - �.,OpI 1 E"1'E SMS AND FOOTINGS MUST B�1NSPIRCTEOISZFORt POU�NO . f t PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE I BUI1.13tNG M1 1`EI�tAt:;.I�t#BBI i AMI�tI�RiS FROM THIS WORK MUST I�tT SIA FI.ACED.IIV PU8L1C SPACE,�+IuIttST BE G CLUED UP J4 ?,t ,3t:EC), fIAY S'►�`EITHER CCNVTRACT©�t OR OWNER 'b " ► T# THSHA L, +SAN �� t..t IN 'fit':' � lVGT Imp ONTSis . I$SVEO AOCU�wRRy�t�Ifi�O/Tq AI�'P�yFtO�It{E�M}!'CANS WH�I�G/H ARE PART OF THIS VG' ..ATIC)NF At1'�LIC ISIC�NS OF LAW, r A B!~ACH>�ull�l I�PAT +IIAAIT CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION Owner(s) : Address• 51 &t�d' yl W-,? Phone• Lot # Block or Unit # Subdivision: Contractor• yy\ �Lujri� Address • City, State and Zip c�-c �• w� '4� L-Py Phone State License # Describe work to be performed: Valuation of Proposed Construction: ' 3 CDG o- c3 o Materials to be used: S;�ckF2 Signature of Owner; /fin Signature of Contractor:__ Liability Insurance Supplied U Workers Compensation Insurance Supplied __4-_12� License Information