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Permit 1915 Hickory Lane „..........____..) CITY OF ATLANTIC BEACH INSPE .i.-- -, - A,,,,,., ATLANTIC OB VI I NA LINE c HO, FL L 2 E 4 ROAD 8 22 A D 63 J.- , ' , 0 , ' '''. Application Number 08-00000479 Date 4/09/08 Property Address 1915 HICKORY LN Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 6000 Application desc REROOF FL250.6 Owner Contractor RINAMAN AA ROOFING JOHN GRAHAM 1915 HICKORY LANE 5310 CRESTAWAY ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 591-3219 Permit ROOF PERMIT Additional desc . Permit Fee . . • 60.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 6000 Expiration Date . 10/06/08 Fee summary Charged Paid Credited Due Permit Fee Total 60.00 60.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.00 60.00 .00 .00 • • • PERMIT IS -APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ,.... i cwljrr/,4/ OV " 4 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD, ATLANTIC Sc y EACH, FL 32233 4- OFFICE ( -5826 • FAX NO.:(904)247 -5845 BUILDIN DEPT©COAB.US ,, } t fi .�. ���, � BUILDING PERMIT R ,; , , , ,° MIT APPLICATION f9 /�HJC O ) L, iii x . jam a !..,,,a,7`,,," DUVAL COUNTY NN BLOCK a' m ':+1a,a DIVISION ❑COMMERCIAL ❑ NE # 8,a,° " `r a sa t r LOT W BUILDING DEMOLITION 0 . ESIDENT a - p ❑ 4 ❑ ADDITION 0 CONVERTING USE z WL F A go r SQNy/1J�1 - ❑ ALTERATION Z -sa S ❑ REPAI - ACCESSORY BLDG. ' ".. ,:P ' �° PA 9. NAME: a MOVE Od /A O n 'IDOL . ° ,.a § x „N,..,, a x r ! o .X II OTHER ❑YES V {, . • ❑ NO 15. COMPANY NAME: Y ws ���� � ,a�, may. °,ti Kfin R /a / t1 M /9N t G � � 23. COMPANY NAME: 10. ADDRESS: j ' f 17. STATE OF FLORIDA LICENSE NO.: U / - / �� 1f I C K D y L A , 18. ADDRESS: Q / / C CC 3 / pp 25. STATE OF FLORIDA LICENSE NO.: fin I ` 2.233 53 GY .-2= 1/ti 1.4) J 't` 26. ADDRESS: fi 11. OFFICE 44/ CE PHONE 2 I - 3 N 12 FAX NO 19. PHONE: r 20. FAX NO.: 27. OFFICE P 5 HONE / / . HONE: 28. FAX NO.: 13. CELL PHONE: / — 3 7 1.1361--.7 _C 21. CELL PHONE: 14. E ADDRESS: ,^ � MAIL ADD �` 29. CELL PHONE: VI/K 14. EMAIL ADD / �R �. 22. EMAIL ADDRESS: 1•:• R r C 30. EMAIL ADDRESS: s .« w"a ki , ' .l. Fybv ', ia 's,` 'n $t a V � , ! a -6 a .1,0 ,. ., t� , a � , Tilt r s.4 me s At r ¢ t a � a, „+ ° R , ' ;�` 5 • F a z �a � § �,� -s,.�, � � t # s ' r ; ''slap- �� �o-e 1° � 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 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 has 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. p or OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance 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. p ante with all applicable YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OFT IN YOUR COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER 0' AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. a' a r 't �e+Y+' 4i „”. . r, 4 $ ' "tq " x f° u"`fz ,"• n „ $ °. s Q Q Dat e. Signed: �� 1�� /��� .. � • . Signed: /rim. v r Date: - g _� 8 ' day • APIZ/ L^ , 2007 in the county of Befor= e this' day of r t Before me this 1 Duval, State of Florida, has personally appeared 2l]lk7 r�the county of Duval, State of Florida, has personal y appeared herin by himself / herself an.: 7 m - a� h t ; T v t a d •e a herin by himself /herself and affirms that all statements and declarations are true and accurate. r ° Notary Public State of Florida lorida true and accurate. Notary Public at Large, States . M nn H Grahan � Y ti ✓ Notary Public at Large, State of , County of 1 DAV It;rersonally Known M Expires 11/06/011 El Personally Known 0. ❑ Produced Identifica' - _I � , w ,,_� Ii Produced Identification - hint= Sionature: * , �.- otary Signaturet..;�� 7 ,�■�_ i /ice p U .y, 1 ,,:s5), -W-.---, A ' . • 'GRAM a ' -• r„ Notary Public - State of Fiona ' . m ,• =w w • I ;ply Commission Expires Feb 28, 2010 AA MMnnl�t� • --;:;$',61.7.0%`‘ '"� °' Commission # DD 523638 ,, 1Q 1 ltvV i �Q JD1 Bonded By National Notary Assn. �� 1 r�a�FO B onn Graham 7 430599 p. l NOTICE OF COMMENCEMENT State of County Tau Folio No. To Whom It May Concern (17-_•kot The undersi t�eb T '� p = Q ocFCrQ :i 70 y informs you that improvements will be made certain real property, and in Section 713 of the Florida Statutes, the following information is stated in this NOTICE OFCOMMENCE T t Legal Description of property being improved: Address of property being improved: G a [ r fkrz. c General description of improvements: j 2 Owner • — K� -- �l/ � ivf anJ Address: r i Owner's interest in site of the improvement: J9 — • ZZ Fee Simple Titleholder (if other than owner): Name: Contractor: ; • i e • - N B = tee.c 04./- Address: /0 C "` ` ' (= z • Telephone No.: j � / --�— Fax No: _ 7 `! k d S 9 4 Surety (if any) Address: Amount of Bond Telephone No: $ Fax No: Name and address of any person making a loan for the construction of the . improvements Name: u Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner served: Name: upon whom notices or other documents may be Address: Telephone No: Fax No: In addition to himself; owner designates the folio 713.06(2)(b), Florida Statues. (Fill in at Owner's option) person to receive a copy of the Lieaor's Notice as provided is Section option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year : �� r.r.: ., ,,,, specified): date is • THIS SPACE FOR RECORDER'S USE ONLY OWNER i �7 ar C0" T 1 $4 otr j, e.s �' IFItTE res t l�o, Signed: ",r/.f."1.4^./ Dose Doc # 2009090452. OR 8K 14454 Page 1530. Before me this / • of /1 PR,t.. in the County of/Awe], State Number Pages. 1 Of Florida, has personally appeared Kim P Iw+t ro*4 filed 8 Recorded 04/09/2008 at 02:10 PM. Notary Public at Large, State of Florida, County of Duval. JIM FULLER CLERK CIRCUIT COURT DUVAL My commission expires- 1 O COUNTY Personally Known: RECORDING $10.00 . Produced Identification: ��� /`� = or ...) \ '' IA CITY OF ATLA1NTIC BEACH 4 , ,,,, ::::. r-: ! , -', , ...., .) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 , ,, INSPECTION PHONE LINE 247-5826 Application Number ..... 08-00000438 Date 4/03/08 Property Address .... 1915 HICKORY LN Application type description MECHANICAL ONLY Property Zoning . ... TO BE UPDATED Application valuation . . . . 0 Application desc INSTALL AHU Owner Contractor __ RINAMAN SOUTHERN HEATING & AC CO. 1915 HICKORY LANE PO BOX 350144 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32235 (904) 303-7075 Permit MECHANICAL PERMIT Additional desc . Permit Fee . • 55.00 Plan Check Fee • .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . • 9/30/08 Fee summary Charged Paid Credited Due Permit Fee Total 55.00 55.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 55.00 55.00 .00 .00 pERmEE,Es APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r r „„,.......,„,,.,,, `, , CITY OF ATLANTIC BEACH j a 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 Q _ - ` , r � OFFICE: ( -5826 • FAX NO.:(904)247 -5845 08 fJ t ,� , BUILDING - DEPT ©COAB.US MECHANICAL PERMIT APPLICATION '- DUVAL COUNTY s ❑ YES PERMIT # � � s b n s f � �, , ,xe ref' fdt.'' d �".S 3.n: ? F ,' Q ,�+ 9 d cere' Y 9 s� ✓i ¢ .. .�.. ,p, $ O S 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS. "..�. �E 6. PHONE: ,, Q 7. NAME OF COMPANY. mss , tax s ° a e "P� °T "R k a � �� 1 s SOls Tt.GJ�r�/�l /�%iy� T 8. ADDRESS.:* '� a k ; /ma �.. • /q 3S 9. STATE OF FLORIDA LICENSE NO: C "I CQ /3 7 C 10. CEL HONE: �•— 12. EMAIL ADDRESS: ? Q 3 — 70' 7> 11. FAX NO.: SHAG. e, e- / ..0 bg •ki W T.- 13.OFFI 0 H /3 3_ 7 O -7S Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed 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. to meet the A � CONTRACTORS SIGNATURE: � ��'� Aut /ke rot T " , ^: '^v 2 .; El NEW INSTALLATION m' "` l e a ❑ NEW z, ,_ fr" REPLACEMENT OF EXISTING SYSTEM SIDENTIAL 0 '06 FLORIDA BUILDING CODE ISTING ❑COMMERCIAL MECHANICAL ❑ ALTERATION / ADDITION TO EXIST SYSTEM ❑ REPAIR icemmu „p�� ',,: ..� :���� ❑ OTHER ❑ SPACE ❑ RECESSED r ENTRAL 0 FLOOR BURNERS: 20. AIR CONDITIONING: ❑ ROOM ❑ CENTRAL 21. DUCT SYSTEM: 22. REFRIGERATION: MAX CAPACITY cfm 23. COOLING TOWER: CAPACITY: gpm NUMBER OF HEADS: ELEVATOR: MANL 26. COMMERCIAL HOOD ESCALATOR: AUTOLIFT: PREFABRICATED MASONRY. 28. IRRIGATION: ❑ PUMP _ 0 WELL 0 PIPING # OF OUTLETS: ❑ GAS AHU: 30. OTHER - SPECIFY: ❑GAS WATER HEATER: SOLAR HEATING, BOILERS, UNFIRED PRESSURE VESSEL, HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS x � � � "� �'��+� a r °�� ` r Y ""s �§ a"# %�` 7 a�a t ,gq rs r ` a NUMBER > _��.a� a ,t�. ; t ` x7 OF UNITS a ,mot a,1_ ..... .a; -fit . ': :: . R= 244: ` :,,„ ° -4: DESCRIPTION MODEL # APPROVING �� intiniminim TONS AGENCY '� t t „' � � 'td >r tf '�� �; z� '& %�:.`;� ” +r g�a�: a ,� . s .� � w 9 t' 3 'r ... s' . �9 & s 5 .0 ra :..f�9 sa . '::A .� '"'� �' a '_* C 44, a t s+a , OF UNITS DESCRIPTION m ? ?„ / MODEL # NUMBER ' •5 .?� `nas w� y ; a GALLONS '``: _INED -- SERIAL # miiiiiim COAB FORM BLDG04: REVISED: 1/10/2008 �Y ' � f = >'� CITY OF ATLANTIC BEACH '44 800.SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 06- 00034027 Date 10/05/06 Property Address 1915 HICKORY LN Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc REGROUND Owner Contractor C & A INVESTMENTS LORE ELECTRICAL CONTRACTORS 1915 HICKORY LANE 210 N. ROSCOE BLVD ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . 70.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/03/07 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. C/TY OF ATLANTIC REACH ( ELECTRICAL PERMIT APPLICATION Property Address: i q 5 /41C- kLOrt Lcille Date: 1 0 - 5 - l. ' e 0 ( Own . c)e- , , 1, Contractor: ____Lof'12 E_ c' cL(2 Telephone #: — _ Telephone #:5c)9 C011traelOr Addr ''' ess: v Fax .......' • Fax #: - • , Contractor Si! I at • 1 ure: JAI," In consideration of permit given for the work as described in the above slat ement, we hereby agree to perform said work in aCCOrdaliCe with the atta I 4 pans an specin eations Which are a part hereof and in accordance with the City of Atlantic of C Beach If other construction is ■ tice listed thereia being done on this building 11111M an"anal I S °1.°°d 1 r a • 0 Trailer Service: . v., 1 !il ,\B Wing TYPe. 4 *.l..‘" L l r-Jr 6 I ' "1 CITY OF ATLANTIC BEACH lit 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 03- 00026278 Date 6/11/03 Property Address 1915 HICKORY LN Tenant nbr, name CONDENSER ONLY Application description . . MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor DEGEN, JEFF FLORIDA WEATHER INC. 1915 HICKORY LANE 1117 BEACH BOULEVARD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32236 (904) 249 -1290 Permit MECHANICAL PERMIT Additional desc . Permit Fee . . . 59.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 59.00 59.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 59.00 59.00 .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. t r ;) y s, BUILDING OFFICIAL > " ' e l map 15 v -, CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: 6 /! 1 Owner of Property: 1.O& t OVI Ple..c Pro Pe- Te tlAcumoter.AA450 Job Address: \ \ S b L)4-6 k-..V Contractor: 3" 1 or . (A G A. t,■.)e.riv v.,- t 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 ordinances and standards of good practice listed therein. III. GENERAL INFORMATION A. Type of heating fuel: B. ❑ Electric IS OTHER CONSTRUCTION $EING DONE ON THIS CI Gas: _LP Natural _Central Utility BUILDING OR SITE? i.-.)r) E ❑ Oil ❑ Other — Specify IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT Iv. MECHANICAL EQUIPMENT TO BE RTURE OF WORK INSTALLED Residential or Commercial ❑ � __New Building (Provide complete list of components on back of this form) Q. Existing Building ❑ 1 _ Space _ Recessed _ Central Floor Replacement of existing system Cr, t , r ` co P p/ Air Conditioning: Room en ❑ New Installation (No system previously installed) ❑ Duct System: Material Thickness ❑ Extension or add -on to existing system . Maximum capacity cfm ❑ Other- Specify ❑ Refrigeration ❑ Cooling tower: Capacity ___gpm ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator : Manlift _ Escalator (Number) ❑ Gasoline pumps (Number) (Received) ❑ Tanks (Number) Remarks ❑ LPG containers (Number) ❑ Unfired pressure vessel ❑ Boilers Permit Approved by Date ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units II Description // ,n Model Number Manufacturer Capacity Approving ' Ndl'ei/t X elf\a %ox) , (Tons) � ency I_ O S 0 tiL HEATING — FURNACES, BOILERS, FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving (BTU) Agency TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us 1/14/03 CITY OF ATLANTIC BEACH '�;� ELECTRICAL PERMIT APPLICATION :. _ E - '.070r / Date: ! 0 - 5 - O c iq i 5 14 L ) < 12-c lie Property Address: — .�_ Telephone #: Owner: ______�� -..� � — 4 � ` / • d i c � Telephone #: �4+ . ' �� 37 ■ Contractor: �� �'- -- �L�e Contractor Address: Fax #: ` .. 0 4 � , * 1 0 Contractor Si 1 ature• dirr----- above statement, we hereby agree to perform said work in Contr of Atlantic work in In consideration th e attached given plans n or Join_ ficat ons a pa hereof and in accordance with the City accordance with the attached plans and spec If other construction is ordinance and standards of :ood g �1!¢ ractice listed therein. ❑ 0 Temp. Trailer Service: be done on this building Building: �B yildiResing Type dence : ❑ New Or sits, list the building ❑ New ❑ Old ❑ Commercial ❑ Signs ❑ Increase Permit number. ❑ Re -wire ❑ Addition Sq. Ft. ❑ Repair — COPPER 1 ALUMINUM • RACE Conductor Size: AMPS: WAY Switch r VOLT AMPS PH RACE Breaker WAY Existing Service VOLT Size AMPS WIMAIIIINIMI Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets OPEN CONCEALED 11111111111111111mm ME OPEN Rece • tacles CONCEALED ,:, , IIIIIIIIIIIIIINIMINMIIII Inc andescent IIIIIIIIIII MIIIIIIIIIII IIIIIIIIIIIIIIIIII _ Fluorescent & M.V. O VER BELL Fixed 0.100 AMPS TRANSFER. A t t liances IIIIIIIIIIIIMINMIIIIIIIIIMIIIII H.P. ATING Air H.P.RATING o Conditionin : COMP. MOTOR OTHER MOTORS AMPS _-- H- PH VOLTAGE PH NO ' 0 =,_ Motors 0 -1 H.P. �- ovER t1ND R600v KVA NO. KVA Transformers No.Neon Transf. Ea. Si: Miscellaneous 111C 4 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • htt ://ww beach.fl.us n : - -, , in, HP Officejet 7410 Log for Personal Printer /Fax/Copier /Scanner Information Systems 904- 247 -5845 Oct 05 2006 10:31 AM Last Transaction Date Time Type Identification Duration Panes Result Oct 5 10:30AM Fax Sent 96654470 1:05 2 OK DEPARTMENT OF BUILDING 4514 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 10116 1980 Valuation $ Fee $ 11.00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that F . W. Fatt Plumbing Co. has permission to tile inQt all 1 sink Iavat nr i Ps , 9 bath t idua 2 closets 1 water heater,1 dishwasher,1 disposa1,1 washing machine. Classification Res Zone Ownedby Grenville and Meuse Coust. Co. Lot Block S/D House No. 1915 Rickory Lane According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -11 AFTER DATE OF ISSUE 4 • ■ 0 Building material, rubbish and debris ___J from this work must not be placed in Public space, and must be cleared up and hauled away by eithei m or owner. 11.000M idij !P\ 11.417/0 Bill M. kipis /uam . fl AVCOCE; 1711717/00 FOR OFFICE PERM IT IjUUI USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER GO* 411111* Cf?""s' P C Ri PLICP,T 1 Cr. FOR 1') 1 a 2F. RI% 1 t "-C-LT I014 hNG F 01, if:nurre c R P ',11 b1-2P. COUNTY OCCUPAT 100;3: Li Cit.'iSk; /?-• P‘ E Cal/ I' 1 CAVE A 7.: I: P. LR C • CV ?Li - .E•'•';`,T : :• - , ' 24; r r 7 7 2'd ' • ; _ _ DEPARTMENT OF BUILDING 4 4 7 9 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. 'T J PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 3/12 1980 Valuation $ 56, R3fi -6A Fee $ 1 S _ 16 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that GRENVILLE & MUSE CONST. CO. has permission to build A SINGLE FAMILY DWELLING ACCORDING TO PLANSE SUBMITTED. Classification RESIDENTIAL Zone Owned by GRENVILLE & MEUSE CONST. CO. Lot 7 Block S/D SELVA 1MARINAl2B House No 19 513 KORY ANE According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE f-� • ■ 0 Building material, rubbish and debris from this work must not be placed in public space, and must be,cle{{red ��pp and hauled away by either iftPaetd>b• or owner. (q:, ®1'w T1 BILL M (‘4r�' S � IiiICACG B nillfi offime.b/LiLl FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR L3i>�4d..i PLUMBING ELECTRICAL SEWER WATER Ir" Date . h.. - .la ...__.._. -u 20 CITY OF ATLANTIC BEACH P # �.. ��'° Valuation ;.,2.4: • 62Q FLORIDA goose t...9..1.,i.... s APPLICATION FOR BUILDING PERMIT efi.j AO.PL.t... 40 ' 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 roles 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. / Date 2p4hO. ../ . 0.— . fir r d . Owner r'C e" V t 4 ' J -G- . ,, i 4 n Addreu.. / Y No.. .f-`.1'.: .LZ Architect Address /, Telephone No.. Contractor Build r t n1 ma ll .1 , 4 l r: Add dam % . 9� • / v. 2 Telephone No. SA S- t.., Lot No. 7 .A.lw � ,/. Block No. Sub Division ° S' P Bl ' . �.��t✓ �� .Zone •• .A • ••. L.4 Street Side Between and. St. Valuation ;.. ) •-'-» For what will building be used. ... .�,Q .. c,� Type of construction. ... 1deuicaD... 6241i.A - . Dimensions of Building •�`K- i (7 imensions of Lot.. S-- , - 5.. :J.i ,L7 .self• ii Size of Footings... , 4. - 0 Size of Piers She of Sills Greatest Sill Span in ft. a __)) ;-1 t i Type Roof � 4-6 V. How will Building be Heated? `C :4. 1 - • ...-P4.a,.{P Will Building be on Solid or Filled Ground? o C Size of Ceiling Joists .. -•�-/ L , Distance on Centers - Y if , Greatest Spam f f .. ....._ . . . ................_.. " Size of Floor Joists... .„ //-Y /.6 4' , Distance on Centers.. �' , Greatest Span • » Size of Rafters .. /f' , Distance on Centers ... .... �� . � - . y , Greatest Span. ...1 / » / right the • is to represent the the all lot- position. distance n . m REAR LOT LINE Two copies of plans and specifications shall /11 _ 11\74 . be submitted with application. Inspections required. S --. 1. When steel is in place and ready to pour footing. S E P 1 1 1980 2. When steel is in place and ready to pour columns and/or lintel. s. when steel is is place and ready to poor beam. 1 r/7 4. When framing is completed. CITY OF ATLANTIC BEACH N p A " 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 0 V E W 7. Electrical inspection by City of Jacksonville. � T1C BEACsi 8. Final inspection. C1tY [)F OFFICE ao Note: In case of any refection, re- inspection MUST be called for after , 1 ' ! 0 corrections are made. / 1 / * In consideration of permit given for doing the work as / l _ i, x .' ' � .. ' NT OF LOT work in accordance with the attached plans and specifics • ,• '7 ,�- f, and we hereby agree p e bu ildiag said regulations of the City of /l L:ntic a p hereof, nd is accordance. wit h the Signal= of Builder..._ OVA ..14364m7:-. Address I a1 .e'A✓� j 1 „ .✓4 Signature of Owner _ Address CITY OF ATLANTIC BEACH WATER CONNECTION CHARGE 6 PLUMBING IRMi MASTER PLUMBER BUILDER OR CONTRACTOR 4-1'4 .404, TYPE OF BULL LING_ BATHROOM GROUP CONSISTING OF SHt WER STALL, DOMESTIC (2 units) .— . 1ATER CLOSET LAVATORY, BATHTUB ����_ SHOWERS GROUP PER HEAD (3 wits) BATHTUB (WITH OR WITHOUT OVER t�EAB SHOWER) (2units) _.a.. SURGEONS BINS. (3 wits) .._ BIDET (3 units) FLUSH AG RIM SINK (8tr.its) COMBINATION SINK AND TRAY (3 units.) SERVICE SINK TRAP STAN 1 (3 en'it ) COMBINATION SIN AND TRAY W /FOOD MS. POT, SC!LLER't SINK (4 cni tz) ..w..___(4 units) _.._._ URINAL PEDESTAL, S F SON DENTAL UNIT OR CUSPIDOR (x unit) _r.... BLOWOUT (8 units) _.____DENTAL LAVATORY (1 unit) URINAL, WALL LIP (4 un I t ) DRINKING FOUNTAIN ( unit) _ STALL WAS1OU`;" (4 un is / DISHWASHER (2 units) URINAL TROUGH EACH 2-FT, SECT TON .._ 2 units FLOOR DRAINS (I unit) __LASHING MACHINE RES. (3 units! F1TCHEN SINK (2 units) WASH SINK EACH SET OF FAUCET W KXTCHEN SINK W /FOOD WASTE GRINDER 2 units (3 units) WATER CLOSE'S, TANK OP (4 units) LAVATORY (1 unit) _,.r_. WATER CLOSETS, VALVE OP (8 units) LAVATORY. BARBER , BEAUTY PARLOR _._... ..(2 units) LAUNDRY TRAY (2 units) LAVATORY, SURGEONOS (2. units) e , ' ATLANTIC DEPARTMENTOF BUILDING 3 '! CITY OF BEACH - P I T INFQRI'IIATIi 1+I - _ w __.w..._ L OCATION, TNFC L ANE 1 P C� t t Hu* * � y Y 5 ' +�€ #�t r • R . y . + I +i CE1 i 011 �t1'`� BEACH, LANE Perrntt Tyco.: 131..1 A L. lookt C GFtG:i94k�"i7� FLORIDA 6w Class m� It t : N/A LEI3AL. DBSCRX F C+ r,rae i ,, 'pe 3 WOOD FRAME I.Qt ®I I CS t joys s _ . i Pr ci :. U a 1 ' RENODERAA . TBR�AT t t Bo s PaatBaa<a 0 D s' 0 110D t 0 $ubdiv� , o t S EL VA M.A ,INA B rti* d value:. S0. .. _ _ _ w �...�. -' OtINE t N.FQRMATI N _ » >alra v Coat 400. C3 Nam a Jill AND CIUDY TH >tl T .* L P �mis o *0 C 0 LcIth'ee a� a X L HICKORY ' • Aaaount , d * 0. D `. ATLANTIC . BACI#� L ANE OtI 32233 I' ra+ m t 90 ? 249_1480 ' 1 ca Ti @ OP ' 1' I�IO IN REAR ANA BIDE YARD - � } '' . ` _,-, . M ' u , t. " �" . i* I CA ' °. EB PEES ES PRCI tT w . „ r . , " i RH T • f 'li $0. 00 ' ' ATTER I 1PACT . 0.00 . "EWER` IHP'i �� F *0 ..r t. &�aa � M s �t�a "as 1 g # u' EY'JY yit' "�t , , ''18 '444 ` "'� �� �'.t" r ,, ## qqr �kk R ■ � ''it, tg � p M N4 � &'Y ✓�(t� r AD0N TAP w *0. $:$4 # !1./t11/19 '' ''i r '. SPA T 'R TAP *0. OO I I 5EWER TAP ,, HYDRAULIC C BLARE: *0.00 1@B Pg c+ PEE * 00 ` NI3ZNE I ING NOTES: i I NOT.ICE - CONCRETE E "FORMS AND FOO MUST BE INSPECTED BEFORE POURING PERMIT VOtO SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, AND D BFi1S FC M T IS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. `�PA ILURE Td COMPLY WITH THE ` MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IM " ISSUED ACCORDING TO. APPROVED PLANS " WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOC © N VIOLATION OF APPLICABLE PROVIBIQNS LAW. ,� ATL TIC BE e BU1LDIN DEPA ENT i CITY OF AZTANl'IC BEACH APPLICATION FOR BUILDING PERMIT Owner 7750k 0,0Aorser4ddress Ric 1-k-,04_,N Architect ��""�" Zip 3)..x33 Phone y9 -N c Address Contractor Address Z1 p Phone --- ____.__ Z Phone Contractor's License Number Expiration Date Copy on File Lot # Block or Section # Subdivision Street Zoning Between and side Valuation $ 400 'Type of Construction Purpose of Building w �� �"'�`�` Number of Units Fireplaces Utility Service: Water Sewer If the City if providing water or sewer service, do we need to make taps? Dimensions: Building Size Footings Sz. Piers Sz.. Sills Greatest Span Sills Sz. Ceiling Joists Distance on Centers Greatest Span Sz. Floor Joists Distance on Centers Greatest Span Sz. Rafters Distance on Centers Greatest Span Method of Heating Solid- Filled Ground Roof Flood Zone If located within a FLOOD HAZARD complete page 2 SUBMIT: Two complete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required: 1. When steel is in place and ready to pour footings. 2. When steel is in place and ready to pour columns /lintel. 3. When steel is in place and ready to pour beam. 4• h o�g, mechanical, plumbing, electrical, fireplace, is completed and ready 5. Final inspection. NO INSPECTION WILL BE MADE IF BUILDING CARD'IS NOT POSTED ON JOB. SETBACKS In case of rejection, reinspection MUST be called for after - '` R ear Lo L in e corrections are made. In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance m a With the attached plans and specifications, m which are a part hereof, and in accordance re .-__ - with the building regulations of Atlantic Beach. Signature Owner 4-4,1-(4-1` m • Signature Contractor ron • ine .