Permit 831 Amberjack LaneCITY OF ATLANTIC BEACH
800 SENIINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PRONE LINE 24'7-582b
INSPECTION EMAIL REQUEST:
Building-deptna,coab.us
Application Number 08-00000121 Date 1/24/08
Property Address 831 AMBERJACK LN
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation 5300
----------------------------------------------------------------------------
Application desc
reroof
----------------------------------------------------------------------------
Owner
RANDOLPH, BASSEL
831 AMBERJACK LANE
ATLANTIC BEACH FL 32233
Contractor
------------------------
PERFORMANCE GENERAL CONTRACTNG
KHOSROW TAYMOURI
5933 GREENHILL LN
JACKSONVILLE FL 32211
(904) 745-3838
-----------------------
Permit ---------------
ROOF PERMIT ----------------- ---------------------
Additional desc .
Permit Fee 60.00 Plan Check Fee .00
Issue Date Valuation 5300
Expiration Date . 7/22/08
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
PERbIIT ~`IS' APPROVED ONLY IN ACCORDANCE W1TEi ALZ CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUII.DING CODES
cltY t?F At'u-tuTiC ~~ _ _
800 SEAAtNO_E rtoAD, ATLAN7'fC l3EACH, FL 32233 07~
OFFCCI~ (8tN)24t.5828 ~ FAX N0.:(904j24T-5945 r _~_ ~~. __ _ ~.--_-`. _,__.I
BIALDIiJG-~PTt~OAB.l1S -I t(
t ooeaooRESSc ButLaING PERMir aPP~~cATtoN
2 VALUATIONOFMYORK DUYAL COUNTY
~ 3 ~ ~-m ~ v'~~ L..rv +-- ~. sc, t=r, uN~a ~t:oF
4. LEGAL DESCRiPTlON: "- " '~ ~3 D °
~.~~
LOT ~.CCK __,_ SUB DIVISIOA NEW BUILD?NL,` _ - 8. STRUCTURE:..
~MOU-roN
r• ptt[>atoF wcxac; D ADDmoN ^ C0NVB2TING usE ^ESIDENTtAi. ..
t7 ALTEaanON Q ACCESSORY ~!~"•~•
d !^ af.DCa. 0. F82E Sri
O I ^ REPAIR O POOL !SPA
d rES ^ raA
9. NAME:
~` ~ ~ ~~~f ~~ /
l~ w•+,cwi: ~ uR: -
t 5. C.OM?ANY NAME:
~ T
29. COMPANY NAhE:
Q'l. ~ r~~ ~
u~ ~,<~
18-NAME: p
- i r r'1 taUj~.l 24. LICENSEE NAME:
10. ADDRESS: 1T. 3TA7E OF FtAR~A UC 53
~~
I
' =1.0.:
~
23. STA'E C~ FLCUiRIA UCl3V5E NO.:
O ~
~~ C, ,
~
~~j ~ .~` ~ ~
lMl, 1&ADDRESS:rJ~ ~,~ ~^. _ ~t
(~1'li~-Nl yg-An0Rt?68;
~ L3 3 ~
3221
11.OFF-CE PHONE: 12 FAX NO.: .OFFICE PHONE: .FAX zr. OFFICE PFIONE: ~. FAX NO.:
13. CELL PN0
/V 2 . CE PH NE:
(
S Zg• CEII. ~~:
b
t- -
3
1~. EIA.NL ADDRESS: 22 l E /t
~G C ~ t,.d r» C.~s-f , N-~ T`
30. E~-IL.u~ss:
{IFt1TTERTf41170YrtJ~ BONtNNG t~t)lItPANY~ MORi'GAL~ IEI~QER:
31.1+Y1t.E: 33. NAME: 35. tVAA1E:
32. ADDRESS: . ACORESS: 38. ADDRESS:
AppiiCation is hereby made to obtain a pemtN to do the worts and instaiiatlons as indir~ed. t certify that no work ar Enstalation has
Commenced prior to the issuaru:e of a perms and that ail w+orlc w~ be performed to meet the staftdards of alt laws nggLdatir~ conatnrcUon in this
j-uisdicUcx-. This permit betxrmes ritf! and void if work is not commenced within six {B) months, or If corratftfctiorr or vaork is suspended Dr
abandoned for a partod of rix (t3) rr-ortths at arty tune alter work is Commenced. 1 understand chat separate permits must be secured for
Electrical Work, Piurnbl S ns, Wsils, Poo[s, Furnaces, Boilers Heaters Tanks, Air Conditioners, ems.
QYtt'!~R'S AFFIDAVIT - t certify that all the foregoing irrformatWn is acwrate and that all work w!I be done in compliance with all applicable
laws regulatlng constnfdion and zoning- i wlil not occupy or use the referenced t>iJfldfrrg ~ any part thenof, tuttli a! k~pitettons are finated and
prig to obtah~rng a c:er~ficarte ~ oaxlpancy or canpletlon issued by the twikling official, as required bylaw.
>~ WARNING TO OWNER: ,~
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPRt?VEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FlRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
x ,
CONTRACTOR-<,
., OWNf R or At3
nFa„~.w aea..~orukre~orA~~fdLa~erReaut~edl .
~ / 2 ~-f' 1;~~
ttetora me thts `Ly ~ rdrry of J C~~-YK~ 20(~' i~ the courtlly d
t>u,~ stets ~^Fbr'ida. nas persavaliy appeared
G5 Lov- S u-an fph.~~'
tlerirt by himself / her~if and atirms that a0 statemarrts and daclarattorrs ere
tnre and acwsata / ~
Pbtary Punic et Large, stye of l~ . Countyof pU t/ ~1
C~ PeraonaRy Kndm ~~ 2.53 ~t o J z~'~y7
rY~ Produced iden6
tVotary 3lgnature: ~~
~~
~ ~~[ I~r `Y°~ of ~~1 2iX,"~in the t~nty of
val, of FIO"ride, has personalty appeared
~ OSrpW ~jC~~ ryl 0U1'"~.
Tenn dy lumse#! tiaself and aHGms that b9 steuements and dedanltions are
rue a.~d acexwata
Jotery Public at large, State ot~~.__~ CCUntyof ~ ~ ~j/~
~, Prc®eld~W moo, - ~ ~' '~ 0 5 ~O~ 1! `-'
Votary Slgnawre: ~/ ,/ 1~ ~ `UU //1/1
®~s,~.
~,,+++~!;~,,,~ MICHELLE L. HUNTER
~~ Forw ~o'= ~ ~ Notary Public - State of Florida
* ~ ~'s My Commission Expires Nov 1, 2008
• d''~ Commission # DD 440489
P~
~'~+~+~ t4'~ Bonded By National Notary Ann.
f ~rf
a
~~~~~~~~~, MICHELLE L. HUNTER
,'1PR~ PUd ~~y
z°. ~,`~, : Notary Public -State of Florida
( ~ * o,,` My Commission Expires Nov 1, 2008
s ~ ~ , Commissions # DD 440489
o a ~ f • ' al Neta o
.. ,Y.,~~ ,I.~.~LO LO ~8S
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number 02-00025313 Date 12/16/02
Property Address 831 AMBERJACK LN
Tenant nbr, name NEW HVAC
Application description MECHANICAL ONLY
Property Zoning TO BE UPDATED
Application valuation 0
Owner Contractor
------------------------ ------------------------
RANDOLPH, BASSEL SNYDER HEATING & AIR
831 AMBERJACK LANE P.O. BOX 16826
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245
(904) 641-0600
Permit MECHANICAL PERMIT
Additional desc .
Permit Fee 79.00 Plan Check Fee .00
Issue Date Valuation 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 79.00 79.00 .00 .00
Plan Check Total .00 .00 .QO .00
Grand Total 79.00 79.00 .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 CAK
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMTI' AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAVV.
~. r,~ ~
.-,-•••,.•~~~• nrcrnrnT v
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACI3, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT
Il1~fPORTANT - A licant to com lete alt items in sections I, II, III, and IV.
I. Street Address: 1f3\ /~w.J~E21~ct~c Ln,-
LOCATION OF Intecsecting Streets: Between , Ma,-t,po2-r ,2~ And ,qT~A ~ ~c gc~o
BUILDLI`I(G Sub-division
II. INDENTIFICATION - To be com leted b all a (tenets.
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work is
accordance with the attached plans and specifications which are a part hereof and in accordance with the Ciry of Atlantic Beach
ordinances and standards of good tactice l fisted therein.
Name of 141echanical Contractors
Contractor Print) ~ ,N~\~CQ C-~ Master CP~~\Ssl33u '~
Name of Property
Owner lZ C-4 C 2t C.\~(A n,+ o i.,P N
Signature ofOwner Signature of
Or Authorized A ent Architect or En 'veer
IIl. GENERAL INFORIvIATIO~
A TY~ of heating furl: B.
t~l" Electric IS OTHER CONSTRUCTION BEING DONE ON THIS
O Gas: _LP ,Natural _Central Utility BUILDING OR SITE? ----
0 Oil
D Other -Specify IF YES, GIVE NUMBER OF CONSTRUCTION
PERMIT
IV.
MECHANICAL EQUIPMENT TO BE
INSTALLED
/(Provide complete list of components o back of this form)
Q_f/ Heat _ Space _ Recessed ~Centrat Floor
Cd' Air Conditioning: Room ea
C3~ Duct System: Material FLEA Thickness R_ E
Maximum capacity l~~y cfm
O Refrigeration nATUxE oz: woxx
~ Residential or _ Commecciat .
O New $uilding
('~ Existing Building
p/ Replacement of c.~cisting system
fjJ 'New Installation (No system previously installed)
p E:ctension or add-on to e.~cisting system
p Other- Specify
l] Cooling tower. Capacity eom
O Fire sprinklersr Number of heads
Q Elevator : _ blanlift _Escalator (Number)
O Gasoline pumps (Number) TIiIS SPACE FOR OFFICE USE 01Y1.Y
(Received)
~ Tanks (Number)
D LPG enntainers (Number) Remarks
O Unfired pressure vessel
(] $Ollef3 Permit Approved by Date
D Other-Specify
Permit Fee
LIST ALL E 11IPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Units Description MlxielNumber .Manufacturer Capacity Approving
ons A enc
c, -~ N~t°t5 36 LC~,NGX 3 t, L
HEATING -FURNACES, $0[LERS, FIREPLACES
Number Units Description Model Number btaaufacturer Capacity Approving
TU) enc
l i4 G.3a~rvv,- H6 LEti^'u'x 360Uc~ t, L
TANKS
How Many Nominal Capacity Type Liquid Name of Serial Approving
And Dimensions Contained Manufacturer No. Aeencv
.~
~ ,~
CITY OF ATLANTIC BEACH
800 SENIINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number 02-00025320 Date 12/16/02
Property Address 831 AMBERJACK LN
Tenant nbr, name INCREASING SERVICE
Application description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation 0
Owner Contractor
------------------------ ------------------------
RANDOLPH, BASSEL R & R ELECTRIC COMPANY
831 AMBERJACK LANE P.O. BOX 62238
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32219
(904) 768-6166
----------------------------------------------------------------------------
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
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 CAIt
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS
WHICH PART OF THS PERMiD S CT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
~,. ~.. r ~
BUILDING OFFICIAL
_ . _. _ r ,-,.,,. ,.. -
C}TY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL. PERMIT
December 13, 20024
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
IMPOgTANT NOTICE:
`'~
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCR{BED IN THE FOLIOW)NG, WE
HEREBY AGREE TO PERFORM SAlD WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN~ACCORDANCE WITH~THE ELECTRICAL REGULATIONS, CODES AND CFFY OF
ATLANTIC BEACH ORD)NANCES. /I ,i
R & R E~ecric of {liar#N Fbrit~~, IflBF
~b
1+IAME $ anrinl nh ADDRESS:~~ Ambgr i ack Lane RFD BOX
BLDG. SIZE BETWEEN:
RES. (X) APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ! OLD ( ) REW. ( )
ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( )
SQ. FT.
SERVICE: NEW ( ) INCREASE (Xl REPAIR ( ) FEE
/ k ~ ~/ --
..w.n..... w.•~e- / ~ / ~ Af1ADQ ~/~ (~ApPFR ( 1 Al lIM_ N' ~ ~ ~ ~~/J~-/
vv.~rvr. v.. ..
SWITCH OR BREAKER Q~ AMPS _ -__ _ _
PH
W
j'" ~~OLT _
RACEWAY -__.-
EXIST. SERV. SIZE l/ U AMPS ~ PH ~ W /-~4" VyOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
O.90 AMPB. 91.100 AMPS.
S W ITCH E3
INCANDESCENT
FLUORESCENT & M. V.
FIXED 0.100 AMPS. OYER
APPLIANCES BELL TRANS F.
AIR
CONDITIONING H.P. RATING
COMP. MOTOR H.P. RATING
OTHER MOTORS
AMPS
CEIL HEAT;
KW-HEAT
.a
~
~ ,Dd
MOTORS
H 0~1
.P.
VOLTAGE
PHS
NO. OVER
1 H.P.
VOLTAGE
PHS
c
CITY OF ~l
r~'L'aat~ic ~-'e~ack - ~le~tida
January 22,
Bassel L. Randolph
831 Amberjack Lane
Atlantic Beach, FL 32233
Dear Mr. Randolph:
r ~ Iii (!)
m A ~ D
~V ~ w m° ~
m;• 0 3
a ~. ~ 2 g
co ~' '~ N m m
g y m ~ ~ a~ ~- Z
~
m o m
~ mD m ~ °'-' m ~,m ~ ~' who
N ~ ~ o m a ®m w
N S _^^
~i.~ N N n Z O
~
_.
'~ -• ~
3 d
~
J uw, ~ m
3 ~
N N m N m
a
~, ~
m a
~_ p N o m
/
°
~ c (~ ~
~ m m o-
m y v ~ ~ m z N
~
m ~
~ a a N
~ ReturnReceiQtService_ __ __
- - -
for using
Thank you
~ ~~.8 0~
--- - ~ J
3UNCOM 852-5800
1996
Our records indicate that you are the owner of the following
property in the City of Atlantic Beach, Florida:
831 Amberjack Lane
a/k/a Lot 29, Block 4, Royal Palms ~1
RE~171183-0000
.,,,.
Investigation of this property discloses that I have found
and determined that you are in violation of City of Atlantic Beach
Ordinance Chapter 12, Section 12-1-(7) i.e., outside storage of
unregistered, abandoned motor vehicle.
You are hereby notified that unless the condition above
described is remedied within ten (10} days from the date of your
receipt hereof, this case will be turned over to the Code
Enforcement Board.
Under Florida Statute 162.09, the Code Enforcement Board may
impose fines of up to $250.00 per day for a first violation and
5500.00 per day for a repeat violation.
Sincerely,
Karl W. Gr newald
'~ Code Enforcement Officer
KWG/pah
cc: Public Safety Director
CERTIFIED MAIL
RETORN RECEIPT REQOESTED
CITY OF ATLANTIC BEACH
FLORIDA
APPLICATION FOR BUILDING PERMIT
FOR OFFICE USE ONLY
Date...........~~.1~......19 7/
Permit #--~41r~(.......Fee $..~s~.:. ~...
Valuation $.......~~~. `. .....................
House # CJ ~l ~?..?~..~•~..F'~L.sl..~
Application ds hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who- has been issued a Buildink 'Permit is autoTnatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
Y Date..~11~.~.Sn.S.':~.---•----•~--~••-•----------------•--.., 19-~---~---•
Owner_~~,5....__~..~-~.~._~.._5..---_..,c.~'.-~~1.~•4+__1 ....................Address_..._~~.1.._../.~.Wt~e.(~..~.X.~-~.~AN~elephone No.~~~~.~/~,Z..
Architect---.~?-.S_.,.-.V~,:~:...1~.+~__...----•• ..............•---.-.--.._._...........Address._.._......._~~C~U.~.~-C,~.r,...~1,~1.E.......Telephone No..3,~~U-8.~.~
Contractor Builder_.Q`.S'~.~-.~Q.ti?-._.~oy1S~.f~,,~,_c.,~::1,A.41-•----•_Address...---~-.2.-~..Ct---PI.1_ ..~.-.--- .-•-•--.Telephone No..~g_7~f .~ ~-~
Lot No.._.._-. ~-•-°•----•-------••---•---...---Block No.----~--•-----•---•-••-------Sub Division--~, .. - -•- -•--~L~~•• ........................Zone !?~`~~
. _....._ ~~//..........-----•----.__Street----------~•--- ---•--- Side )~etween~~ ~ _. .~. - - • ~-------------and.----• - ----..._ Sts.
Valuation $-.7.~l1~.=': -.---.__-_-For what purpose will building be used-.l...EA.!~-! 4'~(..~.~?~~~gwpe of conatruc on--_6_L a.-~,-~•.-•--.-----
E y f
Dimensions of Building-_-. ~.~.-X---•~--~--------------Dimensions of Lot---.-------.---......----......._..---...-.----•--..---:Size of Footings..l~aC.L-~?-.---.--.---...--
Size- of Piers-------------------------------•..--Size of Sills-------•.------•---------------.Greatest Sill Span in ft._.....-•-------...-_-•---.Type hoof---•---.-----•; -----..-.....--•---•--
How will Building be Heated? ................................................................Will Building be on Solid or Filled Ground?__..~Q~,-!~.~?---_-.":
Size of Ceiling Joists--~--ll--Ff~-----------------•.---._._, Distance on Centers...._..~-:E?---------•---------•-•-------., Greatest Span._-.----1--.~-•-----•-•-------------..... "
• __. Greatest S "
Size of Floor Joiste._~aiv~.Rf.f ~------------------ Distance on Centers-- -.....- ----•----------•---._...._.._ P~-------•------------•-•---------------•--..
Size of Rafters---------------------•----------------•--•-----------., Distance on Centers ......-..---- -------...----••-----•-•--.., Greatest Span__...------.....-----•-•-------------------- ,.
Two copies of plans ant specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
E. When steel is in place and ready to pour columns and/or lintel.
8. When steel is in place and ready to pour beam.
4. When framing is completed.
5. When rough plumbing is completed, and ready to cover np.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville.
8. Fiaal inspection.
Note: In case of any rejection, re-inspection MUST be• called for rafter
corrections are made.
This rectangle is to represent the lot.
Locate the building or buildings in the
rip~ht position. Give distance u~ feet from
all lot-lines and existing buildings.
REAR LOT LINE
= -----~_
r
j_ _ __
1 -
i `
i..~ - - t
z
~a"
r7
VI
FRONT OF LOT
z
ra
Q
m
Ia consideration of permit given for doing the work as described in the above statement, we liereby agree to perform said
work in accordance with the attached pleas and specifications, which are a part hereof, and in accordance with the building
regulations of the Citp t
Signatare o! Builder-- -- •-• . -~~~+R~ae. r- --. Addrese.~f.___~~-_ -~G~--- --.....-•-----•--~--------------------
Signatmce of Owner.~llai. ~•1/io•-~d-~-~ Addresr---s~,,~_f --i;~'~-(t~-G~--"s'ue'.`---•--=• ...............
s __ __ T _ _ _.. ~ . ~_,..~.,
DEPARTMENT OF BUILDING F''OR OFFICE USE ONLY` f
CITY OF ATLANTIC BEACH, FLORIDA D~te_,,, ~~f 19~?/
Permit #~~'~ ..Fee S -4~'
Valuation. $ ~l~'-d
App~,ication for Permit for HOUSE # ~~
.Miscellaneous Alterations,
and Repairs _ `
DESCRIBE: ~`~` ~ /~ ~~-G~/ z~z~-G~''~v a"Z .~~~d
(State if to repair, alter, add to or mays building, erect wings,
igns, etc.) ~ ~~~~
Building an: Lot No. c~ B o. ,~,~,. _Sub.Div.
,.Address ~ ~ aluatioa S / 7,.3 -
/"'~ Owner r S NSme
BUILDINGS AND OCCUPANCY
Building Use -Residential or Business
what Plumbing work to be done?
Size of Present Bldg. Size of Extension Lot Size
bTo. of stories now after altered Material of roo:~
Material of Present Building Material a_ E:~t~::a~~ ~or~
NECESSARY PLANS T4 BE SUBMITTED HEREWTTc3
OIL BURNER OR GASOLINE EQUIF_'+~Ei~T
Name of Oil Burner or Gasoline Pump Type or I~ociel
Name and Address of Manufacturer
In connection herewith, application is also made ti~7 in.~ta~,1:
qal.= capacity tank (s) made by of ga~'~s~eir•.etal
~- ~~„~,~, ground. (Name of Manufactut:Fr) ~,K~,.,~ ~r ~bt~ve)
Under ar Above) of building . F or_ ~_ __ _ _ __
nt~ a or u si a a:~uie o~ ~ u:~ cf~a~;e~~_..,..._._
,~ FURNISH DRAWING SHOWING ENTIRE LAYOUT ON P.EVER.SE SIDE O~
THIS BIaANK
SIGNS
Size Classification
(State whe er groun r oo~, wa r pro ~ctxngw`,~anner)
Material of Construction
Illuminated? Type of illumination
~e w e Gr amps o.r eon
Will sign be over public property?
SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN l~.t~ ~ TK()b? C?~' 1'AATC==_XNC
WRITE ADDITIONAL INFOF.Ni~TIOLd B r ~~7
(For canvas awnings provide dimensioned c3~.-~~,ng oz sever s side)
PL G
IMI~ORTANT NOTICE
In consideration of permit given for doing the vrork as desdrib~:c3
in the above statement, we hereby. agree to perform said worl in
aceordance with the attached plans and specit?cations, which ~xb a
part hereof, ;nand in accordance with the building regulat.~_on^ of tk~e
C~.ty of Atlantic Beach. (Southern Standard Hulloing Cady:).
.-, ~
Signature of `Bexilder or Ow¢><er ~~~ ~~~'~-`~ ~~.s~,
Address Phone No.
--____~
PRBPARBD 1/03/03, 8;18:09 INSPECTION TICKET PAGE 7
CITY OF ATLANTIC BBACH INSPECTOR: LARRY J HIGGINS DATE 1/03/03
------------------------------------------------------------------------------------------------
ADDRESS 831 AMBBRJACR LN SUBDIV:
TBNANT, NBR: NEW HVAC
CONTRACTOR SNYDER HBATING & AIR PHONE (904) 641-0600
OWNER RANDOLPH, BASSBL PHONE r~~ ~ ~
PARCEL 171183-0000- - ~ V4~
APPL NUMBBR: 02-00025313 MECHANICAL ONLY
------------------------------------------------------------------------------------------------
PgYAIt: MBCH 00 !lgCHA1fICAL PB&MIR
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLBTBD RBSULT RB S/COMMBNTS
--------------------------------- --------------------------------------------------------------
34 O1 1(03/03 LJH SFI,NAL 'f~~[8: ~7:4U
--1-~-~~ _.~--- ~M oR I~, ~~~-~~~~
-------------------------------------- COMMBNTS AND NOTBS
PRBPARBD 1/03/03, 8:18:09 INSPBCTION TICRBT PAGB 8
CITY OF ATLANTIC BBACH INSPBCTOR: LARRY J HIGGINS DATB 1/03/03
------------------------------------------------------------------------------------------------
ADDRBSS :831 AMBBRJACK LN SUBDIV:
TBNANT, NBR: INCRBASING SBRVICB ~ ~ ~ o
CONTRACTOR : R & R BLBCTRIC COMPANY PHONB (904) 168-6166 ''~
OWNBR RANDOLPK, BASSBL PHONB :_ ~~~~~
PARCEL 111183-0000- -
APPL NUMBBR: 02-00025320 BLBCTRIC ONLY ~
PBPl~IT: 8L8C 00 gLBC'fkICAL PBYMIT ,~
REQUESTED INSP D RIPTION
TYP/SQ COMPLBTBD RBSULT SULTS/COMMBNTS
------------------------------- ----------------------------------------------------------------
23 O1 1 03/03 LJH, BL FINAL 1TI~: 0$`:~0
-------------------------------------- COMMBNT5 AND NOTBS --------------------------------------