Permit 59 W 9th StreetCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000757 Date 7/07/10
Property Address 59 W 9TH ST
Application type description COMMERCIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation 2500
----------------------------------------------------------------------------
Application desc
STUB WALLS FOR NEW OFFICES
----------------------------------------------------------------------------
Owner Contractor
-----------------
DAVIS, JAMES -------
------------------------
THG GENERAL CONSTRUCTION
59 WEST 9TH STREET 634 2ND AVE N
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
------------------- (904) 838-5925
---
Permit ------------------------------------------------------
BUILDING PERMIT
Additional desc .
Permit Fee 65.00 Plan Check Fee 32.50
Issue Date Valuation 2500
Expiration Date 1/03/11
-----------------------
Special Notes and ---------------
Comments --------------------------------------
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
--------------
---------
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: „~ f W `~~i S f Permit Number: /l' °- b 7 S~7
Legal Description .ls ~'s-S, ~~ 7 QI o~ ~(~.,~ S~~!`oN ~ ,~ Parcel # ~~~7 7~- o ~ oo ~/ 7a 7~ 6 -o o -0e~
Valuation of Work $ 2 SAD {~_ Proposed Work heated/cooled non-heatedlcooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa window/door
Use of ezisting/pro osed structure(s) (circle one):. Commercial Residential
If an ezistin;; struc~ure, is a fire sprinkler system costae irc a one): Yes No N /A
Florida Product Approval #
For multiple products use product approva orm
Describe in detail the type of work to be performed: -S"~v~i ~,.~_ ~/ ~a~ 3 s ~,,. ~ // ~vGti~i~' ~v~.f oY7'~)c e f
Property Owner Information:
Name:~u,~
City -,~
E-Mail or Fax #
Contractor Information:
. L,G ~''~..,. ~ A. DOE fJ r-~ E,~ ,~y
r3 In ~` r Address: .!~ Gi ~~ S ~t
State Zip ,2 2233 Phone 9'p ft" - S/ ~ - S 3 S'~'
I_4 ~ I_ /A r i•_
Company Name: ~~ ~ l~~l'1 ~,2f~ L ~ ~~ ~'~4rlQualifying Agent:
Address: Cji~ State Zip
Office Phone Job Site/ Contact Numb _T z Fax #
State Certification/Regi tration # C ~ G U ~ ~- fr S3
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certafy that no work or installation has commenced prior to the
issuance of a permit and that all work wall 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 fora eraod of six 6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, fells, Pools, urnaces, Boilers, Heaters,
Tanks and Air Conditioners, etG
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMIVIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IlVIPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBT ~1TANCING -CONSULT WITH
YOUR LENDER OR AN ATTO O~~~BNFOMERE ~"~I'~f'~~IP7~'~'ICE OF
~ ~ `!~ !!w
I hereb certi that I have read and examined this a lication and know the same to be true a 1: rrect.~ rovisio 1 s d ~ finances overnin this
type ofYwork will be complied with whether sppeed herein or not. The granting of a permit ~r~t~~-~~; ..~zi~y . violate or canc~l the
provisions of any other federal, state, or local lmv regulating construction or the performance of Construction: .-~.,.;.,»,.._
Signature of Owne ~l z-~--n-y~~~ Signature of Contractor ~ ~,r.~. ~ 3 ~..-~---~--~
Print Name .~.~.~...... Print Name ~' ~........
S c e ore me two o and subsc i before
t ~ is Da of 20
" ''' L L G AM
SIGN k D 957760 ~.~t "' IRLEY
tom' UIRE 1~1 j'S D Thru Notary Pu Underwriters ~ ~~ EXPIRES: ebruary 14, 2014
''~i•','•••~;, ndedThru taryPubiicUnderwriters sed 01.26.10
REVIEWED BY: DATE: li ~
i
"1
r
O
O
O
N
W
~r
°: D
M "~
O C
• -{
a~
.m
ti ___-
II -___
It
l
II
II
II
II
_____
I l i i ~ y @I 1 i i
{ " ~ ~ 1
,,iii~i a~3ii.
,i~l
iiiltl'~ i~ttii
ii I.
rR I ilXl sii
l ir. It Ilti:
I i i !~ v i t
I i f I I I
i
i , I~ t, ~ l
I i i ~~ ,I 7 1
1 1 1 1 1 " ' I l i
I
I t i I
1 1 I 7
,i .I 1 t I I I ,, , I
fi U 1r s 1I tj
ii
f:
II ~ -
W=
~w
~~
'~.,.,
~~~L -:
H
. > ~
4
\
I
~
\
~
~ Z
g ~
\
~~ `
~.
~
~
`
~
i,~
,
~ ~
~
~ i~~~`~
\ .,
~
~ ~\ ~
`
~~ ,
~~ ~ I ~ ~~
1
o ~ x
~ ~~
~a
N
~+
1
O
T
II V
,' D
o Z
m
~~ ~~ ~ ~ m
g g z
. ~. ~ ~ v
~r ~~ ~ ~
m..
~, ~ . ~,
t
~
..~ L~ . ~ ~ ~ ~~~ V~ ~~.
~~,~ \ ~ \. .1 ~A~~ t \ ~ \ ~`ti \ ~
~'
~
1, \~ \ \. ~
~
.. ~\ ~ ~ ~. A, ~., A 'V • ~ ~ . ~ A ~ A \ ~ A ~\ ~ ~. ~~~ ~'~ V ~~~~ \.
~ \\ \
` \ \
\ ~
~
t ~. ~ ~
,.
,.,..
s .:. _,. .. ,,.
_.:i ~
1
>
pT~~
m
~'~ ~
~rx ~u•-a• r-r m_~•
+
s ~
~ •n C
~ p X ~ ~ -pt
~ 8K Im fi ~
4
8
1 .~
r~~
Fi ..
, ~~
~
~
•' ~ ~ ``
~ ~ E ~ ` ~. ~ ~' ~
~
~4
~ y\ ~ \ P _
f t `•
\
`` ~ ,~ ~
.
\ t
. .
~~~~
a z a ~ o
nn 4-' ~~' q ~ ~ t ~
yi ~
~~ ~ ~~ ~ ~
.~~
~~~ ~~
2~
o
-w l•• °° °g a m
N i s m ~
N ~~u ~ ~
~~~~ s
8
~~ ~ ~~
'
$
N ~
~i.:i,~~;1+; City of Atlantic Beach
.: Building ®epartment
~~ `,, ~= s ~ 800 Seminole Road
~.- ._ ._ ..: . ~r Atlantic Beach, Florida 32233-5445
~ _:~--~ Phone (904) 247-5826 Fax (904) 247-5845
.~~voat ~t E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
/'d ~ d ~S~
Date routed: _
fro er~y Address: ~~ ~~ ! ~~~~~`j'
p ~
applicant:
r7~`~•, f ~~~y1~z( D~, ~Es
nt review required Yes o
ilding
n o"
ublic Works
Public Utilities
Public Safety
Fire Services
Review feex~fs ' Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified i3y Date
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other: ~
Reviewing Department
(Circle one.)
BUILDING~~
PLANNING & ZONING
TREE ADMIN.
PUBLIC WORKS
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES
APPLICATION STATUS
f=irst Review: Approved. ^Denied.
Comments:
Reviewed by:
Second Review: ^Approved as revised
Comments:
Reviewed by:
TtoBrd Review: ^Approved as revised. ^Denied.
C®mments:
Reviewed by:
Date: / ~ ~G
Date:
Date:
Revised 05/14/D9
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000757 Date 7/09/10
Property Address 59 W 9TH ST
Application type description COMMERCIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation 2500
----------------------------------------------------------------------------
Application desc
STUB WALLS FOR NEW OFFICES
----------------------------------------------------------------------------
Owner
------------------------
DAVIS, JAMES
59 WEST 9TH STREET
ATLANTIC BEACH FL 32233
Contractor
------------------------
THG GENERAL CONSTRUCTION
634 2ND AVE N
JAX BEACH FL 32250
(904} 838-5925
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee 77.00 Plan Check Fee .00
Issue Date Valu ation 0
Expiration Date 1/05/11
----------
-----------
---------------------------
-----------------------
Special Notes and -----
Comments
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
----
---------------------------
-----------------------
Fee summary ---------------
Charged
----- -- -------
Paid
-------- - Credited Due
--------- ----------
-----------------
Permit Fee Total -----
77.00 77.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Tatal 77.00 77.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
Jos ADDRESS: ~~( W ~~ ~t~ 5~~ PERMrr #
iO~~S 7
NEW SERVICE ^Overhead
^Residential (Main) Service
^0-100 amps ^ 101-150amps
^Commercial (Main) Service
^0-100 amps ^ 101-150amps
Conductor Type,
^Multi-Family (Main) Service
^0-100 amps ^ 101-150amps
^Temporary Pole ^ amps
SERVICE UPGRADE ^
^ Underground ^ Underground up Pole
^ 151-200amps ^ amps # of Meters
^ 151-200amps ^ amps ^CT Service
Size
^ 151-200amps ^ amps # of Unit Meters
amps ^ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
^ 100 amps ^ 150amps ^200amps ^ amps ^ CT Service amps
ADDITIONS, REMODELSrREPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: ~/ 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
^ Swimming Pool ^ Sign ^ Smoke Detectors Qty ^ Transformers KVA ^ Motors
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
^ Replace Burnt/Damaged Meter Can ^ Safety Inspection ^ Panel Change ^ OH to UG
^ Other:
amps
hp
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name ') I t'e~ w~Ct~~ e~1~~1 Phone Number ~~ ~ "- S ~ ~~
Electrical Company (,~ ~ eC~ ~~ C ~ ~ 1~,5 ~l C ~ Office Phone ~ ~I Fax ~` o~~'LI ~
Co. Address.: S3 s
~ L.aS ~.c~ f\c~l~ City ~~x State ~, Zip 3_ "l
r
,
License Holder (Print): _ ~ ~ ~ 1 t ~ ~ 11
~~ ~~ r~'~I SY~ v y~y T State C~ertification~Zegistration # Lcl~ l ~ 1 a $' 3 ~
Notarized Signature of License Holder
Sworn
20
a.. :,' EXPIRES:
Signature '~