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Permit 2242 Barefoot TraceCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00025486 Date 2/03/03 Property Address 2242 BAREFOOT TRAC Tenant nbr, name REGROUND AT METER CAN Application description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ CORSANO ADVANCED WIRING SERVICES INC. 2242 BAREFOOT TRACE P.O. BOX 350177 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32235 (904) 744-4446 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 35.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary Charged ----------------- ---------- Permit Fee Total 35.00 Plan Check Total .00 Grand Total 35.00 Paid Credited Due ---------- ---------- ---------- 35.00 .00 .00 .00 .00 .00 35.00 .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 WHIG ARE PART OF THIS PERMIT AND SUB3ECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. f r~ ~ BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 02-00025411 Date 1/10/03 Property Address 2242 BAREFOOT TRAC Tenant nbr, name REPIPE & INSTALL 13 FIXTS Application description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ CORSANO, ARTHUR DAVID GRAY PLUMBING INC. 2242 BAREFOOT TRACE 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 744-7255 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . Permit Fee 126.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary Charged ----------------- ---------- Permit Fee Total 126.00 Plan Check Total .00 Grand Total 126.00 d Paid Credited Due ---------- ---------- ---------- 126.00 .00 .00 .00 .00 .00 126.00 .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 ETfHER 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. r^s? ~. 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FOLLO RE-PIPED pR ~ G FIXTURES LAVATORY ---'~ _BATH TUBS -----ss-___~INALS -~,~CLOSETS --~~,FLOOR DRAINS --------SEWER ___ ~ __SHO WERS -~._WATER HEATERS - ~.~_DISHWA,S~RS -----_DISPOSALS -~= _,._WASHING I~fACHI~E --__._-.ySHO WER PANS ---L` _RE-PIPE (LIST FIXT ------WATER URES BEING. REPIPED) ---_._OTHER TOTAL, FIXTURES: ~~ - X $7.00 + $35.00= / '~' 4. ~'~MY-jM PERMIT FEE: $35.00 SIGNATURE OF OWNER: -----___ SIGNATURE OF CONTRACTOR: INSTALLATION OF PLUMBING THE MOST RECENT EDITTON OFATH FSOU~RN S MUST BE IN ACCORpANCE WITH CALL A DAY TAND~ PLUMBING CODE. ~~ TO SCHEDULE INSPECTIONS - (g04) 247-5826. /?~ ~ ~ ~ CITY OF ATLANTIC BEACH ~ DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-582fi -Fax: 247-5877 PLUMBfNG PERMIT - -- -- -- -- -- - ---- _ --__ _ _ PERAAfT lNFOR ATlON_ LOCATIQ~ INFORMATION_ _ _ _ Permit Number: 23324 ~ `- _`--- - -- --- ---- ---- ------_ ---~ Permit Type: PLUMBING Address: 2242 BAREFOOT TRACE- y-j Class of Work: ALTERATION ATLANTIC BEACH, FL 32233 Proposed Use: SINGLE FAMILY Township: Range: Book: Square Feet: Lot{s): Block: Section: Est. Value:. Subdivision: OCEANWALK improv. Cost: Parce! Number: - ---- ~ - _- OV~NER tNFORMATl4N __ _ _ Date Issued: 1115/2002 - -~ ^'' Name: CORSANO,ARTHUR j` Total Fees 25.00 Address: 2242 BAREFOOT TRACE ~ ~ Amount Paid: 25.00 Date Paid: 1115/2002 ATLANTIC BEACH, FL 32233 -- -.--- ------ ----- Phone_ {904 724-5454 j Work Desc: REPLACE WATER_ HEAT i-,- ---- - _ --- ------- CONTRACTOR~S~_ __ _ j~FLORfDA PLUMBWG WORKS, I y ~~ y ~ ~ PLtCAT10N FEES - L~` ~~ -~- ~ + ~~ ~ - ~r ~ ~ ~ '`~ ,. y.- "' Y4 ~ - _' ,~ , -.._- _._.._- ~ ~` 4 ~ 3:~:.. _ E yf5 ~1 "!'._ ~.?4 4 e ... a ~-...-.,~~.._ !. ~ M'attY .1.. $ NOTICE - I q F a~~ G S I a - - {~~ti ~_ 7'v] ~ ~~~ ,i+cc x WP ~aYK ~x _ Y ~ ~; ~t ~': ' F ftr - '. _ _ a ~_, iUILDING MATERIAL, ~ >PACE. AND Mt ~~T R~ FAILURE TO COMPLY WI 'ROPERTY OWNER pa~N~ F .~ 4 5 z ^9~ , ~, ~ ~ ~~~ ' .~ ~~ IOR 7"CJ ! SF .- "" """ ~V~} ~~~' 'ED IN PUBLIC '~~ E~ GQN R OR OWNER I*~>~ ~~ . !~~,_:,~_ ~ _ ~ y,., ULT IN THE SUED ACCORDING TO APPROVED PLANS ~ ~ ~R VIOLATION OF APPLICABLE PROVISIONS OF LA~ PERMlT AND ~IJBJECT TO REVOCATION ... _.,~ W ,. ,~ _.- ,, ~ _ ATLANTIC BEACH BUiLDlNG DEPT. ~~2~ ~ ~ f ~3` v~ ~ ~ ~ r ~ -. {r"" 'F 111 E3 :~ 4 fI .~ ~ ~ I '~rf~~-~~~1~~D.A~`~T~~ f~~~€~S _--- _.. f2~.66 4 Dater 1/ZS/8i' S1 Receipt: X74 5 PRBPARBD' 1/17/03, 8:44:59 INSPBCTION TICXET PAGB 9 CI`rY OF ATLANTIC BEACH INSPBCTOR: LARRY J HIGGINS DATB 1/17/03 -------- ADDRBSS ------------------------------------------- ; 2242 BARBFOOT TRAC --------------------------------------------- SUBDIV: T$NANT, NBR: RBPIPB & INSTALL 13 FIXTS CONTRACTOR ;DAVID GRAY PLUMBING INC. PHONB (904- 744-7255 OWNBR : CORSANO, ARTHUR PHO - --- ._ _ ~ PARCBL 169463-0590- - _ 6~ i V ~-~ ~'~ ____...~ ~ ~ I-~ APPL NUMBBR: 02-00025411 PLUMBING ONLY ~!' Y Q~ %,T.'_k~?`Jr; ~E~`,~~I-~ j ~111t_1.)I~y(,7 fi ~'i_)i~Iirl~~i 1 P6BlIIi: PLBG 00 PLONBIHG PBYNIi ~u~~ ~~~ ~ RBQU6STBD INSP DBSCRIPTION t TYP/SQ COMPLETS'D RBSULT RBSULTS/COMMBNTS ••.~ „ ~nn~ i - - ~ , 45 O1 1/17/03 LJH PL FINAL TiM$: 13 :D0 -------------------------------------- COMM$NTS AND NOTBS ----- t.~ ~~~, V~ t ~ ~ ~~~~ ~~~~~~ a (~,~Qi~^-~ - "- _F a OF JOB ADDRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted t t ~~ ~ u ~ ~ `-~ ~,,~c_'i ff?~ cry-C., ~~ ~ ~~~ ~~~ ~-~ 6~~ ~> ~ ~~Q It i~ ~ // ~ ~`\ ~ ~r other per ~ J t f the work will `f 1~- oper insr.~._____ ~tion. After additions or corrections have beery made, call 247-5826, Building Depart- a~uMei"~ ment for an inspection. Field Inspectors E~Ec are in the office from 8:00 a.m. to 5:00 e~oc p.m. Monday through Friday. PREPARED, 7/10/03, 16:48:02 INSPECTION TICKET PAGE 1 CITY OF ATLANTIC BEACH INSPECTOR; LARRY J HIGGINS DATE 7/11/03 ADDRESS 2242 BAREFOOT TRAC SUBDIV; TBNANT, NBR; REPIPE & INSTALL 13 FIXTS CONTRACTOR ;DAVID GRAY PLUMBING INC. PHONE (904) 744-7255 OWNER CORSANO, ARTHUR PHONE PARCEL ; 164463-0590- - APPL NUMBBR: 02-00025411 PLUMBING ONLY ------------------------------------------------------------------------------------------------ PBRBIT: PLBG 00 PLQ!lBIgG PBHMIT REQUESTBD INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 45 O1 1/17/03 LJH PL FINAL TIMB: 13:00 3/10/03 DP 45 02 7/11/03 LJH P FINAL TIME: 13:00 _ ~'_~..~___ _ _ 7 47255 reinspect paid -------------------------------------- COMMENTS AND NOTES -------------------------------------- ~ ~ ~~--cri `<- ~- --~~ ~..s ~`~~..-~ y`~ ~ ~ c~- ~~ ~ ~~~~ City of Rtlantic Beach e** CUSTOMER (~CEIPT Oper: DSNIITH Type: ~ Drawer: 1 Date: 3/10!83 81 Receipt no: 40fi48 Description 25411 Qty Aaount BP BUILDING PERMITS 1 135.88 Tender detail CK CFIECK5 4324 (35.00 Total tendered 135.00 Total pay~ent 135.00 Trans date: 3/10/03 Tire: 9:10:11 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 04-00028055 Date 4/06/04 Property Address 2242 BAREFOOT TRAC Tenant nbr, name REPLACE CONDENSOR ONLY Application. description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ CORSANO AIRPRO SERVICE CO. 2242 BAREFOOT TRACE P.O. BOX 350755 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32235 (904) 221-9595 ---------------------------------------------------------------------------- Permit . MECHANICAL PERMIT Additional desc . Permit Fee 75.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary ----------------- Permit Fee Total Plan Check Total Grand Total Charged Paid ---------- ---------- 75.00 75.00 .00 .00 75.00 75.00 Credited Due ---------- ---------- .00 .00 .00 .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 Il~iPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ~..~ BUII..DING OFFICIAL r` ~ v Sff ~- ;:r:+~~a;;4.;:` ~J,3F~~ CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION natp~ ~- ~ - o u Property Address: ~ ~ ~~ ~ ~ r e o~ ~" ~r~ c ~.. Owner: C d rs °r n D Telephone #: _ .2 y ~ ' ~ / 7 ~ Contractor: /~^ pry rSc r v r C `r ~' , , ~h ~ Telephone #: ,,2,2 / _ ~1'S~' 1'~ Contractor Address: ~Q ~b rc- ~5~~ 7SS-- - ~ 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 standazds of ood ractice listed therein. Type of Heating Fuel: If other construction is being done on this building Electric or site, list the building permit number: ^ Gas: _LP Natural _Central Utility ^ Oil ^ Other - S ci MECHANICAL EQUIPMENT TO BE INSTALLED NATURE. OF WORK ^ Heat _ Space _ Recessed _ Central !Floor Air Conditioning: _-Room ~entral ~ Residential ^ Duct System: Material Thickness ^ Commercial Maximum capacity cfin ^ Refrigeration ^ New Building ^ Cooling Tower: Capacity gPm O Fire Sprinklers: Number of Heads ~^ Existing Building ( \ ^ Elevator: _ _ Manlift Escalator (Number} ^ Gasoline Pumps (Number) ~(° Replacement of Existing System ^ Tanks (Number) ^ New Installation ^ LPG Containers (Number) (No system previously installed) ^ Unfired Pressure Vessel _ ^ Boilers ^ Extension or Add-on to Existing System ^ Gas Piping ^ Other -Specify ^ Other -Specify LIST ALL E UIPMENT AIR CONDITIONING, REFRIGERATION EQiJIPMENT & CONDENSOR'S Approving Number Units Desc ption Model # Manufacturer Ton's Agency D ~ ~. ~ o ~ ~r-h~I~ ~-~ h~i~ ~-~-d~ ~ ~~ h ~ ~ ~-~~ HEATING -FURNACES, BOILERS, FIREPLACES & AIR HANDLER'S Approving Number Units Description Model # Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving HowMan' & Dimensions Contained Manufacturer No. A enc 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Faa: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested : December 21, 1987 Building Contractor: Collier Classic Homes Building Permit Number: 8374 Address : 2242 Barefoot Trace Legal Description : Lot 44 Unit II Oceanwalk Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as --'---5 ~-~.~_~~D111X------ Lowest Floor Elevation: ___9,75!___ \ ---------- ---------- required ae built n/a Sales Tax Certificate: ----------------------- date submitted ~r BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE CDMPLETE DEPARTMENT' Fire Chief Public Works Planning Director Building Inspector DATE NOTIFIED: _ 12/21/87_______ _ 12/21/87_______ 12/21/87 DATrE APPROV/E~D: ---~~ z~o~-_ --------------- 12/17/87 --------------- ~~~- N .A w d MAP SNOWING BOUNDARY SURVEY OF LOT ~ BLOCK "' AS SHOWN ON MAP OF DC~EA~cJ`t/,Q~,rC yvi7" T1t~Q AS RECORDED IN PLAT ROOK '~ PAOES ~-~~~3~ OF THE CURRENT PUBLIC RECORDS OF DUVAL CO., FLA. FOR ~ L~OIL iQr~[ L°.c.~OfS/~ .~/4.y~lES TOTE BEARING DATUM SHOWN HEREON ARE 8ASE0 ON THE A80VE MENTIONED P A ~ ° 43'2" ~ L' g8.2G' ,~.~~ +~ 9K4 t .K~ ilea/ ~~~~II ~ ~ ya ~ ass,HE.uT +~ i ~ __ ce~,r'. mss. ~ N Op 'S '~ ~ IJ u ~ ~ ~a ~w ~ . ~ ~ h ~ ~ b o o,.o. ~~ ~ ~ (~ . o •~. !~ }~ ~ C[ds7<L O. Cep ~/~ V ~ !,; f; L;G'fi' Tt Il6 O. o N (t~ ^ W W ~ Oa „a ~~ ~ 12.2 '~ ~ t, ~ o - ~ ~ ~ ~ ~ C ~ qUl i00 a m 25.3' o! Q~ ~ w `O ~, ~ ~ \[ V h F. ~. /in. dG ~ .~ JawWfN liviN6 l..ws Z $ 7 ~ y ~~ ~ m OwECLiaJG rs~ ~i Y ~'~ ~ 4 ~ VV" M 24 "EAVES h ~ I ~ ~ ~ 2 > ~ N ~ h yrt~ ~ ~ ~ Q N V~ ~ /V. 8 /t. 5' w r (~ ~ 1 ,e.a, j~ ~ ~ ~ ~ ~ ~ ,tio~l °~ ~ ~ ~V ~ V W ~ V ~ -, D ' ~ 0 ° L ~~ Nf ~ _, Q = OAK .:. -.:. ,,.~~ I ,~ ~ ,,~,,,, • : ~ ~ I Mme: M,. r '~ q. v. r ~ ~ ~ ~ I • • I "~• ~ ~%'/ se.,,, ~ ~ ~ ~' r'` • is , ~~' ~._ _ CITY OF ~4~ctic ~e~~i - ~~viida 716 OCEAN BOULEVARD P. O. BOX 26 ATLANTIC BEACH, FLORIDA 32233 TELEPHONE (904) 249-2396 December 21, 1987 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #5483----290 Poinsettia Street Permit #5484----294 Poinsettia Street Permit #5460----298 Poinsettia Street Permit 5461----408 Seaspray Avenue Permits issued to Brooks ~ Limbaugh Electric Company. Permit #5310----2242 Barefoot Trace Permit issued to United Electric Company. 5i er ly, Rene' Angers Commun'ty Development RA/ tb cc; file ~`~~8~ CITY' OF ,r~~a+,rt~'c z'S'eac~- ~~o.2ldc~ Office of Building Official REQUEST FOR INSPECTION Date ~~-''- ,~ / `---' / Time, A.M. Recewed P.M. ~~ Permit No. `-' ~ ~ ~~ District No. Job Address locality Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ^ Footing ^ Rough Wiring ^ Rough ^ Air. Cond. & ^ Re Roofing ^ 51ab ^ Temp Pole ^ Top Out ^ Heating lintel ^ Final ^ Sewer ^ Fire Place ^ Pre Fab READY FOR INSPECTION ~} n M Tues 4yed. Thi ~ aY . o . .^- n Inspection Made C~ ection Fi l Ins inspector . na p Certificate of Occupancy Date i UTILITY AGREE~'~NT (Water and Sewer) THIS AGRT, made and entered into this 1~_day of FPhr-~7ar; , 1987 by and between the City, of A:tlan.tic Beach, Florida, a m~micipal corporation, hereinafter referred to as "City", and . fpl l ; er ('lassic II_~s anal its successors and assigns herein referred to as "User". Tn1E~RF,AS, User owns land in Duval County, Florida, described as follows : _ I~nt GG. R1 k ?Ocean Wa7 °: and WHEREAS, User plans to develop said land by constructing L buildings, ~ residences and/or other improvements thereon consisting of elg ~~y and 1~~'ZEAS, The City is the owner of a water plant, water distribution system, sc~aage treatment system and sewage collection plant in the vicinity of_ the above described property; and [:~IIEREAS, User will need water and sewer service, and User desires City to furnish same; and T,~-iERF.AS, City is willing to operate such water and sewage treatment system so that all buildings constructed on User's property by User may have furnished to them water and sewer service, subject to all terms and conditions of this Agreement, NOW, THEREFORE, in consideration of the premises and other good and valuable considerations and in consideration of the mutual covenants anal conditions hereinafter contained, the parties hereto agree as follows; k ~~~ 1. Upon the terms and conditions herein contained, the City agrees to provide potable water and domestic suer services to the User's Property. The term "domestic sewage" used in this paragraph and referred to throughout this Agreement is defined as follows: Human waste including liquids and solid matter carried from plumbing fixtures normally carried off by drains and sewers, and except where specifically excluded bath and toilet wastes, laundry wastes, kitchen wastes and other similar wastes. It does not include commercial or industrial waste, 2. City agrees that after User has connected to the system, thereafter City will provide, at its costs and expense, but in accordance with other provisions of this Agreement, including rules and regulations anal rate schedules, sewer service and water service to User's Property in a manner conforming to reasonable requirements of public governmental agencies having jurisdiction over City's water and sewer operations. 3. User shall, at its costs and expense, install all of the potable water distribution and domestic sewage collection lines which may be required on User's property, including engineering cosh to connect City's plant to the User's property, and all other facilities necessary to make it possible for the City to provide adequate potable water and domestic sewage service. A one year maintenance bond guaranteeing improvc~nents may be required. If buildings mare than two stories in height are constructed on the User's property, the User, at its own expense, agrees to furnish to the City any equipment cihich may be necessary for pumping potable water to the additional height with associated back-flaw preventers, ~~ (3> At all times during the construction of the potable water and domestic sewer lines and related equipment, the City shall have access to the construction and the right to inspect the construction to insure that the lines and related equipment are being installed in accordance wi1~h the plans and specifications approved by the City. User shall construct the domestic sewage disposal lines in such a manner as to insure that no water from air conditioning systems, ice machines, swimming pools or any other form of condensate water shall flaw into the domestic sewage disposal lines of the City and nothing other than sewage in its strictest sense shall be discharged into the domestic sewage disposal system of the City. City shall inspect all connections made by contractors, pltanbers, builders, etc. to any portion of the sewer system that discharges into the sewage collection system awned or operated by City or contemplated to be owned and operated by City under the terms and conditions of this Agreement prior to being covered up. City shall only be obligated and will only provide water and sewer service to User's property upon 100% completion of all terms and conditions of this Agreement. 4. User shall pay a planning anal inspection fee in order to defray all actual costs to City of. preparing and executing this Agreement, including any attorney's fees; and conducting the inspection and testing of the installation of the User's Extension; and all other administrative costs incident to accepting the User's extension, Said fee shall be equal to one half of building permit fee. 5. User shall pay City a "Sewer Impact Fee" of $1,035.00 per residential unit and a water impact fee of $10.00 per fixture unit/or as otherwise .~ ° (4) provided in the City's Code of Ordinances. 6. The City shall provide water and sewer service to User's property upon payment to City of the standard meter charges as provided iri the City's Code of Ordinances ($85.00/ 5/8 x 3/4 inch meter), 7. Payment of the Sewer Impact Fee, Water Impact Fee, Planning/ Inspection Fee and Water P~leter Charges, shall be made in full at the time City approves the plans. 8. In the event, at a future date, City's charges, rate schedules or fees are revised, subject to the operating rules and regulations and approval of govermnental authorities having jurisdiction, then in that event, User and/or assigns shall pay the charges, rates or fees then in effect on date of payment. 9. Hydraulic share of main extensions^payment or refund; User recognizes that water or sewer utility service to th User's property is provided by the use of. a main extension and other improvements constructed by a prior developer and that User is obligated to refund to said prior developer User's share of the cost o.f_ said main extension or other improvements. Accordingly, User shall pay its pro rata share of the cost of said main extension or other improvements to City. Said pro rata share shall be based on Developer's percentage of the hydraulic capacity of said extension or other improvements. For the purpose of this Agreement, the cost of Developer's said hydraulic share shall be $ With respect to utility facilities installed by User to which future developers connect directly, and in consideration for monies expended by User toward said facilites, City shall refund to User, or User's successors or assigns, solely from monies collected from said future developers, said (,5) future developer's pro rata share. of the cost of said ~aci;ltes~, Said refunds shall be calculated on the basis of the hydraulic capacity and d~nand of said future developer whenever feasibleS The refund obligation o~ City hereunder and the benefits to User related thereto shall expire five (S) years from the date of execution of this Agreement,. Said refund shall bezna.de to User within sixty (60) days of the receipt of payment by City from a future developer, 10, If any damage i,s done by Userr its agents'' or employeesi to the existing potable, water lines or domestic sewer lines of City or other utilities CATV, electric, phone, or the potable water lines or domestic sewer lines installed pursuant to this Agreement, during or after the installation thereof and by reason of construction work, User shall at his expense, make such repairs as are required to restore said potable watex or domestic sewer lines to the condition which existed before such damage occurred,_but in the event User does not restore said potable water or domestic sewer lines (but this clause shall not be construed as to require the City to make such reparis or restoration), User shall provide the City and its agents adequate access and facilities for the makin of said repairs. All costs incurred by the City in making such repairs shall become iim~ediately due and payable and shall be considered in all respects the same as if said charge had arisen in connection with the rendition of the rewlar services of the City, 11. Notwithstanding any provision of this Agreement, the City shall have no obligation to provide sewer services to any customer producing sewage which is unusually burdensome, unusually costly to process or substantially detrimental to the sewage system. 12. This Agreement shall be beinding upon the parties hereto, their successors in interest, grantees, transferees and assigns. In the event User transfers any part of the User`s property, it will cause its transferee to comply (~> in all respects with the provisions of this Agreement. 13. In the event the City sells either its sewer treatment plant or collection system or its water treatment plant or water distribution system to any govert~nental body or any other purchaser, then, in such events, this Agreement shall terminate as to the City on any protion sold and all of its obligations or liabilities hereunder shall cease and determine for that portion sold. 14. The City may shut off the water to the User or any other person and refuse to accept sewage from the User or any other person if the User or any other persons shall fail to pay any sums due hereunder when the same becaue due and payable. Nothing herein contained, however ,. not any action taken by the City in pursuance hereof shall impair any other remedy which the City might have, at law or equity, for breach of this Agreement by Owner or any other person. 15. City does not guarantee an uninterrupted supply of water for any purpose or water at any particular pressure for any purpose and reserves and shall have the right to shut off the water in its main at any time for the purpose of making repairs or extensions or for other purposes incidental to its water supply and will not be responsible for any damage caused by low pressure. City shall have the right to turn off water service at the main where the User has been found to be useing water illegally, and to assess a fee for restoration of service. 16. The City shall have the right to assign and transfer this Agreement at any time provided., however, that no such assignment or transfer shall impair the rights or increase the obligations to the User or any other person pursuant to this Agreement. 3~ (7) 17. Unless sooner terminated as provided herein, the initial term of this Agreement shall be 15 years. After the initial term of 15 years from the date of the execution of this Agreement, the terms of this Agreement shall automatically be renewed for successive terms of five (5) years each, unless written notice of termination of this Agreen~en.t is provided by either party hereto, not less than ninety (90) days prior to the commencement of any such renewal period. 18. It is expressly agreed and tmderstood between User and City that there are no other written or verbal agreements applicable herein between User and City . 19. This Agreement may be amended and modified from time to time as necessary by mutual written agreerment of the parties hereto. IN WITNESS WHEREOF, the User and the City have caused these presents to be executed the day and year first above written. Signed, sealed and delivered in the presence of: `~~ „!~~ User Witness ity o At antic Bea Wetness ' .CITY OF . . .., , ATLe1NTIC BEACH ~, .~, : .. FLORIDA NO. 37H~ ~ ; NAME F~,,.,i~~, ~R _ 19.E 1435•aa Tt ADDRESS 24D8 1 A352/c"3/87 CITY ~4Q8 1 A ' 2%23/$1 ~ aaol ..Lt 46 Water In}~act Fee ~t43-343-3700 47 Sewer Impact Fee x`43-343-52(}0: 14 Water Meter ~+3-343-3300 Lot 44, Ooeau Walk Lit II 2242 Barefoot Trace.-.., ~, `' ~ When Signed, Doted and Numbered, This Becomes an Official Receipt.. MAKE CHECKS PAYABLE TO Received: Payment CITY OF ATLANTIC BEACH, FLORIDA j r.~ ai . (.~ ~ R ~' ~, . ~ . A t ~ y. f 1 ~ r 1 r t fly ~1 ~ '~ \ ~ ~ i1 ~ r,• z t ~ 7 ~ ~ i T - ~ Y '1 ' i CL~ f ~ ~ ~ I a 3 :, ~ ~ J ~ S ~ S /' ~ ~ „ ~., n ~y ~ ~~ ~ iy ~ ` `. ; ~ J r °'' , y '. N j , ~ : ,r ti ~ { ~T 4 r ` ~ n ~ ~ ;., i t ~ '~ ~ i.k~t` J ~1 A~ } , ~ 1. ~ 2'.y, ,a ~ ~j ~ ,~ 1 T. A L] ~ TREASURER .') -s . > F,`. ~ ~ ' ~~ ~ ~ r r ~ ~ , ~ ~y ~~ , .' r t 1 0.~;~ ' ~~ ~ 1 ~' ' 4 ~' . i F "i a . - i r .~. ~ lt' f ' ~1. } ~ J ~~ ~ A~ ~T + ~: ~; F.7 ,~ f . v,1 /! ~! , ~ '~' ~ e , Y i t^ " ~ ri. _ 1 ~. ~ <,: . ~ ~ t ., ~ ~, a ' ^ ~ Jj~ ~ .. h ~ ~; r: ~ .t ~ ,. r ' ,~, f .,. . ~ , ~ ~ ,, 1 ,.~k ' ~ k.:. ~ ~ ~ ~ '~ j? 1F'~ c' (~~ ~ .; ~~'; ;~ i rT ~ ' ~ ti ~ S }`)-' s :1 1 .~ ti'4 ~~ z i, , ~ _ .~, y ~.' ~:. ~ * ~ ~ . ,w ~ 1 ~+ e ~ ~ ~ ~; A ~ ; ` 1~,. k ~ l\'~i ~ 1 If~ ~'~ r .z. ~, ~.~ Tl~ ~r ai~. i~ ~,. ; _ ~ ;. ~ ~ , ! ' l / ~ 1 ti r ~r ' t ~ s y ' 2 , ~" j e i.. ,~ ~~ ~ ~ ~ ~ ~ ` ~ ~ , r ~ r ' ` 4 ~' ' ~ f~, t .! p i. 1 a ~, r ~ '~ ~~`- ` rt r ' ~ `u < , i ~t' n ~ ~>. + ; ~ <t r MM yy M1r ~ ` r, ' ~; ° V ~:.. ~~~ '~ ' ~ rb' r ~ , ;r j ~ ~ t ` ~ _ i r~ A ~~4' ~ b. ~, c~ ^h1~`~ t l .L r 4 ' ~.~ t ' ,7 ,` ~;~ ~: ~i,. !~ ..~ . x i, ~. f r.y 1+9.~ . r !. `~ t. CITY Of ATI.~NTIC BEACH, ~LQRIQA ~, J-9357 ~n~ ~-~~ APPLICATION !OR EI.ECTRtCAt• `PIRMIT ~" TO THE CHIEF ELECTR#CAL INSPECTOR: DATE: March 12 tg 8 7 ,- 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 SPECIFICATION5, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. United Electris Company .- E CTRi. L FIRM: MAST E TRICIAN NAME .Collier Classic ADDRESS:2242 Barefoot Trace RFD EIOX BLDG. SIZE BETWEEN: RES.1X1 APT. 1 ? COMM. ( T PUE~LIC [ 1 iNDU&.1 1 NEW l l OLD (' 1 REW.1 1 ADDITION ( ) TRAILER ( I TEMP. IX) SIGNS ( 1 SQ. FT. SERVICE: NEW ( ) INCREASE ( - REPAIR { - FEEd CQMDUC'fOR $12E 3#6 AMPS 6~ COPPER ( ALUM. X TCH OR BREAKER 60 AMPS 1 PH 3 W 230 VOLT Cabl RACE Y E(IS~'. SERV. SIZE AMPS PH W VOLT 'AAtEI+N~IY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 'O-IIO AMPB. 31.100 AMPS. SWITCH E3 INCANDESCEiNT- FLUORESCENT & M. V. 'FIXED O-f00 AMPS. OVER APPLIANCES BELL TRANS Fr AIR H.P. RATING CONDITIONING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEIL HEAT: KW-HEAT MOTORS 0,1 H.P. VOLTAGE PHS NO. OVER i H•P• VOLTAGE PHS 1SCELLANEO US TRANSFORMERS: UNDER 600 V. -r fJVER 600 V. --r; DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date ~~~ f 87 19 Valuation $ Fee $ 65. fl0 This permit not valid until above fee has been paid to City Treasurer, and is subject to revoation for violation of applicable provisions of law. PERMIT NO..- ~ ~ ~" ~~. ~?~! TLS ~~.~?13CK7't 4J19 i ~ 4/~111t~; 3? .~r~C~4Ct 4J! ~ 1 n 4/17! /±~~ ~~~~~ This is to certify that B ~ G Pitmtbing CFC 022593 has permission to b~8 3n8tc~.1.~. ~Z~~ Classification ~'n7 R~a-jap„ptjal Zone Owned by Collier C188si.c Tir~nes Lot " A4 Block 2 S/D (k±can Walk House No, X~@f~l~ ~SC@ 2 24 2 Rare+<fj~}t T2'8C+~ According to approved plans which are part of this permit t ~-~ ~--~ 2 NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE O Building material, rubbish and debris ~ from this work must not be placed in public,~pace, and must be cleared up and,- uled away by either con- tractowner.. ' r ildin¢ Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER ,, MIAS ..r ' 1 r Fy'1 1 t~ •~~,1 ~ . ( / ~ 1 1 ; , 1 ` . , ~ ' .;, ~~~~•~~~ ~ CITY OF .ATLANTIC BEACIi ' ~;,~ 1~` . '~ ' •~ ~ ~, ~ ,.;. •• ~ API'LICATIOid. I?OR, PLUMBING ,PERMxT ~,~'`.1! /l!~ , • ~ t• rl ,,/~ ~ f~ ~3 ~ H ' ' ~i ~ ;~ ~~ ~` :JOB LOCATION ~c~ ,,~_. d-~Q~- 1~1~1-~~~/// j~~ ~ .,,~' ~~' / !, ,, ,+ •i IK's PLUMBING CONTRACTOR I/~isv S., ~ , ~, i ' ~ ~'~~~+jLICENSE NUMBERS ''~'t-'~u~`.~~'~ . . , , F ~+T ,' .,, `•°'~~r'•OWNER d~t*~~- .G2.~.~i~~ ,1 jt~F{'',1 •~ 'BUILDING CONTRACTOR ~'~~~~,~..-• c2 .. ~rC ~ i ~' ' • , i~;;1 1 TYPE OF BUILDING 't ~ ~ ~ •, t `~ t : , , , ~ 1~ 4 ~1/ • 4 ~ 1 t , . . ~ ~~ ! SINKS ~~' li;~ ~ i ~ ~ SIi0WER5 `, f`'~"~ i' ! i 1? t„' . LAVATORY 1 ~ WATER IIEA'TERS ''" ~ ; ' ~,~ • i '1 l, j `~ BATH TUBS '~ ";; '•, ~DISIIWAS HERS '~ ` ~, ; ; ~ ' ,,: ; 1 ' r~(~. ' URINALS llI:SPOSALS ;,' 1, ~ . 1 .. ,, ,,t ., , , . i, ' ~:y i` 1 r ~ 'I; '~ CLOSETS '~ ,, ' ' ~WASIizNG ' ,1 ~'1 I`1ACIiINE ~~' i 3 , . t'': i !1 , , ii ;~~i, y? , ~ ~ , t, A ~ ~ r.r i' " l r;~' '1~ ~ FLOOR DRAINS ~ ' ' . , OTHER ,; ~ ~!.~ S~ ; ' ' ~ , ~ ~f1 11' ~ 1' ~ r. ~ 1.1 ~ ;' ~S ~ '~ TOTAL FIXTURE COUNT... ~ - `.,~ ~ ~ . , ' ~ ... . }I ~ , ~! ~ , 1,1, ~ ~ ~ l /' i ~~ ; r ~ ';` v'i ;1: ~• r I I i , i .!l a I ` ~'~ ~.~I'tY.l;'t ~ r. ,', 'titrl~l t, r i !f ! 1 • ~ ~ ~ i 'r~ 1 , t;~ : fl , INSTALLA'TION OI' PLUMB ~;: n , ~ yell ~t( ~ 1 ~ ,; BI; IN ACCORDANCI; WITH ING ANll ES ~'IXTUIt ~1UST ~ ! i , ,;• ~,, , ~ . , ~'i 1 ~Tt-i.i. ~.r ! . . . , .. ~ i .: ~.' . A ~ • t 1 , ~ r ,ii 15,~~ , i. ,,{ 1. ! '. ~ ,.(+ -.~1iE MOST RECENT.' • EDI`.I'I ON OF THE 50UTIiEIZN SZANDARD PLUMBING CODE , ~, x 1.'~•i' ' .i ~ 1 ~ . 5 1, h I. ~ ., ' ~ Ili{ ' n ~ ~` ~ i 1 , a, ~ ' • ; ~ ~ •"~~ - CITY OF ATLANTIC BEACH ~ No. 4139 FLORIDA NAME ADDRESS CITY 19 1 U~UU (L 41 1 ~ a l 04 io ie 4 39 ;000QCG k l 1 I A 4%0;'%87 Re-inspect fee ~ j 10001 P q 1 D ~io.oo 21987 ~" Lot 44 Unit iI OceanKalk APR 2242 Barefoot Trace !~ ~„ When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Peymenf CITY OF ATLANTIC BEACH, FLORIDA TREASURER %i -, ', , ,~~ .~.., ~ ~ ~ a . >~ f{ q a r ~ i 5 ~~ e ~ ~ {~ i ~~ ~ ~ "1 n i t rte` f I 1 f ~/ ~;l ~ tf 4 { ~ ~~ u+ f~ ~ 1 ~1 ~~ ti :i U fi} ~ Y 7` ~A ~' ~ ~} t• ~ ! ' J~ ~ ~ J ~ r , J ~ i t ' " , ~ ~ r . ,+ ~r ;, t ~ ~`l kf a ~ '~ ~ N7 fC s '~ r ;"r f , ~ ri t b 1 ~ !~_, ~, `~ ~ ~ ti r9 r `~ x' . r y .+- ~ '' } ~: a'' , ~ ~ i~r ~~ N i,: , f 7 a!t P~. ~~ --' >~ I~, . Y hy.T~ },,~~, i. I ~ ~~ r J i .,, R ,1 r ' i ~ ~j j~ ' I ~, a ~ C* . yy~ iit j a ~~~1 ~ ,jw ~, ,~ _~ F ~ ~ ~ ~ w it ~1 I ~ . ~~ ;A L~ ~ ~ r•~h ~1i r ~ < ,` f~Ze ' ~,.~ ~~ ~ 1: t ~ `'~ ~ ~ ~ r *. t ; >r Yy t ~t ~ ~ .tf 1. .X ~ ~ v r i , ~~ ti t 1 ~ ~ ,t~? ~ 4 i hl 3 '7 ~ s t~ r,~ !i ~5 ~ ~ ~.~ r ~_ i i ~ 6~~ +:' ~ ~ ~ , i ~~ ~~ k ~ i =~ „ ~~ ~ ~ , ~ ~ ~1 n 7. K' 1 4 j~' V~~ y ~ ~. ,< ~., y, ;} ~ f 1 1 -' ~~, t ~ ~ ~ ~ : k J. ~ } a• ~; _ f r ~ t; • T~ , A ~~ 7 ~'J '~ ~~1 ~ ~ f { • h { r ~' try: 1 ~. `S ~ ~. 4 .} 'Y ~ ~ ;~ F~ ~ ,~. ~ ~ _ 1~ ; J ~ ~ ~ + '~t ' ` ~ ~4'. ~.. ~. ~~ s " ,t,. ~ ~ ,;.~ 5 r: ~ 1, t ~ ;l , s i 4, , iC 'J t4 µ Ky 1~ ~ ,-{ 1 Y '~~ * '{ b ,~~~ ~~5 ~ ~, ~ ~ }~ r ~ ~ / ` \! - .N w ~' Y y 1% ~. ,.l 'r ~`t't~~~~~li~gM~C'1`bll:~ , bA~'iI: Mare ~~`~' 't9.,~,Z ~.~,~ s ~ ~:: 1Nr'~0~'~ANT~~OTf~~ ~~'' ~;:~~~ ~F 'th G'~NSIDf~RIk'C~~1~:4i~~ ;pERMI"t GIVEN FbitIN(~ TWE WORK AS DE~CRtGEn IIV `i"~i~ I~OLLOMVrNG, 1ME ~''~~~:#Gl't~Et~b~~K1MG~~A1D WI~RK IN AC RDAN,WITHTH~ A"r't'ACHED PLANB ANDSPECfFICIIfitONS wu~u ~b~r,~ ~~ti~r.u ~r-ea~~..r.=~.a.u+nnww~rr ~a,~~ru.~rt~h~;e~ c~Tnrra~ ora~~~ sTtntuQ rAhaSi,Ntf CITY Ots V k]y..~SL'.r iii j~ t~ .. v ~ ,~ s ~' ~~~ ~,>~Ri~r~~, ~ ~~' f .. ~. .~ !NE'1'IIIIEItIII: ' ~ . ~ ~i Y}IA+r~ i+.:tilrw.yY I+r~ r~~ p r1i.~.iw ~ ~ w ~y~ y~~/~ ~( ' y~ _ ~ T'VOWV ~ J> ~~V~ ~ ~~ ~ art , ~ .y r ~ - '; g rvt ~t~ •q" •~ sQ 2 ~''~ • ~ ~ I ~, ~' ~~'-~' ~ w ~~ :_ ~ ~~ ~ .. DEPARTMENT OF BUILDING $~~ CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO. PERMlT TO BUILD THfS PERMIT MUST 8E POSTED ON JOB Date Z/13~87 19 Fee $ s4. as Valuation $ - This permit not valid until above fa bas ban paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that SIR ~~~~~~ has permission to btili;d Ana ail Afs' ~ lea°tir9~ -- Classification lit ~ir~t~ ai Zone Owned by CL1Y1..it.,t ~ Aaa-1 ~ ~ Lot • • Block 2 S/D l'1rAarn Wai k House No. ~~~ ~ B~'P..~OOt 'T`rgr~+ - According to approved plans which are part of this permit 2 ~---~ 1----~- t NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE O Building material, rubbish and debris ~ from this work must not be placed in gublic s ace, and must be cleazed up and ~iled away by either con- tract owner.. ~tig Official. J. ~, FOR OFFICE USE ONLY PERMIT NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER .r eIS~Yy r , ',., ,.,~ ~' F' ~'; ~ ~~° `~= ~ =BUILDING AND ZONING INSPECTION DIVISIO E N ,,, . - CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA ~Y2S~ " - APPLICATION FOR MECHANICAL PERMIT ~ CALL.IN NUMBER IMPORTANT -Applicant to complete all items in sections I, II, Ill, and IV. ~~ ; .'LOCATION sf-..f Addrus:_ ~ ~ ~/Z r.~ti tcl %/r~"cam ,~ ~ Intaraeti»q Streets: ttetween C-~ ~~/ '~ i1-C3` ~ ~~ /l/- And ~~~?/'~',G`:~ ' ®~-/~ ~ eult.~IN~ ` S d i n ~ iv ub sio ~. lh~ ~DENTIFICATION -To be completed by all applicants ; , ~ ~ . j , ~ y Je'~,`~considarstion of permit given for doing the work es described in the abcve statement we hereby agree to perform said work in accordanu t ` F~` h - a ha ettechpd s wit plena end specificstions which are a "pert hereof end in eccordenca with the City of Jecksonvilb o~dinences 'end~stendsrds ~~~ of'good.practics listed therein. ~i- ., ~ ., ~~ i Nana' ef. Maehanical CMir~otor (Prin11 ' ~ ~- .% / ~/~ C'!~- f Connectors Muter !.~ y ~ ;~M ~:Ownar ~ f I'ta of Owsar ~°~1i~orisd Agaaf ,. ~ Signature of Architect or Enginaa- r , c . _ ,~ . ~ ~:G~IHtAI. iNFORMATI .. ~ It fwl: !~' " . B. , ,, +'~. 6~~ ~ Its OTHER CONSTIIUl:T10N [EING OOH[ ON ' S; ~' ~~ K~~ i TNIS.tiU1t,DINa OR 141TtT - `;~° O6a~ V- ^ : LP O Natural O Gntnl Utility . -,-•- y f ° ~z~0 ~~ T4IVE NUMBER OF•CONt<TRUCTION P RM J ~~ ~ . ' ~,, E I }„ . k~~ „ONar, .~ sp~{y .~ ~ a ~ 1V~~~CMiANICJIL 6QUIPbtMIT TO RE INtTAL1i0 NA DF WORK '4; .,. +>,: .at ; 'j) eoesplab list of con+poMnts on back of ?Isis foew-) ` ~ l~J R ldentlal or ^ ~ Commercial ~ 1 " ~ : , Neat O Spsu 0 Recessed GiRnl O goer ~ 4Y New Bulldlnp ~~ _ ~ : ~ s. ~ ~ / ~t.oadttioninq: O Room 6Y~Mel . O Exlatlnp Bulldlnp ~. Vii; ~p~ ~~; kA~f~ris / " `~k ~ ' ^ R acement of, exlatlnp system ' '~.:." . ~Q~ Q Masiroum eapadty ~ efw ~ ' , I[3" New Installation (No eystsm prwlously Iris~tlec~ " q~ r , 0 ~~~~ ~ ; ., ^ .Extension or add-on to axlstlnp system ~ .; ~ ~~ t Cooling t+owa-o- Gpaeily q~ O Other -Specify + ~ > +~~~~ ~ ~ n' sprinkktns: NYtnbar a+i baste ' 1 ~ ~swter O MsnHft O 6ulator (eYasbs-) , ~i. ~ ~ !. +~ . 11'llt S-At'rE bR, {K~ ONLY ` i 7. ~ t ~-ty~QGeleliM punsps„., (sunsba/~ , ~ ~ l ~ ~rr~~"T~~ (mm~bar) ~ , Ranw-ks ~ •~ `" ~a, LP6 oontef~ (eutnbsr) ~`~~O .. ~ ,, ~j~. ~ ~: ~i by ° ut~fsrd prw~~ ,,ape, .:, -~ ;~ ReiMrs _ ~~ Parnti- /lpprowd by e•a• y ~ ~ '~y.~CM~I' --.SPecNp Parnsst c.. ~ - T l - ~ - Y ~ ~'t LIBT- ALI-EQUIPMENT ,, , ,~,; , ' `h AI>R :OONDT110NING AND REFRIGERATION EQUIPMENT t . ,~ , - ~ ~, ~ ,1KtmtOgs V=I!L ~ nMOSlFtlon ][oriel N11111be! Nifiti=aOti1{'et (rlbesjr AA 42f~u'f'..e'ds 4,' ~ ~~ Address • ~ O '7' Heated•Square Footage Garage/Shed Carport~or Deck Patio y ~ 7 @ $ .~`~-_`~~ per sq ~ 3 @ $ 1:~..~ ~ Per sq @ $ ~.0~ per sq @$ persq @ $ per sq TOTAL VALUATION; lU 9 ~1 ~/t~ ~ ~~ 3~-5 ~ Tota a cation 1st $ /~d; ppG, pC~ irep ac ',~ • BUILDING ! PEP~T FEE $ ~?j ~ 3 - ~~ IZetna der Valuation ~ $ / .y~per thousand or • ortion thereof p ---------~ Total Building Fee $ ,,,~ ~ (~ Q ADDITIONAL PERMITS and/or FEES REQUIIZEp ~ + 2 Filing Fee $ /~~/• ;~ ~ F' 1 es @ 15 00 $ 15 D ~ Mechanical Plumbing Electric/Neca Electric/Temp Septic Tank Well Scrinndng Pool Sign Water Connection Sewex Connection Water Meter Elevation Certificate ti/ ~_ ~~ i BUILDING PERMIT WATER METER CHARGE SEWER IMI.'AGT FEE WATER IMPACT FEE MISCELLANEOUS $~~~.s~ $ ~~•_~C~ $ ~5.~t~ $ 1, ~~s (~ ~ _ $ 3i.~:l~U GRAND TOTAL DUE $ ~ ~o~ ~ n ~~ ft = $ 95~, ~ z/~`~ T ft = $ 14, Dy;, ~b ft = $ 3.3~-1d ft = $ ft = $ CALCULATIONS and/or NOTES City of Atlantic Beach Fixture Unit Worksheet fior Water Impact Fee FIXTURE UNITS ARE ESTABLISHED A5 THE MEASUREMENT OF WATER DEMAND FOR EACEI WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATE R SYSTEM. THE WATER SUPPLY CHARGE IS HER EBY FIXED AT TEN DOLL ARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. ~ BA ® _ THROOM GROUP CONSISTING OF __ SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH <8) TUB OR SHOWER STALL (6) ~ ' Q WATER CLOSET VALVE _ _WATER CLOSET, TANI{'OPERATED (4) VALVE OPERATED (8) _ C~ _BATHTUB/SHOWER (2): _ ~__SFFOWER GROUP PER HEAD ( 3 ) _ ~ _Sf10WER STALL DOMESTIC (2) __~__LAVATORY (1) __L__WASf1ING MACHINE (3) __~ __DISFiWASHER ( 2 ) ~ . _ V _KITCfiEN SINF{ (2) __~,__KITCIIEN SINI{ WIT11 WASTE GRINDER (3) _ Q__BIDGET ( 3 ) _~__FLUSEfING RIM SINK ( 8 ) _~__URINAL, PEDESTAL, SYPIFON JET BLOWOUT (8) ' _ ©_ LAVATORY, BARBER/BEAUTY ^SHOP (2) _v __SURGEONS SINK (3) _ ~ _URINAL WALL LIP (4) _~ __FLOOR DRAIN (1) ' _ V __LAUNDRY TRAY (2) __,~__COMBINATION SINK AND TRAY (3) _ ~_POT, SCULLERY SINK (4) _~__WASH SINK EACH SET OF FAUCETS (2) _v__DENTAL LAVATORY ( 1) _ ~ _DENTAL UNIT OR CUSPIDOR (1) _ lJ__URINAL STALL, WASHOUT (4) _~__COMBINATION SINK AND TRAY WITH FOOD DISPOS. ( 4 ) ' 1G~ l~f/?(~6~ , _ r __DRINKING FOUNTAIN (1/2) ' _ D _LAVATORY, SURGEONS (2) _ ~__URINAL STALL, WASFf OUT (4 ) ~r r ~ TOTAL FIXTURE UNITS ~ / `J___ @ X10. 00 EACH ~ ~- ------- ----3 r----------- ~- JOB INFORMATION CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Required Submittals: 1. Two complete sets of plans 2. Detailed site plan including setbacks and utilities 3. Recent survey 4. Florida Energy Efficiency Code Sheets 5. Contractor's license on file Inspection Schedule: 1. Footing 2. Rough Plumbing 3. Slab 4. Framing, rough electric, mechanical, top aut plumbing, fireplace 5. Final inspection 6. Certificate of Occupancy inspection Requests for inspections will be accepted Fromm 8:00 am until 4:00 pm. All inspections will be made the following working day between 8:00 am and 4:00 pm. In case of refection, re-inspection must be called for after corrections are made. There will be a X10.00 charge for all re-inspections, to be paid in cash before the re-inspection is made. Pour no concrete or cover up any work until the building card is signed by the inspector. You will be required to uncover. any work that has not been inspected. BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE a Building Department •?a6 Ocean Boulevard Atlantic Beach, Florida 32233 249-2395 page 1 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner r, ~. ~~ ~ ~ ~=. . , }.~~r~:: _Address f"t~~a s 'F~ ,r>e~~~ ~~ `~;~ ___zip-='----~~~-phone__~ ~ ' _Address__~ ~" ~' ~ Architect-°t">`- ~-`=~--=~`lc¢----- _-'=-` _~`---------zip=~==---phone-=f--~~- Contractor__~__~---' ;-_-= _-Address----------------~,~t--_zip__ _phone-+~-;-,- Contractor's License number :~. ex iration ~~' ----------------- p _=------- Lot ``~ Block or Section_________Subdivision ~-~{ ^ ~ ~-'k. _____Zoning_~S_~ ___ ------- ---------- Street---- ~----`~~-_betweenA----,----=----and-'--------t,c..__r...___side----------- Type Construction ~~h~L,~„, Fa•~.+ No. Units '~ ___No. Fireplaces '~ Purpose of Building__`_ ~ _ ~+~~~, ~.- Est. Valuation 8 z ' w, _`~' Utility Method - Water a~~-`~- __ Sewer ~~~~`~.- ----------- ------------ ~ ~ Dimensions - Building______________Lot_____________Size Footings___________ '~ ' Sz. Piers Sz. Sills _______Greatest Span Sills q- ------------ ------ --------------- ~, 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 or Filled Ground ~,_~~'s~ Roof ~ ~ +~+'' ~Y Flood Zone ~~~___If located within a FLOOD HAZARD ZONE complete page 3 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 building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner ____ _~ _______ ~~-~~~~ { - Signat~re Contractor_~~„== `,~==x=~,~~~ 5 ---Date----------------- 'Date----------------- page 2 FLOODPLAIN DEVELOPMENT INFORMATION Type of Development : ..- -==---~- _ ; Flood Zone:____~_41_________________ Required Lowest Floor Elevation:___~=_Y__________ If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS SEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-i1 and all other laws or ordinances effecting the proposed development. Date ~¢ "~` ~ + Applicant's Signature _ Department Use Required Lowest Floor Elevation _________________ As Built Lowest Floor Elevation _________________ Survey Filed with Building Department ___________ i Building Department Representative page 3 DEPA'RTMENT' dF BUiL.DING Q ~ ~ A CITY OF ATLANTIC BEACH, FLORIDA PERMIT Nd. V yR PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB ~Fl"3 r ~Cl r ~~~•5#~C~1` Date_~,~3~,~7 19 i4~~ ~ A r'i- /c"~.~/ Valuation $ Fee $ 4 Ci 7 ~ ~ ~ /~ ~/ This permit not valid until above fee has been paid to City Trasurer, and is ~ ~~~ subject to revoation for violation of applicable provisions of law. This is to certify that 'l i ~r Cl aGfii r Hag has permission to bui~d 53..T,1~';~,~y --- Classification ~-~~~~- Zone Owned by CC?l~ ~-~'?' C~`3S3-C H[~1]eS Lot ~+ Block /D l'lrr~an i~7ayls House No. 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 AFTER DATE OF ISSUE .~,D ~----i O Building material, rubbish and debris -~I from this work must not be placed in public space, and must be cleared ~suled away by either con- up and = , tra r fir owner. •. !! // r tl tg Official e FOR OFFICE USE ONLY PERMIT NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER .y ____ 5~~~ Ps~~~ DEPA~MENT NTIC BEACHG - - - - CITY OF ATLA IN'E'4~AT ION - - LOCATIQN TRACE ~~~_4; _ -~~: ~~ai BAREFaRrH FLaRIL~A INFQRMATION ~' - - d~.rp-~ ATLA?~'>?I~' BErRIPTION ----- - - , pE~IT g25a _ -- LECIAL DES-' S~~ti~ri~ ~~rmit l~umb~~'; RE`~RQ~~ } , Bl~rk' R~~;. ~ ~~ ~f '~^rk' gRA~E T©'~~'"nCEAI`~ALK '1~.-~ TYItP; WnOD ILY ~~b~~~,~iar~, ,r~,1~~~ r ~ a_ . ~Igd'3LE Z~AM Amaun ~'. p a'i'd ` ; ~ ~ ~ ~ ~ 4 I Data P~i~~ ~~~~" ~ SHIN'LES --- TION FEEB - ~` R'EPLA~'~E ~?LT1 Rn~nF WITH FiBERGLA'-'S ~-- APPLICA - ~'~ D_~,, _ . ~ - _, ~ '"HERMIT >v ~~t1 .C~4 ~ G7~~~ ~ ~ ~3~R~'TIQ ~'T PE ~Q .0~ ___"" OWE QT~I'~ gAVY - WATER IMPA~ "' "". ~ `~' SEW'F.i~ ~~IMPAQ~' ,P'E'E ,gip,, ~~ , 4 ~a~cEe: x~~~2 ~ ~r,~~T TRA~RTDA ~~~-~~ N~~,~R,d~AP ~~ Ott ~ gAFtE- ~.d~ ~. ~s~' ,_ gEA~~~~'I , FL . ~ >"F#~TE~ _ .~ < h S ~l ~T}~TX RADON 4RS'- rn o 04 I k P ~'a,~s~'s ~, ~~ ~ ~ ~ ~ ~ ~.. ~ I~ ` ^ - - ~ RADON i Old r•, p?TAL S.1~iPRflVE ~ g~ . Qp I ~ ~ ~R ~~gOTtMAT I - A ~~ _ - - Qr~~~~AC"~ SEER 'PAF 5Q . 3~ ~, ~ UL'P:'~ R~~+~Xt~G ~'PE ~' r r>~S C,Q~~ECTS.~N ~ i- ~ STREET-.. ~s ~' P~'~!. ~~ ~} 2b'~~ gEp~rHS~Fl, ~225~' ~Er H I~9.FAOT PEE ~0~~fli ~, Rddr.- ~-, ~N~TyLE ~ ~HAF;C~~ - ZA..ES_- TyP° ; r.QNST..S~3'R - r,,H ~'~~ . Q(~':~ ~ ~ ~ 5 "~iAR4~~~TL . ~ ~. y~y* ~ _ ~ L~~~~~ - - U ,. . i y. "; ,~ ,. ~~ NC3TE5: I' ``'I NC)T~CE -ALL CONCRETE FORS ~ PERMIT ~'~ERIAL'RUBB{SH ANE? DE ;AND HAULED A1R~~Y BY ~1' ~~ ~r .. .~ ~ a~tfl FOOTINtiS 1N; v« - IX M4t+1 FTEF{ S FRp iS WORK M corvrt R OWN .~ , . ~~ r7 ~ 4~ .~f _ r ^ ~ ~ .~' a ~ ~, ~ ~ ,_... OT ~ ~~~ NIYV~ t\_/\J '~ 7 CpgpEO iN PLAT BGOK 'd_..--'~--- P ~ ~ ~<. ~ ~ o AS RE FOR ~_~ `y, ~' N t.{EREC '' v z ~ ._ ~ DATUM SK~~ ~ <^~ y3 ~,0 3 ~ 4 NOTE ~ BEARING , Z a ,~ ~ LL ~ _ Z 7 ' `-' w b ~ ~ ~~ stoR~1 G~ ~ N ~ a ~, N r,u~Fr X~s~1, ~ 9 ~ ~ ~ 3a O ~ E ~ '~ O w ~' ~ ~ ~ d ~~ ~~ ~ V~ O LI. ~ w 2 r ~- p ~' V t/ d N ~ ~ 0 W ~.~ aaa ~ -----^^.- "" 0 ~ RFA R YA R ~ ~ A aWC ~' `s W •~ `v ~ ~ Grp R EJ9 R ~ z ~' ~ - .~ 8~°~ ~ ~ ° N . V LL(AJ .~ N ~' ^OO~ ` \ -~ C7 rn c o_ 'l ,~ Z ~ c o o 1 93 ors oz mLL ,~ ~~ ------- ~} a~~ _'-_ L00R ~~EV. 11. I ~" .!!~'fl• ..~' ~ ~ ~ ~ ~ a ° !3!a"t W iz o. h ~ I ~ ~ q 0 ~ !0'-O~~ c ~ o. ° w V ~ a Chi v ~ ~-o. ~1j `~ ~~ Y O *~16 ~n !? ~ 'dl „ i^o. .9~ ~~ 0 _ CAS y..d c~~~~ p ~ "o. _~'~ ~ D ~ plJG+vl 1 ,trE oN . ~w"~ .. 6 ~ G ~' f ~ ~ I INJ!!6; MA~,buA ~ ~,N o. O f~_ H ~ Tam e. 1 +' j, 8 0 , s ~ ~ I /.B•A. Eos~wse*.vT ...~~ ~ 9.6 ~$ • rs 3 tc~} 8~'`i'~ 8.~.'l.t~'~ DDT • ?--r, "^ "- CITY OF /~ '-`~ ~~~~ ~~~~,~ 1Qt~il~iC /3iBQC~i - ~+~Kl~ `J Office of Building Official ~ '/ ~ S ~ ~ 'I r~/ _ REQUEST FOR INSPECTION ,~2 Oate `- ~~ Permit No. ~-' ~--^'~ Time A. M. Received f P My~_ ~ District No. JobAddregs r ,~ t_oc,~lity Owner's ,,,^^^ ~~ ~~ ~:,/ra~ [/~ %r Name--~~!,~C' ~-Lf~~~`°'~""L~ ,' Contractor `-et_ i.C.4'-~~~ ,~s"~ .,~ BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ^ r Rough Wiring ^ Rough ^ Air. Cond. 8~ ^ Re Roofing ^ abi (eY°Z4./fig Temp Pole ^ Top Out ^ Heating Intel ^ / Fire Place ^ Pre Fab READY FOR INSPECTION A.M. ~,.~-1CitoZt~ Tues. Wed. Thurs. Friday P. M. .-~...../ A. M. Inspection Made P.M. Inspector Finallnspection ^ Certificate of Occupancy Data CITY OF ~""~` `,"~`„~~" ` . Otfice of Building Official /~ ' ~ REQUEST FOR IN5PECTION f ~~ Date I ~ Parmit No. ~>~ ~~ Time ved Rece i A. M. M. Diatrict No. P . ! ~ -~i ~ ~~, ~ ,J+ ~s~i y~y~. ~ . ~L1-i--~ JobAddresa tncality Owner's \~ I"~ ~~ ~~ ¢'~ ' Name ( ~ ~LI~C Contractor t ~1 `~. BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ^ Re Roofing ^ Footing Slab ^ Rough Wiring p Rough ^ Alr. Cond. & ^ ~ Temp Pole ^ Top Out p Heating Lintel ^ Fire Place ^ Pre Fab R DY FOR INSPECTION A.M. Mon. Tues, Friday P.M. ed. ,, Thu I M d m ~... nspection a e Inspector ~ Finallnspection ^ Certificate of Occupancy Oate ~ ,o>~aso~ uo~~~dsu~ epeW .uoW °: nl e'~ea ae ad ~as(J gu11~~ e>~ 1os~~~r. to •peM ~ ~91u~~ d 1~1,~g ued°x'~ sup ~~ .d~ qe~s ~N eyeN 1~~ ~dyai ~ .3y~b ~. pdgof a~ ~ e1 u6~od ;.-~` ., swap /z d .'' dot O ~,~~'~~ / 918a -W~,d qe~ ea ~ 0 ~~o~n ~ 1d''ea~uo~ / , t~~ +~ 1P~ ~ "~'~' ~j ~~ ~ti~~ 4 ~N~O ~ ~~ G ~ d / cY .g~Pu ,J~11`~ ~pf~/ + ~~ ~ • oN ~o>»e~Y •oN~~"vasd ~ No`lgo'd ~ /`' C., .~ ~~ S~~~ SNP b~~; e~~~~o ~, ~~v1P~~°~ ~rti 7 ~~~ ~o ~' ~' ~,~ `i r ,.~~t O . Q~ ottw~a~ N ~ r'~ ' , G/~~~ _},~cgo~~~`~d~,NsQ~c.~~~ ~J ~~~ p,, +, n~-' ~(~~~~~ pis<d~~~~~ ,i n ~, ~. ~' R ~~ty 'i , J"tiY,' ~ CNPµc 4 ~ ~ : ~ ~ )~r~.~1. ~ ~~~ca~<°~ P~ g~ ~ Q~BF'~' M ~l ~ ~:: ~ ,CP1. Oate ~ , rs ~~-~''` gC'~~ n9 Q ~~,e aatg9°JC ~pJA QO,B ` ~.. ,~~~e,~~~ ~ ~~ ;" k~ E~ hJJ~<` 0 FttdaY i e S eP ~r~ONG9E~~ ~ .gem ~oPA~SQ~G~~O to~0 ~~e Foo D 0`( ~~ sP~t ~,cY ~eme O`~1G p S,sntg` a~P ~t~etin teo~~u 6V~~ ~ ~- C,e~t~b~' F<eR'~t~a9 Pe bete ~~eg. j''"t ~ f NCO°' ede t~sP~t~p4 M ~og~`to< / PSR~'~ MENT OF BUIIDINf3 925 DEPART CITY OF ATLANTIC BEACH i ~•.-----_ T Z OI3 - - - - - - ~ __-PERMIT ZNFOR~- f - r N4umber : ?~~~ . ~~~~i - ~ RE-~?OOF j ~''~srnit "T'yP-° ,~1a~W of Work: NEW .FRAME C~nstr- T~~=e~ W"-~ j D~n~+i~~~`~ t3~a? ~ ~Z?~°3LE g~TLY 1 t~ ed~ ~. 0 E;~tzcnated ztalue' ~~,~,~, ry r~Prriv . +,~~t = S22 . 50 ~ ~'otal FE°~'~ ~ X22 . 5C+ ~~ Late Pa.3d' 3.~1.. ___ - LOGATIGN II~FOIZMATZON -___..___... ~ldrp~s: 2242 BAREFOOT TRADE ATLANTIC BEACH, FLC3RIL~A 32233_ __-__o_-- LEGAL I3ESC'RZPT~ONtion r ~.,.~ ; B 1 cask ~ PN~' : ~, T~~n~h~.g' ,~.abdivi~ian: CCEA.NWALK ~ ~~ CL~ RnnF WITH FTgER~;LASS SHINGLES -- AppLZGATION FEES ~ y " _ C~FiN"~R x~~'E}RMAT~AN .~~ ~ "PERMIT ~22.5~ {?~ "~~' 1 ~ wT Y x~1Zt~ 6 .?RL~~' BAR~~` ~T FEE WATER IMPA. SEWER 'IMPACT ~'EE . 0 0 ~ ~~ r Addr~~~,~ •, . 2242 _ FLOR?L'A 3~i'~~ ATLA.NT'I " fIE,A~_'3 . i~IATE~ ,~'~`~~R ~~AP ~ ~Cf~k:, _ ' " ~ "~0`. ~ ~~~~~ F ~ _.~ .. ~ - ~ ~ ~R °=~~'ORMAT Z C3N - - - - - - - r~'RAGT W RAI~UN GAB ~~ rAPZTAL IMPROVE.. sO . o~ ~~.~~ NaI~P ~:,, UhT~ RO~~`~NG ~ ~TREE?'_S~~Z~`E A 2C'~~ ~ ~EWER_ TAP _ CROSS CONNECTTOPt $~ . 0~ Addr«~~~: ~ _ - .~?2~~ 2~5 N S~~'dILLE BEACA . FL ~ JAGF SEr H I~iPAC`£ FEE $C a~Jt3 . ~~~ b~ ~ ~ T,, ± .^ i~'C1 ~ ~ . TyP~ ~ CONST .SURCHARGE AT Y~ , B rH ~ E . , yr: '~ €3 ~ Q 0 ~`~. ,. _, (!t ~ __ ~ I _. ~ 1 ;.. NOTES: ". NOTICE - ALICONCRETE FORMS AND FObY1NGS MUST EE I~CTED BEF'E)IgE POURING ~~ PERMIT VOtD SIX MONTF~S AFTE~'`~AT"#S~UE ~ ~ "' ,.~ \~= CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION Owner(s) : /,~°_ ~ir-> -~ Address • ~ Z~-? ~~fZy' ~i~ ~~ ~~z~~~ Phone Lot # Block or Unit ~ Subdivision: Contract Address: City, State and Zip ~/ox ~~I ~ /`./o. ~Z2S~_ Phone ~~ ~ ~'~~ State License ~ Cr' -~"' ~ ~,~. ~'~s'9 Describe work to be performed: ~~ Valuation of Proposed Construction: ~~~~~ ~ ~~ Materials to be used: ~~~~~' _/oss ~~1~; J~'` Signature of Owner; Signature of Contractor: Liability Insurance Supplied` ~ -- Workers Compensation Insurance Supplied License Information ~ ~ 3 ©~r, CITY OF ~4~,afistr~c ~eacls - ~latu~ 1 ~ h ~~ ~'~ ~ Oftice of Building Official U~ `~r ~ REGIUEST FOR INSPECTION ~` Date ~~ ~~ Permit No. ~ ~ ~ ~~ Time A. M. Received P.M. District No. a~r~ Job Address ~ LacalltY Owner's Nam r c~BUILDING CONCRETE ELECTRIC _~PLUMBIN MEC ~LjCtr Fram ~ Footing ^ nng ^ _.~pugh-" ^ ~ •°Cbnd• 8~ ^ Re Rooting ^ Slab ^ Temp Pole ^ Top Out ^ Heating Lintel ^ Final ^ Fire Place ^ Pre Fab R Y FOR IN~S/PECTION A.M. Mon. Tues. P' 1 Thurs. Friday P.M. A.M. Inspection Made `- `_ P•M• Inspector Finallnapectlon ^ Certificate of Occupancy Date DEP/4RTMENT OF BUILDING ~. CITY OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date ~~T$f~7 19 Valuation $ ~-~ ~~ ~~ Fee $ ~~' ~~ This permit not valid until above fee has been paid to Ciry Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that ni i i ~r ("1 aszci r* i-I<xr~c PERMIT NO. ~ ~ ~~ ~f3~3.~C'I T '~~~:Sf~C~T ~~?7 t R~ 2l~/ ~37~~ •pFlt'tE ~4t~7 i ~ ?1~~/~i t il!?Q has permission to build SfTl€;le F rtt 1~ I Classification ~'sj-d~t~~•~- Zone Owned by COIIier ~~,g3ie S House No. 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 „ AFTER DATE OF ISSUE ~--D ~---D O Building material, rubbish and debris - -Zi from this work must not be placed in public space, and must be cleared up and,,•hauled away by either con- tra ` r ~~ Jowne ff.:x°1.1 ~ ' official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER