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1011 Atlantic Boulevard - Permit~. . ~~ ~ CITY OF ATLANTIC BEACH _~~' 800 SEMINOLE ROAD E '"' - ~~ ~ ATLANTIC BEACH, FL 32233 .~~ i INSPECTION PHONE LINE 247-5826 ,r ~., Application Number 06-00032737 Date 4/10/06 Property Address 1011 ATLANTIC BLVD Tenant nbr, name SAFETY INSPECTION Application description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ AMERICAN ELECTRICAL CONTRACTOR 5065 ST.AUGUSTINE RD #3 JACKSONVILLE FL 32207 (904) 737-7770 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 70.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary ----------------- Permit Fee Total Plan Check Total Grand Total Charged Paid ---------- ---------- 70.00 70.00 .00 .00 70.00 70.00 Credited Due ---------- ---------- .00 .00 .00 .00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDIlVANCES AND THE FLORIDA BUILDING.,GODES. .fr ~ ,.~ r r ~ ~ ~. BUILDING OFFICIAL v ~c=J.,'jr;, CITY OF ATLANTIC BEACH /~~ ~ ,, ,,Y r; ELECTRICAL PERMIT APPLICATION W.; ' Date: I,~ -~Q' Q(p Property~A-ddress: ~~1 ~ ~ Owner: k%~(JI~~T ~ E. 1 VE ~"r~ Telephone #• Contractor: ~~el'~ 1~'l~ ~~F~TI~t ~~ ~f.~l~ Telephone #: '7~7~ Contractor Address: ~,r1 ~ 1"1 r + ~ Fax #: ~~~- 1~c1~ Contractor Si nature: .~ .~ l 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 ordinance and standards of ood ractice listed therein. Building: ^ New !~ Old ^ Re-wire Building Type: ^ Trailer ^ Residence ^ Temp. ~ Commercial ^ Si ns g ^ Addition Sq. Ft. Service: ^ New ^ Increase q~ Repair tF other construction is being done on this building Or site, list the building Permit number: Conductor Size: AMPS: COPPER AL UMINUM Switch or Breaker AMPS PH W VOLT RACE WAY Existing Service Size AMPS PH W VOLT ' t RACE WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Rece tacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL A liances TRANSFER. Air Conditionin H.P.RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEILING HEAT KW-HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Si n Miscellaneous C`~ ~ 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • htta://www.ci.atlantic-beach.fl.us Revised t/04 Date _ Time Received ~Jh~~iA /S~ ~ ~/~bla'ts r Office of Building Official i REQUEST FOR INSPECTION Permit No. ~~~.~~~ Job Address Lo qty Owner's `~ ~/ Name / ~~- ~ Contractor BUILDING CONCRETE ECTRICAt• PLUMBING MECHANICAL Framing ^ Footing ^~ rnrtt~ Ci Rough ^ Air Cond. & ^ Re Roofing ^ Slab ^ Temp Pole ^ Top Out ^ Heating Insulation ^ Lintel ^ Final ^ Sewer ^ Fire Place _ ^ Pre Fab ~. READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Frida P.M. ~ ~ ~ d Q A.M. Inspection ad PM• ""--- -~ ape r / -~ Final Inspection // ~ Cer pancy ^ /~ , . , -'~" ~~ C.~t./ ,. -,G.y-~ ~ Date /A~11~~~ /nCITY OF ~~~~ __ ~~ ~~~ riLL4i~ /S~ - ~LOUQ~ Office of Building Official REQUEST FOR INSPECTION ~ ~ ~ i N ~ ^L~% l ~ b r Date "`-' t o. - Perm Time A.M. Received P.M. / Job Addr ss ~_ 03~i c ~_~ Owner's ~` . Contractor - Name __ ~ ~ BUILDING C BETE ELECTRICAL ECHANICAL PLUMBING Framing ^ o g C] Rough Wiring Ci Rough ^ Air Cond. & ^ Re Roofing ^ Slab ^ Temp Pole ^ Top Out eating Insulation ^ Lintel ^ Final ^ Sewer ^ ire Place ^ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. ~.~--~ Thurs. Friday i / PM. A.M. Inspection ~ P.M. """ Final Inspection ^ Inspector Certificate of Occupancy ^ Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Raad -Atlantic Beach, FL 32233 -Tel: 247-5826 • Fax: 247-5877 ELECTRICAL PERMIT PERMIT fNFORMATfON ~__LOCAT(ON (NFORMATION,_ ____ ~ _____- Permit Number: ___ 20253 _______ __ ~~ Address: 1011 ATLANTIC BOULEVARD Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: RESTAURANT Lots}: Bfock: Section: Square Feet: ~ Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: __ _ ~ ~-~~- -- - Improv. Cost: _OW_NERINFORMATION _ _ _ Date Issued: 6/21/2000 Name: VELAZG~UECZ, CARLOS Total Fees: 25.00 ~ Address: 1011 ATLANTIC BOULEVARD Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 6/21/2000 Phone: 904 398-0321 _ _ Work Desc -WIRE FOR WALK-1N COOLER/FIXED APPLIANCE FOR RESTAURANT CONTRACTOR~~ _ __ _ _ _ APPLICATION FEES ____ ~ Ru i TNnnnp~nrv FI Fc:TRic Co.iNC 25.00 PERMIT _-9_` -_~_.~_ -__----.-_~ ._ _~_ ROUGH Et_ECTRIC __-- - __ -- _. _----r-FfNAI~ E~CTRtC a uire , -- j I i i ~ j i NOTICE -INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRLOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED 1N 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 THOS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ~ f25. BB 14 ~A_~ Date: 6!21/09 91 Receipt: B9fi7432 A LANTIC BEACH B ILDING D CHECKS 1918 991889032219BB CITY OF ATLANTIC BEACH, FLORIDA w,,.w.eor APPLICATION FOR ELECTRICAL PERMIT ~-~~ ~ ~® ' TO THE CHIEF ELECTRICAL INSPECTOR: OATS: IMPORTANT NOTICE: •IN CONSIDERATION OF PERMIT GIVEN FOR DQING THE WORK A5 DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDaNCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, OTtANTAC BEACH ORD NANO AND IN ACCORDANCE WITN THE ELECTRICAL REGULATIONS, CODES ANO CITY OF P. 0. BOX 330150 ATUNTIC BEACH, FL 32233.0150 ( fi ", NAME~I ~a 5a. ADDRESS: ` O l l ~-1~ 1Q11~ C. I~t UCI'• RFD ~X BLO~i. SItE BETWEEN: REii. l 1 APT. l 1 I`~ CQMM~. PUBLIC ( 1 INDUS. ( I ADDITION l 1 TRAILER l 1 TEMIP. 1 1 SIGNS 1 NEW ( 1 OLO ( 1 REW. tERVICE: NEW ( 1 INCREASE ( 1 REPAIR l 1 __ _._... EXIST. SERV. SIZE ~~~r'1.% AMPS ~ PN ! w ~~~'~~'(~nt T aercwev FEE FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS RECEPTACLES _ _ CONCEALED CONCE_ALEO ~_- OPEN OPEN ___ TOTAL TOTAL U »O AMPY ~ 1 • 100 AMYV EW ITCHES INCANDESCENT FLUORESCENT SI M. V. ~UteD O.1 ATrLIANCE9 OAMPfI. UVIR _~~ T BEII TRANSF. AIR H.P. RATING CONDITIONING COMP. MOTOR H.P. RATING OTHER MOTO H:; A MPS CEIL HEAT: KW-NEAT • MOTORS 0•~ H.P. VOLTAGE PNS N0 OVER 1 H.P. VOLTAGE PHS MISCELLA EOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA N0. NEON TRANSF. N0. VA. MA. MOTOR S12E SWITCH FLASHE SO. FT. i~~~ CITY OF ~~~~G Q~ - Office of Buil`~tng REQUEST FOR IN: Date tJ~`- !7U Time q,M, Received P M, /O t ~ ~/ ~ 1~Q~ NE'X7 Dco ~l o ~ 3 .r.K=c, . ION ~~~~~ Permit No. Job dress Locality $ 9 -03 Z / Owner's . ~ ~ ~ '' Name Contractor BUILDING RATE ELECTRICAL PLUMBING MECHANICAL Framing ^ Footing ^ Rough Wiring Ci Air Cond. & ^ Re Roofing ^ Slab ^ Temp Pole ^ Top Out ^ Heating Insulation ^ Lintel ^ Final ^ Sewer ^ Fire Place ^ Pre Fab ,_.,_.,~ ~ READY FOR INSPECTION A M Mon. Tues. ~ . Friday Inspection Made ~~ ~~ p Inspector Finallnspection ^ Certificate of Occupancy ^ Date $15.00 REINSPECT FEE It is unlawful far any Carpenter, Contractor, Builder or other persons, to cover or cause to be covered, any part of the work • with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been PLUMBING made, call 247-5826, Building Depart- ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 aLOc p.m. Monday through Friday. CITY OF ATLANTIC R,~~ APPLICATION FOR PLU.I~2BING PE~q+ JOB LOCATION: 1r~ ~ r /1. _ .~ OWNER OF PROPERTY: v -~ L~'G.12 G.~Cif~~ ---~__TELEPNnty~ ,,~~ PLUMBING CONTRACTOR CONTRACTOR'S ADDRESS ~.,. STATE LICENSE NUMBER; _ ~` v ~ TELEPHONE -.~9d~- ~3~2 ~ HOW MANY OF --L_~_____S INKS THE FOLLOWING FIXTURES RE-PIPED OR NEW N~ zy 3 ~J.,A. SHOWERS THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the iob wilt be accepted CITY OF ATLANTIG BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 -Fax: 247-5877 PLUMBING PERMIT INFORMATION LOCATION INFORMATION _- - - Permit Number 20156 ~~ ~ Address: 1011 ATLANTIC BOULEVARD ~~ Permit Type: PLUMBING ti ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: RESTAURANT Lot(s~: Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: _ ,_~ _ Improv. Cost: _ ^i OWNER INFORMATION _~~ Date Issued: 6/02/2000 _, __ Name: VELAZQUECZ, CARLOS Total Fees: 32.50 Address: 1011 ATLANTIC BOULEVARD Amount Paitl: 32.50 ATLANTIC BEACH, FL 32233 Date Paid: 6/02!2000 Phone: (904)398-0321 _ ~ ~ _ -V_ Work Desc: INSTALL PLUMBWG i T ' _ ___~~-_____ CONTRACTORt;S) `~.._~__ __ `__ _ __ APPLICATION FEES „__ RAPID DISPATCH SERVICES, INC. ~ PERMIT 32.50 t I - -- _______^ {nspections Required -_~ __ J _ ---- - __ _ __ FINAL ~! I 1 ~II ; __ ~ __ __~___ _ -- -- _---_ ~.1_~._ ~_ _._.. ______~ _.`_ _~ ~ ____ ------~--- _ - __-____ NOTICE -INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY GINNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VlOLATfON OF APPLICABLE PROViStONS OF LAW. ~`~'''~-- _~ __ dare: ~ieic%~G 01 ke~eiot: ~~+618E,1 _ ATL.A TIG BEACH B ILDING ~~-~~~~~ ~~t~ ~91~9@~3~21~~~ -~.~. PSR•3844 ~ nn7~ . ' DEPARTMENT 4F BUILDINti - CITY OF ATLANTIC BEACH .___.._ .PERMIT INFORMATION _____.- _______ LnOATION INFORMATION ________ Permit fitumber: 14071 Address: 1011 ATLANTIC EOULEVARD Permit Tvpe:COMMER~'IAL ATLANTIS:.' BEACH, FLORIDA 323' C~~sS of w~~rk:REM4I~EL -------__ LEGAL I?ESCRIPTION ~-_______-- ~~~nstr. T~rpe:W001~ FRAME Block. Lot: Twp: 0 Pr*~Posed C3s?:SINGLE FAMILX Section: 0 Subd: Rna: ~'r D~aellin~~s: 0 SuLdivisiota: Est. Va~.ue: 0.00 Improu . ~~ ost : c . 500 . Q~? p To~4aI Fees.. 37.50 Amount Paid= 37.50 I~a~te Pa~fd: 5 f14 197 Sdork 17~sc`.REt~kODEL PER; PLANS OWNER INE~QRMI~TION -------__ ___..____ APPLI~'ATI~?IV FEES -_________ Name: ; DUSTIN Sl~iITH ' PEItM?T 37.50 Addr : ` I ~! 11 ATLAPITI G BOULEVARD ATLANT I i:; BEACNd :~ FLORIDA 3'1.2 3 3 PIZOne~"t 9t74 ? ~ 41-9051 _ _ .. _ _ _ CO??~tTRACTOR IF'~JRMAT I ON - - _ _ _ _ Kamp : PRf~F~RT~' awiYER;, Addy: Lic: Exp: I T~.Pe: t NOTES: } NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST 8E INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ~` BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED tN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW. CI~N RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." .5~ 14 ~t ~ipps~o ISSUED ACCORDING TO APPROVED PLANS WHICH ARE. PART OF THIS PERMIT AN~,~)B~I•CTREVOCATION Ft7~~T VIOLATION OF APPLICABLE PROVISIONS OF LAW. (~,(~t~s 1~ ATLANTIC BEACH BUILDING DEPARTMENT x. By: CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address l u l l ('~T L Date ~ ` `(` c~ ~' Heated Square Footage t? @ $ per sq ft = $ fi ~ Garage/ Shed tq S per sq i _ = S J` "0 Carport% Porch _t ~' ~t ;a ~ _per sa it = S U f J4f ` Deck ~ t ` (d S per sq ft = :; ~ ,,`` ~ Patio ~r @ S per sq *t = S TOTAL VALUATIOr? 2~~'h .~~ is".o~ ~1 ~~~~ oa ~~ ; a o Total Valuation lst $ lOt3~c~ / S~UO ,D~_ ,.~o .4c~ a /8.0~ F.emaining Value S~{ ~'~ per thousand o`~ portion thereof TOTAL BUILDING FEE + 1/~ Filing Fee tZ J~4 1 Fireplaces @ $15.00 S 4 BUILDING PERMIT FEE WATER IMPACT FEE SEWER IMPACT FEE WATER METER/TA? CAPITAL IMPROVEMENT SEWER TAr ~ 1 RADON {HRS) .G050 SECT I Ott H PAVING HYDRAULIC SHARES CROSS CONNECTION SURCHARGE .O~J50 OTHER. GRAND TOTAL DUE s ~ '~ Jr ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric%Temp ;SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS anct/or NOTES: s ~' '~, S I RECEIVED ~L~ ? 1991 CITY OF ATLANTIC BEACH f ,Atlantic Beach PERMIT APPLICATION REMODEL, ADDITIONS OR AL ul ~~~I~iCt1 Zoning DEMOLITIONS Owner(s): Address:~_O11 Atlantic Blvd Phone: (904) 241-3577 Lot # Block or Unit # Subdivision: Contractor: Smith Adventures, Inc (for self ~s-Lessee State License # n/a Address: 1011 Atlantic Blvd Phone No: (904) 241-8035 Describe work to be done: Install 28 feet of interior, partition wall (one 9'6") and one (18'6"). Install four (4) elec. wall outlets using existing, unused elP~_ r;r~,,;tc_ Remove and replace 40' of existing drywall Present use of building: Vacant Valuation of Proposed Construction: $2,500.00 Proposed use: Is this an addition? NO If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and J~VO~~v~`' ~V o~` cooled? New electrical (or increase)? ~~~ ~v ' Q `~ ~~' b r New plumbing fixtures? New fireplace? New Heat/AC? V~O~`~ ~ Q _.~~ ~ SUBMIT THREE (COI~RCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCL NG SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMA~NCEMENI~ AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: ~/ ~Q Signature CONTRACTOR: ~ Date: May 29, 1997 LESSEE ' ~ owN~`c~-S S~ ~'~~tiF /~Jff !S GtJc~ License Supplied: r..~ ~~,~~~(~E ~,esiC-~S Pn'Oo°f~ ~rpR.oJEN6v~S~ Liability Insurance •_ '"~G ~OdQ -Sl6~-Ar'rbi2t~ ~1d ~°""~"f ~1~ES f~w1NEe- 1,,1 tTN Ant y ~lA¢Tt ~ S ~ ~ NGW a N ~ .~ oR.cc...a.~-! N~.'i ~~"~, Worker's Compensation Insurance: LDAo¢.f ,b~~A p,-1..11 . ~-~- s~Lv~ ~n~.. C~ vN~s~r~ (3-t .AGE. ~"t1~S Qt~.~rzM..~~ Se`*~'~c-ks ~on- I:~SS ~ vN ~ TEFU APPt~ ~Tt ~orl 'T~FAT~ ,N'0 ,P~I.Tt~S) S41G}(L (-~~ ~ ~(GNS To L!W L.cwol,a~-OS ~/~oG~~ 02 ~,~T~'n~s7'~ ~a~ ~ y (~ 9.kjJ. CITY OF 500 SI;:~IINOLE ROAD -------_---------.----~- 3TL.~NTIC BLACH. C'LORIDA 33233-:i44i TELEPHONE 190.1'3-t~-:>H00 ~~ FA.A 190+1 3 ki-:i~i05 -~'~+~+- SU\CO~I 3,2-SN00 CHAPTER 48J, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW, THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE AONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCL4L BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE. WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST B£ DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN fT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER ~~DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK 1S IN PROGRESS BY UNLICENSED TRADES PEOPLE. ~~ THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE. THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM I OJ9 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROYEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER qNY CIRCUMSTANCES, OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228(1 ). AN `OCCUPATIONAL LICENSE~~ IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY ~~CERTIFICATE OF COMPETENCY~~ OR THE FLORIDA ~~CONTRACTORS CERTIFICATE~~ TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE EOUIREMENTS FOR HE ISSUANCE OF AN OWNER-BUILDER PERMIT. 4mi tl, ArlvantllrPG ~--- Tnr taS T, SS -2~ PROPERTY OWNER/BUILDER Warren Austin Smith, President 1011 Atlantic Blvd (904) 241-8035 AD~./DR SS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS ~ /~~DAY OF ~/Y 19~ ---~-~-- NOTARY BLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING DEPARTMENT. ~JlJIIIJTJI)IllNlllllllTllllllllllll7lJJllJJJJJlJ ~ ~ o,~t,AV °~e Fred Sutler ~ <+ ~' Notary Public, State of Florida ; ~ ~ ~ Commission No. CC 439862 ~'~'oF ~o My Commission Expires Q4l08l99 ; < I.800.3•NOTARY • Fla Noury Service & 8onain)i Co. ~ 5111111)11~~)1)))1~1)b1~1~))»l)~1~s»a»»»»s~~. ^ STUB IN DRAIN & WATER FOR DgRKR00M SINK. 19'-0 112" existing Bath room 6'-0 3/8" DARKROOM 9'-6 5/8" 5'-0 '^ ADD PARTITION WALL AND DOOR /S" ADD PARTITION WALL AND DDOR i~ 18'-5 7/8" replace interior drywall J ~~~ !~ ~ STUDIO w e ~~~, 12'-6 1/8" 6'-0 3/8" E - - i I %uFe eourrr~ - - - C~ ~,. e"~ `d~ G 55'-0 1/8" SPACE 6 1011 ATLANTIC BLVD. ATLANTIC VILLAGE SHOPPING CENTER lR-IP+PROVEd CITY A~F ATLANTIC BEACH BU1LDIrVG nFF`r~~ JUN a ~ 197 Bu r _ , .,--,. ~~~~ RECEIVED JU~I ? 1997 City of Atlantic Beach Building and Zoning 19'-0 112" SPACE 6 1011 ATLANTIC BLVD. ^ STUB IN DRAIN & WATER FOR DARKROOM SINK. ATLANTIC VILLAGE SHOPPING CENTER ,IA,P~PROVED CITY ,OF .ATLANTIC BEACH BUI'L.DING OFFICE 55'-0 1/8" JUN 0 4 1997 ,~7 t , ~ ~ ~,,~ ,.~, ~~.~ ~~ RECE9VED JUN 2 1997 City of Atlantic Beach Building and Zoning W o 0IIII o n nII oI 0II 0 0II 0 0 0)I oII nII N1 n oII rII oI 0 o mI m N oII 0I 0 0I 0I 0 0 0I { ry~tl O~O~01 p)nl ml ni t~t~t101010I OI '1 ~i NI N~N~Oi OI ~ OJ 01 OJ ~0~0101 ~ m'ni Z ~ J ~' W h Q , Y G = 7 WW 2 m W < < < m < m (~ r Q t r. r. e s o ° ~°~ ° o N n° N M H .. t . . . w r n N N N N N h N N d N r ~ m s V 1- - -- - - - -- --, Q ~ I ~~ ~ ~ ~ W o G s,~ ,~ ~ ~ 1~ U W 1I ~~ ~ • f OQ\ ~i- p .a1 ' 3.da.-l-*Y~/1 QP~~ a'o~~~ ~'~I i i. ~~ ~ ', ~ ~ o .~ 1 0 o i ~ ~P~' o o j v O vv , ~~ W ~ a i ° >~~~us. i:; ~ I ' ~ 01 ~-~ 1 0l a'of•s , ' IO.Jf• W r. 1 / ,, i. O ~ i rr, ,. ~ ~. ~.~~~'r{J/ J _ ® O ~//i/" ~/~ x ~ ~. • i i/'rtf f,i i,lr 00 \ f r - roe ' =`~~~ ~ 'T~~ ,01{ 7.ii,tY 00 O Q . n O ~ O rn '~ < ® ~, ~ O I p ~~ < ~ .~~~ , : ~,.r~,,; ~,..~1~.-~ ~, U I O w U ~ ~ ~ G ~~ z x W ~ A n W / ~ ~I .,., l I o ~:~1 I711'oY• - 1 f .01 .If Ir M r~ Z ~ O O Y. Cn ~ f :l. O O J e I ~ I~~..e~ o.rf r .o id < W !IV ~ rJ3 .s a ~ •i. F rr r.. .. .~ , .. .. o _ ~. ~ ~ NOIlN3l3tl .. '- s ~ -- ~--- _._. _~-" ~_-._ nn1N (~ a 0 LL U a w m U z 4 J f 4 O Q W 0 m U F- 2 Q H 4 oW~o ~ t ~ o o a s°<' W °^ O J ¢ ~ b WO ". Ooio rm~ W~=~ ~ o ~ W '" ~ O r J Z t V N~tlOa w• C Q 5 W ~~ ~O ; m~ U ; 5 4 ~~ UI a =1 4I Q 0 Z Q J a W H 0 ~ O • ° r Z I ~ O m 0 i ~~~.4 14085 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH _.___ PERMIT INFORMATION ____..._ _______ LOCATION INFORMATION.--______ Permit Number: 5.4085 F;ddress: 1011 ATLANTIC BOULEVARD Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 ~~lass o~ Work: ALTERATION _________ LEGAL DESCRIPTION _____-____ ~ Constr. Type:r+~QOD FRAME Black: Lot: Twp: 0 Proposed L}se:SINGLE FAMILY Section: G~ Subd: Rna; 0 Dwellings: t' ~ Subdiviszors: Est. Value: 0.00 I Imprc~v . Cost.: n . ~~~, ii T+atal Fees: 25.00 Am+aunt Paid: 25.00 Late P2t~,d: 5~4J515.99'7 Wc+rk Desc:BAGKFLOW PREVENTER __._____~ .-,t,;tNEF. INFORMATI©N ~__..._____ -._.. ---- APPLICATION FEES ---_______ Name: AiJSTIH SMITH PERMIT 25.00 Add:= : 1011 ATLAAIT S C BOULEVARD A'1'LAI3TIC. BLRC't~'e FLORIDA 32233 ~Ni~3n~: { 904) 241.-9~J51 , ., _ _ _ _ .. CONTRACTOR IAiFORMAT I ON - - - - - - Name: STEI~G PLUMBING Addr: 1601 MAIN STREET ATLANTIC.. B>~ACI3 FLORIDA 32233 Lid: C£+'C~37h3~ ~ Exp: Tyge: 4 NOTES, NOTICE -ALL CONCRETE FORMS AND FOQTM.GS MUST BE INSPECTED BEFORE POURING F~ERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST 8E CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' 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 REVO~T~~I~FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. t; 81183 CHECKS 88188883221888 ATLANTIC EACH BUILDING DEPARTMENT By: t,^ F~ CITY OF A'TLAN'TIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: /Q' // //~~~~~[~y~~~i~,/~ fj~~„~~.Q~, OWNER OF PROPERTY : _ ~~/.f~-n/~ ` ~I ~/~', ~ P LUMB I NG CONTRACTOR ~ r ~~ ~'r c- CONTRACTOR ` S ADDRESS : __~c~C/ /?~fo~/h ~~- /'~ 13 STATE LICENSE NUMBER: lr fCC~ 37~%lr TELEPHONE: ~ -S~~J~ HOW MANY OF THE FOLLOWING FIXTURES INSTALLED r SINKS SHOWERS LAVATORY BATH TUBS URINALS CLOSETS WATER HEATERS DISHWASHERS DISPOSALS ASHING MACHINE FLOOR DRAINS /~ SHOWER PANS O T H E R ~ ~~ / 1~ /c ~+jG~L TOTAL FIXTURES: MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: x $3.50 + 515.00 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTFiERN•STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 -`;/ 1 ~~ . PSR~4 ~,, 1 ~ 1416 9 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT' INFORMATION ---_--_ -°_---., LOCATION INFORMATION -------- Fermit Nu;x-ber: 14169 Address. 1{1].1 ATLANTIC BOULEVARD Pei~iit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class u~ Wark:ALTERATI(~N -------_- LEGAL DESCRIPTIQN -______-__ Constr. Type:W~?OD FRAME Block: Lot: Twp: Q Fro>Gfosed Usj4:BINGLE FAMILY Section' Q Subd: Rng: 0.. L+~aellings: Q Subdivision: Est. ttalue: ©.t~C~ Imprav. Cost: O.QQ Total Fees: 25.Q0 Amount Pax:' 2.00 OWNER II'(FORMATIUN -________ ___ ~__.__-- APPLICATION FEES ------- Name: ~1tJ5'TIN SMITH PERMIT 2~.Q(1 Addy: 1C'17. ATL~1i~TIC .BOULEVARD A'TLAI'iiTIG BEACH FLORIDA 32.233 Pl~on~ { 9Q4 ; 241 9~~`5,~, _ _ _ _ _ _ CUI~TkA:"Tt7R I P~FORMAT I ORi - _ _ _ _ _ Name: BRQ~JKS & LIMBAUt3H Addr; 41 2ND STREET WEST ATLANTIC BEACH FLORIDA 32233 - ~ ._ ,~ , NOTES: NOTICE - ALL CONCtRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 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 MECHANICS' 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. ~~~ f,~ CHECKS ~ 9689 ATLANTIC ACH BUILDING EPARTMENT ~13~2;~ CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:~~ _Cv G S 19 ~ ~ ' IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. NAME ~~-~"5lt ~3/~'~"C~-5 ,.., ADDRESS: _;` ~~/ I~2~G _~LIJ(7'.. RFD BOX BLDG. SIZE BETWEEN: RES. ( 1 APT. ( 1 COMM. (~- PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD ~ REW. ( 1 ADDITION ( 1 TRAILER ( 1 TEMP. ( - SIGNS ( 1 SO. FT. SERVICE: NEW ( 1 INCREASE ( 1 REPAIR ( 1 FEE _ CONDUCTOR SIZE AMPS COPPER ( - ALUM. 1 EXIST. SERV. SIZE oZ~?C~ FEEDERS NO. SIZE LIGHTING OUTLETS /~ `~ RECEPTACLES O.90 AMPS. SWITCH E3 INCANDESCENT FLUORESCENT & M. V. FIXED o.too AMPS. APPLIANCES AIR N.P. RATING CONDITIONING COMP. MOTOR 0.1 H.P MPS ~ PH ! NO. SIZE CONCEALED CONCEALED VOLTAGE I N.P. RATING OTHER MOTORS LTI RACEWAY ~NO. SIZE OPEN TOTAL OPEN TOTAL 91 • 100 AMPS. CITY OF ATLANTIC BEACH, FLORIDA ~•~oY APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ~'~ ( 19~ IMPORTANT NOTICE: I IN CONSIDERATION OF PERMlT GIVEN FOR D04NG THE WORK AS DESCR{BED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AMD CITY OF ATLANTIC BEACH ORDINANCES. n ~\ ~rx~1 f~~l~ia~.5 V ADDRESS•~~/~,~(.~''1~y `L( -~~" l4~FCl BOX Y BLDG. SIZE BETWEEN: ~~--~ RES. ( ) APT. ( 1 COMM. ( ? PUBLIG ( 1 INDUS. ( ) NEW ( ! OLD t-~ REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE r ~~ AMPS ~ PH ~W Z~~VOLT <~ RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O-~O AMPB. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT d~ M. V. FIXED 0.100 AMP f. OV[R APPLIANCES BELL TRANSF. AIR CONDITIONING HP. RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEIL HEAT: KW-HEAT MOTORS 0 H .1 .P. VOLTAGE PHS NO. OVER i N.P. VOLTAGE PHS MISCELLANEOUS 5 L°i< TRANSFORMERS: UNDER 600 V, OVER 600 V. . NO. KVA NO. KVA ~' ~~ r,, ~ ~. ,~: s ~ '1 CITY OF ~f? ~ ~ ~ ~ ~ ~ ` rvf _ ~~ ~~~Wi~tC /~ - "¢~O~LdC~F' l / ' . V'' Office of Buildin Official 9 ~~ REQUEST FOR INSPECTION ~ / Date_ _ Permit No. ___ Time A.M. Received ~t'~~ ~ p ~ '~°p~Md.~r ,c+' ~ f/ r Job A ss V ~._ . ~I ot,"ality ~- Owner's Name ' ~ ,~ /~ ~ y ~' ,,~.'~' ~ .~ . Co ~ -; ~ ~` ~ ,~"~+r'~ r''„~L~ ,~`•~ -°""~ BUILDING CONCRETE ELECTRICAL ~3 PLUMBING ~ MECHANIC Framing -: Re Roofing Footing ~_ Rough WiringT Rough G Air Cond. & ^ Slab i.- Temp Pole - Tep Out C! Heating Insulation - Lintel _ Final Sewer C; Fire Place r Pre Fab READY FOR INSPECTION - - _, Mon. `~ A.M Tues. Wed. Thurs. Friday A ___-_f'ivF °-°~''° 'i A.M. Irap~ctior. Made _ae~.c _ _ pM - ---- --- ----~-. ' _. Fina! Inspeciio i ---- _ - " Certfcate af Occupancy ~ ~ ~ f ~ ~ Gate . ~° DATE: ~`" Z 3 " 9~ PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AU'T'HORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FILIAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY: Enclosed are the blue copies of the permits. i5 NCERELY, _--! ILDING INSPECTION DIVISION cc:FILE CITY OF r~tlartlt bead-~~ Office of Building Official REQUEST FOR INSPECTION Date ` ~~~~ ~/ Time A.M. Received P.M. Sh . I ._ A /~ ..- t Permit No. ~~~~ District No. -- - b Address ~ Locality Owner's ~~` Neme Contra or ~ ~ ~~~~ BUILDING CONCRETE LECTRICAL PLUMBING MECHANICAL Framing ^ Footing ^ Rough ^ Air. Cond. & ^ Re Roofing ^ Slab ^ Temp Pole ^ ~ Top Out ^ Heating Lintel ^ Final Sewer ^ Fire Place ^ READY FOR INSPECTION ~~~ Wed. Thurs. Friday Mon. T e Inspection Made ~ _ Pre Fab P.M. Inspector Final Inspection ^ Certificate of Occupancy Data _ z ~ -~~ _ ,. .~~. a ~., ~" CiTY OF ATLANTIC BEACH, fLORLDA ~ ~ ~~ `~' A b„ -APPLICATION FOR E~ECTRICA~ :PERMIT. TO THE CHIEF ELECTRICAL INSPECTOR: DATE:" ~ (~ 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE: WORK AS DESCRIBED IN THE FOLLOWING, Wf HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE. WITH THE ATTACHED PLANS .AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REG LATI S, CODES AND CITY OF ATLANTIC BEACM ORDINANCES. ELECTRICAL FIRM:. MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME ~ ~ ' ~' ~ ADDRESS: ~~ ~~ ~Z~X• ~ C OG y~RFD BOX BLDG. SIZE $ETWEEN: RES.1 1 APT. 1 ) COMM. (~-1~ PUBLIC 1 1 INDUS. ( ) NEW 1 1 OlD 1~-t~ REW. (C-1--~-"` ADDITION ( 1 TRAILER ( - TEMP.1 1 SIGNS ( ) SD. FT. SERVICE: NEW 1 1 INCREASE 1 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ALUM. AMPS SWITCH OR BREAKER PH' W VOLT RACEWAY p- .:EXIST. SERV. SIZE J AMPS PH ~ W fj~ ~ { `VOLT ,,q /~ J~'~6 ~~ACEWAY FEEDERS NO. SIZE NO. SIZE. NO. SIZE LIGHTING OUTLETS- CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O.30 AMPB. 97-TOO AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. s~ ~.q ~ ~L % ~~ /~ UUt ~~ ~~~ C l ~ 1~ :FIXED O•tOO AMP B. OVER APPLIANCES BELL TRANS F AIR CONDITIONING" H.P. RATING COMB MOTOR H.P. RATING OTHER MOTORS AMPS CEIL HEAT: KW-HEAT MOTORS H al .P. VOLTAGE PHS NO. ovEs I H.P. VOLTAGE PHS :MISCELLANEO US TRANSFORMERS: UNDER 800 V OVER 800 V. C~~er#ifirtt#.e of (~rr~t~~tnr~ CITY OF ~r~rttr#mrttt tt~ ~ttiidittg Jtts~rrtintt This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Useclassific[tion CoTtDllerci8 Group Type Constmciion OwneroFBuilding ~AryryT'1t"~1 At" ni Building Address ~ V ~ 1 ~ ~ ~- •_ John M, Widdows Building Official ~_ HIdg.PermitNo. 3tl8fi Ji Pare District. Atlantic BE'.a.ch__ ~[j~j_Address - _ _T. ~IVd- l.ocality_~iJ,.,L., 41l 7 is.u0, '^i O~t?r l~Vtit r~11, 19~}4 Date __ IO[T IN A CONS-ICUOU[ RUC[ DEPARTMENT OF BUILDING ~ C ~+ CITY OF ATLANTIC BEACH, FLORIDA PERMiT NO. J U PERMITTt? BUILD THIS PERMIT MUST BE POSTED ON JOB Date ~~~ $ 19$4' ~, ~ ~ ~ ~, Valuation $ SIGH Fee $ 7.5Q 7 s ~1~Clt'f ! ~1~~ i ~ alCJ1~ This permit not valid until above fee has been paid to City Treasurer, and is ~:>Ji.? ~~~~~" subject to revocation for violation of applicable provisions of law. (~ t~ ~ ~ ~ r ~~ This is to certify that i~~~L $~ '~ SERVICE ~ C~~1G has permission to build ~TGN A~ pF PT.AN$ ---___ Classification CO~RC~L Zone Owned by AL.LENS SHQES Lot Block S/D House No. A R ~ ATT.AIftTT~~;,j,,~~l) According to approved plans which are part of this permit w 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 i from this work must not be placed in public space, and must be cleared up and hauled away by either con- -~ Building Official. .FOR OFFICE USE ONLY PERMIT NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER ;eel It ~},•~11 .;,. „n7,;•.fnl fc~r •~ny I>~•rr.on to ir.s.t;3I1, ;,lic•r ur ,c•lr,c;ate , ~ -' ~ ~~y, ,,•,:r~ ing ur vi},rr ;;r'.vc•ri i s,ng :t rncture i ~ , r i t t c d ,,•„3c•r ~.c•r t. ir,n 20-2 ~.~i t}lout first ~~';t:,inia~ a pc•ru~it fio:~ t},e City '':,na~er :jnd r:,:'king ;,:-:,•r nt to t},e City Clerk of the rcq,~ir~•d fr e. All illur;in:~ted signs s},all, in :addition, he s„Lject to the provisions of the city Elc-ctrical Code :end any permit fees rc-ouired thereunder. (Ord. 1~0. 60-66-1, 4.) il'}~E OF 51GN )•"I.A T i?OkI7.0':'TAL PkOJEC"LING 1'EN17 CAL PF!O~EG'TING RuOF POLE ';'~'tE, Ai~JF.i~SS & TELFPHO;~E ?;U?•;BFR OF Al'PLICa~:T ~ ~~ ~ .~ ~ ~t' / J ," /~~ PLEASE PRINT.' , . ~, - • Of} ~ OP. '_l:_~~IN 1S 'IHE nI'PI,1CA?~T THE Ol;?:ER -_ OR THE _---_ --- 1. ~_.SSSi:E ? ~~ 7- C -- - 7 - --- - . _ 7 - .:,,'•SE, r',_T~DF;ESS & 'TE111_Pi=~O?~E P:L:'.RFR OF 0',•::;ER .~' ~--- _ .~ _ ,, ---~ --- - IF THE LAi±~R, SH04: AUTHORITY FRO'•1 THE ATTACH THE FOLLO~~:I?,'G TO THIS APPLIC-.TIO?~: a) li?2 ZUCat70n Of t}lE'_ bUZldino, StrUCtUre Or lot t0 l:}:iC}] Or L'pOn `.~h1C}1 t;?e S1gn or c?t}.i;T ad-,-ertising struct~~re is to be attacked or ~rc_cted. b) A Plot plan s}-,o~.~ing the position of the sign or other advertising structure in r>'atior to nearby buildings or strlrctures. c) A blueprint or ink drau~?ng of t}~e plans and specific`tiors and Method of construction and attacl-iment to t~~e building or in the ground. d) '"'ne name of .the person/contractor erecti-ng the structure. e) I.rrt electrical I~ernit reeLi red :-nd issued for such sigma. f) Registered cnoineer's dra4•inos s_,ust be suL,~,tted with applications for roof Si~r.s ~ .•er fifty (50) square feet in area, <,ad for any sign the top of which is ~ :ire tl:~_r. s~r~n- tc.2n (17) feet above the grot:nd or : Bighting -:ore than one t~,ousand pou~os (1000), or s011d Slgn OI arEa .~Jre t}tan thTty SCU~ire =t'Pt, cl?px7no t~~t SUC'C] S~_`-'P. ~.T1I1 .e ~r~Ctc'C to wit}:stand a wind press,,re of at lc_ast t}rimy-live (35) po~~nds per sc:_:-re `oot ::=nd that the weight of such sign wi I1 be :~.-,ply su ~~ort ~-d by the roof of the =,ui 1 %~ _ng or the grotJ-,d support on .chick it is to be cr~cted. g) Such other infor;aation as t;-;e City' ".::_~.-r s~:~~I ~~a,~ire to s'row `ull c~ .~l;r:-;ce t:ith Ch~_l~ter 7_0 and all of};er Za'.:s Ord ore5~,:r,c=:'s oz t~;e rity. S F C;';.:'i ; -ZE OF .~?PLI C--,?~T.. - ,~,,,-~~~ ~~.-..7.,~.s_' ,, ~-"_ ?,.: E .~ /~~~'~~ . ; _~ c ~ c `~ „ •- „- ~I{ -,~-~ ,_: <.;'•=R ~Ci` ~4' ~~rG~I,L~Zj e' )_ ~~~tr.t~~~~LC'7. ~`~ ~--e% /~!/~~~ _ _ ~- ~~ ~` ~"~~ - C'011~~L~RCIAL ~IC~N CQ. ~, y 3, 1984 General Sign Service, Inc. 1940 Spearing St. Jacksonville,•FL 32206 Attn: Chris Re: Allens Shoes Atlantic Village Atlantic Beach Thank you for your bid. Enclosed is our purchase order. Please proceed immediately with all necessary permits. We will be shipping the sign in the near future. Upon arrival, please check for any damage and notify us if necessary. Due to insurance requirements, we must have in our files from your insurance company the .following two items prior to final payment for installation covered under t}ie attached purchase order. 1. Certificate of Insurance showing liability insurance. 2. Certificate of Insurance showing Workmans Compensation Insurance. In addition to the above insurance items, it is riow necessary under the new Federal law t}iat you supply us with your correct Tax Payer Identification Number (TIN). If you are an individual, it is your Social Security,Number. if you are a business or other entity your (TIN) is your Employer Identification Number. Please execute the attached Department of Treasury Internal Revenue Service I;orm W9 and return same with oyr Purchase Order. Alsp, please cemh?ete the information above Form W9 as to t}~e type of entity which you are. Until we have on we will be unable Purchase Order. Thank you. GLF} : pk file the necessary insurance forms and W9 Form, to pay any invoices with reference to the attached Enclosures (1) Purchase Order 2b68-84 (2) W9 Foxm 3 Instructions Yours truly, COMME A,i, S I G:Y GO . ~ I J.~~ ~,( Gar L. hall. ~BB10,~1l~.~ ~!'.vi~y b. ~r,,;a D1JSP `_ }' ~ ', ^'_ t \ ji ~_ 1 I i ~.) ao -o 4 ti ~ 4 ~ (~ 1 ~ I ___--. 1-.........._i ~~_._~_____._.._._. ~ to . 4 i r `x, y~'` } _'~. f 1 1 r 4 i '~ ;~ .: ~ 3 __` ~; i ; . + ~ ,~ ~,v ~ fi' ~-~ i h, _~ ~_ + ~ .~ Y._ f shy . .' r`~.E~..~`a ~ ~~t~ i`~~ i:F-i~~ ! ~a~'~:nt~. ~`~.~~i.i~~ (~ i _. .. ___-._ _...._.__. ~i0 i[~E C}l~cF f=LEirTRtCA1_ ti~',"~PECTOR: CATE:___..._~~~~.___jp~~ ~;•~ C~~..",S,DLr~,ATiON of PERr~tiT CIVE''1 FOR t7C31hG THE 1"JORK AS ~ESCRIEFD !N 7t~E Ff~i.IC1','~`iNG, `."F } t ;E; 's" ''.r'~;rE ?O PtRFORr~t S.4lD 4;'0€?K Ir1 PCG':'^7 ;'JCE ~:I'i t; THE A"FTAC1IEi1 PLANS f,ir'C `ii't':~: IFIC~,TIL~'JS, "';,:~-t 6'.t~~ ~ :':'~.Fis "c;'.EOF, ,;'~~ IN ACs:.~`=~,",~:C;E t'1lTfi Till: EI_ECZ?IC,',L ~;~C'ai-1 ~'~T;i?t~5, Ci?^E~ °'D CI7~Y Gr ~~~~~~ ~~c ~~~ _ - ___ ~_'~_~~.~__~._~-~_ -~_-_ "L':Ci 3~!:l~'.l F',T','!--~°.".Si+=f3 Ft..EGTt~i- IC:I."-, (r - '1'AT!JRE _. _,J''.'L~.~i.. ~',',_A.~ /~f,/~/~~. /')//I~ /L'. _.._._.._w'./tee P ~. L (_ '~ ~~L ._.C_l ~~~ Fes' / I ~~ ~~1 _' ~~ t ~ r-.!st. i ! r..~~~i~~. ~ t '~.._.__L-'~ {Vii.: ` ..; r~ ~ %i/T~Gl.~5 .. _ ~.`T 1' .~~ .•..., l _. ._._._.__._ _____.__._.r:=Tl1'EEN:_..__.___. ~'l!°l.-C t ! tf^~ft~US_ { ) r~r ~~. t 1 C1LC7 t 1 F~c`i~"til. { ) ~ /~ ~ f_ ._ T~ld,P_ t ) 5-G";" (-~3 ..__iN.~~-~-. 51.~._ S(?. r-T. _._._~._~C~_.._~2? ~ r L_ _ _., C-~ r S j 1 LN G _ __.____ .__ ._._.___.. ._-- ___ ~~______ ._ _._ ~~'C-~1rAY k~ I .'?r ~ ~ t Fi , JJ ~ VOLT iiA~~E;"JAY i f o-z= v~. ~' ~ SIZE = I _. c ~ _- ~ COt3CE^aLEU ; i OPcN f _ _ I Tvir?L l CONCEkLED ~ .. _- ----- ~C++t'EC\'_ ~~. ____ __ .. ~_ TCT.4l. _ 1 ._ . _ __. ____._~__ _ . _ _._ __ _ _ ___-.-__ +_. __ v____ __ _. _ _._ __ _ _._ _ _.-._ ._-__ . .___..__ _.. _ _ _- 1 t ~ ei ~°~~ CITY OF ~E',~ ~' U' ' " ~Q~~~ss~`ic /3erc~i - ~waic~ Office of Building Official ~~}'/ E~UEST FOR INSPECTION Date ~ .... ~ / r` ~ Permit No. ~ ~~~ Time A.M. Received p, M. District No. Job Address ~ ~ Locality Owner's/~'y ~~///, / //g~ /~ ~ - ~..r Name ~-~'7' ~ s''~-' r~ ` Contractor / 7 -~" BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ^ Footing ^ Rough Wiring ^ Rough ^ Air. Cond. 8~ ^ Re Roofing ^ Stab ^ Temp Pole ^ Top Out C Heating Lintel ^ Fire Place ^ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. edj Thurs. Friday P.M. A.M. Inspection Made P. M. Inspector ~'Y Lam'` Final Inspection [A~~ Certificate of Occupancy Date C~~e~tifirtttr ~f (~rrn ~tnr ~~~~' ~ ~ CITY OF ~ ~~ • a ~r~rtt~tmrn# of ~~tilding Jnsprr~imt Thfs Certificate issued ~iursuant to the requirements of Section 109 of the Southern Stazzdard Building Code certifying that at the time of issuance this structure was in corn~lianee with the various ordinances regulating building construction or use. For the following. UxClassification Cnuunereiall BIdg.PcrmitNo. 3$$6E Group ~r Type Construction Fire District.. ~1~1aI1~1C LBBaeh Owner of Building >,rt~Y3 ~ l~r_ ~(~F~lress _- ~ _ Building Address 1G11 A~1._ B1vd. l,nc,,;ty Atl. Vi13a~e Sh~~. Cntr. Building Official llate: ~~T _C] y 1 Q IpiT IN A CON[TIGVOVf rUC[ CITY OF ATL/~-NTtC BEACH, FLORIDA .~.a by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ~,~.L 19 IMPORTANT NOTICE:' iN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,. WE HEREBY AGREE TO PERFORM SAIp WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHlGH ARf A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY Of ATLANTIC BEACH ORDINANCES. NAME ~~' T SwOf~ ADDRESS: /OlI AT.C~?~.~l7"t ~,.,- T3L Ir.D. RFD BoX BLDti. SitE / ~ ~ ~ ~ ~ BETWEEN: RES. ( 1 APT. i 1 COMM. (~l PUBLIC ( 1 INDUS.1 1 NEW (~ OLD 1 1 REW. l 1 ADDITION ( ) TRAILER ( 1 TEMP.1 1 SIGNS d - SQ. FT. SERVICE: NEW lk'1 INCREASE ( 1 REPAIR 1 - FEE ~~ C~IDUCTOR SItE ~ a AMPS .2.1t~ COPPER ALUM. SWITCH OR BREAKER 2 dv ~ PH W ,Zo VOLT Z..'~ ACEWAY ''~ EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. S12E © NO. SIZE NO. SIZE LIGHtING OUTLETS /~ CONGEALED OPEN TOTAL RECEPTACLES f O CONCEALED OPEN TOTAL ` 3 ~ 0.30 AMP8. 91.100 AMPS. r~ , SWITCHES y INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMP 8.. OVER APPLIANCES BELL TRANS F. AIR CONDITIONING - H.P, RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS GEIL HEAT: KW-HEAT MOTORS ' p H .~ .P. VOLTAGE PHS NO. OVER 1 H.P. VOLTAGE PHS MISCEiLANE OUS ..TRANSFORMERS:. UNDER 600 V._ OVER SOO V. CITY OF rctic ~e~~ - ~~CVUaIa 716 OCEAN BOULEVARD P. O. BOX 2b ATLANTIC BEACH, FLORIDA 32233 TELEPHONE (904) 249-2396 April 11, 1984 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville, Florida 32202 Dear Sirs; The following final inspections have been made and are satisfactory; Permit ~~3882 - 979 Atlantic Boulevard, Atlantic Beach Permit issued to All-Florida Electric. Permit ~~3886 - 1011 Atlantic Boulevard, Permit issued to All-Florida Electric. Sincerely, John M. Widdows Building Tnspect ion,~Supervisor JMW:ra Atlantic Beach ~~-~ ~, CITY OF ~~asttiic ~ili~f(i/t - ~,G~~ Office of Building Ofticial ,+/(y REQUEST FOR INSPECTION ~/(~ Date '~ ~ _" Permit No. ~V ~~ Time A. M. Received ~~y P.M. ~ District No. /~~' ~~ /.l~,f /,r*~? /.lam ~~.~~ ~ - ~ J Addre 9 `~ ~ Localit Owner ~~~ . ~~ Name ~ Contracts, ~' - - BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ^ Footing ^ Rough Wiring ^ Rough ^ Air. Cond. & ^ Re Roofing ^ Siab ^ Temp Pole ^ Top Out ^ Heating lintel ^ Fire Place ^ Pre Fab READY FOR INSPECTION A.M. Mon. es ~ W~ _I Thurs. Friday P.M. T!{ A. M. Inspection Made P.M. Ins actor ~ ~ ~ Final inspection P Certificate of Occupancy Date ~,'- DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 3'28' 19 ~ PERMIT NO. ~ `y' ~J ~ I Valuation $ 'gjj~j Fee $ 7, SQ ~. 7..Jp This. permit not valid until above fee has been paid to City Treasurer, and is ~ ~ 5~~~ subject to revocation for violation of applicable provisions of law. ~~'~' ~ i ~ '~~~~! ~.. This is to certify that B'f2I'I'E LI1'E tl~i~~ 1 j~4 ~!4 f;~ has permission to build ~ ~', ~~~ Classification C~Z' Zone ~' Owned by 'i'I~'. ~(~ j~q' Lot Block ~' S/D House No. 1011 ATtAN~IC BLVD According to approved plans which are part of this permit t NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ,~ AFTER DATE' OF ISSUE ~- ~----i O Building material, rubbish and debris ~ from this work must not be placed in public space, and must be cleared tra~owener Way by either con- Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER f ~~r~.ir.-,I ir~,; I•,N ~,IG~: r~ t~~i•r ,`:~•c. •10-3. S1C:: I'I f'•i1TS - IZ] (1liIRED Tt shall bu un~::~aful for :.any person to install, ;,•.•ning or ether advertising structure permitted permit from the City '`,3nai;er and rnakinl; payment illuminated signs shall, in addition, be suLjec end any pc-rmit fees required thereunder. (Ord. -------- -------------------------------------- TYPE OF SIGN }•7~AT ~NDr~~p~rn, leaT~~ I'.ORT"LO\TAL PROJECTING l'F.k•I`ICAL PROJECTING kOOF PULE 1dAP.QUEE OR A;:rtiING ~rALtIA'rloN S~ ~v c~._ ©c~ IS THE APPLICANT THE OS;I~ER __ _OR THE 1.r~SSEE ----- ' Cau7R~-'~sL IF THE LATTER, SHOW AUTHORITY FROM THE Ci~;1~ER. -------------------------------------- Ai'IACH THE FOLLO`dING TO THIS APPLICATION: :Ater or relocrite any sis~n, ;n:;rquee, c::nuj,y, under section 20-2 without first c~Lt:,inin~ a to the City Clerk of the required fee. All t to the provisions of the city Electrical Code fio. 60-66-1, 4.) NA1~fE, ADDRESS & TELEPHONE NLR•iBER OF APPLICANT PLEASE PRINT: --~i~ 1T~ IrTC SEFt~IIiC.E CC,,,~NC„ ______„_ ~'-549_ 5 - ._ R~c,~s-ri N~ ?d . #~ zi ~AX•~ ~~ - - 31.7.x1- 737- 3zi / i~~~'•fE, ADDRESS & TELEPHO?~'E NU'•`BER OF 0'~ DER .~U~1t 1~. moR6~ ATt,~•,,,~~ U lt,~,~s ~- 5 itb PPI N _ c-c~u ~~ ~L ~~~. 3223 3 _ a) The location of the building, structure or lot to which or upon ~.-hich the sign or other advertising structure is to be attached or erected. b) A Plot plan showing the position of the sign or other advertising structure in relation to nearby buildings or structures. c) A blueprint or ink drawing of the plans and specifications and method of construction and attachment to the building or in the ground. d) T'ne name of the person/contractor erecting the structure. e) Any electrical permit required and issued for such sign. f) Registered engineer's drawings must be submitted with applications for roof signs over fifty (50) square feet in area, and for any sign the top of which is more than seven- teen (17) feet above the ground or :aeiohting more than one thousand pounds (1000), or any solid sign of area more than thirty square feet, showing that such sign will be erected to withstand a wind pressure of at least thirty-five (35) pounds per square foot and that the weight of such sign will be a-ply supported by the roof of the building or the ground support on which it is to be erected. g) Such other infor::~ation as the City '•.~:.ayer shall raouire to show full co:-pliance with Chapter 20 and all other laws aid ordinances of the city. .=PPLIC.'~tiT ~'~ SIG'~AiL`RE OF _.-- ------- - --- rJATE ~'ag -eq- j ~ y~/~-- - - - -- - -- - - ----- ------ -- -- - - - -- ~IG':'.~L''RE OF 0•.;`:-R /7~- ~'~'` ~-- n~1E --~,~~_~~ _ \~ - - --