Permit 801 Beach Avenue t t�
000128
t' � F
DEPARTMENT OF BUILDIN
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------- L.00ATIOW INFORMATION ---------
Permit it Number 1 Addressi BOl BEACH AVE.
Permit , `I'ype% 11SCHANICAL ATLANTIC. BEACH, F t OR.IDA 32233
close of, Wort ki. NEW ----w LEGAL. DESCRIPTION
C4+nstr. TYPO s Lot z Slock i Sections
s>
Proposed Uwe,, .SINGLE FAMILY Plat Bo k s Pogo% . 0
Dvelitn9as 0 Code 0 1 Subdivisions
Estimated valu4s ------ OWNER INFORMATION—
1: —_� �.
ImPa ov* Gust s *0.,00 Hemet F'RSOERICK D. HA`XES
Tota I o(4`;, # B» lU Addresm s 8,01 REACM AVE.
A,>s 0` ,M lB. tO ATLANTIC BEACH, FLORIDA 32233
1>0
3 BB Phones
Wrrk AT AIT
41
LICATIO FEES
AIR *PE 09
e
WATER IMPACT FEE $K0
r1t I T` E;a py,x y [. �t / �..tt`yB w• Yf�:a t �yhr * g�l�}i..g4 s7*
1 < z RAPON GAS-ft. Ra Sa ;0«00 � *00M
&��
RADON GAS *0.OAC 1A I I/93 I
.. . WATER TAP .
010
I I
WAN '4'AF *01- 00,
m_.e
HYDRAULIC SHARE x#3. 00
p»4 RE-INSPECT FEE 00: 00
OTHER
NOTES:
NOTICE ALL CONCR9TE FORM$AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BU1ILDftM MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND MAULED AWAY BY EITHER CONTRACTOR OR OWNER.
`'FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT 1N
THE PROPERTYOWNER'PAYING TWICE.FOR SUILDING IMPROVEMENTS,"
IS$UrED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATiON`FOR
VIf7LATION OF APPLICABLE PROVISIONS OF LAW.
ATLANIX,REACHBUILDING DEPARTMEN
z
By:
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32238
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT Applicant to complete all items in sections 1, 11, III, and IV.
LOCATION Street Address: got deA610
„pper�
OF Intersecting Streets: Between And Orn! G t/
BUILDING
Sub-division'
II. IDENTIFICATION -To be completed by all applicants
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 pians and specifications which are apart hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) 5& 1-6 oy,4 C Master CA CA j/,6,r/ 2 3SSS
Nasse of,
hoporty Owner L G Av
Sigeeof Owner Signature of ”
er Astlsortun isod Agent Architect or Engineer
GENEM INFORMATION
A' Typo of hooting fool: B. IS OTHER CONSTRUCTION BEING DONE ON
/C` Electric THIS BUILDING OR SITE1
3 Ses-❑ LP ❑ Naturel ❑ Ceettal Utilrw
IF YES, GIVE NUMBER OF CONSTRUCTION
D Oso PERMIT 3/ L
C3 Othat — Specify
W. #AECHANICM.111PUNMENT TO N INSTALLED NATURE OF WORK
(hevfde complete list of cornponeate on beek of this form) ❑ Residential or ❑ Commercial
ANeat 13SP4a C3Reeaud Confsrl O FloorC3New Building
Q Air Condttioninq: 13Room Q Control ❑ Existing Building
Oect System: Mraterie� Thickness✓.. 13 Replacement of existing system
Maximum capacity C3 New Installation(No system previously Installed)
0 ❑ Extension or add-on to existing system
❑ Other- Specify
Q 'Cool," tower: Capacity q.P.m.
(3 fora sprinkfon: Number of hoods,.
C1 'Elsvater 0 Mealift ❑ Escalator (.number) THIS SPACE POR'OFi10E USE ONLY
(3,Gasoline Punlplr_ (number) (R"W"d)
GI. Tanks.. (number) Remarks
Q 'LPG centainory (number)
Q U firod P"Ure vessel
O Penni# Appbv" Data
.—
d Cfhw - SPW4 Permit he
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
( qty /►�►
Nuulbor Vane Daeslptiors f[odel NwnMs ][asiutectairer ITosse)
2 L le /
n1'� ,��,,-- /CITY OF _�,��
ri�4ai w- /3�-T(f1�sda
Office of Building Official
` REQUEST FOR INSPECTION
Date--,/--2— / !p — � Q Permit No.
Time A.M.
Received P.M.
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ 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. FridayP.M.
A
Inspection Made r C C� P.M.
Inspector Final Inspection ❑
Certificate of Occupancy ❑
Date