Permit 1590 Beach Avenue S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
C
Application Number . . . . . 04-00028368 Date 5/25/04
Property Address . . . . . . 1590 BEACH AVE
Tenant nbr, name . . . . . . RE-PIPE 7 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
STOCKTON, WALDO WILLIAMS BIG BOY PLUMBING INC
1590 BEACH AVENUE 516 11TH AVENUE S
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-1880
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 84 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
------------- ---- ---------- ---------- ---------- ----------
Permit Fee Total 84 . 00 84 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 84 . 00 84 . 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 IWROVEMENTS-ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
)49r4_ ( , /qmk
BUELDING OFFICLkL
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Date:
Property Address:
Owner: Telephone#:
Contractor:—K4( (ftU LV'0
Telephone Ll(-I
Contractor Address: 'Fax#:
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 good practice listed therein.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other construction is being done on this building or site,
El New list the building permit number:
-E�Re-Pipe
Number of Fixtures:
I Bath Tubs Showers
2, Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Other
Fees
Permit Issuing Fee: $35.00
Total Fixtures: X $7.00 + $35.00
800 Seminole Road -Atlantic Beach, Florida 32233-6445
Phone: (904) 247-5800- Fax: (904)247-5845- http://www.cl.atiantic-beach.fl.us
-3644
DEPAR"rMIENT OFr 13UILDIN(l r
CITY OF ATLANTIC,BEACH
PERrHIT: INrOR
c
MAT 1014 14
AT'ION r FORMATION r
1,59() jBEAC*j. AV EOUE,
rm er 1,6r7' 7 1 A(A
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ATLANTIlC'BEACH, , VLORTDA 2�3
3ij
w L EGAL DESCR i
ork"REMODEL.,
FRAME �PT I ON,
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0 Subd Rng .0
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ot
Amoiln 45.0'0
...........
1 q9a
9 AN rECKI
41
'ICATION�� FEES
L
z 0 APPL
"Ry
I twT 45.00
V
d 15
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Q"' 51
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ol� vol
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lko
UESTED AT LEAST 94
.........................
'�`461IILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT,BE PLACED'IN PUBLIC SPACE,AN6�
"'CL#ARto,UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER MUSTBE
""FAILURE TO COMPLY WITH THE MECHANICS . LIEN' LA
W. CAN RESULT IN
TWICE FORIBUILDING IMP
HE PROPERTY
ROVIEMENTS.
ISSUfD ACCORDING TO APPROVED PLANS WHICH ARE PART OF THI'S PERMIT AND SUBJ8CT TO REVOCATION FOR
10. LATION2 OF APPLICABLE PROVISIONS OF LAW.
JL
t
��ATLAN;K,BEACH,NILD1,7 ENT
77
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS
MOVING,DM1OLXTX0NS
Owner(s) :_
Address:_ Phone:— ZZ-1
Lot Block or Unit # Subdivision:
Contractor:
State License # C6!6 vze�yye-')
Address: o,,.) - ", 0' e -7 4,51' ZS
No:
city State Zio Code 2zwo,
Describe work to be done: /' —c-
Present use of building:
Valuation of Proposed Construction:
Proposed use:
Is this an addition'?. A,� If yes, what are 'the dimensions of the added
space: f t. x
ft. Will the added area be heated and
cooled? New electrical (or increase) ?
,New ciumbinq fixtures? New fireplace? New Heat
SUBMIT TBREE (CObOERCIAL) TWO (RESIDENTIAL) CCI-WLETE SETS OF PLANS, INCLUDING
SITE PLAN, SURVEY, E=GY CODE YCRKS, NOTICE OF C0MMVCENENT, AND
CW=ICONTRACTOR A.E71DAVIT, IF 0 IS CONTRACTOR.
Signature OWNER: Date:
Sianature CONTRACTOR Date
Sworn to and subscribed before me this day of 19
NOTARY PUBLIC STATE OF FLOW-A AT LARGE
16 ----
UYVIrAU NWART 94AL,
PATRICIA M JOHNSON
NOTARY KMUC STATE Of RDPMA
COMMIWON JjO.CC6=7
My . MINON EXP.SEFr 4MM
Book 9011 Pq aa6 WINANCIA%.PRINTING,C,YAANY
MIN. RETURN RON& of 6mmenfement
PHONE (PREPARE 114 OUPLICATZ)
To whom it mav concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE
OF COMMENCEMENT.
Description of property ---------------------------------------------
x ------------------------------------------- -----------------------
------------
--------------------------------------------------------------------------------------------------------------
General description of improvements ---- ---------
------------------------------------------------------------------------------------------------------------
Owner ------L-d-Y-1--- ------------------------------------------------------------------------------
Address ---2-,EIC5 L--- ---------- ---------------------------
Owner's interest in site of the improvement -----------------------------------------------------------------
Fee Simple Title holder (if other than owner) --------------------------------------------------------------
Name -------- ------------------------- -------------------------------------------------
----------------------------------------------------------
Address ----------- ------
Contractor -----------------------------------------
Address -----------------------
-----------I
Surety (if any) ---------------------------------------------------------------------------------------------
Address -----------------------------------------------------------------Amount of bond $--------------
Name and address of any person making a loan for the construction of the improvements.
Name ---------------------------------------------------- -------------------------------------------------
Address ---------------------------------------------- ----------------------------------------------------
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents
may be served:
Name -----------------------------------------------------------------------------------------------------
Address -------------------------------------------------------------------------------------------------
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.06 (21 [b], Florida Statutes. (Fill in at Owner's option).
Name -------------------------------------------------------------------------------------------------------
Address ------------------------------------------------------------------ --------------
�7 x---------------
94W seewsse rnmear,00 w0kras wqmmk swo
am be ompeftsvil al"alne-*4W, Mavis,
seinipleterl shvirts in evidlawl at".
Proposed Comfmcfion DESCRIPTION OF MATERIALS
Under Co"fruction (To be fasw%ord by rKA or VA)
Property adA(Wss Acv.e--------- ot*.A*"�i.o..�L:�.e-4..-,.t--eo..c..4.,. staw-FlA .....
Modgagor or Sponsor � ALL i oc�_ 4"* -f4ci
(Name) (Addr—&)
Contractor or
,,Oder
INSTRUCTIONS
1. Far #dditioaal informa#,s" on how $his form is to be suhirnifted, nurnki4r oninnnum roqw4fements cannot be considtlej*uAlen S"Cifkally desc"oed,
*I copies, etc,, see ties instructie"s applicable to the F+1A Application for 4. Include so elferoates, "Of eq"l" phrisses, W contrCWiclary items. (Con.
Mortgage insurance Or VA Request far Deterniiination of Reasonable Value, Of 0 f*qV69# fQ4'09CCP*RC49 Of substiNte materials at equipment
at the Cate may be. is not thereby precluslat) .1.
2. Describe all materials and equipment to be used, whether or Pat shown
on the drowinji6 by onarking on X in each ispipropimte check-box and entering 6. lact"s sisaiatures required of the Opid ej this fomL
the infonination Called for in each space. 14 space is inadequate, enter "See t. The constractisia "11- be completed in compliance with *4 relatesl
misc." and descrikie under item 27 ,, oo CM attached sheet. dfa-ings wid specifications, as amended during processing. The specifications
3. Work no# specifically described w shown will ftot his considered unless include this Description of Materials and the applicialslis Minimurn Cons,twCtion
required, when As miam"Wen accePtObig will be assumed. Work 6-siedi" Requiremerits.
1. EXCAVATIO*:
ty ------ ----------------------- --_------- ----_---------- ............. -------
Bearing aoil, Pe ............... ------
Y�-- -- ----*------------------------------I--------I—-------------- ------ - ---------------------- ---- -------------------------------
i*UNDATIONS: -20,
I > Reinforcing........C.2-----------�i--- 4k, 140LJ
> _44�...........
Footings: Concrete mix ...................-------------- ---------
Foundation wall; Material Reinforcing------- - ----- ------_------------------ --_ --------
Interior foundation wall: Material ---------- -- -------- Party foundation wall -- ------- ----- ...................
Columns: Material anAi s,ze ------ --___----_----------- Piers: Material and reinforcing_ �!;L,
Girders: Material and sizes - iR -A * F.T. Sills: Material .-.------_----------- ---
----------------------------
Basement entrance areaway ------ WindowareawaYs
Waterproofing.......... Footingdraitts - -- -- -- -------- -------
r"so 4- . . .. . _ - - - . . .. -_ . - ----- - -- -------
Termite protection X_4' 9 V /1.. 5 etc
Basementless space: Ground cover Insulatiun ... -----_--_----------- Foundation vents
Special fuundations ... .... -- -----....----------
--- - -- ---- .. . ..... ------- - ------- ----------- - ----- -------
-- --- --------------- ..........:---------- ...... ------ ------ ------------- -------------------------------- ------------
3. CHIMNEYS:
Material------------------------------------ ----------------- Prefabricated (make and sis*) Y��_fF
. it--
-,V,� __ Fireplace flue size -------
Flue lining: Material Heat*r flue size -4 ... ...... 311 -
Vents (matei-ial and size) Gas e oil hea�ker ti&�P-��.-�__ _-----� Water heater -- -----r P-Ond-�----------
---------- —-------------------- ------------------------------------- ......... -----------I----------- ..............- --- - ------
4. FIREPLACES: #&%a#isa) ----------- Ash dump&M elean_oUt r------------- ----------
Type: E] Solid fuel; 0 gas-burning; 0 circulator (mak ntel ..----_------------- -----------
Fireplace: Facing ---------------------------; lining -_----------------I hearth ......... ----------------; ma
5--r _�_g ic, ----------------------.--------------------------------------
- --------- ------- "&-
6. EXTERIOR WAkLS: -P, 5? Y. . [Korner bracing. Building paper or felt---/S---------------
Wood frame: Grade and species - -- ------------------------ - -------------— spaced ------- _ 0. C.; 0 diagonal; ------------------
Sheathing thirkness w;dth [!I solid; 0
Sidijjg grade type ------- ----; size ----- exposure fastening------- - -------
_........ ------------- __.; Oise ...............;exposure........... fastening... ..._ _-------
Shingles.---_------------------ trade type .................; weight .............. 1b.
Stucco ----------------_---------- thickne. ... .............I "th . ............ --_------------_-----------
...... Sills . -------
Lintets __ W9...
Masonry v*noer -------------------- - -- - --------------- ---- -1_--------- Bonding----------- ------ --- ----------- -----------
Masonry; Facing ----_-------------- backup .---- ------- thickness
----------
Door siUs ------- Window sills ------------- -------�e%--------- Lintels..................I................... ------
Interior surfaces: Dampproofing, Coate of ... - ------------....; fur Ag ....._-t--------- .. ................
0 q 7 __2!!t number of coats
Exterior painting: Material 'oji� CAOP-M.l ----- ---------7 -7
--- ----------------------------------- ------------
Gable wall construction Wg*=*As-sin wall&-', 0 oth9r
--------------------------------------- ------------------ ---------------------------------------------—---------------------------------------
- -------------------------------
DESCRIPTION OF MATERIALS
9. PAATtTM FRAMING: xr
Studo: Wood,grade and species Y. JP'_ _... Size and spacing ....
--------.- Other ---
............I-------------- --------- - -------I--------- - ----------I-------------------------
14. C111,11.43 FRAMING:
Joists. Wood,gi ade and species ---- - - ------ Other ---- ----------- Bridging ------------ ----_----------
---_-------_--- - ----------- ---------------- - ------------I------ ---------- -------
II. ROOF FRAMING:
Rafters: Wood,grade and specie.y.fo ------- Roof trusses (see detail) : Grade and species
------ -- --- - ------------------------ -
------------*------------------------
----------- _-------------- ----------- ___------------__- ------------------__-----------------------------
ILI ROOFING:
Sheathing.- Grade and species size -------- _; type ------ ---------; C] solid; 0 spaced o.4L
.. ..... ....
Roofing -------------------- __ ; grale .......... ---- --- or thickness.... size ---------; fastening ---------_-
Stain or paint -----_------------ - ------- ----- - -- - - - -------- und"Hay ---- --- -------- ---------I------ _-
Built-up roofing -------- ------- ---------- ----- - -- -- ----_---_ -- ----- ri,i.ilr�r(.f plies surfacing material
Flashing: Material ........ ------- ---------- gage or weight ---Z_2�?t------.; U�Vavel stops; El anow,gus,rds
----------*-------------------------------------------------------------------------------------------------------------------------------------------------------------------------
IJL GUTTERS AND DOWNSPOUTS:
-Gutters:Material--------------------------------------- "ge or weight------------- size--------------- shape
Do*rnspouts: Material -------------------------------- gage or we ght -------- size--------------- shape -------------_---_-- number ----------
Downspouts connected to: 0 Storm.k1wer; 0 sanitary sewer; �]dry well. 0 Splash blocks: Material and size -----------___............
_----------------------------------------------------- ------------------...... ........ -------------- ---------- ---------------------------------------------------
14. LATH AND PLASTER:
Lath 5J walls, X ceilings: Material --- .... weight or thickness--------------- Plaster: Coate---------; finish
Dry-wall C, walls, [3 ceilings: Material .. ......; finish ------ joint treatm-ent
-------------------------- ------I------------------------ ............ ----------------------- - ------
It. DECORATING: (Paisit.wallpaper,etc.)
Room* WALL FINISH MArraxAL Awn Arri rcA?toN CLILINk; FINISH MAtERIAL AND APIPUCATION
Kitchen....Z- 0,rA 0
.......:.-- -:14-1.� ------_ __ . - - - -------------7--- -------------I-------------- ------
cerct",C.'" .4, (74'rouAd CL"d ------L-41c-e----
Bath- ---------- I-------------------------------------------------- -------------r--.-ftw---------Y- --------------------------------
------- --------------- ------------------------------------ ----- ---------------------------- - ---- -------------------- ---- --- ------------------------------------
------------------- - -------- ------------ -------- -------------------
----------- ----- -- ----------------------------------- ------- -------- ----------------
---------------------------------------- ---
16. INTERIOR DOOR$ AND TRIM:
Doors: Type -----------------�F/L.) 54,
--------- ------ ------------------- - material ---------Y.Y_X�-------------------- ------------ thickness
Door trim: Type material ---------- Base: Type 11---------------------; material -- -----1. size--------
Finish: Door, ------ -------------- ----------------
Other trim (ile-m. tVpe and location)-------------------------------------- ----------- - - --------- -- --- - --------- ....... ---_------------
- ------ A6------------------------_------------------- ------- ------------- -------------------------------------- ---------Z-----------
17. WINDOWS. Rnfle ;C4A 4/U#'Ms#JLJf4 A&0,i,A
Windows make _06MM _7 sh thickness 'A
0.1PQ-----_----; material aA Q
Type -------; 986
Glass: Grade C] sash weights; 3 balances, type ------------- ----------;'head flashing - - -----------
Trim: Type- _At��p----;'material ------ I Paint ---- --------- ----------------- - -----; number coats _.-
Weatherstripping': Type -------J�,V' I i 4-- - material ---- -- - ---------- -- - --- Storm sash, number .,.------
. _!------- ---------- - -----------
Screens: 5�-Full; [] half; type ----- ------------_.- - -----_ ; number screen cloth material
Basement windows: Type ..----------- -----------; material . .. ..... ......... .... screens, number --------- [] Storm sash, number ---------
Specialwindows -------------------------------------- -- ----- ............. ----- --------------------------_____
------------------------------------- ------------------------ -_ ------- ------------------------------------------
IL INTRANCIS AND IXTTRIOA DETAIL: .-P th
Main entrance door: Material _WhP'f ;width ickness... .. Frame: Material thickness
Other entrance doors: Material... ...... ; width thickness.._..". Frame: Material--------- thickness-2---
Head flashing ------- --------- Weatherstripping: Type_-A --------- --------- saddles --------------- --- ------
Screen doors: Thickness number screen cloth material-.!F (O."11-1-0t.Y.40torm doors: Thickness_."; number._
Combination storm and screen doors: Thickness number ......; screen cloth material - -----� - __------ -------
Shutters: 0 Hinged; C] fixed. Railings ------ -------- ------ LA),uvtrs --------- -- - ----- -------
Exterior millwork: Grade and species - .(:7 --P. I
---- Paint . W� 4L t.T -'W number coats
------------___--------- --------------- ----- - ------ ------ - ------------
It. CAIINETS AND INTERIOR DETAIL: -5a-,C de
Kitchen cabinets, wall units: Material ------- Aneal feet of shelves --------- shelf width
----- ----- --------- a,.o-
Base units: Material --------------------- .. ..... founter top - ------ ...; edging
Back and end splash I C-Cl- Finish of cab!"to --- ------ number coats
Medicine cabinets, Make _0r_11. 11 Q6/ modei - -- ----- ------------
;t5 — — -a" I ., - - -% -4,p_14(j:IL�I/
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4
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ak
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CITY OF ATLANTIC BEACH
APPLICATION FOR ROOFING PERMIT
BUILDING OWNER- To PHONE
JOB ADDRESS
LOT# BLOCK OR UNIT # SUBDIVISION
CONTRACTOR -,r-7C PHONE
ADDRESS Z`) d-f _-3 T
LICENSE NUMBER- 14 OL EXPIRATTON
JOB VALUATION $
MATERIALS:
SIGNATURE OWNER DATE
SIGNATURE CONTRACTOR- -DATE
FOR OFFICE USE ONLY
I —
Date-------- --------L7---1954C)
Permit #.ATZ_...a1_1 -Yee
TOWN OF ATLANTIC BEACH --7 0
Valuation $-----/� ..... ---. —
AP*- ------------------------
FLORIDA House #---------------- -------------- - ---------
.............
APPLICATION FOR BUILDING PERMIT
----------------------------------------------------------------------------
Application is hereby-made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic
Beach and all rules and regulations of the Building Department of the Town of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the Town of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
Date-----------------------------1-7-----------------------------1194-0
Owner...__0_,-/7'b ?1.-//-----------------------------Address---------------------------------------------------------Telephone No--------------------------
Architect............--------------- ------- ------__----------------------__---------Address------------------------------------------------------------Telephone No-------_-------------------
Contractor Builder----- --------_-----------------------------Address----------------------------------------------------------Telephone No------- ----------------- -
Lot No---------------/Z Block No.......61...3------------Sub Division------------------------------------------------------------------------------Zone-----------------
Street--------- ---------------Side Between -and-----------------------------1----------I.........
_.A� -------------- -------------------------------- �sts.
-For what purpose will building be usi -_ _eil --------Type of construction
Valuation $----7s-00 ___ __ 'ec
Dimensions of Building---------I&X.!!�.J-----Dimensions of Lot-..../ ------- ----Size of Footings--------
Size of Piers.-FV(7/_X__-_v_Y/_ -----Size of Sills_3_-__'Y----tr
X WIGreatest Sill Span in ft...._9_/1_.'/..Type Roof_'Ouz
How will Building be Heated?------in-J------------------------------------------Will Building beon Solid or Filled Ground?__-Z��//-------I--------------
�� -V #
Size of Ceiling Joists-------- ---------------, Distance on Centers---------- - -- ---------------..... Greatest Span-------------------------------------------- PP
Size of Floor Joists.--- Greatest Span-------------------------------------------- ty
---- ---------- ------------.-., Distance on Centers.......... --------------------
Size of Rafters------------------ -------------------------------- Distance on Centers------ ----- -----------------------_-, Greatest Span--- ---------------------------------- 17
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
-all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifieations shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel.
3. When steel is in place and ready to pour beam.
4. When framing is completed. E-4 E-4
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field is laid but before it is covered.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called forafter
corrections are made.
FRONT OF LOT
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 the Town of Atlantic Beach.
Signatureof Builder.................................................. ... Address--------------------------------------------------------------------------------------------------
Address-----------------------------------------------------
Signature of Owner
CITY OF
�79444
OWIce�f Building Official
REQUEST FOR INSPECTION
Permit No.
A.M.
P.M. District No.
,job Address Lo
0 -�rN Contractor&� ?
BUILDING CONCRETE ELECTRICAL PLUMBfNG MECHANICAL
Framing 11 Footing El Rough Wiring 0 Rough F] Air.Cond.&
Re Roofing 11 Stab El Temp Pole 0 Top Out D Heating
Lintel 0 Final Sewer E Fire Place 0
READY FOR INSPECTION Pre Fab
A.M.
Mon. GD Wed. Thurs. A,M. Friday-P.M.
Inspection Made PW
Inspector Final Inspection 0
Certificate of Occupancy
Date
CITY 0� ATLANTIC BEACH, FLORIDA
Approvul by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: L22_1 9
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.
'a"z && co Z,1—/C,
ELECTRICAL FIRM: Ma#'ER ELECTRICIAN SIAATURE JOURNEYMAN
NAME14lik -Sze- CAI_z� */
�Al DRESS: -.RFQ_BOX
BLDG.SIZE —BETWEEN:
RES.(-r"/ APT- COMM.( I PUBLIC INDUS.I NEW( OLD W--' REW.
ADDITION ( I TRAILER I TEMP. SIGNS ( SO. FT.
SERVICE: NEW�) INCREASE (4""�REPAIR I FEE
I
CONDUCTOR SIZE �/b AM 190 COPPER I I ALUM.
SWITCH OR BREAKER _,9,t)Q AMPS PH W_,e"Y'P VOL S1, 4' RACEWAY
EXIST.SERV.SIZE lh9V AMPS PH WWle) 'VOLT RACEWAY
,FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN-- ITOTAL
RECEPTACLE$ CONCEALED OPEN TOTAL-
0-30 AMPS, 31-100 AMPS,
SWITCHES
INCANDESCENT
q
WWI,,
0.100 AMP 1. ov
"m
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
7
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MI CILIXNEOUS
DEPARTMENT OF BUILDING 0013
CITY OF ATLANTIC BEACHA:LORIDA PERMIT NO
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date June 14, 19 98
Valuation$ $ 20.00
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that NU HEATING & TnNTWI
has permission to bdd REPLACE SY=EM
Classification RESIDENTIAL Zone 20*0n T
Owned by WATxin smamm
77H
Lot Block
House No. 1590 BEACH AVENUE 7715 1 A� 6/14/8z,
jm�
According to approved plans which are part of this permit , P
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
M
0 Building material,rubbish and debris
Z_i from this work must not be placed
in ubl' pace, and must be cleared
-_ D'
up auled away by either con-
tra or ner.
Building Offi .1.
FOR OFFICE PERMIT DATE CONT'�ACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT— Applicant to complete all items in sections 1, 11, 111, and IV.
LOCATION Street Address./r_u
OF Intersecting Streets: Between .0- And
WILDING
Sub-division
11. IDENTIFICATION — To be completed by all applicants ,
In tonsideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordan'ce
with the attaciLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good�practics listed therein,
Nome of Mechanical Contractors
Coafroctor (Print) Master Alehg
Nome of
Property owner 14d A
11=04of Owner Signofu a of
01mil Agent Archifert or Engineer
GMIKAL I FORIVIATION
A. 'type of heating fv*l: B.
IS OTHER CONSTRUCTION BEING DONE ON
C) sectric THIS BUILDING OR SITE?
E3 C3 LP 0 Natural 0 Control Utility
93 00 IF YES. GIVE NUMBER OF CONSTRUCTION
PERMIT
C) offlot — Specify
IV. VICNANICAL 19UIlPMl1NT TO K INSFALLED NATURE OF WORk
(hovitle complete list of components on beck of this forio) 94,--Residential or El Commercial
13- N"t 0 space 13 Reconod 13 Contmi 0 Flow New Building
Se"Air CoWiffoning: CI Itoom "trot 0 Existing Building
Teo
-W 010cf, SOW.. 14116`11&14�2c/ Thick A a--Replacemerit of existing system
New Installation(No system previously Insts"M
pecillf
E) Extension or add-on to existing 111"to"
13 %0#4411"or"
C3 Coon" I"Worl. c4potitt Iiipin. 0 other — SpecIfy
13 69veftr (3 Menlift C3 Emleto, (numbor) THIS 31PACII OOR OFFM USE ONLY
0—OfOr-i"pq
Ito"As
(nurnWr)
C) Ugfifed prMure
Porma A"roved
Portnit Fes—
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AM % AM REFRIGERATION EQUIPMENT A91119OW1111W
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