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Permits 1675 Beach Ave f CITY OF ATLANTIC BEACH i f 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 f �lil�'r Application Number . . . . . 04-00027573 Date 1/23/04 Property Address . . . . . . 1675 BEACH AVE Tenant nbr, name . . . . . . 14 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - --------- ----------- -- -- ---------------- ------- STOCKTON, GILCHRIST STEEG PLUMBING 1675 BEACH AVENUE 1601 MAIN ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 --------------------------------- -- ------ - - - - - ---- -- - ----- - -- - - -- - - - - -- -- --- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 133 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due -------------- --- ------ ---- ---- - ---- - ---- -- --- - - - - ------- Permit Fee Total 133 . 00 133 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 133 . 00 133 . 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 WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. a BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date-, Property Address: &44 Owner. ZV10C- 40-1 - Telephone#: Contractor: ,'�7L�� Sea ms Telephone Al: L�� Contractor Address: �G�1 / ¢►h _ -Fax#:4Yf Cy-3 y In consideration of permit pvcu 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 we a pat hereof and in accordance with the City of Atlantic 13eaclr ordinmce 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, D New list the building permit number: IX Tec-Pipe Number of Fixtures: Bath Tubs Showers ti Closets Shower Pans Dishwasbers Sinks Disposals Urinals Floor Drains _�_ Washing Machine _ Lavatory Water Sewer � Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X 57.00 + $35.00 a SW Seminolo Road•Atlantic Beach,Florida 2233-x(46 Phone:(004)247-OW• Fax: (804)247.6845• http://www.c1.adatn1c4mach.8.us r �i r.\l`,�r1y� , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 gym, INSPECTION PHONE LINE 247-5826 �Jt3 .A Application Number . . . . . 04-00028385 Date 5/27/04 Property Address . . . . . . 1675 BEACH AVE Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . 8475 Owner Contractor ------------------------ ------------------------ STOCKTON, ANNE MARIE ROMANO ROOFING SERVICES 1675 BEACH AVENUE P .O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5649 ------- --- ----------------------- ------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 113 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 8475 Fee summary Charged Paid Credited Due 113 . 00 113 . 00 . 00 . 00 . 00 . 00 . 00 . 00 113 . 00 113 . 00 . 00 . 00 City of Atlantic Beach CUSTOMER RECEIPT Oper: DSMITH Type: OC Drawer: 1 Date: 5/27/04 01 Receipt no: 59446 Description Quantity Amount 20@4 28385 Bp BUILDING PERMITS ;113.00 Tender detail CK DECKS 4708 (113.00 Total tendered 3113.00 Total payment (113.00 Trans date: 5/27/04 Time: 15:20:49 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL i rf r�JjJ�'" CITY OF ATLANTIC BEACH rr PERMIT CALCULATION SHEET Date ZL� Address (v 15- e okt4 A-SI E Permit fee based on dollar evaluation as indicated on permit application. Heated Square Footage @ $ per sq ft= $ Garage/Shed @ $ per sq ft= $ Carport/Porch @ $ per sq ft= $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ CA) $35.00 ill $1000.00 $ $35.00 Total Valuation Remaining Value Per thousand or portion thereof: f CONSTRUCTION TYPE: TOTAL BUILDING FEE $ �. ZONING: +%Filing Fee $ FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ C ( )RADON HRS.0050 $ SECTION H PAVING $ CROSS CONNECTION $ ST ( )SURCHARGE $ OTHER $ GRAND TOTAL DUE $ 1,l 3 Cc: CITY OF ATLANTIC BEACH D. ? r� EQU- -1- Higgins J� BUILDING / ZONING DEPARTMENT S. Doerr ss1 800 Seminole Road r Atlantic Beach,Florida 32233 (904)247-5800 � 3 . (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application 409 2 9 3 8 5 Property Address: I U-- 5 13� Applicant: ?j01` Pfp- 0 G Project: P-- tl OD L/-- This permit application has been: all, Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: 41 Date: `°a//Z 7/-,y CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION � r�ir1• p Date: Job Address: f/� r��� �"l ��/( Owner of Property: M/1 4 •'/ S' �'.,�ulk) Address: Telephone: G Contractor: ,k k 1'lv tate License Number: 4 -�GSal ,3 Contractor's Address: _ d al, 9 64 tir Z Z 3 Telephone: Gi Fax: 6 � —'go 4/ p Scope of Work: + Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work: NProduct Name(Example: Timberline): Manufacturer(Example: GAF): Tf9 -Y! 0 ASTM Designation(s): Required Inspections: h a infl" Signature of Owner: Date: z p Signature of Contractor: Date: AS TO OWNER: Sworn to and subscribed before mezis day of 20 / State of Florida,County of Duval ,11r" loseph NAP Romano Notary's Signature: MYCOMMISSiv J1635 EXPIRES .�- August ;: 160 P nally '•'hPF�y ° BONDED THRUTROY FAIN INSURANCE,INC roduced ' t' cation Type of ide f cation produced ��a2- S -•. AS TO CONTRACTOR: � Sworn to and subscribed before me this— day of -6t ,20�, y Stat _-��1 e of Florida, � a „ GLORIA J.CASTERLIN&NIcLAUGHL.;' Notary'syuy t / +� Signature: MY COMMISSION#CC 976739 ip EXPIRES:December 8,2004 .•.�Tnc,,, F! pin,nry S@Nicx�p,A„��:_. KKK Personally known Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 1 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Revised 2/21/03 1 5 MIN. RETURN PHONE NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of County of_ BC)0k 11829 Page 14 To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. / A/P� Legal descri tion of prop rt being improv r L" 105- each We hW < L Address of property being improved: 1 � -3?:-?- General General description of improvements: I/ 1 0 Owner f!/tV1 "t Oc. Address � ZZSv Owner's interest in site of the improvement Fee Simple Titleholder (if other than owner) Name Address Contractor 0 / Prop, Address p �"� � 141.4,dzgL 1 G1' D�tPhone No. Fax No. Le (:f�> Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. 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 Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiratio date is one(1 year from the date of recording unless a different date is specified): a CITY OF ATLANTIC BEACH 800 SENHNOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number. . . . . . 06-00034482 Date 12/27/06 Property Address . . . . . . 1677 BEACH AVE Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu 1 ahu ---------------------------------------------------------------------------- Owner Contractor OCEAN STATE HEAT & AIR, INC. 1476 ATLANTIC BLVD. NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 71 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/25/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71. 00 71 .00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 .00 .00 PERMIT:IS APPROVED"ONLX IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TAE FLORIDA BUILDING CODES. Dec 22 06 08: 358 Ocean State R/C 904-249-8949 P• l 38 If ITX 0 AT tiTIC BEAC .1 • -�V MY '}�-Li1 ,ttPERMIT ! R(RV�ff T APPLICATION Date: Property Address, 7 �►�'`... < Owner: � A-' Telephone-0" , f Cnntrac-iur: CPIl ���5 � 1 1`' �`IC _ Telephone n: Contractor Address: 141 ,Q _► ILJS� L�,t"l�— 1x': �Q- -- fo0u mid work io accoruancr ly wrwr�Crari„r.oY permitvm Xor min¢the work ax to 9trined in thu a Ovt tmcm, b I with tbt;Jtached plank and j=if l inns which are a Putt her.Of and in accotduaca with the C by of Adautic 9=4 ordarancts and.r undarda of _nod macdtc tixmd tlferein. d-RCFuc- ttiuZypt 1nug dcatr on chic building / or site,list tht building permit number. ❑ Cras; LP N3=1 Tjoe' r,, ❑ 031 — 0 Otber–SDecify MECEAKIC aL EC)UIMUNT TO WE INSTALLED N-,k fR, 0 R w6RK Heat ,Space Recessed . vtentral —Floor � Resitfential No*Air Cow itiolii 6r ~_Room ✓Central ❑' ntlrt Sys10u: Material !Tili-usncss ❑ commercial dmuz capaciry curl � ❑ Reri'ist:ratiou � ❑ New]Building ` ;,t ('nnling Tuw�:C tnacm fpm ✓ -E:d tinpAuiiciing ❑ Fiv:Sprsukltrz:NumbeT of Hinds ❑ 'Flevuror __ Manliti Escalator (:Namhtr) -:3Reolucemem ofanistiug SYmcm 0 Gasniinr F,•a7ips r_1.1umberl ' � Tanks — -- (Ntttnbcr) ❑ New installadcm E3UG Containers (Number) (No system lacvinusly instaiitd) a Tin ftreii Pressure'Vessel q Z,-..=ion or Arid-au to E-Gsting SrtrM ❑ )3oiltars . a c3.s 1 ipira(; Q--�tt►u'=spec fv__ _- ❑ Other-Srztyify L1S'T LL L()UW''MTNT .ant C0NDrrrUN'nyc:,.RTtMG XkAT10N F.QUVNfuE`1i T&COMDEN5012'J �pGtruvmg Number Units Description Mudd 9 'uer Tot's Ageacy JMA:M–FL RNAC.f.S,BOLLXH&FIALP 11r1.M&AM AA,N1)LF,1t',i �Plr o•^k i lumlwr Units Daseriprioo �y Mudet v u3netuter L' S Agency TM1 fife' Norma. C"Cny 7/pe WquiO Serial d PVro�mE How_trinm &Dmnlsians Contained �— N-hau•fi►emrer 3011 Seminole Ruad •r#tlantic Beath, lrlorida 3?233-5445 .11%une: (904)247-53411 . FAY: (904)247-3345 • http:!!wrrw.ci.atlalttic-beach-fl.us PSR-38U { 10829 DEPARTMENT OF BUILDING' CITY OF ATLANTIC BEACH .�,.,. PERMIT I NFORiMlAT ION ----_:. _� .��• . L►4CAT I ON I N1�ORMAT ON -------- dd rpt Number: 14829 res�s: 1 15 BEACH AVENUE Permit Type: BUILDING ATLANTIC REACT , FLORIDA 32233 lass of Work: REPAIR '. . ------ LEGAL DESCRIPTION _Y ____.•__ 6nstr. Type. WOOD FRAME t7t • 16 I�14ck tl � Section" , rr�lac�s d tls SINGLE FAMILY Township., RNGI: 0 reel tin�rs 4 Code: „ 0 ubdivissiow, NORTH ATLANTIC >BEACH stimated Value: $5000.00. Improv. Cost : $0.0.0 Total Fees: $25.00 Amount $25.00 Date j 26/'9" tock DesC. E WEATXER DAMAGED CEDAR .SNARES ON SOUTH OF HOME T ION . �_ APPLICATION FEES U . X25$250O - Ntm CRTOi RMT drlre HNUE WATER IMPACT FEE $0.00 FLORIDA3 E R VPPCT p je;� Phan 3 ,9 ` . RADON GAS-H.R.S . B0.00 .• .� AT'IO Y..»__..__ RAT}QIY CATS 5$ $0 .00 � Name: L IN; S CTION CAPITAL IMPROVE. $0 .00 ATLAN"T" CH, FLORIDA 32233 CROSS; CONNECTION $0 .00 ieense• C04 Type, 7 SEC H IMPACT FEE CONST.SURCHARGE 010 0 NOTES: NOTICE--ALL CONCRETE FORMS'AND FOOTINGS MUST$E INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE. $UIL, ING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER.CONTRACTOR OR OWNER #a R TO COMPLY 1NITN THE ,M C# ANIC� L#EN LAW CAN RESULT #N T ! ARTY OWNER P�4 #N TW#CE F©RT�#E B t C#NGIMPR©VE# # L ISSUED A CC FFiI HVG TO APPROVED PLANS WHICH ARE PART'OF THIS PERMIT AND SUBJECT TO REVOCATION FOR {. i IQhATIO Of APPLICABLE PROVISIONS OF LAIN. a� AJtiV1$i 01 ATI.ANT�C EACH BUILDIN ATM LiIf MHLL HIL nLM ILL IVU . �4 (DoUD JU1 1Ge7J > • 114U . QUe- f V1 v 'EP 2 6 1995 CITY OF ATLANTIC BEACH % kjTq gjoning PERMIT APPLICATION REMODEL, ADDITIONS OR / DE 0LITIONS Owners) �I�C�GcSr Address : Phone: Lot #..,. O Block or Unit # Subdivision: Contractor:.. /_Ile-,41/ -/ (�6�dP State License # �1 JC- rO Ayeo)-3 Address: `� T'L i✓r'rL dr Phone Na: o 1613 Describe w rk to be done:_ Present use of building: Valuation of Proposed Construction: Proposed use: Is this an addition? VO If yes , what are the dimensions of the added space: 1 A ft . X '—" ft. Will the added area be heated and cooled? A/07— New electrical (or increase)? N/7— New plumbing fixtures? 46, New fireplace? Naw Heat/AC? „,� SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENTt AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR Signature OWNER; Date: Signature CONTRACTOR: Date: G �! License Supplied: Liability Insurance: Worker's Compensation Inssurance:, „� MOW ` x- Ct PJ#RTIV E T QE ILLI G ... TY OF ATLANTIC BEACH 1' t Number: Addl: 1675 - 2 SEACI"1 VENtJ Permit 'IYPe MECHANICAL 4TLANTIC SEAcHf FLORIDA ;322- 3 C 8 ot, N6rts1' ALT'ERATIO1 ,: Constr type,*, WHO �'R�R Lot 1 ° �aak ra S�ct � .' yF•yyP o os'*,d 'Use: INCI:L J L ' ... ~ C: ? W MyMi ' NTATLANTIC, EACr .. Est-.mated Value: { L7 lmprov , cost.* to-,60 TataI Fees: 4U At 'tit Pe i d,: {10 Uate, id' 6/15195 Alin AA RJOL m ION --___ 01 A ldre, s �� 11 CH- AVN ` - NI TER PACT FEE o .oo " ��J- PLOR SHIRR IMPACT FEE $6. U ' one* pE"CII"R J AIS s D C 'QA'II'IpNA Mme S � ". S. AIR CAPITALIMRQVE. $o.00 Aadresv. . TC "HSV SEWER TA1? $0.00 R. ) A H, 1Wt A 32213 ' CROSS CONNECTION [0 o+a°� yg8g armvrc�a�y�m4r r ro`n�wpswaawvvwan �� CONST. SURCHARGE '$0.00 �e '� .00 -, r 0 ��„'ka 9Z's` Si F���rJh�,v'aa,'. t$�; n.�s.�a.»»t,+„ aa.n.,«yz�an. uta ,�e 'tlBw&ad #9usa, uri ..yam"ea vama«.w��8 'r,em��. i NOTES. i NOTICE--ALL CONCRETE FORMS AIS!©FOOTINGS MUST EE fI�1sPECTED QEF©RE POURING PERiu}ITVCNb SIX MONTHS AFTER©ATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST"NO BE PLACED IN PUBLIC SPACE,AND MUST BE � CLEARED UP AND HAULED AWAY BY EITHER CC}IVTRACI'4R OR OWNER . �� i�► LUR COMP WITH THE ECHAN LIEN L�111V CAN RESULT IN THE PROPERTY ©WNEI"P/A'YIN0T 10E FO THE ILDING IMPRC�I�EIW;ENTS" ` l ISSUED'ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ARID SUBJECT To REVf)CATION FOA_ 'VICL,AT16�OR`APPLICABLE'PROVISIONS;:.OF LAW. , ATLANTIC BEACH BUILDING DEPARTMENT By . im � �a }u. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC DFACH ATLANTIC REACH. FLORIDA 01838 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to complete all items in sections 1, II, 111, and IV. 1. LOCATION Street Address: 75 OF Intersecting Streets: Between And WILDING Subdivisien If. 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 woA in accordance With the ettachisd plans and specifications which ars a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Centraefers Caalracfor (print) ,_ Meller Nave e1 Ismis ty Owner Si"ature ofvner / ^ Signature of v fb AaerisedOAgenf Arehifeef of Engineer I11. GENERAL INFORMATION A. Typo of batinq fool: e• IS OTHER CONSTRUCTION BEING DONE ON EiocNic THIS BUILDING OR SITE ❑ "—E3 V ❑ Natural ❑ Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION O Oil PERMIT Q Ofhu -- Specify IV. hISCa'tMCAL ICUIPMWT TO BE INSTALLID NAATURK OF WORK (F*.;&complete S;et of comp""Is oe"a of thio tens) Residential or O Commercial Moat ❑ Space ❑ RocesW /� C44ftl O Fisc ❑ New Building A;r`Cewdrtionirs9: ❑ Itoew, �{ Con Existing Building OYc1 Strtterm: 1d• `,#� ��^^ T��hid„� O Mplaaement of existing system L-0 max4stim capacity.�• s.f,aa. ❑ New Installation(No system previ"sly Installed) 0 Extension or add-on to existing system ❑ 1*4;geat;oe ❑ Other— Specify Q Coelinq k4w capacity B•P+m• ❑ Fire tpoinklees: NYrm`er of hoads Q Eiwator ❑ Monlift ❑ EsulaTHIS SPACE POR Olt1M UN ONLY O 6"al'sne Puffim -—Itwtnbee) IRe..ltteti) , Q Toalts (nYrm>sar) firs"ll Q LK eontoiM� ImYtntsor) ❑ Uefbed peeewre raeaet ►enrol ApprOro+ ty CNe.r�r,....r r O Bmilem ❑ O*w — ,fir Feneit.........r LIST ALL EQUIPMENT AIR CONDMoNING AND REFRIGERATION EQUI MWr MtaaDer Valts Daserlpum MWIGI Nu>taeer maut"tnrer (mss) ,a DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORYt nC'L_ -------------- ------------------------------------------------- ----- �. ------------------------------------------------ ------ ------------------------------------------------- ------ �------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY �f BUILDING INSPECTION DIVISION cc:FILE ii CITY OF ATLANTIC F 3-1, FLORIDA Approved by APPLICATION FOR r CAL PERMIT TO THE CHIEF ELECTRiGAL INSPECTOR: DATE:, 67 -19 9S IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING TV AS DESCRIBED IN THE FOLLOV WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE% ATTACHED PLANS AND SPECIFIk ONS. WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH TV 'ICAL REGULATIONS, CODES ANC Y OF ATLANTI% A I QR%NANCES. ric1004 South Second St JacksonvlBch FL32250 \ ELECTRICAL FIRM: I MASTER ELECTRICV RE _ JOUI 'N' 7 — NAME ADDRESS: RFD B BLDG.slzE RES..1 APT.( 1 COMM.( i PUBLIC NEW l ! OLD J-4-- REW.( 1 ADDITION l 1 TRAILER ( 1 TEMP.! ! SIGNS 1 1 SA.FT. SERVICE: NEW( 1 INCREASE(/� REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER I ALUM. SWITCH OR BREAKER AMPS PH VOLT 14- IRACEWAY EXIST.SERV.SIZE AMPS PH W VOLT .,_ RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTI►►L 0.30 AMPS. 31A00 AMPS.. } SWITCHES INCANDESCENT FLUORESCENT 6 M.V. FIXED 0.100 AMPS. I OVER APPLIANCES 1 , 1 J BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0•i OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEO S rl.k CITY OF ATLANTIC BEACH N° 15826 FLORIDA -l� 19 �` NAME— ADDRESS AME ADDRESS CITY �IC/ 3 e When Signed, Dated and Numbered, This Becomes an Off' ' c i t Received Pe ?'FfU �� i5.W74 MAKE CHECKS PAYABLE TO Y"► +4G116/9c, tai Rcpt: CNlW4.47 '° CITY OF ATLANTIC BEACH, FLORIDATREASURER 76-80 k DEPARTMENT QI?BUILDING • CITY OE ATLANTIC BEACH IT INFORMATION LOCAT ON I NP'ORMAT I ON Y .F w rA 4.�elY S,w Y51. or Nmbe.a 64 Address s 675 BEACH AVENUE Pe i,t. hype. 1E-ROOF ATLANTIC BEACH, FLORIDA 32233 C $ a 0 o rk; NEW ..___„.. LEGAL DESCRIPTION {ESC T ON _ LEt�AL DESCR I P J,�47,E7 "' � r`. Type. WOOD MAKE Lot : Block: Sec�� cari. ^� �• d*U a": SINGLE �`A�ILY Township RNt3. Q + IFg Cade; Subdivisions NOFTH ATLANTIC BEACH i lted Value: 21?0<t?4 I +.zav�. Cost : $0 .'00 Tct e l Epees At��sdtd: X22. { „ f X22,$U L3et' /21/93 _ D4- ROOF { w,jTH NEN" $MINGLES 14 A 'ION APPLICATION FEES - -� if dd AVPERMIT ENUE $22. 50 WATER, IMPACT FEE ; U.UO S H, FLORIDA II~iPAC FEE € o k • .� , RAD'CN OAS-H.R S. U .00, � _ O FOR AT I I N _- RADON OAS 44me: INO $0 .,00 F gAPfTAL IMPROVE. .r�dd� �� � I�c� . a� a'TLA BEACH, FL._ �� "2233a.�flf HYDRAULIC SHARE '004 $0.00 Acle :Ile, Typre: CROSS , CONNECTION a a0 IMPACT SEL_ 4 a., 1 NOTES: a 1 NOTICE—ALL CONCRETE FORMS AND FOOTINtiS MUST Bf INSP£CTfD BEFORE POURING l 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 THEN MECHANICS'' LIEN LAW.CAN RESULT IN i THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." t9SUED ACCORDING TO APPROVED PLANS WHICH ARE PART`OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. TLANTIC BEACH BUILDING DEPARTMENT ipeiratori CRYt`Ti 1#. By i 011liMCeip# M� CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION Owners) : �t'ock ycj n Address:_1S:_ 7 C j -o- Phone: --7�' 'j C1 -`/ ;) Cr P Lot # Block or Unit # Subdivision: Contractor: 11 Q r c kc. ,r., Cry c, Address: " 1 G S C„ 1 y n c..� C' 4 City, State and Zip_ c Phone z_ 1- L)-& State License # e C_ CY 1 D Describe work to be performed:—RP rc.)co -Q.. Valuation of Proposed Construction: _ _. L o tU U Materials to be used: Signature of Owner; Signature of Contractrppplied Liability Insurance S Workers Compensation Insurance Supplied License Information a BUILDING AND ZONING IOPEWION DIVISION Z CITY OF ATLANTIC BEACH, FLORIDA ? CO ELECTRICAL - PERMIT a "Date •I**"" Fee E permit No. Location 167`5 Jkla" Ave. Between and This is to certify that a rel • (Electrical Contractor) (Moster Electrician) EE, has permission to install Electrical Construction as described herein in 1% Co.. accordance with the provisions of the Electrical Code and regulations u °c of the City of Jacksonville, and subject to the information shown on the = P application, drawings and specifications which are made a port of this 3 Y permit. StoektM :Q for Xof $ LU a Type of work:—A"14111IM141 200MIM Updr SERVICE:BJdst 15ik map ;kms U 240 tsps =Cofty ;R a s Feeders: LU LU Outlets: O Receptacles: m Switches: wi Incandescent: _ Fluorescent: Appliances: Air Conditioning: MotBrs: Transformers: Signs; _ Miscellaneous. SAS best- IF_NO WORK 1S DONE UNDER THIS PERMIT DURING ANY SIX. ISSUED BY: mr ,� MONTHS PERIOD, PERMIT Etectriccl Inspersion Supervisor`. J �1 3jl i I ., AND ZONING I $PECTION DIVISION o CITY Of ATLANTIC BEACH, FLORIDA z . ELECT NAL PERMIT Date Fee $ Permit No. f + J Location I�� Between' and a I21, This into certify that G skooft (Hectrical Controctor) (Master Electrician) has permissionto install Electrical Construction as described herein in accordance with the provisions of the Electrical Code and regulations V o£ of the City of Jacksonville, and subject to the information shown on the r, pplication, drawings and"specifications which ore,made a port of this 3: ` Permit. far " Type of work: &NAMI& " SERVICE: a"*' w �buttatess Receptacles: m Switches: a S incandescent Fluorescent: Appliances: Air Conditioning; I is 11111031111110 3 a", so 111111111 h" 0 Motors: Transformers: Signs: Miscellaneous U eft"" a I TI If Q WORKI IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: .. MONTHS PERIOD, PERMIT" �ecnkatt^spection Supervisor BECOMES V®1i7�.,„ CITY OF ATLANTIC BEACH, FLORIDA Approwd by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 2- / 3 i9 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. K F/ GTi�jG �NG L big iv �T/fti2.�iT7' ELECT141CAL FIRM: VMASTER ELECtRIA NAME STO C,IC,f-0 AV ADDRESS: 16-73- RFD __ _BOX BLDG.SIZE BETWEEN: RES) APT.( 1 COMM.( 1 PUBLIC 1 ! INDUS.( l NEW( ! OLD ( 1 REW.( ! ADDITION ( ! TRAILER ( 1 TEMP.( ! SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE( 1 REPAIR}- FEE CONDUCTOR SIZE AMPS COPPER f ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 0 AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31-100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT a Q 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS ` ^DEPARTMENT OF BUILDING 2912 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO• PERMIT TO BUILD P0.00W THIS PERMIT MUST BE POSTED ON JOB 8995 1A 7/I 1/S ;.t�DCRC Date July 11, 19 88 8995 1A 7f 111B IDDD Valuation$ Fee$ 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 OCEANSTAIE has permission to b1did TNgTAT I. NKAT & AIR Classification RESIDENTIAL Zone Owned by ST[X'CMN Lot Block S/D House No. 1675 BEACH AVHNUE 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 �—--� � -► O Building material,rubbish and debris �r 4 from this work must not be placed in public space, and must be cleared = up , d hauled away by either con- r or owner.. /;Ki1Ai.g official. FOR OFFICE PERMIT DATE CONTRACTOR`.. USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER 't BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32288 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT - Applicant to complete all items in sections 1, II, 111, and IV. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division 11. 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 attacked plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good.practice listed therein Name of Mechanical Contractors Contractor (Print) Master +Y Name of Property Owner Signature of Owner Signature of or Authorized Agent Architect or Engineer Ill. OENESU4 1EQBMkT A' Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON / ^C )(Electric THIS BUILDING OR SITE? C3 Gas_(3 LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 0 on PERMIT ❑ Othor.— Specify 1V. iJ1t!lCAL EQUIPMENT TO K INSTALLM NATURE OF-WORK (Pn w,wie emplda list of components on back of Mb fore") Residential or ❑ Commercial X Hest O Space ❑ Roce"W Central O Floor ❑ New Building Existing Building Air Commioninq: 10Room Central ' ehria I �`�. Thickrre+is Replacement of existing system © ouct System: M �f.� ❑ New installation(No system previously Msteltled) Maximum capacity Extension or add-on to existing system 0 Refrigeration ❑ Other Specify 13 Cooling tower: Capacity q.p.m. 13 Fire Sprinklers; Number of heoeit Q, Bovotor C3 Manlfft CQ Escalator ("umber) THIS SPACE FOR OFFICE USE ONLY ❑_.Go olieo pump&-. ("umbar) (embed) cl Tach___-.. (number) Remarks ❑ LPG cents;nr+ __(number) us fired pr uvm vassal Pan"if Approved by- 0, y 0 /eibr+ Permit Faa 00W Specify. PgrALL EQUIPMENT AM CONDITIONING AND REFRIGERATION EQUIPMENT Itmoiliti r Vain Dooefttioa atoQal Number Manufacturer r DEPARTMENT OF BUILDING (� ('1 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO, a7 V PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date May 10, 19 88 Valuation$ Fee$ 50-00 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 REALCO WRECKING COMPANY 4032 Liberty Street. Jacksonville FL =. SST has permission to bvil DMT.TSH RIITT.Mr. ., qT=, l T, Y D i.A)SiE CK.AR 9709 •i OCAr Classification 'RESIDENTIALZone 4906 t A 5/x"970 Trim Owned by MARRY DEVRIDPll41~NT COMPANY Lot 12 Block Unit IS/D NORTH A.B. House No. 1655 BEACH AVENUE 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 4----0. 4---i o Building material,rubbish and debris 34 from this work must not be placed in public space, and must be cleared = hauled away by either con- r or owner, i- Huildipa fficiat. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER wv CITY OF AZZARTIC BEACH APPLICATION TO MAKE ADDITIONS OR AMEFArIONS Address Phone Architect — Address Phone Contractor,r� Address P � ,l���..�1�-�-���'n •� �����G ,`�/�?, /�'� , h3cme.Al Contractors License/Certification Nuibers Expiration Date Property Address Zoning Lot ��� _Block or Unit Subdivisionx� Valuation of Construction $ �� � ' Type of ConstructionTr �. Describe Work to be Performed —��- ��� �--•1 /� .�s' Materials to be Used Present Use of Building Proposed Use of Building Flood Zone Diumisiotis of New Area: 1ll�t1.1T'.11 CAMCE OR SIURACM CARPORr OR PORCH L,CK . PA110 YES NO NUMBER Will there be an increase in nunber.of units? Will there be a decrease in nuker of tuiits? Any additional plubing fixtures? Any new fireplaces? SURILT 11vU CUMPLCiE SETS OF PLANS INCLUDING SII, PLAN Signature OWNER Date ../� v Date Signature WHIP 1C117R �___ — w Propoat Page No. of Pages Realco Wrecking Company (r 4032 Liberty Street Jacksonville, Florida 32206 10 904/355-2633 PROPOSAL SUBMITTED TO PHONE DATE Mabry Development Co. 246-0936 5 May, 1988 STREET JOB NAME 1651 Beach Avenue Demolition CITY, STATE AND ZIP CODE JOB LOCATION lantic Beach, Florida 32233 Ati. Bch. ARCHITECT DATE OF PLANSPete Mabry JOB PHONE j We hereby submit specifications and estimates for: Demolition and removal of the building located at 1655 Beach Avenue in Atlantic beach. $ 61300.00 Please furnish the legal description for this property. Lot # Block # Al t T Sub Division /Vc ed-� A+I A.; L VP f I'apvHP hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: Sixty-three hundred ---------------------------------------- 6,300.00 dollars($ }. Payment to be made as follows: Payment in full with-in thirty days after job completion. All material is guaranteed to be as specified. All work to be completed in a workmanlike I manner according to standard practices. Any alteration or deviation from above specifica- Authorized Zo tions involving extra costs will be executed only upon written orders,and will become an Signature extra charge over and above the estimate.All agreements contingent upon strikes,accidents y�,,TT�'l'I -, Walton or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. Note:This propo5a'14 Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within 3n -days. randttrr itf f rallOSMl—The above prices, specifications are satisfactory and are hereby accepted. You are authorized Signature as specified.Payment will be made as outlined above. ance: Signature cmi•. SPEEDI-PAINT 07/12/2001 09:30 9046952964 JAXPLSEPTIC PAGE 03 CITY OF A7LAN4'IC SMU N APPLICATION =a PLi WZffG PP,RMIT JOB LOCATION* 16 71)_ 13c 4 t +► ��'f_07 � s• OWNER OF PROPERTY: S'7�G�,A '-n 'TELEPHONE NO.�� PLUMBING CONTRACTOR JNA CONTRACTOR' S ADDRESS: 17 C C � � u 4 u.� v, �1� f� 3 STATE LICENSE NUMBER:_ 02 �,.ST y / TELEPHONE: 7�. v HOST MANY OF THE FOLLCw lVG FIX'1'MS INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACrINE FLOOR DRAINS SHOWER PANS r SEWERWATER ry� RF-?IPE OTHER TOTAL FIXTURES: x $3 . 50 + $15 .00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CCNTRACTOR;Z'*3_4ied'6z_r_-_ INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN 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 CITY OF ATLANTIC BEACH 1 DEPARTMENT OF BUILDING i 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT PEAM1T INF ►I IAA"! IN e1Ft? j Permit Number: 22334 _ Address: 1675 BEACH AVENUE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 ! Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): 16 Block: Section:0 Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: CWNER'tIQRIIATION Date Issued: 7/17/2001 Name: GILCHRIST B. STOCKTON Total Fees: 25.00 Address: 1675 BEACH AVENUE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 7/17/2001 Phone: (904)241-1639 Work De_sc� I'T :l�)igS�i EWER LINE77-7 C�Fi R ,w:S,'tF7,•--_, !JAX PLUMBING & SEPTIC TANK PERMIT 25.00 i z .e x+ z NOTICE- iNSPECTI(*S M T BE REQUESTED AT LEAST 24 HOURS PR(OR TO 1 SPECTION BUILDING MATERIAL, RUBBIS14 AND DEBRIS FROM THIS WORK MUST OT BE PLA0ED IN PUBLIC SPACE, AND MUST BE CLEARED P AND HAULED AWAY BY EITHEP,ebNTRACTCR OR OWNER "FAILURE TO COMPLY"WITH RESLT IN THE PROPERTY OWNER PAY?4Q 1`hiC4'FOR BUjLD1NQ IMPObW 2el al� ^� ISSUED ACCORDING TO APPROVED PL:AN>S WNM11 ARF..PART-4F f'HRMIT AND SUBJECT TO REVOCATION i FOR VIOLATION OF APPLICABLE PROVISIOPI5 6 .1w�� " € t (25.88 1� ATLANTIC B I El A CH BUILDONG EPT. Late: 7/17/Ni 91 Receipt= 8973858 (f 81118193221999 IWO CITY OF ATLANTIC BEACH —--- MECHANICAL. PERMIT I 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PEFtNI1711VFC'tRMATION LOCA Penna Number: 22643 ATS Permit Type: MECHANICAL Address: 1675 BEACH AVENUE Class of Work: ALTERATION ATLANTIC BEACH, FLORIDA 32233 Proposed Use: OTHER Township: 0 Range: 0 Book: Square Feet: Lot(s): Block: Section: Est. Value: Subdivision: NORTH ATLANTIC EACH Improv. Cost: Parcel Number- I Date Issued: 9/01/2001 O !iR Ifi�tAT10N Total Fees: 59.00 Name: STOCKTUN Amount Paid: 59.00 Address: 1675 BEACH AVENUE Date Paid: 9/1212001 ATLANTIC BEACH, FLORIDA 32233 Work Desc: REPLACE HEAT PUMP COOL`S STEM Phone: (904 221-0059 MGCLURE ELECTRICSERVICE - -PER IT CATION FEES 59.00 47,E b „ -S"aity_ it --� .f+'!Fy.�1. . -Y` ➢ w+` p A ` s w I FINAL tp -` , NOTICE-'INSPECT! UST BE REQUESTED AT LEAST 24}"LOURS PRl�R TO INSPECTION BUILDING MATERIAL,°RUBBISH AfjD DEBRIS FROM THIS WORK MUST NOT B : LA MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR CED INP11BL IC SPACE,AND ER "FAILURE TO CO MPLY"WITH Ti PROPERTY OWNER PAYE #+ -TWME;pRTR UCTtQN}Ltl VI/ C04 AN RE LT IN THE �— - --IMPROVE ISSUED ACCORDING TO APPROVED`LANs INH�C - FOR VIOLATION OF APPLICABLE PROVISION@, LAW-' LAW ' RT F�S!? MIT AND SUBJECT TO REVOCATION ATLANTIC BEACH BUILDING DEPT. Date: 14 CHECKS 9neiei ei Renipt: 8887252 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH +' ATLANTIC BRACH,FLORIDA 3aa33 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. I. LOCATION Sheaf Address: OF Intersecting Sfnefs: estwean And BUILDING Subdivision 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 sccordenee with the aftachpd plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name f Mechanical ( � Malhoaeaote (Cnhasr Pring Name of Property Owner Signature of Owner Signature of a Au/horhad Agent Architect or Engineer fit. C@(H!/►L INFOR TION AA T�finq fuel: B. IS OTHER CONSTRUCTION BEING OONK own C THIS BUILDING OR SITE? f/ ❑ Gas-0 V O Natural ❑ Control Utility IF VES,GIVE NUMBER OF CONSTRUCTION ❑ OB PERMIT ❑ Other—Specify 1V.MECH/1NICAL EpUNMINT TO BE INSTALLED NATURE F WORK (Pseudo compleq Gst of wmpbmwh on back of this forrnl Residential or ❑ Commercial Air%at C3 Space ❑ Recaswd O Central O Acer ❑ New Building achtiessinq: O Room O Control' ❑ Existing Building Q Deet System: Mohrial Thick„a ❑ Replacement of existing system Mailmum capacity c.f.m. ❑ New Installation(No system previously Installed) Q Refrfgeatien ❑ Extension or add-on to existing system ❑ Other—Specify O Coating )ewer: Capacity qpm. Q Fire sprinklan: Number of heed Q Elennstor Q Monlift ❑ Escalator (number) THIS SPACE POR ON=USE ONLY ❑:GosogM pumpL (numbed (Reedwd) Q: To." (numbed Remarks Q LPG container (number) Q Unfired pasture vewl Peril Appawd O Lm..e O 000—Specify Perit I" Pffr ALL EQUIPMENT AM CONDMOMG AND REFRIGERATION EQUIPMENT Nambee UBR. Description NOW Number Icanutadtawt (Toms —3 — 1 Yrs N Pr—I c HEATING •FURNACES, BOILERS, FIREPLACES Cls;Btility NCOVIIIIIII Member Units D-MptiBn hope)Ntmsber Yaeatat tww (E'1RJ) A TANKS Slow]tan? Namtaal t�Sradt,T Type Ll"" Name of Social ApPrOTIM see DLweMootl Contained 1ta> sotnRee No. ApWy . X r CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT Permit Number: 22308 Address: 1675 BEACH AVENUE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): 16 Block: Section:0 Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: R R Date Issued: 7/11/2001 Name: GILCHRIST B. STOCKTON Total Fees: 1,250.00 Address: 1675 BEACH AVENUE Amount Paid: 1,250.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 7/11/2001 Phone: (904)241-1639 Work Desc: SEWER IMPACT FEE PROPERTY OWNER SEWER IMPACT FEE 1,250.00 .w r T _ _ NOTICE- INSPECTIONS m, BE REQUESTED AT LEAST 24 HOURS PRIbR TO INSPECTION BUILDING MATERIA RUBBISH,ASID DEBRIS FROM THIS WORK MUST T BE PLAeED IN PUBLIC SPACE, AND MUST BE;C `LEARED- P AND HAULED AWAY BY EITHE NTRACTtw R OR OWNER "FAILURE TO COMPLY iTH ' T 1E W 1N REQ. LT IN THE PROPERTY OWNER PAY1140, NICIVFORrBUILDNN II IPf O ISSUED ACCORDING TO APPROVED`P ^�WHA1'RPARTF'ISH RMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIO AT TIC BEACH BUILDING DEPT. Date: ?;`; /31 >il CAN CITY OF Ve4d - �'&vda 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904) 24',L5800 FAX(904)247-5805 Date 7-(:n C 44 ©A-) _ 'r Com Z-5 1=ACtf AJE . Dear Property Owner : The costs to connect your building to the City sewe aeA4 ..-- t� system are as follows : Sewer Tap - Labor and Materials to tap into sewer main $ Water Tap - Labor and Materials to tap into water main $ Water Meter .- Cost of Meter $ Q --- Cross Connection Inspection - Inspection by Public Works to ensure backflow prevention $ Sewer Impact Fees - Funds future expansion of the sewer plant $ / �2 --© Water Impact Fee - Funds future expansion of the water plant $ `- d Capital Improvement - Funds for improvements , expansion or replacement to water system $ TOTAL COSTS $ If you have any questions concerning these charges please call the building department at 247-5826 . Sincerely, jS. �-- J01- 1 1 2001 - U0©" Don C. Ford f fx ),Q S Building Official i._. . ,�- „7 DCF/pah PRICE QUOTE APP�.ICATION FOR WATER AND/(DR SEWER TAP APPLICANT NAME MAILING ADDRESS `� GAY, cz�Cl'11Z PHONE NUMBER 3)L-101, LM( o SCS DATE n SERVICE REQUESTff4aCOn C Y L± hL Kj f o c�54 s SERVICE LOCATION < <��? mc_.n = DATE SET TO PUBLIC WORKS DATE RETURNED TO BUILDING DEPARTMENT PUBLIC WORKS DEPARTMENT PRICE QUOTE RESPONSE WATER: SEWER: OTHER: C 6 p PRICE QUOTE PREPARED BY: Signature - Title DATE NOTIFIED OWNER Po4. • m PROPERTY OWNER NAME: C►L c--ARtST SERVICE LOCATION ADDRESS: kj PROPERTY OWNER PHONE NUMBER: Z 4-q - 4-z� g TENANT NAME• SERVICE NOW: ON CITY WATER ON WELL❑ CONVERT FROM ON-SITE SEPTIC SYSTEM TO CITY SEWER: OPTION A: Customer hires own contractor and pays costs. OPTION B: Customer pays costs and hires contractor with City's assistance. OPTION C: Cu omer hires own contractor and finances costs through the I antic Beach. OPTION D: Turnkey Support. City assists with entire conversion. CUSTOMER SELECT OPTION PREFERRED: ❑ Option A ❑ Option B tOpLion C ❑ Option OWNER'S SIGNATURE: , Please return to: 5- 7- o ) TO BE COMPLETED BY CITY: DATE RECEIVED: REAL ESTATE NUMBER: LEGAL DESCRIPTION: PRICE QUOTE: ���� � 7/24/00