Permits 1734 Beach Ave CITY OF ATLANTIC BEACH
SS
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
01 INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00001590 Date 11/20/08
Property Address . . . . . . 1734 BEACH AVE
Application type description MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
add gas line and propane tank
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PENNINGTON PROGASCO, CORP.
1734 BEACH AVENUE 7709 ALTON AVE.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 721-5431
----------------------------------------------------------------------------
Permit MECHANICAL PERMIT
Additional desc ADD GAS LINE AND PROPANE TANK
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/19/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
CITY OF ATLANTIC BEACH
08- 11� I C� 10 1
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
fill' MECHANICAL PERMIT APPLICATION DUVAL COUNTY
MATE:
12.' - .1 J��_ I.
ERMIT�,
1STHIS A SUS"T
_,�,11',AOB ADDRES&::
X5 ZOW0,e4l A-' JONO PERMIT#:
Atlantic Beach, 3 2 2 3 3
PROPERTY.OWNER: _0
4.N E: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
L)
L . .....
MECHAN
ICA CONTRACTOR��,
7.NAME 7_MPANY: 8.ADDRESS.:
Je4) eSAS'QJ SZ AA- 0 9 AZi�,Pq A
9.STATI!U FLO NSE NO: 10.CELL PHONE, 11.FAX NO.. ;73 7
47,;1 ��V / f, 6s�;40 Za I
,A.EMAIL ADDRESS( OFFICE PHONE: 14.
A3 C D Q> R didol-tidr 721- SW
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)
months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced.
CONTRACTORS SIGNATURE:
17
��'15 SLASSOFWORK-,��::�!, 16.BUILDING CEI:
SERVI
A MINEW INSTALLATION –&K-E—W 6?'ESIDE TIAl @r06 FLORIDA BUILDING CODE-
• REPLACEMENT OF EXISTING SYSTEM D EXISTING 0 COMMERCIAL MECHANICAL
•ALTERATION/ADDITION TO EXIST SYSTEM
•REPAIR 0 OTHER
MECHANICAL:EQUIPMENT TO BE INSTALLED,.
19.HEAT: 0 SPACE 0 RECESSED OCENTRAL 11 FLOOR BURNERS:
20.AIR CONDITIONING: 0 ROOM 0 CENTRAL
21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm
22.REFRIGERATION: MAX CAPACITY: CfM
23.COOLING TOWER: CAPACITY: 9pn1
24. FIRE SPRINKLER: NUMBER OF HEADS:
25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT:
26.COMMERCIAL HOOD NUMBER:
27. FIREPLACE: PREFABRICATED: MASONRY:
28.IRRIGATION: 0 PUMP El WELL 0 PIPING
29.GAS PIPING: #OF OUTLETS: 0 GAS AHU: 0 GAS WATER HEATER:
30.OTHER-SPECIFY:
SOLAR HEATING, BOILERS,UNFIRED
PRESSURE VESSEL,HEAT EXCHANGER
OR COIL 1N DUCTS ETC. VALUE FOR OTHER ITEMS:
U
P�
1.COOLING EQUIPMEt4T:�"'���,'I�'��r]i��l��!"�!��'�-I'�,���:�,�,.,.�,.',�,�,���%,��,
SM
10 EQ IPM ETC.
CONDITIONING.REFRIGE EwtoNDENSORS
NUMBER APPROVING
OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY
HEATING EQUIPMENT
:,`�'FURNACES
i BOILER FIRE dES;�AIR HANDLERS ETC.
NUMBER DESCRIPTION DEL# MANUFACTURER BT
OF UNITS
TANKS,.:
TYPE LIQUID APPRUVINU
NUMBER GALLONS CONTAINED MANUf CTURER SERIAL# AGE4Y
-so 21 1.
COAB FORM BLDG04:REVISED:1/8/2008
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000027 Date 1/08/09
Property Address . . . . . . 1734 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
new service 200 amps 240 volt
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PENNINGTON BROOKS & LIMBAUGH ELECTRIC CO
1734 BEACH AVENUE Q/A BROOKS, CHRISTY
ATLANTIC BEACH FL 32233 42 WEST 8TH ST.
ATLANTIC BEACH FL 32233
(904) 241-9051
----------------------------------------------------------------------------
Permit ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/07/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 .00
Grand Total 70 . 00 70 . 00 . 00 . ()Q
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH 7__ FT
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08-
OFFICE:(904)247-5a26 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
ELECTRICAL PERMIT APPLICATION DUVAL COUNTY
T"778,1141ATSUIT, _W --- --N1-1
j��L 13,1PA
0 NO
Msq *�&azh 0-oO.- ff-?ES PERMIT#.
QME 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
NAME O� MPANY: A DRESS..-
e-.^A vn I rill
a up a -A 9j&M,A,&:2_-UM u� 9t 1,<_4 rmb
9.STATE OF FLCLZMN5ff)7_ 96 10.cQH04— W, 11 FQ NO..'
2 aSc L
12.EMAIL ADDRESS: jqFICE P 0 IE: 14.
()4p- 2-4 4q 0_,51
15.Application is hereby made to obtain a permit to do the work and installations as indicat I Ce 11 ork will be performed to meet
the standards of all laws regulating construction in this jurisdiction. This permit becomes n 2�- i ifw i not commenced within six(6)
months,or if construction or work is suspended or abandoned for a period of six(6)months t aft is commenced.
CONTRACTORS SIGNATURE:
%
13 MULTI FAMILY-#OF UNITS: REtIDENTIAL
eSINGLE FAMILY 0 TEMP SERVICE OMMERCIAL
ADDITION 13 TRAILOR
•ALTERATION 13 SIGN 13 OLD 13 NEW 11'05 NATIONAL ELECTRICAL CODE
•REPAIR 13 POOL SPA 0 REWIRE 0 OTHER:
p_�
20.TYPE OF SERVICE: 0 OVERHEAD V-UNDERGROUND 13 UNDERGROUND UP POLE
21.NEW SERVICE: CONDUCTORS PER PHASE: 0 POWER IS ON *'POWER IS OFF
22.SIZE OF CONDUCTOR: AMPACITY:_2Ap_A:-- OCOPPER XALUMINUM
23.SWITCH OR BREAKER SIZE; AM6S-.__20V PH: W: VOLT:24�?_ RACEWAY SIZE:
24.EMSTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE:
25.FEEDERS: #OF — AMPS:— #OF AMPS:— #OF— AMPS:
26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V�:
27.FIXED APPLIANCES: 10-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
28.FIRE ALARM: 13 YES 0 NO
29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS
29.SMOKE DETECTORS: NUMBER:
30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
777777,
#OF UNITS: COMP.MOTOR HP RATING: AMPS: H EAT KW:
#OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW:
77
NUMBER: VOLTAGE: HP: KVA:
NUMBER: VOLTAGE: HP: KVA:
3 .TR
ANSFORMERS: .-
UNDER 60OV: NUMBER: KVA:
OVER 60OV: NUMBER: KVA:
---35 MISCELA
..,NEOUSREP
DESCRIBE IN DETAIL:
COAB FORM BLDG02:REVISED:1/10/2008
- HP'Vax Series 900 Fax History Report for
Plain Paper Fax/Copier
Jan 09 2009 8:50am
Last Fax
Date I-Imm. T,)W identification Duration P
am Resul
jan9 8:49am Sent 96657372 0:43 2 OK
Result:
OK - black and white fax
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826 - Fax: 247-5877
PLUMBING PERMIT
PERMIT INFORMATION LOCATIOk IN—FORMATION ---
Permit Number: 18638 Address: 1734 BEACH AVENUE
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section:0
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 8/12/1999 Name: III E. W. LANE M
Total Fees: 25.00 Address: 1734 BEACH AVENUE
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 8112/1999 Phone: (904)398-5448
Work Desc: INSTALL SEWER
CONTRAQT- OR( APPLJCATION FEES
ATLANTIC COAST PLUMBING & TILE PERMIT 25.00
Inspqctions Required
FINAL
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
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.
$25.0014
t Date: 8/12/99 01 Receipt: 0@784?2
CHECKS 23931
kfaNT(CBEACH-AlIBUILD1 G—SDEPT. 00100003221000
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUIVOING PERMIT
JOB LOCATION:
OWNER OF PROPERTY: TELEPHONE NO._�g
PLUMBING CONTRACTOR
CONTRACTOR' S ADDRESS :
Xz—
ey
STATE LICENSE NUMBER: TELEPHONE: Q?
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER
REPIPE OTHER
TOTAL FIXTURES: x $3 . 50 + $15. 00
MINIMUM PERMIT FEE — $25.00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:_
vc
-----------------------------------------------------------------
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
C Y OF ATLANTIC BEACH
IT
800 SEAHNOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00000485 Date 4/10/08
Property Address . . . . . . 1734 BEACH AVE
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
INSTALL 13 FIXTURES
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PENNINGTON STEEG PLUMBING CO. , INC.
1734 BEACH AVENUE P.O.BOX 330536
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-5191
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 126 . 00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/07/08
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 126. 00 126 . 00 . 00 . 00
Plan Check Total . 00 .00 . 00 .00
Grand Total 126. 00 126. 00 .00 .00
PERM IT IS APPROVED ONLY IN ACCORDANCE WITH'ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDINGCODES.,
CITY OF ATLANTIC BEACH
Is
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00000824 Date 6/16/08
Property Address . . . . . . 1734 BEACH AVE
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
INSTALL 4 FIXTURES
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PENNINGTON STEEG PLUMBING
1734 BEACH AVENUE Q/A:STEEG, JAMES
ATLANTIC BEACH FL 32233 1601 MAIN ST
ATLANTIC BEACH FL 32233
(904) 24 9-5191
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 28 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/13/08
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 28 . 00 28 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 28 . 00 28 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
0003188
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
Permit- mumbert 3186 Addreazz I-,*n4 ZLCAICH AVENUE
Perml't Type% PLufter"o ATLAKTXC 15EACH, PLOHXDA
CIMSS O.T Work: ADVXTXION ---------- LWOAL Dl!:�lCftXPTX0- ---------
Conat.r. Type: WMID PRAftE 113 1 ack
Pro]P004--cl USe'. tlXROLE PARILY' TownShIpl. ""ni
Code to SubClvlmlon%
EST-Imatecl Value-. 140. 00
xmProv. costz 00. foo
Toltal reest IP 16. t3c)
AMount Pold: 16. 1-10
Date Pexcw%
work Dewc. i ItMTALL PLUffbXftlO AND rXR URES
----------- lowmtft 1"MARATXION APPLXCArxc3m forms
Name,. XXX V. W. LAHE rXr fsert"rT !aid. no
Addressi 1"4 BEACH AVENUE WATER X"PACT PEE 150. 00
ATLARTIC 6,SACH, PLIORIVA '322 '3 *SEWER X"rACT IrMt 00. ua
WA'rftft ff ftTtft V0. 00
ftADON 0&3-ff. rt. IS. 50.010
------- ICIONTftACTOR XUPORMATIoN ftADON DAt5 - --17, 00
Name,. ff&!3 c0"TftUclrx()" Co. WATER TAP
A00reazz Z�MO 9T. AU0UZTXNr RD. SEWtft TAP 00
-TACK151ONVILLE, PLA. nrDftAULIC "THAftr on
Llcenme. CUC:010025fS type-.
SEC. H XftPAUT PELP
'OTHER 100.010
NOTES:
NOTICE—ALL CONCRETE 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
NG TWICE FOR BUILDING IMPROVEMENT
119.
THE PROPERTY OWNER PAYI
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ REVOCATI*ZOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. DME go
REeEIP4 ?-1114-14EA, il-4AkP
#4*11F
ATLANTICIACH BUILDrG DE
By: CONTRACTOR COPY
0003188
DEPARTMENT OF BUILOING
CITY OF ATLANTIC BEACH
ell,
xtimitnATto- ------ -------- X-14roftnwr -------- -
Cleas ait Work% Avorrrom -------- --------- -
Canwtr. Types W160t) P*,NffgC Lot 2 2
Township a I a
rropo:04*d %Yoe% *XtMtt PAff SLY
te't1moted Yalu&%
Xaprov. cost I
A*
be
Work ,,,,. tiny-is
AppLrCATXo" peen------
n" J,
M
Ad
sit 0
10 #6
Loft
cite p
wn
1010.m
0A19 b% 00
mroff wA4rZft 4rAf*
-2, Ir Ro". 010.Iota
JA XLLS, MIA. om^*t Wa.010
'Lie "Pei I PrIs
Vol"
NOTES,
'FORMS AND FOOTINGS MUST Bg,INSPECTED SEFORE,POURING
NOTICE ALL CONCRETE
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 COMPLYWITHTHE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
W11ATIN WIT: 1113OPW
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF,THIS AND SU O,E�VOCATI 1;)A,
,�PER41T
ViOLATION OF'APPLICA5LE-PROVISIONS OF LAW. DOW
ME,
AttANTt' CH BU, ......
%,�wo,
CITY OF ATLANTIC BEEACH
APPLICATION FOR PLUMBINGO
V� (V,V
jOB LOCATION: -----------------------------
PLUMBING CONTRACTOR:--------------------- -------------------
LICENSE NUMBERS: vo-ge IXP- 15-7 -----------------
4IL2 6:f, 9/, 1-,4N-e- zr-7
OWNER: _:�_ ---------------------------------------- -------------
BUILDING CONTRACTOR: �'0AIS-77,eVCZ,a,(l :�lo -
------------ ------
TYPE OF BUILDING: 10e.5,1 cW7-14 z-
-------- ---------------------------------------
SHOWERS
Tor,y WATER HEATERS
C/'---LAVA --- ------
BATH TUBS ---- -----DISHWASHERS
URINALS ----- -----DISPOSALS
CLOSETS ----- ----WASHING- MACHINE
OTHER
FLOOR DRAINS
TOTAL FIXTURE COUNT
------------------------------------------------------------------ -----------
INSTALLA"ItION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE .W-1711 THE MOST
RECENT EDITION OF THE SOUTHERINT STANDARD PLUZINBING CODE.
783,21
DEPARTMENT OF WLDIINQ�
CITY OF ATLANTICSEACH
PERMIT ------ -------- -LOCATION INFORMATION ---------
INFORMATION
Address,: 1734 BEACH AVENUE
Number'. 7832
IC BEACH, FLORIDA. 3223$
Type ATLANT
Petird.t RE-ROOF
LEGAL DESCRIPTION ---------
-j az�s� c.f Work, NEW
Lot ,,
constr. Type* WOOD, FRAME
e-� STNGLE FAMILY Township: RNG* 0
pro osed Vs Subdivision: NORTH ATLANTIC BEACH
N'gs I code: 0
00
d Value,
4stimate
mp r o v. C o�s t $0 0 1 0
Tota $22 5.0
$22 .'50
L94
TION APPLICATION FIRES -----
2 . 50
$21
AGENT ' PERM91T 9
w�e �PAC FEE 0,00T so oo
Add r,e s 5 AVENUE
H , FLORT
f
Ph 4 . AP
1 r
RADON GAS-H.R - S Woo
R R FORK&T,11 ------ - RADON CAB
C4F1TAL_ 1KPR0VEi
N ait o T J FIN
ROO
ROAD SEWER TAP $0 ,00
LLE, FL HYDRAULIC SHARE
Typ CROSS 'CONNECTION
$
SEC H IMPACT.' FEEA0,.1
RCHALRGE
es
POUIJING
NOTICE,�-ALL CONCRETE FORMS AND FOOTINGS MUST,BE INSPECTED BEFORE
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
CLEA
RED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTYOWNtAPAY1,NG TWICE,FOR'13'Ul,lo.DING,IMPROVEV�EPITS
,ASSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REf4$Bk,T101
A TtON OF-APPLICABLE PROVISIONS Of LAW.
T
CAI,tit
UILDING DEPARTMENT
N TIC BEACH B
BY.
CITY OF ALANTIC BEACH
ROOFING PERMIT APPLICATION
owner(s) : —i
Address: A\fe- -_�Phone:
Lot #_, Block or Unit # Subdivision:
Contractor: "ST-� -jD214t15, -P-00FINC,
Address : 4d
City, State and Zip- FM Phone -) YV-1119�>—
State License #— P- Lk
Describe work to be performed: Ae-
Valuation of Proposed Construction:
Materials to be used:- 266r 5 �/ '
Signature of Owner;
Signature of Contractor:
Liability Insurance Supplied- ---
Workers Compensation Insurance Supplied
License Information_
17022,
DEPARTMENT OF SUILI'DING
CITY OF ATLANTIC BEACH ,
�T
LOCATION, JNFORMA
�,PjRMIT INFORMATION 11314 StA R AVICIMS
I#LORIDA� 32233_
NTW� Z
iimtt, Num. ber." 170,22 Addre ,
ATLA ACH,
t Type:14ECHANICAL
L E(;AL, D I PT ON
las�s of WorkALTERATION
0
Lot.,:
BI ock
:.Constr Type:WOOb FRAME - 0 �A
Use: 9INGLE FAMILY, s Oct i on
p,roposed ,I I
Subdivisibb:NORTH ATLANTIC 13,MCH,,
0
-Dwellings :
'Value: 0 .00
Est.
0 .00
Improv. Cos�t
Total fees,*,� 25 .00
25.00
Amount
'Date PitA
ork Des� NDLER
ON, FEZ$�
TION
'2�.00 ,
-Y '' 'Elba
dr--
LORIDA 322
C1114
?honei 4T,6
Pm4i
I ' ,RMAT 10
4------
CON N
A I R,`
ddr: 3115 �STXT11�,,`JiiVNtJE .SOUTH�
JAX ]BEACH L
OR I DA 32250
zxp:
L ic CAC039761
4
,j
NOTES:
s PAIOA TO INSPECTON
NOTICE INSPECTION MUtt,13E FIEGUESTEDAT LEAST 24 jjQ
ROM THIS WORK MUST NOT SIE PLACf_DfN:PUBLIC SPACE,AND MUST BE
BUILDING MATERIAL,RUBBISH AND DEBRIS F
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
FAILURE TO COMPLY WITH THE MECHANIC,49,-, UEN LAW CAN, RESULT IN,
s
THE PROPERTY OWNER PAYING TWIC E FORIBU, LOING IMPROVEMENT
R AVOK FOR
163 EVC0
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF,THIS PERMIT AND SUBJECT
WOLATION OF APPLICABLE PROVISIONS OF LAW. ma,i4,
d
'ATLANTIC BEACH BUILDING DEPARTMENT
By.
LA
di
T,
BUILDING AND ZONING INSPECTION DIYISION
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.
Street Address:
LOFCATTION
(0
)F Intersecting Streets: Bet�e n 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 aftacl�ed plans and specifications which are a part hereof and in accordance w;0i the City of Jacksonville ordinances and standards
of good practic—listed therein.
Name of M"c nical Contractors
Contractor (Print) 10 N M aster A C. C) :S 69
Name of
Property Owner
Signature of O�n5r Signature of
or Aulhoriied Agent Architect or Engineer
Ill. GENERAL INFORMATION
A, Type of heating fuel: B.
IS OTHER CONSTRUCTION BEING DONE ON
Eloctric THIS SUfLOING OR SITE?
0 Gas LP 0 Natural Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
0 Oil PERMIT
0 Other Specify
IV. MECHANICAL EQUIPMENT TO Of INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) X Residential or El Commercial
11� Heat 0 Space 0 Recessed k Central 0 Flocw n New Building
C] Air Conditioning: [] Room 0 Central �<Exlstlng Buildlng
• Duct, System: Material nicknou— >A:"Replacement of existing system
Maximum capacity e.f.m. New installation(No system previously installed)
• Refrigeration Extension or add-on to existing system
[I Cooling tower: Capacity 9-P.M. EJ Other — Specify
[3 Fire sprinklers: Number of head.
0 Elevator 0 Marilift 0 Escalator—(number) THIS SPACE FOR OFFICE USE ONLY
0 Gasoline pumps (number)
[) Tanks lnumber) Remarks
0 LPG contai nor%--(number)
0 Unfiried pressure vessel
0 toilers Permit Approved by Date—
b Other — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Capacity Approving
Number'Unitir Dejeription Model Number Manufacturer (Tons)
HFATING - FURNACES, BOILERS, FIREPLACES
Capacity 4vrvvft
Number'Units I)wription Model Number M&nUf LctUrer (BTU) ASW-ey