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Permit 2232 Beachcomber Trail Ole CITY OF ATLANTIC BEACH S11 800 SEMINOLE ROAD =r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 r*'� Application Number . . . . . 05-00031209 Date 9/13/05 Property Address . . . . . . 2232 BEACHCOMBER TR Tenant nbr, name . . . . . 1 AH 1 COND Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---------------------- -- ------------------------ MICHELMAN, JEFFREY INSTANT AIR 2232 BEACHCOMBER TRAIL 1015 ATLANTIC BLVB # 249 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 -------------- ------------- -------------- ----------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �t f "„ BUILDING OFFICIAL , rte. �w dudd S178S LPZ 1706 SC:ZS S00Z 80 d3S ' CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION 2 Date: Property Address: 2 2 3 2 Owner:'Jelc:� O-A L'-'h e0VlaIr Telephone#:q0L( Contractor: --r-r1S4«i-4 (\�,r Telephone#:q04, Z�-k7 5525 lot 5 �e-tt�r �141r�n4tc, l vd�24�j Contractor Address: – 3 Fax 2q7 5-5z& Contractor Signature: In consideration of permit given for doing the work as tscribed in the above s nt we hereby agree to perform said work in accordance with the attached pians and specifications which are a art hereof and in accord a with the:City of Atlantic Hach ordinances and standards of _good practice listed therein. Type of Seating Fuel: if other construction is being done on this building of site,list the building permit number: Electric ❑ Gas: _LP _Natural _,Central Utility ❑ Oil r ❑ Other-S cif MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space _Recessed YCentral ;FloorResidential Air Conditioning: _Room Central r - Duct System: Material Thickness ❑ Commercial Maximum capacity cfrn ❑ Refrigeration Maximum New Building O Cooling Tower:Capacity gpm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ -Elevator: __ Manlift Escalator (Number) Replacement of Existing System ❑ Gasoline Pumps (Number) O Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other-Specify LIST ALL E UIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency C-CW?v5e-Z CQ4P S-1 wr- HEATING-FURNACES,BOILERS.FIREPLACES&AIR HANDLER'S Approving Number Units Dtsctiption Model# Manufacturer BTU's Agency TAINi(CS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. ---AK-n9- 800 to800 Seminole Road a Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845- http://www.ci.atlantic-beach.f.uS Revised 1/04 j -d S4BS-Lfr2-406 ng 4asag of 4ue1'4U ,}o R410 CITY OF ATLANTIC BEACH r `S1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031229 Date 9/16/05 Property Address . . . . . . 2232 BEACHCOMBER TR Tenant nbr, name . . . . . . PERMIT # 05-31209 Application description . . . REINSPECTION FEE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------- ----------------- INSTANT AIR 1015 ATLANTIC BLVB # 249 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . REINSPECTION FEE Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due . ----- ------------ ----- ----- ---------- ---------- -------- -- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERNHT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL ,r ADDRESS. BUILDING PERMIT NUMBER__ -_,—!���j______________ INSPECTIONS FOOTING SLAB___ FRAMING.__ COVER UP__ INSULATION__.J_�1_S�____`_�__._� FINAL BUILDING /eil _,;2ls— rl,L___ s J � CERTIFICATE UCC ELECTRICAL PERMIT #i_______._.____ INSPECTIONS ROUGH___^ � FINAL MECHANICAL PERMIT _7`� ____________ PLUMBING PERMIT NOTES: .1 ree Removal Approve as ° 024 peg. 12" % ul - 2: co 12• . Al a + co o _ 9 12- s ^• Noted w y�l ApP�o`'ed as 11" po 1 2a. � 2,}" $1� BENCHMARK 0' ' L+.� pUgt E 5..o....d. N Aids 8:493.5 g , j ►N P AI?A SEE �. N.G.v.D• e, 8,91 Env. e.30 0 30 50' 5g.62 • Cn , 4048 0ARTMENT©!t RUILI)INQ CITY OF ATLANTIC BEA <„ -------- LOCATibo"INFORMATIO --7--�.~«. or t A)dt0 i 223 REACRColfRRR TRAIL ' �.. DESCRIPTION or« Typ+�# Lot s Ts s ToVoish T3vr�l1ingx ,w,a ! Sub�cT�.�ri0 off:; t terateT �► u tU tea Iopx crv: Gtar ' s .tR1 :`fit ', } TotalAmouz Y M U lark a s -tckT*o* FEES ►R ,.: 0.00 ; F AyeCT FE UG sir.� # RAX ON OA -A. R', S M r NATION ' L3RA 1p SNARE' . � .Lit $tt.'a �,,JVACTFU ilool 'ALL comoft FOOTJ o Nd`' a7 y r r a s R R# 4T vt7!©Std(MONTHS AFTER DATE Ct:tS 4tt�f3tNG A+tSRtAfFCM THS WQRK Ml7 NC. �iN ATET ON * SGvJST kRP 'P, �3tw ll" THE MECHAN-1cs � � , k� 1, SULT 0 t fiJtD A ;CQR©tt Ti9' ANS. 41JD .ARE FART { # 1�tCl ?W aF At ` #4" t?fHtS IRtwfttt `t RE1�(�Jttt .�►R A UNTtC Bt:ACH�tt Lt:�thatt^-0 Afl t�t��t " Pizice QUo APPLICATION FOR NATER AND/OR SEWER TAP APPLICANT NAME-�--�--/�- ---------- -a MAILING ADDRESS_ ---------------- PHONE NUMBER------------------------- DATE---------------------- SERVICE REQUESTED , ._._. ---// - �- ------------ ----------------------------------------------- SERVICE LOCATION_-�L 2-,5- _ _ '�. � --- -------- ------------------------------------------------ DATE -------------------------------------------------------DATE SENT TO _ DATE RETURNED ( PUBLIC WORKS _ G _ /___ TO BUILD. DPT. DATE OWNER NOTIFIED--------------------- 4 S9.384a DEPARTMENT OF BUILDING CITY OF ATLANTIC 8EAC, PERMIT INFOR14ATION — 0CATION INFORMATION �- ermit 14umber x.6569 A d dreg 2 ,B ACIiCOl BER 'S'1 A L Permit TYP ; 'LUMETNO ' ATLAN: 'IC BEACT FLORT A 32233 „T s of lRork,,AL'TE'RATTON -----_--—LEGAL DESCRlP"Tl6'N WCC ? FRAME 'Lot T Sopip, ased Us : w w Section 4> SU 0 x� � ael T Z Subdiwis; on.00EAN'WALIC Est VaIue 0 . 0 rt r v. C st, 0 .00 "TitIFees. 25 .00 .Amount Paid 25 .00 rk + � ��{ PAN m.µ - r 4 t"'HICHELMAN I ERMIT -25.00 T TL A v� ORILA .iF ii .i )-04 .: Yl h `—z CI�i� kTO�z'=T1 ATLAN C 0T PLIAlI'�'1'M(3 .TILE �TACKSONYTt4�' FL 52250 QVC { / i "ad�4�4y. ab 'sasnr.n NOTES; , NOTICE—INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTt . BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT.BE PL, ED IN PUBLIC SPACE;AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER FAILURE TO CQMRLY '1111 HCHANICS' LIEN .A�u CAN RESULT IN 'TH'E PROPERTY OWNER 'WILE FOR BUILDING IW 'V ISSUED ACCORDING TO APPROVED PLANS WHICH'ARE PART OF THIS PERMIT AND`S T REVOCATION UBJECT O FOR " . VIOLATION OF APPLICABLE PROVISIONS OF LAW. el Afie a GAS rI��7�� ATLANTI BEACH BUILDING D PARTMENT gy; CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT ` JOB LOCATION : �(r ,nn f OWNER OF PROPERTY : EUC 1 I 1 I +�I ry.),Q PLUMBING CONTRACTOR C S CONTRACTOR' S ADDRESS: STATE LICENSE NUMBER:��/I � cJ ��i' TELEPHONE:p� ' O HOW MANY OF THE FOLLOWING FIX:'URES INSTALLED SINKS _ SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS l _SHOWER PANS OTHER TOTAL FIXTURES: x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 - 4 SIGNATURE OF OWNER: �--" - SIGNATURE OF CONTRACTOR: Fes. ------------------------------------------ '---------------------- 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 ����__O��,�F /�___/ f�ItLL4atik Beac�i- Office of Building Official RE©UEST FOR INSPECTION Date ✓ Permit No. Time A.M. Received P.M. District No. Job Address Owner's Name Contrac BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ ❑ Rough 12Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole i/---Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. Inspection Made / Inspector / Final Inspection Certificate of Occupancy Date r CITY OF 4&6#t4*c Beach-A;&T 4 Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time ! A.M. ReceivedP.M. District No, F Job Address Owner's Name Contrac&Z� BUILDING y^TFfB E ELEG RICAL PLUMBING MECHANICAL Framing ❑ ooting u firing ❑ Rough ❑ Air,Cond.& ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Lintel Fire Place ❑ Pre Fab OR INSPECTION A.M. Mon. TLe ,r, Thurs. Friday P.M. Inspection Made Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF 4&44d c Beni-0;&u-da Office of Building Official y1 REQUEST FOR INSPECTION /r Date L / Permit No. �y Time UDistrict No. Received P.M e;:;K '7,K A-1 1��, C-4� Job Address LacalNy ON aw me r ersZlzz -W,— Contract BUILDING CONCRETE ELECTRICAL P LU CHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top ✓/Q Heating Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made c j r t r- A. j COMInspector , 'rx" K Final Inspection❑ Certificate of Occupancy Date CITY OF- 4&4a&. F4&4a . BWIC4- Office of Building Official REQUEST FOR INSPECTION 6 _�1L Date Permit No. Time A M ReceivedDistrict No. �- �'-49 (f A J Add Owner's Name4��-�ntract.r BUILDING CONCRETE -ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ He Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION _"'� A.M. Mon. Tues. Wed. Thurs. `""Fridav _ter P.M. Inspection Made . P.M. Inspector Final Inspection❑ tj Certificate of Occupancy Date 42,07". P0#ARTMeKT of Bulu"p, " OIT'Y OF ATLANTIC BACtfi ,.... PZRMTT jX1~00*AT%ISR . ..�:�.._ �� � . . ,., LOCATION 1AFORKAT ON --- ` ► a t Rhe x T Address i, 2 #+ # `R ► L , r T �, ` ATL ANTIC ORACR� A 1 »a� + O a k ;. Nom► --- - - L t3AL. R ORifTION C�>rxNLx' TI x .I�Cdb .F'RAtt Lott ,: 13k x :S on t Frdpc� xed U00 x ITR R F'AM LY Traanwlthip x Rl i s ir0 ixxgN x 1 + O 5ubdivisil, In o # > A iWALI� t4t�nyit ♦cry ;Vs :U+�x # ts��Qw■ tit To 1, . k50 kACES A MO WATER I ON FEES, : *47.W Xjl Ae dar iC 'iR W0 1 Cs fT k `L1RMA" t N ---- -- RA009 IFAS 5X �C�."C►C3 l s�rEiae x C Ri 1 I�_lP 'TER TAP ?i#�I..t SEVER TAMP 00.00 rL 13220 lly0RAUL;C ,SHARE " TT 's 6 A .£R3 , �: N TNFATRi . fi13 t t,: t NOTICE"--ALti.+CONCIR"E1'E 0OR"M$ANCA FOOTINGS MUST RE IN,5PE &`FCIRE iKAUl�iNG" " PEAMIT VOID SIX MONTHS AFTER DATE Of:ISSUE 81JiLLlINta MATf~I�ItAL,"RI:IB ISH ANS?I I~BRIS"FFtQM THIS WORK MUST NOT 131x PLACEI.IN PPSLIC SFACEill" MUST a C,_EAREQ U AN 7'NAUIwE1 f4 1f,4Y I`�-e p ER CONTRACTOR OR OWNER. i* ASE "#'E3 + � ' .Y �T"H T`t ME ►1tCS' 4IJ PAYINQrTWIC � LAS; 1 '3:UGT 1 , I UeV AC.COR0.lNG TCJ At�PFiI VED ' ANS WHICH ARE Pf1RT Old CHIS pgpm T AN0 C T I��t� NFC>A .OF.APF LICARL5 '6p", C ! ""OF'LAW. T: PT �x Y 0a ptTLANTiC BEACH,$IIIDING EWA.RTMENT BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82288 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. 2232 LOCATION Street Address: //rr�� `` OF Intersecting Streets: Between 00_C t.1 ,A-L-4 And sJv aA BUILDING w 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 accordance with the attached 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 Name of Property Owner Signature of Owner y Signature of 'orAuthor'ned Agent Architect or Engineer 11111. GENERAL INFORMATIO A, Typo of heating fuel: B. a IS OTHER CONSTRUCTION BEING DONE ON THIS BUILDING OR SITE? y�S Z's, e R"'Lp ❑ Natural (3 Central Utility C) on IF YES, GIVENUMBEROF CONSTRUCTION PERMIT `3 GIZ.� C3 0#6r — Specify W.MICHANICAL EQUIPMENT TO /E INSTALLED NATURE OF WORK (ProVide complete lief of components on back of this form) R Residential or ❑ Commercial ❑' Heat ❑ Space ❑ Recessed O Centel O poor 2' New Building ❑ Air Conditioning: ❑ Room ❑ Centel ❑ Existing Building O Duct System: Motorial Thickn•sa ❑l epiacement of existing system Maximum capacity c.f.m. � New installation(No system PreviouslyI Refrigeration El Extension or add-on to existing system d Cooling toward capacity ❑ Other — Specify pecif 'V P CITY OF ATLANTIC BEACH� ' F� QRIDA Appro..dby APPLICATION FOR ELIKYRICAL PERMIT � TO THE Cht_F ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE ;> HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH t.RE A PART HEREOF,AND IN ACCORDANCE WITH THE,ELECTRICA.L REGULATIONS, CODES AND CITY OF r' ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOl!$jk � NA..'r E_-S ADDRESS: 1�"Zs�' e - RFD BLDG.SIZE �. t�OC • `- �RS . BETWEEN: RES.C I AFT. ( I COMM.11 ) PUBLIC ( ) INOUS�1° )� ; NEW(A 'OLD ( ) REW. ( ) A0DI1•ION ( ) TRAILER( ) TEMP. ) SIGNS ( I SQ FT. SERVICE: NEW( I INCREASE ( 1 REPAIR ( F� FEE 14 CONDUCTOR SIZE n AMPS �d ' COPPER ALUM. \0.00 SWITCH ORBfiEAKER 200 -AMPS PH 3 W � �IDVO' 11•'V RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT r " RACEWAY 771 FEEDERS NO. SIZE NO. SSIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN, TOTAL RECEPTACLES CONCEALED OPEN TOTAL I _ 0.50 AMPS. 91-100 SWITCHES " INCANDESCENT ' 1 , t FLUORESCENT&M.V. r l 3. - .,. FIXED 0-100 AMPS. OVER �._�_____' a j :... ..- .pr•.. .._ APPLIANCES - e.'" BELLTRANSF. AIR H.P. RATING H.P. RATING CONDITIONINGCUA:;?.MOTOR OTHER MOTORS AMPS dEIL HEAT: KW-HEAT , --777777. • �-j OVER, - _.� -----_— MOTORS H.P. _: VOLTAGE PHS NO. '- 1 H.P.' VOLTAGE' ' PHS MISCELL:'.VgEOUS r^r�rr...+.w+•...�.-...�..r.rr . w, _�--•--_-__ _.. ._ TrANSFORMERS: ,u•. { , - _ NDER 300 V. 1 � OVr_r:sea var._ 77 �-- 4i,57 PEPARTMIENT OF 13UILDI G, CITY UF'.ATLANTIC 8 - - 'PORMI l-SPO J ATXO .. � �. _ _�. LOCAtI ON 1 HPORMAT ON P wryol t" Nu'*­fi r r . � � , "', Adctill,s t � � �� BEACH 1�0�l��.'�` f r it Typ> a C AI T AL Ti.ANTTG ;ACH, OR�DA 3223 C > a wor)ii K ----,.---. . LEGAL. DESCRIPTION c aati* "TY'P,4J, Wd i A Lots 24 0100 .,k x Propam d A Ttarr x tt t RNQ: O IV*�.l�n', O C�d�a b Subdiv�i��.t�x�x PCEAS-"J t improv. "Cbsit, 0. 00 *63.00 Aad. B��a�.00 Werk ,Iry" " PPLlCATT0% :FXESl Jh yRH 063000, AIRS $19,ACH, COMAO MIL ER :INPACT�. FEE $0.00 Z33 FLORI -12 �F9t 00.00 aeatw Yw@Z".Ra'rif "'409 *0.00 F'W`i't TA P I«. ,: P 4 00,z , A ` i RY RAOLIC SHARE BO.00 Lis HA 4 T +po a O RE- XSPZCT FEE SO.Qfl SEC A PACT FEE ��� 40.00 AVOW�� .Pw, aaat.r ,9I -Gum k NOTES; I f 1 I f 446T#C6' ALL:CONCRETt PtT1KtMS AND FOOTJINGS MUST BE 1NSPOCTED BEFORE ?"1NG { PERMIT VOID SIX MONTHS AFTER DATE OF,ISSUE BO DINfi 1 AT l IAL,"RU;F3 I t{ANO DEBRIS FROM THIS WORK MUST:NOT 9E PLACEO 111 PUBLI SPi4GE,AI�t�MtfuT j CLEA14EC}l P�Attitt?HAl!-LEIS AWAY BY EITHER CONTRAGrOR OR OWNER f f: .0 M P1.0THTHE. l EC HA N ICW, 6 4 „L lit fiK,RESULT I t l l Q R' ` ' ' ► PPAYINGT'WIGE F R'BU�LWN1 1R$UEO AC,GORdINCa TO Ad,PRt?VEA PIANS WHICH ARE PART-OF THIS PEPMIT AND SUBJEC , ATIONIR CH AT#C?t� oflRP1 t»ICA 3LIr:1?Rt VJ€IO' IS L1 LAW. ' AT.Arvrlc 6 4CH Bt/1L6tNG[?EP,AI�1`MENr 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 I, 11, 111, and IV. 1 LOCATION Street Address: �f1 � OF Intersecting Streets: Between � /�'H/�/�-.-� And euiLDrNGf ,,� Sub-division �T 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 attaci�ed 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) ��.v f --'jV Master A Nome of , Property Owner Signatua of Owner Signature of or Auliwr'r:od Agent Architect or Engineer III. MERAL INFORMATION A, Type of hoisting fuel: B. IS OTHER CONSTRUCTION BEING DONE ON 15 I-Ebctrit THIS BUILDING OR SITES �) Q Ga—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 13 Oil PERMIT 0 Other_ Specify IV. MWHANICAL EQUIPMENT TO SE INSTALLED NATURE OF WORK (Provide template list of components on back of this form) k— Residential or ❑ Commercial d Meat ❑ Space ❑ Recessed entre) O Roof .New Building Air Conditioning: (3 'Room Gk�Contnl ❑ Existing Building &_Jwcf, System: Materiel 1);112-r"4 V ieknes• ❑ Replacement of existing system r-V Maximum capacity � �© ef.m. 0K.—New installation(No system previously installed) , 4 ❑ Extension or add-on to existing system Q Refrigeration ❑ Other — Specify — (Q Cooling tower: Capacity 9-P.M. Q Fire sprinklers: Number of herds C1 Ehivater ❑ Monliff (] Escalator (number) THIS SPACE FOR OFFICE USE ONLY 0 Gasoline pumps (number) (Raeelwl) 13To (number) Remarks Q LPG wMaineK (number) Q Unfired pressure v41W Permit Approved by Dalai Q Eeilers a O11lW _ Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENTJPSCJI� p pfflVilar Number Unite Description Model Number Manufacturer (Tbos)y ASOW 774 l it f Z t� d CITY OF Office of Building Offi al REQUEST FOR INSP CTION -�3 9 8 s-'6 Date Permit No. Time A.M. Received n _PMMj Job Addre s Locality 9 Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMG MECHANICAL Framing D Footing D Rough Wiring D Rough Air Cond. & D Re Roofing ❑ Slab L; Temp Pole D D He ting Insulation C. Lintel ❑ Final D /e er F.e Place D Pre Fab READY FOR INSPECTIO �' A.M. Mon. Tues. Wed. hurs. 1,10" r Friday P.M. V,Inspection Made A ` f S P..M. Inspector C Final Inspection Certificate of ccupa y I_ Date 0 ' bBRARTMENT OF BUILDING', 'TYOF ATLANTIC BEACH PENNIT rIFORNATIO- f INFORMATION -------- pet it Nut�brl; 4033 , Addre' sai '4gAc'ljc0x8R TRAIL Pormit Typo g FUHilm TIC BEACH,., M,GRIDA 32233 Cl*ou of Vb k s AIR --------- LZOAL» -At CRIPT IO)t, C r ertr T`yp r W0I3D I•BAft Lot: siod t: soctions Prowto d LI e i AUL E F*AM L Y Torn ship s BJI Ia Jr�i 11 ress L Cc► Subdivi6iowi , td YtLu `s >IxI� QQ tmp>rQv. Cost' I t 3Q Tots res471.+Dfl 00 .. ';, ' A I 'T,,109 FEi ' Addr*as z G +V Oyj aRvTRAIL I��t��� X-10%6t,, 16E ",fiAl LORID tollr sw RADOWIJAS *0*00 14, ER 40 RRR ITT W.MIX "RI' ko TAP", ,?ACK ,. �`L, 32207 NYDRALIL IC S AR9 Ifs* oo Types 0 RE-I RSPWT FEE wl ,,. IEC. a 1,1111PACT FEE O. 16feS: N©TiCE.w.At;L GbN+ IETE F©RMS AND FOOTINGS MUST BE IN„SREC7lI<o'lsFOiRE R©URiNG PEE MIT VOID SIX MONTHS AFTER DATE OF ISSUE SttilDlNf3 MATE,RIAI.,RUS$ISH'AtVD DSBRIS FROM THIS WORK MUST NOT BE P1�LACED IN PUSLiC SPACE,AND MUST BE QLEARED UP ANQ HAt1L:,1 AWAY BY EITHER CONTRACTOR OR OWNER `FAtttRE TE3 00MtY WITH THE MECHANICS?­ N LEEN .tA1PV CAlJt ” - `14E Pt�t ' i" " ` 1tW1y 1 SAYING TWICE 0O#iNIE.NT&:" r ' I$SUED ACCt RCSiNG .� A#�F'RQ1lEb.PLANS WH) ARE PART 4F.THIS PERMIT AND Tt) RE1/ N FOR � OLATI }N�'C f ARPOC�k'f��.E 'i t>1lt ION-$OF tat ATLANTIC r3EAOH E�Lti! DEPART CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: p�o�• J �E'.�'Cf/C U (' -c/ A�� PLUMBING CONTRACTOR: LICENSE NUMBER: OWNER: ';yel C y Xy�,4 rel BUILDING CONTRACTOR: TYPE OF BUILDING: SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS / DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT: + $15.00 = �/ ------------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. ik'3ZPAt�TMENT OF 8U1LlDINO CITY'Of AT BEACH ' Ifir,~R'At �__ --- - LUCATInN INFORMATION PERMIT .------ MBER TRAIL � Addrean't 2232 BE C3 permit 1umbsr Brit Trl I:�IL.1,It1 ATLANTIC BJIlCH. LIIIIIA 32233 C3a. � fcles NEW .» LEGAL. DESCRIPTION _�,. �___-_ Crit»�It�r. TYP;e' WOOD FR INE Lots 24 Biar» 'a. " section% # i rpc aet d ".U�e+ t" 'APIILY Tow nehip'x. F 'NU Q t r li mit z t Sul divi iomz. pCEARWALK Z mti*atwd V 3u, a 89 Csi'7012. 00 � �nprc r�. ► s' , $0.00 Total a #2620.9 s A otl 4�' *282,,0.,96 ei V"k J-Ex S1 LY RM910 gait ELAms ATION , 1 N N MAN PERMIT� 43-01,1.4 3 Ad�M�^���� 2MISE TRAIL WA JN FEE oo� fi 0.00 CH, 00l4I�+�c RAI CIN OAS-H14 R.S. X18. '7 L.Tt t�"� C. WATEIR TAS,., .. a U. _ A ..� Sao .. A�M " w.- EWER TAP JACK LL M±"l»oRlt?A 3211iDRA1L,IC `9HAE *0-00 Li~ '' 1 EE^INC` �` +C# "# . , I NP ` SEC.`N AC 0. NOTES: � E Notice--1ALL CdkCwE!aTE FORMS ANO FOOTINGIS MIST BE'1l+�tSPECTEp 99FORE POURING PERMITVOID SIX MONTHS AFTER DATE OF ISSUE" BUILDING MATE=RIAL,I:U$816.fi-A D DEBRIS FROM THIS WORK MUSTNOT BE PLACED IN PUBLIC$PAGE,AND MUST BE CLEARED UP AND HAi Li D AWAYBY 1THER'CONTRACTOR OR OWNER FA L;L1R :TCS COMP'tY W, ITH THE MECHANICS' LIEN ",CAN RESULT IN TME PR&01MRT 1 E ;F'l�►1lING TWICE FOR 81u�t:C3l�t 'i . �" t�'�l EN"L&" n . : ! 1l UED ACCORDING TO APPRCy1 :Pta4NS WHICH ARE PART OF THIS PERMIT AND 5 TO REV FOR, i tR IOIN OF-AP"F1.30`iABL 1=f�R. 31f1 It? Sof LAW. bow -. .- - ATLANTIC B " CH BUILDING.DEPARTMfNT BY: ' AddressHl -- =- Heated Square Footage 3 @ $ 13. 00 per sq ft = $ f i Garage/Shed_. _tel-/�� @ $ /X,06 per sq ft = $ V "7 �0,0 Carport�orc -� @ $ 0, 0 0 per sq ft = $ 4.1 .3 c, 9-0 0 Deck - @ $ s— per sq ft = $ _. Patio `"'— @ $ per sq ft = $ TOTAL VALUATION: $ 16 Total Valuation 1st $ OU ,) C)d. C) v 'ra $ � oV.Oo Remainder Valuationp4per thousand or / -----------------------------------tion thereof c/-------- Total Building Fee $ (� . d o ADDITIONAL PERMITS and/or FEES REQUIRED ; + k Filing Fee $ 3, 3 d 0 Mechanical ✓/ ,,� Fireplaces @ 15.00 $ Plumbing c/ BUILDING PERMIT FEE $ / 0 Electric/New Electric/Tem '------------------------------------------------- Septic Tank BUILDING PERMIT $ z Well WATER METER CHARGE $ S�vi.nming Pool SEWER IMPACT FEE $ lo :5s-, 00 Sign , WATER IMPACT FEE $ 00 Water Connection MISCELLANEOUS $ Sewer Connection ` $ W '96 Water Meter Elevation Certificate GRAND TOTAL. DUE ---------------------------------------------------------------------------------------------- CALC[JLATIONS and/or NOTES ,1 :'ROPERTY DESCRIPTION CITY OF Iftlaffe e Fwli - 57lou'�a iyR � y� s k @, i S d 71GUCEAN BOUI.EVARU at --------Block __ t section f +_ i Ll ATLANTIC BEACH,FLORIDA'223? 3ubdiv inion• �! �_k _ �1 i j,i 92 0 1 TELEPHONE(9'W)249.2„9" a ' din- , Street Name Z r %o OF WORK sr Address;-- ---- � �� ��K J•Aj If in a FLOOD HAZARD 'loud Zone: _X-_____area complete page 3. Brief Descriptions2-me."� Claes of Work: (New/Remodel/Addition)-_&e w/%_�, :ONING INFORMATION Type of Construottons_ :oning Proposed listrict----- I .Iflees_____ �"°r _r=;_' " � � Estimated Vslue i � o 0 ___ 'xceptions or Materialssr_ �` __ - --- -___ ariances Granteds---------------- --------- - -- Solid or Filled Jr; ------------------------------------------- Grounds_ --��--4 --Root: ----4° - OWNER INFORMATION /Method of Hastings_ Property Ovnert__ =?r 11� ---r1.=-i 1��..�•� r---r-r Phones � / -' 1 f Moiling Address ,� nU ------------- ,.---`----�-- ---,-........_..----------r---j-------------- rr CONTRACTOR INFORMATION Contractors__v4,�! Phones rrrrrrrrr rrrr rrrrrrwrrr Mailing Addreps s_ ,j _l -----------7`' ,,,,[[ rr--------------------- ta Ile- ----------------------- Zip-._ -? 1�----- Expiration License Numbers____ Ii�7 19 b D, Z L -_ ' - .,- ----= »..------------------ Date: --�=----- I HEREBY CERTIFY THAT I HAV[ READ AND EXAMINCD THIS APPLICATION AND KNOW TML SAME TO !E TRUE AND CORRECT, ALL PROVISIONS OF THE LAWS AND ORDINANCES OOVERNINO THIS TY►E OF WORT, vILL eC ?y�l COMPLIED WITH. WNCTHER SPCCIFICD HERZIH OR NOT. THU GRANTING OF A PERMIT DOES NOT PP.E UFE TO •r. OIVE AUTHORITY TO VIOLATS OR CANCEL TUC PROVISIONS OF ANY FEDERAL. STATE OR LOCAL PVL—r:;. REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING TUC GOVERNING OF CONSTRUCTION " TvE +'.1;f4 PERFORMANCE OF CONSTRUCTION OF THC PROJCCT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT I3 w�7�•.r' 'i• CONTINGENT UPON TUC ABOVC INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL B[ PROVIDED AS REQUIRED. t� Owner Signature ---_- !--- C. --------Date 1 IlkContractor Signature_ � _ '& ___Dote __ PRICE QUO APPLICATION FOR WATER AND/OR SEWER TAP � -74 APPLICANT —b_—__---.��'c-- NAME ---ze-- --- MAILING ADDRESS_61F,5 O--------- —z ---------------- PHONE NUMBER------------------------- DATE---------------------- , SERVICE REQUESTED-2-LC; `'_� _ s ------------- -------------- --------------------------- SERVICE ------------------------------------------------ n DATE SENT TODATE RETURNED PUBLIC WORKS__: C _—91 9/__— TO BUILD. DPT- ---------------- DATE ________________DATE OWNER NOTIFIED--------------------- s V .vJ f IJi":11-1 and, ZoigiIIg CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF ® SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) j ;2 WATER CLOSET _WATER CLOSET, TANK OPERATED (4)1/ VALVE OPERATED (8) O BATHTUB/SHOWER (2) URINAL WALL LIP (4) _SHOWER GROUP PER HEAD (3) 3 FLOOR DRAIN (1) `© SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) 3 I COMBINATION SINK AND TRAY (3) 3 WASHING MACHINE (3) 0 POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (2) ° ' KITCHEN SINK (2) DENTAL LAVATORY (1) _KITCHEN SINK WITH WASTE 3 DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) . URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH t. FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY _ ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) _ % LAVATORY, SURGEONS (2) 0 JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS 3�- @ $20.00 EACH $ �Q �o. ©V JOB INFORMATION _ Gk# .C)tI "- FLOODPLAIN DEVELOPMENT INFORMATION Type of Development s----s--=- t�;r� s_ "rk »�< ---- Flood Zones___-, ----------N_,_- Required Lowest Floor Elevations If building is located within a flood hazard zone, a survey must be made AFTER THE BLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be wade and no certificate of occupancy will be issued until the survey is on Yi.le with the Building Department, COMMENTSs Applicant Acknowledgements I understand that the issuance of this permit is contingent upon the . above information being correct and that the plans and supporting data have been or shall be provided as requited. I agree to comply with all applicable provisions of Ordinance No. 23-7-11 and all other laws or ordinances affecting the proposed development. Date— �#Y---Applicant's Signature_ WA0004,_ -------------------------..--------_----------- .----- . 1 Department Use Required Lowest Floor Elevation _________________ As Built Lowest Floor Elevation ,,,________________ Survey Filed with Building Department ----------- ---------------------6-------- Building ______-___--------------------=6-------- Building Department Representative page 3 FLORIDA ENERGY EFFICIENCY CODE CONSTRUCTION FORM 900-B-91 Sfo)BPILDING sidential Point System Method Climate Zones Ment of Community Affairs NORTH 1 2 3 PROJECT NAME '� L BUILDER: AND ADDRESS: "'� z3 2 PERMITTING CLIMATE 1 ❑ 2 3❑ OFFICE: ZONE: PERMIT JURISDICTION OWNER: rs..c TrJ ��� z/s,k,.� NO.: NO.: NEW CONSTRUCTION IF MULTIFAMILY,NUMBER OF CONDITIONED SQ. GLASS AREA AND TYPE UNITS COVERED BY FLOOR AREA FT CLEAR TINT,FILM,SOLAR SCREEN ADDITION ❑ THIS SUBMITTAL PREDOMINANT_ GLE- MULTIFAMILY ATTACHED ❑ ECK IF THIS SUBMITTAL QVERHANG FT SIN �FT SINGLE- PANE � FT REPRESENTS A WORST CASE PORCH OVERHANG DOUBLE-�1 {.® FT PANE [-]/ FQT DOUBLE-PANEFT SINGLE-FAMILY DETACHED CONDITION: ❑ LENGTH II!! ILif �_'1J NET WALL AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R = [�F°. ❑ .❑ F°.* i I ❑ J]). F7 ❑ 117 FE ❑ ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R = so FT Ell ,❑ 1 1 1) 15PFT ) l I s .F° ❑ m CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTIC R = BLY R = SLAB PERIMETER R = RAISED WD ON[IR = ol a so. L l FQ. � FT �FT DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATEP SYSTEM HOT WATER CREDITS IN UNCONDITIONED CENTRAL ❑ ELECTRIC STRIP EAT ❑ CEILING FANS LECTRIC SOLAR:S.F. ❑ m SPACE R = ❑ ROOM ❑ NATURAL GAS PUMP ❑ CROSS VENTILATION ❑ NATURAL GAS OTHER HEAT RECOL)✓I U ❑ PACKAGE TERMINAL -1 ROOM UNIT OR ❑ FUELS ❑ WHOLE HOUSE FAN ❑ OTHER FUELS DEDICATEDVERY(CHECK) AIR CONDITIONER PACKAGE TERMINAL HEAT PUMP: ❑ ,❑ IN CONDITIONED HEAT PUMP NON ❑ ATTIC RADIANT ❑ NONE SPACE R = ❑ NONE BAOIER NUMBER O E.F. _ EI-11 SEER/EER = �,� AFUEHSPFI MULTIZONE EF = .� BE ROOMSF = INFILTRATION t 7 _ /PRACTICE U D X 1�� _ 10 #1 #2 ❑ #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. I hereby certify that thla spa alio cover by the culation are in compliance th th Review of plans and specifications covered by this calculation indicates compliance with Florida Energy Co the Florida Energy Code..Before construction is completed,this building will be inspected �✓� for compliance in accordance with Section 553.908,F.S. PREPARED BY: DATE: BUILDING OFFICIAL: I hereby certify that this building is in compli nc it Florida Energy Code. OWNER AGENT: .0" —^'! DATE: DATE: a 0 ENERGY DATA SHEET •, FOR JACKSONVILLE, FL. NAME , - n. � �. 1 ..,���" c DATE zp � JOB ADDRESS �" `�-� Z ,.�"c`C EPI _ `' Z 1. Type insulation In walls R Value ////9 2. Type Insulation in ceilings Batt _, R Value 30 ,Loose Fili R Value Sky Lights Sq.Ft. Knee Walls Sq. Ft. —Note;No loose fill Insulation will be allowed on sloped callings or calling areas considered Inaccessible.. 3. Type insulation for wood floors. R Value f 4. Concrete slab edge insulation ? R Value i 5. Insulation R Value around ducts _ In conditioned space 6. Type heating system C' HSPF ` AFUE 7, Type cooling system ? SEER. 8. T e hot water heater? P Yp Ef. Heat Recovery Unit Solar Dedicated Heat Pump 9. Type glass In windows and doors OC ._. . DT SC ST 10. Type exterior doors? - W 11. Are the dimensions of all windows and doors shown? .4__ if not , provide this Information on a floor plan,elevation or In a schedule. 12.Size of the roof overhang? __ ✓', `�. 13 Ceiling fans in all bedrooms and primary living areas? N 14.Is a multi-zone A/C system to be used? 15.Cross ventilation in main bedrooms and primary living areas? /V 16. Is the building oriented on the plot plan with a compass direction ? U 6, If not, draw in on the plot plan. 17 Is there a whole house fan (attic-type fan with CFM Rating of 3X the conditioned floor area)? -� 18. infiltration package # 1_? # 9 # 3 19. Attic Radiant Barrier? - (See 9-E), 1 certify that the above is the correct data used to calculate the EPI on the ner Forsub tted,and will be incorporated In the subject job. • Signed: 1 - .. . 'I 5 ILA. 1947 LAWS AA/�C0 t'ORr M. fs 713.13 *V411w of 0MMUWnrt*nWnt tt fahm it tn�tttYlC The undersigned hereby informs all concerned 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.....Lot«.24 t..«Unit 1, Ocean Walk «.«........N....».........«........ _. 2232 Beachcomber Trail ....................«.««..«....«......M..N.N.«N... NN«q..N.N MWM.N.N«...WM«N....».««.«N««N.M....N«..«»...«.«.»w.«....w.... »«.. .....w ........................................N.«.....N... ��,?. is Beach, Florida....13............13.... ..».« «........«.«...NN.« ...N..«.. «..............................NN........«........................«.......«««.«.N.«....................»...................«.......NN.»««»..»..N..............NNN. Genera) description,of ...... .........................................................N........«..N.N.................................«........................ ...«.........»...N..... . . Owner.......JQf f r.Q.X...E114zLAct ...................................................«,............I..............«...... ......13..13......... Ae 733 ,Driftwood,«Circ le„Ponte«Vedra,NBeachj,. Florida 32082 Owner's iNered in as of 16 kwrovemW....».....Fee Simple...N....«»»...........N.... . F" Simple Tide holder (if cow than owner) Name.,............I................................................................................................................«..................... .......«..«w....ww.N.. .....N.»....w.......r.. e�..«..Nw.....W...«N.N..N.«........«...NNM.N.N..N.M.N..N«.«.............. ..»«.N....«.................N..N......NN..N..«MIN Contractor•.....Whi ebur t, Builders.,.»Inc:....«N....N...................................«..«...«...«.»....» «�NN.N Addru.....,...., 5850 Macy.,Avenuer Jacksonville, Florida 32211 ...... ANN .« ........N.............N..»..N»...N...NN..«..........................«.............N.».««..N..........N Suety (if anY).. ....N..».....N«.«..........NN..N..NN«.«.«.............N..N».N..«........................................... .....«.. �dreii«....«.««..«.........«.«.N.........«.N.....N........N.N.............«.......N.«.».................N.N«..«............N........MIOYIM of bwj =..N«. .N»........ .. Name of persoe within the Stele of rwide &dpwod by owner upon wlrona natiost or a"dooms navy be served HaNne.........» .....NNN..«.«N.«N.NN.«.N.NN«.N«N.NwN.NN....M«W....N.««N.«.................... '«I Address...................«..«N............«..............NN...».N......«.NN.N..«N«......................«...»..«...........N................. «...».«..« ...N.N««..«N... ... In addition to himself,owner designates the following person to receive a copy of the Liano's Notice as provided in Section 713.13(1) (F), Florida SWUM (Fill in at Owner's option). Noffle........».......N.....«N«....N«N.».NN«N«r«««N...N«NM.N.NN.«NNNN.M.N.NN«NNNN.«.«NNN.N..NM...MI«.N«.N«.NN.«..M. .N.N....w.......N..N.. .,gess..............N«........».......N..................««N.......«......N.....................«..nn.....w......M.....r..�u.....�.���____ TREE REMOVAL SECTION A Property Owner's Name Address Telephone 2. �v 71- z Ll- 1 e-P1 tt Location of Tree Removal/Site Alteration SECTION B (To be completed by applicants whose property is zoned residential, includes an existing dwelling,and which is not presently owner-occupied) 1.What changes are proposed to the above specified site? /10 Nw ,, ti, / e e ft -4 s" /7Y�",, � c4w, 2. What is the purpose of these proposed changes? 3.Specify trees proposed for removal as follows: TREE COUNT SPECIES SIZE(DBH x HEIGHT) CONDITION 1 Igo ko L 4.Will these trees be relocated on the same property? 5. If not,will replacement trees be planted? IV L2 6.Specify proposed replacement trees as follows: TREE COUNT SPECIES SIZE(DBH x HEIGHT) 7.Attach site plan. (SKIP SECTION C AND COMPLETE SECTION D) SECTION C (To be completed by all other applicants) I.Site zoning: 2. Required attachments: Site Pian indicating: (a)proposed structures (b)utilities and utility accessfeasements (c)vehicle ingress and egress corridors (d)staging areas for equipment and material storage (e)location of signage and posting of permits (f)type and location of grade changes (g)all alterations to natural drainage pattern (h)temporary tree protective barriers (I)location of sprinklerfirrigation system(commercial only) Tree Survey indicating: (a)all trees with a DBH of six(6)inches or greater (b)species and size of all such trees (c)all trees of special or unique characteristics (d)each individual tree to be removed (e)each individual tree located immediately adjacent to construction areas (i.e.,construction occuring within area of dVine or within 10 feet of stem) (f)all trees to be relocated on same site (9)Pied replacement trees (h)description of tree protection4mervation measures (i)schedule for Implementing protectionWeservation measures Q)landscape maintenance pian(commercial only) SECTION D 1 agree to abide by the tree protection practices required by City of Atlantic Beach Code of Ordinances. U�' f . d: , A [ S'o Property Owher Signature Date 4 FOR CITY USE ONLY Applicant has been Issued a tree removal permit and has complied wall rods ons lim�tjti�r�s Rrt'qed ' � ° $HIM".ed Tree em 'v� nPYO��t ��� '99" Date � � "I � ;�n<��' ' ��..��� ate 7, Community Development Director, , Date (Required prior to issuance of Certificate of Occupancy) NOTE: Refer to"Tree Protection for Builders and Developers"available at City Hall or contact Division of Forestry,8719 W. Beaver Street,Jacksonville, FL 32220,904-781-1434. CITY OF 4,4"4:0 QeaCA-441144ta Office of Building Official / _ REQUEST FOR INSPECTION Date Permit No. Time -� Received P]yf .- District No. 22_3� Job Address /f !� Locality OwneNawo Contractor DING CONCRETE ELECTRICAL PLUMBING MECHANICAL ra Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& O Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating y `� Lintel ❑ Fire Place ❑ .irzSa� 7/prr �Q Pre Fab READY FOR INSPECTION Mon. Tues. We4 Thurs. ,r da Inspection Made C(j P.M. Inspector Finallnspection❑ Certificate of Occupancy Date wraffir #�e of (�rru�r xtr CITY OF �ar�6cC �cack• �to�da Erva tmpn# of loixtibing 311jappr#iun This Certificate issued pursuant to the requirements of Section 149 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification Bldg.Permit No. Group 4E= Type Construction :,1�� Fire District- Owner of Building ;.Address,... Builling Address l-ljt i By: —�---- Building Oficial Date:_ POST IN A CONSPICUOUS PLAC[ AF 141328 MAP SHOWING SURVEY OF LOT 24 DCL'AA lAULK 11311r ONE Recordsd in Plat Pook.. At......... ......Ptb& Rom* of Dxval Co., Fta. or:-.- LFJ 9.99, ',E1�1..r-9Z ..L4.MAN LX02 D R. L. CROASDELL & COMPANY NOT INC. o Denotes Iron .—x—x— Deaotw rsaa CIVIL ENGINEERING 6 SURVEYING P.R.K. D'tt° 11 r'rt"M R.ct»ue.f1o"ttawat 429 East Adams Street • Jacksonville, Fla. Scala r= -30................ CERTIFICATION: This is to certify to Jeffrey E. and Maureen T. Michelman, American Federal Savings Bank of Duval County Florida and Ticor Title Insurance Company that this survey meets the minimum technical standards for a boundary survey as set forth by the Florida Board of Land Surveyors, pursuant to Section 472.027,Florida Statutes and I further certify that the property shown hereon lies within Zone X as delineated on the U. S. Department of Housing and Urban Development Map No. 120075, Pane 0001 D, effective April 17, 1989. I �- SIGNED:----- Florida Registered Land Survey o. 708 NOTE: Corners are 112, iron pipes, foun in place, unless noted otherwise. _ .. .. ( 5.85°35'08"E. 129.49D eZ 0 0 � � 0 1: I � � n 15.1' tp;�ti�/' '�?• . .. � the o~c � R Q � ( v � ','• h• 4 h ;V ?• h N g ? .i' .+27.8 4 N o �. V :t h Q N do n «. oC is 10: CL Q � � I ►' t.a• N I � � Fr•,s•9 nn39 � N 2S�—tl � cri cc I At 85'35'08"W. 133 32' 1 � Z� �.