Permit 1947 Beachside Court CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00028776 Date 7/30/04
Property Address . . . . . . 1947 BEACHSIDE CT
Tenant nbr, name . . . . . . REPLACE EXISTING HVAC
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
JOHNSON, GUY OCEAN STATE HEAT & AIR
P .O.BOX 330706 1476 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 249-8251
--------------------------------- -------------------------------------------
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.
C .
B ILDING OFFICIAL
Jul 30 04 M07a Ocean State R/C 904-249-8848 P. 2
C11"Y OF ATLANTIC BEACH
RMIT APPLICATION
ME CHANICAL PL
.04 Date:
Pi-opert), Address*
Owmr:
Tclephone
colltractor--Dcp-�_ea n67-ML V.J*. 'W __ 11
rc
17
Colitmicto.? Address: L41(Q.
T1 I C.Wor us
In ofpurillil givell jbf doing du%,criRd -111v aR V.. alt'llwil.Nvc iw.it;m wrm w Ito kPi'm W(,Tlt
with ilw.aituched lilalvi u0cl art;j pun heretA",111d iii will,lilt:Cil\ (1i'AdariliC.JiCaUh staii(itirdy.of
TylK orl-katilig Ftlul- 1i other covitTu(Onr ii b6ii-'done on tiii I
01-Sile,li!;L tht buildint-permit rainiber;
U C.;k"s! —Natural —CCnTal 1 Affil'y
zi Oil
0 01h.sr- S13C.UiLv—
MECH ANICAL EQUIPMENT TO BE INSTALLED NATU tf OF WORK
T�eat Space Re(;e s s e d 16-telln'tral Floor
Air Condi tioniiig: Room
0 Due, SySleill: IVIdlivial
Maxiniu� wpacitv din Ncw-Building
U Coobrig Tuvv. Capaeil-� gpin
0 Fire�Plririklers� Number of Read�
0 Elevator: Marilift —Escalator zi rpiazenient oflMsfine S'VS1011
ps__
Tail k,s NtiriibtT)
(N umber) (No systern previous)y installed)
u litifitrud Prersure V ersel ExicxWon or Add-oti%L EX39tillj�SVy0fM
0 Boiler%
0 Gas Piping 0 Other-Specif�_--...
0 Other- Specify-
LIST ALL EQU—DIWNT
Aj)j CONDITIONING,IM17HIGLRATION EQUIPIALKI
Modal It Mwitahtuirc-. Agency
1JEATING-PkI.RNACES.J110ILMS.FIRE MACER AIR 11ANW-URIS Approvitig
Nutnbo-Units Descripijoli MudO 4., MUMUCLum-, DTU's Agvoy
s
Type Liquid
Dimensiom' 6olitaillcd ManufaLmwn
ZjQU Sciiijunle Ruid- Atlauciq:Mach. Florido 3.'�'33-5445
(904)24?-:5800- Fax- (904)'�47-5845
A D
" DRESS
BUILDING PERMIT NUMBER-
INSPECTIONS FOOTING
SLAB,------L
COVER lJP,-,-,--".,.----
INSULATION,
FINAL BUILDING
CERTIFICATE
OoL W4,I
ELECTRICAL PERMIT *-�t-L-1--.------ -1FW(+L
INSPECTIONS ROUGH_
FINAL
MECHANICAL PERMIT
PLUMBING PERMIT
NOTES:
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 05-00030372 Date 5/18/05
Property Address . . . . . . 1947 BEACHSIDE CT
Tenant nbr, name . : ' * ' * REROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 9955
Owner Contractor
------------------------ -----------------------
JOHNSON, GUY ROMANO ROOFING SERVICES
P.O.BOX 330706 P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-5649
------------------ ----------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 120 . 00 Plan Check Fee . 00
Issue Date . . . . valuation . . . . 9955
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120 . 00 120 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 120 . 00 120 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address I q 1-i I— k3 u<�ws-tgw C-�j-
Date
Heated Square Footage @$ L,_L, per sq ft= $
Garage Shed @$ per sq ft= $
Carport Porch @$ per sq ft= $
Deck @$ per sq ft= $
Patio @$ per sq ft= $
TOTAL VALUATION: $
3!�; $
Total Valuation ist $ I&"
bog s-i�- $
Remaining Value per thousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 9 (-,)
ZONING: + 1/2 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 .0050 $
SECTION H PAVING ( ) $
HYDRAULIC SHARES $
CROSS CONNECTION $
ST( ) SURCHARGE $
OTHER $
GRAND TOTAL DUE: $
CITY OF ATLANTIC BEACH Cc:
BUILDING ZONING DEPARTMENT C--L- gim-7
S. Doerr
800 Seminole Road
A I c Beach,Florida 32233
t anti
(904)247-5800
(904)247-5845 Fax
www.coab.us
MAY' e20 t'
PLAN REVIEW COMMENTS
Permit Application # 2�-a-71�, Cl
Property Address: 19 LIT-
Applicant:
Project:
This permit application has been:
El Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: Date:
Date Contractor Notified:
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
NIS)
Date:
Job Address: 9;CQ ct��l 4;C Q 17 -
Owner of Property: gy�j q0H4Ce>VN
Address: 16iql Telephone:
7
Contractor: qlmfll L-A -T(QICC State License Number:
Contractor's Ad�ress:,2(-) pi�nabo- b(?X� IL
Telephone(qW ) - C5�A� - Fax: qCA - 7-4-Vn
Scope of Work:
Deck Slope: Greater than 2:12 Less than 2:12
Valuation of work:
Product Name(Example: Timberline): ai rylccr
Manufacturer(Example: GAF): G1
ASTM Designation(s):
Required Inspections: Sheathing and Final
,C)
Signature of Owner:26�2L/./- I Date:
---7
Signature of Contractor: Date:
AS TO'OWNER:
Sworn to and subscribed before me this day of IM0 ---�1200S .
State of Florida,County of Duval
Notary's Signature:
El Personally known
El Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this (-0 day of k- 20 t)
State of Florida,County of Duval
Notary's Signature:
Personally known
D Produced identification
ELAINAROMANO
MY COMMISSION#DD357393 Type of identification produced
�;-XPIRES:Septanber 23,2008
F1 Nwy Ois�t Amm.CO
ole Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.ei.atlantic-beach.fl.us
Page I Revised 2/21/03
CITY OF
4t&^& BeacA-116sa-
office of Building Official
REQUEST FOR INSPECTION
Date
Permit No.
A.M.
Time
Received P.M. Dist
z�� �/
Job ress Locality
O=r"Is
N Contractor
BUILDIN G CRETE ELECTRICAL PLUMBIN MECHANICAL
Framing 0 Footing 0 Rough Wiring 0 Rough El Air.Cond.& 0
Re Roofing 0 Slab 13 Temp Pole L" Top Out Heating
Lintel 0 Fire Place 0
Pre Fab
READY FOR INSPECTION
A.M.
Mon. jTues. Wed. Thurs. Friday.p.M.
A.M,
inspection,Made
Final I t
inspector n s eft�, ........
=Gertlfjc��ae of Occupancy
P"
N T R11wwPm)17
ATLANTM
PEjtMj
T INFpRMAT;Q
194 A
Addre
Per, t, Type
�'VRACU. PLO,
;R DA 32ZO
----------
DZSCRI P1 �697
Close rk ri
d6natro Ty,Pel- W, 1) FRL
Lot 19
011ock It S 0� oti on:
f �:aximt FAMILY
RNG 1 0
A Codl�i 0
Subdivision; REACHSIDE
*147515 00
apro-0. Cost's
Totsl Fo#wt I
Iq 000
JIG
Work �W S-11 LE FAIIILY RESIDSNCF-., Pg* PLANS
-V
"ATIO APPLICATION FEES
Ao RM
140HN ON PE IT
WATER IMPACT FEE *550.00"
�6
kip IRP4
caf ft� I icTv' FEE
���V: `0#0A
GAS-14, it. S.
-- ----------------------
22
------- 5%, 40.43
ORnATTIbm OA
0 AS
Names. R WATER: TAP *0. 00
L
Add�rolls I SEWER, TAP 00000
A t4"A �8 VLL 32233 'HYDRAULIC SHARE $0. 00
T
y0'e t I RE-INSPECT FEE ".40, 00
K_ SRC.:H IMPACT FEE
SIP
0
"o,..........
NOTES:
:2
NOTJ
CE:
ALL Rg -fo AND FOOTtNG"UST StANSPECTEDZEFORE POUIRIttOx
�PERMIT,V, 010 SIX MONTHS AFTER DAITEOf,ISSUE' �
-IMATER I FROM THIS WORK MUST,NQ BE PLACED, N,,PjJSL 'MUSTJ
4AL RuaajSHANDO�pAtp T IC SPA!bE,)Wb -BE- -
P A14D�HAULE:, AWAY'BY EITHr;R'CONT ACTOR OR 0 R
LJEA ED'U R WNE
-,N'LAW CAN RE$U
T )",C01M PL
LURIE -M , : , — �11 4 � I � ' �
7� . ,THE MECHANICS$ Lit, 1N
pf
TH191 0 Moia'a P4 I NW, ROVE1
ar 0 *1 0 orwiet FOR4.0
160ff LID, ...........
issu,
ED A6,COA61, Al"PR ANS WHICH ARE PART 0 'T
NO To' , OVEDPL F THIS OER, 1 . AND SUJSJ
Sow-
J
IOLATIdkof.Af�
,P ROVISIONS CF LAW.
E
ATLANTIC:SE-A H:BUILDINGDEPARTMENT
6
WA
V.krrtif iratr of
CITY OF
Man& &OA- Ma"
Nuilbing 3napprtion
This Certificate isstied pursuant to the requirements of Section 109 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 followin,".
Use Classification 4-",uO
Bldg.Permit No.
w/frav,iAt
Group Type Construction j
____Fir� District I i_�l J C C 11
C e a C I
Owner of Building
dt Liu ir
Build��dress (�A_l C 11 "i
By. F!'u r d
19,
Date:
POST IN A CONSPICUOUS P"Ca
1W
Address. t F-A<-(t jQ IL
Lt 7
rL er sq ft = $
Heated Squarp Footage @ $
Garage/Shed -J. 0 (2-:)_per sq ft = $ 3
Carport/Porch $ 4 per sq ft - $ 61.5 2-
Deck @ $ 6 per sq ft - $ q
Patio per sq ft = $
TOTAL VALUATION:
6
41 7j.
Total Valuation ist $ 211 G,
Panainder Valuation �,3. per thousand or
portion thereof
------- ----
Total Building Fee 6, 01
ADDITIONAL PERMITS and/or FEES + 3k Filing Fee $ 0
Fireplaces @ 15.00 $
Mechanical BLmDiNr, PERMIT mm $
Plunbing
Electric/NeKq
Electric/Temp
Septic T&+ BUILDING PERMIT $
WATER. MOM CHARGE $
Well
S,.dmTdmg Pool SEWER IMPACT FEE $
Sign WATER DTACT FEE $ ��-C
MISCELLANEOUS $
Water Connection //:3
Sewer Connection
Water Meter
Elevation gertificate GRAND TOIAL DUE $
----------------------------------------------------------------------------------------------
CALCLILATIONS and/or NO=
CITY OF
?ROPERTY DESCRIPTION
l*(4oMc Ve"*lf - 5�ejaa
7160CEAN BOULEVARD
.at *--Iy...Block #........Section #........ P.0.BOX 25
ATLA?MC BEACH.FLORIDA 32233
;ubdivision: TFI
-----------------
t tP
;treet Hame
. DESCRIPTION CW,�yo x -
)r Address I
If in a FLOOD HAZARD
*load Zone:....x--------area complete page 3. Brief jUj
lu Zoning
Descriptions..................
Class of Works
(Now/Remodel/Add i t ion)
:ONING INFORMATION
Typo of
Constructions__-Z-L Z!�--------
:oning Proposed
listrict:.........Uses.................... Estimated Value $--
_L
:xceptions or Matorialas
ariances Granted&................
So 1�id)o r
0
------------------------------------------ ad
Grounds-------------Roofs
OWNER INFORMATION
Mothad of Heatings_Z�6f7
Property Owner ------------- P h a n 9--:--1 22L_
Hailing__P0 ?v
Address ------E ni 06 ----------------------------
--- ----------------------- Z i p 3 -------
CONTRACTOR INFORMATION
----------- Phonesc
Contractor
Hailing --------------
-- ------------------------
Address I
z----------- Zips
Expiratio
License N u a b a r --------------- Dates
2�
I HEREBY CCRTIFY TUAT I MATZ READ AND EXAMINED THIS APPLICATION AND KNOW THC SAME TO BE TRUE
AND CORRECT. ALL P*ovIzzoxw or THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE
COMPLICD WITH, WHETHER SPECIFIED M9RCXU OR NOT. THE GRANTING or A PCRMIT DOES NOT PRESUME TO
GIVX AurmonITY TO VZOLATS On CANCEL THE P*ovissous or AMY FEDERAL. STATC OR LOCAL RULES.
RCOULATIONS, ORDINANCES, Olt LAWS IN AMY MANNER, INCLUDING TNC GOVERNING OF CONSTRUCTION OR THE
PERFORMANCE OF CONSTRUCTION DIP TUC PROJCCT. I UNDERSTAND THAT THC
ISSUANCE Or THIS PERMIT IS
CONTINGENT UPON THC ADOVC INFORMATION 11ZINO TRUC AND CORRCCT AND THAT THC PLANS AND SUPPORTING
DATA HAVC SCCN ON SMALL- 89 PROVIDED AV REQUXREO.
I Owner Signature ................................Date............
'to
Contractor Signature _91'L10
CITY OF N2 4778
ATLANTIC BEACH
FLORIDA
NAME
ADDRESS -7
32 2 3�3
CITY— �2t Ae 4 t Z/,L
/I(':evax) 7- 0 —,3 d� 9— 0 66
When Signed, Dated and Numbered, This Becomes an Official Receipt
MAKE CHECKS PAYABLE TO Received Payment
CITY OF ATLANTIC BEACH, FLORIDA TREASURER
5-7
CITY OF ATLANTIC BEACH,. FLORIDA 14 1 r-t
Approwd by --] APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 13 1991
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.
ELECTRICAL FIRM:
MQfjR ELECTRICIAN ATURV JOURNEYMAN
NAME-q; W-91 2f)I)dq(n ADDRESS: 14418CM�o id- (ZT RFD-BOX
BLDG.SIZE BETWEEN::�>��I r)o le?fx�rh 'Acl +7&lc4'b.lclrz
RES.(z APT.( COMM.( I PUBLIC INDUS. NEW( ) OLD( REW.
ADDITION TRAILER ( TEMP. ( SIGNS ( I _SQ. FT.
SERVICE: NEW(\41' INCREASE ( REPAIR FEE
CONDUCTOR SIZE AMPS CQ00 COPPER ALUM.
SWITCH OR BREAKER c::Q0 0 AMPS PH 5_W a3JVOLT CX�bl RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0-100AMPS. F_0VE_R __
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS -H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS ,
MISCELLANEOUS
DATE c)
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY:
Z_"2'
-------------
------ ---------------- -------------------------------
-------------------------------------------------
-------------------------------------------------
-------------------------------------------------
SINCERELY,
BUILDING INSPECTION DIVISION
cc:FILE
44 8
40
CIT!eOP ATLANTIC BEACH
MMIt INFORMATION ------�'WCATION INFORMATION
`4 B9ACHSIDE COURT
Oor*it Number f Addr*s*,,t,,'l, 47
' INS FLORIDA 32233
,mit Typei PLO 8 .ATLANTIC BEACH#
P*r
'GAL DESCRIPTION ------
LE
*on of wo"r tv, �
Cl
c
po
Ty WWD VRA�MZ
G tr Lott alloolt t So tion:
Tqvinabip�v RNG:
iPi�apaeod ,Ummi 1SINdLt FAMILY,: :
"jovol 10,90 Codit I Subdivjmlorii:��,BiACXSIDS COURT
UwiWk*t*dN*lu*%
laprov. Cost 1,, 00
050*00
*5o,no
Dat
SINGLE PA41LYI ReSIDERCE
rk Do OnG in NEW
ATIOM�, APPLICATION FEES
PERMIT $50.00
Mgt
WATER-XMP CT FEE
A
009
FLORIDA �4�32 IMPACT,,,FEE: h-p 00. 00,t
Pb #1*
41
RADOWSAS 'H - S.
40.00
RADOM $AS
WATER TAP, #0600
ROL": It.
00
A-
........ SEW
"ST "T
A
'00,00:
HYDRA I SHARE
JlAcx� LLZ,*, 11FL. ' 32211
CO2 ly'�v: 0 RE-INSPECT FEE
SEC.,ff JMPACT� FEE Q;O
1061
NOTES: ,
dONCOOR FORf;S AND FOOTINGS MUST OWE,INSPICTED SSFORE POURING,
PIERMI'T VOID,SIX MONTHS AFTER DATE OF ISSUE
OUILOING-MATIERIAL,RUBBISH AND DEBRIS FROM THIS,WORK MUST
NOT BF,PLACED IN PUBLIC SPACE,AND MUST BE
4AU 154 -0
CLEARED: A' ITkER CONTRACTOR A OWNER.
Of)NO H L D AWAY BY 15
FAILURE TO"COMPLY.WIT TRE MECHANICS�:�'L.I�EN',.LAWCAN,,�RESULTI IN '
Mit
THE P" im ONG IMPAOV�. N
E' -O"APAYING TWICE FOR 13UI
VXTIATIM ) XIM
-:ISSjJIE0 ACCORDING TO APPROVED,PLANS WHICH ARE PART OF THIS PERMIT AND SUBJJ&jfi RF-VOCATI
"VIOLATION APPLIC E PROVISIONS OF LAW.
OP
AYLANtf 'BEACk 13UILDIN DE
C NT , :
y
BY'
NTIC ..BEACII
CITY OF ATLA
APPLICATION. FOR PLUMBING PERMIT
J OB LOCATION
No
ING CONTRACTOR
PLUMB
LICENSE NUMBERS
OWNER
1A11
�UILDlNG CONTRACTOR
�. TYPE OF BUILDING
SINKS
SHOWERS
WATER HEATERS '::%
LAVATORY
BATH TUBS DIS1114ASIIERS
URINALS DISPOSALS *
CLOSETS MACHINE
WASHING
FLOOR DRAINS
OTHER
—o"T
4
I)
TOTAL FIXTURE COUNT
C)
Qv
'�;�'INSTALLATION OF PLUMBING AND ' FLXTURE,S MUST'i BE IN ACCORDANCE W I T11
-js
-'%-,!1n.T11E MOST RECENT-EDITION OF THE SOUTHERN ,STANDARD PLUMBING CODE ,
.CITY OF ATLANTIC BEACH, FLORIDA
Apwo"dbv APPLICATION FOR ILKTRICAL_*RMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:, /0 -_17
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.
ELECTRICAL FIRM: 70issfig iLiciraidiks siamaugE &URN]EYMAN
NAME_ ADDRESII:..� f -RFD. Box-
BLDG IZE BETWEEN: ��Xl 1 4
REJ. I APT.I I COMM.I I FU .1 1 INDUS.I I NIEW OLD( I REW.
Mp.7ADDITION TRAILER TE I SIGNS _SM FT.
SERVICE: NEW INCREASE I REPAIR FEE
CONDUCTOR SIZE AMPS(�(__.). COPPERf ALUM.lij
MTCN OR BREA PH W --"'-�ovo
KIN Nn Ly _RMEWAY
EXIST.SERV.SIZE AMPS [ I" W VoLir RACEWAY
FEEDERS NO. SIZE INO. size NO. SIZE
LIGHTING OUTLETS CONCEALEDI OPEN TOTAL
RECEPTACLES CONCEALEDI OPEN TOTAL
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED I oven
APPLIANCES I I I BELL TRANSF.
AIR M.P.RATING MY.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT:l KW-HEAT
. I I I ! I
0-1 OVER
MOTORS M.P. VOLTAGE PHII NO. I ILF. VOLTAGE PHsi
7 0
MISCELEANEOUS'
75�4-5 5-7-?
CITY OF ATLANTIC BEACH, FLORIDA
Approvod by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:—
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
\A (lov-n�22014
ELECTRICAL FIRM: -M_A.2f!R ELECTRICIAN NATURV JOURNEYMAN
NAME kp.Li 2f)I'Jde(-S - ADDRESS: RFD—BOX—
'Acl +'-�c�bjc,(q -Or
BLDG.SIZE BETWEEN:L �'")l '0 la -
RES.Wf/ APT.( I comm. PUBLIC I INDUS. NEW( OLD( REW.
ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ) - SQ. FT.
SERVICE: NEW04/ INCREASE ( I REPAIR ( FEE
CONDUCTOR SIZE AMPS 1--Q00 COPPERf I ALUM.
SWITCH OR BREAKER l=P0 0 AMPS PH .5W C93JVOLT- (Ld b It,RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
iEEDERS NO. SIZE INO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALEDI OPEN I TOTAL
RECEPTACLES CONCEALEDI OPEN] TOTAL
0-30 AMP 31-100 A
SWITCHES
INCANDESCENT
FLUORESCENT&M.V. J—
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF7
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
'r0Akl0Cnl2FLAC0Q- iirdn;:nannv OVERGOOV-
09PARTMENT or 13
CITY01F A -IC�8 CH-,
TLANT
14FORMATIO1 -------- --LOCATION INFORMATION
Addiesug V9147, OEACHSIDE COfjRT,
'1111,114
:4MANTIC BEACH, FLORIDA 32233�
a
�:�-Wo NEW
rk DESCRIPTION
'LEGAL i --------
Y$ A
Lott �.Siock:
Section
U
Amuv
Townshipt Rua: 0
de'l 0:
Subdivisi n
BEACHSIDE
*0.00
Total", f
' ''00
$696: 00
HEAT AND AIR IN,
NEW, RESIDENCE
------- 0IRMATION APPLICATION, FEES ,
PERMIT $69.00
WATER IMPACT FEE $0.00
EE
r.,H" FLORIDA- S)ROUR IMPACT F . 00,
33
'1X
b6
j
R g AS,_It 11 S.
ROOM GAS 5%
$0,00
A T I NPORi4tION
4
WATER, TAP
,SEWER,,,TAP
Addr*sft
JAC ILLE AFLORIDA 3222!
R'YDRAULIC SHARE 00.00
7 PEE 00
SEC. H 'IMPACT FEE -06.00
NOTIC —A CONCRETE POR1101SAND FOOTINGS MUST BE INSf*EC-*Eb BEFORE POURINQ
ILL
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
MATERIAL,AU 88
ISH ANo�,(*.ojq:Is FROM THIS WORK MUST NOT BE PLACEI)IN PUBLIC SPACE,AND,MUST BE
: .j'r,":CLEARED 0PAND"'HAULEor AWAYBY,.�:eif.14ER t
_CON' RACTOR OR OWNER,
"ILURE'TO
=*PLY
WITH THE MECHANICW LIEN LAW CAN RESULT
N
'R",� 1N
OWN,)
M CE FOR SUILDIN 61 VEMENTS.
Tnu lwtvr
iiiiiw iCCORDING TO'APPROVEO'OLANS WHICH ARE PART OF THIS PERMIT:AN
D,$UBAMT-0 REVOr A R
N OFrAPPQCA 'LE�PR �!�j
:VIOLATI ON$:&LAW.,
WIPT WMt MINI
BUILDING AND ZONING INSPECTION DIVISION
C17Y 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:
LOCATION
OF Intersecting Streets: Between And t
BUILDING
Sub-division
II. IDENTIFICATION — To be completed by all applicants.
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
with the attachpd 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 MochanicaL Contractors
Contractor I Master
Name, of
Property Owner
!=of Owner Signature of
izod Agent Architect or Engineer
Ill. GMLUL INFORMATION
Is-
A, Type of hooting fuel: B.
IS OTHER CONSTRUCTION BEING DON4 ON
ljl�Electric THIS BUILDING OR SITE LA Ii.,S
E3 reas-(3 LP (3 Natural 0 Central Utility
IF YES. GIVE NUMBER OF CONSTRUCTION
C3 09 PERMIT
0 O*or,—Specify
IV. WICKANICAL L9111,1111111MININT TO 16 INSTALLED NATURE OF WORK
(Provide complete list of componssalls on back of this 11o"n) Residential or El Commercial
'I!i,- meat 0 Space E3 Recessed ')"nflilil 0 PAW �>e,,,'New Building
Air Conditioning: 0 Room A�Control 0 Existing Building
E) Replacement of existing system
Duct System: Material Thickness.—
-jZ New installation(No system previously Instatled)
Maximum capacity cl.m.
0 Extension or add-on to existing system ID
Refrigeration 0 Other - Specify
C) Cabling tower: Capacity
E3 Fire sprinMers: Number of hiss
Q Glwatw 0 Moslift 0 Escalator—(number) THIS SPACE POR OFF= US111 ONLY
0:Gasoline Pumps -(number) (11te"I"d)
0. TerAs .(number) Remarks
(3 LPG contisino (number)
0 Unfired pressure vis"
Permit Approved by
Permit Fee
b Other - SpocifY.
Wr ALL EQUIPMENT
AM CONDITIONING AND REFRIGERATION EQUIPMENT
capedty Aprwbg
NUMberlUnits Deftription Model Number icaftufactu"Ir (TO1111111) Age=W
C�Qt10' 71SR44 7t, UL_ a-D
4o7-
191 0 A-)
TREE REMOVAL
SECrOH A APPLICATION MUST BE RECEIVED By MOON OF THE WEDNESDAY BEFORE THE MEETING:
AcOmy-Owners Adch
'/ T*MphX*
LOW1011 d Tree Rwovo I Oft AbWm
SECTON 0 (ro be ConVhftd by WF It,0 U..A-PMP"k zoned rnUwft kIdLkjn
On W"V 6NOft Wd~ not prosw*
2.Whot 18 ft PINPO"Of#wn pmpowd dwWo
3.SPOCRY km pmposed*W removO n b1M.*
TREE COUNT
CA)Nornom
4.WN#wn Um be robc*od on to m"pM~
5.V nK wN Mbmnwt Wn be pbMW "All trees to 01 each
jr
rnj ni 1. M
a
tte. rPL',,
3,
site clearing and place during
ALL phases Ot construction."
spwuy f-w-pbs-ow- Im"!be" talc
TREECO)UNT SPECER8WEfMxHE1W1D Tree Remo .21 Approved as NOted
0j ,�- I/ k,
—7 By
AJAX 11IRVIJ
7.Attach ske plan.
U
(SKIP SErTION C AND COMPLETE WoTION 0)
SECTION 8 (All other Applicants)
1 . Property Zoning:
2. Submit the following:
SITE PLAN/TREE SURVEY indicating:
a) Site topography
b) Existing and proposed structures
c) Location of all trees w/ DON of six inches or more
d) Tree species and sizes
9) Trees to be, removed should be clearly marked
f) Trees to be relocated should be clearly marked
g) Location of any proposed replacement trees
h) Identify tress of special or unique characteristic
i ) Identify .troes within 10 foot of construction areas
J) Show location and type of tree protective barriers
k) Location of utilities, accesses and easements.
1 ) Location of vehicle travel corridora
m) Location of commercial sprinkler/irrigation systems
n) Landscape maintenance plan (commercial only)
o) Staging areas for equipment and material storage
SECTION C
I i agree to comply with the rules and practices established
in Chapter 23, - Article II bf the Code of Ordinances of
Atlantic Beach.
Ll�v
Owners Signature Ditto
, !QITY USE ONLY
Applicant has complied with all provisions of Chapter 23 and.
requirements of the Tree Conservation Board.
4 Tree conservation Board Designee Date
NOTE: "Tree Protect ion for Builders and Developers" is
available at City Hall or from the Division of Forestry,
8719 West Beaver Street, Jacksonville, FL. 32220. (781-1434)
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)
WATER CLOSET
WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
BATHTUB/SHOWER (2) URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (1) COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3) POT, SCULLERY SINK (4)
DISHWASHER (2) WASH SINK EACH SET OF
KITCHEN SINK (2) FAUCETS (2)
DENTAL LAVATORY (1)
KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
BIDET (3) URINAL STALL, WASHOUT (4)
FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
'URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2)
1 BLOWOUT (2)
I LAVATORY, BARBER/BEAUTY ICE MAKER (1/2)
SHOP (2)
1
SURGEONS SINK (3) LAVATORY, SURGEONS (2)
JACUZZI (2) URINAL STALL, WASHOUT (4)
TOTAL FIXTURE UNITS @ $20.00 EACH $
JOB INFORMATION
I
of (ITOUlturnrruUnt
"CpAMS us oUrLICATKI
whom it niq "Uwe=
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.
-40
B.lock 1, Beach ide, as re.c.old.e.d....in....P.B.-4.2.., .......... >1
D"cription of property........ ..........................7............................................................. 1__0
1AA.? I ..-...................
��q...L4p ub ic records of
....p
...............................
....................P.aa.*...
...........
DuvalCounty, Florida ................................. .............................................
........................................................................................
CL
............................................................................................................................................................I...........
of improvements..........q2U�EM!nion..of single f amilv home
General description ......... ..........................................
............................................................................................................................. ................................................
W
..................................................................................................................I....................................................................................................................
..................................
Owner...........................9....... ...�2�n.son,..and....C.a.r.o.l....Jo.hns.o.n his....wife......................
........... ......... .................. ....... ...........
P. 0. Box 706, Atlantic Beach, Florida 32233 .......
Address................................................................................................................I.....................
Owner's interest in site of the improvernent..................... ...................................
Fee Sirnp6 ritle Wder (if 4:11her than owner)
Name...................................................................................................N/.A....................................................................................
N/A
Ad&"&.................................................................................................................................................... .........
Contrador......................... ......P e.1he y....B.u.ild.e.r.s.......I.nc.............................................................
P. 0. Box 72, Atlantic Beach, Florida 32233
........................................;................................................................................
Swetyany).._..............................................................21A............................................................—
................. 4k
...........rjjojW of bond
N&Tm of person v#*hin the Stale of FW& designated by owner upon Whom n0lk= Or Q1hW &mn*W my
be sarve&
6.L,-v Z-o 11SOA- O-r,-d &A-D 'no�_A-C�0)L
...........................................................I..............................
V C
AJ&es&................ ..........................................Q...................11...... ............................................................... .........................
In addition to himself, owner designates the following person'to receive a copy of the Lienor's Notice
as provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option).
N&FM..................................................................... ......................................................................................................
Address............................................................................................................................
THIS *PACs Prost PinconDS111.
8 us&014LY
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